4657 Pello CirCITY OF EAGAN Remarks
Additi ;tidgeelliff First?lddn. Lot 22 eik 2 Parcei#i p 63980 220 02
ownerla" ?screec 4657 Pello Circle ststeEagan. MN 55122
Improvement Date Amount Annual Years Payment Receipt Dete
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 198 184-40 12-30 14 .62 Coo 662 2-18-82
SEWERLATERAL QP 1982 1305.42 S
WATERMAIN
WATERLATERAL 1982 1260.79 5 1260,79 C007616 12-23-81
WATER AREA 6 2
STORM SEW TRK 1982 638.24 5 638.24 C007616 12-23-51
STORMSEWLAT 1982 955.45 5 955.45 C007616 12-23-81
ervices 1982 637.75 5 637.75 c007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET UGHT
Road Unit 185.00 25886 7-22-81
WATER CONN. 33$, 00
9UILDING PER.
5AC
PAR K
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECURD IControlNo.
PERMIT TYPE:
Permit Number:
aate Issued:
SITE ADDRESS: tat t 72
4657 PEl.lO CIR
RID"CLIFFF IST
PERy4?t pppATI?PE:
? ? OO: ; APPLICANT:
Ilt n 1 -N--QLO F,iREPLACES
(812) 890-0i69
TYPE OF WORK:
HE'W
Permk No. PormR Holder Doe Trlsphors #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Duba insp. Commontc
FooUngsl
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
FrePlaos
Final Htg. -
O?s8t Teat
Final Pibg. Pbp. Inepector - Natl1Y Plumber
Corist. Meter
Engr./Plan
BkJg. Final
DeCk Ftg.
Deck Final
WeN
Pr. D4sp.
CASH RECEIPT
' CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
AMOUNT $ I
a ooLLwRs
?oo
? CASH ? CHECK
.4
FUND COOE AMOUNT
Thank You
?
BY
YVhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY Of EAGAN
' 3795 Pilot Knob Rood Ea9en, MN 55122 N°_ 6776
• PHONE: 454-8100
BUILDING PERMlT Receipr #
To be usad for Est. Value ? Dute 19
Site Address ( t bdel 1rjr) ;
Lor Block ^ Sec/Sub. ? i1`'ecliffe lst
r . _.
Parcel # r''
cc Name = ?'-'t l ilwu?,ovu i w,uco
W
= Address '??2 ('i'osSI`OA(?
° ,.,.,. . 5534" o,,-_ 544-7333
? Neme , _ , ..
0
?? Address
?- r-:.., o?..,..e
Name _
Address
I hereby acknowledge tFwt I hwe reud this opplicotion ond staYe that
the informotion is correct ond ogree to comply with all applicable
State of Minnesoto Statutes and City of Ecgon Ordinonces.
Erect ? Occuponq
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
Approvols Fee@
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner _
Council
Bidg. Off. -
APC
Permit
Surchorge '
Plan check
SAC '
Woter Conn. '
Wcter Meter
Road Unit
Total
Signature of Permittee I
A Building Permit is issued to: - on the express ca+dition tfiot
oll work shall be done in uccordance with all 'applicoble State of Minnesoto Statutes ond City of Eagan Ordincnces.
Buildirg Offlcial
PwmIt # DaM Imad Prmlffoe
Plumbin9 2-53-7 1'
Mechonical
F-c ,
E
T 50 (G's
INSPKTIONS DATE INSP. I I Rouyh-In Pinol
Footings 3. g Date 1 Dote ' Irap.
Foundation Plumbing ` - '
rome/ins. Mechonicol
Finol
?
Remarks:
Raceipt - ? PLUMBING PERMIT Permit No.'?
; CITY OF EAGAN
Fee --
• Fi/l in numbered spaces S/C
Ty,oe or Print /egi6/y -
Tot.
1. Date 4?.? '•, 1?' 2. Installation Cost
3. Job Address L. ?..? Blk. ? Tract '? ' '- t • ?
4. Owner
5. Contractor Phone
?
6. Address
7. City r 1 1 U State 1; 1 Zip '.
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New M Add ? Alter ? Repair ?
10. Describe
11,
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Septic Tank
? Lavatory Softner
Shower Wel I
Kitchen 5ink
Urinal/Bidet Other i '
/ Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above intormation 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
Reoeipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN ,-
Fee • .
Fill in numbered spaces S/C ..
Type or Print legibly Tot. !
1. Date --- "' ' 2. Installation Cost 3. Job Address -,'? -17 -1- `- " r
Bik. Tract
4. Owner _.-,:?.
5. Contractor Phone `.'?$-f,o,'7
6. Address
7. City State - Zip
8. Building Type: Residential El Commercial O Institutional ?
9. Work Description: New U Add ? Alter ? Repair ?
10. Describe Fuel Type x?-
11.
No.
1 Equinment BTU • M. Ea.
Forced Air "$1," A' No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
i Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
..?w-?i+.?-- . y _ „ -..,?;'.j,?. w?s'?°-O+ .? .:?'i'?"?° .P. N?^'; "?1t;t!R"s`?•.Q?"` ..- . . .. . u";:-*?';.: ?-n ???;
- CITY OF EAGAN 17745
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
r
BUILDING PERMIT
To be used for DECK
=1,000
Receipt # I - i 4
Date APR 20 ,1g 9
Site Address 4657 pELLO CIR
Lot 22 Block 2 SeclSub. aiDGECLIFFE 13?
Parcel No.
W Name CHARLES E 'lAORKILDSON
3 Address 4657 PE1.Z0 CIR
° City EAGAN Phone 687-9052
Name -
Address
CIty _
W W Name
?
Address
?a City Phone
W
I hereby acknowlege that I have read this application and state that the
information is correct and agree to cpmply with all applicable State of
Minnesota Statutes and City of Eaga inances.
Signature of Permitee 74 A euilding Permit is issued to: CHARL'ES E TRORKI I.DSON
on the express condition that all work shall be done in accordance with all
app6cable State of Minnesota Statutes and City of Eagan Ordmances.
Building Official . ,
OFFICE USE ONLY
Occupancy - FEES
2oning -
(Actual) Const - Bldg. Permit 25.00
(Albwable) - SurCharge • 50
# of Stories
Length 20' Plan Revfew
Dep[h iZ SAC, City
S.F. Total -
SAC, MCWCC
SF. Footprints -
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC Syslem _
Acct. Deposil
_
City Water
PRV Required - S/W Permii
Booster Pump - SIW SurCharge
Treatmenl PI
APPROVALS Road Unit
Planner - park Ded.
Council
BIdg.OH. _ Copies
ZS. 50
Variante - TOTAL
Permit No. Pe?mit Holder Date Tekphone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Commenis
FooUngsl
Foundation
Framing
Roafing
Rough Plbg.
Rough Htg.
Isul.
Ftreplace
Final Htg.
Final Plbg.
Const. AAeter Plbg. Inspector - Notify Plumber
EngrJPlan
Bldg. Final
Deck Ft9.
Declc Fnal
Well
Pr. Oisp.
Receipt - - ' ` MECHANICAL PERMIT Permit No. - - ' ?
- CITY OF EAGAN
. Fee
Fill in numbered spaces S/C
Type or Print legibly Tot -l
1. Date 2. Installation Cost
3. Job Address 44'- ) Lot Blk. Tracli/ ?
4. Owner •? t
5. Contractor Phone
6. Address i ,'yd G / /Z" /vQ '?rF fi7 ?+
7. '
City
State r?/?•
Zi
p •
8. Building Type: Residential Cl Commercial ? institutional ?
9. Work Description: New ? Add ? Alter 0 Repair ?
10. Describe
11.
uel Type
No. Equapment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
Handli
:
Mfg. r
ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
? Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above infprmation is irue and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ' for
Rough Final
Inspections: Uate Insp. DsteS7 /? Insp. ??
s
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,8100
C1TY VF fJ?GAN
3795 Pilat Knob Ree/
Eayen, MN 5512,
Zonirg:
Owner ' r?in i
Address:
Site Address: " ' 7 PE
Plumber.
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
L22 B2 Ridge Cl i;" : e]
, . . . . ,
' I a9rN to eemPh? wi16 !1e CtlY of EoWp Connection Chorye:
Ordlnen?a?. Account Deposit: .
Permit Fee:
Surchar0e:
By Misc. CharOes:
Dote of Insp.: Totnl:
Insp.: Date Puid:
.??
?.?
CITY )f EAGAN
3745 Pilot Knob Roed
Eagoa, MN 55722
Zoning: . ..
Crr-r{,? _ ',-
QW?1Ef: ?-
/lddress:
Site Address:
Plunber.
Meter No.:
Size:
Recder No.:
1 s9roe M omVly wmb 1M Citfi of Ea4an
O?diwanoss.
By
Date of InsQ•:
WATER SERVICE PERMIT
PERMIT NO.:
DI1TE: 1
_ No. of Unlts:
?: •:?.
?e 2 E2 Vid e illffe I
_ Connection Charye: ?-
q=unt Deposit:
_ Pertnit Fee: .. • ,?(i
Surcharge:
Mfsc. Chcr9es:
Totol:
_ Dote Poid:
_ Insp.:
This request voiA 7//&I
16 nwMhs irom
T 56965
L 2?? b '-, r L Cc ( V 27 t SC)
a?T3o
Request Date
,X,.? 1 r l^' 1( lo'
i Gire No. flough-in Inspec'ion
Req ireA7
?'es ?NO
Ofteatlv Now III Notity Mspec-
[nr When Reatlv
Licensed Electrical Contractor . v I hewby mquast inspectiov oi above
uer electrical work inslallad aL
Suee[ Atldress, 9ox or Route Na. ,
(05'7 P"-o C?RcLe City .
G%M
Uon o. Township NamEx or No. . Rangu o. . Co ty ?('?-p
.V +f+
Ocwpan, (PRINT)
Q¢(i{nl ?so?) }}v Phonc No.
Power Supplier
KA Atldress
fAW1a6T0rJ
-Electrical Contractor (COmpanyName) .
JEc.x- ?G??` C ntra mr's I.icense No.
R 3?t> ZS
Mailing AAdress (CanVacmr or Owner Makinp Ins[aflation),
I??t
Auffiorizetl SignaW ICon ctor/Owner Making Installation) . . . Phone Nomber ?
gqo Ss ?s
.MINNESOTA STATE BOA11D Of-ELfCIIHCITI' .. " . ' THfS INSPECTION REQUE4T MILL NOT Grig9s-Mltlr'ey'Bldg: - boin X•791 BE ACCEPTED BY THE STATE ipAl10 UN?ESS PqDPEfl INSPECTION FEE IS
" ?182L Univarsiry Ave.. St, Vau1,.MN--66104. . ' - . . oh....e ixVl 147.9111 . . . ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ?..,, EB-00001-03
?' .56965 ? Sae inshuc[ions tor completing this form on bxck of Vellow co0v. "X" Below Work Covered by This Request 2(p T-3 U
Ne AdA flep. ,Type ot euildin9 ApPliances Wired Equipment Wired
Nome Range Temporary Service
Duplex Water Heater Lighting Fixtures
pt. B uilding Dryer Electric Heatin
ommercial Bldg. Furnace Silo Unloader
q dustrial Bldy. Air Conditioner Bull< Milk Tank
F
Nin oNer Spcufv 1n,x Isuecity)
tM1er Suf( rty Other Othi?r
Compute lnspectlon Fee,geYoW\
p Fee Service Entfarici5izg p Fee F.eOers/SubSeeAers H Fee Circuits
lO. 0 to l90 Am - 0 to 30 Am s to 30 Am s
101 To?4Q0.(> ips" 37 to 100 qmps 37 to 700 Am ps
;Abov 2901/qrn)s Above 100-Amps Above 700_Amps
a sf e r s ReinoteControl Circ. PartiaVOther Fee
i ns Special Inspection
T
`D
?
Aeinarks OTAL FEE,
?,J
Rough-in ? Date
. ? I,ns the Electticel
. ? Ipecbq heraby
? cer?ily that the nbove
Finel ( ection has been
Thi4 reques[ void
1 months fwm
l lY i/ REQUEST FOR BECTWI3?AL INSPECTION ee-ooooI?
`f , see ins+r.ctiuss mr cwnaktim m:y.ivm m usck ot xuor eoar.
343p 0 2 "X"' Below Wwk Covered by This Request ?45
Ada NeD? Type of BuiWinp AWliarKan ARb Ea.iwmenl iired
Farm
Ik
r Fee ServiceEnlranee5iz0 k Fee FaedersASu4feaderm M Fac fwrcuits
0 m200 Ainps 0 to30 Amps 0 m30 An?
Ahove 200 Amps 31 to 100 Amps
l 31 to 100 q
Swimming Paol A6ove 100_ Above 100--AffW
Transiormers Irrigation B? I I . b U Partial'Other
LI I Sigts ISpecial lntspec[ion _'S (f
Re.rts 1 0. CJ Q 1 TOTRL F E, _
Air Cnnrli+innar ,
Ibuph-in Da[e 1
the Elxtriral
? .
lusaeewr.l.e.eer
mrtih Omia [he above
Final ?
?)
D.I.
^0 '??/?
am??. ?s ?n
amide.
TNM repueat voM te manNS han
18 ms ?re9ues(? t pw?id /,"11 ',Y(?
BV? V V LJ ` ? Lj.)- &a'??
fleques[ Date
^ Fire No. Rough-in I?pcction
peq r¢d7 ??s?
GlReady Now [] Will Notify,
?Yes ?Na twN7?enMatlY
I
M.iv 171Qp.?i
_
? Licensetl Electrical Contraclor 1 harobY ro9.2 inspectian o/ abore
Owner electriol vark inslalied et:
StreeaAAdress. Boxor 1bMe Na
? Citv
cuon o. TownshiD ii
a o. npv No. Caun
akota
Occupant IRi1NT1 J e f f B a i 1 1 o n Phone Nn.
Pow¢r Supplia Atld?
Electncal Gonvactw (COrtww Name) Canhacmr's License No.
41689
Mailinp Address (Canirdctm or Owmar Makinp Irmtailation)
55-12
AuMorized SiB?nre 1? ta r ?n9 IreblWti ? NuM¢r
°--- ? 421-9318
YINNESOTA STpTE 80AHtT?iElEC791C1TT THLS INSPECTION REQUFbT WILL MOT
salidwaY BId9. - Room N-197 BE ACCEPIED By 1HE SfAIE BOAND
Grigp
1821 Universiq Aw-. SL Paul. YN 55104 UNLESS PROPEfl INSPEGTON FEE IS
Rnro (b'12129721t1 ENCLOSEO.
CITY OF EAGAN N2 17745
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt u c? q
To be used for DECK Est. Value $1, 000 Date APR 20 . i g_90
Site Address 4657 PELLO CIR
Lot Zz Block Z Sec/Sub. RIDGECLIFFE 1ST
Parcel No.
w Name CHARLES E THORKILDSON
3 Address 4657 PELLO CIR
0 Ciry EAGAN Phone 687-9052
o Name SAME I
U
?a Address
? City Phone
?w Name
?? Address
iw City Phone
I hereby acknowlege that I have read this application d state that the
iniormation is correct and agree to c mply with I plicable State of
Minnesola SlaNtes and City of E na
l
Signalure of Permitee
C
A euildiny Parmit is issued to: CHARLES E THORKILDSON
on the express condition that all work shall be tlone in accordance with all
ap0licable State of Minnesota SlatNes and City of Eagan Ordinances.
Building Otficial
Occupancy
Zoning
(AClual) Const
(Allowable)
# af Storie5
lenglh
Deplh
S.F. Total
S.F. Foolprints
On Site Sewage
On Sile Well
MWCC System
ciry water
PRV Required
Booster Pump
AP7ROVALS
Planner
Council
Bldg. Olf.
Varianca
OFFICE USE ONLY
_ FEFS
20'
]2_,_
Bldg. Permit
Sumharge
Plan Review
SAG Ciry
SAC,MCWCC
Wa1er Conn
Waler Moter
Accl. Deposit
SAN Permil
S/W Surcharge
Treatment PI
Roatl Unit
Park Ded.
Copies
TOTAL
25.00
.S0
25.50
CI?Y-OF •EAGAN include 2 sets of plans,
?t1 site plan w/elevations &
? BUILDZN(; PERMIT APPLICATION 1 set of eriergy calculations.
'Ib Ee osea For valuation Date
.,
site paaress: CL. ?oq) oFFice osE au.Y
Lot ?.a.. aloctc Z sec./sub.
Paroel #: fD !03`($_0 ZzooZFKST alter zoninq J?O
Repair Fire Zore /V
Owner. Enlarge _ Zype of Const. _
Mave # stories
pddrpsg; a Divisian o/ U. S. Home C r Def1D1i5h FYUIIt ft.
CltY/21p COdE: KINS CROSSROAD
MINNETONKq.IviWN 55vnz Gt3de DePt'I ? ft.
Phone #: 544-1333 APPROVMs
Contractor: gRRIN THAMP-S9N I 10MES
AdC1r05S: a Division of U. S. Home Corporation
N '
Gity/Z'1p COde- MINNETONf(A, MINN. 55343
Phone #:
Arch./Ehg•:
Address:
City/Zip Cocle:
Phone #:
Assessnents
Water/Sewer
Police
Fire
Eng.
Plannei
COU17C11
Bldg. Off.
APC
Permit
Surcharge
Plan Check I SO
SAC i? S
Water Conn. 33 S
Water.Meter :aa
RDad Ulllt / 816'
TOTAL
CITY OF EAGAN
3795 Pibt Kno6ORood 'Fagan, MN 55122
PHONE: 454-8700
BUILDING PERMIT APPLICATION
T. ha ?.Qa fe. SF DWG/GAR E
sire Mdress ko;Pi relio li1TC10 tmoaei lUy 1
Lor 22 Block 2 sec/sub. Ridrecliffe lat
Vorcel # 10 63980 220 OZ
w Name Orz'3n ThoIDp9on HoIItee
? Address 1712 Hopkins Crossroad
,.,... Mtka. 55343 .,___ 54b-7333
o Name _
r
V? .?f?fES4
? ['?w
Name _
Address
I hereby acknowledge thot I hove read this opplication and state,thot
the informMion is rnrrect end agree-,to wmply with all applicable
Stote of Minnesoto SMCUtes and City of Eogan Ordirwnces.
Building Offidal Receipt #
Signcture of Permittee -
A Building Pertnit is issued to:
all work shail be done in acco
N° 6776
G?S??05?'
e.sa [X o«uaoncr R3
Alter p Zoning PD
Repoir ? Fire Zone MA
Enlarge ? Type of Const. v
Move ? # Stories
Demolish ? Front - ? ff.
Grade ? Depth 26 ft.
Approvals Faea
Assessment _
Woter & $ew.
Police _
Fire Eng.
Planner -
Council _
Bldg. Off. _
APC -
Permit A11•W
surchorge 28•00
Plan check 150.50
y,c 525.00
Water Conn. 335.00
WaterMeter 60•00
Road Unit 185.00
roral $1584.50
on the express condition that
11 with d li?ble State of Minta Statutes and Gty ot Eagan Ordirwnces.
.,.,.
(grr#ifirtttr nf (OrrupttnrIj
Citp of (f agan
Bepttritttent nf Bui1??ing Jnsprrtimt
ThiJ CertittCdtt 737M!!I Purtuant to the nqxiremenu of Serlion 306 of tbe Uni form Building
Code nrti fpng tbat at the timr o( irruunre thit ttnuturr wut in rompliuncr with the variouJ
ordinancu of the City regulating building ronnruttion or urt. For the foUounng:
SF DWG/GAR BIJg.Pe,mil No. V77V
u:c??o.
?} ,T PD
1uctlw Y Fi?eEw 1? zownBD'utna
?W^•YTYP? Rl Typ?cow
?? or??6 Orrin Thompson ,,aa„n 1712Hopkins Crsrd., Mtka.
' " _ ' ^ _ - , " A --- '1 2 PP..
? ft -
p«, October 30, 1981
?
4b7/
l:/ • • ? ?n `j . :
G?
FOR:
U. S.
T
Ridgecliffe First
County, Minnesota.
C. R. WiNDEN 6 ASSOCIATES, INC.
LAND SURVEYORS ToI. 645•3648
1381 EUSTIS ST., ST. PAUL, MINN. 65108
CORPORATION
5CALE I"-40'
o UENUTE_S IRGN
Datod thi,Sn?doy of, hvn c A.D. 19$1 C. R. WIN SOCUTES. INC.
br !???-
Sur.ayor, Mienesoia Raqimotion No. 772C
N1151i
WE MEREBY CERTIfV THAT TMIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY OF THE
60UNDARIES OF THE IAND ABOVE DESCRIlED AND OF TME IOCATION Of Atl 6UIlDINGS, If ANY,
THEREON, AND All VI519LE ENCROACMMENTS, If ANY, fROM OR ON SAID IAND.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
4657 PELLO
RIDGECLIFFE 1ST
PERMIT SUBTYPE:
FIREPLACE
?
INSPECTION RECORD Control No. 1112
PERMITTYPE: eur.LozNe
Permit Number: 001514
Date Issued: 0 9/ 2 5/ 9 2
LOT: 22 BLOCK: 2 APPLICANT:
CIR HEAT-N-GLO FIREPLHCES
(612) 890-0758
TYPE OF WORK:
NEW
?
? PERMIT ' Control No. q 112
? _- ?
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 001514
(612) 681-4675 Date Issued: 09/ 2 5/ 9 2
SITE ADDRESS:
4657 PELLO CTR
LqTe 22 BLOCK: Z
RIDGECLIFFE 157
DESCRIPTION:
-- ., _.?
<?Build.i:n-g Permit Type FIREPLACE
Building'"LJork Type NEW
- t
<< ? ?
? ... c=e?. .
. i?
.? .,.,
?r
j 3
j r ! /a r
% ??? tlc 1 ?
' ?i..f ._
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicant - sT. LI QWNER:
HEAT-N-GLO FIREPLACES 18900758 00029615 VALENTY DICK
3850 W HWY 13 4657 PELLO CIR
BURNSVILLE MN 55337 EAGAN MN 55122
(612) 890-0758 (612)688-8011.
T heretay acknawledge that T haue read this aQplication and state that the
irrformation is eorrect snd agree to comply with aIl applicable State qf Mn.
Statutes and City o'f Eagan drd'inances.
,n fl Iy1Iyj?,,.1?
APPLICANT/PEFMITEE SIGNATURE I SUED B: SI NA `
PERMIZ A
REACTIVATE _
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY _ 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, i set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date q_ Valuation of work
Site Address:
STREET SUfTE M -
Tenant Name: (commercial only)
LOT ? BIACK SUSD. ?.? I).!-?
? 4 P.I.D. #
Descri tion of work: kmeA&
Qlj
The appl i cant i s: ? Owner Contractor 0 her (Deseribe)
Name Phone Mf "?D11
Property uST FIRS7 '
Owner - I
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naaress 5
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STREET STE M
CitY ? L&4tl State Zip &T/ZL
Company Phone
Contractor Addres ")KSU {.a-LULf Licens
e
# Exp.3??1L
'
/
City State m,v Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 6 water licensed plumber . Processing time for
sewer 8 water permits is two days once area as been approved.
I hereby acknowledge that I have read this application and state Lhat the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
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icant:
4
BUILDING PERMIT TYPE
? 01 Foundation
O 02 Sf Dwg.
? 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
WORK TYPE
? 31 New
? 32 Addition
vE I IvI_ vvlm v? Am I
• . ,?
? 06 Duplex ? 11 Apt./Lodging ,N ^[11, i?asement Finish
O 07 4-Plex ? 12 Multi. Misc. ...w? 17'Swim Pool
? 08 8-Plex ? 13 Garage/Accessory Ef18'Comm./Ind.
? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
0 21 Miscellaneous
? 33 Alterations ? 35 Tenant Finish
0 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
0 Framing ? Insulation
? Draintile ? fireplace
Permit Fee
3urcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct..Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
? Footing
? Final
vetmc;m: S
SAC %
SAC Units
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COM*fERGIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECSURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF F'OR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQi7EST IS MADE.
LOT CHANG E IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE; ADDRESSES FOR CORNEA LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE bUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: DEGK Valuation: 100V Date; APR)L `81 6?0
Site Address 4657 PELLO CIICT.R
Lot 2? Block Z
Parcel/Sub
Owner cum
Address 4657 PELI.O CIRK'T,F
City/Zip Code p,AGAN, M[V, 55122
Phone 687-9052
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
?1#10145
1990 BUILDING YERMIT APPLICATION
CITY OF EAGAN
OFFICE USE ONLY
FEES
Occupancy
Zoning
Actual Const Bldg. Permit
Allowable Surcharge
# of stories P1an Review
Length SAC, City
Depth 12 SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site we11 _ S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV _ Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL ?•S.ja
Council
Bldg. Off
Variance
4b7!
C. R. WI )EN 3 ASSOCIATES, iNC.
IAND SURVEYORS TOl 645•3646
O I36I EUSTIS ST., Sl. PAUL, MINN. 65108
FOR:
"O-qU. S. HOME CORPORATION
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Lot 22, Block 2, Ridgecliffe First
Addition, Dakota County, Minnesota.
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WE MERElY GERTIfY TMAT TMIS IS A TRUE ArID COARECT REPRESENiATION OF A SURVEY OF THE
SOUNDARIES OF TNE IAND AlOVE DESCRI6ED AND OF TNE IOCATION OF ALl lUIIDINGS, If ANI;
TMEREON, AND All VISt6lE ENCROACHMENTS, If ANY, FROM OR ON SAID IAND.
Dotad tAisS^p_doy o! Junn A.D. 1981 C. R. WINSOCIATES. INC.
Hovse Localed f?i?• 7, /9B/-??W ?/?,.,fi„?
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Surveror. Minnrwte lapisirotiee Ne. 77Pro
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? Fw Ofihce,'lJs'e?j ,/? ' ?- ?
j PermrtR: [ W I
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? Permit Fee: ?
? Date Received: j
? I
I Stafl: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 112% - O$ Site Address:
Tenant:
Suite #:
RESIDENT / OWNER Name: i%! e 4:?ie(,° Phone: CSI^ ySp -/??y
Address f City / Zip: y6 EllD /ss
Applicant is: _ Owner -,).( Contractor
TYPE OF WORK Description of work: B-9 Xv64?F =k-
0
Construction Cost: 7 ?- Multi-Family Building: (Yes No ?
r'
CONTRACTOR Name: ?,??cJ?/? L.'POGY Sdo.??i/ ?ioce se #: ZO/JSS6?
arir?
Address /tl-
city:State: Zip:
Phone:1?.3 :Sy/-430y Contact Person: /0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worlcsheet
Category Submitled Suhmitted
(4 submission type) • Energy Envelope Calculations Su6mitted
In the iast 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
;,NOTE: Plans and supporting documents that you submit are considered to be publlc lnformation. Portions of
the,in/ormation may be classified as non-public if you provide speciffo reasons that woufd permit the City to.
„ lude that the are trade'secrets. .<
conc
I hereby acknovAedge that tliis information is complete and accurate; that the vrork will be in confortnance with ihe ordinances and codes of the Ciry ot
Eagan; that I understand ihis is not a permit, but only an application for a permit, and work is not to start without a pertnd; that the work will be in
accordance with the approved plan in ihe case of work which requires a review arM approval of plans. .
X??dG !? ?Y??9vi'P
ApplicanYs Printed Name
pplicanYs Signature
Page 1 of 3
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