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4166 Meadowlark WayCITY OF EAGAN Remarks Addition HILLANDALE ADDN. #2 .. , i/_ Lot 4 Blk Owne`r Street 10 32951 040 03 State Eagan, MN 55122 Improvement Date Amount Annual Years '?Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK S /4.94 w,qr1 -3-.-W 25 . w• ?G SEWER LATERAL * WATERMAIN j ,3 1973 189.47 12.63 15 WATER LATERAL WATER AREA 113 17 104.34 (c-LJ Z 1? rf, 9cl * STORM SEW TRK 1973 430.49 28. ? 15 6'1. ---- * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #45528 8-15-84 WATER CONN. 470.04 BUILDING PER. ? n SAC n t r PARK CITY OF EAGAN Remarks Addition HILLANDALE ADDN. #2 ?17p ot 3 elk 3 Parcel 10 32951 030 03 Owner Street Meadowlark Eeerr-t- State Eagan, MN 55122 Improvement Date Amount Annual Years ' Payment Receipt Date STR EET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 1970 74.94 3.00 25 27.10 C010201 4- g5 SEWER LATERAL * WATERMAIN 670,3 1973 189.47 12.63 15 25.28 C010201 4-8- 5 * WATER LATERAL WATERAREA 213 1975 104.34 6.96 15 2.8 C010201 -8-8 ? STORM SEW TRK D 1973 430.49 28.70 15 57.52 C010201 4-8-85 * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit #45528 8-15-84 CONN. 470.00 11 T I BUILDING PER. # 42 if if SAC 525.00 PARK CITY OF EAGAN Remarks Addition HILLANDALE ADDN. #2 Lot 2 Blk 3 Owner Street 10 32951 020 03 State EaQan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. STREET RESTOR. GRADING SAN SEW TRUNK ?S 1970 74.94 3.00 25 SEWER LATERAL ?c *WATERMAIN jr3 1973 189.47 12.63 15 * WATER LATERAL WATER AREA J13 1975 104.34 6.96 15 ;r 4e STORM SEW TRK " ?. 1973 430.49 28.70 15 r?, ?Z ? STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #45528 8-15-84 WATER CONN. 470.00 it it BUILDING PER, n n SAC PARK CITY OF EAGAN Remarks Addition HILLANDALE ADDN. #2 Lot 1 glk 3 Parcel 10 32951 010 03 Owner street 4176 Meadowlark 4eartkAala state Eagan, MN 55122 Improvement Date Amount Annual Years j Payment Receipt Oate STREET SURF. STREET RESTOR. GFADING SAN SEW TRUNK Qg' 1970 74.94 3.00 25 -2 -$ SEWER LATERAL * WATERMAtN d0 1973 189.47 12.63 15 2,28 " " * WATER LATEFAL WATER AREA 1975 104.34 6.96 15 27.89 " ° * STORM SEW TRK 1973 430.49 28.70 15 57.52 11 "' * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 4k45528 8-15-84 CONN. 470.00 " BUILDING PEfi. #9426 SAC 525 00 PARK - CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 _ aecKIveo FnOM, AMOUNT $ vjJ( ) $ DOLLARS 1 oo I ? CASH [:1 CHECK FOR FUND CODE AMOUNT Thank You 071?e'el BY j.. ! White-Payers Copy Yellow-Posting Copy Pink-File Copy 4I / 7 6 y1 -7? ?j yz3 ? 1?c7 C7?fLL/ /-Ii`'1? CITY OF EAGAN _C' 9?26 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt Ts 6e rwd fm 1 OF 4 PLF)C FN v„1„. $53, 000 n„, AUGUST 15 io 84 Site Addren Lot 1 Parcel No. _ W Name MICHAEL CONST b DEVELOPN1EIdT z Address 8800 W I3WY 7 City ST LOUIS PlFnone 938-4262 , ? Name SAI?lE ?? Address ? City Phone GW N?1e DU'MONCEAUX & ASuOC ~? 3400 W 66TH Phone Erect L? Occupai Remodel ? 2onin 9 Repair ? Type of , Enlarge ? No. Stoi Move ? Length Demolish ? Depth _ Grede ? Sq. Ft. , Assessment Woter d Sew. Police Fire Enp. Plonner Countfl Bldg. Off. APC Var. Date I hereby ecknowledge that I hove read this cpplication and stare that the informotion is Correct ond ogree to comply with oll applicable State of Minnesoto Statutes ond Ciry of Eogan Ordinances. Sipnature of Permittee A Building Permit Is issued to: MICI1A7L CONST & DEVELOPMF.NT oll work shall be done in *ordance with all opplicobls Stpte of Minnesoro Srotutes and Buildinq Officiol on R1 Permit y 292.00 I surcharpe 26, 5 0 Plan check 146, 0 0 sac 525.00 Woter Conn. 470-Q 0 Water Meter _64-00 Road Unit 26t)- 0 Parks Total $1,782.5 0 thoi Psrmit No. Permit Holdar Dste Plumbinq ?(p 3` ?j (,h Z? a3 I? H.VA.C. We-,A>?L YF) ei.ct.ic 117-8?! sanwmr Inspection Date Insp. Othar Footings ? Foundation ? Framing ?a? -- -? y- Rough Plbg. 0 jj•8 /.J Rough HVAC ? y Inwlation Final Plbg. .z • 1 7' .? Final HVAC Final Cert/Occ. ?j(? ? ?\Z.S OS Water Dascribe nLocation: Wel I / Sewer Pr,. Disp. Receipt PLUMBING PERMIT Permit No. ' !' J > ' CITY OF EAGAN Fee 1l,., D Fill in numbered spaces S/C ? Type or Print /egibly Tot. 1. Date 2. Installation Cost ?a ; t Bik ? J b Add 3 yM L ffl(?,,? ?C Tract . o ress . o I 4. Owner ? 5. Contractor - Phone 6. Address Yl00() '`/ 7. City / ,?..J,.?.. State /1l.? Zip .L- 8. Building Type: Residential I? Commercial 11 Institutional ? 9. Work Description: New Q Add ? Alter 11 Repair ? 1 70. Describe 1. No, ,.2 Fixtures Water Closet No. Fixtures Cesspool/Drainfield / Bath tubs Septic Tank Lavatory Softner - _ Shower Well ? Kitchen Sink Urinal/Bidet Other /ellr/ri - / Laundry Troy f ? / Floor Dreins ? ? Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ' .s - " /? for . Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OP EAGAN 454-8100 _I Receipt IrI MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fi!l in numbered spaces S/C Type or Print /egib/y Tot. 1. Date 2. Installation Cost, Gp /.:./.'.- 3. Job Address Lot / Blk. 3 ---- i 4. Owner GT 5. Contractor Phone 6. Address 7. City State c 2ip _ 8. Building Type: Residential 0 9. Work Description: New -y 10. Describe 17. Commercial ? Institutional ? Add ? Alter ? Repair ? Fuel Type No. Eauiomenc 8TU - M. Ea. Forced Air 50000 No. Eauipment CFM Air Handlin : - Mf9• ?.Y 4,vt g Boilers _ Mfg. _ Mech. Exhaust Unit Heater - Mf9• Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. ? Signed: ?- , ? - ;-,R': for Rough Final Inspections: Date Insp.__ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Cities Di i? ta1 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. Receipt / Permit No. " Fes PLUMBING PERRAIT CITY OF EAGAN fill in numbered spaces S/C Type or Print legibly Tot. 1. Date ? 2. Installation Cost 3. Job Address ` Lot Blk. Tract 4. Owner 5. Contractor. Phone 6. Address I 7. City I State Zip _ 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New O Add a' Alter ? Repair ? I 10. Describe I 11. c, '-? No. Fixcures Water Cioset No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank _ Lavatory $oftner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains ? Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough - final Inspections: Date Insp.__ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 J .. PERMIT # v?vr 51? t ,c /? .• ;? /c .?.. , ,c a v MECHANICAL PERMIT RECEIPT # ? CITY OF EAGPJL-j, 3830 PILOT KNOB ROAD, EAGAN; MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Addrefss z ? BLDG. TYPE WORK DESCRIPTION t x Block ? Sec/Sub R N es. ew ? ' ' Mult Add-on Name ? ° -' ` ? ?? Comm. Repair m Address Other c City ?one j FEES ? c Name RES. HVAC 0-100 M BTU -$24.00 ' Address << < ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMI ( - n - 1.50 EA. ? TYPE OF WORK COMM/IND FEE - 136 OF CONTRACT FEE ; Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES ' B il TOWNHOUSE & CONDOS - RES. RATE APPLIES o er M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ 1,0 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM ? (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other ? . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT ReceiPt # Te be uwA fer 1 Or 4 PLEX Est. Value $56 1D00 Dote AU(a't18T 1S , 19-A4 SiteA ress ?4174- ?????K -WAY Erect ? Occupancy Ri Lot I Block '? ?& c/Sub. giLLMDJUX 2 Remodel ? Zoning Parcel No. Repair ? Type of Const. --- Enlar9e ? No Stories ? ? i I t Name MICHARL ??? ? DBV XiOFST $800 wHWY T Address City ST LMIS ? 938-4+Z0Z Move ? Demolish ? Grade ? • Length ! Depth , Sq. Ft. _ Avvrovab Name Address - Asscssment F City Phone Woter d Sew. 5 DII???? & ASW Palice F Name Fire 5 Address 400 66T8 ST E„g. ? Cicy BDINA Phone 92 -6766 plonner ? Council F Dy ackrawledge that I have read this opplication and state that gldg. Off. F lormotion is correct and ogree to comply with oll opplicable APC ' of Minnesota Stotutes and Cify of Eogan Ordinarices. Var. Date ire of Permittee _ -ig Permit is issued shall be done in a Officiol oll applicable 411" on the a utes and City of Eofl :heck _ Ur,ir LsU*Uu Permit No. Permk Holdar Drts Plumbing ? 3? (,J j ? 3 ? g r H.v.a,.c. Elect,ic Softansr Inspeetion Date Insp. Other Footinga AP&IA Foundation Framing Rouph Plbq. Rouqh HVAC Inwlation Final Plbg. L, Final HVAC D- 9 i Final D c..voa. V v D Wabr Deserihe Loeation: w.n Sower V Pr. D'ap. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN ? Fee 2G.nij. ? fill in numbered spaces S/C .S/_ Type or P?ini /egibly Tot •T : . 1. Date 2. Installation Cost ??1 BIk Lot x 3 J b Address IY/ /? ii i ? • /I•!I/, r??_?C' Tract . _T . o ,n ;, ?,? . 4. Owner f1[?,?,;L/ /p: ,; > 5. Contractor,Lsi;rr/ /ij.:i) Phone 1 6. Address -. ? CC /s"[i)iu,Xrr•_ ; "e . ? 7. CitY 1-7 : --, ,? ,/ State Zip 8. BuildingType: Residential G] Commercial ? Institutional ? 1 9. Work Description: New a Add ? Alter ? Repair ? 1 10. Describe I 11. No. ?- Fixtures Water Closet No. Fixtures Cesspaol/Drainfield / Bath tubs Septic Tank .5' Lavatory Softner Shower Well % Kitchen Sink Urinal/Bidet Other i - / Laundry Tray . i Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 72. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: " for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 (Receipt MECHANICAL PERMIT Permit No. J CITY OF EAGAN Fee Fill in numbered spaces S/C •?'=' Type or Print legib/y ? Tot. 1. Date 2. Instapation Cost •???f?? ??? ? 3. Job Address y17Y Lot' ? Blk. ? ?c? 4. Owner 5. Contractor : -/"?? • ?;_:i ?j._.!!: Phone --?- 6. Address ?c o v 7. City 8. Building Type: Residentiai ?f 9. Work Description: New 1;7 10. Describe State Zip Commercial ? Institutional ? Add ? Alter ? Repair ? 11. Fuel Type No. ? Eauinment BTU - M. Ea. .., ^??. Forced Air ' --' No. - Equipment CFM Air Handling: ? -f Mfg. - Boilers Mfg. - Mech. Exhaust - Unit Heater Mf9• Other 13A? v7? - Air Cond. Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAIV 454-8100 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN • PHONE: 454-8100 BUILDING PERMIT Receipt Te M YNA I01 1 OF 4 PLEX Est. Volue $56v000 Dare Site Address 4170 Mr.,AnowLAxx wAY Loc 3 siock 3 sec/sun. HILLANDALE 2 Parcel No. o Zu u? ? Name -__.._-_...? ...._...,. .. ..................... Address 8800 W HWY 7 City $1 LOUIS Pl?hone 938-4262 SAME 5 ?T?; 9423 Erect ? Occupancy R1 Remodel ? Zoning Repair ? Type of Conrt. V HR Eniarge ? No. Storiec Move ? Length 2 5 Demolish ? Depth 4 5 Grade ? Sq. Ft. Address Assessment _ City Phone Water & Sew. _ Police Name nU' MONCEAUX & ASSOC Fire Address 400 W 66TH ST E EDINA 927-6766 ?°? City Phone Plonner Council I hereby ocknowledge thot I have read this opplicotion and store that the information is correct and ogree to comply with all applicoble State of Minnewta Statutes and Ciry oF Eagan Ordinances. Si9nature of Permittee A Building Permit Is issued to: MICHAEL CODIST all work sholl be done in accqrdance,with all applicable StatR af Mir ? ; Buildirq Officicl Statutes ? Permit $ 301.00 _ Surchorga 28, 00 _ Plan check 150, rJ 0 _ SAC 525.00 _ Water Conn. 479. d0 Woter Meter -SLt,.? 0 Road Unit 26oj-t?U Parks _ Total $1.797.50 _ on the express condition Ihot :ity of Eaqan Ordirwnces. Parmit No. Permit Holder Dete Plumbing U(a 3 ). <--k ?1 g Y H.v.a.c. 14 15 (( >? Electric 41-1 (maq • ? ' .Fe, Softener Inspection Date Insp. Other Footinge Foundation Framin9 / ?a G X Rough Plbg. Rough HVAC lnsulation / Final Plbg. ? Final HVAC j! Final Cert/Oa. Water Describe Location: wau Sevwe. Pr. Disp. I Receipt y? I PLUMBING PERMIT Permit No. 'Y? J CITY OF EAGAN Fee Fill in numbered spaces S/C =7) Type or Prini legib/y Tot. -,7: 1. Date _2. Installation Cost ? / i« , i' ? ?? ' 3. JobAddress '?li? i1L LbtT• -J Blk. ? Tract ? 4 4. Owner ig 5. Contractor Phone 6, Address -, G L'L r+')? 7. City State /, i,? Zip _',%r 1- 8. Building Type: Residential Q' Commercial ? Institutional ? 9. Work Description: New Gr Add ? Alter ? Repair 0 ? 10. Describe I 11• No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank .3 Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other 60, `Itt-"i-; / Laundry Tray ? Fioor Drains ? Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt ?oi 10 MECHANICAL PERMIT CITY OF EAGAN I Fill in numbered spaces Type or Print legibly Fee S/C ?D Tot. .? " 1. Date 2. Installation st s2 ?? 0• ? Commercial ? Institutional ? 9. Work Description: New IE Add ? Alter ? Repair ? , 3. Job Address y/7? Lot 3 Bik. y??T?re ct 48.. Owner 5. Buildi Contrangctor Phone 6. Address Type: ??0 O sy 7. City Residential ,? State Zip 10. Describe 17. uel Type No, ? Equipment 9TU - M. Ea. Forced Air 000 No. Equipment CFM Ai H _ Mfg. %Yi f'ti7' - r andling: _ y Boilers Mfg. _ Mech. Exhaust -_50 Unit Heater Mfg. Oth Air Cond. er Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type qf work. ?? . Signed: for Rough Final Inspection5: Date Insp. Date Insp. This is your permit when numbered and approved. i Permit N6. Approved CITY OF EAGAN 454-6100 BUILDING PERMIT 1 OF Site Address 4166 MEA Lot 4 Block 3 Sec/Sub. Parcel No. W IName MICHAEL CONST & DEVELOPMENT ? Address W HWY City st LOUIS P?hone 93$-4262 z0 INarne o?U u Address . M?- Citv -- Name Address City ? Phone I hereby acknowledga thot 1 have read this opplicotion and stote that iM inlormotion is Correct and ogree to comply with cll opplicoble Stota of Minnesota Stofutes and City of Eagon Ordirwnces. Sipnoture of Permittea A Building Permit Is issued to: ''&ICf?:v;?L C:^1: T oll work shali be done in accordorxe with all opplicoble State of Mii CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # _ 4 PLEX Est. vm.e $530000 pntp AOGL N?r 9424 Erect L? occupancy R1 Remodet ? Zoning Repair ? Type of Const. V1 HR Enlarge ? No. Stories Move ? Length 2 7 Demolish ? Depth 45 Grade ? Sq, Ft. ADVro vals Faes Woter 8 $ew. Police Fire Enp. Plunner Council Bidg. Off. APC Var. Date Permit '" "` • "" Surcharpe 26.50 Plan check 146.00 SAC 525.00 Water Conn. 4 7 0. 0 0 Woter Meter 6 3. 0 0 Rood Unit 260.00 Parks Total on the exprcss condiHon Ihat and City of Eagon Ordirances. 8uildinp Officiol Mrmit No. Permit Holdsr Dets Plumbing y ? ,;,, Li 2 3 H.V.A.C. ? ci i _C Elsctric Softener Inspection Date Insp. Other Footings Foundation Freminp D?Jr p 97ii. !w Rouph Plbg. O-I?! 3 Rouqh HVAC Inwlation / Final Pibp. Final HVAC Final ?,(v Csrt/Occ. r Water F Dascrihe Location: ??, ??. Pr. Disp. INSPECTION RECOR] ? CITY OF EAGAN PERMIT TY 3830 Pilot Knob Road Permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: i (612) 681-4675 ' SITE ADDRESS• • :S t :... y,;.: ???iulJl H1;1'. t!FV'i .. II1 I!:iPliilil 1 itilI111 Y i E1N PERMIT SUBTYPE: . ? I - I_pi 1,,1% 11 r1,,; Ci1IililiPl( N,' 7 44 i 06 /ir+J"1t APPLICANT: ( r: I.' i:<;irt rtr. R I TYPE OF WORK: N k i' I? I h' 14(.Fr1F UAMA1 Iif ',i.R 1 f I i u 1-:1 mAlth'.e INV ! 0111 '. 4 1 70 , 4 1 l4 . ANt) 41K tAUtµ,,ltRf't?; tdAY t 3 I_ _' ! ? , Permit No. Permit Holder Date 7elephona # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND fRAMING ROOFING ?z u ROUGH PIUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CASI-P IiECEIPT . '? CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 ., DATE '" 19 RECEIVEo AMOUNT ,$ DOLLARS Q CASH El CHECK .??. .. /? . , ' . '- . .. ? ` % . ?-; FON F/ ? FIIND CODE ANl ./ 7 /.. ! ?. ?. ,. Thank You BY ? Ca 4? cN .rt ' ? White-Payers Copy Yellow-Posting Copy Pink-File Cqpy TY OF EAGAN SEWER SERVICE PERMIT 30 Pilot Knob Road _ 0. Box 21199 PERMIT NO.: ?- -u gan, MN 55721 DATE: ning: No. of Units: l"r i'- ?'-?? ev vner: : c Address: 425.00 pd ageee fo eanoly whU !hs Gy oi Eayee Connectlon Chorys: 15.00 pd kdinanou. Account Deposih 10.00 pd. Parmit Fee: Surcharpe: ?a .50 Charges: Miu y . t f I : Totol: a e o nsp. Date Paid: nSp.: ) CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. G. Bc-? 21199 PERMIT NO.: Eagan, MN 55121 DATE: 2oning: No. of Units: i umiL «-pl- c r •i::'.e?s Owner: Finance i.;c Address: W Site Addmu: 7'_C113ndale II Plumber: Meter No.: Connection Chorge: 470.00 d- - Siu: ID?"'" r` Account Deposit: 10 01) Reader No.: . Permit Fee: n I agrae ro eanply wNh ths Ciry of Eegan Surchorge: ' 7` Or/inaneM Charyes: fl.OU pc' lct c,r Misc . . roeol: E horn By Dote Poid: Date of Insp.: Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road - 5 ?6, P. 6. B.)x 21199 PERMIT NO.: Eagan, MN 55121 DATE: 0_1 1-84 ' Zoning: No. of Units: 1 unit pwner• 'uil,!ers l'izance ?_nc Address: ? Ite Addrcss: ber: u u ., ? c . z ter No.: - . nnectionCharge: ?? . • i n ?? ' ?- Sl W c 15.QQ pd ze: Reader No. ? ouM Deposit: Wmit Fee: 10.00 .? ? 1 aorse M canPFy wkh Ne Ciy ef Eayaa Surcharge: .50 Ordineaw. Mise. Chorpes: 3.',+l n,' mot er ? Total: r BY (? Dote Paid: Date of Insp.: 3 aS gs Insp,: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: ? No. of Units: ? -•?`pY p,,,,,er: PuiZc'ers ?i FinancE: Inc Address: Site Address: 4174 So MeBdowlaik ?d I.?. E3 2:illan3sle II Plumber: enEE 8/15/84 4552£ 100.00 pd I agrea fo wmpy wNA !6a Cky ef Eagon Connedlon Chorpe: 42 S.b? nd Ordinenees. Account Deposit: 13.OC? i; Permit Fx: 10. t?0 ?c. SurcFarge: I .5C pd BY Misc. Gwrges: Date of Insp.: Total: Insp.: Dote Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road ,- 7yi P. O. Box 21799 PERMIT NO.: Eagan, MN 55121 . bqTE: -? ZOni^g' "4 No. of Units: 1 tu`-it 4•-pler: Owner.. Rtti7ders FinAnC It'c ? Address: ? Stte Address: G1 7! xaa ?•?.,ctQ?,1-rl ?t ?? n? qillandBle ZZ ' Plumber; Meter No.: Connection Charge: 470.00 pd Slu: Accounr Deposir: -r5 J. vII pa - Reader No.: Permit Fee: 1U.00 p I a9rm b eomply wIM the City of Eagaw Surcharge: Ordj°°^ceL Misc. Charges: 63.00 pd meter Totol: F, tioTn By Dote Poid: Date of Insp.: ?nsp: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P• O• Box 21199 'PERMIT NO.: Eagan, MN 55121 DATE: ZO°i^g' No. of Units: 1 unit OWB!(: T,jc, Address: Site Addrest ;i Plumber: „r, h'I n T' ? , .. .,. Meter N .. . ,ji ' • necrion aa.ge: ?F iD.00 ?2 Slze: ? P unt Deppsit: 15. Reade N ?rmit Fee: 10' MT-PT-- I agraa M eolnohr wkb the Cm, of Eagap Surcharge: '' ?' OrfiinaD 8 jYt S' 57 Misc. Charges: A d met er ToraL• S ?- orn BY Dote Paid: Date of Insp.: ? Insp.: A CITY OF EAGAN 3830 Pilot Knob Road P. 0. Bax 21199 Eagan, MN 5512; Address: Site Addi Plumber. IIIC SEWER SERVICE PERMIT PERMIT NO.: 6900 DATE: - °" _ No. of Units: 1agree fo wmVly wilh Na Cih of Eagan Ordinaneas. Bv DoM of Insp.: Connectlon Charpe: 425.00 pd { Account Deposit: 15.00 Pertnit Fee: ?• 01? ? Surchorge: .30 Misc. Charges: Toml; Date Paid: CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ?-11- 84 Zoning: No. of Unirs: IuIIit 4-plex Owner. °;:.i1dn a Pinen Ce InC Address: Site Address: - u} 70 qft Mp,,4 -. „- Rd I„i 133 ii1 ]]9IId82e ZI Plumber. '`;e't:?El. - Metar No.: Connection Charge: 470.00 pd Size: Acwunt Deposit: 15.00 pd Reader No.: Permit Fee: 10.00 nod Igsros M eomVlY wiTh Hro Ciry oi Eagan Surcharge: . 50 V'. Ordinaeea. Misc. Chorges: _ 63.00 pd metn_r Total: • By Dote Paid: Date of Insp.: 1„.„ , CITY OF EAGAN 3830 Piiot Knob Road P. O. Box 21199 Eagrn, MN 55121 Zoning ress: ?? ? ite I ber: AAeter No.. I e9m to wmvly wilh Hro City of Eagsn Ordinanw, By 1 V Date of Insp.: a? 2 o rl 5 Connedian Charge: 470.00 nd /Accounr Deposir: 15.00 pd Permit Fee: 10.00 pd Surchorge: • 5`-1 Pr Misc. Charges: f3.()(' r(? '7F;tf:T Total: Dote Paid: I n' WATER SERVICE PERMIT PERMIT NO.: 5 7 DATE: 9-1.1-3 ?c No. of Units: luilit Cs--plex CITY OF EAGAN 3830 Pilot Knob Road SEWER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MM 55121 DATE: -'11771. Zoninp: P,4 No, of Units: 1 unit 4-r?.ex Owner: ?",iIders ^inac,ce :nc Aad.eS:: Site Address: _ 4170 So !v!eadow lark Rd L4 113 Aillandule II Plumber. wenael E/15/°4 4552' 100.00 pd 1 aym ro eomply wHh !M Ciey of Lapn Connection Choeye: Ordlnansss. Acwunt Deposit: 5.0 pd pe,mit Fee: 10.00 pd Surcharpe: .50 Pd BY Misc. Chorpes: Datc of Insp.: Total: Insp.: Dote Poid: 1 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road ;:709 P. O. Box 21199 , PERMIT NO.: , -. ,. EagrAn, MN 55121 DATE: _ . r Zon;ng; No. of Units: _ ^,, t 1 r'Ars,.._Riaaance Inc _ II umcer: ''470.00 p?' er No 9 nnection Gharge: "munt Deposit: 15.00 ?)?: Y 8 L I ?, 10. 00 nd Read r No.: .50 vd 1 agrw M wiM !M CitY of Eayae aurcr,a.ud: 63 . 00 Pd met er OrJi Mix. Chorpes: Totol: & norn BY Dote Paid: Date of p.: Insp.: ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN # J??? ? y 3830 PILOT KNOB RD - 55122 °? ? 651-687-4675 New ConsWdion Reauirements RemodeVReoair Reauirements • 3 registered site surveys showing sq, il. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum {ot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies o( plan showing beam & window sizes; poured found design, etc.) . 1 site survey forraxterior additions & decks • 1 set of Enertgy Calculations . Indicate if hane served 6y septic system ior addilions • 3 copies ot Tree Preservalion Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less uniGs) DATE 1,7-3L - d/ JOB SITE ADDRESS IF MULTI-FAMILY BU PROPERTY OWNER_ TYPE OF WORK_j? APPLICANT C? ADDRESS T/ 3 1 PAGER # _ W76 ? < 7? G, JiOW MANY U CELL PHONE # y ?-// 7 VALUATION (5-z)` i5?0 FIREPLACE(S) 2?u _ 1 _ 2 PHONE00-7t7`1536 ZIP CODE 5 3 -- ?? FAX # Nt1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System S W t t ewer/ a er Con ractor Phone # All above information must be submitted prior to processing of application. gY I hereby acknowledge that I have read this application, state that inf ma on ' orrect, and a ee to comply with all applicabie State of Minnesota Statutes and City of Eagan O din nc . Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan eived _ Not Req ed _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) Footmgs (deck) Footings (addition) Foundation Drain Tile Roof , Ice & Water _ Final _ Other Frammg _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulatiott _ Windows (new/replacement) Approved By , Building Inspector 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 ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N 0 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage O 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered _ FinaUC,O. _ FinaUNo C.O. _ Plumbing HVAC RESIDENTIAL r BUILDING PERMIT APPLICATION CITY OF EAGAN ? u?7 z? 3830 PILOT KNOB RD - 55122 ? ? 3851-681-4875 New Construction Reauirements • 3 registered sile suneys showing sq. R of lot, sq. ft of house; anll roofed areas (20% ma)imum bt ooverage albwed) • 2 copies of plan showing 6eam & window sizes; poured found desgn, etc.) • 1 set o( Energy Calculations • 3 copies of Tree Preservation Plan ii bt platted atler 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less uniLs) DATE 8" I(,o- C71 JOB SITE RemodellReoair Reau irements ? 2 copies oi plan • 1 set of Energy Calculations for heated addidons • 1 site survey for exterior additions & decks . Indicate 'rf home served by septic system for addfions VALUAION ??aL- u?-P IF MULTI-FAMILY BUILDING, HOW MANY UNITS? 1 ? PROPERTY OWNER??rv-?c_ ??,r15c _? TYPE OF WORK APPUCAI ADDRESS PAGER # CELL PHONE # FIREPLACE(S) _ 0 _ 1 _ 2 PHONE#P:SD-1G4-,31oCQ P CODE _ FAX # 9Sj-Y1L/-09<XD NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Contractor: _ Water Softener _ _ Water Heater No. of Baths - Air Conditioning _ Heat Recovery System All above information must be submitted prior to processing of application. Phone # Phone tD Fee: $90.00 Fee: $70.00 b { I hereby acknowledge that I have read this application, stpte that the information iftorr€s#, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga4O?r' ces. ? Signature of Appli n - Certificates of Survey Received _ Tree Preservation an Received _ Not Required _ Updated 1101 Phone #: Iawn Sprinkler No. of R.I. Baths OFFICE USE ONLY . O 01 Foundadon ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB OEplex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or,^ N ? 25 Miscelianeous ? 31 New ? 35 tnt Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Founda8on) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appiicant Valuation Occupancy ? MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED iNSPECTIONS Footings (new bldg) Footings (deck) FinaUNo C.O. Footings (addition) Plumbiag Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation FinaUC.O. HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water 5upply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ?. RESIDENTIAL ? BUILDINC PERMIT APPLICATION CITY OF EAGAN ???! (17 G, 3830 PILOT KNOB RD - 55122 ??-/ T ?' III?'(I 657-681-4675 I?N 'D ? New ConsWetion ReauiremeMS RemodeVReoairReauirements • 3 registered site surveys showing sq. ft of Wt, sq. ft of house; ancU ioofed amzs • 2 copies of plan ? (20°? maximum lot coverdge albwed) • t set of Energy Calalatlons for heated additions • 2 copies oi plan showing beam 8 window sizes; poured tound design, etc.) • t site survey for exlerior additions & decks • 1 set oF Energy Calalatioru . Iridicate H home sened by septic system for additions . 3 aopies oiTree Preservaton Plan il lot platted atter7f1/93 . Rim Joist Detail Optiors setectlon sheet (bldgs wifh 3 or less unb) DATE / JOB SITE ADDRESS ? V-I 0 V_Y_4?dcx.._` IF MULTI-FAMILY BUILDING, HOW lA/IIANY UNITS? O VALUA'ION ??? PROPERTY OWNER, )CY`v1 l!-?( u-nt AN-e- TYPE OF WORK FIREPLACE(5) _ 0_ 1_ 2 APPLICANT ?,-?)nCjY1 S PHONE#?? -k2'?L_3_(XD ADDRESS x.( vNSJ , k\,C- rn11_? ZIP CODE??y_ PAGER # CELL PHONE # FAX #?- W-?-Z'D9M NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted Plumbing Conhactor. _ Plumbing System Includes: Mechanical Conhactor: _ Mechanical System Includes: Sewer/Waier Contractor. Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or 'nances. Signature of Ap ? Certifcates of Survey Received _ Tree Preservatio an ecei _ Not Required _ Updated 1/01 _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: ? Water Softener _ Lawn Sprinkler _ Water Heater ? No. of R.I. Baths _ No. of Baths _ Air Conditioning _ Heat Recovery System OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 af_plex ? 04 02-plex ? OS 03-plex 0 06 04-plex 0 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10.plex ? 12 12-plex ? 13 1&plex O 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level Plbg_Y or _ N ? 20 Pooi O 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) O 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? ,31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi 0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bidg onl» - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) FinaUNo C.O. Footings (addition) Plumbing Foundation Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By Base Fee Surcharge Pian Review MC/ES SAC City SAC Water Suppiy & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Fina]/C.O. HVAC Building Inspector ? This request void 18 rtqnths trom 1 sf 5 A nR9 Fi R L.t 6 3 N;?l?,.,?c?._z-- Request Date (? I LO r,? 0 1 6? Fire No. Rough-in Inspection Requir 7 es ?No ' ?Ready Now MOO ill Noli(y. Inspeo- ror When Ready [glicensed Electrical Contractor 1 hereby request inspection ot ebove ?Owner, ? - electrical work imtalled at: Siveet Address, Box or Route No. CitY ? w - ecuon o. Township Name or o. No. r-ge County • F D« kcr f- OccupantlPflINT) Phone No. L ??eo- 17 .vce S Power SupD?ier Address r G f' - e L u C 0.7 Electrical Contractor lCompany Namel Contractor's License No. &74 CC-f.Yrc -,-/ u 4( y_ AAailing Address (Contractor or Owner Making InstailatioN 3.1-00 Gk7e ?G ct IPI> Authori ed B turg Comrector:9w r Making Imtallation) Phone Number ?,- Usa isd? MINN60TA STATE BOAflO OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT Griggg.Midway Bldg. - Noom N-197 BE ACCEPTED BY THE STqTE BOARO 7827 University Ava., St. Paul, MN 65104 UNLESS PROPEN INSPECTION FEE IS phn. (612) 297_2111 ENCLOSEO. ^ REQUEST FOR ELECTRICAL INSPECTION ea•ooooi-oa See instructions }or compleglawk--l3orm on back of yellow cooy. A f1 wx""a r, "X" Below Work Covered by This Request RlswlAddl Hep.1 Type ot Building I Apoliances Wired I Equipment Wired I ex I I Water Electric Heati Silo Unloader Bulk Miik Tanl il Fea ServiceEntrenceSiza q Fee Feeders/Su6feeders # Fr,e Circuits jjT,oo 0 tp 200 0 to 30 Am s Q ??, 0 to 30 Am M Above 2m s 31 to 100 Amps 57,O0 31 to 100 Amps Swimming Pool Above 100-Am s Above 100_Am s Transformers Irrigation Booms Partial•'Dther Fee Signs Special Inspection .?' --$ 3 ??? TOTAC FEE ? Remarks / ?? 0),61 eEl atFical hereby Final 9710 pa1e certify thet the above _.? ? inspection has baen ? A /-??? ?da. This m,umt REQUEST FOR aECTRiCAL 111[?ECT{Old ?'000O1A0 ?? ??? ' See inrsiructicns for tompFe7ivg this imm cn hatk uf yelbe t?. II -I A n Q)R`17 "X" Be/ow 4Vork Covered by This Request b fUw A d d ReD. 7Ype ot.Building Aovlioxas Wired E4aipmnat Oired Home Range TenqooraryService Duplex Water Heater Lighting Fixtures Apt. 8uilding pryer Electric Heati Commercial Bldg. Fumace Silo Unloader ' Industrial 8ldg. Air Cwiditioreer fkiIk Milk Tank F8R17 OlAer Pem v Q[her (SOecihl t r pecify O er Other Comnute /nsoectlon Fee Be/nw 11 Fes ServiceEntrenceSize If Fee FeedersBubfeeders N fee C:rcuits tUoo 0 to200 AnIPS oAffq)s ,2 so awso Anws Above 200 qm 31 to 100 Arttps 31 to 100 Arnps Swimming Pool AAnve 100- Affq)S Above 100_Amps Transformers irriQation 8oorrs Partial<'Oiher Fee Signs Special Inspection $ TOT AL arks Rem ? s ??O t FEE 7 ?? flough-in ` Date c ? ??? /-?`! 1n6pecfm.hered? osrcitv ehaa me aeo.e Final ate inspection has haen ? ???? ande. nasreatesc.omiamxmuoh«n L/ c.i? w?'?vyt,?[.1 This request void q-)Jr5 I ¦ r?'4 (L 78 m3nths from ?J ? A 082637 LZ B 3 A4?l Z- ;-, :5 d Request Date - Ffre No_ Rough-in Imoection ??, ? ?,?,. N?, ,ii Not,t, lm?- ' G o es No lor Yflhen 1@ady gLicensed Electrical Contractor I hargbY ffaques* inspection of above ? Owner , e[ectriml woek immlied ai_ Street Address, Bor or Route No_ Ciiy . . ?! ? ' Z r M C l 1 ect1oo o_ Townshio Name w No. , nge o. Cmn?y p4. kQ ? occoaant teHEN» rnw,e wo. L k?o ?? o? e r Power SupVlier . AQdress a 4 L c- 41 14 d -17 Electrical Contractw (Cwmpam Namel mtracmr s Lic.ense 1'?b. . ?f r 1 ?? ?{Y t p ? Mailing Address (Comractnc w OwMr Gtakina Insta;lationl U 0 -e- t. ' e-c- D /- E n Autho iz i rk"Rtu (CoMracior/ r Malcing !`rsblpation) Phbtse Numbet O MINIJESOTA STpTE 9pp11D OF EIECTRIGITI' THIS INSPECTION RFAU6ST r11LL NOT Griggs-Midwav Bldg- - Room N-191 BE ACCEPIEU BT iHE STA7E BOAND 7 621 University Ave., St. Paul, E4N 55104 UNLE53 PROPER IIi6fEGitOR FEE B . wh....o Is721 29727tt ENCL06ED. REQUEST FOR ELECTRICAL INSPECTION ' ee-ooooi-oa ? I 5_c J ' See instructions far completing this torm on heck of yetlow copy. A nQ) r, "a Q "X" 8elow Wd`rk Cavered by This Request ,?- AdQ Rep. Type of Building Appliances.Wired ' Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures 77. - a Apt. Building Dryer Electric Heatin Commercial 81dg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm OtherPeCi 4 nther (SVecify) p Fee ServieeEntranceSize p Fee Feaders/Su6feeders # Fee Circuits fo p 0 to200Am s 0 to30Am s 0 to30Am s Above 200 Amps 31 to 100 Amps ?pp 31 to 100 A s Swimming Pool Above 100_Am s Above 16D-Amps TranstormerS frrigation 8ooms " PartiaL`Othe[_Fee Signs Special Inspection S TOTA F?E?-? Rerterks . `r Roueh-in - r Da[e ( the E ectrical , Inspactor, hereby certify [heT the above Final - ! Dnte ` 1 ? mspection hes been d QJ me e. Thiarequestvoldl8monthsfrom . (fQ-?P t?e!?/?sa.??l Th?,s requesl void //? 18 months from `'? "j A nR9raq L?A A-? Jt--;i14..?z 3 7 ,T-6 Requesi Date Fire No. RouOh-in Inspection Requir ? ?ReadY Now l o e` ?/n Jc3 O lC 4' ?s ?No [or Whe Ready [JKcensed ElecVicai Contractor 1 hereby request inspection of above Q Owner elactrical work installed at: - Street Address, Box or floute No. , a CitY 170 L/ vci"l? r ? ecvon o. Townsp Nameor No. Hange No. County ,ou 1-10 f r Oceupant IPRINTI Phone Np. G ot k e, Lv ,-* T .? 4,4,t . Power Supplier Address - ? L f v.r to--47 Eiectrical Con tractor (Company Name) . Contructor's License No. 1 t JITle 41 Mailing Address (Coniractor or Owner MakinP InstaHation) ,3 dv o r, e. e- F u Authorize .' n'ture ( ontractartw r Making Installation) Nu one m6er 5-[a 7 .Z.G/? MINNESOTq STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway 81dg. - Room N-791 BE ACCEPTED BY THE STATE BOARD 7827 University Ave., St. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS Phn.re 16721 297_2111 ENCLOSED. . BUILDiNG PERMIT CITY OF EAGAN 389b PilotKnob Road, P.U. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # _ To 6a uaed foe 1 OF 4 P 53,000 Site Address 4=0-W MEADOWLARK RD Lot 4 eiock 3 Sec/Sub. HILLANDALE 2 Parcel No. _ W Name MICHAEL CONST & DEVELOPMENT ; Address 8800 W HWY 7 b City St LOUIS Mone 938-4262 o Name SANIE i ? Address ? ?- CitY Phone u? WW Name DU'MONCEAUX & ASSOC i Z 3400 66TH ST - Address , ? `W City EDINA phone 927'6766 I hereby acknowledge that I have read this opplication and state that the information is correct and agree to tomply with all opplicable Stote of Minnesota Statutes and City of Eogan Ordinonces. Signature of Permittee A Building Pertnit is issued to: M ail work shali be done in accordance Buildin0 Officiol Erect IX Occupancy R1 Remodel ? Zoning R3 Repair ?. Type of Const. V 1 HR Enlarge ? , No. Stories Move ? Length 27 Demolish ? Depth 4 r Grade ? Sq. Ft. , Approvals Fees Asseument Woter & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Var. Date Permit Y ?.vv Surcharge 26.50 Plan check 146.00 snC 525.00 Water Conn. 470.00 Wnter Meter 63 . 00 Road Unit 260.00 Parks Total $1, 782.50 on the express condition that of Innesot Stojutei ond City of Eogan Ordinances. AT° 9424 ??z? . EPTIVE . • • • W%rGQ= ALL CONTRACPORS MUST BE LICEN SED WITH THE CITY OF EAGAN UtiI ii ?A INCLUDE Q SETS OF PLANS, 10F 4 CERTIF ICATES OF SURVEY ? SET OF ENERGY CALCULATIONS To Be Used For: ` Valuation? 53C?D ? Date: B--0- Site Address- V? Lot:-#-- Block:,3 Sect/Sub: ti??a rtdq;Le- Erect: x Occupancy: (Z-l Parcel . Remodel: Zoning: 2_3 1 _ Repair: Type Of Const: ? IF-4R, Owner-/&??,1?s1 . Enlarge: # Stories: Move: Length: 21 Address: Demolish: Depth: City/Zip Code:?j1 ??(?Grade: Sq. Ft.: Phone #: 7-2 Contractor: ' • ' Address: Assessments- Permit: °? City/Zip Code- Water/Sewer: Surcharge: 2(p,y Police: Plan Rev.: Phone #= Fire: SAC: SZS.`? ? ' Engr.: Water Conn: Arch./EngV2zA??/ ?,?f?? IA-CL, Planner: Water Meter b3 Address: Council: Road Unit: Bldg. Off.. ? Parks: City/Zip Code: APC: ? variance : ? ?17 da SU ' CITY OF EAGAN Ni 9423 ' 3830 Pilot Knob Road P O Box 21-799 E? n MN 55121 . . aga , PHONE: 454-8100 BUILDING PERMIT Receipt # Te ba wed 1or 1 OF 4 PLEX Est Volue $56,,000 Dare AUGUST 15 _ 19 84 Site Address 4171P 4M MEADOWLARK AZ$'' U441 Erect C? Occupancy Rl Lot 3 Block 3 seclsub. HILLANDALE 2 Remodel ? Zoning Parcel No. Repair ? Type of Const. V HR Enlarge ? No. Stories Name MICHAEL CONST & DEVELOPMENT Move ? Lenqth 25 W Z Address 8800 W HWY 7 Demolish ?. ? Depth 45 ° City ST LOUIS PyPhone 938-.4262 crade SQ. Ft. o Name SAME u? Address i- City Phone FW Name DU'MONCEAUX & ASSOC z?z-, a.ddress 8400 W 66TH ST ?W City EDINA phone 927-6766 Approvula Foes Assessment Water & Sew. Police fire Enp. Planner Council Permit $ 301.00 Surcharge 28. ?0 Plan check 150.50 5AC 525.00 Woter Conn. 470, p 0 Woter Meter 63 _ 00 Road Unit 260-n0 Parks Total $1, 797.50 I hereby acknowledge that I hove read this cpplicotion and state that gldg. Off. the intormotion Is correct ond ogree to comply with all opplicable APC State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signoture of PermiMee _ A Building Permit is issued to: all work shall be done in accp LHbL 4VLVa1' on the express condition thol all ogplicabl ta aidtinnesota Statutes,and City of Eagan Ordinances. Building Official ' CITY OF EAGAN ?T? 9425 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - lPHONE:454-8100 BUILDING PERMIT rteceiPt .# Te be ased for 1 OF 4 PLEX Est.Value $56?000 Date ?L7GUST 15 19_?. SiteAddress 4174 ? MEADOWLARK ?'J H`N Erect ?] Occupancy R?- Lot 2 Block 3 Sec/Sub. HILLANDALE 2 Remodel ? Zoning R3 Parcel No. Repair ? Type of Const. ?7 1 HR Enlarge ? No. Stories ? W Name MICHAEL CONST & DEVELOPMENT Move ? ?ength 25 Z Address 8800 W HWY 7 Demolish ? Depth 45 °? ST LOUIS Pt?,? 938-4262 Grade ? sq. Ft. city , o Name SAME ?? Address ? City Phone ?W Name DU'MONCEAUX & ASSOC u? Address 3400 66TH ST ?W City EDINA Phone 927-6766 1 hereby acknowledge that I have reod this opplicotion ond stare that the information is? torrect and agree to comply with oll opplicoble $tute of Minnesata $totutes ond City of Eogon Ordinances. Sipnoture of Permittee _ A Building Permit is issued to: oll work shall be done in a? Building Officiol . Approrala Fees Assessment Water & Sew. Police Fire Enp. Plonner Co?ncil Bldg. Off. APC Var: Date Permit $ 301.00 Surcharge 28 • 00 Pian check 150.50 SAC 525 _ 00 Water Conn. _4.ZQ.?.Q 0 Woter Meter ?.?? Road Unit 7?+n n? Parks Totei 51,797.50 r?c.L I.VLYJl h LGVr.LVYl'LGLV1 On tF19 EXpfE53 COIIEItIOn tl?a? oll ap limble tate f Minnesoto Statutes and City of Eagon Ordinances. o?? o??,..? ? • i WUOQ? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN UQIT 'Pj; INCLUDE Q SETS OF PLANS, ? OF 4 ?,?f?' •/ a?/ Q CERTIFICATES OF SURVEY SET OF ENERGY CALCULATIONS To Be Used For: A??Iu(-yv '??.Valuation: 5(o,000, ?- Site Address : Lt'/7-? i?',?,?,?i„/L?,rlN ? l'?`''t,1 ? Lot:]o Block: 3 Sect/Sub: E!ect: X Parcel # : Remodel : Repair: Owner : /Q6/ Moverg@ . Address: j,p/"41;J Demolish: City/2ip Code:?? Grade: Phone # : Contractor: Address e City/Zip Code: Phone #: Arch./Eng?i ? Address. City/Zip Code:?j l,,e,? nhr,,,o$ • U? C%!CS/C? Date: Occupancy: F--1 Zoning: L-3 Type Of Const: ?{-{R, # Stories: Length: 25 Depth: 4-5_ Sq_ Ft.: Assessments: Water/Sewer: Police: Fire: Engr.: Planner: Council: ? Bldg. Off.: APC: Variance: Permit: 30? ?. Surcharge : Plan Rev.: 15f?.? SAC : 525, °-° Water Conn: Water Meter fp3.= Road Unit: Z&p.0-0 Parks: ? /I ? 57. SU ? CITY OF EAGAN N? 9426 3830 Pilot Kniob Road, P.O. 6ox 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT ReceiPt Te 6a wad fer 1 OF 4 PLEX Est_ Volue $53,000 pOfe AUGiJST 15 19 84 SiteAddress 4176 ?9W MEADOWLARK E CN R1 rect Occupancy Lot I Block 3 Sec/Sub. HILI.ANDALE 2 Remodel ? Zoning Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories ? Name MICHAEL CONST & DEVELOPMENT Move ? Lenytn 27 ? Address 8800 W HWY 7 Demolish ? Depth 45 city. ST LOUIS PYpnone 938-4262 Grede . ? Sq. Ft. , o Name SAME ADpr°`'°l' Fees Zu ?? Address Assessment Permit 292-?0 ? City Phone Woter & Sew. 26.50 Surchorge ' Police Plan check 146.00 MONCEAUX & ASSOC GW Name DU Fire SAC 525.00 _? Address 3400 W 66TH E?. WoterConn. 470.00 ?z EDINA 927-6766 <W City Phone Planner WaterMeter 63.00 Council Rood Unit 260, 00 1 hereby atknowledge thot I hove read this upplicotion and stote thot eldg. Off. Parks the information is torrect and ogree to comply with oll applicable $tate of Minnesota $tatutes and City of Eagon Ordirwnces. AP? Total $1.7$2.rJ? q - Var. Date Signoture of Permikee A Building Permit is iuued to• MICHAEL CONST & DEVELOPMENT on the expreas condition ihat ull work sholl be done in ccordor?c with oll appli e t innesota Statufes o nd City of Eagan Ordinonces. Building Officiol . • . wnova= UuIT ? oF 4 ALL CONTRACTORS MUST BE LICENSED'WITI: THE CITY OF EAGAN ? -fl, ?To Be Used For : 1-A&6.eJ?jp Site Address :&?2 a? ?2 INCLUDE 0 SETS OF PLANS,t` ? CERTIFICATES OF SURVEY ? SET OF ENERGY CALCULATIONS Valuation: Date: .P? • • Lot: Block: -DSect/Sub: Erect: Parcel # : ?G???,/G?? ' ?1??7eJ,? ?z RePad=1 . / Enlar e: Owner : .?f/Jf?& C?-tr.+lS%. 5l? I/.??i?`t?a;,Fr??` ?;,/f. Move - g Address:6222 ' Demolish: CitY/ZiP Code: Grade: i Phone # : Contractor : ?=`??""'•=`^'? Address: Assessments: Permit: City/Zip Code: , ? ? ? Water/Sewer: Surcharge: Zf3-°= ? ???' `? Police: Plan Rev. : Phone #- Fire: SAC: sZS, ? , Arch./Eng: Engr.: Planner: Water Conn: 4-70.°` Water Meter (0 3. = Address•?",2 ? Council: Bldg. Off.: /f kf Road Unit: 2C,p.°= Parks: City/Zip Code: ??? / AP , ? ,? C: c? S?11I1TPY• ??,..?.? e?ld?6 Variance: X Occupancy: ?Z-) _ Zoning: 2_3 Type Of Const : Q, ?H(Z. # Stories: _ Length: 15 _ Depth: 45 Sq. Ft.: 01910= L1P IT 'p.' ? DF 4 AI,L CONTRACTMS MUST BE LICENSED WITH THE CITY OF EAGAN ? INCLUDE Q SETS OF PLANS, ? CERTIFICATES OF SURVEY ? SET OF ENERGY CALCULATIONS To Be Used For: ?,?u,J?;?g?,,/?1?,?SValuation:?Du0 00 Site Address: 4/7105Adpa,1Lw,(4 t-} ? Address: ? ?4? " ' • ' Lot:/ Block:-3 Sect/Sub:? Erect: X Parcel ? Remodel : Repair: Owner: ?In/Q?t/f10 Enlarge: Move:. Address: 4 . -? Demolish: City/Zip Code: S%L Grade: Phone # : Contractor: g A City/Zip Code: Phone #: Arch. /En9 =?`/%/'/Uc?Clf,?(?:? ???SG?'. Address: City/Zip Code: Date: Occupancy: ?-? Zoning: 2-3 Type Of Const: Y IH2. # Stories: Length: Depth: ? Sq. Ft.: Assessments: Water/Sewer: Police: Fire: Engr.. Planner: Council: ? Bldg. Off.: APC: Variance: Permit: 292 2!2 Surcharge : ?. ? Plan Rev.: ? SAC : Water Conn: 41p."= Water Meter (03 Road Unit: Z& p. Parks: ? ;/? 7?2,Su • CASH RECEIPT • CITY OF• EAGAN' P. O. BOX 21-199 EAGAN, MINNESOT C 55121 1/ RecEtvEo AMOUN DOLLARS 'oa ? CASH CHECK FOR 1 White-Payers Copy Yellow-Posting CopY Pink-File Copy Thank You N° 46438 ?Y? ?'? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registered site surveys showing sq. it of lot, sq. 8, of house; and all roofed areas (20% maximum lof coverage allowed) 2 copies of plan showirg beam 8 window sizes; poured tound design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Ptan if lot platted after711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) RemodellReoalr Requirements 2 copies of plan 1 set ot Energy Calculations for heated additions 1 site survey foradditions & decks Addition - indicafe Non-sife septic system ?o ?' ? ? 7?, ? Oflice Use Onlv CedofSurveyRecd _Y _N Tree Pres Plan Recd _ Y_ N. Tree Pres Required _ Y_ N On-siteSeplicSystem _Y _N Date / b / 3 ' I?5 U(7 Construction Cost Site Address 4- c/ (/ L-v Ifi-h L/?V UniUSte # Description of Work !r-k! ? ?q T ?*G! 'e G? D n r h'e . Multi-Family Bldg -,-Y _ N Fireplace(s) _ 0 2 PropertyOwner .P- r Telephone # 3 ' ? ? Contractor j i" l, S LI Address /l /' A o -t-/ City /N-ke " / 'e_ State 1'' I h Zip 0 y't Telephone #(9 5). )?r J,?iJ? -2 Ll `/ ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a p _ Y _ N If yes, date and address of Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( I hereby apply for a Residential BuildiWermit and acknowledge that the information is complete and accurate; that the wark 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 approv lan in the case of work which requires a review and approval of plans. U ?e Cr D Applicant's Printed Name A p cant's Signature a similar plan based on a master plan? Telephone # ( Telephone # ( ) OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ?02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-piex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types KCV fi*a ? ? ?" -m?a,! 6wp`L#&v- 13 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 X 33 AReration ? 37 Demolish Building* ? 43 Reroof ? 46 ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation C2 L,0 Occupancy I ? ?-7141(j- MCES System _ Plan Review 100% or 25% Census Code L Z Zoning City Water _ SAC Units Stories Booster Pump _ # of Units Sq. Ft. PRV _ # of Bidgs Length Fire Sprinklered _ Type of Const ? Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final X Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaVC.O. 2<: Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair WindowslDoors ?f1.1 -V ? ?? r '0' 5, C'9 ? RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNCB RD, EAGAN MN 55122 651-681•4675 New Construction Reauirements • 3 registered site surveys showing sq. ft. of lot. sq. ft. of house: and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing heam 8 window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 capies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Jaist Detail OpGons selettion sheet (bldgs with 3 or less unfts) DATE 10 • D - (D Z. a5 RemodellReoair Reauirements • 2 copies of plan • 1 set of Energy Calculations tor heated addilians • 1 site survey tor exterior additians & decks • Indicate if home served by septic system for additions VALUATION ?? ?? - 6_0 SITEADDRESS 4-I79`1lo N?s??.?lwY'1L ?n1AH_MULTI-FAMILYBLDG _Y ^>tN TYPE OF WORK 0 z,?? ?'.,?nr o 5?. T ??nno?ll? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREETADDRESS Z_c)Ol? ??S AV ?o CITYCa^c? STATEMZ ZIPS-5,340 TELEPHONE#2a40 CELLPHONE# l042- 2-3clSZ?FAx# `) 63 41) A 395 I PROPERTYOWNER TELEPHONE# 95Z. `3ZZ ?-oOC? AV?= COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVNL•'SOT:1 R['I.I:S 7670 CA1'EGORI' 1 MINVESOT:\ RL'LlS 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing systcm includes: Mechanical Contractor: Vlcclivnir<il svstcni includrs Sewer/Water Contractor: V Water Softener _ ? Water Heater _ No. of Baths .-?ir Coiiditio?iing Hcat Recovcry• Syslcm _ Phone # L1wi Sprinkler No. of R.I. Baths Phone # Phone # Fee: 190.00 Fcr. Si0.00 I hereby acknowledge that I have read this application, stafe that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant ? ? ??DwA- - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex O 07 05-plex O 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage C3 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Pibg_Y or _ N O 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) O 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg E3 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Mave Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq: Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings(deck) _ FinaWi o C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector 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 RK010% H `R? -i i PLUMBf??IC? ROD?'? i ? 'L .o EcO 75 CNcC aF Fo A. , .,..,•.?r?1 '? ? 1. yy?? t:, .. .. V V«/ ? ??,? O??L ? COMP A??? J .K L4n#c:w ?,r. r4o"06%s sT. Pt;t:L iv'i ,NN::aP ous r.FULuT:, (612) =53:)-i38-;" i672i 583-7871 i21u) 127-f;$70 -' Foundation Onl New'Construction Intenor Im rovement • Structural Plans (2) seks • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) ** • CertificateofSurvey (1) • CivilPlans (2) • ProjectSpecs (1) • CodeAnalysis (1) " • LandscapingPians (2) • KeyPlan (7) • Project Specs (1) • Code Analysis (1) " • Master Ept Plan (1) • Spec. Insp. & Testing Schedule •• . Certificate of Survey (1) • EnergyCalculations (1) notalways'i • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Povoer & Lighting Form (1) not always'" . Meter siae must be established • Meter size must be esta6lished • Meter size must be established -if applicable • ProjectSpecs (1) 1 • EnergyCalculations (1) L • Electric Power & Lighting Form (1) '* 1 1 • Master E)dt Plan (1) d 1 • Fire Protection Plan (1) *' y 1 • Soils Report (1) 1 • MC/ES SAC determination letter • MGES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Contact t3wlding inspections tor sample Food & beverage or lodging facilities - submit plan to MN Department of Health. DATE: I-R) ' OZ WORK TYPE: _ NEW K REMODEL SITE ADDRESS: TENANT NAME: Call 651-215-0700 for details. CONSTRUCTION COST: Z, I SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK PROPERTY OWNER CONTRACTOR ARCHITECTI ENGINEER , Phone #: 99L4 ° 02-L.P ?"J Name: L,0„?.eI( ?hACA TJ) W hh(?VY)t° h[!3Gt)r Last First Street City: Company: COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 1 70) yI -7 yi s Zip: #: c 015 2 ? L4o3 -n$.(Z Street Address: ?? y'j ?(? r 4"VY.0,k`i? Uit ?'"'A.s:_.t - Ciry: State: Zip: `T Company: _ Name: Street Address: City: Licensed plumber installing new sewer/water Phone #: Zip: I hereby acknowledge that I have read this application, state that the information is correct, a agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Updated 1/02 Registration #: ? L n FE8 Q 6 2002 State: State: Phone #: OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/Indush-ial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning sq. ft. SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation 0 Plwnbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication ' Trails Dedication. Water Qualiry Other .. .......... Copies VALUATION $ % SAC SAC Units Meter Size Total CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: BUILDZNG Permit Number: 0 2 7 9 4 3 Date Issued: 0 6/ 18 / 9 6 SITE ADDRESS: 4166 MEADOWLARK WAY LQT: 4 BLOCK: 3 HILLANDALE ADDTTION #2 P.I.N.: 10-32951-040-03 ' DESCRIPTION: ROOF DAMAGE Permit 7ype STORM DAMAGE W?ork Type REPAZR 'de ? 434 AL7. RESIDENTIAI L^^ ) f d y wt -; tt,. so uf, ,? x? au ? r it r? 'F.r[ ?atdREMARKS: INCLUDES: 4170, 4174, AND 4176 MEADQWLARK WAY L3 L2 L1 FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC.OWNER: BANNEI2 ROOFING 18888611 2001204 LAKEWOOD TtlWNHOME5 ASSOC 6001 LYNDALE AVE S 4166 MEADOWLARK WAY MINNEAPOLIS MN 65419 EAGAN MN (612) 888-8611 (612)452-5397 T, herebyf, ackvnwl,edg`e, thia.t-I; ha it'ifiarmatian' 14 1 co'rr•eet an'tt a j„r Statute'"s and City a`f Eag;a.n -D.rd APPLICANT/PERMITEE SIGNATURE C? q5 3830 PIL'OT KNOB RDN 55122 ? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered site surveys ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? t energy calculatioos ? 3 copies oi tree preservetion plan fl lot plaNed after 711/93 requhed: _ Yes _ No r° RemodellReoair Reauirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated addRions Penalty applies when address change and lot DATE: CONSTRUCTION COST: ? P^aTA? 3 DESCRIPTION OF WORK: oA t `, QE4 o,Z?f _,0 `7 '/S S ?a fJ A•u =t STREET ADDRESS: yi 7 fo `/ I -7y I -7 ° 'y 1 b k° " 1^4EA6 °W LnQ"ie- W A Y L/ L Z. L 3 L(j. LOT BLOCK 13 SUBDJP.I.D. #: ?q.,0lly Svn.O'CA.? PROPERTY Name: L,a,c.c"ioo4 Assoc-. Phone OWNER "'°' ""5' Street Address• City: State: Zip: CONTRACTOR Company: bnIUAb4-el- Acpftf:tjCw CcPRp Phone #: 88IL8(011 Street Address: ( o?? LYo+o A L? 44/t-. s License #•A2 b° 1 1 o y 4 CIty: IL?l?NiAPoe,l$ State: -m ,AiAl. Zip: SS 9! l ARCHITECT/ Company: ENGINEER Name: Phone #: Registration #:. Street Address* City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. t here6y acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ?VC???C?? ? Certificates oi Survey Received _ Yes No ??`?? - ? Tree Preservation Plan Received _ Yes _ No ? ? OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 02 SF Dwelling o 07 4-plex ? 03 SF Addition o 08 8-plex ? 04 SF Porch o 09 12-plex 0 05 SF Misc. ? 10 _-piex WORK TYPE 0 31 New ? 33 Alterations ? • 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? 0 12 Multi Repair/Rem. ? 0 13 Garage/Accessory ? ? 14 Fireplace ? 0 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscelianeous _ Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ gq. ft. Fire Sprinklered _ sq. {{. PRV _ sq. ft. Booster Pump _ gq. {?. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units ` COMMERCIAL BUILDING PERMIT APPLICATION ' CITY OF EAGAN 651-681-4675 (.s:, -1 3-c) / I <-Ku . a-? Foundation Onl New Construction Interior im rovemeni • SWcWral Plans (2) sets • Architectural Plans (2) sets • Architeciural Plans (2) seLs • Civil Plans (2) • SVUCtural Plans (2) • Code Analysis (1) " • Cerlificate of Survey (1) • Civil Plans (2) • Project Specs (1} • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (?) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & TesGng Schedule " • Certificate of Survey (1) • Energy Calculauons (1) not aiways" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established - i( applicable • Project Specs (1) 1 • EnergyCalculations (1) " y 1 • Eiectric Power & Lighting Form (1) " y 1 • Master Exit Plan (1) l i • FireProtectionPlan (1)" ? 1 • Soils Report (1) y . MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC detertnination letter ca11 651-602-1 000 pll 651-602-1000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE "J 6?"40 WORK TYPE _ NEW X REMODEL CONSTRUCTION COST .01 SITE ADDRESS(D TENANT NAME SUITE # FORMER TENANT NAME DESCRIPTION OF WORK Name:64`p tuigoCY 1 fJ/iUA Yt aw PROPERTY Last First OWNER Street Address City State Zip c= ? 4 ? (? L -Phone#f c76 Companyl _ 41 a1, 6 ..1r . „ ? CONTR.ACTOR 3/ / //Tfi Q &Y Sueet Address? ? City e%0 k, eCf? /Oy" State #1 Ll. Zip 6T( 3._ ARCHITECT/ ENGINEER Company Phone # ( ) Name Regisuation # Street Address City ° State Zip Licensed plumber installina new sewerlwater service: Phone #: I hereby acknowledge that I have read this application, state that the informatiWcoort, agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of ApplicaUpdated 1/C OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 14 Apartments ? 15 Lodging O 25 Miscellaneous WORK TYPE ? 31 New ? :3 32 Addition ? ? 33 Alterations ? ? 34 Repiacement ? ? 26 Public Facility ? 30 Accessory Bidg. -, ? 27 Commercial/In dustrial ? 32 Ext Alt - Apts. ? 28 Greenhouse ? 34 Ext Alt - Comm. O 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors 36 Move Bldg ? 43 Reroof u 47 Repair 37 Demolish (Bldg) O 44 Siding ? 48 Authorization 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (Allowabie) 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 sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered ? Insulation ? Plumbing ? StuccolStone Engineering Variance Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Qualiry Other Copies Total VALUATION $ % SAC SAC Units Meter Size ??? ., tl ? ! ? I i i , .; r C f R f . ? , ` T -e 0000/ 7ou, ? j Irg ?2,a-rjaLrJ? ?l ? S c? 2 0? ? G ,67 1?7 ?? 32951 HILLANDALE #2 4122/ 10 32951 01008 4124/ 020 08 4128/ 030 08 4132/ 040 08 4136 05008 4126/ 01009 4130/ 02009 4134/ 030 09 4138/ 040 09 4140 05009 4142/ 10 32951 030 07 4144/ 020 07 4146 01007 4148/ 10 32951 030 06 4150/ 020 06 4152 01006 4154/ 10 32951 04005 4156/ 03005 4158/ 02005 4160 01005 4162/ 10 32951 040 04 4164/ 030 04 4168/ 02004 4172 01004 4166/ 10 32951 040 03 4170/ 030 03 4174/ 020 03 4176 01003 MEADOWLARK WAY (5-plex) (5-plex) (3-plex) (3-plex) (4-plex) (4-plex) (4-plex) 8 ? I• 2/84 I / CITY OF EAGAN ? APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODi (PLEASE PRINT) pROP= ADDRESS= 417j- Meadowl ark Ct rFr3ar. DESCI2IPTION: Lot 3 Block 3 Hillandale 2nd Add. (Lo t/Block/Subd.ivision or Tax Parcel. I.D. Ninnber) 1t E,lLvTT JlP=-, La / 111= (1 ??7 yRT^"1?11? 1N /'? F ? (T T e-.:?.? ?L'J _J" 1\] i_'Y1??.1 1'?i :1.. -- (i•A;_`"1/:`°="i . PRESENT Z^idIPX:/pROPQSED IISE : 0 R-1 SINGLE FPMILY ? R-2 DUPLEX (T?ND UNITS) 0 R-3 TM-Nfi(USE (7'HRE"' + LTNITS) ( 4 UNITS) ? R-4 APARIl`=/CONIDC:r1IN2[M ( UNITS) ? COMNIERCIAL/REI'AII.,/OFFICE ? IIOUSmRTAr• ? INSTITUTIONAL/CU?FP AppIJCANT (PLEASE PRINT) NAME: Michael Construction Inc. ADDRESS: First Western State Bk Bldg CITY, STATE, ZIP: St. Louis Pk, Mn 55426 PHONE: , 938-4262 3) pLUI„BER PLEASE PRINT) FOR CITY USE ONLY , UkME : ' ADDRESS: fliCAt v 3800 KENNEBECDRIVE EAGAN MINN 55122 PLUM?ERS LICENSE: ? ` . . Active CITY, STATE, ZIP: 452•1565 Expired PHONE: HASILR PLU Rnt of Record ? MBER LICENSE #_ 001445M2 ' C a nitia 4) (X.L'U1JANT/QrTNF.E2 lrLcHat rntnl) NAME= M;rhaol ('nnc+rilrt10t1 Tt1r rlDDF2PSS: Sdm2 ds #2 CITY, STATE, ZIP: PHONE: 5) IINDICATE WHICH PERNiIT .IS BEING REQUESTID: ? CONNECTION TO CITY SEWER ? CONNEX.'TION 'Ib CITY 4+TATER ? OTfiER (PLFASE DESCFZIBE) O) 1[VUllsllh V1Vt:; 7) SIGNP.TURE: ? PLEASE HOID APPFDVEp PERMiT FOR PICK-tJP BY ONE OF ABOVE ? PIZASE MATL AI'PROVED PERDIIT TO 1, 2,r3,) 4 ABC7(7E /?, (Circle-bne) DATE: 8/21/84 .. . .. . .. ., .? .. ., . ????. . .. •-- a • . I F.OR CITY USE ONLY `, '` PERMIT " ISSUED FEES: $ $ $ $ $ $ $ ._. . . $ $ $ $ . SEPJER 3'ERMIT (I:ICLliDE SUP.CHP.RGE) WATER PERA4IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT'DEPOSIT - SEWER ACCOUNT DEFOSTT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATER.AL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER - OTHER .... ? $ TOTAL • >.. ,•-. ., •,ai'' e AMOUNT PAID/RECESPT%.=:# ?j?? % ? / DOES UTILITY CONNECTION REQUIRE EXCAVATZON IN PUBLIC RIGcIT OF WAY? C? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ? NO ENGINEE?tZNG. DIVISIOC:. LIST RS A COP:DI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE : DATE : . w&jw w.. ? . I . _ 2/84 ? CITY OF EAGAN ? APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIOTT (PLEASE PRINT) PROPEF?M ADDRF-sS: 417 ? Meadowl ark Ct 1'Frar' DESCRZPTION: LOt -2- Block 3 Hillandale 2nd Add. (IAt/Block/Subdivision or Tax Parcel. I,D. Nwnber) J..C ..11vT+,. .. ??.?T.?.??,, nAt?._"? 0_*? y'"?fT^'!'\TT. ? ='i+TT ? iCv ? . -?.? ?l 1 ? %3.IT :_=?•:?.: -- -.- (bor PRESEVT Z^iJIj\X:/PROPOSED USE: ? R 1 SINGLE FPM2LY ? R-2 DUPLEY (7W0 LJNITS) IQ! R-3 TOTv'NFiCiJSE (THREE + UNITS) ( 4 UNITS) ? R-4 APAR'IlMENT/CONIDCXMINI[M { UN2TS) ? CQMMERCIAL/RETAIL,/OFFICE ? IMUSTRIAL p INSTITUTIONAL/C'?O?Nr 2) Appj,ICANr (PLEASE PRINT) NAME= Michael Construction Inc. ADDRESS: First Western State Bk Bldg CI'rY., STATE, zIP: St. Louis Pk, Mn 55426 DiO`E: 938-4262 3) pILU.= NF1ME: PLEASE PRINT) ? FOR CITY 115E OHLY ALDRESS: % ` v 3Sp0 KENNEBEC DRIVE EAGAN MtNN.5B122 PLUMgERS IICEHSE: ? Active CITY, STATE, ZIP: 452•1565 Q Expired PHONE: PLUMBER LICENSE # 001445M2 ? Not of Hecord ???J a nitia 4) CX.CC)YPNP/Qr]NEF2 lrLLqat rHini) NAME= Mirhacl rnnc+riirti0tl IC1C ADDRESS: same as #2 CITY, STATE, ZIP: PHONE: 5) IlVDICATE WHICH PERMIT .IS BEING RDQUESTED: ? CONNECPION TO CITY SEVIEf2 ? CONNEICTION TO CITY WATER ? 0'P[iE2 (PLEASE DESCRIIIE) O) 11VL1C.r11L ULVt: 7) SIGwr%NRE: ( • ? PLEASE HOLD APPRWID PERMIT FOR PICK-UP BY ONE OF A&NE PLEASE MAIL APPROVID PERMIT TO 1, 2,?? 4 ABOVE (Circle-bne) 1 DATE: 8/21/84 ........ . . .. .. .. .. .. .. .. .. . . .. . .. . a?c ......... ,. . ..., . .. .. ?9?7+M#iF #? I?F*i?M5?i7!f?°1!ai ?'!? IM ii ark?is?aas? s F O R C I T Y U S E O N L Y '.. ' PERMIT = ISSUED ? FEES: SEWER niRMT_T (I:VCLtiDE SUP,CHARGE) WATER PERD4IT (INCLUDE SURCHARGE ) WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP ACCOUNT DE$OSIT - SEWER ACCOUNT DEQOSTT. - WATER $ -Z WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL SENEFIT/TRUNK WATER $ ' OTHER .._. $ TOTAL . . ,.... ,.? ?;` r . .... •..... .. . :.:.... . .. . . ., .. Ajv10UNT P AID/RECE•ZPT?4 , DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WTTHIN i PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING. DIVISIQCi. LIST F.S A COP:DI- TION. SUBJECT TO THE FpLLOWING CONDITIONS: APPROVED BY: TITLE: ZK DATE : ? • ^ I 2/84 ? ? . CITY OF EAGAN ; / APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODI (PLEASE PRIHT) PROPERTY ?DRES5= 4176 Meadowl ark Ct r,Fr3aT, DESCtIPTION: LOt ! Block 3 Hillandale 2nd Add. (IA t/Block/Subdivision or Tax Parcel.I.D. NtIInber) 1t :..11JTT'.) J1?.=:?:..' TDA? V„?=T1? 1 ? +TT'1_.\,*r`\] .?^. `?:'IT i?:Jl. ...... . ?'iil.?• 010i=/ 'ea--- ? PRESENT Z^i]IPN:/PROPOSED USE: ? R-1 SINGZ,E FPMILY ? R-2 DUPI,EX (TWC) UNITS) 0 R-3 TMM0USE (THREE + TJNITS) ( 4 UNITS) ? R-4 APAR'IlMM/COhIDQMIIVICM ( UNITS) ? COMMERCIAL/REI'AII,/OFFICE ? II`D' USTRTAT, Q INSTI7UTIONAI,/GOVERIVNENT 2) 11ppj,ICPNr (PLEASE PRINT) NAME= Michael Construction Inc. ADDRFSS: First Western State Bk Bldg CITY., STAT'E, zIP: St. Louis Pk, Mn 55426 PxNLE: 938-4262 3) pUMBER NAb'IE : ? PLEASE PRINT) FOR CITY USE OHLY ADDRESS• ; • v 3W0 KENNEBEC DRIVE, EAGAN MINN.55122 PLUM?ERS LICEHSE: ? Active CITYr STATE, ZIP: 452•1565 ? Expired PHONE: MASTER- 0 Not of Record P LUMBER IICENSE # _401445M2 ? a nitsa g) OULUpp,Nr/aqNER krLtq:)t rH1N1 J NAME: Mirh ? a,?„n?c+rLICt1011 TRf ADDFtESS: same as #2 CITY, STATE, ZIP: PHONE: 5) IIVDICATE WFiICH PERMIT .IS BEINC; REQUESTID: El COMECr20N TO CITY SE9ER ? CONNF.C'PION TO CITY WATER ? Or!'HER (PLEASE DESCRIBE) 6 ) INDICATE ONE : 7) SIG4ATUFtE: ? PLEASE HOID APPRWEp pMLiT FbR PICK-UP BY ONE OF ABOVE ? PLEAS'E MAIL APPFtOVED PEf2MIT TO 1, 2, 3? 4 P,BC7SIE ? (Circle-one) DATE: 8/21/84 ? .?...,.. ,., .. ., .. .. . .. . . . . . . . .. .. .. .. .. .. .. .. .. .. .. .. .. .. ,. .. ? r7?? I? ? ? .. .. .. .. .. . . :?4. P4 .' . . .. . ? , . ., ? . , ?f??i! ?i a??susar s? .. . .. . . . . . ? . . . ??: ..? F O R C I T Y U S E O N L Y ?. PERMIT ISSUED s l FEES: $ 97 o $ /d ? d $ $ S .?l- : ? 6 d $ $ $ S $ • SEWER nERMIT (IDICLGDE SUP.CHARGE) WATER PERR4IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNTtEPOSIT - SEWER ACCQUNT DEPOSTT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL . . ??.,? AMOUNT P'AID/KECE-ZPT-%:-;# DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO EIVGINEERING. nIVISIOL:. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY : ?e_-oo TITLE: DATE: Pq. ?la .kM .C;a s*qp ? s?. ?. M 70 I73 le v? 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsGuction Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20%maximum lotcoverage allowed) 2 copies of plan shaving beam & window sizes; poured found design, elc. 1 set of Energy Calcula6ons 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechauicai ventilation form RemodelJReoair Reauirements 2 copies of plan showing footings, 6eams, joists 1 set of Energy Calalations fw heated addi6ons 1 site survey for additions 8 decks Add'dion - indicate i( on-site sepfic system OfficeUse onlv Cert of Suryey Recd Y • N Tree Pres PlanRecd ; _Y N; Tree Pres Ftequired _ Y" N On. site 5eptic System , Y^ PI Date ( / / Construction Cost Site Address y?? (.2 UniUSte # Description of Work Az? 7QN Multi-Family Bldg _ Y_ NFireplace(s) _ 0x 1 _ 2 < C? ? Property Owner Telephone # ((0S1) y.S 2. 2 ? C, 1 - ? S-q m e- Contractor b ?- Q Address City ? ?--? State Zip Telephone # (9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitled In the last 12 months, nas the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # f I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in eonformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be i acco ance with the approved plan in the case of work which requires a review and app va of lans. - ? , Applicant's Printe ame Applicant's Signature r Sub Tvpes DO NOT WRITE BELOW THIS LINE ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 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 OS-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 ? 25 Miscellaneous Work Tvaes ? 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 Windows/Doors ? 34 R2pIaC2rnent 'Demolition (Entire Bldg) - Give PCA handout to appiicant D2SGrIptlon: Water Damage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. _ PRV # of Bldgs Length _ Fire Sprinklered Type of Const Width REQUIRED WSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) Final/C.O. _ Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other Roof _ fce & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ 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 Use BLUE or BLACK Ink I For Office Use rr Permit* City of Eap 1 14 1 Permit Fee: 1 3830 Pilot Knob Road i I Eagan MN 55122 I Date Received: 01113)13 1 Phone: (651) 675-5675 1 I Fax: (651) 675-5694 I Staff- c I I ___--_J J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:1 A/yel,((~,U./~ Name: _L.a4wccd h YIfJ//1~~ Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner OW Type of Work Description of work: OCo &-A22E yn)yv r sid / Yi (Wks Construction Cost: Multi-Family Building: (Yes Y Company: !V u 44er i © rs Av S A 4 f ~k- Contact: 562 Affe-C I Contractor Address: )Q /01 City: hook l9'1olfL ~~~y j Zip: I~~2~...) t/0 Phone: ~~0 /3 -3 1s _ pqQ State: %r (J ~ - - O I License Sr 3~ Lead Certificate fV 1 / (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 you submit are considered to be public information. Portions of A the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are bade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.oro 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Idin o st completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 r For Office Use ta 4 •�� Permit#: nr E AG N Permit Fee: E �� Date Received: Z-D/-/ 3830 PILOT KNOB ROAD C EAGAN, MN 55122-181 (651)675-5675 I TDD: (651)454-8535 I FAX: (651) -5694 Staff: buildinginspections(a citvofeagan.com MAR 1 1 2019 2019 RESIDENTIALBL.DING __ RMIT APPLICATION Date: 3(21/I' Site Address: 1,6 I°`e0AM.!Ii`i< (,& C_) Unit#: Name: Phone: Resident/ �J Owner Address I City/Zip: Applicant is: Owner Contractor� _ T e of Work Description of work: bee/z 6Kllt'�ecr,r"a' YP Construction Cost: nIDD— Multi-Family Building: (Yes /No ) Company OS*107)/1 Co h24- -1-i uv I Contact: (i//na'f v at) // C Address: ��7 s c�i� L �( / E"/' City: -Ci j f�'}(� Contractor /� (1)//1/-tell"-) p l State:f 1) Zip: —4-7063-Phone: COP -/OOPEmail: ( Vrh ,�f'�n`/l"-) ^ or" /., 4,. License#: (05V0 l 1[2 Lead Certificate#: If the project is exempt from lead certification, please explain why: e qco C—. 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: Y('s�} ZOif �1/6.-)"'1 7Al 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.citvofeagan.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.copherstateonecall.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 no to start without a permit; that the work will be in accord nce with the approved plan in the case of work which requires a review and appro I . . x l L 4 //�'� P,,, X Applicant's Printed Name Ap icant's Signature r DO NOT WRITE BELOW THIS LINE /-i4 (i dikQUl+ t( k 1i14( 1 I 54/67. ; / ;/ SUB TYPES 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 01 of_Plex _ 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 x Replace _ Repair _ Egress Window _ Water Damage [_`Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION USLQ____ Valuation Occupancyfht..,-] MCES System Plan Review Code Edition A, 1 SAC Units (25% A 100% ) Zoning 171111 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length 2 Fire Suppression Required Type of Construction Ito Width REQUIRED INSPECTIONS `! Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) x Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool: Footings Air/Gas Tests _Final ')( Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: VP/ , Building Inspector RESIDENTIAL FEES Base Fee / 'Pjfilli Surcharge C,• Plan Review3 A -+rl o MCES SACy13P1VT) ` V P City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174801 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4166 Meadowlark Way Lot:4 Block: 3 Addition: Hillandale 2nd PID:10-32951-03-040 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 - Randel P & Linda L Pronschinske 9885 Upper 173rd Ct W Lakeville MN 55044 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature