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1523 Greenwood Ct NCITY OF EAGAN Remarks Addition Surrey Heights lst Lot 4 Rik 4 Parcel 10 73000 040 04 own?r 1", ` , ".Y. ii' -1 , street 1523 N. Greenwood Ct. State Eagan, MN 55122 , Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ? SEWER LATERAL WATERMAIN * WATER LATERAL 1973 3 * WATER AREA ? STORM SEW ??- 197 801. 00 267 . 00 3 PAID STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 110.00 7138 12-29-72 9UILDING PER. sAC 7138 12=29-72 PARK CITY OF EAGAN Remarks Addition Surrey Heights lst Lot S Rik 4 Parcel 10 73000 060 04 owner ?+ :j v 'I i'' street 1525 N. Greenwood Ct. State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTQR. GRADING SAN SEW TRUNK * SEWER LATERAL 1971 WATERMAIN * WATER LATERAL 1973 3 ? WATER AREA 1973 -3 * STORM SEW $267.00 3 PAID STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, $110.00 7138 12-29-72 13UILOING PER. sAC 7138 12-29-72 PARK CITY OF EAGAN Remarks Addttion Surrey Heights lst Lot- 1 Rik 4 ownerL streec 1527 N. Greenwood Ct. 10 73000 020 04 Eaizan. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 1973 3 WATERMAIN * WATER LATERAL 1973 3 * WA7ER AREA & Stub3 1973 3 * STORM 5EW = 19]3 $$01. Qd $267 . 00 3 PAID STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $110.00 7138 1 12-29-72 BUI4DING PER. sAC 240.00 7138 12-29-72 PARK CITY OF EAGAN Remarks Additian Surrey Heights lst tot 8?- srk 4 Parcel 10 73000 080 04 Own2r - 5treet 1529 N. Greenwood Ct. State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. STREET RESTOR. GRADING SAN SEW TRUNK 4t SEWER LATERA4 1973 3 WATERMAI N WATER LATERAL 1973 3 * WATER AREA * STORM SEW $267.00 3 D STORM 5EW LAT CURB & GUTTER SIDEWRLK STREET LIGHT WATER CONN. 110.00 7138 12-29-72 BUILDING PER. sAC 2-2 -72 PARK ? ?- ? - ? PILLAGE Or' r:AGlud 3795 Pilot Knob Hoad Eagan, Minnssota 55122 ....., PFRPf1T, N0. ,? ??'' . . L.. ' • '3_ > :?:v4,?. The Village o£ Eagan hereby grants t.0 pAMN,. ? oaL Of 120 F BL?ler AV2 , St. paulo MlQ ri5107 d Permit for: (Owner) ryyrrar Helahta at 15z3-25-27 & 15??-3z-34-36 No, (3reenwood Cour , pursuant to application dated 10/24/72 Fee Paid: _$150 00 dated this 27th day o£ October , 1972 4.00 s/o Building Inspector liechanical Pexmitsc did Total; ToWN or EAcaN 3795 Pilot ;Cnob Boad Eagan, Plinnesota 55121 I PE101YT N0. The Board of Supervisors hereby grants to Cons oli.datt:r7. Yltmbl.'lg COI ? of 1=:00 G, 26d,ti. ..?`i3TnmJille, iIII 55337 1 a YUJiT7I1G Permit 3L` i:Ol.' .O•••lIB ' uL.ic , ? $20.00 pt,ae Fee Paid• v,`?i 22.00 a/i: for: (Owner) ,oarey "=eiE;tli?t; DL?3. ir5 t1-`Lt #15 0ood Cau?--E , pursuant to application @ated i .50 s!c each vns.t 'I _ Dated this 20th day oi 1 Building Inspector a- ?-/ Ser/?-? iJ/7 tS .'`?. VILLAGE OH' r:HGAN 3795 Pilot Knob Koad Eagen, Minnesota 5$122` --'- PERMIT, N0: ;+? •, . .?-?,-,.:?.?_ The Village of Eagan hereby grants to .. ? . ; A. , $?uA:* x. a o£ 120 E. BLGIM pve., St Paul$ MIlP 55107 d Permit for: (Owner) &LrraT Heiuhta a; 1523-25 7 29 & I 53?0-32-3lt-36 Noe (3re ood Cour , pursuant to application dated 10/24/72 Fee Paid: ?160,00 dated this 27},h day of October , 19 72 4.00 s/c Building Inspector liechan3cal Permits: j3id Total; a-7L . ? To,ara ar r,Acerr 3795 Pilot Itnob P.oad Eagan, PlinnesoCa 55121 rEtaruT No. 243 - The Board of Supervisors hereby grants to Ccuzsa?.idwte:d. PlumbiSlE C of 'i ;'ajo ^i Ttoarli3?.?,z'azxrl71o, tT1 5?5337 a F`LU1+177r,pCi Permit for: (Owner) 51:iW-,t?yy zae3f-_?us' EA!.L'.s, ibr' i;}C*IY #15 ? /-'-?7 Na Greenc?oad caw^t at :Eee pursuanC to application dated i, 4-20.00 p7aas .50 ;/a eaah ?n9,t I? Fec Paid: DaCed Chis LEth day of ;7 ? 19Z. efC I $ 22.00 ? Building Inspector I I ? GCoD -oq VILLAGE 0k' EkGIUV 3795 Pilot Knob ltoad EaBan, Minnsaota 55122* . PF.EtMIIT N0. •?? • ???? The Villa6e of Eagan herebY Branta to ti ow . . ? ? °f 124 E SLGla* Ave o 9t Paulo lgi 55107 d dg]ILU Permit for: (Owner) Surre?r Heiehta at 1523 2 27-29 & 15?0-32-31?-36 Noe enwood Gour , pursuant to application dated 10/24/72 Fee Paid: $160,00 dated this Q th day o£ October , 19 72 4.00 s/c Building Inspector iviechanical Permits: s3id Total: , S Tou;N or EAcsN - 3795 Pilot ICnob P,oad - Eagan, Piinnesota 55121 PEItAtIT N0. 21?3 - The Board of Supervisors hereby granCS Co Cai-isolj.date.J. Y11m'.bia& ?db ? of z;o? ao:ut. asria:rrille„ iT1 55937 a P'iUii!;7i,IG Permit for: (Owner) DlU.!°r{y' T_ieiLni;s D::'.op, th-"`11 015 i /-151-57770 Greq?nujooQ' e&L'4 ? aL pursuant- to application dated ? I -7/28/+L' ? $20.00 glu8 .50?s/a each uniL ? Pee Paid:Dated this Gcvh day of $ 22,00 ::/u ? I Building Inspector el- ?-/ s. N VILLAGE OF' r:AGAN 3795 Pilot Knob ftoad Eagan, Niinnesota 55122 PII?i1IT N0. 973 The Village of Eagan hereby grants to AAj?dpr ?q? o£ 120 E. BLt? er Ave. - 9t. Paulo MN 55107 a Permit for: (Owner) ryyrre¢r Heiahte at 152125-27-29 & 75,0-32-34-36 xo. (Tsreenwood CouT ,' pursuant to application dated 10/24/72 Fee Paid: $rybp,pp dated this 27th day of Ootober , 19 72 4.00 s/C Building Inspector Niechanical Permits: r3id Total: 7 TGWN OP EAGAN 3795 Pilot Knoh P.oad Hagan, Plinnesota 55121 kEUIIT N0. 243 ` The Board of Supervisors hereUy grants to of• 1L:L'Y ?toacl¢ ;LU'r1wrillo, PII`I 55337 I a PLl}2'?13.T17G ?- Permit for• Own? ) ti525.'2?ir- - ??air:?t, s??s. ???5 t?u €?t5 ? o. GrPent,?oud i at !;;e?. ?u-:ca<::a s'il?' , pursuAne to application dated 'jf 2S /l? . I g20aW plus ,50 s/a each tusi.t Fee Paid; $;?;;? Dated this 2E'th day or '- ? 19Z V n+?l :G P: .CO u/C I :,/ Building Inopector ? " EAGAN TOWNSHIP BUILDING PERMIT Ownes ....... .... ...... ........... .._.._ ........ ................ -............ Zz. Addresa (Preseni) ...,5..°..? ? ...... ...... 1. - ........ .........---'--.......:........... ,i ..... .. . , Builder ._..A'.... p .. .......... ................... .............................................. naara.. ................................................................................ ............ N° 2720 Eagan Township Town Hall Date .:?J....-. °?..(...-.7 Z ............. 8lozioa To Be Uced For Fson! - D FI opih slghi Eoi. Cos! Pssmit F?e Asmaeb a ?- ? - I zs6 ysL ?q . , ? e ! 6 ?e?.F?.-?•-? ? 0 f I 3?°, F ihis pazmii does aot aulhorise the use of streeh, roads, alleys or eidawellu aoz doee it glve the owasr or hls aganf the right fo ereate any aifuaSion which is e nuisante os which psesenls a haaard io the health, safely, convanienea and general welfare la anpoae in the eommueitq. THIS PEAMIT MUST BEp?KEPT ON TH? E PAEPSI$E WFIILE TFIE WORK IS IN PROGRESS. , This ia !a eeslifp, fha2..?l.s•?( !r?""""• , " ........................... .--------- ................ has permissioa !o eree! "'...... the abova deseril?ad p ? remiae sub'ec! !o the -?` i(-?-""? provisiona of the Suilding Ordinanca for Eaga owns ip a opfad?pr31 1, 1955. n p n )({ .............................. .......?+^A-..1t..... _ -<----.---.... per ........... ...-----./`..-".e`-.......1.?...._......f-??....--.?.--.....................----?----- Chairman of Tnwn Board -13 Baildin Ina eelop, 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -?>-1 ? (-) C) New Consirudion Reauirements 3 regisfered site surveys showing sq. fl. of lot, sq ft of house, and all roofed areas RemodeVRemir Reauirements 2 copies of plen l7ffic"ei7'set3nlv GwlufStnyey?ecd : -? e d :;,_X' ?A1 Y:_N (20°hmardmumbtcweragealbwed) lsetofEnergyCalculaLOnsiaheatedadditions k p : VeeFres;PwR iied-? "1?re5 ? '? ? T4ii _ 2 copies of plan showing beam & window sizes; poured found design, etc. s . 1 site suNey ior adcfifions & dec Adddion•indicate'rfwisrtesepticsystem ; . , (N C DivsiteSepiieSy5l _N iseto(EnergyCalalations 3 wpies of Tree Preservation Plan if loi planed a0er 717193 Rim Joist Detail Options seledion sheet (bldgs with 3 or less units Date /v l a 8 I a? Construction Cost ')d S• an SiteAddress lev / Unit/Ste # 3- Description of Work &f'e s-ar Multi-Family Bldg ,r Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 6?f-ro'n C Telephone #( q $1 ) 921 - s-r 2-?" Contractor G?A!c d l <<s Addreas 12Y?S City State /?n Zip Ssyy/ Telephone #( 6?i) 3i o- 6 S- 4s", # ?y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ ??esota Rules 7672 Energy Code Category . ResidenNal Ventilation Category 7 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope CalculaGons SubmiNed Have you previously constructed a fee applies. Licensed Plumber Mechanical Conhactor Sewer/Water Confractor Y N If so, 257o plpn review Telephone # ( Telephone # ( Telephone # ( 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 accordanee with the approved plan in the case of work which requires a review and approval of plans. a similar plan? Applicant's Printed Name App il canYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att- Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 08-plex /<- 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_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 ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ik 34 Replacement 'Demolition (Entire Bidg) - Give PCA handnut to applicant Valuation ? Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump " # of Units Sq. Ft. PRV # ot Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) ? Footings (deck) _ FooUngs(addition) Foundation Diain Tile Roof Ice& Water Final _ Framing - _ Fireplace _ RI. _ Air Test _ Final Insulation REQUII2ED INSPECTIONS Final/C.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ AidGas Tests Final _ Siding _ SNcco _ Stone _ Brick _ Windows _ Retaining Wall ? Approved By: L , Building inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Suroharge Treatment Plant License Search Copies Other Total $ 7o - 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) / ? ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 6 651-681-4675 Reaulrements ? 2 coples of plan I^ ?/"' O jJ 9-6-D G DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: dct / A f r r?hU?° ? I If multi-famity bidg., how many units7 INDICATE TFiE FOLLOWIPIG EQUIPP/iEfdTTO BE REPLACED AND BY WHOM: _ Plumbing _ Homeowner gr ConfracTor Name _ Mechanical _ Homeowner g[ Contractor Name "Note: If somebody omer than me homeowner is pertorming plumbing or mechanical work, they must apply for appropriate permit. Only licensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: LOT: b BLOCK: _? SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR Name: 1-4ex-Zo? T.W,-h my Pnone a: ?5'-1 Last Fint Sheet Address: I SJ 2- 5 r_ r.) ^j v ") ?? (-T - N . City '6A!'StCte: /;",V' Zip: ? company: Ca ?or? s11-3a, 4-- 4 in. C6D. Phone#: 1, ?j - y23`3 F 1) (area code) Sheet Address: 3 7 S" 5 J ?? 1 t T LV - License il Exp. Ciy ?• w+ 0 c=N ? State: Zip: rS D t? ? I hereby acknowledge that I have read fhis application, state thatthe informaHon is correct, and agreeto compy wBh ali applicableState of Minnesota Statutes and City of Eagan Ordinances. Signalure of Applicant: -W, MASTER CARD STRUC7UR: AND i? aa -1s =?2 7 -.29' Ot/o t-'o C??-,vA z.y' /. V.s iq z 1%4 Permit I No. Issued ssued To Coniractor _ Owner BUILDING ? O I PLUMBING CESSPOOL - SEPTIC TANK NJE g-?;' H r? ? - GAS INSTA ?- SANITARY SEWER . . w? OTHER i ? O7HER I I ? Items ? Approved (initial) Date Remarks Disiance From Well FUQTWG $EPTIC FOUNDATION / CESSPOOL FRAMING TILE FIELD PT FINAL ELECTRICAL i HEATING GAS INSTALLATION DEPTH OF WELL SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL I9T? ?l SANITARY SEWER ? C Violafions Noted on Back COMMENTS _ , COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF 08SERVED VIOLATIONS PERMIT NO. 2722_ 1s.2 s OWO CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENGE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF /?7 - 7 - 7 ??- ?j?,Lyc.crJro'Oor 4 4Ts? ` zor 6- 6??? _ sv A RwY HG L- ? NON-COMPLIANCE BUILDER DOES NOq INTEND TO COMPLY. ? NON-COMPLIANCE. BUILDER WILt COMPLY WITHOUT DELAY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ITEMIZFD AND DESCRIBED AS FOltOWS: ? REINSPECTION RE4UIRED DATE OF R£INSPECTION CERTI FICATION- I certify that I heve carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all sgniticant conditions observed to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any sDecific reqwre- ments for off-sice imprwements rela2ing to the property inspacted. AL?L IMP T$ A EPTAB D wLoi c`? EC' r COMMENTS: 7- 7?w' OATE CITY USE ONLY LOT ^Y BL ? RECEIPT SUBD. /JGcr?? Z.12? RECEIPT DATE: 1997 MECHANICAL PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN NIN 55122 (612) 681-4675 n8te: R-18- 9 7 Complete this section onlv if vou are installing HVAC in single family, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIOivAL 50 M BTU 6.00 • Gas outlets ( minimum of one required @$3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section onlv if vou are remodelinQ addin¢ to, or renairing eaisting sinele familv dwellin¢s, townhomes, or condos. X Add-on furnace X Add on air conditioning _ Add-on air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge 1-501 Total: $ 20.50 siTE nnnREss: 15a 3 Greeh woo d Cf- No • OWNERNAME: CU17{? I-e ?bYl'L? OF? PHONEiI: ?n?7- 900 INSTALLERNAME: IAIQI?I?^S^ sOL{7F'hS1dC I? P H-IG ?nPxONE#: *31-7099 J STREET ADDRESS: I q'"7 1P pCh h OGk AV6 CITY: ?jlJb2 Ve IbPV STATE: !yN ZIP: -T5/041' ?h.?o/ ?('• l???.QP? SIGNATURE OF PERMITI'EE EAGFN TOWNSHIP 3795 Pilot Knob Road ?St. Paul, Minnesota 55111 Telephone 454-5242 P8RlUT FOR WATER SCRVICB CONNECTTON Date: Ju1y 28, 1972 Number: 910 Silling Name: Surrey Heights Bldg. 10Site Address:C?425-2Z-2S No. Greenwood Court Owner: Gustafson Associates Billing Address Plumber; Location of Connectioa Meter Size Connection Chg. O.OOi 7/7-A- L78 5'- ?ea s8 / 8 /Y Meter No. Permit Fee 10.00 8-Z a Meter Reading Meter Dep. MeYer Sealed: Yes` Add l1 Chg. i.5ay_ a NO Total Chg. Inspected by Building is a: Residence Multiple xx LIo. Commercial Industrial Other Date Remarks: $25.00 RE-INSPECTION FEE FOR IMPROPERLY INSTALLED N9ETERS. By: Chief Inspector In conaideration of the issue and delivery to me of the above permit, I hereby agree to do tte proposed work in accordance with the rules aad regulations af Eagan Township, Dakota County, Minnesota. By: Please notify the above office when ready for inepection and conaection. 3 . EAGfN TOWNSffiP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNLCTION DATE• July 28, 1972 NUMgER 1072 '??'? ? -?• ?. ??- d , OWNER: Surre? Heights Bldg. #10 Address(1523;'25-27-29 No. Greernaood Court ? V PLUMB ?-C TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUIIAING Industriall Commerciall Reaidential I Multiple DweLiing I No. of uniCs 1 I _1 xx I 4 Location of Connectfona: Sy. Chief Inspector In consideration of the issue avd 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, Minaeaota By Pleaee aotify when ready for inspection and connection and before aay portioa of the work is covered. Connection ?y Permit Fee 10.00 .?? ?jV51z11 SYreet Repairs ToCal Inspected by: Date Remarks• ? nuo - J? EAGF.N TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERt4IT FOR WATER SGRVICE CONNECTION Date: July 28, 1972 Number: 910 Billing Name: Surrey Heights Bldg. 105ite Address: 1523-05127-29 PFoo Greenwood Court Owner: Gustafson Associates Plumber: Location of Connection 7 .s- ?3.,.1.5 3 G, 1 ?'7 •- -?°'.S' b' ? / conneccion Meter No. ?Permit Fee 10,G0 Meter Reading Meter Dep. Meter Sealed: Yes_ IAdd'1 Ghg. NO ITotal Chg. Inspected by Date Building is a: Remarka: Residence IIultiple ? Ao. Units Commercial Industrial By: ^ Other Chief Inspector - - a In conaideration of the issue'arid delivery to me of the ahove permit, I hereby agree to do tte proposed work ia accordance with the rules and regulatioas of Eagan Township, Dakota County, Minnesota. sy: Billing F.ddress Please notify the above office when ready for inspection and connection. ? - -° 1 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minne3ota 55111 TeIephone 454-5242 PERMIT FOR SLW$R SERVICE CONNECTION DATE: July 28, 7972 NUMBER 107z OWNER: Surr* Heights Bldg, #70 Address 1523,25727-29 No. reenwd-ourt ? - PLUMB . TYPS OF PIPE Heavy Cast Iron DESCRIPTION OF BUIIDING Industriall Commercfall Residentlai I Multiple Dwelling f No, of units I ( I xx 1 4 Location of Connections: Permit Fee 10,00 0 0 Street Repairs Total Inspected by: Date Remarks• Connection Charge$9b0o 00'%?/JY By Chief Inspector In consideration of the issue acid delivery to me of the above petmit, I hereby agree eo do the proposed work in accordance with the rules and regulationa of Eagan Toc•mship, Dakota County, Minneaota By. Please notify when ready for inapection and connection and before any portioa of the work is covered. ? s?- ? EAGE14 TOWNSHIP `'1 3795 Pilot Knob Road ? 2?? I St, Paul, Minnesota 55111 ? Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: July 28, 1972 N[fiygER 1072 J l? 1 OWNER; Surreja Heights Bldg, #10 Address 1523-25{27;-29 No. Greenwood Court t PLUMB -t---C Ty[PE OF PIPE Heavy Cast Iron DESCRIPTION OF BUIID ING Induatrial[ Commercfall Resideatial f Multiple Dwelling ` No, of units ? ? I xx 1 4 Locatian of Conaections: Connection Charge $960a 00? %4?/'7->-? Permit Fee 10,00 , 0 Street Repaira 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 Toemship, Dakota County, Minneaota By Please notify when ready for inspection and connection and bafore any portion oE the work is covered. ? EAGFN TOWNSHIP ? C 3795 Pilot Knob Road S St. Paul, Minnesota 55111 Telephone 454-5242 PERNIIT POR WATER SERVICE CONNECTION Date: Ju1y 28, 7972 Number: 910 Billing Name: Burrey Heights Bldg. 10SiYe Address: 1523T,/257 29 Puoa QreeTwood Court Ocrner: Gusta{'son Associates Billing F.ddress P lumber ; location of Connection i.?G 787`,3?.5'S' c /.??.,2 S- '?•,l /--jle %.y?-- .3aS-if / ? Building is a: Meter Size Connection Chg. •?440. 7 Meter No, Permit Feey 10000 ?? Meter Reading Meter Dep. Meter Sealed: Yesr lAdd'1 Chg. NO iTotal Chg Inspected by Date Remarks; Residence tIultiple XX No, Units Commercial Industrial Other Hy: ^ Chief Inspector In consideration of Che issue and deLivery to me of the above permit, I he•reby agree to do tte proposed work in accordance with the rules and regulations of Eagan Tovmship, Dakota County, Minnesota. By: Plea:ae notify the above office when ready for inepection and connecCion. ???? ??)/-? ?. - EAGF.N TOWNSHIP 3795 Pilot Kttob Roud Js' ly"` St. Paul, Minnesota 55111 Telephone 454-5242 PLR14IT FOR WATER SERVICE CONNECTION Date: July 28, 1972 Number• 910 Billing Name: Surrey Heights Bldg. 10Site Address: 1523-25-27aNoe Greenwood Court Owner: Gusta£son Associates Billing Address Plumber: Location of Connection 7g y_-5" / 'y i_..??..z s - .?•? i - j 6 ?d's -- .-3 /.?'1 7 _ .:? .? i.3 G % ?G '" ?..i?S- B' .,2 C• 3 c, 18? •--3`?5`F? a / -W/- Meter Meter No, Meter Reading Meter Sealed: Yes` Pe:mit Fee 10100 Meter Dep. Add'1 Chg. NO ITotal Chg. Building is a: P.esidence 23ultiple k_ ro. Units Comtnercia 1 Industrial Other 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 [he rules and regulations of Eagan Toc,mship, Dakota County, Minnesota. By: Please aotify the above office when ready for inepection and connecCion. EAGAN TOWNSHIP S 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SSFIER SERVICE CONNECTION DATE: July 28$ 1972 pUMBER 1072 H-? d ?0 ? -N-i OWNER: Surr* Heights Bldg, #10 Addrese 1523-25-27?29? No. Greernrood Court i - PLUMB TYPH OF PIPE Heavy Cast Iron DffiCRIPTION OF BUIIDING Industriall Commerciall Resideatial I Multiple Dwelling I No. of unfts Lacation of Connectione: ? 14 Conaection Charge $960, 00 2?'1J'7-- Permit Fee 10000 0 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 agree Co do the proposed work in accordance with the rules and regulations of Eagan Toc•mship, Dakota County, Minneaota By. Pleaee notify when readq for inspection and connection and before any porCion of the work is covered. ? Aug. 1. 2012 12:37PM Seld Accounting No.1661 P. 13 Use BLUE or BLACK Ink For office Use - I j Permit j buy of Eagan I I Permit Fee: 3830 Pilot Knob Road t Eagan MN 55122 bate Received: I i Phone; (651) 675-5675 I i Fax, (661) 676-5694 1 Staff: J 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date:. Site Address: 152 11S25,15Z7,1t9 6f'fCflW00d CL n Unit#: Name* SuYrtt -et4' Phone: 1.)5,A-?31-1x33 RESIDEN[TI p r- i j C\. P~ r Kul V OWNER Address / City / ZI : l Applicant is: Owner _X_ Contractor TYPE OF WORK Description of work: Ce 'rC~C> Construction Cost: and UC~n/ Multi-f=amily Building: (Yes No_) Company: G eA6- QO fi rtc] 4, KeVYl(_,jed t ✓ e Contact Kq~ -'k j1 CONTRACTOR Address:{CCU".XCr~~ St ot~~ y Clty_r~Gt.~IS State: Y )N Zip: Phone: License C R- DC'-) 1 U 5 U Lead Certlflcate A/A I 5 C>3 Ll 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 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 Willy damage. Call 46 hours before you Intend (o dig to receive locates of underground ulltilles, www oooheralateonecall.oro 1 hereby acknowledge that this information is complete and accurate; [hat the work will be In conformance wllh the ordinances and codes of the City of Eagah; that 1 understand [his is not a permit, but only an application for a permit, and work Is not to start without a perml(; (hat 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. Applicant's Printed Name Applicant's Signature -7 d-~' Page 1 of 3