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1681 Hickory Hill? CITY d?:?GAN Rema Add;t;on Foodqate lst Addition ,Qwner "?^? -? ??' Street - Lot 1 81k 1 parcel 10 84600 010 Ol Hickory Hill State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. paV1T'lCJ 1974 $115.4 `$23 .09 5 PAID GRADING y PAVING . . 5AN SEW TRUNK 1974 $93 . 5 $6 . 24 15 PAID i * SEWERLATERAL 1975 15 ' ? WATERMAIN WATERLATERAL 1975 ' * WATER AREA 1975 15 I * STORM SEW TRK 1975 * STORM SEW LAT ao? 1975 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11222 1-29-14 BUILDING PER. sAC $375.00 9773 - - PAFi K CITY OF EAGAN Remarks Addition _ Woodqate lst Addition Lot 2 131k 1 Parcel 10 84600 020 Ql Owner ?v.d i, Street 1683 Hickory Hill stace Eagan, MN 55123 6m,"t YY1. ?u,k"gxt Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. X STREET RESTOR. paVlri 1974 115.45 $23.09 5 PAID GRADING PAVING -30 1976 410.12 $136.71 3 PAID SAN SEW TRUNK Atll 1974 $93 . 54 $6. 24 15 PAID *SEWERLATERAL 1975 15 WATERMAIN *WATER LATERAL 1975 15 *WATER AREA 1975 15 *STORM SEW WdBK L,.NT aq 1975 $1505.70 $100.38 15 PAID * STORM 5EW LAT_ tT]f 1975 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 130.00 11222 7-29-74 BUILDING PER. sac 9773 12-31-73 PARK CITY OF EAGAN Remarks Addition Woodgate lst Addition Lot 3 sik 1 Parcel 10 84600 030 01 OwnerZq(1,'! 01• 7:Ltt;y Street 1685 Hickory Hill State Eagan, MN 55123 t- Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. TREET RESTOR.paving 1974 $115.45 $23.09 5 PATD GRADING PAVING p 1976 $410.12 $136.71 3 PAID ' SAN SEW TRUNK a 1974 $93.54 $6.24 15 PAID *SEWERLATERAL 1975 15 WATERMAIN *WATERLATERAL 1975 *WATER AREA 1975 15 I *sTORM sEw Wc L/yT del1 1975 $1505.74 100.38 1 PAID STORM 5EW LAT 1975 CURB & GUTTER SIDEWALK STREET LIGHT WATERCONhI. $130.00 11222 7-29^74 8UIL01 NG PER. sac $375.00 9773 - - PARK CITY OF EAGAN Remarks Addition __ Woodgate lst Addition Lot 4 Rik 1 Parcel 10 84600 040 Ol Owner?(?L? Streec 1687 Hickorv Hill State Eagan, MN 55123 S?l?l ?taY1U?mn? ?(?. ?lr?,f; ;f ?,?,?v Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. paVillq 1974 115.45 23.09 5 PAID GRADING 1976 410.12 136.71 3 PAID SAN SEW TRUNK 1974 93 . 54 6. 24 15 PAID *SEWER LATERAL 1975 15 WATERMAIN *WATERLATERAL 1975 15 *WATER AREA 1975 15 *STORM SEW 1YlIl T' ,2qi 1975 1505.70 $100.38 15 PAID * STORMSEWLAT trk 1975 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11222 7-9-74 9UILDING PER. #3894 2700 4-16-76 sAC 375.00 9773 12-31-73 PARK ? - - a 46 CITY OF EAGAN f 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 BUILDING PERMIT Receipt # To be used for Est. Velue Date SiteAddress }'r 1 C:,`7`'i' '' L E. OFFICE USE ONLY Lot Block ; Sec/Sub. `''= }r1T1. On Site Sewage _ Occupancy MWCC System _ Zoning PSrCeI No. On Site Well _ Type of Const City Water (Actual) _ (Allowable) a Name W # of Stories 3 Address Length 0 Cilty PhOf18 Depth S F Total p Name . . Footprint S.F. ? ? Address APPROVALS FEES P Clty PhOn@ Assessments _ Permit ' ? ¢ y? W Nam@ Water/Sewer Police _ Surcharpe _ Plan Revfew W ? Un Address Fire _ SAC,City Engr. _ SAC, MWCC % W City PhOne Planner _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit that the information is correct and agree to comply with all applicable APC _ Treatment P1 State of Minnesota Statutes and Cfty of Eagan Ordinences. Variance _ Parks Copies Signature of Permittee TOTAL • A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of M innesota Statute s and City of Eagan Ordinancea Building Official Permit No. Permit Holder Date Telsphone a? ftmbing H.V.A.C. 9,4I??' Electric Softener Inspection Date Insp. Commsnts Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. g y Au ? Deck Frm g' ?-V rv i7 (yC+k' Coc ('? e, Well a?Ow Pr. Disp. - ? •, 2' /- lvC h ll-?r / F?GJ`P(l' Y IF - ;<?'lr? ' o Ocv•, Pi' ?_ ( ?.+-- »., . . .. PERM ? MECHANICAL PERMIT RECEI CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site Addsess ? ??/V-4- -r_r_?W- BLDG. TYPE WORK OESCRIPTION Lot Block Sec/Sub ? <<- ., Res. New W.-;. . Name _ / ,.?j,-?y- ?. Z ? Mult Add-on ? Address Comm. Repair M c Ciry ` r??"'? Phone yf'• J d Other Name ?oA R ? FEES RES. HVAC 0-100 M BTU -$24.00 , c Address 16,_W 7 -",A ?'?'?u '% fr ?> • ADDITIONAL 50 M BTU - 6.00 ? p City Phone (RES. HVAC INCLUDES A/C ON NEW CO ' 90 ,y? NSTRUCTIOM) 1: GAS OUTLETS MINIMUM 1 PER PEf Jll 1 5 EA 4 ( ie n - - . . 0 TYPE OF WORK COMM/IND FEE - 1°rb OF CONTRACT FEE ? Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 , Unit Heater M BTU REMODELS - 12.00--"- ; Air Cond. ZM BTU $f Z•vr,? MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - f Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: ' Z • ? 1 ? , S/C: 6NATURE F PERiNITTEE TOTAL FOR: CITY OF EAGAN ?_. . .. _ . .. . " _" . . ? F-. . - ' . _ " .. . . . _ PERMIT # ? PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: T ?..?. .,......?_ .... _..,.. Site Address ! ` 1' Lot -)- Block I- S m -rvan ? Add c City Name % ?- ?- /? ? i ? Address p City Phone FEES COMM/IND FEE - 19'o OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C !F PERMIT PA1CF GOES BEYOND $1,000.00) FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New _ Mult Add-on Comm. Repair Oiher NQ. FIXTURES ` TOTAL Water Closet - $3.00 ? Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 , Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 Gas Piping Outlets - $1.50 -L_Softener - $5.00 ` Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• ! -' ` 1 f'-- 1082 Payne Ave. St. Paul, MN 55101 651 /772-2449 GAS WORK ORDER STAN DARD 410 W. Lake St. ? Minneapolis, MN 55408 b HEATING +? ,,??,.- ?&. - , .., `-? & AIR CONDITIONING i ? ?(-; ; S'n ? A Blue Dot: Service Co. I? ; l ?. !1 ls ??? FC)111PMFNT INFC1?f?d1AAT1ON LAST ?? F I RST?%a?c n ADDRESS /%EZ` }/, CIZIP 7-Z- HM PH 457-65(- 01103 WK PH TECH DATE,,Z TYPE M KE ? MODEI_?V1K-A- RTA SERIAL ? Lb INPUT ORSAT TEST RECORD C02 , °/6 METERED INPUT `a Cfh CHIMNEY TYPE 02 A °!o LIMIT SETTING O? 0 FLUE SIZE in. CO % PILOT OUTAGE ? sec CONNECTOR SIZE in. NET STACK TEMP ? 0 TOTAL CHIMNEY INPUT 006 btuh CITIf OF EAGAN 3830 Pilot Knab Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: , „ ; i??t,ia.i E PERMIT SUBTYPE: , t , N. i I ) 1! i!'` i+{ ! N 11 I I rr ,?I I A I tI ?N f;rt1it INrI t i t-! n I tiE, ii i1 1 N11 4i.' s.i t:: ifQll,1fS?4 r?tF'AlN ( tt404111• ! F40 ) I #1i:NAIe h'. INC.1111.1f- 5 1.t.0 3 (1() I :!) LfI H4, (1l1 1 4 ) I11,il.' (1.I)I 41 {llli.1111'iY 1I111 ON RECQRD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: ?, ? ? i ,,: ? „i. . ? f ?v? TYPE OF WORK: i.+: t'. t i ! I I+Pd PermR No. Permit Holder Date Telephone # 5NV PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Comments Footings I Foundation Framing Roofing %2Q?ys ? Aough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final peck Ftg. Deck Final We11 Pr. Disp. .... - __.._,_. :. r -- - - --I v/ J (N `"' ' viuace oF E46AII 3795 Pilof I(eob Road WATER SERVICF PERMIT , EO9°", MN 55722 PIER'HIT NO.: _ 1438 ? 7oninK: PI7D DATE: _?_ 4/26/76 -- - .-.. ? .------?-- ?_-- owner. _S'1°od No. of Unite: 4ate. New Horizon ?------ Address; ---? H?e9 -- ? Sitr Address 168 -83- - - - ' . F'lumber. ---_-- Z'sonBPlumby?ekor. gill Meter rvo.: ? IlQ Cp p ??----' ? Size• ---- -- - - ------- Coanectlon Chargev??a- ??- ? -?keader No..- Account DePosit: - 1 69,ea to comply with rhe Vfll - pe?t Fee: _ 50.00 pa ---? ? Ordinance¢ ? °} E"cw Surcharge: ? .50 pa _ ? / Misc. Ch ?-??•? . ?Z / /, arges: __?T_ BY 6??C/'--'r?2_CU ToW. llate of InsP ??'-?? -?---?-- Daee Paid: -_-------- ? Insp.: ?Z 411- 16?(Olo cj ?5 - Z-' / ,l? ?,,, _ --.Ww SEWER SERVICE PERMIT VILUIOE OF EAOAN ?1g$ 3793 Piloe Knob Rood - PERMIT NO.: _ 4?26??4 ' Eagan. MN 55122 DA1 E: ---- Zoning: __--PIIll No. of Unite: OwneT: _-j.7gggg Address: - l681, 83 85-87 H1Ckory H111 _ Add S ress. ne Plumber:- Tt1o_mpSOn Plumtina CA- 1500.00 Pa 11/21/ 1 agrn ro comply wkA tM vHlay. of Eeqae Connection Char6e: ----- 3 Ordinonce+. Account Deposi? 00 pc1 Permit Fee: , 50 pd Surcharge: - By' - ------ - Miac. ChazBea: _-- Uace of Insp" Total: Insp : ----- Date Paid; ? --- _ . ---- - ----'-' - - -- -- t----- - ------ -- --- Uh CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 --?0 BUILDING PERMIT Receipt# To be used for DECK Est. Value $1, 000 Date JUNE 5 Site Address Lot 4 F Parcel No.- 1687 HICKORY HILL 1 Sec/Sub. WOODGATE a Name PATRICIA DAHLGAARD z Address SAME 0 City Phone 456-9282 (W) o Name SAME 681-9193 (H) ?a Address ¢ City Phone U¢ W w Name r 'xz. Address Q w City Phone I hereby acknowledge that I have read this application and state thattheinformetionisco dagr , mplywfthallapplicable State of Minnesota S utes ?i I ot Ee n OldinanCe SignatureofPermit.e N_ 13732 3 -7 Lo 1987 OFFICE USE ONLY On Site Sewage Occupancy MWCGSystem _ Zoning On Site Well _ Type of Const Ciry Water _ (ACtual) (Allowable) x of Storles Length Depth S F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit 20. $0 WaterySewer Surcharge . 5n Police _ Plan Review Fire SAC, City Engc _ SAC, MWCC Planner _ WeterConn. Council _ WaterMeter 81tlg.Off _ Road Unit APC _ Treafinent P7 Variance _ Parks COpies TOTAL ;zi.oo A Building Permit is issued to: raini?ia?HttLbHE1HU on the express condition that all work shall be done in accordance with all applic e tate of Minnesot tatutes nd City of Eagan Ordinances. Building Official v ? EAGAN TOWNSHIP BUILDiNG PERMIT Ownex ..... ?- .._) 4 'A-Va?.....ky? ...... ........... Addxese (Presenl) ........ ........ ....... -....__......._._.•.......... Buildes ................ Address ...... NO, 3104 £aqan Township Town Ha11 Dale .---?•^/?,-- 7 3 ................ Slaries To Be Used Fos Fzon! Depih I HeighS Esl. Cos! Permit Fee Remarks I ?3 This permit does not suihoriza the use of slreels, roade, alleps or sidewelks nos does it give the owner or his agenf the :igh! !o ereaYe anp si2uafioa which is a nuisance or which preaenis a hezard !o the heal2h, safefp, conveaience and genezal welfare !o anpoae in !6e communify. THIS PERMIT MUST BE KEPT ON THE PREMISE WIiILE THE WORK IS IN PAOGRESS. T6is is !o cerfifp, lha2----.?r...?'.::.'."?w..td.'.:.'.'.'?..°.......hes permiuion !o erect a...... .....' --- upoa the above desezibed premise subjec! !o the proviaioas of the Building Ordinance for Eaga% Township edopied April 11. 1955. 41.i... ??...."-'-"'........-.?t' : .'! ::'-_'---..... Per ................._?..'?:...... U - ............ .. ....._'--°-'----.......... CheirmAf? of Tnwn 8oar Suilding Impee2or 46r 4 EAGAN TOWNSHIP BUILDING PERMIT /?1'?r.t-'.--?T....v..'..?..-.. ?. °?---..-?. '---- " -!`!? ----- i.------- ? C/ ---°----.... Addresc (Preseni) ......... ...... ------------------------------------ ..... J Huildex ........ Addresa ...... DE5CRIPTION r N° 3105 Eagan Townahip Town Iiall Dale...?..??..- ? Slories To Be Ueed Fos FronS Deplh Hatgh! Esl. Cost ermt! Fee Remarke This permit doea aot suthorise the use of stree3s, roads, alleps or sfdewalks nos does it give the owaer or 6ia agen! the right to creale anp sifuaiion whicH is e nuisenee ox whiah presenfs a hazard fo the health, safelp, conveniance and ganeral welfare to enpone in 26e communitp. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGAESS. This is !o certifp. !hal--:?LLn.s° •?-'----.._ ??'---'-?J... ..... has parmission 3o erect a......... .......: ......... .....---... .................. _upon the above described premise subjeai !o'3he provisions o3 the Suilding Ordinanee for Eaga Township edopted Aprtl 11. 1855. n .............................. .1----°J---'--° -°--?..- - -i? Per .--`.......----......---.?........-- ...... __...°.--?............ ............ Chairman o8oerd ? Su?n Im ec2or ?yi ? E N° 3103 • EAGAN TOWNSHIP BUILDING PERMIT owne: -----?---- A;? ......°--°- Addreu (presen!) ° ......... 'J . "............................. ".'.._'.... _.... Builder ...................°--"---._......---.....--.............._......---------.........----... Addreu DESCAIPTION Eagan Township Town Hall Date ..... S-./y.": ? ................ Stories To Be Used For FronS Deplh Heighi Esl. Cos! Permit Fee Aamarka ?o ? ?" 3 Y Al;?.vW ? a ;;V I LOCATION 7 0"5-v or This pesmi2 does not aulhorise the use of c2reels, roads, alleys or sidewalka nox does i2 give the owner ox hia agenf the righlYo creale any siYua2ion whieh is a nuisaace or which pxecenls a haaard !o the health, safeip, eoavenienea aad geaeral welfare !o anpone in the eommunifp. THIS PERMIT MUST BE KEPT ON TIiE PAEMLI??SE? ?W??H??ILE THE WORK IS IN PROGRE S. T63s is !o aerlify, .L?"'°....has permission !o eree! a..._ ?---_ ..... .. ............ . ?f.F:??poa the above described psemise subjec! !?o`!ke provisiotu o! the Building Ordinance for Eagan ownshi adoplad April 11, 1955. ........... N°! ..... O`-••0-=--=.... ...Per .......................... ..- - ?.•?-?":?:'-? P ................. .13 ........-° .................--........ Chaismaa of Tnwn. ._ Board Suildin Ins ecSOr CITY OF EAGAN C", ? 3795 Pilot Knob P,oad Eagwn, Dlir,nesota 55122 PEFu= NOo: 412 The City of Eagan hereby grants to ThomPaor. P2vnhinrl Co. g PL[RMPI*?G of 12.201 Minaetonka Rlvd. Permit for: (Owner) !Tew Por.izon to*.ner. -Weonaate Addn. 1 at _ see attached list ? pursuant to application duted 4119,17e ree Paid: $1,460.00 dated this 24rh day of P.Fri.l , 19 74 4?.Of) s/c lding Inspector i-=echanieal Permita: Bid Total: .- " HOUSE HEATING TEST RECORD D-20850 ??J/J /'-/ ADDRESS 1881 Hickory Hill APT.-FLOOR CiTY SUBURBFIR,ann , OCCUPANT Itobert W. Lee OWNER Ye9 HEAT LO55- SOLD BY Elechical Work By TYPE OF HEAT GA s ne y FA X HW -STEAM -SPACE HTR. -UNIT HTR. ' GAS DESIGN MAKE williameon MqKE OF BURNER Model 1117-07-5 Mode1 OTHER CON V E RSION 5.'tol 7436657 Mo:, BTU Rating_ INPUT 75,000 tu /, .Y' MAKE OF FURNACE CONTROLS THERMOSTAT CIO 260 Heat Plu volve M.H, V?i00c Limit Robahaw BFL 750n Limit Setting 2000f Fa„ sex;,,y 900f & 120°f Pilot Type Couple Pilot Make Pilot Modsl Pilot Timing 63 Seconds L.W. Cut Off P 4•$11W•C • P 7•0% ressure ercentC02 Input CFH 75 Percent 02 - 8 7 $tack Tem p f ? Percen} CO ? ? Form 235 DATE HTG. INST. INSTALLED BY Sedgwick HTg. Ga Li B ° ft Modsl Vsnt Si:e 4.1 KIND OF LINER Alum. SIZE 6" NONE Draft Haod VCY't].C81 Regulawr Filtsrs Size 16! x 25" Num6er 1 Chimnsy Location Inside ti'OA Outaide Chimney Construction MPfalhratna Smoke Bom6 Wiring - Draff OK Tesf Tap Door Prossuro Lighfing InsL Date Tested 1L8L75 Company TesTing Nome of Tester ? HOUSE HEATING TEST RECORD D-20850 "-4f` 44-2`1 aoDRess 1883 Hickory Hill Eagan APT. LO CITY SUBURB OCN PANT None nWUCO ew oT1sOIIe HEAT LO55 SOLD BY - DATE HTG. INST GAS C0. METER BADGE e gwic g. INSTALLED BY Elecirical Work 8y - TYPE OF HEAT GA Gas Line By FA ° HW -STEAM -SPACE HTR. UNITHTR. -OTHER GAS DESIGN MAKE WilliamaOn MAKE OF BURNER _ Model 1117-07-5 Model Sftia1 7346659 M,,. s7u Rarin9- INPl1T 75,000 Btu MAKE OF FURNACE CONTROLS THERMOSTAT M H26O Heat P?ft Valve OC Limit Robehsw RFj, 750n Limit Seiting 200 f Fao serrin9 90°f & 1200f p;iot ryP, Gouple Pilot Make PiIM Model Pilot Timing 5$ SQCOII(j8 L.W. Cut Off Pressure 7•O? 4•2"W•C'• PercentCO InputCFH ? 7Percent 02 8•7 0 4" f ?? Stack Temp. Pereent CO • Model Vent Size 4't KIND OF LINER Alum, SIZE NONE Droh Hood Vertical Regularor Fil}ers Size-1611 % 251 Number 1 Chimney Lacafion Inside Ye8 Outside Chimney ConsTruetion Metalbestoa Smoke Bomb Wiring _ Draft OA TesT Tag Door Pressure Ligheing Inst, iea Date Tested 101,20174 ComPanyTesriny Comb at'on S eci ltiea Name oF Tesfar CONVERSION Form 235 • " HOUSE HEATING TEST RECORD D-20850 ? ADDRESS 1685 Hickory Hill APT. - PLOOR CITY SUBURSEagan OCCUPANT Jerry L. Herman OWNER Yea HEAT 1055 DATE HTG. INST. SOLD BY Elachical Wark By TYPE OF MEAT GA _ FA X HW _STEAM 'ALLED BY Sedgwick Htg. n it _ws Lins By SPACE HTR. _ ? GAS DESIGN MAKE W711].81ttBOri MAKE OF BURNER Modsl 1117-07--5 Model UNIT HTR. -OTHER CONVERSION Ssrial ' "'" Max. BTU Rating - INPUT ? tu MAKE OF FURNACE Model CONTROLS THERMOSTATC'm 260 Heat Pl ug Vant Size `? ' ?a1Ve ? M,H, ViiOOC KIND OF LINER Alum, SIZE 6° NONE Limft Ol>BhBW RF'I, 75017 Drafr Hood Vertical Rsyuloror Limit Setfing Z00 f Filters Size 181' R 2511 Number 1 Fan Setting 90of && 1200f Chimney Locafion Inside YQB Outside Pilot Type Couple Chimnay Conairuefi on Metalt1@9t 09 Pilot Make Pilot Model $moke Bomb Piloe Tlming 59 Seconda p„ft Ok Tss+ L.W. Cut Off Dow Pressure Lighiing Inat. xeM Prossuro 4.7"W.C. Percent C0 7.0% Dme Tesred 1 81,75 -- - - -- Input CFH 75 a- 2 Peresnt OZ 8 7 Company Testing C S.._-Bright Companf ? Stock Temp. `5`50 ? percent CO ?? Name o4 Tester ? 1 Form 235 Wiring HOUSE HEATING TEST RECORD ADDRESS 1687 Hickory Hill APT. FLOOR OCCUPANT Jamee R Marr OWNER e9 NEAT LOSS - SOLD BY DATE HTG. INST. Electrical Work By _ TYPE OF HEAT GA FA 3AS CO. METER BADGE egw1C INSTALLED BY Gos Line By HW STEAM -SPACE HTR. UNIT HTR. _OTHER GAS DE51GN William80n MAKE 1117-07-5 MAKE OP BURNER Model Model D-20850 -CITY SUBURB Eagap CONVERSION Serial Max. BTU Rating_ 1NPUT 750000 tu MAKE OF FURNACE CONTROLS THERMOSTAT Cm 260 Heat Plu - Valve M,A, vo Te Limit Robshaw RFL 750n Limit Setting 200 f Fan Sottiny 90of &1200f Pilot Typa Coupae Pilot Moke Pilot Model Pilot Timing 55 Secands L.W. Cut Off Pressure 4•611W'C" p ereant CO 7 • Z 7`5 $•7 Irryut CFH Percent OZ `5`30?f ? 0 $tock Temp. Pereent CO ' Fwm 235 Model " Veni Size 4 KIND OF LINER "- • SIZE ? NONE DrafrFlood er1C8 Regularor Filters Size $bl, x ?- Number Chimney Locaeien Inside YeS Outside Chimney Consirucfion Metalbesta $moke Bomb Wiring Draft G? Tesr Tog Ye8 Door Pressure Lighting Insf. Yeg Dute Tesfed 10/31174 Company Testing Om 119 lOII ]1@C18 1@8 Name ei Tesror - ,? ? C. EAGAN TOWNSHIP PUBLIC WORKS DEPT. 3795 PILOT KNOB RDAD EAGAN, MINNESOTA 55122 Pcrmit "70. 442 - 412n/74 Cover, follmoin?, >>ni.ts anc homes: DALE S. PETERSON 8udd,ng& UfJity lnspector WILLIAM H. BRANCH Superinrendent of Public Works PHONE 454-8100 1 G28,1532, 163?,, 1640, 16.44, 1r,5n. 1r,.54, 1658, 1FF2, 1C6(-, 1C70, 1r,74, 1r7q, 1FP2, 7c.??. !F-°n, 1692, 1r,94, lEUF,, 16O4, 17f+0 P1alntit Lane and 1h35, ]655, 1FF1, lF.r;, 1r,6°, ]F73, 1F77, ?rnl 7685, 1689, 1693, 16P7, 1701 «alnut Lane 1F31-?9-27-25 Hickorp Hill, JFF,(-68)71ickor.y Hill & F67-f-S Hickor}• Lane, 1F?S,F.7-f,^-71 Hiekory Hill, 1F,63;E1-59-57 Hickory Ilill, 1631=f_t3=?87 I[i_ckorv Hill plus lacf eleven (il) townhouse Y,uildinqs - do not have correct house numhers a? ,c±. Dakota County Real Estate Inquiry Dakota County Real Estate Inquiry ' Data Updated 8118/2006. Need Helo? WhaYs New? ? _ Map navigation _ Select option and click on map: C) zoom In * Zoom out 0 Pan CO Identify Show„Full County;Map - _-= Big_Map.: ? qj 7 zoos, o coumy , This in cooperation with Page 1 of 1 Legend Real.Estate Parcels M Parcels 0 Common, Ownership MWater MRMl. Easeme M ? Oedicaled RNU *Tax Parcels 0 Market Value () Recent Sales 0 Year Built O Air Photo 0 Torrens Choose ONE search meNod, enter criteria, and clidc Go or hit enter key. House #: Go PIN: ? - .? i lication was developed 6y the Dakola County Office of GIS ?Depadments e m Services, Treasurer - Auditor and PryPerty Rec rolr \a c ou n? on the Dakota County Logo above to return to the home page Go http://207.171.98.200/scripts/esrimap.dll?Name=webq 1 &Left=533966.320689&Bottom=... 08/22/2006 p RESIDENTIAL BUII.DING ?[ '? 1,7 PermitApplication ?City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion ReouiremenGS RemodeVReoairReauirements Offce Use Onlv 3 registe2d site surveys showing sq. ft of IoL sq, ft. of house; and all roafed areas 2 copies o( plan CeR of Survey Recd (200h marimum lot coverege allowed) 1 set of Enargy Calculations for healed addifions Trce Pres Plan Recd 2 mpies of plan shaxing 6eam 8 window sizes; poured fouM design, etc. 1 sile survey for add'Nons & decks Tree Pres Not Reqd 1 set of Energy Celculations AddPo'on - iiMicete ilonsde septlc system _ On-site Septic System 3 copies of Trce Preserva6on Plan'rf bt plaUed after 711193 Rim Joisf Defail Options seledion sheet ;61dgs with 3 or less unils Date lY / f?_ l 03 Site Address OlvwkA C a. 3' ? Construction Cost 2 .,! 1%5 ' Unit/Ste # Description olaWork 165,6 G.1 iL ?1?\? J Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner j{XAnae, _?b,Cj`afa(A„j- Telephone #((61 ) ?5y'(o-f8 Contractor Address State &ENEWAL BY ANDERSEN 1920 COUNTY ROAD "C" WEST ROSEVILLC, MN 55113 651)264-4777 LICENSE # 20130983 City _ Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minuesota Rules 7672 Energy COde Category . Residential VentilaBOn Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( n rs fTelephone # ? ? is ? iilhf 2 !? 1,,n I hereby apply for a Residential Building Pemut and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinan&-and codes-of thezOty of Eagan and the State of NIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /f1wo. _benSOr,? Applicant's Printed Name Applicant's Signature OF&'ICE TJSE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 •Int lmprovement ? 38 Demolish (Interior) ? 44 . Siding ? 32 Additlon ? 36. Move Bldg. ? 42 Demolish (FOUndation) O, 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant , Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units , Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs _ Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ F[gs _ Au/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ 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 `°?• ?1• 4,,+. iuv ".u? rne. 104 oll ?4i00. tiFSPIMVYqL !fl`EtYUtlOIPl re .? ?? . Ju,et zoay . awm 3a 6 ?t Rnea E%Mu, UN 5s122 To Whom ic Ivtay cmem: IIder rones is autho&&d to puII building pftmift ft Renewal bS' Ardezsen Ptease aIIow Blder Jones to proyide this service for ue in Bagan. '[ttia attd?orization is veiid for eny date bcyond 6/6/Ol: untiI to the City. aNonewal by Andc,tsen mgpa= expaWY revoksa it !n writfng I rcqpeat this autliorization bc acoepted axpeffidously. aa to not delny in the of ovr baildin8 P?anits aaY ?. Picaac cnil mc If thac aro mp quteattone.. Y? contncted at 763-502-4706_ , , Your immqdift atteation to " matter is a?precleted. Sinoetnly, Kanddon R Rau Manager Rcnewal by A,ndwsru CorPVration ('.c: Karn-AlriexTnncc .1G?a..?..?4 V•a.,,z «.? G - 7-xmOj , ?(;q?qA[.. own" „?wo? IQI UV: Received Time Juo. J. I:01PM GrVIL MJN'GPAL PLANNING • ?? Cerfl$ICafC Of Su!'9iey ppmta5 Iron Mon?maJnt O % Scale U ` 1 J? For ??E?? ,-'•-O,?/ZC.?t/,'>G'/?/?S ?!h/C ENJ VOMF V'?. ANJ S,FvF?Nb $i , txF.:PntiOy ?oT ? BLOC'?/ ? ? ?,CDPG5E0 G//OD?A.> E? ???AGA??, iLJ/ti'iV'. ? i N c4p aM I ?a??r 3 ? o ? 4 , v et s ; ?OQ 1 ..? ? ? ?? 3 ? az o ({? _ I hereby certify thot this is o true ond correct representarion of a survey of the boundories of the land descr bed - tio a6ove. It doe/s/not purport to show improvements or encroochments, if ony. As surveyed by me this day of I 9 =3 4 ' consulting engineers diversified inc. P O Bo: . Osseo Mnnesoio 553690(612M25-218' ? ? X. b._? YY!-Y-:'-!e_- ? b L? _ , Fre No -__Book ?aGr__ _ - "_ M?msc?n Rrys'.a..o. N? -_ A 6,ViL MUNiCIPAL ? PLANNING Cerfificafe of Survey CNV'ROMk 4'd? .GND SJRVF INC, 5011. E%PIORn*iO'v For .?E Gl? y0?/ZON iy0/Y/ES I/1/C. BzOC'/? ? ( ?Sr ?,eO?D5E.0 G?ODO?A7E o Scale ?fi N1 l? I hereby certify thot this is o true ond correct representation of a survey of the boundaries ot the land described above. It dce?sp° t purport to show improvements or encroochments, if ony. As surveyed by me this day of -?L??jzQST , 19 3. consulting engineers diversified inc P O Bo• J Osaeo M.nneeota 55359.(612H75-2181 File N. ¢bBS / Book b? Minnesaa Rep sVai o" No -2 a 3 { ?i ? CPI h ?y \ A CIVIL MUNICIPAL PLANNING ? Cerfificale of Survey o.,,oces i? rnmu"m O Scale ? Far yE? /?aeizaw lw-r ?,PO?OS'E? ??DOO?ATE ? N ti i ENV ROMENTI- LFNp SJRVtING SOit EXPLCRpriOr+ -k 1? ; z?%iq/"?e?o/c?'ec?i5 0?'? t h?s o? -¢ I hereby certify that this is a true and correct representation of o survey of the boundories of the lon d described above. It doesnot purport to show improvements or encroochments, if ony. As surveyed by me this -._- doy of _ t'Gf?? , 19 73. consulting engineers diversified inc. G O Bo. J Osseo Mmnewce 55369.(6t2M25-2181 ? FJe Na 4a ?3 Oy ? Minrresota Req.svat.on No --- A MASTER CARD `v?i•3•y,?? STRUCTURE AND ? LAND USED AS WyMj4z/ Permit I No. Issued Issued To Coniractor I Owner BUILDING PIUMBING / 7X7 ?QI-?- -as- ? ' CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INS7ALLING ¢51(L SANITARY SEWER OTHER I OTHER I ? Items ApprOVed (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL TH DE HEATING ? P OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER 1 ---- Violations Noted on Batk COMMENTS: ? ? COMPLIANCE INSPECTION REPOftTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. 1:1 ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REIHSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEAIED CE RTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I hava reponed herein all significant conditions obseved to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any spacific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING I 4&1. 1. C[TY USE ONLY PE[LNIIT a: ' I"I ki b / RECEIPT DATE: = I n I MIDENI7AL MECHANlCAL PEdtMIT APPLiCATION crrYoF EnsM 3$30 PILOT KNOB RD SAHAA MA 551 e^.E 651-681-4675. Please complete for: ? single family dwellings townhomes and condos when permits are reqwred for each unit Date: SITE ADDRESS: ( b OWNER NAME: < c n, TELEPHONE #: 1 (AREA OD? INSTALLER NAME: ????minca TELEPHONE #: [t'TS?Fla'?l!7,[..."U ? STREET ADDRESS: CITY: STATE: Dl?rn e r6n,4 mevL nnvi Tn 4Mu nnrmi# wnr4 #vna ZIP: New residential dwelling unit under constructionand not owner/occupied 5 70.00 ? Add-°n-modi#icatioo or alteration to existinq dwelling unit $ 50.00 "_fumace rePla ent • air exchanger -,?- ? .._air condii?` iocieP • other Nature of work: State Surchar e $ .50 Tota I $-52D--Lcf) Reminder: Call for inspeetions. (AREA CODE) a -- , G,?, SIGNATUR'E -OF PERM1TTEE Updated Ii01 ,.. ?! CITY USE ONLY PERMIT #: APPROVED BY: ,INSPECTOR RECEIPT DATE: COMMERCIALL MECIIANIClkL PERMiT APPI.ICATiON CTrY oP EAem ssso PaoT Kvo$ ftn EAsM, Huv ssi QQ 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: TENANT NAME (IIvIPROVEMENTS ONLY): I ,N P.HONE #f: , - • (AREA CODE) WAS THERE A PREVIOUS TENANT IN TffiS SPACE? Y N. iNAME: INSTALLER: ADDRESS: CITY: WORK TYPE: New construction _ Interior Improvement _ Processed Piping Specify Nahue of Work: PHONE#: - (AAEA CODE) STATE: ZIP: _ Install U.G Tank _ Remove U.G. Tank Wlien inslaililrgiremoving ui:derground tauk, call 651-681-4675 j'or ixspection by F'ire Marshal and Plumbing Iinspector. Fees: 1% of connact price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) Sta[e surcharge calculate a[ $SO for each $1,000 Base Fez TOTAL g S[GNATURE OF PERIv11TTEE Updated 1/U1 . r. . ? 3 ? 7987 BOILDING PERL?Tt APPLIC9TION - CITY OF EAG6N SINGLE FAMILY DWELLINGS INCLDDS 2 SETS OF PLANS, 3 OF SOR4EY, 1 SET OF ENERGY CALCOLATIONS HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGHAYE WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BS ALLOWED OHICfi BQILD'iNG PERMIT IS ISSIIED. MOLTIPLE DTiiEi,LIHGS - RESIDENTIAL INCLUDE 2 SETS, OF PLANS, CER 1 SET OF ENERGY CALCULATIONS CONIMBRCIAL RE9TAL OPITS FOR SALE OHI2S OF SQftVEY - CHECg HITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, o $2,000 LANDSCAPE BOND n .o PR D ? ? / To Be Used For:`:/?nn,MOQ Dc[K Valuat ion: .° Date: Z '7 Site Address ?6p4 ] A i c KOR?/ OFFICS USB ONI.Y Lot ? Block ? On Site Sewage_ Oecupancy MWCC System Zoning Pareel/Sub Ct) ood(g,Q y-L On Site Well Type of Const ? City Water (Actual) Owner 'Y'a-r?prc?14 l .¢/J1 1AAgl7 (Allowable) 4 of Stories '/ Address //n y7//" c Length - Depth City/Zip Code E '4q,qnT S.F. Total Footprint S.F. Phone g [o y/_ 9i9 3/-o S/ S-& - 9z PZ- 6PPROVAi.S FSBSS Contraetor 6/,PiF/v? J-t,Q e /U i c K Assessments Permit ? -' Water/Sewer Sureharge 50 / Address 1-5- ? q N Police Plan Review Fire SAC, City City/Zip Code tiJ. Sfi. i i Engr SAC, MWCC Planner Water Conn Phone 7 Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOT9L City/Zip Code ' Phone # ?CITY OF EAGAN 3830-Pilot I<nob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUII.DING 023332 0q/14J94 SITE ADDRESS: 1681 HICKORY HIIL LOT: 1 BLOCK: 1 WtlOD6ATE P.I.N.: 10-84600-010-01 DESCRIPTION: (ROOFSNG) B,uzlding.Permit Type MULTI. (MISC.) Building 6Jo,rk Type REPAIR - ? i ? 1 1 - , ; i / rc' L iL,?? REMARKS: INCLUDES 1683 (l0T 2) 1685 (LOT 3) 1687 (LOT 4) HICKORY HILL FEE SUMMARY: VALUATION Base Fee Surcharge Lic. 3earch Fee Total Fee $72.00 $2.50 $5.00 $79.50 $5,000 CONTRACTOR• - Applicant - s7. LIC. OWNER: ALLSTAR CONST INC 15935325 0003247 WOODGATE TOWNHtlME ASSOC 3315 N HWY 100 HICKORY HILL MINNEAPOLIS MN 55422 EAGAN MN (612) 593-5325 (612)454-4440 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 Mn. Statutes and City of Eagan Ordinances. -SU D BY 13IG 7ATUR APPLI ANT/PER ITEE SIGNATURE IS INSPECTION RECORD CITY OF EAGAN I 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: Lar: i BLOCK: 1681 HTCKqRY HILL WOODGATE PERMIT SUBTYPE: MULTI. (MISC.) PERMIT TYPE: Permit Number: Datelssued: 1 APPLICANT: ALLSTAR CON57 INC (612) 593-5325 TYPE OF WORK: DESCRIPTION BUILDYNG 023332 04/14/94 REPAIR (ROOFTNG) INSPECTION FRAMING .. . ROOFING .. INSULATION FINAL REMARKS: INCLUDES 1683 (LOT 2) 1685 (LOT 3) 1687 (LOT 4) HICKORY HILL ? ? ? ? nmi CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 a 1 1 ?a 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 /6L /(7 4' Valuation of work Z666, c>O Site Address: T'f,`C*oC? `1( STREET SUfTE M Tenant Name: (commercial only) LOT BLOCK SUBD. W ?` I lNU' P.I.D. a Descri tion of work: G'pr?- - 2,1? p The applicant is: ? Owner V(Contractor ? Other (Describe) Name Phone Property LAST FIRST ? Owner Address STREET STE p City State Zip Company AA` S4TS P h o n e Contractor Address -BNS? H?_Jv License # 30'47_ Exp. City N?. State M/I.. Zip STqZZ. 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 comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY ?'It BUILDING PERMIT TYPE ? ?' :? ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ." 1.0,,. " ? 16 - ..?,..'*..•-.o+s Basement f9nish ? 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Oeck p 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations 0 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing O Final ? Framing ? Draintile MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments 11 Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vatuet;m: $ SAC % SAC Units CITY USE ONLI' PERMIT #: j Sa 7 RECEIPT DATE. RESIDENTIAL lYl£CiiAPICAI. PEiM1T APP11Ci4TI0N crrYoF gasm SSso enol' xtvos Rn gliHRP MN 55112 651-681-+675 Please complete for: ? single family dwellings townhomes and condos when pertnits are required for each uni[ Date: G?? 1 C;i.L/ ! (i ? SITE ADDRESS: OWNER NAME: ?0.ri?sLn ?? TELEPHONE #?: INSTALLER NAME: TELEPHONE #: STREET ADDRESS: J 1 nl0 ? I'+'J ? CITY: STATE: mr?,, ! ZIP: -• ? ' --'- -- • .- .?- --_._:, ...__?. ..._.. r?aee a enc„n wmn ' New residential dwelling unit under constructionand not owner/occupied $ 70.00 X Add-on, modification or alteration to existina dwelling unit $ 50.00 ?T • furnace replacement • air exchanger • air conditioner ' • other Nature of work: State Surchar e $ 50 Tota I Reminder: Call for inspections. A;?= SIGNATURE OF PERM TTE ? ?,Sl L154-c,78?j (AREA COOE) (o 5w23r-E9?_'4' (AREA CODE) Updated 1/01 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMMCIAL blECRAAICFtL PERM1T i4PPLICATIOR CccY oF EAea?lv 38330 ??,oT xxos ltn E,QisAN, Mx 55122 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PItEVIOUS TENANP IN THIS SPACE7 Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: New construction _ Interior Improvement _ Processed Piping Specify Nature of W ork STATE: ZIP: Install U.G. Tank Remove U.G. Tan]c When insta![ing/removing underground tank, call 651-68I-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of con7act price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ PHONE#: - (AREA CODE) SIGNATURE OF PERMITTEE Updated 1/O1 ***************************?****?****** CITY OF EAGAN CASHIER: JS TERMINAL N0: 672 DATE: 09101100 TIME: 10:55:09 ID: NAME: KCJ ENTERPRISES INC 3212 9001 1687 HICKORY HL 30.00 2155 9001 1c87 HICKORY HL. 0.50 Total Receipt Amount: 30.50 CR136806 USER ID: JAN Y, <13 L ? SUBD. BL I S CITY USE ONLY RECEIPT #: RECEIPT DATE: PERMIT# 47-I0.2)b 2000 PLUNffiING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT HNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: D single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinklersystem CiYTI IDC! Ferw u TOTAL Alterations to existing dwelling - minimum fee $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet " minimum - t 3.00 x = $ - Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic S stem new/refurbished • requlres MPC Ile. 75.00 x = $ SeptiC System abandonment 30.00 x = $ RpZ new installationlrepairlrebuild 30.00 X = $ Rough o ening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under consWdion 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling undar wnstruction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water tumaround 30.00 x $ State Surcharge 50 -> --> --> $ 50 TOt81 _> -> _W> ---> 5 -;?n , Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -----by -- a cknow------ ledge tha--------l - I have ------iea---d- this ------...-ion, s-----tate ----Ih--at --the i----nfortnation ---------- ? iscortect, and agree ------------•-----to comply with a--------------ll applicable C--• ---------ity of Eagan ord------------•-------- I here appliptinances. It is the applicant's responsibility to notiTy the property owner that the City of Eagan assumes no liabiliry for any damages caused by the Ciry durinq its nortnal operational and maintenance adivities to the facilities constructed under this permit within City property/right-of-wayleasement. SITE ADDRESS:• " ve- °" OWNER NAME!:?,Qdo -0. 0/KC'FTO TELEPHONE #: /! (AREA CODE) INSTALLERNAME: IVI, ?60f:fr TELEPHONE#:???-?SI -d? Q (AREA CODE) STREET ADDRESS: CITY: f/O ? 1?'C' STATE: ZIP: M BY; 1 SIGNATURE OF RMITTEE . ._-? , oF 3830 PoIOi KNOB ROAD, V.O. BOX 21199 EAGAN, MINNESOTA 55121 PFIONE: (612) 454-8100 Dear Eagan Resident : BEA BLOM9UIST ? DATE :? ^aava nannr,s tcnN I?g3 ?[ '?'?J • JAMES A SMITH JERRV7FqMA5 ADDRESS: ? - n+eooar?wncMeR cwrcu nAemeers ?n , "E" T ON as c?aAa? :,?c,?. I LEGAL DESCRIP n E UGENE VAN OVERBEKE i n n?rft'?? _ cdv c?k RE: RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY It has been brought to the attention of the Public works Department that you have placed a structure or obstruction on the City right- of-way in violation of the City Ordinance referenced below. , CITY ORDINANCE SEC. 10.32. OBSTRUCTIONS ON PUBLIC PROPERTY Subd. 1. Obstructions. It is unlawful for any person to place, deposit, display or offer for sale, any fence, goods or other obstructions upon, over, across or under any public property without first having obtained a written permit from the Council, and then only in compliance in all Yespects with the terms and conditions of such permit, and taking precautiona-y measures for the protecti6n of the public. An electrical co=a or device of any kind is hereby included, but not by way of limitation, within the definition of an obstruction. Subd. 6. Continuing Voilation. Each day that any person con- tinues in violation of this section shall be a separate offense and punishable as such. " SEC. 11.1. GENERAL PROVISIONS Subd. 9. Structures in Public Riqht-of-Way. No buildings, structures or uses may be located in or on any public lands or Right-of-Way without approval by the Council. , The public right-of-way or boulevard is that area from the curb to your property line (approximately 13 feet) and is intended solely for utilities and snow storage. The structure must be removed from this boulevard area to provide for required storage and also to protect our snow removal equipment from damage. We apologize for THE LONE OAK TREE.. THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIIY .-.e,% RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY PAGE 2. the inconvenience this relocation may create, but it is necessary to prevent damage to your structure and also to our snow removal equipment. The only exception to the ordinances are mail boxes if they are installed according to Federal specifications as furnished by the post office. A copy of this letter notifying you of this violation will be placed in your parcel file with a copy to the appropriate enforcement division. THEREFORE, YOU ARE HEREBY NOTIFIED TO HAVE TAE VIOLATION CORRECTED AND THE OBSTRUCTION REMOVED WITHIN 60DAYS OF THE DATE OF THIS LETTER. After that time, you will be subject to the fines as stipulated in this ordinance. The City of Eagan cannot accept any responsibility for damage that may occur to those obstructions` that are in violation of the City Ordinance. If you have any questions, please feel free to call me at 454-5220. Yours truly, / William H. Branch, Superintendent Public Works Department WHB:jbd OF 3890 RlOT KNOB ROAD. P.O. BOX 21199 BEA BLOMQLAST MOM EAGAN, MINNESOTA 55121 PHONE: (612) 454-8100 DATE : August 21, 1985 naR+ns MnnN JAMES a SMITH ADDRESS: 1687 Hickory Hill JERRV TIOMAS DrTwopoPEwncmrea ccund n?anEers LEGAL DESCRIPTION: Lot 4- Blk 1 THOMAS EUGENE VAN OVERBEKE Woodgate Addition ??Clwk Dear Eagan Resident : RE: RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY It has been brought to the attention of the Public Work s Department that you have placed a structure or obst ruction on the City riqht- of-way in violation of the City Ordinance referenced bel ow. „ CITY ORDINANCE SEC. 10.32. OBSTRUCTIONS ON PUBLIC P ROPERTY Subd. 1. Obstructions. It is unlawful for any person to place, deposit, display or offer for sale, any fence, goods or other obstructions upon, over, across or under any public property without first having obtained a written permit from the Council, and then only in compliance in all respects with the terms and conditions of such/ permit, and taking precautionary measures for the protectibn of the public. An electrical co=.a. or device of any kind is hereby included, but not by way of limitation, within the definition of an obstruction. Subd. 6. Continuing Voilation. Each day that any person con- tinues in violation of this spction shall be a separate offense and punishable as such. ' SEC. 11.1. GENERAL PROVISIONS Subd. 9. Structures in Public Right-of-Way. No buildings, structures or uses may be located in or on any public lands or Right-of-Way without agproval by the Council. , The public right-of-way or boulevard is that area from the curb to your property line (approximately 13 feet) and is intended solely for utilities and snow storage. The structure must be removed from this boulevard area to provide for required storage and also to protect our snow removal equipment from damage. We apologize for THE LONE OAK TREE ... THE SYMBOL OF STRENGTN AND GROWIF1 IN OUR CqVIMUNIfl' . r , . . RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY PAGE 2. the inconvenience this relocation may create, but it is necessary to prevent damage to your structure and also to our snow removal equipment. The only exception to the ordinances are mail boxes if they are installed according to Federal specifications as furnished by the post office. A copy of this letter notifying you of this violation will be placed in your parcel file with a copy to the appropriate enforcement division. THEREFORE, YOU ARE HEREBY NOTIFIED TO HAVE THE VIOLATION CORRECTED AND THE OBSTRUCTION REMDVED WITHIN 60DAYS OF THE DATE OF THIS LETTER. After that time, you will be subject to the fines as stipulated in this ordinance. The City of Eagan cannot accept any responsibility for damage that may occur to those obstructions" that are in violation of the City Ordinance. If you have any questions, please feel free to call me at 454-5220. Yours truly, I William H. Branch, Superintendent Public Works Department WHB:jbd Rocks on the boulevard -?? ?? ?? 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConshucUonReuuiremenb RemodeVReoairReauiremen? 3 registered site wrveys showing sq. ft. of bt sq. ft of house; and all rooled arws 2 copies of plan (ZO%maz'vnumbtcoverageallowed) 1setofEnergyCalculatlonsforheeietladditians TreePteg,Plaeis!„i?.?,Y•Yy?,.*N. 2 mpies oi plan show?g beam 8 window sizes; poured fou? desgn, etc. 1 sBe survey kr additans & decks ?tFee Bles Y==,_ N 1setWEnwgyCalculallons Addigon-irM'rcatedon-stteseptlcsystem ?'n-alfe'?5ysfeHi??:u??=N 3 mpies of Tree Preservation Plan if bt platted a%er 711193 Rim Jdst DetaJ Options selection shcet (bldgs with 3 or less un'As Date cq,? /Mpaj/? Construc6onCos[ OlI I'IS ? Site Address UniUSte # Description of Work '?J?DIC.Q oS ??1?O.C7?S LA.) -C?K%571??1 T- Multi-Family Bldg OAY-* N Fireplace(s) _ 0' 2 PropertyOwner Z kP av? [5 ( o?'e Telephone # (LOS L) 491'&} 0 9 RENEWAL BY ANDERSEN Cantractor 1920 COUNTY RD. "C" WEST Address ROSEVILLE, MN 55113 C'ty State 651-264-4777 Telephone # ( ) LICENSE #20130983 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 (4 submisaionrype) Submittetl Submitted . Enerqy Envelope Calculatlons Submitted Have you previously on51ri'T?'G fee applies. Licensed Plumber ' jL,`4 z Mechanical Sewer/water with a similar plan? _ Y Telephone #( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and aclaiowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work i ""+h4ut a permit; that the work will be in accordance with the approved plan in the case of work whic ? ???? D approvalofplans. J?N U 8 2004 ?f ?/I?r- rc?•?-Zv?So+?? App icanYs Printed Name Ap icanYs Signature ? (?, cs- I I o ir 4 Sub Types OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 13 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4•sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plBx ? 12 12•plex Plbg_Y or _ N ? 25 MiSC611aneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 ? 34 Replacement •Demolition (Entire Bidg) - G ive PCA handout to appliwnt ' Valuation Occupancy MCES System _ Census Code Zoning City Water _ SAC Units Stories Booster Pump •_ # of Units Sq. Ft. PRV _ # of Bldgs Length Fire Sprinklered _ Type of Const W idth _ Footings (new bldg) _ Footings (deck) _ Footings (addirion) Foundarion Drain Tile Roof Ice & Water Final _ Fmming - _ Fireplace _ R.I. _ Air Test _ Final tusulation Approved By: Base Fee Surcharge Plan Review MCJES SAC City SAC Utility Connection Charge S8W Pertnit & Surcharge TreaVnent Plant License Search Copies Other Total ? 30 Accessory Bldg ? 31 E#. Alt - Muki ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS _ Final/C.O. _ Fina]/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tesu Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Buiiding Inspector ••••••••• ?v••.? iua a?.. uv rtl4 r oJ U f 1'4480 'l , KCIYCRAt, tfk°BPIOI3K?lSl'f . . re al . ,? . . . June 7, 2047 . . . (aYof fia$an - 3836 RiIcrt Saob Roed ' pA8OA MN 55122 To Whom It May Concern: Etder Jones is anthorized tA pM bCftg permits pbr Rwowel bY Audmsan_ Pteaee allow date bcyond 616%0 1 utt? 4?? for us in Eagan. `IhiA enthori?qpn Ig ?id for any ro rhe ciry_ • ?`eaawad by andersen msnager eoc?s?y, ngvoiea it in wi3anY our bu ? P??;. ?obe a.?pted-expe?douely. av W aot deisy in the prvLessing of ? Y fo.ithcr. Eicasc caII mc if thcto ano any qne,tciona.. I can Ge contactod at 763-502,4706. . _ b : Your immqdiatc aktmtion to tbis matter is &"ated. ° ..• Sinoeiely, ond R &-Rau 4?.tYm Managor Renowal by Andpscn Czrporagen C'r.: Ks+ra-F,1[ix Innea .?KJ?F'fi?MC4 C.[ ?oa,?•? q;,? OH 0NCR" Mirneaft ??i0"? n.zom wuu Received Time Juo. 7- 1:01PM . City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New ConsWCGOn Reauiremenfs 3 regis[eied sde surveys showing sq. ft of lot, sq. ft of house; and all roofed areas (20°k maximum lot coverage allowed) 1 Soils Report'rf proposed building's to 6e placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc 1 set of Energy Cakulations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joat Defail Oplions selec6on sheet (buildirigs wifh 3 or less unAs) Minnegasco mechanicalventilation form RemodeVf2eoair Reauirements 2 copies of plan showing footings, beams, joisls 1 set of Energy Calculalions for heated add'Aions 1 sRe survey for additbns 8 decks Addition - indicafe fion-sde septic system ;??, (20 office use Onrv CedofSurveyReoi _,Y _N SoilsRepoR _Y _N 7rce Pres Plan Reoi _ Y _ N Tree Pres Required _Y _ N On-site5epticSystem _,Y _N C?r1 ? ?S?b 0 l OKJ ConstructionCost j5-oo • c? Date o- Site Address ?(O?(S? R ICKV(Z\( ?60- UniUSte # i2 .tj M,v, ?slia? Description of Work W?,m:T/Oc I` Multi-Family Bldg X Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 6ZvC.F- I-W 1.?- R,5 0/v Telephooe #(?05 41 5d- - 6 O CJ p Contractor cX 'D t 1 V?Ie a .IL- ?. n? -? 'n n Address u..Jl? NA1Vl?-u \ / City ?'?UN State NW- Zip 'felephooe#65o-) 63E'//[27 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 (+lsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a masier plan? _ Y _ N If yes, date and address of master plan: I ircncari PIi iml-iar F, v ? ? W [E Tt-lephone # ( ? Mechanical Contractor Sewer/Water Contractor Allf ?phone #( 3 2006 T ephone #( I hereby apply for a Residential Building Permit and acknowkge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name 2006 RESIDENTIAL BUILDING PERMIT APPLICATION ?? " ApplicanYs Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweiling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 EM.AIt - SF ? 04 02-plex ? 10 08-plex 4_ 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Muiti 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 , ,.,El. 36 ,;. Move Building ? 42 Demolish Foundafion ?•131 45 ? F,ir? Repair ?e ? ` O? Y D n ? 33 Alteration ? 37 Demolish Building ? 43 46 Reroof dows/ Wi odrs x 34 Replacement 'Demolitlon (EMire Bidg) - Give PCA handout to applicant D05C1'Iption: WaterDamage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code lA ) ? 1 -TrT Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const NM_ Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Au Test _ Final Insulation REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. ? FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _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 - , XoLqv , . . ? ? " '`.? ?•: p•'i.- .°f'^• ..? ,?. ,-• ' ? ?oo ? .. ??o?? ,J,6,oaz = ? c-? ai . ??ss? '? ??/b °+ .'„?? ? ? /?.r'?^lz/?(.?'? o?S2f r? _ - •?<< tC'??.? yc? ?(?Il? ? ?LJ.1 ' V r F ?I ? • \ 9? ,, ? ?-:? •, lr r! ,s?-?Sp/ ,? r : j i , p ? ?2' g?? o ••, ?! oo t?' j y Gl ?` ?;} , i w ?•y?' ,? '?..Ls; ASo? / ?,., :?of'8iy ?.•' OOLT? ?? ? ? 7 ?q?1 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWClion Reauiremenis 3 registered site surveys showing sq ft. of lot sq. ft, of house, and all roofed areas (20%maximum lot coverage allmved) 1 Sogs Report if proposed building is lo be plxed on disWrbetl soil 2 copies of plan showing beam & window s¢es; poured tound design, etc. 7 setof Energy Calcula6ons 3 copies of Tree Preservation PWn it lot platted after 711193 Rim Jois[ Detail Op6ons selectioon sheet (buAdirgs xifh 7 or less units) Mi.?a,avn mechartical ventJation fortn ;5'I. 73- RemodeVReoair ReauiremPnts 4(fice Us8 OnN 2 wpies of plan showin91oo6ngs, beams,joists Cedof SUrvey,Recd . '^=Y ! N 1 set of Ener9y Calalations for heated addiUons So? RepoR: `_ ,-_Y -- N 7sitesurvrytoradditiore8decks TreePresPlanRecd=_?Y _N AddiGOn - ind'tatel(onsifeseplicsystem TreePre'sRequ_ved On_siteSepfic5y3tem; ? -?_Y_d I 3 ? 07 Construction (--ost / J 0 0c) Date -? /- ??,,Q/? J(P g? C?`?? UniUSte # Site Address ?Lo ? r gs ? ??7 Description of Work t i-411? o r1- 2c90 r Multi-Famify Bldg _ Y_ N Fireplace(s) _ 0 Z Proper[yOwner 000bG`c 14DA Telephone#( ) C -4 :K- lC r 1,%D C /? Con[ractor /D9 L?/-IITL ?`UC / d p K /e6 City 1JJQn?SU/LC-? ress Ad T Zip ?3 Telephone #?° i y Q 7? State COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota RuleS 7670 Cateeorv 1 New Energy Code Worksheet Energy Code Category , Residential VenGlation Category 1 Worksheet Submitted (J submission type) Submitled . Energy Envelope Calculatlons Submitted In ihe last 12 months, has 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/W ater Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /'//CNAi:L, 'Ap?ficanVs ig tu?re??? Applicant's Printed Name DO NOT WRITE BELOW THIS LINE Sub Tvqes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work TVpes ? 31 New ? 32 Addition ? 33 AlteraGon ? 34 Replacement D05cfiptlofl: WaterDamage Valuation Plan Review 100% or Census Code SAC Units # of Units # of Bidgs Type of Const ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof O 46 WindowslDoors 'Demolition (EnGre Bldg) - Give PCA handout to applicant Yes 25% Occupancy Zoning Stories Sq. Ft. Length Width MCES System _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Wa[er Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ InsulaGOn City Water Booster Pump PRV Fire Sprinklered REQUII2ED INSPECTIONS _ Sheetrock FinaUC.O. Final/No C.O. HVAC Other Pool Ftgs Air/Gas Tests Final _ Siding _ S[ucco Lath _ Stone Lath _Brick W indows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC1ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ??? ?3 ?) 2006 RESIDENTIAL BUILDING PERNIIT APPLICATION ?d. &6 City Of Eagan a (?A? 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651-675-5675 FAX # 651-6755694 New Construc6on Requ'xemerits RemodeVReoair Revuiremenh Olfze Uee Onlv 3 reg'stered sRe surveys showing sq. K of IW, sq ft of house, and all roofed areas 2 copias oi plan showirip foMinps, beams, Osts Cxf d Suvey Rscd =Y-. _N (20%murtnumbtaveiageaYmwed) lmtofEnergyCakulalwrisforheatedadd'Aons TreePresPlenR'ecd N. 2 copies of plan shovrinp beem 8 wirMowsizes; powed found deslgn, etc. 1 site survey fa a0dd'pns 8 decks Tree Pres Requ'r,ed _ Y- _ N lsetalEnecgyCa?ulations Addifion - indcateifaesnasepticsys(em OrrsAe§epUE5ystem _Y_N 3 copias M Tree Reservatun Plan r bt plaHed alter 717193 Rin Jod Detail Optiom selectbn sheet (buildings wiN 3 or lass units) Minnegasco mechenical venfilation form I G 7 Date ?J I?? Construction ost lacm- 2 Site Addresa 1?O g J o?v2jy,?Y lJ\ Unit/Ste # Descriptfon of Work ?+--? A?6 1?1V u??gvlU?VN t G C? .GZ) iti-Famiiy Bldg _ Y't N M r?c?' r y Ol/V Fireplace(s) _ 0 K 1 _ 2 Property Owner SII?i(`Telephone # (tpJ i) -I Ery-- ?D 7 cT / Contractor ? ? Address I\VCr ^ + 2V\ City State yyhl Zip Telephone#?O) ?/ COMPLETE THIS AREA ONL7 IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mimiesota Rules 7672 Enargy COde CategOry • Residentlal Veirtilation Categary 1 Workshaet • New Enerpy Code Worksheet (4 submission type) Su6mM1ted Submitted • Energy Envalopa CalculaUons Submiltetl In ihe last 12 months, has the Ciiy of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of masier plan: Licensed Plumber Mechanical Contractor [E ? v [E Sewer/Water Contractor MAR 2 fi 2007 Telephone # ( Telephone #( ) Telephone #( J , nx.of L I hereby apply for a Residential Building Pernrit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernrit, but only an application for a pemilt, 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 reqtires a review and approval of plans. ?? Applicant's Printed Name ApplicanYs ignature DO NOT R'RITE BELOW TFIIS LINE Su T s ? 01 Foundation O 02 SF Dwelling ? 03 Ot of _ plex O 04 02-plex ? 05 03ptex 0 OB 04-plex ? 07 05-plex O OB OB-plex ? 09 07-plex 0 10 OB-plex ? 11 1D-plex ? 12 12-plex ? 13 16-plex O 18 Fireplace ? 17 Garega O 18 Deck O 19 Lower Level ? 20 Poal O 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) 0 24 Storm Damege ? 25 Miacellaneous ? 30 Accesaory 81dg ? 31 Ext. Alt - Multi ? 33 FxtAft - SF O 36 Multi Misc. Work Tvoes ? 31 New ? 32 Addition ? 33 PJtera6on O 34 Replacement ? 35 Int Improvement ? 38 Demolish IMerior O 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof O 46 Windows/Dooro `Demolltlon (Entlre Bldg) -Oive PCA handout to applicaM DBSCfiphOil: Watar Damage _ Ves Valuation Occupancy MCES System Plell ReVl6w 100°k of 25°/a Census Code Zoning City Water SAC Units Stories Boaster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings(addition) Foundation Drain Tile Roof Ice & Water Final _ Framing ? - _ Fireplece _ R.I. _ Air Test _ Final Insulatlon REQUIRED INSPECTIONS _ Sheehock _ FinaUC.O. _ FinsUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath ^ Stone Lath _Brick _ Windows _ Retaining WAll Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utilky Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total f For Office Use �� ti • ,�s Permit#: Y /c3 ...dr. age.a Permit Fee: I w��" EivE Date Received: �,�` 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 �.d► (651)675-5675 I TDD: (651)454-8535 I FAX: (651)6 6 Staff: R buildinainspections@cityofeagan.com 1 7 2019 2019 RESIDENTIAL We _ - MIT APPLICATION Date: 1 / 7' 17 -Ste Address: Y 11 14 ci Unit#: Name: Woo d9ale *me()vita i -SSOC:ciV01 Phone: 657 - 4/51-73Y7 Resident/ ✓ / 7 l `C Ic0/` 4(1 Or Ec y ail SS l a), owner Address/City/Zip: Applicant is: Owner X Contractor Description of work: ' ` ' " � "Q� l -Qv- 01C C c d '6f' /ac Type of Work l r Construction Cost: ` j /010 Multi-Family Building: (Yes x, /No Company: 60 rGt n B�o7'k�e�s n''ectc,t'J tact: S�Q re AOrr►1 q41 n �o Address: / 7 5-73 Fox eorp f City: 1:--CV • hi. -64 Contractor 53°0/1-1 - l u 9 368 J State:M Zip: =1I 3d"` ( Phone: f"r Sg ` `E ail: License#: A ` ` O Q 1 Lead Certificate#: If the project is exempt from lead certification, please explain why: ! �� / a, A00IL l 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: 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.citvofeaaan.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.aoaherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approve of ans. x I 'Q re 0 r i'►')Ol h(,l x � � Applicant's Printed Name Applicant's Signet re