1594 Norwood Cir. .. J
cirir oF
E?Cx?N
- ' C 3795 Piior Keo6 Reed Eogos, MN 53122 N! 5476
j.
PHONE: 454•8100
BUILDING PERMIT Receipt #
Te be ussd fer Est. Volue Dote
Sfte Address Erect ? Occuponcy
Lot Block Sec/Sub. Alter ? Zoniny
Parcel # Repair ? Fire Zone
E
l n
t
T
f C
arge p
n ype o
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o
c Nome Move Q Stories
W
; Address . Demolish ? Front ft.
b Ci Phone Grode ? Qepth ft.
ag Nome Approvals Fees
o
V
?d??
Assessment -
?
~ Woter & Sew.
Ci Phone
Police
Name Fi
F W re
?? IWdress Eng
a W Ci Phone .
Planner
Counci I
I hereby acknowledge thot I hwe reud this opplication ond stote that gldg. Off. _
the information is rnrrect and agree to comply with all applicoble
State of Minnesotc Stotutes and Ciry of Eagan Ordirwnces. APC
Permit _
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Totol
Signoture of Permittee I
A Building Permit is issued to: on the express condition thot
oll work sholl be done in occordance with all applicable Stote of Minnesota Stotutes ond City of Eogan Ordinances.
Buildiny Officiol
permit # paM Iwed PuwMfM
Plumbing
Mechanical ) /(p // 3l0 ) 7
INSPECTIONS DATE INSP. Raqh-In finoT
Footings Date Irup. Date Irup.
Foundation Plumbing
Frome/ins. Methanical
Final y3 =$6
Remarks: 72 '"17
'
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• ' CITY OF EAGAN
? 3795 Pilof Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
_HF:ATZM C- PERMIT
pote: 11/ 2 6 /79
Site Address: 1594 NOl^wOOd Ciz'. _
' Sub/Sec. Brltt2lJly
Lot ? Block A
Name r'3-V2 Carter
e Address E67 Haralson Drive
3
O
City Phone:
Name -"? i 11 Cf ty Heating CO.
?
a Address -3005 B. '_,th P_ve, No.
g
e
0
U • ..
City I Phone:
This Permit is issued on the express condition thot all work shall be
Minnesoto Stotutes ond City of Eagan Ordinances.
COMBU5TION AIR REQL'ESTED
No. 1634
1? E
Receipt No.:
$ingle I
Residential •'?%?
Multi Res., Comm./Ind. I
13e :+7
New /Alter. /Repair
Cost of Installation ?
Permit Fee
? J
Surcharge
.. ,
Total
done in accordance with all applicable State of
Building Official
CITY OF EAGAN
3795 Pilof Knob Road
Eagon, Minneaoto 55122
Phone: 454-8100
PI.iTIKR7N(t PERMIT
Date: 1l./15/19
1594 tiorwood Circle
Site Address:
?rittany
Lot Block Sub/Sec. _ `
Nome Tallk?f80r1 B1ciIS.
Address 1,1816 A.V.
City Phone:
`m
e
O
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0
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TF
M
=en7
Name
Address 14795 SQ. Trl•
?? smt.
City Phone:
is Permit is issued on the express condition thot all work shall be
nnesota Stotutes ond City of Eagon Ordinances.
No. 1549
?i.. F. Fr ' l.
Receipt No.:
Single
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Instnllation
Permit Fee
20.00
Surcharge
Tota I
done in occordance with oll applicable State of
Building Officiol
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675
SITE ADDRESS: APPLICANT:
I I : i
PERMIT SUBTYPE:
' fiF ME1R!
F-i AN i:FVt r i,r 1) BY Nii
i,nRI a:
TYPE OF WORK:
-1
I
11f':?`Ril'FTf.ltk ( IH-EnROlIND)
PermR No. Permit Holder Date Telephone #k
ELECTRIC
PLUMBING
HVAC
Impection Data Insp. Comments
FOOTINGS -?? A7 ?
FOUND
FRAMING
ROOFINQ
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?rY??? ? ? ? • ? ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
l??? ? 1 t? I N?,
H.•t.?? ?
??•??
SITE ADDRESS:
1;i? I 1 I M1'?',
N??ItWUr?t? ?_ I k
µ APPLICANT:
( t> 1 »' ) rt4N• ?.:'b?1
PERMIT SUBTYPE: TYPE OF WORK: ?
INSPECTION D• D.
I ' ?lrl I
I41`14f114 3 : SEF'/1RATE i lEL1RICA1 &!'I.tIMttINC? 1't•kMJ1S F't I) liJ1+f:[1
?
?
Psmiit No. Permit Halder Dete Telephor» #
SMI
PLUMBING
HVAC
ELECTRiC
ELECTRIC
Inspection Dats Insp. Commarrts
Footings I •
Foundation
Framing
Roofing
Rough Plbg. O -
.
Rough Htg. ?
Isul.
FireplaCe
Rnai Htg.
Orsat Test
Final Plbg. Pibg. Inspector - NOtify Plumber
Const. Meter
Engr./Plan
Bidg. Finai
/J
Deck Fce.
Deck Final
weli
Pr. Disp.
CITY OF EAGAN Remarks
Addition RRITTANY Lot 6 Bik 4 Parcei l.g 15000 060 04
Owner - [•j:`-! ?(;L _L'Street 1594 No2wOOd C1TCle State
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ?, 1982 281 .8 63• 7 2255.90 C008022 9-27-82
STREET RESTOR.
GRADING t-,
SAN SEW TRUNK
* SEWER LATERAL -?
WATERMAIN
• WATER IATERAL
WATER AREA . /
STORM SEW TRK /$ 1981 492.50 49.25
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75.00 16388 10/23/79
WATER CONfV. 270.00 11 }f
SUILDING PER. 5476 ti
SAC 16-588
? i
PARK
ilot Knob Road
MN 55122
Address:
ber:
r No.: Connection Charge:
- Account Deposit: _
er No.: Permit Fee:
ae to comply with the Cily of Epgon Surcharge:
ianees. Misc. Chorges:
Totol:
?
Dote Paid:
of InSp.: Insp.:
t C' . .lC i iorl bLSl I dP.x's
M eomply wiHh !he Cify of Eagan
By
Date of I nsp.:
Insp.:
Connection Charge= •
Account Deposit:
Permet Fee: '
Surcharge: _
Misc. Charges:
Totol:
Dote Pald:
T-Alefson Builders tnc.
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F:.,C. JACKSON
? uwc suRVEYae
R[GifTtR[D UNCt ? LAM// pF STATt 0/ MINN[lOTA
LIC[Ni[D MY ORptMIlNCt OF CITY OR MINNtI?/OLIS
3616 EAsT aarN sTMj?,, 55417 727 -?484
.- ?
ibur?cpor'?c 1'4rctttitate
t>r.110T9
183-56A
•?;?e r!!fi/i ?"?. Cy7 ?
AE: fi! 1 T! H y .F/C Y.
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Ai lURVEYED oV Mt TMf6--_ _DAY G
??O.O ?? c? ; f• f- ? i
kv o o
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I tiereby certify that this is a taue wnd cortect plat af
Lat 6,91ock 4,8ritany,
Dekots Cowty,hinne9ots.
Sept. A D. 1979 ?
SIIiN[D
F. C. JACKSON, M/NNNQT;RtGwTRATlON, No. 3600
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cirY oF E?caN
9795 Pilet Kno6 Rood Fagoe, MN 53732
PNONE: 434-8100
BUILDING PERMIT APPLICATION
SF Dwla &
000.
Slte Ad ress i1?'? ?w,.ww.x ?i?ic
Lot ? Block 4 $ec/Sub. BY1ttdTly
pomel .# 10 15000 060 04
W
z
0
Name DaVe CdY'beY'
Addreu
g Name `PO11efSOn B1dr5.
?? Address 13816 Holyoke
r r,.,, Apple Valley p,,,,.,e 454-6873
Name _
Address
I hereby ocknowledge that I have read this application ond staM that
the infortnation is correct und agree to comply with all applicable
State of MinnesAta Srotutes ond City of Eagan Ordirances.
SignMUre of Permittee _
A Building Permit is issued to:
all work shall 6e done 1 acco
Building Offictal
Tollefson
State of
N9 5476
Receipt .# / 4 36 90
Ered 76F Occuponcy "''
Rl
AIMr ? Zoning
Repnir ? Fire Zone 3
Enlarge ? Type of Const. V
Move ? # Stories
Demolfsh. ? Front 64 h.
Grade ? Depth 40 ft.
Approvala Feea
Assessment -
Woter & Sew.
Police -
Fire
Eng.
Plonner -
Council _
Bldg. Off. _
APC
Permit ioc,DU
Surcharge 39.00
Plan check 91.25
SAC S2S.OO
Water Conn. 270.00
WaterMeter 60•00
Road Unit 75.00
Torol 1,242,75
on tha expres condition that
Stmutes and City of Eagon Ordirwnces.
L 1 911
ReQUesc Date ?°-
?
Q Fire No. R - Inspection
?
es ? No f '
? Reatly Now C]VYill Notity Inepettor
:? WIiBn fleetlY?
I)licensed contractor ? owner hereby request inspection of above electrical work at:
JoD Atltlress (SVeet. Box or RoNe No.)
? L-I 0 A C1 Cily
0) G
SecLOn No. Township ame orNO. Fange No. County
Occupant(PRINT) Phona No.
Power Suppiier Atltlress
Elacincal Camracfor ICOmvany Name
, Comractor5 License No
Mailipp?A ress ? nhactor or Owner Ma q Inslallation,
J/
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Authonzetl Siqnawre ICOmractonOwner Maxing Insiallation) Phane Number
MINNESOTp STATE 80ARD OF ELECTFIpTV THIS INSPECTION REOUEST WILL NOT
GtlggrMitlway BICg. - Poom 54]] eE ACCEPTED BYTHE STATE BOARD
1821 University Ave.. St. Vaul. MN 55100 UNLESS PROPER INSPECTION FEE I$
Phone (61I) B42-0800 ??pw ENCLOSEO.
REQUEST FOR ELECTRICAL INSPFCTION eeuoooi e
? ? See ioSVUdions for completing iMS form on back ot y9?w copy."l /?s
, . Oy
51211 -'X?'Below Work Covered by This Request ?.? '
ew Atltl Rep. TypeofBuilding AppliancesWired EqulpmentWi2d
' He
m Range Temporary Service
plex Water Heater Electric Heating
Apt. Building Dryer Othef-(Specity)
Comm./Indusirial Furnace
Farm Air Conditioner
OtM1erlsyecity) ConVacrorS Remarks'.
Campute lnspection Fee Belowr
# Other fee # ServiceEniranceSize Fee # Circuits/Feedere Fee
Swimming Pool 0 to 200 Amps 0 fo 100 Amps
Translormers Above 200 _ Amps AOOVe 100 _ Amps
Signs Inspecror4 Use Only: p L M
...
Irrigation Booms 36 ' ?,
Special Inspection
Alarm/Communication THIS INSTALLATION MAY RD ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18MONTH
I, the Electrical Inspecror, hereby
ti
th Rougn-in
cer
ty
at the above inspeclion has
been made.
F?°ai naie
OFfICE USE ONLV
This reQUest voitl 18 months irom
?
. ?
a
BUILOING PEAMIT APPLICATION
nATE ? 75''
tnclude 2 sets oE plana, 1 eite plan a/elevations and 1 aet of energy caNlculationa.
. ?
2b be used for Valuation
ssee Aaa=a$s:
Lot. Hlock sec./SUb._ Parcel Number
7 :CGf%?
f/
Owner
Address
Oontractor ?
Address
Arch. /Eng.
Address
?? .
Telephone
TelePhone ?".SY' -!O 6 / ?
q'elephone
OFFICE USE
EteCt X
Alter
Repair
Enlarge
Move
pemolish
Grade
OFFICE USE
Date of Approval & Initial
P,Baessment
Water/sewer
Police
Fire
F.ng.
Planner
- Wuncil
Bldg. off. ?.• -,
A.P.C.
Occupancy &-3
Zoning
Fire Zone ?
Type of Cbnat.
q of Storiea
F'ront ? 4Depth ?
PEES
?a
Pesmit
Surcharge
P1an Check
SAC
saater Conn.
TOTl1T,
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LAND SURYEYOR -
. : REGISTERED UNOEF2 LAW6 OF STATE OF MINNEgOTA ,
?LICENSEp BY OROINANCE OF CITY OF MINNEAPOLIS
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3616 EAST 55rH STREE+,, 5?4' I
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burbepnc'S Certificate
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AS SIIRYEYEp BY ME THIS_._. ___...?._DAY DF-- A.D.----'---- '
,
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F. C. JACKSON. MINNESOTA? REGISTRwT1oN, No. 3600
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PERMIT
' C1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031767
04/14/98
SITE ADDRESS:
P.I.N.: 10-15000-066-04
DESCRIPTION:
1594 NORWOOD CZR
LOT: 6 BLOCK: 4
BRITTANY
(IN-GROUND)
ermit Type SWIM POOL
B:uxld3n'j.,P
Building W
een&us cod
r.
\J ? ?
prk Type NEW
329 NONBLDG S7RUCT.
3P x ?
1 ? J"?
??I???if?°4e sty?P?::?
€??i #?aj?
`a''r,. \7% u G
?z ?wm
REMARKS:
PLAN REVIEWEO BY MIKE BARCK
FEE SUMMARY:
VALUATIDN $12,000
Base Fee $187.25
Surcharge $6.00
Total Fee $193.25
CONTRACTOR: - Applicant - S7. LIc OWNER:
CUSTOM POOLS INC 18821112 0005023 CARTER OAVID
8r960 E EXCELSIOR AVE 1594 NORWOOD CIR
HOPKINS MN 55343 EAGAN MN 55123
(612) 933-2255 (612)454-7020
I hereby acknowledge that I,have r-ead this
inferrmation is correct and "agr?e to oomp`ly
Statutep and City of Eag.an rOrd3,mancesr p
? H UCANT/PERMITEE SI NATURE? .
apPiica.tiop: and state tfit,et the
'0 it11 aI°2 Opliceble State `Cf M:h. 4
C
ISSUE? B . SIGN E
31qtl 199$ BUILDING PERMIT APPLICATION (RESIDENTIAL) ???`??• ?
CITY OF EAGAN I?
3830 PII.OT KN08 RD - 65122 CAQ4PC?
681-4675
New Construe[fon Reauirements
? 3 registered site surveys
• 2 copies of plans (inGude beam 8 window sizea; poured fid. design; etc.)
? 1 energy calwlations
• 3 copies of tiee preservation plan if lot platted after 7/7/93
requimd: _ Yes _ No
DATE: s ' ?J I- 1 ?
DESCRIPTION OF W
RemodeUReoeir Reauirements
• 2 cophs of plan
? 2 stte surveys (exRerior additions & dedcs)
? t energy ealeulaBona for heated additions
CONSTRUCTION COST; I a, C'7CJO
STREET ADDRESS:
LOT: C BLOCK: L'I SUBD./P.I.D. #: ?WL(/I
0 -L
e ( ? 02)
C)
? S-
Name: rL
l tt-
f? /A -I) 10 Phone #: 1
,
PROPERTY
Lm
? Fint
ooL?
OWNER ?,,, ?
--s--
Street Address:
`?'m ?
A?`? C ?Q? -
c,ry ?O, U a?1 srate: z;P:
o ?62
? u 5+-Ory? oo
t ls ?
933 a as
Company: phone#: ,
CONTRACTOR
Street Address: C.?/
S( \00 ?
Ji' C e ( / l
S I O {e 6/lc0 License # 5
Ciry 0 c) Q?{? 5 State: fn)ll Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction onty):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the iMortnation is cortect and ag e to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant: C
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No Not
OFFICE USE ONLY °
i
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-piex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
?31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
.
? b ?i?,,, "•... ?
? 71 Apt./Lodging ? 18 Basement Finish
? 12 Multi Repair/Rem. M 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
? 36 Move ?
? 37 Demolition I
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Planning Building
MC/WS 5ystem ?
City Water i
Fire Sprinkleried
PRV
Booster Pump
Census Code. 3 zq
SAC Code o i
Census Bldg I'
Census Unit ?
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
M, ..
Total:
°k SAC
SAC Units ? i
. ?,..,; A
Valuation: $ l z, Ucw. -- I
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U1;?c _? ?-?98 ~
BUILDI G INSPECTICNS DEPT.
w, 4. - ..a
?C CITY OF E A G A N
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-15000-060-04
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Datelssued:
1594 NORW000 CIR
LOT: 6 BLOCK: 4
BRIT7ANY
KITCHEN REMODEI.
6'ilding_Permit Type SF (MISC.)
uilding l.tork Type AL7ERATION
$15,000
? ~'^+?J?\{ry{ry{ry \t <dI? l . _ // /
\ /( f
?C I-
,
REMARKS:
SEPARATE ELECTRICAL & PLUMBING PERMITS REQUIRE?
FEE SUMMARY
Base Fee
Plan Review
Surcharge
Total Fee
VALUATION
$162.00
$105.30
$7.50
$274.80
CONTRACTOR:
??
?
BUILDING
021213
07J21/93
OWNER: - pPPilcanc -
CARTER DAVTD
1594 NORWOOD CZR
EAGAN MN
(612)840-6200
I hereby acknowledge that I have read this application and state that the
informa nn is corre ?nd agree to comply with all appYicable State of Mn.
Statu s and jity E an prdinances.
I -
N in &a I
ISSUED B SIG ATUR
REACTIVfJE L_Z_
PERMIT +Y
a/ r3-[ 3
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICAT?yI N -I
?'
?
,
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set af
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date (6/ lD / .3 Yaluation of wor ?
5ite Address: 621e? &62?-
STREET SUITE ¦
Tenant Name: (commercial only)
ol?
IAT
BIACIC
SUBD.?di?
P.I.D. k '
?? .
Descri tion of work: ? t 4an ICcwi e
The applicant is: Owner ? Contractor O Other coe.«;be>
Name C/? , ??l? Phone
Property usT FIRST ??o _ 6 Zo Q
Owner pddress /UG(wo a p i°i? CG?
STREET I STE 0
Zi
P
City State
Company Phone
Co ntractor Address License # Exp.
City State Zip
Lompany Phone
Archttect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two s once area has been approved.
I hereby acknowledge th I ha e re thi appli tion and state.that the information is
correct and agree to c mply w'th 1 pp 'cabl tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Appli n :
v
_i
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
0 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comn./Ind.
E3 04 SF Porch El 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
I?t05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. tity Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ?
Depth On-site sewage SAC Code
?
APPROVALS o
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS i<irzf-,(E,,
? Site ? Footing Framing ?,Insulation
? Wallboard ?Final ? Draintile ? Fireplace
Permit Fee voiLac;d,:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
CITY OF EAGAN
EARLY UTILITY CONNECTION PERMIT
?e.t
Address Subdivision/Parcel
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I
understand that the City has not yet completed, inspected and/or accepted
the sewer and/or water lateral. I agree not to use, test, or connect these
individual services to any interior pl.umhing and understand the require-
ment to cap thP sewer service to prevent any unauthorized use.
In accep[ing this permit, it is agreed that I will hold the City and its
agents harmless from any damage ihat may occur due to this early connection.
It is understood that no Occupancy Permit will be issued or water allowed
to be tumed on until the City utility system has been declared operational
by the City Engineer.
Signed by - Plumber:
Owner:
Develope
Builder:
Dated: / / - ? - 7 y
City of EaEaR
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
i
j Permit #: ? V I
? Permil Fee: 3
?
? Date Received: j
I I^---?-
I Staff: I?I 2 r? 2 fl [lfl f2 I l
2008 RESIDENTIAL BUILDING PERMIT APPLICAIONAEC 18 2008
Date: ? Site
Tenant:
Suite #:
RESIDENT/OWNER Name:c7OnQA(l(1 ? lMk_ ,rmPLO Phone: 195?? It) I!4
Address/City/Zip: WI)rW(r)A l?Gt,l NN
O
Applicant is: _ Owner -X- Contractor
TYPE OF WORK Description of work: -\6
Construction Cos? ag'i '151 , Sq Multi-Famity Building: (Yes _/ No ?
CONTRACTOR Name: afflE?-) l Df71?iTU.C-la?CfY1 License#: ADl&Kba.._
Address:
City: 1" State: M JL_ Zip:
Phone: -1 sZ' 7S b3- x0-D Contact Person: ??QgeQ
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Workshee[
Category Submitted Submitled
(4 submission typ0) • Energy Envelope Calculations Submitted
In the last 12 months, has the City ot 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 Contrector: Phone:
Sewer & Water Contractor: Phone:
?`N17TE: Plans eiYd,supp6rtlrrg'tloauments'that you submit ar_b cansidered to be publ?c fnfarmahon ;,Portions of `
? fhe Information may be class!/!?? as'no{? pubtlc,:/f?you pravlde specfff? Ceasons that,?wa??d p?arm?tth? CPt?to
"
-
pconclude that tfie aieitr
?le secrets. ' _' = y. . '
I hereby acknowledge ihat ihis information is complete and accurate; that ihe work will be in conformance wi?h the o'
Eagan; [hat I understand ihis is not a permit, but only an application for a permit, and work is not to start with t a
accordance with the ap ved plan in the case of work which requires a review and approval ot plans.
x X fi'l
Applicant's Printed ame Appllc ' Signature
and codes of the Ciry of
that the work will be in
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