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4666 Pello CirCASH RECEIPT + CITY OF EAGAN' 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVEG FRpM AMOUNT $ I ? !k DOLLARS too ? CASH ? CHECK FOR " . __ . i _ . . . .. . . . ? Thank You ?• SY White-Payers Copy Yellow-Posting Copy Pink-File Copy Receipt ' 1. Date '` j 2. I nsta 3. Job Address 4. Owner :. . . , .. •:,r i.' .? 5. Contractor • Phone 6. Address ? 7. City State Zip '.r 27 8. Building Type: Residential 12 Commercial ? Institutional ? 9. Work Description: New Ftl Add ? Alter O Repair ? 10. Describe '' i,L-1-7- forcecl 3i r17ie;!.ti.;_ Fuel Type •'t 11. No. 1 Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg, g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 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 Permit No. ' Fee ! . S/C Tot. MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legib/y ? Receipt PLUMBING PERMIT Parmit No. - CITY OF EAGAN Fee Fill in numbered spaces S/C .•'=? Type or Prini legibly To? i 1. Date 2. Installation Cost 3. Job Address y? (o ?v 7 r i 1 ' Lot !`-r Blk. Tract 4. Owner 36? )1 1n? 1,•)?C t 1 5. Contractor ui I1 i c M I Phone 6. Address 7. City i th_: '4l1J State i 1 11V Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New a Add ? Alter O Repair O 10. Describe 11. No. i Fixtures Water Closet No. Fixtures ? Bath tubs Cesspool/Drainfield Lavatory Septic Tank Softner L Shower _ Kitchen Sink Well Urinal/Bidet j Laundry Tray Other •?r ? ? 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 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 CITY OF EAGAN 3795 Poof Kwob Rood Ee9oe, M!1 SSI" PHONEs 454-8100 BUILDING PERMIT va _ nnn Sire Address Lot Block Sec/Sub.!? Porcel ec Nome ?A irlui:?J?vn ?ic?utec? W ? AddfQSS .-«. ;5 "? , ..+ `-`733? t?. ? $ Nome Lv?'•er i? Addrsss H ru., nN. Nome _ Address I hereby acknowledge that I have reod rhis applicetion and stote that the informotion Is correct and agree to comply with oll applicoble State of Minnesota Statutes and City of Eoflon Ordinonces. Sipnoture af Pertnittee A Bullding Pertnit is issued to: _ ell work sholl be done in xcord Bulldirp Officlal Receipt # E?ed ? Occuponcy /?Iter ? Zoning Repoir ? Fira Zone Enlarge C3 TYpe of Const. Move p # Stories DemoHsh p Length Grode ? Depth Sq. Ft. Approvals feea Assessment Permit Woter b Sew. Surchorys Police Plan check Firo SAC Enp. Water Conn. Plonner Woter Meter Caundl Rood Unit ' Bldp. Off. APC Totol on the expross candition Ihai oll oppliwble State of Minnesoto Stotutes and City of Eoflon Ordinances. Psrmit No. Permit Holder Misc. Permit No. Holder Plumbinq .ZS q`r [ H.V.A.C. 2(,0(0(0 WNI Weter Disp. Sawer Elemic s&4?s7 Inspection Date Insp. Other Footinyt ? . / Foundation Framinp Rouqh TPIbg. Rauph HVA Inwlation Final Plbp. Finel NVAC Final Wrnr Describa Location: 1MNI Sswer ? . Pr. Ohp. ? ? ? ?- •S PERMIT # MECHANICAL PERMIT RECEIP7 # CITY OF EAGAN ?'"" 3830 PIL07 KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 For Office Use Only: ? Name ? Addre c City - ? Name c Addre O ciN - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other BI.DG. TYPE Res. Mult Comm. Other WORK DE3CRIPTI4N New Add-on Repair Phone - phone_ M BTU M BTU M BTU M BTU CFM FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MIN{Ml1M - t PER PERMIT) COMM/IND FEE - 1% aF CONTFiACT FEE APT. BLDGS. - COMM. RATE APPLIES TQWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-OM & REMQDELS MINIMUM COMMERCIAL FEE STATE SUFiCHARGE PER PERMIT (AqD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) - $24.00 - 6.00 1.50 EA. - 12.00 - 20.00 - .50 FEE - SIGNAT TT S/G: „. TOTAL• FOR: CITY OF EAGAN le i 1 ?;/" gz: ?? /- '12e, w CITY OF EAGAN Remarks Additlon RidsA6?if-f- Ilir5t Addrl. Lot 16 Blk 2 Parcei #1(L6398[1 10 09 wner '?1 ? O 10,A., ?j Street - 4666 Pello Circle scate Eagan, MN 55122 Improvement Date Amount Annual Years Payment Reoeipt Dete STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 14 .62 CO 6 5 2-18-82 SEWERLATERAL -100 1982 1305.42 5 1305.42 WATERMAIN WATERLATERAL 1982 1260.79 S 1260.79 C007616 12-23-51 WATER AREA ••1$-82 STORM SEW TRK 1982 638.24 5 638.24 t007616 12-23-81 STORMSEWLAT 1982 955.45 5 955.45 C007616 Services 1982 637.75 5 637.75 C007616 12-23-81 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 26387 8-19-81 WATER CONN. 335.00 BUIIDING PER. SAC 525.00 ?t n PARK CITY OF teAGAN SEWER SERVICE PERMIT 3743 Pilot Kmb Redd PERMIT NO.: E9gan, MN 55122 DATE: Zoning: No. of Units: ' OWnCI: (ie-Tj.L? il_r`,":L?FiQr! Address: $ite AddreSS: Plumber. 1 sgree to eomply wlth Nro City of Eagon Connection Charpe: -'-' Ordinenoes. Account Depositt By Date of Insp.: CITY OF EAGAH $745 Pilot Kno6 Roed Eagon, MN 55122 Zoning: ? Owner, Address: , .. ?. Site Address: - Plumber: ' Meter No.: 5ize: Render No.: 1 egroe to eomply wiH+ !he City of Eagae Ordinanoa. ey Date of I nsp.: Permit Fae: Surchorge; Misc. C:horges: Totat: Dcte Pcid: WATER SERVICE PERMIT PERMiT NO.: - DATE: _ No. of UniYs: u b 82 RUail CLiffA_I _ COri11LKt10rf C14f$8: _ Account Deposit: _ Permit Fee: ? Surcharge: Misc. Charges: Total: _ Dote Paid: - Insp.: r REQUEST FOR ELECTRICAL INSPECTION q-1 EB-OWOL03 ?^ SBe iflstluctiofis (Or compl8ting lhi5 folm orl bpCk ot YellOw COpy. T . ,?6 9 8 7? /,,C? `'X?" Selbw Wor?C Covered by This Request 10 1 r: N-? AOd R.P. TYPe ol Buildiny Appliances Wired Equipmenf Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. qir Condi[ioner Bulk Milk Tank Famt Oiher oauty ihe, (Specifyl Cornpute lnspectron Fee Below tt Fen Sarvica EntrenceSixe # Fee' Feeders/Svbtexders ? ee Circuits 0 to tUQ q s- 0 to 30 Am s 0 to 30 Am s "'1'Qi t; QO mp$ 31 m 700 Amps 37 to 100 Am>s o Ain?ys' - Above 100_Amps Above 100_Amps rar??6rm -' Rcmute Control Circ. , tLvL Fee Signs Special Inspection ' O }- T pr„?,ks ?-J TO AL EE.r?, Rouph-in /-1,, .{?( (r?11d !y// ? ? ? I, the Elechical s if`?? / -?T f J % Inspacloq here6y if Final ceri Y that the above 'nspection hes bean / ? ? 3 da. rnis .eacest vod 18 moMhs hom CITY OF?EAC?N . 3- ?Q / SUILDINC; PEEtNIIT APPLICATION ? `F'a.YC.°`- 'U Iriclude 2 sets of plans, 1 site plan w/elevations 5 1 set of energy calculations. 7b Be Used Fbr Valuation o Date 'PS-0-6 I sire naaress: P L, ncL.. (joZ)C: Mt E. oFerCE vsE aNu,Y Lot 1(0'? H1ock ? ?_??Sec./sub.'Rj p?c.?, 1FFC_?t ?_ 'Y Parcel #: ? f O(? 3``r SfC7 lla o a ZCFt fLST ? Alter 2oning Repair Fire Zone Enlar4e TYPe of Const. Oaner: _ Nbve # Stories jkjdrp,sg; a DiJSion ot U. S. Home C Daratim DHrolish FIOnt ft. 1JI KINS CROSSROAD GrddO D2Pt1 ft. Cli-y/Zlp COd2: MINNETONKA. MINnI s53A? Phone #: 544-1333 APPFOVALS F? Contractor: ORpini -runnnorn HOM.ES P[3dr25s: a Division of U. S. Home Corporation City/Zip Code: MINNETONKA, MINN. 55343 Phcne # : Arch./Ehg.: Pddress: City/Zip Code: Phone #_ Assessments Water/Sewer Police _ Fire En4 • Planner Council Bldg. Off. APC Permit a 7 5' Surcharge ?? Plan Check L3 /? SAC 6w5 es water Conn. Water Meter Road Unit ? T17I'AL 4' 15 40 ' C) Q BUILDING PERMIT CITY OF EAGAN 9793 Pibt Knob Raad Eagan, MN 63112 PXONFs 454-8100 N? 6833 Receipt # Erect W Occuvancy R-3 Alter ? Zonirg PD Repair ? Fire Zone MA Enloige ? TvPe of Const. V Move p # Stories Demolish ? Length 58 Grode ? Depth 26 Sq. Ft.- Aowovals Feea Site Address 4000 reliv %jircie Lot 16 Block 2 Sx/s„b. Ridgecliffe lat p„ui # 10 63980 160 02 w I Name auwuF+avai ?a ; Addreas 1712 Hopkins Croesroad a :_. Mtlte. 55343 ., 544-7333 ,. p Name Owner ot Address ru., Name _ Address I hereby acknowledge tFat 1 have reod this applicatian ond stote that the inlormofion is correcf ond ogree to wmply with all applicoble Stote of Minnewtc Stotutes and City of Eagan Ordirances. Sipnature of PermiMee - A Building Permit Is issued to: all work shall be done in occa Asxssmenf Water 8 Sew. Poiice Permit 4 /4•w Surctwrge 24.OO Pian check 137•00 Fire snc _ 525.00 Erq. Water Conn.335.00. Plonner Council BIdO. Off. Water Meter 60_00 Rood Unit 195_00 APC Total $1540.00 on fha express mndifion thm a0 apQli . bl Staro of Minnewto Statutes and Ciry of Euyon Ordlnancea. Bufldinp Officiol (ger#iftrtttr uf (IOrrupttnrg Citp of Cagltt lgrpttrtmnit nf lNuilling Jnsvertimc Tbis Catifiratt ricued parauant to the +equiremrnu of Srrtion 306 of the Ur+ifo.m BuiWing Codt mtifyittg thut at the time o/ issuarar thir rtruaroe wus in romplioncr w]tb the various ordinancu o f the City rrguluting building conrtruaion or urr. . Far the folloudrtg: SF DWG/GAR W,,.,Im;t No. 6833 1he CWeGa?m ira R'3 hP Cm.wcuan V Pirc 2on NA z?e wma ? B.o?e0rrin Thompson „aa. 1712 Hon7cina (`rcrd , Mtk e?aam:nama. 4666 Pello Circle ,?;,Y Lot 16 Block 2 Ridgeclif ,..? .Q.PJ7? Br: p,,,. OrtohPr 30, 1981 ..,,s <<om 56987 30 e) c'?) z-7t & 7 AP.riest ate • I F No. FouGh-in InsVection Reqmred? . . ?Ready No ?il Noufy In ec- J?-? Cl No Y or When Read ?Licensed ElacVical Co?ctor .. V - i h ¢by request inspaction oi above ,???ner . -, elactrical work instelled at Stree[ Atldress. B okaoir No.?? ? Citv ? QQ cuon o. TownShiV Name 01 No. ?nge No: (; nt? ?{\/?. . .a-e ?R? f ?w1 Occupa/n?t(?P?p_INIT) +?.?,.? /y ' ( O/1 • ',V ? 1+"1 ?ly`^ w1 •..r ? Phone No. Power S_ upplier Atldress ??'?^u ?+n'i "tl?? EI?G? tr?i 1' Contrac[or.ICOmpany Namel . . C?????nha mr"sry?License No. , Ly Mailin8AdJresslCOnUactoror,OwnerMakin9lnstailationl .. ' I' C-L4W "i AutAmizetl SiOmnt r IC Vactor Owner MakinB Installation) Ph??owye.ey/,MumO[e?r' . Q { t' 17?QS-? NINNESQiA dTATE BUARD'Oi'ECECTIIICITY ' ? ?• TNIS INSPECTION NFOVFfT IIryLL' NOT OJipp?.MiAre?.SIJ?: - Illeaw Nd91 ... 4E ACCEPTED'6Y THf S7AR bAIID 1821 - Vnivereity Ave., St. Paul, MN 55104 . .. . UNLESS-PPOVEN.INSPECTION FEE IS -en...,e''atli oov?'ll ' ' - ENCLOSED. - ??/ RL 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagau 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permi[s are required for each unit Date yL_ / pC I / 0 V Site Address ??p (n / f0 ?el(n V(/?' C:l'" Pi' Unit # Property Owner ?? ?,(,? ?G ?i 0?? ??/7/D?CQ ? Telep6one #(&,I jl S? J D?J?l? Contractor _ O'CONNOR'S ONE HOUR Street Addre! 1904 VERMILLION ST. City State HASTINGS, MN 55033 Telephone #( fp S? ) 7 J? ?- 7l'? `I Bond #: Expires: The Applicant is _ Owner _zcontractor _ Other Fire repair (replace bumed out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-oo or altera[ion to existing dwelling unit $ 50.00 ? fumace _Additional ?Replacement _ New air exchanger air conditioner heat pump other State Surcharge NPp O2Cop $ 0 Total $ ?v I hereby appty for a Residential Mechanical Permit and acknowledge that the information is comple[e and accurate; that the work will be in conformance with the ordinances and wdes oFthe City of Eagan and with the Mechanical Codes; that I understand [his is not a permit, but only an application for a permit, and work is not to start without a pertnit; that the work wil] be in accordance with the approved plan in the case of work which requires a review and approval oFplans.) Applican4's Printed Name Ap6ricanYoignature 4666 • • ?'n FOR: ? U. S. HOME CORPORATION ? ? V ? Vo Oo J W a Lot 16, Block 2, Ridgecliffe First Addition, Dakota County, Minnesota. / WE MEREBY CERTtFY TMAT TMIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TME BOUNDARIES OF THE IAND ABOVE DESCRI6ED AND OF TME LOCATION OF ALL 6UIlDINGS, If ANY, THEREON, AND All VISIBIE ENCROACMMENTS, IF ANY, FROM OR ON SAID IAND. Do1od Ihis 224h_day ol,.BLqILL?A,D. IDS/ C. R. WINDEN 8 ASSOCIATES, INC. bv 6^" Survoyor, Minne?ola Ropiurotien No.772r, DRA INACE EASL-n.t r,, , C. R. WINDEN & ASSOCIATES, INC. lArlD SURVEYORS TeI. 646•3648 1381 EUSTIS ST., 5T. PAUI, MINN. 55108 N Sc,qLE 1"=30' o DENOTES lRoN Nrn1v s to33-7 ? 2004 RESIDENTIAL PLUMBING PERMITAPPLICATION 46 10- CITY OF EAGAN 3830 PIL!J'T KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Z / Z? ! dT SOUPHAPHONE,BOUNMY I 4666 PELLO CIRCLE Site Street Address I EAGAN, MN 55122 I Uttlt # . = (651) 452-0318 Property Owner ` l Telephone # ( ) Contrector 612 827-4033 . Telephone # ( ) ,r'11-' 1.^ ,4ddress 2905 GAR - F.vE. .?'., 0, City State - - Zip '7h , The Applicant is: , Owner 'Y-\ Contractor _Other Alterations to exisRing dwel!ing $ 50.00 _Add fixtures to rooms, excludiny water softener and water heater _Septic System Abandonmenf _Water Turnaround (add $121.00 if a 5!8" meter is required) L Other: Water Softener X Water Heater $ 15.00 X replacement _ additional _ Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcha?ae $ .50 rotal $ IS.SO I nereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, wori< is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required te be reviewed and approved. J`? ?t) (-U c,v v` -- ApplicanYs Printed Name City of EakaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ----------- --Fa--- Otfice--Use ? ? ? I - I ; Pem,tL4710 ; ? Permit Fee: ? ? Date Received: I O' j i n'? ? 1 Staff: i ? ' J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ? Z9 O SiteAddress: 'Twa(a }7r'll0 l.trdL 7enant: 77 SDUph O-pk o/12. Sulte#; RESIDENT/OWNER Name: ?3 Sn+-Pkg?eh6A2 Phone: fa,S(- '45-7,' 0316 Address/CityJZp: 4(a(o? ?eltq l.erde. E4r(A? rnN 557122- Applicani is: _ Owner ? Contraetor TYPEOFWORK Description of work: Tea.Y b?f Construction Cost: 13, 000 Multi-Family Building: (Yes _/ No CONTRACTOR Name: AZ+2C Ron-Pv.a CisxS6A ow License #: 2D13 Q !40 Address: o4l D5 gS?`t AVF? f? C ?rao? iry: 1Nn Y" State: N1N Zip: .S3`44 3 Phone: 71b3-3 ? S- OQ 30 Contact Person: CLt.uki na.s 16:"e-1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cate9orv 1 Minnesota Rules 7672 Energy Code . Residential VenGlation Category 1 Worksheet • New Eriergy Code Warcsheet CBtQgOry Submitted Subrnitted (4 submission type) • Energy Envelope Calwlations Submitted In the last 12 months, has the City of Esgan issued a permit tor a similar plan based on a master plan9 _Yes _NO If yes, date and address oS master plan: Licensed Plumber: Phone: Mechanical CoMractor: Phone: Sewer & Water Contractor: Phone: NOTE: P/ans and supporting docements that you submit are considered to be pu6ltc Fnformatlon. Porttons of the informetion may be classifled as non-publfc if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby ackrrowledge that this information is complete and accurate; that the work wili be in coMormance vdth the oNinances and codes of the City oF Eagarr, that I understand this is not a permit, hut onty an application for a permit, and work is not to start withou[ a pertniG ihat Ihe xrork will be in accordance wi[h the approved plan in the case of work which requires a review and approval i plaris. z Applicant Printed Name Applica s SigrmNre Page 1 of 3 ------------------ ? j Permit #: ? Permii Fee: ? Date Received: ID ? I Staff: I ' ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i0 -9- O A' Site Address: lo?`!o C,.e. 7enant: Suite #- RESIDENT/OWNER Name: .?1119,Wp17i5WE7 _50Phone: 69- / `fSeZ'79'73 Address / City / Zip: /)¢-L/ dk Applicant is: _ Ovaner _ Contractor TYPE OF WORK Description of work: 5i.Oi26 -?2 Construction Cost: /; 0 0 o Multi-Family Building: (Yes No I CONTRACTOR Name: e"?2??Z Licenseil: o2D?.?l';40 Address: 4"10.6- - /v , -o/020 / City: 2o ! ?v State: /na/ Zip: 75`??3 Phone: 95 ;2 -Y9.i -OOyQ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 Submission type) • Energy Envelope Calculations Submitled In the last 72 months, has the City of Eagan issued a permit for a similar plan 6ased 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 thatyou su6mitare considered to be publlc Information. Porfions of oU/d permit the Cil to: " ` the intqrmatioq t11ay be classifred as non public Jf yoa prdvrdespeciiio reaSOns thaf y ?v `.M=.conduile tM9tthe are:tr'"9de secrets. ' , `" ' ' I hereby acknowledge that ihis information is complete and accurate; that the wwk will be in conformance with the ordinances and codes of tNe City of Eagan; ihat I understand this is not a permit, but only an application for a pertnit, and work is not to starl 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. x &dl/1l.f /12'o?Y/iJal/ X ?e??a?rto ApplicanYs rinted Name ApplicanY ignature Page 1 of 3