1705 Nokia WayCITY OF EAGAN
37!S Pllet Kmb Road Eagan, MN 55122
? .. PHONE: 451-8100
BUILDING PERMIT
T.. L- ...J L..
Slte /Wdress
Lot Block Sec/Sub. - -
Porcel #
W Nome , So71 nomes
z Addmss 'cfn: Crossro:t.i._
°C Nome
o -
z
uu AddretS
ri.., c?....._
Nome _
Address
1 hereby acknowledge fhot I hava reud fhis opplicotion and stote that
the intormofion Is corred and agree to comply with all applicoble
State of Minnesoto Stotutes end Ciry of Eagon Ordinonces.
Stqnoture of Pertnittee
A Building Permit Is issued to:
all work she1l be done in ocrnrdonte
Buildirq Official
Receipf #
IL, '1f,C:
Erect ? Occupancy
Alter p Zoninq
Repoir ? Firo Zone
Enlarge ? Type of Const.
Move ? * Stories
Demolish ? Length
6rode ? Depth Sq. Ft.
AoProvols Fees
Assessment Permit
Water & Sew. Surchorpe
Police Plon check
Firo SAC
Enp. Water Conn
.
Plonner Water Meter -
Council Rood Unit
BId9. Off.
APC Totol
on the •xpress condition that
Mlnnesoto 5tatutes and City of Eaflon Ordinancea.
Permit No. Permit Holder Misc. Permit No. Holder
Plum6ing wF-yxZd
H.V.A.C. 5 tt
Well
Water
Disp.
S?war
E lectric 7-7 Z C
Irupeetfon Date Imp. Othar
Footings f-
[
Foundatfon
Framinp !I.IV' r? N
Rauph Pibq. I"G • ? LJ
Rou¢h HVA ;
Inaulation
Finat Plbp.
Fiosl HVAC /
Final ?-!r
water Dftaiba Loeatlon:
YYell ?
Sewrr '
Pr. Qiip. ?
!'.??T.:T'? °y?2„?F'?^!?'?. '{J . _ .. • _ - i ?,,... a,,,r?-?- .rt r. •' . . .- nT,Q 7?"'?
CITY OF EAGAN
3830 Pilot Knab Road, P.O. 8ox 21-199, Eagan, MN 55121
PHO N E: 454-8100
BUILDING PERMIT Rece,pt #
To be uod for FOdL Est. Value •? =,';!-n` Dale 1 g
Site Address 17 G2'6:: I t a,,'
Lot -34 Block ? Sec/Sub. QFFICE USE ONLY
PefC91 NO. accupancy ??. FE ES
Zoning
W Name =" r (ActuaQ Const Bldg
Permit ' ?5 - ? • `
'
3 Address I <<'S NJriIA iJAY (Aflowable) ^ . -
p Surcharge ?
City = ?+?=!?T? Phone ?F52-527 c # of Stones
11 Plan Review
Lengih :
F Name P'OOL StflRE oePm sac
at
t
coj -u(
Address 1990 CfaFISTEV&ON A%'F
S.F.Totai
^ ,
y
City ? Pf:•?? Phone 451-777?i S.F.FootpriMS SAC,MCWCC
t
W
? On Site Sewage
- a
er Conn
W W Name On Site Well
? m -
Watet Meter
? ; Address MWGC System ?
? W CityPhone City Water , Acct. Deposil
PRV Required - S1W Permit
I hereby acknowlege that I have read this appticatian and state ihat the
iniormation is cor
t
d
t
l 8ooster Pump - S/W Surcharge
rec
an
agree
o comply with all app
icable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
SignBture Of PeRnitee APPROVaLS Road Unit
A 8uilding Pennit is issued to: X?? ?JOR.L- Planner ---- Park Ded.
on the express condition that all work shali be done in accordance with all Council --
applicable State of Minnesota Statutes and City of Eagarr Ordinances. gldg. pry. ? Copies
Building 0lticial
s
Variance
?
TOTAL
'
Permit No. Permit Holder Date TeleQhone N
WATER
SEWER -
PLUMBING
H.VAC.
ELECTRIC
Inspection Date Insp. Comments
Footings t
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final HtA.
o?stat res?
Final Plbg. Plbg.lnspedor - NotifyPlumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Dedc Final
Well
Pr. Disp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee `
FiII in numbered spaces S/C
Type or Print legibly Tot. •
1. Date i;--. •- 2. Installation Cost '
3. Job Address ' Lot Blk. Tract
4. Owner
5. Contractor Phone
?,
6. Address f+C?3 i ?;ii.c .> Av
7. City _ s 'Y1'--- • State
mN
Zip ;-?,';
8. Building Type: Residential ?
9. Work Description: New J7
Commercial ? lnstitutional 0
Add ? Alter ? Repair ?
10. Describe Fuel Type
11,
No, Equioment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
i
Mfg. r
andl
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Recaipt ? PLUMBING PERMIT Permit No.
CITY OF EAGAN -'-
Fee
L Fill in numbered spaces S/C
Type or Prini legibly
Tot
, i
1. Date 2. Installation Cost
r. ?
3. Job Address Lot ` Blk. Tract
4. Owner
' i
5. Contractor Phone ?
6. Address
7. City State Zip -?-
8. Building Type: Residential G,I Commerciai ? Institutional ?
9. Work Description: New Q Add ? Alter ? Repair ?
10. Describe
11
No. Fixtures
Water Closet No. Fixtures
C
;
Bath tubs esspool/Drainfield
Se
i
k
Lavatory pt
c Tan
Shower $oftner
?
Kitchen Sink Well
Urinal/Bidet
Laundry 7ray Other ?
,
Floor Drains
Drinking Ftn.
Sto
Si
k
p
n
Gas Piping Outlets
12. ( hereby certify that the above information is true and correct, and I agree to
camply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
CiTY OF EAGAN Remarks
Addition LoY 14 eik 2 Parcel#10--F3980 140-02
owner-% a?' ' Street 1705 Nokia Wa.y Sxate Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 980 184,49 12.30 15 14 . 62 C0o 64 2-18-82
SEWER LATERAL
WATERMAIN
WATER I.ATERAL
WATER AREA
STORM 5EW TRK ()(G' jJ$2 638.24 $ 638.24
STORM SEW LAT
Services 1982 637.75 5 637.75
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
RUILDING PEfi.
sAC 525.00
PARK
CITY OF EAGAN SEVUER SERVICE PERMIT ?
5745 Pllef Kno6 Rosd PERMIT NO.: .i
Eage n, MN 55122 DATE: ?
Zaning: No. of Units:
OWnEr r rin Address:
$ite AddrE55: Plumber. -
I eym to oomplr wilh ths Citp of Eogow
Ordinenas.
By
Date of I nsp.:
Insp.:
wnnectfon Chorpe:
Account Deposit:
Permit Fee:
SurchorQe:
Misc. Chorgex
Total:
Dcte Pold:
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Roed PERMIT NO.:
Ea9on, MN 55122 DATE:
zonin9: No. of Units:
Owner: -
Address:
5ite Address: 3?_Ridf g nt• t i f f g
No.;
eader No.:
agree to aanply wMh fhe GtY of Eegoa
Connection ChCrye:
Acoount Deposit:
Permit Fee:
Surcharge:
Misc. Charger.
Totol:
Dote Paid:
of Insp.:
CITY OF EAGAN N? 1 g050
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # G / 3 j S(-F
To 6e u- d for POOL Est. Value $4, 000 Date MAY 13 , ?g 91
Site Address 1705 NOKIA WAY
Lot 14 Block 3_- Sec/Sub. RID E.IFF t T OFFICE USE ONLY
PBfCBI N0. Occupancy t?'-2 FEES
Zoning _
w Name LEE KAIBEL (ACtuaqConsl - BIdg.Permil 63.00
? Address 1705 NOKIA WAY (Allowa0le) - Surcharge 2•00
City EAGADI Phone 452-5270 # ofstories
Length 281 Plan Review
o Name POOL STORE Deplh 16' snc, city
?? Address 1990 CHRISTENSON AVE s.F.rotai
u: city W ST PAUL phone 451-7778 S.F.Foolprinis _ SAC,MCWCC
On Site Sewage Wa1er Conn
?w Name On Site Wall - Water Meler
zo AddreSS MwCCSystem -
a W City Phone Ciry Water _ Acct. Deposil
PRV Required - S/Y0 Permit
I hereby acknowleye Ihat I have read his application and stale lhat the Booster Pump - SiW Surcharga
iniormation is correct and ree to co ply with pII applica¢le State of
Minnesota Statutes antl City f?? O di ncg?( -y f/ APPROVALS Treatment PI
? ?r) ? r ? ??
Signature of Permilee fA.1?U.[..f Road Unil
A Building Permit is issued to: POOL STORE Planner - park Ded.
on the express condition that all work shall be tlone in accordance with all Council
applicable State o( Minnesota Statutes and City of Eagan Ordinances. emg. ON. _ Copies
Varience - TOTAL 65.00
BuildingOfticial „n+ln R9111 7h1f
cirr oF EnGAN
3795 Pibt Knob Reed Eugan, MN 35122
PHONE: 454.8100
BUILDING PERMIT keceipt #
T. e., ?a 6. SF DWG/GAR vo v.,i,,. $55,000 onrP S4
Site Address 1'/U7 NOKlfl YYBY l i'18II lUO /
L,t 14 Block 2 sacisub. Ridgecliffe lst
Porcel # 10 63980 140 02
a NCme va i iaa aiav=yovia aavu.ov
w .
Z qddreu 1712 Honkins Crossroad
9 "'- ---'- - c.. noao
o Ncme ?+PT'
?? Address
ol....e
Name _
Addresa
I hereby acknowledge that 1 have read thix opDlicetion and stare that
fhe informotion is correcf and o9ree to ComDlY M'ith oll aDPlicable
Stote of Minnewta Stotutes and City o} Eagon Ordinonces.
Signofure of Permittea
A Building Permif Is iuued to: _
oll work sholi be done in accordance
N° 6905
Erect )(I Occupancy R-3
Alter ? Zonin9 PD
Repalr ? Fire Zorce NA
Enlarga ? Type of Consf. v
Move p jp Stories
Demolish ? Length60
Grada ? Depth-26--Sq. Ft.-
App.orals Foes
Assessment _
Water 8 Sew.
Police -
Firo
Erp.
Plonner
Council -
Bldg. Off. -
nvc
Permit GY6. W
Surcharge 27.50
Plan check 149.00
5AC 525_00
Water Conn335 _ (10
.Water MeMr 60 _00
Road Unit 185.nn
Taal $1579.50
_ on fha express cadition thni
ond Ciry of Eagan Ordinontes.
Buildinp Official
CITY OF EAGAN Znclude 2 sets of glans,
1 site plan w/elevations &
BUILDINC PF.ftMIT AI'PLICATION 1 set of enezgy calculations.
'Ib Be Used For Valuation Date e1
Site Pddress: 1'105 NoV-rA (9,iA w1 afd)
?----- ? .
Lot ?_ B1ock _sec./sub?R?pc?tl.lFFS_Erect !c
Pan.?el 140 ??Alter
-- Repair
Owner: Enlarge -
Move
p,ddre,,g; a Division of U, S. Hom, Corrinratirin DeiiO115h
1/1 KINS CROSSROAD GT'3C?E'
City/Zip COde: MINNETONKA MirdN ??3n?-
OFFI(E USE CNII.Y
OccuPancy
Zoning
Fire Zone &,Q
`iype of Const.
# Stories
Front ?2 ft.
Depth J2,42 _ft.
Phone #: S'+y-i333 APPYCIVAI.s FEES
Contractor: ORpini 7
?.-??.p.°rSON I F9Pr;ES
Addz'2SS: a Division of U. S. Home Corporotion
CRU"IiUAU
C7.ty/Zlp COdO: MINNETDN}(A, MINN. 55343
Assessrents Permit
Water/Sewer Surcharge
Police Plan Check / Y
Fire sac sa? ?
Enq. Water Conn. cr ?
pl?? Water Meter Cv D?
-
Council Road Unit / S'6` °"
Bldg. Off.
APC
Phone #:
Ai ch. /Elng. :
Pddress:
City/Zip Code:
( 5?1 ?' ? S b
Pnone #: TOrAr, 51
REQUEST FOR ELECTRICAL INSPECTION
No Sea inslmclions for complefing Mis fortn on Oack oi yellow capy.
?nl .3 8-4?4 1 "X" Belaw Work Covered by This Request
EB-00001-08
?
ee as s-7
ew AdA Rep. TypeofBuilding AppliancesWiretl EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heatinq
Apt. Buildinq Dryer Other (Specity)
CommJlndustrial ' Furnace
Farm Air Conditioner
pther(specily) Comraclor5 Femarks:
Compute Inspeclion Fee Be/ow:
# Other Fee # ServiceEntranceSize Fee # Circuits/feetlere Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 200 _ Amps A _ Amps
Slgns inspecmrk Uae Onry: TOTAL
Irrigation Booms " 44 -rjLj
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED ISCONNECTED IP NOT
Olher Fee COMPLETED WITHIN 1 HS. )f`
I, ihe Electrical Inspapor, hereby Rouproio ? are `1 -F
certify that the a6ove inspection has
been made. Final Dete
OFFlCE USE ONLY
This requast voitl 18 monM3 irom
a 3?441g/ • ?- e?33oo
?
Repu f
I! ? Fre No h-in I ion Requiretl?
? Ves ? No ? RBaEy Now ill Notlly InspeClOr
Wlren Reedyl
10 licensed contrecta owner hereby request inspection of a6ove electncaLwork ah . .
JoD AWr S{ueat, Box o e Np.) ciry kel
Sectqn No. Township Name a W. Rabge No. Coun l.n'. ?1
L?°l.i
Occu t(P 1 T) Poone No. -
Pow ia N1f Mdress
ElecV¢al CqpMdcWr pany Nama)
V{ ConVaclor9 License No.
Mailirp Atl ress antr rr neqMeking I
l lef n) .
Authonz rt yCont
`ia.L rlOwner k? Ins IIeM1
MINNE90TA STATE BOARD OF ELECTNkITY . THIS INSPECTIONAEOUEST Wlll NOT
GrlppMtkway BIEq. - Raom Sl)3 BE ACCEPTEO BV THE STATE BOFRD'
1871 UnWersity Ave.. SL Poul, MN 55100 ' UNLESS PROPEH INSPECTION FEE IS
Plane (61]) 66]-0800 . ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ,?;, EB-0oom-os
See instrvc4ons fur comVleting this torm on beck oi Vollow cnpy.
77351 ' ?:
"X" Below'Work Covered by This Request a7-7 ?/j j
New 4tld Reo. Type ol Builtling Appllances Wiretl Equinment WireA
Home Range Temp>rery Service
Duplex
Apt. Bullding
Commercial Bldy. Water Neater
Dryer
Fumace Liyhtin Fixtures
Electric Heatin
Silo Unloader
Industrial Bidy. Air Conditioner Bidk Milk Tank
Ferm Othnr Speci v ther (5,<,cif0
t nr Spocityl Other Other
Cnmpute lnsper.tion Fee Below p Fee ServiceEntrancaSize {I Fae Fexders/5ubfeeders # Fea Circui[s
?- 0 to 100 qm s- 0 to 30 Am ps 1. 0 to 30 qnt )s
101 io 20,0,Amps , 31 to 100 qmps 31 to 100 Am
? Abqve,200_,. qirli!j Above 700_Amps Above 100_Amps
Traii'torrneB RemoteControl Circ. S9 Partial-'Othcr Fee
Special Inspection $ • `
?
Remarks 7\, ? . TOTAL F E
/
, J-A
v 7
I
the Elec[rical
?I!) ,
InsDecto?, hereby
tif
th
th
Flnnl !
D`? cer
y
yi.
e above
' ection has been
made.
This renue.i void
18 pionlhs from
Thls request vold
18 own[hs fron1'
T 77851
t- ,y 3-?z 'p- , e,t5?:-
Z-7 lS-O
-Z-7 -7 c0s
fteqiR:st Ua1e
???? ? Fire: No. Rnu h-in Insuer,tion
Rei ired7
?Nai,dy No Wil I Notifv_ Inapec-
tor Wh
N
?
es No en
eatly
Muc.ensed Eleclrical Con[ractor I hereby request inspection uf ehove
j Onner electrical work installetl at
t Address, Boz or Route No.
1?tlK NOk-I(? W City
6%pfli
ectmn n. Township Namv or Nn. Ranye No. County
?AICIO"'
Occ'u mt IPRINTI
?Ffifi? T?r?P5?' I-1?s Phnne. No.
Puwer upplier
P4 Atltl.ess
&0iN6WN
Ele Vical ConVactor iComVany Namel Cm? rar.mr'S License No.
??5 ?u
Mailinq AdJress ICmtractor or Owner Making InstallatioN
111 l F, . cq rt No
Authorized SiBTa u e 1 Mrac[or/Owner MakinB Installationl
`?? Phone Nwnber
Sl u • SS0S
MINNESOTq STqTE BOAflD OF EIECTRICITV ' THIS INSPECTION NEQUEST WILL NOT
Griggs•MiAwey Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOAHD
1821 University Ave., SL Paul, MN 56104 UNLESS PflOPEfl INSPECTION FEE IS
o....,,, 1a11, va, i'ii ENCLOSED.
CUrtifirtt#e' nf (OrruvttniH
titp of (Eagan Drpttrtmeni uf Builbing Jns.pertim?
Tbir Cnti ficate irluul pursuant to tGe requiremenu of Sertion 306 a f tix Uni(orm Builrling
Codc artifying tha[ at thr timt of ircuanct tbit ttrutture wat in romplianre wrth the varioul
ordittanrtt o f tbe Cuy regulating building ronnruction or ute. For the folloudng:
SF DM/GAR
o.-warha R3 hwcm.w« V Fm? r? um?au?« PD
a,,..f8„a,,,,, CtYin ThGnipson Aaam. 1712 PcmkiTts rYsrcl, Mtk;
e?eamanm.?-7?5 NOkia RTdy L?„r7Dt14_?Rloc7c 7.Riraawlif;
?a Q 11 BY" lst
DeceSnher 17. 1981
- " .e.. ?. . ?..???....?. ,.
.a
1705
C. R. WINDEN d, ASSOCIATES, INC.
(/,J UND SURVEYORS Tol 643-3646
FOR: 1381 EUSTIS SL, 5T. PAUL, MINN. 55108
U. S. HOME CORPORATION
/
? 14. ! 6
0
-?
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-? ?
? L_?_J ?
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\
Lot 14, Block 2, Ridgecliffe First
Addition, Dakota County, Minnesota.
0 to
Q(oQ QD
SCALE I"=3p'
0 DE'NOTES IRON
\ ?o
F
?0,y
49
.
Q' ?o
? P
/ °0 ?
/1.
WE HEREBY CERTIFY THAT THIS IS ATRUE AND CONRECT REPRESENTATION OF A SURVEY OF THE
60UNDARIES Of THE LAND ABOVE DESCRIBED AND OF THE IOCATION OF All lUIl01NG5, IF ANY,
THEREON, AND All VISIBIE ENCROACMMENTS, IF ANV, FROM OR ON SAID lANO.
Dorod Ihii32nd dny oF sgn1, A.D. 198/ C. R. WINDEN 8 ASSOUATES, INC.
br
Survayor, Minneioto RoQitlration Ne.772G
/
0
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i 4
N1351?
1991 SUI LDING PERM= AICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCIILATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME fi0R SEWER & WATER PERMITS IS TWO DAYS QNCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation: 4"alfie-- Date; 60kl?
Site Address ( 7D,s NUV(W WA7
Lot /C? Block Z
Parcel/Sub R, n&z;c??r,r-e Frr5r A
Owner LEL K141`LCL
Address J? O? P( O IC l'd'4 1.l)1=k''t
City/Zip Code Eiq6-4 rl S S 1 Z.L
Phone q 1'Z-SZ70
Contractor FpUL ,S?02C
Adaress lcjq0 CHfLIJTLNSoN 406
City/Zip Code yV ST f AUL
Phone D-(^ 777 b'
Arch./Engr.
Address
City/Zip Gode
\
?
Phone # '
OFFICE USE ONLY
FEES
Occupancy Bldg. Permit &7,042
Zoning Surcharge 2,062
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length Z ar ? Water Conn,
Depth ? Water Meter
S.F. Total Acct. Deposit
Footpxint S.F. S/w Permit
5/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System _ Park Ded.
City water _ Trail Ded.
PRV _ Copies
Sooster Pump _
SUSTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL
Bldg. Off.
Variance
agrees that all work sha11 be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
lruD
?
?' ' ?Q
,,,?.,,,I C. R. WINDEN E, ASSOCIATES, INC.
? ? ?,??Z?
r? y-r?[y LAND SURVEYORS TeL 645•3646
FOR: v 1381 EUSTIS ST., St. PAU4, MINN. 85108
U. S. HOME CORPORATION
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?
Lot 14, Block 2, Ridgecliffe First
Addition, Dakota County, Minnesota.
SCALE i"=3p' .
0 DE7NOTE-S IRON
i ?
`'"'\ .\
2" h
\01
? h/
0 0
i
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF tHE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOUiION OF ALl 6UIlDINGS, IF ANY,
TMEREON, AND All VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.
Datad thii 2n day oF seol. A.D. 19$/
Hovse LOGP/E'c? OCf
/;?'O -.3 8
NT1519
C. R. WINDEN 8 ASSOCIATES, INC,
ey `' " --d
Surraror, Mfnnesota Ropistrotion No.272G
Date
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: ) 10.-17
Permit Fee: 0,(jj
si3(13
Date Received:
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Tenant:
Site Address:
f k c3
Suite #:
1
J
Phone:
�` �• ) ate.
(s7 -9 g3 - bqB�
Address:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope)
2cSunnp Pump Repair
Other:
SEWER & WATER (Outside the building envelope)
Repair
Other:
FEES
$60.00 / Each (includes $5.00 State Surcharge)
TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.000herstateonecall.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.
x
Applicant's Printed Name
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Applicant's Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166232
Date Issued:12/21/2020
Permit Category:ePermit
Site Address: 1705 Nokia Way
Lot:14 Block: 2 Addition: Ridgecliffe 1st
PID:10-63980-02-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas Angstman
1705 Nokia Way
Eagan MN 55122--362
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature