2866 Fairlawn Plcirr oF EaGAN
3795 Pilot Knob Raad Eagan, MN 55122 N! 6766
PHONE: 454-8100
BUILDING PERMlT ReceiPt # _ ---
To be used for Est. Volue Dote , 19
Site Address Erect ? Occupancy
Lot Block $ec/Sub. ? Alter ? Zoning
Porcel # Repair ? Fire Zone
Enlarge ? Type of Const.
W Name Move ? #k Stories
3 Address ' Demolish ? Front ft.
0 '•- I n?___ Grode I-I Deoth ft.
? ? ' ? ? tal l?ool
p Name - - ?+vw?•?••
i +;a >nr. - • '
/Wdreu
ASSCSSm2nt
Permit
v?
-
'
~ Water & Sew. Surchorge
p??
Cit Polite Plon check
r?
FZ Name
Fire
SAC
?? Address
Z Eng. Water Conn.
u G phane
<+ planner Water Meter
Council Rood Unit
i hereby ocknowledge thct 1 have read this applicotion and stote that gldg. Off.
the information is corred and ogree to comply with oll applicable
State of Minnesota Stotutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A 8uilding Permit is issued to: on the express conditfon that
ull work sholl be done in accordance with all applicable Stote of Minnesota Stctutes ond City of Eagan Ordinances.
Building Officiol
P?ewM # paft laamd PorwlMw
Pfumbing
Mechanicol
L' L T 3(0 -7 --Z
INSPECTIONS DATE INSP. Rouph-In Firal
Foptings Dote Insp. Date Insp.
Foundation Plumbing
Frome/ins. Mechanical
Final /
?
Remorks: ? ?!?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
?..
DRD
JIIT TYPE:
Number:
Date
SITE ADDRESS: ,„, . I r
? ? ????ra i o? •? ?i?.?r,i ,:? ? ???s i .
PERMIT SUBTYPE:
??,i.? •t ?; i?iw
TYPE OF WORK:
INSPECTION D• • D'
F
L_
Permft No. Pertnlt Holder Date Talephona #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapection Dab Insp. Commente
Footings I
????9.r s rn a
Foundation
Framing
Roofing
Rough Plbg.
fiough hitg.
Isul.
Flreplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
rVol-, /°.1,
4?
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE: ??11 I1 r) rac;
3830 Pilot Knob Road Permit Number: 040,
Eagan, Minnesota 55123 - Date Issued:
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
, ii f I
i"12AM1 Nc3
i,iI .
AI h1 L HWN N 1
Ni, I l3H1"
I I fiE nc.1
l'AI'RF11= 1 Nt/Iktl f:01V•57' :i
. , I I y' , tS 1 0",! I
TYPE OF WORK:
,? ttt•r?? ???r?
i,? ?., i;,tr•i i„ra ?j iratit jk.l Fr1=p I f;I F. Mf M1
cI NAi
7
I
..?
PertnR No. Parmft HoWsr Date Taleplwne t
S/1N
PLUMBING
HVAC
ELECTRIC ? 11y 01& ?
ELECTRIC
Mspectbn Date Insp. Commarns
FooUngs I
Foundatan
Framing
Rooflng
Rough Plbg.
Rough ktg.
Isul.
Fireplace
Flnet Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
sid9. FW,ai -7
Deck Ftg.
Deck Flnal
Well
Pc Disp.
VILLAGE OF EAGAN WATER SI
3795 Pilot knob Rood PERMIT NO.:
Eogon, MN 55122
Zoning: RI
Owner: Jotut A. Brittan DATE:
No. of Units:.
Address: fz- ? lD
sice nddress: 2866 Fairlawn Place ,
Plumber. -We=e1_ rlumbing & Heating INC -
Meter No.: 248p3862 Connection i
Size: 5/8 PDCkwell Account DeF
Reader No.: 742502 Permit Fee:
1 egree to complr with tlw Yillage of Eagae Surcharge: _
Ordinonces. Misc Chargi
TotaJ:
By Date Paid: _
Date of Insp.: Insp.:
YILLAOE OF EAGAN
3745 Pilof Knob Rood
Eagoe, MN 55122
7,oning: 1u
Owner: Jo?ui A
Address:
5ite Address: 28
Pl,l,r,ber: wenz
5/21/76
#2493
Place
I aqree to comply with the Villoye ef Eogon Connection
???omKo+• Account Del
Permit Fee:
Surcharge:_
BY: Misc. Charg
Date of Insp.: Total:
Insp.: Date Paid: -
SEWER SE
PERMIT NO.:
DATE:
No. of Units: _
60. 00 pa
PERMIT
100.00 pd
ge;350.00 pd
15.00 pd
10.00 pd
CITY OF EAGAN
Addition O IItl
Lot 11 Blk 7 Parcel 10 18300 110 07
56 Fairlawn Place stace Eagan, MN 55121
Irx;6rovement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
!to SAN SEW TRUNK 1968 100. 00 3. 33 30 PAID
SEWERLATERAL 72 03 .45 151.6] 20 PAID
WATERMAIN
?Ir WATER LATERAL & StLib 1972 ZO
WATER AREA 1977 160.00 10.66 15 Paid with onnection
STORM SEW TRK 1984 495.00 33.00 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. $320.00 2993 5-21-76
BUILDING PER.
sAC 450.00 2993 - -
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex -'-.:[U:?'1'-?..---- n-
Address (Preseni)
....... ...----- .............. ...' ---
Builder --- ......................_.---------------------...._......
Address .....--------------------------------------------- -.....-----...
DESCRIPTION
N° 910
Eagan Township
Tawn Hall
nate ??,z 3l6_y........------- -
Siories To Be Used £or Fronf Depih Heighf Esi. Cosf Permi! Fee Remazks
A. J>-'
LOCATION
or
?
or zracx
0
This permif does no2 au2horise the use of slreeis, roads, alleys os sidewalks aor does it give the owaer or his agenS
the righf !o cxeate any situafion which is a nuisance or whieh presents a hazard fo the healih, safelp, convenienoe and
genesal wellare to anyane in the eommunifq.
THIS PERMIT MUST SE ?KnEPT ON THE PREMISE WHIL£ THE WOAK IS IN PAOGRESS. - -
This is io eerfifY' iha3----(%?---7 ..`.?.'.:_??'.?..?'.,.,?-)' -°`---'-----...._-----has permission 3o erect a......._...?.?..--°----.----.----..upon
the a6ove descsibed premise subject'fo ihe provisions of the Building Ordinance for Eagan Township adopied April 11.
['c-- ?J.._..........`:`."`--'
1955. 1?T?? ?+`?.....?i?.?t,..,...1.....----.""'-------. Per ---'-----
_'-_............. .._........"" -' -----... ...._ ................... ........--'.............
Chairman o! Tnwn Board Buildin8 InsPecior
4115,
EAGAN TOWNSHIP
.. ' BUILDING PERMIT
J.
.......... -------- . ... ._ ------ .. ._ ...............'
Owner
% : ?l / . ; •, . . 1 ; ?,=,.:t,r'
Address (Presen2) ------- [........_..._ .............._':........__... .._....___...
?? -
i. .
Builder ? ........ ! °-'---° ------ ..L:.:..'.--......:....=........:.. i :.
----....•. -....----.._....----
: _. . .?,. ? ? ,
s . .,
Address ..... ..•.....---....... -Y7......y.-._-`-.^.!-[..'"-.:':.
_r.... - -----------------"----...
DESCRIPTION
N°
Eagan Township
Town Hall
Dale .----.-..._...::.----
29
Sforiesl To Be Used For Froni Depih Heigh! Esi. Cos! Permif Fee Remarks
.. : .j l
LOCATION
5treei, Road or other Descripi3on of Locaiton I Lo! I t+locB I aamnon os iracx
, ' ?""? %°
This permit does not suihorize the use of sixeefs, roads, alleps os sidewalks nor does it give the owner or his ageni
the righf !o creale any situafion which is a nuisance or which presenls a hazard to the healfh, safetp, convenienae and
general welfare !o anyone in fhe communiiy.
THIS PERMIT MUST BFy.KEP,T ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
y
This is !o ceriify, fhail-}.:?. ?: ;r:T =!.......------ ................... has permission fo erect a.... ....................................................... 'upon
!he above described premise subjec'i io the provisions of the Building Ordinanee for Eagan Township adopYed April 11.
1955. ? - -.
.,
............ .------- --------- :--------- ----------- -..:.......------°'-'-?--`----..... Per ....... .-------------...------....--`-'---'---------........_.......-----------......
" Chairman o! Town Board Suilding Inspeefor
EAGAN TOWNSHIP
BUILDING PERMIT
Owne: _'-"'-'...`'-'C.._T.," ----"-'------ _.... ..
??x?%-<-?:??....?I'
Address (Presenf) ...... ........ 1oE
Builder -------- ?...... ..?.o? ...-4... ............................
aaa:e8s ? _. ?
- --- - ---........ -?-..----•-i....?'?°:....... -
DESCRIPTION
N° 1999
Eagan Townahip
Town Hall
?
ae:e --?--'?+..1%?-??------
5iorias To Be Used Fos Fron! Deplh Heighf Esi. Cosi ' Permi! Fee Remarks
LOCATION
This permit doea not authorise the use of slseefs, roada, alleps or sidewalks aos doas it give the ownes or his agen!
the right to creale any situafion which is a nuisence or whiah presents a haaard !o the heallh, safe2y, convenienee and
genesal weltare !o anpoae in the communiip.
THIS PERMIT MUST SE ,,KEPT OIQ THE PREMISE WHILE THE WOAK IS 2N PROGRESS.
This is !o ceriify, thal.... !?1_ti.-=...??.._. .. --------------- zec! a--'..?poa
the above described premisa subjec! !o fhe rovisions ot }he Buildiag Ordinance for Eagan Township adopfad April 11,
1955.
...................... ......... .. 1`....... -'--....... Per .............. Y?..?. .-----
irman af Tnwn Soerd ? Suilding Inapecior
../
CITY OF EAGAN
7b He Used For
Site Pddress:
BOILDING PERNIIT APPLICATION
?? ?q tValuatiOn?-
Gt?f?D ?l CT169'' ?
Lot ? `. Block ? Sec./Sub.
Parcel #: _/o ($ 3 o c? ( l ca c?-? V
oumer: C}RL Z660 4)
Aaaress: 626 66 F-41,e AM
City/Zip Code: EAre? a
Prom # : Usa- 1 4
ContractAr: CnU TAW,0_TAj ?
Address: lr)Ja?l j?B9 A?o
ci-ty/ZiP coae: . 5r-'?L Mw,u
Phone # : ')!?: Z - lZ3 / f3 C
Arch./Ehg..
Pddress:
City/Zip Cade:
Phone #:
"Erect
Alter
Re;ai r
Enlarge _
Nbve
Include 2 sets of plans,
1 site plan w/el.evations &
1 set of energy calculations.
Date 7 -/.3 -$
OFFICE USE ONLY
Occupancy ?.3
Zoning /
Fire Zone
7ype of Const.
# Stories
Dennlish Front ft.
Grade Depth - ft.
APP137VALS FEES
Assessrents
Water/Sewer
Polioe
Fire
En4 -
pjannar
Council
Bldg. Off.
P,PC
Pexmit 0 k'ID .49
AM-
Surcharge s
Plan Checlc
SAC
Water Conn.
Water Meter
Roczd Unit
?n'At 9 g S.
CITY OF EAGAN
3795 Pilot Kno6 Road Eagen, MN 55124
PHONE: 454-8100
BUILDING PERMIT APPLICATION
Te be uaed For SWIM I'OOL & PATICEst. Vaiue
$ite Address
Lot 11
Parcel # _
? Name Csrl Johnson
W
z Address 2866 Fairlawn Plsae
1]? ?? _ ? A •
o Name OontinPnt.wl Pnnl
?u Address z0?50- White Bear Ave. F f"t-. Sy L. }? rl1??• /?y?
DL ///-ry?O 1(» lA
Name _
Address
I hereby acknowledge that I hove reod this upplication and state that
the information (s correct ond ogree to comply with all applicable
Stote of Minnesota Statutes and City of Eagon Ordinances.
$ignoture of Pertnittee
A Building Permit is issued to:
aIl work shall be done in accordonce with oll appji qble State r
Block 7 $ec/Sub. ComtrY HOIDE $t8.
10 18300 110 07
N4 6766
Receipt #
Erect )(X Occupancy n S
Alter ? Zoning Rl _
Repair ? Fire Zone MA
Enlarge ? Type of Const.
Move ? # $tories
Demolish ? Front 17 fr.
Grade ? De
pth 35 ft.
ADDrOYOIB •
8 410 12 g 4,OeBS
Assessment permit ?VOV. iv
Water & Sew. Surcharge 5.00
Police Plan check
Fire SAC
Eng. Woter Conn.
Plonner Water Meter
Council Road Unit
Bldg
Off.
.
qrc -rorai $85.50
on t he express condition that
?sota Statutes and Ciry of Eogun Ordinonces.
Building Otficial
?? O^ n?? REDUEST FOR ELECTRICAL INSPECTION
?+ ? 'o- See insiructlons for completing ihis form on Oack oi yellow copy.
•'', _ "X" Below Work Covered by This Request
??N,% EB-00001-09
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lax Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (S ec' )
Farm Air Conditioner
Olher (specify) Contrdctor's Remarks:
RpTnn(ipl
Compute Inspection Fee Below: CLldrig2 overhead to underground
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am s 39
Transformers Above 200_Amps Akwve 100 -Am s
Si ns inspeaors use ony: TOTAL
Irri9ation Booms S7 ?° $50. 50
Special Ins ection
AlarrrJCOmmunication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN?Y NT ?
I, the Electncal Inspecror, hereby
if
h
h Rougn-m ? oaQ' . G .
y t
cert
at t
e above inspection has
been made. Finai
V . ?yQ
OfFICE USE ONLY ?
Thls request voitl 18 months tran
i
?
?
0
00r213
/l
RBquest Dale Fir No. Roug?-fn I sp tioo-Requiretl Ins ion piher Than Roughdn
10 / 28 / 9 4 (YW musi inspaclor wlien reatly) ? Reatly N. [RW ill Notiy Inspector
?] Ves ? No Date ReaO
IEO licepsed contractor ? owner here6y request inspection of above electrical work at:
JoE AOtlress (Slreat, Hox or Roule No.) Ciry
2866 Fa=rlawn P1ace Eagan
Seclion No. Township Neme or No. Fange No. County
la§ Dakota
OccupaN (PRINT)
DOSCO Fhone No.
423-1114
Power Supplier Address
Dakota Electric 4300 220th St. W., Farmington
Eleclncal ConVactor (COmpany Name) ConVactois License No.
Joos Electric Co. GA 00961
Meiling Atltlress (Contraclor or Ownar Making Installetion)
3980 Beau D` Rue
Drive, Eagan,
MN 55122
Authonxetl SignaWre (COnlractoqOwner Maki nstalla on) Phone Number
688-6180
MINNESOTA STATE BOARD OF ELEGTRIC THIS INSPECTION FEOUEST WILL NOT
Grlgga-Midway Bldg. - Hoom 5-128 BE ACCEPTED BV THE STATE BOARD
1821 Unlverairy Ave., St. Paul, MN 551 l1NLE$S PROPER INSPECTION FEE IS
ihone(612)602-p800 ENCLOSED.
K_450,52
REQUEST FOR ELECTRICAL INSPECTION
? Sea Instmcnons for completing this IOrm on back ol yellow copy,
"X" Below Work Covered by This Request
E6-00001.08
ew Add Rep. 7ypeofBUilding AppliancesWired EquipmentWired
Home RaAge Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-ISpecify)
Comm./Industrial Fumace
Farm Air Conditioner
Other lsyecily) Conhacror§ Remarks'. R rQ ?lP ?',Q%?/D + FhW//tf
g TII G ^
Compute Inspection Fee 6elow:
# Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 010 10o Amps
Transformers Above 200 _ Amp s Above 700 _ Amps
Signs Inspecmr5 Use Only: TOTAL
-
Irrigation Booms ? p
Vk1&
Special InSpeCtion / 5'
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
01her Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rown-in oa?e
certity ihat the above inspection has
been made. Fmai oa?e
OFFICE USE ONIY
This reQUest voi0 18 months irom
K4 052
?
7 (' ? ';5 5.
Req est 3ate
- 9-93 Fire No. Rou n I spec? n
Req ireE?
? ReeNow ill Notity Inapecior
nReaE
7
Wh
y N.
7-1 y
e
I licensed contractor ? owner hereby request inspection of above electrical work at:
b0 AOOrass ($treet 9ox or Route No.)
'2 86 67 A ,P c.Aw.A) P4-.4Gr_• Ci(y
F46?f,J
Seclion No. Township Name or No. Renge No. CouMy
DflKo i f?
Octupant (PRINT)
SA+UoRA $QowNC.r- Phone No.
gq V
PawerSUpplier Atltlress
Eleclrical ConVactor (Company Name)
ctr,earjAilki rL,r-rP-i Conlreclor9 Lcense N0.
?A603?3
Mailing Address IConhactor or Owner Making Installation)
Zaor NPWAP4 C1&0cL-G HAmPLinJ 553,14
r1N?orze SignalU2 IG nj ner aking Installation)
//?
r1.SYY?? Phone Number
y27-? l8
MINNESOTA STATE BDAND OF ELECTRICITY THIS INSPECTION REOUEST WILI NOT
Grigg.MiOway BIOg. - Room S1]] 8E ACCEPTED BYTHE STATE BOARD
18R1 Univereity Ave., St Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(61Y) 6414800 ENGLOSED.
minnaso[a acaie COaro oT tleC[rlClty
Griggs Midway Bldg. - Room N791
21 University Ave., St. Paul. Minn. 55104 - Phone 297•2171
? REQUEST FOR ELECTRICAL INSPECTION
trtECK BELOW WORK COVERED BY THIS REOUEST
F_6-00001-02
2SCoO8
T isqqn
Type of Building New Add. Aep. Check Appliancea Wved Foc Check Fquipment Wbed For
Hume
?uplex
APt. B1dg.
Commercul Bldg.
Industrial Hldg.
Fazm
Othex ?
?
?
?
?
? ?
?
?
?
?
? KI
?
?
?
?
? Range
WxterHeater
Dryer
Furnace
Air Conditioner
Lpist
ryeie13
? ?
?
?
?
El Temporary Wiring
Ligh[ingFixmres
Electric Heating
Silo Unloader
Bulk Milk Tank
List
p
Heielg? ?
?
?
?
?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: aa Fee 1 1 Feeders&Subfceders: n Fee C¢cuits: i Fce
0 to 100 Am s. 30 Am res 0 to 30 Am eres
101 to 200 Amps. 0 Am eres 31 to 100 Am eces
Above 200 Amps. rAbovel
0 Amps. Above 100 Amps.
T ransformers ontrolCirc. Pariialorotherfee
Signs ia] Ins ec[ion Minimum
Cee $5jZ j
Rematks Wiring o f: ' ming pp0l a
TOTALFEr . .5(y
. 0.5Q
I, the El I9d t r?re " certif? thoy 'ns?pectiqp has been y?a . ?/
(Rough-i ) Y:S ??? c?C/ Date ?O ?4-9_
Date "
This request void
18 months from
7(,r-L Llf? f3?7 Zo.xA'???.{_.?4o?ue'(f'?-? ? 3o,oU
quet void
W.onthssfrom .2S?OC? 8?
Date of this Request J nne 23-1.gA.1? F;re No. ? 3 6 9 9 0
I, as q Licensed Electrical Contractor U Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 2866 Fa i r 1 awn Ciiy Eagan
Section Township Range County Dakota
Which is occupied by Carl Johnson
Is a roughin inspection required on this job? No ? Yes 131 Ready Now ? Will Call 0
30NewMor?teA'Ry5055
PowerSupplier NSP/ad Rnck Address P ? n
•
Electrical Contractor Hi 1 1 c rest E 7 ect r i c Co. Contractor's License No Ak0171
(COmpany Name)
MailingAddress2050 White B ar Av-. St. Paiil bp_S,S109
(Electrical Contractor or Owner aking Thls Ins[dllatlon)
AuthorizedSignatu U?_ `7'>7? PhoneNo. 777-$786
ctrical Contractor or Ownsr Making Thls Installation)
S 1fl ???? This inspectian request will not be aceepted hy the
L4JIiti1FlG? tu??[7" State Board unless proper inspection fee is enclosed.
-" ?/y r y
6
?1 -
? - ? - .
- 1 71
(3N
i
----_ _?.
rxoNe
BOtfi md Plommnt * Minaaapolie. Minv. 53919 8963-5231
HIID.DING MATERiAL 0 INSULATING 0 STEEL GRAAGE DOORS
? CrTI( OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10-18300-110-07
DESCRIPTION:
PERMIT
2e6e FAzRLawH PL
LOT: 11 6LpCK: 7
COUNTRY HOME HEIGHTS
(ROOFING)
Idin-§?-.Permit Type
ld'ing 41?nrk 7ype
: -•,
,
A
?
(
PERMIT TYPE:
Permit Number:
Datelssued:
5F (MISC.)
REPAIR
BUILDING
024772
10(26/94
u r?
tQ-jL??:???`.'
REMARKS:
FEE SUMMARY:
Base Fee
Surcharqe
Total Fee
VALUATION
$54.90
._,_,. . . $1 . 5 0
$55.5@
$9,000
CONTRACTOR: - Applicent - sr. LIC. OWNER:
pO5C0 14231814 0004144 BROWNLEE 5ANORA
14710 DELFT AVE 2866 FAIRLAWN PL
ROSEMOWNT MN 55068 EAGAN MN
(612) 423-1514 (612)452-1844
I I
I hereby eaknawledge that t have read this application and state that the
irlformat3on is rrect and agree tp Gomply with?all applicable State of Mn.
5t?t? an C'ty o€ Eagan Ordinances< ?
-
'
ISS?U tlY: IGN ?UR?
INSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lp T: 11 B L 0 C K: 7 APPLICANT:
2866 FAIRLRWN PL DOSCO
COUNTRY HOME HEIGHTS (612) 423-1814
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.)
DESCRIPTION
BUILDTNG
024772
10/26J94
REPRIR
(ROOFING)
INSPECTION
FRAMING .. .
ROIIGH IN PLBG „
ROUGH IN HTG FINAL
F- .
L
?
?
.,
1 q q CITY OF EAGAN
1994 BUILDING PERMIT APPLICATiON
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
CdlCS.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2} address is changed or 3) lot change is requested once permit
is issued.
Date Valuation af work
Site Address:_
STREET SUITE #
Tenant Name: (commercial only)
LOT ? BIACK ? SUSD.
u?ari ??-? P.I.D. # ,
Descri tion of work:
The applicant is: ? Owner (3? Contractor ? Other (Describe)
Name fowe,iL-_ ,S''r?Phone 5`?'? - «vy
Property LAST FIRS,
Owner
pddress
STREET STE #
City /G /j State °`? ? 2ip
Company Da Jo a Phone
Contractor Address / Ll 7?° L/"`'? AW License # yt`lq Exp.
City ra.f¢ "? State ?"I?/ Z i p .Irj6 L'
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to complywith al pplicable State of Minnesota Statutes and City of
Eagan Ordinances. /
j
Signatare of App]icant: ??
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
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DESCRIPTION:
I,iztvonW k L-'? r?L wci_m?[%ir
f3u i.ld+I';:rin?I. Iy1,::? 81? (!`'IISC.)
€iuildin g ?Worl; 7ype RLTEI
U6C Uccijpant;y P -
REMARKS:
FEE SUMMARY:
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PERMIT ?
PERMITTYPE: !; u1Lu.r?!r,
Permit Number: r I ::i ! t; ,
Date Issued: (n '3 !02 i' g 3
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Cr,IUR!-1-R 'Y iil'1PIF 1,l: J 'i
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CONTRACTOR: t.OWNER:
aVIa;, , cI?,) rd i t?if??rar?r?ra
E-niP, 1 rtiwH .?i
Yi 1 11 . i H P Q I_ I 4 "; Ki ?$ F h G Fi I+! 'I"1 N C.'.. .? 1
(fol") ,F7 C?)Gli (f;'l ?),?,c^.1,?tl,q
C Pi?r?k?y° acl?ric???l?i9c?e tl7.?TM I ira?n rflF?cJ tl?is I ali.r?atton xiid s'L'drt thczt tho
snfor•maCi.on ir. oorract and agrew to comply wt.h a11 r,pp7.ioabl? o<<i'i.n 4,( hlri_
;wat:il ancJ City of E"agan Qrdinances.
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AP ICAN ERMIT E 51 NATURE ISSUED : IGNA URE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
Ffk1Rl_f1WN .'-'L i:11!'F21"9_ t.i'lA!lRU
-(11iN T1 i UP1L iic I.GN?1?', ( ?i"i ") 'ii ? +/'C ,.
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PERMIT SUBTYPE: TYPE OF WORK:
REAC?IVATF ? CITY OF EAGAN
PERMIT N 1993 BUILDING PERMIT APPLICATION 6141.00
?? o ? 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: i) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: Zglo(o ?F3i12(ow A)
STREET SUITE M
Tenant Name: (commercial only)
IAT __[L_ BLOCK ? SUSD. Ah P.I.D. !f
/
Descri tion of work: W C??
The applicant is: ED Owner ? Contractor ? Other (Describe)
Name Any'u%-P' ??ncrQA Phone 'S?Z'184V'
Property LAST F,as,
Owner Address Z 4 ?& lz /ABwa
ST¢EET STE R
City ,?aJ State O? ZiP
Company ?-,n,o /'NU?D ?rrr Phone
Contractor Address 781 9?..??usr-? .? AIZ - License # ey- Exp.
City State IIIAI Z i p 55'j19
Company Phone 6"11-0311
Architect/
Engineer •
Name Registration IF
Address 145-5
City L?5Y" 5tate Zi P 55* 1?eg
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:? ???%?c ? ??.•?
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 61 Foundation
O 02 5F Dwg.
? 03 5F Addition
O 04 5F Porch
0 OS SF Mi sc.
WORK TYPE
? 31 New
? 32 Addition
? 06 Duplex
? 01 4-Plex
? OS S-Plex
? 09 12-Plex
? 10 Multi. Add'1.
CR 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging°
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
?... .
" ?'36 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Misceltaneous
? 3] Demolish
Const. (Actual) Basement sq. ft. MWCC System
SAllowable) lst F1. sq. ft. City Water
UBC ccupancy R-3 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire 5prinkler
Length On-site well Census Code y3N
Depth On-site sewage SAC Code
???
-
APPROVALS ?----
?
Planning Building Assessments
Engineering Yariance
REQUIRED IN SPECTIONS wiNDovJ 2+?PtAe?M?'?
? Site ? Footing ES Framing ? Insulation
? Wallboard Ca.Final ? Draintile ? Fireplace
11 Permi t Fee 13s" - v.iLecid,: g 1 Z, D o O
Surcharge ? - - ?
Plan Review
License
MWCC SAC
City SAC
Water Lonn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
STATE RESIDENTIAL CONTRACfOR/REMODELER
LICENSING INFORMATION
PERMIT #
1. I have made application for license to the Departmeat of Commerce.
Date of Application
_ Residential Building ConVactor
_ Remode]er
Signature Date
2. I am exempt because I am am specialty remodeler.
?
Tignature ' ate
3. I am exempt because my annual gross receipts are less than $15,000.
Signature Date
4. I am exempt because contracts on individual projects in aggregate do not
exceed $2,500.
$ignature Date
Questions regarding the licensing law should be directed to the Department of
Commerce, 133 East Seventh Street, St. Paul, Minnesota 55101, (612) 296-6319
Licensing Information, (612) 296-2594 (Enforcement).
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NEW CONSTRUCfIQId
V AuI3-ON A/C
ADD-ON FURNACE
DATE 4 114l c13
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@ $3.00 EACH)
ADD-ON/REMODEL (ExISTING CoNSTRUCI1oN) $ 15.00
STATE SURCHARGE
TOTAL
.50
SI'!'F ?DDRESS: ZSP ? f`Cu? C?u
OWNER TELEPHONE #: `-F S)°- 12`-f 4
INSTALLER
CTI'Y: Lon? LA6 STATE: N?\ R ZIP CODE:
TELEPHONE #: 4-1"?,' O'-ES D
,
,&V?6 " ?
SIGNATURE OF PERMITT"
1993 MECHANICAL PERAIIT (RESIDIIVT'IAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
1994 rLUmnuvG rr:itMiT (xESivF:ivTleu.)
CITY OF EAGAN
3830 PII:OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLE'I'E FOR SINGLE FAMILY DWELLINGS. ALSA, FOR TOWNHOMES ?eND --
- ------------ - --- ---------
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UN1T. '= Y NO. FIXTI7RE3 EACH TOTAL SHOWER 3:00
WATER CLQSET 3.00
BATH TUB 3.00 .
LAVATORY 3.00
KITCI-IEN SINK 3.00 -
LAUNDRY TRAY *z ,,,,
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET • minimum - i
ROUGH OPENINGS
WATER SOFPENER
PRNATE DISP. • netay. u?.
U.G. SPRINKLER • nome uoeer const.
ALTERATIONS • w duing
WATER TURN AROUND
STATE SURCI-IARGE
.SU;
TOTAL: ? • ? '
S'ITE ADDRESS: a?(° ?•. ?U.4 r ?(G w v? ?1(f, t_aJ
OWNER NaM-E: lJOsc,V?5
r`na-Ft6..?.s l?c?c^?R fS
CTTY: STATE: ZIP
PHONE #: ((? ?Z) y Z3 - 31 ? o
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.: City af Eaian
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3830 Pilot Knab Road
EBgan MN 55122
Phone:(851)675-5675
Fax: (651) 675-5694
Foroffice use
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;
? Permi[Fee: 5O GO
j Dffie Received: l2 ?
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I gqtt: ?
? ----------------
20/08 RESIDENTIAL PLUMBING PERMIT APPLICATION
oate: 9"/ 2-O S sne aaaress:
Suite
TenaM:
pESIpEN'f / OWNER NameS
pudress /
CONTRACTOR Nanie: L
Address:
TYPE OF WORK
PERMR TYPE
Septic System
New
Abaruionmerrt
rhone:,?,?/- ?15_2 SG?
G
Phore'lV- 7/ 7- 7_ 7/ S_ Cordact Person:
_ NM _,>??cemeM _ qepair _ Rebuiid
K4Ddify Space _ Work in R.O.W.
_ W aUer Softener
Add Plumbirg Fxlures
Main _ Lower Level)
RESIDENTlAL
_XWater Heater
Lawn Irtigation
RPZ / ` PVB)
Water Tumaround
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (indudes $50 State Su«har9e)
$30.50 Lawn Irrigation (ndudes $56 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic Sysiem Abandonmer?t. WaterTumaraand' fmdudes $.50 State Surahar9e)
`Water Tumaround (add $136.00 'rf a 5/8° meter is requirecn
$100.50 Septic System New ($10A0 per as buift) (indudes County fee and $50 Siate Surcharge)
$90.50 Fire Repair (replace bumed ou[ appliances, ductwork, etc.) (ndudes $-50 State Surch OTAL FEES$
,..L--
I hEfCb/ aCkloNwe 1h2t 1h6IfIf017112ll0l1 6 COfli{HCIO 8Iq e.m.IlfG¢ii uwt uw ?wn .nx w- .................._' _"__ _.-
Eagan: thet I urderstand ihis is not a permit, bu[ onN an aPWkabDn for a permit, anM rmAc is rrot tn start witlau[ a permit tlhat the wak will 6e in
accordance wilh tlie M"Ied Plan in ihe ca5e of wwk wttich requires a reviaw arW aPPraeA of lars.
x llti-f S xpPP?i? /?xcant's Sig ?-re
ppplicaM's 'Med Name
FOR OFFlCE USE Reviwred BY; Date'
Required Inspectiorts: _.Under Ground _ROUgh-1n Air Test Gas Test . Final .
_____ _ _______ _7
? FwO(fice'USC ?
j Permi[#: I
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? Permi[ Fee:
c?, I
? Date R¢cCived: I ? Z O I
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? StaH: ? I
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2008 MECHANICAL PERMIT APPLICATION
oate: s+eenaa.ess: 2$ 6(? f v,, /? /4? r.?, h f L
Tenant:
Suite
RESIDENT / OWNER Name- o wv1 G ee- Phone=
Address i City / Tap: z_ i. L
Name: License #: ?lS e:?9S4l
CONTRACTOR
add.ess: v,5 e ei ? Ge>?
City: ? 1r-lT State: Z& ZiP: ??02(?
Pnone: G.? 2 G 3- z 71 ? Corrtact Person: /
TYPE OF WORK - New A Replacement _ Additional Alteration Demolitlon
n???qoROf wo?: e o ?r d.rLe
NOTE: 8oth root m fed and ground mounted mechankal eqoipmenf is required to
be screermd by City Code. Plesse contact the Afachanical tnsPec#ar orone ot N1e
Planners for infomtativn on permillail scnaen' methods:
PERMIT TYPE RES/DENTIAL CQMMERC/AL
Fumace - New Conshuclion _ trrterior imFrovemer+t
Air Candiooner _ Install Pipin9 _ ProcesSed
ar EXcharger _ Gas _ Exterior HVAC Unk
- ' HVAC urtils must be screened
_ Heat Pwnp / UfWer / Abov6 grdmd Tdrdc L Instail /_ Remove)
_ Ofher ? i1W P.^ iL ?Y " When instaifingJremovirg tanIc(s1, pA for impection M' Fre
Marshal aFut Plumbi lnspBctor
RESIDENTlAL FEES:
$50.50 Minimum Add-on or al[eration to an existing unit (includes $50 Slate Surcharge)
$90.50 Fire reFlair (reptace wumed aut appiiances, drrnvalc, etc.) (iridude.s g,5p Spte Surcharge)
$ TOTAL FEE
COMA4ERC/AL FEES:
$70.50 Underground tank instailation/removaf OR Contract Yalue $ x 7%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- N Fe i[.Egg is less tlhan 51,000, surcharge is $50-
- If Pertni[ Fee is > $1,00111, suxtmrge ircreases 6y $.50 far each =$ Sta[e Surcharge
$1,000 PermR Fee (i.e. a$7.007-$2.000 Pertnit Fee requires a$1.00 seucharge).
$ TOTALFEE
I herebY ademwledge tllat tlus infama0on ts complete and xcurffie: that the wor& wdl be in con(urmance wifh the mdmances and catlb?s of tlie Gity of Eagan: ihat
I urWerstand Nds k mt a pemiit, but ardy an applica6oo far a pemiit, anA work is rwt ro start wilhout a permic that tlre vrork vnll he in aooordaixa with tlre apprwed
planintlre dwork? uesareviewantlaPWwM Md?.
X /? i- / /?1-a9 SS X !i! ??z -cx
AppllcsnPs Prid Neme ApplicanPs Sigrmlure
FOR OFFICEUSE . . . . . . .. Reviewed By;. . . . .. Date:
Requtred hispectiorts: _Urtder GrourW - Rough In
_Gas ServiceTest -
_Air Test
_jn-floor Heat _Fnal
I SIZE: CAPACITY: TYPE: S' e-e,l PRICE:
SHAPE: SURFACE AREA: TYPE: PRICE:
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FILTER
PUMP
SKIMMER
INLET
, MAIN DRAIN
' CHLORINATDR
TEST KIT
LADDER
VACUUM
STEPS
SAFETY ROPE
CDPING
CHEMICALS
DECKING
ELECTRICAL
PLUMBING
PERMIT
MOVE UTILITIES
EXCAVATION
DIRT REMOVAL
TAKE DOWN REPLACE FENCE
TREE REMOVAL
BOTTOM FINISH
OTHER WORK
DIVING BOARD
POOL COVER
POOL SWEEP
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ss3aaav
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s100d Nfld W,17
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Use B~LE or BLACK Ink
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Permit D [ r V
,Ilk City of Ea I I
Permit Fee. I
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: 1 I
i I
2013 RESIDENTIAL BUILDING PERMIT APPLICAT10h:
Date: Site Address: ` 4W)) A/2 5 Un t
Resident/ Name: `~%~l3Lt i _ / r l~Ci l Phone: ~4 e 194~4
/ -
Owner Address / City / Zip: xr~~
Applicant is: Owner -K- Contractor
Type of Work Description of work: eo- 6rr-
Construction Cost: Multi-Family Building: (Yes / No
Company: Contact:
Contractor Address:X/ J hI_fu City:
State: Zip: ~fD Phone: 61 ? q s0aB A
d
License - 0 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I 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:
I 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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility dam ge. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
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 co pleted within 180
days of permit issuance.
X_
--Applicant's-Printed-lame Appli iciOPt-s-Sig nature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139811
Date Issued:11/10/2016
Permit Category:ePermit
Site Address: 2866 Fairlawn Pl
Lot:11 Block: 7 Addition: Country Home Heights
PID:10-18300-07-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Sandra J Brownlee
2866 Fairlawn Pl
Eagan MN 55121
(651) 452-1844
Professional Exteriors Inc.
3158 Viking Blvd NE
Wyoming MN 55092
(763) 434-1500
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170036
Date Issued:06/17/2021
Permit Category:ePermit
Site Address: 2866 Fairlawn Pl
Lot:11 Block: 7 Addition: Country Home Heights
PID:10-18300-07-110
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 -
Sandra Joan Brownlee
2866 Fairlawn Pl
Saint Paul MN 55121--131
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature