3235 Random RdCITY OF EAGAN Remarks
Addition SELMARK ADDITION Lot 1 Bik 1 Parcell0 67100 010 Ol
Owner seet 3235 Random Road State Ea'g2n, Mv 55122
I.-peur, 5. Lonc
Improvement Date Amount Annual Years ajl Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 53-00 2.12 2 Paid
iE SEWER LATERAL 1973 19700,00 113,33 1 Pi
WATERMAIN
* WATER LATERAL 1973 1
WATER AREA
STORMSEWTRK 1984 412.00 27.47 15 357.06 C010478 6-4-85
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 220,00 6325 - -
BUILDING PER.
sac 24O. o0 6325 8-24- 2
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
4f.i :(I
PERMIT SUBTYPE:
TYPE OF WORK:
I ;,,:, ? rwi, I I I: F NF,?
?
-1
I
Permit No. Permit Hoider Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg. D
,I
Deck Final
!
Well
Pr. Disp.
INSPECTION RECORD
ACITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
1
SITE ADDRESS: APPLICANT:
, . : z . 1;-1, 1- 1 ,
1 t T1lifii
7
I
PERMIT SUBTYPE: TYPE OF WORK:
?.i ,? . i: ? G?>;, , ?.?•?:,
Permit Holder Date Telephone #
SEWERI
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING la_?? `?. ? •
ROUGH
PLUMBING ,
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCTiwTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
' 3795 Pilot Knob Raad Ea9an, MN 59122 N2 5935
PHONE: 454-8100
BUILDING PERMIT Receipt #
sid;a,-; on hozase
4,000. 10-23 7£
To be uted for
Est. Value Date 19
Site Address ? r`0n_ - or P_o ^ Erect
? Occupancy T
Lot ,?' Block 1 Sec/Sub. `mark
Alter ?
Zoning , ? j
,
Porcel # 1" A71!?^ f?]..; Repair ? Fire Zone
Enlarge ?
Type of Const. V
? Name `??'?T1 I'?n? Move ? # Stories
Z
3 Address pemolish ? Front ft.
o Ci Phone !i i?`T 2 l,''?t`, Grade ? Depth k.
a
°.",n,?.: 77.# 7 T
N
ApProvols
Fees
p ame
3615 Fask. Lake Street
ol Address
"g
1- '1Fls 5540E 721-662P
Name _
Address
I hereby acknowledge thet I have reod this applicotion and state that
the informotion is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: `eT
all work shall be done in accordance with
Building Official
Assessment Permit
Weter & Sew. Surcharge
Police Plan theck
Fire SAC
Eng. Water Conn.
Planner Water Meter
Counci I
Bldg. Off.
r . ,.
APC Total
rnc• on the express condition thot
;able State of Minnesota Stotutes and City of Eagan Ordinances.
Pannk #k Dafe Inued PWMIltN
Plumbing
Mechanicul
INSPECTIONS DATE INSP• RougMln Final
Footings Date insP. Date Inep.
Foundation Plumbing
Frome/ins. Mechanical
Final
I
Remorks: ?? ?
. - = S"e / 12-2ar16
TOtaN OF EAGAN
3795 Pilot Knob P.oad
Eagan, Plinnesota 55121
PEt2rIIT P10. 256
The Board of Supervisors hereby grants to ThGmpeGKl pluItb3lV Co.
o f__ 1$201 Minnet+onlca H1vd,
a p7rn+MTm- Permit for: (Owner) ' 3a1'1y_ Comp?r
$t - & 3235 Rwdm Aoad,, pursuant to application dated
' 8/3t/72 .
Fee Paid; $40.40 Dated this 31st day of August ? , 19 72 ?
1.00 s o
Buw.lding Inspector
r.
?
TOv iN OF EAGAN
3795 Pilot Knob Road
Eagan, Ninnesota 55121
PEP.MIT N0. 21$
The Board of Supervisors hereby g-rants to RwT N. Welter HeatAng Ca.
of 4637 Chicago .Aveame Sauth, T{IP1.s. 551t01
a iiFATlNG Permit for: (Owner) 8 t?4 CmParq
at _3235 Rancitm R,pmd, EMan 55121 , pursuant to application dated
Fee Paid: Dated this Ar/a , day of J??,. , 19?.
T?
.50 s/0
Building Inspector
< < s . CITY OF EAGAN - -
3795 Pilot Knob Road Eagan, MN 55122 No 5035
PHONE: 4548100 ./
BUILDING PERMIT /?PPLICATION Receipt #? 12-1
To be used tor siding on house Est. Value 4,000. pate 10-23 1978
$ite Address 3235 Random Road Erect ? Occuponcy _ I
Lot 10 Block 1 Sec/Sub. Selmark Alter ? Zoning R-1
parcel # 10 67100 010 01 Repair ? Fire Zone 3
- - - - V
, Name Dean Long
3 Address3235 Random Road
O n_,___ i.?i. ntnn
,o Name PanelCraft Inc.
C
Address3615 Eas?r Lake Street
?... Citv Mpls 55406 phone 721-6628
Name _
Address
Phone
I hereby acknowledge that I have read this application and state that
the informction is correct ond a e to comply with all applicabie
State of Nlinnesota Stotutes uof Eogen O di nces.
Signature of Permittee ° -?
`
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grade Q Depth _ ft.
Approvols Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off.
APG
Permit j ' " _
Surchcrge 2.00
Plan check
SAC
Water Conn.
Water Meter
Total 17.00
A Building Permit is i;in d /PanelCY I on the express condition that
all work shall be done danc e with I a licabie State of Minnesota Stctutes and City of Eagan Ordinances.
Building Officiai -?J ?' '" .
? .... _.._. ^y
° EAGAN TOWNSHIP
BUILDING PERMIT
owne: da .
-- -------------.-----------------------.-------------------
Address (Preseni) ../.Q_ ZJ?d..._..?f-. .. .'-•-- -------•--?'? S° .
-e•- -•--------•
Builder .............
Address ................
DESCRIPTION
N° 282'1"
Eagan Township
Town Hall
Date _._.?'`_
..........................
5tories To Be Used For Fron! Depth Heighf Est. Cos! ' Permi! Fee Remarks
,,e ?. ?e?. ?y ?-? .S'od
I wo?- ?? ? .20 dl? . ' LOCATION 123.wa
Street, Road or othe Descripfion of Location I Lo! Block Addition or Trac!
3 .2
This permit does aoi sulhoriae the use of streeYs, roads, aileys or sidewalks aor does it give the owaer or his agent
the righi to create any situation which is a nuisance or which presenis a hazard to the heallh, safety, convenience and
genesal welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is io cerlifp, fhat-?.?*.??---?? ?? ............... has permission !o erect a...• • ---••-..- - - - - • •-••- • - • • --........upon
the above described premise subjeci to the provisions of the Building Ordinance for Eagan Townshiopled April 11.
1955.
,.......--••-•••---•---..._..-..........................? ---.. . ?---?-----•:.-•---•-. Per ....................... ........... ???-.....................--••-...
Chairman of Town Board Building Inspecio?r
C-A 022
/O '
? Y.a I ti Q
? P6.0 h O
b
OsQd : -- - ?
300
r)
a
h P/?f _U Q
?
LOT 1 BLOCK 1 SEI,MARK
?L?eno!`ns ?ian rr?onUrnPnf
I ho?ebycertily tho1 tAis is a true aed terract represeoeaNon Minnl90f0 VaSOfy Snrveyors &
of o turver of fbe beuedories o/the o6ove d*tcribed lond, b? ??' p peerfl' ? r •?, '.? ?
??,? .......r-? ?. ?
end of /ha locorioe of all bwiidie9s tAereon, and oli visible
encroochm*n», if aoy, f.om or on soid land. . ps ? .
As •arv`eyod by ma this?Oy?"dor oi A.O. f9? Minn. R88. NO. ?.92
<
? '.
.-
.. . .. ; .._ . ?, . .. r .? . . _ .. , . , _ .
i i
• LOCATION
MASTER CARD
3
OWNER pd ^Z&O (?p STRUCTURE AND
IAND USED AS
ma,ek-
Permit
No.
Issued Issued To
Contractor Owner
BUILDING .
PLUMBING - . - ??? ?? ?•?3 ? ?,r??
CESSPOOL - SEPTIC TANK
V`dELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER ,1
O7HER
Approved
•
Items (Initial) Date Remarks DisTance From Well
y ,
FOOTI NG
800
6• ?
0 SEPTIC
FOUNDATION CESSPOOL ,
FRAMING ?
TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING 6wxlm k4?µy+ OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING ,7- I Z ?'
WELL
SANITARY SEWER
•----
COMMENTS:
Violations Noted
on Back
. }
PERMIT NO. DATE OF INSPECTION
•
CONDITIONS OF CONST%2UCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
11 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
•
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions oL•senred to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
BUILDING INSPECTOR
DATE
23 \
CITY ?F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
.
PERMIT
P'ERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
021780
08J18/93
SITE ADDRESS:
3235 RANDOM RD
LQT: 1 BLQCK: 1
5ELMARK
P.I.N.: 10-67100-010-01
DESCRIPTION:
Permit Type qEGK
rk Type NEW
B?CiC?t? F2-3
14
12
' g <?.
a
??W ? A
?
REMARKS:
FEE SUMMARY:
L
Base Fee $25.00
Surcharge $.50
Lic. Searoh Fee 5.90
Total Fee $30.50
CONTRACTOR: - a P P 1 i o a n t - S T. LIC. OWNER:
CUSTOM REMODELERS INC 17842646 0001748 KQHN TERRY
8729 CENTRAL AVE NE 3235 RANDOM RD
BLAINE MN 55434 EAGAN MN 55121
(612) 784-2646 (612)452-0438
Is=t??ei??`ti?? ??n'?i.i?er??ge ??r?t ?T `??a?re° r?a?i ?his ga?pI 3.caat?.?in an?! sta to ?h?rtj?the ?
? th f o r°m a ? i ?i r?i ? °? c? ?? r ??? ?? ?-.. ?c? r?? ?e° "? ?C?i ?t?ts ?p'- y ? ?a i-t h;° 4`? ?.1' 40 t?`?. .? b? ?i .l 0 ?t ? t ? a f `m?1
?
-
. .
. a?? ??? , ?? ? _ •?f ??
??4.?t?s ?n,4 i-Y.yw?a'? na irr-nb.et.
9 -. k:;e ?
APPLICANT R ITEE SIGNATURE vISSUED Y: &1GWNATU E
.. ;I . 4s , .. - - - - - -
REACT I"JATE
PERMIti . ?,
ifil u
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
?M•40
SINGLE 8? MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. . ,
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
s_pecifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month•
ed or 3) lot change is requested once permit
is chan
s
dd
d
2
g
re
s
) a
e,
in which request is ma
is issued.
Oate f Valuation of work
Site Address: 3? 3:3 n?rr4
STREET SUiTE 0
Tenant Name: (commercial only)
j,pT BLOCK I SUBD. ? P.I.D. N
Descri tion of work:
The appl i cant i s: 0 Owner OContractor ? Other (Oeccribe).
Name ?1.'c'j hr1 _ Phone
Property LAST FIRST
Owner Address
STREET tTE #
City "cA a Y-? State InIv Zip
?
?
iF q - _.? `? 6
m -? ler' 2n) Phone
? -
Company
Contractor Address 8- 1?"'9 " - ?n ? f?V license #n?L`-?41?3 Exp.,?3 ?' ?
?.-?'r? -
I? state Zip ?.?
; n
1
a
c;ty
c4
Company Phone
Architect/
Name Reg i strat i on #
Engineer
Address
City State ZiP
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I h e re?d licatStionofanMid*state
l
h
p
a
and agree to comply
?
Eagan Ordinances. ?
?
- -
Signature of Applicant:' ? ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O OI Foundation O 06 Duplex
? 02 SF Dwg. ? 07 4-Plex
? 03 SF Addition ? 08 8-Plex
? 04 SF Porch ? 09 12-Plex
D 05 Sf Misc. 11 10 Multi. Add'1.
1NORK TYPE
[3 31 New O 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
O 11 Apt./Lodging
? 12 Multi. Misc.
O 13 Garage/Accessory
13 14 Fireplace
?15 Deck
O 35 Tenant Finish
? 36 Move
O 16Basement Finish
?
0 "1i Swim Pool
[] 18 Comn. / I nd .
CI 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
CJ 31 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy ? 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code ?
Depth X? On-site sewage SAC Code
_ ?
APPROVALS .
. .
:
?
Planning Building Assessments
Engineering Variance -
REQUIRED tN SPECTIONS '
O Site ooting 0 Framing O Insulation
? Wallboard Final . ? Draintile ? Fireplace
.
Permi t Fee 00 v.tuat;«?: g
Surcharge ? Review
UPS AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total.
SAC %
SAC Units
.?. .•
r-
?
?
?
?
?
?
?
?
?
kA
C?
?
?
?
?
?
?
?
i?
r'
c
n - -• • -- . .
i
,
;
1
? .
?
I i ??-
-+ ., ?
?
N
0
?
-F--- r
/
CITY USE ONLY J/1
L BL RECEIPT #: 6/??""/
SUBD. DATE: 7 `"AP '
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweilings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: -7- 1 o-i - OJ(o
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) 25
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .?
TOTAL
SITE ADDRESS: 3a ,35 ga h a Q rr-) Rd.
OWNER NAME: Cl nc/V L-?o Ar) PHONE #: 152 Z 043c?
INSTALLER NAME: WOM-EY'S socc-?hsi?e Lt9 01'?-/G
STREET ADDRESS: -763b W- 145f? S_?
CITY: 641)je VGt //e,/ STATE: M /V ziP:
PHONE #: ( (vIa ) ??I' 7U?I? ?
??
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? ail commercial/industrial buildings.
? multi-family buildings when separate permits are D9t required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK NPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee Q[ 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of r i fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (tMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITI(:
PHONE #:
STATE: ZIP:
TELEPHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE: Bu x LDING
Permit Number: 033780
Date Issued: 10 f 2 6/ 9 8
SITE ADDRESS:
3235 RANDQM RC1
L.OTe 1 BLQCKe 1
SELMARK
P , I . N . e 10-67100-010-01
DESCRIPTION:
REROC)F
Bu?.d?.n-q- Permit Type
B?.`i i1 d'irt gW&t?k T" Y Pe
r61? rr's us -t 0 d e
J4
?? .?4??m?
t?J`°? 'tl ?"?*'r
?
\ a? ?i
STORM DAhIAGE
REPAIR
434 ALTo RESIDEIVTIAL
? a ?pa0?a ?. ??
ft-
? + ?
?? ? ??.,
??iO?????
?s
REMARKS:
FEE SUMMARY:
CONTRACTOR: - APP1 i c a n t - S T e LxC. QWNER:
CIJSTCJM CQIVCEPTS CQNST 18987290 20142417 KC1MN TERRY
16540 KENRICK LQqPjSTE B 3235 RANDOM RD
I.AKEVILLE MN 55044 EACAN MN 55123
(612) 898--7290 { 651 } 9A2--4381
I hereby acknawlodge that I have read, thi.s oppla.n??tion. ?nd, s'?at-e that ?het
.
.inf arM' a t3an `isA caarr ect 'artd agree tQ comply with a11 a??rl?.cab?.e 5tate ,of 149
' Statutes° a`rld" Cit? cSf'Eagan 'q?-d inah c..e s:
APPLICANT/PERMITEE SIGNATURE I UED BY: SIGNATU
, 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675 ?
New Construction Reoi;ements
? 3 registered site surveys
? 2 copies o` plans (inGude beam 8 window sizes; poured fid. design; etc.)
? 1 energy catculations ? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
CATE:
RemodeVReaair Requirements
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; ?DQ ?J
DESCRIPTION OF WORK: ?Z
P
STREET ADDRESS: '? 2
LOT: ? BLOCK: SUBD./P.I.D. #:
Name: Lh n Phone #:
PROPERTY Last First
OWNER
Street Address: e Ct1YY\-2.
City State: Zip:
Company: yLA7am LA( Pcks ConT{ afRo•ll l'hC Phone #: bq ?- 7 0?? ?
CONTRACTOR p _
Street Address: ???ISU ??'n r?L?L (.Ow License #
Zip: SsQ ?-
City I-U State:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #: Street Address:_?? . _. _?._,r.. _. . . .. -_ ._... _:? -
' Ciry State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
4??4?,Z
Signature of Applicant:
,.,...?.--.;- --
OFFICE USE ONLY C€rtificates of Survey Received Yes No
L?
I? OCT 2 6 i99. ?I
Tree Presenration Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex
? 02 SF Dwelling O 07 4-plex
E3 03 SF Addition O 08 8-plex
? 04 SF Porch E3 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New O 33 Alterations
? 32 Addition O 34 Repair
GtNEFL4L INFOR(ViA710N
? 11 Apt./Lodging CI 16 Basement Finish
13 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace 0 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
Permit Fee
Surcharge
Plan Review
License MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/V1/ Permit
S/VN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
, ;._.. ?
DATE
BUILDING PERMIT APPLICATION
Include 2 sets.of plans, 1 site plan w/elevations and 1 set of energy calcuations.
o e
To be used for Valuation ?-za
Site Address: Lot Block / Sec./Sub Parcel Number J[J C? ?! C, U (j/ U
Owner v-e14/V 4° ?/00 Telephone ;7-,Y- ? b
Address J--4 c3,5-
?
Contractor (7
, h li /?7 j? Z IY??, . Telephone
Address
Arch/Eng. Telephone
Address
OFFICE USE ONLY
????Jt?-?? ??iN y? S i U i?v?
Alter qL //VI'
Repair
Enlarge
Move
Demolish
Grade
Date of Approval and Initial
Assessment
Water/Sewer
Police
Fire
Engineer
Planner
Council Bldg. Off:
A.P.C.
Occupancy
,? -
Zoning
Fire Zone 3
Type of Const.
# of Stories ?
Front
Depth ?
Fees
Permit
ov
Surcharge
Plan Check
SAC
Water Connection
Water Meter
.?----`
TOTAL
I ?
EAGAN TOWNSHIP
3795 PiloC Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date• August 24., 7972
Billing Name:
Sa11y Corp
Owner:
Plumber• Thompson Plumbing
Location of Connection
?y
?
Meter Dep.
Meter Sealed: Yes 'Add'1 Chg.
NO iTotal Chg.
Inspected by
Building is a:
Resi.dence
1.2ultiple Ao. Units
Commercial
Industrial
Other
Date
Remarks;
$25.00 RE-iNSPE'CTlOPa FEcr FOR
NPROPERLY INSTALLED MAIJERSe
By:
Chief InspecCor
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
re$ulations of Eagan Township, Dakota County, Mianesota.
sy:
Number: 955 / -1
I
Site Address: 3235 Ramdam Rd.
?
Billing Address
Meter Size
Connection Chg. 220.Q0._ _ Rd
Metar-------60.00 = ew
Permit Fee10.nn_- ,??_a.s/_ ?? ao
?Heter No.,.'rQt?/7937
s`/g D-S 7 93
Meter Reading__Q
Plea3e notify the above office whea ready for inspection and coanection.
r
.,
EAGIN TOWNSHIP
3795 P31ot Knob Road
St. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTiON
DATE: August 24., 1972
OWNER• -._.I.__S_av ' rm.
PLUMBER__Thompson Plumbigg
-
NUMBER 1114
Address 32lq R.andQm R _
TYPE OF PIPE
DESCRIPTION OF BUILDING
Industriall Commerciali Residential ' Multiple Dwelling f No. of units
Location of Connections:
Street Repairs
Tota l
Inspected by:
DaCe
Remarks:
d
Connection Charge 240.00 p
Permit Fee 7 0.00 rdf.
. °r •
$y
Chief Inspector
In consideration of the issue and delivery to me of the above perm3.t, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toc•mship, Dakota-County, Minnesota
,
sy
p r
Please aotify when ready for.inspection and connection aad before any portion
of the work is covered.
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
`? 1'S•?
Date ? I ?-K (3 l?
Site Street Address
Unit #
Property OwneK,? Telephone # ( ,2S,
Contractor ? .) C o
Address kga i yka- Telephone# 09(
U ; (R, State Zip N
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 XWater Heater $ 15.00
? replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total APR
$ 15.5?
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 i uired reviewed and approved.
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Applicant's Pri d Name Applicant's ignature
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City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
PLEASE MAIL PERMIT TO:
TONNA MECHANICAL, INC
2411 7TH ST NW
ROCHESTER, MN 55901
Use BLUE or BLACK Ink
For Office Use ,,�
Permit #: ' v"v D(t'/va'
t10
Perm(uit Fee: � 't
Date Received: $ I L3
Staff: 9...%.
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: ^ VD, \ 3 Site Address: 3a35 'RosQre, Rd
Tenant:
Suite #:
J
Resident/OwnerName:
iY\\1 \'CO.'/'C\O`11 �MQS Phone: �J01,-3q$ - 1pc 3-!
55425
Address / City / Zip: at0ace % s -lc' E, S've. a 35 Q\Cornnest ov nv.\
G011trCbOr
Name: Tonna Mechanical, Inc License #: MB004118
Address: 2411 7th St NW City: Rochester
State: MN Zip: 55901 phone: 507-288-1908 office: 507-272-9746 Ma
Contact: Matt Bredehoft Email: mattb@calltonna.com
Type of Work
New ✓Replacement Additional Alteration Demolition
Description of work: (ZQ tS\o.C. t... -Cu.rYlia.0 e_ #AIC.
NOTE: Roof mounted and ground mounted mechanical equipment Isreqtilted to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
Permit Tyne
RESIDENTIAL
✓Furnace
✓Air Conditioner
Air Exchanger
COMMERCIAL
New Construction Interior Improvement
_ _
Install Piping Processed
_ _
Gas Exterior HVAC Unit
_ Heat Pump
_ _
Under / Above ground Tank (___ Install / Remove)
Other
_ _
RESIDENTIAL FEES:
$60.00 minimum. Add-on or alteration to an existing unit (includes $5.00 State
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes
Surcharge)
$5.00 State Surcharge) = $ (.00 . — TOTAL FEE
COMMERCIAL FEES:
$70.00 Underground tank installation/removal
$55.00 Minimum
$1 million, please call for Surcharge
Contract Value $ x 1%
= $ Permit Fee
*If the project valuation is over
= $ 5.00 Surcharge*
_$ TOTAL FEE
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.uooherstateonecall.org
1 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 Sit c.v e. rnWr P0c�\i
Applicant's Printed Name 1
tetA. frIektAX4
Applicants Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test in -floor Heat Final HVAC Screening