1668 Oak Ridge Cir. _ r ..
? Ct'tit[CQte df cCC"Q1iev
(K#M of Cftgan ?
i 52"-, - ew of px??? ?oectim
Tiiis 'Cettificate issued pursuant to the requireraents of the Uniform Building Gpde
certifying that utlhe tinie ofissuance this structurr was in conepliaRCe with the various
orriinances of the City regulating building construction or use. For the fotlowing:
use ci.s.;r,ao,,: DOPM siag. Pcffnit rvo. 26579
pc-p-Y Type R3/ u I Zooing Diwia EA Type Const. VN ,
Owoer of Bm7din?A MNY }1RA Addiess 24415_1451H qT W. FDSMMM
Buildin6 ddrcss l.onliry
? Due:
S ?
guilding; «ff-W?
POST IN A CONSPICUOUS PLACE
r- INSPECTIbN RECORD
'61" OF EAGAN . , PERMIT TYPE:
3830 Pifot Knob Road Permii Number:
Eagan, Minnesota 55122-1697 Date Issued:
(612) 681-4675
SITE ADDRESS:
, ..., , t fIr;k' I Y It
0 At Ii l Vi,k F AA F I'I Ni 1U', t Mf;.
PERMIT SUBTYPE:
? APPLICANT;
TYPE OF WORK:
Eit{ 1 4 1? I
I 14
I G5 1;'?1 /9??
INSPECTION
, .,
• .
. .,? , ..,.; ..
?' 1? 11•? I??? ;'i?ll?ill 1 II II {??
1 t P!:?1 I I I'i. { 1 iIt',I
{2f:MAkh,•? I Mo- I uut •; lrire c?ax: 141i.?ripF r. I"
b W v 1 fi R
9?/- Fos
Permit No. Permit Hol er Date Telephone A
EI.ECTRIC
? ?41 -4c ? 5 - -
y ? lo
HVAC
Inepection Date Insp. Commenta
FODTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLB(3
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
e YP BOARD
FIREPLACE
FIREPLACE
AIFi TEST
FINAL PLBG
+`O
FINAL HTG
ORSAT
7EST
BLUG FINAL s
a?/1
Z
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
sxtk4- 3 p OA
SITE ADDRESS I 0 DQ l<? ? dQ2 l.%11': Unit # Permit # a(0579
L ?
- 9,4-0°
INSPECTION INSPECTOR OATE COMMENTS
?(y'S
cP.1,
;lw
/
:?2=Q
? ? ?'•-i - ,?d1 6 ?r-4'6
. ?-?o-
?-
INSPECTION INSPECTOR DATE COMMENTS
ta ...
SITEADDRESS?bID R DAIUnit#
Permit # &57 9
ls??/bnn$W dae ?'am??v ?ous?nu
?? i99ao
INSPECTION INSPECTOR DATE COMMENTS
?c?nys 7?t.? ?B•3o> >"'
-aa
INSPECTION INSPECTOR DATE COMMENTS
IIIII I? I I'I IIII REQUEST FOR ELECTRICAL INSPECTION .WAA.
? Minnesota SWte Board of Electricity
il 7827 University Ave., Rm. -128, St. Paul, MN 55104
t 0 2 4 68 5 2 8* Phone (612)
Home upex Api. Bldg. Other: New Addn
Commercial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water H}r. Load Mgmt. Oifier:
. D er Ran e Elec. Heof Tem . Service
"X' above the work covered by Ihis request. Enter remarks in this space and on the bock of the white <opy only.
Calculate Inspection Fee - This Inspecfion Requesf will not be attepted wiMouf the corcetf fee:
Olher Fee al` Service Enfinnce Srse Fee # Circuits/Feeders Fee
.Mo6ile Home Park Stall 0 to 200 Amps e? d 0 fo 100 Amps
$freet Lfg./TraHi< Sig. Above 200 Amps Abo 7 00 Amps
TfOns{ofinef/(?ienBla}of INSPECTOR'SUSEDNLY TOTAL/
Sign/Oufline Lig. Xfmr. y
Alorm/Remote Conirol W
$wimming Pool I hereb renf t hat I ins Me daW smxd
44),.n
Irrigafion Boom f?o„9p.i„ r
,
2 Daro
Y
$pecial Inspedion 1
7
0 `
Invesfigative Fee
Final ? `
Dah
? .,
THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
A ? ? O O C /? G ?
2 [L J OPFI E USE ONLY Thiz requestvoid IB monPos from validotioq dafe pnnted in this box.
55'S 902
y?a?/g?
.
Q ?
PLEASE PRINT OR TYPE
0.eq?est Dob Ro?gh-in inspeClon reqWred2 No Inapenion er Thon Rough.l . Ready Now tI Coil
7 lYou must mll the Iropeaor when rmdy? Dote Rmdy:
I, [t]'ficensed confrador Q awner hereby requesf inspection of iFie above elecfrical work ot:
Joh Addresa (Skeeq Box, or Roele No J Cip Zip Code
/6 7a 0Af-0X,,e20'se-
Saciion No. Township Nome or No. Range Na. Fire No. Caunry
'
pK.Po0 Phone No.
6 P- 5" y? 8 9
PoweY Supplier Pddress
Elecinml Conhacror (Compony Nome) Commdor Limnse Na. Master Lic. No. (Plant EIM. Only)
?W ?Zec?.?JL C".?-o/.S..e '7
Moiling Pdd e(Conlmcwr or Owmr Pedorming IruMllafion)
AuMonzed Si n (COnhacmror Own
er P rming Imkllanon?
1u
Phone No.
t/W 68?
?
EB-00003A)0 695 STAiEBOMDWPI'SEEINSTRUCTIONSONBACKOFYELLOWCOPY
1 ?
REQUEST FOR ELECTRICAL WSPECTION Ee.poo/ OI-oy
00. ,
See inslmctinns for r,omel'ny ' _brtn on back ol yellow copy. I?- ??(A? J?
"X" Below Wor? by This Request `??,.._
New ep. Type ot Building -liahees Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Spec'rfy)
Farm Air Contlitioner
Other(specify) Conhaclors Remarks',
Compute Inspection Fee Belaw:
# ' Other Fee f! Service Enirance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps A6ove 100 W Am s 9
SI f15 Inapecior's Use Only , TOTAL
Irrigation Booms e?- O?% 94
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED W 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
t th
i
6
ti
h Rou9n-u <- . oate ?/
l°
cer
y
a
e a
ove
nspec
on
as
been made. oate
OFFlCE USE ONLY "-
This request void 18 months imm
?2o8
Fequast Uat Fire o. oughln Ins cG Requiretl Inspecnon OI Than Rou h-in
(VOU m?usl ?c II paclor whan rea
? 0 Reatly N III Notiiy Inspector
{fVes
No Da?e Read
I? lice sa tractor ? owner hereby request inspection of above electrical work at:
J. A V , Box or Raute No.)
?i
? ily
?
rc
e
k
Seclion No. Township Neme Range No. ounly
l ? .
Occu ant?PRINT) Phone
No.
Go ' 9 -
Po
Supplier Adtlress
?
a
ElecVical Conhactor (COmpany Name) ConVaclor's License No.
e `h -1mnc C 1 0
Mailing ACdress (ConVactor or Ovmet Making InsWllation)
? ?
-t? e U u? SS ?
Aut orizetl Signeture (COnVactor/Owner Making InslallaGOn) Ph?ojne`?7Nu[m,bar
? ' ?"'1 /6- /b?2JR
MINNESOTA ST E BOARO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
1
Grigga-Mldway dg. - poom 5-128 BE ACCEPTED 8V THE STATE 00AFD
1
BM1? ni
verairy Av
e.
St. Paul, MN 55104
1 UNnESc PROPER INSPECTION PEE I$
?
^
0
m
REQUEST FOR ELECTRICAL INSPECTION es-ooooros
10o See instruc(ons for compleling this brm on back ot yellow copy.
„X" Below Work Covered by This Requesf
Re% Add Rep. Type of Building Appliances Wired Equipment Wired
. ;,.deme 04 Temporary Service
Duplex eater Electric Heating
Apt. Building t Load Management
Comm.(Industrial Other (Specity)
Farm itioner
Other(spectry) Conbactois Remarks:
+Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool to 200 Amps !S 0 to 700 Amps
Transformers Above 200-Amps Above 100 _Amps
_ SigOS inspemor's use Only: TAL
Irri ation Booms G? J?y,'p 1.?sI
?
V
S eciai Inspection (/v J
. Alarm/Communication THiS INSTAL AY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
t th
b
i
ti
h Rough-in Date
y
ove
cer
a
e a
nspec
on
as
been made. Finel
OPFICE USE ONLV
itl 18 months from
f _
? f _
_`_ __'._.___________
S-215W
0-1
9-2
26 o ?
9
,
Reques ate' Fire o. Rough-In In n flequired Inspe n Other Than Rwgh-0n
1VOU'm?Jvflc'eil inspecior when reatly)
s ? ? Reatly Now ?W/ill Notity I?pector
No DateReatl
I QTicensed contractor ?owner hereby request inspection of above electrical work at:
Job Adtlress (Streep eox or Route No.) Ciry
"16 Ea S x•'? 'a? F_ L%/YLttL['. 4"'7 in!
Secfion No. iownship Name or No. Range No. County
?sjfi-' d Yr?
Occupan[(PFlINT) Phone No.
Power SupPlier Atltlress ,
EleIXrical Confractor (Compeny Name) GonVactor's License No.
?!1 rhG9" ?2'Et?itl C. jT?rlL L!?-e?/.2p 7
Malling Atltlress (Conlrector or Owner Making Instailation)
._a. If,i? SZ a_•rrL .,?u.v S?3s7
ANhoriied SignaNre (COnUac[odOwner Ma ing Instellation) Phane Number
/
? 4v7D (¢ 4?/' ?? -
MINNESOTA STAT 90AFU OF ELEC ICITY THI$ INSPECTION REQUEST WILL NOT
Griggs.Mltlwey BIEg. - qoom 5-128 I BE ACCEPTED BV THE STATE BOAflD
1821 Unlvarsity Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
REQUE5T FOR ELECTRICAL INSPECTION ????i-Qs
??1 ? S?e inslructions for completing mis torm on back of yelbw copy. ? p[dJ
' °X" Below VFork Codered by This Request 7.T-q--
Ne Add Rep. Type of Building Appliances Wiretl Equipment Wired
Home Range Temporary Service
- Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.llndusirial Furnace Other (Specify)
Farm Air Conditioner
OtM1er (speclfy) Coniractofs Remarks:
'Compute Inspection Fee Below.
# Other Fee # ervice Entrance Size Fee # Cirwits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Am s Above 100 -Amps
$ignS Inspectors Use Onry: TOTAL
Irrigation Booms
Speciallnspection ,.?, d-p
Alarm/Communication THIS INSTALLATION MAV BE ORDERE ISC IF"NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if
h
h
b
i Rough-in
cerl
y t
at t
e a
ove inspect
on has
been made. Final oat
OFflCE USE ONLY
This raquest voitl 18 months Irom
LI, 8 ?. -4
Reyy11u 1 a1e F e No, Rough-I Inspection R d In ecHOn Oth an ough-In
(Vo mu t c
all inspecmr when reatly) Peetly No ill Nofi? Inspectot
e
Vs ? No Date Reed 94
" ?
=
I
ensed contractor ? owner hereby request inspec[ion of above e
ectral w p
Jo ACess sVeet, Box or Rom oJ' Ciry
Secton No. Township Name or No. - Range No. C my
ant (PRINn Ph a // ?
Po uppli , ArMress
Elecl ontr r(COmpany Nama) -T Conlrzc?o[s -
? enspINo_ :?
? ??; ?
? r ?
Malin ss ( V cttor or wner Installation) JS53
ANh S' flWre ( clor/OVmer MaRh tg Inslall 'o ? ? Phone umber U
194mV
MINNESOTIk STAiE BOANO OF ELEGttiI V THIS INSPECTION REQUESi WILL NOT
Gdggs-Midway BICg. - Roam 5428 BE ACCEPTED BY THE SiATE BOARD
1821 Universiry Ave., SL Paul, MN 551U0 UNLESS PROPER INSPECTION FEE IS
on. ne Ir.iII .nnm . . . o.iri nern
? CrTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT n.)- 719 ?
PERMIT TYPE: Bu z Lo z rv G
Permit Number: 0 2 6 5 7 9
Date Issued: 10/ 20/95
SITE ADDRESS:
1568 OAK F?TDGE CTR
LOT: 1 BLOCKr ].
OAK ftZDGE FAMII_Y HOUSING
DESCRIPTION:
Permit 1'ype
E3?1`.?l5$ineA,, DUPLEX
,
?t?3?7,??.tSg ??r
k i"YPe NF'W
?
??1BG Fi-3 U-1
W-PI
?°? ?'S?nittg ? ?-
????u R-4
39
55
8v d."14,01 1?6§ ?t,aries
n
?
Y q
? ???3 } 7d ? Y a i .t f ?
=5? _ u?. .
=s"?Y9" ?eiSir? nx
M
ir
?4 pIro a?
W.u.a4? 99 bA9os I?"ic ?d `tl Jrya a d&?icd W'F
REMARKS:
zNCLunEs 167e OAK rzrnce cr.R
PRV S & W PLBR -
FEE SUMMARY:
Base Fee
Pl,an Reviaw
Surcharge
SAC
SAC %
SAC Unite
Subtotal
VAtURTZDN $1811000
$1,292.25
$452.29
$9e.50
$1>'700.00
10m
2
$3,535.84
CI7Y SAC
Wfl7EF2 CONNECTIOR
S & W PERMIT
S & W SURCH4'ikGE
7REATMENT PLAhIT
RQAD UNIT
Tota1 Fee
$200.0@
$1,560.00
$100.00
$.50
$74A.U70
5 0 . 0 0
$6,929. 54
CONTRACTOR: - Applicant -- sT. Lzc. OWNER:
FRANA & SQNS TNC 1941@282 0007620 UHi:OTA COUNTY HRA
7500 1=LV:CNG CLQUD Di2 755 2495 145TH 57 W
EDEN PRR]:fiIE MN 55344 RCI5EMOUNT MN 55068
.
(esz) 94i-e2182 (612)423-8111
IV, fq CITY OF EAGAN i lp 1 1 ?
3830 PILOT KNOB RD .65122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Gonetrut3ion Reaulrements RemodeVReoeir RaqulromeMs
? 3 repistered aile surveys ? 2 coplea of plan
? 2 copies oi plana (indude beam 8 window sizes; pouied fid. design; etc.) ? 2 sRe surveys (exterior addillons 8 decks)
? t energy cakulations ? 1 energy calwWtions tor heated addRiona
? 3 copiea of tree prsaervation plan if loi pletted aRer 7/1l93
required: _ Yes No
DATE: 9-19-95 CONSTRUCTION COST:
DESCRIPTION OF WORK: woon FxaME SLna orr GRADE TOWNHOMES
STREET ADDRESS: &W,:;?a I??? ?6 I IA0 (V41Z i
LOT _I BLOCK I SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Ngrpg: DAKOTA COUNTY HRA
?913 - al/
PhOn@ #:612 "?3' '^ 6
U6T FNSi
Street Address- 2496 145th ST. WEST
Ciry: ROSEMOUNT
State:MN Zjp; 55068
CORlPBny: FRANA AND SONS, INC.
Street Address:7soo FLYING CLOUD DR. #755
Ph011@ #:612-941-0282
License #:ooo' bzo
(`,jty:EDEN PRAIRIE S{atg: MN ZIP' 55344
COmPanY: PAUL MADSON & ASSOC.
Phone #- 612-332-7026
Name: PAUL MADSON RB915tr8t10n #'013243
Street Address• 420 N szx sz.
(`,jty; MINNEAPOLIS, Statg: MN ZjP;5540t
Sewer & water licensed plumber. . Penalty appiies when address change and lot
change are requested once pertnit is issued. . ?
n ?l .7 i".
I hereby acknowledge that I have read this application and state that the
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certifiptes ot Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
? I
1 SEP 2 0 1995 i
I ---^ - ---•---•-- i
with all
BUILDING PERMIT TYPE
OFFICE USE ONLY
j .,
I?
? 01 Foundation ;X-06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling o 07 4-piex ? 12 Multi RepaidRem. 0 17 5wim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
a 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
a 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
,:er 31 New o 33 Alterations o 36 Move ?i
0 32 Addition a 34 Repair o 37 Demolition "
GENERAL INFORMATION II
Const. (Actuat) ? Basement sq. ft. ? MC/VHS System ?-
(Ailowabie) N Main level sq. ft. Z 7 Ciry Water i -
UBC Occupancy 1?i ? sq. ft. / o Fire Sprinklered
Zoning I2-y sq.ft. PRV -757-
# of Stories No nr ? sq. ft. Booster Pump li
Length 3S sq. ft. Census Code. 103
Depth Footprint sq. ft. SAC Code
Census Bldg , i
Census Unit v
APPROVALS
?j
Planning Building Engineering Variance
i? ?---.
Permit Fee Valuation: $ Surcharge
Plan Review i?
License _ --
MC/WS SAC - ?
City SAC f?---- -_
Water Conn. • r /
Water Meter ? I
Acct. Deposit / k(
S/W Permit
SNV Suroharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded. ?
Other
Copies
Total:
% SAC I
SAC Units ?
/ L? BL _L OFFICE USE ONLY RECEIPTl?: dW5(P1
J SUBD. DATE: `r/?*0
1996 PLUMBING PERMIT (CQMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please Complete for: ? all commerciaVindustrial buildings.
* multi-family buildings when separate permits are b2t required tor each dwelling
unit.
DATE:
WORK TYPE: ? NEW CONSTRUCTION
06
CONTRACT PRICE: 7 3 clo ?
ADD ON REPAIR
DESCRIPTION OF WORK: 7"01?U F- g
IS WATER METER REDUIRED? 7(YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED7 _ YES -lk_ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YESZ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of RgLmj1 fee due on all permits.
CONTRACT PRICE x 1% h 3. uZ2
STATE SURCHARGE . So
TOTAL ?? ? 3 . SQ_
SITE ADDRESS: /h?? IV.+ K C.r' 1 1= I`P
TENANT NAME: 9'tlx'? wo _ STE. #
OWNER NAME: &1Qe &,eol
INSTALLER: ?1L.Q?F r AL A? l'tJ.2?J
ADDRE5S: f?Ntf /,/?/o G G O0 op
CITY: 4)I^a_i'?'?'e, STATE: ZIP: ? Y
PHONE 222 S 7 SIGNATURF: pic:
PPLICANT ?-
OFFICE USE ONLY
METER SIZE: ?" DATE: .? ? ! /C INSPECTOR: -,??
CITY USE ONLY
L BL RECEIPT
SUBD.
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
DATE:
i
Please complete for: ? single family dwellings
? townhomes and condos when permits are requiretl for each unit
FIXTURES . EACH b.Q. TOTAL
Shower 3.00 x =
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory
3.00
x =
Kitchen Sink 3.00 ;c =
Laundry Tray 3.00 ;c =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 :c =
Fioor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 :c =
Rough Openings 1.50 x =
Water SoRener 5.00 x =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
?
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: i
STREET ADDRESS:
?CITY:
STATE: ZIP:
PHONE #: (
CITY U3E ONLY
L ? BL ? RECEIPT #:
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are Dp.t required
for each dwelling unit.
)f
DATE: 0?' o2I '- C? ?2 CONTRACT PRICE:
WORK TYPE: ?r NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee 4[ 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1°!0 6 S. Dq
PROCESSED PIPING
STATE SURCHARGE
TOTAL
.5v
(pg. 59
I E ADDRESS: 1(c?6g -K,70 01'VK' C( f2ClC-. 1 E
OWNER NAME: zF4"7Jl?it///7??e TELEPHONE #:
TENANT NAME: (innPROVennENrs oNLv)
INSTALLER:
ADDRESS: 42? ?2
CITY: STATE: ZIP?'?? ?9
PHONE #:
SIGNATURE: ro-? //J?? SIG ATURE PERMITTEE CITY INSPECTOR
?
CtTY USE ONLY
L BL RECEIPT
SUBD. DATE:'
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN I'
3830 PILOT KNOB RD
EAGAN, MN 55122 I'
(612) 6814675
Please complete for: ? single family dweliings
? townhomes and condos when permits are required foreach unit
New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Van;ee system, etc.
Date:
.
Minimum Fee: Add-oNRemodel (existing residence only)
HVAC: 0-100 M BTU
Additional 50 M BTU
Gas Outlets (minimum of 1 required @$3.00 each)
State Surcharge
TOTAL
SITE
FEES
$ 20.00
24.00
6.00
p,
.I50
OWNER NAME: PHONE #:
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: ZIP: II
PHONE #: ( )
?'.
--------i
For Office Usa
t ~JL.
::::::e. City of Ea al
J [
3830 Pilot Kn
ob Road I
Eagan MN 55122
Date Received: r--(q
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff_
L-----------------
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: dty4' "7u (4-14- -i 164 Cc -C LC,
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
PROPERTY OWNER Name: P4-)ko_e ttO?ya.J ; r„ b 4 ni i + hone: (s l) (15 " 11-10C
Address / City / Zip: (2.'2- c4 i zs C j U \ . + ! 5 - , - >(2 -3
Applicant is: Owner - Contractor
TYPE OF WORK Description of work: ,t`W ; a 0, r ~"t- T (b tsc g tc" .r r r ,t a
Construction Cost: ~(94
CONTRACTOR Name: Ci;G Cc ti t c t a € 1- License c 's 2
Address:
"fir' E, W',
City: C t# tv I v State: ri4 Zip: 5 i L
Phoney 3 `i t Contact Person:
ARCHITECT / Name: Registration
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: A 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 they are trade secrets.
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.
Applicant's Printed Name Appli nt's Sig
Page 1 of 3
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09/13/2013 02:36 6122251801 CNC CONSTRUCTION PAGE 10/10
Use BLUE or BLACK Ink
of Pond
a
41
EQWm UN M22 Pffd* Few
Fm: (eal) a oaAe Reawea:
2093 COMMERCIAL BUILDING PERurr apPUCATION _
oae.: 88. Adams:
Ufa.: X22.
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Nen~e. ~ F'ontrrr Tanana
Ptww.
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Now c-mc
COr1bactor Addrow ~ 4A,
city.
smaee:.~_~=~•~.~~.~~__ Phone. X95
-9-
cooled: _ ~ ~
Name:
NuONtt+etlen t
ArchftvWEn0WW Addnras:
slaw,
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-
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piauewrrbar aewrarrwatsr asrrbe: . PhWra urporft ow ~`1^~ pia abet ~ ar
a~ a~b~~INs. '"~~t~~14►b
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Call 48 boom bsaa you amend b <90 mu moalea taagea of undreproww t~Ab& Phan danwga.
I hemby adage aaa qty N*Wnom to mp*m and ftmaW ow the wpk w~A bar In odnmwm
codes o11* City of 6*m; that 1 wftmw d This is not a parmt but oNy an tor' ppn ~~n~ ~ a and
#0 work Y A be In aomO/rR = VM the eppr&md phn in Ihm awe a~f wprh
cj~ ~ r"*" a mWaw sod asorewo of N plem
pps
1Of3
Use BLUE or BLACK Ink
�j �i n For Office Use j
CityV llil Permit#: J 1'��,.� !1 0
6(>
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122
.. Phone: (651)675-5675 Received:
Fax:(651)675-5694
Staff:
2017 MECHANICAL PERMIT APPLICATION
r Please submitrtwo (2)sets of plans with all commercial applications.
Date: 4741"I? Site Address: J 4 - /470
Tenant: ("Suite#:
j'� f �,� ,�^ ,+'err
y;241
'<SIt ;A-6Z ;.; Name: DAl i� ",r � ;yam- ✓ 77
� �. Address/City!Zip: �. C + l 6-:5:::"‘75%.5"-6"/-4:52,(/.30*` t
License#:Com
Company RayN Welter Heating
Name:
'� 4637 Chicago Ave
` Address: 9 City: Minneapolis
State: MN Zip: 55407 Phone: 612-825-6867
- Contact: Cu- Email: rickw@welterheating.com
mm New Replacement Additional Alteration Demolition
a- Description of work:
,'0 . O E toofi a"unted and roundnnountedmzecha ical equip e s re red to be s,--- - e y rty
,': ode, lea c'ortact he Me an 'al l s ct l�or info tion ®ter t M a
' 44
RESIDENTIAL COMMERCIAL
�'„ Furnace _New Construction _Interior Improvement
Air Conditioner Install Piping _Processed
_Air Exchanger _Gas _Exterior HVAC Unit
Heat Pump
� � under/Above ground Tank ( Install/ Remove)
4 <���'� —
� ��� ' .—.Other
RESIDENTIAL FEES
TOTAL FEE
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
` $75.00 Underground tank installation/removal, includes State Surcharge
_$
=$ Permit Fee
Surcharge=Contract Value x$0.00.05
Surcharge
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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 wor no.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.
it A l) '
Applic is Printed Name Applicant's S' ature'
'.--1'-„,:•IL4--1 4,,,,,=.''''!':64 41(ii tira,4,144.7-ra W:442:4;:::::77:it-7.:44'''',_ ,,;.,b2a1.;i.:14°'''
9 . B°' , ` - we-,:44iia i 'r . I'v- �. 5``.,i..as, a "'7 0-s* , e''�a ,"x� 3: