4618 Ridge Cliffe Drf CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RE C EI V ED
FROM
AMpUNT $ I
& DOLLARS
100
? CASH F-1 GHECK
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Coav
Thank You
CITY OF EAGAN Remarks
Adclition J? ?11XE RTL1G'E4tb Lot i 81k jQ Parcel 10 39803 010 10
Owner Sireec 4618 RidQe Cliffe Irrive State ESgsn, MII+T 55122
Improvement Oate Amount Annua! Years Payment Receipt Date
STREET SURF,
STFEE7 RESTOR.
GRADING
SAN SEW TRUNK
,tSEWER LATERA!
WATERMAIN
*WATER LATERAL igRi
WATER AflEA
STORM SEW TRK
*.STORM SEW lAT 1981
CURB & GUTTER
SIDEWALK
STREET IIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
Adilition
Owner
Ik 10 Parcel 10 39$03 020 IO
Drive StatB Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STHEET RESTOR,
GRADING
5AN SEW TRUNK
* SEWER LATERAL 1981 2277.43 45
MYATERMA I N
* WATER LATERAL 1981
WATER AREA
STORM SEW TRIC 1981 278.28 55.66 5
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER,
SAC
PARK
CITY OF EAGAN Remarks
Adclition fQH?T?rArP RTngR dth Lot Q Ri?c 1n Parcel 10 39803 040 10
Owner street 4620 Ridge Cliffe I1TiYe Stt, EagaJl, MN 55122
Improvement Date Amourtt Annual Years Payment Reoeipt Oate
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 2277.43 $ 1 10IS HO
WATERMAIN
* WATER LATERAL IORI
WATER AREA 10 15 80
STORM SEW TRK 27$,2$ C00558I 10 1$ a0
* STORM SEW LAT 1991
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
CITY OF EAGAN Remarks
Addition '-A-J,RIDGE4th- Lot ? Rlk lf) Parce?0 39803 030 10
Owner 5treet 4620;5 R1dge Cliffe DT1Y8 gtate ESga,21, MN / 55122
Improvemeni Date Amount Annual Years Payment Receipt Date
STREET SUfiF.
STREET RESTOR.
GRADING
5AN SEW TRUNK ?C
*SEWERLATERAL 2277.43 CDOS581 la is $0
WATERMAIN
+t UVATER LATERAL 1981
WATER AREA 300.00 C005581 10 1$ 80
STORM SEW TRK ggl 278. 28 55 66 5 278.28 C005581 20 15 80
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STfiEET IIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
????,?, ???30 Pilot Knob Roadi P.O. Bo 2G -A A
1 9, Eagan, MN 55121 ? h 12573
?? ? , .puPHONE: 454-8100
ehn?bpG??Receipt #
To be used tor 1 OF 4 PLEX Est. value $48 i UUO Date SEPTEN4BI'.R 4 19 86
Site Address 4620 1/2 R IDG E C L I f'r E UR Erect 15 Occupancy H 3
Lot3_ Block 10 Sec/Sub. JOHNNY CAi:, Remodel O Zonina Pn
Parcel No. ZIDGE 4T13 Repair ? Type of Const VA
Addition ? No. Stories
W Name GOOD VAI.UF HOIIES Move ? Length 44
3 Address 1460 93RD LN Demolish ? Depth ?d
o nr wrva a 0200%_ceIn Intlmpr. ? Sq.Ft
= F Name S??`
0 ?
~ Address
City Phone _
?Q
? ?
Name
? ? Address
i W Citv Phone _
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City oj.En Ordinpqpes. ,
Signature o( Permittee
A Building Permit is issued to: C'OOd VALUE N MES
all work shall be done in accordance wlth all applicable
Minnesota
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. OH. 9 4 B 6
Var. Date
Permit $ 274.010
Surcharge 24.00
Plan Review 137.OQ
SAC 575.Oa
Water Conn. 500. OQ
Water Meter 63.5C
Road Unit 290.OC
Tr. PI. 156.OC
Copies
Tota, 2.01 .5a
on the express conditian that
City of Eagan Ordinances.
Building
PsrmM No. PermH Holder Dab Telsphone It
PlumbMq c
H V.A.C. ? ,-) J {o _/ + ? ?-y? `? I
El.ct.+c I
Soitoner
Inspactbn Dab Imp. CommMU
Footlnys l
Foodngs 11
Foundedon ?,( Np w,
Framiny e' 6 o.- p -f -f( ,4-
RooNny
Rouqh Plbp. D -.2d'
Rouyh Hty. ? ..?
Insul.
Finplace
Ffnsl Hty. ?
Flnd Plbp.
Bldq. FInN
Cert. Oec.
Deck Fty.
Deek Frmy.
Well
Pr. Dbp.
t?%pW1rr ? r
CONTRACT PF
Site Addr U
Lot
m Name _
? Address.
c Clty _
? Name
c Addre
3
p CitY -
._._,.. . . , , ..: ... _
. . PERMIT # . ? , 4a 3
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
Black I h
i
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - a10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE??no WORK OESCRIPTION
Res. New
Mult Add-on
Comm. Repair
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
f Laundry Tray - $3.00
Floor Drains - $1.50
1 Water Heater - $1.50
Whiripool - $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•
PERMIT # ?-
MECHANICAL PERMIT ' r
RECEIPT # ?
CITY OF EAGAN ,
,
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
Lot Block
m Name
? Addre
c CityL
Name ' < < r 'cLxL'-t
?
c Address
0 3 Cityi
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Venk
Gas Piping Outlgts #
Other
26' M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
Res. " New '-
Mult Add-on
Com m. Repair
ar,er
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 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)
, ? -- -Ja-?
PERMITTEE
FOR: CITY OF EAGAN
?x ?,???le,?. CITY OF EAGAN t p_
? r . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?v - 12 `? r 2
iiuk
PHONE: 454-8100
Receipt #
To be used br I OF 4 PLEX Est. Value $48,000 Date SEPTEMBER 4 ig 86
SiteAddress 4620 RIDGE CLIFFE DR Erect C? Occupancy R3
Lot 4 Bloc k 10 Sec/Sub. JOHIJNY CAKFs Remodel ? Zoning pn
Parcel No RIDGE 4TH Repair ? Type of Const. y?
. Additfon ? No. Stories
Name G?D VALUE ?s Move
Demolish ?
? Length 44
Depth
13
-:
Address 14 6
0 93RD LN N
Int. Impr.
?
Sq. Ft
0 ci?, HLAZNEphone 7$0-5510 Install ?
m
0
t
U.
r
Name SAME
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
BIdg.Off. 9 4 $6
Permit $ 274 • dQ
Surcharge 24• 4G
Plan Review 137.OQ
SAC '375.00
Water Cvnn. 500.00
water Meter 63.50
Road Unit 290.00
Tr.PI. 156.00
Phone
F W Name -
-z
Address
< Wz
City -
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 Ciry?oagap Ordinan s.
Signature of Permittee ? !L- --* - ` >
A Building Permit is issued to: C'OOD VALtJI: HUMES
all work shall be done in accordance with all applicable State oi Minnesota
Building Otticial
Var. Date
Copie
Total ' T. ? ?
on the express condiGon that
of Eagan Ordinances.
- PormH No. Permit Holder Date TNephone M
Plumbinq
-
-
x
H.U.C. rJ 171 5 `T > 3 914
EleMe i c Sic) c??
l
insp*ction Oste Irap. Commanb
Faotlnps l J yU J7
Footinyo 11
Foundatbn Q.(
F?.ming •. o -YG aU •
RooAny
Rough Plby.
Rouph Htq.
Imul.
o
Finplsc*
Final Hty.
Final Plby.
&dp. Final
Cert. Oec.
Doelc Ftq.
Dock Frmy.
WNI
Pr. Dbp.
. .
. , . ,
. ... ?
PERMIT #
PLUMBING PERMIT RECEiPT # ?p ? 7 Sl/
? CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE.. .
WORK DESCRIPTION
Lot Block Sec/Sub ' ` L ?
Res. New
m Name Mult Add-on
? Address ` Comm. Repair
c City Phone` - ? Other
TOT
L
NO. FIXTURES A
Name L
Water Closet - $3
00 $
?
c Addrsss ^
_
.
?TBath Tuhs - $3.00
p Ciry Phone atory - $3.00
? Shower - $3.00
-
=Kitchen Sink - $3.00
FEES Urinal/Bidet -$3.00
COMM/IND FEE - 1% OF CONTRACT FEE ??undry Tray -$3.00
MINIMtJM - RESIDENTIAL FEE _$10.00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20.00 __L Water Heater -$1.50
STATE SURCHARGE PER PERMIT _ ,50 Whirlpool -$3.00
(ADD $.50 S1C {F PERM{T PRICE GOES L Gas Piping Outlets - $1.50
BEYOND $1,000.00) SoRener - $5.80
Weil - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE "
STATE 5/C:
FOR: CITY OF EAGAN GRAND TOTAL:
.
CONTRAC
Site Addre
Lot
? Name
? Addre
c City
- Name
c Addre
3
O City L
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD: EAGAN, MN 55121
PERMIT # 7? ? ?
RECEIPT#
DATE -
BLDG. TYPE WORK DESCRIPTION
\k lt ,A R
Y N
?
k-la J & ew
es.
l
M
Add
-on
t
u
C
R
i
? omm.
epa
r
Phone -
Other
U FEES
? t' n RES. HVAC 0-100 M BTU -$24.00
Phone7?, ' I2 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
M BT
?•??' GAS OUTLETS - 1.50 EA.
U COMM/IND FEE - 196 OF CONTRACT FEE
M BTU MINIMUM - RESIDENTIAL FEE - 10.00
M BTU MINtMUM - COMM/IND FEE - 20.00
M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
CFM BEYOND $1,000.00)
FEE
S/C' SIdN?4TURE O?R?i11TTEE
TOTAL: ? • ?''U
FOR: CITY OF EAGAN
i)Wi`?tfi}tl3RU 383 ilot Knob R d! P.O. Box?2G-?1 9, Eagan, MN 55121 12574
'•x ??L 2,3 P PHONE: 454-8100 Receipt #
LD?TYG
1 OF 4 PLEX
$48, 000 Date
Assessment _
Water & Sew.
Police
Fire
SiteAddress 4618 1/2 RIDGr: CLIFFE DR Erect 93 Occupanoy R3
JUciNNY CAKE
Lot
`s? Block 10 Sec/Sub Remodel O Zonina PD
-
.
RIDIsF: aTH
Parcel No Repair ? Type of Const Yi1
. Addition ? No. Stories
Q ?;?)! ) V?? E?
Name Move ? Length 44
= --
1160 93?D L1i H
A Demolish ? Depth 24
o ddress
City WAIMPhone 780-3510 Int. Impr.
Install ?
? Sq. Ft
o Name 8AM
=
? ? Address
~ City Phone
a
lu W
Name
_z
c3
Address
u
i W City Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry-o?%n Orditlapces.
Signature of Permitte?-
QOO? V?i AOiMEs
Planner
Council
Bldg. Off??
4
Permit ?
Surcharge _
Plan Review
Water Conn. 'o"" • ""
Water Meter? 'oa
Road Unit? O4
Tr. PI. '
APG WdfK3
Var. Date Copies 0-2 QQ
A Bwlding Permd is issued to.
all work shall be done in accordance with all applicable State of Minnesota Statutes and
Building Official '
Total t
on lhe express conditian thet
of Eagan Ordinances.
- PormH No. Psrmfl HoWor Do1e ToIsphons k
Plumbiny lJIg L
N.V.A.C.
Elocift ` 16 '7
son.o.r
Inapft-don Dab Irap. ComrneMs
Footings l r
FooNnysll
Foundation
FramMy
RooHny
Rouyh Plbp. ,D yy ? ? • ?--/? ?l?' ? --
Rouyh Ht9. Kj
Insul.
Fkeplaee
Ffnal Hty.
Finsl Plby 6 ?
&dy. Finol 7.?6 CGf ?
Grf. Oce.
Dock Fty.
Dock Frmp.
Wall
Pr. Olsp.
?..?7,G i ; - ' • ' .v+ . , -r ' . ' ` '
? ??
?
?
, PERMIT #
PLUMBING PERMR RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE: 454-6100
Site Address
' BLDG. TYPE WORK DESCRIPTION
Sec/Sub
Lot Block Z v ?. :' •? e -- X e 4` ??-
% Res. ?New `
? Name L • ?? ' Mult Add-on
m
r Address " ` `• Comm. Repair
c City - ' Phone = Other
F
TU
ES TOTAL
NO.
IX
R
Name ' Water Closet - $3
00 $
?
c AddreSS .
? 8ath Tubs - $3.00
p City'`"-' - ?' Phone??: •;,. ` ? Lavatory - $3.00 -
% Shower - $3.00
/Kitchen Sink - $3.00
FEE3 Urinal/Bidet - $3.00
COMM/IND FEE - 1%OF CONTRACT FEE Laundry Tray -$3.00
MINIMt1M - RESIDENTIAL FEE -$10.00 / Floor Drains -$1.50
-
MINIMUM - COMM/IND FEE - 20.00 Tyyater 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
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL•
• PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EACiAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE 60 PHONE: 454-8100
Site Addrgss C"? /it; _ gLp(?,, n(pE WORK DESCRIPTION
Lot Block Sec/Sub
Res. New
m Name z ? (cQ?? , Mult Add-on
?c Address Comm. Repair
c City` Phone -7 Other
? Name C? CGJ l/a L' U
c Address
o city I', I 0.v,?
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
?, •<<'? M BTU
M BTU
M BTU
M BTU
CFM
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
ADD-ON AIR COND. 0-24 BTU
ADDITIONAL 6 M BTU
GAS OUTLETS
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
- $24.00
- 6.00
- 12.00
- 6.00
- 1.50 EA.
10.00
20.00
.50
',ti ii • i
FEE
S/C: , 5O SI URE 610 PERMITTEE
TOTAL• 91- , _?G
FOR: CITY OF EAGAN
. o
?
?
(ger#i#ira#it uf (Orrupttnry
Citp of eagan
Dpparhneat uf fudding Jwtrtimt
Titis Certificate issued pursuant to ihe requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structune was in compliance with t/re various
ordinances of the Clty regulating building constraction or use. For dte jo!lowing.•
uae cakssifimooa 1 OF 4 PIEC e4 Ft,a,;, No. 12574
oocuwar Type R3 zomng omvta Tya c.oax. ?'n
owner of Buildiall G0OD CTAITJE HDF?c 1460 93fm IN N. ffiJAIl'J:
Bwdm A&,, 4618 I/2 RUM Q.= 7, i,.;,y, I,2 . B 10, .lU1PIlVY CAKE RIDa 4? t
Buaa;o8 oaK;al
n.k: MAtiCH 26, 1987
POST IN A CDNSPICUOUS PIACE
??EUR pY? S?}?gUN 830 Pilot Knob Roadi P.O. Bo 2G-17 9, Eagan, MN 55121 N 2 12571
h0161 PHONE: 454-8100
T' fiecelpt #
To be used tor 1 OF 4 PLEX Est value $48,000 Date SE °TF.MI3ER 4 , 19 & 6
SiteAddress 4618 RIDGE CLIFFE OR
Lot 1 Biock 10 Sec/Sub. JOHNNY CA.K.E
Parcel No. RIDGE QTH
? Name GOOD VALUE fiOMES
z 1460 9 3 ktD LN N
; Address
° City BLAI:J,.,,phone 780-5510 Erect CX
Remodel ?
Repair ?
Addition ?
Move ?
oemolish ?
Int Impr. ?
Install ? Occupancy R3
Zoning
Type ot Const Vn
No. Stories 44
Length
Depth 2 4
Sq. Ft
SAf7E
o APprovals Fees
Name $ `?' a• ? G
$< Address
? Assessment Permit
Z4
. U C
Ciry Phone Water & Sew.
P
li Surcharge
?7' OC
n R
Pl
i
? ¢
? W Na^e o
ce
Fire a
ew
ew
SAC 57 S•OC
=
Address ?=
Eng. 500.0c
Water Conn.
SC
-
i City Phone Planner Water Meter
'
290.0(
I hereby acknowledge that I have read this application and state thatthe Council Road Unit
y/a /86 Tr. PI. 1 S V• 0 L
gldg
Off
information is correct and agree to comply with all applicable State ot .
.
Minnesota Statutes and City??Ordin ces. APC Parks
?
Si
f P
"^ Var. Date Copies
?
S?
gnature o
ermittee R i
•
Total
GOUD VALUE HOML-S
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applic1ablg3tate of Minnesota Statutes and?ty of Eagan Ordinances.
Building Official '- _ -
' Permk No. PwmN Holder Dah TNsphon* N
Pfumbin
9
H.YA.C. 7 / 1
EkwW ? ?Ct?(r_ ?? /O?C?C^.??E• ?4 '?7 Ch0
soN.nar
Inspeeffon Dats Inap. CommenN
Footinys I
? I
W
Footlnysll
FoundaNon
Framinp
Rooflnp
Rouyh Mbq.
Rouyh Nt9.
Imul.
l
Fireplace Q -
Final Mty.
FMaI Ptby.
&dq. Final
Cert. Oec.
Dtck Ftq.
Dock Frmy.
w.n
Pr. Dbp.
• , . PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAOAN
3830 P ILOT KNOB ROAD, EAGAH, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BIDG. TYPE WORK DESCRIPTION
Lot? Block Sec/Su '
New
m Name Mult Add-on
q Address " Comm. Repair
.
c City Phone Other
NO. FIXTURES TOTAL
Name Water Closet - $3
00
L S
?
3 Address .
--
-
) Bath Tubs - $3.00
p Ciry Phone lavatory - $3.00
?-Shower - $3.00
Kitchen Sink - $3.00
?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00
?
undry
Tray
-$3.00
MINIMUM - RESIDENTIAL FEE - $1U•00 ?
Floor
Drains
$1.50
-
MINIMUM - COMM/IND FEE - 20•00 _L?yater Heater -$1.50
STATE SURCHARGE PER PERMIT - .? Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES _LGas Piping Outlets -$1.50
BEYOND $1.000.00) Spftener - $5.00
weli - $10.00
. Private Disp. - $10.00
f Rough Openings - $1.50
31GNATURE OF PERMfTTEE FEE
STATE S/C: 4 `
GRAND TOTA L•
FOR CITY OF EAGAN
PERMIT # r1r'1 Z ?
' MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
T
3830 PILO
KNOB RO AD, EAGAN, MN 55121 DATE:
CONTRACT PRICE ?-f PHONE : 4544100
Site Address 4ALIV i 1<<0r gLpG
TypE WORK DESCRIPTION
LotZ Block J Sec/S ub = ,
%N ,. i 4 4- \
t/
?
? Res.
New
? Name Mulk Add-on
Addr ss /C, z i,
`
Comm. Repair
c Ci Ct r n li r ;jc?i
( Phone e 67
Oth
? er
Name L O 1 ' U hr- FEES
3 Address 11 - ?? RES. HVAC 0-100 M BTU -$24.00
p City Phone ?'- 5 5 1 n ADDITIONAL 54 M BTU - 6.00
ADD-ON RIR COND. 0-24 BTU - 12.00
TYPE OF WORK
?
J?1. (
U ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Neater 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 OuUets #
Other
FEE
'?y? r r ? ?
? ?-t, ? ?-? •? '??I
S/C: S64ATURE PERMITTEE
TOTAL• '' !/ ; U
FOR: CITY OF EAGAN
CITY OF EAGAN SMR SERVlCE PERMR
3830 Pilot Knob Rosd
i
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: -
Zonirp: ` No. of Units:
Owner:
Addross: --
Sits Addross: ? ae Ci?, - -ive-T?i --=--tL? ;,?i?ti .?_ ;.
Plumber: --''? ?,: ^1r•-,,! -
' 3 ". _
1soiw te eo?yh wt!!i /M G1p ef 90"¦ Connectlon Chanpe: Li '? L)
OrJiMwau Aamunt Deposit: - -
Psermk Fes:
Surchorpa: S `aPr
8Y Mix. Chorpex
Date of Insp.: Totol:
Insp.: DaM Paid:
CITY OF EAGAN WATEt SERVICE PERINI'E
3830 Pilot Knob Rwd
P. O. Box ;? 199 PERMIT NO.:
Eagan, -MN 55121 DA7E:
Zontnp: _ No. of Units:
Owrkr:
l1eldron:
Site /lddroas:
Plurrber.
Meftr No.: Ca+nection CF+orQs:
Size: /looount Deposit:
Reoder No.: Prrrnit Fae:
1 Nm te esrp%r wft 0* City of bMo Surchorge:
Onilmee.s. Mirc. Charpm
Totol:
By Dor. Fate:
Doro of Ir?sp.: Insp.:
CITY OF EAGAN NfATER SERVICE PERMR
3830 Pitot Knob Road , P. 0. Box 21199 DERMIT NO.:
Eagan, MN 55121 . DATE: ?_ -
inp: No. of Units: , .
r:
rcss: ,
i??il ;zidr?e !;l?ff.e I?rive I.4 ,Totnmy C±: ?;cig '?t!
Addroas:
umber• "' 1u'?,b i.n
3 ? D ion SOc . OQpd
r No.:,: ? INJXK
?I??°' 15 . !?c)pd
r
?; '
der Na.:? f170 ; F3e Of2 ?RI?,?AS ln . oQr3
.?r.. eo aow?ry w?11? e6. ¦ Su? . 5t)pd
i..na.s. E(?UIR?j?c• . 156.00pd TP I
R Totol: 53.50r._ meter
Dots Paid:
e of Insp.: Insp.:
•?
CITY OF EAGAN
3830,pi1ot Knob Rwd SEWR SEVICE PuMR
P. O. ;ox 21199 PERMI7 NO.:
Eagan, MN 55121 pATE; 9-3-
ZoninO: - ' } No. of Unlts: 4 _
OW/10r. '"_'[Z(lti v 4YLi. vi n,.r}^.,
Address:
Site Addrcss: 46I231-, Hir3gp irl i f- I. .-
?*i I'I-ara'?
Plumber. ••t" -e],?
,
?
iOU.
1 M? to so ph wil6 1!w Cihr of ypn Connaction Chwros: 4 7 5. QQP4...
OrJir ACCOUrM DepoWt: - 3- 5 . ^'-
Ptm-ht Fee:
SurcFarps: ' ^
BY
Mitc. Chorpm .
Date of Irup.: Totol:
trsw. Dote Paid:
CITV OF EAGAN
? '? ?
wATER SERVICE P?
38
ilot Kno6 Rosd i
P. 0. jx 21199 PERMIT NO.: i
Eagen, MN 55121 p^TE; ,
Z°^l^o' - No. of Units:
OwrNr: ?
Addrom
Sih llddrcss:
-
Plumber. = c
Meter No.: CwmseHon Chorps: ,
Sfss: Account Depadt:
Rewdsr No.: Pennit Fae:
1oem fo oowplp xkb Iw ioy of Eqp¦ Sumhwrge:
IM Mltc. Choms:
Toto(: '
BY Dote Poid:
Date of Irup.: Insp.:
;
CITY OF EAGAN W
3830 Pilot Knob Road ATER SERVIC E PERMIt
P. G. Box 71199 PERMIT NO.: '
Eagan,MN 55121
D/?TE: `Q
Zonirg: . 3 No. of Units: - 4 -P1 ex ?
Owrwr.
/lddross:
Sire Addres:: F, i 4 t ,j Joltnny Ck . ? .
Piumber. ' :c<.ei.son?i;<
Meter No.: 5 '? nectiChqrge: 5170.0Qrd
Sixe: f' RO L?Ei?t?'Deposlt. I r? •0dp[? ?
Reudsr No.:U Pcj i
1 Nrw to eowpfr wK !Iw tai ? ?aw $ ?f • ? ? / . ? O p d .
O.?t.rwo... ? ? ? U, iZ ? ?M?ChSro s ? 56. E_lt?pd Z'? ?
Tatal: 63 _ 5f1-,?? me? ?r ,
eY Dore Poid: i
Oasa of Irrsp.: Imp.; ?
Z. 7
- - -
--
-- - -- - ,
. ,
_ ??__ r
CITY OF EAGAN
3830 Pilot Knob Rood
F. O. Box 21199
Eagan, MN 55121
Zonirp: ,
SEIMER SE
PEFtMIT NO.:
DATE: 4 - F_ 66
No. of Units: --r = '
r r V7l1fP I""SmpC
wa. -
sa1L ,;otirsn*: tiA &dg4t
Address:
ber. "? -'::eZac?r• f']+.??ir .
-tiC b::L64 l0t?.t'?)pu
. conn.crla,ao
w ee aeaoy w116 do Cihr if io"?Oe?
Aoocunt DePOSit: 5 ? (l , • 1
RON. •
M ^
Permit Fee:
Surcharys:
Misc. Charpes:
of Insp.: Total:
Dote Pald:
I CE PERMR
CITY OF EAGAN YYATER SERV
5830 Pilpt Knob Road
p. O. Box 21199 pEFL%AIT NQ.:
MN 55121
Eagan DATE:
,
zanirg: _ No. of units:
O
wrnr:
Addross:
Sit* Addreas: •
ber
.
Pl
.
um Ghon
3i
e:
C
Mettr No.: D
an
orwnec
it
D -
Size: epos
:
AocourM
Reoder No.: Permit Fee:
1Saw 1v aew?Pb wMM 1M Cih of Eqpm Suroharge:
0 M L Wlisc. Choroas:
Total:
B poft Paid:
Y
Date of Insp.: InsP-:
?
CITY OF EAGAN
3830 Pilo*. Knob RQad
P. O. Box 21199
Iagan, MN 55121
oninp: _
.,,
r:
rnm:
WATER SERVICE PERMIT
- ,
PERAAIT NO.: _ ?
DATE:
` •
No. of Units:
'.o.
l4ddrcss: ` 1 c I'\?tlgP Ci if .f
' ick_elson P &%im
ve L1 A10 Johnny Ck
i..m roem.y? ,.& ei. cie,r Q?3 R? ??l
areh.?... R? 1 -
; - . ?.t .,
Torai: ? • -
By ?.t? AG.Tt'M1l41S Dcte Paid:
Oote of Irup.: 13 I^lP.:
/????(
? EACAN WATER SEAVICE PERMIT
at iCnob Road
,1199 FERMIT NQ.: :
Ak, 55121 DATE: _.-14,_,3 P
4
No. of Units: 1-1AT77-1 TAP pZnaar
`F Addess:
Plumber.
Meter No.: Connection Charge: ?
Size: Account Deposit: ?
Reader No.: Permit Fee: - ii n•1
? a9ree to comply wRh the City of Eagan Surcharge:
Ordinances. Misa Charges: - ^"r '^
Total: '
By
Date Paid:
Date of Insp.:
Insp.:
CITY OF EAGAN
3830 Pilot K-iob Rosd
P. O. Box 21199
Eagdn, MN 55121
Zoninp: !?_?
dwnwr, "'o et? v";
/lddrcss: _--
SiM llddrcss: LF Ip?z F
Plurnber. _ • =ke1E
??
?! wAi? !w pl?r of fyen
; ey _
Dare of Insp.:
SEVVER SBtVlCE PERMIT
PERMIT NO.: DATE: -
No. of Units:
Drri"v''L' 1 ? ;±L6 TO!`3.r1,. ?Ft F,
ConntCtlCn QoMe; ?. 7 ? .
Aoaount Deposit: _ i ` . +'.
POrmit Fae:
SurcFw?gr.
Misc, aharo,,;
Totvl;
DoM Pald:
CITY OF EAGAN WA,? ??'? P??
3830 Pilot t'.nob Rosd
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 - - p^TE:
I0ra"g: _ No. of Units: •
?r pwner,
/lddress:
?Stft /lddress; . .
? Plurrber.
,Mst?r No.: ???
?Stze: a1Orge'
Acoo,nt Depooit: '
;Reoder No.: PermN Fee: ? ?? ft MEPI! rril6 !IM Ctty of /eMs SurcFarpe;
- nom Miac. Garpes: ?
? Total:
y Dots P4oid:
of Irnp.: Insp.:
tP'OTY
OF EAGAN
?4 P+l't Knob Road WATER SERVICE PER1Y11T
. . Box 21199
ESPn, MN 55121 PERMIT NO.:
Zoninp: DATE:
Ownfl': No. Of VIIi?S:
/lddross: ?
Sita Ilddrcas:
Plumber.
S c?r r?/ 37 d ?rP?'? : ,-
ac/ ; ing cah?MOitfillroe: nn
Reodsr nb.;ola o - EL "-??' r`
I .f... !o e,,,,plp r Fee:
°"a'"?,,. CZQUTR E D?"%:A
Mrac. c?qroea: -?d
gy ? Torol:
Dota of Insp.. Dots Poid:
Irop.;
l ? ?/ ? -0',( -
This ruquest voitl/?/6
16 months from
510 6 9L
C-- r7 / `I''J
qo-\ .11 /7.00
Henuest Data .. ^
?
I Fire No, Rouph-in InsPection
e iretl?
'
?Ready Nuw ?ill Notily InsPec-
?or Wh
R
d
O yes ? No en
ea
y
? Ucunsed Elec[rical Contraclor I hereby request inspection ot abave
? Owner electrical work installed et:
Str 4t Atldrass. Boz o floute No I Ci
(M '
ecb n o. Town5hi0 Name or No. Ra Co nry
O pant (PRINT) Phone Nn.
Po SupDlier Atldress
Elec cal ConVac[or IComparry Namel ? Contracto,'s License N.
MaC'i..h-{?ja?4 ?ess IComr ctor o?r?` 'ner B lnstailationl
! D D"_ / V? kj
Am rizeC SiBnamre (C ttacior Owner Makinq Installation)
c? Phone Number
a2 -
l THIS INSVECTION REUUEST WILI NOT
MINNESOTA STATE BOAHD OF ELECTt11C1iY
Gripps•MitlwaY BId9. - Room N•791 BE ACCEPTED BY THE STATE BOAHD
UNLESS PROPEN INSPECTION fEE IS
1827 UniwrsiH Ave.. St. Peul, MN 66104
PhonB I6721 842-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-00001-05
? Sae instrmtians lor comoletirig this form on back of yellow copy. G-7/ Q^
`? "'X" Below Work Covered by 7his Request ?
NawlAtlCl Nad:l Tyoe of BuilGin9 1 AOOliancea Wirod I Equipmam Wired I
k Mi
ee
p Fee ServiceEntronce5ixe k Fee Feeders/SuEteaders N Fee Gircuita
0 to 200 qm 5 0 to 30 Am s to 30 Am
Above 200 qmps 31 ta 700 qmps 31 to 100 Am
Swimmin Pool Above 100_Amps Above 100_P.m s
Transfnrmers rrigation Booms Partial.`Other Fee
I T I Signs ISpecial Inspection '$4 ?-
?y?/
Nemerks .e / p f ?? TOTALFEE41 7 '7
.r?
I, the Elecvical
Inspectoq hereby
carti/y that tha above
fnsoaction hes been
made.
Tlile
This rnque5t void
18 momhs tmm
C 51068
?
Request Date Fire No. Rough-in Insuection
R qwred?
?Heady NowXWill Notily Inspec-
?O ?
yes No Ior When qeady
? ticeosed Eleclrical Gontractor 1 hewby requese inspection ol abova
? Owner elechical work installad at:
S,trtet Atldress, Boa or floute NO. Cit? ?
actmn o. Township Name ar o. %j nBe o.
j ?1.7W I ?
Occupant (PRINT) Phone No.
C-1:7 O
wer Supplier Address
?
EI trical Contracior iCompa Namel ? Cont?toi s L?ense,Plp?
? 7^ j ?
MailinB A dress (Convactor Owner eking Instailation)
?
O
Authorized Signawre (COnnac Owner Making Installa?iun) Phone Number
?G
(
? MINNESOTA STATE BOARD OF ELECTNICITY
O TNIS INSVECTION NEQUEST WILL NOT
ripps-Midwav BIdB. - poom N•181 BE ACCEPTED 0Y THE STATE BOANO
UNLESS PflOPEfl INSPECTION FEE IS
1831 Univereirv Ava.. St. Peul. MN 55704
Phona(812) 642-0600 ENClOSED.
REQUEST FOH ELECTHICAL INSPECTION Ee-ooooi-os
/ See inslructiona lor complefinB this form on beck o1 yellow copy. ?!?? g?
r` C 9 A C O '"X'" Below Work Covered by This Request
klswiAAal XeD.I 4vPe of BuilAing I AoVlioncee Wired ? Equlument Wired ?
CommerGiai Bldg. Furnace Silo Unloader ?
n. InAustrial BIAo. Air Conditioner ?Bulk Milk Tenk
ee
k Fee ServiceEntrenceSiza a Fee Fexders/SUDieaders k Fee
0 to 200 Am s 0 to 30 Am s t
Above 200 Amps 31 ta 700 qmps 31
a
Swimmin Poal A6ove 700_Am 1A,
Ab
rmers Irrigation 8ooms Par' I
I$iyng ' I ISpecfal Inspeclion '
amarks - - ' - - ?? , 56TOTAL
I, Me ElecVicnl
InsPector, hereby
certilv that the above
inspaction haa been
Tnis request voitl 10?009(? (?7/9`7
IB rtronlh5 /mm
C 51067 a-o Svvn;4 C0.LE 2c?
Reqti st Date Fire No.
1 Rouph-in Insuection
owred?
?Reatly Now ?II Nntity_ Inspe[-
t'? Yes ?No
14 or When Reatly
? liFensed ElecVical ConVacmr 1 hereby request insoection ot abova
? Owner elechical work instelled aC -
Sveet Addrass, Bon or Rovte
% o. ?i CitY
ecl on o. owns ip Name ot o. a o. ounty
Oc u0ant IPflINT) Phone No.
Power upPlier
CA-- Address
Eiptr. cai Contractor iCDmpeny Na 1 ?
i Cootract r' Licens o.-
Mailing Add.ess ICOntror or OwMakin Insrailationl
Au ?oJixed $?pna?urB (COnttaclor/Owner Making Installation) Phone Number
MINNESOTA STATE BOARD OF ELECTflICITY N THIS INSPECTION PEQUEST WILL NOT
Uripps-Midwey Bldg• - Room N-191 BE ACCEPTED BV THE STATE 90ARD
UNLESS PROPER INSPECTION FEE IS
1821 UnlveraiW Ave.. St. Peul, MN 65104
Phone (612) 642-0800 ENCLOSED.
JGIGI, /?(? REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
' See instruetions for comoletiM this form on beck o} ybllow copy. ??J 9-7
?` r1 n-7 ""X" Below Work Covered by 7his Request
N.wFAAdI'1IeS.l Tyoe ol Builaing I Applinneea Wired ? Equiumenl Wired I
M Fea Service Enb9nceSize tl Fee Feedera/Subieatlers N Fee Circuite
U to 200 qm s 0[0 30 Am s I to 30 Am
Above 200 qmps 31 to 100 qmps 31 to 100 Am s
Swimmin Pool Above 700_Am s Above 700_Am s
Transtormers rngation Booms Pdrtial.'Other Fee
Signs Special inspection
Y1
TOTAI FEE
Rerrerks -)/ ??
? Al I 7?J
?
NouBh•in • 11e I
the EId?4i
sl
( /
l('',30?j/ y? ,
c
I^spector, hereby
cartity that fhe above
Final /y
r p'? inspeccion hes been
?
/
mede.
mis reqoeat ro10/B montro fmm
This requesl wid `9'7
18 mpnths from
< 510 6 6??
Request Uaie Fire No. ouBh-in Inspection
1 O^ [? , p ireA? ? ?fleady Nuw W??I Nutify InsDec-
? 1'es No [or When Headv
? licensed Elecvical Convactor I hereby request insDection ot ebova
? Owner electrieal work inytalletl a1:
SVe l Address, Box o oute No. ,
9 Ci1
ecuon o. Township Name or o. ge No. Cou?a?V
l?V? I T ;
Oc pnm WRINT)
G Phone Nn.
Power Sup?0l?ier
?V?t?J I?, /?-cc? Address
Ele al Convaclor}Compenv eme)
?? ? n n ?Q , ,(- I /_1 ? ?
zt? Conlrac r s License o.
-
i 771
Mali B Address or O r Ma "e Instailati
V?/ ' ??
??/
Au rized Si nawre 7 o ctor?Own r Makinp Installa[ionl Pho e Number n/? ^'
-V (?O V
MINNESOTp STATE BOANO OF ELECTRICITY T„I5 INSPECTION NEQUEST WILL NOT
Grippe-MiOwey BIdB• - poom N-791 BE qCCEPTEO BV THE STATE BOAND
UNLESS PPOPEN INSPECTION FEE IS
1821 Universitr Ave.. St. Peol. MN 66104
Phone16121842-OBOO ENCLOSED.
/o/GC. I?b REQUEST FOR ELECTRICAL INSPECTION es-00001-05
? See instructions lor comple<iry this form on back of Yellow coDV. r` 'C 9 f1 G C "'X" Below Work Covered by This Requesr I'??
FAd Nep i TYOe ol Builtline ? AoPliancea Wirad ? Equiument Wired - J
' Home Raope Temoorerv Service
0
Farm
w
Mi
p Fee Service Entrenea Size !1 Fae Feeders/Subfeedars M Fee Circuits
U to 200 Am s 0 123 0 qm s to 30 Am
Above 200 Am ?s 31 to 100 Ainps 31 to 700 Amps
Swinvnin Pool Above 100_Amps Above 100_Am s
Transiormers Irrigation Booms Partial,'Other-F?ae
aigns ?Ueciai mspecuon
?' ? f SL4e). TOTAL
InouOn-m (/C/r I.thaEl}elrioal I
., h,ob„
;nsaa.,o a
r /^ certity thet ihe above
1 Final -nspee[ion IMa bean
iro.
FOR SALE, UNITS CITY OF EAGAN
Np
12573
-
MOWNHOUSE 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
I' 6CIICQING11p&MIT 10 PHONE: 454-8100
Receipt#
TobeusedPor A OF 4 PLEX Est.value $48,000 ?Date SEPTEMBER 4 19 86
sitenddress 4620 1/2 RIDGE CLIFFE DR Erect IN Occupancy R3
Lot 3 elock 10 Sec/Sub. JOHNNY CAKE Remodel ? Zoning PD
RIDGE 4TH
Parcel No Repair ? Typa of Const. UA
. Addition ? No. Stories
GOOD VALUE HOMES Move ? Length 44
W Name
1460 93RD LN Demolish ? Depth?d
o Address Int. Impr. ? Sq. Ft.
Ciry BLAINEphone 780-5510 Install ?
a SAME Approvals Faea
o Name
$i Address Assessment Permit $ 274.0C
? City Phone Water & Sew. Surcharge 24 . O(
Police Plan Review 137.0(
?w Name FirO SAC 575.0C
? Address
Eng. SQ?.??
Water Conn.
a W Ciry Phone Planner Water Meter 63.5(
I hereby acknowledge that I have read this application and slate thatthe
informetion is correct and agree to comply with all applicable State of
Minnesota Statutes and City,0E3gdn OrdiWDces. I .
Signature of Permittee?r? 7:7?
A Building Permit is issued to: GOOD VALUE H MES
all work shall be done in accortlance with all
Building Official
Council
Bidg. Off. 9/4/86
Var.
Minnesota
RoadUnit 294•0(
rr. PI. 156.0(
Copies
Total $2,019.5(
on the express condition that
Ciry of Eagan Ordinances.
FOR SALE UNITS
TOWNHOUSE CITY OF EAGAN
?
12572
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 -
L 1, 2, 3, & 4 B 10 PFiL3NE; 4§4-8100
BUILDING PERMIT Receipt#
7obeuaedfor 1 OF 4 PLEX Est.vawe $48.000 Date SEPTEMBER 4 ,19 86
SiteAddress 4620 RIDGE CLIFFE DR Erect C? Occupancy R3
Lot 4 Block 10 Sec/Sub. JOHNNY CAKE Remodel ? Zoning pn
RIDGE 4TH
Parcel No Repair ? Type of Const. Va
. Addition ? No. Stories
GOOD VALOE HOMES Move ? Length 44
? Name
W 1460 93RD LN N Demolish ? Depth 24
o Address Inl Impr. ? Sq. Ft
?ity BLAINE pnone 780-5510 insteii ?
a
o S?E
Name APProvals Feea
?¢ Address AsSCSSment Permit +S z 7 4. 0(
? City Phone Water&Sew . Surcharge 24.0(
Police Plan Review 137.0(
?W Name Fire SAC 575.?0
? ? Address Eng.
aw city Phone Pianner WaterMeter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe B?dq.ofl. 9?4?s6 Tr.PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci a n Ordinan es. APC Parks
Var. Date Copies
Signature of Permitte Total $ 2,O 1) . S(
A Building Permit is issued to: GOOD VALUE HOME on the express condition that
all work shall be done in accordance with all applicable S e of Mi nneso S
s nd Ciry of Eagan Ordinances.
Building Oftlcial ?
TOWNHOUSE?i 830 Pllol Knob Ro d! P.O. BoE 2G-nt 9, Eagan, MN 55121 N°- 12574
&JILbING PERMITB 10 PHONE: 454-8100 Receiptq ?
'.
1 OF 4 PLEX $48,000 SEPTEMBER 4
86
Tobeusedfor Est.Value
Date 19
SiteAddress 4618 1/2 RIDGE CLIFFE DR Erect & Occupancy R3
Lot2 elock 10 Sec/Sub. JOHNNY CAKE Remodel ? Zoning F'D
Parcel No RIDGE 4TH Repair ? Type of Const. ?T ?
. Addition ? No. Stories
W rvame GOOD VALUE HOMES Move ?
D
li
h ? Length 44
th 94
D
3 Address 1460 93RD LN emo
s
N
Int Impc ? ep
Sq. FL
° Ciry BLAZN$hone 78 0-5510 Instell ?
¢ SAME Aoorovals Fees
o Name
=
? Address
u
? City Phone
a
w Name
F
? ? Address
a W Ciry Phone
I hereby acknowledge that i have read th is application and stete that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes antl Ci p a n Ord' iapi
ces.
Signature of Permitt e
n Building Permit is issued to: GOOD VALUE HO ^ S
all work shall be done in accordance with all applicable Stgte of Minneso
Assessment
Water & Sew.
Police
Fire
Eng.
Planner-
Council _
eldg. Ofl.9-i
APC
Var. Date-
Permit $ 274.OC
Surcharge 24.0(
Plan Review 137.0(
SAC 57S.0f
Water Conn. 500.0(
Water Meter 63.5(
RoadUnit 290.OC
Tr. PI. 156.OC
Copies?,
Total ?Z•V17t.4c
-on the express condition that
of Eagan Ordinances.
Building OHicial
TOWLVHOUSEUNITS 3830 Pilot Knob R d! P.O. Box 2G-n1 9, Eagan, nnN ss12y N°- 12571
I' 1161L6ING ?RMIT B 10 f PHONE: 454-8100 Receipt #?(?
7obeusedtor 1 OF 4 PLEX EstValue $48,000 Date SEPTEMBER 4 1986
SiteAddress 4618 RIDGE CLIFFE DR Erecr Cff occupancy R3
-
Lot 1 Block 10 secisub. JOHNNY CARE Remodel ?
PD
Zoning
Parcel No RIDGE 4TH Repair ? Type of Const Vn
. Addition ? No. Stories
GOOD VALUE HOMES Move ? Length 44
w
z Name
i 1460 93RD LN N Demolish ? oepth 24
o Address
BLAINE
780-5510
C
h Int. Impr. ?
? Sq. Ft.
ity p one Install
o Name SAME
i
0 ¢ Address
? Ciry Phone
a
F W Name
Address
i W CiN Phane
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci n Ordi nces.
Signeture of Per mitt
e
A Building Permit is issued ro: GOOD VALUE HOM'
all work shall be done in accordance with all aoolic214l of Minneso
Assessment Permit $ 274.0(
Water&Sew. Surcharge 24.0(
Police Plan Review 137.0(
Fire SAC 575.0(
Eng. WaterConn. 500.0(
Planner WaterMeter 63.5(
Council RoadUnit 290.0(
BIdg.Off. 9/4/86 Tr. PI. 156.01
APC Parks
Var. Date Copie 2,0 9. 5(
Total
on the express condition ihat
tatutes d-QlY of Eagan Ordinances.
Building
toloo25(v
/)"? ?v13? ?
?? i V37q
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 ? e6p
Please complete for modifications to existing residential dwellings
/S• ?° '
/5, 0
Date ? I? J7 1 v/ I
Site Street Address `?LJfT712--
15SIZ'2-
Unit#
Property Owner A) ?S Telephone # ( (?-? ) 71lv` 6 / 7s_
Contractor Y" w??"U ? f
Address (9,9,5 / 7 S _ City Telephone# (?u) ??'/ ???'`?
I11 State Zip ?2
The Applicant is: _ Owner Contractor _ Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water h
_Septic System Abandonment
_WaterTurnaround (add $121.00 if a 5/8" meter is required)
Other:
I? r AU? 24 2?04 U
? $ 50.00
??D
_ Water S ftener ZWater Heater
replacement _ additional Y$ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge x $ .50
Total
I hereby apply for
and accurate; that
Residential Plumbing Permit and acknowledge that the information is complete
the work will be in conformance with the ordinances and coc
Eagan and the plumbing codes; that I un
permit, work is not to start without a permit
the event a plan is required to be reviewed
/ C-I C?'rt?f- ?A ?1 ?1 ?
/Gd
?lpplicant's Frinted i?ame
derstand this is not a permit, but only ar
and work will be in accordance with the
and approved.
as of the City of
application for a
approved plan in
Appiicant ignature ?
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
??3 -2,'?-
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sel5 • Architectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) • Code Analysis (1)
• Certifcate of Survey (7) • Civil Plans (2) • Project Specs (7)
• Code Analysis (1) " • Landscaping Plans (2) . Key Plan (i)
• ProjectSpecs (1) • CodeAnalysis (1)" • MasterEcitPlan (i)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) . Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) " . Elec. Power & Lighting Form (1) not always""
. Meter size must be established • Meter size must be esta6lished • Meter si i e i ble
. Project Specs (1)
1
•
EnergyCalculations
(1) "
-1 D
1 • Electric Power & Lighting Form (1) " Ma?1 110 2002
1 • Master Ezit Plan (1) d
1 • Fire Protection Plan (1) *" 1 cd
d • Soils Report (1) 1 l
• MC/ES SAC determination letter • MGES SAC determination letter . MClES detertnina6on letter
call 651-602-1000 call 651-602-1000 call 651
" Contact Building Inspections for sample
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
DATE: 'RQei WORK TYPE: _ NEW REMODEL CONSTRUCTION COST:
SITEADDRESS: 4(UID`'?F1?lptlG-??'Li?DZ.O'I2. f?J???P, ?LI}'P,
TENANT
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK
PROPERTY
OWNER
CONTRACTOR
Ujk?- SUITE #:
LfI'BIO, i-C
' V
\-?(i[.1C. 1 ?hone #: ?> a.{J" C
Namk- Last Yl..l JC.. n?ust
Street
City: State: M'J Zip: C.ib4b
Company: I ??? ?? ??4m Phone #: ( Vy) 650 ' qb `^f D
Street
City: v- u l I .1 State:
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
CiTy:
Licensed plumber installing new sewer/water
Phone #: L_)
I hareby acknowledge that I have read this application, state that the information is corred, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant: ,,. .
Zip: 4$5fl
Phone ti: (
Regisua6on #: _
State: Zip:
I^m.,q (^prr?r
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Aparhnents ? 27 Commercial/Industri 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 (Foundarion) ? 46 Windows/Doors
? 32 Addition ? 36 " MoveBldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning
SAC Code # of Stories
No. of Units Length
No. of Bldgs. Width
Const. (Actual) Basement sq. ft.
(Allowable) ? . ,, • , First F1oQr'sq. ft. 4 +
UBC Occupancy - sq. ft. • • • ? - t >' • - . . MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
„
Plaing ? .: ';Builddng•
. . , .a_ ._ ,
? Insulation
sq. ft.
sq. fr.
sq. ft.
sq. fr.
MC/ES System
, 'City Water,. • = Fire Sprinklered
. ?
. ,
0
Plumbing
?
,
,
?
. ; .•
Stucco/Stone
?, , :?, •Eng?near?hg' ?? r'?,? j_ ? pVarianpe ?•
. . ?,.?e. ... . .b.. ` t, ?ti-. i
! .
Permit Fee . •
; .., .
Surcharge
Plan Review
MC/ES SAC •'4 `• •
. ., .
. .. ,
City SAC
Water Supply & '4YOra,ge.. i •
S/W Permit • ?' ' • • •
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Capies
VALUAtION
. . •.
.a . .
, y.
% SAC ? .. t.. . _. i , I, . .
.. , _ . . ,
SAC Units w . ,,? ?;?„' ? •
Meter Size
i .. , ,
.
Total
a I
CERTIFICA TE OF SUHVEY
Fa'? GOOD VALUE HOMES
i
/
/ V .
(, V
C.R. WINDEN 6 ASSOCIATES, INC:'
Land Planning. Surveys & Site Oesign
1383 Eustis St., St. Paul. MN 55508
'el. 645-3648
?
?
r ??..? ??<94r.s)
?
/ ?VV
\V . ?
r/
/
r^
/ o
ig ro ?"
o a,oosed `. sy? i?
o?
) I (9s4. y) P pi,
r ??e ? ?94G. ??
(qys L?
?
?
Lots 1 through 4, inclusive, Block 10, JOHNNY CAKE
RIDGE FOURTH ADDITION, Dakota County, Minnesota.
9f7.')
L£6£NO A^opoaed Nouse £Jevatians Scele i" 40' %X%.% Denotes Exfatlnp Elevatlon B N rn °I,?,.?....-f
(t%%.%) Denotes Propoaed Hlevation Top ot Foundetion ` 1„ters.'+?arl eFP.,kW? WeY
o Denotes Iron Monument Gara9e F:oor 957.5 "In ? DBnOtee W06tlBn StaKe B089mBnt floor - ?? J?
-?- Denotes Surface Oralnsoe UatumvD igt,o e?_
I HEREBY CERTIFY THAT THIS SURVEV, PLAN, OP REPOHT WAS PHEPANEO BY ME OR UNDER MY
DIAECT SUPEpVISIDN ANO THA7 I AM A DULY REGISTERED IAND SUFiVEYOR UNDEii THE I.AWS OF
THE STA7E OF MINNESOTA.
Dated this 31*d day of $eP+e?++ber, 396 C.R. WINDEN 6 ASSOCIATES, INC. I
Book_ Page_
hy ?-" A
Minnesota Registration No. .7726
V?
O /
ll?
ti.??°OSeo,\?l ? /
\ Q C94c,g? I /
r
J ?03 sow 7eo,
1986 BDII.DING PBEIKrT APPLICATION - CITY OF SAG9N
A10YS: ALL COHTRACTOFS MOST BB LICBNSED iTITH THE CITY OF EAGAN
SINGLE FAFIILY DSiELLIFGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
M[)LTIPLS DiiELLINGS - BFSIDSNTIAL
INCLUDE 2 SETS OF PLANS, CEFC
1 SET OF SNERGY CALCULATIONS
COMRCI9L
RENT9L DdITS FOH SALS QNITS
OF SDRYER - CHECB UITH SLDG. DSPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: paluation qQC?(= 218 Date: 9- 3-$'4
Site Address
Lot ? Block 1LI
Parcel/Sub r„4 p,?
Owner
Address f ?G d 93? ? ?y
City/Zip Code
r? . .
Phone /?D
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone Il
Erect
Remodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Oecupaney
Zoning
Type of Const
ll of Stories
Length
Depth
Sq Ft
APPROVAL4 FEES
Assessments Permit ? 7
Water/Sewer Surcharge ;2 ?
Police Plan Review ? ? '7
Fire SAC S -7 S"
Engr Water Conn ,S r-b
Planner Water Meter /,. _3. ? 9
Couneil Road IInit
Bldg Off Treatment P1
APC Parks
Variance Copies
lY)'fAI. ,-Q IS 0
HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MDST DESIGNATE HHICH ADDRESS
IS DESIESD. NO CHANGFS NILL BE ALLOWED OACS BIIILDING PERMIT IS ISSUED.
_. A
19 Q .?' 2 86 BQII.DING PERtiIIT APPLIC6TIOR - CITY OF GAN
NOTS: ALL C08TRACTOES MOST BS LICENSED WITH THE CITY OF EAGAN
SIBGLS FMaLY DflELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCDLATIONS
!lOI.TIPLS DiIELLINGS - EfiSIDSNTIAL REN'f9L DBITS F08 SAL6 QNITS
INCLUDE 2 SETS OF PLANS, CE9TIFICATE OF SORVEY - CHECB iIITH BLDG. D%PT.,
1 SET OF ENERGY CALCULATIONS
COMAIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
To Be Used For: / ?:z Z24,--- Valuation:
Site Address
Lot c?, Bloek /,D
Pareel/Sub
- - -o
Owner
Address 9c 3 'e'?
City/Zip Code ?; 5s- ij v
Phone 7yr4 - Z `5'/-9
Contraetor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone ll
Ereet
Eemodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Date: 9- 3 - 8{?
Occupaney
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
9PPHOVALS FSES
Assessments Permit
Water/Sewer Sureharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Hldg Off Treatment P1
APC Parks
Variance Copies
SOTAL
NOTE: ADDHSSSES FOR CORNER LOTS - CONTRACTOR/HOlifiOWNEB lfOST DESIGNATB HHICH ADDRESS
IS DESIRED. NO C89NGES WILL BE ALLOHED ONCE BDILDING PERMiT IS ISSIIED.
t? a
? s
7
1986 BIIILDING PE[@IIT 9PPLICATIOH - CITY OF fiAGAN
HOYS: ALL COBTRACIORS M[IST BS LICENS6D WITH THE CITY OF EAGAN
3INGLE FAFIILY DflELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiiELLINGS - HffiIDBNTIAG RENTAL DNITS FOR S6LE OAITS
INCLUDE 2 SETS OF PLANS, CERTIFICATfi OF SQFtV6Y - CHECB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COHIMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: /GJ
?Valuation:
Site Address
i
Lot _Ll Block L_
Parcel/Sub
Owner poa? ii 27/'
Address OS/G U 93 .ie1,0Lif/ ,ll
City/Zip Code ??`C/?, !/
Phone
Contractor S?
Address
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone 4
Ereet
Remodel
Repair
Addition
Move
Demolish
Int.Impr
Install
APPROVAIS
Date: 9 3 _ a 6
_ Oecupaney
_ Zoning
_ Type of Const
_ ll of Stories
_ Length
_ Depth
_ Sq Ft
Assessments Permit
Water/Sewer Sureharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Couneil Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
lYYPAL
NOT6: ADDEESSES FOR CORNER LOTS - CONTRACTOR/HOHBOfiNER MOST DESIGNATfi i1HZCH 9DDRESS
IS DFSIRED. NO CHANGFS iTILL HE ALLOH6D ONCE BUILDING PERMI? IS ISSOED.
.?
1986 BIIII.DING PERIM APPLIC9TIOH - CITY OF EAGAN
HOYS: ALL COHTRACIOHS MtJST SB LICffiSED iiITH THE CITY OF EAGAN
3I6GL8 FAlIILY DiiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiiELLINGS - R&SIDENTIAL RENTAL OBITS FOR SALS ONITS
INCLUDE 2 SETS OF PLANS, Cfi@TIFIC9TE OF SDR9SY - CHECB iTITH BLDG. DSPT.,
1 SET OF ENERGY CALCQLATIONS
COTmCIAL
INCLIIDE 2 SETS OF ARCHITECTURAL & STRUCTDRAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: /? Valuation:
Site Address <f/ r?D% L
Lot 3 Bloek 10
Pareel/Sub
Owner 6ppo/
Address
City/Zip Code
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone 4
Erect _
Remodel _
Repair _
Addition _
Move
Demolish
Int.Impr. _
Install _
APPROVAIS
Date: 9- 3 Occupancy
2oning
Type o£ Const
# of Stories
Length
Depth
Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Couneil Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TO?AL
NOTE: ADDRESS6S FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATB iiHICH ADDRESS
IS D6SIHED. NO CHANGFS iiILi. BE 9LLOWED ONCE BUILDIHG PERMIT IS ISSQED.
?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
q(? ?V1? CITY OF EAGAN
3830 pILOT KNOB RD - 55122
651-681-4675 7,,5
New Constnictlon ReaulremeMS '6'R6rnOd9i/Reoait ReaulrerTrerlis
D 3 reglstered siTe surveys ahowing aq. fl. W lot, aq. N. of house 2 copiea of plan
and ¢j1 rooted areas f20% maxlmum lot covemw allowed? ? 1 sel of energy calculpXOns lor heated addlNOns
> 2 coples of plcna (show beam d wintlow alzes; poured fnd. design; efc.) i alfe survey for exfedw atlditlons 3 tlecka
D 1 set of energy calcWaHOna
> 3 coples of hee presenallon plan il loi plaited aNer 7J1 /93
DATE: O- Z- CXD CONSTRUCTION COST: 2-ZSU
DESCRIP'fION OF WORK: a-p- 12!-k4ce cke ck I( mulfl-famly bldg., how many unlts?
STREET ADDRESS: 44(oZC7 `S : CS?!) 2 oA A F
LOT: 4 BLOCK: 14 SUBD./P.I.D. #:
PROPERTY
OWNER
Name: L2w. L-lr.?-. Phonep: `1?`CCt
Last First
Zo
Cv, ite
aty Ee4 ot U? state:
Sheet
1/?y tl)
Zlp:
(? [ d
ComPanY : S v v.&a kce cd bn _t--hc Phone #: -,jl t
(area code)
COMRACTOR
Str6etAddress: 6ct ZZ L( Z?` ucer,ga a S6 -7 v eXP. 3-31- ? f
aty state:?Yt? ?-1 mp: 55 L-I Z`7
ARCHITECT/
ENGINEER Company: Name:
Telephone #: (
Sheet Add?ess: RegistraHon #:
CNy
Stote:
Sewerlwater licensed plumber (H Instalilna sawer/waterl: Phone #:
Lp:
I hereby acknowledge that I have reod this oppllcaNon, state Mwt 1he intomnation is correct, and agree to compry wilh a0 applicable Stafe
of Minnesota Statutes and Cify of Eagan Orclinances. v?„ li?? /N""" I' /„ /,/????%rE?
V ,? (/V p
Signalure of AppUcanY.
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Raquired
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-piex ? 13 16-plex ? 21 Poroh (3-sea.)
? 02 SF Dweliing ? 08 06-piex O 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 07 of _ plex ? 09 07-piex ? 18 Deck ? 23 Poroh (screened)
? 04 02-piex ? 10 OS-plex ? 79 Lower Level ? 24 Storm Damage
O 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding
q 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair
34 Repair ? 42 Demolish (Foundation) ? 46 WindowslDoors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INS PECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
? 31 Fxt. Alt - Multi
? 33 Ext. Ak - SF
? 36 MuRi
iZ32T
Building 41-7 Engineering Variance
Valuation: $?
?Kz,e,
6 0, 5-v
SAC Units
% SAC
GRY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
^RyPT: PA7@4Wr OF £EE AT TIlM pF
APPLICATION DOES MT CONSTrMM
APPROVAL OF PIItMLT,
INspncriorr oF sLVM arm/OR MM
INSrnr.r.nmrODffi WILi, NOif BE SCHED-
UI.ID T]NPII, PERMIT AAS BEIN
APPROVFD.
P ease Print) F;F=
R
: 1) PROPERTY ADDRESS'
LEGAL OESCRIPTION; 1 jp •-
vision or
IF FXQSTING STRCCi[)RE, DATE OF ORIGINAL BLIL?ING PERMIT ISSL'ANCE:
PRESENt' 2ANING/pROPOSID L?SE:
-
- {A7on EH7y
? COI4,ERCIAL/f2ETAIL/OFFICE ? R-1 SZNGLE FAMILY .
Q INIIJL'STRIAL Q R-2 DC'PLEX (2two C?nits)
n INSTI'iL'TIONAL/GOVERNMENp ? R-3 TDWNII-IOLSE (Three + Units) ( LTnits)
. Q R-4 ApARTI-ENIyCOAIDOMINIDM ( Units)
2) INAME:__! K/?CK W I CfJw/ T Vl'-? .
r' • .
ADDRESS:_P.n , rl Y l::) 8
CITY. STATE, ZIP:,S C a nyV/q 1'Lt A' X?,"U 73
PHONE: k33^_5-171
3) u ?: ?• ??. For City Use ..
Pliunbers License;
ADDRESS:_ Active
CITY, STATE, ZIP: ? ExPlxed
! Not recorded
PHONE: MASTER LICENSE#
Staff InitEal
Q) ?a• • • ? ia•
? NP.MEs r.(`? O I/I4 Z ci Y ?Pi >„?
. aoDxESS: a L A CITY. 3TATE, 2IP: /3 CiZi'NC PHONE:_ ~J ?O - ;z-II)
5) n v ? r • a• : ?? • ?? - ??
? CON[gX.TION TO CITY SSWER ? COAIIQEX.TION 1U CITY WATER ? pTfM '. .
6) 'o [3 PLEASE HOLD APPROVID PEE2MffT FOR PICK-C'P BY ONE OF ABOVE .......
---
PLEASE MAIL APPROVID PEE2MIT TO 1.(5r, 3. 4. ABOVE . .
? (Circle one)
7)
FOR CITY USE ONLY PERMIT # ISSDED
7,45 3
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SIIRCHARGE)
$ $ IaSa WATER PERMIT (INCLUDE SL'RCHARGE) ..
$ l? ?_SZ? $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL`DE CORPORATION STOP)
$ $ SEWER TAP
$ $ /j 0- 2) ACCOUNT DEPOSIT - SEWER
$ $ /?Sd p ACCOUNT DEPOSIT - WATER
$ 70-o 7 $ wAC
$ S7S•00 $ SAC
$ $ TRC'NK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ ` LATERAL BENEFITfTRI?NK SEWER
$ $ LATERAL BENEFIT/TR[!NK WATER
$ ISIv Q/J $ WATER TREATMENT PLA[VT SLRCAARGE
$ $ ' OTHER:
$
TOTAL
2-93
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQOIRE EXCA VATION IN P[7BLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
ROA DWAY" MUST BE ISSLED BY THE ENGINEERING
Q
NO
DIV
ISION. LIST
AS A CONDITION.
SUBJECT TO THE FOLL OWIN G CONDITIONS:
APPROVED BY: /tl/.?La4-yCa.' ,{}B2L'yL?
TITLE:
DATE : ??a ??
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
^IfYJ.'R: PAYMFNr OF FEE AT TSME pF
appLscAzoN noFS Nom oONMTOTE
APPROVAL OF PERMIT.
n.vsrncrsorr oF sEWM nnD/CR WMa
rntcmAr.rMONS WIII, NpT HE SC[ED--
UIED UK1ZI, PERNIIT.HAS BEIN
APPROVID.
--
P ease Print
1) PROPERTY ADDRESS : _
LEGAL DESCRIPTION: /O
vision or
IF E7QSTING SIRCCiL'RE, DATE OF ORIGINAL &'iLDIIVG PERMIT ISSL'ANCE: - -
PRESENP ZONING/PROPOSID [!SE: (Mon Year ..
? COYNERCIAL/RETAiL/OFFICE ? R-1 SINGLE FAMILY
Q IbIDT-ISTRIAL Q R-2 DC'PLEX (TF,o Onits)
n INSTITL'TIONAL/GOVIItiZENp ? R-3 'POWNiOUSE (Thzee + Units) ( [7nits).
. [? R-4 APARTMENT/coNIDOMINILTI ( Units )
2) ? -
NAME--A1 /`( k e i-s p
aDnREss: ?• Q•R ?i x/ 2 Fr ' -
ciTSr, srazE, ziP:_ Sc a,.rc! ,? a r4 !+( - 3-so 7?
PHONE:
3) • u ?: ?• NAME• For City Ose .
Plumbers License:
51?1+,?-? Active
AMRFSS:_ FScpired
?
CITY. STATE, ZIP: Not recorded
PHONE: MASTER LICENSE# 5taff Iitial
q) e-C• • =
tuAME: ' Q .a + ,
_ aoDPMs: 1 (iG n 91,j ) n..y e ni ,?E CITY, STATE, ZIP:g ,(/7Tiv ? /1'I N L G/ `'i ?
PHONE: 7 5f"U -S S/ O5) r v ? r• • ?• : ? • a? - ??
? CONNECPION 'P0 CITY SEWER ? CO[a1E.`rZON TU CZTY WATER Q pTHER
6)
?
PLF.ASE HOLD APPROVID PERMIT FYR PICK-UP BY ONE OF ABOVE
pT•FnSE MAIL APPROVID PERNLiT TD 1,0 3, 4, AHOVE
(Circle one)
I g ^ S" S'rl?
FOR CITY USE 4NLY PERMIT # ISSL'ED
Pd w/Bldg, Permit FEES:
$ $ /t)-S-6 SEWER PERMIT (INCLDDE SURCHARGE)
$ $ /&' WATER PERMIT ( INCLODE SC'RCHARGE )
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ $ wAc
$ S7S U-o $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRO[VK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ?SG • /r7J $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ /,;? ? S` S ? $ C?-/ U v TOTAL
_ &?- 2 l, q ?GZS3
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MC?ST BE ISSLED BY THE ENGINEERING
NO DIVISION. LSST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: l,???50
CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*R7P6: PAYME'NT OF F'FE AT TIME pF
APPLIcATIoN noEs Nom CONSTITUTE
APPROVAL OF PERMIT.
INWBMoN oF sEWM Arro/Ct MTM
II1S'LarraMONS WICy NRJT BE Sa1ED--
UI,ID UNiM PII2NIIT AAS BEQN
APPROVFD.
_._. _°______-- - ___- -- ---- --- -
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
or
IF E7QSTING StRCClL'RE. DATE OF ORIGINAL BL'ILDING PERMiT ISS['ANCE:
PRFSEPfP 7ANING/PROPOSID L'SE: (Nbrith/Year)
? COPRARCIAL/E2ETATI,/0FFICE ? R-1 SINGLE FAMILY
0 IPIDCSTRIAL Q R-2 DL'PLEX (7to C?nits)
n INSTITOTIONAL/GpVERMW ? R-3 ZUUWNHOUSE (Three + Units) ( L?nits)
. q R-4 APARIMENT/CONIDOMIDIICTI ( Units )
2) ?
ADDMs:.?.
ciTx, srATE, zzP: SC a_,yd ,, n Ax ni
PxorE:
3) u c ?-
NAME:
ADDRESS:
CITSt, STATE, ZIP:
PHONE: MASTF.R T.Tf'FT7CF!1k - 4) ?.«4•:.i ?..nir?cZs
NAME:
Y.-
aoDREss:-/ I-di nt Y. ML A/ 3S9" 3 ri- V 3 5 c
CIT1'. STATE. ZIP:1 d 93 ?-A ?/4-1??e -
rxorE:-7 SPrI Ss i o •
Active
Ecpired
Not recorded
SEa-r Ii11C1d1
•5) n 61• i a• • ?• : ? • o? - ??
CONNECTION TD CITY SEWE2 ? CONb7ELTION TO CITY WATII2 ? pT[-IER '. .
T`
6) "~' '??• ? PI,Ed1.SE HOLD APPROVID PII2MIT FOR PICK-C?P BY ONE OF ABOVE
PI,EASE MAIL APPRQVID PM:ZMIT M I02 3, 4, AaOVE . .
n (circle one)
T'
n
?
7) C r• U" ?IL <J:YY:i4ii a - l-.
FOR CITY USE ON -LY
._. , ?
PERMIT # ISSL'ED
7? ss
Pd w/Bldg. Permit FEES:
$ $ lD- 5-?5 SEWER PERMIT (INCLUDE SL'RCHARGE)
$ $ WATER PERMIT (INCLUDE SC'RCHARGE) ..
$ !p 3.S U $ WATER METER/COPPERHORN/OPTSIDE READER
? $ WATER TAP (INCLCDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /$-, 0d ACCOUNT DEPOSIT - SEWER
$ $ /S• G-b ACCOONT DEPOSIT - WATER
$ S ?p U c) $ WAC
$ 5^7.5--0-o $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ " LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BEtVEFIT/TRC'NK WATER
S /"D U $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
S TOTAL
243
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK L4ITHIN PLBLIC
Q ROADWAY" MDST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : / /e tz
,
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*AYPF: PAYMRNP OF EEE AT 1?ME pp
APPLICAMON DOES NOr CONSTITUTE
APPROVAL OF PEEOffT.
rNSenMoN oF SBM r,rm/OR MM
rnn•rar.ramrONS yTIId, NOr gg SCHED-.
ULID UNi'II, PfRMIT AAS BFaI
APPROVID.
, easePrint __________.._..___......___..__------__..
P .
1) PROPERTY ADDRESS: •-
LEGAL DESCRIPTION: •-
_ Lot Block Sub ivision or Tax Parcel ID )
IF E}ISI'ING STRCCl[]RE, DATE OF ORIGINAL BL'ILDING PII2MIT ISSL'ANCE: ,
PRESENP ZONING/PROPOSID L ,SE: (I`4on Year
Q COi4*4ERCIAL/REPAII,/0FFICE
F7 IPIDC'STRIAI,
n INSTIIL'TIONAL/GOVFI2NMENr
? R-1 SINGLE FAbIILY
Q R-2 D[;PLEX (1t,v Units)
? R-3 TD4dN30USE (Three + Units) ( Dnits)
? R-4 APARTMENT/CONIDOMINILTI Units )
2) 1??
NAM=-eLs?h? aDDREss: Q. o
CITY. STATE, ZIP:S C t? ni
PHONEc_ &.33 -S/ 7/
3) ' IC 7'
NAME:
ADDRESS:
CITY. STATE, ZIP:-?_ '- .
PHONE: MASTIIt LIaDSE#
4) ?.• • • i?-
NAME:
AUDRF55:
CITY. STATE, 2IP:
PHONE:
- /U
v
? ACtive
FScpised
Dbt recorded
-5) u v ? ? w •?• :? •a? - ?, /
? CONNECTION TO CITY SEWER ? COIaIF7GTION TO CITY WATER ? OTSER '. .
6) '? • •?- [3 PI.EASE HOLD APPROVFD PERMIT EC)R PICK-UP BY ONE OF ABOVE `---- _._
?j PLEIISE MAIL APPROVID PEEtMiT ? 1, 2, 3. 4, AB0?7E .
Tc.
7) (Circle one) '
?AL ,,,
TOR CITY USE ONLY.." . :' -? ?
PERMIT # ISSUED
1
i
-
Pd w/Bldg. Permit FEES:
$ ' $ SEWER PERMIT (INCLODE SURCHARGE)
$ $ WATER PERMIT (INCL[)DE SPRCHARGE) .
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCO[!NT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
F___j YES IF YES, TAEN A"PERMIT FOR WORK WITHIN PLBLIC
Q
ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING COIVDITIONS:
APPROVED BY:
TITLE:
DATE:
, CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
***********#*****f***f*******?*****?
y*. *IOTF': PAYWNP OF F? AT TIIME OF .
* APPUcAMoN DoFS Nor ooNS-riTvre
: APPROVAL OF PEEiNIIT.
ort oF sEWEt r,Nm/ox wATEt
nacrar.raTrpN,, yTII,i, IVpT HE SCHgg-
UI.ID 0[drII. PERNIIT HAS BEQI
APPROVID.
P ease Print)
1) PROPERTY ADDRESS: -f •.
LEGAL DESCRIPTION: 3 /? "
(Lot Block Subdivision or Tax Parcel ID 1
g' E}I3TING ST12L'CTS)RE, DP,TE OF ORIGINAL &!ILDING PERMIT ISSL'ArICE:
PRESENr ZONING/PROPOSID C?SE: (Month/Year)
C3 CO;vERCIAL/FtETAIL/OFFICE ? R-1 SINGLE FANffLY .
0 IND'STRIAL ? R-2 DLPLEX (7wv Units)
n INSTIZL;TIONAL/GOVE?gS]T ? R-3 'IOWNhiOL?SE (Three + Units) ( Lnits)
q R-4 APARTNWP/CODIDOMINICTI ( Units )
2) ?
NA[?: l? /? C?? '2 ? S c? r? ?'?- ?-?- •
AoDxxESS:-, d . ux / 2 sr --
ciz^r, szAxE, zrP: ? c a.u d"O-t MU 7?
PHONE:3 ?- S/ 7/
3) ' ?: ?• taAnE.
PHONE: MASTII2 LICEIdSE#
Aati.ve
FScpited
Not recorded
Sta Ir11t1a1
4) u• • • ? i?• / -
- ACIDRESS: Zl?( 4 q3 FA L
CITY, STATE. 2IP:aLX-Lw pA-.N S?-3Y- Si39l-
PHONE:
5) ? v i r •?• : o • a? a? -
? CONNECTION TO CITSI SEMI2 ? CONNECi'ION TO CITY WATE]2 ? p7.'fER '
6) ?? • ? r ?
?
ADDRESS:
CITY. STATE, ZIP: I SI(?p17Q2E-±
PLEASE HOLD APPRpVID PERMIT E'OR PICK-C?P SY ONE OF ABOVE
rr.FncE MAII, AppROVFD PERMIT TO 1a 3, 4, AHOVE
(Circle one)
F'OR CITY USE ONLYr-`
PERMIT # ISSCED
76 5?'
Pd w/Bldg. Permit FEES:
$ $
$ $
$ lC,jS--6 $
$ $
$ $
$ $ n o
$ $ / S-• !J-Z5
$ `?PJC?•Uo $
$ 5 7 s ? $
$ $
$ $
$ $
S $
$ ??? • o -t? $
$ $
S/?-S ?- 5Z' S ?7n z,
RECEIPT RECEIPT
SEWER PERMIT (INCLLDE SURCHARGE)
WATER PERMIT (INCLODE SC'RCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLLDE CORPORATIO[V STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRLNK WATER ASSESSMENT
TRONK SEWER ASSESSMENT
LATERAL BENEFIT/TRL'NK SEWER
LATERAL BENEFIT/TRL'NK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
DOES DTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
? 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 :
` • , . `? 3Z ?F-g9
2404RES1bE '. '?: -
/n.;?? rtrra.t.Buif,n?GrFZZiva?c?r.?,zc?,Uorr
lo ! C?fy Of Eagan
383Q PjUotX-zoh Road, Ef agan iYIN 55122
--
65? G75 5694-----= --
NewConstrtidio ?i?
3 tegfsfered sitg surveys sfiowi
(20q, 16dmum lofco qqsq, tt of lof, sq. R of fiouse; and al1 roo;ed areas RemddeUReoair Reouirements
ver?e altrnve? 2copksofp(anshowui.6 2wpiesofph`n -
9 eam&windovts'¢es; po?ned founddes?qn, eta lsetofEnert?yCalcufa8ons forheatedadd'?ions
1 sef of Energy Catalations i sife sunrey fo'r additions & decks
3copiesofTreePreservationPlan'rf10fplaffedaYer711193 Addffon-indlcateff oo-sifesepricsys(ern
Rim Joisf De/all Opfions sefecaon sfieet (bldgs wi6t3 orless uni(s • . --
Dafe10??? ? SYte AdcLtess Consir¢cfion Cbst ?
(.?
IInit/Ste #
?
Des?'iption of Wark ? -
doo? , ? - .
MnIt2-Fauu2p BIdg _ y
FYreplace(s) ? 0 _ 1 ^ y
ProPerCYOwuer
TeIephone#(CRSI)' ?-l(? .Cj -ht.yuci
Coudractor ??FPAl?7'AQ - --
?l? ?i`lri 4 n ? c?n
?dress ?` i LU l1ZSU an 44 1? i n ni? a ..
3tate ?
coMPLETE 'FHIS p?q
-• . c=o Nnamnllr2
? ZiP CJ?J 1? TeIephone # (j?l ) Z (9L-l - U'I "1
; Fs}?:°?Ka ,.
/,'?>._.
Enet9Y Code Cafegory
'- TMin esofa Rutes 7670 Gate, o.. Z
Nsu6mission type) 'Residen5af VenfiiaBon Categwy j yyoftheet
. gubinitted . .
. ;? -
• Energy Envelope Cafcu'tations Svbinftfed
A NEN/
` iave you previousfy consfructed a building in
ee appres. C-agan W}h Q similar p(an? _ y _ N If
icensed Plumber
1echanical Confirpetor
=werlWafer Confracfor
Tefephone #( )
Telephone #(
Tefephone #(
;tNG ? U ?
672 O 190 ?
Worksheet OOQ
OQ
ierebY aPPZY for a Resideniial Buildin pe?? : \` r
'f #he work will b g aztd acknowledge tfiat the infoanatioQ yq comglete and accurate;
e in con#'oIInance paith the ord,maneeg and codes of the Ciiy of E of MN
itufes; ?xoval oIfpla?s. understand f,fits is nof a peunit, Sfate
buf o?, ??P?eatiott for a permif, aud ag2n attd fhe
work is not to stazf witfiout a
znifi that the work wi11 be in aceordance wit.h the aPProped PIau in the case ofwork wbich re
quires a review and
?phcanYs Pznnted Name
tl Iicant's Signature
,
QFF`ICE T7SE di?ILY
-
' " . _ _
- . . _ ? 3 .. .
.
Sub Types
- - - ._
, i
_
. . , .: • - :-
.. .. ,
....
.
-.
-•-
_.. _. ..
•
,-
_:
----- --- ..
---- - --- -- ---
- 0- 01' Foundatio[r----0-07-05=pTe)??D;-13-ICrplex==-Q-20--P6oF--- El-30--Accessory Bld9--
? 02 SFDwelling ? 08 06-plex ? 16 FFreplace ? 21 Porch(3-sea.) 0..31 ExE.AIt- Mulfi
GfO$:- 01.of ?Ap[ez :;0 09 07-ptex Cf 17 Gaeage ? 22 Porcfi(Addn.(4-sea.)' (V ?3,Ezf:AIt=SF
04. 02 p[ex. ?_? c 0- 40 08-plex : 0 16 Deck II 23 P'orch (screen/gaze6o) ?11 36 Multi Misc:
Q` 05"03-p[ex-' 11 1 0-plex 17 19 LowerL'evel • ? 24 StormDamage
Q 06 04-plex ? 12 12-plex' Plbg Yor_N ? 25 Misoelfaneous
Wor[c .Types
? 31.New _ ? 35 Int Improvement ? 38 Demolish Infertor ? 44 Siding
0 32 Addifion ? 36 MoYe Building ? 42 Demolish Foundation ? 45 . Fire Repair
? 33.Alteration ? 37 DemolishBUilding' U 43 Reroof .Q 46 Windqws/Doors
O 34 ReplaCOmenf '. `Denrofi5on (Entire B[dg) = Gide PCA ttandout to applicant '
Valuation Occupancy MCES System
Censu's Code Zbning CityVllater
SAC Uhits Sforieis Booster Pump
#'of Uiiifs Sq. Ft. . PRV
# af Bldgs Length Fire Sprinklered
Type of Const • Wd4h
. u ... . . ?P'1.:s .
" REQUIREDTNSPECTIONS
Footings (newbIdg) _ Final/C.O.
Footings (deck) _ FinaVNo C.Q.
_
Elilfrtlsm
Fooiings(ad8hon) 'v??;
Formd"atio? ,,J
Drain Tile Other
:Ioo?? ?:.;:: •= Ftgs.°•_ Air/Gas Tesfs
Roof '. Ice &, Wateet Final Final
':
glardmg: _
Stucco'_ Stone _ Biick'
.
RT.'
Fireplace est Final _ Windows,
.
'
_
Insulation _ ?faming Vdall"
_ Re
-APProyed By _
Building Ip'specf'or
Base Fee
Surotiarge
Plan Review
MClES SAC
City SQC
Ufilify eonnecfion Charge _
- S&W Permit & Surcharge '
s.,;_...
' Treafrrient Ptanf '
License Searcfi
Copies
Other
Totat '
??.?e.s..•.? iuv ic.o? rna ?O? O71 -4fl8U
? , . ?[V?iTAL ?Sk'@iVU?tfIY ..
re -June'7, 20U1 - citY of Eagm ..
3836 PiIcrt Knob Road -
Eagan+ MN 55122
. To Whom It May Concern: ,
IIder 7ones is anthoxYZ¢d to pt? bdlcffng permf ts for Reimwal by Aztdezsan_ Plcase AIIow
date beyond 61610 1mp s?? for ua in Bagan. ?Tt;a ?prJ?? jq ?id for any
W the City raAOwal bY Aadersen mana= aaFms1Y revokes it in wiiting
I request this auttioftzatian be . . • ' - . .
our 6ailding pcaniqe? a?d-°xpedt8ously, as tG aot delay m flw Pro?essitig of
coritactcd aY ?63-5 Y?zdicr. PEcasc caII mc 3f thcic aro any questtons. _ I can !xi
r 02-4706_ . _ . ,
Your immqdiate aftation to thts mattcx is eLec}? a . .
Sincoialy,
KQri ?II2gCT
Ranewal by Audmen CorPoration
C:c.: Karn_F.idexTnn" -
CS p?? ???
s
wr ?
+mou
Received Ti-me Jun. 1. 1:07Pld
' 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot I{uob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons6upbn Reaui2menLS RemadeVReoair Reouirements "?1se
3 registered site surveys showing sq. iL of lot, sq. 8 of hase; and au roofed areas 2 copies of plan Cert ofSurveyRecd Y'?1
(20%mazimumlotcoverageall(ywed) lsetofEnergyCalculationsforheatedadditions TfeeA?eE"P(aN?eCd,B, -'Y?=,„,,`N.
...-?._ ...,
2 coples of plan shovAng beam R wiridow sizes; poured found design, etc. 1 stte survey fw additions & decks Tiee Pres Requ? =Y fil
lsetofEnergyCalculations qddffion - imiicatelfon-sdesepficsystem
3 mpies of Tree Preservation Plan if lot pla@ed after 71753
Rim Joist Detail Options selection sheet (bidgs wdh 3 or less unNs
nau IC) i 20 iC)`1
? coostrucaoo cost 7-6 0 "
Site Address ? ?p ,?,
Zi71?2 ILL?G(.5 ?( r?? T C?
?2.
UnidSte #
6
Description of Work /N,S 1/J50?t-l
Multi-Faroily Bldg 1?sl_Y _ N Fireplace(s) _ 0 k1 _ 2
PropertyOwner r 1
Telephone #(071) ) 2( v-& 2,f-
Contractor
Address ?? ? City 31UtL
State ? Zip SS33? Telephone #( 9-i^j, )°J?J
COMPLETE THIS AREA ONLY IF
Energy Code Category -M1°°esota Rules 7670 Category 1
• Residential Ventilation Category 1 Worksheet
(Jsubmissiontype) Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Y_ N If so, 25% plan review
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Pennit and acknowledge that the informati ?is complete and acc ate;
thak the work will be in conformance with the ordinances and codes of the City of aziMe S e o MN
Statutes; I understand this is not a pernut, but only an application for a permit, arK? work is not to start without a
pemut; that the work will be in accordance with the approy4 plan inAe se of vfo}k wluch requires a review and
approval of pl s. ??? ? oc?_O)
APrinted Name
OFFICE USE ONLY
Sub Types
O Ot Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex O 18 Deck ? 23 Porch(screen/gazebo) O 36 MuIG Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Pibg_v or_ N? 25 Miscellaneaus
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolitlon (Endre 81dg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation _ HVAC ,
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool Ftgs _ AidGas Tesu Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/E3 SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Date: 7,,3I Ov Site Address:
ieanrlt:
--- -----------
?
? Pertnit #:
I Permit Fee: ??? • ?/ ?
? Date Received:
I Staff: ?
I
RESIDENT / OWNER Name: U(?& ( CU()_4j"" )CA1 0i_) ? Yti'lZ Cy? Phone:
. Address / City/ Zip: 2w0 ,) '1,Mffltj1r `,"l' • 1 V j} Y'l 11 ezk?
\
?Juff?G)
-
,
Applicant is: _ Owner _X Confractor c-
TYPE OF WORK 7
Description of work: ,Lj; 1
Construction Cost dL 1/-)0t1C/ Multi
F
il
B
ildi
Y
-
am
y
u
ng: (
es i/ No
CONTRACTOR Name: u wl5VS License#: a0??5H
Address: Lq2?sZ O1\?? ??& f\\t11V1T1
City: State: vt Zip: ?FJMH
Phone: Contact Person:
COMPLETE THIS AREA ONLY !F CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
EOergy Code . Residentlal Venlilation Category 7 Worksheet . New Energy Code Worksheet
Ca[e90fy Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 72 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: 8lans and suppoRmg documenfs that`yoy`sqbmlttare`consadered to be: ublrc information;i' PoRions of
P
the infor'mation may be classrfied as"'n'on publrcrrPyou pr`qYisfe?'gpeciire'reasops fhat would permit Che City to
=t ,,.; conaTuder?hat.the are tratle=secrets.' .',. . ; ` - ?I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wilh the ortlinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pertnit; that the work will be in
accordance with the approved plan in lhe case of work which requires a review and approval of plans.
X V.?r?(J??L?.?'11 i'1
Applic n s rinted Name
X KA U Q
Applican s Signa ure
6
Page 1 of 3
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147841
Date Issued:02/09/2018
Permit Category:ePermit
Site Address: 4618 Ridge Cliffe Dr
Lot:1 Block: 10 Addition: Johnny Cake Ridge 4th
PID:10-39803-10-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stacy Hanson
4618 Ridge Cliffe Dr
Eagan MN 55122
(176) 342-8132 X1
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150831
Date Issued:07/25/2018
Permit Category:ePermit
Site Address: 4618 Ridge Cliffe Dr
Lot:1 Block: 10 Addition: Johnny Cake Ridge 4th
PID:10-39803-10-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ctw Group Inc
5402 Parkdale Drive Ste 101
Mpls MN 55416
Larson Plumbing
3095 162nd Ln NW
Andover MN 55304
(763) 427-7680
Applicant/Permitee: Signature Issued By: Signature