2069 Emerald Lane PERMIT # CAI 'S'
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN 3830 PILOT KNa9 ROAD, EAGAN, MN 55122 DAYE: f-
-°
CONTRACT PRICE: = PHQNE: 454•8100 For Office Use Onty:
5ite Address ` BLDG. TYPE WORK DESGRIRTION
Lot B lock Sec/Sub Res New
Name Mult Add-on
?
Address Comm. Repair
c City Phone Other
S
? Name -, _ FEE
HVAC 0-100 M BTU -$24
00
RES
c Address .
.
ADDITIONAL 50 M BTU - 6.00
39 p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS [MINIMUM - 1 PER PERMII] - 1
50 EA
TYPE OF WORI( .
.
C4MM/IND FEE - 195 OF CQNTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8? CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-OMI 8 ;
Unit Heater M BTU REMODELS - 12.00
Air Cond. - M BTU R MINIMUM COMMERCIAL FEE - 20.00 ?
STATE SU?iCHARGE PER PERMIT - .50
Vent CFM ?, (ADD $.50 5/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
:-,
Other $ ?
"?-
FEE:
,. . ->
- -
. . '-' ? : . ..-.'
`
S/C: $I(3 3NATURE E7F PERM1
TTEE
TOTAL: FOR: CITY OF EAGAN '
?
I ?'? /? ? ?? Aell - ?-?-?
CITY OF EAGAN Remarks "Cedar GlOVe ACq11iSj.tioll
Addition CEDAR MOVE # Lot 14 aik 7 Parcel 10 16700 140 07
Owner - treet 2069 Fmt+r3ld L3rie 5tate Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1985 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1,304.00 52.16 25 Paid
WATERMAI N
# WR-fER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
13UILDING PER.
SAC
PARK
i0?//g? . # 9?1vn5?
00101
7
? ? -?
Request Date Fire No. Rough-in Inspedion
Requiretl?
eady Now ? Will Notiy Inspector
n R
Wh
d
?
V ? Yes No e
ee
y
licensed contractor O owner hereby request inspection of above electrical work at:
ob Atltlress sIreeL Box or Route No.)
CQ Ehe-OtAC, b L
Y..1 ? City
E,4(r 4Y-1
Section No. Townsnip Name or No, Range No. Goun
Ka
OccuDant (PRINT)
tC St /S/ yU sK. Phone No.
4/5q-2_Z42 3
Power Supviier Atltlress
Eleancal Comractur ICOmpany Namel
/l- / T E F.L9c-7-/Ct
Conrec?or§ License No.
i
o ?o ?qS
Mailln9 Atltlress ICOmractor or Owner Making Installation) "OU E:,E It0 r?
AwnorK?ature (ConireclonOw, kl stalla4on)
? ? ' Phone Number
yS Z
MINNESOTA STATE BOARO OF ELECTRIC17Y THIS WSPEGTION REOUEST WILL NOT
Gdggs-Mltlway Bltlg. - flaom Sl73 BE AGGEPTED BY TME STATE BOARD
1021 Univenity Ave., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Vlwuras (612) 642-OB00 ENCLOSED.
c? 00101
REQUEST F06! ELECIRICAL INSPECTION
ow See inslrucLOns lor completing this brm on back ol yellow copy.
"X" Below Work Covered by This Request
EB-00001-0]
?
ew Add Rep. Typeof8uiltling AppliancesWiBd EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm.llndusirial Furnace
Farm Air Condilioner
Other (speclfy) ConVactor5 Remarks:
Compute Inspec[ian Fee Below.
S Other Fee # Service Emrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 1 3 0 to 100 Amps 1. ?
Transformers A6ove 200 _ Amps Above 100 _ Amps
S1905 lnspecror5 Use Only: / TOTAL
Irrigation Booms
I J, 0 j?
? S? S V
Special Inspection ?
Alarm/COmmunication TFiIS INSTALLATION MAY BE ORD D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby R°ugRin oate
certify that the above inspection has
been made. Final " Da; -
es F
OFFICE USE ONLY ,
r
Tnls repuest roia 18 months irom ' -
_
Repu Dete ?
? Fire No. Rough-in nspection
ReQUireG?
? Yes o
Aeatly Now ? Will Notify Inspector
When Reatly?
I icensed contractor ? owner here6y request inspection of above electrical work at
Job Atltlress (Straet Boa or ROUt No )
doq ?C? Ln C'
Sectian No. Township Name or No. Range No. Co Azs,
P 1' PFINT? Phone No.
Power Supplier Atltlress
Eiech' Mracror IC mpany Na
ii?.1t? Contraclor's License No.
Mailing Atltlr, n actor er Making Ins?alla?i
lao? 1?.,.?
AWh tl Slg eWre IC on4aclonOwner Making InsWlll
41 cr.??7 Phon N bar
D ?3?55
MINNESOTA STATE B R OF E ECii11CRY THIS INSPECTION REOUEST WILL NOT
Grlggs-MiEway BICg. R 5? 3 BE ACCEPTEO BVTHE STATE BDARD
1821 Unlverci?y Ave.. S. eul, MN 55100 UNLE55 PPOPEF INSPECTION FEE IS
P1wne (612) 642-0800 ENGLOSEO.
REQUEST FOR ELECTRICAI INSPECTION
2^a!J O^ ? See instmctions for completinq ihis imm an back of yellow copy.
K I l-0
"X" Below Work Covered by This Request
/07?57
?.?
ew Add Rep. ' TypeofBUiltling AppliancesWiretl EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buitding Dryer Othe[ (Specify)
Comm./lndustrial Furnace
Farm Air Conditioner
? ONer (spectfy) Gonirecrors R1emarks'. ^
AIV
Compure Inspectron Fee Belaw:
# Olher Fee # ServiceEntrance5ize Fee 9f Circuits/Peeders Fee
Swimming Pool 0 to 200 Amps 0 to WO Amps
Translormers Above 200 _ Amps Above 100 _ Amps
SignS InspectorSlJSe Only: T?TAL
Irrigation eooms /? Y90 l?
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDEREO SCONNECTEO IF NOT
Other Fee CAMPLETED WITHIN 16 MONTHS.
I, the Electrical Inspector, hereby
certify ihat the above inspection has
been made. Rouqn-m
F;,,ai
f oate
oat
?
OFi1CE USE DNLY
i
TMS request voitl 16 months !mm
EAGAN TOWNSHIP
BUILDING PERMIT
N° 1141
Eagan Township
Town Hall
....°
Dale ................
DESCAIPTION
To Be Used For Fron2 Depih Heighi Est. Cos! Permif Fee Aemasks
7
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S/j?
d !?-?4/__ ??'ti'a.?i
LOCATION
/47 ?7
This permif does not aulhorize the use of slreets, roads, alleqs or sidewalks nor does it giva the ownex or his agen!
the righ!!o creafe any siluafiou which is a nuisanae or whieh presents a hasard !o the heallh, satefy, convenience and
general welfare fo anyone in the communify.
THIS PEAMIT MUST BE KEP/T ON THE PAEMISE WHILE THE WORK IS IN PROGRESS.
Thic is !o eextify. Shaf_?? .._ ' -.r-'?*?-?-_.._..has permission !o erect a_-•'-'-"-"' -_',- ?---?...---y".' . . . .............upon
the above described premise subjec! the provisions of the Building Osdinance for Eagfgh adopted April 11,
............................
>.:..c°!!:'f.---'.-.,"--.-."';-
........
Chairman of Tnwn Board
4 `/j.
Slreet, Road or olher Descripiion of Location Lo! Slock Addition or Traci
-? e- , -27. ? /
Per ...............ls!-?re!. ....__??...........
/ Building Inspector
EAGAN TOWNSHIP
UILDING PERMIT
Addrasa (psesenf)
Suildea .............. -----•dv?:i.s2..!_----------- ----------------- ......._.----'
Address ------------- .....:.:.................... ------------------ --... _..----'--------------
DESCRIPTION
PI° 359
Eagan Township ?
Town Hall
?q .
Daie ?
?
--._..?._? -- ---?`-----.........
`-"
Sfories To Be Used For I Fronf Depih Height I Est. CosY Permif Fee Remarks
I
4D
LOCATION _
or
This permit does no! auihl6riae !ha use o{ a4reets, roads, alleps or sidewalks nor does if give ihe owner or his agenf
!he-righ!!o creafe anp situafion which is a nuisanee or whieh pzesenls e hazard So the healih, safety, convenience-and
ganexal welfaxe !o anpone in the communiLy. ' ' .
THIS PEAMIT MUST 8 E ON E PRE I IS£ HILE THE WOAK IS IN PROGRESS.?/'> r
This is !o eerlify, fhai.?(zL?? ... ?_has permission io erec! r..?B_.-/.!(C'X....... 1?.?!,??f._ ?._____'___upon
the above ?'esgs.ibed.premise s_ fhe provisions of the 8uilding Ordiaanae for Eagan Townehip uadopted Apri] 11,
195i ?. / / i , -
vi
. - -----'-.... Per _._......... ....
------- ? --. . ...-- ._..._-----`----?-------?-"---._..
-
of T oard . Suilding Inspecicr
1999 BUILDING
3-'13°1"
Hew Conslruction Reauirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?- •
651-681-4675
Remodel/ReoairReaulrements? ?
D 3 reglNered sRe suneys showing sq. fl. of lot, sq. R. of houae
and gll roofed areas (20% moximum lot coveraae allowed)
? 4 coptes ol plans (show beam a window slzes; poured tnd. design; etc.)
D 1 sef ol energy ealculaNOns
D 3 copies o(hee preservaNOn plan if lot platfed alfer 7/1/93
DATE: ??qC1
DESCRIPTION OF WORK: I'`?bf7- 1Ip6l
STREET ADDRESS: ., L
LOT: I 'l BLOCK: ? SUBD./P.I.D. #:
2 copies of plan
1 sM of energy caleulalions for healed addHions
1 sNe suney for exterior addiHons E decb
? -
A 3.,,i y,/l?
h-
COST: '
GCokf-f 4
Name:_-!L/%^? ci! 6 V ?l C-L ? Phone#:
PROPERTY Lan ??- First T
OWNER ?-. _ I /: / I 1 _
Sfreet
City Z:E?IAa vt/ State: Zlp: Z-
CONTRACTOR ) Z? ? / ? ?` CO`LG???/UP
Sheet Address: 1 7
#: 1k17-
(area code)
Ltcense#2&Y,VExp• ?d00
City Isj"1G7/L 7t?? //(r" State: U?It1- Zip: ?O -3 .?Z
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Streefi
City
Sewer 8 water Itcensed plumber (reaufred for new conshucHon onlvl:
State:
Penalty applies when address change and lot chonge is requested once permN Is issued.
Zip:
? I hereby acknowiedge that 1 have read this applicatlon, sfafe fhat the Informafion Is'conecf, and agree o comply wfth all applicabl
State of Minnesota Sfatutes and Cify W Eagan Ordlnances. ?
? -
Signafure of Appiiccnt
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
RegistraNon M:
AUG
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