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4614 Ridge Cliffe Dr.,. v T OP EAC?AN ' Remarks Addition JOHNNY' CAKE RIDGE 4th Lot 1 Rlk 11 Parce'10 30803 030 31 Owner Street 4614 Ridge Cliffe Drive state EagAn, 2 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL WATERMAIN * WATER LATERAL 1981 WATER AREA STORM SEW TRK 2 55.66 278,2q8 C005581 1 1$ 8 ,r STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOIIVG PER. SAC PARK CITY OF EAGAM Femarks Addition-JOHNNY CAKE RTDGE 4 h Lot 2 Blk 1-1 Parcel 10 39803 020 11 Owner Street 4614-ti Ridge Clzffe Drive Stgte Eage.ii, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STR EET SUR F. STREET RESTOR. GRADING SAfV SEW 7RUNK ' *SEWERLATERAL 1981 2277.43 455.43 5 2277.43 WA7ERMAIN * WATER LATERAL 1981 WATER AREA 1981 300.00 60.00 5 STORM SEW TRK 1981 278.28 55.66 5 278.28 G005581 10 15 80 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILOING PER. SAC PARK CITY OF EAGAN Remarks " Addition_._JOHNNY' CAKE R Tn('iE 4th Lot 4 gIk 11 Parcel Owner street 4616 Ridg e Cliffe D7clYe state Eag?, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK *SEWERLATERAL 1981 2277.43 455.49 5 WATERMAIN *WATER LATERAL igHl WATER AREA 1981 300.00 60.00 5 STpRM SEW TRK 19$1 278.28 55.66 5 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILOING PER. SAC PARK CITY OF EAGAN Remarks Addition frM= r,pg? RSDr-E4th Lot 3 e1k ?i? ParoeI10 39803 030 11 owner Street 461fih Ridge Cliffe I?TiYe state ES$ATI, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUPIK Q ' *SEWER LATERAL WATERMAfN *WATER LATERAL lgRl WATER AREA STORM SEW TRK *STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK FOR SAL,E TOy+1NHOUSE CITY OF EAGANT 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?+? 12286 BUILDING PERMIT PHONE: 454-8100 Receipc # 6 L/ 4` Tobeusedlar 1 OP' 4 PI.EX Est.Value $48,000 Date JULY 16 ,?g86 Site Address 4 614 1/2 R IDGE CL I FFE DR Erect Cg Occupancy R3 Lot2- elock 11 Sec/Sub. JOHNNY CAKE Remodel ? Zoning pn Parcel No. R IDGF 4TH Repair ? Type o(Const Up Addition ? No. Stories W Name GOOD VALUE HOMES Move ? Length 4-4- z 146? 93RD LN N Demo?isn ? oepth a Address Int. Impr. ? Sq. Ft c?y BLAINE phone 780-5510 Install ? o Name SAME ? Z 0 Q Address Assessment _ ? City Phone Water & Sew. ? Police ¢ F Name Fir Z e ? a Address Eng. m= < W City Phone Planner Foes Permit 274.00 Surcharge 00 Plan Review? O Q SAC Q? Water Conn. 500. Water Meter' Oa Road Unit ' I hereby acknowledge that I have read this application and state thatthe Bldg. Off. 7/14/8 Tr. PI. 156.0c information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry ol rt Ordinar?ces. APC Parks Var. Date Copies Signature of Permittee ' , -? -'e• TOtal , . 5C A Building Permit is issued to: GOOD VAI.VE HOMES 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 Official ?? ?? PermN No. PsrmN Moldkr Dsh TNaphone N PlumWny sZ 3 2? IH.VA.C. ElacWc C Soflener Inapactbn DaU Imp. CommK?b I Footfnys 1 I Footlngs 11 FoundaUon 1 1 Frsminq Roollny I Rouyh Plbp. RouQh Hty. Insul. 9 Fkeplaee I Flnal Hty. s I FInN Piby. 0 -?7 4 1 &dy. Final ? CNt. Occ. Deck Ftg. , IDeck Frmp. WNI I D*acdbe LocaNon: P?. Dbp. ' . r PERMIT # MECHANICAL PERMIT RECEIPT # ? 0/7 CITY OF EAGAN Q / 3830 PIIOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE: 4544100 Site Address • ? ? ' ?'-?- gLDG. TYpE . ,> • ? WORK DESCRIPTION Lot a Block ?_ Sec/ ub ?" Gs-t?c/ /?-?-?`• Res. New ? ? Name Mult Add-on Addr,ess c City PhoneY? ?em. Repair ? Name 3 Addr 0 Ci? ? TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Oudets # Other V' M BTU M BTU M BTU M BTU CFM FEE: S/C: TOTAL• FEES RES. HVAC 0-100 M BTU -$24.00 ADOITIONAL 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 SURCHARGE PER PERMIT - .50 (ADD $.50 5/C IF PERMIT PRICE GOES BEYOND $1,000.00) ?? ? ? • ? $p SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN ' PLUM&NG PERMIT C11Y OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 RAi_T PRif`F• ounuc. ecw_oinn Site Addr ?='-" ' % Lot ? Block m ? ? c ?5 c 3 O FEES COMM/IND 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 $1,000.00) SIGNATURE OF FOR CITY OF EAGAN PERMIT # ? 5113 RECEIPT # ? S?yS DATE BLDG , WORK DESCRIPTION Res. ?-- ` 74?`J New " Mult Add-on Comm. Repair Other NQ. FIXTURES t CI t W 3 TOTAL $ -.r - $ B ef OSe .00 Bath Tubs - $3.00 Lavatory - $3.00 _.?.__Shower - $3.00 ' Kitchen Sink - $3.00 Urinal/Bidet - $3.00 _r-Laundry Tray - $3.00 F D loor rains - $1.50 T- Water Heater - $1.50 Whirlpool - $3.00 ? Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ? Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• ? .? - ' ??,?" ?a.t'?3?y=. i: • . . . . , : PERMIT ? PLUMBINGt PERMR RECEIPT # CITY OF EAGAN o' 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sdb . 'f , ,. ' Res. New m Name Mult Add-on ?g Address "•y Comm. Repair c City Phone '' ' Other OTAL NO. FIXTURES T Name Water Closet - $3 00 $ ; Address ?' ? '- ' ? •?'' ? I J ' . Bath Tubs - $3.00 p _ Ciry Phone 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 MINIMUM - RESIDENTIAL FEE _$10,00 Floor Drains - $1.50 MINIMUM - COMM/IND FEE _ 20,00 Water Heater -$1.50 STATE SUFiCHARGE PER PERMIT _ ,50 Whirlpool -$3.00 (ADD $50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 -- BEYOND $1.000.00) ? SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 31GNATURE OF PERMITTEE/ FEE STATE S/C: FOR CITY OF EAGAN GRAND TOTAL• L Y CITY OF EAGAN 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 . 12284 PHONE: 454-8100 ? ?? 7'/ v BUILDING PERMIT Receipc # To be used tor 1 OF 4 PLEX Est value $48,000 pate JULY 15 19 86 SiteAddress 4616 RIDGE CLIFFE DR Erect 15 Occupancy R3 Lot 4 elock 11 Sec/Sub. JOHN NY CAKE Remodel ? Zoning PD RIDGE 4TH Repair Parcel No ? Type ot Const Vn . Additfon ? No. Stories GOOD V]s?LUE HOMBS INC Move ? Length 44 W Name i 1460 93RD LN N Demolish ? Depth 24 o Address _ BLAINE Int Impr. ? Sq. Ft city Phone Install ? °oC Name SAME Approvais = ? ? Address Assessment ~ City Pnone Water & Sew. m F W Name ? z a 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. i ?Signature of Permittee ?- GOOD VALUF 11OMS3 INC Police Fire Eng. Planner Bidg. Off. Fees Permit . 00 Surcharge 24• 00 Plan Review? QO 00 SAC . 00 Water Conn. Water Meter --2-W. 04 Road Unit---- 15 40 Tr. PI. ' Var. Date I Copie , . 50 A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Building Official Prrmit No. Wrmll Holde? Date Tdephone N Plumbfnp H.V.A:C. EtecMa 8oftener I Inapeetlon Date Insp. Commmts FooUnys I ? ? Gv IF*odngs II FoundaUOn Framiny 1 1 Rooflng Rouyh Plbp. ,?/ ?? ? ? •?,7 -?` Rouyh Htg. insul. IFireplace, Flnsl Htq. alT-? D ? Fina1 Plby. ..`47 Bldy. Finai .2. D ?i c.n. oa. . I Deck Flg. Deck Frmq. Well Dskribe Locatlon: Pr. Disp. PERMIT # o MECHANICAL PERMIT RECEIPT # 6 6/? CITY OF EAGAN 5 p? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ? Site Addr y(c I k, I ? e u L 4L BL TYP t WORK DESCRIPTION ?? ? Lot Block ? Sec/Su b N ?-- ?--- N ? es. ew ? Name t A 4) Mul dd-on ia Addr C R i ? 4 77 y-E A omm. r epa c Ciry Phone - ' pthes Name FEES ? c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone d`5S ?U ADDITIONAL 50 M BTU - 6.00 1 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 COMM/IND FEE - 146 DF 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 .? (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other FEE: ' 5;& Std'NATURE OF PERMITTEE S/C: ?? 50 TOTAL• FOR: CITY OF EAGAN , PERMIT # ' ' ' •• PLUMBING PERMIT RECEIPT # CITY OF EAGAN . 3830 P ILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Addr Lot ? Block ? ? SeclSub BLDG. TYPE ? WQRK DESCRIPTION ? ? ` ? " - New Res. ? Name Mult Add-on ? Address Comm. Repair U c' City •? ,?? Phone Other TOTAL NO. FIXTURES Name ; TWater Closet - $3 00 $ 3 Address . Bath Tubs - $3.00 p City Phone C , ? ? ? • ' Lavatory - $3.00 _ Shower - $3.00 ? Kitchen Sink - $3.00 FEES COMM/IND FEE - 1% OF CONTRACT FEE TUrinal/Bidet -$3.00 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) Soitener - $5.00 Well - $10.00 7 • Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE ' STATE S/C: GRAND TOTAL• FOR CITY OF EAGAN CITY OF EAGAN^T. . . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?? ?_ 1?Z?C J PHONE: 454-8100 BUILDING PERMIT Receipt # ? To be used tor 1 OF 4 PLE}[ Est Value $4$,000 pate JULY 15 86 4616 1 2 RIQGE CLIFFE DR Site Address Erect L7' R3 Occupancy JOHNNY CAICE Remodel Lot 3 Block 11 Sec/Sub O Zoning PD . Parcel No. RIDGE 4TH Repair ? Type of Const Vn Addition ? No. Stories GOOD VALUE NOA4E5 ZNC Move O 44 Length = i Name Demoiish ? Depth 24 Address I t I ? Ft S ?• o . mpr. n 780-5510 BLAINE q. City. phone Install ? Z o Name SAME 0 ? Address ~ City Phone cc w W Name ? z j5 Address z i W Ciry Phone 1 hereby acknowledge that I have read this information is correct and agree to compl Minnesota Statutes and City of,,Eaqan On Signature of Permittefo,,_ A Building Permit is issued to: - r'oc all work shall be done in accordai:ce with all Builqing Official HOMES Assessment _ Water & Sew. Police Fire Eng. Planner of BlCIg. Off. rf i i1 v i APC Var. Date Permit $ 274.00 Surcharge 24.00 Plan Review?? ? SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 rr pi 156.00 Copie Total '? ' 019 ' ? on the express condition that of Eagan Ordinances. ? PrrmH No. Permif Hdder Data TMephone N Plumbing IH.V.A.C. Electrie efC9 751 IS*ft&nor Inspectlon DaN Insp. Commenb IFootings I ?fA Footinys II 1 1 Foundatlon 1 1 Framing 1 1 F RooHng - Rough Plbg. Rouph Hlg. Insul. 9 9 ?t ?/ ? IFIrs,place Final Ntq. !L'i Finai Plbq. - ? F k Bldg. Final Cert.Occ. IDeck Fty. 10*ck Frmy. Wall Descrlbe LoceHon: Pr. Disp. ? PERMIT # -) MECHANICAL PERMIT RECEIPT # U/ 7 CITY OF EAGAN 4 383a PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ' PRICE - w --PHONE: 454-8100 --"--r.--r?.-. T Sfte Addre Lot ? Block ? Name ? Addr?e c City? ` ? Name ? Addre 0 Ciry f_. TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlgts # Other YLW4 ' BL G YPE ORK DESC RIPTION .T ? Sec/Sub ? 7 V New R t Add M -on ul R i C . ,..,, r omm. epa 7 Phone ' ? ` ?? W-wLt'`i FEES ? U-p" RES. HVAC 0-100 M BTU -$24.00 Phone O-SS/O ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 ? cc, ? ? GAS OUTLETS - 1.50 EA. M BTU COMM/IND FEE - 1°r6 OF CONTRACT FEE M BTU MINIMUM - RESIDENTIAL FEE - 10.00 M BTU MINIMUM - COMM/IND FEE - 20.00 M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES CFM gE(pND $1,000.00) FEE S/C: TOTAL• ol • 5C' II SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # " CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: •? Site Address ' r ` ' Lot L' Block m Name ? Addre c City _ ? Name 3 Addre p City L 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) SIGNATURE OF E? FOR: CITY OF EAGAN BLDG. TYPE ,• WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other HO. FIXTURES TOTAL WatBf CIOSet - $3.00 ' $ _ , _?_Bath Tubs - $3.00 ' ' Lavatory - $3.00 Shower - $3.00 = Kftchen Sink - $3.00 UrinallBidet - $3.00 _.?__Laundry Tray - $3.00 Floor Drains - $1.50 ZWater Heater - $1.50 Whirlpool - $3.00 ; Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 y Rough Openings - $1.50 FEE ? - ' STATE S/C: ' ? GRAND TOTAL• -- CITY OF EAGAN ?t . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 V2 12287 BUILDIWGt PERMIT PHONE: 454-8100 Receipt M ? y, To be used tor 1 OF 4 PLEX Est. value $48,000 Date JULY 16 , 1g 86 Site Address 4614 RID GE CLTFFE DR Erect 13 Occupancy R3 Lot 1 Block 11 Se clSub. JOHNNY CAKE Remodel ? Zoning Pp Parcel No R I DGE 4 TH Repair ? Type of Const Vn . Addition ? No. Stories GOOD VALUE HOMES INC Move ? Length `? ¢ Name 24 W 460 9 Demolish ? Depth = a Address R D LN N Int Impr. ? Sq. Ft City BLAINF, phone 780-5510 Install ? o Name SAME 0 i Address ~ City Phone ?Q ? W Name a Address OU z s W City Phone Assessment Water & Sew. Police Fire Permit $ 1/ s. U U Surcharge 24.00 Plan Review 137.00 SAC 575.00 Eng. Planner Council Water Conn. 500.00 water Meter 63 . 50 Road Unit 290.00 I hereby acknowledge that I have read this application and state that the Bldg. Off. 7/1-4-731 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC PBrks ?Var. Date Copie Signature of Permittee Total -52,10119.50 A Building Permit is issued to: GOOD VALUE HOMES 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 ParmR No. P*mni1 Holder Dsft TNphom # Plumbfny i H.V.A.G. 62, ? c? 7 d SO FJ.oak C_5 o S? Sc.t„ '( P ?? DC? Softaner Impectia? oate insp. Commenb I FoaUng, I I FooNnysll I FoundaNon Fnminp Rooliny IR*ugh Plbp. -? l? . 2S 1 - G /' .• I? Rouyh H/p. Insul. Flreplace Flnai Hty. q/ Flnal Plby. IINdg. Flnal CM. Occ. IDeck Fty. Deck Frmq. I VVell DsscHbe Locatlon: Pr. Diap. CONTRACT PRICE Site Addr E /14 Lot ? Block ? Name 'a Addre c City i ? Name c Addre p City 1 TYPE OF WORK Forced Air Boiter Unit Heater Air Cond. Vent Gas Piping Outlets # Other PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?M BTU M BTU M BTU M BTU CFM FEE S/C: TOTAL: WORK DESCRIPTION BLDG. TYPE /C?New ? Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 AODITIONAL 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 - 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) SI'G URE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # . • ' PWMBING PEAMR RECEIPT # CITY OF EAGAN c? 6 ?- ' 0 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE 454-8100 Sibe Address Lot Z Block Sec/Sub BLDG.TYPE ; ) • , ?[? WORK DESCRIPTION _ ? Res. New m Name °' Mutt Add-on g Addrese Comm. Repair i c City - ?L* Phone _!?'' - `- % 7 Other Name NO. FIXTURES TOTAL LWater Closet - $3 00 S ? Address . ' Bath Tubs - $3.00 3 p City Phone?; C - ' Lavatory - $3.00 Shower - $3.00 FEES I Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 1 Laundry Tray -$3.00 MINIMi1M - RESIDENTIAL FEE - $10.00 ?Floor Drains - $1.50 MIMIMUM - COMM/IND FEE - 20•00 r 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 r BEVOND $1,000.00) Softener - $5.00 Well - $10 00 i -,, •? . Pnvate Disp. - $10.00 /, e- ?.-Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE ' t STATE S/C: ` FOR CITY OF EAGAN GRAND TOTAL• ?? '' ?' j CITY OF EAGAN 3830 Pilot Koob Road P. 0. Box 211Q9 - Eagan, MN 5571 Zaninq: SEWER SERVlCE PERMIT NO.: DATE: No. of Units: PERMIT _ , i•- - ?? v i? t• `ir_ : O wner. /lddress: - = . Site Addross: ` ?' Y •: " ? - . - - - f: af, r ip( RIb U O ;1 ym !e awoy wm6 e1M CNy A ft"¦ Conrsction Chorpe: ?'OI+IMRiN. AoxrjM DepoWt' . Wmrit Fas: - - Surchome: . :gy lNisc. Choroes: ,Dote oi Inap-= Total: Insp,; Dah Paid: j CITY OF EAGAN WATER SERVICE PERMR f 3830 Pilot Knob Road j P. O. Box 21199 PERMIT NO.: _ Eagan,'MN 55121 ? .- DATE: Zonirg:. ` No. of Units: •, i` Coo s ue Owner: Addron: C Site /lddrcs? °i ge ..i : . . .:. .' . . - • ? Ptu . t C. SLl1E1 '-1. iriber - f Metsr No.: Connecfian Charye: ? Size: Aoooimt Deposit: ' . Reader No.: Permit Fee: ` 1oem ee eoapy wY6 1he Ciyr of Eqpw SurcharQs: ? I OnilwonoM. J411sc. Charges: . . _r? ?rr f 0, Q.. Darte of Msp.: Totnl: Date Paid: ITY dF EAGAN WATER SERViCE PHtM1T 0 "ilot Knob Road . ?^ r x 21199 PERMIT NO.: , , . .w E: ,fm, NAN 551? D^TE: , -- - , Zoninp: _ No, of Units: : . ;,o a ue 7 r: . ,.77, .0sc -? r 1 - ge ' . onnnv te Addreas: c? ic - son 1 umber. r No.• -3 7 o? IJr2 ? .. ?? ; ?(?rpe; D oC?G p I . _c . ul P. m .'m to ea.F I wtw ew 1 tuiRE ? ?? p ciet er ?? i' "toti oy Date Paid: ; e of Irnp.. Insp.: 1 TY OF EAGAN SEWER SmVKE PERMIT ? 130 Pilot Knob Road ? 0. Box 21199 PERMIT NO.: I igan, MN 55121 DATE: ' nirp: No. of Units: ? vrne - _ _ _____ I ?. - Address: ber. N 10 ?wPip wNii !M d!p of Ee"m ConnwcNon Oays: M?. Acoount Depodt: Perrr+it Fw: Surcharpe: Misc. CF+omes: of Ir?sp.: OFEAGAN Pilot Knob Road Box 21199 i, MN 55121 _ No. uf Units .ooc! Vatue Eomea - Address: 4615 Ridge Qiffe Brive 1,:, `'11 1oh'sanv Ck ?c'r. ?- , be r: r No.: Connectian Charye: t}ORti Actount Depnsit: er No.: Pe?mit Fee: 1?. r10T:? - M 10 COO* 1tluI1 Iw City of Eow11 SUfChGfQQ: ' MIIOM. AmfC. ChOfQlf: }r. ? ??T+ _ ri F? , ',:• Total: i ' . ? Torol: Doh Pcid: WATER SERVICE PERMIT PERMIT NO.: DATE: . Dots Paid: Irap.: WATER SERVICE PERMR PERMIT NO.: 'DNTE: . Good Value ?iames Irnp.: _ O , `" _SCr.d meter Totol: CITY OF EAGAN ?R SBVKN P?MIT 3830 Pilot K nob Road ,S y??? P. O. Box 21139 PERMIT NO.: Eagan, MN 155121 DATE: y' t?-3r, , Zanirq: No. of Units: . rZex Owrwr: '79.ILe llddress: Sit! I,ddrESS: .iF?/??.• ??.:i?'ff,. PIURII]Qf• ' aC'eC.e=&Li?. r'.L?;olu 7 P.? 1 peN h eemply wilii !w Cihr d Eepw ConrNCtlon Uwps: -? . O0o?.'• ddiwwmeN. llcoownt Dsposit: ? .4:?n.'1 Pe1TRgt rNl: riCj S11f'CffOfQl: - - ? BY Misc. Cho?pss: Date of Inup.: Total: Insp.: Dotr Po1d: ? CITY OF EAGAN 3830 Pilot Knob Road ' P. O. 8,ox 21199 . ? Eagan, MH s.5121 ? Zonirg: - 4 Owner. - s,Od v31..?c ':0:ae:: ? /4ddflss; Site Addrcs: 46149? Ridge Clifxe ?Tickelaon Plum.binp, Plumber: ? Met*r No.: Size: Readsr No.: ; 1? to osEnolyr wMh fV pti of Eww f Or?MweM. L2 Ti1 ConneetFon Ch4rge: ."'t••. Aoeount Deposit: , Pertnit Fee: $urcharfle: , Misc. Choroes: Tot(kl: 63. 130rc CITY QF'i AGAN WATER SERVICE PERMIT 38: l Pilot Knob Road P. Cr, 8ox 21199 PERMIT NO.: Eagan, MN 55121 ' DATE: -nlex ZoninD: ? - No. of Units: ? ':)oc? '.3i.u?? OwnRr; Addrem. Site /,ddrosr " R gc . e .?..;i-7- Plumber. 7 c. e sort u Metar No.:37? Tv oZ B$ ..,?.,?aru?64t7bR' ?a?:_ _ ''? Reader No.: ?,???- ?{•??.??L ??_ ??????..?-•----•• ?? ? 1 NeM te oer* wi16 !M CM1 `*96r?? •??, OeriM?. Mise. CFnrpn: ' - Totol: 9y Dote PoEd: Dote of Insp.: Irop.:_ /U-/'?;- -86 CITY OF EAGAN SEVM 5ERVIC E PERM 3830 Pilot Knob Road P. O. Box 21199 PEf2MIT NO.: Eagan, MN 55121 D/1TE: Zoninp: No. of Units: Owrnr: Address: 51re Address: - - Plumber. '`'fCkeE:;G?1 z .. - 1 M?N ro eeNAr wilh !IN Clqr of EMse Corrwc,tion Chwege: . OVAMwOM. AOOpyfK Dlpodt, . PofiTlh FM: Surdw?ps: BY Miec. Choegac Dote of Irap.: Tatai: Irop•: Doh Paid: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 • Eagan,. MN 55121 Zonirg: Owrwr. ` Address: ? SiL! Address: 46I4 ^,tdC;e rrt i.r. j Plumber. :i ic'kel son P'las-:}? 4 Meter No.. j Stze: 4 Readsr No.: ? 1 pne te aswollr wNA 11w Cihr oi iww ? O?w?nar. WATER SERVICE PERMIT PERMIT NO.: ? DATE: No, of Units: Dete of Inap.: CAnredion Chorys: ; . .?.? Nacount Depostt: . Permit Fee: 1.. , , ?. , Surchorpe: Misc. Chorpes: Totol: - Date Paid: ITY OF EAGAN WATER SERVICE PERMR 0 PWot Knob Road ? -). Box 21199 PERMIT NO.: an, MN 5,91 Z1 r. ? DATE: Z•-Plex y?; ' No. of Units: Ceoc3 V;i:,.uc r: resS: v 614 ,-.r _..i rjO ' fr-' i.ri`,•t_' ,lO.:nti-r .. . Addrcss: umbs No.:3 A o Reader No.• U/ U(o y/(oC3rji 6Pj1UNL_4-tfffiit Fee: I .ghe to oonlft wkb Nn `i" of ,; ?-7r" ?•? or.i..?... R .? ? Total: . 5 ?J T" d ?• ?` ' By sis/"•?- pota Pald: Dofe of insp.: lnsp?: /'d ? r 5 REQUEST FOR ELECTRICAL INSPECTION %, E6-00001-05 1 See inatrmtiana lar comDletim this form on 4aek af yellow copv. ` L f1 [] -7 [] "%" 8e/ow Work Covered by This Request NwJAndl Reu.l Tvoe ol Buildina I Aouliancee Wired I EquiUn,ant Wired I Water Etectric N Fee Service EntrenceSize fl Fae Faeders/SUbieeders k Fee Circuits to 200 Am s 0 to 30 qm s tn 30 Am s Above 200 qm ps 31 to 100 Amps 1 to 100 q S Swimmin Pool Above 700_Amps Above 100_Am • Transiormers Imgation Booms PartiaL`Other Fee Signs Special inspection $ Nemerks ??TOTAL F Ka7 01?- Finel I,the Elecirwa-, Insoecbr, ne.eey certify that the xbova inspection has baen requealvol0 This rn4uest void (?? o ? 18 months from [ 50979 H ques? D Fire No. Hough-in Inspectlon Quued? 0 Heatly Nuw ill Notity_ Insper -? Yes ?No r When Peady ? Licansed Eleclrical ConVactor I hereby request ins0ection oi ebave ? OwM1er electricel work installed at: S t Address. Boz or floute No: ve I R i[ C .? acuo a. Township Neme or N. R Be No. Count O cupbnt (PHINT) V g Phone Nn. Power Supplier jl?a Address EIctr ical Contracttr (Compan mel • Cont x or 's lic e No. I \ ? MailinB Address (COnvactor er Makine Instailaiion) - rv 3 A nZetl Signature 1 antracmdOwner Ma inB Installalion? Phone Number 55 - YINNESOTA STATE OARD OF ELECTRICITY THIS INSPECTION pEQUEST WILI NOT Grippa-Mitlway BIAp• - Room N-197 BE qCCEPTED BY THE STATE BOAND UNLESS PPDPER INSPECTION FEE IS 1821 Unlveraitv Ave., St. Peul, MN 56704 Phone1812I642-OB00 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 ?-?2 11, See insVUCtions tor completim this imm on betk of yellow copy. ? cn Q Q Q ""X" Below Work Covered by 7his Request of BuilCine Bulk Mi N Fee ServlceEntrenceSise d Fee Faeders/SUbiaetlers 4 Fee Circaitg U to 200 qm s 0 to 30 Am s 0 to 30 Am Above 200 qmps 31 to 100 Amps 7 to 100 Amps Swinming Pool Above 100_Am s Above 100_Am 5 Transformers rngation Booms Partial.'Other Fee Signs SUecial Inspection emarks TOT?? certifv thal the above inspeelion hea been made. This repuesc void 18 months from 7 O?C C 50989 jj , sPc. << c2c? Be est D te Fire No. Nouph-in InsOection / e ired? I ?Heady Nuw ill No?ify. InsPec- ? ? ?J ,es ?No r When Ready ? Licansed Electrical Contractor 1 herebv requeat ineoection ot ebova ? Owner elactrical work instelled at: Stree AAdr?s, Box or aute No. Cit eclwn o. Townshi0 ame or o. n No. Co 1 Oc 'otIPRINT V Phone No. Po' er Supplier Address EI ical Contracmr ICompany Name ` 1 Cont ac r's Liconse - MaI in A ess (ConV tor or Ox•per Meking Instailation) r--- ? `\ Au horixetl 5i8^a[ure (ContracmdOwn r akinB Installation) Q5 hone Number MINNESOTA STA BOARO OF ELEC7111CITY / TNIS INSPECTION NEQUEST WILL NOT 6riqps-Mitlway 8 dp. - floom N-191 BE ACCEPTEO BY THE STATE BOARD UNLESS PHOPEN INSPECTION FEE IS 1821 Universitv Ave., Sf. Peul, MN 66106 Phone (612) 642-0800 , ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oe 0 Soe insVUCtiens for completinB this brm on Eetk o/ Vellow copy. r •C nnO Q "X" Be/ow Work Covered by This Request e iCe A Fae ServicaEntreneBSize q Fea Feaders/Subieedees # Fen Cireunts D to 200 qm s 0 to 30 Am s tn 30 Am Above 200 Amn 31 to 100 qmps 1 to 100 q y $wimmin Pool Above 100_Amps Above 700_Amps Transiormers Irn ation Booms Par[ial-'Other Fee 1,r,J I I I SignS ?SUecial Inspection TOT F Nemerks ? '? f142 iri_ r 1-4 RouBh-in Dale ? 4 I. ihe ?cal X * inspector, no.eov cer?i(y lhat tha above Final ??1e gpection hes baen ?(-.).6 fhN repuest voltl 1B montM irom This reQuest voitl (?SQ a^j 18 monchs from C.50988 fte uest Oate .? Fire No. Rough-in Inspection eqwred? T ?NeaGy Now?Will Notity Inspeo - ? - Yes ?NO or When fldy ea 0 Licet{sed Eleclrical ConVeclor 1 herabV request insDection oi ebove ? Owner elacirical work instelled at: S reet Addre ss, Box or Route o. . C? ecUO o. 7o nio Na o 0 0. flan e o. C unty Oc pant (PflINT Phone No. Po er Suppller 1 Address EI ncal Contractor?4Com0enV N9mp1, 0 ?? L ! f?it , C ? Contract ?s License - Madmg Atldrass IConraclo r O wn Naeking In CJ/ stailatwN thoqzed ie^ature (ConVactor Owner Making Installationl Ph Numb/er C? W OO MINNESOTp STq(!E 60AR0 OF ELEGTXICITY ? THIS INSiECTION NEQUEST WIIL NOT Grippe-Midwey Bldg. - Room N-791 BE ACCEPTED BY THE STA7E BpAqD UNLESS PROPER INSPECTION FEE IS 7821 Univeraiev Ave.. St. Vaul, MN 65104 Phone(6721fi42-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 0 Sea instruetions for comuletin0 this lorm on beek of Yellow copy. ?' 1::7n p Q 7 "X" Below Work Covered by 7his Request Bulk Mi EB-00001-05 ,gM .• ?,56? uipment Wired M fee ServiceEMrenCeSixa X Fea Feedera/Subfeetlars N Fea Circuits U to 200 Am s 0 to 30 Am s tn 30 Am Above 20 _qm Amps 31 to 100 Amps 31 to 100 Am s Swimmin Pool Above 700_Am s Above 7p0_Am s Transiortners Irri etion Booms Partial."Other Fee Speclallnspection q=?s?,. aE, ,.,.a, ?n: or, ne.acv Fina? /? ? D, ?a? cani/y thet xha a0ova ' ,/ !'a ? /? ? i?soecuon nes teen w _ ! l / 1 Aif 7 . tl0. Tis requeet roid 18 rnis reauest vole q $(o ?(?SO ?- 18 mon[hs from C5U987 sc e. ti?r., Re ues^? i Dale_ ? Pire No, flouph-in Inspection Q ireA7 E]Ready Nuw Will NotitY.lnspec- tor Wh¢n H tl Yes ?No ea v ? Licensed Elec[rical ConVactor 1 hereDy raQueat inapection ot ebova ? Owner elachical work inafelleA eL - Sveet Address, Bo or Noute No. Ciry I ? ecllon o. Township Na e or No. RanBe No. Gowrty ? O upunt (RiINT) Phone No. Po r SupO rer AddreSs Electrical Conhamor IComoany Na al ? Con_tra?m Licen No. ? cJ(t A ss ICOntr tor or Ow r Ma i B MakinB InstailatioN /q V O ^ 3 A oriz¢tl 5' nature (Co actot/Owner Making Installationl Phone Number 5 00 THIS INSPECTION NEQUEST WILL NOT MINNESOTA STA BOARD OFELECTHICITV Origps-Mitlway Bldg. - Roam N-191 BE ACCEPTED 6Y TNE STATE BOAHD 1821 Univeraitv Ave.. St. Paul, MN 66709 UNLESS PROPER INSPECTION FEE IS Phona(612) 862-0800 ENCLOSED. 3830 Pilot Knob R dl P.O. Box 2G-A199, Eagan, MN 55121 N o 12285 ' V- -RMNE: 454-8100 t /It/ T BUILDING PERMIT Receipt k Y Tobeusedfor 1 OF 4 PLEX Est.Value $48.000 DBte JULY 15 19 86 Site Address 4616 1/2 RIDGE CLIFFE DR ,-y Erect L]' Occupancy R3 Lot-3 Block - 11-Sec/Sub. JOHNNY CARE Remodel ? Zoning PD RIDGE 4TH Repair ? Type ot Const UI3 Parcel No. Addition ? No. Stories GOOD VALUE HOMES INC Move ? Length 44 i Name 1 60 9 RD LN N oemolish ? oepth? a ? o Address Int. Impr. ? Sq. Ft Ciry BLAINEphone 780-5510 Install ? ¢ n w c?n ADDfOV816 FB28 o Name- $ Q Address ? Ciry- Phone ? W nlame Address a W Ciry Phone I hereby acknowledge that I have read this application and state that the inlormation is correct and agree to comnlv with all applicable State of Minnesota Siatutes an- E an qrry mnCes.- Signature of Permitt A Building Permit is issued ta: _ vv? all work shall be done in accordance with all Building Official Assessment Permit $ 274.00 Water&Sew. Surcharge 24.00 Police Plan Feview 137. 00 Fire SAC 575.00 Eng. WaterConn. 500.00 Planner Water Meter 63 : 50 Council qoad Unit 290: 00 BIdg.Off. 7/14/8 Tr. PI. 156.00 APC Parks Var. Date Copies 7ota1 $2.019.50 on the axpress condition that ?tatut d g t y ot Eagan Ordinances. ? CITY OF EAGAN No 12284 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT «PHONE: 454-8100 Receipt p /' rl -7 7obausedlor 1 OF 4 PLEX Estvalue $48r000 Date JULY 15 86 SiteAddress 4616 RIDGE CLIFFE DR Erect Cm occupancy R3 Lot4 81ock 11 secisub. JOHNNY CAKE Remodel ? Zoning PD RIDGE 4TH Parcel No Repair ? Type ot Const. ?T?- . Addition ? No. Stories GOOD VALUE HOMES INC Move ? Length dd a ? Name 1460 93RD LN N Demolish ? Depth?_ o Address Int. Impr. ? Sq. Ft . Ciry $LAINE phone 780-5510 Instell ? a c AME APProvals Fees ? = o Name ?¢ Address ASSeSSrtlBnt_ ? Ciry Phone Water 8 Sew. 13W w Name _ n Address , ?d W City Phone I hereby acknowledge that I have read this application and state thatihe information is correct and agree to comply with all applica6le Sfate of Minnesota Statutes and Ci Or ' ces. L/O/YY Signature of Permitte ? A euilding Permit is issued to: GOOD VALUE HOMES INC all work shall be done in accordance with all applic tat? MinnesoU Building Official Police Fire Eng. Planner_ Council- Bidg. on.7/14/86 APC Permit $ 274.00 Surcharge 24.00 Plan Review 137.00 SAC 575.00 Water Con n. 500.00 Water Meter 63.50 RoadUnit 290..00 Tr. PI. 156 _00 Var.Date I Copies50 Tn#?l ? - on the express condition that Eagan Ordinances. . FOR SALE TOWNHOUSE CITY OF EAGAN 12286 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 PHONE: 454-8100 BUILDING PERMIT .+ ? ReceiptR Tobeusedfor 1 OF 4 PLEX EstValue $48.004 Date JULY 16 ,1986 4614 1/2 RIDGE CLIFFE DR Site Address Erect 19 Occupancy R3 Lot2-Block 11 Sec/Sub. TOHNNV GAKE Remodel ? Zoning pT) RIDGE 4TH Repair ? TypeofConst yR ParcelNO. Addition ? No. Stories GOOD VALUE HOMES Move ? Length 44 e w Name Demolish ? Depth 1460 93RD LN N a Address ?? Inl Impr. ? Sq. Ft City BLAINE phone 780-5510 Insmll ? ¢ SAME o Name Approvale Fees . Qa Address Assessment Permit $ 274.00 ? ? city anone WaterBSew. Surcharge 24.00 Police Plan Review 137.00 Fw Name Fire SAC 575.00 ?a address Eng. WaterConn. 500.00 <w ciry Pnone Planner Water Meter 63.50 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 o g n Ordin ces. Signature of Permitte; A Building Permit is issued to: uuuL veu,un nva•.,. all work shall be done in accordance with all applicable Rtate of Building Official Council Road Unit 290.00 BIdg.Off. 7/14/8 TT, pi. 156.00 APC Parks Var. Date I Copies?? 7otal a7'?ly"50 on the express condition that 34tytes end City of Eagan Ordinances. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12287 PHONE:454-8100 BUILDING PERMIT aeceiptp 7o be used for 1 OF 4 PLEX Est Value $ 4 8, O G '0 pate JULY 16 , 1y 86 Sitenddress 4614 RIDGE CLIFFE DR Erect 13 Occupancy R3 Lot 1 Block 11 SeciSub. JOHNNY CAKE Remodel ? Zoning pn RIDGE 4TH Repair ? 7ype of Const J./;} Parcel No. Addition ? No. Stories GOOD VALUE HOMES INC ? Move ? Length 44 Name W 1460 93RD LN N Demolish ? Depth?d o Addrass Int Impr. ? Sq. Ft. city BLAINE pnone 780-5510 Instau ? rc gpilYjg Approvals Fcea ' o Name i ?a Address Assessment Permit +S 274.00 w Ciry Phone Water&Sew. Surcharge 24.00 Police Plan Review 137.00 F W Name Fire SAC 575.00 ? Address ? u Eng. 5??.?? Water Conn. a`w ciry Pnone Planner WaterMeter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. 7/14/86 Tr pI 156..00 information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci an Or ces. APC Parks - ? ? ? Var. Date Copies Signature oi Permitte y =r ?- To?l $ 2,019,. $ Q A Building Permit is issued to: GOOD VALUE HOMES on the express condition tfiat all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinences Building Otticial PLUMBING (RESIDENTIAL) PermitApplication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete fox: Single Family Dwellings Townhomes and Condos when permits are requued for each unit Date (- la / (7)-3 / SiteAddreas 7N'. Unit# Property Owner Telephone # ( ) "f35 - 2(,9 (e Contractor Addresa 1748? (vadla.r,J ?c,A City La-k-e.?l??eJ State W Zip 55Z4+ Telephone # ( )-4?153 - The Applicant is _ Owner ? Conhactor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Addltlonal consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fix[ures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ W ater tumaround (+ 5!8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild D $ 30.00 _ Lawn irriga6on system ? l? Water softener _ Water heater eY ??= n?? ? $ 15 00 . _ replacement _ additional ? State Surcharge $ .50 Total S? I hereby apply for a Residential Pluxnbing Pernut and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a pernut, and work is not to start without a pennit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. jvehe. rvle??a ApplicanYs Printed Name A canYs Sign ture S ? ? ??? h COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 113 '7?? Foundation Onl New Construction Interior Im rovement . Structurel Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sels • Civil Plans (2) • Structural Plans (2) • Code Analysis (t) • CeNflcate of Survey (1) • Civil Plans (2) • Projec[ Specs (1) • CodeMalysis (1)" • LandscapingPlans (2) • KeyPlan (1) . ProjectSpecs (1) . CodeAnalysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) nof always"' • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lightin Form (1) not always" . Meter size must be established • Meter size must be established e d- if applicable . Project Specs (1) ?- ? 1 • Energy Calculations (1) ? 1 • ElectricPower&LlghlingFOrm (1)" MnV 1 O ZQQZ 1 • Master Exit Plan (1) 1 • Fire Protection Plan (1) 1 . SoilsRepoA (i) 1 . MC/ES SAC determination letter • MGES SAC determination letter ?vIGES SAC detec r call 651-602-1000 call 651E02-1000 1 -602-1000 " ContactBuildinglnspectionsforsample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: 0 OZ WORKTYPE: NEW REMODEL CONSTRUCTIONCOST: SITEADDRESS: TENANT FORMER TENANT NAME, iFAPPLICABLE: DESCRIPTION OF WORK SUITE ? . C . : \ r? SD 5 - a?n ^? PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Licensed plumber installing new sewer/water Street Address G Company: LMI SheetAddress: ? City: Z" Company: _ Name: Street Address: CiTy: . Phone#: (Vzl ) CkJlo' qUJLID State: u 0 Zip: ? 11 Phone #: ( Registration #: _ State: Zip: Phone #: I hereby acknowledge that I have read this applicatlon, state that the information is correct, an agree to comply with all applicable Staie of Minnesota Statutes and City of Eagan Ordinances. ? J? f Signature of Applicant: X?8 ?Cl 0 1 - moo -mren, !B'= Updated 1/02 Ciry: fA { ?l?U ,??, A J State:Mk) Zip:?._ ? ?J?'1'' r 05 OFFICE USE ONLY SUBTYPE ? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Aparhnents ? 27 Commercial/Ind ush-i al ? 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 ? 31 New ? 35 Tenant Impr ? 42 Demolish (Founda6on) ? 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 SAC Code No. af Units No. of Bldgs. Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Flooi, sq. ft., , ,. -+ " : sq. ft. r :. ,. sq. ft. sq. R. sq. ft. sq. MGES System ' City•Watett • . , ' . . . , ; ?=Eire' Sprinklered . . ,, . • 1.`.t .[? 1 6 ? ,. .?.' , .. • , ? . I 11. ?? : ? ? . • . ? ' I:. MISCELLANEOUS INSPECTIONS ' ? Gas Service Test ? Heating AP.PROVALS r Planriing- .. ,' ? • Building` t , . ?. -. ?' • - ? Insulation El Plumbing ? Stucco/Stone i ? ' • Enginesring •• q ', : ' + (:Variance •'. y' • .?s?. ..??.. ?" ? ?? .1 1 . Permit Fee Surcharge Plan Review MC/ES SAI? • ' . =. .,. J, Clty $AC Water Supply & $torage, S/W Permit . • . S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies VALUATION .. . % SAC .r.. SAC Units Meter Size ? i .• a "?.,• .. ..- ? • \ . ,.. ? . . . , ,' ? Total CERTIFICA TE OF SURYEY For: GOOD VALUE HOMES / / / / .? / x oc. \ (94e-3) ? ( F;u o,sof? ? or g4?4y? Floo? fr? to? ^? wod sfQke. ? / / / ? / / / / Lots 1 through 4, inclusive, Block 11, JOHNNY CAKE RIDGE FOURTH ADDITION, Dakota County, Minnesota. LE6fAtl R^oposed hbuse Elevstlons Scale f' XXX.X Denotes Exietinp Elevntlon g.N „T eT? ?F h?A?e,.t et N?K_ (XXX.%) Denotes Propoaetl ElevatSOn Top of Foundation - 7 „f,,,,?t;o? s? FE.,k.,e w,. ? o Denotes Iron Monument Garape Floor 948.8 E1=94B.9/a O Denotes NOOtlBO Stake Baaement F1ooP "-' 08tum N.fS.?_..D.- Iqr 9?r 4-- Denotes Surfece Orainape I HEREBI'*CERTIFY THAT THIS SURVEY, PLAN, OR REPORT WAS PREPARED BY ME OR UNOER MY DIRECT SUPERYISION ANO THAT I AM A OULY REGISTERED LAND SURYEYOR UNOER THE LAWS DF THE STATE OF MINNESOTA. Dated this 7th tlay of 18 84 9ook_ Pa9e_ C.R. WINDEN & ASSOCIATES, INC. Land Surveyors Tel. 845-3648 5381 Euatis St., St. Paul. MN 55108 C.R. MINDEN 6 ASSOCIATES, INC. by Minnesota Re8lstratlon No. 777(g /C:7 ? 1986 BOILDING PEffiiIT APPLI z - HOTS: ALL CANTEACTOES MQST BS LICE6SSD iiITH THB CITY OF EAGAN SIAGLE FANIILY DWELLIRGS INCLUDE 2 SETS OF PLANS, 3 OF SAGAN OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLS DWSLLINGS - HBSIDffiiTIAL HENT9L OBITS FOR SALS DNITS INCLUDE 2 SETS OF PLANS, CEHTIFICATE OF SQRVEY - CHECB FiITH BLDG. DEPT., 1 SET OF ENERGY CALCQLATIONS COrME9CIA1. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCOLATIONS, $2t000 LANDSCAPE HOND To Be Used For: / piC Valuation: Date: gG , Site Address OFFICS IISE WiL.Y Lot ? Block Erect x Oceupaney 3 Remodel Zoning D Parcel/Sub y Repair _ Type of Const ? Addition # of Stories Owner ?ooolL.s,GlL 7?/`?s 4.vG Move _ Length Demolish Depth Z Address AlGd 9,34./ L A/ ?(/ Int.Impr. _ Sq Ft Install _ City/Zip Code ,(s/d? 5.C-ya y Phone ?`J80 -SS/o APpROQALS FEES Contractor $ Assessments Permit 77 Water/Sewer Surcharge Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter (?S S Phone Council Road Unit Bldg Off Treatment P1 I Areh./Engr. APC Parks Varianee Copies Address TOTAL •? ? ? City/Zip Code Phone # NOTE: ADDRESSSS FOR CORNER LOTS - CONTR6CYOR/HOMEOHNER lIQST DESIGNATfi WHICH ADDRESS IS DESIRED. NO CHANGFS UiILL HE 9LLOiiED ONCE SOILDING PERMIT IS ISSDED. 1986 BOILDING PEItFIIT APPLICATIOH - CITY OF EAGAN HOYE: ALL COPTR9CTORS MOST BE LICBNSED IiITH THE CITY OF EAGAN 3IIYGLE FAPIILY DiiEL.LIPGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DiiELLINGS - RffiIDENTIAL RENTAL U9ITS FOR SALS ONIT3 INCLUDE 2 SETS OE PLANSt CSRTIFICATE OF SORVEY - CHBCH itITH BLDG. DSPT., 1 SET OF BNERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: , pIC ?PA.Gc.ac Valuation: Date: 2- /O -S6 Site Address Lot Bloek ? Erect ? Oecupancy ? Remodel Zoning Pareel/Sub y/A Repair Type of Const Addition # of Stories Owner Goee-0 vsg?Aii ?/oon.i 14,e- Move Length -477 Demolish Depth Address Int.Impr. _ Sq Ft Install City/Zip Code ,(> L.Q.-4'?. SSy 3 y Phone 7840 - S•s'ia APPH009LS FEES Contractor Assessments Permit 07V_ Water/Sewer Surcharge OC/- Address Police Plan Review Fire SAC ? City/Zip Code Engr Water Conn 11-5t,;Y0 Planner Water Meter 6,`?3 - S-0 Phone Couneil Road Unit 010 Bldg 0ff7-/y-f6 Treatment P1 Arch./Engr. APC Parks Varianee Copies Address TOTAL ? O City/Zip Code Phone ik NOTE: ADDSESSES FOR CORNER LOTS - CONTRACTOR/HOMSOfiNER MOST DESIGNATfi iiHICH 9DDRESS IS DESIRED. NO CHANGES iiILL SE ALLOWED ONCS BDILDING PERMIY IS ISSDED. 1986 BIIILDING PEAMIT dPPLICATIOH - CITY OF EAGAN NOTE: ALL CONTRACTOHS MUST BE LICSNSSD iiITH THE CITY OF EAGAN 3I9GLfi F9PffLY DTiiELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SOAVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DHELLINGS - H&SIOENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET DF ENEAGY CALCOLATIONS COHMERCYAC RSNTAL DNITS FOB SALS QNITS OF SUROEY - CH6Cg WITH BLDG. DSPT.v INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 5ET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: Y? Date: '7- /O - S",? , Site Address yG /G OFFICS I1SS ONi.Y Lot ?y Block ? Erect Oecupancy 11?3 Remodel Zoning 12 Parcel/Sub S 'y1 - Repair r Type of Const Addition N of Stories / Owner GOOGIUar.ct?e Move Length Demolish Depth 2 Address LR/ ti Sq Ft Int.Impr. City/Zip Code _ Install Phone 1171)?6 -?$?/ ? 9PPEOVAIS FEES Contractor Assessments Permit 7 Water/Sewer Sureharge ?' Address Police Plan Review /- Fire SAC ?, City/Zip Code Engr Water Conn 5c) Planner Water Meter ?b Phone Council Road Unit ? Bldg Off Treatment Pl Areh./Engr. APC Parks Varianee Copies Address TOTAL ? U City/2ip Code Phone # NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MOST DBSIGNATEIiHICH ADDRESS ZS DESIRED. NO CH9NGES SiILL HE ALLOWED ONCE BDII,DING PERMZY IS ISSIIED. 1986 BOILDI9G PER!!IT APPLIC6TIOB - CITY DF EAGAA NORE: ALL C09RRACTORS MOST HE LICENSED HITH THE CITY OF EAG9N SINGLS FANIILY DiiSI.LIAGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYo 1 SET OF ENERGY CALCULATIONS MOLTIPLS DiifiLLIIYGS - RffiIDfiNTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF SNERGY CALCULATIONS COPRfERCIAL RENTAL DBITS FOR SALS DNITS OF SUItOEY - CHECB iiTTH BLDG. DEPT., 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: Valuation: Date: Site Address '7'GJG%sAd4? 4'flD4, Lot 3 Block /I Pareel/Sub Jd h,v,vVyA#&,e. " yh( owner G d p ,0';"JJa-A? 2/d,ri4,r Addreas /G/GO 9,2 ..&go' G .S- .t/ City/Zip Code 13.4a?1 , d'Sel?3y Phone Contraetor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Erect X Occupancy ";.3 Remodel Zoning GD Repair _ Type of Const ? Add3.tion 4 oP Stories Move Length ? Demolish Depth 2?1 Int.Impr. Sq Ft Install ArrxovALs FEES Assessments Permit 27<1 Water/Sewer Sureharge 241 Police Plan Aeview 15'2 Fire SAC 57S Engr Water Conn 54?>a Planner Water Meter r s•so Council Road Unit Bldg Off, 7_ - fJ Treatment P1 APC Parks Varianee Copies TOT9L , D / • 0 NOTE: ADDSESSES FOR CORNER LOTS - CONTRACTOR/HOAEOWNER MUST DESIGHATE i1HICH ADDRfiSS IS DESIRED. NO CHANGES SiILL BE ALLOiiED ONCE BDILDIHG PERMIT IS ISSUED. CITY USE ONLY LOT o2, BL RECEIPT #: SUBU.?? . 'Y ko RECEIP7' DATE: v C) (? u 2(? MECHANICAL PERMIT # ,ll7. )21( n 1999 MEGFIANICAL P£ftMIT (ftESIDENTIAL) CITY Of K1k6AN 3$30 PILOT KNOS iiD £AfiAN bIN $51 EE Date: (651) 681-4875 Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under conshvction and not owner /occuoied. • HVAC: 0-]00MBTU A ^DITIORTn:, 50"r B:L' • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge Total $ 30.00 S.OJ $ .5u Complete this section onlv if you aze remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. -)c New _ Furnace Air exchanger SITE ADDRESS: 411- Altention Repair _ Other Reminder: Ca11681-4675forinspections. R?dge ?li e r++-? ? Air conditioning _ Other $ State Surcharge Minimum Total Due $ LK? rOcr a Te,.J 30.00 .50 30.50 { i? OWNER NAME: ??,c? PHONE #: ??? ( r (AREA C DE) INSTALLER NAMIE:? 1 1,^?tR? ? IF= CL1-/b'ItC ?1,.0 PHONE l!: -ci (AREA CODE) -? STREET ADDRESS: Id--V d-/ 1?1 GLtJ Q. ?LS lCc--, c! /f -A CITY: \Q,-(-) ?- G "e STATE: ZIP: S7?13-2r SIGNATURE OF PERMIT'I'EE L BL SUBD. APPROVED BY: INSPECTOR RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT#: 1999 MECHANICAL PEltMIT (COMMERCIAL) C11'Y OF £AfiAN 3$30 P1LOT KB108 ftD E4flAN, MN 551E2 (651)6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1°/a of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1 % PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $ 1,000 of nermit fee due on all permitsJ TOTAL -°--------------------------------°-°--------------------------°-------------------°-------°---------------------- SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: CIT'Y: PHONE #: - (AREA CODE) STATE: ZIP: CITY USE ONLY PHONE #: - (AREA CODE) SIGNATURE OF PERMITTEE • GITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION DR)Tp': PAYMH'DTP OF FEE AT TIIM pF tPriscrMoN MEs Nom corsrTWM APPROVAL OF PERMIIT. INSPECPION OF SESIER ABID/OR FP= I[.7S'LAT7.ATTOi1S 47IIS+ NC7P BE SCHED-- OI.ID UKi'IL PERMIT HAS BEEN APPROVID. ----------------------------------- P ease Print 1) PROPERTY ADDRESS: yIQ/t/ R???,@ LEGAL DESCRIPTION; •' , Lot Block Subdivision or Tax Parcel ID ) IF EXISPING SiRCtZL'RE, DATE OF ORIGINAL BLILDING PERMIT ISSCANCE: ' - (MOn Year) PRESENr ZONING/PROPOSID L'SE: ? C0E'+?RCIAL/REPAIL/OFFICE ? IPIDL*STRIAI, rl INSTIZL'TIONAL/GOVIIiDPENT ? R-1 SINGLE FAMILY ? R-2 DPPLEX (Ttoo C?nits) ? R-3 10WNhiOL?SE (Three + Units) ( C?nitsj ? R-4 APARTT"IENT/CONIDOMINICfi1 ( Units) 2? NAM=N 1 c ke-, L 5o N P4- h? AwDxsss:?41L1 ? g . ciTr, sraTE, zzP:S Ca d d 1? 1h IV S S' 0 73 PxoNE: l/ 33 - S/ 7/ --- 3) u i: ?• NAME: ADDRESS: S ?i ?1,? ^t CITYr STATE, ZIP: PHONE: Active ExPired Not recorded StaFf Initlal 4) ?a• • • i i?t- q NAME:-CQ b D c+ L 14,, cr -e 1'?O `7Y1 Y . ADDRESS:_ fS/6. 0 93 r a L f4Nr N;F-, ciTY, srATE, zzP:_ C3L x?; ?? r?t, N? S's Y-4,! 3 5 L PHONE:_'J ?Q - 6S1 U 5) i ,? ?n ? r: • ?: a • ?? • r? - -- ? CONNECI'ION ZU' CITY SEWER JZ CONNEC.TION M CITY WATER Q dI4IER '. .. 6) PLF.ASE HOLD APPROVEa PERMIT FCU2 PICK-CTP BY ONE OF AHdVE ? PLF.ASE MAIL APPROVFD PERMIT TO 1, Q 3r 4, ABOVE ? (Circle one) MASTER LICIIVSE# » r,. U. . il?, t fo /A . fJ .t TOR CITY USE ONLY ' PERMIT # ISSUED -7,71 ? Pd w/Bldg. Permit FEES: $ $ $ $ $ $ $ $ $ s $ uz'i $ $ $ $ $ $ $ _ $ $ $ $ $ $ $ s S/ Z7? (v 770111 ?Y7i'L RECEIPT RECEIPT SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLLDE SDRCHARGE) , WATER METER/COPPERHORN/OPTSIDE READER WATER TAP (INCLODE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOONT DEPOSIT - WATER wac SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFZT/TRPNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK'WITHIN PLBLIC Q ROADWAY" MUST BE ISSUED BY THE E[VGINEERING NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY • Afle? 0j C7 ,C?B'LcJX-b TITLE; DATE: APPLICATION FOR PERMIT CITY OF EAGAN SEWER AND/OR WATER CONNECTION *lOT6: PAYMESNT OF kEE AT TIIM pp APPLICATION DOES NOr CONSTMM APPRUVAL OF PERMIIT. INSPDLTION OF SESWEFt ArID/OR WATIt rntcmnr.ramrONS F7aI. NOT BE SCHED- UI,ID UNM PII2MIT HAS BF?S] APPROVID. (Please Print) 1) PROPERTY ADDRESS: 4/4 /Vr1 IRjdglr- C Ll F'F Dv LEGAL DESCRIPTION: "'- . Lot Block Subdivisaon or Tax Parce ID ) IF E7QSTING STf2CGZL'RE, DATE OF ORIGINAL BL?ILDING PERb7IT ISSLTANCE: PRFSENl' ZONING/PROPOSID C?SE: (Nbnth/Yea r?- Ca44ERCIAL/RErAII,/0FFICE rl R-1 SINGLE FAMILY ? IDIDC'STRIAL Q R-2 DL'PLEX (Zt,o Cfiits) ? INSTI'Ii'TIpNAL/GOVERNME1NT ? g-3 qp,,NHOUSE (Three + Units )( C?nits ) . ? R-4 APARTMENT/COPIDOMINIDM ( Units) 2) ? --- N1?NIE:_ ADnxFSS: Box 12 R - CITY, STATE, ZIP: S C P w; a t d 7V? N- E5073 PxoNE: 4/ 3 3 -s/ 7! 3) ? ? r ?• NANIE. ADDRESS: ? # /YI ?-- CITY. STATE, ZIP: PHONE: 4) ??• • • i?• ?: ?do 1!?#Lc, h?a mr _ aonxFSS:_ I yG a 9 z r G?q. nr /V, r CITY, STATE. 2IP: Q/_'4i Ne iLt N, PHONE: 7 F(3= SS/CJ ' ActiVe E?cpired Not recorded Sta Snitlal -5) u v ? ? r• ?: o • a• , ?? ? CONNEC.TION 1b CITSC SEWFI2 ?y CONNfX.TION 1U CITY WATER OTAER '. . PLEASE HOLD APPROVID PERMIT FOR PICK-CTP BY ONE OF ABOVE PLEASE MAIL APpROVID pERMIT 1O 1, 2, 3, 4, ABOVE (C3? le one ) MASTIIt LICENSE# 1 7- /y- SG 6) ?? • - ? ?- ? ? . FOR CITY USE ONLY`- ... PERMIT # ISSDED ' -7 Pd w/Bldg. Permit FEES: $ $ z? SEWER PERMIT (INCLODE SURCHARGE) $ $ 16•Q5 WATER PERMIT (INCLODE SL'RCHARGE) WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $_ $ wac $ 7 $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ Io? 9 y" S? $ TOTAL ?1/75? RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK LVITHIN PLBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : 7f??'/h(o CITY OF EAGAiV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *lOTS: PAYMFTLC OF k'EE AT TIME pF aPPLscATIoN noEs Nom oorsriTUTE APPROVAL OF PFFaIIT. nusPncriotv oF sBM ArID/ox MIM I11S7UTATTON$ WII.L NOT BE .9C]HED- UI,FD UNi'IL PII2MIT HAS BEM APPRC3VID. P ease Print 1) PROPERTY ADDRESS: ?c LLj F-F 1) V'` "'- LEGAL DESCRIPTION: • "- , Lot B ock Sub ivision or Tax Parcel ID IF E7QSTING S1RCCiL'RE, DATE OF ORIGINAL BL'ILDING PERMZT ISSi:ANCE: - (Nbn ear PRESENf ZONING/PROPOSID C'SE: [] C0MA7ERCIAL/RETAIL/0"FFICE ? R-1 SINGLE FAMILY C3 IIIDLISTRIAL Q R-2 DL'PLEX (7WO Onits) C] INSTIZ[;TIONAL/GOVERAAg,'Nr ? R-3 7UWNIIiOL?SE (Three + Units )( Linits ) . q R-4 APARTNJENT/CObIDOMINILTI Uni.ts ) 2) ? NAME: jS9i r-l[rt sot,! ADDxFSS:_Box l Qg . ci2^r, srAZE, ziP:_S C a„i ?1 7 a-)K ., _?Sd 73 rxorE: l/ 3 3- S/ 7,( 3) • u ?: ?- ??. For City Use . Pltunhers License: wDDxFSS: g ?1- ih -c ? ??-? CITSt. STATE, 2IP: Not recorded PHONE: MAST'ER LI(ENSE# Sta fIntlal 4) mcw • • i?- NAME: Do oA (/ALi L, e HoIKY? _ ADDxEss:_ 1 y6o 93 &- a.,, r N F czxY, srATE, ziP:1Q LA,,' wC /v2 A1.• f S c/z- 113 44 PHONE: 7$8 -5} P v M., I r • w : a • a? • ?? ? CONNECTION T0 CITSC SEWER ? CON[VECSION 7C) CITY WATER ? 0'I'lIER '. . 6) P •'- FM- PLEASE HOLD APPROVID PERNIIT FOR PICK-L?P BY ONE OF ABOVE . (? PiE-ASE MAIL APPROVFD PERMIT TO 1.?2 3, 4, ABOVE . A _ (Circle one) ' . FOR CITY USE ONLY PERMIT # ISSL'ED /? Pd w/Bldg. Permit FEES: $ $ lv- 7? $ $ 40 ' $_ `3?.sb $ S $ S $ $ $ $ $ $ S?? ? o d $ ? $_ $ $ $ $ $ $ $ $ $ ?56•U-a s $ $ $ /C5) 5s? s SI oz? RECEIPT RECEIPT , SEWER PERMIT (INCLODE SC'RCHARGE) WATER PERMIT (INCLUDE SC'RCHARGE) WATER METER/COPPERHORN/OCTSIDE READER WATER TAP (INCLL'DE CORPORATION STOP) SEWER TAP ACCOONT DEPOSIT - SEWER ACCOLiNT DEPOSIT - WATER WAC SAC TRC!NK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRCNK WATER WATER TREATMENT PLANT SORCHARGE OTHER: TOTAL DOES UTILITY CONNECTIO[V REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK fVITHIN POBLIC Q ROADWAY" MDST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: .??.-?e.--,c.? L •?d-?QJy?,a TITLE: DATE: CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *lOTS: PA)WNr OF FF.E AT TIME pF APriscmorr DOEs Wr oONMUM APPROVAL OF PII2141T. nvsPncrioN oF sEWM nrm/ox M'rm INSTAr.raTTONS WIIS, NDT BE S(HIID- ULID I]NFIL PIItNIIT HAS BEIN APPROVID. "' ][F?1[Rii'Ri]fRR]xtxxaffr[ixrrii'Faf' P ease Print) 1) PROPERTY ADDRESS :_ y4/4 l"2 ? 1^ S e L! FF ??• LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID IF E}ISTING S7RLVMME, DATE OF ORIGINAL BUILDING PERMIT ISSL'ANCE: (MOnth/Year ? PRESII?1r ZONING/PROPOSID L'SE: ? COI+'A7ERCIAL/REI'AIL/OFFICE ? R-1 SINGLE FAMILY Q INDLISTRLAL ? R-2 DL'PLEX (7wo IInits) ? INSTI'Ii'TIONAL/GOVERI?IVT ? R-3 TpSVNhipUSE (Three + Units) ( Units) . Q R-4 APAR7MEN'P/CObIDC)MINILfi1 ( Units ) 2) ? NA2,1E: lV1ck L sd)v P4.* AwDxESS: ISox I 2? -CITY. STATE. ZIP: S C aA/ J 1 A Mm-4:75"0S $ PHONE:_el_? 3) 4 u R Do• NAM. For City Use _ Plumbers License; ADDRFSS:_ -e,- E-iined CITY, STATE. ZIP: recorded PHONE: MASTER LICETISE# St?tial 4) •?« • • i?- NAME: ? Q O? 1/ A? hl-a "--c' _ aonxESS:_ 1 Y? 6 9 t , L? w iv CITY, STATE, ZZP:? (.Ai N L' 41, A/ -_? PHONE:_ 7$U^ -5) n v ? a• ?• : a o? - a?? ? CONNE(.'TION TO CITY SEWER fip CONNECTION TO CITY WATER Q pTlglt_ 6) ? .•• r ? PLF.ASE HOLD APPROVID PERMIIT FOR PICK-UP BY ONE OF ABOVE PI.EASE MAIL APPROVID PEE2MIT TO 1,Q 3, 4, AHOVE n ' (Circle one) ' » r ?. .. ??A 0•a.?o [? ?- /U? . FOR CITY USE ONLIf PERMIT # ISSL'ED Pd w/Bldg. Permit FEES: $ S /d - S-b SEWER PERMIT (INCLUDE SLRCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE) $ $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $_ ,? Q d ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER 0 S .5 60 • cr2) $ wAc s 5,75 sa? $ sAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ IS? '?D $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ S_ I_ry b 6-6 TOTAL 7 5? 2- RECEIPT RECEIPT DOES LTILITY CONNECTIO[V REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TITLE: DATE : CITY USE ONLY PERMIT #: RECEIPT DATE: 2002 ftESIDEiV1'IAL MECHA161CAL PEWIT APPLICATIOIVI CITY OF EAfiAN 3$30 PILOT KN08 fiD £AfiAN MN 55l EE 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit 91 ? ? ? oT-T MAR 2 7 2002 Date: CJQ- SITE ADDRESS: c . OWNER NAME: S(1l?C' `?'?,1?1 YlC'l TELEPHONE #: CPS-I yU J???? INSTALLERNAME: TELEPHONE#: /S? Y'ODU'S . STREET ADDRESS: LS LnCJ`' ?S ? CITY: STATE: fLw ZIP: •?53? 0 , Place a check mark next to the permh work type z Add-on, modification or alteration to existinq dweliing unit $ 30.00 i Qfurnace replacement • air exchanger • air conditioner • other Nature of work: -&..4 r'Yac t- State Surchar e $ .50 Total ?d SIGNATU OF PERMITTEE voz CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: ,INSPECTOR 2002 COMMEftCIPcL MECHAIVIC.AI. f"EfiMIT' Af''P11CATIO1V CITY OF F-kfiAN 3$30 PILOT KNOB iZD E4HAN, IriN 5518E 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: TENANTNAME (IMPROVEMENTS ONLY): PHONE #: WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME INSTALLER: STREET ADDRESS: CITY: STATE: ZIP: ? TELEPHONE # WORK TYPE: New construcrion Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature When installing/removing underground tank, call 651-6814675 for inspection by Fire Marshal and Plumbing dnspector. Fees: 1% of comract price OR $50.00 minimum fee, whichever is greater. Underground tank removallinstallarion = miivmuxn fee Conhact price: $ x 1 °/a = $ State surcharge TOTAL s (Base Fee) calculate at $.50 for each $1,000 Base Fee SIGNATURE OF PERMITTEE Updated 1/02 2006 RESIDENTIAL MECHANICAL PERMIT APPLICA7'ION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Pleese compktc foc singlc (smily dwellings.$ toumlromex/condos when permits am mquimd for cach uni[ 30-?? Da[e (,,!? / /Q G 4L dd IC l8C'e 0 E=F it H U ress Site A , 1 n PropertyOweer `-CQ./wE Telephone#(4?v-q ) (lJe6 " 7lC?y- Contrector THE S4ELLGJ6 COMPANY, INC. 1404 COUCQRDIA Street Address $T. PAUL, Nl155104 City 651-648-7381 State Zip Telephone # ( ) Bond #: i]L- - ? II I Ll ! =) Expires: The Applicant is _ (hwroer ? Conlractor _ Othcr Addon or alteration to eaisting dwelling ueit $ 30.00 ? furnace _Adddional kReplacement _ New air exchanger ? air conditioner heat pump other State Surcharge ?- r ? I??? I I? I In I? I j I I?'? I ? ? $ .? I ? ? Taret JUN 2 0 2,906 II?f ? 3D? IJ ? I E?----- I I hereby apply for a Residertial Mechanical Permit and acknowledge fhat the infomiation is complete and accurate; ttiat the work will be in confoanance with ihe ordinances and codes of the City of Eagan and with lhe nical Codes; that I understand this is not a permit, but only an application Cor a permit, and work is not to start wilhout Zt;- ha e work?vil ccerdailce wh the 7wed plan in the cese of work which requves e review and approval of pl h?uD *1???r?) kA e._ ' ApplicanPs Printed Name ApplicanYs Signat4/e Clty of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 712; I 1616 Site Address: ?????y ?----------------- ?.. I Fo??`Qffce,Use ? i ? Permit I Permit Fee: ? DateReceived: I_3? ? I ? I I Staff: ? ------------------ I RESIDHNT l OWNER Name: U(?AU YVl R') Phone: Address / City / Zip: Q mo ) U,°{Y\+mA N l 1• N Q V?YI ? G?J?1 ??'?f i /l?i Applicant is: _ Owner ? Contrector TYPE OF WORK Descriplion ofwork: E12`, Lov s t I Construction Cost: 1 Muiti-Family Building: (Yes _/ No ? CONTRACTOR Name: CMA_ ??Q:VIoV)l License #: t,4U31()5I I Address: 1?1 Lh1?ril F\`,VIAkx' City: RY jDl'\(\''(N, n . State: "N Zip: JJMH Phone: t6I ^q Uc° UwI Contact Person: ?L.Vu Ol V'1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Enefgy COde . Residentfal Ventilation Category 1 Worksheet . New Energy Code Worksheet Category Suhmitted Submitted (4 submission type) • Energy Envelope Calculatiuns 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: NOTE: P1ans and supporting documents,fhat yqu subr?tit are consid, ered to be; public information: Por-tions of r the informatron may be class rfied,as non pubUC;;ff youp roWde specyfic reasons that would permit the Ciry to - ,;z,conclude:tfiaf the ;are trade:secrets , =::a° x,s . , I here6y acknowledge that lhis informa[ion is complete and accurale; that the work will be in conformance with the ordinances anu codes of the city ot Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to staR without a permR; that Ihe work will be in accordance with the approvad plan in the case of work which requires a review and approval of plans. _ V?;Iwllvh n X E ?t.,1 I?? uU;?w. Appliclan s rinted Name Applican s Signafure' Page 1 of 3 4 c- 20os RESIDENTIAL BUILDFNG PERMIT APPLICATION