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1545 Red Cedar RdCITY OF EAGAN Remarks addit?o Oslund Timberline Lot Pt • 17 & ZC) BIk 4 Parcel -- Owne I1. -* r I Street 1545 Red Cedar Road Scate_ Eagan, MN 55121 & EVc ;=-DY1 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 0 PAID ? SEWER LATERAL PAID WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK * STORM SEW LAT 1970 20 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 8UILDING PER. sAC 1548 7-8-69 PARK EAGAN TOWNSHIP BUILDING PERMIT N° 1950 Owner ...... "•"-'....... 0 . ...... ....... .....--.......---°•.-....................... Eagan Township Address (Presen!) ..-_.---------- Town Hall Buildar ........ --_?...:---°---°----......_. . aa:e _...."/:LY Aaa=ass -.-.......... ..................................................... ....._ ......---.--- 5fories To Be Used Foz Froni Depih I Heighi Est. Cosf Parmi! Fee Remarks I I I /C / A4..4' - " ?' -- ' Q ' " ' LOCATION Sireel, Road or /S4'd` oiher Descripllon 9--w ° of Locafion I Lo! ?. z a°I? Block Addition or Tract This permit doas not aufhorise the use of sireaffi, roads, alleps ox sidewalks nor does i2 give the owner or his agen! the zigh! !o ereate anp sifualion whieh is e nuisance or whieh psesenis e haaerd !o the healfh, sefely, eoavenience and general welfate !o anpone in the communilp. THIS PERMIT MUST BE PTe O?NJ T?HE P?REMISE WHILE THE WORK IS IN PAOG SS. _ ........_ p This ia !o earlify. lhat.... ?..Y.?*?:`.K-.....___...-.__-..has permiuion !o erect a...,. ..- -? -_:-...-.`___•---._.. . u oa the ebove deseribed premise avbjeet fo the provisions of the Building Ozdinaaee for Eag Township a p2ed April 11, 1955. ? ............ -°' ----°' °- ?- ----°--'--•-? -----°°-----'-'----. Per --'------....---°-5?..i...._..?...._`-...... Chm n of Tnwn Baard Building Impaefor 4 3 a.5j9REQUEST FOR ELECTRICAL INSPECTION ? See insirvctions lar c?mpleting this form on beck oi yellow cnpy. ?, . 6??4 6 X" Befow Work Covered by This Request EB 00001-0 Ov l??l ew Add Rep. TypeofBuilding AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Eledric Heating Apt Building yer Loatl Management Comm./Indusirial Fumace Other (Specify) Farm Air Conditioner Olher (spectlY) Contreclork RemaBS: Compute Inspection Fee Below: sc;j) 4 ? # Other Fee # ServiceEntranceSize Fee # Cirouits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps Signs Inspeaors use Only: TOTAL IrrigationBOOms ;2b,^v Special Inspection Aiarm/Communication THtS INSTALLATION MAY 6E ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Eledrical Inspector, hereby t flO1gn;n ( oare,3_P certi y that the above inspection has been made. Final ,?J !? 4 OFFICE VSE ONLY This request witl 18 months Imm 3 as/63g 46 - ? ? Requesl Oate Fre No. Rough-in Inspection pequire0? NOTICE: Vou Mus! Call Eiecirical Inspecmr Ii A Rough-In Inspeciion 31qlq ?Ves o IsRequired. IAcensed contractor ? owner hereby request inspection of a6ove electrical work at: Job Atldress (Streeq Box ule No.) - Ctty ? a zwi Seclion No. Township ame or No- 1 Range Na. C n ( W OccupaM (P INn e PYrone Wo. Sy 7l0 7 ., us l Power uppli I I Address Electriwl ConVactor (Company Name) Coniract Li ?e No. ' IAC ? AMLO D8'08 Mailin9 Atltlress (ConVactor Makin Installatlon) " S or Owner 430 G Ss-'%42 ld V ll s e m a eil Fuihonzetl Si9 lure (COnvactor/Owner eking Instellation) Phona Number . ? ?C3'30 MINtJ?TA STATE BOAFD OF ELECTRICRV THI$ MSPECTION REQUEST WILL NOT Crlggs-Mitlway BIEg. - Hoom &173 LPi BE ACCEPTED BY THE STATE BOARD 1821 Univeniry Ave., St. Peul, MN 55100 UNLE55 PROPER INSPECTiON FEE IS Phone(812)642-0800 N' ENCLOSED. ??o EAGAN TOWNSHIP BUILDING PERMIT ?1 owne, ---i2,.41.4Z -..._...........-....-- ............. .- -.--...- -- - r ?sC2 ,??p Address (Presen2) °.f?_? 7.... ......-- q,u Builger ........ :?= ...:._.?f..??--?-----........ ............_..............---- Address ..................... -9-'r,-f,--.a..--` .................... v DESCRIPTION N° 1865 Eagan Township Town Hall Dale .... 1.1..-3/15?p................. .... Sfosies To Be Used Fos Front Deplh Heighf Est. Cos! Permif Fee Remarks G° 3`? ?•Z?6"° ?>•`=` l-2`? /v ? e 2 i ... c.. ? , ?. This permi2 does aot aulho:ise the use of afreefs, roads, alleys or sidewalks aor daes it give the owner or his ageni the sigh3fo ereate anp situafion which is a nuisance or which presenfs a hesard fo the healih, nafelp, conveaience and general melfare !o anpoae in the eommunify. THIS PEAMIT MUST BEPT OIJ THE PAEMISE WHILE TIiE WOAK IS IN PAOG ESS. . -dCcc-..-.?? This is 3o ceslify. Sha!"-' "-:_ ? ----- -----°--° ...............................has permission !o areef a-° -....° ,{-.............-------upon the above deacribed premise subjeci !o the psovisiam af the Building Ordinaaee for Eaga Township?adopfed April 11, 1955 ..l c ? ?,? ..................... ................. ........ ... __.i . =."."'c....... . ..... .............. Per .............. Build ..in9 .Ins eefos Chairm?of Tnwn Board C. Q SEDGWICK HEATING & AIR CONDITIONING CO. HEaTiNG JOBNO. 601°3 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS (fedA/" Rd- CITV 9-. A, OCCUPANT OWNFa SOLD BY ? ?? • INSTALLEO BY MAKE ?4 -?' MODEL U4 VCc(/ 7 5- _ SERIAL NO. ? - 7 >>o r K I? t ? ?? INPUT o THERMOSTAT Uv 0 VALVE LIMIT LIMITSETTING ???0 JV?• FAN SETTING PILOT TYPE j ii VENTSIZE Y I NPE OF LINER / ^" LINER SIZE 7` t g? FIL7ERS: SIZE ?vXOU NUMBER 0??? WIRING TESTTAG IGNITION MOOEL LIGHTING INST. PILOTTIMING /G ? ? Q DA7E TESTED PRESSUFE ? PERCENT COz ? COMPANYTESTING ? INPUTCFH PERCENT Oz ? (. 0 STACK TEMP. PERCENT CO ? NAME OF TESTER FORM235(FEV.fl/69) FORMDISTRIBIITION: ITECOPY - JOBFILE YELLOWCOPV - CITV Bob Osluad F. C. JACKSON LAND SURYEYOR REGIBTENED VND[R LAWf OF ETAT[ OF MINN[tOTA LICtNitD OY ORDINAHCE OF CI7Y OR MINN[ArOLI/ 0 N 3616 EAST SdTH STREET PA. 4-4681 ? *arbcpor'0 Ccttificatt -- - 1-=----? --- ------ ??'??. -r-? \ Nk? M Q, ? , i6 Jf ? .. ? ? . H ti?•s °? '? ?i - --- - , f ? ??----- -? ; ; ?. i3s•?? I HEREBY CERTIFY TH/1T TM< ABOVE 19 A TRUt AND QORR<CT RAT OP a miIrVCy Of: ?r 0 Lo* 17 except the Ea4t 20.0 feet triereof, and tha East 20.0 feet of 7,ot 16 r?) ock 4, Oslund "_'imnerline t+<idition.llakota c:rnintv,P:iinn. DLt fi-, d THis- 10ttl _ oAv o?__ LeQ• _A.o Ld 68.?_ SIGN6O- /ACKSON. < F. C MlNnE9OTjV}2[C Ur. 1-26^ 150-80 ? q It ? ? a \ ?l .? ?- . No. 3600 (p 5 I -? I 2004 RESIDENTIAL BUII.DISVG PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 W)'? New ConsWcllon Reauiremenis RemodeVReoair ReauiremeMs 3 registeied site surveys showing sq. ft of bt, sq. R of house; and gll roofed areas 2 copies of plan (20% maximum lof ooverage allowed) 1 set of Energy Calculations for healed addipons 2 wples of plan showing 6eam 8 window sizes; paured found design, etc. 1 site survey for additiorts & decks 7 set of Enefgy Calculations AddlUon - indicete iton-site sepflc system ME 3 copies o! iree Preservation Plan if lot plailed a8er 7/1193 Rim Joist Deteil Options selection sheet (bMgs with 3 or less units Date?? /J&V/ structionCost ?t ? C on I Site Address ?+7 ? ,? ?{ ?? .- J lt?Q, CkaaA UniUSte # . ? Description of Work Multi-Family Bldg _ Y?q N Ftireplace(s) _ i 0 2 Property Owner ?Q ?? Telephone # ((as 1) L194 PELLA WINDOWS & DOORS Contractor 15300-25TH AVE. N. STE. 4100 Address PLYMOUTH, MN 5447 c;ty. State 763-745-1400 Telephone # ( ) LICENSE #20165884 - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateorv 1 Minnesota Rules 7672 Energy CAde Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculatlons Submitted Have you previously constructed a buiiding in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. P? Licensed Plumber Mechanical Sewer/Wpter IS R Jv1N 2 a 10U4 Telephone # ( Telephone #( 7elephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; thaY 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 wark is not to start without a permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and approval lans. Cur'cv sa? Ap cant's Printed Name cant' Signature OFFICEaUSE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool Q 30 Accessory Bldg ? 02 SF Dwelling ? DS 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 DS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement Q 38 Demolish Interior ? 44 Siding p 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34Replacement •DemoliNon (EnHre 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) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Piumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas T esu Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector .? Wd9E: l '8 'unP amil paniaaay Pella Windows & Doors _ Twin Citiea, Ltc. ? 15300 251H AVE. N. S'LE. 0100 PLXMOUTH, MN 55447 763/745-1400 June 8, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Deaz Jan: WATS 1-800-462-5359 FAX763/745-1401 Elder Jones Corporation is authorized to pull building permits for Pella Windows & Doors -'I`win Ciries, Inc. Please allow their xepresentative to provide that service for us in Eagan. Tlus authorization shall be valid until such rime as the division manager expressly revokes it, in writing to the City. I request that this authorization be accepted expcxlitiously, so as to not de3ay the processing of our building permits any further. Please cal] me if diere aze any questions, I can be conYacted at 763-745-1432. Your imanediate attention to this matter is appreciated. Icerely, ? --,., Bryan . May. Replacement Sales Manager E11ldEi7E W. ? wCemdounGm6wm91.7E76 cc: Kara - Eldcr Jones Denna Krafty - Replacement Sales Process Coordinator Windows, Doors, & Skylights 7nnl5h C4iiT'1 AiTYT-.ifLLl b/fiT Ch/ 7T0 VAJ /T:CT LY?7 Tfl/OIl/0f1 MECHAIVICAL (RESIDENTIAL) t? Permit Application o City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please. complete for: Single Family Dwellings .. Townhomes and Condos when perinits are required for each unit . ? - Date?/??/? , Site Address i7nit # Property Owner • Telephone # 4'?/ ) 1-& Y i 117hJ 1 Contractor SEDG:'(ICK HEATING 3 AIR CONDITIOK'.,`!^ S entwnd va. o Street Address MNNe3p01ES, MN 55420 City State Zip Telephone # ( ?? ? 4' p . .. .r.:'\ 1\ ....?\.:L? The Applicant is _ Ownet ?Contractor _ Other \\ ? ? ? ' Add-on, modi5cation or alteration to eaisting dwelliug unit " i $ 30.00 fumace replacement air exchanger air conditioner 6?05)p? other 5tate Surchsrge $? ?50 Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurafe; that the work will be in conformance wiih the ordinances and codes of the City of Eagan and with the Mechanical Codes; tha[ I understand this is noti.a. pemrit, but only an application for a permit, and work is not to start without a permit; that ttte work will be yn accordance with fhe approved plan in the case of work which requires a review and approval of plans., ^^ ?? Applicant's Printed Name Applicant's Signatute ` -*% MECHA1vICAL (CONIIVIERCIAL) Permit Application City Of Eagan 3830 Pibt Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: commerciaUindushial buildings multi-family buildings when separate permits are not requ"ued for each dwelling unit Date Site Address Unit # Tepant Name (if applicable) Previous Tenant Name Property Owner Tetephone # ( ) Contractor 5treet Address City State Zip Telephone M ( ) The Applicant is _ Owner _ Conhactor _ Other Work Type Newconstruction UndergroundTank _Install _Remove Interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature of Work: P¢l'ITII[ FEC $50.50 Minimum Fee (includes Sta[e Surcharge) Contract Value $ x .Ol% PemrikFee . • If pemut fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Pemut Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclmowledge tUat the information is complete and accurate; that the work will be in conforaiance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand dris is not a permit, but only an applicarion 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. ApplicanPs Printed Name Applicant's Signature EAGE3N TOWNSHIY 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERt9IT FOR WATER SBRVICB CONNECTION Date: July 8, 1969 Billing Name: Robert Oslund Owner: Pltmmber: Riehfield Plumbina er Number: 304 ]I(Y1B?'1' Site Address: 15$5 Red Cedar Billing Addreas Ghg. Meter No. x)_?-A?FT-Aa Permit Fee 7.50 paid 7/8/69 Meter wt- 0000 Readi Meter 4WEe 93•07 paid 7/8/69 Meter Seaied: Yes_ Add'1 Chg. NO + 2bta1 Chg. ,y Inspected hy, - ?? Da[e Buildiag is a: Remarks: Residence XX t2ultiple No, Units Commercial Industrial I gy; Other Chief Inspector In consideratioa of the issue and delivery to me of the above pexmit, I hereby agree to do tte proposed work ia accordance with the xules aad regnlations of Sagan Township, DakoCa County, Mianesota. ? sy: Richfield Plumbing dQ5 es g ree Richfield, Minn. Please notifq the above office when ready for inspection and connection. EAGAN TOldNSHIP 3795 Pilot Knob Road St. Paul, Minneeota 55111 Telephone 454•5242 PERMIT FOR S&lER SBRVICE CONNECTiON DATE: Juls 8, 1969 OWNER•Robert Oslund NUMAER 433 Address1545 Red Cedar 17 ? q jf, rhE./ PLUMBEREishf;_ld plImbing TYPE OF PIPE Heavy cast iron DESCRIPTION OF BUITDING Industrial Coffiercial Reaidential Muleiple Dwelling No. of unfts X% Location of Connections: Connection Charge 200.00 nd. 7/8/69 Permit Fee 7.50 pd. 7/8/69 Street Repairs ToCal inspected by: DaCe Remarks• 8y Chief Inspector In consideration oF the issue and delivery to iae of the above permit, I hereby agree to do the propoeed work.in accordanca with the rules and regulations of Fagan Toc•mship, Dakota County nnesota ? By Richfield Plumbing es 2 . Richfield. Mi.nri. Please aotify when ready for.inspectioa aad connection aad before any portion oE the work is covered. PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C i ADD-ON FLTRNACE FIREPLACE INSERT ? DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDTI'IONAL 50 M BTU 6.00 GAS OLJTLF.TS rMINIMUn-t 1 @ $3.00 EAC:HI ADD-ON/REMODEL (ExIS'['BVG coNSTRUCCION) $ 20.00 STATE SURCHARGE TOTAL .50 d -so SIT'E ADDRESS: /_5?1{ OWNER NAIvI-': ze? TELEPHONE #: 4sV- 71a 7 uNsTALLEx: SEDGWICK Heari? 9 MR cmuomoronIc co. ADDRFSS: 8910 WENiWORiH AYE. $Q. CTI'Y: STATE: ZIP CODE: TELEPHONE #:_ ? ?' l -Ci66D ?-? SIGNATURE OF PERMITTE 1994 MECHANICAL PERMIT (RESIDE1V17AL) CITY OF EAGAN 3530 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCL4L/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH DWELLING UNTT. DATE: NEW BUII.DING IIV1'ERIOR IMPROVEMENT CONTRACT PRICE: $ WORK DESCRIPTION: FEES 1% OF '•p'•,:r:'?FEE $ PROCFSSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME• p S TENANT NAME• (IlviPROVEMEN1s ONL7) INSTALLER: •. ? . r,', ^' ;"y YC b? ?'. .•I?H ?. ? ADDRESS: CITY STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMbLIItCIAL) CITY OF EAGAN 3530 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 CITY OF EAGAN CASHIER: JS TERMINAL NO: 784 DATE: 04/27/00 TIME: 11:20:27 ID: NAME: MJ MOSER CONSTRUCTION 3210 9001 1545 RED CEDAR 153.25 2155 9001 1545 RED CEDAR 4.00 Total Receipt Amount: 157.25 CR128243 USER ID: JAN ? qos?7 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirv oF EAcaN 3830 PILOT KNOB RD - 55122 851-681-4875 Remodel/ReDalr ReaulrementS v 3 reylstered qfe wneys ahowing sq. H. o/ lof, aq. R, ol house and gU rooletl areas f2076 mmdmum lot covemao anowetll > 2 coples ol pians (ahow beam d wlntlow alzes; poured Ind. dealgn; etc.) > t set W energy calculailons > J coples d trea prefervaflon plan If lot daMed aRer 7/1/93 DATE: ? / ' ") ? 2 capies of plan 1 set ol energy cdcWaHOns 1or heated addiflona 1 aite wrvey for extedor addiNOna & decks ? CONSTRUCTION COST: DESCRIPTION OF WORK: 120nl STREETADDRESS: I St/5f R6O ?COM2 2?-? LOT: -L.7_ BLOCK: ?k SUBD./P.I.D. #: PROPERTY OWNER Name: 4 N4-0 S?),14 FRa"'C Phone LCyt FIM Sfreet Address: Htj < CNy L n V? 00 C69krL Z-'-' Stafe: I . / D - Zlp: . Company: /1 -r M 0Sv1- Fhone #: 0 7 ? (area code) CONiftACTOR Sheet Address: ?y? 1 Q? N L 6 ?` D license #?6? City S,? State: 129 ? Zip: ARCHfiECT/ ENGINEER Company: Name: Telephone C ( ) sneei City Regishatlon q: State: Zip: Sewer/water licensed plumber (if insWllina sewarhvatarl: Phone #: I hereby acknowledge Nwt I have read this appflcaHon, stafe thaf the infortnation is eortecf, and agre6 to comply wNh aU app8cable State of Minnesota Stalufes and CHy of Eagan Ordinances. Signature of Applicanh Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes OFFICE USE ONLY No ' 2 Z _ No _ Not Required ? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation O 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwening ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) ? 04 02-plex ? 10 OS-plex ? 19 Lower Level 0 24 Storm Damage ? OS 03-plex ? 11 10.plex Plbg _Y or _ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool O 30 Accessory Bldg. ? 31 Exc. wc - Muni ? 33 Ext. AR - SF ? 36 MuRi WORK NPE 0 31 New ? 36 Move Bldg. Ea, 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding . ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demol(tion permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sg. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ SAC Units % SAC City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1545 Red Cedar Rd Lot: 17 Block: 4 Addition: Oslund Timberline PID:10- 55300- 170 -04 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Quesetions regarding elec 952- 445 -2840 Crystal Gemuenden 8910 Wentworth Ave S ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Margaret Augustine 1545 Red Cedar Rd Eagan MN 55121-1919 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA081312 12/03/2007 ePermit cal Inspector, RECEIVED Use BLUE or BLACK Ink r For Office Use (�(Af Permit#: �Xt/7 lU ! J YI City of Eaaall � ;7 - Permit Fee: 3830 Pilot Knob Road /11-2(.0"/7 Eagan MN 55122 Date Received: Phone: (651)675-5675 buildinainspectionsAcityofeagan.com Staff: AA V 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address. Unit#: i 7 /' l Name: le Jr/ °�'/ /1/./7. " A'--)e- / Phone: /o�. / y� ��Resident/ / _ OWner Address/City/Zip: / 5/7.5' i2e cl ir )7ae 9 �s /l/ i f Applicant is: Owner P( Contractor Type of Work Description of work: /?' R /,%t44 -9'-6 7 1 Construction Cost: ��vvc Multi Family Building: (Yes /No ) l r _ / Company: Diz �-; / 40, /f-t/G✓Gy/,j7-1C act: �< /I S`141Tf'L Address: �,, �� iLe 1 Contractor �O77� 73 o�✓�� ✓Y� City: G2 State., ip:.-S 3 Phone: Gly-/ /2-7/9Email: rl' / p/20//r6,09S/✓ifG/494ile_4,42 3 ' 3. - �r7 & 2 License#: �� 3 Lead Certificate#: __ � If the project is exempt from lead certification, please explain why: 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? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: I Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions ofxthe N, information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances - •. 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 per• at the work will be in accorda�nc with the approved)plan in the case of work which requires a review and approval of plans. x �l 67—.i'01/ / Applicant's Printed Name Applicant's Sign-ture Page 1 of 3