4707 Osage Pt2 CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55142 N2 6381
PHONE: 454-8100
BUILDING PERMIT Receipt # -
- __-
To be vwd for Esf. Value • Date , 19
Site Address Erect Q onc
Occu
p
y
Lot Blxk Sec/Sub. '',_;.,?,? ? n{?? ' ?
Alter g
Zonin
Parcei # Repcir ? Fire Zone
E
l of C
T
t ?
n
arge ? ons
.
ype
W Name Move ? # Stories
; Address - Demolish ? Front ft.
' Grode ? Depth ft.
`c
o Name ?+PPr?a?s
,
u? Address Assessment _
Woter & Sew.
~ Ci p??e
uOI Police
Name F
?W ire
?? Address Enp
<W G Phone .
Planner
i
C
I hereby ncknowledge thet I have recd this opplication nnd state that ounc
l
gldg. Off. _
the information is torrect and agree to comply with all applicable
State of Minnesota Statutes and City of Eogcn Ordinunces. A?
Permit
Surcharge
Plan check
SAC
Water Conn.
Wuter Meter
Rood Unit
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition that
all work sholl be done in cccordonce with all appiicable Stote of Minnesota Statutes ond City of Eogan Ordinonces.
Building Official
ParwM # Oah IwwL p9eaktM
Plumbin9 5 ,//r'y/ z4?gJj
Me aniwl a - 12-0 = lp/ ZZI ` ' J
i
INSPECTIONS DATE INSP• Rouph-In Finol
Footings Dote Insp. 6 Date Inap.
foundotion Plumbing
r me/ins.
? Mechoniwl
Fin
Remarks!
cirr cF EaGAN
3745 Pilof Knob Road Eogoe, MN 59122 M! 6378
. PHONE: 54-8100
BUILDING PERMIT ReceiPt #
To be used foe Est. Volue Date , 19
5ite Address Erect ? Occuponty
Lot Black 5ec/Sub. ' Alter ? Zoning
parce1 # Repoir ? Fire Zone
Enlarge ? Type of Const.
oe Name
W
Move ?
# 5tories
Z Address
3 Demolish ? Front ft.
°
C+ Phone
Grode ?
Depth ft.
? Name
0
u? ??? Approva4
Assessment Ffes
Permit
" Wnter & Sew. Surcharge
Ci Phone
? Police Plon check
?°`
W Name
W yj
Fire
SAC
?? Address Enp. Woter Conn.
t W Ci phone Plcnner Water Meter
Council Road Unit ?
I hereby acknowledge thot I have read this opplication ond state thot Bldg. Off.
the infortnation Is oorrect ond agree to comply with all applicable
State of Minnesota Statutes ond City of Eogan Ordinonces. APC Totnl
Sipnoture of Permittee
A Building Permit Is issued to: on the express condition thot
all work sholl be done in accordance with all appliwble Starte of Minnesota Statutes ond Ciry of Eagan Ordinonces.
Building Official
hnmN # Dah l PeIrwIMM
Plumbing ] ,3
Mechenical
,
INSPECTIONS DATE INSP.
Rough-I n
Final
Footings yQ2-jv Date Insp. Dute Irup.
Foundation Plumbing ' ,!i
r me/ins -6( Meclbnical? ' ?
Finol
?
?
Remarks: 3 - /,- 7' ,/
CITY OF EAGAN
3795 P7Iot Keob Raed Eagae, MH 53122
PHdNE: 494-8100
BUILDING PERMIT Receipt #
000
Siie Address "oC@1 tS .
Lot Block ? 5ec/5ub. r`? ?
Porcel #
ce Name
W
Z Address l1? t.o?kir.s ;:rsrd ,
o "'innntnnka _ 1 fn
C, Name _
o
Address
F r...,
Name _
Address
I hereby acknowledge that I have read this appiication and state that
the informotion is correct and agree to comply with all opplicoble
State of Minnesota Statutes ond City of Eagan Ordinances.
N° 6380
Freci Occupancy
Alter ? Zoning
Repair ? Fire Zone .
Enlarge p Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
Approvals ' Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bidg. Off.
APC
Permit
Surcharge
Plan check
SAC
Water Conn. ?
Water Meter
Road Unit
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition that
oll. work shall be done in accordonce wlth all opplicoble 5tate of Minnesota Stotutes ond City of Eagon Ordinonces.
Building Offitiol
Ponnk # DaM 1988ed Pormitt"
Plumbing „2„2 72
?y
Mechanical -qiP
l
INSPECTIONS DATE INSP.
RaugM I n
Finol
Footings Onte trtsp. Oate ?nsp.
Foundotion Plumbing
rame/ins. - - / Mechanicol
Finol
Remarks: j? --pllf
' CITY OF EAGAN
3795 Pilot Knob Road Eagon, MN SSIT.Z ?N! 6379
PHCNE: 454-8100 1 ,
BUILDING PERMIT
Site Address ' l ??vaei o
Lor Block Sec/Sub. ???"cliffP 5
Porcel #
w Name - r{n T'.?ormBaT? T1 7rtPs
z Address ' ' %1 ? Hop7;ins Crsrd.
°C Name _
o
8u Address
ri+.,
Name _
^ddress
1 hereby ccknowledge that I hove reod this application and state tfiat
the informotion is wrrect ond ogree to comply with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Permittee
Receipt #
Ered Xa- Occuponcy ?
Alter ? Zoning '
Repolr ? Fire Zone '
.;
Enlarge ? Type of Con .
Move ? .# 5tories
Demolish 0 Front ? ft.
Grode ? Depth ft.
Approvola Fees
Assessment _
Water & Sew.
Polite
Fire
Eng.
Planner
Counci I
Bldg. Off. _
APC
Permit
$u rcha rge
Plan check >
SAC ,')fl
Woter Conn.
Water Meter
Road Unit
Total
A Building Permit is issued to: on the express condition that
oll work shull be done in accordonce with oll applicable State of Minnesota Statutes and City of Eo9cn Ordinonces.
8uilding Official
?«,.?e # ?. ?.s.? ?«?.nr«
Plumbing
Mechanical
T ;? at
jp/
i
INSPEGTIONS DATE INSP. Rouqh-In Finol
Footings ?
A'jv Dote Insp. Date 1rnp.
Foundation Plumbing -
Fra e ins. Mechonical '3 f??
Final i
Remarks:
Receipt MECHANICAI PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibJy Tot.
1. Date '- - 2. Installation Cost ;"-C:
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor • Phone -
6. Address
7. City 5tate 2ip
8. Building Type: Residential fi Commercial ? Institutionat ?
9. Work Description: New G2 Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No, Equioment BTU - M. Ea.
Forced Air No. Epuipment CFM
Air Handlin
:
Mfg. g
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 a11 ordinances and codes governing this tYpe of work.
Signed : for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numhered and approved.
Approved CITY OF EAGAN 454-8100
Na
- .'^ PERMIT
CITY OF EAGAN
3793 Pilot Knob Resd
Eogen, Minnesota 55122
Phone: 4544100
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Date: Receipt No.:
Single
Residentiol
Site Ilddress:
" E.'C
Lot Blxk Sub/Sec. Multi Res., Comm.,
Nomr ?] ?'iT1 ` ti ?? . :.C:? ?; i'•':
New /Alte r. / Repal r
; Address ? •'l.? T!C?}-,: "? ; C'Y_.T...,
Cost of Installation
?
.. ? ., ., .,
City Phone: Permit Fee
Nome Surthorge
.
? Address "`, 17 ChiCc-m :.t:
?
City Phone: Total
This Permit is issued on the express condition thot oll work shall be done in oaordonce with oll applicoble State of
Minnesota Stotutes and City of Eogon Ordinonces.
I
Buildirg Official
? . CITY OF EAGAN
' • • 3795 Pilot Keob Read
.. Eagan, Minnasete 55122
No. Phene: 454-e100
? PERMIT
Date:
Site Address;
Lo
t , Block Sub/5ec. riogeClif 1'n r
- •`,-. . .: ?i; .?Ci,i:S
Nome - `
Address
?
?
?
Ciry ?''11Y.'?OCI?L': Phone:
`
Nome
.
?
?
Address
u..I .,
o^f r....? 0?'7
? ')n r-
? City Phone: Totol
This Permit is issued on the ezpress condition thot oll work sholl be done in attordnnce with pll applitoble Stote of
Minnesota Stotutes ond City of Eagon Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receip! No.:
Single
Residential
Multi Res., Comm./Ind. I
Newl1\Iter./Repoir
Cost oF Installation
Permit Fee
Surcharge
Official
No.
CITY OF EAGAN
? 3745 Pilot Knob Read
Eegen, Minnesote 55122
Phone: 4544100
PERMIT
Date: ? 1
Site /lddress:
M T)i-
Lot Block Sub/Sec. Ri dC-8 == fE-'
Nome
.
; Address
O
City _f-_tsll'L1;F; Phone:
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single ?
Residential
Multi Res., Comm./Ind. I
New/Alter./Repo{r. Cost of Instollotion
Permit Fee
Nome F? -A? Surthorge
? - - a
?
? Address "'?-JQA? '"
City Phone: Totol
This Permit is issued on the express cor+dition thor oll work sholl be done in occordonce with all applicnble Stote of
Minnesoto Storutes and City of Eagan Ordirwnces.
Building Officiol
• CITY OF EAGAN
3795 Pilot Knob Rood
No. Eo90n, Minnesolo 55122
PMone: 454-8100
PERMIT
Date: r I
5ite /\ddress: Lot Block Sub/Sec.
1[x339] PAIrm
? Address
?
City Phone:
Nome ??' t.?', '_i?,r•
.
?
g Address ?'-t='3i " ' ti'JC=
e
?
City Phone:
This Permit is issued on the express condition that all work sholl be
Minnesota Statutes and City of Eogan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
-, ,
Receipt No.: 2 -3'
Single I
Residential L `-
Multi Res., Comm./Ind. I
New/Alter./Repoir f K-'r
Cosr of Installotion
Permit Fee
Surchorge
Tota I
done in occordance with all opplicoble State of
Buildiny Offlcial
cinr oF EAGAN _
3795 Pilot Knob Read
No. ' EeOan, Mlnnaaota 65122
INSPECTOR NOTIFICATION
Phene: 4s?-a?oo REQUIRED BY LAW
'????-j•? PERMIT FOR ALL INSPECTIONS
Dote: ' Receipt No.:
Single
5ite Address• •f ? ? '= Residentiol
Lot Block 5ub/Sec. Multi Res., Comm./Ind. I
I
Nome Ifirc's New/Alter./Repoir
.
I Address 71" ':cj:-? i_r-q
Cost of Instollation
CitY 1k8 Phone: Permit fee ?'l ? • ',
` Name Ch^ '"-Surcharge
?
? Address 1 G7.1 7'
City r'r.. Phone: Totol
This Permit is issued on the express condition that oll work shall be done in accordanu with cll oppliooble Stote of
Minnesoto Statutes ond City of Eagan Ordinonces.
Buildirt9 pfficial
? cirr oF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122 INSPECTOR NOTIFICATION
No. phene: 454•8100
REQUIRED BY LAW
- PERMIT FOR ALL INSPECTIONS
Dote: Receipt No
: .
.
Single I
Site /lddress: Res+dentipl
Lot Block Sub/Sec. ' Multi Res., Comm./Ind. I
Name P??7.Z'121 '.'n(.Y=) SCY, z.LEi'-G w /Alter
/ R
N
air
e
.
ep
.
O 1,,1_
?• )1?n?i
Address ?• (--.rr" •
Co
t of I
st
ll
tio
;
O s
n
o
a
n
City Phone: P
it F .
erm
ee
Name Surchar
e
`
? g
g Address T ' - ?
e
0
V
City - - Phone: Total
This Permit is issued on the express condition that all work sholl be done in occordance with all applicable Stote of
Minnesota Statutes ond City of Eogan Ordinances.
Building Official
No.
CITY OF EAGAN
3795 Pilot Knob Roed
Eagon, Minne:ota 55122
Pheee: 454-8100
' ? ; '-;;LL, PERMIT
Dote: 3-19.- l
Site Address: Pt
tot ? 81ock Sub/5ec. Name OI"rj.Yl 'IhIipeOn iit2'1P. ?:
e Address 1712 1bpi=j.I1•S
3 -- -
0
City -;-' -a 'oPhone: 544-73 ? ^
Nome ?=712 ;hJ7,;
.
?
Address ? ` I.t7•?5 _':'dbert. Tr
?
? City -?^ 1Cian-t Phone:
This Permit is issued on the express condition thot oll work shall be
Minnesota Sratutes ond City of Eogan Ordinances. .
INSPECTOR NOTIFICATION
REQUI RED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single ?
Residential 1 <`
Multi Res., Comm./Ind. ?
New/Alter./Repoir
Cost of Instullotion
' Permit Fee .
Surcharge
Total
done in xrnrdence with all epplicoble Stote of
Building Official
No.
CITY OF EAGAN
3745 Pilot Knob Road
Eogan, MinnewM 55122
Phene: 454-6100
PERMIT
Dote:
Site Address: k t
Lot Block Sub/Sec.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single `
Residential I
Multi Res., Comm./lnd.
Name New/Alter./RePOir ri
I
. 7
3 Address Cost of Instollation
O
City Phone: Permit Fee
Nome
? Surcharge
?
g Address
e
0
V .
City ' Phone: Total
This Permit is issued on the express condition that oll work sholl be dane in accordance with oll applitable State of
Minnesoto Stotutes ond City of Eagan Qrdinonces.
Building Official
Receipt ?PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee ?
Fill in numbered spaces S/C
Type or Prini legibJy Tot. ?
1. Date / 2. Installation Cost
?
3. Job Address LotBlk. Tract
4. Owner
l
5. Contractor ? - Phone ? 6. Address 7. citY
8. Building Type: Residential CJ
9. Work Description: New Ll
10. Describe
11.
.??4r
? .,
Commercial ? Institutional 0
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Se
tic Tank
Lavatory p
Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
L.aundry 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 governinp this type of work.
{ Signed : ' for
I
' Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reaipt PLUMBING PERMIT
CITY OF EAGAN
Permit No. ?
Fee
FiJl in numbered spaces S/C
'
Type or Print legib/y Tot.
1. Date 2. Installation Cost
3. Job Address Lot l Blk. LI Tract ?IC L?
4. Owner
5. Contractor ??y J Phone
?
6. Address
7. City State F
Zip ?
8. 8uilding 7ype: Residential ? Commercial O Institutional ?
9. Work Description: New 0
10. Describe
11.
Add ? Alter ? Repair ?
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs 5eptic 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 4544100
Receipt PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
1. Date 2. Installation Cost
3. .lob Address Lot Blk.
4. Owner
i-,;h
Permit No.
Fee
S/C
Tat.
Tract F" `C
5. Contractor ? Phone /
6, Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Descrihe
11.
No. Fixtures -
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Se
tic Tank
Lavatory p
$oftner
Shawer 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 gpverning this type of wark.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 454-8100
CITti- OF EAGAN Remarks
Addition Ridgecliffe 5th Addn. Lot 2 e,ik 4 Pefoei 10 63984 020 04
Owner :.u. ? CtCSLU sveet 4707 -fivlew6a" vn;nr scate Eagan, MN 55122
j o sctc??,
Improvement Date Amount Annuel Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK lU ' 19$2 9812.
SEWER LATERAL
WATERMAIN
WATEA LATERAL
WATER AREA
Services 198
STORM SEW THK 19$2 259.49
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
13UILOING PER. 21912 11 13 SO
sAC 525.00 21912 11 13 80
PARK
CITI{OF EAGAN Remarks
Addition RidgeCliffe 5th AddTl. Lot 3 Blk 4 Parcel 10 63984 030 04
owneT?ill+ K. 6fLt`,lIta,1 street 4709 Osage Point 5tate Eagan, MN 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
SEWERLATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1982 98.12 5 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 Unit
WATER CONN,
BUILOING PER.
SAC 2
PARK
CITY OF ",'IGAN Fiemarks
Addition Ridgecliffe Sth Addn. Lot 1 eik 4 Pe,ce, 10 63984 010 04
Owner r11'f_1 •. i_f I C, 1: 11'ir ;{R1 Street 4708 Snowbell Point stete Eagan, NW 55122
Improvement Date Amount Annual Years Payment Receipt Date
STFEET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK - 1982 98.12 S 98.12 C007616 12-23-81
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 19$2 98.12 5 98.12 -
Services 1982 637.75 5 637.75 C007616
STORM SEW TRK 1982 259.49 5 259.49 C007616 12-23-81
STQRM SEW LAT _
CURB & GUTTER
SIDEWALK
STREET LIGNT
Road Unit 185.00 21912 11/13/80
WATER CONN. 305.00 21912 11/13/80
BUILOING PER.
sAC 5.00 21912 n713/80
PARK
CITY OF EAGAN Remarks "
Addition Ridgecliffe 5th Addn. Lot 4 Rik 4 Parcel 10 63984 040 04
Owner lr (QL4l,J. ?41J Street q'110 S?1C.,% bF ?l 4 ` 5tate
Improvement Date Amount Annual Years Payment Receipt Oate
STREET SURF,
STREET RESTOR.
GRADING
5AN SEW TRUNK 19$2 98.12 5 98.12 COME
SEWER LATERAL
WATEFiMA1N
WATER LATERAL
WATER AREA 19$2 98.12
Services 1982 637.75 5 637.75
STORM SEW TRK 1982 259.49 S 259.49 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Un'
WATER CONN.
BUILDING PER.
SAC
PARK
OdClTlr OF EAGAN
3795 P?'ot Knob Roed
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
1 agrea to eomplr with the Citp of Eagon
Ordinanees.
By
Date of I nsp.:
I nsp.:
CITY OF EAGAN WATER SERVICE PERNIIT
3795 P::ac Knob Road PERMIT NO.:
- Eagan, MI4 55122 . DATE:
Zoning:
;
No. of Units:
i
?C?wner:
iAdoress:
1SIte Address:
?
Plumber:
Meter No.: Connection Charge:
SiZe' ? Attount Deposit;
Reader No.: Permit Fee:
1 agree to eomply wlth the Cily of Eagan Surcharge:
Ordinenees. Misc. Charges:
Totuh ;
By D
t
P
d
Dote of (nsp.: ? o
ai
:
e
In
sp.: GTY OF EAGAN
3795 Pilof Knob Rood
Eagan, MN 55122
Zonina:
Osrner:
Address:
Site Address:
Plumber:
Meter No.:
Size; _ -
Reoder No.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE: ?
No. of Units: ?
I agree to eomplr with the City oF Eagan
drdinanees.
By
Date of Insp.:
int
Connection Chorge
Account Deposit: .
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Date Poid_ -
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No, of Units:
Conhection Charge:
Account Deposit; _
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Dote Poid:
' OF EAGAN SEWER SER VICE PERMIT
i Pilot Knob Road PERMIT NO.:
n, MN 55122 DATE:
n9: No. of Units:
er.
ess:
Address:
agree ^a eomply with the City of Eagan Connection Churge:
Irdinanoes. Account Deposit:
Permit Fee:
5urchnrge:
v Misc. Charges:
)ote of Insp.: Total:
'k.c^ : Date Paid:
UF EAGAN
Pila! Knob Road
, MN 55122
I agree to comply with the City of Eagan Connection Charga:
Qrdinonces. Account Deposit: _
Permit Fee:
Surcharge:
By Misc. Charges: -
Dote of Insp.: Total:
Inso.: Date Paid:
No. of Units:
9F EAGAN
Pilat Knob Road
MN 55122
Address:
iber; _
WATER SERVICE PERMIT
? PERMIT NO.:
DA7E: ?
- No. of Units:
id re
r No.: Conriection Chcrge:
Attount Deposit; _
ler No.: Permit Fee:
we to aompfy with the Citr of Eagan $urchorge:
ndnees. Misc. Charges: -
Total:
Date Pnid:
of I nsp.: . -
I nsp.:
SEWER SERVICE PERMIT
PERMIT NO.:
naTF.
cit -r oF EAaaN
3795 Pil& Kneb Rood
Eagon, MN 55122
Zoning:
Owner.
Address:
Site Address:
PI umber:
I agree to oomply with Hw City of Eagae
Ordinpnces.
By
Date of Insp.:
Insp.:
C1%Y OF EAGAN
3795 Pilot Knob Road
Eogan, MN 55122
Zoning:
Owner. -. r r.
Address:
5ite Address: '
Plumber:
Meter No.:
Size:
Reader No.:
I ae?ee to aanply with the Citp oi Eagan
Ordinonees.
By
Date of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
, DATE:
- No. of Units:
Connection Chorge:
Account Deposir: _
Permit Fee:
Surcharge:
- Misc. Charges: -
- Totol:
- Date Poid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units:
- Connection Charge:
- Account Deposit:
- Permit Fee:
$urchorge:
Misc. Chorges:
Total:
- Date Paid:
- I nSD.:
BUILDING PERMIT APPLICATION
To be used ier 1 Of Q leX Est. Volue /+0 000
sire Aedress 4707 Osage Pt. (Model 83
Lot z Biock _4 Sec/sub. Ridgecliffe 5
Pnrcel #
rc Nome (lrrin Thnmz'iSnn Homaa
3 Address 1712 Hopkins Crsrd.
? ,.,_. Minnetonka, 544-7333
p Name _
?
?< Addrew
z
Nome _
Address
I hereby acknowledga that I have read this application and state that
the informotion is correct and ogree to comply with oll applicable
State of Minnesoto Statufes and City of Eogon Ordirnnces.
Receipt #
N? 6.379
atcill "?
Ered gFKk Occupancy x3 _
Alter ? Zoniny PD
Repair ? Fire Zone 3
Enlarge ? Tyce of Const. V
Move ? # Stories
Demolish ? Front 26 ft.
Grode ? Depth 26 ft.
ApproYUls gai. S
Assessment _
Water & Sew.
Police -
Fire
Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit 117.7v
Surcharge 20•00
Plan. check 57.75
snC 525.00
Water Conn. 305.0?
Woter Meter 60.00
Road unir 1$5.00
Torol 1, 268,25
Signature of Permittee I
A Building Permit is issued to: OT'Tlri TlOIRpSOri HOW(,'S on the expreu condition that
oll work shall be done in accord?c1m'ce ?with a/llpppli/ blecy? State of Minrresotu Statutes and City of Eogan Ordirwnces.
Building Officiol
CITY OF EAGAN
3795 PiIM Knob Reud ?ogan, MN 55122
PHOIJE: 454-8700
CITY OF E)1C',4N
Include 2 sets of plans,
1 site plan w/elevations 6
BUZIDINC; PERMiT_pPPLICATION 1 set of eneiyy calculations.
? 0°C/
?b Se Used For RE-ID tie Valuation'? ? I Date N o?l •'Ii 19 Bo
site t+ddress: 4'707 osqG,E Pt-: (MoDK E3) oFFIcE usE otJt,Y -
Lot 2 slocx 4_ sec./sut- PAQGECj,? Erect
Pancel F% RN Alter
Repair
Owner: Enlarge -
Nbve
PdC1tESS: a Division of U, S. Home Comnrari,,. Demn115}l
iiizHUPKINSCROSSROqD Grade
C11y/Z1jJ COde: _ MINNETONKA MINN 5q3,2
Phone # : 5'! 4 - l33
Contractor:
A[1dr2SS: a Division ot U, S. Home Corporation
.O. lqs LR , UAL)
City/Zip Code: MINNETONKA, MINN. 55343
Phone
Arch./EIng.:
Address:
APC
occupancy /P3
Zoning ?O.20-
Fire zone 3
Type of Const. /
# Stories
Front ft.
Depth '5Z6 ft.
AYYR[JVAIS F'EES
?
Assessrents Permit
Water/Sewer Surcharge
Police Plan Check
Fire SAC -a?
Eng. Water Conn-
Planner Water Meter ( 0
Council Road Unit
Bldg. Off.
City/Zip Code:
Phone #: TOTpy
cinr oF EacaN
3795 Pilw Knob Raod Eagqn, MN S5742
PHONE: 454-8700
BUILDING PERMIT APPLICATION
Site Address 4/Uy usage rti, l Moael o
Lor 3 ei«k 4 sec/S.b. Ridgecliffe 5
Parcel #
m Name Orrin Thomncon Homes
; Address 1712 HOpkinS CTSTd.
o _ Minna+.nnka_ Tdn SdL-7424
? Nome _
0
0? Address
Name _
Address
I hereby acknowledge ihat I have read this applicotion and state that
the information is correct and agree to wmply with all applicable
Stote of Minnesow Stotutes and City of Eagan Ordinances.
Receipt #
N? 6380
vqi Y
R'3
Erect Ek Occupancy _
PD
Alter ? Zoning
Repair ? Fire Zone 3
Enlarge ? Type of Consf. V
Move ? # Stories
Demolish ? Front Z?ft.
-
Grade ? Depth ?
fr.
Appravnla ees
Assessment Permit 115.50
Woter & Sew. Surcharge 20.00
Police Plan check 57.75
Fire SAC 525.00
Eng. Water Conn.305.00
Planner Water Meter 60.00
Council Rood Unit 185-nn
Bldg
Off
.
.
APC
Total 1-21`?8 25
Signoture of Permittee I
A Building Permit is issued to: OY'Tlri ThOInASOri HOri12S on the express condition that
oll work shall be done in acmrdance w'th all oppli? le St1 xe of Minneofa Statutes and City of Eagan Ordinances.
Building Offitinl / il ?o //O
CITY OF F1CkN Include 2 sets of pl.ans,
.?e? Q(? " 1 site plan w/elevations S
Q BUIIDINC; PII2M:^I' 11f'PLICATION 1 set of energy calculations.
r,,/?, a 0 -
'!b Be Used For R f??p?ti,p Valuation'??o?"/ Date N a,l •Z, 19 8 0
Site aaares5: y-toq pspG (MoOK 83) OFeICE use oNII,Y --
tot 3 aiocx ? sec./sub• B?ME4L1FtS Erect .?_ °ccutacy
Pamel F%FTN Alter Zoning ?
Repair Fire Zone
Oaner: Enlarge _ Zype of Const. Ll
hbve N Stories
Address: a Division ot U. S. Hom, Dmnlish FYront _ ?(O ft.
1112 KWS CROSSROAD CrddO Depth ?(' ft.
City/Zip Code: _ MiNNETONKA MINN F5342 --? ;Z,6
Phone #: 5 4 4- 133 APPROVAI.S FFFS
Contract,or: 9RR I N-xa-19M P9ANI IC)t,r ES ?
P[3dr2S5: a Division o( U, S. Home Corporation
City/Zip COde: MINNETONKA, MINN. 55343
Phone #:
Arch. /II-ig. :
Address:
City/Zip Caie:
Phone #:
Assessrients Pezmit
Water/Sewer Surcharge
Police Plan Check?
Fire SAC 3
FSng. Water Conn. ?p S'
Planner
Council Water Meter ?
Rc>ad Unit /
Bldg. Off.
APC
'In'I'AL
CITY OF EAGAN
• 3795 PIIM Kno6 Raed Eagan, MN 53722
. PHONE: 4548100
BUILDING PERMIT APPLICATION Receipt #
Te be med for 1 of 4 plex Est. Value 40,000 Oote _-
Site Address 4tu0 ouowoell rti. k nnoael
Lor 1 Block 4 Sec/Sub. Ridgecliffe 5
Parcel #
. Nome Orrin Thomnson Homes
Z Address 1712 Hopkins Crsrd.
o „_ Minnetonka
, 544-7333
p Nam _
?
?' Addre ess
Name _
Address
I hereby acknowledge that I have read this opplication ond state that
the information is mrrect and agree to tomply with all applicable
State of Minnesoto Smtutes ond Ciy ot Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: (lrri n Thn»,.,aGn v,....,
oll work sholl be done in accordan ith all app' b e tote of Mii
Bullding Official
N° 6378
-:? i y/ 1---
Erect gE3 Occuponcy R3
Alter ? Zoning PD
Repair ? Fire Zone 3
Enlarge ? Type of Const. - V
Move ? .# Stories
Demolish ? Front zb ft.
Gmde ? Depth 26= ft.
Aoorovnle
Assessment _
Woter & Sew.
Police
-
Fire
Eng.
Plunner -
Council _
Bldg. Off. _
APC
Permit 11'?.7U
Surcharge 20.00
Plon check 57.75
sac 525.00
Water Conn. 305.0?
Water Meter 0.0?
Road Unit 185.00
Toro1 1,268.25
on the express mndition tFwt
Statutes and City of Eogan Ordinances.
g ? TY O- F,CAN
? ,? ? • BUIIDINC; PERMPI' pPPLICATION
? e°_"5
Include 2 sets of pl<vts,
1 site plan w/e]evatiorLS
6
1 set of enezgy calculations.
7b Be Used For ?
Valuation ,sp pate
Na11•'7. 1480
site Address: 4Zpg SNowg ti QT: MovEt 83? oFFI(E USE OrII,Y --
Lot ? Sloc]c q_ Sec./Sub. gWGEC.LlFE!6 Erect
Pamal A. F1GTN AI.tET
Owner:
Pddi25S: a Division of U. 5. Hom, CCrDnrAjjnn
KINS CROSSROqD
City/21p COd2: MINNETONKA n•I•jN csuq2
Repair
Enlarge
Nbve
Dennli5h
Grade
o???cy 13
Zoning 1a,6
Fire Zone ,q
Type of Const. ?l
# Stories
Front ft.
Depth f t.
s,r.. .'lo? :L
Phone #: 5 4 4- l33 3 APPFdOuAI.S FEES
Contractor: gRRIN-TH9M?'S8(i I IG?;ES---
AddT'C'S5: a Division of U. S. Home Corporation
C1ty/Zlp COd2: MINNETONKA, MINN. 55343
Phone #:
Arch. /Eng. :
Address:
Assessrents Permit /dK?;M
Water/Sewer Surcharge
Police Plan Check
Fire SAC 6-acT- ?
EYKJ. WdtPS C0I171. -7 6 3`
Planner Water.Meter ?
Council Road Unit
Bldg. Off.
APC
City/Zip Code:
Phone #_ TOTpS, ? .
o?
? ? A r,
CITY OF EAGAN
3795 Pilot Knob Road Eegan, MN $5122 N2 6381
' PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt {p 4l '2?
To be uced foe 1 of 4 plex Est. Value 40,000 Dote 11-13 _, 19 80
Site Address-4710 SnowhPll Pt (ModQ] $3) Erect XEk Occupancy R3
Lot 4 Block 4 Sec/sub. P-idgecliffe 5 After ? Zoning PD
Parcel #
w Name Orrin Thm=eon Homas
; Address 1712 Aopkins Crsrd.
? ,._ Minnetonka, 544-7333
p Name _
i?r
Address
? row,
Name _
Addres
I hereby ocknowledge tFat I have reod this appliwtion and stnte thot
the Informotion is correct ond ogree to comply with all applicoble
Stote of Minnewta Statutes and City of Eogan Ordinances.
Repair ? Fire Zone 3 _
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 26 ft.
Grade ? Depth 26 h.
Approvelf gax e
Assessment -
Woter & Sew.
Police -
Fire
Eng.
Planner -
Council -
Bidg. Off. -
APC
PermiT 117. 7U .
Surcharge 20•00
Plon check57.75
snc 525.00
Water Con005• 00
WaterMeter 60.00
Road Unit 185.00
Taol 1,268.25
Signoture of Permittee I
A Building Permit is issued ro: Orrin T.f107IlpSOt1 HOID2S on the express condition that
all work shall be done in atwrdancp)with all applicobfp Store of Minpesota Statutes and Clry of Eogan Ordinances.
Buflding Official
CI'I'i' OF FJaC'.aN Include 2 sets of plans,
?1 ` . N , 1 site plan w/elevations 6
: ,? BUILDINC; PERMIT pPPLICATZON . 1 set of energy calculatians.
'ib Be Used For -RES-jprLkjeP Valuation???,-9,tt?Q6 pate
NoV•'Z, 1480
site Aaaness: q-7I o SHOwaEU. Pr Mova+. 83) OFFICE USE ONII,Y -
Lot 44 slock sec./sub- Rlpyf[.A,1EES Erect _X occupancY
Parcel #: FtFTk Alter Zoning -
Repair Fire 2one
Owner: Enlar9e 'Iype of Const.
Nbve # Stories
Address: a Division ol U, S. Hom? C r Dermlish Front 19-10/ ft.
Kin?s ceossROno Grade Depth C ft.
Clt}?/ZlP Code: MINNETONKA MINN 5",3Aa P?&,
Phone #: 54 `i - l33 3 APPrtOVa.is FEES
Contractor: npollV TH9MRSON ! 1OMES-
AddTeSS' a Division of U, S. Home Corporation
wPKJN
C1iy/Zip COde- MINNETONKA. MINN. 55343
Phone k:
Arch./tng. :
Pddress:
City/Zip Caie:
Phone #:
Assessrents Permi.t
Water/Sewer Surcharge
Police Plan Check
Fire SAC
E.lig. Water Conn.
Planner WatEr Meter
Council Road Unit
Bldg. Off.
P.PC
?TAL
mmnaso[& iidl9 OOafO or e19GirICi[Y
Griggs Midway Bldg. - Room N791
1821 Universiry Ave., St. Paul, Minn. 55104 - Phone 297-2117 .y f?r
?EQUEST FOR ELFCTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REpUEST
I E13-00001-02
T 26795
Type ot Building Ne Add. Rep. Chmk Appliances Wired Fm Check Equipment Wired Foc
Home
1
8 ? ? Range ? Temporary Wuing ?
Duptex 1 D C3 WaterHeatet ? LighdngFixtuies ?
t.731dg. ? ? ? D[ye[ Electric Heating ?
mercial Bldg. ? ? ? ?
Fumace Silo Unloader ?
dustriai Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank ?
List List
Other ? ? ? Btheis?
ere Rthers?
e:e
COMPUTE INSPECTION FEE BELOW
Service Entrance Size:11 # Fce FcedersflSubfeeders: e Fee Cucuita: u Fce
0 to 100 Am s. L 7. 0 to 30 Am eres 0 to 30 Am res 11
IOtto 200 Amps. 31 to 100 Am res 31 to 300 Am res ,OU
Above 200,_Amps. Above 100 Amps. Above 100 Amps.
Tranformer. RemoteConkolCixc. Partialorotherfee
S' r" Special Ins ction Minimum fe
Rem '
TOTAL
I, th 12c ncal Inspector, hereby certify t}y?
rn,...,.ti :..1
(Final)
This request void
18 months from
been?a ?F--F/
e _. l
T8his r ^. rst voia ! y l?` ? ?'?JW?-?J ? ? ? , N7
1?.a.?from
Date o this Request Z? Fire No. T26795
I, aLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal iring installed at:
Street Address or Route No. ?? ? S?W??'L?-- ?• C?inty ?'?`?
ioon Township Range County IJR??'
Which ig occupied by
Is a roughin inspection required on this job? No ? Yeo<, Ready Now O. Will CaU.K
PowerSupplier F+-FJ Address rhE`"?(tJ(,70J
Electrical Contractor bc,'L- Contractor's License 435525
? (COmpany N3me)
Mailing Address _
.
' ithorized Signature
or
No.
(tlectrlcal contractor or owner Making This Ins[allatlon)
-?1 E L/M?s1RD COfT ? This inspection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
Minnesota SWte Board of Electricity
• Griggs Midway Bldg. - Room N191 EH-00001-02
y1821 University Ave.. SL Paul. Minn. 55109 - Phone 297-2111 , ???
CH?; -REQOW WORKOCO ERED BYICAL
THIS "o?EST'o" l`? 2 6 7 9 4
T e of Budding Ne Add. Rep. Check Appliances WiredFor - Check Fquipmenl Wimd For
He ? ? Range Temporary Waing
J.ex
?
?
Water Heatei
Lighting Fixtures ?
?
. Bldg. ? ? ? Dryec ? Electric Heating ?
mmercial Bldg. ? ? ? Fumace Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ?
Faim List List
Other ' ? ? ? Oehersl
fi Oe?ersf
ki
COMPUTE INSPECTION FEE BELOW
Service Yntrance 5ize: Fce Fceders$Sub[eede[s: # Fet C'vcuits: # Fx
0[o 100 Am s. 0[0 30 Am eres 0 to 30 Am eres
104 ta 200 Amps. 31 to 100 Ampcres 31 to 100 Am res
Above 200 Amps. Above 100 Amps. A6ove ]00 Amps.
Transfor o emoteControlCirc. Partialoto[herfee
Si ns- peciai Ins ection Minimum fee
Remarks TOTAL FE U.VT9 Aa
I, the Electrical Inspector, hereby certify tifaj?N ab ^ci o been3na? ?y
(Roueh-inl v / ate ?L 6
(Final)
This request void
18 months from
REQUEST FOR ELECTRICAL INSPECTIOM . ?.,, ee-oooot-oa
? 342 ' Sea instructions iry complebng this torm on beck of yellow copy.
"XRe;ow Wark Covered by ThrsRequest 3 l zg 3
N QAd Nep. Tyoe ol eu61din0 APPlutec05 Wired Equipmnnx Wiretl
Home Range Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. Building Dryer Electric Heatin
? Commercial Bldg. rnace Silo Untoader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm «,e. oe.i v mer ISOec, ryl "
t r?r ucc. Y Ot er Othor
Campute lnspection Fee Below
# Fee ServicaEntranca5ixe N Fee Feeders/SUb(eeders N Fee Circulta
0 to 700 Am s r1 ; -? 0 to 30 Am s 0 to30 Am s
10? 200 Amp 31 to 700 Amps 31 to 700 Am s
Above?za0\ pm? Above 700_Am s Above 700_Am s
Tr nsorrt{ s"\ ?, v ' Remote Control Circ. Partiaf% Fee
Si qns 1- Special Inspection g
O
Remarks P6 TAL FEE
RouBh-in Date 1. trya Elamricel
Inspactor, hareby
certity thet tha above
'Final - ?t" ' insoeetion has beon
. ; y? rsade.
This repuast voitl
1R i....nrF? L-
v
This request void 7
18 monthc from
s 4
Dale o this Request 55t Fire No. T 26794
I, aicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal VrriW installed at:
et Address or Route No. `? ? a SN"?WM?"L- ? City
?tion Tawnship Range County Dlil'01?t
Wtuch is occupied by OP? ? N 1 ?' ?MPSaN '?V MES
. 0 iName of oc<upant)
Is a roughin inspection required on this job? No ? Yes?4_ Ready Now ? Will CallK
Power Supplier Address FWNN GZ?
Electrical Contractor Con[ractor's License N0rVxZ5__
(Compa?!n,y N'ame) n,?
?• fl?" 1wN.
MailingAddress 1?ti u-?
? (Ele iwl ntrac or Ow r Makin9 Thls In5ta11aHOn) f.y, ? ry!?
Authorized Signature -W??Y4a,J` "
(Elac4ricai Contractor or Owne
Va?? ?OOD 03pr
Phone
7hisinspectian request will not be aecepted hy the
State Board uniessproper inipection fee is enclosed.
_fnin equest void ?y-I
18 rei `ths trom l?
?,'? 21882
(DC?G7
Hequest Dat •
I . Fire No. Rough-in Inspaction
fleqmred?
eady Nuw ? Will Nntify. InsPec-
? ?YOS Lq'IQo tor When Reatly
ML1cen5ed ElecVical ConVactor i hereby request ins0ection of ebove
? Ovaher,. elecvical work inate.lled at:
Street .Qdtlress, 9oz or Nout No.
n
f OQ
s? n
V C^?//?lJ CiLYo
((!
ection o. Townshi0 ama or o. Rangn No. County
OccuprntlPRINTI
l ?? Il%?V ) ? Phone No.
Power Supplier Address
Elecvicel actor ?C any Name
,?
I Cnntrector's Liconse No.
O 7?i -
Mail'np Address IConVacto r Owner Mekin Ins[allatlon)
S s /7O J? n/
L?J3 2
Authori e iBnatur ?ConVa Ow er kinp Installatin Phonn N mber
a?- a -V- ga
MINNESOTA STATE BOAND OF ELECTRfCITV v THIS INSPECTION REQUEST WILL NOT
Gripae-Mitlwey BId9. - Aoom N-197 BE ACCEPTED BY THE STATE BpqqD
1ffi7 UniversitY ?+ve., St. Paul, MN 661.04 UNLESS PROPEP INSPECTION FEE IS
o.___ fn»i 1ozoin ENCLOSED.
mfnnesofa State eoartl of Electricity ,.,
' Griggs Midway Bldg. - lbom N791 EB-00001-02
, 1821 U iversity Ave., St. Paul. Minn. 55104 - Phone 297-2171
CHEC'K BELOW WORKOCO EREDTBY'THIS AEOUEST ??N ?J T26791
Type of BuAding Ne Add. Rep. Check Applianceb W' For Check Fquipment Wited Fm
Home
0 ? 0 Range
18
Tempoiazy Wuing
k
Dup1Bx 0 ? ?
Watex Heacec
Lighting F'uctures d
I t. Bldg. ? ? ? Dryei F.lectrlc Heating ?
mercial al Bldg. ? ? ? Fuinace $ilo Udoadet ?
lndustxial Bldg. ? ? ? Av Condilionei Bulk M0k Tank ?
Fazm ? ? ? List List
Other
?
?
? p
Herels? p
HeferS?
COMPUTE INSPECTION EEE BELOW
Selvice Entrance Size: ? Fee Feedeis&Subfeede=s: # Fce Circuits: # Fce
0 to 100 Am s. 0 to 30 Am eies 0 to 30 Am eies
101 to 200 Am s. . 31 to 100 Am eres 31 to 100 Am eres ?
Above A ?; .. Above ]00 Amps. A6ove ]00 Amps.
Transfo " . RemoteConttolCirc. Pac[ialorotherfee
Signs Special Ins ction Minimum fee $5
Remazks
? r
TOTAL F ? f0
I, the Electrical lnspector, hereby certify thafi4#?
lRnnoh_inl ??C•%
(Final)
This request vaid
18 months from
This req2est void ??
14 modth? from ey?'
?????
r
Date oi this Request Z Fire No. T
I, a4-0 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal ib'Iri?lg installed at:
* et Address or Route No. `flo? \.JsI?T ?? CityEAbAa
ion Township Range County lbhtz IA-
Which is occupied by ??? 4 S"? HDt.'eS
(Name of Occupanq
Is a roughin inspection required on this job? No ? YeCK? Ready Now 0 Will Cal!49?
Power Supplier 1-Ch Address i W+?0 6F-1?
Electrical Contractor ? L6t-i /Z4(__ Contractor's License NRS51!?,
, (Company Name)
Mailing Address
(L tnc? c acto. or ownar makinq Tnls Instailatlon)
Authorized Signature Phone No. 13-905-
(Electrical Contractor or owner Maklnq 7hls Installatlon)
?Q%RD C?? ??1? This inspection request willnot be accepted by the
? , State Baard unless proper inspection fee is enclosed.
mmnesota state noard ot eiectricity
Griggs Midway Bldg. - Room N797 EB-00001-02
7821 University Ave.. St. Paul, Minn. 55104 - Phone 297-2111
` `- REQUEST FOR ELECTRICAL INSPECTION
CHECIS, Bf4syW WOAK COVERED BY THIS REQUEST 2 6 7 9 0
TypeLf Building New Add. Rep. Check Appliances Wire4 Fm Check Fquipment Wrced For'
Home
Du
lex ?
? ?
? Range
W
t
H
t
? Temporary Wiring
' ?
p a
er
ea
er Lighting F
ixtures
Apt. Bldg. 0 ? ? Dryei Electric Heating ?
mmeccial Bldg. ? ? ? Fumace ? Silo Unloader ?
ustrial Bldg. ? 11 ? A'v Conditioner Bulk Milk Tank ?
List List
Other ? ? ? p
HeierS
? p
HeierS?
COMPUTE [NSPECTION FEE BELOW
Service Entrance Size: # Fee Fceders&Subfeedera: # Fee C'vcuits: u Fce
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 ta 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Am s.
Transformexs Control Circ. Paztial ox o[het fee
Signs cia' spection Minimum fee $5.00
Remaiks TOTAL FE rj ?j0 •QL7
I, the Electrical Inspector, hereby certify that [ile-pbove ipsppctiyn has been
?
(Final)
This request void
18 months from
This request void r,t' C'/: ii
18 iwonths from
Date Tfl?this Request Z- Fire PIo. ?26790
1, a?Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal ?iring installed at: .
Street Addcess or Route No. ??Qll City
•ion Township ` Range County ? )W"TA-
^- - ? .
Nhich is occupied by
Is a roughin inspection required on this job? No ? YesA, Ready Now ? Will CallQ(
Power Supplier I??a Address Wh(ihJM-M
Electrical Contractor EL4CTIL1 Contractor's License N?a is2'S
1??? ?(COmpanyName)
Mailing Address w ?'
(Ele rical ntra or Owner Making Thls Installation)
Authorized Signature l" Phone No. ?0A?_505
(ElectNC Contractor or Ownel Making TMS Installation)
This inspecuon request will not he accepted by the
State Baartl unless proper inspectian fee is enclosed.
SEDGWICK HEATING & AIR CONDITIONING CO. TES"T Rec"oRO JOB NOV ??
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000
ADDRESS C)
OCCUPANT
SOLOBY (3 '2c` qwL 'c?
CITY `. (Aj
d
OWNER ??-.fJ e L' c?-}- ?? C E N
INSTALLED BV
MAKE ?' 2lJN c-,c
SERIALNO. I013,?
THERMOSTA7 (--f06UuU
VALVE .w.
LIMIT f-t
LIMIT SETfING ?
(9D
\
FAN SETTING T?
r"?
PILOTTYPE ??
IGNITION MODEL C-
`
PILOTTIMING vvk A?+
-j
PRESSURE -`'? ?-S PERCENT CO
2
INPUTCFH (a & PERCENT Oz /
?/•
°
2 ?
STACKTEMP.
J? PERCENTCO o
FORM 235 (REV. 11189)
MODEL G 4 U CSt-4 d--'I A- CS
INPUT
VENT SIZE
NPEOFLWER Y-V
LINER SRE
FILTERS: SIZE
! //
NUMBER
WIRING 44>
TEST 7AG ^ D
? JUL 2
LIGHTING INST.
DATETESTED / -nr 0G
COMPANYTESTING ? Lr _
NAME OF TESTER
DISTRIBUTION-WAA . COPY- fQJLFILF
VEILOWCOPV-CITV
„ ° C?Prtif?iitttr ?of ru?ttnr
. ..` , ,
?Citp .of (eagan . .:
Prpttr#tttent of +?uilbing 3nsprrtiut?
?Tlnt`Cerqticatt,iscutd purtuattt to tbe reguiremenat of Secdion 306 of dlx Uniform Buikling ;
< Cede rMi f ying tbat at the timt af icruantt thit tNUtture war in tom pl/antr witb tbe variout
, ordinanrtr o f tix City ngulating building ronttruaion or ura For dfie following:
.. 'u.cwq?.
l nf 4 Plot eme.r«tNO. 6381
OcwipocyType A3 1'ypeCmalacoan V P{roZann 3 ZontiogDissria' Pa
,°Oraro£Buudln6 0M"4.'ll M4f1IItPS071 eaaron 1719 HnnktnaCran??[{?g.?i
- eo? ?? gh 6 16=81
.
? ? •? > > ?A ? .. n .p So - .
rttftr?it??'nf
?r,partatrnt irf Building ?lrisprruwn
Jbit Certi fitatt iitued purtrulrtt ro the requirrnienu of Seition 306 of the Uni form Bnrlrltng.; "
Code mtifying ehat at the time of issunnct tbit ltrudun wus in compliancc witfi the variout :
; ordinancer o f the City regulating 6uilding ronn+uction or ure. For the f ollowing: :
.VVCluufic?um1 I DP 4, PlPY BIdg.PemtltNo. '0; 378 - ?
?.Om?P^?Y'?YPe p?.? ---'rYPCowtrvc0on_1?PiroZav. 2au^8 UStitct'P? .?.
.: -" ... '.. .• -.,. .,o:?\
wwur = x? nnk . 4_ w? no>n0 •
B?aw,?aa?, `, i 7A8 4nnbe31 Pt .
yq\
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?itp of faga}y ll
?•_' ? : BFvMYfrilPttf Af BLttlDiltg Aw}iPffTlltt,
4Thi.r?Cirtr flcate zrtutd Qurtuqru to tix roqrriremenu of Secuon 306 of the UnI form Buildmg„=
; Codicerti fying thai ad tIx timt of utuanrt thu nrruture war in compliana with tlie vurioba
sordinanrrroftheCityregulatingbuildingmnrtructionorure. Forsbefollourinb:
u;?o??aW' = 1 of !? P1BS siae.Po,,,,;,HO. 6379
7.
,R3.?r,,,cm,q FiaZ.e 3
Owrcioi - (ti'23n...Thomnson Aaa. 1712 HoAls
%j ??
9uddlvgAdd?ea ..:/h/???? D-I.orality J,v'f.?B3.C
BY , . s iE
".? s s°tf? ??-1i? oca ;
d,
w =NOPFC? pil
.r...a
Yfl
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u.noir+J.s.A.
CITY USE ONLY
PERMIT #: S 5 57 o
RECEIPT DATE:
9 4 U/o ?__
8008 ftUIDENTIIkL M£CHANICAI. PEfiMIT APPLICATIOR
C11'Y Oi' £Afii41Y
. 3830 P1LOT KFOB RD
8lk&kR MF 551 EE
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: vl I ) jO7.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAMI
STREET ADDRE;
CITY:?1 ???1 . AQLLLD
Place a check mark next to the permit work type
Add-on, modification or alteration to existin dwelling unit $ 30.00
V4' furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: r D)7I C.?? h( J?r FL1.(..? ._ F (? 1 ?
?S 9?002
?.
_---
-_`-
State Surchar e $ .50
Total S ?, 5J
lX ?? Ik?
SIGNATURE OF PERMITTEE
U02
STATE: ' / ' Y y Z1P: 6,?Sc/20
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2002 L'DMMEEtCilAl. MECiHANjCiA. PEftMrr APPIJCiATIOR
CITY OF EAfilk1V
3$30 PILOT KFOB [tD
EtekfiAN, MN 55122
651-8$1-4675
Please complete for; all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
nATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IIvIPROVEMENTS ONLl):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP: '
W ORK T'YPE: New conshucrion Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processe3 Pipir.g
Specify Nature of Work:
When installing/removing underground tank, cal! 651-681-9675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minlmum fee, wlilchever is greater.
Underground tank removallinstallation = *+m;mnm fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATtTRE OF PERMITTEE
Updated 1/02
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD • 55122
? 851-681-4875
> S reglslered tlfe wrveys showlny sq. ik o( bl, aq. fl. of hane
and 99 roofetl areas f20X mmdmum lot coveraae albwetll
> 2 coples o( plana (show beam fl windpw slxea: poured Gid. dealpn: etc.)
n 1 set a energy calculallaro
D 3 coples of hee preaervaMOn plan If IW plalfetl alter 7/1/93
DATE: -2` ' Z) O
-7-7 1 1
2 copies of plan
1 sat of energy calculations br heated addlHOns
1 tife wrv6y tOr bxtedw addlHOn3 a d6Ck3
co?UCnoN cosT: o D 0
DESCRIPTION OF WORK:
STREET ADDRESS: 1/7 0) -?-
Y J v S / •? e. f«<? ?? `? 7 d
LOT: 61, •3. `/ BLOCK: SUBD./P.I.D.
Namel )Il S,l CJA- S o c. Phone #: p0
PROPERTY Las fj Flrat
OWNER
Sfreet Addreas:
Cly Sfa1e: Zip:
. Company: EVe. r?cS 71 r? S'( 410 (bGS f f) C. Phone M: (D I?' ?" 3?? ?? 7 0
CONTRACTOR (area code)
q /
Sheet Address: ? 6'? U X-. Ilcense 9 3 C) a Exp,
cny ? ?nrr, s v?' 1 IL- s?are: i? n? zip: S S 3 3 7
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Sheet Address: RegishaHon #:
Gy
S1ate:
Zip:
Sewer/water licensed plumber (if Installirw sewer/waterl: Phone #:
I hereby acknowledge Ihaf I have read this applkalbn, slafe Mbf 1ha fn(ortnafion is cortecf> and agree to compy wHh ap appgcable State
of Minnesota Stafutes and Cily of Eapun Ordinances.
Signafure of Applicanh
OFPICE USE ONLY QI I
Certificates of Survey Received _ Yes _ No ' p?? ? 1 2000
Tree Preservation Plan Received _ Yes _ No _ Not Required
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-ptex
? 02 SF Dwelling ? 08 06-piex
? 03 07of_plex O 09 07-piex
? 04 02-plex ? 10 08-plex
0 OS 03-plex O 11 10.plex
? 06 04-piex O 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
aFFICE USE ONLY
? 13 16-plex ? 21 PorCh (3-sea.)
? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 18 Deck ? 23 Porch(screened)
? 19 Lower Level ? 24 Storm Damage
Plbg _Y or_ N O 25 Miscellaneous
O 20 Pool ? 30 Accessory Bldg.
O 36 Move Bldg. O 43 Reroof
? 37 Demolish (Bidg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
0 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS IN3PECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/ES SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
°1o SAC
sq. ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
? 31 Ext. Alt - MuIG
? 33 Ext. Aft - SF
? 36 Mutti
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
p
I 651-681-4875 ? U
New ConshucHon Reauiremenh Rgmodel/Reoalr Reauiremenh
% 3 reglsfered aite wrveys showlnp sq. B, p( lot, sq. tt, ol house 2 copies of pian
and Qfl roofetl areas (211y, mmAmum lof covemaa ailowed) 1 set o1 energy calculaflons for heated addlHons
? 2 coples of plarn (show beam 8 wlntlow sizes; poured fnd. tleslgn; etc.) 1 sBe survey tor exteAOr addlMOna & decks
?1 set ol enerqy calculaMOns
? 3 cople3 0l hee preservaHOn plan If lot ptaMed alter 7/1/93
DATE: CONSTRUCTION COST: ? I O i G O?
DESCRIPfION OF WORK:
STREETADDRESS: _?7( )[)4- -o S.,3c,(J[oe// d'?• ?/707 -c/7 09 0 .les?
o?
LOT: I,?yF BLOCK: ? SUBD./P.I.D. M: /Z?C/t?;r
Namel I1S,l C?,1tC- -kr' S oc . phone 41: Nl/ - 3 So ??
PROPERTY tastT- Flnt
OWNER
Sheet Address:
City State: Zip:
. Company: (_-i/z r t'v s 41' ? F? 441 mCS (0 c . rr,one n:
(
CON7RACTOR , area code)
Sheet Address: ? 6''•, lJcense # ??-) Exp, 71 31 U I
CNy I7 ?Y" 1 i S Y? ? ? L. State: M16 Zip: S-3, S?12
ARCHITECT/
ENGINEER Company: Name:
Telephone I: (
Sheet Addreas: Regishatlon #:
ciy
srate:
Zip:
SewerJwaler licensed plumber (if Installina sewer/water): Phone #: (?
I hereby acknowledge ttwt I have read fhis apptlcatbn, sfate that the informafion is correct, and agree to comply wNh all appiicable State
of Minnesota Staiutes and City of Eagan Ordinances.
Signalure of Applicant:
OFFICE USE ONLY rOEO ? U`? ?Certifcates of Survey Received Yes No 1 12000
Tree Preservation Plan Received _ Yes _ No _ Not Required _
OFFICE USE ONLY
3UILDING PERMIT SUBTYPES
7 Ot Foundation ? 07 05-plex
3 02 SF Dwelling O 08 06-plex
7 03 01 of _ plex ? 09 07-plex
7 04 02-plex ? 10 08-plex
7 OS 03-plex ? 11 10-plex
7 06 04-plex ? 12 12-piex
NORK TYPE
7 31 New
J 32 Addition
7 33 Alteration
] 34 Repair
? 13 16-plex ?
? 17 Garage ?
? 18 Deck ?
? 19 Lower Level ?
Plbg _Y or_ N O
? 20 Pool p
21 Porch (3-sea.)
22 Porch/Addn.(4-sea.)
23 Porch (screened)
24 Storm Damage
25 Miscellaneous
30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)• ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolitlon permit
3ENERAL INFORMATION
3AC Code
Vo. of Units
Vo. of Buildings
?onst. (Actual)
(Aliowable)
JBC Occupancy
?oning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
VIISCELLANEOUS INSPECTIONS
J Stucco/Stone
4PPROVALS
'lanning Bu(Iding
Engineering
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
? 31 Ext. Alt - MuRi
? 33 Ext. Aft - SF
O 36 Mufti
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
ValuaGon:
SAC Units
% SAC
-:? 9- (_0 o I
2006 RESIDENTIAL PLUMBING PeRnniT aPPUCATiorv
CITY OF EAGAN
3830 PiLOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Piease complete for modifications to existing residential dwellings.
<? 1s.s°
Date 3 l?1 1 l.?
Site Street Address y1a S Cjq o? L -J?j'%Y'tl' Unit #
Property Owner 11_4),3CCCR. Y1(NQk6.Q.fS Telephone #("1 ) 4 5-1-44S39
Contrector t?l?'dS ?AJh.?tj?v?A 1?ors?W? -a-Af 5Qxv1CQ_?T phone #((p51 ) 21-b-lltfO
AddcES:Y:_,, CityState JW?. Zip J`? 70L__.
The Applicant is: _ Owner $,-Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alteretions to existing dweliing $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing onl a water softener and/or water
heafer, do not complete this section; move to the next section and check the
appliance(s) you are installing. ? - --
_
i
_Septic System Abandonment
n . .
_Water Tumaround (add $130.00 if a 5/8" meter is required)
_Other.
Water Softener ? Water Heater $ 15.00
_ new ? replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ ,sp
Total $ (?;7v
i nereoy appry ror a rcesiaennai rwmbing 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 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 tie in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
tAm? t` akevAa,? tMP4..?e- uQa Ok&&
ApplicanYs Printed Name App icant's Signature
?
? XCX> 41
2006 RESIDENTIAL BUILDING rEx2vnT arrr.rcaTroN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. fl of lot, sq. R of house; and all roofed areas
(20°h mazimum bt coverege allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 wpies of Tree Preservation Plan ii lot platted after 7/1193
Rim Joat Detail Options selection sheet (buildings with 3 or less un%s)
Minnegasco mechanical ventilafion form
RemodeVReoair Reauirements
2 apies of plan showfig foofings, beams, joists
1 set of Energy Calcula4ons for heated additions
1 sile survey for additions & decks
Adddion - indicate if on-site sep6'c system
?i a_f, .a5
Offce'Use?OnN
CeRofSurvey=Recd _Y'-_N
Tree PRS Plan-ReaJ _Y _ N,
Trea Pres Required . `Y •? N
On7srte5eplicSystem _Y _N
Date Z( l? l 0?' Construction Cost 9,?7 L' U?
Site Address L) ?J U?- q 7 f U .5 Np v g C ll f,9 7. Unit/Ste #
,_1?IO?r-k?6 7 DSA cpr r,4 e•?
R U O "('
P
Description of Work /C
Multi-Family Bldg Y\ Y_ N Fireplace(s) _ 0 2
Property Owner Ic. ,??p 0 uT f= 4S S O C. . Telep6one #(6,I Z)
Contractor D iJ4 v/ L ItiJ?`lCv'ic?l
Address J 3?% 5 lo l4 ')4 ?'' /',3 7-µ City nS' S
State }'l/t ?? Zip ? 5c, 3'3 Telephone #((p 12) qf 7- 'n1/i 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residen6al Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope CalalaBons Submitted
In the last 12 months, 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 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 UA .vt L_ V1il A-/'lC.vSc nJ I..
Applicant's Printed Name ApplicanYs Si atu e
7ceqqe
2007 RESIDENTIAL BUTLDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstmcGon Reauirements
3 registered site surveys showing sq. ft. of lot, sq. N. of house; and all roofed areas
(20% maximum lot coverage allewed)
1 Soils Report if proPOSed 6uilding is to be placed on disturhed soil
2 copies of plan shaving beam 8 window sizes; poured found design, etc.
1 set of Energy Calcula6ons
7 cropies of Tree Preservafion Plan if lot platled after 711f93
Rim Joist De[ail Options selection sheet (bu(Idings with 3 or less unils)
Ntinnegasco mechanical ventilA6on form
/ ?&. -;?T
RemodellReoair Reauiremenfs Office Use OnN
2 copies of plan showing foofings, beams, joists Cedof Survey Recd Y-- N
i set N Energy Calculafions fa heatetl additions Soils Repat Y: _ N
1 stte survey for additions 8 decks T2e Pres Plan Recd Y-- N.
Addi6on-indicaferfon-sifesepticsysfem Tree Pres Required _Y _N
On-site Sep6c SyStem - Y . _ N
Plans are considered public information unless ou state the are trade secret and the reason.
Date ??l 4 /67 ConstructionCost 7) L7? ?
Site Adtlress '(.) s ?a S f P? UnibSte #
0 oS P T.
9 N?ICSTPa-D ?T,
7o'-f7 0
Description of Work 12 Q - ccdd '?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ke sOC , Telephone#( )
Contractor ")U-A ?P ?-. MfF/? 1(,/ l a„t)
Address )f}e+7fl _ City q 3 T,?tf
State Zip .SSo 33 1'elephone#(6J4 9k7-9113
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
(J submissian type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the Ipst 12 monihs, has the City of Eagan issued a permit for a similar plpn based on a master plan?
_ Y _ N If yes, daTe and address of master plan:
Licensed Plumber
Mechanical Contractor
Sew2r/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 wil[ be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
? UR,?r ?%2Kvs?
ApplicanYs Printed Name ApplicanYs ign ure
C.R. WINDEN A ASSOCIATES, INC.
IAND SURVEYORS TeI.OtS•3646
1381 EUSTIS ST., 5T. PAUL, MINN. 55108
Note: Buildings shown are proposed.
As of this date Ridgecliffe
Fifth Addition has not been
recorded.
Lots 1 throu h 4 inclusive, Block 4,
Ridgecliffe E?ifth Addition, Dakota
County, Minnesota.
i ?
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Go
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SORVEY OF THE BOUNDARIES OF THE LAND
ABOVE DESCRIBED AND OF TNE LOCATION OF ALL BUILDINGS, IF ANY. THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY,
FROM OR ON SAID LAND.
Dated this 'lth day of 1?1evtmbEr A.D. 19Q0
C. R. WINDEN 6 ASSOCIATES, INC.
by l?Q-0' ?? "?/"?G-x,d?P__,.___
Surveyor, Minnesota Registration No. 7'T2 6
?z I 1
po,,ble o
o GQ`°'9? C
1 22
2 6' ?? y2
CERTIFICATE OF SURVEY
For:
U. S. HOP1E CORPORATION
N
Scale: 1" = 20'
O Denotes Iron
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2? ? N
po„ b lc` o
Ga ?a9
N
4, pje It? g
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/
t
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152387
Date Issued:10/15/2018
Permit Category:ePermit
Site Address: 4707 Osage Pt
Lot:2 Block: 04 Addition: Ridgecliffe 5th
PID:10-63984-04-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Jessica S Sidla
606 4th Ave Ne
Sartell MN 56377
(651) 336-7777
Window World Twin Cities
2106 11th Ave E
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature