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• CASH RECEIPT •
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVHD
AMOUNT $ I
ee D04LARS
?oo
? CASH ? GHECK
P O R 9 / /-7 ril- I L, (
B Y
C/
White-Payers Cppy
Yellow-Posting Copy
Pink-File Copy
Thank You
BUILDING PERMIT
Te 6e uaed ie'
Site Address l.ot Block Sec/Sub. 1='t P?? ls t
Porcel #
000
Na 6261
Receipt # - '-
Erect p Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
ADorovals Fees
kv Name ?
W
Z
0 Address
? Nome
,o
ot' Addr,.
? r«..
Nome
Address
I hereby acknowledge thot I hove read this application and stote thot
the informotion is correct ond agree to comply with oll applicoble
State of Minnesota Statutes and Ciry of Eagon Ordinonces.
Wcter 8 Sew.
Police
Flre
Eng.
Planner
Council
Bldg. Off. -
/?PC
Permit
Su rcha rge
Plan check
SAC
Wuter Conn.
Woter Meter
Road Unit _
Total -
Signature of Permittee I
/1 Building Permit is issued to: on the eacpress condition thot
all work shall be done In octordonce with nll opplicable State of Minnesota Statutes and City of Eagnn Ordinances.
Building Officlal
CITY OF EAGAN
3795 Pilor Knob Rood Eogon, MN 55122
PHONE: 464-8100
.dsp
PerroM # Oah Inwd PennlMw
Plumbing ?Q - Q - dd
Mechoniwl Q;-&
INSPECTIOlVS DATE 1I4Sp,
Rouph-In
Finol
Footings Date Inap. Date Inap.
Foundation Plumbing
Frame/ins.
Mechaniwl /??
6?9
Final
Remarks:
„?r. .. . . .. .. _....?.?.. .:p. .?-.Y.9..? . . ,
IaA` .,? ... . . ,
CITY OF EAGAN
?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 j
;200?1
PHONE: 681-4fi75
i
t #
6UILDING PERMIT R ??(;
p
ece
To be used for aA$ENFAtT YIHISH Est. Value Date JAl1 21 1992
Site Address 1949 KATHRYN C I R
AHT itAHll 18T
I
8 OFFICE USE ONLY
SeC/Sub.
LOt
BloCk FEES
Parcel No. occupancy -
3s
Z
i
.OQ
B?9• ??ft
on
ng _
Name HI1RK L EROSJN (Ac,,,??) Cons, _ SumhaW _?y _
? qddr. 1849 xATHRYIa C I R (AJiowable) _ Plan Pav;ew
C4 tAGAN !lN Zp 55122 k ol Stories ?
? L ??n _
Phone 6 54-8447 Depth - SAC, Cily
? Nal'TIA SAME S.F. Total - SAC, MCWCC
0 S.F. Foolprinis -
? AddrE,SS On Site Sewage _ water Conn
cfty . ZP or, sice weu water naeter
? Mwcc sys?em =
8 Phone
City Water Accc. oeposit
-
Vce?S@ # PRV Required _ SMf Permit
I hereby acknowlege that I have read Ihis application and state that Ihe Boosier Pump - ?yy 5urcharge
information is correct and agree lo comply with all applicable State o}
Minnesota Stalutes and City of Eagan Ordinances. Treatmenl PI
Signature of Permftee APPp?VALS Road Unit
A Building Permit is issued to: M.ARIC L BRQSdN Planner - Park Ded.
on the express condition that all work shall be done in acCOrdance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldj, pry, _ Copies
35.50
Building Otficial Variance - TOTAI
._..,.. _ _._ _... ..__ ...__. ,.._...?.._..._., .??u.::_?.d..?..... - - - ..._Y.._.
Permit No. Permit Holder Date Tekphone #
S/W
PLUMBING
H1/AC
ELECTRIC
o+v
E-ECTRIC
InspeCllon Dffie insp. Comments
Footings I
Foundation
Framing $ S z
Roofing
Rouyh Plbg.
Rough Htg.
Isul.
Freplaoe -.S' f 2 .Z zit Z Y
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
B?dg. Final 2- Y' S s • ?- N S
Dedc Ftg_
Dedc Final
Weil
Pr. Oisp.
CITY OF EAGAN . 1 r 21
3830 Pilot Knob Rosd, P.O. Box 21-199, Esgan, MN 55121
PHONE:454-8100 -:; ? -
awLDiNa PeRMIT Receipt
sits Addrea C] i? r Ia r:
:'
'
'
' Ereet
Rsmodel U!
? Occupancv
Zoning
Lot ` Blxk rii: l.ti
•1
f'?
*
?/Sub
. Rapsir ? Type of Const.
Psrcel No. Enlarge ? No. Stwies
.? '." H;20:•; j•:
- ' Move ? Length
W Name
i•
:T t'C Lt
'
?? F?R Yr ? Demolish ? Depth
I Addma .
.. Grade ? Sq. Ft.
n:... t:,li?7?V el--- 454"844! 1.. sll 11
s Nema
J ----------
g
u Addreu Asseument
City Phone Water b Sew.
Pol iu
?
°C Nama
gW Fin
ZZ Addross Enp.
City Phone Plonnar
I hereby xknowladpe thet 1 haw nod this opplication ond state thof C.ouncii
Bidg. Off.
tM inforrnafion is oorrect w?d ogree to comPly with oll opplitabld APC
Stoto of Minnesow StotuMs and Gry of Eapan Q?dinoncea.
, z , ..
?? Var. Date
Sipnahu* of Pertnifta ?
fe«
Permit L V . a u
Surtharqe a. , u 1-1
Plan Review
SAC
Water Conn,
Woter Meter
Road Unit
Parks
Total .1
/1 Bullding PeRnit I: issued to: on tM axpns tadition thor
dl work sholl be dont in accondonm with all oppliooble Storo of Minnesoto Stotutes ond City of Eopan Ordlnancts.
9uildinp Offlciol
Pwmit No. Pwmk Holder DKft TNo hono ?
Plumbin0
H. V A.C.
ENcdie
Softsner
Inspsdfon Date Insp. Othn
FootinOs r ?t
? -
Foundation
Framina
Rooting
Rouph Plbp.
Rouph HVA
Inwlation
Final Plbp.
Finsl HVAC
Finsl
Grt/Oee.
Wynr DeseriM Loeation:
MYINI
Sovwr
W. Disp.
No.
Dote:
Site Address:
Lot
CITY OF EAGAN
3795 Pilaf Knob Reod
Eo9an, Mlnnesoto 55122
P6one: 464-8100
PERMIT
181+'a ?r.Sth2'.Yr1 CiI`.
Block Sub/Sec.
lI't R8hI1 1
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
Nome N
Al
ew/
ter./Repair.
?
3 .
Address
C
O ost of Installction
City Phone: Y P
ermit Fee
Nome S
r
ha
` u
t
rge
g Address
?
City Ph
o^e: Totol
This Permit is issued on the express condition that all work shall be done in occordance with oll applicable Stote of
Minnesoto Stotutes ond City of Eoqon Ordinonces.
Buitding pfficial
CITY OF EAGAN
3795 Pilet Knob Reed
No. Ea9aw, Minweaota 35122
P6owt: I54-8100
PERMIT
Dore:
Site /lddress:
I.ot
1649 Y,athryn Cix.
Block Sub/Sec.
Nome ?,llefsar. L
; Address I , .
O
City Phone: ,
r-
Nome
p?
Tr , ?
? Address '
s
City Phone:
This Permit is issued on the express condition that oll work sholl be
Minnesoto 5tatutes ond City ot Eagon Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New/Alter./Repolr
Cost af Insraliation
Permit Fee
Surcharge
Total
done in occordonce with oll appliccble 5tote of
Buildinq Official
TY OF EA6AN
79.7 Pilot Knob Rood
gan, MN 55122
zoning:
Owner:
Address:
Site Address:
Plumber:
Meter No.:
WATER SERYICE PERMIT
PERMIT NO.:
DATE:
. No. of Units:
kl 1
Connection Chnrge:
AcCOUnt Deposit: _
Permit Fee:
Surchor9e:
Misc. Chorges: -
Total:
Date Poid:
I 1 Reader No.:
agree 4o eompl?r with the Citp of Eagon
Ordinances.
By
Date of Insp.:
ITY JF EAGAN
795 Pilot Knob Rood
gan, MN 53122
oning:
r?er:
dress:
ite Address:
umber:
ogree to eomply with t6e Cify of Eogon
inonees.
i
Bv _
Date of Insp.:
SEINER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Actount Deposit:
Permit Fee:
Surchorge:
_ Misc. CFarges:
_ Totul:
- Date Pald:
CITY OF EAGAN Remarks
Addition Art Rahn k1/j(, Lot $ Bik ? Parcel #].() 11900 osn 07
Owner 4121 '+:- ;- ':: .-i 6r N 1; ,' Srreet 1849 Kathryn CirCle Sxate Eagan, NIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. ?r
GRADWG Ir
/ 2
SAN SEW TRUNK / H
SEWERLATERAL - 190.63 12 11 $0 A009787
* s e ( 10
WATERMAIN
* WATER LATERAL 1982
WATER AREA 9 y
STOFM SEW TRK Q13 1982 345. 40 69 , 08 5
?r STORM SEW LAT 1982 S
CURB & GUTTER
SIDEWALK
STREET LIGHT
R
WATER CONN.
BUILDING PER. 6261
sac 525.00 21208 10 3 80
PRRK 280.00 20704 9/2 0
I
CITY OF EAGAN
3795 Piloe Knob Rood Eogan, MN 55122 , F N! 6261
PHONE: 454-8100 e5-'
BUILDING PERMIT APPLICATION
Te 6a used fe, SF DWG/GAR F
Site Address 104y natiilx'yri u1Y'.
Lot g Block 1 Sec/Sub. Art Rahn lst
pa,cei # 10 11900 080 Ol
w I Name Mark Brawn
Z
g Address
o IN,m, Tollefson Builders Inc.
13816 Holyoke Ln.
Address
t- r...,Apple Valle.y,Mi-b,,,,,,e 451+-6$73
Nume
I hereby ocknowledga thaT I have read this application and state that
the informotion is correct ond agree to wmply with oll applicable
Stafe of Minnesota Statutes ond City of Eagan Ordinances.
Receipt .#
Erect Cl Otcuponcy R3
Alter ? Zoning Rl
Repalr ? Pire Zone 3
Enlurge ? Type of Const. V
Move ? # Stories
Demolish ? Front l+g ft.
Grade ? Depth 34 ft,
Avvwrait Fees
Woter & Sew.
Police -
Fire
Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit 158-00
Surchorge 18- 5n
Plan check.')4_ nn
SAC 529 - (10
Woter Conn. ?n5,=nn
Water Meter 6n _ nn
Road Unit 189 _ C1Cl
Tofal 1 255 Sn
Signature of Permittee 1
A 8uilding Permit is issued to: Tnl l af Snn Rni l derc on tha express candition that
all work shall be done in accordonce with all applicable State of Minnesota Stotutes and Ciry of Eagan Ordinances.
Building Official
CITY OF EAGAN No 102$ 1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100 5 Zd t??
BUILDING PERMIT Receipt #
DECK
SiteAd reu 1849 KATHRYN CIRCLE
Lot ? Bloek 1 Sft/sub. ART RAHN 1ST
Pazcel No.
W Name MARK L . BROWN
? Addms 1849 KATE?RYN CIRCLE
c;ty EAGAN Phona 454-8447
? Name 4AMR -
iu Addreea
? Ciev Phone
Neme
Addresc
City Phone
Erect l14 Occupanay
Remodal ? Zoning
Repeir ? Type of Const,
Enlarge ? No. Storia
Move ? Len9th
Oemolish ? Depth
Grade ? Sq. Ft.
Install O
ApOrevob Hsa
Asxssment
Water 8 Sew.
Police
Firo
Erq•
Planner
Council
Permit LU_5U
SurcFwrqa. 1 _ 00
Plan Review
SAC
Water Conn.
Woter Meter
Road Unit
1 hereby otknowledga fhct I haw read this applicahon and stafe thet Bldg. Off. Parks
tho inlormofion is tA«ecf ard agree to Comply with all applicoble APC Total 21 -5f)
Stch of Minnesom Statutes and Ciry of Eaqon Ordinoncas.
? Var. Date
SipMturo Of Permittae
A 8uildinq Permie Is Issusd to: MARK RROWN on Ma exprea conditbn Ihot
oll work shall be dons in acaoqtgnce wi,(h all oppl(mbla Staro of Minrwtota Statutes and Ciry of Eapon Ordinoncea
Buildinp Offlclal
CITY OF EAGAN ,1 ' 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55721 , fi020041
PHONE:681-4675 Lr?-I'
?11LDING PERMIT Receipt #
To he used for BASEMENT FINISH Est. Value Date JAN 21 , 1912
Site Address 1849 KATHRYN CIR
Lot 8 Block 1 Sec/Sub. ART RAHN 1ST
Parcel No.
N2me MARK L BROWN
W Addf2SS 1849 KATHRYN CIR
? City EAGAN MN Zp 55122
Phone 454-8447
pc Name SAME
? Address
? CitY ZP
? Phone
ucerise a
I hereby acknowlege Ihat I have read ihis application and state Ihat the
inlormation is correct and agree to comply with all applica6le State of
Minnesola Statutes and City of Eagan Ortlinances.
Signature of Permitee
A 8uilding Permit is issuetl ro: 14ARK L BROWN
on the express condition that all work shall be done in accordance wilh all
applicable State ot Mmnesota SlatuQtes and Cny of Eagan Ordinances.
Bmlding Oflicial 6,01
Occupancy
2oning
(ACtual) Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
S.F. Footpnnis
On Siie Sewaga
On Sile Well
MWCC System
Gty Waler
PRV Requrted
Booste(Pump
APPRO4ALS
Planner
Council
eldg. Off.
Variance
OFFICE USE ONLY
Bklg. Pertnrt
Surcharge
Plan ReNew
Lxertse
SAC, Ciry
SAC,MCWCC
Waler Conn
Water Meler
Acct Deposif
SM' Permil
S/W Surcharge
Treatment PI
Road Unil
Park DBd.
Copies
TOTA
FEES
45_0f1
.50
35.sn
/ REQUEST FOR ELECTRICAL INSPECTION ?lee-oaom-oa
0- See insimcuons br rompleting th5 forrn an Oack of yellow copy
. .? `A'?f?^ d f
Newiii
Rep "X" Below Work Covered by This Request
TypeoiBudding AppliancesWired EquipmenlWUetl
Home Fange Temporary Service
Duplex Water Heater Eledric Heatmg
Apt Bwlding Dryer Other (Speaty)
Comm /Industrial Furnace
Farm Air Contlihoner
O[her(syecAyi Gamractor's Remarks
Compute fnspection Fee Below
a Other Fee # SermceEntranceSrze Fee # QranslFeeders Fae
-
Swimmmg Pool
1
0 to 200 Amps
0 to 10 Amps
Transformers Above 200 _ Amps Abov t00 _ Amps
$19n5 Inspector's Use Only . ? TOT?- .?p
Irngahon Booms OTV
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electncal Inspector, hereby Rou9n-io Dale ?????
cerllfy that the above mspection has
been made F,nai oa+e7)^?,??
OFFICE USE JNLV
This request voitl 18 monibs Irom
n,
4343Q
?
?
o°
-
ct
p
?.? (.? tzp
-
Request Dnt
j
C Fre Na RougtKin Ir^specpon
R rtea?
? Featly NowXWill Nobty Inspector
?/
?
? Yes = No W?en Ready'
I=licensed contractor xowner hereby request inspec6on of above electrical work at
Job Atldress lStrei Box or Fouta No j Cpy
?
ISY9 Ka?h? n Cir. agan
Secuon No Township Name or No Range No County
0¢uoant (PRMT) Phone No,
rk L Qrown 145 -$4
Poi SupOber Atltlress
ElecVi<al Conhaclor(COmoany Name) ConVac?or5 Lmense No
r 4b uh412
MaiLng ACaress iCOnhacio, or Owne, Making Instatlation)
6j v
Nmnonzea Siqnawrp ICO,lracior.'Owner Maxmy Insiailatiom Phone Number
nati0> L
MINNESOTA STPTE BOARD OF ELECTPICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlwey 81pg - Room S-173 BE ACCEPTED BY THE STATE BONFD
1021 UniversHy Ave. St Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phon¢ (612) 642-0800 ENCLOSED
-This request void
18 months from
Date of this Request 10-24-1980 Fire Nn. ? 36V7
I, as TTLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri•
cal wiring installed at:
Street Address or Route No. 1849 Kathryn Circle City ?g°'n
Section Township Range County Dakota
Which is occupied by Tollefaon
(Name oi Occupant)
Is a roughin inspection required on thu job? No ? Yes3o Ready Now ? Will Call ft
Power Supplier Dalcota Ctv. Address Farmington
Electricai Contractor?l R_ Th„m„- ..,, Fl pst?+i r Pn Contractor's License No.p¢0602
,Company Name)
Mailing Address 12201 :,4tka Blvd p Mtka 55343
(Elettrical ConVactor or Ownar'M2king This Installatlon)
Authorized Signature ' Phone No.
(Elactrical Contractor or Owner Makin9 This Instailation)
? p' (/???}ly This inspecHon request will nat de accepted by the
State Board unless proper inspection fee is enclosed.
m. nnaw1a awie araru U.
oecanc??y
Griggs Midway Bldg. - Room N191 E6-00001-02
1221 Universiry Ave.. S[. Paul, Minn. 55104 - Phune 297-2171
' REIIUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOAK COVERED BY THIS REOUEST ? 3 687
Type of Building New Add. Rep. Check Appliances Wired Fot Check Fquipment W'vM Fot
Home $ ? ? Range 394• Tempocary W'ving ?
?uplex ? ? ? Water Heater El Lighting Fixtures )0
Apt. Bldg. ? ? ? Dryer ?
2
00
) Electnc Heating ?
Commeccial Bldg. ? ? ? Fumace .
0 Silo Unloader ?
Industnal Bidg. ? 0 ? Au Condinonex 0 Bulk Milk Tank ?
Fatm ? ? ? )
List List
Other 0 ? ? }
Heie?gl lSp• s•XXK . ehers?
COMPUTE INSPECTION FEE BELOW
Smice Entrance Size: # Fee FcedersRSubfceders: # Fee C'vcuits: # Fce
0 to 100 Am s. 0[0 30 Am eres 0 to 30 Am eres 10 •
101 to 200 Amp31 U 1. 31 to 100 Amperes 31 to 100 Am res
Above 200_Amps. 1 1 Above 100 Amps. Above 100 Amps.
Transformers 1 1 RemoteControlC"uc. Paztialorotherfee
Signs 1 1 Specialtnspection Minimum fe . ?
Remazks ., Jef£ D. TOTAL F E fij'? ? 4? • 5
I, the Electfical InspecYOr?, hereby certify. th e ab ?ve '?s?ction has been made.
(Rougl}'in)) ? ? ate igE
(Final)? \U ? =rnte
This request void
18 months from
,
,
C?rrfifirtttr o# (Orrupttnry
Citp of CAgan
33r{?ttrtmerii nf +uilbing jJnfipertitm
Thic Cntifiratt ittutd purtuant to tbe nquirrmtntt of Strrion 306 of the Uuiform Bailding
Cale « rfif png that at the timt o f ittuantt thit ttruuurz wut in com plianre wilh the vuriout
ordiwnter of t6x City ngulruing 6uilding tonn+uttion or uJe. For the follournK:
SF DWG/GAR B„sN.„No. 6261
v.Cnmtaum
o?warTva R3 rrPC??um V tiRZan. 3 zma, o„l.« Rl
By
12-9-80
o..,.,? - - - - - - -- - LI,No,.U 5 ..
Eagan MN 55122
Phone:(651)675-5675
Fax:(651)675-5694
?-----------------
I F ?4 Qfii?dlse ?
I
? Permk#:
? Permit Fee:
I ?
I ?
I Date Received: ?
I ?
i
j Staff: I
L -----------------?
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date:,6- d S-, Site Address:
Tenant Name:
(Tenant is: _ New / _ Existing) Suite #:
PROPERTY OWNER Name: .v'/'zePhone:
Address / City / Zip: /e219 cY r1/ il C? ?cLC 6HG'a4 ?A/ M fi°L
Applicant is: _ Owner _ Contractor
`
TYPE OF WORK Description of work: ?Co e,,,C,
Construction Cost !7
CONTRACTOR Name: License#:
Address:
?ity; =L;12 e?QAfPv State: /" Zip: SS?1!:K
Phone:4:2- .3?3-V33 ContactPerson: '
ARCHITECT / Name: Registration
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
NOTE: Plans arid supporirng documents thaf you subrnit'areconsidered to?be public information } Portrons of'
'the informatiori may be class`ffled as non publ?c N you pro'vide speciflic reasons that would permrt the City to '
`
,??'
? concludeihatthe .are:tratle.secrets:`n
I hereby acknowiedge that this information is complete and accurate; that the work will be in confonnance wdh the ordinances and codes of the Cdy of
Eagan; that 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
accordance with the approved pian in the case of work which requires a review and approval of plans.
x .C c r /lDy '-</- < YJ
Applicant's P ted Name
Applicant's gnature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation
? Apartments
? Lodging
? Miscellaneous
WORK TYPES:
? New
El Addition
? Alteretion
? Replacement
DESCRIPTION:
Valuation
Plan Review
(25%_ 100°/a
Census Code _
# of Units
# of Buildings
Type of Const.
? Public Facility ? Accessory Building
? Commercial / Industrial ? Ext. Alteretion-Apartments
? Greenhouse ? Ext. Alteratlon-Commercial
? Antennae ? Ext. Alteration-Public Facility
? Nall Salon
? Interiar improvement ? Siding ? Demolish Building`
? Move Building ? Reroof ? Demolish Interior
? fire Repair ? Demolish Foundation
? Windows ? Water Damage
' Demolition (entire bu(iding)- give PCA handout to applicant
Occupancy MCES System
Code Edition SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Sprinklers
Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) FinallC.O.
Footings (addition) FinallNo C.O.
Foundation HVAC
Drain Tile Other:
Roof: _ Decking _ Insulation _ Final _ IceANater Pool: _Footings _AirlGas Tests Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest Final Windows
Insulation Retaining Wall
Final C/O Inspection: Schedule Fire Marshal to be present.
Reviewed By:
COMMERCIAL FEES:
Base Fee
Surcharge
Plan Review
SAC-MCES
SAC-City
S/W Permit
S/W Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
Building Inspector
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
Yes _ No
Reviewed By:
Sewer Trunk
Water Trunk
Planning
Page 2 of 3
. ??.
?
41 1
?
? 1 8 BUILDING PERMIT
9 5 APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS l4UST BE LICENSED 41ITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
i SET OF ENERGY C ULATIONS
To Be Used For: Lle (-? Valuation: ??';Jn? Date: ?$5
Site Address: 1 94°I I<qTkryA C;r• OFFICE USE ONLY
Lot: ? Block ? Sect/Sub GAI f44, Erect
Remodel
Parcel ll Repair
Enlarge
Owner fYIark L B rcp wn Move
Demolish
Address I gy 5 kqTfnrvn L?r • Grade
City/Zip Code Eqqar-N ° mn. S512-1-
J
Phone q5 ¢ - 349jtj0*`544 3371
Contractor^ na/)E
Address
City/Zip Code
Phone
Arch./Engt.
Address
City/Zip Code
Phone S
APPROVALS
? Oceupancy
_ Zoning
Type of Const
/f of Stories
_ Length
_ Depth
_ Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Parks
APC Treatment P1
Variance
TOTAL
2D ?"
-L ?
60'
.
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?
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e
Y
}y
S
ij
7
1992 BUILDING PERMIT APPLICATION
CITY OF EAGAN
REOUIREMENTS: 10141
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED 51TE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE OWELLINGS 2 SETS OF PLANS, 3 REGISTERED S{TE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SEf OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLtES WHEN TYPING OF PERMIT IS REQUESTED, BUT N07 PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE JQB LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For: 13asemenf FinA Valuation:
Site Address i g 4°I ka+hi
Lot $ BloCk 1
Parcel/Sub Rr? Rp?, 1 sl
Owner_
Address
CitY/Zp.
Phone
Contractor
Address
ciry/zip
Phone License
Arch./Engr.
Address
City/Zip Code
Phone #
`?- Date: d- Z I'`'I 2
, mn. 55t,42
FFICE U.1
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprim S.F.
On-site sewage
On-site welt
MWCC System
City water
PRV
Booster Pump
APPROVALS
Planner
Council
Sldg. Off.
Variance
Bidg Permit
Surcharge
Plan Review
License Fee
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
.?.fEESo
Sewer/Water Licensed Contr. . Processing time
for sewer/water permits is two ays once area as een approve .
agrees that all work shall be done in accordance with
ignature o ermittee
ali applicable State of Minnesota Statutes and C;ity of Eagan Ordinances.
8" eL ?
SUBD. l>CIVY-'
CITY USE ONLY
RECEIPT #: 1O-v F
RECEIPT DATE: 4047
Q'? V?/1'?.?V
34 9 3--1--
crrY oF EAsAN
3$30 PILOT I{N08 RD
EAsAN,fiLN 55122
(651) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alteretians to existin dwellin 30.00 x = $ I
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
t 3.00 x = $
Water heat 3.00 x = $
775-ter Softener if dwelling under constructian 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ---> $ 50
TOtel --> --? ----> ----> $30
Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc.
----------------------------------------- ---------- ----------- -----------------------------•-------------
I hereby acknowledge that I have read this application, sfate that fhe informalion is cortec[, and agree to comply with all applicahle City of Eagan ordinances.
It is the applicant's responsibility to noti(y the property owner that the Cily of Eagan assumes no Iiahilily for any damages pused by ihe City dunng i}s normal
operational and maintenance ac6vities to the Nacilities constructed under this pertnit wi[hin Ciry property/nght-of-wayleasement.
SITE ADDRESS:
OWNER NAME: ? e? /) t'e, L?Pt/
INSTALLER NAME: TELEPHONE ?-7 Co'(
STREET ADDRE55:
ciTv
- a - L G?;s J! ? 4 ir
SIGNATURE OF PERM
c?)ro '
1999 PLUM$INfl PERMIT (RESID£NTIAiL)
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
CITY OF EAGAti
EARLY UTILITY COftNECTION PERMIT
4'`? /C'?C-?i ??e?
Address Subdivision/Parcel `2?Ln
I here6y request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I
understand that the City has not yet completed, inspected and/or accepted
the sewer and/or water lateral. I agree not to use, test, or connect these
individual services to any interior'plumbing and understand the require-
ment to cap the sewer service to prevent any unauthorized use.
In accep[ing this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will be issued or water allowed
to be turned on until the City utility system has been declared operational
by the C1ty Engineer. '
Signed hy - Plumber: ? i ?4
Owner:
Developer:
Builder:
Dated: / l/' '-
-13
?
CITY CF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUIIDING PERMIT APPLICATION 1 set of enerqy calculations.
Za se casea rbr -) J; valuation Date ,
Site Address 0 rd OFFICE USE OII.Y
Iot ? slor-x J_ sec./s •?Vk??+lh Erect occupanx..y
Paroel #: 15??c?1-hOVI A7.ter zonirrg ;? 1
Iaepair Fire Zone q
Owrrer: Enlarge ^ Rype of Const.
AddresS: Move # Stvries
Dsnolish Front
CitY/Zip Oode: Grade Depth 3f ft.
Phone #:
cbntractor: -Ir)IIP-?'? .?ii? i ?'l?(?I?<? Tln(, •
Aadness: I-Fb I Q}K . L(n inP,
city/ziP coae: D'olnlv VC?.I .??rzUPhone #: t-Lyu-- ?'i-(?i
AtCI'1./Eng. _
? P,ddzess:
, City/Zip Cade:
Phane
APPROVAiS o F'EES
AssessnP.nts G,Pexntit B.n e
I1TdteY/$2F/E'S $11Y'Ct1dI'CJE' / 4 b
Polioe Plan Check SH a6
Fire SPL ,ss.s;oo
Erig, watex Conn. 3, s m o
Planmr WateX Meter &p ao
C o u n c i l I d o a d Unit i ff S o 0
Bldg. Off.
APC
?7i'AL ?{ a?CS.??
r
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8>D 353, 94
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ities Di2ital Qualitv Control
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Tollafoon Buildera Inc, Or.11152-1
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F. C. JACKSON
uno auRVeroR -
? N[GIBTHR6D UNp6fi LAWB O/ BTl1TC W MINN@OOTA
LIC[NB[D RY ORDINANCC OF CITY OF MINN[A?OLIP r`i' /?J '? ?? •
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Lot B,Block L,Art Rohn Firet AddiCion,
Dakots Couaty,Miuneaota.
Carage floor.Elea. 101.80
Baseaeat ftoar Blov. 45.0
Pirst floos 61ov. 102.6
AS 6UFYHYEO 9Y MH THIS-?St,a-OAY OF ,V?ne
Reataked Sept. 12th. 1980
1980
i[D/ ;7 / I
F. C. JACKSON
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R[6ieTruTiow. No. 3600
Cities Digital Quality Control
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113810
Date Issued:09/09/2013
Permit Category:ePermit
Site Address: 1849 Kathryn Cir
Lot:8 Block: 1 Addition: Art Rahn
PID:10-11900-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Kim Moore
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
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.
Contractor:Owner:- Applicant -
Mark Brown
1849 Kathryn Cir
Eagan MN 55122
Bulldog Contractors Llc
3300 Edinborough Way
Suite 201
Edina MN 55435
(952) 253-3350
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117403
Date Issued:10/17/2013
Permit Category:ePermit
Site Address: 1849 Kathryn Cir
Lot:8 Block: 1 Addition: Art Rahn
PID:10-11900-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
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.
Contractor:Owner:- Applicant -
Mark Brown
1849 Kathryn Cir
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155934
Date Issued:06/10/2019
Permit Category:ePermit
Site Address: 1849 Kathryn Cir
Lot:8 Block: 1 Addition: Art Rahn
PID:10-11900-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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.
Contractor:Owner:- Applicant -
Mark Brown
1849 Kathryn Cir
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161073
Date Issued:05/04/2020
Permit Category:ePermit
Site Address: 1849 Kathryn Cir
Lot:8 Block: 1 Addition: Art Rahn
PID:10-11900-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
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.
Contractor:Owner:- Applicant -
Mark Brown
1849 Kathryn Cir
Eagan MN 55122
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature