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4621 Penkwe WayCASH RECEIPT ? ,. __. CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ??/ ' 19 weceiveo FRpm AMOUNT $ I & DOLLARf 1 oo ? CASH ? CHECK rOR ' White-Payers Copy Yellow-Posting CopY Pink-File Copy Than You ? ' BY CITY OF EAGAN Remarks Addition 30HNIVY CAKE RIDGE 3Pd ADDITION Lot 1 Qik 8 Parcel #10 39802 010 08 Owner grj' 1 S?D?G?' street 4621 Penkwe Way Stat,EaSan NW 55122 Improvemeni Date Amount Annual Years Payment Recaipt Dete STREET SUFiF, s 1981 Paid und r OTl inal arce STREET RESTOR. GRADING SAN SEW TRUNK 1975 Paid und r original arce *SEWERLATERAL 1 IO ZS 8O WATERMAIN * WATER LATERAL WATER AREA Z. 1980 p81d UIId r original arce STORM SEW TRK 300.31 C0O5581 10 15 80 *S70RM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Uni WATER CONN, BUILDING PER. 6613 SAC . PARK CITY OF EAGAN Remarks Addition JOHIVNY CAKE RIDGE 3Y'd ADDITION Lat 2 Rik g Parcel #10 39802 020 08 Owner?ll ?? ???` SAr)da gai1 'i m street462111 Penkwe Way state Eagan MN 55122 i Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 19$1 Paid und r OTl inal 8x'C@ STREET RESTpR. GRADING SAM SEW TRUNK 1)7$ Paid und r original arce *SEWER LATERAL WATERMAIN * WATER LATERAL q3zi WATER AREA Z'Z Paid L121d T original arce STORM SEW TRK ? * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit WATER CONN. BUILDING PER. 66 4 SAC PARK CITY OF EAGAN Remarks Addition CA,jfF RTnr2 Zrd ennITTOAi L,otBik $ Parcel 0.1,0 ZQRfIa (ldfl Ilft owner straet 4623 Pe kwe Way State EaQan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 6 1981 Paid Wld T QI'I inal arce STREET RESTOR. GRADING SAN SEW TRUNK 197$ Paid t1Tld ? OTl inal arce *SEWERLATERAL 1981 2277.43 455.49 WATERMAIN *YVATER LATERAL 19$1 WATER AREA 4 LZ 1980 Paid L171d Y' 02'1 11181 arce STORM SEW TRK 5 0 1981 300.31 60.06 5 1 10/15/80 *STQRM $EW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT , oa it 185.00 24292 4-20-81 WATER CONN. 335.00 24292 4-20-81 BUILDING PER. SAC PARK ?Y OF EAGAN Remarks Lot ? eik 8* parcei91 0 3980? nzn nQ Penkwe Way 5tate Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. S-SS I981 Paid iSild T original arce STREET RESTOR, GRADING SAN SEW TRUNiC 1975 PS1 UTl r original arce *SEWER LATERAL WATERMAIN *WATER LATERAL - WATER AREA Z 1980 Paid W1d r original arce STORM SEW TRK tj' +eSTORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 24292 WATER CONN. 335.00 24292 4-20-81 9UILDING PER. 6616 SAC 24997- PARK • ? ' ciTr oF EAGAN 3795 Pilot Knob Rood Eogan, MN 55122 N2 6615 PHONE:464-8100 BUILDING PERMIT Receipr # To be wsd for - Est. Value Date , 19 - , Site Address . Erect ? Occupancy Lot Block Sec/Sub. IY nY.Cal`e '7 Alter ? Zoning ' . '.,? Parcel # Repoir ? Flre Zone ? . Enlarge ? Type of Const. W Nume - `` f »';nr = r?0 ° ` Move ? # Stories z 3 Address Demolish ? Front ft. Ci Phone -* .'23 -3' ' - Grode ? Depth ft. ? N Approrols Fees ame ?o ? .. Assessm.ent ' '_• ` Permit o? Address u ' ~ Water & Sew. - Surchorge Ci phom Police Plon check r n- 11? ? W Nome O-W Fire SAC ?21- •'1'7 _? Address Eng. Water Conn. <W Ci Phone Planner Water Meter Council Road Unit ? ^' • ?? I hereby ocknowledqe that I hove reod this npplication ond state that gldy. pff, the information is correct und agree to comply with all applicable APC Total ?.?"l'•`-,n State of Minnesota $tatutes and City of Eagan Ordirances. Signature of Permittee A Building Permit is issued to: on the express condition that cll work shall be done in accordorxe with oll applicable Stote of Minnesota Statutes cnd Gty of Eagon Ordinonces. Buildirg Official y Penelf #j DaM laned PaUitfN Plumbing .'Z??__vL & _(Z) -$' ILZ e_ Mechonical Z,$ p -? `- $ F- L Cl?_ c-. 'tq 8737 f(Ec . INSPECTIONS DATE IKSP. Raugh-I n Final FoOtings Dote Insp. Date Insp. Foundotion Plumbing S t Frame/ins. MethonicAl V Finof Remorks: C'M?ee4 r '°?-jq? Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee fil/ in numbered spaces S/C Type or Prin[ legibly Tot. 1, Date June 8, 1981 2, Instaliation Cost 3. Job Address4623hi Penkwe Waytot 3 Bik. .128 Tract JCR 4, Owner OF.F2IN THOMPSON HUtTS 5. Contractor VIC\IQM Phone VLM WENZEL MECHANICAL 6. Address 452-1565 7. City State Zio 8. Building Type: Residential I3 9. Work Description: IVew 0 10. Describe 11. Commercial O Institutional ? Add Cl Alter 0 Repair D No• Fixtures Water Closet No. Fixtures C l D i fi Bath tubs esspoo n / ra eld Se i T k _L Lavatory pt c an S f 1. Shower o tner W 1 Kitchen 5ink ell Urinal/Bidet O 1 - Laundry Tray ther ? Floor Drains Drinking Ftn. S lop 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. Approved CITY OF EAGAN 454-8100 Y Reoeipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee • Fill in numbered spaces S/C Type or Prrnt legib/y Tot. . ,, 1. Date 2. Installation Cost 3. Job Address' 'Lot - Blk. Tract 4. Owner 5. Cflntractor - ? i - - : • Phone 6. Address 4637 C hiCap,O Ape 7. citv State " n• Z;P 55407 6. Building Type: Residential 0 Commercial ? institutional ? 9. Work Description: New 0 Add ? Alter ? Repair O 10. Describe T-uel Type 11. No. ' Equ'pment BTU - M. Ea. Forced Air No. EQUiament CFM A Mfg. ir Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Othe Air Cond. r Mfg. ,1_ 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 464-8100 Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legib/y i? 1. Date 2. Installation Cost 3. Job Address Lat ? Blk. 4. Owner Tract 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? 10. Describe 11. Repair O No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Se tic T nk Lavatory p a Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Orains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above informatian 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 4648100 Permit No. - Fee S/C - Tot. "' Receipt ? PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egib/y . Tot. 1. Date 2. Installation Cost 3. JobAddress Lot- Blk. C? Tract -' 4. Owner 5. Contractor Phone 6. Address - ' 7. CitY State ??Z• ? Zip ' 8. Building Type: Residential O Commercial O Institutional ? 9. Work Description: New 0 Add O Alter ? Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory - $ottner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray 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 camply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. _ Date Insp. I This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT CITY OF EAGAN FiN in numbered spaces Type or Print /egib/y Date ? 2, Installation Cost 3. JobAddress ? f- Lot?-=Blk. Tract 4. Owner ? 5. Contractor - ' •Phone 6. Address 7. Cit State Y ZiP 8. Building Type: Residential O 9. Work Description: New El 10. Descri be 11. Commercial ? Institutional ? Add O Alter O Repair O No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory $oftner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. . Signed : for Rough Final Inspections: Date Insp. Date Insp. Permit Na Fee ? S/C ` Tot. " I This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 cirr oF EAcAN 3795 Pilot Knob Rood Eogon, MN 55122 PHONE: 4548100 BUILDING PERMIT Receipt # N4 6616 36,00?, pate - Site Address Lot Block ? Pcrcel # sec/sub. Pzny.Cake Fvig 3 oe Name Orrlarl 'J-XQ:L4M 1k.i.!Gv7 W ? Address 1712 I IoF;kizs Csrt?. ,... "innet,orika ,,, _ 544-7333 a Nome _ ??rAddress r ro.., Nnme _ Address I hereby ackr?owledge thct i hove reod this opplication and state thot the informotion is correct ond ogree to comply with all opplicoble State of Minnesato $totutes and City of Ecgan Ordinances. Erect Q Occupancy Alter ? Zoning Repoir p Fire Zone Enlorge Q Type of Const. Move ? # Stories Demolfsh ? Front ft. Grade ? Depth ft. Approvols Fets Water & Sew. Police Fi re En9• Plonner Council Bidg. Off. _ APC Permit SurcFarge . " Plon check ' SAC - Woter Conn. ' Water Meter ' Road Unit ' Total Signoturo of Permittee I A Building Permit is issued to: on the express condition that oll work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinonces. Building Official PwmM # oaN lawod PenaiMw Plumbi??p ?? lp -( Q- E. Mechaniool Wc- t+e. C' yg- 73L- -?- ?-t t??? C t INSPECTIONS DATE INSP. Rouyh-I n Firql FoOtings - -&/ Date Inip. Date lnap. Foundation Plumbing ? Frame/ins. Mechanic.ol ?_ ? Final ??- - Remarks: Receipt PLUMBING PERMIT CITY OF EAGAN L flll in numbered spaces Type or Print legibly Date June 9, 1981 2. Installation Cost Permit No. Fee S/C Tot 3. Job Address 4523 Penkwe wayLot4_Blk. _41g_ Tract .T(-g 4. Owner 4-)pg7N n-IjcwnM urwFc 5. Contractor Phone 6. Address WENZEL MECH,'INICAL AN, MINN. 55122 7. CitY Stat?52-1565 Zip 8. Building Type: Residential 6 Commercial ? Institutional ? 9. Work Description: New Cy Add O Alter ? Repair ? 10. Describe NOF1E 11. No. Fixtures Water Closet No. Fixtures f C l i D 1 Bath tubs esspoo / ra n ield Se tic Tank Z Lavatory p f S 1 Shower o tner W ll 1 Kitchen Sink e Urinal/Bidet O h Laundry Tray er t 1 Floor Drains Drinking Ftn. S 1 lop 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 , Inspectiuns: Date Insp. Date Insp. . , This is your permit when numbered and approved. ' Approved CITY OF EAGAN 454-8100 Recaipt MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prin[ legib/y Permit No. Fee • S/C Tot 1. Date 2. Installation Cost j?u?• ?' 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor 1-Y Phone , 6. Address 2Z37 S`-L.C:::?;o ?o. 7. CILy i'U3• Stdte • Zlp 8. Building Type: Residential 0 Commercial O Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe"n? ''u2-ced ?.is' he_?t Fuel Type -? ? gas 11 No. ? Eauioent BTU - M. Ea. Forced Air No. Equipment CFM Ai dli H Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other I_ Air Cond. Mfg. ' Gas, Piping 4utlets 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. AOproved CITY OF EAGAN 454-8100 ? CITY OF EAGAN • 3795 Pilot Knob Rood Eagon, MN 55122 Ng 6 614 PHONE: 464-8100 BUILDING PERMIT Receipt # To bt eaad for Est. Volue Date , 19 Site /lddress ? Erect Q Occupancy Lot ' Block Set/Sub. Alter ? Zoniny ' Repair ? Fire Zone Parcel # Enlorge ? Type of Const. ? ae Nome '_'-; •- • :, i _?'?? ? Move ? # 5tories 3 qddress Demolish ? Front ft. o Ci Phone Gmde ? Depth ft. ce 0 Name APProvals Fees Address f- r,... Nome _ Address I hereby acknowledge that I have read this opplication and stote that the information is Correct and agree to comply with all applicable State of Minnesoto Statutes and City ot Eagan Ordinances. Assessment ' - Permit Woter & Sew. Surchurge . Police Plan check ? - Fire SAC ` Eny. Water Conn. Planner Water Meter Countil Rood Unit r ? •. Bidg Off . . APC Total Signature of Permittea I A Buiiding Permit is issued to: on the express condition that CII work shall be done in accordance with all applicable State of Minnesota Statutes ond City of Eagan Ordinoncea Building Official Pwak aj Dah Imad hnnlttM Plumbing Mechanical ?l.Ec-? 7Y.?- 733 7-z- ?-( f (( F'C , INSPECTIONS DATE INSP. Rough-In I Finol Footings Foundation Frame/ins. Final S=,p 9- $/ ? Pfumbing Mechonicol Dote Insp. Dote 0•? Inep. Remarks: Receipt PLUMBING PERMIT CITY OF EAGAN FiII in numbered spaces Type or Print /egib/y 1. Date June B. 198 2. Installation Cost Parmit No. Fea S/C Tot. 3. Job Addres46 71 Pp11AWe way Lot 2 Bik. _g-ti_ Tract Jr-R 4. Owner ORRIN THOMPau'? 'iOt?;S 5. Contractor Phone 6. Address WtNZEL MECHANtCAL 7. Citv 45?e1565 , zia S. Building Type: Residential YO 9. Work Description: New Lg 10. Describe =?OME Commercial ? Institutional O Add ? Alter ? Repair ? 11. No. Fixtures Water Closet No. Fixtures C l/ i i Bath tubs esspoo Dra nf eld Se tic Tank j Lavatory p f S 1 Shower o tner ll W 1 Kitchen Sink e UrinallBidet h O 1 Laundry Tray t er 7 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 n Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. ?. Approved ' CITY OF EAGAN 454-8100 Raceipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill rn numbered spaces S/C Type or Piint /egrb/y Tot. • 1. Date - -'-1 2. Installation Cost ?''t• 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor .-' :;• HTG. • Phone - ' _-6 ; 6. Address 4E,j i;;:iC 2 ..v=:. .- o. 7. City +': '-• State : ?Z. Zip = 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe.' Fuel Type -11. Na, ? EQuipment STU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other ?I Air Cond. Mfg. 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 F inel ' Inspections:`Date Insp. Date Insp. This is your permit when numbered and approved. . Approved CITY OF EAGAN 454-8100 , - = cirY oF EA"N . 3795 Pilot Knob Road Eogan, MN 55122 ? PHONE: 454-8100 BUILDING PERMIT Receipt # Ng 6613 To M used foe Est. Value Date 19 Site Address - Erect ? Occupancy l t Bl k S /Sub ' ' Alter ? Zoning o oc ec . .? Repair ? Fire Zone Porcel # l E e of Const T n arge [3 . yp W Name Move 0 # Stories ? Address Demolish ? Front ft. Ci pL-ne Grode ? Depth ft. w___....??. c.e. ?? Address ? C`cr.. v4,nno I hereby acknowledge that I hove read this application and state that the informotion is correct ond agree to comply with oll applicoble State of Minnesota Statutes and City of Eogan Ordinonces. Water & Sew. Police Fire Eng. Planner Counti I Bidg. Off. - APC Permit $urcha rge Plan check SAC Woter Conn. Water Meter Road Unit Total Signoture of Permittee I A Building Permit is issued to: on the express condition thot all work sholl be done in accordonce with all applicoble Stote of Minnesota Statutes and City of Eagan Ordirwnces. Building Officiol Psmk # Date laoed Pennktes Plumbing Mechanical I T yfs- 73:--2- INSPECTIONS DATE INSP. Rough-In Final FoOtings S= o??j-?/ Date Insp. Date Irnp. Foundotion Frame/ins. ? Plumbing Mechanical ie ? d jj?q Finol Remorks: F44tI4G( G? ? ? Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN FiII in numbered speces Type or Print legib/y 1. Date Ju;:e 8, 19812. Installation Cost Fee SIC Tot. 3. JobAddress4621 Per.Bwe Kay l.ut l Blk. 48 Tract -?',F l 4. Owner ORItiN TFIOMPSON HOMI?S 5. Contractor Phone WEN2EL MECHANfCAL 6. Addreas 452•15B5 - 7. City State 2ip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New 6 Add ? Alter O Repair D 10. Describe xOI"E 11. No. Fixtures Water Closet No. Fixtures C 1 Bath tubs esspool/Drainfield 5 i ? Lavatory ept c Tank S ? Shower oftner Well 1 Kitchen Sink Urinal/Bidet O h 1 Laundry Tray t er 1 Floor Drains Drinking Ftn. I 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. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee ?•??' Fill in numbered spaces S/C •_?' Type or Print !eglbly Tot 1. Date -=3? 1 2. Installation Cost ? ?•?? 3. Job Address Lot BIk. Tract 4. Owner - T :. 5. Contractor - • i:..i.: . : . ; . phone 6. Address 7. City , State ?? • Zip ? c+?n 8. Building Type: Residential O- Commercial ? Institutional ? 9. Work Description: New C? Add ? Alter ? Repair ? 10. Describe' i: '. Fuel Type • ?. ? ?'• . 11. No. ? Equinment BTU - M. Ea. Forced Air No. Equipment CFM Ai Ha dlin : Mfg. r n g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other ? Air Cond. Mfg. ? 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 464-8100 CITY OF EAGAN SEWER SERVICE PERMIT 3795 pilot Knob Rosd PERMIT NO.: Fagan, MN 55122 DATE: Zonirrg: No. of Units: ' C)wner: Address: Site Address: ' Plumber: 1 agree fo comply with the City of Eagoe Connection Charge: Ordinanees. Account Deposit: Permit Fee: ? Surcharge: BY Misc Chor es: . g Date of Insp.: _ ToYol: tnsp.: Date Paid: ITY Of EAGAN 795 Pilot Knob Road gan, MN 55122 i oning: ner; ddress: ite Address: lumber. ( sgree to eomply with the City of Eagan Connection Charge: Ordincncea. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAw?N WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagoe, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: r?•?se ?'I`?'!? Plumber: Meter No.: Connection Chorge: Size: Account peposit: ' . Reader No.: Permit Fee: I agree fo oomplp with the City of Eagan Surcharge: Ordinanees. Misc. Charges: Total: BY Date Paid: Date of I nsp.: I nsp.: 4NIIIIIIii1liN SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: ? 3745 Pilot Knob Roed PERMIT NO.: Eagoh+, MN 55122 DATE: ?Zoning: No. of Units: ner. dress; ite Address: 1A r.? -1 r-_*idi;,Q Plumber. ' eter No.: Connection Charge: ize: Account Deposit: eoder No.: Permit Fee: ogree to eomplp with the Cify of Eogan Surcharge: rdinanees. Misc. Chorges: Total: ? y Date Paid: 'Date of Insp.: Insp.: OF eAGAN SEWER SERVICE PERMIT Pilot Knob Rood PERMIT NO.: MN 55122 DATE: '? - No. of Units: ' f ' - Address: ' " - - . - to eomply with the City of Eagan of Insp.: Connection Charge: Account Deposit: Permit Fee: 5urcharge: Misc. Chorges: Total: Date Paid: N. 41TY OF zAGAN WATER SERYICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eaga,%, MN 55122 DATE: Zoning: - No. of Units: Owner: - Address: Site AddrPCC• i-l' =:C: F,u$Q , Z7I ' Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reoder No.: Permit Fee: 1 egree to eomply wifh the Cify af Eagan Surchorge: Ordinanoea, ? Mlsc. Charges: Totol: By Dote Paid: Date oF Insp.: lnsp.: CITY JF EAGAN , 795 Pilor Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: ? c rTff pE'-TTr Plurreber; Meter No.: Connection Chnrge: Size: Acwunt Deposit: Reader No.; Permit Fee: I u9roe to eomply wit6 fhe City of Eogcn Surcharge: Ordinances. Misc Charges• BY - Date Total: Dote Paid: CITY JF EAGAN SEWER SERVICE PERMIT '3795 Pilot Knob Road PERMIT NO.: Ea'gon, MN 55122 DATE: Zoning: No. of Units: t7wner: Address: Site Address: Plumber: 1 agree b eomply with fhe Cify of Eagon Connection Charge: Ordinanees. Account Deposit: Permit Fee: Surcharge: Y Misc. Ctwrges: ; ate of Insp.: Totol: . Insp.: Dote Puid II? r. .',' `r;.""•. , ? . ?M , - ` ? f • 4%1 K^ .?c.. ?? ? . . S , ??t ~? ? ? . .. p?'' . ?Ik ' ' ' ? p ' r r ?£ :?i : . _ x ? ?w: ?,? • M [.? . . ? , _` ???. ? . ' _?,i•..:i . _ .. k . . :- ? ? . '?,.?.??` - minnesala acace ooara or ueccnciry Griggs Midway Bldg. - Hoom N191 ?1 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 REQUEST FOR ELECTRICAL INSPECTION CHECK_BET,OW WORK COVERED BY THIS REOUEST EB-00001-02 .25Ce ° (e T 48737 Type oi Budding New dd. Rep. . Check Appliances Wired For Check Equipment Wued For Nome El ? Range ? Temporary Wiring Duplex ? ? Wa[et Heater ? Ligh[ing FixtuTes . Bldg. ? ':? ? Dryei Electric Heating ? meccial Bldg. ? ? ? Fumace ? Silo Unloadee ? Industrial Bldg. ? ? ? A'v Conditioner Bulk M8k Tank ? Farm ? ? ? List ) List Other ? ? ? p } HehelS) p Heher3? COMPUTE INSPECTION FEE BELOW Seivice Entrance Size: n Fce FeedusdSubfeede[s: # Fee Crtcuits: # Fce - 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres •]Ol to 200 Amps. 31 to 100 Amperes 31 to 100 Am res Above 200 Amps. Above 100 Amps. Above 100 Am s Transformers Remote Control Ciic. PaxUal or other fee it = Sigps : Special lnspection Minimum fee $5.00 Remazks c.?. ? /,,.\ - t f'1..5 ::1 l?,d :] G4 ? TOTAL FEE This request void 18 months from inspection has beengi=de. 30 •? ? Date 1„ Date Th s request void L? l ?? ( SC _'?- 18monthsfrom J ?SlauCo Dpte o` this Kequest l0 ?? k4 Fire No. T48737 I, aLicensed Electncal Contractor D Owner, do hereby request inspection of the above electri- ca! mng installed at: et Address or Route No. ??OZ3 r/L 1?''? V?Ry ?1![ion Township Range County? Which is occupied by ? Is a coughin inspection required on this job? No ? Ye& Ready Now ? Will Ca1Lg- Power Supplier I?N Address ?KG74P? Electrical Contractor bEu- ELktxrv- Contractor's License NMW (COmpany Name) ' Mailing Address `B`U??t E- ??ia ?ca? ?, nua r i+wnar mawmv ? ??o ?naim.a.rv??? Authori2ed Signature Phone No. (Electric Contractar or Owner aklnq This Installatlon) ????? ? ??? ? ??- This impection request will not 6e accepted 6y ffie State Board unless proper inspection fee is enclosed. MinneSOta State Board of EleCtriCity Griggs Midway Bldg. - Room N791 ?1 University Ave., St. Paul, Minn. 55704 - Phone 297-2117 REQLEST FOR EiECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST EH-00001-02 . ?o '0 -5 5 ,T 48736 Type of Building New Add. Rep. Check Appliances Wired For Check Equlpment W'ved For Home ? 0 Range Temporary Wiring ? plex ? ? WaterHeater LighdngFixWies ? t. Bldg. ? ? ? Dryer Electric Heating ? ommercial Bldg. ? ? ? Fumace ? Silo UNoadet ? Industrial Bldg. ? ? ? A'v Conditioner Bulk Milk Tank ? Farm List ) L ist t her O ? ? ? p y F{ehers) p Hehreecs? COMPU'CE INSPECTION FEE BELOW Se:vice Entrance Size: # Fee Feeders&Subteedeis: x Fee C¢cuite: x Fee 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eies 101 to 200 Amps. 31 [0 100 Am eres 31 to 100 Am res Above 200 Amps. Above ]00 Amps. Above 100 Am s. Tcansfotmets RemoteControlCirc. PartialorotherSee Si ns ? = $pecial lns ection Minimum fee $5.00 Remarks A.J (f, ' "+? ? -? . ? /' ??-?`'.. - TOTAL FEE ,?^,? I, the Ele ttical'Inspecto?, hereby c?i? th ode ins ction has been a Z,f?d (Rough•in) ????•?? Date oZ3" (Final) 4::)_y9 ? ? -- Date This request void 18 months from 71a 'L ti s,c,?, ? J3.:Z so This request void .18 months from o2 S(Q U(p ' Date oF.this Request Fire No. T4"736 I, asLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal filhug installed at: •et Address or Route No. %Z-3 fb"KW6 r'"w City%6AV4 .Section Township Range County ? Tft 1Vhich is occupied by ls a roughin inspection required on this job? No ? YeCW- Ready Now ? Will CalPk Power Supplier R A Address MI`i 1 th&-, cv" Electrical Contractor C""TML' Contractor's License NuJ I {??? (COmpany Name) ,? MailingAddress F'Til ?./? ?? I pleV Auihorized Signature ??`c?.y' ( ectric ntrac tor or Owna SBI ATE BOABtl CoPY r Owner Makin9 Thls Installatlon) s ?.1 Phone No. ?,? king This Installatlon) This inspec[ion request will not 6e accepted by the State Baerd unless proper inspection fee is enclosed. minnesota state 9oartl of Electnci[y Griggs Midway 81dg. - Hoom N197 11011111110!121 University Ava., St. Paul, Minn. 55104 - Phone 297•2177 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST EB-00001-02? ZS&b /Y? T 46733 7ype ot Building Ne Add. Rep. Check Apptiances Wired For Check Equipment Wited Fot Home ? Ll Range ? Tempoxary Wiring .Duplex . ? ? Watec Heater ? Lighting Fixtures ? ApL Bldg. ? ? ? Dryer ? Electcic Heating mercial Bldg. ? ? ? Fumace Silo Unloader ? ustria] Bldg. ? ? ? Air Conditioner Bulk Miik Tank ? Fazm ? ? ? List 1 Lis[ Othei ? ? ? y Heher$f Re?erq COMPUTEINSPECTION FEE BELOW Service Entrance Size: n F Feeden&Subteedets: # Fce Cucuits: x F 0 to 100 Am s. 0 0 ro 30 Am eres 0 to 30 Am eres 301 to 200 Amps. 31 [0 100 Am ies 31 to 100 Am res Above 200_Amps. I Above 100 Amps. Above 100 Amps. TwnsSormers RemoteControlCixc. Partialor otherfee J Si s S ecial lns ection Minimum fee Remark3,O,_??r?'' - ? TOTAL E,07. JO I, the Elcklricaillnspector, hereby (Final) This request void 18 months from has been Date ?ate rt?-Jc-/ ' O-Jc L.2, ?3s, ?.C; ?q, 3- ?'7 ?So This request void S? ? 18 months from :z- Date o this Request Ol0Fire No. T48733 I, as Licensed Electrical Contractor OOwner, do hereby cequest inspection of the above electd- cal w n installed at: Street Address or Route No. 1?? `rZ 1??? wk7 City? ?on Township Range CountyDklc-OT-A_ Which is occupied by (Nama oi OccuGanq Is a roughin enspection required on this job? No ? YeC@!?_ Ready Now ? Will Callg$?_ Power Supplier k R1 Address me h t* JD t Electrical Contractor ? G4N A4A.-- Contractor's License NAr2 ??? (COmpany Name) Mailing Address __ A (4• C.L(,ff- ?- Q;a?A ?0 Authorized Signature ,uac[ncm corrtracmr or owne ????? ????D ILO'OPY or owner makinq rnis instanauon) e.?C? aJ Phone No. ? This inspection request will not be accepted by the State Board unless proper inspeetion fee is enclosed. mmnesota btata tsoara ot tiectricity Griggs Midway Bldg. - Room N791 ?21 University Ave.. St. Paul, Minn. 55104 - Phone 297-2171 ' REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST EB-00001-02 aSCea Co T 48732 Type ef Huiiditig Ne Add. Rep. Ch¢cr ppp?m Wired Fm Check Fquipment Wimd Fm Home ? ? Range ? Temporary Wiring Duplex ? ? Wa[er Hea[er ? Lighpng Fixtures ? t. Bldg. ? ? ? Dryer ? Elect:ic Heating ? mmeicial Bldg. ? ? ? Fumace Silo Unloader ? Indus[rial Bldg. ? ? ? Air Condi[ionei ? Bulk Mtlk Tank ? List List Othe ? ? ? p Hehe`$? Heiers? COMPUTEINSPECTION FEE BELOW SeiviceEntwnceSize: u Fee 1 1 Feedera@Subfeeders: # Fee C'vcuits: # Fce 0 to 100 Am s. 0 to 30 Am efes 0 to 30 Am eres ' 101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am eres Above 200_Amps. bove 100 Amps. Above 100 Amps. Transformers ote Control Circ. Paztial or other Cee S- ns 9 II I S ial Inspection Minimum f Remarks (\ ? V 1 `?l TOTAL EV,,,fO?1ra1? I, the Electricai4speHor, hereby (Final) This request void 18 months from LI I?S? R, ? 2`7 , Sv This request void 38 months From o ? ? Dat00 f his:Request Fire No. ^r 4 8 7 3 2 I, a3Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal ring installed at: et Address or Route No. 14`27,1 W34?1e-WeI7 V`??y City0*6" ?tion Township Range County "! Which is occupied by VNLAO im?-t1'S `tt- Is a roughin inspection required on this job? No ? Ye0- Ready Now ? Will Calo, PowerSupplier (`O Address I%w Electrical Contractor 17?? --L?'' Contractor's License NoA.MLr (Compa y Nama) n n??, Mailing Address MI Authorized Phone No. 0'55bF (?y ???? ??&'??D ?o? I This inspection request will not he accepted 6y ihe e?j State Board unlass proper inspection fee is endosed. REQUEST FOR ELECTRICAL INSPECTION 10, See insimctions lor campleling [his torm on back ol yellow copy. 9?//95 "X" Be/ow Work Covered by This Request 'zo EB-OOOOL09` ?x.11-7s9 io Ne Add Rep. Type of Building Appli=,'_,r., vvired Equipment ired Home Range Temporary Service Duplex Water eater H Electric Heating Apt. Building Dryer Load Management Comm./Industrial Fumace Other (Specify) Farm Air Conditioner Other (specily) ConVactor's Remarks'. Compute lnspection Fee Belaw: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Am s 0 to 100 Amps Transformers Above 200_Am Above 100 -Am s SIgnS Inspecmrs Use only: ?? ? TOTAI Irrigation Booms i? 70 S ecial Inspection 0 Alarcn/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby ROUgh-in oate certify that the above inspection has been made. Final /? (?C?•t oai Y_ ?Yl OFFICE USE ONLY This request witl 1B momhs from 91'r A/ ??? o ? ` 0 9 65 h C ? >? 3,? ? 9 6f-2 ?o ? _ Reqd te Fire No. o -? equiretl Inspecfion Other Than Rough-In I (VOU musl call inspector whenrea y) 5qeedy Now ? Wi0 NotiN Inspactor. ? Ves ?ge Reetl IA-Iensed contractor ?ownei hereby request inspection of above electrical work at Job Atltlress (Stree1, Box or Route NoJ Ciry ? SeIXion No. TownsM1ip Name or No. Range No. County (i ?N- Occupan[(P INT) Phone No. / Power Suppiier Address Elecln cal Contractor (GOmpany Name) ConVactor's License No. l n '/ • ^?VU Maling Atldress Conuactor or Owner M nstallation) Authonzed S' ature (ContracbrlOwner Making InsteilaNon? Phone Number M ESOTA STATE BOAHD OF ELECTRICITY TNIS INSPECTION REQUEST WILI NOT riggs-Mltlwey BIEg. - Noom S128 1 1111 1111 11 1111 111 11111 1111111111 1 I 1 1111 111 1111 BE ACCEPTEO BV THE STATE BOARD 1821 Universily Ave., St. Paul, MN 5510! UNLESS PROPEF INSPECTION FEE IS Vhnnn f6191 fd9.1111M FNCI OSF_fl. C?er#ifirtt#.e nf Mrrixpttnrg Citp of (Cagan 39rpx#mrnf nf t?uilAing Jtcsperiicm Tbit Certifitate irsued pHrsuqnt lo the rrquiremaru of Settian 306 of the Uniform Building Code cntrfyr»g that at tfie time of itsuarat tbit ttrarture wur in tompliana witb the vuriout ordinances of rhe City rrgulating bralding ronnrurtion or u1e. For thc following: U. ChIiiiMdm 1 of y PLEX Mde Pam Ne 6615 oa,iwa.rTYw R3 TY'acoa,wcuw Y Fm zm, MA zoNnouaml PD OwrcrofBUOdng OrI'3n Thompson Aaaa„ 1712 Hopkins Crsrd., Mtka. BwldiogAddrea 4623j Penkwe WaY t?;,y Lot 3. Block 8, John7ly Cake }? ) ?? ?„ Ridge 3rd ??Q'?Q BuJdingOtfidtl Date: October 26, 1981 r?L?_ C?rrfifirttte of Mrruvttnr# Citp of (Eagan 19rpttrtmriti nf +uilbing "J+nii}lerfinn Thit Certrfirate ifraed purraant to !hr reyuiremantt of Sertion 306 o/ the Unifonn Building Codc cati f ying that at tlx lime oJ ixtrutnrt thir rtrurture wac in com pliancr wrth the varinuJ ordinunnr of the City rtgulating builrling cantt+uuian or utt. Far thr follounvg: U. c--ad,,4. 1 of 4 PLEX 6616 «Nwryiva R3 naecott,wctim V Fcrcun NA z0111rewch« PD OvarafButldmg Orrin Thompson -„aaas 1712 Hopkins Crsrd., D.4tka. jc.?? n„_,,..... 1ue,. ...? Lot 4,Blocl; 8,Johnny CaY.e By Ridge o,,,: Octoh r 6, 1981 on- ., un-11w. s- (?erflftrtttr nf ODrrupttrcrg Citp of (EAgan ih#rttrfmrni nf Nuild'mg 3n3prriinn Tbir Ccrrificate irtued partuand to Ibe reyuiremenu of Sertion 306 o f the Uiii form Bxildireg Code ccrtifying thaa at the timc of iltuancr thit ttrutture wut in tompliana with tbe variour ardinantrt of tbt City rtguJading building ronnredion or xrr. For the tallowrng: 1 of 4 PLEX 6614 0-wwrTva-R3rrvc?,w«? V F?Rzo?a NA zo.msn?t.« PD Ow?raoFBUONng Orrin Thompson Aea,,a 1712 Aopkins Crsrd., T!Itka. By Rid(±e 3rd o,,,, October 26, 1981 fvkrrtifirttte af (Orrixpttnry Citp of Cagan Depttrtmrni nf +?uilbing ,+?nspedicm Tbii Certifitate irtued Parsuant to tbe requiremenu of Section 3(16 of the Uniform Burld'rng Code catifying tbat at thc time of irmarua thit nrurture war in complianre with thc vayiour ardirutntu of tbe City regalating burlding corsnruction ar utr. For the (olloudng: 1 of 4 PLEX 6613 Ux ClamFiuaw BIEg. Pemu[ No. _ ?wnrna R3 T?c?wm? V e;azo?. NA z, uum« PD Owce?ofBu?ding Orrin Thompson Aaa. 1712 42pk3ns Cx'srd., Mtka. By" - u,u: CITY OF EAGAN 9795 Pilot Knob Road Eagan, MN 55122 N2 6613 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # C??, T??,2= Te be aaed for 1 of 4 PLEX Est. Value 36,0 00 Dare 4-20 , 193L Site Address 4621 Penkwe (Plan 87) Erect ff Occuponcy R3 Lot 1 Block $ Sec/Sub. `mT1Y.Cake Rr39 3 Alter E] Zoning PD Parcel # 10 39802 010 08 Repair ? Fire Zone Da Enlarge ? Type of Const. V w Name 02i']ri g'1cnpSOri Hcnps Move ? # Stories z Address 1712 HCpk1ns Csrd. 3 Demolish ? Front 44 fr. o Minnetonka 544-7333 crode ? Deprh 24 n. Ci Phone m Name - Approvals Feee 0 sc afle Assessrt?nt4'Z0-$1 Permit 108.00 ? ` Address ? WOYef gSe"'. Surchorge 18.50 Ci Phone Police Plan check 54.00 ww Name Fire SAC 525.00 ~z ?U Address En9. 335. 00 Water Conn. aw Ci Phone Planner WaterMeter 60•00 Councll Road Unit 185.00 I hereby ucknowledga that I have read this aDPlication and state that Bldg. Off. the fnformation is correct ond agree to comply with all upplicable APC 1 285.5? Totol r Smte of Minnewta Stotutes and City of Eagan Ordirances. Signotum of Pertnittee A 8uilding Permit Is issued to: Orr171 ThiC%Cq750n HGICIES on the express condition that p? l' ?p ble tote of Min ce ith all ap all work sholl be done in accordan oM Statutes and City of Eagon Ordirwnces. ? / ? / Building Officiol ? CITY OF EAC'?AN Include 2 sets of plans,' \?j b 1 site plan w/elevations 6 /.Y? BUIIDING PII2tUf APPLiCATI(kd 1 set of energy calculatians. Rb Be Used Fbr itu%oc...ce Valuation-4ftft" ? Date 17-E3t Site Addzess: H(e-,t \ Qeuw4e ?PMr4 SrJ? OFF'ICE USE OHI.Y rAt I 91ock ? sec./sub. sw'NNy cAKe ? 1D f 3 rarcel #: /6 ??o,? D/,5 n 8' Owner: Pddress• City/2ip Code: Phone #: Gontractnr: QRRIN THnMPCf1N I-If1Mpc Addr25S: a Division of U. S. Home Corporation 3712 ; o^FiG, :S-6fiooSRAAa^- Cyty/ZyP Cod,: MINNETONKA,MINN.55343 Phcre #: 5yq•1333 Arch./Fhg.. Ptldress: City/Zip Code: Phone #: Erect X OccupancY ?t2S 7OR1.I1fJ , 1'? Rana i r Fire Zone r/ A _ Ehlazge _ 4ype of Const. ,V Mwe # Stories 4W Dmiolish EYOnt 174, ft. Gxade Depth 19y ft. APP%)VAIS F'EES Assessnents oa Perntit WatEr/Seaer Surcharge Jg' Police P1an Check cTY ? Fire SAC glq, Water Conn. 3 3S---,? Planner Water Meter !ro ? Council RDad Unit / 8 Bldg. Off. APC ? '1OTAL / :,),jv, ?? -) -0 CITY OF EAGAN 3795 Pilot Kno6 Raad Eagan, MN 55122 N2 6614 PHONE: 454.8100 BUILDING PERMIT APPLICATION - Receipt # -? ?- Te be uted for 1 of 4 plex ? Esf. Value 36,000 Date 4-20 , 198:l-- Site Address 46215 P el7kwe WAy, Erect [$ Occupancy R3 Lot Z Block $ sec/sub. Jhny•Cake Rd9 •3 Airer ? Zoning PD 10 39802 010 08 Repoir ? Fire Zone NA _ Parcel # a Nome Orrin Thmmson Hane.s z 1712 Honkina Csrd. ; Address o Minnetonka 44-7333 o Name _ ? Address Nome _ Address Enlarge p Type of Const. V Move ? # Stories Demolish ? Front - ft. Gnde ? Depth ft. Aomovala Faee Water & Sew. Police - Fire Eng. Plunner - Council - I hereby ocknowledge that I have read this application ond stote that Bldg. OFf. the informofion is correct and agree to compiy with oll applicable $tate of Minnewto Stotutes and Ciry of Eogan Ordinances. APC - Pertnit ivo. vv Surcharge 18.50 Plan check 54.00 snC 525.00 Water Conn. 335. 00 Woter Meter 60. 00 Rood Unit 185.00 rotol 1,285.50 Signature of Permittee I A Building Permif Is issued to: 03Xin T??pSOn HaCI2s on the express condition that all work shall be done in occordance witYy/pll applica4L-)5tatg of Minnesotp Stmutes and City of Eagon Ordirances. 6uildirg Officinl CITY oF E'AGAA1 Znclude 2 sets of plans. 1 site plan w/e]evations 6 Bi)IIDING PERNQ'P APPLICATION 1 set of energy calculations. -?l To Be Used Fbr Res%of wce valuati.on Date ?- 17- 81 site r,daress: y hz t Yi Qeoll-.,,?e (?IA w 87) OFFICE USE OrII,Y Int 2 Blodc (3 Sec./Sub. sommmy cnxs ta E Paxr.el #: Qwmer: Address: City/Zip Code: Phone #: Contractnr: nRRIN THnMPCf1Pl Nl1MR5 AddL255: a Division of U. S. Home Corporation }7.}' 1 12,:;;.S8RoS6RBAB Cyty/ZlP CAde: MINNETONKA, MINN. 55343 Phane #: Syy1333 Arch./Eng.. Address: City/Zip Cade: Phone #: Erect k oceupancy ?P3 Alter zoning ? Repair Fire Zone N A Ehlaxge • 7ype of Const. _:V,7 Move # Stories Dennlish Front y ft. Grade Depth a!/ ft. APP%7VAIS F? Assessments Pernlit WatPr/Sc?aer Surcharge 8 Police Plan Check a:y - Fire SAC 6-?Z 5 ? Enq, water Conn. 315- Plannes Water Meter ?a Council i / Road Unit Bldg. Off.?,•? APC TO'? / '? ??5? CITY OF EAGAN 3795 Pilot Knob Roud Eogan, MN 55123 PHONE: 454-81Cd BUILDING PERMIT APPLICATION Site Address 4623 YE>IllCLJ2 W3y (Yl, Lot 4 Block 8 Sec/Sub. ihnv•Cake Rdq 3 Parcel # w Name ()rri n Thr=arm Acmwc 3 Address 17?-2 HOp?Clna C3L'C?. ° ,.-•.. Minnetonka -_ 544-7333 p Name _ ?? Address ? r... Nome _ Address I hereby ackrrowledge that I have read this application ond state that the informotion is Correct ond agree to comply with all applicoble Stote of Minnewta Statutes and City of Eagan Ordinonces. N? 6616 Receipt .fk '21?1%;-- 891ct ? OccupancY R3 Alter ? Zoning PD Repair ? Fire Zone NA Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front - 44 ft. Grade ? Depth 24 ft. Auorovob Fees Wnter & $ew. Police - Fire Eng. Plunner _ Council - Bldg. Off. - APC Permit iVo.vv Surcharge 15.50 Plon check 54.00 snc 525.00 Water Conn. 335.00 Water Meter 60.00 Road Unit 185.()0 Totol 1.285. 50 Signature of Permittee I A Building Permit is issued M: Or'r'in Th[fimmn Hnwa on tha express wndition that sota ?Statutes and City of Eogan Ordirances. all work shall be done in accordanee with II applicable StaTte pf Minne Building Official ? 1b Be Used For Site Address: CITY OF 'FAGAN BUILDING PIItMIT APPLICATION .3? n-0-o RVs?ofmce Valuation Lot Blocx $ sec./Sub. soNUNy CAwe 1P C Parcel Pddress: City/Zip Code: Phone #: Contractor= QRRIN THnMPC(1AI HnnAEC_ Addres5: a Division of U. S. Home Corporation 1712 1 ; ^rn,:: S 6RA SS R 8fl6 Cliy/ZlP COde- MINNETONKA, MINN. 55343 Phorte #: S44•1333 Azch./Eng.. Address: City/Zip Code: Include 2 sets of plans, 1 site plan w/elevations S 1 set of enPSgy calculations. Date 'y-17 - 13( OFFICE USE ODII.Y A11:ET Repair Fire Zone N A Eilarge _ 7ype of Const. $ Move # Stnries Demolish Front ft. Grade Depth a ft. APPROUALS F'EES - Assessments Pexmit Water/Sc=aer Surcharge / g Polioe P1an cher-k Fire SAC 67 QP Water Conn. 3 34- ?r ( Water Metex (o Council Road [fiit / ,? Bldg. Off. APC q - Phone #: TCqAL - CITY OF EAGAN 3795 Pilof Knob Reod Fagan, MN 55121 N2 6615 PHONE: 464-8100 o? N.?SY BUILDING PERMIT APPLICATION Receipt # .. . To be uaed for 1 Of 4 PLEX Est. Value 36,000 oote 4'20 , 19 81_ Site Address 4623;? Perilcwe Wav Erect ? Occupancy R3 Lot 3 Block 8 Sec/Sub. JhnV•Cake RdQ. 3 qiter ? Zoning PD Parcel #. Repair ? Fire Zone nk Eniarge ? Type of Const. V w Name OYY1T1 Ti1CICQ?SOR HC[ReS Move ? # Stories 3 Address 1712 H",,.,Y''1,"`.,? Csrd. .,..' Demalish ? Front 44 4t. ° Ci Minna ttmka Phone S44-7333 Grode ? Depth 24 k- Ae.......-1. Ce- ? NOT2 f ?u Address owrier F f•fr. DL..... Nume _ Address I hereby ocknowledga that I have reod this application and state that the Information is correct and agree to comply with all opplicable State of Minnesoto Stotutes and City of Eogcn Ordinances. nssessr?'nr 4 Water & Sew. Police - Fire Eng. Planner - Council _ Bldg. Off. - APC Permit Lill Surcharga ?5-50 Plan c,eck 54 _ 00 SAC 59S_00 Woter Conn. 335_0.2 Water Meter 6.t) _ nn Rood Unit 185_00 Total 1,.9$?+ Sn SignMure ot Pertnittee I A Building Permit is issued to: OYT1I1 Thom30ri Hai12S on the exPress condition thot all work shall be done in accordonce ? all appliwble Stat/ e of Minnesoto Statutes and City of Eugan Ordinances. 8uilding Official / . CITY OF 'EA(3AN ? BUIIDING PEWTT APPLICATIdN .? '03?" d-ob 'ib Be Used For Rtsvneuc e Valuation ? site Address: ?(6?$ya. ?¢,?IK-wE -tP?.Ati $7? Iot 3 Elodc 6 Sec./sub. 3oHUNy cnxe Paroel #: Ckdrier: Pddress: City/2ip Oode: Phone #: %p E 3Contractor: pRRIN THnMPSf1N Nf1MFc Addi'255: a Division of U. S. Home Carporetion -1712 "^?+°? Ff'S£RAS^o^'^' ^m- City/2ip Code• MINNETONKA, MINN. 55343 Phone #: Syq•1333 Arch./flng.: Pddress: City/Zip Code: Phone #: Tnclude 2 sets of plans, 1 site plan w/elevatians 6 1 set of enezgy calculations• Date q - 17- 81 OEPICE USE ODII.Y Erect ? Occupatx.y Alter Zonin4 i?'OV- Repair . Fire zone N A Enlarge _ 'iype of Oonst. 72 thove # Stories Denlish FYOnt y? ft. Grade Depth ? ft. APPROVAIS FEES Assessrtents Permit Water/Sewer Surcharge- -??' Police P1an Check Fire SAC giq, Water Conn. ? Planner f Water *5eter - Council ' Road Unit /$b-? Bldg. Off. \ - AYC ? 217I'AL /I :? f>`S--D ire • • ?(?Q?l??? C. R. WINDEN b ASSOCIATES, INC. LANO SURVEYORS iel 645•3644 FOI: 1381 EUSTIS SL, ST, PAUL, MINN. 58100 U. S. Home Corporation Scale: ` / ? / Lots 1 through 4 inclusive, Block 8, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. N i" = so` WE MERE6Y CERTIFY THA1 THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVET OF TME 60UNDARIES OF TME IAND A60VE DESCRIlED ANO OF THE IOCATION Of All lUItDINGS, IF ANY, iMEREON, AND All VI516LE ENCROACHMENTS, IF ANT, fROM OR ON SAIO tAND. Dalad fhif (?9417 dar oF MaCQh A. D. 1981 C. R. W?ASSOGIATES. ING by Surreror, Min"wro Raqislrotiaw No. 77Z6 *******************#******************' CITY OF EAGAN CASHIER: JS TERMINAL NO: 775 DATE: 04/20/00 TIME: 14:45:57 ID: NAME: LOCO CONSTRUCTION LLC 3210 9001 4657 RIDGE CLIF 111 2155 9001 4657 RIDGE CLIF 2 3210 9001 4687 RIDGE CLIF 139 2155 ?001 4687 RIDGE CLIF 3.50 3210 9001 4664 RIDGE CLIF 111.25 2155 9001 4664 RIDGE CLIF 2.50 3210 9001 4681 RIDGE CLIF 111.25 2155 9001 4681 RIDGE CLIF 2.50 3210 9001 4621 PENKWE WAY 111.25 2155 9001 4621 PENKWE WAY 2.50 Total Rec eipt Amount: 597.75 CR127 061 USER ID: JAN fti?vdy 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ?ITY oF EAGAN 3830 PILOT KNOB RD - 55122 851-881-4675 7S a 3 replttered site wrveys showiny sq. IL of lot, aq. R. oT house 2 copies of Plan and gp rooled areas f40% maximum bt covemae allowed) t set ot energy calcWaNans lor heatetl atJdiflons > 2 coplea o/ plams (ahow beam d wlndow sizes; poured Ind. tlesigrr etc.) 1 aite wrvay lor extedor adtlitlona & decka ? 1 set d energy cclculaNOns > 3 coples of lree preaervatlon plan ll lot plaHed aRer 7/1/93 o0 DA?= ?-/?' oo CONSiRUCT10N COST: SF?p l DESCRIPTION OF WORK: Z- sraeeranDaess: 4/4" Z-l Pr.--. LOT: ? BLOCK: _9 SUBD./P.I.D. #: OI1Yl my C?iLP, K? d ry? 3aQ ?SS04e", f ce R Name: Phone A: r o^`-? ?' 3 y PROPERTY Lad Flnr OWNER Sfreet Adtlress: Clty State: Zip: Company:Loco Construction LLC phone c 7(-3 Lerat(q MN 55357 (dreq Code) ' CONTRACiOR -2- d/ (- G s?S Sheet Address: - •-+ License M Exp. y°/ CIIY State: Zip: ARCHI'fECT/ ENGINEER Company: Name: Telephone g: ( Sireet Address: Regishatlon #: Ciy State: ziP: Sewer/water licensed plumber (if Instalflna sawerlwaterl: Ptwne V. (I I hereby ackrawledge ihaf I hwe read lhis application, state fhaF 1he Into tbn is cortect, an agrae to comply wflh aU appAca6le State of Minnesokr Stahites and Cily of Eagan O?dMances. ? Slgnature of Applicant ? OFFICE USE ONLY Certificates of Survey Received _ Yes , No ' Tree Preservation Plan Received _ Yes ? No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dweliing O 08 06-plex ? 03 Ot of _ piex ? 09 07-plex ? 04 02-piex ? 10 OS-plex ? 05 03-plex ? 11 10-plex ? OB 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 ? 17 Garage ? 22 ? 18 Deck 0 23 ? 19 Lower Level ? 24 Plbg _Y or _ N ? 25 ? 20 Pool ? 30 Poroh (3-sea.) PorCh/Addn.(4-Sea.) Porch (screened) SWrm Damage MiSCellaneous Accessory Bldg. ? 36 Move Bidg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors ' Give PCA handout to appltcant for demolition permit GENERAL INFORMATION SAC Code No, of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main ievel sq. ft. sq. ft. sq. ft. MISCELLANEOUS 1NSPECTIONS 0 Stucco/Stone APPROVALS Planning _ Building Permit Fee Surcharge Plan Review Ucense MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Engineering Valuation: sq.ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ? 31 Ext Alt - Multi ? 33 Ext. Aft - SF ? 38 Mutti SAC Units % SAC (y L BL CITY USE ONLY d SUIBO. 7ak RECEIPT#: O/Z DATE: ? °? slyf U',(?'#0199'S'6P5 91195 1995 MECHANICAL PERMIT (RESIDENTIAL) ??CITY OF EAGAN ` (f 3830 PfLOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction _)< Add-on furnace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: o - 23 ` 9-S L v,x? PO/CM C D12 l4/6y6 FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.0a ? HVAC: 0-100 M BTU 24.Q0 Additionat 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) ? State Surcharge .50 TOTAL c2 O, S o SITE Z Sk A. ll 6 GJ, OWNER NAME: N,9,4 S INSTALLER '9251y PHONE #: ? 0 -5- U??9 AR Ca,d STREET ADDRESS: 6 yS L, .4lee l/lD Ave CITY: &e6?K?ya STATE: I?W ZIP: SSyt? PHONE #: ( GIL ) 5'3b - ? G 6'7 ZA ???OF PERMIn CITY USE ONLY L BL RECEIPT #: SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buiidings when separate permits are DQtt required for each dwelling unit. DATE: CONTF3ACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: o $25.00 minimum fee 2r 1°k of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SlTE ADDRESS: I6z' I \. 'e'j. Kvx OWNER NAME: HNAS \S KAlI*e TENANT NAME: (IMPROVennerars or+t INSTALLER: 4.tS e ADDRESS: 6 Zy8 (, AKF C D CITY: BlCooKly'j pR-kk PHONE #: -oG67 SIGNATURE: SIGNATURE OF PERMITTEE TELEPHONE #: 937- M f rr N? STATE: 14 ' ZIP: SSy-?g CITY INSPECTOR CITY USE ONLY N L ? L RECEIPT #: ? SUBD. RECEIPT DATE: PERMtT # 1999 PLUM$INH P£RM1T (RESIDEPTI!!I) crrYoFEt&U 38so Pu.ar[ NROS Su ? itAem, eur sst px (e31) 6e1-4673 Please comptete for. ? ehgte famity dweilings ? lownhomes and condos when pertnits are required for each unit ? backflow preveMer for underground sprinkler system FlXTURES EACH !Y TOTAL a.?h t;!b -- __- r? ....,, '_ w T-? _ _ --I Floor drain 3.00 x = $ Gas i in outlet ' minimum • 1 3.00 x - $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tre 3.00 x = $ Lavato 3.00 x - $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' r uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o nin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under consVuction 3.00 x - $ Under rounds rinkler rfexistin dwetlin 30.00 x - $ W 3.00 x = $ ater heater 3.00 x - $ VVeter-softefier if dwellin under mnstrucnon 5.00 x - $ Water softener ff existin dwellin 30.00 x - $ Water tumaround 30.00 x $ State Surchar e .50 -> -> -> $ .50 Total -> sv Reminder. Call for inspections of al4eretions, i.u, water haaters, water ssoftgnors, etc. ----•----...--------•--••-•--•----•- ---•--- - -------------•-••-•-• Ihe+ebyacivroxfiedgettratihavereadtl?is - - - ? - --•--°°-•-°-°----- It ie the aPWipnYS resPOnslWlity W noM?itaHon, ahate that the Ntortnation is corteG, and epree tD cor?ly with all e?lirable Ciry ot Eagan ordinanoes. y tlre property awner Miat the Gly M Eapan assumes rw IIaW71ty fa any damapes caused by Ne City during its nortnal operatlonal and maintenance activitiea to the facilities mnstructed under Mis permk within City Propertyhight-0Fwayleasement. SITEADDRESS: A;. 2A4Cu/e. Gtl/q-'?- OWNER NAME: : v TELEPHONE #: S 39-i'3 (AREA CODE) INSTALLER NAME: ?G?? /?l/L/`?? TELEPHONE #: / Z S3 / 0S-67?- STREET ADDRESS: (ARE^ cooe) ?7`p U CITY: STATE: IP: 15?1// -? GNATURE ERMITTEE (o53gU 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot I{nob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 $VI 79? New Construction Reauirements RemodeUReoair Reauirements 3 regislered site surveys showirg sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan (20% meximum lot ooverage allowed) 1 set of Energy Calculetions for heated addifions 2 capies o( plan showing beam & window sizes; poured found dasign, eta 1 site survey for add'Nons 6 decks 7setofEnergyCalculations Addifion-indicateilonaitesepticsystem I-M 3 copies of Tree Preservatlon Plan'rf lot platted after 711193 Rim Joist Defail Options selection sheet (bldgs with 3 or less units G? 2 r IY u_?.?1_. Date ? ,? /?. ConstructionCost ae I?J `3r?'O6? Site Address y(c a 1 Cl?..lrJ-?? I.C)C.lt IInif/Ste # Description ot Work Ft0_fn Y E`A C Q. 4 LA &?&,L1)S c2.em h --x--- Multi-Family Bldg _ Y_ N Fireplace(s) r _ 0_ 1 _ 2 Property Owner Telephone #(qs'L,) L{-+ ?D ' 60 7 S ? RMA HOME SERVICES, INC. Contractor Home Deopt Installed Sales Address 3200 Cobb Galleria Pkwy.Ste. #200 City State Atlanta, GA 30339 Telephone #( ) 763-542-8826 BG20268257 ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate? 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) 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 Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( ) Telephone # ( I hereby apply far a Residential Building Permit and aclrnowledge that the information is complete and accurate; that the wark 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 work is not to start without a pernrit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name vApplicanYs Signature C1rFICE 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.) ? 31 Ext. Alt- Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (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 72-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 Building" ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement 'Demolition (Entire Bidg) - 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 Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Piamhing Foundation HVAC Drain Tile Other RooF Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests 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 City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector Installed Siding and Windows LIMITED POWER OF ATTORNEY _ - CuuN i Y Or c:OBs STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sates loca?ed at 560 Mendelssehn Aver_ne North, Golc:en Va?ley, rrRd 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("AgenY') as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "ZVork"). The powers conveyed to the Agent by this Limited Power of.4ttcrney are limited solely to the express powers delineated herein and apply solely to the Work. This Limi*,ed Power of Attc;mey shall expire and automaticaliy be revoked on the 21 st day of Ntay, 2004, which date is one year from the executioti hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN W£TNFSS WI-IEREOF this Limited Poiver ef Atto!ney is e;cecutcd this 21 st day of May, 2003 , y David N. Katz 'Kj SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 200? Notary P ic in for the State of eorgia My Commission Expires: January 21, 2006 3968I6.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT :?2 tTZ I zoos RESIDENTIAL PLUMBING PeRmiT aPPUCariorv CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. -4iS.so Date ? I PS I oto r' Site Street Address b o`2I Pe?'1?ckc Ct, Unit # Property Owner q W1 1S JF-.?' I e- Telephone #(o Contrector I wt?wo (fe?- S Telephone #(oSl 134O Address ?)Vj Q d d " City Ct?r'--, State Mf? Zip 591a-3 The Applicant is: _ Owner )4Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. /f you are installing on/ a water sofrener and/or water heafer, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) ' 3 Other: Water Softener ?ater Heater $ 15.00 _ new ?eplacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 1556 I hereby 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, work is not to start without a.pen^iit and work wi!! be in accordance with the approved plan in the event a plan is required to b viewed and approvcd. l?rr?oj??, ApplicanYs Printed Name ApplicanYs Signature ? ? Vr7- lq8?`I 2007 RESIDENTIAL BUILDING rEwuarrucaMv City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfion Reauirements 3 registered site surveys showing sq. (t of lot sq. ft. ot house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on dislur6ed soil 2 copies of plan showing beam & window sizes; poured found design, etc. t set of Energy Calculations 3 copies of Tree Preservation Plan d lot platted after 7l1193 RimJolstDefailOptionsselectionsheet (6uildirigswilh$orlessun'ds) . ' Minnegasco mechanical venUlation form . RemodellReoair Reouirements 2 copies of plan sfiowing footlmrs, beams, jasb 1 set of Energy Calalalions fa heated addifions 7 sile suney for additions & decks Addifion - indicate ilorfsile sepfic sysfem Office:Use OnN CertofSurveyRecd , Y. N SoilsRepoA ; Y =N Tree Pres Plen Recd: Y _ N, Tree Pres Requued , _ Y_ N On•skeSepticSystem _Y-_N PIanG are considered nublic information unless vou state thev are trade secret and the reason. Date _0/ <d Coostruction Cost Site Address 24. ak(.c.,1F ?l /cLm UniUSte # Description of Work lrm i, 6 'p-)dee"oY LtiAtl?lS. Multi-Family Bldg x Y_ Fireplace(s) _ 0 _ 1 _ 2 -=-?---? Property Owner Telephone #((y+??) ? SZ _ Z((??? 6 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 Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted . Submitted . • Energy Envelope Calculations Su6mitted In the lasT 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby apply for a Telephone # ( Telephone #( Telephone #( Permit and acknowledge that complete and accurat 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 perxnit, 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 ofplans. ( ? hc: ' ,?Ci'L? 'iccc he-? Jc b Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? '16 Flreplace ? 21 Porch (3-sea.) ? 31 EM. 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 ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 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 Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bid g) - Give PCA handout to applicant - DOSCrIptlO(1: Water Damage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Code Edition 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) _ Sheetrock _ Footings(deck) _ FinaUC.O. _ Footings (addirion) _ FinallNo C.O. Foundarion HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/G as Tests Final _ Framing _ Siding _ 5tucco Lath _ Stone Lath _Brick R.I. _ Air Test Fireplace _ Final _ Windows _ _ _ Insula6on _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Totai Building Inspector dlbk? JML- City of Ea?aIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ i /,,/- ? i Pertnit#: ?f l(16 ,3 I i ? Pertnit Fee: I I j Date Recelved: ? i ? I Staff: ? I I V r - _______J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION oere: sne aadresg: lae..-7 dT??•c, renant: 9fSv 'znz %vd??s ?-lG y! '/i y e- z3 'j `y6 2_3 `/'L ?---? 3uite #: RESIOENT / OWNER I Name: jG hYrny L YnCphone: Address / Ciry / Zlp: TYPE OF WORK CONTRACTOR Applicant is: _ pwner _ Contractor Description of work: t?'?,- U?r- 4 Consiruction Cost: ? 7.? ?? W? /QcCJF Multi-Family 8uilding: (Yes & { No Name:GU,7-f! ,?C-TUrS l?2G Ucense ao-i J?ei ?/ 7 3 . Address: ,?l ?-7 G 47 Zt9`IL- T : L, ') .-a e . Cih':?r? State: /2n'- Zip; 55311 Phbne:_L=I?- Contact Person:???-j J?c??='t COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 En@rgy Code . Resitlential Ventilation Cat -' Category Submitted Category 1 Worksheet • New Energy Code Worksheet Su6mitted (d submission type) • Energy Envelope Calculations Submined In the last 12 manths, has the City of Eagan issued a pertnit for a similar plan based on a master pian? Yes _No If yes, date and address of master plan: Licensed Plumberr Mechanical Contractor: Sewer & Water I here6y acknowletlge that this infortnation is complete and accurate; that fhe work will 6e in conformance with the ordinances and codes of the City of Eagaq that I understand ihis is not a permit, hut only an application (or a permR,and work is not to start withou[ a permih, that the work will he in accorclance with the approved plan in the case of work which requires a review and approval of ApphcanYs pNnted Name X - -AAplcanYs Siarcatu . Page 1 of 3 for-Oice_Us Permit Permit Fee: 3S-7, OCO 3830 Pilot Knob Road IOU I Eagan MN 55122 . Date Recei 46 v*h ' = -1- Phone: (651) 675-5675 start: Fax: (651) 675-5694 - 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: l Tenant Suite RESIDENT / OWNER Name: * /747 ,C 'hone: Address / City 1 Zip: Applicant is: Owner X Contractor TYPE OF WORK Description of work: 49 ' l5 Construction Cost: 50 0 Multi-Family Building: (Yes / No CONTRACTOR Name: ?t~b~L °7/~GC7r1~?'y¢c Tars Gam- License It. 2<71 5'Q 73 Address: p C~°T^ 3,Z G: mayT 'l1_ A- City: State: 1141-04-- Zip: 53T "l Phone: Contact Person: J 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • ° New Energy Code Worksheet Category Submitted Submitted (I submission type) • Energy Envelope Calculations Submitted 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: NOTE Plaits and supporting documents that you: submi't' `siilered to be public informat,on. Portions of the information may be;c/ ssifier as non-public if yo p> pacific reasons that would permit the City to cotrclude tha#: re secrets. I hereby acknowledge that this information is complete and accurate; that vtwk be in'corifo p anee with the ordinances and codes of the City of Eagan; that l understand this is not a permit, but only an application foC work is notAo start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a r w I of pla x x Applicants Printed Name s Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES - Foundation _ Fireplace _ Porch (3-Season) Storm Damage _ Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi = Deck Porch (Screen/GazebolPergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level Pool Miscellaneous Accessory Building .J !1 C eS •7?d A S WORK TYPES New _ Interior Improvement Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows Demolish Foundation _ Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation / 1 006 • - Occupancy MCES System Plan Review Code Edition y/4_41 oy"'j SAC Units (25%_ 100%_) Zoning 9." City Water Census Code ~j Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Cf Sheetrock Footings (Deck)-( Final / C.O. Required Footings (Addition Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: Ice & Water _Final Pool: _Footings Air/Gas Tests Final Framing Siding: Stucco Lath -Stone Lath Brick Fireplace: 'Rough In Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By:7_29 , Building Inspector RESIDENTIAL FEES Base Fee 12 DO& 1kn -.cvieL..7 Surcharge .d 0 t(f ona - jJt J3 n~ L)!4l(s PI" Qevief? Plan Review • 1 r MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 For OfficeU_se L City of E (f (t n Permit b I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 staff: 2009 RESIDENTIAL BUILDING PERMIT APPLIC ION Date: Site Address: Tenant: Suite RESIDENT/ OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY I CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 ate o 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation C tegory 1 Worksheet • New Energy Code Worksheet Submitted Category Submitted submission type) • Energy Envelope Calc6lations Submitted 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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. X x Applicant's Printed Name Applicant's Signature Page 1 of 3 "A47k • (~Q C. R. WINDEN & ASSOCIATES, INC. t1 LAND SURVEYORS T.L $45-3646 For: 1381 EUSTIS ST., ST. PAUL, MINN. 55109 U. S. Home Corporation N EAGAN REVIEWED BY: ('/q l fl g wd~~s DATE: BUILDING INSPECTIONS DIVISION Scale: 1" = 50' A ti l 't• J F 2 ~y~ 6i p 16 acs ri -7 O- 'i 0 4 z~3 ryli cs 3ti X01 ! - d Lots 1 through 4 inclusive, Block 8, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY. THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doted this L"C4h doy of Ma rc h A. o. 19,S/ C. R W ASSOCIATES. INC. by Surveyor, Mini seta Rogistrotioa Ne. '7?Z6 pT ..SERY# P 3704# 1eivilillsob Sewed PatIVOT NO #4148312 DATE:,. 6/19/ 1 'yII l unit tnhse t�,vr>et• Orrin Thompson Fames sit A ddresc s 4621 Penkwe Way 1r1 B8 J C Ridge III number: P p rat Meter No.: C.annection Charge: 335 � ? L pd Size. Account Deposit: Reeder No.: Permit Fee; 10.00 pe agree tra $eapry with lice Citgaf Lpew Surcharge: • 50 pd Otaa e. Misc. ' Charges: 60.00 pd meter Total: hiyAtOPi _ ' / Date. Raid. • _ of a •! ; e L� r insp art *iv WAN SERra-kERMIT !»s iclet tote Reel PERMIT NO.: : . Esgeoe. Ica i$122 DATE: I Zoning; ' T ; T No.'of Units:. $ Owner (r ( . lrsrjr� ':nrs Site Address: ? I' *,':, e ? py T;1. i'. .T r1, , Plumber. " f-. , , w /' '! i '42°2 10 . pc' 1 wee teems* ms*1j with the City of Fogs Connection Charge: I ^ ,t, 1' Account Deposit: Permit Fee: Sundwrge: . -, Mtsc. Charges: r Total: tr 2 / Orate Paid: - �I C��I, �(�7� `)�� W C��. ��-� 'la Use�Bl.UE or BLACK Ink �-----=----------� 1 For Off'ice tJse � / � l �-�`j I Co + � �!� � Permit#: ! �1�� 0��Il � ' � ��.S� � � Permit Fee:' � 3830 Pilot Knob Road v Eagan MN 55122 1 Date Received: j Phone:{651)675-5675 � � Fax:(651)675-5694 1 Staff: i 1 � . . ... . �.. . . . V.�.� � ��..�J . 2414 RE5IQENTIAL BUILDING PERM13 A�PLiCAT10N Date: �'..!�'"j e.f Site Address: �O�'1 ` (��i �'3 l��-- ��ii��`'�'�(- 4''� ;Unit#• Name: C/��""�l;?� Gr!�I�� !e�t:�,�/)�'1��r t..._ �Phone: Residentf Owner adaress�ciry tzi�: ,�'��- �� Applicant is: Owner � Gontractor Description of wrork: �'G� r�� " ��'�i � TYpe o�W+�tk � Construction Co&t� ��'f�� Mu�i-Famity Building:(Yes .� /No„+,� � / .�"��' ` Company:/VC�YZrJ�5� t'e'7�'!`t fs�-G��[7i'S Contact r�r� �G,�t�'�y ad�«ss:��il l Z�v��.��- L„�-,�� c►ty:�1�'�- �tz r��-- contractor : G �� ` State:��Zip: ��.1�3,�tj Phone:�'�J�l"p''Email:��rw� �3v"t.�l S`T�'�r9yJ�i/��-7e�v � 'z y1 e� C��_.�-� �� ucense#.�� I.�� 7� �d cer�ca�a#:N�.-�°��=��r 1 c�3 —I' if the project is-exempt#rom lead certification,please explain why: (see Pag�3 for additionai information) COMPLETE THlS AREA ONLY IF CONSTRUCTfiNG A NEW BUiC.DtNG la the last 12 moM , tl�Gity ot Eagan i�sued a permit far a simFlar pEan based on a master pian? Yes No if yes,date and addr f master plan: Licensed Plumber: Phone: Mechanical Gontractor: . Sev�r 8�:Water-Corrt r. Phone: =/�i�T�•« and suppdr�i,�g cts�cttmet�t��ttat�c�t�sub»t�t a�e corr5iderea��a he ptrbli�c ii�'c►r�a�4� l��s;�f.`.. r�rirna��rrt r»a�Lte+��s�i�it.as nQn�tublic i�yro�t pr�rri�e sp�ct�'s�r�so#�s�fiaf�rptr��e��i to cc�nc/i�d�th�rf tlr� ar e#ra�de sc�r�ets:: Cl4LL B�fORE YOU DIG. Gali Gopher State Or�e Cati at(654)454-0002 for protection against undetgrcnuid ut�ity damage. Cai!48 hours before you 1n2enci fo dig ta receive locates af underground utilides. wnvw.aosherstateo�il:ort� l hereby acknowiedge that this informatian is c�mp(ete and aa:urate;that the woric will be in cronformance With the ordinances and codes of#he C+ty of Eagan;that i understand th+s+s not a pema't#, buf a�nly an app4icatwrf for a petmit,and worfc is not to start w+thout a perinit; thaf the wt;rk witi �in accordance with the approv�ed'ptan in the c�se of wortc which fequires a t�view arfd aPProval of ptans. ExLerior work au�orized by a building pernrft�sued in accordance w�th the Miqnesota Stafis Fiding Gade m�t be compte�bed witt�in 180 days of per�mit i�uance. : , "�,r d I x tf' 1'� �G��t�� x ��_' Apqtican�'s Prirrted i+iame ' ctt's 5ignature , Page 1 of 3 Cit of aoau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 2119/11, RECEIVED FEB 19 2016 For Office Use Permit #: ct3 Permit Fee: Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Site Address: 'lb 2.4 fie» Ku.) Wli Tenant: gAc.ke..► Name: RA ch c. ► Sc. h 4;re.R Suite #: Phone: 6 •I- 788- ig8z, Address/City/Zip: 462-i ?€ Ki ts# (..A A m►,! SS i 2- 2 - J Description of work: 80`74 A-Fu.c / RESIDENTIAL V Furnace Air Conditioner _ Air Exchanger _ Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ Lo. °-=" TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 = $ Permit Fee _ $ Surcharge = $ TOTAL FEE 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. x -T J/4SS Applicant's Printed Name Applicant's Signature