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1676 Hickory LaneCITY OF EAGAN Remarks Addition Woadgate lst Addition Lot 7 Bik 3 Parcel 10 64600 070 03 Owtner ' '+'''•ti `' MOAA4 ",Street 1676 HiCkorY Ln. State Eagan, MN 55122 ? li:(,l.?P,t?. _ a??(?l llti_.T': Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. pAVI G 1976 410. 12 136.71 3 PAID GRADING 74 115.45 23.09 5 PAID SAN SEW TRUNK 1974 93. 54 6. 24 15 PAID * SEWER LATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 ?t WATER AREA 975 15 * STORM SEW TRK 1975 * STORMSEWLAT ? 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11730 9-23-74 9UILDING PER. sa,c 400.00 11730 9-23-74 PARK CITY OF EAGAN Remarks Addicion Woodqate lst Addition Lot 8 Rik 3 Parcel 10 84600 080 03 owner•??a('??z 'Ckdd-. Street 1678 Hickorv Lane State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. - ?j STREET RESTOR. GRADING SAN SEW TRUNK tE lq74 93. 54 6. 24 15 PAID * SEWER LATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 ,k WATER AREA g 5 15 * STORM 5EW TRK 9 7 5, * STORMSEWLAT 7 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. $130.00 11730 9-23-74 BUILDING PER. SAC 400.00 11730 9-23-74 PARK CITY OF EAGAN Remarks addition. Woodgate lst Addition Lot 5 Blk 3 Parcel 10 84600 050 03 /owne?Kqw%i Ul.t. Street 1680 Hickory Lane 5tate Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR.pAVING : 6 $410.12 $136. 71 3 PAID GRADING PAVING 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK 1974 $93. 54 $6. 24 15 PAID * SEWERLATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 * STORM SEW TRK 1 * STORMSEWLAT 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11730 9-23-74 BUILDINGPER. sAC $400.00 11730 9-23-74 PARK CITY OF EAGAN Remarks Additiorr oodgate lst F,ddition Loc 6 Rik 3 Parcel 10 84600 060 03 Ownef Strqet 1682 Hickory Ln. State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. pAVING 1976 410.12 136. 71 3 PAID GRADING 1974 115.45 23.09 5 PAID SAN SEW TRUNK CP1,211 1974 93. 54 6. 24 15 PAID * SEWER LATERAI 1975 15 WATERMAIN * WATERLATERAL 1975 15 ?e WATER AREA 1975 15 * STORM SEW TRK it STORM SEW LAT 1975 $1505.70 $100.38 15 PAID CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 11730 9-23-74 BUILDING PER. S,4C 400.00 11730 9-23-74 PARK ClTY OF EAGAN 3795 Pilot Knob Rood Eagon, MN 55122 PHaNE: 464-8100 BUILDING PERMIT Receipt # To rs osed for Est. Value Date N2 6706 _ , 19 Stie Address Erect p Occupancy Lot Blxk Sec/Sub. ' Alter p Zoning ? Parcel # ? Repair p Fire Zone ? Enlarge ? Type of Const. ? ' dx Name W Move p # Stories - = 3 Address Demolish p Front h. b Ci Phone Grode p Depth °C Name Approvols Fees ?F u? ?re? Assessment Permit I Ci p} Water & Sew. 5urtharge - ?? °C Police Plan check Name Fi Fira 5AC ?? Address Eng. Water Conn. ? ?W Ci phone Planner WaterMeter Council Road Unit ? I hereby acknowledge that I have read this applicotion and stute thet gldg. Off. the informotion is correct ond ogree to comply with oll opplicoble AP? Totol 5tate of Minnesotn Statutes ond City of Eagcn Ordinonces. Sipnature of Permittee A Building Permit is issued to: on the express condition that oll work sholl be done in occordante with oll npplicable Stote of Mlnnesota Statutes and City of Eagan Ordinances. i Building Officiol Pensk # oale Iw?d FwmktK Plumbing Mechonical INSVEtTIOAfS DATE INSP• Rouph-In Final Footings Dote Irup. Dote Inso. Foundation Plumbing Frome/ins. Mechanical Final -j'- L Remarks: . . . .. . . . . -, . .- , .-'.c .. _ . . . ? CITY OF EAGAN Y? 18406 3830 Pilot ICnob Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE:454-8100 BUILDIAlf-; PERMIT Receipt # ? Tc 5e used 4or ;Es! v?.!..e 9• :{' Date SZ? 27 , 1990 Site Addre Lot 8 Parcel No. Block W Name ?O? J AitICO 3 Address 1678 HICKORY LN ° Citv EAG" Phone 7 1 Address 367V w n~I Ij Ucc City BUgH SVILI.E Phone 890-0758 ? W W Name ? ; Address a W City Phone t hereby acknowlege that I have read this application and state that the information is correct and agree to comply with a11 applicable State of Minnesota Statutes and City oi Eagan Ordinances. ' Signature of Permitee ? A Building Permit is issued to: ??T-N'? t on the express condition that all work shall be done in accordance with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Building Official II i OFFICE USE ONLY Occupancy - 2oning - (ACtuaq Consl - (Allowa6le) - # of stories - Length - Depth _ S.F. Total - S.F. Footprints - On S4te Sewage _ On Site we11 - MwCC System _ Ciiy Water - PRV Required - Booster Pump - APPROVALS Planner _ Council BIdg.Of1. _ Bidg. Permit Surcharge Plan Review SAC, City SAC.MCWCC Water Conn Water Meter AccL Deposit S+W Permit StW Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL FEFS 25.00 .SO 2S. SO Permit No. Permit Holder Oate Telephone # WATEfi SEWEfi PLUMBING H.VA.C. ELECTRIC Inapection Date Insp. Commenta Footings I Foundation Framing Roofing Rough Plbg. Rou9h Hig. Isul. Fireplace iO 1 J 9? ? Fnal Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Dedc Fig. Declt Final Well Pr. Disp. PERMIT # MECHANIC AL PERMIT RECEIPT # CITY OF EAGAN DATE: = 3838 PILOT KNOB ROA D, EACAN, MN 55122 ' CONTRACT PRICE: PHONE: 4 54-8100 For Office Use Only: ? i Slt@ Addres5 BLp,r,, npE WORK DESCRIPTION ? ! Lot Block . Sec/Sub Res ` New 'd ? m Name Mult Add-on E Address i- y 4 I L*? Comm. Repair Oth c City < < Phone ' r- Br NBme L_ FEES RES. HVAC 0-100 M BTU -$24.00 c Address } ,,. ADDITIONAL 50 M BTU - 6.00 ' p City ` Phone -4 (RES. HVAC INCLUDES A/C ON NEW ' ' CONSTRUCTION) r ' 50 EA GAS OUTLETS (MINIMUM - 1 PER PEFiMIT) - 1 . . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ForCed Air M BTU APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONQOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other R FEE ? r s uFFAE E N F ? siC: . J ? 2 ,`?1`?!/ /9a t TOTAL• "- FOR: CITY OF EAGAN INSPECTION RECQRD ' CITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 i SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: , . ? TYPE OF WORK: Ifi €';1?? Y!' t? t? h! ft f.. V A! f< NF' f+n;) ? r Ni, R (1.01 13), t(,F36f lI111 ? ) 7 Permft No. Permit Holder Dete Telephone S SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspei.Mion Dabe Insp. Comments Foo6ngsl Foundation Framing pmoang Rough Plbg. Rough Htg. Isu1. Freplace Final Htg. Orsat Test Final Plbg. Plbg. Inspacta - Notify Plumber Const. Meter EngrJPlan . Bidg. Fnal Deck Ftg. Dedc Final Well Pr. Disp. ?? . ??? ? /e>• LD - YILLAGE OF EAG11N WATER SERVICE PERMIT 1445 3795 Pilot Knob Rood PERM[T' No.* 4?26?74 DATE __ . ______ Eogon, MN 55122 PUD No ofllmts -- ---- Woodqate, New Horizon Haaaes_ -.- Oun'?' _ _ - ---- ? ------- - ;1Jdi,55 ' _ 676 78-80-82 HickorY Lane --.----- _ Sice? Address _ --____-_- - - mp Plumbcf son Plumbing-Co-. ? - - ---- - -`-- - Cmmet [mn CharKl`-"-'-?? - Wlor No 5?r?• Aceouni UeF?su "10.00pd - - - Per?mt Fee* -- - -- Headcr No ?.50 4"XPd - -- ?" - - 1 agree to wmply wieh the Ville9e o4 Eogen Sun targr: -- -- Ordinances. MIS( CharGi-c -- ' - -- -' - --- ' To[al: 13 llatePaid. __- - - ?-- ----- v --___. _ -- -- U.iieullneP __- //? --?67 --_-- ?/ 4- -sz a --72s i L Y`v, - -- - - - -- - ----? -- ?'---- - -- ?G ? ?• 7.??' ? ? _ -- -? J i WATER SERVICE PERMIT VILLACE OF EAGAN 1445 3795 PJot Kaob Road PLRMf! NO a?Z6??? " Eagun, MN 55122 11A Ch, I??I?Ili4 L?? _ NO OI I?IIILS 4doodqate, L7ew Horizon Homes ? lEJ6- 3?80-82 Flickory Lane .????I?t... Tl,omp, on Plumbing Co. ' %1„. ( unncinun ( n:u ,, ni iI-uul Uiqm.n 10. OOpd H, ?dl,i Nl, 11,n„n i,r .50 fiSQxpd 1 oyree ta comolv with rhe Villa9e ol Ea90n Sunherer= M', l harqo. Ordmonces lotal It. U<ne P.ud ? Insp _ ^ ?v e> ? ??? 1? i vaL OF EAOAN SEWER SERVICE PERMIT 3795 4.bf Knoo Road PERMIT NO.: 220' Eagon. MN 55144 DATE: 4/26 Zoning; PUD No. of Units: Owner. woodg±_,--N_w Enri7n++ xinmPs Addresa: Site Address: 1676-78-80-62 Hickory Lane Plumbe:: Thomnson Plumhinq Co. 1 ogras to eomply wifh the VHlaye ol Eagan Connection Chazge:??? Ordinancas. Account Deposit Permit Fee: Surchazge: gy. MSsc. Chazgee: Date af Insp.: Total: Insp.: Date Peid: CTTy pg EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PEM?ffT APPLICATION 1 set of energy calculations. 'Ib Be Used For --J`';' c? Valuation ?(pJL-) C"D Date Site Pi3dress ?m ; r,.?r.:?„?? OFFICE USE OIJLY Lot 6 L B1ocJc Q. Sec.%Sub. G?«"d 6)F'rect OccuPancS' /v ?Iaoo oSroo3 Alter 7.A??1 Par?l #: ?;,5?'cr to ?1„!-' i5yic? - gepair Fire Zone O.mer: ?15 Uc, 1 lERt-) Ehlarge _Type of Const. Address: City/Zip 1b?? HICi?2? L\ M°ve # Stories Deirolish Front Code: 'E&C fli\j 5,ci I 3'? Grade iDePth - Phone #: LIS? ???[9 3m,o ContracWr: Cj?.L?F Pddress: City/Zip Code: Phone #: Arch./Ehg.: Adclress: City/Zip Code: Phone #: APPROVALS FEES Asces_satents Pexmit g - T4ater/Sewer Surcharge i =v Police Plan Check Eire SAC Ehg, Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC ft. TOTAL ?d -C9 . CITY OF EA6AN 3795 Pilof Knob Raad Eagan, MN 55122 N2 6706 v . N PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # Te be uted for DECA Est. Value $650 Date JiTMP R Site Address 1678 Hj.CkOTV I,flIIE Erect J] Occupancy Lot g Block 3 Sec/Sub. WoOd GBte AdCl. qlter ? Zoning Porcel # 10 8 4600 080 03 Repair ? Fire Zone Enlarge ? Type of Const. W Namy Doug Tieben Move ? # Stories 3 Address 1678 Hickory Iane Demolish ? Front -1916" ft. ° ci Phone 454-8993 Grade ? DePfh 12- ft. _ A..-.....1. Ceae p Name _ ??rAddress '' f:n. Nume _ Address I hereby acknowledge thot I have read this application and stute that the information is correct and agree to comply with all opplicable State of Minnesota Statutes and City of Eagan Ordinances. Assessment _ Water & Sew. Police - Fire Eng. Planner - Countil _ Bldg. Off. _ APC Pertnit ? an Surcharge 1..«nn---- Plan check SAC Water Conn. Water Meter Road Unit Total 1 n - nn Signature of Permittee I A Building Permit is issued to: 1bL Tj P}1PT on the express condition tFwt all work shall be done in accordance with oli applica e Stote of Minn ta. ?Sf-a.?tures? and City of Eagan Ordinances. Building Official ? ?.L'6..Y- _ r?ooagd-re ist= CITY of EAC9AN BUILDING PERMIT .............. ,2e ? Ownex ...... I ............-.......?. :._?:............... ?- . Addeeas (pre:enl) ...?.`??O.l ;!:?:r.?,.•e?Cs-.??-? J 0-+"??''? .... ............ . ................ .. Ss3 y3 sui,aar ................ -r.-w.............................. Addreaa ..... 3 . ,o -7 ` N_ 3785 Pilo! Knob Road Eagaa, Miaaesote SSIYt 454-6100 tx 3401 Dele .... I..-a,:;.- Slarise To Ha Ucad For Fron! D4plh He h! Esl. Cost srml! F?e R?mu ? v l LOCATION oZ 1-3 9 " ° ?J U? . . . ..... Per .............. .?"`::."......._............... ................................................. _... ? ..............-`......... /..7??.._........... /n',/, ? Ma or -6 SulWinq Intpacfor P Thia pe:mit does noi authorise the use oi slreefs, soada, alleps or sidewdks nor doaa [t gin !ho oaaor er his spent the righ! !o cxeale any aiivation which is a nnisance os whieh preseds a hasard !o the heelth. safely, toaven[eACe and ganeral waliare !o anpone ia the communify. THIS PEAMIT MUST SE KEPIT/ 'ON THE PREMISE WHILE THE WORK IS IN_ PAOGAESB. This is !o eerfify. ... . -has permission !o eraet ........................nyos the above described premise subjecY the provisions of all applicable Osdinanees for fhe Citp af Eegen. OP GAN T C ' ITY EA NO 18370 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-810D /??q BUILDING P IT Receipta ?•/ Tobeusedfor FI LACE Est Value $1,000 Date SEP 13 ,1990 Site Address 1678,HICPORY LN Lot 8 Block 3 Sec/ WOODGATE OFFICE U ONIY P2fCel N0. Occupancy FEES - Zoning w Name ANfHONY J ARICO (Adual) Const Bldg Permit .?1n o AddfBSS 1?178 HICKORY LN (AllOwabie) - SO Surcharge - City EAGAN Phone 456-9 1 x oi sto??es - P?an Rewew Length _ F Name SAMR Dept - SAC City ?a Address 7otal . - SAC. MCWCC '- City Phone F. Footprincs - ' W ater Conn On e Sewage _ ? ww NamC On Ste II - Waler Meter _? Address Mwccsyste - Qi <W City Phone atywater AcCL Deposit PRV Required SPN Permtl I hereby acknowlege Ihat I have read this applicaUOn a state Ihat ihe Booster Pump - SiW Suroharge information is correct and agree to comply with all phcable State of Mmnesota Statutes and Can Or 'nances. ? ily of g Treatment PI Signature of Permitee IIPPROVALS qo Unit / A Building Pemtit is issued to: tud 0 J ARICO Plwner - Park De . on [he express condillon that all work all be done in accordance with all counciI ?- applicable S[ate of Mmnesota Statut s and City of Eagan Ordinances. Bldg. Oft Copies y ? ? BuildingOfficial .ivAn R o;rli? IllvLd \.? Vananr» - TOTAL 25.50 CITY OF EAGAN ?0 ? $4O6 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE:454-8100 (1 i\ ,f/ BUILDING PERMIT Receipt # ' l ?? ?/ -r « To be used tor FfRFPf+S['F' Est. Value $1 , 000 Date SEP 27 , 199Q Site Address 1678 HICKORY LN Lot $ Block 3 SeGSub. WOODGATE OFFICE USE ONLY Pareel No. oecupancy - Fees Zoning - w Name ANTHONY J ARICO (ACtual) Const 0 _ Bldg. Permit 25.0 Address 1678 HICKORY LN (Allowable) - 50 ? Surcharga . City EAGAN Phone 456-9791 rolsmnes _ Plan Rewew Length _ o Name HEAT-N-GLO Depih SAC Cit f - , y Q a Address 3850 W HWY 13 S.F iotal - ? ? City B iRN V• Phone 890-0758 S.F. Faolprinls _ SAC, MCWCC H'ater C nn On Site Sewage o _ ? W NBme On Site Well w M - aler e1er Addl'e53 MWCCSystem _ i W City Phone City Water _ Acct. Deposit PRV Required _ S/W Permlt I hereby acknowlege that I have read this appbcation and state ihat lhe Booster Pump - SMl Surcharge iniwmahon is correct a d aqree to compry with all pplicable State of MinnaSOta StaWtes an i of Eag a n Ufdinan , Treatment PI ? ? / Signature ot Permitea u?1z) APPROVALS Road Uml A Building Permit is issued to: HEAT-N-GLO Pla^OQ1 - Park Ded. on Ihe express condilion thal all work shall be done m accordance with all Council _ applicable Slate of M mnesota StaNtes and City of Eagan Ordinances. gidy, pn, _ CoOies . Building ONicial rnsf Variance - TOTAL 25.50 ? auc 7 3. czrt or r.Acau 3795 ri7.ot Iu.eb P.oad Eagwz, ','Iiiinesota 55122 PERMZT NO.: SAfi _ The City of Ea.oan hereby grants to r,,,, ?oa,,,..;,.y :,e-ta»., - °f 1001 `tonia 7?ua a HEW'ING Permit for: (CNrner) P?ew Horizon tIOmes taoodgate 676 S-EO-2 at nirkory I3ne ? pursuant to application dated _ 1??????8 Fee Paid: ^E0.00 dated this 15 day of *TOV ? 19 74 2.00 s/c building Inspector Mechanicz.l Permits: 3ii: Total: ? HOUSE HEATING TEST RECORD D-2143'7 ADDRESS-„ I '+"6 A i, :n?'.y Tana ApT.-FLOOR CITY SUBURB Eag8C1 , OCCI;PANT nnno OWNER New Horizone HEAT LOSS DATE HTG. INST. SOLD BY Eleetrieal Work By TYPE OF HEAT / -INSTALLED BY Srd=iek Heating Gas Lins By It GA _ FA _x HW -STEAM SPACE HTR. UNIT HTR. -OTHER GAS DESIGN MAKE Wi11i8msori MAKE OF BURNER_ Model 1117-07-$ Abdel Swiol 7439311 Max. BTU Rating- INPUT 75 ,OOOBtU }l:['. MAKE OF FURNACE Model CONTROLS THERMOSTAT C 6 Heat Plug Vent Size n Valve Nf•A. V800c KIND OF LINER alom SIZE g" NONE Llmit P-obahaw RFL 7.r10 Draft Hood vertical Ragularor Limit SeHing 200f Filtera si:e 16a25 Number 1 Fan SetTing 90f 120f Chimney Loeation Insida yeB Outside Pilot Type COllp1E Chimney Construction metal 'beetos Pilof Make Pilot Model $moke Bomb Wiring PiloT Timing 60 9QC• Draft ok Test Tag Ye8 L.W. Cut Off Door Pressure Lighfinq Inst. se8 Prossure 4_5"wr. percantCOZ 70% Date Teated -21/18/7.5 InputCFH 7K Pareant OZ Company Tesiing Stack Temp. SOOf percent CO ?•?? Nams of Tester 14 ? CONVERSION Form 235 HOUSE HEATING TEST RECORD D-21427 ADDRE55 1678 Hickory Lane AP7.-FLOOR CITY SUBURB Eagan OCCUPANT GarV R Lnnd OWNER yes HEAT LO55 DATE HTG. INST. GAS C0. METER BADGE SOLD BY INSTALLED BY egw1C ea 1ng Eleetrieal Work By Gas Line By TYPE OF HEAT GA _ FA X HW STEAM -SPACE HTR. - UNIT HTR. -OTHER GAS DESIGN CONVERSION MAKE N'illi?m8011 MAKE OF BURNER Model Model Serial 7239751 ??•- ? Max. 8TU Rating- INPUT 75,AOOBttti?{-•? MAKE OF FURNACE CONTROLS THERMOSTAT CID5?80 Heat Plug Valre j4,A, V800C Limit gb8bAW R E ZJD Limit Setting 9nof Fan Setting Pilot Type Pilot Make Pilor Model Model 4" Vent Siza KIND OF LINER almn SIZE NONE DraFt Hood VeTt1C&1 Reyularor ' Filters Size 18z25 tilumbor 1 Chimney Location Inaide S'e8 Oufside Chimnay Construction metal beetoe Bomb Wiring Ok Test Tag Ye8 Pressura Lighting Insye9 Tested 2/18/75 C S BRImT CO Smoke Pilot Timing 69, gae, Draft L.W. Cut Off Door Pressure 4_ 5"wc Percant CO2 7•5% Input CFH 75 Percent OZ Staek Temp. 510f percent CO 0•0 Form 235 Date Company Testing ' Name of Teeter '! ? ?? HOUSE HEATING TEST RECORD D-21427 ADDRESS 1680 Hiskpr3r--Laae APT._FLOOft CITY SUBURB$&ggg OCCNPANT 61@IIS A Sm3th OWNER yag HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED eY $edgvj_rak Rariab Elactrical Work By Gos Line By SeagiFiek Reg.ti-ag TYPE OF HEAT GA FA _.3E HW _STEAM -SPACE HTR. -UNIT HTR. _OTHER GAS DESIGN MAKE w#I }j .....g.... MAKE OF BURNER Model }}}J-Q]-3 Model CONVERSION $erial 743$214. Max. BTU Rating- INPUT 73,e0eBtu/hr. MAKE OF FURNACE CONTROLS THERMOSTAT em26e Heut Plug Valve M $ V$OQC Limit $p}gha.., uFi 750 Limit Sstting 200 f Fun Serriny $0 f 120 f Pilot Type _ Pilot Make _ Pilot Model _ Pilot Timing L.W. cu, orr Model Vent Size 411 KIND OF LINER nlimm SIZE A" NONE Drah Hood per*iral Rsgularor Filters Sizelfjx25 Number 1 Chimney Location Inside Ye6 Outaide Chtmney Const.ucriun mPtal be6tos Smoke 8omb _ Draft Door Prassure Wiring TesT ' Lighting Inat. Pressure 4 31tGTC Psreent C02 Z.Q% Date Tested Input CFH 79; Peresnt 0 2 $. 7,%, Company Tes*' g C. S. BRIGHT COMPAN14 I STOCk Temp. 450 f PerronT CO n-007 Name of Tester ?r-,4;A.?,4pmA? '? 0 Form 235 HOUSE HEATING TEST RECORD ADDRESS - 16R5), Aieknry T,ane APT OCCUPANT n?na HEAT LO55 SOLD BY Elactrical Work By- TYPE OF HEAT GA / MAKE Willi - Modal 1117 DATE HTG. INST. OWNER D-21427 FLOOR CITY T-SUBURB Eagan Ndw Horizons INSTALLED BY SedgwiC },ea llig n Goa Line By FA x_HW STEAM -SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN MAKE OF BURNER Model ? $xfal T4382.13 Ma:. BTU Rating- INPUT 75000+0hp. MAKE OF FURNACE CONTROLS THERMOSTAT I`mPF'+n Heat Piug Volve M.,,A VROOr Limit RO77911AW R.li'f 7511 Limit Satting 9,nnf Fon Setting Pilot Type Pilot Make Model CONVERSION 4" Vent Size KIND OF LINER a1nID SIZE 611 NONE Drok Hood YCx't1C81 Regularor Filters Size 18525 uumbsr 1 Chimnay Locatfon , Inside 3*eg Outside metal bestos Chimnay Construcfion Pilot Model Smoke Bomb Wiring Pilot Timing R() Rert. Draft o k Test Tag YeB L.W. Cut O(f Door Pressure Lighting Inst. yeg Proasure 4?Kllme ParcenfCO,, $"0% DateTsated 2/18f75 Input CFH 75 Pmcsnt OZ 'z -,-??l??o? Company Testing S T /C? $tack 7emp. Kl /lf Peresnt CO ..0..•••y? Nams of Testsr Form 235 % ? APPLfANCF PERFORMANCE 7EST ` Atfacb to gas Jine edJaclsnt to ?atator.--_- Heating Corrtractor conwned Ae yiy a n;c -- Name of Tester /.t / / _ , Date -?s ? Jab Address C W?18 I+ig[p,?? IX4 Heating Contractor Controlled Air .- Name o! Tester Date ? 7 G .. - Percent OZ - -! - Percent COZ --2 -- - I Peroent CO Stack 7emp. Y7 p I _ v , -, i... ion CiiY% i/ I / /Or Yii/ 11, lluwr a 0848 115- - ?`?°° Request Dete Fire No Rou -in Inspection qa i,?> 57(Reatly Now ? WJI Naity Inspector Wh R tl > ? Yes o an ea y I? Lcensetl contractor ? owner hereby request in5pection of above electrical work at Job AdEress (SOeel Box or Rowe N. ) L 690 ? City cc cl 'o9 Z ao D i ' - Sechon No Township Name or No. Range No. county Da?o?a Occupant(PRINT) o ?-c -e L ,`? z?tcr Ppone No ??? qo,3 Power SopOLer ?- Dq,A'(9 tq C; ?GC Atltlress Elecmcal Gonttactor(COnpany Name) ? /`? s K ? /e ?r? ConVactork Ucense No, o Mailing AQtl255 (COnhaclor Ot Owner M9kinq Insf311dtiOn) a?1 i?ie .? Ca ' NolM1OnzeO Sgnamre ? v oriOwner Mahing I lallanon) Phona Number MINNESOTA 51ATE BDAqD OF ELECTPICITyI Grlggs-MlEway Bltlg. - Room 5113 1821 Unlvernity pve., St Paul, MN 55104 PMne (612) 66241800 THIS INSPECTION REOUEST WIIL NOT BE ACCEPTEO BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENClOSED ?/??„/Sp REQUEST FOR ELEC;RICAL INSPECTION I? See Insimclions lor eompleting this lorm on back oi yellow copy @ 5 Q 8 4 8 "7C" 8elow Work Covered by This Request ee?ooooi-o7 N???? ???4? ew Add Rep - "fypeotBUildmg ApPhancesWired EquipmeniWired Home Range Temporary Service Duplez Water Heater Electnc Heating Apt Buildmg Oryer Other (Speciy) Comm /Indusirial Furnace Farm Av Conditioner ily) ConVactor§ pemarks Other (spec Compute Inspectron Fee Below: # Other Fee # ServiceEnlranceSae Fee # Circuns/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 A ps TranSformers Above 200 _ Amps Abo Amps SIgOS Inspeclor5 Use Only ? TOTAL S? Irrigation Booms ?J -Q /-57 Special Inspecnon Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certity that the above inspechon has been made. Aough-in Finai oa+e oa 7- OFFICE USE ONLY Ths request voitl 18 montM1S Irom 411? Clty of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 --------------, ? For OHice Use I I Permil M? I ? I ??) I ? Permit Fee: I ? ? Dale Received: '??' U? I ? Slall: ? ?t I '----------C------I 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: Tenant: Suite #: RESIDENTIOWNER Name?\?A l.%l ?kQ-1 L Phone:? Address ! City 1 Zip CONTRACTOR Namee^??cn??. - - Address: l City: State: Zip: 7mn110- Phone: 1?.? i T(11 0Contact Person: TYPE OF WORK _ New -"PReplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W Descri tion of work: PERMIT TYPE RESlDENTIAL Water Heater ? Water Softener _ Lawn Irrigation Add Plumbing Fixtures L_ RPZ /_ PVB) (_ Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RES/DENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) ? $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $ 50 State Surcharge) 'Water Turnaround (add $136.00 if a 5!8" meter is required) $100.50 Septic System New ($70.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned ou[ appliances, ductwork, etc ) (includes $.50 State Surcharge) ?? TOTAL FEES $__ ????en a??u codus vi ti?_ ??,r u, I here6y acknowledge Ihat ihis informalion is complete and accurate; ihat the work wm oe m conwrmance wim e umi?a wi mthout a permil, Ihal Ihe work will be in Eagan; thal I undersland Ihis is nol a permit, bu1 only an application lor a permit, and work t to slart accordance with Ihe appmved plan in the case of work which requires a review and approval o ipian . x Applicant's Printed Name Applican ' Si re FOR OFFICE USE Revlewed By: Date: Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Final 7(.vo SC NOv ao2oos zoos RESIDENTIAL PLUMBING PeRnnir aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date?h ///S? Site Street Address 10? ? L4) • Unit# Telephone #?51 Owner &rt-}'1 (? S LM 0 I P rt , _ - rope y hone# 051J34:5`I300 Tele ? p ( Contractor - City State hN Zip ,la3 Address " The Applicant is: _ Owner 11?contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 i Alterations to existing dwelling $ 50.00 Add plumhing fixtures. This fee includes installation of a water softener and/or water ? heater at the same time. !f you are instalfing onlv a water softener and/or water heater, do not complete this section; move to the next section and check the i appliance(s) you are installing. _Septic System Abandonment _ Water Turnaround (add $130.00 if a 5/8" meter is required) Otner: kWater HeaYer ? Water Seftensr $ 15A0 ? new ,,?replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 ? State Surcharge $ 50 / ,5-5b Total $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, worc is not to start without a permit and work will be in accordance with the a proved plan in the event a plan is required t b r, vi d and approved. ApplicanYs Printed Name Ap can Signature #D ities Di ig tal Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ? CITY OF Zr1GAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: ? Permit Number. c "Date Issued: ' SITE ADDRESS: DESCRIPTION: i 1 i ; , ?.t-;*,', l;u?lf i t,y l-tur'? fy; ? IiUI , i _ ;il : ' ) R. 1'R I ; ? ,- • 1 ?? , ? .?'F- ? ?- ..1 .. REMARKS: FEE SUMMARY: I CONTRACTOR: OWNER: ?.. ?- Lt'YV6y , . r-,i?? -.,, t_ ?•?,: •?-9: ...?d rl ri ?- APPLICANT/PERMITEE SIGNATURE ISSUEO B SI ATURE ? ? , Cities itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. INSPECTIO CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ? u PERMIT SUBTYPE: ? ? N RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: REACTIYATE _ PERMIT # 1%06 Ll CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 434,00 681-4675 SINGLE 8 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 capy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month r 3) lot change is requested once permit d h i dd o s c ange ress in which request is made, 2) a is issued. Date /Pla'-° 1- /-1 $ / 'V Valuation of work !S:?S o U Site Address: 14t24o Llkkn Ld p SUITE 0 STREEi / Tenant Name: (commercial only) I'AjoOoe7d'`Et /()wi?i?vi+ceS LOT BIACK SUBD. Y?)?????p•i? P.I.D. 1? v Descri tion of work: The appl icant i s: ? Owner El Contractor ? Other (Deccribe) Name cr-O56?3 Rrkc--2 Phone 4iLIy0 Property LASt ?FIRST Owner Address SiREET STE N City State ZiP Company AI54',arcppStr, T?rj c- Phone ?3'? 532? Contractor Address NA`-" License # 37y') Exp. ?g4 City 01'p?5- State 1'?/U ZiP ,55 4-1ZZ 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 re d this app1 cation and state that the information is State of Minnesota Statutes and City of correct and agree to comply with 1 applicable Eagan Ordinances. ?--. - ? ' - .?,?J Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ?. O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging -• ? 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations O 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning 0 of Stories Length Depth APPROVALS Planning Engineering REGIUIRED INSPECTIONS ? Si te ? 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 ? Final ..?? -""'a3 1- _---? ?'rl; Bas1ment Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous O 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code 5AC Code Assessments ? Framing ? Insulation ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W 5urcharge Treatment P1. Road Unit Park Ded. Trails Ded. Lopies Other Total: vatuotim: $ SAC % SAC Units CTTY GF I°AGAN CASH7:L"I'Ce JS TE:RMINFlL N0: 718 ?ATE- 07/t6/93 'i'IMI=.:: 0:57?43 ILiv NAME:; ADDEI:i VAIIJF E.XI'EFi:[Of"tS? INC. 32:1.0 300i. 1657 HTC:f;OftY NT 1.33a?5 2:L'.55 900:I. 1657 HIGKqfiY WT ;3..°itl 32.I.II 900j. j.665 FIICF.(]f2Y Ii:L 139.25 2J.55 9001. 1665 f•ITCF;OfiY HI 3.50 3210 900 1 17pR HICKOFiY HI 1.3'3.?5 Z:I JJ 9001 !'70Ei FiT.C;F:0RY HI 3 .50 3210 9001 1724 NSCKORY H:C 139.25 2155 900:1. J.724 HICt(f.1fiY H2 3.50 2c^.i(l 'JUpf. l,641. PIICF:I'JRY LA 139.25 2155 9001 1641. hIICF:01tY LA 3.5L7 Ck:li.3489 Cf:lN'1'TNUE l.1SI::F IIl; tAN X??k C()NT'TNUE coNrzNue: cITV aF r_ncAN cA<;fazEr,: 38 rr:::r,MlNnL n!a: 7is Dr1TE.- 07/16/39 T'IMI::s iQc57:44 ILi ; NAME: ADDED Vl-tL.UE F.:XTEfiIORS, .T.NC. 3210 9001. 1+-,76 HIIItillfiY L.A 199.25 2155 900j. 1676 I-IICKORY LA 3.50 . Total Recript Amaun+,: E356.50 CFtJ.184Ft3 l.1S1:7R ID: JAN `I yyy I3UILUING NtKMI'i' AWPLICA'i'1(7N IRESIDENTIA ?6v? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 851-681-4675 New Consfiucfbn ReauiremeMs Remodel/Reooh Reaulremenh D 3 reglslered sHe surveys ahowing fq. M. of lot, sq. ft. of house and gH roWed areas (20% maxlmum bl eoveraae ailowed) ? 2 copies of plans (show heam A. window sher, powed Ind, design; etc.) D 1 sM W energy calculaNons ? 3 copies of free preservation plan tl lot plalted aAter 7/1/93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: ec-?<C? 2 copies ot plan 1 ut of energy cakulalions for heafed adtlBions 1 fNe iurvey lor exterior addlNons s dacb ? .ai,(1 , 7 CONSTRUCTION COST: Z LOT: 7_ BLOCK:' 1 ? SUBD./P.LD. #: w Name: U?A?. 4",Lel'?w0-$5 Phone Ik: PROPERTY L s? Fkd OWNER . SheetAddress: fE(S??-r ? CCL City State: P/µ? Zip: SS"/ 2Z- Company: 4&? Phone k: 6s QS3 `g(77 (area code) CONTRACTOR SfieeiAddreu: 4f_? :2 6 41<?<-MAU- license9k??1? Exp. 'Vd'0 ciy tqj. atote: zip: ARCHITECT/ ENGINEER Gompany: Name: . Telephone area code ( ) Shee't Address: Reglshation IF: , City State: Itp: Sewer 3 water flcensed plumber (reaulred for new conshuctlon onNi: PenaNy applies when addreu change and lot ehange la raquested once permM b bsuad. I hereby acknowledge thal I have read fhis applicalion, afate that the InFormaHo fa et, a rce to eomply wMh all appllcabl State of MlnnesWa Statutea and CMy of Eagan Ordinanees. Signature W AppttcanF: • OFFICE USE ONLY ?? - Certificates ot Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required IS310 1990 BUILDING PERMIT APPLICATION CZTY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIDNS MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG. DEPT.) 1 SET OF ENERGY CALCULATIONS # OF RENfAL UNITS # OF FOR SALE UNITS COMMERCIAL T 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For Site Address Lot ? Block ? Phone p-7 91 Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # ?/ g?? sv I? E C Valuation:C>C>Date: I07fl ??kQQ"f {.?.}?. ? OFFICE USE ONLY FEES ? Occupancy Zoning a-J Actual Const ? B1dg. Permit Allowable Surcharge 16-0 # of stories Plan Review Length SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well S/W Surcharge MWCC System _ Treatment P1. City water _ Road Unit" PRV Park Ded. Booster Pump _ Copies ? SUSTOTAL APPROVALS Penalty Planner TOTAL Council Bldg. Off. Variance City/Zip Code E??A.,K) _f'-??/ ZZ.. . i a ? 1990 BIIILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPEGIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WNEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Site Address /(p? Lot ? Block ? Parcel Owner Addres City/Z Phone Contra Address City/Zip Code Phone % ?01 JV Arch./Engr. Address City/Zip Code Valuation: I't). 0" Date: qU USE ONLY FEES Occupancy Zoning Actual Const Bldg. Permit f. ? Allowable Surcharge .hn # of stories Plan Review Length SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well S/W Surcharge MWCC System _ Treatment P1. City water _ Road Unit' PRV Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty Planner _ TOTAL ? Council Bldg. Off. Variance Phone # 2001 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?Cl 651-687-4675 Reaulrements LC? ? 2 coPiea of plan O O f S Y o vy CY S? , DATE: C? % l p C\ -- 0( CONSTRUCTION COST: DESCRIPTION OF WORK: KEPFn Ik Ls---)AI Ck- DA_ GC? If multi-famity bldg., how many units? IIdDICATE THE FOLLOWIPlG EQUIPPflEiVt TO BE REPLACED AWD BY WHOM: ' _ Plumbing _ Homeowner or Contractor Name gA I N(30 cx-' KCS'I d 2 ?L) IL) _ Mechonfcal _ Homeowner or Coniractor Name "Note: If somebody oTher than the homeowner is performing plumbing or mechanical work, they must applyfor appropriafe permit. Only licensed plumbing contracTOr or homeowner may complete plumbing work. STREET ADDRESS: ( C.lr_h f'`V LOT: BLOCK: SUBD./P.I.D. #: PROPERTY OWNER Name: J Av\- E S KP`1 2Q" Phone #: Last Flrst clty Elti G A lLJ state: r?\ A2 zlp: 5S j 2 z Shset Address: 1(' -7 ? 14 1 G Company: ?.-l? )+u f3(7 C-? ?? S7b (ZA?J ? pnone #: `T (0 3 ..? O? J b ZOQ (area code) CONTRACTOR Sheet Addreu: b S (kIti P i S? LFL 4censeri p? '? 0?Exp. 3 --02- ?.L? ari sta?e: irn, ?v ZIp: S SJ 3 a.3 r p v ? JUN 0 8 2001 V_-:--- - I hereby acknowledge that I have read this applicaflon, state that ihe information is correct, and agrae to compty wllh allapplicable State ot Minnesofa Stafufes and City of Eagan Ordinances. Signature of Applicant: ??? ? OFFICE USE ONLY BUILDING PERMIT SUBTYPE ? 24 Storm damage WORK TYPE ? 33 Alteration ? 37 Demolish (Bldg)* *- Give PCA handout to applicant ? 38 Demolish Interior ? 42 Demolish Foundation ? 43 Reroof ? 44 Siding ? 46 Windows/Doors (ozf75a. 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date _& ! In_ / 6!q Site Street Address 16-76 Unit # ^ payPr ?152-?35-l65? Property Owner K 1 a kP PC/? P.r50 C1 Telephone #(?5I)157Gq-G'37 3 Contractor Telephone # ( ) Address City State Zip The Applicant is: Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121 00 if a 5/8" meter is required) Other: ?Water Softener Water Heater $ 15.00 / replacement _ L additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 $ irS Total I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name ApplicanYs Signature FH?JUN ?0 T ' 10 2004 H i i ?o?i3itcefuse ? Pertnit#: I Permit Fee: I ? ? Date Received: ? I ? I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / -/ 7 -db SiteAddress: 7& -- Tenant: Suite #: RESIDENT / OWNER Name: WDOX 64 T ? /tIUl} Phone: Address l C'ity 1 Zip: Applicant is. _ Owner ? Contractor TYPEOFWORK Description of work: T£AI2- Of=f= ?- R- £4 vOF Construction Cost: J 3 000 Mulli-Family Building: (Yes X ! No ? CONTRACTOR Name: C?-? License #: 902 ? 7 Address: ?L)H iT€ 120 CK P- L City: State: Zip: S?;-33? Phone: /So2 -2 `j/- yP7S- Contact Person: ? / i k £ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet C2te90ry Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit 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 8. Water Contractor: Phone: NOTE: Plans and supporting`documenfs that you submit are.considered to be public°iniormation. Poftions of p the information may be classffied as'non-public if you provide`specific reasons that would permit the City tb a conclude fhat the are frade secreis. I hereby acknowledge that this information is complete and accurete; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permi[, but only an application for a permit, and work is not to start without a pertnR; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. L?Q n,? x0"IIL"£ i x ApplicanYs Printed Name plic nYs Signat e % Page 1 of 3 f For Office Use S EAGA Permit#: /....577F1-7/ N Permit Fee: ZE '/" eivE Date Received: �,7- 7 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 �.d► (651)675-5675 TDD: (651)454-8535 I FAX: (651)6 694.,R Staff: _. A buildinainspectionsCa Citvofeactan.com 1 7 2010 2019 RESIDENTIAL We • _ - MIT APPLICATION Date: 1 l 7— l 7 Site Address: /6767 76 Ft`C-ICC 174, Unit#: Name: WOOc( c4i ie 0VI41( Ass oc 'ot'{-`ph [Phone: v 5-1 - V541-73Y7 Resilden l 1 ( � lam/` 11 (1 19 r Ea9 q 53 102 Owner Address/City/Zip: ( Applicant is: Owner X Contractor Type of Work Description of work: ' `'- `ac l f ar 0 1!1C aim J ? !ac tz Construction Cost: ` J /aO Multi-Family Building: (Yes /No Company: Ind l rule nh D i' ���1S ����at.�'� tact: -5.4.Ve 13or.ng4 q . Address: 7 5 l 3 FOX 6Q�D C City: 1-ot rrrt• Ili -61 Contractor l[� 1 _ State* Al Zip: 5-' O ` Phone: 4.Gf a` 59 Em 68 License#: 6 17 D Q b 1 Lead Certificate#: If the project is exempt from lead certification, please explain why: No /0011/4M _ q, j BOO r`h 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 sapporing 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.cityofeaoan.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.aopherstateonecaliorq 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 approva of ans. x S**Y8fi „gar/'i')Dirt!l x Applicant's Printed Name Applicant's Signat re �'-