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
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?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