4622 Ridge Cliffe DrCITY OF EAGAN Remarks
Addition '.TQMM rAKE RTn(i$Uh Lot .?. Blk 9 Parcel 10 39803 Q1 Q 09
owner street 4622 Ridge C liffe Drive State Eagan, MA( $5122
Improvement Date Amount Annual Ysars Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW 7RUNK '
*SEWER LATERAL
WATEHMAIN
* WATER LATERAL 1981
WATER AREA
STORM 5EW TRK 433 1981 2 55,66 5
,tSTORMSEW LAT 19$1
CURB & GUTTER
SIDEWALK
STREET LIGFFT
WATER CONN.
BUILDING PER.
SAC
PARK
CITV OF EAGAN Remarks
Addition '.r.0UNNY rAiCl? RT[I(ZR 4tR Lot 2 Qlk q Parcel ??,3?o88a ^v?A ^v?
owner streec 4622? RidQe Cliffe Dx'iYe gtate ESgan, MN 55122
Improvement Date Amount Annuai Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK '
*SEWERLATERAL 1 $1 2277,43 455.49 $
WATERMAIN
* WATER LATERAL ? 1981
WATER AREA 1981 300.00 60 pQ $
STORM SEW TRK 1981 278 , 28 55.66 5 278.28 8 1 5 80
? STORM SEW LAT 1981 -
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
MEMIIMGAN
Owner
? L 4 k 9
Street '?6'24 °? ge C1 e ?xlye
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK '
*SEWERLATERAL 1981 2277.43 455.49 5
WATERMAIN
*WATERlATERAL 1981
WATER AREA 19$1 300OO 60.00 S
STORM SEW TRIC 1981 278.28 55.66 S
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWAIK
STREET LIGHT
WATER CONN.
9UILDING PER.
SAC
PARK
CtTY OF EAGAN Remarks
addition -j()F5= CpXE RTDCE?Ith l.ot 3 elk ji ParceI 10 39803 030 09
Owner street 462 Ridge C1j._fge Drave state E8S[An,.MN 55122
Improvement Oate Amount Annual Years Payment Receipt Data
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK '
*SEWER LATERAL
WATERMAIN
*WATER LATERAL
WATERAREA i qQ1 -4M nn F,l1 nn s snn_no r.nnssg i 10115/RO
STDRM SEW TRK
CURB & GUTTER
SIDEWALK
STRE£T LIGHT
WATER CONN.
BUIIDING PER.
SAC
PARK
CITY OF EAGAN
Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12577
PHONE: 454-8100
79MRRRRWFWNwft Receipt 1t d ?. /
To be used tor L OF 4 PLEX Est value $ 4 8,0 0 0 Date SE1'TEMBER 4 1986
Site Address 4624 1/2 RIDGE CLIF FE llR Erect Occupancy H3
Lot 3 Block 9 secIsub. JQHNNY CAIiE Remodel ? Zoning PD
R I DGE
Parcel No 4 TH Repair ? Type of Const ?Ka
. Addition ? No. Stories
GOOU VALUE HOMES
N Move ? Length 44
W
z ame
1460 93RD LN N Demolish ? Depth 24
o Address Int Impr. ? Sq. Ft
city BLAINE Phone 780-5510, Install ?
Z o Name SAME
0 ¢ Address
~ City Phone
m
? W Name
x o Address
z
< 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 appllcable State of
Minnesota Statutes and City a n Ordina
;,pces.
r
,
Signature of Permitt
?
GOOD VAI.UE H ? ES
A Building Permit is issued to:
all work shall be done in accordance
Buildfng
3tate of h
: I
Assessment
Water & Sew.
Police
Fire
Planner
Council
BIdg.Off. 9 4 86
APC
Var. Date
Permit y 1 -6 • vu
Surcharge 24.OC
Plan Review 137.0C
5AC 575.OC
Water Conn. 500.0c
Water Meter 63.5(
Road Unit 794.OC
Tr. PI. 156.OC
Parks
Copie
? , . 5 C
on the express condidon thet
and City of Eagan Ordinances.
Pannli No. Psrmlt Holder Dete TNephone #
H.V.A.C. '7'7,? q
EmctrTc
sonerw
Inspectlon Dab Insp. Comm?nt?
Footlnye 1 t j O
Footingt II
Foundatbn
Frsmin9
poofi^9
Rouqh Plbp. ?/'?? r . ?- 1 ? - ?L L - • 21 /> , '
fiouyh litq. ? c
Insul. y If? FAV ,v. ?-
Firaplace
Flnsl Htp.
Final Plbg. 6 -97
Bldg. Final
Ceert. Oea
Dock Fty.
Deck Frmy.
WNI
Pr. Dhp.
A
Site
m Name
? Addre
c Ciry _
' PLUMBING PERMfT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PRICE PHONE 454-8100
? Name ' -L
3 Address
O City
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR CITY OF EAGAN
PERMIT #
RECEIPT #
DATE:
BLDG. TYPE • ""WORK DESCRIPTION
,
New
Mult Add-on
Comm. Repair
Other
NO. FI%TURES TOTAL
Water Closet - $3.00 t
Bath Tubs - $3.00
Lavatory - $3.00
L Shower - $3.00
/ Kitchen Sink - $3.00
Urinal/&det - $3.00
Z-Laundry Tray - $3.00
i Floor Drains - $1.50
f Water Heater - $1.50
Whirlpool - $3.00
1_Gas Piping Oudets - $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 RECEIPT #
CITY OF EAGAN
3830 PIL'?DT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE:I r: C,, U U PHONE: 454-8100
Site Address ' U •? r gLpG, nPE WORK DESCRIPTION
Lot - Block Sec ub ?c }• ; ? ? ?' ?, ?, _ 1 ?_ ?-
Res. ?-' New '-
Name IATAS
MuR Add-on w
Address ? ' ' ? `? • ti '
t ? Comm. Repair
c Cit?r ? :? Phone.
Other
Name FEES
c Address RES. HVAC 0-100 M BTU
- $24.00
p Cityl --{-"'?-? Phone J?1U ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping OuUets #
Other
FEE
SlC: T
SJ??TURRMITTEE
TOTAL: `
FOR: CITY OF EAGAN
S?" I s. r
F'EF;MIT # -
MECHAWItAL iFf..AIT RECEIPT #
.o ciTY oF EnGA:I
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
CONTRACT PRICE: ?;I c PHONE: 454-8100
5ite Address
Address
City _
BLDG.TYPE
Res.
Mult
Comm.
Other
WmRK DESCRIPTION
New
Add-on 41"
Repair
FEES
? Name ' RES
HVAC 0
100 M BT
.
-
U -$24.00
3 Address ADDITIONAL 50 M 8TU - 6
00
O CitY Phone (RES. HVAC INCLUDES A/C ON NEW .
CONSTRUCTION)
A
UTLETS
M
'
G
S O
(
INIMUM - 1 PER PERMI
) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
?
Unit Heater M BTU -- ----REN10DEtT- ` - 12.00
Air Cond. jj M BTl1 ?-g MIMMUM COMMERCIAL FEE - 20.00
Vent
CFM STATE SURCHARGE PER PERMIT - ,50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # $ BEYOND $1,000)
Other $
FEE:
S/C: STOTAL: 7I?/ ?7
FOR: CITY OF EAGAN
? CITY OF EAGAN p i25T8
!+,)?; 3?r"? ONi'a? 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121N
rw- B 9 PHONE 454-8100
BUILDING PERMIT ReceiptM
To be used tor 1 OF 4 PLEXEst Value $48,000 Date SEpTEMBER 4 19 86
SlteAddress 4624 RIDGE CLIFFE DR Erect C? Occupancy R3
Lot 4 Block 9 Sec/Sub. JOHNPIY GAKE Remodel ? 2oning pD
Parcel No. R IDGF, 4TIti Repair ? Type oi Const Zli?
Addition ? No. Storles
= Name G4oD VAt,UE HOME? ` Move
-? L,l ,
0
44
Length
24
a A d dress
i 14 6d 93 D. L'?1 0 Demolish
- Int Impr. ? Depth
Sq. Ft.
City BLA INEPhone 8-5510 4nstall O
19
= o Neme_
0 u
Address
F W Name-
? Police
- Fire _
Permit -
Surcharge
Plan Revie
SAC
_Z Address E 500.00
W
C
ng. ater
onn.
< W ciry Pnone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state that the Bld
Off
y 4 8 6 15 6. a0
Tr
PI
information is correct and agree to comply with all applicable State of g.
. .
.
Minnesota Statutes and City ?On Orliriances. ... APC Parks
/
?,
' Var. Date Copies
Signature o( Permittea'
'?
? /,? ' S Q
' '
- Total
A Building Permit is issued to: C+WD VAI,VE HOMES on the express condition that
all work shall be done in accordance with all applicable,(Stete of Minnesota Statutes and Ciry of Eagan Ordinances
Building
. Permk No. PormH Holder Dab TNaphorN N
Plumbiny 9 / ri E?
H.Y.A.G.
EJ•eMe
SORM!?
Impactlon Date InsP. Comm?nb
Footlnyel ,? ?
FooNngs 11
FouedaNon
Frsminy
.?c
W
RoaNnq
Rouyh Plbp. 7
Rouyh Hty.
Insul. Wt/ A??° ?
Fireplacs
Final Htp.
[
aI
y. FinN
rt.Occ.
Daek Fty.
Dack Frmp.
Well
Pr. Disp.
CONTRACT PRICE
PLUMBING PERMIT
CITY OF EAGAN
3630 PILOT KNOB ROAd, EAGAN, MN 55121
PHONE: 454-8100
SiUe Address
Lot `Z Block
m Name
? Addre
c City
•_
u
.4-
? Name
3 Addre
O City ...
FEES
COMMIIND FEE - 1% 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)
FOR CITY OF EAGAN
PERMIT #
RECEIPT #
DATE: y'
BLDG. TYPE WORK DESCRIPTION
-x--
'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
Laundry Tray - $3.00
_?__Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
T_Gas Piping OuUets - $1.50
Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL• i
i
?
I
I
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
ounuc. AeA_Q4nn
Site Address `a
Lotv
m Name -' ? ? •
? Addresg /'r 1
c City `, , G'AcLAc Phone
Name
c Address
03 Clty Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
? M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
PERMIT #
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New L- -
M ult Add-on
Comm. Repair
Other
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) -
SIGN RE OF RMITTEE
FOR: CITY OF EAGAN
. pp,77
(g.erfif irafe nf (Orrupttnry
titp of (Eagan
lgP}iM2'#11tPiif Df I1tdbTltg JWPtttDlt
This Certiftcate issued pursuanl to lhe requiremenu of Section 306 of the Uniform Bralding
Code ceriifying that at the time of issuance rhis struclure ww in complrance wrth tlte various
ordinances of the City regulating building construction or use. For the jollowing.•
ux ca.mir?c.uoo I CF 4 P1.'?.t eldS. R,n,;, No. 12578
p,a„y.ncy Tyx R3 zon?s amia w Tya coMu- G?a
eLu'leirkg
4'IH
p„e: nkRG1 26, 1987
Maing offic;.i
POST IN A CONSPICUOUS PUCE
FOR SAI.E"UMM CITY OF EAGAN ?'?? 125?6
TCbla.yi?lAirE 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
L 1 2 PHONE:454-8100
BuiLdI Receipt q C', L - ?) t.
?'
To be used tor 1 OF ! PLEX Est value $48 r000 Date SEPTEP".BER 4 19 86
SiteAddress 4622 1/2 RIDGE CI,IFFE DR Erect LS Occupancy R3
Lot2- Block 9_5ec/Sub. JOHNNY CARE Remodel ? Zoning p0
Parcel No. RIDGE 4TH Repair ? Type of Const Vn
Addition ? No. Stories
Name GOOD VALLIE HOMES Move ? Length 44
10- Address 1460 93?tD LN N Demolish ? Depth ? d Int c;t
y BLAINE Phone 780-5510 Installpr. ? sq. Ft
= o Name SAME
? ¢ Address
~ City Phone
?
? W Name
? n Address
i W City Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to compty with all applicable State ot
Minnesota Statutes and Ci Ea Ordinances.
Signature of Permittee? ?
GOOD VALUE EfUMES
Assessment _
water & Sew,
Police
Fire
Planner
Council
Bldg. Off. 9/4 /$ 6
APC
Var. Date
Permit $ 274.00
Surcharge 24.00
Plan Review 137.00
SAC 575.00
water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copie , . SQ
Total
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official _ - . ' ? -
? PsrmN No. Permk Holdsr Dste TNephor» N
Piumbinq /0 `f 7 L, /1/A
H.V.A.C. / / -a _a 5fi ? ? ;2
v.ctric
Sottofw
Inspecfbn Dab Insp. Commenh
Footlnys I
Foodnqs II
Foundatbn
Framinq
Rooling .
Rouqh Plby :ivrj%
Rouyh Nty.
e-
Fkeplace
FInN Flty. . .U
,
P.
Final Plby. 4 -87
Ffnal
Cwt.Occ. ? ?.
Dack Fty.
Deek Frmy.
Well
Pr. Disp.
.. _ . , • . . ;i? ? ,.. . , .
PERMIT #
PLUMBING PERMIT RECEIPT # C?' (L
CfTY OF EAG/W ?
3830 PILOT KNOB RaAD, EAGAN, MN 55121 OATE: i- <1 ?
Site AddrQss ? G -- - ' ' L f "U, . WORK DESCRIPTION
BLDG. TYPE • !
Lot??
Biock Sec/Sub -?- i ?
:. ?• , ;-?-??_ ?? f?
.
Res. New
m Name - Mult Add-on
? Address - `
? Comm. Repair
c City Phone, Other
NO. FIXTURES TOTAL
Name Water Closet - $3
00 $
?
3 Rddress .
Bath Tubs - $3.00
p City " Phone Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet -$3.00
COMM/IND FEE - 196 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 SURCHARGE PER PERMIT _ ,50 Whirlpool - $3.00
(RDD $.50 S/C IF PERMIT PRICE GOES ' Gas Piping Outlets -$1.50
BEYOND $1,000.00) Softener - $5.00
wen - $10
00
, .
Private Disp. - $10.00
?
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE -
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
PERMIT # "77
, , • MECHANICAL PERMIT RECEIPT # ? L°? -34
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address -?2 ? BLpG. TYPE WORK DESCRIPTION
Lot ^ti Block Sec/Sub -?
9-
4
R
N
?
Name ` L ?
-? r i f-?l es.
ew
--
M
lt Add
?
Address u
-0n
C
R
i
" omm.
epa
r
c Ciiyi Phone ?
s J 6 Other
Name FEES
?
3 Address IU' ?I'?, RES. HVAC 0-100 M BTU -$24.00
p City / j Phone 7Y o `/L' ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping OuUets # T •
Other ? i
FEE
:c/ -?...?-
'
S/C: ?c SIG ?T;tJRE 0 ERMITTEE
TOTAL•
FOR: CITY OF EAGAN
, PERMIT * %cQ 7 ?
PLUMBING PERMIT
CITY OF EAGAN REGEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 054-8100
Site
Lot .
? Name _
? Address
c City
_ , -
BIDG. TYPE WORK DESCRIPTION
Block . q r eclSub Res. X New x_
Mult. Add-on
" Comm. Repair
Phone
? Name 4Xa Q?I? '
3 Address
O City 4 ' ? -- Phone ?bK2
FEES
COMMIIND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNAI'UoE90F PERMITTEE
FOR: CITY OF EAGAN
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00 Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1 50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MIMIMUM - 1 PER PERMIT') ?
--L_Softener - $5.00 -? 0?-?
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C: JO
GRAND TOTAL• r3
1141 2.:.. 3 , 4 8 CITY OF EAGAN
F? .?SF?T,E ONI?O Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12575
TOWHOWg PHONE• 454 8100
BUILDING PERMIT . Receipt M l/L,- _1 (' 7
To be used tor 1 OF 4 PLEX Est. value $4$• 0d Q Date SSPTEMBER 4 19 86
SiteAddress 4622 RIDGE: CLIFFE t7R Erect It Occupancy K3
Lot 1 Block 9 Sec/Su b. JOHI3NY (:AKE Remodel ? Zoning PD
ParcelNo RIDGE 4TH Repair ? TypeoiConst. un
. Addition ? No. Stories
¢
=
Name C??D VALU
F HOMES
Move ?
Demolish ? 44
Length
Depth 24
o 1460 93RD
Address LN N Int. Impr. ? Sq. Ft
City BLAINE phone 780-5510 Install ?
o Name Sp?j'1E Approva ls Fees
$ a Address Assessment Permit 274.00
~ Ciry Phone Water 8 Sew. 5urcharge 4700
-
Police ? Plan Review?' ??
1 = Name Fire SAC ??UO
Address
Eng. 07
Water Conn. 00
< W Ciry Phone Planner Water Meter 0?
• Council Road Unit •
I hereby acknowledge that I have read this appiication and state that the B?dg. Off. 9 4$ b Tr. PI. ?? 00
information is correct and agreq to mply with all applicable State oi
Minnesota Statutes and CityJet' Ordi ces. APC Parks
Signature of Permittee Var. Date Copies
Total $ 2, 019 . 50
A Building Permit is issued to: GOOD VALUE HObiF:..'i on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official
I I PermN No. I Perndt Holda I Date I Talephone k I
n
l?r4 /p'
Final
Occ.
Disp.
• t z s •r ; . r , . . . . . _ . . . . , . . . _ .. . . _ . . . . . . : .
. . . ; n • . -
•
` .
-
" C
e PERMIT # / ?
c
.
.:
`• PLUMBING PERIYIIT RECEIPT # L451
' CITY OF EAQAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ?? ''? • r ?
CONTRACT PRICE PHONE: 454-8100
Site Address - BIDG., TYPI? WORK DESCRIPTION
cd' ?=' •
i
Lot f Block Sec/Sd b _s-? _ c..?
, :
?
' Res. New
m Name Mult Add-on
? Address Comm. Repair
c City • Phone Other
NO. FIXTURES TOTAL
Name Water Closet - $3
00 $
.,
3 Address .
Bath Tubs - $3.00
.
p City .
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
MINIMJM - RESIDENTIAL FEE _$10,00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 2000 Water Heater - $1.50
STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES I 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 EAGAM GRAND TOTAL:
. PERMIT # 7?a 1
• MECHANICAL PERMIT RECEIPT # ?O ??• ? , ? ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE I ? l, C( U PHONE: 454-8100
Site Address
BLDG. TYPE WORK DESCRIPTION
Lot ? Block 9 Sec/Sub ? c ? ,i <
_ Res. ?-' New ?-
m Name Muit Add-on
Address
? , • ? ( ' 67?? . Repair
c Cit}? Q1)? ?)?' + Phone
Name FEES
?
c
Address V6 e
' V
RES, HVAC 0-100 M BTU
-$24.00
p City Phone ??' "? S/ ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK . GAS OUTLETS - 1
50 EA.
Forced Air M BTU 'k COMM/IND FEE - 1% OF CONTRACT FEE .
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADO $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other . ,
:
FEE J? . ?: ? ,•. , . ? ? ??
, -
.
S/C: , 5O SfGNATURE'tlF PERMITTEE
TOTAL• • ? ?
FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilo! Knob Road SEWN 5avici puMff
P. O. Sox 21199 PERM7T NO.:
Esgan, MN 55121 pATE;
ZO^i^o: No. of Ur?itx
OwneR :1a u •:r?
/lddieu:
Slte Address: r1 <it iff -
Plumber. "•` ?'? e 1_ s?'1 ° 1 ^ i
. .. , .':?E,r
?,
l00t)(14
1.em to N.%* wMi Mn Cily of iqpm Canrnction Chorp.: `+4nd
OrdIN110M. ACOOYr1t DlQOilt:
PlRflit FN:
SYRh0rQe:
By Misc. Chorpp;
Date of Insp.: Totol:
Insp.: DoM Paid:
No.:
b eeylp wft Kw C.ilp oi Le"n
.
PERMlT NO.:
DATE:
_ No. of Units:
Coruwction Chorps:
AcxouM DepaatT: ..
Permit Fee:
Surofioroo:
IWsc. Chorpas: ?
Totol:
DaM Paid:
CITY OF EAI"AN VyATER SERVICE PERMIT
3830 R91ot K.rob Road
P. 0. Box 21199 PERM:IT NO.:
Esgan, MN 55121 DATE:
np: ' No. of Unitr.
r.
Mdress: i•-e j?,t,rr 4?
urr6er: _
r No.: s Cn
C+c k ?'
Ci
+ No.: d
, qas !a M?PIP wMb Iw Tt,
.
m Cha?rom
TOtOl. ( ` .10T1C1 RIEt.F r
•6~/ (??eEN? DOb PCW:
Of Insp.: Insp.:
ITY OF EAGAN
330 Pilot Knob Rosd
0. E3ox 21 199
sgan, MN 55121
CiTY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Esgsn, MN 56121 DATE: ZoMrq: 43 No. oi Units: ?.
pwrwr f'oaci `dalue Homes
Site Addre:s: ', 624 vid$e, Cl.if f.:
Plumber. "•'jc}'e's471 rli:jir},i r,
, :, , Y.'• ?. . .??? n `,?t
1Gem hpIr wwh tlw G1q oF Boow Corrwctton Chorpr. '_.' S_ Q!.d
OfmM110M. AcOOINIt ap0iff: ' r _ ..
Po1TrJt FMI - - -
St1rdwm: -
By MlC. C.hOPQli: ?
Date of Insp.: Totoi:
Irop.: DcM Paid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE: ,
No. of Units:
Sfte Addr*s: 4`?24 :?id_- e Gliff4
Piumber. ?.Kci so^ I+::11) i.l
Meter No..
Slu:
Reoder No.:
1 yeM to aoMly wo Iw Cihr of 6we
Orli"naM.
DaM of Insp.:
Connectfon Charye:
/1ocount Deposit: - '
Permit Fae:
Surdargs: ? .
Misc. Cfiorpes:
Total:
Date Roid:
CITY OF EAGAN
3830 Pilot iCnob Road WATER SERVICE pEANff
P. O. Box 21199 PERMIT
EsQan, MN 55121 NO.:
Ion(np: DA•TE:
-
OWr1fr: J ? : .. r . No. oi Units:
Address:
Sfte Addrea: ' ' ?•' _ ^ii.ffc, r
,_'.? • . t^ .
r• r.
PlLMIIbOr: . . . ? ` r O7 .: t _ _ .
' ` (! 1 t -1
Msftr No.:.?
Size: ?"/?oe
b(
ii
i
?°1 •
,
Bp
nrp r
oajllg
? C
,
Reoder
No.: ? 7d 7 y 9 9 4?? rp?,? ?c c t rr?t • '.
i me to `e"m* '.w "m ?`'
o
??RE
t??'
/'
I?c. ??; :, :) t, p r? ,
- ?
B
y .. . TocoL `'• i n? , t e r il
DaM of Insp.: DoM Patd:
?--- - '
'
17` ?7
CITY OF EAGAN own SERVICE PumR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: '-? •
Eagan, MN 55121 pATE;
ZoninD: No. of Units: -?lex
Ownar: ,-
Address:
SItO AddYESS: 4 6Z2+ ?id.? ^ "i l"E 7 79 'D '771;L Ck gif? 4Lh
Plumber: :.cF'rJ.ROn P ..r
lumbir.n
±a- r-`'. (.i.7e.7
1 MrM M amplp wil1t lia Cily of fopw
OedbNSON.
ey
Doft of Insp.:
1 30. OpPd
Conrwctlon Charpe: 4751-11()Fu?,--
AGCOUI1t Dlposif:
PeRn{t Fee:
Surchorps: +
Misc. Charges:
Total:
Dote Paid:
CITY OF EAGAN WATHt SERYICE PERN114
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 _ ?ATE:
2onirg: . Na. of Units:
Owner:
d
dross:
A
Sitr /lddrosx z:
Plumber,
?
Nkte? No.:
Connaction CJ+arys:
Sise: Acaount DaPoait:
Rsodsr No.: Pannit Fee:
1 yrM te oeOi! wNb !M CRY of saps Suroharya:
awlismases, Miac. Ciarpss:
Total:
BY Dote Poid:
Date of Insp.: Insp.:
ITY OF E
AGAN
3830 Pi9ot Knob Road
H/?q?
SE"RVICE PERMI?
P. o. Box 21199 PERMIT NO.:
a9ah. MN 55721 3ATE:
°r'I^fl:. - No. of Units: '! -*?Iex.
r:
ro?
Address: ' - f .
,', ,.e 7 ^ r ? (
C?t'tu<<> ,i. ,, G.
U
, Mblf: - }?
r N?a}.: 3p J?u ` 5'S / Connection Charge:
.
2E: 51,I? ??I(OG1? ?4CCQUr1T ?p061f: 15s 1?
'
dar No.: ?_ _41 `??{ / Permit Fee: ?j
Io eoroly wia 11w Citi of EsNn Surciwrge:
-
?
Ordiwe Misc. Garpes; '
?
? Totcl: * '
r?'??
/.
By Date Pa1d: ?1
Dore of Insp.: Insp.:
a-??87
; CITY OF EAGAN SEWER SERVlCE PERMR
; 3830 Pilot Knob Rosd
? P. U. Box 7' 199 PERAAIT NO.: '
i Eagan, MN 55.121 pATE;
? Zoninp: - `' No. of Unita:
I Owner: /lddress:
$itE AddreSS: 4622 RiLbe ^?eii ;vi'- .t i? 3n*,nn+
Plumber. =i=ckelSen, r?1.w
1 pirw !o eewplq wi1U tw CRY ef Eepn Conr?actlan ChoMe: --" _ r'r• ?
"M11CM. ACOOU?It Dlpowf.
PaIilfit FOl:
SU1ChOr'QO:
81' Mise. Chorper
Dote of Inap.: Twal:
Irup.. Date Pald:
-
3830 Pilni Knob Road
P. C?. Box ?' 199
Eagan MN 55121 Zoniny: _
Ownsr: , ;'4L=tes
/lddross:
Sih Nddrcss: ' t'. l.
Plumber:
MlYQI NO..
Sizte _
COf1Y1f1C[id1 Q'1Qrge: ? `"ro r"..
Acoount Deposit:
Permit Fee:
SurcFwrgs: - _ ,
Misc. Charfles: ' ' . .'
Total:
Date Poid:
Insp.:
Reader No.:
I eyroo to aomPy wob flr CiFr ef leqew
Ordieoenr.
CITY OF EAGAN WATER SERVICE PERMtT
383A Pdloc Knob Road
P. O. Box 21199 , PERMIT NO.:
- ,Eagan, MN 55127 pATE:
No, of Units: `
irg: _
r: V.,°l .
rest:
'!62^
e Addrcss: - "
um6er: `;ici:el son P1?1:
r No.: 3 fa 5 ian Chcrpe:
ze: ?, c 't ? ????r: 15. c
der No.: ? I??t?. 1
.p.. to oo.pl,? ?ruu el? e ° ?;.C?rd,c?
156-0Op? :P
? TOtGl: flOwl ir.F Y E=r
y Dcte Paid:
?
e of Insp.: Insp•:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
? No, of Units:
/.Z?iu?r?Cp f1EGUEST FOH ELECTRICAL INSPECTION
Ii, See inetri,ietions for completing this torm on beck oi Vellow copy.
"X" Below Work Covered by 7his Request
Tvice ot a.naioe
EB-OOOOt-05
` G89,? 7
I I I I Industrial Bldo. I I Air Conditioner I I Bulk Milk Tank I
N Fee ServicaEntrBnceSize k Fee Featlers/5ubteatlers % Fen Circuits
0 to 200 qm s 0 to 30 qm s 0 tn 30 Am s
Above 200 qmps 31 to 700 Amps 31 to 100 A s
Swinmin Pool Above 100_Am s Above 100_Am s
Transformers Irngation Booms Partial.'Other Fee
LSigns ? I ISpeciallnspection ?
ema.ks . ? TOTALf.EE1
7 ?nc1, the le ' al
jnaoactor, herebV
certiiV thel the above
inavection hes been
meee.
Mb
This requast void/,Q/??S(?.
18 rtqnths from I
C 68909/-j_?.?cl 1414441Gk????,
c ??? ? -aao
'0</7. Go
Re.uest oate " Fire No. Rwpn-in InstiAction
p ?qu?red? OFeady NuwW?ll Notify, InsPec-
A
I?-?_
?
? ?
No Ior When Paedy
? Ucb!iSed ElecVical Contrflctor I harebv requeat inspecHOn ot ebove
? Owner elactrical work instelled et:
$v t Atldressoj? or flou No.
iy
V ? Ci
ecLan o. Township Name or No. nBe No. Cowrty
?A
v,-
Oc pAnt (PqINT) Phone No.
Supolier Address
EI rical ContractoriCompany me) . Contr mr's Licen No.
? -?
ai mq Ad ss (Contra r or v+?er king Instailatmnl
C)
A horized SipnaWre (CoMractor Owner
N abng Installation) Phon_ e Number
(1
_
L '
?(
D
?,
c?
vc_lll (xo?f
MINNESOTA STATE 60A140 OF ELECTPICITY I THIS INSPECTION qEQUEST Wlll NOT
Grigps•Midwey BIdH• - Raom N-191 BE ACCEVTEO BV THE STATE BOARD
1821 Univeraitv Ave.. St. Peul, MN 66104 UNLESS PNOPER INSPECTION FEE IS
Phena161216b2-0900 ENCLOSED.
(?/j,;/y7 REQUEST FOR EL'ECTRICAL INSPECTION ee-ooaoi-os
? 1 Sae instrvctions ior completing this form on beck o1 Vellow coOV.
n" 11 nQ "9:" Be/ow Work Covered by 7his Request
MewIAAtlI peO.I Tyoe ot Builtlina I Aaoliantns Wired i Enuipment Wire!f I
ex
? l.omineraal tlltlg. ? ? rumace 5iio unloader ?
? Industrial BIAp. ??Air Conditioner Bulk Milk Tank
p Fee ServicaEMrenceSiie tt Fae fextlans/5ubfeetlers N Fee Circui[s
Oto200qm s Oto30qm s 0 tn30Am s
Above 200 qmps? 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 700-Amps Above 700_Am s
Transiormers Irr?gation Boorc,s Partia6'Other Fee
Signs Specialinspection 5
Nemrirks TOTAL
7
Houph-in Daie .
? 1, the Ele al
ds0ecto1, hereby
il
I Final ?
uJ['? cer?
y Ihnt the nbove
inspection hes been
?v• .da.
rnls rapuest vole 18 monifre Irom
This request voitl (p`/a/o7 '?1'?[?8/
18 mpnths trom ? ?
D ? 10 8 L 3 P. 41o °"'
Ranuest Oate ire Nd. Rouph-i ? nsper,tinn
NequireQ?
* eutl? Now C]Will Nntily InsDec-
S?es? .?? ElYes X.
?ur When Heady
L censetl Elecvical Cmnracbr I hereby request inspection ul ebove
wner electrical work installed et:
Sireet Addres?? or f{oute %/'??
i?y ? AA
e
?
ecbon o. Township Name or No. Range No. Coun
Occupan[ IPflINTI
002 4?- PM1one Nn.
Powe; SuppRer Address
Electrical Convacmr ICOmpany Namel Contrector's License No.
HARRISON ELECTRIC INC. 421867
Mailing AdJress (Conir2clor or Owner Makiny Installa[ion)
3640 Mo n e No. Mi eapolis, MN 55412
Au orized na
j e I acl /O Installation) ? Phone Number
? 521-0520
MINNESOTA STATE BOAXD OF ELECTqICIiY THIS INSPECTION XEQUEST WILI NOT
Griggs-Midwav Bldg. - Noom N-191 BE ACCEPTED BV THE STpTE 9pqAD
1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PXOPEN INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSEO.
C4
"X" 8elow Work Covered by 7his Request
RAd Rao. TYOe ol Builtling' AOPliances Wimd Equipmeni WireE
Home Range Temporary Service
Duplex Water Heater lightiq Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Parm thH, Peci v Other (Sner,ify)
t P.f pCl:1 y 111Cr Olh(±!
ompute Inspection Fee Below
p Fee Service Entrence5ixa !I Fee Feeders/5ubteetlers k Fee
Circuiro
U to 200 qm s 0 to 30 Am s 0 tn 30 Am s
Above 20 _qm ps 31 to 100 qmps 31 [0 100 Amps
Swinmin Pool Above 100_Amps Above 100_Am s
Transrormers rn tion Booms Partial'Other Fee
Signs SNecial Inspection S
Xemarks
• FeP'
/ C-J AA
.
Bough•in ?ate I ,tha Ele ri
napector, hereby
certity 1Mt the above
Final Oate 'ngpection hes bean
ea.
7
REQUEST FOR ELECTRICAL INSPECTION eep-000/01-05
? See instrueiions /or completiny thia lorm on back of vellow copy.
Thb reaueet rolC 18 monthe irom
This reques[ voitl 1,,211?i/?6, (F a%6 q
18 mqnths Imm
68908??
Request D e ' .i Fire No. ° Fouah-in Insuection
/? ? 4? Quired7 OReatly Nuw ill Nntify, InsPec-
' L - ('?/? ?Yes nNo tor When Rendv
0 Licensed ElecVical ConVacror 1 hereby raQUest inspeetion ai ebove
? Owner electrical work installed ar.
StreM Address, 9ox or Roure No. Cil
CcUOn o. Townshi0 Name or No. ange No. Count"W -' _- '
Oc pant (PRINT) Phone No.
Power Supplier
? Address
EI 'cal Contractor (Gbmpeny N e) • Con a r s Lic?ens\ o.
MailinB Address ICOnVacmr or wner Bking Instailatiq(d
A orizeq Sipnature I onttaclor/Ow r a ine installacionl Phone NumEer - ^??
??
?)
MINNESOTA STATE'BOARU OF ELECTRICITY ? THIS INSPECTION flEQUEST WILI NOT
Grippa•Midwey elay. - Room N-197 BE ACCEPTED BY THE STATE BOAND
UNlESS PROPEB INSPECTION FEE IS
7821 Univeraitv Ave.. St. Veul, MN 66104
o1?n?e IF121662.0900 ENClOSED.
rnis .dauast voie
19 months (rom
&,? s? 7
X`, 5, 4-T. o c.
Raouest Dele / fire No? O?ug `Q?n?In5p6ctiOn ?qeatly Now]7?.Q.????ill Nolify. InSPeC-
) - Ves ?NO / v?or When qeatlY
u Licensed ElacVical ConVector . 1 hereby requesi inspeetion ot abova
? Owner electrieel work instelletl et:
5 e t Address, Boa or qou No.
? / Ci
ection o. TownshiD Name or No. anBe o. County
upant IPflI TI Phone No.
Power SupPlier Atldress
E rical Gonuacwr ICbmOany Na ? Con 's Licens
? No.
Mailinp Aa s IConnacto r Owner akine Insteilatio'nl\
t?orized S' nature (Co ctor Owner akinp Installation) hone Number - ?
MINNESOTq STATE BAARD OF ELECTRICIiY , THIS INSPECTION NEUUEST WILI NOT
(iripps-Midway Bldg. - Room N-181 BE ACCEPTEO BV THE STATE BOAXD
1821 Univereilv Ave.. Sf. Poul, MN 66704 UNLESS PROVEN INSPECTION FEE IS
Phenw16121842-0800 ENCLOSED.
1,211 e?/$!J REQUEST FOR ELECTRICAL WSPECTION /ee-ooooi-oe
? Sea instruetions tor comoietirq this form on beek of yellow covV. 9 6 -7
r "eftn "] "X" Below Work Covered by lhis Request
bevdAAtli Rso.) Tvoa ot Buildin9 1 Aooliancea WireA 1 Eauiumenl WireAI
p Fee ServlceEntrBnceSi¢e tt Fee Feaders/Subfeetlers N Fae Circuita
0 to 200 qm s 0 to 30 Am s tn 30 Am
Above 20 _qmPs 31 to 100 qmps 31 to 700 Amps
Swimmin Pool Above 100_Am s Above 100_Am s
Transformers Irngation Booms Partial."Other Fee
Signs SVecial Inspection S
Nem9rks TOTAL FEE (-;----'
the EtecViwl
Inapactor, hereby
cartily thel lhe nbova
?i< ,.? 'napection has beBn
TMa repueat voltl
This,rupuesl voiC
18 nqnths Irom
( 68906
Neouest Date 'Fire No. Rough-in InspeEiion
qurtetl7
?Ready Now
WiII Notify Insoec-
- - 'Yes ?NO lor When Peady
S? Licensed Electrical Conlractor 1 hereby repueat inapection of ebove
? Owner electricel work inatalled at:
ddress, Box o NoutE No.
5 r et A
CAL,
c ?
I ecuon o. Township Name No. Hange No. Cown1y z?
? % 1
M.t
Oc upant IPRINTI Phone No.
Powe lier Address
EI 'cal ConVacmr ICoMpany 1 . Conir tor's License No.
ailinB Atldress (Conttactor or O
? wner akinB Instailation)
?. ? q3
A oriz i0namre (Co acfodOwner a ?ion) Phone Number -("?
??
MINNESOTA STATE OARO OF ELECTRICITY THIS INSPECTION XEQUEST WILL NOT
6rigpa•MidweY Bldq. - Room N•191 BE ACCEPTEO BV THE STATE BOAND
1821 Univeraitv Ave.. St. Poul. MN 56104 UNLESS PflOPER INSPECTION FEE IS
Phnnw (812) 662-0800 ENCLOSED.
/'2711 v/80 REQUEST FOR EIECTRICAL INSPECTION EB-00001-05
1 See instrucliona lor compl9linB this form on paek o1 Yellow caPy. 6996 '7
do G 4 Q fl C "X" Below Woik Covered by 7his Request
hIpWlAAdl Xap.1 TYOe ot BuilEing I Appliancea Wired I Equiomen[ Wired I
ex
lo
I 1 I I (ndusxrial Blda. 1 I Air Contlitioner 1 I Bulk Milk Tank I
M Fee Sarvice EnhaneeSiza k Fee Fenders/Subfieeders b fee Circulta
0 to200qm s Oto30Am s M30Am
Above 200 Am )s 31 to 100 Amps 31 to 100 A s
Swimmin Pool Above 100_Amps Above 100_Am s
Transrormers Irrigation Booms Partial•Other Fee
I ? I Signs I I ISpecial Inspection 'S ?i ))) ??1^
Remerks ? ! e TOTAL
L '?
/?) ?? ?? insoactor, herabv
-r re? certily thet ihe above
Final IB
^? insoection hes baen
/1.C /d ., _ P m_ A-I 3'?7 mee.
r.auest
TOWNHOUSE CITY OF EAGAN A'
FOR SALE UNITS 3830 Pilot Knob Road, P.O. Bgx 21-199, Eagan, MN 55121 'v O ??`C77
?
PF(ONE• 454 8100
L?kNA
VE< R
i ?
/ 6
u pt#
ece n
?
7obeusedtor 1 OF 4 PLEX EstValue $48,000 Date SEPTEMBER 4 ?y 86
SiteAddress 4624 1/2 RIDGE CLIFFE DR Erect L? Occupancy R3
Lot 3 Block 9 Secisub. JOHNNY CAKE Aemodel ? Zoning PD
RIDGE 4TH
ParcelNo Repair ? TypeotConst UA
. Addition ? No. Stories
w Name GOOD VALUE HOMES Move ? Length 44
z 1460 93RD LN N Demolish ? Depth 94
3
° Atldress Int ImPr? S Fr
Q
ciiy BLAINE Phone 780-5510 Install ?
a
i o
Name SAMF. Approvala Fees
$ a Address Assessment _
m
?
Ciry Pnone
water & Sew.
? Police _
F W Name Fi
re
? o Address En
g.
a W city anone Planner_
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/ n Ordinan es.
Ile
Signature ot Parmittee
GOOD VALUE HOM•
A Building Permit is issued to:
all work shall be done in accordance with allppplicMState of Minqgs-c
Council
Bidg. orr. 9/4/86
Var. Date
Permit $ 274.01
Swcharge 24.01
Plan Review 137.011
SAC 575.01
Water Conn. 500.0(
Water Meter 63.5(
Road Unit 290.01
Tr. Pi. 156.0(
Parks
CoPieS--s, --,i.. 5(
on the express condition that
and City of Eagan Ordinances.
8uilding Otticial
?n
TOWNHOUSE CITY OF EAGAN t?1 C
FOR SALE UNITS 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 'v ? 12578
L 1, 2, 3, 4 B 9 PkiONE: 454-8100
BtlILDING PERMIT ' " " Receiptk d-?
7obeusedtor 1 OF 4 PLEXEsiValue $48,000 Date SEPTEMBER 4 19 86
SiteAddress 4624 RIDGE CLIFFE DR Erect Iff Occupancy R3
Lot 4 Block 9 Sec/Sub. JOHNNY CAKE Remodel ? Zonin9 PD
Parcel No RID('iE 4TH Repair ? Type of Const VR
. Addition ? No. Stories
a
W
Name GOOD VALUE HOMES Move ?
D
li
h ? Length
D
th 4
24
o Address 1460 93RD L1V N emo
s
Int.lmpr. ? ep
sq.Ft
ciry BLAINE phone 780-5510 Install ?
o Name
SAME
Approvals
Fees
$? Address AS38SSnleM Permit +S 274.0(
? Ciry Phone Water&Sew . Surcharge 24.0(
?Q
F w Name
oAddress
I W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct antl agre comply with all applicable State of
Minnesota Statutes and Cirty? n Or " nces.
Signature of Permitte "'
Police _
Fire _
Eng. -
Planner
Council
eidg. on. 9 /4 /8 6
Var. Date
Plan Review 137.0(
SAC 575.0(
Water Conn. 500.0(
WaterMeter 63.5(
Road Unit 290.0(
Tr. pi. 156.0(
I Parks
' Copies
Total $2.019.5(
A Buildin Permit is issued to: vvvu veu.vc. nvric.o
9 on the express condition that
all work shall be tlone in accordance with all applicable t te of Minneso ta -e.s/..and Ciry of Eagan Ordinances.
Building Official ?
f ? -i??a.a?..
"'Y "
FOR SALE
TOWLVHOUSE
L 1,2,3,
BUILDING
UNITS CITY OF EAGAN
3830 Pilot Kno?oad, B O. Box 21-199, Eagan, MN 55121
4 B 9 PHONE:454-8100
PERMIT
N° 12576
Receipt #
Tobeusedtor 1 OF 4 PLEX Est.value $48,000 Date SEPTEMBER 4 1y86
SiteAddress 4622 1/2 RIDGE CLIFFE DR Erect LI occupancy R3
Lot 2 Block 9 Sec/Sub. JOHNNY CAKE Remodel ? Zoning pr1
RIDGE
ParcelNo 4TH Repair 0 TypeofConst Vn
. Addition ? No. Stories
W Name GOOD VALUE HOMES Move ? Len9th 44
Demolish ? Depth-i
?
; Address 1460 93RD LN N Int Impr. ? ?
Sq. Ft
o Ciry BLAINE phone 780-5510 Instali ?
o Name SAME
$ Q Address
• Ciry Phone
F W Name
z
a Address
0
i W Ciry Phone
I hereby acknowledge that I have read this application and stale that the
in(ormation is correct and agree to comply with all applicable State of
Minnesota Siatutes and Ci f Ea Ordina?n/ces.
Signature of Permittee ` ?•? !h??
A euilding Permit is issued to: GOOD VALUE HOMES
all work shall be done in accordance with all applicable Statg,of Minnesota
Assessment_
Water & Sew.
Police -
Fire
Planner
Council
Bldg. Off. 9/ 4/ 8 6
APC
Var.
Permit ?
Surcharge
Plan Review
SAC L/ Y. V V
24.00
137 .00
575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
7r. pi, 156.00
Parks
Copie
Total 0
on the express conditlon that
City of Eagan Ordinances.
Building
L 1, 2, 3, 4 B 9 CITY OF EAGAN
FOR SALE UNITS ?1
C
?C
'v ? ??
3830 Pilot Knob Road, P.O.,Box 21-7 99, Eagan, MN 55121 `
?
°?
TOWNHOi'sSE ?'FN;bNE: 454-8100
Bl11LDING PERMIT Receipt # c/??.J- V 7
7obeusedtor 1 OF 4 PLEX Estvalue $48,000 Date SEPTEMBER 4 19 86
SiteAddress 4622 RIDGE CLIFFE DR Erect O'ccupancy R3
Lot 1 Black 9 Sec/Sub. JOHNNY CAKE Remodel ?, Zoning PD.
RIDGE 4TH
Parcel No Repair ? TypeofCOnst. yn
. Addition ? No. Stories
= Name GOOD VALUE HOMES Move ? Length 44
W 1460 93RD LN N Demolish ? Depth 24
o Address Inl Impr. ? Sq. Ft.
City BLAINE phone 7$0-5510 Install ?
¢ Approvals Fees
o Name SAME
?°, a Address Assessment Permit $ 274.00
? ciry Pnone Water&Sew. Surcharge 24.00
? Police Plan Review 137.00
,W Name Fire SAC 575.00
_a
u Address Eng. WaterConn. 500.00
aw ciry Pnone Planner WaterMeter 63.50
I hereby acknowledge that I have read this application and state that the
intormation is correct and agree to comply with alI applica6le State of
Minnesota Statutes and Ci n Ordin ces.
Signature oi Permitte Gr
A Building Permit is issued ro: GOOD VALUE HOMES
all work shall be done in accordance with all applicable Sla)e.et Wnesota
Council
eidy. on.9/4/86
Var.
Road Unit 290.00
Tr. PI. 156.00
Copies
Total $2.019.50
- on the express condiHOn that
of Eagan Ordinances.
Buliding
(y°1 D ? y
2005 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PII.OT KNOB ROAD, EAGAN MN 55122
651-675-5675
*So. so
Dateao Of
Site Address 9 L A.1, (Z ,V y? L I/? ? 1- ? of Unit #
Tenant Name Former Tenant Name
Property Owner Telephone # ( )
Contractor Pf????,??c?
Address _"38AO Sh CiTy P r.dt L"?:?
State /1?1 10 Zip 1 Telephane #(°NSl)
License #_ 53-7 (. Expires: 1).
The Applicant is _ Owner Contractor _ Other
Work Type New Bldg _ Modify Tenant Space RPZ PVB _ New Repair/Rebuild _ Replace
? Irrigadon system Work within public right of-way/easement _ Yes _ No
Rain sensors are re uired on irri ation s stems
Z 'D? S`J
Descriprion of Work ,.. , d LS ' I
To inqnire if Presaure Reducing Valve is required on new service, call 651-675-5646 I 1 MA
? - 5
Meters - Call 651-675-5300 to verify that hydrostatiq conductiviry, and bacteria tests passed rior to icki ! meter.
?
Irrigation Size & Type Avg GPM 2" turbo req'd uniess smaller size Publi Works
Fire Size & Price 3/4" disnlacement 51.61.00
Domesric Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
ConhactValue $ x 1°/o = $ PemutFee
$ Meter(s)
Required on all new buildings & boulevazd irrieation svstems $ Radio Meter Read
ff permit fee is $1,000 or less, surcharge is $.50 $ $13t0 $uiC}iaz$B
If permit fee is over $1,000, surcharge is $50 per $1,000 of the Pemilt Fee
Y
Following fees apply only when installing new irrigatioo system T $ ^ Water Permit
Call Semy Wobschall at 651-675-5024 for required fee amounts
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
----------------------------------------------------------------------------------------------------------------- - ------
$ 5-0 - ------- - ----------------------------
Total Fee
I hereby apply for a Commercial Plumbing Pemut and aclmowledge that the informakon is complete and acciuate; that the work will be in
confovnance with the ordinances and codes of the Ciry of Eagan and wi[h the Plumbing Codes; that I understand this is not a permit, but only an
application for a pemut, and work is not to start without a permit; that the work will be in accordance with the approved plan in [he case of work
which requires a review and approval of plans.
C ?I L'I%°' ?
)OJ /IJ
ApplicanYs Printed Name can gnature
e'l
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevazd irrigation systems- $141.00
• RPZ's must be tested every yeaz and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan.
• A minimum Fee permit per address is requued for the following RPZ's: new, rebuild, reuremove.
• Water meters include copper horn/strainer, remote wue, and touch-pad meter.
METERS REOiJIItING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residenrial $125.00 4-120 1-1/2" irrlgation syst $ 735.00
displacement smcommercial turbine*` Public Works
maximum
must approve
continuous meter size
10
2-30 3/4" lawn irrigation $161.00 2° turbine lg urigarion syst $ 931.00
maxnnum displacement residenrial &
continuous sm commercial r production lines
15
3-50 1" displacement very lg res $296.00 1-/4to160 2" compound bldgs over $ 1,849.00
bldg to 24 units 65 units
maxunum sm commercial &
conrinuous & lg comm bldgs
25 irri aHon s stems
5-100 1-1/2" bld
gs 25-64 units $429.00
maximum displacement &
nuous
L L F
.,
comm bldgs
?5O
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS U5E PRICE GPM METERS USE YRICE
5-350 3" turbine verylgirrigatlon $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00
syst & production very Ig comm bldgs
lines
1/2-320 3" compound +200 unit bldgs $2,282.00 10.1000 6" compound +400 unit bldgs $6,076.00
very lg comm bldgs very lg comm bldgs
15-1000 4" turbine very lg irrigatiou $2,226.00
syst
& producHon lines
Commenu
• To schedule inspection of the inside water line and backflow preventec, ca11 65 1-67 5-567 5.
• To an•auge for water nun-on, call 651-675-5300.
cc: Maintenance Division Clencal Teclmician January 2005
5017 Z COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
113 ?s
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sets • Architec[ural Plans (2) sek
• Civil Plans (2) . Structural Plans (2) • Code Analysis (i) "
. Certificate of Survey (i) • CivilPlans (2) • ProjectSpecs (1)
• Coda Analysis (1) " . Landscaping Plans (2) • Key Plan (1)
. ProjeGSpecs (1) • CodeAnalysis (1)" • MasterEzitPlan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (t) • Energy Calculations (1) not always"
. SoilsReport (1) • Spec. lnsp. &Testing Schedule (1)" • EIec.POwerBLightingFOrm (1)notalways'"
• Meter slze must be established • Meter size must be esfablished • Meter size '
• ProjeUSpecs (1)
1 • EnergyCalculations (1)'•
1
•
EledricPOwer&LightingForm
(1)
MAY
l D
0 2002
b • Master Exit Plan (1) I
y • Fire Protection Plan (1)" 1 ?
! • Soils Report (1) 1 s
• MClES SAC determination letter • MGES SAC determination letter • MGES SAC rmination le tter
ca11651-602-1000 ca11651-602-1000 ca11651-602
" Contact Building Inspedions for sample
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
DATE: WORK TYPE: NEW REMOD CONSTRUCTION COST: v-
SITE ADDRESS: ??1 It.1'1 t 1?, _i u„n i I.1 l I„?1 Iil) Dt /?nc rll t?.D Ylrit FP
TENANT NAME:?
FORMER TENANT NAME, IF
DESCRIPTION OF WORK 1
SUITE
9, 3c?e y--Ft,
L- 1 16
PROPERTY
OWNER
Last
First
J ( 1 r
City: ?? State: M,v Zip: hb11t)
Compauy I 661tPhone (b5L__) a&'qb41b
CONTRACTOR
Sheet Address:
City: ?
ARCHITECT/
ENGINEER Company: _
Name:
S4eet Address:
Ciry:
Licensed plumber installing new sewerlwater service: Phone #
Zip6B 111
State: u (lJ
Phone #: ?
Registration #:
State:
Zip:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
Updated 1/02
OFFICE USE ONLY
SUBTYPE
? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 CommerciallIndustri al ? 32 ExtAlt - 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 (Foundafion) ? 46 Windows/Doors
? 32 Addirion ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. ft.
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Bldgs. Width sq. ft. •, .'
Const. (Actual) Basement sq. ft. MC/ES System
(Allowable)',? ?Jirst`Floor•sq'ft.• Gity Wat4 ? ? •
UBC Occupancy ? ! ? ' - . . - - ? . ? • ?
sq. ft. Fire SpiinkleYed•
? ., • . . . .. . : , , •' ? ? -. ? - .
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insulation q Plumbing ?' Stucco/Stone
.n . , ? .
APPROVALS - ?
? 4.
I ? ? • '•. ^ • ,
Planning+ '-Building , '.. . ? ,
' 'Eiigirieering •T• y`Variance f
' ? a. - . .. ?.?. c.?. .?t ... :?!C.._ .I1.
VAL'UATIOTV $' t r.. . ;
Permit Fee .., . • . . _
Surcharge
Plan Review
MC/ES SAC,
City SAC
Water Supply & StqrKe„ .
.. „
S/W Permit ? S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
% SAC
SAC Units
, Meter Size
• 1
. . d ?
.^ . .
. ? . ,
• r?. + . , ,• ' N+:
' .. . ?:,_.
. ? ? ,' ? . , .
' -;
Total
CITY USE ONLY
PERNIIT #: RECEIPT DATE:
2002 g£SIDENI7AL MECRANICAI. PERMIT APPLICA7I01V
crrY oir $wsAx
3$30 fQ.OT KAOB iiD
£ABAN EtA S51 E8
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 5 1 _; ` I (--)D-
SITE ADDRESS:
liw-
j3A? 'OTELEPHONE #:
OWNER NAME: EA
,
INSTALLER NAME: Tbl? TELEPHONE #:
STREET ADDRESS: ) a v
?
(Of51 qqq 187S
Z?3 3g3 g3?3
CITY: P?f y?? _ STATE: YY) Place a check mark next to the permit work type
ZIP: ELJ?
Add-on, modification or alteration to existinq dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: T?o Y?-1 n/?UV
emIDTl
JUN 1 1 2002
State Surchar e 50
TOtal ey_ P
?`?' ' v Y 1 t-
to
SIGNAT F PERMITTEE
vaz
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
COMMERCIAI.14ECH"Ci4L PEgMIT
CITY 0F KAfiAN
3$30 PILOT KNOS iiD
EAsA1v,Mv 55i sa
651-6$1-4675
Please complete for: all commerci mdustrial buildings
multi-family bui ngs when separate permits re not required for each dwelling unit
DP.TE: \
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLl):
WAS THERE A PREVIOUS TENANT IN THIS
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHQNE
WORK TYPE:
Specify Nature
When insta[fi
Plumbing ins,
Fees: 1% of
Contract price: $
State surcharge
TOTAL
construction
or Improvement
;ssed Piping
STATE:
Install U?Tank
Remove . Tank
underground tank, call 651-681-4675 for inspection by?Ire Marshal and
t price OR $50.00 minimum fee, wluchever is greater. \
tanlc removaUinstallation = minitnum fee
x 1%= $ (Base Fee)
calculate at $.50 for each $1,000 Base Fee
$
RECEIPT DATE:
PHONE #: -
N. NAME:
SIGNAT[IRE OF PERMITTEE
Updated 1/02
C?'I4TIFIC4 TE Q1F SllNk T. i -
For.' GQOD VALUE HOMES
/
/ \ V
?\V
O ?
<
? ?4454)
?
?
lC 911, .1 )
/
C9k5.?)
( 94k. i),
Lots 1 through 4, inclusive, Block 9, JOHNNY CAKE
RIDGE FOURTH ADDITION, Dakota County, Minnesota.
LE6EM
x7fX.x Denotes Eylstinp Elavation
DfX%.7q Denotes ProposeG ElaratSOn
o Denotes Iron Iqnument
0 Denotes MoOGen Stok•
4.-..- Denotes Sw-tsu Orasnape
R^qoasid hbµfe fJ#vltJavu
Top af Foundatlon ?
'GSrepe F:oor ^ 4 ?•?
8aaemant F)oor -
scrle s' ? 112? ,
0.N,Sals11 1d _..? ..f .UIY
"+; ., eFPe,". w.y
- !_ i 9La.i4
I IiEREBY CERTIFY THAT THSS SURVEY, PLAN. OR REPORT WAS PREPARED BY ME OR UNOER MY
OIAECT SUPERYISION AND THAT I AM A DUIY REGISTERED 1AND SURVEYOR UNDER THE LAMS OF
THE STATE OF MINNESOTA.
' Dateu tnas 'yd tlAy of SeF'1'• .191A C.R. MINDEN C ASSOCIA?ES. INC.
py e-"a.
Bppk, Pepe_ Minndso?a l?pi?trstion No. 7TZL
C.R. WINDEN & ASSOCIATES. INC.
Land Planning. Surveys & Site Oes?pn
13e1 Eu.tis st., sc. aaui. Mul 55106
'.el. 645-3549
_ • • i Y' ?
1986 BOILDING PEAlIIT APPLICATION - CITY OF E9GAN
NOYS: Ai.[. COPTRACTORS MQST BE LICENSED HITH THE CITY OF EAGAN
SILYGLE FAlffLY BWELLINGS
INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWEI.LINGS - SESIDENTIAL
INCLUDE 2 SETS OF PLANS, CEH
1 SET OF ENERGY CALCULATZONS
RIIiTAL 08IT3 FOB SALS ONITS
OF SIIR9SY - CHSCH itITH BLDG. 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: Valuation:
Site Address raa "
Lot Block 9
Pareel/Sub v
Owner
Address 93,,e.Z
City/Zip Code dzl..?
Phone 1-
'?%D -.-?s`,:?-ZD
Contraetor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Date: 9-,j - rh
OFFICE DSE ONLY
Erect _ Oeeupaney
Remodel Zoning
Repair Type of Const
Addition # of Stories
Move _ Length
Demolish Depth
_
Int.Impr. _ Sq Ft
Install _
aPPxovat.s ?es
Assessments Permit
Water/Sewer Sureharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL
NOTE: ADDRBSSBS FOR CORNEB LOTS - CONTRACTOR/HOMEOTiiNER MQST DBSIGNATE RHICH ADDRESS
IS DSSIRED. NO CH6NGES WILL BE ALLOTiED ONCE BDILDING PERMIT IS ISSQED.
7986 BIIII.DING PERlIIT 9PPLICATIOH - QTY OF EAG9A
90TS: ALL COPTRACTOES MOST H6 LICENSSD WITH THE CITY OF EAG6N
SffiGLE F9FIILY DWELLIBG3
INCLODE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS
MOI.TIPLE DWH.LIAGS - RESIDENTIAL RENTAL D9ITS FOR SALS QNITS
INCLUDE 2 SETS OF PLANS, CSN
1 SET OF SNERGY CALCULATIONS
COMMERCIAL
OF SDRYSY - CHECH SiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:
Site Address
Lot O? Block 7
Valuation:
yfjj
Parcel/Sub ? Aak"
Owner (?,?o.,e,4 z2a? ;Vo-?
Address ??(D 9?2 zf' LA' A/
City/Zip Code
Phone
Contraetor
9ddress
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone lf
Erect
Reanodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Date: 9 -. 3 -
Occupancy
Zoning
Type of Const
N of Stories
Length
Depth
Sq Ft
APPROVAIS FSES
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
YOTAI,
NOTE: ADDHESSSS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MDST DESIGNA?fi WHICH ADDRfiSS
IS DESIRED. HO CH9NGSS WILL BE ALLOWfiD ONCE HOILDING PSRMi2 IS ISSDED.
.. S
?
?
1986 BffII.DING PEIRIIT APPLICATIOH - CITY OF EAGAN
HOTS: ALL C08TRACTORS M[IST BE LICENSSD flITH TH6 CITY OF EAGAN
SIAGLS F9MII[.Y Di1S[.LIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiiELLINGS - RESIDENTIAL RENTAL 0[1IT5 FOR SALS QNZTS
INCLUDE 2 SETS OF PLANS, CSRTIFICATE OF StIRVEY - CHBCB itITH SLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMRC'Tef-
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICAT20NS AND 1 SET OF
ENERGY CALCIILATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: paluation:
-7?
Site Address y/ a v
Lot ?-/ Block 9
Parcel/Sub M? aam?
Owner Cj poi? /Ja?i/
Address / ?Gep g,? ? 4-11! iC/
City/Zip Code y
Phone
Contractor 6a&5e-!?
Address
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone #
Ereet
8emodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Date:
Occupancy
Zaning
Type of Const
# of Stories
Length
Depth
Sq Ft
APPROVALS FEES
Assessments Permit
Water/Sewer Sureharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL
NOTE: ADDRESSBS FOR CORNE9 LOTS - CONTRACTOR/SOMEOiiNER MDST DESIGN9TE AHICH ADDRESS
IS DESIRED. NO CH9NGE5 iiILL HE ALLOii6D ONCE B[JILDING PERlffT IS ISSIIED.
OF EAGAN
NOYS: Ai.i. C06TR6CTOE3 MQST BS LICENS6D i1ITH THS CITY OF EAGAA
SIIQGLE FAMIILY DiIELLINGS
ZNCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYo 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DiiE[.LINGS - RgSIDSNTI9L RENTAL UNTTS FOE SALE i1NIT5
ZNCLUDE 2 SETS OF PI,ANS, CERTIFICATE OF SQR4EY - CHECL WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COAMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRIICTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation:
Site Address
Lot 03 Bloek ?
Pareel/Sub l;t
Owner L?00? ???•A?/G ?o?.?
Aaaress D
City/Zip Code Azg',,e?
Phone
Contraetor
Address
City/21p Code
Phone
Arch./Engr.
Address
City/21p Code
Phone 0
Erect
Remodel
Repair
Addition
Afove
Demolish
Int.Impr.
Install
Date: ,??.?•Sl??
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
APP80V9L4 FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Varianee Copies
iOTAL.
NOTS: ADDBESSES FOR CORNER LOTS - CONTRACTOR/HOMEOBNER MOST DESIGNATE WHICH 9DDRESS
IS D&SIESD. NO CHANG&S WILL BE 9LLOWED ONCE HQILDING PEHMIR IS ISSDED.
i1I'I'" {1F EAGAPd
LPSHH:CLRC 1S 1'I_f;PiWPI_ t+:0' 76 3
L;¢y'ic• 09;02/99 ';'TPiE: 1.3;1.3:.0
Iii:
?lWE: `,UNiiAN?':f.-: CONSTftU;7ION
,
3e10 anot 46e4.e; Rnr.; sL.r.F 60.00
3;.?O 930i 1.6/24.:5 FiD4; Cl_Ic 0.25
t=155 907:1 4624.5 Rlita CI._: '1= f).50
32:1.7 9:709. 461.8..5 14 bll„r)Q
34;3`] 9001 W8.,5 (='FNI(bIL N 0..25
055 :1001 he,i£1.:5 {''ENi<WG. W fi.:':i:l
:'c.'..CI ::UQ'! 4620..5 I-'N.NI:WC=. H 60.00
2:30 9901 4620.5 F'rNL'WE W [,,.it".;
205 9001 a620,5 PENiaWe 0 n„so
7ai,:7:1 Rereipt, A:cc,uri;^ 7.8c.O
Cfi:t16402
IJSI 'n IL7;. JF;td
:$%0::. S%??FI:C'O}:D:GF?M?$>X:i:?;;:,:R7.:;X:?(I`Y,(Y,CkM,:.;.<Y:'.'d%F:)'r.i;;Y,<w•y
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
- r ? - CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122 ?TL
L? "?:) ? 651-681 •4675 ?'0 / ?
New ConshuMio n ReautremeMs RemodeVReootr Reau6eme?s Q1 - _?_ /--y
D 3 registered sile surveys ahowing sq. tt. of lot, sq. X. of house
and QII, rooled arem f40% maximum lot eoveraae allowed)
? 2 coples of plans (show 6eam 6 window sizea; poured (nd. design; etc.)
? t se} W energy calculafions
? 3 copies ol hee presenotion plan @ lot plaltod after 7/1/93
DATE: Cl - z-`? (
DESCRIPTION OF WORK:
STREET ADDRESS: ? ?Z9
LOT: ? BLOCK: 9 SUBD./P.I.D. #:
2 copfes of plan
i tet W energy ealCUlaNom lor heafed addiHons
t tXe survey for exterlor addNbns i decb
cosr: l S-00- c9(D
fc
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
r
Name: tK V ' vX t'f?'o ? Phone #:
lart Firsf
Sheet
City State: kvit') Iip:
Company: 5U"&l'L0_'Q `-O?t5\. -E"C_ Phone #: J?l Z-
(area code)
SheetAddress:bn IL L4ZO 4v'e ," License# 5-GExp
City State: ?/" Zip: JrSqZ7
Company: Name:
Telephone #: area code ( )
Shedt
CHy
Sewer 6 wafer Iitensed plumber (reaulred for new conshuction onlvl:
State:
Penalty appties when address change and Io1 change is requested once permR Is Issued.
Zip:
1 hereby ncknowledge that 1 have read this applieaHOn, state ihat fhe Informallon Is correet, and agree to comply wNh all applicabl
State of Minnesota Statutes and CHy W Eagan Ordinances.
SlgnaFure of AppllcaM:
OFFICE USE ONLY
Registration #:
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
... ,
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex .Lf' 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Levei ? 24 5torm Damage
? 05 3-plex ? 10 8-piex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
W 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 SidinglSoffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) O 42 Reroof
" Give PCA handaut to applicant for demofition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
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
rotal:
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
60.50
Census Code 4!5''(
SAC Code 01,
No. of Units 1_
No. of Bldgs _0
MClES System
City Water
Booster Pump
PRV
Fire Sprinklered
A& Engineering Variance
Valuation: $ I ? 2 d C)
i
?
i
?
60 ,'7 S
SAC Units
% SAC
??.. .. "•. E w+ i S. vs- .ovn iT:: i
fAn' GOOD VALUE HOMES
/
/ .?.
O ?
?
?
946.1)
(940-)
94y, i}
Lots 1 through 4, inclusive, Block 9, JOHNNY CAKE
RIDGE FOURTH ADDITION, Dakota County, Minnesota.
LE6EAD
%X7f.% Donotu Ealstlnp EUwtlon
Uf1U(.%) Mnotes Propossa Elevatfon
o Oonates Iron Ibnument
O Onnote• MooAen Stak•
.ft--'- Danotse Surface Oralnape
Rrqoa"d hbµ*f El?v?tlana
Top o/ Foundatfon ?
Girafle F:oor
8asoment F1o0r -
5cS1• !' I&
B.N. Ss1 Ii•? -10 •h A/ ??-
Infer,r?+,nn .???k+..
t0
Datum r. v n 10 ,i6Q Ad?
I HEREBY CERTIFY THAT THIS StJRVEY, PLAN. OR REPORT MAS PREPAREO BY ME OR UNOER NY
DIRECT SUPEAVISION ANO THAT I AM A DULY REGISTERED lANO SURVEYOR UNDER THE I.AMS OF
TFIE S7ATE OF MSl1NESOTA. --
" pated this 31a day of Se1t• , 19-6& C.R. MINDEN C ASSOCIATES, INC.
by
Bpok_ ptyo_ MinnjapAepf tratfon No. .Z726
C.R. WINDEN & ASSOCIATES. INC.
Land Planning. 5urveys & 5ite Deaipn
13e1 Eustie st., sc. P.ul, w+ 5510e
-.l. 645-3e4e
- JOHNNY CAKE RIDGE
TOWNHOw ASSOCIATION
Mana3ed by
Condominium & Associauon Resource Group, Inc.
7900 InEesnationa! I?riva, Suice # 953
Bloomington, IMIN 55425
61J853-9914
August 19, 1999
Mr. Bill Wolf'f
Sundance Construction, Inc.
6922 42nd Avenue North
Crystal, MN 55427
Re: Deck Extensions
Dear Mr. Wolff:
The ]ohnny Cake Ridge Townhome Association Boazd of Directors has approved your
bid for deck extensions at Johuny Cake Ridge Townhome Association. The deck
extensions, which are optional for homeowners to purchase, must meet Ezgan City
Codes.
If you have any questions, please feel free to contact me at 612.853.9910.
Sincerely,
Peder T. Flaten, Assnciation Manager
On Behalf of the Johnny Cake Ridge Townhome Board of Directors
, CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*XrPF: PA7mM;w OF FF£ AT TIME pF
AppLicmioN DOES WT CCNMT=
APPAC)VAL OF PF.RNIIT.
xNWncriorr oF sUM Arro/ox MM
INSZarraSIONS WILi. NDT BE SC.fED-
UI.ID UNPII, PERMIT AAS BEET7
APPROVFD.
°____________..___..-- --------------
(Please Printl
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: I
_ i,.ocixslocx/subaivision or Tax Parcel ID #)
IF EXISTING 5'LRL'CIL?RE, DATE OF ORIGINAL HtIILDING PERMIT ISSL'ANCE:
PRFGENP 7ANING/PROPOSID CSE: (Mon Year)
-
q COI"ME['tCIAL/RETAIL/OFFICE ? R-1 SINGLE FAFIILY
f-7 IbIDCSTRIAL ? R-2 DT-IPLEX (Zt,o Onits)
f-I INSTIZS.'TIONAL/GOVERNMENp 0 R-3 TOFINIIiOUSE (Three + Units) ( Onits)
. Q R-4 APARTM]iZIT/CODIDOMINIUM ( Units)
2) ?
NAME_ p4- !f
aDDxsss: e. o_ F.? v x> 2
cizY, srATE, ziP: S ca thi ?.? a 7? r? u 7 3
PxorE: ?{33 -s7 7 /
3) • u ?: ?• For City Use .
N`?' Pltmbers License:
ADDRFSS:?? h ? Active
CITY. STATE. 2IP: Expired
Not recorded
PHONE: MASTER LICENSE#
S a?Irut^-ial
41 • • ? ia?•
taAME: ('9 ri ? f r
_ ADDRESS:
QTY. STATE, ZIP:L3 L_A d' n? Y M/J ??i S// 3 I/- (! 3 Sf?
PHONE:
5) ? r• ? r • ?• : ? • ?? - a?
? CONNECTION TO CITY SEWFR d;KCONNDGTION TO CITY 4Z4TII2 0 pT[-IEIt '.
6) ?? «• • ? r ?
?
PLF,ASE IiOLD APPROVFD PERMiT FCU2 PICK-LTP BY ONE OF ABdVE
PLEASE MAIL APPROVID PERMIT TO 1?? 3, 4, A&7VE
(C?ircle one)
. FOR CITY USE ON LY ` --.-
PERMIT # ISSDED
OS-7
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLODE SORCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ ?CS O b $ WAC
$ S 7S ,O-? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BEN°FIT/TRUNK WATER
$??,`-( • O O $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S I a g Y' S? S ?O 0 TOTAL
??2-S3 RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
?P
DATE: gIf/f
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*ATR: PAYMEN'C OF FFE AT TIME pg
APPLICATION DOES NOr CCNSTrAM
APPROVAL OF PEFOffT.
iNseECTIort oF sF, arro/ox WATER
IN T.7.ATTONS WII.L Wdr BF.' .SCEIFD-
ULEU UN1ZI, PII2NIIT AAS BhE1V
APPROVED.
-----------------------------------
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
ision or
IF EXISTING SIRf,Y.ZS)RE, DATE OF ORIGINAL HUILDING PERMiT ISSL'ANCE: - ~
PRESEDTP ZANING/PROPOSID L'SE: (?"bn ear}
? COMMERCIAL/RETAIWOFFICE ? R-1 SINGLE FAMILY .
r7 IDIDCSTRIAL Q R-2 DUPLEX (TWo Units)
? INSTITL'TIONAL/GOVEWENT ? R-3 TUWNH005E (Three + Units) ( CTnits)
. [? R-4 APARTMENf/CONIDOMINI(.TM ( Units)
2) ? -
NAME= nr,<< te pL sUw
ADDREss:(). n. C3 n V / 2 ?- cITx, srATE. 2IP: SC' a h! .1 ,? a n.N cSo ?]
PHCNE: 433-5I7/
3) • ?: ?• NAME. Fbr City Use .
Plumbers License:
ive
ADDRESS:?.? Etirreecdorded
CITY, STATE. ZIP: PHONE: MASTER LICENSE# Staff Init-l'al
4) ??• • • i?• /+ I
NAME: lc5 C7' l(?-Z. cr h?_.??
- AwDREss: I Sr () d
cixY, srATE, ziP:74A:? w wKne
PxonE:- -) S-o / e-)-
5) ??21. •?• : a I aa - oll
? CONNECTION TC) CITY SEWII2 ? CpNVEKI'ION 1O CITY WATER Q pTFIER '.
6) n . . ?
Q PLEASE HOLD ApPgpVEa pgtMIT FY)R PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPROVID PERh1iT TO 1 3, 4, AHOVE
7--
A A ? _ (C2? ircle one)
. FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLL'DE SL'RCHARGE)
$ $ WATER METER/COPPERHORN/Ot'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ O t? ACCO[JNT DEPOSIT - WATER
$ 5C50,Oo $ WAC
$ S 7 $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ l $ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
$ $ S? O
)
Z TOTAL
7
RECEIPT RECEIPT
DOES UTILITY CO NNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIST AS
CONDITION
. .
A
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: /a. ? ??
• CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
^IOTF: PAYM-Nr OF FEE AT 77ME pF
APPLICATzoN WEs Nom oorMTEM
APPROVAL OF PERNSIT.
iNsrnMorr oF sOM arro/OR MM
TTL4TAiS.ATTQN$ WnL N(rP $?,' ? HM?.
UL,ID UD7PII, PERMLT AAS BM
APPROVID.
P ease Printl
1) PROPERTY ADORESS:
LEGAL DESCRIPTION:
IF E7QSPING STRCCIL?RE. DATE C
PRFSENT 7ANING/PROPOSID USE:
cl C02VERCIAL/RETAIL/OE'FICE
F7 IMCSTRIAL
? ZNSTI1i'TIONAL/GOVERNMg,'NT
F ORIGINAL P
?
?
d
?
UILDING PFI2MIT ISSL'ANCE: : -
(MOn ear}
R-1 SINGLE FAMILY
R-2 DDPLEX (T4,o C?nits)
R-3 'IC)WN-IOOSE (Three + Units) ( Lfiits)
R-4 APARTMmI'P/COAIDOMINILTI ( Units)
2) ?
ADDRESS:
CITY. STATE, ZIP: ,`J' C fl ni .J I'.7-IV\- im ?i S-U 7?
PHONE: 7/
3) ?-
tuAME:
ADDRESS:_
CITY, STATE, ZIP: .
PHONE: MASTER LI(ETISE#
4) •? • ? i?•
rAt,E
anwREss: I v6 c,
crrr, srazE, zzr: 13j , v 3 5?
PxoNE: 7 &b; ?S'S/ •
Active
bcpired
Not recorded
t5?tia1
'5) ? v ? a• • ?• : a • o. - ?? _
CONNECrION Z+0 CITY SEWII2 1'?V CONNF7CfION ZU CITY WATER ? pTf?R.
'
?F
6) u . ?
Q PI,F.ASE HOLD ApPROVID PERMIT E'OR PICK-L'P BY ONE OF ABWE
or PLEASE MAIL APPROVID PERMZT 1t7 10, 3, 4, AHOVE
, ' ? (Circle one)
FOR CITY USE ONLY ' -- -
PERMIT # ISSUED
;71fs-y
Pd w/Bldg. Permit FEES:
$ $ /b - ?-(j SEWER PERMIT ( INCLDDE SURCHARGE )
$ $ / d -`-`- WATER PERMIT (INCLLDE SORCHARGE)
$_ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLCDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /?`UZ3 ACCOLNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
_
$ . 1-6 o o 6 $ wAc
$ S7? G U $ SAC
$ $ TRUNK WATER ASSgSSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ` LATERAL SENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRL'[VK WATER
$ ?S7o'b D $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ S? ej-z) TOTAL
G?243
RECEIPT RECEIPT
DOES OTILITY CONNEC TION REQLIRE EXCA VATION IN PC'BLIC RIGHT OF WAY?
F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MOST BE
DIVISION
LIST ISSL?ED BY THE ENGINEERING
S
. A
A CONDITIO[V.
SUBJECT TO THE FOLL OWING CbNDITIONS:
APPROVED BY;
TITLE:
DATE:
. CiTY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*iOTS: PAYMENT OF FEE AT TIME OF
APPLICATION DOES NM CONMTUTE
ArPFovar. oF PERrIr.
INSPDGTION OF SEWER AfID/O2 W'lER
nasrarTamrONS WILT, NOT BE SQII3}-
ULF? UNTIL PII2NIIT,HAS BM
APPROVID.
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: 2 C?
=F l? 1^ ( l ?- _? ._
vision or Tax Parce
IF EXISTING SiRCCILiRE, DATE OF ORIGINAL BLTILDZNG PERMIT ISSL'ANCE: .
hbn Year 1
PRE'SENT ZONING/PROPOSID CSE:
0 COMN4ERCIAL/RETAIL/OFFICE
Q IAIDC'STRIAL
f-I INSTITf)TIONAL/GOVERNMEDTr
? R-1 SINGLE FAMILY
? R-2 DL'PLEX (RWo C?nits)
R-3 TbWN-IOUSE (Three + Units) ( Units)
? R-4 APARTMENT/COAIDOMINILfi1 ( Units)
--
IVAPE: /'C. k'e L 5 oa/
ADDRESS:
CiTY, srATE, zzP:_5 ?± a_ ?t d i tK" S Sa 7 3
PHONE: 5'33-Sl 7/
3) • u ?: ?•
? For City Use .
?
' - Plumbers License:
ADDRESS: Active
CITY, STATE, ZIP: ?Pired
?ONE'
MAST
ER LI((E[VVSE# Not recorded
S ff initial
4) •?• • ? i?•
NAIYE: ?ri dA Lr Y? L V P I-?-U ;?
_ AwnREss: /tI4?o 9:3 Vd <?w •c N? ,
CITY, STATE. ZIP: 13 LA %{V 2 /in N- r/ -. ?/ 3 5G
PHONE: 7 jSU `- SS/(j ' -
-5) ? :? v ? r• ?• : a • a? - ?? - -
CONNECTION 1O CITY SEWER CpNNECTI0I3 10 CITY WATER ? pnM_.
T7'
6) ? v •? r ? PLEASE HOLD APPROVFD PERMIT FY)R PICK-[JP BY ONE OF ABOVE .'-- -_
? PLEASE MAIL APPROVID PERMIT TO 102 3, 4, ABDVE
(Circle one)
7) r n u• -
FOR CITY USE UNLIf`"
PERMIT # ISSL'ED
Pd w/Bldq. Permit FEES:
$ $ ?D 'S Z SEWER PERMIT (INCLLDE SORCHARGE)
$ _ _ $ WATER PERMIT (INCLODE SORCHARGE) ..
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLPDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /S.(9 [S ACCOLNT DEPOSIT - SEWER
$ $ G ACCOL'NT DEPOSIT - WATER
$ ?O • CJ o $ WAC
$ O(J $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ " LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ /.?N • n a $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ TOTAL
- (n?2-6 7
RECEIPT ?/ -3
RECEIPT
DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLZC
ROADWAY" MUST SE ISSDED BY THE E[VGINEERING
Q
NO DIVISION. LIST AS A CO[VDITION.
SUBJ ECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
CASH RECEIPT
GTY OF EAGAN ?
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ?s
yn Lt? .J
AMOUNT $ :??L? I ? ? ?-?
4
6
.
a_oo??wws ?
00
E]CASH CHECK °
L i
,
^
rort A
? p ?1?7(?li. C.'?(. '1 ,/! ? ??
ruHO cooe wnour+r
? o
t r ?? G/-i?'F
? Thank You
B V
N_ 73314 ? wh,te-Payer. COPY
'Vellow-Poctieg Copy
Pink-Fila CoPY ,
i
/Mo rr
Hu N?S
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'??? `G"-,-., ?-• f?hr3?.
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2007 RESIDENTIAL MECHANICAL rERMiT nrrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings &[ownhomes/wndos when permits are required for each unit
Date
Site Address?(?a.? iSLC Unit # i(1 ?-
Property Owner L.CVv,1c4vt ?PX?e.d,P Telephone # ( 6161,
`Jea.?;1? c{, Ar/' Jahl (e5 :
Contractar ?ptn.i-G S YLU(AVLtq,'tnq PAC'
,
Street Address SoS R0., d pfp /'1i1 P Cit3' S T• Pct. ?
State IMA) Zip 1591 C) a Telephone #((?(a ) 36E'75' ?l'g
Bond #: 3O`6 .6a 5 Expires: ql 14 10:7_
The Applicant is _ Owner YContractor _ Other
Fire repair (replace burned out appliances, ducrivork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or atteration to existing dwelling unit $ 50.00
furnace _Additional _Replacement _ New
air exchanger
air conditioner
heat pump
other
,
State Surcharge $ .50
Total $ 58 SO
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approv(p?5 plan in the cas{?e of work which requires a review and approval of p? L i&A
`--?'1??-?eR11n?
Applicant's Printed Name Applican 's Signature
opw
Clty of Wan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL
Date: ? 27 Site Address: ,?
??? YU
i Fo???trce?5e -.f'I - i
? Permit#: v r D 1l ?
? -
I Permit Fee: _ ?? • ?`? I
? Date Received:
? Staff: ?
--------- --- - I
RESIDENT/OWNER Name:U1(? ? (C1r1-Y_)Y'((,)C+0i"1 Phone:
. Address / City/ Zip: a too LkMrMXs' 1' •
Applicantis: _Owner _X_ Contractor (V1?r?r?e.l,1??1?5?4?Nc
TYPE OF WORK Description ofwork:
Construction Cost: ? 12-1 L?w M
lti
F
il
B
ildi
Y
-
u
am
y
u
ng: (
es No ?
CONTRACTOR Name: C,V ??V V_)?VQ;V)06 License #:
Address: IQ>?Z Lh\?4t 1(,i(?\Q,i kkYl&\[,
City: i Y IV???tn. State: MN Zip: 5007
-H
Phone: (6jA U6" (iLO I C
t
t P
on
ac
erson
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
EI1Bfgy COdB . Residential Ventilation Category 1 Worksheet ?. New Energy Code Worksheet
Submittetl
Categor
y
Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar pian based on a master plan?
_Yes _No !f yes, dafe and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans and suppoRiqgEtlocurqen`ts:fhat yoUspbmrtsaTe consitlered to b°e pubLc information::. Porlions of
the informatton may, be classrfled,as''non pub%ic i??ydu proyrtle sp
eciflc reasons that wou/d permit fhe City'to
,
? ` ` a?? ..x?.'cdnclude,thaf`the •ar,e.tr?ac(e:secrets?.?.?? . ? E. ,
I here6y acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinences and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X ?1?b'??I??,?,(??nn X
Applic?an s rinted Name Applican s Signa ure'
A LJ
Page 1 of 3
BUILDING PERMIT APPLICATION
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