1589 Raindrop DrCity of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #:
Permit Fee: 2 71 . ac
ta E25iip
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: tP' S'70 Site Address: / S89 RA -0 b .b1 'R. BOiLtj/N(, A
e �
� Y1r' t9 � Sc't 1 r ‘501 I 15'1 ) t 9111 utte #:
Tenant:
RESIDENT / OWNER
Name: -674c-C----14 A+41"-) 411i 644 L4Jbf RAhofI SPhone:
Address / City / Zip: J/O0 FLA- (cam D12-.
12 --
Applicant
Applicant is: Owner Xt Contractor
TYPE OF WORK
Description of work: RF RocE
S.Construction Cost: // )Cc Mufti -Family Building: (Yes X / No )
CONTRACTOR
Name: RcoF 0-04iY /)4 T -A/C, License #: ao l 7 . l 53
Address: S----S—CS— Q C4M44 Au /v E City: S M4/ C1-(,4- L
State: /0 Zip: S3-1 71 Phone: 76 3 Q Y <-/CV
Contact: 62(Z`( Email: » . heutr u./✓ ^ roof -Co WI/1 . Cori
COMPLETE
In the last 12 months, has
If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes _No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public rnformatron Portions of
the information may be classified as non-public if you provide spectfrc reasons that would permrt 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.goDherstateonecall.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.
x % AD Ski r?f%
Applicant's Printed Name
x
App icant's Signature
Page 1 of 2
CITYOFEAGAN Remarks-- ?IV- -4 1 s 12- 1 '?iI??,
Addition - C??MAN HIGHLANDS 53 1 10-18075-530-01
Owner-
Lot Blk Parcel
streec 1589 RAINDROP DRIVE State PAGAN MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. $ R 11 it of
GRADING 1007 1986 354.14 35.41 10 ? ?-/080 - S 8S
SAN SEW TRUNK 1268 P r panel M- 27SOC QI - 3
SEWER LATERAL tt tt u
w WATERMAIN 1 1972 Paid und r ICel 1 2750 010-03
WATER LATERAL Qlga 7S 11 tt tl
+k WATER AREA 1972 ?t n n
1975 "
STORM SEW TRK 1975 n u n
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
RQad Unit $280.00 57413 11 12 85
WATER CONN. 500.00
BUILDING PER.
sac 525.00
PARK
CITY OF EAGAN Remarks D i V ,1 I r) ", ? *-?? ? -'-'
AddiYion • COACHMAN HIGM;AAiDB Lot 52 Bik 1 Parcel 10-18075-520-01
owner street 1591 RAINDROP DRIVB state EAGAN MQV ?55121
Improvement Date Amount Annual Years Payment Receipt Date
S7REETSURF, p$id un 8r ei 10 75 A10-03
STREET RESTOR. 1974 t1 tt tt
GRADING 1007 1986 354.14 35.41 10 /0
SAN SEW TRUNK 196$ Paid und r aY'CBl 10 Z750 0l0-03
SEWER LATERAL 1984 » 11 rt
* WATERMAIN 1972 Paid und r AlC81 10 a7500 -010-03
WATER LATERAL 1975 Of it if
* WATER AREA 1972 tt -
tt to
WATER LATERAL 1975
STORM SEW TRK 197S
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 500.00
n
n
EIUILDING PER. -11268
SAC 525.00
PARK
CITY OF EAGAN Remarks 1'-- 'j ",/ ? it I = C ? i "
Addition , COACMAN HIGHLANAS Lot 51 Bik 1 Parcel 10-18075-510-01
owner Street 1593 RAINDROP DRIVE stace BAGAM MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 7 lO-OS
STREET RESTOR. g 1974
tt
??
?1
GRADING 1007 1986 354.14 35.41 10 10-115-85
SAN SEW TRUNK a 1968 piid L1nd r arcel 10 2750 010-03
SEWER LATERAL n te 11
+R WATERMAIN ? 1972 Paid NTId T SI'COI 10 27rJO 410-03
WATER LATERAL 1 11 It tt
d1 WATER AREA 1977 n ot n
a ?7 „
STORM SEW TRK ' 197y 11 1? It
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
2 00 57413 11 12 85
WATER CONN. 500.00
BUILDING PER. 11263-11268
sac 525.00
PARK
GTY OF EAGAN Remarks !?i I +, 1;1 -1 I -, 'F, ?,
Addition COACHMMi HIGHI.ANfls Lot 48 eik 1 Parcel 10-18075-4$0-01
owner street 1599 RAINDROP DRIVB State EAGA?N MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, 1975 p,si Utid T SI'C 1 lO M -OlO-O$
STREET RESTOR. 'Vt) 1974 of it
GRADING 1007 1986 354.14 35.41 10 ?- , p p?
SAN SEW TRUNK 196$ psid und el la 2750 -010-03
SEWER LATERAL 1984 11 n
• WATERMAIN 1 1972 PBid i111t1 arcel 10 2754 -010-d3
WATER LATERAL 1975 q H tt
* WATER AREA 1972 ?o of
WATER BRAL 1975 " " "
STORM SEW TRK 197S
STORM 5EW LAT
CURB & GUT7ER '
SIDEWALK
STREET LIGHT
Roa Unit 280.00 57413 11 12 8
WATER CONN. 500.00 " It
BUILDING PER. 12(3-11268
SAC 525.00
PARK
CITY OF EAGAN Remarks ????? 1?,-/ Z'
Addition C???M HIGHLANDS Lot So I
Ik 1 Parcel 10-18075-S00-01
owner Street 1595 RAINAROP DRIVE State EAGAN MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1 5 Paid und r Parcel 10 Z75 -010-03
STREET RESTOR. -U 1974 tt // n
GRADING 1007 1986 354.14 35.41 10 U- 1S4-
SAN SEW TRUNK Lin 196$ Paid und r STCel 10 27rJO -010-03
SEWER LATERAL 1984
tl
n
It
• WATERMAIN 1 1972 Paid und r rcel 10 2750 -010-03
WATER LATERAL 1975 ? ?? ?t
• WATER AREA 1972 if it
WAT ERAL 1975
STORM SEW TRK 1975
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
2
WA R N. SOO. ?0
13UILOING PER.
sAC 525.00
PAR K
CITY OF EAGAN Remarks r)I'?, -0 1"= I Z_ 1- 7)?3
p,ddition_ . COAMAN HIGHLANQS Lot 49 Blk 1 Parcel 10-18075-490-01
Owner
street 1597 RAINDROP DRIVFa stace EAGAN MAt 55121
Improvement Date Amount Annuai Years Payment Receipt Date
STREETSURF. Q 1975 Paid wtid ipareel 10 Z750 0l0-03
STREET RESTOR. I 1974
GRADING 1007 1986 354.14 35.41 10 4, /41 e- O,50S -?57
SAN SEW TRUNK 1968 Paid und r arcel 10 275 -010-03
SEWER LATERAL 19$4 fs$$
• WATERMAIN 1 1972 Paid und r parcel 10 2750 -010-03
WATER LATERAL 1975 1# to
* WATER AREA 1972 tt
WATER LATERAL 1975
STORM SEW TRK 1975
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WA7ER CONN, n n
BUILDING PER,
SAC 525.00
PARK
INSPECTION RECORD
.MY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITEADDRESS:' ' N r.•y??-01
( r r f r ri :i 11 I. () t: b: ,
i i.,. ii,'.( i! f.??F ,?• .
PERMIT SUBTYPE:
'..,. ,
APPLICANT:
TYPE OF WORK:
M f 1 k h- ' : . - 1 i + i C' ( t 1 Cl i`'i ? t h'41 . 1 f? 9.3 , 1 bq?> v t ?r ?a J' ., Ah# i+ t?->
Permit Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
tnspection Date Insp. Comments
FOOTINGS
FOUfVD
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
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCTivirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN 112 6 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 - - ,
BUILDING rERMIT Receipt
Te be wed fer Est. Volue • 3. Dote .. { ; V : _ . 19
Site Address j '• t = 11 '' "= OJr ur.
Lot Block t Sec/Sub. :;•
Parcel No. I..13U I]:i
W Name j:,?TGL?F C(?ARPANZFS T ; ;
; Address 3914
b City `•',r??' Phone >=
Name
uu
1 Address
1-- City Phone
Name
Address City Phone
AxcHiTE-cr[.+:J.
1 hereby acknowledge thot I have
the informotion is torrect and a
State of Minnesota Statutes and
$ipncture of Permittee
/? Building Permit Is issued to:
all work shall be done in eccordance with all
State of
Erect Q Occupancy
Remodel ? Zoning
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int Impr. ? Sq, Ft.
Jnstall El
Approvals Fees
Assessment Permit ` 3 1 '00
Woter 8 Sew. Surcharge + ?E
Police Plan Review
"
Firo SAC
Eng. Water Conn.
P M
W
ionner ater
eter
Countil Road Unit
Bldg. Off. Tr. PI. `
APC Parks
Var. Date Copies
Total
on the express condition Iho+
sota Statutes ond Ciry of Eoflon Ordirwnces.
Buildinp Official
Permit No. Parmit Holdar Data Telephone #
Plum6fay ? ' 7yl c v 'Y v(.9-viRk
H.a/A.C. lp ? 1 ? Z ? d-I (
ENcMc
at,
k ?
' - 0--i-, z
Softernr
IrWection Date Insp. Other
Footings I
Footings II
Foundatlon
Framing ? 8 6 W ?
Roofing
Rough Plbg.
Rough Htg. -2L/?
IIIEYl.
Fireplace .2 ?
Final Htg.
Ffnal Plbg.
Flnal
Water ?ri? Location:
Woll
Sewar
Pr. Disp.
Receipt PLUMBING PERMIT Permit No. L_i
CITY OF EAGAN '
Fee V,- LP 0
Fill in numbered spaces S/C S0
Type or Print legibly T
t
o
.
1. Date 2. Installation Cost 2
3. Job Address; > 5 5 17?4,-j vLot/_Blk. I Tract '` -`
4. Owner f? iZ -• T:i T v C°. ?..- •,? ,.. ,, ,. S
5. Contractor -r Al r e ?t Phone
6. Address
7. City ?
State
Zip 5
8. Building Type: Residential '0,. Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
? Shower Well
/ Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
? Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
? r
MECHAfi11CAL PERNl1T
i
R .
Pumit Mo
pt
Oa .
CI'TY OF EACAN ' --
FN ? -
' ? ? • tf
fi// in numbered Waces
SIC
Type or A?int lagidly Tc?. ' .
- _
1. Date 2. Installation Cost . .
' %' ? f;/ :.?• ? ? , .
3. Job Adclress Lot Bfk. Trect
4. Owner
,..
5. Contractor . , ? Phane
6. Address ? ' . g ? . . .
7. Gty •:;' - ., - - State Y? •
8. Building Type: Residential 'Q Commercial ? I ?
nstitutional O
9. Work Descxiptton: New'43 Add ? Aiter fl Repair ?
10. Describe Fuel TyPe
11.
No. Equipowt 8TU - M. Ea.
Foroed Ai r Mo. Eauiament CFM
Air Handlin
:
Mfg, . .. . ? . g
BoiMers
Mfgr Mech. Exhauat
Unit Fleate?
Mf9• O#+er
Air Cand.
W9. -
Gas, Piping Outlets
12. 1 hereby certt#y tMat the above information is trus and oorrect, and I agree to
oomplY with a1t ordinanoes and codes goveminy thia tYPe of vrork.
S'"g"ed ' for
RpDO Firrel
Inspectrons: Qate Insp. Date lesp.
This is Your parwA when rwmbered snd approved.
Approved CITY OF EAC,AN 4548100
?'{)l`. . . ...
, . CITY OF EAGAN 112 6 d
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt ?t
Te be ? d fe? Est. Volue - •' ? Dote 19
Site Address Erect ? Occupancy
Lot Block Sec/Sub. ?^Ode? ? Zoning
Parcel No. epair ?
R Type of Const.
Addition ? No. Stories
Move ? Length
ne
Z
? Name
Address pj YP$
'
Demolish ?
Int. Impr. ?
Depth
Sq. Ft.
City Phone Install ?
of ApProvais Faes
O0
v
u?
H
Name
Permit ' 11)
Surcharge o
Plan Review
s,ac ? .
Water Conn. • ?? ;
Water Meter
Road Unit ?- ?J • ? 0
Address
City
G?
?uW Name
ULO Address
..r Z. City Phone
Assessment
Woter & Sew.
Police
Fire
Eny.
Plonner
Council
I hereby ocknowledge that I have read this opplicotion ond stote "thaf gldg. Off. ' Tr. PI. -. ?` ..
the information is correct ond cgree to comply with oll opplicoble APC
State of Minnesoto $tatutes ond City of Eagon Ordinonces. Parks
Var. Date Copies
Siflnature of Pertniftee
Total -
A Building Permit is issued to: on the exprcss condition Ihat
all work shall be done in atcordarxe with oll opplicoble State of Minnesofo Statutes ond City of Euqan Ordinonces.
Buildinp Officiol
Psrmit No. Permit Holder Data Talephone #
Plumbinp
H.VA.C. ?p ?G? I?7 Z y ? - l
Elsetric ? 3? 3 ?L?a.
Softensr
Inspection Date Insp. Other
Footings 1 a nf?4- AW
Footings 11
Foundatlon
Framing
Roofing
Rough Plbg.
Rough Htg. te ?
Insul. $lY6
AkkLl-
Fireplace
,1
4)
Final Htg.
Final Plbg.
Final
Csrt/Occ.
Water D??ibe Loestion:
Well
Sewer
Pr. Disp.
/
R.o.ioe It) L1111ECWAfi11CAL PERIIOT Pwmit No.
, CI'iY OF EACAN Fm ? -
fil/ in numbered waces S/C
TYpe or Print /egiblY Tvt.
.
1. Date 2. Installation Cott ? -
.. . . . / _ ,'-r .
'`•_ .„ p.' ?__ .
T
Lot , Blk.
3. Job Address
y ract
`
4. Owner
5. Contractor ?-Af Z- V'?,:•e Phone
I i4;7 fZ11
i
,.?• _
6. Address
7. State Zip< .
8. Building Type: Residential .i.l Commercial ? tnstitutional ?
9. Work Description: Wew 13 Ikdd 0 Atter fl Repair 13
10. Desaibe Fuel Type '
11.
No. Equiprnent 8TU - M. Ea.
Forced Qir No. Equiament CFM
Air Handlin
:
Mfe• g
BoiNers
Mfg, Mech. Exhaust
Unit Heater
Mf4• OtheT
Aar Cond.
W,9•
Gas, Piping Outiets
12. I hereby certify fiat the above information is true and correct, arad I agree to
oompiy w'rth ail ordinances and codes goveming this type of work.
Signed : d for
Rough Ftnai
Inspections: Date lnsp. Date Insp.
This is Your permkt when numbered and approved.
Approved CITY OF EAGAN 464-8100
?
Receipt PLUMBING PERMIT Permit Na V
CITY OF EAGAN
Fee ? - ,-
? - Fill in numbered spaces S/C Type or Print legibly
Tot.
?
1. Date / X 2. Installation Cost &2i G... u ,
3. Job Address i? 57i1A?? an.?? Lot Blk. ? Tract
l
/
4. Owner k?i1 + 7 ??- .- C' ?- • JN /?4 S
5. Contractor H< c.4 Phone 2G i, YS XY
6. Address ; ?, -?' i c
7. CitY f/N /" ,?; . i/. State f+;i Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
No.
3 Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
/ Bath tubs Septic Tank
-? Lavatory Softner
? Shower Well
/ Kitchen Sink
Urinal/Bidet Other
/ Laundry Tray
? Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply,=ith all ordinance; and codes governing this type of work.
Signed :i'--Jl for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?•r?t.*?????-?,? CITYOF EAGAN
9 1c 65
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt
Te 6e ua d fer 1?.' Est. Value C. f,? il Date , 19
SiteAddresa Z'9':• - , EreCt 0 Occupancy
`- ? ',?:'•'_'.f3;"!!,Fi;4
Lot ' Block - Sec/Sub. Remodel ? Zoning -
Parcel No. % p.?Eii,tlF?f?' Repair ? TypeofConst. ?V
Addition ? No. Stories
N ? •^(',,N i'_;S T."C Move ? Lengtn
Z ame
Addre ? p
ss ?, Demolish ? Depth
?
City
Phone 2 ? -' Int Impr.
Install ?
? Sq. Ft.
Name Approvals Fees
u?F
Address
?- City Phone
GW Name iJi ? t9tt._
Address . . ?,
..uzi City Phone ' r' t1
I hereby ackrrowledge thut I have
the inlormotion is torrect ond a
Stote of Minnesotc Stotutes and
Sipnoture of Pertnittea
Assessment
Woter & Sew.
Police
Fire
Eng.
Off. 1
Permit • - 0
Surcharge • ?} 0
Plan Review I b • y U
snc 525.00
'
w8t@r Cionn. i V U•0V
Weter Meter F` ? • 00
Road Unit
Tr. PI.
Parks
Copies ,99?? ?
' Total
A Building Permit Is issued to: on the express condition Ihat
all work sholl be done in accordonce with oll applicable State of Minnesota Statutes ond City of Eopon Ordinonces.
8uildlnp Offlciol
Permit No. Parmlt Holdar Data Talaphone #
Plnmbing ?F L 8ci vw- 1 O
H.VA.C.
Electric y(3 • ??
Soitener
Irapection Date Insp. Other
Footings I
Footings II
Foundation l• 8 ??
Framing
Roofing
Rough Plbg. Z? . _
Rough Htg. !t?
Insul.
Fireplace °2
Finsl Htg.
Final Plbg.
Final
Csrt/Occ.
Water . ??ibe Location:
Weli
Sewer
pr, bisp.
Raaipt MECHANICAL PERMIT Permit No. , .
CITY OF EAGAN FN
`?
F fi/l in numbened wscas S/C
Type or Print /epialy Tot -
1. Date A?' 2. Installation Cost ? - . .
3. Job Address T?--? -x. •~ Lot Blk. Tract
4. Owner 7'i-,%t. -C. ;
.. ,
? : . .. -: .. .. : f ? ,. ?
5. Contrsctor _ C /,Y. Phone ; ., ? • ' .
6. Address
7. City ? i`.a c?-i:.o State ,,; ,v Zip -
8. Building Type: Residential Commercial 13 Institutional O
9. Work Description: New d• Add ? Alter O Repair ?
10. Descxibe Fuel Type
11.
No.
? Equiament 8TU - M. Ea.
Forced Air - • 4?' No. Equiament CFM
Air Handlin
:
AAfg. s- g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, P'iping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN i
Fee 9, . c??U
Fill in numbered spaces S/C - 5 d-
Type or Print legibly
Tot. .1,? ? ???
J
1. Date 2. Installation Cost
3. Job Address .; s;?; / ?,? Lot Bik. ? Tract -
4. Owner r <
5. Contractor A tl, ?, z '- -d Y c l-t Phone '?IZ) y5; X cr
6. Address ' : • sf i >' /?/: /Y ,%,' `--
7. City <'r! ,// -, State Zip
8. Building Type: Residential O- Commercial ? Institutional ?
9. Work Description: New ? Add O Alter ? Repair ?
10. Describe
11.
No. Fixtures -
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
Lavatory Softner
Shower Well
/ Kitchen Sink
Urinal/Bidet Other
/ Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : 7 for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
V,; ?r:?.? ?<,??;
o . CITY OF EAGAN 11266
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
Te be wed fer - Est. Value Date 19
Site Addresa Erect ? Occupancy
Lot r j Block i Sec/Sub. Remodel ? Zoning
Parcel No Repair ? Type of Const.
. Addition ? No. Stories
De Name Move ?
Demolish ? Length ,
Depth
Z
? Address _
Int Impr. ?
Sq. Ft.
City Phone Install ?
9K Approvols Fees
O Name
su Address Assessment Permit -
? City Phone Woter 8 Sew. Surcharge
Police Plan Review
oc
LU W Name
Firo
SAC .'
?? Address ,•? ?Eny. Water Conn.
?W City Phone Plonner Water Meter
Council Road Unit '
1 hereby ackrwwledge that I hove reod th is applicotion and stote thot Bldg. Off. Tr. PL
the inlormotion is wrrect and ogree ro tomply with oll opplicoble APC
Stote of Minnesota Stotufes ond City o f Eagcn Ordinonces. Perks
- . "-:s-' • Var. Date Copies
Sipnoture of Pertnittee
Total
A Building Permit is issued to: on the exprcss condition that
all work sholl be done in accordonce wit h all applicable Stote of Minnesoto Statutes and City of Eoqan Ordinonces.
Buildirp Otficiol
Permit No. Psrmit Holdsr Data Telephone #
Plumbinp C 9,( fI
H.V A.C.
? v
E1:cuic e,2
?? 3 ia ?G ??SD
Soft«,..
Irupection Date Insp. Other
Footings I
Footings 11
Foundation
Framfng
Roofing LL> j?Co 1?i a-- w
Rough Plbg.
Flough Htg. ? &)z
Insul.
Fireplace
Final Htg.
Final Plbg. •77? s'
Final
Cert/Occ.
Wffier ??i? Location:
Well
Sewer
Pr. Disp.
R?aiPt ?" MECHANiCAI PERMIT Pormit No.
cirr oF EAcnN
F..
?
F Fill !n numbered wwss S/C
Type or A?ini kpibly TOL
1. Date ; 2. Installation Cost
^
?
/1ddress
3. Job LotBik. Tract
4. V%yw
i. .
5. Contractor ' ",,, .•? Phone
. .r ,.. -
?
6. Address - • . - ; ?
7. City State , 2ip
8. Building Type: Residentiai ? Commeraal ? Irntitutional O
9. Work Descxiption: New C] Add ? Alter fl Repair ?
10. Desixibe Fuel TYPe
11.
No.
{ FslujpmP.IIL 8TU - M. Ea.
Forced Air Mo. Eauioment CFM
Air Handli
n
:
Mfe• 9
Boilen
Nifw Mech. Exhaust
Unit Fleater
Mf9• Other
E4ir Cond.
Mtg.
Gas. Piping Outlets
12. I hereby certtfy that the above information is true and oorrect. arxl 1 agree to
aompty vanith a11 ordinanoes and codes goveminy this type of work.
S'igned : for -
RCUgh Finsl
Inspections: Date Insp. Date Insp.
This is Your Permt when numbered and approved.
Approved CITY OF EAGAN 4648100
/
Receipt PLUMBING PERMIT Permit No. ?--
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot. 7 °e%
1. Date ? 2. Installation Cost ?,i L •
.
3. Job Address Lot Blk. ? Tract
?
4. Owner 7, ,
5. Contractor Phone j'
r ?
6. Address ,:5
7. City State Zip -1. A4o?K
8. Building Type: Residential? Commercial E3 Institutional ?
9. Work Description: New ? Add ? Alter 13 Repair ?
10. Describe
11.
No.
T Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
7 Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ? dW-,4., .? ? for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
e4uq : YiyYr.(.1 116A46 PERMIT # T? 9Li
?MECHANICAL PERMIT
RECEIPT # ?-
CITY OF EAGAN
3830 PILOT K NOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
'?`•1 5 q?nc ro r;ue.
?ite Ad,crgss
BLDG. TYPE WORK DESCRIPTION
Lot `'-1 Block ? ec/Sub Res. New
Mult Add-on
Name
?'
' r Comm. Repair
? ?t m
c Address
1
City iT_? •+ i:: ? Phone
Other
FEES
Name LL RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU
N
W
` - 6.00
O ciry ' f <Phone ??` % •`
•? , (RES. HVAC INCLUDES A/C ON
E
CONST
CTION)
?
GAS OUT ETS (MINIMUM - 1 PER PERoAI'n - 1
50 EA
TYPE OF WORK
COMM/IND FEE - 1% OF CONTRACT FEE .
.
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ? BEYOND $1,000)
Other ?
FEE:
k< S/C: SIGN R P I
TOTAL:
?
,.
FOR: CITY OF EAGAN
CITY OF EAGAN I '12 6 ?
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt
Site Addresa ' r , j P 'T?'.'? ?•r.
Lot Bicek ? Sec/Sub. ' Parcel No. _
? Name F.F2 COM.PA",71: .-
; Address
b City Phone
Name
?? Address
?- City Phone
FW Name .' : AR('-HTTF:('Ti1i21-: 1111,
x? Address ? •,r` NI{1 --
tuZi City r? '.Phone .? i_. r r,
Erect `L Occupancy
Remodel ? Zoning y
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int Impr. ? Sq. Ft.
Install ?
Approvals Ftes
Assessment _
Water & Sew.
Police
Fire
Enq.
Planner
Permit t)C1
Surcharge • 1 - ?? 0
Plan Review ? • ?? ?'
snc ` = . U n
Water Conn. ?)a' U 00
'
Water Meter `` •j .00
Council Road Unit ?_- O• ? u
I hereby acknowledge thct I have reod4his opplicotion ond stote that gldg. Off. Tr. PI. ?- :2 . 0 d
the inlormotion is correct and ogreE to comply with aN applicable APC pgrks
State of Minnesota Stotutes ond C`ity?of Eagon OrdinonceA, ---^Var. Date
Copies
Siflnoture of Pertnittee Total JI
h Buildin9 Pertnit is iuued ta ' on the exprcss condition that
oll work sholl be done in atcordorxe with oll uppiicoble State of Minnesota Statutes ond City of Eoflon Ordinonces.
Buildinp Officiai
Psrmit No. Permit Holdsr Data Telephone #
Pi??ing c 4L,?- -77/ I g- Y6 9?"1'8 k
H.VA.C. ? Cw-?
ENoiric U.
Softsnsr
Irnpection Date Insp. Other
Footings I i i! yEO - I °
Footings II 7- IV
Foundation
Framing
Roofing
Rough Plbg. • ?? 13 -/3 - ? - ?
Rough Htg.
insul.
Fireplace
Final Htg. ?
Final Plbg.
Flnal
Cert/Occ.
?i? Location:
;..,.,;
L
DI*P.
P
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
? Fee '?
?' Fill in numbered spaces S/C S G' Type or Print legibly
Tot. ?
1. Date ? y/' S? 2. Installation Cost ??-
?;„
3. Job Address ? s 5?/1A,. iJaoLot " Bik. ? Tract
4. Owner 6' /l c., I F . ? , , • .? ?, ._ t
5. Contractor Li Phone
6. Address
7. City c' State ? 1,? Zip > , • ? /
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
No.
.? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs
Septic Tank
? Lavatory Softner
Shower Well
? Kitchen Sink
Urinal/Bidet Other
_L Laundry Tray
/ Floor Drains
Drinking Ftn.
2._ Slop Sink
Gas Piping Outlets
_
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : / /r ./ ?<-_ for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reoeipt MECWANICAL PERMIT Pamit Mo.
crnr oF E?caN Fee _
; .
fm in nw„awvd wam sic
TYpe or Phim kgibly TOL
1. Date ''='• ' . 2. Instaliation Cost _ •
, _ •- -
3. Job Address . Lot . : Blk. Tract
4. Owner
5. Contrsctor ' - phane
,
6. Address - ? ; - _
7. City State Zip
8. Building Type: Residentiat. 13 Commeraal 0 Institutional 0
9. Work Descxiptiort: New 0 Add ? Aher fl Repair 0
10. Desaibe Fuel Tqpe
11.
No. EqLLiRMt1i 8TU - M. Ea.
Forced Air :.#,C? ., '•`; Mo. Eauiament CFM
Air Handlin
:
Mf9• g
Boilers
AAfg, Mech. Exhaust
Unit Fleater
Mf9• Otfier
Aar Cond.
mg.
Gss. Rping Outlets
12. 1 hereby oert[#y that the sbove information is true and oorrect, and I agree ta
oomply rvith ail ordinanoes and codes goveminy this type of work.
Signed' for
RouO Finsl
Inapections: Date Insp. Datc Insp.
This is Your pern* when numbered and app?oved.
ADProved CITY OF EAGAN 46"100
??• '?'rq?" ..;.?,; . ;.. _.?. r.? ..:'7 ... . . :_ :..;... ..:; !'•. . -';Y'??+?'.. '. ..
? y . • PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?
CONTRACT PRICE:
Site Address
Lot Block ? Sec
i -
?
d Name ' ? -
Address
, c City Phone
Name
Address
+
p Phone
City •"
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
•` %' M BTU
CFM
FEE
S/C:
TOTAL:
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult Add-on X
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU -
GAS OUTLETS -
COMM/IND FEE - 1°r6 OF CONTRACT FEE 6.00
1.50 EA.
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
a ,
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
, PERMIT# MECHANI04L PERMIT RECEIPT #
CITY OF IEAGAN ,
3830 PILOT KNOB RUAD, EAGAN, MN 55122 DATE: -'l 7
CONTRACT PRICE: .
Site Address
?
Lot
Name k'E:0_4 'S jE1"f4A.
?c Address 6 ,S//f]; ?
c City 6:4-- r? Phone
? Name 4?4 Z4 ?
3 Address 4
O Cib ?!E 474-.7 .
Phone_
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL:
"b
LDG. TYPE WORK DESCRIPTION
Res. ? New
Mult Add-on ?
Comm. Repair
Other
FEES
AES
HVAC 0
100 M BTU
? t .
-
-$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
GONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERM
T
-
(
I
) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE
ALL ADD
ON 8
-
-
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $
50 S/C IF PERMIT PRICE GOES
.
BEYOND $1,000)
•ci? . i'.r ?'?
+ > L SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
('TOW1VH(.)i.lfiE )
?
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHANE 454.$100
, i Of' 6 1
A. ''' 11?58
Recelpt #
S 8 3, 0 C? t ! Date • ?:; V _:,; . . . . . , 19 -
Site Address T= ^. ?. l?i?7R0?' DR Erect C]X Occu anc
P Y
Lot - Block Se c/Sub. CU'AChl"-?Al'? Remodel ? Zoning ?;
ParcelNo H icrii..t\NDS Repair ? TypeofConst.
. Addition ? No. Stories
Cf
Name ;R < ()i iPAN [ }? ? f ")C Move ? Length : .S
W
;
?:
) i •i . ., , r , ( . '-?1
)7l 9, Demolish
. r ? Depth
b Addre ss .
F? c • , Int Impr. ?
Sq. Ft.
City P hone Install ?
?
N Approvals Fees
ame
U A
t rmit -} = 0 0
P
u
? Address
City Phone ssessmen
Water 8 Sew. e
Surcharge 4 1. 50
Police Plan Review I ?• .l . () U
Name tRt?]3I TL{? i ?;?' ?: ?: i3t.
? 2 5
C 0
?w
x ?
? r .
Address ;. Fire
'. NO Eny.
` SAC
Water Conn. •
? „J () . U ?)
? W
City ' P'hone
5 71- 5 550 Plonner
Water Meter _ l 3. 0 0
I hereby acknowledpe thot I hove reod thi; o;
the informotion is correct cnd ogree to''ton
Stote of Minnesota Stotutes and City bf Eo,
$ipnoture of Permittee
H Buildinfl Permit is issued to:
oll work sholl be done in occordorxe with oll
Buildinp Officlal
Countil Road Unit L??:1 . 0 0
hct Bldg. Off. ??J Tr. PI. 21 .0 ('P
APC
Parks
---- Var. Date Copies
? 7, 114
Total
on the exprcu condition Ihai
Minnesotq Statutes ond City of Eopan Ordinances.
Pe?mit No. Parmit Holder Drta Telephone #
Pi???? 4?( l?-a 1 b k(? _
H.VA.C.
ENetrie
Soften?r
?: ? ;-? -7
(nspsction Date Insp. Other
FQOtinga 1
Footings II ,
Foundation !`
Rough Htg.
Insul.
Final Htg.
¦ ci..sI ou... ¦ii i I un ii iu- n . ¦
Wffier ???ibe Location:
Well
8ewer
Rr. Disp.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee i ?. t' C
Fill in numbered spaces S/C ; o
Type or Print legibly Tot. a
1. Date ? 2. Installation Cost
3. Job Address Lot ?Blk. ' Tract
. ?
4. Owner ??, _ 7 T •• ? ?' . / .. _ ?
5. Contractor Ot Phone yS tCf!
6. Address
7. City State , i Zip s/
8. Building Type: Residential P" Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
CesspooUDrainfield
/ Bath tubs Septic Tank
? Lavatory Softner
Shower Well
L Kitchen Sink
_ Urinal/Bidet Other
Laundry Tray
/ Floor Drains
Drinking Ftn.
-i Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : .-7' for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reaipt -' ' MECHANiCAL PERNIIT Mrmit No.
crrv oF EAcaN
?
fi/l in numbwed sPKW FN
S/C `
Type or A?iM kgibly TOL •?, .
1. Dste ." 2. Installation Cost •
: ,? - • '
3. Job Address lot Bik. Tract ' -
.? .t ,
4. Owner
5. Contractor rv •'_ ?` `- Phone
S. Address
7. Gty _: . . -r-"
8. Building Type: Residential ,Q
State
Zip
Commercial O Irntitutionat 0
9. Work Description: New O Add ? Wter fl Repair ?
10. Desaibe Fuel Type '
11.
No. EQuip=t 8TU - M. Ea.
Forced Air No. Eauipment CFM
Air Handlin
:
Mfe. ? A - g
Boilers ^
Mfq Mech. Exhaust
Unit Fleater
Mf9• Other
Air Cond.
A1tfg.
Gas. RPin9 Outlets
12. 1 hereby certt#y that the ebove information is true and oorrect, and 1 agres to
oomply with a41 ordinances and codes governiny this type of work.
s'9"ed ' for
Raugh Final
Inspections: Date Insp. Date Insp.
This is you? permFt when numbered and approved.
Approved CITY OF EACsAN 46"100
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
Q. O. Box 21799 PERMIT NO.:
Eagan, MN 55121 p^TE.
Zontnp;
? No, of Unih: `' "?`-r•°
Ownlr: .T1
1
Address: ----
Site Addross: 1-5991 7'zi?i'.,.'7C^• r,?' ?? wi.$?,,^[•::+.',+ 't.^?
Plumber: R+i','uire FvwnlliI
1.1-I2-85 5741
,
t.0?. i,
Connsction Gwrpe:
Acoount Deposi
t:
Permit Fee:
Surchorpe:
I yF" h emPlp w1l6 11N Clhr oi Lep•
OrAlnanep,
By
Date of Inap,;
Insp.:
Misc. Chorpes;
Totol:
Dote Paid: _
CITY OF EAGAN WATER SERVICE PERIIAIT
3830 Pilot Knob Road
R. O. Box 21199 PERMiT NO.:
Eapan, MN 55121 DNTE:
Zoninp: No. of Units: '
Owrwr' ?713L??<2Y' `..?1- ? ia.•L.
/lddroas: .
?,.i .
$It
Addroft:
s
Pl1JR16lr:
4n' ?` y;•.
AAeter No.: Connection Charfle:
Size: Acwunt Deposit:
Reader No.: Permit Fee:
1 pno h oomPly whh tlw Citp ef Lpen $urcharge: _
OrdiaonaM. Misc. Choryes: _
Total:
By
Dote of I nsp.:
Dute Paid:
Inap.:
CITY OF t."GAN
3830 Pilot Knob Roed
P. O. Box 21499 `
Eagan, MN 55121
Zoni?g: _ ??
m
WATER SERVICE PERNUT
PERMIZ NO.:
DNTE:
No. of Units: '"'P ex
Owner: BY'uLger Co., Z.tlC. _
Addroas:
Site Addron: 1599
oactiman
' PlUMbeC "?C'r. 4 . _ ...: r y - -
e ore digging ?&AG6ab?utrfibo: 500. 00pd
Meter No.:
size: TELEPHOPiE • FLi6Wit X@Wjc,
Reoder No.: 10 0 d
? .,m - «.pl,? wuh th. % e 123Lt7 132 : o?ua ?
iMwa?. Misc. CFarpes:
Totol: F 1, v:.'.pd met8
y Date Pa1d: ?
e of Inap.: InsP•:
.CITY OF EAGAN
3830 Pilot Knob Road SEWER SERVICE PERMR
'P. O. Box 21199 PERMIT NO.:
'Eagan, MN 55121 DATE: °4"`
Zoninp: No. of Units: ` I p x_
OwrNr. - -y??•
? Address: --
$ife /4ddress: i 597 -1-aii'1t:TOF Dri•v:: ~;.i. ii(719CtiP.1:1L1 Y I:s: 27.^.,:a
Plumber. -?' :.:cal
5 77 4 IZ L•'.1-:tC-}S4.
M ee?pyr w&h flr Cihr of Eepw Connxtton Chorpe:
OrdiMIION. AOOOUnt DEposit:
Pormit Fee: ? 'j,
? r ? ,"`;;racr
Surchorpe:
.?.i
BY Misc. Chorpes:
Date of Inap.: Total:
Inap.: Date Patd:
CITY OF EAGAN
3830 Pilai Knob Road
P. O. Box 21198
Eagan, MN 55121
?.r?..
@raCeer Ca.. Izit.
WATER SERVICE PERMIT
PERMIT NO.: ?
D/1TE:
No. of Units:
wo?eas:
ite /?ddrcss. 1597 ruinaro-n i!r.
lumber. {- _ - t_
'leter No.• Conneaion Charye• pi:
ize: Acoount Deposit: - ,
eader No.: Permit Fee:
qn* b aowPly wuh !Iw Cihr oi hyen Surcharge:
Wimaem
Misc. Charpes:
Total:
Y Date Poid:
ate of Insp.: (nsp,;
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Boy. 21199
Enan, MN 554'21
zonlnp: _ R3
pwner, Brutger
Addrm:
Sit! Addrl'SS: 1 597 Fa
Plumblf: 'rr-1!i C' '_!!C!
MefAr NO.: #Is f!,
Slze:
Reader No.:
I piw to oaeoy wilb tAe C
CoBChma.n
---'--r-
?_, . nop?
? OGy)d ¦ . ? SA-A ,
met 2r
gy L -r U& v w lA! Date Paid:
Date of insp.: Insp,; '
WATER SERVICE PERNIit
;?
PERMIT NO.: ' ;1 :
DATE: 12 -4 - `? 5
No. of Units: -P -ex
, TISC .
CITY OF EAGAN SEWER SERVICE PERMR
3830 Pilot Knob Rosd pERMIT NO.:
P. O. Box 21199
Eagan, MN 551?1 DATE:
j'r
tg
Zoninp: ?
No. of Units:
Ownsr:
Address:
Plumber.
1 prw h aosollr wMb Ilr qkf ef Mlnn Conrnction Charps: 42%5•'?00d
OrAiuanea. AuouM Deposit:
' ". 0 0,
Permit Fes:
Surcharpe:
gy Misc. Choryes:
Date of Inap.: Totol:
Insp.: DaN Poid:
CITY OF EAGAN WATER SERVICE PERMIt
3830 Pilpt Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, :IIN 55121 DNTE:
Zanirg: _ No. of Units: r??.?•.
Owner. ? _;• it:? .
Add?ess: _
Sib Addrcss: . ?
o?.....?. "? F? ?•'CC.ti?t1'?c'.-
Meter No Connection Charpe:
..
Stze: Account Deposit:
Reader No
: Pertnit Fee:
.
; I qrN h amolp whh !Iw Cihr ef Eeyee $urcharge:
Or?iaeoa?s. Misc. Chorpes: z'• 1 3u ,-. d ? r
Totol:
gy Date Paid:
Date of Insp.: InsP.:
? ITY OF EAGAN WATER SERVICE PERMR
0 Pilet Knob Rosd
?
3. Box 21 199
. PERMIT NO.:
:. 2 - 4 - -
agan, MN 55121 DATE:
?'-Plex
oninp:_ No. of Units:
;?rLtf l'.c?. Inc.
- -
r:
'°w'
naindro
1599
Coachman Hi hlands '
'I
.
???: ,
Site
*!d?uire ?iec_nani
Plumber
e j
:
" SOO.OOpd ?
Nleter No.. ? EP
.
Ntt
??ize:
*G"4W
0
i
?•
I5.00ed ?
u
OO
10
p
.
Rea r No.: ?' t F
1
?? .SCpd ?
I Nrw to oawPly Mri11? tw Ci?r • ,
u
?
132.00pd TP I
?O?Jieeea.. Mist. Charpes;
[,3 . GOnd meter
Total:
?By Date Paid:
Date of Inap.: Insp.: i
? I
CITY OF EAGAN SEVM sRyUM PERM
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: ?
E.agan, MN 55121 p,,TE; " ? -
Zoninp: ? ? ? .=.•; '
? No. of Un1ts: ---
"
Ownar.
Address:
Site Address: _ i59-; Rai-tidr.ou Iir. '.°::l t:a????!-imaa ri?, ands
Plumber: i ra ?_4 rhen4 crE1
;•,:-
_
?sYm 1o aenmpyr wft tw Cihr ef le"w Connectian Chorpe: `;? 5. 00
?OrdiMaa?. Nccount Deposit:
Pamnit Fee:
Surchorye: '
BY Misc. Chorpes:
Dote of Inap.: Totol:
Insp.: Date Poid:
J
I,i- .
I .. J
CITY OF EAGAN
0 Pibt Knob Road
. O. Box 21199
saan, MN 55131-
a+I?: - ?
r, r lG. ?.i'tc: WATER SERVICE PERMIT
PERMIT NO.:
DATE:
?,icx
No. of Unlts: ,
IAeld?ess:
te /?ddross•
Plumber.
Meter No.. Connection Chorye:
31ze: Acoount Deposit: -
Reoder No.: Permit Fee:
" pFw fo eswolp wN6 tIN Ciry ei Eevsn Surcharge:
?dieewoM. Misc. CFwroes: TE
TotaL•
Date Paid:
e of Irnp.: Insp.:
CITY OF EAGAN WATER SERVICE PERMIS
3830 Pilpt• -qob Road ? ?:1 ?'.•
`-;?. O. Box 2199 PERMIT NO.:
t .:. _ _ Z s
agaryMW 5512' DATE: 6- lex
P
?i?; ? NO. of UnitS:
r Brutger Co., Inc._
fm' IAI
1593 "aindra Coachman :Ii hlandA
-
ite Nddress:
umber; aWA?jdil '
sc .oopa
er No.: H ???jM"?°:
2°' a_ 5. r?c?cl
t
. ?w
1 Q .OO?d
eodar No.: 50Fd
y?w to eo?aPlp wMl? NN oi Eeyen Surchorge: , 13 2. OOpd TP
ins Misc. CFarpes:
E3 • 0flpd metet
TotoL•
0
y
Dote Paid:
e of linsp.: Insp.:
; i c' /D
CITY OF EAGAN SEyM gptyKE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 p^TE: T^ _
Zoninp ,..; No. of Unlts:
Wfllr. i 4
??
Address: "-'-
5ite Ilddress: 1, 52 I 2 s31;i i-c.rP
Plumber.
. ?_. r? • ='? :?
- - :?.•' ? .. ,;?,;
I eons t0 00mply M?1A !he City Of SA"11 C,mM10CtfOn Qid l' .-..r? , f 1e' .
OtdIM110N. ?? . _ .
AccoUfl} DEpoWt. l5.o vf,i`.
PefRlit F!?:
Surclwrpe:
By Misc. Chorpes;
Date of Insp.: Totol:
Insp.: Date Pald:
I
?
TY OF EAGAN
30 Pilot Knob Road
0. Box 27199 `
9arr, MN 55121
..?__. :
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of U-us: -:'i
_ ?rurger ?;r?. , ::
o:
dd?eSS: -''1 i !if1 132c
!r:
No.:
M emolp wUb !iN Cihr of rog"
Connection Chorye: .; `-`+ } • V L) P(?
Acwunt Deposit: '
Permii Fee:
_'?..?...?.., Mlsc. Gwryes; TI.
Tore1: '?_ . •::r.n? ?1?ter.
BY Date Paid:
Date of Insp.;
Irqp.:
?
?
CITY Of EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. a. Box-21199 ? PERMIT NO.: - -
' Eagan, MN 55121 Di1TE:
-,
ZO?^g: r3 No. of Units: -p ex
Ownsr. Brutger C,o. Inc.
11ddFess:
Site Address: 1591 Ra Pr. L52 B1 Coachman . gii an G
Plumber: T'cGuire :'ec..
? _ i_ pa
AAeter No• naction Chorye:
sr?: 2`??c.?e, rE ? oeposir: ' • p
Reoder No.: --- ?? 10.0 p =
?u
1 ynm to oo?uv?! ? rcha . ' P
Ordi" ?s: 132 . t) pd TP
Totci: ,53 . OOta met er
BY Dote Paid:
Date of Insp.:
i . ? .
CITY OF EAGAN
3830 Pilot Krqb Road SWO SERVWJ PWJW
; P. O. Box 2',1 Jg
? Eagan, MN 55121 ???T NO.:
DATE:
Zoniny:
Owner: No. of Units:
1lddress:
SiM /lddress: ?
' Plumbbr.
Mfwl to aompIp w1lh !IM phr ???n Con 1 .
?Ordlus?. nsdfon (?wrpe: ?
AccourM Deposit:
? Permit Foe:
_ 8Y ? Surchorpe:
Date of I Misc. pq?s;
??' Totol:
IruP.:
CoM Pcid:
CITY OF EAGAN
; 3830 Pilot Knob Road WqTO SERVICE PERMR
P. O. Box 2t*.6j
; Eagan
MW 55121 PERMIT NO.:
. DATE:
Y. ?,. T!tc
Owner, No. of Unitx
11cldrosa:
Site Address: . : . r,-
ri
`Plwnber. I :
'Meter No.: Connection Charys: ,
ze: Aooount peposit:
dsr No.: Pe?mit Fee:
? p," MamPly whb !M Ciry of Ee9en Surcharge:
Miac. CFwryes: : j? 'f ^
Total: "f r d +L- ez
e of Irqp
; Date Paid:
,
z Irop.:
ITY ._ ' EAGAN
30 Pilot Knob Road WATER SERVICE PERMIT
. 6: Box 21199 PERMIT NO.: '?,,.
agan, MN 5512,,1 D/?TE: `-`'-`' '
iI ^fl: .? No. of Units: . -p `x
r: 'rut?er. o., nc.
ress:
/lddrcss: Rai.n r B ,oac unan Fi g an s
er an
umb
r No.:3 ? 111
e
' ?r?: • p -
"
ze: .??IQa.cL> N- F! F
15. p«
r
? u A f
t t:
der No.c rm: . 1(1. OOpd
to aow?oly wilh IiN o •
Orlleenaa. ??? . 5 Q 1>d
CFwroes: - P IP
Misc
?1??? .
Total: 63.00pd rneter.
_
By Dote Pcid:
Date of Insp.: Insp.:
-34f)'$(p
?
REQUEST FOR ELECTRICAL INSPECTION ?-„ EB-00001-04
' See instructions for completing this form on back of yellow copy. % 003 L
B n qR1 n 4 - , X"' Below Work Covered by This Request n6ro_-7
?
No. Add Rep. Type oi Building - Appliances Wired - Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt: Building Dryer Electcic Heatin
Commercial Bldg. Fumace Silo Unloader
? Industrial Bidg. Air Conditioner Bulk Milk Tanl<
Farm Other Speci Y Other(Specify)
t er Specify Other Other
CoIhDUte lnsoectron Fee Below
q Fee ServiceEntranceSize 0 Fee Feeders/Subfeeders . # Fee Circuits
/ i.$L1 0 to 200 Am s 0 to 30 Am s 25.Q 0 to 30 Am s
Above 200 qrrips 31 to 100 Amps Lllj 31 to 100 A s
Swimming Pool Above 1.00_Amps Above 100_Amps
Transformers irrigstion Booms Partial-'Other Fee
Signs ? l lSpecialinspection
l/ /d% i?q Ig- 0 G/ll%t o, /?-c/?
. - --?
S? s? TOTAL F
??? i, rna eiecc??.L-`
? ? Inspector, ereby
certify that the above
Finai P Date inspection has been
..?7jL, made.
? „/! j f-y?
?i
This request void 18 months from J
? r'.r//?f? V
??ff?
This request void
18 months from
096304 t,1(A h
Re uest Date Fire No. RouAh-in inspection
Re
quired?
?Ready Now ? Will Notify, Inspec-
i???
? ?
?No
yes tor When Ready
? l.ic6nsed Electrical Contractor F hereby request inspection of above •-/- -7- S ?
? Owner electrical work installed at: v zz?
Str
/?eet Address, Box or Route No.
Citv
ecUOn o.
. Township Name or No. Range N
?'°' County
Oc?upant (PRINT) Phone No.
Power Supplier
(Ifl-D Address
I 4/V //'/?
'Ele tri I Contractor (Company Name) Contractor's License No.
-2
Mayyi?j dss (Contractor or Owner Making Instailation) ?
Authori ed Signature (Coniracto / ner Making Installation)
&Z&t- Phone Number
93 ??_W
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILI NOT
Griggs-Midway Bidg. - Room N-191 BE ACCEPTED BY THE STqTE BOARD
UNLESS PROPER INSPECTION fEE IS
1821 University Ave., St. Paul, MN 55104
Phone (612) 297.2111 ENCLOSED.
(?P 7 q/ -- 101-7.0s
f 0 3 9 ,G t
, &UL `
A..? ? ,, o0
Request Date Fire No. Rough-in Inspection
Required? ?
ady Now ? Will Notify Inspector
Wh
R
d
?
Yes r en
ea
y
i
I J licensed contractor D owner hereby request inspection of above electrical work at:
Job iddress (Sireet. Box or Route No.)
/ :,S- ey--A . ?- City
Section No. Township Name or No. Range No. County
Occupant(PRINT) Phone No.
Power 9upplier
?- Address
Electrical Mractor (Company Name) Contractor's License No.
? 'U .•v? l????'
kfailing_?#dress 1 ntractor or Owner Making In
Z*, A? ??'• ??
uthorized ignature o Wwner M king Installation)
• . Phone Number
?
MIN*0T/1&fATE/0AR1fOF ELECTRICITY , THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. PauI..MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (672) 642-0800 ENCIOSED.
REQUEST FOR-ELECTRICAL lNSPECTION ?9, e6-00001-08
11. See instrudions for completing this form on back of yellow copy.
I
05-3 X" Below Work Covered by This Request
9
-
ew -Add R Type of Building AppliancesWired EquipmentWired
, - ome Range Temporary Service
" Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ir Conditioner
Other (specify) CoNractor's Remarks:
t
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
SWimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps 0 Amps
Sigf1S Inspector's Use Only:
? AL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED CONNECTED IF NOT
Other Fee
ONTHS.
COMPLETED WITHIN 181
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
be,en made. Final Da 7
(
OFFICE USE ONLY ? This request void 18 months from ".+'i• ,
This request void pz G, ('j 6 3 ?
onths irom
? -096303 4?I-?r, 6/, ???-?.ti??,?? ;???.?5 ?y?- o a
Request [?ate Fire No. Rough-in Inspection Required? Ready Now Q Will Notify, Inspec-
?Yes ?No tor When Ready
n Licensed Electrical Contractor 1 hereby request inspection of above •94
? Owner electrical work installed at:
Street Address, Box or Route No. ?
? Citv
14
?
d / ?/ l_ / ?l
ection o. Towns ip Name or o. Range No. CountY
O pant (PRINT) / Phone No.
P70S.S pplier
l? Address
xw
El ctrical Contractor (Company.Name) Coniractor's License No.
Ma in1g d ress (Contractor or Owner Making In1stailation)r 3JT/ L
? U/ ` C,??/?iff/??(.// ?i / • ? .,/?J
Auth ized Signat re 1y?iontrac/tor/Ow er Making Installation)
z ?i'???`.CA / i • W (R ?.?i/JWI one Number
PhI
MTNNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WIIL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
7821 University Ave., St. Paul; MN 55104
Phone (612) 297-2111 ? ENCLOSED.
-' REQUEST FOR ELECTRICAL INSPECTION Es-ooooi_oA
n 9G?
b See instructions tor completing this form on back of.yellow copy.
3 X" Below Work Covered by This Request
New Qdd Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader .
Industrial Bldg. Air Conditioner . Bulk Milk Tank
Farm
Other Pecify
Other (Snerify)
ther Specify Other Oiher
ompute lnspection Fee Below
# Fee Service Entrance Size # FeeF• Feeders?Subfeeders # Fee Circuits
U to 200 Am s 0 to 30 Am s Z9•00 0 to 30 Am s
Above 200 Amps' 31 to 100 Amps 1 S, (J 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Amps
TransformerS frrigation Booms Partial, 'Other Fee.
Signs Speciatlnspection
''TOTAL??? /
Remarks ?JI I(Lil , 11? 8 ` L 1cin'lfI ??a 7 $
i
RQugh-in r ?
V I, the.ElecJrical _
Inspector, hereby
certif
that the ab
Final Date y
ove
inspection has 6een
p •
>
i?i4`c
made.
This request void 18 months from
,
REQUEST FOR ELECTRICAL INSPECTION o N. ee-00001-07
0- See instructions for completing this form on back of yellow copy.
E 5 61 46- `X" Below Work Covered by This Request
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range . Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
' Comm./Industrial Furnace
Farm ' Air Conditioner
Other (specify) ontractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Sigf1S Inspector's Use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication /f o
?
, Other Fee ? G7 v
I, the Electrical Inspector, hereby Rough-in c ?• Date
certify that the above inspection has
been made. F;nai
?
OPFICE USE ONLY
This request void 18 months trom
?'/150 /IF19
E `56146,/,,?r6
Request Date i°
-7 _ Y ^ ? ? Fire No. ough-in Inspection
equired?
F
T? Ready Now ? Will Notity Inspector
Wh
R
d
?
Yes ? No
O en
ea
y
X-licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
4
Section No.
. Township Name or No. Range No. County
?D 119W
Oxupant (PRINT)
? Pfione No.
46hS
Power Supplier Address
Eleciri ntract r(Company Name) ?
1 J- Contractors License No.
,
? yo
Mailing Address (Contractor or Owner Making Installation)
?.e
Authoriz e(Contractor/ Makin tallation) Phone u be
c' ?'- y
MINNESOTA STAO'BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BYTHE STATE BOARD
7821 University Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-00001 _04
See instructions for completing this form on back of yellow copy.
in? "X" Below Work Covered by This Request
evy HAd Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Dupiex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Peci y Other ISuecify)
t er SUecify Other Other
Compute lnspection Fee Below
q Fee Service Entrance Size i1 Fee Feeders/Subfeeders .# Fee ..:Circuits
[ 0 to 200 Am s 0 to 30 Am s 40 0 to 30 Am s
Above 200 qrrips 31 to 100 Amps ? (,I(J 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms Partial-'Other Fee
Signs Special inspection
S? ? ?---?
TOTAI
E
Remarks ? - ? ? - ? - ? ? , ? ,.?
,?* 1
. laI ?i?t -2 ?l _ ?5.4 5 0- f
Rough-in I, the Ele
c
trieal "
? . ,
,
Inspector
hereby
,
certif
that th
ab
i
Date y
e
ove
F
nal inspection has been
i
made.
This request void 18 months from
[?d'
This request void
78 months from
? 0 _S -6 3 0 2 4- S 0 f I Q,a L ? n1`?-v? ? i (G ??,?s ' . tv)
Re uest Date
Y
h Fire No. Rough-inInspection
Requ?red?
E]Ready Now Q Will Notify. IInspec-
to
Wh
(Ud ?C! ? Ves ONo r
en Ready
%Q Licensed Electrital Contractor 1 hereby request inspection a ov ?
? Owner electrical work installed at: ?Z1I L ?
Street Address, Box or Route No.
? c ro
Rol) City
?61QCUJ ? -7, J ?
ecLOn o. Township Name or No. Range No.
r /
Co nty?y Q `??Y
?l.?l V,J ?v v
ant (
RINT)
n 0 3ach"n
?f-i ch l???s
Phone No.
Power Supplier Address
. ls mn.
,Ele trical Contractor (Company Name)
citric CO - Contractor's License No.
0,40151-3
Mailing A ress (Contractor or Owner Making Instailation)
C h`2 _ tj 1jtc-h'ir-i1CJ, IL'1 V?. 55355
8oriz . ed Signature (Contrac or/Ow r Makig Installation)
H
w
d Phone Number
J
.
i
id a.3 -2,54-
MINNESOTA STATE BOARD OF ELECTRICITY v THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ave., St. Paul, MN 55104
Phone (612) 297_2111 ENCLOSED.
This request void c'7( '' 1__?
18 months from
? r3 9 `9 o 0 `?- 67/ ? ? , ?a CLC-!?L h"L? v? ? , l?C rn ?S ?'l` ? • ?
Requ st Date ? Fire No. Rough-inInspection
Re
quired?
?Ready Now ? Will Notifv
InsPec-
??? ,?J?C1LL?// (.1 ? ?..//?/
1111 ?
?
N. .
[or When Ready
? Licensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route Plo. •.
Yt ?? City r
? ? ? V -D
12
ectron o. Towns ip Name or No. Range No. County
Oc pant (PRINT) Phone No.
?
PE?? r Address1,
EI ctr'cal Contractor (Company Na e)
?if Contractor's License No.
ing dress (Cont ctor o Owner MInstailationl?
?
?A;riz d SiBnature ntr c o/Owner Making Instaliation)
, Phon N mber
- 2?V_?
? v
MINNESOTA STATE ?OA`RD O?F ELECTRICI THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bidg. - Room N.191 BE ACCEPTED. BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ave., St. Paul, MN 55104
Phone (612) 297-2171 ENCLOSED.
W ?"?? REQUEST FOR ELECTRICAL INSPECTION Ee-oooo1_oa
See instructions for completing this form on back of yellow copy.
A 2 ,-?n ? "X" Below Work Covered by This Request
ev4 Addj Rep. v Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Buiiding Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other SPeci y Other (SUecify)
t er SUecify Other Other
r'mm?jito /ncnnrTinn tnn framw
# Fee ServiceEntranceSize k Fee Feeders/Subfeeders # fee Circuits
.,SU 0 to 200 Amps 0 to 30 Am s 0 to 30 Am s
Above 200 Amps 31 to 100 Amps ,(f 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers frrigation Booms Partial `Other F
Signs Special Inspection $ ? TOTA
Rema rks
ri,`/ ?: ? lCla7 (..?
`
/ iti L9/ a-o -,
Rough-in ? y 1, tha I
• ?`7?? Inspector, h6?reby
Y certify that the above
Final inspection has been
made.
?
This request void 18 months from ?Z/'iOZW 7e
This request void
78 months from
? ? :?a, ? ?? ?? NYl ?9? ; ?/Gnr?s ? Y? ° ?7I
A 9 4
Request Date
G1? Fire No. Rough-in Inspection
Required? 1
[:]Z.dy Now ? Will Notify. Inspec-
tor Wh
R
d
?
/ ? Yes ? No en
ea
y
? Lic,ensed Electrical Contractor I hereby request inspection of above
7?"7' S-O
? Owner electrical work installed at: ?-
Street Address, Box or Route No. 3 1n 9
? CitY . ? 7,?0
?a Q
ection o. ownship Name r No. Range No. T?j
40461
??Ti ? u 1 V Count
Y ?olivr
Occ l pant (PRINT) Phone No.
Pow r Suppiier Address
/?
/ J//•
Eleirica Contractor (Company Name) 'e/
ff6 ?/ ? ` C?' Contractor's License No.
/5 7 ?
Mail' g Ad ess (Gontra r or Owner Making Instailation
.
Au ho zed Signature (Co ractor nZZM stallati on) Phone umbe
? -11
MINN"? Q THIS INSPECTION REQUEST WIIL NOT
SOTA STATE BOARD OF ELECTRICITY
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1827 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ` ENCLOSED.
e4 REQUEST FOR ELECTRICAL INSPECTION E 00001=04
See instructions for completing this form on back of yellow copy. ?(/ U 3?j
??.,{ ? ""X"" Below Work Covered by This Request 6?ar-7
Now Qdd Rep. v Type of Building Appliances Wired Equipment Wired
Home Range Temporary Serv+ce
. Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. A i r Conditioner Bulk Milk Tank
Farm Other Specify Other (Specffy)
t er Specify Other Other
I mm-iro incnnrnnn rnA nAinw # Fee ServiceEntranceSize # Fee Feeders/Subfeeders # Fee Circuits
0 to 200 Am s 0 to 30 Am s Ub 0 to 30 Am s
Above 200 qrnps 31 to 100 Amps J ?(f 0 31 to 100 A s
,Swimming Pool Above 100_Amps Above 100_Amps
Transformers frr'igation Booms Partial,`Other Fee
Signs Special Inspection
TOTAL F?
Remarks
0i , : 1.,,?; -i /.?_ ?J ?"??' / ( ??/
c1 //U! //! ?J L. v/ r i r. •? r i zelp v v v -
Rough-in I, the Etectr ca'? ?
?
Inspector, hereby
certify that the above
Final
P Date
- inspection has been
, ?_
) made.
This request void 18 months from
?p gw
. i? a e
r ?/ O
?f?(r/?'7 1 <?o
_ This request void S
18 months irom ?
C 73527 ;? oo
Request Dete Fire No. gough•in In pection
equired7? [3Ready Nuw [] Will Notify. Inspec-
? Yes MNo tor When Ready
MLicansed Eiectricel Contrnctor I hereby requeat Inspectfon of ebove
? Owner electricel work instelled at:
Street Address, Box or Foute No. City
1589 Raindrop Drive Eagan
eciion o, ownship eme or o. enge o. County
Dakota
Occupant (PRINT) Phone No.
Pete Sicoli 452-??gj 4309
Power Supplier Addresa
Dakota Electric Co. 4300 - 220th St«, Farmington 55024
Electrical Contractor ICompany Name1 Contractor's License No.
Total. Electric Inc. o39842-4
MailinA Address (Contractor or Owner Mak nTa Instailation)
1537 - 92nd.Lane N.E., Yip1,s., Mn. 55434
Authorized Signature (Contractor Owner Making Installation) Phone Number
6 786-8484
MINNE80TA STATE BOARD OF ELECTRICITY THIS INSPECTION REnUEST WILL NOT
Orippe•Midwey Bldg. - Room N•181 BE ACCEPTED BY TWE STATE BOARD
1821 Universitv Ave.. St. Psul, MN 66104 UNLESS PROPER INSPECTION FEE IS
Phone 18121 842-0800 ENCLOSED.
4?/g 7
?. ?f r??
REQUEST FOR ELECTRICAL INSPECTION
0 See inetructione }or oompletinp thfe form on back of vellow copy
"Y" Ru/nw Wnr4 (`nvoierl hv Thic-Rcnuoct
EB-00001-06
?jo S ?v
` ' .. .? ....... ....... __-"-- -, ....__ ._-r----• . .
New A d Flep. "' Type of Buildinp Apptianess Wired Equlpment Wired
xx Home Range Temporary Service
DuplHx Water Heater li htin Fixtures
• Apt, Buildinfl Dryer Electric Neatin
Commercial Bidg. Furnace Silo Unloader
Industriat Bldg. Air Conditioner Bulk Milk Tbnk
• Farm t Hr pea y t er (St)ecifyl
t 9/ WOCI y t Of Oth{if
ompute nspecUon fee Below
p Fee ServiceEntrenceSfze q Fee Feeders/Subfeeders k Fee Circuits'
U to 200 Am s 0 to 30 Am s 0 to 30 Am
Above 2_Am ps 31 to 100 Amps 31 to 100 Am s
Swimmin Pool Above 100_Am s Above 100_Am s
Transtormers rri ation Booms Partial-'Other Fee
'
i gns Special Inspection $ TOT
e;,rks
1Q. 0
AL F
E
?.oJ
Rouph-in - ate 1, the Elec
Inepector, hereby
certi}y that the above
Final tey?i? Inepaction has been
? O? made.
fhh raauest vold 18 monthe from
This request void ?2 0? 3 Se
18 months from
As 3 -94 98
Req uest Date . W
r/„?????? /?
? ? ire No. Rough-in Inspection
Required?
?Ready Now ? Will Notify, Inspec-
t
Wh
? ?Yes ?No or
en Ready
E] Licensed ElectXcal Contractor 1 hereby request inspection of above ??
? Owner electrical work installed at: -
Street Address, Box or Route No. /
l:/ /I ! d / (J 40// 1--e CiiY
ection o. Township Name or No. Range No. ,,/s?
?L? County.
Occupant (PRINT)
GiGI'lm a/-7 1114 h/a 1-7 ds Phone No.
Power Supplier Address
I)V- /j /v117 43-q-5,,c,?o
Electrical Contractor (Company Name)
/, G?yr? L?1- Contractor's License No.
D qU/s 7-3
Mailing ddress (Contractor or Owner Making Instailation)
aA,?rized Signature Co trac or/ wner Ma I king Installation)
GL? ? . Phone Number
MINNESOTA STATE BOARD OF ELECTRICI Y THISCINSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-791 BE A CEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ave., St. Paul, MN 55104 ,
Phone (612) 297_2111 ENCLOSED.
REQUEST FOR ELECTRICAI INSPECTION Ea-ooooi_oa
See instructions for completing this form on back of yellow copy. ?0])3`
A ? ? fi OQ, A -'X" Below Work C.overed by This Requesi &fs-7
Add Rep. vType of Building Appliances Wired Equipmenf Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tani<
Farm Other Pecify Other (Specify)
ther Specify Other Other
i -n urn incnorrinn ran rrvinw
# Fee ServiceEntranceSize !t Fee Feeders/Subfeeders # Fee Circuits
, 0 to 200 Amps 0 to 30 Am s [J 0 to 30 Am s
Above 200 Amps 31 to 100 Amps ? 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Amps
TransformerS Irrigation Booms Partiai%Other Fee
Signs Speciallnspection
$
?-?•
TOTALE
Remarks /.,1? / ? /
? .?y,,?
?
73F(/N'O?
RJ ? v/ I t / / f ? '? / -
Rough-in ( D a -?/ 1, the E?e ical
Inspector, hereby
certify that the above
Final D?? / inspection has been
made.
This request void 18 months from ??; ? y. DO
• , • CASH RECEtPT •
._ f CITY OF EAGAN
..
P. O. BOX 21-199
EAGAN, MIN SOTA 55121 ?
DAT
REC6IVED
FRO v
AMOUNT ?OLLARS
too
CASH ? CHECK
/ S-40,53' i o5 -7 _ 41 ?rAr ? ? /l .,_"Q
FUND CODE fAOUNT
d
/ ??-
_ 7
?
- ,
,
Thank You
_ Y
N_ 57698
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
(TOWNHOUSE ) CITY OF EAGAN N° 1 12 6 3
3830 Pilot Knob Road, P.O. Box 21-199 Eagan MN 55121
PHONE: 454-8700
tUILDING PERMIT Receipt
To be wed for 1 OF 6 PLEX Est. Vciue $$ 3,0 0 0 Date NOVEMBER 8 ? 19 8 5
Site Address 1599 RAINDROP DR Erect [0 Occupancy R3
Lot 48 Block 1 Sec/Sub. COACHMAN HIGH- Remodel ? Zoning R3
Parcel No
LANDS Repair ? Type of Const.
11
. qddition ? No. Stories
Name BRUTGER COMPANIES INC Move
D
li
h ?
? Lenytn 33
Z
Address 1 SUNWOOD DR., P. O. BOX 399 emo
s
r
I
t I
? Depth ? (
? .
n
mp Sq. Ft.
City ST CLOUD phone 252-6262 lnswl ?
O Name
SAME
AvVrov°Is
Fees
z
Oq U
Address
Assessment
1- City Phone Water 8 Sew.
GW
W W
BLUMENTALS
Name
ARCHITECTURE Police
Fire
u? Address 6100 SUMMIT DR NO En
? W City BROOKL YN (?&e
5 71- 5 5 5 0 9,
Plonner
' Council
I hereby acknowledge thot 1 hove reo t plicotion t? t Bldg. Off.l?-/H/H?J
the inlormotion is correct ond o mply w' oll ?'E ' e
Stote of Minnesoto Statute n Ci of Eoga ces. p'PC
.4l . Date
Siynature of Permittee
A Building Permit is issue? to: BRUTGER COMPAN7
ali work shotl be done in accordonce with oll oSDlicoble Stote of
Permit 382.00
Surcharge 41.50
Plan Review 191. 0 0
sAC 525.00
water Conn. 500.00
Water Meter 63.00
Road Unit 280.00
Tr. PI. 132.00
Parks
Copies
Total I ' ?
on the express condition thot
Stotutes ond City of Eapon Ordinances.
Building Official
TOWNHOUSE
CITY OF EAGAN N°_ 1 12 6 4
3830 Pilot Knob Road P O Box 21-199 Ea an MN 55121
9 ,
PHONE:454-8100 ?
BUILDIN6 PERMIT Receipt #
Te be wed for 1 OF 6 PLEX Est. Volue $63, 000 Dote NOVEMBER 8 19 85
SiteAddress 1597 RAINDROP DR Erect IN Occupancy R3
Lot 49 Block 1 Sec/SubCOACHMAN HIGHLAl?f9odel ? Zoning R3
.
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
BRUTGERC: COMPANIES Move ? Lenytn 21
W Name Demolish ? Depth 36
; Address 1 SUNWOOD DR., P.O. BOX 399 lnt Impr. p SQ. Ft.
b City ST CLOUD phone 252-6262 Instau ?
? SAME Approvola Fees
Zo Name -
uu
Address
~ City Phone
Gce BLUMENTAL ARCHITECTURE INC
F W Name
_? Address 6100 SUMMIT DR NO
?W City BROOKLYN CTp%ne 571-5550
1 hereby ocknowledge that I have
the inlormotion is torrect ov?"Stote of Minnesotc Stotut?ur(d
Signuture of Pertnitte ??
A Building Permit is iss d to: BRUTG
all work sholl be done in occordonce with oll
ER COMPANIES
Assessment Permit 322.00
Woter & Sew. Surcharge 31 . 50
Police Plan Review 16 1 . 00
Fire sAC 525.00
Eng. Water Conn. 500. 0 0
Plonner Water Meter 63.00
Council Road Unit 280.00
BIdg.Off.l1/H/HS Tr.PI. 132.00
APC Parks
Va ` Date
Copies
rotal $ 2. 014 . 5 0
on the express condi tion thal
sot 5. utes ond Cify of Eogan Ordinonces.
Buildieig Official
( TOWNHOUSE ) ? .. CITY OF EAGAN N°_ 1 12 6 5
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 N
BUILDING PERMIT
Receipt ?t
Te be wed for 1 OF 6 PLEX Est. Volue $ 6 0, 0 0 0 pO1e NOVEMBER 8'19 8 5
SiteAddress 1595 RAINDROP DR Erect CM Occupancy R3
Lot 50 Block 1 Sec/SubCOACHMAN Remodel ?
. zoniny R3
Parcel No HIGHLANDS Repair ? Type of Const. V
. Addition ? No. Stories
Name BRUTGER COMPANIES INC Move ? Lenyth 20
W
Address Demolish ?
1 SUNWOOD DR., P. O. BOX 3 9 9 Depth 36
? Int. Impr. ?
ST CLOUD
252-6262 Sy. Ft.
City phone
Install ?
, o Name SAME Approvals ' Fees
Zu
°u?
H
Address
City
Phone
FW Name BLUMENTALS ARCHITECTURE
u? Address 6100 SUMMIT DR NO
?W City BROOKLYN Cone 571-5550
I hereby ocknowtedge thot i have rea h' plicotion
the informotion is Correct and mpiy witk
Stote of Minnesota Stotute nd of o9an Cy6i
Signoture of Permittee
A Building Permit is issued fo:
all work sholl be done in accordonce with
8uilding Official
Assessment
Woter & Sew.
Police
Fire
Eng.
Bidg. Off. 11 /8/$ 5
APC
Permit 0
Surcharge 30.00
Plan Review 156.50
snc 525.00
Water Conn. 5 0 0. 0 0
water Meter 6 3. 0 0
Road Unit 280.00
Tr. PI. 132.00
Parks
I Copies 999 . O
Total ?
on the expreu condition that
Statutes and City of Eogon Ordinances.
BRUTGER COMPANIES INC
TOWNHOUSE
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bidg. Off. 11 8/8 rJ
APC
BUILDING PERMIT Receipt # : 2 h
To be used for 1 OF 6 PLEX Est. Value $ 6 0,0 0 0 Dote NOVEMBER 8 1 9 85
Site Address
1593 RAINDROP DR
Erect E
Occupancy
R3
Lot 51 Block 1 sec/sub. COACHMAN Remodel ? Zoning R3
Parcel No HIGHLANDS Repair ? Type of Const. V
. Addition ? No. Stories
ne Name
BRUTGER
COMPANIES INC
Move ?
li
h ?
D
Length
20
Z Address 1 SUNWOOD DR., p. 0. BOX 399 emo
s
I
t
I
? Depth 3 6
? mpr.
n
. Sq. Ft.
City ST CLOUD pnone 252-6262 Install ?
, o Name SAME Approvals . Fees
?
uu
Address
? City _
Phone
FW Name BLUMENTALS ARCHITECTURE INC
i,zj, />ddress 6100 SUMMIT DR NO
u
H, City BRQOKLYN C?'hBne 571-5550
I hereby acknowledge thot i hcve
the information is correct on
State of Minnesoto Stotu anrd
Signoture of
h Building Permit is issued to:
oll work sholl be done in eccordonce with oll
N_ 11266
Permit 1 • 0 0
Surcharge 30.00
Plan Review 15 6. 5 0
sAC 525.00
water Conn. 500.00
Water Meter 63.00
Road Unit 280.00
Tr. PI. 132.00
Parks
r. Date I Copies
BRUTGER COMPANIES Total $1,999.50
on the express condition tha?
je4tate of Mi ?eso Statutes ond City of Ea9an Ordinonces.
Building Official
(TOWNHOUSE) CITV OF EAGAN N° 1 12 6 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?`j ?
BUILDING PERMIT ReceiPt # !/
Te be uaed fer 1 OF 6 PLEX Est. Volue $63,000 Date NOVEMBER 8 , 19 85
SiteAddress 1591 RAINDROP DR Erect X:1 Occupancy R3
Lot 52 Block 1 Sec/SubCOACHMAN Remodel ? zoning R3
.
HIGHLANDS
Parcel No
Repair ?
Type of Const. 17
. Addition ? No. Stories
BRUTGER COMPANIES INC Move ? Lenytn 21
W Name
z 1 SUNWOOD DR., P.O. BOX 399 Demolish ? Depth 36
? AddressST CLOUD 252-6 62 Int.lmpr. ? Sq. Ft.
City Phone Install O
SAME
o Approvals Faes
Name
~
? Assessment Permit $ 322.00
? Address
? City Phone
Water 8 Sew.
Surcharge 31 . 50
Police Plan Review 161.00
F
FW Name BLUMENTALS ARCHITECTURE INC Fire SAC 525.00
?? Address 6100 SUMMI T DR NO Eng. Water Conn. 5 0 0. 0 0
t W City BROOKLYN `
C'I?Rone ? 71- 5 5 5 0
pionner
Water Meter 63.00
Council
1 hereby acknowledge that I have r ' applic ion o st that Bldg. Off.I1/H/HS
the iniormotion is torrect and o compl wi a oble APC
State of Minnesota Stat ?ty of E c
V D
Road Unit 2 8 U• uu
Tr. PI. 132.00
Parks
?
5ignature of Permitte ar. ate Copies
$ 2,014 . 5 0
BRUTGER COMPANIES Total
h Building Permit Is issued to: on the expreu conditlon thot
olI work shctl be done in accordance withi_,allogKicable State , in esota Statutes ond City of Eo9on Ordinonces.
Building Offitial
(TOWNHOUSE)
CITY OF EAGAN N° 1 12 6 8
.
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 S%
Receipf
BUILDING PERMIT #
Te be wed for 1 OF 6 PLEX Est. Value $ 83 , 0 0 0 Date NOVEMBER 8 I 9 8 5
SiteAddress 1589 RAINDROP DR Erect EX Occupancy R3
Lot 53 Block 1 sec/sut. COACHMAN Remodel ? Zoning R3
HIGHLANDS Repair ?
Parcel No Type of Const. V
.
Addition ? No. Stories
BRUTGER COMPANIES INC Move 0 l.enyth 33
?
W
z
Name
Demolish ?
1 SUNWOOD DR., P. O. BOX 39i
Depth
36
9 Address Int Impr. ?
ST CLOUD
252-6 2 Sq. Ft.
phone
City
Install ?
, o Name SAME Approrols Fees
Zu
H
Address
City
Phone
Address 6100 SUMMIT DR NO
City BROOKLYN C`gPbne 5 7 1 - 5 5 5 0
Name BLUMENTALS ARCHITECTURE INC F1fe
I hereby ocknowledge that lhave rea th' o ication d state at
the information is correct ond ogr, c ply wit ol ic le
$tate of Minnesota Stotutes ity of agan c s
5ignature of Pertnittee
h•Building Permit is issue to: B UTGER C PANIES
oll work shall be done in cccordance with oll oonhilcoble State of Minn
Assessment _
Woter & $ew.
PolicP
Eng. _
Plonner
Council
Bldg 11885
. Off.
APC
Var. Date
Permit 3 2. 0 0
Surcharge 41.50
Plan Review 191 . 00
sac 525.00
Water Conn. 500.00
Water Meter 6 3. 00
Road Unit 280.00
Tr. PI. 132.00
Parks
Copies ?r4 50
eso Stctutes ond City of Eoflan Ordinonces.
INC ' Total
on the express conditlon Ihat
Building Official 't-,
?ZS
HOUSE HEATING TEST RECORD
ADDRESS 198,- An?C? Z?" APT. _ FLOOR _ CITY
OCCUPANT -?LAIV l nC?J? YX OWNER %24: " rI
HEAT LOSS DATE HTG. INST.
SOLD BY HOME ENERGY CENTER INSTALLED BY HOME ENERGY CENTER
Electrical Work By HARRISON ELECTRIC Gas Line By
TYPE OF HEAT GA FA X HW STEAM SPACE HTR. UNIT HTR. OTHER
MAKE.
Model .
Serial .
INPUT
THERMOSTAT Heat Plug _
Valve ? ..L..I
Limit
Limit Setting ?
Fan Setting
Pilot Type
Pilot Make ?4?,???
Pilot Model
Pilot Timing
L.W. Cut Off
Pressure Percent CO2
Input CFH Percent 02_
Stack Temp. Percent CO.
Form 235
C
MAKE OF BURNER _
Model
Max. BTU Rating _
MAKE OF FURNACE
Model
Vent Size
KIND OF LINER SIZE NONE
Draft Hood Regulator
Filters Size Number
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb Wiring
Draft Test Tag
Door Pressure Lighting Inst.
Date Tested
Company Testina H E qaQW_ R
Name of Tester
f *
2005 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 permits are required for each unit
??? ?o
Date _?_ / 19 / 05_
Site Address ? 5oi"j Vl l7 ?Y? Unit #
Property Owner :y6 nY1 ?\O`(1 Telephone # ( (p51 ) ?J2 • ??1 ??
Contractor HOME ENERGY CENTER
15200 25TH AVE. N# 12
Street Address PIYMOUTH, MN 55447 City
State Zip Telephone #(-1 b3 )'1"7 (p • L q9 O
Bond #: Expires:
The Applicant is Owner ? Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional ?Replacement
air exchanger
? air conditioner _New ?Repiacement
other
State Surcharge $ .50
Total $ 3U• 5 ?
I hereby apply for a Residential Mechanical Permit 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 Codes; 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 p an
I? C n ?I <1 Yl n ' Fl f r n r, .., ?._
Applieant's Prin d Name Applicant Signat6jeU II U) 1-1 1-1) T U
OC T 0 5 2005
Y
2005 COMMERCIAL 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 buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Proper.ty Owner Telephone # ( )
Contractor
. . .f
Street Address ?= City?j a : ??•'_? : :`3
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction _ Underground Tank _ Install _Remove **see below
_ fnterior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 ? $ State Surcharge
If e?rmit fee is over $1,000, add $.50 for
every $1,000 ep rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit 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 Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS KUST BE LICENSED WITH THE CITY OF EAGAN
U?( l T L
-' INCL UDE 2 SETS OF PLANS
3 CER TIFICATES OF S URVEY
1 SET OF ENERGY CALCULA TIONS
83,?
To Be Used For: Towllhouse Valuation: 17"700ft Date: 11/6/85
Site Address: 1589 Raindrop Orive OFFICE USE ONLY
oac man
Lot:53_ Block 1 Sect/Sub Highlallds Erect K Occupancy ?23
Remodel Zoning
Parcel # Repair Type of Const
Enlarge # of Stories
Owner grutgPr Cnm aniPS, Tnr_ Move Length 33
Demolish Depth
Address One Sunwood Orive, P.O. Box 399 Grade Sq Ft
City/Zip Code St. Cloud, MN 56302 _______________ ______________ ______
Phone (612) 252-6262 APPROVALS
Contractor Brutger Companies, Inc. Assessments Permit 3g Z,
Water/Sewer Surcharge s8
Address Orle Sunwood Drive, P.O. Box 399 Police Plan Review
Fire SAC SZ?,
City/Zip Code St. Cloud, MN 56302 Engr Water Conn s7oo.
Planner Water Meter (P3
Phone (61'.2) 252-6262 Council Road Unit .
Bldg Off` = Parks
Arch./Engr.Blumentals Architecture, InC. APC Treatment P1 13 Z,
Address 6100 Summit Drive North Variance
TOTAL
City/zip Code Brooklyn Center, MN 55430
Phone # (612) 571-5550 •
1985 BUILDING PERFIIT APPLICATION - CITY OF EAGAN
uNf r Q
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
To Be Used For: TOW11hoUSe
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
(03, CXDC'
Valuation: 37'? Date: 11/6/85
Site Address: 1591 Raindrop Orive
Coac man
Lot: 52 Block 1 sect/sub Highlands
Parcel #
Owner Brutger Companies, Inc.
Adaress One Sunwood Drive, P.O. Box 399
City/Zip Code St. Cloud, MN 56302
OFFICE DSE ONLY
Erect ? Occupancy
Remodel Zoning R•3
Repair Type of Const -gl
Enlarge # of Stories
Move Length 7-1
Demolish Depth 3(.
Grade Sq Ft
Phone (612) 252-6262 APPROVALs
Contractor Brutger Companies, It1c. Assessments Permit
Water/Sewer Surcharge
Address One SunWOOd D1^ive, P.O. Box 399 Police Plan Review
Fire SAC
City/Zip Code St. Cloud, MN 56302 Engr Water Conn
Planner Water Meter
Phone (612) 252-6262 Council Road Unit
Bldg Off/ Parks
Arch./Engr. Blumentals Architecture, InC. APC Treatment P1
Variance
Address 6100 Summit Drive North' TOTAL
city/zip coae Brooklyn Center, MN 55430
32Z.
31.5°
52 S.
S oo.
2-80.
132,
Phone # (612) 571-5550
.. . ?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN
r a
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
CoO, Ot?O
To Be Used For: Townhouse Valuation: 37L8$0 Date: 11/6/85
Site Address: 1593 Raindrop Drive oFFICE USE oNLY
oac man
Lot: 51 Block 1 Sect/Sub HighldndS Erect X, Occupancy ?•3
Remofiel- Zoning ?.3
Pareel # Repair Type of Const 'S77
Enlarge # of Stories
owner Brutqer Companies. Inc Move Length Ze,
Demolish Depth 36
Address One Sunwood Orive. P.0 Box 399_ Grade Sq Ft
City/Zip Code St. C1oud, MN 56302 ---------
Phone (612) 252-6262 APPROVALS
Contractor Brutaer Companies, Inc.
Address One Sunwood Drive. P.0 Box 99
City/Zip Code St. Cloud. MN 56302
Phone (612) 252-6262
Arch./Engr. Blumentals Architectur , Inc.
Address 6100.Summit Drive North
city/zip Code Brooklvn Center. MN 55430
Phone # (612) 571-5550
Assessments Permit 313.
Water/Sewer Surcharge 30.
Police Plan Review l Sr_ . :a_0
Fire SAC -?'j25•
Engr Water Conn Soo.
Planner Water Meter (0 3,
Council Road Unit
Bldg Off??l1-gs Parks
APC Treatment Pl
Variance q
TOTAL
?
?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS l9UST BE LICENSED WITH THE CITY OF EAGAN
UN ? r A INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
lEo, oo?
To Be Used For: Townhouse Valuation: Date: 11 /F ?
---?-/?
Site Address: 1595 Raindrop Drive
Coachman
Lot:50 Block ]. Sect/Sub Hiqhlands
Parcel #
Owner Brutger Companies, Inc.
Address One Sunwood Orive, P.O. Box 399
City/Zip Code St. Cloud, MN 56302
Phone (612) 252-6262
OFFICE USE ONLY
Erect X Occupancy P"3
Remodel Zoning (z.3
Repair Type of Const S4-7
Enlarge # of Stories _
Move Length 2.0
Demolish Depth 3(7
Grade Sq Ft
APPROVALS
Contractor B1^utqet^ CompdnieS. Inc. Assessments Permit
Water/Sewer Surcharge
Address One Sunwood Drive, P.O. Box 399 Police Plan Review
Fire SAC
City/Zip CodeSt. Cloud, MN 56302 Engr Water Conn
Planner Water Meter
Phone _(612) 252-6262 Council Road Unit
Bldg OffllParks
Arch./Engr, Blumentals Architecture. Inc. APC Treatment Pl
Variance
Address 6100 Summit Drive North ToTAL
city/zip Code Brookl.yn Center, MN 55430
525,
Soo.
Co3.
280-
t 32.
?25• S o
Phone # (612) 571-5550
? , .
X • k
?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS M9UST BE LICENSED WITH THE CITY OF EAGAN
Lw(T B INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
l03c??
To Be Used For: Townhouse Valuation: ?A Date: ll?h/R5
Site Address: 1597-Raindrop Drive OFFICE USE ONLY
Coachman
Lot: 49_ Block 1_ Sect/Sub Highlands Erect
Parcel #
Remodel
Repair
Enlarge
Owner Brutger Com an ni es ,Tnc. Move
Demolish
Address One Sunwood Drive, P.O. Box 399 Grade
City/Zip Code
Phone (r,191
Contractor Brutger Com ap n, Tnc_
Address One Sunwood DrivP, P.O. Box 399
City/Zip Code St. Cloud. MN 56302
Phone (612) 252-6262
Arch./Engr. glumental Architecture, Inc.
Address 6100 Summit Drive North
City/Zip Code grooklyn Center- MN 55430
Phone # (612) 571-5550
APPROVALS
? Occupancy 12.3
Zoning (Z•3
Type of Const ?
# of Stories
Length
Depth ?
Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off jJZ- Parks
APC Treatment P1
Variance
TOTAL
3Z2.?
3 I • --
Icol.
525,
S o0.
Co3 ,
280.
I 32•
??1y5?
y
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS IYQUST BE LICENSED WITH THE CITY OF EAGAN
uf,-?(T C- INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
83,CX50
To Be Used For: TOWnhoUSe Valuation: Date: 1116/85
Site Address: 1599 Raindrnn Driva OFFICE USE ONLY
T ?
Coachman
Lot: 48 Bloek 1_ Sect/Sub Hiqhlands Erect
1/-
Remodel
Parcel # Repair
Enlarge
Owner Brutger Com aniPt, Tnc_ Move
Demolish
Address One Sunwood DrivP, P_(l_ Rnx 399 Grade
City/Zip Code
Phone (tii9)
Contractor Bru ger Comnanies, Tnr_
AddresCne Sunwood Drive, P_0_ Rnx 399
City/Zip Code St. Cloud, MN 56302
Phone (612) 252-6262
Blumentals
Arch.,€n.gi?., ;; i ; ArchitecturP, Tnc_
Address 6100 Summit Drive Nnrth
City/Zip Code Rrnokl?; n('enter, MN 55430
APPROVALS
Occupancy ?-3
Zoning ?.3
Type of Const
# of Stories
Length ?
Depth ?
Sq Ft
Assessments Permit 382.
Water/Sewer Surcharge
Police Plan Review 1`ll.
Fi re SAC
Engr Water Conn
Planner Water Meter ?3.
Council Road Unit 2$p.
Bldg Off -1,2-8 Parks
APC Treatment Pl
Variance
??? ?
-S-
"
TOTAL •
?
j
Phone # (612 571-5550
At.?.?Zj?u.Y.'?y?Cryt?.? fi??)??;???.}:}?C??{7(+);:>?:r11:??i;y?i;:%?'}aii'?7if;?Ci?:Y?,'?:t•`. i-'.}?';?Ci?ii?
j,IT'j tiF EAGAiNl
CA±7H.1.t".!'t.:i ri lER.I"I.LNi"i{... 74•=7
DA';'Ee :1.:l.!0/98 i':4:ME° 0060?
i D ;,
NAt`1E:::; BE1{:i.`::;C1... 14:CN7.:s?:.1N f?4 ':i:LDi:^t'::;
•s.? c°r.r
f?.?...1,.f 9001.
3210 901:11 089 r,na:NDr~OP D
3c.'.:1.(7 `:?(:;(:I:L 1600 SNOWF!...AKf=
320 `?C)i:):!. :!.`S"_-?:t SNf.lial=f...Ai;E
320 9001 090 ;'iNt.)Wl"t...AKE
:ac 0 9001 3249 f:::Vi::RGREE::N
+ ,7,? r•
?3c:..?..i
9001
?
;:3c..::3; T '"
i?.???.... ?- !.-?.- ?
... ?:.k;.:,Ft,::.:..•.
320 9001 =-?%'i•_'8 k::Vi::RGRi:::i:::N
::3R:l.O 900:l. 3225 I::.tJl::.RGf:;{=.E=.N
}. ,.?
3c...i.?.. r?••t;•,. ? t.??..,.1. .??r ,::c:?
i.6
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.
rRO99500
U?;r::i,
• :I::??;; n!n??r.s?,'
ff
4•..1C:ur"7C
.a
07.25
07.25
07.25
69.::}J
137.f_y.4.!
137.25
07y 25
07.25
07.25
Q COr.vT.::NU1=:
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?:,.????;? y?a:.?.•?y"''};:'{ "'^h `o'?"? 4'?,r,? p.•.?.;'••r? rs?'
r. ?? ?7.T.?`•R?.11-:.
i?:i,.,, t,?.r,.„??.:?, )?.?Si?:.?C. 3.4.i,::?. 7;{?.,?.:{.?..•..i. ?... ?( ?. .
r":f.TY OF EA[„riN
r.::ASi`?Ir:r;.: c.:; Tl:::RM:f:NrL_ N(:7,: 749
PATE:; i.i.:r0/98 TIM;-,; 15000
0n Y? a
Nj31-!E „ L.jI::ISSi:.1... (xl {.N1.)01d1
300 900i 321.:3 :11.37„25
3210 9001 :l.620 Rfll:NDf:C)1:r :?.`?r'nc"i
3210 9001 160:3 Ri;7.NDROf' 137..%y`i
..?.. ?? r?-? ?... ;?.c• C.'. f"?;i i_? ?' s M?.?a. i?4Y?4:i? t?,v Q624.75
? i:?'?:??:.
l, r: f.l99i I.l CJ
US1=: R :CD; Nfi;NCY
)...i il-??? •ir I, I?t???t isvlr Ii• J
`-? CITY OF EAGAN
38:jV. Pilot Knob Road
' Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
PERMIT
1589 RAxNClFtCIP t7R
LOT< 53 BLQCK: 1
C(]AChih1AN HIGHLANDS
Pe1:eNeo 10-18075-530-01
PERMIT TYPE: Bu:r LDzNG
Permit Number: 034044
Date Issued: ;L 1/ 17 / 9 8
DESCRIPTION:
REROOF/ 6
? e
13,0i11;dirtt??_P_ermit Type
Q;uildinqWcrsr.,.k., T y p e
flCensus Code
? ?.
:
_ -,
x ?
J.9 .. ,. .. . . .. . . ,. . . . ? _
. e, e ... . , .. , .. . . .?"?
f
K
g$ ? ? r
F'LEX
muLrI. (MrSca)
REPATR
434 AL7e RESICIENTIAL
? 3?
1w 0
ffi
? ? ?
?",? F ? s?.3" q
REMARKS:
]:NC LUfIES< 1591 ,1593, 1595. 1597 ? RNCJ 1593 e
FEE SUMMARY:
VALIJAT:COPd
Base Fee $137..25
Surcharqe
Tota]. Fee $141>25
$$,000
CONTRACTOR: -- App 1 z r a n t-- OWNER:
BEISSEL WTN(ICIW & SIDTNG 24616835 COACHMA(V HIGMLANDS AS50C.
3213 EVERGREEN DR 1589 RATiVLIRqP DR
EAGAN MN 55121 EAGAN h1N 55122
(612) 451-6835
? I hereby acknowle.dge that I have read this applicati.an an? ??ate that the
s.r?fior~mation° is oorrect and agred tcr ccarhplv w3th al.L applica#ale: State of Mr?>
? ata'Cutes ancl Csty af-Eagan,Ctrdinat?ce's4 ,
APPLICANT/PERMITEE SIGNATURE UED BY: SIGNATU E
1998 BUILDING PERMIT APPLICATION (COMMERCIAL)
CITY OF EAGAN
U 4 l d 681-4675 _.?
?
A 1-»-9 ?-
iuDmit rouowiny w wLau ? ? ??,1=0001 y N
Foundation Only ?lesilk
New Construction
, Interior Improvement
structural plans (2 sets) architecturai plans (2 sets) architectural plans
i
l (2 sets)
(1) ""
civil plans (2 sets) structural plans
i (2 sets)
(2 sets) ys
s
code ana
project specs (1 set)
code analysis (1)
soils report (1) ans
civil p
landscaping plans (2 sets) Key Plan
"
project specs (1) code analysis
t (1)
1
O energy calcuiations
Electric Power & Lighting Form (1) not aiways
(1) not always *"
Speciai Inspections & Testing Schedule
SAC determination letter from MC/WS - soils repor
SAC determination letter from MC/WS - SAC determination letter from MC/WS -
call 602-1000 call 602-1000 call 602-1000
Special Inspections & Testing Schedule (1) "
project specs (1)
energy calculations (1)
Electric Power & Lighting Form (1) "
Contact Building Inspections for sample
Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details.
DATE: f/- /V -?r WORK TYPE: NEW P--.'REMODEL
DESCRIPTION OF WORK:
CONSTRUCTION COST:
SITE ADDRESS:
-4`
TENANT NAME:
SUITE #:
T 1sai, lsci--:), ls°I-I
LOT ?!>O BLOCK I SUBD. CC) CL C1v W-P, t? .-?'?i P.I.D. #
Name•_._??_-?_??-- ---- ----- Phone #: - - - ?
PROPERTY Last First
OWNER
Street Address:____ - --? ?--
City _- ------ -- ---- ---- --------- State: ----- ------ ---- ZlP' ------------ -
` i w S` ?d f Phone #:
b=
1
?
?? FJS
------------- ---
ComPanY: --- ._
_
??'-?---r---
----1
CONTRACTO
R
Street Address? m?s.,k!! ?
License #? --
/ 1 U
-
/'
?? State•.
--
???
--- Zip:
--
City !!?_
-- -
-
ARCHITECT/
Phone #:
--- - --- -------
ENGINEER Company:______?___? ?_ `_-- ------- M-
Natne: Registration #:
Sereet ?-`--
City State• ZiP: ------
Sewer & water licensed plumber (only if installing sewer & water):
I hereby acknowledge that I have read this application and state that the information
Minnesota Statutes and City of Eagan Ordinances. A
Signature of Applicant?---
OFFICE USE ONL
and agree to colnply with all applicable State or
BUILDING PERMIT TYPE Y "
? 01 Foundation 0 19 Comm./Ind. Misc. ? 21 Miscellaneous
? 18 CommJlnd. ? 20 Public Facility
WORK TYPE
? 31 New 0 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. Census Code
# of Stories sq. ft. SAC Code
Length sq. ft. Census Bldg.
Depth Footprint sq. ft. Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee ? '1 . ?° IS7 Valuation: $
Surcharge ?-• ? CJ
Plan Review
MCNVS SAC
City SAC
Water Conn.
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
% SAC
SAC Units
Meter Size
2/84
CITY OF EAGAN
APPLICATION FOR PERMIT
- SEWER AND/OR WATER CONNECTIOr1
? 1) PROPERTY ADDRESS : / 5 g cl _
7-7A?, nF'_5f`^TPTTC°tti- .
? (PLEASE PRINT)
1
? ?tic- A0
?u
-"*-?/l '!G???
(Iat/Block/Subdi
visio
T
P
l /?
?
,
n or
ax
arce
I.D. Ntunber) ?
?
I"r EXIST= STRL'C'I'?'JF2E, DATE O-F ORIGliNAL BUILDDIG P'.MIT ISSuAitiCE:
,,?•?.--- =??=%
PRES= Z^'IIi7r/P?QPOSr.?7..? L'S=-: O R-1 Su11GI.E FPIAILY
? R-2 DUPLEX (TM UIVITS)
43-R-3 Z'OWNfiOTJSE (TI-3REE + LINITS ) (? iJNITS )
C7 R-4 APAR'IT4E2v'T/C0NIDOMNICM ( Wi ITS )
? CONfi1EftClALjRETAIL,IOFFICE
p RMUSTR.ZAL.. _, ,
? T-NSTITUTIONAL/GOVERNM=
2.) (PLEASE PRINT)
APPLICANT
l
ADDRESS: 1-c9 St 1 S l°( ?(A 0
CI'TY, STATE, ZIP: (< ? ?, . 1 L L. c?--? ?f •:'??? 4?4?
pxOLNE: U.S. - q 4 l 2r
3) R PLEASE PRINT)
P?mER ?
C
" FOR CITY USE DNLY
.
a c
O C.A, ot ? t
C ?c
:
ADDRESS: ??, s f (1 d 1-F r? v'-e PLUMBERS ,
Active
CITY, STATE, ZIP, tC` 0 tL l L? A,-t .`i Expir
P??: ?
, y6 ?( -5/? 4t' ? PLUMBER LICENSE # of Re rd
'Staff ni
4) OCCUp?/CWNER (PLEASE PRINT)
NAM= a !t v ?o oR?t P ?Q ,?f c ?c S
ADDRESS:
CITY, STATE, ZIP c,t C) ?,-/
PE-OVE :/- 2 6-2 - G Z c-7
5) INDICATE 4VHICH PERMIT IS BEING REQUES'TED:
-fa-mmECrION TO CITY SE.Tr]ER
.
` . ]-CONNDCrIt7N rM CITY WATER
? OrMM (PLEASE DFSCRIBE)
6) INDICATE ONE:
? PLF.A.SE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
..E?-gZEASE MAIL APPRCIVED PER:?'LIT M 1, 2,0, 4 ABOVE °
(Circle one)
7} S IQNP,'IU'RE :DATE :
._ ?
wl .i'l
:Onq . .. . ..
F O R C I T Y U S E O N L Y
PERMIT * ISSUED
17- -
.,
FEES: $ SEtf7ER ?'ERMIT (?`dC:.uD? SUP.CHARGE)
$ I a•SU TvA ^r,?. PFR7"4ZT ( I„rLUDE SURCHARGE)
$_ ? WATER METER/COPPERHORiV/OUTSIDE READER
$ WATER Tf1P (INCLJDE CCRPORATION STOP)
$ SEWER TAP
$ ??uc ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
-?
- WAC
?
SAC
$ TRUNK WATER ASSESS11IENT
$ TRUNK SEWER ASSESSMENT
$ - LATERAL BENEFIT/TRUNIC SEWER
$ LATERAL BENEF''IT/TRTJNK. WATER
. OTHER
.. . .: ,: ..
. . . . ._.
$
TOTAL ,
' . - .
: $ ??Z• AMOUNT PAID/RECETPT
-
BOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RTGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN `
PUBLIC ROADWAY'.' MUST BE ISSUED BY THE
NO ENGZNEERING DIVISION. LZST AS A rONDI-
TION.
SUBJECT TO THE FOLLOWTNG CONDITIONS:
APPROVED BY :
TITLE:
DATE :
•t ?.? ?ts it ? iee atw rt ? act ?r?s? ?? ?? ?t f?t s?? ?? ?a? i•t ?? s? ?-+? ? ?w ?t ?.-ro ?t? wt? ? ?s? ?. ?
2/84
CITY OF EAGAN
APPLICATION FOR PERMIT
' SEWER AND/OR WATER CONNECTION
( 1) PROP= ADDRESS :
DE.CRZPT C'N-;
(PLEASE PRINT)
` . ?
b
,4.4?
(LotyBiock/Subd.ivision or Tax Parcel I.D. Ntunber
IF EXIS:.'??'C: S'I'RL'C'TC1F2E,. DATE Oz' ORSGli BrJILDDIG PEPM2T ISSuANG:
P.2F.S?T _"0*TIi1?/P'pnPOSED ? R-1 SDJGLE FP.:N.ILY
O R-2 DUPLEX (Zin'O Wi ITS)
$-R 3 TGWMOEJSE (THREE + UNITS) C [TNITS)
p R-4 APAR'n`=/C0NIDCmL\1ItM ( Wi ITS}
? COMMERCIAL/RETAILfOFFICE
p IlMUSTRIAL
Q INSTITUTIONAL/GOVEf21TMPT
2.) APPLICANY' (PLEASE PRINi)
,
/?
?? : t9
ADDF2ESS :
crrY, srATE, zrF:
3) PLUMBER ,. PLEASE PRINT) FOR CITY USE ONLY
?- fy.
ADDRESS:
l°F
t4 PLUMBERS lI NSE:,
. t i ve
. CITY, STATE, ZIP: L. .ti( S 5,/ ?/
-T---` Expi d
RASiFR
P??.
4(,5 - y 5 Sg' PLlfMBER LICENSE # of Record
nirTTI
4) OcCCrnAN'r/aqNER (PLEASE PRINt) ?
?: a/L Gc C
-
Z /
?/Z o o.c J4 .41- .[.,l e 4 C
:
ADDRES5:
CITY, STATE, ZIPt s? ?(G K cJ
PHONE: _2_ J?Z "*A-
5) INDICATE WHICH _ PFRMiT IS BEIlVG RDQIJESTID: _
O'CONNF7CI'ION To CITY SD]ER
? CONNFCTION T0 CITY WATER
? dTHER (PLEASE DESCFtIBE)'
6) L'VUICATE O:JE:
? PLF.ASE HOID APPRQVID PERMZT FOR PICK-UP BY ONE OF ABCNE
? PLEASE b'fAIL APPRC?IED PE?t:UIIT ? 1, 2,(9
4 ABO?IE
(Circle one)
7) SzG?AMRE: ? ? c, DATE: ,r L-L? lgs?
_F' ;srx .P?.
' ? . .,
F O R C I T Y U S--:---' O N L Y ?
PERMIT # ISSUED
FEES : $ SEtf7ER P ERy1IT ( I`,CLi:D.Z SUP.CHAtZGE )
TnTATER P.ERMIT' ( It7CLUDE SURCHARGE) -
WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP(INCLC3DE CORPORATYON SiOP)
$ SEWER TAP
$ ACCOUNT DEPOSIi - SEWER
$ ACCOUNT DEFOS I^ - WATER
$ WAC
$ SAC $ TRUNK WATE:t , ASSESSMENT
$ TRUNK SEWE12 AS5ESSMENT
$ - LATERAL BENEFIT/TRUNK SEWER
' w2
$ - - LATERAL BENEFITf TRU?ATER
'?-- :
": • _ .. .
OTHER _,-?-
?'?
m, r ,. w r.._.. . . . ?x
_ . S TOTAL
, ...a?....,..._t
, _ ° .
S AMOUNT PAID/RE_CEZPT #_
,
DOES UTILITY CONNECTZON REQUIRE EXCAVATION.IN PUBLIC RIGHT OF WAY?
.,, ,. <? ...._ . , _ ,...
YES IF YES, THEN A"PERMIT FOR WORK WITHIN ;
PUBLIG.ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVISION. LIST AS A CONDI-
TIGiV.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVEQ BY:-
TZTLE: -
1?-?-
DATE : ? ?5--
?! ?J? ?4i? li! ? i?f ?!!? iE ? ?! ?L•!? ?? l! ? ? fi4 iRl? /4,i f?k+? !! ? ?! il?i !!.? l? ? !E ?.? 1!? /?? l?4 ?:l? /? ?::
r
2?-a
CITY OF EAGAN
APPLICATION FOR PERMIT
' SEWER AND/OR WATER CONNECTIODI
(PtEASE PRINT)
1) PROPFF]PI'Y ADDRESS:
-- ? /
(1.,otlBloc.k/Subdivision or Tax Parcel I.D. Ntunber)
IF EXIS?'.--:G STRUCTC.?2E, DATE OFORIG,-,L,1AL rsLilLDiTNIG PERMIT ISSJANCE:
??'?----- -.?? : -
PRESENT ?^`JIir,/PROPGS. r.?} L'Sy: ? r'2-1 ST-NGLE FPMSLY
? R-2 DUPLEX (ZhO UIVITS)
-0--R-3 7OWN30LTSE (TFiREE + L1'.VITS) UNITS)
? R-4 APAR'Il`=/CCNIDOmP112LM ( Wi ITS)
p COnyfE.RCIALjRErAII#/OFFICE
Q L'MUSTRIAL
Q INSTITUTIONAL/
2) AppLICANT (PLEASE PRINT)
NAM: f'( c ? t-? c/l ti t?-'l yc `?-?
ADDRESS :? a4, l`4-
vA, J
CITY, STATE, ZIP: 1" K lc 4 u? S-S-
PHONE: j(,c(
3) PILZMM ` (PLEASE PRINT) FOR CITIf USE LY
NANIE:
PLUMBERS ENSE:
ADDRESS :? v?
;
Active
CITY, STATE, ZIP: Expired
t Record
PHONE: V4?-j' -v5,6 5r, PLUMBER LICENSE #
a 'itia.
4) OCCUp?IOWNER (PLEASE PRINT) . r'
NAME: v
ADDRESS :
CITY, STATE, ZIP:
PHONE: ?-? 5 L? 4 2 4
5) IlVDICATE WHICH PERMIT IS BEIDIG REQLTESTID:
QZONNECrION TO CITY SETrIER
CONNDC'rION TO CITY WATER
? CJ!'EiER (PLEASE DESCRIBE)
b ) r1DICATE OINE:
? PLE'.A.SE HOLD APPRWID PERMIT F'OR PICK-UP BY ONE OF ABOVE
--q??SE MAIL APPRC)VID PERNLIT TO 1, 2,1!T)4ABpVE
(Circle one)
_ ?.
7) SI=TU'RE:
DATE:
?
! em 1CK am flo tiY[m1a teR;:i MiC
?
•-- - ,
F O R C I T Y U S E O N L Y
PERMIT r ISSUED
F - ?
FEES: $_T?? O
--
$
$
S
$ 15:-o 0
$ l,5-1o c?
$ 0,,
$
$
$
$ .
SETPIER PERMIT (INC:.i;DIE SUP.CHARGE)
WATER PERMIT (INCLUDE SLTRCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
'v°JP.c
SAC
TRUNK WATER ASSESSMENT .?
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK-SEWER
LATERAL BENEFIT/T NK WATER
OTHER - - , ?-.
.. ,: , .., .. r > ,
_ ` .,. .
: S TOTAL _ . :..
.. .
. . ? ,
" $ ?J,,?• `? _ AMOUNT PAID/RECEIPT
? _ . .
DOES UTILITY CONNECTION REQUIRE EXCAVATION'IN PUBLIG RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK'WITHIN
PtJBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINFF;RINr T?IVISION. LT_ST AS A !;nP:DrT.-
` TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
? -
TITLE:
DATE:
oqs--pw wim Ne w3a ?o mmmme
".'84
CITY OF EAGAN
APPLICATION FOR PERMIT
- SEWER AND/OR WATER CONNECTION
(PIEASE PRINT)
t ,
? 1) PROPFRM ADDRFSS :
"`', T)F-Sk='i`Ir:N 4
T'r' EXIST_`:G STRL'CZ'(„TI2E, DATE 0F ORIGI?IAL BUILDIl'IG P?'-?:.IIT ISSJ;q1dCE:
- ,
.-
P:2ESENT ?^`7Ii1r/P.P!OPOSEJ USy: 13 R-1 SINGLE FP.NLLY
0 R-2 DUPLEx (TnU LNITS)
,E}--Ft 3 TIXn1NiCxJSE ('IIE-REE + UNITS ) UNITS )
? R-4 ApAR'IT=/C3NDOMINIL'Nl ( Wi ITS)
p COMMERCIAL/RETAII,/OFFICE
p IlMUS'IRIAL
p IlVSTITUTIONAL/GCU'ER.?1T
2) AppLICANI• (PLEASE PRINi)
*?['1L"i?/r
L`IC,.
ADDRESS :?
CITY, STATE, ZIP:
__ . ,_. . . _.:. PH0M:
3) PUDIBEP, ? (PIEASE PRINT) FOR CITIf USE OFe3.Y
NNE: 14 G acc
PIUMBERS LICENSE-:
? ADDRESS: c t i v e
' CITY, STATE, ZIP: 4 s¢!c: v V Expire
TE of Record
' PHONE= $,5, PLUMBER LICENSE #
St-aff-Tn-IT-1 sa -
4) OCCtJpAN'r/aw[JER (PLEASE PRINi) NP,M :d R ic 7` i?r- /t. Co r+-e cr c•
ADDRESS:
CITY, STATE, ZIP:
PHONE: ?- a
5} IlVDICATE WHICH PF•RNLIT IS BEING REQUESTID: .. ?
9-C'6AIIVElC'1'ION TO CITY SETrJE.R
B CONNF7CTION m CITY WATER --
? OMM (PLF'.A.SE DESCFtIBE)
6) INDIGATE 0INE :
. Q PLF.aSE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF ABUVE
e-PL.EASE NtP,IL APPROVID PERMIT 'IO 1, 2,tr;r-N 4 ABOVE
(Circle one)
7) S IGNIATL'RE : '-
??i DATE:
.:xi ? 4w3- `?iw "
As w?rmt:mmr-aa :z= au a-t iest?.a . s . ae.m
?
F O R C I T Y U S E O N L Y
PERMIT '-` ISSUED
.?
FEES : $ ?D - S U SEWER PERMIT ( I'ICLi;DEE SUP.CHARGE )
WATER PERP'[IT (INCLUDE SL'RCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TP.P
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOS IT - WA'I'ER
WAC
SAC
$ TRUNK WATER ASSESSP4ENT
$ TRUNK SEWER ASSESSMENT LATERAL-BENEFIT/TRUNK SEWER
$- LATERAL BENEFIT/T NK WA ER _ ?
OTHER _
?
.. _ . t:
UVLJ U 1-1L1'1'Y I:UNNC:C:TlUN KEQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
_. . , ...
_. _:_ . . .. ,.
..,. _. C?
. YES IF YES, THEN A"PERMIT FOR WORK WITHIN '
PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISZON. LZST AS A CONDI-
_.. TION. _
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TZTLE:
DATE :
•E s•? ? we ? ? ? ? ? ? ? w? mmsE s:m wsis wo +? ? W:m sk" aum Mr: wsa al.:m plum wcw m win w ..
?
2/84
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODI
(PLEASE P4INT)
1) PROPERTY ADDRESS:
1T=^'
?:zr'? D:..?i°?.?t'?`l C.J.
IF EXI?T_ ?G STRL'CT',,'E2E, DATE 0-F ORIGNAL BJILDL-ING P?,.ti1IT ISSUANCE:
PRESr--"7T ::^`, TIi3r/'P??OPOSED1 JSE :
13 R-1 SmiCZE FP?N.I:,Y
O R-2 DUPLEX ('IWO UIVITS )
[3 R-3 ZCWM(LTSE (TH2F.E + [1;VITS) ( LTNITS)
p R-4 A.PART!=/CvNIDCmINICM ( Wi ITS)
p COMMERCIAL/REI'AII,/OFFICE
p IlMUSTRIAL-
p INSTITUTIONAL/GOVERZ=
.
AppLICAN'r (PLEASE PR:NT)
. .
NAME=
ADDREss:
f ?----
CrrY, srATE, zIP: /l /O?G Y U r.1l?c ?r ?? • ?..
.PH'?:
_ 3? P?? , (PLEASE PRINi) FOR CITY USE ONl',
, C? -
: ADDRESS: PLUNBERS CEN E:_
Activ
CITY, STATE, ZIP: Ex red
MA?ItN
PHONE= Z4 ? - yf $'?( PLUMBER LICENSE // ot of ecores
?i
4ff nitia.
4) OCCJppNT/a*ER (PLEASE PRINT).;?
NAME: ?? cs ??4 ge m ?a .u .r? ?- Rt c ? S
ADDRFSS : .
CITX, STATE, ZIP:
PHONE: I ? 'x- 5 "L -t- 4
5) INDICATE WHICH PEP.MIT IS BEING RDQUESI'ID:
7L-1 '?.'ODINF7C.TION TO CITY SETrlER
.. ? CONNDC.'TION TO CITY WATER
Q (7!'EiER (PLEASE. DFSCRIBE) .
6) IIVDICATE O:VE :
? PLF.ASE HOID APPRWM PERMIT FOR PICK-UP BY ONE OF ABOVE
? PLF,ASE h'fAIL APPROVEU PERNIIT 'PO 1, 2,(a 3 4ABWE
(Circle one)
?
7) SI&NAZU?2E:
C
?L
L
?
?
X
G
e
---
DATE: /
,
mll??'?.'?':???t?s-?e:? .,, E ??a :?:c't.:;.?:?r??m-r,a r?@ 8?9.`r'? s+t?: ?t..?•s?_? +E? aw r?:?' ?r ?t??ae.s? ?? ? .??-n ;?sa s?..... :?r.v?s;:», =,:?,? ts l?t art mit Iit?eal?r-,''7Y?'_?r-irG s?
F O R C I T Y U S E O N L Y V
PER-MIT # ISSUED
I
- L__ - FEES : $ Sytr7ER pERMIT { INCLt;DEE SUP.CHARGE }
WATER PERP'(IT (INCLUDE SU;?CHARGE )
WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP}
$ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ 6-, ACCOUNT DEPOSIT - WATER
$ t%'AC
$ c) SAC
$ TRUNK WATER ASSESSPIENT ss
$ TRUNK SEWER ASSESSMENT -
$ - LATERAL BENEFIT/TRUNK SEWER -
$ - ? • LATERAL BENEFIT/T
UNK WATER
OTHER . ._., G?/? w..
?
.. < ?. ... a . .a, .: . ,.A ..._. y_ . t ,., .. .. . . . .. ..> :.
.:?
, .... .: . _ _ . _ _ _ -? . .
TOTAL -._ . ?
620 . _ . . _ _ . .,..
,
AMOUNT PAID/RECEIPT # £
DOES UTILITY CONNECTION REQUIRE EXCAVATION.IN.PUBLIC RIGiiT OF WAY?
..,.... ?
E
_
,.
S IF YES,
_.. .. , . .,:: „ ...
. . . _ ,._. _ ,_ ...
THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST.BE ISSUED BY THE
C] NO ENGINEE RING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
/
APPROVED BY:
TITLE:
DATE :
MR uk-.M sun nt rJIN .Lw atmsm
. ?....,...... ...... ,. „.,„„.,. ..
. _
? 2/84
? CITY OF EAGAN
? APPLICATION FOR PERMIT
- SEWER AND/OR WATER CONNECTIODI
, (PLEASE PRINi)
c
1) PROPERTY ADDRESS • S "'
-97
t.5 f
r Fr,Ar, DFSCRIPTIO •
(Lot/Bloc /Subdivision or Tax Parc I.D. NLanber)
IF E{IST=`:G STRL'C'I?JE2E, DATE QF ORIGli BliILDL-NG PER,1IT ISS"JPNCEE;
P.TLF',SENT ?-:'^`7Iir,/PROPOS=D L'SE: ? R 1 SINGI,F FP_yLILY
? R-2 DUPLEX (TGvIO UNITS )
-8-R- 3 Z'OWNHOL'SE ('I'HF2EE + UDIITS ) ( ('? UNITS )
? R-4 APARZ11ENT/CONDCMNIUM ( UNITS)
13 COMMII2CIAL/RErAIL,/OFFICE
Q IlMUSTRIAL
? INSTITUTIONAL/GOVERNMEN`I'
2) AppLICA?,VT (PLEASE PRINT)
1?ME : ?
/-tC('? k! rt ti iK <c C?
ADDRESS:
Cllj, J1C11E, GiIP: , `1415•. i/, ?/Y !+? I?C S 5r?
PHOivE :
3)
PLtJMBER PLEASE PRINT)
FOR CITY USE
N?,
- 1,4b a,?; ?
PLU LICENSE:
:
ADDRESS:
t r
Active
CITY, STATE, ZIP: Expire
MASTER Q Record
PHONE: PLUMBER LICENSE #
a nitia
4) kNLtAJt PHINTJ
NANtE: n;a. n<< ? :t; ,.3? L
ADDF2ESS : os? ? S ti,?, ?, a? 1) r) A- m x a S?
CITY, STATE, ZIP: 14 af rG 3 a
PHONE :/_ a.s Z_ G zC, Z
5) INDICATE WHICH PERNIIT IS BEING REQUESTID:
Q CONNECTION TO CITY SEG]ER
CONNECTION TO CITY WATER
? Or!'HQZ (PLFASE DESCRIBE)
6) INDICATE O?IE:
? PLE'.ASE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF ABOVE
Q PLFA.SE MAIL APPROVED PERMIT TO 1, 2,03 4 AB(3VE
(Circle one)
7) S ICAZLTRE :
DATE : ?
?rl?l;iF?Fi1R-.101?io1l1lnital?:??:f?fN!li?lkl?'?k?a1s?#rr#?ifioltli?trfi???t?raatlM?I?WfMrt??liuliM?r?nlfrlki[?le1??i?a? :?
?
F O R C I T Y U S E O N L Y
PERMIT " ISSUED
FEEs : $ /D.? ?
$
$
$
$
$
$
Y 3?0 0
$
$
$
$
$ /73a u 0
$
V c?,?? • ?/ C1
SETr7ER n ?'RtiIIT ( I?;CT liD? SUP.CHP.RGE )
WATER PERP'[IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TP.P
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
wtic -
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENE71,TRUNK WATER
OTHER
TOTAL
AMOUNT PAID/RECEIPT # ,3_'?? 2 ??
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
[_ ] YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
(^] NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
•e W-sO =us
srt ? ? ?? ? ? ?t s?:? ? ? ? ? ?:s4 ? ?,a ?-? .? ?? ?.s? w.? s?t ? ? ?.-.??s ?? w?•? r?t ?s? r. ..
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CQ ?? lQ ( CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 3
Site Street Address M )?ai n 1' r i'cxp, Unit #
Property Owner R&6 1"' Si (2,bd 1 Telephone # &'Sl) 4-,?5 - ?Z 09
ti ?\
Contractor 4 (? ?'" I top WU ire_ S Telephone #((05T
Address 1 U CJ14( kpo-ot City State Zip
?
The Applicant is: _ Owner ontractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener ( Water Heater $ 15.00
__L,_?replacement _ additional ,
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
T
t
l $
o
a
I hereby apply for a Residential Plumbing Permit 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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
? -e-b Rer-Gill0. ?VJ ?? - ;?r1 r?
Applicant's Printed Name Applicant's Signature D??Gj U?5
I ? ? ?
? 9 c004
:? 2?1-10 2006 RESIDENTIAL BUILDING rExMIT arPLicaTloN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan 'rf lot platted after 711193
Rim Joist Detaii Options selec6on sheet (buiidings with 3 or less units)
Minnegasco mechanica( ven6lation form
RemodeVReoair Reauirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicafe if on-site septic system
,
? 3 31. '2 S
C ? • ?? , S"?-? 3
__
Office Use Oniv
Certof Surv ey Recd _ Y_ N
Tree Pres Plan Recd Y _ N,
Tree Pres Required,l _ Y_ N
On-site:Septic System N
Date Construction Cost
-v
Site Address KG_Vtk ?0?o r Unit/Ste #
?-1s91 'tS93 1 95 /S??- lS 9
Description of Work ??(1 I?fLt'_?'?? r1? 1?1 I h
i ?6u?S
Multi-Family Bldg t,l Y N Fireplace(s) _ 0 _ 1 _ 2
Property Owner t p,qt-1-1,{Y?A r C? ?14h ? J ?tWA X Dm z?j Telephone # ?
?
Contractor ???1'1 SSqY1tC I? ??'?176
Address ?;51 ki IQ Lood l.Yl ? 130 City 10414 tzOve-
State Zip `753? 1 Telephone # ('?3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(?( submission type) • Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes,,date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the inforrnation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN
Statutes; 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.
C I?C?/ ? ??0,< /7Ch J4?'? • ` ? ?????_
Applicant's Printed Name Applicant's Signature
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651)675-5694
- ----------,
, ?9?3?
I °ermit #:
? Permit Fee:
? Date Received:
? Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 159cE
Tenant:
Suite #:
RESIDENT / OWNER Name: 4 Zal Phone: 05P
?? /D ?
Address / City / Zip:
#
?S ?????' v I
Li
CONTRACTOR cense
:
Name:
Cftmpfvn
Address:
City: 31111TQ Cipdd R4. I11h00 State: Zip: '
t Person:
S? ?
?C7 C
t
Ph
(?
4?
j
on
ac
one:
{o
?
TYPE OF WORK _ New Replacement _ Repair Rebuild Modify Space _ Work in R.O.W.
Descri tion of work:
PERMIT TYPE RESI ENTIAL ;
?Water Heater Water Softener +
, i
Lawn Irrigation Add Plumbing Fixtures ;
RPZ /_ PVB) Main _ Lower Level) ;
?
Septic System Water Turnaround
New
Abandonment ?
?
RESIDENTIAL FEES: ?
i
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, 5eptic System.Abandonment, Water Turnaround' (includes $.50 Stzte Surcharge)
`Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (inciudes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
? •?
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City ot
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 appr6val of plans.
x ejr x AAV
Applicant's Printed Name AppUcant`
- 'I
i;
;
?
i
??D H-D
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1589 Raindrop Dr
Lot: 53 Block: 01 Addition: Coachman Highlands
PID:10- 18075 - 530 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
Owner:
Peter Sicoli
1589 Raindrop Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Mechanical
EA082679
04/22/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
F -, _ �
� �, �'�iw ��� f � �51 � e � �`� 51I.S�� �, � S`�l
Use BLUE or BLACK Mk
�-----------------
� For Office Use �
� j Permit#: �� (/'��/ �
Cit� of E��aIl ; P . . ��� �� ;
ertnit Fee.
3830 Pilot Knob Road
Eagan MN 55122 � Date Received:�� I
Phone:(651)675-5675 I I
Fax:(651)675-5694 j S��' �--- I
� V����������������J .
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
��: ���2O� Site Address: - S �ZRI�i��. � u��t#: �5 - Y
' Name: Phone:
Residentl r c— �p ` �
CIWitBT Address/City/Zip: t� � J �q itiP�N��Cl i� �(Z�1/`�-
Appiicant is: Owner �Contractor
Type Of WcxCk Description of work: ����f
Construction Cost:� � "4 dl�b� Multi-Family Building:(Yes X� /No_)
Company: �p'F �.C�► 6�A, ll�Cr. Contact:�E%��,y (.�}I�3.�TU1�)�
�ontractor Address: _��b� I,XU.�Ii� l�L1� ��. ciry: 5�. M��e.l��ErL
State:�'1� Zip: 553�l� Phone:(;I��'�Fj•�iI3�EmaiL _(apFf�1J A ti�1C.�..I�"W-�1'►'�0�� �-C-ls
License#: �l��,��j 3 Lead Certiflcate#:
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 morrths,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 8 Water Contractor: Phone:
NQ'TE:P►ans and suppord»g docume�tfta#you submit ane considered#o xte public i�ormation. For#ior�s�f !
the iniormat�o�may be classt�"iecF as�ran�ublic it yc�u prorride spec'�f"rc reasvns#lra#would permi#i�e Cfty to
conclerde that the are tra�ale secr+e�,
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.00�herstateonecali.ora
I hereby acknowledge that this iMortnation is complete and accurate;that the work will be in conformance with the ordinances a�codes of the City of
Eagan; that I understand this is not a pertnit, but only an appliqtion for a permit, and uwork is not to start without a pertnit; that the work will be in
accordance with the approved ptan in the case of work which requires a review anci approval of plans.
Exterior work authorized by a building permit issued in accordance with the Mi State uilding Code must be completed within 180
days of permit issuance.
X '��E��y 1��1R�i.,71� X
ApplicanYs P�inted Name Applicant' ig ture
Page 1 of 3