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2025 Pin Oak DrCASH RECEIPT ? t CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DA7E 19 RECEIV6D FROM :V ?Y? . : C. C? ?_y L-j?? AMOUNT i ? ? ? CASH JZ?CHECK c? ' ? ? ? . ? • i' sY / C(d / White-Payers CoRY YeVVOw-Posting Copy Pink-File Copy Thank You ?? CASH RECEIPT ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 r „ wecsiveo FROM ?? 1 AMOUNT F . t ? CASH ip'CHECK FOR f../ .V? l/ ? 1 '..??I.L,[_.- ?? ?7 ? ?7 ?C ?/ J' / ; BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You SLDG. TERMIT N0. • :? ?' / ?? ? .? - .? S- ? ?? 7 01-3210 Bldg. Perm?t v . . . 01-3422 Plan Check o v 01-3445 Surch./Adm. cl 01-3446 SAC/Adm. /? ? l (> 01-2155 Surcharge 47-3860 Road Unit 20-2275 SAC `20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CIl'Y OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receiptik To be used for L? • ? Est Value - ' ' ? - Date • ,19 Site Address OFFICE USE ONLII Lot " BIOCk 1 Sec/Sub. ' 1"':' -•„ . i. On Site Sewage _ Occupancy T MWCC System _ toniny Paroel No. On Site wen T Type of Const Cit Water _ (Actuaq ' y bl ll ° a Name ,li• • owa e) _- (A W z Address ?-? . ? of Stories Length ° City Phone Depth ,• F Total S . . , p Neme Footprint S.F. ? i Address APPROVALS FEES ? City PhOnB Aasessments _ Permit Water/Sewer _ 5urcharye ? W W Neme Potice _ Plan Review F W = a Q Z Address Ciry Ph Fire Engr. _ SAC, City _ SAC, MWCC _ c W one Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unlt that the information is coRect and agree to compy with all appflcable APC _ Treatment P1 5tate of Minnesota Statutea and City of Eagan Ordinances. Variance _ Parks Signature of Permittee Copies TOTAL ? A Building Permit is issued to: on the express condit{on that ail work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea Building Official ' Permit No. Permit Holder Date Telephone ?e Plumbing .. ,. H.V.A.C. -2 -/)1' Electric 9/',?`y? Softener Inspection Date Insp. Commsnts Footings I Footings II Foundation Framing Roofing Rough Pibg. . = Rough Htg. - r-- - - I5ul. „y ??. A- 4,T FirePlace Final Htg. Final Plbg. Bldg. Final 7_5_i7 e. Cert Occ. ,9-y-? 6' Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. G : ?- ?, . , . . ? ..„ £. . . .. . , . . . ) .,? ? • " , ,. PERMIT # Sf 7.? 7 • , MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG TYP . E WORK DESCRIPTION Lot?T Block / Sec/Sub J• Res. New -? . Mutt Add-on - " ? Name PALi to ? Comm. Repair ? SV e Address { t 1.9w?.. ( c Ciry P ' p ? ?, Ph n L - 14 4 Other , t t a a o e FEES Name RES HVAC 0-100 M BTU -$24 00 c Address s . . ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C aN NEW CONSTRUCTI ON) GAS OUTLETS MINIMUM 1 PER PERMIT 1 50 EA - ( . . ) - TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU •~ APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other LL ?v FEE nn- S/C: SIGMATURE OF PERMITTEE TOTAL: FOR; CITY OF EAGAN x!? . ?• ? ?- (Irr#i#iratt of Mrrupttriry Citp of tagan loPpartutPtt# of lo1ttIding JWPtYimt This Certificate issued pursuant to the requirements of Section 306 of 1he Uniform Building Code certifying thut at the time of issuance this structure was in compliunce wrth tke various ordinances of the City reguTating building rorrstruction or use. For the fo!lowirtg.• uac Claseffintioo ?!?G 1?R Fi L''?' Bldg. Rrmic No. 14" RI, ' T,r Otcupsxy Type 1? 'F Znaiag DistriM i" I TApt Cons(. ?i ? Owoer of Building ' Building Address PIPI OAIC VT Iocifih, 11+, B 3 y RAT: u.te; JULY 9, 19,97 Buaaing ofricial POST IN A CONSPICUOUS PLACE PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ? ' 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 4s4-e100 For Office Use Only: Site Address BLDG TYPE WORK DESCRIPTION Lot Block Sec/Sub . Res. New Name _ Mult Add-on ?' ? Address Comm. fiepair c City Phone Other FEES ? Name RES. HVAC 0-140 M BTU - $24.00 Address _ ADDITIONAL 50 M BTU - 6.00 3 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMII) - 1 50 EA . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CaNDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIQENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. ' M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Oudels # BEYOND $1,000) Other FEE FR EE SIFQ S/C: Y /0l7G TOTAL• FOR: CITY OF EAGAN IUACrIVA7E F'OR DEM-PLAIC ,. ' . _ nALE -ELasSENe 688-29&F ' . CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# To be used for . Est. Value •:' ?? ' Dafe Site Address Lot Block Sec/Sub. ' Parcel No. oc Name 3 Address 0 Citv Phnna ' W. o Name . ? ? Address 1E City Phone u¢ y? W Name Address ? W= ? City Phone I hereby acknowledge that I have read this application and state thaY the information is correct and agree to comply with all epplicable State of Minnesota Statutes and City ot Eagan Ordinances. OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (ActuaQ (Allowabie) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit Water/Sewer _ Surcharge Police _ Plan Review Fire _ SAC, City Engr. _ SAC, MWCC Planner _ WaterConn. Council _ Water Meter Bldg. Off. _ Road Unit APC _ Treatment P1 Variance _ Parks Copies Signature of Permittes TOTaL 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 Ciry of Eagan Ordinancea Building Official ' Permit No. Permlt Holder Dats Telephone Piumbing 9 H.V.A.C. Electric /5? " Softener Inspectlon Date Insp. Commenta Footings I Footings II Foundation Framing Roofing Rough Plbg. • - ? Rough Htg. ?7 L'• ?, - ,. ?- Isul- ?r c_. jf. NrsT 1?A'v - !c5-l/G T' ..w o FirePlace Final Htg. _,y.f7 Final Plbg. ) z _ Bldg. Final .tr.y7 (; _ f? Cert. Occ. -/?c,y ? - `'j • ;,,P- Temp. LP Deck Ftg. ? 4e-),& Deck Frmg. Well Pr. Disp. t. •. ,? 4 (gtrtifiratit of Mrrupttnry titp of Cagan lipparmncs of Iiuilding Jmprrttnn Thrs Certifrcate issued pursuant to the requirements of Section 306 of the Urdjorm Building Code certifying that at the time ojissuance thrs structure mAas in compliance with the various ordinances of the City reguJating building construction or use. For the followittg: ux c?r,?.aoo 1/2 DtJP 6 CAR HM& R,ni;t No. I,?, :i o-PL-Y rnx it:i zoo;ng Didrict n, rype consL owm of &ama B. H. MACE A*hm 'l X-?4 VLIT4?A LtaL+E, P.AGt1N eW&M Addm i'[?2S f`t*a OV LoaUty IA, B 1. R4€iN RIDGE aW,aing oerwW n,te ,A.iLY 21+, 1987 POST IN A CONSPICUOUS PLACE PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE PHONE: 454-8100 Site Address % L ' Lot Block Sec/Sub ? ; .. ? m Name ?' - c6 Address ? i • c City ? ? • 4 Phone `a Name L c Address - p City Phone FEES COMM/IND FEE - 146 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 BEYOND $1,000.00) ? ? r SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN ZT.Ik},- _ PERMIT ti '11/ ? RECEIPT # -3 DATE: '7 -7 BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 s l, - ?Bath Tubs - $3.00 4 2-Lavatory - $3.00 ? Shower - S3.00 __:?__Ki!chen Slnk - $3.00 ?• ?:. Urinttl/ Bidet - $3,00 =-- - - --- -'? ___,ZLaundry Ttay - $3.00 14-Floor Drains - $1.50 ? __?_Water Heater - $1,50 Whirlpool - $3.00 ___3_Gas Piping Outiets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 PrivatQ Disp. - $10.00 LRough Openings - $1.50 FEE: STATE S/C: " GRAND TOTAL• S 1? ? CONTRACT PRICE Site Name /.XL^tf0 W?'• Q ?c Address IQ40! Ner MAL?.i? c Ciry pt ; Ar Ld t. Phone :• PERMIT.#' J ?; MECHANICAL PERMIT 74'` CtTY OF EAGAN RECEIPT # , 3830 PILOT KNOB ROAD, EAGAN, MN 55122 w DATE 6??II1 ?7 - PHONE: 454-8100 T ? Sec/Sub BLDG. TYPE Res. x Mult Comm. Other WORK DESCRIPTION New x Add-on Repair FEES ? Name RES HVAC 0-100 M BTU -$24 00 c Address . ADDITIONAL 50 M BTU . - 6.00 p City Phone - (RES. HVAC INCLUDES A1C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM - 1 PER PERMIT =1 50 EA TYPE OF WORK ( ). COMM/IND FEE - 1% OF CONTRACT FEE . . Forced Air ITT M BTU p APT BLDGS. - COMM. RATE APPLIES _ TOWNHOUSE & CONDQS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON S Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Oudets # BEYOND $1,000) Other FEE: • ? ia"o S/C: ? SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN CITY OF EAGAN Permit No: Date: 'i -, 3830 Plln? Knob Road Meter No: ? a Size: P.O:'Bcx 21189 Reader No: " Date: ?-!? ?? Eagan, MN 55121 ? Owner.- B. ?T. Crace CorU SiteAddress: 2027 Pin c7ak Drive L4 Rl natm i>i t?e Conn. Chg: _ 5 2 5 .OOpd ? ??N I l??n : ACCt. Dep: 15.!1?n;? . ?U??i? Permit Fee: 1'' • ` ?- CyS ?`y, Surcharge: r Cit ? Wfth ? Tr. Plant y oi Eagan e iDL tl? p D in Wr Meter. ? M isc? gy WATER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road R O. Bo?ci't 199 ? Eagan, MN?S1Yf ? no ?oning: Owner: P ' H. Address: Sfte Address: ? 0' S Plumber. Tom I 4 -"'?B`f?re dktgtdA,cfi2'PW4 utalltfes 100.00pd I agres to comply wlth?q1?1arICT?aWiftharge: 495 O0pd Ordlnances. DcQUIREa ?9c,c?Q?ppsit: ? 5 ?)tl?]???l t? G. ?r ?Y 1 p Surcharge: , S?'ud By Misc,,Charges: _ .• ? Date of Insp.: Totat: :- ' . ' ? - ` CIT1f OF EAGAN Permit No: a6?'3 Dete: 4-"'`? 7 3830 PNot Knob Road Meter No: ? Y(e S1Ze: '7 G1 P.O. Box 21199 . : Reader Na Date: S' /q-z7 Eagan, MN ?i21 Owner. L. H. Grace Cor?,. SiteAddress: 2??25 Pin Oak t;rive L4 i?l Ric':•?e Plumber. T??m iIessian Plumhi? Conn. Chg: '-'D• uVp aaru sA?v?'Zbnin 15. ???J d 1 Acct. Dep: Permit Fee: Surcharge: r ?I r?ply wllh fhe C(ty of Eagan Tr. Plant ? ? =? • ? ? ? I?noea. Meter. Misc.: B. WATER SERVICE PERMIT y f; SEWER SERVICE PERMfs' ?tCJ.: "? 7 _ Uzr / {/ - i?7 Grace No. 01 Units: OF EAGAN SEWER SEHViut rcRmi i Pllot Knob Rpad ' OLE 15 , Box2Y198 . ; PERMIT NO,: 27777 n, MN 5512,f? 1 dATE: p?plex i9; No. of Units: ) . ;! . Grace Corp. R r 4-22-87 2 W L3SWMIV??.•'''I 'Jf????feS 100.00pd rt ? i 5?5 Q(1?_ to comply wilh theff*WkWi&- c?:?drtiiecti?FF?l?ge: ls n???_ ,ce& REQUIREMA?Fe?el'?"?V of insp.: CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Zoning: r Owner. ? Address: ?T Plumber: lfim r.essz:lit :"m1R171i1g 4-22-8'7 7'17:?r: 727n7 100.00gd I agree to comply wilh the City oi Eagan Connection Charge: 525,00W ?-- Ordlnances. Account Deposit: 15, O0pd_ Permit Fee: 10. dOnd Surcharge: • 5?pj2 By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN 3830 Pliot Knob Road P.O. Box 21199 Eagan, MN 55121 Site Address: t.rac e SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of UNts: PuplEx Permit No:_ Meter No: _ Reader No: Date . ? 8664 Datec 4--22-2^7 Size: _ Date: ' Conn. Chg: _ . 0flpc Zoning: ? x ?irl? Acct. Dep: 15.4??nc' . No. of Units: Permit Fee: 10. Ot?rxi 5'^p`{ I agree b comply with 1he City ol Eagan Surcharge: Tr. Plant 1V0• 00pd Ordinances. Meter. ?¦? '"40 Misc.: By WATER SERVICE PERMIT Knob Road P. g • Crace SEWER SERVICE PERMIT PERMIT NO.: 9 u? 14 DATE: No. of Units: T)t lex Ada?Qss: Site Addrass: 1025 Pin Osk 1lrive Ly 8I Ral-:n Fici e Plumber. ?raV11 Hessiaa Plumbi.n?. 7 7T7t;6",727c37 Ic?n.00 d I agree to comply with ihe Clty ol Eagan Connection Charge: P 5'? 5 Q0P& _ Ordlnances. Account peposlt: Permit Fee: 7 Y1 nn a B ' Surcharge: SD?? y Misc. Charges: Date of Insp,; Ta?l: Insp.: Date Paid:- _ CITY OF E:iGAN Permit No: 3 56-1 ? 3830 Pilot Knob Road Date: l+`12?g7 P.O. Box 21199 M??r No: Sixe: Eagan,.MN 55121 Reader No: . Date: ? Owner. ? • • • (:race Corn, Site Address: -°:Ln Qak Dr3ve L4 B2 Rahn gid e ' Plumber. TQ'I -;assian ^iurr.U:Lnc Conn. Chg: r'S •+?a d Zoning: n? 4cct pep: 15.00 d No. of Units: 'ermit Fee: ?3 I ?? • ^n .3 iurcharge; • 7,i'nd I agree !o comply witfi the City ot Eagan . rr. Plant IF? •''} d Qrdinances. Meter. Aisc.: BY WATER SERVICE PERMIT ThiS rnQUest C 8 rcqnths Irom ? . . 9728 5 NeqiWelt Daie S J Fire No. Bough-in Ing ection Ne mretl? 6Ready Nuw? WiiI Nolify.lnsPec - / /? Y Yes ?NO Ior When Neady icensetl Electrical Contractor ? I herebV request inspaction of ebeve Owner elechical work inslalled at: Sveet Address, Box or floute No. Citv z&Z s? 4 „? uK L-.? a? acUOn o. Townsnip Name or No. Nan9e o. County Occupent (PRINT) Phone No. ys ? /re. ?4 ra ce- . Power Supplier F C ACdress ° '-"+ V j+ Ka c c, .t /rt r 4 G 1 Elecir al Contractor IC pp nv N mel • ? ? ? Contractor's License No. a 46a?6 ri /?? a0 ? av Mailing AdJreas ICOnhacror or Owner Making InstailauoN . t r'l4 r G ? t C 9 , . .. I, 7 ?G ?E?e ? Amh eE S?enamre ( ontt lor Owner Making InstallatioN Phone Number 1-1 1 3s Gd''i` MINNIdOTA STATE BOARAF ELECTqICITY THIS INSPECTION qEQUEST WILL NOT illijkLma-Midway BIdQ. - Room N•791 eE ACCEPTED BY THE STATE BOAND nivereitv Ava.. St. Paul, MN 66104 VNLESS PNOPEN INSPECTION FEE IS ??lRyl_mnn ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION es-o>oooi-os ` If See insiruttiona lor completinB thia tarm on beck of yellow copv. C - 9 7 R.'rl x" Below Work Covered by This Bequest -? N*WAAd Reo. Tvoe o} Builtlinu r Aooliancea WireO Equipment Wirea ? Electric Heati 1 I I I Industrial BIAa. I I Air Conditioner I I eulk Milk Tank I N Fee ServicaEn[ranceSize p Fee Faeders/Subfeeders ? Fee Circuits 6 0 Um200Ams 0 to30Ams 700 0 tn30Ani Above 200 qmps 31 ta 100 qmps 6 0 31 to 100 Arnp s Swimmin Pool Abave 100-Am s Above 100_Am S TranslormerS Irrigation Booms Pdrtial•"Other Fea aigns aUeciai mspecuon xemafks / ?'/y/rp TOTAL FO& ? ir t 1. the Elecvical I 7 Inapector, haraby carUly ihet the above Z`?? ? made.ction hes bean This 1e9uest witl ? mohfr 9 7 2 8 4 7 -,?? ?" 5 -/ Nequ?t ate-- Fire No. Po?eh n Inspaction P qwied? Ofleady Nuw Will NoIifv InsPec- ?(p es ?NO ?or When Ready ? LicensedElecVical Conlrector 1 hereEy repuast inapaction ot ebove Owner elecVieel work inetalled at: Street Address: 6ox or Noute No. j/W? PrnZ 0.4K ?c? City ?: A /Y? a/ , a n eclion o. Township ame or No. Nange o. County Occupani (P111NT) /3, f?• CrCiC'P. Phone No. ?l6..30 Power Supplier Aadress f .a s l?a - e c?- s/ti -A?e ?tiru Electn al Contraclor (COmvany Name). ? ?^? ? Cnntractor's License No. riu a E =G d 0 Z? Mailina /+tldress IContracwr or Owner MakinB fnstailatioN 9;Ile C owcitf, 111 6st Am rize SiBnamr (CoMra or/Owner kyking Installation) • Phona Number `r?3.??10??7 1 MINNESOTA STATE BOARD OF ElEC7I11C17Y THIS INSPECTION HEQUEST WILI NOT Gripga-Miawey Bldg. - Room N-191 gE ACCEPTED BY THE STAiE BpARD UNLESS PPOPER INSPECTION FEE IS 1821 Universitv Ave.. SL Peul. MN 66101 Vhone 16121 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-o?s7 ? Sae insfrucfions for complatinq this lorm on Eaek o1 yellow topy. / - "X" Below Work Covered by This Request Adtl Nep. TVUe o/ Builtling Apoliancea Wired EquiVment Wired l Home Range Temporarv Service ? Bulk Mi p Fee SarviceEnimncaSize Ir Fee Featle,s/S.b(eeders B Fae Circuits 0 to 200 qm s 0 to 30 Am s 7•?0 0 to 30 An? Above 200 qm u 31 to 700 Amps .a6 31 to 100 AMPS Swinvnin Pool Above 100_Am s Above 700_Am ' Transiorme?s Irripation Booms ? O Partial-'Other Fee U _ .1 Signs ? I ISpeciallnspection ? ?, , F _ /?? Remerks -'?4•.S? TOTAL K / Elecbicnl ???? ??V ) ?? ?^soecbq ?eraby ceFlily lhei the abova Finel D'nle ?j ingpection has Oeen , l1eC 7?7?/ moEe. Rtls raquast roltl 18 CITY OF EAGAN N? 13 4 8 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt# 7?9N, Tobeusedfor 1/2 DUP & Qar Est.Value $55,000 Date APRIL 20 ,1987 Site Address 2025 PIN OAK DR Lot 4 Block 1 Sec/Sub. RAHN RIDGE ParcelNo. a Name B.H. GRACE CORP ; IAddress 2004 VIENNA LN I o City EAGAN phone 456-9030 , o Name SAME ?a Address ? City Phone rc W w Name f i ? Address gw City phone I hereby acknowledge that I heve read this apDlicatian and atate that the information is correct and agree to complywith all applicable Stete of Minneaota Statut and ity of Ea n nances. Signature of Permittee ? A Building Permit is issued to: B.H. GRACE CORP all work shall be done in accordance wlth all applica e State of I Building Official OFFICE USE ONLY On Site Sewage Occupency R3 MWCCSystem x 2oning R1 On Site Well _ Type of Const City Water x (ACtual) V (Allowable) t7 # ot Stories Length ? Depth 46 S.F. Total Footprint SF, APPROVALS FEES Assesaments _ Permit $ 346.00 Water/Sewer _ Surcharge 27.50 Police Plan Review 1 7'i _ np Fire _ SAC, Ci[y 1 on -nQ Engr. _ SAC, MWCC 595 flp Planner _ WaterConn. _ ca op Coundl _ WaterMeter 6?o? nO BItlg.Ofl. _ Road Unit vO APC _ Treatment P7 41go QO Variance _ Parks Copies TOTAL $Z, 24$.5O on the express,condition that Statutes and City of Eagan Ordinances. CITY OF EAGAN N 0- 13 4 8 4 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 i PH ON E: 454-8100 , BUILDING PERMIT Receipt# v?70J i Tobeusedfor 1/2 DGP & gar Est.Value $55,000 Date APRIL 20 .1987 SiteAddress 2027 PIN OAK DR Lot 4 elock 1 Sec/Sub. RAHN RIDGE Parcel No a Name B.H. GRACE CORP ; Address 2004 VIENNA LN ° City EAGAN Phone 456-9030 ¢ Nan 0 ?? Add i- City City I hereby acknowledge that I have read this application and state that the information is conect and aBree to comply with all appticable State oi Minnesota Statute?snd ty of Ea rdinances. Signature of Permittee A Buiiding Permit is issued to: B• H. GRACE CORP all work shall be done in accordance with ali applicable tate of 1 Building Official OFFICE USE ONLY On Site Sewege _ Occupancy R3 - MWCCSystem _X 2oning ?? - On Site Well Type W Const V City Water ? (ACtuap _ _ 4 (Alloweble) # of Stories Length 40 Depth 46 S.F. Total Footprint S.F. APPROVALS FEES Assessmenis _ Permit $ 346.00 Water/Sewer _ 5urcharqe 27.50 Police _ PlanReview I /3.00 Fire 0 _ SAC, City 100.0 Engc _ SAC,MWCC _SZ,S...QQ Planner _ Water Conn. 57 S_(10 Couocil _ WaterMeter 67 nn BIdg.Off. _ RoadUnit 305_f10 APC _ Treatment P7 1 A(1 _ fl(1 Variance _ Parks Copies - - 0 ?.'17i?. 5 TOTAL $ s _ on ihe express condition that and Ciry of Eagan Ordinances. nd Engineering Services 9¢°'E°s'?'°^? ?+??? ? lrrvourere Clrll Enpineen Land Plannen PhoM: 889-0269 ? sur"or's GeYtificate - - BOOK _ PAGE _ J09 N0. 879-2-4-3 SAyV PM; B.H. Grace Og"IM Aq; Lot 4, Block 1, RAHid R,IDCE, City of Eagan, Dakota County, Minnesota, and reserving easements of record. TOP OF FOUNDATION = 932.4 GABAG$ FLOOR BA$SIGNT FLOOR s 932.0 = 911.t . EHST /OD DU BMR SBRVICE ELEV. PR?03HD fiLEVATIONS = 934•? ' - - - - 93?•0 SSISTING ELEVATIONS DRAIiiAGE DIRECTIONS DENOTE3 LOT CORNERS :O I DOdTSB OFFSET STAIM,: ? ?' I! I I ! i?) ? --------,. I I 54 10 - - - - - ?? 4ROSED ?k 3y _PRoAoSED w H4S1`a?_ N G ?? , ? j? ? ? N tl4l15 E. e 5G 17.67 ? 1 ? i7.47 cc' 0 E-D 4 GAR GAR ti a , I I? ? j • ? Zo•33 •? \ J z&7 ?0.33 5 ? So i c ? W ? - 930.6 _ ' 0 929.1 O .00 ST , 930.3 926.a P/N OR K OR/VE CUTIRICATE CF SURVEY p I M?eby CKtlty fhof an 4-/ I L/87 I wrv*"d"tM property deseribed Obove and fhot tho obere Olot Is a wrreet rpresoototVon of wid wrvey. , Jefi I ren. Llcense . 14376 : ?lo?? f 82 ••• ? 1987 BDILDING PERMIT APPLICATION - CITY OF fiAGAN SINGLE FAMILY DWELLINGS . IHCLIIDE 2 SETS OF PLANS, 3 CERTIFICAT&S OF SQROEY, 1 SST OF ENERGY C6LCOLAiIOHS NOTE: ADDRESSES FOR CORNfiB LOTS - CONTR9CTORlHOMEOWNER MDST DESIGPAiE WHICH ADDHESS IS DESIRED. NO CH6NGSS WILL BE 9LLONfiD ONCfi BDILDING PERMIT IS ISSIIED. MOLTIPLE DidEL,LINGS - RESIDENTIAL RENTAL ORITS FOR SALE ON'ITS f INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVSY - CHECg iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS C0M416RCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND _ /Z Tw? To Be Used For: Valuation: Date: Site Address lA.1:n,9K Lot ? Block I Parcel/Sub Owner R. Address 2-p0 Cl ?j pNAlA L,4Ne_ City/Zip Code Phone 4r(p - 9,c730 Contractor t, ?L 07-/t4c F lOAA Address City/Zip Code E ,.cx-C 'Alj Phone a Arch./Engr. Address City/Zip Code Phone 6 JR OFFICfi USE ONLY On Site Sewage Occupancy MWCC System ? Zoning {Z•I On Site Well Type of Const City Water (Actual) ? (Allowable) ? df of Stories Length t(O Depth [?lo S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit 3 4? Water/Sewer Surcharge Police Plan Review Fi?re SAC, City loo. Engr SAC, MWCC 525 Planner Water Conn SZS. Council Water Meter (o-?. Bldg Off Road Unit 3oS APC Treatment P1 (So. Varianee Parks Copies TOTAL ? I ??ocrfD? -3 - -- -- ??r?? ? ? 1 .._.. ?• ities Di2ital 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. 1' 1`5 i, L?WW ?? ? ?f'? ?Ci ?? I -ti 1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 7 SET OE ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSQED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECS WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: ?e-C Valuation: Site Address 2025 N:A ow? R/0 F- Lot I'f Hlock Parcel/Sub Owner {Ja/CL rOSS/IQr!' Address 2a2 '?? 1?.'h C&k fJt•' City/Zip Code &qg*1 5-3-/2 Z Phone Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone 11 Date: On site sewage NPdCC system _ On site well Ci*y water _ PRV required _ Booster Pump _ APPROVALS Engr/Assess Planner Couneil Bldg. Off. Varianee Dceupancy Zoning Aetual Const Allowable ll of stories Length Depth S.F. Total Footprint S.F. FEES Permit Plan Rev w SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment 1 Parks Copies TOTAL y, r ? t' . 'v Hedlund Engineering Services ?Eat Mmrnp?onF?w.q abm"owt. mr?m 55Qo Les1 Suriyors CWII Lapaws LanO PbSnOn Yhaw: 460•0289 lim oi ?BOOK 98_ PAGE 50 • j(g No. 87R•243 SUNVEY fOR? B. F[. Grace Corp. KSCA1K0 AS: PARCBL A: aL3'J P'M p+C tAat perk ot Lo! 4, Block 1, pABN RIDaB. Clty of Bs`sn, OsYate County, Minnawta, lying restarlr of s lina drawn fram • poinL ao th• norlR lia• of •ald Lot 4 dtstaot 60.00 taat wut ot the aortheuC cornsr theraot, !o e Doiai on the •outA lina af •sid LaL 4 distao! 60.00 taet rest ot the southaut corner thareot, nad raserviog uaameat• of record. PARCBL B: .'LO;a< F14 O*K That psrt of Got 4, Block 1, dABM NIDa6, City of Bs`an, OeNota Couqty, Minnesots, lyinq eaeierly of e Iine drnwn from a point on the north line ot said Lo! 4 distant 50.00 feat west of the northrsaL corner thereof, ta ¦ point on the ¦out6 line of eeid Lot C diateat 50.00 feet went of the ¦ou[6east eorner tharaof, nnd reservin{ aesemeot¦ of record. CEYtIFtCATE Df IOCAhOa W oYMJI.YO 1 6aeo6y sonily fhal w 5/1/87 _ 1 nwN a srney ol 1610 b<..tiaa sf ta, aiaiaa " ihe a6ere eevrihed yrepdrry on1 iMol iM Ixciion al .ai0 WUdy b rrnauY Worn a0 1b aWr yYq 934.0 -??-?-_- 10) u ? ^ 1 ? 1 , • ? 9'to?1 I A ?o s I I =? I ?? ? k. I R,e?sco ??USE w? ? Z ? ,° tf?USF r 5C ??.w7 ? ? izcv SC" I N 6Fk 1z•33 ? ' 1a31 y-',.,, ? ? y I ? $p. u go.bo. , . ,92Y.1 P//V ORK OR/1/E CfRTIfiLATE Oi SURYEY ?= n.ray c.rner mof m 4 i i c. i67 I wrrepW tM propMy OrsalOed o0ow aw tnot the above pm It a conaot nprauntatlon of wid wrvh. , ? \.._!' ? Llanse MA 14376 - ------ ? G?S'I-- ? Lr.? J I IZ/??- CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION R-1 SI xxw -xxx- xxx,.xw,.xF:x,.==x=-f,.x?,.xx,.?x Pease Pr1nt 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: I£ EXISTIDIG STRLY.ZS.TRE, DATE OF ORIGZNAL B(IILDING PERMIT ISSL'Af1CE: ' 1 PRFSENr ZONING/PROPOSID OSE: «"?Dn Y?1 [] Ca44mCIAL/RETAIL/OFFICE 177 IDIDL?S"I'RIAL, r] INSTITUTIONAL/GOVERNPg,'NT 2) ? AC CZTY, STATE , 3) NA[?: ADDRESS: i CITY. STATE, ZIP: PHONE: 4) ?• • ??• N71ME: AGORESS: CITY, STATE. ZIP: PHONE: 5) n ?.• i a• • ?• : D • aa - ?3 - NNECTZON 7l7 CITY SEWER NNflCPION TO CITSt WATER ? OTHER . . 6) '? • ?'' ? PI,EASE HOLD APPROVFD PERMiT FOR PICK-OP BY ONE OF ABOVE -- ?PLEASE MAIL APPROVID PERMIT ZU 1, 2, 4, ABOVE . (Circ e one) 7) r r. ?•. /.Qd/?r_ r.sTw? Ll/-, /- r/-7 NGLE FAMILY ? R-2 DL'PLEX (Zb.o Dnits) R-3 7C)WNEi005E (Three + Units) ( t7iits) ? R-4 APARTMEN'P/CONIDOMINI[JM ( Units) L?f ICENgg$ i ^RYP': PAYMF?TP OF FEE AT TIME pF ArriscraIoN DoES Nom oorsTTTUM APPROVAL OF PERMIT. iNSPncriotv oF sEWmt Anro/rnt VgkTEa DZTAi.La'TONS FVIIL NOT BE S(HED- [lr.m vNrn. PEarrzT xAS sEEN r,rpxwID. Plumbers License: Active E?cpired Not recorded Sta Irntial 9 . FOR CITY USE ONLY PERMIT # ISSUED - ?63 Pd w/Bldg. Permit FEES: $ $ /b -? SEWER PERMIT (INCLUDE SL'RCHARGE) $ $ WATER PERMIT (INCLUDE SORCHARGE) $ $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ l7`Gg0 ACCOUNT DEPOSIT - SEWER $ $ ?S ' LrU ACCOONT DEPOSIT - WATER $ ,2 5-• O-O $ WAC $ 2 $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER 46 •Cj ?l $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL 7-2 7o ya 707 .?? RECEIPT R CEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: [ TITLE: ? DATE : ?/z 2, /Q J , ClTY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION R-1 SINGLE ----------------------------------- 1) PROPERTY ADDRE3S: LEGAL DESCRIPTION: •^ 7F EXISTII`7G STRi:CIL'RE, DATE OF ORIGINAL BL'ILDING PERMiT ISS('ANCE: . ? FRESENf 2ANING/PROPOSID L'SE: {?n ear q corMERciai./xErAIL/oFFzcE r-7 IDIDC'STRIAL r7 INSTITUTIONAL/GpVERNMg,'NT 2) LMME: ADDRESS: CITY, STATE, ZIP: ? PHONE: • 3) u i: ?• NAME' . ADDRFSS: i CITY, STATE. ZIP: PHONE: 4) •• •:.? NAt•]E: ADDRFSS: CITY, STATE, ZIP• PHONE: 5) ?6+• •?• : r • oa • ?. / ?NNiC.TION TO CITY SEY7II2 dr-6NNECTION 1U CITY WATER 0 pTIM ' . . 6) i •' • r C] PLF.73SE HOLO APPROVfD PERMIT EC)R PICK-C?P BY ONE OF AHOVE .--' °-- -- &PLEASE MAIL APPROVID PFF."RN1IT TO 1. 2, Q4• pgpVE (Circle one) ?/ 7 ) r r u• - //t???? ?' '_ '? 7_?a? ?? FAM2LY ? R-2 DL'PLEX (ZWO Onits) ? R-3 TOWNEiOIISE (Three + Units) ( Lnits) ? R-4 ApAR1MET1T/CODIDOMINIC.T7 ( Units ) IIt LICQISE# ?• : NOT6: PAYMENS OF kM AT TIME OF : APPLIcATIoN DoES Nom corsTTTUTE : APPROVAL OF PERMLT. : INSPDCIZON OF SEWER ADID/CR WA7ER : TrSrnr.raTrpNS WII,L NpT BE SCHD>- : UI.ID iJNTII, PERNIIT HAS BEEN : APPROVID. .-iumers la.cense: ? Active Expired Not recorded Staff UTtial FOR CITY USE ONLY PERMIT # ISSL'ED ?- O Pd w/Bldg. Permit FEES: $ $ /D -S Z? SEWER PERMIT (INCLUDE SURCHARGE) $ $ /'D • SZ? WATER PERMZT (INCLLDE SC'RCHARGE) . $ $ WATER METER/COPPERHORN/0['TSIDE READER $ $ WATER TAP (INCL[]DE CORPORATION STOP) $ $ SEWER TAP $ $ ???'LrZ? ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ ? 07 S CrTJ $ WAC $ $ sAc $ $ TRLNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ " LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER `$ 6"C7n $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ TOTAL / ?7 /1 (e 90. 7?. / ? 7 RECEIPT RECEIPT DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: - ?>. ? /%?? APPROVED BY: TITLE: DATE: Z ol 7 . .i?dle I 92- ? SINGLE FAMILY DWELLINGS . IHCLDDE 2 S6TS OF PLANS, 3 CERTIFICATES OF SQROEY, 1 S6T OF ENERGY CALCOLATIOHS NOTE: 9DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNfiR MUST DESIGHATE WHICH ADDRESS IS DESIRED. NO CHANGES FIILL BE ALLOWED ONCE BQILDING PERMZT IS ISSUED. MOLTIPLE DWELLZNGS - RFSIDENTI9L REdT6L i1NITS FOR SAL6 UAITS 4-? INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRYEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMM6RCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATZONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ? Valuation: Site Address N0,4< OFFI Lot 4/ Blo kOn Site Sewage` MWCC System ? Parcel/Sub On Site Well ? City Water Owner f Address e 06 (( (/ ( -pti)NA City/Zip Code JE-P('j ?yt) F /?1 NS??]2 Phone ?a Ve ^-Qep 3 C) APPROQALS Contractor 000P P Assessments ,1 Water/Sewer Address ?08? VH-e&,u,,q- Police C?n ? Enr City/Zip Code gr Planner Phone "-76-?? $r7 Council Bldg Off Arch./Engr. APC Variance Address City/Zip Code Phone ll ? ` Date: ?o Occupancy F" 3 Zon3ng SZ I Type of Const ? (Actual) (Allowable) ? ll of Stories Length 417 Depth 4(? S.F. Total Footprint S.F. FEES Permit 34(0. Surcharge Z"I ? Plan Review ? 3. SAC, City 100- SAC, MWCC 525. Water Conn <725, Water Meter r0"7. Road Unit 305. Treatment P1 1 So. Parks Copies TOTAL ? 7j (2__C?0 0u ?s 7 0 y ------------------ ? , ; Permu #: ... . ? Permit Fee: ?TD i j DAte Received: 5 ? /7 C 1 I Staff: -________________? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:?- / SiteAddress: 0lJa r P?() (JQfc 1)f, Tenant -- Suite #: RESIDENT/OWNER Name: _Fj nV\ in Phone: Address / City / Zip: • Applicant is: Owner XContractor TYPE OF WORK Descripiion of work: 40a ? 0Z f f eccbT Construction Cost: 3, y a c? Multi-Family Buifding: (Yes _/ No 'A CONTRACTOR Name: q License#:?)O0R9 LlSN Address: 1 ? (rial Ciry:?C (klx1er State:_Mtv Zip: Sr'J?8;) . Phone: G JI' LIAI - (A &lJ Contact Person: Knren COMpLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Cade . Resitlential Ventilation Category 1 Worksheet . New Energy Code Worksheet Category Submined Submitted (4 Submission type) • Energy Envelope Calculations Submitted In the ia3t 12 months, has the City of Eagan issued a permR for a similar plan based on a master plan? . _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: MechanicalContractor: Phone: Sewer & Water Contractor: Phone: NOFE: Platrs a?td?ppn ?rng'??? S t?# ?4? lk?lt?8?? ?r?A . ?µ * ? ??vy ? th0ttlflYnsf?f/Am ?- ?yPp?. ''SfN ?n 3-P X? *it` I hereby acknowletlge ihat this information is complete antl accurate; ihat the work will be in con}ormance with Ihe ordinances and codes of the City ofEagan; that I untlerstantl this is not a pertnit, bui only an application for a permit, and work is not to slart without a permit; that the work will 6e in accordance with the approvetl plan in the case of work which raquires a review and approval o/t 71 x f' f,eh:? k< Ill?? ai%a 41 x /' %IVX,( , i' 1 / ApplicanYs Printed Name ApplicanY Signature U t Page 1 of 3 1 Soila F 2 ?d t lol aebclian detted after 71193 (build'ngs xdtli 3 a less unils) ?37C? I 96- ? ?{A(B001 7resi?ra?RlelrHegd X : 'M TreePr?, Y :.;?1 On?te99pqG N; _tN Plans are considered ublic information uniess ou state the are trade secret and the reason Date SiteAddress !Qa,Q_`] Construction Cost Qi 1J (7Ptk. p?,, f_7 Pr?,Au F h11O, S S I 3? unWSte # Description of Work p?Y Pc YJ& 'Q?P1_.Yk °L4_ 'K06'r MuIN-Family Bldg _ Y_ N Fireplace(s) ? 0 _ 1 _ 2 Properiy Owner -Kp-i S+ i 0 Pr ?jD,C?i ? Telephone #?l I(p ) 7 I?"?o t I S ContreMOr 5Tdf2-hcl lzt.? Address Qb'27 State VX1 !J • V'i iJ C)P?'. h2, City E PsOz{'s1, Zip 5 5 1 c?? Telephone #(a i4) --) cl 5s ' ?0? I S COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEYY BUILDING Energy Code Category - Minnesota Rules 7670 CategQry t _ Minnesota Rules 7672 (J submisslon type) • Residenflal VeMiletion Category 1 Worksheet • New Energy Code 1NQAcsheet Submitled Submitted • Energy Envelope Calalations Submitted In the lasi 12 months, has the City of Eagan issued cs pertnit for a similar plan based on a master plan8 _ Y _ N If yes, daTe and address ot master plan: Licensed Plumber Mechanical Contracior Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the infortnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a perm' • at the work witl be in accordance with the approved plap in the case f work which requires a review and app v of plans. _ P 1 ? pplican `s Pri ed Name ' pplicant's Signature 2007RESIDENTIAL BUILDING rExntrr arrLicaTiort City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 RemodeNtwair Reouirements sq. ft of lot, sq. R of hase; and 111 roofed areas 2 apies of qan slawing fooEnge, 6emns, jdsts owed) 15et of Enegy Celculetians far healed additions I b to be placed on dsWrbed sdl i sile wrvey 4or edditians 8 decks windowsizes;pauredfounddesgn,eta AddAim•indketeilwntifesep6csysfam Use BLUE or BLACK Ink � r———______—.___——_—, I For Office Use � • � �3 �3 � �16y Ol ��11 � Permit#: � i J �� I � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: � I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: a �`' �\ � �� Name: �1.L ;r� -7 � � � � ; ; � � � 6��I Phone: ��".4Q�`��,� ��1��'1 � . �\ �� ; Address/City/Zip: c�oc�S �� d p- � ��t ��..-., '` "� �;, � Applicant is: .�Owner Contractor ; � ��\ \�\` � , � Description of work: `��ov� a TYp�� ,�� :, ��, , Construction Cost: �� -'" Multi-Family Building: (Yes /I�''� ��'" � � y� a� Company: Contaet: o� �� e � �` `"�Q `: � _��;� � Address: City: � � ,,�,� � ;' „ � State: Zip: Phone: EmaiL :� �...: �� u��` ��. "�" �:: °: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: ._----- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes ��lo If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8�Water Contractor: Phone: Fire Suppression Contractor: Phone: T�"� �n� �f�r�"��ti �+�t�� y�r� �b�t �� +�rr��"�� r�rr�� +��s af � � � e�.�. . �� - �� - ' �'�'�� ` . � a� Ers�� - r �� ` +�inf�rnr�,� �r� ��la�s�f�� '�not��trbl��rf,�� d�sgecff��r W� � ��`d`perr�� y�►��s� � F \ � , � � � ;�� \� ,,.., �. #3[?4'/i� +�,�Ii��'1i��;-,.��`� ��4' � 3�,� �,` �.,� � ........ ��. , 4 ,. ,,, ,�, �.. 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.qoqherstateonecall.orq 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x �� / � A�L--�1 J� G.,e�� X Applicant's Printed Name ` ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159829 Date Issued:01/22/2020 Permit Category:ePermit Site Address: 2025 Pin Oak Dr Lot:042 Block: 01 Addition: Rahn Ridge PID:10-62750-01-042 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Mitch Langager 2025 Pin Oak Dr Eagan MN 55122 (612) 791-8165 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature