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2800 Lone Oak PkwyCITY OF EAGAN / v-te--i Addition I-,Ane 9ak Addition -Lot RIk Parcel 10A5,j99-j38-fl& Dwner Street Out lot 14, 2!? State iL) ? Cj D D n Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK LEO 19 $ 1 42431 SEWER LATERAL ? WATERMAIN WATER LATERAI WATER AREA STORM SEW TRK 806 1984 1887.81 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 0 ? WATER CONN, I BUILDING PER. SAC PARK I ? . CASH RECEIPT ? CITY OF EAGAN - ? 3830 PILOT KNOBIROAD EAGAN, MINNESaTA 55122 6 DATE RGC CI V iD AMOUNT 19 ? I 6 DOLLARS oe ; E]CASH ? CHECFC roR ' L r `J White-Payers Copy Yellow-Posting CopY Pink-File Copy Thank You BY ? CASH RECEIPT ? CITY OF EAGAN 8830 Pf L07 KiV06 ROAD EAGAN, MINNESOTA 55122 DATE RecLiveo ' FROM ' .• j' . ' i AMOUNT i .; _ . - & DOLLARS ?oo EJCASH []GHECK FOR 1 .- ` FUND CDOE qMOUNT ? Thank You 6Y ' 7VI White-Payer3 CopY Yellow-Posting Copy Pink-File Copy • BLDG. FERMIT N0. `-?- .. ,, • , T ?- , t i ? !._ ;~ ?L? ? ? ??11?. c.?J- 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: +454-8100 BUILDING PERMIT Receipt # • ,' To be used for ?`'? ```' ???`?' • Est Value Date OCTagEg S ? 9r,7 Site Address =$00 LONE OAK PKWY Lot Block Parcel No. a Sec/Sub. ?NF. nAK AiJD N':- BELL m Name W 4? ?f ? ? ?L z Addr?ss ° City ' Z?,! PAUL Phone r21-4946 ? Nampe ':t 5T£ELL C?JtVST ,o ? a Address 417 V i RG I?? FA 5T ' x City '' r°AL Phone ..' Z 7.-'•'; ?w ? W Name 'T1tSON A5SGC iNC x? Address 711i: ; T Q W City Phone 627-54Ez,? . I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Citv of Eaoan drdinances. - Signature of Permittee s A Building Permit is issued to: ED ?'1 +-:.! U" - C,cX1'z'C on the express condition that aIl work shali be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. • Building Qfficial OFFICE USE ONLY On Site 5ewage Occupancy $4 1 MWCC System Zoning 10 On 51te Well (Actual) Const i iN Ciry Water (Allowable) 1`!n PRV Required # of Stories j Booster Pump Length 56 Depth 43 S.F. Total 2 . 2 50 Footprint S.F. 2 + 2 50 APPROVALS FEES ? 44b. SO , Engr./Assess_ Permit (3U Planner Surcharge - 5 z? Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit 180'OU Treatment P1 Parks . ?? 5 TOTAL ?., ? BUILDING PERMIT To be used for aTYi CITY OF EAGAN Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 Est. Value Site Address Lot Block Sec/Sub. ` Parcel Na c Name _ l't6UNF W 3 Address ? City Phone t? °C Name CUI ,,.. .o ? a Address P City Phone ? 4 i - , `• };' Address City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to complywith all applicable State of Minnesota Statutes and City of Eagan Ordinances Signature of Permittee ? A Building Permit is issued to: all work shall be done in accoi Building Official Receipt # i SLPT£14BLB 14 •. ? Date ,19 OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments t ;.?:•. Permit Water/Sewer _ Surcharge Police _ Plan Review Fire _ SAC, City Engc - SAC, MWCC Planner _ Water Conn. Council _ Water Meter Bldg. Off. _ Road Unit APC _ Treatment P1 Variance _ Parks Copies TOTAL on the express condition that nnesota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Date Telephone # Plumbing H.V.A.C. Electric Softener Inspectlon Date Insp Comments Footings I Footings II Foundation Framing - Roofing Rough Plbg. /O., 8 - !.) Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. CITY OF EAGAN 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for Est. Value )9#Q010 Site Address Lot / Block 0 Parcel No.? ADM t 11 Name W z Address 3 O ?itv Phnno - ,.._ ? . ..? °C Name 0 ? ? Address P City Phone Name Rddress City Phone I hereby acknowledge that 1 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. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. _--- --- Building Official---------- , •, ? , ? # ,19 ;OL O FFICE USE ONLY i On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRY Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr.lAssess. Permit Ptanner Surcharge Council Plan Review Bldg. OH. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL ? , Permit No. Permit Holder Dato Tslephona ? Plumbing t t H.V.A.C. ?.,•:?. ?i8??1 `) r?" ? ?/o???,c? ?-•w Electric Inspectlon Date Insp. Comments Footings I 4116. Footings II Foundation • zj-) Framing Roofing i•:k bGcJ r.? Rough Plbg. ??3 •G r r Rough Htg. ISUL Fireplece Final Htg. Final Plbg. Zq ? _2 _ 79 ?. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. MECHANICAI PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: f•/.? ?.? l ?oc, ...,...?-_ .?. ....... TYPE ? Name _ ? Address c City ? c Address p City ? TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. ? M BTU Vent CFM Gas Piping Outlets # Other FEE: S/C: TOTAL: n. ?A ? FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GA5 OUTLETS (MINIMUM - 1 PER PEFiiIAIT) - 1.50 EA. CcOMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 ' - ,4 ? . . :• u,in.^? -TL, }aclM l ,)? PERMIT # PlUM81NG PERMIT -?n.+RECEIPT #- ? CITY OF EAGAN ?rr ? ? 3830 PILOT KNOB ROAO, EAGAN, MN 552 DATE: CON7RACT PRICE: PHONE: 454-8100 Site Address L Ck? BLDG. TYPE WORK DESCRIPTIDN Lot 1=(' l i11 Block Z?' Bec/Sub Res. New ? Mult Add-on ? Name - C- Comm. ? Repair ? Address ? Other c City `i{ Di'. uL Phone 1,14 2- 3 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: S.;> c= NO. FIXTURES TOTAL Mame G r+. Water Closet -$3.00 $ ` Bath Tubs - $3.00 3 Address Lavatory - $3.00 Q ; City -P"ne °- Shnwer - $3.40 - F(iTrhan Sink -A3nf1 COMMl1ND FEE -1°!o OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COM.M/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C lF PERMIT PR{CE GOES UrinallBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Pipincy0utlets - $1.50 - - (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - S10.00 Private Disp. - $10.00 Rougn Openings - $1.50 FEE: ' STATE SIC: I FOR: CITY OF EAGAN GRAND TOTAL: ` , ? =' Dgd Meter No: --v 7 Reader No: t, ii p 4 14a) bNt1Uka =;,' '•?, - 1 ? R!C - GA5, Eir,;' DNLvf Zl,6grjee,tQ cornply wifh the City of Eagan - -- _----- . :?-.e...- - ,- aF EAGAN Permit No: )148 pate: 10-14-87 Pilot Knob Rond Meter Na Size: ;ox 21199 Reader No: Date: n, MN 55121 ;;Yeeiu ^onst. ,r ^14F!'?4, Snnn flnlr Pflrkeasr lbet7nt tJ' R(1 7rna fL-slr Ar1, Conn. Chg: Zoning: C02:'. Acct Dep: No. of Units: NIZ Re_} Ll g Permit Fee: 1??• ?dp? - &sty Surcharge: • S??d I agree !o comply with ihe Cfty al Eagan i Tr. Plant Ordlnancea. i Meter. WATER SERVICE PERMIT " CITY OF EAGAN N_ 14 2 4 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# 1 g(.-,) -D I Tobeusedfor EQliIP. BLDG. Est.Value $98,000 Date OCTOBER 5 1987 Site Address 2800 LONE OAK PKWY OUT Lot 'WABloCk p Sec/Sub. LONE OAK ADD ??)4 Parcel No. a Name NW BELL I z Address 70 W 4TH ST o City ST PAUL phone 221-4946 o Name ED STEELE CONST ?Q Address 417 VIRGINIA ST ? City ST PAUL Phone 227-3434 ww Name TYSON ASSOC INC Address 711 W LAKE ST a W City MPLS phone 827-5484 t hereby acknowledge thave reaH this apphcaLOn and state that the information is correct a agree?to-comply wrth all aqqIScableState of Minnesota Statutes an City of EggaA Or?liryaryCe?/ // // Signature of Permitlee *'" " - ? 4L/?? N- A 8uilding Permit is issue o: _C(1NST on the ezpress contlition ihat all work shall be tlone in accordance with all applicable State ot Minnesota 5iatutes and CRy?Eagan Ortlinances / BuildingOHicial ` "V f ? OFFICE USE ONLY On Site Sewege - Occupancy 134 MWCCSystem _ Zoning PD On Site Well _ (ACtuap Const IIN Ciry Water x (Allowable) Vn PRV ReqWred - # of Stories 1 Booster Pump _ Lengih 56 Depth 43 S.F Total 2,250 Footprint S.F. 2,250 APPROVALS FEES $ 496.50 Engr./ASSess. Permit 49.00 Planner Surcharge 248.25 Council Plan Review BIdg.Off. SAC, City Vanance SAC,MWCC Water Conn. Water Meter Road Unit Treatment P7 180.00 Parks $ 973J5 TOTAL 1 .- CITY OF EAGAN N° 1415 6 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE:454-8700 ..--i -7 BUILDING PERMIT Receipt# d` 9 87 To be used for FODNDATION Est. Value Date SEPTEMBER 14 1 5iteAddress 2800 LONE OAK PARKWAY OutotPL_Block 00 Sec/Sub. LONE OAK Parcel No. 10-45-7=0D t/ rj 701 - 0 10 - rc Name NW BELL TELEPHONE CO z Address 70 W 4TH ST o City ST PAliL phonEt 221-4946 a Name ED STEELE CONST , ?? Address 417 VIRGINIA ST ? City ST PAUL phone 227-3434 ? ww Name TYSON ASSOC w Address 711 W LAKE ST a w City ?LS Phone 827-5484 I here6y acknowledge that I have read this application and state thattheinformationisconeCtend @reetocomplywithaliapplicable State ot Minnesota Statutes an Ci ,"of Eagan Oi Signature of Permittee "? A Building Permit is issued to: ED TEELE CONST all work shall be done in accordance with all applic[,zp`le State o? Building Officlal iFl6_cc..R OFFICE USE ONLY OnSiteSewage _ Occupancy MWCCSystem _ Zoning On Site Well _ Type of Const Ciry Water _ (Actuaq (Allowable) # of Stories Length Depih S.F. Total Footprint S.F. APPPOVALS FEES ?15.00 Assessments _ Permit Watar/Sewer _ Surcherge Police Plan Reviaw Fiie - SAG City Engc SAC, MWCC Planner WaterConn. Council _ Water Meter Bldg. Off. _ Road Unit APC - Treatment Pt Variance _ Parks Copiea TOTAL on the express condition that innesota Statutes and City of Eagan Ordinances. ? t ?= 1415 - CITY OF SAGAN SINGLE FAMILY DWELLINGS IPCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORYEY, 1 SET OF ENERGY C9LCOLATIONS NOTfi: ADDRESSES FOR CORNES LOTS - CONTRACTOR/HOMEOUJNER HIIST DESIGNATE WHICH ADDRSSS IS DESIRED. NO CHANGES WILL BE ALLOWSD ONCE BDILDING PERMIT IS ISSIIED. MULTIPLE DWELLINGS - RFSIDSNTIAL RENTAL ONITS FOR SALE D$ITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVSY - CHECK iTiTH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COiRMIIiRCI6L INCLUDE 2 SETS OF ARCHITECTURAI 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND Fou.tio R-n?j Pere..i,t TE L E 1=Hon1E To Be Used For:l?a7VlP ejLZ=, Site 2Ad?dre?s9 2=0- LpNE DAK P & STRUCTURAL PLANS, SET OF Valuation: ? T Lot M Block Ob Parcel/Sub 1 D 47"10o 130 op Owner Address 7_6_- W. 4 STF-EE7 City/Zip Code ST. P4Lx- MA. 651D2 Phone 22 1- 494(o C C??frant??'etor Co? STEELE nt??_ Address 417 V! EGAWA -E51. City/Zip Code ST 946,l.l.., MN 1?5103 Phone 2'ZII - -3434 Arch./Engr. /Ssscx,a Address W. L,d.Y-E ?. , CitylZip Code M,?.?7 ?Qbg Phone ll 827- On Site Sewage_ MWCC System _ On Site Well ? City Water ? APPftOVALS Assessments Water/5ewer Police Fire Engr _ Planner Council Bldg Off _ APC Variance Date: 9-9-6-7 Occupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEBS Permit ( S W Sureharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL ? Z 4;4 • ?i 1987 HIIILDING PERNIIT 9PPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLINGS ffiCLQDE 2 SETS OF PL9NS, 3 CfiRTIFIC9iES OF SQEtVEY, 1 SET OF ENERGY C9LCQLATIONS NOTE: ADDRESSES FOR COBNER LOTS - CONTRACTOR/HOMEOSiNER MUST DESIGHATE AHICH ADDEESS IS DESIRED. NO CHANGES WILL BE ALLOWED OHCE BIIILDING PERMTT IS ISSIIED. MULTIPLE DSiELLINGS - RFSIDENTIAL RENTAL Ui1ITS FOR S9LE D49IiS TNCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COLMMRCIAL ? INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND f*tP 6WG, To Be Used For: Site Address & STRUCTURAL PLANS, SET OF Valuation:-o8, 000. oU T Lot fY-)_ Block _jo_ ' Parcel/Sub 15:?a'p &I[, Owner WOr-TI4WWw Address 70 h/ 4r4 51-- City/Zip Code Phone Contractor fD ?5rw(,e Lam Ay, Address Y1-7 V I"(NLAj JT City/Zip Code JT FAUL. Phone 22?- 3434 Arch./Engr. (y?? Ae6c• lNG . Address -7 0"'tST, City/Zip Code MPLS f2EI(J Phone U CJ 2/- "S T On Site Sewage_ MWCC System _ On Site Well City Water ? 9PPROV9LS Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Variance Date: 9" 1J'0'87 Occupancy 5•4- Zoning PG Type of Const (Actual) ZN (Allowable) SL H # of Stories I Length s(, Depth 43 S.F. Total Z25p Footprint S.F. 27-Sp FEES Permit 4`l (0• = Surcharge 49. Plan Review Z 8. Zs SAC, City SAC, MWCC Water Conn ? Water Meter N P? Road Unit Treatment Pl 150. Parks 774-7 Copies TOTAL --, ^ MEMO T0: J6Y BERTHE - POLICE DEPT. CRAIG RNQDSEN, ENGINEERING TECH. TOM COLBERT, DIRECTOR OF PUSLIC WORKS JIM STURM, PLANNING DEPT. JON HOHENSTEIN, ADMINISTRATION BILL AKINSt ELECTRICAL ZNSPECTOR d0E CONNOLLY, WATER DEPT. FROM: DOUG REI?, DEPARTMENT OF PROTECTIVE I DATE: q,l :m0/a7 The preliminary construction plans for ?t^-f,,. ???l.l i?, , .,_ . . .. ? _, z are in our plan review section For your review and comments. ., Please return this Porm to Steve Aanson with your initialed comments and the date of review. Failure to return form to Steve vithin Pive (5) days vill be considered your approval. IP you have any objections to approval of these plans, it is qour responsibility to notify this departmeat and resolve any probleas. ? Thank you. /JS '' MEMO T0: JAY HERTHE - POLICE DEPT. CRAIG KNUDSENt ENGINEERING TECH. TOM COLBERT, DIRECTOR OF PUBLIC WORKS JIM STURM, PLANNING DEPT. -JON HOHENSTEIN, ADMINISTRATIDN BILL AKINSt ELECTRICAL INSPECTOR JOE CONNOLLYt WATER DEPT. FROM: DOUG REID, DEPARTMENT OF PROTECTIVE INSPECTIONS DATE: Septembeo 91 14$9 The preliminary construction 11? (Fout.1DkT1O") plans for LoNE OqK pARKWAy EQU1Pw1eNT BuiLDIN G N0, l14030 (N•W tEC,L) are in our plan review seetioa for your review and comments. 3oe 1'Ylerchak Please return this form to Steve-Assrsen with your initialed comments and the date oP review. Failure to return form to Steve vithin five (5) days vill be considered your approval. If you have aay objection9 to approaal of these plans, it is your responsibility to notify this departaent aad resolve any problev.s. Thank you. .? ( MEMO T0: JAY BERTHE - POLICE DEPT. CRAIG KNUDSENt ENGINEERING TECH. TOM COLBERT, DIRECTOR OF PUBLI WOR S JIM STURM, PLANNING DEPT. JON HOAENSTEINg ADMINISTRATION BILL AKINSO ELECTRICAL INSPECTOR JOE CONNOLLY, WATER DEPT. FROM: DOUG REID, DEPARTMENT OF PROTECTZVE INSPECTIONS DATE: September The preliminary construetion I-, CPOUNDFtT1Ot?) plans for LoNE OqK pARKWAy EQuiomeNT BuiLDiN& No.Tyb30 `N•W. BELL) are in our plan review section for your review and comments. 3oe 111erchqk Please return this form to Skeve--Aarraon with your initialed comments and the date of review. Failure to return form to Ste?ve'e vithin five (5) days vill be considered your approval. If you have any obfections to approval of the9e plans, it is your re9poasibility to notify this departmeat and resolve any problPSS. Thank you. /JS ' ? ; . ?Y --, MEMO TOs J9Y BERTHE - POLICE DEPT. CRAIG KNUDSENg ENGINEERING TECH. TOM COLBERT, DIRECTOR OF PUBLIC WORKS , JIM STUAM, PLANNING DEPT. JON HOAENSTEIN, ADMINISTRATION HILL AKINSt ELECTRICAL INSPECTOR JOE CONNOLLY9 WATER DEPT. FROM: DOUG REID, DEPARTMENT OF PROTECTIVE INSPECTIONS DdTE: Sepfember 91 19$7 The preliminary construction ? (FouNDR'cW") plans for LONE OqK pARKWAy EQuIprv16NT BuiLDIN 6 NO. ?JtI030 <N•W ?ECL are in our plan review section for your review and comments. 3oe 111erchwk Please return this form to Sbeve--Herixn with your initialed comments and the date of review. Failure to return Porm to Sk ?e vithin five (5) days vill be considered your approval. IP you have any objections to approval of these plans, it is your reaponsibility to notify this departmeut and resolve any probleas. Thank you. ?. ? /JS ? .. ? . - ; . ? *AYPF': PAYMFNP OF FEE AT TIME OF ??.mri..n.Tror ?nr.v. ?rvn Lot B ock Sub ivision or Tax Parce ID I£ E}QSTING STRC'CIL?RE, DATE OF ORIGINAL &,'ILDIM pERMIT ISSL'ANCE: ". PRFSEPTr ZONING/PROPOSID LSE: (Nbn Year Co?COhPERCIAI./RETAIL/OFFICE ? R-1 SINGLE FAMILY Fl INIDL'STRIAL Q R-2 DLPLEX (Zt,o IInits) n INSTZ2L)TIONAL/GOVII2IZENr ? R-3 Zl7WNHO0SE (Three + Units) ( Dnits) . Q R-4 APARZTgSYP/CObIDOMINiLT7 ( vnits) 2) NAME: ? ?f tJ ADDRESS: /' * ? • ? ? • °.? CITY. SPATE, zIP:_ /'rJ-- , DHCNVF.. {n 3) ' ?: ?• NAME: ADDRESS: CITY, S'fATE, ZIP: PHONE: MASTII2 LI(ENSE# 4) •• 0 m9 NPZIF: ADDRFSS: CITY, STATE, ZIP: PHONE: rlimwers la.cense: ? Active fSspired Not recorded S-t-aff ETtial Q/ ? m "/ 7) -(?T7 .? CITY OF EAGAN -5) n a• • ?• : a • o? • ?? nCONNf?X.'TION Z+0 CITY SEWER COIa7DLTION ZU CITSt WATER OTM '. .' 6) ?? •' • r R pr.FnsE HOLD APPR^O?VID PII2MTT FY)R PICK-PP BY ONE OF ABOVE ---- -' "- E MAI?,AP OfJED PERMIT 'PO 1. (2. 3. 4r A&7VE , (Circle one) . FOR -CITY USE ONLY ? PERMIT # ISSUED 91 T === . Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INC D LU E SURCHARGE) $ $ WATER PERMIT (INC D LO E SURCHARGE) $ $ ? 7 `"r i..- '?WATER METER/COPPERHO - RN/ODTSIDE READER $ $ ? V I /WATER TAP (INCLDDE f CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SE E W R $ $ ACCOONT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESS MENT $ $ TRONK SEWER ASSESS MENT $ $ LATERAL BENEFIT/TR UNK SEWER $ $ LATERAL BENEFIT /TRUNK WATER $- Zo O U? $ W ATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ 27-s--o TOTAL -- 7?O 37 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ru? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ISSL?ED BY THE ENGINEERING NO DIVISION. LIST AS,A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TITLE: DATE: AI,L-AMERICAN MECHANICAL, INC. .. MECHANICALCONTRACTORS ' 496 NORTH PRIOR AVENUE SAINT PAUL, MINNESOTA 55104 . (612) 642•1391 r0 . MESSAGE ? .R-k-- > .? Atj?1 o til REPLY oq rE 10 - 7• Cy ? ? UROENT ? SOON AS POSSIBLE flLE NO. ? NO REPLV NEEOED ATTENT/ON J UI,= - SUBJECT v? ?d U r?e'xe_ Qz(c- WE- U,?e 7n- ? {ors? ?p?l f-R ??) C? F?(l- 0`1) L,.?11? rv' ? ji ?.t.1f'?'.R?L ? i hn {, oa= m r- (}- 40f111 6I F'"iL'1t-f 71:;Tyac- JW3 &-q-- 67% 5/ONfO DATf Of RfPLY S/GNED tA-(4'?1vI WM15L r?-??'Sro Sender: Detach Pink Copy /or your tile. MaAWhite and Yellow Coples. Sewal- ' Reciplent: Write reply, Retum Whlte to Sender. Keep Yepow Copy. R ? r?1TCOT M LcNG ?K MEMO T0: JAY BERTHE - POLICE DEPT. CRAIG KNUDSEN, ENGINEERIIJG TECH. TOM COLBERTo DIRECTOR OF PUBLIg WO,AKS J STURM, PLANNING DEPT. -G?? JON HOHENSTEIN, ADMINISTRATION ? SILL AKINSO ELECTRICAL INSPECTDR JOE CONNOLLYp WATER DEPT. FROM: DOIIG REID, DEPARTMENT OF PROTECTIVE INSPECTIONS DATE: ??10/6 7 Please return this form to Steve Aanson with your initialed comments and the date of review. Failure to return Porm to Steve vithia five (5) days vill be considered your approval. IP you have any objections to approval of these plans, it is your responsibility to notiYy this department and resolve any problevs. Thank you. 4 1 ?I ?? The preliminary construction ?? plans for 11P`?.^C.:,, (x1.ic-C)Ag are in our plan review section for your review and comments. /JS '' -?. MEMO T0: JAY HERTHE - POLICE DEPT. CRAIG KNUDSEN, ENGINEERING TECH. TOM COLBERT, DIRECTOR OF PUBLIC WORKS 5-dIhLSTURM,.PLANNING DEPT. JON HOHENSTEIN, ADMINISTRATION % BILL AKINS-0-EtECTRICAL INSPECTOR JOE CONNOLLY, WATER DEPT. FROM: DOUG REID, DEPARTMENT OF PROTECTIVE INSPECTIONS ! . DATE: ;?0/ 67 , The preliminary construction plans £or ` i are in our plan review section for your review and comments. . Please return this form to Steve Hanson with your initialed comments and the date of review. Failure to returu forx to Steve sKLhin five (5) daps vill be considered qour approval. If you have any objections to approval of these plans, it is your respoasibility to notify this department and resolve any probleas. Thank you, /JS ? d U ?