1780 Gold Ct
Use BLUE or BLACK Ink
I Foi Office U City Of l Eap Permit
I Permit Fee:
3830 Pilot Knob Road I I
j Date Received:
Eagan MN 55122
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1 Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:.'] 9r0 G o I & C*t. Unit
RESIDENT Name: CL-,2 1 6 raA Phone: (E, ~t'2? 6 ~35 2p
/
OWNER Address / City / Zip: )II-go o l dL c4--
Applicant is: Owner ✓ Contractor
TYPE OF WORK Description of work: 6 ti! v-4- w s ~ ~,.g s C,.
1_1 y
Construction Cost: 121q O Multi-Family Building: (Yes / No )
Company:-j-16A. W 1'4 &5w &IAn_o Contact:2Q-:~K f+i ~I
G is c-i 5 City: IK4,,,
CONTRACTOR Address: 515-2
State: 46.0 Zip: ! S3s Phone: Ct Sz '~3 ~C'oa e~ S
License Zal k-7 Lead Certificate
Does this project require Lead Remediation? ❑ Yes ❑ No (see Page 3 for additional information)
If no, please explain:
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:
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 the are trade. secrets.
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.gopherstateonecall.or-q
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_ 224-OL" x
c Ll 4;&
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA081035
Eagan, MN 55122 . Date Issued: 11/13/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1780 Gold Ct
Lot: 21 Block: 6 Addition: Cedar Grove 6th
PID 10-16705-210-06
Use
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Ashley Orman
410 W Lake St
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Standard Heating & Air Conditioning Cheryl Grady
130 Plymouth Ave. N 1780 Gold Ct
Minneapolis MN 55411 Eagan MN 55122-1619
(612) 824-2656
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
cirr oF EA"N
3795 ?ilet Knob Road Ee9en, MN 55122 8428
PHONE: 434-8100
?
BUILDING PERMIT Receipt #
Te be wW for r? AJPI1I -, Est. Volue ' 7 1 Date 19
Site /lddreu „o c ,c,«rt: Erect ? Occuponcy
Cc=33r Grove ? t" I
1 C
Lot Block S
ec/Sub. Alter p Zaniny
Porcel # l')- 1.5705 -11I.0-`1F Repoir ? Firc Zone
Enlo?ye Type of Const.
09 ; era •: nsaan
Nome Move ? # Storiqs .
Z
? 17
:0 Gu u Caurt
,?ro?
Demoliah ?
Length
_... 5222 454--1580 Grode fl Depth Sa. Ft.
? Name ........ . ... ,. 1,.11 _ -,._ I-.,.L
o? t:Ox ..VCa. ?O.
? /lddress
7. '1
r?.., o?.,,..-
Nome _
Address
1 hereby acknowledge thut I hove reod this opplicotion ond state thot
the informotion is corred ond ogree to comply with all applicoble
Stote of Minnesota Statutes and Ciry of Eo9an Ordinances.
Sipnoture of Pemnittea ,. I. r - 4 ?
A Building Permit is iuued to: \
all work shall be done in eccordarite,viifh oll appliooble Stnte of Mir
8uildinfl Officiol
Approvols Fee•
/lssessment Permit '
Woter 8 Sew.
Police Surchorqe
Plon check
Firo SAC
Enp. Woter Conn.
Plannar Woter Meter
Countil Rood Unit
Bldy. Off.
APC Toral - '
on tlx sxpress wndition tlxa?
Stotutes and Clty of Ea9on Ordinances.
r <.. •,,, ? .r r ? . „ .
^.lr'iha' -='?.F:... z:`?• -. in.. . ..,._... - ? ? .. . . -- -. ?- st,-. . . .
. _ c
Psrmit No. Parmit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
WNI
Water
Disp.
Sftwer
Electric ? /? •
Inspection Dste Insp. Other
Footiegs _ ?C.
Foundation
Framinq a
Rough PI6p.
Rouph HVA .
Inwletion /(,
Final P16y.
Finsl HVAC
Final ? ?
p
Water Desaibe Lo i .
Well
Sewer
Pr. Disp.
CITY OF EAGAN N• ? g4?iS
4795 Pilot Knob Raed Eagan, MN 53122
PNONEs 454•8100 1r/k7
BUILDING PERMIT I Receipt #
Te 6a wed Iar DWG. ADDITION Est. Volue $11,000 pme August 31 _ 1 y 83
Sita Addreu 1780 Gold Court
Erect
?
Occuponcy R-3
Lor 21 Biock 6 Sec/Sub. Cedar Grove 6th Altef 0 Zanin9 R-1
porcel # 10-16705-219-06 Repair ? Fire Zone NA
Enlorge 11 Type of Const. Vn
W Name Gerald Kinsman Move ? # Stories
z Address 1780 Gold Court pemolish ? Length 16
C;r„ Eagan 55122 p,,,,,,, 454-1580 Grada ? Depth 20 Sq. ft.-
o IN.m,, H? Mar Construction
?i Address 821152 Knox Ave. So.
? r:... Bloomington o1___ 888-2572
Nnme _
Address
1 hereby ocknowledge thot I hove read this applicofion ond state thof
the inlormation is correct and oAree to comply with all opplitable
Stote of Minnesota Stotures ord Otv of Eaaan(Ordinonces...
Signature of Permittee
' am ar on tr
A Buflding Permil is issued to:
all work sholl be dane in occordonce all oppiicaVe State of
i
Buildirp OfHcial
Approvals Feea
Assessmenf Permif $6.50
Water 8 Sew. $urchorge 5.50
Police Plan chetk 43.25
Fire $AC
Erg. Water Conn.
Plunner Water Meter
Council Road Unit
Bldg. Off.
APC rotal $135.25
on the express conditlon Il,ni
Statutes ond City of Eugon Ordinances.
C TY OF EAGAN Include 2 sets of plans,
•__• , ?? ? 1 site plan w/elevations &
, gj„?p A ..n? BU7LDING PERMIT APPLICATION
' 1 set of energy calcu7.ations.
K
7b Be Used Fbr ?,0.?-? 1??
? 46`2, Valuation ?
I I EXn? Date
Site Address 1-7 tb a I4 C?. OFFICE USE ONLF
Lot a\ Block co Sec./Sub. c???6?06 (.,,Erect Occupancy 3
Parcel # : 16 " [(0 -7 O S - Pi O - 6 (?o Alter zoning
Owner: ?L=)L /d Repair
En7.arge-:?n Fire Zone
7ype of Const. --
Acldress: copICL C?- MOve # Stories
Dernolish Front M ft.
City/Zip Code: F-ja fA?c J?dJ ;,ii.i/ Grade Depth
Phorie #: S O
i APPROVAI.S FEES
'
Contsactor: t7 A?yy ?? Y[ ?? Assessa?.nts Permit l
Address: 9`2-r,, 2 JeAu eX A C1 E= S z? water/Sewer
police
City/Zip Cocle: Sj S/;tlFire
Phone # : gng,
Planner
Arch./E7ig.: c Council
Bldg. Off.
Address• Ou.?ru L? APC
City/Zip Code:
Phone #:
Surcharge
Plan Check
SAC -?
Water Conn.
Water Meter
Road Unit
'ICyi'AL ? ?? ?
EAGAN TOWNSHIP
. BUILDING PERMIT
.
o..o.= ----..... .-e.-------..?,----?---- ----- .C.'$.-=......
Addreu (Preunl)
Buildes
Addrass
? A-47C-J
oi
DESCRIPTION
i Heighi Est. Cost Pe
LOCATION
lion I La!
,3 - ?. ' 1 3.+.
?
N° 1922
Eagan Township
Town Hall
as:e ------- -r....??.../...P ?d".
A) " ,d.c..i+,t. ?"2^
or
& .. 1•, ?'1t G
This permit does not au2horise !6e use of streets, roads, alleps or aidewelks ndr does it give the owner or his agenl
the righf !o aeale aap siivation which is a nuisance or which presenfs a haaard fo the healih, safetp, conveaienae and
geaeral welfare !o anyone in the communifp.
THIS PERMIT MUST BE E?C PT ON T}IE PREMISE THE WOAK SS IM PROGAESS.
? ,
This i4 fo ceslit7. 2ha1..----'!c--..?''15......._ ................._..has permusim !o ereci a. .......... -___. ....
the above described premise subjecf So the provisioaa of the Building Ordinance fo?Eagan wnship ad !ed April 11,
1855.
.............. ...?'?..... .?..??'.1-.°.....----------. Per _...__... ....
?c".._..lx.:-""ri ....?.?L:-? .............
, Chaian of Tnwn Board 8uilding rInapecior
4• B.
CITY OF EAGAN Remarks Sew & wtr permtis 2nd wtr eonn, pd. 11-2'
Addition Cedar Grove #6 Lot 21 B1k 6 Parce1 10 16705 2
owner L 4 ' " Ci.4 'dCA W-1 1780 Gold C3". 10 16705 210
Street State
?'f t-r
Improvement pate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING .
SAN 5EW TRUNK
SEWER LATERAL 79 ?O 72.00 20 Paid
WATERMAIN
WATER LA7ERAL 1970 20
WATER AREA
#STORM SEW TRK 1970 20
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200.00 1094 12-2-68
BUILDING PER.
sa,c 200.00 1094- 12-.2-
PARK
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?
651-681-4675
New CansWdion Reauirements
• 3 reg'stered srte surveys shaxing sq. R. of lut, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & xtlndow sizes; poured fouM design, etc.)
• 1 set of Energy Calculations
• 3 co0ies of Tree Preserva6on Plan H lot platted afler 711193
• Rim Jaist DeWJ Optans selectbn sheet (bldgs wilh 3 or less units)
DATE I/g6 /O '/?
SITE ADDRESS
TYPE OF WORI
iULTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
APPUCANT M ' N`s?S \ l?m'S?2?oo?
STREET ADDRESS I,9360 ?'U?Q•c ??&V a' CITY GYhV IJ'L STATE MN ZIP 55337
TELEPHONE # 9? 88g'a?900 CELL PHONE #?/:?-a')3 -9?(oq FAX # 95a-8y6 -077I
PROPERTYOWNER ?e'(rj ??VCl---tmQV1 TELEPHONE# 651''?5y-126
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNp:SOTA RUI.ES 7670 CATEGORY I MINNFSOTA RLZES 7672
(J submission rype) • Residential Ventilatlon Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalculaGons Submitted
Plumbing Contractor:
Plum6ing system includes:
Mechanical Contractor:
Mechanical system indudes:
Sewer/Water Conhactor:
Air Condilioning
_ I-Icat Recovery Systcm
Fee: $90.00
Phone # =- ?
i ree: $70.00
Phone #
r. _-- -----_
I hereby acknowledge ihat I have read ihis application, 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
Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
RemodellReoair Reouirements
• 2 copies af plan
• 1 set of Energy Calculatbre for heated additions
• 7 site survey for exterior addAions 8 decks
• IMicate it home served 6y septic system for additions
VAIUATION / l) `7yY °q b
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE 11-3-93
HVAC: 0.100 M BTU
ADDITIONAL 50 M BTU
GAS OLTTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExisT[NC coNST[tucnoN)
STATE SURCHARGE
TOTAL
Replace existing furnace
SITE
1780 coia ct.
FEES
$ 24.00
6.00
$ 15.00
.50
$15.50
A4? ?
OWNER NAME: Jerrv Kinsman TEI,EPHONE #: 454-1580
IIVSTAI.LER: FRIDRICRSON HEATING & AIR CONDITIONING, INC.
ADDRESS: 3650 Kennebec Dr., #101
CITY:
s
STATE: '`'N ZIP CODE55122-100
TELEPHONE #: 452-2775
Eagan
SIGNA E OF PERMITT1993 MECHANICAL PERMIT (RESIDENTIAL)
,1_ ea
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
. - ?
EAGAN DDWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATETt SBRVICE CONNECTION
Date: 414 71,-g .? Number: I qo
Billing Name•
Owner.
Plummber: C'.YyK ,
Meter
NO iTotal Chg.
Building ia a;
Residence !
Multiple $o, Unita
Commercial
Iadustrial
Other
Site Address: 21-4^6 /2,A).P/_.A&at'l
Billing Address
Meter No, lPermit Fee 7.50
Meter Reading iMeter Dep.
Meter Sealed: Yea, 'Add'1 Chg,
Inspected by
DaCe
Remarke:
Hy:
Chief Inspector
In consideration of the iasue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of fiagan Township, Dakota County, innesota.?
By: v
s
Please aotify the above office when ready for inspection and connection.
EAGE4d TOWNSHIP
3795 Pilot Kaob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SL47ER SERVICE CONNECTION
DATE: l//? 7/?? y NLMER
OWNER: • Address
PLUMBER TYPE OF PIPE
DESCRIPTION OF BUIIAING
Industriall Commerciall Residential I Multiple Dwelling I No. of units
By.
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulationa of Eagan Township, Dakota Co7&2::L , Minnesota
By, &'
Location of Connectiona:
Cannection Charge 200.00
Permit Fee 7.50
Street Repairs
Total
Inapected by:
Date
Remarka•
Please notify when zeady for inagection and connection and before any portion
of the work is covered.
_ city of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECH
DATE: AUGUST 25, 1993
SUBJECT: STREETLIGHT ENERGY COSTS
CEDAR GROVE NO. 6(141 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition
as listed below:
Block 1, Lots 1 1
Block 2, Lots 1-8 8
Block 3, Lots 1-18 18
Block 4, Lots 1-11 11
Block 5, Lots 1-9 9
Block 6, Lots 1-53 53
(LOts 54 through 61, Block 6, should not
be billed at this time)
Block 7, Lots 1-12 12
Block 8, Lots 1-18 18
Block 9, Lots 1-11 11
TOTAL 141
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
% :6
Ed KirSCnt Sr. Engineering Tech
cc: Mike Foertseh, Asst. City ERg.
EK/je
9y&
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.
56,50
Date 6 I a/ I 0?,,
Site Street Address (60 6 4D
Unit#
Property Owner CAee Telephone #( )
Contractor zduvj2z!? '004B6 - f{j6 - ?oGi,ud - ?&cQf'r%w+4relephone # (6S/ ) Y6.2 -/565
Address? City 1f&64sJ _ State ,44AJ Zip 5?rl-Jl
The Applicant is: _ Owner SC Contractor _Other
Alterations to existing dwelling
X,Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
Water Turnaround (add $121.00 if a 5/ meter is required
Other. ?i,?'?i?()[)vw .CAMC16Y, $ 50.00
Water Softener Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total
$ ? SD
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
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
(o0 l 3830 Pilot Knob Road, Eagan MN 55122`
Telephone # 651-675-5675 FAX # 651-675-5694
Telephone #(
New ConsWctlon Reauirements RemodeVReoair Reauirements O?sE OnN Tj. ?-
?
3 registued site surveys shaving sq. ft oF bk sq. tL of house: and all roofed areas 2 copies of plan Ced of Survey Real _ Y_N'
(20%maximumblcoveregeallowed) lsetofEnergyCalculaGonsforheatedadditions TresdfresPW qXGd
e
dhisii
? -?Y_D{
`
?
`
Y
2 wpies of plan shawlng beam & window sizes; poured found desgn, etc. 1 site survey for addibons & decks q
T(e?.
(e,?, R ?
-
.
-
,
lsetofEnefgyCalculatbns AddiG'on-indkafedonaffesepG'csystem Dn_-si?.SeQti_c*lem_ : `
;,
3 copies of Tiee Preservafbn Plan'rf lof platled after 711193
Rim Jaisl Defail Options selec6on sheet (bldgs with 3 or less unils
Date ? / -20 / 4 ?/_ Construction Cost 01,2. .2,2_5•
SiteAddress /7910 6-acp &v)¢r Unit/Ste #
Description of Work BQdO.cO rn 4 0+i-ifgoom P-oMOpEs-
Multi-Family Bldg _ Y 1/ N Firepl ace(s) _ 0 _ 1 _ 2
Proper[y Owner C?(' Ry L 6Rh0 y Telephone #((v51) q0$' 939r(p EvE
Wk st- a -
Contractor L ? --
Address City
State Zip Telephone # ( )
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
(J submission type) Su6mitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone{? j?
IIIIILS
Telephone
I hereby apply for a Residential Building Pernut and acknowledge that the infqriuation is`c8*1ete anf 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 pemut, but only an application for a pernut, 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.
Ch?A,1 cw
Applicant' Printed Name
-C,), j ??L
Applicant's gnature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
W 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.
O 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 Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
'W 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire 81dg) - Give PCA handout to appliwnt
Valuation 31 dzD. -' Occupancy iz-3 MCES System
Census Code 0 ° Zoning ?-? City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) 46 FinallNo C.O.
_ Footings (addihon) _ plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final
Pool
Ftgs
Air/Gas Tests Final
? Framing _
_
_
Siding
Stucco
Stone
Brick
Fireplace _ R.I. _ Air Test _ _
_
_
_
Final
Windows
? Insulation _
_ Retaining Wall
Approved By: DYE '+ , Building Inspector
-------------------------------------------------------------
Base Fee . a?
Surcharge c,
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
"37-l t-i . 8?
Jun-08-04 0T:08am Frcm-WAUSAU
P.q6m0Vmm i 10
Mwnbw Daft
DeSCryRwn.
Santldta Loaa'
l.rvs Laad' R plf
pead Loaa. 0 prt
DOL, 115%
Non4tandard Loads
952A852598 T-007 P.02/02 F-420
I d 6 c) i drt-u+ Vlo 7 i?
MarnGer Type. Bealn
Lwe21 Bracmg, Con[inuous
MoaOure Conamon pry
Oetlectqn Cfmrla. tJ144 kw, Ltl BO mml
pecu Connecoon. Naded
qppurauon: Root
SqDe- 00 112
pudding Code: uBC
500" mdX- LL
Mem6erWagM. 11-1 plf -
?
Tr{b ? ? ?
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?
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158
Bearings and PJNZons
MNnNnwn VMOrst Case
O¦oe TaM
• ?yce ? grp, Tom 718K 7
1 ?V OfY' VYib WA 1.50" 3130 1526N QR 79131 313811
Oi 16130 313BM
2 16 775" VYBtl WA 7.50' 31389 75286
Demn spana
19 7.15
yxu¢uCt: 7-0 RiqiaL.m VL 1-3/0 x Y1+8?Q5
io• 9
L
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runimun
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1
.
{?ynSID?d
Allowable SUMs Gesw ,.a.aon
?
? ?
82
7 115%
Ta
PoabreMpnem 14273.T 2mi.a .
30% 14.86 TaRdba4119x
27416
. .,.. 2A9i' ? ??
v?
TaW M90 71576
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e"M (Q+ee?]002a ? 8mr?. n. ru PoGrOe xRflafA
461s???3a1 d
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C"J' 27072 ? -
/5IK. ? /a 1676S 7-16 Cfo
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Req/ue?st U'a!te
?" ?? a? /9?3 .. Fire No. RouHh-in7InsPecuon
po1 ?ReadV NuwR'I ?/ f• PeL-
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? Lmensed Electncal Contrac[or I herebY request mspecbon ol above
U Owner ' electricel work instelletl at:
Street Address, eox or Roule No. Gty
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ecimn o. Township Name or No. Renga o. County
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Electrical Convacmr ICOmVany Namol Conttar,tor's License No.
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MIryNE50TA STATE BOARO 6F ELECTRICITY THIS INSPECTION XEQUEST WILL NOT
Griess-Midway 81d9. - paom N•191 BE ACCEP7ED BY THE STATE BOARD
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1821 Univareity AVa., St. Paul, MN 66104 UNLESS PflOPEN INSPECTION FEE IS \11 ___ ,a." .,o -. ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION ^^EB-00007-03
?n? ^?6??? * See insLapiions for completin9 lhis form on bnck of yelloW capy. ?
""XLBelaw Work Cav`ered by 7his Request ?,Z9/?3 f? ???11
Na Atltl Nep. Type of Builtling ApDlancas Wvatl Equipment Wired
Home Range ' Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. 8uilding Dryer Electnc Heatin
Commeraal Bldg. FurnaCe Silu Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Fafm Other Pen y t er (SUer.ify)
-70t per.ify ther ' Other
Compute Inspection Fee Below
# Fae ServiceEntrence5ize # Fee Faedars/Subteeders k Fee Circuits
0 to100Ams 0 to30Ams • 0 to30Am
101 to 200 qmps 31 to 100 Amps 31 to 700 qm s
Above 200 Amns Above 100-Am s A6ove 100_Amps
Transiormers Remote Control Circ. Partial%Other Fee
$igns Speciailnspection
T
T
flemarks
^J
O
l FEE
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Rauuh-in -
i: Da[e / a EI ctrical
• Inaoector, hareby
certity that the xbove
Final mspeetion h
metla.
Thi-, ruquest void
I8 months from
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 3
r
Use BL E or BLACK Ink
For Office Use
Permit #: 6
Permit Fee: G o
Date Received: '20 -kW
Staff:
L
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: / 2 �6 ? t✓ /(Jl 6? F
Tenant: ' Suite #:
ResidentlOwner
ra Phone: 41
Address / City / Zip: / 7 5.0
Name: 7L -C: " ryfh License#: ((J; a? C% PA -47
Address: O /y 7 /1~1 (7j' City: v
Newlacement _ Repair Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ /
Septic System
New
(� el_shi/ h/i'
PVB)
Water Softener
Add Plumbing Fixtures ( Main /
Water Turnaround
Lower Level)
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surc
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Su
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
charge)
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against undergroun utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances a 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; t at 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 Punted Name Applicant's Signature
FOR OFFICE USE Reviewed By: ,ate:
Required Inspections: Under Ground _Rough -In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113305
Date Issued:09/03/2013
Permit Category:ePermit
Site Address: 1780 Gold Ct
Lot:21 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-210
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Cheryl Grady
1780 Gold Ct
Eagan MN 55122--161
Elite Restoration Pro
2202 Fremont Ave S
Minneapolis MN 55405
(763) 443-4867
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136715
Date Issued:05/26/2016
Permit Category:ePermit
Site Address: 1780 Gold Ct
Lot:21 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Celeste E Culberth
1780 Gold Ct
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150509
Date Issued:07/12/2018
Permit Category:ePermit
Site Address: 1780 Gold Ct
Lot:21 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Celeste E Culberth
1780 Gold Ct
Eagan MN 55122
(612) 518-2119
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161868
Date Issued:06/16/2020
Permit Category:ePermit
Site Address: 1780 Gold Ct
Lot:21 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Celeste E Culberth
1780 Gold Ct
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161868
Date Issued:06/16/2020
Permit Category:ePermit
Site Address: 1780 Gold Ct
Lot:21 Block: 6 Addition: Cedar Grove 6th
PID:10-16705-06-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Celeste E Culberth
1780 Gold Ct
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature