3012 Pine Ridge DrWATER SERVICE PERMIT
PERMIT Np,;
------------
DATE: ----- No. of Urtits:
5ite Address
Plumber: _ .. _ ` • - ` . .._? ... ,
Meter No.: _
:2e
Size: Connection Chprge;
Reoder No.: Account Deposit: J- .
------------
1
agree to Comply with the Citr of Ea
'
P
ermit Fee: ':'- •
n
9
0
Ordinanees Surchar9e:
.
Misc. Charges:
'
BY Totol:
• ? ` .
Dote of Insp.: Date Paid:
1nsp.:
OF EAGAN
Pilot Knob Road PERMIT NO.: i
, MN 55122 DATE: ?' ' I
No. of Units: I
i
Site Address: _ 'x.. 2 r r1 inF.
Plumber:
1 agree to tomply wieh the City of Eogan Connection Charge:'
Ordinonces. Account Deposit:
, ,.
Permit Fee:
Surchorge:
By Misc. Charges:
Dote of Insp.: ToYol:
Insp.: Date Paid:
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KN08 ROAD
EAGAN. MINNESOTA 55122
DATE 19
AMOUNT ? I
dOLLARS
+oa
? CASH [:] CHECK
NUMERICAL FILE COPY
?
.. BY
? CITY OF EAGAN
E- "- 3795 Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT
Receipt #
N°_ 5620
To be md for Est. Value Date , 19
Site Address Erect .p Occupancy
Lot Block Sec/Sub. Alter '[] Zoninp
parcel # Repoir ? Fire Zone
Enlarge ? Type of Const.
W Name ' Move p # Stories
Z Address
0 Demolish ? Front ft.
City Phone Gmde ? Depth ft.
o Name son Constr.
Z? . :jl? T'ln: ,,,?-,--- -
o? Address '
-, ,
?
'_ rlot- -*• ati.,.,o 2- d c.
Name _
Address
Assessment
Water & Sew.
Pol ice
Fire
Eng.
Planner
Council
Fees
Permit
Surcharge
Plan check
SAC
Water Conn.
Water MeYer
I he?eby acknowledge that I have read this application and stute that gldg. Off.
the informotion is correct and ogree to compiy with oll applicable APC Totol
State of Minnesota Statutes ond City of Eagon Ordinances.
Signature of Permittee ' ? -
_ .,.
A Building Permit is issued to: " on the expreu condition that
all work shaii be done in accordance with ali upplicable Stote of Minnesota Statutes ond City of Eagan Ordinances.
Building Offitiol
-f
Pennk # Ooh Iaaed - POnnktN
Plumbing
yr- ' ?
Mechanical
?,.(xc.% 5 I o4 (c ?S 2 z 7 Z c ??.r,r' ' • - ?r ? ? ?, .
INSPECTIONS DATE INSP.
RoupMln
Finol
Footings Date Insp. Date Insp.
Foundotion Plumbing -5-- O
Frame/ins. Mechunicol
Final -25-Sr6
Remorks:
. • cinr oF UGAN
3795 Pilot Knob Reed
Eogun, Mlnnssote 55122
Phone: 454-8100
PUJ';1iiINC. 1fi.23
PERMIT No.
3/4/Ba
Date: Receipt No.:
?? ?M fddge Single I
Site Address: Residentiul
D81u.Yi,3 `I'if;iberline I
Lot Block Sub/Sec. - Multi Res., Comm./Ind.
?RSOT1 ('orlqtr. (C.?hiI_l.in. SChrtelde }
Name New/Alter./Repoir
. 6615 Floimder Ct..
; Address Cost of Installation
° Farminf ton,?W ? 32-49 ir)
City Phone: Permit Fee R'22*0 ` ,'2
Mota Plumbing Y@c'1'' i r_,?
Nome Surchorge
.
g Address
e
? Gty Phone: Total . ' '
This Permit is issued on the express condition thot oll work sholl be done in eccordance with oll applicable State of
Minnesota Statutes and City of Eagon Ordinances.
Building Officiol
CITY OF EAGAN Remarks
Addition Oslund ,Timberline Lot 19 Rik 2 Parcel
Owner '??`•?" Street 3012 Pine RidQe Dr. Scate -_ Eagan, MN 55121
Improvement Date Amount Annual Years Paymeni Receipt Date
STREET SURF.
a, STREETRESTOR.paving 1971 97 .00 $97.46 . 8-26-77
GRADING
SAN SEW TRUNK ?100.00 .
SEWERLATERAL 022 2 A0045$1 8-26-77
? WATERMAIN 1970 20
WATER LATERAL
WATER AREA
39-
1977
160 00
10.66
15
149.34
A 4581
8-26-77
* STORM SEW TRK 1970 ZO
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 230.00 7455 -19-77
BUILOING PER.
SAC
PARK
CITY OF EAGAN
3795 Pilot Knob Read Eagen, MN 55122 N2 4490
' PHON E: 454-8100
BUILDING PERMIT ReceiPt #
To be ursd for Date ?--
Site Address Erect .', ? Occuponcy
Lot Block Sec/Sub. :i-`F'imhe,rili?Alter ? Zoning
Parcel #
a: Nome ? Pi+I I, i i Cr.`..noi r?p?-+
p
W s?vvsssrcJC vs
3 Address! i lar ti orki A v.
o ;?.,,,i K nn nt:rn
Repair ?
Enlarge ?
Move o
Demolish ?
Grode fl
°t Nar„e : ard C on s t C o AP°'°•°•'
0
OU< Address PQa.-o , .. ,^ ?. F)t, Assessment _
oL..__ Water & Sew
Name ' =111rS Han Service
Address -` 2 7`?' 0•T.,Y t7 d c'.. _? t A? . 50 .
ooininatori m,._,. W-
Police
Fire
Eng.
Planner _
tt.
tt.
Permit _
Surchorge
Plon check
SAC '
Water Conn.
Wuter Meter
Council _
I hereby acknowledge that I have read this application and state thot Bldg. Off.
the informotion is correct and ogree to comply with all applicoble
Stote of Minnesota Statutes ond City of Eogan Ord:nances. APC Total
Signoture of Permittee ' A Building Permit is issued ta '?? 1 ?•??' ? - on the express condition thot
all work shall be done in accordance with all applicable Stute of Minnes^,tu 5tatutes and City of Eogan Ordinonces.
Building Official
F i re Zone
Type of Const.
# Stories ? .
Front
Pwwk # Oeft IwNA ?wwNlr
Piumbin9 9 ? 5/ /i - ? a - 7 7
_ Mechanicol
INSPECTIONS ? DATE INSP. Rouph-In Final
Footings -/-? Dote Irop. Date Irop.
Foundation _ plumbing
Frame/ins. Mechanical o? -?s-
Final '
Remarks:
r
PLUMBItdG
Date:
November 22, 1977
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesoto 55122
Phone: 454-8100
PERMIT
Site Address:
3012 Pine Ridqe Lxr.
Lot 1 Block ` Sub/Sec.
Timberline
Nome NYqaard Cbnstruction
.
; Address 586 Maple Park Drive
?
City Phor?e:
` Name PzoieCt P1uIIIbinQ Go.
? Address `' 74 ' FitDnbo idt Ave. So .
v ?
City %4 31 Phone:
This Permit is issued on the express condition thot nll work shall be
Minnesota Statutes and City of Eagan Ordinances.
No.
Receipt No.:
$ingle `
Residential ? ?
Multi Res., Comm./Ind. I
New/Alter./Repair. '
Cost of Installation
_
Permit Fee 20.00
Surcharge .50
Total 20• '0
done in accordance with oll applicable State of
Building Officiol
cirir oF EAGaN
? 3745 Pilot Knob Road
t. - Eogan, Minnesote 55122
Phone: 454-8100
?+I,AmING _ PERMIT
Dote: January 19, 1976
Site Address:: -?` Plne Ridge Drive
2 -,und Timherline
Lot ^ Block 5ub/Sec. _
Nome ' • `L'' • ? ? N}'qaard
.
; Address
O
i/'r2
City Phone:
Nome Cedar Valley ii--?acinfr t: ?•.j ?:?
.
? Rddre s7'0 Cedar Ave. So.
a
0
U
City '• ?` , '•, `: ` Phone:
This Permit is issued on the express condition that all work sholl be
Minne o Stotutes and City of Eogan Ordinonces.
?
No. 1097
Receipt No.:
S(ngle ?
Residentiol Y
Multi Res., Comm./Ind. I
New f Alter. /Repair
Cost of Installation
.';?.
Permit Fee 00
. ?, .,
Surcharge
Total
done in accordance with all applicable State of
Building Officiol
Ts.request void IS months from
P 30033
Date of this Request
I, as 0 Licensed Electrical Con rr ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. r1L! Et?f ?',.1k?. l7PJ tSt?City C?!?G []
Section Township Range County
Which is occupied by MQ. $ {'l"liz?) • C? p 1"1p i da2>
(Name o/ OccuD t)
Is a rougltin inspection required on this job? No ? Yes ?IN Ready Now ? Will Call ?
Power Supplier Y L.Z KC) b ? r /Ol Tf?f G Address ??'?:?'a?7.
Electrical Contractor Onf "Gt )/"'!C/ Contractor's License No??t` r6
_ (COmOany N ame) ?
Mailing Address
Authorized Signature ? ??~? yV ? V V? V Y^ ? 'Phone No. ?? J?
(ElftY
STATE BO ontractor or O
D COP wa r alAwg'Th{s Inatallation)
Y
'i. Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
+ ; REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY TH[S REQUEST
°?7 ?-'-Y
30033
Type of Building New Add, Rep. Ch¢ck Appliencea Wiced r Check uipment Wind For
Home ? ? Range /' Temporary Wiring ?
Duplex ? ? Water Heater ?3
?
/ Lighting Fixtures ?
Apt. Bldg. ? ? ? Drye[ ,
/ ElecVic Heating ?
Commercial Bidg. ? ? ? Fumace Silo Unloader ?
Industrial Bldg. ? ? ? Au Conditioner LN Bulk Milk Tank ?
Facm ? ? ? List GA
tt
? P. Li
Other ? 0 0 Rehers? ? e
COMPUTE INSPECTION FEE BELOW rvl) l?\ tA rL.y
Seivice Entrance Size: # Fce FeedecsBSubieedeia :# ] jWft- ' ircuita: u Fee
0[0 100 Am s. 0 to 30 Am res 0 to 30 Am eres ,B
301 to 200 Amps. 31 to ] 00 Amperes 31 to 100 Am eces
Above 200dCAmps. ? ) Above 100 Amps. Above 100 Amps. -?
Tcansfoimeis 1 1 RemoteControlC'vc. Partialor otheifee ?
S' s 1 1 S cial lnspection Minimum fee $5.00
Remazks
/
) t
TOTAL FEE
I, the Electrical Inspector, here6y certi?/Yha; the ab v spect' has been d .>'p
(Rough-in)_ v ?i,r ? ?Date
(Finap R?'?• ! ? . .',>c? , ;-Date
This request void 18 months from
void 7 8 months from f? p a Lj
r, ? ?9
Date f this Request '?' u `? ? `?
I, as,Licensed Electrical Contractor E] Owner, do hereby request ins ection of the above electri-
cal wiring installed at: ?'/(? G? y?w1 ?`i l t,?'-+?C c s?,
13--,),
Street Address or Route No. Sd/
Section Township
Range County
Which is occupied by
i trvamc m vcc?anp ?2_27- a'70
Is a roughin inspection required on this job? No ? Yes4 Ready Now ? Will Call ?
Power Supplier Address
Electrical Contractor? ? E Contractor's Lic?n? leoo OF3
(COmpaay Name) A I I
Mailing Address _1-2 S.a y ?377. aliation Authorized Signature ?4EIectMal Cont ace?r wne? r nn,i nis?one No )?Q o- ??s y
(Electrical Contractor or Ow aking 7his Installatlon)
c ?-a
I` ;l ?? , n p? 17 ._ This inspection request will not be eccepted 6y ffie
c u f ?? i: L )? ° J? I? State Board unleu praper inspection fee is enelased.
' Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
1REQ:JEST FOR ELECTRICAL INSPECTION
CIHecK BELOW WORK COVERED BY THIS REQUEST
/,?,& °Zy
S '{ +'..?R IQ
Type ot Building New A d. Rep. Checic pppliancea W ired For Check Fquipment Wirod Foi
Home ? ? Range ? Temporary W'ving ?
Duplex ? Cl Water Heater ? Lighting Firztures ?
Apt. Bldg. ? ? ? Dryei ? Electric Heating ?
Commereial Bldg. ? ? ? Fumace 13 Silo Unloadee ?
Industrial Bldg. ? ? ? A'v Conditio r 0 Bulk Milk Tank ?
1
List List
)
Othei ? ? ? y
p
Heiersl - p
y
Heitersl
COMPUTEINSPECTION FEE BELOW
Service Enttance Size: # Fee Feeders&Su6teedeis: # Fee C¢cuits: # Fee
0 to 100 Am s. 0 to 30 A s 0 to 30 Am eres S ld? • 0
101 co 200 Amps. 31 ro 100 s 1 to 100 Am eres
Above 200_Amps. Above 100 ' m bove 100 Am s.
Transformers RemoteC iol artial or other fee
o
Signs S cial Ins tion Minimum fee E5.00 °
Remazks
TOTAL FEE
e
I, the Electrical Inspector, hereby certify
(Final) -
This request
been made. ^?1
cinr oF Er?caN
3795 Pilot Knob Raod Eegae, MN 55122 ?4 5620
PHONF: 4548100 ?
-?Q -
BUILDING PERMIT APPLICATION
Recefpt
ro be med fo. Interior Rem. Est,voiue 51 000.00Daft 2/27/ iy 82
Siro ndaress 3012 Pine Ridge e.ecr acuP°^cy
Lo:1q ei«k2_ sec/sub. Oslund TimberlirykWer ? zoning Rl
porcel # Repair ? Flre Zone I I I
E
l f C
t
T V
orge
n ? ype o
ons
.
W Name C. Ph i 1 ip h n .? d r Move ? # Stories
? Address Demolish ? Front na N.
Ci Eaqan,MN pF,o„e 454-8969 Groae ? oepth na n,
o Name Dawson Constr.
oG qddress 6615 Flounder Ct.
,,;., Farmington,UN 432-4939
Assesvnent
water 8 Sew.
Police
Fire
En9.
Planner
Council-?7?G7?-?
Bldg. Off: ? "" ""
APC
Feea
Nnme _
Addreas
I hereby nckrrowledge that I have reod this epplication and stote that
the information is correct and agree ro eomply with all applicable
State of Minnesota Statutesi arid City of Eagon Qrdimnces.
Signature of Permittee z-,77-
A Building Permit is issued to:
all work shall be dane in acca
Permit lif.UU
Surchorge 2.5
0
Plan check
SAC
Water Cann.
Water MeMr
Totol 2 n. S 0
on the express condition thot
Stotutes ond City of Eagan Ordirarues.
Building Officinl
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55722 N2 4490
PHONE: 454-8700
BUILDING PERMIT APPLICATION Receipt # 7_?{_55
Te ea uma ro. Sinmle Familv 53, 000.00 Date Q/i a 79Z-7-
Site Address 3012 Pj.pnni Ans+ Tlr Erea j(p Occuponcy-?
Lot.__19_ Block2- Sec/Sub.0S1Lnd_2imhap1j,RCklter ? Zoning RT
Parcel # _ Repair ? Fire Zone ? _
Enlarge ? Type of Consi. v
w INa-e -C-.-D :`illip-3^vhnL=idLs
3 Addre?s472 HArtfond Av_
° ?:... St. Paul M,...e 699-0609
o Name NXg83Pd Const Co -?
ou 1Address SgF M-- ap? P P3*'k D2'
r r..., Menr3ota Hetm,,.,e 4Ft;_0274
Name Ph1113U5 Han Service
Address 10700 Lyndale AV. SO.
I hereby acknowledge thot I have read this application an state
the infortnation is correct nd agree to comply with all oppli,
State of Minnesota Stotute and y Ordinonc .
Signature of Permit e
A Building Pertnit is ued o: N,t7gaA»r7 (;nn¢t c
oll work sholl be done in occordonce with all plyp icable Stat?
Building Official
Move ? # Stories 1
Demoiish ? Front 84 ft.
Grade ? Depth 30 ft,
Approrals Fees
Assessment _
Woter 8 Sew.
Police -
Fire
Eng.
Plonner _
Council _
Bldg. Off. -
APC
Permit -I 4`).., nf1 _
Surcharge - 2 6 - 5 n
Plon check
snc 475_nn
Woter Conn711_jH
WoterMeter ri n_nn
Total Q2_Ffl
on the express condition that
$totutes ond City of Eagan Ordinonces.
CITY OF EAGAN Include 2 sets o£ plans,
1 site plan w/el.evations &
BUILDING PERMIT APPLICATION 1 set of energy calculations-
Zb Be Used For APel 16 Valuation o00 ? Date
- Site Pddress: -30i a ,?e 'rz6o OFFICE USE ODII.Y `
^'?J' [L..',•?, .,?, ..L M
_. ?t ?- Bllc- s J?:./JUU• .?PIG.rI D O F.rel.l. . WL'upancy . 3
Parcel #: Alter ?,Z_ Zoninq I
Repair Fire Zorie
owner: ri n r Enlarge - TYIe of const. ?
c. ?,? ? C N,v r
Move # Stories
Pddress: -30i z Demolish Front ft.
- ,__ -
City/Zip Gode: L A G g.? Grade Depth ft.
Phone # : e 9 APPRflUAIS FEES
Contsactor:?j qwse.o
Pddress: 61,-1
?Cox,?d« ?--r
C1ty/Z1jJCOdO:
?
Phorie #: a.j 2- v 53 5
Assessments
Water/Sewer
Police
Fire
Ehg.
Planner
Council
Pernnit / B C?
Surcharge 7 "
Plan Check $A..'
Water Conn.
Water Meter
Road Unit _
P.rch. /IIzg. :
Address:
City/Zip Code:
Bldg. Off.
APC
Phone #: TOTAL 9d 1
DORSEY, MARQUART, WINDHORST, WEST 8'. HALLADAY
2300 FIRST NATIONAL BANK BUILDING
MINNEAPOLIS,MINNESOTA 56402
JONATHAN VILLAGE CENTER (612) 340-2600 116 TMIRO STREET SOUTHWEST
CHASRA.MINNESOTA 55316 ROCMESTER,MINNESOTA 55901
(612) 448-4012 CABLE: DOROW (607) 268-3156
TELEX:29-0605
TELECOPIER:(612) 340-2868
1468 W-FIpST N4TION<L BANIS BUILDING
ST.PAUL,MINNESOTA 55101
(siz) 227-8017 W. F. MARQUART
(612)340-2687
March 30, 1977
??Cf)C
MAR $1 18Y?
City of Eagan
3795 Pilot Knob Road
Eagan, Minnesota 55122
Gentlemen:
The Dakota County Auditor has informed me as to the total
amount of special assessments that have been paid on Lot 19, Block 2,
Oslund Timberline Addition, Dakota County, Minnesota, from 1970 to
1977, both inclusive, and has told me that I could find out from you
whether any special assessments were paid on said Lot from 1963 to
1969, both inclusive.
Would you please advise me whether any special assessments
were paid on said Lot 19 from 1963 to 1969, both inclusive, and if
any were paid the total amount paid. If you wish you can do so at
the bottom of the enclosed copy of this letter and send it to me,
Mr, W. F. Marquart, 2300 First National Bank Building, Minneapolis,
Minnesota 55402.
Very truly yours,
4 ' /21- AlIG:? ???t.c?
W. F. Marquart
WFM:mc
Enc.
DORSEY, MARQUART, WlNDHORST, WEST 8. HALLADAY
s 2300 FIRST NATIONAL BANK BVILDING
MINNEAPOLIS,MINNESOTA 55402
JONATHAN VILLqGE CENTER (612) 340-2600 115 TMIRO STREET SOUTHWEST
CHASHA,MIIVNESOTA 55318 ROCHESTEF,MINNESOTA 55901
(612) 448-4012 CABLEDOFOW (507) 286-3156
TELEX:29-O605
TELECOPIER:(612) 340-2668
1466 W-FIqST NATIONAL BANH BUILDING
ST..PAUL,MiNNE50TA 66101
[6121 2e7-aon W. F. MARQUART
(612)340-2667
March 30, 1977
City of Eagan
3795 Pilot Knob Road
Eagan, Minnesota 55122
Gentlemen:
The Dakota County Auditor has informed me as to the total
amount of special assessments that have been paid on Lot 19, Block 2,
Oslund Timberline Addition, Dakota County, Minnesotar from 1970 to
1477, both inclusive, and has tald me that I could find out from you
whether any special assessments were paid on said Lot from 1963 to
1469, both inclusive.
Would you please advise me whether any special assessments
were paid on said Lot 19 from 1963 to 1969, both inclusive, and if
any were paid the Cotai amount paid. If you wish you can do so at
the bottom of the enclosed copy of this letter and send it to me,
Mr. W. F. Marquart, 2300 First National Bank Suilding, Minneapolis,
Minnesota 55402.
Very truly yours,
W. F. Marquart
WFM:mc
Enc.
. . ! A ,o 44/9 a
.
. DATE ??-0-77
BUZLDZP7G PERMIT APPLICATION
Include 2 aete of plane, 1 eite plan w/elevationa and 1 set of energy calculationa.
I .?3GO t SS
Rb be used for SI.?T(! &OwLly &q/e
Valuation
site Address:
I.ot Block Sec. Slib. Parael Number
!9 Z Os/NNJ Wrli7SLrt - 3012 Pin,-r,dy. m-1`0 t
?
owner?l r r . ' /i .sc?rle?'d??
nddress ? 2 q• r Ave.
contractor /Vy6A4h'1
Address ?l a G rAfff -
Mlui wH NC/AL'k MM C'??JAS
Arch./Eng. /74ill,,ylf 3I41f 9e"/tP
Address / O ?vli ?N t/w l+ /4ur $
.43 10ew?N.nThaHTM6
Telephone ro 949F' e)?OQ q
Telephone
Telephone F!% y' ?/ L? 7
OFFICE USE
Erect /?t t? M/f 'alGIt "
Alter
Repair
Enlazge
rwve
pemolish
Grade
OFF2CE USE
Date of Approml 6 Initial
Assessment y_.l( - Y-99-97
water/Sewer
Police
Fire
En4 •
Planner
Council
Bldg. Off.
A.P.C.
Occupancy
Zoning
Fire Zone
Type of Const.
# of Stories _
Front
Depth
E'EES
Pezmit ? ys -
Surcharge ?G
Plan Check
SAC ?/7.'? • 06
taater Conn.
{•]ater Meter
TOTAL ? '
- .k
PLOT PLAN
I :
?
?,4
ili1 i i I rill f?
3+?
+ ,
?
fy?'L
??
?
=
?
i
:
? ?
?1
?
T
r
? ? - r?
i'I ?E? L:
i
- '
- ?1
FF F Ji
1
„1
??I
L I
i
+
- I
?' 4T ? .F
1
-7 , ,- +
} h ? . I) f? TI ? { _ ? ? ?' - _
15 l
'rl
1 .
..''1.
11'...'-
.??i: _ t
??-
?J??
? ?J +
T ,.
?? '? _ F
. - ?-.1?+
++i-?? ;=?+?
????-?
?-
? 1
-I:.."
'
-L•
? ?
"
_Cj: - - - .
?
----- -----------------
-?F. -
- '
?
'f
? w
'
'
- T
? m ii ?
. . ? . , ? , _ .. ' : r . ;i . . . ?y _ F _ •
? r- -
f
?
I n /I /. / .
L:?GCqAM
scaie- elp -- ?? ?
City of Eaaali
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
r
Q rO [
Permit #:
Permit Fee:
2009 RESIDENTIAL BUILDING P IT APPLICATION
Use BLUE or BLACK Ink
Suite #:
god v6
Date Received:
Staff:
2 ,�1 G � /� r f
� 'J� l Site Address: U � c , [DL
Date: /
RESIDENT / OWNER
TYPE OF WORK
CONTRACTOR
Name:
n
Address / City / Zip: O ,
Applicant is:
Owner Contractor
Phone:
Description of work:
Construction Cost:
Multi - Family Building: (Yes / No )
Name: dP2c dl , License #:
Address: 9 -R j, t' / 5
City: Z", /G �i 7�� S / Zip:
Phone: Contact Person /cI &" `j -`�
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:
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 would permit the City to
conclude th th are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start . ut a permit; that the work will be in
accord with the app plan in the case of work which requires a review and approva • ans.
Applicant's Sig atur
Page 1 of 3
For For Office. Use - City Em
ait r7n L ~ Permit Cl}t~~- w_- - I
Permit Fee:
3830 Pilot Knob Road JUL 1 3 2069
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
-'(?n ~r
Date: O Site Address:
Tenant: v to rl-Q~ (Aey- -Suite
RESIDENT/ OWNER Name: 1 Phone: _(qS7 L1-1-- T
Address / City / Zip: 30 t' CY b(
1 a
CONTRACTOR Name: _ C%ir1 fl L~~! _ License
A d d r e s s : ' C t Ll q \ '
1 4 _
City: State: Zip: Phone: Contact Person: -_t 1 TYPE OF WORK New X Replac rnent( _ Repair _ Rebuild Modify Space Work in R.O.W.
Description of work: Ie 1A+)~1.
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) ( Main ` Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL. FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) sc~so
TOTAL FEES $
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.
Applicant's Printed Name Applicant`s na uie
FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground __Rough In _ Air Test Gas Test Final
J` s-O c
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179030
Date Issued:09/14/2022
Permit Category:ePermit
Site Address: 3012 Pine Ridge Dr
Lot:19 Block: 2 Addition: Oslund Timberline
PID:10-55300-02-190
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Rosemary Schneider
3012 Pineridge Dr
Eagan MN 55121--190
(651) 454-8969
Bayport Roofing And Siding Llc
2240 Edgewood Ave S, Suite 201
St. Louis Park MN 55426
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature