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1840 Pumice Pt..rvtJTSON MORTGAGE rHe DETACH CK SDI RPAYMIENT O'S ISE STDE?SCRBED BELOW. , AND FINANCIAL CORPORATION IF NOT CORRECT PLEA3E NOTIFY US PROMPTLY. NO RECEIPT DESIRED. MINNEAPOLIS, MINN. 55401 ? 7-31-70 70 1305 Special Assessments - Sewer & Water Lateral 26/2/CG7 Hammond, Michael # 12662 1,705.44 / mt . . ., . . . - INSPECTION RECORD .. CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ` Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 1 :. i't , t't•i f f_! f?1 , iir, .,,i i f, i M? it F' t ii; r.?'J t ! 1 11 t r, 1.' ) rd !; 4 3 4H;?' PERMIT SUBTYPE: TYPE OF WORK: 1N ('t Permit No. Permit Holder Date Telephone # SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date lnsp. Comments Footings I Foundation Framing Roofing • ?- ? ? 1Q Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notiiy Plumber Const. Meter Engr./Plan. Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN 3795 Pilot Knob Road Eagon, MN 55122 N2 4349 PHONE: 454-8100 BUILDING PERMIT Receipt # - To be used for Date ? = `'"'' ? • , 19 ' Site Address '' Erect p Occuponcy _ Lot Block ` Sec/Sub. ?"{' Alter ? Zoning Parcel # w Name '-2 SCE 28tiYqrJ' : W Z Address ??VZmice - ° ,.. ` ,,, - - 454-549;" ? Name 0 0 u? Address F? r:... ?)t. PBUi o?.,..... ,''J-{)331 Name Address Repoir ? Fire Zone _ Enlarge ? Typa of Const. Move ? $k Stories ? Demolish ? Front ? -- ft. Grade ? Depth # • ft. Approvals Fees Assessment _ Water & Sew Police Fire Eng. Planner _ Council _ Permit _ Surcharge S Plan check SAC Water Conn. _ Water Meter I hereby acknowledge thot I have reod this application ond state that gldg. Off. -- the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinonces. APC Totoi 13« 50 Signature of Permittee A Building Permit is issued to: on the express condition that all work sholl be done in accordance with all opplicable $tate of Minn=sota Stotutes and City of Eacan Ordinancss. Building Official - - - -- Perenit $k Plumbing Mechanical INSPECTIONS DATE Footings Foundation Frame/ins. Final Remarks: Date luuad I Pw?nittoe e? n INSP. Rough-In I Finol I I Date I Insp. Dote I Insp. CITY OF EAGAN Remarks Addition CEI]AR GRUVE #7 Lot 96 Blk 2 Parcell0 16706 760 07 Owner P' ?'' ? 1' Street 1840 PWII1Ce Poitlt State Eaqan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 58.18 2.08 28 Paid * SEWER LATERAL 97 WATERMAIN * WATER LATERAL 112- 197 6 15.00 80.75 20 Pi WATER AREA * STORM SEW TRK 1971 2 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 4-15-70 BUILDING PER. SAC 200.00 2793 4-15-70 PARK RESIDENTIAL r BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConstruction Reauirements RemodellRepairRequirements . 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; ancll roofed areas • 2 capies of plan (20°lo ma)(mum lot coverage albwed) . 1 set of Energy Calculations for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site suroey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions . 3 copies of Tree Preservation Plan if lot piatted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) 60 1 VAW A[ION DATE Qc? 7 -? . -,' JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HO ANY UNITS? PROPERTY OWNER ?c P TYPE OF WORK K'. e Fi,,) 16 r! w FIREPLACE(S) .?C 0_ 1- 2 APPLICANT NnbvAr,vF_ ? PHONE#9SZ-431 ADDRESS l?7 f'-ri.?+il r? ,?! ZIPCODE ?S..i.3,? PAGER # CELL PHONE # /--6 .9?13 FAX # NEW RESIDENTIAL BUILDING ONLY- FILL UT COMPLETELY ?--- _ -- - Energy Code Category MINNESOTA RULES 7670 CAT ORY 1 (check one) - Residential Ventilation Category 1 Work eet Submitted, - Energy Envelope Calculations Submitted ? T ?5 ,r? / _ MINNESOTA RULES 7672 - New Energy Code Worksheet 5ubmitted Piumbing Contractor: Phone #: Plumbing System Includes: Water Softener Lawn Sprinkler F: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Fee: $ 0.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance . V2"? Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required 'Z Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screened) ? 36 Multi ? 24 Storm Damage ? 25 Miscellaneous ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const , ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demotition (Entire Bldg only) - Give PCA handout to applicant Occupancy Zoning Stories Sq. Ft. Length W idth MC/ES System City Water Booster Pump PRV Fire Sprinklered, REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insularion _ Windows (new/replacement) ------------------------------------------------- Approved By , Building Inspector ---------------------------------------------------- Base Fee ------------------------------------------------------------- Surcharge Plan Review MC/ES SAC 1 `?A6i0 City SAC W S & ? ? ! ater upply Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies i Other .-;-? ? Total ? TOtiqN OF EAGAN 3795 Pilot Knob Rcad St. Paul, Minn, 55111 PERMIT NO. : The Board of Supervisors hereby grants to ??dar' Gr°ve C°MStructian Go. ?f 7'?+Gancard i?lv?. .??.. , So . S ?.?'vul a Heating & wGas Piping , Permit for: (Qwner) Cedar rrrcte Cerutructian at lgkir4? "'1940 Purnice Point 26-?2-7-_ --, pursuant to application dated April 13s 1970 . Fee Paid: 5?20•00 _ Dated this 15th day of ?pr21 , 19 7d . - Building Inspeetor - - - - - + TOWN OF EAGAN 3795 Pilot Kn.oti Rcad " St. Paul, Minn? 55111 PERMIT NO.: 12 The Board of Supervisors hereby grants t? Cedar Grove Construetion Co. nf 7343 Concord Blvd. E. , 30. St. Paul a Plumbi.ng .__._._._.. _..._._...,.r.__?..?r Permit for: (Owner) Cedar Grove Construction at 1840 Pumice Foint 26-2-7 pursuant to application dated Agri1 139 1970 Fee Paid: 2Q.00 _ _ Dated this 95th day of Apri1, 19_79. Building Inspector ~? ? ~ CfTY OF EAGAN s 3795 Pilot Knob Rocd Eagan, MN 55122 N2 4349 v PHONE: 454-8100 BUILDING PERMIT APPLICATION $2,800, ReceiPt # _--6_56- To be used for GarBge d. Patio Date June 7, , 19 77 Site Address 1840 PumiCe Pt Erect [g Occupancy i-- Lot 26 Block 2 Sec/Sub. CG 7 Alter ? Zoning Ri Parcel .# ? Name Mike Hamr?ond z Address 1840 Pumice o ?. Eagan ,,, 454-5490 ? Name SU33E1 Co ,o ?? Address 1850 Como AVe. 1 Cit St. Paul phone 645-0331 Name _ Address I hereby acknowledge that I have read this opplication and state that the information is correct and agree to comply with all applicoble State of Minnesota Statutes p?.y1 City Apqgan rJ:nancesffi Repair ? Fire Zone _ Enlarge ? Type of Const. Move ? # Stories. !9M Demolish ? Front 22 ft. Grade ? Depth 16 ft. Approvais Fees Assessment _ Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit - 12... 0Q _ Surcharge 1.50 Pion check SAC Woter Conn. _ Water Meter Torai 13.50 Signature of Permittee I A Buiiding Permit is issu d to: S11S5E'.1 Cp. on the express condition thdt all work shall be done in ccorda e with/,rlfi-lpplicable $tate of Minnesota $tatutes and City of Eagon Ordinances. Suilding Official y EAGAN TOWNSHIP BUILDING PERMIT W? 2207 Owner ._,..?r-:".?••:?'?!??--?..... ................. Eagan Township Address (presen3) -•J ..-:••--••.. /-A.--49...................... ..... Town Hall Builder ........ . Date /? 170 •-•-• •- ---. .... •••............. ..... Address ........••••••-••--• .....................•••.._.....•---•-•-•---.........•---•-•........._.... DESCRIPTION 5tories To Be Used For Fron! Depth Height Est. Cos! ' Pezmi! Fee Remarks LOCATION Slreet, Road or other Description of Localion I Lo! I Block I Addiiion or Trac! a Z- I e.?,- I c° ..b, 7 This permit does not suihoriae !he use of stzee2s, zoads, alleys or sidewalks aor does it give !he owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience aad general welfare to anyone in ihe communiip. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGR SS. This is to certify, 3hal... . ? .._.. ZZ--r . ... .....C.=:c.4.?.has pesmission to erect a ....... ...... ?.__.._..___..__. ..-•-_-.••-....•-•... ? upon • the above described premise subject !o the provisions of the Building O;dinance for Eaga Townshi adopted April 11, 1955. ..-•-•-• ...............•... Per .............. `-"„=`-..F,c••-..-?..?.4.'.'.-°a~J Ch - .......................................•--- a n of Tnwn Board ?, Buildiag Inspector 16 CITY USE ONLY LOT 2b BL ? PERMIT J SUBD. Eed ar ?rnYP 4itL ? RECEIPT #: ? ? RECEIPT DAT'E: 11" ? "O 0 \ 201 IJaWtia0? Q S?- c__.___ Date: b I ' OT 60 MECHANICAL PEtMIT (RESIDENTIAL) j? crrYoF ?s?r ZJ 1 3$30 PILOT KNOB RD EAfiAN MN 551 E8 651-681-4675 Complete this section onlv if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Complete this section onlv if you are remodelinp, adding to, or reRlacin? an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. New ? Replacement K Furnace Air exchanger Reminder: Call for final inspection. SITE ADDRESS: _ Other ? Air conditioning ? Other Wltrz.?( Y` Fee $ 30.00 State Surcharge .50 Total $ 30.50 19 ? OWNER NAME: 1 C C'{,? ( A, 48n6f0tc- PHONE #: w-oa_ - `? ? '0( (AREA CODE) INSTALLER NAME: PHONE #: - (AREACODE) STREET ADDRESS: lo ? o CITY: r' zl G'j q, n STATE: rn IU ZIP: Aff?? ge4l'-'t GNA OF PE ITTEE L BL SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 M£CHANICAL PEiMIT (COMM£ftCIAL) CITY OF EAfuaEN 3$30 PILOT KNOB fiD EPEfiAN, MN 5518E 651-661-4675 Please complete for: all cornmercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Wlien installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbir:g inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1% _$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: PHONE #: - TENANT NAME (IMPROVEMENTS ONLl): (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE #: - (AREA CODE) CIT'Y: STAT'E: ZIP: CITY USE ONLY SIGNATURE OF PERMITTEE MASTER CARD 7? ? Permit No. Issued Issued To Contractor Owner BUILDING {i PLUMBING CESSPOOL - SEPTIC TANK WELL << ELECTRICAL HEATING p II ' GAS INSTALLING SANITARY SEWER S , ? 110 OTHER OTHER • Items FOOTING FdUNDATION FRAMING FIIVAL ELECTRICAL HEATING GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER A Approved (Initial) Date Remarks Distance From Well 70 SEPTIC ? .12. CESSPOOL TILE FIELD FT. DEPTH OF WELI l • 30 • 70 . ? ? COMMENTS: Violations Noted on Back COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENt OF OBSERVED VIOLATIONS 11 PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: 11 NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. D COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REIPISPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSPECTION CE RTI FICATI ON -1 certify that I have carefutly inspected the above 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 improvements relating to the property inspected, F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED COMMENTS: BUILDING INSPECTOR DATE ? 0 lltj? 2 3 w 4341 Dat,e. l 1?77 BUILDZi1G $ERHIT APPLSCAT20111 7,4T BLOCK ? ADDITI00 ?' a:Crs,TA & 5FC`i'IOid UUIZT3ER IF U0PI+A'!"1'$'D _,..?.._. .. ':?S',L."a:5;? '',:;?i= ?? OCCUPA?TCY ( U5E .. s'7 /: .a 11 A .. .:.?'.'?? ?. ? TELEPHOIqE NO. J "' 6VI90 CO-Os s?..'-1C MR TELEPHOrIE PIO . Fi?I)REaS a-60 ---------- iiote - OFFICE USE ';7AT,[TATI07H ? :W; C.X ZE Cl-II00 '.:TTk2 ;R T1EiL'?.'? 2sJIMTTIG PEM>iIT FEE ?TTF.CWMGE FIaE 2mYi CEMICIZ FEL PAktK DEDICATION k'EE OTk:ER '011'rnA:jt CLEtZK BUILDIidG DEPT. POLICE DEP`I'. . Iriclude site plano buiiding plans, and energy calculations with th4_w application Signed Aurlwt" 'T."T:'R & SEt{tER. DE,P'I'. FIIL DEPT. PARK DEPT. WORKORDER 56-Vaiki" 72-n s% I ?r_LIL HOMEPHONE:??' q " s ?( 4o I 9USSEI6ARA6ES NAME 11" (-4 A BUS. PHONE: A DIVISION OF THE SUSSEI COMPANV.INC. JOB ADDRESS 6 "` ^'` r c cF Permit by Legal Description BLDG CODE AREA ??- ^^-I Lot aik -z 2. Add'n SALESMAN 4? g" CONTRACT DATE SIZE Value ZZ d c Type Const. ^^"?- FOR OFFICE USE ONLY SLAB: CONTRACTOR Jpg $? s?/ -XBy SUSSEL ? BY Owner Approx. , O In 2-STARTINGS POINTS ONLY S. P. L. ' S.S.P.L. t .. ; R.P. L. . ? Aliey House F. Street Other ? Square With (Z) ? Rods M h 'PT ? ? es Sod Rem. - By 'TI ,.. ? . ? 5-Bag Mix 6-Bag Mix Tampin ? ` g fVo Tam in g ? CL ¢ r p B El A U ) . . . 0 QGrade Point ? ? Conduit ? Blocks ? By OwnerO By Sussel m . ?Maintain 8' Total Wall ; : C) Height including Blocks ? ?Maintain 8' Wall. Height on Top of Blocks ; D Other O.H. Dr Offset ? S.D. Location , ? Windows Cl Att GarRoof Tie-in Drawn on attached pictures Existing garage: No ? ? Detached ?Att,ached Yes,r?] Size of existing:- x - ! Existing garage will be: Left as is ? Converted to L.S. - By owner (..? V f? 5? ? Removed By: Owner Cl Sussel C7 - Junk Musi Be Removed By Owner ? ? Specif_y removals by Sussei or owner - trees, bushes, etc. ? Show approx. dist. garage to house and all prop. lines Stakes visible - ? Yes ? No Survey available - O Yes [] No ; ? Special instructions from , owner:4.? ??va l3cle Z n? ' R ' N t ?E Iwi.A ••-PURCHASER'S iNITIALS: - -- - P -3 ?A ? SL O{? L ; v ? ? " 41. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date• 4/13170 Billing Name: Cedar Grove Const. Owner: Same Plumber; Stien, Inc. Number• 423 .. ?_ Site Address; 1840 Pumice Point 26-2-7 ?.....?, Billing Address 7343 Concord Blvd, E. South Saint Paul Minnesota 55075 Location of Connection Meter Size 5/81, Connection Chg. 230!'nO Pd 4/15/74 Meter No. Permit Fee 10.00 pd 4/15/70 ?.._... Meter Reading Meter Dep. Meter Sealed: Yes Add'1 Chg, NO Total Chg. Inspected by Date Building is a: Remarks: Resi.deace x7- t-lultiple 1l0. Units Comanercia 1 Industrial By: Other Chief inspector in consideration of Che issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulatioas of Eagan Township, DakoCa County, Minnesota. ByiCpd;7Y rYAVP ('nnGtxyirtion CyrmpAIIy ? Please notify the above office whea ready for inspection and connection. ? , EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454•5242 PERMIT FOR SEWER SERVICE CONNECTiON DATE: 4/13170 NUMBER 574 Lot 26 Block 2 OWNER: Cedar Grove Con,st,, Address 1840 Pumice Point Cedar Grove #7 PLUM$ER Stein, Inc. TYPE OF PIPE Cast Iron DESCRIPTION OF BUI?AING Industriall Commercial+ Residential Multiple Dwelling No. of units xx Location of Connections: Connection Charge 200.00 pd 4/15/70. Permit Fee 10.00 pd 4/15/70 Street Repairs Tota 1 Inspected by: Date Remarks• By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree eo do the proposed work in accordance with the rules and regulatioas of Eagan Tox-mship, Daltota-Countiy, Minnesota By Cedar Grove Construction Comnanv Please notify when ready for.inspaction and connection and before any portion of the work is covered. f MUNICIPALITY OF: ggan Township RE: 26/2 Cedar Grove No. 7 Enclosed please find check in the amount of $12705.44 , for payment of special assessments on the property described above. Please refer to our file no. D13391 when returning receipt. Thank you, MIDWEST TITLE GUARANTEE COMPANY 211 E. 3rd St. Has tings , Minn 55033 " BY Dnnna Klotz INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B?ILpING 3830 Pilot Knob Road Permit Number: 021629 Eagan, Minnesota 55123 Date Issued: 07/ 3 0/ 9 3 (612) 681-4675 SITE ADDRESS: LqT; 26 g Ln e K; 2 APPLICANT: 1840 PUMICE P7 GENE'S HQME CARE & REPAIRS CEDAR GRQVE 7TH (612) 454-3402 PEqVIT ?pSqT?PE: TYPE OF WORK: R E p A I R RESCRIPTIQN ROOFING INSPECTION .. . .. FINAL PERMIT ?' UTY OF EAGAN 3830 PiVot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: sL n??3 -C @21629 07/30f33 SITE ADDRESS: P.I.N.: 10-16706-260-0:2 DESCRIPTION: 1840 PUMICE PT LQT: 26 Bl.OCK: 2 CEDAR GROVE 7TH ROpF'ING Permit Type eeerk Type SF (MISC. ),/ REP.AIR cltV oF e REMARKS: FEE SUMMARY: vaLuATxoN sase Fee $63.ee Surcharge 2,00 Total Fee $65.00 $4s 0g0 %NTI?ATiJFip:GARE & REP?4IRS?145434fb2 0002715•HDAW: MIGHAEL 2017 FLINT LN 1840 PUMICE PT EAGN MN 55122 EAGAN MN 55122 (612) 454-34e2 (612)454-549e fl.V14 ?: ?rt.1,1U APPLICANT/PERMITEE SIGNATURE SUED BY: IGNATURE REACTIVATE _ CITY OF EAGAN E?jJ`ET) 1993 BUILDING PERMiT APPLICATION ???•?? PERMI7 #iTIE c - 681-4675 2-IL(I SINGLE & MULTI 4?#M?'L 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 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 7 / ??e Yal uation of work Site Address: ,,WoC? / d?s?T7' STREET SUITE * Tenant Name: (commercial only) LOT ?L_ BLOCK SUBD.??? ??{J o Descri tion of work: 10 The applicant is: ? Owner ?15 Contractor ? Other (Describe) Name AIW.0514m1 0/ Phone '8?1_5y,90 Property LAST FIRST Owner Address ???le-Z STREET STE ? City State Jl??? Zip Company 4onc .yeS Phone Contractor A d d r e s s ,Nl/ 7 f'?,v License # a71.-? Exp. ??? 1_-9? City State Z i p 1'/_'7- Company Phone Architect/ Engineer Name Registration # 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 correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE Cl OI Foundation ? 06 Duplex ? 11 Apt./Lodging C] 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 05 SF Misc. O 10 Multi. Add'1. O 15 Deck WORK TYPE ? 31 New O 33 Alterations O 35 Tenant Finish ? 32 Addition 0 34 Repair ? 36 Mave GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) lst F1. sq. ft. UBC Occupancy 2nd F1. sq. ft. Zoning Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Pianning Building Engineering Yariance REQUIRED INSPECTIONS ? Site 0 Footing 0 Framing ? Wallboard 0 Final ? Draintile [3 Insulation O Fireplace ' Permit Fee (p-? ? veLLac;on: Surcharge Plan Review , License ' MWCC SAC ?City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 'S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. ? Copies Other 'Total: ? SAC % SAC Units s ' Q, x16??as.?ment Fi sh ?, ?, .: Cl?• 17 Swi m Pools O 18 Gortm./Ind. 019 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments PERMIT # 4 I I ( ? RECEIPT DATE: l C) _? L_ -v' USIDEIVTIAL PLU1VI$INfi P£R1VI1T ?PPLICATIf1N crrY oFEAeAv 8$30 PILOT KNOB $D ElkfiM, MN 55128 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system S17E ADDRESS: c- OWNER NAME: : INSTALLER NAME: /Ae, S S',a n M?^"j, S e-r ? ? Le-.1' STREET ADDRESS: 1'• c?- i? o X a a ?? a CITY: Place a check mark next to the ermit work t e TELEPHONE #: (AREA CQDE) TELEPHONE #: asa- (AREA CODE) STATE: f14 'v ZIP: SS! a Z _ New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround work: PQ ,(? 1 4 ? ek i X? s Nature u d f N t Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 s Total $5c).. s v Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/righ of-way/easement. SIGNATURE OF PERMITTEE Updated 1/01 2001 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OP BAGAN 3830 PILOT KNOB RD - 55122 ? . 9 ?-- ? 651-681-4675 / Reauirements ? 2 coples ot plan ? DATE: 1C/G ?/U1 CONSTRUCTION COST: U U O. (1 DESCRIPTION OF WORK:?S c vx If multi-family bldg., how many units? INDICATE THE FOLLOWING EAUfPMEldt TO BE REPLACED AND BY WHOM: _ Plumbing Homeowner gr Cantractor Nome _ Mechanical Homeowner or Contractor Name ?j Name: ?TZr7vJe? Phone #:???2 ?0 Last First Street Address: A) ? Clty State: ? Zip: Z ? *'Note: If somebody other than the homeowner is pertorming plumbing or mechanical work, they must apply forappropriate permit. Only licensed plumbing cantractor o,r ?omeowner may complete plumbing work. ?oia? STREET ADDRESS: LOT: BLOCK: SUBD./P.I.D. #: PROPERN OWNER CONTRACTOR Company: /&,D? ??VVA)5 Phone #: Street Address: T- WAI), City stats: I hereby acknowledge that I have read this application, state that the information of Minnesota Statutes and City of Eagan Ordinances. v- (area code) License # ?Z1? )Exp. 3d Z' zip: , and agree to comp)y with all applicable State Signature of Applicant: Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use h I Permit I f City of Ea Rd 1 Permit Fee: 3830 Pilot Knob Road 1 Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name:/ Phone: Resident/ ` Owner Address / City / Zip: e V6 V 0 G,-C Q C Applicant is: Owner L_Lmtactor Type of Work Description of work: en? 7q Construction Cost: Multi-Family Buildingg:(Yes / No Company: ~rl~l Z!, / Pts Contact: A k6L Contractor Address:` e~!e ~z 76, City: ©/i - ~p State Zip: Phone: a License 0(!~- 64.9 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 maybe 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.gol)herstateonecall.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 must be completed within 180 days of permit issuance. X :6i x Applicant's Printed Name Applicant's Signature Page 1 of 3