2045 Flint LaneCITY OF EAGAN
3795 PilaF Keob Road Eogan, Mh 55122
` PHONE: 454-8100
BUILDING PERMIT .
ROom
5ite Address
Lat Biock
Parcel
000.00
ove
Receipt #
N°_ 5791
Erect ? Occuponcy
Alter ? Zoning
Repoir ? Fire Zone
Enlorge p Type of Const.
Move ? # 5tories
Demolish ? Front ft.
Grade ? Depth ft.
Approvola Fees
x Name ?; ne 1; . ? Ot!.21Ser.
w '; c
x Address 7 i;''
0: Nome _
?Q
?? Address
? Ci
H
?w Nome _
Assessment
Water & Sew.
Police
-- Fire
Eng.
Plnnner
Council
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
I hereby acknowledge that I have read this opplicotion ond state thot Bldg. Off.
the information is correct and agree to comply with all opplicable APC Total
Stote of Minnesota Stotutes and City of Eagon Ordinonces.
Signoture of Permittee ' A Building Permit is issued to: on the express condition tfiat
ofl work sholl be done in acwrdance with oll applicable Stote of Minnesota Statutes and City of Eagan Ordinances.
Building Official
?eemM # Dete Inued
Plumbing
Mechnnicol
.?.37 PansifNe
INSPECTtONS DATE INSP. Raugh-In Finnl
Footin9s Oate Insp. Date Insp.
Foundation Plumbing
Frome/in . Mechanicol
Final y '-
Remarks: ? ?J
?5/ $Q r ••---r??.,-
?
CiTY OF EAGAN Remarks Cedar Grove Acquisition
Addition Cedar Grove 7T3 Lot 25 aik 7 Parcel l0 16702 250 07
Owner Street 2045 Flint Lane State F'agazi+MN 55122
?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL (We 1972 i .00 52.16 2 P31d
WATERMAIN
# WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
RESIDENTIAL
New Construction Reauirements
. 3 registered site surveys showing sq. ft. of IoL sq. ft of house; and all rcofed areas
(20°6 maximum lol coverage allowetl)
• 2 copies of plan showing beam 8 window sizes; poured (ound design, etc )
• 1 set of Energy Caicula6ons
• 3 copies of Tree PreservaGon Pian rf lot platted aRer 711193
. Rim Joist Detail Options selection sheet (bidgs with 3 or less unifs)
DATE _-r_-'? - O
JOB SITE
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
IP MULTI-FAMILY BUILDING, HOW MANY UNITS?
', ` i--?
PROPERTY OWNER?V dZJ1f-e
4 I$b.23
?}- ?.00-luer?.tB
reneMq I
RemodellReqair Reouiremenls
• 2 copies of plan
• i seto( Energy Calcuiatlons for heated addition:
• 1 site survey foreztenor additlons 8 decks
11.3y
VALUATION (EXCLUDING LAND) Q /S7D • BO
TYPE OF WORK FIREPLACE(S) _0 1_2 _3
APPLICANT PHONE #?/?'??t9"
ADDRESS ?/3y-1? TLui sUV? ZIPCODE-?
PAGER # CELL PHONE #
I ? C a3 q
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Su6mitted
- Energy Envelope Calculations Submitted
MINNESOTA RULFS 7692
New Energy Code Worksheet Submitted
Plumbing Contractor:
Plunibing System Includcs:
Mechanical Contractor:
Nlechanical SysLem Includes:
Sewer/Water Contractor:
All a6ove information must be submitted prior to processing of application.
Phone #
Phone #
Fec: $90.00
P'ee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all opplicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicant I _
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Water Sotlener
bVater Heater
No. of 13aths
Phone #:
I.aNm Spiinklcr
No. of R.I. Batlis
_ Air Conditioning
_ Hcat Rccovery 5ystcm
Updated U01
This request void
18 months from
Date of this Request_ ,29 Fire No. S 66537
I, as O Licensed Electrical Contractor XOwner, do hereby request inspection of the above electri-
calwiringinstalledat: +(?d OZL Gy'pvy 41,;{ /j 7 Zu?- p 54
Street Address or Route No.
Section Township
Which is occupied by
Range County a!LXG P1
Is a roughin inspection required on this job? No ? Yes IJ' Ready Now Ek""' Will Call ?
Power Supplier?NX (irA C 4 F ??' Address
?
Electrical Contractor -IN°u1 `-= 4V Contractor's License No. _
(COmpany Name)
Mailing Address - - - -'-- - - - - --
Authorized
??AM
Phone
This inspectian request will not 6e aecepted by the
State Board unlen proper inspection fee is endosed.
//4yn/. 11. Jc, wKs%?
n1vaow awan mam oi necmciry .
Griggs Midway Bldg. - Room N791 /? EB-00001.02
f?1 [?y?iversity Ave., St. Paul, Minn. 55104 - Phone 297-2717 ?"' '
REQUEST FOR ELECTRICAL INSPECTION S 66917
CHECK BELOW WOAK COVERED BY THIS REOUEST '
Type ot BuBding New Add. Rep. Check Applinnces W'ved For Check Equipment Wired Fo:
Homc ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heatec ? Lighting Fvctures ,Q
Apt. Bldg. ? ? ? Dryec ? Electric Heating ?
Commeicial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditionei ? Bulk Milk Tank ?
Fazm ? ? ? List
) List
1
Other ? ? ? y
Hehe?s) p
y
Hehelsl
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&.Subfeeders: n Fee Circuits: # Fee
0[0 100 Am s. 0[0 30 Am eies 0 to 30 Am efes
101 to 200 Amps. 31 to 100 Am ces 31 to 100 Am eres
Above 200 Amps. Above 100 Amps.
Transformers
1
1 RemoteControlCirc. aw
Signs S ecial Inspection
Remaiks TOTAL FEE ar .
I, the Electrical Inspector, hereby certify that the above inspection has been madQ:5p ?
(Rough-in) Date
(Final) s ; Date ? /9'
This request void 'v' 18 months Crom ??'f
" ` `
CITY OF EAGAN
3795 Pilot Knob Road Eogon, MN 55742
PHONE: 454-8100
BUILDING PERMIT APPLICATION
o.
Site Address 2045 Flirit Larie
Lot 25 Block 7 Sec/Sub.Cedar Grove N3
Porcel #
w I Name WaYne H. Johnsen
3 Address 20?45 Flint, Lane _
o r:... Eagan,M1V ,,,,,,,e 454-1563
o Nome Dick Janssen
r
?? Addreu
r r:... Lakeville.MN ti...,o
Nome Residential Plan Service
.,,__-- 7347 Casey Parkway
I hereby acknowledge that I have read this upplication and state thot
the informotion is correct and ag_jee to mmply with all applicable
State of Minnesota Statutes and?Gity of Ead an,mrdinances.
Signature of Permittee/-C?S
A Buflding Permit is issued to:
oll work shall be done in acco
N? 5791
Receipt .# zD / d.'C
Erect ? Occupancy P'3
Alter ? Zoning R1
Repair ? Fire Zone III
Enlarge MC Type of Const. V
Move ? # Stories
Demolish ? Front 12 ft.
18
Grade ? Depth ft.
Aoorevals Feea
Assessment -
WoTer & Sew.
Police _
Fire
Eng.
Planner -
Council _
Bldg. Of4. _
APC
Permit ov.vV
Surcharge 5 • 50
Plan check 18.00
SAC
Water Conn.
Water Meter
Road Unit
Total 59.50
on the express condition that
Stafutes and City of Eagan Ordinances.
Building Official
CITy pg FAGAN Include 2 sets of plans,
1 1 site plan w/elevations &
? BUILDING PERMIT APPLICATION 1 set of energy calculations.
r 0 cJU C V
'Ib Be Used For K6om Valuation /0, Date o i
Site Pddress r11nvr ??¢rvt_ ?.?,i4N OFFICE USE ONLY
Wt g,?- siocx -7 sec./sub. G3 Erect occupancv 3
Parcel #:
Alter
?/ ?r Repair
Owner: ?!? 7???= 1.-t . ?ON'l%St= ^1 Enlarge
Address: G x, ii. i- DmDve
emplish
City/Zip Code: /4kA^? r Vi N'Q-SS/ Z-6rade
zonLri(g '
Fire Zone 3
Type of Const.
# Stories
Front ft.
pepth ?ft.
Pnane #: Y5'1- / S-G 3
APPROVATS FEES
Contractor: Assessments Pexinit
iaat_r/Sewer Surcharge
Address: Police Plan Check?
city/zip Code: ??.iv ?-' Fire SAC
?• Water Conn.
Phone #: Planner Water Meter -
Arch./Ehg.: /evS! S?"T'/f
? ( ? Sp'"?r c/?Council
-Bldg. Off. RAad Unit
Aaaress: 23`f7 C4Svtz 2?d?ve wRr APc
City/zip Code:
h J
Phone #: TWAL
,
l ?/6
EAGAN TOWNSHIP
BLJILDING PERMIT
Ownei ..S.ee-[?.E-ti _?`-??/_:.-.--s,?..._..??.-_fr.x?a_._. ...... _.... ..
Address (Present) -?. N?- _..J-?- °"'?- _ ....... . .... ..
Builder ......... ..............
Address . _. ........... _ _............ _ . ..... ...... .......... ........ . .............
DESCRIPTION
N? ].106
Eagan Township
Town Hall
Dafe ..... _?7? L.?
..... ....... ....... . ....
5toriesI To Be Used For _
-
--- - Fronf ? Depih fieighl I Esi. Cos! I Permit Fee Remarks
5, ? -
LOCATION
Sireei, Road or oiher Descripiion of Location Lo! Slock Additioa or Tcact
„l
This permit doe ns of authoriae the use of sireeis, roads, alleys or sidewalks nor does it give the owner or his agen!
the :iqhS So creafe any sifuaiion which is a nuisance or which presenis a hazard !o the healih, safety, convenience and
general welfare fo anyone in the communify.
THIS PEAMIT MUST BE KEPT ON THE PREMIS£ WHILE THE WORK IS IN PAOGRESS.
This is fo eeriify. Sha! .. ........ has permission !o erect a..... -t.::?.}.<-.-.,. - uPon
y?
the above dESCZibed premise subjecS !o the provisions of the Building Ordinance tor Eagan ownship adopler2' Apzil 11,
1955. ?
J?l.. ?... ..... .......................... __....... _ . . _ ?*--.. ,.... _. Per ._.....___..1?.?'1- ?#.......??.....?._ ... Ec't .
,c!?..._ .................
.
.
'. .
.
..
Chairm@n of 'Crwn Board / Building. Inapector_
?
CITY OF EAGAN
3830 PIIAT 1CNOS ROAD
EACAN, MN 55122
PHONE: (612) 454-8100
VIWN
FOR CITY USE ONLY
PERMIT # _ A?P_-:? 17 _
RECEIPT #? 62
DATE : ' 702 9
PLEASE COMPLETE IIPPER POItTZON ONLY FOR SINCLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS TJHEN PERHITS ARE REQIIIREA FO& EACH IINIT. _
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNE[t NAME: ??A,%NE \ (oj??JSE,-?
SITE ADDBESS:????
LOT: 45 BIACK -f- SUBD.
-------------------------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
_ SHOWER 3.00
_ WATER CIASET 3.00
_ BATH TUS 3.00
_ LAVATORY 3.00
_ KITCHEN SINK 3.00
_ IAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
_ WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
_ ROUGH OPENINGS 1.50
OTHER
? WATER SOFfENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
J
SUBTOTAL $
ST. SURCHARGE .50
TOTAL: S rJ. Jr0
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINCS AND
MULTI-FAMILY BUILDINCS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-- - __- -____- ----- -- __---- _--------------- ------ _-_---- --------- - -_-_-___-__
CONTRACT PRICE:
UWNER NA!!E:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: 2IP:
PHONE
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE,
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
FOR:
CITY OF EAGAN
INSTALLER:
nnnxess: ? -??? /"lA??.F A?,F cr.rx??? zlr: `? ? °??