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4112 Meadowlark Rd_ CITY OF EAGAN ' 4Q 09 " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for • ''?+'- ` Est. Value Date ,19 Site Address l!? :;i,ARK RD Lot ` Block Sec/Sub. "lLI.ANllP.L:: 31:1) Parcel No, a Name .., . ., . . . ,, , :..,,?,..? ._ ; Address o city ;'l :.1 Phone ` 3?- . o Name ?? Address P City Phone °W Name Address ? W City Phone ?' 1-1,,-•:, I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabte State of Minnesota Statutes and City of Eaaan Ordinances. Signature of Permittee OFFICE USE ONLY On Site Sewage _ Occupancy ? MWCC System Zoning On Site Welt Type of Const City Water _ (Ac[uaq (Alloweble) # Of $}Ofi63 Length Depth S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Variance FEES _ Permit _ Surcharpe _ Plan Review _ SAC, City _ SAC, MWCC _ WeterConn. _ Water Meter _ Ro9H Unit _ Treatment P1 _ Perks Copies TOTAL r3 4?:+ ? a 444.cx0 .',`.5t) A Building Permit is issued ta 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 OHicial ' Permit No. Parmit Holder Dats Telsphons a Plumbing ?5A H.V.A.C. Electric &.l???D Softener Inspectlon Deta Insp. Comments Footings I 7 Footings II Foundation Framing Roofing Rough Plbg. ?, 37 - Rough Ht9• ??? LJ.1r • /- y?-b -7 Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. ? j Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. PERMIT # 0 .211 ? L PLUMBING PERMIT ?-• ? ? CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: DNTRACT PRICE: PHONE: 454-8100 'Site Address Lot % y Name ?J/lcSf?c 4'-•: ?c Address ¢Z</? `L="L 4 c City _?'4644 Or,b Phone ? Name .444,4- 3 Address p Ciry Phone ? FEES I COMM/IND FEE - 1% OF CONTRACT FEE r APT. BLDGS - COMM RATE APPLIES i TOWNHOUSE 8 CONDO - RES. RATE APPLIES I 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 BEYOND $1,000.00) .,, f DG. TYPE WORK DESCRIPTION ; F.=s. X New X Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL __,1_Water Cioset - $3.00 S - ' ?Bath Tubs - $3.00 ?- --/_Lavatory - $3.00 - _Shower - $3.00 -/-Kitchen Sink - $3.00 .= -Urinal/Bidet - $3.00 Z Laundry Tray - $3.00 Z_Floor Drains - $1.50 ? L / Water Heater - $1.50 _Whiripool - $3.00 _LGas Piping Outlets - $1.50 / :1- (MINIMUM - 1 PER PERMIn -Softener - $5.00 -Well - $10.00 _Private Disp. - $10.00 y? 7_Rough Openings - $1.50 FEE: .? y c . a STATE S/C: GRAND TOTAL: FOR: CITY OF EAGAN y _.. ... _ _ _ . ..... . .s,.:..::.y"` PERMIT# 90 MECHANICAL PERMIT RECEIPT # - CITY OF EAGAN 3830 PILOT KNOB R f J X"v ? OAD, EAGAN, MN 55722 DATE: c CONTRACT PRICE: lp ? PHONE: 454-8100 Site Address / ' BLDG. TYPE WORK DESCRIPTION Lot Block ! c Sec/,Sub Res ? N ? . ew Name Mult Add-on °-' ? Address _$ . ? y?.? , ?, ? Comm. Repair ? ?ity IFIAM MINN ov, pther - FEES ? Name ` v, RE S. HVAC 0-100 M BTU -$24.00 3 Address ADDITIONAL 50 M BTU - 6.00 O ???Y Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1%OF CONTRACT FEE Forced Air F ? M BTU ? APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent CFM ? STATE SURCHARGE PER PERMIT - 50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OutleTs # ? ' e, BEYOND $1,000) Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL• ? FOR: CITY OF EAGAN I 1 . ,? : , , ,. I Ci ? su ?- 4o a J ? "46 I ? * • p" -- ? ? i (ger#ifiratp n# (Orrupttnrn Cftp oi eagan llP}181'tlriPttY lif li1Iiibing it[S}tPl'tiDt[ This Cenificate issued pursuant to the requirements of Section 306 of the Untjorm Building Code cerrrjying that at the time of issuance this structure was in compliance with the various ordinances of the City regulahng bui(ding construction or use. For the following.• u,eciassiemao! OF 4 PLES BMg.1`1,n,;,No. 14009 oocup.rcy ryFe R3 Tooiog Dhu;ct R4 7ype comt. `'':1 OwncrM&ulding -'`.i,-fi'•$ OF HiT7ANIlATF Add? 14442 =.SXh-: FSI..v'D; :i--'l. ''r? ? ?Ir.F?..T?[1L? _ T ?3 , ?J.1??I?SL ,iiT Building Addre? ° . . , ?) Loulity BuOding Odcial' POST IN A CONSPICUOUS PLACE FOR SALE 'i`.;:. clidlTS CITY OF EAGAN n O ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t ?' - 12 82. 7 ` PHONE: 454-8100 BUILDING PERMIT Receipt # LlniTntrN Tmr!\nl nr.mnurne O.: UL I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued t¢ finVEN ENTEc'2Pi2ISE$ all work shall be done in accordance with all applicable State of Minnesoti Total ?? l-1) - vv on the express condition that and City of Eagan Ordinances. Type of Const. No. Stories Length Depth Int. Impr. ? Sq. Ft Install ? Aoorovala Peea Assessment Permit YA? • "" Water & Sew. Surcharge Police Plan Review Fire SAC Eng. Water Conn. Planner Water Meter Council 10/30/u Road Unit BIdg.Off. Tr. PI. APC Parks Var. Date Copie INC PormN No. PermH Holdsr Dsta TNaphone # Plumbing H.V.A.C. Elsctdc Sollanar Inspectlon Date Insp. Commenb Foodngal ? 1 Footinge II Foundatlon Framiny RooMg Rough Plbg. Houyh Htp. Insul. Flreplaee Flnal Hly. Finel Plby. Bldg. Flnal Cert. Occ. Deck Ftg. Deck Frmg. Well Pr. Dfap. F"? ? . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for - 4 !'Lf.X Site Address _ Lot Block Parcel No. Sec/Sub. Est. Value ?sLi.l.r?irUALx: S! ?, c Name W . = Address 3 ° CityPhone Name 140 10 Receipt # Date ,19 OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System = Zoning On Site Well T_ Type of Const Ciry Water _ (ACtuaQ (Allowable) t of Stories Length th D ep S.F. Total Footprint S.F. vi .;,.i,iress APPROVALS FEES li F City PhOnB Assessments Permit r ¢ pj W Name - WatedSewer Police _ Surcharge _ Plan Review I ? z Address Fire SAC, City - ud `W CityPhone ' "" Engr. Plenner _ SAC,MWCC _ WaterConn. I hereby acknowledge that I have read this application and state Council Bldg. Oft. _ Water Meter _ Road Unit thattheinformationiscortectandagreetocomplywithellapplicable APC - TrealmenfPl State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Signature of Permittee Copies TO7AL 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 OHicial Permit No. Psrmit Holdsr Dets Telephons a Plumbing H.V.A.C. Electric 4y? o Softener Inspectlon Dats Insp. Commsnts Footings I * w 13 Footings II Foundation Framing // 87 L ?• Roofing Rough Plbg. Rough Htg. .? 6f 7 Isul. Fireplace Final Htg. Final Plbg. e Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. ? PRICE PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAO, EAGAN, MN 55122 PHONE: 454•8100 Site Address Lot -? lock S/Sub ? Name ? ?o ,' ri;" Address / c t City Phone i Name ' - 3 Address p City Phone FEES COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SUFiCHARGE PER PERMIT - 50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATUOE OF PERMITTEE 'f PERMIT N RECEIPT # DATE: - 7 : BLDG. TYPE WORK DES RIPTION ? Res. _ New Mult. Add-on Comm. Repair Olher RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAI _Water Closet - $3.00 $ -Bath Tubs - $3.00 Lavatory - $3.00 , _Shower - $3.00 Kitchen Sink - $3.00 _Urinal/Bidet - $3.00 _j._Laundry Tray - $3.00 _ I_Floor Drains - $t50 I Water Heater - $1.50 _Whirlpool - $3.00 __?-Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn -SoRener - $5.00 ----x- -Well - $10.00 _Private Disp. - $10.00 _?__Rough Openings - $1.50 FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: a 3 ? . . 1l. r. '?tY?., -.:? ?.? . ...'.-. ...... .,. ?. ?. . . . . ,? PERMIT# 9G? ? , MECHANFEAb ?ERMIT - CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ...•---°--•-- ?. . ' - - SiTe m NflfTl@ V WrNmunoTu m Address ' .S City uuN4W@ ? ....,.,, _ c Address p City _ Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM -? BLDG. TYPE WORK DESCRIPTION R€s. ? New ? Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMin - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) FEE: lil' G? 16 S/C: SG SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN L j F^? (I.er#ifiratp of (IOrrupttnry Cftp of eagan MP}1M1"trilPltf Af l1tt1blttg JILB.pPCIt1tI[ This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the ume of issuance lhis structure was in compliance with rhe various ordinances of the City regutating building construction or use. For the following: Ux C7aaifiurion :OF 4 PLU: 9ldg. PErmit No. li !1 10 Occupaocy Type ru Zoviug DiSVict Llfi* Type Const `m oww otsUmog AM. 14442 ?'dSIOt Bf7D, Mk BufldiogAddres Lm?gy -' B6. H111AW,. DLtE: fluilding Officisl POST IN A CONSPICUOUS PLACE CITY OF FAGAN : : ;j • ? 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 ,19 Site Address Lot Block Sec/Sub. Parcel Na W Name i)i 1! :,,.ANGALP.' = Address u+LVI ? City Phone "33-Ui?i[ o Name -,A `" 0 8! Address P Ciry Phone 6 pj W Name . : .i =o Address g W City - Phone I hereby acknowledge that 1 have read this appflcation and atate that the information is conect and agree to comply with a II 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 State of OFFICE USE ONLY On Ske Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Conat Citywater _ (ACtuaQ (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Variance FEES _ Plan Review _ SAC, City _ SAC, MWCC _ WaterConn. _ Water Meter _ Road Unit _ Treatment P1 _ Parks TOTAL ,. L I I on the express condition that i City of Eagan Ordinance& Building Official Permit No. Permit Holdsr Dote Talephons X Plumbing H.V.AC. t?.?S 7 ? ElectriC p-10(P aly/? ? , s ??: U,?= ? ?rc7 Softener Inspaction Date Insp. Commants Footings I 7_ W 13 Footings II Foundation Framing ii6 g7 L. A• Roofing Rough Plbg. ? - G - 1-97 Rough Htg. Isul. Fireplace Final Htg. J-ff 7 FinalPlbg. _ ;7z?(_? `l Bldg. Final /.??? ( OS Cert.Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. (9prtifiraft uf (Orrupanry Citp of eagan 1BP;w1'fritPllt IIf Wlldb* Jtl.ppPttlDit This Certificate issued peersuant to the requirements of Section 306 ojtke Uniform Building Code cenijying that at the teme of issuance this structure was in compliance with the various ordinances of the City regulating building constructian or use. For the foUowing.• ueeclassirMation I(7F k P?:,l';; G=???11 &dg. Rrnit No. 1^.=. oC ype ?ry'p? ? T7's'/?G'f r?' ? ? OWf1ClOfBlll?dl0? ??1•}"?2 MJ?T ,?lVq?i\?1H F? ?1? ll. u'?ia"4!'l? "' ',) B?dlding Addren Iunli t h' Dsa: . ..? ,- , .'.'., Building Olficu1- . POST IN A CONSPICUOUS PUCE .. ,. ,.. ,:,.. : .? ?., .,.. . ,. .,:, , PERMIT # • . • PLUMBING PERMIT RECEIPT # ~ " "'g S CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address Lot ? Block [02 S;F/Sub ? Name , m Address ' N c . 6 Ciy t , Phone l Name 3 Address p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - 50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? SIGNAT E OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. " New ? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ?Water Cbset - $3.00 $ ?Bath Tubs - $3.00 ?Lavatory - $3.00 ; _Shower - $3.00 ' -1-Ki!chen Sink - $3.00 ? _Urinal/Bidet - $3.00 Laundry Tray - $3.00 _LFloor Drains - $1.50 i ' --J_Water Heater - $1.50 _Whiripool $3.00 _?_Gas Pipin Outlets - $1.50 (MINIM - 1 PER PERMin -Softener - $ .00 -Well - $10.0 _Private Disp. - $10.00 Rough Open ngs - $1.50 FEE: STATE S/C: S L GRAND TOTAL: ? ' 3 Z' ? ? .? ', ... . MECHANICAL RERlMT CITY OF EAGAN • ' 3830 PILOT KNOB ROAD, EAGAN, MN o??c. e i , . ? ...,....?..?. ....... Slt@ Lot. y Name _ ? Address c City _ ? Name _ c Address O cih' - TYPE OF WOAK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM ?- FEE: S/C: SIGNATURE OF PERMITTEE ? TOTAL: RECEIPT# DATE i ' J $- 4 7 BLDG. TYPE Res. ?L Mult Comm. Other WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (FES. HVAC WCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLJES 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) FOR: CITY OF EAGAN CITY '` •' ' 3830 Pilot Knob Road, P.I ? L BUILDING PERMIT PHOP ' To be used for " Est. Value F EAGAN Box 21-199, Eagan, MN 55121 : 454-8100 Receipt # Date ,19 Site Address Lot Block Sec/Sub. Parcel No. W Name " - ? ;; Address ' a City Phone ``' - Name Phone OFFIC E USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const CityWater _ (Actuaq (Allowable) # ot Storiea Length Depth S.F. Totel Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council I hereby acknowledge that I have read this application and state Bldp. Off. thatiheinformationiscorrectandagreetocomplywithalleppflcable APC _ State of Minnesote Statutes and City of Eagan Ordinances. Varience Signature of Permittee A Building Permit is isaued to: all work shall be done in accordance with all applicable State of Minnesota Statul FEES Permit _ Surohar e _ g _ Plan Review _ SAC, Ciry _ SAC, MWCC Water Conn. --- VMer Meter - --- _ Road Unit _ Treatment P7 P _ arks Copies TOTAL _ on the express condition that s and City of Eagan Ordinancea Building Permit No. Permlt Holtlsr Date Telephona 7f T-r Plumbing i H.?.?:?. r Electric Softener Inapeetlon Date Insp. Comments Footings I W? Footings II Foundation Framing Roofing Rough Pibg. Rough Ht9• f.?. Isul. 3 s,za? -1tiOi?s' Fireplace } " ?i/' Late'/? z Final Ht9• Final Plbg. Bldg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. (Itr#i#tratit u# (19rrupanry titp of eagan Dp}tal'flilpttf D'f llttlbtng Jtt8pP[YlOIt This Cenificate issued pursuant to the requirements of Section 306 af rhe Uniform Building Code certifying thar at the time of issuance this structure was in compliance with the various ordinances of the Ci[y regulaang building construction or use. For the following: u: cwsmr"wn I uF 4£".: :: ewg. Ftnuit No. oonuromr iya R3 zodng nasr;a Ty,a cau? ? Owom of Address. .'. '=442 Y?:.! 1 i.. r T?? ? i .:,..• . B6 Building Addrm .. , .. - .- . Lamlity i' : ? Datt: T !.U. E-f%J: Buildin6 Official POST IN A CONSPICUOUS PLACE •k . ' . Site Address Lot .- PRICE PERMIT # PLUMBING PERMIT RECEIPT k CITY OF EAGAN / 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -7 PHONE: 454-8100 ? Name ? i ra Address /?W ?'i 7i ? A4-1 c City e,rR,/4 G c Phone Name _ Address BLDG. TYPE WORK DESCRIPTION ?b Res. ,?- New ? Mult. Add-on ? Comm. Repair ? Other ? - - -.. - - -- _ =- - _ : --_ COMM/IND FEE - 1% OF CONTflACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) R_Water Closet - $3.00 S 3 2 Lavatory - $ .00 J Gas Piping Outlets - $1.50 FOR: CITY OF EAGAN RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL -Z_Bath Tubs - $3.00 -Shower - $3.00 Kitchen Sink - $3.00 _Urinal/Bidet - $3.00 ! Laundry Tray - $3.00 -LFloor Drains - $1.50 J + Zi ?Water Heater - $1.50 , 17U _Whirlpool - $3.00 (MINIMUM - 1 PER PERMIn -Softener - $5.00 -Well - $10.00 _Private Disp. - $10.00 Rough Openings - $1.50 '% .?Z) FEE: ?q <<? STATE S/C: ? b GRAND TOTAL: ?-3 ? ?G y Name _ m Address c Clty _ ? Name _ ; Address 0 City - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other ' MECHANICAL PEANIIY RECEI T 7L P # CITY OF EAGAN f Jf " - 7 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ' :f ? PHONE: 454-8100 UD r BLaG. TYPE WORK DESCRIPTION ? pc/Sub ? r• ? Res. ? New T ND, C? MuR Add-on ?' TVJORTH AVE. S0. Comm. Repair MIIJNENh+W?ny.?:55420 Other 881,9000 FEES RES HVAC 0-100 M BTU -$24 00 . . r ADDITIONAL 50 M BTU - 6.00 Phone (RES. HVAC INCLUDES A/C ON NEW " CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT) 1 50 EA - - . ( . COMM/IND FEE - 1% OF CONTRACT FEE M BTU - APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 M BTU $ REMODELS - 12.00 M BTIJ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 CFM $ ' (ADD $.50 S/C IF PERMIT PRICE GOES ? $?i I BEYOND $1,000) FEE: S/C: ' J SIGNATURE OF PERMITTEE TOTAL• ? FOR: CITY OF EAGAN .? PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN k Site ? Lot. : i . A,s .., . ._ ( m Name Address ?'? '' ` ,x ? • . - ? < ? c City Phone I Name c Address O City ? Phone FEES I COMM/IND FEE - 14'o OF CONTRACT FEE I APT. BLDGS - COMM RATE APPLIES ' TOWNHOUSE 8 CONDO - RES. RATE APPLIES ? MINIMUM - RESIDENTIAL FEE - $12.00 ' MINIMUM - COMM/IND FEE - $20.00 j STATE SURCHARGE PER PERMIT - .50 ',. (ADD $.50 S/C IF PERMIT PRICE GOES aFVntin ci nnn nrn . ->._ A/I'Lf ' FOR: CITY OF EAGAN PERMIT N _ RECEIPT q 122 DATE: _f X BLDG. TYPE WORK DESCRIPTION >.? Res. New ° Mult. Add-on Comm. Repair ' Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL _Water Closet - $3.00 S _Bath Tubs - $3.00 _Lavatory - $3.00 -? ' -Shower - $3.00 -Ki?chen Sink - $3.00 -Urinal/Bidet - $3.00 ? _Laundry Tray - $3.00 _Floor Drains - $1.50 ? _Water Heater - $1.50 . _Whirlpool - $3.00 ' -Gas Piping Outlets - $1.50 ? k? (MINIMUM - 1 PER PERMIn _Softener - $5.00 _Well - $10.00 1 _Private Disp. - $10.00 _Rough Openings - $7.50 ? FEE: ? 1 STATE S/C: ------- 1 GRAND TOTAL• CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, PHONE: 454-8100 BUILDING PERMIT Receipt To be used for FIREPI.ACE Est. Value il +000 Dat Site Address 4114 l96AD0W1,ARK pD $ Lot 3 Block 6 Sec/Sub. HIl.1.ANDALE 7BD Parcel No. ¢ Name HARK TRANCIS 3 Address 4116 MBJ?DOH[.ARR RD S ° CitY EAGAN Phone 688-7424 , o Name H?T-N-GLO ?Q Address 3S`? w? 13 ,- City BURNsVILLE Phone 890-0758 Name _ Address Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with ali applicable State o( Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee ?`. A Building Permit is issued to: HEAT-N-CLO on the express condition that all work shall be done in accordance with all applicable State ol Minnesota StaWtes and Ciry of Eagan Ordinances. Building Ofticial OFFICE USE ONLY Occupancy - FEES Zoning - 26. ? (Actual) Const - Bidg. Permit (Allowable) - Surcharge .50 # ol stories - Lenglh _ . Plan Review Depth - SAG City S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Site Well - Waler Meter MWCC System _ Acct. Deposil City Water _ PRV Required _ SNJ Permit Booster Pump - S/W Surcharge Treatment PI APPROVALS Road Unit Planner - park Ded. Council Ski Off. _ Copies Variance - TOTAL 26.50 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments FooGrgs I Foundation Framirg Rooeng Rough Plbg. Rough Htg. Iw1. Fraplace Z Final Hlg. Final Plbg. Cqnst. Meler Pibg. Inspector - Notify Plumber Ergr./Plan . Bldg. Ffnal Deck Ftg. Deck Final Well Pr. Disp. BLDG. PERMIT NO.111I'i 1 ,.?. 01-3210 Bldg. Permi 01-3422 Plan Check 01-3445 Surch./Adm. 01-6446 SAC/Adm. 01-2155 Surcharge 17=3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL BLDG, PERMIT N0. 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ? ' 7-//? ? ? nn Z ^? .1 ' L J 1z=; ?-v BLDG. PERMIT N0. 01-3210 Bldg. Permii 01-3422 01-3445 01-3446 01-2155 17-3860 20-2275 20?3865 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 11-3855 Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permi Sewer Permi Sewer Conn. Park Ded. TOTAL A BLDG. PERMIT N0. 01-3210 Bldg. Permi 01-3422 Plan Check 01-3445 Surch,/Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20•3865 Water Conn. 20;3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL -- CASH RECEIPT • y°?,? CITY -OF , EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 -:DATE 4 19 aecerveo : - '- ? rnoM AMOUNT $ 6 DOLLARS 1 oo ? CASH CHECK i POR FUND COOE AMOUNT Thank You BY "+j ! d . -. ...• ? . White-PaYers CoPV Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGQN' , 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 I RCCHIV6D . . FROM i? AMOUNT $ & DOLLARS 1 oo ? CA5H ? CFiECK r ROR h /? / ? FUND COOE AMOUNT I - Thank You ev E-t??x..-<?._..? White-Payers Copy Yellow-Posting Copy Pink-File Copy arr &UcnN 3830 Pflot.iCnob Road P.O. Boz 21189 Eagan, MN33#21 Zoning: Rl Owner: ''aven EnteYprises Address: Site Address: 4114 S Meado4rlark Plumber. ?akesfde Fv?; 761;9 ..-5-107 I agree to comply wkh the CNy of Eagan Ordlnances. 811 Date of Insp.: Insp.: SEWER SERVICE PERMIT PERMIT NO.: 100k 7 DATE: 0-7-F7 No. of Units: 1 Poad 7,3E .1 illandal e ' 100.00 Connection Charge: 525 _Ci` Account Deposit: 1-5 Permit Fee: Surcharge: Misa Charges: Total: Date Paid: CITY OF EAGAFI Permit Na Date: 3830 Pilc.i Knob Rood Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 ,?a.•t', .i?ter;r3ses .,....,.._ teAddress: lumber. =?a"esic'e onn.Chg: 5 1-5 .00 Zoning: ''1 -ct. Dep: 15.00 No. of Units: I armit Fee: 1 0 . C; ^ ircharge: •? ? I agree to comply wiih the City of Eagan . Plant 180.00 ? Ordinances. eter. isc.: gy ? _-? WATER SERVICE PERMIT CiTY OF EAGAN Permit No: Date: ? 3830 Pilot Knob Road Meter No: Size: ? P.O. Box 21799 Reader No: Date: 1.4-2 L LZ ? Eagan, MN 55127 -r:: Ii 'r',itterprisFS ' Owner. - Site Address: ? Plumber. Conn.Chg: ?z?.vU mg: ??i Acct.Dep: 15.00, o.Units: 1 Permit Fee: 1?{?jn?ei„na?OCa?Ut? Surcharge: ti??{ZrieOtbtbmply wHh the CNy of Eagan Tr. Plant 7ERMIT Meter. `7.???5 1 Misc.: By WATER SERVIC CITY OF EAGAN 3830 PNot Knob Road P.O. Box 21199 i=jEagan, MN 55121 Address ':1"1i"" tEember ner. Permit No: s Meter Noo-Z Reader No: d.--3. WATER SERVICE Eagan, MN 55121 • IIaven Eaterprises Date: / Size. ?---C Date: `?j" q- with the City ol Eagan ? ?936 Dat? 3-7-E7 7 CITY OF EAGAN Permit Na 1 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Read r No:. _ Date: Site 525 -00 Conn. Chg: Zoning: Acct. Dep: 1 5 01n No. of Units: ? Permit Fee: 10 • 00 n I f E Surcharge: aga I agree to comply with the Clty o Tr. Plant 1W.00 Ordinances. Meter. 67 L1f1 Misc.: , By WATER SERV ICE PERMIT arr oP eacnw 3830 Pilot Knob Road P.O. Box 21199 ` ? +o Eagan, MN 55121 '+'` e ` Zoning: F' I Owner. "aven Enter s a Address: Site Address: 4112 S1fe'-d°T' lg k Plumber. LnkesIde not?r76199 8-5-Ri I ayree to comply wkh the Cfly of Eagan O?dinances. BY Date of Insp.: Insp.: SEWER SERVICE PERMIT PERMIT NO.: 10 CP, c DATE: 8 -7-°7 No. of Units: i Pnad Lt nl. v111.arAalP 3 100.00 Connection Charge: - S-?00 Account Deposit: j s 04 Permit Fee: 10 0il Surcharge: Misc. Charges: Total: Date Paid: CITY OF EAC34N Permit No: Date ?- 3830 Pilof Knob Rosd Meter No: 3 3 92 Z oo Size: ? P.O. Box 21199 Reader No: 2SL ?4 Date Eagan, MN 55121 Owner. : ? a Site Address: 41 Plumber. Conn. Chg: ? 'l ? ; R3 Acct Dep:?r nits:, i l ntit?eO i ll l ?i Permit Fee: ?? E? BeforP ne ca oca ? ¢F Surcharge: .=.?rri [ou nniG _ GI Fcj??e?o?f?ily with the City of Esgan Tr. Plant ^ O i Meter. ? Misc.: By a .. _. . . _ ,,.. . _ • -- ---CITY (zG cAGAN s Permit No: ` ?'•' Date: 3830 PilotlCnob Road Meter No: Size: P.O. Boz 21198 Reader No: Date: Eagan, MN 55121 Owner. SiteAddress: 4 11E S *•o ,+ ' TM? ,?ril anl aZe ., Plumber. i caiue Conn. Chg: `•''S 00 Zoning: F,y Acct. Dep: 1 ; , 41 No. of Units: ? Permit Fee: 3000 Surcharge: _-Sg 1 agree ta comply with the City of Eagan Tr. Plant__1gE;., na Ordinances. Meter. Misc.: gy WATER SERVICE PERMIT GAN ? CITV t* e?A SEWER SERVICE PERMIT , 3830 PIIaPKnob R08d pERMIT NO.: 11008' P.O. Box 21199 ,,1_?_.??7 Eagan, MN 55121 DATE: Zoning: R1 I No. of Units: " Owner. Iiaven I;nte e Address: ...n . . ..__y_"l'-L 0.....7 T? 4.F r7l1 lARL'L a i - - BPP.?7?199 B-S-Q7 I agree to comply wNh the City ol Eagan Connection Charge: Ordlnancea. Account Deposit: - Permit Fee: Surcharge: B Misc. Charges: - y Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAIt SEWER SERVICE 3890 Pilot Kna? Road ; P.O. Box 21189. PERMIT NO.: Eagan, MN 55721 DATE: Zoning: = ' No. ot Units: Owner. F'aven Fnterp rises Address: Plumber: - BPF.? 76149 8-5-S7 I agree to comply wRh the City of Eagan Connection Charge: Ordinances. Account Deposit: _ Permit Fee: Surcharge: By Misc. Charges: - Date of Insp.: Total: Insp.: Date Paid: OF EAGAN, Permit No: 34 Date: ` Pilot Knoh Rosd. Meter No: Size: Box 21199 - Reader No: Date: m, MN 55121 aaven :alternTises er. „ll.---• ' !,%a ow azn .oa? LY U a e nn. Chg: 51, ? :;r? Zoning: '.? ct. Dep:-15 - 0 +: No. of Units: j •mit Fee: 00 ,charge: I agree to comply with the City Plant 320.?00 _ Ordinances. ter. sc.: By CITY OF EAGAN, Permit No: `'" ?`+ ?? _ 7_? 7 3830 Pilot Kno[s Road Meter No: ?0 3 S a g6 Date: Size: P.O. Box 21799 Reader Na 6 3 P 9.,9 9 i x Date: Eagan, MN 55721 Owner. %'av?n <:nternri„?s SiteAddress: j ' S?='ea ow arri Rou;: 2 oan a e_ Phimhcr Y.«l???-'Slde Conn. Chg: -5?,?rra1; Tt41111111A LO1111F.SM Acct Dep:- 15 oy Be;nro dpQ *6*4 PermitFee: i? nn w r Surcharge: n???+ur MCT14Iv'• Tr. Plant }? ?ABE r n, Meter. Misc.: By WATER SERVICE E 'rl CO\AIT I 1 with the CNy ol Eagan , _. MIT ? n/?re?s?: '_ NRJ it4. SEDGWICK HEATING & AIR CONDITIONING CO. HEATING 8970 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS AA OCCUPANT SOLD BY ?-2?- MAKE L Y vj ?1 b? _ SERIAL NO. r? THERMOSTA ? ~XJ VALVE LIMIT ?? ? ? 7Y ? 'JP 9n.._ / LIMIT SETTING FAN SEiTING VVN e PILOTTYPE 5 ?- IGNITION MODEL ? I r L PILOTTIMING vi- ?- v PRESSURE - J PERCENT CO2 INPUT CFH `?. PERCENT OZ 5 STACKTEMft PERCENTCO FORM 235 (REV. 11189) JOB NO. ciTV ?-? ? + ?v?1 JV` n? SS l( Z ? OWNER '? %?^? ? INSTALLEDBY ?E'?-?k-a? ?C_ C MODEL 6 {p ?S?LJ INPUT VENT SIZE h ? 1 T1412E OF LINFR J ? INRR SIZE L l? : SIZE ? NUMBER Sv- h ?--- fiEST TAG LIGHTING INST. DATE TESTED COMPANY TESTING NAME OF TESTER FORM DISTRIBU , HITE COPV - JOB FILE YELLOW COPV - CRV , ..??s rr.ques[ void 18 months from 0 s. 6_4.3 0 8 78.?`'?J ?z Fenuestqate T / I ire No. RouPh-in InsUer.tion RequireA? ?Ready Nuw [X1?1{ill Notffy InsPec- 10 -16 - 8 7 ? KNes ? No tor When Ready KXLiiynsed Elecirical Contractor I hereby request inspection of above ? Owner electrical work installed at: SUeet Address, Box or Raute No. . Crty 4118 MEADOW LARK )PX0*ft ROAD EAGAN ection o. Township Name or No. Range No. County I DAKOTA Occupnnt(PqlNT) ' Phone No. • HAVEN ENTERPRISES,, INC. 933-0562 Power Supplier Address DAKOTA ELECTRIC FARMINGTON Elecirical Contractor (Company Name) Coiitractor's License No. C& M ELECTRTC, INCB A-042214 Mailinp Addr (Con[ractor or Owner MakinH Instailation) P.O. BOX 32 KE ILLE MN 55044 r , Authorized Sig ature (Contracmr? e i n lation) Phone Number 1 469-3233 MINNESO TqTE 90ARD Of ELECTRiCITV ? THIS INSVECTION REQUEST WILL NOT Griggs- ay Bldg. - Hoom N-197 gE ACCEPTED BV THE STATE BOARD 1821 U ersitv Ave.. St, Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS an..na i i91 Fa9-nann ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION . ee-ooooi-os 1 See instructions for compieting this lorm on back ot yellow copy. D 643 0 8 "x" Belaw Work Covered by This Request New Add Hep. TYVe ol Buildine APpliancea Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electrie Heatin Commercial 81dy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peci v bihor lspqcifvl t er Speci/Y Other Oth?r omPute lnspeczion Fee Below M Fee Service EntranceSize M Fee Fexders/Subfueders a Fea Circuits ], 2.OD 0 to 200 Amps 0 to 30 Am s 1 2 3 6.? 0 to 30 An s Above 200 Amps 31 to 700 Amps 31 to 100'Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Pa rtiaLOther Fee Signs Special Inspection S 2 5 • TOTAL FE r Remflrks . 5 ?' v- Rough-in Data 1, tha Electrical r ?,? ?, InsDe[tor, hereby certify Ihai the ?hove Final P DaLe? 'nspection has baen de. TAiereouestvoldi8monthafrom ? T.his reduest void trom o? p `? 4 3 0 7..,-? 7'71 Feque'st Uate ire No v Rnuph-in Inspertion 10-16-87 R uired? ? ?ReaAy NowiQlfll NotifV Inspec- b ? es ?No ? r When Ready [XLicensed Elec[rical Contractor 1 here6y request inspec<ion of above ? Own er electrical work installed at: Street Address, Box or Route No. SOUTH City 4116 MEADOW tFRK R'J9xPA>r ROAD EAGAN eMion o. Township Name or No. ge Na. County 77 7 DAKOTA OccaGantIPRINT) HAVEN ENTERPRISES, INC. Phone No. 933-0562 Power sunouer DAKOTA ELECTRI'C '4ddress FARMINGTON Elec[rical Coniractor (Company Name) Contractor's Licensa No. C f M ELECTRIC, INC. A-042214 Mailinp qdJre (Contractor or Owner Making Inscailation) P.O, BOX 328• L KE ILLE, MN 55044 Auffiorized SgnaWre (Contractor/Own I Ilation) Phone Number 469-3233 MINNESO# STATE BOAflD OF ELECTqICITV O THIS INSPECTION REQUEST WILL NOT Grie9s-MS,lwey Bldg. - Room N-791 BE ACCEPTED BY THE STATE BOA11D 1821 Uniharsitv Ave., St. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. /v/a /_/g? REQUEST FOR ELECTRICAL INSPECTION « eep-oooot-os -?P IlO See ins2ructions for completing this torm on beck of yellow copy. 4 3 0 7 "X" Below Work Covered by This Hequest WewI AAdi Rep.I Tvoe of Buildinn I Aaoliances Wired I EquiVment WireA ? Duplex Water Heater Lightfny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Fumace Silo UIIIOGdP.f Industrial Bldg. Air Conditioner Bulk Milk Tank F?..., Other Pec- y nther (5uer,ify) LO/IlDUfB 1n50@C[lO/I FP.B BCIOW p Fee Service EntrenCeSize » Fee Feeders/Subfeeders # Fr.e Circuits 0 to200qm s 0 to30Am s 12 3 O to30An s Above 200 qmps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Am2s Transformers Irrigation Booms Partial-'Other Fee I Signs ? I. ISpecial Inspection ?$ 52 ??OI TOTAL ' FEE flerru? rks flough-in D`'t` i tha Flectrical , Inspector, hgreby ? cerlify ihat the above Final ?ate7 inspection hes been ? mede. rhie request voltl 18 monlhs trom /O/?(,; /$? REQUEST FOR ELECTRICAL INSPECTION /E?a-Qooo/o7t- 1 See instruction5 tOr cOmDleting lhis form on 6ack O( y011ow coDY. 4 3 O 6 "X"' Below Work Covered by lhls Request !aA Rep. ?Type ot Building Applluncas Wired EquiVment Wired Home Ranye Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Building Dryer Electrie HeaUn Commercial Bldy. Fumace Silo Unioader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Ocher Sne„, v .ther ISVo".tyl t er Specify Other O1hLr Compute Inspection Fee Below p Fee ServiceEntrance5ize !t Fee Feeders/5ubteeders # Fea Circuits 0 to200Am s 0 to30Am s 3. 0 to30An s Above 200 Amps 31 to 100 Amps L} 1 to 100'Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers ' Irrigation Booms Partial,'Other Fee Signs Speciai Inspection $ 52 5 T07AL F Rem?rks . r). ? RouBh-in ?i D`i1e 1, the Electrical InSpector, hereby Final P o.1e certify Ihat the nhove inspection has been t? . . ???? 6 6 rv ! ? made. (hin request vold 18 months from This request void ,s montns rrom 0 S 43Ci G ? l, Gi,,,.,,,?: Requeai Ua:c ti `vv 1?-16-87 ire No. v RouPh-in InsDection Pec- ?ReadvNow[?YQ' 'I h f ?No .4JC r W Ready en )CXUtensed Elec[rical Contractor I hereby request inspection ot above n Owner electrical work installed at Slreet tldAress. 8ox or Route No. C it1' 4114 MEADOW LARK ?)DAW ROAD EAGAN ectron o. Township Name or Nrn Range Nn. Counry I I DAKOTA OccuGent(PRINT) HAVEN ENTERPRISES, INC. Phone No. 933-0562 PowerSupDlier DAKOTA ELECTRIC Aed?ess FARMINGTON Electrical Contractor (ComVany Name) C?ntractors License No. C& M ELECTRIC, INC. A--042214 Mailine Address (Contrector or Owner Making Instailation) .0. BQX 328; LAKEVILLE, MN 55044 Authorized ign ure (Contractor/Owner I tionl Phone Number 469-3233 MINNESO?TA7E BOARD OF EIECTPICITV / THIS IIVSYEGIIUN HtLLVtJI wiLL rvui Griggs-M ay Bldg. - Room N-191 BE ACCEPTED BV THE STATE BOARD 1821 Uni ersitv Ave., St. Paul. MN 55104 UNLESS PflOPER INSPECTION FEE IS Phone (672) 642-0800 ENCLOSED. /Q/?t%'rJ REQUEST FOR ELECTRICAL INSPECTION ee-oooot-os 0 See instructions tor completing this form on back ot yellow copy. 0 c 6213 05 "N" Below Work Covered by 7his Reques! N Add Rep. TVDe ot Buildin9 ApvlianceeWired EquiUnient Wired ' Home Fange Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric HeaLn Cominercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other per,i y Other ISUec:fV) p Fee Service EnlrenceSize A Fee FqAders/Subfeeders N Pee, Circuits Q, 00 U to 200 Am s 0 to 30 Am s O to 30 An s Above 200 Amps 31 to 100 Amps 1 to 100 Am s Swimming Pool Above 100_Am s Above 100_/amps Transformers Irrigation E3oonis Partial- Other Fee Signs Special Inspection $ % 6 Remarks 52.. 50 TOTAL F Rough-in 7 1 Oate . , ? I, the Electncal ? ? y-pD InspeCtor, here6y cerlity that the above Final , U??? inspection has been ?- • ? l?? ?da. Thie requast void 18months from This reQUest void/a 76 months from 0 - :6 4 3 0 5 i ? ?? / i!///n?,.•l?n 1?., -?? ??"? ?'? Request Uate 1?-1[__87 V i}e No. Rouph-in InsUertion Reyuired? ? E]fleadyNowUWillNOtify.lnspec- ?yet E) Na [ur When Ready R Licensed Electrical Contractor I hereby request insVection of above Owner electrical work installed at: Streel Address, Boa or Route No. U H . City 4112 MEADOW LARK )P"XDO)C ROAD EAGAN ecuon o. Township Name or No. Ranor No. DAKOTA OccuGant (PRINT) PFione No. HAVEN ENTERPRISES, INC. 933-0562 Power Supplier Address DAKOTA ELECTRIC FARMINGTON Electrical Contractor (Company Name) Comractor's License No. C& M ELECTRIC, INC. A-042214 Mailinp Address ontractor or Owner Making Instailationl .0. BOX 328; AKEVILLE, MN 55044 Authorize Sipn ure IContractor/Owne i Ifationl Phone Numna. I 469-3233 MINNESOT?TATE BOAHD OF ELECTqICITY / 7H15 INSPEC710N REQUEST WILL NOT Gnggs•Mi ay Bldg. - Room N•191 ? BE ACCEPTED BV THE STqTE BOARD 1821 Univarsitv Ave.. St. Peul. MN 55104 UNLE55 PPOPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. / CITY OF EAGAN N0 17086 _ 383(# Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 C BUILDING PERMIT Receipt # To be used for FIREPLICE Est. Value $1, 000 Date SEP 19 1989 Site Address 4114 MEADOWLARK RD S Lot 3 Block 6 Sec/Sub. HILLANDALE 3RD OFFICE USe oNLv Parcel No. occupancy _ Fees Zoning ¢ Name ?K FRANCIS (ACtuaq Const Bldg Permit 26.0 0 W 4114 MEADOWLARK RD S Address (Allowable) - . - 50 o City EAGAN Phone 688-7424 # ol Stories Surchar e _ g . Plan Review Len9th o Name HEAT-N-GLO p¢pth SAG Cit Z pO U Address 3850 W HWY 13 S.F.7otal - y ? City BURNSVILLE phone 890-0758 S.F. Footprints _ SAC, MCWCC C W On Site Sewage ater onn _ e On Site Well M W 1 ? ater eler - 0K o Address 1 MWCCSystem _ 0 Phone City Waler _ A?• Deposit PRV Required _ S/W Permit I hereby acknowlege that 1 have read this application and state that the Boosrer Pump - S/W Surcharge information is correct and agree to comply with all appiicable State of Minnesota Statutes and City of Eagfln Ordinances. Treatment PI ? APPROVALS Signature of Road Unit -N -GL O A Building Permit is issued to: HEAT ? Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and Cit yr o( Eagan Ordinances. gld9 pff Copies , Building Oflicial n1f4 1\i ' 171? Variance - TOTAL 26.50 FOR SALE T.H. ur1ITS CITY OF EAGAN - 140,09 3830 Pilc+j,.Knob-Aioad,. P.O. Box 21-199, Eagan, MN 55121 No PHONE: 454•8100 r? q BUILDING PERMIT Receipt # / ?O? g / To be used for 1 OF 4 PLEX Est. Value $83, 000 Date AUGUST 5 19 87 Site Address 4118 SO MEADOWLARK RD Lot 1 Block 6 Sec/Sub. HILLANDALE 3RD Parcel No. x Name TOWNHOMES OF HILLANDALE = Address 14442 R S VD ? City MTKA Phone 933-0562 ,o Name SAME zo Q Address P City Phone V W Name DU'MONCEAUX LARKIN y j ?z- Address 8301 81ST ST Q W City BLMGTN phone 831-1844 I hereby acknowledge that I have read this application and state that the informatfon is correct and ag ree to comply with all applicable State of Minnesota Statutes and Qity_of E?gt?i1 Ordinances. Signature of Permittee .o/?z A Building Permit is issued to: TOWNHOMES OF all work shall be done in accordance with all a li abl Building Official State of OFFICE USE ONLY R3 On Site Sewage _ Occupancy MWCC System X Zoning R4 On Site Well Type of Const V,.A City water ? (Actual) (Allowable) # of Stories Length Depth 44 S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit $ 444.00 WatedSewer _ Surcharge 41.50 Police Plan Review 222.00 Fire _ SAG City O 10010 Engc SAC, MWCC 525.00 Plenner _ WaterConn. 525.00 Council _ Water Meter 67.00 Bldg. Off. _ Road Unit 305.00 APC _ Treatment P7 7 R(1 _ n(1 ,Variance _ Parks Copies TOTAL ??3o _ on the express condition that and City of Eagan Ordinances. FOR SALE T.H. tiNITS CITY OF EAGAN N 0- 14 010 3830 Pilo+ Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt /y fO ?y / l # / 7 To be used for 1 OF 4 PLEX Est. Value $83 , 000 Date AUGUST 5 1g 87 Site Address _ Lot 2 Block Parcel No. F Sec/Sub. HILLANDALE 3RD a Name TOWNHQMES OF HILLANDALE 3 Address 14442 EXCELSIOR BLVD 0 City MTKA Phone 933-0562 UIName SAME I ou Address r City Phone r¢ FW Name DU'MONCEAUX LARKIN Address 8301 81ST ST cc= City_ BLMGTN Phone 831-1844 ? aW OFFICE USE ONLY R3 On Site Sewage Occupancy - - MWCC System X Zoning R4 On Site Well Type of Const Vn - City Water 3F (Actual) Vit_ (Allowable) # of Stories -- ' - 2 27 Length Depth 44 S.F. Total Footprint S.F. APPRQVALS Assessments Water/Sewer Police Fire Engr. Planner Council I hereby acknowledge that 1 have read this application and staTe Bldg. Of}. _ thattheinformationiscorrectendagreetocomplywithallapplicable I APC - State of Minnesota Statutes an City of n Ordinances. Variance _ Signature of Permittee A Building Permit is issued to: TOWNHOMES 0 ILLANDALE all work shall be done in accordance with all appliottrlL??t te of? Minn? Building Official 4116 SO MEADOWLARK RD FEES Permit ? 444.00 Surcharge 41.50 Plan Review 9 9 9_ 00 SAC, Ciry i nn _ np SAC,MWCC 595_(10 Water Conn. 929-00 Water Meter 67-.Zo Road Unit _305?p0 Treatment Pt 7 R(1 _ OQ Parks Copies TOTAL 2 ? .50 on the express condition that I City of Eagan Ordinances. ? FOR SALE T.H. liNITS CITYOF EAGAN No 3830-Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT 14011 Receipt# cf I To be used for 1 OF 4 PLEX Est. Value $83,000 Date AliG[iST 5 1987 Site Address 4114 SO MEADOWLARK RO Lot 3 Block 6 Sec/Sub. HILLANDALE 3RD Parcel No. rc Name TOWNHOMES OF HILLANDALE z Address 14442 EXCELSIOR BLVD ° City MTKA Phone 933-0562 UQ?Name SAME I ? Address ? City Phone yVjW GName DU'MONCEAUX LARKIN =?z-y Address 8301 81ST a W City BLMGTN phone 831-1844 OFFICE USE ONLY On Site Sewage Occupancy R3 MWCC System X Zoning R,/# On Site Well Type of Const Vp City Water X (Actuan Vil (Allowable) # of Stories Length Depth L.L. S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council I hereby acknowledge that I have read this application and state I Bldg. Off. that the information iscorrectand agree tocomplywith all applicable APC State of Minnesota Statutes an C' y of E n Ordinances. Variance Signature of Permittee A Building Permit is issued to: TOWN MES OF HILLANDALE all work shall be done in accordance with all applica te of Minnesota tutes Building Official .r FEES _ Permit _ Surcharge _ Plan Review _ s,ac, cnr _ SAC, MWCC _ WaterConn. _ Water Meter _ Road Unit _ Treatment P1 _ Parks Copies $ 444.00 41.50 999_no inn.n0 525.00 _.575, 0 67_no 305.00 1 R!1 _ f)Q TOTAL $2,409.50 on the express condition that 1 City of Eagan Ordinances. FOR SALE T.H. liNITS + CITY OF EAGAN N ° 14 012 ? 3830 Pilot Knob Rbad,`P.0. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for 1 OF 4 PLEX Est. Value $58, 000 Date AUGUST 5, 1 g 87 SiteAddress 4112 SO MEADOWLARK RD OFFICE USE ONLY 4 6 HILLANDALE 3RD Lot Block Sec/Sub on Site Sewage Occupancy R3 . MWCC System X Zoning ?$4 Pel'C61 NO. On Site Well Type oi Consi _ V City Water X (Actuai) ii m Name TOWNHOMES OF HILLANDALE (Allowable) Vn z 14442 EXCELSIOR BLVD Address # of Stories LB„ath 29 0 City MTKA Phone 933-0562 Depth 44_ S.F Total , o Name SAME . Footprinf S.F. ? ? Address APPROVAI.S FEES ? City Phone Assessments Permit 356.50 00 W W Name DU'MONCEAUX LARKIN WateUSewer Police _ Surcharge _ Plan Review ll. 25 ~ xz- Address 8301 81ST Fire SAQ City - 1 nn _ np UO a W City gLMGTN phone $31-1844 Engc _ SAC,MWCC W --52-1--DO 545 00 Planner ater Conn. _ Council _Water Meter 67. 00 I hereby acknowtedge [hat t have read this applica[ion and siate Bldg. Off, poad Unit 305.00 thattheinformationiscorrectantlagreetocomplywithallapplicable APC - TreatmentPl 180_n0 State ot Minnesota Statutes and City of Eeg Ordinances. Variance _ Parks CopieS ? 5 Signature of Permittee TOTAL ? TO OMES OF HI AND ALE A Building Permit is issued to: on the express condition that all work shall 6e done in accordance with all applicabD t e of M innesota tutes nd City of Eagan Ordinances Building Official a FOR SALE T. H. UNITS CITY OF EAGAN 3830 Pflot Knob Road, P.O. Box 21-199, PHONE: 454-8100 BUILDING PERMIT Eagan, MN 55121 0 12827 Receipt # To be used for F'OUNDATION Est Value Date OCTOBER 30 1986 Site Address 4112 ,14 ,16 ,18 S MEADOWLARK RD Erect ff Occupancy Lot 1-4 Block 6 Sec/Sub. HILLANDALE 3RD Remodel ? Zoning Parcel No. W IName TOWNHOMES OF HILLANDALE 3 Address 14442 EXCELSIOR' BL`7D ° CitY M'1'KA Phone 933-0562 =o Name HAVEN ENTERPRISES INC ? Q Address 14442 EXCELSIOR BLVD ? ciry MTRA Phone 933-0562 ? ? W Name i)LT' MON(`F.A tX L RKTN Address 4801 81 ST ST aW City RT.MGTNphone 831-1844 I hereby acknowledge that I have read this appl ication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ? ances. Signature ot Permittee ? A euilding Permit is issued to: HAVEN ENTE PRISES all work shall be done in accordance with all aoolicable State of Minnes Repair ? Type of Const Addition ? No. Stories Move ? Length Demolish ? Depth Int. Impr. ? Sq. Ft. Install ? Approvals Fees Assessment Permit $15.00 Water & Sew. Surcharge Police Plan Review Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit BIdg.Off. 10Z30?q Tr. PI APC Parks Var. Date I Copies $15.00 Total INC on the express condition that t Sta tes and City o of Eagan Ordinances. Building Official ???0 cz Co???CIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Fountlation Onl New Gonstruetion Interior Im rovement • Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) . CivilPlans (2) • ProjectSpecs (1) • CodeMalysis (1)" . LandscapingPlans (2) • KeyPlan (1) • Project Specs (1) . Code Analysis (1) " • Master Ebt Plan (1) • Spec. Insp. & Testing Schedule " . Certificate of Survey (1) • Energy Calculations (1) not always'* • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Pomr & Lighting Form (1) not always" . Meter siae must be established . Meter size must be established • Meter size must be established -if applicable • Project5pecs (1) 1 • EnergyCalculations (1) *" 1 1 • Electric Power & Lighting Form (1) "* 1 d • Master Ept Plan (1) 1 1 • Fire Protection Plan (1)" 1 l • Soils Report (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter cali 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. DATE: 02 WORK T`?Y? ? NEW ? REMODEL CONSTRUCTION COST: i,9'1 I,?` Z SITE ADDRESS: -1 1 I Z - '? ? `? n mt°ori ov\4 I o tf t _CL "41'yl q11b TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK ?V)ZtaA? U' e r oh Pj Y' u YA-lt1'se Name: [?S50C, Phone #: ( 4- 0Z1? ) PROPERTY Last First OWNER City: State: Zip: Company: ?I l hhe??j,?'1 ? V 1 Y1?U Y'?1 i i14"? Phone #: ,p 63 ' ?1 ?1 CS CONTRACTOR StreetAddress: City: State: Zip: '?r_737? ARCHITECT/ ENGINEER Company: Phone #: ( ) Name: Registration ,-? t2 (1 (? ? ??JI Street Address: City: State: Licensed plumber installing new sewer/water service: I hereby acknowledge that I have read this application, state that the information is Minnesota Statutes and City of Eagan Ordinances. Phone #: ("- ) and agree to comply with all applicable State of Signature of OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/Ind ustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Crreenhouse ? 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 Additian ? 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 Building ? Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MCBS System CiTy W ater Fire Sprinklered 0 Plumbing ? Stucco/Stone Variance Permit Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies f VALUATION $ % SAC SAC Units Meter Size Total • + c Fc 1986 SIIILDING PERMIT APPLICATION - CITY OF EAGAN HOTE: ALL CONTRACTORS MUST BE LICENSSD iTITH THE CITY OF EAGAN SINGLE FAMIILY DAELLINGS INCL(JDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIO 1NtTLTIPLE DWELLINGS - RESIDENTIAL AEHTAL I18IT5 FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMIlMERCZgI: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANSx 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCDLATIONS, $2,000 LANDSCAPE BOND I To Be Used For: &0?? Valuation: Site Address +11Z)14 , I(0,18 X) M?c?N-Qp, I Lot 1-41 Block 6 Parcel/Sub Owner /v Z?Or.e:? ? Address mn.7r City/Zip Code Phone ? Contraetor ?'?r?1J .?N? ,?/?L, , Address City/Zip Code ??,??i 5?,??j$"? Phone y'.j3 -6>-5'.? z- Arch./Engr. a'</ ??,,/?c?,i?i Y?i%r? Address ?4 5-1? City/Zip Code ,v%z?r.r/,?.?-? ssyj? Phone # _ '?'??j? Ereet ? Occupaney Remodel Repair Addition Move Demolish Ti1t. Tmpr . Install Date: Zoning Type of Const # of Stories Length Depth Sq Ft APPROVAI.S FSFS Assessments Permit ls• Water/Sewer Sureharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Varianee Copies TOTAI. \ . NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEH MUST DSSIGNATS AHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOiIED ONCE BQILDING PERMIT IS ISSDED. <? u ?\ 5-3 1 c6 78?-??60 9?y.y137 . - 'a / qO / 20.? 1987 BIIILDIAiG PERMI? APPLICATION - CITY OF EAG9Id SINGLE FAMILY DWELLINGS INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRtIEY, 1 SET OF ENERGY CALCUI.ATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiTNEE MUST DESIGi1ATE WHICH ADDRESS IS DESIRED. NO CH9NGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSQED. MULTIPLE DWELLINGS - RESIDENTI6L RENTAi. iJidITS FOR SALE [INITS INCLUDE 2 SETS OF PLANS, CERTIFIC6TE OF SIIRVEY - CHECg WITH BLDG. DEPT., 1 SET OF SNERGY CALCULATIONS . C0:MRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For PLANS, Valuation: ? D(SO . Date: ?-f Site Address ? I P?Al )Xle?? Lot ? Block 6 J Parcel/Sub gA'"?? 3 rd Owner Address ?- Z City/Zip Code Phone 933 -O.S"6z Contractor 44,x{? Address 54/V05" City/Zip Code Phone Arch. /Engr. „cv Address I-r r City/Zip Code a ? Phone ik 931? On Site Sewage_ Oecupancy ?.'? MWCC System ? Zoning 2 4 On Site Well Type of Const City Water -7 (Aetual) :70 (Allowable) -4:N # of Stories Length 2L. Depth ? S.F. Total Footprint S.F. lPPROVALS FEFS Assessments Permit 3?to•? Water/Sewer Sureharge Z9. Police Plan Review Fire SAC, City 1 c?p . Engr SAC, MWCC 525. Planner Water Conn S2 5. Council Water Meter (o'?. Bldg Off Road Unit 3 n S. APC Treatment P1 lbD. Uarianee Parks Copies TOTAL 22Gs. '7 . - - / vo 1987 BIIILDING PEAMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ffiCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCDLATIONS NOTE: ADDRESSES FOR CORNER LOTS - CUNTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED. MOLTIPLE DWELLINGS - RFSIDENTI9L RENTAI. IIPdITS FOR SALE ONIR'S r /V INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK TdITH BLDG. DEPT.,C 1 SET OF ENERGY CALCULATIONS . CONJMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCIILATIONS, $2,000 LANDSCAPE SOND To Be Used For. Valuation: Date: U? Site Address l 10 Lot 3 Block Parcel/Sub ?„? ?j ? Owner Aooxr?0??,p?1i ., . , Address 194VII4 City/Zip Code Phone g33 -?S?G 7? F Contraetor Address ?- City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # ,?/ -lfjelv On Site Sewage_ Occupancy R•3 MWCC System ? Zoning (L•4 On Site Well Type of Const City Water ? (Actual) ' (Allowable) # of Stories Length 22 Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit 44A-1 Water/Sewer Surcharge ¢I---'2 Police Plan Review 222. Fire SAC, City (00 Engr SAC, MWCC ? Z.S. Planner Water Conn S?S Council Water Meter (PT Bldg Off Road Unit "?O S• APC Treatment Pl ? 60, Variance Parks Copies TOTSL 2?40?t ? 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVE7Ct 1 SET OF EATERGY CALCQILATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGBATE WHICH ADDRESS IS DESIRED. NO CH9NGES WTLL BE ALLOWED ONCE BQILDING PERMIT IS ISSIIED. MQLTIPLE DWELLINGS - RFSIDENTIAL RENTAL tJYiITS FOR SALE OB9I?S ? INCLIIDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK idITH BLDG. DEPT.v C v w?7" 1 SET OF ENERGY CALCULATIONS . CONIMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ?/ 'D f ? To Be Used For: Valuation: Date: Site Address Lot -z- Block Parcel/Sub Owner Address 44""51412 City/Zip Code Phone 3??/} 1 ? Contractor ??#,U(? ?'?,c.? ???, Address CitylZip Code Phone Arch./Engr. Address 'YrS City/Zip Code ? Phone # ? - OFFICB On Site Sewage Oceupancy i? 3 MWCC System ? Zoning 2 ¢ On Site Well Type of Const City Water (Actual) ?(J (Allowable) ? N # of Stories Length Z2 Depth 44?_ S.F. Total Footprint S.F . APPROV9LS FEFS Assessments Permit 444 Water/Sewer Sureharge ?.R Police Plan Review 22-2, Fire SAC, City ?00. Engr SAC9 MWCC SZS Planner Water Conn SZj, Council Water Meter (9"1, Bldg Off Road Unit 3oS' APC Treatment Pl (gp. Varianee Parks Copies TaTAi. 2-40c).$0 . Aw 1987 BDILDING PERMIT APPLI ION - SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PL.ANS, 3 CERTIFICATES OF SQRVEYp 1 SET OF ENERGY CALCQLATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOTdNER MIIST DESIGIDiATE WHICH ADDRESS IS DFSIRED, NO CHANGES WILL BE ALLOWED ONCIs BDILDING PERMIT IS ISSIIED. M[TLTIPLE DWELLINGS - RESIDENTIAL RENTAL iJNITS FOR SALE ONITS 7?- # INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK WITH BLDG. DEPT.: (! UIulT 1 SET OF ENERGY GALCULATIONS COMIlKERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND /of ? To Be Used For: 1 Valuation: 0?-b Site Address ? OFF. Lot ? Block On Site Sewage MWCC System -7 Parcel/Sub On Site Well City Water v,? Owner Address City/Zip Code Phone g,3) Contractor Address City/Zip Code Phone Arch./Engr. A/, -10-'Aj? Address 57, City/Zip Code ,?.?jrj2r,(?•c?j j7J Phone Ik APPROVALS Assessments Water/Sewer Police Fire Engr Planner Couneil B1dg Off APC Variance Date: g? k ? Occupancy R3 Zoning (? - ¢ Type of Const (Aetual) 3-r ?l (Allowab2e) .?.?{ # of Stories Length ZZ Depth ? S.F. Total Footprint S.F. FEES Permit Surcharge 41. s' Plan Review 2 22. SAC, City 100 SAC, MWCC 5?- Water Conn S ZS Water Meter (a?. Road Unit 30.S-1 Treatment Pl l $0 . Parks Copies TOT9L Z4 U `1 $° .. 1989 BIIILDING PBffi+SIT APPLICATI - CITY OF EAGAN SIAGLE FAMILY DWELLINGS ? INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY C9LCULATIONS AOTEs ADDRESSSS FOa CORNSR LOTS - COHTRAClOR/HOFIEOiiAEa lltt.ST bE.SIGNATE iiHICH ADDBESS IS DBSIRED. li0 CgANGFS WILL BE ALLOW$D ONCE BIIILDING PSRMIT IS IS3DED. MQLTIPLS DTiELLINGS HENT9L UAITS FOH SALE OHIT3 # OF UHIT3 INCL[JDE 2 SETS OF PLANS, CERTIFICATE OF SQRYEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCOLATIONS COI+MERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRQCTURAL PLANS, 1 5ET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCUL9TIONS : Z08S? ?U Date: q -I Oecupancy Zoning Aetual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site seyrage On site well _ MWCC System _ City water _ PRV required _ Booster Pump _ I?? a--o Bldg. Permit o??C SUY'CY18C'g@ J'U Plan Review S9C, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies TOTAL Cr? ?o G APPROQAIS Phone 0 ???? ?s v Planner Council Areh./Engr. Bldg. Off. Var iance Address To Be Osed Forp Valual 51te 9ddress Lot ?i Block ? Pareel/Sub Qo L _ Owner Address md S aLdAdj?Lk Ad City/Zip Code '?/`G?//v'ti Phone ? 7i- 47` Contractor Address City/Zip Code /'f „?j ?,3.? City/Zip Code Phone # AOTE: Serer & Water Permit fees and account deposit fees urill be included in the building permit fee. Processing time for serrer and vater permits is two daqs once a licensed plumber 6as applied for a permit at City Hall. , NEW CONCEPTS MANAGEMENT GROUP INC. 4915 WEST 35'H ST. ST. LOUIS PARK, MN. 55416 PHONE 612-922-2500 FAX 612-922-5400 E-MAIL PAULB6NCMGI.C0M M EMORANDLJM FROM- Jane Mutcner Paul Bozonie, V.P. real Estate Services 4118 Meadowlark Road S Eagan, MI?T 55122 CiJMPA'VY: DATE: 04/26/01 FAX NLRv[BF:R: 't'OTAL NO. OF PAGrS INCi.UDING COVPA_ PHUNf NC,R,IBP'.P: tte: Lakewood HOA4118 installation, on west side of home bump-out extension for fireplace. ? liRGEN'1 ? POIi REVIEW ? PLF.ASE COMMHN"I' ? PLEASE REPLY ? PLE.45E RECYCLE NOTGtii COM?:iP.NI'S: Dear Jane: y>or.ir request ti) add 2:ireplace insert which will c: ?cIld i0 IriaSc. <: 'J'_'.IriIJ-OllL area by the westside of home's lower level siding, The request was presented again at regular meeting of che Board on Apri125, 2001. The Board ae its Apri125, 2001 meeting approved your request, subject to the following: 1. Hoineov,rner is responsible for all cost related to the project. 2. Homeowner is respon ' le *o install same siding materials as the existing siding and color finishes 3. Note sho y nee additional variance to install the bump out, you will need to inform t B e again. Paul J. 8??47f, ?&Kt and propzity manager for Lakewood HOA, 4118 t c. CotV OF cC9ga 3830 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOMQUiST EAGAN, MINNESOTA 55121 nnayor PHONE: (612) 454-8100 THOMAS EGAN JAME$ A. SMITH VIC ELLISON THEODORE WACHTER Council Members December 22, 1987 rHonnns r+EOGEs . CiN Pdministrator EU6ENE VAN OVERBEKE Clry Clerk MR AL RAMSEY HAVEN ENTERPRI5E5 14442 EXCELSIOR BLVD MINNETONKA, MN 55345 RE: ADDRESSES FOR LOTS 1t2t3 & 4t BLOCK 6, HILLANDALE 3RD ADD. Dear A1: Please be advised that the addresses for the above townhomes have become confused at some point during construction. The correct addresses are: Lot 1 - 4118 Meadowlark Rd. So. Lot 2 - 4116 Meadowlark Rd. So. Lot 3 -4114 Meadowlark Rd. So. Lot 4 - 4112 Meadowlark Rd. So. The address map submitted at the time of final plat has always read this way. Everyone involved has the addresses this way, so they must be changed in the field to comply with the address map. Thank-you for your attention to this matter. Feel free to call me if you have any question. Sincerely, ?!??'r-t--??--`? ?-,???Y ?J Steve Hanson ? Asst. Building Official SH/js THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIiY ******#***************3*****f*?** * . . C ITY O.F A G A i1? * ? CATT ?? ? ? . .. ' ".:j •n?'* APPFtC)VAL OF PERMIT.. .. :. . . . . ' APPLlCATION FOR PERMtT . . * INSPEcrzori oF sE?M AM/Ot w= • , '-. * mmr.r.ATrpN; W.IIm NVP R'E Scmr- SEWER AND/OR WATER CONNECTiON ?mm UNTIL p?T HAS BEEN AnPFtwm_ .. , * --..._ - -. * . _._. **********t***#******:***?**?*:#* P ease Print) ? • 1) PROPERTY ADDRESS : L/II ? /7'1 P?.,._ , L.i?.rL? 8,.?..--(? /?nI ? .. LEGAL DESCRIPTION: J Lot Block Subdivision or Tax Parcel ID ) IF E1'ISTING STRCCZLTRE, DATE OF ORIGINAL B[IILDZiVG pt..4MIT ISSL'ANCE: '. ' (Mon Year) PRESENr ZONING/pRQPOS."D L'SE: Q Ca=CIAL/RETAIL/OF'FICE Q IDIDL'STRZAL ? INSTI'IL'TIOiVAL/GOVZRM= --?R-l SINGLE FAMILY Q R-2 DLPLEX ( Ttvo L?nits ) ?f R-3 'IOWNfiOUSE (Three + Units ) ( C?nits ) ? R-4 APARreENT/COiv'DOMIIVICTM ( Un i.ts ) rs r• 2) rANE: ADDRESS :-,2 CITY. STATE. ZIP:?'?y?? PHCNE: 3) c ?c ?- NAME: ADDRESS: CITY. STATE. ZIP: PHONE: MP.S'1'Z:K LtCLt"SEr'r Y1t]Iilb2rs Llcense: Active Expired Not recorded Staff Initial 4) ??ru•• ? ?a- NAME'_1??-- _ p.nnREss: 4::",??o czz^r, srATE, zzP: ??? „ ,Cw rn.? • PHOi?: 'S? ? '?1 v G' i'i1M: • ?I'J 4 ' '1"71 •19?'UJ.`yY?) . ? N:?.?IOV TOCITY SEr'E2 CONNECTICiQ TO CI? ?? ? ?HER 6) 9 " "' ?- •' i- [l PLFI?SE HOLD APPROVID PEPMT FLrZ PICK-L?P BY ONE OF P,HOVE • ,%? P=E MAIL APPROVID PERMIT ZO 1, 2, 0 4, p,BOVE `- . • , ? (Ci.zcle one ) 7) 't[c r• u•1- ' -`?1s?i? Y ' I ?- .-?OR Ct'fY USE Q?NLY . I 4' : . . . 4 ?..r l.r.:'.1?f?AMY.? .,T.._?k?"3^? .:e?? ?• . PERMIT #' .ISSUED ? . ..>,r . 1? i?S 'Sd??r?G'Jy W4 ? y`? T N ? . . ' , ,:. . ' ` a- . C _ ? .. ':3 . . ? ? Pd .w/Bldg Permit . • FEES: • 3? ? 0 . .... . :'.h .:i.? f •. ._ M ? . . ...? h '?. . . ? . rr ?.,. <? f hk'. 1.i4?L Jr ey5f5? g ?/?` .i'? .: .. '._ .?nia ?`.... Tti?J?. ??i . ? . . y s v ?. $ . • • $ ?D SEWER PERMIT. (INCLUDE SLRCHARGE) ? ? ,:`? % $ WATER 'PERMIT ( I NCI;LDE,? SCR ? CHARGE?I , . .w $ WATER METER/COPPERHORN/OL'TSIDE READER ? ? WA.TER. TAP. ( INCLL'DE ? CORPORATION STOP ) . ? . . . . , . '. . ?. ? ,?: ?? . .,i .?'.F. . $ $ ? SEWER TAP .. _ cr? _ .? : : "• V, . $ $ SEWER ACCOLNT DEPOSIT . . , . . '.. .. . ? . ? .- ?. . ? 1 . . . • . ? ' ' ' ? . . ? F . . ... ? ? . ' : $ .. $ : ? J .. .. .. . .. . irr *" ir ACCOU NT DEPOSWATER . _? ... . _ , r $ $ WAC ' . _ , _ 0-? $ / ? S _ _ . .. .., ._ . . . $ ._, . .. . : _, - . . , :,. .., - ? SAC n . ;,. , : _, . $w? ?_. ....._.... ?:... ._ . • ? _ . •. . ?._ , . TRCNK WATER-"'ASS,E •.; . i 5SMENT.z ? . ? . ... _?_ .. . ' ? -, . _. . .. . $ . ^ n . ... . TRLNK• SEWER ASSESSMEiVTr - ? ._ ....__-._...._ .:.... .. . ... . . ..... . •-• ? ? ? ? $ LATERAL BENEFIT/TRUNR.SEWER _ .,. . . . _.. _ . . . $ _,. ,, , .. .., ,. , , : . , ,-,, ... ?.. LATERAL BENEFIT/TRUNK.sWATER ,' '•`°''( ?' ' . ? ,. ; CTZ.) ' > ..... _.., . _ ^ ,. ... :.. . . :; . $ O $ WATER TREATNIENT PLANT=;SURCHARGE^. , .. .?... .,.., . :,...;.?.<-..:.. ,;.? . • $ ; ? _ $ . .. . . . . .. :' ry , OTHER : . $ ? 9 ?l" : .. _ . ? $ TOTAL ? ' . RECEIPT #- RECEIPT. _ 70ES UTILITY CONNECTION REQUIRE EXCAVATION IN PLBLIC RIGHT OF WAY?. . ,. , ; . :.? . Q YES .. , .? ?. ..., .. 'IF YES, THEN A"PERMIT FOR WORK ?dITHIN PQBLIC. ' ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION: LIST`AS ACONDITi0N . . . .. _ ' . ? ? . . . , {?' . . ' . . ? .. . ??.?Y ? ?.. .. ? ? ` µ iUBJECT TO THE FOLLOWING CONDITIONS.: . ? - • • • -? . . ....,, . :.. ._ . , . . ,. , ., . .. ... .. ,.. _ - r - • , _. . . . .. _ ?. •,., ,PPROVED BY: - ? . . ` ? •~ . TITLE. , .? ... . +},.. ? A . .1.,. a . DATE . '••? - VITY, Of EAIGAN APPLtCATIOPV FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PROPERTY ALDRESS: LEGAI, DESCRIPTION: x**t+x-**x*k*****#?t*W?x?xxx?xxxx * . ,*f *YJ`??: PA?2d6'W OF kEE AT TDE ? APPLICATION DOES tVdT Ca4S=-T ? APPROVAL OF PERMI3'. . ? . _. . . ? rcvsPECrzcri oF sEWER AND/CR c%M, _ ? IrZr'Ar r.amrCNlS YTILL NC7r BE S= ? U= LTZ7rIZ PERMIT HA5 R,EfN * APP?wEO. *********************#?*:*?***-?*? (Please Print) `3WLWO-,c01a.Q?.e-) Lot Block/Subdivision or Ta:c Parce IF E.'..TSTING SiiYL'CIZ.:2E, DATE OF CRIGIiNAI, BL'II,DINS PEPIA:IT ISSLI1,?C.".: ? ( ttiY.)i:L`1/ YPdr } F_.Sr."NP ZL?'iNIVG/PFtOPCS?"]i ['lSC.: ? CC:?-=CL`kL,/^nETAIL/C?'ICE --? R=? SitiG".i:. FAlti]ILY C( I1V'CC:STRI.?L ? R-2 DCP=tY (Z`wv Units) ? INSTITti__G"aI,/G?V=?,i??vT ? R-3 ZC?vti'.-.'C,CISE (Tt',=ee + Units) ( Units) . r-I R-4 AP?R ^-1.'?iT/CG.?+T.CHINIL:M ( C,nits ) 2) ?ts[w!??iM S ie"I-z_?? PDDE-UESS: CI"_"_, STATEE, ZIP:?Ri ? ? ,?? ?? . S'??S? - P .cNE: ,P?cLLl-.`?? b 3) Nta???: ADDRF-qS: CI'?', ST.'-'?TEr ZIP: FfiG'NE: Plu.?ters License= Active Expired Not recorce(2 SL3TI II11t1c"Ll 4) cT7?V, s:AzE, zza: „S,} -l;fl[?cVY:; .,:7[m•: •,"i•7yiS1?: 4. -i^tA1 ?J?aOI:,::?y:?aF., . '? CZ1? SL;. ?CCZ'?,'ECTIC?; 'IO CITY F+l:?T? ? UTF?:? ' F?). ?.??; e?t? ?:,.: q:i?{-•' ? p=.S;: "pLU p,,nocp= r.=.:-u r?„•L r` r?,.=c f, nTC_r '? BY G? -- =?{.,?-: OF AD 74z- ? , . V=sf-l rskIL A?P-Rac= TC, 1, z, 0 41 ABOVE - ? , (C-,',rcle or.e) L.?'11,C`rl ._'`L191'!? ? ?j/'1 f: BI• b" z Jf ??O ? --?--- ---- • -- ?' '.__ , i - ? -.-l? _.u.,. - -___?.?_?_ ._._-, g?? ,11 ,• ,,s..,t7,a?e?:!:._`?a',: 7?n.a?-:.??? T Cities Di ital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ???° 'a. ? , 1 ? "?.' J Zv.; 1 v`FU?Tm ?t?rTc y^ y r -'. Y? ?IOY_ f 6 T: Y ?• w Z. ??Y? . K ?. n ? `' A. '???t?k ?+"??:1? t , ?Y ? . ?Q " ° dr ' 9 i?°.?? ?"?C,$ ,e,j Y tiS 3 i ??'r•^:?j i u ti?s r? ' as , }u r f i 6 ' h '" . tY"fYFas C [? A ? ? + ; ???•? . y ?5 t X _: . ?,..'. .,..`1 ? d' ??13rF2 N Ly _ ?? "^ ?f « ?• ? .. C .. ..'t?? . . qAm?iry tW :?^J'ml?+M'?+ry?,.M?+'?}NS ??q ?? ? F : ??-•Q _ ,?:,,. ??:+`? .fa - a' : 7T ??• RECE?PT ; tq ? 5??? ?JM ? ? t '.r ! ' . ? ?... i",!. 5•.,?_ . -. :', OES,.;UTII.ITY CONNE , FS ? 14 '? ? ? t fr lS ?j. 1.?4} J 4RMlM < Y :'(yJ £ ,t , 4 T?? Y ').. 3l ?? J EC T ? ?TO ?rTHE EOLl , y I,j5? fy , r r ?\.j . ??4?A4 j l 1 i ! " * i ? t I1 ? -Ag.•N ?' l t :7T ri?. A?I r ? Jrt i s a It? " r 13t`t,,t J's?? .,r ? ?i w? '^n 11 TLE ^., C} -? f.a ?'?.a} fiy s k'R?s..?+t y }? jr•n M ? / ?j' O.W a? '?1'n..f f ?(D . . n ?i4 `l v a ? . . .. ?t. . .. Y ? {1 1 t ????£?'S?T?? ? 4?,+?:• (!4 ? Yt ) ff S P D_ 419qif CTTY USE ONLY LOT ? BL RECEIPT #: ( I I V ? ? ?= SL'BD. RECEIPT DATE: 77 -.1.999 MECHANICAL P£RMl'f (RESIDEIVTIAI)_ .. _ ,__.. cnY oF eAsm s$so Pu.or xHOB.Rn : - _ EAteMbuvs5122 . ., . (651) 6$1-4675 Date: 7 ? l Cl - ?l C Complete this section gnly if you aze installing HVAC in single faznily, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M. BTU `,. . -• 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) ?• State Surcharge: .50 . . . : ._; : „:..::.. ... • TOTAL: .:.: ...:= Complete this section onfv if you are remodeiing, adding. to, or repairing existing single faniiiy dwellirigs, townhomes, or condos. Please indicate if it is a new item;"replacement item, or repair. ? New _ Replacement Repai"r Other Fumace Air exchanger, i.e. Vanee system, etc. Reniircder; . Ca11.681.4675 for insnectians. iw/ Air conditioning -Jf un U?7iG????? Other , . R :i0.00 State Surcharge: .50 Total: $30.50 SITE ADDRESS: OW'r'ER NAME: INSTALLER A'AME: STREET.4DDRESS: CIT1': - JS.F0R.\1S BLDNECH PER.tiIIT (RES) - 1999 PHONE #: ?v tYrl "?/IJ ? __ .. . ....._ .__:..-_.... ___._._._.................---.._..__ .. . _ &A1M COM+ ?ONiiliG- 1,1' PHONE #: q.1 ?e??a?mac3?t.? li ?b,:lh,e.?'-'3'S?'?l._? _ .L'9II L IJ.:J STATE: ZIP: -- ? SIGNATURE OF PERMITT??yu? ctnr use'oriLY L BL RECEIPT #: SUBD. RECEIPTDATE: APPROVED BY: , INSPECTOR 1999 M£CHlkNICAL PERMTI' (COMMEtCIAL) CITY OF f.AfiAN 3$30 PILOT KN08 fi.D E4fii4N, MN 551 28 (651) s8i-as75 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are ?t required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONT'RACT PRICE x 1 % PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: ($.50 per $1,000 of2ernut fee due on all permits.) OWNER NAME: TENANf NAME (IMPROVEMENTS ONLY): INSTALLER: PHONE #: ADDRESS: PHONE #: CITY: STATE: ZIP: SIGNATURE OF PERIVIITTEE ******************#*?#******?*** D • ?. , • . . C[T`? O? ?AGAil? ? 1''?: Pa?T oF ? ?? c _ ?. AnPLIcATlorr DoEs rCYr casrrn.ri- . APPI2C3VAL OF PfRIYffT ?_ : .. APPLICATIQN FOR PERMIT ' ?_ .' . . ,? INSPECTZCN OF ?5? A-AIDICR WA'ff? RSrmr.r.a.mrpNS wILL Nt7T SE SCBa- SEWER AND/OR WATER CONNECTIQN uNTIL PmkT?EAS tEm. APPROVEn. * . ? _._.. ?**#*?***************#***?**?*** 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: '- lrlease Print) -- --- . --(Lot Block%Subdiv.ision or Tax Parcei ID ?) . Ir E.=TING STRLCiL'r25, DATE OF CRIGIiLAL BL'ILDIDG P'?4MIT ISSL'ANCE: '. ' (iontn YearJ P.?EEN7 ZONING/PROPOS._D t?5E: Q CG?S^c.RC? vL/P. c,'^AIL/= I= Q IDZ;uSTRLAI, Z) .nte+•!??? - ? R-1 S124Gi,E FAMILY F-I R-2 DCPLEX (T,.o Ltnits) C'j R-3 TGrvNriCOSE (Three + Units) L7 P.-4 Apzm-=/CO=NLiiVZL'i 1 ?ME- ' N' a..?.- ADDREss:?.?v? czTY, sra?-, zzp:?e2z? FHCNE:_ 3) • rc i:??c NAI•?: AL'DRESS :_r2 yf4% Z; ?V67 V / • CITY. STFTE. ZIp: PHO'NE: MASTr-E--1 LIC]C Sr.; St Iru.tlal. 4) •asa•? . a a ? N??%Z1:? _ ADDRr,SS: cTTY, srATE, z?P: 7 rn.t-/ • . PNCZZ: q,33 •5) ?,? o??d_4?- •?[a•a:?•?s;?-1a? . •rto,? ??;o ?u"? ea??: ?CLi?.'?.CV TC7 CI^Y 5??..•?? DFr CC\Wc,L'TIC;1 'IO CITY WATER Q OTHEP. '. /?- • ' ?- 6) Q PI.FASl : CI.TJ APP=/M F-77?I-11T FCR PICK-UP BY ONE OF ABf 7VE ---.-- • CL t?AII. APP?GVc"-. F=11lT 1t7 1f 21 ? 4, AP04? ` , • j(Circle one) 7) = rr;i.y v•?' ` 9dZ D• u- ? -2 y.,r;,,. -. ? o?,.. `•?- ??.?., ,.??Pr-e pl?i- A t-_- a??• a:-?a?::.c: ?.d? .t•. uJl: .,,?•: ? ? - Jdtnar.?p..m..;+L.? ,^/9P@ I'•.-tm'7? C'.o: ??°/?_y . '" ;. „_.27ti, 1 f:j k: _ ( L'nits ) ( Units) Plumbess License: Active Expired Not recorded , ..` :'ERMIT # . ISSLTED i . "?-(% Pd w/Bldg.t:Pe: S • .._ ; . ! y: ? + ? ??? ?{qa y '? ,? i?h'lJ ? ?P'3:A'? x j ?: ? ?M ?e w ' -r ?Ch? ? , • [ q . , f l. :' •p y„ '! i s?t? 4 . n ? 1 4. Y s? t??." ? `?, • ? ,f ' \F- ?????I. ?J } ?if3? 1 ? ?{ l F ' r # 8 ?? t ? " F? . C . ? ? ( 4? . + Y C i ,•Fi?i"L ? .. ? ? j?h ? iP rt^'"' f? 'S f ?^ :t ?1 St' - y 'V K: ? f ' ? ? ? . j Y ? {? ? ? ? y ? s . ? ? 4 1 ? ? ` n? i2? ?'f t,f 1 1t ?Y:, w 4 :???a ? k ? d . ?4 N?rv . :j? 1 4C ?; f ,s S si ? • Y 5 j , Q ... '?- , `Y v?3n ? i w-< +'V4 ? i. • s k `, ; i -? . C A.Y. ?'? L"'2 5V t /?Z L ? ar 6 ?? } ? 5? ? ='1 t I /Y'? ? l{a' V i4 ? t `x? M.?A ??L t .F V. aY.'J` : f ?{ ?y? Y ? ? J ?• - ??- t--? FEES . 1?r'.?°?? :? " > ;`: ?.,,:Sp n,.•e-? $ ? : .. - :..t-- f .gt n_ai,,..s?. ;n??.?y-,§c-s?'n3'?+: v??- ?, ._.•?''?-±-..%. °" y f $ f O ? ? WATER`P?E?R.MITY,(IsNCI,UDEY SL'RCHARGE) ` .:t.,?? . ?jwh?-?s'i'.r.tiF+?b??.gYr'?ie'[b4??c?+1?9?,?'".?sY4hwY-',t?`o-'a,?h" r?^,a' t _ .°" Y" •-;?:. $ (p 7 WATERAIMETERCOPPERHORN/OL'TSIDE?READER l..y? Y ? .? .? ?:T ?i.L t. .:: { ? rl`...+. . e? V ; . .? , _. $ WATER ' TAP ?;:( INCLC'DE ', CORPORATION _ STOP ) ? ` $ SEWER TAP ' - , ? $ ACCOLNT DEPOSIT ; , SEWER _ p , . .,. ACCOLTdT. DEPOSIT_,?-,:;WATER:;,'?.? ._? _ . $ 7.?r7 .l'"?'ZJ $ . _ ? WAC . .. , J.__ ?! S $ SAC _ $ 'TRL?NK' WATER`"ASSESSMENT . . . . . ?.. _. ? . .. .... .... ... ...... ......... .-.k'?.u. ti"iaf :w?,..Y.. . , . $ TRUNK `SEWER`.ASSESSMENT ,:.?; .:,,? n - :- ? $ LATERAL BENEFIT/TRUNKfSEWER .. ? _. r • __.?. . _._.._ ?:...,.- ,a,?.. .?. ?-,,.e .?..._,? •.--,..,.... .. _. _.? ? $ LATERAL ; BENEFIT/TRUNK .WATER _ `• - ..._ . .? .. ... . . .. . - . ..._. ... ..?...:... k tA . w e4 ..? . ?- .?. .?. WATER TREATMENT PLANT SURCHARGE -. . .. - ? ... . . .. . .. .. . ... ... _ .... x??- .?,?;..-w $ _ ..?. ? OTHER M..,. . ?,' . 0--cl ,., t $ - ? - TOTAL ? ."`""- ? • Y x e. ..-e?...wwn .?w.-w> , v . ..a . a. ww. ., . . ... .. . .. . . . . ??? /? _ ? . . . . ....... .. ... .... _,,... _ . ..., .. ... ??? ? , . ' . rr r • r + ? RECEIPT . RECEIPT . .... . ?. :ES UTILITv. CONNEC TION REQDIRE EXCAVATION IN`PLBI,IC RIGHT OF LdAY? „ , ? YES •j? -IF YES, THEN A"PERMIT FOR,'WORK WITHIN?;PLBLIC ." ROADWAY" ML?ST -BE ISSOED BY,- THE ENGINEERING Q NO , DIVISION. • 'LIST"AS A 'CONDITION r'-„? _ ....: = .. , . ? .: . »e { . . . + . . t" o e, r t - " k . . _ . __ s , . . . .. . . .r., .. ti ...: w . . _ , . . ?. ' ...? , ?? ._... F -a . . . s , :?JECT TO TI:E FOLLOWING CONDITIONS: - ? - - ;:,.?,,; x;s::~c? ? ' ; } ?• -? s -'- . _ , , ,, , 4 CITY OF EAGAN APPLICATION FOR PERMIT . .. SEWER AND/OR WATER CONNECTION *TOTV3: PAYMF.TIP OF M AT TM OF rPPLscAMoN DOES Nar oONSTIT= APPxovpa, oF pEFOUT. nvsPncrtort oF sEwM Arro/oR MM a T.ramroNS wIIa. Wm BE scHED- UIM UWIL PII2NIIT HAS BM APPROVM. r....+.rf++++.tf ittf P ease Print l) PROPERTY ADDRESS: LEGAL DESCRIPTION: . Lot Block Subdivision or Tax Parcel ID ) • ; . IF EXISTING SZRCCiL?RE, DATE OF ORIGINAL Bi?ILDING PEE2MIT ISSL'ANCE: . " _ - PRFSEUI' ZONING/PROPUSID L'SE: (Mon Year COI'f4E2CIAL/RETA2L/OFFICE ? R-1 SINGLE FANIILY ' Q INDt'ST-RIAL ? R-,2 DL?PLEX (T?m C?nits) ? INSTIT(JTIONAL/GOVERNMEN'p ? R=3 TDWNfiOLSE (Three + Units) ( C?nits) , M R-4 APARTMEDPP/CONIDOMIIVIUNI ( Units ) 2) ? N71A7E: ADDRESS: . CITY, STAZ'E, ZIP: PHONE: 3) • i: ??ME. For City Use .. Plumbers I,icense: ADDRESS: Active CITY. STATE, ZiP: E?cpired Not recorded PHONE: MASTER I,IC(ENSE# 4) •• • i?• N11ME: . ADDRESS: ' CITY. STATE. ZIP: PHONE: Sta Irutial 'S? '? ?+' ' ?' : ? • • - ?? . ? CON['TION T0 CITY SE6VER ? CONNEGTION TO CITY WATER ? dIUR 6) ?? • i ? PLEASE HOLD APPROVID PERMIT EC)R PICK-DP BY ONE OF ABOVE -- . PI,EASE MAIL APPROVID PERMIT ZO 1, 2¦ 3, 4, ABC3VE (Circle one) .. T) . + , --- ? ?. .. s. .. • n 'S .T . . F'OR :CITY USE ONLY PERMIT # TSSLED g933 Pd w/Bldg. Permit FEES: $ $ /0 s? SEWER PERMIT (INCLUDE SURCHARGE) $ $ /QS 0 WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/ODTSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ / S 0_0 ACCOLNT DEPOSIT - SEWER $ / S ACCOUNT DEPOSIT - WATER WAC $ 1??5 o-`' S SAc $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER ao $ _. WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ TOTAL _ 7 6 / 9 9 RECEIPT RECEIPT DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F__j YES IF YES, THEN A"PERMIT FOR WORK 6+IITHIN PLBLIC Q NO ROADWAY" MUST BE ISSLED BY THE ENGINEERING DIVISION LIST AS O . A C NDITION. SUBJECT TO THE FOLL OWING CONDITIONS: , APPROVED BY: TITLE: DATE: 0 1- , ?. . . . ;* *3 * *****:k*?F***f?'?'?'f**'?k*YC?t*lk'1!?^. . . . ?k.' - . . . . . V?!Y O F. - ?/?? G/-1? •**?':. PAYMF'?? OF FkE AT? Ti2*tE ... _ ..,_, . . ,? APPLICATZON DOES NCn ?`.. . . : ... APFRCNIIL OF PII2MffT ` . _ _r__ . . _.. . _ APPLICATfO.N FOR PEF?MIT . ?. INSPDCTION oF ` SE.WER ArID/Cfft 4A= TrOrAr.r.ATrGNS WIIL NC7r SE SOiz- SEWER ,4ND/OR WATER CONNECTION ? ? ?? P?? ? ? ?; .. _ ?, : • : . . ? ? ? xpPROVm. . • ? . _.... *********##**?**********3******?? (ylease Prznt) 1) PROPERTY, ADDRESS : LEGAL DESCRIPTION_ _?W/- .? /???n.,???IJDn? (LOt/Hlock/SUbCivision or Tax Parce ? •- . IF E-XffSTIIvG STRtt,ZL?RE, DATE OF ORIGINAL EUILDINNS.FEPMIT IS,Si.'A=: . '" ( itibnrn/ Yeas' ) F_RES r,?Ft' ZONING/PROPOS?D USc: CG'?..'TtCLAL,/12ETAiL/0FF'ICE Q INCL'SZRItlL INSTIM7TIONr`.L/Cv?u'Z1ENT --f;?<R-1 SING,',E FFiM2LY f-I R-2 DLP_7.'.Y (1%vo T-Inits) E] R-3 TO6vNr"CUSE (Thr2e + linitS ) ( Units ) ? R-4 AP?RT:'?]T/C0'?u,Ob1INIt?-i ( C.zi`=) 2) . ADD'2ESS:42 -{A9 Z?r,? !s? CITY. STATE, ZIF:?flirr-A? PHGNE: a b 3} •.pu N1ME: ADDRESS: CITY, STATE, 22P: PHONE: MA.STEP LI?ISET For City Use Plumc2rs License_ Ac'?,_i.ve Ecpired NOt r2COrCe(? Stz2 Initial c}) a?ra•. y o? i?- NAL?"E:? _ ADDRESS: CIT'1'. STATE, ZIP: ' z2li na e.?,? PHONE: -5) j::f,ter• ?:, i:um_•.?-i tu •i.{a •??ea-:.:?as?? ?COiVNECTION 2t7 CIi'Y Sr'T..vE? Q( CC\.%TCTZCtir `IC) CIT"? U= ? 0-7 =E ' _. ' 6) ?: ???m• ?:?s o:?i:,? ? PLEASE HOI.D APPROVID F?.;Lm FGR PICi<-U'P BY GNE OF AB:'vE --- . ?F_LEASE MAIL APPROVETJ Pr:tu?1IT TC 1, 2, & 41 AFOGc. L. 'rcie one) ? -'1fC1.. u•?- `''j'Y/????? ?f L.ILLe. sJ;::.a??a,a?.rno:??i::tYt49i:?19a:? .?i4; ?{) ill"le:l:ir}?.4f:@9 ?1.'...c•4-,:t?_r_`T-'1?:jp:dy:r1 L{A*i=.,..? ...c.-??'d ' CITY USE ONLY PERMIT #: ??Oll I RECEIPT DATE: MIDENTUkI. MECILkN1CA1. PERMIT Af'f'LICATION crrY og EAsm saso Pn.oT xxoB ttn EAsMauv ssisE 651-6$1-4675 Please complete for: ? single family dweliings townhomes and condos when permits are required for each unit Date: 12' U\ SITE ADDRESS: !?5 OWNER NAME: TELEPHONE #: ?UsI- Cjo?wt- I'rJ`tZ (AREA CODE) ;ZZ-8gZ(O INSTALLERNAME: N???yo'?'TELEPHONE#: C.o'?JI ,- (AREA CODE) STREET ADDRESS: 4 - G . i3 CITY: STATE: 1?N ZIP: ??'?S?S? Place a check mark next to the oermit work tvoe New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existina dwelling unit $ 50.00 . furnace replacement • ai • air conditioner • o er Nature of work: State Surchar e $ .50 Total $ Q•50 Reminder: Cal[ far inspections. C SIGNA PERMI'TT'EE Updated 1/Ol CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: , INSPECTOR CObIMERCUEI. b1ECHkNICAI. PEiM1T lEPPLICATIOft CITY OF EAGM 3$30 PILOT KAOB ftD £A6M, MP 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings _ multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLl): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CTI'I': PHONE #: - (AREA CODE) STATE: ZIP: WORK T'YPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank remova]/installa6on = *n;n;m„t*+ fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/O1 S'?j7s71- PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit 4 6-,5z) Date--?- /I ? / 03 Site Address [A 11(9 wimliC{ f-iL Unit # Property Owner. -AQrv, mU-?w 1„y- Telephone #((?fj ?l ?? ? , , ? Contractor ? l Address City I.?CN State Zip --la M?lephone # The Applicant is Owner Contractor Other SeptiC System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 InGudes County fee. Additional consultant fees may apply. Alterarions To Ezisting Dwelling Unit, Including $ 50 00 _ Adding fxtures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water turnaround (+ 5/8" meter'rf needed -$121.00) Other: '?. .? _ RPZ _ new installation _ repair _ reb 30.00 _ Lswn irrigafion system _ Water softener 1?:-Water heater ? 15.00 ? replacement _ additional State Surcharge $ .50 Total 1 hereby apply Yor a Kesidential Plumbing Permit and aclmowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an applicarion for a pemut, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl ns. _ /1-- n?? AleUs? Zw ? p_ l Applicant's Printed Name App ic t's Signatur RESIDENTIAL BIJILDING . • Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslruction Reauirements RemodeVReoair Requirements Office Use Onlv 3 registered site surveys showing sq. R of lot, sq. k. of house; and all rooied areas 2 copies o( plan Cert of Survey Recd (20% maximum bt coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd 1 set of Energy Calculations Add'rfion - indicate if onsite septic system _ Onsite Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost Site Address Unit/Ste # Descriptioa of Work ?,O 0 rl h o S Li `\C?C]_,?5 ?l Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) n r? f 7 n?-"- - Contractor RMA Home Depost lnstalled Sales ?.. ? u Address 660 Mendelssohn Ave. North ' City State (jolden Valley, MN 55427 _TelePhone # ? ??b?) ?)q, S_ uu COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Te{ephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the wark will be in accardance with the approved plan in the case of work which requires a review and approval of plans. / 61Y?.'Cu. \?>einSon / Applicant's Printed Name pplicanYs Signature OFFICtiJSEIONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- 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 (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ; . Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth . ? . REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & W ater _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.L _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector Installed Siding and Windows LIMITED POWER OF ATTORNEY CUUN'1'Y OF COBB STATE OF.GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales locaTed at 660 Mendelssohn Avenue North, Golder. Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of .Attcrney are limited solely to the express powers delineated herein and apply solely to the Work. This Limit.ed Power of Attoiney shall expire and automatically be revoked on the 21st day of May, 2004, which date is one year from the execution hereo£ Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNE.SS WHEREOF khis Limited Power of Attorney is e.aeciitcd this 21st day of May, 2003 David . Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 2003, ? Notary P ic in for the State o eorgia h4y Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Flome Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT 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/ 030 10 4088 040 10 4090/ 10 32952 060 08 (6-plex) 4092/ OSO 0$ 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 040 06 (4-plex) 4114/ 03006 4116/ 020 06 4118 01006 4178/ 10 32951 04002 (3-plex) 4180/ 030 02 4182 020 02 4186/ 10 32951 01001 (3-plex) 4188/ 02001 4190 03001 7 v/ . t `?30. So _ ?(?u ?A84"RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when pemuts aze required for each unit Date a l l? y a`A Site Address Unit # Property Owner on Telephone #?7S? )4Fo? I ?,Z O ff Contractor Street Address - ? -" City State Zip Telephone # ( ) Bond Ezpires: The Appticant is _ Owner ? Contractor Other Add-on or alteration to egisting dwelling unit $ 30.00 to/ f Addi i ? urnace _ t onal Replacement _ air exchanger airconditioner _New _ Replacement other - State Surcharge $ .50 Total I hereby apply for a Residenrial Mechanical Pemut 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 tlus is not a perxnit, but only an applicarion for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?r !4Te R: AIR Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if appiicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "*see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: '*When insfalling/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector P¢rmit Fees: $70.50 Underground tank installation/removal 550.50 Minimum (includes State Surcharge) or Contract Value $ x 1% $ Permit Fee • [f ermit fee is $1,000 or less, add $.50 => $ State Surcharge [f e?rmit fee is over $1,000, add $.50 for every $1,000 ep rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Approved By: Applicant's Signature ? : Inspector Date: ? _??A 205 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Tetephone #€ 651-675-5675 FAX # 651-675-5694 ?10 ro New Construction Reauirements RemodellReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas 2 copies oi plan Ced of Survey Recd _ Y N (20°k maximum lot coverage allowed) i set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N 2 cropies of plan showing beam 8 window sizes; poured found design, etc. 1 sile survey for additions & decks Tree Pres Required . _ Y_ N 1 set of Energy Calculations Addition - indicate ifoo-site septic system On-site Sepfic System _ Y_ N 3 copies of.Tree Preservation Plan if lot platted after 7l1193 Rim Joist Delail Options selection sheet (buildings with 3 or less units) Date SiteAddress 1/?? •,S°ujb?Q4V/-71,) -i Construction Cost <? J7 3•°L? ?c'!^• Unit/Ste # Description of Work ?? C?j,•ry {?L?G?f?U'"s?l??+/1?7? " ?{?1 9J,Gj ?? - ???i?°7; Muiti-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 41L1?iy7?i? Telephone #(?nn? ) y"rJ'y -??`?? Contractor zpx)0c-5i"T Z')C1?)'crxS Address gL? l ? State i°?l ? `L?zL?'r ?/?L • ? ' • City 6&-W,7,610 Zip Telephone # (?'?R "YE-7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor - --, Telephone #( Telephone # ( Telephom # ( I hereby apply for a Residential Building Permit and ackriowledge 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 the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without, a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? ?w Applicant's Printed Nam Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweiling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Boaster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Firepiace _ R.I. _ Air Test _ Final _ Insulation REQUIRED INSPECTIONS FinaUC.O. Final/No C.O. Plumbing HVAC Other _ Pool _ Ft _ Siding _ S W indows _ Retaining Wall gs _ ?wvaa .caLa .u.u. tucco Stone Brick Approved By: , Building Inspector ------- ----------------------------- Base Fee ---------d' ?--------- --------------------------------------------------------------------------------------------------------- Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Piant License Search Copies Other Total ? 7 ? 9 ?q RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 C?a„? Q 14r`h ,0I 651-681-4675 ? RemodellReoair Reauirements ? • 2 copies of plan ? • 7 set of Energy Calculalions for heated addi ons • i sRe survey for exterior additions & decks • Indicate if home served by septic system for itions v Construdion Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. ot house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam 8 window s¢es; poured found design, etc.) 1 set of Energy Calculalions 3 copies of Tree Preservation Plan if lol platted afler 711193 Rim Joist Detail Options selection sheet (hldgs with 3 or less units) 4TE )B SITE AD MULTI-FAMILY BUILDING, HOW MANY ;OPERTY OWI PE OF WORK 'PLICANT :)DRESS _-ti kGER # VALUATION I 500 )ed ? FIREPLACE(S) _0 _7 _2 _3 PHONE # CELL PHONE # CaS I "'-f S'q ( 7 Sq Y FAX # ZIP CODE NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY =nerqy Code Cateqory _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted ? D - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: Water Softener Lawn Sprinkler Watcr Heater No. of R.I. Baths Fee: $90.00 -- No. of Bad -- Mechanical Contractor: Phone # Vlechanical System Includes: 'r + ditioning Fee: $70.00 eat Recovery System Sewer/Water Contractor: Phone# q 54 -W3.?-"7q cfL above information must be submitted prior to processing of application. ereby acknowledge that I have read this application, state that the information is correct, and agree to comply with applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant :rtificates of Survey Received , Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 5torm Damage 06 04-plex ? 12 12-plex Plbg_Y or _ N ?<25 Miscellaneous gv?e 0 v'r '?4-- F:?c Pluct 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 32 Addition )< 36 Move Bfdg. ? 42 Demolish (Foundation) ? 45 Fire Repair 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors 34 Replacement *Demolition (Entire B ldg only) - Give PCA handout to applicant iluation ;"Ooc) Occupancy MC/ES System :nsus Code 4 3 y Zoning ?_ City Water kC Units Stories Booster Pump >r. of Units ? Sq. Ft. PRV >r. of Bldgs f Length Fire Sprinklered pe of Const ? Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings (deck) ? FinaUNo C.O. i? Footings (addition) _ Plumbing X Foundarion HVAC Drain Tile Roof Ice & Water Final Other J? Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final ? Fireplace JkR.I. A-A ir Test rr Final _ Siding Stucco Stone Insulafion _ Windows (new/replacement) Approved By Building Inspector ise Fee ircharge 3n Review :,/ES SAC ly SAC , ater Supply & Storage M Permit & Surcharge eatment Plant ambing Permit :chanical Permit :ense Search )pies ,;L$ her ital RESIDENTIAL ? y550Q BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? lLlp?, '75 651-681-4675 New Construcdon Reauirements RemodeUReoair Reauirements • 3 registered site suNeys showing sq. ft. of bt, sq. ft. o( house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calalafions (or heated additions • 2 copies of plan showing beam & window s¢es; poured found design, etc.) • 1 site survey for exterfor addifions & decks • 1 set af Energy Calculations . Indicate if home seived 6y septic system for addiGons • 3 copies of Tree Preservatlon Plan if lot platted after 711/93 . Rim Joisl Detail Options seleetion sheet (hldgs with 3 or less units) DATE E;` 2Z - ol VALUATION Ll 2 JOB SITE ADDRESS HIIS I`1eC1dQU) IO.?k- J Fd. S IF MULTI-FAMILY BUILDING, HOW MANY UNtTS? PROPERTY OWNER :Su-M F'I u.,-?-CI1IC.C TYPE OF WORK ?I?Mk.,t'lt" W i 1'1.CL-0W 's FIREPLACE(S) _ 0_ 1_ 2 APPUCANT li'?Y1 r'G £ ??U.(-c-?rC* ? X? l0 Y-C PHONE# qS Z-n7 ' I(n f''j ADDRESS PAGER # ZIPCODE _FAX# 95Z-88?-1?5? NEW RESIDENTIAL BUlIDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Subfiitted". -1- =-_ -- . - Energy Envelope Calculations Submitted ? ?'?} E ?.: ?:.- j ? : ;; ?, •`/ . ?_'; ? _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Controctor: Mechanical System Includes: Sewer/Water Contractor: Phone # Phone # Fee: $70.00 All atiove information must be submitted prior to processing of application. I hereby acknowiedge tFiat I have read this application, state that the information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Qrdinances. ?NJ . Signature of Appllcant ?R-v CELL PHONE # ? Water Softener ? Water Heater _ ? No. of Badis Phone #: Lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1I01 OFFICE USE ONLY ? 01 Foundation 0 07 OS-plex O 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 5F Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 0 OS 03-plex - ? 11 10-plex O 19 Lower Levei ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PlbglY or _ N ? 25 Misceilaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolltion (Entire Bldg oniy) - Give PCA handout to appllcant Valuation Occupancy MCIES System Census Code Zc.^.ing City Water " SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth Footings (new bldg) Footings (deck) Footings (addirion) Foundation Drain Tile Roof Ice & Water Fina] Frazning Fireplace R.I. Air Test Final InsulaHon Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone Windows (newheplacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit . Mechanical Permit License Search Copies Other Total RE(1UIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Building Inspector RESIDENTIAL 4,30-so BUILDING PERMIT APPLICATION #UY1 U CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirementa RemodeUReoatr Requirements • 3 registered site surveys showing sq. fl. of lot, sq. ft of house; and all roofed areas • 2 copies of plan (20°k ma)(imum lot coverage allowed) • 1 set of Energy Calalations for heated addiGons • 2 copies of plan showing beam & windax saes; poured found design, etc.) . 1 site survey for exterior addiGons & decks • 1 set ol Energy Calculations . Indicate if hame served by septic system for additions • 3 copies of Tree Preserva6on Plan ii lot pla2ted after 711/93 • Rim Joist Detail Options selecAon sheet (bldgs with 3 or less units) DATE ? -2-v ^ 0 I VALUATION ! ?? ? ? 9 2, JOB SITE ADDRESS 'lliy S • ??aAUUj tc,'--` ?- RCQ . IF MULTI-FAMILY BUI PROPERTY ONJN TYPE Of APPLICA REPLACE(S) _ 0 _ 1 _ 2 PHONE# RZT21M'ZrG601 ADDRESS SC3 ?? hS i c a l(? A-V`p, ZIP CODE ??92-? PAGER # CELL PHONF # FAX #q!S 2'- NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Ca#egory _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone Water Softener _ Larvn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Air Condirioning Heat Recovery System Phone # Phone Fee: $90.00 Fee: $70.00 All above informetion must be submitted prior to processing of application. c ;.• ?i I hereby acknowledge tfidt I fiave read this application, state that the information is,qorre?t ?omply with all applicable State of Minnesota Statutes and City of Eagan Ord' ances. '" ? • -T Signature of Applicant l 1(;y? HOW MANY UNITS? s. _. e T Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex 0 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 Ofi-piex ? 16 Fireplace 0 09 07-plex ? 17 Garage ? 10 08-plex O 18 Deck ? 11 10-plex 0 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)" ? 43 Reroof . ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation i,ernsus Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Cons1 Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation Occupancy Loning Stories Sq. Ft. Length W idth REQUIRED INSPECTIONS Finavc.o. FinaUNo C.O. _ Plumbing HVAC MC/ES System City Water Booster Pump PRV Fire Sprinklered Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By Base Fee _i Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit - License Search Copies Other Totai Building Inspector ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 2 ? 3830 PILOT KNOB RD - 55122 ? 5J 1, qb 651-681-4675 {? ?) New Construction Reauirements RemodeVReoair Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roo(ed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated addilions • 2 cropies ot plan showing beam & window sizes; poured found design, etc.) . 1 sile survey forexterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system tor additions • 3 copies of Tree Preservffiion Plan if lot platted aRer 7l1193 • Rim Joist Delail Options selection sheet (61dgs with 3 or less unils) DATE I U ? JOB SITE ADDRESS IF MULTI-FAMILY B PROPERTY OWNER TYPE OF WORK-f" APPLICANT (20-1 ADDRESS 2131 ? FIREPLACE(S) X- 0 _ 1 _ 2 _ PHONE#763°7S7''7S??0 ZIP CODE 6_5_1?3 PAGER # CELL PHONE #?+J Z- 761 FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residenfial Ventilation Category 1 Worksheet Submitted - Energy Enve(ope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includcs: Mechanical Contractor. Mechanical System Includes Sewer/Water Contractor: ? Air Conditioning Fee: $70.00 Heat Recovery System n f? ??? I? IUI?? All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan/0rc Signature of Water Softener Water Heater No. of Baths Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths Phone # Phone # is correct, and agree to comply Certificates of Survey Received _ Tree Preservation Plan(5t'eceived _ NoVRequired _ Updated 1l01 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - 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 ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addidon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AReration 0' 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of 81dgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Fina Footings (addition) Foundarion 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 FinaUC.O. _ UNo C.O. _ Plumbing HVAC ? . Building Inspector 1 111,1111°City oi8agau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use l Permit #: I I( 121 Permit Fee: 1 ./ Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION J ! Date: -t I - Site Address: '1)'6? ! I - N _ I / '- I ! o MacieuoktisK Po I Name: L ?XE (ice �(�}(.t7)j1 1€ &coo - Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: Construction Cost: minor sid iyiq Multi -Family Building: (Yes X. / ws ) Compan012w &-leriors C}y SMA 1 At'. Address: )0701 `7.D , /tl Contact: 5v€.ril City: / f a pIE G ©vE State: J"I Zip: -663lG Phone: 7p3 -3 R<70 0 Lead Certificate #: NAT- ,`741 /D _ License #: 1�-1J a /J 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: NOTE: Plans and supporting documents that yousubmit are considered to a theinformationmaybe classified as non public you p rvi+d conclude that they are-tr 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.gooherstateonecall.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 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 Stajej BuiJgiing,Prod}f must be completed within 180 days of permit issuance. OCIA0/.. Applicant's Printed Name iaMaig �+ Applicant's Si tura Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA129724 Date Issued:03/10/2015 Permit Category:ePermit Site Address: 4112 Meadowlark Rd Lot:4 Block: 6 Addition: Hillandale 3rd PID:10-32952-06-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Renae Frienwald 2200 Hwy 13 W Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeremy K Paynes 4112 Meadowlark Rd Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature For Office Use -fes l� it 148 7/ �! < � , 0 j ' Permit#: y ) E AGA N 4.< Permit Fee: / �/ 06 ® ��-� Date Received: 6 `/�~ 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 " - (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 APRStaff: buildinginspections(c�citvofeacian.com Z 2018 L 2018 RESIDENTIAL. BUILDING PERMIT APPLICATION Date:-f Z- /Z Site Address 11?-11 f 4(10t,3 L ' - 'Zak £4, c 44 Unit#: i Name: 1�'-�f w0(' \ - �4 'i e,i,e4f LGA ,. Phone: Resident! s jj' �� Owner Address/City/Zip: 1 1,) / t( t' !u tt) ✓si Applicant is: � Owner Contractor Type Work Description of work: fee/914 C:.(' G k-- Construction Cost: I-3 q oo Multi-Family Building:(Yes /No ) Company: �i '1 Co/ s ktA t, IO.t LU. Contact: r �S 65 SGP-'l Contractor Address: 42/9'5 S//Wf / €11 /' 61 City: E ti r1 State:Al N Zip: 5-51 L2_ Phone:fc'!Z 2 Z/-I 3 Lite Email: CS -ro rr1 b i4,(d ery!J /"J4 a to PA License#: /1'c-695001(o 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? XYes No If yes,date and address of master plan: 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 may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are 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.citvofeanan.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.00pherstateonecall.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 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. x7th Ii r 1).S/7'441 X Applicant'sPrinted Name Applicant' gnature DO NOT WRITE BELOW THIS LINE 0 SUB TYPES G`I// 61-1406014e -'-. Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) — Multi X Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous d 01 of_Flex _____ 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 1 Replace _ Repair _ Egress Window _ Water Damage tetalning Wall 'Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation `( 3 f Dv•= Occupancy 'ZC-3 MCES System Plan Review Code Edition o// ZC/3 SAC Units (25% )l 100% ) Zoning 11 -3 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length I Z- Fire Suppression Required Type of Construction V $ Width Z S REQUIRED INSPECTIONS Footings(New Building) Meter Size: IG Footings(Deck) Final/C.O. Required Footings (Addition) _ )d Final/No C.O. Required _ Foundation HVAC_Gas Service Test Gas Line Air Test _ Roof:_lce&Water Final Pool:_Footings Air/Gas Tests _Final QL_ Framing Drain Tile _ Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick Insulation Windows _ Sheathing Retaining Wall:_Footings Backfill_Final Sheetrock Radon Control _ Fire Walls Fire Suppression: Rough In Final _ Braced Walls Erosion Control / Other: 'viewed By: / 0 el /X®k frit" , Building Inspector ESIDENTIAL FEES Peek 314° . - 69 lc.o . 59 . • Base Fee Surcharge A .57-,eiz is-14-.1. ss ✓eJ Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 BOOS ..PI•.-,n 4V.V00 .4,1WSWu{LPip,. _ ......... ,....._._.._. 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Y � n �.� � �Sp 9 I� °.€ o" YY bk$ ung 9^e$ g _ °O�yy p nF G $ gym" ,o,,H1 ,41 »° 11116i°__=2 » ,,,,a6o`i3i CEr9 k o .gig H d k g �n 1S z " m4 a �i Ri 141301'u - $ d •. �...,., g n a o nnm a >`a h m y yi .d r Q O ri ni v ,u g$� 06 " d fl on" id E ti CO - p 4 4 C 0 0 15 a: 11,10 °bocy C Qp v , F� CO �2O p�0 p•oP it eS 0 c p��� m �O�� �,�0 �4°° m ® W ,// p� '1��\� 5° — W f < %%, iii ill i : LL O� 40 — 4- v P a P j 0 a v 4 el• 7, NORTH li /� co F SEW rJIM 4 �• . z y6�� //O a EJP rJ Q -6 Ns. 2 /Mil an, Zio % J V' /1\/// J 2 mit, j \ ;,\ -' 4111, [ r % S �� • avow 712ib IMOQv3W HIf OS � # G'En s �� a ' 4 -------- / • ---.c.-- -'5.- •.',, ' 'i' ' ift'i,' /, iiimr , ,ior 4i' ti -.. tai i, �i PERMIT City of Eagan Permit Type:Building Permit Number:EA174819 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4112 Meadowlark Rd Lot:4 Block: 6 Addition: Hillandale 3rd PID:10-32952-06-040 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 - Amy E Mullen-benton 4112 Meadowlark Rd S Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature