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1508 McCarthy RdCASH RECEIPT ? CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 DATE RECErvEo 19 AMOUNT $ & DOLLARS 106 E] CASH [I CHECK FOR ?`• ,I B Y \llr ,. - ,--. , . "7'; NUMERICAL FILE COPY CITY OF EAGAN , . 3795 Pilof Kno6 Road Eagan, MN 55122 N? 4312 ? PHONE: 454-8100 BUILtlING PERMIT Receipt .# f o ba used for Date , 19 Site Address Erect ? Occupancy Lot Block Sec/$ub. Alter ? Zoning - Porcel # Repair ? Fire Zone Enlarge ? Type of Const. a W Name -" t itt Move ? # Stories ; Address Demolish ? Front it. 0 City _ Phone Grade ? Depth fr. o Nome ^vv..,...., ? ?Q Address Assessment 'e ~ Cit Phone Water & Sew. Police uw ,,,w Name Fire ?-?? Address- Eng. aW Ci Phone Planner Counci I I hereby ocknowledge thot I have read this opplicotion and stafe that gldg. Off. the information is correct and ogree to comply with o!I applicable State of Minnesota Statates and City of Eagon Ordinances. APC Signature of Permittee Fees Permit .` "?• -- Surcharge 6"• ` Plan check SAC Woter Conn. ' -' Water Meter Total `'•'v A Building Permit is issued to: -_'"- - on the express condition that all work shall be done in occokdonce with all opplicoble State of Minn=sota Statutes and City of Eac-on Ordinances. Building Officiol -_- _ -i Parsik # Dats lewed PWsNtw " Plumbing 7_ i--7 - Mechanicai INSPECTIONS DATE INSP. Raglfln Finol Footings X-1(-7 7 ' Data Inap. Date Imp. Foundation Plumbing • yL-7 _Frame/ins. Z- -7f Mechanical Final ? z6. 77 Remorks: cirr oF EAGAN ? . . . 3795 Pilot Knob Rood ? Eagan, Minnasofa 55122 Phone: 454-6100 . PLiR1BI"•- _ PERMIT Date: .'u1y dj3, Site Address: Timberline Lot Block Sub/Sec. c .. ?> Name , . Y ; Address O City -- Phone: n Boutin Plum2.,i c:,- Name . Rte. 1, P,ox C-12 P Address e 0 V 7,c,i'r,tto 553r,7 City Phone: This Permit is issued on the express condition ihat all work shall be Minnesoto Stotutes and City of Eagan Ordinances. ? No. - ReceipT No.: Single Residential Multi Res., Comm./Ind. I New/Alter. / Repair Cost of Installation - ?n.7i1 Permit Fee . ?0 Surcharge Total done in accordance with all applicoble State of Building Officiol CITY OF EAGAN 3795 Pilot Knob Raed ? Eugen, MinnamM 55132 ' Phorte: 454-8100 PERMIT No. , jc Date: Receipt No.: Site Address: ' I Single Residential Lot Block ? $ub/$ec. [2-Old"49CJ l,?r 'vd.e Multi Res., Comm./Ind. I Ncme ?:_._...... ._ „G:ii. ... .. Ci ai r New/Alter / Re . p ? ; Address i?iU:: ..;:... ;:9:;:'.; Cost of Instaflotion O Gity Phone: Permit Fee ` Name Surcharge .. ? maaress e 0 U _ .. . I City _ Phone: I Total This Permit is issued on the express condition that oll work shall be done in accordarxe with oll applicable State of Minnesoto Statutes and City of Eagan Ordinances. Suilding Official CITY OF EAGAN 3795 Pilot Kwob Road Eogan, Mineosoto 35122 Phone: 45I-8100 _ PERMIT Dote: "'-ary 19, 197f: Site Address: _ 0- ?mberl/ n e Lot ? Block _L?4 Sub/Sec. 1 Name . ? Address 5n?s 1•'cCarthv I City Phone: Name =-].he7't: i - Culli<:'dn Receipt No.: Single Residential No Multi Res., Comm./Ind. ? , ;.. New /Alter. /Repair Cost of Installation Pertnit Fee 5.00 50 . ----- a- - 0 t ?2, Address '1 '?.'3rie F,v-, c 0 U City Phone: Total T'his Permit is issued on the express condition ihot all work shall be done in accordance with all applitoble Stote of Min?E SOta Statutes and City of Eagan Ordirances. ? ? Building Official CITY OF EAGAN Addition? ?Oslunc Owner ine Lot 6 lk 4 Parcel 10 55300 060 04 McCarthv Rd. gtate Eagan, NIN 55121 Improvement Date Amount Annual Vears Payment Receipt Date STREET SUR F, STREETRESTOR, pavin 1971 88.60 10 PAID GRADING SANSEW TRUNK . 1968 3.33 30 PAID * SEWERLATERAL 170 $102.25 ZO PAID * WATERMAIN 1970 ZO WATEFi LATEFAL WATEF AREA 1977 4160-00 10-66 15 * STORM SEW TfiK 1970 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, po ?UILDING PER. SAC - -y7 PARK cITr oF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eaaon, MN 55122 DATE: Zoning: No. of Units: Owner. Address: $ite Addresr Plumber: Meter No.: Connedion Charge: Size: _ Account Deposit: Reader No.: Permit Fee: I agree to eomply with fhe City of Eagan Surcharge: Ordinanees. Misc. Charges: Total: BY _ Dote Paid: Date of Insp.: lnSO : CITY OF EAGAN SEWER SERVICE PERMIT 3795 P'bf Knob Road PERMIT NO.: Eaq?,, MN 55122 DATE: Zoning: No. of Units: Ownee -- - - ---- Address: Site Address Plumber: 1 agree to eomply with tfie City of Engan Connection Charge: _ Ordinances. Account Deposit: Permit Fee: Surcharge: - BY Misa Charges: Date of Insp.: - Total: Insp.: Date Poid: ? CITY OF EAGAN 3795 Pibf Knob Road Eagan, MN 55122 N2 4312 PHONE: 454-8 i 00 BUILDiNG PERMIT APPLICATION $539OOU Receipt # 5873 May 9, 19 77 To be used for R;ng_ Fnm f]ml?_ A Gnr? Date Site Address 1508 MCI:Hr Ct1y EZd. Erect [k Occuponcy -?? Lot b Block 4 Sec/Sub. 08111i1d `PimiDetlinfAlter ? Zoning °L Parcel $E' x Name Charles ShustKe z 3461 Rent 3 Address _ ? - - -- o Name Sam G Sesgl ?? Address z512_.7?g1E+wood ?- r:.., Mols oti,,..a 922-6335 Name _ Address I hereby acknowledge thot ! have read this application and state that the information is correct and agree to comply with oll applicable Stote of Minnesota Statutes and City of Eagan Ordinances. Signature of A Building Permit is issued to: all work sholl be done iracco Repair ? Fire Zone _ Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 70 ft. Grade ? Depth 38 ft. Approvals Fees Assessment Permit I45. UO Water & Sew. -- Surcharge 26.50 Police Plan check Fire SAC 475.00 Eng. Plonner Water Conn. 230.00 Water Meter 60•00 Gounci I - Bldg. Off. APC Toral 936.50 on the express condition that Minnesota S#atutes and City of Eagan Ordinances. ?ing Official This request void 18 months from 0-;,S9--3 ' ?-:.•. _, Date of this Request LU i a?? 7,7 P 2 9 0 3 4 I, as ff-icensed Elecetrical Co tractor 0 Owner, do reby equest ins n o'fthe abyve electri- cal wiring installed at: (? ,? !1 ,??-u-? •??@'?'??-"° Street Address or Route No. City???-°-- Section Township Range County ? l Which is occupied by Is a rougt?in inspection required on this job? No`B-- Yes ? Power Supplier Address .? Electrical Contractor J y(C;Ompany Name Mailing Addresx? Ut ? a ,, Eleetrical CQnt??? Authorized Signature (Electrical Contrecto or ONwne Ma ng This ????? n(DA Q PY Ready Now Ci- Will Call ? 's L' ense Isi3iG 7c Y% Rlon) 7 No..??? Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ''* -REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REOUEST p 29034 Type of Building New Add. Rep. Cheek Applian ces Wired Foc Check Equipment W'ved Foc Home ? ? Range ? Tempotary Wiring ? Duplex ? ? ? Wate: Heater 0 Lighting Fixtuces ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Fazm ? ? ? List List Other ? ? ? HeiersI Rehers? COMPUTE INSPECTION FEE BELOW Secvice Entrance Size: # Fce Feedeis&Subfeeders: ,#' Fee C¢cuks: # Fee 0 to 100 Am s. 0 to 30 Am res ,% = a. 0 to 30 Am eres r_ 101 to 200 Am s. 31 to 100 Am res " 'r '? _'.?^ 31 to 100 Am eres Above 200_Amps. - (meyV Above 100 Above lOQ_Amps. /e Transformers Remot ti Cir . Partial or other Fee Signs Speci Fps cti . Minimum fee $5.00 ? Remazks p ? `D '77 ' .s? v..K k?OiVCFE_E [, the Electrical InspeEtor, hereby certify that the above inspection has been?' ade. (Rough-in) Date (Finat) r Date This request void 18 months from ° r ? 77?st void 18 months from 40',,4L i aa .3 ? 23325 Date of this Request ?'W ?? ? 1`?? .`?,e,yY?C•F?C I, as CO Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. Section Township Which is occupied by Is a roughin inspection required on [his job? No Power Supplier Electrical Contractor ? ?i???a• (Company N e) Mailing Address tD?? (E1ectri tr Range County of Occupant) Yes ? Ready Now C? Will Call ? Contractor's License No. ?%0 -ka.?). 'Wk, Th ?1. Authorized Signature ' Phone No. "I J`"' 11 ctrical contrac or or O iAaking This Installation) ? i? (??;? GJ 5?? g? This inspection request will not be accepted 6y the L! L Zino ? State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 1!?FA University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTtON " F ' CHECK BELOW WOAK COVERED BY THIS REQUEST 325 Type of Building New Add Rep, Check Appliances Wued For Check Equipment Wired For Home ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heatez ? Lighting Fix tures ? Apt. Bldg. ? ? ? Dryec Elect:ic Heating ? Commercial Bldg. ? ? ? E'umace Silo Unloader ? Industrial Bldg. ? 1:1 ? Au Conditi r 0- Bulk Milk Tank ? Fazm ? ? ? List List Other ? ? ? 1 p 1 $e Hehers? COMPUTE fNSPECTION FEE BELO Se[vice EntianceSize: # Fee Feed '& Subfeeders: # Fee 11 Circuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am etes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amos. TOTAL F(ESQc) I, the Electrical Inspector, hereby certify that the above inspection has been (Rough-in) Date (Final) 7'his request void 1 months from 1 ? 1 I?a1i' 1 1 1 1 Ct7Y QF 1-;1f;AN CAtiiH:f.Ef1N JS Y'rPiMTN(1l... N(]e `?t.!] DFiTEe 0806/99 7':tM}-g ti'WW• IS:! : I!AMf:"o t'AL1FMAN ilHr:E_r rETAi._ 4, Ror.?r-:r.Nc 3210 90(:)1 1308 MC:CAfil'HY IY: 111.25 205 9001 15043 MC:C(tR'rl IY F'. , 2.50 ;1 'roh,a7. PieceiErl: Air,,:aun•F,n 111.75 005479 USI=:P: :LDc ;IAN 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3? a Q ? 3830 PILOT KNOB RD - 55122 ? 1 ??• ? 651-687-4675 g l 3 (? ? I ! New Conshuctton Reaulrements Remodei/Reoalr ReauiremeMs ? 3 registered sMe aurveys ahowing sq. H. oi lot, sq. ff. of house ond all roofed areas l2076 maxlmum lot eoveraae allowed) D 2 copies of ptans (ahow beam 3 window sixea; poured ind. design; efc.) D 1 set of energy calculations ? 3 copies of iree preservaHon plan B lot plaMed affer 7/1/93 DATE: S I la l1 c? DESCRIPTION OF WORK: STREET ADDRESS: 2 copies of pian 1 sef of energy calculations for heated addMions 1 sMe survey tor exfedor addftions 3 decks CONSTRUCTION COST: LOT: (c BLOCK: L-d SUBD./P.I.D. #: 0SI lJA &,11 --r i Mb `e, r ? ? Y1 -R? Name: 'R4-'e'r5oyl PROPERTY Last owNeR I Jc ? 4 Street Address: ? Debbic Fhsf ') c, G " Phone #: ? S I' f S? - I/ lo ? Ciiy State: ?m IV zIp: 55 I a i Company: Phone #: c ?a a-c 'i (area code) CONTRACTOR Street Address: ??J? 1 ? "v license # J? Exp. City u'` p l 5. State: rY1 'v Zip: ARCHITECT/ ENGINEER Company; Y:.:eFho:se Y: a:ea ccde ( : Name: Street Address: Regishation #: Cffy Sewer L water Iicensed plumber (reautred tor new conshuetion onlv): State: P4nalty applies when address change and lot change Is requested once permit is tuued. Zip: I hereby acknowledge that 1 hwe read this application, stale thaF the tMormaHon is correct, and agree to comply wNh all applicabl Stafe of Mtnnesota Statutes and Cffy of Eogan Ordlnances. n; I _ I/ , A0-,1 Signature of AppllcaM: Certficates of Survey Received _ Tree Preservation Plan Received _ OFFICE USE ONLY Yes _ No Yes _ No _ Not Required ? AI,IG I 3 ' ' __... . .. 1 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex O 16 Firepiace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 0 18 Deck ? 23 Porch (screened) O 04 2-plex ? 09 7-plex ? 14 Apartments O 19 Lower Level 0 24 Storm Damage ? 05 3-plex ? 10 8-plex O 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Dsmolish (Interior) ? 42 Remof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Census Code 5AC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC :. City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/V1f Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies T Total: Valuation: $ ? i SAC Units % SAC BUILDIc3G PERPqIT PrPL•ICATTON LOT BLOCK ?4 AJDT TIOA ?. ? PrlRCEL & SECTIOrd TdtTI43ER IF Ui3PLATTED JiDD?iESS OF PARCEL ZfSd3IcfG ', L5I`L4AiED CQSi pc•7;tF'sR ?` ? AIDllFcFSS 7' 6 COiS`t P..ACTOR AIJJa2E5S 217 'tlote - USE Include si.te epglication DFT'TCE U5E TELEPHOA]E N0. ?? 0611 ? ? ? Z ft-43 enexgy calculations VF3?M-1s'IO?? sAc 1175 . ? /2 1'is1111"M COiTi*ECTM7 ri.'1TEk !>YETER ?D AUILDIPIG PF,Ft[3IT FE8 - d sJRcHAzrcr rEE FI.h.i Ci.PCR FNE PAftK DEDICAT2O'sd FEE bT,' yIt TOTAL* P.PPP.OVALLS: 7; ASSEaS;?lE?]T CLEP.K?.BUILBIN6 DEPT. P07GICE DEPT. ?'SATER & SEF?TER DEPT. EIZL DL+'PT. PF1.'2K DEPT. Sianed 0 Zc.) • ! ? r; , EG --- ANq ?? ELD& NOWAK ! = 7415 WAYZATA BIVR ? j ! Q ? ? CERTIFlCATE OF SURVEY For Charles Shuater g7.2 ? R?A ? ,g°4 ^ \ 90.1 ? f,S DO ? o /W ? Ss 0 0 ? ? , - 1F?N ' - 98.0 It ? ? o o ? Q? g?5 -*- ; , QL 0 o°. ° SCALE:1'T-40' ? ?- z ? ? o o'. b m u? a- y,3 1 1?fi 'yizo.x . o0 r?0• ' DESCRIPTION: Lot 6, Block 4, OSLUND TIMBERLIIJE ADDITION We h2reby certify thal 4his is a true artd correct representation of e sUrvey of the boundaries of the land above described and of the location of alf building!4 !if any, thereon, end aiI visibie encraachments, if any, from or on said land. ? pa ted th i s 6th day of April 1977 , EGAN, F I ELD d N41YAK,1t!G J?i7r v e y o r s /? ^y F i I P ?10„ Dak 124 Book Na _ 2f1a?_T7 bY ?1..,€ ja..a ,}-,? ?( ?.1 ! ?- _ MINNFAPOLlS, MIMf1ESOTA .' '' .. ? \ 5g?/ `? ?` R P Use BLUE or BLACK Ink For Office Use 41011 of Eaali Permit#: (--/ City Permit Fee: i O,,-- --1- 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 buildinginspectionscitvofeagan.com Staff: L J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION h Date: i2 6 ii 1— Site Address: \SCS tom--C-4'0CA-t^-k 2b c3,,141)MAI - 5-1 L f Unit#: Name: B i T 'rr✓l5 0 ld Phone: Gi 51-•ZS ci;SS' Resident/ Owner Address/City/Zip: /5-0g ine 677 / /.7 /4{44.1/ fii-ti _7)7.57Z Applicant is: Owner ' 'Contractor Type of Work Description of work: c�c�. Ai(.. 5 1�vb � , v e vtS} ,2 .__.„Fc„4 Ski/ 4 -.-i. t' 1� Construction Cost. [I-15 Multi-Family Building:(Yes /No ) Company: S a1i>t-IL e34.(01..-5 t 5-Pj1 Ur-C.-LS Contact: \ 4Lip 5,74 Contractor Address: 3 WS--- cA, �_ cit City: .,r _. State:110Zip: 6-Sit t Phone:(2-7C0-.Y?mail:/74942514 rff-'cl-Cc4451. (titvi License#: pVkN It-Tiz t Lead Certificate#: #�-yi 'i2.—7— If 7If the project is exempt from lead certification, please explain why: 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? 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-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.cityofeagan.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 will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and w k i not to start without a permit; that the work will be in actor ante with the ap d plan in the case of work which requires a review and approv of ans. x A.As?A t ,S\ x Applicant's Printed Name Ap ca is Signatur Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158952 Date Issued:11/12/2019 Permit Category:ePermit Site Address: 1508 Mccarthy Rd Lot:6 Block: 4 Addition: Oslund Timberline PID:10-55300-04-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Steven J Peterson 1508 Mccarthy Rd Eagan MN 55121 (651) 428-4596 Ron's Mechanical 2026 Colburn Dr Shakopee MN 55379 (952) 445-8585 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177750 Date Issued:07/18/2022 Permit Category:ePermit Site Address: 1508 Mccarthy Rd Lot:6 Block: 4 Addition: Oslund Timberline PID:10-55300-04-060 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Bathroom(s) Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Steven J & Deborah A Peterson 1508 Mccarthy Rd Saint Paul MN 55121--190 Beckendorf Plumbing Llc 9466 Birch Lane Lakeville MN 55044 (952) 994-2202 Applicant/Permitee: Signature Issued By: Signature