1146 Parkview Lane. . ?.? , ? _. ?.-+?.?vw•4?.iw•??i.+?ce--.'R??.1y?^-Rn-.r,..-..:r.;.?; _. ?,?. .,?dkX?' ?'?+1
CITY OF EAGAN 18837
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 c
BUILDING PERMIT Receipt # ? ?- 7
To be used for DZM Est value = i,0W oare APR Z , 1991
Site Algss 1146 t'ARiCY1Ln/ LN
OFFICE USE ONLY
Lot Block Sec/Sub.
PBfC@I N0. Occupancy - FEES
1
JOftN AMEL g
zor - 25.00
W Name (Actual) Const - eldg. Permit
Address ?1o`"?1e surchar
e • ?
o EAGAN g _
Phone
City o o es
1'?XT
Plan Review
ZAitBOK COHS?RllC'fI0li ? I4?T7
o Name sAC, ciry
Z
o
u Address S.P. Total - SAC
MCWCC
.
.
? City FJW*AN Phone 633-2656 S.F. Footprints - ,
t
S
S Water Conn
ewage
On
i
e _
r
W
Name
On Site Well
-
Water Meter
?
Address MWCC System - it
A
t
D
<W City Phone ciryrwaler - .
cc
epos
i
d
PR
R S?W Permil
equ
re
V _
I hereby acknowlege that I have read this application and state Ihat e Booster Pump - 5nN Surcharge
iniormation is correct and agres to comply with all applicable St e of
Minnesota Statutes and C,jt,?.of.E r,.,' Ordinances. Treatment PI
Signature al Permitee APVROVALS qpad Unit
ZMWK •COMMLC`Tom
A Building Permit is issued to: Planner
Council - Park Ded.
L
oO
on the express condition that all work shall be done in aceordance with all - C°pies .
applicable State of Minnesota Stalutes and City of Eagan Ordinances. gldj. ory. _ 26.50
Building Ofticial Variance - TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
EIECTRIC
Inspection Date Insp. Comments
Faotings I
Foundation
Framing
Roofing
Rough Pibg
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Cpnst. Meter Plbg inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final ??1?, C- •,?
Well
Pr Oisp.
IN5PECTION RECaRD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 ? Date Issued:
(612) 681-4675 •
SITE ADDRESS: APPLICANT:
1 AhlF
? ,. i,i?'i ? 2 t'? . ) . rll• i . , ? ?1. . 1 f?
PERNIIT SUBTYPE: TYPE OF WORK:
F
L
A G; H
1
\
11 i rar?
(3 .' 4i t ti :
{1i/N1 /`•1`?
Permit No. Permit Holder Date Telephone M
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commenis
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Hig.
Orsat Test
Final Plbg. Plbg. InspeCtor - Notify Plumber
Const Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
t??L /Z/1 ?°S
, CITY OF EAGAN
•__ , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE 454-8100
BUILDING PERMIT Receipt #
To be used for $ F 11 Lr'G/Gia-?t Est Value $74,000 Date 14AY 16 , 19 d6
Site Address 1146 PARKV I EW L:i Erect C? Occupancy 'R 3
CfiES ,41AR E 2AI17Remodel ? Zoning
Lot1 Q Block 3 Sec/Sub R 1
.
Repair ? Type of Const. 'Jn
Parcel No.
.,64diUon ? No. `.u. ,es
W Name -?LEY CrUNSTRUC`'.LOIV ; Move ? Length
E3
Q
Depth
_ J401 tiYLON AVL•' $U ?- y Demolish
; Address - ,; °• IcClmpr. ? Sq. Ft. 4
? ?ity ?3L:•l'CN pnone 9 4 4-7 0 9 2 Install ?
o Name Approvals Fises
Z
?? Address Assessment Permit $ 355.00
Ciry Pnone Water & Sew. Surcharge 37.00
t Police Plan Review 177.50
? Z Name Fire SAC 575.00
??, Address Eng. Water Conn. 500 . 00
i W ciey Pnone Planner Weter Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state that the gldg. Off. S/ 16/8 Tr. pi. 156.00
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordina?c S. APC Parks
; .?, Var. Date
Signature of Permittee L1 -' Copie
. 00
wESLSY CONSTRUCTION
A Building Permit is issued to:
on the express condition that
all work shall be done in accordance with all applicable State of Minnesota 5tatutes and City of Eagan OrdinanCes.
Bullding Official -+t- . - - -
--? ?
,
v
Permil No. PermH Holder Data TMephone M
Plumting ) I ? / // C
Electric i? I, i." ? lz L ? j I C -?. Z:-
Soflener
Inepection Date Insp. Comments
Footingst ?/,i ' l2C
Footinga II
Foundation
Framln9
Rooling
Rou9h Plb9.
Rouqh Hty.
Insul.
Final Htg.
?
Final Plbq.
16idg. Final
Cer1. Occ. Eff
Deck Flg.
Deck Frmg.
wen
Pr. Dfsp.
; . . _ - ?. ?. . ?
U
?
f l
?
PERMIT #
' MECHANICAI. PERMIT RECEIPT #
CITY OF EAGAN
. 3830 PILOT KNOB ROAp, EAGAN, MN 55121 DATE
CONTAACT PRICE: PHONE: 454-8100
BLDG. TYPE WORK DESCRIPTION
Lot ZJ B iock Sec/Sub
L? N
es.
ew
y Name; . `'= ' a A Add
M
l
' u
t
-on
Addr ?? ? J -s•- : r ?. ? . u
L
Comm. Repair
? City Phone
Other _
il 'S S ?
Name ???-'? FEES
? /
3 "
0
AddrasLq -
? RES. HVAC 0-100 M BTU -$24.00
p , ,
Phone N 2- ADDITIONAL 50 M BTU - 6.00
?3 6 ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK 5., /-c GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
/?-- (ADD $.50 S/C tF PERMIT PRICE GOES
Vent. CFM BEYOND $1,000.00)
?
Gas Piping Outlets #
Other ?
, .,•
FEE: ' ?1.-- i 1
S/C: r- ? SIGNATURE OF PERMITTEE
TOTAL• -
FOR: CITY OF EAGAN
# dmz?
PLUMBING PERMIT RECEIPT # 7
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?
SRe AdOress // -7
Lot Block
,: .
m Name
m Addres`s/ N ?
C vity _.L
? Name s?
3 Address
O CitY -
BLDG. TYPE WORK DESCRIPTION
Res, New
Mutt Add-on _
Comm. Repair _
Phone Other
Phone
FEES
COMM/IND FEE - 1% OF CONTFiACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR CITY OF EAGAN
NO. FIXTURES TOTAL
Water Closet - $3.00 ?
' Bath Tubs - $3.00
? Lavatory - $3.00
Shower - $3.00
?
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
?-Laundry Tray - $3.00
? Floor Drains - $1.50
?-
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping OuUets - $1.50 '
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
"
Rough Openings - $1.50
FEE
STATE S/C
? ' ^
GRAND TOTAL•
CITY OF EAGAN Remarks
Addition L'hes Mar East 2nd Addition Lot 1(1 sik 3 Parcel-10-455,L I - 00 ?03 A-'
Owner Street 1146 Parkview Lane State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. Z. 1982 2239.76 447.95 5 ,
STREET RESTOR.
GRADING 1981 126.97 25.39
.
SAN SEW TRUNK
,
*SEWER LATERAL 407$.76 _ -BIS. 7S
WATERMAIN
* WATER LATERAL 981 .
WATER AREA _
STORM SEW TRK 5 1981 438.40 87.68 -
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
,?. CASH RECEIPT
CITY QF EAGAN ?
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? DATE
RHCEIYIEO .' '
FROM
AMOUNT $
& DOLLARS
1 oo
C]CASH ?HECK
Fow l6f.?;
. ' ? .
FUMD CODH AMOUNT
?
l ?
? -
/
Thank You
.,.
63333 BY
White-Payere Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN SEWR SEVlCE PERMR
3830 Pilot Knob Rosd
P. 0. Box 27•799 PERMIT NQ.: '
Eagen, MN 55121 p,,TE;
Zoninq: -- No. of Unlts:
Owner.
Add?ess:
Site Addi
Plumber:
I "M to asw* wilb !w Ct1y oi iw¦
Ora.enses,
By
Dote of Inap.:
ConnecNon Chorge: 4 7 9. O!`pi'
AccoUIt D!?posit.
PefRlit FM:
SYRhOMe:
Misc. Chonpss:
Tatol:
' OF EAGAN
Pilot Knob Road
Box 21 ? 99
t, MN 55121
No..
ie eowwll whU !w Citi eF Eegso
m
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
COflf1QCt1011 d10fge: ? ? ? : ? V { ?•
/1pLOUflt Dlposit: ? ? . 1 iQPCl
Permit Fee:
Surthorqe:
MISC. Cf10IgOf: - ?k)`
Total:
Dote Poid:
Inap.:
CITY OF EAGAN WATER SERVICE PEWT
3830 Pil+t,i Knob Raad pgRMIT NO.:
P. .' . tox 21199
'
agarc, MN 55t??7 D11TE:
Ing: No. of Units:
r: Const.
rmr.
.
p ew Lane L10 I:3 CY?es `'n r I T
S? ?? 1146 Parkvi
lumber. ? ruclmueller P7.t:mbi y -
? `, (??J . '.'? iip?
or
Meter No.:?? 3 p c.l i___? ••t??p 15. OOnd
??p•• n 1? t
Reodsr 50 . d
wNh !1e ? ?a? u orqe:
'1 N?w lv a?Vly L`?.'?? T"
Or?i.?aa?s. 63.50vd r.ieter
By
Dote of Insp.:
Poid: '
CITY OF EAGAN ,
454-8100 ` -
, DEPT. OF BUILDING INSPECTION'R,, ?
.?
j(q6?j * *
Correction Notice
Located at
I have this d ' p`?cte'c
these pr ?e?_?nd have fi
vir?,Ia ns of?I city codes
( /?aag,H'- CsA?C,Cie?e. !U
G?
this?tructure and
und the following
governi-rrg--sa e:
When corr ce tion been made, please
call 454-8100 for inspection.
oateG -uG
Inspector .ity of Eagan
DO NOT REMOVE THIS TAG '
CITY OF EAGAN NO 18837
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # e I 17 '35
To be used for DECKS Est. Value $1,000 Date APR 2 , 1 921_
Site Address 1146 PARKVIEW LN
Lot 10 Block 3 SeGSub. CHES MAR EAST
Parcel No.
w IName JOHN FiADEL
o Address 1146 PARKVIEW LN
City EAGAN Phone
olName ZARBDK CONSTRUCTION
g? Address 3119 .TOYCE CT
? City EAGAA] Phone 688-2686
Name -
Address
City _
Phone
I hereby acknowlege that I have read this application and state that re
inlormation is correcl and agree to comply with all applicable St ol
Minnesota Slalules and Ci of E Ordinances.
Signature of Permitee ?
A euilding Permil is issued to: ZAR ONSTRUCTION
on the ezpress condition that ali work shall he done in accordance with all
applicable State ol Minnesota StaWtes and Ciry of Eagan Ordinances.
Building OHicial
Oaupancy
2oning
(Aclual) Const
(Allowable)
XaF1,t75"
S.F. rotal
S.F. Foolprinls
On Si1e Sewage
on sae wen
MWCC Syslem
City Waler
PRV Pequired
Boostar Pump
APPROVALS
Planner
Cauncil
Bltlg. Olf.
VarianCe
OFFICE USE ONLY
_ FEES
7x10
]7Y7
19X17
Bldg. Permit
Sumharge
Plan fieview
SAG City
SAC,MCWCC
W ater Conn
Water Meter
Acct. Deposil
S/VJ Permit
SNJ Surcharge
Treatment PI
Road Unit
Park Oed.
Copies
TOTAL
25.00
sn
1.00
26.50
;EQUEST FOfl ELECTRICAL IIVSPE "
See instructions lor complelin9 this tarm on Gack of vellow copy.
16760
""X?? Belaw Work Covered by 7his Request Ad TFBp. TYPB ol BuilGing O.VOliancee W'reE EquiUmBnl Wired
Mi
Farm
k Fee Service EnvancaSiza n Fee F p Fex Cirits
4 0 to 20qm s
Above 200 q?nps / 6
D 0 tn 30 Am s
31 to 100 Am s
Swinnnin Pool Above 100_Am s
rmes n
?n Pcrtial.'Other Fee
wgns TOTAL yE
em?rks ?r? ? / ? ? ^a
the ElactncpY I
t (? ot Inspeclor, he.eby
cerlily that tha above
Final ?nsoecfion has Oeen
da.
wm 18
iSlmpnths Irom'd (-/ ^ 3
C 16760 L) 3 ?Sa--
RequesF-DI le
' Firo No. flouBh-in InsVer,tion
Repuired?
?Reatly NuwW?ll Notity.lnspec-
?
5
? eg ?No ,or When Feady
L1cenaetl Elec rical Convactor I hereby reQUest inspaction ot above
Owner electricel work instalied at:
Sifeet Atldress, Poute No.
Bo or City
vi er,d La n v
/ 6 ? 6z aA-
ecuoa o. Township Name or No. HanBe No. Counly L
?
°
?
C
(
`'
7a--
OccupantlPRlryTI I
?
1
' Phone No.
l
/V
t
.es12 as ru ?
6 ?3 - a
i
Power Supplier Adtlress ?.
? PC-f
Elecvicacontra?tor ICO eny ame) Comrar.tor's Liconse No.
?
3
-
Mailine AdJ e ICOntrac or or Owner Makmp Instailationl
?6 -7 I'J ?
Au[horizetl
nature IC ntractor/Ow Cr kin Inslallationl ho Number
(?/
MINNESOTA STATE BOD OF ELECTRICITY ? THIS INSPECTION NEQUEST WIIL NOT
Grigga-Midwav Bldg. om N•191 BE ACCEPTED BV THE S7ATE 9ppqU
UNLE55 PXOPEN INSPECTION FEE IS
1821 University Ave.. St. Paul, MN 55104
Phnn.. f6121297-21N ENCLOSED.
113005
0-
30
6 ? °°
"
°
0
S /?o?
??D
'
?.
Reques Date " Fire No. Pough-In InSpectlon Req
(VOU muslcall inspec[or
w
han reatly) Inspecli n Diher Tnan Rough-In
Will No?l Inspector
aQy Now
L? c
?
? Yes Ur no _
ea
Date Rtl
I licensed contractor ?owner here6y request inspection of above electrical work at:
Job Atltlress (SV , Box or Roule No.) Cily
? 4 kie I?c.nv
Seclion No. TownsM1ip Name or No. Range No. C ty
` ? ?
L.LV?J \u?
pa (PRINT)
e PB e
1-dlC4
Powet Supplier Atltlress
Contracm li n e No.
Ele cal Gontracror (COmpany Name)
?
,
Mailin dr ss(Conlrac[or or Owner Making I s Ilation) I^ n
Auihorizetl ' a[ (Contractor/ wner ing Instelation)
B
'C T
r
9
nv
V
u
5
8 II 11111 I I I I II I? I I II C
F
E
18
21
U
erstyA
e,
St.P
I,
MN
551M I UN E
F OPERINSP CTION
EE S
S
oe,... ?a?o? aee.nam ! . .
REQUEST FOR ELECTRICAL INSPECTION ? Eg-oooo?i-?oe ?
1 See inabuctions lor comoletine this }orm OO GBtk Of Ye110W Copy.
D*P9-43 6 6 "x" BeloW Work Covered by 7his Request
AAd fleP. ^ TVOe ol BuilEin9 APPliancee Wired E9uiumenl Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixhues
Apt. Building Dryer Electric Heatui
Commercial Bldy. Furnace Silo Unloader
InAusirial Bldg. Air Conditfoner Bulk Milk Tank
Farm otn, oen v therlSpnr.,ly1
t e. Sueufy ther Other
omuute lnsoection fee Below
k Fee ServicaEMrenceSize N Fee Feaders/5ubleeders p Fee Circuits
U to 200 Am s 0 to 30 qm s 0 tn 30 Am
Above 200 Amps 31 ro 700 Amps 31 to 700 A s
Swimming Pool Above 100_Mi s Above 100_AmPs
Transiormers Irrigation Boorris Pdrtial.Other Fee
Signs Special Inspection
$
TOT
emarks ?Q' SG ?
flouBh-in FD71? .t?? 1. th al
Inspector, he?eby
certily ?hat tha above
Final "ns0ection has bean
i_ _,?' meee.
mis request voiG 18 monlhs from
This rnpuest void ?
18 nwn[hs fmm lJ 7?Q
D_.. 94366j-/n.
L- 5 19$$ I HeOUireA?'.-?_V...,., eatlV Nnw ? WlII Noufv InsDec-I
?y f ?YOS ?]No tor When FeadY
? Licensetl Eleclrical Con[ractor i hereby requeat inspecfion of abova
Ownef electrical work installed at:
Sveet Address, Boa or Noute No. Ciiy
1146 Parkview Lane Eagan
ecuon o. Townsnip Name or No. qan9e No. Counly
Dakota
Or.cuOan[ IPRINTI Phone No.
.Tohn Hadel 681-0104
Power SupD,,er qddress
Eieclrical Convxctor (COmpany Nrme) Contrar.tor's License No.
Corrigan Elatric Company 039549 8
Mailing Address IConvactor or Owner Makinp Instailationl
P.O. Box 475, Rosemount MN 55068
AuNoriz ignature ICon[ractor/Owncr MakinB Instaltation) Phnne Number
4231 1
MINNESOTq STATE BO X OF ELECTpICI ' THIS INSPECTION REQU[ST WILL NOT
Gligga-Midway Bldg. - om N•791 BE ACCEPTED BV THE STATE BOAND
1821 Universitv Ave.. 51. Paul, MN 55106 UNLESS PNOPEN INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
9
?
610
3Q a d?.
0
Reqaesf Oafe
? 9 '?
S
? Fire Na. Roigh In,spectbn
a'
p
rLJ Reatly Now 9 Will Notify Inspector
Wh
R
tl
?
Y
e
• 0 Yes
?S(NO en
ea
y
I I? licensed conlractor ? pwner hereby request inspection of above electrical work at:
Job Atltlress (StreJet, eox oQr Roure[ No.) /
/I City ?±
b l A{`?CVlCW (.?Ah G0L 4f1
Seciian No. Township Name or Na. Ran6e No. Counry
a ko7:c
Occupant(PRINT)
drl
? Phone No,
? /- 0
11OY
o
„ a 1
Power Suppller AOdress
Elecm al Convaclor (COmpany Name)
k
? : M ContracloYS Licensg No
8 N`? /
`'1 L
i
e?,? .
a? .
D
Mailing qtlaress (GOnhactor or Owner Making stallation)
Cl
Al
I
Q J. -} A/1 Cc a
J?Ov?
/P
-/
,?f
?
dwh
Q!
•
• Wn
? 1
/ <. ?
Amhorized SlgnaWre (ConlractorlOwner Making Installation)
I Phone Number
`/30 - 35/.2-
MINNESOTA STA BOAPD OF ELECT ITY THIS MSPECTION FEQUEST WILL NOT
Grlgge-MiEway 81tlg. - Room 5-193 8E ACCEPTED BV THE STATE BOAFO
1621 Universlty /.ve., 51. Paul, MN 55100 UNLESS PROPER INSPECTiON FEE IS
Phone (812) 842-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
.90 lp See inshuctions tor comp}Q[ing this form on back ot yellow copy
1 ,?.3 O 'X° Below Work Cavered by This Request
n?
98977
ew Add Re0. Typeof6uilding AppliancesWired EquipmentWired
Home Range Temporary Service
lez Waier Heat er Electric Heating
. Building Dryer O[her (Specify)
t
mm.llnduslrial Furnace
m Air Conditioner
Once
r(spxily) Comractor'sRemarks: /Jl- oNi`dOD4 Q/q?lC f o//L
1"rt
Compute Inspection Fee Below: ( h pOVr 41nTlft /J f o?? L?oor
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 ta 200 Amps 0 7o 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspedor's Use Omy. TOTAL
Irrigation 8ooms ?
Special Inspeclion
Alarm/Communicalion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rou9n-in Date
certify that the above inspection has
been made. F;nai rA ?] . Date U
OFFICE USE ONLV
Tnis rqaueat voitl 18 moMhs irom
??SO REDUEST FOR ELECTRICAL INSPECTION '?=! ?'?•
? /??.. "'.?{ 1-
6???{{{ ? ?`1.7 ? See inslmclions for comolelina this loem mi back oi veilow coov. ???I i L
"X" Be/ow V?Vork COVered by This Request
Ne A d Rep. Type of Building Appliances Wiretl Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olher (specify) onlracto(s Remarks:
Compute lnspection Fee Belaw:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transfortners Above 200 Amps Above 700 _Amps
Signs mspemar s use omy: TOTAL
Irrigation Booms
?0 • r?
? , -W
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby pOUgh-in oate
ceAiy ihat the above inspection has
been made. Final Da1e
OfFICE USE ONLV 3
This repuest voitl 18 moMhs irom
CITY OF EAGAN
0
.1.1 e
67
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? 1
1 9
PHONE: 454-8100
i ?7?c?
g111LDING PERMIT Aeceiptn_ ?
;.7obeusedfor SF DWG/GAR Est.Value $74,000 Date 14AY 16 1y86
1146 PARKVIEW LN
R3
SiteAddress Erect 11 Occupancy
Lot' 1? elock 3 Sec15ub. CHES MAR E 2NDRemodel ? Zoning
Parcel No Repair ?Type of ConsL Vn
. Addition ? No. Stories
? WESLEY CONSTRUCTION Move ? Length 46
Name
= 9401 XYLON AVE SO oemolish ? Depth rtQ
o Address Int Impr. ? Sq. FI
944-7092
BLMTN
Ciry phone
Install ?
°C
o
Name Sp?ME Approvals Fces
$a Address Assessment Permit 355.00
? city phone Water & Sew. Surcharge 3 7. 00
177 so
1- 1
F W
Name
? Address
s W . City Phone
? Iherebyacknowledgethatihavereadthisapplicationandstatethatthe
information is correct and agree to comply with all applicable State of
, Minnesota Statutes and City of Ea rdin n
; SignaWre ol Permittee
A Building Permit is issued to: WESLEY CONSTRUCTION
all work shell be done in accordance with all apr e te of Minnes t
Building Ofiicial
Police _
Fire -
Eng.-
Planner
Council
Bldg. Ot
Plan Review
SAC 575.00
Water Conn. 500.00
WaterMeter 63.50
Road Unit 290.00
Tr. PI. 156 . 00
APC Parks
Var. Date Copies? p Q
Total '
- on the ezpress condition that
of Eagan Ordinances.
g o s5,
5 70. °'=
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauirements RemodellReualr Reauirements Office Use Oniv
3 registered site suneys showing sq. ft. o( lot sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20%mazimum lot coverage allowed) 1 set of Energy Calculatlons for heated additlans Tree Pres Plan Recd _ Y_ N.
2 copies of plan showing beam 8 window saes; poured found design, etc. 1 site survey foraddNons & decks Trea Pres Required _ Y_ N
isetofEnergyCalculations AddRion-indicatei(an-sitesep5csystem On-sileSepticSystem _Y _N
3 copies of Tree Preservation Plan d bt platted afler 711193
Rim Jois[ Depil Opfions selection sheet (6uildings with 3 or less units)
r
Date 1 C')
Construction Cost ?3003-
Site Address I ?(44 ? ? )
?? ??' L"-' Unit/Ste #
Descriptioo of Work !/J S7-71L .L (T-6 _Cil(,?'i@A?5
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0h( 1 _ 2
Propecty Owner )ONJ ?L.(.? Telephooe # (bq
?
L14
Contractor
Address ?) City ?? ??
Sta[e Zip Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene[gy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed P.lumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
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 f r a permit, and work is not to start without a
permit; that the work will be in accordance with the approve lan i the case rk which requires a review and
approval of plans.
'G !
A?ec?? ,
Applicant's Printed Name Applic 's Signature
OFFICE USF, ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex plbg_v or_ N ? 25 Miscellaneous
Work Types
? 31-New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolition (Entire Bld g) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice& Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECT[ONS
Final/C.O.
Final/No C.O.
Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas "fests Final
_ Siding _ S[ucco Slone _ Brick
W i ndows
Rctaining Wall
Building Inspector
?S-? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681•4675
New Construction Reauirements
. 3 registered s@e surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allovred)
• 2 mpies of plan showing beam & window s¢es; poured (ound design, etc.)
• t set of Energy Calculations
. 3 copies of Tree Preservation Plan if lot piatted after 7l1193
• Rim Joist Detail Options selection sheet (61dgs with 3 or less uni45)
DATE -S - /_5_ -
JOB SITE ADDRESS LrJ •
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER YuL'E LOL-LL,,
TYPE OF WORK J S ., s,NRoom N )etE%* N? FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ?R-Lo Z?e.CasuRE-. PHONE#lo6/-G31-1106
ADDRESS aiA9 ald Nw ? 8 tiL-uJ Bie16h'nj 07A" ZIPCODE 55/!Z
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 n
(check one) - Residential Ventilation Category 1 Worksheet S rMAR - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 1 5 2002 - New Energy Code Worksheet Submitted n -
??
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor: _
Mechanical 5ystem Includes
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applican
_ Water Softener
_ WaLer Heater
_ No. of Baths
g-CS a'
RemodeUReoair Reouiremenh
• 2 cropies of plan
. 1 sat ot Eneyy Calculations for healed additions
• 1 site survey for axtenar additions & decks
. Indicate if home served by septic system for addilions
VALUATION 34.376
Phone #:
Iawn Sprinkler
No. of R.I. Baths
Air Conditioning
Heat Recovery System
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-piex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or - N
? 20 Pool
?K 21 Porch (3-sea.)
? 22 PorchlAddn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 6ct. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
),( 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning ? City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. ?? Q,5t;? a' PRV
Nbr. of Bldgs l Length Fire Sprinklered
Type of Const v M? W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) X FinaUNo C.O.
Footings (addition) ?
_ plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
?C Framing _ Siding Stucco Stone
Fueplace _ R.I.
Air Test Final Windows (new/replacement)
_
? Insulation _ Retaining Wall
Approved By ? Z. , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
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cornct surrey of tle bow?deries of . ? sr. r? ?? - r o g g
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Lat1 `
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`
??R? ? ? i'?CO?ed Dlat thereof,
Mk0l1 County?;J4l?Serki.?
.wA ..t . .r.a:?:?lrei,i,ar? .._ -••-•----=? _.
CITY USE ONLY
L ? BL RECEIPT #:
SUBD. DATE:
e&d, ? #d/?G5?T0 1995
c61r--
MECHANICAL PERMIT (RESIDENTIAL)
GITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction
Add-on furnace
? Add-on air conditioning Fireplace conversion (to existing fireplace)
COJ?aeA_,
-------- ) 7'6? 2
Date: c)(0 - Q?- Q5
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 @$3.00 each)
? State Surcharge .50
TOTAL ?
?
SITE ADDRESS: 1 A) ?4?s2,
OWNER NAME: PHONE #: ?__C_A_0SC
, INSTALLER
4
3TREET ADDRESS:
CITY: STATE: \vA1 ZIP: Ft_?b3qu
PHONE #:
SM
CITY USE ONLY
L BL RECEIPT #: ,
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
rITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are not required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK: -
INTERIOR IMPROVEMENT
FEES: , $25.00 minimum fee QC 1% of cantract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT" PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE•
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (iMPROVEMENTS oNLv)
INSTALLER: :
ADDRESS: _.
CITY:
PHONE #:
51GNATURE:
STATE: ZI P;
51GNATURE OF PERMITTEE CITY INSPECTOR
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT 5- 55122
651-G8
New Conshuetion Reaufremenh Remodel/Reoafr ReauiremeMs
D S regisfered sHe suneys ahowing sq. fl. at lot, sq. R, ol houae 2 coples of plan
and gU rooled arem (20%moximum lof coveraae ailowed) 1 sel of energy calcvlaHons lor heafed addlHons
D 2 copiei W plana (show beam i window shes; poured fnd. destgn; etc.) 1 sMe survey fw exfertor add(Hons d dacks
D 1 set of energy caiculaNons
D 3 coples of hes preservallon pian B bt plaHed afFer 7/1/93
DATE: _?7 I??, CONSTRUCTION COST: Sr ?E 3?
DESCRIPTION OF WORK: N??? vC-F k IZr- ?af' Ga.-. 54.5rvi ?7«i..1aT
STREET ADDRESS: 119 Cp a.. il ` LCA
LOT: 10 BLOCK: 2? SUBD./P.I.D. #: v
PROPERTY
OWNER
Name: Li c 1 I SOL1 v?, Phone
Lnfl fIM
ZISy- Olo.?8
Sheet Address: I1W l) ,'e-L+ L C- ,-,L
City f7?r.c.tk ... State: M w ?o? S5 3
Company: 4liu/i«1 Phone#: ?? g
(area code)
CONTRACTOR SheetAddress: 11)303 L '?Qt574o? ?p,?
y H da l-: ?-?-? 5n• Ucense #
Ci1y c,o Kt LAA 6 r? State: 1?1 h Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Sireet
CNy
Sewer 3 woter Itcensed plumber freaulred for new conskucHon onlvl:
State:
PenaNy applies when address thange and lot change is requesfed once permN Is bsued.
Zfp:
1 hereby acknowledge thaf I have read this applicatlon, afaFe lhaf tha IMormafion is conect, and ngree to comply with all apptlcabl
State ol Minnesota Statutes and CNy o( Eagan Ordioaneea. d c,
Signafure of Applicant ?
L
OFFICE USE ONLY 6p ?
Certificates of Survey Received _ Yes _ No
?---- -
Tree Preservation Plan Received _ Yes _ No _ Not Required
I . _ -- - -- --
Regishotion #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-piex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
6
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/SoffitslFascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA hando ut to appli cant for demol ition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
5AC Code
No. of Units
No. of Bldgs
MClES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building Engineering Variance
Valuation: $
% SAC
: PERMIT C?,?.
?
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: f,
Eagan, Minnesota 55123 Permit Number. N:? 3 (13
(612) 681-4675 Date Issued: 03 J01/93
SITE ADDRESS:
1146 "r'hRINIcW LNNE
LOTc 10 k3Li)CK: 3
CHES MRR EflST 'l.IVD
PT.N..: 10 -;LJ151-:LV) 0--0 3
DESCRIPTION:
kiuildiki.g, f'e rnii.t. T.YPe SF (MISC- )
-0uildinq?'.6JorE: 7ype REPAIR
?
i
'-
?.
. ?
REMARKS:
FEE SUMMARY:
VAL.UATL!]M $65Vi
6ase Fee $19.00
SUi'chal'ge S m
1'otal 1=se $19.5o
CONTRACTOR: - R p p 1 i c a n t- s r. L J: cOWNER:
rw,r.ia cz'rv sroR m siasH co 1546e1.60 0e03040 HAeiF1,. aoidiN
10825 GREEN012TEft fti7 1196 Pl1RY,VIf.W LN
MINNETONKF, MN 55305 FAG/1N f4N 55723
(612) 546-8160 (612)681-01.04
I h ereby ucknaw].edye that S have read thfs ,;,opli.r..,;.ion ond -;t a_^ r.;,,a??. -.I?:•
inforuiati.un is r.orrect t,nd aqr- e [o compl.y wi Ch ,:1 -ippi ? i..b!+', ..;i.e n n.
Strilut'.es and Gity af Eaqari 0 rcl3.nencas.
? -
APPLICANT/PERMITEE SIGNATURE IS? BY:?I NATURE'?
k'5:?'qzpll
RE I ME ?
SINGLE FAMILY
1992 BUlLDING PERMIT APPLICATION
CITY OF EAGAN
$1q.9
2 SETS OF PLANS, 3 REGISTERED SfTE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SEf OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
GOMMERCIAL 2 SEfS OF ARCHIYECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 5Ef OF ENERGY CALCS.
PENAlTY APPLIES WHEN TYPING OF PERMIT 1S REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE Q LOT CHANGE IS REQUESTED ONCE PEFfiMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESiGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BF ALLOWED ONCE BUILDING i'L-:RMIT IS ISSUED.
To Be Used For: Vaiuation: 1p JD. Date:
Site Address
Lot 10 Block j_
Parcel/5ub
Owner
City/Zip
Phone%W- f %b
oIDa
TWiN CITY STORM SASH, INC.
Contractor ?lfsnG C/11111
MINNETONKA, MNf 55345
City/Zip
Phone
Arch./Engr. _
Address
City/Zip Code
License
Occupancy Bldg Permit
Zoning 5urcharge
Actual Const Pian Review
AIlowabie License Fee
# of stories SAC> City
length SAG, MWCC
Depth Water Conn.
S.F. Total Water Meter
Footprint S.F. Acct. Deposit
S/W Permit
On-site sewage S/W Surcharge
On-sfte well Treatment PI.
N{WCC System Road Unit
City water Park Ded.
PRV Trail Ded.
Booster Pump Copies
SUBTOTAI
APPROVALS Penatty
Planner Lot Change
Council TOTAL
Bldg. Off.
Variance
Phone #
- Sewer/Water Licensed Contr. - Processingtime '
' for sewer/water per ' s is two ays once area as en approve .
agrees that all work shall be done in accordance with
------ --
-- i ature ermE ee -
- alt appiicable State of Minnesota Statutes snd City of Eagan Ordinances.
1991 BIIILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
M[TLTIPLE DWELLINGS
COMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & SIRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE SUSLDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation;? Date: 40-/ - c/I
„..
Site Address //y(o
/C
Lot sAOW?- Block 23
c M?AtZ
Parcel/Sub ,
Owner Y a4
Address ?? !?-f J
City/Zip Code
Phone
Contractor Z?n4
Address 9 Ord?e ? '
City/Zip Code ?C?.----- /yM
Phone ? 8F -,2 d ?G
Arch./Engr. _
Address
City/Zip Code _
Phone # -
OFFICE IISE ONLY
FEES
Occupancy Bldg. Permit
Zoning Surcharge
Actual Const Plan Review
Allowable SAC, City
# of stories 9=8" SAC, MWCC
Length 11 '-q" x?=e,; Water Conn.
Depth 18'-6"X 1?'-o ''Water Meter
S.F. Total Acct. Deposit
Footprint S.F . S/w Permit
S/W Surcharge
On site sewag e_ Treatment P1.
On site well Road Unit
MWCC System Park Ded.
City water ? Trail Ded.
PRV _ Copies
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner _ Lot Change
Council TOTAL
Bldg. Off.
Variance
?
?, Ut7
/, Od
agrees that all work shall be done in accordance with
(Signature y-f
all applicalile State of Minnesota Statutes and City of Eagan Ordinances.
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11,967
1986 BDILDING PERlIIT APPLICATIOP - CITY OF EAGAN
NOTS: ALL CODITRACTORS MQST BS LICSRSED iIITH THE CITY OF EAGAN
C044ME[iCIAL SINGLE F9MIILY DWB[.LINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OE SURVEY
SPECIFICATIONS AND 1 SET OF t SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONSJ
$2,000 LANDSCAPE BOND
To Be IIsed For: Valuatio : 7Y Date:
Site Address 1?y(?i _ js?,P,r !?j e?, /nv FFICS IISS ONLY
Lot Block -?
Parcel/SubC.f/?Sii2u?
Owner
Address J ?
City/Zip Code
Phone
Contraetor
Address 9?a? Y y/g?J ? c J,?
-T
City/Zip Code ,rja,,r, Tiu.<,
Phone 9 g/// 7,5,2
qyU-`1093
Arch./Engr.
Address
Erect ? Oceupancy
Remodel ` Zoning
Repair _ Type of Const
Addition # of 5tories
Move Length ?
Demolish Depth
Int.Impr. Sq Ft
Install
APPRO4ALS FEES
9ssessments Permit 5s5
Water/Sewer Surcharge .57?
Police Plan Review
Fire SAC S7 ?"
Engr Water Conn
Planner Water Meter
Couneil oad Unit
Hldg Off Treatment P1 /7??i
APC Parks
Uariance Copies
TOT9L ?
:=oo
City/Zip Code
Phone #
NOTE: ADDRESSSS FOR CORAER LOTS - COATRACTOR/HOMSOpNER H[IST DESIGNATE iiHICH
ADDRESS IS DfiSIRBD. NO CH6NGES WILL BB ALLO[iBD ONCE BIIILDING PERHIT
IS ISSIIED.
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ities Di2ital Oualitv Control
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CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*UTF': PAYMENP QF FEE AT TIME OF
APPLIcrMoN DOEs Nom oONMTM
APrROVra. oF PERMIT.
nvsPncTzON oF SESaM AeID/at vm,M
Tr1SR'AT.T.ATTONS WIIL NCYP BE SCf3m"
ULID UNTII, PERNffT HAS BffiV
APPROVID.
„_________.._.._......_..________.._______
P ease print
? 1) PROPERTY ADDRESS: tfr PUdl v/p/'o,
LEGAL DESCRIPTION: Z- /f/,??Al 3 •-
or
IF EXISTING STRC'ClL?RE, DATE OF ORIGINAL HI]ILDIM PERMIT ISSL'ANCE: :
PRFRENP 7ANING/PROPOSID L'SE: , (j''bn Year) .
C) CO+P1E[tCIAL/RETAIL/OFFICE
rl IAIDL'STRIAL
n INSTITUTIONAL/GOVERt,2,lENT
? R-1 SINGLE FAMILY
Q R-2 DLPLEX (Ztvo Onits)
? R-3 ZOWN3a!SE (Three + Units) ( L?nits)
p R-4 APARTMENT/COAIDOMINIOM ( Units)
2)
NF1ME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) ' c ?•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHorE: MASTII2 LICQVSE# 3 z 3c-
4) K97* ?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
Plumbers License:
? Active
Expired
Not recorded
sta f'Incial
'S) ?? r' ' ?' : a • a? ??
CON[lECTION TO CZTY SEWER ? CpMECrION ZO CITY WATER ? pTdER_.
6) ?? • • i• ? pIEASE HOLD APPROVID PMtMIT EY)R PICK-C?P BY ONE OF ABOVE
PLEASE MAIL APPROVID PERMIT TD 1, 2, /3? 4. AHOVE
? (Circ? one)
7) ? ??
FOR CITY USE ONLY ?
PERMIT # 25SUED
Pd w/Bldg. Permit FEES:
$ $ jc? • fj ? SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /C j Cc WATER PERMIT (INCLUDE SL`RCHARGE)
$ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLDDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT D$POS7T - SEWER
$ $ /,l. ACCOUNT DEPOSIT - WATER
$ WAC
$ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNR SEWER
$ $ LATERAL BEN°FIT/TRUNK WATER
$ ???G•U?i $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ C? $ TOTAL
7 L/
RF_.('_F.TPT , AFCFTnT ?
DOES OTILITY CONNECTION REQUIRE EXCAVA TION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PE RMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE I SSUED BY TAE ENGINEERING
Q
NO
DIVISION. LIST AS
A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
APPROVED BY:
TITLE:
DATE :
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153649
Date Issued:01/09/2019
Permit Category:ePermit
Site Address: 1146 Parkview Lane
Lot:10 Block: 3 Addition: Ches Mar East 2nd
PID:10-17151-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John P Wells
1146 Parkview Lane
St Paul MN 55123
(651) 955-6349
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature