1856 Gold TrCITY OF EAGAN
,,Cedar Grove #6
Lot 6 Skik 3 Pareet 10 16705 060 03
? Street 1856 cTOld TI'`ti-l State Ea'gan,MN 55122 _-
, / -, f-J, _..'`
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK C? 1968 92• 3 •08 30 Paid
# SEWER LATERAL 1 0: 1 72,00 20 Pa1.d
WATERMAIN
3E' WATER LATERAL ? Q `?O
WATER AREA
STORM SEV?tTflK '? 9 ? 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET L4G1-1T
WATER CONPI. 200OO 122 2-2 -6
BUILDING PER.
sn.c 200.00 122 2-2 -6
PARK
?
CITY OF EAGAN ??3c
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 la ?"
PHONE: 454-8100
BUILDfNG PERMIT
Site Addr?ss
Lot V
Parcel No. .
Receipt # 7-7 -/ ??Z
000 ?--- -.Trir.v , .,, 84
Erett
? Occupancy -?r
Alter ? Zoniny
7
Repair N
A
Flre Zone
Enlarye ? Type ot Const.
Move ? # Stories
Demolish p Length Z
Grade Cl Depth 1? Sa. Ft.
W I Name ---- - ------- ---------------
Z 7
01? - TT=
? Address . _ 4543425
..:... o..,,...,
LYVL[1PIMGJlr.t[LY DLLKA 1P1?.
F Name
UU Add
?- City CAJ? J Phone ? b - U
Name
City
Phone
I hereby acknowledge that I hove read this opplication ond state tfiat
the inlormotion is correct ond agree to comply with all cppliccble
Stote of Minnesoto Statutes and City of Eogan Ordirances.
Slgnoturo of Permittee
Assessment Permit q1 j-* ' uu
Water 8 Sew, Surcharge 9.50
Police Plun check
Firo SAC
Enp. Water Conn.
Plonner Water Mefer
Council Rood Unit
Bldp. Off.
NPC Totol 211. ?
NORTHWESTERN BLDRS INC
A Building Permit is issued M:
all worlc sholl be done in occordonee with oll opplicabla Stote pf Mh
Buildinq OffiNol `_ • • on ths express eondition Ituet
Stotutes ond City of Ea9an Ordinonces.
Psrmit No. Pe?mit Holdsr Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Watsr
Disp.
Sswer
Eieetria
Inspection Date Insp. Other
Footinyp 73? 7//, C»:
Foundation ?
FraminQ
Rouph Plbq.
Rouyh HVA
Inwlation wo
Final Pldg.
Final HVAC
Final
Q Lou tion:
R
Sewer ??
. ? `
bl--)L
- - - - - - - - -IN P T
??CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road Permit Number. t ?r. a
? Eagan, Minnesota 55122-1897 Date Issued: 0 ?a
? (651) 681-467 5
SITE ADDRESS: , „ ;
I :;(li li 11
? 1,11A,14 ci lr i) V t: #6
; APPLICANT:
i PERMIT SUBTYPE: r{ -
TYPE OF WORK:
-11 : , I t i I liIJ
I li itAl lOM
Nf 1"f1F S IfiR t llftl)(iM
INSPECTION DATE INSPTR. INSPECTION TYPE D•
t AN R F=V] fWFil AY CitAYi.1 NF1Vpf'Fl:Y .
: PE=RH TF WF fiM 1 T FtF 111! ! It) di Frik AhY t'! I I PiIll f?Vti binRk' .
..,?
J
Permit Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING ?
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corvoucTiviTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
F,
CITY OF EAGAN AT
3830 Pilot Knob Road, P.O. Box 27-79'9, Eagan, MN 55121 l?l ? 9235
PHONE• 454-8700
BUILDING PERMIT Receipt # V4
Te 6e wed ior DECK/FAM RM Est. Value $19,000 Dote JULY 2 , 19 84
Siteqddress 1856 GOLD TRAIL Erect ? Occupanq R3
Lot 6 elock 3 ?ec/Su6. CED GRV 6 Alter ? Zoning Rl
Parcel tvo. 10-16705-060-03 Repair ? Fire Zone N/A'
Enlarge ? Type of Con:t. V
a Name DOUG & RITA RICKABAUGH Move p # Stories
Z Address 1 56 GOLD TRAIL Demolish ? Length 12
6 City EAGAN phone 454-3425 Grade ? Depth 18 Sq. Ft.-
a Name NORTHWESTERN BLDRS INC
O
7400 CEDAR SO
o?
dd Assessment Permit $134.50
ress
A
RICHFIELD phone 866-0600
"l Cit Woter&Sew. Surcharge 9.50
Y Police Plan check 67.25
r
,Y,w Name Fire SAC -
?
xZ-, Address
Eng.
Wa[er Conn.
<W City Phone pionner Water Meter
Councfl Road Unit
1 hereby uckrwwledge thot I hove reod this applicotion and stote fhat gldg. Off.
the informatian is correcf ond agree fo comply wilh all oDPlicable $2
.Zrj
]
$tate of Minnesoto Statutes and City of Engan Ordirwnces. APC _
_
Totol
$ignoture of Permiftee
A Building Permif Is issued fo: NO THWESTERN 33LDRS INC on the exDreu condition Ihnt
oll work sholi be done in occordance wi I pP?? ?ble ate h4i esefa Statutet and Cify of Eogon Ordirwnces.
Buildirg Officiot ?
y Aovrovab Foes
EAGAN TOWNSHIP
BIJILDING PERMIT
Ownex .-?",[.?.i.--O--/?"?"s?.'t...--?....?rt .............
Address IProsenl) '_.;.QL''..:..?`:--._?4?r-!?_ .........................."..
Huildes ........
Addrasa ......
N° 1948
Eagan Township
Town Flall
ae:e .`?i-.?.:/?.9--------------•------..
Siories To Be Vsed For Fron! DepSh Heigh!I Eai. Cos! Permit Fee Remarka
? ? ?
I V? ? ?>' `= IO? .Q,?c? ?4,-x'?-
or
LOCATION
oi
?.? L
Tbis permi! does not au2horise fhe use oi slreels. :oads, alleps or sidewalks nor does ii give !he owner or his agen!
!he righlfo eseaie anp sifuarion whieb ic a nuisance or which presenfs a hazasd !o ihe heal2h, aafetp, eonvenienee and
genesal welfare !o anyoae ix? !he communily.
THIS PERMIT MUST BE KEPT ON TAE PREMISE WHILE THE WORK IS IN PAOGRESS.
This is !o eezYify. Yhaf...?^- ?:.:.?--?.._?:?..---.hes Permission !o ezecY a...a,.._?-??'4---------------- - ----_upon
!he above deseribed premise subjec! !o !he provisions of fhe Suilding Ordinance for Eagan Town:hip ad !ed April 11.
1855. /?`,?? ,2 ?? ,? . • I
' .........--'. Pez ----- ..... . ...... . ?:c....---llew"?`.."g "'..._?.'..........-'-"'-'-
_......_...........? ---°--`- • - °'-Y-l?"`.?-"°'° -
?hair?an of Tnwn Soard ? Buildin Ins ecios
G ?.
? fie. - p- 9a-:ss ?TY oFEAGAN
BUILDING PIIRNIIT APPLICATION
D?GK ?r
7b Be Used For Fdtm iL?j jZeaw., Valuation _
site Address: G6C13TPAIt-
Lot 6 Block ',-5 Sec./Sub. ??
Parcel #: l0
Owner: l.?buC `? 'j?t'r)?r ?cc(cft?,?UG-/-1
Address: C,?, Ga (-p
City/Zip Coc1e: 66-f'11J m 1?j
Phone #: L{Se?- 3 ja S
Contractor: a(jt UDE72J' 1'?VC.
Address: -7qbc GC=ZR<- 56
City/Zip Code: i i c tr?'Fi ?z a , Yni.Jn)
Phone #: ?? 6 -- 0 6 00
Arch./Eng..
Address:
City/Zip Code:
Phone #:
poo
Erect
Alter
Repair
Enlarge z?_
Move
Demlish
Grade
Include 2 sets of plans,
1 Certificate of Survey &
1 set of ener9y calcula•'•sons.•
Date JutiC-
OFFICE USE ONLY
pccupancy Q-'?>
Zoning 12 - !
Fire Zone N /A
Type of Const. SZ.
# Stories
Front ft.
Depth 1 B ft.
APPRDUALS ?S
50
Assessments Permit S'o
Water/Secver Surcharge q -
Police Plan Check
Fire SAC ?
gng, Water Conn. ?-
Planner Water Meter ?
Council Road Unit ?
Bldg. Off.
APG
TOTAL
rzrv Ow FArflN
r.,A,HTFr;; s TF=.RMINAI. N(la 728
?ATF..^ 02/22/93 TIMF.•.: 15ei8:06
IL+:
NAt1E: hiICHAEI. A MOR'fENSCIN
3210 9001 i.flSF. GDt..La T'R 60.00
2155 90[]1. 1856 GOL.I, 7R 1.00
3212 30[)1 1856 GOI..D TR 30.00
Tota7. Receip+, Amnunt: 91.00
CF, i. Q3125
t.1S.F..R 5D, NANCY
? '1111116 PERMIT
? GaY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: di? U 0 IN;; -
Eagan, Minnesota 55122-1897 Permit Number: (n 3 a'-? e, :
(651) 681-4675 Date Issued: 02! 22199
SITE ADDRESS:
185E fi;1LC1 TR
LOi": G i?{OCKc ?,
CEDAP GftOVE ,H6
F eT N. : 10-16705-4960-03
DESCRIPTION:
C a rF{R 0 0 ri
OA";tiIEN7 FTIVTSN
Ni rERP-rc0N
43? Wl.r, f2E5'COEtJT.CAL
'',
IMCLU(J?S
3u,i-?}.uiif'armi t pc
f3?llld'anq W?tt;k I'v?e
?
,-
.??,_
??,
w
REMt4RKS'•
?.?,11: rrevit_w;=o av CRRlr niovnCiKv
seNt??r??r_ ri_rzmzr isEQulNFu r01; r,rvv PLuMa.r.ran woRK.
cAi_i_ t6i?) -145-2a40 RcrARoriv(, FU crRlcHi_ r-LF"I'ri Aido )INsPEcr,rerNs.
FEE SUMMARY:
ba9e Fe2 $sG?F?rr
5Ut'rhs t'rav, ----'_-- - ."?GJ
?lot.al Fe e ?$60.5fi1
CONTRACTOR: - ApP-tif-anr. - ST. 11 G. OWNER:
CJRR!ERP;TCJNki Uf- S i PF?IIL Th!C 12 227 n46 0 0 5 r57 P F:l-Ci2'.-,GPd JAMES
1 5?n8 I1100L=TDN AWL- 1 8 b? tifJLD Th
sr PAu;. mra s5102 r_A 61 r3?"a rara 5 5 12 2
(6'42) 222-7946 f6S.lt4 ?,2-37P 5
' ir.•bv r,r.knowle4np. thtat I hsve
•?Ui1?(,r.jd
c - I t.}/ VI ?f,rill ?I"'
?
.a
APPLIC NT/ ER I E SIGNATURE
read this appii.c.-ation and stai-c CtiaL- tkie
, „ cemply witti all applicabira SLa;.p ofi t?n.
t: 15.
QA W-to
ISSUED BV: S-- IG dATURE
J
. ?
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
` `3830 PII.OT I{NOB RD - 55122
(651) 681-4675 ? L? • S?
New Constructicn Reauirements RemodeUReoair Reauirements
!
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & windaw sizes; poured fnd. design; etc.) ? 1 sfte surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy wiwlations Tor heated additions
? 3 copies of tree preservation plan 'rf lot platted after 711193
required: Yes No
DATE: oZ/r?/ ?? CONSTRUCTION COST:
DESCRIPTION OF WORK: &MZL
STREETADDRESS: '17pld
LOT: ?v BLOCK: SUBD./P.I.D. #: Q-QA-Z"^- G U V
Name: Phone #:
PROPERTY Lut First
OWNER Street Address: -7WA`'' l
City F 11??'sr9-/lI? State: APW Zip:
Company: 061&Ve Z-.STL3/VG Phone 4: (O0 / - 222- 2'?7 Vi"`
CONTRACTOR '/
Street Address: 1,?8 ?' /y,i !T? lC A ?` r- License # iZ Exp. Q
/
City 5-j 14-t{ ( State: M/t/ Zip: LZ?`?Z
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): . Penaity applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applic2ble
State of Minnesota Statutes and City of Eagan Ordinances. 1? ,
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
? BL p CITY USE ONLY RECEIPT #: 14?e3loI S
W7; ?.-.J
SUBD. I?LIKa0 RECEIPT DATE: ?/?a 99
1999 PLUM$INC PEiMIT fRESIDENTtAW
CfCY 6F EAfiAN
S$SO fILOT KN08 RD
£kfiAN, MN 551 P2
(651) 687-4675
Please complete for: ? single family dwellings
: townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
-------- --------------------------------------- ----
Alterations to existin residance 30.00
Water Turn Around =
Private Disposal System ` MPC iic. 75.00
=
(new and returbished systems)
Private Disposal Systems ' Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x = 4_
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 X =
U.G. Sprinkler " tor dwelling under const. 3.00 =
STATESURCHARGE 50
Reminder: Call 681-4675 for inspections of water heaters,
water softeners, alteratlons, etc.
TOTAL d?
------------------ ---------------------------------°---------•---------------------------------------
I hereby acknowledge that I have read this appliwtion, sWte that the informafion is cortect, and agree to comply with all applicable Ciry, of Esgan ordinances.
It is the applicanfs responsibility to notity the property owner that the City of Eagan assumes no liability for any damages raused by the Cily durin9 its
normal operational and maintenance achwties to the facilities con tructed under this permit within City property/right-of-way/easement.
`?' t
SITE ADDRESS: ( - 1 r? 1 I
OWNER NAME:
INSTALLER NAME:,/7' C-C v" \I ?\ 1-YA', I"''
STREET ADDRESS:
?sz.o ?E-o w4k?
CITY: LA K'k- v `1 /
? TELEPHONE #:
v
STATE: Y}'1 3'J ZIP: C?J v
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
EAGAN TOWNSHIP
3795 Pilot Knob P,oad
St. Paul, Minnesota 55I11
Telephone 454-5242
PERMIT POR SEWER SERVICE CONNECTION
DATE: ">/ q/G °J NUMBER 345
OWNEF.: bx 4.111.p.ddress
PLUMBER TYPE OF PIPE
OF BUZIAING
Industriall Commercialf Residential I Multiple ?welling I No. of units
Location of Connections:
Connection Charge 200.00
Permit Fee 7.50
Street Repairs.
Tota 1
Inspected by:
Remarks:
By
Chief Inspector
In consideration of the issue and de2ivery to me of the above permit, I
hereby agree Co do the proposed work in accordance with the rules and
regulaCioas of Eagan Toi-mship, Dakota CounCy Minnesota
By -
Please notifq when ready for inspection and connection and before any portioa
of the work is covered.
? . Y
EAGFN TOWNSHIP
3795 Pilot Knob Rosd
Se. Paul, Minnesota 55111
Telephone 454-5242
PERb4IT FOR WATER SERVICE CONNECTYON
Date: ,R //q/(o G/ Number: 225
Billing Name: Site Address:6;-3-6 ??•S?p 4gt?
Owner• .?. Billing Address _
P2umber: !//JLC
t3on
PIO ITotal Chg.
Building is a:
Residettce,/
Multiple LIo,
Commercial
Iadustrial
Other
Meter 512e-4-?? _
Meter No,,g? PexmiC Eee 7•50
Meter Readi ,,. ,?61 Meter Dep.
Meter Sealed: Yee- lAdd'1 Ch$.
Inspected by
Date
Remarks:
Hq:
Chief Iaspector
In conaideration of [he iasue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules aud
regulations of 8agaa Townahip, Dakota County, Minnesota.
By:
Please notify the above o£fice when readq for inepection aad connecCion.
?.
,
MEMO
_ city of eagan
TO: DtANE DC)WNS, UTILITY BIL4ING CLERK
FROM: ED K{RSCH3, SR. ENG11dEERiNG TECH
DATE: AUGUST 25, 1993
SUBJECT: STREETLIGHT ENERGY COSTS
CEDAR GROVE NO. 6(141 LOT5)
This memo is to inform your department to begin to invoice the energy costs at the single
famify rate etfective August 1,1893 to the property owners in Cedar Grove No. 6 Addition
as listed below:
TOTAL 141
The City is currentty being billed by Dakota Electric for streetlighting in the above listed
subdivision.
?-
Ed Kirscht °
Sr. Engineering Tech ?.
cc: Mike Foertsch, Asst City Eng.
Block 1, Lots 1 1
Block 2, Lots 1-8 $
Btack 3, Lots 1-18 18
Block 4, Lots 1-11 11
Biock 5, Lots 1-9 9
Block 6, Lots 1-53 53
(Lots 54 through 61, Block 6, should not
be bilied at this time)
Block 7, Lots 1-12 12
BIOCk 8, Lots 1-18 18
BIOCk 9, Lots 1-11 71
EK/je
2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
S`?d _C) cl
NewConsWCtionReauiremenl RemodeUReoairReauirements p(ficeU ". -_
3 registered site surveys showing sq. ft of b4 sq. ft of house; and all roofed areas 2 copies ot plan Cerl of Survey;?teEd=° X_,-'•?'di
(20%mazimumlotcoveragealbwed) lsetotEnergyCalculationsforheatedadditions TiFkprG?Sp?Recd?,, j'".Yyt??f
2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 sile suney for addNons & decks ??ee ?resR?Ured ?pa? 7 set of Energy Cakulations Addifion • indicate i/on-sife
se tk ?
A ?em ?ile,5e?.5Ys?!l?::..?.??.Y
3?pies of Tree P?aservation Plan'rf bt platted aRer 7/1193
Rim Joist Defail Options selection sheet (bldgs with 3 or less uniLs
Date ? 115 Construction Cost ?Z[jt )11 ?
Site Address J? S`& 60 4D T/jq j{ 4',4 d, n UniUSte #
? ? ?"
Description of Work Q£'? 4 G? ??iNG ?? ??{?QJ7[yVZ4Z u f A///)
Multi-Family Bldg _ Y?< N ???.?
Fireplace(s) _ 0_ 1 _ 2
Properfiy Owner Sv/L Telephone #
Contractor oz)?f
d 20,4 !q
L? Conl f.v P'I' t
Address 4`r ? v • ?SB City /_>'/ fl JS "
State Zip L r Telephone # ( / _ i? ?.?„/„ • ? :; / ?
(.,P l
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential VentilaRon Category I Worksheet
(Jsubmissiontype) Su6mitted
• Energy Envelope Calculafions Submitted
Have you previously constructed a building in Eagan with a similar planZ
fee applies. ,
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Y_ N If so, 25% plan review
Telephone # (
Telephone #(
Telephone #( p)T `J T ?
I hereby apply for a Residential Building Permit and aclrnowledge that the informatio is complete and accu te;
that the work will be in conformance with the ordinances and codes of the City of
Statutes; I understand this is not a permit, but only an application for a permit, work is not to start without a
permit; that the work will be in accordance with the approved plan in the c e w hich requires a review and
approval of plans.
M?a-?-i?-/,, ??1t?9? ?'???`
Applicant's Printed Name Applicant's Signature
rins ?earezc void ?( l, ?/\ !
18 months from L? ?? ?? di
' 35973 L 1„ A
Owner
157 rz
=_d Elec[ncal Contractor
? ( C -xy
? 11F? ??
?1-1. I?Peady Na? ? Will Nouty In50ec-
? No o,r When RBady
I hereby raquesi inspactron ot above
elactrwal work mstalled at
SVaet Address, Box or floute No. ? Gtv
? C G 1L
ec5i n o. Township Name or o. RanBe No. ounty /.
/S_.•> R
OccupantlPRINTI Phone No.
Power s.oona. Addres5
E tncal anvacto/r/I?Comycp? ny Name)
A EK C! !'cG .?O I?!f/'ti-? Conv/actor's License No.
l* pe
Maihne .4ddress (COntrar,[or o Owner Mekine I tailatio 1 7' I
Aut o ed Si a re IConttactor Owner MakinB Installation) Phone Number / j
-?4I
MINNESOTA STATE BOARO Of E ITY THIS INSPECTION REQUEST WILL NOT
Gri9es-Midway Bldg. - Poom N•7Bt _ BE ACCEPTED BY THE STATE BOARU
1821 UniversitY Ave., Sc. Peul, MN 55104 UNLESS PNOPEfl INSPECTION FEE IS
..?___ ie- ?e' o.,. ENCLOSED.
,,,,, ??Q_y}? REQUEST FOR ELECTRICAL INSFE?TION i ee-o?oi-oa
?
J' r , See inshucbons for complotin8 tkis forRhon beck of yellow copy. ??' i 6
"X" Below Work Covered by Thrs Request ,
N Add fleD. Typa of Building Appliances Wired Equipm?t Wired
Home Range Tempordry Service
Duplex Water Heater LightiiYy Fixmres
Apt. Building Dryer Electric Heatin
Commercial Bidg. Fumace Silo Unluader
Industnal BIAg. Air Conditioner Bulk Milk Tank
Farm iner peci v lner Isuecifvl
L 9r $VeCIfY Ot e( Other
Compute lnspection Fee Below
H Fee Sarvice Enhence$ize d Pae Feeders/Subteetlers Y Fee Circuits
to 100 qm 0 to 30 qm s ?a 0 to 30 Am •
707 to 200 Amps 31 to 100 Amps 31 to 100 Am s
Above 200 qmps Above 100_Am s Above 100_Am s
Transiormers Remote Contral Qrc. Partial%Other Fee
Signs Speciallnspection $ a
T
Renwrks `.? 1?FE
/
(Q
Houyh.in
Final
/ ? Jr%? y
nj yr?
Q U th tncal
Inspector, hereby
certify thet the abuve
inspecLan has been
made.
This mques[ voitl
18 momhs from
C!ty of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
L
� ("5-r3
2013 RESIDENTIAL PLUMBING
- PERMIT APPLICATION
—
Date: S('3-- l3 Site Address: l' 6� Gc /d 6 Ie L
Tenant: 742-, CA
C
Resident/Owner
Suite #:
Name: --+" h -e., r"y L 4-74e G h Phone:
Address / City / Zip: / 6 c (1" l I' L -
Contractor
Type of Work'
Permit Type
Name: /�f c�� �` flA 4--7 lv, �,� License #: 3"% 64t �� C
Address: 2 3 2 7 City: Cerci k -c yl7-r
State: / -2& Zip: J SPC! C./ Phone: Z 7 Z
Contact:
Email: ��X /r/��r- /4-4.-747 6), P1-24/7._
New _ Replacement _ Repair /4 Rebuild _ Modify Space T Work in R.O.W.
Description of work: (k�
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 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.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.
re't c., Li ,f`
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE
Required Inspections,
Under G
Use BLUE or BLACK Ink
1 I
411b~ I For Office Use I
Permit #:11, CA I
City of EaEd Permit Fee: A ! 1
3830 Pilot Knob Road j
Eagan MN 55122. I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Siff' j
2013 J
RESIDENTIAL BUILDING PERMIT APPLICATION, C 5/k3
Date Site Address: Unit
Name: J) 1 c r V ( /e,- e y' s;---m_9 Phone:
Resident/
Owner Address / City / Zip: ~U 6,X0 J P_4 e* 6,0J rJ~? / `2
I
Applicant is: Owner T Contractor
I
Description of work: 1" t~
Type of Work j
Construction Cost: d®f~ Multi-Family Building: (Yes / No
Company: A,w1 ' ,eAhly$% , Contact: /lam j
//(B / !rT/ es L
' Contractor E Address: City:
State: AMIC Zip: Phone:
License # Lead Certificate #:R l V&&
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i q
l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone: I
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of J
the information maybe 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;gonherstateonecali.orc
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 1 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of p rmit issu nc .
Allplicant's Printed Name plican ' nature
Pagel o1`3
`IPE4 Gold ir @i
DO NOT WRITE BELOW THIS LINE 1 1 l~'~"J I
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) - Storm Damage
_ Single Family Garage Porch (4-Season) Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
01 of _ Plex _ Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
_ New Interior Improvement Siding Demolish Building'
_ Addition Move Building _ Reroof _ Demolish Interior
Alteration s_ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PGA handout to applicant
DESCRIPTION o-.
Valuation ~ Occupancy 6 dr MCES System
Plan Review Code Edition SAC Units
(25%_ 100%-1/6 Zoning City Water
Census Code H CLI Stories - Booster Pump -
# of Units I Square Feet - PRV
# of Buildings i Length Fire Sprinklers
Type of Construction- Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: ,Stucco Lath Stone Lath ----Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings - Backfill , Final
Sheathing Radon Control
Sheetrock Erosion Control
R viewed By: Building Inspector
_ 117 1-k
RESIDENTIAL FEE
Base Fee
Surcharge ,~dpi1 X#.PA4 &1 m f r
Plan Review / !9 7
MCES SAC 7"a
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
( For -
I
Office Use
My of Eap i Permit f
I Permit Fe .
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
I
Phone: (661) 676-6676 i
Fax: (667) 675.5684 - I staff. j
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: site Address:. l g~ ~a ~DKY ~✓a< f Unit
Name: Phone: loS/- y,S~ ZW 5.--
It it ji Z.z
Address /City /Zip: " 1
Applicant is: Owner Contractor
,gib...
61~~
i I Description of work: R 4 2 'Z'S && ~ -4 Foy ir"_ ~ 5 Ld 1 n4$
Tt~rpe. Of
Construction Cost lZ m , o Multi-Family Building: (Yes _ No )
l 1111 tit -4o Company: ( 6-AyM a tO' ' C66+1Z.1M X r rQr^S Contact: ~ VV1N~rt +e
IIE°' 11~;ri141' Address: IISti ~ro+~~c~c~~ Rc4. City: ~~+a~•~[.s
n
4it State: 'tN . Zip: 03'zu Phone: Camj 371; 7
as Lead Cortif
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Yes
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:
ppl~ ~j ..~A~.'^:'e~ri ~ r. T?!'i..ly , Ip I• cc ~ .r L1.]"~L...1°
.'a. e`lf' 1T1 .,I ,~I• d,.Jc~!'e
' ,;,:?„qlp 11.,.,1 ,i t: r ! ~ ' .•I. . 1,..,~ 'I,:. a ,ll!, ~ Lv,. 7 ~ •,::1 iii'
• fir'" ~ .
1 r iw,,.;~'•. 'II'ie'• 1 a r I . _ e;:.. , .1. ^
Il F~ I R~~ 6,. Ir ' ,'••h:^. n1 1. t:~, ;,.I,,.., a ,,:ri;:; '.i 4:,.ai; r . ..,.6:11: , ~l I.;
r
• ~ s,.a.:~'c„ 1.'fa r•: ,._.....:.1 ! I,, !.!,..,..;pll :Il...r I ,a:,~!., aa. 1; _ • ~iah')., l r t Il:'l~:r~'i ;i~`I';:';!i.ir;~i' , n .G: ,.l!:4
~I"r.. ~
-,1,:.:::~!; ...,t.,:.....,.q.u,l,~1....._ K r 1 , ~0..1 , r f r I 1. ~:~1„~; r,;:r r, 1, s,, :f 1<s:~, < 1;~ 1., , 1fy~(
• r...:~:i'. I. 1 ,i`, IIIY, .Ii 7! .Il l:f:;r. i'':lir
..tr1::r.1.;':.: r IIGi,f..r.r. Jut ,1 , ..I n... .•L.,..Ld..'
CALL BEFORE YOU DIG. Can 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, Z2M.gopherstateonecall,252
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.
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. 130
Applicants Printed Name Applicant's Signature
Page 1 of 3
S0/Z0 39Vd 31X3 WO1Sf10 S_n3NN00 T06Z8£bTS9 Z£:bT £TOZ/bZ/60
City of Ea�aft
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
APR 1 2016
r
Use BLUE or BLACK Ink
For Office Use
Permit #: /3-5e/[73
<73
C'
Permit Fee:
Date Received:
Staff:
L
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: (�(1�//CG'
Site Address:
05(, U-aftT1"&L0
Tenant: Suite #:
GeK U4 (� S l951— 5 . — � rig 5
Resident/Owner Name: Phone:
Address / City / Zip: 1 5 U o Cz MN I
Contractor
Type of Work
Permit Type
Name:
Address:
eAratikv Ciu,6 License #: �. � CICI l ID C/
34k40 \I -UP.A. i - l City: t,� crt . kb
1(5 X810-gbb17
State: w Zip: Q,� Phone:
Contact: 3-1 SCf YO6E Email: t4 C c .. Het
New h` Replacement
Description of work:
RESIDENTIAL
Water Heater
_ Repair _ Rebuild _ Modify Space Work in R.O.W.
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
_ Add Plumbing Fixtures ( Main / Lower Level)
Water Turnaround
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 $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 4540002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive bates of underground utilities.
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 1 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.
'11\k SC- r`5& Q SL' LA
Applicant's Printed Name ApplicantfySignature
l
co
FOR OFFICE USE
Required Inspections:
Reviewed By: Date:
Under Ground Rough -In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read
Manometer Staff:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171025
Date Issued:07/28/2021
Permit Category:ePermit
Site Address: 1856 Gold Tr
Lot:6 Block: 3 Addition: Cedar Grove 6th
PID:10-16705-03-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
James & Cheryl Peterson
1856 Gold Trl
Saint Paul MN 55122
(651) 452-3795
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173097
Date Issued:10/27/2021
Permit Category:ePermit
Site Address: 1856 Gold Tr
Lot:6 Block: 3 Addition: Cedar Grove 6th
PID:10-16705-03-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
James & Cheryl Peterson
1856 Gold Trl
Saint Paul MN 55122
Noah Acquisitions Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature