2820 Pilot Knob RdcirY oF EAcAN ? ? ? ??
3795 Pilof Knob Rood Eegon, MN 55122 '
PHONE: 454-8100
BUILDING PERMIT Receipt #
Ta 6a u"d Sm 3 Sea. D(.CF: Fd Vnl.ir $2,500 Mto 19
Site Address ""' L 11V1. r...vu nu.
Lot 1 Block 9 Sec/Sub. Couri
Porcel # ID - l $3C7CU - G (01 '
oc Mame liarold & Dolores F,ode:
x 2820 Pilot fCr.ob Rd.
3 Address
b r.,.,..., _ 454•
°C Name - - ---
i? 3IBf:
?? Address
~ Clt Phone
W W Nome ??er
PW
_'?n Address
I hereby acknowledge that I hove read this opplicotrpn ond stote that
the informotion is correct and agree to comply with all applicoble
Stnte of Minnesota Statytep and Cjty of Eagan Ordinances.
Sipnoture of Permittte _?:
A Buiiding Permit is issued t
oll work shall be done in oa
BuildinQ Officicl
Erect Q Occuponcy
Alter ? Zoning
Repu(r ? Fire Zone
Enlarga ? Type of Const.
Move ? * Stories
Demolish ? Length
Grode ? Depth Sq. Ft.
ApPro vuls Fees
Assessment
Water & Sew.
Po1 ice
Fire
Eng.
Plonner
Council
Bidg. Off. 10-3-83
APC
Surcharge i • -'u
Plan check
SAC
Water Conn.
Water Meter
Rood Unit
Totol 40 . 00
on the expreu condition thai
opplicoble Sta of Minnesota Statutes and City of Eapan Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Sewer
Electric
Inspection Date Insp. pther
Footings
Foundation
Freming
Rough Plby.
Rough HVAC
Inwlation
Final Pibg.
Final HVAC
Final 3 y
Water Deseribe Location:
YYell
Sewar
Pr. D'ap.
crnr oF EAGAN
3795 Pilot Knob Roed Eagan, MN 55122 N2 6104
PHONE: 4548100
BUILDING PERMIT Receipt # -
To ba wsd for Est. Value ? r . Date , 19
Site Address - " ? Erect Occuponcy
Lot Block Sec/Sub. -? =--'- . ? = .1 :" l!'?Iter ? Zoning -
parcel # - Repoir ? Fire Zone
Enlarge ? Type of Const. ?
? Name
W
Move
?
# Stories
Z Address
. - Demolish ? Front - ft.
O
r?.., a.,...e ?,%1_.•,"; ?"' Grode rl DeRth
? Name _
Zo
o' Address
v
Assessment
Water $ Sew.
Police
Ff re
Erg.
Plonner
Council
Permit
Su rcho rge
Plan check
SAC -
Woter Conn.
Water Meter
Rood Unit
I hereby ocknowledge thot I hove read this opplicotion and state that gld9 O{{.
the information is correct ond ugree to comply with all applicnble APC Total 5tate of Minnesota Statutes and City of Eagan Ordinonces.
$ignoture of Pertnittee
A Building Permit is issued to: on the express condition that
oll work sholl be done in uccordance, with oll opplicable Stote of Minnesota Statutes and City of Eogan Ordinances.
Buitding Official - " -
?emk # DeM Imed Pomifh"
Plumbing
Mechanical
INSPECTIONS DATE INSP.
Rouph-In
final
FooYingS
Foundation
F rome/ ins.
Firwl
Plumbing
Meclwnica I Date Insp. Dote Insp.
Remorks:
?..?,...?
ON
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS: APPLICANT:
PERIIAIT SUBTYPE: TYPE OF INORK:
INSPECTION ..
..
, , ??
Permft No. Permit Holder Date Telephone N
SNV
PLUMBING
HVAC
EZECTAlC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Consi. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
r?
Deck Final
U
Well
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS:
- , ? ? ,, , ; w??i; ki,
?1d I IfY Hi?hte I11 1 t?l? {'.
PERMIT SUBTYPE:
, i I ?
r1 PI I rd + ?
APPLICANT:
TYPE OF WORK:
1" .1. i; : i i,i!
i 1 II;11
ti! li irql IW
nI l1i ',+I ilNli I ht`?I?l It I! ??N
l111 ! t t'MI I i', 1;1 911 ll I li 1 vl' l1fVY {'1 tlwlf+ltao, tli: U l 11 (f+lI rlf 1.)lskl
?. `?-.
I -s? , J "l r?ir
1;111 ? Ill i:?t
0 " !,.i S ,
H ;!W! i 11'.
I •erIMI h.'kt? s i
Permit No. Permk Holder Dete Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspactlon Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rou9h Htg.
Isul.
Rreplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final ?
Deck Ftg.
Deck Final
Weil
Pr. Disp.
CITY OF EAGAPV Remarks ?
Addition Country Hame Heights Lot 1 aik g Parcel 10 18300 010 09
Owner I '?`1 ?_. sueec 2820 Pilot Knob Rd. 5tate Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1984 1556.80 155.68 10
STREET RESTOR.
GRADING
AN SEW TRUNK 1968 $100.00 $3 . 33 30 PAID
SEWERLATERAL& Stub 1972 $2163.00 $108.15 ZD PAID
WATERMAIN
WATERLATERAL & StuU 1972 ZO
WATER AREA
STORM SEW TRK 1984 495.00 33.00 15 ? 9• ?o O 1(03 p,f- ia io ?s?
STORM SEW LAT q;p 2- 1984 495.00 33.00 15 ?x , oo i$ 0 16,30 S /O Jo ,fs-
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $300. 0d 6407 9-11-72
9UILDING PER.
' sac $260.00 6407 9-11-72
PARK
cITr oF eacnN
3795 Pilot 'Kno6 Road Eogan, MN 55122
PHONE; 454-8100
BUILDING PERMIT APPLICATION Receipt
To be used for Storage EsL Volue 250.00 Dote A>
N? 610 4
,- A54L
.#
>?I.SY. 9l , 19-8-0--
Site Address 2820 Pi I 01" nOh Rd _ Erett 6 Occupancy -M
Lot _1 Block 9_ $ec/Su6. COUritT'V HOIttE H21g"lt9,lter ? Zoning Rl
Parcel .fk 10 18300 10 09 Repoir ? Fire Zone _ 3
Enlorge ? Type of Const. v
w Nome _H4'3rAld $FDeI012E,g Rodpy}bgi2 Move ? # Stories
Z Address 2920 pi1ot. Knnh Rr3.
3 Demolish ? Front 8 fr.
? Ci Eagan Phone 454-5167 Grade p Depth 12 H.
? Name S'7R1E' ADProvala Faes
0
u? Addren
Assessment
Permit '
? Gi Phone Woter & Sew. -- Surcharge;90
Police Plan check
ww Nome
w
Fire
SAC
r
?? Addreu Eng. Water Conn.
aW Ci Phone Planner WoterMeter
Council Road Unit
I hereby ackrwwledge that I huve read this application ond state that gldg. Off. -
-
the informatian is correcf and agree to com with all plicoble ?
State of Minnesota Statute gq City of an r i nc AP Total
Signature of Permittee
A Bullding Permit is issued to: _??i n- a.,P . on the express condition ihat
all work shall be?-dane in occoroe
nqe %yith all opplicable Stare of Minnesoto S tufes and City of Eogan Ordinonces.
1
Buildirg Official 1 X'1 ? '7J l^' (lt'?
10 ..+. c.-
woly:
To Be Used For -S TOV 8,
CITY OF EAG1N
BUILDING PERMIT APPLICATION
Valuation . rJ? S 7??
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date 1?1 "' P-) "-' ?S io
site rdaress :? Q? pLE i/;-r- k Y? a.b K- +? OFFICE USE OfII.Y .
rAt slocx ? sec:/sut. rectoCcupancy ? -
Alter Zoning
Parcel #: &) gepair Fire Zone
Owner: i7?drn??- ?a?oves ? a?cm ?aV Enlarge -Type of Const. U
Move # Stories
Pddress: P?/07'' Demolish _ Front ? ft.
City/Zip Code: )5'e4, Aa.,,, Grade Depth d? ft.
Phone #: tk Cu 4?//., l APPROVALS FEES
Contractor: p W r> {vl? I Assessrrents Pennit S_ -0
Address:
City/Zip Code:
Phone #:
Arch./Eng.:
Address:
City/Zip Code:
Phone #:
Water/Sewer Surcharge
Police Plan Check
Fire SAC
Eng, Water Conn.
plamp„r Water Meter
Council Road Unit
Bldg. Off.
APC
ZY7ffPS. le ° :F1
? \
ti ' t? _,
l?1 (
I
?
V" /,
? ^
--- ?- ---?-?
/
,'
?--- ? - " ? ?I
?
?: C?C-??'
Eagan Township PEAMIT NO01',4-.C-l--....
. ^ ? 7 l
.
.. .. _ ""_____ 'J
Dakota Couniy, Minnesota Date S?
Application for Bailding Petimit
Type of buildiag or work conYempla2ed. Circle correct descriplioas.
, i .
c - ? Cammercial Indusfrial 01her- "9'ut'.'".:4.7 --c£"'--..?.R!....)-?-..i...cl.'Y..?............ ..........................................
Euild nlar g Aller Repaix Ins2a11 Move Wreck Oihex.......... ............................................................
Dimensions_J_4.Z__3..cf ..................... Cosl.aA(.?.0...:- ----'-???,rna?Q r ,
Delails or
Localion
Number Sisee! Bxlween what exoss slree2s Size Esi. Valuation
Lo! Bloclc AddiY?on Aearrangemen2 ar Tracf
/ '7 14•11-1.
Ownes??.'!.e .C?_......_._'..._ Address ct?_?..4?'..'?..?'?1./..G?..'..I?. ..... (ll...li_." .............._.'..
!T V
Coniracfox d_??..?.'L!:2_?'?'.?._?_____._""""'._____'......_"v---.-.'........... ' Address ........ -"""-'------'-'-""--°-............'-'------
r
The undessigned hereby makes applicalion for a permiY !o
$ do wosk as herein specified, agreeing io do all work in aSrici
Total fee collecied. aacordance wifh !he building ordinance adopled April 11, 1955
by !he Eagan Township Board of Supo visors.
PermiY fees are nof
refundable. (?J
6-i d " '-", "-'-'-'--""'
?.. ??? ?? ?.? ?, Na?h,
?,1
. ' CITY of EAGAN
BUI D N PERMIT
owr.:
Address (8seeen!) ..a.t?.?sG..?......? .....,1 . .. ..,/(y(C
Buildor ........
Addraos ......
..
N4 3969
3795 Pilo! Knob Aoad
Eagaa, Minnesota 55122
454-8100
Date ?u1+cQ..alJl...(...?•??•-•
l
Blosies To Be Uced Fos Fxoni De !h Haigh! Esl. Cn! Perm
tFoo Remarks
or
TION ` % n •?
This permit does not sulhorise the usa oi sireels, roada, alleys or cidewalke nos does it giva/!he ownes os/lLis agan!
the sighf fo ereate anp aifuation whieh is a nuisanee or whieh presents a haaard !o the healfh??safelp, eoavsnienee and
general welfare !o anpoae in the eommunify.
TFIIS PERMIT MUST SE KEP R ?p??-????T7 PR E HILE THE WORK IS IN PAOGAESS. „
This is !o eerlifp. !hal. ...9n (/yi'd- J?x ---.has parmisaion !o erec! q. . .....:............._npou
the above described pre "se jeet !o the pxovisions all applicable Or ' ^foz the Ci of
._?.rJ'"` ............................ Pes ..----..................................................
.-""' ......... ..... ..'-"-" -"'Ma r -...? ..BnSlding Inapeelor
!? ? ? t q S 'f - 7 0 ! s3
w,ilc -7 9.6 .,9' Ll q/
°'OEagan Township
Dakola Counly, Minnesofa
Apglication Eor Bnilding Peemi!
PERMIT NO. 0574PA??
nete 7-? `?:..?....7...?.-?..,
Tppa of huilding or wosk coniemplated. Cizcle corsect descriplions.
Resideniial Commeraial Induslrial O2har.......'----.--- ................"-....---..'?-?'_'----"-°C{--.d._..-----'---_........._.
Suild Enlarge A12er Repeix Ins3a11 Move Wreck Oiher...,?.....f..y .... ............ L{..?.._ .................
?.
? ?
Dimeesioas. .........?5...2??-'-- ---- - . Coat?.?,..9...4....Fs.....-_ ? ,/q
DeYeils or remasks..C.-"AV-f .°-.----. 4J--0--:k-'-'--F-=-----------------?`?---?-=?'----D------i-/07..------n-'---?-?..°M.-'------ ----------- _...
Locafion
Number SYreeY Be.lween what aross sireets Sizo Est. Valuation
eT s a uT a
, /?-? f asT s. ?.
r ?l4 o X $'f bx
e a 17)
? 5 a a
Lo! Block
'
Addit?on Rearrangement or Traci
I GD Uy }f?-lg h`Tc T/d?4 c
Owner /__.. .____..."'"'..""'._ Address
Conlracior .6b''+"t...,-.._ _Wa_?.,.q... ... c..P.,)Tr_yZ_".Address
y?,/ v-
ffi_.R ---__""'-""-_
Tolal fee collecSed.
Permif fees are nof
sefundable.
? ?elel" )S _
?Y. r.n.?1.. ...-------------------- .------------------------------- _....------------'---'
The undessigned hereby makes apnlieafion for a pesmit to
do work as herein specified, agreeixg Ya do all work in siriei
i p accordance wiih 3he building ordinanee adopfed April 11, 1955
t by !ha Eagan Township Board of Supervisors.
?/Y???----- -_.'--` ................. ..-
Sig-----ne---d ----------------"
EAGAN TOWNSHIP
BUILDING PERMIT
oWO.= .?1.4.?,........ ..?.?.oP.?.N..?...o..?Z,.?'.> ...... .. .......... ---
Address (Preseni) ------- ll/Gf?/.I,E'.......Q?....
Bu;,ae= ..... aZq.P.P....-...................................
Addreas
DESCRIPTION
N° 2782
Eagan Townahip
?own Flall
ae:e ..
Siories To Be Used For Fxoni
? c eq Deplh Haighi Esf. Cost
? P rmif Fee
6 ? Remazks
So s ,S ' Attiv'
Sk4
"V a?
Sireei. Roaa or oiner 17escrip2ion os l.ocasson I Lot I$loek I Aaaitioo or Tracf
„C q;Z.o 16?LM xd, I ` I ! I0n.1d1?Ql/ '11114Arr H/'7S
This permit does aoi au2horiae the use of slreeffi, roads, alleps or sidewalks nor doee it give/!he owner or hfe agen!
the righi !o c:eale aap ei2ua2ion which is a nuisence or whieh presenls a haaard !o the heallh, safefp, eonveaienea and
general welfare !o anyone in the cammunilq.
SE WHILE THE WORK IS SN PRO S.
THIS PERMIT MUST HE REPT %thei
This is to cer2ify, !hal.--_ - ....._..ha
s permiseioa !o erecY a..'..' , _p ""_"P'•""""p _Y on
_.
!he abave described premise subjec! !iom of the Building Ordinance for '
E gaa Towae i ado !ed A sil 11.
1855 ?/? - . '
...?i?hi.?i?±?f!1
..."'_ '---"' ....................."--._.............. Per .. C-
........"- .._ 9 .."-_P....... r " _..........
'_".......
Chairman ot Tnwn Board Suildin Itu ecto
ciTr oF EnGaN N° 8546
_ 3793 Pilef Knob Reod Eagan, MN 55122 '
iHONEs 454.8100
BUILDING PERMIT Receipt
g
A
7e 6a wee for 3 Sea. Deck En ydi1e $2,500 Dote
_
10-3-83 ; 19
Site Address Z$ZO Pilot Knob Rd. Erect [a} Occupanq
k 9 Sec/Sub. Country Home
Lot 1 Bloc Agts. Alrer ? Zontng
1
Porcel # Repair ? FireZone
E
nlorpe ?
Type of Const.
m Na,,,a Harold & Dolores Rodenborg Move ? # Stories
z Address 2820 Pilot Knob Rd. pemolish ? Length_
c; EaQan phom 454-5167 Grode ? Depth Sq. Ft.-
? er ADOrovals Fees
p Name _
?
8u Addrass
f ??...
Name OWneY
Address
I here6y ocknowledge thof 1 have read this
the Informotion is torrect and agree fo (
$tate of Minnesoto Statu(e? ond Cifat ofi
Sipnoture of Perm
A Building Permif is
all work sholi be doi
Bullding Officiol -
and stote that
all oppiicoble
Assessment
Water 8 Sew.
Police
Fire
Enp.
Planner
Councll
81dg.Off, 10-3-83
APC
Permit +'?o.jv
$urcharge 1.50
Plon check
SAC
Water Conn.
Woter Meter
Rood Unit
Tot,l 40.00
/ on the express cordition thnt
of Minnewta Statutes and City of Eapen Ordinances.
4 40 CITY OF EAGAN Include 2 sets of plans,
6Y -:??T5 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set o` er.er.T7 calculations.
To Be Used For a Valuation
Date
Site Pddress: ?a a k a OFFICE USE ONLY
Lot ?
Parcel #:
Ormer•
Block ? Sec./Sub. ?rect ? Occupancy
Alter Zoning _
Repair Fire Zone
Enlarge
f7dDLd ?Va/a es rSa de.ri _'I?pe of Const.
?
Nlove # Stories
Pddress: °.qD.p 4pI/??„a?, R? Denplish Front
? ?
City/Zip Code: o 7) -., ,-Sn m?i 5' 13- 1 Grade Depth -
ft.
Phone #: APPROVALS FEES
Contractor: 6 W-?-i e f.
Pddress: < 4 .,.,., A
City/Zip Code:
Phone.#:
Arch./Eng.: ---?j c.v."-, r ?'
Prldress:
City/Zip Code:
Phone #:
Assessrrents
Water/Sewer
Police _
Fire
Eng.
Planner
Council
Bldg. O£f. d- ?,
APC
Pennit
Surchan7e
Plan Check
SAC
water Conn.
Water Meter
Road Unit
.., ??
nYI'AL
C nn-, STr u ?
?aTi o ? e ?Ic .
a6V voXa,,.,?7? 1
G a -n sTi^ v..7'i a,.? .
? r? c( as e G a? a s ?-» V< D a'»-? [
w a S L L, ,/' q-7?{ R
t-v;T7? g i?e
Lv iT ?i /? s? d AT s?i r,? y? ? es -. d ?
_ sPe t? st
?tc?C Is Ca,,sTr v?TP? OG
G P
?
.. .
TOW-IV Oi EAGAN
3795 Pilot Xnob P.oad
Eagan, Plinnesota 55121
PEMIT N0,
228
The Boaxd of Supervisors hereby grsnts to
of _137?. FI3,N'?i31+.9 mjvA
e HEATM Permit for: (Owner) na,,,,,
at- 2$20 Pilot KriOb load CFII: il/E9 , pursuanC to application dated
ljft 7f R9/'j2
Fee Paid: $20.00 Dated Chis 18t day o£ J1L14
*50 8 6
Building Inspector
TOWN Or EAGAN
3795 Pilot Knob P.oad
Eagan, Alinnesota 55121
PEURT PIO, 2LO4
a PUMIM Permit for: (Owner) eam
at 2620 Pi7..o'G ffri6b Road, C01 L1/E39 , pursuant to application dated
7/31 /"r2
Fee Paid: $20.00 Dated this 31sL day of J+lly , 1972 ,
•JrO 6/C
The Soard of Supervisors hereby grants to Har07.d RpdAMbOTg
of 1375 :Tigh-9lte 3x'1v6
Building Inspector
***?***??**?**?*?******************??**
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 664
DATE: 09/25/00 TIME: 13:55:29
ID:
NAME: ERICKSON PLUMBING
3212 9001 2820 PILT KB RD 30.00
2155 9001 2820 PILT KB RD 0.50
Total Receipt Amount: 30.50
CR137853
USER ID: JAN
CITY USE ONLY
L _ BL ` RECEIPT #:
SUBO. COun?ry f10YYl.e. Gt, RECEIPT DATE:
PERMIT#
2000 PLtJNIBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, hIId 55122
651-681-4675 Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? 6ackflow preventer for underground sprinkler system
FIXTURES
EACH ?1
TOTAL
Alterations to exisq'ng dwelling - minimum fee
Describe: $ 30.00 '
Bath tub $ 3.00 x = $
Ffoor drain 3.00 x = $
Gas piping oUtlet " minimum - 7 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavato 3.00 x = $
Septic System new/refurbished • requires MPC iic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installationlrepairlrebudd 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground Sprinklef if dwelling is under construction 3.00 X = $
Underground sprinkler if existing dwelling 30.00 x = $
UVater closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under conswction 5.00 x = $
Water softener if existing dweltin9 30.00 x = $
Waterturnaround 30.00 x $
State Surcharge 50 -? ---> ---> $ 50
-
TOt01 _> -> __> _.a $ S
D
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-----by ackn---------•-------t I h2ve r-----?ead t hi s -tio-q-----state---that----the----info--rm--ation---- is -----,a----nd--ag--re-e---to----comply---- w--it-h- all-•---- applleable --•------ City of E-------agan----ord----inances-----.-
I hereowledge tha appli ca correct
It is the applicanYs responsibiVty to notity the property ownar that the Ciry of Eagan assumes no liability for any damages caused bY the City during its
nortnal opereGonal and maintenance activities to the facilities consGucted under this permit wkhin City property/ri ht-of-way/easement.
?
SITE ADDRESS:
OWNER NAME: : (Dp?b (tZ TELEPHONE #: (,Qf-?l_ 412-6c v ?? 62-
(AREA CODE)
INSTALLER NAME: C.?L?Ilih ,??l? ?11L TELEPHONE #:
STREET ADDRESS- 1+-C-7-L c1? ??Ltn t, {AREA CODE)
CITY: GL"??L, S CI`Iff, N? ZIP:
I
SIGNATURE PERMITTEE
CITY USE ONLY
L?, BL 9 RECEIPT #: 7
SUBD. DATE:_?
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwelfings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace IW '
_ Add-on air condiiiening Add-on airexchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 Cr.7?
? 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 . D-
SITE ADDRESS: ?8zo ,/??Lao' ?+?
OWNER NAME: 01949,g? /',?14?•?/dcY?? PHONE
INSTALLER NAME:
STREET ADDRESS: -<:z
CITY: STATE: .+f? ZIP:
PHONE #:
$T?NA YClRz O??F_RIVIi
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? all commercial/industrial buildings.
? multi-family buildings when separate permits are a2t required
for each dwelling unit.
unTt:
WORK TYPE:
l,V1Y I RN?+ I f1Yll' .
_ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 minlmum fee 2[ 1% af contract price, whichever is greater.
? Processed piping - $25.00
. State surcharge of $.50 per $1,000 of pw-rng fee due on all permits.
CONTRqCT PRICF x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (innPROVEMENTS oNLv)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
TELEPHONE #:
STATE: ZIP:.
SIGNATURE:
SIGNATURE OF PERMITTEE CITY tNSPECTOR
C TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMITTYPE: eurLozwG
Permit Number: 025137
Date Issued: 9 3/ 07/ 9 5
SITE ADDRESS:
2820 PILOT KNOB RD
LOT: 1 BLpCK: 9
COUNTRY HOME HEIGHTS
P.I.N.: 10-18300-010-09
DESCRIPTION:
MAC SOUND
11tkSnj Permit Type
il2ting-??x,rk Type
?
".,
r
?f
REMARKS
PERMIT ??lo
INSULATION
SF (MISG.}
ALTERATION
tV;?? F
A SEPARfl7E PERMIT IS REQUIRED FOR ANY PLUMBING Oft EIECTRICAL WORK
FEE SUMMARY:
VALUATTON $7,000
8ase Fee $90.00
Surcherge $3,50
Total Fee $93.50
CONTRACTOR: - applicant - sr. Lzc. OWNER:
JOHNSON CONST, LYNNE MARIE 15531983 2001213 RODENBORG DELORES
6272 YUCCA LN N 2$20 PILOT KNOB RD
MAPLE GROVE MN 55911 EAGAN MN 55121
(612) 559-1983 (612)454-5167
T hereby acknowledge that i have read Chis
information is correct and agree to cotnply
Statutes and City of Eagan Ordinances.
L
APPLICANT/PEFMITEE SIGNATl1RE
appli,cation and state that the
with all applicable Stete of Mn.
- ?.Na,a ,?A-1 1 .?
ISSUED BV SI TURET
I
INSPECTION RECORD
CITYOF EAGAN PERMITTYPE: BulLnzNG
3830 Pilot Knob Road Permit Number: 025137
Eagan, Minnesota 55123 Date Issued: 0 3/ 0 7 J 9 5
(612) 687-4675
SITE ADDRE55: Lo T: 1 B L 0 C K: g APPLICANT:
2820 PILOT KNOB RD JOHN50M CONST, LYNNE MARIE
COUNTRY HOME HEIGHTS (612) 553-1983
PERMIT SUBTYPE:
sF (MZSC.)
TYPE OF WORK:
ALTERATION
DESCRIPTSpN MflC SOUN? TNSULATION
INSPECTION
FRAMZNG .. .
ROUGM IN PLBG ..
RQUGH IN HTG FINAL
REMARKS: fl SEPARATE PERMIT IS REQUIRED FOR flNY PLUMBING OR ELECTRZCAL WORK
?
7
v. 110.
CITY OF EAGAN
1995 BUILDING PERMI7 APPLICATION (RESIDENTIAL)
L41-31 681-4675
New Gonstruchon Reauirements
State:
? 3 registered sile surveys ? 2 copies of plan
? 2 copies oi plans (include heam & window sizes; poured fid. design; etc.) ? 2 site surveys (exRerior additlons & decks)
? t energy calculations ? 1 energy Calculations for heffied additions
? 7 tree preservahon plan H lot platted aTter 711193
required. _ Yas _ No
DATE: FQbruary 15. 1995 CONSTRUCTION COST
DESCRIPTION OF WORK: Misc. Alterations - MAC Sound ProQram
STREET ADDRESS: 2820 Pilot Knob Road
LOT I_ BLOCK Q_ SUBD. ? L ?r??) P.I.D. #
I
PROPERTY
OWNER
CONTRACTOR
Name: Phone #:
IA6i fIR3i
Street Address:
City:
State:
Zip:
Company: T? araurF .Trx,n,srm, rx21Sra1x-rrrnv?rnr. Phone #: .553-1983
Stf22t AddrESS: 6272 Yucca Lane North License #: ?nnu, l'A
CIty: MaPle Grove, MN 55311
ARCHtTECT/ Company:
ENGINEER
Name:
Phone
Registration #-
Street Address•
City:
Sewer 8 water licensed plumber: _
are requested once permit is issued.
E0050
? bZ O
Zip:
Penalty applies if address change or lot change
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.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Sunrey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122 .. . •. =
OFFICE USE ONLY
BUILDING PERMIT TYPE
o 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-piex ? 12 Multi (Misc.) ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 5F Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
oC 05 5F Misc. ? 16 Multi (additional) ? 15 Deck
WORK TYPE
? 31 New cz<33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq, ft. Fire Sprinklered
Zoning sq. ft. Census Code ?
# of Stories sq. ft. SAC Code 44/_
Length sq. ft. Census Bidg. ?
Depth Footprint sq. ft. Census Unit O
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ o-
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Suroharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
PERMIT
CI'rY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-18300-010-09
DESCRIPTION:
6'x 24'
DECK
NEW
R-3
C%
BUILDING
021599
07/28/99
?? II\\ cli?? ^.1
PERMIT TYPE:
Permit Number:
Date Issued:
2820 PILOT KNOB RD
LOT: 1 BLOCK: 9
COUNTRY HOME HEIGHTS
37' x 12'
Building,Permit Type
3uilding Wo,rk Type
J-'UBC Occupancy'?,
.`
_. ?
?
1
?fl r"
.,
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
Total Fee
$25.00
$.50
Fee $5.00
$30.50
CONTRACTOR: - APPlicant - sr. Lrc. OWNER:
SUNBURST BLDRS 16865832 0008582 ODEMBORG DELORES
4270 SUNRISE RD 2820 PILOT KNOB RD
EAGAN MN 55122 EAGAN MN 55121
(612) 686-5832 (612)454-5167
I hereby acknowledge that I have read Chis application and state that the
informat3on is correct and agree to comply with all applicable 3tate of Mn.
SCatutes and City of Eagan Ordinances.
L
I
APPLICANT/PERMITEESIGNATURE 1 IDt BH:S NA? I?
INSPECTIO
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: Lor: i BLOCK:
2820 PILOT KNOB RD
COUNTRY HOME HEI6NTS
PERMIT SUBTYPE:
DECK
?
?
(".. i,. •"),
N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
y APPLICANT:
SUNBUR3T BLORS
(612) 686-5832
TYPE OF WORK:
DESCRIPTION
;??'?i 1?',in:t •????.1? 1Ah : 4iEll
?,?. ? ? ?: i ???J ?? •'.?, ; I: I ?.L,. ?? i :.
I?' 1 ??'?? fY' 1:..•OC1 ?1.?? '1?1
( UI 1 ' 4 :1
•,pr(? I. I 1 ?.tr '114 U11
BUIIDING
021599
07/28/93
NEW
37'x 12
i ?t ? ! J i {?If
6'x 24'
7
j
1 .1 1
REACTIVATE _ UiEQEQVEI? CIIY OF EAGAN
PeRMIT`# UL 1 9 1993 1993 BUILDING PERMIT
jet 681-4675
-----------
APPLICATION
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, l set of
specifications, i 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 e_i -_ Yaluation of work ?.???-UL
Site Address: ZSa-O i, ?Rd
STREET SUITE #
Tenant Name: (commercial only)
IAT BIAC& ? SIIBD. Q?' P.I.D. M
s
Descri tion of work: ??-
The applicant is: ? Owner .FJlContractor ? Other coesor;be>
Name be.7 o't S Phone 464- f? r G, '7
Property ' LAST FIRSt
OWnar
Address 2a' 20 lo ?- k-c+? W
STREET . STE •
City Euquv'? State 1\A ^a Zip is-S-121
Company Phone
Contractor Address License #'35 92- Exp. '?
City C76L? State 1\4 N Zip ?5t2z
Company -e3a.~ us- Cu-A,-aAc?r Phone
ArchttecU
Engineer Name Registration N
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
carrect and agree to comply with alt applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Appl,icant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
0 02 SF Dwg.
? 03 SF Addition
? 04 Sf Porch
0 05 SF Misc.
WORK TYPE
A 31 New
O 32 Addition
O 06 Duplex
? 01 4-Plex
O OS 8-Plex
0 09 12-Plex
? 10 Multi. Add'1
O 33 Alterations
13 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
ce
15 Deck
? 35 Tenant Finish
[3 36 Move
Const. (Actual) ? - Basement sq. ft.
(Allowable) ?,- ? lst F1. sq. ft.
UBC Occupancy F- 2nd F1. sq. ft.
Zoning Q-3 Sq. Ft. total
N of Stories Footprint Sq. ft.
Length 3+7
x? On-site well
Depth ,
6c? On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
O Footing
? Final
? Framing
? Draintile
37PT
/
0
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
2S1 U, Yalwtim: $
ISC
0 16 Basem?ifnt Finish
0 17'Swim Pool
O 18 Comn./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster PumP
Fire Sprinkler
Census Code
SAC Code
Assessments
?
t8' d` -
?
P?4,
?
?
?I (nI ? b -pj
f
5o ,
,
Z`n
o ??? ?
• r
0
t?-- 37 ' Z` '-- ( I
/ ',?' D 'F-?
I ,
k
`
?
?
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a?.
3 ?
?d -Y d f c/
p d L, ? a ,y /
?a LiPr
2e?0 //l o 7
/ L/ a ?
?L) 7 _J2 a a
, ,?Ta F--6Z aa.d„
4l
?
?
(
,
?D --
?
?
7
?
? tv & R 7'T?
MASTER CARD
LOCATION
OWNER 4m
STRUCTURE AND
LAND USED AS
- y,
Permit
No.
Issued Issued To
Contrattor Owner
BUILDING
PLUMBING ?
?? .,,7f
CESSPOOL - SEPTIC TANK -t
--
WEIt
ELECTRICAL
HEATING
GAS INSTALLING 2 ?
SANITARY SEWER tl
OTHER
OTHER
Items Approved
(Initial)
DaTe
Remarks
Distance From Well
FOOTING r ? $0000' $EPTIC
FOUNDATION CESSPOOL
FPAMING ? TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PWMBWG -?" 2t
WELL
SANITARY SEWER d? I ns./???1
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN 6VENT 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.
NON•COMPLIANCE. BUIIDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
AND DESCRIBED AS
? REINSPECTION REQUIRED
DATE OF REINSPECTION
REVEALED
CE RTI FICATION -1 certify [hat I have carefuliy inspected the a6we in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site imprwements relating to the property inspected.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
INSPECTOR
DATE
va
MASTER CARD
LOCATION ?/(r I ? 'I /? ?
OWNER
STRUCTURE AND
LAND USED AS
Permit I I
No.
Issued Issued To
Contrador Owner
BWLDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATI NG
GAS INSTALLING
SANITARY SEWER I
OTHER
OTHER
Items Approved
(Initiai)
Date
Remarks
Distance From Well
FGOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING ?
WELL / l
SANITARY SEWER
Violations Noted
on Back
COMMENTS
COMPLIANCE INSPECTION REPOftTS
TO BE USED ONLY IN EVFNT OF 085ERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
I?I NON-COMPLIANCE. BUILDER WILL COMPLY
iJ WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS
? NON-COMPLIANCE. BUtLDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY GONDITIONS BEYOND
CONTROI.
7 REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CERTI FICATION -I certify that I have carefully inspected the ahove in which I have no interest present or prospective, and that I have reported herein
all signiticant conditions observed to 6a 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.
7 ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BIJILOING INSPECTOR OATE
aa
? . . ??
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNIIT FOR WATER SERVICE CONNSCTION
Date• September 11, 1972
Billing Name•Harold Rodenborg
Owner; same
Number• 969 /-?} •/f???
Site Address• 2820 Pilot Knob Roacl
Billing Address
Plumber: Dakota Plumbing & Weierke Trenehing
of Connec
Meter Size 5/6 Connection Chg. 300xr09 nd 9/11/72
s373863?- 70.00 pd 9/12/72
Meter No. 2211 0400 pe?it Fee cn „ea o/i 9i
2211BZ}00 $$U$$-- Ae "'"72 s/c
Meter Reading XNVW Dep. 75.00 pd 9/11/72
Meter Sealed: Year lAdd'1 Chg. 8.o0 od 9/12/72
Id0 iTotal Chg.
Building is a:
Residence xx
Multiple No,
Commerciai
Iridus tria 1
Other
Inspected by
Date
&emarks:
unitsd ? ??? +'1 FFE rOR
IMPit3PERLY iNSTALLED lr1ETERS.
B9:
Chief Inspector
In consideratian of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordaace with the rules and
regulations of Eagan Township, Dakota County, MlnnesoGa.
Byi?? Y ?
Dakota P1 bing & Weierke Trending
PLease notify the above office when readq Eor inepection and connection.
.
EAGAf7 TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICS CONNECTION
DATE: September 11, 1972 gUMggg 1127
/- G
OWNER: Harold Rodenborg Address 2820 Pilot Rnob Road, Eagan 55121
PLUMBER Dakota Plumbing
& Weierke Trenching
TYPE OF PIPE Heavy C ast Iron
DESCRIPTION OF BUI1D ING
Iudustriall Commerciall Residentiel ` Multiple Dwelling f No, of units
xx
Location of Connectfona:
Connection Charge 260.0_ Opd P/11?72
Acct. Dp. p
Permit Fee 10.00 pd 9412/72
. Opd91272
Street Repairs
ToCal
Iaspected by:
Date
Remarka•
By
Chief Inspector
In consideration of the issue and delivery to me of the above pexmit, I
hereby agree to do the proposed work in accordance with the rules and
regulationa of Eagaa Tocroship, Dakota County, Minaesota
BY ?
e Trenching
Pleaee notify whea ready for iaspection and coimection aad before anq portioa
of the work is covered.
?
- Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
- _-- -
? Pertnit#: V? I lX `? I
I Pertnit Fee: V
? Date Received: ?
I I
I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICA
Date: ') c.?.. " [ Site Address:
Tenant:
Suite #:
RESIDENT ! OWNER Name:
JIL ? 'Ca ? ' Phone:? ?,?
Address ! City / Zip: u?
N
Applicant is: -_ Owner ontractor '
TYPE OF WORK Description ofwork:
C
t
ti
C
l
Y
N
ons
ruc
on
ost: rolu - ami
; (
es
o
Window Concepts of MN, Inc.
e
CONTRACTOR Name: _ 990 Lone Oak Road Suite 114 Lic
Eagan, Minnesota 55121
Address:
- Toll Free 1-888-712-1733
City: License # 20163493 tate: Zip:
www.windowconceptsmn.com
Phone:42a: i <'e; 4 c7, <^"Contact Person: !7 'e_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CatOgOry Submitted Submitted
(4 SuBmission type) • Energy Envelope Calculations Submifled
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7
_l'es _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contrector: Phone:
? NOTE
rmatro`m-Por-i'ions4of ;
, Alans and s?p6rt?ng dociimentsjthat you subm?f are cons?dereal=fo be pubhc inf6
?
?
?: the rn ?rmahot3 may ?be classiffed.as no'c?
publrc°rf ?ou Aroy?de spe?c reason5 t6at worild permit ?he.City ?o '`
.
- - ;W?= -- `?'` -? conclutlettiafthe .a`re`,trade'secrets - ?:`?? ?,? -
I hereby acknowledge that this information is complete and accurete, fhat the work will be in conformance wRh the ordmances 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 permk; that the wcrk will be in
accortla ? with the approved plan in the case of work which requires a review and approv ns. ?.
` anF's Printed Name Appl' Ys Signature Page 1 of 3
J
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V. •
City of Ea all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (851) 675-5675
Fax: (651) 675=5694
RECEN5)
SAN 1 7 1011
Use BLUE or BLACK Ink
Permit ft 02-7 ( (�
d>
Penult Fee:
Date Received: 1-17 -12--
Staff:
8-61
,
J
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1-3-4• Site Address:, j ( NJ tv_ to 551
Tenant
RESIDENT I OWNER
CONtRACTOR
TYPE OF WORK
Suttee:
Phone: W-154 -5lfir;
Name: MILBERT COMPANY INC.dba CULLIGAN r ATER
Address: 1801 50"' ST EAST City,_- : INVER GROVE' iGTS
State: ' MN Zip: 55.077' Phone: 65.1 .. •451;-2241
Contact BILL.MILBER'I` . Email:
• New Replacement Repair _ Rebuild _ Modify Space Work I).R.O.W.
Description of work: ,
PERMIT TYPE
RESIDENTIAL
Water Heater
• Lawn Irrigation ( RPZ /•
--. Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures L Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heaters Softener (includes $5.00 State Surcharge) •
$35.00 Lawn Irrigation (Inclkides $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (Includes $5.00 State Surcharge)
'Water Tumaround (add $166.00 If 5/8' meter is required) .
5105.00 Septic System (510.00 per as built) (Includes County fee and 55.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes 55.00 State Surcharge)
TOTAL FEES $
. CALL BEFORE YOU DIG. Call Gopher State One Cali 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.000herstateonecall.orq
1 hereby acknowledge that this Intinnatlan is complete and accurate; that the work will be in conformance wrtth the ordinances and codes of the City of
Eagan: that 1 understand this Is riot a permit, but only an applicatlon fora permit, and work Is not to start without 4, rmft; that the work will be in
accordance with/ , approved pia I In the %se of work which requires a review and approval
Applicant's Printed Name ApplicanrsSlgnature
1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118876
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 2820 Pilot Knob Rd
Lot:1 Block: 9 Addition: Country Home Heights
PID:10-18300-09-010
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 by law in ALL single family homes .
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 -
Delores A Rodenborg
2820 Pilot Knob Rd
Eagan MN 55121
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165739
Date Issued:11/18/2020
Permit Category:ePermit
Site Address: 2820 Pilot Knob Rd
Lot:1 Block: 9 Addition: Country Home Heights
PID:10-18300-09-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Delores A Rodenborg
2820 Pilot Knob Rd
Saint Paul MN 55121--112
Sieben Plumbing
18605 Fischer Ave
Hastings MN 55033
(651) 343-6298
Applicant/Permitee: Signature Issued By: Signature