4090 Meadowlark RdCITY OF EAGAN
• .. .
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for 1 Est. Value $>y+?
SiteAddress -''?- k;-
Sec/Sub. 7,-LANDALE jkJ
Lot Block S "
Parcel No.
Q Name
31 W ^Ga?ki. .hC,.1' (??LVt?
= Address
0 City ' A Phone 11 .o Name 61:.
? ` Address
? City Phone
?
W
W Name
?y
_g
Address
u
Q W
City Phone
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 Statutas and City of Eagan Ordinances.
Signature of Permittee _
A Building Permit is issued to:
on the express condition that all workshall be done in accordance with all
applicable State of Minnesota Statutes andCityof Eagan Ordinances.
Building Ofticial
14': ?s a
Receipt #
OFFIC E USE ONLY
On SRe Sewage Occupency '
MWCC System Zoning
On Site Well (ACtual) Const ??-
Ciry Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Oft. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
? ? -
TOTAL
Psrmit No. Pormit Holder Date Telaphone
Plumbing ?7?1„
V
H.V.A.C.
Electric
Softener
Inspection Date Inap. COmmAntB
Footings I
Footings 11
Foundation
Framing , » 99
Roofing
Rough Plbg.
RoughHtg. s, j?.? ?c 10 Qsf ji;e•
Isul. Q
Fireplace
Final Htg. zz M- ?
Final Plbg.
Bldg. Final
Cert Occ. ?v
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
Ir, .
+7 . ? . •
(Etr#ifirafr n# (Orru?aury
titp of eagan
EP}1m"briPttf Qf lltlibtltg jttS}iPtflnit
This Certificate issued pursuant to the requiremerets of Sectian 306 of the Unijarm Building
Code cenifying that at the lime of issuance this structure was in compliance with the various
ordinances of the City regu/ating building consrruction or use. For the following:
lke Clauifiwtloo
Bldg. RmW No. 14988
Occuprcy Type R3 7oving Disuict R4 Type Const. VN
Owoa of Buildiog ?? ENTERMSES Addrees 4442 EMSIOR BLVD•, MIKA
euilain&naa? 4098 hE t Ft1]!1D L?uty U. B8, HI7LAtd1ALE 3RD
SMMM 22, 1989
Bwlding 6'a?
POST IN A CONSPICUOUS PLACE
G?Y
CONTRACT PRICE:
PERMIT #
PLUIiABING PERMIT RECEIPT N ?CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
Site Address -?4
Lot Block ?_ Sec/Sub
?
m
Name 4 -
r s??-= •-?-
m .
?
Address
c Ciry Phone :
Name ?4 ;-0
3 Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTFiACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
BLDG. TYPE WORK DESCRIPTION
Res. New X
M u It. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
/ Water Closet - $3.00 S ,
__?__Bath Tubs - $3.00
Lavatory - $3.00 -?
_Shower - $3.00
_, Kitchen Sink - $3.00 T?
-Urinal/Bidet - $3.00 ?
-j Laundry Tray - $3.00 ?.-
Floor Drains - $1.50 ,
TWater Heater - $1.50
_Whirlpool - $3.00 ?
! Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERM17)
_Softener - $5.00
_Well - $10.00
_Private Disp. - $10.00
-Rough Openings - $1.50
FEE: .a?;? r.? ,.
STATE S/C:
GRAND TOTAL• , 22
--
'! MECHANICALPEiMIT PERMIT 1k
• CITY 6F EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: " PHONE: 454-8100
Site Address
Lot
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
m Name
'R Address
c City
Name ,'; :--. ;f/.i,? `• / ,. ?'r .
c Address
p City Phone
TYPE OF WORK
Forced Air
Boiler
' Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
? M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL:
FEES . i?
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEhMI'n - 1.50 EA.
COMM/IND FEE - 136 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) ,
/ .._. , ' PERMIT q
t - MECHANICAL PERMIT RECEIPT # Y -' 1,S
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?TRACT PRICE PHONE: 454-8100 For Office Use Only:
Site Address / ', BLDG. TYPE WORK DESCRIPTION
' Lot Block Sec/Sup
Res. " New
Mult. Add-on -?
y IName
m Address Comm. Repair
c City Phone Other
d
c
3
O
Name _
Address
City _
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Gas Piping Outlets #
Other
Phone
M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL•
FEES
' RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU -$24.00 ?
- 6.00
(RES. HVAC INCLUDES A/C ON NEW ?
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMI
1
50 EA
-
n
(
COMM/IND FEE - 146 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES -
.
.
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT
ADD $
50 S/C IF PERMIT PRICE GOES - .50
(
.
BEYOND $1,000)
f? fi?i
1??./
" fn5
SI' />??//??il'?,? - " . : ! ?'?
"''`J FOR: CITY OF EAGAN
?/3/Ze ?? --,
CONTRACT PRICE:,?
Site Address
? _.
? Name ? ? . ., ,.... ?_ r.
? Address
c C'ity `-;%. ..
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
r... ,.
' BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
Name
c Address
p Ciiy Phone
TYPE OF WORK
Forced Air
Boiler
Unk Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
PERMIT #
F
RECEIPT #
DATE:
FEES
RES. HVAC 0-100 M BTU -$24.00 J
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION) '
+
GAS OUTLEfS (MINIMUM -1 PER PERMfn - 1.50 EA.
COMM/IND FEE -1% OF CONTRACT FEE ?
APT. BLDGS. - COMM. RATE APPLIES ±
TOWNHOUSE & CONDOS - RES. RATE APPLIES ?
MINIMUM RESIDENTIAL FEE - ALL ADD-ON & {
REMODELS - 12.00 !
MINIMUM COMMERCIAL FEE - 20.00 j
STATE SURCHARGE PER PERMIT - .50 ?
(ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) ?
PERMIT FEE:
?e: . ; 5?., 7"W/9v
TOTAL: -' w-' "?I FOR: CITY OF EAGAN
• CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT
To be used for Est. Value ? 5 r000
Site Address C'' ')
Lot Block Sec/Sub. ; !-LANnA4E 9RD
Parcel No.
a Name
3 Addre
o r.it.,
a _
p Name
? i Address
? City Phone
Name
Address
City Phone
I hereby acknowledge that I have read this application and state that the
intormafion is correct and agree to comply with all applicable State of
Minnesota Statu[es and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued
on the express condition that all workshall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
14987
Receipt #
Date ,19
OFFIC E USE ONLY
OnSiteSewage _ Occupancy N-_3
MWCC System _ Zoning R-4
On Site Well (Actual) Conffi - ?-?
City Water ? (Alloweble) -.
PRV Required # of Stories L
Booster Pump Length
Depth v4 ?
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Cow'cil Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter "
'
Road Unit
Treatment P1
Parks
TOTAL -
. Psrmit No. Permit Holdar Date Tslephone u
Plumbing ? f
HM.aC. 98-?J-
Electric ?
Softener
Inapectlon Date Insp. CoTments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. f ?'?s• f?i ?-r-?
isui. % h D?
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
? . + r
(Irrfifirafp nf (Orrupttnry
Citp of eagan
EP}iFll'tritMtY Df l1t11bItUJ 3tIqPttiDtl
This Certificate issued pursuant !o the requiremenu af Section 306 of the Uniform Building
Code cenifying thaa at the teme of issuance this structure was in compliance with the various
ordinances of the City regula6ng building construction or use. For the jollowing.•
Use Clesdfication ??" 6 ZJDr Bldg. Rrmit No.
Occupaocy Type 3 Zoojug Disuict Type Coroi.
Owmr of Bw7diog ?!,f.N-t'?4 F,?:Z?:i , I_•F: Addfm. `?t}'-1?+2 ii .?`'?Birilding Addrw `iiaT.. `.P?R {N.V:,
Loaliq, 1• ? ? •?c? ? 11-?T ktii7.}1 -
Nm: Jet.?1M 20. 19??F
Bwlding Offiaal : ..
POST IN A CONSPICUOUS PLACE
PERMIT N
• ' PLUM8ING PERMIT
" CITY OF EAGAN RECEIPT # ? v
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Block Sec/Sub
? Name
m Address
c City Phone
Name _
c Address
O City _
Phone
-u
FEES
COMM/IND FEE - 1%OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TQWNHOUSE & 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)
..' M '' ?.. .
OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. 7YPE WORK DESCRIPTION
Res. New X
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
-Shower - $100
/ Kitchen Sink - $3.00
_Urinal/Bidet - $3.00
T
?
3
ray - $
Laundry
.00
Floor Drains - $1.50
? Water Heater - $1.50 '
_Whirlpool - $3.00
! Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
_Softener - $5.00
-Well - $10.00
_Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
4.1 PERMIT #
1
,
MECHANICAL PERMIT lA,
' ? RECEIPT # ?
' CITY OF EItOAFI
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? r$
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
LotBlock Ssc/Sub Res. ? New
Mult Add-on
m Name Comm. Repair
Address Other
c Ciry
FEES
Name ` RES. HVAC 0-100 M BTU -$24.00
; Address. ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
IAIT
1 PER PER
1
50 EA
(
-
i
) -
.
.
TYPE OF WORK COMM/IND FEE - 1%OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M 8TU TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ? $:.• ? u BEYOND $1,000)
Other
FEE:
?
S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
?
BUILDING PERMIT
To be used for 'OUNDATl:° Est. Value
SiteAddress OWLAftK Hi`
Lot ' Block Sec/Sub. ? L.LANUAL?, +
Parcel No.
a Name ' , ; '' ,. f L`_•?,?v'J-:L;
W
;
Address
° CitY Phone
¢
.o
Name
? ` Address
? City Phone
F¢
yVj W
Name
_g Address
Q W City Phone
Receipt
Date
JULY 13
13391
19
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
Ciry Water _ (ActuaQ
(Allowable)
# of Stories
Length
th
De
p
S.F. Total
Footprint S.F.
APPROVALS
Assessments _
Water/Sewer _
Police _
Fire _
Engr. _
Planner _
Council _
I hereby acknowledge that I have read this appiication and state I Bldg. Off. _
that the information is correct and agree to comply with al! applicable APC -
State of Minnesota Statutes and City of Eagan Ordinances. Variance _
Signature of Permittee
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P7
Parks
TOTAL
$ I`1 .
-r--
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 Ciry of Eagan Ordinances
Building Official
I I Permit No. I Permit Holdar I Date I Telephone it I
I I Plumbing
II H.V.A.C.
E lect ric
Softener
Inspectlon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
81dg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
; Deck Frmg.
I Pr. Disp.
, 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 Est. Value Date 3 ,19
Site Address OFFICE USE ONILY
Lot Block Sec/Sub OnSiteSewage Occupancy ?-'
. MWCCSys[em ? Zoning !?-4
Parcel No.
?
On Site Well (ActuapConst -
? • I ?f?
. ? i ? j ' r': Ciry Water _ (Aliowa6le) Y-''•
a .
Name
= Address '" -•`?'? d??'? PRV Required # of Stories L
? Cit I? Phone
Y BoosterPump Length '
Depth
o¢
. Name S.F. Total
o` Address FootprintS.F.
U
P
City Phone
APPROVALS
FEES
W W
Name Engr./Assess. Permit "`••..' '
_= Address Planner Surcharge 4•? i
¢ Z
W City Phone Council Plan Review '?•??? I
? Bldg. Off. SAC, City
1 hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn. ?- -? •?'
Minnesote Statutes and City of Eagan Ordinances. Water Meter ?' •• slt-
Signature of Permittee
- - ---
Road Unit ? . ?. .?r
-
A Buildin Permit is issued to:_
9
Treatment Pt -
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. parks
Building Otficial TOTAL
-• . Permit No. Permit Holder Data Telephone #
Plumbing 74/5
H.V.A.C. 9871
Electric , ?t f,SS `61017
Softener
Inepectlon oete Insp. Comments
Footings I
Footings II
Foundation
Framing ?- zz_
Roofing
Rough Plbg.
?
Roug h Htg. 04' Aw 46,0't
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Weil
Pr. Disp.
?u
a?
(grr#ifiratr of COrrupanry
titp of (eagan
OP}iMi"tritFttY of W1tllbtllg Jri9}1PtftIItt
This Cerfificate issued pursuant ta the requiremenu ojSection 306 of the Uniform Building
Code certifying that at the time of issuance rhis structure was in compliance with the various
ordinances of the City regularing building construction or use. For the following:
uu cm?r?uoo 1(F 6 ". eeruiic No. 14989
Occup%ocy Type R3 Zoning Disvia R4 'lype Coost. VN
o?, a ewan HAVFN F111FItPRT!SFS o INC. Add=14442 IICUS'IQR BIAD. , MIKA
BieldingAddress4096 M.r1QAD •S• lucal???t B8f Ka7.ANDME 3M
/
o.wAWJST 10+ I990
Buiiding 06wi,
POST IN A CONSPICUOUS PIACE
PERMIT q T!? ?h
PLUMBIPIii PERMIT
CITY OF EAGAN RECEIPT q
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -
CONTRACT PRICE: PHONE: 454-8100
Site Address
lot ? Block Sec/Sub
_ s
? Name
a) _
m Address
c
. .
City Phone ~
... y. .. C
Name
3 Address
O City Phone
FEES
COMM/IND FEE - 1°Po OF CONTRACT FEE
APT. BLDGS - COMM fiATE 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)
?
1
?
SIGNAT?dFi? OF PERMITTEE r FOR: CITY OF EAGAN
BLDG: TYPE WORK DESCRIPTION
Res. Nf- New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPIETE THE FOLLOWING:
NO. FIXTURES TOTAL
j-Water Closet - $3.00 $
y_Bath Tubs - $3.00 ,
Lavatory - $3.00 y
_Shower - $3.00
i Ki!chen Sink - $3.00 40_/ • _UrinaVBidet - $3.00
?Laundry Tray - $3.00 ,; .
Floor Drains - $1.50
?-Water Heater - $1.50 j-
_Whirlpool - $100
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
-Softener - $5.00
-Well - $10.00
_Private Disp. - $10.00
__,T__Rough Openings - $1.50 ?7:----
FEE: 6.--
STATE SlC: ai1}
GRAND TOTAL• aY 41'
-
I
, •
Site
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD,,EAGAN,
`-Ati Li fo PHONE: 454-8100-
Name
o i .
R Address
c City
? ? ?•",RhC
L Name
c Address
p City Phone
-
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other ?
FEE:
S/C:
TOTAL:
RECEIPT #
DATE: _
? BLDG. T1fPE WORK DESCRIPTION
Res. ? New
_ Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkdAIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
? APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 6
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
- STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
. 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 4? ? % • ?- ' Date ? SiteAddress " ?t'
Lot Block Sec/Sub.' ' ''•4k:? i('
Parcel No.
a Name
=
Address r
? ?•? ?'
° City Phone
p Name
? ` Address
P. City phone
?W
? W Name
_ g Address
?Z
tW City Phone
I hereby acknowledge that I have read this application and state that the
information is corcect and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
, Signature of Permittee
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.
8uilding Official
19
OFFICE USE ONLY
On Site Sewage _
" Occupancy
"
MWCC System Zoning v
On Site Well (Actuaq Const `-'
CityWeter ^ (AIIDwebIB)
PRV Required # of Storfes
Booster Pump _ Length L' '
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit
Planner Surcharge ` `
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit "
Treatment P1 - ?
Parks
TOTAL . , i
Permit No. Permit Holder ts Telophon
a
Plumbing C 7
p
H.V.A.C. C'
Electric
. ?
Softener
Inspaction Date Insp. COmmentS
Footings I
Footings II
Foundation
Framing S'
Roofing
Rough Plbg. 47 ' -G
Rough Htg. ¢ fs ??fo 9/ xl!/ Az/ csv
Isul. /
Fireplace
Final Htg. /-//.llC
Final Plbg.
Bldg. Final ,
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
t f e u
(Itrtiftratt of (IDrrupanry
titp of (eagan
Er.partmrnt of guilhing Jtcopertinn
77tis Certificate issued pursuant to the requrrements ojSecdon 306 of the Unijorm Building
Code cerrifying that at the time oJrssuance this structure was rn compliance with !he various
ordinances ojthe City regulating building construction or use For the foUowing.•
u. aw6.;m 1OF 6 BW9.,Wmk No. 14990
°a°P'aY Tra R3 wnine nWria F!+ TYx COWL VN
O,,,,K, a a,o,dW HavFSr nM)FUsES Dr. A,d? 14442 EMszaR at.w. , rIKA
4094 S MEAD? FL3AD ,,,c,;ty IA, 138. tIII.L41alALE 3RD
aic 19, 1990
8wlding Offioal . .
POST IN A CONSPICUOUS PLACE
r
CONTRACT PRICE:
PERMIT
PLUMBING PERMIT - -
CITY OF EAGAN RECEIPT q 3830 PILOT KNOB ROAD, EAGAN, MN 55122 OATE: PHONE: 454-8100
Site Address
Lot SBlock Sec/Sub
y Name ; }Ire fl?? .-:r ..i (' -
m Address /-'Z/ S
c Ciry -`??^ !' ? Phone
Name
; Address
p 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 IF PERMIT PRICE GOES
BEYOND $1,000.00)
PERMITTEE
?
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New ?
Mult. Add-on
Comm. Repair
Olher
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N FIXTURES TOTAL
Water Closet - $3 00
_Bath Tubs - $3.00 -
! Lavatory - $3 00 -
Shower - $3.00
/ Ki?chen Sink - $3.00 '
-Urinal/Bidet - $3.00
Z_Laundry Tray - $3.00
% Floor Drains - $1.50
? Water Heater - $1.50
_Whirlpool - $3.00
?-Gas Piping Outlets - $1.50 . ; ?
(MINIMUM - 1 PER PERMIT)
-SoRener - $5.00
-Well - $10.00
Private Disp. - $10.00
-j--
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL' s U
?y 3 ?
f -
-' PERMIT #
, , • •
? ? MECHANICAL PERMIT RECEIPT #
CITY OF EAQAN • .-
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
,
CONTRACT PRICE: PHONE: 454-8100
Site Address "
BLDG. TYPE WORK DESCRIPTiON
Lot f' Block
' .c/Sub
_ -: -
Res. New
I
I ?
Name
,--,
.,,, Mult Add-on
? e_ Comm. Repair '
Address
y Ocher
rty
C
t-.;..
:
. FEES
? Name
RES. HVAC 0-100 M BTU
-$24.00
c Address ADDITIONAL 50 M BTU - 6.00
I O C?tY Phone (RES. HVAC INCLUDES A/C ON NEW
p CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkiUIIT) - 1.50 EA. 'I
' TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ,
Forced Air ?? M BTU APT. BLDGS. - COMM. RATE APPLIES
B
il TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
er
o
I M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
? Unit Heater M BTU REMODELS - 12.00
i Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE
S/C: • Jv SIGNATURE OF PERMITTEE
TOTAL• ? •
FOR: CITY OF EAGAN
. CITY OF EAGAN
?.. _ .
3830 Pllot Knob Roed, P.O. Box 21-199, Eagen, MN 55121
PHONE: 454•8100
BUILDING PERMIT
To be used for Est. Value = gSr000
SiteAddress
« t;:LLANU.[.::
Lot ` Block Sec/Sub. -
Parcel No.
a Name
z Address
° Ciry Phone 93_1-0562
¢
.o Name ° '?Q Address
P City Phone
?
yVj WW Name
F
_g Address
Q W City Phone
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.
SignaW re of Permittee
A Building Permit is issued to: "
on the express cond ition that al I work shal I be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial
Receipt #.
! 4,
OFFIC E USE ONLY
On Ske Sewage _ Occupancy
MWCC System Zoning
On Site Well (Actual) Conat
City Water ? (Allowable)
PRV fiequired _ # of Storiea
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Ott. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
14 n11a
,19
?,... .
Y-
V- -
2
•.
22
44'
394.00
41 . :,
i??. .
1Gt; .
55? .
5 `::: .
. ` Permit No. Permit Holder Date Telephono 7t
Plufibing ? C ,???? ?L ti // ?'
H.V?AC. ?f ?
ElectriC
Softener
Inapection Date Inap. Comrtlent8
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. -,,1- z
Rough Htg.
Isul. 7
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
D. ,,I J
(grrttfiratr nf (Orrupttnry
Citp of (tagan
iDrpartrnrnf u# BuQircg JWrrtinn
This Cenifrcare issued pursuant to the requiremenu of Secdon 306 of the Uniform Building
Code certifying that at the time of irsuartce Ihis structure was in compliance with the various
ordinances of the Ciry regulating bui4llng coxstruction or use. For the following:
u? anniti?um 1 OF 6 mae. P,,,,;, No. 14991
oc-pa-r rrx ?/ Zoning nism« M rra corm. VN
o,mer or eudaingHAVF14 FrTIFRPRISFS. INC. A&ke, 14442 MMSIaR BLVD., NffiCA
sumnS aaamn4092 S. MEADOFRAIdC R]AD Loca;iY I5. B8. EIlilANIDAiE 38D
o„e: FEERM 14. 1990
} Bmlding O ciel ?
POST IN A CONSPICUOUS PLACE
CONTRACT PRICE:
Site Address
Lot Block ! Sec/Sub
y <•:.y, ,i?^t
Name "r?u?
,
m Address
c City "- +?.? i ?' Phone K
Name - ?
L
3 Address
p Ciry Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - 50
(ADO $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
L /
SIGNATURE OF PERMITTEE •r ? .
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAN, MN 55122
PHONE: 454-8100
PERMIT q Z ? 7 7
RECEIPT #
DATE: BLDG. TYPE WORK DESCRIPTION
Res. New - '?
Mult. Add-on
Comm. Repair
Olher
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
?Water Closet - $3.00 $
! Bath Tubs - $3.00
?Lavatory - $3.00
-Shower - $3.00
_LKitchen Sink - $3.00
-Urinal/Bidet - $3.00
-1-Laundry Tray - $3.00 -
? Floor Drains - $1.50 ? -
! Water Heater - $1.50 '
Whirlpooi - $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
FEE:
STATE S/C: `"
FOR: CITY OF EAGAN GRAND TOTAL:
f.. ? PERMIT #
? MECHANICALPERMIT
' ' RECEIPT #
? . 3830 PIL GTY OF EAOA1?
OT KNOB ROAD
EAG/CN
MN 55122 DATE
??? ??
r CONTRACT PRICE: ,
,
:
PHONE: 454-8700
Site Add
ress "
f gLpG, TypE WORK DESCRIPTION
Lot- Block Sec/ ub _ Res
? New ?
/ .
y Name Mult Add-on
? Addr Comm. Repair
c ess
City `P.iliJNt rliQj?g`q?i•?? ? Other
.,
: .
• FEES
Y
r
Name ?, , f,
RES
HVAC 0
100 M BTU
$24
00
? .
-
-
.
c Address ADDITIONAL 50 M BTU - 6.00
p
City
Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERiNIn - 1.50 EA. ,
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ?
Forced Air M BTU q'ap APT. BLDGS. - COMM. RATE APPLIES I
Boiler
M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 ?
Unit Heater M BTU REMODELS - 12.00
Air Cond.
M BTU ?
MINIMUM COMMERCIAL FEE - 20.00
I
STATE SURCHARGE PER PERMIT - .50
Vent. CFM _
$
GOES
PERMIT PRICE
Gas Piping Outlets # BEYOND $1 00)
Other I
FEE
?
?!
S/C: SIGNATURE OF PERMITTEE l-
?T
`? ?.,`?
TOTAL: u ?
FOR: CITY OF EAGAN
? CITY OF EAG AN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PH ON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value y Date ? i ,19
Site Address O FFICE USE ONLY
Lot Block Sec/Sub. LLACf.3AL". 3=i?} OnSReBewage Occupancy `
MWCC System _ Zoning
Parcel No.
On Site Well _ (Actuap Const
e NOmB City Wflter (Allowable)
= PRV Required # of Storfes
31 ? Address
City Phone
Booster Pump
_ Length
Depth
a
.O
Name
S.F. Total
.
o i
U Address Footprini S.F.
lm City Phone APPROVALS FEES
VjW
y Neme Engc/Assess. Permit
g Address Planner Surcharge
Q W City Phone Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC
intormation is correct and agree to comply with all applicable State of Water Conn.
Minnesote Statutes and City ot Eagan Ordinances. Water Meter
Signature of Permittee Road Unit '
A Building Permit is issued to:. Treatment P1 -"'
on the expreas condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Otficial TOTAL '
'• Parmit No. Permit Holder Dste Telephone X
Plumbing jj? y
H.V.A.C. gW
Electric
Softener
Inspection Date Inap. COmment8
Footings I
Footings II
Foundation
Framing D. S'
Roofing
Rough Plbg.
Rough Htg. `41J.41,W
Isul. ?
i?
Fireplace
Final Htg. 1a
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
%
(tertifirafr uf (Orrupttnry
Citp of (Eagan
Erpttrtmrnt uf guilbing JWrdimc
This Certificate issued pursuant to the requirements of Secteon 306 of the Uniform Building
Code cerlrfying that at the Nme ojissuance this strucrure war rn compliance with the various
ordinances of the Crty regulating building construction or use. For the joUowing.-
u, ci?eaw, 1 CF 6 PI.EC eWg. N,,,i, xo. 14992
O?W iwY TyPe -RQ Zoning Diatrict R4 Type Cona. VN
Ownad'BwldingHAVW WMTPJ`?, DC• qdy? 14442 MMMOR N.VD.1 MEKA
a?ra naa?4090 S. WABOWfARK I? L?w„y Ib. B8. EnLRCAI.E32[O
?
o.,e: JM 26.1989
- Build{ng O?aaYn
POST IN A CONSPICUOUS PLACE
CONTRACT PRICE:
PIUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
Site Address ?4 SG
Lot Block Sec/Sub
2 Name ° c' rr7 ?
m Address i.+/i
c City Phone
Name
3 Address ?
p City Phone JI
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 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)
OF
PERMIT k
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. x" New _lk?
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
! Water Closet - $3.00 $
_LBath Tubs - $3.00
I Lavatory - $3.00
_Shower-$3.00
? Ki?chen Sink - $3.00
-Urinal/Bidet - 5300
! Laundry Tray - $3.00
! Floor Orains - $1.50
' Water Heater - 3t50
_Whlrlpool - $3.00
! Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMI'n
Sottener - $5.00
-Well - 510.00
_Private Disp. - $10.00
-Rough Openings - $1.50
FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
?
PERMIT #
, . : ? ? • .' ? MECHANICAL PERMIT
. ' CITY OF E#GAN • - RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - ?- S S
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block ? T=e5tSub Res. ` New
?
Name
H?(- (,; CC
,,:J. C..
Mult Add-on
a?
?
Address f,VE. Zc 0.
Comm. Repair
Oth
r
c Cit
,"r: : `-"
"`'Ph •._ e
y one
r
FEES
? Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
1 PER PERdAIT) - 1
50 EA
GAS OUTLETS
MINIMUM
.
.
(
-
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
FOrced Air '•? M BTU ?'? •?'?'U APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M 8TU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM R (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ? $ 4? BEYOND $1,000)
Other
FEE: ,., • ,;',
?
?'. S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 0-
PHON E: 454•8100 `
BUILDING pERMIT R i t? ?
To be used for
Site Address _
Lot 1 Block
Parcel No.
ecep
J' Est Value y % ? . ?'•???? Date `- 'AY 11
.19 rit'
8
_Sec/Sub. PiiULAVDALE 3RD
m Name i.AVLid @NTERP.4ISES. 1NC
=
Address
14442 :?XCEL.SIOlt SLVli
3
' 0 City "lTKA Phone 433-0562
, o Name SAMi?
"? Q Address
? City phone
?Q
uW W .
Name
,
?
s _ ?
Address
s WZ
Q City V'
Phone
.1 hereby acknowledge that I have read this application and state that the
intormation is conect and agree ro comply with all applicable State o(
Winnesota Statutes and City of Eagan Ordinances.
?Signature of Permittee A euildi?Ig Permit is issued to "AVi.N Fl."LEttPR I5C5 , iNC
Pn 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
OFFICE USE ONLY
On SRe Sewage Occupancy 5c-.3
MWCC System ? Zoning it-4
On Site Well _ (ACtual) Const V-P]
City Water X (Allowable) V..N
PRV Required # of Stories 2
BoosterPump _ Length 229
Depth 11,41
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit '394.?
Planner Surcharge 27,
Council PlanReview 197.0
O
BIdg.Off. SAC,City 100.60
Variance SAC, MWCC 550.OU
Water Conn. 5 5(1 _ (1[]
WaterMeter 67•W
RoadUnit 325.00
Treatment P1 204.00
Parks
2
414.50
TOTAL ,
. ,.
. . . ^ . ? .. _.. -S
CASH R-ECEIPT
• ?? CITY OF EAGAN
• 3830 PILOT KNOB ROAD
. EAGAN, MINNESOTA 55122
DATE 18? ..
MEtErvEo
mou
r AMOUNT $; ! I
& DOLLAqS
,w
? CASH C? CHECK
sv?-
Whito--Payers CoPY
?. :; . t; c, •s w i'S vanow--POSting Covv
Pink-File Copy
Thank You
? _ .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt# i
To be used for 1 QF 6 Est. Value F 5 5, c:Ol) Date t111Y i! ,1988
Site Address 4098 S ??WLARK SU
Lot ? Block 8 Sec/Sub. HIL'l.AiaDALE 3kD
Parcel No.
¢ rvame
3 iAddress 114"2 E
° CityMT=K.4
o Name_
? Q Address
? City_
¢
W Name_
Z Address
u
W eity,
I hereby acknowledge thai I have read this application and state that the
"information is coFrect and agree to comply wi[h all applicable State of
Minnesota Statutes and City of Eagan (lydinances.
Signature of Permittee _ .4 Building Permit is issued to: NAVEid f;NY't:i2YBIsiiS p 1NC
on the eapf,ess condition that all work shall be done in accordance with all
dpplicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy R'S
MWCC System ^ Zoning R'4
On Site Well (Actual) Const v-h
Ciry Water
X (Allowable) ?
PRV Required # of Stories ?
Booster Pump Length ? 2 '
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 394•00
Planner
Council
Bldg. Oft. SAQ City iQC).U(?
Variance SAC,MWCC gSQ.CIV
W ater Conn. 5 543 . QO
Water Meter 67.00
. Road Unit
Q
32510
TreatmentPl 204'00
Parks
?
?'?
TOTAL ?
CASH RECEIPT
CITY OF E'AGAN I ?3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE fI ( ) 19 ?.
AMOUNT
i'
& DOLIARS
?ro
El CASH p CHECK
.OR
;
BY ?
Whtte-PaYera CoPY
:_'. , Li •i.: .; I{ •4 Velbw-POStln9CWY
Pink-File Copy
Thank You
CITY OF EAGAN ? ,a ? . ?•?
3830 Pilot Knob Roed, P.O. Box 21-199, Eagan, MN 55121 ?PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for i OF b Est Value $5g rQoo Date }1AY 11 ?
Site Address _
Lot 3 Block
Parcel No.
g Sec/Sub. KTLLANDALB 3Rp
m Name ftAVk;N [:ti1'EkpRISE9, ItBC
= Address 14442 cXCGLSIOR BLVD
? City MTKA Phone 933-0562
¢
0 Name SA'`E
? i Atldress
r¢- City Phone
u °C
?y W Name
FW
Address
Q W City Phone
I hereby acknowledge that I have read this application and state that the
inforrpation is coqect and agree to comply with all applicahle State oF
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
P, BuilCing Permit is issued to: WAVLN F:14TEFtPRI5692INC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Stafutes and City of Eagan Ordinances,
Building Ofiicial
4096 S HBADOti(.ARK BD
OFFICE USE ONLY
On Site Sewage - Occupancy 1z-3
MWCC System X Zoning R-4
On Site Well (Actual) Const %'- N
City Water x (Allowable) V-N
PRV Required ik of Stories 2
Booster Pump Length 221
Depih 44 ?
S.F. Total
Footprint S.F.
APPROVALS FEES
Engc/Assess. Permit 394•00
Planner Surcharge 27•?
Council Plan Review 197.?
BIdg.Ofl. SAGCity 1oo.?I
Variance SAC, MWCC 550•?
Water Conn. 550.?
Water Meter r 67.U0
Road Unit :.-
??
Treatment P1 ?
•
Parks
414.50
2
roraL ,
CASH RECEIPT
?t
? CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?
DATE 7g
mw 1_ ?? ?
AMOUNT $
r
? CASH ?fCHECK
DOLLARS
' 1 -
ra+
?
sv ?_/ t 1 , - ?
wnue-Peyerscovv
velaw--Posnne covr
Pink-Flle Copy
Thank You
CASH RECEIPT
?. .
CITY OF-EAGAN
' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
_i
DATE `J ? I I 19 1ECENED / . '
FPOM AMOUNT $ { I ?
& DOLLARS
?ro
? CASH 0CHECK
.
Fon
I
BY
WhNe--Payem CoPY
.? .. ? ,? Ve11w-Postirg Copy
' Pink-Fle Capy
Thank You
CITY OF EAGAN -
...=:,
3830 Pllot Knob Road, P.O. Box 21-199, Eegan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for 1 G}' b Est. Value $ 5 5, ??i 0 Date MAY 11 ,19 88
Site Address 4094 $ llEfiDOSiLARK RG
Lot 4 Block 8 Sec/Sub.HZL4AHDALF, 391)
Parcel No.
s Name 4lAVEN N'!;:r.RPRISES. INC
; Address 1"42 E::rEL`.iOR BLVD
° City i'TKA Phone 913-052
¢
.o
Neme -'AmE
o i A6dress
u
P
City
Phone
?
a
yVj W
Name
?
, _ ?
Address
U
a w ?
City »
Phone
I hereby acknowleCige that I have read this application and state that the
'information is correct and agree to comply with all applicable State of
Mignesota Statutes and City of Eagan Ordinances.
Signature of Permittee --
A°6yilding Permit is issued to: HAVEk F.NTF.RPRISBS , INC
on t* ezpress condition that all workshall be done in accordance with all
2pplicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Ofticial
OFFICE USE ONLY
On Ske Sewage _ Occupflncy x'3
MWCC System X Zoning tt'"4
OnSiteWell (Actuel)Const v`'N
City Water x (Allowable) V"i4
PRV Required # o( Stories 2
Booster Pump Length 22) ?
Oepth 44,
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 394•00
Planner Surcharge 7 7• 50
Council Plan Review M.
Bldg. Off. SAC, City 100.00
variance SAC, MWCC 550.00
Water Conn. S'JO.
WaterMeter 67.flQ
Road Unit;9 323.00
-
204C U
U
Treatment P1
Parks
?
TOTAL ?o
1T.
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 1!',F 6 Est. Value '-5 90CO Date AAY i i ,19 sU
SiteAddress 4092 e k^i£+kiiOWLe1;.K RU
Lot elock H Sec/Sub. i€+.'LLANTiALE 7PC
Parcei No.
? Name_ _ HAVIiN k:NTER4RTSB5. Ii1C
z Address 14442 ExCELS10R BLVD
° City 14TKA Phone 93:1-0562
o INanne gAMF
? Q Atldress
? Ctty Phone
yVj W Mame
?
._ ? Address
a W` City Phone
I hergby acknewledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutw and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: HAYf:N ENTEk PH I SF.S r"4C
on fhe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System X Zoning h-4
On Site Well (ACtuat) Const V"n
Cily Water X (Allowable) V-N
PRV Required _ # of Starles 2
Booster Pump Length 72 '
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 394.00
Planner Surcharge 27•50
Council PlanReview 197.00
BIdg.Off. SAC,City 10O.00
Variance SAC,MWCC 5.50•00
water Conn. 550.00
Water Meter 67.00
Foad Unit
-
Treatment Pi 0
0 '0
Parks
?
Xf1v
9
TOTAL
I , .
CASH RECEIPT
CITY t}P EAGAN
' 3830 PILOT KNOB ROAD
• EAGAN, MINNESOTA 55122
DATE 19 ? AMOUNT I $
' ! -
& DOLLARS
,m
? CASH ? CHECK
?
i
I v
BY ? i
I
,., ; . .- .r, . Whlte-Payers CoPY
Veib?astl^9 CWY
Pink-File Copy
Thank You
CITY OF EAGAN _A
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for I UE b Est. Value 1$5, ?00 Date AL1Y 11 19 i?R
Site Address 4090 S MfAUf)WLAItK Ril OFFICE USE ONLY
Lot 6 Block 8 Sec/Sub. Ha1"NDAt.rc . 3RD On Site Sewage Occupancy R"'3
MWCC System K Zoning
Parcel No. On Site Well (Actual) Const
a Name HAVEH F'-`T} kpR-;5E5 9 ZN` City Water X (Allowable) V-N
z Address 14442 EXC$I,$IOR B1.VD PRV Required # of Stories 2
0 Cjty ?A Phone ?3?-05fYa BoosterPump Length ?
Depth E+41
¢o
. Name ShP.J;
. S.F. Total
? Q Address Footprint S.F.
lm City Phone APPROVALS FEES
?¢
yVj W
Name EngrJAssess. Permit 394•00
2
5
? Z
z-
Address
Planner
Surcharge 7.
0
u ? Council PlanReview 199•00
Q W City Phone
Bldg. Off.
SAC, City
100.00
,
Lhereby acknowledge that I have read this aPPlication and state that the Variance SAC, MWCC 550.00
fiformfltion is correct and agree to comply with all applicable State of Water Conn. 550•6?}
. tqlinnesota Statute$ and City of Eagan Ordinances. Water Meter _67,QQ
Signature of Permittee -
Road Unit
325.
sABuildingPermitisissuedto: hAVEN FAMnPRISCSi ;?VC TreatmentPt 204•00
op theexpress condition that all work shall be done in accordance with all
applica6le State of Minnesofa Statutes and City of Eagan Ordinances. Parks
2,414.50
Building Official
, , TOTAL
.
• . Y ,
CASH RECEIPT
,
CITY OF €AGAN
' 3830 PILOT KNOB ROAD
• EAGAN, MINNESOTA 55122 '
_ . ,
!.. ?,' .
DATE 19
AMOUNT
DOLLARS
?m
? CASH ?CHECK
ron
.. nr •., > White-PayersCoPY
Yelb?POStin9CoPY
w ,. v . . _
Pink-File Copy
R
1 .....,
Thank You .
ev ? ' %
, 7??
MN 55121
Owner.
Site Adi
Permit No: Date:
B/P No: Date: -t3$
6r
I
MWCC:
? Ci?Ch9: r- -° Zoning• r3
?
Acc[ Dep: ?
? 1
'•' '^?' No. of Units:
------------
Permit Fee: ,•„?,:: I agree to comply wifh the C
?' ? ?gan
Surcharge:
- Ordinances.
-------
Misc.: ----
By
_ SEWER SERVICE PERMIT j
CITY AF t.LG/QN ° Perrflit No: ""71
3830 Pipt Knob"Road Data ? ?_
M
P.O. E'ox 21799 ?er No: Size:
Eagan, MN 55121 Reader No: Date:
11 in. %,ng:
I 5.'?npd Zoning:
ct Dep:
rmit Fee:
rcharge: . SflDd I agree to comply with the City of Eayan
Plant_ "?q r1p?
ter. Ordinaoces.
;c.: `
By
? WATER SERVICE PERMIT
rY QF EAGAN Permit No:
?0630 Piipt KnoL Road
Meter No: Y
/ o O j 9 Date:
9?
!
•?
`
P.O. B°x 21199 -
Reader No:lZl R 9
9? ,
o
giZe
/ 7
Eagan, MN 55721 „ Date:
- /-S
Owner. V;-1l ; nr_el ,,,-?S e_;
SiteAddress I?
' c?owl.ari: °d. I,6 ^,.. „ -??-• ?
Plumber. 3
-:e Sic1.e Plumhino
Conn. Chg: ?SQ.OOo? Zoning: ^?
Acct Dep: 7-5. QQn:_' No. oi Units: 1
PermitFee: L:, ?(- -
Surcharge: ^ . i 0 n;' I agree to compl with the Clty of Eagan
Tr. Plant ' E'1?'?nr' n s, / 1
Meter. _ e- ,,. _ Ordina _ ? 1
Misc.: B
Y
WATER SERVICE PERMIT
CITY OF EAC1AN „ PQrmit No: -
3836 Pilot Knob Road Date:
B/Plp°: Date: ' i
P.p. Box 21 Y 99 '
Eagan, MN 55121
Owner. "? Ejirerrrisas
Site Address: -: •+ , ?n. T `111om ar?; `'-, . _ •, . _ _
Plumber.
MWCC: ',.1. pnT"
Zoning•
City Chg:
No. of Units:
Acct. Dep:
'ermit Fee: I e9ree io comply with the City of Eagan
3urcna.,,o• OMinances.
....,..... BY
SEWER SERVICE PERMIT
. __-- ?------*----?-- - ?- - _ _ . ? .? . .. -.- _ _
CITY pF,EAGAN •' Pemit No: 9570 Date: 5-12'
3830 Pilot Knob Roao MetepNo; Size:
P.Q. Box 27799 Reader No: Date:
Eagan, MN 55121
nn. Chg: - 550. nl"loc' Zoning: "
ct Dep: 15. 00nd No. oi Units:
•mit Fee: 10.0Og49
,charge: - - 5QZ& 1 agree to comply with the City of Eagan
,>,
Plant 7 • 00pd Ordinances.
ter. <
? WATER SERVICE PERMIT
CITY OF EAGAN Pemrit No: Date:
3830 PNot Knob Road MeterTlo: yU .?-4 7 7 7 Size: ?p`? ` °°F ?
P.O. Boz 21799 Reader No: ? P 9T 7'T /_ Date:
Eagan, MN 55121
Owner. Haven T'n rnri aes
SiteAddress: 402? Sn *'earln 1nrb T'a TS F +?illa-iri l
TT
Plumbec C.1ke qicle, plirm' in
Conn. Chg: 550. b0Ad Zoning:
Acct Dep: 15 0012d No. of Units:
Permit Fee: . ;il;n<t
Surcharge: .5012(1 I agree to comply wiih the CNy o1 Eagan
Tr. Plant ?o4 _ i)nna Ordinances. ;
Meter.
Misc.: BY ai
WATER SERVICE PERM
CITY APIE/WAN p*rmit No: Date:
3830 Pilpt"ICnob Roade„8/p No; Date:
P.O¢Bbx 21199. .
Eagan, MN 55121
Owner. ' ^-n* 2seA
? ?
Site
Address: •?;?. i,f rzda
MWCC: Zoning. -
City Chg: No. oi Units:
Acct. Dep:
Permit Fee: I agree to comply with the City of
Surcharge: Ordinances.
By
SEWER SERVICE PERMIT
001?._. ,_„
_ • -
. r..._ ._..,.; -.-.-.. _ ..__.... . _
CITY QFEAfi,Ar1 Permft No: Date: _ s 12_g?
3830 Pilot Knob Road ; Mbter No: Size:
P.O. Bax 21799 ° Reader No: Date:
Eagan, MN 55127
Owner. •avnn Enterniises ?
SIt6 AddfBSS: 44`90 So AFnndowl nrl ?+r? ? ? ^° •t? T 1 a ' 7 T ?
?
Plumber. :.atie SiAr Fl,t,,,hi-eg a
i
Conn. Chg: `5 Zoning:
Acct Dep:
Permit Fee: No. of Units ?
_ `^- -
Surcharge: '
Tr. Plant- I agree to comply with the Clty ot Eagan
Ordinances.
Meter. ?
Misc.: By
WATER SERVICE PERMIT
TN OF EAuAN Permit No:
30 Plloi Knob Road Mbter No: Date:
IFPcer O. Box 21199 ' Size: gan, MN 55121 Reader No: Date: ner. ,7, ',
It^?'^rises
e Address: mber. T
nn. Chg: 5 Zoning:
t. Dep:- mit Fee: No. of Units: chargelant agree to comply wilh the City of Eagan
Ordinances.
.: • „ ` '1 /
By p?e..lQ.?
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: pa? I.?_ PIP
3830 Pi1Qt Knob Road Meter No: 5?100 ? 93 Size: " dc /
P.O. Boz 21199 Reader No: U Dat :?f'-/U- ?PF
Eagan, MN 55121
Owner. aven ;?nterprises
SiteAddress: +0_06 ^n_ rfeadow7,ar'
Plumber. Lake ' i 'e n7jtmh;n -
lwnn. Chg: 550 Ollod Zoning: r3
PJRcct Dep: 1 5. nr)nA No. of Units: 7
PermitFee: ''.1-',''n'
Surcharge: - ;bp" I agree to comply wRh the City of Eagan
Tr. Plant "' ?,4 _ n(1.. +
Ordlnances.
Meter. - <, -
Misc.: By
WATER SERVICE PERMIT
CITY IPF EAGAN ° Permit Na Date
3830 Pllot Knob RoacL, Meter No: Size:
P.O. Box 211$9 Reader No: Date:
Eagare, MN 55121
-av?r. "aiterprises
Owner.
5-12-88-'??
SiteAddress:_ <;-`-•` Co
Plumber. e ^ ?'?
Conn. Chg: `30. ^`J^ '
Acct. Dep: 15. 007)
-_'
Permit Fee: I ' • Q112
d
Surcharge: . S0p,!
Tr. Plant '_'.14. ?nnd
Meter.
Misc.: L-- -- .._
cirv oF eqPaw
383b Pilq# Knob Road
P.O. Boz 24A 99 "5
EagNi, MN 55121 -
Owner.
Zoning: -
No. of Units: '
1 agree to comply with the City of Eagan
Ordinances.
WATER SERVICE PERMIT
Permit No: Date:
B/P No: Date:
SiteAddress :
Plumber: p,:_r al i;•.^
MWCC: Zoning•
City Chg: No. of Units:
Acct. Dep:
Permit Fee: I agree to comply with the Clty of Eagan
Surcharge: Ordinances.
By
SEWER SERVICE PERMIT
CITX OF EAQAN PBrmit No: Datec
3830 Pilot K&b Roa!d g/p No. Date: •
P.O. 8ox 71199
Eagan, MN 55121
SiteAddress: MeadowlaT- ''. L2. :" i'?;!arzd<31e LL7.
Plumber.- : LLtke S i3e Piuahir -.
MWCC: ;1
. '` hj Zoning•
Ci Ch (;pI?'' ,
? 9? No. of Units:
Acct. Dep: ` .77 p
Permit Fee: - p I agree to comply with the CNy of Eagan
• ? n Ordinances.
Surcharge:
By
P.O. Box 21199
Eagan, MN 55121
SEWER SERVICE PERMIT
Meter No: _
Reader No:
Size:
Data
- ?
Owner. `nvon Fnterpriae?• '
, io T'e^'owj ?j-` T.l " ?i1; andale T??
Site Addresx +100
Plumber. I -a?ce St:•?- ni,;:11,i_l_
Conin. Chg: .ri5•:i.'?C, o, t Zoning: r7
Acct Dep: 15. No. of Units: ?
Permit Fee:
Surcharge: ' 1 agree to comply wNh the CNy of Esyan
Tr. Plant 2 - Ordlnances. ;
Meter. ,
WATER SERVICE PERMIT
?,?%
CITY OF EAGAN , Permit No: ' Date:
3830 PUot Knob Road Meter No: Size: '? oC
P.O. Box 21799 Reader No: Date: iL- Eagan, MN 55721
Owner. 'Iaven Enterprises
SitBAddreS3:_41011 So. t-`eadnc_+lar Rra TI ?'R Nilia?la1? TTT
Plumber. La?e `;i.'e Pl,mbinE
Conn. Chg: D.)V.'iup a
Acct. Oep: 15. OOD d
Permit Fee: 10• 00'p e?
Surcharge: - • 50n'j
Tr.Plant 204•NP d
Meter. 0 i,n
I agree to comply with the Clty of Eagan
WATER SERVICE PERMIT I
!
? CIj,1f OF ER,GAN Permit No: Date:
3830 Piioii(nob Road g/p No: Date: P.O. Box 71199
? Eagan; MN 55121 ti
SiteAddress: q.!Ja
Plumber:
.^
MWCC: Zoning•
City Chg: No. of Unitx ?
Acct Dep: I agree to comply wHh the City of Eagan
Permit Fee: Ordinances.
Surcharge:
ey
SEWER SERVICE PERMIT
i
CITY bF EAGAN Permit No: 4571 1
Date:
3830 PPot KiYolaRoad Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121 Site Address: ?
Plumber '
..-27-RE
Conn. Chg: Zoning:
Acct. Dep: ' No. of Units:
Permit Fee:
Surcharge: 1 agree to compty with the City of Eagan
Tr. Plant Ordinances.
Meter. - -`' - %..:;
Misc.: gY
WATER SERVICE PERMIT
m
CITY OF EAGAN Permit No: ()' 7- Date:
3830 Pil`ot Knoh Road Meter No: ?U0 C? 410 ?U Size:
P.O. Bax 21199 Reader No: /40 P75?. 7???f Date: `T 44-?
Eagan, MN 55127
Owner._ oven Entercrises
SiteAddress: '-)9P So ',ieydOT'1^r' '1? 33, 711 11anda TTT
Plumber. ?--1ce Siu2 rlumhin^
Conn. Chg: 550. U0nd Zoning: '
Acct. Dep: ! S• On*) -1 No. of Units:
Permit Fee: 1`?` . '' "?r, ,
Surcharge: • 5)Ud I agree to eomply with the City of Eagan
Tr. Plant 4 • '7n'I Ordinances.
Meter.
Misc : By ?
WATER SERVICE PERMIT
This request void ?
19 mon(h5 IrOm
E 2 4 4 5 5 /.. -5. A9
Request Date .
I rFire No. Rouph-in InsUer,Non
Required?
[]Ready Now 5 Will Noiify, Inspec-
6-20-88 ? ,g](Yes ?No tnrWhenFeady
.
Licensed Electrical Contractor I hereby request inspection ot above
? Owngr electrical work installed at:
Street Address, Box orROUte No. City
4096 SOUTH MEADOW LARK RD EAGAN
ecUOn o.
TownshiD Name or No.
Range No.
County
I I DAKOTA
Occupant IPRINTI Phone No.
HAVEN ENTERPRISES,INC 933-0562
Power Supplier Address
DAKOTA ELECTRIC FARMINGTON
Electrical Contractor (Company Name) CoMractor's License No.
MCNAMARA ELECTRIC,INC A-042608
Mailing AdJress (Contractor or Owner Making Insiailation)
P.O. 422•ROSE OUNT, MN 55068
Aut f Sna ICon ct O ner Ma n Instailation) Phone Number
? 423-55Q5
MINNESOTA STATE BOAHD OF/y[tCipICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bltlg. - floom 9Q 191 BE ACCEPTED BY THE STATE BOARD
1821 Universitv Ave.. St. Paul. MN 55706 UNLESS PROPEfl INSPECTION FEE IS
Phone16121642-OBOO ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION r. ea-oooot-os
, Seo instruCtions for completing this form on beCk of yellow coOV.
E 2 4 4 £ J 5 , "X" Below Work Covered by This Request
Add Rep. Type ol BuildinA Aoaliuncea Wired Equiunient WireA
, Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
• Commercial Bldy. Fumace Silo Unlorider
Industrfal Bldg. Air Conditioner Bulk Milk Tank
Farm Ocnr, Snec, v Oine: ISner,Oy1
Ihrr SUCCi(y Other Other
Compute lnspecrion Fee Below
17 P e SBrViCO EetrHnCe$ize H Fee Fee.ders/Subleeders # Feg Circuits
U to 200 Am s 0 to 30 Am )s to 30 Am s
Above 200 Amps 37 to 100 Amps 1 to 100 Am
Swimming Pool Above 100_Am s . Above 100-AmpS
Transformers Irrigation Booms Partial•'Other Fee
Signs Specialinspection
TOT
VEE
Hernarks 53 . 50 5W
Rough-in ?
? ?j:,te???
??? I, th E ectrica
Inspec , ereby
certify Ihat the above
Final ,
-r
r* inspeciion hes been
made.
mis requast void 18 montha irom
This request void ?//?Q L?
7 :l
18 nnnthps f? "'t r1om l
E 24 5 3. / 1129 .( / Jl !
Request Date
6-20
8R Fire No. Rough-inI nsUer.tion
R uired? f-t
?ReadV Nuw`y? Will Nolifv Inspec-
,
- ?yeS ?Na /?J?mrWhenReady
icensed Electrical Contractor 1 hareby requestinspection ol above
Owner, electricel work installed at:
Stree[ Address. Boz or Route No. City
4100 SOUTH ME.ADOW LARK RD. EAGAN
ecUOn o.
Township Name or No.
Range No.
County
I DAKOTA
Occuuant(PRINT) Phone No.
•HAVEN ENTERPRISES,INC:. 933-0562
Power Supplier Address
DAKOTA ELECTRIC FARMINGTON
Elactrical Contr actor (Company Name) Contractor's Lfcense No.
MCNAMARA ELECTRIC,INC A-042608
Mailing Address (Con[ractor or Owner Making InStallation)
, P.O. BOX 422,ROSEMOUNT, MN 55068
Auth n Sig t re C trac r r Ma ? InstallatioN
Phone Number
1 423-5505
MINNESOTA STATE HOAflD OF EL TRICITY THIS INSPECTION REQUEST WIIL NOT
Griggs•MidwaV Bldg. - Room N-i BE ACCEPTE? BY THE STqTE BOAHD
7821 Universitv Ave.. St. Paul, MN 55104 UNLESS PNOPER INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSEO.
wE ?REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
? See instructions for comvleting this lorm on beck ot yellow copy. X
v
E , "X" Be/ow Work Covered by This Request
Nem, AAJ ReD. Type of Building Applinnces Wired EquiVment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtuies
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Olhef SPecify IhFr(Spcr,ify)
thr,r Suecify Ot er Othcr
Compute inspection Fee 8elow
p Fee Service Entrance Size tf Fee Faeders/Sublexders N Fep Circuits
.. ? DO to 200 qm ?s 0 to 30 qm s 1 6. 0 m 30 Am s
' Above 200 Amps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Am s Above 700_Am?s
Transformers Irrigation Booms .50 Partial-
Signs Specfal Inspection $ Tp
Rerrarks 3 •SQ
5 LF E? )
Ar
Roygh-in ' Dat? ? e Ele " al
? Inspe or, hereby
certity lhut the above
Final D' e inspection has been
??j mede.
. ? !
?MS reauest void 18 montha irom
This re4uest void6/--?//Q18' ?
E ?2•4 4 5 C-?s? ?, `??"
Request Datu• 'r-- Fira No. Rouph-in InsDection Required? ?Ready Now`'Will Notify Inspec-
6-20-88 ?1'es ?No torWhenReady
Exicensed Elec[rical Conlractor 1 hereby request inspeclfon of a6ave
? Owner electrical work instalied at:
Street Address, Box or qoute No. City
4098 SOUTH MEADOW LARK RD EAGAN
ection o. Townshiv Name or No.
Range No.
County
I DAKOTA
Occuuant (PRWT) Phone Nn.
HAVEN ENTERPRISES 933-0562
Power SupVlier Address '
DAKOTA ELEGTRIC FARMINGTON
EI`ectrical Contractor ICOmVany Name) Cnntractor's License No.
MCNAMARA ELECTRIC,INC A-042608
Mailinq Address (Contractor or Owner Making Instailation)
P.O. BOX 422;ROSEMOUNT, MN 55068
Aut ized Saturr ( ctor/Owner Makjng Installation) Phone Nmnber
? 423-5505
MINNESOTA STATE BOARD OF yLJECTNICITY THIS INSPECTION NEQUEST WILI NOT
Griggs-Midway Bldg. - Room N741 BE ACCEPTED BY THE STATE BOAND
1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PH07EH INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
E 24'4y54
REQUEST FOR ELECTRICAL INSPECTION
, Seo insbuctfons for completing this form on hack of yellow coov
"X" Below Work Covered by This Request
G ee-oooo,-os
A/FP9
AAif Rep. Type of 8uiltling Appliantee Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liqhtin,y Fixtures
Apt. Building Dryer Electrie Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm othNr oe(Ay _tner Isoeufryl
t p,r SVecify Other plht•r
LomU«te lnspectlon I-ee Heiow
p Fee ServiceEntrenceSize 1I Fee feeders/Su6teedeos k F. Circwts
? 0 to 200 Am s 0 to 30 qm s tn 30 An: n
Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Am s Above 100_Amps
Transformers Irngation Boorcis Partial. Other Fee
Signs Special hispection
5
TOTA E
flemarks 53 . 50 .(K/
Rouph-in r D°'te ? I, the Inspector, hereby
certif
that the a6ove
Final
• 1e
j y
s0eetion has been
made.
This tequest volA 18 months irom
REQUEST FOR ELECTRICAL INSPECTION ???El %V Eep00 i?-
7/? 7 jli? See instructions for complelinq this torm on back of yellow copy- (J
"X""Below Work Covered by This Request ? ? ?•
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Other (specify) Conlractor's Remarks.
Compute Inspection Fee Be%w.• R`C
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 _Amps
Signs inspecmrs use oniy: TOTAL
Irrigation Booms ?? O ?a.Q• s?
Special Inspection ?
Alarm/Communication THIS IN5TALLATION MAY BE OR CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby
i(
h Rough-in re
T
y t
cert
at the above inspection has
been made.
Final Dal
OFFICE USE ONLV This request void 18 monihs from
0=1 6?
r63 3;X
? v?
?e
Q8
3
Reque t Dal
6
19S Fire No. Illoidgh-in Inspeetion Required
(You must call inspecro wh n ready) Inspection Olher Thnn Rough-In
l 4?w dl N ity Inspector
Ready Now I
Q ?
ao ? Yes No d[IJ.
Dat Read D
IRlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Streei, Box or Route No.)
d
A m
k V
40% S
&
l Ciry
?
u'
,da
o
m
ow h
Seclion No.
Township Name or No. -
Range No.
Counry
I
ak?a
Occupant (PRINT)
P Phone No.
9 3$q
n,<.
?-e_
Power Supplier Atltlress
Eledrical Contrador (Gompany Name) ContractoYS License No.
G o
Mailing Address (Con[raclor or Owner Making Instaion)
aQ {ti,,?tJ ?3?_0
Authonzetl Signature Contrador/Owner Making Installation? Phone Number
MINNESOTA STATE BOARD OF ELEC7fiICI7Y THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bldg. - Room S-128 I BE ACCEPTED eY THE STATE BOARD
1827 University Ave., St. Paul, MN 55104 I I !I I? UNLESS PFiOPER INSPECTION FEE IS
Phone (612) 642-0800 ! i. . ENCLOSED.
This request void
S7//<ya'v
76 months from O ?? ?/?//aP? ? C? ??
E 2445? 1 d 0k ?'`'
Requestl)ate
c
- 20- 8 8 Fire No. RouPh-in Insper.tion
ireA?
?
?Ready Now Will Nolily Inspec-
"
. Yes ? Nu tor When Ready
>a Licensed Electrical Conlractor I hereby request inspection of a6ove
? Owner electrical work installed at:
Svee[ Address, Box or Route No. City
4094 SOUTH MEADOW LARK RD. EAGAN
ecuon o.
Township Name or No.
Range No.
County
I I DAKOTA
Occupan7 (PRINT) Phone No.
• HAVEN ENTERPRISES,INC 933-0562
Pow¢r Supplier Addre55
DAKOTA ELECTRIC FARMINGTON
Electrical Con[ractor ICompany Name) Contractor's License No.
MCNAMARA ELECTRIC,INC A-042608
Mailing AdJress IContractor or Owner Making Instailationl
P.O. BOX 422;ROSEMOUNT, MN 55068
Auth e Si at re ontrac r/ w r Makin Installationl Phonc Number
? 423-5505
MINNESOTA STATE BOAHD OF E?RICITV THIS INSPECTION HEQUEST WIIL NOl
Griggs•Midway 81dg. - Room N- BE ACCEPTED BY THE STATE 80ARD
1821 Universitv Ave.. St. Paul, MN 55104 UNLE55 PPOPEN INSPECTION FEE IS
Phane16121642-OBOQ ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION « 9Ee-00001-06
Ill, See insiructions for completing this form on 6ack of Yellow copy.
E 2 /? ?t 4J 6 "X" Below Work Covered by This Request
NmA Addl Rep. Type ot 9uilding ADPhancxs Wired EquiVnient Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electrie Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Buik Milk Tank
' Farm ocnrr pNU v oiner fsuec;fr)
1 .r Suecify Other Olhe,
Compute Inspection Fee Below
k' Fee ServiceEntraaceSize n Fee Fexders/5ubfenders # Fee Circui[a
0 to 200 Amps 0 to 30 Am s 0 to 30 Am s
Above 200 Amps 37 to 100 Amps 37 to 100 Am s
Swimming Paol Above 100_Am s Above 100_Ami-is
Transformers Irrigation Boorns .5 Partial•-0ther Fee
Signs Speciallnspection
Remrks S53.5 0 TOT
rS .
he Electrital I
V ?? In ector, her
r 'cert? the above
t Pinal ??inspection has 6een
I d mea.
This request void
REQUEST FOR ELECTRICAL INSPECTION
lio See insimctions lor completing this torm on back of yellow copy.
? 4,5 9 8 7. •`X" Below Work Covered by This Request
?19e
ee-ooom-o7
ew Add Rep. Type of Building AppliancesWired EquipmeniWired
Home Range Temporary Service
Ouplex Water Heater Electric Heating
• Apt. Building Dryei Other (Specify)
CommJlndusirial Furnace -
Farm Air Conditioner
Othar (specity) Conlractor's Remerks:
Compute Inspeciion Fee Be/ow:
# Other Fee # Service EniranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps f 0 to 100 Amps ,00
Transformers Above 200 Amps Above 100 Amps
Signs Inspecbr's Use Only. P TOTAL
Irrigation Booms
rJ •v? `
?J •6-Z
Special inspection
Alarm/Communicalion THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT
Other Fee • COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby R°°9n-in Date
certify that lhe above inspection has
been made. F;,,ai oa?
OPFICE USE ONLY ?
This request voitl 18 months lrom
?/is so ,,? ??' ?3
Request Date
T //('''???
"?
? v Fire No. Rough-in Inspection
Required?
? Yes No
eady Now ? Will Notity Inspec[or
When Reatly?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Sireet. Box
q or Route No.) .!? µ^ /nU C
/ 1' ?`11.J1aW 1 Ciry ?j
??^-
Sec;ion No. Township Nama or No. Range Na. Counry
Occupant(PRT? • ? Pho?NA? ??p'?
(? ? ??
V
Power Supplier
..?? Addre55
Electrical C mractor (Company E (?
/ ?J ' ? Conlractor5 License No.
? xJ04.111lic
Meiling AOdress (ContraCtOr or Owner,Maling auation, ^ _ . ? ? • ??/?
Authori Si9nytpre I?ner Pd in InstalJcliOn)
?
?
? w
Phonf Number
MINNESOTA STATE BOARD OF ELECTRICITY v THIS INSPECTION REQUEST WILL NOT
Grlqgs-MlEway eldg. - Room 5-173 BE ACCEPTEO eY THE STATE BOARD
7821 Universiry Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)64Y-0800 ENCLOSED.
/
This request void?, !J /?S
18 months from 'T
P
E / 4 4: ] 71:L. .,,i- 9X C ! 'J,
Request Date Pire No. Rough-in InsVec[ion
Re ired7
Raady Now?']Will Notity Inspec-
?
6-20-8R I ?No [or When Ready
? Licensed Electncal Contractor 1 hereby repuest inspection of abova
Dwner electrical work installed at
Stree[ Address, Bo: or Route No. City
4092 SOUTH MEADOW LARK RD. EAGAN
eciwll o.
Township Name or No.
Range No.
County
I I DAKOTA
Occupant(PRINT) W??6n?A?A??kp?pTCC?xT?C
?.
K Phone
No.
SS K?.
ah Jl 93
3-0562
Power Supplier Address
DAKOTA ELECTRIC FARMINGTON
Electncal Contractor ICompany Name1 Contractor's License No.
MCNAMARA ELECTRIC,INC. A-402608
Mailing AdJress IContractor or Owner Making InstailatioN
P.O. BOX 422;ROSEMOUNT, MN 55068
Auth Si at re o ract ?Owi r akiny [allationl Phoe?+2Numb r
3-?505
MINNESOTA STATE BOAHD OF EIEC ITY 7H15 INSPEC710N REQUES7 WILL NOT
Griggs-Midway Blds. - Room N•791 BE ACCEPTED BY THE STqTE BOAND
1821 Universitv Ave.. S1. Pnul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phonr.lfi121fi42-080U ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION « ea-oooot-os
? See instructions for completi?g this form on back of yellow copy. 9
" IF41g8
E 2--C?, 7 "X" Below Work Covered by lhis Hequest
sv4 Addj HeP. Type o} Builtling ApolionCe! Wired Equiument WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electrii; Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Olher Spe( 7y .Iher ISPer.ify)
t cr Specl(y OlhCr Other
CO/RDUtB llISOCCtIOn FEB BBIOW
p Fee ServlceEntrenceSize q Fae Fenders/Subteeders N Fee Circw[s
], 1 . Q 0 to 200 Am s 0 to 30 qm ps to 30 Am s
Above 200 qmpy. 31 to 100 Amps 31 to 100 Am s
Swimmfng Pool Above 100_Am s Above 100_Amps
Transiormers Irrigation Booms .50 Partial,"Other Fee
Signs Special Inspection
S
TOTA
Rem?rks 5 3.50 ?
Ost,`J
RouBh-in D;teI, the Elec
InspeClor, hereby
r
certify that the above
Final U`1e " sDection has baen
???{ • _ _ /?? ? ? mede.
Thia raeuest void 18 months from
18inqn hs fromltl"'/7?/`
E ? 4,4 s R ? i i, f??3? nl
Aaquest Date Fire No. RouPh-in InsVer.tion
ired? ?c,
?Ready Now [» Wi11 Nolify Insper
6- 2 0- 8 8 eS p N„ ?? [or When Ready
[A Licensed Elec[rical Contractor I hereby reQUest insoection of above
? Owner electricxl work installed at:
Street AdAress, 6ox or Route No. City
4090 SOl!TH MEADOW L.ARK D EAGAN
ectron o.
Townshiv Name or No.
anqe No.
County
I I DAKOTA
Occuuant(PRINT) Phone No.
HAVEN ENTERPRISES,INC. 933-0562
Power Supplier Address
DAKOTA ELECTRIC FARMINGTON
Electrical ConVactor (Company Name) Contractor's License No.
MCNAMARA ELECTRIC,INC. A-042608
Mafling Address (ConVacmr or Owner Making Inslailation)
P.O. B 422;ROSEMOUPVT,MN. 55068
Aut ri a re( ntra ?O ner ing Installationl
s Phoqe,N+ynb5505
?f 7 ?
MINNESOTA STATE BOAND O?ELECTRICITV THIS iNSPEC710N pEQUEST WILL NOT
Griggs-Midway Bldg. - Hoom FI 191 BE ACCEPTED 0Y THE STATE BOANU
1827 Universitv Ave.. St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-OSOD ENCLOSED.
E `2 4 t5 8
REQUEST FOR ELECTRICAL INSPECTlON
X See instructions for completing this lorm on back of Yellow copy
"X" Below Work Covered by 7his Request
. es-oooo,-os
Nevv Add Rep. Type o1 Building Appliancea Wired Equipmenl Wired
Home Fanye Temporary Service
Duplex Wa[er Heater Liryhtiny Fixtures
Apt. Building Dryer Electric Heaun
Commercial Bidy. Fumace Silo lhiloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
FHfm Other $PecifV Olher (SPerilY)
t 9r Sper.ify Other OUhee
QSOPM/nd /-PP flP/nW
M Fee SerViceEntrenCeSrze q Fea Feeders/Su6feeders 4 Pee. Circuits
1 13 • 0)to 200 Am s 0 to 30 Am s 1 3 6. 1 3COto 30 Am ps
Above 200 qmps. 31 to 100 Amps 11 4- 31 to 100 Am s
Swimming Pool Above 100_Amps Above lOD_AmPs
Transiormers Irrigation Booms Partial.'Oth Fee
5igns apeciai mspection S 5?.$ ? TOT L F
Remarks 'aU\
1
RouBh-in D`31e p)? I the ?eclriCAl
f0 ? Inspecto , eby
certity that the above
Final
.3Q inspection has 6een
mda
.
This request vold 18 months from
BLDG. PERMIT NO. I^t _ I?? -1
1P.) ? bcj2 'R rt l I ? A n c?6kf ? r!A,
y I OC?
01-3210 S•(1"1 EF??L? ??-'1-?Z.
Bldg. Permit
01-3422 Plan Check I11 -7 O C)
01-3445 Surch./Adm. 55
01-3446 SAC/Adm.
01-2155 Surcharge 9 S
75-3860 Road Unit 00
20-2275 SAC 5U
20-3865 Water Conn. 06
20-3868 Water Trmt. Dn
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. oC' nC)
28-3855 Park Ded
TOTAL cp)"T I
BLDG. PERMI7 NO. ? ???
??? ? ? • m E_ ? c!zaU k?.,?,le_??I
01-3210
01-3422
01-3445 '
01-3446
01-2155
75-3860
20-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
28-3855
Bidg. Permit
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
? C? 7 ?,Y•
? j cy>
1?c? TOTAL
' BLDG. PERMIT NO. -1
/-l0(71( a ?-) , n,)Fir-)
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
I ci?\ (z
J
5. ?
?Sb C?7
???? cr)
& ? oo
TOTAL =
BLDG. PERMIT NO. ( ? 910 0
01-3210 Bidg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
:-J C[' Cr ?
5 5
00
:?4
c-_,- - ? co
TOTAL
BLDG. PERMIT iVO. _ I" 7(-'T 9 ?
"
m
l
`
i
? ` ? K-1 C??q•? ? C
A-
' 01-3210 Bldg. Permit JCl ? c?
01-3422 Plan Check 11 ?
01-3445 Surch./Adm.
01-3446 SAC/Adm. =? •??7
? 01-2155 Surcharge
75-3860 Road Unit
,
20-2275
SAC
20-3865 Water Conn.
20-3868 WaterTrmt
20-3716 Water Meter 7 ?
20-2252 Acct. Dep.
20-3713 Water Permi/
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
q 9-
?
BLDG. PERMIT NO. I " q
-/
b1 oc?e 4 a,v1 ,?sk-z%
0C71 C S- i)') erac+-ewiat?i
°
a"O
Q1-321 Bldg. Permit
01-3422 Plan Check 7 L)b
?5 5
,01-3445 SurchJAdm.
01-3446 SAC/Adm. ?S f b
01-2155 Surcharge ?>
75-3860 Road Unit ? a 00
20-2275 SAC J 44? ?yo
20-3865 Water Conn. C Y-)
20-3868 Water Trmt. L) o)
20-3716 Water Meter -7 ?
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. /U 0 nC
28-3855 Park Ded.
TOTAL
CITY OF EAGAN ?O 14987
3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT ?, • '? Receipt #
To be used for 1 OF 6 Est. Value $55,000 Date MAY 11 ,19 g8
Site Address 4100 S MEADOWLARK RD
Lot 1 Block 8 Sec/Sub. HILLANDALE 3RD
Parcel No.
olName HAVEN ENTERPRISES INC I
Address 14442 EXCELSIOR BLVD
City MTKA Phone 933-0562
UIName S? I
o ? Address
? City Phone
i,- ¢
"W Name_
F W
Address
U
aw Clty_
I hereby acknowledge that I have read this application and s[ate that Ihe
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ord" ances.
Signature of Permittee --z-_
A Building Permit is issued to: HAVEN ENTERPRISES, INC
on the express condition [hat all work shall be done in accordance with all
applicable State of Minnesota Statutes and City o( Eagan Ordinances.
9
Building Official ???L
OFFICE U5E ONLY
On Site 3ewage _ Occupancy R-3
MWCC System X Zoning R-4
On Site Well _ (Actual) Const V-N
City Water X (qllowable) V_N
PRV Required _ # ot Stories 9
Booster Pump _ Length 99'
Depth 44'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit _394_.00
Planner _ Surcharge -27 .._50
Councii Plan Review 1_97.-00
Bldg. Off. SAC, City 100. nn
Variance SAC, MWCC _$_50_ nn
Water Conn.
Q
-450 .,..0
water Meter _ 67.00
Road unit 325.00
Treatment Pt 204.00
Parks
TOTAL 2,414.50
CITY OF EAGAN No- 14 9 8 8
3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
BUILDING PERMIT '- 5 PHONE: 454-8100 Receipt# ?a
To be used for 1 OF 6 Est. Value $55, 000 Date M1Y 11 ,198$
Site Address 4098 S MEADOWLARK RD OFFICE USE ONLY
HILLANDALE 3RD
Lot 2 elock 8 Sec/Sub
On Site Sewage
Occupancy
R-3
. MWCCSystem X Zoning R-4
Parcel No. V-N
On Site Well _ (ACtuaq Const
a Name_ HAVEN ENTERPRISES. INC CityWater X (Allowable) V-N
z Address 14442 EXCELSIOR BLVD PRV Required # of stories 2
;
0
City MTKA Phone 933-0562 Booster Pump Length 22,
Depth 441
, p Name SAME S.F.7otal
z?
?
Address
Footprint S.F.
Q
r?- City Phone APPROVALS FEES
? W
W Name Engr./Assess. Permit 394.00
y?
? Z
Planner
Surcharge
_27 • 50
u= Address
Council
PlanReview
197_.00
qw Cit Phone
Y
Bidg. Off.
SAC, City
LQQ.OQ
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 99.0._00
information is correct and agree to comply with all applicable State of Water Cono. - 9_SQ....Q0
Minnesota Statutes and City of Eagan Ordinan s. Water Meter _ Fi7 -.QQ
Signature of Permittee
?.
RoadUnit
3.25_nn
A Building Permit is issued to: HAVEN ENTERPRISES ,_ INC Treatment P1 204.00
on the express condition that all workshall be done in accordancewith alI
applicable State of Minnesota Sta
Itutes an ity of Eagan Ordinances. Parks
414.50
2
•
?-
l jb TOTAL ,
Building Official?
?A?L
?f -
. CITY OF EAGAN (vo 14 9 8 9
3830 Pilot Knnb Road, P.O. Box 21-199; Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt#
To be used for 1 OF 6 Est. Value $55, 000 Date MAY 11 1988
Site Address 4096 S MEADOWLARK RD
Lot 3 Block $ Sec/Sub. HILLANDALE 3RD
Parcel No.
? Name RAVEN ENTERPRISES, INC
z Address 14442 EXCELSIOR BLVD
S
o City MTKA Phone 933-0562
o Name_
? a Address
? City_
U¢
y? W Name _
FW
Address
u
Q W CitY-
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State
Minnesota Statutes and City of Eagan Ordces.
Signature of Permittee ?
A Building Permit is issued to: HAVEN ENTERPRISE.INC
on the express condition that all wbrkshall be done in accordance with all
applicable State o(f ?M?inneso{?ta Statutes andp City of Eagan Ordinances.
Building OfficialJ ?_?1. _
I
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3
MwCC System X Zoning R-4
On Site Well _ (Actuaq Const V-N
City Water X (Allowable) V-N
PRV Required # of Stories 9
Booster Pump _ Length 291
DePtn
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr.lAssess. Permit 394.00
Planner Surcharge --21_._.54
Council Plan Review 197 0
_.Q
Bldg. Off. SAG City 1 QQ.-W
Variance SAC, MWCC 550.00
Water Conn. ?5n _ nn
Water Meter -.6-_7.0
Q
Road Unit _325.,,_00
Treatment Pt 204.00
Parks
TOTAL 2,414.50
. • CITY OF EAGAN N2 14 9 9 0
3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
.-- PHONE: 454-8100 S`(-3 / ? ?
BUILDING PERMIT Receipt# `? ????
To be usedfor l OF 6 Est. Value $55,000 Date MAY 11 ,1988
Site Address 4094 S MEADOWLARK RD
Lot 4 Block 8 Sec/Sub.HILLANDALE 3RD
Parcel No.
m Name HAVEN ENTERPRISES, INC
w
=
Address
14442
EXCELSIOR BLVD
0
City
MTKA
Phone 933-0562
¢o
. Name SAME
? Q Address
m? City Phone
?¢
"W
W ?y
Name
H
_?
Address
Q W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State o
MinnesOta Statutes and City /oJf Epagan Ord' ces.
Signature of Permittee _°//C.
A Building Permit is issued to: HAVEN ENTERPRISES ? INC
on the express condition thaf all workshall be done in accordance with all
applicable State of innesota Statutes and Cify of Eagan Ordinances.
?
Building Official?f?yy? tI1.-?.__
-?
OFFICE USE ONLY
On SRe Sewage _ Occupancy R-3
MWCC System X Zoning R-4
On Site Well (ActuapConst V-N
City Water X (Allowable) V-N
PRV Required # of Stories 2
Booster Pump Length . 22 ' _
Deptn 441
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 394.00
Planner Surcharge 27.50
Gouncil Plan Review 197.00
81dg. Off. _ SAC, City ?Q?QQ
Variance SAC, MWCC -550.00
Water Conn. _.550.0
Q
Water Meter _-63,_00
Road Unit 325.00
Treatment P1 204.00
Parks
414.50
2
TOTAL ,
. CITY OF EAGAN rjm 14991
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT y Receipt# -7 0'
To be used for 1 OF 6 Est. Value $55, 000 Date MAY 11 ,1g 88
Site Address 4092 S MEADOWLARK RD
Lot 5 Block 8 Sec/Sub. HILLANDALE 3RD
Parcel No.
a Name HAVEN ENTERPRISES, INC
= Address 14442 EXCELSIOR BLVD
? City MTKA Phone 933-0562
Z¢IName SAME I
?? Address
P City Phone
yVj W Name
FW
_za Address
UZ
¢ W City Phone
a
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee -1/2
/+ Buiming Permit is issued to: HAVEN ENTERPRISES INC
on the ezpress condition that allwork shall be done in accordanCe with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officialk 1. _
OFFICE USE ONLY
On Site Sewage Occupancy R-3
MWCC System X Zoning R-4
On Site Well _ (ACtuel) Const V-N
City Water X (Allowable) V-N
PRV Required - # of Stories 2
Booster Pump _ Length ZZ '
oePm 44'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 394.00
Planner Surcharge 27.50
Council PlanReview 197.00
Bidg. Off. SAC, City 100.00
Variance SAC, MWCC 550?00
WaferConn. _550.00
Water Meter _57 .44
Road Unit -32-1?
Treatment P1 204.00
Parks
414.50
2
TOTAL .
. CITY OF EAGAN No- 14992
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT `. pHONE:454-8100 Receipt#
To be used for 1 OF 6 Est Value $55,000 Date MAY 11 ,19 88
Site Address 4090 S MEADOWLARK RD
Lot 6 Block $ Sec/Sub. HILLANDALE 3RD
Parcel No.
? Name RAVEN ENTERPRISES, INC
z
Address
14442
EXCELSIOR BLVD
° City MTKA Phone 933-0562
°Co
. Name SAME
? Q Address
? City Phone
? W Name
_z. Address
a w City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable St of
Minnesota Statutes and City of Eagan Ordjtk?nces.
Signature of Permittee
A Building Permit is issued to: HAVEN ENTERPRIS S._INC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesola Statutes and City of Eagan Ordinances.
Building Official
OFFICE U5E ONLY
On Site Sewage Occupancy R-3
MWCC System X Zoning r R-4
On Site Well (Actuat) Const V-N
City Water X (qlloweble) V-N
PRV Required # of Stories 2
Booster Pump _ Length 22 '
Depih
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit _ 394.00
Planner Surcharge 27.50
Council Plan Review 197.00
Bldg. Off. SAC, City 100.00
Variance SAC, MWCC -5,:LQ,04
WaterConn. 550..QQ
WaterMeter _67--M
Road Unit _325.00
Treatment P1 204.00
Parks
TOTAL 2,414.50
CITY OF EAGAN (\j2 13 8 91
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
- PHONE:454-8100
BUILDING PERMIT Receipt#
To be used for FOiiNDATION Est. Value Date JULY 13 19 87
Site Address 4090-4100 SO MEADOWLARK RD
Lot 1-6 Block $ Sec/Sub. HILLANDALE 3RD
Parcel No.
a Name TOWNHOMES OF HILLANDALE
? Address 14442 EXCELSIOR BLVD
z
City MTKA phane 933-0562
?
o Name HAVEN ENTERPRISES INC
?Q Address S?
?m City Phone
WW Name
f
Address
Q W City Phone
I hereby acknowledge that I have read this application and state
thattheinformationisconectendagreetocomp"rthallapplicable
State of Minnesota Statutes arXf Qity of EaaarGPSrdinances.
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Sife Well _ Type of Const
City Water _ (ACtual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
Water/Sewer _ Surcnarge
Police Plan Review
Fire _ SAQ City
Engc _ SAC, MWCC
Planner _ WaterConn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1
Vari e _ Parks
Copies
$7 S_f)(1
Sfgnature of Permittee ? TO7AL ?
A Building Permit is issued to: RAVEN ENTERPRISE I C on the express condition that
all work shall be done in accordance with all ap? Te o inn ta Statutes and City of Eagan Ordinances.
Building Official ?
3830 Pilot Knob Road
City of Eapn
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
Permit#:
? ?
? Permit Fee: ,o . ? ?
? Date Received: ? ?
? I
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: a - o 0
Tenant:
i. L, f, ??
SiteAddress: ?C1q?Q?a. "lO4L`) -TDk 40b y1&AiDwlp?L 4=*P=
Suite #:
RESIDENTIOWNER Name: Ldku,dtmi IOI.dN?o.4?5 rID GJ ,,de5 Phone:
Address / City ! Zip: ??1 b1 EkC.e.lSti-ef ???? • - ?? ?? S "rL'
Applicant-is: _ Owner ? Contractor
TYPE OF WORK Description of work: edr ? ?C&M hA/P S
Construction Cost:^ c?Z D b,. 06 Multi-Family Building: (Yes A- / No ?
CONTRACTOR Name: Y S_ UC61 LLG License #: a. D<b )-g Q-?s
? p?
Address: rrA'bE-? /??1? A?ti.,?e,
City: LA kWi'( l e 5tate: I"AV Zip: ?a '7 ?1
Phone: Contact Person: LeanA-1 ocS?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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:
NO TE:;,Plans antl supporting tlocuments that it11 are considered tv be? pubiic,informatioh. ParGons-of ;
the
information
be classif
etl
a
asons that viioul
er
it the Cit
tv
fl'
ma
?
l
h
i
y
i
fi
d p
m
y
:
? •
,cohclude that th
e are t ade,sec
re
ts
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 5?5A., 1- X ?-.
ApplicanYs Printed Name Appli nY Signature
Page 1 of 3
?i o90 - yiOo 1Wk-41Jo1VAN)Zk n4
Page 1 of 1
Leonard 8 Susan West
From: "Jim Howser" <jimh@lomanco.com>
To: "'Leonard & Susan WesY" <Iswest@charterinternet.com>
Sent: Monday, May 19, 2008 2:10 PM
Subject: RE: Vents
Mr. West,
Thank you for contacting Lomanca The plastic roof vent in the photographs is not our product. I'm not
positive about the metal vent, but it is likely ours if it is galvanized. For fizture installations, I would
recommend adding another course of shingles on the upper portion of the vent. However, I would not
expect it to be necessary to remove and re-install the existing vents. Of course, the underside of the
flashing should be properly sealed. Please contact me if you have any questions.
Regards,
Jim Howser
Mfg. Engineer
Lomanco, Inc.
2101 W. Main St.
Jacksonville, AR 72076
800-643-5596
501-982-6511
JimH@lomanco.com
From: Leonard & Susan West [mailto:lswe5t@charterinternet.com]
Sent: Monday, May 19, 2008 5:48 AM
To: JimH@Lomanco.com
Subject: Vents
Jim, here are the photos of the vent installation. If you have a minute, can you please give me a call on on my
cell (612-272-4193). Thanks, Leonard
5/19/2008
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Foundation ON - New Construc#ion Interior Im rovement
• Siructural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) • Code Analysis (1) "
• Certificate of Survey (1) . Civil Plans (2) • Project Specs (1)
• Code Analysis (1) `• . Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) • Code Analysis (1) • Master Ebt Plan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always"«
• Meter size must be established . Meter size must be established • Meter size must be established -if applicable
• ProjectSpecs (1)
1 • EnergyCalculations (1) " 1
1 • Electric Pom,er 8 Lighting Form (1) *" 1
1 • Master 6dt Plan (1) 1
1 • Fire Protection Plan (1)
1 • SoilsReport (1) !
• MC/ES SAC determination letter . MC/ES SAC determination letter • MC/ES SAC determination letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
" Contact 8uilding Inspections for sample
Food & beverage or lodging facilities - submit plan to MN Department of Health.
DATE: 1'10 "02- WORKTYPE: NEW X REMODEL
SITEADDRESS: NoQ1) ' WIna naM (iriA\n4Ili r'?-
' Lo4a) `o?q , `f 046, y4 9d2,
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK
Name: L0J4,e.' 6nC1 7()V\Ir?h{ftf
PROPERTY Last First
OWNER
StreetAddress:
City:
CONTR.ACTOR
ARCHITECT/
ENGINEER
Registration
State:
Licensed plumber installing new sewer/water service: Phone #: ()
I hereby acknowledge that I have read this application, state that the information is correct, and agree to cR mply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. .0K) '4 _/ I i/
Company:
SUITE #:
K ?
11 J c)hr,? bwr,?:tte
Phone #: ( U '??" ( ) 9-IH - OZU5
Zip:
Phone #: (qs2 ) H?,} 3' oO ni,.l;
fl 9
Street Address: U-nL l) h1(°CYf)`°LJI?\'Nf',+.A:a
City: Sh_aState: " ? Zip:
Company: _
Name:
Sheet Address:
City:
Phone #:
State:
Call 651-215-0700 for details.
CONSTRUCTION COST: Z r1,'r7U1 . Ul S
Signature of
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 Commercial/Ind ustrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Grreenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code
SAC Code
No. of Units
No. of Bldgs.
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Building
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MCBS System
City Water
Fire Sprinklered
? Insulation
Engineering
VALUATION $
% SAC
SAC Units
Meter Size
U Plumbing ? Stucco/Stone
Variance
Total
1986 BIIILDIAG PERHIT ApPLICdTION - CITY OF EAG9N
NOYSs 9LL CONTRACTORS M[T3T BE LICENSBD iiITH THE CITY OF EAGAN
SIIdGLE FAMILY DWELLINGS
INCL(JDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOI.TIPLE DWELLINGS - RESIDENTIAL BENT91. DNiTS FOR SALE ONITS
INCLUDE 2 SETS OF PLANS, CEETIFICATE OF SURYEY - CHEC.g fiITH BLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
COMMERCIAL
INCLIIDE Z SETS OF ARCHITECTURAL & STRUCTURAL PLANSt
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: a, Valuation:
Site Address '40g0 - y ? n ?o Lot ?' 6 Bloak
Parcel/Sub
Owner
. P
.
Address
City/Zip Code
a
Date:
Erect
Remodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
_ Occupancy
_ Zonfng
_ Type o£ Const
_ # of Stories
Length
, Depth
, Sq Ft
Phone Cj3,?j-62?-6 z- I APPROYALS
Contractor
Address l? f* clUr lvdI
City/Zip Code
Phone TJ?? `?S?a Z
Areh./Engr.
Address
City/Zip Code
Phone # 31-
FEES
Assessments Permit
Water/Sewer Sureharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Varianee _ Copies
20TAL
NOTE: ADDRESSBS FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGNATS WHICH ADDRESS
IS DSSIRED. NO CHANGFS iIILL BE ALLOWED ONCE BDILDING PERMIT IS ISSUED.
1988 BUTLuING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SSTS OF PLANS, 3 CERTIEICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS !^ N # OF UNITS
INCLUDE 2 5G'TS OF PLANS, CEATIFIC9TE OE SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OE ENERGY CALCULATIONS
COMMEACIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SE'P OF SPECIFICATIONS AND 1 SET OF ENERGY CALCOLATIONS
?F ?a
CJ N I T? fti I
To Be Used For: Valuation: SS,O?• Date:
Site Address qCQ li ,1 "111,p[At?htJ?p\,???1?
Lot Block, ?
Parcel/Sub 1'? ????h ??? ? ? r?
Owner c,,,'
Address
City/Zip Code
Phone ?? 3 ?Q?.? ?
OFFICE USE ONLY
On site sewage,
MWCC system _
On site well _
City water _
PRV required ,
Booster Pump _
Contractor 41,4Ci?'!? ?L
Address
City/Zip Code
Phone
Arch. /Engr. 42 P f`?Zfi?•?4?, r.k
Address Zeq/ 4104?f s72
City/Zip Code ?X i p--r
Phone #
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
5urcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
- ?
1988 r BUILDING PERM T A LICA ION - ITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SE'TS OF PLANS, 3 CEATIFICATES OE SORVEY, 1 SET OF ENERGY CkLCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWPIER MUST DESIGNATE WHICFI ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
M[JLTIPLE DWELLTNGS RENTAL UNITS FOR SALE UIQITS ?_ dt OF UNITS
INCL[lDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OE ENGRGY CALCOLATIONS
COMMERCIAL
INCLUDE 2 SLTS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SE'P OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
LIIJ I T f, , I?F (o
To Be Used For: ??e 5Valuation: 55,000 Date:
Site Address
--• ?
Lot ? `1oc1:
Parcel/Sub ?/,??j?i??Ct?P, 3 -?
,?yj?S /
Owner RWAi? ? 17 ,?/a ?L?!?
Address AM/?"
City/Zip Coc7e
Phone y' 3 3_ Os? ?
Contractor jq"L?i
Address '4A r
City/Zip Code
Phone
„
Arch./Engr. /) `??//?ihurp?°,C? ?yt?????'`?
.
?
Address Lg4/ 6191 City/Zip Code
Phone #
OFFICE USE ONLY
On site sewage , Occupancy
MWCC system Zoning
On site well _
Actual Const
City water ? Allowable ?
PRV required # of stories
Booster Pump ` Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit ?
Planner Surcharge
Council Plan Review
B1dg. Off. SAC, City
Varianee SAC, NIWCC
Water Conn
Water Meter
' Road Unit
?
Treatment P1
Parks
Copies
TOTAL
19138 WILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 10
INCLUDE 2 SETS OF PLANS, 3 CERTIFICA ES OF URVEC8YS , _ TOF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR COANER LOTS - CONTRACTOR/HOMEOWNER MCIST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS ?# OF UNITS
INCLUDE 2 SE'PS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OE ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SL`1'S OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SYECIFICATIONS AND 1 SET OF ENERGY CALCUL9TIONS
UNIT A p I
To Be Used 'r'or: Valuation: 55,0C0. Date: S'4?-29
Site Address UK ? "ft,o'ra?Rpdr,d 1U
Lot 4' Block 9 /
Parcel/Sub _9??fi? ? rd
? • f
Owner f??/I?Li4jp1F$ ? f ?? ///?/?c?/a16
Address
City/Zip Code
OFFICE USE ONLY
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
Booster Pump _
Phone 23_3 - 017; Contractor ,?lv64? ?lrt? T?vU
Address
City/Zip Code
Phone
Arch./Engr. / r/
Address IFv Li/
0
City/Zip Code Z4zw?ys???
Phone !i
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Occupaney
Zoning ,
Actual Const
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
1988 BALDING P MIT PEAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UIVITS # OF UNITS
INCLUDE 2 SE'PS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENENGY CALCULATIONS
CONIIMERCIAL
INCLUDE 2 SETS OE ARCHITECTURAL
1 SET OF SPGCIFICATIONS AND 1
uWmA I C)F c? -
To Be Used cor: A; i
& STRUCTURAL PLANS,
SET OF ENERGY CALCULATIONS
Valuation: _55,0cc-% ? Date: !S '?S
Sit2 Address
Lot ?g Bloclc
Pareel/Sub
Owner y111,4
lLOt1.?P
Address
City/Zip Code
Phone 33
Contractor v(,`.tJ
Address S-__?Yml?'
City/Zip Ccde
Phone
Arch./Engr.
Address
City/Zip Code ? /n/ / G??
Phone Ik
OFFICE USE ONLY ?
On site sewage _ Oecupancy
MWCC system Zoning
On site well Actual Const
City water _ Allowable _
PRV required # of stories
Booster Pump _ Length
Depth _
S.F. Total
Footprint S.F.
APPROVALS FEES
?Engr/Assess Permit
Planner
I Surchar-ge
, Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn
?
Water Meter
Road Unit
Treatment P1
Parks
Cop3es
? TOTAL .r"`
.1
19880BUILDING PERMIT APPLICA ON - CI OF EAGAN
SINGLE FAMILY DWELLINGS ) q s INCLUDE 2 SE'TS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLTNGS RENTAL UNITS FOR SALE UNITS ? 4 dk OF UNITS
INCLUDE 2 SE'TS OF PLANS, CERTIFIC9TE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SYECIFICATIONS AND 1
UNI T f> ?
To Be Used For: ?5, /d???.
& STRUCTURAL PLANS,
SET OF ENERGY CALCULATIONS
Valuation: a-?Date:
Site Address I..n C{?
Lot ar" Block I
Pareel/Sub ?114A6 ? A,- 5 r?
Owner
Address
City/Zip Code ?r/C?• s-5-73
Phone
Contraetor AmZA.774 ??
Address c
City/Zip Code
Phone
Arch./Engr. „ lp?nj"?fk 40?/?C//1/
Address l ?f J 41
City/Zip Code ???y14//t?-7`?QN
?el
Phone # g3l: 1-g yV
OFFICE U5E ONLY
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
Hooster Pump _
Occupaney
Zoning
Aetual Const
Allowable
Ik of stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr/Assess
Planner
Council
Bld,. Off.
Variance
FEES
Permit
Surcharge
Plan Neview
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment Pl
Parks
Copies
TOTAL
..?
1989 WTW?DING PERMIT APPLICATION - CITY OF EAGAN
.
SINGLE FAMILY DWELLINGS 1(f9l
INCLUDE 2 SE'1'S OF PLANS, 3 CERTIFICATES OF SURVEY, 1 T OF ENERGY CALCULATIONS
NOTE: ADDAESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIAED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLTPIGS RENTAL UNITS FOR SALE IIidITS OF UNITS
INCLUDE 2 Sc`PS OF PLANS, CERTZFICATE OF SURVEY - CHECK 4TITH L'I.B"v. DEPT.,
1 SET OE ENERGY CALCULATIONS
COMMERCIAL
IiVCLUDE 2 SE'CS OF ARCHITECTURAL
1 SET OF SYECIFICA'PIONS AND 1
1
u00 1 rA -
To Ee Used cor: P-52
& STRUCTURAL PLANS,
SET OF ENERGY CALCULATIONS
Valuation: 55,oo0
Site Address
,
Lot ? Block ?
z
Parcel/Sub i Qf?L/F'???Q J
Owner
Address
City/Zip Code //?IA
Phone
Contractor Ll(/6?V rA17', -7
Address
City/Zip Code
Phone
Arch./Engr. 4Q ??7,/wv? G.dl''?B'?
Address A/ j
City/Zip Code
Phone ak
Date:
OFFICE USE ONLY
On site sewage_ Occupancy F-•3
MWCC system ? Zoning _?• 4
On site well Actual Const ? N
City water ? Allowable ? tJ
PRV required # of stories Z
Booster Pump Length ZZ
Depth 4 4
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit
Ylanner Surcharge L7. '=
Couneil Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC 5 50.
Water Conn S So
Water Meter , 107.
Road Unit
Treatment P1 2b 4.
Parks '
Copies
TOTAL ? <-i ;.? • ' I
'
AL IZAMr2?( - PAI?aF-Z- Co49-79-77
? ???SOL
ol
L ? BL CITY USE ONLY
?l
SUBD.
A:dLt- :'•": RL'':i::iw
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction
? Add-on air conditioning ? Fireplace conversion (to existing fireplace)
--- °?-?'m?s? ? I1a-
Date: 6 - /oZ - 4S
0
? Minimum Fee: Add-on/Remodel (existing residence only) $ 2U.00
? HVAC: 0-100 M BTU
Additional 50 M BTU
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
SITE ADDRESS:_
OWNER NAME: (!
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
RECEIPT #:
DATE: ?AG A5
24.00
6.00
50
?
?
INSTALLER NAME: C) r_ LJO V1E' 61.,.N
HEA7WG & AIR CONDITIONING C0.
STREET ADDRESS: asio wENrnoRrH avE. so.
881 900D
CITY:
PHONE #: (
STATE:
(Y
PHONE #:
ZIP:
) Ul
/
?? .
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are D-Qt required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 minimum fee 1 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permjt fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS: _
CITY:
PHONE #:
STATE: ZlP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
APFLI'CATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
,*F N71E:^ PAMOIINP OF FEE prT TgE pF * R.*w
* APeUCaZzotv DoFS Wr coN- ;
.
* SP11[l1E APPRGt7AL OF PFItNIIT. .*t
•
* r
; iNSrBcrrav oF SEWM AND/ox wraat ?
; itusrnranrioris wIIa, Nor Be scEnvtm ?
i[!NPIL PII2FIIT HFLS gIIN pppROqm. ?
ti*%fF*f#*#**kY*4*tiff4#+f}4ili1*i*i*i#
oF eagan
(PLEASE PRINT
1) PROPERTY ADDRFSS: 7D 4 /1 . . . . .?.
LEGAL DFSCI2IPTION:.
Lot/Block/Sub3i-vision or Tax Parcel ID
IF EXISTING STRC?CTURE, DATE OF ORIGINAL BLILDING PEF2MIT ISSL?ANCE:
PRESENT ZONING/PROPOSID DSE: Mont Year
Q ,COAMERCIAL/RETAIL/OFFICE C? SINGI,E FAMILY
Q INDLSTRIAL R-2 Dt?PLEX (Two t'nits)
INSTITUTIONAL/GOVERNI?JENT ?
R-3 TOWNHOt?SE (Three.+.Uziits) ( W Lnits)
Q R-4 APARTMENT/CONDOMINIUM ( . IInits)
2) . e . NAM' :
J`j
ADDREss: et-, ?
CITY, STATE, ZIP: . . .?'?? , ? ??? `?f'?7?• .
PHOIVE:
3? ? ??, NAME0 For City Use
P1 ers License:
ADDRESS: Active
CITY, STATE, ZIP: Fxpired
I
PHONE:
MASTER LICENSE # Not recorded
St Initia
4) . • i ? ?•
NAME:
ADDRESS: f Lt?-i?? Y?xC? <<•- .? BL/ /?
CITY, STATE, ZIP:
PHONE: 00,
s ? • ? ?•
5)
?? . i ?+?
??fON TO CITY SEVE -ONNECTION TO CITY WATII2 O O'IHIIt
6) ? _• ? ???.? ????.? ? . , 2r-/
u
F*****:F*****tk*it*?Y**?F**********it********************it******************?k*ic?k****4r*?t1t*1F'k****lr*********i
k *
? THE GOLD COPY OF THE PII2MIT WILL BE SELJP DIRFX.`I'LY TO PUBLIC WORKS TO FACILITATE METER PIGK-UP. *
t PLEASE ALIAW TWA WORKING DAYS FOR PROCFSSING. SOPEONE FROM TFM CITY WILL CONPALT YOL IF TFIERE ?
F ARE ANY PROBIEMS. *
k************************************************************************************,?***r*********?
. FOR CITY USE ONLY .
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SLiRCHARGE)
$ $ WATER PERMIT (INCLUDE St'RCHARGE)
$ $ WATER METER/COPPERHORN/ODTSIDE READER
$ $ WATER TAP ( I[VCL[.'DE CORPORATION STOP )
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRC!NK WATER ASSESSMENT
$ $ TRDNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL[VK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT St'RCHARGE
$ $ OTHER:
$ $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PL?BLIC
Q ROADWAY" MUST BE
NO DIVISION
IS ISSUED BY THE ENGINEERING
. L
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
APRLICJATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
? . .........................F.. .. -;,
t NJTE: PAYhIINl OF FEE AT TIME OF * z,*?
* MrLIcnTTON DoEs Wr cav- ?
.
? SR'I1V1E APPAC'JAL OF PII2FIIT. ,*.
»
• t
; rNseBMoN oF sENM nrD/oR wr,Tm ;.
w*, INSTALSATIONS WILL NOT gg SCmUIED ,*k
t LRML PII2MffT HAS gEIN pppg(7VfD. ?
*f,tx**t*ffryrw*x+****:?it+r:+sf++ft+*i.rrx
dty OF CC9gan
- (PLF.ASE PRINT
1) PROPERTY ADDRFSS:
T•FY;A7• DESCRIPTION: . . . . . . .
Lot Bloc S vision or Tax Parcel ID IF EXISTING STRLCTURE, DATE OF ORIGINAL BUILDING PERMiT ISSUANCE:
Mont Year
PRESENT ZOIVING/PROPOSID USE:
? COMMII2CIAL/RETAIL/OFFICE
Q INDT-ISTRIAL
Q, INSTI7.L7TIONAL/GOVERNKENT
?SINGLE FAMILY
? R-2 DUPLEX (3tao [9nits)
ffR-3 TOWNHOL?SE (Three.+ Units)
Q R-4 APARTMEN!'/CODIDOMINIUM
(--?-Lnits )
( Lnits)
2) . . . , NAME: doQ
ADDREss: Xa S`d 9 2
CITY, STATE, ZIP: !
PHONE:
' For City Use
3) NAME: Plumber I,iTcense:
ADDRESS: Active
Expired
CITY, STATE, ZIP: .. Not recorded
I
PHONE: MASTER LICIIVSE # St ff Initia
4 ) . s • • g%i ?
IVAME:
ADDRESS: l s ', a r
CITY, STATE, ZIP: 22y2_i
.
PHONE: '2
5) s • a• a?, i • u . ? a+e
<:5t!J CONNECTION T0 CITY SEWERJ?}?@?TION TO CITY WATER O O''FIER
t?°
6)
-Z., _.
k**keF****#ik**ie?k*********?t?Fir?F*?rir**kik*ic***#***i?ir?r*********?k?eic*?Y****?c?kiY*******9r****ir******?k?kk*******ir*?k
k ?
? THE GOID COPY OF THE PEf2MIT WILL BE SENT DIRDCTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. *
k PLFASE ALIAW TWO WORIQNG DAYS FOR PROCESSING. SOMEONE FROiy TiE CITY WILL CONPAGT YOU IF TfME *
r ARE ANY PROBLIIMS. *
?
F***************************************************************************************************?
FOR -CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERA L BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ . $ TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLiBLIC
Q ROADWAY" MUST BE ISSC?ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
?
APFLICATIQN FOR PERMIT
SEWER AND/OR WATER CONNECTION
....xx.x. x..x..
**NOTE: PA7QMENf OF FEE AT TIME OF .
*
APPISCATiIXN DpES NOT COPF-
* STINPE APA2CJAL OF PERNIIT. w*.
•
; iNSesriaa oF sENx AND/CR wATEt +
*.
; irsrrsuTTOris wIIa, NoT aE scEU= ;
i l!NPIL PFS2PIIT HAS flE@] APPRWID. *
i#t44iFf4/rYlrttt*itf F*1eFif ti ffiRfrtf#!!#*#
ity oF eagcsn
(PLF.A.SE PRINT
1) PROPII2TY ADDRESS: <Z22?t. : . . ?-9` ?GB??LJ Lfj,r?L
/
LEGAL DESQ2IPTION:...--..
Lot B oc S vision or Tax Parcel ID )
IF EXISTING STRC'CTORE, DATE OF ORIGINAL BiJILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSID USE:
Q _ COfM9EE2CIAL/RETAIL/OFFICE
Q INDLSTRIAL
Q : INSTITUTIONAL/GOVERNME,'NT
Mont Year
SINGLE FAMILY
E-1 R-2 DUPLEX ('itao t?nits )
jj R-3 TOWNHOUSE (Three .+: Onits)
Q R-4 APARTMENT/CONDOMINIUM
2) , P • • NANIE:
ADDRESS: ,?2 LL-&/ j Z i /1 /e,-.
CITY, STATE, ZIP:
PHONE: _
3) • :?+• NAME:
ADDRESS:
CITY. STATE, ZIP: .
PHONE:
MASTII2 LICENSE #
Lnits)
L'nits )
Use
viumoers License:
Ij Active
Expired
Not recorded
Sta Initia
4) e •lmi • ?-
AIAME:
ADDRESS:
CITY, STATE, ZIP: ?A?
PHONE:
.
59
5) miummillm
m• iP a?e
??? CITY S AIECTION TO CITY WATII2 ? OTFIER
6) %yl ?? .
as a -S
** k*,t*,t,t,t***,t,t*******,t***,t,t,t*,t************,t*,t,t**,t***************,t,r*,t**,t****?t,r,t?k*******,t*****,k,t,t,t,t***
* THE GOLD COPY OF THE PII2NIIT WILL BE SENP DIRDC.'TLY TO PUBLIC WORKS 70 FACILITATE ME= PIQC-UP. *
* PLE7ISE ALIpW TWO WORKING DAYS FOR PRaCFSSING. SflmIDpNE FROM Tfm CITY WILL COATrACT YOL IF Ti3ERE .'`
*
* ARE ANY PROELENIS. ?
*
**************,t*********************************,t,k***,t**rt*******,t*,t******,r*tt*??***++t?+t?fsf?t**+?
'F'OR -CITY USE ONLY
PERMIT # ISS[JED
? 7?
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ - $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PC)BLIC
Q
NO ROADWAY" MUST BE
DIVISION
IS ISSUED BY THE ENGINEERING
. L
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
APFLICATION FOR PERMIT
SEVNER AND/OR WATER CONNECTIQN
*n n.........nn?RxxRFawxxxFxnRwr ?i
* NOQ'E: PAYhIINr OF FfS AT TIME OF x* w ?
* r,ePiscaxIota ooFS taom corr ;
.
; sriME apPPMmt. oF POruT. ;
. .
rNspBMoer oF sE.?t AND/oR wnTM ;.
,*k INSTALIATIOKS wII.L Nc7P BE S'FntR.Fn i*
,*k C!Kl'IL PIItMIIT HAS HEQi APPRCNID.
citV ***#*4*it1***t*i*tili4#i#};4ff4#!i*#*#!
oF engan
(PLEASE PRINT
1) PROPERTY ADDRESS:
I,DGAL DE'SCRIPTION: .
Lot B oc S vision or Tax Parcel ID
IF EXISTING STRUCTC1RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSID USE:
II . CON-If2CIAL/RETAIL/OFFICE
Q INDUSTRIAL
Q INSTI'Ii7TI0NAL/GOVERNMENT
Mon Year
LE FAMILY
E__] R-2 Dt?PLEX ('iWo Lnits )
ffR-3 TOWNEiOUSE (Three .+ Units) ( ((/ Units)
Q R-4 APARTMENT/COt+IDOMINIUM ( Units)
2)
ADDRESS: `J
CITY, STATE, ZIP: ,. A, ?. ?.?,?/• ,j s'-?'??
PHONE: Ret?.
?
3 ) • ??;
ADDRESS:
MASTII2 LICENSE #
CITY, STATE, 2IP: .
PHONE:
4) [e'mmiIloe1r
NAME:
ADDRESS:
CITY, STATE, ZIP: ?i
PHONE: !Z2-:3 -
For
? Active
? Expired
Not recorcied
St Initia
5) s?? a • a?• • u . ???
??CTION TO CITY SEWII3??gp??CTION TO CITY WATER ? QTHER
v?-?
. 6)
t****************,?*********************************************************************************k
F *
k TFIE GOLD COPY OF THE PIItMIT WIId, gE gEN1.' DTRFf`T'f.Y TD PUffi,IC WORKS TD FACILITATE MEPER PIQC-UP. *
? PLEA.SE ALSAW Z[n10 WORKING DAYS FOR PROCESSING. SONIDONE FROM TfM CITY WILL CONPALT YOt? IF THME
*
` ARE ANY PROBLFMIS. *
F*********************,r,r***************,r*,r***************************,r**********,r**********,r*******?
FOR -CITY USE ONLY
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLODE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOC?NT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PDBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIS ISSUED BY THE ENGINEERING
.
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
APFLICi4TION FOR PERMIT
SEWER AND/OR WATER CONNECTION
,*t NOTE:^ PAPMFNP OF FEE AT TIME OF x F'
; aPPLIcMaN noFS raar corr- ;
SfIRLT18 APPRCifAL OF PIItMLT. i
:
; •
; iNsPfxZZON os sasNM nrn/oR WmTm ;.
? ZISST'ALIATIIXM WIIM N02` BE SCFLI7LM t
* t!Nl'iL PIIiMIIT HAS BFIIi APPROVID. #*,
CitV *!i4#44?if/4ft4ft#**4}#y'?***itffil*R*4i
OF CC1gC8P9
(P E PRINT
1) PROPERTY ADDRESS : 1/77oc.J G?1
T'Ff;AT' DESQtIPT20N;
Lot/Block/Sub3`?ivision or T? Parcel ID
IF EXISTING STRL'CTIJRE, DATE OF ORIGINAL B[)ILDING PERMZT ISSUAAICE:
Mont Year
PRESENT ZO[VING/PROPOSID USE:
Q .CODMME2CIAL/RETAIL/OFFICE A?P;4c-- SINGLE FAMILY
. Q INDDSTRIAL F----J R-2 DDPLEX (TWo t?nits)
Q; INSTITYJTIONAL/GOVERNNENT ? R-3 TOWNiOt?SE (Three + Lnits) (--k-Units)
Q R-4 APARTMENT/CONDOMINIUM ( L'nits)
2) ... NAME: ,e?
lli
ADDREss:
CITY, STATE, ZIP:
PHONE:
3) ' :?• NAME: For City Use
Plumrs 'I,icerise:
P
ADDRESS: I Active
Expired
CITY, STATE, ZIP: Not recorded
PHONE: MASTER LICIIVSE #
Sta Initia
4) s-ximue,3a •.M
NAME:
ADDRESS:
CITY. STATE, ZIP: /?11 ;? n
PHONE:
1 ? ' 01 ?i' • q '. I ?I! . . .
5)
?-?N[QFX°PION TO CITY SE,WF??ON 'PO CITY WATER O OTHg2
6) /6 kb?
e
?**************************************************************************************************x
' TfE GOLD COPY OF THE PFR(?IIT W7IZ, BE SEW DIRF7Ci'I,Y 7O PUBLIC WORKS TO FACILITATE MEM PICK-IIP. *
PLEIISE ALI,OW 7W0 WORKING DAYS FnR PROCESSING. SOMONE FROM TfE CITY WILL CONTALT YOL IF TFIEf2E *
' ARE ANY PROBLa1S. *
?**************************************************************************************************?
. FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SL'RCHARGE)
$ $ WATER METER/COPPERHORN/0[.'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP) y
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOCiNT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRC'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ $ TOTAL
RECEIPT RECEIPTT-T
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PDBLIC
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
G•.
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
? . .................x.x..xx.,..? , . °.
i NOTE: PAriHESIf OF FEE AT TINb OF •;• ?
* nrrzicAMotv DOES NOr corr ;
.
t STIMM AePxcM oF PMruT. ;
.
; INSeBMaa oF sEWER nND/oR vmxER ;.
; irs•rtLaaTIoNS wna. Nor eE scm= ;
i l!NPIL PII2MIT HAS BFEII APPRCNID. ?
#**!*Rft!'f1rlt*}iittfktfii4iftft*i#t*#Y
1tV OF CC1gai9
(PLF.ASE PRINT
1) PROPERTY ADDRESS:
T,FY;AT, DESCEtIPTION: . . . . . . . . . . . . . . .
Lot B ock S vision or Tax Parcel ID
PRESENT 7ANING/PROPOSID LSE:
Q_COMNIERCIAL/RETAIL/OFFICE
Q INDLSTRIAL
? INSTITUTIONAL/GOVERM&-NT
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDING pERMIT ISSCTANCE:
Nbnt Year
°?=1J3INGLE FAMILY
R-2 Dt?PLEX ('iw-o C'nits )
R-3 TOWNHOt?SE (Three.+`Units) (--LUnits)
Q R-4 APARTMENT/CONIDOMINIUM ( Units)
2) , ? . . NAME :
ADDRESS :z,?6/z9
CITY, STATE. ZIP: .?' -, 5-?-?-7
PHONE:
3)
NAME:
ADDRESS: _
CITY, STATE, ZIP: _
PHOIVE:
MASTER LICENSE #
-1?LU-A--.L5 License:
I Active
? Expired
? Not recorded
Staff Initia
4) . e?^ _ ':?,a?'• il]3?F?'?I?
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: ?-
5) s?, a• a?. • o-?? , t??
ON TO CITY S ONNECTION TO CITY WATER ? OTHER
6)
-i.c ,
:,t,t**********************r?***+*****,t*************,t**,t**,t******,r************************,r************
' THE GOLD COPY OF THE PERNIIT WILL BE SE[JP DIRFICTLY TO PUBLIC WORKS 7O FACILITATE METER PIQt-UP. *
: PLE'.ASE ALIAW M WORKING DAYS FOR PROCE'SSING. SOP'IDDNE FROM TfM CITY WILL CONTACT YOL IF TfME *
' ARE ANY PROSLEMS. *
?***,r*************+************************,r***********************************************,t*******?
. FQR CITY USE ONLY - '
PERMIT # ISSUED
(--9?- 7 (tl , .
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SL'RCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOL'NT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BE[VEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ $ TOTAL
RECEIPT T - RECEIPT
DOES IITILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
Q ROADWAY" MUST BE I
NO DIVISION
LIS SSLED BY THE ENGINEERING
.
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
City of Eakan
3830 Pilot Knob Road
Eagan MN 55122 MAY 2 2 200?
Phone: (651) 675-5675
Fax: (651) 675-5694
O(p• vg C?-?-
2008 COMMERCIAL BUILDING
Date: 4 Site Address:
Tenant Name: z?. f/r ILMd.2t/ ?Tu/n.???n r s • (Tenant is:
New !
Existing) Suite #:
PROPERTY OWNER Name: Phone:
Address I City I Zip:
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description ofwork• Y? ??-4m?- rv7. ,x . h s Ieh s l?/
Construction Cost' ?7?X GO
CONTRACTOR
??G 9
Name: a cX/1-. s>ois License #:
F
Address: /C--S-?Z g 17`?1J?' ?? /!/k?
City: 14??0-,T State: ? Zip: ?-?e;'//
Phone•,2/Z - 363 -,2%2 S' Contact Person: D c. ef vt ti
ARCHITECT! Name: Registration#:
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
ed'fo'be pubbc rnformation' ' Portions of`
u submif are cons?de
`` NOTE: Plans and
u
ortm
documents th
t
r
s
pp
g.
a
yo
?de?spec1fic reasons thatwould permit the C?#y fo
, the rnformafion may be:classtfed,as non public ?f you prov
, ;.
' : ? ? .. ? ?one;tl?at tde ;are?trac?e se?r,e`ts. ?,? . ^
clud
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 appr 7'7'?z nsX d 4 aa '? 4??
Applic 's Printed Name A lica ignature
-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
?
? Permit
? Permit Fee:
?
i ?
I Date Received: ?
I ?
?
i Staff: I
L - - - - - - - - - - - - - - - - - I
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation ? Public Facility ? Accessory Building
? Apartments ? Commercial / Industrial ? Ext. Alteration-Apartments
0 Lodging O Greenhouse ? Ext. Alteration-Commercial
? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility
? Nail Salon
WORK TYPES:
? New ? Interior Improvement ? Siding ? Demolish 8uilding'
? Addition ? Move Building O Reroof ? Demolish Interior
Jg[ Alteration ? Fire Repair ? Demolish Foundation
0 Replacement ? Windows ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION: 3 ?d
Valuation A-? Occupancy MCES System -
Plan Review ? Code Edition SAC Units -
(25%_ 100%? Zoning ?T 3 City Water -
Census Code Stories - Booster Pump -
# of Units ? Square Feet PRV J
# of Buildings J Length - Fire Sprinklers -
Type of Const. Width ? --
REQUIRED INSPECTIONS
Footings (new bidg) Sheetrock
Footings (deck) FinailC.O.
_ Footings (addition) • ? FinallNo C.O.
Foundation HVAC
Drain Tile Other:
Roof: _ Decking _ Insulation _ Final _ IceNVater Pool: _Footings _Air/Gas Tests _Final
? Framing Siding: _Stucco Lath _Stone Lath _Brick
_
Fireplace:_R.I. _AirTest _Final Windows
Insulation Retaining Wall
t
h
l /N
Y
Final C!O Inspection: Sche to be presen
. _
ire Mars
a o
es ?
Reviewed By:
- , Building Inspector Reviewed By:, Planning
- -----------------
------
------- ----- -------- --- -------
COMMERCIdL FEES: ------------------------------------------ -
o
?o -------------------------------------------------------
Base Fee .
Surcharge
Plan Review ?
SAC-MCES
SAC-City
S!W Permit Financial Guara ntee
S/W Surcharge Storm Sewer Tr unk
Treatment Plant Sewer Lateral
Treatment Plant (Irrigation) Street Sewer Trunk
Park Dedication Water Lateral
Trail Dedication Other Water Trunk
Water Quality
Water Supply & Storage (WAC) Total
Page 2 of 3
g3 aa9
2006 RESIDENTIAL MECHANICAL PExnuT APrLicaTioN
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
/
Date
it #
U
Site Address n
Property Owner Telephone #( Vo 61"'7
?
Contractor
•
Street Add ess ? ;?
? ?? / ?l ?l ?? ? ? ?^-' City
St
t hone #(?`?- y??r a 7?
Tele
Zi
a
e p p
Bond #: Expires:
The Applicant is Owner _" Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _ ep.-F? lacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
-776?-Z)
Total $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that 1 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 'Vacc rdance with the
approved.plan in the case of work which requires a review and approval of plans
p ?
) ? Cl n -
Appicant's Pri ted Name Applicant's Sign e
2006 COMMERCIAL MECHANICAL PExMiT ArrLicATiorr
City Of Eagan
3830 Pilot Knob Road; Eagan MN 55122
Tetephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor -? 'G-
Street Address l0 9 l 5? I?L 7Gi ? ? Lc? City LC,?'43?? l?4,??
State Zip W/-2 Telephone#(9?5-a) 4f31?S-932
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove *`see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
*YWhen installing/removing underground fank, call for inspection by Fire Marshal and Plurnbing lnspector
PEYRIIf F¢¢5: $70.50 Underground tank installation/removal
$50.50 Minin:un: (includes State Surcharge)
OY
ContractValue $
x 1% PermitFee
$ State Surcharge
If permit fee is less than $1,000, add $.50
If pe rmit fee is more than $1,000, surcharge
is $.50 for every $ 1,000 owed.
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Approved By:
Applicant's Signature
Inspector Date:
Required Inspections: _ U.G. - R.I. - Air Test - Gas Service Test - Infloor Heat - Final
RESIDENTIAL
F' BUILDING PERMIT APPLICATION
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122 I?
°? yboQS 651-681-4675
New ConsWction Reauirements RemodellReqair Reauirements
• 3 registered site surveys showing sq. fl. of lot, sq. k. of house; and all roofed areas • 2 copies of plan
(20°b maufmum lot coverage allowed) • 1 set of Energy Calculations for heated addilions
• 2 copies ot plan showing beam 8 window sizes; poured tound design, etc.) . 1 sile survey forexterior adddions & decks
• 1 set of Energy Calculations . Indicale if home served by septic system for addilions
• 3 copies ot Tree Preservation Plan it lot plaUed after 711/93
• Rim Joisl Detail Opfions sdection sheel (bldgs with 3 or less units) 1726
DATE VALUATIO
JOB SITE ADDRESS qb lU "qU9 L' Yo97'7D'6'yD9?-,Vla ,?? /?kea??aV ?
IF MULTI-FAMILY BUILDIN , HOW MAN UNITS?
PROPERTY OWNER G? Irl?
TYPE OP WORK FIREPLACE(S) >' 0_ 1_ 2
APPLICANT ? PHONE#7a' 75
ADDRESS dI ZIP CODE
PAGER # CELL PHONE #/,I Z"721 1?4? 9 FAX #
NIEV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
All above informafion must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signature of Applicant
Water Softener
_ Water Heater
No. of Baths
_ Air Conditioning Tee: $70.00
Heat Recovery System n? ?, ?? nn 2
Phone #:
Lawn Spriiikler Fee: $90.00
No. of R.I. Baths
Phone #
Phone #
is correct, and agree to comply
Certificates of Survey Received _ Tree Preservation Plan R)fceived _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea:) ? 31 Ext. Alt - Muiti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
?, 32 Addition , ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
?' 33 Alteration ? 37 Demolish (Bldg)*, ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bldg oniy) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
Foatings (deck) Fina]/No C.O.
Footings (addirion) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Fina1
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
FinaUC.O.
HVAC
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
'
3830 PILOT KNOB RDN 55122
651-687-4675
New Constructian Reauirements RemodellRepair Requirements
• 3 regislered sife surveys showing sq. ft o( b4 sq, ft. of house; and all roo(ed areas . 2 copies of plan -
(20°/a maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions ..
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior addi6ons & decks
• t set o( Energy Calculations
• 3 copies of Tree Preserva6on Plan if lot platted after 711l93
• Rim Joist Detail Optlons selection sheet (bidgs with 3 or less units)
DATE I - I I' o I VALUATION (EXCLUDING LAND) (Q o rl • O C)
JOB SITE ADDRESSL4OqO S. ReD.d-0,,Q (.0-4 2A
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWP
TYPE OF WORK
APPLICANT i
ADDRESS (?O
PAGER #
?I_ZIPCODE
fAX # °l52
NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1
(check one) 4 ?
ResidentialVentila6on Category 1 Worksheet Submitt
- Energy Envelope Calculations Submitted , u? .I ? zoo I ?
_ MINNESOTA RULES 7672 ?-
- New Energy Code Worksheet Submitted 71? l
n..
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
iVlechanica] System Includes:
Sewer/Water Contractor.
_ Water Softener
? Water Heater
_ No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
Ali above information must be submitted prior to processing of apptica8on..
I hereby acknowledge that I have read this applicafion, state that the information is correct, and agree to complywith
all applicable State of Minnesota Statutes anti City of Eaga.n Ordinances.
Signature of Appiicant ?joa (1'-P.1Ldce?_ (/ti'..Q- ?e=LQ-j
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
FIREPLACE(S) _0 _1 _2 _3
_ PHONE # `'??_7-1 61 _?
Updated 1/01
CELL PHONE #
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Levei
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
O 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
O 33 Ext. Alt - SF
? 36 Muiti
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 13 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bidg)* p 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Eritire Bldg only) - Give PCA handout to applicant
Valuation
Census i;ode
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type of Const
_ Foorings (new bidg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test , Final
_ Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
REQUIRED INSPECTIONS
_ FinallC.O.
_ Final/No C.O.
_ Plumbing
HVAC
MC/ES System
City Water
8ooster Pump
PRV
Fire Sprinklered
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
iNC/E5 5AC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
i_icense Search
Copies
Other
Total
Building Inspector
4,11 Gity otEaaan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r
For Office Use
Permit #:
Permit Fee:
Date Received: -11, 3 //3
Staff:
J
i ++ 2013 RESIDENTIALj�BUILDING�PERMIT APPLICATION
-�1-1 Site Address: I0(W -9D{��l
- oil" 1/O8 Loco !l D/o
Name: LC4G00001 lA)Y J1O . Phone:
Address / City / Zip:
Applicant is: Owner Contractor
Description of work:
Construction Cost:
Company: !1 "IO fS h y S /114 Contact: 54 / 1118,11
18,1
Address: 10701 (13 . A) • City: J taidE. CT()
State: fAV Zip: 673 �i Phone: /7;�, -3 l/�M" 0` c (!0/ X0 0
License #: 1 L 7 i/ Lead Certificate #: f ` 6071/10 -
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
ns and supporting documents that you siub it. are cons rent to.be public infclrrnation Po
nation► may a classi d as pori-publfc if you provide sp irea � t rat wr e► p t w
c
sacral
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.aooherstateonecall.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 3uildi ; Cofl m, st be completed within 180
days of permit issuance.
x 00,40( 2sS
Applicant's Printed Name Applic "t's igna
JfoMag2
;moi}
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153829
Date Issued:01/25/2019
Permit Category:ePermit
Site Address: 4090 Meadowlark Rd
Lot:6 Block: 8 Addition: Hillandale 3rd
PID:10-32952-08-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tigist M Mengistu
4090 Meadowlark Rd
Eagan MN 55122
(651) 890-7834
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
r For Office Use
E t P
t t g Permit#:
......
..,
EAGANbEC ,i Date Received: ( 9
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810Ill
APR
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)67 3 '�� 8,' Staff: PI--
buildinginspections(@cityofeagan.com
2019 RESIDENTIAL BUILDING P lifMIT APPLICATION
Date: Site Address: P, 4/O 0 /. 014 I,,J(,.ik Ay Unit#:
Name: Phone:
Resident/
Owner Address/City/Zip:
I
Applicant is: Owner Contractor
Type of Work
Description of work: P .L' )4 2.i.!
LIG q 0 i)e640(DI i 9-a- a --1
DO NOT WRITE BELOW THIS LINE n
SUB TYPES
—
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi p Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
e 01 of f2Plex _ Lower Level _ Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding Demolish Building*
_ Addition _ Move Building _ Reroof Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
to Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 390 • Occupancy . ...42._C -3 MCES System
Plan Review Code Edition 7)/// 2d!S-- SAC Units
(25%QO 100%_) Zoning -P City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction (/j Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
i Footings (Deck) Final I C.O. Required
C Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water Final Pool: Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: Footings—Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower PanOther:
_/ 'nn
Reviewed By: / " {'" ?/k_1 y 4- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166412
Date Issued:01/08/2021
Permit Category:ePermit
Site Address: 4090 Meadowlark Rd
Lot:6 Block: 8 Addition: Hillandale 3rd
PID:10-32952-08-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tigist M Mengistu
4090 Meadowlark Rd S
Eagan MN 55122
(651) 890-7834
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166425
Date Issued:01/08/2021
Permit Category:ePermit
Site Address: 4090 Meadowlark Rd
Lot:6 Block: 8 Addition: Hillandale 3rd
PID:10-32952-08-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tigist M Mengistu
4090 Meadowlark Rd S
Eagan MN 55122
(651) 890-7834
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174824
Date Issued:02/22/2022
Permit Category:ePermit
Site Address: 4090 Meadowlark Rd
Lot:6 Block: 8 Addition: Hillandale 3rd
PID:10-32952-08-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Tigist M Mengistu
4090 Meadowlark Rd S
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature