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1220 Mourning Dove CtCITY OF EAGAN Remarks Addition 5T. FRANCIS WOOD Lot 30 gIk 1 Parcel 10 65900 300 01 owner i, street 122?1 Morning Dove Court State Ea?;an, l?W 55123 Improvement Date Amount Annual Years Paymenr Receipt Date STREETSURF. 143S, STREET RE5TdR. Imp. 1981 75.00 1. 00 5 60.00 C007111 4 -1Q-$j GRAQING *SAN SEW TRUNK #SEWERLATERAL ggp 15 ?WATERMAIN *WATERLATERAL 9$0 15 #WATER AREA 980 iS * service 980 15 +eSTORM SEW TFIK Q$Q 15 +RSTORM SEW LAT 1980 15 CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 250.00 13515 3-9-79 13UILDING PER. #511$ SAC r7r PARK INSPECTIQN RECURD CITY OF EAGAN PERIIAIT TYPE: ''" ?1 0 jN'' 3830 Pilot Knob Road Permit Number: '•':' S' `'4 Eagan, Minnesota 55122-1897 ? Date Issued: "` (612) 681-4675 SITE ADDRESS: I tJ ? 1 4.1 1 ;L! APPLICANT: I144311RN 11Yt. 4iuVt I?ItV 1 1'l . i f t:ril`1! 1 li('?t#n PERMIT SUBTYPE: TYPE OF WORK: ?Ft '.s ?•' ! i' i4 1114 NCI ( 1. 0 [iP ? ? PFMAF+K':.? SJ i, A12A1'f: FjERIR11 HFQUTRfC! 1-0 it 1?tFi:(RIfAl. C?N p1.1)l4ttiNi; l.1GRK Parmlt No. Permit Holder Uate Telephone # ELECTRIC (? /S: 97 0-0 8?57? 4 ,? 97 ao PLUMBING ?l ?4? ?G SG?0?7 HVAC Inspectlon pate Insp. Comments FOOTINGS ? FOUND FRAMING l"'??? ROOFING FiOUGH PLUMBiNG PLBG AIR TEST FiOUGH HEATING GAS SVC TEST INSUL Lif-3 GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG y FINAL HTG G ORSAT TEST BLDGFINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL INSPECTIUN RECORD CITY OF EAGAN PERMIT TYPE: ""''' `"`' 3830 Pilot Knob Road Permit Number: ; Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: . ,:,,v TYPE OF WORK: INSPECTION . .. . .• Rf..MAf+KS: SFfIARA'F'F_ PE'RMi'i RfQ1I1RE0 fha F 1 ECTRt1:Al WOfzk FltRNAC}' CANNOT fit: 111+.3E Q 10 Nf A f ANY !>ART Uf= 1111- 6AkA44F AFtE A. Permit No. Parmit Holder Date Telephone A ELECTRIC PLUMBING HVAC Inspection Dste Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATINC3 GAS 5VC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDGFINAL A463 BSMT R.I. BSMT FINAL DECK FfG QECK FlNAL BUILDING PERMIT To be used for `- CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Est. Value # i + SW Site Address • i Lot Block Sec/Sub. Parcel No. a Name :? ??: ?s.a•.r. r; W ; Address lrtiViCr ° City Phone 4,'%4--3333 o Name 2 0014 Address _ ¢ City Phone Name _ Address I hereby acknowlege that I have read this application and state that the information is corcect and agree to comply with all applicable State of Minnesoia Statutes and City of Eagan Ordinances. Signature of Permitee A Building Permit is issued to: ? on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Building Official Occupancy Zonmg (Actual) Const (Allowabte) # of Stories Length Depth S.F. Total S.F. Foolprints On Site Sewage On Site We11 MWCC System City Watar PRV Required Booster Pump APPROVALS Pianner Council Bidg. Off. Variance 19 ' `' OFFICE USE ONLY Bldg. Permit Surcharge Plan Revievr SAC. City SAC,MCWCC Water Conn Water Meter Acct. Deposit S+W Permit S,,W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL FEES " , fK1 PermK No_ Permit Holder Date Telephone # WATER SEWER PLUMBING e/ H.V.A.C. EIECTRIC Inspection Date Insp. Comments Footings I Foundation Framing rj?9 • ,-1 Roofing Rough Plbg. Al Rough Htg. t / 0 Isul. ,s f 5 oy/ Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber EngrJPlan Bidg. Final Deck Ftg. Deck Final Well Pr. Oisp. , Site Address Lot ? ' Block i ? Name IyvRwSVr?IG ?s Address c Ciry v' Phone Name _ ? Address p Ciry _ FEES COMM/1ND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPUES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES SIGNATURE PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EACaAN, MN 55122 PHONE: 454-8100 PERMIT # RECEIPT ti --' ' t ."> DATE: J.- ,- `.. BLDG. TYPE WORK DESCRiPTION Res. New Mult Add-on k = Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ. FIXTURES TOTAL ?Water Closet - $3.00 ? -L_Bath Tubs - $3.00 ?Lavatory - $3.00 ?Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - 53.00 Laundry Tray - $3.40 Floor Drains - $1.50 Water Heater - $1 50 ! Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE FOR: CITY OF EAGAN STATE S/C: GRAND TOTAL• MECHANICAL PEHMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address BLDG. TYPE Lot Block ' Sec/Sub Res Name - Mult m Comm. Address . -? ?-,'; ? ' ?, 6 Other c City Phone _ ? Name _ c Address o CdY - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other PERMIT # RECEIPT tk DATE: For Office Use Only: WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 M BTU M BTU M BTU M BTU CFM FEE: S/C: TOTAL• (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CaNDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - MINIMUM COMMERCIAL FEE - STATE SURCHARGE PER PERMtT - R (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) 1.50 EA. 12.00 20.00 .50 SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CITY OF EAGAN - • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 484-8100 BUILDING PERMIT Receipt # To be used for Est. Value ; Date ,19 Site Address •• • ' OFF ICE USE ONLY Lot Block Sec/Sub. ; ' • ?'• ` On SRe Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Conat c Name City Water (Allowable) W • Address ' PRV Required * of Stories 3 ? City Phone Booster Pump Length Depth °Co Name S.F. Total . ? ? Address Footprint S.F. 1- City Phone APPROVALS FEES ? W Name Engr./Assess. Permit ? • ? Planner Surcharge `' • ' U ? Address Council Plan Review < W City Phone Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC information is correCt and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to:__ Treatment P7 on the exp?ess condition that all work shall be done in accordancewith all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. ' 8ullding Official TOTAL Parmit Na. Permit Holder Date Telephone it Plumbing H.V.A.C. Electric 1211 y.'d' Softener Inspectlon Date Insp. COmments Footings I %y Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final ? Cert Occ. Temp. LP r Deck Ftg. Deck Final ? Ar, Weil Pr. Disp. CITY OF EAGAN •. ?? 8795 Pilot Knob Road Eagnn, MN 65122 - PHONE: 454-8100 _RrnLDING PERMIT Receipt c^- . - 4-. r'.?c'i^('_ ?f , "n?? • 7o be used for ?''11nuvwna Est. Value Date Site Lot ^ rt BfoCk , SeC/Svb. c+- . FrmciS Paroel # gz Name _ ? Address I hereby acknowledge that I hove read the information is carrect and ogree 5tute of Minnesoto Stntutes and Ciiy Signature of Permittee - ? ? A 6uilding Permit is issued to: `r cll work sholl be done in accordance M N° 5118 ??? ,.. -.. Erect p Occupancy ^ ?•. Alter ? Zoning ? Repoir ? Fire Zone ?F ' Enlarge ? Type of Const. ? Move ? # Stories ' Demolish ? Front ft. Grade p Depth ft. Approvais Fees Assessment Permit Water & Sew. Surchorge Police Plan check Fire SAC Eng, Plonner Water Conn. Woter Meter Council Off Bldg . . „ APC Tota I on the express condition thot Stetutes and City of Eagan Ordinances. Building Official Pennk # pefe fsmad P0nittN Plumbing ! z .-Xry,7 ? Mechanicol W ? -gg- " p ?t 1'Z-- - I q- ? - INSPECTIONS DATE INSP. Rouph-In Finol FoOtings ^-7 - Date Insp. Date Irap. Foundation Plumbing 7 ;1 Fromelins. Mechanitol Final Remarks: 6 lj- 79' WATER SERVICE PERMIT : ??,N ilot Knpb Road PERMIT NO.: , MN 55122 DATE: ning: No. of Units: Jwner: - Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: _ Reader No.: Permit Fee: I ngree to eomply wifh fhe City of Eagon Surcharge: Ordinonces Misc Charges: . . Totai: By Date Paid: Dote of Insp.: Insp.: OF EAGAN Pllot Knob Rood MN 55122 SEVUER SERVICE PERMIT r PERMIT NQ.: DATE; _ No. of Units: - ? Address: • 44-'`xi•r"-_?r'v r *?? ra! -At 3tr-aFkgi?^x*x3a to complp with the Citp of Eagan of I nsp.: `?. 10 . On Pci Connettion Charge: _ _ ?s,r3??--••,r? Account Deposit: Permit Fee: ? .A -,. . Surcharge: _ Misc. Charges: Total: Date Paid: _ CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Mlnnesota 55122 Phone: 454-8100 HEATDU PERMIT Dote: }?-79 Site Address: 1220 ?r, Lot ?'' Block Sub/Sec. St. FYamcis Wbod Dicw Develon wit Name . e° Address 8167-138th StiVet 3 O City Apple Valley 55024 Phone: 432--0690 ClBD. SedwinC a'itg. & AiL cmd. . Name 1001 Xm Lc3 AVm. 'r'oIdh ? ` Address ' cS (? ??'"' ''r?? r .? - -1 City Phone: This Permit is issued on the express condition thot all work shcll be Minnesota Stotutes and City of Eogan Ordinonces. QTMWI'ICN AIt TIM No. 1413 Receipt No.: 13632 Single I Residential y Multi Res., Comm./Ind. I New/Alter./Repoir Cost of Installation Permit Fee ?o.11110 Surchorge .50 Totul ? ;n I done in accordonce with cll applicable Stnte of Building Officiol CITY OF EAGAN 3793 Pilot Knob Road Eagan, Minnesofu 55122 Phone: 454-8100 PI?MIM 3--29-79 Date: Site Address: PERMIT 122d M=dM LbM Lot V4 Block i Sub/5ec. ?'?t• ft"ZI21CiS vk)orj _ Name Mor DeVP-10PITUt e Address 88V-13$t'1 St• ? City AWle vaUey Phone: 432-0E90 Nome 111rWind E. Haeg Plbq. . ? A ess 7226 C1Bda]C' 0 s° r 923 c City Phone: This Permit is issued on the express condition thot oll work sholl be Minnesota $tafutes ond City of Eogan Ordinances. No. 1325 13734 Receipt No.: Single I X Residential Multi Res., Comm./Ind. I New /Alter./ Repair Cost of Installation Permit Fee 20'00 Surchorge .50 Totol Xj • ?? done in accordance with all applicable State of Building Officiol .? . ? ? , . ? ? SEDGWICK HEATING & AIR CONDITIONING CO. TEST RecoR? JO8 NO ?/ ? G 8970 WENTN/ORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 681-9000 ADDRESS ( Z ZIn> Y?+vU rw,.? ppU2C?ITY OCCUPANT ?A-fJrd /? ?,? n S OWNER SOLD BY rZAa J'r-G ? INSTALLED BY L'/f L? MAKE. C. k N N MODEL `J Z-7 +-1 `I - 11) GA - Z N `? 64 0 vlJ I1?1/ I ?O p O Q C1 SERIAL O. INPUT THERMOSTAT FX??=1 !? ? VENTSIZE VALVE C J TYPE OF LINER ? LIMIT (_ O O r , C LINER SIZE 7 LIMIT SETTING O FILTERS: SIZE zA 4-- ? 1 NUMBER 1 WIRMG lSUYNSVf lI-t FAN SET7ING-?j ?. ? PILOT TYPE ? I-r G T IGNITION MODEL C e / 1 PILOT TIMING I b f,?iy* % r ^? PRESSURE 2 ' 1 PERCENT COz INPUT CFH 0 d PERCENT O, STACK TEMP. _?/ U PERCENT CO ? FOPM 235 (FEV. 11189) TEST TAG LIGHTING INST DATE TES7ED 12- - COMPANV TESTING 'd Z ?\ 4I1! Al? NAME OF TESTER Qil '3 .`CU S Z--IV FORMOISTPIBUTION: WHIiECOPY - JOBFILE YELLOWCOPY - CITY CITY OF EAGAN N? 16390 ,.. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 c PHONE: 454-8100 `7ce -7 BUILDINGPERMIT Receipt# To be used for BASEMENT Esc Value $1,500 Date MA7t 2 191 Site Address 1220 MOURNING DOVE CT Lot 30 Block 1 Sec/Sub. ST FRANCIS WOODS OFFICE USE ON?V Parcel No. occuPancy - FeEs ZAning - w Name THOMAS A COLBERT (Acmap Const _ Bmg. Permit 36. 00 3 Address 1220 MOURNING DOVE CT (Allowable) - 00 1 0 . Surcharge City EAGAIN Phone 454-3333 #ofstodes - 464 84 90 Plan Review - - Lengih _ F Name SBME_ -.:_'_' Dep1h - SAC. City a 00 /\ddfB55 S.F. Total - SAC MCWCC ¢ ? City EAGAN Phone S.F. FootPdms _ , Water Conn Sewage _ On Site Name On Sile Well - Water Meter 0ii AddfBSS MWCCSystem i City Phone City wacer _ Axt. De osit P S/W P mit PRV Required _ er I hereby acknowlege that I have read this application and state that the Booster Pump - S!W Surcharge informalion is corred and agree to bmply with all ap licabl State of Minnesota S[atu[es and Ci of Ea n brdinance5. ? TreatmentPl Signature of Permitee ? APPROVALS qoad Unit A Building Permit i5 issued to: THOMAS A COi.ARRT Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of M innesota Statutes and City of Eagan Ordinances. gld9. pry, _ Copies /? n / ? `I IJ?,?ffl 'li p???, I m /J Building Olficial ?T Variance - TOTAL 37•00 CITY OF EAGAN M! 15 3 3 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 < PHONE:454•8100 ?5?0 ?3 BUILDING PERMIT Receipt# Tobeusedfor 3-SEASON POR(;H Est.Value g9_000 Date JULY 13 ,7g-Ba_ Site Address 1220 MOliRNING DOVE COURT Lot 30 Block 1 Sec/Sub. ST. FRANCIS WOOD Parcel No s Name THOMAS COLBERT 3 Address 1220 MOURNING DOVE COURT 0 City EAGAN Phone 454-3333 o Name SAME ?a Address P City Phone ¢ w Name_ z Address ? w Ciry_ I here6y acknowledge that I have read this application and s}ate Ihat the informetion is correct and agree to c ly with all app?c?? State of Minnesota Statutes and Ci1?of,Fa_ dinances. 4t../ Signature o( Permittee ' A euilding Permit is issued to: THOMAS COLB$RT on the express condition that all work shall be done in accordance with al I applicable Slate of Minnesot tatutes an iry of Eagan Ordinances. Building Official __?L?? OFPICE USE ONLY On Site Sewege - Occupancy MWCC System _ Zoning On Site Well _ (Adual) Const City Water _ (Allowable) PRV Required _ # of Stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit 98.00 Planner Surcharge 4.50_ Council Plan Review Bldg. Off. SAC, Ciry Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL $102.50 ciTr oF EAc,AN N? 5118 9795 Pila Kneb Rood Eagan, MN 55122 . PHONE: 4546100 /'S A-S -? BUILDING PERMIT APPLICATION ReceiPt # N -- .,- 1- .---' ,--SF Dwlg & Garage est vai1e 66,000. oeLe 3-9 , 1979 Site Addre'st .'•••••• -'--_ ---- i.or 30 Block 1 Sec/Sub.St. Francis Woods Pa?i # 10 65900 300 Ol a Name 'Ihana'S A. LOlJ21't ? 5133 Colfax Ave. So. ; Address o _ ?i? 9;Cal4 ..,_--- 454-5100 p I Name D10T D2VAlOxue11t o? Address 8867-138th St. "? ,.;,,, Apple Valley ?„Q 432-0690 Name Thm-laS A. CA1beYt Address I hereby ocknowledge that I huve reod this opplicotion and state ihe infortnation is correct ond agree to comply with all opPli, Stote of Minnesota Statutes and Ci Eagan Ord' a? Signature of Permittee . ? A Building Permit Is issued m: all work shall be done in ocm a plicable State ? Building Officiol ? Erect ?n Occupancy - ? ?-- Alter ? Zoning 3 Repair ? Fire Zane Enlorge ? TYPe of Const. V Move ? # Stories 2 Demoiish O Front 66 4t. Grade ? DePrh - 26 ft. Approvels Feea qssessment Water & Sew. Police Fire Enp. Planner Countil Bldg. Off. APC Permit -""'° - Surchar9e 33.00 Plon check 81.75 SAC 525.00 Water Conn.ZSO.00 WaterMeterb ?ntr Torol 1,053.25 on the express condition that StMutes ond City of Eagun Ordirwnces. This requesl void 2 ? ? monihs from 7 ? ? 8-504,50 ?? <;?Jl°n Request Date Fire No. qaquired7 ?SDection []qeady Nuw Will Notity. Inspec- ? /G `--8? 'es ?No or When qeadv licensed ElectriCal Convactor 1 hereby n0uest inapection oi ebove ? Ownet elechlcal work instelled at: Street Address, 9oa or Route No. City Az)QO Q 0/`? ecuon o. Township Nam r No. HanOe o. County , 0 Z!? Occupanl (PRINT) , Phone No. a?-7. Pov/¢r Supplier Address Nd e G2. r? Vr? A) ElecVical Contractor ICom y Namel Conhacmrs Licensa No. ailinBAddress IConVaclor or Owner Making Instailation) ? / 17MO Aut zed Si tureICO cior wner a ine Installationl Phone Number ?Q ? MINNESOTA STpTE BOAR F ELEGTpICITY THIS INSPEGTION NEQUEST WIIL NOT G,IBOS-Mltlway Bltlg. - floom N-191 BE ACCEVTEU BY THE StATE BOAND .1841 UnivereitvAUe.. St. Paul, MN 66104 UNLESS PROPER INSPECTION FEE IS Phone 18121 642-0800 ENCLOSE?. ?l/gREQUEST FOR ELECTRiCAL INSPECTION Ee?y- ??- ? See instruetiuns tor tampleting this iorm on Eack o1 Yellow copy. Yal r an--o C, n "X" Below Work.Covered by This Request , ?I?AAd?.Rao.! TVpe-ol Buildine ? Aoo??a?cea Wired ? Equipmanl Wired ? (? ? Home Range 7emporarv Service I I I I Industrial Bldo. 1 I Air Conditioner 1 I Bulk Milk Tnnk I p Fee ServieeEnVeneeSixe tl Pea Faxtlers/Subteedere p Fee Circuits 1 0 to 200 Am s 0 to 30 qm s 0 tn 30 Am Above 20 _qmps 37 to 100 Amps 31 to 100 Amps Swimmin Pool Above 100-Am s Above 100_Am s TransPormers Irngation Boorcis Partial•'Other Fee Sipns I I lSUecial xhe ertify thet the a0ov j?y^ey? inspection hes been "? ?` mBAe. 0j??/97 484°_572 21 REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electriciry 1821 Universiry Ave.. Rm. &128, St. Paul, MN 55104 Phone (612) 642-08W Home Du lez npi. 81dg. Olher: New Addn Commerciol Industrial Form Remod Re air Air Cond. Ht . E uip. Water Hir. Lood Mgmt. 01her D er Range Elec. Heol Temp. Service "X" obove the work covered by Ihis requesi. Enter remorks in Ihis space and on fhe back of tlre white copy only. d X-0- A,4-,z -? Calculafe Inspecfion Fee - This Inspecfion Requesf will nof be accepfed without Ihe comecf fee: Other Pee M Service Entrence Size Fee 1! Circuits(Feeders Fee Mobile Home Park Slall 0 l0 200 Amps 0 l0 700 Amps Sheet Ltg./Traffic Sig. Above 200_A bove 100_Amps Tmnsformer/Genemlor INSPECTOR'S USE O 0' TOTA j U Sign/Oudine Ltg. Xfmr. 2. Alarm/Remofe Conhol Swimming Pool . I he?eb Can? ?hm i m: tM e iosmllmion deuri6ed herein on the dmes:wred Irrigation Boom RoagMn Dore $peciol Inspection Invesfigative Fee Finol Dare (p jC THIS IN5TALLATION MAY BE ORDERED DI NNECTEO IF NOT LETED WITHfN t M NT S. C? OFFICE USE ONLY This reqveslwid 18 monlhs Fom wlidation dale printed in Ihiz 6oz. ?C.7/ C7 IIIII?II IIIIfI?IIIIIIIIIIIIIIIIIIIIIIIIIIIII ??????' ?' ?° w? v? _ ? * 0 4 8 4 5 7 2 a* PLEASE PRINT OR TYPE R s? ?O? Rw?gh in ir?specrion req?ircdz Yes ? No Inspaclion Olher Thon RwgMn: ? Ready N Will Ga0 _ 9 ?,-?, Doia Roody: I,/;Klicensed conhactor El owner hereby requesl inspecfion oF the above eleclrical wark at: lob Address (Stree1, Bax, or kou?e 2 G{/ / , ( OW?V??CY L Cily Zip Code Seclion No. TownsFip Name « No. Range No. Fire No. Couny Occu Pi wne tJo. \ ? ) I? V ? /?./? P upplier Address xhi onvaclw (Compony NIome) Conh a License No. MnsM Lk. No. (Phnt Elxt Only) / AAoi ing Add (CoMmcwr or Owner Perlorming Insmllalion) ? AWhorized Sie bre (Conhoctw w Ovmer Perhimiig Inslal Fw ? Phore No. 8/96 STATE BOAflU COPY - S¢6 INSTpUCT10N5 ON BRCK OF YELLOW CAPY 4jr 5jf 7 497-776 REQUEST FOR ELECTRICAL INSPECTION 7`5 I 5 ? Minnesota State Board of Elechictity 1821 Universiry Ave.. Rm. S-128, St. Paul, MN 55104 . . Phone (612) 642-0800 ome Duplex Apt. Bid . Other. ew Addn Commercial Indushial F. Remod Re air Air Cond. H1g. Equip. Water Hh. Load Mgmt. Other: D r Range Elec. Heot Temp. Service "X" obove the work covered by rhis request. Enie r marks in ?? this space nd on fhe 6ack of Ihe white copy only. 0 ? Colculote Inspeclion Fee - This Inspecfion Request will not be accepFed wilhouf fFie mrtect (ee: Other Fee # Service Enhance Size Fee # Circuih/Feeders Fee Mobile Home Park 51a11 ? 0 to 200 Amps 0 to 100 Amps $heet Lfg./TraBic Sig. P,bove 20Am s Above 700_Amps Twnsformer/Generator INSPECTOR'S USE ONLY TOT,AI?D L/ Sign/OuAine Lfg. Xfmr. ' P Alarm/RemoM Gonhol Swimming Pool I hereb cenil,, tMr . e?l Ii.nol ' 'bed h?. . fl. dmes Irrigafion Boom S eciallns eclion p p InvestigaliveFee final Dare?/ !/ THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WRHIN 18 MONTHS. /_ / 9 ??"7 OFFlCE USE ONLY This request mid 18 monlhs hom wlidafion dare prinled in Ihis 6ox. ?r ? 11?71. S. -7 -V. ,:; I IIII ???I II III I?I II ?II II III II III II III I II I III??? r? N* ? WO'0'O?? * O 4 9 7 7 7 Ia S* PLEASE PRINT OR TYPE R?"?? ? Ro?gbin i?apeclion required8 9Nes ? N. Inspaction Oihx llan RaugMn: ? Reody Nwv O Will Call ¢ ?YO? mus? call Ihe insptt?o? when readyl Dme Reody: I, 144censed controcror ? owner hereby requesf inspecfion of the above elechical work al: lab Addmss IShW, Box, a Ro? No.) , t2.ZO lµouerviw& DovE GTt Ciy Zip Code Z-3 Secfion No. Tawnship Nome or No. Ra,e No. Fro No. Cauny °` UE s? 2-3ys? ?s Pawer Sopp Ix (GO FLL?L? Address / 9-I 6 ¢• A. v Elxlnml Canvocbr (Compony Nome) Conhacbr Iioense No. Maskr bc. No. tPlant EIM. Only) AMiling Addrm jConkacror or Owner PerFormtng Insbllmlon) ss33 ??P s C AJ ,? . ?, r? w ? Atrlh Si oNm onva Perf ?ng Inslol6fionl Phone No. 9/96 STATE BOAPO COPV - SEE INSTIi11C110N3 ON BACK OF YELLOW COVY This request void 18 months from ,,, .cldd"'.- ?J Date af IkLc Request `f-?, y?? ;9 'R 66280 I, as 29'Licensed Electnontr ctor O Owner, do hereby request inspection of the above electri- cal wiring installed at: / r'a a Q Y?n o f n i nS C?akjk? _ I ? . r? _. _ _ _. .,. I • Street Address or Route No. Section Township oi- 36 ? Which is occupied by ' o r? Is a roughin inspection required on this job? No ? YeO<-- Ready Now ? Will CallX Power Supplier ? 0102i?dress ? t'1rV% 1/I al ? ? i c 91 Electrical Contra 40 Mailing Address _ 7X8 ?& 4,32 - ,s?.36 (Elettrical Contractor or Qwner Making This Installation) Authorized Signature Phone No. (Elettrical Contrector ar Owner Making Thls Installatlon) . 101%RD 00PYThisimpectianrequestwillnat6eacceptedbythe State Baard unless proper inspection fee is endosed. Minnesota State Board of Electricity -419btihiversity Ave., St. Paul, Minn. 55104-Phone 645-7703 " REQUEST F.OR ELECTRICAL INSPECTION CHECK BELOW WOAK COVERED BY THIS REQUEST R 66280 Type of Building N w 64d. Rep. Check Appliances W'ved Fo Check Equipment Wired Fm Home ? ? Range Temporary Wiring Duplex ? ? ? WateiHeater ? LighUngFixwres QX Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Pumace ? Silo Unloader ? Industrial Bldg. ? ? ? Au Conditione? Bulk Milk Tank ? Facm Lis[ ) List 1 Other ? ? ? p y µeiersl p } Heiers> COMPUTE INSPECTION FEE BELOW ServiceEntranceSize: # Fee FcederaflSubfeedws: # Fee Ciccuits: # Fee 0 to 100 Am s. 0 0 Am res 0 to 30 Am res I 101 to 200 Am s. 1 31 to ] 00 Am res cl-o Above 200_Amps. A u Above lOQ_Amps. Transfo[mers R te Partialorotherfee Signs 5 ecial lns ection Minimum fee $5.00 Remazks TOTAL FEE `j^dl? I, the Electrical Inspector, herebG/cerUfy,tfi5„ die albove ' spection has been ma /{?t.ao (Rough-in) ? Date - _ _ (Final)--- Date ) /o- ZS' This request void 18 months &om ' - -- . Valuation ?'-141 6p_tLG=?? BUILDI`dG PERMIT APPLICA l i Include 2 sets of plans, 1 site plan w/elevations and 1 set of ?ergv calcuations. To be used for Site Address: Lot Block Sec./Sub. 3 U I S7. FQfFNC! 3 W 000 $ Owner ?tlr.riA& ff . daLAE2.T Address S/ 3 3 Cel 4-ax .4ve S e IM_ Os a-14 5=C!j.t 9 Contractor Dlofz t) GVrti..oa wientr Address B0 (o7-138?-? St Aonle Ijallrv Arch/Eng. SA*Am ks Qw..Wn. Address Parcel Vumber Id 6 J 940 3n0 O/ Telephone 4S9 - S/ O b Telephone 437- 06?6 Telephone OFFICE USE ONLY Erect ` Alter Repair Enlarge Move Demolish Grade Da[e of Approval and Initial ' Assessment [r/.,/ , 2/L/7e Water/Sewer Police ? ?. Fire Engineer _ Planner _ Council _ Bldg. Off. A.P.C. Occupancy t- 3 Zaning K- 1 Fire Zone I Type of Const. ?.- 0 of Stories ? DATE ,3 - I " 7 9 Front 461 Depth 2?6 Fees 5?D Permit fb 3 Surcharge ma .3.P Plan Check i'f SAC STJ??? oa Water Connection 2 {j? Water Meter TOTAL D ?3 .0 Zr ;,7 __--- U • ? tUWARD M. SU E ? ?? ?`' ?? ? SUN.IDE LANU SUNVtYINI.;? INLI. ?1L???yTlNlO ?,,..o SURVEYOF ??T . ?9001 EAST BLOOMINGTON FREEWAY 13bW) . tlIOOMINGiON, MINNESOTA 55420 . 612-881-2455 ?`l.. 3J a ?.: ? Surveyor's Certificuce N 1 ` r i ?'o \ , , .. ? . .. ',-?Q. - . ' ' p•; . , _ ' .. ? . . ? - ? - . ? 904.9 ? ? . ? - . _ . I . . ? . . . •Q. v? . ? , . . '', . ? . , 1 ? Yo . ,\ I . - ? . ?? \p. ?oo .. . - .? . . ? - ??.i ? ????' v '. _, ey ?? '%; ` ? ? ? __ ? ? ,?o ?°`?,?e? 4 _. 6,,, i:?) , , Uf./,ty 6ase,.?eaf:' <, eoa. d "? L--%' /Q ?° ? Z??? \ . ?6 ?' 1 B??OAK - - ? ?' .. .'?'? ? IO??OAK (_.LO . . ? ? 903.2 ? . ?, . -?6.5 . ? , .? \ ??• ' . , . ?, , ? ,? 4 905.?QI2??K ' ? • ? 905.??8'? OAK . s ? ? ? ? ? gp?IO?TWIN OAKS ? '0 24 ? ? N? P?? ' ? 4Z 901.4 J `???? ? ' N ?AR. ! fiiOP. NOUSE ~ry _75• ? N y?3 0 ' 66 ? . ? ?p.1'_?9.? ,' . ?9o LOT 30 ?h? 0°?y s ?°4-? ?'A ? ?aio J ` t-??oor = ?`.T^? ? eoz ? ? ? qa q. 6 7 'o oQ° ?o?t erfr?l - T?' ? CISf ?loo?j \? 9o3.s? ? ?, ,, -?, ? ; o? o , - ??? ' ees2 i.?c? - ? ? / ^ e9c?a? - ? ;,.`[ ?eI'+;.an7 ?"/av/ _ . `??. / '? ,'.i. . 7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I 53 3 2-? INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WFIICB ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL [JNITS FOR SALE U21ITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONa7ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used ror: p6fc%. i416i%t:zn Valuation: Site Address /LLO Ij/ovewrmr&QovEC?.r? Lot 3 O Bloek I Parcel/Sub Sr, F2A.vCis Guueng ten I Owner i r}UMki C?1L 13ECT Address City/Zip Code OOC) Date: 7-//-Pd On site sewage_ Occupaney MWCC system _ Zoning On site well Actual Const City water Allowable PRV required Ik of stories Hooster Pump _ Length Depth S.F. Total Footprint S.F. Phone q S'Y- 3 33 3 Contractor ItJK4 /3yZdc-crcl= dwc> Cl6 Address 3799 f,aor k"van 2n City/Zip Code L'A (,A., r,V-iL Z 1 Phone 4 1 4- s S'3 9 Areh./Engr. S7-EL, F /?ANSd.v /TnM C??cg Address City/Zip Code APPROdALS FEES Engr/Assess Permit Planner Surcharge Council Plan Review Bldg. Off.?7,/- SS ?ar SAC, City Varianee SAC, MWCC Water Conn Water Meter Road Unit AJ- Treatment Pl Parks Copies TOTAL g? 0 ., O Phone ll /D .i z z r ?- !n 26 z ; a ? , ? W.O. 55-79 bs/zo Jul VCy , v, . 11,. . ' SUNDE LAND SURVEYiNG, INC. EDWARD H. SUNDE REGISTERCO LANU SURVEYOR ? 8001 EAST BLOOMINGTON FREEWAY, (35W) . BLOOMINGTON; MINNESOTA 55420 . 672-881-2455 Surveyor's Certificate ? )OS.6 4103.01 ., G. ? 889.07 ?/? ?, I ? ` ? ! \ - -? v ? a ? 904.3 , 'P.3/ ?On?O ?O ._? Drainage .n '- ? Utility Easeuient \ 0 M 11 r U ti WY ; N ? 904. 0, `?Zi? 1 o IO??OAK !'108? OAK `a 903.2 ?. "906.5 905.e 12?K S ? 8" OAK - ? f , 9031YId'TWiN OAKS 24 cv .1 1 ` ? 42 901.4 ?J : .. ? .? .0 •?'`\ 9 ?. ., •?i •.? . ? _] . \ •'?- ..?4! pqq ? ??sr /?a NOTES & LE6END Housp a * 904.3 Denotes existing elevatio d t . . ,J o??? LC 2 'ROPERTY DESCf2IPTION m .ot 30, Block 1, ST. °n =RANCIS WUOD> according ° co the recorded plat there- )f, Dakota Countiy, Minnesota. 1 (902.3) Denotes propose cen er 6s ?o. -/y ' line blacktop elevation. 3soD. e ,I ???j?,-- -` '? : * Proposed Gara9e floor elevation = ? '?4? ? ?ISX zo) ' S??Q . ^\ 0 'y , . .. Proposed 13asement floor elevation = 898.0 ? Proposed front house entry e eva- ` t i o n = 906-4 %es7i6 "-r/?) Proposed Top of Block elevation = T he pr o p o s e d e l e v a t i o n s a n d p r o- , posed house location are subject Q to review and change by the City Engineer, Building Dept., develope / and owner. Proposed grades and S house location which are approved by the City are final. 8e5.2 We hereby certify that this is a true and correct representatinri of a survey of the boundaries of the land above described and of the location of all build- /,ings, if any, from or on said land. ;,%bated this 28th day of February 1979. SUNDE LAND SURVEYING, INC. --tdward H. Sunde, R.L.S. Reg. No. 8612 A/61 O ??, BEA BLDni0U15T THOMAS MEDGES Me `R . Ciiv AUMINiSiNATOR iHOMAS EGAN MARN PARHANiO CITY OF EAGAN ALVCE BOLKE Gllv 0.ERK JAMES A SMIiH iMEODORE WRCHiER ]]96 PILOT KN06 ROAp • counaL ucm9ens EAGAN. MINNESOTA 55122 r '. PMONE 4540100 ' March 18, 1981 MR. RIQ]ARD GIEE'IIt ' _. _._. .. C/O LEXING"ION IADID (ORPORATICN -` 8053 EAST BLpONffNGIbN FREEhAY MPLS MN 55420 ? , St. Franci.s Re: Lot 30, Bloc]c Woods Addition - Street Assessment Dear Dick: ' As you aze aware, on September 24, 1980, the City Council authorized assessments in the amount of $75.00 on each of the existing single fannily lots in the St. Francis Woods Af7rlition per your direction, wi th the renainder of the assessments associated with Project 227 being levied agains t the multiplrzoned outlots in St. Francis Woods Addi- tion. In acoordanoe with our purchase agreanent, ttese assessnents were to be paid by you. However, my 1981 tax statanent indicates that this $75.00 street assessnent has been levied against Int 30, Block l. Therefore, if you would foraard to my attention the check in the armunt of $75.00, I will then process this payment tA the Dakota County Auditor's Office tA pay off this outstanding special assessrent. I will anxiously await your processing of this matter. Sincerel 27?nas A. CAlbert, P.? Director of Public works TAC/jac TNE LONE OAK TREE ... TME SYMBOL OF STRENGTM AND GROWTN IN OUR COMMUNITY. : 1989 HQILDIAG PERMIT APPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLING3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSFS FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MOST DFS IGN9TE WHICH ADDRFSS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS I530ED. MtJLTIPLE DWELLINGS RENT9L i1NITS FOR 3ALE UNITS Oecupancy Zoning Actual Const Allowable dt of stories Length Depth S.F. Total Footprint S.F. INCLUDE 2 SETS OF P[.ANS, CERTIFICATE OF $ORPEY - CHECB SdITH BLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATZONS (p)E? 1 ??) RD APR 2 7 1989 To Be Used For:Qsmr F1NISN?KValuation: lsoo^ Date: Y-zs-br9 Site Address I o2a?b 11n0,'PNJ1Y6 ba11r G'T USE ONLY Lot O Block I Parcel/Sub Sr F2RNCit LUcene Ano Owner ?o" A. &L13 E27' Address / ZZO Y0ou2'U t'v(, 6.ivr ?.r City/Zip Code FA C,A tir S.S-I Z.3 Phone ?{SY- 3 333 or V5 Y4/ 0 0 Contractor N tf =c,v L? 43 Address i l.tJ jp f-, t=0ni IAV City/Zip Code L& (7 A N Ss? Z3 Phone L/ S 4-? Pi S R Arch. /Engr. _ /V /d- ( DvJ•vL 2) Address City/Zip Code Phone # On site sewage On site well _ MWCC System _ City water _ PRV required _ Hooster Pump _ APPAOVAIS Planner _ Couneil Bldg. Off. 1 5ll Variance i OF ONITS FEIiS Bldg. Permit ??• ? ? Sureharge 1•0 0 Plan Review SAC, City SAC, MWCC Water Conn Water Meter Aeet. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies T0:'2:. 0? NOTE: Sewer & Water Permit fees and account depoait fees will be included in the building permit fee. Processing time Por sewer and water permits is two days onee a licensed plumber has applied for a permit at City Hall. ? ?CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.Pl.: 10-65900-300-01 PERIIVIIT PERMITTYPE: euxLpzNG Permit Num6er. 0 3 0 0 G 4 Date Issued: 0 6 f 02/ 9 7 1220 rnouRrozraG DovE Cr L07: 30 ELOCK: ?. 57 FRAIVCTS WOOD DESCRIPTION: 2ND FLqDFt erniit TypE 6; k Type ? SF ADDZTIGN NFW 434 ALT. RESSDENTSAL c f "y E E 5 F u v " ?ei9 W ^? ?,. ? `'?"+?' ? ? ?? RR 4° E d 5? m ?135? ?u9s"- Y b? kR REMARKS: SEPaftATE PERMZT ftEQUTRED FOR EIEC'YF:'SC4L OF F'LUMBTNCa WORh FEE SUMMARY: Base Fee Plan Review SLircharge 7ota1 Fes , VALUATION $324 .75 $211. 0 9 $ ri 4 i.34 $23,0@@ CONTRACTOR: OWNER: -- Applinarit - ADK7NS DpVID - - 1220 M6URNING DOVE C7 EAGAN MN (612)686--5000 .info?at-,!on 's 0-6rV0? - L61 49i??::$?? otp X XVstite "of M,?. a?.,?5 ? ° x=• ° ? ?. ? ; _, _. r ?.?_b. .__? e..? I_! !LLLI?? ?/.•P? ??. . 33TJED B? S , ??kk?%??kk?%t%??k?%?k?k?Xc?kC?kX?%??kkC?K??XXtffi:k? %t?kC?w (:iTY [7!' EAGAN ,W. ??k*?k>X ' DAII:_:, i E::fihfSNAL Nt]; F;? 06/02!97 7'):MI_: ^ , , 15:34n1'5 Iti,; NFlME.- l?CiYTPlS C'f_1M}•Aryll-; SPtC 3210 7001 12?f1 hS0lJI;:NSNG 2155 gOCJ1 i.F20 MOUftNZNf ; 2240 0(7(71 . 1.220 Nf(7111iPlTldf; 5 . ?70 34?:?2 3C.?n:. 1220 MC)UI',NCNf; 7i::4 . i .`.i • i':I.:.", '.-)qCii. i'r22CJ M?JIJh'NTM(; , r...i.:l.Ck9 ii..";n , C'c,ta1 F.ece7.P+, FllrioltYy1;4 CF"+'p i 15E:13 04.59 {i,ER II'i: N(-1NCy r 1997 BUILDING PERM ?A?PP?LGAN TION (RESIDENTIAL) 4?,Y 3830 PILOT KNOB RD - 65122 ? ??`?? 681-467b ? 3 rogisterod aite aurveys . • 2 eopies oT pWn ? 2 copiea W pWna (Indudo beam 8 wintlow aizes; powad fid. design; etc.) , ? 2 site aurveys (exMdor addkbna 8 detlu) ? 1 enerpy ealeulations ' ? 1 energy nlculadona for Mated additlons ' ? 3 aoPiea oi tree prexrvatlan plsn N bt plaked a}ter 7!1/93 reQuired: _ Yes ? No • DATE: -?? CONSTRUCTIDN COST: ??? d DESCRIPTION OF WORK: STREET ADDRESS: V ? 2z,,o ?llove LOT 30 BLOCK ? SUBD./P.I.D. #: ST -?iCA.? C f S v?a? , ;::..k . . {v .. .. .._..1.?. . Name: _ x /.?S f : Phone^#: 4S 2 -3 415 7 ' Street Address: C.c? ?- city: state: zip• SS / Z 3 Company: ????2 Phone #: . . ? ?,; . Street Address: License #: 1'[ City: ' State < : _. Zip: - ARCHITECTI ENGINEER IRECErVED 7 . . Company: :.Phone#: ?-?Z--t'?7Z¢ Name: A Co r ?-2 RegistreGon #: ... Street Address: ??3 ? MAY15199 -?2? City: fC-9? State: Zip: IBY: - Sewar 8 water licensed plumber (new construction onty): . Penalry appiies when address change _ jzz-- and bt change are requested once pertnit is issued. I hereby acknowledge that i have read this application and sMdte that the infotmation is correct and agree to comply ith all appliqbte State of Minnesota StaWtes and City of Eagan Ordinances. ? i Signature of Applicant -- OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservatlon Plan Received - Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ?. , .. , , 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish n 02 SF Dwelling ? 07 4-piex ? 12 Multi Repair/Rem. ? 17 Swim Pool ,.,J?3 SF Addition o 08 8-plex n 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch a 09 12-plex o 14 Firepiace n 21 Miscellaneous 0 05 SF Misc. 0 10 _-piex o 15 Deck v? i EL?t? 73 ?N c CAa ?? •? WORK TYPE N . ? ?hrM 7iri ?ARqg£ 0 31 New ? 33 Alterations ? 36 Move ?32 Addition o 34 Repair a 37 Demolition GENERAL INFORMATION Const. (Actuaq (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. MCM/S System Main.level sq. ft. ` City Water sq. ft. Fre Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. ? Census Code. FootpriM sq. ft. SAC Code Di _ Census Bldg i Census Unit ?. Building Pertnit Fee i Surcharge Plan Review License MC/WS SAC Ciry SAC Water Conn. Water Meter Acct. Depasit SNV Permit S!W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ToWI: ..:. .? ._. .. ?._ Engineering Variance Valuation: $ -- -.?- -?- ? -- % SAC SAC Units . 612 686 5246 MAY?-20'97'ITUEI 09:25 ADHINS CONSTRUCT[ON TEL:612-686-5246 P.002 MPY-19-1997 12:43 PLANCO• INC. 1 612 47G -5b5y r.n?ro? ENERGX CObE WORKSHEET FOR 1& 2 FAMTLY DW$LLINGS . STxs Anaa?ss D 1NS ZZ? Od/M/?- 4?aI'T Y rA TQ~ Da2E S LQ - 9 ? 11 FLYLOYHG GLLSSZFICATION: Q eategoYy 1 (otPbdaYd) er As eategory 7 Is?uet 14clade ventllation) lSZNIMUN CRITBRZA Feundation Insulation•n1o S]ab on Grade IReUlaCion-R10 Floer ovex c+++heated apaceq-R29 Foundation Nindove 1/7" is+eulated G1aee, -wood er Vinvl Framo Halle C. Hindowe lsce Cable On raveree eide Eor allorab]e percen[ageal STSY 1 Windew F Deor Aras A. 7eea1 Windov s Door Aroa Sn bq. Feet FINDOWS (Tncluding Foundation Windowa): MNAOW tfAH[7PLCT[1RB NAllBl HIHDON 31Wt[SPAcTURE TYRB: XYNDOH HA2ZOPAC1S1R8 II FACTOR: R. O- QuanCily cq.CL.Area Dimensiene x S_aM z5 x J x x X X J??77? X 'I'otal Area oE Hi%ldews 4 Doore B. Total Nall nrea in Sq. Pt. Fiall ToCal IleighG , PatlmmCer Hoof ACtio Yoealatiena R44-W.ith ACtic No Heel R39-With Attl.C Raieed tieel 0.38 4 RS-Solid RaEters 5TSP 1 C17.eula1t8 area ae n pcceent o£ 5+s11 C. From Step 1 dividn box n(Nindoa 4 Door Area) by Uox II(eocal wall area) Gimeo 100 equale tha windav and door aree ac a parcenE of wall area (box C). Box A I2 ? K 1 06 FchvrTy Lcoign Peatureo LY G TYPE: RO FHANING eCUdE 16" oS? FftAMINC j Ftudb 24" o-c. INSULATION 1 BNShTHZt7Q TY?B: " LES9 TIIts7 < R-5 ? R-5 > OR MoRE U-Fnc1'OR $ - F[om the Gabls, (Feverae side) d¢tosminn rhe maximum percent windew 4 door area Eer the deeign optlona eolocted and entcr clte t valuo in Box D be]ow Ueeed on the windoa mfg- U- (actar: L_( r,LJ ? D ? raq, fl•. a nrea Tha b v;.lue from cl.e cable in Box P eha]1 bo e9ua1 ta or gtoaL•ot LNan Che k Stt Box C 7'otttl Area oC H:+lls ' 1 13"IL7Qaq,fC M.41'.-20''9*7(TUE) 09:26 ADHINS COUSTRUCTION MRY-19-199? 12:44 PLRNCO+ INC. 612 686 5246 TEL 612-686-5246 P.003 1 b1C 4D4 oooy r.n??oo aNI:- &'11Np-p/VvIILY RCSfUCl`7T1AL 1![,11IDIhIG PItFSQUPIZVL (COOK-1lVt7K) ATI'g V AC71 ti11lxIMUM WINbOW AND UOOn ARGn AS A CERCiN'f OF OVEnALL WALL ARL•n Nokes: tVlndaw atta equale rnugl, apening minue In+talla?lon cleersncee. Wlndow U-(actor mu3t bc determined by dqier lhe NatSonal Feneetratlon Rathig Caancll standard 100-91, or ASHRAB 1993 Itokndbook of Fundamenlale. Chepter 27, Tablc S. ' ro.t•n'F?wNob teti u•- . .. .,a.. con.?a ee- ..? . ?.,o,.? . Y e 70TF+L P.03 prom h4liju- Rules pa:l 7670 p475 f4bparJ j,slem E Addlllonp( rafculaled raluee TY PERMIT ?p CI, . OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuzLozNe Permit Number: 0 3 0 0 6 3 Date Issued: 0 6/ 0 2/ 9 7 SITE ADDRESS: 1220 MOURNING DOVE CT LOT: 30 BLOCK: 1 ST FRANCIS WOOD P.I.N.: 10-65900--300-01 DESCRIPTION: 'g,". 6uikdirtg'-Permit Type ?uilding 44,k Type -/ C9Yt5u6 CodE f `? ??.... GARAGE/ACCESSORY ADDITION 43?4 ALT. RC5IDENTIflL t Il?514 f r,«I, s: ? v ?.?.. . .._....J . .1.. . ?. REMARKS: SEPARATE FERMIT RECIUIRI_D FOR ELECTR7LAL UIORI< ?iiuKIArF ra.NNn1' RF li;r-p T'n uFq-r nniv oAAT nF rs-Ir r,nRAf;F ARFA_ FEE SUMMARY: VAI_UATLQM1I $10,000 k3ase Fee 162.25 Surchargs $5.00 Total Fee $167.25 CONTRACTOR: OWNER: - Applicant - AQI<INS fIAVID 1220 MOURNING DOVE C7 EAGAN Mfd (612)686-5000 I hereby arknawledge Ghdt:1 have road this app?lication and state thst the intormation is correct and agree ta corflpYy` witti aIl ap'oI.icable sCaGe of hMn;: Statutes and £ity a'f Eagan Ordinances. ? APPLICANT/PERMITEE SIGNATURE SSU D B SI ATUR ,. CITY OF CAGAN CAS3FILrR: a TI_fiM1:NAL NC1: 83 DFl"iE; 06/02 /97 7IMI=: 15:34:35 z% NFaVIF: ALiF;INS Cf.1MF'ANIf.-_£3 SNC 300 9001 1220 MpURNING 02.25 055 9001 1220 1117U1;N]:HG 5.00 3210 9001 1220 Mt]UfiNING 324.75 340 3001 020 MQI.JRNiNG 2i.1.(:)9 055 9001 1220 naUi,N:rNG 11.50 7ntal. ftaceip+, Amount ? r'AA .53 f,R0745E33 UfiE:R TL?a NANCV 4 •%" l1997 BUILDING PERMIT APPUCATION (RESIDENTIAL)4/6 -),a S CITY OF EAGAN 8830 PILOT KNOB RD - 55122 681.4675 New Constructlon Reauirementa EtejnodeUReoair Reauirementa 1 ? 3 registered site surveys • 2 eopies of plan ? 2 copies of plans (inGude beem 8 wintlow aaes; poured fnd. desgn; eta) • 2 site suneys (exterior additions 8 tledcs) • 1 energy calculatlonn • 1 errergy alwlations for heated adtlRions 4 3 copies of tree preservatfon QJen if lot platted efter 7n/93 required: _Yes -)L., No DATE: -7 CONSTRUCTION C05T: DESCRIPTION OF WORK: L-L STREET ADDRESS: Y ? LOT .30 BLOCK SUBD./PJ.D. #: ST -iCA.) C " s ?'a-v-,o PROPERTY N8n'18: _144???5 Phone #: 45 2-3?5 7 OWNER ,.. ?.. cj-:i Street Address: City: State: ? Zip: SS / Z 3 CONTRACTOR Gompany: Phone #: Street Address: License #: City: State: Zip: ARCHITECTI Company: Phone#: ENGINEER Name: k-o y ? Registration #: RECEIV Street Address: MAY 15 1997 ? Ciry: State: ?r Zi • BX ;. P Sewer & water licensed plumber (new construction ony): /tA//o4- . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this applicatian and sfate that the infortnation is correCt and agree to comply ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? iA ? li Signature of Applicant: % OFFICE USE ONLY Certificates of Survey Received _ Yes _ No 2 7_-0 zq o u r vt.s .-?- Tree Preservation Plan Received ,,,_ Yes _ No _ Not Required OFFICE U5E ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex 0 02 $F Dwelling ? 07 4-piex -Iim" ' ' n ? 08 8-plex I 0 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-piex WORK TYPE ? 31 New o 33 Alterations ,B*'*"32 Addftion ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth a 11 Apt./Lodging ? 16 Basement Finish 0 12 Mufti Repair/Rem. 0 17 Swim Pool K13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace n 21 Miscellaneous 0 15 Deck l?erd? ?r.RaAcc Cs?unr.r ?jc urab 13 Nz?r . ?9Aay Ps,2r DF %i1d L?,QRAy£ 0 36 Move ? 37 Demolition , Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. Sq. ft. sq. ft. Footprint sq. ft. APPROVALS Planning Building Permit Fee i 5urcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: MC/W5 System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance ?4?3t3 D/ ,,;7 Valuation: $ d. / tpe omo - 96 SAC SAC Units ...?G.L,. ?55-79 63/26 SUNDE LA 9001 EAS7 D SURVEYING Survey For: DIOR DEVELOPMENT INGTON fREEUVAY (36WI . =g99.0'r EDWARD H. SUNDE rrswco uno auwv[von A 55420 . 612-881•2466 Surveyor's Certicate )S 10 ? t ? (??'+$S 1w1F0 "0 \ r'?sx?n n9 n t.acYt-Y. ,,,,.? cT? Sl?ol?l ?? ? ?0 c-:??-Drainage & L Utilfty Easement (';??8"QAK "906.? '?• 905.?8° OAK \ N} 4 (L k c m u L U C .. ai \ R N ? ? 904. ?O - ?., i•• t- Qy a'OAK ?? =•c ?; -9 . v , . - ? ?90 2 OPERTY DESCRIPTION A? N^ it 30, Block 1> ST. :ANCIS WOOD, according ° the recorded plat there- Dakota County, Minnesota. 90410"TWiN oaKs 01.4 / O p 905.2 'y ?MMEPV RC-CoPJ) DO NOT DE84ROY ? ?j ° NOTES &.LEGENO * 904.3 •Denotes existing elevatic * (902.3) Denotes prapased center line blacktop eievation. i 900A ? y * P905ooed Garage floor elevation = _V 1 30 ? m?0 * Proposed front house entry eleva- ?h ? tion = 906.4 Proposed Top of Block elevation = Gviall 8luaa?t2s 905.3 r ouL (qftq?t g° * 7he proposed elevatiorls and pro- ' pjr dc A o? posed house location are supject ???N, OF??O?? oQ to review and change by the City ?roposed Basernent floor elevation = 898.0 . ? PERMANIFnT IIFCnRD / DO NOT CJcSISivY I Engineer, Building pept., develope %to tary and owner. Proposed grades and • ??N ? hbuse location which are approved by the City are final, ea.p We hereby certify that this is a?rue and correct represerttation.-of a.survev..of_the_beundacies_pf_th.Q..____ land abq /.ings, ifl . ;')bated th S[fNdE LA BY: ? ? +??o anse-ir r-ax rvoce 7671 °°ro ,5'f 1 1 p;g?? I To From ^Q?? CodDopc Co q PhoneN PhoneU Fe„r Fex tl ItV OF 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN. MINNESOTA 55127 PHONE: (672) 454-8100 June 5, 1989 13R. TOM LODAHL LODAHL, INC. 321 MAPLE STREET MAHTOMEDIo MN. 55115 RE: 1220 Mouraing Dove Court-Eaqan, Minnesota U.S. West Telephone Service Repair/Restoration Dear Mr. Lodahl: During the end of April and the first part of May, performed the restoration disturbed by the telephone boulevard area along Widgeon Way adjacent to referenced above. VIC ELLISON M? 7HOFAhS EGAN DAVID K GUStPF$ON PAMEIA MCCRFA 7HEODORE WACHfER Cauricil Membars nionnns HEOees CiN/'dmlrRSfrolor EUGENE VAN OVERBEKE Gry Clek your Company repair in the the property I wanted to let you know how pleased we are with the restoration performed by your crews in this area. The prompt replies in response to telephone calls regarding the scheduling was handled very efficiently and courteously. The restoration work itself was very professional and high quality. The end product shows little evidence that you were ever there. Therefore, I wanted to extend my sincere appreciation and admiration for the way that your firm handles the restoration work associated with necessary utility repairs within our community. Please extend my appreciation to all the individuals who were involved in helping to coordinate and perform this work. 3 o-0 o r THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIIY Page Two June 5, 1989 Being responsible for a municipal utility operation, the City often times has to perform repair work in boulevard areas on our water and sewer services. Consequently, we are continuously in search of firms who can perform the necessary restoration work to a high quality level. After having personally experienced the quality of work that can be performed by your firm, 2 would be very interested to find out if you could perform similar services on behalf of the City of Eagan. If you are interested in such an arrangement, please give me a call so we can discuss the details. Sincerely yours, T omaolbert, P. . Director of Public Works cc: Jim Moody, Contract Supervisor Joe Connolly, Superintendent of Utilities TAC/jf RM city oF eegen 3830 PIlOT KNOB ROAD, P.O. BOX 21199 VIC ELLISON EAGAN, MINNESOTA 55121 Mayor PHONE: (612) 454-8100 niOnnpS EGAN onMo K. Gusv,FsoN January 23, 1989 PAMEL4MCCREA nieoooaE wncHtEa Cq,=ilMembers iHOM0.5 HEDGES MR TOM LODAHL c?tvnami??o? LODAHL INC EUGENE VAN OVERBEKE 321 MAPLE STREET cdvaerk MAHTOMEDI MN 55115 Re: 1220 Mourning Dove Court, Eagan MN US West Telephone Service Repair/Restoration Dear Mr. Lodahl: On January 18, I became aware of excavation in the boulevard area along Widgeon Way, adjacent to my property referenced above, all as necessary to repair a telephone service line. Mr. Dave Lundgren of your company was very helpful and informative in explaining to me the necessity, schedule and details associated with this repair work. He informed me that complete restoration would be performed as soon as spring weather permits to a condition equal to or better than what previously existed. During this discussion, I pointed out to Mr. Lundgren the apparent damage that has occurred to several of the landscaping shrubs surrounding the telephone junction box itself. While it was acknowledqed that your excavation work would not disturb that landscaped area, it was recongized that the bushes have been damaged by activity that had occurred around that junction box itself. While I am not sure responsibilities your fi all restoration, I would the appropriate US West regarding restoration of this repair work. of the contractual obligations and rm has with US West in performing any or appreciate it if you would inform me and personnel of any concerns that you have all disturbed vegetation associated with Unless I am informed in writing to the contrary by Eebruary 3, I will assume that you will be the appropriate party responsible for performing all restoration to an acceptable manner as soon as spring weather permits. Thank you for your anticipated cooperation and compliance with these requests. Sincerely, cc: Jim Moody, Contract Supervisor ?? , -' Thbmas A. Colbert,v P.re Director of Public Works THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWIH IN OUR COMMUNIIY PLEASE COMPI.P-TE FOR SINGLE FAMII.Y DWELLWGS. AISO, FOR TOWNHOMES AND CONDOS VVIMN PERMTTS ARE REQUIRED FOR EACH' llNIT. 'NO. FIXTURES EACH TOTAL SHOWER 3.00 i1V.'yT EP. CL^3E:' 0100 BATH TUB 3.00 LAVATORY 3.00 KTTCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 1 WATER HEATER 3:00 FLOQR DRAIN 3.00 _ GAS PIPING OUTLET minimum - 1 3.00 ROUGH OPENINGS 1.50. ? .. WATER SOFTENER 5.00 . PRIVATE DISP. • naLcty. u? 20.00 U.G. SPRINKLER • eome Maa ?c 3.00 ALTERATIONS • w cxisupg 20;00 WATER TURN AROUND 20.00 STATE SURCHARGE ,50 TOTAL: ?• ? SITE ADDRESS: ruL6ER7 THOMRS R 1220 MOURMINr, pOVE rOURT EIiGPofI , MN 55123 OWNER NAME: H 454-3333 W 681-4635 INSTALLEI2: v ADDRESS: 1905 GARfIELD AVENUE SbuTr CITY: ?.aefn _ a?s.uw 1 STATE: ZIP CODE: PHONE #: ( ) cz? SIGNATURE OF PERMITTEE ' r 2 z y 7-5 ? ,e 1994 PLUMBING PERMIT (RESIDEN77AL) CI'i'Y OF EAGAN 3830 PILOT K1VOB RD EAGAN MN 55122 (612) 681-4675 1994 PLUMBING PERMIT (CODUKERCIAI:) C1TY OF EAGAN 3830:1'IIAT KNOB RD Ee1GAN MN 55122 (612) 651-4675 - PLEASE COMPLETE FOR ALL COMIviERCLAI,IINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPeARATE PERMITS ARE NOT REQUII2ED FOR EACH DWELLING LTNTf. _ NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRAGT PRICE: FEE: 1% OF CONTRACT FEE. - STATE SURCHARGE: $.50 FOR EACH $1,000 OF IMp? FEE, MINIMIJM FEE: $ 25.00 CONTRACT PRICE X 1% $ STATESURCHARGE TOTAL $ SI1'E ADDRESS: '!'ENANT IeTAMIE: gTE, ;rt OWNER NAME: INSTALLER: ADDRES3: c11 1: PHONE #: FOR: CITY OF EAGAN STATE: _'v ? ZIP CODE: APPLICANT ? CITY USE ONLY LOT c?D BL I RECEIPT SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612)681-4675 Date: Complete this section only if vou are installine HVAC in sin¢le familv, townhome, or condos that are under construction and are not owner /occuuied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas oudets (minimum of one required @$3.00 ea) • State Surcharge: .50 • TOTAL: Complete this section oniv if You are remodeline, adding to, or reoairinE ezistin¢ single familv dwellines, townhomes, or condos. `? Add-on fumace ? Add on air conditioning .? _ Add-on air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Sutcharge .50 Total: $ 20.50 SITE ADDRESS:, OWNER NAIvIE: G?-- iN 5 PHONE #: 4?& - SO--? INSTALLER NAME: STREET ADDRESS: CITY: PHONE #: STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY L _ BL _ SUBD. CONTRACT PRI¢E: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. DATE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: whichever is greater. FEES: P $25.00 minimum fee 411% of • Processed piping - $25.00 • State surcharge of $.50 per $1 CONTRACT PRICE x 1% PROCESSED PIPING / 6? RECEIPT#: RECEIPT DATE: _ INTERIOR IMPROVEMENT ,6f pg= fee due on all permits. ? STATE SURCHARGE / • -C> TOTAL ? alt commerciaUndustrial buildings. ? multi-family buildings when separate pertnits are uired for eaeh dwelling unit a-5-- 5'C> SITE OWNER TELEPHONE #: NAME: (IMPROVEMENTS ONL`n ADDRESS: cirv: PHONE #: SIGNATURE: 51GNATURE OF PERMITTEE STATE: ZIP; CITY INSPECTOR L 30 BL ? SUBD?/.1?/Ga?t.e..o /.C.? CITY USE ONLY r?,/ H RECEIPT#: L `7"?/?G RECEIPT DATE: &144 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please comptete for. . single famity dwellings . townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES EACH h{Q; TOTAL Shower 3.00 x O = b Water Closet 3.00 x 1 = 31010 Bath Tub 3.00 x D = 4p Lavatory 3.00 x 1 = 3e"D Kitchen Sink 3.00 x O = O Laundry Tray 3.00 x Hot Tub/Spa 3.00 x - Water Heater 3.00 x ? = O Floor Drain 3.00 x 3 = :9• B'D Gas Piping Outlet "minimum-1 • 3.00 x 1 = 3.0-0 Rough Openings 1.50 x O = o Water Softener ' for dwellings under construction 5.00 x o Water Softener ' for existing dwelling 20.00 x -0 U.G.Sprinkler 'fordwellingundercunst. 3.00 = d U.G.Sprinkler 'forexistingdwelling 20.00 AltBretlOnS ' to existing residence 20.00 = Zo, o0 Water Tum Around 20.00 Private Disposal System ' Dak Cry lic. 75.00 (new and refurbished systems) Private Disposal Systems' nbandonment 20.00 5TATE SURCHARGE .50 TOTAL ioz0 I hereby adcnowledge that I have read this appliation, siate that the fnfortnetion is corred, anM egree to compty wRh all: applicableCity of Eagan ordinanCes. N is the epplicanPs responsibility to notify the property owner that the.Ciry of Eagan assumes no lie6iliry for eny demages pused by the City during its narmal operational and mainlenance ac6vities?to the.tecilities.canstruGedunder thfepertnd within CKy Dropertylright-of-wayleasemant. SITEADDRESS: ?ZZv vr/?/1/ ? a", f (/J OWNER NAME: INSTALLER NAME: TELEPHONE #: ? STREET ADDRESS: CITY: STATE: ZIP: SIGNATURE OF PERMITTEE ? L d0 BL CITY USE ONLY SUBD.? T/tQnu'.ao Lf/016`? RECEIPT#: 9 RECEIPT DATE: 1998 PLUMSING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IINOB RD EA6AN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings . ? townhames and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # Shower 3.00 x = Water Closet 3:00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TublSpa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - t 3.00 x = Rough Openings 1.50 x = Water Softener `for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G.Spfinkler `fordwellingunderconst. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations " to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems `Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE TOTAL TOTAL ZO. cro 50 ? C>-70 s0 -- --- ------ ----- ----------- --------------- ------------------------------------e in-------------------------------- ----------------- - I hereby acknowledge that I have read this appliption, state that thfortnatio-----n- is cortect, and agree to compty wkh ell applicable City of Eagan ordinances. It is the applicanYs responsibility to notity the property owner that the Ciry of Eagan assumes no lia6ility for any damages caused by the City during its nortnal operetional and maintenance ac[ivities to the facilities constructed under this pertni[ within Cdy property/right-of-way/easement. SITE ADDRESS: IZ Z G ?/k"-n ':)C-' u e Ct- OWNER NAME ??v» /rJ 5 INSTALLER NAME: ??tJN e-e?? TELEPHONE #: `? SZr-?T Sr 7 STREET ADDRESS: cc- 3 CITY: l'.- ci,? GV-1 STATE: ?A) zIP S 5 17- RE OF PERMITTEE /-?'Yg /.GY CDIPERMIT FORMS/RPLBG PERMIT (RES) - 1998 e ` ? CITY USE ONLY 8L A RECEIPT #: _ I I SUBD. st• ?YWV?vv_V 4 RECEIPTDATE: PERMIT# 1999 nUM$Iwi PEiMIT (RESIDENTIAL) CITY OF ElkfiAN 3830 PILOT KNO$ RD EAflAN, LiN 55122 (651)687-4675 Please complete for: ? single family dwellings > townhomes and condos when permits are required for each unit ? 6ackflow preventer for underground sprinkler system FIXTURES 2Z(1 /? /(aU/^ a,=. TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet *minimum -1 3.00 x ! _ $'3 Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alteretions to existin dwellin 30.00 x = $ o- Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Watercloset 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e 50 --> ----> ----> $ .50 i TOtal --? --? ---> ----> $ ---S a • -5?v Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------- acknowle ---- ---dge----fhat-I-have-----read-----this- appli---catio---q---statet------hat--the---info--- rm--ation-----isc--o-rte -ct-, ---and- agree tocomply-----wi[h----all-----appli-- ca--ble Ci-----ty--of- Eagan-ce--s I hereby ordinan. It is the applicanPS responsibility to notity the property owner that the City of Eagan assumes no liability 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-way/easement. SITEeDDRESS: ? ER NAME: \'" EACH # 2?-r/ r.O TELEPHONE #: ? S? ? ? Y S 7 ' (AREA CODE) (C INSTALLER NAME: STREET ADDRESS: CITY: AUG 2 71999 ?l tp(,' i!'?`I -- TELEPHONE#: (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE CITY OF C:FlGAN CASH:LEP;; JS TI"fiMLNAL N0: 758 DATE: 07l1.4199 TIME: 07:1.43:24 ILi ,; NA'ME" bAVID W FlTiI.7:N5 321.0 3(]01 !i?cQ MOURNING 293.25 3422 9001. 1220 MirJtJRNING 1.90,61 i 21s5 9001 1220 rsour,h:cNc, 9.00 Tota7. I";eaceiprt Air,ni.ant: 432.86 CR 1.1333i' 11SEh IDe .?AN • 7999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1- y 9 -? ?? 651•681-4675 Ne,w Conshuction Reauirement ? 3 regBiered sBe suneys showing sq. M. of lot, aq. H. of house and gg rooted areas (20% maximum lot coveraae allowed} ? 2 copies of plans (show beam a window stzes; poured fnd. design; etc.) D 1 set ot energy calculaNOns ? S copies ot hee preaervatlon plan H lot plaMed aHer 7/1 /93 Remodel/Reoalr -? ?" ? 2 eopies ol plan 1 sef of energy calculaflons for heafed addNions 7 sHe survey for exterior addHions 3 decW DATE: '- CONSTRUCTION COST: AB a a?` DESCRIPTION OF WORK: STREET ADDRESS: /2Z0 ."4?0 LOT: J U BLOCK: SUBD./P.I.D. #: Name: /?(Ws Phone #: (9S? `T?2 ^???'? 7 PROPERTY lasl Fint ?')r-I _??'? OWNER ? Street Address: Clty CONTRACTOR ARCHITECT/ ENGINEER State: Zip: Company: ?L.r ?`1?"-w•? p?-' +-? ? Phone #: (area code) Street Address: License # Exp. City State: Zip: Company:.f/? "L Go Name: ?/ o"- 4'' '-C Telephone #: area code (??) 475 Z- a 7 Street Address: 3`7 3`' ???s ?-= 3?? Reglstration #: City r." °- State: Sewer d. water Ilcensed plumber (reaulred for new constructlon onlvl: .PenaNy applies when address change and lot change Is requesfed once permN Is Issued. Zip: i hereby acknowledge ihat I have read this applicatlon, state that fhe InformaHon is conect, and agree to Staie of Minnesota Statutes and Cify of Ecgan Ordinances. Ilf /' SfgnaTure of Applicant: OFFICE USE ONLY Certificates of Survey Received v Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not vMh all applicabl ? JUN 2 9 Ic' _ - --`-? OFFICE USE ONLY BUILDING PERMIT TYPE . , a ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 5F Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? OS 6-plex ? 13 16-plex K 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage O 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool J? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Onl y ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors 33 Alteration ? 37 Demolish Bidg.* ? 41 Wood Stove ? 45 Fire Repair ?? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units ? Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS ? Planning Building J' Engi neering Variance Permit Fee Valuation: $ ; J 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 % SAC [??1 ?; r! 5 r ,Ub1DE LANU SUNVtYINI? INL:. tUVyARD H. SUn76E? •.nrcweo ?wr?o suNV[row .9001 EAST BLOOMINGiON FREEWAV 135W1 •tlLUOMINGiON, MINNESOTA 55420 .612-881-2455 ( i .. 3) 904.4 /.: Surveyor's Certificuce Ny 9043 ;7 -19 0 3. r -7 ^ s9c- a7 , 4 , 4-sls6b CITY USE ONLY I PERNIIT J u Iiq RECEIPT DATE: RE.SIDEN'I'IAL MECHAN1CAL PUMIT APPIICATd014 crrY oF sAs„hxx S$SO PILOT KPO$ iiD EAfiAN btN 55128 , , . 651-6$1-4875 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: Io( - a-01 SITE ADDRESS: OWNERNAME: Cb!/i1//z aa/.z TELEPHONE6k?/ /VJoc.. (AREA CODE) INSTALLER NAME: SEDG'u?'CK HtATiNG & AIR CONDITIONING CTELEPHONE 8910 Wentworih Avenue Sauth (AREA CODE) STREET ADDRESS: MiRnBBpOriB, MN 55420 memew CITY: STATE: ZIP: Dl?n ?I.nA4 ..r4 nnvh tn fMn narmif wnrlr rina New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration existin dwelling uni? h`??' $ 50.00 • furnace replacement- • air exchanger . airconditioner---,;(ivvnD?.G • other Nature of work: State Surcharge $ .50 $? `-" Total Reminder: Call for inspectdons. SIGNATURE OF PEI fI E_j7a Updated 1/01 CITY USE ONLY PERMIT #: APPROVED BY: RECEIPT DATE: INSPECTOR COMMEEtCIAI. MECHANICAL, PERM1T APPLICATION C11'Y og EAsAft 3$30 PILOT KNOB gD EMM, MN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNERNAME: PHONE#: - . (A?A CADE) TENANT NAME (IMPROVEMENTS ONLY): ? . i WAS THERE A PREVIOi7S TENANT IN THIS SPACE? Y N. NAME: 1I35TALLER: ADDRESS: CITY: WORK TYPE: New conshucrion _ Interior Improvement _ Processed Piping Specify Nanue of W ork ZIP: Install U.G. Tank Remove U.G. Tank When instalding/removing underground fank, call 651-681-4675 for inspecdion by Fire Marshal and Plumbing Iinspecmr. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removallinstallation = m;n;m„m fee Con4act price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE PHONE #: - (AREA CODE) STATE: Updated 1101 i Use BLUE or BLACK Ink � ForOfficeUse---------� � I . �a�',o�3� � Cl� O l L� �11 ��j��V E I Pertnit#: — l � � ; Pertnit Fee: ��. U� � 3830 i�ilot Knob Road JUL � 6 2014 � Date Received: �-' �G� / Eagan MN 55122 I � Phone:(651)675�675 �� S�ff. I Fax:(651}675-5694 gY; _ � � . L.�.��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �-��'l L� Site Address: 2.Z(J i"�UI,c.U'(ni 1!� �c7V� ')U.�� Unit#: �.'' J �I� 1 � '�� n � f�=� � Name: ��C--�ln� �•� �� L� �l'Vl Phone: �C f 2- �"7� i � ResidenU � Owner Address/Cily 1 Zip: Z�v �'�G'�� L��`� ��-�� --�' � � � Applicant is: Owner �Contractor i �r ^I n ' � Type of Work Description oFwork: !�� c` ��d�d �U-LrE/ll UL�-, �1�''r., (�lCtiCf �� i�` � � Construction Cost: ��` � Mufti-Family Building:(Yes !No� 4 r L `_ I_ � � � Company: ��'T�� .�5"�c;�1 ��1v'1S�C1�L��L�Contact� ��i�- � j r 4 �� Address: ��2-1 Co �i�.�'t l�-� `�k City: �l�.-�,_�,'\ � S �°�� Contractor � I � � State:�1�lip: �s//� Phone: U-��'��73�"L+l rC Email: F � License#; ��2 �� Lead Certificate#: !v I� � " I 2'� (Z � 1 �the project is exempt from fead certification, please explain why: (see Page 3 for additional information) ! COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING � i In the Fast'E2 months, has the City of Eagan issued a peRnit for a similar plan based on a rriaster plan? � e _Yes _No ff yes, date and address of master plan: ` Licensec!Plumber: Phone: i � 611echanical Contractor: Phone: ; • s { Sewer 8 Water Contractor: Pho�e: HOTE:P/ans 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�vould permif the City to concJude that they are trade secrets. CALL BEFORE YOU DIG. Call GopherState�ne Call at(65'I)454-0002 for protecEion against underground ulility damage. Call48 hours before yau intend to dig to receive locates of underground utilities. www.aonherstateonecaU.ora I hereby acknowledge that this information is complete and accurate;ihal the woric will be in coniortnance with the ordinances and codes oF the Cily of Eagan;that I understand this is not a pertnil, but only an application for a permit, and work is r�ot to start without a permit;that tt�e work will be in aocordance with the approved plan in Ihe case of work which requires a review and approval of plans. Exterior work author¢ed by a building permit issued in accordance with the Minnesota State Building Code must be completed wilhin 180 days of permit issuance. _ x ��n �,� � 1 s� X ApplicanYs Printed Name ApplicanYs Si "na Page 1 of 3 ��d 6b9Z-S9L-6S9 oi;�na;suo��uo�sn�aa}�e� d££�ZOb� 9� lnf Use BLUE or BLACK Ink r----------------"'� iFor Office Use / i � � Permit#: l � �� j Clty of �� ; � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � t Site Address: tZ-2 D t�U�`��^ CT• Unit#: '. ' Name:_ �`�(,�,�'� �D��Sn/1 Phone: ReSide��f . � �i�.3 Qyy�� Address/City/Zip:__�2Z..D OU(nt�� e� G.�'1 °''. Applicant is: Owner Contractor Description ofwork: (_L`Op� `� ('��ta,(, I Q_.��'" Q,l(,tJt„�'1e✓� �Type of Vl�or�C� , Construction Cost: �t i�.,��+� Multi-Family Building: (Yes /No� Company: n �n 1�ov � '�" , Contact: ��, �— Address: "�� Gp�IDd�, � City: J�or7�v;21,.) Contractor ' State:�Zip: �Z �o Phone: ��1.2-7'��E�ail: � � . –, �w�t� a� License#: ��S C�fl�� 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: NQ'TE: f�lan�and sup�ortirr�;:documerrts.#h��yot��ubmit�re car�sic�ered i�4 l�.e public int'ort��tipn, Pvrfi4ns r�f . �t�e i�forma�iar��rray be�/�s�i�ied,�as�n,�"�n=pu�Ji��f.yo�pr�avic'ii�spe�i#'ic r�asans tha#would permif th�City'ta �,��r�ct`u�l��h��,'fFte''ar��frade s��rets: : - . ,.; °', 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.qopherstateonecall.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 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 author,�zed by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of ermit is ance. x Cv��1Q� x Applican s Printed Name Applicant°s Signature Page 1 of 3 � Use BLUE or BLACK Ink - ' r________________� ' � For Office Use I I ' 1 �-�� City of �a �� j Permit#: � � � � �a�� Permit Fee: I 3830 Pilot Knob Road i � Eagan MN 55122 REC�I�/�D � Date Received: � Phone: (651)675-5675 Fax: (651)675-5694 Q�� j Staff: � I �� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �''� �� v'�' �-� Date: Site Address: Unit#: Name:��'-��,�'• �.J G�f�.-�SOiV) Phone:l.��' o�a�� J� Resident/ ' 1 Owner Address/City/Zip: �Z� NtGL112�l►�C� �tJC�,� C', � �}-��} 5� 123 ' Applicant is: �Owner Contractor Type Of WOCk Description of work:gQ�U41��(�L{� �q ��-��/LJ� ��e ��a C.�,. o� ! Construction Cost: � � Multi-Family Building: (Yes /No� ' Company: Contact: C011tYaCt01' Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1�� ' � -( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _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 proviale 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.qopherstateonecall ora 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. 1�Ji � / � �V V/I C A ) / � i�� X J�IV Xi(� "�' ApplicanYs Printed Name ApplicanYs Signatur '- _.., Page 1 of 3 , DO NOT WRITE BELOW THIS LINE ��--� �`�� - SUB TYPES �� (c�J��'n ;n� ��,1� ��' Foundation Fireplace Porch (3-Season) _ Exterior Alteration (Single Family) )( Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) �t Multi Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES „�, '� ��'�r �" � < �„'�` New Interior Improvement Siding _ Demolish Building* _ Addition � _ Move Building _ Reroof _ Demolish Interior � Alteration� _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Width � REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/ No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Drain Tile � Fireplace:�Rough In �Air Test �Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: � 60° , Building Inspector , RESIDENTIAL FEES Base Fee Surcharge „� ;�,� Plan Review � �� , MCES SAC �'� City SAC "�"�� Utility Connection Charge � � S8�W Permit 8� Surcharge "}�� Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA136830 Date Issued:06/01/2016 Permit Category:ePermit Site Address: 1220 Mourning Dove Ct Lot:30 Block: 1 Addition: St Francis Wood PID:10-65900-01-300 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark A Johnson 1220 Mourning Dove Ct Eagan MN 55123 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162114 Date Issued:06/26/2020 Permit Category:ePermit Site Address: 1220 Mourning Dove Ct Lot:30 Block: 1 Addition: St Francis Wood PID:10-65900-01-300 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark A Johnson 1220 Mourning Dove Ct Eagan MN 55123 (612) 532-8900 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature