4658 Pello CirCITY OF EAGAN Remarks
Additfon Ridgecliff First Addn. Lot lg pIk 2 Parcel #10 63980 180 02
Owner `???c ;- ?G ?:?, ; ir - ?- screet 4658 Pel lo Circle 5tt. Eagan, MN 55122
Improvement Oate Amount Annual Years Peyment Receipt Qate
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 147 .Q coo76 8 2-1M2
SEWERLATERAL 1982 1305.42 5 1305.42 C007615 12-23-81
WATERMAIN
WATERLATERAL 1982 1260.79 S 1260.79 C007616 12-23-81
WATER AREA ?-. lli .()Q COO C) 8 2-18-82
STOFiM SEW TRK 1982 538.24 5 638.24 C007616 12-23-81
STORMSEWLAT 1982 955.45 5 955.45 C007616 12-23-81
Services 1982 637.75 5 637.75 C007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN. 35.00
n
r?
BUILDING PER. 6906
sAC 525.00
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
reecICiveo
AMOUNT $ I
- 8 DOLLARS
?oo
? CASH ? CHECK
FOR
white-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
?? BY
. CITY OF EAGAN
3795 ?tlof Knob Road Eegen, MN Sl122
PHON[: 464-8100
BUILDING PERMIT
To be uwd for Est. Volue
Slte Address
Lot Block 5ec/Sub. `
Porcel #
oc Nome
W
? Addmss
Ci Pha.?e -
°C Nome
0
?? Addresa
~ Ci Phone
Name
WW
FW
U? AddteSf
iz
"' Ci Phone
I hereby acknowledge thot I hove ?eod this upplicotion and state thot
the information is correct ond agree to comply with all opplicoble
Stofe of Minnesoto Stotutes ond City of Ecgan Ordinontes.
Sipnoturc of Permittee
A Building Permit is issued to:
oll work sholl be done in occordonce with oll opplicoble Stute of Mln
Buildiny Offlcial
Receipt #
_ 19
Eroct []
/11ter ?
Repoir ?
Enlarps ?
MOVe ?
Demoliah ?
Gmde ?
Asseument _
Water & Sew.
Police
Fira
Enp.
Vlonner
Council
Bldg. Off. _
NPC
Occuponcy ?
Zoniny
Fire Zone
Type of Corut.
# Stories
Length
Depth Sa. Ft.
Permit
Surchorga
Plon check
SAC
Woter Conn.
Woter Meter
Road Unir
Totol
on the express condition tFxit
Stotutes ond City of EoQan Ordinonces.
Permit No. Permit Holder Misc. Permit No. Holder
g S ? ( (,V ???LZt /O -'( 3'&
VKV.A.C. :Z-Z lp
.n
isp.
S?wer
Electric ? S?c
Inspection Date Insp. Other
Footings
Foundation
Framing ` ?
Rough Plbg.
Rough HVAC
Inaulation
Final Plbg.
Final HVAC
Final
Weter Deacribe Location:
Well
SaviBr
P?. DhP• •
.b
Receipt PLUMBING PERMIT Permit No. - `D
CITY OF EAGAN
Fee
FiII in numbered spaces S/C -
Type or Princ /egibly
Tot.
1. Date /2. Installation Cost
3. Job Address Lot. Blk.
Commercial ?
4. Owner 5. Contractor tt ]Phone
6. Address t i
7. City ' State !"\,' 2ip
8. Building Type: Residential Q
9. Work Description: New l?
10. Describe
11.
Add ? Alter O
?
-?- Tract
Institutional ?
Repair ?
No. Fixtures
Water Closet No. Fixtures
Cess
ool/D
fi
i
ld
i Bath tubs p
ra
n
e
tic T
Se
nk
- Lavatory p
a
Softner
Shower Well
Kitchen Sink
Urinal/Bidet
Other
? Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
` 12. 1 hereby certify that the above information is true and correct, and I agree to
I Comply with all ordinances and codes governing this type of work.
5igned :
for
Rough Final
Inspections: Date Insp. Date Insp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Frll in numbered spaces S/C
Type or Print /egib/y Tot
.
1. Date 2. Installation Cost '•' '
3. Job Address -' ? 5L' ' -Lot " Blk.
Tract !
4. Owner lT1
5. Contractor ' Y N. ZI'T&R M- 1''ll Phone "25-
6. Address '?37 Ch1C8gC! ro'e. ro.
7. City - State _
8. Building Type: Residential ? Commercial ?
9. Work Description: New Q
10. Describe -- •
11.
Zlp :''•!! (
Institutional ?
Add ? Alter ? Repair ?
Fuel Type '
No. Equioment 9TU - M. Ea.
Forced Air 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.
Approved
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
4.
SITE ADDRESS:
1 F(
PERMIT SUBTYPE:
F
L
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
7 Date Issued:
• ..i ?i -' r. i. ?? ?- v ?.
IH Ktnf..Kr
APPLICANT:
ta'?t. 44 0 411
TYPE OF WORK:
ill .1; fi tiiiil
t1qAto
?
?
IM I I )I
0 e i O?
O„t r4--7
mi
Permit Hotder Date Telephone #
PLUMBING
HVAC
Inapection Date Insp. Camments
FOOTINGS
FOUND
FRAMING
FlOOFING
ROUGH
PLl1MBING
PLBG
AIR TEST
ROUGH
HEATING
-
I
? -
-
GAS SVC
TEST - - - - -
INSUL
- -
- -
?-
--
-
GYP BOARD -
- -- - -
FIREPLACE
FIREPLACE
AIR TEST
_
-
FINAL PLBG ?
FINAL HTG
ORSAT
TEST
E3LDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
QECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
38?D Filot Knob Road Permit Number:
?agan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
c Ir AM 1 H,
111 p I 10 114 1 N Pt
RI M A I ? F
?
?
- I
t' t !t
P l AN HF V 1 Fl,IF il HY IaAYNF: M 1 I I f 4
:f I'f RATK PFl:M F 1 ciI nll rfrr-(f l ul:
APPLICANT:
TYPE OF WORK:
r1 ,rii
f NA!
Y
?
?
Permit Holder Oate Telephone #
EWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
-- -
-
-
FCi1ND
?'-fiAMI?JG -
? -- --? ----- - -- -- -- -- - -- -- -
- - - -- - -- -- - -- -
.??iC:?l!VG f I
-- - ---- I-- --- ?---- .. . ?
- - -- -- -- -- --- --- ---
RoUGI-t I
? ?
NLJC'E;?:?:;
?
- ?
- ?I_ ??
i f-', ?--
' . - - - - - - - ---- ---- -- -__
-1 _ i
. V. j
-
- I
-
- -- -
F,CUGH - - -- -- -- -- - -- -- --i
?
HEATING
UnS SvC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CIT7 OF EAGAM WATER SERVICE PERMIT
3795 Pilot Kaob Read PERMIT NO.:
Ea9ae
MN 55122 DATE:
,
Zoninp: No. of Units: ? -
Owner. ; ? -
Address:
Site Address: ;.1 ES 112 [tt dgp t?,&Alft T
Plumber. ' f
Meter No.: Conrrection Charpe:
Size: AccourM Deposit:
Reoder No.: Permit Fee:
1 aom h ooisply wHb the City of Eagsn Surcharge:
Ordiwanm. Misc. Chorpes: ; i ') -,d _
Total:
By Dote Pcid:
Date of Insp.: Insp.:
?
SEWER SERVICE PERMIT
ur1? oF FAaAN
9795 Wlot Knob Road PERMIT NO.:
Fsyan, MN 55122 DATE:
Zonirg: No. of Units: '
ner:
O
Grrin
?'li- i-,sun
w
Address:
Sita Addr
PI umber:
1 agree to oomply wkb MN Citr of Eaoas Connection Charne: ';' S. 30 nd
Ordinowaa. AccourK Depoait:
Permit Fee:
Surcharpe:
gy Misc. Ctwrges:
Date of Insp.: Total:
Insp.: Dnte Paid:
0
REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
' See instructions fior completing this form on back of yellow copY.
T b7022 -' !
"X"' Be9ow VUJrk Covered by 7his Request o? 7?p ,?j ?o
Add Rep. Typn of Buildinq Appliancas Wiretl EnuiVnlent Plired
Hvme Ranqe Temlwrary Service
Dupiex Water Heater Liyhting Fixtures
Apt. BuilAing Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unluader
Industrial BIAg.
Fartn
tT1.r Spe<nty Air Conditioner
otner peaN)
Other . Bulk Milk Tank
oiner sUacifvl
01h¢i Campute lnspection fee Below
H Fee ServiceEn[renceSize d Fne Feeders/5uiF/enders k Fee Circuits
10 0 to 700 Ar 0 to 30 Amps to 30 Am s
107 to 200 mps`, 37 to 700 Amps .2?-' 31 to 100 qm s
A?ove'2Q0'_ Above 100_Arn?s Abuve 100_P.mps
Remute Control Circ. Partial%Oth ee
Signs`\ Speciai liispection S? q.f?a
'T
V
qerrurks ?- OTAL FE J
?
Rouph-in Oa[e
[ha ElecVical
Insnactor, herebY
cerQly thet the nbove '
. .on?has been
I?A
?v' mede.
:
e
•
This reQUest voitl
18 mon[hs irom
This request voiA
18 mon[hs irom
T 57022
i/1jr"' L41 ??1 ?-`C` I
2:7 10 .5 t,,'
3 s1 do
Ren7test Date
y ?(1 `
?O '?
-" . Fire No. Roaph-irt Insuection
Pequ red? - ?Reatly Nu Will Notify Insper.-
mr Wh
q
d
l ?Ves ?NO en
ea
_
Y
Licansetl ElecVical Conuactor . I he,eb '
y r equast inspectinn o1 above
Owner -eledrical work installed ac
Sveet Adaress, Box or Pnute No.
q?s P&? c?,?,,? Clty .
?Arj
ection. o. Township Name or No: ' Hanue No. . Co t
y
A
Lf?
?1 V 1-v' 1?
.clJy{l.in, fPRNt)?OH?? ?G! Phone No.
Power Supnplier
kIV Atltlress ,`A'
?j I/?{?C iV'
ElecVical Convactor (COmpany Name)
'
? Coniractor's Liwnse No.
?3gSLS- L
>?t,? ?ci
P-w
.Mailing Address (COntraclor or Ownef Makinp Ins[a;lation) -
wilp kkv
AuNorized.5?g? t re 1 nGactor/Owner Making' Installation) 'Phone Number --
81?o - ssar
.. 'MINNESOTA STATE'BOARO' Of ELECTIIICITY THIS IPISVECTION qEQUEST WILL'NOT. •
. Griggs-.Mitlway Bldo: - Iloom N.191'' ' . BE AGCEPTED BV THE STATE eOAIID. 1821 UniveisiW Ave., S[. Paul'„ MN 55104 " -. UNIESS.PROPEN'.INSPECTION FEE IS
. vw_..e 1a111 11471111 . ENCLOSED.
CITY OF EAGAN
? BUILDIN(; PERMIT APPLICATION
ft-t
'Ib Be Used For -*t?s-_ Valuation ?3?og
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
oate 9-aq-?1
site ]+ddress: q bs8 PEU.o C Q?Am loy) oFFICE osE oNLY
Int 1 1 &2o?x ;?- -Sec./sub.?R?ocF?.l.?FFC Erect X_ occupanCy
Parcel'#: lo C0.3Y "3-0 (8D AL•ter Zoning
- Repair Fire Zone
Ovmer: Enlarge - 'Iype of Const. _10:F
Nbve # Stories
a Division o/ tl, S. Heme C DelrDlish Front ft.
Address:
KINS CFOSSROAD GrdCl2 ? D2Pth ?G ft.
Clt}'/Zlp COd2: MINNETONKA MIVN 5svna
Phone #: 544-1333 APpROVAIs
Contractor: M
Address: a Division of U. S. Home Corporation
1. onv
City/Zip Code: MINNETONKA, MINN. 55343
Phone #:
Arch. /Eng. :
Address:
City/Zip Code:
Phone #:
Assessn+ents
Water/Sewer
Police
Fire
Eng•
Plannes
Council
Bldg. Off.
APC
Pesinit sO J ,
Surcharge ,? p -'%I',
Plan Check /c5 D?
sAC ?S-a d- V
Water Conn.
Water ^4eter
Roa3 Unit
'iL7ML -!N I se q ,
-??
CITY OF EAGAN
3795 PiIM Knob Road Eogan, MN 55124
PNONE: 454-8 i uo
BUILDING PERMIT Receipt #
fer SF DWG/GAR Esf. Value $56,000
Site Addreu 4o70 retto Uircte ?rlun 1vy/•
Loe lg Bi«k 2 Sec/s.b. Ridgecliffe lst
parcel # 10 63980 180 02
z Name Orrin Thompson Homes
? q?re?, ' 1712 cHopkins Crossroad
5//_04'74
p Name _
r
Addrass
Noma _
Address
I hereby ackrawledge thot I have read this applicotion and state that
the intormalion is [orrect and agree to comply with all opplicable
Stote of Minnewto Stotutes and Cify of Eogan Ordirwn<es.
Slpnofure of PermiMee
A Building Permit is iuued to: (1r'T'9
nll work sholi be done in occordante wilh al
Buildinp Offlciol
N° 6506
Erect 11 Occuponcy R-3
Alter ? Zoning PD
Repcir ? Fire Zone NA
Enlarge ? Type of Const. V
Move ? .{k Srories -
Demolish ? Length-44--
Grade ? Depth__26_Sq. Ft.-
Avvrorals Faes
Assessment -
Woter & Sew.
Police -
Fire
Eng.
Planner _
Council _
BId9. Off. _
APC
Permit 511.UU
Surchorge 28-n()
Plan check150.50
sAC 525.00
Wahr Conn335.00
Water Meter 60.00
Rood Unif 185.00
Total $1584.50 .
%mpe an tho express condition thnt
,MinnesgtC$fotutes and City of Eogon Ordinances. ,
'we
?rrtifirttt? nf (?rru?ttnr?
Citp of eagan
Wpttrtmrnt nf iguilbing 3napertimt
Tbir Catifitatt irrued Purmant to tbt nquit-emrnu of Srrtion 306 o( tbc Uniform Bui(ding
Codr enti/pog that at tbe time oJ ittttanrr thit ttruclare wat in tompliar+re with the variout
ardinarsctt of eheCily ngulating bui(ding ronrhuttion or ure. For tlx folloudng:
ua r,,un..,o., Sk' M7G1GAR 6906
91de.n?mnna.
zomau?ux?
?wnr'hw F23 'hwc?em V Fw? r? ?
,, a9,r,mnsnn ... 1712 P=kins Crsrd., Mtka.
--'- lst
?. ? Decemt,er 18, 1981
TJ'L mW
rM? IM ? tCMI1CYW? RAG?
?-----------------
i Fo?Qffcg,lJ`s`e i
? PermR
I Permit Fee:
I I
? Date Received:
I /` I
? Staff:
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0? Site Address: YOSU
Tenant: Tr-e Cq (?:'CLl-fl L° 7')L Suite #:
RESIDENT/OWNER Name: (?G' Phone: iS_l"
Address ! City ! Zip: l 6 S p PQ I? ` ?02? .
Applicant is: _ Owner -x Contrador
TYPE OF WORK Description of work: ?
? ?
/
Construction Cost:
J1 . Mutti-Family Building: (Yes No K)
CONTRACTOR Name: L7/ 94431 ?yaMPE2;?O- License #: _?2d 3) OLI 12-
)
? ? 7,?Ii SE -
Address:
/
,
S`i-• CLD?,I D
M N'
S6 3 UL
State:
City:
ZiP:
Phone: ? ? ?? FLil)l Contad Person:
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 Worlcsheet
Category Submitted Submitted
(4 submission type) Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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: Pfans and supporting documenfs that yoa submit are considered to'be public.information, PoRions of ..
;'the mfoirrratron may be classified as rioie-public7f you provrde specific,reasons that would permit the City to
F- t y " d
conclude lhat.the ' are irade secrets.
I hereby acknowledge that this iMOrmation is complete and accurate; that the work will be in confortnance 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 w s not to start withoulfgp ermik that the work will be in
accordance with the approved plan in the case of work which requires a review and approval f laq,. /1 \ J
X S rff-w` p s 6--w612- _?
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
yv?u
w '' (?Q C. R. WINDEN d ASSOCIATES, INC.
pak v/ v LAND SURVEYORS TeI. 645•3648
FOR: 1381 EUSTIS ST., ST. PAUI, MINN. 55108
U. S. HOME CORPORATION
pPAINi16E AND UTILITY EA.SEMENT
W ?l
J
?
C?
U
v?
v A
/
?O /
O
r----
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129.15
N
SGALE 1"=30'
O DENOTES IRON
0
t
k:
5
,?
?
C/21i
\
?S \
S \
66
Lot 18, Block 2, Ridgecli£fe First
Addition, Dakota County, Minnesota.
?
?
O
WE MERE6Y CERTIFY TMAT TMIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
60UNDARIFS OF THE IAND ABOVE DFSCRIlED AND OF THE LOCATION OF All lUIIDINGS, IF ANY,
THEREON, AND All VISIBIE ENCROACMMENTS, IF ANY, FROM OR ON SAID IAND.
Darod this 304h doy oI June A. D. 108/ C. R. wINDEN 8 ASSOUATES, INC.
bY ct " 'A--"`?
Survoror, Minnesota Ropistratien No.77z6
io
N13519
,. ?Y'f;`:`1,C7?:;S}'/.:R{Yr:mi?Y;i;,4,$•;Y47?:?(H..?,?r)(Y,"' :;q':;<7R?Y?i. . . .. . ....
r rry r'le.- G_(`,f';•'.7•d •
'JA'_3H?'I:f:: S Tf_RP'? i.NAL. n,lCi: 945
DA,ce t2U3/`;'t:i lIP1<e WOP-23
,I, .
NatiEa Bc]Nn :l= S MAnOEI't1'r.
.:. . . , -? .,???. 59.00
??,. 9r : ?.r?.`.?iit I?'E:I_i...U ?,.l.??, c 9001 6,l?? c ?.: ? I CGI__ '? f;l.%i l !'
2...i ic?.i.? ,.i.l l. .5'l
1
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In!::.i;. ?f{L?_. ..Ii:ii; ?19'r'iV?l"}:; . 1. ?I7
GFi J.0'l c `:3')
Uc:'_. , TD.: M.1r;C..i
.,,. ?lY:r$•: i::;{?...(Sr',:S:yi}::F?.;;'?l.i.%ne, .?:C:;?;;, :::r)?....'U?::N.;.
?
CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: BUz LDy NG
Eagan, Minnesota 55122-1897 Permit Number: 034257
(651) 681-4675 Date Issued: 12 I23 ! 9 8
SITE ADDRESS:
465E3 PELLO CSFi
LOT: 18 bLOCK: 2
ftIDGFCLIf=FF 1ST
P.I.N<: 10-639847-188-02
DESCRIPTION:
Bu ,ii?din4 °Permi.t Type
By9`i.tdinq Wci?k< Tvoe
,[:ensu5 Cade
?
r ,.
BASEMEiVT FTNISH
ALTE4ATTC7R!
434 RLT. RESIDEN'TTPrL
(a a
REMARKS:
PLAra N?EVzEweD ev wRVn!F m7LLeR.
SEPERATE RERMI'I' REWUIREC7 FUft AN1' PLUMBSPJG WQRK.
L'ALL 445-2840 REGARDTNG ELECTRICAL PERt+1T.'f" AIVI) l:NSPFCTiON.-
FEE SUMMARY
Base Y=ee $50.00
Surcharqe t_ 50
iatal Fee $50,50
,CONTRACTOR: OWNER: - npolicanr. -
? MADOERIPI JASON
.. 4658 PELLO CIR
P_HC,HN MIV 555.27
4
([51)686-4604
T herpbv acl<nowlectqe thot I have reac# thls eoplication an+i scE_;.P Yhar, t:hP
infnrma.Ci.tsn as c!art-ect..und s4ree to camQ.ly wStiiali a[zalicab)e Stati:a at Mr.
5L°atuCes and Cxty af Eactan (trdinanees.
L ?
ILOO., P.?l?
APPLICANT/PERMITEE SIGNATURE SUED BY: SIG ATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAI.)
3y-25 ?7
New Construdion Reouirements
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
Remodel/Reoair Reauirements ? 3 registered site surveys
? 2 copies oi plans (include beam & window sizes; poured tnd. design; etc.)
? t energy calculations
• 3 copies of trae preservation plan if lot platted aRer 7Jt193
required: _ Yes _ No
DATE:
? 2 eapies of plan
? 2 site surveys (exterior atldkions & decks)
? 1 energy calculations for heated aCd@ions
C
CONSTRUCTION COST;
DESCRIPTION OF WORK: &AsE4'LFNr FIN/-<-i-l
STREETADDRESS: -?-6Sg p?LCD GL ?, _
LOT: I? BLOCK: ? SUBD./P.I.D. #: ?[" .DG.?c. ? 24?
PROPERTY
OWNER
CONTRACTOR
ARCHIT'ECT/
ENGINEER
Name: MA,:pBggLN Jl?-' ?-:? m Pnone#: 6 5/. ?3>6. 4664'
Last First
StreetAddress: FY6 i?;- g LLd e ( CL
City State: M I?1 Zip:
Company: Phone #:
Street Address: Q'k
City State:
Street
City
Sewer & water licensed plumber (new construction oniy):
and lot change is requested once permlt is issued.
Penalty applies when address chanc
I hereby acknowledge that I have read this application and state that the iniortnation is correct and agree to comply with all applica:
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes
, Tree Preservation Plan Received _ Yes
No
No
Zip:
Phone #:
Registration #: _
State: ZiP:
License #
OFFICE USE ONLY
BUILDINCi PERMIT TYPE
? 01 Foundation O 06 Duplex 0 11 Apt./Lodging ? 18 Basement Finleh
0 02 SF Dwelling 0 07 4-plex 0 12 Multi RepaldRem. O 17 Swlm Pool
O 03 5F Addition 0 OS 8-plex ? 13 Garage/Accessory 0 20 Public Facility
? 04 5F Porch O 09 12-plex 0 14 Fireplace O 21 Miecellaneous
O 05 SF Misc. O 10 = plex 0 15 Deck
1.LOI3:i??[L
? 31 New 33 Alterations O 38 Move
0 32 Addition 0 34 Repeir O 37 Demolitian
GENERAL INFORMATION
V/'/
Const, (Actuaq -Ajw Basement aq, R. MC/W8 8yatsm
(Aliowebie) V Main level sq. ft, City Weter
UBC Occupancy 43 vl aq, ft. Firs Sprfnkiered
2oning ? eq, ft. PRV
# of Stories eq. R. Booeter Pump
Length eq. ft. Ceneua Code. H3
Depth Footprint eq, ft, SAC Code ?f
Csneus Bldg a t
Censue Unit
APPROVALS
Planning Building ? Engineerfng Variance
Permit Fee
Surcharge
Plan Review
Ucense
MCM/S SAC
City SAC
Weter Conn.
Water Meter
Acct. Deposit .
SM/ Pertnit
SIW Surcharga
Treatment PI.
Patk Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
PERMIT
- CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: suxLoznc
Permit Number: 033019
Date Issued: 0 8/ 2 7/ 9 8
SITE ADDRESS:
P.I.N.: 10-63980-180-02
4658 PELLO CTR
LDT: 18 BLOCK: 2
RIDGECLIFFE 1ST
DESCRIPTION:
?REROOF/STORM
Bu.ai,?'?, d-L r[ q",o,P e r m i t T y p e
8' 1.14;irtg 44Y'k Type
?e-n5us Crsde?.."."?... 434
A'x.
?
m .
C? . =••r": ,."`?x?r'
?e. ?.a, x ??pC
"{gR? { ^y?yr, ?.`v
DAMAGE
STORM DAMAGE
REPAIR
ALT. RESIDENTIAL
i?ts
fc?'y` ?51 i't ?.,?
?"?i
REAAARKS:
FEE SUMMARY:
CONTRACTOR:
AZTEC RQOFING
1444 CLIFF
BURNSVILLE
(612) 895-0040
- aPpiicant - sr. Lsc. pN/NER:
18950040 20139148 MADOERIN JASON
RD E 4658 PELLO CIR
MN 55337 EAGAN MN 55122
(651)686-4604
. . 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAQAPi
3830 PILOT KNOB RD - 55122
c) 9 681-4675
New Construction Reauirements RemodeVReoair Reauirements
4 3 registered site surveys ? 2 eopies of plan
? 2 copies of Dlans (inGude beam 6 window saes; poured fid. design; etc.) ? 2 site surveys (exterior additions & dedcs)
? 1 energy calculations ? 1 energy calculations for heatetl addKians.
? 3 wpiea of tree preservation plan A lot platted after 7/1/93 required: _ Yes _ No '
QATE: `6- I 1 '
OF WORK:
CONSTRUCTION COST; I ? -7,?5) zI
STREDDRESS: LILPf ' ? ?(5 C1 L
LOT: BLOCK: ? SUBDJP.I.D. #:
Name: l l lLlAI) e!`? ? ?ou5n ri Phone #: IQ?C.D -?pCJ y
PROPERTY Last First
OWNER Stseet Address: 7 p
/)???f f6 CI le_
City State: Zip: , lr,?/ ?Z
Company: 2 E)o 1 , Phone#: 91i' ont/6
CONTRACTOR ?J ??
/
GL License # z01,3 q1'7?
Street Address: 19) 7 F
City (?En)6U r ? JE State: / v Zip: ??-3 ! _
ARCHITECT/
ENGINEER Company: Phone #:
Name: Regisvation #:
Street Address:
Ciry Stare: Zip:
5ewer 8 water licensed plumber (new construction only): . Penalty applies when atldress chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infirmation is correct and agree to com ty with all applica6l
State of Minnesota Statutes and City of Eagan Ordinances. I
Signature af Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
?
_ Not
AUG 2 51998
r-
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4plex
? 03 SF Addition ? 08 8-plex
? 04 5F Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
O 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
D 13 Garage/Rccessory ?
? 14 Firepiace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscetlaneous
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft,
sq. ft.
sq.ft.
Footprint sq. ft.
Building
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
°h SAC
SAC Units
k
For Office Use
D Permit / nC
City of Eaaall
~ ~ Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
2009 MECHANICAL PERMIT APPLICATION
Date: Site Address: q sef ~`GGO (f !/k .
Tenant: Suite
9/~~ " 78~G
RESIDENT / OWNER Name: ~~OQEw rl(EI .S~r3 (PA-' T1 Phone: 616-1.
Address / City / Zip: T&'.~t /E LC O C~
CONTRACTOR Name: efl&4QPe , 41t"/it+ JLG License
Address: /~G c~1DE ~iQ .
City: Stat : 4',U Zip:
Phone: /,eqcs/' ~Da`O95~~f Contact Person: E? ~~7L
TYPE OF WORK New Repl cement Additional Alteration Demolition
Description of work: ~GRNf}GE ~l~
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/rem oval OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance ' h the ordinances and codes of the City of Eagan; that
I understand thi is not a permit, but only an application for a permit, and work is not to start without a p i , that the work will be in accordance with the approved
plan in the c e f work which requires a review and approval of plans.
X ~7- X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In Air Test Gas Service Test In-floor Heat -Final
Exterior HVAC Screening Inspection
Date:
Tenant:
City of Eaaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR207016
Use 8LuE or BLACK Ink
1
For Office Use
L 2 2`(
Permit #:
Permit Fee:
Date Received:
Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: L' % 1C,1 t 0 C I
Resident/Owner
Contractor
Type of Work
Permit Type
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) ii --
TOTAL FEES $ 4'°'
Name:
vir` -( t'
Address / City / Zip: _... 9 1`(' 11 c,
Name:
Address:
State:
Phone:
Suite #:
Appliance Connections Inc.
12850 Chestnut Blvd.
Shakopee, MN 55379
Zip: 952-445-4803 Phone:
Contact:,
cuY\ie
License #:
City:
57a-00) p
Email: rt -(t' tact lc-Z,e t.Cns
catoc c..C116
New j Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work: ' 4 y t: t'" wetfe C?cut-e,r
RESIDENTIAL
Water Heater
Lawn irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / Lower Level)
Water Turnaround
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. orq.
1 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 theapproved plan in the case of work which requires a review and approval of plans.
Appli nt's Printed Name
x J t.teems
Applicant's Signature
FOR OFFICE USE Reviewed By:
Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related (terns; Meter Size Radio Read Staff: