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4247 Rahn RdCITY OF EAGAN Remarks Cedar Grove Acquisition Addition Cedar Grove #2 Lot 41 Blk 1 Parcel 10 16701 410 01 owner,'_1 - f`:%,?. !_, street 112?17 RahI1 Rd. state Eagaxl,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. $ 1270 412. 0 41.25 10 Pa7.d STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 197 2 130.00 2.1 2 P?.d WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (612) 681-4675 SITE ADDRESS: ? , ,; ,',!Ihf Irl7 INSPECTION RECORD PERMIT TYPE: Permit Number: ? Date Issued: 4 1 t, I ,, f j , APPLICANT: f ei '1 :' i N?) ", •• 0 4 I. 4 tit? T 1 rIr N c1 0,c' y 0h t.i 10 / tlti/96 PERMIT SUBTYPE: TYPE OF WORK: r;! 1FRAi'iON ?:-c i w1 wr1 (l m Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL y fy ? ? BSMT R.I. BSMT FINAL DECK FfG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: : ti I ?t E R;t ?:i 4• . i t-i'•.i9F? i?l.l 1.? ????;i p r;l i'?1l?i??x 1?t PERMIT SUBTYPE: TYPE OF WORK: , , , „• , , , . , , . , INSPECTION D• • D• ?? • Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC inspectfon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL A416 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS• APPLICANT: ? t 1d?l A 1 fiI f1t !, (.j I; ;- @:.t'1?NN Uf tt ta? [t (i F2 Ol! E i t:ti 1;1k 4F9qOf; / 3 Pif i 1 11 1 rt?; 0 ;?1MWI `A PERMIT SUBTYPE• TYPE OF WORK: -) ?'orrr? ?GtiriQ(? & j? f ? ? ? ? r? W , s ! r! i cOid t k[li?1 tw; 1 Permit No. Permit Nolder Date Tetephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTlNGS FOUND FRAMING RO FING ,*4j- ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAI BSMT R.I. BSMT FINAL DECK FTG DECK FINAL .:. ' REGIUEST FOR ELECTRICAL INSPECTION Paul, MN 55104 -`"-,.. o_:'' Un State of Ele28city III?I I?I ?(II II II? I) III II III II ?II I) III I IIII Minnesota ity A earRrn ?:; ...;? * 0 2 2 7 1 4 4 3* Phone:(612) 642-0800 ???7?(?` , ' Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: D er Ran e Elec. Heat Tem . Service "k' above the work covered by this request. Enter remarks in this space and on the back of the white copy only. 5 E?-v <(:., a Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Olher Fee # Service Enirance $ae Fee # Circvits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps $treet Ltg./Traffic Sig. Above 200 Amps ove 100 ps Transformer/Generator INSPECTOR'S USE ONLY TOT L Sign/Outline Ltg. Xfmr. ? Alarm/Remote Control $wimming Pool I hereb cerfi That I' ed the a lherein on fhe dates stated Irrigation Boom Rough-In Dafe Special Inspection Investigative Fee Final D THIS INSTALLATION MAY BE ORDERED DISCONNECTE6IF NOT COMPLETED WITHIN 18 nnon IMs. 2 7=? -? 4 4? .? - OFFI??,,USE O LY This request void 18 months from validation date printed in? boy??D PLEASE PRINT OR TYPE Request Dafe Rough-in inspedion required2 ? Yes P. 1 Inspection Other Than Rough-In: Ready Now ? Will Call (You must call ihe inspedor when reody) Date Ready: I, ?[licensed contractor ? owner hereby request inspection of the above electricai work at: 1ob Address (Street, Box, or Route No.) L4 ?.. ??? ? City +??, Zip Code ?i Z Z Secfion No. Township Name or No. ' Range No. Fire No. Co ty Qr_cupont Phone No. 6-7 -7 PowerSupplier ? ? Address ElZir='=4 l CC ompany Name) Confrador License No. P-0 1 Gl G Moster Lic. No. (Plant Elecf. Only) Mailing Address (Conhador or Owner Performing Insiallation) % iz? 0 C" kIV kVe Auth ed Signature ( tra Installafion) Phone No. c) EB-00001A-10 05 STAN BOARD COPY- SEE INSTRWC710NS ON BACKOF YELLOW COPY ; EAGAN TOWN S H I P Owne= ---°14.-----? --•--•--••-•----•--•--••-•---•-•--••-•--•-•° Address (P=eseni)?r7'f ?-:??1.?-•---: ? =••--•-----...---•--• Builder ••-••--•.:..?°-=-•---??Z'----?-?`--?-..................................... ?L_ Address ......Z. 4 --- r;L.?---•-- •- - " .................... -..&:--.....-----•----••-•- DESCRIPTION BUILDING PERMIT N° 1985 Eagan Township Town Hali Date ???'.fl-?•-? ................. :.... 53ories To Be Used For Fron3 Depth Height Est. Cos! ' Permi! Fee Remarks ? LOCATION Sireet, Road or olher Descripiion of Location I Lot I Block I Addition or Trac! '41 I r c-, A, r> ':2- - This permit does noi suthoriae the use of sYreets, roads, alleys or sidewalks nos does it give the owner or his agent the right to creafe any sifuaiion which is a nuisance or which presenfs a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, fhai_...:. t=•••--7.-A,.,.,--`: ...... .......................... has pesmission to ereci a.----r- -•---•---•---- . ...?.............. . upon the above described premise subject to the provisions of the Building Ordinance for Eagan y owns adopted April 11, 1955. , - • ??? . . ...............•-••-- -<•--=-----.......-- :=••- 1 .?.._.......--•--...•-•-•-• Per ............... X.:... ?_..._..?::???/ ........................................ ?'' Chairirr n of Tnwn Board Building Inspector EAGAN TOWN S H I P BUILDING PERMIT Owner ..??[..s1..?t1.•-,?!!.•,-•-- ` .? --•-- - •-••-- . ...................... Address (preseni) ----...?;{?i.f•--•--,?...(?e?,?,:vl..__...._-•---°•-------•-•----- - Builder ........................................................ .-.- .---.-----••-••••••--• ...................••••--••-•-••--._...•-°•-•--•-•-- DESCRIPTION N° 1262 Eagan Township Town Hall Date .................. 5iories To Be Used For f? 6-4, Froni Depth Height Esi. Cosi Permii Fee Remarks LOCATIOfiT- sireei_ noaa or otner liescription oi 1.ocaiion I Lo! Block Addition or Trac! zk . ? This permii does not suthorize the use of sireets, roads, alleps or sidewalks nor does it give the ownes os his agen! !he right to czeate any siiuaiion which is a nuisance or which presents a hazard to the heaith, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. . This is !o certify,. lhai...??, ._? :....?___............ has permission !o erect aZ°?: ......... ..... ... ....... :.._... ..___... _upon !he above described premise subjec3 to the provisions of the Building Ordinance for Eagan nship adop d April 11, 1955 ......_.....-----...-•• •••-• •---•-••--.......-- • ••••-• •- ••-- - -•.. _....---•••-• Per .-•••--•••--••-•._. ?. . .j.?.....?l'Suilding`?.i.....? InspecYor?........-- o Tnd Chairman ` a `B . i;e--• / dy OfSr ? \ - ? ? ? ? ? ?o ? V ? 41 ) Z-? ? A, ? , R, ? /f / ??`?j 5-1 *************************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 786 DATE: 08/23/00 TIME: 13:18:17 ID: NAME: THAIYJE C OR SHELLY A LASSAHN 3210 9001 4247 RAHN RD 83.25 2155 9001 4247 RAHN RD 1.50 Total Receipt Amount: 84.75 CR136313 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 42,j,? C? 5 ciTr oF EAcani $? 3830 PILOT KNOB RD - 55122 651-681-4875 New ConatrucNon Reauirements Remodel/Reoair Reauiremenis ? 3 registered site aurveys ahowing aq. ft. oi lot, aq. B. of house 2 copies ot plan and gH roofed areas (2096 maxlmum lot coveroae allowed) 1 set of energy cNculaitons tor heated additlons ? 2 coples of plans (show beam & window sizes; poured ind. design; etc.) 1 site wrvey tor extedor addiHons & decks ? 1 aet ot energy calculaflons > 3 coples of hee preservatton plan it lot plafted affer 7/1/93 DATE: 9--2' -?'"oc---.> CONSTRUCTION COST: 6v DESCRIPTION OF WORK: STREET ADDRESS: ?a--Y7 LOT: ? BLOCK: SUBD./P.I.D. #: Ccaar Grove, *l'' PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: r071-Z rz- 11- N Phone #: (651) YS V-- d 6'?> Last First Sh6et AddreSS: ??- y 7 ?'? ?fini 20? City State: N-? Zip: ?S12 ?-.- Company: ?u ^rI-`'?y C ?,4? ?-` . Phone (crea code) • Sheet Address: s7D 0 /y3 ? 5?- ?• License #a-0/3S/ 89 Exp. a"? l City Acpn k CJ,-OllY State: Ph r 21p: Company: Name: Telephone #: ( Sheet Address: Regishation #: , City ' State: ZIp: Sewedwater licensed plumber (if instaliina sewer/water): Phone #: (_- ) 1 hereby acknowledqe lhat 1 have read this application, state that 1he infomnafion- ot Minnesotc Statutes cnd CNy of Eagen Ordinances. Signafure OFFICE USE ONLY Certificates of Survey Received Yes No ' Tree Preservation Plan Received Yes No Not Required to comply with aq appqcable State ??c ?° + D AUG 2 3 2000 ? ? OFFICE USE ONLY , BUILDING PERMiT SUBTYPES ? 01 Foundation 0 07 05-plex O 13 16-plex 0 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 03 plex 01 of 0 09 07-plex ? 18 Deck ? 23 Porch (screer?ed) ? 04 _ 02-piex ? 10 08-plex ? 19 Lower Level O 24 Storm Damage O 05 03-plex 0 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE 0 31 New 0 36 Move Bidg. O 43 Reroof ? 32 Addition ? 37 Demolish (Bidg)* ? 44 Siding 0 33 Aiteration 0 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair 13 42 Demolish (Foundation) 0 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No.-of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Building Engineering Variance Valuation: $ ? 31 Ext. Alt - Multi ? 33 Ext. Ait - SF ? 36 Mutti SAC Units % SAC }?)i.;,?i.i{ i?::? i?{ )?.:jS `?. 3?',n.r?:.q: rr:y:.'q. ?: iyi ?i{;?( ?.'? ??:?+?aC?? ? •v+?T ???h?:?: i? J[;.y.? %? ?: ra.I.Ttr' 41F ; :tiGAN f:'A?:i:l••l:i:!:::!°t: f°i 'Y'I:-.:Ri':rNiil... Nt1;; 14• D AT4.n iD/iG/96 TIM`s::.N i0002 TU " QUAI...ITY t.,Rl iF.! 320 r:;..?... 1. ,.. _?.?.,?.? y . .?•t?. ?.•Ai i:,.r! ...i„r..,:t ? c: » 900i 4,;7 ._.,., r-•i rt:AHN :?I:> >..! r., ? ?.. H6r7 -i....?._, r?. ? Y("(t%i.1.y. R•r''ceipt 1_1nt ? 40,.„? ri,?- i c::y:.??:''. C' .??.:r..: _e .? Un(:°R 1DH i.,lANf„Y ?y?,. :,k,,?i. •.i: : y: ??..?•.?.'i:; ?:'t?..?: 3 ...? y, ? ,?,i ,,. . y?. .!n (.?: .. .?..?i ,?..p;f ?,?.,at., ;', ?. p..?.,• b y+ 7i' y?'ui7?{? * .i .i .r.,•,.;.p'.:?Qt?.:y? . . .q' i? PERMIT F C11'lf OF Ei4GAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: BUILDI.NG 029@55 10/a.6Js6 SITE ADDRESS: 4247 RAHN Rq LOT: 41 BLOCK: 1 GEDAR GRQVE #2 P.I.N.s 10-16701-410-01 DESCRIPTION: (EGRESS WINDOW) . ermit Type sF (Mlsc.) ?rk Type aLTERaTrvN 1? '*434 ALT. F2E5IDENTIAI. ?? :? ? ? ??? ? ? ?? ??? RENlARKS: FEE SUMMARY: VaLuATxaN Base Fee $40.25 Surcharge .60 Total Fee $40.85 $1 9 L0YJ CONTRACTOR: - Appiicant - sT. Lxc OWNER: QURLITY CRAFT CONST 18950414 2000635 TRqTTER BRIAN 650 E 92ND ST 5 4247 RAHP1 RD BLOOMTNGTON MN 55420 EAGAN Mfd 55122 (612) 895--0414 APPLICANT/PERMITEE SIGNATURE A 00e ' - SSUED EIY. S NATUR CITY OF EAGAN xqi.offff 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPUCATION (RESIDENTIAL) I? 681-4675 w Construction Reauirements Remodel/Rgpair Reauirement ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: I CONSTRUCTION COST: -?It a vv . Do DESCRIPTION OF WORK: 4? re,s5 WinI4oW STREET ADDRESS: LOT ? t+ a LF'1 BLOCK ISUBD./P.I.D. #: ??L 24y, o- PROPERTY Name: 'Ty- o-Vk?r BY? oUn Phone #: OWNER us* FIRST Street Address: City: -1??Cr-State: YVI ?J Zip: CONTRACTOR Company: CYa?r m-iSTr u L-b ah Phone #: 61T5 - o`f /lyt Street Address: (_P50 ? qa S-1- License #: a?a ? 35 ? City: ? t cxim?t4i!m State: Mtil Zip: SS `{ ?... a ARCHITECT/ Company: Phone ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty appfies when address change and lot 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 Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex 0 04 SF Porch ? 09 12-plex 0 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION OFFICE USE ONLY ? a J 4. d U v . ?P:'..? •Ti}' ? . ? ti?{:#!Y'? . ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. 0 17 Swim Pool a 13 GaragelAccessory o 20 Public Facitity ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg , Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pt. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ,? ri. . ,?,r. .A,... ,. •i, ,.? .•. „ •i . T:..r,:a..?t?,a: i? .,if. ., ?`? :t • ??.?( .: :,.o.,C7,'] 7?? ?ti .,? N1;i:y ?.,ir y•?4,'f:.;5;.7? .yt ?? •.?..Y ' ' ' ., :.:.?.'r..r n.?r?...??.:? ?. 4! C^ '?h i :.. ?::. ?a?.:,?•?, .. C:I: Tr ..,?. - . ? - ? . t.? rp: r.;.? c:. '?1i::FiM:?P? d?'??,... ?- •? .f..?•tt.i; .?. ...? •.., ..< .., J. .. .. . ... . . T!Y'!7?...? ?:?`:?fc?t?fr:7::? l:.?``??::.;, :ls}.:4f:r0t i.T.'• ;, N(ti AC";; MI':iNC"?;l' IAi:CNDOW C;f7 ':?;:`:I.(l 9(IIJ.I. 4247 RAHN Rri Mµ75) ? r.rc: 900i .'7.C " "?•C..°F f ? (' 1? ?"?.: ??"i, . I 1:, Y.., 3.50 !? :. •..'•_! t .AToi:%i?.i. Re{::[:?iI:?'?: ?`dl'+...7`,t. ^ :?.'_i:ini:.? i r.. c:•. n ? ?,? t;%If-.??_! .?. `.:): ? ;..:t?I::.R Mu NANCY .?(?'. ,/.?.;??'?,.?3:Frt'•y?T'f????!'•?I??•t'•'???+P••'i+•?.•e_',+{C•PiP}?{i ?:P.p.}?p.??i??)?ft?3?•h? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PEIZMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 028931 09/27/96 SITE ADDRESS: 4247 RANN RD LDTt 41 BLQGK: 1 CEpflR GRqUE 2 P.I.N.: 10-16701-410-01 DESCRIPTION: RERLACE WTNDqWS Type SF (MISC. ) Wt?K,k Type. ALTERATIQN 434 AL.T. RESIpEIdTIAL REMARKS: 3r ?'? ?P?,: ?2? ?."'NA:kS 15, ` vsA, s'? ? _,'?'`. '?,?k° ? ?'? ?n ru FEE SIDtVIOVIIARY: VALUATIQN Base Fee $124.75 Surcharge 3.50 Total Fee $128.25 $7,000 , CONTRACTOR: -- Applicant - 5T. LIG. OWNER: MZCIWESI' WIIVDOW GO 17215333 0002130 TRqTTER BRIAN 3739 MINNEHAHA 4247 RAHN Rq MIMNEfiPOLZS MN 55406 ERGAN MN (612) 721-5333 (612)454-0677 ? APPLICANT/PE I SIGNATURE • ?--°?,?- jCITY OF EAGAN C?`? /?J f 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 n Reauirements Remodel/R_eDair_Reauiremen ? 3 registered site surveys ? 2 copies of pian ? 2 copies of pians (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy caiculations ? 1 energy calculations for heated additions * 3 copies of tree preservation pian 'rf lot piatted after 711/93 required: _ Yes _ No DATE: ? - 2 7-" c76 CONSTRUCTION COST: /'sa.. DESCRIPTtON OF WORK: ??, Ui^1?R,?,pl'?c?/'c?-'rJT?/,?J''.r/db`°1s ?r?"?'sr,•.?.y D??t/,?/?l ?- STREET ADDRESS: ?? LOT ? BLOCK LLdA- SUBD./P.I.D. #: PROPERTY Name: ????) 7;?Z77;rZ, Phone #: ?? 0677 OWNER us, FIRS, Street Address: yayI' ??XA/ JW City: 6vfI'? State: ? Zip: CONTRACTOR Company: Phone #: Street Address: WSo License ?130 City: State: /0!W Zip: S?S?"ob ARCHITECTI Company: ENGINEER Name: Street Address: City: Sewer & water licensed plumber: change are requested once permit is issued. Z State: Zip: Penalty applies when address change and lot 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with atl applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Phone #: Registration #: Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex 0 02 SF Dwelling ? 07 4-plex ? 03 SF Addition o 08 8-plex ? 04 SF Porch o 09 12-plex ? 05 SF Misc. ? 10 = plex ? 11 Apt./Ladging ? 0 12 Multi RepairfRem. a 0 13 Garage/Accessory o 0 14 Fireplace ? 0 15 Deck 16 Basement Finish 17 Swim Pool 20 Public Facitity 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION 0 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main levef sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC . City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PL Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units r. ' ?Y . ...?! 4• 1 li?i?t i l 1•fe•li?l t 1? li•i ?k>>,'(?t?r•1a??1?:#??"? ?6??k?:?M?'d??<?::?Y? ;•,:?. ?t>? ?«17?.???ril?.yt.)#?S>r.rFJ?,sk C:f.T'4' C;F' L••:(--,f;;(-t^! 7'1:::RMl:NA! Nt:i ; $:35 DA'TEr, 09i11/96 'T'7:MEe 0:200 ~W A:r,M1-:;; rv TRnTY'I:::R ::3BO 9001 Q47 1;AI-(N RLE 43ur.:1r?? 20; 9001 4247 Rra???N RD 0.65 T,.7ta!. i=ier,..e:Lpi: Amt]ut;';:G QZ5 CRt.lWt.9 UtJER .l.4.4" NANCY •?I.vi??it?(»I?•yi:•.1? v?. 4 d/y? •J??1? i? f:?.j?j,-? f •f if? I? !:L \livlr.lr:j:? \li e?L? J.••J?? !.'(?.;:s('.:j?:f?.•(5!?v%???.?.fi:ly\/h.(:?1}}\ ?ufjt?? .11?i1(a?\?j?.lhJ?.{+\lR:?:: •.tf?. t ?j: ?4fC.!l?.j CITY 6F 5AGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT 4247 RAHN RD L.07: 41 BLOCK: 1 CEDAfi GROVE #2 P.I.N.s 10-16701-410-01 DESCRIPTION: PERMIT TYPE: Permit Number: Date Issued: suxLoING 928809 09 /11 /96 nc ( MTCG ? r? ll/a IM?'-/)'I??D ?J 1 V •, ? REPAIR 434 AL7. F2ESIDENTIAL 0q ? '0? I)IC" REMARKS: FEE SUMMARY: vaLua-rxoN $1,300 Base Fee $43.00 JC??Zt??.?1 5urcharge .65 Tatal Fee $43.65 4 CONTRACTOR: OWNER: - Applicant - 7ROT7"ER BRIAN 4247 RAMN RD EAGAN MN 55122 (612)454-0677 PLI(;AM RMI E SIGNATURE I SUED BY: S GN URE • (ROCIFZNG) ermit Type 9?,k Type CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO : BRIAN TROTTER ADDRESS : 4247 RAHN RD EAGAN MN 55122 LOCATION 4247 RAHN RD RECEIPT #/ DATE 64 14q/SEP 11, 1aq6 REASON FOR REFUND HOMEOWNER SAID REPAIR OF THE RO OF WAS DUE TO STORM DAMAGE AFTER THE PERMIT HAD BEEN PAID FOR TYPE OF REFUND ELECTRICAL PERMIT 3211-9001 $ PLUMBING PERMIT 3212-9001 $ MECHANICAL PERMIT 3213-9001 $ SURCHARGE 2155-9001 $ WATER CONNECTION PERMIT 3713-9220 $ SEWER CONNECTION PERMIT 3743-9220 $ ACCOUNT DEPOSIT 2252-9220 $ UTILlTYACCT OVER-PAYMENT 2250-9220 $ CURB BOX DEPOSIT REFUND 2253-9220 $ CONSTRUCTION METER DEP REFUND 2254-9220 $ WATER USAGE CHARGE 3711-9220 $ OTHER: BUILDING PERMIT 3210-q001 $ 43.00 . $ $ I declare under the penalties of law that this account, ciaim or demand is just and that no part of it has been paid. ? Oq/ 16/96 Signature `• ? ` 9 j7' ?? Date J? CITY USE ONLY L BL ? RECEIPT %? $UBD. -.,?r?t??Ol9-2, D/4TE. 1996 MECHANICAL PERMIT (RF SIDENTIAL) CITY OF EAGA,'aV 3830 PILOT KI00OB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and,condos when permits are required for each unit New construction v Ad&m fumace ?i? G?uc?C?rfi A ALU_,n,n Vir '..loE'd!t:Z,'!?:ng A?'.?' d-on air cvChw^g°r, lre. \tMneE sy S#c.T., '°tc. Date: FEES ? Minimum Fee: Add- /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) ? State Surcharge .50 TOTAL SITE ADDRES .?- Ay OWNER NAME: &_rz?2n, ,? ' PHONE #: ? &/ ? INSTALLER NAME STREET ADDRES: CITY: PHONE #: (&l9) I? r STATE: / ?!N ZIP: '\' -k. CITY USE ONLY L BL RECEIPT #: SUBD. DATE: 1996 MECHANICA.1, PERMIT (COMMERCIAL) " • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? all commercial/industrial buildings, ? multi-family buildings when separate permits are not required for each dwelling unit. n-ATE. rONTRAC;T PRi?E,- _? ---`--^ - WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVCZenFNT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee Q 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of germit fee due on all permits. GONTRACT PRICE x 1 % PROCESSED PIP{NG STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) TELEPHONE #: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE CITY tNSPECTOR CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN ? MAKE CHECK PAYABLE TO : BRIAN TROTTER ADDRESS : 4247 RAHN BD EAGAN MN 55122 LO CATI O N 4247 RAHN RD RECElPT #/ DATE 64 14q/SEP 11, 19q6 REASON FOR REFUND HOMEOWNER SAID REPAIR OF THE RO OF WAS DUE TO STORM DAMAGE AFTER THE PERMIT HAD BEEN PAID FOR TYPE OF REFUND ELECTRICAL PERMIT 3211-9001 $ PLUMBING PERMIT 3212-9001 $ MECHANICAL PERMIT 3213-9001 $ SURCHARGE 2155-9001 $ WATER CONNECTION PERMIT 3713-9220 $ SEWER CONNECTION PERMIT 3743-9220 $ ACCOUNT DEPOSIT 2252-9220 $ UTILITYACCT OVER-PAYMENT 2250-9220 $ CURB BOX DEPOSIT REFUND 2253-9220 $ CONSTRUCTION METEft DEP REFUND 2254-9220 $ WATER USAGE CHARGE 3711-9220 $ OTHER: BUILDING PERMIT 32 10-q001. $ 43.00 --_ i . $ $ I deciare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. ?'--' q !?,•???.+'.1;?;`,',t-'' ?!? ?n 'r' ? _ Oq/ 16/96 Slgnature Date CITY OF EAGAN g -' - 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements ? ? ? ? 3 registered site surveys 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) 1 energy calculations 3 copies of tree preservation plan H lot platted after 7/1/93 required: _ Yes _ No DATE: q ° I l -17G DESCRIPTION OF WORK: RemodeURe aiR r Recyuirements ? 2 copies of ptan ? 2 site surveys (exterior additions & decks) ? t energy calculations for heated additions CONSTRUCTION COST: I ! -16 0„Oa a?? JV04 ="?: ?c r, Y, ?^C1 ? O. Yn Cl- CA Q-)_ STREET ADDRESS: U2y7 n°k^ le`"yQllt. niv LOT IV BLOCK I SUBD./P.I.D. #: 6e4r &01(c, PROPERTY Name: 1 rv 1? r ? rN o, Y"\ Phone #: OWNER US' ""B' Street Address: L?a q )? C.?-1-&A tl- zip:???? 1 0? ? City: E-Q, C?k c3. n State: ?M -, CONTRACTOR Company: Phone #: Street Address: License #: City: State: Zip: ARCHITECT! Company: Phone #: ENGINEER Name: Registration #: Street Address• City: State: Zip: Sewer 8 water licensed plumber: . Penalty applieS when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with aff applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Suroey Received Yes No Tree Preservation Plan Received Yes No BUiLDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 02 SF Dwelling ? 07 4-plex ? 03 SF Addition o 08 8-plex 0 04 SF Porch ? 09 12-plex a 05 SF Misc. a 10 = plex WORK TYPE ? 31 New o 33 Alterations n 32 Addition ? 34 Repair GENERAL INFORMATION OFFICE USE ONLY ? 11 Apt./Lodging o 0 12 Multi RepairlRem. ? 0 13 Garage/Accessory ? ? 14 Fireplace ? 0 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance D" Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CITY USE ONLY L? BL ? e RECEIPT #: o SUBD. DATE: 1996 PLUMBING 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 FIXTURES Shower •6f?1..?- f_-..:.b . YYQLCr tr1iJ.7Cl Bath Tub ? Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater J Floor Drain - ?? Gas Piping Outlet * minimum -1 Rough Openings Water 5or[ener Private Disposal * Dakota Cty. license (new and refurbished systems) U.G. Sprinkler * home under const. Alterations * to existing Water Tum Around EACH 3.00 x Im AA v J.VV n 3.00 X 3.00 x 3.00 ;t 3.00 :c 3.00 x 3.00 x 3.00 :t 3.00 x 1.50 :< v:0u x 65.00 20.00 STATE SURCHARGf TC7TAL SITE OWNER NAME:_ NQ,, TOTAL ?- - .50 tNSTALLER NAME: ( ?ZJ l/- ' STREET ADDRESS: /-//X? ? CITI(: ?GVi PHONE #: (61o?j '? /??? ?/?? STATE: M/V _ ZIP: ? OFFICE USE ONLY L BL RECEIPT #: SUB0. DATE' 1996 PLUMBING PERMIT (CQMMERCIAL) CtTY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Piease complete for: ? ail commercial/industrial buildings ? multi-family buildings when separate permits ate .pQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: !S WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FWSHOMETERa T0 BE FNSTALLED? _ YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANGE. WILL YOU BE iNSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES - NO. IF SO, YOU MUST APPLY FOR A 5EPARATE U.G. SPRINP?LER PERMtT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgnnft fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE T(1TDRI SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE #: SIGNATURE: . APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: c?t-? G??•??? 9 °Cr 1798, Thomas Hedges ? City Administrator City of Eagan ag ? 3795 pilot Knob Rd. ? Eagan, MN 55122 Septc-mber 29:1981 4247 rahn raad Eagan, MN 55122 Dear Mr. Hedges: Enclosed is the information you requested per our phone con- versation this date. I will futher document the enclosed information with pictures and letters as soon as I receive them. I believe that the H R A offices will approach this as a racial matter however, for your information my wife has a license for day care and has had minority children, we went to schools with minorities and I roomed with a minority student in college. It was out understanding that this home was sold to the H R A to assist peop.le with major catastrophies for a short period of time. That people from other federal housing would not qualify because they had housing. That people would learn to care and maintain a home. The following is what in fact happened; 1. The first family'L;?hd;t moved in came from Eagan Green. 2. Any maintance needed on the home including plugged sewer lineor water on basement f.loor after heavy _;_-ains our tax dallors take care of because H R A comes over and does the work or hires it done, 3. The storm from Ju1y 1980 blew trees over and it took until spring of 1981 for them to be cut down. These trees were still .living and could have been staked. 4. The lawn was mowed in this present year 3 to 4 times. We mowed for them at no charge and did not even receive a thank you. 5. This home had some very nice flower beds around the yard and a beautiful vegetable garden these are now weed patches. 6. This home was used for classes this year by the H R A creating some problems with parking. The mailman refused to deliver mail because people parked in front of our mail box. After many of our neigh- bors complained they did correct the parking problem. -2- A -- We have tried to be good neighbors. We have suppli6&?chairs for their meetings, watched so neighbor ehildren and our own children we.r&.not hurt and, or destructive to this property. We even asked if we could park a car in-the driveway so anyone unfamiliar with the area would think that someone lived there. This was received as a very good idea by a person from H R A. The cooperation from the H R A has been none. I do not believe they have fu.lfilled any of their commitments they have made a.nd doubt that they ever wi11 in the future based on their performance the last two plus years. I wi11 send you further documentation as soon as I receive pictures back from being processed and receiving a letter from the former owners. I have also placed a call to the Director of the Eagan office of the H. R. A. concerning the purchase of our home and I wi.ll forward this to you, if 3 ever receive it. I truly hope that you and the City of Ea.gan can be of some help to us. Thank you. Sincere O ? Geor e Kiefe 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when pernuts are required for each unit 3o,sn Date Site Address L4 c-)_V?c'3,?n Unit # Property Owner ?? C\ ? Telephone # lJ-1 ? Contractor Burnsville Heating & A/C, LLC : Street Address 124?i1 RhOdB iSlcl1d AUB SA City Savage, MN 55378-1122 State Zi ?^, hone # (qSZ)??( Tele p p Bond #:Expires: The Applicant is Owner- Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnaee _Additional _Reptacement air exchanger' ? air conditioner, _New ?Replacement other State Surcharge $ .50 z'otal JUN 2 ? 2004 $??? By I hereby apply for a Residenria echanical Pemut and acknowledge that the information is complete and accurate; that the work.will be in conformance with the ordinances and codes of the.City of Eagan and; with the Mechanical Codas; that I understand'this is not a pernut,' but onty an application far.a permit„ and work is not to start without a pernut; that the work will be in accordance- with the approved plan in the case of work which requires a review and approval of plans. Aio?L&cstyo'hC:¢._t Afla LY32-44W Applicant's Printed Name - App icant's Signature 2004 COlVI1VVIERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family bui]dings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor - Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type _ New Construction _ Underground Tank _ Install _ Remove **see below . Interior Improvement _ Install Piping _ Processed Gas - Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector ` Permit Fees: $70.50 Underground tank installation/removal $50.50 Minineum (includes State Slircharge) " or Contract Value $ x 1% _ $ PernutFee • If ermit fee is $1,000 or less, add $.50 => $ State Surcharge If ermit fee is over $1,000, add $.50 far every $1,000 pernut fee $ Totat Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is campiete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a perznit, but only an application for a pernut, and work is not to start without a pernut; ihat 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 Narne Approved By: Inspector Appticant's Signahue Use BLUE or BLACK Ink For Office Use I I I Cy 11.tt 16 Permit#: of Evan 400 I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff:' I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: o hA6 Site Address: 14A"I, /Oml Unit Name: UeGt Phone: lad _J-ff RESIDENT / OWNER Address / City / Zip: 7~ 7 7 ~~/~t t~► -44,W Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: tlO~w oR3 Multi-Family Building: (Yes / No/ ) v / Company: _:./1°aGZ~, Y/P.~/u4s &c_ Contact: ~~n dc'011464 CONTRACTOR Address: 7I,r S-r"", ix City: t6&~ State: Zip: S S`o yl~ Phone: 6 S7-/ - 77,Jr- c1 7 ` License BC. &306,3 7 Lead Certificate #4 10?'79 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 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.gor)herstateonecall.oro 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 S to Building Code must be completed within 180 days of permit issuance. x ~ x Applica s Printed Name A p nVs S ture Page 1 of 3 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: lJ� Date Received: Staff: % 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: rpt 4773 Site Address: X277 , aA11 Ala Unit #: TYPE OF WORK CONTRACTOR`. Name: s3"-C.4.c 0( 4/174 Phone: Address / City / Zip: 4 477 h , - ZGC_,l�(� Applicant is: Owner 74 -Contractor Description of work: S�v Construction Cost: -/ 6 Multi -Family Building: (Yes / No)-) Company: leyaCJ IC/zzP//Q ej IGC Contact: pain (140/4-444 Address: f/>� %' SS. 5.,1 %% City: 46.ErG/7Zs, State: Zip: tTh Yo4 Phone: 6 5/ 77i=o % 5/f License#: 5C (.03o j Y Lead Certificate tt: /V,+i r- /01779 -/ If 01779- 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 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.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. Exterior work authorized by il " 't issued days of per issuance. x Applicant's Printed Name cant's Si : , . ture Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140232 Date Issued:12/05/2016 Permit Category:ePermit Site Address: 4247 Rahn Rd Lot:41 Block: 1 Addition: Cedar Grove 2nd PID:10-16701-01-410 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeff N Quinn 4247 Rahn Rd Eagan MN 55122 (612) 454-8449 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature 1116, • - Use BLUE or BLACK Ink v , RECEIVED For Office Use O1 EaII �DEL9ZO�6 Permit#: /7o�a( /st Vll� 3830 Pilot Knob Road Permit Fee: (e6 Eagan MN 55122 Date Received: /2-/i"X Phone: (651) 675-5675 Fax: (651) 675-5694 staff; 1/q� J 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 0--4- 1 U Site Address: 4 • 1,,AA ii r1Zi _i•, - ii S -7)Q Tenant: ...1,-.A %.- Wa 1 " sk...5`,...lb 41, . 't,1 '© `4 r Name: AAVe20...-4-11"1"rf4t-titO )" Lam, n��i:; / Phone: LV 1 --31.47 t - r N,'' » ,t '- ty Address/City/Zip: C d �F�9{`' �I Name; Milbert Company Inc dba Culligan Water WC641376. }- .4,6444#� License#: tr 'sf$ti Address: 18.Q1 50th St East city. Inver Grove Hgts. ,' .i 4 -;*t� , State:: Mn Zip; 55077 Phone: 651-451-2241' ' , William R Milbert iii; t1;nye`1., ,:czar•i, Contact: Email: k€'°,SF k+t lei,„•-,x, ef New t _ _Replacement _Repair _Rebuild _Modify Space Work in R.O.W. t AFS.° r r-°1ff, tt ; — f 142rt� ,.rc�4.�r �-rif�'xil�' •t of ",��;�� , 1 i Description of work: `' ie,'11,41,t(10,-,141,4`,00,dr a a RESIDENTIAL ki` igr 41 6;vi Aly Water Heater , ,� rJ:it ,,,t.r` ,_1 , f °} . Water Softener , 2 >tit Lawn Irrigation(_RPZ!_PVB) t r;r .,..,v,,,„.:4,1, i �,of, Septic System Add Plumbing Fixtures L Main/_Lower Level) (; `• a�T(�( .417p , 4V _New Water Turnaround $‘44'111 > (,111,40:00,4 J,,, ��::.,,.... ,, _Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or.Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge) 'Water Turnaround (add $200.00 if a 5/8"meter is required) fl $115.00 Septic System New($10.00 per as bUilt)(includes County fee and $5.00 State Surcharge) f } O O TOTAL FEES$ • 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,aopherstateonecall<orq I knc . o Eagan;hereby thataci understandowledgethat thisthis is notainformation permitis , but omplete only anand application accurate;that forathe permitwork,will andbeworkin isconformance not to startwith withouthetrdinances a permit:thatand the'codes workofthe willCity be oif in ' ac ordance wl the ePproved plan n cas o work which quires a review and approval of pi ns.`. x di � x Applicant's Printed Na , e Ap c nt's Signature �'f n �x ht Yf `t 4140144 .., .S '.0 tt k, sK .y..rg. s c#^ s: :TA ,:. x ;4 1 {i).3 y.l E 14 "> n • ( l: , a_ 1 �� : , l rix r , z • ',s^ � istt-s,<a.yti�„ti.%/-10,40 . e�� .,;{ih .:tis �t',r.s" `•jt•fn��-.r Y1 v .:f�t ,f, �`'�S�}�sA�fl��„�-ri`t�r 1}�r�f,;tt s„��ry�r: :t x-i P�-t_,;}3 F� ;.r���.3F.0 OFFL A:0 If ,d • � �` i, 4.?,! 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