4701 Osage Pt, CITY OF EAGAN
•? 3795 Pilof Knob Rood Eagon, MN 55122
? a PHONE: 454-8100
BUILDING PERMIT Receipt #
Ts 6e ufeA ier Fcf Vnhw nerta '.
N2 6373
8(!
Site Address Erect 0 Occuponcy
Lot Block Sec/Sub. Alter ? Zoning
pa?l # Repoir ? Fire Zone
E
l nst
T
f C
arge
n Q ype o
o
.
W Nnme Move ? # Stories
Z Addreu Demolish ? Front ft.
? ,,:... _. . :^_';?1, "J`-•?--- , .:-`7.??^ Grode fl Deoth ft.
ce
Nome
??0 Addresa
~ Ci Phone
u °C
WW Nome
I-I? Address
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Permit
Surcharge
Plon check
SAC
Woter Conn.
Woter Meter
Road Unit
1 hereby acknowledge tFwt I hwe read this applicetion and stcte thot Bldg. Off.
the infortnatlon is corcect ond agree to comply with all applicable A? Total
Stote of Minnesotn Statutes ond City of Eoyan Ordincnces.
Signature of Permittee
A Building Permit is issued to: on the express tondition that
oll work shall be done in accordance with all upplitable Stote of Minnesota Stctutes and City of Eagan Ordinances.
Building Official
f?nnR # OaM taMd P?nalfhe
Piumbing -T
Mxhonicol ? - _
O 6
INSPECTIONS I DATE INSP.
Rouph-In
Finol
Footings Dote Insp. Date 1 p.
Foundation plumbing
rame/in -?-?/ Mechanicol b f? ?
Final
Remarks: y ;21- kl
ciTr oF EACaN
+ 3795 Pilot Kno"ood Eogoe, MN 59122
? PHONE: 454-8100
BUILDING PERMIT
Site Address , .occ 1
Lot Block Sec/Sub.
Porcel *
W Name ' `z ?harrmsor Hor?:;
3 Address ' HOpl"; h: r?'^ .'. .
-fOP_'f:
p Nome _
:? Addross
~ CI
?°C Name _
WW
?W
Address
I hereby acknowledge that I hove read this opplication and stete that
the information is correct and agree to comply with oll applicable
State of Minnesota Statutes ond City of Eagan Ordinonces.
Receipt #
N2 6372
Erect C] Otcuponty
Alter Q Zoning
Repafr ? Fire Zone
Enlarpa 0 Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
Approvo ls Fees
Assessment -
Woter & Sew.
Police
Fire
Eng.
Plcnner
Council
Bldg. Off. _
APC
Permit
Surcharge
Plan check
SAC
Woter Conn.
Water Meter
Road Unit
Totol
Signature of Permittee ?
A Building Permit is issued to: ? on the express condition that
all work shal) be done in accordonce wlth all appliwble State of Minnesota Stotutes and City of Eagan Ordinances.
Building Officfal
hnnM # Dah Isowd lpena1MM
Plumbing
Mechanicol ? ?L/4
INSPECTIONS DATE INSP.
Rouph-In
final
Footings 24j-p Oote Insp. Date
Foundaf ion - Plumbing ? •
Frome/ins Methanicai ?
Final
Remurks: ?/- 2 1- $/
,, - CITY OF EAGAN
-` ? 3795 Pilee Knob Rood Eogan, MN 56122 NQ 6370
PHONE: 454-8100
BUILDING PERMIT
Te 6e wsd fer .-
Receipt #
Site Addrcss `
Lot Block SecfSub.
Pa?cel #
W Nome r, Rnn Tinrwq
Z Address - rd.
3
° r-.. _ 54/-7>".? '
r .
? Name
Zo
o" Address
u?
F r:...
I hereby acknowledge that I have read this application and state that
the information Is correct and agree to wmply with oll applicable
State of Minnesoto Statutes and City of Eagan Ordinances.
Erect 0: Occuponcy
Alter ? Zoning
Repair ? Fire Zone
Enlorge ? Type of Const.
Move p # Stories
Demolish ? Front ft.
Grade ? Depth ft.
{?pprOYal! FeBS Assessment -
Water & Sew.
Police
Fire
Eng.
Plonner
Countil
Bldg. Off. _
APC
?
Permit
5urchorge
Plan check
SAC
Woter Conn.
Water Meter
Rood Unit
Total . ?5,) _']r
Signoture of Permittee I
A Building Permit is issued to: on the express condition thot
oll work sholl be done in accordance with oll opplicable Stote of Minnesota Stotutes ond City of Eogun Ordinonces.
Building Officiol
PMUR # DeM IaueA PenuIMM
Plumbing .2 Q ?S2 41
Mechonical - /
T OG? -/? /
INSPECTIONS DATE INSP.
Rouph-In
Finnl
Footings 1-23-ao Oote tnsp. Date Irqp.
-
Foundation Plumbing 4 ?
rame/ins Mechanicol ?
Finp ?
?
Remarks:
crnr oF EAGaN
? - 3745 Pilot Knob Road Eagan, MN 55122 N2 6371
PHONE: 454-8100
BUILDING PERMIT
To 6s awd for Est. Value
Site Address
Lot Block Sec/Sub. "
Parcel #
a: Neme --)S071 ? -0"103
W ?.
,
; Address :,Z';r?
o . .. _'?fl . "'r1 52.4 "1113 5 ?
? Nome
0
?? Addre
F- ?-,...
Name _
Address
Receipt #
Erect Q Occupancy
Alter ? 2oning
Repnir ? Fire Zone
Enlarge ? Type of Canst.
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Approva Is Fee s
Assessment -
Wnter & Sew.
Fire Permit
Police
Surchorge
Pfan check
SAC
Water Conn.
Water Meter
Road Unit
City Phone Planner _
Council _
I hereby acknowledge that I have read this opplication and state that Bldg. Off.
the informotion is correct and ogree to comply with oll opplicnble
5tete ot Minnesoto Statutes ond City af Eagan Ordinances. APC -
Sighature of Permittee
A Building Permit is issued to:
oll work shcll be done in accordance with all
Building Official
Total
on the express condition that
State of Minnesota Statutes and Ciry of Eagan Ordinances.
-r
Pennit # Dato Issoed Pamittw
Plumbing ? .? (o f .. - / 9 -.P/
Mechonical zSL_5-9 ajl. J ?_.rl j?')
1?yl-?.? T 3 L O?o .2 S -?/ ?Q.c.p1J
INSPEGTIONS DATE INSP. Rough-In Firwl
Footings Dufe InsR. Dcte 1 sp.
Foundation Plumbinq
Frome/ins Mechonical
ma I
Remorks: $ / .?'?i?0?. / i-*-??
Receipt
Permit No.
Fee
5/C
Tot
MECHANICAL PERMIT
CITY OF EAGAN
fill in numbered speces
Type or Print legib/y
1. Date 2. Installation Cost
3. Job Address .??_c.t'_• ?Lot Blk. Tract
4. Owner
5. Contractor - `'_A'LC'r I:t(`', Phone ,
6. Address
7. City State
8. Building Type: Residential 0
9. Work Description: New 0
10. Describe
11.
Type
No. Eauioment 8TU - M. Ea.
Forced Air No. Equipment CFM
Handli
Ai
Mfg. r
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Zip
Commercial ? Institutional ?
Add ? Alter ? Repair ?
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legib/y
1. Date 2. Installation Cost
? Y i
3. Job Address Lot Bik.
Orrin
4. Owner
5. Contractor
Ray Weltpr
Permit 11to.
Fee
S/C
Tot.
Phone
? Tract
6. Address '' ' .` . t?i c?,-•? , , -..,. .
7. City Stdte Zip
$. Building Type: Residential 0 Commercial ? Institutional O
9. Work Description: New 0 Add ? Alter ? Repair O
10. Descrihe Fuel Type
11.
N°• Eauinment STU - M. Ea.
Forced Air No. EquiPment CFM
Ha
Ai
dli
:
Mfg. r
n
ng
8oilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correci, and I agree to
comply with all ordinances and codes governing this type of work.
Siqned : for
Rough Final
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt MECHANICAL P15RMIT Permit No.
CITY OF EAGAN
Fee
Pill in numbered spaces S/C
Type or Print /egibly T
ot.
1. Date L' 2. Installation Cost
3. Job Address '•= Lot Blk. Tract
4. Owner
5. Contractor ' • Phone
6. Address
7. City State Zip
8. Building Type : Residential Q? Commercial O Institutional 0
9. Work Description: New 0 Add ? Alter O Repair ?
10. Describe Fuel Type
11
No. Epuinment BTU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
' Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fse
FrII in numbered spaces S/C
Type or Print legib/y Tot.
1. Date 2. Installation Cost
3. Job Address Lot Bik. Tract 4. Owner "
5. Contractor T .-:eltur 1ie' : Phone 6. Address ' '"7.1c:Y? ??v: - ,
7. City ' State Zip
8. Building Type: Residential 0 Commercial ? Institutional CI
9. Work Description: New ? Add ? Alter O Repair ?
10. Describe
11.
Type
No. F.quioment 8TU - M. Ea.
Forced Air No. Eouiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech, Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
, Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
. CITY OF EAGAN
3795 Pilo! Knob Road
Eagon, Minnesofa 55122 INSPECTOR NOTIFICATION
No. Phowe: 454•8100
REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Date: I Receipt No.:
. Single I
Site Hddreu: ' Residential
Lot Block Sub/$et. Multi Res., Comm./Ind. I
Name fiC N
/Alt
/R
ir
epa
ew
er.
?
;
Address
-
Cost
f In
toll
n
ti
O o
s
a
o
City Phone: r
it F
P
e
m
ee
N°"''e Surcharge
gb.
y
? Address
4C
V •
City Phone: Total
This Permit is issued on the express condition thot all work shnll be done in accordance with oll opplicable State of
Minnesoto SYotutes ond City of Eagan Qrdinances.
8uilding pfficial
No. <.o
cinr oF E?GAN
3795 Pilof Knob Road
Eogon, Minnesoca 55122
Phewe: 454-8100
PERMIT
Date:
Site Address: -Y? a-< ?-?
Lot Block Sub/Sec.
Name
.
3 Address
O
City - Phone: "t
'?-7??3
I f1y-
Nome -
. •
g Address ?
e
?
City Phone:
This Permit is issued on the express condition that all work shall 6e
Minnesofa Stufutes and City of Eagan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No..
Single I
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repoir.
Cost of Instollotion
Permit Fee '
Surchorge
Totol
done in otcordonce with oll opplitoble 5tate of
Building afflciol
Receipt PLUMBING PERMIT
CITY OF EAGAN
Permit No.
Fee
FiJI in numbered spaces S/C
Type or Print /egib/y
Tot.
1. Date 2. Installation Cost
3. Job Address Lotc7- Blk. Tract • _ I
4. Owner
5. Contractor ? Phone
B, Address •< ? -F
7. City State Zip '
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter O Repair O
10. Describe
I 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Orainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt - ?
?
PLUMBING PERMIT
CITY QF EAGAN
Permit No. - ` ?
Fee
? Fill in numbered spaces S/C
Type or Print legibty -
Tot.
1. Date 2. Installation Cost
.. ,,?, ', : •' I? -- , °
3. Job Address LotBlk. Tract '
4. Owner
J
5. Contractor - •?` ' ' " Phone Y ?
6. Address 7. City
8. Building Type: Residential O
State Zip
Commercial ? Institutional ?
9. Work Description: New ? Add O
10. Describe
11.
Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Qrainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
--
51op Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work,
Signed : , for
Rough FinaI
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
Receipt PLUMBING PERMIT
CITY OF EAGAN
Permit No.
Fee
fill in numbered spacea S/C ?
Type or Prini /egibly Tot. ^
1. Date 2. Installation Cost
3. JobAddress Lot Blk. -- Tract ?
-------------
4. Owner "
5. Contractor Phone
J
6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutianal ?
9. Work Description: New 0 Add D Alter O Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
8ath tubs $eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certity that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
• ? , 3795 Pilot Knob Road
Eoyen, Minnswte 55122
No. Phone: 454-8100
PERMIT
Dote:
Site /lddress: i?'I?` ' ?
Lot Block Sub/5ec. ?
Name L21I1 '_hUT3'=: ,
.
g Address r ;i-1J'S C? _
?
City Phone: R
Nome .
.
?
? Address
e
City Phone:
This Permit is issued on the express condition thot oll work shull be
Minnesoto Stotutes ond City of Eagan Ordinances.
INSPECTpR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind. I
New /Alter. / Repoir
Cost of Instoliction
Pe?mit Fee
Surchorge
Total
done in accordance with all applioable State of
Building Officiol
, ctrr oF EAGAN
' 3795 Pilof Knob Roed
Eagaa, Mlnessota 55122
No. Pbone: 454-8100
- PERMIT
INSPECTOR NOTIFICATION
REQUI RED BY LAW
FOR ALL INSPECTIONS
,
Date: - 1 Receipt No.:
Single
Site Address: ' Residentiol
Lot Block ^ Sub/Sec. ? Multi Res., Comm./Ind.
Name
-
N
//11ter
/ R
ir
epa
ew
.
Address r ....
? Cost of Instollation
Ciry - Phone: P
i
F
erm
t
ee
Name Surcharge
`
?
Address ---
?
City Phone: Totol
This Permit is issued on the express condifion thot all work shpll be done in nctordonce with all applicable State of
Minnesoto $tatutes ond City of Eagan Ordinonces.
Buildinq Official
CITY OF EAGAN Remarks
Addition Lot 2 BIk 3 Parcel 10 63984 020 03
owner ?street 4701 Osage Point stete Eagan, MN 55122
?
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOA.
GRADING
SAN SEW TRUNK 19$2 98.12 S 98.12 C007616 2- -8
SEWER IATERAL
WATERMRIN
WATER LATERAL
WATER AREA 19$2 98.12 5 98.12
Services 1982 637.75 5 637.75 C007616 12-23-81
STORM SEW TRK 1982 259.49 S 259.49 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 22910 11 13 80
WATERCOIVN. 305.00 21910 11/13180
8UILDING PER.
SAC
PARK
CtTY OF E4GAN
Addition Ridgecliffe 5t}
?
Owner Ji14 . (,()i ..
1117 An"J::?i=. 0.lrR-f ;nn.Q
Remarks
-Street 4702 Sno,
I;??,??fa??i.•. ?r 7„r:,
3 Parce, 10 63984 010 03
srate Eagan, MIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RES70R.
GRADING
SAN SEW TFiUNK !7 1982 98.12 5 98.12
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA I982 98.12 12=73 81
Services 1982 637.75 5 637
STORM SEW TRK 1982 259.49 5 259.49 C007616 12-23-81
SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Raa ni
WATER CONN.
BUILDING PER.
11113
sAC 525.00
PARK
CITY OF EAGAN Remark:
,4dditian Ridgecliffe 5th Addn. l.ot 3 elk 3 Parcel 10 63984 030 03
Owner '?f?€i iI"?Jis t :.1 Q Uri1 c1 Street '?703 Osage Point State Eagan, Mhi 55122
Improvement Date Amount Annual Years Payment Receipt Dete
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1982 98.12 S 98.12 C007616 12-23-81
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 19$2 9$.12 5 98.12 C007616 12-- 23--- 8 1
Services 1982 637.75 5 637.75 C007616 12- 3- 1
STORM SEW TRK 1952 259.49 5 259.4 9 C007616 12-23-81
STORM 5EW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CLTY OF EAGAN Remarks
a4tio, [tidgecliffe 5th Addn. Lot 4
owne? IMy(V c ?; st,eet 4704 Snowbell
Rlk 3 Parcel 10 63984 nan 03
Point State Eagan, NW 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1982 98.12 5 98.12 C007616 12-23-81
SEWER LATERAL
WATERMAtN
WATER LATERAL
WATER AREA 1982 98.12 $ 98.12 C007616 12-23-81
Services 1982 637.75 5 637.75 C007616 12-23-81
STORM SEW TRK 1982 259.49 5 259.49 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road [hiit 185.00
WATER CONN. 305UO Z
BUILDING PER.
SAC
PARK
^.ITY OF EAGAN SEWER SERVICE PERMIT
379b ?ilot Knob Road PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owne r:
Address:
Site Address:
Plumber: _
I agree to compip with the City of Eogon
Ordinonces.
By
Date of I nsp.:
1Cb.Ot7
Connettion Chorge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Chorges:
Total:
Date Poid:
CITY OF FAAAN WATER SERVICE PERMIT
3795 rJot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zonirtg: No. of Units:
Owner:
Address:
Sfte Address:
Plumber:
Meter No.: Connection Charge:
• Size: Account Deposit:
Reoder No.: Permit Fee:
1 agree fo tomplr wifh the Citr of Eogon Surcharge:
Grdinantes, Misc. Chorges: _
Totul:
By Date Paid:
Date of Insp.: Insp.:
CITY GF EAGAN SEVUER SERVICE PERMIT
b195 PilaF Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
PI umber:
1 egree +o eomply with the City of Eagan
Ordinancea.
By
Dote of Insp.:
Connection Chorge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
TotaL•
Dute Paid
CITY OF EAGAN
3795 M1i+t Kneb Road
Eayon, MN 55122 '
Zoning:
Uwne r;
Address:
Site Address:
Plumber:
Meter No.:
c:
Reader No.:
1 ayree ro comply wifh Hha City of Eagan
Ordinenoes.
Q.,
Dote of Insp.:
CITY OF EAGAN
3795 "ilo# Knob Road
Eagon. MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
1 egree to compip with the City of Eogan
Ordinontes.
By
Date of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connediori Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Totol:
Date Paid:
I nsc.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
No..
bcomoh with rhe Citp of Eagan
Connection Charge:
Account Deposit: _
Permit Fee:
Surchorge:
Misc. Chorges: -
Totol:
Dote Paid:
Connection Chorge:
Account Deposit: _
Permit Fee:
Surtharge:
Misc. Charges: -
Totol:
Date Paid:
C17Y rc EAGAN WATER SERVICE PERMIT
3795 Pjlor Knob Rood PERMIT NO.:
Eo9on, MN 55122 DATE:
Zoning: No. of Units:
Owner.
Address:
Site Address:
Plumber:
Meter No.: Connection Cha?ge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agros fo wmpir with Hhe City of Eagen Surcharge:
Crdinanees. Misc. Chnrges:
Total:
Br Date Paid:
Date of Insp.: Insp.:
CITY Oi' EAGAN
3795 Pilo! Knob Road PERMIT NO.:
Eagan, MN 55124 DATE:
Zoning: No, of Units: '
Owrwr:
Address:
Site Address:
Plumber:
1 qgree to complp with the Ciryr of Eagon CbnnecYion Charge:
Ordineness. Account Deposit:
Permit Fee:
5urcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp
? CITY OF EAGAN
, 3795 Pilw Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION ' Receipt #
N? 6371
To 6e used for 1 Of Value 37
4 P12X Est
000 Date ll-] 3 196(l
.
, ,
-
Site Address 4701 Ose ge Pt.. (ModP.l 82-1 Erect n} Occupency- R3
Lot Z slock 3 Ridgeeliffe 5
Sec/sub qlrer ? zdning PD
.
Repoir ? Fire Zane 3
Pa?l #
E
l f Const
T V
urge
n ? .
ype o
w Name Orrin T hompson Homes Move ? # Sto.ies
Z Address 1712 HOpkiriS Crsrd, pemolish ? Front 2 4 ff.
0 AUnnetonka' 544-7333
A" Grade ? DePth 2 4 ft
Ci Phone .
? Name . Avprovels e
f
pu
V?
r-
Address
Nnme _
Address
I hereby acknowledge that I have read this application ond state that
the information is wrrect and agree ro camply with all applicable
$tate of Minnesoto Statutes ond City of Eogan Ordinances.
Assessment -
Wafer & Sew.
Police
Fire
Eng.
Planner -
Councii _
Bidg. Off. _
APC
Permit . 110.50
Surcharge 19100 "
Plan check 55.25
SAC 525.00
Water Conn. 305.00
Water Meter 60.00
Rood Unit 185.00
Totol l i 259 _ 75
Signature of Permittee I
A Building Permit is issued ta ()rri n ThpIILpGOn HOID25 on the express condition ihat
all work sholl be done in occordance wqqq??y? oll pplicn6le Store of Minnesofa Statutes and CiTy of Eagan Ordinances.
Building Officiol ?4 2 ? -; -
CI'I'1' OF EACAN Include 2 sets of plans,
, 1 site plan w/e]evations S
BUIIDIN(; PERNLIT APPLICATION 1 set of energy calculations.
.3?i0-0'? , -
'Ib Be Used For Q, lp tie-P Valuatiort ? 35,-.$eA-•? Date NOV. 7i 19 B D
Site AddresS: pt 05{t4Fs Qt, (MoAEL BZ) OFFICE USE ONLY
Iot Z Block 3 Sec./Sub. $?p?EC1.1FF6 Erect .,)r_ Occupancy
Parcel q: FIFTH Alter Zoning P.?
Regair Fire Zone 3
Qaner: Enlar9e _TYPe of Const. i/
Move # Stories
a Division oi U. S. Hom? Coronrat'nn ?llsh FIOnt gC'? ft.
Pddress:
1?KI?S CFOSSROAD Grade Depth 25? ft.
Clt]?/ZlP COd2: MINNETONKA. A;14?! tt'?} 9? 'c7S
Phone p: 5`l4-1333
Contractor: ?RIN Tunnnprnni unnrro
AL3dt255 • a Division of U. S. Home Corporation
' 17.2 I ,
Clty/ZlP ('AC12: MINNETONKA, MINN. 55343
Phone
Arch./Ehg•:
Pddress:
Gity/Zip Code:
Phone #-
-o
Assessnients Permit
Water/Soaer Surcharge Z 9 ?
Police Plan Chec]c
Fixe SAC
Eng. wates Conn. 3 o a"
plannar Water Meter '/' p '
Council Road Unit > S6-
Bldg. Off.
APC -
TO'TAL
CITY OF EAGAN
. 9795 PIIM Kno6 Rmd Eagan, MN 53122 N2 6372
PMONE: 454-8700 '
BUILDING PERMIT APPLICATION Receivt # ?
7e be uted for 1 of 4 Alex Est. Value 37,000 oote 11-13 i9$0_
Sire Address 470 Osage Pt. (Model 82) Erecr
occu
onc R3
p
y
ik
Lot 3 Block_3 Sec/Su6. Rid eCllffe 5 Alter ? Zoning PD
Parcel #
W Nome nrrin ThnrrtiGnn HnmaG
3 Address 1712 Hopkii?S Crerd,
? ,.;,,, Minnetonka, Mg,,,_„ 544-7333
p Name _
Address
~ Ci
Gw
? Name _
iZ Address
I hereby acknowledge that I have reod this apPlication and state that
the information is Correct ond agree to comply with all applicoble
State of Minnesota $totufes and City of Eogon Ordinonces.
Repair ? Fire Zone 3 _
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 24 ft.
Grade ? Depth 24 ft.
Approvals gar aj
Assessment -
Water $ Sew.
Police -
Fire
Eng.
Planner _
Council _
Bldg. Off. -
APC
Pertnit 110_50
Surcharge 19-00
Plan check 55.25
sac 5?5 nn
Water Conn. 305 . nn
Water Meter hn , nn
Road Unit ? ?S . nn
Total l .259 75
Signature of Permittee I . A Building Permit is issuea to: Orrin :lYlOmpSOri Aomes on the express cordition that
oll work sholl be done in accordance with 10I aDP4toble $tete of Minnesota StatuMS and City of Eagon Ordinances.
Building Official
. CIT'1' OF' EAGAN InclUde 2 sets of plans,
' 1 site plan w/e]evations &
BUIIl>INC; PERMPf AF'PLICATPON 1 set of energy calculations.
tL 3 ? ? -
To se u5ed For R ES ,D?? F Valuation 4 Date Nov. ? 1180
Site Address: I`{-j03 0S/aG.b QX-• (MoAEL BZ? OFFICE USE ONLY °
Lot 3 siocx sec./sub. g?psES,.FS Erect occupancy
Parcel FIPTH Alter Zoning
Repair Fire Zone 3
_e of Const. ti
Qaner: En1az9e 'Im
rbve # Stories
PddZ'25S' a Division of U. 5. Hom^ c,,raf; Demnlish Front f?.
KINS CROSSROAD Grade Depth o?y
C1ty/ZlP COden MINNETONKA. h11NU ss3q? p 2R-
Phone #: 544-1333 APPRDVMS ?
Contractor :
Pddl'255: va Division of U. S. Home CorporationJ
C1ty/Zlp CDClO: MINNETONKA, MINN. 55343
Phone #=
Psch./Ehg.:
Address:
City/Zip Code•
Phone #:
Assessments Permit
Water/Se-,,er Surcharge
Police P1an Check ?S
Fire SAC '5 -Z,5?-
Eng. Water Conn. ?, 6'5-J?La
?--
plannps Water Meter /od
Council Rflad Unit J 8'
Bldg. Off.
P,PC
2t7PAL
CITY OF EAGAN
3793 Pi1W Kriob Rmd Eagan, MN 53133
PHONE: 454-6100 BUILbING PERMIT APPLICATION
000
Receipt #
N2 6370
Sife Address 4 (U? 011vwuell k ivtuael OG•) Erect fk Occu
anc
R3
p
y
-
Lot 1 Biock3_ Sec/Sub. Ridgeeliffe 5 Alter ? Zoning PD
Porcel # _ Repair ? Fire Zone -.- 3
E
l V
t
T
f C
n
arge ? ype a
ons
.
rc Nome (lI']'7II ThnRCpenn Hpqac Move ? # Stories
Z
0 Address 1712 Hoi)kins Crsrd. oemoiish ? Front 24 ft.
,.;.,. Minnetonka, Mno,,__ 544-7333 Grode n oeorn '24 ft.
o Nome _
?
?? Addreu
? rj.,
Name _
Address
I hereby acknowledge that I hove reod this application ond state that
the informotion is correct and agree to camply with all appiicable
State of Minnesota Statutes and City of Eagun Ordirwnces.
Assessment _
Woter & Sew.
Poiice _
Ffre
Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit i ifl _ 5f1
Surcharge 19-nn
Plan check 55 _ 25
5qC 595 (ln
Water Conn3,05. nn
Woter Meter 60 . nn
Road Unit 185 - 00
Totol 1,259 5 .
$ignature of PertniMee I
A Building Permit is issued ro: Orrin Thomnson Homes on the ezpress condition that
all work shall be done in accordonce v*h oll oppliwble Stote of Minnesoto Statutes ond Cfry of Eagan Ordinances.
Building Official
•
?j ? CIT1' OF FAC',A.*1 Include 2 sets of plans,
?
. I? ' • 1 site plan w/elevations s
3
BUILDINC; PERMTT APPLICATION 1 set of energy calculat
- ons.
? 7i Ghf{)
Tb Be Used For ?p.5 pp,urP 4k
Valuation Date N0V•7 1960
Site Address: ?{?IO? S?t a?a6lsL?. (MoDEL. 97.) OFFZCE USE ODII,Y
Lot J slocx
3 sec./sub. g?ps=E? Erect ?r _ Occ'Pancr
_ FIF'i'H Alter Zoning
Parcel H: Regair Fire zore 3
Enlarge 'IYpe of Const. U
Oaner: _
Nbve # Stories
a Division of U, S.
PLjdTPSS :
Hom= Coronra?'?„ Demlish
FT'Ont p?y
ft.
I 7Te' HUFKINS Cn^OSSROAD Grade
City/ZlP Code: MINNETONKA. A'1Nv s4a?? D2Pt1 O?
?aa ? ft.
a-
Phone #: .5 `f y- l33 3 APPF40vAIs Fees
Contractor:
FY3dI255: a Division of U. S. Home Corporation
. .. ? UMUZ>?,HUAL)
C1ty/ZlP CAd2: MINNETONKA, MINN. 55343
Phone #:
Arch./Eng.:
Address:
Assessments Pesmit a-a
water/Sewer Surcharge ? p
Police Plan Check es`S ?
Fixe SAC
gnq. Water Conn. Q?
pl?? Water Meter ?
Council Road thut ? S3
Bldg. Off.
APC
City/Zip Code:
Phone #:
'IbTAL
• CITY OF EAGAN
3795 Pi1M Knob Read Eogan, MN 55721 N! 6373
PHONE• 54
. 4 -8100 Y? ?
;
BUILDING PERMIT APPLICATION Receipt #
?
Te 6e med for 1 of Q pleX Est. Value 37,000 pate 11-13 19 80
Sire Address 4704 Snowbell (Model 82 erecr ?C Occupancy R3
-
Lor4- siock_3 Sec/5ub. Ridkecliffe 5 Alter p Zoning pn
Porcel # Repoir ? Fire Zone 3-
E
l v
T
f C
t
n
orge ? ype o
ons
.
w Nome nrrin Thamnsnn HnmeG Move ? # Stories
? Address 1712 Hopkins Cl'Sx'd. Demolish ? Front 24 k.
C. Minnetonka, Mn.Phone 544-7333 Grade ? Depth 24 fr.
?__....._I. E8S` iLl.x
p Name
OmIle
?? Address
I- Gitv Phone
Name _
Address
I hereby acknawledge thot I have read this application and state that
the informution is correct ond agree to comply with ull upplicable
Stote of Minnesota Smtutes and City of Ea9an Ordinonces.
Signoture of Pertnittee
A Building Permit is issued to: _
all work shall be done in accordance
Building Of4icial ?
l155essment _
Woter & Sew.
Police -
Fire Eng.
Planner -
Council -
Bldg. Off. _
APC
Permit tlv."v
SurcFaye 19.00
Plan check 55.25
snc 525.00
Water Con00 5• 00
Water Meter 60.00
Rood Unit 185.00
Toto, 1,259.75
Orrin Thompson Homes on the expreu conditlon thot
p all applicaWe-fjatp of Minnesotp Statutes and City of Eagan Ordinances.
CI'IY OF EAC'y'aN Include 2 sets of plans,
1 site plan w/elevations &
BUIIDINC; PERMIT APPI;iCATION 1 set of energy calculations.
-
,37?OO-o
'Ib Be Used For R ES ,Dy-HcF Valuation -t
3-s?
Date NOV. 7y 1160
Site Pddress: '1Z0l{ SNCrW1?'fsl.L (MoDEL OFFICE USE ONII.Y
rnt ?{ bloctc ?ES Erect ?
3 sec./sub. g?py?t, occupancy /p3
_
FI FTH Alter Zoning
Parcel Repair Fire Zone 3
Enlarge 'Iype of Const.
Raner: _
Nbve # Stories
Pddress: a Division of U. S. Hom? C ? DeJrrDlish Front ?y ft.
Kir:s cr,ossROqD Grade Depth ft.
C1?/ZlP C.O(j2: MINNETONKA
h11":N '
.
5„qq?
Phone #: 5'4 4- 133 3 APPRD\TAJS FEES
Contractor: 8Rpr.I,^rTHO^.^,rpS4N-H9NS-ES
Addr255t a Division of U. S. Home Corporation
City/Zip Code: MtNNETONKn, MINN. 55343
Phorie #
Arch. /Ehg. :
Address:
City/Zip Code:
Phane #:
Assessrents Pesmit f/(l ?
-
water/Sewer Surcharge l9?
Polioe Plan Check 5?
Fire SAC y5 ?
nnq. Water Conn. Q
-
Planner Water .Meter ?
-
Council Road Unit / g-
Bldg. Off.
APC
t Minnesota State eoard oi Electricity
Griggs Midway Bldg. - Room N191
%1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111
' FiEQUEST FOR ELECTRICAL INSPECTION
GHECK BELOW WORK COVERED BY THIS REOUEST
441 EB_0000oz
a T 36064
Type of Building New Adfi Rep. Chmk Appliances W'ved For Check Equipment Wired Fm
aHotne
Duplex ?
? ?
? Range ?
WaterHeater 0 7emporary Witing
LightingFixtures ?
?
t. Bldg.
mereial Bldg. ?
? ?
? ?
? Dtyei
Fumace ElecVic Heating
Silo Unloader ?
?
ustrial Bldg.
F
arm ? ? ? Air Conditioner
pList }) Bulk Milk'Iank
L
ist ?
ather ? 0 ? Heieisl p
Hehei3?
COMPUTEINSPECTION EEE BELOW
Se?vice Enhance Size: u Fee Feeders&Subfcedus: # Fce Ci[cuits: # Fee
0 to 100 Am s. C 0[0 30 Am eres 0[0 30 Am eres
lOl to 200 Amps. 31 to 100 Amperes 31 to 100Am xes
Above 200 Amps. Above 100 Amps. A6ove 100 Amps.
Transformers RemoteControlCire.
4 Partialoiotherfee
S' ns Special Inspection - 1 Minimum fee $5.OjL ,
Remark
j? '(''; ?7
I I l.F / ??5 7 t? //aC
,j'?
TOTALFE Y
?,pVv
I,the
(Final)
This request void
18 months from
certifdjfdsat:the (a]feSrgiLspeatk"as been rrpa,
f Dale .? ? d?
?-li?,?pate q• 'u ' '
This:Feauesivoid ?ZS
a 8 moAths from I
Dat? o this Request 3 t'? Fire No. ¦3" O"
'r, as(L?Licensed Electiical Contrac[or O Owner, do hereby request inspection o( [he above electri-
cal w?lring installed at:
Stteet Address or Route No. Li113Z SNOW`S&,L` f', City- 0G?
Oon Township Range County D4?
1Vhich is occupied by U(Z(LL-l r I }?ON$ Ofj
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will CallL%
Power Supplier R Address f ItlWU46-, W"
Electrical Contractor Contractor's License N61315Z'
Mailing Address
Authorized Signature
(/COmpan/{y?Name)
? Gh l??&r-
6]??(Glectrlcai contractor or Ow?n/e?
? ll M V n?IYtiI1?OIi? COP[]
?p
or uwner maKing i ms instauation)
J Phone No. D ?0`?5?5
This inspection request will not he accepted by the
State Board unless proper inspection fee is enclosed.
minnesota ataca aoara or u acxncicy
Griggs Midway Bldg. - Room N791 tlk ?? EB-00001-02
1821 ?dniversiTy Ave., St. Paul, Minn. 55104 - Phone 297-2111
CHECK BELOW WORK CO ERED BY THIS EQ EST'ON ;4 T 3 6 0 6 5
ype o[ Buildi`g New Add. Rep. Check Appliances W'ved For Check Equipment Wired Fm
Home u u Range
Duplex ? ? Water Heatet
Bldg. ? ? ? Dryer
?
mercial Bldg. ? ? ? Fumace
ustrial Bldg. ? ? ? Au Conditioner
Facm ? ? ? Lis[ i
Temporary Wiring
Lighting Fuctures
Elechic Heating
Si(o Unloader
Bulk Milk Tank
CDMPUTE INSPECTION FEE BELOW
Service Enhance Size: # Fce Fceders&Subfeeders: # Fee Circuita: # Fee
. 0 to 100 A. s. 0 0 to 30 Am eres 0 to 30 Am ees
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers - Remote Control Circ. -Partialorothex(ee
Signs' - Special Inspection Minimum fee $5.00
Remat
^
TOTAL FE
30.0"'
I, the ectrical Inspector, hereby certify
(Final)
This iequest void
-18 months from
hasbeen ma
A)te
Date
This request void ?L/? Jk??
;2 months from a7 Y 2a, i`.30
ateg? this Request Fire No. T 36065
l;'as? Licensed Eleccrical Contractor O Owner, do hereby request inspection of the above electri-
?al '?ring installed at:
Street Address or Route No. 1? ?l ?N?rY1?`?L^ 1 0 Wf City e"14
!on Township Range County
1L'hich is occupied by O RP-??' 'Ti?aMPs? ??5
(Name ot Oc<uDant)
Ise roughin inspection required on this job? No ? Yesk Ready Now ? Will Calkg
Power Supplier_ ?-OF Address ff i F-h i1JG74/J
Q? p.
Electncal Contractor ?7e-1- ?GT? L` Contractor's License Nb:?$-
(COmpan/y? ?Na`me)
Mailing Address ??? ( X J u-Y? ?
lec al Contractor or Owner Making This Installatlon) ?p
Authorized Signature Phone No, b?6S?o5
(Elec4rical Contractor or owner Making Thls Installation)
ST j? ?? ?? j;j ?? ???? This inspection request will not 6e accepted 6y ffie
?j (SY?j State Board unless proper inspectian fee is endased.
minnusuca oWce ooarn or neciricrcy
' Griggs Midway Bldg. - Room N191 EB-00001-02
? 1821 l
ihiversity Ave., S[. Paul, Minn. 55104 - Phone 297-2111 .V 0
RQUEST
?HECK BEE OW WOItKOCOEREDTB.Y I THIS EQEST'ON
C ?ry Y 36062
Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment W'ved Fm
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? Water Hea[er 4 Lighting Fixtuies
L Bldg. ? ? 0 Dryer Electric Hea[ing ?
me[cial Bldg. ? ? ? Fumace Silo Unloader ?
us[rial Bldg. ? ? ? Au Conditioner Bulk Miik Tank ?
Fazm ? ? ? List List
Other ? ? ? p
Heiers? Oehers?
A
COMPUTEINSPECTION FEE BELOW
Seivire EntranceSize: # Fm Feeders&Subfceden: # Fm Ci[cuits: # Fce
0[0 100 Am . 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to ] 00 Amperes 31 to 100 Am res -
Above 200 Amps. Above 100 Amps. Above 100 Am s.
Tnnsformers RemoteContcolC'vt. Paztialorotherfee ?
Signs S cial Ins ction Minvnum fee S5.
Remaiks
TOTALF E j.So
R
('p•
This request void
18 monffis from
has bee,n/ma
e 7--?i
?e
? request void 4d?
monthsfrom 25 ?
Date o this Request Pire No. T36o62
1, afV Licensed Electrical Contractor D Owner, do hereby request inspection of the above electri-
cal nng installed at:
Street Address oc Route No. l f d I (???E PoINv- City %A11i
•on Township Range County Dk{Wrp
Which is occupied by
Is a roughin inspection required on this job? No ? Y? Ready Now ? Will Cavl?
???
PowerSupplier (? 1`?IQ Address fwsam(N(079/?)
Electrical Contracmr k-o- c??W/Lt .- Contractor's License 42_57
(GOmpany Name)
Mailing Address c - CE-Irf IW•
I ct 1 ai -C7on?[ractor 0r Owner Making Thls Installatlon)?0???
?Jv Authorized Signature '7F-? ' Phone No.
(Electvical Contractor ot Owner Making Thls Installatlon)
This impection request will not be accepted 6y the
State Board unless,proper inspectian fee is endosed.
m nnesota state noarn ot tiectnciry
• Griggs Midway Bldg. - Room N191 4464 EB-00001-02
'-_ 1821 University AveFOR .. SL Paul. Minn. 55104 - phone 297•2771 ? CHECK BELOW O$IC CQVERED BY'THIS EQU ST NSPECTION ? T 3 6 0 6 3
Type of Budding New Add. Rep. Check Appliances Wrted For Check Equipment Wired Foi
Home
Duplex ?
? ?
? Aunge ?
WaterHeatei 'Iemporary Wving
LightingFixtuces ?
Apt Bldg.
mmercial Bldg. ?
? ?
? ?
? Dryei
Fumace Electric Heating
Silo Udoader ?
?
ustrial Bidg. ? ? ? Au Conditioner Bulk Milk Tank ?
?m 0 Lis[ List
Other o ? ? p
HeheIS? p
HeiersI
COMPUTE INSPECTION FEE BE[,OW
Service Entrance Size: u Fce Feeders&Subteedus: # Fce Crtcuita: # Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 [0 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformexs RemoteConkolCirc. Paztialototherfee , u
S' ns S ecial lns ection Minimum fee $5.00
Remaiks 5^??
TOTALFE
30,00
I, the Eli, I "tPle?' certify t e ab echI'on? a,s been mad
(Rough- ,?"'?+BSte W-
(Final) „ . l „- n$ate P -rz
This request void
18 months from
TSus request void L"?
18 months from
Dategf this RequesY - 3-I 3 ? I? ? Fire No. ?36O 63
I, a!INL] Licensed Electrical Contractor OOwner, da hereby request inspection of the above electri-
cal Yinhg installed at:
Street Address or Route No. dq_103 US?GC- eOV47? CityEi°-A/•
49 ion Township Range County DAKC14
Which is occupied by (Ory?pj -5wSzfj Rpmes
(Name ot Occupant)
Is a roughin inspection required on this job? No ? Ye4& Ready Now ? WID Callaq23'.
Power Supplier 1-tk Address FIaMI/J61VV'
Electrical Contractor ULL 6t9qr/LtL- Contractor's License N6 s2-
(Company Name)
MailingAddress 1411 E.. C-4-{(? r*D
(Elect i al Co ?acto? or Owner Making This Installatlon) p
Authorized Signature Phone No. O?J?4 s 5
(Eletttical ontractor or Owner Making This Installatlan)
?? {? ?("n?` LI ('? ?? ??? ??(!?? f?? This impection request will not 6e accepted by the
Cnl C?' State Board unless proper inspection fee is enclased.
IIIIII?III I jlllll IIII REQUEST FOR ELECTRICAL INSPECTION??? Minnesota State 8oard of Electricity
u 1821 University Ave., Rm. $-}8SQP/aul, MN 55104
0 2 4 5 5 9 a Phone (612) 642-0800 ,y;? „p ,
ome Duplex Apt. Bldg. Other: New ddn
Commercial Indushial Farm Remod Re air
Air Cond. Htg. Equip. Water Htr. lood Mgmt O1her.
D er . Ran e Elec. Heat Tem . Service
"x" above fhe wark covered 6y this request. Enfer remarks in this spoce ond on the back of tbe white copy only.
Colculale Inspection Fee - This Inspection Request will not be accepted without /he correcl fee:
Olher Fee # Service Enh:xe Sae Fee 3F CiraiR/Feeders Fee
Mobile Home Park $fall 0 to 200 Amps 0 fo 100 Amps
Sireet Ug./TraRic $ig. Above 200 Amps Above 100 Amps
Transformer/Genemfor INSPECTOR'SUSEONLV rO
Sign/OuHine Ug. X(mr.
A
• ?
Alarm/Remote Conhol v
Swimming Pool i hs.e ani mat i;na the in.mllaeon ad he2?? o? ?h. dam..ar„d
Irrigd}ion Boom Raugh-In Darc
$
ecial Ins
eclion '
p
p
Investiga}iva fee Final r pot i
THIS INSTALLATION MAY BE ORUEHED DISCONNECTEq'IF&A7 C T)1IN 1 8 MON7HS.
2 4 5- 592
OFFI USE ONLY This request void 18 monihs fmm validalion data pnnted in Ihia 6oz.
PLEASE PRINT OR TYPE
Reqoesr porp, ??
?? Rough-in inspeclion reqoired2 Yes No
h
d Inspecnon OlFiar Than 0.ovgh-In?Ready Now 0 Wili Call
R
d
D
jYau mvst call Me inspecror w
en rea
y) am
eo
y:
licensed mnhatlor 0 owner hereby requesf inspedion af the a6ove eledrica l work at:
Jo6 Pddrcsa (SVeel, Box, or Ro No )
Pt- Clry
? p Zip Code
? S1 ?
O 5 a e.
,
1 '?-t J -
SM
- . Township Name or No. Range No. Fim No. Caunry
ako?
Occvponl q? Phana No.
OsS
P. Supplier Address
Eledriml Canhacmr (Co ny Name
?L Conhanur license No.
Cfl'D l Moskr U. No. (Plam Elea. Only)
Q c ? L
czr o c?
Myaa Afidei (comronor a. erWinglnabllafion)??
QC a
Authanz 5' o (CoMmcmrorOh+nrPeAormirglnslollalion)
,?•t PhoneNO.
7 Dfl
EB-OOOOIA-10 6/95 SfATOB ApOCOPY-SEEINSlflVCTIONSONBACKOFYELLOWCOW
2007 RESIDENTIAL MECHANICAL rExMiT nrrLicnTroN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
, Telephone # 651-675-5675
Please cumplere for single famity dwellings & townhomes/condos when pertnits are required for each unit
Date
Site Address `176) R Dsff 6? 0 /L Uoit#
Property Owner?Q ptcJc? Telephone #4-)- )`7V/ ? 7 Z. l}
Contractor BURNSVILLE'rl: A.I ING & NC, INC.
34b1 4J. Rumsvii
Street Address JLNie 120 City
Burnsvil e, WJI
State Zip Telephone# ( ???9-7135/DOv;(_
Bood #: ?? ,YS13r= /L 0'7 / :? Expires: 7 -NfJ O
The Applicant is _ Owner --YConhactor _ Other
Fire repair (replace burned out appliances, ductwork, e[c.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
? furnace _Additional
SCReplacement _ New
?
7
? air exchanger
air conditioner
heat pump
other
State Surcharge $ 50
To[al $ 6-D •p (J
1 hereby apply for a Residential Mechanical Permit and acknowledge that the infomiation is complete and accurate- th^r rF a-
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, th i e{?r?tl{i?
permit, but only an application for a permit, and work is not to start without a pe he work wil c?e?d?m`lci?wi the ?
approved plan in the case of work which requires a review and approval of plans. , AP 3 1 Z??$
Applicant's Printed Name Applicant's Signature ?
q(,f 4q -1
2007 RESIDENTIAL BUILDING rERMiT nrrLicnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWctionRevuiremenfs 3 registered site surveys showing sq. R. of lok sq. ft. of house; and all roofzd areas
(20%maeimum lot coverage allowed)
1 Soik Reportif proposeA building is to he placed on disturhed soil
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Calcula6ons
3 wpies of Tree Preservation Plan if bt platled afler 7/1A3
Rim Joist Detail Options selec6on sheet (6uildings wifh 3 or less uniis)
Minnegasco mechanicalvenfilation (orm
RemodeVReoair Reauirements Otfice Use Onlv
2 copies of plan shaving footings, beams, joists CeR o6SOrvey Recd YN
isetofEnergyCalculafionsforheatedadditions SoilsReport _YN
1 site survey for additions 8 decks Tree Pres PWn Recd' Y_ N.
Addition - indicale d on-sife septit sysfem Tree Pres Required Y_ N
Oo-sileSepticSystem' -F-_Y -_N
P4ans ara ronsiderPd nu6lir. inforrriation unless vou state thev are trade secret and the reason.
Date S. ?7 Construction Cost
Site Address L) 70 Z O$ 4-2! ? I UniUSte # II
-I -?64 05i? 70o3 a.Ac rs e AO ?
Description of Work IQ Q
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ? , ke Telephone # ( )
Contractor J 1LJC? vP t-• ??R? ll.i i rn.t?
Address ) 3?? ?7 ? ? i)/f ?"{ y, f}'7" il-l CiTy F}37-, viCf
State ?. ? Zip Telephone #(6 / Z) 9k7 - 9// 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Su6mitted
In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Coniracfor
Telephone #(
Telephone #(
Sewer/Water Contractor Telephone # (
I herebv applY for a Residential Building Permit and acknowledge that the inform
complete and accural
e;
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 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.
'b l?? ,,Jr MrR2 Kv s ",l
ApplicanYs Printed Name
la_
Applicant's Signature
?C ?,• ?e
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
(o (v (o -7 ? Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
Date__'L0/
Site Address r 7 O? S Y\p-yu 6W PO Unit #
Property Owner C.V`6 L+rrh Tadj??= Telephone #((Q$j ) Cgd`'' &- 77k,s
Contractor
Street Address 5 ? p S 111 ?*5'g 3- S-}, Sy[ra-{'" City 7?ve.t -h - L-o?
State Zip 5_25D,;Z,5_ Telephone # ( &Sn ) C( ?! L -d4v y4
Bond Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration ta exis[ing dwelling unit $ 30.00
? furnace _Additional -Replacement
air exchanger
? airconditioner _New _-'><?Replacement
other
State Surcharge $ 50
?v) ? ll 1j ?
Total U(;T 1; 2004 $? Sa
-y ?
I hereby apply for a Residential Mechanical Pemut and acknowledge that the informarion 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
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.
? ?
I
ApplicanYs Printed Name Applic s Signature
2004 COMMERCIAL MECHANICAL PERNIIT APPLICATION
City Of Eagan
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleue complete for. commerciaUindush'ial buildings
mulfi-family buildings when separffie pemvts aze not requ'ved for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name '
Property Owner Telephone # ( j
Contractor
Street Address City
State Zip Telephone # ( )
Bond #• Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "*see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
P¢I'tltif F¢¢S: $70.50 Underground tank installation/removal
$5050 inim (indudes State Sumharge) ,
or
ContractValue $ x 1% PermitFee
• If permit fee is $1,000 or less, add $.50 ? $ State Surchazge
If oernvt fee is over $1,000, add $.50 for
every $1,000 DCLRII[ fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and aclmowledge that the informarion 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 tlus is
not a permit, but only an application for a pemut, 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 wluch requires a review and approval of plans.
ApplicanPs Printed Name Applicant's Signature
Approved By: , Inspector
(o (0(0-15 -*-a=i le u,nkp., K4-o l Q s"LX j5 S0
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date I ? l =1t ??StilUtvba.??
Site Street Address Unit #
Property Owner 11 ? ?? • f Telephone # ( )
Contractor.? Telephone#(
Address? City ' `- State r; Zip
The Applicant is: _ Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
`h Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00
State Surcharge $ .50
?
UCT 12, 2004 - -
Total
Ll $ ?-
I hereby apply for a Residential Plumbing IlDr-nit-a ac now de ge 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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
ApplicanYs Printed Name ApplicanYs Signature '
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knoh Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
-?/ 3b-'°
Date jQZ
SiteAddress / 703 OS_PT Eagon Unit#
Pro
ert
Owner a Tele
hone #&S1 )`1'5 r"' ()J(O( J
p
y p
Contractor 89 a/ /C
Street Address j (o (S?/ L/S (...tJ - City Sa?
State / 0 J 1V • Zi hone# (os/) 7"?.?' O/
650(ok Tele
p p
The Applicant is _ Owner _?_tontracror _ Other
Add-on, modification or alteration to eaisting dwelliug unit $ 30.00
?furnace replacement
air exchanger
air conditioner
other
State Surcharge $ .50
T
t
l $ v' So
o
a
I hereby apply for a Residential Mechanical Permit and acknowledge that the
be in conformance with the ordinances and codes of the City of Eagan an
but only an application for a pemut, and work is not to start ap r ed plan in the ?s f w rk w ch requues a review and approval f pl,
e
App icanYs Printed Name Ap
ation is complete and accurate; that the work will
Mechanical Codes; that I understand 8us is not a
nit: that the wprk will be. in accordance,with the
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephoue 4 651-675-5675 FAX # 651-675-5674
Please complete for: commerciaUindusMal buildings
mulfi-family buildings when separate pemuts aze not required for each dwelling unit
Date
Site Address ' Unit #
Tenant Name (iF applicable) Yrevious Tenant Name '.
Property Owner Telephone # ( )
ConYractor
S[reet Address City
State Zip Telep6one # ( ? )
The Applicant is _ Owner _ Contractor _ Other
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 Minimwn Fee (includes SFate Surchazge)
Con4act Value $ x .01% _ $ Permit Fee
• Tfpernut fee is $1,000 or less, add $.50 ? $ State Surcharge
If pennit fee is over $1,000, add $.50 per
$1,000 Pemut Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the inforntation 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 pemut, but only an application for a permit, and work is not to start without a peimit; that the work will he in accordance with
the approved plan in the case of work wluch requires a review and approval of plans.
ApplicanYs Printed Name
Applicant's Signahue
Loooqt
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
it rs,sz
nate _4,_ / ??3 i o 3
SiteAddress G?7b? ,?7otJd7ell ??n f Unit#
Property Owner F!"! C/?IKC !-/JCiL Telepnone tt 7
Contractor C/"QI/'1 D i-0 d?11,xmhjh?
Address 2y?1/ 9 City l?cFtLI?/ C.
State /?;70 . Zip 55'0111 Telephone# (9sa) y49-??95' _
The Applicant is _ Owner ontractor _ Other _
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, exclu ding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
'
,
Othec Il i '. S
i`
- I ,
_ RPZ _ new instailation _ repair _
rebuild ?I
!
$ 30.00
_ Lawn irrigation system U _
Water softener
VWater heater
_
_ $ 15.00
_ replacement _ additional .
$ 50
State Surcharge
Total s /S 50 I
I here6y apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the worl< will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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 lhe
approved plan in the case of work which requires a review and approval of plans.
,
(:?S-ctne
ApplicanYs Printed Name App ant's Signature D
2000 BUILDING pERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3
830 PILOT KNOB RD - 55122 -3o a•? S-
Z--??? ? 3 651-681-4675
New Conshuctlon Reaulremenh
Remodel/Reoalr Reaulremenh
e 3 reglsfered slte surveys ahowing sq. R, a( M. sq. fl. ot house 2 copies of plan
ane giJ roofetl areas (M maxlmum tot coveraae adlowedl 1 set of energy calculaMons for heafetl addllloru
A, 2 coples of plans (show 6eam & wlntlow skes; poured tnA. design; etc.) 1 sile wrvey for exteAOr addlHOns d decks
+ 1 set ol energy cWculatlona
. 3 coplea ol hee preservaHai plon H lot piatteO afler 711/93
aATE: 47-"" / Z-_ ? C'
CONSiRUCTIONCOST:
l
DESCRIPTIONOFWORK: -P-
STREET ADDRESS: WQ Ll- / '7 c z/ .S -J au..V A•_ l/ el 20 / - 1/ 70
tOT: - BIOCK: 3_ SUBD./P.I.D. 4: 2:-,03 c_ c: LtL- S- t?
Name:-? 1?S.l G I? AS S o c. Phone
PROPERiY tas6T- Flrst
OWNER
Sheet Address:
Ciy State: Zip:
Company: E?Z ' (u Il1 C . Phone #: ?D T ? ?-- vS /
(area code)
CONTRACTOR ?J G
Sheet Address: T 6'? Llcense n -3C-) Exp, ?'3! U%
ciri E L"Vr r, s v ?J I L- state: fY1 /ki zip: SS=? 12
ARCHITECT/
ENGINEER Compuny: Name:
Telephone #:
Sheet Address: RegishaHon #:
CNy
stare:
21p:
Sewerfwater licensed plumber (if installina sewarhvater): Phone #:
I hereby acknowledge ihot I have read Ihis applica8on, sfate thot fh0 infortnation s cortecf, and agrea to comply wflh all applicabie StaFe
of Minnesota Stafufes and City of Eagan Ordtnances.
Signature of Applicanh
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
? ?HvMq 15?
DEC 11 2000
OFFICE USE ONLY
3UILDING PERMIT SUBTYPES
7 01 Foundation ? 07 OS-plex ? 13 16-plex O 21 Poroh (3-seaJ
7 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Poroh/Addn. (4=sea.)
7 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) '
7 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damege
] 05 03-plex ? 11 10-plex Plbg _Yor-N ? 25 Miscellaneous '
] 06 04-plex p 12 12-piex ? 20 Pool ? 30 AcCessory Bldg.
NORK TYPE
7 31 New ? 36 Move Bidg. ? 43 Reroof
7 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding
7 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
7 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Glve PCA handout to applican t for demolition permit
31ENERAL INFORMATION
? 31 Ext AR - Mufti
? 33 Ext. Att - SF
O 36 Mufti
3AC Code Sk of Stories sq. ft.
Jo. of Units Length sq. ft.
Vo. of Buildings Width Footprint sq. ft.
.onst. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
JBC Occupancy sq. ft. City Water
?oning sq. ft. Booster Pump
PRV
Fire Sprinklered
NISCELLANEOUS INSPECTIONS
I Stucco/Stone
4PPROVALS
'lanning euilding Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MClES SAC
City SAC ?
Water Conn. '
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge ?
Treatment PL
Park Ded. ?
Trails Ded. '
Other
Capies
Total:
SAC Units
% SAC
CITY USE ONLY
L ,? BL ? RECEIPT
SUBD.? ? DATE:
1996 MECHANlCAL PERMIT (6tESIDENTlAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
?Add-on air conditioning Add-on air exchanger, i.e. Vanee system, efc.
Date: 3 -1 ? ? L
FEES
• Minimum Fee: Add-on/Remodel (existing residence only) 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required Qa 53.00 each)
? State Surcharge .50
TOTAL o2t7 , 5 iJ
SITE ADDRESS• 4'70? 4?k4p
OWNER NAME: / PHONE #: LOS- U5 5>
INSTALLI
STREET
CIN:
STATE: ZIP:
PHONE #: ( Gi; ) 9,>v -,?) G S`(,
.
?TU`NRTQ?
? •-ia - tG ?J??
CRY USE ONLY
L BL RECEIPT #:
SUBD. ? DATE:
?.
1996 MECHANICAL PERMIT (COMMERCIAL) li
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUndustrial buildings. '
? multi-family buildings when separate pemi are IlQt required
for each dwelling unit. ?II
DATE: CONTRACT PRICE:
WORK TYPE: NEW CON5TRUCTION INTERIOR IIMPROVEMENT
-
DESCRIPTION OF WORK:
FEES: ? S25.00 minimum tee QL 1% of conUact price, whichever is greater.
. Processed piping - $25.00
. State suroharge of $.50 per $1,000 of Rm= fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
CITY: -
- PHONE #:
all
'STATE: _
ZIP• u ._...,. _ ._.
51GNATURE:
51GNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
LOT ??7f BL ? PERMIT #:
SUBD. 1 I? l',l Oq n G? i l?? ?? RECEIPT #: ??-.?? ??
? RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date: 3 - ?0 - CC
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: D-100 M B T U
ADDITIONAL 50 M BTU
e Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section on if you are remodeline, adding to. or repairin¢ an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New 74 Alteration
Fumace
Air exchanger
Reminder: Call for inspections
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
CZTY OF EAGAN
3830 PILOT IQt08 RD
EAGAN MIIi 55122
651-681-6675
Repair _ Other
? Air conditioning
Other
Fee
State Surchazge
Total
$ 30.00
.SU
$ 30.50
PHONE #: LD5 I -- ?5? - QIXDD
(AREA E)
PHONE !f: (D I Z -?'I ?J I-?D I I
-?l (AREACODE)
_ STATE: ? ZIP: E6 I ZL'
SIG? NATURE OF PERMI7TEE
Please complete for.
DATE:
WORK TYPE:
3830 PILOT iQN08 RD
EAGAN, ZIId 55122 651-681-4675 '
all commerciaVindustrial buildings i
mulG-family buildings when separate permits are not required foreach dwelling unit
New coustruction Install U.G. Tank
_ Interior tmprovement _ Remove U.G. Tank
_ Processed Piping
WGen ixsrulling/removing underground tank, call 65I-681-4675 for inspectiol n by fue marshal and
plumbing inspector. Description of work:
Fees: 1% of conuact price OR $30.00 mtnimum fee, whichever is greater.
Undergound tank removaUinstallation = minimum £ee
Contract price: $ x 1%_$ (Base Fee)
State surchazge
TOTAL
calculate at $.50 for eac6 $1,000 Sase Fee
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CADE)
TENANT NAME (IMPROVEMENTS ONLY):
i
WAS TI-IERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
- -
INSTALLER
ADDRESS:
CIT1':
PHONE#:
STATE:
SIGNAT'URE OF PERMITTEE
lOVV MEGHANiCAL PEFMIT (GOMMRG:lAL1
CITY OF &AGAN
-7 7
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?
Date ? I )3 I f?/
site street Address V 7L/) 3 DS??N
unit #
Property Owner *i'J' UJDd•Z l Telephone #(??
Contractor
Address City
4 W, PJdllrt Telephone # (%,Z ) 851 °7?93
State%hZip.S3'eS'V
The Applicant is: _ Owner /SContractor _ Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
Water Softener /? Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge ? $ .50
rotal
4 V
I hereby apply for a Residential Plumbing Permit a ackn?le? ihat the information is complete
and accurate; that the work will be in conformance ith tt?or '. ances and codes of the City of
Eagan and the plumbing codes; that I understand thi 's no 'it, but only an application for a
permit, work is not to start without a permit and work wi e i ccordance with the approved plan in
the event a plan is required to be reviewed and approved.
Applicant's Printed Name Appl' anYs Signature
?U 2006 RESIDENTIAL BUILDING rE?uT arrLicaTioN
/? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Conshuction Requirements
3 registered sAe surveys showing sq, tt. of lot, sq. fL of house; and all roofed areas
(20%maximum bt coverege allaxed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set ot Energy Calculations
3 copies of Tree Preservation Plan if IoY platted atter 711193
Rim Joist Detail Optlons selection sheet (buldings wifh 3 or less units)
Minnegasco mechaniGal venlilation tortn
RemodeliReoair Reauirements
2 wpies of plan showin9 fooGngs, beams, joists
1 set of Energy CalwlaUons for heated addffions
1 sile survey for additions & decks
Addition - indicate i(on-site sep6c sysiem
isQ a5
offlce use orw
Cert ofSurvey?_Recd _Y _N
Tree Pres Plan Recd - ??_Y _N,
TreePresRegulred _Y _N
On-siteSepLeSystem ?_Y _N
Date Z/ l_?/ l??t' Canstruction Cost %,? L' U?
SiteAddress 0 70Z't4 -20i1 S+J?U(Sr"Ll- UniUSte#
N7a l- K?c 3 o3 fl
Description of Work RP '/C 60 T
Multi-Family Bldg ? Y _ N Fireplace(s) _ 0
Property Owner kj? T J= 4S S p C, Telephone #( li l Z) 7- 9?,// 3
Contractor b i)A
Address / 3NS'(o l4' ) A ?" ?"7'? City 1S 5
State Yiil ?? Zip S 50 3 3 Telephone #((p ) 2) 5',? 7 -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculatlons Submitted
In ihe last 12 months, has the City of Eagan issued a permif for a similar plan based on a master plan?
_ Y _ N If yes, date and oddress of moster plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge 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 the State of MN
Statutes; 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.
6 0.1 L . Vvl A-/' N u Sc ,.,)
Applicalit's Printed Name
r ?
ApplicanYs Si atuie
C.R. WINDEN & ASSOCIATEB, INC.
LAND SURVEYORS Te1.645•3646
1381 EUSTIS ST., ST, PAUI, MINN. 55108
Note: Buildings shown are proposed.
As of this date Ridgecliffe
Fifth Addition has not been
recorded.
CERTIFICATE OF SURVEY
For:
U. S. HOb1E CORPORATIODt
Scale: 1" = 20'
O Denotes Iron
,
N
?10
Z ?
A-9•O° Ly ? 1 0
O
1°? N \ -1
N Do?b ° p
. 10 oOJb'e,?O?O 6µlf?` ' _3 I ^
V l
N z7•on o G?,.aj
?
N ?-- - ?
N ? ,?_ -?- -- `?1 r_ ?- -'_- •_ _, ? ? 70_
' VTA <
-A
y?
?? 4 -° W ° ?? rn
4 -
?1
-R ? ' • ? C?
; -?. r„ Cs ? t _ •-- ' ? ?,,,.
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Lots 1 through 4 inclusive, Block 3,
Ridgecliffe Fifth Addition, Dakota
County, Minnesota.
N
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND
ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY. TNEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY,
FROM OR ON SAID LAND.
Dated thie l?h day of hlovem`oe* A.D. 19 90 C. R. WINDEN 5 ASSOCIATES, INC.
by
Surveyor, Minnesota Reglstration No. -?)iv
,
,
?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107646
Date Issued:10/22/2012
Permit Category:ePermit
Site Address: 4701 Osage Pt
Lot:2 Block: 03 Addition: Ridgecliffe 5th
PID:10-63984-03-020
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:JoAnne Burr
990 Lone Oak Road Ste. 114
Eagan, MN 55121
651-905-0105
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Cynthia S Thorson
4701 Osage Pt
Eagan MN 55122
Window Concepts MN
990 Lone Oak Rd #114
Eagan MN 55121
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
For Office Use
‘ `.% i if , Permit#: Lab 7g‘* %* E AGA N t,
.CEIVED
Permit Fee: LP( V (/ l
Date€eceiveif: Lk' 3-ig
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 APR 13 2018
(651)675-=56751 TDD: (651)454-8535 I FAX:(651-)b/b-5694
l
I Staff:
buildinginspections(@cityofeagan.com
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 4/11/18site Address: 4701 Osage Point
Tenant: Suite#:
Resident/Owner
Name: Cindy Thorson Phone: 651-454-1474
Address/City/Zip: 4701 Osage Point Eagan, MN 55122
Name: Metro Heating & Cooling PC642529
License#:
Contractor
Address: 1220 Cope Avenue East City: Maplewood
State: MN Zip: 55109 Phone: 651-294-7798
Contact: Carley Email: invoices@metr'Otteating.coni
—New 'Replacement Repair Rebuild —Modify Space —Work in R.O.W.
Type of Work — —
•
Description ofi work: _Rep "'Sting water heater
RESIDENTIAL
V I Water Heater
Water Softener
Lawn Irrigation( RPZ/—PVB)
Permit Type i Add Plumbing Fixtures( Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround.(add$280.00if.a 3/4"meter is required)
$1154 ut avitterll New tiocimOos cog*fee d State Su arge) TOTAL-FEES$60.00
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.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaqan.com/subscribe.
thereby acknowledge that this infuriation is GonTplete and accutate;that the work wilt be in Gunfunnain,e with the ordir antes 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.-
x Carley Ferrie
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required inspections: Under Ground Rough-ln Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
t .F • r /4,..tt„! ...„ EAGAN [ EE :fee
e: (e b -i
3830 PILOT KNOB ROAD ',EAGAN,,MN 55122-1810 OCT 17 2019 Date Received: !v�t�1 't 1 I
(651)675-56751 TDD: (651)454-8535 1 FAX: (651)675-5694 t
Email:buildinginspections(a�cityofeagan.com Staff: 1
Commercial Plan Submittal: eplans(c�citvofeagan.com
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date:
10/11/19 Site Address: 4701 Osage Point
Tenant: Suite*:
I Name: Cindy Thorson Phone: 651-454-1474
Resident/Owner
Address/City/zip: 4701 Osage Point Eagan, MN 55122
Name: Metro Heating & Cooling MB005327
License#:
AddrASC: 1220 Cope Ave E city, Maplewood
Contractor 1
E State: MN
Zip: 55109 Phone: 651-294-7798
Contact: Carley
Email: invoices@metroheating.com
RESIDENTIAL
✓ Furnace
1 Air Conditioner i
Permit Type 1 i
i
i _Air Exchanger
heat Pump
Other
i New ✓ Replacement Additional Alteration Demolition
Type of Work Replace existing furnace
Description of work:
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.cityofeagan.com/subscribe.
I hereby acknowledge that this information is:cogmplete and accurate;that the work will be in conformance with th ordinances and codes of
the City of Eagan;that I understandstl .is-riot";l permit, but only an application for a permit, and work is not • start without a permit;that
the workwill be in accordance with thea provg4,plan in the case of work which requires a revie . • appr•ial of plans.
. . ,.
XCarley Ferrie ^s ` A ,,,,
x
Applicant's Printed Name Applicant's S'"nature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final