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4102 Meadowlark Rd,:.._.?_.. CITYOFEAGAtV 3830 Pitbt Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ? ,19 Site Address " Lot Block Sec/Sub. On Site Sewage MWCC System Parcel No. On Site Well , . _ City Water W Name , . , , . . ...... 3 Address ° City Phone ' ;iAVt, : ISE:i lh%. ?v I hereby acknowledge that I have read this application and state that the information is conect a nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee - A Building Permit is issued ta all work shall be done in accordance with all applicable Building APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Variance TOTAL 356.50 1 I ? .. on the express condition that Minnesota Statutes and City of Eagan Ordinances OFFICE USE ONLY l Occupancy ? _ Zoning Type of Const (Actual) v (Allowable) # of Stories " Length Depth S.F. Total Footprint S.F. FEES _ Permit _ Surcharge _ Plan Review _ SAQ City _ SAC, MWCC _ WaterConn. _ Water Meter _ Road Unit _ Treatment P1 Parks ?I Permit No. Permit Holder Date Telephone fF Plu,mbing 11' ?' ' J ^ ,_ H.v.ac. 9fJG? ? ' ?.?5 ? Electric Softener Inspection Date Insp. Commsnts Footings I Footings II Foundation Framing Rooting Rough Plbg• ^?..•_. Rough Htg. Isul. - Fireplace Final Htg. Final Plbg. Bldg. Final Cert.Occ. ? Temp. LP Deck Ftg. Deck Frmg. well Pr. Disp. a a , i (Ipr#i#iratr nf (Orru?attcy titp of (Eagan Fr.pttrimetc2 uf luild'mg Jmprrtion This Certiftcate issued pursuan[ ro the requirementr of Section 306 of the Uniform Building Code ceRifying that at the dme of issuance this srructure was in compliance with !he various ordinances of the CUy regulating building construction or use. For the following: Use CLssi6ntion I CP SRX{ Bidg. Pormit No. 13M Oocupancy Type R3 7noing pistrict RA Ty,a Const v o.maore„achrig 1CWIdKM CF HIL.LANnaTF AM.. 14442 IIYM- SI[dt SiAD.- PIIKA. swe4,4aa,? 4110 S. MEADQdI.AFdC FQAD IS. B7, rarrlaamnrF 3gp n,u: QC1UeEt 31. 1989 - ? Budding.OffciaU POS? IN A CONSPICUOUS PLACE ?`•: ri?;.A?'r';: ..J.. . . :`at{•' ? CONTRACT PRICE: Site Address CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 Name L-?y,J A6, c Ox t' !, ? Address L6 s c Ciry _::?AV42 G 4 Phone ? Name //.e,:i i c Address O City Phone FEES COMMIIND 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) FOR: CITY OF EAGAN PERMIT # cy, L ? f RECEIPT # ?3L k-? DATE: BLDG. TVPE WORK DESCRIPTION Res. New ? Mult. }' Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL -/ Water Closet - $3,00 $ J Bath Tubs - $3.00 ' Z Lavatory - $3.00 2 Shower - $3.00 / Kitchen Sink - $3.00 -UrinaliBidet - $3.00 ! Laundry Tray - $3.00 ?Floor Drains - $1.50 i -L ! Water Heater - $1.50 J ^?' _Whirlpool - $3.00 -LGas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMI'n -SoRener - $5.00 -Well - $10.00 _Private Disp. - $10.00 I ___.?_Rough Openings - $1.50 l' FEE: ? ?•'?' I STATES/C: GRAND TOTAL: ` ' ??? ? y??•v??7 CONTRACT PRICE: Site Address ? Lot BIocF y Name _ R Address c City _ a? c 3 O Name _ Address City _ TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other PePi\A,r # MECHANICAL'"PERMIt RECEIPT # CITY OF EAQAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ul ? PHONE:454-8100 Phone BLDG. TYPE - WORK DESCRIPTION Res. New 4- Mult. Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (FiES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMII) COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS MINIMUM COMMERCIAL FEE M BTU $Yi?L M BTU $ M BTU $ M BTU R CFM R / • (ADD $.50 S/C IF BEYOND $1,000) 1.50 EA. I - 12.00 - 20.00 - .50 FEE: S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN A, -1 % . I 44 + . ' • . . , ,'._ _ " • CITY OF EAGAN • ' (??' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for `• ... i; 1?? Est. Value Date 1 1) 1 ^e ,19 SiteAddress Lot Block ' Sec/Sub. 'i1I.L:1:0iALL Parcel No. a Name W z Address - ° City Phone 'K . o Name - ??RISES IkC z?_ O FFICE USE ONLY On Site Sewage Occupancy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (ACtuaQ (Allowable) ' # of Sfories Length Depth S.F. Total ?- Footprint S.F. - ?< Address APPROVALS FEES ? City PhOne Assessments _ Permit ? Q ? WW . Name Water/Sewer Police _ Surcharge Plan Review ~ Z _- . . Address ?? Fire - SAC, City - u c iW City ' Phone Engc planner SAC, MWCC ? WeterConn. Council_ _ Water Meter I hereby acknowledge that I have read this application and stete B11 dg. Off. _ Road Unit that the information is correct and agree to comply with allapplicable APC _ TreatmentPl State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Signature of Permittee Copies TOTAL A Building Permit is issued to: ' on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances Building Official Permit No. Psrmit Holder Date Telsphons X Plumbing H.V.A.C. Electric Softener Inspectlon Date Insp. Commente Footings I Footings II Foundation Framing i?y4k, E. ?. Roofing RoughPlbg. 4 - -9-7 . ?/,'-,r.?c" G? /7- q y _-? Bldg.Finai p. Deck Ftg. Deck Frmg. Well / FGL : G`ni _C) Pr. Disp. ??? ?. d -::.a-.,t (Itrtifirafit uf Orruvttnry Ctp of (Eagan EppU'YritPtlt 0f l1tlldtitg JWPtYtittt This Certifrcate issued pursuant 1o the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with lhe various ordinances ojtJre City regulating burlding construction or use. For the following.• um c??don I fB 5 PLEfC &dg. ft,m;t No. 13889 O-W%-Y TYR R3 lomog Dietrict ? Type Conet V Owner of Buildin$ ? T Ha"QME Addrets 14442 MEEISIOR BLVD., MIKA. euMing naa? 4106 S. MFADQAIfiK RaAD Lomlity Ik, B7, KUAld1Ai.E 3RD ? Dk: APRII. 19. 1989 , / o4idin8 'ofricua ?r POST IN A CONSPICUOUS PLACE ?. . . . . . . . . . .. . . . . . .. ? . -Ga:,?. " ... PERMIT # ? '7J ? PLUMBING PERMIT ' CITY OF EAGAN RECEIPT k 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?'?-?• ? CONTRACT PRICE: PHONE: 454-8100 Site Lot. ?- Sec/Sub BLDG. TYPE WORK D ?SCIRIPTION ^ Res. New G r Mult. Add-on Comm. Repair Other RES. PLBG. ONLX - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL _LWater Closet - $3.00 $ Z Bath Tubs - $3.00 -/-Lavatory - $3.00 2 `t) -Shower - $3.00 ! Kitchen Sink - $3.00 -UrinaliBidet - $3.00 --/_Laundry Tray - $3.00 -L_Floor Drains - $1.50 _LWater Heater - $1.50 _Whirlpool - 3300 Z Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn _Softener - $5.00 Well - $70.00 _Private Disp. - $70.00 Rough Openings - $1.50 Fee: STA7E S/C: ? v GRANDTOTAL: ? I Name rz-or 4), _=z: z i ?6 Address ,,&2y1 5 -?i .ks... /J c City %4.i.9 i . Phone ? Name .Z!a.tr_ 3 Address p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPI.IES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - 50 (ADD $.50 S/C IF PERMIT PRICE GOES SIGNAT E OF PERMITTEE FOR: CITY OF EAGAN ? L, _ J c. It I i CONTRACTPRICE: SiteAddress 444 , Lot 14 Block ? i Name GFnGWIC:K HTG. m Address &10 WEhTVJ( c City MIfvNEAF'Ok MECHANICAL PERMIT ? CITY tOF'FJtOAN - RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 BLDG.TYPE , Res. ? Mult Comm. Other ? Name 3 Address O 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: WORK DESCRIPTION New Add-on Repair ? 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 PERMIT) - COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) 1.50 EA. I - 12.00 - 20.00 - .50 SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CITY OF EAGAN ""r3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITEADDRESS: ? ; .., +?: r?u???.lr r,k? i;t; PERMIT TYPE: Permit Number: Date Issued: APPLICANT: PERMIT SUBTYP !if E:} ,:;J{ TYPE OF WORK: INSPECTION „ . D. . rt ?•? r ra ? , ; z?: . '„ ? ; _ , , G,; rM l7Fl+.TF:G}I'O NY MtKf.' RARCK Rfii3C. Pfk14[i" f4 ULfiRl0 f'CiR ARFY i'tliMNstl46 LlORM' i t!. 44F..:'ii40 17€.6Ak[tl"ti f"1-E.r"1"fi1t:A! F•FitPI1 T AN(? fN'?F'FCl i()IdS - Permit Holder Date Tefephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING , ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONUUCTIVIN TES7 HVDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL , ..,. . ., CITY OF EAGAN L- 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 Date JVLY 16 1339%S 19t7 SiteAddress ?_A"k Ri? OFFICE USE ONLY Lot Block Sec/Sub. OnSiteSewage _ Occupancy MWCC System ! Zoning Parcel No. On Site well Type of Const Cit Water T (Actual) a Name y (Allowable) W ; Address ` of Stories ' Length 0 City Phone Depth F Total S ¢ o . Name . . FootprintS.F. ?Q Address APPROVALS FEES F City Phone Assessments _ Permit " f ¢ pj W . , Neme - - --' Water/Sewer Police _ Surcherge _ Plan Review T7 ? ? z _- ? Address ' }.. Fire I SAC, Cfty ? I - o `W City ' Phone j" Engc SAC, MWCC Planner _ WaterConn. ? Council Water Meter - i I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheintormationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Signature of Permittee Copies 7o7aL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinancea Building Official Permit No. Permit Holder Dato Tslsphons it Plumping ; r H.V.A.C. -njD5l? 8 Electric Softener Inspectlon Dato Insp. Comments Footings I Footings II Foundation Framing ??j,? ? C • ?- Roofing Rough Plbg. . Rough Htg. Isul. Fireplace Final Htg. %V-Y) ? Final Plbg. 1 17-Z-yj ? i Bldg. Final 1 i Cert. Occ. I 1 Temp. LP ? Deck Ftg. Deck Frmg. Well Pr. Disp. r . • • (gtrtifiratr of (Orrupttnry Citp of eagan DP}iNl'bllPttY of IlItt1bTM JWPttillIl This Certificate issued pursuant to !he requiremenls ojSection 306 of tke Uniform Building Code cenifying that at the time of issuance this structure was in compliance with !he various ordinances of the City regulating building conshuctinn or use. For the foUowing: Use CLLssiifinuan ! rtf SF'F:k. Bidg. Fllmit No. 13888 OccuWaY TYR R3 ZoninB DW^n ? 'n'Pe Co"sL v Owner of euilding I?CMI$ QF HTT 7 ANM7 F. Addm 14442 DrEE.?IR BL?, MEA 4 1!?6 ?fl',?TYLJ;.ARt '20AD T3, B7, NiTllaMiF. 3FZE) Bmlaing nddrea Loasry Wie: JULY 27• 1988 euaahng accial POST IN A CONSPICUOUS PIACE , PERMIT Ik , . PLUMBING PERMIT RECEIPT k ?&?=j!_ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 ' Site Address Lot 7.7_ Sec/Sub BLDG. TYPE WORK DESCRIPTION Res. New ? Mull. ? Add-on Comm. Repair Olher y Name ?p Address !1?/( S 5Pi c City ;evB<< Phone Name ,u.,., ,? -•?i r° S" - 3 Address O City Phone ? FEES COMM/IND FEE - 14'a 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 I(ADD $50 S/C IF PERMIT PRICE GOES ' FOR: CITY OF EAGAN RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAI ?Water Closet - $300 S ?Bath Tubs - $300 _/-Lavatory - $3.00 ' • _Shower - $3.00 / Ki±chen Sink - $3.00 -Urinal/Bidet - $3.00 Z Laundry Tray - $3.00 '' "% ?Floor Drams - $1.50 ?Water Heater - $1 50 Whirlpool - $300 -L_Gas Piping Outlets - $1.50 ? (MINIMUM - 1 PER PERMIn -Softener - $5.00 -Well - $10.00 ° Private Disp. - $10.00 ?Rough Openings - $1.50 FEE: •'2y , STATE S/C: GRAND TOTAL: ?2,v ? ?? 1) :`. j SGj ? :ONTRACT PRICE: 9ite Address /U (a /Y ot i Block 7 1jj'j ' . ? Name SEDGWICK F m Address 6?i o VJEra c City MINNEr+ ? c Name p Address City TYPE OF WORK Forced Air Boiler Unit Heater Vent Gas Piping Outlets # Other MECHANICAI PERMIT RECEIPT # ?lo L? J,;?- CITY OE EAQAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: j -2 ? .,..,.-_ - . _..._ ?J42i Phone `sU M BTU M BTU M BTU M BTU CFM / FEE: S/C: TOTAL: BLDG.TYPE Res. ? Mult Comm. Other WORK DESCRIPTION New ? Add-on Repair 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 PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE i APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 i REMODELS - 12.00 MkNIMUM COMMERGIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) r ? SIGNATUAE 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 Est. Value Date Site Address OFFICE USE ONLY Lot Block l Sec/Sub. ",?,'iAL?' 3'w?' OnSiteSewage _ Occupancy ? MWCC System _ Zoning Parcel No. On Site well _ Type of Const y4 City Water _ (Actuaq ¢ Name (Allowable) z Address # of Stories r? ; . 0 Length ?- s= City Phone - Depth S.F. Totel ¢ Name 0 Footprint S.F. 0Q Address APPROVALS FEES ? P CityPhone Assessments _ Permit f Q p W Name WaterySewer Police _ Surcharge Plan Review j _= Address Fire _ _ SAC,City QZ ;-:?.i,c,q',. ,,, •i...? „; ,. City Phone Engc - SAC, MWCC ? W Planner _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheinformationisconectandagreetocomplywithallapplicable APC _ TreatmentPt State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Signature of Permittee Copies 707AL A Building Permit is issued to: on the express condition thet all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea Building Official Permit No. Permit Holdsr Date Telaphone ik Plumbin9 H.V.AC. c Electric ??i;/?,? "! ? ?/?/ •,;?'Cn?` "???,??f ?`?x Softener Inspectfon Deto Inap. Commsnts Footings I Footings II Foundation Freming /?jg &q ?_/p, I Roofing ? ; Rough PIb9. •.,. ,; s l?, "? -87 ,D. . L/- f Rough Htg. ??l ??S uJ 5 Q..c ? i ISUI. Fireplace 5 Final Htg. Final Plbg. Bldg. Final %h Cert.Occ. Z? S Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. .I (IPrfifiratt vf Orrupanry Citp of eagan Irpartatrat uf luilDhtg Ins,prrtimt This Certificale issued pursuant to the requiremenu of Section 306 of the Uniform Bui(ding Code certifying that at the rime ojissuance this structure was in compliance with the various ordinances of tke City regularing building construction or use. For the fo!lowing.• u.e a.iirmrion 1 0F 5 PI aC it387 ? Bldg. Rrmit tro. ?_ ?uMaY TYPe Uriricf ow?ore?,imt? C06dAR?Q•1,, (1F HT? ? L'F.: ? naarus ?" •? r ?C? . , :. .,e Building Addres ? . . I,oatity Due: , _ ? . .. .. Bwldiog 06dm1 : - POST IN A CONSPICUOUS PLACE _ . ' PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Lot ? a? m ? c d c 3 O PERMIT # e1 RECEIPT # 7?10 ? ?- DATE: 7" Sec/Sub Name 'Atc1'A4 d A3i 42 Address 1VVL S 1i.Jh,4,- ? Ciry 24146 ? Phone Name _ Address City _ Phone FEES COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATEAPPLIES 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) i ; SIGN URE OF PERMITTEE FOfi: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION - Res. New I- Ir Mult. X Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ? Water Closet - $300 $ -LBath Tubs - $3.00 ? Lavatory - S3.00 -Shower - $3.00 ! Ki!chen Sink - $3.00 3 tU -UrinaliBidet - $3.00 / Laundry Tray - $3.00 Z Floor Drains - $1.50 -/ Water Heater - $1.50 _Whirlpool - $3.00 ? Gas Piping Outlets -$1.50 I? D (MINIMUM - 1 PER PERMIT) -Softener - $5.00 -Well - $1000 Private Disp. - $10.00 ? Rough Openings - $1.50 FEE: ? :- STATE S/C: GRAND TOTAL: >?y S?' MECH7INIC4 PEpMIT 7?? fy 2? CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE -7 TRACT PRICE: ? (?U?? ? PHONE: 454-8100 Site Name _ m Address c City _ BLDG.TYPE ,W/Sub Res ? Mult a Aim . t Comm. , ' - 8 : Other ione. . _. „, WORK DESCRIPTION New ? Add-on Repair ---- ; Address p City 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 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 PERMIn - 1.50 EA. { COMM/IND FEE - 14'o OF CONTRACT FEE ? APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. R.4TE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN ? INS i CITY OF EAGAN 3830 Pilot Knob Road ? Eagan, Minnesota 55122-1897 ( (612) 681-4675 I SITEADDRESS: I •r i?,, „?: ,?„?; i; ? r ? i? ( fi 1 I 1;\f?ti!iil i l:I? I PERMIT SUBTYPE: TION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: Et!) ! I {t 1 N(i W:'Iq ?!, ah / lbf /Hti Rf: r n r R reouF DA+an61 ? F`FFIARkIMCI,UIIF4 10 4 , 4 {Nr;„ 41NN. 4 tiN MIFAf1M 11F5Rh 101 Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING /L 1 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAI PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I - -- .,.. - . 3830 ? BUILDING PERMIT To be used for CITY OF EAGP Knob Road, P.O. Box 21-1 PH ON E: 454-811 Est. Value MN 55121 19 Site Address OFFICE USE ONLY LOt BIoCk SeC/Sub. On Site Sewage _ Occupancy MWCC System _ Zoning ParCel No. On Site Well _ Type of Const City Water _ (Actual) a Name ' (Allowable) W ; Address . # of Stories Length ° City Phone ` Depth S.F. Total p Name .. Footprint SF. , o? u Address APPROVALS FEES 'pc City PhOne Assessmenis _ Permit F Q u W Name Water/Sewer Police _ Surcharge ' Plan Review W t i _- Address Fire - SAC, City - AC 0 = s W City PhOne Engr. Planner _ S ,MWCC WaterConn. _ Council _ Water Meter I hereby acknowledge that I have read this application and state BIdg.Off. _ Road Unit thattheinformationiscorrectandagreetocomptywithallapplicable APC _ TreetmenlPl State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Covies Signature of Permittee 7o7aL 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 Ordinancea Building Official Permlt No. Permlt Holdsr Date Telsphone 7f PlVmbing H.V.A.C. Electric Softener Inspectlon Data insp. Comments Footings I g W $ Footings II Foundation Framing ? ?G F G,q, ? ?- Roofing RoughPlbg. -Z. 7 N_ - Rough Htg. isui. z.2- ?y7 fl. Fireplace ,-0-6 tX• Final Htg. ;'..? i Final Plbg. Bldg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Frmg. ^ r Pr. Disp. /- -_ / , , v r (gtrtifirtttr of (Orrupanry titp of (Eagan llPp81'flltPtlf Df lllttldtttg Jt1,6}iPtfiAIt This Cehifcate issued pursuani to the requirements of Section 306 of the Uniform Building Code cenifying that w!he time of issuance this structure w¢s rn compliance with the various ordinances of the City regulating building construcpon or use. For the following: use c?a?i?rion ? I? S PLEX Bldg. Pormit No. ! 32ii',6 o=P-y rya R3 zooing nisui« C-19 ; o"«oreuiang "-'T''?1NA?S CE (MS.APTnaa.m 14442 OTMITOF. 1•f±?:A L?qi ?i7, HIIdI,}'?T >u;. s?a?naa= t«yuty D„e: OC"I'CM 21, 1488 awlftg oMcW POST IN A CONSPICUOUS PLACE ! CI°rtr ?F iEad AN . : , `? 3630 Pllnt Knob Road, P.O. Box 21 • .. 199, ll?ppan, MN 55121 PHONE:-464-81 00 BUILDING FyERN917 Recelpt #_ To ba uaed for EaL Volue Date ?-- -- -__ --- --..-_ ,16- - --- ?-'=I1 ..?: i!Ai?U€tiLARF, kU.? 3ite Addresa QFPI CB USE NL __ ! !r 1L1.ANUAI.L 3itU Loi_.._ __Block____ On Slte 8eweqe Ocr,upenoy MWCCSystam Zoninp ParcelNo. On9lteWell _ TypeofConat Clry Water (ActuaQ Name__ 3 Or' itiL1.ANDAL6 IAIIowahlel t+? 1?:LSIOR BL? AddreBe +t of 9torles -- -- _ -- - Lenpih ------ Clty _ '_---. PhOnB --- --- Depth ---- ... . ... S.F. Tofal ^ Neme iiAVEiV Pt.15FS 1NC - ------- FootprlntB.F. Addreae -- - -- - --- jSPPROVAL. Eut City .?----. ph011Y_SA`? Aseaesments Permlt Y ?•,, -- Water/3ewer Surchrrpa ? Name Pollce Plen Review s ' AddresY.------- Flre 8AC, Clty _ O ? City --_--__Phone-y--_--_-_._-.- Enpr. _ Planner --- BAC, MWCC WabrConn. _ -° - Council _ Water Meter I hereby acknowledpe ihel I have read thla appllcatlon end state Bldp. Of1. Road Unit Ihat the Informetion lecorrect end epree locomply with all spplicable Apr- Treatment Pt _ 8tate of Mlnneaota Statute$ and Clty of Eapan Qrdinancea. Varlance Perke Coples 3ianahue of Pefmfitee TOTAL -.---_- ; A Building Permit is Isaued to: on the ezpreas conditfon that all work shall be done in eccordence with sll epplicable Stete of Minnesota Btatute& and City of Eapan Ordlnsnoes. BuildinpOfficlel----___ Parmit No. Permit Holder Dats Tslsphone X Plumbing H.V.AC. E lectric Softener InsDection Data Insp. Comments Footings I >? ? . ? Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. 1 1 Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. OF EAGAN E Permit No: 0 Pilot KnotRoad fiAeter No:3 y7 O 9 7 P.O. Bax 2119g Reader No: /O P? 3 02 (e Eagan, MN 55121 Owner. :,',ven Enterprises Site Address: 410E So. Meadowlark itoacl I1 Plumhor 1.3ke SidP Pliimhinr, Conn. Chg: 52:i.00a AKAfffting: Acct Dep: ?????p??: PermitFee; 1'' ' ^( Surcharge: E - ELHNK e G?S?otcom rr. Plant ? 11QF1? R? ? p Meter. 67 itlpc / Misc.: Br ? WATER SERVICE PERMIT ' OF EAGAN ? i Plbt Knoh;Road Box 21198 m, MN 55121 I agree to comply wflh the City of Eayan Ordinances. Date: i Size: 5/S"' 2ou'f Date: _- B7 Ilillandale III R3 1 ly w h the City of Eagan SEWER SERVICE PERMIT PERMIT NO.: l O05 0 Connection Charge: 59 5_ no?? ±_ Account Deposit: - 1 5 An,,,; Permit rree: 10 nn-A_ Surcharge: Miac. Charges: Total: Date Paid: ¦ CITY OF EAGAN 3830 Pilot KnoeRoa P.O. Box 21199 Eagan, MN 55121 .=Fy Owner Plumber.. .'Permit No: ., , "Date: -1 ; , I id Meter No: Size: Reader No: Date: ve:. --.nterprises ? andale ZII nn. Chg: , Zoning: ct Dep: ' ? ''% ' No. of Units: rmitFee: ?• T'? rcharge: ' I a t ? ? ? '? "' gree o eomply wNh the City of Eagan Plant • " Ordinances. ter. ? WATER SERVICE PERMIT . I BY Date of Insp.: Inap.: i cirr oF enanN ° • SEWER SERVICE PERMIT ? 3830 Pllot Knob Road P.O. Box 21:8$. PERMIT NO.: Eagan,?MN 55721 Zoning: ?'Z DATE: Owner. ? aven En[erprises No. of Units: j a Address: Site Addr Plumber. 1 ayree to compiy with the Clty ol Eagan Ordinances. By Date of Insp.: Insp.: Connection Charge: 525.0 Account Deposit: 15. 041)t; PermitFee: I`" OCpd Surcharge: . SOpd Misc. Charges: Total: Date Paid: CITY OF EAGAN Permit No: `? `.! 5 ?..1 7_ ? 7 i 3830 Pilot Knob Road Date: ? P.O. Bop 21199' Meter No: SiZe. Reader No: Eagan, MN 55121 Date: Conn.Chg: 'z.'$•UU¢d Acc[ Dep: Permit Fee: 1 U. p Surcharge: Tr. Plant ?t • » Meter. 67, Misc.: Zoning: R3 No. o} Units: I_ I agree to comply wlth the City oT Eagan Ordinances. ? WATER SERVICE PERMIT ? CITY OF EAGAN Permit No: &375 Date: 79 7 3830 Pllot Knob Road Meter No: uS 7 D 9A-3 Size: '/eaear P.O. Bos: 21959 Reader No: U?i PJ LI ?" ?l q/ .' Eayan, MN 55127 Dat? Owner. Haven k'nterprisea Site Address: So •?'e dow ar c r^?ad L E I? i anda e'L Plumber. La_ e Side p ur?bin2 conn. cn9: 1?yAKl?11?? Acct Dep: 'jging call (em?? 1 Permit Fee: - TRIC • GAS EtC. Surcharge: '-'`- r ply with the Ctfy of Eagan Tr. Plant Meter. - (17 oe),.t Misc.: BY WATER SERVIC CITY OF EAGAN ?ermit No: 3830 Pilo! Knob Road Meter No: 38?3 4? A-7 Date: 7-:?7 P.0. Box 21198 Size: ?T ? Eagan, MN 55121 Reader No: Date: a- N-?9?' Owner. Haven ;inter rises SiteAddress: 4104 Meadowlark P.oad So T,_ 7,7 ,-T Plumber Lake S icle Plumbino -`T Conn.Chg; 525•00 pd .,? Acct Dep: 15-.G7FMRMWg: Permit Fee: No. of i in ca loul umR% Surcharge: W-E ?!tq? Tr. Plant T?i?m PIY h fhe City ot Eagan Meter. 67 ?°? ^ Misc.:- / PERMIT CITY OF EAGAN Permit Na ? -,94 3830 Pilot Knob R0j_EI Meter No: P.O. Box 27.798 Reader No: Eagan, MN 55721 ' Ownee .;riternrinea Date: Size: Date: Site Addi Plumber.. Conn. Chg: 525.00pd Acct Dep: ' Permit Fee: Surcharge: • ` p`- Tr.Plant ' `•" p Meter. L' . 00uc1 Zoning: _ No. of Units: I agree to comply with ihe Cily of Eagan Ordinances. Misc.: By I WATER SERVICE PERMIT ciTY oF EAGaN SEWER SERVICE PERMIT 3830 Plbt Knob RokJ P.O. Box 21198• -"PERMIT NO.: Eagan, MN 55121 ' DATE: 7-- 1•'" Zoning: E? No. of Units: 1 Owner. H$l Address: Site Address; 41 ? Plumber: Ta? B7 1010.1)t?nd ? I agree to comply wNh the City of Eagan Connection Charge: 51 _00?r? Ordinances. Account Deposit• 1 S-(?nnj Permit Fee: 1 (1 f10?; Surcharge: By Misc. Charges: Date oT Insp.: Totai: Insp.: Dafe Paid: CITY OF EAGAN Permit No: Date: 7-17-P7 3830 Pilof-SCnob Road Meter No: g I? D Size: ?o??f P.O. Box 21199 Reader No: d 1/- gg Eagap; MN 55721 Date: Owner. 'dVen ^Itcrprises Site Address: ? S o. _•!ea a*a ar R.oa L? ?: /" i lan a e II Plumber. S i e P unb ing nn. Chg: 525.OOp }?v? oct Dep: ofn9. Units: ? i?ermit Fee: gibg Cal( IoCtI utili6et '?urcharge: TUMRW E ? Tr. Plant l?l? ?mply Ith the City of Eagan Meter. ?qr?nc Misc.: BY WATER SERVICE ERMIT CITY OF EAGAN.. 3830 Pllot Knob F P.O. Box 21 Y 99 Eagan, MN 55127 Owner. Chg: Meter No: _ Reader No: '-1' ;; Date: Size: Date: sxs.ouFa ?? Zoning: F No. of Units: ? Fee: 1 ? • P---- I agree to comply wlth the Clty of Eagan ? Ordinances. BY WATER SERVICE PERMIT :.J cirr oF eacqa, SEWER SERVICE PERMIT 3830 Pilet Knob Road -" P.O. Box 21199 PERMIT NO.: 1 ??)5 t ?3 . --. , Eagan, MN 55121 DATE Zoning: No. of Units: 1 ; e III Plumber to comply wkh ths CNy of Eayan BY Date of Inap.: +vv. vvk?v Connection Charge: - 5.00, c' Account Deposit: _ l 5. 00 ? Permit Fee: 1 rJ QO -R_ Surcharge: Misc. Charges: Total: Date Paid:- 0:? Y } 3830 Pilo1 Knob RQqd SEWER SERVICE PERMIT PO BOJc189? PERMIT NO.: 10047 i;;?en, 55121 DATE: - - ZoFling: P3 1 . ' Raven Ente No. of UNts: Owner. rpiiseg Address: Plumber. ivu.vvpc! I agree to comply wMh the CNy of Eayan Connection Charge: - 525. OOFd ' Ordinaeces. ' Account Deposit: 15 . 00 Permit Fee; _ 1 fl.9Qnd Surcharge: - SO d By Miac. Charges: Date oi Insp: TofaL• Insp.: Date Paid: ? CITY OF EAGAN Permit No: " Date: 7- l7 7 3830 Pilot KPob Road Meter No: ?'7 0 9 7 441 Size: S?2"/`3oc ff P.O.-Box 21199 Reader Na. f 4?P 1 LI Q ?f Date: Eagan, MN 55121 Owner. Liaven Enterprises SitaAddress: 4102 So. '4eadowlark P,oad Ll B7 Ilillandala III Plumber. Lalce Side PlumbinY Conn. Chg: 52S. OOPd p3 Acct Dep: 1D• 0Oi>? ?u1 Permit Fee: 1? • ?' 211 I??? ?cIl0Cctr Surcharge: •- Cj?iENf?'c?i ply wfth the CNy ot Eagan Tr. Plant 1SO• qt? a Meter. _ 6 7D?,?? ? ? Misc.: B ???1 r Y WATER SERVICE PERMIT REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os II, See inscruetions 1or compleling this form on 6ack o1 Yellow mpy. ? 4-0? 00 77 "X" Below Work Covered by This Request Nev4 Addl Rapr 7ype o1 Building ADPliancea Wired Equipment Wi.ed , Home Range Temporary Service Duplex Water Heater Lfghtiny Fixtures Apt. Building Dryer Etectric HeaUn Commercfal Bldy. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othr.r Peci y .ther (Sperify) t Pr SpCCi(y OLhC! Othxr Compute lnspection Fee Below p Fee Service EntrenceSize fl Fee Fexdets/Su6feeders Circuits 1 2,? D to 200 qm s 0 to 30 qm s to 30 Am s Above 200 Amps 31 to 100 Amps $ t 1 to 100 A s Swimming Pool Above 100_Am s Above 100_Am s Transiormer5 Irngation Boorns 5 Partial-'Other Fee : Signs Speciallnspection $ TOT ? Rema rks 52.5 AL FE 6 3- . . d...... ? (' /7p? I, the Electricel Inspector, hereby Final f? y )?'?? 7 ? ertify that the above inspection has been " made. This requesl voiC 1B montha trom .J - This request void 18 nwnths from Y O ? $0 0 77?.5 p---/? CJ ? Keques[ Date - ? 12-4_87 I rire No. Rough-in Inspec[ion Required? ? C]ReadyNuwX)(WillNotifv.inspec- [y Yes ON tnr Whe Ready p?N L?,ywicensed ElecVical Contractor 1 hereby requesi inspection of abova ? Owner electrical work installed at: Scfeet Address, Box or Route No. City 4110 50. MEADOW LARK ROAD EAGAN ettmn o. Township Name or No. Range No. County ` DAKOTA OccuGant (PRINT) Phone No . HAVEN ENTERPRISES, INC. , 933-0562 Power Supplier Address DAKOTA ELECTRIC FARMINGTON Electrical ConnaCor&CompanE?C?fRIC M INC Contra , . H 4LL14 Mailinp Address (Contrac[or or Owner Making Instailation) P.O. BOX 328; LAKEVILLE, MN 55044 Authonz d 5 gna[ure (Contractor O er ing stallation) Phone Number 469-3233 MINNESOT//STATE BOARD OF ELECTRICITY a THIS INSPECTION REQUEST WILL NOT Griggs-Miilwev Bldg. - poom N-191 6E ACCEPTED BV THE STq7E BOARU 1821 Univarsitv Ave.. St. Peul, MN 55104 UNLESS PpOPER INSPECTION FEE IS Phone(612) 642-0800 ENCLOSED. 5/? ?. ? N OFFICE USE ONLV This request void 18 monfhs from validation date printed in If?is box. °` ? r7a-5 /., l =IIIIIIIIIIIIIIIIIINIIIilillifllllllllllllllll?il??????????- ? ? - 000 * G 4 5 4 4 60 7* PLEASE PRINT OR TYPE Q Request Dote ' Roo bin ins lion r uired& g pec eq ? Yes ?No ? Will Coll Inspecfion Olher Than RougMn: IffReady Now ?J 21 97 // u must mll Ihe inspecfor when reody) 1 oate ewaY: May 22, 1997 I, El licensed conhactor El owner hereby request Inspection of the above electrical work at: r l06 Add 1 Box, or Rwte No.) City Zip Code 1 OS 4 South Meadow Lark $r.kb, Eagan $eclion No. Township Name or No. Range No. Fire No. Counry - Dakota Occupanf Phone No. David & Teresa Waldorf 688-0658 Power Supplier Address Dakota Electric Elechicol Canhoctar iCompeny Name) Conhalor License No. Nwster Lic. No. (Plent Elecl. Only) Joos Electric Co. CA 00961 Mailiig Address (Conhocbr or Owner Performing Installation) 3980 Beau D' Rue Drive, Eagan, MN 55 22 Authorized $ignature (Conhoclor or Owner Performing Inatallafion) Phone No. 688-6180 tH{%HKl l A-I 1 8/Y6 STATE HOARO COPV - SEE IaTRl1C'ANS ON BACK OF YELLOW COGY 454-460 ? ?5/a3/97- REQUEST FOR ELECTRICAL Minnesota State Board of Electricity 1821 University Ave., Rm. 5-128, St. Pnone?(?6__l sa2-oaoo INSPECTION Paul, MN 55104 ip 71l Home Du lex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Re air Air Cond. Hf . Equi . Water Htr. Load Mgmi. Oihec Dryer Range Elec. Heat Temp. Service "X" above fhe work covered by this request. Enter remarks in this space and on the back of the white copy only. connect a/c Calculale Inspection Fee - This Inspection Requesl will not be accepted wifhout fhe correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Pee , Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sfreet Ltg./Traffic Siq. Above 200_Am s 00-Amps TronsFOrmer/Generafor INSPEC70R'S USE ONLV TOT/?l„ $ign/Oudine Ltg. Xfmr. ? ? O. @O Alarm/Remote Conkol Swimming Pool I h i I i i ib i d l t d h ' d d h h Irrigation Boom ere cert escr ere n on f af ns e e a af on e RooeMo t e a es s ale Da? Special Inspection Invesfigative Fee Final Date ? THIS INSTAI LATIAN MAV RF f lRl'1FRFIl MCCfI T. .Il WI THIN 1A M T R ; sQUEST uFOR EL?EC ?TRPCA 91this NSPE?CT?^ONck o+ YelloW coFv. es-ooooi •os "X" Below Work Covered by 7his Request ? .-80076 New Add Rep. Type o( BuilAing Appliancea Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Butk Milk Tank Farm otnr, peci Y Ihier (snec,rY) t r.r Sur.ci(y Other Olher ompute lnspeciron Fee Below p Fee ServicB EntrBnCe Size 7 Fae Feedars/SUbfeedets # Fee Circuits 12. O-C 0 to200qm s 0 to30Am s 12 3 6 Oto 30Ani s Above 200 qmpy, 31 to 100 Amps ]. 4 . 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Am s Transiormers Irrigation Boorris , Partial."Other Fee Signs Speciallnspection S ? TOTA Rertqrks 52.5 ?.o? J RouBh-in Date 1 th , • _/?? 1 Inspector, heroby .,?,,:....,..-.,.- erti}y thet the a6ove Final Da?' 'P? inspaction hes 6een made. r , This reauest void 18 montha trom Thi-. request void 18 months from ? S? n n 7?:i ./ ?.-7 ?Z1'/?,? ReqvesyUate Fire No. RouHh-in Insper.tion Required? Inspe?- 0 Ready Nuw?W, ll Notify, I I 12-4-87 )Mes ?No [or When ReadY )(X Licensed Elec[ncal Contractor 1 here6y request insDection oi ahove rl n..f..e, elec[rical work instelled et: Stree[ Address, Boa or Roule Nu. City 4108 50. MEADOW LARK ROAD EAGAN ectibn o. Township Name ur No. Range No. County DAKOTA OtcuGAnt (PRINT) I HAVEN ENTERPRISE5, INC. Phone No. 933-0562 PoWer Supplier DAKOTA ELECTRIC Address FARMINGTON Electrical Contracmr Company Name) C? M ELECTRIC, INC. Contrar,tor's License No. A-042214 Mailinp Ad ss (Contracmr or Owner MakfnO Instaliation) P.O. BOX 328; LAKEVILLE,, MN 55044 Author zed ignature IContractor? ner kin nstallation) ? Phone Nu46E?9-3233 b MWNESO?A STATE 90AND OF EIECTRICITY BE ACCEPTED BY THE STATE BOAND Griggs-??dway Bldg. - Room N-191 U UNLESS PROPER INSPECTION FEE IS 1821 Universitv Ave.. St. Paul. MN 55104 ENCLOSED. Phone (612) 642-OB00 _ sf`?/f'? REQUEST FOR ELECTRICAL INSPECTlON , See instructions for comoleting this form on back ot yellow coov. s?03 2 5 "X" Below Work Covered by This Request EB-00001-06 New Add ReD. Type oi Building Appliances Wired Equipmenl Wired x Home Ranye Ternporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Siio Unloader Industrfal Bldg. Air Conditioner Bulk Milk Tank F•df(n O(r1Y.f pL'(:I y Ihl!! S{lof.l}y) t er Svecffy Ther Oihi;r lOR hP.P CBIOW p FeB Service EntfenceSiza fl Fee Fexdars/Su6feeders # Fee Clrcuits 0 to 200 Am is 0 to 30 Am s 1 (? Ltn 30 An s Above 200 Amps 31 to 100 Amps 1 4 1 to 100'Am s Swimming Pool Above 100_Amps Above 100_Amps Transiormers Irrigation 6oom5 . Partial'Other Fee Signs Special Inspection S 52 50 TO Remarks ? . Rough-in Date ? - AI • ? y? inspector. hereby k rtify Ihat the a6ove Final ?,. 1e; spection has been ? de. this request void 18 months Irom (/,=, This request void 18 months from ??- 6 4 3 2 5 Request Date .12^4^87 Fre No, flouph-in Inspection Reqmred? 0ReadyNovXqWiIlNofitylnspec- Xkes ? No tor When Readv "Licensed Elec[ncal Coniractor 1 hereby requestinspection of a6ove ? Owner electrical work instalied at: Street Address. Box or Route No. City 4106 S0. MEADOW LARK ROAD EAGAN ecUOn o. Township Neme or No. qange No. Counry I DAKOTA OccuVdM (PeINT) HAVEN ENTERPRI SES? INC Phone No. 933-0562 Power suoolier pAKOTA ELECTRI C Address FARMINGTON Electrical Contraclor (Company Name) Contractor's License No. C& M ELECTRIC., INC. 7 A-042214 Mailing Address (Contractor or Owner Making Instailationl P.O. BOX 328; LAKEVILLE, MN 55044 Authoriz ntractor wne aki Instailation) Phone Number U?? 469-3233 MINNES{??p STpTE BOAftD OF'ELECTqICITV O THIS INSPECTION REQUES7 WiLL NOT Griggs-??dway 91dg. - Room N-191 BE ACCEPTED BY 7HE STATE BOAHD 7821 Universitv Ave.. St. Peul, MN 56104 UNLESS PROPEN INSPECTION FEE IS Phone16721642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION . ea-oooot-os ? See instructions for completing lhis form on back of Yellow copy. Q> &432 4 "X" Below Work Covered by This Request New AAd NBp. Type ol Building ApplulnCa3 Wired Enuiument Wired X Home Range Temporary Service • Duplex Water Heater Liyhtin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Furnace Silo Unloader Industrial Bld,y. Afr Conditioner Buik Milk Tank Ferm Otnr.r neci v ihcr tsuor.ifvl t er Speci(y Other C1iher Comnute InsDection Fee Below p Fee ServiceEntrencaSize H Fee Fenders/5ubfeeders k Fee Circuits 1 12 . 00 0 to200Am s 0 to30Am s 12 36.0 Oto30An s Above 200 qmps 31 to 100 Amps 1 [} 1 to 100 A s Swimming Pool Above 100_Am s Above 100_AmPs Transformers Irrigation Booms Partial-Other Fee Signs Speciallnspection S TO Rem.?,k5 ? 5 2.5( RouBh-in ? Date . /? I, th I al G? /p r l1'yif? Inspector, herehy ? ertify that the a6ove Final D^??'y? inspection has been ? L f made. tnix rwnuesl roiE 19 monthS Irom This request void 18 nwnths from -? /q?F?/S7`j7 06 4 3 2 4?? Heque>t Date Pire No. Rouph-in Insuer,tion I 12 -4-8? L Required? oReaAy Nuw ??lill Notify. inspec - Xkes ?NO tor When Ready Licensed Elec[riCal ConlraCtor I here6y request in5pection oi above ? Owner elec[rical work installed at: Street Address, Box or Route No. City 4104 S0. MEADOW LARK ROAD EAGAN ecuon o. 7ownship Name or No. Range No. County DAKOTA Occupent(PRINTI Phane No. HAVEN ENTERPRISES INC 933-0562 , . PowerSupplief DAKOTA ELECTRIC F"ddress FARMINGTON EieCtrical cont?et ? tMmELECTRIC INC Contrdctor's Lfcense No. , , A-042214 Mailing qddress (Contrar.mr or Owner Making Insiailatiun) P.O. BOX 328; LAKEVILLE, MN 55044 Authorized ignature (Contractor/O er ing stallatiun) L Phone Number 469-3233 MINNESO;Vp STqTE BOARD OF EIECTRICITY 0 THIS INSPECTION REQUEST WILL NOT Griggs :pdway Bldg. - Room N.191 BE ACCEPTED BY THE STqTE BOARD 1821 Univarsitv Ave.. St. Vaul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone16121642-0800 ENCLOSED. ??%9?3?/ REQUEST FOR ELECTRICAL INSPECTION 01? See insimctions for completing this form on back of yellow copy. "X".Below Work Covered by This Request EB-00007-09 ?.S"a9'SCo Ne Add Rep. Type ot Building N7pplianc8s Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Olher (specity) Comractors Remarks: Compute lnspecrion Fee Below: Connect Baseboard Heater to Utility Meter # 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 -Am s S19fIS Inspecmr's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE DERED ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby tif th t th b i ti h Rough-in , Date y cer a e a ove nspec on as 6een made. F'"ai / OFFICE USE ONLY This request void 18 manihs from 3 38 ? Job # 9'1J56-02 Ticket # 8315 Tamara Faas0oJ7JC0 4102 Meadowlark Rd. connect o r Re est D e 2/09/96 ? R u ?i ec io ir d re ? yes No Ins ection Other Th ough-I ? Ready Now Will N ?r Date Reatly IJ? licensed contractor ?owner hereby request inspection of above electrical work at: Jo6 Address (Sireet, Box or Roule NoJ City 4102 Meadowlark Road Eagan Section No. Township Name or No, Range No. Couniy Dakota Occupant (PRIM) Phone No. Tamara Faas Power Supplier Adtlress Dakota Electric Elechical Conlraclor (COmpany Name) Contractor's License No. Industrial Electric Company CA00891 Mailing Address (Contractor oi Owner Making Installation) 600 South 9th Street, Minneapolis, MN 55404 Authonze Signature eNflrme skin slallalionj Phone Number ? 1 339-1268 1p ER NSP CTONFEE 6 Phone(612)S42AOBOOS oPm5MN S 551047Y 1111111111111111111111111111111111111 ETHIS UNLESS NC OSPROPI T FOR SALE T. H. CITY OF EAGAN N2 13890 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT ,v HONE:454-8100 Receipt# 76-6 /J- V To be used for 1 OF 5 PLEX Est. Value $58, 000 Date .TliLY 16 ,19 87 Site Address 4110 SO MEADOWLARK RD Lot 5 Block 7 Sec/Sub. HILLANDALE 3RD Parcel No.__ _ a Name TOWNHOMES OF HILLANDALE 3 Address 14442 EXCELSIOR BLVD 0 City MTKA Phone 933-0562 ,o Name HAVEN ENTERPRISES INC ? Q Address SAME ',r-' City Phone WW Name DU'MONCEAUX LARKIN _? Address 1801 W 81ST ST Q W City BLMGTN Phone 831-1844 I hereby acknowledge that I have read this applicetion and state thaTtheinformationiscorrectandagreetocom)Wywithallapplicable State of Minnesota Statutes apo City of EAgifn Ordinances. OFFICE USE ONLY R3 On Site Sewage Occupancy ?A RZ?- MWCC SYstem Zoning On Slte Well Type Of Const p City Water X (Actual) __.?_ (Allowable) # of Stories Z Length Depth S.F. Total Footprint S.F. APPROVALS Assessments WateUSewer Police Fire Engr. Planner Council Bldg. Off. APC Signature of Permittee A Building Permit is issued to: HAVEN ENTERPRIS INC all work shall be done in accordance with all applicable et of Minnesota Building Official- FEES _ Permit _ Surcharge _ Plan Review _ SAC, City _ SAC, MWCC _ Water Conn. _ Water Meter _ Road Unit _ Treatment P7 _ Parks Copies TOTAL $ 356.50 29.00 178.25 ___--??`-^ec^v0 ' -525.00 3n^n0 0 1 Rfl - !1Q 2 265.75 on the express condition that i City of Eagan Ordinances. ? Fox SALE T.A. CITY OF EAGAN N° 13889 3830 Pilot Knob Rtlad, P.O. Box 21-199, Eagan, MN 55121 BUILDINGPERMIT ' -0 ir PHONE:454-8100 Receipt# 75-6-5-9' To be used for 1 OF 5 PLEX Est. Value $58, 000 Date JULY 16 19 87 Site Address 4108 SO MEADOWLARK RD Lot 4 Block 7 Sec/Sub. HILLANDALE 3RD Parcel No On Site Sewflge MWCC System On Site Well City Water OFFICE USE ONLY Occupancy R3 _ Zoning B4 Type of Const v X (actual) - (Allowable) ? # of Stories 2 Length Depth S.F. Total Footprint S.F. a Name TOWNHOMES OF HILLANDALE ? Address 14442 EXCELSIOR BLVD = City MTKA Phone 933-0562 ¢ .o Name HAVEN ENTERPRISES INC ? a Address S? APPROVALS ? City Phone Assessments WateUSewer ?W Name DU'MONCEAUX LARKIN aoiice _g Address 1801 W 81ST ST Fire Q W City RLM(:TN Phone 831-1844 planrner Council I hereby acknowledge that I have read this application and state Bldg. Off. thattheinformetioniscorrectandegreetocomplrwithallapplicable APC State of Minnesota Statutes and Cfty of Eag rdinances. Variance Signature of Permittee A Building Permit is issued to: HAVEN ENTERPRIS S IN all work shall be done in accordance with all applicekt tate of Minnesata Statu Building Official FEES _ Permit $ 356.50 _ Surcharge 29.00 _ Plan Review 178.2$ _ SAC, City inn _ np _ snC,MWCC 525_00 _ WaterConn. 575_(l0 _ Weter Meter 6 7_ n0 _ Road Unit 305.00 _ Treatment P1 180. 00 _ Parks Copies 7 5 47- Z65- TOTAL , . _ on the express condition that s and City of Eagan Ordinances. Fox SALE T.x. `CITy OF EAGAN o . . N_ 13888 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 h?? ? p- BUILDING PERMIT PHONE: 454•8100 Receipt# / 0 To be used for 1 OF 5 PLEX Est Value $52,000 Date JliLY 16 19 87 Site Address 4106 SO MEADOWLARK RD Lot 3 Block 7 SeclSub. HILLANDALE 3RD Parcel No. c Name TOWNHOMES OF HILLANDALE W z Address 14442 EXCELSIOR BLVD ? City MTKA Phone 933-0562 °C ,o Name HAVEN ENTERPRISES INC ? Q Address SAME ? City phone FW Name DU'MONCEAUX LARKIN -x? Address 1801 W 81ST ST Q W City BLM GTN Phone 831-1844 I hereby acknowledge that I have read this application and state thet the information is cortect and ag ree to comply with all applicable State of Minnesota Statutes and Giry of Eagary0rdinances. OFFICE USE ONLY On Site Sewage Occupancy MWCC System X Zoning On Site Well _ Type oi ConsT Ciry water X_ (nctuaq (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Variance FEES _ Permit _ Surcharge _ Plan Review _ SAC, City _ SAC, MWCC _ WaterConn. _ Water Meter _ Road Unit _ Treatment P1 _ Parks Copies R3 W tL $ 335.50 -Z b?0 167, 5 100.00 52?00 67.00 305.00 180.00 Signature of Permittee fz..? TOTAL VZ-9731-.25 A Building Permit is issued to: HAVEN WRISES RINC an the express condition that all work shall be done in accordance with all a ? I ble State of yli sotm tatutes and City of Eagan Ordinances. Building Official ? FOR SALE T.H. liNITS CITY OF EAGAN " . 3830 Pilot K± ob Road, P.O. Box 21-199, Eagan, MN 55121 N? 13887 , j PHONE:454-8100 BUILDING PERMIT Receipt# 70 ?U?5 8' To be used for 1 OF 5 PLEX Est. Value $52, 000 Date JliLY 16 1987 Site Address 4104 SO MEADOWLARK RD Lot 2 Block 7 Sec/Sub. HILLANDALE 3RD Parcel No a Name TOWN[iOMES OF HILLANDALE = Address 14442 EXCELSIOR SLVD ? City MTKA Phone 933-0562 On Site Sewage MWCC System On Site Well Ciry Water ,o Name ?VEN ENTERPRISES INC ? a Address SAME APPROVALS F City PhonB Assessments Water/Sewer yVj W Name DU"MONCEAUX LARKIN poiice ?? Address 1801 W 815T ST Fire cc W City BLMGTN Phone $31-1844 Engr. a Planner Council I hereby acknowledge that I hare read this application and state Bldg. Oii. thattheinformationisconectandagreetocomplywithallapplicable A? State of Minnesota Statutes 4nd City of ?$n Ordinances. ?/a??ce - Signature of Permitte@'o A Building Permit is issued to: HAVEN ENTERPRISE IN all work shall be done in accordance with all applicable *jte of Minnesota/Vatu OFFICE USE ONLY Occupancy R3 X Zoning R4 Type ot Const V_ X_ (ActuaQ (Allowable) v- # of Stories 9 Length 29 Depth 44 S.F. Total Footprint S.F. FEES $ 335.50 Permit _ Surcharge - _ Plan Review 16T. 7 $ _ SAC, City 100.00 _ SAC,MWCC 595.00 _ WaterConn. 5 5.n0 _ WaterMeter 67.00 _ Road Unit 305:00 _ Treatment P1 1 R(1 _!1Q _ Parks Copies TOTAL ?S L?25 on the express condition that I City of Eagan Ordinancea Building Official FOR SALE T.I1? L{ ITS F,ITY OF EAGAN NO- 13886 3830 Pilot Knob Roacl, P.O. Box 21-199, Eagan, MN 55121 BUILDING 'i PHONE:454-810U PERMIT Receipt# ? To be used for 1 OF 5 PLEX Est. Value $83 , 000 Date JGLY 16 ? 9 87 Site Address 4102 SO MEADOWLARK RD Lot 1 Block 7 Sec/Sub. HILLANDALE 3RD Parcel No. m Name TOWNHOMES OF HILLANDALE = Address 14442 EXCELSIOR BLVD 9 City MTKA Phone 933-0562 a o Name HAVEN ENTERPRISES INC 0 Q Address SAMIE ? City Phone yVjW Name Dli'MONCEAliX LARKIN ~ Address 1801 W 81ST ST _? Q W City BLMGTN Phone 831-1844 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 arW City of-fAan Ordinances. ? Signature of Permittee OFFICE USE ONLY On Site Sewage OcCUpancy MWCC System Zoning On Site Well Type of Const City Water X (Actual) (Allowable) # ot Stories Length Depth S.F. 7ota1 Footprint S.F. APPROVALS Assessments water/Sewer Police Fire Engr. Plenner council Bldg. Off. APC Variance FEES R3 u4 V $ 444.00 _ Permit _ Surcharge _ Plan Review _ snC, ciry _ SAC, MWCC _ WaterConn. _ Water Meter _ Road Unit _ Treatment Pt _ Parks Copies TOTAL A Building Permit is issued to: 1{AVEN ENTERLYRISES INC all work shall be done in accordance with all applicablehStc* of Minnesota Building Official 41.50 ---TbD-.00 525.00 525.00 67_np 3n5.no tun np 2 409.50 on the express condition that I City of Eagan Ordinances. CITY OF EAGAN No 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?j BUILDING PERMIT PHONE: 454-8100 Receipt /1 S ?15 ? P ' # 7o be used for FOIINDATION Est. Value Date JULY 1 Site Address '1102-4110 SO MEADOWLARK RD Lot 1-5 Block 7 Sec/Sub. HILLANDALE 3RD Parcel No. _ a Name TOWNHOMES OF HILLANDALE = Address 14442 EXCELSIOR BLVD ° City MTKA Phone 933-0562 ?IName RAVEN ENTERPRISES INC ( ou Address P City Phone SAME a y? W Name ? =n Address a W City Phone I here6y acknowledge that I have read this application and state that the information is correct and agree to comply with al I appl icable State oi Minnesota StaWtes and Citv of Ea9an.0fidinances. Signature of Permittee ? 5 A Building Permit is issued to: HAVEN all work shall be done in accordance with all Building Official OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Consi City Water _ (ACtual) (Allowable) # of Stories Lengih Depth S.F. Total Footprint S.F. ,19 87 APPROVALS FEES Assessmen[s _ Permit $15•00 Water/Sewer _ Surcharge Police _ Plan Review Fire _ SAC, City Engr. _ SAC, MWCC Planner _ WaterConn. Council _ Water Meter Bldg. Otf. _ Road Unit APC _ Treatment P7 Variance _ Parks Copies INC of M TOTAL 1 .OO on the express condition that Statutes and City of Eagan Ordinances. 13850 4,03 COMMERCIAL 7 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Fountiation Onl New Gonst`ructi4n Intecior Im rovement + Structural Plans (2) sets . Architectural Plans (2) sets • Architectura! Plans (2) sets • Civil Plans (2) . Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) . Civil Plans (2) • Project Specs (1) • CodeAnalysis (1) *" . LandscapingPlans (2) • KeyPlan (1) . Project Specs (1) . Code Analysis (1) *' • Master Ebt Plan (1) • Spec. Insp. & Testing Schedule ** • Certificate of Survey (1) • EnergyCalculations (1) notalways'• • Soils Report (1) • Spec. Insp. $ Tesfing Schedule (1) *' • Elec. Pomr & Lighting Form (1) notalways" • Meter siae must be establishetl • Meter sizB must be established • Meter size must be established -if applicable • Project Specs (1) 1 • EnergyCalculations (1) 1 • Electric Pov`er & Lighting Form (1) 1 • Master Ebt Plan (1) 1 d • Fire Protection Plan (1) "* 1 l • Soils Report (1) t • MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 qll 651-602-1000 call 651-602-1000 w' Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: I_3(? WORKTYPE: NEW 'REMODEL CONSTRUCTION COST: ^y SITE ADDRESS: ? ? ? L" 1-A I, Q???(? o? I (;? ?"? ??, ' TENANT NAME: 41 FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK i SUITE J oh h P,?c?,r??e ? Phone#:(USJl C)CAI-t "62,L...p5 Name: La+.Lc1? nd 7nWoll?= P?? PROPERTY Last First OWNER Street Address: City: State: Zip: Company: Phone #: CONTRACTOR e? Street Address: City: ")aState: M N Zip: ARCHITECT/ ENGINEER Company: Name: Street Address: city: stace: Licensed plumber installing new sewer/water service: Phone #: Phone #: Registration #: FFR 0 6 7n?? I hereby acknowledge that I have read this application, state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:?(?Cx???i.'F.??/ Updated 1102 OFFICE USE ONLY SUBTYPE 0 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging Cl 28 Greenhouse ? 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 SIW 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 Li Stucco/Stone Variance Total 1987?BIIILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY9 1 SET OF ENERGY CALCOLATIONS AIOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOTiiNER MIIST DESIGNATE WHICH ADDRESS IS DESIRED, NO CAANGES WILL BE AI.LOWED ONCE BIIILDING PERMIT IS ISSIISD. MIJLTIPLE DTiELLINGS - RESIDENTIAL RENTAL IINTTS FOR SAI.E QNITS T H INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANSp 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND . To Be Used For: Valuation: Date: `e2 -4 5ite Address / ?? Z` 7 1?? ?Clo OFFICE IISE ONLY .m e 1 Lot _4^,5Block ? Parcel/Sub At Owner _?jltd?aa.4 PS U7' - #/ //I?N??-e Address lV qi?2 ef?'C=G4G(!'Y??/?'L' C3ty/Zip Code A-V/Q A? ?S 3y? Phone 233 "oszz- Contractor 11AV65-N 6L"x ?G Address SA j1.((? City/Zip Code Phone Arch./Engr. PA-M60p(Jt7 Address :?iv ?,? ? !" ST City/Zip Code ?i;e'1f1`Q?yJ ? #L-7 ?(d Phone Ik J3Z- 1 97 Y On Site Sewage_ MWCC System _ On Site Well ? City Water _ APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Varianee Occupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. ' FEW Permit Surcharge Plan Review SACp City SAC, MWCC Water Conn Water Meter Road Unit Treatment P] Parks Copies TOTAL ? ? . . - ?? . 1986 BIIILDIAG PEIM:ET APPLICATIOA - CITY OF EAGAN DiOTE: ALL, CANTRACTOES MUST BS LICEDiSfiD HITH THS CITY OF EAGAN 3INGLE FAMIILY DWELLIHGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS 9 MOLTIPLE DWELLINGS - HESIDENTIAL RENT9L DNITS FOR SALE QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SIIRVEY - CHECg WITH BLDG. DEPT.? 1 SET OF ENERGY CALCULATIONS COMMERCTAi_ INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Xe? ?'J Valuation: 0O0 Date: Site Address OFFICE DSE ONLY Lot / Block / Pareel/Sub . Owner ?`'??, •, r' /'??';.T.1?': Ls'ri? .??f? Address /Yy/-/z Cfty/Zip Code Phone ??t'-?. -, • %' 7n? ?. , Contractor ? :;^ "?: ? ? •• ?' ? G'?i'?? Address <?7 Erect Oeeupaney Remodel Zoning Repair _ Type oP Const ? kddition #'of Stories 2 Move Length 22 _ '8emolish _ Depth 4-4- Int.Impr. Sq Ft Install AePaovArs rEEs Aasessments Permit 44"4• WaterJSewer Surcharge 41? ? Police Plan Review Z2-2. Fire SAC Engr Water Conn S2S Planner Water Meter (0-7. Council Road Unit 305 Bldg Off Treatment Pl I8o- APC Parks Varianee Copies TOTAI. 'L4C? City/Zip Code Phone Areh. /Engr . Address ? , City/Zip Code Phone # ? ? - tX1 HOTE: ADDRESSES FOR CORNER LOTS - CONTRAC?Oa/HOMEOUINER MUST DBSIGN9TE AHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOiiED ONCE BIIILDING PERMIT IS ISSIIED. . /9 ? ? _ • r 1986 BOILDING PERMLT APPLICATIOA - CITY OF EAGAN NOTE: ALL COHTRACTORS KUST BE LICENSED iiITH THE CITY OF EAGAN 3I9GLE FAMLY DAEI.LIAGS INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MQLTIPLE DWELLINGS - RESIDENTIAL RENTAI. ONITS FOH SALE IIDiITS DCCa'??te-%? INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURYSY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS /l COMMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND I To Be Used For: Valuation: ,52,0!0 Date: Site Address eQ `f ?- OFFICE USE ONLY rJ Lot -2- Block / ? ?' •?. ? f `?. Pareel/Sub Owner Address ?'?''>''f = ? ,' • ' _ - . ??. .; • . . City/Zip Code Phone 4C Erect Oecupancy Remodel Zoning Repair _ Type of Const ? Addition # of Stories ? Move Length _ Demolish Depth Int.Impr. _ Sq Ft Install _ APPROVAIS FEES Contractor " ` 'E?,?_• ? Address City/Zip Cod2 Phone Arch./Engr. • ??s'?? ? ?,i.? Address City/Zip Code 4_?:.•,/?j-? ? Phone # Assessments Permit .? Water/Sewer Sureharge Zcfl• Police Plan Aeview )CD7 . 75 Fire SAC Engr Water Conn SZs- Planner Water Meter c0"1. Council Road Unit 15? Bldg Off Treatment Pl 1 60. APC Parks Variance Copies YOTAL 2231.2S NOTE: ADDRESSSS FOR CORNER LOTS - CONTRACTOR/HOMEOTdNER NSUST DE3IGN9TE WHICH ADDRESS IS DSSIRED. NO CHANGFS iIILL BE ALLOWED ONCE B[TILDING PERMIT IS ISSOED. , 1986 BQILDING PERHIT APPLICATION - CITY OF EAGAN NOTE: ALI. CONTRAC?ORS HQST BE LICENSED pITH THS CITY OF EAGAN SINGLE FAMLY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS '? .. . MOLTIPLE DWELLINGS - HffiIDENTIAL R6NTAL tJBITS FOR SALE QNITS /+,ZL7' f INCLUDE 2 SETS OF PLANS, CEBTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONKERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRiJCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND I DF S fy> p. To Be Used For: ' r? Valuation: ?,00?D_ Date: - D Site Address OFFICE USE ONLY Lot ?? Block ^' ? l Pareel/sub Owner /'?r? ,L,.•a ??.:,; :- .-1;; ? f3!??s;?? ';: . Address City/Zip Code ? - ,?/ ,, ? / - Phone / ?? 7 rr ? _ . Contractor Address ????.r? Ereet Remodel Repair Addition Move Demolish Int.Impr. Occupaney 2oning Type oP Const # of Stories Length Depth Sq Ft City/Zip Code Phone Areh./Engr. ? ?. . ? ? ?-- Address ?--%' Citq/Zip Code Phone # Install APPROVAIS FEES Assessments . Permit 5b Water/Sewer Sureharge Z?. Police Plan Review I <0"1 . -75; Fire SAC Engr Water Conn S Z5. Planner Water Meter !0'7__ _ Council Road Unit 3o S Bldg Off Treatment Pl 190. APC Parks Variance Copies TOTTAL 22 3 I. U NUTE: ADDRESSES FOR CORNBR LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRE3S IS DESIRED. NO CHARGFS WILL BE 9LLOWED ONCE BOILDING PERMIT IS ISSIIID. ? . . U ? 1986 BDILDING PERMIT APPLICATION - CITY OF 2AS NOYE: ALL CONTRACTORS MQST SS LICENSED iTiTH THE CITY OE' EAGAA SINGLE FANIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLS DWiSI.LINGS - R&SIDENTIAL AENTAL DNITS FOR SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECg WITH BLDG. DEPT., ?Q A'r""r 1 SET OF BNERGY CALCULATIONS CONII+IERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUC TURAL PLANS, 1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND I ? o F To Be Used For: Valuation: 5S,Q;J6 Date: Site Address 4 D a OFFICE USE ONLY L t Bl k ? o oe Erect Oecupaney ?/ ? P l/S b ?? ? ?? ? Remodel R Zoning T f arce u ( , :, , epair ype o Const ? ? Addition # of Stories Owner ?.,?„ti•_, .4? , . . Move Length - Address ?¢,?iQ'?Z- ?"-- _ Demolish Int.Impr. _ Depth Sq Ft aJ s _ .- City/Zip Code 3 Install . Phone APPEOVALS FEFS Contractor ;`i`Pr?- ??• .y ?,ti..._ , Assessments Permit 3?• ? Water/5ewer Surcharge Address Police Plan Review Fire SAC City/21p Code Engr Water Conn SZS Planner Water Meter b"J- Phone Council Road Unit oS. ? ? ? Bldg Off Treatment Pl 180. Areh./Engr. ?,:r-: ?.=ir.? i? , ?./,G'?- APC Parks ? ? Address Varianee Copies TOTAI, ?2fo5, '?5 City/Zip Code Phone # NOTE: ADDRESSSS FOR CORNER LOT3 - CONTRACTOR/HOMEOWNER MOST DESIGNATE iTHICH ADDRESS IS DESIRED. NO CHANGFS WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED. _ 1 ? 1987 BDILDING PERMIT APPLIC6TION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANS, 3 CSRTIFICATES OF SQIdVEY, 1 SST OF ENERGY CALCQLATIONS NOTE: ADDRESSES FOB CORNEa LOTS - CONTRACTOR/HOMEOWNER MDST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED O1VCE BUILDING PERMIT IS ISSIIED. MOLTIPLE DWELLINGS - RESIDENTIAL RENT6L IINITS FOR SALE IJNIYS INCLQDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK 1dITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COLMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTDRAL PLANS, 1 SET OF,SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 1 ? > To Be Used For: lialuation: Date: Site Address Vizo )yv?j OFFICE USE ONLY Lot ? Bloek? Site Sewage_ Occupancy n 4' MWCC System Zoning ? ? Parcel/Sub On Site Well Type of Const _ City tilater (Aetual) Owner 4,,0, (Allowable) Addre # of 5tories ss Length " Cit /Zi C d Depth y p o e S.F. Total Ph ?33- Footprint S.F. one APPROVALS FM Contractor ?,?J,{,?- ?it.,i?, ??'??_ Assessments Permit ??,?C- o, - ' Water/Sewer Surcharge 2?. Address 4 Police Plan Review ?'75, zs Fire SAC, City ??, City/Zip Code Engr SAC, MWCC SZS• Planner Water Conn 5-zS. Phone Council Water Meter Bldg Off Road Unit 3p$. Arch./Engr. APC Treatment Pl Ip;p. Address /?? ?' j• /?? s S? Variance Parks Copies TOTAL 7-26 5, ? s City/Zip Code Phone Ik . _? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ? SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: 4102 MEACIOWLAR,K Rt7 LOT: 1 BLOCK: 7 HILLANDALE 3RD DESCRIPTION: RnoF DAMAGE ermit Type STORM DAMA6E Wr,,k TYPe FtERAIR 434 ALT. RESZDENTIAL h, 1M ? t $- ? e eL! REMARKS: zticLuoES: FEE SUMMARY: Ef Yi tlH"P° ? ?. 31 Ma± ` A?: %e3 8` 4194, 4106, 4108, 4110 MEADOWLARK RD L2 L3 L4 L5 BUILQSNG 027935 06/18/96 CONTRACTOR: - Applicant - sT. Lzc.OWNER: BAMNER R04FING 1888$611 2001204 LAKEWOOq TOWNHDMES ASSDC 6601 LYNDALE AVE 5 4102 MEAL70WLflRiC RD MINNEAPOLIS MN 55419 EAGAN MN (612) 888-8611 (612)452-5307 APPLICANTlPERMITEE SIGNATURE PERMIT 6-6-? 4--L ISSt1ED : SIGNATURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 gsmodeVReoair Reauirements ? 3 registared sRe surveys ? 2 copies of plan ? 2 copies ot plans (induda beam 8 window aizes; poured Md. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy ealculatlons ? 1 energy calculations for heated additions ? 3 coples of tree preservation plan H bt platted efter 7/1193 requhed: _ Yes _ No ? DATE: & /? ?``? u CONSTRUCTION COST: P/a 2T1i3L DESCRIPTION OF WORK: ??A .4_ C>,41 ` QE4 C S A ?•^ =+ r?,?, STREET ADDRESS: `-/r ° 6 y?? $ y//o So. /'-A k x L 3 ?. - 3,?. LOT BLOCK 7 SUBD./P.I.D. #: /u-S • O.tw T ?QJOliy SVNGIL6?' PROPERTY OWNER CONTRACTOR Name: LA?ut.%/ ooo ?';w.,?,.leNc. A ssoc- . Phone S" o'7 ?. FI". Street Address: City: State: Zip: Company: vn,•-1,J,4-f./evoFj,jC2 CoRA Phone #: Street Address: ( o o r LYN a A LS hve. s License #•2 bO t 1 p y y CIty: It'?J?NIAFeerfS State: ? ?wAl. Zip; SS 9/ 9 ARCHITECT! COmpany: ENGINEER Name: Street Address: City: State: Phone #: Registration #: Zip: Sewer 8 water licensed plumber: . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is cor and agree to comply with all appticable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appticant: OFFICE USE UNLY RECC WED 4? ?. Certificaies of Survey Received _ Yes No JUN(? Tree Preservation Plan Received _ Yes _ No -"°°"`- °--- ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 02 SF Dwelling ? 07 4-plex ? 03 SF Addition a 08 8-plex 0 04 SF Porch ? 09 12-plex 0 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations o. 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actuaq (Allawable) UBC Occupancy Zoning # of Stories Length Depth 0 11 Apt./Lodging ? ? 12 Multi Repair/Rem. o ? 13 Garage/Accessory o 0 14 Fireplace ? 0 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVAIS Planning Building 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCIWS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SIW Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units C7'rY OC' EA(:;AN fva''::FCI.Eh:;l ,1S . Ic.l?'f1.T.. .?1i... r r.l.. ?t P...t, 703 ? ,, . , _ ? .,,.S.F?„ .. ?i.... ?.r../c... t> • .??_?rr:.lr ?1'."i Er..c:." i05406 ;,_; ?? _1..!. ...? i T D ;, NAP(L..;. 3210 900i 406 MEA('IOWL..riW'. •`'d.J.CIU . v c:'r_ ?q`•G:?. .???.. ? li... 11_ _{r.1.? t... n??-?i. ll...?n n„"? - r.rl..l u.?_i..? _?. u...?..u ?.?( ? 1 .:,, ..a 24-30 J. E i=• r.rr.,:--.M l„00 '.fry'a.l. ? , ? ?.?IT.Ii.)!_!:1?., ?.??:: ? Jln 'il?::.'?;.??'i? ...:.! , Ra-.r926'.0 USE1,: :."_i, 301 ? CITY OF EAGAN 383A Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: BUILDIN6 Permit Number: 032090 Date Issued: 0 5 J 2 9/ 9 8 4106 MEADOWI.ARK RD LOT: 3 BLQCK: 7 HILLANIJflLE ADDITION 3Rp DESCRIPTION: BASEMENT FINZSH ALTERRTTOM 434 flLT. RESIDENTIRL ?4!??. Yf6k H? ih li a v,.•,? ??ot 143?&'EO w9 ml'" q'.. q?. , . M1?ay? ?ci?eitte„"`w?5 An q? ??At. REMARKS: PLAN REVIEWED BY MIKE BARCK SEPRATE PERMIT REQUIRED FQR ANY PLUMBING WORK C-ALLL445-2840 REGARpING ELEC7RTCAL PERMIT AND INSPEC7IONS FEE SUMMARY: Base Fee $50.90 5urcharge .60 Tota1 Fee $50.50 CONTRACTOR: OWNER: - flpplicant - PETER BENJAMIN 4106 MEADOWLARK RD EAGAN MN 55122 (612)681-7938 APPLICANTlPERMITEE SIGNATURE 998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACiAN ?3830 PII.OT KNOS RD - 55122 D 681-4675 New Construetion Reauirements ? 3 registered site surveys ? 2 copies of plans (inGude beam & window sizes; poured fid. design; eic.) ? 1 energy calcuiations ? 3 copies of tree preservation plan 'rf lot platted after 7H/93 required: _ Yes _ No DATE: Name: t? Q,hei KOJ1 5 OiuM Phone #: c0 ? ? ? ? ?g Last Fust DESCRIPTION OF WORK: &10_^a,4A- ?t-?'?r/-i ? STREET ADDRESS: K( O C S1,4¢act...,.I G'ik, 1e,? BLOCK: -7_ SUBD./P.I.D. II a,Il c1?42, 4jcrJ?m PROPERTY OWNER Sueet Address: y/ 0 6 5. M ecL&„/ a?,/C kJ. Clty ?PGG/1 StBte: A/V Zlp: RemodeVReoair Requirements ? 2 copies of plan ? 2 site surveys (exterior addftions 8 de s • 1 energy calculations for heated additions CONSTRUCTION COST; Company:_ CONTRACTOR Street Address: City ARCHITECT/ ENGINEER Company:_ Phone #: License # State: Zip: Phone #: Name: Registration #: Street Address: City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penatty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ail applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No State: Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 06 Duplex ? 02 SF Dwelling ? 07 4-plex 0 03 SF Addition ? OS 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New 0, 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging )k O 12 Multi Repair/Rem. ? 0 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 413 d Depth Footprint sq. ft. SAC Code 0 1_ Census Bldg / Census Unit U APPROVALS Planning Building AA13 Engineering Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ qvx?c tAw, V-DYYv) Variance °k SAC SAC Units ?- CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ? rl'.K1V111 PERMIT TYPE: Permit Number: Date issued:, , BUILDINC, .@2T935 06/18/96 SITE ADDRESS: DESCRIPTION: 4102 MEADOWLARK RD IOT: 1 BLOCK: 7 HILLRNDALE 3RD ROOF DAMAGE ermit Type c? Type ?-Vay? O ??. ? . REMARKS: INCIUDES: 4104, 4106, 410 L2 L3 L4 FEE SUMMARY: EADOWLARK RD CONTRACTOR: - Applicant - ST. LIC.OWNER: BANNER ROOFING 18898611 2001204 LAKEWOOD TOWNHOMES ASSOC 6001 LYNDALE AVE S 4102 MEADOWLARK RD MINNEAPOIIS MN 55419 EA6AN MN (612) 888-8611 (612)452-5307 ? I hereby a+cknowledge that I have read tMis application and state that the information.is cowrect arrd agree to comply with ell applicable State af Mn. Statutes and City of Eagan Ordinanaes. APPLICANTlPERMITEE SIGNATURE ? ISSUED : SIGNATURE CZTY OF EAGAN 3830 PILOT KNOS ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 ......... ......................... ?i?....???:'? WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: jOSeIm SITE ADDRESS: /'lQadat) ?.OT:? B:.Ov'.'. -Z SuBD. INSTALLER: ADDRESS: / 30 N5-' 5U',.t CITY: 7r'' ZIP: PHONE #: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR E4CH $1,000 QF PEF:MIT FEE. PROCESBED PIPING = $25.00 $25.00 MINIMUM FEE. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: $TTF AT111jtFCC: LOT: BLOCK SUBD. INSTALLER: ADDRESS; CITY: ZIP: PHONE #: FOR: FEES PI.EASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------+------------------------------------------- FEES CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: FOR CITY USE ONLY PERMIT # N ? RECEIPT DATE : ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & 15.00 24.00 6.00 3.00 $ lS.oO .50 S lS.-5-v QYAL y??k4___' SIGN UR OF PERMITTEE S (SIGNATURE) CITY OF EAGAN L 13 gL CITY USE ONLY SUBD. RECEIPT#: RECEIPT DATE: PERMIT # 1999 PLUbiBllvc PE$M1T (ftE.SIDENTIAL) CITYUf F-AfiAN S$SO fl1LOT KNOB gD EASikN, MN 55122 (651)6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x $ Gas i in outlet ' minimum - 1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee ' alterations to existin dwellin 30.00 x 1 = $ a .o3 Private Dis osal S stem newlrefurbished * re uires MPC iic. 75.00 x = $ I Private Dis osal S stem abandonment 30.00 x = $ RPZ new installationlre air 30.00 x = $ Rau h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 X = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ----> ----> $ .50 Total --> --> ----> ----> $ 39• 50 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------•--------------------------- - -- ---------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during'rts normal opera[ional and maintenance activi[ies to the facilities constructed under this permit within City propertylright-of-way/easement. SITE ADDRESS: a OWNER NAME: : ReA ?Q^n,M !' a-? Qf" TELEPHONE #: ?S ( CV 7Y 3g (AREA CODE) INSTALIER NAME: r`?w?141' TELEPHONE #: (AREA COOE) STREET ADDRESS: CITY: fvQ Gn STATE: ."" ZIP: 5s-/ 2 Z ? ?. SIGNATURE OF PERMITTEE CITY USE ONLY L _L BL ? RECEIPT #: 7?/?? SUBD. ??A/?axe? '#c?-- bATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 35122 (672) 687-4675 Please complete for: ? single family dwellings ? townhames and condos when permits are required foreach unit New construction Add-on furnace M X Acld-on air _.nnditinning Add-??! airexchsnyer, E.s. Va:see system, etc. Date: 5-20-97 FEES ? Minimum Fee: Add-onlRemodel (existing residence only) ?'$ 20.00 ? HVAC: 0-100 M BTU 24.00 Additiona150 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? Sfate Surcharge .50 TOTAL $20.50 4108 South Meadow L,ark ?A. Eagan, Mn 55122 SITE ADDRESS: OWNER NAME: David &'rerresa waldorf PHONE #: 638-0658 Fredrickson Heating & Air Conditioning INSTALLER NAME: STREET ADDRESS: 3650 Kennebec Dr. #1, CITY: Eagan ' STATE: ? PHONE #: (612 ) 452-2775 ZIP: 55122-1003 l e I -?7 CITY USE ONLY L BL RECEIPT #: SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CtTY 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 1a.2t required for each dwelling unit. Da i E: coNiRA-u 1- FRiCE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee Q 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of gg?n' fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SiTE ADl]RESS; OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:. CITY: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE TELEPHONE #: STATE: ZIP: CITY INSPECTOR ? L BL ? "] CITY USE ONLY I ? ?( q RECEIPT #: U SUBD. 3 RECEIPT DATE: PERMIT # 1999 PLUMBiNfi P£R.MIT (REs1DEN't'iAL) crrY oF EAGAR 3$30 PILOT KROB EtD _ E*sM, MN ssr$E (681) 661-4675 Please complete for: D single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # ToT,v. Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum - 1 3.00 X = $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dweliin is under construction 3.00 x = $ Under round s rinkier if existin dwellin 30.00 x = $ wat"VgiiN 3.00 x = $ Water heater 3.00 x = $ 0 - crn er if dwelling under construction 5.00 X = $ - Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ----> ----> $ .50 TOtal --> --> ----> ----> $ o . StJ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------------•-------------------------------------------------------------------------------------------------------------------•----------- I hereby acknowledge that I have read this application, sfate that the infortnation is cortect, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facflitles constructed under this permit within Ciry property/right-of-way/easement. SITE ADDRESS: ' KHAUFiA, DAWN/ABDUL - 4104 MEADOWLARK ROAD SOUTH OWNER NAME: : ? EAGAN, MN 55122 TELEPHONE #: i (651) 687-9633 (AREACODE) WSTALLER NAME: N0RBI-OM PLUMBING CO, TELEPHONE 161- ' , "_ ; j (AREA CODE) STREETADDRESS: fl)c1ij:, ,,-i?.LID-AV , E.114e1AF-AF'OLISo MIV '554e8. STATE: ZIP: CITY: SIGNAT OF PERMITTEE C(TV OF EAGAN APPLICATIOtV FOR PERMlT SEWER AND/OR WATER CONNECTION ??*************?***t?tx****??*? * . *07:: PA)aqEN'I' OC kF.E 11T Ti;.4+.E * APPLIcxTsON DoES r7ar cc?4ST= ? APPRGVAL OF PER"4I?'. ? _ . ? rNSPE^rzcN oF sEvER ArD/CR VZA? ,*f IjS,S'TpT7ATTGNS WII.L WI' EE SCH.'' ,*f ULf7D UNTli, PERMffT FiPS BEE..'*I * APPRt7VID _ ' -- ? ? ********?***?***?**?*#*fx*?*???-?. trlease Yrint) 1) PROPERTY ADDRESS : LEGAI. DESCRIPTION: Lot Block/Subdivision or Ta:c Parcel ID „) IF E:ffSTING S"iRCCIL'F2E, DATE CF CP.IGIIIF,L EL'ILDIiJC, P=,LIT ISSCAV?: ". ( ffcnrnj Year ) P_-"y'P ZDNIi:G/FRO?:OSc,?D [:?Sc.: q CCi??C?-`L/REI'aIL/OFr I? ?R-1 SING:.:: FPS4iLY Q IIv?L'STRL3L, ? R-2 DC'PLE.Y (r??o Units) R-3 M;vMEOUSE (TSree + Units) ( L:nits) , q R-4 R? i:T??iT/C??.tiL:?TIt?i ( t:nits ) 2) .:.1J::19[QIdlfi- N?.?'?: .? AC'C=j :1,.1-" t Z: n???„ FYtJ? CIiR', STAT'E, ZIP:?? Y- ? .? ?" S ? ?.P o =r 3 j' For City Use f N`1}''W = - Plumbers License : P.DLRESS: r 4- r- xi Active ,,. 1 F L ? amired CIT:', STATE. ZIP: aSAy,-F?, c ?- Not recorfec FI:ONE: ?t1Li-7 L7 4Is.PST:', LICENSE; 2 22 0 .Sta?r :Initial q) CT TI:? 5'I'. TE, ZIp' . _ 3 F11CLNE: • •5} >>:?e??,v:vw:T. :a?a?:,?-?n•i ta??:?u? •i-iae •iaoa??-?as?4.... I?c1 a.ON=1TC/V TO C2TY JCZ;i'L?'.?. ?c--a.?? ??a•? ti TO CiM' i4AT=, C CTI7.?" 6) PT.,??.?AS- HOID APsRG'v= -c=•1T.T FC.=c PIC:?-i:^ DY CF ADJV'E ?j F=r, b?AJ? PE)?F,CV?i:T' i?=i•ffT i`'J 1. 2? 4, FiEGVE ?v- ` , e' _ /J (Circle cne) 7) ?? 97,Lk:7 FOR -C1?'Y IJSE O1VLY PERMIT # ISSLiED Pd w/Bldg. Permit FEES: $ -T $ ', Gti $ $ S S $ ?z??z7 s ?z $ $ $ rlo o -? $ $ r32? ? RECEIPT ? $ S $ $ $ $ /.,; < <rt? S S $ $ $ $ $ $ $ s S-/, ?r a RECEIPT tt ' -, SEWER PERMIT (INCLL'DE SORCHARGE) WATER PERMIT (INCLUDE SL'RCHARGE) WATER METER/COPPERHORN/Ot'TSIDE READER WATER TAP (INCLC'DE CORPORATIDN STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOC'NT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRCINK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL DOES DTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WA:? ? YES IF YES, THEN A"PERMIT FOR WORK 6dITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ? NO DIVISION. LIST AS A CONDITION. ;UBJECT TO THE FOLLOWIVG CONDITIONS: ??ROVED BY: TITLE: DATE: a 7117 ),?7 7 CITY OF EAGAN APPLICATION. FOR PERM1T . •- SEWER ANDIOR WATER CONNECTION ?***************?****t?***hk*#7-. * ' • ? *?JTS: PA1 t.?'T OF kEE: AT TLvE ? APPLICATZGN DGFS NOT =M= APPRGVAL OF PE1?Mff'r_ . z. * L^7SPFS.TICN OF SETn'ER AND/C2 F?: * TT1Si'AT,7A'T'TCNS WII,L AA71' BE SCI-a: ? UIsID L7N'1'a, PERUMIT HAS $EEN * APPFtavID. . * ? ?*****#*?******?*******}?****?*:?:: (P 2d52 Prl-nt) : ? 1) PROPERTY ADDRESS : LEG?.L DESCRIPTION= Lot Blcck/Subdivision or Tax Parcei ID 4) L c.:tISTIL?'•G STRL'CIi,'RE, DATE GF CRIGILNt-.L, EL'ILD=G PERL"LT ISSUA?'?.'?: . {?=U2/Yeax } FR-HSr."11.T ZONItiG/PROFOS?D USE: ' [? Cr`?.?Cr`L/REI'AIZ,/CF'f'I? ?R-1 SI.;G?_:_.E F?1MILY ? =CSTRI?.L C R-2 Dti°I.ZX (T.,? Units) ? INSTI'ItiTIOI`TAL/MVERMc,.'' Cj P.-3 ZCWINECUSE (T.'iree + L'nits) ( L'nits) ? R-4 APA°.=7T/CC.TCivLIIVILA ( Cnits ) - - -- 2) , ?r.c3+•t??? ? )d„?rT?-7'1 C ACDRESS:1??.L/,? C 7?'Y. STATE, ZIP: 7A P-HoNE: _?'4?i- 7 6 c? o 3} NAiNSE: ADD.RESS :/? ct czT^Z, slATE, z1P: 67 PHoLNE: P -7,4 n h rAsTIER Lz?Ts-77Y r}aa-? y 7 For City Use Plurbers License: Active Expired NOt 2'c^COrdr G staL=f Initi3l 4) NA'L:! oe _ AGCFcESS: CI"'Y, STAT :', ZIP :?? ?-t,),? ? 3 PHC'NE: • ?? 1?-Di(9'tV'.=; ^::7(Oi::? • ^I'! ING ir 'I°iW?? •1D9 BJ""'Jtis? . „CC`'NECTION 7-0 CITY Sr= CY===C2; TO CIT:' W?,= ? Ci:H=?_ 5) PLEASc, HOID APFr= _=;,'TT _t'P: PIC'r:-C? BY OPE 0F AEa.,7E _-- PI.E.ASE Pl±ziIL F,PFRCVt'D r^.??iZ^, "C t203 4, F:rOGE /?ll }a::,zzCle ene ) 7) -7 :?,? 2 r;.y y : ? -,CS = ?' 7 , , .. . ? 1 s - ? Y -i : ? y m'< . "? n r n .: 9 ? a t e i a.r ? i ?. ,"°_'.?-"?'a a i ` i ?__ `,._"'. , ; ??""'.; .'_._"' ?. . ,--?-°?--?------••. ?._. . ?.-: ......:_.. - _.?.v_... _ .... ? TFOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ ? S /D 5z $ ?? 7 • ?-? $ $ $ $ $ ? Z S' Crz $ k- 7_ ,?• [,'-71 $ $ s c Y 71 RECEIPT n s $ $ U Z? $ 1,51 $ S $ $ $ $ s $ :2,5??- e' (2 RECEIPT ._. ; SEWER PERMIT. (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/CaPPERHORN/OL'TSIDE READER WATER TAP (INCLL'DE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOC'NT DEPOSIT - WATER WAC SAC TRLNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRCiNK SEWER LATERAL BENEFIT/TRUNIi WATER WATER TREATMENT PLANT SURCHAP,GE OTHER: TOTAL DGES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK NITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. :UBJECT TO THE FOLLOWING CONDITIONS: .::'pROVED BY: TITLE: DATE : 7z?:z /? ? CIT J OF EAGYiE`d APPLICATIC?N FOR PERM1T SEWER AND/OR WATER COfVNECTIQN ease Yr1nt ??t*******a*t************?**t*? x . ? r?E: Pan?:Nr oF EEE AT TD?m: ? APPL.ICATZON DOFS N(7I' MMITE - ? APPF20VAL OF PFRMIT. ? - * ITFSPECTIGN OF SEVM ARm/OR lv?. * iT=UTATrONS YFbL NOr HE SCf- * ULID UNrIL PERMIT HAS SFEN * APPRt7VID. ' ? ? ********?******r*:r**?**:r****:r* r?. •1) PROPERTY ADDRESS : L-// LEGFL DESCRIPTION: Lot Slock/Subcivisicn or Ta:{ Parcel ZD tt) L=STItiG STP,tCIL'RE,..DATE OF GRIGIN,7!,L Ei'ILD2\G PF"<MIT IS"''.= : ? ( i,bnrn/ Year 1 F= =iW ZCNItiG/PROFOS?D USE: q CCix`!ERCL1L/RE,'TAII,/OE'r"ICE Q zrrous='L C INSTI'IL;TrGLti'r_,/C? V?.??T?"E.^JT ?R-1 SI?Gi:E F?1MiLY ? R-2 DL'DLEX (Z`,vo Cnits) ? R-3 TCiv?,.'?:CUSjE (T.`i:ee + Lnits) ( L'nits) R-4 AP?RT2ENT/CG.TCm.INIL? ( Onits ) 2) / 'q1C e-? ACriRiCJ :1? /?'L>G' rC CI''?', STzTE, ZIP: ?Av tr?-.?z__. ?.? . ?" S? 7,P ' P:C?uE:_ 6 (D O 3) For' CitV Use ??`??? Plwmcers License : P,DDRESS : P.ctive ired CIT1'. STA?. ZIP: ? c.S?e7?, /j')os/ Not recordt:-- PHONE: S7±4/-7 4 r) 11-15'I= LIC-=SFT d??.?F7 ltni? i Sta.. Initi:?1 4} ?' aAaw.;.:d ? N?ME: v ACC.^ti;SS:?I/?a?f? ?',rG Lk5?r ?L(/,? c?7T, sraTEE, zzp: ? 7'?YA y ? PEG'NE: ' . .rj) ; t; e?t?+:v:?; ;:?cm:. ,? ?:?„im o. •i-aa?? ia'.1Z_?e N'."'B???i_': ?CC,%T=TIGN TC CITY Sc:•;c.:; ?C(-?;-T'IC21 'IC, 6) 7A1; PZ.E;?-SE FGITJ IiPPRC"vi:J e'=14l?T F'i,F, PIt=.?-UP rit 01,4 CF P3:;7E -- ? PLEPec -r=•+.:'', TO i, 20 J, A.ctiGu . ' ( rcle ene) . 7) 7?r;+;v?al;l?G, o,L:+?.._`,16:i_,,?vai. 21 ?nr o ?arai 'J- ? l I 1 ti 1 ?',,..e ;. ?,eir+o r.. ?•r ?. .?'YI , r i .- . . ?.. . . . ... -. . _. . - _ „ _ _-•-._ ., .,»_ _....d . .?.__""'_._. .?.. _ . t . . NLY ?•__..?._.. .._ _..? T . . L'1 l.n = -- :: .:;ZT (INCLUDE SLTRCHARGE) $ WA'T"" ' ._ ;T (INCLUDE SL'RCHARGE) l.r-? •_ 'r?; :':', _ . R/COPPERHORN/OCTSIDE RE-ADER INCLt'DE CORPORATION S^OP ) i OSIT - SEWER •OSIT - WATER ASSESSMENT ASSESSMENT " ...__ . :FIT/TRUNK SEWER __ . _. _.. ._? ..FIT/TRUNK WATER ( ?? " ?Z ?._._? ?;•;'::=:';•:; _, ' : tENT PLANT SORCHARGE 81 , e`' o RIGHT OF WAY? WITHIN PUBLIC ;NGINEERING , _ : L J :?. I,• : I . . C I 1 ( 0 -F E /'11.a!"1(4 APPLICATION EOR PEAMIT •- SEWER AND/OR WATER CONNECTiON 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: ease Print ?t*******#f**********?**rt*?k*#? ? . **1CY1 ,,: PAYb1FNS OF FEE AT TIb4-1 ? APPLICnTICN COFS hT7T CGNSFITI:: APPFtGVAI. OF PURtffT. ? _ . * INsP?.-rzcN OF sE-vqM arm/CRV?---: * TNSTAr rATrGNS WIIL AXn SE SC1T-= ? UT1ID TJNI'IL PE.RMIT fiAS BEEN * APPPC3VID. . -- ? » '?*:r**?**-r***+*:t??**:e**?*x?r?-***:r-- ??? Lot Block/Subdivision or Tdx Parcel ID ) IF- EXISTILvG Sii:CCIL''REE, DnTE OF CP.IC-INAy EC'ILDILO P-m?!_TT ISSi'?`= = (N?n??/Year } F?.S':.:7I' ZONZDIG/PROFOSr,TD L'SE: Q CCi x=CIAL/RE.TAIL/GFr ICE- `? R-I -- SIi`Gi:E FA'?L?i?Y Q ImL'STRL:?L ? ? F-I R-2 DCF= (Zttio Units) ? Ir7STITC:TIONA /G;V?.M?1ENT R-3 TC,v?If-:GUSE (Thrae + L'nits) ( Cnits) ? R-4 t1F?R1"?'.:=:JT/CC`?Cil.INIC'?] ( C!nits ) 2) ::?s??•.Na r'rE. !- ACDicESS: CITY, SiATE, ZIP: c.S?-iifi-??. ?,L?. j"5'?7,P FxcrE:_ g'9?i- '7 6 c? O 3) Nt-'?LtiE: ALDRESS:??f? r a,., Xj-ftec ?' . CITY. STATE, ZIP: cSi}ri ? ?? PHONE: S74 b C} MPSTER LI'S?T e?) Qa-? g7 I77 rN . . ? 4} ADL'RESS . r CI^"7-,' , Si?.T:', ZIP: J?'l i n,? 3 PECNE: . 5) 71 imv_v6_:' ;:sta:t, ' P.'k SL'lA1 .11 ?80J cc`-=-crza,Lq :n czTY s-EWEP. ?ccti:??cr?c?? TO cIT:- W.A= ror cir_v use PILTC'i2r5 L1C°P.52: P.ctive Expired Not recorde?? St?Tr Initi ? P-1 C T =. 6) ,i7?'01(3/?4Y::a,Of?ti; ? F7 ?? ilOI.'] tir_ 0'?IE? :.. "'D7? ? ;r.",.-u"•.1_TT FC:ZDTC:?-iT^ BY Oi. OF a ...C ...rz ,._ .. rD A7E - PLE.7kSE hSi'i-L PPPRCV= r^F=.:%LIT 'iG 1. 23 4, F=?,LE . C1LC l- C:.2 ) . 7) _ ? C r ??+;•? 5 e1:1:+.+' ? ./??I.fG.r3rl._Z4?a ?? 'c ?' i ??[.'L)G"' ?"3?..'s4.'_:..i"?,..t ?' /V ??....?__... I P?`.,,? ... _.. ,` ?_t?wmu.<??:fnp = u •dvni:.. a . - ae ?a o7 -FOR -CITY USE ORILY PERMIT # ISSUED F ' _ J l` _. . Pd w/Bldg. Permit FEES: $ $ fe7 . S -D $ $ $ (D7' O- LD $ S $ $ $ $ f?-Cfl? $ $ ? $ $ S $ $ $ $ $ 1?0. ?-o s $ $ 7 RECEIPT RECEIPT SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SL'RCHA.RGE) WATER METER/COPPERHORN/OL'TSIDE R.:-ADER WA.TER TAP (INCLC'DE CORPORATION S^_OP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRL'NK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENLFIT/TRUNK WATER WATER TREATMENT PLANT SLRCHARGc OTHER: TOTAL 70ES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK LOITHIN P[JBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. 'CBJECT TO THE FOLLOWING CONDITIONS: 17PROVED BY: TITLE: DATE: l.'/?L%/ / ? 7 f- f-I ?- PERMIT # q <?? -?_ D-LJ RECEIPTOATE: 1 I ---;,- 3-d/ . 4v Gjo RUIDENTIlkL PLUM$IN6 gMMIT Af'PLICATIOA crrYoF EAsm 3830 Paor Kivos itn £A6l4N.1bN 55188 e51-01-4675 Please complete for: D single family dwellings > townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system e SITE ADDRESS: 4\C') 1M'E' oOU0 VQ:,(^, CZ'C\, ? OWNER NAME: : LqI(?i TELEPHONE #: tnc,?i Lk?, • (aREa, cooe) INSTALLER NAME: . , .,.,,.. TELEPHONE #: Cltk?L_ q3y- • ',r ,? "` (AREACODE) STREETADDRESS: kvEfiL;y SQisfih tuPnitiS, NIN 55343 C ITY: Place a check mark next to the uermit work tvoe STATE: ZIP: New residential dweiling unit under construction and not ownedoccupied $ 90.00 ` Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: K? i)k c ;2 l w9 oke,( -6ic Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license ? State Surcharge a $ .50 m t l T ?`J? ? o a $ . Reminder: Be sure to schedule inspections of aiterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this applicalion, state that the inforrnation is rreet, and agree to complywith all applicable Ciryof Eagan ordinances. It is the applicant's responsibility to notify lhe property owner that the City of Eagan a umes no liabili any damages caused by the Ciry during its normal operational and maintenance activities to [he facilities constructed under this permi 'thin City propertf/rif-wayleasement. PERM Updated 7lO7 32951 HILLANDALE 2ND 32952 HILLANDALE 3RD MEADOWLARK ROAD SOUTH 4074/ 10 32952 01009 (4-plex) 4076/ 020 09 4078/ 030 09 4080 040 09 4082/ 10 32952 01010 (4-plex) 4084/ 020 10 4086/ 03010 4088 040 10 4090/ 10 32952 060 08 (6-plex) 4092/ 05008 4094/ 040 08 4096/ 030 08 4098/ 020 08 4100/ 01008 4102/ 10 32952 01007 (5-plex) 4104/ 020 07 4106/ 030 07 4108/ 040 07 4110 05007 4112/ 10 32952 04006 (4-plex) 4114/ 030 06 4116/ 02006 4118 01006 4178/ 10 32951 040 02 (3-plex) 4180/ 030 02 4182 020 02 4186/ 10 32951 01001 (3-plex) 4188/ 020 01 4190 03001 7 COMMERCIAL 20?BUILDING PERMIT APPLICATION ` CITY OF EAGAN ' 14 651-681-4675 l Foundation Onl New Construction Interior Im rovement • Structural Pians (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Malysis (1) •` • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • CodeAnalysis (1) " • Landscaping Plans (2) • KeyPlan (1) • Project Specs (1) • Code Anatysis (1) " • Master Exii Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (7) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " + Elec. Power & Lighfing Form (1) not always" • Meter size must be established . Meter size must be established • Meter size must be established - if applicable • ProjectSpecs (1) 1 . Energy Calculations (1) d 1 • Electric Power & lighting Form (1) " 1 1 • Master Exit Plan (1) b 1 • Fire Protection Plan (t) 1 • Soils Report (1) 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 Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. D?O•? DATE: "D ? WORK TYPE: _ NEW ? REMODEL CONST CTIO COST:/ ple, SITE ADDRESS: lD '" ? y / D(? - 7? J Ia zu_ TENANT NAME: LCle GU tlOC? /C70 /,? (/1 a N? -2? AS SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK_l?.L &1?/< loe ._? Name: (i,?'fi/" w"A ///(,{%h /M 6,ne#:() PROPERTY Last First OWNER Street Address: City: State: Zip: Company: ? /(4-tld k A+"_ Phone #: ;:5 ? CONTRACTOR C7,9 i 2/ ///? Z Street Address / J City: State: //'( ?- Zip: -3 J? ARCHITECT/ ENGINEER Company: Phone #: ( ) Name: Registrarion #: Street Address: city: state: flP B 144 2002 Licensed plumber installing new sewerlwater service: P one :??X I hereby acknowledge that I have read this application, state that the informati n is orr ct nd ee ompl h all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applica . Updated 1/02 OFFICE USE ONLY SUBTYPE . ? . ? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercialllnd ustri al ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous L 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 ? Insulation Engineering VALUATION $ % SAC SAC Units Meter Size sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered L? Plumbing ? Stucco/Stone Variance Total 32951 HILLANDALE 2ND 32952 HILLANDALE 3RD MEADOWLARK ROAD SOUTH 4074/ 10 32952 010 09 4076/ 020 09 4078/ 03009 4080 04009 4082/ 10 32952 01010 4084/ 020 10 4086/ 030 10 4088 04010 4090/ 10 32952 060 08 4092/ 05008 4094/ 040 08 4096/ 030 08 4098/ 02008 4100/ 01008 4102/ 10 32952 01007 4104/ 020 07 4106/ 030 07 4108/ 04007 4110 05007 4112/ 10 32952 04006 4114/ 030 06 4116/ 020 06 4118 01006 4178/ 10 32951 04002 4180/ 030 02 4282 02002 4186/ 10 32951 01001 4188/ 02001 4190 03001 (4-plex) (4-plex) (6-plex) (5 plex) (4-plex) (3-plex) (3-plex) 7 MECHANICAL (RESIDENTIAL) u Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Pleasc complete for: Single Family Dwellings Townhomes and Condos whcn permits are required for each unit ?.30 .,sb Date ? / y3 i O Sit Add it # U ress e n Property Owner C G,"'1.Cf /1 E?tj Telephone #(?s? Contractor StANnn° ?u„T,,, „A,r rn TINO,& AIR N 410 WEST LAKE STREET ,, Street Address MI???€? , ,S , ?#? ?ge City State 612-824 -26R6 Zip Telephone # ( ) The Applicant is _ Owner -k Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.04 k f rna l t ce rep u acemen air exchanger )?'air conditioner other State Surcharge i .50 I p 2 5 2003 Total r I? c $ B4 I hereby apply for a Residential Mechanical Pernut 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 pemrit, but only an application for a pernut, and work not to start without a pemut; that the work accordance with the appr d plan in the case of w ch requires a revie and approval of pla . • ? nA ApplicanYs Printed Name pplicanYs Si re MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 Please completc for. commercial/industrial buildings multi-family buildings when separate permits aze not rcquired for each dwelling uait Date Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Applicant is Owner _ Contractor _ Other Work Type New construction Underground Tank _ Install _ Remove Interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature of Work: Pertttit Fee $50S0iNrnimum Fcc (includes State Surcharge) Contract Value $ x 1% _$ Perxnit Fee • If pernut fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Pemut Fee $ Total Fee 1 hereby apply for a Commercial Mechanical Pemut and aclmowledge that the infarmation 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 pemut, but only an applicarion 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 Applicant's Signature Approved By: , Inspector Date: RESIDENTIAL BUILDING PERMIT APPLICATION 1 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 CJ tJ " ? New Construction Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all rooTed areas (20°k maximum lot coverage allowed) • 2 capies of plan showing heam 8 window s¢es; poured found design, etc.) • 1 set of Energy Calculafions • 3 copies of Tree Preservalion Plan if lol platted after 7I1l93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE ? ~ 36) -b I JOB SITE ADDRESS Y?b Z?y16 1?41LIA IF MULTI-FAMILY BUILDIN PROPERTY OWNER Z.4- TYPEOFWORK APPLICANT ADDRESS Q21 31 J/' PAGER # HOW MANY U . /,? ane, ' S V??TI ?'N s ? 1nrnr arc FIREPLACE(S) >e- 0_ 1_ 2 PHONE# ZIP CODE 5??133 CELL PHONE # 1P12- -70 ( ? FAX # NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY energy Code Cateyory _ 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 SysCem Includes: Mechanical Contractor: Mechanical Systecn Includes: Sewer/Water Contractor. All above information must be submitted prior to processing of application. Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the info atio is corre yand aare? c _-?ly. with all appiicable State of Minnesota Statutes and City of Eaga rdin es. -????t?? Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan ceived _ Not R uired _ Updated 1/01 ?99,o? RemodelfReoairReauirements ??G II'„ 7-v? ?? i • 2 copies ot plan R N ? ? • 1 set of Energy Calculations tor heated additions prn ? tt ZsP' 0?<?'0-11 • 1 site survey for exterior addi6ons & decks • Indicate if home sened by septic syslem for additions _ Phone #: Lawn Spr•inklcr No. of R.I. Baths Water Softener Water Heater No. of Baths Air Conditioning _ Heat Recovery System OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 45 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) Footings(deck) Footings (addition) Plumbing Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. -Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace 0 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O; 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair O' 37 Demolish (Bldg)* ? 43 Reroof 0 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Fina _ UC.O. _ Fina1/No C.O. HVAC Building Inspector RESIDENTIAL /? ? -I SS0`f BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-6814675 New Construction ReauiremeMs • 3 registered site surveys showing sq. fk of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverm3e allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted a$er 711193 . Rim Joist Detaii Options selection sheet (bldgs wilh 3 or less units) DATE 5-22-0l RemodeVRepair Requirements . 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 sile survey for exterior addilions & decks . Indicafe if home served by septic system for addNons VALUATION CaSoo , a C, JOB SITE ADDRESS LII 02 JltOLJow 104_k IC(4 . IF MULTI-FAMILY BUILDING, HOW MANY UPIITS? PROPERTY OWNER Tal"no-rCti raGIS TYPE OF WORK WaCe.fllPn1- 1 a) j?'1dn t,v? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ?t?.?-G,? ?k-?c.rtbr? PHONE# ? 2 -?? ADDRESS SSUI-1 Nl Co IlQ+ '?e. ?l061''?i!'1?.?? ZIPCODE S<?yZd PAGER # CELL PHONE # FAX # 'T52- "9?? 7 ` /657 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Workshe i s, n pa [. -? - Energy Ernelope Calculations Submitted ?--•--- - MINNESOTA RULES 7672 @s`? Ln915 - New Energy Code Worksheet Submitted 2 9 ZOD ? Plumbing Contractor: Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler . . _ Water Heater _ No. of R.I. Baths iVo, of Baths Mechanical Confractor: Mechanical System Includes: Sewer/Water Contractor: Phone # Phone # Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is coRect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord'}nances. Signature of Appilcant ?o_ ?L ) Air CondiUoning Heat Recovery System -kt- u 3ug 1'-f -?- -1 S-" ?-_?) I -(4 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY 0 01 Foundation 0 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex O 11 10-piex 1:1 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscelianeous ? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Oemolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolltion (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MClES System Census Code Zaning City Waier 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) Footings (deck) FinaUNo C.O. Footings (addition) Plumbing Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation _ FinaUC.O. xvAc Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Piant Plumbing Permit . Mechanical Permit ^ License Search Copies Other Total Building Inspector 41' CityofEaaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: t1 -1d 3QI Permit Fee: LI -3(015 Date Received: 61/13113 13/13 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9-1I - IS Site Address: 'PO- LON - 1-11a- (//o S. 1'% L) K, Name: G,(J<'FIG° { }L)Y1 11D14i_ &co, Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: -f12)2 O7 f 2J Construction Cost: r 4r Company: Aka) & iors _rAt, Address: 10701 ` 3 . A-)• City: /lope,. Gro Wikvi Sk iviq y I�S Multi -Family Building: (Yes / des ) Contact: Shv Are/ State: AIM Zip: 5-63(05 3105 Phone: `1,3 -3 Is" p / 0 0 Lead Certificate #: N41- 671-/J0 License #: 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: !OTE: Plans and suPPti►dng documents that you subr it are cansldered Lo be public in rmation. Po nformation ►rtay be classified as non-pubilc rtyou_ ude that they are .trade seer . CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 agan; 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 S uil ing de ust be completed within 180 days of ermit issuance. x C�i%t _ x fir' Applicant's Printed Name Applicant' Sig ature 0- 6' ' i It %qK Page 1 of 3 E AG Ar For Office Use (� t E E f < Permit#: /3 7 6L� tt t . �e It f 6 s° Permit Fee: / E-: �► Date Received: 4 ~�_ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 F 421 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)67 94PR 0 3 Zara Staff: I buildinginspections(a cityofeadan.com J BY: 2019 RESIDENTIALBUILD RMIT APPLICATION Date: Site Address: 0 — ' JI 0•Z 5-: 01P1clr?.j4</< gd Unit#: Name: Phone: • Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Description of work: PLL/1` 2/,of r-C c IYie..1 J Type of Work °(-:)`)—. k] Construction Cost: r C'C� Multi-Family Building: (Yes /No ) 1 Company: l`4rc,IN l t.^n3 4-Eli L H,i Contact: l /;JA-1 . Y�, thtJ 5/1,,e- Address: Z/41 ) /// e- (( g J , City: L74-1i 11 Contractor / / / �' State:i�,ti• Zip: 'l �Z Z Phone: (('57-Z/0 -/Oc?cEmail: (f If^ 1-;),1)1-)'-. l'L/)`J`. 6,'n``/, e,,,', License#: ((25-00I Lead Certificate#: If the project is exempt from lead certification, please explain why: 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? i Yes No If yes, date and address of master plan: 50( Zvi L4, qtr po,. `d 774 1 / Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that thee trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.ciopherstateonecall.orq 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 no4 o start without a permit; that the work will be in accord nce with th approved plan in the case of work which requires a review and approva of pla s. x F I;n „I/,dx ..i, 1/ Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE L/ 1O a iylonicic016-e-g- Act e �V66� SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi) Multi ? Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous r 01 of J_rPlex _ 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 y Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 6tt 3y'eo .- OccupancyL ^3 MCES System Plan Review Code Edition fflf 201 tr SAC Units (25% )! 100%_) Zoning PD City Water Census Code Stories Booster Pump #of Units Square Feet PRV _ #of Buildings Length Fire Suppression Required Type of Construction t B Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) y) Final/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 Pan Other: Reviewed By: J ° ✓l i4-1 y f , 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:Building Permit Number:EA174822 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4102 Meadowlark Rd Lot:1 Block: 7 Addition: Hillandale 3rd PID:10-32952-07-010 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 - Brian Jr Linscheid 16974 Enfield Ct Lakeville MN 55044 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature