Loading...
2048 Quartz Lane. CITY OF EAGAN . -• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for +? ?I s1::? Est. Value Receipt # Date ? ,19 Site Address Lot Block • Sec/Sub..-,"' Parcel No. o? Name A 3Tf^:ANii 3 Address ° City Phone °C ,o Name ? Q Address ? City Phone ?W WW Name ? ? ? Address Q W City Phone 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 Permittee A Building Permit is issued ta on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFI CE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bidg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL - Building Official Permit No. Permit Holder Date Telephone # Plumbing H.V.A.C. E lectric Softener Inspection Date Insp. Comments Footings I Footings II Foundation ;Z - Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Final ! ? ? Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 1 t, 1 : AE;t.? t feNt 4I'f PERMIT SUBTYPE: Is i I I I t t ra+, .? ?; k ??, ? , , APPLICANT: { F'i E. G) 4 i.1 a'? ( TYPE OF WORK: ! tt fa,{+1 F f`Iii rq 1 I lcrtf , INSPECTION RECORD PERMIT TYPE: Permit Number: Date tssued: V41 I I i I : ,;,,. ti 1,41 )1 s;;: 43 -1 1 , 41 ! s,+»- 9103- Permit No. Permt4 Holder Date Tefephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC inspection Date Insp. Comments Footings I ? . 2?-d f 3 ?S Foundation Framing Y Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Fltg. Orsat Test Fnal Pibg. Plbg. inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN Remarks * CeCiiA. „i•_ ._.? --lquisition , Addition CEDAR GROVE #4 Lot 1 elk 5 Parcel lU 16703 O10 OS Owner!h', ?;'i i i ' f' '-! i L• 'LIL;{Street 2048 Q11drtZ LaI18 State Eaqan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ir SEWER LATERAL WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, SAC PARK RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 651-681-4675 ? ????? New Construction Requirements RemodellReuairRequirements • 3 registered site surveys showing sq. ft. of lot, sq, ft. of house; anc?ll roofed areas • 2 copies of plan (20% maximum lot coverage albwed) • 1 set of Energy Caiculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior addi6ons & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUA'ION 3O6O,?dO JOB SITE ADDRESS cgD?J_j3__?.ko?rTZ Za.-IL' IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER i'Y1 ,j3ap I TYPE OF WO APPLICANT REPLACE(S) e,0 _ 1 _ 2 PHONE# GS/- '1Se2 - 6a2;6 ADDRESS ;?Q E/ 6 Q.c,.a-,L, ZIP CODE .Ss? z 2 PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 Plumbing Contractor: Plumbing System Includes: - New Energy Code Worksheet Submitted Phone #: Water Softener Lawn Sprinkler Water Heater No. of R.I. Baths No. of Baths Mechanicai Contractor: _ Mechiuiiciil System Includes Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # ree: $90.00 ree: $70.00 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 alI applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant A , ?AA-4-_--- -0 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ 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 0 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 ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinkiered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Air Test R.I. Fireplace _ Final _ Siding Stucco Stone _ _ _ Insulation Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanicai Permit License Search Copies Other Total Building Inspector d 10 17 Req st Date Fire No. AInspection Required? ???/ Ij?Ready Now f? Will Notity Inspector R d ? ? Wh G Yes ? No en ea y Ilicensed contractor p owner hereby request inspection of above electrical work at: Job Address ( tree Box or Route No.) ? City O Section No. Township Name or No. . Range No. County V Occu IPRINT) ` ? ? ? ? v ? Phone No. ' ? ? ? ? ? ? Y pphe r Pogut , , Address 3o e w e?c ( r? Ele trica Contractor (Company Name) Contractor's License No. , l Mailin Address Contract or Owner Making In pIllation) ? 1_ AMSignature (Co ctoNO er king s allation? - Pho e Numbe MI ESOTA STATE BOARD OF EI.EeyftICITV ? THIS INSPECTION REQUEST WILL NOT ? Griggs-Midway Bldg. - Room S-173`'' BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 fNCLOSED. REDUEST FOR ELECTRICAL INSPECTION es-oooo,-os ? . See instrucf ons for completing this form on back of yellow copy. nna "X" Below Work Covered by This Request ew rAdd Rep: TypeofBuilding AppiiancesWired EquipmentWired - Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer - Other- (Specify) Comm./Industrial Fumace Farm Air Conditioner Other (specify) Contractor's Remarks: ? :5 1,510 If ? mn n ecu ?Q?e £ S?,?,6 {..ee?' old S?vv? Compute Inspection Fee Below: / ? v? # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps bov 100 Amps SignS Inspector's Use Only: OTAL ' Irrigation Booms ? Special Inspection Alarm/Communication THIS INSTALLATION MAY B wl, ED DISCONNECTED IF NOT Other Fee , COMPLETED WITHIN 18 MONTHS. I, the Electrical inspector, hereby Rough-in oace certify that the above inspection has been made. Final o a ? j OFFICE USE 3NLY This request void 18 months from ?t , CITY of EAGAN BUILDING PERMIT Owne: .724 ------? ......... :....... ?=-...............?.................................._.. N?c Address (Prasea!) a!?? ••..`,?•• ?•-• ........................... ...A ........... fo\ c ?A Builder ....c?`???:?...-•`•'•:: ?o?-?- :"7.••••••..•-••-............. lv ? .................................... ............: ?:....:............... Address .... ?r DE3CRIPTION YI jt/ N°_ 3770 3795 Pilot Knob Road Eagan, Minnesota 55122 454-8100 Daie ...?a.^.?`.r..??............. 5tories To Be Used For Front Depih fieigh! Eat. Cos! Permi! Fea Remarks • 'P, LOCATION / 7< G'-d Slreet, Road or oiher Desc=ipiion ot Location I Lot Sloclc Additlon or TiaC2 This permit does not suthorise the use of streets, roads, alleys or sidewaIks nor does it give the owner or bis agent the right fo create any siiuation which is a nuisance os which presenls a hazard !o the health, safety, convenieace aad general welfare to anyone in the communily. THIS PERMIT MUST BE KEPT ONTHE PREMISE WHILE THE WORK IS IN PROGRESS. This ia to cestify, 3hat•i? ................................................... -••- has permission to erect a---..... a:..... ...........................----...,upon the above desc;ibed premise subject to the provisions of all applicable Ordinances for the City of agE ati. --••-•••.__........-••--•••-•• ............................•-•-....••••-••--.... _.._........••••••-••-. 7;?t ..:-•-..?°..?...,-:..-• ................ Per Mayor BuildinQ Inspecfos ? CITY OF EAGAN - ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 No- 1 5 4 5 2 PH O N E: 454-8100 BUILDING PERMIT Receipt # To be used for REPAIR WINDOWS & SIDIIst. Value Date AUGUST 16 19 88 Site Address 2048 QUARTZ LN Lot 7- Biock 5 Sec/Sub.CEDAR GROVE 4TH Parcel No. x Name MICHAEL A STRAND z Address 2048 QUARTZ LN ° City EAGAN Phone 452-6276 °C Name SAME .o ? Q Address ? City Phone H¢ UW Name wW ? _ za Address U cc WZ City Phone a I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A euilding Permit is issued to: MICHAEL A STRAND on the express condition that all work shall be done in accordance with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official?-1,MI.A?-R-A!_i l I - 1 OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit NC Planner Surcharge Council Plan Review _ Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL NC EAGAN T0WN S H I P - BUILDING PERMIT . ?? Owner ----------- ------ -- - - •- -• • - Address (preseni) ----- _______ -- ...... - _ BuiTder . -----••----------- - - - ----- Aaaress - --- - - - -- `•- ------------------- - ---------------------- - DESCRIPTION. N° 850 Eagan Township Town Hall Da2e _._ ?7/-:#/ .E?._Z itories To Be Used For Froni Dep3h Height EsL Cost Permi! Fee Remarks ? LOCATION Sfreei, Road or other Description of Location I Lo! Block Addilion or Trae1 ..c'. ' ,i?F 7_ ..?-%-?1 - 3.-/- - y ? --? Tfiis permit does not auihorize e use of streels, roads, a ys or sides nIC? does it give the. owner or his agenf the right to create any sifuafion which is a nuisance or which presen2s a hazard to the health, safety, convenience and general welfare to anyone in the community. ' THIS PERMIT MUST BE/,KEPT O T E PREMISE WHILE THE WORK IS IN PROGRESS. This is io certify, thai----C?--permission !o erect a-----r? ;'-.-?f_?`tGE?c.-.'?.•-••-------------upon !he above desc ' re ' subjecf. to fhe 70- ........ irisions of the Building Ordinance for Eagaii Township a od pYed April 11, 1955. ?..?'?-'.... ..:.....• - -•--- ------------- -•-• ....... •••-----...----------- Per ---- -- - ---- ---•---- --?-e' .------ .??._ -•- ---- ...... . Chairman of Tnwn Board Building Inspec'?or ... ... a ? y 1988 BUILDING PERMIT APPLICaTION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3?GERTIFI 154 5 tL OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR RNER TS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO ZCANGFS'WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS/ RENT?. QNZTS FOR SALE UNITS # OF UNITS INC/SETS PL S, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SEA ULATIONS COhIlINCL OF ARCHITECTURAL & STRUCT URAL PLANS, 1 ET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: jcplac+,e W;n?ows?Sl?.y Valuation: Date: Site Address aog 8 Q;;?6,;,.,,*fz Lot ? Block ? Pareel/Sub cekr Own er ? J ?° hG? gL Address Qoq ZiJ City/Zip Code ga q Phone 4s? 27 {a Contractor 5`zf ?- Address City/Zip Code. ' Phone Arch./Engr. Address City/Zip Code Phone !t Engr/Assess Planner Council Bldg. Off. Ilariance Permit ?u _ I U J Surcharge ? Plan Review SAC, City SACy MWCC 4iater Conn Water Meter ` Road Unit Treatment P1 Parks Copies TOTAI. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N C 3830 Pilot Knob Road Permit Number: 020808 Eagan, Minnesota 55123 Date Issued: 04/ 30/ g Q (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 1 BLpCK: 5 2048 QUARTZ LANE STRAND MICMAEL CEnAR GR01/E 4TM (612) 452--6276 PERMIT SUBTYPE: TYPE OF WORK: GaRRGE/AccEssaRv NEw REMARKSs SEPARATE ELECTRICAL PERMIT REQl1IRED CITY OF EAGAN 3830 Pilot Knob Road _ Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ?•d PERMIT PERMIT TYPE: Permit Number: Date Issued: 2048 QUARTZ LANE I.AT: 1 BLOCKa 5 CEDAR GF20VE 4TH P.I.N.s 10-16703-010-05 DESCRIPTION: GARaGE/accEssaRY NEw 24 15 BUILQING 020808 e4 /3 0 j9?* St? ?"M ON ?p 011 W-1 '`. REMARKS: SEF'ARATE ELECTRIGAL PERMIT REQUIRED FEE SUMMARY: vALuATIorv Base Fee Surcharge 5ubtotal $$1.00 3.00 $84.0Q1 $6,000 COPY .50 Total Fee $84.50 CONTRACTOR: OWNER: - Applicant - STRAND MICHAEL 2048 QUARTZ LANE EAGAN MN ( 612 )452--6276 2 ? APPLICANT/PERMITEE SIGNATURE REACTIVATE _ PERMI7 ?? ? Q'?- CITY OF EAGAN ,....._ _ ._ .. ._. _. 1993 BUtLDtNG PERMtT APPLICAT dWCL0U4--=? 681-4675 ? s?t?? ?'u APR 2 3 1993 ? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL Z sets of architectural & structaral 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 4y Valuation of work Site Address:Roq5? ZA) STREET SUITE # Tenant Name: (commercial only) ,LOT BLOCK SUBD.W ? I P. I. D. o Descri tion of work: (A r-) The appl i cant i s: ? Owner ? Contractor ? Other (Describe) Name ?5+mcAD_ ln Jy, w,f Phone PrQperty LAST FIRST Owner Address aoVE 0-,/-Iz l? STREET STE # City )5xA arJ State fl'l/1) Zip Company ? Ck- nn -c- Phone Co ntractor Address License # Exp. City State Zip 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: 1? 1( V ? ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwg. 0 07 4-Plex ? 03 SF Addition ? 08 8-Plex O 04 SF Porch 0 09 12-Plex ? 05 Sf Misc. O 10 Multi. Add'1. ? 11 Apt./Lodging ? 12 Multi. Misc. O 13 Garage/Accessory 11 14 Fireplace 0 15 Deck , ? 16 6asement Finish C] 17 Swim Pool ? 18 Cortun./Ind. O 19 Comm./Ind. Misc. ? 20 Public Facility 11 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations O 32 Addition 0 34 Repair O 35 Tenant Finish C] 36 Move ? 37 Demalish GENERAL INFORMATION Const. (Actual) Y-N Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy M_1 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Staries Footprin t Sq. ft. Fire Sprinkler Length ? On-site well Census Code Depth ??. On-site sewage SAC Code GW544,?6 ?f ? ? APPROVALS It ? ? ? Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? Site '1534ooting ? Framing ? Insulation • Wallboard Final ? Draintile ? Fireplace Permi t Fee 81, o o vaiuac;«,: g 6000 S?archarge '9100 Plan Review License X 360 X 5 °7G ?00 0 MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge - Treatment P1. Road Unit Park Ded. Trails Ded. Cop i es Other Total: SAC 96 SAC Units ? C I ' ?j? ?vtN-Y 1 ? .? CoPe o- r ? ? 6= Page No. of Pages INTER CITY BUILDERS 2500 Murray Ave. N. E. MINNEAPOLtS, MtNNESOTA 55418 Phone 789-9009 PROPQSAL SU[3MII7LD TO ? G 4/ ? y CITY, STATE AND ZIP CGDE ARCHITECT liATE pF PIAN< Pti(?NE DA't Ii 7 :7 7 71?) JC'B NAME ? ? JOB LOCFlTIUN ?? JOB PHONE. t7 / c.: ' !y``?D `f-'?' '~'13t'? ?., L L 70-:-? C. . ?9 1b?1?h'?GL G'? ?' C dr-11? A1 J _,--? ? ? ?? . ? _ .._.. ..! . We hereby submit specific,arons s.ind r:stinnates tor. %i' _ l C E ? Te f ? /? ?:s 1r _ ?, doi) ekF';? 5 ?-el? woncg ,/-?f r'711x!" G? Y Y" , . ??$<?r ?1?y???57E?r?i;?l;.??=3??5 ?e?.C fJ??,?n ? ?/ l? h d'/? o,<'. d? ??r--!?-= -_------- -- -- --- IPp VCApUSP hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: , , ..: ..,_.R r? -- _ t ., ? ? _? ,? - ---- ? dollars Payment to e made IIoKS. .. -- .z y ? ,,?,'.?y? ? 7-- ?it- ?' -t:?.'?2?_ _ ? All material is guaranteed to be as specitied. All work to be completed in a workmantike mannei according to standarct practices. Any alteration or deviation from above specifica- Authonzed tions involving extra costs will be executed only upon written orders, and will become an SignHtUf@ eztra charge over and above the estimate. AII agreements contirgent upon strikes, accidents '?/ or delays beyond our controL Owner to carry fire, tornado and other necessery insurance NA te: This proposal may be Our workers are tulry cuvered by Workmen's Cornpensafien insur:ince wiihdldWn bY us if not atc'cepted N'Ithtn,?-=?_-._._? C?3p5. ? O/c 14r./ i? 1-1 fi' Arrpptttnrr vf llrapnsal - , f,e dbovP prwEs. ,perificat;ans and conditions are satisfar.tury and are hereby accepted. You are autnorized Signature to do the work as speciiiedJ Payrg_en1 will be mdrle js outlined above. Date of Acceptance: rl ?5 -_ SiBnature ? - ---}? ------ --- -- -- -- - -- - - -- ----- ---? / _-------- -------------___.---- -? `?- FORM \ 1 8 T CJPYRIGHi 1960 -- N[W ENGlANO M/51NE84 SE1tVICE fNC„ 10WH3END MAlS MASTER CARD LOCATION ? OWNER STRUCTURE AND LAND USED AS q ?A ot Ar'O _ Issued To Permit No. Issued Contractor Owner BUILDING ip, PLUMBING CESSPOOL - SEPTIC TANK ,._. WELL ELECTRICAL = ' .? HEATING GAS INSTALLING .,. SANITARY SEWER '7,` l f l OTHER ? OTHER Approved Items (Initial) Date Remarks FOOTING FOUNDATION FRAMING FINAL j ELECTRICAL A?P?!! JItG 1? , L HEATING R Qam ?r GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER COMMENTS: ,V, Ar - / J ? i/ 1 Distance From Well SEPTIC CESSPOOL TIIE FIELD FT. DEPTH OF WELL Violations Noted on Back COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. 1:1 ACCEPTABIE SUBSTITUTIONS OR DEVIATIONS. NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: 11 NON-COMPIIANCE. BUILDER DOES NOT INTEND TO CO/NPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. F-I REIPlSPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSPECTION CERTI FICATION - I certify that I have carefuily inspected the above in which I have no interest present or prospective, and that 1 have reported herein all significant conditions ot;served 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. ? ALL IMPROVEMENTS ACCEPTABIY COMPIETED BUILDING INSPECTOR COMMENTS: DATE ._. 2 3 City of Eapn 3830 Pqoi Knob Road Eagan MN 35722 Phone: (651) 675-5675 Fax:(6S1) 675-5694 ----------------- + FOr OHIC! Uid ? O ? I Permit #: . ( ? _ 5 t f? ? ? Permit Fe@: .. , ...?Y...._._._.._.....?._._ 1 j oaie Rece?ved: , ? ? i ? Staft:.._...._......... .....?...... . . ? L___- ____________- 2008 RESIDENTIAL BUILDING PERMi'r APpLrCArioN Site Address: renant: $ulis #: RE8IDENTlOWNER . .? . F'hone:1? Address City Zlp: ?7?. ?+_? t _\1 ?L, t.. Applicant is: Owner x Cpn?ractor TYPE OF WORK Description of work: ?, - C?' . ..... . ....... .. .._ . ....... 11 ' ? ?? CC'r Construction Cost: ??,? ? ?l .?? 1 Multl-FSmlly Bullding: (Yes I No /\ ?/') ` CONTRACTOR Nam??C1Y1 ?nse F: _ 1?_I ? . Address: _,_lZ 77"'..A'vE.. N.?. un 15.---..._..--------._......-•----?--------_......----.-•_--- ?-• 4 - , City: p (' 1(\t 11v2__I' State: ?................_.. Phone: ?, •. ? )- .) Contact Person:,. ?-.S???S?_-..L?.. l?t.l COINPLETE THIS AREA ONLY fF CONSTRUCTING A NEW BUILDING MinnesQta Rulea_7674_CatesIOrv 1 Mlnnesata Rules 7672 Ensrgy Code ? . Residentlal Venlilatipn CatepOry 1 WOrksheet • New Energy COde Worksheet CBtegory Submitted Submitted (J submisslon typs) • Enerpy EnvAlOpe CdlCUlaU0n5 $ubtnitle0 In the last 12 monlhs, has the Clty of Eagart Iswed e permit for a slmllar plan based on a master ptan? Yes No If yes, data and address ol master plan : .... ... ........ .. . . .. ...... . .. .. ............ ...... _.. . .. _ ___? Llcensed Piumber: Phone: Machsnlcal CpntrAClor: Phone: Sewer 8 Wster Contractor Phone: ? NOTE: Ptans and se?ppprfing documanta that you subm/t ero cpnsldsred to bs publlc ?nlarmatJon. Port/one ot the informetfon R+ay bQ cluslfied aa non-pubpc lf you provlde speaKlc reesvns that would perrrilt the Clty ro cvnclude thst the aro Hade secreta. t nereby acknowles7ge that !hi& iruormsGon is comptele en4 accurale; that Ihe work wVli be in coMormante wiIh the ordlnsnces and codes ot the Ciry of Eagan; thaf I understand ihis is rmt a permit, but only an application for 8 permit, flnd work is rmf to stert wiihout rmi[; i t the work will be In the Case ol work wh?h requlres e revlew and epproval 1 plans. 8ccnrdence wilti ihe appT.?W d pl?ln x Appllcant's PNnted Nams AppHcanYs Signatu"re PagO I ot 3 /Z '3Jrdd L1V ££:TT 800Z'ZZ'daS