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2804 Pilot Knob Rd? ? CqSH RECEIPT ? CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 / RCCEIV6D RROM AMpUNT $ I a ooLLaas ?oo FICASH Q CHECK 1 FOR ? . . L VI?` ?} / ? J ? ? h :: BY White-Payers Copy Yellow-Posting Copy Pink-File Copy ThankYou 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 A Est. Value $(J.MV Date ????R L' I Site Address 2904 pZ;kn KNaD RD OFFICE USE ONLY ? Lot t Block 51 Sec/Sub. SEC710'`T 3 On Site Sewage Occupancy MWCC System Zoning ? Parcel No. W ll t A t C On Site e ( ons c uaq a Name MhY k acn:ri: ti City Water (Ailowable) ? = Address 3804 PIioGT r,102 kD PRV Required # of Stories ? 0 City. `Phone 4$2^19Vt BoosterPump Length ? Depth ? o Name ??ITCt1 SLQt;,:?? }?L S.F. rotai , ? Q Address 9`"+ AU'"'6? 7N ^' i Footprint S.F. ? UIff City BLA3."fi Phone 5 APPROVALS FEE5 ? ? Engr./Assess. Permit 74.00 1 yVj W Name ou f Z Planner Surcharge 3• ? Address Council Plan Review Q W City PhOne Bidg. Off. SAC, City ? I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC , intormation is correct and agree to comply with all applicable State of Water Conn. ? Minnesota Statutes and City of Eagan Ordinances. Water Meter ? Signature of Permittee Road Unit ; 1 A 8uiiding Permit is issued to:-` Treatment P1 ? on t he express condition that all work shall be done in accordance with al I Parks applicable State oi Minnesota Statutes and City of Eagan Ordinances. -?? TOTAL Building Official ____ _`__ tyofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK InM For Office Use �J I Permit*: / L� 7 Permit Fee: /C-' -' ?� Date Received: Staff: L Va•-//46) 2016 RESIDENTIALBUILDING PERMIT APPLICATION Date: t( Site Address: 2, i 1®r- Kttea Name: l`( M.6):&-)/ Resident/�� Owner Address / City I Zip: . \ d `r f i` As KD / 1 Type of Wo Contractor Applicant is: Unit #: Phone: 4,,f--.366 =ic Contractor Description of work:.--� Construction Cost: 676 5- evED Multi -Family Building: (Yes No Companylee d (i yy°C ec, Contact: Ste Address:/77p J u} CZPO/ X1 ,3 ef04+-)City: 1 /77p1S ,�/ State: JV'1ip: 5 R `/ Phone9C4-8�55 mail: License #:r2-%tL1s45-©r3 Lead Certificate #: i If the project is exempt from lead certification, please explain why: 0 tem..c 7z y7,_/ 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 No If yes, date and address of master plan: Licensed Plumber. Phone: Mechanical Contractor. Phone: Sewer & Water Contractor. Phone: Phone: I Fire Suppression Contractor. NOTE: Plans and supporting__.. documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that woukl permit the City to conclude that th = are trade secrets. CALL BEFORE YOU DIG. can Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Caff 48 hours before you intend to dig to receive locates of underground utilities. —4. 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 buikikig permit issued th accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. c3e.Srrd 17/1vejay ,� x Applicant's Printed Name Applicant's Sig Page 1 of 3 Permit No. Permit Hoidsr Date Telephone ft Ptumbing H.V.A.C. Electric Softener Inspection oate lnap. Comments Footings I Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. , 7 061LDING PERMIT .' Te be used for Site Address crnr oF EAGAN 3795 Pilo! Knob Rood Eogon, MN 55122 PHONE: 4948100 Receipt # .5,600.00 Lot Block Sec/Sub. Porcel # a, Name I',•! ` "FCr"' W 3 Address ?'?],11.t Ir'lrl? O _ . ._,., n,r __ i c n o Name '?,7,Mvn PPriP_T!4[ln rnc_ ZE' 'i?1}' 7?r ?? Address i- r:r.. .7•-j.17F't0' . Dt,....e Name _ Address Erect ? Occupancy Aiter b Zonln9 - N2 5595 Repoir p Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish p Front ft. Grade ? Depth ft. Fees Assessment _ Water & Sew. Pol ice Fire Enq. Planner Council Permit " Surcharge Plan check SAC Water Conn. Woter Meter I hereby acknowledge that I have read this application and state that gldg. Off. the informotion is correct and Cgree to comply with oll applicoble APC Total State of Minnesota Statutes and City of Eagnn Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition thot oll work shall be done in occordonce with all uppiicoble State of Minnesota Statutes and City of Eagan Ordinnnces. d Building Officiol Pffnit # DaM lawd PoewMMs Plumbing (S!?:-+-r??'..I. ?tL" ti" /Vqw Mechonical ?- ?[,t •?- 53yCC.3 / - INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Inap. Foundotion Plumbing Frame/ins. Mechanical Finol Remarks: ? - -;? q4_3 eu1 w eR 1e,pvxts cf ereGlo-Q GQ,f, I r ? ,p /?- % ?? C ?P , C01v;3I;.?^'I0;N AIR RFt'r' Iz = CITY OF EAGAN ' 3793 Pilot Knob Rood • Eagen, Minnesote 55122 • Phone: 454-8100 FIEA?IAiC PERMIT Receipt No.: $ingle Residential No. 16F2 l; Date: ; lot Knab !?oad Site Address: 'Tr?.?,l . -.1-•, . - t,_' Lot Block Sub/5ec. _ 'iriar ???eker Nome r c????e ; Address O City Phone: Nome ? ? ? Address ep -- City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagon Ordinances. Multi Res., Comm./Ind. ? New/Alter./Repair Cost of Instollotion Permit Fee Surcharge Tota I done in aaordonce with all applicoble State af Building Officiol CITY OF EAGAN 3795 Pilot Knob Road ? Eogan, AAinnesota 55122 Phone: 454-8100 Date: Z/24/80 PERMIT 28rf4 Pi1ot Knob Rd. Site Address: , ,. Lot Block - r - -- r, 1 Sub/Sec. _?. No. ? ^r Receipt Na.: Single Residential 1594 Y A ; Name C,''"-Fn New/Alter./Repair ? ; Addreu Cost of Instnllotion O City Phone: Permit Fee Name `' - . . . ? Surcharge ? ? Address 0 City " Phone: Totol This Permit is issued on the express condition that all work shall be done in accordance with all appliooble Stote of Minnesota Statutes and Ciry of Eagon Ordinonces. Officiol ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: . i „l I I i? i h Ni?tt 101 ' PERMIT SUBTYPE: 1 61 ,,, t . , . , APPLICANT: ?•, ??: ??,? ? ??r? ? l ?, i . ) '?!. • ! 4 Fi ; TYPE OF WORK: i i ; i i 1 I 'lit(i l YNfVI Mni: I + At rr Frn t c i,N Mpr ',rIiJNi1 I N:-i1?1 A 1 f tIP! INSPECTION DATE INSPTR. INSPECTION TYPE DA '?tlr 'I f Tl I: 1 ?? 1 fli?l i I.r MltiHf' . p';1 1'Nl:A tl i'f i:iql I 1 I Uli t li i u1; API't' (' I llMfi 1 14 1. 11 H F! 1 I. f k t l AI 4li rfr} =; ,y+f;,.,?' ? '?{???.???/ _ _;?_ _.y,+ ?k???? . . . s•i - _ .. ' . _- '--" .__. ' . .' ? . . , ,. ? . . ? - - - - - - - - - - - - - - PermR No. Pe?mH Holder Date Telaphone A SNV PLUMBING HVAC ?-2 Sq6 Q(O?p ELECTRIC ELECTRIC Inspection Date Insp. Commants Footings I Foundation Framing RooNng Rough Plhg. Rough Hlg. isul. Flreplace Final Htg. Orsat Test Final Plbg. Pibg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Weil Pr. Disp. CITY DF EAGAN Remarks ,?It,)'1?'-?,- - Additionp Sect?ion 3 Lot 1 Rik 51 Parcel 10 00300 010 51 Owner 10•Lt.!! Street 6??D??fi7?1?*„ ? Q•,a? State?rL j77 y., . improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? 1972 2163.00 10 Pa1d STREET RESTOR. GRADING S ce Stub 1311 1972 3 0.00 20 Pai.d SAN SEW TFiUNK 1968 1 0.00 30 P3iCL # SEWER LATERAL 1970 WATERMAIN * WATER LATERAL ? 97d 3 ?2. gQ 233-52- 15 Paid WATER AREA 1977 1 .00 10. 1 60 00 0024 7 8-4-96 STORM SEW TRK 1984 495. 00 33.00 15 Q 9. 00 - D/G,31? /U -02 -?'?' STORM SEW LAT 1984 495.00 33.00 15 Q 9, 00 - /63,tCo CURB & GUT'FER SIDEWALK STREET LIGHT WATERCONN. 470.00 #44117 6-15-84 BUILDING PER. SAC 525.00 n rr PARK ' I CITY OF FAGAN SEWER SERVICE PERMlT 3830 Pilot '.nob Road ' P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ?4 Zoninp: No. of Units: ' Owner: Trrian Be er /lcldress: Site Address: 2804 pil ot Kzloh Roud I0-00300-010- 1 Plumber. enZtl M eCh 1 .-. 44117 400. 60 pd 1 .0... w aaepyr whh ere cih? eF Eyo. connece+on ao.qe: 425.00 pd Ordinanaa. ' ??unt pepowt; 15.00 pd ? ??.00 vd Pertnit Fse: 1 ! 5urcho?o.: .50 pd I By i Misc. Chorges: Dote of Inap.: Total: Insp.: Dote Poid: CITY OF EAGAN WATER SERVICE PERMIT 38R0 Pilot 'Cnob Road , - P. b. Box 21199 PERMIT NO.: Eagan MN 5512 7 DATE: , , Zonirg: ? No. of Units: , Owner• i'Yii;ecl,_er Address: S?te ?ddrcss: `' ..i i ot l:no) R.oa ?)--? ??3nO-O 10- 1 Wenze ec i PlLxnber Meter No.: Connection CJwrge: 470. 6+} ')u Siu: Acoount Depostt: S. 00 pd 10.00 p Reader No.: Permit Fee: .50 pd 1 yme 1o eosoyr whh !IM Cihr ef Eaw¦ Surcharge: Oeaiwenam Mlsc. Cha rfles: 63.00pd me t E: r Totol: Bv Dota Paid: Date of I nsp.: CITV OF EAGAN 3830 Pilo: Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: _ Owner: Addrass: Site Mdressu } Plumber: ' ?ter N q.: ? Reo r No.: 1, !o oomplr wNh tkeAitq af WATER SERVICE PERMR PERMIT NO.: DATE? _No. of Units: in,I JC4?nection Charge: 4 70. OC, nd "unt Deposft: IS.OC Permit Fee: 10.00 ?d Surchorge: .50 pd Miac. Chorpes: 63. 00ed meter. Total: Dote Paid: _ Date 6KInsp.: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 N? 1rj733 BUILDING PERMIT iiPH06JE:454•8100 Receipt # •> . c? ? ? I > ? To be used tor SIDING Est. Value $62000 Date OCTOBER 18 ,j g 88 SiteAddress 2804 PILOT KPIOB RD Lot 1 Block 51 Sec/Sub. SECTION 3 Parcel No. x Name Mark Schmitz z Address 2804 PILOT KNOB RD 0 City EAGAN Phone 452-7979 a Name MITCH BLOM 0 QUIST oQ Address 9701 AUSTIN ST : City BLAINE Phone 780-3755 Name_ Address City_ I hereby acknowletlge that I mformetion is correct and Minnesota Statutes and ? all state Signature of Permitlee F C? / -M<? b - A Buiitling Permit rs issuetl to A_ QMQUj$T--- on the eapress condition that al I work shal I be done m accordance with all applicable State of Minnesota StatuteIs and Ciry ot Eagan Ordinances BuildingOfficial_?(iG??,? .?` OFFICE USE ONLY On Site Sewage _ Occupancy MWCCSystem _ Zoning On Site Well _ (ACtuap Const Ciry Water _ (Allowa6le) PRV Required _ # ol Srories Booster Pump _ Length Depth ' S.F. Total Footprint S.F. APPROVALS FEES Engr/ASSess. Permit 74.00 Planner Surcharge 3.00 Council Plan Review BIdg.Off. SAC, Ciry Variance SAC,MWCC waterConn Water Meter Road Unit Treatment P7 Parks 77•00 TOTAL cirY oF FacaN 3795 Pilot Kne6 Road Eogan, MN 55722 PPEONls 048100 BUILDING PERMIT APPLICATION Te be owd for Interior Remodel{ Site Address 2804 Pilot Knob Road N? 5595 Receipt .# 17-?- 5,600.00 L.ot Block Set/Sub. parcel .# 10 00300 010 51 w Name Brian Becker ? Address 2894 Pllnt Knc»h-Ro2d _ U.......,., nrtnr _ icn nnn? ? Name 07mtin PPdarann Tnc _ u? Address BOX 235 ? ?:... Farminpton.MNo?.,__ Gh3_G.555 Name _ Addreu 1 hereby otkrwwledge that I have reod this application and state that the informaHon is correct agree to comply with ail applicable State of Minnesota SMtut nd City of n dinances. $ignoture of Permittee ' A Bulidtng Permir is issued to: OzmUri Penderson oll xrork sholl be dona in acwrdance with-all aooli tare of Mir Erect ? Alter ff Repair ? Enlorge ? Move ? Demolish ? Groae n Assessment _ Water & Sew. Palice Fire Eng. Planner - Council _ Bldg. Off. - APC 80 Occuponcy Zoning Rl Firc Zone ---- ? V Type of Const. # StoNes Front -26 k. pepth 32 fr. Fees Permlt ?i•vu su.cnoree 3.00 Plan check SAC Water Conn. Woter MeMr Torcl 24.00 on the exprew condition that Statutes and City of Eagon Ordirwnces. Building Official A c CITY OF E.AGAN ?. BiJILDING PEIM T APPLICATICN Inclurle 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Zb Be Used For o0 Jl-,4/*- IA - valuation „irGap Date site aaaress 26.e'? -1,(,9T /??,013-f n oFFice vsE ONLx I,ot slocac sec./sub. Paroel #: _ /d--do 30o n/O ?'ri/ Owner: ??1ILiN Ack3ress: Pl40-T City/Zip Code: ?h.A N Pnore , Contractor: QZ ?V7 NA - ?C p?'/7Sv.v XAr[ Address: ,(30x a}S City/Zip Cocle: (2 Phone #: 4),! j- Arch./Eng.. Address• - CityJZip Code• Phone #: Erect Occupancy jQ3 Alter X_ Zoning Repair Fire Zone Enlarge _ 'Iype of Const. P7ove # Stories Damlish Front V6 ft. Grade Depth 3?*_ ft. APPROVALS FEES Assessments Pexinit a [aater/Sewer Surcharge ? Police Plan Cbeck Fire SFG Fnq. water Conn. Planner Water Meter Council Road Unit Sldg. Off. APC TOTAL oZ .6O REQUEST FOR ELECTRICAL INSPECTION (J ? y 11, Sea instmctlons for completing this brm on back oi yallow copy. "X" Below Work Covered by This Request 'yE 0000 Ne Rdtl Rep Type of 8uilding a Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Fumace Other (Specif ) Farm Air Conditionar Other(specdy) Conlractors Femarks Compute Inspection Fse Below: ///x- 5? # Other Fee # Service Entrance Size Fee tt Circwts/Faeders Fee Swimmin Pool 0 to 200 Am s 1 5/ 10 to 100 Am s Transformers Above 200 Am s Above 700 -Amps $I f15 Inspeclor's Use Only' TOTAL Irrigation Booms 7,r) .OG ;ZQ 5-o S ecial Inspection ' Alarm/Communication TMIS INSTALLATION MAY BE 0 ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. ' I, the Electrical Inspector, hereby Rough-In Date cedify that the above inspection has been matle. F??ai ? i oa?e ' OFFICE USE ONIV This requesl voitl 18 manihs Irom 0=15...154 ? °° a_po300-OD-5/ s?o2d Raquest D te Flre No Rou •? Fequlretl (YOU m? c[ar hen ready) ? Inspection Other Than Rough-ln ?-Reetly Now ? Wtll Notiry Inspector ? Ye5 . No Date Read I.2?ttcensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (SUeet, Box or Routa No ) Gty 2 a y f Kh o/ 2d f Seclion No Township Name or No, Ranga N. Cau Occupant (PRINT) Phon9?Nm?.2_,747?^ KJ Y t '06L-G Power$uppher Adtlress Elecin cal Coniracror (Company Name) Contractor's Licansa No ? 7 ?/l?Gt'S 4/ ? D Z7 S Mai6ng Atldress (COn[mcror or Ow aking Inslallahon) 62vf // rv Authodzad ' nature (COntredorlOwner Makmg Inslalletion) Pnane Number S U? MMrlggaESOTA -MldwnyTBltlg e Room SF?28ECTRIQTY gEIACCEPTE?IBV THE STATE 80 RDT 1821 Univerafty Ave, St. Paul, MN 55104 11111111111111 111111111 I11111111111111111111 UNLESS PROPER INSPECTION FEE IS Phone(612) 642co800 ENCIOSED Minnesota State Board of Electricity 199trUniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION tHECK BELOW WORK COVERED BY THIS REQUEST / 7?.?5 ? 3Q003 Type of Butlding New Add. Rep. Check Appliances W'ved Foc Checlc Fquipment Wued For Home ? iff ? Range ? Tempocazy Wiring ? Duplex ? ? ? Watec Heatei ? Ligh[ing Fixtures ? Apt. Bldg. ? ? ? Dryet ? Elecvic HeaUng ? Commeicial Bldg. ? ? ? Fumace ? Sdo Unloader ? [ndustrial Bldg. D ? ? Air Condinoner ank ? Farm ? ? ? Li s[ t Othec ? ? ? p ? Heiers? r. - COMPUTE INSPECTION FEE BELOW ' ServiceEntrenceSize: # Fce Feeders&Subfeeders: # Fee Cvcuits: # Fce D to 100 Am s. 0 to 30 Am eres 0 to 30 Am e[es 101 to 200 Amps. 1 10, 00 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Amps. Txansformers RemoteControlCirc. Partialorotherfee Signs Special lnspection Minimum fee . 0 Remarks TOTAL FEE .? ia f t 4 • I, the Electricat Inspector, hereby certif??the (Final) This request void 18 months from Pas been ma ?l-b'21 Date Date ? /p- b This re'.;ucst void 18 months from L( SE-c ??: / ? y aS Date of this Request 1-28-80 ? 34003 I, as El Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 2804 Pi] nt Hnnh Rnad City TpaSan Section Township Range County Da.kota. Which is occupied by Brian Becker (Name o( Occupanq Is a roughin inspection required on this job? No ? Yes IKI Ready Now ? Will Call 0 Power Supplier NSP Address Hewport Electrical Contractor JEMM ELECTRIC Contractor's License No. A2a??4 (COmpany Name) MailingAddress_ xgXpqpgx$tKmxx 20480 Jacquard Ave. tT.Iakeville. MN FK!li Authorized Signature AQ`?? ?CAUD COPY No. 469-4938 This iMpecUOn request will not 6e eccepted by the Stete Board unless proper inspectian fee is endosed. PERMIT# rT I -p- d'"LJ RECEIPT DATE: 8008 RESID£NTLkL PLUM$INfi PEfiM1T APPLICATION c1TY oP E4slED1 3$30 fQ.OT ISNOB RD E48AA, M1Y 55122 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRE5S: ZOVq PI1ot VoOp fC(J(d OWNERNAME:: hYrIY'OrSt.' 0DI'?Cn INSTALLER NAME: STREET ADDRESS: 0. P, a?xwtxks 3b Dtx,ld ?Z& TELEPHONE #: 6(p- L- 4 52= 62 q 0 (AREA CODE) TELEPHONE#: (051 '? (AREA CODE) CITY: eagm STATE: MN ZIP: 55123 _ SEPTIC SYSTEM, new/refurbished (requires iwo sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or mom additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild D JUN 0 4 2002 ? $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener t water heater $ 15.00 State Surcharge $ .50 Total $ I herebyacknowledge that I have read this application, state that ihe InformaUon is correct, and is the applicanPs responsibility lo notify fhe property ownar that the City of Eagan assumes no operational and maintenance activities to the Nacili6es constructed under this permit within Cit f Eagan ordinances. It City dudng its normal OF PERMITTEE ? 1f02 ? y- CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 2804 PILp7 KNOB RD LOT: 1 BLOCKe 51 SECTION 3 P.Z.N.s 10-06300-010-51 uJ41A euzLorNG 025136 03/07/95 DESCRIPTION: - MAC SOUND INSULA7ZON B;uilding'-Permit Type SF (MTSC.) Building Work Type AL7ERATION i ` i ? ; ? ?? rl?? 0.1 ?L`?,? , z?µ? K' ? REMARKS: A SEPARATE PERMIT I5 REQUTRtD FOR ANY PLUMBIMG OR EIECTRICAL WORK FEE SUMMARY: VALUATTON $6,000 Base Fee $81.00 Surcharge $3.00 Total Fee $84.00 CONTRACTOR: - Appliaant - ST. LIC. OWNER: JOHNSON CONST, LYNNE MARIE 15531953 2001213 SCHMITZ MARK 6272 YUCCA LN N 2804 PZLOT KN08 RD MAPLE GROVE MN 55311 EA6AN MN 55121 (612) 553-1983 (612)725-0600 I hereby acknowledge that S have read this application and state that the information is correct and agree to comply with all applicable State ofi Mn. Statutes and City qf Eagan Ordinances. L I APPLICANT/PERMITEE SIGNATURE ,? .5R a,'dY'T" I ? CITY OF EAGAN 151 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) Eoosa 3 681-4675 to New Construction Repuirements RemodeUReoair Reauirements ? 3 rcgistered sfte surveys ? 2 wpies of plan ? 2 copies of plans (include beam & window sizes; poured fid. dasign; etc.) ? 2 site surveys (eMerlor edd'Rions 8 decks) ? 1 energy calculations ? 1 energy calculations for heated addftions ? 1 vee preservation plan if Iot platted after 7/1/93 required: _ Yes _ No DATE: February 7 51 99 ? CONSTRUCTION COST DESCRIPTION OF WORK: Misc. Alterations - MAC Sound Program STREET ADDRESS: 2804 Pilot xnob [toad LOT I_ BLOCK r_ SUBD. Lif ,3 P.I.D. # PROPERTY Name: OWNER uS. ...r ' Phone #: Street Address, City: State: Zip: coNrrtacTOR Company: Lgm cwaE .roraasm cmmx-rTON IN('_ PhOf18 #: 553-1983 Street Address: 6272 Yucca Lane North LICBIIS2 #: 20012133 Clty: Manle Grove MN 55311 ARCHITECT/ Company: ENGINEER Name: Phone #- Registration #' Street Address, City: Sewer 8 water licensed plumber: _ are requested once permit is issued. State: Zip: Penalty applies if address change or lot change I hereby acknowledge that 1 have read this application and state that the information is Correct and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Or " Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No CITY OF EAGAN ~ • "? + Y '? ° ?: .. :-? 3830 PILOT KNOB ROAD EAGAN, MN 55122 • .. `"` OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling o 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Pubiic Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ,6-05 SF Misc. ? 10 Multi (additional) ? 15 Deck WORK TYPE ? 31 New 03<33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Ailowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code y3y # of Stories sq. ft. SAC Code Gi Length sq. ft. Census Bldg. _L Depth Footprint sq. ft. Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 000 y Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies Total: % SAC SAC Units 1988 BUILDINg PERSTT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ( S-?5 3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. ND CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK 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: Site Address Vir-1?4 stdtk Valuationr? Wc) 7aA 21 ot )L,.aSo ? Lot ? Block ? Parcel/Sub -1-? 3 Owner ?Vl flrf 1c- 5CFnWL41- Address 1t k+ r_?Yj City/Zip Code ? Phone 4r5Z - -)9 T/ Contractor ?tv'at I 8'01MhS(c Address q-)a ( pf'xQ"Icn, 'D ? City/Zip Code 7p Phone Arch./Engr. Address City/Zip Code On site sewage MWCC system ? On site well _ City water _ PRV required , Booster Pump ? APPROVALS Engr/Assess Planner Couneil Bldg. Off. Variance Date: p ' n- b O Occupancy Zoning Actual Const Allowable IF of stories Length Depth S.F. Total Footprint S.F. FEES Permi.t Sureharge Plan Review SAC, City SAC, MWCC Water Gonn Water Meter Road [Init Treatment P1 Parks Copies TOTAL Phane 0 2/84 CITY OF EAGAN IE APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEpSE PRINT) 1) PROPIIYi7 ADDRESS _ t rFrar• DF.SCRIPTION: (Iot/Slock/Subdivision or Tax Parcel I.D. Nlnnber) I'r' °....'YIIZ--'.' 03 T.==u-!!T 16:or.`?/Ye?`i -- PRESE.NT -.^i1I?:/P?20POSED LiSE: 0 R-1 SIN('LE FP.MTLY ? R-2 DUPLEX (1Ln UNITS) ? R-s T7WNHOUSE (RHR,E + UNITS) ( UNITS) ? R-4 APAfYIMEN't'/COfIDQMINILM ( UNITS) ? CONMEI2CIAL/REPAII?OFFICE ' p IIv'DUSTRIAL ? ? INSTITUTIONAL/GOVEUZEM (PLEASE PRINT) 2) APPLICANT / NAME: aDoREss: CITY, STATE, ZIP: i PHONE: PLEASE PRINT) 3} PLUMBER FOR CITY USE ONLY NA NIE: . vvLNzr:t - -- - PLUMBERS LICENSE: ADDRESS: AW KENNEBECDRIVE, EAGAN,MINN.SSt22 Q Active ' CITY, STATE, ZIP: 452•1565 Q Expired MASILH Q Not of Necord PAONE: PLUMBER LICENSE N 001445M2 A I1-? ' SFaf'fTnitiT ' 4) OOGUPANT/a,lNER (PLEASE PRINT) AIFIME: ?3QJVl(. ?S i' 1,- r1DDRESS: ? CITY, STA'Ir, ZIP: PFIONE: ' ! 5) INDICATE WHICH PERMTT IS BEZbK; RDQUESTID: (3 CONNECTION TO CITY SES9II2 Q CONNEcTION To CITY WATER r-1 C7PfIER (PLEASE DFSCF2IIIE) 6) LNDI= ONE: ? PL,EA.SE FiOID APPROVID PERMIT FOR PICK-UP BY ONE OF AHOVE PLEASE MAIL APPROVID PIIZMIT TO l, 2, (3) 4 AEOVE (Circle one) 7) SICxNANRE_??v??i?:k DATE: lRt?61U?:I??T?flEmLl?in3Y?l?Ik!!s.. ,.... . ? ... ?•: ...., '- - . ... . . . , .. . ?1*:M?aRirI?1?F1?i?F?Tft{r*a!#?!!?k?'rrY!inY4!?`?'!f'!!!?'4f1'!{*E?i?K??w F O R C I T Y U S E O N L Y • PERMIT '= ISSUED L -? FEES: $ /Q 50 $ %U S r, $ G? 3 cr; S $ $ ?S.DD $ (5. 00 $ U 7 0 (,Z7 $ ?? ? cXJ S $ $ $ $ SEWER nv-RMIT (IA]CLliDE SUP.CHARGE) WATER PERA4IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATFR WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNR WATER OTHER $ TOTAL . . ??..,.? fv , . $ I l 0? . AMOUNT PAID/RECEIPT%: # <f ?///' DOES UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO FNGINEERING ^IVISZQN. LIST F.S A COA'DI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : Mosr wi+.,e??+.ca? 0 1 umpamoes:w? ww ?a ? ire? ,. Cities Digital itv 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. .? ?/? _•r ?.. AMOUNT R DOLLARS ?oo ? CASH Q CHECK ' v L L ron i I 1 FUNG CODE AMOUNT I ? .J ? ? . . . .i . . • / J .•l J . ?r ../ . Thank You 117. . 00 '?'??•' 35'?•f?,?t6''?r4rt'?,.v?`£`s;4 q -a:.a?,.?r„'?Irt,ii" i gY p' - White-Payers Copy Yellow-Posting CoPY . Pink-File Copy .SFcl?a?? oia ?-i PHONE 454-8100 CITY 4F EAGAN 3795 PILOT KNOB ROAO EAGAN MINNESOTA saizz February 5, 1979 Mr. Ed Southerling R. 0. Watland Realty 7703 w. 247th st. Apple Valley, Iln 55124 Re: Parcel' ?010-51 2804 Pilot Knob Rd. Dear Mr. Southerling: Sewer and water laterals have been installed to serve the above referenced hane and is available at the pronerty line for connection when desired. Sincerely yours, (Mrs.) Alyce Bolke City Clerk AB:,jh I October 20, 1971 . Lloyd c': ?;ary Zej)l2lrin ? Frior Lrr.e, ;n:. 55372 ' L'ezr P-ir. L': N,rs. Zephirins „ Enclosed for your ettention ie a corrected ctatement of IIpecial ALse:.aments far : treet ir..p.roeements on your praperty, Pareel ? 3C37-B1 in Section 3. Cxedit was given for 42 feet of curb at : 2.50 tit.ich presently ie not insts].led. ?y I<? -- S I i.uro t:ill be ^n.eESed if anu when it ie inaiallecl. ' 7'eymcnt r:ey be c;:.de at this office vrior to Cctober 31 witliout , intere:, t . " you f'ur your pstience ritiile t:.is aesesement o,as beirtg reviewed e.nd ccrrected. 7ery truly jours, (P'rs. ) Alyce Bolke C1a.rI: c.f ;:.ege.n Town:,hip 6;J: ph encl. ` I Q-Z7z 3 L? gL ?I CITY USE ONLY RECEIPT #: 37 9-12 SUBD. ? DATE: Z7 -5 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace X Add-on air conditioning Fireplace conversion (to existing fireplace) k c f PS c S.z= - Date: 3- 3 " 95 FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL ez1o s-o SITE ADDRESS: ZBOq PI I U+ Ad OWNER NAME: MiVKd" 64:2 PHONE #: S2' 7978 INSTALLER NAME: /v 117Ky1 17Lw,'rry Q trii? L?rs-riz,j 1 ? i r-?- STREET ADDRESS: b aff LA ',?rl- 41vz) CITY: 9Pa'r/9? K STATE: ZIP: PHONE #: ( G+?- ) S36 -01r,'G7 ? CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 7995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are ? required for each dwelling unit. DATE: _ CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: _ FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL gi-rG qpnRGSc; OWNER NAME: TELEPHONE #: TENANT NAME: (innPROVenneNTS oNLv) INSTALLER: ADDRESS:_ CITY: PHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR PERMIT City of Eagan Permit Type:Building Permit Number:EA151185 Date Issued:08/13/2018 Permit Category:ePermit Site Address: 2804 Pilot Knob Rd Lot:001 Block: 051 Addition: Section 3 PID:10-00300-51-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Laura M Morales 5229 27th Ave S Minneapolis MN 55417 (612) 280-6961 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature