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1785 Kyllo LaneINSPECTION RECQRD CITY OF EAGAN PERMIT TYPE: 3$,30 Pilot Knob Road Permit Number: ?agan, Minnesota 55122-1897 Date Issued: (651) 681-4675 ? rSITE ADDRESS: i'7g.5 PERMIT SUBTYPE: iic-fir I r-a APPLICANT: TYPE OF 1NORK: rti A I 34a9ct I I I i? ? 7 I Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMINCs ROOFING ROUGH PLUMBING PLBG AlA TEST ? ROUGH HEATfNG ? GAS SVC TEST INSUL GYP BOARD FIREPLACE FI R EPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG OEC4C FItVAL CITY OF EAGAN Addition xiage vaew ecres ? . Owner ' 10 64000 080 04 Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date %0 STREET SURF. 1971 818.30 81.83 10 STREET RESTOR. ? r 1977 2094.55 209.46 10 I, GRADING SAN SEW TRUNK 1968 $100. 00 $3. 33 34 4 ' *SEWER LATERAL & Sttlb I972 ZO ' WATERMAIN *WATER LATERAL & Stub 1972 20 WATER AREA ?3 ' 1977 10-64 15 1 STORM SEW TRK ? 1983 561. 00 37.40 15 okSTORM SEW LAT 1972 $3753. 55 $187 . 67 20 CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN, i 9UILDING PER. I/ - SAC PARK ?,-?:..... . , CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-189, Eagan, MN 55121 PHON E: 454-8100 Mi Est. Value J. 14'to Lot Block Parcel No. Q Name ' z Address o City Phone 'o Name . o ? Address U ? City Phone Name Address Signature of Permitiee ? A Building Permit is issued tc on the express condition that applicable State of Minnesot+ Building Official_ 3tion and state that the ali appiicable State of Q On SRe Sewage Occupancy MWCC System Zoning On Sits Well (Actual) Const City Weter (Allowable) . PRV Re- of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permlt Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL 1?. R? ?- - Permit No. Permit Holdsr Date Telsphona ? Plumbing H.v.ac. 911) Electric ?g? Inspection Date Insp. Comments Footings I ? zt,),d, Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. ? Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final well 2- Pr. Disp. ? • PERMIT # ` • - ' , ; MECHANICAL PERMIT RECEIPT # '' • CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE _ t'nuroerT Do1r'6:- Dunue. wew_041%n Name _ Address Name c Address O CitY TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other r C BLDG.TYPE Res. ? Mult Comm. Other WORK DESCRIPTION New Add-on " Repair FEES HVAC 0-100 M BTU RES -$24 00 . . tt/ ADDITIONAL 50 M BTU - 6.00 ' Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIn 50 EA - 1 . . COMM/IND FEE - 1% OF CONTRACT FEE M BTU M BTU M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - AlL ADD-ON & REMODELS 12.00 M BTU $ CFM El MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT i (ADD $.50 S/C IF PERMIT PRICE GOES - 20.00 - .50 BEYOND $1,000) _j het' . ? O FEE S/C: TOTAL• SIGNATURE OF PERMITTEE OF EAGAN Cities Digital uality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ? • CASH RECEIPT ? CITY OF EAGAN 3795 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 DATE 19 _ RECEi1/ED AMOUNT $ I DOLLARS 100 ? CASH ? CHECK r ?? '`yJ U BY O? NUMERICAL FILE COPY a . ` CITY OP EAGAN , }. 3795 Pilot Knob Roed ? Eogan, Minnesoto 55122 Phone: 454-8100 PERMIT No. . Date: August 19, 1 c-W; ? Receipt No.: t)-? Single I Site Address: Residential • Lot Block 4 Sub/Sec. r, ? Multi Res., Comm./Ind. I Name /Repoir % New/Alter . . . " Address `>45 - 29ts, Cost of Installation ; O ?tY `?rals. 55417 _ Phone: Permit Fee ` Name Surcharge ' 50 ? ? Address a ? Cit Phone: Total =?•5n y This Permit is issued on the express condition that oll work shall be done in occordonce with all applicoble State of Minnesota Stotutes and City of Eagun Ordinances. Building ? ' • CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 Date: FiEATING _ PERMIT August '30, 1ri'i ! 1 ;'>3 ? ICyllo Iane Site Address: Lot Block I Sub/Sec. =:idgeview Acres Name "rXy Nez son ? Address 29th Ave. So. Phone: City Name :;sasonal Control tnc. ? ? dress 1`'20 Lynda3e Ave. sa. a City 55423 Phone: This Permit is issued on the express condition that oll work sholl be Minnesota Statutes ond City of Eagan Ordinances. Nor.7 2 . r,7233 Receipt No.: Single I Residential Y Multi Res., Comm./Ind. I New/Aiter./Repair. Cost of Installation Permit Fee 20.00 5urcharge .50 Total 2 0. 5 r? done in accordance with all applicable State of Building Offlciol ' GTY OF EAGAN 3795 Pilof Knob Road Eagen, MN 56122 ' PHONE: 454-8100 BUILDING PERMIT r „ :?. ?.1; I ? . _ • To be wed hr Site Address -- Lot Block SeclSub. `'' ??ne?"_ ? ?+. .'•.? ?r; Parcel # oc Name ' aT -r• y '.+e 1 son W Z Address 18 , p Name _ v? Addres ? r:«., Name _ Address I hereby acknowledge thot I have reod this application ?nd state that the information is correct and agree to comply with o!I app:icable Stote of Minnesoto Stotutes and City of Eagon Ordinonces. Signoture of Permittee A Building Permit is issued to: all work shall be done in accordence with all applicable State of M? Building Offitial ? .? or NO 4377 # Jtme = e7 i Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone _ Enlorge ? Typ= of Const. Move ? .# Stories Demolish ? Front _ ft. Grade ? Depth ft. Approvnia Feea Assessment Permit 154.50 Water & Sew. Surcharge 30.00 Police Plon check Fire SAC ? Eng. Water Conn. 1 j? •?? Planner Woter Meter Council Bldg Off _ . . APC Total ' on the express condition thot Stotutes und City of Eocan Ordirronces. 4 t ??M # Doh lawd hrw Plumbing ?/ ??? +?r - ? 9 - 7 7 . • Mechoniccl ? 9-=L - --- ?. INSPEC710N5 DATE INSP. Rouph-in Find Footings Dafe Irap. Date Irop. Foundotion _ Plumbing Frame/ins. //-/D -?7 Mechanical - -? ' Finol 1 z, l Remurks: CITY OF EAGAN 3795 Pibf Knob Rood Eogen, MN 55142 PHONE: 454-8100 BUILDING ? PERMIT M! 6680 Receipt # K ; POizC:li 5ite Address Lot Block Sec/Sub. Porcel # a: Name LU 3 Address 0 ? Name ,o ?? Addre r rt.., Nome _ Address I hereby acknowledge tFrot I hove read this application and staYe that the information is correct and agree to compiy with all opplicoble $tote of Minnesota 5tatutes and Ciry of Eagan Ordinances. Erect ? Occuponcy Alter ? Zoning Repair 0 F1re Zone Enlcrge ? Type of Const. Move ? # Stories Demolish 0 Front ft. Grode ? Depth ft. Approvols Fees Assessment - Water & Sew. Pol ice Fire Eng. Planner Counci 1 Bidg. Off. - APC Permit Surchorge Plan check SAC Water Conn. Water Meter Road Unit Total Signature of Permittee I A Building Permit is issued to: on the express condition thot all work shall be done in accordante with all applicuble State of Minnesoto Statutes ond City of Eagcn Ordinances. Building Officicl Ponnk # DoM lured INMMhe Plumbing Mechanicol INSPECT10N5 DATE INSP. Rough-tn Final Footings Y Dote Inw. Dote Insp. Foundation Plumbing Frome/ins. Methanic.al Finol . S-IY Remarks: _ . , ... L . . _ . . y _ .. _. . .._ __ - -? CITY OF EAGAN - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 " BUILDING PERMIT To be used for • 6 Est. Value - 6,300 Site Lot Parcel No. Block Sec/Sub. W 3 Addre ss ° City Phone . ' , °C .o Name ? ? Addre ss IC City Phone Address City Phone that I have read this _'^'_ _. ........__?'^ ?'?'?.?.. ?..? .. .? . ?..a .... ................... Signature of Permittee A Building Permit is issued to: ` Building Official Receipt # Date ,19 OFFICE USE ONLY On Site Sewage stem MWCC S _ Occupancy Zoning y On Site Well _ _ Type of Const Ciry Water _ (Actual) (Allowabie) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit WatedSewer _ Surcharge Police _ Plan Review Fire _ SAC, City Engr. _ SAC, MWCC Planner _ Water Conn. Councii _ Water Meter Bldg. Off. _ Road Unit APC _ Treatment P1 Variance _ Parks Copies TOTAL on the express condition that innesota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Date Telephone * Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Commsnts Footings I Footings II Foundation Framin9 . S-?3 G ?• 4,6fw`'f; ?.? ?"o ?rs •n?.?? }? ?, Roofing s-i.1 Rough Plbg. Rou9h Ht 9• ^/E t? C, fd a. r f G u r^ -.? • Isul. l?sf -?,h,sl?K.cf ,?l3-d7 C' - ?. Fireplace or R Final Htg. Final Plbg. Bldg. Final 1 p?' Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. WeII Pr. Disp. i CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS ,` ? ? rl ? Correction Notice _ r Located at , I have this day inspected fhis structure and these premises and have found the following violations of city codes governing same: , ? c c ? J ? a c ? ' , n4. .i / -1c? '? ? . ,4?r /?' w • Jc ?/ ? ? ' ? , ? li . 1JY cot :.c?c?. v ?n ?? • ?•`%; ?5,1?,'/'G i1.?r' i".c? ,?,??.Y ' . , y:i ?hen crections have been made, please . call 454-8100 for inspection. Date Inspector Gity of Eagan DO NOT REMOVE THIS TAG CITY Of EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _ No. of Units: Owner. Address: -- Site Address: Plumber. _--- I agree to complr with the City of Eogan Ordinances. BY - Dote of Insp.: Insp.:- Connection Charge: Actount Deposit: Permit Fee: Surchorge: Misc. Chorges: - Totol: Dote Poid: CITY QF EAGAN WATER SERVICE PEP.MIT 3795 Pilot Knob Road PERMIT NO.: - Eogan, MN 55122 DATE: Zoning: No. of Units: . -- Owner: •• ? •. _ . _? - Address; - Site Address: - ? ? ? - Ptumber: Meter No.: Connection Chorge: Size: Account Deposit: Reader No.: Permit Fee: I agrce to eanplr with the City of Ea9on Surcharge: Ordinanees. Misc. Charges: Total: gy Date Paid: Dote of Insp.: Insp.: 375.00 p: ' CITY OF F11GAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of erergy calculations. Zb Be Used For DECk-d-o aluation ??Z.660 Date Site Pddress / 7?.? l? ? ??¢?//'? , Lot ?G Block Al Sec /Sub OFFICE USE OTJI,Y _ . . ?Erect ?X Occupancy ? ? Par?l #: /C7 6 ?/e 0 0 O j Alter zoning /?J???? Qaner: /r/ ?P? Fire Zone gU A e Zype of Const. ? Addxess: 7e,? ,?6 IJ ?9dv? _ , Move # Stories C1h'/ZiP Code: q/ S- r/Zz- ? Da[blish _ Grade Front ft. Depth fT P?? #: / ft. Contractor: ` APPROVAIS Assessments FEE'S pPi7ni t ? ACdT255: IWater/Sewer Surcharg? City/Zip Code: Police - Plan Check Fire SAC Phone #: En4• Water Conn. Plarner Water Meter Arch./IIig.: ICouncil Road Unit Adclress: ,Bldg. Off. "APC City/Zip Codea Ptwne #: TCrAw /3 , ---- ? 770-1313 I . BILL DORNSEIF PLANNING/LAYOUT -- `+•----- . 9AIESCONSULTANT ? ?O[ M9 7i 6922 55TH AVENUE NpqTl{ HIGHWAY 38 qN0 69a NORiH ST PqUI MINN 55109 CITY OF EAGAN Na 14 9 0 9 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55127 BUILDIIV,G PERMIT PHONE:454-8100 Receipt q3'7?l9iZ # Tobeusedfor TNGROUND POOL Est.Value $10,000 Date MAY 5 gJ18- SiteA7ddress 1785 KIZIA LANE Lot 8 Block 4 Sec/Sub. RIDGE V1EW ACRES Parcel No. rc Name ARDITH NELSON ? Address 1785 KYLLO LANE o City EAGAN phone 454-3830/454-1856 ,o Name PACIFIC POOLS ?a Address 6922 SSTH ST NO ¢ Ciry OAKDAT.F Phone 770-1313 •? WW w Name_ F ig Address u aw City_ 1 hereby acknowledge that I have read this applicahon and state that the intormation is correct and o c with all applicable ate of MinneSOta Statutes and of an di ances. Signature of Permittee?' _ A Bwlding Permit is issued to: PA..IFI^v_POOL ontheexpresscondi[ionlhatallworkshallbedoneina ordancewithall applicable State of Mi?nynesota Statu/t?es and City ot Ea n Ordmances Bwlding Official ?f7<?4 ! LJllltl- ln t OFFICE USE ONLY On Site Sewa9e - Occupancy MWCC System _ Zoning On Site Well _ (AC[ual) Const CiTy Water (Allowable) PRV Required - # of Stories Booster Pump Length Depth S F. Total Footprinf S.F. APPROVALS FEES Engr./ASSess. Permit 106.00 Planner Surcharge 5.00 Council Plan Review 81d9. Off. SAC,City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks TOTAL 111.00 ??RRE(CT'90N NOT0CE , . . r? - DATE: II"' ? ` ? 7 Address *F' 4?-e2 , Site Owner/Agent Ordinance Nos. and Corrections - Correct By f t \ ,/ L, t t 51 „n Far reinspection Ea9anDept.oflnspection IflSpeCLOC ?OL -??j 3795 Pilot Knob Rd. 9 - -? Eagan, Minnesota 55122 454-8t oo Dept.: crrr oF EacaN 3795 Pilot Knob Road Eagan, MN 55122 No- 4377 PHONE: 4548100 BUILDING PERMIT APPLICATION 6 Receipt # 6411 $ 0,000. To be uaea fe. Sing. Fam Dwig. d Att. Garg. oare June 17, , 1y77 Site Address 1785 Ky110 Ln Erect Q Occupancy Lot 8 Block 4 sec/sub. Ridgeview ACLeS qlter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Name LBIxV Ne1soA Move ? # Stories Z 0 Address- 531-5 Q{}th. ;r"e.-So.-- Demolish ? Front ff. Cit Phone 722r 164Q Grade ? DeDth ft. o Name e Atap Zrj Address Assessment _ Water & Sew. ~ Phone Ci Name Police _ Fi Fw re 4? Address - Eng. u <w Ci Phone Planner - Council _ I hereby acknowledge thot I hove read this application and state that gldg. Off. _ the information is correct and ogree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. oi 370-4$42 AOProvals Fees APC Signature of Permittee -- A Buildin9 Permit is issued t?8rry Nelson all work sholl be done in accor Ance wit'all op it le State of Buiiding Official 6 Permit 154.50 Surcharge 30.00 Plon check ?W SAC ' Woter Conn.?UMO Woter Meter ----OMO Torol 949.50 _ on the express condition thot ond City of Eagan Ordinonces. cinr oF EncaN 9796 Pilo! Knob Rocd Eogan, MN 55122 PHONE: 454-8700 BUILDING*PERMIT APPLICATION To be utea fer DECK $ PORCH Est. Vaiue 250 Site Address 1785 Ky110 Lane _ Lot $ Block 4 5ec/Sub.Ridjzeview Acres pe,cei # 10 64000 080 04 c Name Larry Nelson 3 Addreu 1785 Kyllo Lane ° ci Eagan phone 454-3830 • ? Nar„e Owner ? ?? Address ? r«„ ow,..,e Nome _ Address I here6y ocknowledge that I have read this application ond state thot the information is mrrect and-pgree to 4pmply wjth oll opplicable State of MinnesoM Statutesphd_City 0',E99on Ordinances. Signafure of Permitt ?? / A Building Permit is issued to: all work shall be done in accordanceiCvi? all Building Official G Receipt # N2 6680 Erect g] Occupancy R3 Alter ? Zoning Rl Repair ? Fire Zone NA Enlarge ? Type of Const. V Move ? # Stories Dertwlish ? Front 26 fr. Grade ? Depth 1$ k. Aoorovals Feea Assessment Permit rZ.UO Woter & Sew. Surcharge 1.50 Police Plan check Fire SAC Eng. Water Conn. planner WaterMeter Council Road Unit Bldg Off . . APC Totol $13-50 on the express condition thm of MinnesMO Stotutes and City ot Eagan Ordinances. CITY OF EAGAN N2 13 4 81 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PH ON E: 454-81 OO BUILDING PERMIT Receipt# 120d To be used for ' 3-SEASON PORQ}?t. Value $6, 300 Date APRIL 21 19 87 Site Address _ 1785 KYLLO LN Lot 8 Block 4 Sec/Sub. RIDGE VIEW ACRES Parcel No : Name ARDITH NELSON = Address SAME ? City Phone 454-3830 ,o Name SAME ?? Address i City Phone Ww Name_ w i ? Address uZ sW City I hereby acknowledge that I have read thia application and state that the Information is correct apd agree to comply with all applicable .I State of Minnesota Statut/es /aC' y?o,Ea i Q dinances. V Signature of Permittee? ?1%!i?'tiLGL ?? A Building Permit is issued t DITH NELSON all work shall be done in accordance with all applical;* State of I OFFICE USE ONLY OnSiteSewage _ Occupancy MWCCSystem _ Zoning OnSiteWell _ TypeofConst City Water _ (ACtuan (Allowable) # of Slofies Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assesaments _ Permit $72.50 WateVSewer _ Surcharge 3_ 50 Police Plan Reriew Fire SAGCity Engr. SAC,MWCC Planner WaterConn. Council _ WeterMeter BIdg.Off. _ Road Unit APC _ Treetmen[ P7 Variance _ Parks Copies TOTAL ? on the express condition that nng_qota Statutes and Ciry of Eagan Ordinances Building ncuUEST FOR ELECTRICAL INSPECTION Ce;a-ooooi-os ? See insUUCtions for completing this twm on back ol Yellow copy. ' x5??1 E' 25 83 "X" Below Work Covered by 7hrs Requesf v Arl<1 ReD. Type of Bwleing Applmntas Wi,ed EminVmenc Wued Home Fange Temporary Service Duplex Water Heater Lighnny Fiztures Apt. 8wlding Dryer Electnc HeaUn Commercial Bldg. Pumace Silo Unloader InAUSinal BIAg. Air Condrtioner Bulk Milk Tank Farm Otner Pe(.i v n?nm ISUC?.itvl t er SuccAy ther Otha, hP.P flE/OW p Fee ServireEnhenmSize M Fee tlars N Fnp Cvcurts ? 0 to 200 qm s ? tn 30 Am ?s Above 200 Amps 31 to 100 Amps Swimming Pool Amps =00- AAove 100_F+mPS Transformers S ParUalOth Fee Si ns on pe s S ? TOT FEE? f.n?C.k? TIn? 6- L?NOf?b?Poc?N.??. ?' Nou 1 ? °"' I, tha EI Inspector, thereby cert?ly that ihe above F,nal c% Yj3 insoection has baen mada. thie repuest roitl 18 monllu Irom ../r?sr lrom ^???,/?1 E N/. 1 l 1. I Repuest Uate - F rp N Rouph-m Inspection ReqmreA? fleady Nuw QWill Noufy Inspec- ? ? ? -?? ?1'es %N. t?x When peady ? Lmensed Electncal Contractor I herabv repuest mspection ot ebove Owner electticel work installed at: Street AAdress, Boz or Noute Na. CNy l 1,?S 'Ort, L/O 74t EL So.`i Phonn No. Address fcal Conlracmr ICOmpany e ng HnJrass ICOnRaCIDr or IZ¢d MINNE56Tq STpTE BOAflD OF kECTRIGITY Griggs-Mitlwey Bltlg. - Poom N-191 1821 Universitv Ave.. St Pqul, MN 55704 Phenel6t21642-0600 I Xy0 - S1? 5 v- THIS INSPECTION HEQUEST WILL NOT BE ACCEPTEO BY THE STATE 90ARD UNLESS PNOPER INSPECTION FEE IS ENCLOSED. ..ns? voia ,tl nwnths pfromi D U rr!-783 ,(. ,Y e4F Ki Y GC/Y:-5 Repuest Ua?e r ? ? O iro No. o ph-in Inspecuon qutretl? ?y Npw ?Wfll Nplity_ Inspec- Wb t ?yes ?No or en FeadV Ci L¢ensed Electncal Conlreaor I he,aby request mapection oi above 0 0,,^A, eloc[rical work lnstellatl aL She et AtlAress, Box or Route No. Ciry / / 4? 40 ? 6,4A," ecvon o. Towns Name or No. RanBe No. Cow?ly / Oc t IPqI TI hune No. Power Suppher ?- Adtl,ess al Con[ract ICOmDany Nemel Conhar.mr's Lmense No. t e Ma mB .4ddress IComracror or Op'ner Makilnstailauonl ^ ' ' f'f A ?iltf D. Ar G,q .? j c Au[hor e Signatur ICon ract O ner MakmB InstallaLOnl Phone Number MINNESOTA STA E BO D OF ELECTAICITY THIS INSPECTION PEQUEST WILI NOT Griggs-Midwey B tle. floom NA91 1821 Umvery,ty q a. UNl SS pE OPERYINSPECTI'ON PEEpS . St. Peul. MN 66104 Wjjhbjgj,??_12) 642-0800 E NC LOSED. REOJJEST FOR ELECTRICAL INSPECTION ee-ooooi-os ( , See inslruciwns lor complebng this form on back of Y611ow copV. ? 9?i7 8 3 '"X"' Below Work Covered 6y Ihrs Request Fdd Rap. Type ol Bmleing Applmncea WireA Eqe,pme.t WveA - Home Range Temporary Service Duplex Water Heater Lightmp Fixtures Apt Bwlding Dryer Electnc HeaUn Commercial Bldy. Fumace Silo UnlorAder Industnal Bldg. Air Conditioner ' Bulk Milk Tank Farm Otner pe?.? v Other (Sncufy) t r SueuFy Other Other Comautelnsaecban Fee Below k Fee ServmeEnirence5ize d Pee Fexders/SublepAers k Fee Cvcurts 0 to200qm s 0 to30Am 5 Om30Am s A6ove 200 Ampy 31 to 100 Amps 31 to 100 q s Swimming Pool Above 100,Amps Above 100-Amps Transiormers trrigation 8ooms Partial-"Other Fee Signs Special Inspection TOT E flerturk Oa L Hauph-,n .QO ElecVic Inspec ereby certify that the abpv¢ Final '?ie? ins0ection has been meda. Thia requeat void 18 moniha irom PDate request void 18 months Gom ? t' of this Request (?-0202-2 P G 273 I, as O Licensed Electrical Contractor Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No..7 AV// L.41 . Cityr4 q/ Section17 Towns?hpig X? fty Range County P4A 11A- . ,L. Ui?L idey ¢ Vi ¢c!>. G I?e?S Which is occupieu by Mame of Occuoantl Is a rougttin inspection required on this job? No O Ye? Power Supplier A t0 4 (C eo?7/G Address Electrical Contractor. Mailing Address S,' Authorized S' ature S7Q?E 11 or COPY ' Ready Now ? Will Call O Contractor's License No. MinnesoW State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 • ? REQUEST FOR ELECTRICAL INSPECTION EHECK BELOW WORK COVERED BY THIS REQUEST 7ao":5 .el 69 2273 Type of Building New Add. Rep. Check Appiiances Wued For Check quipment W' For Home 15 ? ? Range ? Temporazy Wuing Duplex ? ? Wate[ Heater ? Lighting Fix[ures ? Apt. Bldg. ? ? ? Dcyer ? Electric Heating ? Commexcial Bidg. ? ? ? Fumace ? Silo Unloadex ? Industcial Bldg. ? ? ? Air Conditionec 0 Bulk Milk Tank ? F m ? O ? Lis[ List az Other ? ? ? p Heheis? p Hereers# !'f1MPI1TF IUSPF!'TI(1N FFF RFi (1W J A. Service Enttance Size: # Fce ? YFceders&Su'( c cs C¢cuiG: Ee 0 to 100 Am s. 0 to 30 A' eres - ' 0 to 30 Am eies ]Ol to 200 Amps. 'OJM 31 to 100 Ainpexes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 10?_Amps. Transtormeis Remote Control Circ. Pa:tial of othex Cee 3-d S' ns 1 1 Special Ins ection Minimum fee $5.00 Remarks/O?//i9'? ?} f?yy ?y ??pN ,?P'('u/?e 70TALFEE o0 13-00 I, the Electrical Inspector, hereb iFy t ? at?ove inspection has been made "' ,? (Rough-in) , Date ?-a8? i?3d (Final) ?/ „ Date z 6" ? 7 This request void 18 months fro ,' ??` e? REQUEST FOR ELECTRICAL INSPECTION ????? 1 Sae instructions /or tompleUng this lorm on back oi Yetlow coDV. '442 7 9. ' "X' Below Work Covered by 7his Request AtlA fleo. Tvoe of Bulitlm. Aoolmntea WnaE Equiumens Wvetl Water Healer ial N Fee Servrce Enhance5jze tt Fee Fepders/5vbfeeders F Fee Ciecwts l) to 200 qm s 0[0 30 Am )s 0 tn 30 Am A6ove 200 qinps 31 ro 700 Amps 31 ta 100 A y Swimming Pool R Above 100_Am s Above 100_Amps Transtormers Irngauon 13ooms Partial,'Other Fee I Inspection 5, i TOT I EIs rob 1 ? J l?spectoq hey ->-? ?y- cerllly thet tha above Fnal // Aj?? insDection hes been ???made. This request vo,d 18 months fmm ll//b' ? . C 44279 L,5;,4 _ ._ .._. .?.. ... ...??........ A Repwred> ?Readv Nuw W.II Noufy Inspec- v"/ ?Yes rfNO tor When Reatly U Licensed'Elec[ncal Contractor I hereby reYUast mspecbon ot above 5(0wn¢r electrical wnrk installed aL Street Atldress, Box Raute No. ? , Qrv a.. ??v 01 ? a ? ection o. Tow ip eme or No. ange No. unly Oc ant /(PqINT) J +k Phone No. r . , Po r Supoli er Adtlress ? le c'_ Y t Electncal Convactor ICOmp2nY Namel Conlrar.to r's License No. ??l Q, MaJinB AdJress (Contracmr or Owner Making Inslailation) 1-1 - Aut n Sie tur JCo clo Owner Making InstallaUOn) Phone Number ? y MI ESOTA STATE 60AP OF ELECTflICITV THIS INSPEGTIpN PEOUEST WILL NOT Grie9s-MidweV Bltlg. - Boom Nd97 8E ACGEPTED BY THE STqTE BOABD iffi1 University Ave.. St. Peul. MN 56104 UNLE55 PPOPEP INSPECTION FEE IS . PAnno 16121 297-2111 ENCLOSED This request void 18 months from ?o ? g v gQ p 32852 Date of this Request i o- 1---3 -7 7' 1, as ? Licensed Electrical Contractor Owner, do here6y request inspection of the above electri- cal wiring installed at: Str t Addres?,qr Secuon Which is occupied by s -? Is a roughin inspection requiced on this job? No ? Yes w Ready Now ? Will Call ? Power Supplier ??? d--C.g__/L??-?Addre?sFE???, Electrical Contractor :!?? Contractor's License No. _ (COmpany Name) Mailing Address S? JZ S - --R, ?P a 7 ?/ (Electrical C??ntractor or Owner Making T s ns[alladon) wJ a a„ Authorized Signatuie CJ?-5t°?Jl?cq c? C? ! one No. -'-f c ' (Eloctriwl ntractor or Ownar Making TNS Instal tlon)J ?TER BOARD COPY Minnesota State Board of Electricity 1954 Lniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 'REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST o :-,-Z 9 0 p 32852 Type of Buddilg New d. Rep. Check Appliances W'ved For Check Fquipment Wired Fm Home ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater '? Lighting Fixtures ? Apt. Bldg. ? 0 ? Dryer ? Electiic Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloader ? Induatrial Hldg. ? ? ? Au Conditioner ? Bulk Milk Tank ? 1 List L ist Othe 0 ? ? y p Aeiersf p Heiers? COMPUTE INSPECTION FEE BELOW Secvice Entiance Size: # Fee Fceders&Subteedeig: ?$ ) ee C¢cuits: # Fa 0 to 100 Am s. 0 to 30 Am eFes \\I X 0 to 30 Am eres ? ? 101 to 200 Amps. 31 ro 100 Am ' 31 to 100 Am res Above 200 Amps. Above,] A s. Above 100 Amps. Transfoimecs 1 1 Remo kj rol 'cc. Partial or othei fee Si ns 1 1 Special ction Minimum Cee $5.00 _ Remaiks TOTAL FEE I ?etl ? I, the Electrical Inspector, hereby I 8[k4' e ids tion has beep made. (Rough-in) / '?I '' Date - 1.F,77 (Final) /F) /?,?, ; '.. Date 1?V-5;'-7? This request void 18 months from ??J• L'V' `'"d" U 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan / 3830 Pilot Knob Road, Eagan MN 55122 ?? ?'?p (?9 Telephone # 651-675-5675 FAX # 651-675-5694 1-6-4 New ConstmcGOn Reamremenls RemodeVReoart Reamrements Offica Use Onlv 3 registered site surveys showing sq. k. of lot, sq. R. of house; and all roofed areas 2 copies of plan shaving footings, beams, joisls Cedof Survey Recd Y _N (20%maximumlotcoverageallowed) 1 setofEnergyCalcula6onsfwheatedaddi6ons SalsReport Y,_N 1 Soils Repod if proposed bmlding is to 6e placetl on disturbed soil i site survey for atltlrtions & decks Tree Pres Plan Recd V N 2 copies of plan showing beam & window sizes, poured found design, etc Addifion - indicafedon-sife sepGC sysfem Tree Pras Required V N 1 set of Energy Calculations On-sde Sep4c System _Y _ N 3 copies of Tree PreservaGon Plan if lot platted after 7/1193 Rim Joist Detail Ophons seledion sheet (buiidings with 3 or less units) Minnegasco mechanical ventllalion fortn Plans are considered nu6lic information unless vou state thev are trade secret and the reason. / Datelb/?M l/ I ConstructiooCost?? (? Site Address ???X 16 /1 f (, o / /^ p VC/ UniUSte # Description of Work ?? 1+VLi c?e? Multi-Famity Bldg _ Y CN Fireplace(s) _ 0 _ l _ 2 Proper[y Owner '??/ ,Vt? ?,( Q?? Telephone #??? ) Yl D AAranoed WffierpoofmH &F Contractor OU31(labouRapairis.1nc. Address ew Prior Lake, N9V 5S972 City SYaYe 4rT Zip Telephonet% COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minneso[a Aules 7672 Energy Code Category . Residerttial Ventila6on Category 1 Worksheet • New Energy Code Worksheet submission type) Submittetl Submittetl • Energy Envelope Calculations Submitted In The last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, te d dckeas ? si plan: ? Licensed Plumber n? I'I Telephone #? 0 C? T 2 2 2007 Mechanical Contractor Telephone #( Sewer/Water Coniractor Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case o ork which requires a review and approvalof plans. JO I/1 Vl Lal(Vl L? u" k ? Applicant's PrinTed Name plicant's Si nat e DO NOT WRITE BELOW TffiS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Mul6 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct Alt - SF ? 04 02-plex ? 10 08-plex O 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 Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building` ? 43 Reroof GI'+ 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handoutto applicant i D05CI'Iqt100: Water Damage _ Yes Valuation 3Z)'30-b-D Occupancy ? G MCES System Plan Review 1000/( r 25% Census Code Zoning City Water SAC Units Stories Baoster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foo[ings (new bldg) _ Sheetrock _ Faotings(deck) FinaVC.O. _ Footings (addition) ? Final/No C.O. Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/G as Tests Final ?Q Framing _ Siding _ Stucoo Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air'Cest _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total CTT" ::11' [ Flf;FN CF§SH?EPi: 4a iF:iil'fi.tdAl... n'll., E377 PFilyi:C :.i3/:31i98 7.ft"':;'. 0910900 r V; NPME;: ALLiE'D l=.T.(?ii:S:t11F' T:;C 300 900i 1785 KVGi.i:J !_P! SC!.Qp 205 9001 :!.7`.'3,`5 KV!_I_r :.N 000 ''r.':I.iJ 900{ 3970 1''_CiTHP:R lJl;: 50.00 ?t`;n 9C;C,9 3(17{.1 liC_ATF:i-;r Lq> 000 'ru"; '!. Rec:EiRf Amcu n»`. r 101.90 CHO:L4`.dw OC":F. :!'Dc NAf4CY PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: gur.t_uzNG Permit Number: 034299 Date Issued: 1 2/ 3 N! 9 S SITE ADDRESS: a ?8 C) nvL i.n i_t) n!:.; LGT: £t P,LQCK? 4 RIDGE V1FW ACRE5 P.s.iv,: DESCRIPTION: ? Hu?.fdina 'Aermit T+;De E?ildinq Wtk Type ?nsus Code ? :. ? .? • -? ??Gi ?? . F7Rf,pLFCE NEW 934 AL'i. RESIDENTIAI REMA? I ?RtiY11°LUE MUS'I" NE 7:N5PFCl'PD B£FORf° CQNCEALTNG- FEE SUMMARY: Rase Fee $50.00 Siarcharqe ---- --- -L.5m Total tez $50.50 CONTRACTOR: -- APoLicalir. - sl'. Lic. OWNER: FIRESTDL C(1RNFR INC 16331042 20090911 NEAN ARI]71'11 2;rO0 P! FAIRVIEW AVE 1735 ICYLLO I..FlllE NOSEVI"1.1E MIV 55113 EAL;HN MN 55122 (612) 633-1.042 (65J)454-3830 . i her2by acknowledoe ttiat T have reaci l;hi.s applicaLion arid state that Yhp intoi°mation is correct and aqree tv aoirlolY wiLh m1.1 app.lic66le Stnte ot iIn, StaLutes and Citv ot Eanan Ordinancas. I APPLICANTlPERMITEE SIGNATURE ED BV SIG?NA??? 3Li a 9 9 CiTY OF EAGAN 3830 PIIAT KNOB RD - 55122 1995 FIItEPLACE PERMIT APPLICATION 681-4675 DATE: PERMIT FEE: $50.50 DESCRIPTION OF WORK: ? Construct new fireplace _ Alterations to existing _ Install pas insert onW Other _ Install eas line only JOB ADDRESS: 4) I n h 0 /2 C, ? IAT: BLOCK: SUBDMSION/P.I.D. #: L Ui-ew }A( rfs APPLICANT (circle one only): OWNER CONTRACTOR I hereby acknowledge that I have read this applicadon and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Name: Phone#: ?9 ,3? PROPERTY Last First OWNER ?- Company: l? P f V lil ` / P Phone #: -0 FIREPLACE c „ INSTALLER Sigoature: Street Address: License # / City ? U YY1 n(?,? State: Zip: Company; Phone #: GAS LINE ? INSTALLER Signature: Street City C Q State: ??/ ??" Zip: -Z55 /o?a OFFICE USE ONLY BUILDING PERMIT TYPE O 14 Fireplace WORK TYPE O 31 New O 33 Alterazions O 32 Addirion ? 34 Repa'v GENERAL INFORMATION Census Code. 434 SAC Code Ol REl?4ARKS Chimney/flue must be inspected before concealing. / 1987 BDILDINd PERMIi 9PPLICAYIOH - CITY OF SAGAN SINGLE FAMILY DWELLINGS I9CLDDE 2 SEIS OF PLANS, 3 OF SORVEY, 1 SET OF fiNERGY CALCQLATIOAS HORE: ADDRESSES FOR COENEH LOTS - C09TRACTOR/HOMEOWNER HIIST DESIGHASE NHICH ADDRSSS IS DFSIRED. NO CHANGBS i1ILL SE ALLOWED ONCE BDILDING PEAMIT IS ISSDED. MOLTIPLE DTiELLINGS - RFSIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COMAIERC2AL EENTAL OAITS FOR SALE DIII?S OF SIIRYEY - CHECB WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ? 9 4?/ To He Used For• ? ? Valuation: (?a0, Site Address /7X-5- Lot _ Block If Parcel/Sub Owner T/ ht?- `i?-ii ?c?an / a-" "`o- Address 1' /q( ? h /lq • City/Zip Code /-Z7 4 ,.\ 5 ,S/a ?- Phone ''7?? y ???7j Contractor ?S Address x/4. City/Zip Code ?- Phone O Arch./Engr. Address City/Zip Code Phone # On Site Sewage_ MWCC System _ On Site Well _ City Water _ APPROVALS Assessments Water/Sewer Police Fire Engr Planner Counc3l Bldg Off APC Variance Date: -el-&-f7 Occupancy Zoning Type of Const (Aetual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FS6S 2 -12 - Permit -- Surcharge 3.so Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOT9L , ,,? . . ---- - - - K LLd A. E - ,? ,` " . . - _ - -- ---. .-- - - - - -- L N G ------ - ---=---- - - - - 161, 3 - --- --- --- - -- ---?oLF --- - --- -- --- - -- ---- - -- ----------- - --- ----- - --- - - - - - -- ---- - ---, ---- - - - - - ---- - ------- -- - , ? -- -- ------ ---- - ---- ------- -------- ----- - - ? --- -- -- . - -- --- --- -- ? - - -- ------- ?=?- ----- ? ? ,-- --- ; =---, --- - -- --- - --. - , -. ??-?-- ? ----- ? ? ? ? ? - ?X,SrN? _ ????v--- -=- ' ---- --= - -- -- . v -BLC( ------ --_ ...---_ _ _ _ _ ----... -?. - ---- ----- -- --- - - - ----- - - - ---- --=------- -- -- - --- --- ?., - - ? - ---. ., ----=---- ------ - - -- ---------? .._- ------- ?--- - --- ?D---- -- ------------ -:- -- # ----- -- ------ - -- --- - ---- , g ' L oT__ -=- --_ .-- --- - -- - - - - - --- -- - --- --- _ -- -- -- -- --- - -=--- _ _ -- --- - - - ---- - _ - - - ---- --- - -- -?- - 1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS /4qo? INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWE[,LINGS RENTAL ONITS FOR SALE UNITS U OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Q 006 Date: Site Address Lot ? Block L? j<Y Parcel/Sub Owner /7/21-/? Address City/Zip Code o?i?i`? Phone Contractor dj`C Address aL ? City/Zip Code Phone / Arch./Engr. Address City/Zip Code or'r lc;Z u?r: oNLz On site sewage_ MWCC system _ On site well _ City water _ PRV required _ Baoster Pump _ APPROVALS Engr/Assess Planner Council Bldg. Off. Uariance Occupancy Zoning Actual Const Allowable N of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review lr24z--7 SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL ? 1Ofl, ---- 5' JV Phone fI . 10.000.00 - 1 Copy: Office 2 Copy. Crew Chief ' 3 Eo'py. Municlpaliry 4 6opy: Customer Brooklyn Center Store 4321 - 68th Ave. No. Brooklyn Center, Mn. 55429 (560-6442) Pacific Pool & Patio A Minnesota Package Products Company No. St. Paul Store Burnsville Store 6922 - 55th St. No. 1278 W. Co. Rd. 42 No. St Paul, Mn. 55109 Burnsville, Mn. 55337 (770-1313) (435-3500) 5688 L°f Zac k h oe ob Cat at Truck WSnow Fence ? Uni-Loader Inspections Contract ? Walis ? Plumbing ? Footing 0 Before Backfill ? ? ?-' A/ ,4/1.1 -1- ?^i U I'!'? l1 DATE DIRECTIONS S-200 H,eaz 175 •°;. Ridgedale Store 12500 Wayzata Blvd. Minnetonka, Mn. 55343 (541-9180) ?v' ? << ' T'??? y ?11:4 noz Pacific Pool & Patio will make application for and pick-up your swimming pool building permit. (Electrical, gas, fence or oiher permits are the responsibility of the contractor doing the work). The actual cost of the ep rmit is the responsibility of.the home owner and Pacific Poc; u• Patio will expeci to be reimbursed for this permit cost within 30 days o# obtaining the permit for you. Signed , Date Wri . ' ay.k Iocatian of filter and/or heater by (#2). d Loeation for disposal of dirt: dicate deep end by (X). Customer wish to retain any or all dirt frqm poal Will any obstructions be encountered - clothes poles or powerlphone lines etc.: Elevation from location marked "A" in diagra Show type and location of slide if applicable: Pacific Pool & Patio recommends that customer install (As soon as possible follawing pool construction); 1. Rain gutters adjacent to pool 2. Retaining wall where diagramed 3. Run off control or drainfield ?. Permanent or temporary fence ?_,? , *** CUST4MER ALSO UNDERSTANDS & ACKNOWLEDGES THE FOLLOWING *** Normal Excavation tlme using a back hoe and dump truck fs less than one day. X - If Limestone, Sandstone, Shale or any unusual substance, like conatruction debrls or backflll meterlal that Is unuseable in the construction of this pool, the customer is responsible for the cost of removal and replacement of suitable materiala. X If removal oj?dirt rYequires cat or uni-loader or any special equlpment customer will be charged by the hour for the extra time and equfpment used. X Tress and ar tree stumps are the responsibUiry of the custamer and must be removed betore conetructlon begins. X Some damnge may be dona to the yard and/or drlveway entering and leaving the yard durfng construction: Initial . Customer assumes responaibillty for electrlcal wiring and grounding of the pool (including permit i} required): Inlttal ° Customer assumes responsibNity for 4he gas fnstallatfon of heater if appliceble (Including permit if required): Inftlal If debris, structures, or subatance foreign to normal soil should be encountered while excavating which requlres abnormsl handling andlor disposin0 - Customer shall assume responsibillty ii any extra costs are Incu?red. Ini#ial If you wish to change: tilter posiiion, slope of land, or anything efee stated In this ouUine, please call our oftfce - 770-1313. Crew chiefs are not authorized to change anything on the job or make any promises ior work to be dane by them. Any chanpea th8t are not authorixed by the office will be charged," stand?r/d)rate - no exceptlona. -.7 - Pacific Representative Sfgneture ? ?? rCustomer Signature ? ?10? Date e a;iUL /5?- 7 7 BUILDIt7G PERhiIi APPLICATIO"_1 ?.OT ? BLOCK y 11DDITION k??,19'e/11ILVE ^!T^ET, E uPCTIOii t]lJL19ER IF UiIPLATTED ------ OF rnhCEL 1 /hg /& // L/IJ ?Cl?f? Z-L .-_- '.2 ??"k? OCCUPABICY USE ------ . TELEPHONE NO. C0T.1.2:CTCR?f?/? TELEPHONE Y10. . F.17PZESS t7ote- Include site plan, building plans, and energy calculations czith fhi.^ application Sig - d? G2"--'l) OFFICE USE v ? 1'GR CJt51TICT10iI ;,r>,?=x *MTER ?TJTLo7?t•IG PEktl3IT FEE; ? 7TJRCIiG^.RGE FEF \ PL'£ftT CFSCIZ FEr PARK DEU2CATIOi4 FEE CT;.iR N ? y 7s - AI\ p ?y ? Y^ ' ... ? . - ? . ^S L* 3,.p„e17r:.;?, ?'' '?S"'SSi4r^dT CLERI<??BUILDII4G I zo . __.?.?,. DEPT. 4-POLICE DEPT. '-`mr.R E S3s'P7I,'R DiPT. FIRI: I]EPT._ PARIC DEPT. _,_ ??a '07 l7' .? ? - -? - - -- ? .. - ? i? .. - -41 --- ? ? - -- - ? - 0 , ?yl ea -- - ? - - ' - E yi7 . aL \ ? - , Q --. ? s?n ? - ? ? S?S _ . ? 0 -- -- ----- - ` ------- - -- -- -- - S? ------- ---- - -- - ----? -- "?-- -- ---- ------------- -- ---- v ?- -- - ------ - - ? - -?-- -- - - - ---- - -- -- - - - - - - - - - - - --? ? =?- - ?- --- - ----- ??t/----- - - - ?6?? \ - ? - - - - -- - ? IP? a- - -- - - -- - - -- -- - - - -? - _? ?i =? sity oF eegct 1HpMA$ ECaAN 3830 PILOT KNOB ROAD wyw EAGAN, MINNESOTA 55124-1897 DAViD K. GUSTnFSON PHONE. (612) 454-8100 ppMp,e, MCCREq FAX: (612) 454-8363 TIM PAWLENTY 7HEODORE WACHTFR Council M¢mbzrs THpMAS HEWES Gty Admmstra[or EUGENE VAN OVERBEKE January 16, 1991 `'y `krk ARDITH NELSON 1785 KYLLO LANE EAGAN MN 55122 Dear Properry Owner: The Community Development Depamnent has received a complaint from a homeowner in your area. A site inspecaon was performed that confzrmed the improper storage of your trash and recycling containers stored outside your garage. I attempted to contact you by phone on January 15, however was unable to obtain a phone number for you. The City Code allows trash and recycling containers to be stored outside only from 6:00 p.m. on the day before until 10:00 p.m. the day of trash/recycling pick up. Please be sure to keep your containers stored in the garage except for the times designated above. If you have any questions, do not hesitate to call me at 454-8100. Sincerely, M?chael J.? ?ley Project Planner MJRIjs THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN Equal OppoAUniN/Aftirmative Action Employer nee o'i a6 12347p TodO Novtmhur 30, I99$ '? ? ? FIRESIDE CORNER 7U ;luyorL,m Faindy Ir.s?Irancn; Storm Umt PR<)!v1 Todd H. Bimman. Fircsidc Curnzl, irK RF Ms. Ardith Kir: CI,AtM M. It 24i• 14?95.yi Tn N'hom it Afa) Cbnccm, 612-633-6432 2d/'& '7/ // p • ?(.? Firesidc C'o;^xr Inc. uas ?:untructrd to inspevt cutd pertomi repairs oA thc fircplacr at Ms. Ardnh Nirr's home at 1"S: Kyllo La., Eagan, k?V which was damaged dnring tm stoir-s over :hie past summer Duunk trisprcticn af the fireplece at :Ais residence, it was diarot,crod thet 2he sy,tem ;n placc was thai ul'i manutscturer cha; is no longer m busmess: Qius it is impo>siblr for us to ubtain repair parts for tle chimney system. Pi^side Cumci s rewmmendation is to replace the zrtire fireptace and chimney system Sinca manufactured fuepleces are i'.L. listed xnd tesxd 2s a complete sysu:n, ?t is r,M possibla w rrtrofi: iu convett [he cht:nney system to a diffetent manufxturer. Fireci3e Cornrr. !na w•i:l ?urrly on cacimatr upon yuw rNuest RrepecttLLy. ? i nu wrowoopwAyyp f *t{/Lwft* aad H. "v,,,aa, Servix Managcr _- , - ?- / 2700 Nonh FatrvMw Awnue. P.U Bw 13W47, Aw?MN. MN 661 t3.pµ7 PhOnW(612)673-I042 F4x(612)8394WS2 OMAM1)W00pWqMNO/7bVl# • WMTM • MM01! • MIOIfYOq01lMWN MN C W iRACr„q LiCEVYE n 7d/ z el?x/i I? city oF eagan March 16, 1999 ROBERT & ARDITH NEAR 1785 KYLLO LANE EAGAN MN 55112 RE: FIREPLACE VENT P1PE Dear Mr. & Mrs. Neaz: ??? ?"J- PATRICIA E AWADA Mayor PAULBAKKEN BEA BLOM9UIST PEGGY A CARLSON SANDRA A. MASIN CounalMambe¢ THOMAS HEDGES Ciry Admin¢tra'or E J VAN OVERBEKE Ciry Clerk This letter is in reference to your wood-buming fireplace damaged in the May 1998 stonn. It is our understanding that the company who made the vent pipe is no longer in business. A replacement must be compatible with the damaged pipe and must be U.L. listed and tested as one system. If you have any questions or further concems, please do not hesitate to contact me. Sincerely, William Adams Combination Inspector WA/js cc: Michael Payne, American Family Insurance, Bldg 3- 4`h Floor, 6131 Blue Cirde Dr., Eden Prauie, MN 55344 MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN. MINNESOTA 55122-1897 PHONE (651)681-4600 FPJ((651)681-4612 iDD (651) 454-8535 THE LONE OAK TREE THE SVMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN Equal Opporfunity Employer MAINTENANCE FACILITY 3501 COACHMAN POINi EAGAfv' MINNESOiA 55122 PHONE (651) 661-4300 FAX (657) 681-4360 TDD'(651)45v-8535 ? MRR-04-99 THU 18:11 F?.NUA?Y CORPORq710n1 i002 Mainsireec Hopkins. MN 55343 6 12-933616 t GUY ENGINEERiNG CORP, FAX MC, 16129333436 P,02 MECI-IAtVIC4L STA tJCTU R A L G E O 7 E C H N f C A 1. M A C H! N E S F O R E M S I C March 4, 1999 Mr_ Michael payne AmeriCan Family Insurante Buiiding 3 - 4tfi Floor 6131 Blue Circle Drive Eden Prairie, Minnesota 55344 Re: Robert & Ardich Near, 1785 Kyllo Lane, Eagan, Minnesota Guy Engineering File 99-002-010 Your Fite No. 241 14 9593 Dear Mr. payrte: Pursuanc to your requesc we visi[ed the above residenCe an February 26, 1999, Present at the site at the time of the sife visit were the owners. Present from this office was Geoffrey G. Jillson P.E. 7ha visit was in regard to evaluating the fireplaoe flue for the metal inserC wood burning fireplace. We understand that on May 75, 1998, in a windstorm, that the uppermost 5ection oi this fiue feil off the roof. The firepiaCe was observed and no damage to the fireplace was observed. On the rooftop we oh- served zhat the top of the chimney section had been installed on the next section down. 7his SeCtian Aratrudes above the ro0ftop approxim8tely Lwgnty inChes. We observed the four foot Iong triple wait section of flue, which had been removed by others, and which was at their store in Roseville. This section was taken into our possession. We sub- sequently met with Mr. Qlson vf Olson Sheet Metal; a company specializing in installation of hoods and vents, both commercial and residential. lt was determined that the vent seccion was repairable and could be repaired and reinstalled on the house. We observed a dent in the out- ermost gafvanizetl steel wail of the tripie wali Section. This den2 appears to have been made sub- sequent to the wind related incident. Also we o6served tooling marks on the connecLion of the tireplace Efue which indicates to us that this f;replace flue had been adjusted and at some time svbsequent to the incident reinstalled on the rooftop. Tha connection on this particular flue vent pipe is a standard stove pipe connection and is not a proprietary connection. This typa of flue materiat is not proprietary to the manufaC2urer of the wood burning insert fireplace. The manufacturers of these fireplaces commqnly use 9eneric tlue piping on their stoves and fireplaces. We trust ihat this repolC provides you with the information th8t you require at 2his time, should you have any quescions ptease eoniact this office at your convenience. We will retain the flue seccion uncil yQU direcc us to ttansfer ic to others. MGR 04 1999 17:09 £0i20'd b69bL89L596 O1 BSEL 8£6 ZL9Q3b213dIQ 3I21ICJd BSEL 8£6 E19 16129333436 ?AGE.E2 N3Q3 2id 0£:80 666T SI JtiW ** £0'3odd -iC101 ** 11RR-04-99 THU I9:1; GUY EtdGINEERING CDRP, Guy Engineerir,g Corparation File No. 997002-010 FAX N0, 16129333436 P.03 Page 2 of 2 iF,?q?3?a36 PRGE.23 n?b69bI89iS96 Ol 85£L 8£6 ZL9Q3L1213dIQ 3IaIti2ld N3Q3 Jd S£:80 666L SL 8t1W SS£L 826 2i9 GGJ/pah FAX ROU7ING SHEET - -- ...... . - -?---- . ............. . ;OYTE?/ . = TiME••• - . NO. OF P4GE5 ............. . ------- - -- ............ ........ - ... - --........... :TO : 3?//...f.?.. ?..m.s ....... . . ..............: ?LOCwT10N . FA?.?n.? . ............. ..- -....._..: ?-?-- --__.......... .-- - . ; Fax NuMaew ? .? ... ...6_?.L._.6.??..y?_g_y ..................... ;TELEAIONE NUMBEA AMERlCAN FAMILY ,krro ? me?[u x?irn urE ` - - - --- - ----- - - ------- __? ; ?F?OM ..... ------ ..._... - ? LOCATION :....... ... ... ..... ................... .......... .....: 6, ; TELEMONE NIMBFJ? 6?? 94P3 g? S 3 i ... ..........-? ------65./...6?( -?---._....._.......i ? - ----------- --_.................. ....- ' .......... -- -.------ - ..................... ---- - ............... - -' - - -- . ;Remarks 2e/ze•d 769bT891S96 Ol SSZG 8£6 ZL9Q32183JIQ 3IaIC21d N3Q3 21A 02:80 666ti ST btlW 8S£L BE6 ZS9 wgt- FoD07 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? 41?0- t?v New Constmchon Reamremenis RemodeVFteoair Reamremenis OfCo l3se Onlv 3 registered sde surveys showing sq fl of lot, sq fl of house, and all roofed areas 2 copies of plan CerE of Smy Recd Y., hl (ZO% maximum lot cwerage allowed) i set of Energy Calcula6ons for heated addihons Tree Pres PWn Recd Y_N 2 copies of plan showing beam & window sizes, poured found design, etc i sde sumey for addihons & decks Tres Pres ftequiced `f N lsetofEnergyCalculahons Adddwn - indicateifon-siteseptresystem 9ttsileSepGa&ystem ....Y,...,N 3 capies of Tree Preservalion Plan if loi plattad aRer 7/1193 Rim Joist Detail OpUons selechon sheet (bldgs with 3 or less units Date 1-7 Site Address /'r g / d j 6" kq ,? 1• Ld L, {? ss, a.-z Construction Cost 1?0"0 ?1 E. Unit/Ste # ? DescriptionafWark /QE-Rmbill GLe TT'E2 A i Multi-Family Bldg - Y -- N Fireplace(s) - 0 - 1 2 -- Property Owner E} R virK !Y£Ale Telephone #(&t Z) 314 Z Coatractor /{trN fie50T A W/NDO UI ? $1DnJG Cd naaregs S(soG State LYNa A`f 14vo S Zip 5"5q0-2 c;ty .6"e•n iA.:ll Telephone#(qSi) ggg C1504f COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mimiesota Rules 7670 Catcgorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted , . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review f@c uNF)iie:>. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and fl approval of plans. D I? fa fE ll IS l?J I5 JE1WL3ti!- Su.rnrrtE,R.S u„?. Applicant's Printed Name plicant's Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex p 09 07-plex ? 17 Garege ? 22 Porch/Addn (4-sea ) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-pleac Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Vaiua4iar. Census Code ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38? D ffmolish Ihteriar %?' ??34:? •Siding ? 36 Move Building ? 42 Demolish Faundetion . p•3 R 45, .. Fire Repair ' ' - ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire IlIdgp- Give PC?handoLt t0 applicaiit SAC Units ,? • ` . `-• r? `: ?: • # of Units # of Bldgs Type of Corist ? "-? ?. `'" '? •`). Occupancy _ MCES System Zoning City Water r.,, Stories BooSter`oump' ' Sq. Ft. PRV Length . . ^.'?•: _ :? +. ; -P'ite.Sp'rinkl'ered • . ' i: ? Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Frazning - _ Fireplace _ R.I. _ Air Test _ Final Insulation ;,'.• ., ;.. REQUII2ED INSPECTIONS _ FinaUC.O. _ FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ tlirlGas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Suroharge Treatment Plant License Search Copies Other :t ?•, ??... ?.a? ,. ^. ., Total , ...,% i , >•ir1:_?S.- t'.;.:q:. ? PERMIT City of Eagan Permit Type:Building Permit Number:EA115647 Date Issued:09/27/2013 Permit Category:ePermit Site Address: 1785 Kyllo Lane Lot:8 Block: 4 Addition: Ridge View Acres PID:10-64000-04-080 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 . Jeff Greenlun Valuation: 4,000.00 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 - Michael J Schroeder 1785 Kyllo Lane Eagan MN 55122 Perfect Exteriors Of Mn Inc 321 1/2 Walnut St, POB 297 Monticello MN 55362 (763) 271-8700 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145330 Date Issued:09/05/2017 Permit Category:ePermit Site Address: 1785 Kyllo Lane Lot:8 Block: 4 Addition: Ridge View Acres PID:10-64000-04-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 4,000.00 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 - Daniel T Barrett 1785 Kyllo Lane Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use ` Permit ii5-1� City of �a�a� ., ��r �— ( Ir Permit Fee: 3830 Pilot Knob Road J tr i`0 J y VL 2o IEagan MN 55122 t� Date Received: Gt 21 Phone: (651)675-5675 () a buildinginspections(a�citvofeagan.com (_A.)\YA(k) v-0/1:1- Staff: Sb 2017 RESIDENTIAL BUILDING PERMIT APPLICATION CA Ail,kli, 0, Date: i 2.7/ Site Address: t-7 i!' V I,1® Unit# I Nam ,j� M C' c ,�� 1�fC/ ..d"-- Phonet: 1 Resident/ 1 �' c- K Owner Address/City/Zip: ) ) (6 r 'c 0 �,h. 1 � I Applicant is: Owner Contractor 1 I Description of work: ./CIZ, 12e 1,44_,(.1 el Type of Work Construction Cost: Multi Family Building: (Yes /No .. I , I Company: Contact: Contractor Address: City: State: Zip: Phone: Email: ` `AI I % 2/_i Cr44 9 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ' In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? lc--' Yes No If yes, date and address of master plan: I I Licensed Plumber: Phone: Mechanical Contractor: Phone: I Sewer&Water Contractor: Phone: I Fire Suppression Contractor: Phone: I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeayan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I he -by acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of E..an; at I understand is not a per •, •uro ly an application for a permit, and work is not to start without a permit; that the work will be in adcordanc-with the apprr ed;plan in th -se of wort which requires a review and ap oval of plans. y-- '"" +-( x i /4! Z r'' x a k1 i' 86( r r-e., Ap. ..'wt's Printed Name Applicants Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE ii'c 7t/ SUB TYPES ` 1'J KiUc> Foundation Fireplace Porch (3eason) xterior Alteration (Single Family) Single Family Garage Porch (4-Season) _ Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior (Alteration Fire Repair Windows _ Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuationp OccupancyMCES System Plan Review Code Edition �/t SAC Units (25%_ 100% X) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Vx ' Width _ REQUIRED INSPECTIONS Footings (New Building) Meter Size: _ Footings (Deck) Final/ C.O. Required Footings (Addition) .+ Final/ No C.O. Required Foundation Foundation Before Backfill .. HVAC—Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final ,,>c Siding: _Stucco Lath Stone Lath _Brick— EFIS /' Insulation X Windows 2„ /2 °/! Sheathing Retaining Wall: _ Footings Backfill, Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 12 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge11,6„i ' ... ,„ c ,„eitt 1_, Plan Review 4 or-- 1 I.:�i MCESSAC � 1 0r? ,� 'i� City SAC '' ,, "` Utility Connection Charge + /` S&W Permit&Surcharge Treatment Plant 1 1 ,12-9X20 l / q°D Copies TOTAL Page 2 of 3 1 For Office Use i' ii ' ° :::e. ,,,,,,,.„, E AG A N (g • gS Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(c�citvofeagan.com L 2018 R SIDENTIAL BUILDINGYPERMIT APPLICATION Date: > Site Address: �� ^ !� Unit#: � a Phon s � JI �-g 'Name: � ..tV\ ®l, If- Resident/ Owner Address/City/Zip: 1� Applicant is: owner Contractor Type of Work Description of work: J / 0 ((A...Q._ f' � Lir-IPJ Construction Cost: ,�..0 1 Multi Family Building: (Yes /No �) I Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non •ublic if ou'•rovide s•ecific reasons that would • rmit the Ci to conclude that the are trade secrets. M,mm_ ww_.. .m. mm.m. . m.. ... .-..,.,, ,,,,... ..�... .., .._._r. . ..,,�..«,. .wm ....., .n.,, You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work w. in conformance with the ordina i - -i• codes of the City of E gan; that I understand this is not a permit, but only an application for a permit, i nd irk is not to start witho - permit; that e work will be in ac rdance with t approved plan in the se f work whi requires a review and approval if plans. A licant's Printed Name Sa �' pP ants ignat re