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1328 Raspberry LaneCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ I & DOLLARS ' oo ? CASH E]CHECK FOR FUND CODE AMOUNT / Thank You ?? .. B Y ?i' - .? White-Payers CopY Yellow-Posting CoPY Pink-File Copy CITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot 13 Blk S Parcel 1-i -s-snnn i 3n ns Owner Street 1328 Raspberry Lane State Eagan, rN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. V-'V? t _ STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.14 2 ? • DO lit; - * SEWER LATERAL N Iq 1980 8 315.91 10 Zr7 ?. -( WATERMAIN * WATER LATERAL ,t WATER AREA 1980 * ge-rvices g ,t STORM SEW TRK jJHO ,t STORM SEW LAT 1980 CURB & GUTTER • SIDEWALK STREET LIGHT Road Unit 185.00 24288 4-26-81 WATERCONN. 335.00 24288 4-26-81 BUILDING PER. (?6 SAC 24999 4-26-8 PARK w + ? ''-:---'• ? CITY OF EAGAN t??? - 3830 Pilot Knob?Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for $E-ROOgING Est. Value $3,000 Date 3ULY 6 , 1990 Site Addr ss 1328 RASPEEitRY L!i OFFICE USE ONLY , HI?T? gSZATES k 5 S l b 1 ec/Su . Lot B oc Parcel No. occuPancy - FEes BRWE ?0?E Zoning ?' ? ? Name (Actual) Const - Bldg. Permit W o t Ze xl?sPRERxY LN Address (Allowable) - Surcharge 1.50 City EAGM Phone # or stories - Plan Review Length _ a a N St3ITH'& kEI?6QI38LIIiC Name 1CS oePm - sAC, city 1 99 ?Q 0 I.OWELL C1R Address S.F. Total - SAC nncwcc ? City ?PLE yALLEY Phone 32-4103 S.F. Footprints , - Water Conn On Site Sewage _ ? W W Name On Site Well - Water Meter iZ Addfess MWCC System - u 0 a W City Phone City wa?er Acct. Deposit - S/W Permit PRV Required _ I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina ces. ! ? ?' Treatment PI ,?. ? Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: ?N SMYTE1 '$ RE!'10DELI NB Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies 55 50 ± Building Official i I+ ?' Variance - TOTAL . ? Permit No. Permit Holder Date Telephone # WATER SEViIER PLUMBING H.V.A.C. ELECTRIC Inspection Uste Insp. Comments Footings I Foundation Framing Roof,rig ?of? OS ROUgh Plbg. Rou9h Ht9. Isul. Freplace Fnal Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bidg. Final Dedc Fig. Deck Final Well Pr. Disp. , . ' CITY OF EAGAN ` . , 3795 Pilot Knob Road Eagon, MN 55122 N-0 ` PHONE: 454-8100 6617 _ BUILDING PERMIT Receipt # To be uted for Est. Volue Dute , 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter p Zoning Parcel # Repair ? Fire Zone Entarge ? Type of Const. Nome Move ? # Stories W Z Address Demolish ? Front ft. p Ci i Phone Grode p Depth ft. ? o Nome Approvais Fees - ?F ?' Address I- re... .eiV1C,- Name ' Y_ t . t. Address I hereby acknowledge that I hove read this opplication ond state thot the information is correct and agree to comply with all upplitable State of Minnesoto Statutes and City of Eogan Ordinances. Assessment Water & Sew. Pol ice Fire Eng. Plonner Council Bldg. Off. APC Permit Surcharge Plan check ? SAC Water Conn. Water Meter Road Unit Totai - Signoture of Permittee I A Building Permit is issued to: on the express condition thot all work shoil be done in accordonce with ali applicoble Stote of Minnesota Statutes and City of Eagan Ordinances. i , ?. Building Official Permtf # DaM laued P*nnift" Plumbing Mechanical - 7`"?oS r20- y .t9-?j V t F_ FAEC-. T INSPECTIONS INSP. Rough-In Final Footings ?? Date Insp. Date Insp. Foundation Plumbing Freme/ins. Mechanical Final 7-2;Fa/ Remarks: arr-'- J Receipt MECHANICAL PERMIT CITY OF EAGAN fill in numbered spaces Type or Print /egib/y 1. Date /2. Installation Cost 3. Job Address Loi Bik. Tract 4. Owner - 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential Commercial ? Institutional O 9. Work Description: New Q Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Eyuipment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H i Mfg. r andl ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 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 454-8700 Permit No. Fee S/C Tot. ? Reoeipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost ' 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address " 2 Aw 7. City ! 8. Building Type: Residential E3 9. Work Description: New El 10. Describe 11. State Zip Commercial El Institutional ? I Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures C l/D i fi ld Bath tubs esspoo ra n e S i T k Lavatory ept c an Softner Shower W ll Kitchen Sink e Urinal/Bidet Oth Laundry Tray er Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 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 BUILDING PERMIT 0 ? 0 11 14 c Receipt # f Te be wad fa Est. Volue Date . , 19 •, ?' ` Erect 0 Occupancy Site Addre£t ! ? ?? Remodel ? Zoning Lot " Block Sec/Sub. " Repair ? Type of Conrt. Parcet No. Enlarge ? No. Stories Move ? Length W Name ? h i• Demolish Dept ? Addreas ? • j• Grade ? Sq. Ft. City Phone Install ? Avv.ovab s... .....,. . _.?.... :?_..-., ?,?_,._? .. ,? Name - o Addresa - u.? J.• T: Assessment uI - ? ?- City Phone `{ = "' • ?` 1 Water 3 Sew. Polita PW Name _ _•,•.. Ffn W _? Addresa Enp. ?W ' City Phone Plonner Council I hercby ackrawledye that 1 how read this opplicotion ond state thot gld9, pff. ` the informotion is correct and ogree to comply with all opplicable A? Stott of Minnesoto Stotutes ond City of Eaqan Or?inonus. Var. Date Pe?mit , Surchorye Plan Review, .7AC Woter Conn. Woter Meter Road Unit Parks Total ' !.y^ l 5lpnotun of PennittN I A Bufldinfl Permit is iuued to: a, M,e oxprcss Condition Ihat al work shau be ecne in occo Buildinp Officiol CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 h ail of Minnesoto Stotutes and City of Eeqcn Ordinanc*s. ti..c 6* . - Psrmit No. Parmk Holdsr Da[e Tale hona #t_ Plumbing H.VA.C. Ekctric Softsrnr Inspeetion Date Insp. Other Footings y W ? Foundation Framinp Roofing Rough Pibp. Rough HVAC Inwlation Final Plby. Final HVAC Final l ? Csrt/Occ. Water Dosaibe Location: YYell Sowar Pr. Disp. • • CITY OF EAGANv 3795 Pilot Knob Road Eagan, MN 55122 Zming: Owner: Address: 'Site Address: Plumber: eter No.: Connection Charge: ize: Account Deposit: eader No.: Permit Fee: agree to eomply with the City of Eagun Surcharge: rdinances. Misc. Charges: Total: y Date Paid: ° ate of Ins ; Insp : p. . CITY OF EAGAN ? 3795 Pilot Knob Road Eagan, MN 55122 Zaning: Owner. Address: Site Address: Plumber: ? Permit Fee: Surcharge: y - Misc. Charges: - ate of Insp.: Total: nsp.: Date Paid: . • . SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: ? ta, ' .. . ? . . . . .. . . . ct-.... - - 3. .. - ' ? *F ?, . . .... ... ? .. y ` ? ., .. . ._ . _.. ,_._r?` ? . . . .. . 1 y . WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: Minnesota State Board of Electricity 1954 Lniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 = REQUEST FOR ELECTRICAL INSPECTION CHFiF`R BELOW WORK COVERED BY THIS REQUEST / 7---2a 8 3??20 Type of Building New Add. Rep. Check Applian ces Wired For Check Equipment Wired For Home ? ? Range ? Temporazy Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Fazm ? ? ? List List Other ? ? . ? ? ?ehers? ReheA COMPUTE INSPECTIO N FEE B ELOW Service Entrance Size: # Fee FeedersBcSubfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 1 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs • Special Ins ection Minimum fee $5. Remazks e TOTAL FE , 3 ? ? I, the Electrical Inspector, hereby certi t?r t th ?G ir?,s,p'ec? '4n has been ma? (Rough-in) c.%. ?` ?!"'? Date °?? / (Final) , 11711 ,, - A,;, Date ? This request void 18 months from C/c-4 This request void 18 months from ??°'' 1O ? 70? d? Date" of this Request ?a - 19 - 7 F s,3992 6 I, as W Licensed Electrical Contractor E3 Owner, do. hereby request inspection of the above electri- cat wiring installed at : C/ 3,,-2 ?? Z ) L I 3 t 35 ? 4?I ? ?-v ? E'?-?,,?-, Street Acldress or Route No. 1T2sR4e1"- y 141V City? Section Township Range County Which is`occupied by ?? l'e-rr,oT?u.z (Name of Occupant) Is a roughin inspection required on this job? No ? YesA Ready Now ? Will Call 12' Power Supplier 0^.1'ro y4t, i?? . Address ;C?h Electrical•Contractor;? W410 i ? ,ii C.- Contractor's License No. ??!.^? (Company Nam?-e e) Mailing Address A 0 / 7,.5' ?Y,4 (Electric Contractor o Qwner'Makipg` This Installation) Authorized Signature ? .i??. ?,s .:U- Phone No. 3 (Electrical Contractor or Owner Making This Installatiort) This inspectian request will not be accepted by the E??1?,;?? _?J ????;? State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity Griggs Midway Bldg. - Room N191 1821 University Ave., St. Paul, Minn. W10474?Phone 297-2111 . REQUEST FOR ELECTRICAL INSPECTION - CHECK' BELOW WORK COVERED BY THIS REOUEST EB-00001-02 .9- SO CDd T 405$5?. Type of Building New Add. Rep. Check Applian ces Wued For Check Equipment Wired For Home, ? ? Range ? Temporary Wiring 11 Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? / Electric Heat' g ? Commercial Bldg. ? ? 0 Furnace ?,, L?' Silo Unloade ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Ta ? Farm ? ? ? List List Other ? ? ? p Heiers? Qehers? a COMPUTE INSPECTIO N FEE B ELOW ?. Service Entrance Size: # Fee Feeders& Sub feeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers MeleControl Circ. Partial or other fee Signs [A . ,p ' ial `s.pection Minimum fee $5.00 Remarks I, the Electrical Inspecfor; hereby 0' s ion has been made. ? (Rough-in) Date s--1 ??" (Final) , ( Date 16 - Z! - h/ This request void ' 18 months from This request void z. 18 months from _25-CDc-? o qq, oC) Date -91his Request ?'? Fire No. -r 40585 I, as M*ticensed Electrical Contractor El Owner, do hereby request inspection of the above electri- cal wiring installed at: A Street Address or Route No. ? Section ? Township Range " County Which is occupied by Is a roughin inspection required on this job? No 0 Yes OE' Ready Now ? Will Call C&--" Power Supplier Address d qp Electrical ContractorCon ? r's?c nse No. 0 Mailing Address ???? C'q,38974 . 3 "'4" E/,?? gd o4r?on'fr5t+td?,A1Pr Making This Installation) Authorized Signatuaaq? Phone No. -Tt (Electrica w a Installation) ?(U ?VE ?ction request will not be accepted by the ??J ?,?i.1 State rd unless proper inspectian fee is enclosed. minnesota State tioard ot tlectncfty n Griggs Midway Bldg. - Room N191 ? J("1 EB-00001-02 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 " R?,GUEST FOR ELECTRICAL INSPECTION a` T 40526 CkILt?BELOW WOItK COVERED BY,THIS REQUEST Tvpe of Building New Add. Rep. Check Applian ces Wired For Check Equipment Wired For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List j Other ? ? ? o HeieIS? o Heiers? : _- COMPUTE INSPECTIO N FEE B ELOW Sezvice Entrance Size: # Fee Feeders& Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. _ 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special lnspection Minimum fee .00 Remarks cva-;017? TOTAL FE , Z I, the Electrical Inspector, hereby certify that ihe bove inspection has been mad'e ? (Rough-in) , ? Date (Final) • Date This request void 18 months from This request void 4 4S 4 6 ? q ? f 18 months fs=om / _r _, wr _ Date ?of ffiis Request ' 5 Fire No. T40526 I, as &d" t, icensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. Section Township Which is occupied by Is a roughin inspection required on this job? No ? Yes O Ready Now ? Will Call ? Power Supplier Address -J" KENDRICK EL ECTRIC A38974. #iKQ A ? Electrical Contractor Contractor's License No. e - MailingAcidress R P?T 'P UAT-7.?? ?M.95174 """ZElecfrical"ContraEtor or Ow er ? This Installation) Authorized Signature ?-?A?Y KENDRICK . 4-??? Phone No. (Electrical Contractor or Owner Making This Installation) This inspection request will not.be accepted by the State Board unless proper inspection fee is enclosed. CITY OF EAGAN N 0 18110 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 (2 0 BUILDING PERMIT ?-y , Receipt # To be used for RE-ROOFING Est. Value $3, 000 Date JULY 6 , 199-0- Site Address 1328 RASPBERRY LN Lot 13 Block 5 Sec/Sub. HILLTOP ESTATES OFFICE USE ON?Y PBfC@I NO Occupancy - FEES . Zoning - W Name BRUCE HODGE (Actual) Const - Bldg. Permit 54.00 3 Address 1328 RASPBERRY LN (Allowable) - Surcharge 1.50 ° Cit EAGAN Phone y # ot stories - Plan Review Length _ o Name KEN SMITH' S REMODELING Depth - SAC, ciry , o? a Address 1099 LOWELL CIR S.F.Total - MCWCC SAC ? ? City APPLE VALLEY phone 432-4105 S.F. Footprints - , i S Water Conn ewage _ On S te W Name On Site Well - Water Meter W z ? Address MWCC S stem - y ?, Acct. Deposit e W City PhOne City Water - P V R i d S/W Permit _ re equ R I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge in(ormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin nces., Treatment PI Signature of Permitee 9?m??, APPROVALS Road Unit A Building Permit is issued to: KEN SMITH' S REMODELING Planner ? park Ded. on the express condition that all work shall be done in accordance with all Council appiicable State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Off. _ Copies Building Official _? ?a?.? ???^ • I++? Variance - TOTAL 55.50 CITY OF EAGAN Include 2 sets of plans, ?j 1 site plan w/el.evations & BUILDING PERNNUT APPLICATION 1 set of energy calculations. To Be Used For ?9,, ? Valuation "-r) Date alc-149 T-- site Address: oFFICE vSE oNLY Lot /3 Block,! 5' Sec./Sub.? &-LLErect /X, Oc cupancY D?3 Parcel #: ??r Zoning gepair Fire Zone " OHmer: Enlarge Type Of Const. ? ?-u- Nbve # Stories Address :/o Demolish Front ? ft. City/Zip Code: ~ 55-3 3? Grade Depth YO ft. Phone # : 1(31 = 6 S3 j - Contractor: Address: City/Zip Code: ? Phone #: - R . p Arch. /E7ig • : .,.4?,??? ?/ ?-e,.,.. g,?,,,...,??, Address: City/Zip Code: Pnone #: Y3?2- J a y/V APPRUVALS FEE.S Pernlit Assessments ??a /,?`" ] '`?' ? Water/S?r Surcharge 3 / -C?l Police Plan Check V -s=- Fire SAC -C? Eng. Water Conn. 3 3 j'" C 10 Planner. / Water Meter ,6 COUT1Cl1 ROad UI]lt ez Bldg. Off. APC TOTAL y3 ?go ^-? ? ? ?? ? i y 7 , ?ir?i?'t??t?r `C?.C.C1t?M?t.C1? , ?iof (Eagan- ,. Vrpttr#ntmt of +uilDing 3nsprrtimt Thi.r brti ficate ?i.rsued ?ur.iuant to the requirements o f Section 306 o f the. Uni f orm Building. Code?certi f yirig'°that at tlie time o f itsuanct thit structure wdf in com pliance with the variour ordinances o f the City regulating building con.rtruction or use. For the following: u. c,??ti? Single Familg De?elling $lae. ee?t No. 6617 ? Uccu'pancy Type R3 Type Conawction V Fi.e Zonn 1A Zoning District' a,;,er ofBu ua?,g " Sunshirie Const • pdd??y 1017 E. 157th 5t. Bu?'n9vi] B,ull"Ad" 1328 Raspberrv I,aneLoal;ty Lot 13s Block 5pHilTtop Est By . . . BuildmgAffiail Date. ?,ef?,•.Y 23, ?.701 ? ? . . •• /.,? . ,. , ' POfT tX A tONBPICU0U9 `PLACE . . . , . ? . OGO[5 4&1 U.S.N. CITY OF EAGAN , . 3795 Pilor„ Knob Raad Eagan, MN 55122 N? 6 6 ? 7 PHONE: 454-8100 BUILDING PERMIT APPLICATION 62v000. Receipt # Sing Fam Dwlb To be used for Est. Value A Dcte d2r.i1 20 , 19-? _ Site Address 1 328 Ras Pr y Ln Erect pX Occupancy Lot13 Blocir5 Sec/SAi.l 1 top ES t Alter ? Zoning R 10 33000 130 05 Repair ? Fire Zone a Partei # , Enlurge 0 Type of Const. V ce Name Sunshine COIISt Move ? # Stories 3 1017 E 157th St. Addres Demolish ? Front 68 ft. o UrIISVl e 43-5 -6-53-5 Grode ? Depth 40 ft. Phone Ci o Name S ame _ Approvals Fees., Address ? Assessment ? Water & Sew. ~ Cit Phone Phillips Plan Service Police Name ?Z 7630 5th St. • Fire ?o Addr?ss Eng. p a e a"' Ci ?Y _ Phone Plonner Council i hereby acknowledge thot I have read this application and state that gldg. Off. the information is correct and ee to comply with all applicuble APC Stote of Minnesota Sta?t?an y o Eagan Ordinances. S' t f Permittee °' ^ igna ure o A Building Permit is issued to: oll work sholl be done iri accordance Permit 157.50 Surcharge 31.00 Plan check 78• 75 sAC 525.00 Water Conn. 335.00 Water Meter60. 00 Road Unit 185.00 Totui 1372.25 Sunshine Co truction on the express condition that th{all appliwbl te of Minnesota Stotutes and Ciry of Eagan Ordinances. _, Building Officiat BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 y F' Receipt # - Te b, wed fm PORCH Est. Va1ue $6, 200 pa1e , APRIL 24 , 19 85 - 1328 RASPBERRY LN Erect ? Occupancy Site Addresa 13 5 HILLTOP EST Remodel ? 2oning Block Lot Sec/Sub. Repair ? Type of Const. Parcel No . Enlarge ? No. Stories BRUCE HODGE Move ? Length ? Name Demolish Depth ; Address S?E Grede ? Sq. Ft. b City Phone 452-4169 Install ? ? KEN SMITH REMODELING ,o Name 1099 LOWELL CIR uu Address ?- city APPLE VAL phone 432-4105 t°C W Name SAME ? ?? Address tW City Phone Approvab Fees _ Assessment Water & Sew. Pol ice Fire Enq. Plonner Council Permit 20G. 32 Surchurge 3 _ 50 Plan Review. SAC Woter Conn. Water Meter Rood Unit I hereby ocknowtedge thct I hove reod this application ond state thot gldg. Off. 4 2 2 8 5 Parks the informotion is torrect ond ogree to comply with oll applicoble APC Total 6 6. 00 State of Minnesoro Stotutes and City, of Eagcn Ordinonces. Var. Date Sipnotum of Permittee ;?•? °?" •?+??? h Building Permit is issued to: KF.i+d SMTTj3 R.MnDF.LINC' on ths express condition tho+ oll work shall be done in occordony6,'v'th oll opplicqbk-.State of Minr+esota Statutes and City of Eapan Ordinances. N_ 10141 -5///9 Buildirq Officiol SEDGWICK HEATING & AIR CONDITIONING CO. HEATING 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS I ??U Rr+sp c`?`?rny ? 1;4)- OCCUPANT SOLD BY MAKE ri N SERIAL NO. CZC THERMOSTAT<:K 3 63 VALVE J LIMIT ' LIMIT SETTING QO FAN SETTING PILOT TYPE lft-rhAa%?i IGNITION MODEL i-?-PILOT TIMING ' 1 ? PRESSURE WLC •PERCENT C02 8 ? ? INPUT CFH PERCENT 02 STACK TEMP. PERCENT CO ? JOB NOS" `"y CITY e OWNER ? INSTALLED BY MODEL 0 q 0 INPUT ? p,=Twlf VENT SIZE 4" TYPE OF LINER 3410& LINER SIZE (n I? FILTERS: IZE NUMBER ? WIRING TEST TAG LIGHTING INST. DATE TESTED o COMPANY TESTING NAME OF TESTER ? FORM 235 (REV. 11/89) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - ? Fnr £?ffice Use I ? Permit #: I Permit Fee: I ? Date Received: 1 ? ? Staff: e2? I I I -----------------? 2008 RESIDENTIAL BUILDING PERI1IIfT APPLICATION ''?d ?^l Date: ' 0 a 4 ' Site Address: 1? Tenant: Suite #: RESIDENT I OWNER Name: ?_ L?d^U(.2. 'F mcvi (4. vx ? D?fLP? Phone: 625I" ySc?-? j Ga q ' Address / City / Zip: &2a.vL MA s7S_1:43 - Applicant is: Owner Contractor TYPE OF WORK Description of work: 1(,9X19 AeLk GtvtA 6(' xola wadCS_k)p Construction Cost: /,/ 01000 Multi-Family Building: (Yes / No? CONTRACTOR Name: Ke/l ? A'S (4ivoJ&11wv? License #: J 7Li ol Address: c;j ;? ?J(.t.l IfIU+ LGLVIe.- City: AQ Qiz UGt, L 1'ex/ State:. M n! Zip: Phone: (o { ?- (06 q Contact Person: ?ZP_l& COMPLETE THFS AREA ONLY IF CONSTRUCTING A NEW BUtLDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 _ --- Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet - Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted.- , In the last 12 months, has the City of Eagan issued a permit for a similac, plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: ? Sewer & Water Contractor: Phone: I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinancQS 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 LL JA ?; svvt`-?l, X -4-0 Applicant's Printed Name 4 2008 Applicant's ignature Ju? 2 Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Cl Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool s? ? Single Family ? 06-plex 0 Firep{ace ? Porch (3-season) ? Ext. Alt. - Multi ?O 01 of _ Plex ? 07-plex Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex O Miscellaneous WORK TYPES ? oyl iLS WD10? J._.; . ????fC.• ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior .15 Alteration ? Fire Repair - ? Windows ? Demolish Foundation ? Replacement - 0 Egress Window O Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: ? Valuation Plan Review (25% 100% ? Census Code # of Units # of Buildings Type of Const. ? REQUIRED INSPECTIONS ? Footings (new bldg) ? Footings (deck) Footings (addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Occupancy MCES System Code Edition SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width Fireplace:_R.I. _Air Test _Final Insulation Sheetrock Meter Size: Final/C.O. _X Final/No C.O. HVAC Other: Pool: _Footings _Air/Gas Tests _Final - Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total W *0p) ? ? qq L9 ? Page 2 of 3 JRVEYOR'S CERTiFfCATE /SUNSHINE CONST., INC. - I / I L ? --------- _. RASPBE RRY ' - 8 74.6 $??6 LA N E ? N 860281S2" W 123.03 O o ? -- - - ? 0-) 10 LC) ln up `Q'----- +$? }6?p I ? ? N I 30.00 26.00 -"- -- I a' _-- ? C) 52.02 -? ?. - ? N ? ? I ?? 5 73 . 0 x 12.00 A 3 , v PROPOSED ?$' C? l0 ° 3c ? ?GARAGEo°, a ` N _,30 00_ " ` ? O , 2+ 6 .00 - - 0? ? 3 Q ¢ 3 ? co ? 3 L Vv) .? ? ? _t`t?DRAIN 865.8x +5 Z PER P? T a UTILITY EASEMENT I J -/6s$ o ? +g l ILo ? j0 00" E L SCALE : i: 30' g67•i 7a r f O D--'iICTES IR -,.! OSED C `RAc?E FL00 7 ELEVP.TIOiJ = 876.6 ^i-,?• i' ' ?•.• ?t c' ; .,? ` _ NL 869.6 x000.0 DL:tiG`PE;, EnI - ;. I ? r- ... __ _.. 1': II•;, :. PR GS E D ). F 000.01 DrN(,-':'F.S ?rtr)"c:;S.-:D F.?.,F.,'A.?t,C: -rrl', v . .,.. -- .. -- ' T 1C ; = 877.0 F'E:j':' Y i tilE:`El"•' .._r'_1_'J t:1?i`_ 5 ic -- .. -oi : . . U t. _ ? .. :1 .: ?.. l. ?1 i ._ f. 1_ `. Y ! :.l ? '?"' :. L : • ?, .: ? ? ? ± ?. .... a. ?? .?_. =3? .._GC.. _. :' ?.i.,_ITC? .:: J i' . l t?'.J '. J C v!. C 1<.! t G_ ? Da;..i _.. .:Gi:i.?"y, .....?.,?.;0?5. ? (6I2)835-2808 ? cJga ? 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan ?5-T 3830 Pilot Knob Road, Eagan MN 55122 J Telephone # 651-675-5675 Please complete for: single family dwellings & townhomesJcondos when permits are required for each unit 5o. S-D Date OY / /7 I ° `/ Site Address 13 v? 1121- .f' Unit # Property Owner !, r+" Telephone # ( ? J-/ J Z ? L// 6 ?i Contractor 1? e/qe?.e,.....,. ?'iFL. { i . ? , _ -:.17 .: ,. Street Address 8910 Wenfiworth Avc:. S,.„ City inneapo is, 5420 State (952) 881-9000 Zip Telephone # ( ) Bond #: Eapires: The Applicant is Owner "lo Contractor Other Add-on or alteration to egisting dwelling unit $ 30.00 ? A v.a L004 ? furnace Additional IG Replacemen?, _ ? _ air exchanger air conditioner - New Replacement - - other State Surcharge $ .50 Total $ -3 °` ,-? I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a pernut, 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. -,n, A /-?. fP c - w ; G /? ?i,?'?1„y,.•'Y 1-7 Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANIEAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ lnstall _Remove **see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: **When insfalling/removing underground tank, call for inspecfion by Fire Marshal and Plumbing Inspector Pel'mit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 => $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 pe rmit fee $ Total Fee I hereby apply for a Commercial Mechanica] Permit and acknowledge 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 permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: ? s?06 " 2005 RESIDENTIAL PLUMBWG PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 - 651-675-5675 Please complete for modifications to existing residential dwellings. V J Date l c/ I D? Site Street Address Unit # Property Owner ? r uC,? ? ??t <2-- Telephone #(?J ) f?? -1//6 S wwa$mpbmlf? Contractor 9410 Kllm l anA anrfl?. Telephone #( ) Address ??I MN N'4'4'1 City State Zip The Applicant is: _ Owner XContractor _ Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septie System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement X Lawn Irrigation _RPZ ?PVB ,,?hew _repair _rebuild k. $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be;. in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. f `w! /-/,o A /`_ Applicant's Printed Name 7:7 /4/ Applicant's Signature APR 2 0 2005 ti t r ? Ll ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For : POy?L?, Valuation : Date :?J-?-,?e?° Site Address: (3?? ? ????:???„y?? Lot: ? Block ? Sect/Sub Erect Remodel Parcel # Repair Owner ?:,r1'Ge., Pnck r. Address ? . ?. City/Zip Code ?aq,Av\_ Phone q,? - ? 1 Contractor Xr?? ?Q ?? ?n, D ?C ?e n /? 9 ? Address ! ?/? 'I Zowedl City/Zip Code ?-apA VO L42 y Phone 1-11 Arch./Engr. Address City/Zip Code OFFICE USE ONLY Enlarge Move Demolish Grade APPROVALS ? Occupancy Zoning Type of Const # of Stories Length Depth Sq Ft Assessments Permit 50 Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Parks APC Treatment P1 Variance / - TOTAL o Q Phone # t • ? • SURVEYOR'S CERTIFICATE /SUNSHINE CONST., INC. L - --? RASPBERRY , - L _ 674.6 A N E ? N 86028'S2" W I 2 3 .03 o ? o -.-- rn - _ o 0 ? ?a) ia C) 6 Lc) zT OD I e)?60 ?01a ? ?? ? ? ? ----- + I i ? N ' 30.00 pE 6 52.02 ? 573.O x 0? \ 2.00 A 30.00 ?- S - °?2.,\N GARAGEN N 68.00\\ 2 ? a ` a?o 6x w ? L OT 13 ? _? ? I? ? 865.8x I5 Z DRAINAGE 61 UTILITY EASEMENT PER PL AT T J ( 6?0 0 co ? 10 94 67 ? _ N7a°3? SCALE I'' = 30' g6?•? " R+ ?°l' r. T ? O DEPdOTrS IR Dt; 1:O?1Ui1E:1:' 'DE T PnPOSED i,ARAGE FLOOR I:LEVATIOt1 = 876.6 ? i'i:T • DEidO'P:;s IRDIN ^1ONiI:1F.VT ^0':PJD Pk01'OSED LOi?iL;'P 869.6 x000.0 DENO'I'Ev EXI-L:rIld-:; ET f.'Vl""IGtI PR.7POSED T7? '.>F i'0`.:':I;?'iT: ':. 000.0) DENOTF5 PROrCSr D F_LF,VA'.'Ii,N _TLF.VATI0i1 = 877.0 F E: ',' I hereby ccrti'_"y *hat tni5 is a tra?-, anc (-orrcLt r-pre,.entati-,n of ,. s,,,rvey cf ?!ze boundaries oi : ..o t. 13, is?oc;K -5, iIIL?TOi' f:STA:'ES , acc-i u i.:.; to e i, ecu: -? c, a 7 at therec: , Ds};(, t.i ty, ." i nnc.-,ota. Fr.3 0:. tha iocatioIl of a! 1?)uiLu_ngs, _r •.:e: co:-, ;an,3 i. : eti- creachr.e.zts, i: ?,ny, :ro::, or o:i sai.: lzi-,d, It ...ltio 3..0wti _.:U 1^-ati.oii of t}.e ??tiakes as set foz- a i1r3T:ostc! k:u i ? ai r:^ . ?%s .iarves ei mu thi s 9th day ofi 193_. -, vI'S.:ED: J:1?'?F:S? F:. HiLi,, I't+i.C. ?-`, : ' ? ?•.? ??'. i?? ??'l 'j? "•` ?? ' °jll:)::eSQtd L `"'"" f- PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 81136 13, i2 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER B{oomington, Mn. 55431 612-884-3029 .? Q . DEVELOPER'S CERTIFTCATION Lot. ?j Bloek: 5 , Subdi.visian: HKAADC' ' .. '?'?5? ? T'his is to certify that s:?1'N? ? has oamplied with the Seller`s requirements necessary to Qbtain Se11er's aggroval fQr a buildi.ng permit. This Approval is by Sellex an1y. Builder must comply with ai1 ? ca.ty,requirements and must secure hi.s sawn building germit, Approved by SeTler, Dunn & Curry Real Estate Management, Inc.: tt r_ . . . ?,.. Y ¦ s? J.. Iw • .? . A 1 . By P . ut a ize gent ate Accepted by Buyer: ? By ' ? . ? ate A. . . ?M=' tU?C- TyM MrOe= is PM014MIlT ?I MuNN * 4940 Viking Qriue Pentagon Offic•e Park - Minneaputis ' MN 55435 (612) 835-2808 ,.. . ,... a _ _ . ... _ -?. .....>, ... ? ? ?-. .: ???`?1a.t.f?t" ? ?' 4,.t"- '?? "•._? .?'y' M.r,„ . ' _ ...tr.,...... Y ? -.._ .. .. . _ ,....-n. . ?;... -..r.,...... . .q ?r. ..ra.we..ti P . . ?[ , HILL P r EXTERIOR ENVELOPE tiVERAGE "U" COMPUTATION k OWNER ? 12- LQC) c- SITE ADDRESS CONTRACTOR ?c >> S?u ??F pt?`i", DATE )Z- F?- &Q PNONE Determine working square footage of each. ]. Total exposed wal l area ..... 1910. 0 y sq, ft. x • 18 = 3?•? 2. Tota l roof/cei l i ng area ....._ ( 3 oW sq, ft. x .0 4 Total exposed wall area above floor a. Total wa11 window area ....................... ? b. Total door area ............ . . . . ... . ...... ? ? 38 ' c. Total sliding glass?door area .....:....... ?? 41} ... .. d. Total fireplace wall area..,....... . ? e. Total wal l frami ng area (average 10%) . , . : . . . , , . , , j yZ . OZ f. Total net wall area above flaor ................. ?z r? g,? 8 y. Total rim joist area ............................ Total expased foundation area = gg,yei h. Total founriatian window area... i. Toal net foundation area above grade?............ _ gg,y y determine "U" value of each wa11 segment. a.?L-Lo 3,14 Xliuli ,? S = 8c! ,$? b, 38 X „u,i 39 = S,Z? c. 9 4 Xlluii d X • ituii `--- _ e. X i'Z,C?? f. JZh X „U,s . oy?____ = l?z . ('3? g. 1 5LO X„u„ oylQ = ?, j7 t,. x „u., !._. _ ?.. a y y Xliul, y l?09 = `I f? y 7 3 . . . . . . . . . . . . . . . . . . . . . . 191 ? : ?y . . . . .Total = Zy If item #3 is the same as, or less than item #1, you have met the intent of SSC 6006(c)2. , •• . 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT NNST SHOW A LICENSED PLUMBER. CCi To Be Used For :?? Valuation: Date : Site Address M?F gCtSpbQsrry LqH? Lot 1_? Block ? Parcel/Sub Owner CUL@- (?e, Address Ldt?l?- City/Zip Code ?q?p LAMI, Phone Contractor iztyvtocktr m- Address [i)C(q ?b??,?,i ?i:?'C??? City/Zip Code Phone Arch./Engr. Address City/Zip Code 3poa d OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. IOn site sewage_ ?On site well IMWCC System _ City water _ I? PRV _ ?iBooster Pump _ IAPPROVALS COMMERCIAL FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit' Park Ded. Copies SUBTOTAL Penalty TOTAL C,u Vo ---?-- Planner Council ?Bldg. Off. IVariance Phone # PERMIT # !417 7 J RECEIPT DATE: . 4D USIDENTIAL PLiJMBINC PERM1T APPLICATION O'p crrY oF EAsAv 3$30 PILOT KNOB ftD EAFAlv, 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: OWNER NAME: : '?S[_?,1CP ._'?;?(?„??_ TELEFFiOfvE #: (oc?\1-Gja_- -{`(pB (AREA COCE) INSTALLER NAME: TELEPHONE #: CtSa (AREA CODE) STREET ADDRESS: CITY STATE: ZIP: Place a check mark next to the oermit work tvoe _ New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system ? new installation/repair/rebuild of RPZ • lawn irrigation system + watei' tut'riaroUtid ? Nc'ure of work: l,??tpr _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees o requires MPC license St2te Surcharge $ .50 To?al Sd $?_ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. B I hereby acknowledge tnat I have read this application, state that the information is correct, and agree to comply with all applicabfe City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the Ciiy of Eagan a sumes no lia '' or any a es caused by the City during its normal operational and maintenance activities to the facilities constructed under this permn+ithin City roperty/ri h- y/easement. TURE?F PERM Updated 1/01 Ci1tY of Eapn 3830 Pilot Knob Road Eagan MN 55722 Phone: (651) 675-5675 Fax: (651) 675-5694 i ? ??,o,r,'le --------- ' j Permit #: '77g 7 3 ? 6V ? Pertnit Fee: ? j Date Received: ? Staff: 2008 MECHANICAL PF-RMIT APPLICATION Date' Site Address• Tenant• Suite #: Phone: Name: ?)ult ? RESIDENT/OWNER - , Address / City/ Zip: ? ` ` #: ?o\ 5 (?i 333 ?Li COMTRm?CTOEi Y seASe . 1?) Name: Address:??9 ? ?N Zi :S ? 3'1 d St t p a e: City: Phone:olS Contact Person: Nc+ `\ t y? i?l 4{I ? TYPE OF WORK New Replacement L Additional Altera6on Demolition Descriptl`on ctf?wark; 4?k qm'? C`-? 5,?? " fv ? ?i me?l?anlcal?equ?pment,is requ?red to rqpf?0d?and?grou?d nio??Z NOTE?'??Ba?h 3 t r 3^ i ?? x r N 1?' T^ ?? ? ? s l - u. 9?rc?Y 4 ?,t ?ityF?pder? P/ease conta?t°?Ir?,?Me?hanlcal lnspector?or one of the ? e?J¢b? b? screen ? ? . : scrasenlri ?me"ihods roriY" 'rmitteal iiiforin?tlon ?? sxfor ? ? '?? ? P l nn? . .. . . . .. ? ; . ?? ,> a r RESIDENTIAL COMMERC/AL PERMIT TYPE New Construction Interior Improvement - Furnace Air Conditioner Install Piping _ Processed _ Air Exchanger - Gas Exte(or HVAC Unit ` HVAC units must be screened ' Heat Pump ' ?? Under / Above ground Tank ? Install /_ Remove) ection b Fire k ll for ins lli i t " Wh i t / ? Other Y (s), ca p y ng remov ng an en ns a Marshal and Plumbin Ins tor RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fife fep8lf (replace burned out appliances, ductwork, etc.) (inCludes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1°k $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permi Fee is less than $1,000, suroharge is $.50. - If Pertnit Fee is >$1,000, surcharge increases by $.50 for each =$ St1te SurChafge $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). $ TOTAL FEE I hereby adcnowledge that this information Is complete and accurate; fhat the work wi11 b8 in confartnance wim the ordinances arul cales ot tne LIry ot tagan; tnat 1 understand this is not a pertnit, but only an application for a permit, and wOrk is rat to start without a permit; tFiat the worlc wiil be in aa:ordance with the approved plan in the case of work which requires a review and approval of plans. x r?? ?\ \ x?' 1\? U AppllcanYs Prin d Name - Applicant's Signature FOR O rFFICErU$E?,1? ' ? ? ?,,? ? ? , ?? Revfewed?By? Date 'd.W ?? l?y.? '? }+ -. t ?,?'` ? s, •-E'4 . „?. . y' a c . I?Requ?Ke,d Irfspei?tions,?; x,.,. Under k:?Qj??st' ?? ?='?Gas SeN?ce,`Testt y? ?n floorMHeat?F ?Fm???,? , F Use BLUE or BLACK Ink For Office City Permit f 70 of a� h Permit Fee: 6/ e' 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675 -5675 Staff: Fax: (651) 675 -5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _I ""S D l Site Address: /_3 (9 S Retsph-eire e, QQ� _�J f Y Tenant: ()(',Qi {'N 4(1/"1 /t i I i 0 X n rgr Suite RESIDENT OWNER Name: NAoc d- f ()41 P Phone: (OS -9 I01- <11(.0i Y Address City Zip: s PaSp ry L. 410- &7Rlot. Applicant is: Owner Contractor v TYPE OF WORK Description of work: P.tc de, Louse, Construction Cost: 6 a f 00 Multi- Family Building: (Yes No N CONTRACTOR Name: (eV( 1v1V1,(%(S Reu4oLtvi License 7I Address: 0) )a, /w T City: Litt/1 k State: �V L Zip: /r Phone: 1(9 Ii 0 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ILA t, S rr j i Applicant's Printed Name Applicant's ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA110627 Date Issued:05/20/2013 Permit Category:ePermit Site Address: 1328 Raspberry Lane Lot:13 Block: 5 Addition: Hilltop Estates PID:10-33000-05-130 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 . Kathleen Myrman 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 - Bruce H Hodge 1328 Raspberry Lane Eagan MN 55123 (952) 891-1919 Apex Roofing & Siding 944 Oriole Dr Apple Valley MN 55124-0000 (952) 891-1919 Applicant/Permitee: Signature Issued By: Signature