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4337 Onyx Dry51411 6q?12 ? ? Zg0 a ?ed o 9?9Z?1s?? ..??? ??'?? M GAS WORK ORDER 1082 Payne Ave. STANaARD St651/772-2449101 6HEATING09 & AIR CONDITIONING LAST CITY HM F 410 W. Lake St. Minneapolis, MN 55408 fi 121824-2656 A ue Doi. Service Co. EQUIPMENT INFORMATION FIRST ZIP / Z- Z- WK PH DATE TYP E MAKE MODEL SERIAL INFIJT /Z - /-? ORSAT TEST RECORD C02 ?- % METERED INPUT ?7 ? Cfh CHIMNEY TYPE !/-u-- 7' 02 % LIMIT SETTING ° FLUE SIZE s? in. CO % PILOT OUTAGE sec CONNECTOR SIZE in. NET STACK TEMP 0 TOTAL CHIMNEY INPUT OD Udc1 btuh GAS WORK ORDER 1082 Payne Ave. STANDARD St 651/772-2449101 6HEATING09 & AIR CONDITIONING A Blue Doir. Service C,?. EQUIPM j LAST FIRST .?. TYPE ADDRESS 433 T? X- MAKE I CITY ZIP MODEL' HM PH4??I- -? r, c) WK PH SERIAL TECH DATE s. . ?1 - 410 W. Lake St. Minneapolis, MN 55408 612/824-2656 TION ORSAT TEST RECORD C02 '. ? % M TERED INPUT Cfh CHIMNEY TYPE .-- 02 • Z' % UMIT SETTING ? FLUE SIZE ? Ifl. CO O % PILOT OUTAGE ? sec CONNECTOR SIZE in. NET STACK TEMP /? TOTAL CHIMNEY INPUT_ btuh ? ?._.. _ r . ,,.. .T • .- . t cirY oF E?GaN 3715 PIh! Kno6 Rmd Eoqaw, MN 55132 PHONls 454-8100 BUILDING PERMIT ? Receipt # Ts 6e need for F.? V..I. . ? n..?e 7 , ., Site /lddreu Erect p Occuponcy Lot Block Set/Sub. . ~,,•J, Aiter Q Zoning R Z F parcel # epair ? I?e one l E T f n orpe p ype o Const. W NOMe Move 0 # Stories =3 Addross Demolish p Length b ria, oti.,,.. Groda ? Depth Sq. Ft. o Name ? u? Addre. F r:... Nome _ /lddres3 I hereby acknowledge thot I have reod this oG fhe informotion is COrrect and Ogree to Con Stote of Minnesota Statutes and City of Ea Sipnoture of Pertnittes A Building Permit is issued to: all work sholl be done in occordonte with cll 8ulldinq Officfol and state that all applicable / (4- ?? Asseument Permit Woter & Sew. Surchnrye Polica Plan check Firo SI1C F.np. Water Conn. Plonner Woter Meter Countil Rond Unit BIdQ Off . . APC Total on tha expreas condition thm ;.oWe State of Minnesoro Stotutea and City ot Ea9an Ordinonces. Permit No. Permit Holdsr Mise. Permit No. Holder Plumbing H.V.A.C. j w.u Water D'?sp. Sawer E lectric ?-1 Z T 71`713 Oc..a ?1.ir g-4 -FZ ? po? k Inepeetion Date nsp Other Footinps t ] , Foun detion X Framinp _ 7-P Rouph Plbp. Rouph HVAC Inwlstion Finsl Plbg. Final HVAC Final Wear Dftcribe Location: Well S01NBf Pr. Dhp. .?. ? PERMIT # 69 ?PLUMBING PERMIT RECEIPT # 1C)9V 3830 PILOT K OB OAO, EAGAN, MN 55121 DATE: Site Address Lot Y 2_ Block m RWC HAP101Lei is_ m Address 71719 f ?':"?"• _'" Z c City -Hopkine, .;.? ` ^ ^ - -- , .??...._._ Sec/Sub BLDG. TYPE WORK DESCRIPTION Res. New _ M u It Add-on ? Name : 3 Address p CitY - FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF FOR: CITY OF EAGAN Comm. T-; Repair . Other NO. FlXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 Gas Piping Outlets - $1.50 / Softener - $5.00 - Weli - $t0.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: ' GRAND TOTAL: CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CEUAR GRfJVE #4 Lot 17 Rlk 3 Parcel 10 16703 170 03 owner ni aYI Cl 0 street 4337 Onyx Drive state Eag?, MN 55122 'rj btQ?n Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 1 1972 1.304.00 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 PERMIT TYPE: 3830 PilOt Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: • ? (612) 681-4675 SITE ADDRESS: ' APPLICANT: ., . , -;aYx i3R. GFI:IAFt 8l2CtiVE. #4 (fii;y) 767-•0097 ? 7 I PERIIAIT SUBTYPE: TYPE OF WORK: . i ? PArw . i -.nF h'i i b f-A :l' IAi Permit No. Pertnit Hoider Dete Telephone N ELECTRIC PLUMBING HVAC Inapectian Date Inep. Commente FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING ? GAS SVC TEST INSUL GVPBOARD I FIREPLACE FIREPIACE AIR TEST FINAI PLBG FINAL HTG OFSAT TES7 BLDG FINAL BSMT R.I. BSMT FINAL OECK FiG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 4 74 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ???. tll?r ,,, „ !; ?,? .. , • ? , ? , . ? t tilii< ?,IifjVE. 4ltf €t•1,' i rt•skz ?t: F?t, PERMIT SUBTYPE: TYPE OF WORK: ;, j FRpT ;ON lNSERT ()N11 6 Pr- M nRr:S r ±;FiLMNIF Y/Fi llf MU`.7 ffF 1Nc;!'Fc,tFiT FiFt'ttfq r_?-)vF.:r')lVCi Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Camments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLF3G AIR TEST ROUGH HEATING GAS SVC TFST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG Of1SAf TEST BLDG FINAL DOMESTIC METER IRRIGATIDN METER FLUSH MAINS CONDUCTIVITY TEST HYbROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN No 6824 9795 Pllof Knob Raad Eegen, MN 55122 _ ' pXONE: 434-0100 BUILDING PERMIT Receipt # Te M und foe PORCH & ENTRY Est. vaiue $9) 58U Date AuguBt 17 , 1q 81 Slte Address 4337 Oix9Y Dkive Erect ? Occuponcy R-3? Lot 17 Blxk 3 Secis„y. Cedar Grove 4 qlter ? Zoning 10 16703 170 03 air Re ? Fire Zone Pa«ei # p vII Enlarge ? Type of Const. rc Nome Aichard & Mar3on 'rOb18S Move ? # Srories z Addren 4337 Ony$ Drioe oemolish ? Length MA ?_. Faoan 55122 e,___ 454-6460 Grade ? Depth ?W Sq. Ft.- p Nome_ f u? Address Name Address Fees Assessment - Woter 8 Sew. Potite - Fira Eng. Planner _ Council _ Permit ADU, 7V Surchorge 5.40 Plan check SAC Water Conn. Water Meter Rood Unit I hereby ackrwwledge thot I have read this apDlicotion und state that 81dg. Off. the information is correcf and agree to wmply with all applico6le APC Total R5_5n Sfate of Minnesofo StafuTe?s?afid City of E ?t? ?. SiynMure o4 Pertnittea A Building Permit Is issued to: ARIhard & rion Tobias on tho express conditlai thm oll work shcll 6e done in occordancll ovvStoteot Minnewta Statutes and City of Ea9an Ordinonces. Buildiny Offitiol "??- CITY OF EAGAN BUILDING PERI?LIT APPLICATIIXV 4b Be Used E'or >r Valuation Site Address: ?y3--'37 OVvI DY Lot / 7 Bloc]c -'? _ Sec.%Sub. /1 / Parcel #: _ fa /0`703 (7C'l a3!/ Owner: X-'", d.41v ?/awa? ?? /c4? Pddress: City/2ip Code: ZZ Phone #: 4L '?_ p Contractor: Address: City/Zip Code: Phone #: Arch./Fng.: Pddress: City/Zip Code: Phore #: Include 2 sets of plans, 1 site plan w/el.evations & 1 set of energy calcul tions. Date / - ? OFFICE USE OfLY Erect Alter Zoning Repair Fire Zone Enlarge Type of Const. Move # Stories Dennlish Front ft. Grade Depth ft. APPROUAI.S FEES / Assessments Pesmit p Water/Seu.er Surcharge Police Plan Check Fire SAC Eng P1 Bld APC Water Conn. anner Water Meter Council Rc?ad Unit g. Off. ? ? ROTp,i, ei - - EAGAN TOWNSHIP BUILDING PERMIT Ownex _..?Q---- Address. (Presen!) -_..¢.O - _..d'Y. ?.-;?? !/f.?-....-.? . __r- - ? Buitder ............ ....-..._...........----......._........----d Address .............. .__------------------ ------...... .....----------------- -----'----- . DESCRIPTION N° 9'7'7 £agan Township Town Hall Da1e _ .......................... ................. Siosiesj 9' o Se Vsed For - Front DepTh J Heighf I Esi. Cosi Permii Fee Aemarks s? ? ?? i ? ev-V (41W .-T' a? /r . -n /S.13 a?V,Y.OCATION - - ' . . _. -- . Slreei, Road or olher DeacxipSion of Locaiion Lo! Block . Addition ar Trae! „ ?-?-T-. ,Q ., This permit does not uihorize the use of sfxEefs, roads, alleys or sidewslks nor dces it give the awner or his ageni the righffo creale any situafion whichis a nuisance or which presenls a hazard fo the healkh, safetp, convenience and general welfare fo anyone in the eommunifp. THIS PERMIT MUST BE K?E?P?T? ?ON??yT?HE PRnEMISE WI?iILE THE WORK IS IN PROGAESS. ? Tha is fo eeslify, lhat...V?I .c..!?....Jpezmission !o ereci a---- Llp .................-...-.-... ? upon - ................ - ... the above described premise suhjec! !o the provisions of the Suilding Ordinance for Eagan Township adopied April 11. 1955' . .. .iww.?:F.^.4l....(!.'.."^.?.•'_..----------- ....----...... . Per ....__.._..._---.._..G/fjX/?/ ?.4.....l?a.ci`.-?.r....?..._ Chairman of Tnwn Board Suildinq Inspector C{ . ,B EAGAN TOWNSHIP BUILDING PERMIT oWne: ._.....??..u-y,c?,?..._.?.. -c. ...... --- _.... Addsess (Preseni) ---?33.7..... C-...... .?..1..'t...:_------.._.... ?? Suilder .---'-.-------------------------------------------------------------- ..._.._.. Address ............. ........'-'-----......`-"-'--'--...........---__._............_...--- D£SCRIPTION N° 1414 Eagan Towaship Town Hall DaYe lcC?:.9..?.? ../.?6......_... ? Siories' To Be Used For Fron! Depih Heigh7 Es3. Coat Permi! Fee Aemarks -- ? ' LOCATION Sireei. Road ox ofhet Desciipfioa of Loaafion I Lo2 I 81ock I AtldiS3on or Taac! /7 I 3 I L4 .41 .s y This permii does aot authorize the use of si:eels, roads, alleqs or sidewalks aor does it give the owner o= his agen2 the zigh! 2o creale any silualion which is a ttuisanee os which presenis a hazard !o the heallh, safeip, convenience and genesal welfare !o anpone in the commvailp. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is fo ceriify, ihei-.--. :.. ...... ........ ....? .......................... has permisaioa !o erec! a---°---° .°-°.-"t-° .-.°-°-°-°--.._.._.....upon the above described pxe ise subjeet !!he provisions oi the Suilding Ordinance for E an ToWi?ship adop2ed April 11, 1955. Per --._.-.-.-?? ?f??zdu ....................... ........................ -----•---t..7.._..---- --.._°-°-----°-°- Chairman of Tnwn Board ? Building Inspeclor k' 'Ii- ReQUest ?ate -a? - qa Fire 0. Roogh-in Inspeclion R????? u ?es eetly Now ? Will NoUy Inspaclw 'gR When ReeCy? I licensed contractor p owner heraby request inspection of above electrical work at: Ll .lop AOdress ISReeI. Box a Rou N" 3 3-7 D-yr City? ? Senion No. Townsnip Name or Np. Range M. OccuPa tfPRl TI? } 1 cI?-?- 1_ Phone No. Power $upplier AOtlress Electf mracmr iCpmpany Na? 1 + `/• c4-y- . _i Contr??ens? ? ? Mail?ngAddre icnttaclor o Pvner Making Install 1 1? Au oriVa ignaWre (C nhaqonOwner MaNing Installalion) P mber Puio 3:5?s MINNESOTA STATE D RD OF LECTflIGTV THIS INSPECTION REQUEST WILL NOT Grigge-MlOwey BIG .- R m 113 8E ACCEPTED BYTHE $TATE BOARD 1821 Univenity Ava. . Pau. N SSt00 UNLE$$ PROPER INSPECTION FEE IS PIwM (612) 642-0800 ENClOSED. /o i s 9 ?- 54377 REQUEST FOR ELECTRICAL INSPECTION ? See InsVUCtions for cQmpletingSMf brm on back ol yellow copy, "X" Be/ow Work Covered by This Request /EB-00001-08? ?t .na. iz ew Atltl Rep. TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Othec(Specity) Comm./Intlustrial Furnace Farm Air Conditioner Other(syaciry) ConVactor's Remarks: Compute Inspection Fee 8elow: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimmin9 Pool 0 to 200 Amps 0 to 100 Amps Translormers Above 200 _ Amps Above 100 _ Amps Signs Inspecrork use only: / TOTAL ? Irriqation 8ooms ?,,,) 'L%tJ l'S -- Special Inspection ? Alarm/Communica?ion TF11S INSTALLATION MAY BE ORDER DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTNS. I, the Electrical Inspector, hereby Rough-in ? oaie certify that the above insPection has been made. Final . j 4f? ate ? p OFFICE USE ONLY This request voitl 18 months Im. e??V 9 ? 95952 °" Request Deta 7?/?^ ? Flre No. Raugh-in Inspection Required? 2L tyMeaAy Now ? WJI Notiy InspeUOr R ? !' W ? Ves o han eatly I licensed contractor ? owner hereby request inspeaion of above electrical work at: .bb Adtlress (SIrcre4 Bm or Route No.) ` Ctty 3 0 Seclbn No. Township N e or No. Range No. CouMy ? Ocni n?R[INn ? Phona No. G/7Ci? f) ) PaxerSup 'er ? - AdGre9s ? / ElecVical Co or (Company Name) ? I Contraclor§ License No. Mailing Hdtlress (COnlraqa w O.mer Makiig Installalio n)/ ^/ ' ? l (CorV& r/Ovmer Ins 'on) Phon?NU?nSD/ 6?i? o? MINNESOTA STATE BOAFO OF ELECT1i1CRY THIS INSPECTION REQUEST WILL NOT Gtlgga-Mitlwey Bltlg. - Room S113 BE ACCEPTED BV THE STATE BOAFlD 1821 UnivwaHy Aw., St. Poui, MN 55104 UNLESS PROPER INSPECTION FEE IS Phmre (812) 612-0800 ENCIOSED. ?11,lg 9 w'iEOUrST FOR ELECTRICAL INSPECTION ?- es-aaom-o7 ? See insbuctlone for compleGng this lomn on back oi yellow copg ?? 9 59 5 2 X" Below Work Covered by This Request ew Add Rdp. Type of Building AppliancesWired EquipmentWiretl Home Range , Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Spec"rfy) Comm./Intlustrial Furnace Farm ' Air Condifioner aner ?speary? rector's Pemarks: Campute Inspection Fee Below: # Other Fee # ServiceEnhanceSize Fee # CircuiisiFeeders Fee Swimming Pool 0 to 200 Amps O to 700 Amps TransFOrmers Above 200 _ Amps Above 700 _ Amps SIgfIS InspeMOrk Uae Only: \ 7Q7pL Irrigation Booms 3oi Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby tih th h i R°"gn-in oa?a ^/7 i cer at t y e a6ove nspection has been made. Fi,wi 44 oa?e OFFlCE USE ONLY ? This s raquesf voltl 18 monMa irom Thls requeat id 18 mmrihs from T 71713 L17r 331 CL?ar- 6f-ovt ? 312 t- ( zo,oo Recluest ???aaa te {/ ? 7 Fire No.- RoaNh-in InsV ection q?red? . ReaAy Now [] WiII.Notity. Inspec- Wh t ?X ? ?es No ? or en Ready ? LicenseC Elecbical ConVactor I hereb Y request inspeclion ol above Owner eiectrical work installed at gveet Address, Box or oute No. . Cliy ? v L=a ? ? r.r.uon No. Townshlp e or No. Range Nn. Coun[Y ?r! i.J " Occ t IPRI TI / ? Phone /No. OGi' r PuWEr Suppl'Igr Atltlress - N5P Necvic al Co nv acmr omUany Name) Contrar.tor's License No. • . ^ '^ ? W?? Mail(nq Address (Conbacmr or Owner Making Instailation) L%'IJLV" ?' ized Sig? ture ontra tor/Owne M ing In Ilatio 1 Phong Number MINNESO'VA STq E 80AHD OF ECECTNICITY - THIS INSPECTION qEpUEST WILL NOT Grie9s•Midwqy eld9. - Aoom N491 BE ACCEPTED BV THE STATE.BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Aye:, St. Paul, MN 55104 Pnnna 16121 297-2111 ENCLOSED. ? REQUEST FOR ELECTRICAL INSPECTION K-w EB-00007-03 ? ?q .. r I ' See inshuctions for complating lhis farm an back ol Vellow coPy. ? l i?? 31Z "X" Belnw Work Covered by This fteyuest e Adtl flep. Type oi Builtling Appliancas Wit¢d Equipmant Wired Home Range Temporary Service Duplex Water Heater Lighting fixtures Apt. Building Dryer Eleciric Heatin ? Commercial Bldg Furnace Silo Unloader Industrial 81dg. Air Conditioner Bidk Milk Tank Farm Officr 5ueci v 01ner (SUe.:ify) ther Spocify Othor Oihxr Compute lnspect(on Fee Below Fee ServiceEnVanceSixe k Fee Feaders/SUbfeetlers # Fee Circui!s 0 to 100 Am ps 0 to 30 Am ps 400 0 to 30 Am x 101 tv 200 Amps 31 to 100 Amps 31 10 100 Am s Above 200 qmps Above 100-Amps . Above 100_Amps Transiormers RemoteControl Circ. .$O Partial% ee Signs Sper.ialinspection S '? Remnrks 1r0 TAL FEE ? .? Nough-In Da[e / . ihe Electrical v ?(p ector, hereby til th t th Final ( ^ne ? . cer y a e nbove ?ption.has been ? Q1 mede. rnis i„vue=t vota 18 mmwhs hom This requns aidg'r ?8 ma.n?th?s fr ^ ? 1 1 L L 171 13 3, ctA4r- G m vEq .31 ato I lD,od Request Uate f ? Rm No. Rough-in inspaction RequiretlY eatly Now ? Will Nmity, Inspec- tor Wh ft `( ?Yes E]NO en eaAy ? License leclrical Cnniractor 1 hereby request insVaction ot abova ;(Own¢r electrical work installed eC Stree[ Address. Boz or Noute No. Clv QN z?2 n . ' ection o. Township , or No. flanye No. Cow??y Oc ant (PRINT) ? ? ' Phone N. . 5?s? 6 5/6 a o. Q Pnwer SuAOfier AdAress Elec1 ical C onLar.tor ICOmuany Name) ConIrectoi's License No. b? & r ? Mailine Addres s ICmvac[nr or Owner Making InstailatioN ' ^ ^ 5ct-YV ?- 'zed Sie Uur nva ror/Owner MakI ati Phone Numher MINNESbTA STATE BDAflD OF ELECTPICITV THIS INSPECTION NEQUEST WILL NOT Griggs-Midway 81de. - Hoom N491 . ' gE ACCEPTED BV THE STqTE eOAFD 1821 Univarsi[y Ave.. St. Paul. MN 56104 UNLESS PROPER INSPECTION FEE IS ow,.__ 1a11i Iov iIII ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?_„ EB-00001-03 See inslractlons for Completin9 this furin on back oi ValloW cOpy. °? 74 'r2 ?' "X'"'Below ork Cavered by This Request ? 3) p?CQ ( New Atld Hep. TVUa o( guilcling APPliancBS Wiletl Epuipm2nt WireA Home Range Tempurary Service. Duplex - Water Heater Lighting Fixtures Apt. BuilAing Dryer ElectNC Heatin Commercial BIAg. Fumace Silo Unbader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm omar soeci v Otnur Snecityl therfSUCCity Other pther ion 1 C 1 Fea I ServiceEntraoce5ize I d I Fee I Feaders/Subfeeders I H I Fep I Circuits I I I I 1u1 to [w qmus 1 I I 31 to lUV Amos 1 I I 31 to 100 Amnc I gns on .p Rouylrin D.L. I, the Electnca Inspectoq hereby Findl ? e' certity thn[ the abova .. fISNP.Cti011 ha5 bP811 de. This raquest void V CJ' ?'• 18 months fiom ? ??r"qtfice,llse ? Permit #: ? I ? Permit Fee: I - ? Date Received I ? ? Staff: C n? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5-q - ce SiteAddress: 51337 QU'Yx .02. Tenant: Suite #: RESIDENT/OWNER Name: lIkAi L??-E Phone: 6S/"- gC1cS-37SfS Address / City / Zip: y33?2 ?yK /)iQ, /?ff??? ? J??? Z-2- Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work: Ff11665 k)2x0Ad Construction Cost: 2.w. G? Multi-Family Building: (Yes _/ No Y I CONTRACTOR Name:Ik)?- -(Yr License#: 20?SIaf%,7 Address: 7520 ('_'!S/1J1Y/ /W f City: ?Hp/:' ?JFf}/Z Zd/?. f State: zip: cSc:s/ 10 Phone: ?(94" 5y615) Contact Person: sR14t)e zlnlt4ee COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Categary Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 72 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 & Water ConVactor: Phone: NOTEr Plans and supporting.documents that you su6mit are considered to 6e public informa6on. Portions of the information may be c/ass?ed"as non-public if you provide specific reasons that would permit the City to , .. , conclude that fhe are.trade_s$crets. i I hereby acknowledge that this infortnation 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 pertnit, and work is not to start without a pertnit; that the work will be in accordance w' h the a r yed plan in the case of work which requires a review and approval of plans. v ` r Applic nnted Name Applica Ps Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool PS Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext Alt. - SF ? 02-Plex ? OS-plex ? Deck ? Porth (screeNgazebo/perqola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Stortn Damage . ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building` ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement )91 Egress Window ? Water Damage ' Demoldion (entire building) - give PCA handout to applicant DESCRIPTION: 0 Valuation .3? Occupancy MCES System Plan Review /??l _ Code Edition SAC Units (25%_ 100% ? Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bidg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: _Ice & Water _Final ?raming Fireplace:_R.I. _AirTest _Final Insulation Reviewed By: Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant Copies Total Sheetrock Meter Size: Final/C.O. AV FinallNo C.O. Wndows / Building Inspector ?? ? HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Retaining Wall Page 2 of 3 11 ? ?! II . . ., ? ; ?TM TA?TTIk/??'AAY/Ci TT4lTN11?/1?M T ?ATTR"I?9+M1?T?'Af.?+l?q d CS P'f OF EAC?I ll CAWTFl:; S } Tn.'..Fi?N AI. N{Ja, II IIf1TE% 0'fE1FY58 gTF.MK' ? I Y . f n p' Y ? NA^7E9 ALLSO) FTREki'tM? ? .MC ' u e II 3G:L0.'?Cl?i? 433iOTJ`?}; T.i? + li 4 p ? `o rI r 59'xl7opl` 11 Pi55 9094 ?4337; ONYX Iift N??' ? ?i " i ? l q? a " '4 6 g p , , . u ? l „ .. .It"tHa?#3kk?%K7k??tAY1(Y?S{;?,:K#+k?W.?YF??"CM?`%Se14:"!:8?k7K-k"?'?R??C11t ° ? PERMIT CITY OF EAGAN BUILoING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 4 7 3 Date Issued: 0 7/ 0 7/ 9 8 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-16703-170-03 4337 ONYX pR LOT: 17 BLOCK: 3 CEDAR 6ROVE 4TH DESCRIPTION: GAS INSERT eu'Yld'ing Permit Type Ouilding G7qrk Type -'tensus Code % x° ? i , ?. ? >...? r ._, + e;U ONLY FIREPLACE ALTERATTON 434 ALT. RESIDENTIAL I ..... ' _.l . -... . . CHIMNEY/FLUE MUST BE INSPECTED BEFORE CDVERING FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - IsHEAT-N-GLO FIREPLACES 3850 W HWY 13 BURNSVILLE MN , '(612) 890-0758 Applicant - 5T. LIC 18900758 0002960 55337 OWNER: TOBIAS 4337 ONYX EAGAN (612)454-6460 RICHARD DR MN 55122 I hereby acknowiedgs that I have read this applicetion and state that the inPormation is correct and agree to comp2y w'ith all applicable State of M'n. Statutes and City ofi Eagan Ordinances. I APPLICANT/PERMITEE SIGNATURE I SUED BY: SIG AT RE ? .? - CITY OF EAGAN 3830 PILAT KNOB RD - 55122 1998 FIItEPLACE PERNIIT APPLICATION 681-4675 DATE: ? a\ PERMIT FEE: $50.50 DESCRIPTION OF WORK: _ Construct new fireplace _ Alterations to existing ? Install Eas insert onlv _ Install gas flne onlv Other JOB ADDRESS: U L LOT: BLOCK: ? SUBDMSION/P.I.D. #: APPLICANT (c'vcle one only): OWNER? CONIRACTOR 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. Nazne: `c Y/ ?ea S ???? C" `Qr? Phone#: 7?C/ PROPERTY Last First OWNER Signature: ?- StreetAddress: I 3? / V!? 14 K ?V? 1 I? e . ?j City State: Zip: - ? Company: e S I lil F l d? a1(J(`/ Iq? ?Phone #: FIREPLACE ' ( j / ) f/(// _ ( j ; INSTALLER Signature: Qn?C;< < l jr\ d'd'?,?, SheetAddress: 2s?) CL!• &v u License# .X Q C, Ciry Stete: v Zip: ,7 ?? J GAS LINE INSTALLER Street RECEI?D JUL 0 6 1998 BY:__----- ? , i ? • ? " I' . '> •. ;?' , ? 4 ?r u. ? r . • ?? . OFFICE USE ONLY BUILDING PERMIT TYPE O 14 Fireplace WORK TYPE ? 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERALINFORMATION Census Code. 434 SAC Code Ol REM.ARKS Chimney/flue must be inspected before concealing. ciTV nF EarAN CASHIER: S Tf_'RMSNAL NOs 38 DATF'^ 11/07/97 TIPfE: 15e:34•.41 TD: NAMEe SEAL GUARD SY5TEM5 TNC 3210 3001. 4337 L]NYX DR 112.25 2155 9001 /E337 ONYX L1(i 3.00 Tetal kecezp+, pmount, * 115,25 CROB2i95 USER ILi: NANCY CITY, OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: Permit Number: Buz?n=N? 031090 Date Issued: 11( 0 7/ 9 7 SITE ADDRESS: 4337 ONYX DR LQT: 17 BLOCK: 3 CEDAR 6ROVE #4 P.T.N.: 10-16703-170-03 DESCRIPTION: (SQFFIT & BUilding``#?ermit 7ype Buildin9 6o"'rK.TYpe Certsus Code ?. ,r, ..'s?;;?•# 1 a\41y ,•?+? :i'i l. f.?^.??.±..r FASCxA) SF (MISC.) REPAIR 434 ALT. RESIDENTIAL t?l ?r n t n °Y?.%?I4 1 ?'? d ? ?f REMARKS FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $112.25 $3.00 $115.25 $6,000 CONTRACTOR: _ Applicant - sT. Lzc OWNER: SEAL GUARD SYSTEMS INC 17570097 2009368 TOBIAS RICHARD 11464 ROBIN30N DR NW 4337 ONYX DR MINNEAPOLIS MN 55433 EAGAN MN 55122 (612) 757-0097 (612)454-6460 ; Z herab,yacknowledg'e that Z haye read this appXyicatidn,and stata that the in?atRnatian is corr?ect atid?agree'ta comply wi;?th al1 ?ppl#cabYe Sta$e of Mn. ? ? Statute?s arid City cs"fi Eagan 17rd3'nances.? APPLICAN7/PERMITEE SIGNATURE oIf -[ -ISSUED B : I NATU E 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4 1 I5' )S l 090 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681 ?d675 4ew Censhuction Reauirements RemodellReoalr Reauirements 3 registered site surveys 2 copies of plans (indude beam & window s¢es; poured fid. design; etc.) 1 energy calculations 3 wpies of tree preservation plan ii lot platted aRer 711/93 required: _ Yes _ No ? 2 copies of pian ? 2 5@e surveys (exRerior additions & deGcs) • 1 energy calculations for heated additions DATE: I I' J' 6? CONSTRUCTION COST: # ?3I ' w DESCRIPTION OF WORK: --tpokA-)+ -?&- STREETADDRESS: oh?1.K. qi/n CC/n J m Iv 5sIQo LOT ? BLOCK A7 SUBD./P.I.D. #: m? " 4 i1JL4bo PROPERTY N2I718: b I (AS '1 ) I lA ?r8 PhOfle #.' 5- ? OWNER ?,?'?2? A.n Street Address: `??-7 ch\,JX hr-- City: State: ryv\j Zip: ?- coNTRACTOR Company: ?00 6-57=YC? &6k-C r 1S Phone #: ?s-7- UoR-7 'Ibf . NIW Strest Address: 1?4?O?i- ?l?KJ16??1 License #:- City: P (AS - State: /L4/V Zip????J3 ARCHITECT! Company: Phone #: ENGINEER Name: Registration Street Address: Ciry: State: Zip: Sewer 8 water licer-?ed plumber (new construction only): and lot change arc iequested once permit is issued. Penalty applies when address chanoa- I hereby acknowledge that I have read this application and state that the inforrnation is correct and agree to comply with all applicablle State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applicant: .. Y?_ AUL/1 ld?All OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex a 11 Apt./Lodging ? 0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Pianning Buiiding Permit Fee 1 }a a5 Surcharge Pian Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Totai: 115 ;;) Engineering Vaiuation: $ -•- b? 9" ? • 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Misceilaneous MGWS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance % SAC SAC Units CITY USE ONLY LOT ? BL 3 PERMIT #: suBD. Cj()jr C'? r(),k), RECEIPT #: `1 33(o 9 RECEIPT DATE: $ 30.00 6.00 2000 MECHANICAL PEftMIT (RESIDENTIAL) crrY oe sns,aiu 3830 PILOT KNOB itD £AfiAN MP S31 EE Date: 651-6$1-4695 ? Complete this secrion onlv if you are installing HVAC in a single-famiiy dwelling, tovmhome or condo under construction and not owner/occupied. • HVAC: 0-]00 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one requued @$3.00 ea.) State Surcharge .50 Total $ Complete this section orilv if you are remodelinF, adding ta, or replacing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. _ New 'X \.Replacement _ Other ? ?Fumace _ Air conditioning _ Air exchanger Reminder.• Ca!! far, SITE ADDRESS: OWNER NAME: Other Fee State Surchazge Total $ 30.00 30: 0 INSTALLERNAME: 1RA4'9hH6hT Afl`xf.'7f."iCC'9C0. PHONE #: 6,/a--- ictlt_ (AREA CODE) STREET ADDRESS: ?..,.,,... . CITY: RECEd ;TED ,. BY: J b ?? L _ BL SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 bl£CHANICRL PERMIT (COMMEiiCIAL) CITY OF £A6AN 3$30 i'1LOT KNOB ftD EAfiAN, bIN 551 EE 651-681-4675 Please complete for: all commercial/indusVial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK T1'PE: _ New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Wken installing/remaving underground tank, call 651-681-4675 for inspectivn by fire marshal and plunebing inspectnr. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaUinstallatioa = minimum fee Convac[ price: $ x 1%_$ (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPRO VEMENTS ONL1): WAS THERE A PREVIpUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CII'Y: CITY USE ONLY PHONE#: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE i I ? ? i I• .._ __ : 9 ;r. ***?*??******************?*??*?******** CITY OF EAGAN CASHIER: JS TERMINAL NO: 718 DATE: 09/22/00 TIME: 11:50:20 ID: NAME: APEX ROOFING CO 3210 9001 4337 ONYX DR 83.25 2155 9001 4337 ONYX DR 1.50 Total Receipt Amount: 84.75 CR137809 USER ID: JAN 'sr- '?NS !P-' 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 651•681-4675 Re /Reoah Reaulremenh a s regkerea rre wneri nwwmy aq. n a iw. W. fl. of house C11d go roOt6d CreOt (40Y mmclmum lot covaraae Wbw9cO D 2 coplea of plau (Yww bepm R window sizes; poured hW. desipn; etc.) a t eet of anerpy cawwnoru D J coWet of frea pretervaMOn plcn H Id plafled aller 7/1 /93 DATE: Y- 20 ^ QO DESCRIPTION OF WORK: SIItEET ADDRESS: -*-?) / LOT: ? BLOCK: ? SUBD./P.I.D. A: PROPERTY OWNER Y7 Name: ? b I CL.S cu'k Phone 116 - 6 y/od lasl Flrat Sheet _-7 cny store: ^ N np: Ss ? i L . Company: Ph one t: 6/ -2- 7'9 / -1912 coNrRncroR ??D y?? 9 ? ??? street address: ucense # Exa•? .+? / U 1 CNy ?v State: /?? ' ? IiPSS ? ?/ ARCHITECT/ ENGINEER Company: Name: Teiephone o: ( Slreet Address: ReglshaHon N: CHy State: ? SeweNwater licensed plumber (N installina seweNwater): Phone #: ZiP: 1 hereby xknowiedqe Mal l have read Ihic applicaNon, slate tta1 fhe infortnation is cortect, and agree to comPly wNh aA appAcable SfafE o! Mfnnesota Sfalules and Cily of Eayan Ordinanees. ? Signature of Applicant: Cerdficates of Survey ReCeived _ Tree Preservation Plan Received _ OFFICE USE ONLY Yes No Yes _ No _ Not Required I r 2 copiea d qan 1 set a enerov caewanons ra hearea aatlinoro i are wrvey r« exrenor adareons a daew 3660, D? CONSTRUCTION COST: ? SEP 21 2fl00 1 ?-r. OFFICE USE ONLY BUILDING PERMIT SUBTYPES O 01 Foundation ? 07 OSplex 0 02 SF Dwelling ? OB 06-plex O 03 01 of _ plex ? 09 07-plex 0 04 02-plex ? 10 08-plex O 05 03-plex O 11 10-plex 0 06 04-plex O 12 12-plex WORK TYPE O 31 New O 32 Addition O 33 Aiteration ? 34 Repair ? 13 1Eplex O 21 Poroh (3-sea.) O 17 Garage ? 22 Porch/Addn. (4-sea.) O 18 Deck ? 23 Poroh (screened) O 19 Lower Level O 24 Storm Damage PIDg _Yor_N ? 25 MiSC@118nBOU5 O 20 Pool O 30 Aocessory Bldg. 13 36 Move Bldg. O 43 Reroof 13 37 Demolish (Bldg)' O 44 Siding O 38 Demolish (Interior) ? 45 Fire Repair O 42 Demolish (Foundation) O 46 WindowslDoors • Give PCA handout to appflcant for demolition pertnit GEIdERAL lMFQRMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS 13 Stucco/Stone APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Building Engineering Valuation: 0 31 Ext Att - Mul O 33 Ext. Alt - SF ? 36 Muld sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance SAC Units % SAC ^ 2006 RESIDENTTAL BUILDING PERMI'f APPLICATION ? ? City Of Eagan / ? 3830 Pilot Knob Road, Eagan MN 55122 I?? • Telephone # 651-675-5675 FAX # 651-675-5644 New CansbreUOn Peau'uemts ' ORre Use Onir 3 re9Wered Sde surveys shoring sq. @ Of IN, s4 ft of h0u5e: r? ? I\Y? .^ shari?9 fo?m98. b9mn3? ?s Cbrt of &rvey I? _Y _ N (21%mmdmim lol mverage alawed) Ls IJ Y. C?ia6ms tor heal?! adffiGa?s Ttee Pres PWn fieal Y _ N2 mDies of plan shmeMg beam & wit?r soes; Poured (auM Teh?7?1 si0e addi6ms & deds Tree Pres Req?o2d YN isetofEnergyCaladatims donsdesr?CSystan OnsOeSeptkSysomn _Y _N 3 mpies of 7ree Reservatlm Plan'rf lot p1?1ed aOer 711N3 U L 2 5 2t'f?$"'- PomJoistOelalOpMmaseledWnsheaE (diilNng5rBh3wlrssunps) Minnegavco mechanical veMilation fotm Date _/? Constrvction Cost a ai Q (Q 0•7 C) SiteAddreas 14-t)'ml"i nt'"1t Unif/Sh # - Description of Work Q,t-A'??k\'r`fx Q`?fl? '( P.(JVL.r - Multi-FamilyBldg _ Y?N Fireplace(s) _ 0 _ 1 _ 2 Property Owner E mh?z e- Telephone #651)`705 '39,A52 Contracbor Address city (letS?riah? State On ZipJrs ILZ Telep6one #(Qj laoC.--a01-1LA1o1I__ _GY-p_3--0 1? COMPLETE THIS AREA ONLr IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cate? _ 1?4innesota Rules 7672 • Residential Ventilatian Categay t Workslreet • New Energy Code Warksheet (J submission iype) Submitted SuGmitted • Energy Envelope Calalalions Submitted In the last 12 monihs, has the City of Eagan issued a permit tor a similar plan based on a master pian2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Conhactor Sewer/Water Conhacta Telephone #{ Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accutate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pemiit, but only an application for a permit, and work is not to stazt without a pemut; that the work will be in accordance with the approved plan in the case of wodc which requires a review and approval of plans. ?it??2.?lOmC? ??n?. ?'fl Appticant's Printed N e 4p!licant's Signature? For Office Use C I • . 101hl � ��I 4.1yW1 aY d y ._.z, 44 Permit 1t: /.-- via o @ ,, Permit Fee: 6Y 00 , Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 I buildinginspections@cityofeagan.com Staff: ' 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: , Site Address: 4331- 0' Y X we-, pm) 33-o."-- . r Tenant: • 1 dSuite#:.--._-__ - ;r•:,,,,,, .....__......___ _ _ . - _ r _ _ wName: 6-11\orte.„. Phon©: �`�. a (1 �4��R'esid'e1Oneil, 4 }f'',r'a't " Address/City/ � �. a :. ,t,5���; • y Zip: ` ^ • /i[AA 4 Name: MILBERT COMPANY dba CULLIGAN WATER License It: WC641376 C'G••-a'Ca0':.-• Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS State: MN Zip: 55077 Phone: 651-451-2241 ' Contact: BILL MILBERT Email: gloria.abas@culligan4water.com Ty�:e;Of`•V.v:Ot; PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169797 Date Issued:06/09/2021 Permit Category:ePermit Site Address: 4337 Onyx Dr Lot:17 Block: 3 Addition: Cedar Grove 4th PID:10-16703-03-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas More 4337 Onyx Dr Eagan MN 55122 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature