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4665 Pello CirCITY OF EAGAN ^ ?3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt# To be used for '. Est. Value ?1????? Date ,19 SiteAddress PELf.:' CIs:CLE Lot 14 elock ? Sec/Sub. kli.wfCLIFF:•: 1ST Parcel No. a W z 3 0 , o Name dE55E' S itF.MdDELIIiG ? i Address i9:14 ?d 1;1: ,,-, -1t YALI.EY ! 7K ? City 5AVAC'E Phone 890-'U1 j4 Name I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Permittee c •c ?.?,,:•?;t?t I.•.:; -_ 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. Building Official O FFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) CanBt City Water (Allowable) PRV Required * of Storfes Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit ` "' • Planner Surcharge ' Council Plan Review Bldg. Off. SAC, Cify Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks Z • ' : - , TOTAL 7F Permit No. Pormit Holder Date Telephone it Plumbing H.V.A.C. Electric Softener Inspection Dats Insp. COmm@tlts Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. , CASH RECEIPT . CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 wecFrvEO ' FROM AMOUNT $ I , & DOLLARS ioo ? CASH ? CHECK FOR /f / L Thank You 6?'00_ - BY White-Payers Copy Yellow-Postin9 CoPY Pink-File Copy Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN • Fee Fill in numbered spaces S/C . ? 0 Type or Prini legib/y TOt. ?>r0 . .v. 1. Date 2. Installation Cost 3. Job Address Lot Blk. = Tract 4. Owner 5. Contractor Phone <'.?•-: i?? • 7 6. Address 7. City PZs• State ? - Zip , 407 8. Building Type: Residential E CommerCial ? Institutional ? 9. Work Description: New Add O Alter O Repair O 10. Describe":.;Z Fuel Type 11. No. ' Equipment BTU - M. Ea. Forced Air ?',''X" No. EQUipment CFM Ai dli H : Mfg. r an ng 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 454-8100 Receipt PWMBING PERMIT Permit No. CITY OF EAGAN ' Fae FiII in numbered spaces S/C Type or Prini legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot ',1,_Blk. ? Tract 4. Owner r? ?h.' 5. Contractor Phone 6. Address -ja_ JC``?• c ?? , L ' 7. City State Zip 8. Building Type: Residential ?l^ Commercial ? Institutional ? 9. Work Description: New El Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Dr infield Bath tubs p a Septic Tank Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray / Floor Drains Drinking Ftn. SJop Sink 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 : -11 for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 . CITY OF EAGAN =795 Pilof Knob Rood Ee9ae, MN 55122 PHONE: 454-8100 BUILDING PERMIT Site Address `: l:._oc1e1 1 / ) Lot Block Sec/Sub. '' Porcel # oe Nome I . me G W ? Addross .-_- ' ".---- '44_71?3 w Name ?o u? Addreu Z. ( hereby acknowledge thot I hove reod this opplicotion and state that fhe informnfion is corred and agree fo comply wifh all applicoble Stote oi Minnesoto Stotutes ond Ciry of Eogan Ordinonces. Receipt # Erect 0 Ottuponty Alter ? Zoninq Repoir ? Fire Zone Enlarge Q Type of Const. Move ? # Stories Demolish p Length Grade ? Depth Sq. Ft. Approvala Fees Assessrnent _ Water a Sew. Polite Firo Eny. Planner Council Bldfl. Off. _ APC Permit Surchorqe Plan check SAC Water Conn. Water Meter Road Unlt Totol Sipnoturo of Pertnittee I A Buildinfl Permit is issued to: on tM express condiNon thoi all work sholl be done in acoordance with oll opplicabls Stote of Minnesofa Statutes ond City of Eopan Ordinonces. Buildirg Official Permit No. Permit Holder Misc. Psrmit No. Holdar Plumbing S(P? C?_t?-?f W??IZE H.V.A.C. zI? ?ZD ?Z-ZQ ?? w.n w?a. 9 Disp. S?wer Eleceric T57?`I ? 1,-1t 1( 47) Irupection Dm Insp. Other Footinpt Foundation Fnming C Rouyh Pibp. Rough HVA Insulation Finel Plbg. , Z Final HVAC Final W?r Dssaibe Lotation: YVell Sewar Pr. Dbp. ? CITY OF EAGAN Addition Rld Lot 24 Blk 2 Parael #]fl 63980 240 02 Owner ' f? 'j'' - rn; -? r" .`Street 46 65 Pel lo Circle Stete Eagan, MN 55122 Improvement Date Amount Annual Years Paymenc Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUNK 14 .62 coo7664 2-1842 SEWERLATERAL (YO 19 WATERMAlN WATERLATERAL 1982 1260.79 WATER AREA STORM SEW TRK 1982 638.24 $ STORMSEW LAT 1982 955.45 5 955.45 Services 1982 637.75 S 637.75 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, to 9UILDINIG PER. 6$53 sac 525.00 PARK 1082 Payne Ave. St. Paul, MN 55101 651 /772-2449 LAST GAS WORK ORDER t--& STANDAR Vt 2 5 4000 . ake St. -4 b HEATING O Minneapoli24- 6565408 & AIR CONDITIONING gY A Blue Dor Service Co. EQUIPMENT INFORMATION FIRST S „ . TYPE MAKE `v CI ?,?._ ? o??? ZIP HM MODEL ,406z?0701? PH WK PH SERIAL a 02.. ;Jj TECH DATE - 3- ??- INPUT ORSAT TEST RECORD C02 G• °i(o METERED INPUT Cfh CHIMNEY TYPE 13- Qv1 ? 02 ,) °r6 LIMIT SETTING `z 2 CU ? FLUE SIZE el_ -- in. CO D-D % PILOT OUTAGE sec CONNECTOR SIZE in. NET STACK TEMP 0 TOTAL CHIMN5Y-INPtifi- btUh CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ' BUILDING ?ERMIT ,?: ?, , •,,. : . Receipt To be wed fer i? -::EPL,ACi; Est. Value $1 ?=-6 Dote Site Addrea .)65 PF :'. i.f'- C' ?k Erect ? OccupancY - Lot `t ?-: Block ? Sec/Sub. = Remodel ? 2oning Parcel No. Repeir ? Type of Const. Addition ? No. Stories Move ? Length ? Name Demolish ? pepth Address Int Impr. ? Sq. Ft. ?._ ?. 4 `; ? - , . .. ? , o . Name 'r. ? : f ; ^pPrvvao Z u? Address I?ssessment City phQ?e Water 3 Sew. Police 1- W Name Firo ?? Address ?y. ? W City Phone planryer Countil 11194 44 - Permit ?- ? Surcha?ge Plan Review SAC Water ConR Water Meter Road Unit 1 hercby acknowledge that I have reod this opplication ond state that Bldg. Off. •, :., Tc PL the information is torrect and ogree to comply with oll opplicoble APC 5tate of Minnesata 5totutes and City of Eagon drdinonces. Parks Var. Date C??? Sipnoture of Pem+ittee - Total A Buildinfl Permit Is iuuad to: on the express condition thm olI work shall be done in acoordance with oIl applicoble Stote of Minnesoto Statutes ond Ciry of Eapon Qrdinances, Buildinp Official Pamk No. PKmit Hoklsr Date Telephons ?k Plumbfnp H.VA.C. Elecdic Soitensr Inspection Data Insp. Other Footings I Footings 11 Foundatlon Framing Roofiny Rough Plby. Rouyh Htg. Insul. Fireplaca ia - Final Hty. Flnal Plbg. Final Csrf/Occ. Watsr Dowiba Location: Wa11 Sewor Pr. Dfsp. ? cirr oF uaAH WATER SERVICE PERMR 3795 Hlet Knob IEeed PERMIT NO.: Eegon, MN 55122 DATE: ' Zunin9: i- ,- No. of Units: ' ` Owner. Address: Site Address: •'' ",c] 'r? ,.i L24 B2 ?id , eCiifis : ' Plumber. 1 Meter No.: ? ' ? ? ? • Connection Chorpe: Size: Account Deposit: , Reader No.: Permit Fee: 1 eqroe to oweply whh tle, Ciryr of Eayon Surcharge: ? Ordlnanon. M(sc. Gwrpes: c ' Totol: ? By Date Paid: '. Date of Insp.: Insp : CITY OF GGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 6ogen, MN 55122 D^TE: Za,i " . ^fl: No. of Units: Owner. :'in ' scri No;:,? Address: Site Addrcss: '2110 t,irc l.;_ ;, - .. i•_ ?is ..iil _ Plumber: . , Iagw to oanplq w&fi 1iw CNp ei Eogan Connection Chctne: Ordiaanees. /lccount Deposit: Permit Fee: Surchorpe: BY Misc. CFargex Date of Insp.: I^sR- Totcl: Dote Paid: RESIDENTIAL BUILDING PERMIT APPLICATION 3830 PILOT KNOB RD - 55122 D ' 651-681-4675 New Construetion Reauiremente RamodeVReoair Reauirements • 3 regisG.red sile surveys showing sq. N. o( lol, sq. ft. of housa; and all roofed areas • 2 wpies of plan BY (20% maximum lol coverage allowed) . 1 set of Energy Calalations for heated additions` • 2 copies of plan showing beam & window saes; poured found design, etc.) . t sile survey for extenor additiore 8 decks • 1 ut of Energy Calculatians • Indicate H Iwme served by seplic system for additions 3 copies of Tree Preservation Plan if lol platted after 7l1193 <s i ? . Rim Jalst DetaJ Optbns selec?on sheet (bldgs with 3 or less uniGS) \? ? ? DATE A /I 'j/D "1 JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY PROPERTY OWN TYPE Of WORK APPLICANT P ADDRESS 2?D PAGER # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Inclu(les: Mechanical Conhactor: _ Mcchanical System Includes: Sewer/Water Conhactor: Air Conditioning _ Heat Recovery System Phone # Fec: $70.00 Phone # All above infortnation must be submitted prior to processing of application. 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. SignafureofApplican I Certificates of Survey Received _ Tree Preservation Pla ?ceived _ Not Required _ Updated 1l07 PLACE(S) d 0_ 1_ 2 PHONE#.&''4"?'GLt) . ; aCA/- e!!!?(S- /`(it_,t ZIP CODE CELL PHONE # l?I'`AZyr? Zfi' ?G FAX # GIZ-CsSrS 67CT/ _ Waler Softener _ _ WaLer Heater _ No. of 13aths Phone #: L,awn Spruikler Pee: $90.00 No. of R.I. Baths q//??n0 1 ?-- (o - ? VALUATION 0(ilo ( OFFICE USE ONLY , .? ? Ot Foundafion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MWti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors 9 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant p eo Valuation I Gdc) ? Occupancy R-3 MC/ES System Census Code y 3? Zoning ? City Water SAC Units ?-' Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const V,/L) W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundarion HVAC Drain Tile Roof _ Ice & Water _ Final Other _ Framing Pool Ftgs Air/Gas Tests Final _ Fireplace _ R.I. _ Air Test _ Final ? Siding Stucco Stone _ Insulation _ _ _ Windows (new/replacement) ------- ----- Appraved By , Building Inspector Base Fee Surcharge f Plan Review MC/ES SAC City SAC v. A-L. Water Supply & Storage ? S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ToWI RESIDENTIAL ' BUILDING PERMIT APPLICATION CITY OF EAGAN FS 1 I? 3830 PILOT KN08 RD - 55122 0 I ?[ ? ? 651-681-4675 - 5 r ? New Construction Reauiremenb • 3 regislered sile surveys showirg sq. R. of lol, sq. ft. of house; and all roofed areas (20% maximum lot coverape allowed) • 2 copies ot plan showirg beam 8 window sizes; poured found design, etc.) . 1 set af Eneryy Calculatiors • 3 copies of Tree PreservaGon Plan'rf lot plaHed after 711193 . Rim Joat Detail Options seleclion sheet (bldgs witli 3 or less units) DATE D/ JOB SITE ADDRESS MI/. VP.I/a Gr IF MULTI-FAMILY BUILDING, HOW MANY U/ PROPERTY OWNER &U'N Pu1'( a??! RemodeVReoair Reuuirements • 2 apies of plan • lsetofEneqyCalculations ° atedadmiFans- - 1 site survey for eMerbr additions 8 decks --?. o y?? . Indicate If home served by septic syslem for additions VALUATION TYPE OF WORK FIREPLACE(S) 1.10 _ 1_ 2 APPLICANT Aclk-eK f? PHONE# ADDRESS 2??A6?-8? Ae, /'?DGS ?.v ZIP CODE PAGER # CELL PHONE # feG`7 -LC/,?-Zg7G FAX # 6I,2 1o761 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Plumbing System Includes: Mechanical Contrqctor: Mechanical System Includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fec: $70.00 All a6ove information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is co ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc s. Signature of Applicant Certifcates of Survey Received _ Tree Preservation.Plan eived Not Required _ Updated 1/01 MINNESOTA RUI.ES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Watcr Softener _ Lawn Sprinklcr Watcr Heater No. of R.I. Baths No. of Baths OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) i? 33 Ext. Alt- SF ? 04 02-plex ? 10 OS-plex ox 18 Deck ? 23 Porch (screened) p 36 Multi ? 05 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 AddiGon ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ?146 Windows/Doors x 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant U Valuation 2- w Occupancy 12-3 MGESSystem 1 ? Census Code Zoning Ciry Water ii SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV ? Nbr. of Bldgs Length Fire Sprinklered ? V?N T f C ype o onst W idth REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ? Footings (deck) ? FinallNo C.O. _ FooHngs (addi[ion) _ Plumbing _ Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (newheplacement) ---------- ------------------------------ Approved By , Building Inspector Base Fee --------------------------------------- ----------------------------- ---------- ---- ----- i --------------- Surcharge ?G Plan Review MC/ES SAC !?? ? ?'L K City SAC W ater Supply & Storage S&W Permit & Surcharge 2cx>o ! Treatment Plant ? Plumbing Permit i Mechanical Permit License Search Copies Other Total REQUEST FOR ELECTRICAL INSPECTION ,;, EB-00001-03 ? 5,?0? ,. See instruc[ions for cmnpletin9 this turm on back of yellow copy. ?"X? Belnw ork Covered by This Request 07 (pj ?p N Atld R.P. Type of BuilAing AoVliuncns Wirad EQUipmenl Wirotl Home Range Teml:icirary Service Duplex Water Heater Liyhtin,y Fixtures Apt. BuilAing Dryer Electric Heatin Commercial Bidg. Fumace Silu Unloader Industrlal Bldg. Air ConAitioner Bulk Milk Tank FafrO Other par., v ther(5necifyl t m uecifv thpr . 011e)r Compute lnspection Fee Below t!' Fea Service EnVancaSize tlFeeFanders/SuGfeedeis k Fee Circuits L1- 0 to 100 ar.v,c .. 0 ro 30 v.n„, Ih 2ir1- n r,. zn e,,.,.. to ;'? Ttahsiormers `?/ Remote Control Circ. j , U Partial%O -Fee Special Inspection S Reniarks TOTAL EF3V:OGj ? RouBh-in ?a[`: , che ElecVical p G -? InsVector, hereby i Final cei? fytlhet the ibove- ? pection hes been p? 4 matle. ThLs request voict ? 18 months trom This request voiA 6 mon[hs trom ( ? 570.18 ?..?y? I3? ?•C? ? ?S?vc7 Z7(o 3G RemsI Uate ?V Fire No. RouPh- in Inspection . ' QACaAyNO ?Nill Notify, Insoec- ?t ? es N. or When ReadY Licensetl ElectricaLCOnvactor . I herebV request inspection of abave , ? Owner . , ._ .. . . . elactrical'work Instx.llatl af: ? Street Address, Box or Foute No. Citv ytGC.?V P..?? r??.-??-•. ?(? cuon o. Township Name or No. .. Range No. Cow ny ? ? ?`? V,Q Occupant (PflWT) ' C*N? `l??hPS3? ?kQPw`?} Phone No. Power Su?pp,lier - p f'wd AAdress ?Pi`11N1??/? • EIeqyic?21Convactm (COmpany Name) - - - - ' &C-Ctr"141 - Comracior's License No. ??SS2S-Z MailineAdJressdConVacroror -OwnerMakinplrrsmllationl . iy?? . t?-?? P? ' Authorized.Signa re YeanVaclor OwnerMakingInstallneioN . . ' $ . -Phnne Number ` . 0 0 ..t) '? ? / MINNESOTA'fTATE 90AND Oi ELECTIIICITY "-THIS INSPECTION REQUEST WILL NOT Grigqs'-Midwey llde. = Reom N-191 ' •-AE ACCEPTED BV THE STATE BOAPD 1827-UniversifvAve..SLPauLMN55104 UNLESSPPOPERINSPECTIONFEEIS o?___ 1e1w eov "'i, ENCLOSED. CITY OF EAGAN 3795 Pilet Keob Rmd Fogan, MN 55132 . PHONE= 451-8100 BUILDING PERMIT S7te Address 4pop reiio Lircie tMOael lu iL Lor u Block z secisue. Ridgecliffe ls• Porcel # 10 63980 240 02 W Nama V+-+-+aa it?avat aav+ueo ? 1'Tl2 Hopkins Crossroad ?re Mtka. 55343 544-7333 g Name _ ? ?? Addren r-u.. Name _ Addrem I hereby ocknowledge thaf I hove read this application cnd stofe that the inlormotion is corrett and ogree to Comply with oll applicable Stote of Minnewta Statutes and Ciry ot Eagan Ordinoncez. $Ipnofure of PermiMee A Building Permit is luued to: _ oll work shall be done in occordonce Bulldirq Officlol L Receipt # N° 6853 a?% ? Ered EX Occuponcy R-3 Alter ? Zonirq R-1 PD Repeir ? Fire Zorre NA Enlarge ? Type of Consf. 0 Nbve ? # Stories Demolish ? Lengthlre- Grade ? Depth26-Sq. Ft.- Approrals Feea Astessment _ Woter 8 Sew. Police _ Fire Enp. Planner _ Council _ Bldg. Off. _ APC Pertnit L"/4.UU Surthorge 24•00 Plon check137•00 SAC 525_00 Water Conn. 335.00 WoterMeter 6()_M Road Unit 185 _(1(1 . Ta,i A1540_00 DIDQS on the ezpress tonditlon fhno of Mlnnewto $totutes ond City of Eugon Ordiranus. p_ ?? CITY OF" F.A('A+1 Include 2 sets of plans, i? 1 site plan w/elevations 6 BUILDIN(; PEPMIT APPLICATION 1 set of energy calculations. SF ?w Ga.c' ?' •?/ F1, a Qa 'Ib Be Used For Valuation di?? Date g-Z-o -$1 Site Pddress: zj(,? nCl. OFFI(E USE ODR,Y Lot :211_ Block -.)- Sec./Sub. Q?ktp IFER Parcel #: tLI) (Q3`l ?j q D O?-F"'6T Oaner: AddI2S5: a Division of U. S. Home C r PKI?'S CFOSSROAD Clt.]?/Zl.j7 COC?2: MINNETONKA MINN S?? Ez'ect )( OccuPancY Alter Zoning Repair Fire Zone Enlarge _ Zype of Const. ? Nbve # Stories Demolish Front sg ft. Grade Depth aI(? ft. Pnor,e #: 54'1-1333 APPROVAIS ? contractor: nppini Tunnnpc8N I IOM-ES Addr255: a Division of U. S. Home Corporation 1712 N CRUSSIZUAU Clty/ZlP COC12: MINNETONKA, MINN. 55343 Phone #: Arch./En9-: _ Prldress : City/Zip Code: Phone #: Assessrtients water/Sewer Police Fire Eri3 - P1annPs Council Bldg. Off. APC Penni.t a > 5? °? Surcharge Plan Check SAC <S.?cS ?-" Water Conn. Water Meter RDad Unit _ 7 SfeS'" Ls?' marAr, $7 j !5 (), C) CITY OF EAGAN N° 1 1 19 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - 0 PHONF: 454-5700 ?7v BUILDING PERMIT 0-CLEARANCE ReuiVt ? # ? r Te M wed fer FIREPLACE Est. Volue $1, 200 Dafe OCTOBER 29 ,q 85 SiteAddress 4665 PELLO CIR Erect ? Occupancy Wt Z4 Block Z ceclSub. RIDGECLIFFE ST Remotlel ? 2oninq Parcel No. Repair ? Type of Const. AddRion ? No. Scories ? Name KEN & CANDY HAGA Mova ? Lenytn = Address SAME Demolish ? I t I ? Deoth ? n mPr. 452-7791 Sq. Ft. citv vnone Instell $J ? Name SAME ADVro•eb Faes 8u Addreas ?- City Phone w Name Vo Address '<w City Phone 1 hereby acknowtedge tFat I have reod this opplication and stote tFwt fhe informofion is wrrect ond ogree fo comply with oll applicoble State o1 Minnewta Statufes and Ci>?gf/Eogon Ordirwnces. SiOnoture oF PermiMee A Building Permit Is issued to: _ oll work shall be done in occordance Buildinp OffiNal Azsessment _ Water 8 Sew. Police _ Fire Erg. Plonner _ Council BIdg.Off.l0 29/85 APC Var. Date Permit $ 9 () S O Surcharge l _ 00 Plan Review SAC Water Conn Water Meter Road Unit Tr. PL Perks I CWies Totel $21.50 - _ on tM axpresf conditlon Ihol and Ciry of Eapon Ordimncas. CITY OF EAGAN Na 1513 8 . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHQNE:454•8100 Receipt# 9 O?/.Y'`f'/rv , To be used for DECK Est. Value $1,000 Date 1UNE 7 ,19 $8 SiteAddress 4665 PELLO CIRCLE Lot 24 Block Z Sec/Sub. RIDGECLIFFE 15T Parcel No, a Name MARK & JEAN RICHARDSON = Address 4665 PELLO CIR o City EAGAN phone 681-9323 o Name .7ESSE'S REMODELING oa Address 4924 W HIDDEN VALLEY DR 0? Ciry SAVAGE phone $90-0134 Name City I hereby acknowledge that I have read this application and state that ihe information is correct and agree to comp"ith all applicable State of Minnesota Statu[es and Ciry qt Eagan Oidyna jcefs. ^I c OPFICE USE ONLY On Site Sewage _ Occupancy MWCC Syslem _ Zoning On Site Well _ (ACtual) Const Ciry Water _ (Allowable) PRV Required _ # of Stories Booster Pump _ Length Depih S.F.Total Footprint S.F. APPROVALS Engr./Assess _ Planner _ Council _ BIdg.Off. _ Variance _ Signature ofPermittee l JIA411-W=,f(L?? A Building Permit is issued to: ,TESSE' S REMODELING on ihe express condition that allwork shall he done in accordancewith all applicable State of nMinne?,,s,,otyyya??? St?aN,j?tes anyd?CitAy of Eagan Ordinances. Building OHicial ?4? Il ,?A?j ? ? 1 l. I ` FEES Permit 24.00 Surcharge .50 Plan Review SAC, City SAC, MWCC Water Conn. Water Meler Roatl Unit Treatment P7 ?eopies _?? TO7AL 26.00 (Err#if iratr nf (Orrupttnry Citp of (cagan Drpttrtmpnt nf +?ttilhittg 34 nsprrtimt Tbir Cntr ficatt inutd partuant to tbe requiremenu oJ Settion 306 of the Uuiform Building Code artifying thqt at the time of ittuantt thit ttrurturt wur in tompliantt witb iht variout ordinannroftheCityregulatingbuildingconrnuaiorsar ute. Forthefo!loutinK; uKcl?ru,?? SP fW7G/(',71R 6R53 Bldg Pmmit No. °-?Tra R3 iYwcm?? V eiRzm. rTA zonireaaMi Rl - Pn OwnerafBWlEing OYYlri 'I'tMMSOrl eaal.17L2 HOOY'*18 (YSt'd Mtkd. Br: 15L ? W.: NovemnbeY' 16 1981 ------------------ ? Foc'Office-.Use ? I j Permit #: ??JSl -r, ty ? ? Permii Fee: I ? ? Date Received: ? I ? I ? I Statt: I i --------- --' 2008 RESIDENTIAL BUILDING PeRnniT APPLICATION Date: Site Address: ? LG 5 ?C?LO LP "YG'L? Tenant: _Q oGeYT =' A ciF?e }'/" ?/ suite u: RESIDENTIOWNER Name:k?GeL -r f?f/ yJylrJ9 Phone: Address / Gity / ZiP: *?(/' 5 ? ;nL,?4:??2 ? _ Applicant is: _ Owner --AConVactor TYPEOFWORK Descriptionotwork:T'fQ4.riL/=Gf7sge /7nd?.r Construction Cost: 0 7e%lp Multi-Family Building: (Yes No CONTRACTOR Name:\4/Z57f/Zt/ piA/r License Address:Y 7/o 4?4// A(lE ? , Stete: ZiP: Phone:7,/3- ContactPerson:46/.?y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category i Worksheet • New Energy Code Worksheet Category submined sutmined (q Submission type) • Energy Envelope Cakulations Submitted In the last 72 monihs, has ihe City of Eagan issued a permit for a similar plan 6ased on a master plan7 _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 thatyou submit are considered to be public intormation. Portions of the lnlormatlon may be elasslfled ss non-publlclf you provide.specific reasons that would permlt the Clty to conclude that the are trade secrets. I hereby acknowledge that this intormation is complete and accurate; thal the work will be in conformance with the ordinances and codes oi the Ciry of Eagan; that I understand Ihis is not a permit, bu1 only an application for a permit, and work is nol to stah without a permit; Ihal the vrork will be in accordance wilh the approved plan in the case of work which requires a review and approval of plans. /o x .cL x ? ? ?' pplicanYs Printed Name -ApplicanYs Signature Page 1 of 3 1988 HUILDING PERMIT AP2LICATION - CITY OF EAGAN SINGLE FAMILY DWELLING3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVE;Y, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HDMEOWDiER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNIT3 # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OE SURVEY - CAECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COP4IERCIAL INCLUDE 2 SETS OF ARCHITEGTURAL & STRUCTURAL PLANS, 7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ?D MAY 2 31?88 To Be Used For: D Ec? Valuation: /bd0 ' Date: Site Address 4(0S -pcu,.o CA RCf..E Lot " Hlock in. Parcel/Sub 1K1bC-6CL1G? IS'r' AD*4 Owner IVIARK- ? JEA?4 7iuaA9-AS01J Address 1'ElL0 Li{t?LL- City/Zip Code EpsAi.d fVtIS SSIZ? Phone (ogl-q32--3 Contractor 'Tc.sse' s hE,1V\ODEL'K6 Addrese `i`r q?LW, li D City/Zip Code '?,;pVA6F- Phone Arch./Engr. Address City/Zip Code On site sewage MWCC system ? On site well _ City water _ PRV required , Booster Pump ? APPADVALS Occupancy Zoning Actual Const Allowable U of stories Length Depth S.F. Total Footprint S.F. FEES Engr/Assess Permit fx oO Planner Surcharge Gouncil Plan Review Bldg. Off. ??54.4 SAC, City Variance S9C, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL Phone # FOR: I ` v wvv-' x-'f t/ C4/1"1117 U. S. HOME CORPORATION r-)RA I NAGE:' ,qNd ?ri?rTY ? ?80.27 , 1 t '- ? W 1 t t -? ?O Lr f? O ti? N ? ? O ? O ? - 000 Kp?t15 ? ? ? h V O ? ? O ? 04.76 WAY L°t 24. Block 2, Ridgecliffe First Addition, Dakota County, Minnesota. N SCALE 0 DENOTLS IRD J 0 u O Q) O LLJ Q WE MEREBY CERTIFY TMAT TMIS I5 A TRUE AND 60UNDARIES Of TME IAND A10VE DFSCRIlED AND OFR HE IOCA ION IPRESENTATOFION iHEREON, AND Alt VISIBtE ENCROACMMENTS, IF ANY, FROM OR ON SAID LAND. ALL lUIl01NG5, OIF ANY, Datad iAi. 12t<, dar el A,du f A,D. 19g/ C. R. WINOEN d ASSOCIATES, INC. by Surv?yor. Minnelofo Rap"t?alion No. r ?. ^. "inUEN d, AJJVl1A1W, IIVL. LAND SURVEVORS Ttl. 645• 3646 1381 EU5T15 ST.o ST, iAUI, MINN. 65108 E'??r"i?rvr ? e4• 3 a ? a' -?- .: l ?'(. ` ! ? . V Y FOR: j ` U. S. HOME CORPORATION p?+?NAGE •9Np UTlLI'T y EASEMENT ? leo.27 ?O l ` , ? w , .? W- , , - 0 . ?.0° ' 'PR15 N. SGALE O DENOTES IROh{ j ? _t b h .3 ? ti V?/AY ? ? 10 ? I ? 10 O Li ? J N Q' oV C) i W Q Lot 24, Block 2, Ridgecliffe First Addition, Dakota County, N,innesota. M'f MEREBY CERTIFY THAT THIS IS A TRUE AND COIiRECT REPRESENTATION OF A SURVEY OF THE lOUNDARIES Of THE tAND A60VE DFSCR16ED AND OF THE IOCATION OF All lUILDINGS, IF ANY, TMFREON, AND wtt VISIBIE ENCROACMMENTS. If ANY, fROM OR ON SAIO IAND. Dotad thisdor ol A?c?yfst A.D. 1981 C. R. WINDEN 8 ASSOCIATES, INC. bY Surveyor, Mineewto Ropistralion No.? N7151P )/) z 1985 BUILDING PERMIT APPLICAiION - CI1R OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN COl4MRCIAI. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCT'ORAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND SZNGLE FAMILY D1rELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS ;Z4eEF-S7-n n1D ' " ? To Be Used For; (zF.g?o c46,4rlnNFF) Valuation: ,l 5110.E Z;PCAcF Site Address T?S ?ELLO G2cL-e Lot Block ?- ..2 Parcel/Sub 6 ` Owner 7g •'? ti.P y AGN Address -?Ih/),S pEC.40 Ci2. City/Zip Code ? 60? ssi 22 Phone 4/S2- 779/ Contraetor S Address City/Zip Code Phone Arch./Engr, Address City/Zip Code Date• Erect ? Remodel Repair , Addition Move , Demolish Int.Impr, Occupancy Zoning Type of Const I! of Stories Length Depth Sq Ft Install ? APPROVALS FEES Assessments Permit Water/Sewer ? Surcharge Police ? Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off p -zj:?tment P1 APC Parks Variance Copies TOTAL Phone S 4665 . j?lf • • _ D ? AND vsuRVDoas & A56aOs 36465, INC. FOR: 1381 EUSTIS St., ST. iAUI, MINN. 55108 U. S. HOME CORPORATION -?D???NAGE ,qfVp UTit?1TY 180 27 ? 10 -? ` \ w 1 .? ? .3 ? 0 ti ? \o 10 ??. Y wA E'4?SEMENT 3 ti - ?-- ? -? 10 I I ! ,Io 0 I J ou N oU 0 ? W Q Lot 24, Block 2, Ridgecliffe First Addition, Dakota County, Minnesota. N SCALE I'"=3o' O DENOTES IRON WE MEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REiRESENTATION OF A SURVEY OF THE SOUNDARIfS OF TME lANO ABOVE DFSCRIBED AND Oi THE IOCATION OF All 6UIlDINGS, li ANY, TNEREON, AND All VISIBIE ENCROACMMENTS. IF ANY, fROM OR ON SAID IAND. Dolad Ihis 12il,_dey e( AGCr;vst A.D. lOg/ C. R. W(I?NOEN d, ASSOCIATES, INC. by c? Surrayor, Minestwta Ropistrotion No.772C-- N715 ro PERMIT #: U C) CITY USE ONLY RECEIPT DATE: 2002 RESIDENTIAL MECHAIVICA? ???? APPLICATIO1V C11']' OF £f4fiPkN 3$30 fILOT KNOB RD F-AHAN MN 55182 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: I I !1?_( 0 ? SITE ADDRESS: OWNER NAME: (" ?- S ?Pe ? 0 o Cr STNh^JAA?'tE1T1N6 6 ArR INSTALLER NAME: .,,,UIFS-1 i aai STREET ADDRESS: CITY: ? TELEPHONE#: 67S CA. TELEPHONE #: STATE: ZIP: Place a check mark next to the permk work type ? Add-on, modification or alteration to existina dwelling unit $ 30.00 • furnace replacement . air exchanger D ? ? . air conditioner • other ,IUI 0 5 Z002 J? Nature of work: (`C.??? ?aJ ? r r1?F By r State Surchar e $ .50 Tatal $ *?:)o -S7 C SIGNATURE F P_EkMITTEE i/o2 CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: , INSPECTOR 2002 COMME{iCIAL MECHAIVICAa1, PE#iMTP APf'L1CATION CCI'Y OF £RHAN 8$30 P[LOT KNOB RD F-AHAN,1NN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: STTE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPRO VEMENTS ONLI): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: TELEPHONE #: STATE: ZIP: WORK T'YPE: New construction Install U.G. Tank _ Interior Irnprovement _ Remove U.G. Tank Rocessed Piping Specify Nahue of Work When installing/remaving underground tank, call 651-68I4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of conuact price OR $50.00 minimum fee, whichever is geater. Underground tank removaUinstallation = m;nirrn,m fee Contractprice: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $_ SIGNA'tURE OF PERMITTEE Updated 1/02 City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651)67B•5694 ----------------- , ? ForONiceUSe I I ' ? I I PermitN: 03,3 ? I ? ? Permit Fee: ? .? I ? I Date Received: ? I ? i siarc: ? 2 $ 2?J09 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: , I? V 1 Slte Address: 4l!/? P4J10 crdle-' Tenant: Suite #: RESIDENTIOWNER Name: ?+ lkhU,wl? Phone: LAII 'nI 44CV7 Address / Ciry / Zip: ? 5512z CONTRACTOR N?Y\ , ? Q?icens?it"' ??' AY, Narne:` Addfess' ? T'C.? iX 1 ? p? ??.y, '-c - State: Zip:l?C- Ciry:; ?71?t?.k1.J\ ?N h Phone: ID61- ZZl7'{Ml Contact Person: lY?ilJ t/?? NPE OF WORK _ New X Replacement _ Repair _ Rebuild _ Modity Space _ Work iAR.O.W. Descrl tlonofwork: PERMIT TYPE RESIDENTIAL ? Water Heater _ WaterSOftener - Lawn Irrigation Add Plumbing FMUres I RPZ/_PVB) (_ Main _ Lower Level) _ Septic System _ Wa[er Turnaround New Abandonment RESIDENT/AL FEE5: $50.50 Minimum Water Heater, W ater Softener, or Water Heater and Softener (includes $50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 Sta[e Surcharge) $50_50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'WaterTurnaround (add $165.00 if a 5/8" meler is required) $100.50 Septic Systern New ($10.00 per as built) (includes County fee and $50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ c7ll s? 1 hereby acknowledge that Mis intormation is complele antl accurate; mat the vrorK uwu ne in comortnance wim me ominances ano cuues o- illn ?i.r Ul Eagan; that I understand ihis is not a permi4 bul only an applicaGon for a pertnit, and work is not to stan wilhout a permit; that t?vrork will be in accoNance with Ihe approve plan in the case ol rk which requires a review and ap oval of plans. x n iI x 1 N?l Q/ 0? Ap' ?nt s Printed Name Ap c nt's S gnature FOR OFFICE USE Reviewed By: Oate: I Required Inspections: Under Ground _Rough-in _Air Test ,Gas Test _Final Use BWE or BLACK Ink r-----------------� I For Office Use _ � ' � Permit#: � � [� I Clty of �� -�� Permit Fee: v� I 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION !, Date: �� ~ `� Site Address: ��5 P�'�� C►��t�, ��,, ��N 5 s►aa Unit#: '�' Name: t�� ,�0..4.\ � lV�,� Phone: t05 � 'a��"301 �q R�S�d�� u�c�� P.��t�, �;��. � �,�r r��c s � a� .Qyy��r Address/City/Zip: C) GG� � Applicant is: �Owner Contractor � � �''� - Description of work: � ��ti � S ��,�1(�1�p�� '��4�, � 7 ��.� 'r� Y :: Construction Cost: a�6�� Multi-Family Building: (Yes /No� Company: Contact: GOtt�I'aCtO1' Address: City: ' '- State: Zip: Phone: Email: ' �icense#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 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: Nt�TE;Plaias and�t�p;�c�rt�ng��tlo�urr��n�:fh�t�rv�subrnit are��i�s��l�retl'€€�b�publfc ir�f�rm�#i�n. Pi�rtiirir�ns r�f �:��fihe:infermatior�may be�l�ssrfi�d��i�►r��bll�i��r�u'p�vr��'de�p�crff�rea�an�:#h�f.wr�+�Jd�f�erm�t��re Ci#y�i�o� ' cc�nc�i�e f�t�t t�rey are fra�ple s�cr�t5*' 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. www.qopherstateonecall.org 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X I''�i�1�c�e,� �=11��.e,�►�J X �� Applicant's Printed Name ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA124913 Date Issued:07/15/2014 Permit Category:ePermit Site Address: 4665 Pello Cir Lot:224 Block: 2 Addition: Ridgecliffe 1st PID:10-63980-02-240 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Michael J Alden 4665 Pello Cir Eagan MN 55122--266 Connells Custom Exteriors Inc 1125 S Frontage Rd, Suite B Hastings MN 55033 (651) 438-2973 Applicant/Permitee: Signature Issued By: Signature