4662 Pello CirBUILDING PERMIT
To be used for
Est Value Date
Site Address
Lot Block SeGSub.
Parcel No.
a Name
W
3 Address
° City Phone
¢ Name
,o
? ? Address
?¢- City Phone
Name
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (Actuaq
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint SF.
APPROVALS FEES
,19
Assessments _ Permit
Water/Sewer _ Surcharge
Police _ Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Blda Off. _ Road Unit
E, that the fnformation is coneCt and agree to Comply with all applicable APC _ Treatment P1
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copfes
Signature of Permittee TOTAI
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Epgan, MN 55121
PHON E: 454-8100
Building Official
Psrmtt No. Permit Holder Date Tslephone x
Plumbing
H.V.A.C.
Efectric l f J?'??? ? •(? r_tiG'.t_1`• `-P//G/8 ? ,?,? ?` _,
Softener
Inspection Date Insp. Commonts
Footings I /o L"). ?
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Aough Htg.
Isul.
Fireplace
Final Htg. •
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
W6ll . C J
Pr.Disp. , . -L7-71 -
owG ,yLGL - IZ- l ? .0
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RtCtIVtD
FROM
AMOUNT $ I
& DOLLARS
too
? CASH ? CHECK
POR
White-Payers Copy
Yellow-Poating Copy
Pink-File Copy
Tha k ou
S • BY
Reoeipt -? ? U, . MECHAI
CITY
_.J 1 Fill in n
Type o
1. Date ?fi •= n??3 2. Inst-.
?.. _,._
3. Job Address = el' o C1: .
4. Owner
5. Contractor
6. Address 4637 Clzicago
, `4S.
7. City 8. Building Type: Residential El
C?
' ,
PERMIT Permit No.
1GAN Fee .fl. (h?
-
r
ed space? S/C -5U
legib/y
.
50
Tot
Cost ?-' W .U
17 Blk. o? Tract
Phone 625-6867
, ZiP
? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe 11ISt 1l forCec ^i T' Da.: n. Fuel Type -"+ ?? s
11,
No.
? EqLipment STU - M. Ea.
Forced Air VA1GC?--? No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg. Other
' Air Cond. 3(-,,0:;0 -)LU ol--c
Mfg.
' Gas, Piping Outlets
12. 1 hereby certify that to? above infarmation is,irue and correct, and 1 agree to
comply with all or hances end codes goverping 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
cirY oF E?GAN - g50' 2
4795 PIle1 Kwob Raad Fagae, MN 55122
PHONEs 454-8100
BUILDING PERMIT RPceiat #
Te b? w?d for SF DIJG/GAIt ?. Volue 889.000
Date OCtObeT 13
19_jjL
Stte Address 4662 Pello Circle Erect
?
O[tupanty ?' 3
t 17 Block 2 Sec/Sub
L Ridgeeliffe lst Alter ? Zoning (PD) R-1
.
o
6
9E0
0 NC
10-
-170-
2
3 Repolr Q Firo Zone .
Parcel #
1 Enlarge ? Type of Const. v
a 17ompson a.-es
Nama vzs on
Move p
.# Stories
Z llddress op ns Ui Fossroad
pemolish ?
Length 54
? Ci "tka. 55343 phone 544-7333 Grode p Depth L Sq. Ft.
°C Neme ?mer Approrols Feos
zt
" Nddress
Assessment r00
Pennit +.?0
u
l Woter 8$ew. Surchorge 44.50
Cit pho? Police Plan check 200.00
?W Nome Fire SAC 525.00
ir, /lddress Enp. WaterConn.4 SU•fJ JO
? W Ci phone Plonner Woter Meter G 0. 0,_
"50•00
Countil _
Road Unit
1 hereby acknowledge thot I have read this application and state thet gldg. Off.
the iniormation is correct ond ogree to comply with oll applicoble ^PC Total a1929.50
Stote of Minnesote $totutea ond City of Eogon Ordinonces.
Sipnoture of Permittee
Tliompson ..e s v a on
/1 Building Permit is issued to: on the express condition that
pll work sfioll be done in accordonce with, ull opplicable _Stote of-Minnesoto Statutes end City of Eo9en Ordinances.
Buildirg Offlciol
Permit No. Permit Holdar Misc. Permit No. Holder
Plumbing
H.V.A.C.
V
Well
Water
Disp.
Sawer ?
Electric /? lZs$O (?f (? ?(?`-C? !D'(7-P1.3
Inspection Date Insp. Other
F
? q
Rough HVAC
Insulation
Final Plbg. 013 ,
Final HVAC
Final
Water Describe Location:
VYell .
Sewer
Pr. Disp. .
Receipt_z( L` PLUMBING PERMIT Parmit No.??? ?
CITY OF EAGAN
-D F°e 6o
Fill in numbered spaces S/C 13D
Type or Print /egibly _
Tot. r ? • „'
1. Date 10/12/83 2. Installetion Cost
3. Job Addres4b62 Pel lo Circle.otBIk. _ Z Tract `
4. Owner Orrin Thannsnn HemPs
5, ContractorWP_niP]_Merh Phone d52-1 565
s. Address 3600 Kennebec Dr
7. Cicy Eagan State Mn Zip 55122
8. Building Type: Residential XD
9. Work Description: New W
10. Describe
11.
Commercial O Institutional ?
Add ? Alter ? Repair ?
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
; Baih tubs Septic Tank
= Lavatory Softner
5hower Well
4- Kitchen Sink
Urinal/Bidet ? ----?_`
Other! S&W $21. 00
Laundry Tray water hea P
1"
Floor Drains _
d i shwasher
Drinking Ftn.
washer & dryer
Slop Sink
Gas Piping Outleu
12. I hereby certiiy 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 permi; when numbered and approved.
Approved. I? -_-CITY OF EAGAN 454-8100
K_.b
_.1
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
W_ &_ ___, ,__ F I RF.PLACE
Site Add ?ae
Lot 1Parcel No. _
W Name _
; Address
b City _
$ 2,900
,o N?,e rIE?rROPOLITAPd FIR?PLACES
o? Address 7670 - 13 ?' TII ST.
" nrP? tTr.L 431-702s
? City Phone
Name _
Address
City -
Phone
I hereby acknowledge thot I have read this appiicotion ond state that
the informotion is correct ond ogree to comply with all opplicoble
State of Minnesota $totutee and Ciry of Eognn Qrdirwnces.
Sipnoturc of Permittee
/1 Building Permif Is issued to:
oll worlc shall be done in otcordnnte wlth all
Buildirq Offlciol
Reteipt #
N° 8888
??/'? 6?o
Erect [? Occupancy K3
?
Alter
?
Zoninp R
Repair ? Fire Zone
Enlarfls 0 Type of Const. 'M OVRY
Move ? * Storles
Demoliah p Length
6rode ? Depth Sq. Ft.
Approra Is Fees
Assessment _
Water b Sew.
Palice
Fire
Eny.
Plonner
Councll
Bldg. Off. _
APC
Permit • rT-.50
Surchorye 1.50
Plon check
SAC
Water Conn.
Woter Meter
Rood Unit
Totol '' • ? ?
on the expreu condition thal
and City of Eayan Ordinances.
Permit No. Permit Holdar Misc. Permit No. Holder
Vlumbiny
H.V.A.C.
WaII
Water
Disp.
Ssw?r
E Isctric
Inspsction Date Insp- Other
Footinyt
Foundetion
Framinp
Rouqh Plbp.
Rouph HVA
Inwlation
Final P16g.
Final HVAC
Final
Wate? Wscribe Loeation: ? I .
YIbII wz
s.,m?
Pr. Disp. dk c+L?9f? d? ?'k ? f'??-mg L/-214 q.
0
CITY OF EAGAN Remarks
AddiUon RidAecliff First Addn. Loc 17 eik 2 Parcel #1 n 6-1990 t 7D 02
Owner stresc 4662 Pello Circle stat. Eagan, NAI 55122
Improvement Date Amount Annual Years Payment Recsipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 184-49 1 14 .62 CO 6 2-18-82
SEWER LATERAL -
WATERMAIN
WATER LATERAL
WATER AREA L 2
STORM SEW TRK 1982 _
STORM SEW LAT 1982 955.45 45 - -
Serivces 8 -
CUFi6 & GUTTER
SIOEWALK
STREET LIGHT
WATER CONN. 4SO.00 of
6UILDING PER.
SAC
PARK
o
?
T
O
?
?
?
J
?
?
c
?
Cma
w
OSENDER: Complete items 1, 2.3 and 4.
Put Your adbress in the "RETURN TO" space on the
rBVersa side. Failur6 to do this wi11 prevent this card tram
bBif18 returned t0 y0u. TAe rE[urn receipt tee will provide
you the name ot tha person delive.ed to and ihe asta of
delivory. For addi[iohal fegs the lollowing iervices are
availeble. COrtsult pOStmaster for tees end check box(es)
for Serviee(s) requested.
1. ? Show to whom, date and addreas of detiveiy.
Z, ? Reetricted Delivory.
3. Articla Addressed to:
4. Type of Service: Artitle Number
? Registered ? Insured
Certified ? COD
?l 7
Express Mail
Alwsys obtain signature of addresseeg,agent
DA7E DEL IVERED. -?
5. ?9nature - A dtessQe
x
8. Signarire - Agent -;!;
X
7. Date of Oelivery
'
8. Addressee's Addrws to]I/j, J rEQLEfI
Nt pQ
O
O
3
m
A
?
m
-4
C
?
Z
9
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UNRED STATES POSTAI SERYICE
UF-FICIAL !lUSINtS3
SENQEN IMSTAUCTfOtJS
Print your name, eqclress, anA LfP {;ode in the
space Cdow.
•(;oii1pletn itoms 1, 2, 3, and 4 on tfie reversC.
• Attech tu 1rulit ot aRiclS if spece psrtnks, PENALTY FOR pRIVA1E
otfierwise aHlx to bmck of mrticle. USE. f30o
• Eiiuoise articNe "I{etum Receipt Requested"
adjacant to number.
RETURN
TO ? CitY of Eagan
c
(Neme of Sendsr)
3830 Piiot Knab Rd
(No. antl Sheet, Ap4, 5ufte, P.O. Box or R.D. No.)
(City, State, and 21P Code1
-CITY OF EAGAN SEWER SQVICE PERMIT
.3830 ^ilot Knob Road ? ? l g
P O Box 21199 PERMIT NO.:
2 p^TE; 10-14-b
7
Eagan, MN 551
Zoniny: 1 No. of Units:
O
'
WI
fer:
: /lddress:
4662 Pello Circ_Ze 1.1? 1,2 !:iJ;??Cli e lst
;
Site Address:
' Plumber. iti t8 "C,y..ti
1^-1 3-'? ; X?l ?`.'?7:?
1??0.00 ?,
1ayree to oesphr whh !Iw Ciry of [e9ow Connection Charge: "• 2.S• 00 ix3
Ordinanees. Atwurrt Depoait:
10
00 ' d
Pertnit Fae: .
Surchorge: .50 i)d
gy Misc. Charoax
. Dcte of Insp.: Total:
I nsp.: Date Poid:
WATER SERVICE PERNUT
CITY OF EAGAN
3830 Pilot Knob Road
PERMIT NO.: ??-' ?
p. O. Box 21199
DATE: l?_14-? ?
Eagan, MN 55121
1? I _ No. of Units:
Zoning:
?so:t La?•?%s
h o:?
T
, Qwnar.
Address: 4t.?,2 Pello Ci.rc3
Slte /4ddrcss:
??e• ZC1
Plumber:
? Hleter No,.
Size:
i Reader No.:
I egm h oomPy Wuh !IN CRY of FA9aw
Ordinancu.
By
Dote of I nsP.: ----
e
nn('iitZ@
Connection Charge:
Account Deposit: lO.OQ i?
Permit Fee: ?
Surcfiorge: ox'
Misc. CFarges:
Totol:
Dote Poid.
CITY OF EAGAN
3830 Pilot Kno6 Road, P.O. 9ox 21-199, Eagan, MN NO 8886
55121 .
PHONE: 454-8100 L) J 9 8,/
?o
BUILDING PERMIT tteceiPr #
Te be wed Mr FIREPLACE Eyy yalue $ 2,900 Date MARCH 13 , 193A--
SiteAddress 4662 PELLO CIRCLE Erect ? Occupancy R3
Lot 17 Block Z Sec/Sub.R TT1(?F(77.TFFF 1CT qlfer ? Zoning Rl
Pa,cQiNo. 10-63980-170-0 2 Repair ? FlreZone
E
l MASONRY
T
f C
n
arge ? ype o
onst.
rc Name STEVE VOGT.F Move ? # Stories
; Address 4662 .r .o CT R(`T,E Demolish ? Length_
b City EAGAN Phone 545-??+17 - Grade ? Depth Sq
Ft
.-
.
? METROPOLITAN FIREPLACES Aovroveb Foaa
o Name
Address 7670 - 138TH ST
? City APPLE VAL. phone 4-41-70$.$
Name _
Addres:
City _
Phone
I hereby acknowledge that 1 hove read this application and stote that
the intormotion is correct and agree to wmply with oll opplicoble
State of Minnesota $totutes ond Cify of Eagan Ordirwnces.
Assessment _
Water 8 Sew.
Police _
Fira
Eng.
Plonner _
Council _
Bldg. Off. _
APC
Pertnit Y - "'
Surcharga 1 - SO
Plon check
SAC
Water Conn.
Water Meter
Road Unit
T«ai $ 40.00
Signature of Permittee ? . I
A Building Permif 7s issued to: on fhe expreu condifion thni
oll work sholl be done in accordonce with all vlicoble SSWe,of Minnesoto atutes ond Ciry of Eapon Ordirances.
Buildinp Officiol
0
le _ p.61 d0
'Ib Be Used
Site Pddress V(p?/.
I,ot _?L Block ?2- Se
Parcel #: / d -- 6 3
Oemer:
Address: Lk?
City/Zip Code:
Phone #: Z/
CITY OF EAGAN ?„'-?".•° "".._. - ` .
1 6ertificate of Survey `&
BUILDINr PE.!?NIIT P?PLICA 1 set o£ ener9Y calculations.
Valuation ?90- Date
i-Aa
OFFICE.^- USE, ?'i'
'PT Erect ? oCcupancy -3
? 0 2 Alter Zoning -
gepair Fire Zone
gnlyrqe Type of Const. ?
Move # Stories t
Denlish Fmnt ft.
Grade Depth
Contractor: l V t p`?'i7J?v 1???/--J `?r r2 r<c •. .
Pddress: 2? 70 City/Zip Cocle:
Phore
Arch. /ESz4- :
pdclress:
City/Zip Cocle:
Phone #:
jo ..
0 0
APPR'DIALS ) FEES
Assessments Pernu t ?
Taater/Sewer Surcharge /
Police Plan Check
Fire SAC
Eng_ Water Conn.
Planner Water Meter
Council ad Unit
'Sldg. Off. •
APC
TO2'AL
This request vaid
18 months fmm ?
C 15282 i
7f.'& e.?)7
XJo °-7?)
Rn uest
U
atB Fire?NO.
? i
Ao
-
n
InSVection ???,,,,???{{{
I
v.v.
i
Re
re
d
?
?
Ready Nuw
Will No
?tify Insoec-
?
U ??es ? o tor When Ready
TLicensed Electricai Convactor I heraby reQUast inspeclion ol above
Owner elecvicel work instalied at:
Sveel Address, Box or floute No.
6 e,1 C 'rG Ciry
Ea a n
ecUOn o. Town9hip Name or No. Hn No. Cowity
Otcauant(PRINT) Phone n.
Power SuDDlier Address
Electric I ConVactor ICOm ?^ y Namel
? Conhar.lor's Licpnse No
Jec+rjG
?G. D
Mailinp Address (Conttac
'j or or Owner Making Inst itati nl
?
F
J
? c l
o? r,
,Q 0 5
503
Authoriz ignarore C vector/ er lnst Ilalion) Ph<?fi Nbffib., ?3
J ?
MINNESOTq STATE BOAPD OF EIECTRICITY TMIS INSPECTION HEQUEST WIIL NOT
GriOBS-Midway Bldg. - Xaam N•181 BE ACCEPTED eY THE STATE 80ARD
UNLESS PNOPEN INSPECTION FEE IS
1821 UniversitV Ave., St. Gaul, MN 55104
Phane (6121297-2711 ENCLOSED.
0/9 7 HEQUEST FOfl ELECTRICAL INSPECTION ? EB-000C11-04
5
y'.
/ See inatruc[ians for completin9 this torm on beck ot vellow coDV.
"X" 8elow Work Covered by Thrs Request
RAd Xep Type of 9uiltling Apolioncea Wiretl Equipmenl Wi.ed
Home ftange Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Elec[ric HeaUn
Commercial Bldg. fumace Siio Unloader.
' InAustrial Bldg. Air Conditioner Bulk Milk Tank
Farm +ner oer.i v khe, Isn?clrvl
1 a., Succify Other Othi:r
Cnmuute lnsnection Fee Below
# Fee SarviceEntraneeSize p Fea Fendars/Subleednrs N Fnx Circuits
0 to 200 Am s 0 to 30 qm s 01n 30 An! s
Above 200 qmps 31 to 100 qinps 31 to 100 A s
Swimming Pool Above 100-Amps Above 100_AmU+
Transiormers Irrigation Booms Perti
Signs SUeciallnspection
S3O
SQ
TOTAL F
Naarks '
cG 9
p
flou0h-in Onte I, the Electncal
• Q InsPecbr, hereby
certilY Ihet the above
Final inspectionhas0een
/ mede.
'nia reeuesl voiA 18 monthe Irom
REQUEST FOR EIECTRICAL INSPECTION ?
' See instructions tor campleting this torm on back o1 yallow copv.
n
AN I I f3 . -1 y? ,;, "X" BeloW Work Covered by This Request
Ee-00001-OA
40 3,c u9 o
Nw4 Addj Rep. Type of Builaing Aooliancea Wi.ed Enuiument Wired z
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Buildi(ig Dryer Electric He2tin
Commercial Bldy. Furnace Silo Unluader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm Other aeci v ther ISUecifyl
t?r,r Vec?(y Other Oth?r
Cnmpute Inspectron Fee Below
p Fae ServiceEntraneeSize q Fae Fenders/5ubfeaders b Fee Circuits
0 to200qms- 0 to30Ams Oco30Ams
Above 200 qM )s 31 to 100 Amps 31 to 700 Am
Swimming Pool Above 100_Am s Above 700_Am s
Transformers Irrigaiion Booms Partial.'Other Fee
Signs Special Inspection gg ?O
l'? TOT6t'6E?
Pemarks r .
?--
Roueh-in ?ate p ?,?ha Elacvicel
v? /p_?/y InsGector, harabV
? certity chat fhe above
I Final qpection has been
. mede.
[i
11Yn reaueat vmtl 18 monihs irom
? !D'l`1 L171 B?, 34z44t"
?;hs?,om`d
A 1 g,Rn ?o?oo
Pequestqq
y0
I aa te
1??
I Fire No. R ugh-in InsOection
He retl? .
?Roatly Nuw$Will spee-
[or Wh
R
d
(
? vs ?No en
ea
v
t Licensed Electrical ConVacmr 1 herabv repuast insVection ot above
Owner eIacVical work installed at:
Street Addross. Boz or Houte No.
QW2 QEu..u Ct kc.LE City
€MlaN
ecLOn o. Township Name or No. Ranee No. Co?ty
An.lbYf?
l 1O1'V`rN
Or.cupant(PRINT)
jk-.ktMesaA l.kw Phane No.
Pawer Sup0lier
Q-?`? Address
?(LMiN 6'i ?
Elecvi Contractor (Company Name)
??` Convacmr's License No.
????-L
Mailing AdJress (ConVactor or Owner Makine Iretatlation)
?'?ll E. Ci?ff P-0AA
AuMorized SiBnatur (Con actodOwnor Making Installationl Phono Numbre/r?
MINNESOTA $TqTE BOAPD OF ELECTHICITY THIS INSPECTION flEQUEST WILL NOT
Griggs-Midway Blde. - Aoom N-197 BE ACCEPTED BY TME STATE BOARD
1821 University Ave.. S[. Peul, MN 55104 UNLESS PFlOVER INSPECTION FEE IS
PF..nn 16121 297-2111 ENCLOSED.
P.-.601 464 946 L?
RECEIPT FOR CERTIFIED MAIL
NOINSURANCE COVERAGE PROVIDED
NOT FOfl INTERNATIONAL MAIL
N
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m
C
d
0
N
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r
(See Aeverse)
S
'IN Q
S t?an Wo. /J /7 )
P. , t te and ZIP Code ?-? /.?
Postage $
Certifletl Fee
Special Delivery Fae
Residcted Delivery Fee
Retum Receipt ShoWing
to whom antl Date Delivared
Retum receiDt slrowing to whom.
Date, and Addiess of Delivery
TOTAL Postage and Fees E
Postmark or Oate
'?F- J - O ?
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STICK PoSTAGE STAMPS TO AHTICLE i0 COYER PIflST CIASS PoSTA6E,
' CEHTIFIEO MAII FEE. ANO CMAflGES FOP 0.NY SELECTEO OPTIONAI SEBVICES. (aee ironq
1. If you want ihts receipf Oosimaraea s:i(1. iPe c;rin)eo stLe on the letl ooftion ot tlte address sitle ot the arlicle
!eaving ihe receipt atlacne0 antl prn=e¢ tie z;cie zt a post othce service winoow or hand il to your ru21 Carrier
tro extic charge)
2. II yUU tlo nnt want IhiS reteiot po+t rar.en sliG? fnz gemmfr sfeC Cn the IeR pOtlion Of the adtlr¢55 SiQC of the
anicle, tlate. detach and reidin the recot ane mZii iry avae
3. tl yoe want a r¢lum ieceipt. wnte nc ce7MheJ rad nuriber ard your name antl atl4BSS on a retum receipl cara.
Form 3911, and attacn II Io the fmnt oi I7e dnc u oy meanc e' :ne yummad entl5 if spaCe Dermit5. Otherwise. attlx
to Dack ol arlicle. Entlorse Imnt o' 'v= PETURN RECEIPT REQUESTED a0lacent [o the num6er.
a, Ii you waN aellvery reshicten m me aca=ss?e. or rc an autnoiizetl agent ot tna adaressee, enaorse
RESTRICTED DELIVERY on tne'rcli c' trp z'Ume
5. Emei lees lor the services ?equesten ii ine auoroonziesoacxs on IDe iront ot tnis recelpL If re!um recaipt is re-
qUESted. ClleGk IMe appliCdCle bloCks m dem 1 uf f0'm 8c11
8. Save this receipt and pre5eni it P yo,'raFe r?q, r
CITY OF EAGAN N 0- 13 7 3 5
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
--7 44 ?!)o
BUILDING PERMIT Pk9N E: 454•87 00 Receipt # ?
Tobeusedfor SWIM POOL Est.Value $10,000 Date JUNE 8 1987
SiteAddress 466
Lot 17 Block?
Parcel No. _
PELLO CIRCLE
Sec/Sub. RIDGECLIFFE IST
alName STEVE VOGEL
z Address SAME
9 City Phone 454-3617
Name PACIFIC POOL
0
?Q Address 6922 N 55TH ST
? City OA[CT)ALE Phone 770-1313
a
W
s
?
x
w
Name_
Address
CitY-
I hereby eCknowledge ihat I have read thia application and atate
that the infarmation is correct and agree to complywith ell applicable
State of Minnesota Statutes,aytl City9f E-j92n Ordinances.
Signature of Permittee ?
A Building Permit is Issued to: PACIFIC POOL
all work shall be done in accordance with all a lic e State of
Building Official
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ Type of Const
City Water _ (ACtuaQ
(Allowable)
# of Stories
Length
Depth
S.F. To[al
Footprint S.F.
APPROVALS FEES
Asseuments _ Permit $93.50
wateVSewer _ surcharge 5 nn
Police _ Plan Review
Fire _ SAQCiry
Engr. _ SAC, MWCC
Planner _ WaterConn.
Council _ WaterMeter
BIdg.Off. _ ROad Unit
APC _ Treahnent P7
Variance _ Parks
Copies
TOTAL ?. 0
on the express condition that
Statutes and City ot Eagan Ordinances.
CITY OF EAGAN Np grJgit
3793 Pilot Knob Raad Eogan, MN 53112
PHONEi 43I-0100
BUILDING PERMIT Receipt # 70
Te M uwd foe SF DWG/GAR Est,Value $$9,000 pate O ctober 13 19_3a
Site Address 4662 Pello Circle Erect xx acupancy R-3
Lot 17 Blxk 2 $ec/Sub. Ridgecliffe lst Alter
? Zoning (pD) R-1
Parcel # 10-63980-170-02 Repalr ? Fire Zone NA
E
l T
f C V
Thompson Lakes Division n
arge ? ype o
onst.
m Name Move ? ;? Srories
=
1712
op ins fossroad
Addreu
emolish ?
54
Length_
? q Mtka. 55343 phone 544-7333 Gmde ? Depth 34 Sq. Ft._
Aovrovals Feos
p Nume
o? Address Assessment Permit ?+00• 04
.
u? Water 8 Sew. SurcMrge 44.50
Gt phone Police Plan check 200.00
Nome
I Fire SAC $2$.00
Address Erp. Water Conn. 450.00
Ci Phone
.( Plunner Water Meter 60,00
Council Rood Unit 250.00
I hereby acknowledge thot I have read this applicution ond stofe fhat gldg. Off.
the informotion i5 torrect ond agree fo comply with oll applicOble
APC $1929.50
Totnl
State of Minnesota 5lotutes and City of Eagon Ordirwnces.
Sipnature of Permittee
T'hompsop La ces D'- sion
A Building Permit Is issued to: on the express condiHOn thm
utl work sholl be done in accordance with I pplica o inn esafa tafutes ond City of Eagan Ordirronces.
Building Offlcial ? y?
neT
?
tZl L`t~ POr- CI'I'1' Or c_1GaN D $c??j'? In:7ude 2 sets of plans,
?
?0 J?l site plan w/e]evatiorLS s
P13n: S6 ?E BU7I.DINC; PERhLIT APPL? 1 set of energy calculations.
?
? F ? aao
'Ib Be Used For _ Valuation Date
Site Pddress: *t,67_ oFFICE USE ONLY
Lot 11 sl«c 2 sec_/sub. ?cupancY h'3
P<,rcel fl: I C) -(n A TU -00- d Alter Zoning - ? A6
Repair Fire Zone O.mer: Enlarge 7ype of Gonst.
Nnve # Stories
Pddress: DeTTnlish Front S ft.
City/Zip Code: Grade Depth 3y ft.
? Phone $:
contsactor: - 7'H6MPSON LAKES DIVISJON
a 0" af V. Hane CerporNioa ...
Pddress: - iIi2NOW(INSCROSSROAp
City/zip Code: rw??ONKA,'MINN. 55343
Ptione 33
Arch_/Eng.:
Pddress=
City/Zip Code:
1 Phone i - .
APPF33VAL5 ' FEES
Assessmnts Perniit e.160 ?
Water/Sewer Surcharge /14/
Police Plan Qheck ?-
Fire SAC ,?
E.hq. Water Conn. 14/S-O
Planner Water Meter 66
?-
council Road vnit ,g,6-n ?
Sldg. Off.
P.PC
,
Zt7I'AL
08/15/2008 10:04 7633151083
City of Eatan
3030 PNot !(nob Rbad
Eagon MN 55122
phone: (651) 675-5675
Fsx:(651)875-5634
AZTEC PAGE 02103
3 '
? _ _+.- t
_?___9 ?
j Pertnft t
1 Permd Fee'
? I
? G01e Receiv0d:
I ?
i Smx: ?
I rw rw-rr--J
2008 RESiDENTIAL BUILDING PERMtT APPLICAYION
oe.: $ 5 o sum Add#ess: '?yf,7.. lo Gcc.te
Ten9nt: 5nn(e
RESIDENT ! OWNEiM Name: 5MEVE yog.f,A--. Phone:
Addra^s / Cay i Zi,: !JbbZ. Pe.l lo , rC?l e
npplican: is: _ ovvrW )( CwtraCtOf
TYPE OF 1NORK oeacription otwork: r4 - Sti& _-
consvuclion cosc: 001) Mu1ti-Farnay aritmng: iYes _1 nlu?
CONTRACTOR Name: License 8: ?? l 3 9 I+? O
?-
$5`ll' 1A'?E N ..
Addreu: W95
Gtty. '6ieolGlzin Yax'k state: 0104 zip=?'s
Pr,one: 7 b 3- 3 1s- 043 o cancac[ Person: A•'f i ('.,?'?"`?" %•"3
COMPL6TE THIS AREA ONLY IF CONSTRUC7{NG A iiEW BUILDIfiG
Minnesaa Rules 7670 Catesmrrt ? Minne ta Rules 72
Energy Code - • aesidam7al vantaation cace9ory I wMkshees ? New energy Code workqheet
Category suWuod sLftnined
(J submiss9on type) ' am9Y F"-? cel? swmined
In Me last 12 momhs, has the Gty of Eagon Iasu6d a pennN iW a slmflar pbn based on a mastsr plan?
_Yes _,NO N yes, date and address af master Wan:
Licanied pumber• Phone:
MechaniCal CvntracWr. Phone:
sewer 6 wate? coMracror: P1One'
N07E:.plarea ad mWpOOM04 dcarrMM ffiwYovsubmlt an conakiprod ro, be pe,blic IrNanvatrom,po?flcris
qea fifa[+radorr 100Y.Ne bbt?~aa nonau+buC ilYovPwvide? rspooft-fedal)M NW wotlMpie++nk 8?6 4YtY't4
. . • . . . MMII//IL fI1A* HMV.HI? L?! ?i? _ ._.
I nere6y wkrwvAedge "this irdormairon is complele ard accurete: tlwt the wak win ne in mrAamance wiih tne ordinances and oodes of ine Gty of
Eagan; tTat 1 undecsl8rtd this is rql d ABimiS, bui o?Ny sn a?kmtim ? a Pe?mit, aM worlc is mt to a*?rS rrtcMut a P?n? ? tha wak uWl tfe in
accatlance with the apprOVEd Plan in plB qse d xorlc rrhkh requues 9 re"new and app'-°vW °f w?
1f '9 PHMed Nams ? ?nYs STgrod?rt
App Pag9 1 of ._3
City of EaiaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (657) 675-5694
------------------
? oiOffi'.,U.... ?
{ Permit #: L4 1
? Permit Fee: ?
? Date Aeceived: ? j
I /J I
I Staff! l? I
'------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: $ !a D SkeAddress: 4(o(Q2 ?2.110 CirCAe-
Tenant: ?TEVE VOQ 6l Suite #:
RESIDENT / OWNER Name: 5`IEYG ?OqL] Phone: (?a5I 'q54 - 3(a I 7
'ia.v? Mr? 5512-7-
AddresslCiry/Zip:+ lab2 PC,tIO CtrCle La
V
Applicant is: Owner ` Contractor
TYPE OF WORK Descriptian of work: TPQ-f" 0P(2 ?& ' eorv
Constmction Cost: e6-00, eo Multi-Family Building: (Yes_/ No X-i
CONTRACTOR Name: Az-TEC ?ho4inq? ? Ccxs?ri?+eiy License#: 2-0 1 34 I `+0
Address: 4I0S 'BS"" A"?'a a
City: ?_?n t"o_,rk State: MJJ Zip: S6'`j q 3
Phone:763'31S-O930 ContactPerson: kk qGl Ckuk-, n4S
GOMPLETE THIS AREA ONLY IF COWSTRUCTING A 1JEW BUILDING
Minnesota Rules 7670 Catesaorv t Minnesota Rules 7672
Energy Code . flesidential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitled
(4 submission type) • Energy Envelope Calculations Submined
In the last 12 months, has the City of Eagan issued a permit for a simiiar 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 pu6lic informafion. Portions of
the informafion may 6e classitied as non-pub!!c !f you provide specific reasons fhat would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that ihis informffiion is complete and accurate; that the work will be in contormance with the ordinances and codes of the City of
Eagan; that I uoderstand this Is not a permlt, bul only an appllcation for a permit, and work is not to star[ without a permd; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x 71 hqe I
ApplicanYs Printed Name App icant's igneture
Page 1 of 3
4662
? " 0/ t. R. WINDEN 3 ASSOCUTES, INC.
iwND 3URVE1?OR5 7tl $45•3849
OR
P'OR: ???1781 FUSTIS SL, fT. ?AUI$ MfNN. 63109
:
U. S. HOME CORPORATION
.> `, 7
R=(o0.00
t. _ Da 34-35 k42" SCALE 1"=30'
?V 41.47 ? ?958.7) . e DENOTES IRON
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O ro' 1 \ S w& -
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U.j
v praInaye ? Ufi/it (qyq°l / ?
Y Easement
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0
Fo_` Lot 17, Block 2, Ridgecliffe First
Addition, Dakota County, Minnesota.
Note:
Proposed garage floor El. 94, 0.63
(900.0) Deno'tes proposed finished qround E1.
.0 Denotes direction of auzface drainage
Vertical patwn - H.G.V.D. 1929
WE HERE6Y CfRTIFY TMAT TMtS IS A iRUf AND CORRECT REPpESENTATION OF A SURVEr Of TNE
SOUNDAR{ES OF 1NE tAND A60VE OESCRIbED AND OF TME IOCATtON OF All WItDINGS, If AN1;
tMfREON, AND AlL VISIIIE ENCROACHMENTS, If ANY, FROM OR
ON SAID lANO.
Dn+ad tAis 28? dar o1 S ?TA.D. 1V83 `
C. R
SSOCUTES, INC.
zi
?y
furvyar, Mien*wla Rpinrolion Ne. 772 6
?,. 11
1987 BQILDIAG PERMIT APPLICATION - CITY OF SAG9N
SINGLE FAMILY DWELLINGS
INCLDDE 2 SEPS DF PLANS, 3 CEETIFICATSS OF SQROEY, 1 SET OF ENERGY CALCOLAYI095
HOTE: ADDRESSES FOB CORNER LOTS - CONTRACTOR/HOMfi06iNEH HUST DESIGAATS WHICH ADDRESS
IS DFSIRED. NO CH9NGES WILL BE ALLOWED ONCS BUILDING PERMIT LS ISSIISD.
MOLTIPLE DiIELLINCuS - HSSIDENTZAI. SENTAL ONITS FOR SAi3i OHITS
INCLUDE 2 SETS OE PLANS, CESTIFICAYS OF SITRYEY - CHECB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCflITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
> o $2,000 LANDSCAPE BOND
To Be Used For:
53te Address 7'rJ9pL J&?GC('
Valuation: Date: (? ' ???
Lot / I Block a (?
Parcel/Sub
Owner ??? lf C?? C
Address
City/Zip Code
Phone 3617
Contraetor
Address ()9A.:2- N
City/Zip Code
Phone ' / / U -
Arch./Engr.
Address
City/Zip Code
Phone 11
On Site Sewage_
MWCC System _
On Site Well _
City Water _
APPROVALS
Assessments
Water/Sewer
Po11ce
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FSES
Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
q? SJq
?
S.
?
4?dD?
RESIDENTIAL
BUILDING PERMIT APPLICATfON
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-687-4675
New ConslrucUon ReauiremeMs RemodaVReuair Raauirementa
• 3 registered site surveys showing aq. R o( l06 sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lol coverage allowed) • 7 set of Energy Calculallons for heated additions
. 2 copies of plan showirig 6eam & wlMOw s¢es; pau2d found design, etc.J • 7 site survey for extenor additiorvs & decks
. 1 set af Energy Calculations • Indlcate'rf lame served by seµic system far addilions
• 3 copies M Tree Preservation Poan if IM pladed after 711f93
• Rim Jaisl Detail Options selerdian sheet (bldgs wilh 3 or less units)
DATE ?I 1Io -,=),
JOB SITE
IF MULTI-fAMILY BUILDING, HOW MANY UNITS?
VALUATION "o ?
PROPERTY OWNER ?7bG Q-A
TYPE OF WORK `2p??.?o o? W1 Aca.--?t z S FIREPLACE S) 0_ 1_ 2
APPLICANT 1 tiP a, ?
j C)PJS,4"r-s, .r RO mnAo k0 FC ?r.L PHO e#
ADDRESSo`?SS rc 12.«&vk?oan (9vz _4f`i-L4C( V11A4L)k1..X)0d /f'4J ZIPCODE SSI( -_ 7
PAGER # CELL PHONE # FAX # LSI - U?7 -96l?
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MIlNNESOTA RiTI.FS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculatfons Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing CoMractor. _
Plumbing 5ystem Includes:
Meehanical Confractor:
Mechanical System Includes:
Sewer/Water Conhactor:
_ Water 5oftcner _
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
Fee: $90.00
Phone #
Fee: $70.00
Phone # D
MAR 0 $ 2D02
Rv -
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. I
SignatureofApplicantAG/v,. ic IJGt__/`tt"-) ;/`?
J
Certificates of Survey Received _ Tree Preserration Plan Received _ Not Required _
Updated 2002
Phone #:
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY I
?
I
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ?
? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) '? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) I? 36 Multi
0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage I
? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 37 New
? 35
Int Improvement I
? 38 Demolish (Interior) ? 144
Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation)', ? i45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? i146 Windows/Doors
tx 34 Replacement 'Demolition (Entire 81dg only) - Give PCA handout to,applicant
Valuation
Occupancy ?
MC/ES System
Census Code Zoning City Water 'I _
SAC Units Staries Booster?jrPump
Nbr. of Units Sq. Ft. PRV ,
I
Nbr. of Bldgs Length Fire Sprinkl
red
Type of Const W idth ?
?
REQUIRED INSPECTIONS
_ Footings(newbldg) FinaUCO.
_ Foorings (deck) i
Final/No C.O. '
_ Footings (addition)
_ I
Pluxnbing
Foundarion HVAC
Drain Tile
? Other
Roof Ice & Water Final Pool Ftgs Air/Gas T'ests _ Final
_ Framing _ Siding Stucco Stone ?
? Fueplace R.I. Au Test Final Windows (new/repIacement) I
_ Insulation _ Retaining Wall i
Approved By , Building Inspector
Base Fee I
5urcharge „Plan Review
MC/ES SAC
City SAC ?
W ater Supply & Storage
I
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit ,I
Mechanical Permit I
License Search
Gopies ?
Other ?
Total i
i
I ?
mw
OF
3630 PILO7 KN08 RpAD, P.O. BOX 27199
EAGAN, MINNESOiA 55121
PHONE: (612) 450-8100
Dear Eagan Resident :
BEA BLOM9UIST
DATE:
August 1, 1985 Mav«
THOMASEGAN
JAMES A. SMITH
ADDRESS: 4662 Pello Circle
THOMAS
iHEJODORE
WACTER
CamcY Membars
LEGAL DESCRZPTION: L 17 Blk 2
? THOMASHEDGES
CIN ?Mtrot«
El1GENE VAN OVERBEKE
Ridgecliff lst. ctvcferk
RE: RIGHT-O,F-WAY/$QULEVARDS - CITY PROPERTY
It has been brought to the attention of the Public Works Department
that you have placed a structure or obstruction on the City right-
of-way in violation of the City Ordinance referenced below.
CITY ORRINANCE
SEC. 10.32. OBSTRUCTZONS ON PUBLIC PROPERTY
Subd. 1. Obstructivns. It is unlawful for any person to place,
deposit, display or offer for sale, any fence, goods or other
obstructions upon, over, across or under any public property
without first having obtained a written permit from the Council,
and then only in compliance in all respects with the terms
and conditions of such permit, and taking precautionarv
measures for the protection of the public. An electrical co:3
or device of any kind is hereby included, but not by way of
limitation, within the definition of an obstruction.
Subd. 6. Continuinq Voilation. Each day that any person con-
tinues in violation of this section shall be a separate offense
and punishable as such.
SEC. 11.1. GENERAL PROVISIONS
Subd. 9. Structures in Public Right-of-Way. No buildings,
structures or uses may be located in or on any public lands
or Right-of-Way without approval by the Council.
The public right-of-way or boulevard is that area from the curb
to your property line (approximately 13 feet) and is intended solely
for utilities and snow storage. The structure must be removed from
this boulevard area to provide for required storage and also to
protect our snow removal equipment from damage. We apologize for
THE LONE OAK TREE. .. THE SYMBOL OF STRENGiH AND 6ROWfH IN OUR COMMUNIN
1999 BUILDING PERMIT APPLICATION (REBIDENTIAL)
CSTY OF EAGAN S-_ '? ? - ? ?
3 r?? 3830 PII,OT KNOB RD - 55122
S? (651) 681-4676 S\^'?'
?V--1M
New Construction Reauirements
? 3 registered sRe surveys
? 2 copies of plans (inGude beam S window s¢es; pourad ind, design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted aRer 711/93
required: _ Yes _ No
DATE: S - C? 1?
DESCRIPTION OF WORK:
STREET ADDRESS:
RemodeUReoair Reauiremenls ?
? 2 copies of plan
? t site surveys (exterior addkions & decks)
? 1 energy plculatlons tor heated additions
CONSTRUCTION COST: t-\C7D? ?
F-'LLC) URC-U-'
LOT: BLOCK: _ ?- `SUBD.lP.I.D. #: C
Name: Phone#: LDS1- 14 5L4
PROPERTY 1-ast First
OWNER ` `I C \dt??
Street Address: `?1"\ c?, n?
ciry state:
Z,p. SS 1 ?
Company Phone #:
coxTRAcTOR R I G WT-W?Y f-; :? Ut= f N G
Street Ad ess: License Exp.
ciry E3loomin ton, MN 55225 stace: zip:
612 853-0049
ARCHITECT/
ENGINEER Company: Phone #:
Nar.:e: .°.eg4s7zdar. tt•
Street Address:
City State: Zip:
Sewer & water licensed plum6er (new c.onstruction only): _
change and lot change is requested once permit is issued.
Penafiy applies when address
I hereby acknawledge that I have read this application, state that the information is correct, and agree to compiy with ali applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applican
OFFICE USE ONLY
Certificates of Survey Received _ Yes
_ No
Tree Preservation Plan Received _ Yes _ No
- Not Required
OFFlCE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 5F Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
WQRK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/E5 SAC
Ci*y SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. 0
0 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building Engineering Variance
Valuation: $
% SAC
SAC Units
?ciYi c - o-KTmY,
El
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I-For Office Use
City o Eaali LJ i R C IE D 1a 7 Permit qo3 (^~r 0 I
E
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 JUL 2 2 2009 Phone: (651) 675-5675 Date Received:
Fax: (651) 675-5694 1 Staff: ~i
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: _71-0 ° O R Site Address: Co 2- Pe I 10 C f r C (e Ea I a
Tenant: `~.t/ei UpClr E'i 1
Suite
RESIDENT / OWNER Name: Sw° V0 t ii Phone: 2'S I 2-1 1(0 1(098
Address / City / Zip: ` c 2 'Gt to Ci (C(- r E4 o. 4
CONTRACTOR N q)ro ufMlDIVfn License ,060& [ 3 F'/A_
Address: 6515 2D%` 1
City: Lake y 1 1(e' State: M N Zip: 55o q`'
Phone: 252 4 0 (09 9 Contact Person: J eb Or TYPE OF WORK New _ Replacement Repair _ Rebuild - Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
C_ RPZ / ) PVB) Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
O 5~
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.
Deborctk Larson
Applicant's Printed Name ant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground -Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152253
Date Issued:10/05/2018
Permit Category:ePermit
Site Address: 4662 Pello Cir
Lot:17 Block: 2 Addition: Ridgecliffe 1st
PID:10-63980-02-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Steven J Vogel
4662 Pello Cir
Eagan MN 55122
(651) 216-1698
Liberte Construction Llc
1406 West Lake St, Suite 202
Minneapolis MN 55408
(612) 999-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154286
Date Issued:03/11/2019
Permit Category:ePermit
Site Address: 4662 Pello Cir
Lot:17 Block: 2 Addition: Ridgecliffe 1st
PID:10-63980-02-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Steven J Vogel
4662 Pello Cir
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165326
Date Issued:10/28/2020
Permit Category:ePermit
Site Address: 4662 Pello Cir
Lot:17 Block: 2 Addition: Ridgecliffe 1st
PID:10-63980-02-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Steven J & Jean M Vogel
4662 Pello Cir
Saint Paul MN 55122--266
(651) 216-1698
Custom Choice Inc.
3384 S Coon Creek Dr
Andover MN 55304
(763) 208-1259
Applicant/Permitee: Signature Issued By: Signature