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2021 Pin Oak Dr Use BLUE or BLACK Ink For Office Usq, I ' ~f0 I Permit I I I City of NO I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 I Staff: I I Fax: 651 675-5694 L--------------- 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Addr ss: . 2 Tenant: _ ? rr 5 ~ VVI U -e- Suite M l RESIDENT / OWNER Name: /20 Y" 'r`l_9 V 't' Z- Phone: (f1 VS - . C-1 k4-e-~- Address /City /Zip. II CONTRACTOR Name: License ®(J SZ Address:ep/~ ~4 l 7/ 5 City: (b ✓L Stater? V j ip: 57Q3 7 Phone: S / ~Z 5 v J Contact Person: TYPE OF WORK -New Replacement _Repair -Rebuild -Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water 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 Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) j } TOTAL FEES $C-s CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orQ I hereby acknowledg at this informaton is complete and accurate; that the work will be in the ordinances and codes of the City of Eagan; that I under nd this is not a permit, but only an a i , and work is not to start without a permit; that the work will be in accordance with t pproved plan in the case is requires a review and approval of plans. x x 's Pr ame Applicant's Signature Applica i -Az FOR OFFI USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final CITY OF EAGAN p? d 3830 Pibt Knob Raad, P.O. Box 21-199, Eagan, MN 55121 `? - 13003 PHONE: 454-8700 BUILDiNG PERMIT Receipt # To be used tor l l2 UUP & GF?iZ Est value $55,000 Date DECEIr1F3F.R 22 19?G Site Address 2021 P7.N OAK UR Erect Occupancy e, 3 ? Lot 3 Block 1 Sec/Sub. RAiTiN R I DCi E Remodel ? Zoning };.'? Parcel No. Repair ? Type of Const.IV -- Addition ? No. Stories B. H. GRACE ?.ORP Move ? Length 4 Q ¢ Name Demolish ? Deptfi 4 6 3 Address 1 4 V IEN1?A L:?} Int Impr. ? Sq. Ft 0 City. EAGAIv phone 4 5 6-9 0 3 0 Install 1:1 a ?AAAi? ADorovals Feee Z o Name- y ¢ Address ? r.iw Phone W W¢ Name z ? Address < W City Phone I hereby acknowledge that I have rei information is correct and agree to Minnesota Statutes and CiN ofiEac Signature of Permitteee-/ v ? " ' , A Building Permit is issued to: B' H' afl work shall be done in accordance with a Building of Assessment Permit Y "". "" - 77 .50 Water & Sew. Surcharge Police Plan Review 149.00 Fire SAC 575.00 Eng. Water Conn. 5U U. IJ 0 Planner Water Meter 63.50 2 EF. 00 Council '2/12/8 Road Unit l5 156.00 BIdg.Off. Tr.pl. APC Parks Var. Date Copie Total OU ' 059. on the express co ndition that Statutes and Cily of Eagan Ordinances. .,/ " PermN No. Psrmit Holder Date TNophon* N Plumbtny ?1._.1..? /1. H.V.A. . ElecMc i% sonsner InspecNon Date Insp. Commenb Footlngs I Footings II FoundaUon Framing 11 C Rooriny Rouyh Piby. ? Rough Hly. _Z. Insui. ? Flrsplace Ffnal Htg. ?j??'ij 4V Ffnal Pibg. Bddy. Final Cert.Occ. Deck Ftg. Dfek Frmg. Well Pr. Dbp. ' PIUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 ITRACT PRICE ? F,HONE: 454-8140 Site A dregs QLQ d Lot ?? Block ? - Name n" ? Address c Ciry <".Phone ? Name ? • ? ? 3 Addre O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (AQD $.50 S/C IF PERMIT PRICE GOES BeroNO $1,000.00) , OF FOR: CITY OF EAGAN PERMIT # RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTIOy Res. New M u It. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPIETE THE FOLLOWING: NO./ FIXTURES Water Closet - $3.00 - TO L 7Bath Tubs - $3.00 ? /Lavatory - $3.00 Shower - $3.00 -7 - Kitchen Sink - $3.00 Urinal'Ilidet - S3.00 Laundry Tray - $3.00 , Floor Drains - $1.50 Water Heater - $1.50 -? Whirlpool - $3.00 = JA-a Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMI'n Softener - $5.00 Well - $10.00 Private Oisp. - $10 00 . h O i 50 =R 1 S oug pen ngs - $ . FEE: .2 41, C47 STATE S/C: ?..? GRAND TOTAL - _" ,` J ?.?.; r'f. y . ., !. • . .i . • ..'. . ?f 41' .1,'. . . . : . .. . .. . PERMIT # MECHANi CAL PERMIT , CITY O RECEIPT # F EAGAN 3830 PILOT KNOB R OAD, EAGAN, MN 55121 DATE: -T? CONTRACT PRICE PHONE : 454-8100 Site Address gLDG T1fpE WORK DESCRIPTION Lot 81ock ? Sec/Sub , R X N es. ew y Name M lt Add ;? Addr ? ? " -on u C R i omm. r epa c City Phone `l ? Oth er Name ' FEES c Address ?I I ?' 'v L RES. HVAC 0-100 M BTU -$24.00 p City ? o Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK K? GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M 8TU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond M BTU STATE SURCHARGE PER PERMIT - .50 . (aDD $.50 S/C IF PERMIT PRICE GOES Vent CFM v BEYOND $1 ,000.00) Gas Piping Outlets # / Other FEE ? ! SIGNATURE OF PERMITTEE S/C: (.tJ TOTAL• FOR: CITY OF EAGAN I 1 k+ (Itrtiftratt uf (Orrupanry Citp of eagan arvartmMf a# liwiding iwprlwc This Cenifrcate issued pursuant to the requiremenu of Se+caon 306 of the Uniform Building Code certifying that at the ttme ojissuance this strueture was rn compliance with the various ordixances of the City regularing building construction or use. For the foUowing.• ux clax&=600 ? 1IJP= b??'.? _ Mag. Pem,it W 13003 oa,qancy rype R3 2ooin6 ouvia ^+ rype rnmt ovmff orsuachns S.H. CRAC9 om;'. nda.:.0(Xi V,Li:AA W. EACAN BuM,gAddm :?'2 ! m CK DWIVC L,,,h,y I3 , Fs 1, RAN RITYZ Dau: FEM3M 2" 1 C43-r Building Offiriai POST IN A CONSPICUOUS PLACE CITY OF EAGAN N2 13004 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ? y J ` 112 00i' 8 UA-11 $55,000 T DECENiBE:R 22 ' 86 o be used ior st. Value Date 19 SiteAddress 2023 PID] OAK JR Erect In Occupancy R3 Lot 3 elock 1 5ec/Sub. RAHN RIDGE Remodel 0 Zoning Parcel No Repair ? Type of Const V . Addition ? No. Stories Q B. H. GRACE CORP Name Move ? Length 40 W = 3 V IEN Add Demolish ? Depth 46 0 ress AN 456-9030 EAt Int tmpr. ? S Ft Q City ' Phone Install ? ¢ gAM;; Approvals Fees . o Name ? ? Address H r:ti. U? W W ? W U ? ? Wz ? Name - Address I hereby acknowledge that I have read this appfication and statethatthe intormatian is correct and agree to comply with all app{iCWe State of Minnesota 5tatutes and City of Eagan Ordiparices. Signature of Permittee `A Building Permit is issued to: D . ii . GRAC?E CURP all work shall be done in accordance with all applicable State of onnesc Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 12/12/8 APC Var. Date Permit 'S 298.00 Surcharge 27.50 Plan Review-9 ' ? d SAC ?00 Water Conn. 500.00 Water Meter 63.50 Road Unit 29 .00 Tr. PI. 156.00 Parks Copies , 059-.UU Total on the express conditlon that of Eagan Ordinances. Building Official - -'OF4X4.(4-?- '.c'.? ParmB No. Permit Ho1dK Dd* TeNphom k PIumWny 22 v? • H.V.A.C. mecmc ??l.I?IG L? .? ?•,, ? ' .'?.?/?' ? /.-. :?'? Soft«ne. Inspection DeM Imp• Commenh FootlnW 1 Foolings II Foundatbn Framinp -2 IXZ • Roo1Mq 1 1 Rouph Piby. ? Rouph Htp. %4 /,,2d ? Insul. Fhqplaco ? -Y F7 ? Final Hty. FMaI Pibp. Bldq. Final 3 y ' 7 l. . H, Csrt.Oee. ?- Deck Ffq. Deek Frmy. Well Pr. Dlsp. PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 'T- 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 ` Site Addres oL(Lk Lot ? Block .7 m Name A ? Address ? c City Name 3 Addressq?, c?;,_ p , City ? •1?- Phone FEES COMM/iND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES FOR: CITY OF EAGAN BIDG. TYPE WORK OESCRIPTION Res. New Mult. Add-on Comm. , . Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO./ FIXTURES TOj L M/ater Closet - $3.00 ?Bath Tubs - $3.00 " -/Lavatory - $3.00 ? Shower - $3.00 -?Kitchen Sink - $3.00 ? Urinal/Bidet - $3.00 7Laundry Tray - $3.00 ?Floor Drains - $1.50 -?? Water Heater - $1.50 Whirlpool - $3.00 ::ZGas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 -1_Rough Openings - $1.50 S FEE d W STATE S/C: 'SU GRAND TOTAL• ' rx I WV v • yo 'r': •? . , CONTRACT PRICE o7 I O'iU is . . ;x.. M . . -n..o. -L. .r .. ,. _ . . . , PERMIT # - MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE PHANE d54-B100 Site Address -1-0013 r, r? Lot Block (D Name + ? Addr?ss 114401 I?101 ma. c Ciiy Nr If !-n ? Name ? 3 Addr? ? J -? N. o City C.z S&M TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other M 8TU M BTU M BTU M BTU CFM / FEE S/C: TOTAL• BLDG TYPE WORK DESCRIPTION . R x N < ew es. M Add l t -on , u /a Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 U ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ?t'o ADDITIONAL 6 M BTU GAS OUTLETS COMM/IND FEE - 196 OF CONTRACT FEE - 6.00 - 1.50 EA. MINIMUM - RESIDEMTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20,00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES ? BEYOND $1,000.00) . ] _'. SIGNATURE OF PERMITTEE • t?o ? FOR: GITY OF EAGAN • ? ti • .* (gPrfif tratt uf COrrupanry Citp of (eagan apprtatrttl of guantg jhwPttidtt This Ceruf cate issuad pursuant to rlee requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance thrs struclure wsas in contpliance with the various ordinances of rhe City regulaling buildixg corisrruction or use. For the foUowing: us, o?irx.u. 1/2 Ix3P &(',AR e?da. Ftradi No. 13084 oa-P.xy Tmm R3 zomg o;w;a rya c. V owner or euikhng ;,. H. QZAM OOFiP A" 2(X?4 ?7E2M IN, ?AC?1tr' Ih,ild;ng Address 2Cm FIN c]AK I?Ru-Z'E ?;ry 13, B 1, RAfN RIDOF. Dm, MARCH 27, 1987 Budding Offiaal POST IN A CONSPICUOUS PLACE CITY OF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt ? To be used for 1 Est. Value '' I o a? Date Site Address " ` ' ° Lot ' Block ? SeC/Sub. R `??? RI?"r' Parcel No. ic Name , .?, . . , . . Z Addr@SS ' P ` , ' " ' o _ . City Phone ao Name _._. _.-- -- -?------ . . ?? Address 4-, 771. ??• . ? City Phone Name Address City Phone I hereby acknowledge that 1 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. Signature of Permittee __ ':Ati k :'40:?1'.Li?'+13 A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building OHicial ! OFFICE USE ONLY On Site 3ewage Occupancy MWCC Syatem Zonlny On Site Well (Actual) Const City Water (Allowable) PRV Required ik of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit Planner Surcharge Council Plan Review sid9. off. sac, ccy Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Permit No. Permit Holder Date Tslephons ?k Piumbing H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I z Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final D S Well Pr. Disp. CASH RECEIPT CITY OF EAGAN ? 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ` 19 _? wecaivsn , FROM 1 AMOUNT $ I Ee DOI.LARS +oo ? CASH Q"CHECK ? - VYhite-Payers Copy Yellow-Posting Copy Pink-File CopY Thank You BY BLDG. PERMIT v0. 01-3210 ?ldg. Permit 01-3422 Plan Checic 01-3445 Surch./hdm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Uni t 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Mete: 20-2252 Acct. Dep. 20-3713 Watez Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ?CASH RECEIPT CITY OF EAGAN 3830 PILOT I(NOB ROAD . • EAGAN, MINNESOTA 55722 DATE " 19 R6C<IVED s FROM ?' . . , AMOUNT ? ? CASH [] CHEC & DOLLARS +oe rwe C?ys e A . PUND CODE AMOUNT 7 f Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy OF EAGAN SEWER SERVICE PI Piloi Knob Road 0513 Box 21199 PERMIT NO.: m, MN 55121 DATE: -? ;?^ ng: ? No. of Units: Iupl __ B . Ii. Grace ^Arn. ? Plumber. ".`: .-`'..'?...`. "`°"""'"5 12-'?Z ^?f 69319 100. I agree to complr wfth !he City of Eagsn Connection Charge: ?' S• ? Ordinanoes. Account Deposit: 15. Permit Fee: It) . Surobarge: By Misc. Charges: • Date of InsD.: Totai: ?.?.?.__r.._ _ .??.--.?-?,..?.ea--.c? ,?c_- ._ -a, - CITY OF EAGAN SEWER SERVICE PERMIT 3630 Pibt Knob Road ? y 1., P.O. Box 21'199 PEHMIT NQ.: Eagan, MN 55121 DATE: Zoning: No. of Units: lbunlex ?} • T' • Cr.ace C:orn. Owner . Address: _ SiteAddress: 1 'lin Oak 'rive 1,3' 71 ^ahn Ridee Plumber. Ttiri 'iessian ''.'Jumbin g 22-22--`?8 f;??Io 100.00pe I agree to comply wi[h the City ot Eagan Connection Charge: 425 LLOpd Ordlnances. Account Deposit: 1 1; l1DTC' Permit Fee: 19 L1opd Surcharge: 50pd gy Misc. Charges: Date o1 Insp.: Total: Insp ; Date Paid: . I CITY OF EAGAN WATER SER 3830 Pilot Knob Roed VICE PERMIT P.O. Box 21199 PERMIT Na.: -- ?; 14,7 Eagan, MN 55121 OATE: ' Zoning: ? No. of Units: Owner. R. F;raee Ger ? ? ' e. Address: SiteAddess: 9023 ++O_, ,._, 3 n$??? 01y- e 1 Plumber: ? ? T ? - 0 { n Meter NO.: {' Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: a f I agree to comply with tbe City of Eagan Surcharge: . t Ordinances, Misc. Charges: . -? r• Total: BY Date of Insp.: ?--- Qate Paid; -- --•- -- . - -A ' - - ? ; •,,, t,pe"`r: .. 3830 P Iqt I?1G b Road SEWER SERVICE PERMIT I P.O: Box 21199 PERMIT NO.: 9513 Eagan, MN 55121 DATE: 1-15-F? 7 Zoning: n2 No. of Unlts: ?Plex Owner. B • H. Grace Corp. Address: Site Add( Plumber, Rahn I agree fo comply wllh 3h a ?ti11f1eS z . OOpd aote??rg ca?blA?t???a?C?cpe: 4 ? s_ nnr.? Ordinances. ' - tL*19&f C?eposit: S?LEPtI??? r'? ? - orQvI1??UrRarge: - 5n„d BY Misc. Charges: Date of Insp.: - Total: Insp.: I CITY OF EAGAN ; 3830 Pllot Knob Road 1 P.O. 60,c 211'99 I Eagan, MN 55121 Zoning: Owner. ?T r,.;? r Address: Dete WATER SERVICE PERMIT PERMIT NO.: r-, ? DATE:- 1 _1 c_o> No. of Units: ?•--? ? - S€teAddess: 2C123 n-r L-3 4?Rnh Plumber. ? Meter No.: -3 Size: ection Charge: 5aar?pg Reader No.:O a GI"gt osit: -??1:1 n-,9 I agree to com J K??`U??t?• ?: 9i??? PtY with IfiikbRV .g ` ?S,?ha_ rg • Ordinances. EQUlRED «' ?. y TotaL• meter ? Date Paid: Date oi Insp.: Insp.: z -? ?? CIT'I OF EAGAN 1NATER SE 3630 Pilot Knob Road RVICE PERMIT P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE:- 1-1 i•-£7 Zoning: ?n-r-2 No. of Units: 16 ?-e; Owner. 'R - 14 - CY p Acn rarp Address: SiteAddess': -2021 Pin 0a3c {..e nT rahn ridgy, Piumber: Ton fless ian Plur.,hing Meter No.: Connection Charge: 5011 . t]rlrd_ Size: Account Deposit: I (?opd ? Reader No.: Permit Fee: _ 1 E1, ;] 0,ul . I agree to comply wiih the City of Eagan Surcharge: _ Sanrl Ordinances. Misc. Charges: 1 5ti nnp.9 Tr Total: -- 63, SOvd dtte= BY Date Paid: Date of Insp.: Ingp : ' CITY OF FAGAN WATER SERVICE PERMIT 3830 Pllap :'nob Road ; P.O: 5ox 21199 PERMIT NO.: 8361 Eagan, MN 55121 DATE Zoning: _ 31 R? No. o} Units: DUp? e-x Owner: - B . 11. Crace Corp Addess: Meter No.: Size: -5.?: 0 1 agree to comply wtth fhe Wo'f Ea an ur . 50 d Ordlnan ea. R EQ? C.,ih ? Qs; 15 6. 00 d'TP ^ Total: • P gnt er By Date Paid: Date oi Insp.: Ingp,; REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 , See instrucfions lor com0leting this form on bnck oi Vallow cooY. S G}2W3 9 "X" Below Work Covered by This Request r!l Add Rep. Type oi Building ApPliancea WireE EQUiument Wired? Home Range Temporarv Service Bulk Mi N Fae ServiceEmrenceSize tt Fee Feeders/5u1ifeedere N Fce Circuits Z ?n U to 200 qm s 0 to 30 Am s 7 0 tn 30 Am s Above 200 Amps 31 to 700 qmps 31 to 100 Am s Swinening Pool A6ove 100_Am s Above 700-Am 5 Transformers Irrigation Booms Partial.'Other Fee TOTAL f 7 the Elect 'cal I ? ?. / ???( ? Inspector, hereby r certify tha? the above ? rinal ? '?^* Date pection hes been ? f!a ft 'J'? made. I 's request void h?3/?"J s , momhs trom / C 20140z.3Qi 7G /s? 16c , 'V HeqdCSnDai?y/ F ? •z? Fira No. ReQUhedn7 nsoecGOn ?qeatly Now II Nntify InsOe?- ? / O Yes ?No or When fleady ?Licansed Elecnical Contrector 1 hareby req.est insoaetion ol ebova O wner eleetrieal work installe0 at: Street Address, Box or Roure No. n C / Citv ? ? _z? . --? ection o. Townsrip Neme or No. flange o. Co?niy Oc/c?y? n?[?JPRI 1 id•il' Pho?n/e `No./ q^? 7N l! /Q V? Power Suppliet Atldress EI ical Cnnvac to r m panv N am (CO e) Cnn[rar,tor's Lic ens o. (? J ? ? J ? ? ? C?C.C?+WC/ p / D' 'G D?LP Lj Z Mailing AdJress IConnac r or Ownar Makinp Instail i nl " ? G E 9 d A Morized SiBnai e (Co vacmr/Owner Makine lristallation) Pho e3 Nomber ? 5iii? MW4NESOTA STATE BOAFAWOF ELECTRIGTY Griggs-Midway BIdB. - poom N•191 1821 University Ava., St Paul, MN 56106 PM.e 18141 49]Jttt THIS INSPECTION NEQUEST WILL NOT BE ACCEPTED BY THE STq7'E BOARD UNLESS PflOPER INSPECTION FEE I5 ENCLOSED. / ??07 REQUEST FOR ELECTRICAL INSPECTION Ey8-00007-04 Sea insfruetions for completin0 ihis form on beck oi Yellow coov. C•L.U 1'+ O "x" Below Work Covered by 7his Request jIew4Fddj Reo.l TYDe oi Buibinp 1 AoPiiantea Wired I Eqalpment Wirad I ex Service ce p Fee SarviceEntranCeSize N Fee Feeders/5ubleetlers # Fen Circuits 12,av U to 200 qm s 0 to 30 Am s 0 tn 30 Am Above 2 0 qmps 37 So 100 Amps 31 to 100 A s Swinvning Pool Above 700_Am s Above 100_Am s 7ransformers irn ation Booms Partial-"Other,Fee. L I ? SignS Speciallnspection 'S . i . (?;(„} G TOTAI. F ???(J/ emarks 1. [he Electricel t?Inspecbq hereby cerlily that the abova q ? inspaction hea been i' mede. '-;)11-7 Sy 9rC/? ; E 95886 a,5i i c?,? 9??6?3 flequest Data ` ^ Sire . Reugh-In Inspection Requiretl? ?Reatly Naw ?WIA Notlly Inspector ,[ &Ves ? No When RaeGy? I O licensed contractor .r I owner hereby request inspection of above eledrical work at: Job Atltlress (Sireat, Box or Route No.) Ciry L ? Secipn N4. TowneKip Neme or No. Ranga No. Counry k4 OckupoM (PRINT) Z Phorie No. ` - ,2dv?t 2?oa ?s Powar Suppller Adtlrass ' h a r o ' - Eledtiral Comracior (COmparry eme) Con4aCbr5 Licanee No. Mailing AOGress (Con4aclor or Owner Making Iretallalion) Autho etl gnaWre?( r w/Own?r Making ln Iletion) ? Phone Number . y z 9ob MINNESOTA STATE eOAqD OF ELECTFICRY THIS INSPECTION RECIUEST WILL NOT Gripgs?Mitlwey Bltlg. - Poom S773 BE ACCEPTEO BY THE STATE BOARO 7821 Unlveraity Ave., SY. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 60R-0800 ENCL0.5ED. REQUEST FOR ELECTRICAL INSPECTION eaooooi-m 1? Sea inetmc1i0ns far completing ihis fortn on beck o/ yBllow mpy. 9i QV a- ` 9 5$ 8 6 "X" Below Work Covered by This Request e Adtl Rep. Typeofeuil ing AppliancesWred EquipmentWiretl Home Range Temporary Service Duplex Water Heaier Electric Heating , e Apt. Building Dryer Olher (Specify) Comm./Industrial Furnace Farm Air Conditioner • OMer (specHy) ContrnctorN Remaeks: Compufe Inspection Fee Below: w # Ofher Fee # ServiceEntranceSize Fee # Circui[s/Feeders Fee Swimming Pool 0 to 200 Amps 0 to i00 Amps Transtortners Above 200 _ Amps Above 100 _ Amps Signs InspecwB Use Oniy: 7p7p Irrigation Booms Uj Special Inspection a.lamvCommunication Other Fee I, the Electrical Inspector, hereby certifythattheaboveinspectionhas been made. Rwgh-in FZ oate ome OFFICE USE ONLY This requesl wk 18 monMe Imm This re ,s mun C_ 39 Heq e4? Date u Fire No. I flouPn-in I?CsVe<tion Reqmred?'" ?fleadY NuwWill Noti(y Inspeo /?rJ I /ld / ?'es ?NO 7o/S? or When Ready ?Lice?sed ElecVicai Contractor 1 hereby mquest insDaction of above Owner electrical work installed ar. Street Address. Box or Route No. 'L(JZ ecUOn o. 7ownship Name or No. Hange No. Covnt OccupnntlPRINTI 0112 Phone No. ?19 34) Power Supplier 4k,5 •f'a F 1 e c. Address ? tF3ao -.2?o.t.E, S, ccJ ?,s?? Elec//A??/ cal /Co-ntr?ac?torf,(,Com/pany Name) Contractorrs License No. ? \N7? ??W'...•? Li 410 YJV-z- Mailin0 /address ICOnvactor or Own¢r Making InstallatioN '77tG ???w? ?!? r? s.c? _ s-?zc.?•?w ,?v A oriz S^atu (Co iactodOwner Maki g Installati.n) y{? Phomb¢r4 ?? .7 MNVNESOTA STATE BOARD OF ELECTflICITY TNIS INSPECTION REQUEST Wlll NOT Grigps•Midwav Blda. - poom N-191 BE ACCEPTEO BY THE STATE BOAND 1821 University Ave., St. Paul, MN 55106 UNLESS PROPEH INSPECTION FEE IS pA- 19121 297-2111 ENCLOSEO. ? . CITY OF EAGAN rJo 14 814 3830 Pilat Knob Road, P.O. Box 21-199; Eagan, MN 55121 BUILDING PERMIT PHONE:454•8100 Receipt u-?R-aD i? Tobeusedfor DECK Est.Value $1,000 Date APRIL 12 ,7988 Site Address Lot 32 E 2021 PIN OAK DRIVE OFFICE USE ONLY On Sde Sewage - Occupancy MWCCSystem _ Zoning On Site Well _ (ACtuaq Const City Water _ (Allowable) PRV Required _ # of Storiea Booster Pump _ Length Depth S.F. Total Footprint S.F. Parcel No 1 Sec/Su6. RAHN RIDGE ? Name DENNIS 60PSEY I ? Address 2021 PIN OAK DRIVE ° City EAGAN phone 688-0636 ¢ Name ?.,,....?...,.. . - ,.-...?..? ' o Address 1935 C0. RD. B-2 c`+ ?F city ROSEVILI.E phone 631-0450 r? W w Name FW _? Address aW CityPhone I here6y aCknowledge that I have ad thi applfpatiowgf?d state that t information is correct and a re to co pty alicable f Minnesota Statutes and it oa Or i S. c Si9nature ot Permittee A Building Permit is issued to: RIC AY- EMODELING on 1 he express condition that all work shall be done in accordance with all applicable State of Minnesota S[at/ut?es and City of Eagan Ordinances. 6uilding ONicial????(QL APPROVALS FEES Engr./ASSess. Permit 24_00 Planner Surcharge .50 Council Plan Review BIdg.OH. SAG City Variance SAG,MWCC Water Conn. Weter Meter Roatl Unit Treatment Pi Parks TOTAL 24.50 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121N2 13004 PHONE: 454-5100 C 1 C J BUILDING PERMIT Receipt p $55,000 1/2 DUP & GARE 7 b df t V l D t DECEMBER 22 86 o euse or s . ue a a e y9 SiteAddress 2023 PIN OAK DR Erect :n Occupancy R3 Lot 3 elock 1 Sec/Sub. RAHN RIDGE Remodel ? Zonin9 Rl Parcel No Repair ? Type of Const. V . Addition ? No.Stories s B.H. GRACE CORP Move 13 Lengih 40 z Name 2004 VIENNA LN Demolish ? Depth d? o Address 456-9030 EAGAN ph Ci Int. Impr. ? ? Sq. Ft ry one mstau a o Name SAME APProvals Fees ,°? ? Address Assessment Permit $ 298.00 m ciry Pnone Water & Sew. Surcharge 27.50 ? Police Plan Review 149.00 F w Name Fire SAC 575.00 ?? Address Eng. Water Conn. ?0?.?? gw Ciry phone Planner WaterMeter 63.50 I hereby acknowledge that I have reatl this application and state that the information is correct and agree to comply with all app"le Siate Minnesota Statutes and Ci i of Eagan Ordi ces. / Signature of Permi ?^-?- A Building Permit is issued to: B• x. GRAC?E CORP all work shall be done in accordance with all applicable State of ¢41nnesc Council Bldg. Off. 12 / 12 / 8 Var. Date Road Unit 290.00 Tr. PI. 156.00 r..e?? . . 0 - on the express condition that of Eagan Ordinances. Building Onicial ? ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 3 U ? PHONE: 454-8100 BUILDING PERMIT aeceipta 7obeueedtor 1/2 DUP & GARESt.value $55,000 pyty DECEMBER 22 ,1986 SiteAddress 2021 PIN OAK DR Lot 3 elock 1 Sec/Sub. RAHN RIDGE Parcel No. Name B• H. GRACE CORP Address 2004 VIENNA LN Ciry EAGAN phone 456-9030 i o Name SAME oi Address : City Phone F W Name ? n Address z a w Ciry Phone Erect M Occupancy R3 Remodel ? Zoning R j Repair ? Type af Const -v - Addition ? No. Stories Move ? Length 40 Demolish ? Depth 46 Int. Impr. ? Sq. Ft Install ? Approvale Fees Assessment Water & Sew. Police Fire Eng. Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg. information is correct and agree to comply with all appli le Stat? of Minnesota Statutes and Ciry,e{ Esctan Ordinaaces. / APC, Signature of A Building Permit is issued to: ll• aa . all work shall be done in accordance with all Building Official Var. Date N° 1 0 Permit -e ??u.Vv Surcharge 27.50 Plan Review 149.00 WaterMeter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies r,,,,, 2 ,059.00 ' on the express condition that State olMinn sota S utys and City of Eagan Ordinances. ? RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 657-681-4675 New Construction Reouirements . 3 registared site surveys showing sq. fl. of lot, sq. ft. of house; and all rooted areas (20%manfmum lot coverage allowed) • 2 copies of plan showing 6eam 8 window sizes; poured found design, etc.) • 7selofEnergyCalculations • 3 copies of Tree Preservatlon Plan'rf lot platted aRer 711193 • Rim Joist DetaO Optbre selection sheet (bldgs with 3 or less units) DATE S-I Y"C) 2 RemodeUReoair Reauirements . 2 wpies of plan . 1 set of Energy Calculatbre for heated additbns • 1 site survey for eMenor additions & decks • Indicale if home served by septic system for additions VALUATION ?5 SITEADDRESS 2023 P'n D& I Dr MULTI-FAMILY BLDG _Y _N TYPE OF WORK e.v,,o? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS TELEPHONE # 65'/-LlO5--1?330CELL PHONE # 6l2-Z ?GX-'QiP 4? " FAX # PROPERTY 654Z Z TELEPHONE# bsi-yos-833(j COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSO'I'A RULr:S 7670 CATEGORY 1 MINNESO'1'A RULES 7672 (J submission type) • Residendal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculationa Submitted Plumbing Contractor: _ Phonc # Plumbing system includes: Water Softener Iawn Sprinkler Pee: $90.00 Water Heater No. of R.I. Badis No. of Baths Mechanical Contractor: Phone # Mechanical sysLem includes: _ Air Conditioning Fee: $70.00 _ Heat Recovcry Systcm Sewer/Water Contractor. Ph "flioniscorrect,anda I hereby acknowledge th at I have read this application, state ihat the inform to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinanc Signature of Applicanf 7 Vl ? o .....------°°----------------------°°-'---"----_______"°-°°..------------------'- - ................. -....................... OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 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 O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Foorings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 6iedlund Engineering Services 9201 EastBloaMnptanFr«wa„ abon*ota% mhn"ooo smo LMI swwyws Clvll EnylnNn lan0 Plonnen Phonr 688-0269 ? surrle or?s Gert? ?cate BOOK _ PAGE - J06 M0. &' - S /8 itJRVEY FOIi: B.H. Grac.e QEMIKQAy: Lot 3, Blnct: 1, Pahn F:idge, City of Fagan, Dakota County, Minnesota and reservin?; ea:,erients of Pecord. E.9ST 35.00 930.8 932.0 - ? ?e ? O I v2e. I ? 9L8as' A;? , 34 92?. s \ -. V DO ? ?RoGOSEl? j4 ? h I N youS E '< PROVOyw? ? ?. ? 5C N N \ i. I i7.66 ySCe N ? 1 I 92a•?i _ q `? ZS•2 N6?R.M2 6 925•7 r? °1ti? Fi V I 22.33 Z N /.Q?o\3 921.8 h Zo.33 / ??b?' ? L) 2"i . l I 928•2 j j 929•I ? q? b6? //O• 0Z -; 412.7.5 4 26. 3 PI N ORK -ir-- - - 928.8 ? ?TOP Cf FOUNDATION a 928•9 DASLMENT FLOOR a 9Z57 ? GARAGE FLOOR u 928.5 PNOPOSED ELEVATIONS O EJ(ISTING ELEYATIONS ORAINAGE DIRECTION --r reoTIFIG?TE OF SURVEY DENOTES LOT CORNER O I D I haay cerlify fhaf on ! 2/ 5/B6 Z wrveyed the property deacribed obove and tAOt 1M above plof is a corrtcf repn"nfafion of wid wrvyr. Q'Lindpron, LIceXs• No. 14376 0 1986 HOILDING PERMIT dPPLICATIOH - CITY UF EAG9N HOTE: ALL COATRACTORS MQST BE LICENSED IiITH THE CITY OF EAG9N SINGLE FAMIILY DWELLINGS INCLUDE 2 SETS OF PLANSp 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS MQLTIPLE DSiELLINGS - RESIDEITrIAL R@ITAL UHIYS FOR SALE DNITS INCLUDE 2 SETS OF PLANSp CfiRTIFICATB OF SORYSY - CHECg iTITH BLDG. DEPT.9 7 SET OF ENERGY CALCULATIONS CObMERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATION ND 7 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE\?OND ? ??? ?.' ? ! ? ?. To Be Used For: S?D Valuation: S!?' ,,DOD Date: /a/8?86 Site Address Z02/ PjN Dk zle1YE Contractor -..5q-sr1£ - Address City/Zip Code Phone Arch./Engr. %1?nrejl Address City/Zip Code Phone # Lot ,3 Block / Pareel/Sub ic.y?R/ 12?D E Owner loeeP. Address Zb6y V/En/r/R- L-n/• City/Zip Code A?61W /?IN ,S5/ZZ Phone `1S6 - 90 3o Erect Oceupaney ?•3 Remadel Zoning ?.1 _ Repair _ Type of Const ? Addition 4 of Stories _ Move Length ? Demolish Depth .4(o Int.Impr. Sq Ft Install APPROYAIS FEES Assessments Permit Water/Sewer Surcharge Poliee Plan Review 1 4 9. F3re SAC 5-75• Engr Water Conn Sc% Planner Water Meter (03.'-° Council Road IInit 2 O, Bldg Offl Treatment Pl r sc?. APC Parks Variance Copies ?OTAL ,- 03 q/ /s;-? NOTE: 9DDRfiSSSS FOR CORNE6 LOTS - CONTRACTOR/HOMEOiiNEB MUST DESIGNARfi WHICH 9DDRfiSS IS DESIRSD. NO CBANGES i1ILL BE ALLONED QHCE HDILDING PERMI'I IS ISSDED. ? 1986 UILDING PERlIIT 9PPLICATION - CITY OF EAGAN AOTS: AGL CANTR6CTOES MOST BE LICENSED WITH THE CITY OF EAG6P SI9GLE F9MIILY DflELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUftVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DiIELLIAGS - HESIDENTI9L INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COHIiERCIAL RBNT9L DNITS F08 SALS UNITS OF SIIRVSY - CHEC% IiITH HLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL &-ST? 1 SES OF SPECIFICATIONS AND,1'" ENERGY CALCULATIONS, $2,000 LANDSC \I BOND ???a- 94 1 ' To Be Used For:' Valuat# Site Address Lot 3 Bloek ? Pareel/Sub R#IL/N )2406E Owner 13 p . ?v'tAt.r- ?F>2P Address Z04V 111FVyq- City/Zip Code C464N MAIS?51Z2 Phone ?Sb - -lj'O-?p Contractor - S.¢rm - Address City/Zip Code Phone Areh./Engr. '7-?A/6V Address City/Zip Code Phone ll PLANS, SS?UDd Date: /t-/??BZ Erect ? Oecupancy (Z•3 Remodel _ Zoning fZ, l Repair _ Type of Const Addition # of Stories _ Move _ Length 40 Demolish _ Depth 4G Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit 2Gf a, Water/Sewer Surcharge Police Plan Aeview t 49, Fire SAC S ? 51 Engr Water Conn 500. Planner Water Meter 6 3.F Couneil Road Unit Z°f0, Bldg Off Treatment P1 15(0. APC Parks Variance Copies TOT9L HOTE: ADD&ESSES F'OR CORNER LOTS - CONTRACTOR/HOMEOiiNEB MDST DESIGNATE NHZCH ADDRESS IS DESIRED. NO CH9NGES iIILL BE ALLOiiED OHCE BUI[,DING PERMIY IS ISSIIED. / / 9/ / 4 • / -C?d. - CJ / Gb'7 -/OI ? Ca/ 2/ ?/CJ? 4 7 ? 1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ? I? > INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE Wfi2CH ADDAESS IS DESIAED. NO CHANGES WILL SE ALLOWED ONCE HOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS Ik OF IINSTS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS COhIIMERCIAL INCLUDE 2 SETS OF ARCHITECTUAAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALGULATIONS ?^? c? ' To Be Used For: //`pSi a ce? Valuation: ?JrT?? ? Date: ?`/-d?- Site Address .??n?/ ,4e .apv OFFICE USE ONLY I Lot -Block On site sewage_ MWCC system Parcel/Sub On site well City water Owner !/LC/L?N/S /rG?'?Srcj PRV required _ Sooster Pump _ Address 12?1 /'"?!?G?i? _iole City/Zip Code Phone /???-Ci6? 3r' I APPROVALS ,?/ l / Contractor !?!'INiic"/ p?ic l7u> Engr/Assess Planner Address L?G.?/' ?-? Council Hldg. Off. ?-7 City/Zip Code.??I??'r(j? Variance Phone ?C.?? "G SlS 6 Arch./Engr. Address City/Zip Code Occupaney Zoning Actual Const Allowable # o£ stories Length Depth S.F. Total Footprint S.F. FEES Permit ;>q, oU Sureharge ,$D Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parka Copies TOTAL ? 15D Phone /F I y ? DESIGNER DECKSM`..,,,.,_?.?...?.,,.,,.]b!.......,. ..?,: M?`v . , ..,?;.. . . . :. .;,.' . A SearsAuthorlie9,Cr.onlrPCta .. . ? °..'.. ..':':;" 1835 Counry Rd. B-Y, 8ulta 708 ',. •. ? No.: ... ..,, . , .. . RoeOVllb. MN 56113. . :: . ... . - . Joh No.: .. ... .. : (612) 831-0460, ?,,.... , . .. . , r. .. pyp? ?/n. i Neme But Aaa?... 219 Z/ i iv oa Kc?ry zio I/wa, lhe avners d fire pemieee deaeri0etl Ealav, liareinafler MerreC ro at "PUrMaaer" oflarbcwnrad wi1hAMNE(A&EARSAUTHORIZEOCONTPAG aaunwWl.wnkaa.ervaimpor.urcremiwwce?eaY lOR1.MreinaMrnlerta0lou"COnVacbr".blmNeMllwron0arre?gelwVwWletiWl .., .. , . . .... .' S A u . i. _ ? ?g??u .?, • ?.- . . .. .«omino to the bib;;,A; swi (cnyl .. ' tsw.1 IZwI ... .. ? . ..?., . . .., .. . ...,.. ,.?,,:.. :, ,. ,.., . _. _. ,... . . ? ... .,.. ,._? .? ,,,. . ?.,i...,, sveaFicwTwHe hese s ilKaliom: - Seers epp? ve0 metetlele wlll Oe WmiehaE antl inaWled m t / .SCG?/'s /.f e' 2 G?a e Sa w. e iiv.? 7 ScArS dt.sT 2DA'8 Qc.rlg.ve?t Qecif'"? ? _ . . .. -?' . , .Sca .? Sea e s O?,tT ?,v fe i` ? B --• ? -?""`?? ?-- ? f C.noAj."T..,.? weitnnw e.em.: .-.- The CASH PRICE lar all MeferW (inclu0inp eny appliceble tli6counu) is i TarMS: Ceeh ? GaG3W1? 10 the ePPm01 M I?Qeall SaMS DapahmanQ Il ltua u a cuh treneadian, IM W rchw Dria ehall W pai0 as tdbm: Caeh Otrwn Paymenl { `??? ? Be?sxe PeyaOb II Ihis ic e credil Vaneaqion. theapreamentbrcretlitia conlainad In a eaperem0ocumeN whkh uir?carpon etl MiainbyreNrBnclBnOmeCeapYtMered. IMe the unAersi9?W ani, Mreby aWharuing r1MRE (A SEARS AUTHORREDCONTRACfOfi) b varily 0nE rwlew myburcntlG mcortl wilh an kidepm tlenlcretlilrepWUnpBpBncyaWrelOasetliBmlromallll6ellrtylrcurre0lrominWvxlMlomiMiDn{W srfq4 Verhal underemandinpe anE agreememe wIM repreeenlelivea ehall ro[ Ge Gn7in0. AlI untlaictanOingB 6nE eqreBmBniB mYtl W MI bM in wtltup en Nit Conuecl. ADOITIONAL PROVISIONS ARE SrRE00N REVEflSE SIDE AND ME P?A/RTry OF TIIIS GOHT^RA,?C'f. IN WITNESS WHEREOF PurchaNRc{ haw nereunta sipneC IMii name(a) thiY.1S? Olq' Of ?'?'?` 18 ?? anE ackwwleGpat raceip W a Vua copY athk ComM. (PflWI&IONSME SfATEG ON REVEASE) UNLEB60THfiRNI8fi6PEqF1EO.ITI6UNDEHSfOpD N E 1 FORTMIBWORK70BF.fiW.TNEPUROWABEPNICEOUOfFA ABOYEWILLBEHONOflEDONLY1lMIL ?• THIS MESSAGE APPLIE$ TO DOOFl-T4DOOR SALES ONLY.1bu the Purchaser(s) may cancel thiskansection at any time prior to midnight W the third businees day afler the date of thle transactian. See aaomppnyinp notlcB ot cancellation form tor en ezpl naUon o his right. y?L 6lpneturo afllw0 balow dw wu Y ncelpl YW PWeMwrM WAiwO •'?7? BBpBraleCenCYllYlu11Wr1M. SUBMITTED gy V,/O ' SIGNE R eeniWiw urc,?Y9' DW ACCEPfED (V?? • ??///I BY SIGNEO AuNar¢eGSipmwn Dme Pu?chewr ForAMRE. •.WpE Y? mvb mwY tl MwMan RMn00NIiW. NC { NOMMO bAMRE MGW IIIC AIV: IX1 ,v, f Deck Addendum Customer D•et AceaNOrNa (Chsek as eppropNab enA In0leete elze) _Cantllevar paekapa _On OrounE troe boz (N.C.) Raem Trel11s _Cornsr Wlnps _polllnp Back 8snch -Window Trollls _Plakeb on Bqlr r41s _Opsn Bwk Bsneh --- 4WitlM--- Prol._) _6ab (BHIs__? --PIOn1o Tabls _Opsn Wsavs U S. _COrMI PIanMf Box _pall Tlble L•ttiCa UMlteklrt eetenpular PIanUr Boz _SUn Trollls -Closed Pensl U S. ? RSIImouM Plmbr BoR _(WIAN:--Projeetlon:_) --Pwt Oueeats (s) anA Footer (a) Faet of Eatra Ralling Cuslom Cutting Work: _Utlllty MeNr Notehlnp w/oowr -Modules to bs cusfom cut _UtIIHy Mobr Notchlnp wo/aowr _J+lodulee eut erounC tree _Cuetom 8lzlnp (NO. ol Mod. culs_) _Rellinps _Cuswm FiII In l8q. -Othsr. Tear Out and Eiearatlon:CoMnelor to Haul awsy: Yp . No Jlsmow Ezlninp Wood Wck Rr0elr Muonary/Concrete/iluh _WICth---J!rol.pNv- - Itew Awninps, RoW, or rKwndon (HOUn:_) Jtsmove Exladnp Cmorft 8Npa/Landlnp ^ther _Wldth-ProJ.Elw._ 'NOTE: If afbr tM old sVUOtuN (1.0., olA Ewk, eonorNe atooD, N0.) Is qkOn down antl an" damape b4boowrMsuchurottsn enekWOreMppstlmewnary/DAckt.and/orothsr ur workt atmuet bs rsDelreC Dsforo e bs InNHISA, then wlll Es atl0111ons1 eharpe? etle ,„'r 1 'NOTE: tf the rt n ot uiil nea, metars, etc. la nxeesary the customer agra onalble tor the &tl0il10nBl CO . uetomer Inltlaq 8 i n 1 d Dlaanm of D.ck (IncWCS Iocetion of houw. alzs of Oack, slsvstlon. enC Iocetion of ell secsuorias end obatr? Elsvetlon?_ Horizantal Slaninp Pol VsMicsl ?$tertlny PoIN ??/ W e- t?t,uiREA ?10w- )4AN Ra%?S.? ?sF25 o,+ ssa,aS ol"En 3 R ? ? gZY ??f`??rs srmi 51G°'rnP`y 3100 ? N PVo-?ti? ? D?? 8ulldlnp PIk a --No- -•?(Cwlomer 1Id) JuHsdletlon Wltmo?r. ` Own Dalr. Owne . ?' c?- Dlnetlons to Job: (Glva Maln. Cross StreaU) Actoree ; < ? . !#?edlWnd Ea ?aeerin Services ?E«l?w-p : ??? eeo.wrw rw.r? yyp ? a f??j t ?}sR?'r!, ?NMf? GN? <?Mq LIII/ INIIMf? MM1?: M?'O?M r'i : sur?or?s eert?f "rcate aOOK_ P AGE - JOY M0. g?' S?. 4racr .. ?:s.t . ^t Y,+ ?4? .?? PA&CNL A: ? . 14114! Aaet of Lot 3, Blotk 1, $AHM HIDCB, Citv of RaCan, Dakota Couaty, 4.?Fia?otY, lyinR reatarly of p line drnun fruW a puint on the ''- .49vtMtste1'ly line of ssid Lot 3 distant 130.02 LCCI uorthwewt of the „ ursterly corqer trr.reof, ta n point on tha eoulkerly linx of srid hcstaot 53.88 fest esat of the aouthwest corner [Aereuf, sad ?tQ6411"vio{ •asemants of record. ' ? . s;i PA@CEL B: , . _. lAWt'Par! of 6ot 3, Block 1, RABN 9IOC6, City of 6agan, Oa4ota Coun rT ? .?,JrLoMmota ty, , lYing •astrrly of s line drnwn fro¦ a poiat on tbr ow'th?ut?rly 110• of arid Lot 3 dirtaat 130.02 faet northwnut of tpa ?'4•: 'Owt sasterly curnur tpereuf, tu a Point on thn southerly linu of eaid Lot 9 distrot 53.58 faat eart of Shr southreet carner therauf, apd . ?rrsoterviaa •asuentr of rscord. . '. i ?, ,r ? r ?, s. ? 93.IX! ??i x r- --- -.3 CEYIIfICATE Oi IOCATI4N Of .u..r,? I w..rr amiy uwI .. 1-29 •87 i ? , ?? ?:. ?? I laep ? Wh.w ?l Ilw IwO?ioe N Ih? . . ?o ?_a?ir!_.4Ase.16i?pei1y . _..._._.??-_ __ ?w_ ? 41w1 Ihu bmlion of 106J builYMy M .e.. pI.L e¢^?F ? 4w ( A O. Q? Z 7 . ?p. ??"??"`? ? ---„'??r.. .? . . ,?' • N '?Q SSq'p. ? 4 w W ?kb 1°r ??L I y Fs?sr,? J4 \ C? C ? r, n. ?}?'.?ij a Nous C N Y ErisraJS ? w . . E ? ?3? ', }- I 5C N Mo?sa ? \ Gw.e. i ?u ??'t • x.t.sa ? ?° ??? s r / , ? \ 75 EASr R.iiaoy J?j . ?0 2 1 P! N , a sua" i?Nr wnt?r nN? a 12 / S iBb i wrvy.e in11 Prop.ny a.criwa oeo.• ww tnor 1M YM? Wt ?? tqrnct rpn"pktoNan N wld wrvyr. ,?..- f 0. Indpnn. Llee • Ma 14376 T.Y1+1(:AL L?EC;K UtiA1L5 tvK_tiU" NVU[VU utWul. . . V 3ee Iti?a S r.ir :.• . _ ?? -? . v-?8?an??Iw?sT.ItwT1 C i+".Y? \ Ses Ffte 2lf.r 1'N1.R D?T.? ?S4a ?ya ?I /s ? . N?wt r1?1e llT.ci?Meff G Saalt?aF+? Hwaa fl+Ya AT..fu . . . .. - ?._ -. . /Dt . /a . .?_. , a. N ,.7 r.. c1c 4 tas 5«Ti.y DcT.iL it -See N?a ?lY t+? See ??aY ?• ? `Approvsd fot 60 paunds wilh posl spscln9 al one posf wsry 17 projectlon wiqh one post svsry B' puatlef lo house. k Y Psgs 1 : ' ; ... +..-,a' > ,Y.Te.......g .. , ?, ,-; . r -..:. . . ,___ ... .. . .. . ._ ;,.. .. .. r ?M' '- ' Y al .C 4# o.d 'ngineeri4g.`?Services Ew•mmone"Fim" Jq, ? ` ? ?!C?qM? WU ?n ' Wm1 P?aaA?n PMn??., yP4,0??i ?``'Y3 \ 800K _ PAGE _. . , a ?a.. Yie? -?' a+?"5§? • CY t. ., F ?, .. .p W'. c. 14q;-Z!a[+t gY 4ot 3, Black l, RAtlX BIDGB,City of Ragan, Dakota Couoty.. r,lyinR reeturly oP a line Arawn frum a puint on thn N PPrtAeASRarly liqe of Seid Lot 3 distant 130.02 fee[ narthrest of the ?.F?iP,?t:%ireatnr]y corqer t,hxrrof, to p point on che sout6ecly line of an;d ^vi 3' distant 53.58 feet east of t6e southwest coraar t4ernof, pad qx, P401"riqy saseoont• of racord. . ' . ' ?yiA s.U_ `sAar.part of Lot 3,,,Block L, &AtlM BIDOS, City of 6agea. Dakota County, y'.lkinog??otp,. 1y1aQ uaaturly of e lipr drnun froo n point on tba Aoiriheaiiterly 11ae ot •nid Lot 3 distaut 130.02 feet nortAwnut ot tAe :sost,eaaterly coreur t6ereof, tu a point on tqa aoutherly lina of eaid ?..,,wLot 8 dlstant 53.88 feat east of Rpn southrest corner thereot, aodzi, ea?eeqing aaaeoepte of rocord. , <;? ?fs .2` .,, ?• .. ; ?, $ '?. 4 4 ?a3 5 e_ CF 0? YIIfICAfE Of IOCATION OF wI? ?a 4:y }+??p "2 , 1 Mn6r ?wtiiy ?hy? w /-29•8T . " „`?"s?"` . c; 1 aw?N . wn.y .1 Ilu W?otisn alIhr • ?4. y .?y 6 c ? _ . ?S? . b ?X,?a,e'`?.L '? . SYIW{p0 OA IA1 ObYY dased do?r1 .. MW Mm 10e lstalian oi toiJ ?uilJlny N ' . t?y rawa ai the o6a. PW, : }:..: .'.,s ?4 t t ? • ? ?a N .. ?'\ sSpO. ,1h. aa ?Q ?s s t Erisrevc ? <r',, ??" e? . I 6C ro ° ? \ w 1).6't w ?V36 , ??t ?^t• ??,? ..{ . .. q • SG 176? ? . . ; - A _,f i w `J ? . ? .F ? ? - \? 11~' . dAU . , 9I' `? ,,• . A?' 3. r g k?t ,', " ?A.sr rr.i1aoi ?• .. lL7.3 6.3 RI N ORK ? ? --?----- - >??? Z'iw?r+qre?e?r ??u m r2/5 IB6 i.wwr•f tne prop.riy a•«iaa aovw ane tnoi ;?!t ??ow W9t 4 o eomar nonMnwuaa ol $Wo wnq. , P- w-- . ` J f 0. Intlpnn, Un • Np 14376 N i ' . . A ? l Z 2 0 2 r ?i nl o)4 K ? ? . ? rJ^ v O J ? M C1` CITY OF EAGAN ? APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION F------......--------------------_..__..------___. F^A'PF: PAYMF?Tr OF FEE AT TIME pF h APPricnnoN mEs Nar coNmTm F APPROVAL OF PERNffT. F F INSPF7CTION OF SESdFR ANID/O2 FIAZFR E TTLS^I'AT.7ATTQN$ wnL j'Dj' HE ,Sam- F MM vrrra. PERMIT xas ? k rPPx=. (Piease Print) 1) PROPERTY ADDRESS: ?9Q c2l P`y Ir LEGAL DESCRIPTION: 1?7 d 2n7-,3 ff)-h- /- IF EXISTZNG STRCCMRE, DATE OF ORIGINAL BIIILDZNG pEE2MTT ISSL'ANCE: PRFSENP ZONING/PROPOSID C?SE: (I?bnth/Yea r- ? COMRCIAL/RE1'AIL/OFFICE R-1 SINGLE FAMILY ? IND[-'STRLAL Q R-2 DL'PLEX (1D.o Pnits) ? ZNSTIZ[PfIONAL/GOVERNMENr ? g-3 TpWfII;pLISE (Three + Units) ( Lfiits) . q R-4 ApARTMENT/CODIDOMIDIIL'M ( Units ) 2) ? NPdNE: ADDRgSS : CITY. STATE, ZIP: PAONE: I rH. 3) u i: ?• - NAME: ADDRESS: CITY. STATE, ZIP: PxorE: ?'?f o2 :?'7o7G?. 4) " • a• tuAME: ADDRESS: CITY. SrATE, ZIP: PHONE: Plinnbers License: Active Expired Ncrt T'2COTded St?Inltial •5) MI v .. ? ? w: • ?• : ? • ? - ?• U?N[gCPSON 10 CITY SE,WII2 CONI0..TION ZU CITY WATIIt ri OTlIER ' . 6) ?? ? • i• C] PLEASE HOLD APPROVED PERMIT FY)R PICK-UP BY ONE OF ABOVE .--•----- E MAIL APPROVID PERMIT TD 1, 2, .¢. pBOVg : ? (Circle one) ' 7> OC 7 -ov p'?b'5:: J LL,?? y ? MASTER LICE[VSE# i FOR CITY USE ONLY PERMIT # ISSUED . c.v Pd w/Bldg. Permit FEES: $ $ /D SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLDDE SIIRCHARGE) $ $ WATER METER/COPPERHORN/OL?TSIDE READER $ $ WATER TAP (INCLDDE CORPORATION STOP) $ $ SEWER TAP $ S ?? O-fJ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ wAC $ sAc $ S TRLNK WATER ASSESSMENT - $ $ TRDNK SEWER ASSESSMENT $ $ " LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ I Z?`f `.?-a $ J// 0-'D TOTAL ?g3-?9 6 2 5?36 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: ? TITLE: I?JZ?fi ? DATE: I CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/011 WATER CONNECTION ----------------------------------- P ease Print 1) PROPERTY ADDRESS: •. LEGAL DESCRIPTION: " IF F.XISTING STRCCIL?RE. DATE OF ORIGINAL BL?ILDING PERb1IT 255['ANCE: . ? _ {Mon ear PRESEDTI' ZONING/PROPOSID OSE: q corMcIAL/xErxIWoFFicE Q IPID[)STRIAL f-1 INSTITUfIONAL/GOVEF2NNNIENNT NAME: S, /?/ AonRE,ss: 02u Z,/_ CITY. STATE. 2IP: ,y PFmn?? L 'S' ?Y9. R-1 SINGLE FAMILY ' Q R-2 DZ!PLEX (7WO Lnits) 0 R-3 20WNNt-IIO[]SE (Three + Units) ( Units) El R-4 ApARTMENT/COAIDOMINIUM ( Units) 3) ?- ?• ' , ,7 For CitY Use - ?: TFII?. - .? rPlunnbers License: ADDRESS: a /f'?E4 ? d Active CZTY, STATE, ZIP: F?cpired Not recorded PHONE:_ a` MASTER LICENSE# Staff 5=tidl 4) •• • i?• NtAME: ? ADDRESS: • . CITP, STATE, ZIP: PHONE: . r?s-srar--'* Yrrt*****#** dt'k* *tlYr*t*Y*Yr*lYekft#***RYi'F: PAYMFM OF FEE AT TIME OF •5) ?? v ? a• ?• : ? • a• • af - CONNECI'ION 1U CITY SEWEFt E], ?NNBMION 2U CITY WATIIt pTHER '. . 6) 11W PI.EASE IiOLD APPROVID PEEtMIT FY)R PICK-UP SY ONE OF AHCSVE ---- --- E MAIL APPROVID PERMIT TU 1, 2, ?, AWVE (Circle one) 7> : APPLICATION DOES NOr CONSrITUTE ; APPAOVAL OF PERNBT. : nasPncrioN oF sEWM Arro/OR waTEa : ZtasrAr.r.amrONS WII.L NoT ffi SCfED-- ULED UNTa, PERMIT HAS BEFN APPRdVID. \ FOR CITY USE ONLY PERMIT # ISSL'ED i ' ?3 Z ? Pd w/B2dg. Permit FEES: $ S /D '<-p SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLL'DE SURCHARGE) $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ??• O-b ACCOUNT DEPOSIT - SEWER $ $ ?? (fD ACCOPNT DEPOSIT - WATER $ WAC $ ? ? $ 5 AC $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ S ` LATERAL $ENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: TOTAL q3 ? 1?3C.3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : ? . /7j/D 7 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 11_ I 29 / s / SiteStreetAddress2if?1 loGZ,1li5 llYL `2021? Unit# Property Owner h? M v 4S i Ez J 1JJ jJ Aifv, k Telephone #(7Si ) 454- llf 7`l Contractor ???z(?? h1 ??1 fivlb"W!? Telephone # 09-) ?301-6 C,3(,-. Address 2II91 ?I 7oSj City --16fc???1 State Klti? Zip 1553 Z The Applicant is: _ Owner _ Contractor _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 putting in a water softener and/or water heater at the same time. If ?oq are installina onlv a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5l8" meter is required) Other: Water Softener ? Water Heater $ 75.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby ply f r a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work II be i confor e with the ordinances and codes of the City of Eagan and the plumbing codes; that I unde stand is is not per it, but only an application for a permit, work is not to start without a permit and work will 6e in acc r e w'th th prp ed plan in the event a plan is rec?ire to be rev'ewed and approved. O ApplicanYs Printed Name ApplicanYs ignature