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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---- ? ? 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,$•;Y47?:?(H..?,?r)(Y,"' :;q':;<7R?Y?i. . . .. . .... r rry r'le.- G_(`,f';•'.7•d • 'JA'_3H?'I:f:: S Tf_RP'? i.NAL. n,lCi: 945 DA,ce t2U3/`;'t:i lIP1<e WOP-23 ,I, . NatiEa Bc]Nn :l= S MAnOEI't1'r. .:. . . , -? .,???. 59.00 ??,. 9r : ?.r?.`.?iit I?'E:I_i...U ?,.l.??, c 9001 6,l?? c ?.: ? I CGI__ '? f;l.%i l !' 2...i ic?.i.? ,.i.l l. .5'l 1 ?.?.?. 1' !' C' In!::.i;. ?f{L?_. ..Ii:ii; ?19'r'iV?l"}:; . 1. ?I7 GFi J.0'l c `:3') Uc:'_. , TD.: M.1r;C..i .,,. ?lY:r$•: 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: