597 Middle Lane(gerti#trate uf (Ortu?attry
Citp of (Eagan
loPvatand itf RU{(U1tQ iwPltlQlt
This Certrftcau usreed pursuant to the rMuiremeoeu ol Section 306 of the Umform Buildilrg
Code aertifldn8 thal at
ondimnces of tJre Cuy
roliance wilh tlre snrious
SF Ix+]G/GAR ew? Pa rro. 19065
R3/M 1 yoming Obbiet R 1 Tya G,,,M vN
L-X*Y L2, B 1, MANOR LAKE 3RD
7/23/91
.e,
c• • i ???' /?1 ,
l
(grr#ifira#t of (IDrxupatcry
(Citp of (gagart
Erpatum u# guYtd'atg 3mvpnimt
ThLs CernJiaQle rssued pursuant ta lhe rrquinemextr of Se+ction 306 of Oe Unifarm Buad'rng
Cade cutifying lhat af 1he Aime of issuance [lu's strrccture aas in rnmpliarrce wilh the various
ordinanaes of the aty regulatutg buildirtg onnstnrctiort or use For !he foldowurg:
use abmiscidw SF DWG/GAR R BW& Pamit Nm ? 5
?? 1? VAi? EYI?FS ? ? .A1Y "D 42, B V=
? 7/23/91
POS7 NI A CONSPICUOUS PLhCE
+ . . . . . r ?s- ?w?sv?r?.. . ? . ? t .. , ., . . ? ?..- .? ?. .-cic?atr -•?r-s?.- .- . . -+? ? , . .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
• PHONE: 454-8100 ?---?
BUILDIPIG PERMIT Receipt #
To be ueed for SF DfiG/GAjt Est. Value Z87, Q00 Date Z1AY 16 , 19-%-
Site Address 597 !lIDDLE LN
Lot 2_ Block _I Sec/Sub. !lA1VOR LAgE 3JD
Parcel No. ' aFFICE USE ONLY
Occupancy Z-3 N- FEES
Zoning &-1.
W Name ? YAl:ifE litJl?.?
? Address - 2300 V COUM ROAD 42
0 Clt Bv?. ?L?i
y Phone 894-6343
=o Name SANE
Address
? City Phone
? W Name
WW
? ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with ail applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee ? , -
A Building Permit.is issued to: TOP YALM gQM
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
8uilding Qflicial
?
(Actuaq Const V-N Bldg. Permit sBl.?
(Allowable) I&A
Surcharge .+lC
# 01 Stories
Length 301 Plan Review 37a•?
Depth SAC.City 100.00
S.F. Total - SAC, MCWCC 650,00
S.F. Footprints -
On Site Sewage _ Water Conn 660a00
On Site Well - Water Meter 93•00
MWCC Syslem X
Ciry Water
?X_ Acct. Deposit IQ
--.AM
PRV Required x S/W Permit 30•00
Baoster Pump - SAN Surcharge • 50
Treatment PI 275.00
APPROVALS Road Unit 37Q•00
Planner - Park Ded
Council
BIdg.Off. _ Copies
Variance - TQTAL 3,214•00
Permk No. Permit Holder Date Telephons ?Y
WATER
SEWER
PLUMBING
H.v.n.c. ??/ ?r 9/ ?q0-?/o8
ELECTRIC p o
Inspsction Date Insp. Comments
Footings I ?d
Foundation
Framing w
Roofing
Rough Pibg.
Fiough Hig. u? C'J l . S'
Isul.
Fireplace
Fnal Htg. 71
u)
Orstat Test
Final Plbg. . 7 Plbg. Inspector- Nolity Plumber
Const. Meter
Engr.lPlan
Bldg. Final 7
Dedc Ftg.
Dedc Final
well
Pr. Disp.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
.
DATE rAY 16, 1991 ?
SITE ADDRESS 597 F.? U?'L`- L N
LOT 2 BLOCK 1 SEC/SUB -
APPLICANT:
ADDRESS:
CITY, STATE
PHONE:
PLUMBER:
ADDRESS: 12350 R1VER R1DGE BLVD
CITY, STATE ' • ' ZIP 55337
PHONE:
PERMIT REQUESTED
X SEWER % WATER _ TAPS
- COMMIIND v RESIDENTIAL
NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
OWNER: TOP VALUE HOMES EAGAN ORDINANCES
ADDRESS: ? 500 W COUNTY k0,'?,, a2: ? -
CITY, STATE $URiVSVILLE t4N ZlP 55337
PHONE: ATU HEN METER ISSUED
PLEASH ALLOW TWO WORKING QAYS FOii PRIQCESSING. CALL 454-620 FOR INSPECTfONS. FOR STORM
' SEWER PERMITS, CONTpGT ENGINEERING DEPT.
.5" - i ._ . ?". - ,. . • F n ,? ? _U- t?I
ZIP
OFFICE USE ONLY
METER # 4/y9 ? 7 3 C3 PERMITDATE 7/10/91
CHIP # 6.(9 / a y 3? PERMIT # 12136 .
.,
METER SIZE ` B.P. RECEIPT ;If i'
ISSUE DATE 3B.P. RECEIPT DATE 5/15/91
x PRV - B005TER PUMP
MANOR LAKE 3RI)
7;rrw+r??.s.r.w.,. -.,r,??'r'?tmT:. r±?? i++? r1.s.r:.n,,.- .-.y?-..er.',R"'nT -4?.,,y.........,? r..--•.n.?y.;^?S.-.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE 16 lQS1
OFFICE USE ONLY
PERMITDATE 7I10191
PERMIT # 12136
B.P. RECEIPT # B.P. RECEIPT DATE 5116/y1
X PRV - BOOSTER PUMP
SITE ADDFtESS --`'17 `1'L'?-? Lti PERMIT REGIUESTED
LOT ry BLOCK 1SEC/SUB 2'?NOk LA'`E 3RI}
_ SEWER -' WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND X RESIDENTIAL
CITY, STATE ZIP X NEW - EXISTING
PHONE:
PLUMBER:
ADDRESS: 1V50 RIVEk R1DGE DLVD
CITY, STATE ZIp 55317
PHONE:
OWNER:
TOF VALiiE HOMES
ADDRESS: 2500 fv COUNTY RGAD 42
CITY. STATE bURIdSV1:.Lc. rfEl Zip 55 :'37
PHONE: f' 94-•63 45
Lawn 5prinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FaR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Control
INSPECTIQN REC4RD No. ; ; ,.: CITY OF EAGAN PERMIT TYPE: f"J+ tI' I N';
3830 Pilot Knob Road Permit Number: I' f' Fi
Eagan, Minnesota 55123 Date Issued: a F' / 4'
(612) 681-4675
SITE ADDRESS: toT: ? BiOCK, I APPLICANT:
11141 MtnDI.f UnME l.oqAp apIAM
MAN«A t Ak F 3R11 ( 612 ) 6i3h- 0693
¦
PERV?T,py,BiT1fPF?? r sN TYPE OF WORK: Ae. tERaT xvw
(FIxMACE zrxL)
PermR No. PwmR Holda Date Te{ephona #
8/1N
PLUMBING r
HVAC
ELECTRIC 129('j 0
ELECTRIC
Inspectlon Dete Insp. Commerrts
Footings I
Foundation
F?amirg rIO
RoO&9
Rough Plbg.
R°"°r' "`a'
lsul.
Fimpkice
^,7- v
Flnel Htg..
Oisat Tesl
Flnal Pibg. PWg. Inspect?or - Ndiy Plum6er
Cor?at. Meter
EngrJPlan
6k1g. Final
Deck Ftg.
Dedc Flnal
Well
Pr. Disp.
;?9
?//i/9/
• C°/?893
.
10 3 5 3,?
p /V'
Reauesl Dats
G _ ?Q ? ? Fr No. Rough-in Inspectlon
R iretl?
? Reetly Now A'Nlill No[iiy Inspeclor
n R
?
Wh
tl
/ C No
Yes e
ea
y
I ltlicensed contractor ? owner hereby request inspection of above elecirical work at:
Job Atltlress ISheet Box or qoule No.
S ; l
Ldite Cry
E"a ar>
Sectian No. TownsM1ip Name or Na. Range No. County
9
Cccupanl(PRINT) Phone No.
o
Power upPlie
o ?a Elec?r Adtlress
Bac?ncai Gontrec?or (GOmpany Name? . ConVactor5 Lioense No
/
nc 0 1 s
Mamng ntltlress ICOnirecmr or O er Making Install Oon? '
r
O ?
Fr??r s • ?K v '
Amnonzetl Signatore Contr torlOwner Meki Installation) one Number
r
J ?
MINNESOTA STqTE BOARD OF E4ECTfll V THIS MSPEGTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - Room S-173 BE ACCEPTED BV THE STATE BOHRD
1821 Unlversily Ave., Sl Paul: MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(fi19)66Y-060p ENCLOSED
.
(P/?? /!}? ritEuUEST FOR ELECTRICAL INSPECTION /Jee-oooop?-oe J
? See Insvur,lions far compleung [hls brrn on beck ol yeilow copy.
II -in 1 C? ••yrr O..l..ui IA/nrL !`rnmrorf hv Thie Aa11 1ael
ew ATJtl Rep.l Type of Building AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specily)
I CommJlndustrial Fumace
Farm AIr Conditioner
Ot?er?specityl Canvactor's Femarks'
Compute lnspec[ion Fee Below:
d Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool to 200 Amps ? 0 to 100 Amps
Transformers Above 200 _ A s Amps
Signs Inspector§useoniy. TOTAL S-.p
Irrigation Booms
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DI CONNECTED IF NOT
Other Fee . r
COMPLET
I, the Electrical Inspectoi, hereby =
Rou9n-m +0
certify Ihat the above inspection has
been made. (
/ . Oate
OFFICE USE ONLV
This request voitl 18 monIDS trom
K o 513 6 e
Y
Raquest Date Fira N Rough-in Inspeclion
Req - etl?
? Ready Now WAI Notity Inspecbr
s G No When Ready?
ILI licensed contrector Xowner hereby request inspection of above electrical work at:
JoD AOOress (Sheet Bav ar qoute No )
?'9? ;ddle Gan? City
Section No. Townshlp Name w No. Range No. Couny
Occ ntIPRINT) Poone No.
N' /v n
Powar SupDlier Atltlress
Elecinc Co bactor (Company Name) Contractor4 Licensa No.
Mai i g Adtlress IConVactor or Owner Making Installatqn)
ov
Am rizeE Signalure (COmractor;pwnerMaRlnq Installation) Pnone NumDer
1 ?
MINNESOtA STATE BOARO OF EL88TRICITY THIS INSPECTION REQUEST WILL NOT
Gr199s•Mltlway BMIp. - Room S173 8E ACCEPTEO BY THE STATE BOARD
1627 Univenity Ave., SL Paul. MN 55104 . UNLESS PROPER INSPECTION FEE IS
PhoneJ612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ,07Ai?TMF??y EB-00001 -08
?$ee insVUCtions (ar completing ihis form on beck oi yellOw copy. F??'?D?
K /y 6
`? 5136 - ? "X` Be/ow Work Covered by This Requesf
ew Atld Reo Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Waler Heater Electric Heating
Apt. Building Dryer Other(Specify)
Comm./Indusirial Furnace
Parm Air Conditioner
Other(specify) ConVactar§ Remarks: /
1
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circufls/Feeders Fee
Swimming Pool D to 200 Amps a l0 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SIgOS Inspectar5 Use Only: TOTAL p
Irrigation 8ooms Q?
Speciallnspection
Alarm/Communication THIS INSTAlLAT10N MAY BE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough in oa?
0
certify that the above inspection has
been made. Final e
? o
?
OFFICE USE ONLY
This repuest vaitl 18 months Irom -1/0
• r
CITY OF EAGAN N? ? g065
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 n ? 2 ?/ eC-
BUILDING PERMIT Receipt # ? ,
?? lo .1
Tobeus8dfor SF DWG/GAR Est.value $$7,000 Date M?Y 16 1 g 91
Site Address 597 MIDDLE LN
Lot Z Block 1 SeGSub. MANOR LAKE 3RD
Parcel No.
w Name TOP VALUE HOMES
o Address 2500 W COUNTY ROAD 42
City BURNSVILLE Phone 894-6345
o Name SAME I
g? Address
City Phone
?
t u W Name
Address
a W City Phone
I hereby acknowlage that I have read this application and state that the
inlormation is correct and agree to comply wilh all applicable Slate of
Minnesota Sta[utes and Ciry o/?Olna es.
SignaNre of Permilee L
A Building Permit is issued to: TOP VAI.UE HOMES
on ihe ezpress condilion that all work shall be done in accordance with all
applicable SWte ol Minnesota StaWteIs andrCniry11of Eagan Ordinances.
BuildingONicial fiv1? 4irA f IIILJ
OFFICE USE ONLY
Occupancy R-3 21-1 FEES
zoning R=1
(ACtuaq Const V-N Bldg. Permit 581.00
(Allowa6le) V=N Surcharge 43.50
M of Stories
50'
PlanReview
378.00
Lenglh
Depth 4' SAC, City 100.00
S.F. Total _
SAC,MCWCC
65n.nn
S.P.FOOtprints _
On Site Sewage _ Water Conn 660. o0
on sice wen water Meter 95.00
MWCCSyslem X
3
cirywater -- Acct.Deposit 0.00
PRV Required X SNJ Permit 30.00
Booster Pump - SM' Surcharge .50
Treatment PI 276. 00
APVNOVALS RoadUnit 370.00
Planner - perk Ded.
Cauncil
BIdg.Ofl. _ CoOies
Variance - TO7AL 3,114. ^^
CaTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
S{TE ADDRESS:
PERMIT
Control No. 1147
PERMIT TYPE:
Permit Number:
Date Issued:
697 MIL7DLE LANE
L.OT. 2 BLOGK'a 1
MANOY2 LAKE 3RD
BUILDING
001.558
10/05J92
DESCRIPTION:
?Buildap4 Permit Type
l?BU.1lt1it7}''Work l'YPe
UBG 4Cauparrcy
?
v
t, t
BASEMEN7 FTNSSH
AL7ERA'TION
R-3
. ? r3
t / y +
ti
? _ . . ?"? ?. ,,.....
REMARKS: C D QllVy
FEE SUMMARY:
Base Fea $35.00 COPIES
5urcharge $.59 ?oT.al Fee
5ubtotal $35.50
CONTRACTOR:
I herebY acknowledge that 2
anformation 3s correct a-nd
5tatutes and Ci.ty of Eagan
_........?._.?.... 1 . 5 0
$37.@0
OWNER: - Applicant -
LOGiAN BRIflN
597 MIODLE LN
EAGAN MN 55123
(612)686-0593
hava rea,d this applscatian anti sCate that the
agras to eomply uith ali applicabie State of Mn,
flrd'irtances.
?
APPLICANT/PEflM{R E SIGNATUFE
SISUED B ,??,
-? I?NA
PERMIT N
REACTIYATE
1
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
$51•00
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I 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.
ate 0 q /"_ /Yal uat i on of work'5? .3 600_ °6
Site Address: 59'4 NN;riAk, l,uweu L
STREET SUITE 8
Tenant Name: (comnercial only) ?y
7AT SLOCK J_ SUBD.? y?? r P.I.D. N
escri tion of work:
the applicant is: EA Owner ? Contractor 0 Othel^ (oeserlee)
Name I -a? Phor?e 6F6-064_3
?roperty LASr rIRST
Owner
Address 5q-4 rn;dtile Z.aN-Q
STREET STE N
City EanState _1'V1rL Zip551a3
Company Phone
COntfBCtor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber . Processing time far
sewer 6 water permits is two days once area as 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.
?
Si nature of Applicant:l?-tamlr?a
??A?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
O 04 Sf Porch
? 05 Sf Misc.
WORK TYPE
)? 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 S-Plex
? 09 12-Plex
? 10 Multi. Add'1.
O 33 Alterations
O 34 Repair
C.,ENERAL INFORMATION
? 11 Apt./Lodging
0 12 Multi. Misc.
0 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
0 36 Move
Const. (pctual) Basement sq. ft.
(Allowable) Ist F1. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of 5tories Footprint Sq. ft.
Length On-site well
Depth On-sfte sewage
APPROVALS
,Planning Building
Engineering Yariance
REQUIRED INSPECTIONS
? Site ? Footing ?Framing
? Wallboard ?Final p Draintile
__q3_V
i
_??--?-
?.
? Insulat.ion
? Fireplace
Permit fee 3S. iaJ v.??rt?:
Surcharge
Rlan 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.
Co Pies ?,60
Ot her
Total:
S
•?1&Baseiment Finish
? 17 Swim Pool
? IS Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Pubiic facility
? 21 Miscellaneous
O 37 Uemolish
MWCC System
City Water
PRV Required
Booster Pump
fire Sprinkier
Census Code
SAC Code
Gtat1s Mf al?ij ?
C4o5«" a o rl*
Assessmer.t;
SAC % I
SAC Units
.R CITY OF EAGAN
' 3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT # RECEIPT # DATE : 499F
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACN UNIT.
---------"---------------------------------------------------------
WORK DESCRIPTION
NEW CONST _jff'
ADD ON _
REPAIR _
OWNER NAME: _ Tor U/gLu,.r_ AOmE5
SITE ADDRESS: 597 I'V/WalLe L4
LOT: o?. BIACK I SUBD:?
INSTALLER: ? t ?-ADDRESS: XV90
CITY: 4,cosU/L(.E ZIP
COMPLETE THE FOLLOWING:
ND. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00 •?
SHOWER 3.00
? WATER CIASET 3.00 3
I BATH TUB 3.00 3
? LAVATORY 3.00 3
KITCHEN SINK 3.00 2
? LAUNDRY TRAY 3.00 3
HOT TUB/SPA 3.00
? WATER HEATER 3.00 ?
? FiAOR DRAIN 3.00
GAS PIPING OUT.
(MINIM[TM - 1) 3.00
? ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL
ST. SURCHARGE .50
TOTAL: ? Oo
PLEASE COMPLETE THIS PORTION FOR ALL C0MR4ERCIAL/INDUSTRIAL BUILDINGS AND
MtJLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:_
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$ $_
STATE SURCHARGE $_
TOTAL:
(SIGNATURE)
: .5-15915/
` CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
"WooPk? oom
FOR CITY USE ONLY
PERMIT SRECEIPT #
DATE: ?
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ]
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-------------------
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
DWELLINGS &
FEES
OWNER NAME: r610 V4LLGE A01Ylz S
SITE ADDRESS: ??/ /-l??LE L.?}N6
LOT: oci BIACK L SUBD. ! •?'?
INSTALLER:
ADDRES S: LCy
CITY: zIr: 5,5337
PHONE #:
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTO 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $?
STATE SURCHARGE: .50
TOTAL: $.?2'?'d
SIGNATURE OF ERMIT A
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
, 1991 BUIJI MI ACATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
? Date:
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SUKVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGY CALCUI.ATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
KAY 1 0 Reea
To Be Used For: Valuation
Site Address r
Lot 2 Block ?
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor
Address /'?p. ??-
City/Zip Code Ss37 7
Phone
Arch./Engr. ??L GYGSiyG?
Address
City/Zip Code
Phone #
81,Doa
Occupancy 9'31y1"?
Zoning C2 - 1
Actual Const VPN
Allowable V ? N
# of stories
Length
'yz:
Depth ?
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water
PRV ??
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Dff.?S siy.ql
Variance _
COMMERCIAL
ONLY
FEES
Bldg. Permit .Sg1jaJ
Surcharge ??su
Plan Review 378,u?
SAC, City ?D6,00
SAC, MWCC SoiO"
Water Conn. 0o0o
Water Meter s ory
Acct. Deposit 30•00
Sfw Pezmit &.t?
S/W Surcharge Aso
Treatment P1.
J
2-16.0
Road Unit 0 10 0
Park Ded.
Trail Ded.
Copies
SUSTOTAL
Penalty
Lot Change
TOTAL ??
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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Certificate of Survey for:
2422 Enterprise Llrive
Mendote Heights, MN 65120
:?Lwvry',?qpE11FCHITECT4 I (612) 681-1914
!/.?iLGfE 1-10Mje S
NORTH
86.? N89°a?`4?"E
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PAGAslt ENGIixTEERINC DEP1'
•.900-0 Denaies fxisl('n? Elevation Pr?vvsEO Housf EcEVari
r oo.o benotesPrapo edE7eva}ion Lowes FloorEleva ioo c)45;. i?
-------- Denofesp•dma¢erUtr"lrfy £asement T?opof?Black1-lPVOtidn _ 448.1?
---}----- Derrales RrtirjncYQe f/aK7'Direefidn Gardoe Slab Elevation 947- 913
o Derrc7les Manuffienl Beari15 .shown crre as,sumed 0L)2/lo es 0775e l-k6
;
L0T 2,BL UCAI 1, MAiVV I.AKF 3RD ADCIT/DN
CadNrY) MIrvNESOrA
my direct supervi57on a?d thal I am duly Ryyyeg???igter4d land Survevor
? hereby certlfy thet thfs survey, plan ar report ways?p,•,?e.%?ared by mtr /oyr u?nder,r //
under tha fews oi ihe Stete of Minnecaia. OaTed thh?ECt d8y 0+?.?.LfJ? A.D. 19? ?/s / ??Z
?
?fM ?//f/? ROBER?H.S?K?CM?`$,pEC3,Nt714pS1 '
SC2t, I/f/4/l;'T W
E:::XTF:S'i:t'C]E? L-_NVELt]Pk: AULI'=S(•1GG "It° CC7Nt'L.11"A"i'TClhl
OWiVEri_........kiRIF-1N :': C.:OI:Ifdh1E:. I_O(.'AIN! 7 zf' F't..AN IVf:I„ 9-'04Z:.r-'1
St r-_ ADDr?ESS Lof ?- aGl / `?"Ge 3
..__.._._.... ?--...._..._...
.
._
cnr.?-r .
--
r;??c?ruFe___.----.._..__i--• v,ai_?_E -_....
_... __----
Ho??u.:s ---........_ _ -- -- -?--------
nta-r?:?1-=9/-------
I:7E:`;F:-FiI°ilf9f= 6JClfik:::?:h.ILa 8G!l.1Fif-iE: 1=OiJ7r'd:iEi:
2439.93
1. Total 2v.pased wall area 24E:0.75 sy,. ft. :, .1:
2. Tr.ital rnof/=-ei 7. i. n(7 ar-c_ _Z 1159 sq. ft . , .026
:.,. Tcat.:al S1nr.,r ca!-rt.. area <:{:.bEa sq.,Ft. .. 0.026
rovE'i^ 4_tlll"1EEii1_r.d encZ oserl ar'easi
'i. TOtctl .s:SO0r C:ctn'F.. c:Y'E2c3 28 _r.t:l„'Q't:.. „ [').t.lii
irrve=r- uunheatec.l r.,xoomt_rci arc=<'ass:
5. Total e:;F:,osed wa3.l area abovE tFicz floar.
P?H oNE
270.6325
_,ri, 13y10,77i 16
2. 2r:1.
22hS. z)i?
a. Tctal wa}. l wi. ndaov cli"P:i1 . . . . . . . . . . . . . . . .. .. .. ... 176.3559
b. TQt.c7.L dCiGi' "cth'E'c:.. ., .. . . . . . .. . . . . . . ., . . . .. . . . . 57.8289
. . . . 42.2211
c, fc?±.;:.?1. =.;l.:i.???.r?r.? t:.L?.?:,::? cf??c:,i?- .-?rc::a„„,.........,.. d. Iot_al }ir-f_c].ztrer «rcac,. ......................
e. "fota2 wa12 {i•<,minq area iave. 3.ia%i........ 226.::398
r. I-atal ner` wa11 area a.::bov,.: t.YiE:+ o-}. or_qr . .. .... J. ;'E,5,.6:T6
ct .. T c,t a 7. -- i. m :; n i. st ar r a > . . . . .. ., ., . . . . . . „ . . ,. . . ., .. 171
TOl'AI_. EXF'O;ELi {"CitsNDAI"7:Oi`J F,REA .,,.....,......... `:>rt 77
h. T'c,tc,l f:;i..tnd«t.ion wznclow area .. ... • • -..... , +)
i.. 'fotal net foundati. on area . ., . . . . . . . ,. . . . . ,. . . 20.77
DFater'mr.nr± °iJ" valur (7'r [?ctCtt wa:l scomcani_
?,. ;.7b.:_5.'.r`-'i .. "U" 0e->,.t _
57.8289 ,. "LI" 0.06 _
c:. 42.2211 ., "lJ" 0.39 -
d. i; .. "tl" 0 _
E'.. 226.. i398 S, uUu 0.09(1334
1765,.676 i: "U°
"c
0,.043215
q. 17i. :, °U" 0.0406E33
fl .. '..) .. ° U' 0.39
.1. . 20.77 .. "U° 0.076161 68. 7'7EJEi)
3.469734
i.b, 46f,::?
i?
20.49665
76.30406
6.956875
6 . . . . . . . . . . . . . . . . . . . . a . . . . . . . .. . . . . . . . TC}tctl 94 , i`'r:} ''
If .t?:?m k4F is tF?E. ._.>?.-.ne <:?.? or l.es?? th?.n it.F:m? #i ?,•o;_? I'li]b'E, iil...`.r..urrent
srnerc.iY ccx:eas„ 2 i•itJRR 1.16008 f-1 r='rh,.li.i CJ.
.?_ ..._1 n 'X?'l:;ct?iE.7.i ??ir-.l.,? y "jC:' i ..?,[.,:'_,1:L...?z. ,???...i.??.? .'?.C ' .?,?{I:::.
?i.!?ri.., rG-3
11`.i9
i„ i't,it,l 5l.::•y1ighl-. artaa ...,.... ..............„. Ci
:., ? ?,..t!_ ?i - ?aa t. P..r?..]i' ?:?:'r...?'.i. _ ?-. ? ,:..,,..? sr? fr?. ? i..?= - c,.
...i?.. ? s..t
..' . ' .,;t1:1. ... _ 1 ??.:r T'??.? ,. . , ,. . ,. J..a .L
, . .
_. .. ... , ...
}.? I'cFi.?._ nr*t:. +l.n•t. r`c:,?S?JC:«;,Iir:c: ar-e;;....„..„„„. 1043.1
,
;?::r:'C:t;r-i?::,ncr - . .?
??r.J?? .:??:14.4E '4'L:pr k'fV-Jf1 ?-uc?,•c_i.., t.. `=Ei:'CIO7Pfl...
l . .. ?` !J° 0 ._• t,;}
4?. 1159 ,. "i..t„ 0.0::'ra5'`?w`T -- 3.120624
.1.. 10L43,, 1 „ "1.,'" 0,.022C194 = ....:.. 777it:>
?. . . . .. . „ ,. . . .. ... „ .. .. . . .. .. .. . .. . .. .. . . .. . . . . „ „ Total (6 E £??-)76
E 63!ii t11" ].E•c•r 't.ht.rs a.er? ?Fi.; ?y'{Jl.l ?luL"F.. A1E31.= tle
:I:f i'k:.F3m #:' iE tl';c= sr:-tfP. 'i: ?
ener-c.iy i_tidea ... !°it,.AR 'ti .S.z:,00`sa ;y z.:,1`.ia:7 0.
,O'rAt_ r t...t_itise crrN-t. ARr-_+, (E:ni_?.r_ssc?d: ?.
29.66
' _ ,.. ,
Ci. I-o....c3.L r.I.:3C3C' crs:r-?t.. f?ramin:? ?,ire?? (e.ive?. ].v:o). ..:'.`9E,r.
p, r;:,k.e:il net i.nsu.lated flor.tr'lca.r,t:. <a.rea,...... i:.'.r.r,');.j.
I>r,ter'mzric "l.1" ?<alu.;; ii:,r trtact-, floorlcan't.. s,_:,qrnPnt..
0. ._.c'ic`,7 ., :J" 0064143 _:. 0.170250
,t':;. 26.694 .. °l.f" 0.0293B5 = 0,.784425
E3.. . . . . . ., ,. . . . . . „ . . . . . , . , . . . . .. . . . .. . . 'I`nt. ? ? Z-) , q;?.?.6'3','
I t i. t.em #8 :i.s c;-:a =t:amc as c'r ].e,=v; l'.har7 :i tc•m ;d;_t yo,_; h<rve tn,=t't t.he
F>na;_,rgy (.UCjE?. 2 MCFyt: 1.16009 A f`iNL'} 0.
f("'7-Ai... f-"t_s_'t;:tG.:'i:1i-`o!'k"f, i=zf":E:h ic:*;;pc:iseri; 2L
..
q., T::zt.al fl.c«?{•!r_ari1,=, f'r,zmino _,r-e?;a (a'v?r. 1C?"L:?. :_.fi3
r Tota:l not ir'ist..iia't'.E'iJ .rJ.(7V:)t'i:cif7ta c:i"E'cY...... .._._._..
i3r::tei•rnin:;} °U>' va.1ue for r,=ac:h f.oC:C",'Cnl'i'f.. 5t'?17R1r,Flt.
q. .__.''_? j ... ., "1,! 0.057438 . -- 0.160627
!
r. ..,`'i...c. :;; "U„ ;1.C3':',°csr'+} _.
9 . .. . . . ., . . . , . . . . ., .. . . . . ., « . . . . „ .., . _ . . Ti:] td l . B63: r. r.-.
T'h 1S:C_Cii 09 7.Si 'C'.I'iF:_ scdfiiE4 2?Fi f:?i" 1E555 'Ghc.Ul ].{'-f?!Y7 04 'a':71..1 hi=tVn fYIP9't thr:
enerqy r_c,ue„ 2 i"iC:AR :1.16008 A ,-:;IVI? l;.
I: HE:REB'r' CI_:RTl:Fv' l-lii-i`I' i I-'IA4'L: (::fitl.fJ1.1L_f'i'(!ci) i"'tiE: "{s" F(-;t:;'I'[tF'tS 63NI:1 H R''
,JFti...i.lE-.`;a tiE:!zE.[N ANr1 "(;-I( t 1i-Ikc: Bi_I:I1._.D:t'r`dt; !-i::l=iE Z?fE`,f:RiI3r:S.> S`IEc:7'S I.]R i:cXCE"El>;3
Ti-If_ ;3'flaT£F. Oi=- M:[NhJfcSL.1 i A iiNE:NC3Y C'i}IVSE=r:4'r;T7:OPJ rtC:;T.,
(,;.on.,F.url
..._C'?lcL__ .-GI?,__J_??'?j-------
(d<,te)
- I._.
TOTAL: ??
S9 ? 7`r1 r d'?
EAGAN MN 55122
(612) 6814675
PLE.ASE COMPLETE FOR SINGLE FAMILY
CONDOS WHEN PERMITS ARE REQUIRED
NO. FIY7C1'iJRES
SHOWER
WATER CLOSET
BATH TUB
LAVATORY
KITCI=IEN SINK
LAUIVDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OUTI.ET • minimum - i
ROUGH OPENINGS
? WATER 50FTENER
PRIVATE DISP. - nekay. uc
CT.G. SRRINKLER • tiome uada oonst
ALTERATIONS • io msting
WATER TURIV AROUiVD
STATE SURCHARGE
SITE ADDRE
OWNER NAP
INSTALLER:
ADDRESS:-74
CITY:
1994 PLUMBING
ot'
sTaTF.•
PHONE #: (?SS ) ? ??
??
FAMILY BUILDINGS `
DWELLING UNIT.
_ NEW CONSTRUCTION
ADD ON
_ REPAIR
WORK DESCRIPTIONs
MiJL'I'I-
: E?rCH'
CONTRAGT PRICE: $
FEE:1%a OF CONTRACI' FEE. .
STATE SURCIiARGE $.50 FOR EACH $1,000 OF
MIIVIMUM FEE $ 25:00 FEE.
?
CONTRACT PRICE JL 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. # . .
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: ' STATE: ZIP CUDE: '
PHONE #c
FOR: '
CITY OF EAG:AIV APPLICANT
1994 PLUMBING PERMIT "(COMMERCW.)
CITY OF -EAGAN ,
3830" PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454 8100
FOR CITY USE ONLY
PERMIT #
RECEIPT #/?9390_3
DATE: ?o2/d PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _ .
ADD ON ? ?z3mfi ?t.syj ? ll?
REPAIR a
OWNER NAME: &L?n
SITE ADDRESS: ."7 ? ?I m? /c?U"??,G ?7?(?
LOT: 02- BLOCK ? SUBD.
INSTALLER: SEpGV4!GK
ADDRESS: HEHTING & A!i COtv'CITIOPJIPJG C0.
Vtll"'.lctttl ct. So,
MIP.NEAPOLIS, h;N 55420
CITY: ant_ennpZIP:
PHONE #
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
$15.00
24.00
6.00
3.00
$ /.S d1l
.50
TOTAL: $ 15•S0
?/Il., 7 , ,? 4, z,,, ,
SIGNATURE OF PERMITTE //?
COMMER,?TA,T,f?l`IAASTRffiA?.:i PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
_ ..... .: .:............:......
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:_
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1% OF CONTRACT PEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCE5SED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
L_ 2 BL
SUBD b??efsr ? ?
?
?
CITY OF•EAGAN GITY USE ONLY
PLUMBING PERMIT I
(612) 681-4675 RECEIPT # ?", OG?
DATE O ol(/
&88IDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR 5INGLE FAMILY DWELLINGS. ALSO, FOR TOW[dHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FDR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ABD ON
REPAIR
OWNER NAME: ?.?t2C;? r-% tl1 Locanl
SITE ADDRESS: 5,z),0 Ill?dwe k-6NQ-'
INSTALLER:
ADDRESS:
CITY:
PHONE
ZIP:
?
OF PERMITTEE
ZFP:
TOTAL
E .50
$/5. 5 v
COMM&RCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDING5 WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING.UNIT. '
WORK DESCRIPTION:
OWNER NAME
SITE ADDRESS:
TENANT NAME:
SUITE ??: _
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
FOR:
CITY OF EAGAN
COMPLETE THE FOLIAWING:
N0. FIXTURES fiA.
REPAIR/ADD ON 15.00
_ SHOWER 3.00
_ WATER CIASET 3.00
_ BATH T[JB 3.00
_ LAVATORY 3.00
_ KITCHEN SINK 3.00
_ LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
_ WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
_ ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
STATE SURCHARG
TOTAL:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SIJRCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 597 Middle Lane
Lot: 2 Block: 1 Addition: Manor Lake 3rd
PID:10- 47277 - 020 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Signature Home Services
758 Reaney Ave.
St. Paul MN 55106
(651) 731 -1147
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Brian M Logan
597 Middle Lane
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA086431
09/26/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Use BLUE or BLACK Ink
r
For 4110~ Office Use
City on Permit
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 13
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
- - - - - - - - - - - -
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: C1•.& o~ ~r~~ 6,~ ~1 Phone: 6S t- 9 93 - 1 Sk 1
Resident/ in i
Owner Address / City / Zip: 5 Z - ~.nA ~E L~..
Applicant is: Owner Contractor
Description of work: _-VY0 rLZ= Y c y.s c } F~41 E ~vv +n h 4E:7
Type of Work
Construction Cost: ~o Multi-Family Building: (Yes / No
Company: Contact ,4, , kl:A-
Contractor Address: a-,> tfl5b weewea City:
State: AM Zip: 5 50 q 1k Phone:
License 'G C'_ 1 'tS 10 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 they 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.orp
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.
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.
X x ~
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r-----------------
For Office Use
l ZZ$~'I
City of Eai~llan I Permit#:
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
_ M
Date: d / Site Address: S 9-7 1 l L 'L L Unit
-Name: ory Phone:~ 5 /`33J- b
Resident/ 7 r of 6: 2 , S
E Owner Address / City / Zip:
Applicant is: Owner Contractor
( Description of work:
Type of Work
Construction Cos ti. Multi-Family Building: (Yes / N
m
JAA
~c 7w:' e w 0
Company: Wcs !v J~ Q ; Contact:
City:
Contractor Address: O CT,
State/4"I" Zip: 5 S~0 77 Phone4~) L/ Email w~~~a a C IV
a 2
License#: Lead Certificate
m............... m,.. .w„~..~..
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 they 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State B 'lding Code must be completed within 180
days of permit issuance.
xlv\fi(~ x
Applicant's Printed Name A plicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
�-- --,
� For Office Use ��� �
G�t Of�� � �
� � � Permit#: i
� Permit Fee: �
I �
3830 Pilot Knob Road �t�����E� � � I
Eagan MN 55122 I �
Phone:(651)675-5675 ��� O 2015 I Date Received: �
Fax:(651)675-5694 � � �
� Staff: �
________���____��J
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 12/2/15 SiteAddress: 597 MIDDLE LN� EAGAN, MN 55123
Tenant: Suite#:
� ����ua � �
x°� �� K Name: CORRINE LOGAN Phone: 6 51-9 83-1511
t�,r�����C��1��V�#@I'��
�
;��' ����' : Address/City/Zip: SAME
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- '�j' Name: K&S HTG. , A�C & PLBG. INC. License#: 4 3 6 8 9
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��_����,��,���� '� Address: 42�J5 HGIY 14 N7 City: ROCHESTER
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, p� � �. ��,��,, ��.� Contact: HEIDI BROVJN Email: HBROWN@KSH�ATING.COM
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�� �_ �� - ��4�� New Replacement Additional Alteration Demolition
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���{�'������ Description of work ��
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RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ 6 0. 0 0 TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum, includes State Surcharge
$70.00 Underground tank installation/removal =$ Permit Fee
'If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -$ Surcharge"
If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
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 RICK KEEHN X ��/l;�-
ApplicanYs Printed Name Applicanfs Signature
F�"��r�FETG�x4J�SE����p� ,y r a' ����' '; � -� ��i��'= =�����6� �� }��r��-� : � '�
��y�`tiir�I�s"���ti'�€t�� auc�fi ^pury���� � ,'� �a�� ; �" - Re��t�t�By � �= � ���
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Use BLUE or BLACK Ink
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For Office Use CC.
411) 11 /Z(
Permit#:
City of Eaall Permit Fee: /�s
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
JUN 292017
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
.., Name: t C i r'l L ��.,� Phone:
4:4de ; % N
e a ner Address/City/Zip: S 7 G i Li.,
Applicant is: Owner Contractor
Description of work: l Q�st S ;►�
Type o or /
Construction Cost: 2-3 GSi "- 49' Multi-Family Building: (Yes /No -� )
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Company: L 4 irz_-'rs` Contact: ->"'"°
P
Address: 8-2? Pie t City: t/4"Y—
Contractor
P State: 4 Zip: 5'5-3 7 Y Phone:t! [2-40 t -6Z3(- Email: ) cy4--N Co.S,c
:v License#: /3 L w 3 S `/ 6 3 Lead Certificate#:
If 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: ►s and supporting documentsmthat you sub a pps e ®e public inf rmation P®rtioi s f
.. �d a
the information mei be classified as non-pa-We'"?r�rou'provide s , , � " ;t,t 7City to
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conclude that the are trade s
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of, issuan
App ant's Printed Name Applicant's Signature
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