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2960 Inland RdControl No. 0707 ?r INSPECTION kECORD ' ' CITY OF EAGAN PERMIT TYPE: a 0 11. 1} ?W(i I 3830 Pilot Knob Road Permit Number: 0#0896 I Eagan, Minnesota 55123 Date issued: o? 1? 6/ 9 2 (612) 681-4675 ' ? SITE ADDRESS: ! q T: 23 Ot qf K r 4 APPLICANT: I ? 2969 IMLAND FtD CIIMMI'N85 DQNqIU ? COUNT'RY NOM! HEI6H'fS (?tZ) 4S2-70338 i PERFW,,WBTYPE: TYPE OF WORK: N?N PwnR IMo. Parmtt Holder Data Tilephone • SA1f PLUMBING WVAC EIECIRIC EIEGTRlC InspsWon Oo" Msp. Comn»nb Footings I Foundation • Freming Fioofing Houph Plbg. Rough 1-4• Isul, Flrepieioe Flnal ft Onat Test FM?a1 Pb9- PIb9• inepeclo?- NdHY PumDar Const. Meter EngrlPlan BIdQ. FiAel DeCk Ftg. ?!I Dock Fnal 1 g weli Pr. Disp. ? RiC Ei V ED FROM CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 0 19 AMOUNT $ I a ooLLaRs ,oo ? CASH ? CHECK y'z O , RUNO CoD& pMOUNT BY . ~ f NUMERICAI FILE COPY CITY OF EAGAN fiemarks Addition __-_Lot 2 Rlk 4 Parcel 10 18300 0U 04 Oyvner t=? -> -? •?`'?-??'-`i?- Screet _ 2960 ?nla?tc?' AuE• State Eagan, MN 55121 r ?.??•?rA.i_? 1r y ?, Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRAOING 5AN SEW TRUNK 68 100. O 3.00 30 PAID ? SEWERLATERAL 1972 2 43.75 107.19 20 ,^ S - WATERMAIN ? WATERLATERAL 2 20 WATEFi AFiEA '? ? ?c 79 : 00 , 56 S „ -- STORM SEW TRK p 1984 495 . 00 33.00 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit Char e 75.00 - - WATER CONN. 250.00 9932 -10-78 BUILOING PER. #4]$] sac 500.00 9932 5-10-78 PARK , CITY OF EAGAN NG 9132 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . PHONE: 454-8100 BUILDING PERMIT Ta `a u..a ". IiOME AUDITIOP] Site Addresa Lot 2 Parcel No. _ W Name nONALD & i Address S1?ME City Pho 9 u§ ?- Name Receipt $18,000 Dare _ Erect pX tdF. HT:Alter ? Repoir ? Enlorye O GS Move p ? Demollsh ? Grode p Appfovals City Phone Mame _ Address Cfty - Phone I hereby acknowledge thot I hove read this epplication and stote that the informution is correct and ogree to comply with oll opplicable Stote of Minnesota Statutes ond City ot Eo9an Ordinonces JUNE S , 1 y 84 - Occuponcy R3 Zoning x Firc Zone N A Type of Const. V # Stories Length 18 Depth 18 Sq. Ft. Fees Assessment Woter 3 Sew. Police Fire Enp. Plonner Council Bldg. Off. APC Permit . 5 0 Surcharge 9.00 Plon check SAC Wuter Conn. Woter Meter Rood Unit Totol 137.50 Slflnoturc of Pem+ittee ?7i,T.T,i' f; {.1;'r C(IP•?iItil,S A Bullding Permit is issued to: oll work sholl be done in accordance with ell ooalicabta Stote of Mlnrxsota Statute3 BuildinQ Official on fhe express condition tFuii ond City of Eapan Ordinonces. Parmit No. Permit Holder Misc. Permit No. Holder Plumbinp H.V.A.C. Well Water Oisp. Sewer Ekctric - In"ction Dats Insp. Other Footingt ? Foundetion Frominp R gh P16p. Rough HVAC Insulation b Final Plbg. Final HVAC Final W? Dt?cribe Location: VYell . SevYe? Pr. Dhp. Receipt '-r 1 I ? ? MECHANICAL PERMIT Permit No, Y??? CITY OF EAGAN Fee fill in numbered speces S/C ?r Type or Print /egibly 1. Date 2. Irtstallation Cost T?. i '! 3. Job Address ,2 ??1Lot Blk. Tract ? •? , 4. Owner 5. Cantractor Phone ? 6. Address 7. City State Zip I 8. Building 7ype: Residential ? Commercial C] Institutional ? ? 9. Work Description: New ? Add 45 lklter ? Repair ? 10. Descritae Fuel Type ' 1'•' =-' ? 1 11. No, Eauioment 8TU - M. Ea. Forced Air No. ' Equipment CFM Air Handlin : Mfg. g Boilers Mfg. ; Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinanees and codes governing this type of work. Signed: for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 i CITY OF EAGAN 8795 Wlot Keob Road Eagon, M1nwesofa $9122 Pbone: 454.8100 LuMeirtG PERMIT 8/16/78 No. - i1326 Date: Receipt No.: Sinyle I ' Site Address: Residentiol . Country Home Heignt I Lot Block Sub/Sec. Mutti Res., Comm./Ind. Nume /Repoir New /Alter . E. Fsurnsvi 11 (-_ Address Cost of Installotion ? _ 39C-9447 20,00 City Phone: Permit Fee Name Surchorge . _ ? ? Hddress V .'v . ., City Phone: Tota I This Permit is issued on the express condition that all work shall be done in accordance wlth all applicable Stote of Minnesoto Statutes ond City of Eogon Ordinances. Bullding Officiol . . , , CITY OF EAGAN 3795 PilaR Kno6 RocW Eoyen. MienesaN 55122 Phone: 454-8700 PERMIT Date: ? Site /Wdress: irtn, ?;o:.;e !i?rts Lot Block Sub/Sec. " - , . Name (711 ? Address City Phone: nme ? Address V City _ Phone: This Permit is issued on the expreu condition that all work sholl be Minnesota Statutes and Ciry of Eegan Ordinances. No. _ 1294 Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/Alter./Repoir. Cost of Instollotion Permlt Fee Surcharpe Totol done in accordanoe with all opplicoble Stote of ombtistion Air Required Building Officiol cinr oF EAGAN _ 3795 Pilot Knob Rood Eogen, MN 55122 N! 4789 PHONE: 4548100 BUILDING PERMIT Receipt To be usad for Value Date 19 Site Address "` ?`?• Erect Occupancy j Lot Block Sec/Sub. i'P'iIAiter ? Zonin9 parce1 # ti5 ; ? , 3[}0 021 Repair ? Fire Zone cc Ncme =f1ald CtmlmiIItts 3 Address 401 E. B,jnrsville cc, - 447 0: Name ?arun r?prr?es z? 6?flT 6: ???? d Shakapee E? ?. ?? Address , -.; 4 z_ - 6 i' ? ~ Ci Phone u? WW Name P?? Address <z "' Citv Pfione Enlarge ? Type of Const. Move ? $k Stories Demolish ? Front ft. Grade ? Depth ft. Approvals Fees Assessment _ Water & Sew, Police Fire Planner _ Council _ Bldg. Off. APC - I hereby acknowledge that I have read this applicotion and state that the information is correct and ogree to comply with all epplicable State of Minnesota Statutes ond City of Eegen Ordinences. Permit Surcharge ' Plan check SAC ' Water Conn. ` ''? • ''? Water Meter 00 Toto! Signature of Permittee ? A Building Permit is issued to: on'the express corulition that oll work sholl be done in accordance with all opplicable State of Minneseta Stotutes and City of Eogan Ordinonces. Building Official , rwmit # I oe? lsmea ?••.,r. Rouyn-in P1nd Footings Date I Insp. Date I irup. Remarks: 6 i' ;?? ?- ? ?- / ? ,,.e? /3yZ-C a??• (/ --i-3 z7 ,?.,7 ,?1., ?R?J?•?-A- ?"' ? - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for RFMODEL Est. Value ?? .soo Date oc Site Address 2960 INI.AND RD ? Lot 023 Block 4 Sec/SubCQ(jPjTRY HOME t['j'$ . OFFICE USE ONLY Parcel No. occuPancy - FeEs ? ¢ Name ??W a 1CAAEN CU1?tINGS Zoning (Actual) Const _ Bldg. Permit 35. W W ? Addf@SS 2960 Iuum RD (Allowable) - 1•00 il ° 452-7838 EAGAN Surcharge Phone City ;Y of 5tories - Plan Review I length _ ? o Name ?TRO NOHE II?iPROVEl?8?1'f pePw SAC Cit 0¢ Address 175 SEI'iECA RD S.F.Total _ y . _ ? Cit ?N Phone 453-9538 y S.F. Footprints _ SAC, MCWCC 1Nate Conn ? On Sile Sewage r _ W W Name On Sile Well W t M - ater e er =Z ? Address Mwcc system _ U i W City PhOne Ciry water _ Acct. Deposit PRV Required - S!W Permit ? I hereby acknowlege that I have read this application and state that the eooster Pump - 5NV Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes acid City of Eagan Ordinandes. Treatment PI Signdture of Permitee \ t `, - 6" APPROYALS Road Unit A Building Permit is issued to: mmQ HOW iMMVMNT Planner - Park Oed, an the express condition thal ali work shall be done in accordance with all Council .50 applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. ph. _ Copies 36 . 50 Building OffiCial - - ? Variance - TOTAI R 42 18428 -,,77 4 .1 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC ? -- /,, V r` . 7' Inspection Oate Insp. Comments Fooengsl Foundation Framing Raofing Rough Plbg. Rough Htg. Isul. Freplace Fnal Htg. Fnal Pibg- Const. Meter Plbg. Inspector - Notify Plumber Engr.IPlan Bldg. Final Deck Ft9- ? f 4./r2 ? Deck Final - II 2. Z - Well Pr. Oisp. . r?.vn?o?nM rcnmI ¦ FOr C CITY OF EAGAN PERNqT #,e CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE PHONE 454-8100 DATE: % Site Address Lot 0, 23 g Add C 1jft'( ? Add ? cfty FEES COMMJIND. FEE - 1% OF CONTRACT FEE '. APT. BLDGS. - COMM. RATE APPLIES ' TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 ? MINIMUM - COMM.IND.IFEE $20.00 : STATE SURCHARGE PER PERMIT .50 ?(ADD $.50 S!C PER EACH $1,000 OF PERMIT FEE) Onty DESCRIPTION Res. X New Mult. Add-on Comm. Repair ar,er RES. PLBG. ONLY • COMPLETE THE FOLLOWING: NO. FIXTU RES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinaUBidet - $3.00 Laundry Tray - $3_00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM • 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 U. G. Sprinkler System - $12.00 ??, PERNYT FEE: e? 71 ? ?1 e ? sraTEs src: •? ? Y,GRAND TOTAL: 1 a• j J ' CIfiY OF EAGAN SBWER SERVICE PERMIT ' 8795 Pilot Knob Rood PERMiT NO : 'Ea9on, MN 55122 . DATE: Z??ing' --- No, of Units: Owner: _ Address: Site Address: . Plumber: ? a9ree to eompfy with the City cf Eagon Connection Charge: Ordinanees. Account Deposit: Permit Fee: Surchorge: B ? Y Misc. Charges: Dote of Insp.: Total: Insp.: Date Puid: cirY oF IEacaAN WATER SERVICE PERMI 3795 Pifot Knob Rood T Eagan, MN 55122 PERMIT NO.: DATE: Zo i _ n ng: - Owner, _ .. _ : _.. No, of Units: Address: Connection Charge; Account Deposit: Permit Fee: Surchorge: Misc. Charges: Totol: • Dote Pnid: ? Inso.:- No.: to eomplr with ehe City of Eogon Lot 2, Block 4 of the plat of COUNTRY HOME HEIGHTS, Dakota County, Minnesota, exceptthat part of said Lot 2 lying northerly of and together with that part of Lot 1, Block 4 lying southerly of the following described line: Beginning at a point on the westerly line of said Lot 1, an arc distance of 68.0 feet northerly of the southwest corner of said Lot 1; thence easterly in a straight line to its intersection with the easterly line of said Lot 2 at a point which is an arc distance of 68.0 feet southerly of the most northeasterly corner of said Lot 2 and there terminating. , ? CITY OF EAGAN NO ?$428 3830 Pilot Knob Roatl, P.O. Box 21-199, Eagan, MN 551 PHONE: 454-8100 Q S ? BUILDING PERMIT Receipt # 7 ? ( ` ` To be used for REMODEL Est value $1,500 Date OCT 4 , 19-9Q_ Site Address 2960 INLAND RD LOt 023 BIOCk ?+ S6GSUb.COUNTRY HOME HTS OFFICE USE ONLY Parcel No. occuPancy - Fees Zoning - w Name DONALD & KAREN CUMPSINGS (AClual) Const - Bldg. Permit 35.00 Address 2960 INLAND RD (Allowable) - 1 00 ? Surcharge . City EAGAN Phone 452-7538 # otsrones - Plan Review Langtn _ o Name METRO HOME IMPROVEMEN'r Dapih - SAQ Ciry Address 175 SENECA RD s.F.rotal U? SAC,MCWCC City EAGAN Phon2 452-9538 S.F.Footprints _ Water Conn On Site Sewage _ ? ww Name On Sde Weil - Water M ter s? AddfBSS MWCCSystem _ e Qi <W City Phone City Water _ Acct Deposil S/VJ P t PRV Reqwred - ermi I hereby acknowlege that I have reatl Ihis application and stare that the Boosler Pump - ShV Surcharge information is correct and agree to comply ?ip?all apphcahle S1ate of Minnesota S[amtes d City o? din es ? Trealment PI l Signalule of Permrtee APPflOVALS Road Unit METRO HOME IMPROVEMENT A Building Permit is issuetl to: Planner - park Ded. on the express condition that all work shall be done m accordance wrth all Council -- 50 applicable State oi Minnesota StaWtes an iry of Eagan Ortlinances. /? d C gi? pff Coptes . y y , Buildmg OHicial ?aaa?t??1 Variance _ TOTAL 36.50 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ?7 l?l ? 913,2 PHONE: 454-8100 BUILDING PERMIT Receipt Te ba wad fer HOME ADDITION Est. Vafue $18,000 pOfe JUNE 5 1 984 SiteAddress 2960 INLAND RD Ercct QK Occupancy R3 Lot 2 Block 4 SeclSub. COUNTRY HOME HT$qIter ? Zoning Rl Parcel No. 10-18300-023-24 Repair ? Fire Zone N/A Enlarga ? Tvix of Const. V a Name DONALD & KAREN CUMMINGS Move p # Srones _ Z Address SAME Demolish ? Length 18 ? City phone 452-7838 6rode ? Depth 18 Sq. Ft.- Name S E Approrols Faea o ? ? ? Address ? 1- City Phone ?w Name _? Address 'Z City Phone <W I hereby acknowledge that I have read this opPlicotion ond stara that 1he inlormolion is correct and o9ree fo Comply with oll opplicable Stata of Minnesola Statutes ond Ciry ot Eagan Ordinances. Signoture of Permittee _ A Building Permit Is issued to: oll work sholl be done in ocw Assessment - Woter & Sew. Police - fire Eno. Plonner - Council _ Bldq. Oft, _ APC Permit 4 1L25.5U Surchorge 9.00 Plon check SAC Water Conn. Woter Meter Road Unit Totol ? 13Y' S 0 DONALD & KAREN CUMMINGS on the expreu condiHon thm Ih olkopplica4r3)ate o,f Minnesoro Statutes ond CRy of Eaycn Ordirwnces. Buildlnp Offlcial Z CITY OF EAGAN Include 2 sets of plans, 1 Gertificate of Survey & ' BUILDING PEFMIT APPLICATION 1 set c£ energy calculations. 1b Be Usecl Fbr {{ome r?ro L) vaiuarion 0 -6k?0 I gcrl Date 5-A?44 site Aaaress a9,?o Sn/and 60AD OFFICE USE ONLY Lot a.. Block ? Sec./Sub. &;?nfrT2.Fxect X Occupancy 7--3 Parcel #: /D -1?;30v -va3-44e19hts zalter zoning R-1 ' J Repair Fire Zone N A oaner: ??Gb 1? 11',9i??J'? ?./,?4I?1??N65 Enlar9e TYAe of const. 5L Mo Address: ]--Z,?G?-'1?1/A _?cL ve # Stories ft. Demolish Front c.ity/zip coae: ,CA6 Rr? Grade - Depth «, ft. Phone #: _ Zf 3 k- Contractor: '-Jf}/J') E' Address: City/Zip Cbde_ Phone #: Arch./Eng.. _ Address : City/Zip Code: Phone #: APPROVALS r? Assessaients Peintit 128. - ?aater/Sewer Surchange 9'ey Police Plan Check - Fire SAC _-- Eng, Watex Conn. Planner Water Meter - Council Road Unit Bldg. Off. APC TarAL )37,20 CITY OF EAGAN ' 3795 Pilot Keeb Rwd Eagan, MN 55132 N2 4789 ` PHONB: 4548700 BUILDING PERMIT APPLICATION $47 000 Receipt # o _ao _ . , , Te 6o uead for Sf DwLg, d Gargat. Volue Dote Mpy L0178 , 19-- Site Addreu 2960 Inland Rd. Erect [f Occupancy I Lor 2 B lock 4 Sec/Sub. Country Home HghtAter p Zoning RL parcel .fk 70 1 R900 097 04 Repair ? Fire Zone 3 E l f C t V T n arge ? ype o ons . w Name Donald Cummines Move ? ?r SMties ? Addreu 401 E. Bunrsville Demolish ? Front SZ ft. o C. Burnsville ?ane 890-9447 Grade ? Depth 28 h. ? Ncme Martin Homes APpromts Feea _ oE qddre 6901 W. Old Shakopee Rd. "g i-, shrooming on 941-6100 Name S ,MP Address 1 hereby atknowledge thot I have read this application ond state thot the informatfon is crorrect and agree to compiy with all applicable StaM of MinnesoM Statujes,cnd Ciry qf EygQn Ordinances. Signaturo of Permittea N E A Building Permit is issued to• DOn81d Cll[mrt: all work shall be done in o rdance with a pliwble State Building Offitiul ,,,,c + ^tTPr Assessment _ Water & Sew. Potice _ Fire Eng. Plonner - Councii _ Bldg. Off. _ APC Permit 133.UU Surcharge 23.50 Pian check SAC 500.00 Woter Conn. 250.00 Water Meter 60.00 Road Unit 75.00 Total riarcin nom&sthe express condition that Stotutes and City of Eagan Ordinances. i0/S'9 p 0 33586 REQUEST FOR ELECTRICAL INSPECTION ? See in-tmctions (a.compleling Ihis lorm on back of yellow wpy X" Below Work Covered by This Request ee.0aoo1.07 ewlWtl1?l" 7ype0115mlding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric HeaUng Apt Builtlmg Dryer Other (Specify) Comm /Indusirial Furnace Farm Av Conditioner Olher(specity) Contractor5 Remarks' Compute Inspechon Fee Below: X Other Fee # ServiceEntrance5rze Fee # Cucmcs/Peetlers Fee Swimming Pool D io 200 Amps 0 ta 700 Amps Trensformers Above 200 _ Amps Abov _ Amps Signs lnspecror's Use Only: ? TOTAL Irrigaiion Booms ?? J7D• ? Speaallnspec6on Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 ONTHS. I, the Electrical Inspector, hereby cerhiy that ihe above inspe......... s been made Rmiqn-rn F,nai f Date AG G oa?e OFFICE USE ONLY 1 This request voi0 18 months from io/s/sv Request Date p - 0 16 - Fire o Rough-i pection R q tl El Reatly Nav ?WAh ?WOor , e tl 1 J 7 Yes ? No en a y IEl hcensed contractor Xowner hereby request mspection of above electrical work at Job Ftld r.ess (SVeet, Box or qoute No ) a 960 =n la.?A I?oac? City ? SecLOn No • Township Name or N. Range No CouMy DQka-? OOc pant(PRMT) ) Phon e No 1 'r P? 0-4 a-- u. m? n 457a - 7 3ff Pawer Supplrer Adtlress ov5 !' Elecincal Conlractor ICOmpany Name) Contractor§ License No Meiling Atltlress (GOnhaclor Or Owner mg Instailati Mdk on) 460 .T n Q a.t, N 5S/.Z / Authorrzetl naWre (COnrcaclor/ ner Makinq InstallaUOn) ? Phane Numbar 5 I, 3 B- MINNESOTA STATE BOAPD OF ELECTflICITY THIS INSPECTION REQUEST WIIL NOT Gtlggs-Mldway Bltlg - fioom S173 8E ACCEPTED BV THE STATE BOARD 1821 Univerelty Ave, St Paul, MN 55104 UNLESS PPOPER INSPECTION FEE IS Ptrone161]) 6024800 ENCLOSED This request void 18 months hom Co? 4,' 68293 Date of this Request -?- ? 8 - 1, as ? Licensed Electrical Contractor wner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route Section Township Which is occupied by v Range County.C,Q..?i--?J Is a roughin inspection required on this job? No ? Yes El' 7 Ready Now O Will Call tr"? Power Supplier Addres,,.? ?' _ O Electrical Contractor ? Contractor's License No. _ (Company Name) Mailing Address ? Authorized Signature Phone No. 9' jEleCtrical Cont actof or Ownef Mak IFng Thls Installitlon) ; (?? /,? ?f2 ?0??? ?,Q?? This inspection request will not be accepted hy ffie ? f?,\ !f 6. Stxte Board unless proper inspection fee is enclosed. minnesota State tSOartl ot tlectricity 7954, University Ave., St. Paul, Minn. 55104-Phone 645-7703 *REQUEST FOR ELECTRICAL INSPECTION p}? CI?ECK BELOW WORK COVERED BY THIS REQUEST ? (" 6829 'Pqpe of Budding New d. Rep. Check Appliances Wired Fox Check Equipment H'ired Fo: Home ? ? Range ? Tempoiary Wiitng ? Duplex ? ?? Water Heatei ? Lighting Fixtures ? Apt. Bldg. ??? Dryec ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ?? ? Au Conditionet ? Bulk Milk Tank ? Farm ? ? ? List ) Lis[ ? COMPUTE INSPECTION FEE BEL0WR??V A{`tk CI F`I V Service Entcance Size: # Fee Feed &Su C'vwhs: # Fce 0 ro 100 Am s. Am eres 0[0 30 Am eres 101 m 200 Amps. 0 Amperes 31 to 100 Am res Above 200_Amps. 4 0 Amps. + Abore ]00 Amps. Transformers ontrof Cvc. Remote Partial or other f ee Si ns nspection Minimum tee S5.00 Remazks TOTAL FEE I, the Electncal Inspector, hereby certif the v ms{xction has been madet?_ (Rough-in) Date //-1 ? (Final) Date 7- This request void 18 months from ` Thl?. request void 18 months from IlD 4?+?`? Date of this Request ? P 3 2 8 3 0 I, as ? Licensed Electric Contractor Owner, do herehy request inspection of the above electri- cal wiring installed at: ( / l ( Street Address or Route No. y2 94? Tia/ Gf9nl d? D N/Q City fA9 Section Township Range County ? A krd- o A ? Which is occupied by Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ? Power Supplier 3 Address Electrical Contr?rtnr ??-?" 9 Contractor's License No. _ (Companv Nama) Mailing Address w,Phone No. Authorized Signature (Electrical Contractor or Owner Makl ThIS Instaliatlon) STATE BOARD COPY Minnesota State Board of Electricity 11 • 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 . REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST p 32830 Type ot Building New Add. Rep. Check Appliances Wired For Check Eqtipment Wited For Home ? 0 Range ? Temporary W'ving ? Duplex ? ? ? Water Heater ? Lighting Fixtuies ? Apt. Bldg. ? ? ? Dr} ? Elechic Heating ? Commercial Bldg. ? ? ? Fumac . Silo Unloader ? Industrial Bldg. ? ? ? ` AirGoKdi " 11 . ? Bulk Mdk Tank ? Fazm ? ? ? List'i ? List ) Other ? ? ? p HeheISi p } Hehersl COMPUTE INSPECTION FEE BELOW Semice EnUance Size: # Fee Fceders& Subfeedecs: # Fee Crccuits: # Fce 0[0 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am e:es Above 200 Amps. Above 100 Amps. Above 100 Amps. Transfoimers RemoteControlCirc. Paztialoiotherfee Signs Special lns ction Minimum fee $5.0 ReM§P- ,;N? ,;y?ry= ? 7`-' TOTALFEE ? l / W I, the Electrical Ins ctor, here6y certify that the above (Fmat) - This request has been made. Date LPate ? %3 -z INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: Control No. 0707 BUILDINCa ", 000896 06/25/92 SITEADDRESS: Lor: 23 2960 INLAND RD COUNTRY HOME HEIGHTS PER MIEC?UBTYPE: ...REMARKS: RECEIPT N 1- sLocK: a APPLICANT: CUMMZN6S DONALD (612) 452-7838 TYPE OF WORK: NEW ? 1 CITY.OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT ? PERMIT TYPE: Permit Number Date Issued: SITE ADDRESS: 2960 INLAND RD LOT: 23 BLOCK: 4 COUNTRY HOME HEIGHTS DESCRIPTION: 8uildin9 Permit Type OECK % 8uildinc},Work Type NEW Building Lgngth 20 % Building Width 33 s, ; ?i -?l?t ?? F ???-? ?L• ?! ? l, i , ? REMARKS: RECEIPT M FEE SUMMARY: 8ase Fee ;25.00 Surcharge $.50 Total fee $26.50 CONTRACTOR: BUIIDING 000896 06/25J92 OWNER: - Applicant CUMMINGS DONALD 2968 INLAND RD EAGAN MN (612)452-7838 Z hereby acknowledge that I have read this application and state that the information is correct and agree to comply w3th all applicahle State of Mn. Statutes and City of Eagan Ordinances. L N.-.,....,,.--. APPLICAITEE SIGNAT? . ?RE fintin ? ISSUED BY: ?a?A I ]7' IGNAT RE Control No. 0707 1 PERMIT N REACTIVATE . ? r.? CITY OF EAGAN so 1992 BUILDING PERMIT APPLICATION 681-4675 .I U k 221 Reco fI #0,,10._111 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sgts of architectural 8 structural plans, 1 set of specifications, 1 copy af energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested on e ermit is issued. Date ?? Valuation of work VdUU• I(? Site Address: `??'?D ?/?/LHi?? ?097 ???96fti?/ 0;?-'Jrl/ .?C57oq- STREET gUi1E K Tenant Name: (commercial only) LOTb''22 3 BIACR L SUBD. COy?? )14ne ? - p,I.D. M / C Descri tion of work: C- The applicant is: Owner ? Contractor ? Other (Describe) Name _ eGlh'J r?I )17/bs' Phone Property LA:T FIRST Owner pddress ,29?6 ' STREET STE N City rA6en",? State 4)?7n/ Zip M'2V_ Company Phone Co ntractor Address License # Exp. City State Zip Company Phone ArchltecU Engineer Name Registration # Address City State Zip Sewer 3 water licensed plumber Processing time for sewer & water permits 1s 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 all applicab State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: L OFFICE USE ONLY BUILDING PERMIT TYPE ? O1 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE tn' 31 New 0 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterations 0 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory 0?14 Fireplace ff15 Deck ? 35 Tenant Finish ? 36 Move , O 16 Basement Finish O 17 Swim Pool O 18 Comm./Ind. O 19 Comm./Ind. Misc. ? 20 Public facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) ' Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump ?1 of Stories Footprint Sq. ft. Fire Sprinkler length :zc,r qg On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site L? Footing O Framing ? Mallboard V?Final ? Draintile ZJ3t/ ? Insulation ? Fireplace Permit Fee 00 v,i,,,tid,: g Surcharge .?. Plan Review License MWCC SAC City SAC Mater Conn. Water Meter . Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Tatal: SAC % SAC Units : 1 J C? u w1 n-i ? ry y,S' .rWL?n-?'?d -- ?Z,?y?,? ?? ;:;-• ? _;•?_-?, /f? ,,•?? Ccurvir-Y E?E=? • ? E.i ?.??_3??r?? ?a7 LnnusUi+vi.voH Itl9?:lnea Unuc? I....f nt TnaSt+fc u1 ML.n.;ois 1JO;iMtAt"; STf;CL ( P.O. FiOY. F,1 • 110S£;.lOU:4T,l.ttNt4L501A fi.fiOuD • PHONG 672 423-1769 SURVEI'Cii'S CERTIfICATE . 0 • / S+5 . ? .,,o ? ? 6 ? • v? i i .- ' . Go ' • , '',?f Fc ' I • • ?2 1 . . ' . "o? -cS, ? ?.?. 0 too O : : ?'DqI • 1?. - „ . . . ..;.,i; . ;. 'PL 2Qc.,? r ?•.8.1'? / / • _ ? Q 1A'?- • . ? - ? , 4;zl -- - --- ` . ? _ .. ,,v ... ? .,_ . r.L' ° • 21;, . J . • `! ?N y '_I F . ^. _! C V i1. O. J . 2J62. ? ? 1' ,t ;?;' •_ l ,` V ?0 J1?1 0 Go .. ? ?`,\? F• 04,qj nnTE 3 D BUILIIIIdG PRRMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. / I J/ aa 1b be used far ??W,?p&aluation 9Da " -a site Addresv. -,960 a4e- . Cu????2y F4 a r?? c Lot ? Block ?? Sec. Sub. NF,yhrs Address yy1 E J3 irtWSUi ttr XTaww ? Contractor nTt'N J/o"h t.i Address D' W- i OLd ' t 'tEJle,?. UI?MlN=-TC-11MM 5-SY13, Arch./Eng. j?147iN t/acar'S Address 4yoi wEST Uid ?Coc?aTTa,v. %rl,+7 SS?3X' Erect Alter Repair Enlarge Move Der,iolish Grade OFFZCE USE pate of Approval & Initial Assessment Q 1`j 8" V7ater/Sewer Police Eire Eng. Planner Council omd. Rldg. Off A.P.C. Parcel Number /d jS300 O.'t/ Oe Telephone gipd - ? ? ?? Telephone , ?y/ -b1dp Telephone '?V/ - 610d OFFICE USE Occupancy j zoning ?J Fire 2one Tyge of Const. # of Stozies Front ? Depth 0-8 FEES JOA Permit ,.3? 5urcharge ? Plan Check SAC v?a water Cbnn. etbv ? vTater_ Meter GO TOTAI, J _ ` •?-t 1 r? ? 0 ri/; u'm y S J I?;1 i q? 7 Couni? Y rl??mx 1iij r'.tf;> -? ? ni ? . , I f, ;7_ LANUSUI/VEYOH Nc9i5laeO VttOr. L."t nf TnaStatc aflAinneso?? IP! S7RCl. ( P,O. BQX P.7 • ROS:'".10UVT, h11hNESOTA 55068 • PI10NC 612 423-17G9 SURVEYCR'S CERTIFICATE ^\ ? 60 100 -r ? 6. ?- - - -- ?- ?9y - -- . ?/ ,7? . • ' s ?tl. ..7.. C a :. S ??• s? I n • m. b 0 ` ? • SEW?P G?? •r/_°e ?, 6u ? Q?Y ? 1•.B.1J ? ? .Jp ?ol ?- v / t oF? .? ? 'r ; i , . ?:t' ••.' ?c? ?•. ?. ?' Y q?E i = 50 . •.? J. .a . , , ' i • O .0 : r??? V 1? . ??•. • ??Y f ?!: ?' / Y y . +/ ???? • ' ? ? . .. 22 .J. /O ... . , • ?' . .. ? ?. r ? •, . , • / . • ?o ? ?%L AJE??J Go O? J??y\ ? _0??? (I -J?.-G?.__/c?_ .,/,• .t_ ' Sl.ll. l. _ ntir:itt.:.uI nicfi.r.l'h:.n?:•?i:,i.r'i?:? ? ? ? i ? ` ; ,: 1?Dn/ ?<I?I?Qt/U C? ?t w?rn ? ryy,s _ ? rWi9,?d' e2d - L ? , . K i?i[ . S.. ?.IAbFV:v N'Z LAP:I.f SVI 2VlYOR H(o.IrjcC Unu, 1.nt of Tno'4l4lc nl Mnncwla 1pp:4 Mi/iIP: $TlIC(: ( P.O. FiQY. PA • RO5Ef•10U:dT, L1!NNCSOTA 5506II • PHON[ 612 423-1769 SURVEYCR'S CERTIFICATE . 5?. \ o 1 . . ?, I . , m. ? • ? ? a c . s : s • Ar p ? ? a?. ' ''' . o • : /'on1 ?k 4Q Q ?1 2 ? P " Z? k , ??/i .rt:??. , • /t dv A 11,55 Litie ? . `•' ' ?.;,?: ?'ii? • , ? ? ' i i;'• . "i:' 7 .ti. ? j. ? ? , • ?. ----? '• ?2p?o... ?, .r... , / ? / L2 • .. r i ?G 2 F ? ? ?.?• .? L'a Gp ? ??? ?\ 0 . • ,? ? "1 ?:.. . ../ ? /' • FtIf:I:l:.ufillUlJ:.I11:.111P1:1?1.l.1/'.l .\ _ ltqlt 1990 BUILDING 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 PLnNS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS 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 L ICENSED PLUMBER. SFP 2 ? To Be Used For:{6-fC1C/) re ? Da model Valuation: te: 7-p7p ??d Site Address .2960 -Lq1Oiy tc1 gd /Sbo OFFICE USE ONLY PQr+s ko+s 1- 2- ?l Lot 09-3 Block FEES Occupancy n .?I I- ? Zoning 1 OD 35 i Parcel/Sub 1„I{,,nA ? ?ryApTL¢? ?f Actual Const -hP ali,?, , t . Bldg. Perm f ) `)? I ? , Allowable Surcharge '00 Owner D6 ?lca W- J?reyx uynmljtGj'v # of stories Plan Review f Length SAC, City Address pZq(?D ? Depth SAC, MWCC S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter Acct. Deposit Phone •7 fi'3ff On site sewage_ S/W Permit On site well _ S/W Surcharge Contractor e- D Q e CC System _ Treatment P1. City water Road Unit Address PRV _ Park Ded. Booster Pwnp Copies ..SZ> City/Zip Code /a Z SUBTOTAL APPROVALS Penalty Phone 7`) O7 - ??p Planner TOTAL ?L?sQ Council Arch./Engr. Bldg. Off. Id3 Variance Address City/Zip Code Phone # PLEASE COMPLETE FOR GLE FAMILY WELLINGS. ALSO, FOR TOWNHOMES AND CONDOS VVHEN PERMTTS REQU OR EACH UNTT. ----------- - ----------------------- --- - - ---------- ---- - ------ -?,NEW CON5'I'f; 'UCTION mYdp1?". .? A?AT FURNACE /?` FIREPLACE INSERT DATE f lJJ3-Rj 3.00 EACH) CONSTRUCfION) FEES $? 6. $ 20.00 .50 SITE ADDRESS: 02 g lo O/? /q'n o/ A/ OWNER Nt1ME: r-' 4-r, ?: ??2 TELEPHONE #: ys? -7 e 3 d' HVAC: 0-100 M BTU ADDITIONAL 50 M BTU INST. ADDRESS: • -....__.... ....- --... CTTY: STATE: ZIP CODE: TELEPHONE #: SIG?AT'UR-F' F PERMITTEE 1994 ML(;13A1V1(:AL YEliM1T (KEJ1Dr:1V'17t11.) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 CITY USE ONLY LOT O 3 BL ? RECEIPT#: dd cPCp?-f SUBD RECEIPT DATE: / 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date• -7 (612) 681-4675 Complete this section onlv if vou are installine HVAC in single familv, townhome, or condos that are under construcHon and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BN 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section oniv if vou are remodelina addine to or renairine eaisting sin¢le familv dwellings, townhomes, or condos. ? Add-on furnace _ Add on air conditioning _ Add-on air exchanger, i.e. Vanee system, etc. _ Other Minunum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge .50 Total: $ 20.50 SITEADDRESS: a?(??0 ?C)aj OWNER NAME: brY1 Cl.c .VYI /1qLW PHONE #: ?7 S c;-- INSTALLERNAME: vV td-? l Ck-s(SN fl x_G??--(?'c/? PHONE#: 7'So? - a 7-I1 STREETADDRESS: G CIT'Y STATE: M "j ZIP: 5S/ ?)- --)- ? ?ry -74-- /kv SIGNATURE OF PERMI E 49AICM-a OF Ii WRTD?G REQUFST FOF, L':ILITY DII'ROVENIE[9TS S/F;s hereby request og the City Conncil, City of Tagan, Mir,nescta, utility impmvements on and over property vwmed by me/i:?r rS tolZco-as: (N,en±.ion ty)?e of i,.jpirovement, e.g. water, aanitarY sew.pr, etc. } ';aie locatian of sa5_d utility improvements shall be 4enexa=1l ss L:.il.etr. Lot 2, Block 4, Country Home Heights 2960 Inland Avenue, Parcel # 10 18300 021 04 $280.00 I/53a hereby vJaive notice of any and all hearinqs necessary for the installation of said impr.vvements and fuYther consent to any as=es.Y,?r;:s nec-ssaxily leried by the City of Eagan fer sLch inProcon°nts• I/:de further agree to grant to the City of Eagan any easemcnts rFc?s- cary for the installation of such impmvements. 7t is further understood that this request shzll be revie*aed by the Ci+-p Co.;ncil of The City o£ Eagan or its aqent and I/We will be given reascnable notice as to whether this request is possible under Pz'eEent utility plznnin4 as to timing, locatiAn, et c. ^ Lated: Mav 10. 1978 SigaaL•ure No1 F 3Hrtrusv,(tr l'noss ?cwrv -s)S Z u K n.s v; L t N./Wrl,.. s? 3 3 Rsqies* accected C`!ty o£ Eagan DaYe Request referred to City Admi.nistrator: Date Copies: 1. City Administrator 2. Applicant August 25, 1978 M. Pederal 3880 Sibley Mam Hwy Sagan, MN 55122 Attention: Tom Schammer Re: Parcel # 10 18300 022 04 023 04 Dear Tom: This letter is to conttrm that the assessments for Lot 2, Block 4, Country flome Heights have been assigned to the new parcel # 10 18300 023 04 mhich rapresents the assessments for the original Lot 2. All the assessmants for Sot 1, Block 4, have been paid therefore, as of now Lot 1, Block 4, is free of any assessments Contact me if you require additional information. Sincerely, Ann Goers Assessment Clerk R E S O L U T I O N CITY OF EAGAN WAEREAS, a reqular meeting of the Eagan City Council was held on May 2, 1978,at 6:30 p.m., all members being present, concerning the application of Donald Cummings for waiver of subdivision requirements under Eagan Ordinance No. 10 covering the following described premises: as attached WHEREAS, the Council waived the requirement for a public hearing before the Advisory Planning Commission because all neighbors had consented to the waiver of plat, NOW THEREFORE, upon motion of Smith ?seconded by Parranto all Council members voting in favor except: Egan who abstained, it was RESOLVED that said application for waiver of subdivision requirements covering the above des- cribed premises be, and it hereby is, approved. DATED: MAY 2, 1978 . CITY COUNCIL - CITY OF EAGAN EXEMPT FROM STATE DEED TAX STAMPS By: ayor C E R T I F I C A T I O N I, Alyce Bolke , Clerk of the City of Eagan, Dakota County, Minnesota, do hereby certify that the foregoing is a true and correct copy of a RESOLUTION adopted by the City Council of the City of Eagan, Dakota County, Minnesota on P4ay 2, 1978. DRAFTED BY: ?, u City Clerk CITY OF EAGAN City of Eagan 3795 Pilot Knob Road Eagan, MN 55122 (SEAL) PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA090614 Eagan, MN 55122 . Date Issued: 08/11/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 2960 Inland Rd Lot: 023 Block: 4 Addition: Country Home Heights PID 10-18300-023-04 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Donald G Cummings 1920 County Road C West 2960 Inland Rd Roseville MN 55113 Eagan MN 55121 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA091679 Eagan, MN 55122 . Date Issued: 10/19/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 2960 Inland Rd Lot: 023 Block: 4 Addition: Country Home Heights PID 10-18300-023-04 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Donald G Cummings 1920 County Road C West 2960 Inland Rd Roseville MN 55113 Eagan MN 55121 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r_--^------------- 1 For Office Use, 1 Permit City o Eap I Permit Fee: ~ 3830 Pilot Knob Road" I Eagan MN 55122'" Rate Received: Phone: (651) 675-5675 ;staff: i Fax: (651) 675-5694 2012 MECHANICAL PERMIT APPLICATION Date: 6/15/12 Site Address: 2960 Inland Road Tenant: Don Cummings Suite Name: Don Cummings Phone: 651-452-7838 RESIDENT / OWNER Address/City/Zip: 2960 Inland Rd, Eagan, MN 55121 i3 Name: K&S Heating, Air Conditioning & Plumbing L LC License :0 5 CONTRACTOR Address: 4205 Hwy 14 W City: Rochester State: MN Zip: 55901 Phone: (507) 282-4328 Contact: Heidi J Brown Email: hbrown@ksheating.com New XX Replacement Additional Alteration Demolition .TYPE OF WORK Description of work: NiJTE*. Roof mounted. and ground mounted mechanical equipment is iequired to. be screened by City Code :Please contact the Mechanical Inspector,for information. on, permitted screening methods. RESIDENTIAL. COMMERCIAL Furnace _ New Construction _ Interior Improvement PERMIT TYPE XX Air Conditioner _ Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under I Above ground Tank C_ Install 1 _ Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ 6 0 . 0 0 TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank Installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permft 1"ee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit fu is > $10,010, surcharge Increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.stonherstateonecall.orn I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan In the case of work which requires a review and approval of plans. Rick Keehn x 41 Applicant's Printed Name Applicant's igniture FOR OFFICE USE,..:. . . Re.quired.lnspectlons Revlewed. By Date inderground.: Rough In AIr.Test Gas Service Test In-floor Heat Final HVAC.Screening Use BLUE or BLACK Ink �� -----------, , ��(�rE�v�� For Office Use I I � I �� of�a � NQ� 2 u �0�5 � Permit#: � � � !� � � � Permit Fee:tW� � �� I 3830 Pilot Knob Road I � Eagan MN 55122 I Date Received: � � � Phone: 651 675-5675 � � i Fax: (651)675-5694 � Sta ______________j 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 11/17/15 SiteAddress: 2960 INLAND ROAD, EAGAN, MN 55121 Tenant: Suite#: 4�a��r� �� r��"�"' � Name: DON CUMMINGS � Phone: 651-452-7838 1�$t#��1'i��1W�leC�=x� � ��r�� - � � � '�� Address/City/Zip: S�E - �``�� K&S HEATING, AIR CONDITIOING & PLUMBIN PM059513 � Name: �icense#: Address 4205 HWY ;C�i"!il'dG�fk1`�;�� ( State: M� Zip: 55901 Phone: 507-361-2332 �9A' �4- - " . ' . � �, � �,• �' f�� Contact: HEIDI BROWN Email: HBROWNCKSHEATING.COM � � <<. ., ,��-��;k _New X Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. - - u� Descriptionofwork: �� - _ „� RESIDENTIAL � � � y'' � � � � - - 1� _; �� X Water Heater �� Water Softener E ,� � � � � Lawn Irrigation�RPZ/_PVB) Perrr�it TyRe ; Add Plumbing Fi�ctures(_Main/_Lower Level) _ � � �d��, Septic System "d�� e� — New Water�Turnaround � � �� pi AO��ii,— i ��u . . �` �"= �� Abandonment � � RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) 'Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 6 0.o 0 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. wvwv.aoqherstateonecall.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 approval of plans. �-- X DAVE OFTEDAHL X ApplicanYs Printed Name Ap n Signature �� — �� tr ��dC k ;��r� � ,� � � ad o �� Ft�I�t7FFI�E U.SE Sr` „ f��VC��iI@C�E3af k, ��n �8a� [3��t m � �` /y f�( y��.( �+.h h y� ■ �� (-� C i{'��{« �,t�� t� ,�W . R.,u�r ,{�� 3 .�_ = 1�-� �Il��tiE�NE�G�4'�tT�.�Y�l�� d �V�*'ii�l�l,��y� (�4j x��u�� LIw_ , . �,��'�P : — Ilit � _�`� �G� _ F � R�1.iC��'1'�Ft r he r �—�� _� ��a�`��''��'�'� ��t�� : � ! D� �, - ��h�� r ��+Gi ' E �d�4a : � i _ a ax,'jpI — i� �� '�dt�N� p�� _ _ , _ � ��a� �'� �� - - �nr�� n— r�, � p y� � ,,,, ��lt� N u� .��t"}��P.��1115 ��f�IZ��ad4��s�i�l��.c��•'�• ��'df�Ui„�1�tE#I h�'�� ' N.n�r��'� =.,�ti�� F��- �: � a . .<< �„� _ �s _ ,,.�. ,.��,.- ,,, a v .�� —a , �-� PERMIT City of Eagan Permit Type:Building Permit Number:EA145748 Date Issued:09/25/2017 Permit Category:ePermit Site Address: 2960 Inland Rd Lot:023 Block: 4 Addition: Country Home Heights PID:10-18300-04-023 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald G Cummings 2960 Inland Rd Eagan MN 55121 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA153306 Date Issued:12/10/2018 Permit Category:ePermit Site Address: 2960 Inland Rd Lot:023 Block: 4 Addition: Country Home Heights PID:10-18300-04-023 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald G Cummings 2960 Inland Rd Eagan MN 55121 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159435 Date Issued:12/17/2019 Permit Category:ePermit Site Address: 2960 Inland Rd Lot:023 Block: 4 Addition: Country Home Heights PID:10-18300-04-023 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald G Cummings 2960 Inland Rd Eagan MN 55121 (651) 452-7838 K & S Heating, A/c & Plumbing Llc 4205 West Hwy 14 Rochester MN 55901 (507) 282-4328 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171132 Date Issued:08/03/2021 Permit Category:ePermit Site Address: 2960 Inland Rd Lot:023 Block: 4 Addition: Country Home Heights PID:10-18300-04-023 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald G & Karen T Cummings 2960 Inland Rd Saint Paul MN 55121--131 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176849 Date Issued:06/03/2022 Permit Category:ePermit Site Address: 2960 Inland Rd Lot:023 Block: 4 Addition: Country Home Heights PID:10-18300-04-023 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald G & Karen T Cummings 2960 Inland Rd Saint Paul MN 55121--131 Minnesota Exteriors Inc 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature