4613 Ridge Cliffe DrCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHON E: 454-8100
BUILDING PERMIT Receipt ?t
z
To be used for Est. Value Date
Site Address _
Lot Block
Parcel No.
City
Name
City
3
?h
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 ta
on the express condition that ail work shall be done in accordance with alt
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Buiiding Official
14 i €t :?
' A!t
^ Q,FFICE USE ONLY
On Site Sewage• Occupancy
M4YCC Syatem Zoning ?
On Slte Well (ACtual) Const
City Water (Allowable)
PRV Required # of Stories .T_
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
CounCil Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
water Conn.
Water Meter
Road Unit
Treatment P1
Parks
'
TOTAL
_ Permit No. Permlt Holdar Deta Telephons it
Piumbing
H.V:A:C.
r
i
Electric ,0
Softener
lnspection Date Inap. Comment3
Footings I
Footings II
Foundati
on
Framing F
Roofing
Rough Ptbg. 4
Rough Htg. )2-9,5
O'S
lsul.
Fireplace
Final Htg.
Final Pibg.
Bldg. Final
Cert Occ.
Temp. LP
Oeck Ftg.
Deck Final
Well
Pr. Disp.
?
14
r ?
(Iprtifiratp of COrrupanry
titp of (Eagan
vrvarfmrax of liutibtng ins.prriirnc
This Certificcete issued pursuant to the requirements of Section 306 ojthe Uniform Buiddrng
Code cenifying that at the time of issuanre this structure wrrs in compliance with ihe various
ordinances of the City regulating building construction or use. For rhe following.•
ta. cl,wfiuon I CP 4 Fj; IsWg. Nm„i No. 14903
oa,"-r TYx R3/M1 zanng niu;a 1ya Cm„ tJ`i
owwr of euuaing QXU VA:.?']E ;'•`Y ,wa,o, ;=: ? ' , : A??'? . 3•?iC1?It?.?
Budding Addras I{5 1 ' im E l(+, :i??Vr: ??ty 1 , • -_ ?F Ril?? 5Z};
Bwlding Officiil
nsu: 'rMIM 21 . ]'-IL
POST !N A CONSPICUOUS PLACE
?,?; , . . , • . .
PERMIT #
• ' ' • ? PLUM&NG PERMIT RECEIPT #
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: -
CONTRACT PRICE PHONE: 454-8100
Site Address- r'LZ -? •` ?" ' f ? ?? ? ? BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
?
' -' - ' -
Res. L? New ?..
? r
? Name
" - '? Mulk Add-on
?o Address ? 5 Comm. Repair
c City'?? Phone Other
TA
ES
, NO. FIXTUR
TO
L
? Name Water Closet - $3
00
3 Address •
Bath Tubs - $3.00
o :"., Phone ,' '•?'-`; ` `
Cib Lavatory - $3.00
. Sh
- $3
00 "
ower
.
Kitchen Sink - $3.00
FEES
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
Laundry Tray -$3.00
MINIMiJM - RESIDENTIAL FEE _$10,00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE _20.0p Water Heater -$1.50
STATE SURCHARGE PER PERMIT _ .50 Whirlpool -$3.00
(ADD $.50 S!C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00
weu - $10
00
.
Private Disp. - $10.00
? Lsr• -Rough Openings - $1.50
SIGNATURE OF ERMITTEE FEE
STATE S/C: ? u
GRAND TOTAL•
FOR CITY OF EAGAN
CONTRACT PRICE:
Site Address q rr
Lot 5 Bloc
. . . , . . .. 'P
PERMIT # MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
m Name I • ?
?c Address
c City "7.1,Y1 i)r, fln p Phone
?^ D ?
Name ?
c Address r ? -
o CitY CG';11 ..! ??. Phone L7 -55 G
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
:?E M BTU
M BTU
M BTU
M BTU
CFM
BLDG.TYPE
Res. ?
hulult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'T)
COMM/IND FEE - 1% OF CONTRACT FEE
APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL AOD-ON 8
REMODELS
- $24.04
- 6.00
r.o'` 'T:50 EA.
12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE: fj?
Y
? ?.._ _
-
ae??..
ov ,
?t
S{C:
,SIGNATURE OF PERMITTEE
I TOTAL
?
??? ft
g[/m 0 ?(?`? FOR: CITY OF EAGAN
'
?
oy .
(Itrtiftr?tt of MrrupttMry
titp of (tagan
lorpartmrnt ,a# Iunittg jwrrtinn
This CertifTCate issued pursuanl ta the requirements of Section 306 of the Uniform Building
Code cerlrfyrng that at tHe time of rssuance rhis strucrure was in conspliance wilh the various
ordinances of the City regulating building constructron or use. For lhe follo wrng.•
Usc Clusificafion
swg. Pamit No. 14m- :
pccup-y Tya IR3?M 1 zoi,g pmiu Type c«?u.
ownfforsww;q ; GOCID VAILE HWES ,?? 145C 93Rfl LAIvE, St.AI?:_:
euWinAaaartm- 4619 R-TDM Q.IFFE ;.,';. B3, .XIM CAK,E
D.w Ail= 2 , 198E?
euaatng oaricW
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Rnad, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100
BIPILDING PERMIT R
i
ece
pt ?
! OF L PLF?i
To be used for c?i1+l
Est Value ' Date ?1Pft'.L
,19
Site Address 4617 RIDGC CLl PPF. ?lR O FFICE USE ONLY
'
3
Lot Block Sec/Sub. ?.
•?'?'i"?}????K
- OnSite3ewape T? Occupancy
, ,-_
. I
i MWCC System Zoning
Parcel No.
On Site Well
(Actuai) Const '!n
rc Name C?? VALUL? Hr}%tE ? Citywater k (Allowable) vn
W
3 '
Addres$ PRV Required * of Stories
°
City . Phone ?
, ??'0-S _ Sl7 Booster Pump Length
a
.O
U?
?
?
Depth
Name SAMF S.F. Total
Address Footprint S.F.
City Phone
a
F W Name
Address
ccW= City Phone
9
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.
Si9nalure of Permittee _
A Building Permit is issued to:__-
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Otficial
APPROVALS FEES
Engr./Assess. Permit _......
_
Planner Surcharge
?' : 3Cf
Councll Plan Review
Bldg. Ott. SAC, City
Variance SAC, MWCC
Water Conn.
10
Water Meter
Road Unit ?r
Treatment P1 _
Parks
TOTAL
Permlt No. Pe?mit Holder Date Telephone i?
Plumbing
H.v.ac.
Electric 4F/G
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. _
Rough Htg. ?-2 e
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final `
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
? • . M
Ttr#i#iratt of (Orrupaury
Citp of (Eagan
lotprtmrat of imtdin,g jtiaprdiun
This Certifrcate issued pursuant to the requirentents of Section 306 oJthe Uniform Building
Code certifying tlrat at the time of rssrrance thu structure was rn eompliance with the various
osdinances of the City regulating buildeng construction or use. For the followrng.•
LI. 1 (W 4 PM Is :?J4
? re?t No.
Occ„p,-Y Type R3/Fi 1 zo,,;ng D:Btm R_ Type Const. VN
oWOaorsuaa;? MT VITI}E D Add= !46C 4a1tD li3?p9.,? 4.I33?
?11g AM(CS I?Iityi.H , fL, ?R.R71v1? \?Y'?L'
' ,. .
'?•-?'1r?dt26,
f9F?
&dding OWoal "
POST IN A CONSPICUOUS PLACE
PERMIT#
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
' 3830 PILOT KNOB ROAD, EAGAN, IYIN 55121 DATE:
CONTRACT PRICE PHONE 454-8100
Site Addr - BLDG. TYPE WORK DESCRIPTION
?_ 5ec/Su
Lot ' Block b
r
--- r Y? Res. 'New c_
y Name ?'` ' Mult Add-on
Address Comm. Repair
Ciy-L-_" ti-??w--' Phone ' S-? Other
OT
NO. Fl??ES T
AL
Name
Water Closet $
; Address Bath Tubs - $3.00
p Cityr.? Lt e.Phone,' 5 l.avatory -$3.00
Shower - $3.00
Kitchen Sink - $3.00
FEES
COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet -$3.00
Laundry Tray -$3.00
MINIMUM - RESIDENTIAL FEE _$yp,pp Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20.00 Water Heater - $1.50
STATE SURCHARGE PER PERMIT - •50 Whi?lpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50
BEYOND $1,OQ0.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE O PERMITTEE FEE
J
STATE S/C:
GRAND TOTAL: ???
FOR: CITY OF EAGAN
Site Address ?.;?
Lot ? Block
? Name
?o Addre;
c City ?
L Name _
c Address
O Ciry ?
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent,
Gas Piping Outlets #
Other
PERfYiIT # 'I'-r
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: /80
PHONE:454-8100
? 4"
Sec/Sub BLDG. TYPE WORK DESCRIPTION
k
Res. ,,ZC New
Mult Add-on
Comm. Repair
? Phone Other
FEES
RES
HVAC 0-100 M BTU $24
00
. -
.
ADDITIONAL 50 M BTU - 6.00
Phone (RES. HVAC INCLUDES AiC ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI 1
50 EA
n -
.
.
COMM/IND FEE - 1% OF CONTRACT FEE
`7 s M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
M 8TU R REMODELS - 12.00
M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM ? (ADD $.50 5/C IF PERMIT PRICE GOES
$ BEYOND $1,000)
04?
?
/.
zil 4?041
?v
- TT
FEE:
S/C: 0 PE.i1VATURE OF PERMITTEE
TOTAL:
?(?? FOR: CITY OF EAGAN
;
V`; "_sou ' ' ; CITY OF EAGAN
..
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE• 454-8100
BUILDING PERMIT ? Receipt#
,. .
To be used for I ? p x Est. Value Date ,19
Site
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
?
On Site Well
.? (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
FoOtprint S.F.
Lot Block Sec/Sub.
Parcel No.
°oC Name ,
? Q Address
? 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:
on the express condition that all work shall be done in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building Official
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
FEES
Perm it
Surcharge 'r
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Permit Holder Oate Telsphnns #
Plumbing 94- U ? , ? il? -
. !?
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
ROUgh Htg.
^l ??
?/'? ., .,
. la t JC? 4.. -f-o
Isul.
Fireplace
Final Htg.
•;
Final Pibg.
Bidg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Weil
Pr. Disp.
.. ± - ?
fter#t#irate uf COrrupaury
Citp of (tagan
aPpo'b1lPtlf Df i1talm jwPtfiAtt
This Certificate issued pursuanl to the requirements of Section 306 of the Uniform Building
Code certifying thal at the lime of issuance thrs structure was in complrance with tlre various
ordinances of the Ci1y regulating bullding construction or use. For the following:
v. cl..,drw. ! 0IF 4 PiEX mag. ftnic N.. 14902
OccupWncy Type Zoniag Dinria Type Camn VN
OwnefdBwktmp UCM `/AIM Addrm U;? MAINE
Bu7mng.Addrees 46 P5 RU.", OMbty L2y B?y JUIMY !`Aa ?` .
19,"S
Huildios 09'Mial
POST IN A CONSPICUOUS PLACE
a-.?. • . . . . . . .
PLUMBINCi PERMIT
CITY OF EA(3AN
3830 PILOT KN08 ROAD, EAGAI
CONTRACT
Site Address
ai Name
? Addre
c Ciy<
? Name
3 AddrQ
p City?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/INQ FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOFt CITY OF EAGAN
PERMIT# . ??
RECEIPT # I, MN 55121 QATE: ?
BLDG. TYPE WORK DESCRIPTION
Res. L?- New L?
Mult Add-on
Comm. Repalr
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 !
Bath Tubs - $3.00
Lavatory - $3.00 -
Shower - $3.00 _
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00 -
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 -
FEE
STATE 3lC: C' '
?
? ? ??
GRAND TOTAL: !
PERMIT #
MECHANICAL PERMIT ?-?
' CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
T PRICE: PHONE: 454-8100
Site Address .dl? 1
Lot -9` Block
BLDG. TYPE
Res. X
Mult
Comm.
Other
WORK DESCRIPTION
New )1(
Add-on
Repair
? Name
?s Addre:
.S ati J
Phone
? Name _
c Address
0 City ?
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
?s M BTU
M BTU
M BTU
M BTU
CFM
FEE:
ala, G7C S/C:
oz d /? d
TOTAL:
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1a/o OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
,86NATURE OF PERMITTEE
FOR: CITY OF EAGAN
1
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDIMG PERMIT Receipt ?
To be used for 'Est Value Date ,19
Site Address OFFICE USE ONLY
114NN11 C'A'.' OnSReSewege Occupancy
Lot 81ock SeC/Sub.
. , . . MWCC System Zoning
Parcel No. t`
On site well (nctuaq Const
a Name
City Water
(Allowable)
=
Address s S?`f 3 ?4 PRV Required #t of Sto?ies
39
? Booster Pump Length
City PhOn@
Depth
¢
o Name
• S.F. Total ?
? ` AddresS Footprint S.F.
? City Phone APPROVALS FEES
,. ? .
yVj W Neme Engr./Assess. Permit
'-
? =
_ Address Planner Surcharge ?r• ?
.
`W City PhOne Council Plan Revfew ? r
Bldg. Off. SAC, City
1 hereby acknowledge that I have read this application and state that the
Variance
SAC, MWCC a
_
information is correct and agree to comply with all applicable State ot Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter '
Signature of Permittee
i : ? Road Unit i`
..
A Building Permit is issued to: Treatment Pt
on the express condition that all work shall be done in accordance with all
li
bl
St
t
f Mi
S
d Cit
f E
di
O Parks
app
ca
e
a
e o
nnesota
tatutes an
y o
agan
r
nances.
Building Official TOTAL ?
. Permit No. Permlt Holder Date Tslephona #
Plumbing
v
H.1/.AC.
,
Electric . 011 15 .
404
Softener
Inspectfon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. g p ej, -7C ? te ?G
Isul.
Fireplace
Final Htg.
Final Plbg. a _ ,1 -8-1 4-0 1
Bldg. Final
r
Cert.Occ. 5/6, '
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
. S • . io
Ttr#rf iratt uf Mrrupanry
Citp of (Eagan
ErvarbpnY u# lutiding 3wrrtinn
This Certiftcate issued pursuam to tlre requiremenrs of Sectian 306 of ihe Uniforrri Buelding
Code cenifying that at the time of issuance this smrcttere mas in compliance wi[h the various
ordinances of the City regulating burlding cacstruction or use. For the following.•
u. c.%An;a, 1 CF 4 PLER Wd& R?;,No. 149()1
o--Wwy Tya RUNi 1 zoninsnnaict R3 rym com VN
owm or edaing GOCO VAIIIE HCHFS AM= 14960 93RD I1V, Bf.AIIM
e"ng naamm 4613 RIDGE CT.IFFE: DRIVr; LoWi?, L 1, B3, JCEIl?IY C1W F'IDfE SIli
.
AIAWT 25. 3988
POST IN A CONSPICUOUS PLACE
PEAiAl7 #
' • • . MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE ??J ?? ?
TRACT PRICE: PHONE: 454-8100
Site Address _
Lot
m Name ; .1 ?
?o Address 14C? L '
c Ciry j, i1j)v ,Je Phone - EUD'
- f'
Name _
c Address
O CitY -__4
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Oudets #
Other
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES
HVAC 0-100 M BTU - $24
00
. .
y ADOITIONAL 50 M BTU - 6.00
Phone f- SS? D (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1
50 EA
.
.
COMM/IND FEE - 1°r6 OF CONTRACT FEE
M BTU .(X APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
M BTU R MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
M BTU REMODELS - 12.00
M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM $ (qDD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
r?u' J. ??1av/Sg
-c?
FEE
S/C: SICyNATURE OF PERMITTEE
TOTAL• ?
FOR: CITY OF EAGAN
, ' • " PLUMBINt3 PERMIT
GTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PERMIT #
RECEIPT #
DATE: -
Site Ad?ress BLDG. TYPE WORK DESCRIPTION
?
Sec/Sub
Lot BIoCk
? Res. ? New
? Name Mult Add-on
d
g Address Comm. Repair
.
c Cityi /t '?-Ack? Phone ' Other
O
L
NO. FIXTURES T
TA
Name Water Closet - $3
00 $ ^
c Addr .
Bath Tubs - $3.00 "
0 City t ; ?rv n_.? Phone '' - ?-S ! ? Lavatory - $3.00 _
Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet -$3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
MINIMJM - RESIDENTIAL FEE _$10.00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20.00 Water Heater - $1.50
STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets -$1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
` . .
Private Disp. - $10.00
Rough Openings $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
- ,
• ` ? '
FOR: CITY OF EAGAN
GRAND TOTAL
CITY OF EAGiAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt # '
To be usedfor 4-PLL°X Est Value $57,000 Date 1?PRIL 2fi ,19 38
Site Address 464"1 RIDGE CLlMDR OFFICE USE ONLY
Lot 1 Block 1 Sec/Sub.401111ffy CAKE RYDGr SOn Ske Sewege
x Occupancy
R-3
MWCC Syatem Zoninp
Parcel No. Sit
ll
O
W nat
t
q C
A V""
n
e
e ua
o
(
c
GQou '-rAWF Hms
N City Water X (Allowable)
a
W
3 ame
Address 146R 93RD Ltr PRV Required * of Stories
0 City RIA1HE Phone 73u-5510 gOO6ter Pump Length
?
Depth 22
0 Name SAME S.F. Total
,
z
0?
addres5
Footprint S.F.
*' Ciry Phone APPROVALS FEES
-
P
i 402 ??
? a
yVj
W
Name
Engr./Assess.
erm
t
50
28
? Planner Surcharge .
_
- Address ?
201
?
y Council Plan Review 0
? W City Phone Bldg. Off. SAC, Clty 100•00 •
I hereby acknowiedge that I have read this application and state that the Variance SAC, MWCC 550•00
550
00
information is correct and agree to comply with all applicable State ol Water Conn. •
Minnesota Sta(utes and City of Eagan Ordinances. Water Meter 67•00
Signature of Permittee =_- ?? Road Unit 325'?
A Building Permit is issued to: '? r?'??i ?? Treatment P1 204'00
on the express condition that all work shall be done in accordance with all
Parks
appNcable State of Minnesota Statutes and City of Eagan Ordinances.
TOTAL
Building Ofticial_
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box21-199, Eagen, MN 55121
PH ON E: 454-8100
BUILDING PERMIT -
To be used for 4-PLF7C
Site Address 4623 il1bGE CLIFPE 1!" ?6Ysj (1c
Lot 4 eiock f Sec/Sub.JOHlTNY CAK1S u1DGE
Parcel No.
ac Name GOOP VALJJE FtM$
z Address 1460 93gn LM
a City BLAINE Phone 780--5510
a Name
? ?" l?ddre
U y?
W UJ
~2
s5
U
WZ
a
a
Name _
Address
I hereby acknpwledge that I have read this application and state that the
Information is gorrect and agree to comply with all applicable 5tate of
Minnesota StaTutes and Cily of Eagan Ordinances.
RSig4ture of Permlttee .
A'Building Permit is issued to: rs00I? VAI.C'-E H0MES
on the express condition that all work shall be done in accordance wlth all
applldeble State of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial -
Est. value $57,000
Receipt #
oate ArKIc . _ j
28
,19bl-
OFFICE USE ONLY ,
50n Site Sewage Occupancy
? R^3 M-1
MWCC 3ystem % zoning - R"3
On Site Well (Actuaq Conat V-N
City Water x (Allowable) Y-N
PRV Requlred # of Storfes
Booater Pump Length 44 41
Depth 221
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 402.00
Plenner Surcharge 28•50
Council Pian Review 201•00
BIdg.OH. SAC,City 100•00
Varfance SAC, MWCC 550.00
WaterConn. 550.00
Water Meter 67.00
Road Unit 325•00
Treatment P1 204•00
Parks
2-o-.-M
TOTAL
CITY OF EAGAN
3830 Pllot Knob Roed, P.O. Box'21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used tor 4-PL67(
Receipt # X - N ;_ i
Date APRIL 28 ,19-1$_
Site Address 4627 RjD" CUFFE MxNF iZ)'v tv-0, OFFICE USE ONLY
JOft"y CJ1lcE ttIDGf
Lot 3 Block 1 sec/sub On Site Sewape Occupancy
. MWCC System X zoning
Parcel No. Y'-N
On Site Well (Actual) Const
cc Name COD VALL?E HOtlES ciry water x (Allowable) V-4i
z Address 14W 93Rn LN PRV Required # oi Stories
a City aLAiNE PhOne 7$0"5520 BoosterPump Length 'a4;
Depth 22
i
¢
o 'SAM
Name
S.F. Total
•
.
? ? -
?Iddress Footprint S.F.
?a City Phone APPROVALS FEES
Engr./Asssss. Permit 40Z600,
W W Name
'?jp
2g
Planner Surcharge .
U? AddreS3 00
201
= Gouncil Plan Review ,
`W City Phone 81dg.Off. SAC,City 100•00
I hereby ackqpwiedge that I have read this application and state that the Variance SAC, MWCC 550•00
information is orrect and agree to comply with all applicable State of
? WaterConn. 5?•?
Minnesota Sta
utes and City of,Eegan Ordinancas. Water Meter 67.00
5ilature of Permittee Road Unit 325•00
?
RBuilding Permit ia issued to: GWD vAWF'"S Treatment P1 204•00
on ttie express condition that all work shall be done in accordance with all parks
appiEable State of Minnesota Stat s and City of Eagan Ordinances. ?
?• ?
Building Official _ TOTAL
EstValue $57s000
Li
BLDG. PERMIT N0. j 14V7-1UqO0
,,(,,(Q ??;L i:-0. cw
1<?4 cY( C , .
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17?3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
?,7?-3855 Park Ded.
TOTAL
CASH RECEIPT
, CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE T~.2 C1 ig v
rIEceivEO
FROM
AMOUNT $
? ?/ ? C
C] G.4SH g..CFiECK
DOLLqRS
too
wR
?
BY
?T?+? ?1? White-PaYsm CoPY
Yelbw--ppstln9 CoPY
Plnk-File Copy
Thank You .
CITY OF EAGAN
3830 Pilot K4nob Road
P.O.Box 21199
Eagan, MN 55121 .
Owner. ood
. Site Addres? ? L`?
Plumber: icF
• MWCC: 550. Q1T, ,
; City Chg: Ino.
Acct Dep: 7. 5. ,. c.
?. . p.
` Permit Fee:
. . r- Surcharge:
Misc.:
L - - -?
' OF EAGAN
i Pilot K-nob Road
Box 21199
in, MN 55121
No. of Units:
I agree to compiy with the City of
Ordfnances.
By
SEWER SERVICE PERMIT
Permit No:
Meter No:
Reader No:
nn. Chg: 550-00p?
ct Dep: 15.0OP::
'mit F88: io• 001r
rcharge: • 3c)r-'
Plant ? 04 . 0 01 nd
;ter. nn..d
Zoning: -
No. of Units:
Date:
Size:
Date:
I agree io comply wlth the City o(
Ordinances.
WATER SERVICE PERMIT
CITY OF EAlGAN
? 3830 Pilot KnQb Road
' P.O. Bbx 21199
Eagan, MN 55121
Site
Conn. Chg:
Acct Dep:_
Permit Fee:
GAS
`'1101 yC. I agree to comply with the City ol Eagan
Plant__ ?n? ?1(1n-; Ordln
?
ter
iC.: . . _ ., r 1 BY +
WATER SERVICE PERMIT
Permft No: Date: -
B/P No: Date: `
Valae Hnmes
Permit No: - Date:
Meter No:
, Size:
Reader No: QS? 3 5
?7y Date:
CITY OF EAGAN
?- 383Q. Pllot Knob Road
; P.O. Box 21199
? Eaga MN 55121
Site
Permit No:
B/P No: -
. =a-
?
Value HoOes _
MWCC: ,50-'j0 Zoning
Date:
Date:
City Chg: 100• n0rd No. of Units:
I5. 04?
Acct. Dep: I agree ta comply with the Clty ol
Permit Fee:
Ordlnances.
Surcharge:
M i sc.: BY
SEWER SERVICE PERMIT
CITY OF EAGAN Permit No: 9 ~15
3830 Pilot Knob Road Meter No:
P.O..Box 21199 Reader No: `• -
Eaga+., MN 55121 `
m
?
Date:
Size: ,
Date: '
Permii Fee: '•'' • ""r _
Surcharge: __ 5?4sd I agree to comply with the City oi Eagan
Tr. Plant ?o~ • Con"d Ordinances. ?
f .. ? '
AIIetBf:
Misc.: BY
WATER SERVICE PERM{T
?"T it No
P Date:
Y OF EAGAN
.j Pilol Knob Road erm
:
Meter No: y6 74O a O g1Ze: I&CA
rO. Box 21199 Reader No: tl-5 ? 31 QS Date:
?iEagan, MN 55121
Site
Conn. Chg:
Acct Dep: ' ''12-°`• o. of Units:
Permit Fee: i
Surcharge: • 50123 I agree to comply with the City oi Eagan
Tr. Plant ' 4 00 Ordinan s.
Meter. 7?:.Ln,.,"p E4 ?
Misc.: BY
WATER SERVICE PERMIT
SSG 4t??d Zoning;
Conn_Chg: 15_b4t*? - No. of Units: ?
? qTY OF EAGAN Permit Na Date:
' 383Q Pilot Knob Rosd B/P No: - Date:
- P.O. Box 21199 . "
Eagan, MN 5512,1''
Owner. ' !7003 V^i;ic »Or:e:;
SiteAddress: 1 4 r'_2" Ricia, ?a 34futny ,
-r n?`,, ,
MWCC: Zoning• -
Ciry Chg: No. of Units: -
Acct Dep: I agrse to complr wiih the City of
Permit Fee:
Ordinances.
Surcharge:
? Misc.: gy
SEWER SERVICE PERMIT
?
Date:
Size:
Date:
Conn. Chg: r`?•?`? Zoninq: r j
Acct Dep: 15 •001--j No. of Units; `
Permit Fee: ' 0• 0op"
Surcharge: •sopd 1 agreo to comply with the City o1 Eagan
Tr. Plant 2?A•'?Opd , Ordinancea. ?
Meter. ? i ;'•[',rj
Misc.: By ?
• ,?
CITY DF EAGAN Permit No: -' ` Date: ?
3830 Pilot Knob Road Meter No: 7''y?a 'y Size:
P.O. 8cx 21199 Reader No: d S 3580 0 Date:
Eagan, MN 55121
5ite Addi
Plumber.
nj
Conn. Chg: 55'." .'?? :' ' n$ R?oni g
Acct Dep: t ? olWnits:
Permit Fee: I `
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordin
Meter.
M i sc.: By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: `' S4 I
3830 Pilot Knob Road Meter No: '•` "'
P.O. Box 21189 ., Reader No:
Eayan, MN 55121
+ CITY OF EAGAN Permit No: Date: -j -? ?
3630 Pilot Knob,Aoad B/ P No: Date: ?- '' R g
P.O. Box 21199 ? , . . ,
Eagan, MN 55121 "-'
:r31 s e Homes
"A.qe
MWCC: ' Zoning - '
City Chg: ? No. of Units: ?
Acct Dep:
t? c: 1 agree to compiy wffh the City of
Permit Fee:
Surcharae:
. ?. ?' Ordinances.
sy
SEWER SERVICE PERMIT
,
CITY OF EAGAN Permit Na Date: ?- -?'
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
g .
Owne
?
J
CITY OF EAGAN
3830 Pilot Knob Road
P.O. $ox 21199
& Eagan, MN 55121
site
Permit No: + " L "
Meter No: yl'{ 753 S 7
Reader No: ? 6 y
Conn. Chg: 550 O -
Acct Dep: i s
Permit Fee•
Surcharge:
Tr. Plant20ii -;}ppd_
Meter. 6 7 ??;?,. • P
Date:
Size: S/?' ?ar<
Date:
-?3
.,
W?- u"w ` -
?td L,,
cibLV ? ??
. - •:,: _ . ?;.
I agree to comply with ihe City of Eagan
SEDGWICK HEATING & AIR CONDITIONING CO. HEaTINC JoBr,o.
8970 WENTNORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDPESS ?? /?? ` ?`??`- ?/?`? `? ?
OCCUPANT
soLD gY L? ?? v rf? ? ?--
cm je-?c`g? jv7
OWNER /?G-re n /f?q?it
r
INSTALLED BY
MAKE LG /1 4t O}C MODEL Z' 6 0/ Lt H V 3 v '!- O 70
SERIALNO. 'S"9e9 S?l'? b 2 833 INPUT
7HERMOS7AT I!I `? o( VENTSIZE ?
VAWE FId Ca -«. Cb)-t ?f TYpE OF LINER
?j
LIMIT , kZ C( LINERSIZE ?
LIMIT SETi1NG
FAN SEITING
PILOTTYPE
IGNITION MODEL ?
PIIOT TIMING
PqESSURE ?
Z J PERCENTCOz
?
INPUT CFH ? PERCENT Oz
STACKTEMP. !_ PERCENT CO O
FOPM 235(REV. 11/89)
FILTERS: SIZE L?f? ? ' ? NUMBER ?
WIRING `-' f L^ ? ? , -1
TEST TAG
LIGHTING INST.
DATE TESTED
GOMPANYTESTING lT el- I '.1-
NAME DF TESTER ?? ??•?_?
FORMOISTHI9UTION: MMITECAW- JM FILE YELLOWGOPY - CITY
(y J??lg? REQUEST FOH ELECTRICAL INSPECTION ' JON. ryee-ooooi-os
? See instructions lor comoueting IM1is larm on betk ol Yellow copy.
<J 7
E 1 211. 8 "X" Below Work Covered by 7his Request
Atltl RBP. Tyoe Qt BuildinB APPIiaOCee WireA EquiUmanl WireA
Home Runge Temporary Service
Duplex Water Heater Liqhtiny Fixtures
Apl Building Dryer Electric Heatin
Cominercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
farm tnar Peu v .thcr ISnr.c.ivl
t rr Sueu y ther Othm
ompute lnspection Fee 8elow
p Service EnvenceSize M Fea aeders b F Circuils
0 to 200 qm s 0 to 30 F.m ,-
Ahove 200 qinpy ps 31 to 100 Am s
Swimming Pool Am?s
=00- Above 100_Amps
Transtormer5 rr?s PertiaL
Signs ction S
OT FE
flerty?ks
Poueh-in - tl Oate .[tpe EI •
Inspacloq hereby
? cerGiy thet fha nbove
Final ?r nsoection haa baen
rtada.
Thin reQUest voitl 18 monfhs irom
REQUEST FOR ELECTRICAL INSPECTION o a[o?i/-o6
/ See insM1UCtlons Ior com0leting Ihis form on beck of yellow copy. ?
?
?`lW
E 121"17 "X" Below Work Covered by 7his Request
4rjiw A?id flep. Type ol BWltling AOPliuncna Wired Enuiument WireA
Home Ranye Temporary Service
Duplex Water Heater Llyhtiny Flxtuies
Apt. BuildinL
g
Dryer
Electrie Heatinc
Commercial Bldg. Fumace Silo Unloader
InAustrial Bldy. Air Conditioner Bulk Milk Tank
Farm otner oeci v Oin,„ ISUCdryl
? mr Sycc? y Other Ojhcr
Com ute lnspecuon fee Below
p ServiceEnva.ce5ixe b Fee Fexders/5ubtenders 1J Circuits
0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 qmps 31 to 100 qmps 31 ro 100 qm s
Swimming Pool Above 100_Amps Above 700_P,mps
Transiormers Irrigation 8ooms Pnrtial.'Other Pee
Signs Special Inspection
TOT
p
Nemarks FE
y
// 7 0
U
I, tha EIeZRRE'Sf
Inspector, heraby
E.atv me: ma reoya
inspection has been
mede.
...... s irom vi/??ja d O 7 JG? /
E 2/2117 1. 4 .A53. (?IPL,? , eJ.
He J?st Da}? No. ou h-in InsUer,tion
iretl? ?PCatly Now ill Notity InsDec-
? es ?No lor When ReaAY
U Lice.nsetl Electrical CoNrac[or 1 hereby repuest inspactian of ebova
? O.^er alecLicel work installed et
Stre Address. Boz o oule No. _
i
? a,,)
ectron o.
Townshi0 ame o No.
Range No. ?? ?-.
Cn m``-o? k--
+
O upanllPpINT1
v Phone No.
Pov+e,. S.DOlier ',
- 1rl ?l ? 1
l l Y 1! / ?-#-F:
C/W'L1L/ ' l/? Adaress
Elec[rical Contractor (GOmpany Name) hfar,tor's Lfcen e No.
Ma? ?ng??r?s ICun ac[or o O r Makinp Insta?lation) ',` ^,?
r U V?..) `?-J( !
Am rizetl Signacura IConh ctor wner MakinO lnstallutionl Phone Numtber
S?X
MINNESOTq STAT OARD OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT
Griggs-Midwey Bltlg. - Noom N•791 gE ACGEPTED BY THE STATE BOAND
1821 Universitv Ava.. St. Peul. MN 55104 UNLESS PNOVER INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
(p/?6111re REQUEST FOH ELECTRICAL INSPECTION ee-ooooi-os
' See instroctions Im com0laling this form on back of vellow copy.
EY2 11 O "X" Below Work Covered by Ihis Request
.14 Addi Heo. Tyoe of Builtliny Apoliancea WireE Equiumant Wired
Home Ranye Temporary Service
Duplex Water Heater lightiny Fixtures
Apt. Building Dryer Electrie Heatin
Commercial Bidy. Fumuce Silo Unloatler
InAustrial 81A4. Air Conditioner Bulk Milk Tnnk
Farm om« oe.:,fv 01niv fgp'?r:,IVI
t e, uer.irv orne, nmc,
ompute lnspection Fee Below
p F. Servic¢EntranceSize X Fee Fewtlers/Subleeders Ciretrits
U to 200 qm s 0 to 30 qm s 0 tn 30 Am
Above 200 qmps 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 700_Am s Above 100_Am s
Transiormer5 Irrigation Booms Partial.Other Fee
Xertwrks Signs Speciai Irispection ?TOT L F ?
Poveh-in
.tha cal
? Inspecbr, he?eby
certity that th
nb
Final ?
te e
ove
insOection has been
? ?
r
matle.
mlereQUeslvolClBmont trom
nus reoues? void
/?/, -?
18 nonths i wm ? fJ O ? ?? 9O 1?i7` «
E 12 116 a " 6?? o-C
fle?uest Da ?^
?
?[V Fi No. Ro h-in Insuection
fl? i?etl? ?,•??
eady NowJ?d`? ill Nolity Insoec-
_
-
VO 7?' s ?No
SA'1` ",o, When Ready
? licensed Elec[ncal Convacto,
1 heraby repuest inspeetion ol above
? Owne, electrical work installetl ae
Stre Address, Box ar oute No. . C.
' ^
?Y 1
ecu h1 a. Townshi me m o. ange o. C nly
Oc panl
? (PRINTI .\ '1?
v Phone No.
Power $upplier
D Adtlress
./`L/
?
E eclei Conhractor ICOmparry Namel Contractor*s Licens o.
? ?
ailine e "kd'ess ICont
for or O_?ner 100lnslailaiionl
.?.` `
9
n `'?
?v .? ^
1 V
Au orizetl SiBnature ICOnhactor/Owner Ma ing InsLillationl Phnne Number
•
MINNESOTA STATE eOAHD OF ELECTRICITY I THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwey Bldg. - Xoom N•141 BE ACCEPTED BY THE STATE BOARD
1821 Universitv Ave.. St. Peul. MN 56104 UNI.ESS PROPEfl INSPECTION FEE IS
PFOne1fi111fi62M00 ENCLOSED.
..: -"s i?om"CC/?O?i??
51. l t3 3 K,
Renues
?1 ?re No. R uph-in InsVer.tion
Owretl?
I
?ReaAy Now ?I I Notity In5oec-
? _ ^
? ? - 1'es ?No
tor When Reatly
0 Licensed Elecvical Convaclor I hereby raquest inspeclion of ebove
? Owner electrical wwk installed at:
Str Atldress, Boz or owe No. C
13
ection o. Township Name m N . No. Counly
Occ ? nt IPPINTI Phona No.
?
Power Supplier Address
cu?
n-
ElecLical Contracmr ICompany Namel CnnVacmr's license No.
Mailinp AtlJress ICOMractor r pwner xki Instatlationl
JC)
A oriaed Sigriature IContrac r Owner Makin Installalion) %Ph.ne N mber
ss B o0
MINNESOTA STATE B ARD OF ELECTRICITY THIS INSPEGTION NEQUEST WILL NOT
Gtiggs•Midwey Bidg. - Poom N-191 BE ACCEPTED BY THE STqTE BOHND
1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
PhnnwlBl91RA20A00 ` ENClOSEO.
REQUEST FOR ELECTRICAL INSPECTION EB-0000/7?-06
Sec inshuctiens for com0letinB this lorm on back of vellow copy. ??J((' ?
E 1? `j "X " Below Work Covered by This Request
Add Nep. Tvpe ol BuildinA AOCiinncea Wuetl Equipment Wired
Home ftanye Temporary Service
Duplex Water Heater Lightiny Fixhnes
Apt. Building Dryer Hectric Heatin
Commercial Bldy. Fumace Silu Unloader
Industrial 81Ag. Air Condi[ioner Bulk Milk Tank
Farm omxr oeri v omci IspouM
? er SVeci Y ther Othur
LOflIlJI/lE IIlSDPCI/OR FP.A RflOW
N e? ServiceEnhenceSiae tl Fex Fende,rs/Subfeeders # Circuits
U to 200 qm s 0 to 30 qm s 0 to 30 Am>s
Above 200 qmpy 37 to 700 qmps 31 to 100 Am s
Swimming Pool Above 700-Am,
ove 700_Amn
Ab
Transiormers gation Bo R Partial,Other Fee
Signs Speciailnspection
Rem3rks s)4
??? ?
TOT_?j? j
qoueh-in the Eiec icnl
? Inspeclor, hen
oby
carlify thet ihe above
Final ingpection has been
? made.
Tla reouesl voiE 18 monRe irom
1 OF 4 PLEX r0R SALE UNITS CITY OF EAGAN N- 14903
T??OMF, 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHON E: 454-87 00
BUILDING PERMIT Receipt# B?a?9
To be used for 1 OF 4 PLEX Est. Value " $01000 Date APRIL 29 19 88
Site Address 4619 RIDGE :,LIFFE DR
Lot 3 Block_3
Parcel No.
a Name GOOD VALUE HOMES
w
z Address 1460 93RD LN
° City BLAINE phone 780-5510
,p Name SAMA
?a Address
? City Phone
w W Name
w
i?
Address
?z
¢ Ciry Phone
W
a
I hereby acknowledge ihat I heve read this application and state Ihat the
information is correct and agr o ply with II applicahle State ot
Minnesota Statutes and Cit Ordin
Signature o( Permittee
A Building Permit is issuetl to: GOOD VALUE HOMES
on the express condition that all work shall be done in accordance with all
applicabla State of Minn?? ?o?a Sta¢tu?tes ?antl (syof E?a?gif,? Ordinances.
BuildingOHicial ?`"e'-" X1-
?
RIDGE STH
Sec/Sub. JOHNNY CAKE
OFFICE USE ONLY
R3/M1
On Site Sewage _ OCCUpancy
MwCC System X Zoning R3
On Site Well (Actuap Const Vn
Gity Water X (Allowable) Vn
PRV ReQuired _ # of Stories
44
Booster Pump _ Length
Depth 22
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit $ 402•00
Planner Surcharge 28•50
Council Plan Review 201.00
Bldg. Olf. SAG City 100.00
Variance SAC, MWCC _ 50.00
WaterConn. 550-00
waterMeter _67 90
Road Unit 325, 0
Treatment P7 _204..90
ParkS
TOTAL $2.427.512
FOR SALE UNITS 1T.H. . 3830 Pilot Knob Ro d?pO: ?x d542G•81A00 9; Eagan, MN 55121 N? 14904
NE ?3 S
BUILDING PERMIT P Receipt#
To be used for 1 OF 4 PLEX Est. Value $57,000 Date APRIL 29 ,19 88
Site Address
Lot 4 E
Parcel No
4617 RIDGE CLIFFE DR
3 Sec/Sub. JOHNNY CAKE
RIDGE TH
OFFICE USE ONIY
R3/M1
OnSiteSewage - Occupency
MWCCSystem X Zoning R3
On Site Well (ACtual) Const Vn
Ciry Water X (Allowable) Vn
PRV ReQUired _ # of Stories
Booster Pumv - Length 44
Depth ZZ
S.F. To[al
Footprint S.F.
a Name GOOD VALUE HOMES
; Address 1460 93RD LN
o City BLAINE phone 780-5510
o Name SAME
oa Address
P City Phone
w w
F ¢ Name
?
Address
I
aw City Phone
I hereby acknowledge that I have read this application and state that ihe
information is correct and agr to mply wit all applicable St?
Minnesota Statutes and Cit ,of n Ord?n s.
i Y
Signeture of Permittee L? i
A euilding Permit is issued to _GQQD VALIIE.IIQMES
on the express condition that all work shall be done in accordance wilh all
applicable State of Minne,pota Statutes an ity of Eagan Ordinances.
it 7
BuildingOfficial._1G???
J
APPROVALS FEES
$ 402.OC
Engr./ASSess. Parmil
28•5C
Planner Surcharge
201.010
Council Plan Review
Bltlg.Off. SAC,City 100.00
Variance SAC,MWCC 5$0.00
Water Conn. 550. 00
water Meter 325.OQ
Roatl Unit _2Q4.-00
Treatment P1 '
Parks
70TAL $2,42i-50
FOR SALE UNITS CITY OF EAGAN . rJ0- 14902
TOTdNHOME 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHQNE:454-8700
BUILDING PERMIT /0/' •? " Receipt#
To be used for 1 OF 4 PLEX Est. Value $57,000 Date APRIL 29 19 88
Site Address 4615
Lot 2 Block 3
Parcel No
CLIFFE DR
Sec/Sub. JOHNNY CAKE RIDGI
STH ADD
? Name GOOD VALUE HOMES
z Address 1460 93RD LN
° City BLAINE phone 780-5510
¢ Name S? I
O
?a Address
? CityPhone
City Phone
I here6y acknowledge that I have reatl this application and state ihat the
inbrmation is correct and agree to comply with all applicable State of
Minnesota Statutes and CitYD n OrdWces. ?
SignaWre of Permittee
A Builtling Permit is issued to:_ GOOD VALUE HOP S
on the ezpress condition that all work shall be done in accordance with all
applicable State of Minneso Statutes antl City o ag4n Ordinances.
Building Official
r
OFFICE USE ONLY
R3/Ml
OnSke.Sewage _ Occupancy
MWCCSystem X Zaning R3
On site Well (Actual) Const Vn
City Water X (Allowable) VR
PRV Required _ # of Stories
Booster Pump _ Length 44
Depth 22
S.F. Total
Footprint S.F.
APPROVALS FEES
4i 402.00
Engr./ASSess. Permit
Planner Surcharge 28•50
Council Plan Review 201 .00
em9. on. snG crcy 100.00
Variance SAC, MWCC 5$0.00
Water Conn. _ 550.00
Water Meter 67.00
Road Unit 322-00
Treatment Pt --2Q4.QO
Parks
TOTAL $2.427.50
FOR SALE UNITS CITY OF EAGAN N2 14901
T0W[dHOME• 3830 Pilot Knob Road, P.O. Box 21 •189, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt#
To be used for 1 OF 4 PLEX Est. Value $57,000 Date APRIL 29 19 88
Site Address
Lot 1 E
Parcel No
4613 RIDGE CLIFFE DR
3 Sec/Sub. JOHNNY CAKE
RIDGE STH
: Name GDOD VALUE HOMES
z Address 1460 93RD LN
o City BLAINE phone 780-5510
p Name_
? a Address
? City_
ww Name_
Fw
i ? Address
aW City_
I hereby acknowledge that I have read this applicalion and state that the
information is correct and agr oGo mply wit II applicable State ot
Minnesota Siatutes antl C'ity ?Sn Ortlin
Si9naWre of Permit[ee p• . i'
" GOOD VALUE HOMES
A Building Permit is issuetl to:___
ontheexpresscontlitionih allworkshallbedoneinaccoidancewithall
applicable State of Minne_oti Statutes ar}tl Wof Eegqp Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy R3/M1
MWCCSyslem _ Zoning R3
On Site Well (ACtuaq Const Vn
City Water (Allowable) Vn
PRV Required _ # of Stories
Baoster Pump _ Length 44
Depth ?2
S.F. Total
Foo[print S.F.
APVROVALS FEES
Engr./Asuss. Permit Z? 402.00
Planner Surcharge 28•50
Council Plan Review 201.00
81dg. Off. _ SAC, CiTy 100.00
Variance SAC,MWCC $$0.00
WaterConn. 550.00
Water Meter 67.00
Road Unit _3 25100
Tieatment Pt _.2Q410O
Parks
TOTAL $2,427.50
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
113 's?
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sets • ArohitecWral Plans (2) sets
. Civil Plans (2) • Structural Plans (2) • Code Analysis (7) "
• CertificateofSurvey (1) . CivilPlans (2) • ProjectSpecs (i)
• CodeMalysis (1)" • WndsrapingPlans (2) • KeyPlan (1)
• ProjectSpecs (1) . CodeMalysis (1)" • Master Exit Plan (7)
• Spac. Insp. & TesGng Schedule " . Certificate of Survey (1) • Energy Calculatlons (1) not always"
• Soils RepoR (1) . Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Fortn (1) not always••
• Meter size must be established • Meter size must be established • Meter size must be establ' e
. PrqectSpecs (7) ? ? M
1 • EnergyCalculations (1) U
1
d
•
•
Electric Power & Lighting Form
Master Exit Plan
(1) "
(1) ?
d
MQY ?, 0 2???
1 • Fire Protectlon Plan (1)
1
l • Soils Report (1) d (,
. MC/E5 SAC determination letter • MC/ES SAC determination IeUer • MClES SA determination letter
ra11651-602-1000 ca11651-602-1000 ra11651-60 0
Contact Building Inspections for sample "-
Food 8 beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
DATE: O? WORKTYPE: NEW REMODEL CONSTRUCTION COST:
1
SITEADDRESS: 4(V11 - 'AUI-or Wm-)- L6kq kd
S-Tzl)
%JV
TENANT NAME^ SUITE #:
j o?3 ?o? s'ri,
FORMER TENANT NAME, APPLICABLE:
DESCRIPTION OF WORK 1 I 1?) 1Q-W
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Last
#: ( (QI? ?-q?
F;rst
SueetAddressQ{pl•J IJ?JI(LULU?. ???LVU
City: State:
. ... n _ .
Company: V 1X.1 U 1
Sueet Address: _ 1 a 1iL J_
City: a u State:
Company: Phone #: (_
Name: Registration #:
Sheet Address:
City:
Zip: a?119
State:
Zip:
Licensed plumber installing new sewer/water service: Phone #: (
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and Cily of Eagan Ordinances. '?A? .?
Signature of Applicant:
??.,?8c (,r-;ggri Pm Updated 1l02
Zip:
Phone #: (40G,,)t ) ?66' 'l IU`[p
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 Commercial/Ind usiri al ? 32 Ext Alt - Apts.
? 15 Ladging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneo us ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof 0 47 Repair
? 33 Alterations ? 37 Demolish (Bidg) ? 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.
No. ofBldgs. Width sq. ft.
Const. (Actual) Basement sq. ft. MC/ES System
(Allowable) ; • , . _ _First Ftoer,sq, ft. • ? ? . ? ; City Vlrater: . . + • • ? r . ? ' :
UBC Occupancy sq. fi. . Fire;Spfinklered
.' a • ? '?•?r t,';, , ., ? , ',? ?
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insulation 0 Plumbing ? Stucco/Stone
t? ' • -rr.. , - ,
APPROVALS . . , . • .
.! .?
Planning ? _ ? • ;$uilding' . + • Erigirieering • t '- 'tVariance ,
Permit Fee • . , . ,
Surcharge
Plan Review
MC/ES SAE'...= '
City SAC
Water Supply & S?rage
S/W Permit + •` '
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATIOIJ
s
' % SAC
SAC Units
Meter Size
, . .
-+ . ?4`.,? ?.•?+ •
. ,? . „ .. ,
.,,
. . , ; 7•t, . ?
Total
C. R. WINDEN 3 ASSOCIATES, INC.
LAND SURVEYORS itl 645•3646 -
136 EUSTIS SL, 3Y. PAUI. MINN. SSIO!
For: GOOD VAi:UE HOMES
?
94D?
?4 ?\ ....
44 /
?' b
6 h?f 2?c
5
i Qo
!o 0 0
?
?
Q
? Pf
,%
i
oo ? o
C9a5.e)
yaa
y^ 0
•
90 ? ?2Q -
F?. /
Z
Scale: 1"=50'
\
? 94.2 4?iL
F
?
) . . J ae' ?\
•\
?
32
?v 71
J
2oO ??( 6p
3 y?
? ?,? ?? • ?
? C944
By,
EAGA1V
?
R O
°roDosed Elevations From Grading Plan
Prepared By DeWayne C. Olson, P.E.
-r Denotes Proposed
Direction of
Surface Drainage
xr.x.x Denotes Existing
X Elevation
Denotes Pro?osed
?x
Elevation
Z=:,Q-Denotes Iron
G Monument
-D Denotes 1^7ood Stake
DEPT• nroposed Garage
Floor Elevation =
945•0
Datum: N.G.V.D.
1929 Adj.
Lots 1 through 4, inclusive, Block 3, JOHNNY CAKE RIDGE
FIFTH ADDITSON, Dakota County, Minnesota.
WE HERE6Y CERTIFY TMAT THIS IS A TRUE ANO CORpECT REPRESENTAiION OF A SURVEY OF THE
lOUNDARIES OF THE LAND A60VE DESCR16E0 AND OF THE IOCATION OF All 6UIlDINGS, tF ANY,
TNEREON, AND ALl VtS16lE ENCROACHMENTS, 1f ANY, FROM OR ON SAID LAND.
Cotod IAis 7157' doy oF- 67=1 l A.D. 19 66 C. R. WINDEN d ASSOCIATES, INC,
Surrap?r, Minn??sta Raoislrofien No. /"79
o- 79
Cities Digital
ity Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
' ,
1988 BOILpIHG ..
PERMIT APPLICATION CITY r.
OF E6GAN rr4 =
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... . _. . ._._ -e.
4t2 SSTS 4F PLANS; 3 CERTIFICATES-OF SURVEY. 1 SET„OF_ENERGY`
.. c: ? ?F_-• _ -- '-_ . .' J....r.?
_ .._._, .
? .?
9DDRESSE3 FOA `CORNEA'"? :LOTS ' -_CONTRACTOR/SOMEOWNER MUST DES: 11 TS DESIRED': ' NO CHANGES WILL BE ALLOWED QNCE BQILDING PERMIT :
'.?.....`x 4F.... .._ .... . . .. . -T-.?-'1'i
T 12 . : ._ . . . . .. . . . c, c. ::_ .. Yi: z'. ..
„ '. - .._.._. . . . '. .' - - ? .- .
MULTIPLE D[tE[.LINGS ' RENTN. ONITS - ' '- FOR SALE UNITS 9 OF_ U1dIT3 "_=- -
-?---
_ . ,:. . >
, -, _ . , _ _ c .. . . :
-: - .
' INCLUDE 2 SET3?OF PLANS; CERTIF2CATE OF SURVEY.- CHECS WITH BLDG DEPT.,_
t SET 4F ENERGY CALCULATIONS
4 jFav • sr .,f x'T e a ? r,e - - ,?.`'44'x?-.z?'w"??- •_r.
??a* COM4fEACIAL
4fE .
#-0,?r'c-??•?' i:, e'pr.,E,.+.^`s+' .._f . .... ....?:" ? ._?. fR'??"'??F??s-1s ta?.
. INCLUDE; 2 SETS„ OF =AACHITECTURAL & STRUCTUBAL '?PGAN??`
, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CAGCULATIONS ,
?
. 1 _-- - , -
L"e
- . .- a J^ „ ' . _ • - .. ?)wc.. , _ .
' To BefIIsed For: '??? Valuation.??.F3C3O-. Date: a:;r,i- ?9.iaaR.
te
naaress ° same as above_ <` ,'. CouheYl -'??-" _ Plan fteviert Zt_k 0t7 __:
Bldg« QYf
_ ? - City/Zip Code `?'same as 'above` - Variance , ... 'S9C, , MWCC : 5 O : a
?_r Hater Conn'
4.?Phone 780-5510 Meter ? b? oo
:. IIrch./Fngr ihsarne ?laon Pl. O ,D?
-r-?'RS90t, Parks
Address Copies-_ -'?
? TOTAL.:_: _-
-: ? C4y/23p Code r. . ,?rt
Phone 0, x a - ' ; - - -
-- _ ?- ? ? --
?? $
- ?? - ? ,? - - - -
_ r
ara`a?"4? 4?" ?•? ?
_.:? ?*?.w_:?? {x A?,?•M ii 4 . r s„- F5 4 r.lt?j ? e
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- - - _ . _ - ,-.-;•, _
._ 1988 BQILDING PERMIT 9PPLICATION - CITY OF EACANr` ?`"" ? "
_ . .. , .... ; .?.. _? -.... - ` ,''? . -' ? ?.
e..,t
.,.,_..-_
?SINGLE FAMILY DWELLING3= _ ?? ??? ? =
?INCLUDE_2 SETS OF PLANS? 3 CERTIFICATES_OF SURVEY,; ;1 _SET OF ENERGY -C6LCULATIONS,,
NOTEs ADDAE$SES FOR CORNER LOTS -rCONTRACTOR/HOMEOWNERMQ3T DESIGNATE` WHIC$,. 6DDNES3;A:
.
" IS"DESIRED. NO CHANGES NILL BE ALLOWED ONCE HDILDING PERMIT I3 I38pED.:'_ ---
.
*?.
MULTIPLE DWELLINGS RENT9L QNITS- _FOR SALE_OATITS 4 OE.QNITS =
--
INCLUDE,2 SETS OF PLANS, CERTIFICATE OF SURVEY- CHECK WITH SLDG. DEPT.;
?` • ,?- , j cs .. , „ . .
1 SET OF ENERGY CALCULATION3 .«, =
• ,. ? . ? ? * :
_ ... , . .... _
COMRriI9L
_ .. ?
INCLUDE 2 SETS OF ARCHIT
- - _ Y ECTURAL & STRUCTUHAL PLANS,
. ., .
^1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
?
? ..
To He Osed For Valuat 60D '
iona ,+?7 , Date 1{gri1 26,1988
.,.. .....? ?G,.? :..' n A : ,
Site Address',?,?- F.OFFICE USE ONLY
$BYf g ks ?-Occupancy „ 43? ?-t •? ?
:a.TM q,
.. , r
L
._...a-.w*,iDe..:.nl /C..i. ? .,.' :a ...._ ' __'' ._°__ C•C., r. _r._ '"_?e ' .... ..L ?'_a'"_? n_'_? -...,?,:.: .....s ,.? _S.. L.City, water ? Allowable?
?. PRV required$- 1k,oP stories y;4 Booster
- City/21p Code: same.as'above ° ---"-
? - ..?. w _.,
.. Phone. 780-5510 _ _ "- -- - .. _
,- ?A[`et1./E11B='• Dwa=ne olson &'}6sDm L
aaare8s-
Citq/Zip Code. -` - M _-
- Phone i '
L1
nngrixssess- 7?_ rermic
Y1'aaner ---Siircfiarge
Couneil - , ? Plan Review
B1dg:: OYf. 4/z8 SAC', City.
?
Yariance - = - SAC, MWCC
• .- --- - :_ -_ _ .. Nater=Conn '
l' -- ' Water Meter --
-_ - ---_ _". Road" Onit-- :..-
Treatment P1.=
Parka. .. .
?.r ?.' .
? -
,.
Copies I
TOTAI._ . _ - - 1 . . _ . .
?•?F? .. = - -- -- _ . _
_ ..I?? 1 ?.. _-.: ....,.
... ! . . .... _.? ..
r ;
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yy i?' JF. tt '„ . .
a -S5?« 5yi`.x,.; `"-??r +,: •s1.'? .c-'- G-?, #v ? t. t W,. af'it }i n.
?.t L t'r?-•
r + E: ..? - a 9$-'rl t w-
e
? SINGLE FN
INCLODE'2
iNOTEs..: ADl
: MULTIPLEI
:
-; INCLUDE 2
<-:T SET OF 3
S Y.'./y1AMCDPTl11
_ 1---SET OVSPE
To Be Used For
Site Address ?
:A:. .
? = r
? a988 BIIII.D 3 PERMIT APPLICATION CITY OF EAGAN -
.??a.?•5? s "'x ?. , _- - .. "' - -
n
?'?` r? -k x ir.+ F d 'sccsr --. •
a ? ` ??? .K x , exr _ i-
_s'-?'""sT^
PLAN$? 3 CERTIFICATES-OF SQRIIEYt 1 3ET OF ENERG7! C9LCULATIONS
4._
.-
FOR""'"CARNER CONTBACTOR/SOMEOWNER`MOST DESIGNATE WHICH ADDRESS
...: ............. .._.. .... ... -•...- -••-- ---- ----- ------ -- ------ . .
(. -.s-. . . ._.. .. .. .
. _._.- . .?.. . . .?_ ...,. . ..... ...._?-.
r AENTAL ONITS FOR SALE ONIT3 `?( 4 OF UNITS
'LAN3, CERTIFICSTE`DF SURVEY - CHECg WITH BLDG DEPT:-
.CULASIONS
,
• ,?'
py.. -. .. ., .. . -. .._'' ....: ? .??C'F e,:. .
4 .... . _ r- .. .. .. ? .t _c. ?J
,'.
)E ARCHITECTURAL : &' STROCTURAL ' PLANS,
[CATTONS.; AND 1_..SETOF ENERGY CALCULATIONS . ? -
-«
.._, .
..-
--
---
aF4 -- - - - -- - . . <
Ltialuations OOD Date Aoril 26,1988 2.; ,,, ',i
` OFFICE USE ONLY
?"
y??«vr tiE ?._.r'?.. . .4.'.i.y'?
p ? ri1?h ?riA fi " •
40 -4;
ai Mn?;?»? n ...`., _
ne .
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: k F
?- ea:3?IfAi??: £
-4 ._? _ rnone- ._ 7tlU-771V. ?.'^? • . . .,. ,. .
__.
? n ? ... _ • .. ?i?i?? ? . .
Address seine as above:
a?;
' CitylZip Code same asabode 7
-- - - - - 3 -- - -
- - Phone 780-5510
: City/Zip Code:-"' _ Counoil - " , = P1an?Review :
ArCk1.IE[18F. D47d}:(1P n?40I7: '.. ?- " .
-z--?b-sssoe.
Address
BldgOff.- - .?'P, SAC,?City ?'_
Varianoe' -- = -"-SAC;_MWCC
? -Water Conn--
- r- :?- Water Meter=
? --- Road IIriit^""'
-- - - _. - -- :- Treatment P1
Parlcs.
Copies . .
• TOTAL
. , ; . . . .
v _ . ,.. ...__.. __
__ . ? .
Phone 0 --
_ .__ _._ _-•-- .--. - - - - -
_, --- _
. . . . _ . . M1. ? ? ?1.._?.? -... ... ?. . . . -.????- .??
. . . ._ ? _ . : - ' . ' .
- .. . _ ' .. _ ..f, ,t t. . ? .. . . . tF i.r?. .
.
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..??. .? .. . ? .. - _ _ _
. ,. - , _
-:1988 HUILDING PERlIIT APPLICATION. -CITY 'OF E6G6N
? .- _ -
r *: J ?. , a . _•- . ^^ y,_..+-rat?,n? q i' . ?, . ._ .
.. ? `: ._?? - . ` . ? . ;•-• o . . . ""'
SINGLE FAMILY ?DWELLING3 -
a., w'?r --
INCLUDE 2 SSTS.OF PLAN3; 3 CERTIFICATES"OE 3IIRYEY, 14SET OF'ENERGY=C9LCOL6TIDNS. Y- -
°d -' ? - - - '--
.. f ...?.; .... , -. ?? .. .?.-, . .
- NOTEs ADDRESSES FOEt ?l'ARNER LOTS -+CONTRACTOR/SOtMEOWNER:MUST DESIGNaTE -WHICH ADDRESS '
- IS DESIRED:" NO CAANGES'WII;L HE ALLOWED ONCE BQILDING PERMIT I3 ISSUED.
..........e. . . .. -. .: :' . - . . . . . . .. J i - .
. .. ,ss.?- . _ . . ..^.. . . ." :.-:_ . . .s'
MULTIPLE DWELLINGS RENTAL_ ONITS FOR SALE UDiITS ,rO..OF ONIT3
..;. . . .,. , , , .. , .... , -
_ _ . .... : .. _ ,
INdLUDE 2 SETS OF PLANS, CERTIFICATEOF SIIRV6Y.- CHECK WITH BLDG._DEPT.,
. , .,. .
1 . SET .OF ENERGY CALCULATIONS
.
COtM1EHCIAL
SF - S .. -. . .
a ._ . . v .- . ' '.
? .
INCLUDE 2 _i SETS OF.. ARCHITECTURAL &'" STRUCTORAL _PLANS,
,-
`1' SET OE SPECIFICATIONS AND 7' SET' OF ENERGY CALCULATIONS _,- °-
,
r
,•, . n ° - -
. To Be Used Fors'??ITzd._&Ixn? Valuation: 00 oo,Date ag+-; l 9A' gl 88 ,
.?,
r uwtter GooU
,' Addresa'? 146C
,.
4? , City/Z p Co e
'#'r PhORe 7g0-5F
Contractor 'Gc
, ?-..
51-hArki
{ .
_.'y OFF3CE-USE ONG
9
F . ?
?
PRV required ? #" of stories , _
Booster?PUmp??7-_-`
..
.. ,^w ? rg f' r£e 9 S.r F?
Footprint+ S.F»
70
?' aT
APPROVALS ?? ? A, ?-_ z FEES
- `_.?_v.' $ ` ? a 3- •,+t. -? ,g ,?..-r%?.
'Engi/Assess"'{ ? nPermit`_
Planner Surcharge
Couneil ' P1an Re?iew ' ?201 d0= ` ? "
- -- •• -? _. _
; . _ : .,
Hldg. OPf.
.
` q1z_A: SAC,_ City Iob ?pqc?, , .
?.
F - _ City/Zip Code same as above ' aariance - -- . , :_ SAC,_MWCC?_ SSf? .bt?` ?
Water Conn
'
? Phone 780-5510 _ ?_- ---- .- - Water Meter - OU_
- --- - Aoad Qnit^0-"Q"
Arch./Engr. pwqs,P 94 on L Treatment Pl-a o _--
- -- .. -- - o?•- Parks -- '
Address
- ---
Copies
? .
TOTAL ..
Citq/Zip Code.
,.,.. .. _ _ .. .
-- Phone C - .
?.
_-
--
_
. ...
'
`
` .
'
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+.°
1994 MECHANICAL PERMIT (RESIDENTIAL)
CIT'Y OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UN1T.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
? FIREPLACE IN3ERT
DATE t?- - 2- 3?
T ?s
?
HVAC: 0-100 M BTLJ $ 24.00
ADDTTIONAL 50 M BTU 6.00
GPS n?.=': S (2rIIP:IML`.LS : ` $3.00 .^.ACT.i)
'<?D-ON/REMODEL (ExISTING CoNSTRUCi'ION) $ 20.00
STATE SURCHARGE
TOTAL
.50
ao
SITE ADDRESS: ?(,? I? -??? D? CC L c FC=
OWNER NAME: -?ULIL^ Ci92PE?'tF?L TELEPHONE #:
INSTALL,ER: Z-I-1 Y.?W?zr? I?3TE(Z(o4?S 40?3 9'?7
ADDxEss: I,2qZ Fkj*l?< ST MAFt_cwoo1?> f-iO
CTTY: STATE: M? ZIP CODE: ?^S(Of
TELEPHONE #: *00 - l Lf2 0 .
?
SIGNATURE PERMITTEE
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF Iw?S?' FEE $
x...;....>.fi.,... ?..,>.?:.:.<s
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ?!F?t?l't•' FEE.
??«:o:...<?.?x?x
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLl)
INSTALI.ER:
ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
1994 MECHANICAL PERMIT (COMMERCW.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
APFLICATION 1=0R PERMIT
SEWER AND/OR WATER CONNECTION
. ...................
,
,`` N(ri'E: PA7QMENf OF FEE AT TIME OF
.
i APPLICATSON DOPS N01' CON- ?
•y SPINiE APPRC'iJAL OF PIIiFIIT. i
•
II1SPf1CTI0N OF SEZ^&R MD/OR WATfR *
'
y Z[15TALiATZO[1S WIIL N(YT BE °['gxRCn ?
y LRTlIL PQtFIIT HAS HEES] APPftOVm. $
dtV >t?r?tt»fnet+aiftff??t+tew??fs+e??if+?r
OF CagaP9
(PLEASE PRINT
1) PROPERTY ADDRFSS:
TEGAT DESCRIPTIONS. . .
Lot B ock Sub vision or Tax Parcel ID
IF EXISTING STRUCTIJRE, DATE OF ORIGINAL BUILDING PERMiT ISS[JANCE:
Niont Year
PRESENT ZONING/PROPOSID LSE:
Q CONA7ERCIAL/Rh7AIL/OFFICE
Q INDL'STRIAL
Q INSTITLTIONAL/GOVERNFIENT
2) ? NAME: f4?/'Clc -.-- L & o ?./
ADDRESS: 75 S?a 4,S r
CITY, STATE, ZIP: L?.ry 6 L a ka ? M N 4-S0 73
PHONE: 7 SY-.$"__ Il/ ?% f
3) • ?:?• NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
ID R-1 SINGLE FAMILY
? R-2 DLPLEX ('ItVo L?nits)
? R-3 TOWNHOLSE (Three + Units) ( Lnits)
? R-4 APARTMENT/COAIDOMINIUM ( Onits)
MASTER LICENSE #
Ij Active
Expired
Not recorded
St Inltia
4)
NAME: ?j-O O c1. y L l, -P 9 o Ir? ??
ADDREss: J S/6 0 92 r d l. aive-'
CITY, STATE, ZIP: 13,1 it, i'ni?e /hA/ ? S 61 T41
PHONE: ? ff ll - S S J Ll
5) ? a '?' •oo- .? a?
cm CONNECTIOLV TO CITY SEWER [7'?/CONNECTION SO CITY WATER Fl OTfER
6)
:r?*****r****?******?***?***??*****************?**??**?+********?************?****+******+***?*?***y
W
* THE GOID COPY OF TfE PII2P'IIT WILL BE SENf DIRECI'LY DU PUffi,IC WORKS 70 FFCILITATE MEPER PICK-UP. ?
* PLEASE ALLOW RWO WORKING DAYS FOR PROCESSING. SOMEONE FROP7 TfM CITY WILL CONrALT YOU IF TtIME *
*
* ARE ANY PROBLEMS. x
?****?**««+*++*******+*?*:****?***+++****:*******?*?x+**,r?r*********+****+*******+?********+*,e***,t#;
FOR CITY USE ONLYPERMIT # ISSUED S39
Pd w/Bldg. Permit FEES:
$ $_ SEWER PERMIT (INCLUDE SURCHARGE)
$ $_ / U'S d WATER PERMIT (INCLLDE SPRCHARGE)
$- (n 7`6 C)
$
WATER
METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ? 5^• ? ? ACCOUNT DEPOSIT - SEWER
$ $ ACCODNT DEPOSIT - WATER
$ `S? C9?C7 $ WAC
$ $
SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRO[VK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ V-00 $
WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ IO O $
TOTAL
-2(??
RECEIPT RECEIPT
DOES UTILITY CONNE CTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MLST BE ISSUED BY THE ENGINEERING
DIVI
SION. LIST AS A CONDITION.
SO BJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : ,?j79-/? ?
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
, .. .
, .
? Mri'E: PA7b427f OF FEE AT TIME OF
; Arri.xcaTTota ooFS Nar coN- ;
? SPIISTI'E APPRQJAL OF PII2MIT. ?
x K
; icasrncrioN oF sQ,M nrn/Oe vmTe.a ;.
; irmrAwv,TTOHS wua. Nar as scEDLVM ;
? l'N1ZL PII7MIT HAS BFIEN APPRCPIID. :
f ###iff #tff 1fik4ltf RM*fi Mt?fl4#ff1Ye?lt4t
OF czC8gC9P1
- (PL,EASE PRINP
i) PROPII2TY ADDRESS: .^k2 3
7 FGAT DESCItIPTZON: . . . . . . . . . . . . . . . . . .
Lot B ock Sub ivision or Tax Parcel ID
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDING PERMIT ISSDANCE:
Mont Year
PRESENT 7ANING/PROPOSID LSE:
Q COMMRRCIAL/RErAZL/OFFICE
Q IAIDC?STRIAL
? INSTITUTIONAL/GOVERNMENT
I_i R-1 SINGI,E FAMILY
F= R-2 DLPLEX ('7.Wo Onits)
R-3 TOWNHOUSE (Three + Oqits)
-• +
Q R-4 APARTMENT/CODIDOMINIUM
( Lnits)
( Onits)
z) NAME: P?-h4--
rDDxESS: 41'4v-e
czTc, STATE, zzP: L)a.F es itcn! ? S'073
PHONE: 4/4/9
3) '°,?'
MASTER LICENSE #
Active
E?cpired
Not recorded
St Initia
ADDRESS:
CITY, STATE, ZIP:
PHONE:
4) ???5 '• ? ?•
rAME: 1? O Dk Ua- L ,. ?. t?-d 12, -n a
ADDREss: / yl1, qatiC'
ciTc, STATE, zzP:
PxoNE:
S) ? a •?o ??
CONbES.TION 'iO CITY SSWER k CONNECTION TO CITY WATER O OTHII2
'Y.,.
6)
? ?- a5-81,S;- ,
*?+??****+**.,:***,e***?+*?***?******++**.*?***?*********?***?*******,r*******?**?***?*************???
* THE GOID COPY OF THE PERMIT WILL BE SIIdP DIRFX.TLY 7O PUSLIC WORKS 10 FACIISTATE MEPER PICK-UP.
* PZEASE ALTAW 14i0 WORKING DAYS FOR PROCFSSING. SOMEONE FROPS 1M CITY WILL (ONrACf YOil IF 1YIERE t
*
* ARE ANY PROBLEMS. +
?*r****?*??*+*w***??*w*+***«****«****?*«**«*,r*******:*+***,r**********?****,?**?*?******++**#*****+*?;
FOR CITY USE ONL--Y -
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $- rv -sD
$ $ $ DO $
$ $
$
?
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SC'RCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ $ ?S^Ud ACCOUNT DEPOSIT - WATER
$ .?5- ? CJ-O $
WAC
$ $ SAC
$ $ TR[!NK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRU[VK WATER
$ $
WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ De9 TOTAL
31Z
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MLST BE ISSUED BY THE E[VGINEERING
DIVISI
ON. LIST AS A CONDITION.
SU BJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: 57 3- /r/ !f
APFLICATION 1=0R PERMIT
SEWER AND/OR WATER CONNECTION
.
,. ............
? "
j, NpTE: PAYME7f OF FEE kT TiME OF
.
+
*
? APPLICATZON ODES NCIf CON- .'?
? SI7.7LT1E APPR(iVN. OF PIIiPIIT. t
f INSPECfION OF SE4ffi2 MID/QR FW.1IIt x.
; irisrzls.nTTOKS wna. rpr ae SCEDcnED ;
i I'NPIL PERPIIT HAS BEFS7 APPROVID. :
citV Mf+?eekf4fffrffxiexttf?+ff?le?+4+rrtrtf w
OF czC9gtin
(PLEASE PRINT y?
1) PROPERTY ADDRESS : ?2 ?L S ! 1? -2 L. i f` ? V 4'
T•FY:AT• DESCRIPTIONS
Lot B ock S ivision or Tax Parcel ID
IF EXISTING STRCCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSTIANCE:
Mon Year
PRESENT ZO[VING/PROPOSID LSE:
Q CONA9ERCIAL/RETAIL/OFFICE
j R-1
r-
SINGLE FAMILY
Q INDLSTRIAL r_--_i R-2 DDPLEX ('i`wv C'nits)
Q INSTITUTIONAL/GOVEEtDIINENT ? R-3 TOWNfi00SE (Three + L?nits) ( Lnits)
Q R-4 APARTME[at/CONID0MINILM ( C'nits )
z> ?NAME: A??ck'o?
ADDRFSS: 2/,# o -?
CITY, STATE, ZIP: /a,F e 3Ijj„ Ail 5 5 O 7?
PHONE: 79- 0-
For City Lse
3) . , ; ?. NAME: Plumbers L,icense:
Active
ADDRESS:
Expired
CITY, STATE, ZZP: Not recordec
PHONE: MASTII2 LI CENSE # Sta Initi
4 ) a?l['^o?5f31??a?i?il1
rAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
6-d 0 k U 1 t, .j -e 14-d k? e s
/4//'n 43V c( La?-e Nr
??.()i`w-P .rini
5) s ?• a ?• •a?? .i ae
CONI?CTION `it? CITY SEt?R ?ONNECTION TO CITY WATER a OTf?t
????
6) ?
*+??************«**,r???*.**.?*****:r******+***+*****+*?+****?***********?******?***************+*?*?
?
* THE GOLD COPY OF THE PERNIIT WILL BE SENf DIRf=Y TO PUBLIC FARKS 70 FACILITATE MEl'ER PIQC-UP. ?
* PLEASE AU-OW 7W0 WORKING DAYS F'OR PROCFSSING. SOMEONE EROM TfM CITY WILL CONfALT YOU IF UIERE *
* ARE ANY PROBLFMS. "
?***«**?*,r*?** **?*??x********,r,r****?,rt*,r*,r*,e,r **??? ***:r*,r,t*?**r?**r***t*,e ****?:**** ****+**r+r,t*:*****;
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit
C
$
S_ /„?,v O
$
$
$
S
8 .°? S^O ?O U
$ S??O-UQ
5
$
FEES:
$ /O-S?
$
c
$
.. .
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLL'DE SORCHARGE)
WATER METER/COPPERHORN/OOTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
ACCOUNT DEPOSIT - SEWER
$ ACCOIINT DEPOSIT - WATER
$ WAC
$ sAc
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ C) $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S ? Y 7l.U ci $ 6r Z
TOTAL
?.3z6 / .33iZ
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQLIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
Q YES IF YES, THE[V A" PERMIT FOR WORK WITHIN PCBLIC
Q
NO ROADWAY" MDST BE
DIVISI ISSLED BY THE ENGINEERING
O[V. LIST AS A CONDITION.
SU BJECT TO THE FOL LOWING CONDITIONS:
APPROVED BY;
TITLE:
DATE:
APFLICATION 1=0R PERMIT
SEWER AND/OR WATER CONNECTION
.............. . ,
.
*y NOTE: PAYMII' OF FEE AT 12ME OF
? APPLIG4TION OOES NOT CON- y
? STINIE APPRG'JAL OF PERMIT. ?
; iNsRecriaa oe sLWEa nrn/oa vmM ;
; irasraLC,ATxotas wILL rM se sc.mUL.m *
i (!NCIL PFI7FIIT HAS BEQi APPROVID. :
fi??+xeww?i+x?ft?eke+??ff?wy:ti?tftf++
oF ecigcan
(PLEASE PRINT
1) PROPERTY ADDRESS:... TrP_?
2- .
LF]GAL DESQtIPTION: .
Lot Block S ivision or Tax Parcel ID
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDING PERMIT ISSLANCE:
mbnt Year
PRESENP ZONING/PROPOSID USE:
Q COMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDLSTRIAL E'] R-2 DLPLEX (Two L'nits)
Q,INSTI'iCTIONAL/GOVERNMENT ? R-3 TOWN30LSE (Three +:Units) ( Lnits)
Q R-4 APARTMENT/CODIDOMINIUM ( Units)
Z) NAME: A 'eL sn.,/
r.DDREss: L!/5t sr e
cITY, STATE, zzP: L, IIIvo L a14,e << ?:5:1?0 7?
PHONE: 7k6 - I y el S
3) • :?• NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
MASTII2 LICENSE #
4)
ruAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
0 ?- v k ?. " -e gco
6 92 t-d L a,. -e nrr
f?12 / a;...e OL? ?,/ S? S/J 5/ -?/ 3`r ?
?fso - SS) n
For City Lse
Plumbers License:
I? Active
Expired
Not recorded
Sta Initi
5) ? , y.?. • o i ae
rl?;YCONNECTION TO CITY SEWER 5rCONNECTION TO CITY WATER O OTHER
6)
'D 5 -s-
********?****?*?*:r****?fi?*?******+*+*******+*******?*****«,r*:*+*?***:r+*??******+*********,?**********?
*
* THE GOID COPY OF TfE PERNffT WZLL BE SENP DIl2DLTLY TO PUSCSC WORKS 'DD FACILITATE MEPER PIQC-OP. :
*k PLEASE ALSAW 'I4U WORKING DAYS FOR PROCFSSING. SOMEDNE FROM TfIE CITY WILL CONrALT YOL? IF 'lHERE
s
* ARE l1NY PROBIESLS. *
?***?**********r+**#**+??*+a+?**+,?*+***+*+**?**??*:*?****+,t*+r+,t**+***+*******t****?**+s***+*******r;
. FOR CITY USE ONLY - `.
PERMIT # ISSDED
Pd w/Bldg. Permit FEES:
$ $ /D 'S "Z) SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ SS t'1 l9 C? $
WAC
S L? Sb • c? v S sAc
$ $ TRONK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
l
$ el
a V $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
I?7?• DD
S $ J?C7 r)
_ TOTAL
Y 3 Z? / 9.-33 i -z
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSUED By THE ENGINEERING
DIVISIO
N. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDZTIONS:
APPROVED BY;
TITLE:
DATE: r??? ?y
PERMIT# "'"1? o ?
RECEIPT DATE: 1 I ` , T - 0 (
itESIDENTIAL PLUM$ING PEiMIT APPLICATION
crrY oF E.+tertrr
S$SO PQ.OT KNOB RD
ER6AN, M1V 55122
657-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation syste'rn
SITE ADDRESS: `"A LPi G K--k ii,? I. p
OWNER NAME: : IL?JLC D ICYQ.YI ? TELEPHONE #: ?DI Z ?J?O? -u SO?
(AREA CODE)
INSTALLER NAME:
TELEPHONE#: LOS? q2?S -I)4U
(AREA CODE)
STREET ADDRESS: I 14 '] W tzl ?!Z '?? oli)P W T '"fYlA-
CITY: y/?)' nn cj I. V1T STATE: ZIP: ss-t??(Cw
Place a check mark next to the uermit work tvoe
New residential dwelling unit under construction and not owner/occupied $ 90.00
X, Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ 50
T
t
l ?
$
o
a .6.4-
Reminder: Be sure to schedule inspections of alteretions, i.e. water heaters, water softeners, etc.
I hereby acknowledge tnat 1 have read this applica[ion, state that ihe infortnation is correct, and agree to comply with all applicabie City of Eagan ordinances. It
is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liabili[yAor any damages caused by the City during its normal
->rational and maintenance activities to the facili6es constructed under this permit within Ci4 proppFylrigh[-of-way/ea?pmen[.
SIGNATURE
Updaled 1/01
1ucx?
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAIV
3830 PILOT KNOB ROAD, EAGAN MN 55122
551-675-5675
'lease complete for modifications to existing residential dwellings.
,ff I 5 ,5°
I 4 6' i ZL?
iate
mite Street Address 7? ?? ? Unit #!
?
T
l
h
# V
) 4? JfB
'
?
e
ep
one
,vl
v
l
Iroperty Owner l
?l°r?i?fr!'SLs/?Telephone# (9?s}Z-7r
??`
:ontractor
j??f
ior%4Y 2&A?A)Sd/LS,?_ State JJlAJ Zip?37
v !
/r?
/? Af ?iil??
d
j
.
?
,
resr
,
kd
"he Applicant is: _ Owner ?Contractor _Other
ieptic System New". Refurbished Submit 2 sets of plans and MPC license
- Indudes County fee
:. $ 100.00
Per as-built $ 10.00
alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. ff you are insfalling on! a water softener and/ar water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
?
Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
/? Water Softener _ Water Heater $ 15.00
7?
new replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuiid $ 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
vvork 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 iq the event a plan is required to be reviewed and approved.
ApplicanYs Printed Name ApplicanYs Signature
? 2007 RESIDENTIAL MECHANICAL PExNUT nrrLicnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & Wwnhomes/condos when permits are required foc each unit
4 50-6b
G-?
Jc
Date S / 30 / 0-7
Site Address Unit # ?1J Q
PropertyOwner 7?, fVV?. 40.tn,e25 Telephone#(61a, )--)IS'-Y(/30
Contractor v??S `P1 wal0i qcc, tiLAq d' SeN'c 5 T1AG.
S?s K
?
Add
?
?
? A P City Sr• 0 a V I
Street
ress
cw.
T
t)
o
gtpte M A) Zip 5S1 0 a? Telephone #( 61,?-) 366 - qs?g
Bond#:Gr'3.G ?0$6c?s Expires: q 0-i
The Applicant is _ Owner ? Contractor _ Other
Fire repair (replace bumed out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
X fumace _Additional _Rep lacement _ New
air exchanger
x air conditioner
heat pump
other
State Surcharge $ .50
Total $ o - sn
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the wark 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
petmit, but only an application for a permi[, and work is not to start wi[hout a permit; that the work will be in accordance with the
approveA plan in the case of work which requires a review and approval of Nans. N n I
__x.r?wn ? ? 'innnu ' _-
Applicant's Printed Name Applic nt's Signature
?(o0 4:??
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construaion Reauiremenls
3 registered sde surveys showirg sq, ft. of lol, sq. ft, of house; and all roofed areu
(20%mazimum lot coverage allaxed)
1 Soils RepoR if pmposed building is to be placed on disturhed soil
2 copies of plan shaxing heam & window sizes; poured found design, etc.
7 set of Energy Calculalions
3 copies of Tree Preservation Plan H lot platted aRer 1/1193
Rim Joist Detail Options selection sheet (buildings wRh 3 or less units)
Minnegasco mechanical veMilation fortn
RnmodellReoair Reauirements
2 copies of plan shawing footings, beams, joists
1 set of Energy Calculalbns for heated additions
1 site survey for add'AiorK & decks
Addifron - indicate il a?sde sepfic system
orece use oniy
CeROfSiuvey.;Recd
_Y _N
SalsReport ;.?,., _y-: _N
T[eePreaPlanRecd _Y _N_
Tree Pres Required _'Y _ N
OrtsileSeP4cSYstem -Y =N
Plans are considered ublic information unless ou state the are trade secret and the reason.
Construction Cost
DateO?? / / ?
Site Address ?y
? l? Unit/Ste #
escription of Work
Multi-Fsmily Bidg X Y _ N Fireplace(s) _ 0_ 1 _ 2
?" ? Telephone #?? )? ? cJ r`"? `I JS L
Property Owoer
irJ
Renewal By Andersen
Contractor 1920 County Road C West
Address Roseville, MN 55113 C?Ty
State License #20130983 relep6one # ( )
.....651_2Fi4-4777...._...-_.___.
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel
(d submission type) Submitted Submitted
• Energy Envelope Calculations SuDmitted
In the last 12 months, has the City of Eagan issued a permii for a similar plan based on a master plon?
_ Y _ N If yes, date and address ot master plan:
Licensed Plumber
Mechanical Contractor
Sewer/water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of W
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without ?
permit that the work will be in accordance with the approved plan in the case of work which requires a review anc
approv of plans.
JV) X
Applicant's Printed Name pplicanPs SMgnature
DO NOT WRITE BELOW THIS LINE
Sub Tvoes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03plex
? 06 04plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lawer Level
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
'Demolkion (EnHre Bltlg) - Give PCA handout to applicant
DCSCfiotiOn: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review _ 100% or _ 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water Final
_ Framing
_ Fireplace _ R.I. Air Test Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
SB,W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex
? OS 06-plex
? 09 07-plex
? 10 0&plex
? 11 10-plex
? 12 12-plex
REQUIRED INSPECTIONS
_ Sheetrock
Final/C.O.
Fina]/No C.O.
HVAC
Other .
_ Pool Ftgs AidGas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wal]
Building Inspector
qclow
3830 Pilot Kno6 Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651) 675-5694
?-----------------
? Eo.r?.41?r?u5e ?
? Permit #: I
I permit Fee: I
? Date Received: 7 3/ ?
I Staff:
------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7 ! .9 I W? Site Address:
1X11lP (:(,K? WZIV?__
suice a:
RESIDENTlOWNER Name:v???k- (,W???fi?YNCC?G Phone:
Address I City I Zip: 2-100
?
Applicant is: _ Owner
Contractor
TYPE OF WORK Description of work:
Construction CostA, 12-1VW Multi-Family Building: (Yes No
CONTI2ACTOR Name: c ?r??T oN rcl a License #: ?>I I?I I
Address: 2-2282- Ciff"mi,t p'vajte S
City: ftK-In I wili N State: 11i Zip:
Phone: IY5 ?`"ll4C) -U10i Contact Person: I\ Y???C-L,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitled Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTErPlans and supportrRg docuMeots that yoo"s?J¢mjf a e,considered to be pu6lic rnformatron: Portions of
?
+ av "4a, ra r
J
fhe Tntorrnatron may be cJas"s?fled as non pub?lc?f yougp?ovi?e?pecl?ic,reaso{i`srfhat would permit fhe-City to
onclude??hatthe
I hereby acknowledge lhat this informatlon is complete and accurate; that the work will he in conformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a parmit, but only an appliwtion for a permit, and work is not to start wi ut a permit; that the work will be in
accordance with the approved plan in the case of work which requires a revlew and approval ofplans. n x Il?l ft 1v X ?; - ???
ApplicanPs Printed Name Appli nP nature
Page 1 of 3
i F . -- . ---------1
City of Eapn D j Permit #: CS `7lOlD ? j
3830 Pilot Knob Road JUL 2 5 2008 ? PertnitFee: J?D. J(?
I
Eagan MN 55.122 ? oate Received:
Phone: (651) 675-5675
I
Fax: (651) 675-5694 j Staff: I
`-----------------?
2008 RESIDENTIAL PLUMBING PERMIT.APPLICATION
Date: Site Address:
Karen Hagert Tenant:. 4615 Ridge Cliffe Drive Suite #:
Eagan MN 55122
RESIDENT/OWNER Name:
6513650477 hone:
Address I City/ Zip:,
CONTRACTOR Name: Nff Klum pli License #: [J U/ I 52il
200 6
Q?fi
?
9
Address:
1
Gl
?l V?
D
City: OV// K. State: P" Zip: 55 ?
Phond (VID !/I - TDJ
??SS
J ContactP
,
erson:
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descript(on of work:
PERMITTYPE RE
SIDENTIAL
Y
W
t
H
t
a
er
ea
er WaterSoftener
Lawn Irrigation Add Plumbing Fixtures
? RPZ /_ PVB) ? Main _ Lower Level)
Septic System _ Water Tumaround
New
Abandonment
RES/DENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$36.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' pncludes $.50 State Surcharge)
`Water Tumaround (add $136.00 if a 5/8" meter is requlred)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) .
$90.50 Fire Repair (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge) C,? O
?.
SO
,
TOTAL FEES $
I hereby acknowledge that fhis infortnation is complete and acwrate; that the work wili be in conf ance w'rTh ihe ordinances and codes of the City of
Eagan; that I undersFand this Is not a permit, but only an application for a permlt, and wo s not to start wl t a pertnih, that ihe urork will be in
, accordance with the approved plan in the case of work which requires a review and appro of pl
x l ?Pi?P..l/1 L• ?OYbl0Y3't- x
ApplipanYs Prinfe me Appl' anYs Signature