4076 Northview Ter? /
CASH RECEIPT w?
T?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
. , DATE 191?
RECEIVEO
PROI, ? C:'
i ?
AMOUNT $ . --
& DOLLAAS
,oo
? CASH R CHECK
FOFI
z
FUND OBJECT AMOUNT
C.
L.
r _
( ,
?? ? ''i?
Thank You ?-?
aY - L
?,y? 84798 wnne-Parem covr
lil Yellow-Posling Copy
?j Pink-File Copy
-? CASH RECEIPT
?
CITY OF. EAGAN
3830 PILOT AOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 '•? ?:
REcEiveo
FRW
' '?MOUNT $ ,
8 DOLLARS
ioo
? CASH ([?J CHECK
FM i C
v.
?Lc
FUND- OBJECT 11MOUNT
Thank You
SY
While-Payers Copy
Yellow-Postin9 CoPY
? Pink--Ffle CoPY
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154036
Date Issued:02/13/2019
Permit Category:ePermit
Site Address: 4076 Northview Ter
Lot:18 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Bradley J Lutovsky
4076 Northview Ter
Eagan MN 55123
Hero Plumbing Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
?.. :
BLDG. PERMIT N0. clo?
?- I ?., r?l L L, 1;:.. _ ; i.--.L--X
?IC:.l Nc?,-+?,v',r-c
01-3210 Bldg. Permi
01-3422 Plan Check CDO
01-3445 Surch./Adm.
r 01-3446 SAC/Adm.
01-2155 Surcharge
-?5=3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
? 3855 Park Ded.
1'-
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199,, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for SF pWG/GAR Est Value ?; ?`' •??? Date "'AY 2
's?7f, 'i0RT}IV1E?? TERRA•^_-:;
Site Address OFFICE USE ONLY
XIt?4{'sTD!d P:?!tti-
Lot is Block 3 ?
Sec/Sub
On Site Sewage
Occupancy R3/h1
.
V1 F% MWCC System Zoninp ?
Parcel Nc1: W Vn
On Site
ell {Actual} Conat
Q Name ROCNEC, BROC tNC cirywater x (Allowable) Vn
= Address PRV Required # o# Storfes
0 City zi?RMAN PhOnB 559--51 47 8ooster Pump Length 48
Deptn 46
, p Name • 5AME S.F.Total
? Q Address Footp?nt S.F.
m
I.-
City ? Phone
APPROVALS
FEES
rc
,??.W
Name
Engr./Assegs.
Permit
$ 626•00
??
?
Planner Surcharge ?
?? Address
Council
Plan Revlew 313.00
? W City Phone Bldg. Off. SAC, City ??•?
I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC 550•00
information is correct and agree to comply with ali applicable State oi Water Conn. 550L00
Minnesota Statutes and City of Eagan Ordirtances.
Water Meter
67.00
Signature of Permittee _
, Road Unit 32500
A Building Permit is issued to: FOCHEL DR(1$ lNi Treatment P1 204•00
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. -791-
w
Building Official
TOTAL
-
?`'
;MENT 9/23/88CITY OF EAGAN REACTIVATED FOR DE K
1 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 7/3?89
PHO N E: 454-8100
n..??a?• r
- To bsj
-_„--_
Site Addre
Lot I ?
.' Parcel No.
TC
)r Est. Value •
k 3 Sec/Sub. ?
¢ Name
,o
? ` Address
? City Phone
yVj W Name
I W
_ ? Address
` W City PhOne
state that the
able State of
5ignature of Permittee _
Buflding
POCFIF,j,
RAY 2
OFFICE USE ONLY
On Slte Sew ge Occupency
MWCC Sys m Zoning
On Site WeU (Actual) Const
City Water (qllowable)
PRV Required * of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
FEE
APPROVALS S --
Engr./ASSess. Per t
Planner
Council Surcharge
Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
, Permit No. Permit Holdar Date Telephone it
Plumbing nj J J ??, =?/?- 5 3/
H
A
V
C ? !s
.
.
.
. r U U/?/8
Electric jl?oc
138
* 12
°/??1
'g ov
Softener
Inspection Date Insp. Comments
Footings I ?
Footings II
Foundation
Framing
Roofing
Rough Plbg.
zez& I "J Srp ?D
Rough Htg. r •
ff ? i
I5ul. pv o
o?Fd- ??s 7
--
Fireplace j
Final Htg. e - ?
Final Plbg.
Bldg. Final
Cert.Occ.
Temp. LP ?•j ?? ? ? ?? -
Deck Ftg.
Deck Final C' ?? •,„ ' r?p O
Well ?" ?G- Q "O{qC :VN r ?? Cn I?
Pr. Disp. p?„ `?., / • i., tcf; o
????' - ?-
/.
, MECHANICAL PERM{T
' CITY OF EAGAN
' . 3830 PILOT KNOB ROAD, EAGAN, MN
CONTRACT PRICE: w
PHONE: 454-8100
Site Address - ' BLDG. TYPE
Lot Block ? -a?
- Sec/Sub
l
:t- ,
: Res.
_ • -_ }
! .` ,
Mult
Name
°' -
' Comm.
Address
'
?
CityJ
phone,.Zr ? J Other
Name
c Address •
p3 City.:;' Phon 7
TYPE OF WORK .
Forced Air
M BTU ^ ,.
,
Boiler M BTU
Unit Heater M BTU
Air Cond. nL?
1 M BTU ?
Vent. CFM
Gas Piping OuUets # ?
; Lr
Other
..„ ?_
FEE: 343 (.
SiC:
TOTAL:
PERMIT #
RECEIPT #
DATE:
WORK DESCRiP710N
New -Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
- 1 PER PEkMIn - 1.50 EA.
APT.
I VYYIVI'1VUJC * l,llIVUVJ - YSC.7. MA 1 C NI"1"LIGO
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COM MERCIAL FEE - 20.00
STATE SURCHA RGE PER PERMI7 - .50
{ADD $50 S/C f F PEAMIT PRfCE GOES
BEYOND $1,000 )
.
• PERMIT # - , ?
? • ' PLUMBING PERMIT
RECEIPT #
, CIT11 OF EAGAN
3930 PILOT KNOB ROAO, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address ? ?'•"
7 ?'' ?=z BLDG. TYPE WORK DESCRIPTION
Lot Block .
$eciS pb Res. New
Mult. Add-on
?
? Name Comm. Repair
m Address Other
c City
'Phone
' U
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
P10. FIXTURES TOT&L
Name ?Water Closet - $3.00 ' ?
? p
? Bath Tubs - $3.00
c Address =-`
ator
00
L
$3
J
Gb
3 , ,., .
av
y - _
.
p Ciry ; / - •f-?- -- Phone f_Shower - $3.00 ?. G[-
' Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE _4--Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE AP
PUES % Floor Drains -$1.50
Water Heater -St50
MINIMUM - RESIDENTIAL FEE - $12.00 Z Whirlpool - $3.00 ?' • e?
MINIMUM - COMMlIND FEE - $20.00 Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
rl? / ?//? , l^I Y. . ?/ II
OF PERMITTEE
FOR: CITY OF EAGAN
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL•
.
. ` ? 1 1
T *
I
? . (Itrftf iratt uf (Orrupanry
titp of (tagan
lgPpwr#atM ,a# lutlbalg J»sprrfinn
This Certificate issued purserant ta the requirementr of Section 306 oJthe Uniform Building
Code certifying lhat at the time of issuance this structure was in conrpliance wuh the rarious
ordinances of lire City regulating building construction or use. For the following.•
uxa?,? sP i;wG/r,:,? FbinkNM
:,.3/M-1 ? N
O0caparc9 TYPM-' Zo? Diatria T can?
'=.ochel Brot .ers, I?1c. Box ., Ti7r:r.,erman, *"I:
owm or auaa;ng '' aaa?
o r t n v, er; ,e r r. , , xing[or, . a.:vl et.,
6ui{dina Addrm , IawMY
? July 25, 198F
eWaing oacW
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Permit No: Date:
3830 Pflot RnoEr Road B/P No: Ts3Date: -
P.O. Box 21199 ' .
Eagan, MN 55121
Owner. BrO.i
Site Address: ' 07 Nc,rthv4nv t;? ?•- - _; _
Plumber. f' ? ?! T'it s
MWCC: 5S(1. :,:'
City Chg:
15.:1:.
Acct. Oep:
Permit Fee: Surcharge: Misc.:
CITY OF EAGAN
3830 Piloi Knab Road
P.O. Box 21199.
Eagan, MN 55121
Site Address: 4075
j Plumber. F&D ?
Zoning•
No, of Units:
I agree to comply with the Clty of Eagan
Ordinancea.
SEWER SERVICE PERMIT
Permit No:
Metar No:
Reader No:
Date:
Size:
Conn. Chg: [Sa. 00 Zaning:
Acct. aep: No, of Units: ?
Permit Fee: 1`? • ??? ,
Surcharge: I agree fo comply with the City oi Esgan
Tr. Plant 204• 00 Ordinances.
Meter o' - :"a
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGA14 Permit No: Date:
3830 Pilot Knob Fload Meter No: d?? CI 77 Size:
P.O. Box 21199 Reader No: ! I p fl ?'7 9 c? Date: ? 0--
7- 9FL
Eagan, MN 55121 a
Qwner. :'.0crzel csrvs
SiteAddress: 4t)76 !dorthview B3 r:ox e"•=
Plumber.
Cann. Ghg: Zoning:
Acct Dep: No. of Units: i
Permit Fee:
Surcharge: •=?'-? I agree io compiy with ihe City of Eagan ?.
Tr. Plant ?'•`-'`? • `'' Ordfnances.
Meter. ?•7. 0'_' `
Misc.: &r
WATER SERVICE PERIVIIT
RESIDENTIAL
BUILDING PERMIT APPLICATION
/ CITY OF EAGAN ? f a g, Z y
? ?f76 9? 3830 PI 55122
851•681-4675
New Construction Reauirements RamodellReoairReuulrements
. 3 registered sHe surveys shoxnrg sq. fl o( bl aq. ft M house; ar4a mofed areas . 2 mpies ot plan
(20% mauimum bt coverage aWwed) • 1 set of Eneqy CalaWdoris for healed additions
. 2 copies o} plan showing 6eem & window sizes; poured found design, etc.) - . 1 sile survey (or exlerior aCdNOns 8 dedcs
• 1 set W Energy Cakulatlons • Indicate H home sened by septic system for add'Nons
• 3 mpies ot Tree Preservation Plan M bt pletled aRer 711193
• Rim Jois[ Detail Optlons selection sheet (bWgs wilh 3 a less units)
j? o O
DATE VALU,t[ION ?-
t
JOB SITE ADDRESS 4107G od/nr&//Bi.I T2l?.
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
i
TYPE OF WORK R.rc - PooX
APPLICANT
ADDRESS
n 54-
PAGER # CELL PHONE #
PHONE# qS?2- 8P/'?SS
ZIPCODE SS?/?O
FAX # 9-5,-rS'2/-c3?1(0 7
NEW RESIDENTIAL BUILDING ONLY- Flll OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submftted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor.
Mechanical System Includes:
Sewer/Water Conhactor.
_ Water Softener _
_ Water Heater _
No. of Baths
_ Air Conditioning
_ Heat Recovery System
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #k
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submilted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc.
Signalure of Appllcant
Certificates of Survey Received . _ Tree PreservaGon Plan Received - Not Required _
_ .' Updated 1/07
Phone #:
Iawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex O 13 16-plex [3 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-piex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Muiti
? 05 03-plex ? 11 10-plex ? 19 Lower Level D 24 Stortn Oamage
? 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement O 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 . Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demollsh (Bldg)* O 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolidon (Entlre Bldg only) - Giva PCA handout to applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr, of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (aew bldg)
Footiags (deck)
Footings (addiHon)
Foundation
Drain Tile
Roof _ Ice & Water _ Final _ Other
Framin8 _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Sid'mg Stucco Stone
Insulation _ Windows (new/replacement)
Approved By
Building Inspector
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
1Nater Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Final/C.O.
FinaUNo C.O.
_ Plumbing
HVAC
CITY OF EAGAN :
3830 Pilot Knob Raad, P.O. Boz 21 •199; Eagan, MN 55121
PH ON E: 454•8100
BUILDING PERMIT
To be used for SF DWG/GAR Est. Value $116,000
N_ 14921
Receipt # o
Date MA? 2 ,19 8$
Site Address _
Lot 18 Block
Parcel No.
76 NORTHVIEW TERRACE
3 Sec/Sub. LEXINGTON PARK-
VIEW
s Name ROCHEL BROS INC
? Address BOX 163
° Ciry ZIMMERMAN Phone 559-5147
a Name
.o
?Q Addre
a CitY-
ua
Ww Nan
Fw
i ZZ5 Add
aw City
I hefeby acknowled9e that I have read this appliCa[io a State thaf the
inlormation is correct and agre.e to comply wi?h all a cable State of
Minnesota Statutes and City of Eagan ?.
Signature of Permitfee _
A Building Permit is issued lo:R0GH_
on the express condition that all work shall be done in accordance with all
applicable State of Minn?es n. ota S?t+atutes and City of Eagan Ordinances.
BuildingOfficial D?a? n?l? 1 ?.?r
7 '
OFFICE USE ONLY
OnSiteSewage _ Occupency R3/M1
MWCC System X Zoning PD Rl
OnSiteWell (Actual)Const Vn
City Water X (Allowa6le) Vn
PRV Required _ # of Stories
Booster Pump _ Length . 48
DePtn 46
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit $ 626.00
Planner Surcharge 58•?0
Council Plan Review 313_00
BIdg.Off. . SAC, City 100.00
Variance SAC, MWCC 550__._00
WaterConn. 3-5000
WaterMeter _67_ 00
RoadUnit 325_O0
Treatment P1 204.00
Parks
TOiAL
?/??jsr
a 38417
REQUEST FOR ELECTRICAL INSPECTION
? See insimctions lor compleflng Ihig brm on pack ot yellow copy.
"X" Be/ow,Work Covered by This Request
EB-00001-00
eiasss
e fikfE, Fep. ' Typeol8uiltling AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heaier ElecMC Heating
Apt. Builtling Dryer Other (Specify)
Comm./Indusirial FumaCe
Farm Air Conditioner
Other (specity) ConVacmrS Remarks:
Compute Inspection Fee Below:
fl Other Fee # Service Entrance Size Fee # Cirouits/Feetlers Fee
Swimming Pool D l0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
SiJnS Inspector5 Use only: 70TAL
IrngalionBOOms .,30 "sV
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETEDWITHIN 1B THS.
I, ihe Electrical Inspedor, hereby Ro?yn-;n c J oa" ? ?? III
certi thattheaboveins eclionhas
? P
been made.
Final
oate
57
OFFICE USE ONIX ?
•n1s requeat voia 18 monins irom ?// +
?? l C I
A1 ] ?'\
? :i ° 5
a 38417 o`
Repue4 Date
0?'-.2 ir . ough-in Inspedion
equiretl?
Yes ? No
-w ill NoHty Inspectw
i nen Reatly9
I 0-licensed coMractor Powner herehy request inspection of above electrical work at:
Job AOtlress (Street, Box M e No.) CHy
?
?? 2 An
Sectbn W. TownsMp Name orNo. Fenge No. CouMy -
?
6
Occupent(PRINT) n
R S() 0 n D Pr PM?e o.
Pawer suociie.
:EL? , naareas
Elaclrical ConVacior (Cpnpany Name) Cwihacla5 LiCense No.
I? W n ?2 --
Mailing A4tlress (Canheda or OvmBr Making Mafallatpn)
S o. Yn Q,
Auflro Sgnature ( Mr rlOwner ing Inslauation)
? Phone Number ?
_
INNESOTA ST BOAPD OF ELECTNICITV ? TNIS MSPECTION REQUEST WILL NOT'.
Q Mitlway Wq. - Naom 3173 BE ACCEPTED BV THE STATE BOARD
1821 Uniwnlry 11ve., St. Feul. MN 55100 UNLE55 PPOPER INSPECTION FEE IS
Yhwro(61t)BCt-0B00 ENCLOSED. ' .
%Qt,4SV FOR ELECTRICAL INSPECTION ea-po?Ooooqi-oJsy
It, Sea instmctlons lar completina this torm on back of Vellow copY. a!// U
E 14044 "x' eeloW Work Covered by 7his Request _x_ff
Nint {.dcl fleR TyDe of Building Applianees WueO EUUiUnient Wired
Home Range Temporary Service
Duple.x Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heaun
Commercial Bldg. Fumace Silo Unlonder
InAustrial Bldg. Air Conditioner Bulk Milk Ttink
Farm Otf+er peu v -?he: (Sn?ar,ilvl
?her Vec? y Other Oihm ?;(I ?; ?', ;
ComUUte lnspection fee Below -
p Fee ServiceEntranceSize M Fee Fexders/Subfeeders # Fen
T Circuits
0 to 200 Am ps 0 to 30 Am 5
I
0 tn 30 Am s
Alwve 200 qmps 37 to 100 qmps 31 ta 700 qm s
Swimming Pool Above 100__Am s Above 100_F+mps
Transformers Irrigation Booms PartiaL'Other Fee
Signs Special lnspection 5d?•C
J TOT EE
emarks J
hh?
V
flmgM1-in ?a1e I, the lectri I
. 3??q I.saa1 , a.aby
certily thnt tha nbove
Final ^? ' spection has Eeen
f ??3 ea.
mis raCUest void 18 monUU Irom ?
This requesl voiA -?.?7-?? ? ?00?
18 nwnths Imm ? ? ?
E 1404 4 i. iQ 't?°`'
Requ?u?[ Uate
! g ? Fire o n ph-in InsUection
uired?
fleaAY Now Q Will NotifY
Ior Wh
R
? 0 v¢s ?NO en
eatlv
DLicensed Electrical Contractor I heraby requast inspeclion oi ebove
JK Owner electricel work inslailetl et
Street Address, Box or floute No. City
h?b7G Ea E
eMmn o. Township Name or No. Range o. Counry
DAKo?'J1
Ocwpant IPPINT)
/I'IAR Phmpe No.
!o SS- 91 -,14/
Power Supplier Adtlress
OtjKo
Electrical Conbactor ICOmpany Numel Conlractor's l.icense Nn.
(2l?NE?.
Mailinp AAJress IContractor or Owner Makinp Installationl
yo 7
Authorizetl Smre omracmr Owner Mak- g Ins?allationl PM1Une Number
i
MINNESOTA STME 9DAR0 OF EIECTflICITY THIS INSPEGTION pEaUEST WILL NOT
Griggs-MiAway Bidg. - Noom N-197 BE A CEPTED BY THE STATE 6048D
7821 Universitv Ave.. St. Paul. MN 65104 UNLESS PflOPEH INSPECTION FEE IS
i iw»f we,.nann ENCLOSEO.
`?-1 `,51gg REQUEST FOR ELECTRICAL INSPECTION es-oa/o?o/i-os
Ilk Sea instruclions for completing this form on beck of vellow copy.
D'L 61? iJ "X" Below Work Covered by Ihls Request
Newiu.ndl Rao.l Tvoe oi Builaino I Aooliancea riirad I EquiUmant WireA I
i i?i i uuoiex j i water r+eater __ i ve i uqnunu rixtures i
ic
I I I I Industrial Bldo. I I Air Conditioner 1 I Bulk Milk Tenk I
p Fee ServiceEnVeneaSize fl Fea Feeders/Subleaders N Fee Circuils
0 to 200 qm s 0 to 30 qm s 0 to 30 An+ s
Above 200 qmps 37 to 100 qmps 31 to 100 Am s
Swinming Pool Above 100_Amps Above 100_Amps
Transiormers Irrigation Booms o Partial"Other Fee
`?
Signs SpeciallnsUection TOAIiF E
ema.ks
..?r?
I rtify that the abo%
final insoec[ion has bean
maea.
Thie reQUeat vold 18 montM1V trom
pr?
? O Y'??CL...C
This red5/6?
ta ?„ins t.am ? , • ??? Q%
D26120 %/ /??2 r .
flequest DaR-T°'?y?n F?re No. R?oqP.-i ?InsVection OReady N Will Nntifv InsOec-
?'- ?!S = V Ves ?NO or When Ready
at ??
Licensed ElecVical ConVactor 1 hereby re0uest inspection of above
' elecVical work inetalled at
Cit
SVeet Address. Box ar Route No. ?
? a (JF_ fra! E
ecuon o. Townsh. p Name or No. Hange No. CounJtyf/?
Occuoant IPRINTI
`7? Phone No.
55"?- S0 ?
Powe, Suppli¢r / AtlAress?•, a ?
.?..?
u..,
? ?220 .?''r?'`
.
Elect' ntracmr l mpany N mel ConVacjor"s License No.Q
Dwner king Instail on)
mr O a ing Ins Ilation)
EAutho,i aN;
Phone Nvmber
?-z
-1110-1 [CT W. 1 Nl?T
• ro ?.ai....... ..?.?..?... ..
MIryNE50TA STATE BOA0.D OF ELECTRICITV BE ACCEPTED BV THE STATE 90AND
Griggs-Midwey gldg. - Hoom N•191 UNLESS PFOPEF INSPECTION FEE IS
1821 llniversitv Ave.. St Peul. MN 55104 ENCLOSED.
Phone (612) 642-0800
3 2 9- 6 4 6[41 771 USE NLY Thia reyual wid 18 monMs Irom mlidafion dak pnnkd in Ihis boz O?
7?`'i
me-? C170
PLEASE PRINT OR TYPE 83
Raquest Dak Rmgh-In Inspection reqaired2 Yes Inspection Other Than Rough-In: jTlaady Now ? Wiil Coll
Q g 6 ?You must call tM Inepetlar when ready? D.I. Ready:
I, icensed confrador ? owner hereby request inspection of }he above eledrical work at:
Job Addmss IStreet, Boz, or Rouk No
v ? Ai°?N.K4? •?JI Ciry /
?/M. 'ji? Zip Cade
Senlon No. Township Name or Na. Range No. Fire No. Counly.r? /
/?A Ko ?.s
a??Pa? /
?
? Pho?na/No.
?
? ? ??
O
tJ
/J /•j O
7
PowerSupplier a,e..
EI«fiml Canka r ?Company Name? CanMacror License No. Mosrcr Lic No. (Plant EIM. Only)
Mailing Pddres Imclorm Owner Performing Inshllanon) -?+
f
?
??
? 30(e?
Bi+i O4•bJ
?
. o .21.
Aulhonzed Signa ont r o ar Pedormmg Ilo?pnl ' ? PFwne No. J
EB-OOOOlA-10 STATEBOMDCOPY- EEINSTIiUCTIONSONBACKOFYELLOWCOPY
A 55104
I I?I II ?I I I I II II II I(II (I III IIIII 1?G? U nive?sdY Ave., Rmo SR 28c? PaulP, MNT
* 0 3 2 9 6 4 6 4? Ph!oe (612) 842-0800 9 ???(y
Home Duplez Apf. Bldg. 61her: ? New Addn
mmarcial Indushial Farm I Remod Re air
Air Cond. Equip. Water Htr. Laad Mgmt Other:
? er Ran e Elec Heat Tem . Service
"X" above the work covered by ihis requesG Enfer remorks in this spate and on the batk of the whifz ropy only.
Calculate Inspeciion Fee - This Inspecfion Requesf will not be occepted withoW Ihe correcf fee:
Olher Fee # $ervice EMmnce $ize Fee # Circuih/Feeders Fee
Mobile Home Pork Stall 0 fo 200 Amps b?to 100 Amps
5}ree/ Lfg./TraNic Sig. Above 200 ps ove 700 Amps
Transformer/Generafor INSPECTOP'SUSE LY ?
..? TOTAL /.O
$ign/Outline L}g. Xtmr. j
Alorm/Remofe Control
Swimminy Pool I here ceai 1 11 ins d th ecm insrollafiondescribed herain on Ihe dataa abted
Irrigation Boom eooyh-io oore
$pecial Inspedion
Invesfigative Fee F???? oa?
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 19 MONTHS.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4875
NawConetruction Reauirements
• 3 registered site surveys showirg sq. R. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverape allowed)
• 2 copies of plan showing heam &window sizes; poured found desgn, etc.)
. 1 set of Enargy Calculatbns
• 3 copies of Tree Preservalbn Plan if lot platted atler 7/1/93
. Rim Joist Detail Options seleclion sheet (61dgs with 3 or less units)
DATE '/ 118 /?Z
NValer Softener
_ Water Heater
No. oi' Baths
SITEADDRESS /VI)27Flv4Ck? _TMZ4C-C MULTI-FAMILY BLDG -Y aC' N
TYPE OF WORK R? - R-&BF PIREPLACE(S) _ 0X 1 _ 2
APPLICANT /1 J ??PPA? ??cld-r,2.vc.TtmnJ ??C,
STREETADDRESS'J6%:5 /114-eN '5?9` Oev. r6 /oZ? CITY???' CeE STATEA" ZIP91638
TELEPHONE # CELL PHONE # ?5r- 24s- S S?5 FAX # 651- 7(.2- zgjZ,
PROPERTYOWNER A?OM "'N4C*Z???` L'Lr'_bY19y TELEPHONE# lo?!-4D5-??1
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNF,SOTA RULCS 7670 CA'CEGORY 1 MINNLSOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: ____
PltunUu7g sysLem includes:
Mechanical Confractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat. Recovery System
Phone #
Phone #
rcc: $90.00
c s
u
I hereby acknowledge that I have read this application, state that the information is co"rrect; ard:agceeio _C_oFraply
with all applicable State of Minnesota Statutes and City of Eagan Ordinara,c??/
Signa}ureofApplicant
•--------------__----_____._....__-------•-•--------- ---°°-------------•-•-•-•--._____--------°--
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4102
)If a . --I ??
RemodallReoalr Reauirements
• 2 copies of plan
• 1 ut of Energy Calwlalions for heated additions
• i site survey for exterior additions & decks
. Indicate'rf home served by septic system for additions
VALUATION 4 0A191 °Q
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Muiti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System '
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Canst Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O. ?
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (ewheplacemen[)
_ Insulation _ Retaining Wall
,
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
? 2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILOT KNOB ROAD - 55122
651 681-4675
Date:
Description of Work: Construct new fireplace _Gas _Masonry
? Install gas insere onlv _
Other
Job address: -ri
I,ot: 1 !/
-??-?
Sate: rhA?_ Zip: SS J -s
Applicant (circle one only): Owner Contractor
Block: (J Subdivision/P.I.D. #: e 1 ?(VVOL4
PROPERTY
OWNER
FIREPLACE
INSTALLER
Name: Phone
Last First
v16,j
Permit Fee: $60.50
City State: Zip:
ComPanY: Phone #: q,? _ft-/j
(azea code)
Street
Street
City
GAS LINE
INSTALLER Street
City
I hereby acknowledge that I have i
comply with all applicable State of
Phone #:
(azea code)
State:
40.50
II-1-0-00
Alteradons to existing
Install pas line onlv
Zip:
and state e information is coaect and agree to
uA City Eagandinances.
I
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Altentions O 39 Gas Line ? 41 Wood Stove
? 32 Addition 0 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
p' • ?l
1989 BfTILDIBG PERMIT APPLICATION \e,.-
Y OF EAGIN Ja
11{-q 0-ICIT
rjuN 2 9 lm
SINGLE FAMILY DFiELLIAGS MSILTIPLE DIiELLINGS C01'EZRCIAL
2 3ETS QF 7LANS
3 RBGYSTERED 3ITS SBB'PEYS
1 SET OF EHEAGY CALCS.
MULTIPLS DWELLING3 RENT9L ONIT3
2 86TS OF PLANS ? 2 SETS OF ARCHITECTURAL
REGISTfiAED SITE SDPVEY3 - i STAURQRIL PLLN3
(CHECB WITH BLDG DTY.) 1 SBT?1OF BPECIPICATIONS
t gER OF EAEAGY' CS, 1,3ET OF F.NEAGI CAI.CS.
FOH 3ALE IIR?? i 0F 1U9ITS
80TE: IDDRFS3ES FOR COA9SH LOTS - COA?AACiOR/HBMOWNEH !lOST DESIGAAiE IiHICB 1DDRFSS
IS DFSIAED. NO CHAAGES KILL B€ ALLObiED OdiCE HOILDTNG PERMIT 13 ISSOED..
1
SEWER & 61aTER PERMIT £EFS AND ACCOII9T DEPosIT F883 HII.L 8fi INCLUD£D b1ITH THE BUIL9ZNQ
PEIffSTT FEE. PAOCESSING TIME FOA SEWER END iiA4EA PEA!lIT3 IS TiiO DAYS ONCE A PERMIT H65
BEEH COMPLETED IHDICATIAG A LICENSED PLtIlBEB.
PENALTY IPPLIES bIHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS AEpOESTED.
LOT CH9NGE IS AEGIIESTED OHCE PERMIT IS ISSIIED.
To Be Used For: DECJ< Valuation: ;'01100 Date: loLf 9e/
Site Address ym,
Lot )R Bloek 3
Oceupancy FEES
Zoning 7(
Aetual Const Bldg. Permit //
Allowable Surcharge /
# of stories Plan RenieW
Length SAC, City
Depth SAC, MWCC
S.F. Total Nater Conn
Footprint S.F. ilater Meter
Acet. Deposit
On aite aewage S/W Permit
On aite well S/W Surcharge
Mi1CC System _ Treatment P1.
C1ty water _ Road Unit
PAV required _ Park Ded.
Booster Pump Copies
_ 3UBTOTAL
APPAOVALS Penaltq
-
Planner ?
?OTAL
Couneil
Hldg. Off.
Varianee
Pareel/Sub ?mv?seN OA2KVrfiU/
Owner MA+2K ? clEzYL SnCOwU&
Address qn7& A/ne1tFVj?-Ti] Tr.*zaeE
City/Zip Code £AGA/11 53'123
Phone ?88 - 91 ?-lU
Contractor -()iA/F.V _
Address -
City/23p Code -
Phone -
lrch./Engr. _
Address -
City/Zip Code -^
Phone R
1J??
1988 HUILDING PERMIT APPLICATION _ CITY OF EAGAN
SINGLE FAMILY DWELLINGS 14 1 it
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, t SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/SOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BIIILDING PERMIT IS ISSUED
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS SEP Z 119$8
-5;W'fi4e ?".srrla r A:ev=c-
To Be Used For• ? uation: ??}-? Date:
l`_.,__?_
Site Address s/p7/ A1,.iy7-?z2y.w ?_e
Lot 1% Block ?_
Parcel/Sub ?jllcAnq& LdiNiiJ
Owner 4)'Q91k '5'nta]RD/+
Address y?, &4?272?YLEf& 7Z72
City/Zip Code f;,q,S.941 &-?U 2''-'1
Phone 6 $R - 9J:7?
Contraetor
Address
City/Zip Code _??l,#
Phone
Mch./Engr. Aferm&-
Address /?IA
_?_._,? ?
City/Zip Code ? R
Phone ll
T
On site sewage_
MWCC system
On site well
City water
PRV required _
Hooster Pump _
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Occupancy
2oning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit N L,
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies /, Ub
TOTAL
0 •/l
-6
U . :I:
'?'i•UJ?
> I 7 ' : U ?
7t)•Ut1+
•i'i?l•UU+
UU r
IU
? r '( _, , • U _I .=
T
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
-11 lqq ZI
SINGLE FAMII.Y DWELLINGS
r ,
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CfiANGES WILL BE ALLOWED ONCE HIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS AENTAL UNITS FOR SALE UNITS P OF UNITS
INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SURVEY - CHECK WITH BLDG. DEPT.0
1 SET OF ENEAGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHIPECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CAI.CULATIQNS
In
To Be Used For: 1ti -riA ? Valuation: ?6v a e c, e 1)ate:
Site Address .e
Lot /A Block 3
Parcel/Sub LQ+;,.?tc., F'ark?-c ti-
J
Owner 'EaC'(,p f LS . -Vn C,
Address /?Uf /0
C3ty/Z3p COde Z?42,mRh kn n S`S3 9 QI
Phone ? s9- s? r7
?
Contractor ?tOAd &oS. ?NC
Address IG3
City/Zip Code.z,-Pv.mt?r„a„r h $531? '
Phone SS ?' S-1 [/ 7
Arch./Engr. (;.L uce 1- t
Address'3 /?0 (- eo rsi,Yg 7-?/ie /I e,
T
City/Zip Code Gl?TS'i f./,AYn
Phone R $" 3,je- ? 7?` (o
ll 6 aav? ------ --- -----
On site sewage_ Occupancy R 3 M-I
MCC system ! 2oning f?R-1
On site well Aetual Const V-N
City water fG Allowable
PRV required ll of stories
Hoaster Pump _ Length - 4-T
Depth S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit ( 2(0 •DD
Planner Surcharge 58,00
Council Plan Review Z3, ao
Bldg. Off. SAC, City I D D, ov
Variance SAC, MWCC 55 ,r>0
Water Conn S.rj D, Q7
Water Meter (?9100
Road Unit -O? z S O`t?
Treatment Pl
Parks
Copies
TOTN. ?
GARAGE
Z4x ZU' 048DX l4= GrjZD
?m' .
' ' l i7Jl?
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Z?rx3? = g6??
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?----
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APFLICATION FOR PERMIT ?
SEWER AND/OR WATER CONNEGTION
?
.'? NOTE: PAIQ+IISTP OF FEE AT TIME OP
?
? APPLICATLON ?OES NOT CON- i
? SPI2SA'E APPRGVN. OF PERMIT. :
•
; iNSrBMaa oF sEP= r,rv/oa FmIER +
;.
; xexsTACiaTxoN,s wua, Nar ee scmvzm :
i L!Nl'IL PIIEFIIT FIAS B@I ApPROVID. .'?
xwexvx?txs.??.+a?t?axx?,?,w?Wak?++i?i++w+y
oF eciccin -
(PLEASE PRINT
1) PROPERTY ADDRESS:
T.FrAr DESCRIPTION;
IF EXISTING STRL'CT[JRE, DATE OF ORIGINAL BUILDING PERMIT ISSDANCE:
PRESENP ZONING/PROP0.SID USE:
Q CONIIMEEtCIAL/RETAIL/OFFICE
Q INDLSTRIAL
Q.INSTITUTIONAL/GOVERDIIMENT
Nbn Year
??-1 SINGLE FAMILY
? R-2 DLPLEX (2Wo C'nits)
? R-3 TOWNHOL?SE (Three +,Onits)
? R-4 APARTMENT/CODIDOMINZUNI
Units)
( Onits)
2) ? NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
For City Dse
3) M u:D; Np,ME; P/M Plumbers License:
ADDRESS: Active
Expired
CITY, STATE, ZIP: Not recorded
PxorE: y9'7-&Xqe, rAsxEa LicEvss #a7
4) ? Dl'
NAN1E:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s ? ' o
Sta Initia
MCONNECTION TO CITY SEWER El CONNECTION TO CITY WATER a OTHER
n
6)
***?:.*?+***?,e*?*****************+*,r***??+*****,t*********«****?????**********?*?*??*****x*?a**??****?
*
* THE GOLD COPY OF THE pEFtMIT WILL BE SEuI' DIRFX.TLY 'PD PUffi,IC WORKS TD FACILITATE NETE[2 PICK-OP• ?
PLEASE ALLAW Zw0 WORKING DAYS FOR PROCESSING. SONIDDNE FROM Tfm CITY WILL CONPACT YOU IF T[IE[tE ?
* ARE ANY PROHLEhLS. +
?r+***************?*,r**+?**+*****?W**+***,r*****?**?*******,r*********,e,e,r***?+*???*?*?*?*++??*********;
. FOR CITY USE ONLY PERMIT # ISSOED
Pd w/Bldg. Permit FEES:
$ $ lj• 5 O SEWER PERMIT (INCLUDE SURCHARGE)
$ S ?0.,-rj Q WATER PERMIT (INCLLDE SDRCHARGE)
S C? 7, 0 U $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ 0 0 ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ WAC
$ tl,?, J D ? Uv $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENSFIT/TRU[VK WATER
S ,v O??? O?J $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ? / / I, o7Z $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
? NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIST AS A CONDITION
. .
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
?z5' TL2JY?i,??COZ?
MHEGT.-WSS CALCULATIONSIB, ByZ DEPARTMENT OF BUILDINGS
-
WEATH61tSTNIK` -- --
MF O! CONSTRUCTION
INSUTATION
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TRI-LAND C0. SiTE PLAN FOR:
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD NEW CENTURY HOMES
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION: LOTJ$,BLOCK-3-1 I FXINGTON PARKVIEW
ACCORDING TO TN RECORDED PLAT
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a DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
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DENOTES PROPOSED SPOT
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? DENOTES DRAINAGE DIRECTION
1 hareby cerfify that tAis survey, plan or
report was prepnred by me or under my
direct supervision and that I om a duly
Reqistered Land Surveyor under fhs
Laws oi tAe State of Minnesota.
,o
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INVERT ELEVLITION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION=
PROPOSED FIRST FLOOR ELEVATION = o
PROPOSED BASEMENT FLOOR =
ELEVATION
NOTE'• VERIFY ALL FLOOR HEIGNTS WITH
FINAL HOUSE PLANS
J" rR.r?
Bradley wenson, Mn. R*Q. No.1523s
Date ' yA 8/a;?
?
.
TRI-LAND C0.
SURVEYING SITE PLAN FOR:
SERVICES
1260 YANKEE DOODLE ROAD NEW CENTURY HOMES
EAGAN, MINNESOTA 55122
BL0CK
3
LEGAL DESCRIPTION: Lor1a I FXIN GTON PARKVIEW
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ACCORDING TO TH
? RECORDED PLAT
TNEREOF DAKOT COUNTY,MINNESOTA
?
NORTHVIEW TERRACE
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o DENOTES WOOD HUB SET ? PROPOSED FIRSTIFLOQR ELEVATION= i o
DENOTES EXISTING SPOT PfiOPOSED BASEMENT FLOOR =
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION NOTE' VERIFY ALL FLOOR HEIGHTS WI7H
? DEN07ES DRAINAGE DIRECTIOIJ
FiNAL NOUSE PLANS
I hxeby certify thot thfs •urvey,pian or
report was preparsd by me or under my
direct supervision and ihat I am a duly
Raqisfered Land Survtyor undsr the
L.aws of the 5tote of Minnesota.
?A /I ?'?,?-?-
Bradley wenson, Mn. Req. No. 15235
Dere ? 5'/ 81ad0
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4076 Northview Ter
Lot: 018 Block: 003 Addition: Lexington Parkview
PID:10- 45035- 180 -03
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Micki Soule 308 SW 12t h St Forest Lake, MN 55025 651- 982 -2626 misoule69@hotmail.com
Fee Summary:
Contractor:
Aspen Air
308 SW 15th Street, Suite 25
Forest Lake MN 55025
(651) 982 -2626
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$30.00
$30.50
Owner:
Bradley J Lutovsky
4076 Northview Ter
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Issued By: Signature
Mechanical
EA075327
10/02/2006
ePermit
r
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
ZZz
Permit Fee:
(zz
Date Received: '7-Z. /4-13
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
I/07G
Date: Site Address: ��17 j//�%j�L U// TUC i'} -C C; Unit #:
ip 4//T �
Name: /�! �� /144.—.) /�,� � �7 Phone: �l'� ��'� g�d
Address / City / Zip: «07 �P�4 /i�c_, /
7
Resident/
Owner
Type of Work
Contractor
Applicant is:
Owner •. Contractor
Description of work:�� $Ka //1470cv &d,‘I G/fj/,/,� „tie_ 4)9
r � /rlrc�rt�/ ,G/�%3i,�liT�
Construction Cost: Multi -Family Building: (Yes / No
Company: i /®Tf Contact: , 4—'1--'G }%
Address: 7.(9-5— /1)/// VitY i�� �.GC ity: .` C� / 4i,)
/'1/1) Zip: d ?-' 7 Phone: ,07— 6 03 r// t ,
License #: ere o? 1(.0Fe3 K Lead Certificate #:
State:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
d
\to
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:
Phone:
Sewer & Water Contractor:
t NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of p-rmit issuan
x
Applic- is Printed
x /44 &I9t
Applicant's S' nature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch (3 -Season) Exterior Alteration (Single Family)
Single Family Garage Porch (4 -Season) Exterior Alteration (Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of _ Plex Lower Level Pool Accessory Building
WORK TYPES
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
Plan Review y
(25%_ 100% ✓ )
Census Code
# of Units
# of Buildings
Type of Construction
1
7.8
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
oL
1'
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
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
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final
At Framing Siding: _Stucco Lath _Stone Lath Brick
Fireplace: _Rough In _Air Test Final be Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
73
47-L
Page 2 of 3
4,1/
City of Eaall
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: % / 23
b7oc-
Permit Fee:
Date Received:
Staff: %
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
1(o i f—Ci
`
Site Address"`) �s� �t1-r/c%
4 C
Tenant: Suite #:
Resldent/Owner
Name: Phone:
Address / City / Zip:
Conttactor;�`
,tI,
Name: \.1 e_G y % n. License #:
Address: 7 /'"cr, /i c City: /' 't r74 & g zi.„
State: ./// Zip: S 5/2 0 65 /— `-7647-12 5 7
Phone:
Contact: Email:
Type of Work . n
New Repair Rebuild Modify Space Work in R.O.W.
_ _Replacement
Description of work: A/7d V?r? K l 4th my wan,- �/h a
Permit Type
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation (_ RPZ / PVB)
Add Plumbing Fixtures ( Main / Lower Level)
_
Septic System
_
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
Water Softener, or Water Heater and Softener
(includes $5.00 State Surcharge)
Turnaround* (includes $5.00 State Surcharge)
and $5.00 State Surcharge)
TOTAL FEES $
(includes $5.00 minimum State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $200.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee
CALL BEFORE YOU DIG. Call Gopher State One CaII 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 confor
Eagan; that I understand this is not a permit, but only an application for a permit, and wor
accorda ce with the a r ved plan in the se of work which requires a review and approv
x v/e_ '`/ �G
Applicant's Printed Name
FOR OFFICE USE
Required Inspections:
nce with the ordinances and codes of the City of
without a per at the work will be in
Under Ground
ough-In
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA116701
Date Issued: 10/10/2013
Permit Category: ePermit
Site Address: 4076 Northview Ter
Lot: 18 Block: 3 Addition: Lexington Parkview
PID: 10-45035-03-180
Use:
Description:
Sub Type: Reroof
Work Type: Replace
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes.
Luanne Yang
Fee Summary:
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 224-3442
- Applicant -
Owner:
Bradley J Lutovsky
4076 Northview Ter
Eagan MN 55123
(651) 405-8501
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA124368
Date Issued: 06/30/2014
Permit Category: ePermit
Site Address: 4076 Northview Ter
Lot: 18 Block: 3 Addition: Lexington Parkview
PID: 10-45035-03-180
Use:
Description:
Sub Type: Siding & Windows/Doors Construction Type:
Work Type: Replace
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:
Valuation: 8,000.00
BL - Base Fee $8K
$162.25
Surcharge - Based on Valuation $8K $4.00
0801.4085
9001.2195
Total: $166.25
Contractor:
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
- Applicant -
Owner:
Bradley J Lutovsky
4076 Northview Ter
Eagan MN 55123
(651) 405-8501
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.
Applicant/Permitee: Signature
Issued By: Signature
r
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 3 > ci
cy
V0Permit Fee:
Date Received:
Staff:
2015 RESIDENTIALI,PLUMBING G PERMIT APPLICATION
Date:
311- Z Site Address: 4 O 2 / {/ 01 f "/l V t.QL✓ e.
Tenant: Suite #:
Phone:
License #: t r . - ()
City: ` llAKi-C f Ci
Contact: 0 Email: c. g.62c-P
_ New }(Replacement Repair _ Rebuild — Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $ Ce
,
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.
x
On-0s4,tic
Applicant's Printed Name
FOR OFFICE USE
Required Inspections:
Meter Related Items:
x
Applicant's Sig ature
Reviewed By: Date.
Under Ground Rough -In Air Test Gas Te
Meter
adio Read Manometer
uty of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
MAR 1 61016
r
Use BLUE or BLACK Ink
For Office Use / I
Permit #: /2 -5-Q I \\ A
91/
Permit Fee: 1-20,f0 C _
Date Received:/Cd (ci_/'io
Staff: \'• I
I
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / --/' Site Address: 11.64749,0),76/7 ��
. � ..�. ...,Unit #:
Resident/
Owner
e40 �J
�'f� Phone:
Address / City / Zip: lLd � Al aC ,.0 �j � .6"101k,
Applicant is: Owner Contractor
Description of work:71 ev."7-- `'.e fiade. d *, d v F „410 'z_e.
Construction Cost: ?1912,7
Company:. 7e_deP�s- Contact: i 44e--/
Multi -Family Building: (Yes / No X
Address:' /F0— k?444'
Zip:0? Phone �„1f3'1/Ra
-17
Lead Certificate #
City:
1 If the project is exempt from lead certification, pleaseplexplain why: / r
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
1 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:
I Mechanical Contractor:
1 Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. CaII Gopher State One CaII 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.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 authorized by a building permit issued in accordance with the Minnesota : ate Building Code must be completed within 180
days of permit issuance.
x/' �� ',All
ApplicantPrinted Name
Page 1 of 3
y0'-76 /`10i ' &kJ DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
XSingle Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water
)( Framing
Fireplace: __Rough In -
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
•
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
A
ccessory Building
— Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Final Pool: ___Footings _Air/Gas Tests Final
Drain Tile
Air Test Final Siding: _Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings Backfill
Radon Control
Fire Suppression: _Rough In _^Final
Erosion Control
Other:
, Building Inspector
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144064
Date Issued:07/11/2017
Permit Category:ePermit
Site Address: 4076 Northview Ter
Lot:18 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-180
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 -
Bradley J Lutovsky
4076 Northview Ter
Eagan MN 55123
Uptown Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152901
Date Issued:11/07/2018
Permit Category:ePermit
Site Address: 4076 Northview Ter
Lot:18 Block: 3 Addition: Lexington Parkview
PID:10-45035-03-180
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Bradley J Lutovsky
4076 Northview Ter
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
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For Office Use%� �9��
Permit#:
NIST., za
Permit Fee: (..2d-
Al ? i19 474-22
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Date Received: 7_22 7
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ///
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
1 7J
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Y
Date: 4/18/19 Site Address: 4076 Northview Terrace
Tenant: Suite#:
Resident/Owner
Name: Brad Lutovsky Phone: 952-250-2087
Address/City/Zip: 4076 Northview Terrace, Eagan, MN 55123
Name: Tim's Quality Plumbing License#: PC 643755
Address: 225 County Road 81 City: Osseo
Contractor.
State: MN Zip: 55369 Phone: 612-827-7951
Contact: Timothy Lindholm Email: speedyplumbing@comcast.net
Type of Skwit —
New ✓ Replacement Repair Rebuild Modify Space Work in R.O.W.
is Description of work:
V Water Heater
Lawn Irrigation( RPZ/ PVB)
Water Softener
Add Plumbing Fixtures( Main/ Lower Level)
Description Septic System
Description:
_New
Connection to City Water from Well
Abandonment
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* +$290 for Meter and $190 for Radio Read =$540
*Sewer&Water Permit also required for connection charges 60.00
TOTAL FEES$
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. y, '
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at v...... '. :f..:. .
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.
xMary Belobaba ( e'4— fz--
x
Applicant's Printed Name Appli t' Signa re
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