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4370 Nicols RdcInr oF EAGAN 3745 Pifar Knob Rocd Faqen, MN 35122 PHONE; 454-8100 BUILDING PERMIT Receipt # Site Address Lot Parcel # - Block Sec/Sub. r Name - - - - - - - W Z Address o - f:?„ Dl,.,.,e ..? - _ ' cl IVnme _ o 8? Address ?- rah, Name _ Address Na 5252 Erect fl-- Occupancy Alter ? Zoning Repoir ? Fire Zone Enlorge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grode ? Depth ft. Approvals Fees Assessment Water & Sew. Pol ice Fire Eng. Planner Council Permit Surcharge Plan check SAC Water Conn. Wofer Meter I hereby acknowledge that I have reod this applicotion and state that Bldg. Off. the information is correct and agree to comply with nll applicable Stote of Minnesoto Statutes and City of Eognn Ordinan¢es. APC Total Signature of Permittee A Building Permit is issued to; on the express condition thnt oll work sholl be done in accordonce with all applicoble Stote of Minnesoto Statutes and City of Eagan Ordinances, Building Official Pare+i} # DoM loued Prmi1tN Plumbing Mechanical INSPECTIONS DATE INSP. Rough-tn Final Footings - 3 Date Inap. Dafe Insp. Foundotion Plumbing Frame/ins. Mechanical Final ? Remarks: CtTY OF EAGAN 3795 Pilo! 1(nob Reod Eagen, MN $5123 PHONL: 454-8100 U BUILDING PERMIT Receipt _ To be r"d for GARAGE Est. Vclue 540 i0 Date % Iav 11 Site Address- -4370 N,leols Road Erect ;43 Occuponcy R--3 Lot L Block _6L_. Sec/Sub. -r- edar Grove 4 Alrer p Zoning R--1 Parcel 10 16703 020 06 Repair ? Hre Zone :ZA E v nia.? o Tyae oF c.«s+. W N?a i?onald A. Wise Move ? # Stories z Addrou- -4370 i7lCOls Road Demollah p Length 24 ? o Name Owner ? °Y_?• ~ Assessment _ u? Addreu F e.-. „?--- Water 8 Sew. I hereby acknowledge that I have read thi; the informotion is torrect and ogree to Stata of Minnesoto Sfotutes and City of Sipnature of Permittee 'Ki A Building Permit is issued to: oll work shall be done in accordorxe with i opplicotion and state thaf ;omply with all opplicabfe Eoqan Ordinonces. , ? oll applicable State of Mir Police Firs Eng• Plonner Council Bidg. Off. APC Permit 44. .)+J Surchorpe 2.00 Plon check SAC Woter Conn. Water Meter Road Unit Tota17 ` 4 J; . S 1 on tM expreu condition tMt ond City of Eaflen Ordinonces. Buildinq Officiol Permit No. Parmit Holdsr Mise. Permit No. Holdsr Plumbing H.V.A.C. Wsll Water Disp. Sewar EwM.ic u) z'7to(1s 0.,unkf' 10-I143 Irnpection Date Insp. Other Footings Foundetion ? Framing ?J Rouqh Plbp. Rouph HVA Inwlation Final Plbp. Final HVAC Final Waftr Describe Location: Wall • Sswer Pf. Disp. CITY OF EAGAN Remarks * Cedar Grove Acquisition addicion CEDAR GRC7VE *4 tot 2 aik f? Parcel i67na 020 ?06 Owner Street 4370 Ceciar ATaetlue state Ea9M. MN 55122 _ ?-0LLd1&_ X" Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 1972 1,304.00 52.16 25 WATERMAIN * WATER LATERAL 1972 . WATER AREA STORM 5EW TRK STORM SEW LAT CURB & GUTTER SfDEV`fAtfC STREET LIGHT WATER CONN. BUILDING PER. SAC PARK cirr oF EAc,nN 9795 Pilot Knob Roed Feqsn, MN S5122 1?I.? ? 8018 iHONF: 4S4-8100 r\ JS 7 -7 BUILDING PERMIT Recefpt # Te 6e uaad for GARAGE Est. Volue $4 000 Dote Mav 11 Sita Addreu 4370 Nicols Road Erect Eg Occupancy R-3 Lor 2 Block 6 Sec/Sub. Cedar Grove 4 Alrer ? Zoning R-1 porul # 10 16703 020 06 Repoir ? Fire Zone NA V Enlarge ? Type of Const. W Name Donald A. Wise Move ? # Staries ? neereu 4370 Nicols Road pe,,,ol;sh ? 24 Length_ C; Ea gan 55122 phone 454-6915 Groee ? Depth 24 Sq. Ft.- o Name Owler AVVrov"ls Fees ZV VSy r- Name _ Address I hereby ackrwwledge that I have read this opplicorion and stote that fhe fnformafion is cnrrect and ogree to wmply with all applicable Sroee of Minnesoto Stotute and City of Eog/an Ord(inancesy.? 5(pnoture of Pertnittee?[d A. A. onal Wise A Building Pertnif Is issued to: oll work shall be done in occordarxe with nlt 1 State o ? Bulldinq Official ? Atsessment _ Water 8 Sew. Police _ Fire Enp. Plonner _ Council _ Bldg. Off. _ APC Permit - Surchorge _ Plon check _ SAC _ Water Conn. Woter Meter Rood Unit _ roml $46.50 _ on the expresf cOnditlon lhnt Giry of Eagon Ordirwncea. cIrr oF Er?GAr+ ,. 3795 Piloe Kno6 Roud Eagan, MN 55172 N2 5252 ` PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # / ',z 6'rj' To be und 4or SI'12C1 & Sldb Est. Value $00. Date (- 5 ._._ , 19 79 Site Addrea 4370 C2ddY' AVe. Erect Occupanry R3 Lot 2 Block 6 seo/sun. CG #4 Alter ? Zonirg Rl Repair ? Fire Zone 3 Parcel # EnIcrge ? Type of Const. V c Nome mnald A. Wise Move ? #$tories Z ? Address 4370 Ced3Y AVe_ Demolish ? Front 10 ft. 12 Cit Eagan Phone 454-6915 Grode ? Depth ft. p Name S? Approvela Fees ?? Address Assessment _ Water & Sew. ~ Cit Vhorre G? Police w Name Fire ? Address Eng. L Cit Phone Planner - Council _ Permit J•vv _ Surcharge .50 Plan check SAC Water Conn. Woter Meter I hereby atknowledge that I have read this application and state that gldg. Off. the information is correct and agree to comply with all applicoble 5.50 State of Minnewta Sfot? y/te?s a?nd?t?y of Eagan Ordir?wnc1es. APC Total Signature of Pertnitte/, "-v! Q' ??/ A Building Permit is issued to: 11'mald A WiSQ on the express condition thot oll work shall be done in uccordance with all applirpble Stote of Minnesoto Statutes and City of Eagan Ordinonces. Buildirg Official O>?G'_..lJ = p-W cri^? oF F?cArr /?,zmluae 2 ?, (I) site plan w/el.evations & / BUILDING PERNIIT APPLICATION I••°+ af i rma ? /±? Zb F?e Used For (?-1^0. ? Valua4onl'?4 /}'D ? Date ? site Aaaress: VcoVaV-o 4X Int ? Blocls Sec./Sub. C???rot WL Pax°cel #: Io j (e103 ()70 C) (o Owner: ?i-?? Fi- Aaaress: (l 3 20 - ---n Lc.?.ed ?• t',ity/zip Code: D-y.Q._,,, -1'I Y 7i ? PnorLe #: _y3-1/ Contractor: Address: City/Zip Cocle• - - - Phone #: Arch./Eng.. Pddress: OFFICE USE ONLY Erect / \ OccuAancy Alter Zoning Repair Fire 2one- Enlarge _ 'lype of Const. Nbve # Stories DEmlish Fzont ^_ ??___ fta c?ae - nentn :fte V APPROUALS Fg'S _ rssessments Pexmit q5/ 6:?_ Water/Sewer _ Swrcharge __? ;L ZJN? Police Pian Check Fire SAC _ Eng. Watzx Conn. Planner ' Water Meter Council Rt>ad Unit ? Bldg. Off. --- - -- APC C.ity/Zip Code: Phox,e #: TOMT, CI'fY OF EAGAN BUILDING PERMIT APPLICATION To be used far ¢ Valuation t5 (??j ? Date i ' s ??a? Includ? 2 1 site plan w/elevations 6 1 set of energy calculations. - ?`- 7 ! Site Address Y3 a? Ct.v'K 'z, OFFICE IISE ONLY Lot Block Sec. /Su6. Erect y. Occupancy Parcel # Alter Zoning Repair Fire 2one 3 Owner: Enlarge Type of Const. ) Move $ Stories Address: l.O Demolish Front ?n ft. ? Gyy??w S??^ / y y Grade Depth ft. ? Phone Approvals Fees Cositrac[or: Assessment Permit Address: Water/Sewer Surcharge Police Plan Check SA Fire C Phone $: Eng. Water Conn. Planner Water Meter Acch/Eng.: Council Road Unit Address: Bldg. Off: APC Phone ll: TOTAL ? ? EAGAN TOVO/N S H 1 P BUILDING PERMIT Owaex ""S..""...-------- S.:D..:.................. Address (PresenY) .,..dc:._..._.. ?Itit ::..?7:..?sr.!-e 4 ...........e.k.4.?,. Builder .....---'-'....---------_..._.-----'---'...... Address ...... DESCAIPTION N° 1413 Eagan Township Town Hall nate ..--- - ---------------- Siories To Be Used For Froni Depih Heighf Esf. Cos! I P ermif Fee Remarks ? I"_f?t LC/??. AS/0?1 I N ,1L1.e./Z I or LOCATION !-4{- e -y? This permit does nof auihoxise the use of streeis, soads, alleys or sidewalks nor does if give the owner or his agenS the righ! !o creffie any siYuafion which is a nuisance or which presenls a hezard fo the healih, safely, convenience and general welfare !o anpone in the communiip. TFIIS PERMIT MUST BE KEPT1??' ON THE PREMISE WHILE THE WORK IS IN PROGRE55. ? This is !o eertifp, 2hal-?-`_..F?-:_.-..L`?.v.-------- -E-`!....... ---..... has Permss.sioa fo erect a ----'? . .---........ upoa ?., ?g...?.?..". LP?' . . the above descsibed premise subjecY fo the provisions of the Building Ordinance for Eagan -TbSnnship ado.3ed April 11, 1955. ..?:1???wv . .? ? ClUt.IL? ........... .............................. Per .....----°-- ----. K. .......? ........................... ...--.f...`--..._'-'-.-'--...-'----'-'.--....... Chairmen ot Tnwn Board Building Inspeclos et ,.(j ?I'f REQUEST FOR ELECTRICAL INSPECTION ?_„ EB-00007-03 un?7 2 7 6 6 5 / See insiructions lor completing this form on beck of yellow copy. ??? "X" &9/Qm-Werk Cewered by 7his Request 3q qD S Ne Add Nep. TyOe of 6uiltlin9 APPliances WirBd EquiOment Wired Home Range Temjwrary Service Duplax Water Heater Lightin Fixtures ApL Buildinp Dryer Electric Heatin Commercial Bldg. furnace Silo Unloader Industrial Blclg. Air CondiVOner Bulk Milk Tank Farm Ot cr peu y Other(5uecity) er -i Other Oth.r Compute lnspectian Fille 8e/ow k Fae $erviceEnhenceSize k Fee Fexders/5ubfeetlers # Fee Cirouitg 0 to 100 Am s 0 ro 30 Am s Z-Sb 0 to 30 Am s 107 m 200 Amps 31 to 100 Amps 31 to 100 Am s Above 200 Am s Above 100_Amps Above 100_Amps Transiormers Remote Control Circ. ? Partial%Other Fee Signs SNecial Inspection ?00 $ 1 T Fema rks ?? TAL FEE ? Rouph-in Oate . I, [he Electrical Inspector, heraby cartily tHat tha ahove Pina1 D te ?O inspection hes been de. This request void 16 montns honi This request void ? -1 ls montns rrom .1 ,,,9. 27 F'i R.ri. icenseo uecv?cai -oniracior Iherebv Iequast insoaction ot ebove wner - ? electrical work ins[alled at Street Address, 6ox tlr Route No. . " .3 v ` c City _ i; ecLOn o. Towns?iD Name or o. RanHe No. C unry Occupant (PHIN ) - IV?1? Phone Np, ?.?-- Power Supplier S Ad ss Elecvic oniracto'r^ (COm any Nama) - mvactor"s License No. Mailing ddress Ipolntrac or or Own r Makine ??sta' atioN i??.V ??? ? ?l ?Vl 1I l? ?? ?.? f ? t?orized Sig iure (ContractodOwner Making Installa 'onl ?.' r P/hone Number / K ??^ 6 Vf - MINNESOTA STp7E BOAflD OF ELECTPIGTV ' THIS INSPECTION qEQUEST WILI NOT Griggs•Midway Bldg. - Room N•797 BE ACCEPTEO BY THE STATE BOARD 1821 Vniversitv Ave., St Paul, MN 65104 ' . UNLESS PflOPEN INSPECTION FEE IS , Phone 161212972777 . ENCLOSED. L2? r3?; CEdA.r +L I 'X L( PERMIT #?j O D U -? Please complete for: SITE ADDRESS: 3$30 PILOT KNOB RD gaeAu. Mrr 5ai2a 651-681-4675 RECEIPTDATE: Sl ?o O ? 2008 U.SIDEVTIAL PLUM$llVF PERMTI' APPLICATION crrY oF EAeArt single family dwellings, townhomes and condos when permits are required for backflow preventer for irrigation system o m @ m od? MAY 0 6 2002 D e y unii, 5 4370 N i'C? ol s OWNERNAME:: _gibw G(tDr-la WGSCi TELEPHONE#: (b51)??J`7-(!?-115 (AREA CODE) INSTALLERNAME: NjOr'WbYYI PtIA.Mbiv6 TELEPHONE#: (0iz"92-7"' '4033 STREETADDRESS: 20105 ClCIV'F?GId PtV'GViLte- Splrt}41 (AREACODE) CITY: IN?I? LS. STATE: MQ Z1P: 55L40$ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100 00 includes $40.00 County fee . Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLVDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 518" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigatic^ system i ReplacemenUaddiiional: _ water softener X water heater $ 15.00 State Surcharge $ .50 Total g 15 .So I hereby acknowledge chat I have read this application, state lhatthe information is correct, and agree to complywith all applicable Cityof Eagan ordinances. it is the appliCanCs responsibility to notify lhe property owner that the City of Eagan assumes no liability for any damages caused hy lhe City during its normal operational and maintenance activities to the facilities constructed under lhis permil within City propertylright-of-wayleasement. SIGNA UR OF PERMIITEE 1/02 _' _ • '- --•-? - i-i-?i i . --- . • -- • ? -1 -'- ?-'- -- ?I ?-- , 77'.? --; - . ? ? ' ;- - ?----'_- ? - ,9Z - , I I 1 , ' I ? I-t ' -- - -- -- - ?-?--? - - ? - ' 1- - _ - - -?-- t - --? ; - J? ?- _' T ? - _- - --? ? - , - - , - - _ _ _ , ;- , L _ ? - _?_? -L_ . _1 ? ..{j.' . _..__ . _ . _ - ' ? ? ? ', ? I ? • , . t_ i ? AC C" -- ; -?-i -4-4-4 1,rL4' . ? , -- ? - , - , -- ?-- --- ; - i- , ' I0? i -.? ?'.....?.???,._. r ?..?.. - - - - ? -, - - -. -;-? , -;-- - - - - - - - -?- , - - - --F-;- ? - _ -- =- ' - - - - - ?=! ? ? ;-_,- -- - - - - - - - - - -- - -- - ---- ?-?-? :_ , :?oi?tgage Loar Snrvey #o?r ?'??ar ?'r.ove C'o•?s? :?' .. r _ : , . ?-- - ? t J ? t ? i, _S FV n . ? ` iYr - ?, ,. , .. . . . . ...? S' . '?. .. ,'._ . '._.:. ... . . .. . .: ' I ?. ?. ,.. ? .{ . a . ' " ,: - . . : . . . : ! .. :. _:...' . _ .. . - m, + L 1:. .. . )' . . . ? . .. ': . . ° y ?F ... ?ai . , r ' ` ---- '.O?nefes 1!{44 ?.; • ?BLOCK ?? CEDAR: ?R0?/?? 'Np4 DAKUTA :COUN:?'Y ?'?; '^?8ea.rt:o?areadw?rscf,eprrsr,faf'mn/?_'?'a ?!'l?rb..,eb+es{r'ibeLdobes:dar?dod?ji'1?+Ir?fieh?'dl?l+?y ?,,.?? w n -`'I?d?`?1Y?J.pl?flrtRl?-?S,f?i ? Mtp?? ?f?'lM?.:l1?!}I?:B:tp'bLC??all?/?• ??I,AM r " :? ? h?? ;+wc3 wr?t 8a ea?s?[ad' oda?peedm?s lrre l?ev, ?ia?d?t??r?jare y?'?ii/4zs ?r:?r,?7?`?'??j??.,, , , k? : 1 -- 9?i nI'? e S y?j'? ?•a ? t '?e:. . ,.y.. ? " fro?:i?tu?. .:.. __ .'>w......-. . ---------------- ? For t3ffce us? ? ? Permd ? Pertnit Fee: I '?'J I ? Date Received: ? I StaTf: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ? - ? ? - 000 Site Address: ` '57 0 i `1 l c ? ? lb F? A ? ? ?? ? qvl ? Tenant: Suite #: RESIDENT/OWNER Name: WI SE) ? IOY?1 ? Phone: ?5(- (57-6 l/ is ? Address / City / Zip: '^ 5 R vA e qc? '51 Applicant is: _ Owner ? Contractor TYPE OF WORK Description ofwork: Ile -,1?l?OT w 1'( ? ) e°lY o'F ? ??1 C'.st?d ?- Construdion CosA '. ? 6 i3.O Multi-Family Building: (Yes _! No ? CONTRACTOR Name: *V~ R e sJo rR4l0 kA e SLicense #: s ry C` a o 39(,oo S Address: bV0 %`Ih9le Cf'eeK Vkw 3'_1 (d CitY: LY oo ?( Y v1 l?'?" V' , State: Mt4 Zip: !"?' GJ 7 3 v Phone: _?- 560- 6 200 Contact Person: 9`t K? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy COde . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CdtBgory Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a pertnit 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 suppoiting documents that you submit are considered to be Pu61ic informafion.; Por#ioqs of ; the information may be classified as non-public.if you prpvide speciflc reasons that would per`mit the City'to , " - > R? : conclude ihat fhe are. trade secrefs. 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 pertnit, but only an application for a permit, and work is not to start without a permR; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of lans. ?i uV,dQX-- X -?j -'/( 5/0ao ApplicanPs Printed Name ApplicanYs Signature Page 1 of 3 Use BLUE or BLACK Ink I For Office Use I O I City of Ea PermitI ~~zs~ I c~- I Permit Fee: I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: ! + 3 Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: ] I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address,: Unit Name: e/~/ , Phone: Resident/ Owner Address / City / Zip: ! S Applicant is: Owner X Contractor Type of Work Description of work: Construction Cost: &,nly Multi-Family Building: (Yes / No ) Company: i..~ Contact: r/ Contractor Address: City: AT State: Phone: zz) - _'s: tiZ:0~ License 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: I Licensed Plumber: Phone: I Mechanical Contractor: Phone: k 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 i conclude that they are trade secrets. i 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 permit issuance. x~ C.~YS at _ x , Applicant's Printed Name Appli ant's Signature Page 1 of 3