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4321 Orion LaneCITY OF EAGAN . ?•, 8795 Pikt Knob Rood Eogoa, MN 55122 N2 5018 PHONE: 4548100 . ? BUILDING PERMIT Receipt c,? r1„ c r, 12 Ts 1a uua inP ?. RJ??, ,r Parac>e Fet Vnlua . • I']nfo r).. 19 ] o : ? Site Address '` ?'' 1 Orion Erect Occupancy -' Lot Block ? Sec/Sub. rAT Znd /11ter Q Zoning Parcel .# Repoir p Fire Zone ? E l T of Const n onpe ? . ype oWe Nome '• PetPrson Crj^si:. IAC. Move ? # Stories 3 Address 4701 W. l 1 ntl-: ?Y. Demolish ? Front ' h. -fnJ.s. 55437 `'P,4-5I44 Grade ? Depth ft. ? 0 Nana . "• ` ------ Assessment ? Addross _ ? Water & Sew. Ci ph? H Police W Name Fi F ne _a /lddress Eng. u Z aeu , Ci phone Planner Council I hereby ocknowledge thot I have recd this opplicotion ond state that Bldg. Off. _ the informafion is correct and agree to rnmply with ull applicoble $tote of Minnesoto Statutes and City of Eagan Ordinonces. APC Signature of Permittee Fees Permit ' ' • ` I Surcharge " `? • n Plan check r,..- ?r SAC , Water Conn. ?Np?Yer Meter ?? Q< . Totol 6 4. A Building Permit is issued to: ''- on the express condition tfiot cll work shall be done in accordance with oll appliwble Stote of Minnesoto Statutes cnd City of Eagan Ordinances. Building Officicl ' vamk # pah I.w.e hMkh. Plumbing A-A/L -' -(. -?-? Mechonicol Lj - 78 .Id INSPECTIONS ? DATE INSP• Rouph-In Finol Footings ' ? ? ? (? '? ? ? Insp. Date Irqp. Foundation Plumbing - Frome/ins. - Mechoniwl Final i Remarks: ?.GO?C.?o-•? -?"?..?''?"?? c?L " .? -?o-?-e CITY OF EAGAN 3795 Pilot Knob Rood Eagen, Minnesofa 55122 Phone: 454-8100 ?i-liaiNG PERMIT Date: ` 1923-7 Site Address: 4321 orj"m Lot - 1 1 INome Block Sub/Sec. = , . ^?'.t:ersm C:'} ?-70. o -",7t??. ?•'. 1.1!1th St.t'e"t e Address 3 O 5437 City , r.i,. Zrem_? Phone: °R4-5144 Receipt No.: 121P1 Single I Residentiol Y Multi Res., Comm./Ind. I New/Alter./Repair Cost of I nsta I lation Permit Fee 20.00 r? Surcharge ? Address I4745 SU, fbbertt ?t-uI. e 0 ?i, 7,n City " - Phone: Total This Permit is issued on the express condition that oll work shall be done in accordance with oll opplicAble Stote of Minnesota Statutes and City of Eagan Ordinonces. No. 12.7$ Building Official (Itrfifirttft uf (Orrupttnry titp of (eagan Eppttrfmmf nf Nicilding lnapPritm Tbi.c CrrtincQtt t1SKUJ pllrtiutfit !O the rCqittfHltt?1tJ O f StctiOn 306 0 f the Uru f orm BuiJding Codc art: f pn8 rhar ar the ri„+c o f iasuariu tbir ururturc wal in com pliarue with the varioru ordinancei o f the Citr rrgulating Malding conttrxction or ute. For the follou7ng: P.rft,No. sais my: April 4, 1979 Due: .o., ,. . cq,.K? ..,,u CASH RECEIPT CITY 4F EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 DATE RECEIVED 19 AMOUNT $ I v & DOLLARS +oo ? CASH ? CHECK Tha You ? ??,- V? BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3795 Pilot Knob Road Eogan, Minnesota 55122 Phone: 454-8100 PERMIT ` ?--? 3-'7$ Dute: " '? ?) '1r7i1 l ? Site Address: ' Lot Block Sub/Sec'?lll?Iv33 ?'c'3: ?Il(?. . Nome -Pebeimm onnt' cb' e Address st". 3 0 -?? City 55437 Phone: ^84-51 44 Nome ? ? Address . , . ? ? St`•. ??7i_ A?'F' , , , _ e V .??ni{ - •,-.-. :C City Phone: This Permit is issued on the express condition that oll work shall be Minnesota Statutes ond City of Eogon Ordinances. .77ON AIR ?'IF? No. 11481 Receipt No.: Single Residentiol Multi Res., Comm./Ind. I New/Alter./Repair Cost of installotion Permit Fee Surcharge I Total ' done in occordance with all applicoble 5tate of Building Official 19/?/t d 1 vb ?Fy,?a l ? CITY OF EAGAN Remarks 10 84251 030 O1 WILDERNESS PARK 2Nn annrTr?1H Lot z BIk 1 Parcel Addition Owner??-4' k???f; st?ee? 4321 Orion Lane State Eagan, MN 55123 } Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA * STORM SEW TRK 1979 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit Ch . 75.00 10-12-78 250.00 1206$ 10-12-78 BUILDING PER. SAC 500.00 12068 10-12-78 PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: iri+ i i u i tv?? ci'+ SITE ADDRESS: J„ l .; .. i .t: i"h f r?r?F PERMIT SUBTYPE: APPLICANT: ? I ,:;, ? ):Ic I I i F. l:.} ) 891 • 49,4 3 TYPE OF WORK: N t 4A f)f '•?i'P? !!' f 1 i1N (!t[ I') At 1 N1, trt $1 Ilk"i K ? INSPECTION .• • •A ?•i? I! 1;?, , I i?ii i I? ! Ml+l<p I ht? ( Il1?1 ', 1? f f I ?S? I t??? 'I I 1? (N?, !?r???i. r- 7 L I Permit No. Permit Holder Date Telephone N S/V+/ PLUMBING HVAC ELECTRIC ELECTRIC Inapectlon Dete Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Flreplace Final Htg. Orsat Test Flnal Plbg. Plbg. Inspector - Notity Plumber Const. Meter EngrJPlan Bidg. Final ?J Deck Ftg. ? DeCk Fnal ? 7 ? ?J weli Pr. Disp. ta eomply wiH+ the City of Eogan cirr oF eaGaN 3795 Pilat Knob Road Eogan, MN 55122 Zoning: Owner: ' Address: Site Address '•T Plumber: _ Meter No.: Size- _ Reader No.: i ogree to eomplr with the City of Eogan Ordinanees, Bv Date of Insp.: SERVICE PERMlT Connection Charge: 4 . Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: 1NATER SERVICE PERMlT PERMiT NO.: DATE: - No. of Units _ Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Totol: _ Date Paid: .l'). cirr oF E?caN 9795 MIM Knob Read Eegan, MN 55712 PHONEt 454-8100 BUILD9NGTPERMIT APPLICATION N4 5018 Receipt # ?'zc, (°° T. ba used for SF Dwlg & Garag e Est. Volue 57,000. Dare 19--7-8._ Stte Address 4321 Orion Erecr [3 Occupancy 1 Lot 3 Block 1 Sec/Sub. WP 2nd _ Alter ? Zoning Rl Porcel # Repair ? Fire Zone I Enlor e ? Type of Const V g . ? Neme S p aYarenn ('nn t TnC„ Move ? #"$tOries ; Address 4701 W. 110th St. Demolish ? Front fiF, ft. ? Ci Mpls. 55437 ph? 884-5144 Grode ? Depth /+R ft. ? Same APProvala ..... .. Fees p Nome _ Zu ? Addren ? n.., Name _ Address I hereby ackrwwledge that 1 have read this application und state ihat the informotion is correct ond cgree to comply with all aDPlicuble State of Minnesota Statutes and City of Eapan Ordinonces. SignMUre of Permittee A Buflding Permit is issu all work shail be done ir Assessment _ Woter & Sew. Police _ Fire Eng. Planner - Councii _ Bldg. Off. _ APC Permit t?i.vv _ Surcharge 28.50 Plan check SqC 500.00 Woter Conn. 250.00 Woter MMer 60.00 Rd. Unit 75.00 Toml 1,064.50 on the express condition thnt 'Son applica6le State of Minnesota Statutes and City of Eagan Ordinonces. Buildirg Official V?, 7'}us request void 18 months from / a 7.5-a ' R 21117 Date of fhis Request Uecemi)er 12, 1c'78 I, as 12 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: L 3 6 ,tx) P ,2,?. Street Address or Route No. 4321 Ori nn Ln _ City!KUn Section Township Range County Da};ota Which is occupied by S*r nd F r m Con u i on (Name of Occupant) Is a roughin inspection required on this job? No ? Yes IN Ready Now ? Will Call 91 Power SupplierUakota Electric Asse. Address 821 3rd St, Fax•trunF?ton, idN 55024 Electrical Contractor Fien Sorenson Eleetric Contractor's License No. 35693 (COmpany Name) Mailing Address 8070 12th Ave. So., Bloomington, IIIQ 55420 Authorized Signature ????? B&22D Qt?U Phone No ,QSl-4(ZQ This inspectian request will nat be accepted 6y the StMe Board unleu proper inspection fee is enclused. Minnesota State Board of Electric+ty 1954University Ave., St. Paul, Minn. 55104-Phone 645-7703 - RE06EST FOR ELECTRICAL INSPECTION CHFJ'KyIELOW WORK COVERED BY THIS REOUEST ia7.5 a R 21117 Type oP Building New Add. Rep. Check Appliances Wved Fo+ Check Fquipment Wired Foi Home 0 ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water HeateT . ? Lighting Fixtutes ? Apt. Bidg. ? ? ? Dryer ? Eiecuic Heating ? Comme[cial Bldg. ? ? ? Fumace (D Silo Unloader ? Industrial Bldg. ? El ? Air Conditioner ? Bulk Milk Tank ? Fazm ? ? ? List I Dishw? List Other ? ? ? } Hehersl - p HeielgI COMPUTE INSPECTION FEE BELOW tth. '\A` Service Entcance Size: p Fee F S • x Fee C'vcuits: # Fce 0 tu 1 Am s. , A res 0 to 30 Am eres 101 t mps. 31 VP0 Ares 31 to 100 Am eres Above 200 Amps. Abov .. 0 Amps. Above IOQ_Amps, Transfoimers RemoteControlCirc. Partial or other fee S' ns Special Ins ection Minimum fee $5.00 Remarks Cosyplete Hot1Se i:riring TOTALF p,md 40,50 I, [he Electrical Inspector, hereby cerf h'at t e ifispection has 6een e. (Rough-in) ?) 3 Date (Final) Date This request void 18 months from 0? 0?5 65 8 9 2 11 Reqvest p e Frce a. ough-In Inspactlon Requiretl ' Inspection Oiher Than Rou h-In ? (VOU must c.ll inspecto when reatly) ? Reatly Now JI Notity Inspector 0 Yes o Dat¢ Reatl I licensed contractor ?owner hereby request inspection ot above electrical work at: Job Atl ass treel Box or FoNe No ) Ciry 2 V?I O W &? `) Section No. Township Name or No. Ranga No. Coun . Occvpanf(PRINT) • ' Phone No. v&. D 64-$3X9 Powar Supplier ?a Atltlres ^ Electncal Conlractor (COmpanV Name) ConVachr's License No. MOD-A)OAM4EAr o IC Uc- O Mailing Atltlress (COnlractor or Owner Meking Installelion) d??s at ) Aulho 'ze S In- n? mber ?899uMiS?tlw?ayY AVe, StR. PeuS MN 8 51?00 1dT UNLESS ' T CLOSE? OPER NSPECTON BOERO Phone (612)692-0800 E ???/?s REQUEST FOR ELECTRICAL INSPECTION .`ee-ooooi- , See inSlmctions for Completing this (? ' back ol yellOw copy. 0 066 8 9 2? ' l . °X" Below Work? ?k d by This Request Ne Atld Rep. Type of 8uilding Appnces Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Fumace Other (S ecify) Farm Air Conditioner Dther (specify) ConVactor's Remarks: te Inspection Fee Below: K,Jift New rlar 'Iz? 4 cWvi rEwce ? . Compu # Other Fee tt Service Entrance 5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps ? Transformers Above 200_Am s Above 100 -Amps SI I1S Inspecmrs Use omg TOTAL Irrigation Booms j?' ?- Special Ins eaion ? ?? ? Q Alarm/Communication THIS INSTALLATION M ORDERED ISCONNECTED IF NOT Other Fee ? COMPLETED WITHIN 18 HS. ? , the Electrical Inspector, hereby tif b pough-In Icii a cer y that ihe a ove inspection has been made. Final ?' . 7? f OFFICE USE ONLV This request voi0 18 months fmm CITY O?EAGAN PERMIT 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 AdQ?? "?Q I a3 51(T1i q PERMITTYPE: Permit Number: BurLoiNG 0 2 4 5 3 7 Date Issued: 0 9/ 19 / 9 4 SITE ADDRESS: 4321 ORION LANE LOT: 3 BLOCKc 1 WILDERNESS PARK 2NO P.I.N.: 10-84251-030-01 DESCRIPTION: r'?-... (REPLACING OLD DECK) B;uilding-Permit Type pECK Building W&r_k Type NEW .\ _ , ? \ /V ,; ? REMARKS: INCLUpES REPLACING SLIDING DOOR FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: - Applicant - sT. LIC VICTORY BUILDERS 18914543 0009331 14194 GARLAND AVE APPLE VALLEY MN 55124 (612) 891-4543 OWNER: MA7SON 4321 ORIQN EAGAN (612)452-$322 STEVE LN MN 55123 I hereby acknowledge that I have read th`is information is correct and agree to comp,ly 5tatutes and City of Eagan Ordinances. ? ? 6?iNG-a--rs. APPLI NT/P ITEESIGNATUR i. application and state that the with all applicabie State af Mn. 4 - / \ ! _..., 4 ISSUED 8 :5 NATURE I i4nq CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 f -5 Q, 11"o- SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s r?aEft5W e ergy calcs. COMMERCIAL 2 sets of architectural & structural plahs,? l?set9of specifications, i copy of energy cal ?______________ Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of wor S--&b Site Address:_13Z/ D/Lan/ i,? STREET SUITE # Tenant Name: (commercial only) LOT --,I_ BLOCK ? SIIBD. UJ ..,??,e.?_• P.I.D. # Descri tion of work: AC/41C'a Aa:'x , 26.0c1c'- ,$"4Qi.?? Fbb/ The applicant is: ? Owner W Contractor ? Other (Describe) NameC--?L14;rx a.J. PhoneFq?rg- $?ZZ Property LAST I fIRST Owner Address _G/3 Z/ dRIo?) Z_?4J• STREET STE # City ??A.? State hA?. Z i p 1_1 3 Company V1c5;-t2Y i3d,,"EXS Phone 9'1/- yS `?3 Contractor Address /1-l/4?f aiaAcAw40 4YE_ License # 9J71 Exp. 3i- City?a°?cE dA?-?eY State Zip 5S/zy Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber . Processing time far sewer & water permits is two days once area has 6een approved. I hereby acknowledge that I have read this aPplication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. JOIN 1?DODNlIANCEeCO Signature of Applicant: J BUILDING PERMIT TYPE ? 01 Foundation 13 02 SF Dwg. 0 03 SF Addition ? 04 SF Porch M 05 SF Misc. WORK TYPE OFFICE USE ONLY ? 06 Duplex ? 07 4-Plex ? OS 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 r r x ? 11 Apt./Lodging 0 12 Multi. Misc. ' ? 13 Garage/Accessory ^ ? 14 Fireplace EU 15 Deck r ? 16 Basement Finish O 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition f$t 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code 115 v Depth On-site sewage SAC Code oi Census Bldg i APPROVALS Census Unit Planning Building Asses'sinents Engineer9ng Variance REGIUIRED INS PECTIONS ?.Site OFooting Gn-kc-wr77)- ? Framing ? ? Insulatioo El Wallboard M Fi nal O Draintile ? Fireplace Permi t Fee veiuac;on: $ ^ Surcharge Plan Review ' L9cense 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 p Other Total: SAC % SAC Units , ;_3jv v,? v wm . -? lr. U 5y k., ? ? ; ,Oti C0113L[•?1C??011 (ItFi SI,I'i:eL ,t;ori, rfra 5,437 - - DEIMAR H. SCHWANZ LAND SUA`/EYGR Reqiitere0 Under uws of TM Sub oi M1nMS0Ia 2970 - 166TH STHEE7 W. - BOX M flOSEMOUNT, MINNESOTA 66068 SURVEYOR'S CEpTIFICATE 1 ~ ;'/ rJ i ) !t ' i .. , .?I 1 - ID r- I ? pecK ~? 7 ??_.? lM1 I I . :36:25 L PHONE 812 123-1789 ;J \; iJ ;./ ) I i ? I hereby r.er•tifv that thi?l;is a true anQ correct repreaentation of a si?r•v?,y uf I.?t :i, Plock ?:li1, 4•Jild>c:RN£:SS BAAK SECOND ADDITION, Aakota Cuur?C,y, Mlnricsot<?. Alsc) 3ti)w3ng the locatlon vf a proposed house as staked thereon. October 1t`, 19/+1 I ? %i' ?; ` /j 1'i f ':i;'!'.-?'?:•''?%/` • MINNESOTA REGISYNATION NO.l84 . ? ? . DATE BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/e ? , ? To be used far ?- Site Addrest: levations and 1 set ot enerqy calcuiations. ap Valuation ? ? ;?'OoO Lot Block / See. Sub.????L Pax??cel 2Fumber? ? O?rr?er?.?? /`??? Addtess z-7z7e^ / M??s?;-?Y37 Contzactor AZdrese l i Arch. /E7nq. Address Telephone f 'Y7 - `_277 4z V Telephone R+elephone OFFICE USE Erect [/ Alter Repair Pnlarge ? ltove Der.fllish Gzade Occupancy 1 Zoning P1re Zone .3 lype of Const. 1/ - $ of Stories Front •' G' DePth OFFICE USE Date of A roval & Eait'al Assessment ? -e /f/7 R? ? 9tater/sewer Police Fire En4 - Planner cvur,oil Bldq. Off. A.P.C. FEES Pezmit Surcharge `piaa Check SAC - ?SOo ? Mter Conn.. t?c50 `s' F7ater Meter r ev - ?t7 - TOTAI, L'f}-.+?l ?o.?- -s-c a?/o oarvey For: :'vend Peterson Construction 41:.1 lJtr;t i1?Jth Street , Bl:o;nlr.gton, MN 55437 DELMAR H. SCHWANZ lANOSURVEVOR qaqistewC UnLSr Lawf Ot Tba Spte ot Minnasota 2878 - 146TM STHEEY W. - BOX M ROSEMOUNT, MINNESOTA 55088 ?.'i SURVEVOR'S CERTIFICATE ? ^4:rH?iG` ?ro ? ? G. J/.'.a5 r l I l ? I `f C N?ZL \ I U S PIiONE 611423-1769 %) . ? , F. r ? I ( \ ? I I I I hereby certify that thta is a true and correct repreeentation oP a survey of Lot 3, Block 1, IsIILD3RNFSS PARK SE.OND ADDITIOP:, Dakota County, Minnesota. Also showing the location of a proposed hourte as stak^d thercor.. October li), 1978 M1'IkNESOTA REGISTRATION NO 6826' ? eL ? CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT (612) 681-4675 RECEIPT # d?%lzo DATE /O S RESIDBNTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -------------------------------------------------------------------°---------°__ WORK DESCRIPTION N0. NEW CONST ? - ADD ON REPAIR OWNER NAME: ? ??N STEUE - 4321 Oi i Ofi LfJ1E - ' EFlKM , MM 55123 - SITE ADDRESS: H 452-8329 U 726-9515 ? INSTALLER: Q°iw=??.?. L7 nr^,'lnnnar? _ ADDRESS: ? CITY• ? YHONE COMPLETE THE FOLIAWING; FIXTURES fiA. REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CIASET 3.00 BATH TOB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 IAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLAOR DRPIN 3.40 6A5 PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER WATER SOFfENER 5.00 PRIVATE DISP, 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARG TOTAL: TOTAL E .50 s IX So COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: _ TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE jj: FOR: CITY OF EAGAN ZIP: CONTRACT PkICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: (SIGNATURE) ? - - - -----------i ? ee?se I I ? ? Permi[#: ? I ? ? Permit Fee: ? I ? Date Received: ? I ? ? Staif: ? ----------------- ? 2008 MECHANICAL PERMIT APPLICATION Date: Site Address: Tenant: Suite #: S RESIDENT / OWNER Name: Phone: Add i / Zi - 5 2 p: ress / C ty 1 CONTRACTOR Name: e_!' License #: Address: ?? ?3_ ? ? (? ? /? ? ? e .l . ' City:v(/1 1/Qnf {! S[ate: )W- Zip:_SS,? /? f Ph ??qa - ??? ( ULh O&e , ? one: Contact Person: i h s TYPE OF WORK - New ? Replacement _ Additional _ Alteration _ Demolition Description of work: ? ND,TE• Both roof mounted and ground ?ttari?t?"?echamcal t -LrS rez(€?irE?? ' ?e screened by CrtyG?tie Pl eass t?trrtai??lr?ha?a?lnt?ar one ofi t?? ? 'E " P/iti?efor ?aht?o?e RESIDENTlAL COMMERClAL PERMIT TYPE v New Construction Interior Improvement Furnace _ - AirConditioner _ Install Piping _ Processed Air Exchanger -Gas 6cterior HVAC Unit ?' _ HVAC units must be screened _ Heat Pump Under / Above ground Tank L_ Instali / Remove) Other "' W hen installing/removing tank(s), call for inspection by Fire Marshal and Plumbin Ins ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 FII2 1'2p8i1' (replace burned out appliances, tluctwork, etc.) (inClUdes $.50 State SUrChBrge) ? Q TAL FEE S T 5 $ ? O COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1°h $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge inereases hy $.50 for each =$ State Surcharge $7,000 Pertnit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). $ TOTALFEE I hereby acknowledge that this inlortnation is complete and accurate; that the work will be in conformance with the ordinances arM codes oi the City of Eagan; that I understand this is not a pertnit, 6ul only an application for a permit, and work is not ro start without a permit; that the work will be in accordance with the approved plan in the case of work which r`quires a review and apprwal of plans. xGe ?1L?)(??r ??Yl x? O&L,,. ? AppllcanYs Prinfed Name Applicant's Signature ° Use BLUE or BLACK Ink For Office Use j Permit Ila Permit City of Ea Permit Fee: 3830 Pilot Knob Road 1 Eagan MN 55122 j Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff. 2010 MECHANICAL PERMIT APPLICATION Date: Site Address: / 0 c? Tenant: C...., euc- 6l Suite RESIDENT /OWNER Name. A /i rho e- 4'o h Phone: Address / City / Zip: jj CONTRACTOR Name: oC 6001`7n , ' $ i` License YJ W6 2- D; Address: 8 S J 146 ~Z y City: 6141'11 e P_L.~ State: /4/tl/ Zip: 5~/J' Cf Phone: l51Zn -7~ 7Z qe, 7q7& Contact: A f Email: TYPE OF WORK New Replacement Additional Alteration 74 Demolition Description of work: 1iiSd~l~ ~~_r~~J Uej? 0 //)e CCf'-9 NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE 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) ~ When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) ° $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ CU O TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora 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 fora permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x U r / S, x Applicant's rin Ap s Si e FOR OFFICE Psi~ Reviewed By: Date: Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test -In-floor Heat 11V Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink For Office Use 1 I Permit q~ City of Eajan 1 Permit Fee: ` S a 1 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: I Phone: (651) 675-5675 1 Staff: I Fax: (651) 675-5694 1 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: ,r 2- f [ v" 01,1 Tenant: l S S (/~~°tv` GC !/1 Suite RESIDENT/OWNER Name: / SSA Phone: &/z - 3/0 Address / City / Zip: Ll~ 2 - `dy( 6 CONTRACTOR Name: ! Z /tom rr6.°r License 06~1 l _P10 Address: 9Oa Lelk /?^Crrrti AV- A) City: State: /_;V~i Zip: l c ! Phone: Contact: Rre d Email: TYPE OF WORK - New Replacement _ Repair _ Rebuild Modify Space -Work in R.O.W. Description of work: rZ ~iC 1-: k ►^e w /17 e,,(,d PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PV13) Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.or4 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 fora permit, and work is not to start without permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appro I of plans. Applicant's Printed Name App rcant's Signatu FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Sep,29, 2011 2:30PM Glertsen Company No.3136 P. 1 T to Use BLUE or BLACK Ink For OfficeUs® / I j Permit#: City of EaEfln I ~0r ~ Permit Fee: I 3830 pilot Knob Road bete Received: j Eagan MN 55122 81 Phone: (651) 675-5675 1 staff: Fax: (651) 675-5694 :3,7,5 p / j 1 1 2011 RESIDENTIAL BUILDING PERMIT APPLICATION L_- Date: Site Address: 1 Unit Name: phone: G c~I ' Z- t S 1 ~'J`~ ..RESIDENT I OWNER Address / City / Zip: 32-l Applicant is: Owner contractor TYPE OF WORK Description of work: .•~vv. ~oVs4- G~ tH5ti~v~~r~ l~ G.r-r Constr r uction Cost: - o Multi-)=amity Building: (Yes _ / No ` C 12-7a3 ~ 3/ Company: +3 A4~0 Contact; CONTRACTOR Address: S'3 r - ~b` City: b State: Zip: S S y j,`J Phone: 763 - 14 40 ` 16-7- License Lead Certificate If the project is exempt from lead certlflc4attlon, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permitfor 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 Contractor: Phone: NOM.Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets, CALL BEFORE YOU DIG. Call Gopher State one call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dlg to receive locates of underground utilities. www.ctopherstateonecall.orn 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 Ste Bui in ode must be completed within 180 days of permit Issuance. x Applicant's Printed Name Ap tlcan s 81 nature Page 1 of 3 Sep.29. 2011 2:30PM Giertsen Company No.3136 P. 2 Ll &A b, - DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation - Fireplace Porch (3-Season) _ Storm Damage Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level ^ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building" Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace Repair _ Egress Window Water Damage Retaining Wall 'Demolition of entire building give PCA handout to applicant DESCRIPTION Valuation 7C Occupancy 2 MCES System Plan Review Code Edition SAC Units - (25%- 100% k- Zoning City Water Census Code 3y Stories Booster Pump # of Units Square Feet - PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other Roof: -Ice & Water -Final Pool; -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath ,Stone Lath -Brick Fireplace: _Rough In Air Test -Final Windows Insulation Retaining Wall: Footings Backfill _ Final Sheathing Radon Control Shoetrock Erosion Control I W,/ Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review G .A.~ MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 1~ Page 2 of 3 Kr n/ ifu imi/mum iii. rs %,iI.v [7T raven r(1A wo nni-4in-nn4a r 11111 /11111 2012-10-2316:13 » 651975 5694 P 112 um mut or ul.AGK ink - - - My FW ollloe UN of Ea 707 1 p ; Parmh Faa: 1 3830 Pilot Knob Road Esgisl MN 5612 Dste Received: Phone: (661) 675."75 1 Fact: (661) 67&6W I eta; I L-------- ---------I 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION nn.: X31 site Addrssa: 3 I C`~ r► do Loan Tenant: Sate Nam -Phorwk Addrew City i Zi : S« WIQ (1s S;~ e ` i Nwm- Address' ~t 6 - J ' CKY Sift: ~ Zip: Phone: Q Ia Corded: Email: . lew Replace wd Reoslr Rebuild _ Modify Space _ Work in R.O.W. a Oeeerl on of work: L RE81DENTIAL water Heater Lawn Irrigation RPZ I PV6) Water Softener .c ' 8yatem Add Phan Fb durss L_ Mein I _ Lower Level) Septic New Water Tumarormd Abandpnmdrtt RESIDEWnAl. FEES: $0.00 Minimum Water Heater, Water Softener, or Water Heater Wo Saftemr (Includes $5.00 State Surcharge) $80.00 Lawn Irtiigation (Includes $5.00 State Sur twp) $80.00 Add Plumbing Fixbures, Smp9 Svstern Ab&ndonM ft Water Turnaround' (Includes $5.00 State Surcharge) "Water Turnaround (add $189.00 9 a 5t8' maW is required) 5106.00 SapW $ymWM New ($10.00 per as bunk) (includes County fee and $3.00 State Surcharge) TOTAL FEES = CALL BEFORE YOU Qig. Can %pher stns One CNI at (601) 45"M for protection against underground uSUty damage. Can 4e hour befrxe you ktiand to dig to -statue locator of underground uWa. wmcgmAwrmwonecwjmm I hereby slalanowiedpe M M krlamellon Is Complete add aorauate; diet In work w01 be In corilmno a wth the aeirancn and codae of ttro City of aumMeme WO the eppoved plan In the claws of work *kh mgMm a reWew and eppeoval of y - Appilatnt's PrInW Nsnte 1 v» ' ,r?;;,, 1-- .;:ice.. "'tid. AppK76N.- Signature . .5p 41 :a;:` + >i., ,•~:•.~1%', i:.•}.:41:. .:y5 •f y;•►~-r:~..••f~ i; ~~IR!!r7~lAR~~r~ E •~1:..•::,.a•,^•.17GiC~,'.i'~:; =r~~.;;•%4:..C.~1r ".t,•. ~~iJ•.~ .A.w'~~:1-.~.:L:•-..3~X•:•• ~W~, ~Yu::'f.•;:}~~,~~r,.. ..'.;Ar~,: :T ~"W~'i =,C~.~ .a.q'+: .I Iir. ~l~.v.. I `J,`.o-, e.. •.i •.e, J •r /~prylf:. "{nl~; n.;a,~_ .yi _n'., ~,~1 r,, Q0 ;!{,Y'.~}^ ..r dMMtlc :;r..•'.: 11rrger..Groiuiq-:„•,~;(n:`',... iTest'S5'a.t;a5,'e8 r•w~~:If1aI{d..•+. ; ~!:.=~i Sep 10 13 01:33p Sunrise Remodelers 651-762-9395 p.1 Use BLUE or BLACK Ink For Office Use t t Oil of EaRn I Permit 1141 buy O1 ' I 5 1 I Permit Fee: 3830 Pilot Knob Road I I I Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 Fax: (6S1) 675-5694 Staff: I L------ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Q' 6 -13 Site Address: 3 2- 4 f l t9 t/l Unit Name:. Phone: 61Z - Z rJ - ZZ Sz Resident/ Owner Address i Crty t zip: Lf3Z 1 0 on Lex~ EUat i /-1N 5S J7--3 Applicant is: Owner \/C ontracto r Type of Work Description of work: Tcf e- (54 a 4) coo-F Construction Cost: S IS; X77.4 7 ^ M M_ Muld-Family Building: (Yes ! No Company: Sot'rls-e Rev4q OG&jP.x-`S Contact: Jol -Pe+e,--sov1 Contractor Address: 5 `t 76 I4D b e. Lave- city: -S41 l au I State: )"Ilia{ Zip: Phone: 6 5 i /G Z ` ~I ZIT S License C, Ro Si -5 f D Lead Certificate .IVA 22Q33 - o If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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 & Water Contractor: 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. 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 cig to receive locates of underground utilities. 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 wiYnout a permit; that the work vaill 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 ~G rn C~ ~C{ k Ot✓1.~I/j x lA w~- Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA119924 Date Issued:01/02/2014 Permit Category:ePermit Site Address: 4321 Orion Lane Lot:003 Block: 001 Addition: Wilderness Park 2nd PID:10-84251-01-030 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven A Madden 4321 Orion Lane Eagan MN 55123--185 (612) 251-2252 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature ' � � Use BLUE or BLACK Ink . . �----------------� I For Office Use I � � Permit#: �� l�p�✓ � Clty of �a��� � � . - � �� � Permit Fee. 3830 Pilot Knob Road I ,c� (y I Eagan MN 55122 � Date Received: �V d I � Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � I I � 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �� ��� Date: (� � - /� Site Address: � ��� ��iv.-cJ �� Unit#: � Name: tfc�� 1��.� Phone: Resident/ Owner ' Address/City/Zip:_ __ ��j��l ���p,� /f� : Applicant is: Owner _�Contractor Type Of Work ' Description ofwork: �G,�� ,,J�,,,� �� � b� Construction Cost: /,� '('CIO Multi-Family Building: (Yes /No� Company:����,vr� _ �� Contact: Contractor Address: ,���77 N>c��/. � �(1� City: , �,��s��i�/ ' State:�Zip:__z�Z Phone: CJS1•,7��° �,ss°�maiL License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1��� p� 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&Water Contractor: Phone: NOTE:Plans and supporting documents:that you submit are considered`to be public information. Portions of the information maybe classified as non-public if you provide specific reasons fhaf would permif the Cityfo conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 Buildi Code must be completed within 180 days of permit issuance. x ��c�i� ���lr� x App ical nYs Printed Name Applic Ys Signatu Page 1 of 3 ��.1 Or��� � ' ' � DO NOT WRITE BELOW THIS LINE �p ���� SUB TYPES Foundation _ Fireplace _ Porch (3-Season) Storm Damage �( Single Family _ Garage _ Porch (4Season) _ Exterior Alteration (Single Family) _ Multi � Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of_Plex _ Lower Level _ Pool Miscellaneous _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building" _ Addition _ Move Building _ Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation '� Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall "Demolition of entire building—give PCA handout to applicant DESCRIPTION / Valuation ���� Occupancy �_ MCES System Plan Review Code Edition Py�$'�(� SAC Units (25%_ 100%� Zoning �_ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction �_ Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice &Water Final Pool:�Footings +Air/Gas Tests Final � Framing Siding: _Stucco Lath _Stone Lath Brick Fireplace:_Rough In _Air Test _Final Windows Insulation Retaining Wall:_ Footings_ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee (� Surcharge l 6 � 2'�•� � 3� l Plan Review �O MCES SAC � �( �� % City SAC � ` �(2 � � �`� ,- Utility Connection Charge f � �---- S&W Permit& Surcharge /� '� � C7 � Treatment Plant V� Copies 1 TOTAL Page 2 of 2 xrve� For: ��� � ��'�� �-�'� :vend P'eL-ersott Construction � r':! �Elr;t il Jth Street , 31�omlr.gton, h�N 55437 �, ; ;; : , /� » � � ,.-� � U . DELMAR H. SCWWAN� �-..,�- I..ANOSURVEVOq ^—� Regist�rpt!Under L+ws oi The Stita ot Minnuota i � /j/f� / tY 29Y6— 146TH STqEE7 W. -- g4X M R06EMOUNT,MINIJESQTA 55068 PttO1VE 61Z 473-1768 � svav�YOa'S CERTIFICATE I � ? f = � � =, , �� + � ; ;i� : � : ', i -,, .� `' � � !�4 !%:�'r'<ifi�G ^�JT%: �j �fJ�.:�/��i�� �' I ��/ �' � I ,� ', � 1D �•{ �� r ��'% %, v� if � 'e ' i ;��` - �, � . • ; � � i ��:?�l i�,�,�.=,.) _ h i �`\v� `Y' J .- `�- � . I ^ ��� /;��: ����1 ��` ¢ C �: . - � ` \ �.j/•��7 r �,\� O ` `� �-.��., /,"' � N ' , ` , � � ` � � \ ., � �, �`• �fi '. \ �\'� � , I `J•�Z � ! `"9''; � ,� -- - '� i� .'i " ` \ \ '' I ' � r ��'� � � � f �� � , � � / � �,�/ ` ' � . . � � '- .��� . � I r ( � . I � I hereby cer�ify that thts is a true anc� correct repreeentation af . a survey of Lcst 3, A].ock 1, I�IILDuRNESS PARK SE,OND AJDITIOA: � Jakota Gounty, !'�iinnesata. A�so shov�ing ths loca�ian af propased houBe as staknd the.r�or.. Octob�r lu, 1978 'VIEW • f � � � By. �� Date: �0 � . " .Eagan �uilding tnspecttons Divlsion �f � ' � ,, .� � � i � � „�- b".I1�NESOTA REG�$'f�IATtON NO 6875'�