4602 Ridge Cliffe Dr.... t r UF EAGAN ' Remarks
Additiun JOFW CAKE RTDGE ?-th Lot
Owner Street 4602 Ri
Rlk 14 Parcel- 10 39803 010 14
Cliffe Drive State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Oate
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
*SEWERLATERAL 10 15 80
WATERMAIN
,t WATEFi LATERAL lqRl
WATER AREA 80
STORM SEW TRK Q$$ 10 15 80
*STORM SEW LAT
CURB & GUTTER
SfDEWALK
STFiEET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
addition fp? CA-- RIa6E-4th
14 Parcel 10 39803 020 14
Owner Street 4602h Ri_dgp C1 i ffe Drive gc?te E8.$azl, MN 55122
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOH.
GRADING
SAN SEW TRUNK '
*SEWERLATERAL
WATERMAIN
,tWATER LATERAL
WATER AREA
STORM SEW TRK
*STORM SEW LAT
CURB & GUTTER
SiDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
CITY OF EAGAN Rsmarks - -
Addition .TOANNY' CAKE RTU(3E 4th Lot 4 elk 14 percel 10 39803 040 14
owner street 4604 Ridge C11ffe DT3ve State Eag8n, MIlV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOING
SAN 5EW TRUNK
*SEWERLATERAL 1981 2277,43 455.49 5
WATERMAIN
*WATEF LATERAL jQHj
WATER AREA 914/ 19$1 300.00 60.00 5
STORM SEW TRK 1981 278. 28 5$.66 S 80
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
6UILDING PER.
SAC
PARK
CITY OF EAGAN Remarks -
Addition •T(7Ht11NY' CAKF? Rrnr,E dth Lot ; elk S 1-Parcel 14 39803 030 14
Owner Street 4604-h R1dge Cliffe DTiYC _ State BSAatI, MIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK '
*SEWER LATERAL
WATERMAIN
*WATER LATERAL
WATER AREA
STORM SEW TRK
*STORM SEW L4T 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
!/? :3 v- -?/ CITY OF EAGAN r, t n
,. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12Q4,t
?i
' PHONE: 454-8100
BUILDING PERMIT Receipt
Tobeusedfor 1 OF 9 YLEX EstValue $48, 000 pate iU?'%'t: 3 19 86
SiteAddress 4604 1/2 RIDGE CLIFFE lllZ Erect DK Occupancy i13
Lot3- elock 14 Sec/Sub. JOHNNY CP1IiS Remodei ? Zoning L? 11
Parcel No. RIDGE 4TH Repair ? Type of Const
Addition ? No. Stories
Move ? Length 44
W Name good VALUE HOPlES Demoush ? Depth 4
o Address 14?i 0 4IlZD LN Int Impr. ? Sq. Ft
Citv B.x'hone 7 8 0- 5 510 Install ?
Z o Name SAME
? Q Address
~ City Phone
s
? W Name
? ? Address
i W City Phone
I hereby acknowledge that I have read this application and state that the gldg.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee APC-
Vac [
A 8uilding Permit is issued to: k'w? V IAI'I
all work shall be done in accordance with all appiicable
Building Official
sment Permit $ 2 74. 0(
& Sew. Surcharge 24.0(
Plan Review 137.0(
s,ac 575.0(
Water Conn. 500.0(
Ar Water Meter 63.5(
:il Road Unit 290.4(
on. 6/2/86 Tr. PI. 156100
Parks
ate Copies
Total $'l , 019 . 51
on the express conditlon Mat
5 and City oi Eagan Ordinances.
PwmR No. PwmN Holder Dats TeIphone k
Ptun,etny
H.KA.C:
ElstlAc
Sollener
Inspectlon Dats In.p. Commenb
Footinps I l114 .
Footlnysll
Foundatbn
Frsminy j , , ?
Roofiny
Houyh Plbp.
Rou9h MIy
Ftreplace
Flnal Nty. ?//, •/ ? ?,?
FMaI Plby
&dy. Finel k L--• A.
c«t. oee. k
Deck Fty.
Wck Frmq.
WNI Describe locaNon:
Pr. Dhp.
PERMIT #
? • • • PLUM8ING PERMIT RECEIPT # ( n -??? 7
GTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?n ' c7 Z2
iACT PRICE ,., .PHO,NE: 454-8100
Site Address L
Lot 1-3 Block
- Name
? Addre
c City
Name 3 Addre,?s / 6 O `
o C;ry
BLDG. TYPE WORK DESCRIPTION
4's? New ?
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
I Water Closet - $3.00 $
:::Z::Bath Tubs - $3.00
FEES
COMM/INO FEE - 196 OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND.41,000.00)
SIGNATURE OF PERMfTTEE
FOR CITY OF EAGAN
f Kitchen Sink - $3.00
Urinal/Bidet - $3.00
_T-Laundry Tray - $3.00
TFloor Drains - $1.50
ZWater Heater - $1.50
Whirlpool - $3.00
=Gas Piping Oudets - $1.50
SoRener - $5.00
weu - $10.00
Private Disp. - $10.00
=ough Openings - $1.50
nt ?'
FEE ' -
STATE SlC:
GRAND TOTAL• ? ? ? ? ?
CONTRACT PRICE i
Site Address
Lot - ? Block
m Nan
? Add
c City
Name
c Addre
p City L
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
PERMIT #
MECHANICAL PERMR RECEIPT # (P ?S231
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
Q , PHONE 4548100
N
TYPE WORK DESCRIPTION
BLQG
Li S
/ ub ?f ?'? .
?
,
Z?' t, R
N
?-
~ es.
ew
f ' M
l
A
d
-on ?
u
t
d
5 '
Comm. Repair
?16L Phone
?
i Other
l FEES
RES. NVAC 0-100 M BTU -$24.00
Phone /Sv' ?.' ADDITIONAL 50 M BTU - 6.00
,
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
-? ?M BTU ..? GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
M BTU MINIMUM - RESIDENTIAL FEE - 10.00
M BTU
M BTU
CFM
n ?
??E-- MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FEE • v -oi SfC: '5 ) SIGNATURE OF PERMITTEE
TOTAL• ?-? ?
FOR: CITY OF EAGAN '
1- ?? . ?i . • •
Tpxti#irate jof (Orrupanry
Citp of eagan
EpprtncetcY ilf lidld'mg JWrritm
This Certificate issued pursuant w!he requirements of Seclion 306 of the Uniforne Building
Code certifying that at the time of issuance this structure was in compliance wirh the various
ordinances oJtke City regulcuing building construction or use. For the following.•
lhe Gaasifiauoa . ?} L•-' ' Blda. Aemrit No. --
Oocu{xxy Type =3 Zooing Disuict - 7ypt Const
Owoer ot Bwldiog ?.Address `
Buflding Address 45tx-. 112 4:.
euaaine offic.i
POST IN A CONSPICUOUS PLACE
Towmtou4E - eo-R CITY oF E
3M%ot Knob Road, P.O. Box
7 PHONE: 45r
BUILDING PERMIT
To be used tor 1 OF 4 PLE X Est value 448, 0 Q
siteAddress 4604 RIDGE CLIFFE DR
Lot 4 Block
Parcel No. 14 Secisub. JOHNNY CAKE
RIDGE 4TH
W Name GOOD VALUE HOMLS
; Address 1460 93RD L N N
0 Ciiy BLAINE Phone 78 0-5510
o Name SAME
=
0 Q Address
~ City Phone
a
W yWj Name
? ? Address
i W City Phone
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.
Signature of Permittee
A Building Permit is issued to: GOUD VRLU£ HOtL:S
all work shall be done in accordance with all applicable State ojMinneso
Eagan, MN 55127 12043
Receipt #
t ? Occupancy R3
odel ? 2oning Pp
air ? Type of Const. un--
tion ? No. Stories
e ? Length 44
olish ? Depth 7 4
npr. ? Sq. F?
u ?
Assessment
water & Sew.
Surcharge L4 • V V
Plan Review 137.00
SAC 575.00
Water Conn.500.00
Water Meter63:50
Road Unit 290.00
Tr. PI. 156 _ 00
Parks
Copies
Total $2,019.50
- on the express condition that
Eagan Ordinances.
• PwmH Na PormK Holdor Dats TMephone M
PlumWny
H.V./CC. T? 7
M.ctric a
L4
_ -
? -
?
IMpecdon Date Imp. Commenb
Foodnps l 41YIX6
FootMys 11
FoundaNon
Framiny
RooAnq
Rouqh Plbp. 51. . ?
Rouqh Hty.
IMYI.
Firsplsca
Final Htp.
Final Plby. 4L f l
Bldy. Flnal ? z?? 7 Z::- X?. . ? ' i.-•?-. ?,
Cart. Occ. aL E
Dsck Fty.
Deck Frmy.
WMI Describs LocsNoe:
Pr. Disp.
f .? PERMfT # / c?? 2
' PLUMBING PERMIT RECEIPT #
CfTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ? lC?
f PRICE: .4.. PHONE: 454-8100
Slte Addr >,V `" It i
Lot Block -
Name
? Addres¢ ?
C C.Ity
? Name -77?.
c Addr
p city
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
FOR: CITY OF EAGAN
WORK DESCRIPTION
New
Add-on
Repair
Mult
Other
N9.
Fq(TURES
r cioset - $3.00
Tubs - $3.00
:ory - $3.00
ier - $3.00
en Sink - $3.00
il/Bidet - $3.00
dry Tray - $3.00
Drains - $1.50
r Heater - $1.50
pool - $3.00
Piping Outlets - $1.50
TOTAL
s
Disp. - $10.00
Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL: ?G ? `??
"r
_? a
, PERMIT #
w
, , • MECHANICAL PERMIT RECEIPT # 60 yss_ ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address I `1 BLDG
TYPE WORK DESCRIPTION
? .
Lot.?_ BIoCk S /Sub
R
L
'
es. New
-
m Name Z M
l
Add
?
u
-on
t
o Address Comm
Re
air
c Citi 'n 1 ?- 4 14 112L' Phone "1 ~ -7 .
p
O
, ther
Name FEES
c Address A ? k? RES. HVAC 0-100 M BTU -$24.00
p City /.J ?t1.1inD phpne 7 `55/O ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND
0-24 BTU - 12
00
.
.
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK
???
?' GAS OUTLETS - 1.50 EA.
Forced Air M BTU • COMMlIND FEE - 19'o OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
t
V CFtSA (ADD $.50 S/C tF PERMIT PRICE GOES
en BEYOND $1,000.00)
Gas Piping OuUets #
Other
FEE
SIGNATURE OF PERMITTEE
S/C'
TOTAL•
FOR: CITY OF EAGRN . , .?
.•
(gerfi#iratp uf Orrupanry
Citp of (Eagan
Erpttrtnrnf nf Swli?mg iwrr#inn
Thir Certificate issrred pursuant to the requirements of Section 306 of the Unifornr Building
Code cerrifying that at t/te time of issuance this slructure was in compliance with the various
ordinunces of rhe Ciiy regulating building corrstrucrion or use. For the following.•
1 QF 4 PLSX 12043
ux clatitxYUOe &Ag. F?rmit No.
R P1; Vn
00cupa7 TYPe zo? Dutrict 7ype Const.
oW??rB?? Gt70D VALliE HOliF;S ? 1460 93:tG i.:; N. ; BLAINE
4604 AIfiE CLILFE E-k L4, 81 ? Jt)ttNhY r„AKE itIDGF 4TH
BuiMin? Add? _ l.adity
,•',. ;- < .. ?' : ? .a:(
Daw- APRIL 28, 1987
MIdi,e officW ; .
POST IN A CONSPIGUOUS PLACE
L 1) a, 3j CITY OF EAGAI
3830 Pilot Knob Road, P.Q. Box 21-11
PHONE: 454-810
BUILDING PERMIT
To be used tor 1• OF 4 PLEX Est Value $48,000
SfteAddress 4602 1/2 RIDGE CLIFPE DR
Lot-2 Block 14 Sec/Sub. JOHNNY CAKE
Parcel No. RIDGE 4TH
W IN,,, GOOD VALUE HOMES
; Address 1460 93RD LN
° Citv BLAINi:phone 780-5510
= o Name SAM
oQ Address
City Phone
r¢
F W Name
? ? Address
i W Citv Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State o(
Minnesota Statutes and Ciry of Eagan Ordinances. ,
Signature ot
A Building Permit is issued to: k3wL vPu.url
all work shall be done in accordance with all applicable
Building Official
n,MN55121 N 11 12042
ipt# ( -?y1 ':)
J UVt: 3 ,19 86
17, Occupancy R3
? Zoning PD
? Type of Const Vrt
? No. Stories
? Lengm 44
? Depm ? d
? Sq. Ft.
?
& Sew.
Permit $ 274 • nQ
Surcharge 24 • 0C
Plan Review 137.Oa
S,4C 575.Oa
Water Conn. 500. OQ
Water Meter 6 3. 5 C
Road Unit 290.OC
Tr. PI. 15 6. G C
Copies
Tatal $2, 019 . 5t
on the express condition that
City of Eagan Ordinances.
_ PsrmN No. Parmll Holder Date TslephoM M
PlumMng
H.V.A.C. ?? - -? ? J • ? - /- ?,
Softenw
Impecllon Oste Insp- Commfnb
Footlnp. I %y/P6 Z-', B
FooNnys 11
Foundatbn
Fraadny
pooft9
Rouyh Plbq. O ?,? ?/r' . 7 • AIA
Rouyh Hiy.
Inwl. A
Fireplsee
Flnal Mty.
Finel Plbq. --'647 {
&dg. FMaI
CNt. Occ. ? ?, 7 (;?. ? •
Dsck Fty.
Dock Frmy.
11YOA Dpedbe Loeatlon:
Pr. Dbp.
GTY OF EAGAN
3830 PILOT KNOB ROAD, EAG
Site Addr s ??
Lot Block
m Name / 6-Ir- A4?3-I ' I- /d V Mult _
? Addre?¢ r - ? Comm.
c Ciry Af.Phone 33 Other
- I.a,.??- .
; Addre,?g
0 Crty /s4u .•?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF PERMITTEE
FOR CITY OF EAGAN
' PERMIT # "
' RECEIPT #
55121 DATE: ln?
WORK DESCRIPTION
New _
Add-on
Repair .
FIXTURES
Closet - $3.00
'ubs - $3.00
?ry - $3.00
or - $3.00
n Sink - $3.00
/Bidet - $3.00
ry Tray - $3.00
Drains - $1.50
Heater - $1.50
ool - $3.00
iping Outlets - $1.50
wr - RFi (]fl
TOTAL
S
- $10.00
ings - $1.50
f__ C)
FEE
STATE S/C:
? --
GRAND TOTAL:
_ , . .,
PERMIT #72
MECHANICAL PERMIT RECEIPT # ?
GTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: G % PHONE: 454-8100
Site Address 46,02 y ? gLpG. TYPE WORK DESCRIPTION
LotC2_ Block ??? Sec/Sub,
Res. ? New ?
? Name Mult Add-on
? Addr?ss Comm. Repair
c Ciry ? I, It " Phone ^ Other
Name FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p 1 City - ?J Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air 2*M BTU ?• COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMMlIND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
,-
Gas Piping Outlets # BEYDNO $1,000.00)
Other
FEE ? ' 00
S/C: SIGNATURE OF PERMITTEE
TOTAL• • ?
FOR: CITY OF EAGAN
.
4 ;
• r
(Itxtifiratt of (Orrupanry
titp of eagan
loPpuurt[t of lwidmg iwprtiQlt
This Cerfificate issued pursuant to the requirencents of Section 306 of the Unifon?s Bsilding
Code certifying that at the lime ojissuance this structure wns in compliance with the Narious
ordinanees of the City regulating building construction or use. For the following.•
t1x c4mfiwrioo 1(T 4 YE .; :.' ew& Plrmie No.
?
O-vPRrcy TyVe R3 Zoniiug District .l.ype Cmac ','i-
Owner of&ril?ng :17XX) t?ATl}E ri?+`.: ??(rl ^y??' , r'41s.;
?. Addrwc
r r
Bmldins Addrcsa -602 I/? R?';I'; t?.^i'i? ??ry ?.,? 5 BI?i , T-,?'e?'?? ..r',tr t?-a1.-. i;
Buildin8 OffiaW
Date: ??'. 26, 19P,;'
POST IN A CONSPICUOUS PIACE
,2L- CITY OF EAGAN .
3830 ?ot Knob Road, P.Q. Box 21-199, Eagan, MN 55121
T PHONE: 454-8100
BUILDING PERMIT
Feceipt
12,'041
To be wed tor 1 OF 4 PLEX Est value $ 48• Q 0 0 Date JUtlE 3 y9 86
SiteAddress 4602 RIDGE 'CLIFFE DR Erect OX Occupancy R3
Lot ! elock 14 Sec/Sub. JOHNNY CAKI: Remodel ? 2onina PD
Parcel No RIDGE aTN Repair ? Type of Const Vil
. Addition ? No. Stories
c
Name
GOOD VALUE HOMES
Move
0
Length 44
W
Z
o
Address
1460 93RD L?l
Demolish
Int Impr.
?
?
Depth 24
Sq. F±
Ciri BLAINE Phone 780- S 510 Install 0
o Name SAME
oi Address
~ City Phone
Name Fire
Address Eng.
Ciry Phone Plar
I hereby acknowledge that I have read this application and state that the Bld9 off 6/2/ $ 6
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City o1 Eagaa Ordinances. APC
Signature of Permittee Var. Date
A euilding Permit is issued to: GOOD VALUE 1101-1ES on
all work shall be done in accordance with all applicable State/of Minnesota Statute"nd City of Eagan
Surcharge
Plan Review
SAC 575.00
Water Conn. 500 . UO
Water Meter 63.50
Road Unit l yU • Vu
Tr. PI. 156.00
condition that
- PormN No. PannR Holdw Date TM?phon? A
?m" a / ? • 8 b
N,.??.C.
Eleclrk
SoNener
Inspectbn Dste Insp. Commenb
Foonnp.I G/y
Footlnqa 11
FoundaHon
Frsminq
Rooflnp
RouQh Plbp. 7-7-
Rouyh Hty.
Imut.
Flraplace
FMaI Htp. 7 ?
IFMW Plby. -'g
Wft. FM.i
CoII. OCC. ? Ao F7 ?. A.
o.ck Fro.
Doek Frmp.
YVeN Deseribe Locaqon:
Pr. Disp.
,.y S .
MECHANICILL PERMIT
, CITY OF EAGAI+1
, 3830 PILOT KNOB ROAD, EAGAN, MP
ITRACT PRICP oWruur.• ag"inn
Site Address yk- !. ?
Lot Block
? Name ' E T
2
Address _ILr.
y c;ty(ll, )LI i Name v
c Addr
p City J Phone 1
TYPE OF WORK
Forced Air ? M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets # ?-
Other
FEE
S/C:
TOTAL:
PERMIT # /
RECEIPT # "12?f
DATE: Z
BLDG. TYPE WORK DESCRIPTION
5? --
7 HBS. ??- N8w 1/_
Mult Add-on
? Comm. Repair
/
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
? S/p ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHRRGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
? SU SIGNATURE OF PERMITTEE
?- -
FOR: CITY OF EAGAN -
' . PERMIT #
PLUMBING PERMtT RECEIPT #
GTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
ITRAC'T PRICE- o14nu5:• esa_ninn
Site Addr `J 'j '
Lot Block ?
? Name
d
Address Pifl c
c City -'- ,
Name / j .-i /• 7
? Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMiT PRICE GOES
BEYOND $1,000.00)
OF
FOR: CITY QF EAGAN
BLDG.TYPE
WORK DESCRIPTION
New `J-
Add-on
Repair
FIXTURES
r closet - $3.00
Tubs - $3.00
!ory - $3.00
rer - $3.00
en Sink - $3.00
d/Bidet - $3.00
dry Tray - $3.00
Drains - $1.50
r Heater - $1.50
pool - $3.00
'iping Outlets - $1.50
nar - P5l1f1
TOTAL
S
- a i u.w
de Disp. - $10.00
;h Openings - $1.50
, ._ .
FEE
STATE S/C:
GRAND TOTAL:
a , . •
(gerttfiratp uf Mrrupaury
titp of (Eagan
Er,prarbnmt uf ludbing JWrrfinn
This Certifcate issued pursuanJ w the requirements of Section 306 of the Unrform Breilding
Code cernjying rhat at !he time of issuance this structure wres in compliance with the various
ordinances of the City regulating building conslrucdon or use. For the followrng.•
use a.ssific.uw, t of 4 PLi :: mae. Rrmii rb. ' 2Q'+ 1
Oocupaxy Type R3
Zoains Distria Type CoM
owoerotewlchne mCO VATIJL FC12EI" q? 14&) 939D JN.; -R?il:NT,
auaa;ng ,4aa„m 4?2 RIDC',°_ ?LF?•'?-: ;?t: ?;,?, 'r.t_ I, Al?+r .?!]?i:?ti^? GP? ttIl7.. ;Tr,
' Da,c .NLY 20. 19F I
. &aa;ng oftW
POST IN A CONSPICUOUS PLACE
sFVveR sEeVKI PEw+R
?- PERMIT NO.: 0 7.? q
DATE: 6-23-8 5
_ No. of Units: 4-D.13x -
.onm h ayy? Mr1lr 1h. C(!y of MI
kA..Rp.. 8efore
i? • n
Ch0fQlf:
CITY OF EAGAN WATBt SERVICE PERlIA1T
38"30 Pilot K nob Rosd P. O. Box 21199 ' PERMIT NO.: -
Eagan, MN 55121 DATE:
Zoninq: No. of Unitx
Owrnr: „Lltie • omes
roas:
•,' - ? , f?.
/lddrest: 714
umber ' ic sn ;
r No • •,????4?AM ?; 500. l?. iiti
ze; S eclS
dsr No.?O?O?. ?
?pN !a oow?ll? nMr ?11115 ? rge' J ? ?
Misc. Choross: 15 h, r? 0 pc. '
Tatal: 6 -3. ii}pcl ciet
Poid:
of Insp.: Irap.:
a -?6 - s7
I? CITY OF EA(iAN ?? ?? ??
3830 Pilot Knob Road .
P. O. Box 21199 PERMIT NO.: '
Eagan, MN 55121 py,TE; -< 3-? (•
Zoni"g: No. of Units: -vLex
Owrnr. ' :?-u-
llddross:
Site Addross: _-•;c)=,? i?^c C11`f
Plumlxer. Pitetub,--,??, • ? ;: •? ; _
I a!m te eem* rrM6 tbe Ciry of ave¦
OF&ROUGOL
By
Doh of Insp.:
CITY OF EAGAN
3830 Pilot Knob Road
t?1-r,
Conn.ctron Chow: a , r„
Acaour+t Deposit:
Portnk Foe: Surchorye: `: .
11Aisc. Chorg" .
Torol;
DoM PaId:
P. O. Box 21199 PERMIT NO.: --
Esgan, MN 55121 DATE:
Zoninq:
ow,,,.• ;;oo-+. Vaiue No. of Unlts:
Address:
sft Addr..s: RiagF• ;.i 17 ..
Plunber.
Mscer No.. Co.+nacNon Q+crfle:
Siu: Acoou+t DePoait: LS +1Up?=
Readsr No.: Permit Fee:
1agw to eewi* wMb flw Ci1r of Epp¦ Su?ciwroe:
Onanawor. Miac. Charges:
Totol: ?
By Dor. Paid:
Dote of insp.: Irop.:
.
' ?
. . - . {_ * ' .r . • ,?
. . • i ` J .. ' . .
? y
- _ . , . . .....r-.!.._ ?:i.:.-,?
CITY OF EACaAN
3830 Pilot Knob Rwd
P. O. Box 21199
Eagan. MN 55121
Zontnp:
Owrnr: r"
/?dd?ess:
Slta Addi
Plumber.
I yne to eon%lp wYh flw Cty Of ywm
O.diwswoss.
8Y
Dote of Insp.:
srim sERVKI PEIPAR
PERMIT NO.:
DATE: - • - T
No. of Units:
Corr+Ktion Chanpe: ', i S
Aoeounf Deposit: !. ? . i!ll,'.-
P'ermit Fee: - 10. ,1C'r:i
Sur+dWrge:
i
Misc. Choryew
Totol:
Dah PWd: -
m
No..
h aswPl/ wm !Iy Cihr ef Ee"•
?
0 a:1ot :4COb Roid --.-.• ?.. - ..° • ••••••••
. O. box 21199 pERMIT NO.:
sgsn, MN - 55121 . DATE:
No. of Units:
?-
. - Owrwr:
llddnen:
5ite /lddross: _' 2 t f f e Lh- i v w I f+ i4
Plumber. , .; ."l.tt:•?,
MeNr No.: ? ?:
Size: 1? 'Cor
"
. , .
Reader No.?.s ,3 fOr$
0
;
1 Mw? N pwoy w11r
nv
o?o..a...
w
1'D?SI
i .llp
cl ?T
E
?i TotaL• ? P r, mot -r
--
BY - I?--. Dot? Poid:
Dote of Insp.: Inqp,;
D'Z??'8?0
TY OF EAGAN
30 Pilot Knob Road
0. Box 21199
gon, MN 55121
..1......
WATER SERVICE PERMIT
PERMIT NO.:
D/1TE: " - '
.._ ... .. . . -.. •-r
C0n11lC}{Ofl dfOfge: 0 o i' .:
1looouM Depostt:
Pernlt Fee:
Surchorfls:
Mlac. Chorpm
Totol:
Doft Paid:
CITY OF EAGAN
3830 Pilot knob Road
P. O. Box 21199
Eagan, MN 55121
Zoninp:
Owrwr: , t!
Addreu:
Sft Add
Plumber.
SERVICE
PERMIT NO.:
DATE: 'T
.
No. of Units: "--
I "P'M to ? ? mrhr rrNh !IM CMp of 5N0
0rd1w¦ew.
i BY
I DoM of Insp.:
Conneetton Chorpe: 4 7 5_ f?Orjgl
llcoount Deposit: - 15 _ t:' 1"t
Parmit Foe: 011_
:
Surchwrgs: 5
Misc. Ctwrpp;
Totai:
Doh Poid: _
CITY OF EAGAN WpTER SERVIC E PERMR
3830 Pilu: Knob Rosd
P. O. Box 21199 PERAAIT NO.: _
n
MN 55121
E OATE:
,
aga
2onirg: No. of Units:
.?. ?i.? .
Owner:
llddress:
SIM Address:
"4
Plumber.
:
MsW No Corrwction Char9°'
.
Siu: /1tcount Deposit: 51
Reodsr No
: Pertnit Fee:
r ,-
.
I yves ie eawph? wl& !M G!r oF Eew• Surcharoe:
OMMROM MIEC. CI10fQn: .
Totol:
gy Date Potd:
Dote of Ir?sD.: I^aR:
P. Cf-Box 21199 PERMIT NO.:
Esgan, MN 55121 DATE:
Zaninp: a :.or_i s; No. of Units:
•
n,-•
pI
Jlddross:
Slte Address: ,
.Tot?nr.%,
Plumber.
Meftr No. F.AIM lan Chorfle:
Size:
Reader .
:
I slnN h
°°?Ip w116 1
? ? A
?
o?,?...a... V?
E?
Totol:
BY Daft Peid:
Date of Irnp.: I?qp.:
I
I -
i
?
CITY OF EAGAN ?? S?V? P?R
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Esgsn, MN 55121 pATE;
,
Zonirg: ? No. of Unitt: ?" -P?•
O1MfNr: Cnnr? 7•i7E,F, ROG1QR
Addr?SS:
$1T! AddIliS: :'r07 Aidve CZj.£fe :?T. L' :SZ4 jG1?i`.F1Y
Pluribar: 2:icke1s0n PJ.urab3la,^
1 Nr« h ess/!f wi16 liw Cleq of 5"sw
Qmmmom
ey
Date of Insp.;
IOt!.Or;- '
Connection Cha?pe: _;.' S. f3:i n:
/kaou+f Deposih
PoIenlt Fet:
Surcharpe:
Miu. Chomm
Totol:
Date Pold:
; CITY OF EAGAN WATER SERVICE PERMIT
? 3830 Pilot Knob Road
? P. O. Box 21199 PERMIT NO.: .
Eagan, MN 55121 D/?TE:
? Zoniny: R} No. of Units:
Ownor: ^.oo<a ??a l.ue ? _? .
Mdross:
Site Address: '' ? 0'' R i.-e "? i f^ t -,
' Plumbsr: ?`ic?el?r:ri ? ? ? •1, -
1Vltter No.: ConnecNon Charpa: ?
Slu: AccouM Oeposit:
Rsoder No.: Permit Fee:
1 ym Ie MoIg wNb !M Ciep oi !w¦ Surcha?ve:
Of+1M110N. MItC. CMrgm i
Total:
By DoM Pafd:
Date of Irop.: Irop.:
?
?
CITY OF EACaAN WATpt SERVICE PERlIAtT
3830 Pilot M.nob Rwd
P. 09. 8ox 21199 PERMIT NO.: ,
., ,
Esgsn, MM 55121 DATE:
Zoninp: No. oF Unlts: . .
??
Owrnr;
/lddrom . ? ? , i • T.d,
? .iCli..F fe Pr. L.L .?? 1;?`.-???y C.t. : g
5it* Mdrcs:•
Plu?r. ?1,
? 5?1?? , ,)npd
Meter No.: chona.
Reader No.: -54/ 66 2 -D c? R" ?e°+ ? r ? W - ?.
1s/m h oomply wi16 !be Ciryr ?? • ?9?? 1 ?
BY Date Pbid:
.:
oote of Insp.: Irmp
ZS 6
SEDGWICK HEATING & AIR CONDITIONING CO. HEanNG JoeNO. 2??sc?"
8970 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 887-9000 TEST RECORD
ADOFESS -1 CJD) , I .2' ' ` (D "`.-'?
OCCUPANT
SOLD BY
Levi hu
SERIAL NO. , ' I na>-F? (-311-
q7Y
OWNERflo-O' " ' -" -" -
INSTALLED BY l
MODEL 6(00144V ?DArD/ D
INPUT `54 ' < ,
THERMOS7AT Fp""'"D
VALVE
LIMI7
LIMITSETTING
FAN SET7ING , V ` ? 01
^
PILOTTYPE ?? n?
IGNITION MODEL ? ? J `-?- ^ ?
PILOTTIMING
?? ? •
.
?l W•C_. g3?
PRESSURE PERCENT COz
INPUTGFH 19(0
PERCENTOz f'l
? a
STACK TEMP..S/JSL- PERCENT CO '-2
FORM 235 (REV. 11/99)
VENT SIZE 0 •1
TYPE OF LINERI?"
LINEfl SIZE 10 "
FILTERS: SZE NUMBER
WIRING
TESTTAG -
IIGHTING INS'I
DATETESTED
COMPANYTE£
NAME OF TES'
FOFMDISTRIBU?ION: WHITECOPV - JOBFIIE VELIAWCOPY-CIN
REQUEST FOR ELECTRICAL INSPECTION ' EB-OUWl-04
Il, Sea inatructlons for com0Ieting this form on beck o1 Yellow copy.
b -? ..
C 2 4 3 5 5 "X" 8elow Work Covered by This Request
AAd Rep. TVPe o1 Builtling Aoolionms Wired Equiument Wired
Home Range Temporary Service
" Duplex Water Heater Llyhtin, Fixtures
Apt. Building Dryer Electric Heahn
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ther pecr v Otho.ISper,ityl
t _r SueciW Other 01h?r
Fee
I' I I Above 200 qmoss I 131 to 100 Amps 1 IC?, ('Y)j 31 [0 100 Amps I
Sqj SOI TOTAL
ElectriL•gt-
Aaq hereby
Uat Ne above
:tion has been
TM6 repueal wid
This rnques4 void
78 months fmm
C 2 4 3 5 5rz? , L/?,., G?da 7-
Request Date Fir¢ Nd. / RouPh-in I s ctim
R
f
d7 ?
R
N
-II Notif
In
-
f epu
re
I y
?
e y
uw
spec
?J"
'- ' Yes ?No
tor When Headv
C] Llcemsed Elec[rical ConVactor 1 hereby reqaest inspection of ebove
? Ownar electrical work instalietl at:
Streec AdGress„BOZ or RouteNo.
(4L4?o? ? Citv
ecvon o. Tow ship Name or o. flanBe No. Counry
c\uonnt (PHINT) Phone No.
ower Sup0lier Address
EI vicai Convactor,(Comoanv Name)
i L,
l` l_C,) Contracior's License No.
G -
Mailing Address (COntrsctor or ner MaWne nstailaiion) '
55 L/ 43
Auth 'etl SiB?iure (Conq ctodOwner
z akine Installationl Phone N ?umb
er -?6oO
MINNESOTA STATE BOAFO OF ELECTRICITY ? THIS INSPECTION REQUEST WIIL NOT
Gri09s-Mitlwey Blde. - poom N•191 BE ACCEPTED BY THE STqTE 80AND
1827 Univarsity Ave., St. Pael. MN 65104 UNIESS PPOPEN INSPECTION FEE IS
P1?...w 16121 297-2117 ENCIOSED.
,EQUEST FOR ELECTRICAL INSPECTION
See inattuclions lor comOletim Ihis brm on beck Ot VBltow copy.
"x" Below Work Covered by This Requesf /
('24354
WmJAddl ReD. Tvoo of BuilEfng Aovliencea Wired EquiVment Wirea ?
! i 1 I.,duaxlwl Aldo. Air Conditioner I I Bidk Milk Tank I
l.om
p pu[e ms
Feo pecuun rer ncivrv
ServiceEnhencaSize
N
Fee
Feetlers/Subfeetlers
N
Fne
Circuits
Oto200Am s Oto30m s Otn30Am
Above 200 Amps 37 to 100 Amps 31 to 100 Am
Swinxning Pool
T ansiormer5 A6ove 700-Am s
Irrigation Booms Above 700-Amls
Partial-Other Fee
r \
Signs Special Inspec[ion SI???O TOTALFE ? II
emurks
Rouph-f^ D? the ElacVical
Insoeclor, heoeby
certify thet the ebove
Final j ins0ection has been
i /J mada.
Thin requasl roltl 18 monthe Irom
This request void Cn
18 mpnths (mm
e: 24354 LLi r? , 41 irv-,???P,91& 'V7;1 1???-
Heques[ Date '
f _?? )?{' 1??
L(J Fire No. ROUPh-in n pedion
? Repmretl?'" O
es No / -
?Hea Nuw?Will Nolify Inspec-
tor When Ready
? Licensed ElecVical ConVactor 1 hereby repuest inspection oi a0ove
? Owner elecbical work installed at:
Str¢et Atldress, Box a?ute No.
? ?? City _
? 1 ?
?
ecLOn o. Township Name or o. flanBe No. ComIly
-
/
^
Occo ant (PRtNT) Phone No.
v
Power Supplier Atltlrass
Cx,
Elec ?cal Conttacmr,ICOmpanV Namel Con[rar,tor*s License No.
l,?l n
?
ng Addres
lContractorpr Owner MakinB [ stailationl
?
=
rll ?
Au
e (Contractor wner Making InstallatioM Phone Number
=
c S S ?Z - CQO
MINNESOTA STATE BOARO OF ELECTRICITY I TMIS INSPECTION PEaUEST WIIL NOT
Grigps-Midway Bitlg. - Noom N•191 BE ACCEVTEO BY THE STATE BOAND
1921 UniveraitY Ava., St. Paul, MN 55104 UNLESS PROPEN INSPECTION FEE IS
Phone 1612) 297-2771 ENCLOSED.
(//? REQUEST FOR ELECTRICAL INSPECTION EB-0UW7-04
"? ^?? ?' See instructions tor camDletim this torm on betk oi yellow coOR
4 3 5 3 "X" BeloW Work Covered by 7his Fequest
C 24353
AA? ?;? Type of Builtling AoDlioncea Wired Ea??Dment WireA ,
? Home Range Temporarv Serviee
Buik
p Fee Serviee EnlleneeSixe H Fae Fenders/Subieeders N Fee Circuits
0 to200Ams 0 to30qms 0 to30Am
Above 200 qmps- 31 to 700 qmps 31 to 100 A s
Swinuning Pool Above 100_Amps Above 100_Amps
Transiormers Irngation Booms Partial.Othe e
?
L_ I I $igns ' I r$peCial InSfeCtion ???
Remvrks Gi TOTAL E??
!
NouBh-in D:'?e ?
? ? ma ei t,
f C? v saector,
rtifv that the above
Finel speetion has Eean
. . 3 Acem_.e
requmt
This repuest void
^1 J_ S/(,f:)
18 rmiths Iwm (c _ P !J
C 24353 L- a g,
RIeryu
esf Date .' / Fire a. Roug 'Insuection
a ?'
ec-
Reatlv Now?Will NolHV.In
_
? Yes ?NO Y
lor When Fead
E] Licensed Electrical Convactor I hereby reuuest inspaction ot above
d Owner elactrical work installed at:
Sveet AdAress, Box or floute No..
r
? Ciiy
? R-G
lv%
e v n o.
Towrehip Name or No. a ge No.
Cow?ry '
I w^? Ck-
O cupant (PHINT)
?oo va?? Phone No.
Powe[rS?upplier
\v?/"?? ? V\J Atldress
EI¢cvical Convactor ICOmpany Namel • Cnntracior's License No.
Mai inB AtlJress (Co actor or Owner MakinB Inslailation)
Au nze Signawre ICOnrtactor?Ow er Makine Installaiionl Pho
ne
Number
5 ?
j
`/ ?L l(! O
&ylv y
MINNESOTp STATE JOAflD OF ELECTRICITY I THIS INSPECTION NEQVEST WILL NOT
Griges-Mitlwey Bldg. - Noom N-191 BE ACCEP7ED BV TME STATE BOAHD
UNLESS PFOPEH INSPECTION FEE IS
1821 UnivereiryAVe., St Paul, MN 55106
Phone (8121297.2111 ENCLOSED.
lhis reQUest voitl ? - "l C_?`
18 mon[hs (mm O? ? G
C 24352 L i r-R, /
&y/v y
26 .t--7 _
-V R quiro?••????••V•• IQNeYav Now XWill NnlitY Inspec'I
?Yes ?No tor When Heady
? Licensetl Elactrical Contrector 1 herob
y requesl inspaclion of a0ove
? Owner electrical work imtalled ac
Sveet Adtlress, Box or Route No. Ciry
4-c?oa ? ? a?r,
ecuon o. Township N mo or No. Range No. County
?
?Q.?(/l+ CJ'-
O c.pant I?INT) Phone Nn.
v
Po r Supplie
r Atldress
V
^ J
Ele r cal Canvactor
Ompa
Name
.
(C
y
) Licens No.
/
!
?
'
/
+.?
?
?...J!`.".'i 1 rA lX:. ?/?K./l? y- -
or OwPerJ.Wkinp Inslailation)
MINNESOTA STATE eOANO OF ELECTRICITY I THIS INSPECTION PEQUEST WILL NOT
Griggs-Midwey BId9• - Room N•191 BE ACCEPTEU BV THE STqTE BOAFD
1821 Universitv Ave.. St Peul. MN 56104 UNLESS PROPEN INSPECTION FEE IS
Phnne I6121297-2711 ENCIOSED.
?(A1? REQUEST FOR ELECTHICAL INSPECTION ee-ooom-cw
l? ??" C ' See ins[ructions tor comDletin8 this lorm on beck of yellow copv. /
, C 24352 "X" Below Work Covered by 7his Request Cp y?U ?
MM1AddT NeO. I Type of BuilCinB I AoPlfoncm WireA . 1 Equiumenl Wired ?
EIECViG
(uf05
N Fea Service EntranceSize tl Fae Feptlers/5ubieetle,s N Fee Circuits
0 to 200 Am s 0 to 30 Am s 0, 0 ta 30 Am>s
Above 200 qrnps 37 to 100 Amps 31 to 700 Am ,
Swimming Pool Above 100_Am s Above 100_Am s
Transiormer5 Irngalion Booms Partia6'Other Fee
I Signs ? I Specialinspection l
Ne?rwrka 547? TOTAL F
!L7
oq nerebv
lhet the nbove
ion has been
mbrepuestvaltl
y-/?- YJ
-- --
?,.?;? 7s ? y?
V_u. o. ?f C-??s?-e cJ L,?
. .
--- ---- ?-l?,-.__._.
- -------_------:
u,t a
?
--
"f???, ?
CITY OF EAGAN
3830 Pilol Knob Rodd;,:PjOrBox 21-199, Eagan, MN 5512, N°_ 12044
PHONE:454-8100 G ,/
BUILDING PERMIT
Receiptri
To ba used for 1 OF 4 PLEX Est Value $ 4$,00 0 Date JUNE 3 1y 8 6
Sitenddress 4604 1/2 RIDGE CLIFFE DR Erect 14 Occupancy R3
Lot 1 elock 14 Sec/Sub. JOHNNY CAKE Remodel ? Zoning Pn
Parcel No RIDGE 4TH Repair ? Type o( Const ?Z.p
. Addition ? No. Stories
a Name Qood VALUE HOMES Move ? Length 44
W
o
Address 1460 93RD. LN oemolish ?
? Depth 24
F
S
city BLAINEphone 780-5510 Int. Impr.
Install
? t
q.
c
0
o?
h
Name SAME
Address
City Phone
a
w w
Name
Address
z
i "' Ciry Phone
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 Ci Ea n Ord' nces.
Signature of Permitte -
A Building Permit is issued to: GOOD VALUE HOMES
all work shall be done in accordance with all applicable State Minnesa
Building Official
Assessment
Water 8 Sew.
Police -
Fire
Eng.
Planner-
Council
eid9. orr. 6/2/86
Var. Date
'0(
, Permit
2w '
Surcharge
?Plan Review O?
SAC 575.0(
' WaterConn. 500.0(
Water Meter 63.5(
?i Road Unit 290. Ol
?I Tr. Pl. 156.00
i Parks
Copies
Total $ 2 . 019 . 51
- on the express condition that
of Eagan Ordinances.
TOWNHOU$E - FOR SALE CITY OF EAGAN
3830 Pil
l K
b R
B
199
MN 55121 N2
d
P
O
21
E
12043
o
no
,
agan,
oa
,
.
.
ox
-
f!HONE: 454-8100 p 394
BUILDING PERMIT - - rteceiptp ?
Tobeusedfor 1 OF 4 PLEX EstValue $48,000 pate JUNE 3 ,19 86
SiteAddress 4604 RIDGE CLIFFE DR Erect Occupancy R3
Lot 4 Block 14 Sec/Sub. JOHNNY CAKE Remodel ? Zoning PD
Parcel No RIDGE 4TH Repair ? Type of Const UX
. AdditiOn ? No. Slories
w
Neme GOOD
Move ?
VALUE HOMES
Length
44
1460 93RD LN N Demousn ? Depth
o Address Int. Impr. ? Sq. Ft.
Ciry BLAINE phone 780-5510 Install ?
¢ Aoorovals Fees
o Name SAME
? ? Address
. `- City Phone
a
UW W
Name
? ? Address
< W Ciry Phone
I hereby acknowledge that I have read this application and state that the
information is correct and a ree to comply with all applicable State of
. Minnesota Statutes and an Or Fhances.
Signature of Permitte
A Building Permit is issued to: GOOD VALUE HOMES
all work shall be done in accordance with all applicable,StqteA Minneso
Building
Assessment
Water & Sew.
Police _
Fire -
Eng.-
Planner
Council
Bldg. Off. 6/2/86
APC
Permit ? 41Y. V V
Surcharge 24.00
Plan Review 137.00
SnC 575.00
WaterConn. 500.00
WaterMeter 63.50
Road Unit 290.00
Tr. PI. 156. 00
Var. Date Copies
Total $2.019.50
_ on the express condition ihat
of Eagan Ordinances.
-V
• CITY OF EAGAN
3830 Pilot Knob Roa&' P.O. Box 21-199, Eagan, MN 55121 N2 ? 12042
PliONr:454-8100
BUILDING PERMIT Receiptn /
To6eusedtor '1 OF 4 PLEX Est.Value $48,000 Date SUNE 3 1986
SiteAddress 4602 1/2 RIDGE CLIFFE DR Erect Occupancy R3
Lot Z Block 14 Sec/Sub. JOHNNY CAKE Remodel ? Zoning Pn
RIDGE 4TH
ParcelNo Repair ? TypeotConst. ???_
. Addition ? No.Stories
a
GOOD VALUE HOMES
Move
? 44
Length
W Name
1460 93RD LN oemolish ? Depth 24
o Adtlress Int. Impr. ? Sq. FI
City SLAINE phone 780-5510 Install ?
a
o SAME
Name APProvals
i
$ Q Address Assessment
? ciry phone water & Sew.
Police
_i Name Fire
,i Address Eng.
g W city Pnone Planner
I hereby acknowledge that I have read this application and state that the
information is correct and agree ?to 6comply with all applicable State of
Minnesota Statutes and Cj E n Ordi nces.
7P ?/
Signature oF Permitlee yr<_ S.; •
7
A Builtlin9 Permit is issued to: GOOD VALUE HOMES
all work shall be done in accordance with all applicable State gY?innesc
Council
eidy. on. 6/2/86
Var. Date
Permit $ 274.00
Surcharge 24.00
Plan Review 137.00
SAC 575.00
Water Conn. 500.010
Water Meter 63 . 50
RoadUnit 290.00
rr. Pi. 156.00
Copie
Total Z. 019 . 5 0
on the express condition that
City of Eagan Ordinances.
Builqing Official ?'-' -
TOWNHOUSE - FOR SALE CITY OF EAGAN °
. • 3830 Pilol Kno6 Road, P.Q' Box 21-199, Eagan, MN 55121N2 12041
a?. ? PHOM?: A548100
BUILDING PERMIT Receiptp
7oheuaedtor 1 OF 4 PLEX Est.value $48,000 oate JUNE 3 19 86
SiteAddress 4602 RIDGE CLIFFE DR Erect C? Occupancy R3
Lot 1 Block 14 Sec/Sub. JOHNNY CAKE Remodel ? 2oning PD
ParcelNO. RIDGE 4TH Repair ? TypeofConst. Vn
Addition ? No. Stories
W Name GOOD VALUE HOMES Move ? Length
1460 93RD LN oemolish ? oepth 24
a Address Int. Impr. ? Sq. Ft
Ciry BLAINE phane 780-5510 Install ?
i? Name SAME APProvala Fees
8Q nddress Assessment Permit 2 4.00
? Ciry Phone Water & Sew. Surcharg?? ?
G Police Ptan Review 137.00
F W Name Fire SAC 575.00
?z
a Address Eng. WaterConn. 500.00
a W city Pnone Planner water Meter 63 . 50
I hereby acknowledge that I have read this application and state that the
information is correct and a9ree to comply with all applicable State oF
Minnesota Statutes and Ci n Ordances.
Signature of PermitteP -
A Building Permit is issued to: GOOD VALUE HOMES
all work shall be done in accordance with all apolicablaStalB oi Minnesc
Council
aidy.On. 6/2/86
Var.
Road Unit 290.00
Tr. PI. 156. 00
Parks
Copies
T,,,e, 2, O 1. 5 0
on the ezpress condition that
Ciry of Eagan Ordinances.
Building OHicial
Sod?7
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
7s
Foundation Onl New Construction Interior Im rovement
• StruGural Plans (2) sets • ArohitacWral Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) • Code Analysis (1)
• CertificateofSurvey (1) • CivilPlans (2) • ProjectSpecs (1)
• Code Analysis (1) " . Landscaping Plans (2) • Key Plan (t)
• ProjectSpecs (1) . CodeMalysis (1) • MasterExitPlan (1)
• Spec. Insp. & Testing Schedule • CertiFlcate of 5urvey (1) • Energy Calculations (1) notalways'"
• Soils Report (1) . Spec. Insp. & Testing Schedule (7) (1) not always"
• Meter size must be established . Meter size must be esfablished ?
?7 5 e qy? i hed - if applicable
. ProjectSpecs (1) D - ?
1 . EoergyCalculations (1) ° MAY 1 0 2002
1 • Electric Power 8 Lighting Form (1)
L • Master Exif Plan (i)
1
•
FireProtectlonPlan
(1)" ?
1
1 • SoilsReport (1)
B
• MC/ES SAC delermination letter • MC/ES SAC determination letter ermmatlon letter
call 651-602-1000 rall 651-602-1000 call 651-602-7000
" Contact Building Inspections for sample
Food & 6everage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
DATE: 6I1?Da1,,. ?'WORKTYPE: _ NEW _ REMODEL CONSTRUCTIONCOST?
SITE ADDRESS: %oz,La')? P. L-tItD-(. `-1wwlz IUA4 , .? ) a ?2- buuldina
TENANT NAME:
FORMER TENANT NAME, IF
DESCRIPTION OF WORK
#:
?
?
ku?
398'0?
?
Phone #:
PROPERTY / Last
OWNER 1
StqeetAddress:
State:
CONTRACTOR
Company. Mi
StreetAddress: ?
City: ft?
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
City:
Phone#: ((4:6 1 ) (0&-`7(4L4o
Licensed plumber installing new sewer/water
State: IHJV
?
Phone #: L_
Registration #:
State:
Phone #: (
ziP: wt i `7
Zip:
I hereby acknowledge that 1 have read this application, state that the information is correct, and a e to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. ,f
Signature of Applicant:-- ?C7 ?-
I/J^mes Geisen, pPOe Updated 1102
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Faciliry ? 30 Accessory Bldg.
? 14 Aparhnents ? 27 Commercial/Industrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
L 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows(Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. ft.
SAC Code # of Stories sq. ft.
No, of Units Length sq. ft.
IV?.+pfi$]d,gs, „ Width sq. ft.
Const. (Actual) Basement sq. ft. MC/ES System
?,(A)IOwabl?) ' r ? • F.;r'st Floor sq. ft., i, , • ' } •
, ' . .City Water.,.. „ . • , ,
UBC Ocoupancy sq. ft. • 'Fire Sprinklered• •
' " ' ''' '
? ' ?'•- , + . • ^ ;•? ?~. ' ' ' ?
MISCELLANEOUS INSPEC TIONS
-
? Gas Service Test ? Heating ? Insulation Q Plumbing ? Stucco/Stone
APPROVALS , 1.
, - ? I 7 r,': . ? .
«? ; b
Planning .,, ..• ': t -; `BuildinS
. . i.?, .. ? ? .
Permit Fee
Surcharge Plan Review
MC/ES SAO; . ° t;
City SAC
Water Supply & Sto{age,
S/W Permit • • `• 4 '
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
. . , ti..: .EngixieerinVf Variance'
? . . ?-!.`-. i , , , . ? t..;. ..
? .
• ,';,. .
VALUATION
- - - ,.
_ %SAC
_ SAC Units , ? , ; y •,. ? • -
? Meter Size ? ? ? ? ? , ? •
; ? . .. ? .i.
.. - . ? ,
Total
. . . ,
CFATIFICATE GF Sm YEY
Fpr.• GOOD VALUE HOMES
C.R. WINDEN & ASSOCIATES, INC.
Land Surveyora Tal. 845-3848
1381 Euetia St.. St. Psul, MN 55109
COUNTY ROAD No.32
(CL)FF ROAD)
7
?\
ZD
V )
?
r?
1
?
m
1-
Propos e d
??- -
2H.oo 11 i
I -i- w
4-4i -
2B.oo
W
?
Priv4te Oriveway
TS)
? f r
20 S S
' 44.0
N , •
"? N
° Pro osed 4 -Plex °
N
?
wAo`.).
T?
- C
44-0
k 1 1Y49.oJ
? y?Ma. T
(945.5)
qqs.75) ?.
Proposed Pr+S"}c Drircway
I 1445.gj '?
i ,
I 1
I
?
Fi II L25' 1e ?•P ? 6v+pd thU4
?-Floor from ?°P
N
? ? •
s
m
r W
N
?
?
?II
(q4y5)
Lots 1 through 4, Blocl: 14, JOHNNY CAKE
RIDGE FOURTH ADDITI7N, Dakota County Minnesota.
LESEA07 PropoasO hbuae f)svationa - ?
Scale i'
%%%.X Donotae Exietln Elavetion
0 - Ton e? N? d?an} a? N?,ry_
B
M
(XXX.X) Oenotea Propoae0 Elevatlon Top of Fountlatfon .
.
of r?hK?.,? w
„ f
I r
o Donotee Iron Monunent Garape Floor 947.0 .
a
0
,e
El
. 4HB
3c
R;
/;.p
O DenOtee MOOtle11 StakB Beaement F100!' ? ,?,
.
.
.
.??
&
pptUln N.Cr_V.O.-1929 e.J'.
t Oenotee 9urtece Drainape ?
I HEREBY CERTIFY THAT THIS SURVEY, PLAN, OR REPORT WAS PREPAREO BY ME OR UNOER MY
DIRECT SUPERVISION ANO THAT I AM A OULY REGISTERED LAND SURVEYDR UNDER THE LAMS OF
THE STATE OF MINNESOTA.
OatOd thie 27+k day of M-A)l_ , 18igk C.R. WINDEN 6 ASSOCIATES. INC.
Boalt !7o PaDeJ_
b y
Minnesata Registration No. 772
1986 BQIGDING PEBlIIT APPLICATIOA - CITY OF EAG9N
HOTS: ALL CAATHAClORS M[JSf BE LZCSNSSD iiITH THE CITY OF EAGAN
SIIQGLE F91+IILY D`TEL-TDIGS
2 6c .S?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWSI.LINGS - RESIDENTIII. RENT9I. i1NITS F08 SALB ONITS
INCLUDE 2 SETS OF PLANSO CERTIFICATE OF SQRVEY - CHECB WITH BLDG. DSPT.,
1 SET OF SNERGY CALCULATIONS
CO?ASERCZAi:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
To Be Used For: V Valua'
Site Address y?,? " K
nate: G -a_ 8'C
Lot L Block L?
Parcel/Sub
Owner WoALf67,-
Address 1gL0 Q?g-tmj!!!?L//
City/Zip Code 3ee_
Phone !:2%0 -, -?T, 5-le)
Contractor S.S?1'xy.e
Address
C1'ty/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Erect ? Occupaney
Remodel
2oning ?
Repair _ Type of Const
Addition # of Stories
Move Length ?
Demolish Depth
_
Int.Impr. Sq Ft
Install
APPAOVALS FEES
Assessments Permit
Water/Sewer
Surcharge ?
Z
Police Plan Review
Fire SAC rZ7?
Engr Water Conn
Planner Water Meter ?
Council Road Un1t ?rld
Bldg Of Treatment P1
APC Parks
Varianee Copies
TOTAL
NOTE: 9DDHESSES EOR CORNER LOTS - CONTR9CTOR/HOMEOiiNEH MIIST DESIGNATE TdHICH ADDRESS
IS DESIRBD. HO CHANGES biILL BE 9LLOTi1ED OACE BOILDING PEHIUT IS ISSDED.
7986 BDILDING PEEflM APPLICATION - CITY OF EAGA6
NOTE: AI.[. COPTRACTOHS HOST BE LICENSSD {iITH THE CITY OF EAGAN
SI6GLE F6MIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DiiELLING3 - RFSIDENTIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COFAICRCIAL
RfiNTAL DBITS FDE SALE DNITS
OF SQRVEY - CHECB SiITH BLDG. DEPT.9
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTIIRAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: ? ?2 ? Valuat ion: yUw" Date: G-a -XG
Site Address OFFICE OSB ONLY
Lot ? Block L? Erect ? Occupancy
Remodel 2oning
Pareel/Sub ` Repair _ Type oP Const
Addition # of Stories
Owner ?pa?/, s,??i ?omva /?I/C Move Length _Z;V
Demolish Depth
Address 1y60 ???j? L?/ Sq Ft
Int.Impr.
_
Install
City/Zip Code
Phone APPROVAIS FEES
Contraetor Assessments Permit Z7y
Water/Sewer Surcharge
Address
Police Plan Review -LL?
Fire SAC
City/Zip Code Engr Water Conn :R2Q
Planner Water Meter _
6. 0
Phone Council Road Unit yp
Bldg Off a` Treatment P1
Arch./Engr. APC Parks
4arianee Copies
Address TOTAL
City/Zip Code
Phone S
NOTB: 9DDHBSSBS FOR CORNER LOTS - CONTRACTOR/HOHEOiiNEB !lQST DSSIGNATE BQICH ADDRESS
IS DESIRSD. NO CHANGES iIILL BE ALLOiIED OHCE BQILDING P6RMIT IS ISSOED.
1986 BDILDING PEAMI2 APPLICATIOH - CITY OF EAGAA
80YS: 9LI. CONTRACTORS MOST BS LICENSED NITH THE CITY OF BAGAN
SIIVGLE FAMII[.Y DWE[.LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLfi DiiELLIAGS - RfiSIDENTIAL
ZNCLUDE 2 SETS OF PLANS, CER'
1 SET OF ENERGY CALCULATZONS
COPAfERCTA}:
REN'fAL DBITS FOE SALS ONIT3
OF SDRYEY - CHECB SiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation:
? Date:
Site Address 0 OFFICE QSE ONLY
Lot y Bloek ? Erect X Occupaney ,3
Remodel Zoning
Parcel/Sub Repair _ Type of Const _izv_
Addition # of Stories
Owner ?O /
d?ve?'„C.tGC ??/h5 Move Length Sv
Demolish Depth 7V
Address Int.Impr. _ Sq Ft
Install
?
City/Zip Code
Phone ? ?e -s'7 l'? APPROVAIS FEES
Contractor
Address Assessments
Water/Sewer
Police Permit
Surcharge
Plan Review 2 7q'
Z?
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter G .
Phone Council L_ Aoad Unit Z O
Bldg Off, z Treatment P1 /
Arch./Engr. APC Parks
Varianee Copies
Address 1'(YfAL
City/Zip Code
Phone #
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOfiNER MQST DESIGN9TE AHICH ADDRESS
IS DESIRED. NO C9ANGE3 WILL HE ALLOiiED ONCE HOILDING YERMIi IS ISSQED.
eorg: ALa.
SIAGLS FAlIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DiiS[,LINGS - RffiIDfiN'PIAL 8fiNT9L QBITS FOE SALS U9ITS
INCLUDE 2 SETS OF PLANS, CfiflTIFICATS OF SDRYS4 - CHECg GiITH BLDG. DSPT.,
1 SET OF BNERGY CALCULATIONS
COMIl9ERCLAl:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: -- Yaluation: Z16150 Date: 6ye
S1te Address yGD ? OFFICE USE OPLY
Lot ? Block ? Erect ? Oecupaney 3
Remodel Zoning ?
Parcel/Sub -' / -
Repair Type of Const
Addition # of Stories
Owner Move ? Length ?
Demolish Depth ?
n
Address Int.Impr. _ Sq Ft
Install
City/Zip Code
.
Phone APPROVALS FESS
Contractor Assessments Permit 27C/
Water/Sewer Surcharge ?-
Address Police Plan Review / 7
Fire SAC
City/Zip Code Engr Water Conn a00
Planner Water Meter
Phone Council Road Unit ?O
Bldg Off Y Treatment P1 /S6
Arch./Engr. APC Parks
Variance Copies
Address TCYTAL
City/Zip Code
Phone 4k
NOTE: 9DDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEODNEB MDST DESIGNAYS WHICH 9DDRESS
IS DFSIRED. HO CHANGfiS WILL BE ALLOWED ONCE BUILDING PSRNIIi IS ISSIIED.
MOST BE LICENSED flITS THE CITY OF EAG9N
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: ' Q - - _( I o
Description of Work: _ ConsWct new fireplace
? Install gas insert onlv
Other
Job address:
Block:
Applicant (circle one only):
XGas _Masonry _
I? "« '0°
Afterations to existing
Install ,eas line onlv
Subdivision/P.I.D. #: J0 11 ke V
J
Owner ontracto
Permil Fee: $60.50
Phon4,! y5?-76 /a
PROPERTY
O WNER
Street
pk Uun c ?eh bucn5
City
Company:
FIREPLACE
INSTALLER Street?
ciTy
GAS LINE
INSTALLER Street Adc
City _
I hereby acknowledge that I have read this application and
comply with all applicable State of Minnesota Statutel anp
State: Zip: ?s 'Da
State: Zip:
SS3
.iat the information is correct and agree to
Eagan Ordinances.
Company: o?o_JV,-Q Phone #:
(area code)
OFFICE USE ONLY
BUILDING PERMIT TYPE
`X; - 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repair ? 40 Gas Insert
GENERALINFORMATION
Census Code 434
SAC Code O]
REMARKS
Chimney/flue must be inspected before concealing.
. CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
r*#******#***+*#*#*t*?*****#4*#*##*
*A'P5: PAYMFTLC OF FM AT TIME pF :
ArrrscATzorr ooFS Nar oorsizum
APPROVAL OF PIItMIT.
INSPF)LTION OF SESWER ADID/OR Fg1M '
trtS+rAr.rampNS WIId, NOT gE ScHED-
ULID OD7i'II. PEEtMIT AAS BEIN
APPRC3VID. .
? ? 1) PROPERTY ADDRESS : dik-y6d'k l/,?a /o
LEGAL DESCRIPTION: Ll
Lot Block Subdivision or Tax Parcel ID )
IF E7ffSTING STRi:CIL?RE, DATE OF ORIGINAL B[1ILDING PERMIT ZSSC'AA]C](Z: '
?
' hbn Year}
PRFS E'r? ZONING/PROPOSID L'SE:
M C0L%PEF2CIAL/RETAIL/0f'FICE
Q IhTJL'STRIAL
n INSTI'ILTIONAL/GOVMUIINENT
Q/ R-1 SINGLE FAMTLY
2?R-2 DLPLEX (Z4,v L?nits)
-3 TqWNIIiOUSE (Three + Units) (?Units)
Q R-4 APARZfiENT/CODIDOMIDIIOM ( Units )
Z)
I
NANIE: O ? G/?'? /L
ADDRESS:
CITY, STATE. ZIP:
• PHONE: 11S:'15% 7 /
3)
, c c o,
NAME:
ADDRESS:
CITY. STATE. ZIP:
PHONE:
MASTII2 LICENSE#
Active
FScpired
Not recorded
S?tial
4)
t???49•1.VV ?^,?i?' -
NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:-7 6'0 ' SS l CG
5) ? V' ,'1 a• • JI• ? • a? U?A.?1Y??
? CODI[=ION T0 CITY SETMS2 vl"F CONIgCTION 1l? CITY 4?417ER ? OTfER ' .
?+
6) ? v ?• r ? PLEASE HOLD APPROVfD PERMIT FOR ICK-UP BY ONE OF AHOVE --'-' --
PLFASE MXz-?4' PROVID PERMiT TO 1, 2 3. 4. AHOVE
? (Circle one) /? /'
7) r ,. .' rsz?m /' /r' i /? /_"
FOR CITY USE ONLY - '
PERMIT # ISSUED
Pd w/Bldg. Permit
c
$
SEWER PERMIT (INCLUDE SL'RCHARGE)
WATER PERMIT (INCLODE SORCHARGE) .
WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ /,5-,6I ACCODNT DEPOSIT - SEWER
$ $ /S d0 ACCOUNT DEPOSIT - WATER
$ $ wAc
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL SENEFIT/TRC`NK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
S lo? / y"s--d j^I, U'll
$
? TOTAL
RECEIPT
RECEIPT
DOES LTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK S9ITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISI ISSLED BY THE ENGINEERING
ON. LIST AS A CONDITIO[V.
SUBJECT TO THE FOLL OWING LONDITIONS:
APPROVED BY:
(!:?7
TITLE:
DATE: ?12- 3 /O G
FEES:
$
$
$
r
CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
mYPF': PAYMFNr" OF FFE AT TSME pg
APriscATzoN noEs rOr aors•riTEM
a,prxovar, oF PERMmr.
INSPDCTION OF SESdIt ANID/OI2 F4LOM :
TwrAT.7ATT0N$ WILI. NuT BE 9Q'DD- '
ULFD i]DTrII, PERNffT HAS BEEN
1PPxavED.
... _________-- ? -- -- --- - ------ -
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
?v • ? • -
Lot Block Subdivision or Tax Parcel ID )
IF E7QSTING STRCCi[.'RE, DATE OF ORIGINAL BI?ILDING PEEtMIT ISSL'ANCE: .
Nbn Year
PRFSENP ZONING/PROPOSID L'SE:
Q CMMRCIAi./REfAIL/OFFICE
f7 IDIDL'STRIAL
f-I INSTITL'TIONAL/GOVEEtNA?,T?'p
2) ?
ADDRESS:
CITY, STATE. ZIP:
PHONE:??? "'- S/ 7,1
3) ffk u i: a-
NAA'JE:
i
ADDRESS:
CITY, STATE, ZIP:
PHONE:
1 Inn
R-1 SINGLE FAMILY
? R-2 DUPLEX (ltno L?nits)
?R-3 TOWN30T-ISE (Three + Units) (?Units)
rl R-4 APARZNENt/COIIDOMINIDNI ( Units)
MASTER LICIIHSE#
r1uRR7er5 LiCEI152:
? ACt].V2
FScpired
Not recorded
S?tial
4) •?r ?.? ?.,ni?:
N7tME:
ADDRESS:
CITY, S"fATE, ZIP:
PxorE: Ss
-7 ''O - 5 .S/ D •
•5) ?,? r. i r •?• : o • a. • ??
? CONNECPION 'PO' CITSt SE47ER /. .
?E ? CONNIDC'TION TO CITY WATER a OTIIER ' .
?_..
6) u r• ?• ? r ? PLF.ASE HOLD APPROVED PII2MIT FOR P CK-C?P BY ONE OF F1BdVE
PI.EASE MAIL APP OVID PERMIT R? 1( 2?3, 4, ABOVE
(?cle one)
7) riS.ETs /-,-
.
. FOR CITY USE ONLY PERMIT # ISSUED
7"e/ 9 ??"6
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLODE SDRCHARGE)
$ WATER PERMIT (INCLUDE SL'RCHARGE)
$ w J•S? $ WATER METER/COPPERHORN/OCTSIDE READER
$ S WATER TAP (INCLCDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
a
$ u? D D• o- ? $ wac
$ _ S7s o-o $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ " LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$- $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ??' / Y ' •S? $_ `,i ? O-C) TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTIOIV REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSC?ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
J /?. /00`76?
TITLE:
DATE:
G
Z3 t
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*TOTV3: PAYMEW OF k'EE AT TIME OF
Arri,icmox DoES Nam aor?sriTUM
APPROVAL OE' PERAffT.
INSPDCTION OF SEWER ADID/OR FV.TII2
TTA'TA7SATTQr]$ VM.T. W'j' $E $CHED-
ULID UNPII. PERMT AAS BEIN
APPROVID.
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STRCCIS.'RE, DATE pF ORIGINAL &!ILDING PERMIT ISSL'ANCE: . .
i
' (Nbn Year
, PRESENP ZONING/pROPOSID L'SE:
M COf24ERCIAL/REfAIL/OFFICE
[I IARIL?STRIAL
n INSTIZS.'TIONAL/GpVERNMENT
/A
R-1 SZNGI,E FAMILY
Q R-2 DL'PLEX (7Wo Onits)
d R-3 2UWNiOCSE (Three + Units)
? R-4 APARTNIE3NT/COPIDOMINILTI
Chiits)
( Units)
2)
ADDRESS:
CITY, STATE, ZIP:
PHONE: <?/ -° SI 7 /
3) ?-
NFtME:
ADDRFSS:
CZTY, STATE, 2IP:
PHONE: MASTER LI(ENSE#
4) ??• ? • i?-
NAME:
ADDRESS:
CITY. STATE, ZIP:
PHONE: `7ec) " S S/ U •
[] Acti.ve
H EScpired
Not recorded
5) ? v ? w • ?• : o • o. - ??
? CONNECPION 10 CITY SEWER CONNFX,TION 1U CITY WATER ? OTfM ' .
6) " '' ??• Q PLEASE HOLD APPROVFD PERMIT FOR P L?P BY ONE OF ABOyE' --` --
? PLEASE MAIL APPROVFa PERMiT TO 1 3, 4, ABOVE
(Cir, le
r r
7)
?._... _.
FOR CITY USE ONLY- -
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ $ /6- S a
SEWER PERMIT (INCLUDE SORCHARGE)
$ $ AO • 5 G WATER PERMIT ( INCLODE SL'RCHARGE )
$ "'3"S-6 $ '
WATER METER/COPPERHORN/OL
TSIDE READER
$ $ WATER TAP (INCL[]DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ IJr? ? ? ACCOUNT DEPOSIT - WATER
$ .S O D- ? n $ wAC
$ $ sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ X7 (f' S`Z TOTAL
RECE PT RECgIpT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUSLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MDST BE ISSLED BY THE ENGI[VEERING
DIVISION
I
. L
ST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
ld-ZO7llzv
TITLE:
DATE: ?/2 114
?
C.ITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
******##******i?**+**!?**f*f***#*#*t
,*F *1C7Pp': PAYMRNf OF FEE AT TIN1E pg :
* AePr.icATIoN noFS Nom aCNs-izrJM
: APPROVAL OF PERd4rT. •
INSPDLTION OF SEWM ADID/Ot 4ATE2
TTl4f`AT.T.ATTONS WII+L NOr BE SQjID-
UI,ID U[d1ZI, PII2NIIT HAS BFM
APPRC3VID.
P ease Print)
: 1) PROPERTY ADDRESS: .-
LEGAL DESCRIPTION:
%LOr/nlocx/buDaivislon or Tax Parcel ID #)
If' EXISTING STRCCMRE, DATE OF ORIGINAL B[.'ILDING PERMIT ISSL'ANCE: '
Mon Year)
PRESETTr 7ANING/PROPOSID IISE:
Q C0MMERCZAL/RETAIL/0FFICE go R-1 SINGLE FAMILY
F7 IPIDLTSTRIAL r-I R-2 DOPLEX (Ztvo Units)
f7 INSTI'Ii'TIONAL/GOVII?IZlENT ? R-3 MWNiOUSE (Three + Units) (_4Units)
. [? R-4 APARTMaPP/C0PID0MINILT4 ( Units)
2)
ADDRESS
CITY, STATE, ZIP
PHONE:y3-3 --S / 7 /
3) u .?•
NAA9E:
ADDRESS:
CITY, STATE. ZIP:
PHONE: MAS'I'ER LICE2ISE#
Active
Expired
Not recorded
Staff iniEral
4) •?? ? ? i?+•
tu,rE:
ADDRFSS:
CITY, $TATE, 2IP:
PHONE: CJ
5) ? ?' ? r: •?• : a • a? - a?
? CONNEC.TION 'PO' CITY SEWII2 'o' CONNECpION TO CITY WATII2 OTEIER '
6) "•-??- [l PLEASE HOLD APPROVID PERMIT FOR PZCK-UP BY ONE OF ABOVE -----
1
? PLEASE MAIL APPROVID PERMIT TO 1,3. 4. ABOVE ?
(Circle one)
7) r ?•- f ? ? g?
FOR CITY USE ONLY
PERMIT # ISSC'ED
z3??'G
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT ( INCLODE SC'RCHARGE )
$ $ WATER PERMIT (INCLL'DE SORCHARGE)
$ (l?3• S? $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?,?? D(7 ACCOUNT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ ? ? • ?ra $ wac
$ •5 7S?b $ sAc
$ $ TRLiNK WATER ASSESSMENT
$ $ TRIINK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ /? `c9c) $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ $ TOTAL
RECEI TR ECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE E[VGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
?
TITLE:
DATE : ? ?- 3' f (a
/ 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
0 ?
.
Date ?
Site Street Address Unit #
Property Ownw?& 'e(J&Xk1Z1/4JV- Telephone #(ip?? v? - 7
Contrector Q ? ? Telephone #
^
Address I> ??: Citv KN ? ?f State _4?kJ Zip
The Applicant is: _ Owner AContractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System A6andonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
I
replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 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 approv d.
,-) x7 ?I .
Applicanf's Printed Na(ne` ' iApplicanY?ignature
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651) 675-5675
Fax: (651) 675-5694
Date: !b (10 e) Site Address:
TeRent-
???!:-?u
---_-------,
I Foe Office?U"se ?
I PermR#: t
? Pertnit Fee: ?(! / • ? I
? Date Received: ?
I n I
? Staff: v ?
------------------ I
RESIDENT 1 OWNER Name: ?')n ?Q ( C C) (YD?1' llQ'h ll(1 ? Y"Vl ( P') Phone:
Address / City / Zip: ?= S U,mM,(f1r `l 1• N 1) A'}'1 ED.Yl Su 1-f i!SL
Applicantis: _Owner _7V Conlracfor
TYPE OF WORK Description ofwork ?.\li 1
Construction Cost: I-ILitio(y Multi-Family Building: (Yes No ?
CONTRACTOR Name:bny ?-Q,vll5v)i License#: ?)(6iC15H
Address: 1i4S52. W\ai ILIQ& F\vC?j`\U(J
Ciry: 'Fivm11`1Qin . State: MN Zip:
Phone: ?,600C4Q 60 1 Contact Person:'L,1Ai"
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy COde . Rasidential 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 pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanicai Contractor: Phone:
5ewer 8 Water Contractor: Phone:
NOTE: Plans and supporfing documents that you subm?t areFCOns?dered to be: public lnfoimafion:; Portions of
.r
the.informaiion may be cfassrfied as non publi?`rffyou,proW
ale speclfic%easohs'thaf would per'ntit flie Cify to :
'
?
..:, ? .
_ conclud-e
`ctfiat,the :a?;trade?secrets... _„•,=
I herehy acknowledge that this information is complete and accurate; that the work will be in wnformance 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 epproval of plans.
X ??bil 1LA c,,t,?m n Xn
Applic n s rinted Name Applican s Signa ure
Page 1 of 3
? L01
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
City af Eap
3830 Pllot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675-5694
- -------------,
? For O)fice Use ?
I
j Pemiil #: 5(216 7_ I
.?, ?
? Permit Fee: ? `7U • ? ?
I
I ?
? Date Received:
? sta?:
_ _ n:
? --------------'
2008 MECHANICAL PERMIT APPLICATION
Dwe: Im-io,?o08 srcenaarem: yC o z4 61J9P ci rf A E,r-5s,• i"?on h? l7Z-
TPlIAM' L t 5 f1 I i n.o Y
Suite fi
RESIDENT / OWNER Name: Z' S a Yn o>! Phone: ?2$ 8
ndaress i cny i zip: ?5 7 a z-
CONTRACTOR Name: I-I OKq C9T "q;[-_ License ?? ? L 1 Fi o't31 ? 4
l{dd(Q$$: /"/ ?/ y 19 ZG GGHG f! f f
Cii(y: ?4 J G 5 P St3tB: Z.IP: 7.7 3 7(1
Phone: C Corrtact Person: C r ' c?.J -;o / /
TYPEOFWORK -New _ZLReplacement _Additional _Alteration _Demolition
Descriptlon of work; Re L?Ac r L i na c r .?/)/r Cc ??1 fd U i7 wr
NOTE: Both roof mounfed artd ground mounted mechanical ¢qulprmnt is required to
be screened by Cfly Code. Please coMact !he Mechen(ca! Inspector or one o/ the
P/anners /or in/ormatlan on perm Itted screenin methods.
RESIDENTlAL COMMERC/AL
PERMIT TYPE New Constructlon _ lnterior Improvement
X
Fumeca _
Install Piping _ Pracessed
Air Conditianer -
Exterior HVAC Urdt
Gas
ar Exchanger _
-
• HVAC units musl be screened
_ Heat Pump Under I A6ove ground Tank (_ Install I_ Remove)
pther ° When instalAng/removhg taidc(s), call for ir6pection by Fre
- Msrghal ard Plwndn 1 r
RES/DENTIAL FEES:
$50.50 Minimum Ackl-on or atteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace numed art appiiances, duciNmdc, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.60 Underground tank installation/removal OR Contract Value $ x 7%
$50.50 Minimum (indudes State Surcharge)
Permit Fee
- N Pertnil Fge is 103s ihan $100, surcharge is $.50.
=$ State Surcharge
'
eacA
- n Permk F0 is > $1,000, surcharge increases by $.SD fa
$1,000 Pertnit Fee O.e. a$1,001-$2,000 Permil Fee requires a$1.00 surcharge).
$ TOTALFEE
. . ...
I hereWl atlcnOwletlge lnat thls inrom?elion ?s Compie[e erq xcura[e: mei ore wrnm m? ou n- A.,,..p. ,.? o .... ............. ..._ _.., _. _?_... -_.
I untlemtand this k not e pertnit, 6ul onty an application fa e permiL arW work is mt ro start witlwut a peimR: tliat Me work will be in acmNanee with Me aGWOwd
plan in the case M wak xAiich requires a review and apMwal d plaris.
x L'ri e Y0/!
AoalicaM's PriMed Name
x i,'-
ApplicanYs rigriaiure
'
FOR OFF7CE USE ??iewed BY= Dato'
Required Inspec8ons: Under Ground Rough In _Air Tes[ Gas Service Test _in-floor Heat _Fnal