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{, ۥ,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•';
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. .. ?.
. . .. . . . .. . . ' .. . ?
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:
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?
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
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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
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