4650 Pello CirCASH RECEIPT
' ?CITY OF EAGAN - r;
Z 3795 PILOT KNOB ROAD
ZO'
EAGAN, MINNESOTA 55122
DATE 19
recceIvec
FROM
AMOUNT $ I
& DOLLARS
?oo
E] CASH ? CHECK
FOR
Thank You ?
B Y ?
L/
wnite-Peyars coPv
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
3795 Pilet Knob Roed Eoyon, MN 53121
• PHONEs 454-8100
BUILDING PERMIT Receipt
Te M nsed fer Est. Value Date 19
Site Addreu Erect ? Occuponcy
LOf Blotk $ec/Sub. Alter ? Zoninp
Porce1 # Repoir ? Flre Zone
oc Name "
W
; Addross
Ci Phone
p Name
?_
u? Address
~ Cft Phone
?W Name
i A Addreu
Enlarye O TYpe of Const.
Move p # Stories
Demolish p Length
6rode p Depth Sq. Ft.
Anorovols Faes
Assessment _
Woter & Sew.
Police
Fire
Enp.
Planner -
Councfl
1 hereby acknowledge thet I have reod this opplicotion ond state that 81dy. Off.
the inlormotion is Corrett ond agree to tomply with oll opplitable A? -
State of Minnesoto Statutes ond City of Eogan Ordinantes.
Permit
Surcha rye
Plan check
SAC
Woter Conn.
Water AAeter
Road Unit
Totol
Slynoturo of Permittee I
/1 Building Pertnit is issued to: on the expreas conditbn thnl
all work sholl be done in accordonce with oll applioobls State of Minnesoto Statutes ond Ciry of Eagon Ordinonces.
8uildlnp Officia)
Permit No. Permit Holdsr Misc. Permit No. Holder
Plumbing ?? ?kycZEt
H.V.A.C. ? ? l ?E l'l?c..? 7-
Well
Water
Disp.
Sower
Electric r?owt?`
Inspection Date Insp. Other
Footings
Foundat
ion
F?aming F
Rough Plbg. I-S
Rough HVAC
Insulation ?
Final Plbg. _2 .q W ?
Final HVAC - W L
Final
Water Describe Location:
Weil .
Sewer
Pr. Disp. -
-? -7 ( I
Receipt !_ ! MECHANICAL PERMIT Permit Na ?t
CITY OF EAGAN
Fee .
fill in numbered spaces S/C
Type or Print /egibly Tot.
1. Date '1-- - 2. Installation Cost 1400.
3. Job Address ' •? - ? ^ lcdt - Blk. - Tract `
4. Owner
5. Contractor - Phone 825-(&7
6. Address 4="37 C;:.ic; :0 vr3. 3.
7. City
zmea?..olis
8. Building Type: Residential El
State ' Zip - -?
Commercial Q InStitutional ?
9. Work Description: New ? Add O Alter ? Repair 0
10. Describe )i'Ced air h6pst3.2]
11.
Fuel Type ?
No, Eauinment 8TU - M. Ea.
Forced;ONi No. Equipment CFM
Ai
dli
:
H
Mfg. r
an
ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Gond.
Mfg.
? Gas, Piping Outlets
12. I hereby certify that the above informetion is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
Receipt
PLUMBING PERMIT
CITY OF EAGAN
Fi/I in numbered spaces
Type or Piini legibly
1. Date 6/14/82 2. Installation Cost
Permit No.
Fee
S/C
Tot. '
3. JobAddress465O Pel 1 O Cil"ClLeot -- Blk. ' Tract -
4. Owner ORRIN THOM6BOti
5. Contractor Wenzel Mech Phone 452-1565
B. Address 3600 Kennebec Dr i ve
7. city Eaqan state Minn rP 55122
8. Building Type: Residential IN Commercial ? Institutional O
9. Work Description: New El Add ? Alter D Repair ?
10. Describe
11,
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Se
tic Tank
l.avatory p
5oftner
Shower Well
Kitchen Sink
Urinal/Bidet Other ?
Laundry Tray
?•
1 Floor Drains
Drinking Ftn.
E Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and c:orrect, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
Addition Ri'di
Owner
iff First
20
#10 63980 200 02
5treet 4650 Pello Circle , state Eagan, NAi 55122
Improvement Date Amount Annual Years Payment Receipi pate
STFIEET SURF.
STREET RESTOR.
GRADING
SAN 5EW TRUNK j98 184.49 12.30 15 14.62 coo 660 2-1842
SEWERLATERAL 1982 1305.42
WATERMAIN
WATER LATERAL 1992 1260.79 S -2 3
-
WATER AREA 14.62 (,`Q 6(Q 2-18-82
STORMSEW TRK 1982 638.24 5 638.24 C007616 12-23-81
STORM SEW LAT 955.45 5 955.45 6 12-23-81
ervices 1982 637.75 S 637.75 C007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
240.00 #30369 6-4-82
WATER CONN. 420. OO 11 t?
6UILDING PER. 73 16
sa,c 525.00 " "
PARK
OF EAGAN SEWER SERVICE PERMIT
Pdot Knob Road PERMIT NO.:
, MN 56122 DATE:
I: No. of Units:
I agres tv oomply wiFh the Citr ef Eogoa Connection Chor+pe:'? -'-'? -
Ordinonees. Account Deposit:
Permit Fee:
Surcharpe: -
By Misc. CFwrges:
Dete of Insp.: Totci:
insp.: Date Pald:
n oF EAoAN
, WATER SERVICE PERMIT
ci
°3795 Pilot Knob Roed PERMIT NO.:
MN 551 Z2
'E DATE:
ogan,
'Zonitig: -" No. of Units: y
.
Owner
.
Address:
,
Site Address:
'Plumben
l
N
i Connection Charge:
eter
o.:
v
liZe; Account Deposit:
`Reader No.:
Permit Fee: ,
f Ea
ne
ilh th
Cit
t
l Surcharge:
g
y o
y w
s
o wmp
7 agroe ? ,-
:
'
i
' Charges:
Misc ,. . . .
_
nanca.
Ord .
Tote1:
`B Dote Paid:
y
;Date of Insp
: lnSP.,
.
n1/ REQUEST FOR ELECTRICAL INSPECTION EB-00007-03
See instmctions tor completing ihis form on back of yellow copy. ??x'" Badow Wolk Covered by This Request -oo (2& 2
Nnw Atltl %p. _-Type ol Buildine A0Pliances Wiretl Equipment Wired
Home --- Range Temporary Service
Duplex
Apt. Building
Commercial Bldg. Water Heater
Dryer
umaca ighting Fixtures
Electric Heatin
Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm t e' Or°1rv A ?V Otl,er (SUecihl
t er Speci y Ot er Other
Campute lnspection Fee Below
d Fee ServiceEntrence5ize N Fee Faedars/Svbfendr.rs 4 Fe Circuits
v.:..s? , 0 to 100 Am s 0 to 30 qm s :, 0 to 30 Am s
107 to 200 qmps 31 to 700 qmps t 31 to 700 Am s
Above 200 qmps A6ove 700_Amps Apove 100_Amps
Transiormers Remote Control Circ. Pc3rtial%Oth
Signs Special lnspection S 40•
T
Rei*urks
. f d .? . OTAL
'
Bouqh-in
I Date
/ p
??? _;Xl-o 1. 1 ??e Electriwl
pector, hereby
tit
eh
t th
b
Fii?al exr
y
n
a a
ova
spection has been
mda.
ihis reqaest void
18 momhs irom
This request void ID/z?
18 mon[hs from
? 0901
L.Z'D 13b(L1 c0 Z
od
Request Date
G? Fire No. Rouph-in Insae,c[ion
Required?
CjReady NowAr1h',II NotifY InsDP,-
FlVes ?No tor When Feady
LicensetlElectrical Co??tracmr 1 hereby request inspection ol above
? Owner elecGical work inatelled aY
et AtlAress. Box or Foute No. City
---
ecuon o. Township Name or No. Range No. County
?
OccuDant IPRWTI Phone No.
Power Supplier - Atldress
y? F- /4-
Elec[rical Coniractnr (COmpany Ndme) Coniractor's License No.
615 ...?t-? r.ee-,J L? v,, 3 9 s-.-? 5^
Mailinq AdJress IContrnctor or Owngr Makinp Iretailation)
/ // BVa
Authorized Sienamre fC&rntractor/Owner Making InstallatioN Phone Number
? - -q/0 .J ?v
MINNESOTA STATE BOARD OF ELECTHICITV THIS INSPECTION flEQUEST WILL NOT
Griggs•Midwny Bldg. - Naom N•791 . . BE ACCEPTED BY THE STq'fE BOqRO
55104 VNLESS PNOCEP INSPECTION FEE IS
1821 Univeraity A,e., 51. Peul, MN ENCLOSED.
or,....e IRt?I 997.2111
0-4 -731 ? CTTY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations s
BUIIDINC; PERMIT APPLICATION 1 set of energy calculations.
SF b?g??6a.c- ,oao
'Ib Be Uscd For ValEuation Date S-,a$ -$ ?
Site Address: A"O qE.1I0 C?:cl `4q) OFFICE USE ONLY
7nt 2b Bloclc 2 Sec./Sub. Erect >e - Occupancy /?..?
Parcel 2oL d 2 First Alter Zoning
O..mer:
Address:
City/Zip Code:
Phone #:
Fi
Repair re Zo? ??,Q
Enlarge Type of Const. ?
Nbve # Stories
Demlish Front ft.
Grade Depth ft.
Contractor: nRRIN TI-If1MPCn???E6
Address: a Division of U. S. Home Corporation
,.P,
Cit.y/Zlp Code: MINNETONKA, MINN. 55143Phone #: Sqq-1333
Arch./Fng..
Address:
City/Zip Ccx3e:
Phone #:
APPROVAIS FEFS
Assesgnents Pezmit P9s9 "
Water/SEwer Surcharge ??G 1132
Police Plan Check / y'le 141L
Fire sAC sar =12. _
FA,ig, water Conn. yaD a`'
Planner Water Meter ?
Council Road Unit -r
Bldg. Off.
-
APC
'Ib'PAL "V??
cInr oF encnN
3795 Pilef Knob Rwd Eagan, MN 55142
PHONF: 454-8100
S
BUILDING PERMIT
Te M uwd fer SP DWG/GAR En yalue $53,000
Sire Address 4650 Pello Circle (Plan 107)
Lor 20 ei«k Z Sec/Sub. Ridqecliffe let
parcel # 10 63980 200 02
W Name urr1n •rnvmgsvn naones
9 z Addross 1712 Ftpkins Crosaroad
""' "' ___'
p Name Ownei
g? Aaareu
r.w, e?.."
Name _
Address
I hereby ccknowledge thot I havs read this npplicotlon cnd state that
the inlormntion is correcf and cgree to tomply with all applicobla
State of Minnesota Starutes ond Ciry of Eagon Ordinances.
Sipnofurc of Permittee
A Building Permit Is issued to: _OS7
oll work shall be done in aecordonte wlth
Buildiny Officiol
kecelpf #
N9 7316
Erect 0 Occupancy R-3
Aiter ? Zoning R-1 (PD)
Repoir ? Fire Zone NA
Enlarge ? Type of Const. V
Mova ? # Stories
Demolish ? Length 60
Grade ? Depth 26 Sq. Ft.-
Anorovalt Feaa
Assessmenf _
Water 8 $eW.
Polica -
Fire
Enp.
Planner _
Council _
Bldg. Off. _
APC -
Permit 47&•vv
surchorge 26.50
Plan check 146.00
SAC 525.00
Water Conn.420.00
Warer Merer 60.00
Rood Unit 240.00
Twal $1709.50
_ on tFw exprea eonditlon thm
ord Ciry of Eopon Ordirwnces.
4650
C. R. WINDEN 3 ASSOCIATES, INC.
EAND SURVEYORS Tfl 645-3648
FOR: 1381 ELISTIS SL, ST. PAUI, MINN. 65106
U. S. HOME CORPORATION
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Lot 20, Block 2, Ridgecliffe First
Addition, Dakota County, Minnesota.
WE HEREBY CERTIFY TMAT THIS IS A TRUE AND CORRECT REPRESENTATION OP A SURVEY OF THE
60UNDARIES OF TME IAND ABOVE DESCRI6ED ANO OF TME IOCATION Of All 6UIlDINGS, IF ANY,
TMEREON, AND All VISIbLE ENCROACHMENTS, IP ANY, PROM OR ON SAIO IAND.
Oorad this '24 Itl day oitft4A.D. 19 6 Z
C. R. WINDEN 3 ASSOCIATES, INC.
br ?i'??scdC%+^-
Survoyor, Minnesoto Rapitlrotion Ne.7-77
?
nia1r
??XX??kX??XX?X??F?X??%c?ka47X?fWk??k???%?Xt?k?k?t?kXc?X?k$cX??; S?RtX?
CITY UF EAGAN
CA!iH'f.Eftg 5 Tf_:RMINAL NO: 607
DAI"E: 04/09/99 'T'IMh.a 14c38:42
SD:
NAt'E.: SCOTT DOMAGAI_54'I
3?i.0 'JOUi 4650 I"'EL.LC) CTR 45.60
27.:1: `°J00:1. 4F,54 I'C!_I_0 t;[(i 0.55
'To+,a:t f;ecer:i.p+, Art?ount,: 4L-.15
Ck 9Al;'l99
USG.h ID" NANG'Y
+kXt?kX?%?X?%?? ?X?k%c?k%?%??kX?k??c?F:S??F k??k>R?f ?? ?*a'r•>Y:t??XX!?%?S;
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 1-{ 9
New Consiructlon Requlrement
? 3 registered sHe surveys ahowing sq. R. of lot, sq. fl. of house
and all roofed areas (207, maxlmum lot coveraae allowed)
i 2 copiea of plans (show beam 3 window slzes; poured fnd. design; eic.)
: 1 set of energy calcul(itlons
> 3 coples of hee preservation plan H IM piaHed after 7/1/93
DATE: / - y? y 61
d/6 r° //o C ,V
DESCRIPTION OF WORK: /'f ° ° -7-? -F 70
STREET ADDRESS:
LOT: aC) BLOCK: -?)- SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
?
Name: Y)OM444IJ/11 S?-rr Phone#:
Last firsi
Street Address: y 6' ?-u C "?-
City /J1?c9 6,.^ State:
Street Address:
City
Telephone #: area code ( )
Remodel/Reoalr Reaulrements
2 coples W plan
1 sM of energy calculaNons for heaTed addNfons
1 s%e survey for e)derior addMions 8 decks
CONSTRUCTION COST:
License # Exp.
State: Zip:
Name:
Street Address: Registration #:
City
State:
Sewer S water licensed plumber (reauired for new construction onlvl:
r
Penalty applies when address change and lot change Is requested once permN is issued.
Zip:
I hereby acknowledge that I have read this applicatlon, staTe that the InformaNon Is correct, and agree to comply with all applicable
Stafe of Minnesota Stafutes and Cffy of Eagan Ordinances.
Signature of ApplicanY. • ?-
c?j ? 1? L-?•??µn
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
y„ i?
Zip: z t
Phone #:
(area code)
Tree Preservation Plan Received _ Yes _ No - Not Required ---' "-
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-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex O 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
WORK TYPE
? 31 New 0 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq, ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No, of Units
No. of Bldgs
MC/ES System
City Water.
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee ?
Surcharge =5 ??
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: 1-1 L-- I ?
5AC Units
Valuation:
,
% SAC
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159303
Date Issued:12/09/2019
Permit Category:ePermit
Site Address: 4650 Pello Cir
Lot:20 Block: 2 Addition: Ridgecliffe 1st
PID:10-63980-02-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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 -
Majeed Almadan
4650 Pello Cir
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature