1819 Karis WayCASH RECEIPT 3
? CITY OF'EAGAN P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19 /
waceivan . / - -f-- FreoM
AMOUNT $ - ?
7fry* 1 d,
A? DOLLARS
7oo
CASH ? 1- C£GK
(? '-f J1 j," RY t
I ? Jr
..? ...? ? ;,
FUND COD
. 1
4 . _
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ThankYou
BY . 1
White-Payers Copy
Yellow-Posting Copy ,
Pink-File Copy
1
00 3830 PILOT
?
I Site
rt-u
? Name
? Address -
c City ?h,.I_._.-_ Phon - !
RECEIPT # _
MN 55122 DATE: _L_
?. TYPE WORK DESCRIPTION
L ' - New
Add-on ?
?. Repair
i
Name
-
FEES
"
m RES. HVAC 0-100 M BTU -$24.00
Address
? ?ADDITIONAL 50 M BTU - 6.00
3
' O CitY Phone -? '(RES. HVAC INCLUDES A/C ON NEW
'
, CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - ioi6 OF CONTRACT FEE
Forced Air M BTU RPT. BLDGS. - COMM. RATE APPLIES
i TOWNHOUSE 8? CONDOS - RES. RATE APPLIES
Bo
ler M BTU MINIMUM RESIDENTIAI FEE - ALL ADD-ON &
Unit Heater M BTU ? REMODELS - 12,00
Air Cond. _??44?M BTU " MINIMUM COMMERCIAL FEE - 20.00
Vent CFM ? STATE SURCHARGE PER PERMIT - .50
Gas Pipin
OuUets # (ADO $.50 S/C IF PERMIT PRICE GOES
B
g
O EYOND $1,000)
ther
FEE: -
,-
?-
S/C: ?
U R MI EE
TOTAL•
/aZ • FOR: CITY OF EAGAN
3/??/? g ???',??
,. ' . . ' ? u"Y"TCY--wylM'AAJ?. . .
? M' . '4: `#...G ?r'[?? .. .
P'- , . . .
I
CITY OF EAGAN ? * '
i?'? ?3
3830 Pi{ot Knob Road, P.O. Hox 21 -199, Eagan, MN 55121 ?
- ' PHONE:454-8100
BUILDIN?
, P@RMIT R
i
t # t
'
L
, ece
p
1
To be use for ?F OV$ pwTIO Est. Value #1 *? Date JULY 2S 19 91
! Site Address - 1319 uAR18 iiAY ?
Lot 17 Block 9 Sec/Sub. RiDGECLjM - OFFICE USE ONLY ?
Parcel No. occupancy - Fees
_
W
r • DE111RAMPAi1L
ame Zoning
(Actual) Const -
Bidg
Permit
2 s (?
N .
; Address SAME (Atiowabie) - .50
p
City Phone is=-bS96
# ot stodes - Surchar9 e
Pian Review
Length _
p Name S? Depth Cit
SAC
Z - y
,
c.) ¢ Address S.F. Total - i
Clty Phone S.F. Footprints - SAC, MGWCC ?
C
w
Qn Site Sewage
- onn
ater
`
?
uW Name On Site Well
t
W
M y
? w - eter
a
er
?? Address MWGC 5ystem _
Q z
a L+
City PhOne
Ciry water _
Acct. Oeposit ?
PRV Requked - 5Ml PermiE
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge
information is correct and agree to comply with all appiicable State of ?
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee ;Q r)
T- APPROVALS Road Unit
A Building Permit is issued to: ,6• DRARAMPAUL Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council 1•50
applicable State of Minnesotaf?Statutes and City of Eagaa.Osd+nancss. gldg, pry. _ Copies
00
127
.
Building Official
? Variance TOTA4 .
;
Permit No. Permit Holder date Telephone #
WATER
SEWER
PIUMBiNG ?
H.V.A.C.
EIECTRIC
Inspoctfon Date Insp. Comments
Footings I l'
G-
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Htg.
prs(at Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final ?d ?? 11)
Dedc Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: J„,
I ;; i: r r;f; 1'. Gar?'r
V10111 1 I I ii t
PERMIT SUBTYPE:
;.1 I ,
INSPECTION RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
Hi APPLICANT:
. .,.•.I ., ?'? ? !;Ilf
TYPE OF WORK:
ril; r 1 1) 1 at,
N:'4 t 1i'+
0 / / .' l / `+ 4
t' 1 N w. I I I IrtA+
Permit No. PermR Holdsr Date Telephone N
S!W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspsction Dabe Insp. Comments
Footings I
Foundation
Freming
Rooring
Rough Plbg.
Rough Htg.
IsW.
Fireplace
Rnal Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - NotiTy Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg. G
/
Deck Final
Well
Pr. Disp.
?_. CASH RECEIPT " j
? -CITY OF EAGAN -
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DA7E
R6CEIVfib
FROM
AMpUN7 $ I
- & DOlLARS
ioo
? CASH ? CHECK
FUMD CODE AIAOUNT
. I
Than
` BY 1
White-Payers Copy
Yellow-Posting CopY
Pink-File Copy
, 3830 Pifot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 0* 9192
PH ON E: 454-8 7 00
BUILDING PER
11- MIT ^ ,^ _ _
Site Addrefa
Lot 1 /
Percel No. .
a_? ?.a
cc Name y-'- Y[LJLLi {./lv
; Address iIGPiCI?1S CROSSROP_D
b City M TKA Phone 54 - 333
z,0 Name
u? Address
1-- City Phone
Name
Address
City Phone
I I hereby acknowledgs that I have read this opplicotion ond state that
the informotion Is correct and agree to tomply with oll opplicoble
Stote of Minnesota $totutes ond City of Eagan Ordirances.
Sfynoture of Pe?mittee pj.qpSON VALLEY
A Building Pertriit Is iuued to:
oll work shall be done in accordorxe with oll applita6le State of Mii
Buildirq QifiNol / ?'- % `
Receipt ? 2
^--- MAY 24 .,, 84
Aiter p
Repoi? ?
Enlorye ?
Move p
Demolish ?
Grode ?
Assessment _
Woter 8 Sew.
Police
Fire
Enp.
Plonner
Councii
Bidfl. Off. _
APC
DIV
Uccuponcy
Zoniny
Fire Zone ?
Type of Const.
,# 5tories
Length
Depth ?T Sq. Ft.
and
Permit izo. 00
Surcharge .50
Plan check 0 0
SAC
Water Conn. 470.00
Woter Meter _ O 0
Road Unit
, 842.50
Totol
on the express conditfon thoo
y of Eupen Ordinonces.
Permit No. Psrmit Holder Misc. Permit No. Holder
Plumbin9
E W Q? 1-ty ?; ? ?•??
H.V.A.C.
w.u
W?tsr
Disp.
Sawer
Eiectric o4q dl,( g-ell k
Inspection Date Inap. Other
Footinyt
Foundstion
Frominp
Rouph Piby.
Rouyh HVA a
?nsuln,o,
Final Plbg v
Final HVAC
Fina1
wetar Describe Location:
YYell
Sswsr
Pr. Disp.
Receipt PLUMBING PERMIT
C17Y OF EAGAN
I < ??
l-^ -(- t Fill in numbered spaces
Type or Print /egib/y
1. Date 5/30/84 2. Installation Cost
s. Job AddresJ$19 Kdl'1 S'vfay Lot I? eik.
Tract-'
a. Owner Orrin Thompson Nomes
5. Contractor Wenzel Mech. Pr,one 452-1565
6. Address 3600 Kenne6ec Dr
7. c;tv Eagan state Mn Zip 55122
8. Building Type: Residential CY Commercial O Institutional ?
9. Work Description: New 13 Add ? Alter O Repair O
I 10. Describe
1 11.
?
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Dr
i
field
r Bath tubs p
n
a
Septic Tank
Lavatory S
ft
Shower o
ner
W
ll
? Kitchen Sink e
Urinal/Bidet Othe:,3CZf tl?.
/ Laundry Tray "i5
Floor Drains
Drinking Ftn.
--
Slop Sink
Gas Piping Outlets -
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work,
r -
Signed : ' ' , 1
? for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CtTY OF EAGAN 454-6100
Permit No. T Y ( {t.
Fee 20.00
S/C .50
Tot. 20 . 50
Rooeipt MECHANICAL PERMIT hrmit No.
CITY OF EAQAN
FM •
Fil! !n numbsi+ed spacet S/C • 5U
TyPe or PrJntlvldlY
Ta.
1. DaLe 10-- ji=E1, 2. installation Cost -; nt', _; Y-) 3. Job Addresi 1'; " _ii ?? Lot `I Blk. Tract
4. Owrw - T. ; -r-
5. Contractor Phone
6. Address
..<. ,
7. City ''Y'-`'? •
8. Building Typs: Raidential IC
9. Work Description: New 17
Stite ? =` • Zip
Commercisl ? Institutional ?
Add ? Alter ? Rspair ?
10. DeiCfibt 71nty31 nw oaa £lornan- Fuel Type 'i:;4' li::;<
11.
No•
i Equjpm= 8TU - M. Ea,
Forpd Air sOVQJO No. Eauianent CFM
Air Handli
:
^
Mfg. q
Boilen
Mfg. Mech. Exhaurt
Unit Heater
Mfg. Other
Air Cond. .
Mfg.
1 Gsc. P'iping Outlats
12. t hereby artify tfiatAhe abow informatioQ ia true and oorrect, and I ayres to
oomply with sll qrtlin bnd ming this type of wvrk.
?odes 9.
? r
5r?ed'? G ? '• r ? for
RouO FiMI
Inspections: Date In:p. Date Insp.
This is your psrmit when numbered snd approved.
A?PProved ' CITY OF EAGAN 464-8100
CITY OF EAGAN
Addition Ridgecliff First
Remarks
Add11. Lot 17 eik 9 Parcel #10 639$0 170 09
_ Street 1819 Karis Way state Eagan. MN 55122
Improvement Date Amount Annual Years Payment Receipt Dete
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1980 184.49 12.30 15 147 .62 C00 685 2-18-82
SEWER LATERAL lt ^ 1982 1305.42
WATERMAIN
WATER LATERAL 1982 1260.79 5 1260.79 C007616 12-23 81
WATER AREA 1980 184-49 12.30 15 147.62 C007685 2-18-82
STORM SEW TRK 1982 638.24 5 638 . 24 C007616 12-23-81
STORMSEWLAT 1982 955.45 5 955.45 C007616 12-23-81
Services 1982 637.75 5 637.75 C007 16 12-23-81
& GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT $260.00 #43577 5-24-84
WATER CONN. 470.00
BUILDING PER,
sAC 525.00
PAR K
INSPECTIUN REC4RD '
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ??'• y: fn •?
Eagan, Minnesota 55122-1897 Date Issued: ?
(651) 681-467 5
SITE ADDRESS: APPLICANT: ?
wav ?t„ ;1;,,' ; ,, I".?,.?:,??,,,,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. • .•
1 1-
?
Permk Holder Date Telephone 1t
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING 6?24 J
?z
ROUGH
PLUMBING
J
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
QYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTO
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCrivirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK F1NAL
rr ctauMlV SEVNER SERVICE PERMIT
ilot Knob Road .
ox 21 . 99 PERMIT NO.: '
MN 55?j1 DATE:
tontpeon v a eY ? o. of Unita:
- - 100.00 pc
!o oerPy wNh tbe Cirr ef Ea,en
CITY OF EAGAN
3830 Pilot K-lob Road
P. O. Box 2"199
Eagan, MN 55121
za,ing; ;.I
Owner, _ 'Ihompson Valley
^dd.ess:
Sire Add?esa; 1819 ICar:ta Wav ]
plur„ber `;enzeZ 'yiech
Mster No.:
Size:
Reader No.:
1 09me !o eomplp wif6 !M Cihr of Eatan
Oeomanaa.
By
? Dote of Insp.:
Connection Cherps:
Accouit Deposit: _
Perrnit Fes;
Surchoros:
Miac. Chorpes: ._,
Total:
Dote Poid:
WATER SERVICE PERMIT
PERMIT NO.: ?
' .. DATE: 6
- No. of Units: 1
Connection Charge:
Acaount Deposit: _
Permit Fee:
Surchorge:
Misc. Chorpes: _
Totol: _
Date Poid:
meter
iTY OF EAGAN
5830 Pilot Knob Road WAtER SERVICE PERMIT
P. 0. Box 21199
' Eagan, MN 55121 PERMIT NO.:
.
' Zoning: tl DA7E:
Na. of UNts:
Owner: 'I'homnsaTt Va12.ev 1)jv Z
I??r
ESS:
r - ? R
??1te
Add
rc B9 1??
-?
?Piumber. ?!?ifcc?l•?ij?R a ' ?
? `i?il?S
i•?IAetar I?lo., - i cf hlF r l rr,
Size: '? ` `?Jo?u#?ction Chor9e;
470. 00 pd
Reuder No.: e i: `..1 t Depostt: _ 15 .20 n d
I egme M oomolJr wpi !`e Gfy ef E Fce: 10 . O(? p d
eyee
Ordiwawftr. Surchorge: _
Mis
Ch .50 pcj
63
00
d
c.
arfles: _ .
p
meta7
BY
r Total:
Date of Insp.: Date Pcid:
Insp.:
? ' ?
CITY OF EAGAN
3830 Pilot Knob Road, P.O.Aox 21•199, Eagan, MN 55121 ND 9102
PHONE: 454-8900 ,
y /2???
?
BUILDING PERMIT Receipt #
To 6e uted fer SF DWG/GAR Est Value $65,000 pote MAY 24 , I q 84
SiteAddress 1819 KARIS WAY Erect Occuponcy R3
Lot 17 elock 9 ceclSub. RIDGECLIFFE 1 Aiter p Zonirg Rl
varcel nlo. 10-63980-170-09 Repoir ? Fire Zone N/A
E
l f C
t
T V
n
orge ? ons
.
Ype o
? Name THOMPSON VALLEY DIV Move ? # Stories
Z Address 1712 HOPKINS CROSSROA D Demolish ? Length 62
? City MTKA Phone 544-7333 Grode ? Depth 27 Sq Ft.-
.
$AMF`, Approrals Feas
,o Name
?
?u Add
1- City
Name _
Address
City ' Phone
Assessment _
Water 8 Sew.
Police -
Fire
Eng.
Plnnner -
Councfl _
I hereby ackrrowledge thot I have read this apPlicotion ond stote that Bldg. Off.
the inlormotion is correct and ogree to wmply wlfh all up0lkoble AP? _
$tate of Minnewta $tatutes and Cify of Eagan Ordinonces.
Permit
00
Surcharge 32.50
Plan check 164 _ 00
SAC 525.00
Water Conn. 470.00
Woter Meter _?- 0 0
Rood Unit 7i;n - 00
Torol 1, 842.50
$ipnofure of Pertnittee I
A Building Permit Is issued to: THOMPSON VALLF,Y DIV on the express wrdition thni
all work shall be done in occordance with all applieo4lR State of M' ne ta tatutes and Ciry of Eagon Ordinances.
Phone
Buildin9 Officiol
?>
CITY OF EAGAN , Np . 19475
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
(1I
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be usec;for ROOF OVER PATIO Est. Vaiue 01-900 Date JULY 25 19 91
Site Address 1819 KARIS WAY
Lot 17 Block 9 Sec/SubRIDGE"LIFFE
. OFFICE USE ONLY
PelCBI NO. Occupancy - FEES
Zoning
_
W G. DHARAMPAUL
Name (AClual) Const _ Bidg. Permit $25.00
3 Address SAME (Aliowahie) - .50
° Suroharge
City Phone 452-6596 Mofstories _
Plan Review
Length _
Name S? oevtn snc
ciry
?F
gQ Address -
S.f.Total - ,
SAC,MCWCC
? City Phone S.F. Footprinis -
'Nater Conn
On Site Sewage _
?
? W
Name
on sice wen
t
M
t
W
?w - a
er
e
er
z
30 Address MWCCSystem -
,
Wt r w City PhOnQ Ciry Waler - AccL Deposil
N
P
i
PRV Required _ O
erm
t
S
I hereby acknowleqe that I have read Ihis application and state that the Booster Pump - S/W Surcharge
informalion is correct and agree to comply with all applicable Slate ot
Minnesota StatWes and
C
ity, ol Eagan O
rdinnces. Treatmam PI
?
?
}ff
Signalure Ot Permitee lPLLIp?[Qvi) P(j?? APPROVALS qoad Unil
A Building Permit is issued to: G. DHARAMPAUL Planner - park Detl.
on the express condilion ihat 1 work shall be done in accortlance with all Council - 1.50
applicable SWte of Minnesot S atutes and City agan,Ordinances. Bldg. OH. _ Copies
?z?•00
BuiWing Oflicial
Variance -
TOTAL
S
LAqbi"I REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
' See instruetions for comoletinq thiy tmm on back d vellow copv.
A 0 6401 °4 '"X" 8e/ow Workl qvered by This Request
Atld Nep. Type ot BuiiEing ADOliencee WiraA Epuipmen[ Wirad
Home
L Range - Temporary Service
Duplex N-
Water Heater
Lightin, Fiztures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tunk
Farm Other oeuiy ther ISUeci(y)
t er SUeufy ffier Oth.r
ompute, lnspectian Fee eelow
M fea ServiceEntrence5ize p Fee Feetlars/Subteetlars % Fea . Circuits
O U to 200 qm s 0 to 30 Am s ? 0 tn 30 Am s
Above 200 qm s 31 to 100 qmps 31 to 100 Amps
Swimming Pool Above 100_Am s Above 100_Amps
Transformers irn tion Booms ? 0 Partial%Olher Fe
Signs SVecial Inspection S T
Rem3rks
'T t)
7 OTA
! E?
`^
.-
HouBh-in ( . D ?e e Electricl
a
nap
eebq ha?aby
t'f lhe th bo e
Final i0,illftion hes been
thN repue6t voltl 18 mon1M Irom
This re0uest void 4l/o g?
78 monihs 1rom ?
A 054014 LVt 69 IW?b-( 1
(0114 10
Yb •0n
Nequest D
te Fire No. qouBh-in InsOection
i
?
?
? ? Hea iretl? ?ReaAy Now
ll Notity, InsPec-
W
tor Wh
R
d
?es ?No en
ea
y
Licenged Electrical Con[rnc[or I hereby requast inapaction of above
Owner el8cvical work inetalled at
SveeGt Atdqdress, Boz{ ]o?r fl(aute No^.
WI? Ci?ty
ectmn o. TownshiD Name or o. Range o. Cowi/???ryy?'L ne??
V?+If vQR1
Occupurl[ (PftINT)
`T- Pso? V Phone N0.
Power Supplier Address
Elecvi I Convactor (COmpany Nemel
E.?-? ?c.- Co vactor's License No.
?315z;-z-
MailinBAddress (Contrec[or or Owner Manking Instailation)
Authorized Si9^ature nh tor/Owner Meking Installation) Phone Number
q o -55?'s'
MINNESOTA STATE BOAPD Of ELECTRICITY THIS INSPECTION NEQUEST WILL NOT
Grigas•Midway Bldg. - Room N-191 BE ACCEPTEO 8Y THE STA7E BOARD
1821 Univarsity Ave., St. Peul. MN 66104 UNLESS PPOPEN INSPECTIDN FEE IS
1911? ly'?111 ENCLOSED.
% r•?
?,y y
2 81
?4 9
Requeffi Da% Fire No. Ro in Inspe o'
Req dT
C?ReeJy Now ? Wili Notity Impector
7 G Yes (A? When Reatly?
I[3-li'C6nsed contractor ? owner hereby request inspection of above electriral work at:
Job Atldress (Sireaq Box or Route No.) Ciry
`
W ?7
Seclbn No. Toxnship Name ar No. Re e No. Counry ?
? M1
(PRINT) Phane M.
(V!501G
7
PavBr Supplier qddreu
ElecMCal Cantractor (COmpeny Neme) Contraclor3 License No.
6 ? .? ?-
Mailing Atltlres
s Contrflctor w Qxner Making Installatpn)
E
t
t.med LSqn.-r. ( =Matllafi-) Phnre Number
MINNESOTA 3TATE BOARD OF ELECTNICITY THIS INSPECTION REQUEST WILL NO7
Grigga-MMway Bltlg. - floom S173 BE ACCEPTED BY THE STATE BOAFO
1821 Untvveiry Ave., St. Peul, MN 55100 UNLESS PROPEH INSPECTION FEE IS
Phana (612) 642-0800 ENCLOSED.
??? REDUEST FOR ELECTRICAL INSPECTION ' es-0ooo1o7
? See instructions br mmpletiig this form on back ol yellmv copy. ,. ?-51?lec5l
? 72819 `7C" Below Work Cavered by This Request
ew AtlE, ep. ,. TypeoiBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furn e
Farm ir Conditioner
Otlier (speciry) ConVactor§ Remancs:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance 5ize Fee # CirCUiLVFaetlers Fee
Swimming Pool 0 to 200 Amps a l0 700 Amps
Transformers A6ove 200 _ Amps A 10Amps
Signs lospector5 U. Ony: \ TOTAL
Inigation Booms
Special Inspection
Alarm/Communicalion
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rouyn-m oate
F„al oete
?
OFFICE USE ONW ? This requasl vd0 18 monihs hom
l/OD, l'1'iT UF t:?l?•1N lix.lude L set5 ot p1a115,
1 site plan w/clevations 6
Plan: 2.33 S/F Db?G./ BUIIDITIC: PEPJ•tIT APPLTCATION 1 set of enesgy alatior
'ro f3e'Cised For Valuation ` Date
Site Pddress: \$\ a„vV lo.- OFF1CE USE ONLY
Lot \71 Block ? Sec_/Sub. '?,:,a .? ?Se
\Erect X OccuparK.y ?-3
.
AltPr Zoninq• R-1
Parcel Repair Fire Zone • h?l A
- Enlarge 'Iype of Const. 'S[
O.mer: _
Nbve $ Stories
Pddress: Derrolish Front (02 f?
' Grade Depth f ?
ip Code:
City/Z
Phone $: - -
ContracEor: --TH911qS81'd?fAL-LEY $IVlar^vN-
Pddre55' - a Division ofU?.S. Home Corooration ' - ? IVO X? .
1712 Ciiy/ZlP COd2: MINNETONKA, MINN. 55343
P}ione 'v:
Arch. /Eng. :
Address:
City/Zip Co9e_
Phone $=
APPFXDVP.I.S FEES
Assessents
Perntit m
'>2b.
Water/Sewar Surchazge 72.?
Police Pl? ?? l(o4'.
Fire SAC 525 . °-'
ge. Water Conn.
Planner . [•!ater Meter (0 3.°-°
Council Road Unit • 2(00. L°
Bldg_ Off. Z
APC aOTAL
-,..
2? x 42 = I09 2 x 5¢= 589.(o 8
Z? x 22 = 528 x i ? = 58og
?947-7(?
?
?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LnT: 17 BLOCK: g APPLICANT:
1819 KARIS WAY DHARAM PAUL
RIDGECLIFFE (612) 452-1827
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
BUILpING
024199
07/21/94
INSPECTION .. . ,.
FOOTING5 FINAL
?
?
I
X CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-63980-170-09
DESCRIPTION:
PERMIT
1619 KARTS WAY
LOT: 17 BLOCK: 9
RIDGECLIRFE
B'uilding'-"Permit Type
;Building Wor_k 7ype
-x,
?-
DECK
NEW
BUILDING
024199
07/21/94
64 a.rtG 37
704/Qy
?. 00,i :?
?1J ?;t??J ?
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
DHARAM PAUL
1819 KARIS WAY
EAGAN MN 55122
(612)452-1827
I hereby acknowledge that I have read this applicetion and state that the
infiormation is correct and agree to comply wiCh mXl applicable State of Inn.
Statutes and City of Eagan Ordinances.
?
PERMIT TYPE:
Permit Number:
Date Issued:
I
YIA k .0 ??_ _?tat ?a R?j;r?. I Yll,?
PPLICANT/PERMITEE I NATUR ISSUED B: SI ATURE
141q9
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
??????
???EWED
:?--
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date -7 Valuation of work
Site Address: IY riins a90? r? n 5tS) ? a-
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. Q• P.I.D. #
?,
r?.
Descri tion of work: 1104,
The applicant is: 12'Owner ? Contractor ? Other (Describe)
Name /:)A a Yp Pa UL ? (J?ac?rv5 PhoneG,i) • (s6.,2-iS,27
Property LAST F[RST
Owner Address 9 knAl s
STREET STE #
City /TnCt-GState ynrhno.?eo-lcc Zip SSi;? S
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I 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 Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Mtsc.
? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? .Site
? Wallboard
Basement sq. ft.
ist F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Foating
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit -
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
valuetsm:
?. w r ? . .
.. ?. . ?
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
O 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
5AC %
SAC Units
? `J . . . -•
U. S. NOHE CORPORATION
?? ?ry
?
v.?v
o ?
Z)
e
?
/
?
?
l9pq.
Noce:
Proposed garage floor E199 5z•9'S
(9GD ) Denotes proposed finiehed ground E1.
- o Denotes direction of surface drainage
Vertical Datum - H.G.V.D. 1929 LJYb
k o
k
? S
N'?
?
O
C. R. WINDEN L ASSOCIAN
IAND WlVETOt• iol 646•7J641
1361 EUSIIS 6L, il. ?AUIP MINN.
N
Scale: 1" = 30'
O Denotes Iron
e? c,,.L
El. 949.55
-D
?
0
.?
J
Lot 17, Block 9, Ridgecliffe First
Addition, Dakota County, Minnesota.
@ ;?
pe? ° 949.51
s /
?
9s
??/?
41 /4 \
p R23 )
6 'yo
? = 4;2 h
i r ?-,- ? -?
WE MERE6Y CERi1fY THAi TF{IS IS A iRUE AND COIRECt REPRESENTAiION Of A SUIVEY Of THE
BOUNDARIES OF THE lwtiD ?lOVE Df5CR1BED AND OF TME lOCwiION Of All WIIDINGS, If ANT,
TMEREON, ,IND Atl VISI\lE ENCROACMMENiS. If ANY, iROM OR ON SAIG IAND.
Dotod tAi. 154?L dor O!mcq_A.D. 19H4
C. R. INDEN ? ASSOUATES, INC.
br -?'ty i &'?
fur.eror. Minnrwro Raoisirotien N9Z2(6
_¦
??h ?e
rx ??2007RESIDENTIAL BUILDING rERMiT nrrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction ReauiremenGs
3 registered site.surveys showing sq. ft. of lot sq. ft of house; and all roofed areas
(20°k mazimum lotcoverage allaxed)
1 Sails RepoR'rf pmposed building is l0 6e placed on disWrbed soil
2 oapies of plan showing beam 8 windowsizes; poured found design, etc.
1 setof Energy Calcula0ons
3 copies of Tree Preservation Plan if lot plaQed after 717193
Rim Jo'st DeWil Op6ons selection sheet (buildings with 3 or tess units)
Minnegasco mechanical ventilation fortn
RemotleVReoair ReouiremenLS Office Use Onlv
2 copies of plan showing foofings, beams, joists Cert o( Survay ReW _ Y_ N
lsetofEnergyCalculationsforheatedadtlitions SoilSRepod _Y _N
1 site survey for adtli6ons & decks Tree Pres Plan Recd _ Y_ N,
Atldffion - rndicate if onsfte septic system Tree Pres Required _Y _ N
' On-site Septic System _ Y_ N
Plans are considered public information unless vou state thev are trade secret and the reason.
Date 1, /-11Y / O 7
Site Address M7 Constructiou Cost d J C=°
UniUSte #
Description of Work ?- ?-o? ?l Res' d e
Mu16-Family Bldg _ Y)C N Fireplace(s) -2? 0_ 1 _ 2
Property Owner pl„ ? Telephone # (6,11 I $a 7
Contractor ?131: 1 d ars o? rnA)
Address 7S-?2;3
State ? MA) City ?4*re (,.-C,4,_
Zip SS,X'7 Telephone#(1?.3 ) 341 - 75'Y?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
. Residential Ventilation Category 1 Worksheet
(4 submission type) Submitted
. Energy Envelope Calculations Submittetl
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In The lasT 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address ot master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
a Residential BuildinQ Permit and aclrnowledge that the informarion is complete and accurat
e;
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 fon 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 of plans.
???V ?i??? / `-?.AEF,.Y?
ApplicanYs inted Name Appli Ys Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvoes
? 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 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - Glve PCA handout to applicant
D@SCflqtlOn: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100°k or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insularion
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheehock
FinaUC.O.
FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
PERMIT
CITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE: 8 uz Lp I N G
Permit Number: 033809
Date Issued: 10J 2 8 J 9 8
SITE ADDRESS:
1519 KARIS WAY
LOTa 17 BLOCKa 9
RIDGFCLIFFE
P.I.N.: 10-83980-170-09
DESCRIPTION:
REMARKS:
FEE SUMMARY:
STC7RM DAMHGE
REPRIR
434 ALT. RESIDENTIliI.
)il? t} J r
Bu.t?l(jincj).Permit Type
Building 6`6'rtk 7yoe
Zensus Code ?
_..)
.f
t%
r
?i? ? At..;i.^?"•--?
T.O. & REROOF
CONTRACTOR: - APplicant -- sT. Lzc. OWNER:
HAMENAUTH MANGftQp ROOFING 18830859 20147796 DHARAM PAUL
13300 OLD CEDAR AVE S 1819 KARIS WAY
BLOOMINGTON MN 55425 EA6AN MN 55122
(612) 883-0859 (612)452-1527
I hereby acknawledge that I have read this
informatipp is carrect and agree to comply
Statutes and CiCy of Eagan Ordtnances.
?
APPLICANT/PERMITEE SIGNATURE
application and state that the
w3th a33 appl3cata7,e State vf Ptn.
I ED BY: SIGNATURE I?
I
- 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 65122
681-4675
New Conshudion Reouirements RemodeVReoair Reauirements f I
? 3 registered site surveys
? 2 copies of phns (inUude beam & windaw s¢es; poured tnd. design; etc.)
? 1 energy calculatans
? 3 eopies of tree presenation plan if lot platted aRer 711193
required: _ Yes _ No
DATE: j D - 110° 1 g
DESCRIPTION OF WORK:
? 2 copies of plan
? 2 site surveys (exterior additions & Oecks)
? 1 energy calculatlons for heated add'Rions
CONSTRUCTION COST; 7z CI 0 '(Sb
24-Dr- -v_ Z) .
STREET ADDRESS: U 11 ?? tl-) Ay
LOT: 1-7 BLOCK: .. SUBD./P,I.D. #: /dv
Name: P, '14 IV ? Phone #: b! Y -
PROPERTY 1.ast First
OWNER \
StreetAddress: l?- <<{'' t41?2 l.S QJq v
City ?-?t C} "'it' t! State: Il-7 i N 7v Zip:
1-! a vr?-ewa.v-'?"?" ChV?S
comPan
Y: Phone#:
CONTRACTOR Q J 3/3? c,
Street Address: 0-" 6L1? f_.(. License# r?<<j"?? 9 G
City ?"Fg-t-wN 7/m State: a/1) Zip: 1,1'
? ?`"?? ?? ? ?-?
ARCHITECT/
ENGINELR Company: Phone #:
Name: Registratian #:
Street Address:
Ciry State: _ Zip:
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chang
i hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _, Yes _ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
O 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = piex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL {NFORMATION
Const. (Actual)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster RUmp
Census Ccde.
SAC Cod-3
Census c?':dg
Census Unit
% SAC
SAC Units
t9'1 • • ?
`FOR:
v.?v
v `D
j
/
U. S. HOME CORPORATZON
1G17
C. R. WINQEN 3 ASSOCIATfS, INC.
uN0 SuRVErORS Td 645•3646
1781 fUSTIS $L, Si. ?AUL# MINN. 68100
N
Note:
Proposed qarage floor E1:9 5z •93
119M ) Denotes proposed finished ground E1.
a- Denotes direction of aurface drainage
Vertical Datwn - N.G.V.D. 192904?'0
`o
?P
?Z?P
Q¢Q
`qaq.
o/ c?1e????
?i
?j
'? `4 000''9}"
w
r9S ?rh \
> ?Q
.
A ?s ? ?9
o?y
l9 6? ?S2 4? /
i r ?-,- ? -?
N 3p$? 0 949-5)
Scale: 1" = 30'
O Denotes Iron
k ??p
; 9;g.55
\
?
0
?
J
Lot 17, Block 9, RidgecliPfe First
Addition, Dakota County, Minnesota.
WE MElE6Y CERtIFY THAt TMIS IS A TRUE AND CORRECT REPRESENTATlON Of A SURvEY Of TME
tOUNDARIES OF TME LAND A60YE DFSCRIlED AND OF TME IOCATlON Of Atl WIIDINGS, IF AH1;
iHEtEON, AND AlL VIS!!lE ENCROACMMENTS, OF ANY, FROM OR ON SAID lANO.
Daoed Mis f5{? day ?1Mct/ A.O. IVb¢ C. RASSOCIATES. INC.
br
Svrrovof. Minn?wla RoyiNrolion Na.,?7_?
..e '.
-- WALL SEcT?oN - p rL 5tt)
'DE?EI?MININ(a ??U'? VALU?? •A1 RwF, WAILi VIMi ANp CDNG, $LK.
?
-
WRLL
(F) VALT=
? INTERIo(z AIR fILM O.GB
O 5`/?`,` INSU?ATIoN 19,00
? ?'I3Z?? $oILT-PJIE ?,?(o
?i EXjEY-IDrc AIg FILNt
ROOp j CEIL?NU
(R) VAU1E
?O I0TERI* A1R FILM O.&I
0 5l$° w. bti, . 5&
QQ INSU?AT?oN 38,?
?
O EXjERIo(? PlR FILM ,l01
(STILL)
'???? = I ?1z = .ozs ToTa,L (R) = 39.78
?IM
T°TAL
iz 111W1'lar< qiR Flul
i3 5 11-L" INS(iLATIo1-4
C? 2' Fir- tcIrI ?DisT
Z-5JSZ
ib ?uM,. s?olr?6
@ t.xT?.tZlo(L AIR FlLf1
(R) VAIUE
o. 6g
0,00
1.8s
z. o(o
b?
. Il
n U'l TdTAL (K) : 2t, 4.
(t?) VALUE
? I14TEtZ10tz- AlK FIU'l D.(o8
?
? .
Z? 1"L" cb?ic,. ???K, ?.28
s2 ?n G3f`fP-0F?? ?,00
z; EXTEMo[z AIR FILM 1l
nUn = I
(z =
?
ToTAL. (tc)= 7.13 ,
z/aa
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
1) PROPER7.'Y ADDRESS:
r.rrar, DESCRIPTION:
u-ot/nlocK/Swxtivision or Tax Parcel. I.D. Nwnber)'
.'.+111.7 VDT n- r1y,? T'i.Ty-TG
J1CJ.r\.1V.`E' 1\ln?+ - - 0: ?-- ._., _ ? . ??•?ST y? -••?
_.:?:_ r;:r.:
kio: ?./=°ari
PRESE^PT --^iU1R',/P?tpPOSED LISE: f? R-1 SINGI,E FAMILY
? R-2 DUPLEX (7VU UNITS)
? R-3 T04v'NHOUSE (THREE + WITS) { UNTTS)
? R-4 APARnv1ENT/CONIDOMIlNICM ( UNTTS)
? COMME2CIAL/REPAII,/OFFICE
? II'?.DUSTRIAL
? INSTITUTIONAL/GOVIIRIZIEN!'
y) AppLICAIV'r (PLEASE PAINT)
NAME: ORRIN THOMPSON HOMES
ADDRESS: _ 1719 Nnnkinc f.roscrnad
CITY, STATE, ZIP: MinnPt.nnka. Mn 55343
PHOiNE:
3) PUMEM (PLEASE PRINT)
NAME: _ _?w
v
PSIDRESS: _310p KENNEBEC DRIVE. EAGAN. MINN. 55122
' CITY, STATE, ZIP: 452-1565
PHONE:
PLUMBER LICENSE # 001445M2
4) OCCJp71N'p/a,?NER (PLEASE PRINi)
NAME: ORRIN THOMPSON HOMES
ADDrtEss: SAME AS #2
CITY, STATE, ZIP:
PHONE:
FOR CITY USE OHLY
PLUNBERS LICENSE:
..? Active
Expired
Q Not f R ord
A
?
a nitia
5) INpICATE W[IICH PEF2MIT IS BEINC; REQUESTID: -
? CONNECPION TO CITY SEWER
? CONNECPION TO CITY WATER
? 0'PHIIt (PLEASE DESCFtIIIE)
6) IlYDICATE 0I3E:
7) SIGNAZL"RE:
? PL,EASE FiOID APPROVED PERMIT FbR PICK-UP BY ONE OF ABC7VE
? PL= MAIL APPROVID PERNLiT TO 1. 2, a 4 AHWE
(Circle one)
DATE:
F O R C I T Y ,
U S E O N L Y ' •'
PERMIT " ISSUED
FEES: $ /jj. ? (j SEWER ?J°T.2M_TT (I:ICLliDE SUP.CHARGE)
$ (? f? WATER PERMIT (INCLUDE SURCHARGE)
_
$ G Z.?od WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ /S •C>IJ ACCOUNT DEPOSIT - WATER
$ <fTQ.? WAC
S ? 2S'U7? SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ - OTHER
$ TOTAL
$ . .
3 IF, Cv .. I 1 : ". . . . . : f.
? AMOUNT PP ID/RECEIPT'.:# q3-7?1
DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" M[1ST BE ISSUED BY THE
NO £NGINEERING.DIVISIQP:. LIST P,S A COP.DI-
TZON.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
lqkwlp+.um 0a =ir sE?, pa
1991 BIIILDING PERPIIT APPLICA lOI
CIT7C OF EAGAN IcAq J749
SINGLE FAMILY DWELLINGS
2 SETS OF P1ANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
M[1LTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCNITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
(CHECK WITH BLUG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CAI.CUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES iTHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUE5T IS MADE.
LOT CHANGE IS REQUESTED ONCE PERHIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONC BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A YERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
SHED Roof Dv" PA'tin
To Be Used For: r? aluation: 006 Date: -7'??' f 1
Site Address
OFFICE USE ONLY
Lot I 1 Block 9 FEES
Parcel/Sub R1 9Gr-- «1P?=y IS 1- /iDw
Owner O,W -3 Q.-/. ./., n
Address / ? AIrAA
City/Zip Code C",
Phone ?, L:2 - U S 2-G-Q 4 6
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Sewer/Water Licensed Contr.
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV
Booster Pump _
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
Qj-vdMo ?n? p agrees that all voYk shall be done in accordance with
(Sign ture of Contractor
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Contract No:
Project No:
Submittal Date: / 7 -2
SCRVOFaagan .
CITY OF EAGAN
SEWER 6 WATER PERMIT RELEASE FORM
PROJECT DESCRIPTION: C'JAI?X/G 41-L TJAh:?l
Substantial Completion of Sewer & Watez
STEP I: PERMISSION TO HOOK UP
SANITARY SEWER
? Lines Lamped and Acceptable
Deflection Mandrel Test Passed
Manhole Structures Properly
Constructed (cstg. & cover, rings,
cone, Z ft, sections, final rim
setting, & build and invert)
/?L4, Infiltration Test
SERVICES
Dat- - e of 6ccuirence
WATER MAIN
Properly Chlorinated & Flushed
? Entire System Pressure Tested
? Entire System Conductivity Tested
All Valve Boxes Accessible,
straight 6 keyed
? All Valves Opened or Closed as Approp.
Bacteria test completed
' W?/r+Nl? G?' R?5u?a5
Ol< ??/z//49-?
_ All Wye Locations confirmed
All Curb Boxes £xposed, Set to Proper Grade & Marked w/Fence Post
Required Service Risers Televised
COMMENTS: A? ?<G Cu.,?g R rSS MUST r3G lL-to" 7a
0, /c! /=aio ?' - 2/7777-
STEP II: FULL USE PERMIT (OCCUPANCY)
STORM SEWER
N.A. Lines Lamped 6 Acceptable
.i: CB Structures Properly Constructed
(cstg & cover, zings, 1 ft.
section, invert, final cstg.
setting 6 build, DL-DR correctly
set rings & cstg. set in full
bed of mortar)
/VIA Aprons, Dissipators & Rip Rap
propexly installed
COMMENTS:
STREETS ?{7,9/1/Ar? r--,,T/2,5,57-
/Y!f Material Tests Checked & Passed
(Conc. compressive strength & Air
Content, Bitum. Extact 6 gradation,
gravel base gradation).
AtR'- Utility Structures & Lines Clear
& Free of Debris 6 Gravel (Gate
Valves keyed)
RECOMMENDATION: I herein verify that the tests and inspections indicated sbove have been
successfu2ly completed. Any deviat£ons or exceptions are described in my comments. With this
considered I recommend that permission to hook up or permission for occupancy be granted as
appropriate to the above indications.
Signed t ' _
Project I p ctor ?
Confirmed by: ? -Y/
Public Works epartment
WP5.1S&WPERM.FM
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I Eo[?OfficeLse ?
? Permit
I Permit Fee: ?
I
? Date Received: ?
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I ?
I Staff: I
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2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9 ` q - 6 cy" Site Address: / !?'
Tenant:
Suite #:
?
RESIDENT / OWNER Name: .Q,r3 4 T?i? ?rTJra.u.? Phone:
Address I City I Zip: Ic4" l q Arx,'t.? (,v ('? U ?a
Applicant is: ? Owner _ Contractor
TYPE OF WORK i .
Description of work: t? ?
Construction Cos .f?1, ?/- U Multi-Family Building: (Yes No ?
i
CONTRACTOR Name: License #:
Address:
City; State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 CateqorV 1 Minnesota Ruies 7672
Energy Code . Residential Ventilation Ca[egory 1 Worksheet • New Energy Code Worksheet
CetBgafy Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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 Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be publlc informafion. Portions of
the information may be classifred as non-pubfic if you provide specific reasons thaf would permit fhe City to
conGude thaf the are trade secrets.
I hereby acknowledge Fhal this information is complete and accurate; that the work will be inconformance wkh the ordinances and codes of the City of
Ea9an; that I understand this is not a permil, 6ut 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 o£ work which requires a review and approval of plans. x? la ??r s" h a rct n-r Ya u L X,??a G?c?'a??T-
Applicant?s Printed Name Ap IicanY Signature
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