1558 McCarthy RdCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVEO
19
AMOUNT s I
& DOLLAHS
100
El CASH ? CHECK
FOR
OJ ` BY
?? •
t1 ??.1 •_ .e _
NUMERICAL FILE COPY
14-? CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 5949
PHONE: 454-8700
BUILDING PERMIT
To_b-s pted for
Receipt $k
Site Address
Lot Block Sec/Sub.
Porcel # 10 330 10 03
W Nome
3 Address
o Name
?
o" Address
ug
? rifv Phnnu
Name _
Address
I hereby ocknowledge that i have read this a{
the information is correct and agree to con
State of Minnesoto Statutes and City of Ea
Signature of Permittee
A Building Permit is issued to:
all work shall be done in accordance with all
Building Official
?
and stote that
all applicoble
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth fr.
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Fees
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
on the express condition that
able State of Minnesota Statutes and City of Eagan Ordinances.
PemHf # Dah lauad iarmfKw
.?
Plumbing
Mechanical
INSPECTIONS
Footings
Foundation D TE
7}? ?(J INSP.
lumbing
Raugh-In
DaFe Insp.
Finol
Date Inap.
Frame/ins. Mechanical
Final b'?y15-$'G
__
Remarks:
CITY OF EAGAN
3795 Pilot Kno6 Road Eogan, MN 55122 N2 4564
PHONE: 454-8100
r
BUILDING PERMIT Receipt #
To be? umd for pote ? . 19
Site Address - - Erect ? Occupancy -
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone _
Enlarge ? Typ_ of Const.
z Name
W Move ? # Stories
Z Address
3 Demolish ? front ft.
0 Cit Phone Grade ? Depth ft.
? Ncme ° Approvals Fees
0
'
Assessment
Permit
?a Address
?
~ Water & Sew. Surcharge
Cit Phone
Police
Plan check _
Ww Name Fire SAC
?W
?? Address- Eng. Water Conn. -
<w Ci Phone
L Planner Water Meter
Counci I
I hereby acknowledge that I hove read this opplication end state that Bldg. Off.
The information is correct ond ogree to comply with a'I app'icable APC Total
State of Minnesota Statutes and City of Eagan Ordinanc:s.
Signoture of Permittee -
A Building Permit is issued to: - -- on the express condition that
all work sholl b_ done in accordance with all applicable Stote of Minnesota Statutes and City of EaSOn Ordinances.
Buildin
Official -
g
-
?
PeemR 2F Oste Inwd P ?rsMM ?
Plumbing Y • ?' . i-s ?
Mechanicol ,
Z 0
,4
INSPECTIONS I DATE INSP. Rou Mln Final
Footings ? p
Date Insp. Date Irqp.
Foundation _ Plumbin9 1-9 -N - ?,A 6? - ) s
Frame/ins. i-Q?)? ??2•)S Mechonicai RI„?C/ )
Final
Remarks:
CITY OF EAGAN
3795 Pilot Knob Road
Ea9an, AAlnnesofa 55122
? Phone: 454-8100
• HEATI`:?= _ pERMIT
Date:
January 11, 1978
Sire Address: 1558 McCarthy Iaoad
Lot Block ` Sub/Sec,
Oslund Timbebline
Ncme Tilsen Homes
0 Address 627 Snelling Ave. Sc.
City S'_. Pau1 55116 phone:
Name IAUis Ii. Peter Co.
.
g A,?,?54 Grand Ave;, .
v , -CitY Phone:
This Permit is issued on the express condition fhat all work sholl be
Minnewto Statutes ond City of Eagan Ordinances.
No.
1077
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind.
New/Alter./Repcir. Cost of Installotion
Permit Fee
Surcharge Toto l
done in occordance with all applicable State of
Building Official
, . . CITY OF EAGAN
9795 Pilot Knob Road
Eagan, Mienesota 55122
` Phons: 454-8100
PERMIT
Date:
January 11, 1978
$ite Address: Lot Block Sub/Sec
Nome '-'Sen uomes ' . .
; Address 27 Snellir.r.
O
City Pau i Phone:
Name
.
P Address 135' ^r-tnc9 r'vc:;
e
0
v
City Phone:
This P rmit issued on the express condition that all work shall be
Minne T tatutes and City of Eagan Ordinances.
No. `?"F'
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New/Alter./Repcir
Cost of Installation
Permit Fee
SurcFwrge
Tota I
done in accordance with all oppliwble Stote of
Building Official
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
IN5PECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
c? .. . ? ,? .
(0 /N4?°I:i
I SITE ADDRESS: i„) : tIt t+itiC K
hit [ h!? i 11'; tri&
ri ltl I: i 1 Idi
I PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
Al1EkAl1isN
I11 1;1'F7p i fI)N ( IN+FH1 h fiA', I 1Nf
f- I k1-K'1 At I
7
J
Permit No. Permft Holder Date Talephone II
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. CommenM
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireaiece lvI 219.1 td ?r, •?--- ?'i.-`c ? -
Final Htg.
Orsat Test
Final Pibg. Plbg. InSpeclor - NMify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
INSPECTION RECORD I Control No. 0$5$ ?
CITY OF EAGAN PERMIT TYPE: k1 FI 1! U! NN
3830 Pilot Knob Road Permit Number: 00 1 "'i
Eagan, Minnesota 55123 V= Date Issued:
(612) 681-4675
SITE ADDRESS: 111 14 l4t(WK; q APPLICANT: I
1666 MC:CAN ChY Rf) MtIRRAY COMPAHY 2Nf. THE
pS1.UMp TIMbEftL7Nf I61'1.) "'191 'rl:ir
PERf4, i 1T j4qTYPTYPE OF WORK:
. RCpala
?tF MA(rM;3 ; 17C'('i tl*) N
i- ?? 1 r 'i? n d' r ? n ..
? . a?g ? r L.:y 1 ru rknt ,?i
Lt
Y
n?. ''?. i
w.???c _, + _
Permft No. Permtt Holder Date Telephone R'
Sl1N
PLUMBING
HVAG
ELECTRIC
ELECTRIC
Inspectlon Date inap. CommsMs
Faotings I
Foundation
Freming
Rooflrp
Rough Plbg.
Rough Htg.
Isul.
Freplece
Fnel Htg.
Orsat Test
Fnel Plbg. Pitrg. Inspec[or - Nottty Plumber
Const. Meter
Ergr./Plen
Bldg. Final OG ?/y ? U-d
Deck Ftg.
???? -M,? OJ
oedk Final
p;
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition Oslund Timberline Lot 14 Bik 4 Parcel
/
Owner Street 1558 M Ca hy Road State Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK p 1.968 100. 00 .33 30 63.37 A005669 -8-78
• SEWERLATERAL 2 665.50 A005669 -8-78
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
* STORMSEW LAT 1970 ZO
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. -
HUILDING PER. #
SAC 475.00 58 1-10-77
PARK
CITY OF EAGAN SEWER SERVICE PERMIT
3'?95 Pilot Knob Road . PERMIT NQ.:
Eagan, MN 55122 DATE:
Zoning: - No. of Units: Owner: ,
Address: -
„, . . _
Site Address
Plumber.
1 agree fo comply with fhe CiFy of Eagan
Ordinanoes.
By
Date of Insp.:
I nsp.: _
Connection Chorge:
Account Deposit:
Permit Fee:
Surchorge: _-
Misc. Charges:
Total:
Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3.795 Pilot Knob Road PERMIT NO.:
Eugon, MN 55122 DATE:
Zoning: No. of Units:
Owner;
Address:
Site Address:
Plum6er:
Meter No.: _ Connection Charge:
Size: A
D
ccount
eposit:
Reader No.: Permit Fee:
I agree to eomply wifh fhe Cify of Eagon Surcharge:
Ordieanees. Misc. Charges:
Total:
BY - - - - Date Paid:
Date of Insp.:
I nsp.:
, CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDINr PERMIT APPLICATION Receipt ?#
ro bcusea io. Fireplace Esr. vai„e 1,650.00 pare _
N? 5949
?5?
7-15-80 - 19
Site Address 155$ MCL'3T"f,Y3y Rfl? - - Erect ? Occupancy R-3
Lot 15 Block 3_ Sec/Sub. OSltllld TlmberllriB Alter ? Zoning R-1
Parcel # ln 55300 150 03 Repair ? Fire Zone 3
Enlarge ? Type of Const.
W Name LBrTy u o p Move ? # Stories NA
3 Address 1558 MeCarth.v Rd. Demolish ? Front NA ft.
° Ci Eagan, Mri, phone 452-3357 Grade ? Depth MQ ft.
o Wm. Bonn
Nome
APProvals
Fees
o? Address Assessment Permit 9.00
V§ Water & Sew. Surchorge 1.00
C? R irn vi l l e Phone Polite Plan check
r
Fw Name
Fire
SAC
Address Eng. Water Conn.
aW Ci Phone Planner WaterMeter
Council Road Unit
I hereby acknowledge thot I have read this applicotion and state that gldg. Off.
the information is correct ond agree to comply with oll cpplicable APC Total 1?.00
State of Minnesota Stotutes ond City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express condition that
all work shoil be done in acwrdance w' II, liwb ate of Minnesot totutes and City af Eagan Ordinonces.
Building Official ?
cirr oF EAGaN
5795 Pilot Knob Road Eagan, MN 55122 N0. 4564
PHONE: 4548100
BUILDING"PERMIT APPLICATION Receipt # 8058
$41,000.
To be used for Cin _ Fnm
g Tk?+l R Gnr Date NOV. 10, 1 g 77
g...??g
Site Address 1558 MCC8tth? - Erect ?J Occupancy I
Lot.14Block4Sec/Sub. m._b ,._is__ naan Alter ? Zoning-. Rl
Parcel # Repair ? Fire Zone 3 _
Enlarge ? Type of Const. V
W Name Lsr=V RUdOl?h - Move ? #' Stories
3 Address Demolish ? Front - 66 ft.
°
Ci
Phone
Grade ?
Depth 26 ft.
0: N Tilsen Homes, Inc. Approvals Fees
ame
z? 627 So. Snelling Ave.
Address
f ?:... St_ Paul o?..__ 454_47RG
Name _
Address
1 hereby acknowledge that I have read this application and state that
the information is correct and agree to comply with all applicoble
State of Minnesota Statutes and City of Eagon Ordinances.
$ignoture of Permittee -
A Building Permit is issued
all work sholl be done in a
Building Official -?
Assessment _
Water & Sew
Police
Fire
Eng.
Planner _
Council _
Bld9. Off. _
APC
Permit 11 $ AQ
Surcharge 2O_ 50
Plan check
SAC 475,On
Water ConnAg,=EE-
Woter Meter 60.00
Total 67 3_ S(1
s inc on the express condition that
State of igyiesota Statutes and City of Eogan Ordinances.
?
CITY OF EAGAN
BUILDING PEFtMIT APPLICATION
Include 2 sets of plans,
1 site.plan.w/elevations &
1 set of,'energy calculations.
Zb Be Used' For -q U.`-?vaill^t?'on _?1? Date _ a 6
site Aaaress: ? + . oFF2cE..u?'ONu.Y
wt 1?5 B1oCx ' sec./sub0?? ?-eJ?ct oc?ng
&?
Zon,i -?
Parcel #:
? ? Repair F ire Zone
Enlame _ 7.ype of Const.
Owner: Move # Stories
Address: Der:,l is1.; Front ft.
?- Grade Depth ft.
City/Zip Code:
PhOne #: L( S?- -'?`?`? 1 APPRO?
Contractor: 'W V.,Q, , ??o <--?
Pddress•
City/Zip Code:
Phone #:
Arch./Eng..
Address:
City/Zip Code:
Phone #:
?
_ Assessments. Permit
Water/Sewer Surcharge ?
Police Plan Check
Fire SAC
Eng. Water Conn.
PlanneY Water Meter
Council Road Unit
Bldg. Off.
APC
?Z
'POrPAL
? _ ,,r? . -,13 (3 V
o? g06975
Request Date -., F1e o' Rough-in Inspection
fiequiretl9
eady Now C7 Will Nofity Insp
GYes o WhenR
I licensed contractor ? owner hereby request inspection of above electrical work at:
'
Jo?Atldress iS reet. Boz?te N,U ? ??
55 3 c Y Ciry ?
Section ND. Township Name or No. Range No.
I ? C
l..J v?i
Occ t(PRINT) ?
ur,vor f5 uhauh m phone No.
Power SuppFer ddr ss
Elec i ontractor ? ompany
? e) /+?? 4
?l?tl, 1\?v Gontreclfo?r'S License 1No?
1 1 O ? 1p4
Maih?g? r ? lractor or'g?y)ner Making Installation?r?^1
?
? 4.J?1 u.- / ,s_c
A orved Sign ture iC nlra tor?Owner Ma'aing Instalon . Phone Numher
90 ?3?5?
MINNESOTA STATE BO RD F LE RICITY TNIS WSPECTION REOUEST WILL NOT
Griggs-Midway BIAg. Ro 173 BE AGCEPTEO BY THE STATE BOARD
1821 University Ave.. St. ul. M 104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 662-0800 ENCLOSEO.
5/J`? REQUEST FOR ELECTRICAL INSPECTION ?.`?`"•?e.??*? ee-ooom-oe
'????^ ? See instructions for completing this brm on 6ack of yellow copy. ?m'/0????....
6•?
?
' `'? "X" Be1c?t,Work Cavered by This Request
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Healer Electric Heating
Apt Building Dryer Other-(Specity)
CommJlndustrial Furnace
Farm Air Conditioner
1 Other (specity) CoMractor's F inarks
Alc
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Abov 100 _ Amps
SIgnS Inspector's Use Onry:
? TOTAL ?
5
' Irrigation Booms
Special Inspection /
(J. p 1?
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rou9n-in
f oate
certify that the above inspection has
been made. Finai
?
OFFICE USE ONLY Th6 requ2st void 18 monih5 from
This request void 18 months from O??
{ Date of this Request 12-22^77 Y 48008
I, as :ULicensed Electrical Contractor O Owner, do hereby request in?ction of the above electri-
cal wiring installed at: ?p, ?
?r
Street Address or Route No. 1558 &'IcCa:rtk;y Road City
SecUon Township Range County Da,kpta
Which is occupied by Tilsen Homea
. (Name oi Occupant)
Is a roughin inspection required on this job? No ? YeAX Ready Now ? Will Call E;
Power Supplier Tlaknta Ctv. Address FarmingtOri
Electrical Contractor O.B. ThompBOn Electric Co. Contractor's License No.g33735
(COmpany Name)
Mailing Address 12201 147tka Blvd. 2$tka 55343
(Electrical Contractor or Owner Maktng This Installstion)
Authorized Signature Phone No.
(Electrical CoMractor or Owner Makfng This Installation)
?
STATk BOAR'Um' eopY
A Minnesota State Board of Electricity
_7954 University Ave., 5t. Paul, Minn. 55104-Phone 645-7703
? REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED $Y THIS REOUEST
p 48008
Type of Building New Add. Rep. Cheok Applisncea Wited For Check Equipment Wired For
Rome xu ? ? Range Jux Tempocary Wiring ?
Duplex [I ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? D:yer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ]w Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditionei ? Butk Milk Tank ?
Farm List List
O her o o ? p
Hehets? Sp• 18 •XXXX ?ereetsi
COMPUTE INSPECTION FEE BELOW i
Sexvice Entrance Size: # Fee F Su ecs: # Fee Cixcuits: # Fee
0 to 100 Am s. A s 0 to 30 Am eres iol
101 to 200 Amps 3 100 e 31 to 100 Am es
Above 200 Amps. A ve 1 Above lO?Ampa
Transformers Remote Control Cuc. Paztial or other fee •
Signs Special lnspection Minimum fee $5.00
Remarks Ha1
.? . TOTALF 00 0-?
I,the E]ectricalInspector,hereby certify
(Final)
This request void 18 months from
k?as been made:
Date _ 7- ?
Date ?? ?
PERMIT# S?76 q
Please complete for:
SITE ADDRESS:
OWNER NAME: :
RECEIPT DATE:
YOOE RESIDEN'd'IAL PLUM13INfi PERMl'T ?PPLYCA'i'ION
CITY Of EAflAN
3930 Pu.oT Mo$ Rn
EAsArr, Mrr 551$$
651-681-4675
single family dwellings, townhomes and condos when permits are required for each unit,
har.kflow nreventer for irriaati0ll SVSt2n1
CONRAD,KATHLEEN
1558 MCCARTHY ROAD
EAGAN, MN 55121
(651) 365-0693
TELEPHONE #:
(AREA CODE)
INSTALLER NAME: N O Y' llU I o Yv1 FI lA,W1,b1 vA4 TELEPHONE #: (0 ?Z "2 27 - `f 033
STREET ADDRESS: 2105 GcL?`-Fietd Aye? sp K-f1., (HR=acoce)
CITY: IVtio tS. STATE: MQ ZIP: 55L40$
_ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 Couni.y fee
Note: Additional consultant fees may apply
• MODIFICATIONlALTERA,TION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters . $ 50.00
_ Abandonment of septic system.
_ Water tumaround - exisking dwelling unit (+ 5/8" meter if needed -$118)
Other:
Va ?A_
_ RPZ: new installation/repair/rebuild \1I
30.00
_ lawn irrigatien ?,-ystem
?
' - _
lF 1 ??
ReplacemenUadditional: _ water softener X water heater $ 15.00
State Surcharge $ .50
Total $ l S .SO
1 hereby acknowledge that I have read this application, state thatthe information is correct, and agree lo compiywith all applicable Cityof Eagan ordinances. It
is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused hy the Ciry during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SIGN TU E OF PERMITTEE 1102
?<<,I t?
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Consfrudion Requirements Remodel/Repair Reauiremenis Otfice ??Se O?Tv
3 registered sile surveys showing sq. fl. of lot, sq, fl. of house; and all roofed areas 2 copies of plan Cart 6rtw'??y?e?
(20°k maximum lot coverage allowed) 1 set of Energy Calculations for heated addilions TFee ?resP!an Rerd
2 copies of plan showing beam & window sizes; poured found design, etc 1 site survey for additions & decks Tr???S Reqmted 1' N
1 set o( Energy Calculalions Addition - indicate if on-sife septic system C3tESile SBpi1C System
3 copies of Tree Preservalion Plan if loi platled after 711193
Rim Joist Detail Options selecfion sheet (bldgs wilh 3 or less units
Construction Cast 2 2 ? 8:d'
Date J- / / _j- ?
/
Site Address C. /?1''71,,45/ /& UniUSte #
?12
SiS- ?
Description of Work &?? ?11Z6
Multi-FamilyBldg _ YZN Fireplace(s) _ 0_ 1 _ 2
Property Owner JU YA.) ,£E!U Tetephone # ( 6'V) 3 &iS'0`6
Contractor /7b 4( ?^ jjC 7-P1 I `.S
Address XW City e'.4 AJ
State Zip 55 Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category e 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
fee applies.
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
approval of plans.
j,0 f{4N1 ET- _ 2/ nw rytP-z e,*t
Applicant's Printed Name
pplicant's ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Muiti
? 03 01 of_ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N 0 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` 0 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement `Demolition (Entire Bldg) -Give PCA handout to apptitant
Valuation Occupancy MCES System
Census Code . Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire 5prinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Fina]/C.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof
Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final
_
_
_ Frazning _
_ Siding _ 3tucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Reiaining Wall
Approved By: , Building Inspecior
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
r ..
?
ChTY"10F EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
Controi No.
BUILDIN6
001143
07/23/92
SITE ADDRESS:
1558 MCCARTNV RD
LOT: 14 BLOCK: 4
OSLUND TIMBERLINE
DESCRIPTION:
,.--Buil°d?ing Permit Type SF (MISC. )
Bui'?ding-;;Work Type REPAIR
?
r
~r?
.y.f
j`
y W,.
., N
r? A
46 WTk.nu
?
REMARKS:
RECEIPT 11C C),7:?
FEE SUMMARY:
VALUATION $6,000
8ase Fee $81.00
5urcharge $3.00
Lic. Search Fee $5.00
Total Fee $89.00
CONTRACTOR: - Applicant - s7'. LzCpWNER:
MURRAY COMPANY INC TNE 12919132 0004927 SYLJUKAU6EN GUNVQR
1208 GRAND AVE 1558 MCCAR7HY RD
ST PAUL MN 55185 EAGAN MN
(612) 291-9132
? .
I hereby ac.know]edge that Z
informe_tion'is_correc.t.and-a
S.tatutios,and City of Eag an,::p
, ?.. ,
APPLICANT/PERMITEE SIGN UR???
I
t44-t'4 je". t i
ISSUED . SI NATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo r: 14
1558 MCCARTHY RD
OSLUND TIMBERLINE
PERMIT SUBTYPE:
sF (Mxsc. )
. REpIARKS: RECEIPT Ik
?
Control No.
BUILDING
001143
07/23/92
B L 0 C K: a APPLICANT:
MURRAY COMPANY INC THE
(612) 291-9132
TYPE OF WORK:
REPAZR
, ,? • . .? ??, ,
, . ., ? ?- • ? ? ? .
„
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l .4
PERMIT #
REACTIVATE4_
/
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
F?' 0 u
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site survey5, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Yaluation of work e-/S`0
`
.
Site Address• f? ? ? ?;?? r''?,, 1Zt /?4
STREET SUItE #
Tenant Name: (commercial only)
LOT ? BIACK --4-- SUBD.???? P
I
D
N
.
.
.
Descri tion of work: R c. o'
The applicant is: 0 Owner J14 Contractor ? Uther (Describe)
Property Name Phone
LA5,
iIRST
Owner
Address
is?(
_
STREET STE /
City State Zip
Company 7-11? Phone ? 'f Ll?'Z_
-
C011tr8Ct01' ,
,
Address License #0??? 7 Ezp. ?9?e
City - S-7 State Zi
P
Architect/ Company Phone
Engineer Name Registration #
Address
City State iip
Sewer 8 water licensed plumber . Process
ing time for
.
sewer 3 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
. ;l.
Signature of Appl icant:
'?v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
13 06 Duplex
? 07 4-Plex
D 08 8-Plex
11 09 12-Plex
? 10 Multi. Add'1
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 31 New O 33 Alterations
? 32 Addition 1?34 Repair
/
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning '
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
? 35 Tenant Finish
? 36 Move
Basement sq. ft.
lst F1. sq. ft.
? 2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
REQUIRED INSPECTIONS P, E 7
? Site O Footing
? Wallboard J?Final
/
O Framing
? Draintile
? Insulation
0 Fireplace
Permit Fee 1. 00 vetuac;«,:
Surcharge 3 uo
P _ Review
ice M41 C SAC
City SAC
Water Conn.
Water Meter .
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
S 4?,Ooc.-)
V k
? 16 Basement Finish
O 17 Swim Pool
O 18 Comm./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneous
O 37 Demolish
MWCC System
City Water
PRV Required.
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
?
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
iva y?
/a
PERMITTYPE: BuzLpTNG
Permit Number: 022142
Date Issued: 10 / 0 4 J 9 3
SITE ADDRESS:
P.I.N.: 10-55300-140-04
155$ MCCARTHY RD
LOT: 14 BLQCK: 4
OSLUND TIMBERLINE
DESCRIPTION:
'm: ,
REMARKS:
FEE SUMMARY
Base Fee $25.00
Surcharge 1,50
Tatal Fee $25.50
CONTRACTOR: - APpY i c a n t -
METRp AZR INC 14478124
16980 WELCOME AVE SE
PRIOR LAKE MN 55372
(612) 447-8124
APPLICANT/PERMITEE SIGNATURE
(ZN5ERT & GAS I.INE)
Permit Type FIREPLAGE
khrk Type AL7ERRTION
OWNER:
SYLJUHAUAEM GU?VVOR
1558 MCCAfiTHY RD
EAGAN MN 55121
(612)683-9111
'N
'"
-
I SUED B SI NATURE k-
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
BUTLDTNG
022142
10/04/93
SITE ADDRESS: Lo r:
1558 MCCARTHY RD
OSLUND TIMBERLINE
PERMIT SUBTYPE:
FIRERLACE
14 a Lo c K: q APPLICANT:
METRO AIR INC
(612) 447-8124
TYPE OF WORK:
DESCRIPTION
ALTERATTOM
(INSERT & GAS LINE)
?
I ,
4? rz?`''" ?? _ __?.? _ _ _ „?, _- ?`_ -- _ ? , _ ?? . . . .e ?__k _n•,?__.._.? - - ° -. ? _.?
ws Mo E.ft 1 A I???? t?l lc.
c;;?"r. , ?. ?.-.t•fl'?;?..,t. ? l:, h?i 6:i,,
., f pi , r i",? .,. ::?i;•-• ??P?. ?: ?
:I .' InI i.. { t4 S I
y ,:• a,.l;
REACTIvATI _ cmr oF EAGaN
pFRMi'T '# 1993 BUILDING PERMIT APPLICATION
681-4675
??
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work SD . oo
Site Address: Me E&Zrza" DU.
STREET SUITE N
Tenant Name: (commercial only)
LOT ? BIACK 4__ SUBD. Y . I . D. o •
Descri tion of wark: .A.a4-.QC zC %4,4..,t_t L`
The appl i cant i s:. O Owner 2011coontractor 0 Other (Deseribe)
Name .S L' A2jc. e ?c.C,n/V'o2 Phone 683 -9111
Property LAST FI ST
Owner Address, me
STREET STE X
City State /??-T- • Zip
Company j ? . ?-r.- • Phone 51?7 -?"/a y
Contractor Address AUB ?26Z?e? License # Exp.
State ?+- - 7i ?,_SS3 7?
C i ty (??a.?Le
as- so
t
Company Phorie
Architect/
Engineer Name Registration #
Address
City State 2ip
Sewer & water licensed plumber . Processing time for
sewer & water permits is twa days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
State of Minnesota Statutes and City of
correct and agree to comply '
Eagan Ordinances.
71:77
Signatue of Appl
icant:
OFFICE USE ONLY
BUILDING PERMIT TYPE O OI Foundation ? 06 Duplex ? 11 Apt./todging
? 02 5F Dwg. ? 07 4-Plex O 12 Multi. Misc.
? 03 SF Addition ? OS 8-Plex ? 13 Garage /Acce s sory
? 04 SF Porch 13 09 12-Plex 0 14 Fireplace
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
woRK rYPe
? 31 New ? 33 Alterations ? 35 Tenant Finish
13 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
I of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft:
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? footing
0 Final
T.,
.
??T?. ?-? ...... .
464rseme ?t F.i.aash
? 1? Sw m-Pool ? 18 Comm./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
FfwGG System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Framing
? Draintile
? Insulation
0 fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
v.tuacion: $
SAC %
SAC Units
?? vs-& ?
. " .?
Date s `-1 - l``l --1-7
BUILDIOG PER142i P.PPLZCITIO:,?
LOT I ?-k BLOCK ?- 11DDITI0I:1 Q<ul
Pt'1RCEL & SECsIOPJ 1JLTc4BER IF U'tdPIATTED
ADURESS Or PARCEL
?v
Y,Otd2:iG OCCUPAAaCY i3SE 1:_- o/
ESTM7Ai'ED COS^
Ot•? 3EZ? ?LJ,4,?j'o TELEPHOI?tE i?0 . rJ ??? - Cg
AD?RESS _
COt•ATP,.ACTOR
AllURESS `t4
"tJote,.;
OFFICE USE
q-d4 -q--78?
VALUnT=o11: 4! o?
?o
sac
['iA's'LR COMEC`S'IOT'•
M
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T']r'"ER MTER 46
BUZLDTNG PFFtt•iIT FEE
uURCHAF2GE Fif'
PL'l1t: C::r CIZ FL„?.. ?-
PAP.Lt DEDICnTIOI,:T FEE
T
OT,`'..cR
TOTfiL*
FIPPROVALS a ?? ???
ASSESST?E;??` CLERK__?.^'_BUILDING DBPT. POLICE DEP`F.
L
t'JAiER Fa SEG7ER DEPT. FIZL DEPT. Pt'1RK DEPT.
TncluBe site plan, building plans, and enercry calculatior.s with this
application
Sianed a
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- - '` - - - • , - . ? -r
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La`r 'f? BLack ? ?
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LOT ? BI,nCK ? SUBD.
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RECEIPT f{ a? 6 Vg 9 & DATE
1994 CTTY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
CnMN1ERCI4,1, INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: Commercial GPM
Residential (boulevards) GPM
? Existing residential
Arealaddress to be irrigated: /55-'r McL/???q? /w•
Installer: P23'6 Owner ? Plumber A
Street address: i?- 4e,
City, state & zip code: ?hone !t:
Owner Name:
Street address: /575Y 1-:?c CAh ?Jf y
City, state & zip code: Z/?/? Grpf? h?'? Phone #:
Irrigation contracear, if different than iristaller:
Telephone #: 35 - V?i 6 1
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applic.able City of Eagan ordinances.
G`e?:-Tiy?---?
Sig ture Title
If construction activity occurs in public easement or City right-of-way, signature of property owner is required.
The property ewr.er agrees to hold harmless the City of Eagan for any damages caused. by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-wuy/easement.
Property Owner
Date
Approved by: 4s.? Date: J-v n e-
PRV ? Yes 0 No
New service ? Yes IgNo Meter Size & Cost
?
Fees due: C?X Calculated
AV
PROCEDUItE FOR IRFtIGATION SYSTEMS
1. A site plan must be submitted to the Engineering Department for review before installing an irrigation
system. A permit to work within City property/public easement/right-of-way may be required.
2. Jerry Wobschall, Finance Department, will calculate .perc;iit fees as follows:
a. Commercial project: $ 25.50 irrigation system permit to cover in"stallation of backflow preventer.
$ 50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by City.
b. Residential project: $ 20.50 irrigation system sprinkler permit to cover installation of backflow
preventer. .
$ 50.50 water 'permit fee if new service is installed.
$725.00 per connection - WAC. $348.00 per connection - water treatment facility.
c. Existing residence: $ 20.50 irrigation system permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed), however, plan and
. application must still be presented for approval.
d. Meter char¢e: If gallons per minute are less than 25, a 1" meter will be required at a cost of
^oi65.uu. Ii gallons per minuie are more ihan 25, a 2iurno wiw sirainer wili oe
required at a cost of $775.00. This information is to be supp:it-d by the designer
of the system.
4. No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not required, one check may be written for meter and Fermit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwaided to Utility Billing Clerk.
5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water tum-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the pr•eceding work day. Requests for PM inspections will be accepted
until 12:00 .noon.
i
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) q_ a 3_ 9?
CITY OF EAGAN r,
3830 PILOT KNOB RD - 55122 kIAI L
651-681-4675
New Construction Reauirements
? 3 registered site surveys showing aq. ft o//ot sq, ft ofhouse
and aroofed areas (20% maximum fot coveraae allowed)
? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.)
? 1 set of energy calculations
? 3 copies of tree preservaGon plan if lot platted after 7I1193
DATE: Z -L
DESCRIPTION OF W
RemodeUReoair Reauirements
? 2 copies of plan
? 1 set of energy calculations for heated additions
? 1 site survey for azterior additions 8 decks
CONSTRUCTION COST: Znego "
STREET ADDRESS:
LOT: BLOCK: SUBD./P.I.D. #: UsI VV'??t u"V?
Natnr._ Phone #:
PROPERTY Last F °
OWNER /
StreetAddress: . 1 [MN l??rr?k?1 '?[Y1
City State:
Corr'rRa.CCOx
Str-eet Address: 1200 E.79th Street?
ooming4on, h9fV 55425
Giry tate - j 12-1 0 ? 0 r- !Z ARCHITECT/
ENGINEER
SQeet
City
Zip:
Phone fl:
Registration #: _
State: Zip:
Sewer & water licensed plumber (reauired for new construction onlvl:
Penairy appiies when address change and lot change is requested once permit is issued.
i hereby acknowtedge that I have read this application, state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applica
OFFICE USE ONLY ?
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received ? Yes _ No _ Not Required
Phone #:
Zip:
Iicense # ? Exp.
agree to compiy with all applieable
;I1 J 11
,,1??
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
0 02 SF Dwelling ? 07 5-plex ? 12 92-plex ? 17 Garage O 22 Porch/Addn. (4sea.)
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Levei ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 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 Demolish (Interior) ? 42 Reroof
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
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Baaster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Valuation: $
% SAC
RXYLRZOR ENVELOPE SPACB "b" COlUMTm : - ?
(To be adbaitted with bui2din
? 8 Permit application) I.,?. ?•, .
Oea or two family dvellingX_ ?. -_ C ,?? ???,• , :
All other a
? S $/?1 ? ct r? ?Owner • MQ ?4 MQg ,
1 L?nP,FOr {-?euc .l
b
Iq _ To? f S i te? A dresa . ,
Coatractor c
C?ate_fp_ Phone
LUiPT. OF
Ct'08ED iJALL
dlAQtTE N
above gtade-
• TOTAL EXPOSED WALL
AI.L COIdSTR11CTI0N; "U" qa lue X- a raa
A eq.
Deka$1 roferencQ ? "j aq.
from ?r" a aq.
ateachod aheote ?
tLi ft a
sq.
'` -7--" BQ.
x sq.
,IU
x
aq.
ft. ?
ft. ( C, '7,'1.Gi •
ft. .
ft. ¦
ft. .
f[. • ¦
ft. ¦
. vALUE X df?oo
stza &, egpQ
vr
la po
.
nA?T I C)?? ; IvEATN e4Z?-
ft?
sq, fe.
sq, f[. .
a ?_ i t
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fco
I lu t 1 (0 ?..r,
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?, 1 hl • ?.U ??-'?-a e q', f t e ???
s 4 a f t.--? .Q?W
sq. fr. -7 , Z
;^320s ?`"711" dafldQ i? aa-¢a o0?25 a
xno
sqo
eq.
u oq.
?o o d 4 3
By ??, c?A::..a. a? 'r ? Aft, n
-??- GB `0U°1 0?7 os fleao F?g g6 2 fraIIily deaallingo
022 ox flaao aog oll mehor buildinga
• -i ]?'L EI(d.%R]G e
'A+? A=;
gQffesQeaca ft,
?Yco
:uchcr7 o&?ooea ? n
IcPribo opmnSaQa ,.Uflp
R
-?-?---??
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R
TA1. • (IT) (A) VALIIES
PIDED BY TDTAL ROOF,/
EB.Ef7G AEM
fr.-?o, o ?
fc.I
, M
fe, ? ? M I
ft.____??,
TOTALS?_eq, ft. , , 3ro?
aqo fto- ! 1-70 ° 50, 3 N?
-
eq o f t. o -
----?
QQe gte m y.
(u)
a9o ft. .
oq, te. - ?
TOTALS_ 11-70 eq. ft.- S?(p?
I 1-70.O - I I
, ?
. . . . . . . n . . f _ . . . . . . ' ?. ." y . - . . "? 'Ti
.?,
.p-
pVIACE ?.OS for vantialitsd roofs ' , . • :..r, >.
.10 for sll other conetruetion • ,
VQO!!/C6ZI,II1G; L, R- value / . .
I. ?lTSt"F. t412 . • 1`7_ ' ' _ • e, '.? •
. Zo
1 WS U?.AI I??1 ? . Q?
. ..,.
30 ?ii ?? P?.??? .?5 . . ? ?: ,
^ t .
4. I"!5.aA?66 .121
S•
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• ? . AD- . • ... ' ? ,
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l0 ' . . ' ... ?.
, Zo
3, '
' 4. . N (noW
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e
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??itf3Y BE ovorogo "II° vefluae es calculated rabove do not rat tl?s, Eo?tgy CodO r?9!drrst?*? ?.
"Ageoa?aea ?velo?p€i Deoa?1e ae ?Clinsd? in 8HC 6006 ?{g)' oey be•wod. Additia4w1
?Ca?e?o c^s9 bo uoad ¢? F,?hcw ealcaal4eSoae.
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2004 RESIDENTIAL RUIILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
/3 0 Sz'
New ConsWdion Reouirements RemodeURepair Reauirements
3 registered site surveys showirg sq. ft of lot, sq. ft of house; and all roofed areas 2 tbpies of plan `
(20% ma)dmum lot cover?qe allowed) 15et of Energy Calcuietions for heated additions r, ? ?
2 copies ot plan showing beam & window sizes; poured tound design, etc. t sRe survey for additions & decks .?
1 set af Energy Calculations Add'rtion - irMicate if on-site septic system ?3 ? „
3 copies of Tree Preservation Plan 'rf lot plafled affer 711193
Rim Jast Dehail Options selection sheet (bldgs with 3 or less units
Date ?_ / ? / ? Construction Cost 6
?
Site Address MC- eA RT /-j 0 A D Unit/Ste #
E644..i M 11) { .
p
Descri tion of Work
D ? C S-? ¢
?1e?' ? e !-?. ?. o ?'ZL I-? tP? 2
Multi-Family Bldg _ YYN Fireplace(s) _ 0 _ 1 _ 2
Property Owner () K147''n??eA? E Telephone # 6 (3q3
Contractor H Qv'Afs f-?0 n/`r,, )WIIPYLovr-w':c_cc-?'T j ca't-P A% (Z
Address ISqS ?lcCwv•f 1-?(v ? C)Ap City L6Cri4w
State Zip ti S 112. (
-.:?- Telephone # (81 ) ITZ `f- 4 Z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted •
Have you previously constructed a building in Eagan w
fee applies. D ? ? ?
similar plan? _ Y _ N If so, 25% plan review
Licensed Plumber • I a 01104 Telephone #(
Mechanical Contractor JUu I Telephone #(
SeweNWater Contractor °y - 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
Staiutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
?G I?IN e- , Z/m m e- 2 tiM ? n> i? .
Applicant's Printed Name ipplicant"s 'gnature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex 6 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
Work Types
?§ 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
O 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy rz, `7 MCES System
Zoning )L. - I City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
Footings (new bldg)
?Q Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
,
Approved By:
REQUIRED INSPECTIONS
Final/C.O.
? FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ AidGas Tests Final
_ Siding _ 5tucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector ?
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies • ?.5
Other
Total
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2006RESIDENTIAL PLUMBING PERnniT aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete fqr modifications to existing residential dwellings.
1
D
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a
e
Site Street Address Unit #
Property Owner Telephone # {&6h 6u5 ` 03
Contractor iNmvj I 1 Telephone # (1?5/) 46a-/n7
Address Cit 5tate .{/t/ Zip?
41
The Applicant is: _ Owner k-Contractor _Other
Septic Sysfem - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.06
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
er and/or water
heater at the same time. 1{ you are installing only a water soffen
`
r
heater, do not complete this section; move to the next section, and?check the
appliance(s) you are installing.
_Septic System Abandonment'
'
_ Water Turnaround (add $130.00 ff a 5/8" meter is required) i
,
Other:
_
Water Softener , Water Heater $ 15.00
_ r.ew ? replacement
_ Lawn Irrigation J-RPZ _PVB _new _repair lrebuiid $ 30.00
State Surcharge $ 50
Total $ v. ?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; thaf the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reie e nd approved.
^ ?
.
ApplicanYs rinted Name Ap I ca ature
Use BLUE or BLACK Ink
r
For Office Use
Permit #:v J
City of Ea
E I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: /
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: f Z-EaU Site Address: S C Cbt~'' 1 ~tl P-0 1 Q
Tenant: -U vt V%' > c 5 C Suite
RESIDENT I OWNER Name: G Phone: Z Z 2 ^ 3?2
Address / City / Zip: 04qC C m' l Ae,D
Applicant is: Owner _Le ontractor
TYPE OF WORK Description of work: ~lot-c- V, Go'+'-' 66e 000.1-
Construction Cost: f,: Multi-Family Building: (Yes, / No
CONTRACTOR Name: d 0RC Je""Lt 1 htt ,F' ~ e set: Z06 YY~ y
Address: ! S~~if C C f~ y w
City: State!fl Zip:
Phone: g ( C02 kr6" Contact Person: 5Ue-IIJ
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:
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 the are trade secrets.
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.org
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 work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x (Jh h 1'!n'1~.~
Applicant's Printed Name tffipiicant's Sign ure
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171024
Date Issued:07/27/2021
Permit Category:ePermit
Site Address: 1558 Mccarthy Rd
Lot:14 Block: 4 Addition: Oslund Timberline
PID:10-55300-04-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Laura M Engelhart
1558 Mccarthy Rd
Eagan MN 55121--190
(651) 261-5429
Water Heaters Now Inc
23310 Canby Ave
Faribault MN 55021
(952) 688-2222
Applicant/Permitee: Signature Issued By: Signature