1155 Parkview Lane? CASH RECEIPT
CITY OF EAGAN
P. o. Box 21-199
EAGAN, MINNESOTA 55121
/
DATE 19
nicerveo
FROM
AMOUNT $ I
,
& OOLLARS
?oo
? CASIi ? CHECK
-: i
FOR
?
FUND CODE AMOUNT
Than u ' ' -
' BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Coav
CITY OF EAGAN Remarks
?
Addition Chps Mn-x. EaSt 271d }NA-41ti.OA Lot 7 Rlk 3 Parcel0 70 0 3
owner Street 1155 Parkview Lane State Eagan, MN 55123
LIEvuIr4 ? ? ? ?Y:?-,, ?, .{ _
Improvement Date Amount Annual Years Payment Receipt Oate
STREETSURF. Z 1982 2239.76 447.95 S 447,96 g 4 11-2 -84
STREET RESTOR.
GRADING 1991 126
97 5
39
, .
- .
.
SAN 5EW TRUNK 54.53 A014884 11-28-84
*SEWERLATERAL 19,91 4078
76 HI5
7$ --
.
- .
.--
WATERMAIN
* WATER LATERAL loRl
WATER AREA
STORM SEW TRK 43$
40 87
68
* STORM SEW LAT 1991 . .
CURB & GUTTER
SIDEWALK
STREET LIGHT
oa Unit 260.00 #48439 12-18-84
WATER CONN. 470.00 11 11
8UILDING PER. f 9904 V It
SAC 995-00 i+ if
PARK
eUILDING PERMIT
T- " ...J d. ._ '
CITY OF EAGAN
3830 Pilot Knob Road, P.O. 6ox 21-199, Eagan, MN 55121
PHONE: 454•8100
Receipt
$114 , 4 !'' Dcte
Site Addreas Erect LJ Occupancy
• Remodel ? Zoning
Lot Biock Sec/Sub. Repair ? Type of Const.
Parcel No.
Enlarge
?
No. Stories
?ui)I`?3:.?. Move ? l.ength
Name - pemoiish ? Depth , j ? •
?
Addres ?y Grade ? Sq. Ft.
Crtv Phone j Instail ?
A Building Permit {s issued to:
alt work sholt be done in occardonce wlth oll opplicable Stgte
Buildirg Officiol
Assessment
Water 3 Sew.
Pofice
Firo
Plonner
Countil
Bidg. Off.1.
APC
Var. Date
9804
Pertnit
Su?cFwrqe
Plan Review.
SAC
Woter Conn.
Woter Meter
Road Unit
Parks
TOtal
on the exprcss conditbn thaI
ond City of Eayan Ordinances.
I hercby ocknowtedps that I have recd this opplication ond stcte thot
the informotion is correct and ugree To comply with oll opplicuble
Stote of Minnesoto Stotutes and City of Eagan Ordinances.
Sipnoture of Permittee
Permit No. Permit Holder Dete Telephone #
Plumbing Cf
H.V.A,.C.
Electric ILI ?,60Yr (J
A 15G3? tV4-lC 3-,)v 45 Ss.s?
.??.."? , A, 7 /- ?.f / • Sv
Inspection Oate Insp. Other
Footings
Foundation
Framiny
Roofing
Rouyh Plbp.
J
Rouph HVAC
Inwlation
Final Plbp.
Final HVAC ! G
Final . Q.? ?
Grt/Oce.
Water Desaibe Location:
wea
V /
Savwr
Pr. Ohp.
f • ? ??
Reoeipt ? MECHANICAL PERMIT Psrmit No. ?
CITY OF EAGAN
• ? Fee_
FiII in numbered spacas S/C •
Type ar Prinr /egibJy Tot
.. ?• -
1. Data 2. Installetion Cost
3. Job Address,•'l j4jt:',-7Lot Blk. Tract
't??i
4. Owner 411
?^r
5. Contractor 1ei .? /.s Phone
8. Address L-f
7. City State Zip
8. Building Type: Fiesidentiai I!?' Cammercial CI tnstitutional O
9. Work Description: New C?"` Add O Alter O Repair O ;
10. Deacribe Fuel Type
11.
No.
- - Eauioment 8TU - M. Es.
Forced Air No. EpuiDment CFM
Air Hendlin
:
Mfg. g
Boilers ?
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
-" Air Cond.
Mfg.
GeS, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree ta
oomply,withVll qrdinances pnd codes governing this type of work.
Signed : #
T? for
Rouqh F inel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
r-
peceipt PLUMBING PERMIT PennitNo.
CITY OF EAGAN
?jl r Fee
Fil1 in numbered spaces S/C ?
TYpe or Prini legibly ToL .
1. Date 2. Installation Cost .? '
:
3. Job Address i!?'` ? r`?tot Blk. Tract
7{
4. Owner .. . , . '. F C1 /'.5
5. Contractor
8. Address
7. City
S. Building Type: Residential ?
9. Work Description: New,14
10. Describe
11.
Phone ' '7' - "J ?- ' /
State ? 2ip '
Commercial ? Institutional O
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
CesspooUDrainfield
i Bath tubs Septic Tank
Lavatory Softner
? Shower Well
Kitchen Sink
Urinal/Bidet Other
Lsundry Tray
f Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
12. I hereby certify that the abave information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: .. ` for Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CASH RECEIPT
.. __ ,.
CITY OF EAGAN
P. O. BOK 21-199
.
- EAGAN, MINNESOTA 55121
• DATE ? 19
?
wecewIKo
FROM
AMOUNT $ - I • ??
/
- J
& DOLLARS
?oo
? CASH Q CHECK
• J ,?. ?
v;? •c ?.._.?y1/' ?,-,1•!/t. !! ?. ? ,
?
FUNO COOE pt+IOUNT
1 71` / . .I
?. / . ? / l . ' ..
Thank You
6Y
14"
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
? .n....-..,or--rwn?,w?'!;s-+o..+ -?.,?..,?,,?ep-r.ar?r,,;? ... • --vrF..r,Rq41•n....
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, 55121 ri 19970
PHONE: 681-4675
BUILDING PERMIT # `
BASEMENT FIl1ISH &
=6 ? 0? ate DEC 16 .
To be used tor SCREEI?IYD P'oRC?! Est. value
Site Address 11
Lot 7 Block
Parcel No.
Name 11 au .
W qddress 1133 . ARICVIEW Lii
o Cfty EI1Gl1 HN Zp
cr Name rE-tv-Kbcm nuaau c,?vRr
0 qddms 12229 4IOOD LA,iCE Dbt
piy auRrrsVILLE MN zp 35337
phone 844-6084
ucense #
I hereby acknowlege that 1 have read Ihis application and state that the
informatan is correct and agree (o comply with all applicab{e State of
Minnesota Statutes and City of Eayan;Ordinances. . ?
Signature of Permitee `
A Building Permit is issued to: pETEaSON HUBER CORP
on the axpress condilion that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances,
?
Building Official
Occupancy
Zoning
(Actual) Const
M of stories
Lenglh
Depth
S.F. Total
S.F. Footprints
On Site Sewage
on sae wen
MWCC System
Cily Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
OFFICE USE ONLY
201
1o,
sldg. Pem,K
Surdiarge
Plan Review
FEES
$1.00
3.00
SAC, City
snc, nncwcc
Water Conn
water Meter
Acct. Deposit
snN Pem,it
S/W Surcharge
Treatment PI
Road Unil
Park Ded.
Copies
TOTAL
. ?I
?L? _ SA
Permit No. Permit Holder Date Telephone #
SIVV
PLUMBING
HVAC
ELEcTRic
ELECTRIC
Inspection Date Insp. Comments
FooUngsl ?
(
Foundation
Framing 2_ 9 -)L?
Roofing
Rough Plbg.
Rough Htg. 1 2 -,12 _ZZ AO
I5ul. •z - r- y z D s
Fireplace
Final Htg.
Orsat Test
Final Plbg.
,7, ?
Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
CITY OF EAGAN
'383? Pilot K_nob Road
"P. O. Box 21199
;Eagan, MN 551?i
-Zoni?p:
,a,?,??. Bloomberg, Conet
Address:
Slte I?ddress: 1155 Parkview L
Plumber:
12-16-84 48439
! yrN to aomplp wkh tlr Cihr of Easae
:Oralnenoa.
By
Dofe of Insp.:
,lnsp.:
??ion Chairp: 4 25 . 00 pd
Acco,w,t peposir; 15.00 pd
pa,mtt Fee; 10. 00 pd
Surdwrpe: .50 pd
Misc. CFwrpss:
Total:
Doh Poid:
m
, ..,...,. . ...,. ........ . ...a..
; P. O. Rox 21799
PERMIT NO.: '. ?? lF 6
? Eagan, MN 55121 DATE:
Zoninp: ?? No. a# Units: 1
I pwner; Eloombcrr Corst
?
j Add?ess:
i Sib Addresc; 1155 Paricview Lane L7 P3 ' -iar 7
; p??ber Podar,4 "lb-
AAeter No.: CannecFion ChorQe: ?'77• ?? nd
Sixe: AcCOUnt Deposit: 15.00
p.i
i Reader No.: Permit Fee: - I:J.00 pd
! 1asm to oompy wNh flN CiFy of Eegsw suraharge: . 50 rd
i Oedinonsa. Misc. Chargm - 53.00 p d meter
;
; Total:
j By Dota Paid:
of
SEWER SERVICE PERMIT
PERMIT NO.: 7235
DATE: 4-9-85
No. of Units; 1
CITY OF EAGAN ?p 19970
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55727
BUILDING PHONE: 681-4675 b) PERMIT Receipt # ? ?l l,'
,BASEMENT FINISH &
7o be used tor q FENFD POR CAEst. Value $6 , 000 Date 11F(' 16 , 194L_
Site Address 4155 PARKVIEW LN
Lot 7 Block 3 5eG5ubCHES MAR EAST 2ND
P3tC01 NO. OccuOancy
i
Z
on
ng
N3me TED LEVIN jqctuapConst
z Addf2SS 1155 PARKVIEW LN IAilowable)
C4(y EAGAN MN Z'jp 55122 ` ng h'ories
0
Phone 452-8757 Depfh
NaIIe PETERSON HUBER CORP S.F. rotai
O
S.F. Footprints
Address 12229 WOOD LAKF. DR OnSiteSewa
e
? g
Cjty SURNSVILLE MN Tjp 55337 onsitawen
? Phone $94-6084 MWCCSystem
Ciry Water
VcenSe # PRV Required
I hereby acknowlege that I have read ihis application and state that the Booster Pump
information is correct gre to comply wit? I applica6l St?
Minnesola Statutes an ' o a an rdinance.
Signature oi Permilee ? APPROVALS
PETERSON HUBER CORP
A Building Permit is issued to:
Plannar
on the ezpress condition Ihat all work shall be done in accortlance with all Council
applicable State of Minn
f
Eagan Ordinances.
e
sota Sta
tutes antl C
iry
o Bldg, Off.
?
.f
}
p
y
?,,
?
BuildingOflicial?J ?? I?3A! I IILL1 Variance
OFFICE USE ONLY
70'
Bldg. Partnft
SurUwge
Plan Feview
uceree
snc, caY
SAC,MCWCC
Water Conn
Water Meter
Accf. Deposit
SAN Permit
S/W Surcharge
Trealmant PI
Road Unit
Park Ded.
copies
TOTAL
FEES
81.00
3.00
.50
A4_50
.•••• • •?•• c. qyvN?crc DCRr1?ri TiN?M?
3830 P'tlot lCrrob Road ? i'' iT?v '?' `+?' • ' '•s?•`?'>; 6046 ' ,. ?`"'' "
P. O:' Rox 21799 PERMIT NO
:Eagan.MN 55127
'?;ZOIdnO? - ' R? ?i?s. ?i},?y?^ '?v,• NO Of.Unih 3 a?'ll ? i• om,` ?.
QWM r. Bloomberg; Const ya ?'' w#?1'?,.1+ rt !? li +i b¢ y
f.., I y ?.S
155 Parkd{?+ Lane L7 B3''Ches Mai 2 ?'? ^??
??? ?rctt, ? 'Ped$(L4 F1bR
?? r? a,?u s/ c?,???, a,a?`z'"a?o.oo pa
Size(-r/S ?{rK 4? •, . .,..z.. ., Aeaount Deposit : :?14.OO.pd
A'4' L? D'7' 9.S Pem+it Fee Pd i? i;?
Reader No
I ogm M wwOl vdth fha Ckf' of Layee Surchoroe? r, .. :. • .50 Pd
o.alne ??? • i •? Misc. C•haro? `? 63.00 Pd metei
'
;' e? ,?,,-i. .?a,•", Totol?. ...
gy _ ' Dote Potd
Dote of I?up }.: InsP ?,t y W y.:.
BUILDING- PER4IT APPLICATION - CITY" OF" EAGAN
? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
,. -
INCLUDE Q SETS OF PLANS,
??D 0 CERTIFICATES OF SURVEY
Q SET OF ENERGY CALCULATIONS
c ?
To Be Used For: S„? vi ,..?% ?_?k Valuation:? Date: (? /17
Site Address: i1SS Pn???v?,=w ia?a?, ?+4??-?- •
Lot:Z Block:5 Sect/Sub:<-,,,?=S ?.?a; F Erect: X_
Parcel Remodel:
-" Re air-
Owner: Tzo
Address_
City/Zip Code:
Phone #:
P •
Enlarge:
Move:
Demolish:
Grade:
Occupancy: . R_3
Zoning: 2-I
Type Of Const: Q
$ Stories:
Length:
Depth: 55
Sq. Ft.:
Contractor: ?3L_cjom???-_vic?-
Address: p, U_ 1,?x ?oo Assessments:
City/Zip Code:lu?1,.?r.?;?ss ,_ti,• ?.,?i??, Water/Sewer:
Police:
Phone #: Fire:
Engr.:
Arch./Eng: Planner:
Address:'p Council:
Bldg. Off.:
City/Zip Code:cLj,,t,4"o,-,S,=?. p`\. APC:
rh?rp?- Variance:
Permit: ¢(C'6.
Surcharge:
Plan Rev.:
SAC : 52 5, °-`
Water Conn: 4-10. °`
Water Meter 63.42
Road Unit: 00. pO
Parks:
? d, 4 77,Gr?
25 10 2-5
x ?4 ? ?535?
12? 3Z= 38e xS74 = 2073?
Z 8?. ?` 322 x
?) x 20 ? ??> >c S ( ` ?- ? 2c>
24x Z4 =.;?co ? I t -? 33.?
?--
f0?(30
Z40 ? 41 = SS q o
f t 3 `T-70
,• CITY OF EAGAN rJo g$ O 4
• 3830 Pilot Knob Road P.O. Boz 21-199, Eagan, MN 55121
PNONE:454-8700
BUILDING PERMIT Recelpt #
r. v.....? U. SF DWG/GAR Esf. Velue $114, 000 pahe DECEMBER 18 . 19 84
SiteAddresa 1155 PARKVIEW LN
Lot 7 slxk 3 sec/Sub. CHES MAR E 2ND
Percel No.
Name BLOOMBERG CONST
Addrmg P.O. BOX 100
Ciiy CHANHASSEI}ha„B 934-1500
? I Neme SAME -
Addreu
? City Phone
Name SAME
Address
City _
Phone
I hereby ockrrowledee rhat I hova read this opplication ond stote that
the inlormotion is correct ord ogre to comply wilh oli applicobla
Stota of Minnesotu Stotutes yof Eaga Ordiro ea.
Siprwture of Pertnittee
A Building Permit Is issued to: BLOOMB = CONST
oll work sholl 6e done in occordance wilh all o ble Styff of (-ni
Erect Ct occupency R 3
Remodel ? Zoning R 1
Repair ? Type of Const, v
Enlerge ? No. Stories
Move ? Length 7 g .
Demolish ? Depth
Grede ? Sq. Ft.
Install ?
Approvol9 Feao
Assessment _
Water 8 Sew.
Police
Firo
Erq.
Plonner
Council
Bldg. Off. 1Z/17/ H?
APC
Var. Date
pemit S 4 b 25 - U U
SurcFarga 57 _ 00
Plan Review2 3 4 _ () n
SqC 525.00
Water Conn. 470.00
WmerMeter 63.00
Rood Unit 260.00
Parks
Total $2,077.00
_ on fha axpross cordifian thw
Ciry of Ecpan Ordimnces.
8uildirq Offlcial
.,0a
1-i5-£5
Street qUdreSS, Box te No.
4 Ciry
,5 ni
ect?on Townrship Name or 0. nge NO. Cpynly
Q
ij
OccupnM (PflIM) - Phon¢ No.
Power Suppliar V pyd?s r.,
ctk4
? n
ElecUiwl Coniractw (ConVaM Name) Cmtraclor"s Lic¢nse No.
=r1- c LFcT2 IC co/ yv v-?
Maili? Address IContractw w Owrer Maki? Irmta:lationl
?
-
b
• dx -s
?? ?,?rc1?US /I/,5' 3,-Q
AuMorizeA 5'0? ure ICOnt actoi Oxmar Maki?q I?abllation?
C / phpne ryuM¢r
3
MINN??Tq gTp7E BOA11D OF ELFCTIICIT' TMiS sMSYECTION NEQUEST WILL NOT
Grigyja-Miavay Bldp. - Rapn N-197 BE ACCEPfED BY THE STA7F BDARD
1821 UNVersity Ave.. SL Peul, MN 65104 UNI.ESS PpOVEp ItiSpEGTION FEE IS
Phone 1612) 297-2111 ENGLOSED.
,_,?_.______ _..._...__. ............... 1 herabY ro9usst im?tim ot a6ove
?qwner elactrieal ?ark iestelbd at
IEQUEST FOR MECTWCAL IN93ECTtOW Ee-oooo? n„
S. irmtruetims tw rompbting th:s iorm m 6aek of rpllaee eopy-
A %'" 8elow Work Covered by 7his Request
Add Rep-' TvoeoiBuiWim ApplianeesWirad E9uipmen[Wired
Bulk Milk
k iee SetriceEMranceSize # Fee FeeAarsBubleedars M Fee Ci.aits
0 to 200 0 to 30 Arraxi 0 to 30 Am
00
Above 2 A 31 to 700 Artps 31 to 100 Amps
Swimmi Pool Above 100- Above 100-A"-
Transiormer5 Irtigation Booirs Partial-'OYher Fee.
Remarks Sigis Speclal I?pec[non $ ; D TOTAL FEiO O?
RouBh-i^ ' Date J. the Eleet '
.
1 I?ppcWr. hmnbV
1
. cenify timt the abova
Final
- 1 { J inspoction has Eeen
meAe.
1Ng repuest qW 18 mMtlohom
? REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.a
5- jj% 7 0 Sae instructions tor completing this form on back of vallow'eoDY
^79638 "X" Below Work Covered by 7his Request
Add Rep. Type of BuiltlinB APalianceo Wired Equioment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. • Furnace $ilo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm Other oeci y tAer (5uer.ify)
t er uocify t er Oth.,
ompu[8 nspection fee Below N Fee ServicaEntrenceSize k Fee Feetlers/Subteaders N Fee. Circuita
U to 200 Am s . 0 to 30 qm s 0 to 30 Am
Above 200 qm ?g? 31 to 100 qmps $. 31 to 100 Amps
Swimmin Pool Above 100_Am s Above 700-Am '
Transiortners Irngation Booms -50 Partial%Othec ee
Signs Speciallnspection S
0 N
T
E
Nemarks ??.0 OTqI
E
f /h?
• vi
Roueh-in Date
i, (he ElecTfmal
InaDectoq he.aby
Final ?-V ?hei the xbove
i
ary-?
J O ? inapect
on hes been
mede.
ThlareaueslvoletemontMtrom "
Tnis ,eauesc voia 4(o /
18 [ynths from
A 0 79 6?`$ .C 7 ?31 NequesteDate fire No. Rough-in Insuec[ion InSPec-
fleuired?
p Will Noti
?Hendy No?
ty_
` ?
?
yos o ro
r When fleady
?icensad Elecvical ConVncmr 1 hereby request inspection ol ebove
? Owner electrical work installetl at:
Street Address. Box or Poute No. City
?
-?
?
I / ?s K v, ? w .
c- ?
ectm o. Township or No. HenPe No. Cnun?t/y? r A
Occopant (PRINT)
)
" Phone No.
r' •? r?/ L c. c? ! n
fbwe SupDlier Adtlress
nk)-TD.J
Elemri al Contracmr (Compeny Namel Contractor's License No.
.?-h " O,Or-S
es?
MailipaAddress lCOntractor or Owner Making Instella ionl
? ; ')
R ? sIlr
. ? ss 3y
.
_
Authorized ignatur 1 ntrac[or Owner Making I tallationl Pha ?ne Number ?
?
??-
MI ESOTA STATE BOAPD OF ELEGTRICITY THIS INSPECTION pC4UEST WILL NOT
Griyea-Midway BIdY. - Room N-181 BE ACCEVTEO 9V TME STATE BOARD
UNLESS PNOPEN INSPECTION FEE IS
1821 UnivereitY Ave.. St. Paul, MN 55104
PMno 16721 287-211t ENCLOSED.
r V?y 1 I?QUEST FOR ELECTflICAL IN?EGTIQN ee-oooo+?
? See irctructions for completing this tam m beek ¢f palbv cap?- I?14
5
A BeloSv Work Covered by This Rerpuest Add BeD. TrDa of BuiWin9 Applinmss OirW Equipeswt Wired
Home Range TenWwary Service
Duplex Water Heater LigfiO FixMes
Apt. Builtling Dryer Electric Heatin
Comnercial Bldg. Furnace Silo Unloader
IndustrialBldg. -AirCorditianer ButkMilkTank
Otner cec? b.fSVer_iN/
t r P?i Y ther O[hcv
ompute lnspectlon Fee Below
p Fse ServiceE.rtrancaSize N Fee Feedera/Subfesders Y F¢e Circoih
/.-- 0 to 200 0 to 30 0 tn 30 Anws
Above 200 A 31 to 100 Anqts 31 to lOQ Anws
Swimming Pool Above lOQ- AnWs A6ove 700?
Transformers Irti tion Boars Partial.'Otlter Fee
Signs Speciallnspeciion
? ?
40TA
Remarks L
< N
.r'f ra / f \ J
NoupMin Date
•
3a i ? . tha Elecbicel
?..
" ,,svifi that iM abors
F
nal
g!
pM?m las 6aso
f d mde_
T11b Ipuasl wM 78montlutran
' Thi .? s repuest wiQ
g . oa5 3 ? `?5
A 0 7 9 6 1
Neque t Dain Fire No. qough-in impecfion
?- l?`I=4 S ?a ,?> aj ,?;`, _
?? gamad,
icensed Elecvical Contractor
1 hera4T ?eOUSS? msVectiao of ebwe
? Owner eleetriwl ? imblhA at
Street Aadress, BoR m floute No.
5-
?E Citr
E G/??
v?w
ec4on o. Townsnio Name or No. Ranga No. Cauney a
JOA k o?
Occupant INT) ? Plmne No.
fi ^----
Powgr p? AdAress
?
Elec[ncal Conttactm ICOnmairyr Name)
c
co Cwtr? i i.icensc Pb_
7'
r E ? T , py6 6ol-5
Mailin8 Address (COnt,actm m Owner Meking Imtailation)
o si o rrNS fn?- SS3Y3
Au orized S,Yre re ICO vapor Owner Ma
? np IrtTallati Pho? Nunher
. ? ? 2- ?G-
MINNESy(A STATE BOAIM OF ElFC7iiICITY . T?? INSPECTION R4LWST wILL IMT
Cariypa-Mitlwav Bldy. - Iborn N-191 BE ACCFVIED Bf iHE STA7E BOARD
7821 UniveraitY Ave.. SL Paul. YN SSl Oq UpIfSS PROPEB IIYSFEGIION FEE 6
Phone 18121297-2111 EIYCLOSED.
B / ooS`
`# a? I
RequeslDatE -
r??? QL
? FireNo. ugh-in apection
Fequiretl?
?7 Reatly Now ?Wili Notify Insp¢ctor
Wh
R
7
? ? No en
eatly
I q(licensed contractor p owner hereby request inspection of above electrical work at:
.bb Atldress (SUeeq Box or Rou e No?.)`
.?S A2,C Ciry ?
i9b4
Section No.
I
Townsnip Name w No.
Ranpe No.
Counry ^ Ar /?wl?g
Occupam RIMI /
e'?e25o.? - ???u?ie
?'o2jo Phone No.
dP9 / 6 oo'Y
Power Supplier
Hk'n7`4 ?'fcc72,L pqeress
eh
Eiecinca Conlraqor (COmpany Namel
??? ?'
?i??
?
C Conlraclw's License No.
05?//52-?
?
4c ?
o
Mailing AEtlr ss (ConVacror or OnnerMak? Installatmn)
)? z,? .?tir
Authorize? $?gnalure ICOnl?ctor/Owner Maki InstallatmnI Phone yu/m?E r
?
? ?`,- 1I,3
MINNESOTA STATE 80ARU OF ELECTi11CITY THIS INSPECTION REQUEST WIIL NOT
Grlgge-MiCway BWg. - Poom S-1]] BE AGCEPTEO 6Y THE STATE BOARO
1821 Univeraily Ave.. Sl Peul. MN 55104 UNLE55 PROPEP WSPECTION FEE IS
Plrone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
1. See insvuIXions for completing ihis brm on beCk af yellow copy.
J 4491 "X" Below Work Covered by This Request
e Atld Rep. TypeotBUilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olher(speciry) ConVactor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feetlere Fee
Swimming Pool 0 ro 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps Above 100 _ Amps
Signs lnspwors use ony: TOTAL
Irrigation 8ooms ?m ?? ? • Sd
Special InspeCtion
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONT .
I, the Electrical Inspector, hereby Ro?yn-m
/ ?.aZ0 ?
certify that the above inspection has
been made. F;,,ai • oate
OFFICE USE 7NLY
This requesl vaiE 18 monHw irom
. , 199,1 BUILDING PERMIT APPLICATION
CITY OF EAGAN
itEQU1REMENTS:
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SEf ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS. _
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE QQ LOT CHANGE IS REQUESTED ONCE PERMiT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR HOMEOWNER MUST DESIGNATE SN
`HIGH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ?NCE BUILDING PERMIT+SISSUEQ:
F!N?5H 'AW? &jWhfArr ru I
To Be Used For: IPp)&tf Valuation: ?961GD'd' Date:
Site Address 11,5s
Lot Z Block 3
Parcei/Sub CNs ?
Owner -FE-1) L611/J
Address ljSS P`I90I
Ciry/Zip Code Gn eAl?
Phone Y5 2_
CorrtractorfL?M,
Address 12-22S
City/Trp Code ?J
Phone 7T7q -t
Arch./Engr.
Address 0
City/Zip Code
Phone #
22
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S. F. Total
Footprint S.F.
On-sfte sewage
On-site well
MWCC System
City water
PRV
Booster Pump
APPROVALS
Planner
Counal
Bldg. Off.
Variance
Bldg Permit
Surcharge
Plan Review
License Fee
SAC, City
?p SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/w Surcharge
Treatment RI.
Road Unit
Park Ded.
TraiF Ded:
Copies
SUBTOTAL
Penaky
Lot Change
TOTAL
FE .Oo
,3. v0
Sewer/Water Licensed Corrtr. . Processingtime
sewe'r/water terpermits o ays once area as een approve .
?x, ? n s: ???.?,.$- agrees that all work shall be done in accordance with
(5i§nature of Permittee)
all app{icab{e State of Minnesota Statutes and City of Eagan Ordinances.
?p
1 ?D
?
ZO k, n 2a '=L( 04C)
C?
AON KRUEGEq &. ASSOCtATES, lNC.
REGISTERED LAND SURVEVORS
.
U Il 7382 WASHiNGTON AVENUE SO. EDEN PRAIRIE, MINN. 55344 PHONE 812-941-3030
CERT[FiCATE OF SURVEY
survey ror_ ?GOOMBEf?U C'ONSTR. Job No '7o4i Qk ¢z3 Pq ?
XXX - DENOTES EpST/Nr'a. ELEy. 905 *
(XXX)-/JEN07E5 pROPoSED El.EV.
/'E9(P?- OEA/pTES Ex/STING AND ?
PRoPasEO EGEY.
DENOTE S D/R EGT/O/?! pF ? ???Q
SvRF.9cE pR,4/NAGE'
P.¢oposE p E c.E V,qTlONS
L.oGt/EST FGoo,e- 919. p SZ ? ?? 903 r
laRf?AGE FGc??4- 926.67
Topc??v?VDA770/f• 927. o
GoT ' 7 ?S \
9/5.9 ? / QA I?
5 atA 4l' SCACE l'!= 3D1
?o
? \918.2 380 C97g°?
?N GRoPOSED 23 S 9?8.6
HoUSE /
?
9zz,g 2sro
2 y 975.z 10 y 9Z4. / ?9Z70 9z4 ?
\ 9?B./ ?, W\ ? Q? I /p ??•
54. 9¢ / EG6CT.
)Z?°OO 277 .? TtA.vSF. .
9 28 J
H26 H? YL°OIUl:r "ory L : ?Z.B \
GoT 7 GLOCK 3
I nereby certtly that this 19 a true and corre? epfesentatlon ol a survgy ot the D\ daNea ol - ? ?
CNE614A9EA67- 2 ND ADDIT'ioN.OfIKDTAco,ntY, nmmne9aca
Surveyed by me(thl---\'-266 dly RI ??EM6ER r 19 84 lPEriER MASSOCIATES, INC.
STATE REG. NO. 14374
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY IISE ONLY
PERMIT #
RECEIPT # LU / (o?l 7
DATE: 1 ?-
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FDR EACH UNIT.
SIGNATURE OF PERMITTEE
NEW CONST _
ADD ON _
REPAIR
OWNER NAME: LP-vi.s/
SITE ADDRESS: ll?.S /`f'/fiex Yr e w-
IAT: / BLOCK ? SUBD. ? /i!kv[ LQ„??
INSTALLER: Ll?e h
ADDRESS: xV
CITY: ? ZIP:
PHONE ty=?
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. T0
ADD-ON MINIMUM
15.00 ?
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
_ LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
_ WATER HEATER 3.00
_ FLAOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMiJM - 1) 3.00
_ ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL
IS??
$
ST. SURCHARGE .50
TOTAL: $ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDZNGS AND
MOLTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:_
LOT: BLOCK
INSTALLER:
ADDRESS:
CITY:
WORK DESCRIPTION
ZIP:
PHONE #:
FOR: Ll
CITY OF EAGAN
SUSD.
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.SD FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $_
STATE SURCHARGE $_
TOTAL:
(SIGNATURE)
,??_ ,?', 0.,?
o• *
'468 • 00 +
57•00+
234 • 00 +
525 • 00 +
470 • 00 +
63•00+
260•00+
2j077•OD *
• AON KR1JEGER & a4SSOG1ATES, INC.
7382 WASHINGTON AVENUE SO. EEDEN PRAIRIE, MfNN. 5344EY0 HONE 812-947•3030
CER`Y°IFiC??'?'E OF SURVEY
Survey for BGODMBER-G-? CONSTR. Job No 704/ Hk 403p
?
XXk' - DENOTES EX/ST/NC?. ECEY. A 905 *
(XXx - /7ENOTES pROPoSED E[.E'V.
!E"?P3- /JENUrES Ex/ST/NG AND
PRoPOSEp E(,Ey,
? ? DENoTE S DIREG?Yo%l oF
SVRFAcE t7R,4/NAGE
pROPO5E0 EGE(/,47'/ONS
LoWEST GGoO,e- 9/9. o g?' ?
CA,4AGE Ft.c?4- 926.6? jG?B?
ToP c?C` I:Z7vNDA77onl• 9 27. o /
?
?
GoT
?
7
/
903.1 `S? / ?' \
a h \ - \ 0 18.5) ?
\ W 2?•? ?90
0 0
? \9/s.2 36,a
N PRoPOSEA z3
,4oU5E
•? \ N lib>
?
o a2.o ?AR.
•o o??---?`
9zz ? 54. 94 ?
/ ?, N?•o ? R?
.a
I hereby cBrtNy lhet lhis Is a Irue flnd correCt iep
CNESNIAREAST 2N0 ADblTioN
?
/
/
/
/ A
/ Q
\V?975.0?
ELECT,
TKANSF.
?
?
go3 i
\
?
?
SCQCF I"= 301
GoT 7 3coc
a survey ol th'e' o ndarles o? , K 3
%HnviHCOUnty, Minnesota, Surveyed by m inis 266 a y f 01AEM6ER 19 B4 RON K ER & ASSOCIATES, INC.
STATE REG. NO. 14374
? ..
l '?.
P1e or two
1 othrr
F.)fTCRIOR l`7vEIAPE nVf;FACE "U" COMPUTATION , :
(TO bc submitGed with bvildinq permit appli.cation)
?
fnmily dWCllinj Owncr'Cj=p • JILt, L?V?t?1
, Site Address II SS
?
Contzaetor 1
EtI,CY?N\?3? GZCr Ct,l?T'FZ e ]r Date IZ Phone Cl
?16/ 8?l
n 34 • ISOO ?
L?17F[AT, rr. or• . . . a
1
F.Y.t`O:FD WAI.1. x ft. abovC qrddc =
' TOTN, EXPOSED WALL 7tR&1 SQ, OPAQqE WALL CO"I;TF.UCTION: "U" valuc x area wn,u. io`7o "v" ,oq x eq.
sq.
Detail,reCcr?nr,r qiM jptSY "U". •OµDx sq.
from c?1.?G C3?.1G t?15 'U" . 12-7x sq.
1CtaChCd Sh,:rtr; F\2r PLhCF U"
, uz x sq.
. 'U' x sq.
x sq.
.
ft. IQ7.'23 ° 17,79 (II) (A)
•`t• ?,-, sv (v) (n)
ft. i55.63 = 6_73 (U) (n)
ft. ?76.ota ° 9f3.SS fU) (n)
ft. ZV .O = lo.o$ (U) (A)
?(u) (A)
ft._ _ (U) (A)
NIMIOWC: "U" v.ilu^ b?a?t'=?Q.SGw?'
Mnk: b
. typc
. "U" .30 x aG. ft. 212.W ? 63.la?(- (0) (A)
°fc C??o
G P4'T?o GY7o S
.Ux
sq.
ft. E30
o2 ? 25
b0 (U) (A)
r w .
.
?
w
w s?o???r_?.-rs •u" ,3c7 x sq. ft. t6.33 W 4. 89 i'_') (A)
x sq. ft. (U) (A
)
?i "10R5: "U" valuc x ea
a
.?.kc b
tYPc C
a
3 x?, SrL ?NSC.st
"U" .2.7 x
sq.
ft'. 20.01 - 5140 (tJ) (h)
"
. STL tti5?7L "U" .?7 x sq. f±. 17.81 m 4.19, 1 (U) (n)
. ;"u° • x sq. ft. e (U) (J,)
if
;f
r.
TarArs 3z?9,h7 ga. ft. so3 _3z ro) i:
Tar,w (v) (n) vnLt1E'S 303.3Z - • ?
DIVIDED BY 'fOTnL WnLL ART'h 3Z7cj. 67 'dq2 AVG• "U"
nVERAGE "U" .17 or 1r.ss for 1& 2 family dacllinqs
.22 or less. for all other buildinqs
ROOP/CF1I,INGt
'PfY1'AG ARF.Ar ? sq. [t.
tktn(1, refcrencc ?u?..-? c.c.,c.. ??f "?o •,U,,,0?_Sx. .yq,
:tnm attachcd c}nso ^U" ?7Rx sq.
:;hrcta. 7nclurlc "U".07_6 x sq.
eciling joiat. CLc1.`Y C?.f. GD `?, "U" .021 x sG.
fr.iminq, scuttlr.,
akylites,.etc. x sq.
'1ernL fu) fr1 vnt.tn;s y4, 4y ?
nrvioro nr rornr, r.oor/ ?S14 8, q3 .oZF,
CETLING ARL11 .
j 'MGF. "U" .OS for.vrnGilatcd ron',, •
.10 for ill othor conrtruction
`-
;f
f
. ?
? 11
. ?
, . ,?
.`'•,TG: 7f .lvrr.l,ir "U" vnlur? n? ??lcul.?lrrl nhnv? fln not. moct. thc. F.nor Codc r "~i
"All'nrnnir Fnv„1n?.?• ???..,. 4Y cqaircments. ;-
?`in" ?i': oull.im•?1 in ;:r.C GOOG(R) miy bc vccd. Additional Shrc
may 111• ut.rrl Lo •:ln,w rt,ilr:ila?inn::. -'. . . r .`:
. . . . . .. . . . . ... . .. :il?... . .
? Y
. . • , : (v
? {Y
ft. 7RI_Z4 (A)
=`? 9R_o3 ° 7 S4 (U) (A) t:?l
ft.
BRZ.GKJ ° iR._S? fU) (R). . `^t,
ft. m (U) (A)
mrrLS 184A.1D3 sq. Yt. 44. 44 (u) f;Y
J1VG. .U"
. . , '?J
• Es*_imate No. Date 1 Z I l<-, 1 PaLd
. . . , Customer ..
.
A method to figure "U" values £or walls and ceilings to conform with State of hL?.nnc:;o.:,
? new code "Energy Conserva*_ion in New 5uildings, 7+dditions ar.d Remocieled Elemenl:s o.
l Buildings". mhis coce to be elfective January 30, 1976.
- Winflow Areas, Door Lite Insulated Glass 11rea, Special InsulatedGlass Areas
NOTE: Unic Qeantity=.NunuDe'r oi units in group Sgi=1, ^.u11=2, e_c.
. QTY DESC4IPTIb' - UNIT TY . Sq _r•m/rNTm . . mpTkr,.cn---
Z Fi4 F, .11 3. V (4 13 "A Q
74U2_ C? ?a. 3 l".°• "7 47 .
Z84 Z 3. 4? `4 l 2 . .:a
?--
-L_ 7 `=t LI y' --
,3? 2 26,
l 2 -1 --
TOTAL WTNDOW SQUA2 FG'ET 2 ) 2 ,}4
• "0" ?tated 9
?
. En*_ry Doors .
' Doors F1it'r. Insulated Gl<.ss :?igere Glass Area 47ith,47ir.dows Entry Units P;ith Side Lites List S`c:e Lite On1y Separately-Double Door Eauals.2 x Sin?'_c
QTY
?
?
QT]
?
?
QTY
?2.._
& ^ESCZ'.nm?pN ,
s
? K h
z x d?
UNIT TY. SQ Fm/UNrm
? . ?, Ci. R7 ?
1 17 . 2=s ? ; i a.I. ?.Y....?. ..?.: i
?i
1 LL7_?_11-ai?Jf
`r..-E;;;?,:: Side Lites
. DrSCRT_PT7CN
tux 01
'?'OTAI, SQUA?tE FEET 1(1, 3.,}
2atio Doors
DESCRIPTION . UN?'?' Q?`Y SQ FT/LRNI'?'
ltC7 n i
TOTAL'DOOR SQUAR:? FEET
Door ''U" ratinq
5Q FT/UNIT TJTAI Sq ?'T
R.t(? I <cs.z•.=',
TOV,'' cl-=
7 .?
3 -J, ?=-
----*--
Side
>=--
TOTAL '2nTI0 DOOR SQUIFS,? FEIsT p)(") .; i"
tYtuna conslrucLlon . ? ConotrucCion' n-yaluJ
, ?? J.. Interior e?ir film p, 6p
_o_G
2. .? .Ir?5 -
(. '?. ? 3. •. 5 112 SOFT!•lCIOD 1.25
49 ..75/32 BUILT- 2.06
AASrO '? ? :?- '? • 5 -5/8 " SIUIfdG 0.7g
iCALL '? ' r ;? ?I?,?•..,._.:. .?1 ` . ??? .?I EX I. AIR FILM p;1_7
TOTAL 11.02
Interior air film ? 0.60 0 , r;,
' ---=-..
? > ` . •' 2..-1/2" 6YP BRD 0.45
34 .? Qatt:I12S7ATIOM. . 19.00 - ---
,.' `25/32" BUILT-RI7E 2.0 ----
---?1? 5STDTfJG . 0.78
rxteri.or air film . 0.17
-?-;r
'iblal 22.74
uUu
.,pi{3pn .043..
rf ;
1 : Interior air'f?.lm
-a-- 0.60 _o.r„?
2 6" BATT INSULATIOfJ 19..00 ----
?si1l.eea.ler 3.'11/2" SOFTW D 1. 1.8E
4• 25/32" BUILT-P,ITE 2.06 --
?;ner'nl? 4 .5/8" SIDIPlG . ;, .7-r
?
? 'nl 1, 03 G. .' Lxtertor air` f.ilm 0.17
--- } ,
^? 'c? 1?^••', N (J ,:. ?rotal 24. 57? ?-... 2
! 9•'? .' t uUn m.OVCS'U° CY4 0
._• , P ' `. n , 4, 10 .. 1 ?,. Tl1teX'].OT aix 'film ?0, 6D
)JIJDATION 1I1?15ULATION 7673 -
6LOCK I?OZS-.
.LL
.•
• ??,.?._.. ? ?it,? n r• 5.
--
. .'?• :,°' ° ??:'i i G. Lxtrr.i.or a1x fil!n 0.17 -_
o_
o IIII? f ' ---
?'-- Total 7.85
• . .. . . . . ; , . . ? : ? ._.__...
. nTi'ii'm 1 a?nUu a_! ? ? 127
•ti. SLAU ON GPAD??
--
- ' `?\ ? ; ,•? ' ? .?' ? ?J • . . '
,? =..?..? ? t:>?•_-? • , ,' ? •' ,, '.
'° .l --=
l , : ' 6ir -- • ''r- . ? , • , --
',
., , .
,:;
??t._ ? ? • ° I i 1 = . ?? .. .. ... `I I I ? ? . ?` " . : ' ?
o
3
a
NOTCi Indlcate Evnu. ??nn
PERMIT # ?) 6
RECEIPT RATE:
EOOE R$51DENTIAL PLUM$IRH PERMIT APPLiCATION
crrY oF K?eAv
3$30 3'II.OT KROB RD
EAHAP. E11Y 551 EE
657-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
° L
SITE ADDRESS: I C+L` VC?
1 C.,7 n
OWNERNAME:: TELEPHONE#: C9? ? y?a-'° g? g
(AREACODE)
INSTALLER NAME:?,C'c /,? /n wvo, TELEPHONE #: %-?i, OC0-5
STREETADDRESS: PIIq-I "
KeDy) 4-Ue- (AREA'CODE)
_
CITY: j D ?? C1 STATE: UA-V1 ZIP` SSS?'J? 7-1
_ SEPTIC 5YSTEM, new/refurbished (requires two sets of plans and MPC license) $ 109.00
includes $40.00 County fee ,
Note: Additional consultant tees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, exduding water softeners and water heaters. $ 50.00.
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other.
_ RPZ: new installation/repair/rebuild $ 34; 00
_ lawn irrigation system
ReplacemenUadditional: _ water softener ? water heater ?(ry? ?? M
O
??? LJ IP. ?
l5 $ ' 15.00
r i
II
u ?
State Surcharge $ .50
o.
rotal $
I herebyacknowledge ihat I have read this applicatlon, sta[e thatthe InformaUOn is corre a d agree to complywith all applicable Cityof Eagan ordinances.. It
isthe applicanPS responsihility to notiTythe pmperty owner that the City of Eagan assu s o liabiliry for any damagescaused byfhe City dunng its'normal
operational and maintenance activities to lhe faGlities constructed under Nis permit wi ?y prope g wayleasemenL A ti1'ld/?-f
SIGNATURE OF PERMIT7EE 1102
????? ? ? ?7? ??? ???? ? ???
/?57
i
?4 1 2/84
?
CITY OF EAGAN
I• '`?
APPLICATION FDR PERMIT
SEWER AND/OR WATER CONNECTIODi
. (PLEASE PRINT)
1) PROPEI7I"! Ai]DRESS:
r.Frar DE,.CRIPTICV: op >w 7 ,45?'ww"
(I0t/Slock/Sul-Clivisicn or Tax Parcel I.D. Nuti7er)
.T'r' EtIF:'=:G 5?'.aL":'TL'RE . DATE OF ORTGu7AL uiILDL-:G :=,ST
PR=Sr .': --:.^„7Ii?;/PR'OPOS'Tj IIS': ?R-1 SitiGL: ^PYSLY .
R-2 DUP.Ty..t'K (TWO (]NITS)
? R-3 TCJ.CKBCL7SE ('IF%:'E + L^7IT5) ( Wi I"_'S)
? R-4 APAuY??..?'`..7T/COiaCi-?INILi4 ( UiiITj)
Q CC1tin1EPCLXI,/RE?'.AIL,/OFFIC::
? INDL'ST.^.IaL
? NSTI'ItiTIOiVAL/C',GV??2P1?„'`'T
2) APPLIC V"P
rArE: (PLEASc PRINi)
13?092 ,-1-7 .?cf ?i (76r -v5
?
ADDRESS: F• C7 , /OO
crt^t, srr2T, zzP: E o- '214v.
PHOINE:
3) p?DT B El Z
r??: /? PLEASE PRINT)
di nj L rn,.? cc? FOR CITY USE ONLY
PDDRESS:
,
CITY, STMTF,', ZIP:
- PHOVE: /Q'-2{"j 7`?i
?S £. O
/(J, SS 31
???r
44i2`?- 1761 S.? pLUMBER LILENSE N(J(?-?p'23 122 3 PLUh}9ERS LICE45E:
"L?`-] Attive
0 Ezpired
Nqt o ec rd
E
S
T?' -"-T-
arr itia47 CX,CL'YANT/CT.+NF2
NAME:
ADDRESS:
CZT"l, STATE, ZTP:
PHO^IE:
(YLtNJt YHltllf
S) INDIG"tTE SVHICH P ffT IS HEING REQUEST'GD:
cnrNecrzov TO ciTr sEWIER
CONrIFCTZON TO CITY S4ATEf2
? OT'ER (PLL715E DESCftIBE)
oi l,.ui?s??. v.:t: •
. Q PI.EASE f?OLD rlPPPCVED PERMIT FOR PICF:-UP SY ONE OF ABGVE
? PLEeSE :,*AIL P.PPROVEp PERMIT TJ 1, 2.( S/. 4 AF?CNE
?. (Ciscl?.=?one)
7) SICZ.'aTG'RE: DATE:
?
O!?lAalM?eA:f?isalo?y?ls+ytscsa?r?sMi?aa?sa?:aa?[f?i?Fi?'?---? '", ?-. •
F 0 R
PE?ZMIT °- ISSL'ED
I T Y U S E 0 N L Y
FEES: $ /c7 s-- d
$ d rl . -? G
$
S
$
$
$
$
$
$
$
$
$
SE)`:LP. n`RMrT (:_I?CL., o`_:...c pr,
r--??_- . ?II .?..)
WATER PERnTm (INCL'uDE Sli3C3A3Gi)
WATER METE:2/COPPERHORN/OUTSIDE REF,DER
WATER TAP (IIVCLC,'DE CORPGRATIO\ STOP)
SE;vi:2 TA?
_ _..Ci"_i'i l._: GcI= - c=:,=?
ACCOUNT DFPnSIT - WATER
wAc
$AC
TRli-NK WATER ASSF.S52':E2dT
TRuNK SE;vER :.SSES5M°?iT
LAT.??..'yL SEiv'EFIT/TRU`:K SEWER
LF,^ERaL BENEFIT/TRU:VK WATER
WATER TREATMENT PI.AIdT SURCHARGE
OTIIER:
TOTAL
P..MOU.IT PAID;'RECEiPT R -!!5 U 4 9? 56
DOES UTILITY CONNECTZON REQUIP.E EXCaVATION IN PUBLIC RIGHT OF SdAY?
YES IF YES, THEN n"PERMIT FOR *AORK WITHIN
? PUBLIC ROaDWAY" MUST BE ISSUE? BY TF?E
NO ENGINEERZNG DIVISIOCI. LIST AS A CONDI-
TIO[V.
5U2::ECT TO THE FOLLOWING CONDITIOtiS:
APPROVED BY:.??? -
TZ:Lc:.J,??7O?
DAT° :
79/z?
2007 RESIDENTIAL PLUMBING PeRrwiT aPPUCaTioN
CITY OF EAGAN
3830 PfLOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please',complete for modifications to existing residential dwellings.
Date ?_ ( 4- I 0 ?
Site Street Address 1?55 Pavic\j -+U.j La'u- Unit#
PropertyOwner JOktA N!C',tnC- W Telephone# ((n5 l)Li 4''j
Contrector DYA-i o TY o T(uv?b«a Telephone # (6152) o4 (0 4 R R
AddressjZbr?' 2-69°t-l, t W City LGi.k2U1?tP, StateALW__ Zip,55544
The Applicant is: _ Owner /K Contractor _Other
Septic System _ New _ Refurhished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 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 o_ n/v a water softener and/or wafer
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $136.00 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 $ .50
Total g ,,:'>0.50
11 . 1y ?rrr ?I aVO ?l Iaj FiUl I lull Iy 7GI nnI arw acrcnowieoge mac me mrormanon is compiete 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 whout a?rtig,y?dc Jr?
accordance with the approved plan in the event a plan is required to be eviewed a? L?
..
??bo-t2L? t?rsov, ?_ ;,r,i r? 5 2nn? I
Applicant's Printed Name / An '.anf'.c Sinnaf rP
Clty of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
I Office;Use --------- -
For
? Permit#:
? Pertnit Fee:
I ?~!(
? Date Received: ?
I Staff: I
?----------------?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
,,V,,m
siteAddress: ?S f R?kUiEW L{\Nt
Date: v? II-Q8 I I
Tenant: "&,,ri N 4- N1/1QY T_R?\NUS N1EMt?(Ek suiten:
RESIDENT / OWNER Name: M A[Y rmci S NI pA" LY'-r Phone:
Address / City / Zip: PA Q k VI tw L15 Nr
Applicant is: _ Owner _?( Contractor
TYPE OP WORK Description of work: D EC Is f\DbI TICl?
Construction Cost: Mutti-Family Building: (Yes No X,
CONTRACTOR Name: Q ?AilCriK 1?rkcLS ptSiGN ?'vtLD License#: 205`T2-4 5 I
Address: I4180 1KtEib12't 'lk,
City: ilTQl r- V 6 lLEY State: M w Zip:
Phone: b5,?Z3?-'I()C) ' ContactPerson: _'SoP.l ??ENUt?G?"LYC
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit tor a simiiar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor. n " . .,AAA IU) Phone: mipr lti?
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting document; that you submit are considered to be public information. Portions of
the information may be classffied as non-public if you provide specffic reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this infortnation is complete and accurate; that the work wiil be in wnformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permk; that the woflc will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x p I kE X /? &(' c-%-,
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? OS-plex ? 76-plex ? Accessory Building ? Pool
? Singie Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Eut. Alt. - SF
? 02-Plex ? 08-plex ;FL Deck ? Porch (screen/gaze6o/pergola) ? Multi Misc.
? 03-Plex O 70-plex ? Lower Level ? Stortn Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building*
? Addition ? Move Bui lding ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundadon
? Replacement ? Egress Window ? Water Damage
' DemolRion (entire building) - give PCA handout to applicant
DESCRIPTION:
Vaiuation t PP
Occupancy
MCES System
Plan Review Code Edition o SAC Units
(25%_ 100% -fi Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. VA Width
-,-?
REQUIRED INSPECTIONS
Footings (new bldg)
4 r Footings (deck)
Footings (addition)
Foundation
Drein Tile
Roof: Ice & Water Final
? Framing
Fireplace:_R.I. _AirTest _Final
Insulation
Sheetrock Meter Size:
FinaUC.O.
FinaUNo C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
_ Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Reviewed By: :77r- "? i , Building Inspector
RE5IDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
Copies
Total
OWL
310 0 a
Page 2 of 3
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RC31V KRUEGEq & qSSOC1ATE5, INC.
l? ?\1 7382WqSHINGTONAVENUESO. E DEN PRAIRIE, MINNS 5344EV PHONE 812-941•3030
CERY'1FiCA'T'E OF SURVEY
Survey for ?GOOMBE'RG? CONSTR.
XX,Y - DENOTES E,r/ST/NC7. 6LEy. Job No. 704/ Bk. 4Z3 P. E-;-
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I hereby certity that Ihis is a irue antlWcorrect epresentati n of.a survey ol the.K ndarles of ? f< 3
=NESMAR EAST LoT ? 3oc
21,40 ADDITION DyKOTA L
County, MlnnesoteL'Survayad by m this 26'' d y ol ouEMgER g¢ .
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Use BLUE or BLACK Ink
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City of Ej Permit#: ~
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I 1
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: L 6 A Unit
Name: Jo-10 9U r &'f Phone: 3/5 33f1-o5(0
5
Resident/
Owner Address / City / Zip: t S5 I n1'R-KV kew l ah e M a Ss 17's
Applicant is: Owner Contractor
Type of Work Description of work: laL rL oa`F
Construction Cost: Multi-Family Building: (Yes
Company:6`(eeY\X- (A r, cy'V VCAtO~-~ I hLContact: 0P►M I)903 6V1_Q P
T'
Contractor Address:, [ b'} a~ a51 ' S k City: 4X a n Y y
~
State: /v ` 0 Zip: 6`b-1 3 Phone: (_0 L1 7 q -I
License `7L (0:5~; ~7 Lead Certificate 70 t I IS 313
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
i
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
{ Mechanical Contractor:
1 Phone:
I
x Sewer & Water Contractor: _ Phone: i
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Bpi)di Code must be completed within 180
days of permit issuance.
si J YVA 1 & L
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3