4001 Peridot PathINSPECTION
? CITY OF EAGAN
3830 Pilot Knob Road
, Eagan, Minnesota 55123
' (612) 681-4675
' SITE ADDRESS: I
i •wo i r u(I I i•n rII
! f 1111k fiI"IlVF i (N
PERMIT SUBI`YPE:
. . . . , I • .tO ..
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
4 fi t 0 << K : APPLICANT:
1:;'1rfI 11?t 1 1 ;
( b ).' ) W64 H.104
TYPE OF WORK:
INSPECTION ., . .•
' ? ?'?" ? ??•?.
f t tJi?+
,RNMJ1ftK ':: l1 `.iPf'ARA I F t'f kM l t I': RF QUlRi [l f t)Ft ANY F l F C. ll7l( /11 WORM
?
_ ? ?
PermR No. Permit Holder Oate Telephone Ai
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
?
Foundation Y - 0
Framing
Roofing ( &f
Rough Plbg.
Y
S 614
Rough Htg. "
Isul. Q f
Fireplace iA n
Y'
Final Htg. ?
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Rnal
Well
Pr. Disp.
? CITY OF EAGAN
' 3830 Pilot Knob Road
i Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS• ` ' `?' ? `' 1 `" ",
' 1411 4
,. ..i ! i I, 1 1r0 1 PAII!
1 t tiF;Fl c+i:uvk i 111
PERNIIT TYPE: i?ci + ? E, i tl?+
Permit Number.
Date Issued: c? ?+ / ,• ? / ?? ?;
04" `' `' APPLICANT:
l, t c? r s
( h I F3tt 1 !1 +1?1
PERMIT SUBTYPE: TYPE OF WORK: ?
INSPECTION .A . rA
I
I
?
?
?
?
Permk No. Permft Holder Date Telephons #
ELECTRIC
PLUMBING
HVAC
Inspectlon Dats Insp. Comments
FOOTINGS '%4 ? ? -
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PlB(3
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITIf OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
t11 il, : 1'44 r I i{
PERMIT SUBTYPE:
,
I r?? ?Ic a
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
( h ? .:? 1 ?? `• ??
TYPE OF WORK:
Iil '.l i; if' I i,lil
i 14 A 1
1 13AM I tV(+
ki: Mf1,1?t, .5 • ASF Nqkpl f.; NF 14M t 1 1•? 17F t)il F MP il r rin ANY I
r E ??<
• .? .9 -_w
?
0 4
I le 1c11 t 1.1014
f :11 1 1 ,f I
N91,N
? c? / -: i:> f ?, ???
N1 1J
(?`I?r1hlt 1
Permit No. PertnR Holder Date Telephone N
ELECTRIC
PLUMBING
NVAC
Inapectlon Date Insp, Comments
FOOTINGS
FOUND
FRAMING
ROOFING
RDUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA& SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIflEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
1
It
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
L
I
CITY OF EAGAN Remarks
Addition CEDAR GROVE #7 Lot -4'- Blk 6 Parcel 11 16600 040 06
Owner Street 4001 PeI1dOt Path State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Oate
STREET SUR F.
STREET RESTOR,
GRAOING
SAM SEW TRUNK
.51 1970 58.18 2.08 28 Paid
* SEWER LATERAL 1971 20
WATERMAIN
* WATERLATERAL 111, 1971 1,615.00 $0.75 20 Paid
WATER AREA
* STORM SEW TRK 131 1971 ZO
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 260.00 3511 5-7-71
BUILDING PER.
SAC 200.00 - -
PARK
Cities Di ig tal 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.
l
T04JN OF EAGAN
3795 Pilot Xnob Road
St, Paul, Minn, 55111
?-? - i
PERMIT N0. _110
The 3oard of Supervisors hereby grants to Cedar Grove Construction
`=o. of 7343 Concord Dlvd. E., So. St. Hul 55075 8
Pexmit for: (Owner) aar:? at
? ; r.:;.x.rar ; r_vc, 11',40 ;aconite "Prail, *i'JbB-T1SA.T%L , 4001 ridot Path,
4067 : alice 1--^,.:9 _u60 Citznabar llr3va -? ursuant to application dated
` f -_9 '.'.)9?_
cZr ' n7f
Fee Paid: 511 .?'=• ^ Dated this 7th day of rlaY , 197 1,
Building Inspector
S
T041N OF EAGAN
3795 Pilot Knob Poad
St.•Paul, Minn.'55111
''•?l?fIT N0. .
?
•The Board of Supervisore'hereby granta to `•t}q
•4 p. c
Cc. of 7343 CouCOtcd BIYd• g.• 8
-0e :Ot..Raqi: S!d?b '°, e-
=TPe.rmit for: (Owner) aaMe at
4 n40 "i:m..,bar `r3vc? 7 fiuconite Trail? 4-67v'9 «gne-tfte '1`o_nt?7abZST- eridot reth,
4;::7 4Gj?,, 'Ciua:b::r Drive -, pursuant to application dated
7^1, V_2? 1!t•.Fg :•^Gy v.W?O? 20-.? D? G r'7
.11 .;. '•.7t
Fee Paid: '?'..3o - Dated this 7th day of I-TaY ,, 197 f,
Building Inspector
-5
r..r.rv Or r.:Ac,FlN
CA3H:1'f_Ra .7S 1"I:.-E.f'tMTNAI_ NCI: QfJi
D(§"GEc 0705/95 TSPfEa 9.3v,`.51.at7:l.
ID;;
NAME:c SANCUil1 CONSTF:l1C1'T4]N CU?
3210 9001 3679 F'AL_CCIN pIAY 1B:L.'5
205 900:I :3679 hALCQN l^IFIY :s.(]r]
3210 9001 qOQi F'kRTD(]'1' PA 181.25
05S 9001 4001 FERIDUT F'A :i.tlfl
70tJAa1 Fi/]?{ er?eip+ A?r?x???ntu 37LnJC)
Cr`l J 1+.19'.llJ
u.ER .r.De :ian
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
2.j Q ? 3830 PI651LOT-681KNOB 55122
\o ?
New Conshuctlon Reauirements Remodel/Reoalr Reauiremerlts
? 3 regisfered sMe surveys showing sq. H. of lo}, sq. H. of house
and pl,j roofed areas (20% maxlmum lo} coveraae aliowed)
? 2 copies ot plans (show beam a wlndow sizes; poured fnd. deslgn; efc.)
? 1 set ol energy calculaifons
? 3 copfes of hee preservalton plan tl 7W plaHed atter 7/1/93
DATE:
DESCRIPTION OF 1
STREET ADDRESS:
LOT:
2 copfes 01 plan
1 set of energy caicvlallons tor heafed addNfons
1 aMe survey tor exlerlor addMions d decks
CONSTRUCTION COST: -t / ? o" ?
Name: *a4wt? ?W_ Phone #:
PROPERTY Last Fim
OWNER , ,._ , ..41? ' / 1 I-)-,A-/
Street
City E!?? State: R? Zip: 5?? ??' G''
Company: J",n&Gf Phone #:
(area code)
CONTRACTOR / Sheet Address: (9 ?gs' rlajd-t?, ?? 'V • `J: License # ExP•
City ? Stcrte: ZI':
ARCHITECT/
ENGINEER
Telephone #: areq code (
Name:
Streel Address: RegistraHon #:
City
Sewer S water Iicensed plumber (reauired for new eonstruction onlvl:
State:
Penalty applies when address change and lof change is requested once permR is issued.
Zip:
1h?%eby acknowledge that I have read fhis applicaHon, stafe that the Infomwtion Is conect, and agree to comply with all applicabl
Siafe of Minnesota Statufes and City of Eagan Ordinances.
? Signature of Applicanh
c
Certificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
OFFICE USE ONLY
_ No
_ No _ Not Required
BLOCK: ? SUBD./P.I.D. #: ? 2 &0.n G Vp \/ --e--4- :Z
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plex , ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
F/
SAC Units
% SAC
MASTER CARD
0
ti,
OWNER C 6
STRUCTURE AND D
LAND USED AS ?
Issued To
Permit I No. I Issued Contractor Owner
BUILDING
ly
l
PLUM8ING I -
I ? O _
?IQ ? ?
CESSPOOL - SEPTIC TANK ?
NlELL
ELECTRICAL
HEATING" ?O 6
GAS INSTALLING
SANITARY SEWER 76 ? _I
OTHER L i
OTHER I I ?
•
.
Items Approved
(initial)
Date
Remarks
Disiance From Well
FOOTING ? SEPTIC _
CESSPOOL
FOUNDATION
FRAMING TIIE FIELD FT.
FINAL
EI_ECTRICAL
DEPTH
HEATING ? OF WELL
GAS INSTALLATION
I
SEPTIC TANK
CESSPOOL
DRAINFIELD .
PLUMBING ?
WELL
SANITARY SEWER
Violations Noted
I on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
.
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
11 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL 8E DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED DATE OF REINSPECTION •
REINSPECTION REVEALED
?
CERTI FICATION -1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all signiticant conditions obsarved to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING I
DATE
rs.
I
k
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: May 5, 1971
Billing Name: CEDAR GROVE CONST. C0,
Owner• Same
Plumber: Stein, Inc.
Nvmber• xM 604
smum3m 4-0-1
Site Address: 4001 Peridot Path
Billing Address 7343 Concord Blvd. E.
South St. Paul, Minn.
55075
5/7/71
Meter No. (Permit Fee 10.00 pd 5/7/71
Meter Reading {Meter Dep.
Meter Sealed: Yes- lAdd'1 Chg.
NO ITotal Chg.
Building is a:
Besidence
14ultiple Ho. Units
Commercial
Istdus t ria 1
Other
Inspected by
Date
Remarks;
$25.00 TRE-IPdSPECI!0?d KE i0R
fi'APROPERLY IflST,?LLEQ P,lE7ERS.
Sy:
Chief InspetYOr
In conaideratioa of the ieaue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance wiCh the rules and
regulations of Eagan Towaship, Dakota County, Minnesota.
By: CEDAR GROVE CONSTRUCTION COMPANY
Please notify the above office when ready for inspection and connection.
r
EAGlN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE COIdNECTION
DATE• May 5, 1971
OWNER: CEDAR GROVE CONST. C0.
PLUMBER Stein, Inc.
NMMgg 763
(Lot 4, Block 6, Cedar Grove 9F7)
Address 4001 Peridot Path
TYPE OF PIPE Cast Iron
DESCRIPTZON OF BUILDING
Industriall Commerciall Residential I Multiple Dwelling I No. of units
Location of Connections:
Conaection Charge200.0U p8,( 5/7/71
Permit Pee 10.00 Dd 5/7/71
Street ReQairs
Total
Inspected by:
Date
Remerka•
By.
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulatioas of Eagan Tocroship, Dakota County, Mianesota
gy. CEDAR GROVE CONSTRUCTION COMPANY
Please notify when readq for inspection and connection aad before ny portioa
of the work is covered.
v IN5PECTION RECORD
CITY OF EAGAN PERMIT TYPE: s u zLo z N c
3830 Pilot Knob Road Permit Number: m 2 6 4 5 9
Eagan, Minnesota 55122-1897 Date Issued: 0 g/ 2 7/ 9 5
(612) 681-4675
SITEADDRESS:P.x.N.: 10-167e6-e40-06 qppLICANT:
LOT: 4 BLOCK: 6
4001 PERIDOT PATH HflNDYMflN EXPRESS
CEpAR 6ROVE 7TH (612) 881-5456
?
?
pE5CHIPTION
NEW
(GARRGE
_ ,...J
PERMIT SUBTYPE: TYPE OF WORK:
FpUNDA7I0N
%-? PERMIT
?
-? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
cp,q)491
PERMIT TYPE:
Permit Number: B U I L D I N G
026459
Date lssued: 09/27/9S
SITE ADDRESS:
4081 PERIDOT PA1"N
LOT: 4 BLOCK: 6
CEDAR GROVE 7TH
P.I.N.: 10-16706-040-06
DESCRIPTION:
(GARAGE)
B.6i1din9"'Permlt 7ype
tYuilrJing Wokk Type
_.,
i
_ a
FOUNDATSON
NEW
_.., .... ...r, ` - -• ...,...1 .., n . i ?_ ?.: i..( i.
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$87.25
------ $ 2 . 0 0
$89.25
$4,000
CONTRACTOR: - Appyicant - sT. LTC. OWNER:
HANpYMAN EXPRESS 18515456 0005876 THOMPSON LEE
9100 W BLOOMINGTON FRWY 4001 PERIDOT PNTH
BLOOMINGTON MN 55931 EAGAN MN 55122
(612) 881-5456 (612)454-3204
T hereby acknowledge that I have read Chis
infcrrmatiion is correctand agree tQ comply
? StatUtes and City af Eagan Qrdinance5.
ICA T/PE ITEE SIGNATURE
apglicatian and state that the
with all applica4le State of Mn.
?
UED NBQ I`
i ?
Si ATURE
iC4 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
9 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
881-4675
? 3 eepistered site wrveys ? 2 eopies of Plan
? 2 oopies of plerm (indudo beam 8 window sizes; poured fid. design; etcJ ? 2 site surveys (exterior addkions 6 dedcs)
? 7 energy calalatiom ? 1 energy ealwlations for lieated addRions
? 3 copks of troe pressrvation plan if lot plaped after 7M193
required: _ Yes _ No
OATE: G - a "1 "4 3 CONSTRUCTION COST:
DESCRIPTION OF WORK: P°k) R- GINMCrf? S[.h-R? `a4X2?
STREET ADaRESS: k=j 00 1
LOT _?_ BLOCK 6 _
1?
SUBD./P.I.D. #: cL?'?nk, Al/l-P? ?()?)
'L'L-
PROPERTY Name: T tto Misb ? `"w Phone #: 4-144ZOy
OWNER """
Street Address•4001 Q 5C-1 DZw1 CWT
City: F? L2jw State: H N Zip: S s121-
CON7w?CTOR Company: Irh:Li D? 4'f E4 Qif,19 SS Phone #: - Iq 51
aai?
Street Address: '?1 lD0 ?J •?k.cN&W 'License #-
City:tC.a o h lState:?1.?_ Zip?'S4? ?
ARCHITECTI Company: Phone #'
ENGINEER
Name: Registration #,
Street Address-
Ciry: State: Zip:
Sewer & water licensed plumber: Penally applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the inf?nation is corcG¢t and agree to comply with all
appliqble State of Minnesota Statutes and City of Eagan Ordinances. f ?
OFFICE USE ONLY
Certificates oi Survey Received
Tree Preservation Pian Received
Signature of Applicant:
_ Yes _ No
_ Yes _ No
BUILDING PERMIT TYPE
$, 01 Foundation o 06 Duplex
n 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
a 04 SF Porch a 09 12-plex
0 05 SF Misc. 0 10 = piex
WORK TYPE
? 31 New
n 32 Addition
(f?
0 33 Afterations
0 34 Repair
OFFICE USE ONLY
a 11 Apt./Lodging ? 16 Basement Finish
0 12 Multi RepaidRem. ? 17 Swim Pool
,M 13 Garage/Accessory o 20 Public Facility
0 14 Fireplace o 21 Miscellaneous
0 15 Deck
Peow.: ,/ ak y
0 36 Move
0 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
_ Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq, ft. PRV
_ sq. ft. Booster Pump
_ sq.ft. Census Code. 1 R
_ Footprint sq. ft. SAC Code ?
Census Bldg
Census Unit ?
Building Engineering Variance
Permit Fee
Surcharge
Pian 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: $ T?
% SAC
SAC Units
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ?' . I. N . : 1?n ?-1
L07:
4001 PERTDOT PATIi
CEpflR GROVE 7TH
PERMIT SUBTYPE:
6ARAGE/ACCESSOftY
4 B L 0 C K c 6 APPLICANT:
THOMPSOfd
(612) 454-8204
TYPE OF WORK:
UESC.RIp7I0N
FOOTINGS
FSNAL
FF2AM'f.NG
REMARKS: A SEPAf2A1'C PERMIT SS RE(7UIRtL7 FOit APJY ELECTft.TCAL WORK
BUILpING
026650
10J30/95
LEE
NL W
(FRAME)
F
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
Uzo4195a1L/
BUILDING
026650
10/3(4J95
SITE ADDRESS:
4001 PcRSDO'I' PATH
LO7: 4 BLOCK: 6
CEDNt7 GROVE 7'i'N
P.I.N.: 10--16706-00.0-06
DESCRIPTION:
r
r?
(FRAME)
B.Gilding' Permit Type
Bui2ding W, 6rk TYPE
, l
? ' ?.. _ • `
l
`,..
GAftAGEJACCESSOftY
NEW
? • ?e?.,' _. ? .._ ... ?....i ?:. _. yil?' o?L i, U
REMARKS:
R SEPARATE PERt'ATT IS REQUTP,ED FOR ANY ELECTR7:CAL WORK
FEE SUMMARY:
VALURTIOIV $6,0l?B
Base Fee $112.25 CO?TES $ri_00
Surcharge I 3.00, l'otal Fee $120.25
Subtotal $115.25
CONTRACTOR:
OWNER: - Applicant -
TFi0M191'SON LEE
4001 PEftI00'T PATH
FAGHM hIN 55122
(612)454- 8204
I hsreby ecknraw2edge thrat Z hrave vd'adtl7z&, sppl.ication arrd state that th'R
, Ln'formaLLon la correct and agree tu comply wi°Ct5 ali appl.ica6io atatm vf NI"n.
SGatutas and Ci,ty o# Eagan prd,inences. ?- _ -
APPLICANT/PERMITEE ATURE
.-?mG &. IPlg--
ISSUED BY. SIG TURE
Y OF EAGAN 3830 PILOT KNOB RD - 55122
itw CIT
1895 BUILDING PERMIT APPLICATION (RESIDENTIAL)
??;;?
681-4675
New Construdion Reaulrements RemoAeURenair RequiromeMs
? 3 iepisterod si[e surveys ? 2 copka of plan
? 2 copies af plens (indude beam & window aixes; poured fnd. desgn; etc.) ? 2 eite surveys (exterior edditbns 8 decks)
? 7 energy cala+ladons ? 1 errergy celalations for heatad addkions
? 9 oopies of hee proservation plan if bt platted efler 7/1193
tequired: _ Yos _ No
DATE: (2 CONSTRUCTION COST:
DESCRIPTION OF WORK: 131c<< 140 &Vz 42no- OF C ?z ? i?. 2 yx 2? S.
A?2f4?y STREET ADDRESS:
LOT ? BLOCK SUBD./P.I.D. #:
PROPERTY Name: -R) ory%A cov I Phone #: y Sy -????
OWNER yMIT
(??I P2.f t lA(TI Pi-7h
Street Address- City: ? U.4 a Il State: 12?_ Zip:
CONTRACTOR Company: Phone #:
Street Address: License #-
City:
ARCHITECT/ Company:
EN(31NEER
Name:
State:
Street Address-
City:
State:
Zip:
Phone #•
Registration #*
Zip:
Sewer & water licensed plumber. . Penally applies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the infortnation is correct and agree to comply with all
applicable State of Minnesota Statutes and Cily of Eagan Ordinances.
Signature of Apptipnt:
OFFICE USE ONLY
Certifiqtes of Survey Received
_ Yes _ No
Tree Preservation Pian Received Yes No
?
; ncr z s t9s5
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
0 02 SF Dwelling o 07 4-piex
? 03 SF Addition ? OS 8-piex
0 04 SF Porch o 09 12-plex
a 05 SF Misc. 0 10 = plex
WORK TYPE
,-;r'31 New o 33 Alteretions
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging o
? 12 Multi Repair/Rem. o
?13 Garage/Accessory o
0 14 Fireplace o
0 15 Deck
a 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint aq. ft.
Building Engineering
Variance
?/38
a/
i
Pertnit Fee
Suroharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. DeposR
SNV PermR
S/W Surcharge
Treatment PI.
Road Un'rt
Park Ded.
Trails Ded.
Other
Copies
Total:
5.60
Valuation: $
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16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
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City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
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INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo r : a B L 0 C K s 6 APPLICANT:
4001 PERIDOT PATH THOMPSON LEE
CEDAR GROVE 7TH (612) 454-8204
PERMIT SUBTYPE:
GRRA6E/RCCESSORY
TYPE OF WORK:
NEW
BUILDING
024560
09/19/94
INSPECTION .. . DA
FOOTINGS FRAMING
FINAL
REMARKS: A 5EPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
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CITY,QF EAGAN
3830 Pilot knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
4001 PERIDOT PATH
LOT: 4 BLOCK: 6
CEDAR GROVE 7TH
P.I.N.: 10-16706-040-06
DESCRIPTION:
.- ,
?
Building-Permit Type
Building Wdrk\ 7ype
?UBC Occupancy \
Construction 7ype
i ?
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V /
PERMIT TYPE:
Permit Number:
Date Issued:
GARAGE/ACCESSORY
NEW
M-1
V-N
.3a a ?
BUILDING
024560
09/19/94
t?C-1 ? L? IV?; L,U??J
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $10,000
Base Fee $117.00
Surcharge $5.00
Total Fee $122.00
CONTRACTOR:
OWNER: - Applicant -
7HOMPSDN 'LEE
4001 PERIDOT PATH
EAGAN MN 55122
(612)454-8204
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to camply with all appli.cable State of Mn.
L Statutes and City of Eagan Ordinances. J
"/.Ll !?/Ld?
APPLI ANT/PERMITEE NATURE
fioua R.ua1 n)i
ISSUED B : SIG TURE
144G0
CI7Y OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
-t I ) '' _.
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: ?J0 ? 7 e/%GFH cti/_ ri
STREET SUfTE q
Tenant Name: (commercial only)
LOT ? BLOCK L SUBD. CQApy G/OUQi I& P•I•D. #
Descri tion of work: GG r0. pr-
The applicant is: 113?Owner ? Contractor ? Other (Describe)
Name ?t1'_ Phone '5?5y's.?6' V
Property LAST FIRST
Owner {?'
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City
?c?u?; State Irl/: Z i p
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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. '
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OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex g 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex 0 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
Ar 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) ?-J [t Basement sq. ft.
(A1.lowable) X:_A_ ist F1. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprin t Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering _ Variance
REGIUIRED INSPECTIONS
? Site
? Wallboard
10 Footinq
* Final
? Framing
? Draintile
y38
?
i
?
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuae;m_ $ 2 /G
,
2?? Z y= s-76 X
?!1 -% %,'* 'q I %
? 16 Basement Finish
? 17 Swtm Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4001 Peridot Path
Lot: 4 Block: 6 Addition: Cedar Grove 7th
PID:10- 16706 - 040 -06
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
e - Water Heater
New
Water Heater
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
Nicole Whirley
2200 W Highway 13
Bumsville, MN 55337
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Manufacturer
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Lee L Thompson
4001 Peridot Path
Eagan MN 55122
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA090611
08/11/2009
ePermit
Line Size
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City of Eagaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
/
Permit #: /i 17
Permit Fee:
Date Received: /s
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION CQ�
Date; (,)M-ZI y0 ii Site Address: x{'00 I fiEPIPor I rH
Unit #:
4-11
RESIDENT 1
OWNER ' :•
Name: - 1,6e- 1 41 p ot) Phone: 452 — 4i$- er)04-
pG p Ejf 4.)
Address / City / Zip: 4001 f i r A T11! Al . yyru
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: IN4111iir Nfill AlUIJG l ill+1i2 mil l ‘121-10440- ,
Construction Cost i�y . Multi -Family Building: (Yes / No _ ✓ )
CONTRACTOR
Company: 4iiNPS 604 f fba 0. 1 NG . Contact l iii) IA14V
Address: '1'i24 l y&/lfii i 4� I City: goo CIIPferOif
State: Kw • Zip: t y�'fW Phone: c3 -- fa 2 3 -3 /00
License #: PC J012h I Lead Certificate #: Nit1"--2.5855 _1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber.
Mechanical Contractor:
Sewer & Water Contractor:
_ Phone:
Phone:
Phone:
NOTE: Plans and supporting documents.thafdyou'submit a►oconsidered.GtotbepublIc:rinrfonnation.. Porfionsrof:
the Information maybe' classified as non -pi b1ic if you provide sp' 't > 0%aso'ns iiiifi iould.pern it the C'� �`� tb'::-`
conclude`' hat they are tradeirsocrets► •i : , _•' .
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.gopherstateonecaltorq
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 100
days of permit issuance.
WAC
Applicant' Printed Name
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
niddition
Alteration
/..1rAk Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% !/r -
1100(
Fireplace
Garage
Deck
Lower Level
_ Porch (3 -Season) _ Storm Damage
Porch (4 -Season) _ Exterior Alteration (Single Family)
Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
Pool Miscellaneous
Interior Improvement
Move Building
Fire Repair
Repair
Nov
Census Code
# of Units
# of Buildings
Type of Construction
/
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Siding _ Demolish Building`
_ Reroof Demolish Interior
Windows — Demolish Foundation
Egress Window _ Water Damage
'Demolition of entire building - give PCA handout to applicant
Occupancy TAG
Code Edition?
Zoning
Stories
Square Feet
Length
Width
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Ltd i
TOTAL
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other.
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115404
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 4001 Peridot Path
Lot:4 Block: 6 Addition: Cedar Grove 7th
PID:10-16706-06-040
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lee L Thompson
4001 Peridot Path
Eagan MN 55122
(612) 867-6763
Sandau Construction
9925 Lyndale Avenue South
Bloomington MN 55420
(952) 403-9100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126855
Date Issued:09/12/2014
Permit Category:ePermit
Site Address: 4001 Peridot Path
Lot:4 Block: 6 Addition: Cedar Grove 7th
PID:10-16706-06-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lee L Thompson
4001 Peridot Path
Eagan MN 55122
(612) 867-6763
Sandau Construction
9925 Lyndale Avenue South
Bloomington MN 55420
(952) 403-9100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144592
Date Issued:08/01/2017
Permit Category:ePermit
Site Address: 4001 Peridot Path
Lot:4 Block: 6 Addition: Cedar Grove 7th
PID:10-16706-06-040
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Lee L Thompson
4001 Peridot Path
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167065
Date Issued:02/22/2021
Permit Category:ePermit
Site Address: 4001 Peridot Path
Lot:4 Block: 6 Addition: Cedar Grove 7th
PID:10-16706-06-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Lee L & Waynette D Thompson
4001 Peridot Path
Saint Paul MN 55122--293
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179727
Date Issued:10/19/2022
Permit Category:ePermit
Site Address: 4001 Peridot Path
Lot:4 Block: 6 Addition: Cedar Grove 7th
PID:10-16706-06-040
Use:
Description:
Sub Type:Garage Heater
Work Type:New
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Lee L & Waynette D Thompson
4001 Peridot Path
Saint Paul MN 55122--293
(651) 210-7570
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Suite 120
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature