3004 Pine Ridge Dr,-
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CITY OF EAGAN SEWER SERVICE PERMIT
3795 Wlot Ano6 Road PERMIT NO.:
Fagan, MN 55122 D11TE:
Zoning: No. of Units: Owner:
Address:
Site Address-
Plumber:
1 egroe M wmply wlth the Cilp of Eagan
Ordinanees.
By
Date of Insp.:
00
Connection Charge:
Account Deposit:
Penmit Fee:
$urcharpe:
Misc. Charges:
Total:
Dote Paid:
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CITY OF EAGAN WATFR SERVICE PERMR
3795 Pilot Knob Rood PERMI7 NO.:
Eagan, MN 551122, . DATE:
Zoning: No, of Units:
Owner: ? . . ,. , , t ± . ,
Address:
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Site Address:
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Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I agree to wmPly with ths City of Eegen Surcharge: .
Ordinane,ss. Miu. Chorges:
Total:
gy Date Paid:
CITY OF EAGAN Remarks
Addition nRl nnd Timh rl inp Lot 20 Blk 2 Parcel
owneT Street 3404 Pine Ridge Dr. State Eagan, MN 55121
? ?. <, i ; •;
Improvement Date Rmount Annual Years Payment Receipt Date
STREET SURF.
1;, STREET RESTOR. p n 1971 974.60 97 .46 10
GRADING
SAN SEW TRUNK 1968 100.00 3.33 30 46.72 7 10-7-83
? SEWER LATEFiAL 1970 2045.00 $102.25 ZO it if
* WATERMAIN 1970 ZO
WATER LATERAL
WATER AREA 1977 160 00 10.66 15
?tc STORM SEW TRK 1970 ZO
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD IT 250.00 3512 -5- 3
-
WATER CONN. SO.OO 11 11
BUILDING PER. 7898
SAC
525,00
PARK
CASH RECEIPT
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
REC[IYED
FROM
AMOUNT $ I
DOLLAR$
I oo
[:] CASH F] CHECK
Thank You
BY
4Vhite-PaYers Copy
Yellow-Posting Copy
? Pink-File Copy
CITY QF EAGAN
3793 PNof Kwob Reed Eogon, MN 55121 7?
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PHONE: 454-8100
BUILDING PERMIT Receipt
T. !. wW M, SF DVIG/GAR Est. Volue $62,000 Date April S , 19 3
Site I?ddrcss - 3004 Pine Ridive llrive Erecr O R-3
Lot 20 81ock 2 Sec/Sub. Uslund Timberline Alter Zoninp cc?pancy R-1
0
pamel # 10 55300 200 02 Repoir p Fire Zone 14A
a Nome
? Addm
A Nams _
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Nume _
Addreu
Enlaros p Type of Consf. V
Move ? # Storles
Demolish ? Length44.?"
Grode p Depth 4L' Sq. Ft.
Approrals Feas
Assessrnent _
Water & Sew.
Pol ice
Fin
Enp.
Permit J1s.vv
Surctarye 31•00
Plon check 159 .50
SAC 525.00
Wcter Conn450.00
Water Meter 6 C) . f -3
Road Unit 2 51)• ,',
<W I City Phax Planner _
Councfl _
I hereby acknowledge thot I hove read this application and stafe that Bidq. Off.
fhe information is torrecf and ogree to tomply with oll opplitoble ^PC _
Stote of Minnesoto Storures and City of Eagan Ordinonces.
Sipnoturc of Permittee
Totol $1794.50
A Building Permit is issued to: on tha expreas condition thnt
pll work shcll be done in occordance with nll appiicoble State o7minnesoto Statutes ond City of Eaqan Ordinances.
Buildlnq OffiNoi ?
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Receipt PLUMBING PERMIT Permit No.
' CITY OF EAGAN
Fee
. Fill in numbered spaces S/C '
Type or Prrnt /egib/y _
Tot
1. Date 2. Installation Cost .
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
S. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New 0 Add 0 Alter O Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cessppol/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Sh0wer Well
? Kitchen Sink
Urinal/Bidet Other
Laundry Tray .
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
wmply with all ordinances and codes governing this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt -? ? MECHANICAL PERMIT ?
Permit No.
• CITY OF EAGAN
Fee
` fi/l rn numbered spaces S/C
Type or Print fegib/y Tot. -
?
t. Date 2. Installation Cost .
i 3
A
J ?
.
ob
ddress Lot - Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip ,
8. Building Type: Residential 'f7 Commercial O Institutional ?
9. Work Description: New,b Add 11 Alter 11 Repair O
10. Describe
11.
Type
No,
? Equinment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
i
Mfg. r
andl
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 464-8100
Timberline CDrp.
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JACKSON - SURVEYORS
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RlOIGT[R[p UND[R LAW{ OR lTATt OR MIMNVOTA
3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 7273484
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I ii[REDY C[RTIFY TF1AT TM[ ABOVt Ii A TRU[ ANO CORR[CT rLAT OF A SU11VtY CF
L-it 20.91ock 2,0slund Tinibecline AddLtion,
Dakita Ac+unty,Minnesota.
Af fURVEY[O ¦Y MR THIi... 25th' - DAY Oi-MarCh -A O 1983
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F. C. JACKSON.
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TF115 YbquP.Sl VOId ((J-w
18 months imm
V'd 27628
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Reques .Date? Fire No. Rouph-in Inspedion
F yulred? ? '
Reedy Now i14_Nntih Inspec-
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XLicensed EI¢c[rical Contractor I hereby request inspection of above
? OwnBr elechical work instelled at
Street Atldress. Bo• r oute
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or
ecuon o. Township ame or Nn. Pange No. County
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OccupentlPRINTI Phane o.
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Pawer Supplier ./
Addre
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Elec[ri I Con act I.C/f.Ompany
. amely:..?? Contrnctor's LicensefNo.
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Maili 9ddr s Con or or Owner Making Instailationl
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Authorized e(Contractor Owner Makine In tal tionl Phon Number?
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MINNESOTA STATE BOAND OF ELECTflICITY TMIS INSPECTION flEQUEST WILL NOT
Carigge-Midway eltlg. - Room N•191 BE ACCEPTEU BY THE STATE BOAPO
1821 Univarsity Ave., St. Peul, MN 55104 UNLESS PftOPEfl INSPECTION FEE I i
e.___ ime1 eov a'll ENCLOSED.
^ REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
i 27628 / See instructions for comoleiing this torm on back of yellow copy. 2
"X" Be%wWoiy1c Covered by This Request
NBw Add NaP. TVpe oi Building APplfdncB3 Wifed EquipmBnt '•e?
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. ir Conditioner Bulk Milk Tank
Farm Oiher peci v ther {Specify)
ther Uer.i y Other Other
Compuie lnspection Fee Be/ow
k Fee ServicaEntrenceSize # Fee Feedars/SUbfeetlere 4 Fee Citcuixs
0 to100qms 0 to30qms ? Oto30Am jps
7 1 a.pp 101 to 200 qmps 31 to 700 qmps 31 to 700 Am
Above 200Am s A6ove 100_Am s Above 100_Am s
Transiormers Remote Control Circ. Partial% e
Signs Special Inspection S . 10b
T AL FEE
Remarks •J
!1 ?F
flou8h-in U a ILtb ecvical
y?j.- i s ctor, hereby
certity ehet the xbove
Final ?`11e 'nSpBCtion has been
.da.
,m5 requesi v[im
1 N r»nnths from
CITY OF EAGAN ?898
9795 PUM Knob Rmd Eegan, MN S5123 ?7 l?l .?
PHONEs 434-8100
BUILDING PERMIT Recelpf # ??3%.L?
Te ba ated fae SF DWG/GAR Est.Value $62,000 pOfe Apxil 5 lq 83
Siro Addreu 3004 Pine Ridge Drive R-3
Erect $y Occuponcy
Lor ZD Block z Sec/Sub. Oslund Timberline qlrer ? Zoninq R-1
Parcel # 10 55300 200 02 Repoir ? Flre Zona NA
Oslund Construction Co. Enlor9e ? Type of Consr. V
W Name Mwe
? # Stories
; Address 1514 McCarthy Drive pe,rwlish p Length44
b EaRan 55121 454-3336 Gmde
?? p?? ? Depth 48 Sq. Ft._
p Name 0?^'ner ADprorali _ Faea
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?? Addreu
t- r:.,.
Nume
I hereby aCkrrowledge thot I hove reod fhis applicofion ond state tFwf
fhe inlormation is cArrett ond ogree to wmply with all applicoble
Stofe of Minnewta Statutes and City of Eogon Ordinonces.
Signature of Permitfee
A Building Permlt Is issued to: Oslund Construction
oll work sholl be done in accordonce with ult avubfable State i
ASSe55ment _
Water 8 $ew.
Police -
Fire
Enq.
Pianner _
Countil _
Bldg. Off. _
APC
Permit jl>•vv
surchor¢e 31.00
Plan check 159.50
SAC 525.00
Water Conn450.00
Water Meter 60.00
Road Unit 250.00
Toeol $1794.50
on the express condition thnt
Statutez ond City of Eogon Ordinancea
Building Ofticiol
jJb EIEUat/ oNsaN S%t-P P/0 N-7'1.@eci
.?- CITy OF FAGp,N Inclule 2 sets of plans,
1 site plan w/elevations &
? BUILDING PERMIT APPLICATION 1 set of energy calculations.
Used Foreff ?I G'i d Valuation Date g't -r-7
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Site Pddress ?00q Pi pE e? ?1 dl` V? OFFICE USE- ONLY
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Bloclc Sec./Sub. P/?
/ ?t I ??,Occupancy
Parcel #: ? U 30 D:200 O;Z
Qaner: GD1/ ?
Address: __Ls73? !V_ ? A
City/Zip Code: --??7a v--, /
Phone #: !? ??/ 1?0 -3,?
Contractor• 1,,. ?1 P
Address:
City/Zip Code:
Phone #:
Arch./Enq.:
Address:
City/Zip Code:
Phone #:
Alter Zonirig /t/
REpair Fire Zone
Enlarge _ Zype of Const.
Nbve # Stories
Demolish Front y y' ft.
Grade Depth ?-ft.
?9ater/Seaer
Police
Fire
En4 •
Planner
Council
Bldg. Off. .?I
AFC
Surcharge
Plan Check
S21C
Wates Conn.
Water Meter
RDad Unit
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA107711
Date Issued:10/23/2012
Permit Category:ePermit
Site Address: 3004 Pine Ridge Dr
Lot:20 Block: 2 Addition: Oslund Timberline
PID:10-55300-02-200
Use:
Description:
Sub Type:e - Air Conditioner
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
Cheri Follese
11845 Bass Lake Rd
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Mac Ableidinger
3004 Pine Ridge Dr
Eagan MN 55121--190
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature