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1522 Greenwood Ct NCITY OF EAGAN Remarks Addivon Surrey Heights lst Lot 6 aik 19 Parcel 10 73000 060 19 Owner t)e* L 7h ISllth1WL(L,i,, Street 1529 N_ GreenrannA Ct _ State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 9F SEWER LATERAL 1973 3 WATERMAIN WATER LATERAL 1973 3 * WATER AREA & Stub3 1973 3 * STORMSEW.NK 1973 $801.00 $267.00 3 PAID STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ZIO. OO - - 6UILDING PER. SAC - - PARK ? CITY OF EAGAN Remarks ? addlt,or, Z rre Hei hts lst ?ot 5 aik 19 Parcei 10 73000 050 19 ' owner "- ?`? aet 1524 N. Greenwood Ct. state Eagan, MN 55122 ?. V ??..,.«_._? Improvement Date Amount Annual Years Payment Receipt Oate STREET SURF, STREET RESTOR. GRAOING SAN SEW TRUNK ak SEWER LATERAL 1973 3 WATERMAIN tk WATER LATERAL 1473 3 '* WATER AREA & StubS 1973 3 I * s-roRnnsew 1973 $801.00 $267.00 3 PAID STORM SEW LAT ? I CURB & GUTTER SIDEWALK STREET LIGHT ? WATER CONN. $110.00 - - 9UILDING PER, sAC $240.00 7138 - - PARK CITY OF EAGAN Remarks Addition Surre,y Heights 1 st Lot 7 Bik 19 pa,wl 10 73000 070 19 owne??to1, t, . ` Lit1a ?a h7` E?'i, Street 1526 ri Gree.nwand rt - stace Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 1973 3 WATERMRIN * WATER LATERAL 1973 3 * WATER AFiEA & Stt1bS 1973 3 * STORMSEW JMK 1973 $801.00 267.00 3 PAID ? STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. IZO.OO 7138 - - SUILDING PER. SAC ' ' PARK CITY OF EAGAN Remarks Addit'on Surrey Heights, lst Lot 8 Bik 19 Parcel 10 73000 080 19 ownerL?L .-.. t ', L4%L. ? L"L L,screet 1528 N. Greenwood Ct. scate Eagan, rIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1973 3 WATERMAIN * WATER LATERAL 1973 3 * WATER AREA 1973 3 ok STORMSEW 1973 801.00 267.00 3 PAID STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. $110.00 713$ 12-29-72 8UILDING PER. sAC 240.00 7138 12-29-72 PARK REQUEST FOR ELECTRICAL INSPECTION °'"`? ee ooaoi-oe 0. See instmGione for compleling ihis (urm on baak of yellow oopy C; -"X"•c3elow Work Covered by This Request ?.?:• z.'/ -1 S^ - 52 ?J 1531 9 ew AOtl Rep TypeofBmlding AppliancesWired EpwpmentWired Home Range Temporary Serwce Duplex water Heater Electric Heating Apt Bwldmg Dryer Other (Specity) Comm /Industrial Fumace Farm Air Condrtwner Olber (sNecity) Conhactors Remarks qy /? Q ^?- ? h'? y fl Compufe lnspechott Fee Below tf O[her Fee # ServiceEntrance5rze Fee # Circwis/Feeders Fee Swimmmg Pool 0 to 200 Amps 0 ta 100 Amps Transformers Ahove 200 _ Amps A6ove 100 Amps Signs Inspecror5 Use Ony TOTAL S- Irnga6on Booms l; . d /.? Special Inspection Alarm/Communication THIS INSTALIATION MAV BE ORDERED OISCONNECTED IF NOT Olher Fee COMPLETED WITHIN 16 MONTHS. I, the Electrical Inspector, hereby Roix,n,n oate certify that }he above inspecllon has been made F,,,ar oate OFFICE USE ONLY This repuest witl 18 moMhs from J 15 319 Request Oate q Frte No ough-in Inspedron !?Reetly Now ? WWill ? Natify R PWor 17 pp tl tl' en ea ?NO Ves y / 14 licensed contractor ? owner hereby request inspection of above electrical work al: JoD Atldress (Sheeq 0ox or Rauie No ) ?.5`2 F?(r' r.-, 4+ 6 c? t% Qty ?l !h` iJ Seclion N. Township Name or No Range No Counry Occupanl(PRINT? n ? ? ? I Phorie N. I?9 P h- ? C? S w c L ? ?b Z- U Z Pawer SupPlier AtltlrBSs Elecmcal ContractorlCompany Name) Con[racmrs 4cense No ? o r iP ??` ` v o y6 Y-? Mabng AOtlress (COntmctor or Owner Making Inatallatmn) / ? 7_ L 7 S J C Aplh 9naWre ICOnir dQune Making Installalion) Phone Number ? -t, ? - 6 4 1 MINNESOT{t STATE BOI1R0 OF ELECTRICITY THIS INSPECTfON REOUEST WILL NOT Grigge-Melway Bldg - Room S173 BE AGCEPTED BY THE STFTE BOARD 1831 Universi[y Ave., SI. Pnul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS Phane(6t2)6<2-0800 ENCLOSED 16 2360o ara iy J WY[.[..f./. /?? /%/ U ? WON OF EAGAP3 3795 Pilot &iob i.oad Eagan, Minnesota 55171 PERMIT N0. 236 The Board of Supervisors hereby g:anta to Va11Ry Heating & Air Conditiming Co. of 233 strese Lane, Apple 9rllqv, 14N 55W a HF.ATING Permit for: (Owner) 9=07 H'N ?78$0?2`? so. creeurood ct., - . ., - 99-35? eC ae_ 6reenvood Ct -81 $ 90., pursuant to application dated stF areern?ooa ct., 1522-24-26- pxo. oree¢wooa ct. - °"v- °'-"-t 220 1972 ree Paid: $4pp.op Dated thie 22nd day o£ Au$ust 19 7. 10.00 s/C Builling Inapector 14t . . ?- i9 . TOi•iN Or EAGAN 3795 Pilot Knoh P.oad - Eagan, Plinnesota 55121 PERMIT N0. 243 " The Board of Supervisors hereby g:ants to of _ 15c10 c!= -2o;?,? 5?,u?n0rille. 3ff4 55337 a -PLUc'S-I???1G Permit for; (Owner) b?zs.TCy T3c?igilt;s I???i?rs. irj tl?ii #15 /;?cx6 Y?a. ?crpe/1cJOdd ?au.?'i at !=:ce ra': s'i._ie) , pursuant to application dated 7l2B ! l? $20.04 plue ,50 s/a each unit Fee Paid: ?!;;;., G Cnl Dated this 2Eti day of '- V ?,i $ 22.00 [i/C lding Inspector /D 73000 070 /20 Sir?f.e?j ?1t;?9?- /?•5?j TOl!N OF EAGAtd 3795 Pilot ICnob P.oad Eagan, Minnesota 55121 PERMIT N0. 236 The Board of Supervisors hereby g:ants to Ysller Heating & Aii' coaastioning co. of 233 stress z.ane, apple vaueV, r?r 55068 a HUTINpermit for: (Owner) S_'_'GV x?8h? 3476-80-82?;84 So. Gree¢atood Ct.j -- • •+ 34 aC ae_ reenxood r,t., 3479-61-$3_-85 30., pursuant to application dated Sp ()res?wood Ct., 1522-24- 28 xo. Qreeoawood ct. _ nnm+Y 790 7972 ree Paid: $lipp.00 Dated this 22ad day of Au8?18t , 19 72. 10.00 s/c Bui111ng Inspector /f - v TOZdN OI+ EEIGAN 3795 Pilot Knob P.oad - Eagan, Minnesota 55121 - PERPtIT N0. 243 - The Board of Supervisors hereby grants to Cpm^,o:'„j,da.?,e.cl P1'+Litb?,."lg C oE l o;ict?amnund12e, PNI 55337 a PIdTFi???'i?3 Permit for: (Owner) S11t.Tqy' T;e3Lhi,s Pld?ra. n5 tIL-U 015 /5dlo No. Wd cacrz? at r°c:i' "o"c;"°a s:iie'' , pursuanC to application dated 7 fZa 1lL' $29s00 pSuB o50 8/B 9aC}1 u4b' Pee Paid: ?i; ;y1; .Gn Dated this 26th day o£ vt:.:y' $ ??,ao es/c / Suilding Tn,pector TOWN OP EAGAN - - - 3795 Pilot ltnob P.oad - - • Eagan, Minnesota 55121 - ` PERAIIT N0. 243 ? - • The Soard of Supervisors hereby grants to Caneolidate.rl Yltuvbing CO« of i zc?n c°..-.'-?e zoarzJ 2arnaville, 3N1 55337 I a PLll2MIidCk Permit for: (Owner) 511,.TCy Tlaionis D1d?;3. #5 tYL-a #1$ -_-- AJa. 6 ree.--iu.bacY 'otcl-;7 at r .gEe ?'o-;e_„") F.y;iLi , pursuanC to application dated 7/2Q /l;' $20e00 E11118 .$0 8/a ea0h Ld11?.$ Fee Paid: 4;gs?rV??n Dated this 2E$h day of Ju2zT , 19Z. $ 22.00 p/c I i Buiiding Inspector . -? - TOI;N OF EAGAId 3795 Pilot &iob i:oad Eagan, Mfnnesota 55121 /6 736GQ u50 /9 -5164A?? /Vc?m /st//' PERMIT N0. 236 TGe Board of Supervisors hereby grante to YalleY Heatln6 & A1T Conditioaing Co. oF 233 8ta'ees Lene, Apgle Valley, liN 55968 a HEATING Permit for: (Owner) Sti`reF Hedghts 3b712 .? $o. Greesurood Ct., 31400-08-Y' - • • s 3G9?i=9?98-35? at ge_ breemrood .t -81 -8 So., pursuant to application dated ar (#reenrood Ct., 1522 -26-28 xo. (iresnwood Ct. _ e„m,,At 72.1272 ree Paid: $?lpp.pp Dated this 22nd day of AUSUSt ? 19 72. 10.00 9/C Building Inspector /? ? Towrr or EAcarr - - 3795 Pilot 1Cnob P.oad - Eagan, Minnesota 55121- PERI•ffT N0. 2113 The Board of Supervisors hereby grants to og I ?i!l7 G;.7L:f 2-03d, 2=uzMef iza 55337 a PL1kMI13Ci Permit for: (Owner) Slz?.'ry'(V Iieignts Dic3ga. #5 trc.v 015 /5d-j 4I6. ?orppnc.?aoc? courf aC lsee r3-:uz^0a fi"Lit:% , pursuane to application dated `U2V'(2 $20.00 plus ,50 a/a eaoh wAt Pee Paid: ;Igs', Dated this 2Eth day of ,it:ir , $ ?,,?.OD 0/C l Buiiding Inspector /U 2.30 D o D6G i? W,N OF EAGAt1 3795 Pilot I4iob I;oud Eegan, Minnesota SSlT.l _ PERMIT N0. 236 The Board of Supervisors hereby gtante to Vt11e9 Keating & 81t Conditiaaiing Co. o{ 233 St,rees Lax?e, Apple Va].lqY, MN 55968 a HEATING Permit for: (Owner) S='t' xeights 3478-80$2-44 so. GreeMood Ct., -- . UrbWMood ., - 98-35Uo flt ?qp- GrihgMEQQd (` 9-$1-8-8 $p„ purauant to application dated stp cr-eemrooa ct., 52 -24-26-28 xo. oreesWooa ct. ree Paid: $4pp,pp Dated this 22nd day of AU6Ust , 19 72. 10.00 s/C Builsing Inspector /_f EAGAN TOWNSHIP BUILDING PERMIT oWne= ........................... ..... Addsass (Present) S- °-c.- ............ ._._ .. d....-`...... ................. Builder .....F.Z--...d.'. Addxess DESCRIPTION N° 2'723 Eagan Township Town Hall Dale .-. 7 L SSOSies To Be Used For Frox! Dapih Haigh2 Esl. Cos! Permii Fee Remaske ! ?- .'?.---?^-?•-?---? LOCATION 633•SU or -7-0 oti This permit does aot authorize the use ot sireeffi, roads, alleys or sidewalks nor does i1 give the ownes oi L4 agea! the sigh! Yo ereate anp situalion whic6 is a nuisanee or whiah preseals a haaard !o the healffi, sately, coavealeaee aad geaeral melfa:e fo anpone in the communifp. THIS PERMIT MUST BE ¢K,E,PT? O THE?IPREM? ?E_WHILE THE WORK IS IN PRO?GA?S? This is to cerlify, thai...l.?:.'.':`.?.` ............. .....................:....°----..has permissioa !o ereet a.........??_a,..?.?.,?, the above described premise subjec! !o the provisions ot the Suilding Ordinanee for Eagan Township adopted April 11, 1955. ,l, ,, ......._'---"".....--'-'-'??4Ea.:4:?..._.?'"Q'....-?-::.......... Per ---..__......"........... ?`"-'?:-"'..... 9.......??.._._.._.'..°..?-..:?...._"'....... ? Chairmaa of Tnwn Soard Building Inspec2o= ? 6 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construc6on Reouirements RemodeVReueir Reauirements 3 registered sile surveys showing sq. fl. of lol, sq. ft. of house; and all roofed areas 2 wpies of plan (20% mazimum bt coverage allowed) 1 set of Energy Calculations for heated additions 2 copics of plan showirg beam & window sizes; poured found design, etc. 1 site survey for addNons & decks 1 sel o( Eneigy Calculatlons AddBion - Indicate ifon sile sephc sysfem 3 copies of 7ree Preservation Plan H bt pWtted after 717193 Rim Joist Detail Options selection sheet (bldgs wdh 3 or less unfts Date Construction Cost f Site Address G(,ee l UniUSte # De"scriptionofWork ? W4tP L??r PropertyOwn#r ? 5Vrrpb(?,\,\) \011+1AV0V\ne! ? Telephone??qsa,qa?a-557? Contractor _ American Building Contractors, Inc. Address 12247 Nicollet Ave South City State Burnsville, MN 55337 Telephone # ( ) (952) 707-6959 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 (4 submission type) Submitted Submitted • Energy Envelope Calculatlons Submitted Licensed Plumber Telephone #( Mechanicai Contractor Telephone # ( Sewer/Water Contractor D ? 2?03 Telephone #( I hereby apply for a Residentia] Build ni g 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 which requires a review and approval ofplans. bc. Clirrc„r\ Applicant's P i ted Name Applicant' Signature VU,- Office Use Onlv Cert of Survey Recd Tree Pres Plan Recd Tree Pres Noi Reqd _ On-sita Seplic System l), ?[ 03 f o .g. i/ File Edik View Tools 6ppiications Help 'A rR)R0 rR ry ? ;oStartp I,,] m Q [*1100I2 Commerrts ? Eagan Building Eagan Oevelopment ? Permits 1; Cannection ................... ; Eagen Assesslaales I, Eagan Property ? Eagan Zoning ParcellD 107300008019 Address 1528 ;' GREENWOOD CT N , ,.-- --_= ' Owner 1 TRIMBLE DONNA M 1528 GREENWOOD CT N EAGAN MN 55122 g Owner 2 ? - - - -- e_. Owner 3 IX b'.? ?; f? 12:18 PM ' RESIDENTIAL BTJII.DING ?y pU Permit Application 4? 7 U City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 NewConsWctionReauirertien4s RemodeVReoairReauirements OfficeUseOnN 3 registe2d srte surveys showirg sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copias of plan Cert o( Survey Recd (20% maximum bt coverage albwed) 1 sel of Energy Calcula6ons for healed additions Tfae Pres Plan Recd 2 mpies of plan shmving heam & window sizes; poured found desgn, etc. 1 sile survey for addNOns & decks Tree Pres Not Reqd 1 set of Energy Cak,ulations AddRion - iridicete 'rfon-site sepfic system _ On-site Septic System 3 copies of Tree Preservation PWn if lot platted afler 7103 Rim Joist Detail Oplions selection sheet (bWgs wilh 3 or less uniLs rv fi ? Q? rX `.?. - ? Date 10 Construction Cost' ?I?)U O SiteAddress UniGSte # C Description of WorN? enKcCf Vf'ank Jk2(?S J Proper[yOwner Telephone#f(q5a) Conaactor American Building Contractors, Inc. Address 12247 Nicollet Ave South State Burnsville, MN 55337 (952) 707-6959 City Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Su6mitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and aclmowledge 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 pemut, 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. Applicant's Prin d Name Applic Ys Signature OFFICE USE ONLY ' - Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 D2-plex ? OS 03-plex ? 06 04-plex ? 07 05-plex ? 08 O6-plex ? 09 07-plex ? 10 OS-plex ? 11 10-plex ? 12 12-plex ? 13 16-plex ? 16 Fireplace ? 17 Garage 9 18 Deck ? 19 LowerLevel Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screenlgazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Work Types ? 31 New ? 35 Int lmprovement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ?2, Occupancy 2-- ? MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Canst v_ Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. Footings (deck) -Lo FinaUNo C.O. _ Footings (addition) Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final 2t' Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total if! File Edik View Tovls ?pplications Help sm kmmo 19 :i ? r ?. ? ; ? ? J??-` - y- ` -- Search PID i ;A5tart lil ! ? ? ? ??l - - - - - - -_'- = . Commerrts - - - = I ° -- - --- - ? ? ' - - Esgan Building Eagan Oeveiopment Permv Rs Connectinn ..) ? ?i,= - ?;Qwner... :, Eagan ikssesslSales 1 Eagan Properly Eagan Zaaing . = ParcellD 11 MR7007M T7J! -- -____ Address 1526 GREENWOOD CT N ; dwner 1 [EA TTKENNE TH R 3 WTCHESTER CIR NN 55123 Owner 2 gRITTON RITA S ;??. Uwner 3 -- - - j e ,, t? 0wner 4 ? - 4 J ?...:.,. .. x': .. , _ .. _ ,. .. J _'i 41. I 5earch House 1526 `GREENWOOD CT N - =;.- ? . ? -_?? •. . - -- ' +Permik Inspections ... . ? ? In6ox - Microsofk, .. ?-+Inspector's Daily 5... I . ? 12:15 PM -7 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ? jI 3 7 ? 3 ,o, 7) CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 651-681-4675 , . • r1 v. y7C77=R?7 D 3 reghlered aRe surveys showing iq. k. of bf, sq. H. ol house and ?II roofed areas (2017, maximum loi eovemae allowed) ? 2 coples of plans (show beam R window shes; poured fnd. deslgn; etc.) ? 1 sef of energy cakulallons ? 3 copfea ol hee preservaHOn plan 81of plalfed aHer 7/1 /93 DATE: dopigg g- 16 -? 9 DESCRIPTION OF WORK: Remodel/Reoalr ReaulremeMs 2 copies of plan t set ot energy cakulaNoro tor healed addNions 1 sNe avrrey for exterbr addRlons a decks CONSTRUCTION COST: S abtalLCC Dk elUc.IC 41 X)Rcv- STREET ADDRESS: I S-ZZ' 15-2-7 G(LeG^"'<"i`-Q c}, t-?• I_ SuRP_c7 l-1ez9?•c3 } T? LOT: V? BLOCK: ? ? SUBD./P.I.D. ?k: PROPERTY OWNER CONTRACiOR ARCHITECT/ ENGINEER - ?? Name• ?re-y N'ei?k:? 3 -10?uPhone#: Las1 Firsf , N yv' c..-j . SheetAddress: (S2--7 rvn C.'cc??oC{ Ci?y 1-11 ?3 A '+ State: M N ? ?(?4c7 ? Zip: p _ 66 p? r b0 3? Company: aJ?'SSd1 ?"??NOow ? S'cL") Phone#: yS-! (area code) Sheet Address: 15-3 E. 4?w=p+oN '`+-" Ucense N ? y4-3 ExP. Ci1y l-J - S x. Pa.wA State: M?" Zip: /¢. Company: Name: Telephone #: area eode ( ) Stredt Address: Regisfration Ci1y Sewer 3 waler Ilcensed plumber (reaulred for new conskuction onlvl: State: Penalty appltes when address change and lot ehange is requested onee permR Is issued. Zlp: 1 hereby acknowledge thaf I have read fhis applicaHon, state lhat the InformaNon Is c ect, and agree to comply wHh all applicabl State bf Minnesota Stafutes and Clry of Eagan Ordlnances. ? Signalure of ApplicaM: , - , OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservatlon Ptan Received _ Yes _ No _ Not Required L U BL I I CITY USE ONLY RECEIPT SUBD. l? DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNa6 RD EAGAN, MN 55122 (672) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: -//? ?"/?? ? ? Minimum Fee: Add-on/Remodel (existin residence o Lenrbx ? HVAC: 0-100 M BTU SP Additionai 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge TOTAL FFFC ly) $ 20.00 n?? 24.00 • 6.00 .50 _42_? SITE OWNER PHONE #: (fLOs2=L.G;Vl INSTALLER NAME: GENZ-r,YAN PLUMBING & HEATING COMPANY STREET ADDRESS: 14745 South Robert Trail CITY: Rosemount STATE: MN ZIP: 55068 PHONE #: ( 612 ) 423-1144 I ' P F_ R?411 I h E , I,_,r , - MASTER CARD // /?'? is'a z zc xS LOCATION •?4 . ?•,? r-/?l.i y°?q ?'? /[? OWNER r STRUCTURE AND I LAND USED AS G-7 L? Permif / ? Issued To No I Issued Contra<tor , Owner _- BUILDING PLUMBING ---- CESSPOOI - SEPTIC TANK I ? ? --- VJELL I I? _ EIECTRICAL HEATING GAS INSTALLING i SA --- SEWER ?OT#lER._s.- -r ,,...,.,.- - . - . O?1PfE1?,: - . ? Approved Items ?I (Initial) Dafe Remarks Distance From Well I ?I 'GOTING - SEPTIC _ FOUNDATION CESSPOOL FRAMING ? FINAL ? ELECTRICAL r I TILE FIELD _FT PTH HEATING DE OF WELL GAS INSTALIATION SEPTIC TANK CESSPOOL I ----_- DRAINfIEID I I I PLUMBING S / WELL SANITARY SEWER y-S -' Y - - - I Violations Noted on 8ack COMMENTS 1 1 , `?I?JY EAGl?N DDWNSHIP ? 3745 Pilot Knob Road St. Paul, Minne3ota 55111 Telephone 454•5242 PERMIT FOR SEWER SERVICE CONNLCTION DATE• July 28, 1972 N[R4BER 1077 ?,- ? S.H ? OWNER: ?'pey Heights Bldg. #15 ?dress?s?'24-26-28 No. Greenwood Cotmt PLUMBE]Ce* ??> TYPE OF PIPE Heavy Cast Irari DESCRIPTION OF BUITDING Induatriall Commercial Location of Connectfona: Residential I Multiple Dwelliag I No. of units Connection Charge 60.00 oxe ' ?/7.p Permit Fee 10?OOi ?06? Street Repaira Total Iaspected by: Date Remarka• By. Chief Inspector Ia consideratioa of the iseue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulatioas of Bagan 1bc•raship, Dakota County, Minneaota By Please notify when ready for inspection aad counection and before any portion of the work is covered. EAGFN TOWNSHIP 3795 Pilot Rnob Road St. Paul, Minnesota 55111 Telephone 454-5242 PfiRNIIT FOR WATER SERVICE CONNSCTION Date: Jul?y 283 1972 Number• 915 Billing Nsme: Surx'eY I3ib1ghts Bldg. #15 Site Address ,c?24-26-28 No. Greerswood Court Owner: Gustafson & Associates P ltmmber • ?s??- ?e7i36?? a - 3aSS3 S /S ab' -??i3G ??3? 3aS?9 4 / Buflding is a: Residence Multiple xx ro, Unita4 Commercial Industrial Other Billing Addresa Meter No. Permit Fee 10.00 Meter Reading Meter Dep. ? Meter Sealed: Yes Add'1 Chg. IQO 1bta1 Chg. Inspected by Date Remarka: $25.00 RE-lNSPECTIOP! FEE FOR IMPROPERLY ItdSTALLED METERS. Bq: Chief Iaspector In consideration of the isaue and delivery to me of the above permit, I hereby agree to do tUe proposed work in accordance with the rales and regulations of Fagan Township, Dakota Couaty, Mianesota. BY: Please aotify the above office when ready for inspection and conaection. ? i N EAGAN TOWNSHIP 3795 Pilot Knob Road CI? ?I I 5 St. Paul, Minne3ota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION nATE• July 28? 1972 NU[•igER 1077 ? II OWNER• Surrey Heights Bldgo #15 Addressl522 426°28 No, Greenwood Coubt TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUItDING Iaduetrial Comercial Reaidential Multiple Dwelling No, of units xx 1 4 Location of Connectfons: Connection Charge 60,00 '? Permit Fee 10°0 50 0 Street Repairs Total Inspected by: Date Remarks: , By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby egree to do the proposed work in accordance with the rules and regulations of Eagan Tocroship, Dalcota County, Minaeaote By Please notify when ready for inspection aad connection and before any portion of the work is covered. ? ? EAGF.N TOWNSHIP 3795 P11ot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERP7IT FOR WATER SGRVICE COb'NECTTON Date. Jul,Y 28? 1972 Plumber: 915 ??????????L? s? Billing Name: Surrey I-I$ights Bldgo #15 Site Address:1522CL-28 No, Greenwood C,ourt Owner: Gustafson & Associates Plvmber: Location of Connectian c` 76 y i.-:? L-7G c- 4/ Billing Address Meter Size Connection Chg.v?44u,U? Meter No. Permit Fee 70,00 a„` ? Meter Reading Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Building is a: Residence tiultiple xx no. Units 4 Commercial Iadustrial Other Date Remarka: By: " Chief Inspector In consideration of the issue and delivery to me of the abwe permit, I hereby agree to do tte proposed work in accordance with the rules and regulations of Eagan Towriship, Dakota County, Minnesota. By: K- Plea3e notify the above office when ready for inspection and connection. ? EAG6N TOWNSHIP C+J ' 3795 Pilot Knob Road St. Paul, Minnecota 55I11 Telephone 454-5242 J PERMIT FOR SEWER SERVICE CONNECT20N DATE: Ju1,y 28, 1972 NUMgER 1077 OWNER• Surrey Heights Bldg, #75 Address1522-24('21"2$ No, Greenwood Coutt TYPE OF PIPE HeavJr Cast Iron AESCRIPTION OF BUIIDING Industriall Comerciall Reaidentiel I Multiple DwellingI No. of units Location of Connectiona: Connection Charge 60 00 Jaf/" Permit Fee 10,00?1 .50 Street Repairs Total Inspected by: Date Remarks: 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 regulations of Eagan Toc•mship, Dakota County, Mianesota By Please notify when ready for inapection and connection and before any portion of the work is covered. I , , , EAGF.N TOWNSHIP ? 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PER12IT FOR WATER SERVICE CONNECTION Meter Date: Ju1y 28, 1972 Nvmber: 915 Billing Name: Surrey HEights 91dgo #15 Site Address:1522-24 26f28 N0o Greentivood Court Owner: Gustafson & Associates Billing F.ddress Plumber: Location of Connection ?? ? .?_ 74 e{ ! Building is a: Residence IIultiple xx Lo. Units 4 Commercial Y Industrial Other ' '-- Meter No, iMeter Permit Fee 10?/ Meter Aead3ag Dep. . 4 7 Meter Sealed: Yes- IAdd'1 Chg. NO l Total Chg. / ?-?j??ic?h Jc Inspected by Date Remarke: Hy: ' Chief InspecYOr Zn consideration of the issue and delivery to me of the above permit, I hereby agree to do tte proposed work in accordance with the rules and regulations of Sagan Township, DakoCa County, Minnesota. By: PleaLie notify the above office when ready for inspection and connection. EAGE;N TOWNSHIP :795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SLWER SERVICE CONNECTION DATE: Jia.Y 28, 1972 NUMBER 1077 Cz r- c. - OWNER; Surrey Heights Bldg< #75 Addressl522-24-26?No. Greenwoad Cou.tt PLUMBES??-?- TYPB OF PIPE Heavy Cast Iron DESCRIPTION OF BUIIA ING Industriall Commerciall Residential I Multiple Dwelling I No. of unfts Location of Conaections: Connection Charge 60,00 ' Permit Fee 10000,?" Street Repaira Total Inspected by: ?ate Remarks• Sy Chief Inspector In consideration of the issue asEd delivery to me of the above pexmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tormship, Dat:ota County, Minnesota BY Please notify when ready for inapection and connection and before any portion of the work is covered. , EAGF.N TOWNSHIP ?14 IS 3795 Pilot Knob Road ? St. Paul, MinnesoYa 55111 Telephone 454-5242 PERlaT FQR WATER SERVICE CONNECTTON Date: JulY z82 1972 Number• 915 Silling Name• Surrey H$ights Bldg, #15 Site Address:1522-24-26 28)fdoo Greenwood Court Owner: Gustaf'son & Associates Plumber: Location of Connection ??..?a_ srai-;t->?a 74 3 !!6 "7?5-3.?5'??! / ------ ---- ----------- ---_- , . Meter No, Permit Fee 10000 Meter Reading Meter Dep. Meter Sealed: Yesr 'Add'1 Chg. NO ITotal Chg Building is a: Residence t4ultiple xx No. Units 4 Cowmercial ^ Industrial ather Inspected hy Date Remarks: By: " Chief Inspector In consideration af the isaue and delivery to me of the above permit, I he-reby agree to do tim proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Billing F.ddreas Please notify the abave office when ready for inspecCion aad connection. Aug. 1, 2012 12:37PM Sela Accounting No.1661 P. 10 Use BLUE or BLACK Ink r For Office Usse~ Permit / ) rc City of Evan I Permit Fee. / I 3630 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 i staff: I Fax: (651) 675-5694 1 I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~I2 Site Address: 15a, 157-q 1521, 1S28 6~eenu~ec~ G~, (1 Unit n Name: - r_ tc 5 T' r AA 0.`_ Phone: ~1`a~t-X31-1a33 RESIDENT / r' `YI' OWNER Address / City / Zip: (J1/ Y>~ ►~~~~-~n~~ r G~t~S ~ct~~~~ n V Applicant is: Owner _X_ Contractor -der, Q~z.uw\~ , r11 n 5 '3 L) L/ Description of work: Ce r00 C TYPE OF WORK Constructlon Cost: 1 Multi-Famlly Bullding: (Yes / No Company:S616L QL>Q nc; ReVC'1LCte.~WXq Contact: KCiY i~ CONTRACTOR Address: iI1CD St o r is V c6 City: 4t ll uws Pn r~_ State: Zip: cJ 5`-1 1 Lo Phone: q LJ:r9 1 5 _-7 c,Z:Z L License 0 5 U Lead Certificate 4: JV A'T -a 5 U3 If the project Is exempt from lead certification, please explain why: (see page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 13UILDING 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 maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL 13EFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Ca1140 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.ora I hereby acknowledge [hat this information is complete and accurate; that the work will be In conformance Win 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 ate 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 160 days of permit Issuances. X r\ h 1.~ E C ~~1 tr x Applicant's Printed Name Applicants Signature 9 J -q) Gj-_•7 a~-~ Page1 of3