4733 Penkwe CirCITY OF EAGAN Remarks
Addition l,? *ravE arntc ennrrrrna Loc $ Qik I Parcei 10 39800 030 01
Ownerv%- ?4?'?v- Corj2 Street 4733 Ppnlrwe (:irrlP State Eagga, MN 45122
1 1k ,G
I I ? I .. -? f Iv
Improvement 11.
Date
Amount
Annual
Years
Payment
Receipt
Dats
STREET SURF.
STREET fiES70R.
GRADING
5AN SEW TRUNK
,r SEWER LATERAL
WATERMAIN
* YYATER LATERAI lqRl
WATER AREA U
STORM SEW TRK 5-
* STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
WATERCONN. 33S.00 19 4-2-81
BUILDING PER. 65-78
SAC
PARK
` ? . CITY OF EAGAN
- 3795 Pilof Knob Read Eagae, MN 55122 N! 6576
PHONE: 454-8100
BUILDING PERMIT Receipt
To 6e wed for Est. Value ' Date , 19
Site Address ?'1 ` Erect 0 Occuponcy
lot Block Sec/Sub. 71 Alter ? Zoning
Repair ? Fire Zona
Parcel #
Enlorge 0 Type of Const.
o
e Name Move ? # Stories
W
Z Address Demolish ? Front ft.
? Ci Phone Grode p Depth ft.
A ------ 4 i. ne
w NGR1E
O -
'J Addf85S
Vl
F CY#.. pknne
Nome _
Address
( hereby acknowledpe that I have read this applic
the informotion is correct cnd agree to comply
State of Minnesota 5tatutes and City of Ecgan
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Woter Meter
Road Unit
Total
Sipnoture of Permittee I
A Building Permit is issued to: on the express condition that
ol{ work sholl be done in nccordance with all opplicable Stote of Minnesoto Stotutes and City of Eagon Ordinonces.
Building Officicl
.. -
Penek # Dote Isqed POalffM
Plumbing ? Q- - 3' g'
Mechonicol Q Lv c-_ u` ?
,- F.c -?-r Ec'-:
INSPECTIONS I DATE INSP.
Rouph-I n
Finol
Footings Date nsv. -Dat-e? Inap.
Foundation Plumbing
rome ns MecFwnicol
Final Q-?¢gl I
?
Remarks:
Recsipt MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spacas
Type or Prim legiWy
Permit No.
Fse
S/C
Tot. •
1. Date I 2. Installation Cost ?'-'?-"-'•' '
,
3. Job Address, Lot Blk. Tract
4. Owner -
5. Contractor Phone
6. Address ? f'> 7 •
7. City ' ' ?• State :. Zip 8. Building Type: Residential O Commercial 13 Institutional ?
9. Work Description: New IJ Add O Alter ? Repair 0
10. Describe .Tnsi:.11 iarced u,i.r iicutir. *Fuel Type ?
11
No,
? FquiRment BTU - M. Ea.
Forced Air I' No. EQUinment CFM
Ai
H
dli
Mfg. r
ng:
an
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mtg.
; Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with a,1F 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 PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fse
Fill in numbered spaces S/C
Type or Prin[ legib/y T
-
-
ot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address ' UU
7. City
8. Building Type: Residential Cl
9. Work Description: New O
10. Describe
L-) t
State Zip
Commercial O Institutional ?
Add O Alter O Repair ?
11.
No. Fixtures
Water Closet No. Fixtures
l/D
fi
C
i
l
Bath tubs esspoo
ra
n
e
d
Se
tic Tank
Lavatory p
Softner
Shower W
ll
Kitchen 5ink e
Urinal/Bidet
Laundry Tray Other
Floor Drains
Drinking Ftn.
Slop 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 :
for
Rough Final
? Inspections: Date Insp. Date Insp.
- This is your permit when numbered and approved.
^pproved CITY OF EAGAN 454-8100
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVED
19
AMOUNT $ I
? DOI.LARS
too
E)CASH []CNECK
3C g-
FOR
Thank You
c etAl - -
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITT 'c,r EAGAN
3795 Pilot Kno6 Rood
Eagon, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber: --
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
1 egroe to eaeply with the City of Eo C
gan
Oedinonees, onnedion Chorge:
Account Deposit: _
Permit Fee:
y Surchorge:
' DoYe of Insp.: Misc. Chorges:
Insp.: Totol: _
Date Paid:
CITY",-: EAGAN
3795 Pilot Knob Road PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Addreu: .? -....,. ^e t: .-. " i 0-
Plumber:
Meter No.: Connedion Charge:
Size: Account Deposit;
Reoder No.: Permit Fee:
I aoeee to wmply with the Citq of Eagan Surcharge:
Ordinonees. Misc. Charges:
TotoL• _-_
BY Dote Paid
Date of Insp.: Inso_:-
o ......
- ? Gy?I CI'? OF _ EAGAN
?J 0
BUILDING PE:E2N$T •APPLICATION
Q?-o
'!b Be Used Fbr Res%ntn.cQ Valuation j?,O}T?3-r6a
Site Address: J233 QeNr--.we (,Jt? ( mooe?- k7)
rDt 3 Elorx 1 sec.,sub. aCMNNr cA"- Emcr.
Parc:el #: 4?u 291 RM4a ?pir .
^ ---- Enlarge -
Address:
City/Zip Code:
Phone #:
Contractor: QRRIN THOMPSON I-I(]MFC
Address: a Division oT U. S. Home Corporation
1712 1 IOP.;,nsGaessReAB-
Ciiy/ZiP COde: MINNETONKA, MINN. 55343
Phone #: S4y1333
Arch./Eng.:
Address:
City/Zip Code:
Phone #:
Move
Dennlish _
Grade
Include 2 sets of p1anS,
1 site plan w/elevations &
1 set of energy calculations.
Date ftV'1-SZ c1r-`7 ??? 1
OFFICE USE ONLY
3
zonirig KI
Fire Zone 0
Type of Const. v
# StAries
FYOnt ft.
Depth y7?3"? ft.
APPROVAIS FEES
Assessrients y J Permit
Water/Sewer Surch e 0
Police _
Fire
Eng
Plann
er
Council
Bldg. Off.
APC
- 4
Plan Check ? 7
SAC I
Water Conn. 3 36-
s'
Water Meter ?
Road Unit
7+arAu, ? ?6(p, 7 5-
CITY OF EAGAN
3795 P71ot Kno6 Rood Eagan, MN 55122 N? 6578
PNONE: 43487
BUILDING PERMIT APPLICATION ? Receipi
To be' med for SEVW/GAR Est
Volue 60,000 Dote 4-2 IS81-
. ,
Site Address 4 733 PEfl12JE Way (I40c101 471 Erect 1!3? Occuponcy R3
Lot 3 Block 1 Sec/Sub. J?hnY•Cake Rdg• Alrer ? Zaning Rl
10 39800 030 Ol Repair ? Fire Zone NA
Parcel #
Enlarge ? Type of Consf. V
rc Name ??in MarrS091 HcCIL'S
z 1712 Hopkins Crsrd.
; Addrea
o _._ Minnetonka _. 544-7333
o Nome _
?? Address
Name _
Address
Move ? # $tories
Demolish ? Front 54 fr.
Grade ? Depth 47=3 fr
.
Approvals Feae
Water & Sew.
Police
Fire
Eng.
<w ? Gty Phone Planner -
Council _
1 hereby ocknowledga that I have read this applicotion and state that gldy, pf{, _
the infortnation is cnrrect ond ogree to comply with all applicable
State of Minnesota Statutes and City of Ea9an Ordinances. APC
Permit 174.7U
Surcharge 30.00
Plan check 77.25
snc 525.00
Water Conn. 335.0_0
Water Meter 60.00
Roed Unit 185.00
Total 1 F366 . 75
Signature of Permittee I
A Building Permit is issued to: 0rrin T?cnpSCH2 Hqles on the express conditian that
all work shoil be done in occordance with_01 opDliwble StaA of Minnesoto Statutes ond City of Eagon Ordirwnces.
Building Officlal
(?rr#ifiratr vf O9rrixpttnry
Citp of (Eagan
ErVttrtmruf nf 'iluilDiiig "Jns}rertimt
Thir Ccrtr fitatt iitued purtuant to tbc reqniremrnu of Sectian 306 o( the Uui form BuiWing
Codr mti f ying that at tbr timr of inuarut tbii rtruttrae wus rn romPliunn wirb the varioec
ordinancu of thr City rrgulating bruldirtg ronrtrurtion ar ux. For the following:
U. cwarKmm SF DWG/C>AR B„&N,m,No, 6578
0-a,arryaR3 rywc??aw V FiKZ" NA zoN? ui.tAct Rl
Orrin Thomnson A,,.1712 Iiopkins Crsrd._Mtka
eaMoepa&m 4733 Penkwe Way ?;,Y Lot 3, Block 1, JoluuLy Cake
bci:? P.JZ? By Ridge
ei,;a;,,8oflkw Ap? p„<: OctobPr 26i 1981 _
.a. ?. . ?..???o?. ...?.
_ REQUEST FOR ELECTRiCAL INSPECTION ;., EB-00001-03
See instructions lor comvletiog this torm on back ot yellow cnpn
5 690T
"X" Below Work Covered by Thrs Request
New Add AeP. Type ot 8uilding Auplionces WireA Eqvipmnnt Wiratl
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bidg.
Industrial Bid5.
Farm Furnace
Air Conditioner
Other nenly Silo Unloader
Bulk Milk Tunk -
Other ISUer.ily)
tier Specify Other OthLr
Compute lnspec[ion Fee Below
n Fee Service EntranceSize N Fee Fxeders%Sabfeeders N Fee Circuits
CO 0 to100Am s Oto30Am s Oto30Am s
. 101 to 200 Amps 31 to 700 Amps FOJ 37 to 700 Am s
Above 2D0 Amps Above 100 ?_Amps Above 100_Ampa
Transiormers Remote Control Circ. Par[ial%Other
Signs ? Special Inspection g -TOTA
RNmarks /? ?.?
? / C FEE
?'.ZO, ?^f.
Rough-In . Date th
El
O
1 .ry?
-pCJ
9 ,
e
ectrical
Ins
ct
h
b
? pe
or,
ere
y
r?ity that nbove'
D',??'?,[_
-0 nspectionhes bxen
maAe.
4
This reouest voitl
18 mon[hs fiom
This request void 9'IZ? J 3Q,(J Q
'5t,6907 ?
flepueSf?Ua16, .
?_ Fire No. Roueh-in Insunction
Heq ired? ?
s No
?Ready No?W?ll Notilv Insaec-
1u1
When fleadY
ILI Licensetl ElerVical Conhactor , . I hereby request inspec<ion ol nbove Owner . . . electrical work installed al:
Stree[ AAdress, Boa or Rw[e No.- -
y-133 w?
WN City
,
u6n o. TOwnship Name ur No. Range No. Coyt?tv ?
UjV? V
Oc/cnv?pQan?t?lP-RIINTTI
V TIV V IJU?1 ?'JN ?I v? Phonp No.
Poiy S? u?op?ier -
?`? Atldress -` /
(?-F'?ir1G 1 w"
Ele?vi?al'Canvactor (COmpa?pny?N?amel Cn?nSva?r?,/mr"s Licnnse No. -
?
(-.?.- (1? i72.S
Mailfn0 AddresQs (ConrVa'cmr or O(w}n?er,M,aking Installation) - ' '
(? ? I C ?-?-I ? IZ1?+
A+eC S?aa re.(C nVasji/Ownet Making Installation) ' . Phon?ej.?N+UmbeFr.L'-,.
? "'.THIS INSpECT16N IIEOUECT.WtLL NOT
MINNESOTA ETATE lOARD OF ELECTMICITY
Grig9s•Midway BItly. - 11oom N-181 ?EAECE?TED'sY:TH[.SUTE'60qND
7821 Ilnivereity Avx:', SL Paul, MM 65109 - ' .' . "UNLESS'P.110PEN INSPECTION. FEE IS
ow.._.: iwili vuzotn . . 'ENCLOSED. . . .
G7? I9
k-70: !z'
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW ction Reauirements RemodeVRepair Reauirements Office Use Oniv
3 registered sde surveys showing sq. R, of bl, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Recd _ Y _ N
(20% meximum lat coverage allowed) 1 set ot Energy Cakulations ior heated additions Tree Pres Plan Re[d _ Y _ N.
2 copies df plan showing beam & window sizes; pou2d found desgn, etc. 1 site survey for additbns & decks Tree Pres Required _ Y _ N
1 set of Energy Calculations Addftion - irnlicate Nar-sife septic sysfem On-sile Sepik System _Y _ N
3 copies of Tree Presenation Plan il lot platted after 171193
Rim Jaist Deteil Options selection sheet (buildiigs wAh 3 or less uniGS)
Date 6 R. / -,;? / ' Construction Cos[ ??O!J ?
Site Address A16?iletLi p Unit/Ste #
ZZ
Description of Work 2
Multi-Family Bidg _ Y '`N Fireplace(s) _ 0 _ 1 _ 2
Propecty Owner 1VAAtJeJ c Telephone ti )6/r7:--00 Z,F
Contractor ? i
Address City (vS/9
State Z/'/¢/ Zip $S//? Telephone # ((5?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CategOry ] Minnesota Rules 7672
EneFgy Code Category . Residential Ventilation Category 7 Worksheet • Naw Energy Cotle Worksheet
(J submission type) Submitled Su6mitted
• Energy Envelope Caiculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # ( ?
Telephone #( i r'!, S j I n
u U
Telephone #( ) uul r +
?
I hereby apply for a Residentia] Building Permit and acknowledge that the information`is"-e`ompLte--dad-accir e;
that the work will be in confarmance with the ordinances and codes of the City of Eagan and the State ofMN
Statutes; 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 lan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch(Addn. (4-sea.) ? 33 Ext. AN - SF
O 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05: 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish 8uilding" ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
J .
Gj / 1Z O RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Kriob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?/ 0
New ConsWClion Reauirements RemodeVReoair Reauirements Offce Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all mofed areas 2 copies of plan Cert of Survey Real _ Y_ N
(20 % maximum lot mverage allowed) 1 set of Energy CalculaUons for heated additions Tree Pres Plan Recd _ Y_ N
2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y_ N
9setofEnergyCakulatlorts AddNon-indkateifon-sdesepGcsystem On-siteSepticSystem _Y _N
3 coples of Tres Preservation Plan if lot platted atter 7I7f93
Rim Joist Defail Options selection sheet (bldgs wiih 3 or less uniGa
Date pd- / 3 / ? Construction Cost
Site Address C11^ UniUSte #
Description ot Work TE'd-l QY?Q - J-0R_. Rj1-1n,
Multi-Family Bldg _ Y X N Fireplace(s) _ 0x 1 _ 2
Property Owner GIQ C/ o 41- wm A)&VTelephone # ((pr/ ) (qT(D -C7OAq
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde CategOry , Residential Venfilation Cate o 1 Worksheet •
(J submission type) g ry New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. ..?
Licensed Plumber
' Telephone #(
Mechanicai Contractor
Sewer/Water Conhactor
Telephone #(
Telephone #(
I hereby apply for a Residential Building 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 State of MN
Statutes; I understand this is not a pernut, but only an application for a permit, and wark 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.
/?kAJ4,t1c(v oC
Applicant's Printed Name
? . ?
ApplicanYs Signature
,. ?
Su6 Types
OFFICE USE ONLY
? 01 Foundation p 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 Ot 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 (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12•plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteratlon ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
?< 34 ReplaCement 'Damolltion (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const 1/1&/_ Width
Footinga (new bldg)
je Foo[ings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fueplace _ R.I. _ Air Test _ Final
_ Insularion
REQUIRED INSPECTIONS
FinallC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
Windows (new/replacement)
_ Retaining Wall
Approved By T21 , Building Inspector
Base Fee
Surcharge
Plan ReView
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
0v o
? ?? ?
__. . .__ . .
, . :. . .?
... _..,. ..... _._ .:.. w .. .... . ... ...
? . • l733 "
` ' ' 'i " ? ? C.?R: WINDEN a ASSOCIATES,' INC ?'
?,s ? ?? IAND SURVEYORS Til i4S•364E r j
? ,GC??? 1381 . EU5T15 SL? SL PAUI?' MINN. 6510! .. ?
For:
/ U. S. HOME CORPORATION '
o? ?
? ?\
\ ?
? ?? ?. ,
?Ss
; ? - -,-- \ .9p .
o \ ? ?_?, ?? ' a ,,; .
Q . ?? .^ \ Scale. 1" __ 30'
? ?\ :O Denotes Iron
. . cc . ? ? ? \. . , . . . .. ,
\..\ . .. .\ . '. .. ' .
,, ??
ro- ?.
?`?? ??' /l??r? ? ;
i
^ ' ?\ ? s63 ? ?o
^L :? y
\\ S ? /
!_ / E
W ? ? (? /
\\ /`J '?v? ? /??? 3j
\c?_ C? h ? 0
? ?\
3 ?
?
?_,.
?
Lot 3, Block 1, Johnny Cake Ridge
Addition, Dakota County, Minnesota
?, o
'\ ,?' / ??.-.. ? .
, ?_
' ? ?;/. ???' .
? . :c? .
? / ?, ,
, ? ?
?;? o??.: ? -?
o/ -??
i ' ? ? . .
? o
:,-. . .a `. r ? ' -
. ?-
WE MERE6Y CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION Of_A,?,SURVEY;OF.,THE. ;''
60UNDARIES Of THE lANO AEOVE DESCRI6E0 AND OF TME ?IOCATION Of Alt lUIl01NG5, If ANY, ?
TMEREON, AND All VI516LE ENCROACMMENTS, If ANY, FROM .OR. ON SAIO IAND. -
, , ?
Do?ad ?hi??_doy oF.! ????C? A,O. 19?? C. R WINDEN 8 ASSOCIATES INC ? '
. . . ? ?, ? ?. ?' ?: ? ; ? ? a. 't ?` ? ?*
. ,?:' ' `?t ? ?' ? +: .: /?E ??? T' ?j??; ?/ ?, ,a`?Y:". ?. t? ?dy``", ".
'' a x by l/?4?+?`c'???,.'?/??f??'-'?" ?, _ y'Y`
-. . . `s: .?. s+ ?'T? `??e.; ?-!? t?"Survayer''MinM?11e"?RO?uf?11,0 ?NO'?.: "•-??`? `?`'?
, lr. s_ y r j, e' [.. 2 ? ? ?°? i- W'?. -
. . . „ . '_'.- °:4 .31-?».; -??..?..?+??` s b"'5.... ay.:?tuw.D ? _.._...._ .?_?.u..??.. ._.r.r.s.`?"? .. ... .-- ._ _
?,:i':""._..
4733
C. R. WINDEN 3 ASSOCIATES, INC.
+v ????L/[1TJL?. 1AN0 SURVEYORS fd 643•3646
O 1381 EU STIS SL, ST. PAUI, MINN. 55108
For:
? U. S. HOME CORPORATION
• ? ?
\ \
Q \ ?" \ Scale: 1" = 30'
O Denotes Iron
s° '\ \
`\ \ \
\
f. - \ \
??.
,-
.? .
ti
?
;C ,?-•i
/
E
?
?
?
?
Lot 3, Block 1, Johnny Cake Ridge
Addition, Dakota County, Minnesota
.\
?
?
\ /.
,--
_ A
d / 1
N ,
;
. , ?
WE MEREBY CERTIFY THAi THIS IS A TRUE AND CONRECT REPRESENTAitON OF A SURVEY OF THE
BOUNDARIES OF TNE IAND ABOVE DESCRIBED AND OF TME LOCATION OF All 6UIl01NG5, IF ANY
THEREON, AND ALl VISIBIE ENCROACHMENTS, IF ANY, fROM OR ON SAID IAND.
Doiad day oFl 22.r?L A.D. 1951 C. R. WINDEN d ASSOCIATES, INC.
f'
?/ .
i
6r
Sur.ayor, Minnewm Raqiuralien No.,(lLy?
?-----------------
,-
? Permd #: ..? /? ? j
? Pertnit Fee: ? ? ? ? I
I I
? Date Received: ?
I I
I StaR: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: O? Site Address: \L. u..l C? C - r
Tenant:
Suite #:
RESIDENT / OWNER Name: ?- NUcno.,v, C\A-Zr Phone:
Address / City / Zip: Ll ??J3 ?¢x?\Z??,TQ? C' . C
Applicant is: _ Owner D4-contrador
TYPE OF WORK Description ofwork: C'C? t`fX?? IMS\ cLt
Construction Cost: b" Multi-Family Building: (Yes No I
CONTRACTOR Name: 0-,? L'. License #: ZOc? g0 z o-q_
Address: Q.A-
City: i,cStaEe: 1-?_ Zip:
. Phone: (pS( 1'PJZCo'; ContadPerson: /nik.C- kVfLU4
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
• Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Enefyy COd@ . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CatEgory Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 72 months, has the City of Eagan issued a pertnit 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:
MOTE: Plaris andrsupporEing'documen,ts tiiat yau?submit are consideretl to be poblic infarmation;%Portio`ns' of
you pro3%ide specifrc reaso»s thet yvould psrmit tire City'#o
thelnformefton tY'ray be. class7hetl as.npn-public 7f
?
,,?
?;?E, ? , _ ?.?r conctud? tdatfhe are2raBe'seerets.
I here6y acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a pertnit, but ony an application for a permit, and work is not to start 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.
x1 ?/ i G?i7Ft?I ? r I G`y c
x
ApplicanYs Printed Name pplicanfs Signature
Page 1 of 3