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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 f , .t.? 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-;- ?XXX)- /nEN07E'S pRoPoSED EGFV. A 405 r Elo)- pENaTES Ex/5-7'/NG AND PRoPOSEO EGEY. ? DENoTE S D/REG7-/o%! oF- svRF.9cE L7K4//JAGE °ROPOSE D E LE V,g77101VS ?f?A4E F??- 9/g. o g 82 / ToP ? FOVn/D on(. 9 Z 7. o ? / / / 903.1 ? ? ? ? ?N \ , ? ? ? 9ie. z /a N \\ N 0 2 ? szs.z 1? 0 9A?6-,' \ 97e./ \ t h? ? Z ?-- 0 9zz ? t? // ?N,•D G, 926. 0 ?,. C925.o? 23 9/8.6 ?aAR. So , % ? ? ? EGECT. T,t?t.vSF. 903 r ? ? L/`?? ? i ?- o? ? SCACF 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¢ . / ? / GOT ? a,eoPOSEA NoUSE % ? 42• ° 9zz.a r Use BLUE or BLACK Ink r I 1!1001 For Office Usej 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