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1850 Gold Tr PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA098029 Date Issued: 02/17/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1850 Gold Tr Lot: 5 Block: 3 Addition: Cedar Grove 6th PID: 10-16705-050-03 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: Garage Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, 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 S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Ace Garage Door Companc5 James J Seidl 3709 County Road 42 West 180 Gold Tr Burnsville NIN 55306 Eagan NIN 55122 (952) 890-728 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: '.' ? (612) 6814675 ? SITE ADDRESS: APPLICANT: I ? ,us u t t •, ? ,w .. ?.:; ? •: IiAR G(tflVf wF ; 612) 766•-6448 ? I PERMIT SUBTYPE: TYPE OF WORK: ?. N FW • , ? i a. , ? rtAt FNt:Ff?T1 INSPECTION .. • .A Permit No. Pertnk Holder Date TelepAone A ELECTRIC PLUMBING HVAC Inapsction Dete Insp. Commente FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST Q! f 7 FINAL PlBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG OECK FlNAL CITY OF EAGAN Remarks S2W & 1850 Gold Trail Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN 5EW TRUNK ? 1968 92-43 ? 0 1 Pai ci * SEWER LATERAL 78 1970 1472.00 WATERMAIN # WATER LATERAL 1970 20 WATER AREA iE- STORM SEW TRK 1970 20 STORM SEW LAT CURB 8i GUTTER 51DEWALK STREET LIGHT WATER CONN. -1 BUILDING PER. sac 200.00 1249 -3-10-69 PARK EAGAN TOWNSHIP BUILDING PERMIT Ownet ..?--... .- `"""-- -=--4 e? -:---------- Addresa (Pzesenf) ......?.. k --`--iF---"-_"--'_--?t`----------- ------ .-'. Suilder ------------------------------------ .--------- .-------- -- - -- -------------- -- - _. ... Addrasa D£SCAIPTION N° 1956 Eaqan Township Town Hall Dafe ....................... 5lories To Be Used For Fron1 Depih Heighf £si. Cos! Permii Fee Remarks This permit does not suShorise the use of s2seeis, roads, alleys or sidewalks nor does if give the ownar or his agenf the righ! !o creale anp siYuation which is a nuisence or which presenfs a hazard !o the health, safety, aonveniance and genera] welfaze fo anpone in the community. THIS PERMIT MUST BE KEPT OF THE PAEMISE WHILE THE WORK IS IN PROGRESS. This is fo aerrifp, ihal.... C .... ?_- '.`.: --4`--•------ .-..has permission !o erecf a_-?--- ---------- -.. 5?...........upon ------- !he above described premise suhject to the provisions of the Building Ordinance for Eagaa ownship ada ed April 11. 1955 ------------------- ........... ?(J?? ........ :??--------------... Per ---- --.. .?.`.Z.`........ .?'?'.y_...._.'c(2c.:ctLJ-------°---.... ChaiYmen of Tnwn Board Building Inspector G Q - " LOCATION C:ITY UF' EAGAN CAaNT.Efi: S TEfiMINAI_ N0: 594 DATEe 12/03/97 7IME: 14s53:02 iD: NFlME: GAV]C & SONS F'LNG 321.0 9007. 1850 GOL,.D TFi 50.00 055 a5 9001 1850 GOI.U TR 0.50 Tntal. Rer..eipt Amoilnt: 50.50 CRO$A119 USCk IDs NANCY ? CI31VTY ?dOF EAGAN Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Num6er: Datelssued: BUILDING 031247 12j09/97 SITE ADDRESS: 1850 GOLD TR LOT: 5 BLOCK: 9 CEpflR GROVE #6 P.I.N.: 10-16705-050-03 DESCRIPTION: (GAS TNSERT) ermit Type FTREPLAGE T y p e N E W 434 ALT. RESIDENTIAI "9 62i- e zi "?$ N'? ^{{P' REMARKS: FEE SUMMARY: PERMIT &° ,m TM?? m.wm.? e,x» s , ?b ??? ?? ? €? n § Base Fee $50.00 Surcharge $.50 Total Fee $56.50 I f CONTRACTOR: - Applicant - OWNER: GAVIC & SONS PLBG 17556468 SESOL .7EFF 12725 NIGHTENGALE 57 NW 1850 GOLD TR COON RAPIDS MN 55448 EAGRN MN (612) 755-6468 (612)454-5166 ,- M " ,? : ' " ° i ? •t?. .?? ??+? i? a z,?f ? ?? . .??? e T.i? ?+sa s?i ?k i .?' m?C'? Eitia?'?????, `? n?re 'L?siay'F'?-.[?a?,_ ?{+ yny?J,?,? i }?t.[? `? ?A5? .a ?y?.?y*, pr r F }yi?r?y.? cL ?' } ii?q?'??}?st -? y?5s ???, g°xtsar ?'s?- {irt g?y ?j€qt.'n ?}su?sy.R? a . 1 hIN??S£?J '?Cn11?IO????"J?p ?en? ?3 ?C?1C4Yi£t????4YKF?? ?+?t14?.'??+41'M??}??£n . R?4IF' •V ?VeM?b FJM{IT° - 3ePL?E7'1"41}i'?t'"k?.QYC?."$ ??M Vd! 91 if 5A ?'4 3 3 { APPLICANTlPERMITEE SIGNATURE I?0??n:sIGN?r? ? ??- CITY OF EAGAN sa,41 3830 PILOT KfVOB RD - 55122 1997 FIREPLACE PERMIT APPLICATION 681-4675 DATE: / j ? t DESCRIPTION OF WORK: CONSTRUCT NEW FIREPLACE INSTALL GAS INSERT ONLY 4.WV PERMIT FEE: $50.50 _ ALTERATIONS TO EXISTING STREET ADDRESS: LOT BLOCK SUBD./P.I.D. #: :"i?FLICAPdT: (circle one only) OWNER CONTRACTOR - I nereby acknowiedge that I have read this application and state that the information is correct and agree to comply wii all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWNER FIItEPLACE INSTALLER Name: S ei dtL Phone #: W! Fl Signature: Street Address: City: Company: _ Signature: - Street Address: C1Ty: GAS LINE Company: INSTALLER Name: Signatu •Street Address: City: State: Zip: Phone #: & IW1kTER 5?EClAL71ES, INC. ?Q 12725 Ni htin ale Streef NW License . . . i... /t ?, ryNtS ? 448 Zip: Phone #: State: Zip: TNSTAi.T. (3dC T.iNF. l1Ni.V CITY OF EAGAN L ''S B `3 MECHANICAL PERMIT SUBD. ?i.?.c evtr ?Lp (612) 681-4675 RESIDENTIAL 15_50 RECEIPT # /U ylj S DATE o PLEASE COMPLEl'E UPPER PORTION ONLY FOR SINGLE FAMII.Y DR'ELLINGS. ALSO, COMPLEI'E FOR TOR'NHOMESlCONDOS R'HEN SEPARATE PERMITS ARE REQUIRED FOR EACH DR'ELLING UNTT. OWNER: J / CJ'C.I IJ L SIT'E ADDRFSS: I Q ? L ADD ON/REMODEL (EXISTING CONSTRUCl'ION ONLl) 5 15.00 INSTALLER: avac: aioo M sTTr 74.00 PHONE #: u o 2-y ADDITIONAL SO M BTU 6.00 nnnxFSS: 01 P_jvt?CV?p(J cns ounzrs .MI+rn?iuM i@ $s En. ? crry: ?-V tit - rJ . Zn'5533 5URCHARGE: - .so SIGNA TOTAL: $ ?5. 5Q COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRW, BUILDINCS. AISO COMPLEI'E FOR APARTMENT BUILDINGS OR OTHER MUI,TI-FAMILY BUILDINGS WAEN SEPARATE PIIiMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. WORK DESCRIPTION: CONfRACI' PRICE I FEES 196 OF CONTRACT FEE. ? STATE SURCAARGE LS $.50 FOR EACH $L,000 OF PERMIT FE& $ PROCFSSED PIPING - S75•00 Fs !!4ITiT.MT.TP?I ?.,E - .?i25.? , .I* EAG4PI TOkiNuHiP :795 Pilot Knob P.oad St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTiON DATE• 3 114-16 o NUMBER 352 OWNER: -? &A-P.ddress ly,5o PLUMBER /i - P? TYPE OF PIPE DESCRIPTION OF BUILDING Industriall Commerciall Reaidential I Multiple Dwelling ' No, of anits Location of Connections: Connection Charge 200.00 Permit Fee 7•50 Street Repairs Total Inspected by: Date Remarks• By. Chief Inspector In coasideration of the issue and delivery to me of the above pexmit, I 6ereby agree to do the proposed work in accordance with the rules and regulations of Eagan Toc•inship, Dakota County, Minnesota BY / 11 l? A • j??AIQ? /? 11/ I Please notify when ready for inspec[ion and connecCioa aad before any portion of the work is covered. .? -1% EAGFIV T(7WNSHIP 3795 Pilot Knob Road St. Paul, Minneaota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date• ? S Number• 36e Billiag Name: Site Address:.S'-,3-6 Aa?01 (ODlel IAL_ Owner 4.A1, ?.?. Billing Address Plumber: . Location of Connection Meter Size Coanection Chg. 200.0 Meter No. Permit Fee 7•50 NO I 1bta1 Chg. Building is a: Resideace ? Multiple No, Units Commercfal Industrial Other Meter Readings,_ (Meter Dep. Meter Sealed: Yes IAdd'1 Chg. Inspected by Date Remarks; Bq: Chief Inspector In consideration of the iasue and delivery to me of the above permit, I hereby agree to do tle proposed work in accordance with the rules aud regulatfons of Bagan Townahip, Dakota County Minnesota. By: ? Please notify the above office whea ready for iaspection and connection. 1 _ city of eagan MEMO T0: DIANE DOWNS, UTILITY BILLING CLERK FRQM: ED KIRSCHT, SR. ENGINEERlNG TECH DATE: AUGUST 25, 1993 SUBJECT: STREETLIGHT ENERGY COSTS CEDAR GROVE NO. 6(141 LO7S) 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 SioCk 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) BIOCk 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. Ed Kirscht •' Sr. Engineering Tech cc: Mike Foertsch, Asst. City Eng. EK/je 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 • Telephone # 651-675-5675 FAX # 651-675-5694 New Constructlon Reauirements 3 reg'stered sile surveys shawing sq. ft. of l04 sq, ft. of house; and all roofetl amas ' (20% marz'unum lot coverage alla+red) 2 copies of plan sfwwug beam 8 window s¢es; poured found design, elc. t set of Energy Celculations 3 copies o(Tree P2servation Plan'rf lot plafled after711193 Rim Joist DeUil Opti?ons selection sheet (buildings wBh 3 or less uniLa) 4F -1 o 00 RemodeUReoalr Raauiremenls OHice Use Onlv 2 copies of plan Cert of Survey Recd _Y _ N t set of Energy Calculetions for heated addrtians Tree Pres Pqn Recd _ Y_ N i sRe survey for addilions 8 decks Tree Pres Required _ Y_ N Addftfon - indkate ff on-afte sepfk system Dn-site Septic 5ystem _ Y_ N Date 0"S Constructioo Cost ?i 3 0 ? Site Address v/? d IA UnitlSte # Description of Work T O eG f aot klo usC. Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner -J~e S St ? d J Telephone # (6S ?fS '4' ?1 a /. Contractor SELA ROOFING & REM Address CELSIOR BLVD, . ??ty State ID #00010.?",n Z?p Telephone #(6t2 ) Z 90' 77 7? 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 (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Tetephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work I which requires a review and approval of plans. ,. ? 777 Z Z JZ ?? l? . ,,•jnr.?Applicant's Printed Name ApplicanYs Signature ?? ' a 0 937 /fl'z.';z9 °o ? (?L - 1;145 ReOUest Da?e Fire No Raugh-in Inspedion 0$-07-92 Reql $IReadyNow ?WiIlNmdylnspector ' ?Ves %NO WhenReatly + IN 6censed contractor ? owner hereby request inspection of above eledrical work at: Job Atltlress (SVeet Box or Route No ) Ciry 1850 Gold Trail Eagan Sero Townsnip Name or No Fange No Counry Occupant fPRINTi Phone No James Seidl 454-5166 Power Supplier Atldress Eiecincai Gomroctor IGOmpany Namel ConVactor5 Licensa No SRANDON ELECTRIC,INC. CA 00307 Mailing Atldress (COnVa[tar or Owner Making Installetion) 7701 Colfax Ave.N. Brooklyn Park,MN 55444 Ho?honxa S n re iGOnvactonOwner Making Insiallation?? ,.? Phone Number ???? _ 560-5311 MINNESOTF STATE 60AHD OF EIECTPICITV TNIS INSPECTION qEQUEST WILL NOT Gnggs-Alrtlw ryp'- - BE HCGEPTED BV THE STAiE BOARD 1641 UNVerslly Ave, SL Poul. MN $5104 UNLESS P/iOPER INSPECTION FEE IS Plwne (612) 641-0800 ENCLOSED ? vwi run CILci.inn.il inarc? nvrv ? O^^^? See inshuctions br rom0fetmg iYns form on back ol yelbw copy x ?a r ?;:.?y9 i? -oe/ /O7 -mT _X /g °.* CJ J J Be/ow Wack Cover?d by This Requesf '?•aw ew sQtltl 9ep TypeofBwlding AppliancesWired EquipmBniWired Home Range Temporary Service Duplez Water Heater Elednc Heating Apc Building Dryer Other-(Speciy) Comm./Industrial X Furnace Ott 2d e er Farm Air Conditioner ana„sNecity, ConVacmr'sRemaMS Heat Pump,Off Peak Meter & Compute lnspection Fee Below: Furnace # Olher Fee # SernceEnhanceSrze Fee # Cimutls/Feetlers Fae Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspecmr§ Use Onry TOTAL Irngation Booms 6, O $15 . 50 Special Inspeclion Alarm/Commumcation THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITMIN 18 MONTHS. 1, the Electrical Inspecror, hereby t f th h b Roegn-in oaie cer i y at t e a ove mspecUOn has been made. F,nai oe+e ? OFFICE USE ONLY This request witl 18 months from Use BLUE or BLACK Ink r I I For Office Use I City of EaEdn , Permit I I I I Permit Fee: 6` I 3830 Pilot Knob Road i I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I j Fax: (651) 675-5694 L Staff: -----------7 --I 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Z. Site Address: CMG L tD :X-44 + L_ Tenant: Suite Name: 5 ftd L Phone: RESIDENT /OWNER Address / City / Zip: 3 g (S t~T Ab 6~ M S 5 4 [ ?C- Name: ~ azz- License LL,may - Pry Address: 353 t✓ - Sort $t City: CONTRACTOR State: YI-f j Zip: Phone: (o(Z ~7 Z 0-7_ L Contact:. , Email: TYPE OF WORK - New _ Replacement 1- Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL +P..3 C.~'c'rf ~K4k-kf Water Heater ~v c0 t Water Softener PERMIT TYPE Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: ill $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *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 $ 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xv. ~c~a . es x Applicant's Print d Name Applicant's Si to FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r L Use BLUE or BLACK Ink For Office Use Permit #: b Date Received: 1 3--1 Z-1 Permit Fee: Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications Date: Site Address: �.. ZSO &OQS AIN( Tenant: Suite #: Resident/Owner Contractor Name: Phone: Address / City / Zip: Name: \CC, C - J' ' 6r\ 04d P1-1 \ License #: Address: C 7 GC SCckti ctr City: TO \--e 5 o� (/ State: k Zip: 5� Phone: G 5 r LI 2- t -2S3 Contact: `RcaZ- °` - CAA- Email: Type of Work New V Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted sore ning methods. Permit Type RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / _''Remove) 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) _ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) *If the project valuation is over $1 million, please call for Surcharge OR Contract Value $ = $ Permit Fee = $ 5.00Surcharge* = $ TOTAL FEE x 1% 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.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. a� Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections. Reviewed By: Date: Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA114897 Date Issued:09/19/2013 Permit Category:ePermit Site Address: 1850 Gold Tr Lot:5 Block: 3 Addition: Cedar Grove 6th PID:10-16705-03-050 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . Matt Kral Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brent P Miltner 1850 Gold Tr Eagan MN 55122 (515) 556-1548 Midwest Exteriors Plus Inc 6451 Sycamore Ct N Maple Grove MN 55369 (763) 427-9696 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ��' �-----------------, � ��;'+ � For Office Uae � ,�i 1 � I C• i i Permit#: �� I lty of�a�� , . G;:- , � Permtt Fee: � � 3830 Pilot Knob Road � � Eagan MN 55122 I Date Received: � Phone: (651)675-5675 � � Fax: (651).675-5694 . � Staff: � ... . �� _J 2014�RESIDENTIAL PLUMBING PERMI APPLICATI � � �� - Date: -� Site Address; � � Tenant �� 3uite#: �^"1T �%k�3`n��'�"Nh v��sr��6. =�� ,r ��it � �Name: �� Phone: rs: ResiaentlGwner , t �s�t� ��tr a ��,�a�� '�Address�'City/Zip:� � �� ;�„�� '�� Mifbert _om any Inc dba Cull�ign Water� � � � ��Name: � ucense#: WC643176 ��°��r��`�� 180150t Street East ��r'*�� ""�� r�: c�cy: Inver Grove Hgts. °;,,,��,��Contractor� r Address: � "��d��'��'4��'.��'�'�;�' ' State,:. M�N � z�P: 55077 Phone: 651-451-2241 �� ts��o�� l� �� '�``°,�j� � d s � � 4��y�'�k��_x,.��'��' ;� ; k COntaCt: W I I I I�1 1 1` R.'M I I b e rt Emai�: ��,,.s � �,� v� �� .�� ,_ ��p ` ` New �eplacement _Repair _Rebuild Modify Space Work in R.O.W. � � � � ,� u�,��y,. :=��`TY�ype o)f Wor " — _ _ ��Y A11$ e� �3 l�� fi � t� � ' ... � . :.. . „;��;� �i�" � �v�� '�� % �Descrtption of work: s��;f��,��v��,�� ' RESIDENTIAL k:Y�,�y.�'�'�`�vw Ck 1:��'�� . . .. . � � ��t;��, ��,��p''� � Water Heater � � ��*��'��' �� S�`'��K� � - �Water Softener ;�� *��.�� k� . Lawn Irrigation(_RPZ/ PVB) ;� Permit,�yp � ry — yr t� , �� Add Plumbin Fixtures Main/ Lower Level +' '�`r`��'a�x�� Septic System 9 L _ ) �, �r;��`�� ' �� e�, iiilaterTumaround �,�a�`��`�� '�� — ,��;��x��x:� �� 'w'��`��%�. �� b ��'�rv Abandonment rR�SiL`�idTi�eL..=E�s: $60:00 Water Heater,:1Nater Softener,or Water Heater and Softener(includes$5.00 State Surcharge) � $60:00 Cawn'�irrigation;(includes$5.00 minimum State Surcharge) $60:00 Add Fiumb�ng fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) � •. .."Water Turnaround(add$200.00 if a 5/8"meter is required) $115 00;Septic SVstem New($10.00 per as built)(includes County fee and$5.00 State Su�charge) v�� TOTAL FEES S CALL BEFORE YOU DIG. Cail Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call.48 hours'before you intend to dig to receive'locates of underground utilities. www.QOpherstateonecall.ora I hereby acknowledge that this informa:ion is complete and accurate;that tha work will be in conformance with the ordinances and codes of the City o( �' Eagan;fhaY I'understand 4his is not a permit but ony an application for a permit, and wotk is not to s ithout a permit; that the work will be In ' . accordance_with.the approyed plan in the case of work which requires a review and approval of plans. _ ' ;x, � �� Applicants`Printed Name pplicanYs Slgna ure 4�c s�''� ,�is�j *��+� �a 'r �. �„ � M x„�., ' ,, .,. `� �r��U'f�'�'��♦'4W��.!�a�� w��n i�: � �tp � ar' � . i F'O�R O�FI�E UJ� �� °`��`� y `RB IQ d� r �� ArrA�A.LeY� '��'��"µ`. . i�5� � �'7"�� y� *�,y, � q � y � 'a �.` '� �lu �,.:" _c.. ��. . yr y {� *�k. C: . �":7. � �' Pw3.�. , p ;.fi � V�y �Y�W 0.��r4��? "" i�tl�.'r Re wred Ir��`ectio,ns^� �:� n� �r d ,°�. q � p � .,�-_., cL� . � R� �, ��. .}�� e"s� a , �;� ' .��1a�'�,'k�=x' �. "�� w� �� :, , ��. 1` z.'�4 4 �`sFi r �9 ' +� �� r.�'F i�x{��1. .e Meter Rela��d I ems tet� i , . �d R , a: ' � �� ,�;: . �, _.�: � . , .u, f� , � > �a:, _ � ��.�. Use BLUE or BLACK Ink For Office Use City Of Eakan Permit#: /L5 9 r 3830 Pilot Knob Road ti Permit Fee: Eagan MN 55122 f � Phone:(651)675-5675 Date Received: /1- 0 '/ buiidirnainsaectionsfacitvofeaaan.com NOV 0 8 (., 1 Staff. t 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I(if i ti J I ± Site Address: I =$'- t �'' L'O 1 e t I ,� Unit#: 4 Name: Sr)6011100 3 13Ye(1+ )A1 ) tneY 5 r~ Phone: (1 i ,a) 55 lc - i 51-1 g Address/City/Zip: IS C 1 -T r C C C.d J& 1 ` Applicant is: Owner Contractor Description of work: pi C1(t,„ (ytt Ck() t 1 t(4..:1 100 1/- (kilc' ,GESS v tGC. _` Pte\ a s h s;z r T k„..)i 0 C1 G v.} i 1,,(..5-e r64,04- 1:0r}h Constru on Cost `� (T tiu Multi-Family Building:(Yes /No ) / ,. in�{ $ ' A Company: Gr�(A-1- 1 AW t,Uli1GIGcU5 "' SSCC nilct: 511teL% J011n50 n Address: i b (2'i i t xi j 1. /c0 City: i)/'per r. State: 1`'V'J Zip: 5:.--312(.1 Phone: c1'52 SC1/ 3' mail: ( S.11 te4-.1� . CJreci i I a ( 1 Lead Certificate#: IL Pi-i-_- 2.3 2,ct i Z If the project is exempt from lead certification, please explain why: 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: You may subscribe to receive an electronic notification from the City ofproposed ordinances by signing u d on the City's website at www.dtvofeaaan.com/subscribe. up for an email update on 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(851)4544002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00nherstateonecail.orp 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 fl i .�t t% 6 i 1 O t gx. ,4111&.A.,Applicant's Printed Name x 's t Applicant's Signa re Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA169159 Date Issued:05/17/2021 Permit Category:ePermit Site Address: 1850 Gold Tr Lot:5 Block: 3 Addition: Cedar Grove 6th PID:10-16705-03-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brent P & Shannon L Miltner 1850 Gold Trl Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature