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