4326 Onyx DrPERMIT #
Site Address < <
Lot Block
i
? Name '
7@ Address 1 ?
c Ciry
Name ?a
c Address
p3 City . ?
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Veni
Gas Piping OuUets #i
Other
.
F?,
frc;,?:.
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100 For Office Use Only:
77 BLDG. TYPE WORK DESCRIPTION
Sec/Sub Res New
;'; ? ,, Mutt Add-on
: IS:,.4Nf) A'd , Comm. Repair
r'.94_OOn', Other
M BTU
M BTU
M BTU
` M BTU
CFM
FEE:
S/C:
TOTAL:
FEES
RES. HVAC 0-100 M BTU -$24.00
AODITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON b
FiEMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIG MITTEE
FO : CITY OF EAGAN
/???????
CITY OF EAGAN Remarks * Cedar Grove Acctufsition
Addition C? GROVE #4 Lot 15 Rlk 1 Parcel 10 16703 150 Ol
Owner !? V? t treet 4326 OnVx Po1nt State FaQ?, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWEF LATERAL 1972 1,30$.00 52.16 25
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTION RECORD
CITY OF EAGAN PERIIAIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
•, . . allavx 110
1 t liHk t.kUVF q I N
, APPLICANT:
ra AIti v
H I I I t u I NI ,
N,'H 1 n'i
eT Ie6Jsa6
? . , . _. . ??.», n ? x. .. . ?? ...?F 1r.. ?J}; .? .:??+?.'?^? •.??i?c F? ..a?1Z?a?, . ! J
PERMIT SUBTYPE: TYPE OF WORK:
I • F_ P A iFt
c ,?; ii i•. :•
1 110 !ItOOf- I MA/W(N(lOW)
Permit No. Parmit Holder Dete Telephone !t
ELECTRIC
PLUMBING
HVAC
inspectlvn Data Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINHL ?
BSMT RJ I
I
BSMT FINAL
DECK FTG
DECK FINAL
EAGAN TOWNSHIP
BUILDING PERNi1T
Ownei .....?_./4. .?.._.__?-`......_.__._..
Address (present) ..?........ /..,I --- ....
'k' 6Z?
su.tae: .............4_'- -- - - -
Addsess ---- _._._......... _....--....._....---'--..._--.__..
D£SCAIPTION
N° 920
Eagan Township
Town Hall
Dafe /?1/s_.?.....6.._._......._.__-
3tories _To Be Used Fcr _ Fronf Depih Heighl Est. Cosi PermiY Feel Remaxks
i--
bnee=, xoaa oz otner uescnpnon oi Locanon I Lol I Block I Addifion or Tracf
?i.2 - G - Jn - // - /,1- /4-is- :)-6-].7
- - ------- ---- - 30 - 3 / ? ? .Ge?./ ?` ?
This permi2 does noi aufhorize the use of slreeis, roads, alleys or sidewalks nor does ii give the owner or his ageni
the righi fo create any situafion which is a nuisanee or whieh presenfs a hasard !o the healih, safeip, convenience and
general welfare fo anyone in the communify. . THIS PERMIT MUST B£ KEPT ON THE PAEMISE WHILE THE WOAK IS IN PROGRESS. `
J
This is fo -cerSify. ......... .......has pesmission !o ereci ...-'_....... _.?.. _....upon
--.....
the above described premise subjec! !o the pxovisions of the Building Ordinance for Eagan ...........................
wnship adopfed April 11.
1955. ' ? r I
'
_
...'_......._........ --------- Yer,
.... ...-- ?-------??------......_.._.._....._---.__.....
-Cheirman of Tnwn Boaxd . . . 8uilding Inspeefor
4 t
/6
/1?515 3 1110?4
Req t Data Fire No. Rough-in Inspection
RO Yesd' ? No
??atlY Now ? WWill hen'Ready7Ktm
Iaweensed contractor ? owner hereby request inspection of above elecirical work at:
Job Ad sa (St Boy or RoNe
?? 06 , City
S ion No. Township Name or No. Raige o. Caunty
Occu PRINn N? U I L/^ -4
Powar Supplier AddmsV
?
Electncal Convacbr (COmpeiy me),
yCiC ELF.CTRIC Cont ctark ' nse No.
j
MaltingAtl14qresgf?pnf?§o/prpy b)
a??v r
124
Auilro' pg io Plrone Number
MINNESOTA STATE BOMD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
GNpga-Mitlway Bitlg. - qoom &773 BE ACCEPTED BV THE STATE BOARO
1821 Unlveniry Ave., S(. Poul, biN 5510C UNLESS PROPER INSPECTION FEE IS
Phone(612) 862-0800 ENCLOSEO.
L? /?j8 g REQUEST ee
FOR ELECTRICAL INSPECTION -0oam.o?
? See instmctiore for compteting this fortn on beck oi yellow mpy.
G? 15153 + "X" Below Work Covered by This Request
ew Ad?- Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elecfric Heating
Apt. Building Dryer Other (Specity)
Comm,Mdustrial Furnace
Farm Air Conditioner
Other (specity) Conve/cto'Y?S Remarks:
Compute Inspection Fee Below: W
# Other Fee # ServiceEniranceSize Fee A Circutts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
hansfortners Above 200 _ Amps Above too _ Amps
Signs Inspectors uae only: ' T L n'1
Irrigation Booms
Special Inspection /J
Alarm/Communication
Other Fee
I, the Elechical Inspector, hereby
certify that lhe above inspection has
6een made. Rough-in - - Date
F;nal .? -4fod .e
OFFICE USE ONLY
Thk requesf witl 18 momhs im.
//C?G?/V
Y 73370 50J J (a
Requart Date ?
Jan. 24, 1959 Fire No. Rough-in Inspection
Repuired7YNo
?Ves ?[J
q4?eadyNOw Will eady??r
'
I@ licensed contractor ? owner hereby request inspection of above electrical work at:
Job Mdrass (S1ree4 0ox or Rame No.)
4326 Onyx Atw.Q Ciry
Eagan
Section No.
Township Nartre or No.
Range No.
County
I I Dakota
occuparn (PRINT) Phone No.
Bill Christenson (Mary Hampton) 454-7801
PowerSuppGer Atltlress
NSP Red Rcok
Electncal Comracmr (Companry Name) ContractaS License No.
Corrigan Electric Company 039549 8
Mailiiy AGtlreas (Conlrac[Or or Owner Makirg InstalW4on)
P.O. Box 475, Rosemount, MN 55068
Am ed Signawre (CO aGOrlOwner Making Installation) Phone NumEer
423-1131
MINNESOTA STATE BywnO OF ELECTpICI'r THI$ INSPECTION REpUEST WILL NOT
GrlggsMWway Bldg. - Poqn fr1]3 ? BE ACCEPTED BVTHE STATE BOARD
1821 Univerelry Ava, St Paul, MN 55f04 UNLESS PROPER MSPECTION FEE IS
Phona (612) 6412-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION eeo0301a7
ti? Sea instmctions for compkting this form on back of yellOw copy. go
/
9 -7337 Q "X" 8elow Work Covered by This Request
e Add Rep. TypeofBuiltling AppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Fumace
Farm • Air Conditioner
01her (apecify) ConVacrorS Remarks:
Compute Inspection Fee Be/ow: ? t 14 +r`C ?'lA? ? ????C
# 01her Fee # ServiceEntranceSize Fee # Circuits/Feedere Fee
Swimming Pool ( 0 to 200 Amps [ 2 - 0 to 100 Amps
Transformers Above 200 _ Amps Atave 100 _ Amps
Signs laspector5 use ony: 707AL yZ
Irngation Booms
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, here6y
certif
th
t th
b
i pouqn;n oa?e
y
a
e a
ove
nspection has
been made. Final oa?
O ?7
OFFICE USE ONLY
Thia request witl 18 monHU from
------------------
? Fac Office:Unse ?
j Permit #: // v?O ? / I
? Pertnil Fee:
I
? Date Received: ?
I ?
I ?
I Staft: i
I
2008 RESIDENTIAL BUILD
Date: v? 2?"j ? Site Address: ?_29
PERMIT APPLICATION
Tenani:
Suite
N Phone:
RESIDENT/OWNER Name:
Address / City/ Zip:
Applicant is: I-r_ Owner _ Contractor
TYPE OF WORK Descripfion of work: dl A 6Sd I f1Cf - lls iVyl Ots?C
Construction Cost: Multi-Family Building: (Yes
CONTRACTOR Name: J t? License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRIJCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Cade . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CffiOgOry Submitted Submitted
(4 Submission type) • Energy Envelope Calculations Submitled
In the last 12 months, has ihe 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 Contraclor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporiing documents that you submil are considered to be public intormation. PorUons of
the information may be classlfied as rton-pubOc.if you provide speclflc reasons that would permS the City to
conc/ude that the are trade secrets.
I hereby acknowledge Ihat Ihis intormation is complete and accurate; that the work wlll be in conlormance with the ordinances and codes o( the City of
Eagan; Iha[ I understand this is not a permit, bul only an applicalion tor a permit, and work is not to start without a permit; Ihal the work will be in
accordance vnth Ihe approved plan in the case of work which requires a review and approval ot plans. 412q.
a /2-?-i t= /.?JJ x ry7a ApplicanYs Pri ed Nama ApplicanYs Si ature
ge 1 of 3
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE:
BuzLozNG
Permit Number: 028163
Date Issued: 0 7/ 0 5/ 9 6
SITE ADDRESS:
p.I.N.: 10-16703-150-01
4326 ONYX OR
LOT: 15 BLOCK: 1
CEDAR 6ROVE 4TH
DESCRIPTION:
(ROOFIN6/WINDOW)
66 i1difi`4,.Permit Type STORM DAMAGE
Buil,ding l?T«o?,?k 7ype REpAIR
i" C2nsus Code 434 ALT. RESIDENTZAL
r
P°x., ?c ;? ,a , t-e rz[ , : ?+? 4? ?' • ?w
? t
REMARKS:
FEE SUMMARY:
CONTRACTOR: OWNER: - Applicant -
HAMPTON MARY
. 4326 ONYX DR
EAGAN MN 55122
(612)454-7801
S hereby a'cknbwledge th&t X hlive read this spplic:atian and state that' the
infarmatiqn is correct and agree to comply with all applicable 3tate af Mn.
Stattites alndCity ofi Eagah` Ortfinences. " L
rn?-
ltr-
AP LICANT E SICPATURE ISSUED BY: IGN URE?-
i
Ok
III"
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RE5IDENTIAL)
681-4675
New Construdion Reauirements Remodel/Reoair Reauirements
? 3 registered site surveys ?2 copies of plan
? 2 copies of plans (indude beam 6 window sizes; poured fid. design: ete.) ? 2 sile surveys (exterior additions 6 decks)
? 1 energy cakulations ? 1 energy ealculations for healed additions
? 3 copias of tree preservetlon plan if lot platled after 7l1193
required: _ Yea _ No
DATE: CONSTRUCTION COST: r0 O O
OF
LOT 6 BLOCK I_ SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name:410- Y-? 111ft" Phone #: ? c- q 791I
^ IMa. .n
Street Ad
City: i1 c,a Y1 StateAJZ2 Zip:
Company: ") e- L? ' Phone #:
Street Address:
City;
ARCHITECTI Company:
ENGINEER
Name:
License #:
Phone
Zip:
Registration #-
Street Address•
City:
Sewer 8 water licensed plumber:
change are requested once pertnit is issued.
State:
State:
Zip:
Penalty applies when address change and lot
I hereby acknowiedge that I have read this application and state that the information is coRect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: :2 ZLI" i
OFFICE USE QNLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations o 36 Move
o- 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinkiered
Zoning sq. ft. PRV
# of 5tories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SNV 5urcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Vaiuation: $
% SAC
SAC Units
MECHANICAL (RESIDENTIAL)
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemu[s are required for each unit
Date )
/ D3
-
Site Address "I )?? 1C'?iU lJ
?l Unit #
t
n
P
O
?
? ?
-{ pY ? hone # (01 ) -I lv i
Tele
y
roper
w
er
Wy
I y I (?/ p
Gontractor
12481 Rhode Isiand Ave. So.
Street Address
S Cit
y
ayage,
Zi
St
t (q<;2) o7 r (Dvo_5
hone#
Tele
p
a
e p
The Applicant is _ Owner 1/ Contractor _ Other
Add-on, modifcation or alteration to existing dwelling unit $ 30.00
L/"" furnace replacement
air exchanger
? air conditioner
other
State Surcharge $ .50
'
30 5
$ ?
otal
7 FEu 2 0 ZOO:1
i ;
I
I hereby apply for a Residential Mechanical Permit and acknowledge that the ' B omplete and'accurate; that the wock will
be in conformance with the ordinances and codes oF the City of Eagan and with the Mechanical Codes; that I understand tlus 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.
?
?\, AaL&4? u ,z-?,1
Applicant's Printed Name p?cant's Sign t re
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 0 651-675-5674
Please complete for: commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if appticable) Previous Tenant Name
Property Owner Telephone # ( )
Con[ractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner Contracror Orher
Work Type
_ New construction Underground Tank _Install _Remove
_ Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fee (includes Sta[e Swcharge)
ContraetValue $ x .Ol% _ $ PemritFee
• If permit fee is $1,000 or less, add $.50 => $ State Surchazge
If permit fee is over $1,000, add $.50 per
$1,000 Pemut Fee
$ Total Fee
...o«oy app,y ror aCommerciai mecnamcal remut ana aclmowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pemvt, 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 wlrich requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
I 2 I
Clt0� �� �Il j Permit#:I J _JIJ�� j
� � � r,� ,, �
� Permit Fee:' l�Jl.(/ • '�7 �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received. ' � '' �
Phone: (651)675-5675 I G` � I
Fax: (651)675-5694 i StaffJ1J i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ����- � � Site Address: �-3� �N" Unit#:
��� �
� f
� �. ��� Name: �i��� � ��ir,,,�7�� Phone: l�Sl%3� � `I � 1 3
= f�����1' �j�
��= Address/City/Zip: �,.��� �%�V� �d�-
� � �,,� � �
Applicant is: �Owner Contractor
, � � i
��,��� Description of work: 1��P r��Q,� ,o��)�Y� �d wS � 5 ��,�tl c�
� '��
: ��,�„; Construction Cost:1�,�u eQ�2,� ��,, OOG> Multi-Family Building: (Yes /No�
�� /
; � Company: �, -c� r� l -�B.v✓i� (,.� ` Contact:
� —��
��� �
� � � �
�� � �^ � Address: City:
�����_�
� d.
� � : �
° �`�^' ' � ` State: Zip: Phone: Email:
�m...
�x ;>, License#: Lead Certi�cate#:
If the project is exempt from lead certification, please explain why:
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:
Sewer 8�Water Contractor: Phone:
� Fire Suppression Contractor: Phone:
'����,�h`� ��s��`s�r�?o'��1�`�3c�t�er►�t`�' J�t����a���"��i�����i�r��� l�a�t,i��#'
� i����������b+��`�i�t'��'��� �'����t��� �e�`����t �� �
g c� � ..... - W `f a �d�, �,h. . � � L�����^k :
H.. �. :� .,.�a���n . .-�:. ,�,:«t.. a.,.M: �< . �.. ,...,..:..,,�� �. .:��,�� ,;f� "x;�'��v.,. ?� .��' ``��a;�". �
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.qopherstateonecall.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 permit issuance.
x ra-rZ C /�!� '7"i� J� x �
ApplicanYs inted Name Applicant' ig ture
Page 1 of 3