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4329 Pilot Knob RdBUILDING PERMIT cirir oF EAc,AN 3795 Pllot Knob Road Eagon, MN 59122 PHONE: 454-8100 $1 ,? 50 . Receipt .# Est. Value Dote jan 3 5ite Address 4329 ? I 1 ct Knab Rd, Lot I i Block Z Sec/Sub. LarlgOTt ACies Porcel # a, rJdme {}E+nn! c NOat W Z Address 4329 Pilbt ;_--ob Fid. ° ,.:,.. p aQan oL___ 454-5042 ? Name _ 0 Z o?V Address u? f' f ?w Nome _ Address 78 Erect )C] Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grode ? Depth ft. Aooro vals Fees Assessment _ Water & Sew. Police Fire Eng. Plnnner Council PQlfY11t • •, Surcharge Plan theck SAC Water Conn. Water Meter I hereby acknowledge that I hove read this application ond stote that Bldg. Off. the information is correct ond agree to comply with all applicoble State of Minrsesoto Stctutes and City of Eagan Ordinances. APC Totol 1''. Signature of Permittee A Building Permit is issued to: E`? c on the express condition that all work sholl be done in occordance with all opplicable Stote of Minnesota Stotutes and City of Eagon Ordinonces. Building Official N2 4637 AW 8677 PWwit # oets Iwwd ParuAittN Plumbing Mechanical INSPECTIONS DATE INSP. Rouph-In find Footing5 Date Insp. Dah Inw Foundotion Plumbing Frame/ins. Mechuniwl Finol - 7 I _ Remorks: CITY UF EAGAN Addition CAM ? Remarks c,.5,z) Lot 11 Blk 1 Percei 10 16400 111 00 4329 Pilot Knob Road A State Esgan, MN 55128 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1974 185.00 9.25 20 Pa d SEWER LATERAL WATERMAIN WATER LATERAL 19 74 . 1 Pa WATER AREA STORM SEW TRK 449% 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 320.00 960 S-LO- 3 BUILDING PER. 'Annn SAC PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: ? Date Issued: rIii i i io iN6 N1iA1t/ 0!; j0/lqfs SITE ADDRESS: ' 1 ' w " ' j° - ""l' 101: 111 ? ,. t,)l(lF k.NUH itQ c akt s.uN Al RtS PERMIT SUBTYPE: i I.:,I ., I ' ' I `, " tii nl:t APPLICANT: rs i tb1 2 ) q!.a t,adr TYPE OF WORK: OV•,I'{r I 1' 1 I WJ ? !of NNI', IZ1 f'A! R 1 rr n ref' r N i; ) 7 ? J Permit No. Pa?mk Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectlon Deta Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC 7EST INSUL GYPBOARD FlREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST • BLOG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? -- - --- - ---- -- -- - J EAGAN TOWNSHIP BUILDING PERMIT Ownex ---- --N1-'-- '?"-/'?----?t??.------""----?' .................. .....p.... Address (PresenS) ..7..7AJ ....(;4L?GC6f?RG.?4:Q..--?---dd • ?f°`" • Builder ......... .ftZy'lv?........... C.aw --'... Address .................. ---'--------- -..... -..................................................... DE$CRIPTION ? N° 3000 Eagan Township Town Hall Dala _.71kwj...Q?...l.?.?3_........ Biosies To Be Used For Fronf Dapih Heigh! Esl. Cos! i?Fee Pe Remasks I F...z h?u) I 6 ? 2- 6 ?aoo°s ?_ P? "? ( aa f',at, :. / / LOCATION I - Sireet, Road or olher DascripYion of Locafion I Lo! Block Addition oz Traet /?,+? I"?•lB-? ?p E.Aa??..,_ 6 ss, s ? ? ?/! e"o,•o ?a - This permit does aot avlhorise the use of sireels, roads, elleys or sidewalke nor doesil give the owner oe his agant the xigh! !o c:eaie aap si2uation which is a nuisance or whieh presenls a hazard 20 the heatYh, satetp, coavepienee and general welfare !o anyone in 2he- community. - THIS PEAMIT MUST 4?EE„F{{EPT QN TH PAEMISE WHILE THE WORR IS IN YAOGE This i 7.s !o ceriify. !hal...?vl?l _ ?P.---- .69r4?.._.............._...has pesmission !o exect e...... ?-- - ....•-•............_...._upon the above deseribed psemise suLjecf !o the provisiona of the Building Ordinance fos Eagan Towns p adoptad Apri1 11, 1955. /?'? ' -."' '.. . . .. ..- "'_ ...........?.. ..?./...... itj7....._-----'°° ........................ Per .'-_'_ ?_??. ?f _...---.......-°'---...........-- C irman 0 f Tnwn Board SuIIding Iaspecloz / Eagan?T ns hip -? Dakala Counly, Minnesoia AppGcation for Bailding Permit Tppe of building or work coniemplaled. Circle eorzeei deseziplioas. RCommercial Indusirial Othes ................................ Aller Repair InsYell Movo Wreck Dimeasions...°..? . Coot .:................................ -? ................................ Detaiis or Location /_ Ownes .... ....._._.. ?- ???.?---. Address ?--._:...... ? - ? / ------... ................" ? Coniracior?lr..-.: _._"" .............°-/--°.-°--°--°°-.---.-°..........°°--°.... Addsess ....................................... '-------------------------- -........._...-•------° ---07 i r'rO ?? Q 0 0 $1e The undersigned herebp makes apnlication foz a permit 20 p do work as herein specified, agreeiag !o da all work in sSric! $"""' ?'"' aceordanae wilh !he building ordinance adopied April 11, 1955 Tofa f colleeled. by !he Eagan Township Board af Supervisors. Oiher ................ PERMIT IQO. .... Date Numbez 8 ween what eross siree s Size Est. Valuation ' To ? -5`°? ?O p c d i Sloclc Ad iio Rearrangement orTract PermiY fees are aot refundable. ... .. ..A«..r.w1'.._ ?.,....'I.....i?!'L .. ......................""' _.'.............. ? Sigaed ? CITY of EAGAN BUILDING PERMIT Owees ........... ...... .... * .............. ........ .......... Addrece (PresenS) ........T ..................IJ.......-------....?..............Y..`.:? Suilder ........?Q............................................................. ............ Addrets ............................................................... ..............-------....... r ;w N° 3484 11 3795 Piloi Kaob Road Eagaa Minaesofa 55122 454-8100 Dsle ................ 6loriei To Ba Uaed Fo: Froni Deplh Heigh! Eaf. Cw! Psrmi! Fse Remarki or 4-.i°a . I i 8e-? ?-? This parmit does not aulhori:e the use of sfreefa, roade, elleps or sidewalks nor does it give the ownes or hL ageaf the righ! !o ereale anp situation which Is a nuisence or whieh presenfs a haaard !o the heallh, aafety, coaveniencs and genesal welfere !o anqone in the communifp. THIS PERMIT MUST BE ?KME?PT ON TH£ PREMISE WHILE THE WORK IS IN PAOGRESS. p ; T6is is !o eerlify, !hal-..--1.???^'7.`..^.^S`."'----.?? ...............has permisalon !o erea!-a..l..S:?er.?:-z'?. poa ---• ---- - ••• .............-.._u ? the above described premise subjecf fo the pxovisions ot all appliaable Ordinances fox the Ci3p of Eagan. / .. ............. ..... ..' ".' ................"'.._. ? .Y....'.:."-`^.?..-°•°'---°"°'°. Pez ..........---------"?-----/l.N` ^"__ Ma or O y Huildiap Inapecios ?? ? ciTr oF eaG?N ?. •? 3795 Pibt Knob Rmd Eagan, MN $512= N2 4637 PHONE: 450.6100 BUILDING PERMIT APPLICATION $1,250, Reteipt # 8R9 8677 '- `- -°-? •__ °,_--'--- C_. %1_1.... ?...... Jan 3, ,0 78 Site Address yJL7 illOC RIIOD na. Ered 70 Lot 11 Btwk 1 Sec/Sub. Carlson Acres qlrer ? Partel # Repair ? E l n arge ? c Name n..nnt e Noc Move ? Z ? Address 4229 Pilbt Knob Rd Demolish ? ,.._ Esean „1__ 454-5042 Grode n p Neme ^rv._..... ? Address Assessment _ ? Woter & Sew. ~ Phone Cit G w u Name rou? - Fire ? w Address Eng. Ci PFwne Planner _ Council _ 1 hereby ockrwwledge tFwt I hove reod this opplication and state that Bldg. Off. _ the information is correct and agree to camply with all applicabie $tate of Minnewta Statutes and City of Eagan Ordinances. APG Signature of Permittee Occuponcy Zoning Fire Zone Type of Const. # Srories Front fr. Depth fr. Feea Permit - Surcharge ?e Plon check SAC Water Conn. Woter Meter Toral 10 ??_ A Buiiding Permit Is issued to: Dennis Ness on the express conditlon that cll work sholl be dane ?iy}?Ia,ccor ce w?ih II appliwble State of Minnewto Stotutes and City of Eagan Ordinances. Building Official RESIDENTIAL BUILDING ?? A 2 Permit Application City Of Eagan 3830 Pilot Knoh Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 %1o?aD ?03 New Construdion ReauiremeMS RemodeVReoair ReauiremeMS Offce Use OnN 3 registered site surveys showing sq, ft M lot, sq. R. of house; and all roofed areas ?2 copies of plan Cert of Survey Real (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 2 copies o( plan showing beam 8 window sizes; poured found design, etc s- 1 stte survey tor additions ffi dedc5 _Tree Pres Not Reqd isetoFEnergyCalculatlons Addrtron-indicateilon-sitesepticsysfem _On-siteSepticSystem 3 copies of Tree Preservation Plan H lot pWtted atter 711/93 Rim Joist Detail OpOons selection sheet (hldgs with 3 or less unifs Date la 13_ l a? Site Address 4329 pi laT KKn R RD Construction Cost 2 cvoo ? - ("r?.e hr?A! 55 t2'2,. . UniUSte # Description of Work ?EGk Multi-Family Bldg _ Y_ N FSreplace(s) _ 0_ 1 _ 2 Property Owner UEr.4µt?_i3t. ZKA - ,R,ty4 J p4Jpp Telephone #((n$ l)`F$ d+- $Q4Z --3 Contractor ?"?ErJµTS ? Address 5:C ( goU6 State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy CAde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionlype) Su6mitted Submitted • Energy Envelope Calculations Submitled Licensed Piumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #{((??. _ II ? n ?r, , I , I I hereby apply for a Residential Building Permit and aclrnowledge that the inforination is co ete and accurate; that the work will be in conformance with the ordinances and codes of the Citf6f Eagan-and-the=3tate of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. eA/tFR) I?uPf' k?? 6?4 ApplicanYs Printed Name Applicant's Si ature OFFICE USE ONLY Sub Types a , ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - 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 X 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ?0 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacem0nt 'Demolitlon (Entire Bldg) - Give PCA handout to applicant 1 ? Valuation 6 99 i Occupancy MC/ES System Census Code ?? Zoning City Water SAC Units Stories Booster Pump Nbr. af Units- Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) FinallC.O. Footings (deck) FinaUNo C.O. Footings (addiUOn) _ Plumbing Foundation HVAC Drain Tile Offier Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone Fueplace R.I. _ Air Test _ Final Windows (newheplacement) _ _ _ Insulation _ _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total l Approved By Building Inspector ?,?'i o`_-?Po , ? 70 ? Cities Di it? al Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 OS-plex ? 05 03-plex . ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Aiteration ? 34 Repair ? 13 16-plex O 21 Porch (3-sea.) ? 31 Ext. AR - Muki ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 19 Lower Level ? 24 Storm Damage Plbg _Y or_ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)" ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Demolition permit - Give PCA handout to applicant GENERAL INFORMATION No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?; 3830 PILOT KNOB RD - 55122 ' I 2 651.681 •4675 Reaulremenis ? 2 copies ot plan DATE: 9J ? ? -06 CONSTRUCTION COSi: &d DESCRIPTION OF WORK: If multi-(amlly bldg., how many unlffi9 INDICATE THE fOLLOWIPIG EAUIPPAEM TO BE REPLACED AND BY WHOM: _ Plumbing _ Homeowner g[ Contractor Name _ Mechanical _ Homeowner gt Confractor Name "Note: If somebody other than the homeowner is pertorming plumbing or mechanical work, mey must appry for appropriate permit. Only Iicensed plumbing confractor or homeowner may complete plumbing work. STREET ADDRESS: 7?a9 lut 4?4 LOT: BLOCK: 00 SUBD./P.I.D. #: r CG+Y I S U m AL qs Name: 04W5 Phone #: ?a , Jr1- "??? `!?-?O ?oZ PROPEfMY last flrst OWNER c? 7 ?GG? ?lirl.o?? ?"/ Sheef Address:ryJ ??Clty &?/,l?vv State: m? Zip: ????a °Z ? Company:, CONTRACTOR Sheef Addi Clfy _ Phone #: (area code) License # Exp. Stats: Zlp: 1 hereby acknowledge thaf I have read this applicafion, state fhat ihe infortnafion is correct, and agree to comply wiTh all applicable Stafe of Minnesota Stalutes and CiFy of Eagan Ordinances. ? Signature of Applicant: -AZI.'u anr use oNLY L ? BL ? RECEIPT #: SUBD. ( : GL!?D •?^? l / /t? DATE: 1995 MECHANICAL PERMIT (RE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD /G yQ0 -///- ?O EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction X Add-on furnace - 2;P?ar-e- _AU'Ci-GIi aii CuiW'iiiuniilg nU'u-Oii aii vxc,iaiigci, i.@. v8iice 5y$i'cli, ciC. Date: //- 9- PS ? Minimum Fee: Add-on/Remodel (;exii?tresidence only) ?r??$#20 00.? HVAC: 0-100 M BTU 4.0 Additional 50 M BTU 6.00 Gas Outlets (minimum of 1 required @$3.00 each) State Surcharge TOTAL .50 ao? SITE ADDRESS: y3o?9 K/ot/(ry u/o k C( OWNER NAME:/C u 0/J PHONE #: ZISY' SUy9 INSTALLER NAME: I?d l? /e r5 ? az.t ?`i :s *, L/? Nf?i t< A/C 'ft/7 C- S7REET ADDRESS: O C? / y5 ?? 5`1 • CITY: &DZ- STATE: In /7 ZIP: PHON E #: ( (p/?7-) U 3 /- 7 0 9 I ST Il"r CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? all commerciaVindustrial buildings. ? multi-family buildings when separate permits are n-Qt required for each dwelling unit. nn-rF• WORK TYPE: rnniTpnCT owirG; _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: * $25.00 minimum fee IlC 1% 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 SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (innPROVEnnEnrrs ONLv) INSTALLER: ADDRESS:_ CITY: PHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR MASTER CARD STRUCTURE AND IAND USED AS Permit No. Issued Issued To Coniractor Owner BUILDING PLUMBING J 2 CESSPOOL - SEPTIC TANK VJELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER z OSS OTHER / 's 74 I OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING "6---23 SEPTIC FOUNDATION ? 7 _ //- ]-1 CESSPOOL FRqMING TILE FIELD FT. FINAL ? ELECTRICAL HEATING ]' ? - ? DEPTH OF WELL GAS WSTALLATION SEPTIC TANK CESSPOOL DRAWPIELD - PLUMBING ,3 WELL i SANITARY SEWER ? Violations Noted on Back COMMENTS: OWNER ??? ,? COMPLIANCE INSPECTION REPORTS ' TO BE USED ONIY IN EVENT OP 065ERVEU VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRl1CT10N AT THIS INSPECTION ? NO EVIDENCE Of NON-COMPLIANCE OBSERVED. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? ACCEPTA6LE SU&STITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. IiEMtZED AND DESCRIBED ? COMPLETION OF CERTAIN IMPROVEMENTS WILL 6E DELAYED 8Y CONDITIONS BEYOND CONTROL. ? REINSPECTION REQl11RED DATE OF REINSPECTION REINSPECTION REVEALED CE RTI FICATION - I certify that I heve carefully inspected the above in which I have no interes[ present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific requlre- ments tor off-site imprwaments relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR DATE COMMENTS: ? WILLIAM A. CARLSON, PRES. „ 2324 W€SS 110t„ ST.FEET 888-2084 55431 SuRVev FoR: DEPIN I S NESS + ;ERTIFICi4TE OF SURVEY A . . .. ? .. . . LANDSURVEYORS Licensed, Insured & Bonded . r ? Oe q ? ro ? ? 0 ? LEGAL DESCRIPTION: THE SOtlTH 112 pF LOT lle CARI.SON ACRES. PIE HEREBY CERTIFY THAT FHIS IS A TRUE AND CORRECT REPRESENTATION 'OF A SURVEY OF THE 80UNDARIES OF THE IAND ABOVE DESCRIBED'AND OF THE LOCATtON OF ALL BUlIDihGSV IF ANYW THEREONV AND ALL VISIBIE ENCROACHMENTS* IF ANY FROM OR ON SAID LAND9 AS $URVEYED BY US THIS 4TN DAY OF MAYO 1973,o ???----- • MINN, REQ,-NO? 5648 • ' , ? ' - a -_ ? Y ., ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT 4329 PILOT KNQB Rp Lp7: 1.11 BIOCK: CARLSON ACRES P.I.N.: 10-16400-111-00 DESCRIPTION: (ROOFTNG) ermit Type qj;,l< 7YPe SF (MTSC.) REPAIR 434 AL7. RESZDENTIAL PERMIT TYPE: Permit Number: Date Issued: B a U05? ?7--?-- BUILDZNG 027487 05/07/96 REMARKS: FEE SUMMARY: Base Fee 3urcharge Total Fee CONTRACTOR: ? ? ?? 9? APPLICANT RMITEE IG ATUR' 7 E VALWATION $29.25 $.50 $29.75 $see OWNER: - applicant - NE5S DENNT5 4329 PTLOT KNOB RD EAGRN MN 55122 (612)454-5042 aei tYr3s a.ppl,a.c?rt;i°pra arfd'state thet Che .cttmjsl}? '?with aLl applioabie State of Mrt, 8 £'+ ._ , _........._ ,..-._ .. ._ ._ . m . ? -?Iylo R'Dj rrn"?- ISSUED BY: IG U EI ? CITY OF EAGAN 144iq 3830 PILOT KNOB RD - 55122 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) 681-4675 VReoeir Reauirement ? 3 registered site surveys ? 2 copies of plan ? 2 copiee of plans (include beam 8 window sizes; poured tnd. design; etc.) ? 2 site surveys (exteiior additions & decks) ? 7 energy calculations ? 7 energy calculadons for heated add(Iions ? 3 copies af tree preservatlon plan if lot platted aRer 711/93 required: _ Yas _ No . a DATE: J? CONSTRUCTION COST: DESCRIPTION OF WORt STREET ADDRESS: LOT BLOCK SUBD./P.I.D. #: ` 0_6 ???d_) d/A/i S PROPERTY Name: 1U[= S S Phone #: OWNER w* ,? nnar ^ Street Address, '? 3a 9 ?'"?? ?-k ?? -,_2? City: State: MV Zip:.''S5/ a 71- CoNTRACTOR Company: Phone Street Address: License #• ARCHITECTI ENGINEER City: Company: Name: _ Skate: Zip: Phone #:_ Registration Street Address* City: State: Zip: Sewer 8 water licensed plumber: change are requested once permit is issued. Penalty appfies when address change am: I hereby acknowledge that I have read this appiication and state that the informafion is correct and agree to comply wit? applicable State of MinnesoW Statutes and Ciry of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 Duplex ? 11 Apt.lLodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscelianeous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New o 33 Aiterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Ailowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. R. SAC Code Census Bidg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units CITY USE QNI:Y ? L ? BL ?? /? RECEIPT`#: SUBD.LC-? RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (613) 681-4675 Please complete for: . single famity dwellings ? townhomes antl contlos when pertnits are required foreach unit ? baokflow prevenfer for underground sprinkler system , FIXTURE3 EACH, NO•, TUTAL Shower 3.00 x = WaiuGl.lO$Ei 3.00 = BaYn Tub 3:00 x = Lavatory 3:00 x = Kitchert Sink. 3.00 x = Laundry Tray 3:00 x = HoLTubLSDa 3.00 x - Cwzc-r H 3.00 x J = Floor Drain 3.00 x = Gas Piping Outlet ? minimum - t 3:00 x = Rough Openings 1;50 x = Water Softener ' fordwellings undercanstruction 5.00 X = Water Softener ' for ezisting dwalling 20.40 X = U.G. Sprinkler ' for dwelliag under coost 3.00 = U.G. Sprinkler ' forexisting dwelling 20.00 = Alterations ° w ezisting residence 20:00 = Water Turn Around 20.00' _ Pnvate Disposal System " Dak cty lic. 75:00 = (new and rehrbished. systems) - Privafe Disposal Systems ' AbandonmenC 20.00 = STATE SURCHARGE .50 TOTAL I here6y adcnowledge that l have reatl this appheation,.state thatthe inffirmafion is cor2d,-antl agree to comply'wrth all appliiable:Ciry of Eagan ordinances, Ilis Meapp6cenYs responsibility :tonoCrfy theproperty owner that the CitycT Eagenassumea rw 6abililyfor any damages caused 6y the Cily-during its nortnal'operational:antl meirrtenance adivitiesto fhe?fadlitiesconstnided-under this'pemiRwithin City propertylrightot-wayleaseme . ? ? - SITE ADDRESS: 3-2 OWNER NAME: 1NSTALLERNAME: /?? 16W2re- ?t,n?Qi-JG TELEPHQNE#: STREETADDRESS: Z-"2202kl Ae- iK /10 CITY: ??y/ndli ? STi4TE: -+1 ZIP: SIGNATURE O?F PE?tAITTE L`G'l2. ' t EAGAN 1CIWNSHIP 3795 Pilot Knob Rosd 5C. Paul, Mianesota 55111 Telephone 454-5242 PSRMIT FOR WATER SERVICE CONNECTTON Date: Ausust 8, 1973 Number: 111- CIi'-r• 1274 Billing Name: Dennis G. Ness Owner: Pluiuber: Thomnson Plumhine Co. Site Address:4329 Pilot Knob Road Eagan 55722 Billing Address same Meter Size Coanectioa cng.?°?•?? rLL ?, 468891 Meter No.22757644 Permit Fee 10.00 pd 8/8/73 ?73 Meter Reading__.,__ iMeter Dep. Meter Sealed: Yes_ lAdd'1 Chg. NO iTotal Chg. Building ia a; Residencexx 14uleiple Ro, Commercial Industrial Other Inspected by Date Remarka: pC M1 n!'. I?!V7?n??~{.i [??Y rcR $ L ?J,d?J it?:1:'!? " ?,-? . _ . `"_" ; ?r.'oa, s _;..f, 'Y By: Chief Inepector In coasideratioa of the issue and deliverq to me of the above permit, I hereby agree to do Ltie proposed work ia accordance with the rules aad regulations of Bagan Township, Dakots County, Mianesota. Byw: 6? ??=.? Tho pson Plumbing Co. 0/73 Please aotffy the above office whea readq for inspection and connection. , LOCATION MASTER CARD OWNER ??f f S STRUCTURE AND .y? LAND USED AS py?0 d ?,??yJ [? Permit No. Issued Issued To Coniractor Owner BUILDING A" '//C PLUMBI NG CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initia!) Date Remarks Distance Prom Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF 095ERVED VIOLATIONS PERMIT NO. DATE OF INSPECTIQN . ? CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. AND DESCRIBED AS FOLlOWS: NON-COMPIIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL 8E DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIREC) REVEALED DATE OF REINSGECTION CERTI FICATION - I certify tha21 have carefully inspected the above in which I have no in2ares2 present or prospective, and 2hat I have reported herein all significant conditions observed to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specitic require- ments for off-site improvements relating to the propeny inspected. - ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR 6; 14 /' v,s<<n [:E: CE i'dE D DAKOTA COUNTY H!GHWAY DEPARTMENT ho. ? AP"r'L{CATION FOR ACCESS pRIVE;YAY OR ENT??ANCE PFfth1I7 Section____ f;ormi?_ i? , ?,:i ? (Appiicant to be fvniahed with proper starzdard plate) Frint oc type application. Fili out 4 copies, sign and mail to County }liahway Uepaztment. - 0 a-1:-a co.:..?, x?4eh prbperty, present and proposed driveways and reletion to County Highway on back of all four copies. Name oF ?ZS Iq37 Namqppl)e cof an}5 CG I'lG3S Address??72i CaW.?+rS c?S pei . ?. Te1.?-' JVri?TH /a• r,Gy.S 1?zk,?, m.u.b s?c7 S Z3RS Property Owner " R aP"sT9MM _ Addre ss Tel. 4 4? Location: /->Y'1_(?o LA CnY].l.S?r? Co Rd. 31 inNt 4 K i) rti Couniy?Miles N?E-W of G- ? 3 ?V ; +(??,? RD \ (Circle Ona) (Specific road, lenQmark, or roed inteesection) Legal Description of ProperYy , (as shown on yaur Tax $tatamenf) __So -.V2. Vr-- r t I -? n-r-Sc? b?«R Z Purpose o{ Driveway jK Residence ? Commercial (speci?y type) {s a 8uilding to What be Constrocted C? No .'5KYes Kind -- {check ) lYilf the Building be [:?] Ternporary or X Permanent (proper ) Is the ProperTy in Plutted or El Unplatted Area (squarFS) r ? Distance from center of highway to front of building, or front oi pump island is fcet: -Is land higher? lower? or level? with highway- Sliow feet & inches Show faet Bs inchea Number oi Present Driveways to Property. One _Dote Proposed Driveway will.be needed rnA? IS, 1573 Give cxact Location of Proposed Criveway to Property 7-n u 5[: Fx q-i r"c. tciuc?,? _Give Exact LocaTion of PrPSent ` Driveway to Property on- - I, 6Va, the uadersigned, nerewith make application For perm4ssion m eonstruc: the access driveway at the above locetion, said driveway [o Ue 0on3truc[ed to conFor i.h the standards of the Highway Depercmenc and to eny special P+ovisions included in the parmit It i ngreed [hat alt work will be done to the satiafacxion oE the Hiqhway Department it is Nmcher egreed that no work in roe^ection wi[h this appiicatlon wiil be started un[il the appiication is epproved and the permit issued. . .o Q ,,,'x Z,s? 1 _?n,......_ f1 ? ?? ate T $ignaturev Applicant Ao tiot VVrite Below This iioe I not vatia untess ACCESS nRlVEWAY OP, ENTRANCE PERM11 .?D I-13 Signed and Nacabe:ed Permi[ Nnmber i'eiri5'sior ;s h8r3by -yrcrted !cr !!;o c:r.s`ruction ef .'F.e driv=wey as descr.bed in the abovP aoglicntion, said driv^way to be cor.structed an accordance with the Minnesota Highwoy Deper!ments Drivewoy Standard Plate No: and subject to the requirements on reverse side and the following speciol provisions: ?AP It is expressly understood that tnis permif is conditioned upon r=plocemenl or restoration of the trunk highway to its originol o; fo a sctisfactory condition. It is furiher understood Tho} this permit is issued subject to the approvol of local city, villege or bo:ough authorities having joint supervision over said street er highwoy. AFTE.R Pc.RM]T IS APPROV731): ? Nnite to nppticant ? DAK?UyrTA COUNTY HIGH4YA.Y DEPARTMENT .p Huff to Cen[ral nffice ? Yink to Area Maint. Office / ? _?? _ u Green tn Muvicipality or Sec. Crew D o"e County Traffic Engineef R Es'. UiR cMEiJTS '' „ 1_ tio .vock under this application is to be si:rted wttil application is appioved and the.pecmit issued. 2. P; here work on traveled roadway is necessaey, traffic must 6e protecied, and flags, fiares and proper harricades must be ptaced in accordance with the stan8acds of the ;14innesota Highway DepartmenY. 3. 1'o foreign matecial such as dirt, gravel or bituminous matecial shall be left oc deposited on the road during the construction of driveway oc installation of dcainage facilities. 4. i oadside must be cleaned up after work is completed. .. AEter driveway construction is completed, the perm'r.ttee shall notify the County Traffic Engineer that th,a «ork has been comp,eted and is ready for final inspection ard apgroval by the Minn°scta Highway Da- :lart?*t?nt. . b. No changes or altarations in entrances may be m2d-- at any time without written permission from the Count}• H:ahway Depaztment. SPEClAL YROti`HS?OA' CONTYNtiFD No Deposit Requiced F.-., Deposit in amouet of $ required and attached hereto. cisT2-CT ;rlake checks paya6le to Treasurer, Dakota Countl. . U5= This cieposit made by - 9ppLicant - CN?_y Name 0r Add-ess Party doing work Tiame Addrass . Sketch Property, present and progosed Driveways and relation to Tnmk F3ighway on allcooies. . bp-?' c/6 37 nnxE BUILDING PERMIT APPLICATION Include 2 sets of plans. 1 site glan vrfelevations and 1 set of energy calculations. 7b be used far f?r& /6 r-P Valuation site Addres&: 4/ .3--) G' f -" b e cy• ?cz,5ar1, ?in? Lot Block Sec. Sub, C°ar,/son !47 reS Owner SS Ad.dress t?..3 =2 c/ ?; /F1 k/n taGa Contractor Address J Arch./Fng. Address Parcel Number Telephone ?`-,?-- Telephone Telephane OFFICE USE Erect Alter Repair Enlarge Nbve 1)emolish Grade O£FICE USE bate of Approval & Initial Assessment Riater/Sewer Police Fire Ehg. P2anner Council ? Bldg. Off. A.P.C. Occupancy _ 2oning Fire Zone Type of Const. $ of Stories Front Depth FEES Permit Surcharge Plan Check SAC UTate2 GbnTl. ? c?C/ s4ater INeter " TOTAT, : YILLAOE pF EAQAN SEWER SERVICAAERMIT 3795 Pilot Kno6u.od PERMIT NO.: Eagon, M:V 55129DATE: - AuKUS-i g-? Zoning: R-1 Owner: Deriri].S G. NESS No. of Units: Address: j /- ; Site nddress: 4329 Pilot Knob Road, Eagan 122 rlumber: Thomneon Plumbine 60 I ugroe To comply wifh fha Vilinge oi Eoqon Connection Charga7Jr.0O P$ 5?10/ Ord1°O"ces' - Account De posit: Yermit Fee: in_np nri R/R/73-- 5urchazge: ,_.50 nd 8/8173 BY' Misc Chazges: Date of Insp.: Total: IOSP' ` Date Paid: Date: Tenant: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694_ WOMBSeri Permit #: Permit Fee: Date Received: Staff: L 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Andrew Uzpen 4329 Pilot Knob Road Site Address: Suite #: RESIDENT / OWNER Name: Eagan,MN55122 ,, 957393F4R4 Address / City / Zip: CONTRACTOR Name: ______NO LOM PLUMBING CO. License #: ©(L/ I P1/1 Address: (612) 8274033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 q Phone: Contact Person: .if 1��} TYPE OF WORK New X Replacement RepairiRebuild Modify Space Work in R.O.W. _ — __ Description of work: rep a v 1 ti le PERMIT TYPE RESIDENTIAL IWater Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / — PVB) ( Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace Water Turnaround* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) etc.) (includes $.50 State Surcharge) TOTAL FEES $ burned out appliances, ductwork, 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. xL-• b OrbAom' Applicant's Printe Name As -'!cant's Signa ure