4316 Medary AveCITY OF EAGAN Remarks
Addition Niver Hilla 9th 5
Lot Blk Q Parcel 010 64400 054 02_
owner Qn.` street?G31fi MP arr Azra State Eagv1,P?N 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL'
i
WATERMAIN
r,rWATER LATERAL 1976 3
WATER AREA
STORM SEW TRK
STORM SEW LAT 1976
CURB & GUTTER
SIDEWALK
STREET UGHT 1980 67.80 13.56 5
v
A
WATER CONN, 205.00 3001 5-21-76
BUILDINGPER. - 1 ( 0 001 -21-
sAC o.o0 300 - -
PARK
REQUEST FOR ELECTRICAL INSPECTION ? ee-00001-09
,
?? Y T See inslructions For completing ihis form on back of yellow copy. 4????? ?
X Below Work Covered by This Request '? ?•
N ? Add Rep. Type of Building lCppli!l1s:WSrpd Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial urnace Other pecify)
Farm Air Conditioner -of Q 9427
Other (specify) oi tractor's Hemarks:
Compute Inspection Fee Be/ow:
# pther Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transformers Above 200 Amps Above 100 -Amps
S19n5 Inspector's Use Onty: TO
TAL
-
Irrigation Booms •a
? ?
^ z
y?
a7L?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED If NOT
Other Fee COMPLETED WITFIIN 18 MONTHS.
I, the Elecirical Inspector, hereby
tif
th
t th
b
i
i Rough-in oaie
y
a
cer
e a
ove
nspecl
on has
been made. Fit,ai r
? d-c? o
"•J
OPFlCE USE ONLY .
This requesl void 18 months from
0 - 4 8
Reques oate^ `
C? ?
9 Fire No. R gh-In I pection Re uired
(You dlust ? Sdeclo n reatly) In ion OtherThan Rough-In
Ready Now ? Will Nolify InspecWr
0 Yes No ate Reatl
I`Vicensed contractor ? owner hereby request inspection of above electrical work at:
Job AdtlreW iStreet, B z r Roufe Nq.) ,?
??a ?
?
?
r City ?
r
c , .
l ? ??
Section No. 7ownship Name or No. Range No. Counry
, An. s
Occupant(PRINT) ? ??? Phone N ? 6 6??
Power Supplier qtltlress
Elec[rical ractor (Compa Name) /
? K/ ?1..r?-`?'r ../' Contradofg License No.
/ `W170e)
Mailing Add ss (Coniracror or Owne Ma ing Install 'on)
? / Kr?? . V? /Y ?? / ( ?
Aulhorized SignaWre ( ontr todOwner Making Installalion) Phone Number
J)
MINNESO7A STA7E BOARD Oi ELEC7RIC
rIo THIS INSPECTION qEQUEST WILL NOT
Griggs-Midway Bltlg. - Room S-728
1821
St. Paul, MN 55104
s
I1111
111
111
I I
IIII
I I
I
II
III
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II BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
Phone (612?
642-0BOO ENCLOSED.
TER SERVICE PERMIT
WA
1g81?-
YILl3fsE ^F ,EAGAN pERM1T No.: 5 25 76
3795 pilot Knob Road DpTE: 1
Eagon, MN 55122 No. of Units:
7.oning: RT
Windsor Dev• C°
owner:
nddress ---- L5
4316 Medary
-- g2 RS 9
?-- ?-
Site Address: -----
'Phom son Pluw?b1n•
Cp,
205 00 Pd
n Charge. -?'--
i
??lumber:
? rl o
Connect
?
Meter No.??
?
pccount DePosit
10.00 billed 83
-
Sk? ???,/ _ ___ Permit Fee: -----
50 billed 873
--
Re?per i?o
? ? Surchaz?e? ----'-
? V'll 9e of Eogan 60.00 pd
Charges:
o Mi
? ?
1 ogret;f sc.
Ordini?l?ces. TotaL
u'/ ?
` Date Paid:
By ,
---'- Insp•:
pate of Insp.:
VILLAOE Ol* EAGAN SEWER SERVICE
3795 Pilot Knob Road PERMIT NO.: 2739
Eagan, MN 55122 DATE: 5/25/76
Zoning: RI No. of Units: 1
Owner: WindsoT DeV Corp
Addreas:
Site Address: 4316 Medary Ave. L5 B2 RH 9
Plumber: Thompson Plumbinq Co.
5/21/76 #3001 100.00 pd
I ayroe to comply with tM Villags of Eagon Connection Chazge: 350.00 pd
Ordinances. Account Deposit:
10.00 billed 873
Permit Fee:
• 50 billed 873
Surcharge:
By: Misc. Chazges:
Date of Insp.: Total:
Insp.: Date Paid:
CITY of EAGAN
BUILDING PERMIT
Owaar .... 04WO-1'4..... Ov ..R.......................
/ y/
Address (Presen!) ...??f??....... ?---7/-•---?-.............
.
Suilder .......................... sli"W?Q..................... .................... ....... ...
J4
Address ...wsorral(„?.--•-??...--°.......?.?.T?..,'.....
DESCRIPTION
_. ?
..; .
N2 3943
3795 Pilot Knob Road
Eagan, Minaesota 55122
454-8100
n.:. O?? ....,?.? .., .f.?.T..,S
6ioriee To Be Used For Fron!
- Depth Heigh!
- Est. Cos3 Pe:mi! Fea Remarln
?.?v/Y,r 8eGyG, ,Sp I - 3'? ? I/, s=°
? . / 7.-3 o d
/ / LOCATION ?--<2?S"
Strael, Road or other DeseripYion oE Location I ock Addilion or Trac!
? I
;2-p .
This permit does aot aufhorize a use of sireels, roads, alleys or sidewelks nor does it give the owner or his agen!
the righs io create any siluation which is a nuisance or whieh presents a haaard to the health, saiely, coxvenieace and
general welfare io anyone ia the commu ' y.
THIS PEAMIT MUST BE KE O T P EMI WHILE THE WORK IS IN PRO .
Thia is to eeriifp, 3ha!_...eAe?l.t,.. ...:?..?.....has permission !o ereeY a., .... ?. r?....... _upoo
• • - ••--•••?
the above described prem: e subject !o the provisions of all applicable ' ances for e?f Eagan.
..._...-••-•••••.C.. ........... .... .. . 4-?*................................ Per .-- --° --°----°--- ••• - • ._? ...----••-•-•...............•-•......••••••••-...
M or Buil idng Inspector
?' -
cT?r o.n rac.?N
?'i7.ot Knoi; F'oad
Ea, ;an, Ni.nr;r, ?o ta ;.j i ?_2
1'71
PEFIIIIT I?TO.:,----?---
T'.e City oi E?.?an hereb;? gr?its to _A?opW_gon P1uM61nq eb_
of 12201 Minnetonka 81v
=PLiJMIDIPiG? Fermi+ for: (Owner)
4436--m4d 4316 Med
a'_ 2?-??r "k t' ct 1T'SUa21t i0 a il1^^,?,1C111 CI`'i,°C? -
_____- p' ?t `^ -_' S-12r S/7
Billed
.x)664 _-- S60.00 dz.ted thi:, ___25_ day of __May
1.50 s/c Statement #873
I:t?.ilf,_jng Inep??r;t".,
c?l"'
' /D lv- S/?/D U? SU
?
'' . K '???-/?? %/5 ?1??%
CITY OF i:AC:?N
3795 Pilot Tcnob Road
Eaarwn, ivi_z:ne:iota 5',,122
?= lmal 1`3o.
851
The City of Eagan hereby ga <^,l,ts to RaY N. welter Heati.? Co
ef 4637 Chicago Ave•, mpls• 55407
Marell Conetruction
a HEATING Per•mit for: (Owner) Windsor nev. Corn.
--
at 4316 Medary Ane. , pursuant to application dated ___CZ21/76 ?_.
Fee FGici: $40.00 dated -this 24
1.00 s/c ?
cia;T o£ _ June _,, '• << ?5_ __ ?
Building Ir2 spectoi•
Meehanical Permits:
Bic: To?3.l:
?? ? ??K OL,
c?-'
czzY oP EAc.A11
3795 Pilot Lnob Road
i?'i_r.ne:;ota 55122
FLRA'IIT ATO. ; 66
The City of Eagan hereby grarits to Commers Soft Water Co.
of 3801 Californis St. N.E.
aWater Softener, permit for: (Owner) Rodney Pash _
at 4316 t9edary Ave.. pursuant to application dated 8/76
Fee Paid; $5.00 dated this
.50 s/c
27 day of August ,'ii 76 a
Building Inspecter
Mechanical Perrriits:
Bid Totalc
CITY USE ONLY
L .? BL RECEIPT #:
?p SUB . DATE:
C?.Cr?19?ON^I'0 ?o? ?
,j,,,,,,? ? 1995 MECHANICAL PERMIT (RESIDENTIAL)
X?`??"?G ? ? CITY OF EAGAN
3830'PILOT KN08'RD
EAGAN, MN 55122 . .
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Z Add-on furnace
Add-on air conditioning _ Add-on air exchanger, i.e. Vanee system, etc.
Date: I -
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
?. HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge - .50
TOTAL
SITE ADDRESS: H311, ?
OWNER NAME: PHONE #:
INSTALLER NAME? ??nKnNaumAIpcoanmoWNaca.
bUNNEAPOLIS, MN 55408-299B
STREET ADDRESS: 612-824-2sss
CITY: STATE: ZIP:
PHONE #: ( )
?
??
CITY USE ONLY
L BL RECEIPT #:
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE:
WORK TYPE:
. _ ?._ CONTRACT PRIr.E:
NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.Q0 minimum fee 2[ 19'0 of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permit fee due on all permits.
GONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE TENANT IVAME: (lMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITIf:
PHONE #:
STATE: ZIP:.
SIGIdATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
MASTER CARD
LOCATI ON
OWNER
C??O- /6 S
STRUCTURE AND
LAND USED AS ?
Permit
No. ?
? Issued Issued To
Conirador Owner
BUILDING ?
i
PLUMBING
CESSPOOL - SEPTIC TANK ?
r
.
WELL
ELECTRICAI
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER ?
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING 5.2G? 7 SEPTIC
FOUNDATION I CESSPOOL
FRAMING J - TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INS7ALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
i
r ?
Violations Noted
on Back
COMMENTS:
• y
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. 6UILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
1-1 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
F REINSPECTION REQUIRED
REINSPEC710N REVEALED
DATE OF REINSPECTION
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
e BUILDING INSPECTOR
COMMENTS:
DATE
23
?
WINDSOR
DEVELOPMENT CORPORATION
May 20, 1976
Mr. Dale Peterson RE
City of Eagan
3795 Pi1ot Knob Road
Eagan, MN 55122
Lot 5 Block 2 River Hills
4316 Medary Avenue
Dear Mr. Peterson:
Enclosed please find a check for building permit application and
fees as allocated on the check stub in the amount of $1,060.50.
This home will be a Model 75-30 elevation B, and will contain
the following: '
- Bath and 3/4 up
- Finished family room behind garage
- Patio door family room with sundeck 8 x 10
- Fireplace - family room fu11 wall
- Appliances
- Central air 22 ton
- Brick front
Attached also find a copy of the proposed plot p1an.
Sincerely,
WINDSOR DEVELOPMENT CORPORPTION
h)avuti ?
Warren R. Anderson
Vice President
WRA/Cj
Enclosures ?
VY
SUITE 192, 4660 WEST 77TH STREET, EDINA, MINNESOTA 55435 • PHONE (612) 831-0717
Use BLUE or BLACK Ink
r
I For Office Use I
I e~ I
Permit 511
City of EaWan I 05
Permit Fee: 105,
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: her, wrr2,iJ~ Phone:
Resident/
Owner Address / City / Zip: 31 ~ltder"
Applicant is: Owner Contractor
Type of Work Description of work: L 39 Construction Cost: Multi-Family Building: (Yes / No
Company: Contact: r .C
j ~c s
Address: 3 ~ rP~,on' 11.1e S S City: 4---I S
Contractor
State: 1,1 Zip: 5-, S` ~e-IR Phone: t~)5 82-
License y15 C 6 S -7 Lead Certificate
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
r
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
the information may be classified as non-public if you provide specific reasons that would permit the City to 4
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x ~'C La,~ Y>PrC x
Applicant's Printed Name Applicant's Signature
Page 1 of 3