3686 Pond View Pt.• -.
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SITE ADDRESS: ' ' s4 I ?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
? Date Issued:
I t?i,
f"INU V! 1 I1 1'1
P01111) vrtl-! r,??dNFtt?Mf ?c
PERMIT SUBTYPE:
S`,, ' `k' "l AppLICANT:
?t ?. r? c ? : ,
13
?.,?? ;,? ,?. ?:?tr•i
TYPE OF WORK:
lit `,t i+ 1!' f I ilN
rs?? i i ?? ? M?,
tf.•?,r?r,;t
c??. t l n/sa?,
N f IJ
INSPECTION ., • DA
,
14 Fy 1 R ft - C b lJ '. : E W!_ R A N l1 W A 1 t i
? J
Permft No. Psrtnit Holde? Oate Telephone N
ELECTRIC
PLUMBING V oh5 ?
HVAC
Inspection ate tnap. Comments
FOOTiNGS -a
FOUND
FRAMING
(0
ROOFING
ROUGH
PLUMBING n /f
PLBG
AIR TEST
_ ?
ROUGH
HEATING ? I !
r-L
GAS SVC
TEST it
INSUL
GYP BOARD
FIREPLACE
FIREPIACE
AIR TEST ?
'
FINAL PLBG /
!s
FlNAL HTG
ORSAT
TEST
BLDG FINAL
//j??1? ??
•
:,
BSMT R.I.
BSMT FlNAL
DECK FTG
DECK FlNAI
w 4 -. t°? =+
Wn*jicate nf Cccupancv
cfit? of Cfagan
Towtiacat of 13ritiixg anoection
This Certijcate issued pursuant to the requirements of the Uniform Building Code
certrfying that ai the time of issuarrce this structyrr was in complrance with the various
ordinances of the City regulating building construction or use. For the followirtg:
Ux ClassiCwalioa: ?'' 96C Bldg. Pertnil No. 75853
0-14--y TrPC R37[i 1 Zoniog asb-ict g3 rra coast. IN
OwnerofBuildi? V T7 S Addhas 4445 F. RTVFR RTl IYY'AT RAATTIC
etfiMing Aadrms 3686 1'QriD VIDW PT L.,.iiryr, 11 _ R l_ Pnm vrna Tna?an,?rC
n- _M,p$C
Wding OfficW
POST IN A CONSPICUOUS PLACE
Address 36&6 PorID VrEw rr Zip 55122
L.ot is Blk 1 Sub PCND vuxa iuarHDEs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 03/15/96 Yes No Inspector: ?L
Final grade (6" from siding)
Permanent steps (garage) VI"
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Parch
Basement finish
Deck
Please verify with the builder the removal of roof [est caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet befote freeze potential exisfs.
ContaM engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Residenl Copy Pink • Contractor Copy
?5?
Reque Oate Fire Na RCVgh-In Inskpction Required Inspection Ofier Than R gh-In
eclor when reetl
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or
- Yes ? No pate R¢aC
IWicensed contractor ?owner hereby request inspection of a6ove electrical work at:
Job AtlOress (Street, eoz or Route No.) Ciry
3b8b Acndow,-j k Enc
n
Section No. Township Name or No. Range No. Counly
Occupant(PRINT) Phone No.
Power Supplier ACGress
Q
Eleclrical Conhaclor (COmpany Name) Contrac[or's License No.
aYYisk, 4n? (
Mailing AGtlress (Contrector w Owner Making Inslallation)
M - 'Fli(-L N
ANM1Orizetl - Co er M g?lnstellation)
\ P?one Number
MINNESOTA 60 RO OF ELECTflIQTY THIS INSPEGTION flEQUEST WILL NOT
Grigga-M y BIAg. - floom 5-128
I
II
I
I I BE ACCEPTED BY THE STATE BOARD
1821 Universlry Ave., St Vaul, MN 551M UNLESS PFOPER INSPECTION FEE IS
Phone(612)642-0800 . , . . ENCLOSEO.
/?,?/?i, j-!? REQUEST FOR ELECTRICAL INSPECTION ?'? e/B-y00/0?07-09
!J ? See inshucM1ms br completing Ihis form on back oi yellow copy. ? ?/ •??
?S/y'S "X" Below Work Covered by This Request ,?a•; "
Ne% Add Rep. Type of Building APPRa-TTEft Wired ,Equipment Wired
Home Range Temporary Service
Duplex Water Heater Elec[ric Heatin
Apt. Building Dryer Load Management
Comm.Nndustrial Furnace Other (S ecify)
Farm Air Conditioner
Other (specity) Conrcaclor's Remarks'.
Compute Inspection Fee Below:
# Other Fee # Service Enlrance Size Fee # Circuits/Feeders Fee
Swimmin Poal 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 Amps Above 100 -Amps
SIgf15 Inspecror's use Only: TOTAL
Irrigation Booms ? ?
Special Inspection
Alarm/Communication TNIS INSTALLATION MAY BE ORD RED UISCONNECTED IF NOT
Other Fee , COMPLETED WITHIN 18 MONTHS.
I, the Elechical Inspector, hereby Rough-in ?. -
? --7 Dal -
certify that the above inspection has
been made.
Final ? ? .
Dat
OFFlCE USE ONLY
This request voitl 18 manths fmm
?
???,.,?.??
L 22 BL CITY USE ONLY RECEIPT#. ?
_L
SUBDr"?'j? DATE: L/
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
G8S Piping Outlet " minimum - 1
Rough Openings
Water Softener
Private Disposal ` Dakota Cty. license
U.G. Sprinkler * home under const.
Alterations ` to existing
Water Tum Around
EACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
x
x
x
x
x
x
x
x
x
x
x
x
NO.
?
/
?
i
/
/
?
?
TOTAL
3. orD
CI . 6l9
?
c9"D
?. GD
?
'53-CL)
3-?
3 ar?
STATE SURCHARGE .50
TOTAL _ta.tv_
SITE ADDRESS: 3bqb f ?Ji,et,b ?-t'
OWNER NAME: C-?7 an? Jal)-? 4A-cr?
INSTALLER NAME: p l
STREET
vi
P t-U"e-
CITY: Rl.t7L V STATE: allu ZIP: SS y a`2
PHONE #: ( (yl 9) ?5?33' q3S 7
b`TGTRA\ TURF OF PLRMI I I? Ek:
L _ BL _
SUBD.
OFFICE USE ONLY
RECEIPT
DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for. w all commerciaUndustrial buildings.
w multi-family buildings when separate permits are IlQt required for each dwelling
unit.
DATE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
CONTRACT PRICE:
ADD ON _ REPAIR
IS WATER METER REQUIRED? _ YES _ NO. IF 50, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER I5SUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF 50, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 7% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of ppEMjt fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRE55:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
STE. #
CITY: STATE:
PHONE #: SIGNATURE:
OFFICE USE ONLY
APPLICANT
ZIP:
METER SIZE: 11 DATE: INSPECTOR:
' cirv use oNLr
L f? BL RECEIPT #:
SUBD(??c?C `?_._o.ur ?? ?Jmfrrrr<.co DATE: 9?°L 'S
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
y-_ New construction Add-on fumace
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
? 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) 90_N-i0 -oC7
? State Surcharge .50
TOTAL -.%am 30 • 5-0
SITE ADDRESS: 3 (OgeO -Pv'"-av?e-? P+-'
OWNER
INSTALLI
STREET
PHONE #:
CITY: -A YPID K1LLa, Pa_? STATE: /n-tJ ZIP: lfiS L/a"g
PHOIVE #: ( (ol a-) 6-33- 4357
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 buiidings.
? multi-family buiidings when separate permits are pot required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: , $25.00 minlmum fee Qi 1°h of contract price, whichever is greater.
0 Processed piping - $25.00
? State surcharge of $.50 per $1,000 of mi fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
I
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.s 10-58361-130-01
(ZERO LOT LINE)
?
xiildintf,-;.Permit Type
B SF DWG
{
8Wi14,tng (,Ja?^k Type NEW -
'U8C OCCUpanep'.? R-3 U- 1
Construetia-n "fyp?e V-N
Taning R_3
gu?7:ding Len9th t 30
Bwi1t#ing 14idth 60
mui.d)da;N`§ ?t.s?riBS
5q?a,re F"ee'C 1,542
$
r? ?
F ?
?? t4 4Xi`R}
+ ?ytC f?{d i fiY A? e? {?$)
j y
??
U436"
BWVAG
025853
06J19J95
DESCRIPTION:
REMARKS:
PftV S& W PLBR - C& W SEWER AND WR7ER
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SNC %
SAC Units
Subtotal
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
3686 POND VTEW PT
LQT: 13 BLOCK: 1
POND VIEW TOWNHOMES
$1,017.25
$356.04
$63.90
$850.00
100
1
$2,286.29
$126,000
MISCELlANE0U5 $1,892.50
COPIES $1.50
Total Fee $4,180.29
CONTRACTOR: - Flpplicant - sT. LSC. OWNER:
G000 VALUE HOMES 17559793 0001583 GOOD VALUE HOMES
9445 E RIVER RD 9445 E RIVER RD
COON RAPIDS MN 55433 COON RAPIDS MN 55433
(612) 755-9793 (612)755-9793
T h?roby ackn;oWledge 'Chat ,3 have read this ap;plicatio[r and stete that the
irlfarmat3an xs cnreeet and agree Ca ao1Rp7.y wiCM all applicable 5t,ate ttfi hEk1,
? Statutes and City af Eagan Ordirranees. . J
" APPLICANT/PEVITEE SIGNATURE ISSUED` f: 5IG1?1?U-RE ?I,
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: P•=.N.' 1e-58361-13e-01 pppLICANT:
LQT: 13 BLOCK: 1
3686 pOND VIEW P7 GOOp VALUE HOMES
PONO VIEW TpWNHOMES (612) 755-9793
PERMIT SUBTYPE:
sF owG
TYPE OF WORK:
DESCRIPTION
BuzLoanG
025853
06/19/95
NEW
(ZERO LdT LINE)
INSPECTION
FOOTINGS D, .
FpUNDA7I0N iA
FRAMIN6 ROqfYNG
INSULATION FIREPLACE
ROUGH IN PLBG ROUGW SN HTG
FINAL PLBG FINAI
REMARKS: PRV S& W PLBR - C& W SEWER AND WATER
.,
.
i iA51995
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
44,i?o.iq
? 3 regisfered sde surveys ? 2 copies of plan
? 2 wpies of pians (inGude beam & window sizes; poured fi0. desien; etc.) ? 2 site surveys (exterior additions 8 decks)
? t energy ealwlations ? 1 energy wleulaticna tor heated addkions
? 3 copies ol Uee prftervation plan 'rf lot piatted after 711/93 '
requimd: _ Yes _ No
DATE: 6 jlz & CONSTRUCTION COST:
DESCRIPTION OF WORK: Nr? IowA STREET ADDRESS:
LOT ?--s?-
,17 BLOCK ? SUBD./P.I.D. #:
--- - y aecx ?/ 477 4/5/
PROPERTY Name: r` '°b VA'-'^ E 4oks S Phone #:
OWNER u°* FI^s*
7 9S -9753
StreetAddress- ? ¢45 -FST 4?v?,z ?'yan
City: 0 a&N V-4?1 ?>s State: YM lt Zip: Sg4s'7?
coNrwac7ort Company: s,,, r Phone #:
Street Address: License #:
City: State: - Zip:
ARCHITECTI Company: Sa,..s Phone #ENGINEER
Name: Registration #5treet Address
City: 5tate: Zip:
Sewer & water licensed plumber: C i 11 Ss W sw Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply wRh all
appiipble State of Minnesota Statutes and City of Eagan Ordinances. n "q
Signature of Applicank
OFFICE USE ONLY / RIECEUMED
Certificates of Survey Received ? Yes _ No .1 U N 12 1995
Tree Preservation Plan Received Yes No ---------------
t . ,
OFFICE U5E ONLY ?
, r.
.^'
,.:
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt.iLodging ? 16 Basement Finish
..l?02 5F Dwelling ? 07 4-plex ? 12 Mufti Repair/Rem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex •? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. -o = p n 15 Deck
WOR PE
31 New ? 33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) zr-,v Basement sq. ft. (zq? MClWS System
(Allowable) f2-N Main level sq, ft. 4,i_Y _ City Water
UBC Occupancy 12 -3 u-i sq, ft, z Fire Sprinklered
Zoning n3 sq. ft. PRV S°Lr
# of Stories 2`Qr...f sq. ft. Booster Pump
Length 30 sq. ft. Census Code. !o i
Depth 610o Footprint sq. ft. 1, s yz SAC Code
Census Bidg
Census Unit ?
APPROVALS
Pianning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCM/S SAC f(???Y1n,4w?} Y
City SAC
Water Conn.
Water Meter
Acct. DeposR
SNU Permit
S/W Surcharge
Treatment PL l ? /r S
Road Unit
Park Ded. pyC?-
Trails Ded. (
Other ? ?? ? / ?y?"
Copies /.So
l
Total: no?? A„'?p % sac
SAC Units
', C Eli,'l'1F'I(;A'1'L 014-' S U 1t VLY
'for
GOOD VALUE HOMES
PROPOSED BUILDING ELEVATIONS g 59.5. 5ou7N
Top of foundation co1 • 85 Front of house O NodTf!
Garoge floor _Co? .?O _ Rear of house ?
Lowest floor c3'_'+ • 5 Walkout S.
?--- arrow denotes droinage direction per development plan.
890E denotes extsting spot elevation
890P denotes proposed apot elevatiop
BENCHA ARK USED:
?. S• EDGE 4F WATER
roP of 5P IKE Iti PowetZ. 5¢, ? 4i
8 ? /o'o1s
'oLE @So.s?OG oP F-"4Le2'C" p854. ? • ? 8?U¢
PPOSI7C'. C.o-r aI =O(oR.-7'5
!? ?/"JO ?'A le ?? ?
J ? ?e ?S).?o•? 1
l' ? Q? M1e}? ?? o? ? ?O
? v
9o C! ? , ° ?''J e
?
12 oo?6" ?
TIC GO
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o ?13 d oS
Q u'O 4a s
?i9'
14 ?
EA G
R E V I N E
,•
?y &6'
C-.) N?
Na!-c a ?' /°D c4 9 Q?
f??oPoSE? SAti,ITY??Y E1?
5ewEQ. d. WRfE?- S130WN
rtuvs : I I ? ?aEAG? ?? tINEE?? nFPn
( ? LEGAL DESCRIPTION
?I ?
Lots 11,12,13 & 14 Block 1, POND VIEW
oE-??UC ?;?ODHOMES REPLAT, accordfng to the plat of
record thereof, Dakota County, Minnesota.
• DENOTES IRON MONUMENT ?Ft"? ??aSq
o DENOTES WOOD HUB SET
FOR EXCAVATION ONLY
DASHED LINE DENOTES DRAINAGE
4ND UTILITY EASEMENT AS PER PLAT,
PAY 9E ENOINEERINa. INC.
QIBTERED PROFE9310NALOLAND SURVEYORS ,
9946 EAST RIVER ROAD, 3UITE 208 II
° COON RAPIA4, MN 66488
``: Tel. 181M 766-6240 Fax. 16121 766-1982
hereby certify that this survey was
prepored by me or under my direct
supervision, ond that I am a duly
Licensed Land Surveyor under the
laws of Jhe state of Minnesota.
Donald E. Sigeiy, MN V-ik. ?f??o. 23945
.el? f q'S
Date: (
N0: 95-00 SCALE: 1 INCH 30__FEET FIELD BOOK:9(5 PAGE: 3I DRAWN BY: CI(P
oninnr_ n I 11.11-
?t.
?0
5Y"A
?'0 D •
0 •
0 •
!Y' O
ML'M 0 •
0 •
[3'"9 D •
0 •
0 -
LOT B?R9EY CHECRLIST FOR RESIDENTIAL
BDILDING
PROPERT" L .G=t.•
71PPLICATION
Dtts of 8urviy:
Registered Land Surveyor aiqnature and company
Building Permit Applicant
Leqal description
Address
North arrow and iwr ccale
House type (rambler, valkout, cplit v/o, split eatry,
lookout, etc.)
Directional drair?age azrows with slope/qradient ?.
Proposed/existing sewer and vater services
Street name
Driveway
O/7Q 0
• El.EVATION6
Exiatinv
Sewer servica
0/'?.13 0 • Lot eorners
L9" n? ? • Top of curb at the driveway
1] II? 0 • Elevations of any existing adjacent homes
Prelposed
LY 13 0 • Garaqe floor
II-10 0 • First lloor
IY n D
fl? D D •
• Lowest exposad elevation (walkout/window)
Property corners
1?j0 0 • Front and rear of home at the foun8ation
PONDING 71 f f (1f annl i n.b1 e)
0 ??p • Easement line
D [9? ? • NwL
D 4Y D • HwL
n 0? D • pond # desiqnation
D ?,?0 • Emergency Overilow Elevation
D2lRENB2Dlf8
D--n
00? p ? .
•
2'LI 0 •
7'0 D •
?n n •
D ? .
Lot lines
Riqht-of-aay and street width (to back of curb)
Proposed home dimenaions including aay proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requirinq permanent footings)
Show a21 easements of record and any City ntilities within
those easements
Setbacks of proposed structure and setback of adjacent
existing Aomes
Ret
' Reviewed
Detober 1992
^?• D`fO.J \ .
F ATION SILT FENCE ?
PER DoT sPEc 38e? 854.5 853.0
P
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?
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k 4"1RRIGATION ?1? ?
SERYICE ?
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\ ??J A?'?i?? ?$ ??,? ? ??
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831
?
Th'E CI7Y EAGA DOES P!G"
THE AGCU Y F UTILITY ION, 3 ??
AND/OR ELEV NS. THIB d/1Ti, I? 0
tNFORMATI0fV POS?1ES C?:_'
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POND VIEW TOWNHOMES
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2006 RESIDENTIAL PLUMBING aeRnniT aPPUCaTiorv
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122 '
651-675-5675 .
Please comptete for modifications to existing residential dwellings.
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Site Street Address J? +° Yb t6nd (l/ et,C.)
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Unit #
Property Owner " 0hn Or 4 YY} 11') Cl Telephone #( 6SJ) ?I D S- ISDS
Contractor dMA11L19N PLUM8ING
i Telephone # Q61 )W7- 13U O
at?na-
Addres5 f?? MN 55123 Cjty
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The Applicant is: _ Owner ?Contractor _ Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built - $ 16:00
Aiterations to existing dwelling $ 50.06
_ Add plumbing' fixfures. This fee incfudes instailation of a water softener and/or water
heater at the same time. If you are Mstalling-onlv a water softener and/ar water
haater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Tumaround (add $130.00 if a 5/8" meter is required)
Other: "
Water Softener ' Water Heater $ 15.00
, new ?erepiacement
Lawn Irrigation _RPZ _PVB _new _repair _re6uild $ 30.00
State Surcharge $ .50
Total $ I 5 ?
I hereby apply for a Residentiai Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of tlie City of Eagan and the pium6ing codes; that I
understand this is not a permit, but only an application for a perrnit, work is not to start without a permit and work will be in
accordance with the approved plan in the evQnt a plan is required to be reviewed and apprwed.
?ob"+
ApplicanYs Printed Name ApplicanYs Signakure Il JUL ZOOT
1 "6
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?4862
Use BLUE or BLACK Ink
r I For Office Use I
City O v I ew Permit LlY
7r of E MIR
Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
I
Lg 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 Site Address: .3 Po~da~"ea Q~ Unit
Name: end view ~Wr7 ( u~ 17~ dC- WC Phone: LEI ` 693 ' d
Resident/ ~ i
Owner Address / City / Zip: P . t 9 !
Applicant is: Owner w Contractor
T e of Work Description of work: T&0 ~l • i f ~~t' $~C&
Yp ,p
Construction Cost: 0 ( 49o 1 Multi-Family Building: (Yes / No )
-
Company: CDW5 Contact: , Gt W1 5 ~~7
Address: % 1l~- V~ City: Awl< cZG,
Contractor ` 1(
State: Zip:: f'5 Ltrl2-/Q Phone: D
I License 9 ! Lead Certificate Z1V3 2 5-0
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
a
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:
i 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 that they 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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code m st be completed within 180
days of permit issuance.
X_ 6V74-e-r x
Applicant's Printed Name p icant's Signature
Page 1 of 3
For Office Use
EAGANPermit ff: /119.:Z ."-6
.......10.1111,,
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildindinspections@citvofeadan.corn L. .0
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
(1)4b. 4,
.A4i. OM q- .4. 3 13 v bn(X. KAI) 19'b..- IVI
C.:Y-11--IV) Site Address: 6
Name:nxviok \C\rie, (CnoVheito A"bwi*bArte5-)Phone: CO I a'—'C6°k-\—SI 1
Resident/
Owner , Address/City/Zip: 1 Li I SY\0)\i.CY.-"V a . ,,.aJ)404A4 l'AINJ %C)\
1
1
Applicant is: Owner '''')<4Contractor i
Type of Work
,„,,.r,s, _r. . ,_
Description of work: k-f.,,LAY () c (A An Yfit6C i
1
1 Construction Cost: 11.73\3 Multi-Family Building:(Yes X i No
. . .....
Company: ORXIVIS. COM-')\-v".“ 40-010/1 Contact: Lr'\ (-)Warq/kiUilA
. 7x7 Vo-w- LAVW.— M\kif
Addre • City:
Contractor Address:1 -- '
statel'AM Zip: YS3)6L1 Phone: ca-q11,0-GM9 Email: 4\1\OLVALE-CO DerIVWV.11
. License#: )C-5 i :q.1 k4, Lead Certificate#: LC—iD 01-3 °Ai
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information, Portions of the Information may be
classified as n• • blit if •a .rovide specific reasons that would •- it the to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.comtsubscribe.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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,00nherstateonecall.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 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.
x giLate-A 0/ ,
tiat
p „i/ tirik:
Applicant's Printed Name Applicant's Signature