3957 Peridot PathCITY OF EAGAN a?
3793 Pilot Knob Rwd Eegan, MN i5122
PHONE: 45"100 •r __
BUILDING PERMIT Receipr
To be uud far _ Est. Vulue Dnte 19 ? 3
3711 rcriaoL razn
Site 1lddress
Lot 6 BI k 7 C- /5 Cedar Greve th
Pa,ul # 108 Is'- oi d1
W Nome _
Z Address
? r
CI `'
? Name _
,o
?? Address
? City _
?°W` Name _
FW
_'ift Address
i hereby ocknowledge that I have read this application ond stote that
the informotion is correct and ogree to comply with a!I opplicoble
State of Minnewta Stotutes and City oE Eagan Ordinonces.
E?ect ? occupancy R-3
Alter ? Zoning
Repoir ? Fire Zone
Enlorga 0 Type of Const.
Move ? # Storief
Demolis h p LBngth-IT-
Grode fl Depth Sq. Ft.
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off.
APC
Sipnoture of Permittee . 18t
Permit .50
Surtho?ge
Plon check
SAC
Water Conn.
Water Meter
Rood Unit
Total /1 Building Permit is issued to: ' 1 on the express condition thnv
oll work shull be done in accordance with nil o,Wi g6ble State qf M?ns+esoj4.Statutes ond Gy of Enpon Ordinonces.
Buildinq Officiol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
wan
Weter
DisP.
Sawer .
Electrie
pection Date Insp. Other
tings
ndation
inp
[ ??? 10.?
ph Plbg.
Rough
HVAC
Inwlation
Final Plby.
Final HVAC
Final
Water Deacribe Location: .
V11sll
Sawar
Pr, Disp.
CITY OF EAGAN
3830 Pilot KnQb Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # ?-
To be used tor MY WINDW Est. value ;3,000 Date SUG
?
A2 1fij`4g
1%
Site Address 3957 lnIDOT lA11K
Lot 6 Block 7 Sec/Sub.??? MVE 6TH OFFICE USE ONLY
P3fCef N6. Occupancy - FEFS
? Name sTB? & VAI.ARIB SI,O?lQt1I8T Zoning
(Actual) Const
_ Bldg. Permit S??.00
W _
Address 3937 ?RY?T pATH (Allowable) - 1•?
o City EPIW Phone 432-1679 # of stodes Surcharge
_
Plan Review
Length
o Name ?? sT? ?K? & SIDIIi?'i Depth SAC
Cit
Z
? a
Address ZQ9? ?S? A?
S.F. Totai -
,
y
-
m
City $T FAM Phone 642-1043
S.F. Footprints
_ SAC, MCWCC
Water Conn
r On Site Sewage _
W W Name On Site Weil W
M
-
ater
eter
?? Address MWCCSystem -
a W
City PhOne
City Water q?t.Deposit
_
S
PRV Required /W Permit
_
I hereby acknowlege that I have read this application and state that the Booster Pump - SM/ Surcharge
information is correct and agree to compiy with all applicable State of
Minnesota 5tatutes and City o1 Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: NOWN $TAR WINKM Pianner - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statuies and City ai Eagan Ordinances. gld9, ary, _ Copies
Building Official
Variance
? TOTAI
ss• 50
Permit No. Permit Holder Qate Telephone #
WATEF
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings 1 za/
17/ ? ?
?
Foundation
Framing
Roorng
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Final PiDg.
Const. Meter Plbg. Inspectar - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN PERMIT TYPE. 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: 16 /yR
(612) 681-4675
SITE ADDRESS: ' T .' ? :' ` " ? ?? ' `, ? ?' l t?i ? r,? ft1 i?i ?
' ; i Rii)Ut f'ATN
E I'{ifil+ IIR(l;lF #fj
PERMIT SUBTYPE:
. ,? , . ...
? APPLICANT:
440 `;1::i YJ
TYPE OF WORK:
flF "L:RIF' 1 ( I!r.
R UP axK
R o 14 o+.1 r
PermitHolder Date Telephone#
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
L
ROUGH
PLUMBING
PIBG
AIR TEST i
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
M ETER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
Grove
3 ? i t , ' 4
Path
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 'l 197o 1472.0 ? 20 Paid
WATERMAIN
WATER LATERAL 1970 20
WATER AREA
?. STORM SEW TRK 1970 20
I
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200OO 1294 -10-6
BUILDING PER.
so,c 200,00 129 -10 9
PARK
1
?.• ? CITY OF EAGAN N2 16949
3830 Pllot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100
BUIIDING PERMIT Receipt N (b <36 5-3
To be used for BAY WINDOW Esc Value $3.000 oata AUG 17 iq89
Site Address 3957 PERIDOT PATH
Lat 6 Block 7 Sec/Sub. CE?AR GROVE 6TH
Parcel No.
w Name__STEVE & VALARIE SLOMQUIST
o Address 3957 PERIDOT PATH
City EAGAN Phone 452-1679
o Name NORTH STAR WINDOW & SIDING
gQ Address 2034k MARSHALL AVE
? Ciry ST PALR Phone 642-1043
W W Name
???-, Address
iw City Phone
I hereby acknowlege Ihat I have read this application and state that the
informahon is correcl and agree lo comply with all applicable State of
Minnesola StaNtes anC City ot Eagan Ordmances.
SignaWre ot Permitee
A ewlding Permit is issued to: NORTH STAR WINDOW
on Ihe express condihon that all work shall 6e done in accordance wnh all
apphcable Slate of Mmnesota StaWtes antl City of Eagan Ordmances.
Building Official
OFFICE USE ONLY
Occupancy - FEES
Zoning -
(ACWaI) Const - Bldg Permit 54.00
(Allowable) - Surcharge
?
1.5
# ol srones -
Lengih _ Plan Review
Daplh _ SAQ City
S.F Tolal - SAC, MCWCC
$ F. Footprints -
On Site Sewage _ Water Conn
OnSitaWell - WaterMeter
MWCC System -
City Water _ ACCt. Depo5il
PRV Reqmred _ SRN Permtl
Boosler Pump - S/W Sumharge
Treatment PI
AVPROVALS Road Unil
Pianner - - park Detl.
CAUncil
Bldg Otf _ Copies
Variance - TOTAL 55.50
CITY OF EAGAN N. ? 8390
w3795 PiIM Knob Road Eagan, MN S5112 E PHONl: 454-8100
BUILDING PERMIT Receipt #
Te ba umd 1er STORAGE SHED Est. Value $600.00 Date A ueust 16
T _, 1983
Stte Address 3957 Peridot Path Erect
$?
OccuponCy R-3
Lot 6 81«k 7 Sec/Sub. Cedar Grove 6th Alrer ? Zoning R-1
Parcel # 10 16705 060 07 Repair ? Fire Zone NA
V
Enlorge ? Type of Canst.
rc Name Stephan & Valerie Blomquist
Move ?
# $tories
z Address 3957 Peridot Path pemolish p Length lZ
C; Eagan 55122 phorx 454-5973 Grade ? Depth L6 Sq. Ft.-
p Name Owner Approvab Feea
u? ?
Addreu
1- ri.,,
Name
Address
I here6y ackrwwledge thot I hove read this applicanon and state that
the intormotian is correct and agree to comply with all oppiitobla
State of Minnewta Statutes ond Ciry o4 Eoqan Ordinonces.
Signoture of Pertnittee
Stephan
A Bullding Permif is.issued fo:
all work sholl 6e done in accordonte with oll
Assessment Pertnit 11.$0
Warer 8 Sew. Surcharge .50
Police Plon check
Fire $AC
Enp. Woter Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC Total $12.00
.st
on t he exryress condltion thnt
sota Sratutes and Ciry of Eogan Ordinances.
Buildirg Official
?. ?,(?- CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set o£ er.ergv cal.culations.
To Be Used For ?_ Valuation 4' Date u u
site paare5s: 395-7 l'E?e,4T R9M? oFFzcE usE oY
Lot ep Block _'7 sec. /sub °6• (p 74 Erect ? Occupancy 3 _
Parcel #: ? D aco a o ? ??r Zoning ?7
R F Z ,(I
Runer: ?e4ohan J'vAPX'`C..r oPY1 ? 1`?-?'
Address: 395'?
City/Zip Code•
Phone # : 45 ?V
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Ehg•: ftflo.rci5 l,;.iMh?C Lv.
Address: tuc. /3 (ft17E+¢iwAS?
City/Zip Code: Bur[N,yviLL6
Phone #:
epair ire one
Enlarge 'I'ype of Const.
Nbve # Stories
Demolish Front i? ft.
Grade Depth ft.
r.PPROVais F'?s
Assessments Permit
Water/Sewer Surcharge
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
P.PC
TOPAL /??
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex ---- &Pr 'q`
'_'---'----------'-`-"------' "'-----?-----............................... Address lPresentl .`Z.3-.V3---- -e!-? .?`-`-:-`-P--?-'?----?`----'
Builder
Addreu
N° 19'75
Eagan Township
Town Flall
Dale ...?...?? 4? 9
.......
Siories To Be Used For Fron1 Dep1h Heigh! Es1. CosS lPermit Fee Remarks
-?-?.. ?..-`?°
a?o•.
.? ,? ?-r
?^-*-
TIDN
sireei, noaa or oiner uescripxion ot bocatian I Lot Slock Addii3on or Trao!
I i?wr? y
This pexmi2 does aot au}horise the use of sireels, xoads, alleys or sidewalks nor does it give the owner o= his agen!
the righ! So create any silvation which is a nuisance ur which presenis a hasard !o the health, safely, eonvenienca and
genesal welfare !o anyone in the wmmunily,
THIS PERMIT MUST BE KEgT ON?TH? PREMISE WHILE THE WORK IS IN PROGRESS.
This ia !o eerlify. lhai.....-.:..•?lt__------_----_---__-_ .............__-..haspermissioa !o erec! a....-._. upon
'--- ....... ... ...
the above described premise subjecl !o ihe provisioas of the Suilding Ordinanee tor Eagan T wnship adop ed April 11,
1955.
.................. _. .... ..... _ 1.?. ........_......._..---- Per ,?s? ? f!?`?5.c. - - ? J
- `-- ....---._.......... .... . . .......... . .°.....- r-.... ?'?"`'?'?.-......
Chai an af Tnwn Board Hui .........
lding Inspecior
A- n?
?f ??? REQUEST FOR ELECTRICAL INSPECTION '?Q, eeooom-
? See mstmciu\ 5 lor rompleting Ihis torm on back oi yellow cupy
?=
H00304 ? "X" Below Work Covered by This Request ?'?,?••?
ew Atld Rep " TypeoBwlding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplez Water Heater Eleclnc Heatmg
ApL 8uilding Dryer '"A Olher (Specify)
Comm./Intlusirial ' Furnace
Farm Air Conditloner
Omer (specity) oNreclor's Remarks
Compute Inspection Fee Below:
# Other Fee # SernceEntranceSae Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps 0 _ Amps
l
Signs e
g
inspector5 Use Onty TOTAL
Irrigahon Booms , s Q
Speaal Inspection
Aiarm/Communic tion THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee D COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspe tor, hereby
certify that the above inspection has
been made. R°'gn"m
F,nai ? oaie
oa?
OFFICE USE ONLY
This reQuest v0itl 18 months tmm
ar ??
00304
Requesl Dete
? Z? Fire No Fough-in I pectmn
Requiretl'
ileatly Now ? Will NoLfy Inspector
When Reatl
'
? ?
Yes No Y
Ilicensed contractor ? owner here6y request inspection of above electrical work at:
Job Adtlress?eet, Bwc or R No ) A Ciry ?
Seciro? No Township Name o? No Rarge No Couny
07W`
Occupam (PRINT) ° Phone No
Power Supplier qtltlress n ?
Elec ca,l C Vac[or (ComOany ame)
?
? Contrector§ Lcense No
?
1
'Z v /t/ C? . ?
J
Mialin Ad (Contr to, o, Owner Makin stalon ?5
z
I 2
d -
Aul ized aNre (COnvactov er Mak g Ins tion)
Iii one umbeSr ?J
? 4 _ ??0
MINNESOTA STATE BOpqD gWKECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlgga-MlEway BIAg - Room S-173 8E ACCEPTED BYTHE STATE BOARD
1821 UnlversNy Ave., 51 Paul, MN 55104 UNLE55 PPOPEF INSPECTION FEE IS
P1qne(87])802-0800 ENCLOSEO
s ?
?• `? y? S?? ? ? '_
ia'?.;2
y` S??p ? ?
i
------ >
k
-- -- - - - - - -?
i
o
2
4 r ?
f
?•
E
?
?
FERMIT
CITY OF EAGAN
383?,Pilot Knob Road
yEagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: ??????N G
Permit Number:
Date Issued. 0 9/ 16 J 9 8
SITE ADDRESS:
3957 PERSDOT PAl'Fd
I.OTa 6 BLOCKe 7
CEDAR GROVE #k6
P.I.N.: 10-16705-060-07
DESCRIPTION:
= REROOF
&iii.2diri°h`,?4$Permit T,ype
?ui-ld3ng` 40 I grk Type
. .??
£a?It•? wlei.?$'eiap' i?V iwAi5tv
vw?3i^v_a r?Yai"ut$
-.? ?v? . _ ?:.°ir''?Ngn'3?`yvot?.?o?'-•
-'vR
?r.
STORM DAMflGE
REPAIR
434 ALT, RESIDENTIAL
i?,,..n "au,w
+y. .;? vc ?e 6_v : a,I enaw=, a?
4uirrsa ?t ai; M
M §,?"s iis
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - sr. LIC. OWNER:
BARC IND DOOR WTNpOW STORE 14409730 8650 BLOMQUTST STEPHEN
17001 FZSM PT - RD S.E. 3767 PERIOOT PATH
PRIOR LAKE MN 55972 EAGAN MN 55122
(612) 440--9730 (651)454-5973
?`•T her?E?y ackr?itwlerige that'T h4v4r?acJ, thls ap;Pli'ca-tian and st?te th?1n ft5:f^r[t.?iGi4n corrre9t and a9?eft' to..c-ompl?r %i3'?h ??;1:; appl.?oab1o `5°Cato' M
and.?C?tp ,etf Ea,?;a?r Ltri?an°anoes??
. APPLICANT/PERMITEE SIGNATURE - ISSUEO BY SIGNATURE
. ?
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAM
3830 PII.OT KNOB RD - 55122
681-4675 l
New Construehon Reauiremen? RemadeUReoair Reauirements
? 3 registered sde surveys
? 2 copies af plans (inGude beam 8 window saes; pourad fitl. Eesign; ete.)
? t energy plculaHons
? 3 copies of tree preservation plan if bt platted after 717/93
required: _ Yes _ No
DATE: ?X' y//! 1 Yb'
• 2 copies of plan
? 2 site surveys (exterior adddions 8 decks)
? 7 energy wlalations for heated add'Rions
CONSTRUCTION COST; 4,?I, OOP• p"
DESCRIPTI OFWORK: ? ?E,QOpF HO(LS'?
?
ST ADDRESS: ? 3 95'? PEP-/-Zo7' ,Pi4TN
LOT: (If?' BLOCK: SUBD./P.I.D. #: Y U
PROPERTY
ARCHITECT/
ENGINEER
Namel 6L,4"go!/./S7' STE40114F7I1
I Last First
Phone #: e 11-54L - 59'I3
FSneet Address: V 3 `/'S°7 PE41poT MT'M
ciri EAGAN stace: /77N, z;p: 5532 2
company:x 114C T1117l1.4Ti? Thone 6 /,0 - IY 'A / - 734V
Street Address: X/760/ F/S'ff )oT. /?Z. SE: ,S??- License
City ;C AQ/p,.e GR-eE state: ( /f1/il zip: x 5537Z
Phone #:
Name: Registration it:
Street
City
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once pertnit is issued.
Zip:
Penally applies when address chang
I hereby acknowledge that I have read this application and state that the infortnatian is correct and agree W comply with all applipbl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: zdke Z6-,
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No
State:
RECEIVED
_ Not Required BY'
OFFICE USE ONLY
BUlLDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 ARerations
? 32 Addition 034 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging 0
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
.-.. „
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCIWS System
City Water
Fire Sprinklered.
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
,
_ci#y of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECH
DATE: AUGUST 25, 1993
SUBJECT: STREETLIGHT ENERGY COSTS
CEDAR GROVE N0. 6(141 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate eHective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition
as listed below:
Block 1, Lots 1 1
Block 2, Lots 1-8 8
Block 3, Lots 1-18 18
Block 4, Lots 1-11 11
Block 5, Lots 1-9 9
Block 6, LD2s 1-53 53
(Lots 54 tnrough 61, Block 6, should not
be biEfed at this time)
Block 7, Lots 1-12 12
Block 8, Lots 1-18 18
Block 9, Lots 1-11 11
TOTAL 141
The City is currently being billed by Dakota Eleciric for streetlighting in the above listed
subdivis'ron.
Ed Kirscht 5r. Engineering Tecfi
cc: Mike Foertsch, Asst. City ERg.
EK/je
4 - .,
EAGt1I3 TOWNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERZQT FOR WATER SERVICE CONNECTION
Date:?? Nvmber• 253
Billing Name: Site Address: C?-7-(0 ,? 957? ??
Owner• Billing Address
Plum'ver: Location
MeCer No. lPermit Fee 7.50 od.
Meter Reading IMeter Dep.
Meter Sealed: Yes_ IAdd'1 Chg.
NO lTotal Chg.
Inspected by
Date
Building is a: I Remarks:
Residence-)--
Multiple A•o, Units
Commercia 1
Industrial I $y;
Other Chief Inspector
In conaideration of the issue and delivery to me of the above permit, I
hereby agree to do ttv proposed work ia accordance with the rules and
regalations of Eagan Towuship, Dakota Count , Minnesota.
l
By•
Please notify the above office when ready for inepection and connectiou.
or .`-%
EAGESN T06dNSHIP
3795 Pilot Rnob Road
St. Paul, Minnecota 55111
Telephone 454-5242
PERMIT PQR SEWER SERVICE CONNSCTYON
DATE• ?-- ?/ NUMBER `-J75
OWNEP.: eddress6-7-6
PLUMBER TYPE OE PIPE
DESCRIPTION OF BUILDING
Industria2l Cotmtterciall Residentiai I Multiple Dwelling I No. of units
Location of ConnecCions:
Connectioa Charge 200.00 pd.
Permit Fee 7•50 Pd•
Street Repairs
Total
Inspected by:_
Date
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance wi[h the xules and
regulations of Eagan Toi-mship, Dakota County, Minnesota
By ??'- •
Please notify when ready for inspectioa and connection and before any portiop
of the work is covered.
1
o•,
54•UU1-
1 -50+
55 •>Um
,
. :?
1989 S[IILDIAG PERMIT ?PPLICd2I0N
CITY OF EIGAN
SINGLE FAMILY DiiELLINGS
2 3ETS OF PLANS
3 SEf3ISTERED STTE 3DA9EY3
5 3ET DF ENEAGI CILCS.
ltoef'19
METLTIPLE DIiELLINGS
2 3flTS OF PL.kN3
BEGISTfiRED SITE 30RVEIS -
(CHECB iTITH BLD(i DIV.)
4 SEf OF E6ERGI CALCS.
ODM@dERCIAL
2 SfiTS OF lACHTfECTUEtAI.
6 ST6DCT(TRIL PLANS
1 SET OF SPECIFIC9TIONS
1 3ET OF L6E[i6I CALCS.
MJLTIPLfi DHELLIliG3 BENT6L IItiITS FOA S6LE aNTTS 1 OF DHITS
YOTEt 1DDRESSE4 FOS CORIIER LO't3 - COATRACi'OA/HOlEOWNEA MST DE4IGAlTE iiHICH iDDRESS
IS DESIRED. 80 CHINdES WILL BE iLLOiTED ONCE BOILDItiG PERMIT 13 IS3DED..
SENER & N`TER PERMIT FEES AAD ACCOQNT DEP06IT 1r6ES NII.L BE INCLIIDED fiITH THE HIIILDIN(i
PERMIT FEE. PAOCESSYNG TII+M FOR SEWER AAD Al'FEA PEIUSIIS I5 TWO DAYS ONCE l PERMIT H63
HEEH COMPLEYED INBICATIAG l LICEri3ED PLSMBER.
PENALTY APPLIFS WHEN: PERMIT IS NOT PAID FOA IN S9ME MONTA IT IS REQUESTED.
LOT CEiANGE IS REQUE3TED ONCE PERMIT IS ISSOED.
y?UQ 15 1989
To Be'Used For: &`( WiNDOW valuation: -q-,Jcrt?e' Date:
31te Address 39S-7 kticic?ok 4'(5-3X 3Y,'It:'o _ OFFICE 0.SS ON[.I
Lot ( Bloek Y
Farcel/Sub .ll,WInh, 11?n;x? Lm
Ormer t, -F V0,Cvi?- 9? 6tMG.U?St
eaareg9 3`i57 Pfr,'dof P&Mi
City/Zip Code ?{?d1t? ? 1?1tv
Phone 4J2°
Occupancy
Zoning
Aetual Const
Allowable
I of stories
Length
Depth
S.F. Total
Footprint S.F.
On aite sewage
On aite well _
Contractor NbY+tA SJW-2 W,'rvrpbul4S' ' HYiCC 3ystem _
City rater
Addresa 20M1 Mo<?v,,tl A.uE- PRV required _
Booster ?ump _
City/Zip Code Sf. Pac,LL 55Lfo6
iPPAOVALS
Phone c?? ( a- r oy3 Planner
Arch./Engr.
Addrese
City/Zip Code
Council
Bldg. Off.
Variance
.?18146
F'EF.4
Bldg. Permit ,o c
Surcharge
Plan Reviesr
SAC, City
snc, Mwcc
Aater Conn
iiater Meter
Aeet. Deposit
SJIi Permit
S/H Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
sUBraraL
Yenaltq
SOTAL 4.4. 6I,
Phone 0
- or _BL_A_C_K_In_k
_ _ _ _Use_ BLUE-
-
-
~ For Office Use I
I ~i} I
lin
City of Eap o Permit I 1
Ui3 I
3830 Pilot Knob Road I Permit Fee: WSJ
Eagan MN 55122 j7fr 5j~ ~t
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-5694 I I
I Staff: 1
L------
2Q14 MECHANICAL PERMIT APPLICATION -
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address:
Tenant: Suite
f Name: -31 4 Phone:
Resident/Owner
v ~ Address /City /Zip: W7
Name: ✓ License I
Contractor Address: City: -s 41
State: Zip: Phone:
Contact: /i- Email:
New A Replacement Additional Alteration Demolition
Type of Work Description of work: 211174'a-
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Permit Type -Air Conditioner _ Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank L_ Install Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) p
$100.00 Residential New (includes $5.00 State Surcharge) _ $ x TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal = $ Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for 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 rmit; 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' rinted ame Ap icant's f'" nature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124134
Date Issued:06/23/2014
Permit Category:ePermit
Site Address: 3957 Peridot Path
Lot:6 Block: 7 Addition: Cedar Grove 6th
PID:10-16705-07-060
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stephen J Blomquist
3957 Peridot Path
Eagan MN 55122
Dmz Construction Llc
2121 Cliff Drive, Unit 212
Eagan MN 55122
(612) 570-0907
Applicant/Permitee: Signature Issued By: Signature