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1280 Raspberry LaneCITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot 2 Blk 5 ParceL& 33000 020 05 Owner ? Street State Eagan, MM1 55123 c;r, I 2`,3v 1->??? Lctv%. ?_ Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.14 8.61 20 77-54 A011975 -4-8 ,t SEWERLATERAL 1980 3205.75 320.58 10 1923.47 A011975 -4-8 WATERMAIN * WATER LA7ERAL .' /j 1980 * WATER AREA 1980 * Services 1980 * STORM SEW TRK 1980 * STORM SEW LAT 19$0 CURB & GUTTER SIDEWALK STREET LIGHT 4 WATER CONN. 420.00 it it BUILDING PER. SAC 525-00 PAR K INSPECTION RECORD ?ITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: , Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS:' 10 ... A*300clf - 0,10 , i.0t = faa 01 1 ? . .. ;.?t•?F"tsE• tll;'r ! i'?fif I!!! t 1+1{, €•,i?'a1F'; PERMIT SUBTYPE: APPLICANT: TYPE OF WORK: Pt t;;i1 1;1111 INSPECTION . • . ,.? RV :4 ; F' ! RPd Rt V i i 4J; 0 liY N 1 I 1 !i#7Ah4`? _ '<r. ?,?"ii f; ??! i; A1 1? 1: i 1;i! );?( ?? ?!?!' :^.Pd'd S 1 Il?:a,tt'1 iJ'i ! it?t•'; ? ?: , .. ,. - ' ? . :??a ,!? ?,?,# ??a,?1.;a?. ? .. ? ) ? c- fi ? ? e ' ' .i ... .. . . . •? ,. . . ' •." ? . ?.. ... . . ". • ..,..F_ . . .. ?. . . .. . . . .. . . ' .. . ? 33? Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING G? ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST - INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST • FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL k-i. s-. ? --?- . ` CITY OF EAGAN ?T n 3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55121 l? ? 9o?R1 PHONE: 454-8100 ? BUILDING PERMIT Receipt Te be umd fe. 1)ECR. Fer vnliip ;" 1() U u n.,*„ MAY 3 , o $ 4 Site Addyss 12 80 F:ASPBERRY LN Lot Block 5 sec/Sub. hILLTOP ES7.' Parcel No. 10-33000-020-05 oc Name JOHN C MULLLIGOTT Z Address SAME .City Phone 454-007F, Zo Name SA^"9F. ?? Address ?- City Phone r W W Name ?-_? Address <W City Phone I hereby acknowledge that I hove read this opplicotion and state that the information is correct ond ogree to comply with all applicoble Stote of Minnesoto Statutes and City of Eogon Ordinances. Signoture of Permittee A Building Permif is issued to: oll work shall be done in acco Building Officiol .?nHN C. all oppFicable State Erect 6 Occuponcy Alter ? Zoning Repoir ? Fire Zone Enlarge ? Type of Const. Move ? ,# Storie? Demolish ? ? Length _ Corade ? Depth T Sq. Ft. Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC MUELLIGOTT Permit • DL Surcharge •5C Plan check SAC Woter Conn. Water Meter Road Unit Total ' on the express condition that ond City of Eagon Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sewer Etectric Inspection Date Insp. Other Footings Ao? Foundation Framing Rough Plbg. Rough HVA Insulation Final Plbg. Final HVAC Final L. ? Water Descri6e Location: Wel I , Sewer Pr. Disp. EI - CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIV J ( •. ' ? A FR .. AMOUNT $ I & DOLLARS +oo FJCASH E]CHECK Th /(jy,,k/ You ` BY White-Payers Copy Yellow-Posting Copy Pink-File Copy _ V --- Receipt '- PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fi/l in numbered spaces S/C Type or Prini /egib/y - - Tot. 1. Date 1 L 2. Installation Cost T 3. Job Address r?"o?Blk. ? Tract / a . ? 4. Owner ; T L . 5. Contractor ' . /? l.-C LL L 'rl<'Phone 6. Address '- 7. City State Zip 8. Building Type: Residential Q\ Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Se tic Tank Lavatory p Softner Shower Wel I ; 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 ;. _ Receipt MECHANICAL PERMIT Permit No. ' CITY OF EAGAN Fee " . Fill in numbered spaces S/C Type or Prini /egib/y - Tot. 1. Date 2. Installation Cost ? 3. Job Address - ' Lot -? Blk. . Tract 4. Owner - <. 5. Contractor Phone 6. Address %-_ , . ? - • . 1 7. City ? State )-; Zip I 8. Building Type: Residential C'I Commercial ? Institutional El 1 9. Work Description: New ? Add O Alter ? Repair ? 1 10. Describe Fuel Type I 11. No. Equipment 8TU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. 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 -- • ' 3795 Pilot Knob Rood Eogan, MN 66122 ; PHONE: 454-8100 Bk11Lb&G PERMIT Receipt # ? To be wad for Est. Value Dote 19 Site Address Erect ? Occupancy Lot Blotk Sec/Sub. Alter ? Zoning Repoir 0 Fire Zone parcel # l E t T f C ' n crpe ? ons . ype o W Name Move ? # Stories Z Address Demolish Q Length ? Ci phone 6rode ? Depth Sq. Ft. °C 0 Nome Approvais Fees u Addreu Assessment ? ? Cit Phone Water 8 Sew. Police ? FW Nome Fire Address Enq. iL Ci Phone Plonner I hereby acknowledge that 1 hove read this application ond state that Council Bidg. Off. the intormation is torrect and cgree fo compiy with all applicoble $tate of Minnesoto Statutes and City of Eogan Ordinances. ^PC Signoture of Permittee A Building Permit Is issued to: oll work sholt be done in accordonce with oll c Permit Surchorpe Plon check SAC Woter Conn. Wnter Meter Road Unit Totol on the express condition that e Stote of Minnesoto Statutes ond City of Eapan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing ?t a ??? ??3-F$3 H.V.A.C. Well Water Disp. Sewer Electric wqOs$b -$Z wqo 5$'8" ?? r, ?- 3-$3 Inspection Date Insp. Other Footingt II-I??Z ??- . „ oundation 1 7 Framing Rough Plbg. Rough HVA Inwlation Final Plbg. Final HVAC W4 Final Water Desc?ibe Location: VUell • . Sewer L e " Pr. Diap. . • ? ? ? CITY OF EAGAN SEVI/ER SERVICE PERMIT 3795 P11of Kno6 Roed PERMIT NO.: Eagon, MN 55I22 DATE: Zoning; _ No. of Units: Owner• Address: Site Address: _ 7 ? ?'• ? nasji7err-?. T,n ]? 7!? Plumber: '}: 1 sgree to wmPyr whh ehs Cihr of Eagsn Connection Cherge: Ordinaneer. ActounY Deposit: Permtt Fee: Surcharge: ? By Mi Ch sc. orges: Dete of Insp.: Total: Insp.: Dot P ld e a : CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot lCnob Road Eagan, MN 55122 Zoning: Owner, -' ? ? !iF' Cor sst l'*.Ir Address: Site Address: Plumber: ' Meter No.: Size: Reoder No.: I e9ree ft wmply with ehe Cily of Eagan Ordinonees. ey Date of Insp.: PERMIT NO.: DATE: _ No. of Units: ,1? . eif?IA _ Connection Chorge: -'? _ Account Deposit: _ Permit Fee: Surcharge: Mlst. Chorges: ' Totol: . Date Pcid: . I nsp.: CITY OF EAGAN MN ?• ? 9050 5127 _ 3830 Pilot Knob Ro d, P.O. Box 21-199, Eagan, ? 5 iH ON E : 454-8100 1 BUILDING PERMIT Receipt 6 # ?3 To ba used for DECK Est. Value $ 10 0 0 Date MAY 9 , 19 $ 4 SiteAdc?ress 1280 RASPBERRY LN Erect ? Occuponcy Lot L Block 5 Sec/Sub. HILLTOP EST Aiter ? Zoning 10-33000-020-05 Parcei No Re oir ? Fire Zone . p E l T f C n arge ? ype o onst. ? Name JOHN C MUELLIGOTT Move p # Stories Z Address SAME Demolish ? Length 28 9 City Phone 454-0076 Gmde ? Depth 22 Sq. Ft. O SAME ADVrovals Fees OU Name Address Assessment ? Permit _t 17_5(l u§ City Phone Water & Sew. Surchorge • 50 F Police Plan check yVjW H Name Fire SAC ?? Address Eng. Water Conn. ?W City Phone Plonner Water Meter Council Road Unit I hereby acknowledge that I have read this oppiication and stote that Bidg. Off. the intormotion is correct and agree to comply with all opplicable $ 18 00 Stote of Minnesoto Stotutes and City of Eagan Ordinonces. APC . Totol Signature of Permittee l1 Building Permit is issued to: JOHN C. MUELLIGOTT on the express condition thnr ull work sholl be done in accordonc with all ap ica_blenSto_te o Minn-e-s to tatutes ond Ciry of Eogon Ordinonces. Building Official ?•-??-°'xY-J ? , CITY OF EAGAN Include 2 sets of plans, ? 1 Certificate.af Survey & BUILDING PEPJvIIT APPLICATION 1 set of enerc?7 cal.culations. Ay, / 0-0-;t> - .s- - q •--Py Z+o Be Used For Valuation ? Date S1te tiLiULe$S : /,-eU /T a g?c,.?ro?.r.r yI? Lot ? Block Sec./Sub. Parcel #: / U-'536D D- o? D- a S? OHmer : Address : City/Zip Code: ? 1--37-23 Phone # : Contractor: Address: City/Zip Code: Phone #: Arch. /Eng • s Address: City/Zip Code: Phone #: OFFICE USE ONLY Erect Jh Occupancy ?T Alter Zoning Repa.ir Fire Zone X x Enlarge ? TyPe of Const. , Move # Stories Demolish Front ¢ZS{ ft. Grade Depth ?a ft. APPROVALS FEES Assessments Water/Sewver Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan Check SAC Water Conn. Water Meter Road Unit TOTAL I $ h 'EQUEST fOR ELECTRICAL INSPECTION ,?•,, Ee-oocx„-?,_ _ See instructions for completing this form on back of yellow copy. 1y ?( I ???jr J ? vw Q - 'X" Below Work CovereiY by This Request Ne4 Addj _Rep.j Type oT Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatin Commerciai Bidg. Furnace Silo Unloader Industrial Bidg. Air Conditioner Bulk MiFk Tank Farm Othe pc+ci fy Other (Specify) t er Speci y t e er _n/IlnfltP I/7SnP.Ct/O/] FP.P RPlnw / w W9L/S) ? # Fee Service Entrance Size # Fee Feeders /S ubfeeders # Fee Circuits 0 to200Am s 0 to30Am s 0 to30Am s Above 200 qmps, 31 to 100 Amps 31 to 100 Amps Swinuning Pool Above 100_Amps Above 100_Amps Trans#ormers Irrigation Booms PartiaL'Other Fee . / aigns G apeciai inspecuon $9 OTAL F 2_?/ Remaiks. ??? ( j/'" Rough-in ? ate t, the Electrical Inspector, hereby • certify that the above Final ?, ,T, ?yt Da1e ' spection has been !f kr.*"e ?`( l, I made. This request void 18 months from inis request void 50 4Q ??/ iJ- 18 months from b A t 0 93614 Za .at Request D te ? ? -? Fire No. Rough-in Inspection Requir' ? ?Ready Now ill Notify. Inspec- S es ? No r When Ready icensed Electrical Contractor ' I hereby request inspection of above Owner electrical work installed at: StrEet Ad ess, B x r Route No. City ? e ion o. . ownship Name or No 1 Range No. Courity Occup nt RINT) . > Pho e N ? ? 00. ? PovX plier - ddress ?" " E 1 Co ractor 1 9? Namel ry Contracto' s License No. . Mailing Address (Contra r or Owner Making Instailation) R• ? ? _0 33 Authorize ture ( ntractor ner ki g Installation) Phone Number THIS MINNESOTA g'ipTE BOARD OF EIECTRICIT? ' INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNIESS PROPER INSPECTION FEE IS Phone (612) 297_2111 ENCLOSED. This request void A-- 1 18 mon*> from ? ?,j-.40580 3 Z `7 8-7 IDtoo Request Date Fire No. Rough-in Inspection Required? eadY Now Q Will Notify, Inspec- 9 ? o ? l"?? ? 1'es [] No tor When Ready X] ff ILicensed Electrical Contrector ,O-ner ``Z$/,? ?,?5+ ??Vr?'• I hereby request inspection of above ?? electrical work installed at: Street Address, Box or Route No. ^ C ity ection o. Township Name or No. Range No. County Occupan (PQINT), Phone No. 40 -? K3g Power Nupplier ?-? i Addres Ele ical ontractor ICompan Name) '- ? ? n C n?tractor's License No. Mailing.Address (Contractor Owner Making I stailation) Ci- 13? Authoriz i9natu (Cont Y w er ng Installation) , Phone Number ??o -131 MINNESOTA STATE BOARD OF ELECTRICI Y THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 • BE ACCEPTED BY THE STATE BOARD 7821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION fEE IS Ph.r,.. 16121 297.2114 E NC LOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 494 &5 80 ? See instructions for compieting this form on 6ack of vellow copy. ?-?--*"X" Below!,York Covered by This Reguest New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Buik Milk Tank Farm other pecify Oih r(SUecify . ? t er Specify Other c;ompure [nspecrion tee ttelow #1 Fee ServiceEntrenceSize # Fee Feeders ?S ubfeeders # Fee Circuits 0 to100Am s 0 to30Am s 0 to30Am s T01 to 200 Amps 31 to 100 Amps 31 to 100 Am s Above 200 Amps Above 100_Amas Above 100-4 mps Transformers Remote Control Cira M Partial%O Fee Signs Special Inspection Remarks T'44 5EE? Rough-in Date I, e EI al . Inspector, hereby tif th t th b FinaJ ? 98te ? cer y a e a ove ection has been p ! /ia ? made. This request void 18 months trom fi REQUEST FOR ELECTRICAL INSPECTION . ?w EB-60001-03 ? ?4 0 •5 88 ' See insiructioas for completing this form on bock of yellow copy. ""XE,,?-ft%ow Work Covered by This Request '?j3-7-3 New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dry er Electric Heatin Commercial Bidg. umace Silo Unloader - tndustrial Bldg. Air Conditioner Bulk Miik Tanl< Farm Other Pecify Other (Specify) t er Specify Other Other Comp'Ute lnspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders. # Fee Circuits O to 100 Am s O to 30 Am s r-00 0 to 30 Am s ,,00 101 to 200 Amps. 31 to 100 Amps / `Op 31 to 100 A s Aboue 200? q, p$ Above 100_Am s Above 100_Amps r n tor r • Remote Control Circ. c i 5 Partial/Other Fee S:g ? ?' '? Special. Inspection g, Remarks TAL FE? Rough-in Da?e• ?ctrical ?o Inspector, hereby certify that the above Final Date inspection has been •?/ c_ .,.: , mA=- This request void 18 months from Thi§ request vJ _ Z s.?m?t0588 C-,2, g s, 4t' 0-(-oPcc_?4s 314 !lS . 3 ?-z L ? 7, 00 Request Date Fire No. Rough-in Inspection q red? ' ?Ready Now Yes [] No r When n eady Licensed Electrical Contractor . I hereby request inspection of above? T " ? ?Owner electrical work installed at: 5 T ? v Street Addre ss, or Route No. C itv ?v e lo_? 61e?14_ ?ction o. ? " Townsh Name or No. Range No. County Occup t ?PRINT) Phone No. DZ? L F_L ? Address rical ontractor_CqmmQany Na I Cont ctor's License No. 415 ? Mai ing Ad ress (Contra or o^r Owner Making Ins/ta'?ila1tion) ? ? .. ? 1 35 7 Authoriz Si9nat reElContractor Ow Ma ng I stalla 'on)?r Phone Number MINNESOTA ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs.Midway Bidg. - Room N.191 BE ACCEPTED BY THE STATE BOARD UNLESS PHOPER INSPECTION FEE IS 1827 UniversityAve., St. Paul, MN 55104 ati....o Ia121 ?s7_2111 ENCLOSED. ??? ?? ? ??? ? ? ? Request Date ire Nr? ough•in Inspection 6-1- 9 3 Required? _ ve5 XNo ?i Ready Now p Will Notity Inspector When Readyl I 1-_licensed contractor p owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City 1280 Raspberry Lane Eagan Section No. Township Name or No. Range No. County Dakota Occupant(PRINT) Phone No. Paul Gerster Power Suppliei . Address Dakota Electric Farmington Electricai Contractor (Company Name) Contractor's License No. Roehning Electric CAO 1557 Mailing Address (Contrector or Owner Making Installation) 14811 Endicott Way Apple Valley, Mn. 55124 Authorized Sre (ContractoriOwne aking In Ilation) Phone Number 423-4328 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WiLL NOT Griggs-Midway Bidg. - Room 5-173 i?rr? nir.? ?i _. BE ACCEPTED BY THE STATE BOARD 1821 University Ave., Sl. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back ot yellow copy. ?_,513 05 "X" BoIow.,WQrk Covered by This Request EB-00001-08 ?.;?. ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Seroice Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Off peak meter Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below.• # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 10t o 100 Amps Transformers Above 200 Amps Above 100 Amps SignS Inspector's Use Only: , TOTAL .? irrigation Booms 06 ? Special lnspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Aough-in Date certify that the above inspection has been made. Final oate OPFICE USE ONLY ? This request void 18 months from J/ C???#ifir?tf? uf (?.crl?t?ttnr? - Citp of (Eagan iBrpttrtmmf n# 'Nuilbing lnsprr#irnc This Certi f icatc issutd purtuant to the requirements o f Sution 306 o f thc Uni f orm Building Codr artif ying that at tht timc of i.ccuancc thit structure wat in com ptiancc with the variou.r ordirlanccs o f tht City rtgnlati»g building con.rtruction or utt. For thc f ollowing: SF DWG/GAR . ' 7619 Use C?fwsdoa Bldg. Permit No. R ?,,,?,, TY? R3 .?yp. c?.?? V Fim Zons NA zor;% nutmt ????? Blilie Const. Co. A?- 644 Superior Ct., Eagan ftMag Addma 1280 Raspberry Lane.,.ry Lot 2,Block S,Hilltop Esta bi,JIQ ?February 24, 1983 8wwbioflkw A*C- mte: rosr iw w coM?ncuou? 'awu " - ?._J Ocoes 48i ' ' - . -CITY OF EAGAN , ': 3795 Pllot Knob Rood Eogan, MN 56122 *Tp 7619 PHONEs 454-8100 BtJILbING rPERMIT ` ReceiPt To be uied fm SF DM/GAR Est. VolueS64i000 Date NoVeMb@r 2 1 Sa2 Site Address 1280 Raspberry Lane Erect g] Occupancy R-3 Lot Z Block 5 Sec/Sub. Hil#?p Est• Aiter ? Zoning R-1 10 33000 020 05 Repoir ? Fire Zone NA Parcel .# - Enlorge ? Type of Const. v oe Name B?.j.?.i@ C.bri8?1't2CtiOri Cb. Move Stories ; Address 644 Supex'ior Ct. Demolish ? Length 41 b Ci E3Q8t1 55123 phone 454-1438 Grode ? Depth 48 Sq. Ft. o Name OWri@r Approvals Fees ?F ?? Address ~ Cit Phone uw WW Name ?-?? Address <W Ciri Phone 1 hereby acknowledga that I hove read this opplication and state that the informotion is correct and ogree to comply with oll opplicable State of Minnesota Statutes and City of Eagan Ordinonces. Assessment Water & Sew. Police Fira Eng. Plonner Council Bldg. Off. APC Permit .2c?.vv Surcharge 32.00 Plon check 162•50 snC 525.00 Water Conn4 20•00 Water Meter 60• 00 Rood Unit 240.00 Totol $1764.50 Signoture of Pertnittee I /1 Building Permit is issued to: B'Iili@ C70 8t't1Cti0 . on the express condition thnf all work sholl be done in accordance with oll appl'` ble St of ' eso tes nd City of Eagon Ordinances. Building Officiol PZ14-,-2 s ? ?."l, b ?? ?CITy pF EAGAN Include 2 sets of plans, P? oq N ;? s ?eit ?.Sq;Z ,C? ? j? 1 site plan w/elevations & f alculations BUILDIlM PERMIT APPLICATION 1 set o energy c - 'Ib Be Used For Valuation eo? llatJe le - 2 e, -- Site Address Z60 , ? S ??'?, OFFICE USE. ONLY Lot Blocx sec./sub. / ect ?. occupancY Paroel #: v o2C7 OAlter Zoning Repair Fire Zone Owner: Enlarge Z? of Const. Address: City/Zip Code: Phone #: Contractor: n.?S Address: ? q L( S (,l g.V' CO Y-" L',? ? City/Zip Code: FtL ?? S3 I 2? Phone # : q 5 L( '' ( q 3o Arch./Ehg.. Acidress : Move # Stories Demolish Front ft. Grade Depth /,/S ft. APPROVAIS FEES Assessments Permi.t ?4ater/Sewer Surcharge ,3 Police Plan Check ? 2 .--- Fire SAC gng, Water Conn. planner Water Meter D ? Council Road Unit Bldg. Off. "4- APC ° City/Zip Code: Phcne # : ?AL l? bq (? ? 3 '7yy ?y0 0 3,(0 ? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ? o City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4"-l0,oa New Construction Reauirements RemodeVReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Recd _Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required . _ Y_ N 1 set of Energy Calculations Addifion - indicate if on-site septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selec4ion sheet (buildings with 3 or less units) Date 2,( / Construction Cost Site Address / 2*J tk1 [AJ P???& Unit/Ste # z Description of Work Multi-Family Bldg Y ?N Fireplace(s) _ 0 2 Property Owner ?) C (;r S?? ? ?1- Telephone # (ob 3- Contractor Address ??1'?71 /7?^' ?^? A"tA Ci h' ?- State Q?MJ Zip W3-7f? Telephone #(?j) 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Category 0 Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 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 information 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 MN 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 ' the case o ork which requires a review and approval of plans. ? ? Applicant's Printed Name Applica t's Signature OFFICE USE ONLY i a . Su b Ty pes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 0 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 0 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bld g) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water ' SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final _ _ Framing _ _ _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVRepair ReauiremeMs Office Use'0niv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert af Survey Recd' _ Y_,. N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions TreQ Pres Plan Rpcd _ Y_ N, 2 copies of plan showing beam & window s¢es; poured found design, etc. 1 site survey for additions & decks Tree Pres Requiretl ' _Y N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic 5ystem -Y=N . 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date ? Site Address ? o? $ U Construction Cost d?j O? Unit/Ste # Description of Work I(\ WQ1`(1 'j%(O - Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner S Cx`Ml?,. a_ Telephone #( USI) ?A3 -- '?SO% ?Renewal By Andersen Contractor 1920 County Rd. "C" West Address Roseville, MN 55113 State ? 651-264-4777 License # 20130983 City _ Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CategorY 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building 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 State of MN 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 pl in the case work which .xequ' ' nd appro al of plans. ? ? ? ? , 6 2.005 plicant's Printed Name App ant's Signature `? - - -- OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types s, "R ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Pibg_Y or_ N 0 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish Interior 0 44 Siding ? 32 Addition ? 36 Move Building 0 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bld g) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick Fireplace R.I. Air Test Final Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ••?rv e?m?•,.i, zuv,s.4.ov rts.d. to?} at1 ?4tfD K?'PifSiChL ??."t?i'fUtiltif?4t?[ • , . -. . - • fmd!U . ?? mal -- . ,?. . - - . - _ - - - .f _ . ? . . • . `T • fifTtC 7, ?{?{J? ? • • • _ 3 Y a?fia.gatt. 6 PiIcrt Knob itaAd Ea8an. MN 55122 ? . . , TO Wbom u May conocrn: EIder Jones is authori2cd to Flder 7oncs to ? b?g ?its for R,e?tewaI {?y Arcdazsaz? pIcase AIIow P?ide ttus Sei?icc for tts in Fagmt. 'Tttii? aucharizstidn fs vaiid fat ary . ? bcyand 6(610Z; to tFteLity_ uutff atGaeyal by AndGrsen mstja,M wqmdY revWkas it in wri dft z rcqnest tbis authons?ian be accep?fed' tiousl . ' -- - . . ? , . vur bailding Pcanita aaY fiirti?cr. Plcasc cAU c?thc? ? o? deIay in tha prv?cssing vf i contactcd at 763 502-?4706 .. ? qttwlona. _? ?Your immqdiatc aftntion #o ti?s mattcr is e - Sinoci?cly, , ; . ' :? ' •k, ?r y4_. t' ? F Ymortd *P. Rau . tistallation iv?ztager Rcnowal by .AndcrsGn Corporativn . . ('c:: Kara F.Tc?e? Snne? . ?K???Z?-?•.e'4: ` ?rmi'?,?°??AL' . . a.rt,ZpQY RECE(Y8d TiQ1e Jui1. 1. 1:01P{d- ja63g 5 03°012"7? $4qq9.cro co 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when pemuts are required for each unit ,5d,s7) JoP Date q / I'?"J / 04 Site Address {Q p bfXY ?f? PJ Unit # l Property Owner j e(' ,, So, h,m u.d c, Telephone #(44 )?,F,3 -950A Contractor Street Address i(04 1( AbeY'c?e@.n 5?1 (`(Ei City ?QulYl ?C9-i State m f? Zip Telephone #( 1 lo 454 "1741 Bond #• Expires: The Applicant is Owner ? Contractor Other Add-on or alteration to egisting dwelling unit $ 30.00 ? furnace _Additional ? Replacement _ air exchanger ? air conditioner _New X Replacement other State Surcharge $ .50 D p 2004 Total By 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 pernut, but only an application for a pernut, and work is not to start without a pernut; that the work will be in accordance with the ap oved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustrial 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 Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is Owner Contractor Other Work Type _ New Construction _ Underground Tank _ Install _Remove **see below _ Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector FPermit Fees: $70.50 Underground tank installarion/removal $50.50 lKinimum (includes State Surcharge) OY Contract Value $ x 1% _ $ Pernut Fee • If permit fee is $1,000 or less, add $.50 ? $ State Surcharge If Uernut fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclaiowledge that the information is complete and accurate; that the work wili 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 pernut, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: ?o..ir•..=..,r..?. . -- .,-.??.9L.?._ fw ? '_. _ _ .D...1 ? tr• . PL?? PLAN Scale -. ; ;nt•o .?_ r? , , iw,` ?;•;?:v lor.a.ion of s`reets, lot and proposed l7uiltiings, qive lo± dimrn:,ianr. (f o-• r(j F_iF1 sIi91t.t:C'. F;C`fUrt', ilpp1'81Fit7l I.ri I"E?qU@Fited.) ? T.. 1. ? ; ! 1 .t?? r ? 1`-? l-}- •1I ._ i '' , ?', rt 4 ? " 1? .-'?I -U+- Z H r4 1-1- r? ? ?-; ? i .l ? FI.J.F rT jTi 4 1 r?t ? `T _ I?_ ? _ - J I f. ? j .?!_?.A 1. .1?.1 .??+.. -- ?- ! 1 ?({+ ?' ` . -- ?- ?i .? ? _ Ll ? i I ' ;? ' a } ? ' ? i? ,.; ? ' '; ? ? r ; 1? . ?. ? ,; ? , ?:i ? ? ; . i -- - . _ FF . ? . ! • E - ? i r? ? tl ? L}? r ?? I? ? .?-• ? ' : 1 , S j ' j 1.. ??' ; ( r ? ? ? ' i ? ( • - ? ? ? ? i ? 7 ? 1 . T • h.l ? t? " ~- I ? 1 1. ?t.?? ( aIt ? • 1? ? , , ' ' ? iff ? ? ? { : , i 7' i, .' ? 1 I {'1T i 7 T+ , •` ? ? . .? . ? 1 . . ? ? - " . , _ t, 4: i . ` r ' I +' 7 , 1 ? = ? ( .1 • i , ? r _ , , , ? ? ; , - -.- - . -- - ?; ; ? ?._: , ;_. j,Ti ? ? ?? ?? h _ ;? fif ? ??? { '? ?• r ??,;-. ? ? '?• ?? ?? ? ? ,- ?.?? ; •- ; : r+' i * P f ; > , ? , 1 ?_ 1 - = ?? x.. > ,_;. ? , 41 ? - .? ' _ . - ??? I 77 7 . ?- ? i { - ? ? ? , ? 1 Y ?l ? _ ? ? t .r? I ?y'_i. i < -fY . ?? • . ? ? , F f 1 { Y r -I ? , - - ? - • _ -?--- --? ? A ? ,-i ? --- f ' '94 area ... , 'l. 1 ?. ---a :4.c.4.?.??::. wa;l l wi ndow a,rea; .?a.... . .: ?oar area- ? .x. ?1 repl,ace wa;] 1 ariea }?- . • t ? • • • f ? • f • ft?oM tdq; area ? Ayerage ?0. ? , • • .. ? ?. ? : ` -? , tt?? w?11 a?d° abov'e f?oair • . .. . • , ? #, .. rfr?',?Q?s t' afta ?.. ? ?`ot?T i??pttsed foundataan ?r?? ?? ? g = 3 C =?? ,„ f_?iu?tic?n ?,indo? arca; t ?? ; ? : ., .. . . 0uFtd i? ,? ? ? . . , z . o? area at,cve ?ad? =r ? ? " g 4 • x ?.?;,: .+ ? ,? ° t z , ,, a . .? . .F value o1` ea?h A4a1t scgment." > , X "U'` ? . ? ? +.? ? / ,f X N u/I R d ?? = ? • " ?'1 . ? . _...,:?.,.,r,__ , . , . "„ r ? '.. . . ?.+ .? .` i. ..,. . ; ` .; ? .. ? . , . . , ` ` - "u" r ?._ ?? X ??.?? ; ? . _ - , - ???-•?(?. ? ?.ll?? e.!79X "U,I . 77 -?--_ , 11,U1f ! s '11uft ?x ? ..: ..... .?.TQtdl ; .? e Sat"$ or ?iess than ?item ?#?l , ?. . °.: ha?rc? a kPr ? ? ??, hS. 1 lY?,.,• u,? , - ? :,? : : :.. , . ? d . . 1' •9''s? 1 ? ':?r ? U -! ?r, .?,? ?.•t?.? ?f•t,., ?.i •,?? ?,• ,? i tr.: •n?:.p.?..??.?'.:t..}.f,.?:.?,i.?i.?:,n.?`'??{:t:,:i,,:?.:?3.,7?.:???.?f.F.ti:?:4t . {;t(.?{, ,. r.:1:1'4r r.:l,:- E0'0.W,;.4 .`::i i'r:?'.RMIPSAI_. NO a 779 i.r „ r.. a .?...? ??3f'?"i'?.: :; :i. :!. /?7.`:?.?`.??i 'T? 1. M':::: u :I.,_? ?, ::?;. ? .?. r ID i ?.-?? ?,ir";\!.1,?.;( ?._ t:'{..:°i!°iUC}•: 1`•<(li t..., _ 3i.:'.:i.O 9001 i.i.'`.%iO RAr:iPBE{'tRY ?::??- 900i ?> ?i?i i?t:f;c?i???3:??i?' c ?. ..t..? :. ?.•..#., _ 3430 ?••.? `:'i. :?. .... ?°' !??'Cls?1:'i 50„??0 0.;:t0 ;. w t:!i7 ,i:i.. i?`?.y ,??. ..?a` r r.? ..? ?i• ?i! [ !.'?! ?,..u `,.? .t.9..? •r•ot•? 1• ' C. .I.1.. c°r C?;?J?:??:?i:3 4. ? ? r.. ... _, .?, r<<, ? ?`•??l?;I,,. .:.Yj::.a?. . . '.: 1'' .•lisl Ir f :?I: ii?4•1 4(:.i??l•v:W• k•. ?!: ?:s;(Y?, ??1'..;!'?'?.. ;.fd>?,?C?{}€;Y?;:?9ri?:;t.?'•?t::?i'r?:K?:?.,ynti>. }.:,:.{ ? .? `),?.. . :.?. ,. ? PERMIT SG CITY OF EAGAN - 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT TYPE: BUILDING Permit Number: 033944 Date Issued: 11. / 09 I98 SITE ADDRESS: 1280 RA5PBEftRY LANE LOTe 2 BLOCKe 5 HILL.TCJP cSTATES P o I e N. s 10-33000-020-05 DESCRIPTION: gPermit Type B.uildi Ruilcf ?, ng Wo'x-k. Ty pe , 0, e nys u? C o due ,• , ? ?- , f 9 "r BasEmENr FrNrsH ALr??ATIo?v 434 AL`t'> RESIDENTIAL i- -v 1?6?.:? 0-if, A t? ._:_,:??,. ?,. t."?? `'?'} .. ?. REMARKS: PLAN REVIEWED BY BILL ADAMSe SEPARATE PERMIT REQUIRED FaF2 AhlY PLUMBINC WORKe FEE SUMMARY: Base Fee $50e00 5urcharge Tnta.1 Fee $50e50 CONTRACTOR: OWNER: _ AP pl,? ? ant - SCWh1UCK JERRY 1280 F2RSPBERR`( LANE . . EAGRN MN 55123 (651)912-1865 I hereby ackneiw.?edge that I have read tha.s infor tion'a is carrect and aqree,ta' camply' Statu es and Gity G; EAe?an C?rdi rtana-e 9`4 ? ) APPLICANT/PER EE SIGNATURE applicataan and state that the with al1 applic?bie 5ta'te af t4n.? ISSUED BY: SIGN TURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN s? 3830 PII.OT KNOB RD - 55122 681-4675 -,c:, qg New Construdion Reauirements RemodeUReoair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 ?/ o? required: _ Yes _ No `?T ?$`?(? Q DATE: // I Zq &r CONSTRUCTION COST; DESCRI PTION OF WORK: f ?- ?1? s??? a-.s-e?c?-? STREET ADDRESS: A,-l FD ? LOT: c-)- BLOCK: ? b-c.r SUBD./P.I.D. #: Name: S . ? Fhone # ^/ ?? ? 9S0 ? PROPERTY Last First OWNER n o / Street -C City a. ? State: /W IL) Zip: S S?? °23 Company: Phone #: CONTRACTOR Street Address: City ARCHITECT/ ENGINEER Company: Name: License # State: Zip: Phone #: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction onty): . 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 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No is correct arld agree to comply with all applicabl ?j NOV - 5 i998 ? * Tree Preservation Plan Received Yes No Not Req OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 02 SF Dwelling O 07 4-plex ? 03 SF Addition ? 08 8-plex 0 04 SF Porch ? 09 12-plex 0 05 SF Misc. ? 10 _-plex WORK TYPE O 31 New A 33 Alterations ? 32 Addition C]' 34 Repair GENERAL INFORMATION ,. , ? 11 Apt./Lodging C? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory 0 20 Public Facility O 14 Fireplace ? 21 Miscellaneous 0 15 Deck 0 36 Move 0 37 Demolition Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/VN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? % SAC SAC Units PERMIT # 41 YO RECEIPT DATE: 6 r?0 ' O I MllNENTLkL PLUM$ING PFIiMIT APPLICATION crrY oF EAsm 3$30 PILOT KNOB fiD EA6AN, MN 55122 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: 111;?f!?/ -- , OWNER NAME: : .T?e/Z/z j sc. A d'J?t. o, c_'iC. TELEPHONE #: ?s?" ?? ?3- ?? ? ? (AREA CODE) INSTALLER NAME: leiGa-> TELEPHONE #: ??eF- "25 STREET ADDRESS: ?Zo-t? (AREA CODE) CITY: s?- Aw L/_ STATE: )A"/ Place a check mark next to the permit work tvpe ziP: _ New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new instal lation/repair/rebu ild of RPZ • lawn irrigation system • water turnaround ?.- Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license , - ,- , State Surcharge $ .50 . aAUG 2 ? 1?;Ji 5 O Total -- Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no ' bility for any damages caused by the City during its nortnal operational and maintenance activities to the facilities consUucted under this permit within C' roperty/right-of-way/easement. SIGNATURE OF PERMITTEE Updated 1/01 PERMIT City of Eagan Permit Type:Building Permit Number:EA113220 Date Issued:08/30/2013 Permit Category:ePermit Site Address: 1280 Raspberry Lane Lot:2 Block: 5 Addition: Hilltop Estates PID:10-33000-05-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Kelly Meyer Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James Young 1280 Raspberry Lane Eagan MN 55123 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �----------------- � For Office Use � �} j Permit#: / � �`� l / j � ��.6� �� �it���.� �ECG{VED ' c� 7 I- �� � i Permit Fee: � 3830 Pilot Knob Road i � Eagan MN 55122 ;�{�Y � � �a�� � Date Received: � Phone:(651)675-5675 I I Fax:(651)675-5694 I Staff: I I I . �������� ������ J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � Date: J ���-"1� Site Address: �G ' �`-C �t `� �� �'�'1� �Z Unit#: �i,i� Name: ��'rT� lA�c�.i�'� Phone: lo�� (���l ���� � � ���� C - v�� �z � � ' �y��� ; Address/City/Zip: _ � � � (��r/f � �f��y^� 3 I Applicant is: �Owner Contractor � _� 1/ Description of work: �L-�"G v� "�`���r�1M�rk � � � Construction Cost: Multi-Family Building: (Yes /No ) � � Company: `�T�T �,�1� �"�' Contact: � .' ` � Add�eSS: ���� I�Z ���\./ �v'� City: c��r�1� '���ttt'��fi�f' ', . �.= State:�Zip: S ��Z Phone: � �Z ��"����aiL � • License#: Lead Certificate#: � ��. .� .._: � If the project is exempt from lead certification, piease explain why: (see Page 3 for additional information) "1�- -� � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? � � _YesNo If yes,date and address of master ptan: a — � Licensed Plumber: Phone: � Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: ��3�`� �"l�n�s�nc��u�t�r�tir��t e�����t y��r s�,�m�t����rer�td 6�����n�ai���t��� �ortrr�ns��f, �����n�eur»at�ct�a ���st1�-��r��r���t��t��+€���i�ic r��s����t�f a�+�uld per�f����Y� =�; � �� ,... s� . �. _� ����"'�iC��4c�t&� ,a�.� . ' _.._ .. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or 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 wiil be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. � X �� �C�it� X ApplicanYs Printed Name Ap nYs Signature Page 1 of 3 • • �- } �� � � �,"� ' - h u \. � L(�.�b112 .11bZi� ��-� ' �� � 6£-g . . , /�� ��,/��'� �� � �`�� � �� DO NOT WRITE BELOW THIS LINE • SUB TYPES • Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage Porch(4-Season) Exterior Alteration(Multi) _ Multi �Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* � Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION � �fj Valuation � y`�' Occupancy ,�%���i MCES System Plan Review Code Edition �/�,���� SAC Units (25%_100%�) Zoning __��i City Water Census Code T Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: • � Footings(Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final . Pool:_Footings _Air/Gas Tests _Final `� Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls � Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge ���� Plan Review MCES SAC City SAC � � � � � G'1 �� f � � Utility Connection Charge � � S&W Permit&Surcharge Treatment Plant iCopies TOTAL Page 2 of 3 • • • S g::' � , ' f •: �Z1Y11� .8u i o�-g r � . d � r , � r I • • � r � � , � � . ;���� �' ■ ��� , �� 0 �Q�'� Qr � �� � �"'� ' �� �a a��� ��I� �� • • C'„':��l�����±�1.:.. �i�pi�$��ew.�.•-- ������ _ ����''°i��s�����1.� �' ����1� �� �� ' �'�� � ' ' � �� ! 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