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4626 Ridge Cliffe DrCity of Ea�ali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: 7 LI JV Date Received: Staff: 2010 MECHANICAL`>PERMIT APPLICATION P6 Date: 3 a � i 0 Site Address: ii6g62 Rs P, CII D r f V Tenant: 77 e. l b .. ri JJJ Suite #: J RESIDENT / OWNER r3Q- r Q .PPhc. one: p 0 '- /—'0917 Name: Z.-e..b lt/b /� /1� Address / City / Zip: '/1&- gays (!iTf I/Ys !--% ii � illfk! 41-2 CONTRACTOR Name: 69 e `' fA ,:,rte - 3 ' /.l License #: Address: /9,3W r J4 !101ij 2 City: chew/ - 7)3 f�� f State: Zip: f r Phone: ��� "'0�'� � , -, ' Contact: d t9&r /1 Email: QGtu/Jobrien Q ''.L`4 N TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: _ (C(.. -PO r V —e mounted 6 .- ase con . r I Inspector fob o airs ` Ctt p dim r ning tho a PERMIT TYPE RESIDENTIAL X Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction _ Interior Improvement _ Install Piping Processed _ _ Gas _ Exterior HVAC Unit _ _ Under / Above ground Tank ( Install / _ Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ i SO TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.nooherstateonecali.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance ith the ordinances and codes of the City of Eag at I understand this is not a permit, but only an application for a permit, and work isn/ t to starts it u a itthe work will be in accordance wit pprovect plj it ei e of work which requires a review and approval of plans. x Applicant's Printed Name x Applicant's Signature CITY OF EAGAN - Remarks - Additform OEkff CAKE RTUQH 4th Lot i 8116 Pe,ce, 10 39803 010 aR Owner Street 4626 Ridga Cliffe Drive stata Eagan, MN 55122 Improvement Date Amount Annual Years Payment Reoeipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ' * SEWER LATERAL WATEAMAIN ,e WATER LATERAL STORM SEW TRK * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 6UILDING PEFt. SAC t:1TY OF EAGAN - Remarks - AdditionJQ&= CAKE RID6E 4tb Lat 2 Rik 8 ParcelJ,O zaQnz n nQ Owner street 4626? Ridge Cliffe Drive scate Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK ' * SEWER LATERAL ag, 981 WATERMAIN * WATER LATERAL 1981 WATER AREA 1981 300QO 60.00 S S7pRM SEW TFiK 1981 278.28 55.66 5 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks - Addition?Ifl,E?_?'?IE RTD6E 4th l.ot 4 elk g Parcel 10 39803 040 08 o„„ner street 4628 Ridge Cliffe Drive State Bagan, MIlN 55122 Improvement Date Amount Annual Years Payment Receipt Dete STREET SURF, STREET RESTOR. GRAOING SAN SEW TRUNK ' ,t SEWER LATERAL WATERMAlN * WATER LATERAL WATER AREA Q STORMSEWTRK 1981 278.28 55.66 5 27$.2$ C005581 IO 1S HO * STORM SEW LAT 1981 CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN, BUILDING PER. SAC PARK GITY OF EAGAN Remarks Addition.IQHI?II?IY' .AKF RTi16 . Q-F+ Lot ? Rlk R Parcelltl 99SQ7, 03g r?Q owner streec _ 4628h IlRidAe C1iPf'e Drive State Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUAF. STREET RESTOR. GRADING SAN SEW TRUNK 5 * SEWER LATERAL 1981 2277.43 455 49 WATERMAIN ir WATER LATERAL 1981 WATER AREA STORM SEW TRK 623- 1981 278.28 55.66 5 278-78 * STORM SEW LAT 1981 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK FdR. "i.L UNI2'S CITY OF EAGAN : Np 12581 , TUWIVHOUSE 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 L I ; 2, 3', 4 B 8 pHONE: 454-8100 BUILDING PERMIT Receipt # To be used lor 1 OF 4 PLEX Est value $48,000 Date S EPTEMBEFt 4 1986 SiteAddress 4628 1/2 RIDGE CLIFFE DR Erect 13 Occupancy R3 Lot 3 Block a Sec/Sub. JOHNNY CAICE Remodel ? Zoning pn Parcel No RIDGE 4TH Repair ? Type of Const.y,= . Addition ? No.Stories D VALUE HOINES ? Move ? Length 44 W Name = 1460 93RD Lbl Demolish ? Depm 24 o Address CiN BLAINE phone 780-5510 Int Impr. Install ? ? Sq. Ft. a o Name $AME APProva Z ?°, i Address Assessment _ ~ City Phone Water & Sew. ? Q Police F Name Fir = e ? ?y Address E z lx ng. s W Ciry Phone 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 4t)Eagan Ordinances. Signature o( Permittee,;.r?r.+?.? A Buiiding Permit is issued to: GOOD VALUF HOf• S all work shall be done in accordance with all applieable State of Minneso Building Bidg. APC_ Var. [ Permit ° ' 9 • "" Surcharge 24' Oa Plan Review Q4 SAC Water Conn. 500*00 Water Meter?00 Road Unit----130 0 Tr. PI. ' Parks Copies ? ? 50 Total on the express condition Mat Statutes and Ciry of Eagan Ordinances. .A- ( &J t- S PKmM No. Pe*mi1 Moklor Dds Tdophone N PlumWnp '7Ct^ L/ 0 7 L H.V.A.C. Y? Electric L SoPAnw Inspectlon Date Imp. Commenb Footlnys I ? LIJ Footinys 11 Foundatfon Framinq ?p Aoofiny Rouyh Plbp• Rouyn Htp• Imul. 7 Finplaee Final Htq. a6 ? Final Plby. Bldy. Final Cwl.Occ. ?? ZA? Dsck Ftp. Dock Frmp. WeN Pr. Dbp. '?' c . x . . ?... : . . . . . - , , . . . . n. '??• }??. . r , . PERMIT # ? . , PLUMBING PERMR RECEIPT # G"-- 41 ? f CITY OF EAGAN 3830 PILOT KNOB ROAD, FJIGAN, MN 55121 DATE: CT PRICE PHONE: 454-8100 Site Addr? y? " " Lot Block m Name ? Addre c City_ 04? ? Neme ; Addre o City ? FEES COMM/IND FEE - 1%OF CONTRACT FEE MINIMUM - RESiDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE CaOES BEYOND $1,000.00) SIGNATURE OF FOR: CITY OF EAGAN BLqG. TYPIRE? WORK DESCRIPTION Res. New ` Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL ?Water Closet - $3.00 S 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 ? Gas Piping OuNet,a - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 ' FEE STATE SlC: • GRAND TOTAL PERMIT # CITY OF EAGAN ?,DMECHANICAL PERMIT RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 DATE ??? ?? MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res `-? Comm Inst 2. New ? Add - 3. Total Bid Price "" 4. Job Lot `--? Block g S ?/ ?,_ . 6. Contractor `? `' i 0 (Neme) 7. Contractor Phone # FEE _Z5. Sa S/C • .5!' TOTAL 2 ?' • U 0 Alter Repair 5. Owner ,? ?. A-1? (City) (ZiP) RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee L.-I HEATING VENTILATING HOT WATER STEAM AIR COND. TAIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG. RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND..ftATE - 196 OF TOTAL BID P7CE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: ? ?"?y.•? f • ?G ?..? for ? S!? ?` ? ?-n•? -,. Approved Inspections: Date Rough Insp. Date Final Insp. • . .. fttrti#ir?tit uf tOrrupanry titp of eagan loPwftPilf Df IOWA-tftg jwPtttDlt Thrs Cerrificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifyrng tJrat at the lime of issuance thrs strtecnue was in com,pliance with the various ordinances of the City regulating building constructlon or use. For the following.• uwclas,;fimrion ? of 4 PL1PX Bwg. p.,,,;, W. 12581 o-p.-y Type R3 z., n.,,,s iti' TW cIW. `l`'• owmoreWIai,gOOM VALL'E eWi.:? Addrm 1460 93RU I:4 Iw, 8tA1]E H,,;kh,,g Ad&='?: ? 1/2 RIDCE C'i.,irT ui: L,,,w;ry 1-1, B8. JC$W C.1k;: itIDiZ 4L-? Building Official D,k: KA" 26. ?587 POST IN A CANSPICUOUS PL4CE FOk SAI.E UN I9'S CITY OF EAGAN TQ?WHOUSE 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ?L I?ILb I?G RERMIT N2 12582 Receipt # 44-? To be used tor 1 OF 4 PLEX Est value $48,000 Date SEPTEt1IIER 4 19 86 SiteAddress 4628 RIDGE CLIFFE UIi Erect CN Occupancy R3 Lot 4 elock 8 Sec/Sub. JOHNNY C AKF Remodel ? 2onino PD Parcel No. RZf3GF. 4TH Repair ? Type of Const ?,..« Addition ? No. Stories ? Name GOOD VALUE HOMES Move ? Length ?a = 1460 93RD LN Demolish ? Depth ?? 3 ° Addre City ss III.AINEPhone 780-5510 Int Impr. Instell ? ? Sq. Ft o Name SAME 0 a Address City Phone c~i °C W W F W U 0 Q W < I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee?.4? ?? A Building Permit is issued to: ?V&6k ? all work shall ba done in accordance with all Building State of Assessment Water & Sew. Police Fire Eng. Planner Council BIdg.Off.9 4 86 Var. Date Fees Permit Surcharge ' ?? Plan Review' p? SAC 500.0( Water Conn. Water Meter? ' a? Road Unit?? O? Tr. PI. ' Parks Copie . 5( , on the express condition that City of Eagan Ordinances. . PwmH No. Permit HoldK Daft TNephone M Plumbiny ?- ) / H.V.A.C_ ?- 17 1 d?7 Ekmtft iSotten*r Inspectlon Date Imp. Commenb Foodnys 1 Footinys 11 Foundstbn Fnminy Roolfnq Rouyh Piby. Rouph Hfy. IG Insul. Fkaplace ' FMaI Ht9. Final Plbp. '/9-f7 &dy. Flnal Cert.Oce. Dack Ffy. Deck F?mp. WNI Pr. Disp. 9 .? . . . . . . . . ... i?: ,..:i?`?.7..?% . .. r 1- PERMIT # a•' PLUMBING PERMIT RECEIPT # ClTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN $5121 DATE: CONTRACT PRICE Site Address ! f. : = ` Lot Block m Name ?o Addre c City ? Name 3 Addre O CttY +-. FEES COMM/IND 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 a1,000.00) SIGNATURE OF FOR CITY OF EAGAN BLDG. TYPE., . , WORK DESCRIPTIQN ,- ? l - _ Res. New ` Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL ?-Water Closet - $3.00 ? I Bath Tubs - $3.00 T Lavatory - $3.00 ! Shower - $3.00 =Kitchen Sink - $3.00 ' Urinal/Bidet - $3.00 =Laundry Tray - $3.00 I Floor Drains - $1.50 r j Water Heater - $1.50 Whirlpool - $3.00 ) Gas Piping Outlets - $1.50 ? Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ,73 Rough Openings - $1.50 ' '•' FEE `-? STATE S/C: GRAND TOTAL. PERMIT # ?Z CITY OF EAGAN FEE ? S• ? U ?? MECHANICAL PERIIAIT ?- RECEIPT # ?C?? ? 454-8100 S/C MINIMUM RESIDENTIAL FEE - $10.00 +$.50 TOTAL DATE ??49-- q L7 MINIMUM COMMERCIAL FEE - $20.00 + $.SO 1. Bldg. Type: Res ''`- Comm Inst 2. New Add Alter Repair 3. Totel Bid Price a"" 4. Job Address Lot Block 8 S 5. Owner 6. Contractor'?? !r";r f jft-l (Name) (Sheey (City) (Zfp) 7. Contractor Phone # -5-6 77 RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee V HEATING VENTILATING HOT WATER STEAM AIR COND. -AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. '? RES. GAS PtPING OUTLETS -$1.50 TANFCS: LP. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. - Signed: ??-?-.-•-?- ?? L--? for ? _ . Approved Inspections: Date Rough Insp. Oate Final Insp. lk 1 • I fEtx#ifira#t of Mrrupanry Citp of (lagan loP,prar#mrtti of vwlding jwrr#tm This Cerh'ficate issued pursuanl to the requiremenu of Section 306 ojthe Uniform Building Code certifying that ar the time of issuance thrs srrucrure was in compliance with the various ordinances of the City regulating building rnnslruction or use. For the foUowrng.• ux ca.arwuon :CF 4 Pii0; s?. Rfmit No. 12582 Oc?rTyx R3 zoo;ng nisn;a Tya cooet. lhn oWxrorswwwg :?", V_4IIlE W Addm lybO 93M LYi >•I.AIh'E swia;ng Aaamn 629 RI;.tT, LmafityT H 9 AE? ,MftY C.?WE RM-L 4"iF n.te: :?"' '1 f• "'`t? Bw7diog Olficial POST IN A CONSPICUOUS PLACE Ft?R SALE [!nZTS CITY OF EAGAN TChfl0.9 U. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?y 0 L1 2 3 4 B 8 PHOME:454-8100 dUILDNG PERMIT Receipt# Ta be used ior 1 C1F 4 PLEX Est Value $48,000 Date SEpTEMBER 4 SiteAddress qp lp,& M ' Lot 2 Block e : Parcel No. W Name ? ? ; Address 1460 931 ° HL7?1?U8 lCity Phone d OV 0< ? f?R Name SAM Phone Name 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabte State oi Minnesota Statutes and City?gap?prdinanc?s. ? , ? Signature of Permittee ? ? `?-???- A Building Permit is issued to: ?VAZM ? all work shall be done in accordance with all applicable State of Minneso Building Official ? i. ,? - - 4. Erect L.l' Occupancy -? Remodel ? ? Zoning Repair ? Type of Const.VO - Addition ? No. Stories - Move ? ? length Demolish ? Depth 24 Int Impr. ? Sq. Ft Install ? 12530 iy $6 Approvals Fees Assessment _ Water & Sew. Police Fire Planner Council BIdg.Off. 9 ` 06 Permit • a • V . vv Surcharge 24•40 Plan Reviewo? SAC • Water Conn. • ?? Water Meter ? 0 0 Road Unit?o0 Tr. PI. • Var. Date Copies r .SO Total on the express condition that Statutes and City of Eagan Ordinances. , Permil No. PormN HoWer Ode Telephone # Plumbfny Electric ?_- Soitener Inspectfan Date Insp. Commenb Footlngs I Footings 11 Foundation Framinq Roofiny Rough Plbq. ,rpT ?- ?- Rouyh Niq, lesul. ` Fireplace Final Htg• ? Final Plpg• 81dy. Finat y- •97 L?. . f? . • c ? C?. ?? i, Cert.Oca Deek Ftq. Deck Frmg. Well Pr. Disp. _ , . • • . , ' ' PERMIT # • , PLUMBING PERMIT RECEIPT # CITIf OF EJ1(iAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address Lot -?^Block Sec/Sub -.?, ? BLDG. TYPE WORK DESCRIPTION ` 4?'Res. New " Name Mult Add-on ? Address Comm. Repair c City ?i PhOne' Other T TA NQ. FIXTURES L O ? Name Water Closet - $3 L 00 s - ' -- - . ? Addreps Bath Tubs -$3.00 p3 Clty Phone ?vatOry - $3.00 w r $3 Sh 00 e - . o ? Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE ?Laundry Tray -$3.00 f MINIMtJM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20•00 =/yater Heater -$1.50 STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES I_(`„as Piping OuUets -$1.50 BEYOND $1.000.00) Softener - $5.00 Well - $10.00 , Private Disp. - $10.00 Rough Openings - $1.50 ? SIGNATURE OF PERMITTEE FEE SUTE S/C: FOR CITY OF EAGAN TOTAL• GRAND ' PERMIT # C? 3 C° CITY OF EAGAN MECHANICAL PERMIT RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $•50 DATE MINIMUM COMMERCIAL FEE - $20.00 + S•SO 1. Btdg. Type: Res " Comm Inst 2. New ?Add _ 3. Total Bid Price / r('4-' 'e'e- 4. Job Lot -? Block ? Sec ,=L- 6. Contractor C??iC' 7. Contractor Phone FEE _QS • S p s/c . 5 U TOTAL Alter Repair ,c''' 5. Owner (/rx..c-cs' ??:3?,4.? ' k.?? S• ??i?"1 !? 16 (Streeq (Ciry) (Zip) RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING -- 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or iraction -$fi.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ? HEATING VENTILATING HOT WATER STEAM AIR COND. AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. Rt'FRIG. ?RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM.IIND. RATE - 1% QF TOTAL BID PRICE PLUS $.SO STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for AppTOVed Inspections: Date Rough Insp. Date Final Insp. (Etrfiftratt uf ()rruvanry titp of (Eagari arparhmrt[t u# swh)* Awieriinn This Ceniftcate rssued pursuant to the requiremenu of Section 306 of the Uniform Building Code certifying tlrat at the ltme of issuance this struciure was in compliance with tlre variaus ordinances of rhe Cfty regulating building conrtruction or use. For the following: U. chffi.,jo. I EJIF 4 PL: :?= e,ag. Petmi, no. I258C! r OocaD-Y T)'Pe Zoein6 DUuid ~TYPa Cooet_ Owoa d Buiibdiq com dl? .Ur Addre? eudacnS nearm 4,126 l /7. , - - Locwuty ?,L 0 ,,, ax: ? Building O[ficisl POST IN A CONSPICUOUS PLACE L BCITY OF EAGAN ?OR tSALF U:I I?'?11830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12579 TOWN l10USE PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 1 nIa 4 PLc.X Est Value $48,000 Date ?' •? '?I???'i}?j? F? 4 19 ?() Site Address 4626 RI LKi L CL l FFr' UR Erect In Occupancy R3 Lot i Block A Sec/Sub. JOHNNY C AKE Remodel ? Zoning J?1) ParcelNo. RIDGE 4T H Repair ? TypeofConst Vn Addition ? No. Stories °C Neme GOOD VALUE FfO:'ES Move ? Length 44 409RD N Demolish ? Depth 24 ; Address ? t a S ? , ?. Impr. Sq. F ? City I ya 'Phone I 'Install ? o Name SAP1E APPr?als = ou -c Addreas Assessment ~ City Phone Water 8 Sew. ? Police ? W Name = Fire E Address u En g W Ciry Phone Planner Council I hereby acknowledge that I have read this application and state that the Bldg. O information is correct and agree to comply with all applicable State of Minnesota Statutes and City of_Ea,gan Ordinances. APC Var. Date Signature of Permittee GOOD VALUE EioX: Permit "'F & ' ~ • "" Surcharge ' A Plan Reviewo SAC : ?4 Water Conn. 5uo Water Meter?- a? Road Unit?.? Tr. PI. Parks Copies . 0 019.-150 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 Of(icial PermM No. P?mdt HWdw DNe TNophons N Ptumbiny H.KA.C. Elictric SoflMer IiupscUon DaM Insp. Communb Footlnps I Foorinys II Foundst{on Fnmfny /r Rodfnp Rouyh Plby f -a - - Rouqh Ht9. . ?? IMUI. Firoplacv Flnal Ntq. Flnal Plbq. Bldy. FInN cod. occ. Dock Ftg. Deck Fimp. WNI Pr. Dbp. . ,., , ; . . s ' Y • PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EACiAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE - Site Address ' 4=? =" `" Lot ? Block m Name - 9 Address. . c Ciiy - ' ' ? Name - 3 Addregs . , 0 . V Cityf Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S!C IF PERMIT PRICE GOES BEYOND $1,004.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE • WORK DESCRIPTION Res. New - Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL I Water Closet - $3.00 = t Bath Tubs - $3.00 I Lavatory - $3.00 - L Shower - $3.00 / Kftchen Sink - $3.00 Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 - ?Floor Drains - $1.50 ` Water Heater - $1.50 Whirlpool - $3.00 I 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 # ??012 CITY OF EAGAN FEE G MECHANICAL PERMIT RECEIPT # 454-8100 S?C " ' {1 / MINiMUM RESIDENTIAL FEE - $70.00 + $.50 TOTAL ?? • DU DATE MINIMUM COMMERCIAL FEE - S20.00 + $.50 1. Bldg. Type: Res Y"' Comm Inst 2. New }'- Add Alter Repair 3. Total Bid Price 4. Job Address ??? / 6' /, Di Lot Block Sec 5. Owner <- 6. Contractor /; !n,c' C14,; ,??•- ? `?- G?g (Name) (Streeq (City) (Zip) 7. Contractor Phone # ' "1 5 e -7 7 RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or naction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee i" ? HEATING VENTILATING HOT WATER STEAM AIR COND. AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTIETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM.IIND. RATE - 196 OF TOTAL BID PRICE PLUS $•SO STATE SURCHARGE FOR EACH $1,000 OF FEE. , r Signed: for ? X ?--- Approved Inspections: Date Rough Insp. Date Final Insp. %62 ..._ 2 (Itrti#trafp uf (Orrupanry titp of (Eagan ?rVwrzmptt# of liuilbtng JMWrrtinn This Certificale issued pursuant to the requirenrents of Secdon 306 of 1he Uniform Building Cvde certifying thar at the time of issuance this structure Kas in cornpliance with the various ordinances of the City regulating 6uilding construction or use. For the jollowing.u: ciassifinfim I OF 4 Pt.F:X siaa. e?t No oocup.ncy rype I? ? 7uning pistria pTi 1m Caast. V n Owntt of Buildi?'1!1 y? i ?? . L? t? ?; ti • . i. ?? 14 ?{ - N gw'fdin6 pddress M; I.ocalily H2 ? J 1 ?Au_r:ti 13. 1987 s?uai? o?;.l - - POST IN A CONSPICUOUS PLACE f ? CITY OF EAGAN SEWER SLWICE PERMIT , 3830 Pilot Knob Road ? P. O. Box 21199 PERMIT NO.: ,` Eagan, MN 55M21 D^TE: - ' Zoning: ' - ? No. of Un1ts: - ? QWMr. AddrE55: Site /?ddr Plumber: 1 prN to ooR"ip wil6 60 Cky ef lpsw OrAinsnsN. ey Date of Insp.: I nap,: ? Connsction Charpr _ Acoount DepoWt: Permit Fw: Surciwrps: Mitt. Chorpas: To*ai: Date Pald: CITY OF EAGAN YVATER SERVICE PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ' za+inD: - No. of Units: ' O+rner, i;oDC Lalne ;IomeS Addr+ess: Sn. I?ddrosr. 46281=, Ri„ce c;Iiff•:: Pfumber. c.ice3.sou P1 up.5 ! tt- Nktar No.: Connactlon Chorye: - '`?? • Siu: AoooUnt Deposit: Reoder No.: Permit Fee: t'? n•, a I yne ts aowpy wuh dw Qry of Ei"¦ Surcharpe: •On" Owtmaaa Mise. Chorgss: ? ` . + `^ ^d TY Total: BY Date Paid: Date of Insp.: Irnp.: - ITY OF EAGAN 3830 Pilot Knob Road 1IVATER SERVICE p?IT P. O. 3ok '21199 PERMIT NO • l'. ?agan, MN 551.21 A?1TE: i?? No. of Unlts: 1? , sn?. ?ea.ess: ?.?.dge ctif f,_ r_r iV P .. Plumber, fcl;elsora Pl.um1bi.ri^ .. . ? Meter No.: _ Size: ry' ?c?ef ..?:?a ? : Reoder No.: a O C?? vap°aw'' '. ? e ore 1 ?? ? .n?.e to eo?vh +.kw +w. c?.LE - t?CF By - :G'aC7 Qote of Insp.: ps*4„j8&yv F 5:, . oopa Tt rotol: Dete Poid: 1 CITY OF EAGAN 3830 Pilat Knob Road P. O. Box 21199 PERMIT NO.: ` u ..: . Eagan, MN 55121 OAT'E Zoninp: No. of Units: OwnaT: . <.O? VBILP ??p;t:ES Address: Site Add Plumber. I .pm co , fig? wIN eM8 ae, of [.,.. Oriweaeas. By Date of Inap.: CITY OF EAGAN 3830 Pibt Knob Road P. O. Box 21189 Eagan, MN 55121 Zoninp: - Owner: ''"=c'. Address: Sfte Addrcss: 46281, Plumber. Mster No.: Sis¦• Reoder No.. 1 pm lo omoly wM6 t4 Ciyr of Ewa OrAw"eM. Bv Date of Insp.: Connectfon Chorps: -20.00D;! Acc0urrt Deposlt: 002,? Pertnit Fee: nr;p1 Surr:ftorye: Mtsc. CMrpes: 'r Totol: Dote Pbid: - cITY OF EAGAN 3830 Pifot Knob Road WATER SERVICE PERIIAIT P. O. 3ok 71 199 PERMIT Np.: Eagan, MN 55121 AATE: Zoninp: No. of Untts: ` , . Dwner: _ ._ . :u:.:.. •L??_ • $ib Addrm: 4 b1tS',' it j.ilg@ Cl if f e ?`r j?rr d Plumber ??ickelsor? Tohnrv ('k P Plt?i. iiic. AMter No.: $IZQ: rr G,?'A^ a'101?; S v Ll . o?1 ?de. No.: o 70 ae tC?'?I 15 .,)npd ?.o"N ee oa.Ph? •?11i tiw C?.? l??['f.ei?S_Eic ?u.--- - urchome:_ ? . . . ir)nd By ? ? 7l Totol: p,ata Poid: Dote of Irisp.: 'Z ? 7 -?? Con?,.elon a,a.ge: Account Deposft: PlfRlit FN: - -? :';t1Y}C! 5uxhome; %JT` Miac. Chorces: Totol: Date Pnid: WATER SERYICE PERMIT PERAAIT NO.: DAl'E: No, of Units: '''' ? = CITY OF EAGAN SEWE fERVX1 PLVR 3830 Pilot Knob Rosd P. O. Box 21109 PERMIT NO.: Eagan, MN 55121 DATE: . ,r Zoninp: ? No. of Units: Owner r<)od ualu8 'lom°s ? Add?ess: Sib Addross: ? Plumber: 100,00P<; tapw b?ewPhr wkb !M Ci!/ ef fysw Ca+rnction C7+aMM: ?'? :;(1pj ; OftMMoM AcooLn+t Depodt: PormR Fee: SurC110r'pe: . .. z . By Misc. G+oryss: Dote of Insp.: Totol: Inap.: DaM Poid: OF EAGAN Pil K b R WATER SERVICE PERMIT ot no oad Box 21139 PERMIT NO.: i, MN 55121 DATE: o? No. of Unrrs: CCO.1 ' . cC- Addrcss: No.. No.: te aow?pli wilh s. Clty rf bve e IA B,! Connectian Qwrpe: Acoount Depos(t: Permit Fee: Surcharge: - - i T AMfC. C}fOrQlt: . . '}< TOrOI: __ DoM Paid: ITY OF EAGAN WATER SERVICE PHtMR Piloi "nob Rosd . O. Box 21199 PERMIT NO.: sgan, MN 55121 DATE: ^0: ::oo a ue No. of Units: " . omes r. ress: Addross: ' ` ge , < , T; r:.?, _P SOr r. r No.: ? ze: r ?No.: ???_? ??r9'??Q? ' t ? ? f - ' ,?- Nm to el'i W" sftRa??. ? Husc. a,or,a..: Total: DaM Poid: of insp.: Insp,; a-1-7 -f? CITY OF EAGAN SEVVER SIMVlCE PERMR 3830 Pilot K nob Road pERM1T NO.: : P. O. Box 2'1199 DATE: Eagan, MN 55121 No. of Un1is: Zor?InO: r-- . t pwnoor. Address: Sih /lddress: Plumber. - 1 Mme fo es If Vd& 1V C*1 04 SaMo OraN110M? ey - Dote of InsD.: QnnsCNOn Qharw: ?- S ^ (?n4 - Ncoount aPaidt: PfRflIt FN: SYfChO('Qe: ? ? - Misc. Chorpm -??'- Totol: paft Paid: Box 2,199 PERMIT NO.: i, MN 55121 DATE: r ? No. of Uniri: , G00.? Value 'c,; ,c ?-CITY.OF EAGAN ?U sefvtm r[mR ribt Knob Road ? P. O. Box 21199 PERMiT NO.: ' Eagan, MN 55121 ? oATk -- 9-8-86 ?ing' 3 No. of Unih: - 4 -,Lex Ownsr: uood Vslu_ _e_Hoa•,et8 /lddress: • '- Site Address: u r? 63 c? PIunkbe?: L1?30rz Plumhina J- wMl? M rC?? 1 ' ta, 100. QOpd I 1 iWl CIpl?l: 675. L:d $Efore digging call I?}t ?: TEEEPKONE • ` n?Td EIECTRIfin??DC• ' s :? ,??•wr RED Sa?d , BDoro of' 1 ^*' Totol: ? ?" Dotr Poid: CIT'" OF EAGAN 3830 Pilot Knob Road P. O. Box 21195 Eagsn, MN 55121 Zanlnp: '3 pwner; Good VE /lddress: Site /lddren: } . s Plun'fber -'^-? AAebr No.: Sixe; '1 oc4 Reada No.: 2; i I Nm M eop* wo 16 rive Lz Bts Johnny ,. -,+ h - •' P tU • P ? p meter ' ?f/tJ u1?~ Totol: ?.....,,_•. . By Dah Puid: Date of Irqp.: Irup.: WATER SERVICE PERMIT PERMIT NO.: ' L"ATE: ' ' - - No. of Units: -plex CITY OF EAGAN j 3830 Pilot Knob Road ? P. O. Box 21199 Eagan, MN 55121 Zoninp: OwrNr. .%uoc: V /lddress: Site Addrosa: 4 ' Plwnbsr: No.. M 0010* allh 1M Gtp ef hgan I Nm M 00vib Mikb IM Cky of MMo ordlMnCe/. ! BY ? Dote of Inap.: CITY OF EAGAN WATER SERVICE PERMIT ? 3830 {°ilot Knob Road ' - P. O. Boz 21199 PERMIT NO.: • Eagan, MN 55121 p^TE: Zoninp: No. of Units: ? Owrwr, Address: $ih Addren: CITY OF EAGAN 3830 Pibt Knob Road P. O. Box 21199 Eagan, MN 541,21 Zonirg: Owner: /1Qdross: 51te /?ddress: Plutnber. .• _._S AAsftr No.: _3 7 Slze: Reo r 1 agrN h emphr whh !1e Total: ?°j.?IIpc'. ,''er BY DaM Paid: QaM of Insp.: Inap.: SFWER SBtVlCE PERINIT PERMIT NO.: DATE: No. of Unfts: Dt ?..;t' ?17 ..4 CO/1r1eCti01 0101gfC AOOOt111t Depodt: Pemrit FN: Surehor": - ':' - 11Aisc. ChonOm Total: Dote Paid: Connsction Charye: 'iJ0.40r6 AcaouM Deposir: Permit Fee: Surchcrps: MiiC. Ch0/gfi: 'f'i) Totol: •? 5 ? Date Pbid: WATER SERVICE PERIIAIT PERMIT NO.: D/1TE: _ No. of Units: 111-?1Y7 REQUEST FOR ELECTRICAL INSPECTION klft EB-00001-05 ? Sea insLUelions lor completing this fwm on Eeck ot vellow co0v, ?91f7/ ir ?Z Q Qr? Q - "X" Qe/ow Work Covered by lhis Request 6JFlM.Rau.1 Tvoe of Builtlina I AGDliances Wired I EquiVment Wired I Air loader p Fae icaEnbenceSize i ee Faeders/5ubieedars N Fae Ci?cuits 200 qm s 0 to 30 Am s 0 tn 30 qn? tAb ove 200 Amps 31 to 100 Amps 37 to 100 q y nxning Pool Above 100-Am s Above 100_Am - nS rmers fo rngation Booms art ial.'Other Fee I ' I $igng ' I _'Speclal InSPection } Nemarks . t ?TOTAL °°d••-^' //? u/R/1 A/C.LtJ - I. the ElecVi7'S1 (l / ?•?_ ? - ?•_ I, 117l insaecbr. he.eby cerlilV thet the xbove Fnal ^ p-y?? 1e . S insoection hes baen I ?rr'?.?.! / / • ? meao. repuest This rxquasl wid (p 9 -Y`J/ 18 months from 68953 G?f , , Henuestbate I !? g ire Na. [NOUBh-in Inspec[ion "?Raatly Nuw e mreA? lyw ?..,`? ill Noiifv laspec• -? q- ? Yes ?No Ttor When Peady ? Litiensed Electrical Caurxctor I herabV repuest inapaction ot ebova ? Owner elec/rical work instelled al: Sireet Atldress, eo?ROUt No. etuon o. Township Name o No. Nanee No. ounty ? Oc uoant IWiINTI ? Phone No. Powe uppli ? ? Atltlress Ela ricalnConuaclar (CO?mpany Name ? ConOctor's Lice No. Mailinp Atldress (COntraclor Owner ) ? ? ?-- 3 A orizetl Signxture IConvactor Owner Making InsW Ilationl Ph ne Number qA W MINNESOTA STATE e ARD OF ELECTRICITY T„I5 INSPECTION PEQUEST WILL NOT Grippa-Mitlwey Bldg• - Room N-781 BE ACCEPTED eY THE STATE BOAHD UNLESS PNOPER INSPECTION FEE IS 1821 Univsreitv Ave., SL Veul. MN 66104 Phonaf6121642-0800 ENCLOSED. 7 HEQUEST FOR ELECTRICAL INSPECTION kok EB-00007-05 ? See instruelians for comolelirq this lorm on back of Yellow eopy. & yn a?/ llkw Ir'r_ Q pr, 7 ,',{':.Below Work Covered by This Request IflewAAAdj Reo.1 Tyoe ol Builtling I ADVliancea Wired ? Equipmant Wirad ? Heater IOAdPr Ik Tnnk N fee ServiceEntrenceSize p Fee Feedera/Subleetlera N Fea ?Circuits U to 200 Am s 0 to 30 Am s 0 tn 30 Am s Above 200 qm ms 31 to 100 qmps ,110 10 122Amps 31 Swimmin Pool Above 100_Am s b Aove 100_Amps Transformers Irrigation Booms PartiaL'Other Fee ? I I Signs I I ISpeciallnspection 'S` - Bamarks ? the El?heral ? ?•// / Inspeclor, eby e certifV ??et the ebove Final ^ ? q Date inspection haa bean ./ .CI I.4 2 -,/; meAe. This request void 18 months Irom Cio8952 4,9 8>i []Neatly Nuw?Will Notity.InsOec- ? ? a' ?? ??es ?No 'or When NeadV C] Licensed Elecvical Convactor 1 hareby request inapaction of ebove ? Owuer • elactrical work instelled ac Straet Atldress, Box or Route No. CitY ia ectIon o. Township Name or No. Range Countv lc? C /;t'- Occ nl (PflINT) Phone No. ? Powar Supplier Address tracmr (GOmpany N el EI hical Co n ontt ctor'S Licen No. / ? (? t-c Mailin Address (COmractor or O?w/9-?er 1 Cl Making Instailation) 3 L J Au riz Si9nature (ContracmdOwner Making Installaiionl Phone NumEer SbQ-.s' MINNESOTA STATE BOARO OF ELECTRICITY l THIS INSPECTION PEQUEST WILI NOT Orippa-MiAway Bldp. - Room N-191 BE ACCEPTEO 8Y THE STATE BOARD UNLESS PNOPEP INSPECTION FEE IS 1821 Univeraifv Ave.. St. Peul. MN 66104 Phone16121642-OBOO ENCLOSED. 2?$7 REQUEST FOR EIECTHICAL INSPECTION Ee-00007-05 ? See instruc;ions tor compbtim this fprm on beck oi vellow copy. ? C O n C 9 -"X'-de/ow Work Covered by This Request Mew{AAdlReo.I Type of Builtling J ApDli..cea „'ired I Equipment Wired I CE p Fee rviceEntmnw5ixe p Fee Fenders/Svbieedere p ff? Circuits to 200 qm s 0 to 30 Am s ? 0 tn 30 Ani s Above 2 0 qmps 31 to 700 Amps / 31to 700 A Swinmin Pool Above 100_Amps . Above 100_P.m s Transformers rngation Boorcis Partial,bther Fee L' I$igns I I 15peciallnspeclion - tft TOTAL •?i Nertarks J °Od"-'° //sC ? ^ /^ 7 ? I Inapecb?, hereby a.? ^ Dxte cartily that the ebove Finel ? P . ?dection has bean ?S /?a This ruQUest void 111,?7 78 rtwnths trom C 68951/-i, Cc987/ Ay7?) o Repuest Date Fire No. !] Rough-in Insvedio equiretl7 ?Heady Nuw ill No?ify. InsPec- ? t ?? - ?es ?NO br When qeatly ? Licensed ElecVical Con[ractor , 1 herebV request inaDeclion of above ? Owner electrical work instelletl et: Sueet Address, 6ox or Route No. \ -.Wl \ wr ecuon o. iown5hi0 Name or o. Range o. County Occupant(PfliNT) Phone No. Po 5 VP??er Atldre ss Ele ical Can[ractor (COmpanv a Con[ra?yoLicen No, arj / Ma nB res5 ICon ra or r Owne Maki B y o?n - stailation ?J 55 4 3 Aut rizetl ignature (COntractor/Owner akinq Installation) one Number ^ (..1GOt MINNESOTA STATE BOAflU OF EIECTRICITY ? THIS INSPECTION PEQVEST WILI NOT 6ripas•Midwev BId9. - Aoom N-197 BE ACCEPTED BY THE STATE BOAND UNtESS PNOGEfl INSPECTION FEE IS 1821 UniversitvAve.. St. Peul. MN 65704 Phone 16121 642-0800 ENCLOSED. i i2 b'7 REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 c? 987/ See instrae[ions (or tom01¢tifq this form on back of vellow copy. ?= G O 0 C A ?X" Baiow Work Covered by This Request ' FIrA4AAI Reo.l Tvoe nf 9uileina 1 Aooliancea WireE 1 Equiument Wired 1 ex Ce Ik p iee Service EnVenceSixa p Fae Faedem/5ub(eaders p Fee Circuits to 200 qm s 0 to 30 Am s 0 to 30 Am Above 200 qmps 31 to 100 Amps 31 to 100 AMPS Swirmmin Pool Above 700-Am s Above 100_Am s Transiortners Irrigation Boorris Partial.'Other Fee SignS ISpeciailnspection ? ? OTAL FEE _ ... I ?..(_(7 I, the Elechica ?Q 0 InsPector, hereby certilv [het the above Final ^1e .y7 inspection has been meda. mle repuest roltl 18 This request void 114'L/a"7 18 months fmm C'6r4l 954? 3 G 9 d'7/ 9i/N r _ ... ..____._.. retl? ? ?Ready Now Will Notify InsOec- 'e ui 1'es No. lor When ReadY ? Ucensed ElecVical Contractor ' i hereby repuasf inspection oi above ? Owner % elecirical work installed at Stree Address, Bo or Route No. q City . ec110n a. Townshio Name or No. urw o. Coun y Occo nt (PpINTI Phone Na. Po PO??er V `J .4ddress Elect! I Comramor (Companv Namel ? Co,?+crz?or's Licen No. ?J?% Mailin Ad s 90 s (CO-v r or OwVr Mang Instailationl ? ?tl A or zd Sipnamre (COnt ctor Owner Maki e Installation) Phone Numb r ? ? ` THIS INSPECTION FEQUEST WILL NOT MINNESOTA STATE BOAR OF ELECTRICITY Grippe-Midwey 81dg. - Noom N•191 sE ACCEPTED BV THE STATE BOANO UNLESS PqOPER INSPECTION FEE IS 1837 Univeraitv Ave.. SL Veul. MN 56104 Phonel8121842-OBOO ENCLOSED. FOR SALE UNITS TOWNHOUSE 3830 Pilot Knob Ro d'; .Q Bbx 21-199, Eagan, MN 55121N2 12581 L' 1, 2, 3, 4 B 8 PHONE: 454-8700 BUILDING PERMIT Receiptp 7obeuseator 1 OF 4 PLEX Est.vaiue $48,000 pate SEPTEMBER 4 ,1986 SiteAddress 4628 1/2 RIDGE CLIFFE DR Lot 3 elock $ Sec/Sub. JOHNNY CAKE Parcal No. RIDGE 4TH $ Name GOOD VALUE HOMES ; Address 1460 93RD LN ° Ciry BLAINE phone 780-5510 = o Name SAME ? ¢ Address Ciry Phone a ? W Name ? p Address a W Cily Phone I hereby acknowiedge 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 Citya?n Ordinances. Signature of Permittee A Building Permit is issued to: GOOD VALUE HOM S all work shell be done in accordance with all a icable Staie ?fJliTm?so Building Official A.?A ??? - Erect ? Occupancy R3 Remodel ? Zoning PD Repair ? Type of Const yII Addition ? No. Stories Move 13 Length 44 Demolish ? Depth?d Int. Impr. ? Sq. Ft Insiall ? Approvals Fees Assessment _ Water & Sew. Police _ Fire Eng. Planner Council Bldg. Off. 914186 APC Var. Permit $ 274.00 Surcharge 24.00 PlanReview 137.00 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 I , Road Unit 290.00 j Tr. PI. 156 . 00 Parks Copies - Tninl $2 ,019 .50 on the express condition that and CiTy of Eagan Ordinances. FOR SALE UNITS CITY OF EAGAN A1p p TOWNHOUSE 3630 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121'Y 125o2 L 1, 2, 3, 4 B 8 PHONE: 454-8100 BUILDING PERMIT Receiptp 3?l/I Tobeusedfor 1 OF 4 PLEX Est.vaiue $48.000 Date SEPTEMBER 4 iy $6 SiteAtldress 4628 RIDGE CLIFFE DR Erect C* Occupancy R3 Lot 4 siock $ Sec/Sub. JOHNNY CAKE Parcel No. RIDGE 4TH Name GOOD VALUE HOMES nddress 1460 93RD LN Ciry BLAINEphone 780-5510 i o I Name SAME ? a Address ? City Phone ? W hW ?u a Wz < Aemodel ? Zoning Pn Repair ? Type oi Const.?„?? Addition ? No. Stories Move ? Length 44 Demolish ? Depth 24 Int. Impr. ? Sq. FL Install ? Approvals Feea Assessment_ Water 8 Sew. Police _ Name Fire Address CiTy - Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci' f Ea Ordina e' s. . i? Signature of Permitte ? A Building Permit is issued to: GOOD VALUE HOMES all work shall be done in accordance with all applicqyle State of Minwo Eng. Planner Council eldg. on. 9 4 86 APC Permit ? 274.01 Swcharg?? oi Plan Review?? 0 1 SAC 575.01 Water Conn. 500.01 WaterMeter 63.51 Road Unit 290.01 Tr.PI. 156.01 Parks Var. Date I Copi Tnfol $2IVL9• on the express condition that and Ciry of Eagan Ordinances. Building OKcial FOR SALE UNITS CITY OF EAGAN TOWNHOUSE N2 12580 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 L 1, 2, 3, 4 B 8 PHONE: 454-8100 BUILDING PERMIT 1.1 - 0 Rece iptp 7obeusedlor 1 OF 4 PLEX Est.value $48,000 Date SEPTEMBER 4 19 86 SiteAddress 4626 1/2 RIDGE CLIFFE DR Erect C? Occupancy R3 Lot 2 Block 8 Sec/Sub. JOHNNY CAKE Femodel ? 2oning D RIDGE 4TH Repair ? Type ot Const. Vn Parcel No. Addition ? No. Stoiies w Name GOOD VALUE HOMES Move ? 44 Length Demolish ? Depth ?a 3 Adtlress 1460 93RD LN N Int. Impr. ? Sq. Ft ° city BLAINE phone 780-5510 Install ? o I Name SAME Address ? Ciry Phone F w Name ? a Address i W Ciry Phone I here6y 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 9 rdina?. Signature of Permittee GOOD VALUE HOMES Assessment I Permit Water R Sew. Police _ Fire Eng. Planner_ Council _ Bldg. Ofl.-U APC Var. Date- Surcharge 24.00 Plan Review 137 . 00 SnC 575.00 Water Conn. 5 0 0. 0 0 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Copies 7otal $2,019.50 A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applica State of Min eso Statutes and City of Eagan Ordinances. 8uilding Official ? ? -?? L 1, 2, 3, 4 B 8 CITY OF EAGAN FOR SALE UNIT ?830 Pilot Knob3iDad, P.O. Box 21-199, Eagan, MN 55121 2 12579 -TOWNHOUSE PHONE: 454-8100 ? A?'? BUILDING PERMIT Feceipt# (e( Tobeusedfor 1 OF 4 PLEX Est.Value $48,000 Date SEPTEM$ER 4 19 86 SiteAddress 4626 RIDGE CLIFFE DR Lot 1 Block 8 Sec/Sub. JOHNNY CAKE Parcel No. RIDGE 4TH Q Name GOOD VALUE HOMES o Address 1460 93RD LN N Ciry BLAINEphone 780-5510 o Name SAME = 0 a Address ? City Phone .? F w Name ? Address 0 a W Ciry Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci aOrdi? Si9nature oi Permittea A Building Permit is issued to: GOOD VALUE HOMES all work shall be done in accordance with all aoolicableStatdbf Minnesc Erect n Occupancy R3 Remodel ? Zoning pn Repair ? Type of Const VB Addition ? No. Stories Move El Length 44 Demolish ? Depth 24 Inl Impc ? Sq. Ft. Install ? Approvah Feea Assessment Permit $ 274.00 water & Sew. Police Surcharge Plan Review 24.00 137.00 Fire SAC 575.00 Eng. WaterConn. 500.00 Planner Water Meter 63.50 Council Road Unit 290. 00 eid9. ott. 9/4/86 Tr. PI. 156.00 APC Parks Var. Date Copies rotal $2 .019.50 on the r diti th tutq a?d City oi Ea9an exp ess con on at Ordinances. Building Official COMMERCIAL 5 p 17 3 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 1(3 7s Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets • Archilectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . StruGural Plans (2) • Code Analysis (1) " • CertificateofSurvey (1) . CivilPlans (2) • Projed5pecs (1) • CodeAnalysis (1)" . LandsqpingPlans (2) • KeyPlan (1) • PmjectSpecs (1) . CodeAnatysis (1) • Master Exit Plan (1) • Spec.lnsp.&TestlngSchedule" . CertifirateofSurvey (1) • EnergyCalculations (t)notalways" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established . Meter size must be established • Meter size must 6e established - if applirable • ProjectSpecs (t) 1 • EnergyCalculatlons (1) ° l 1 1 • • ElecUic Power & Lighting Form Master Exit Plan (1) (t) ! • Fire Protection Plan (1)" F (, ) D 2DO2 • MC/ES SAC determination letter • MC/ES SAC determination letter • MGES SA r? r??o?ellEr call 651-602-1000 cali 651-602-1000 ra11651-60 0 " Contact Building Inspections for sample ? I Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 ?etails. DATE: ' O U WORK TYPE: NEW REMODEL CONSTRUCTION COST: ?? S U U u SITEADDRESS:" 4&q0 1b. Qa6. UU&In1 ?kda. 1 U Q JMW? ?M IC , TENANT FORMER TENANT NAME, DESCRIPTION OF WORK SUITE 0??Q, SC y At, Phone #: ( Q)l d? )(?J!6 - IWYJ PROPERTY Last J U First OWNER iw ? _ . %.. . .__ t - CONTRACTOR ARCHITECT/ ENGINEER StreetAddress:IX01(11A11, K,A Ytp ? City: N(,?C1 State: ?}? ( ? IIV) Zip: c.? Company: WL Street Address: City; &-f Company: _ Name: Street Address: City: Licensed plumber installing new sewer/water Phone #: WaL-) b!k _QQl qo State: _ .9 V Zip: & 11 I Phone #: ( Regishation #: _ State: Zip: Phone #: I hereby acknowledge that I have read this application, state that the information is correct, a agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? ,/•- Signature of Applicant: ?l? / '-'o? (=-;"n arp- Updated 1102 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercialllndustri al 0 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 ( Foundation) ? 46 Windows/Doars ? 32 Addi6on ? 36 Move Bldg 0 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. 8. .,•. Const. (Actual) Basement sq. ft. MCIES System " (Allowable) First F1ooYisq. ftr '_ , • ' • ' ? •! City Watef • , UBC Occupancy sq. ft'.- ?_ . • . ?': ? < < ; Fire Sprinklered . . ? ! , ?'' ?''F'?-, f.' ', 'f? ;'. .. ..? ?•,r? MISCELLANEOUS INSPECTIONS ` '? ' ' '' ' ' ' • k- ? ` ' ?' ` '" " ? ? Gas Service Test ? Heating ? Insulation 0 Plumbing ? Stucco/Stone APPROVALS ! , Plannink • ? _ • ? 'Building- r . ? En,gineering' "• ? ? ? • ; • Vari ee' • •" ' . . .. • _..l _ ?:; , a? ? _?. , . Permit Fee Surcharge • ' ? ? ? Plan Review MC/ES SA-6 ; ?' •' :,•' ' ' ' City SAC Water Supply & Storag.e,, ' S/W Permit ' S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies VAL6A7'IOW - *' "- I ' -,' •?- ? : 1 %SAC SAC Units ?. ".;. _ • . " Meter Size `-; . . Total CERTIFICA TE Of' SURVEY fp'' GOOD VALUE HOMES V? \\ / O ? 6v`Lots 1 through 4, inclusive, Block 8, JOHNNY CAKE RIDGE FOURTH ADDITION, Dakota County, Minnesota. ? .? I C944•a) C944?) LE6E'M7 R^qowi0 /bwe £J&vstlonr Scal• 1' • AQ? XX%.Y Mnotn Ex1st1np EUntfon B.M. eL ,il%? Sa(' Wf%.X) Mnotu PrODaseC Elevstion Top Of FOUndatlon /„}e,,,.*;e„ eC P?..kW. W.y o Danotes lron Monusent Garapa F:oor 444•? If : 4aa.jf. O Mnotes Yootlen StAke BssOwnt F1o0r - WW? hiCgVD 9,T -4-? OoIfONs SUI'NCe Of`a1Oi0e I HERE9Y CERTIFY THA7 T HIS SURVEY. PLAN. OR REPORT MAS PREPAREO BY ME OR UNDEii MY DIRECT SUPERVSSION ANO THAT I AM A DULY HEGISTEFiEU LANO SURVEYOfi UNOER TME LAMS Oi THE S?ATE OF MINNESOTA. " Dated th1s 3td day ot SeP'? , 38 8c- C.R. MINDEN C ASSOCINTES,. INC. dDOk_ C.R. WINDEN 6 ASSOCIATES; INC.. Land Planning, Surveya 6 Site Desiyn 1381 Eu9ti9 St., St. Peul, MN $6108 Tel. 845-3848 Mfnnesota Repietrstion No. 79 2 L y 1986 BIIILDING PBRIiIT APPLICATION - CITY OF EAGAN BOYB: ALL CANTRACTOES MOST BE LICfiNSBD {iITH THE CITY OF EAGAN SIlTGLE FAlQLY DWELLIIOGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DfiE[,LINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENEAGY CALCULATIONS COMMEHr-tnL REdTAL DNITS FOR S9LE OHITS OF SQR9EY - CHBCB WITH BLDG. DEPT., ZNCLIIDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Osed For: ZeValuation: Site Address Lot _L Block Parcel/Sub Owner 9dflress /?GlS 9.3..4? City/Zip Code Phone Contraetor _ Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # nate: 9-3 -?? OFFICE OSB ONLY Ereet _ Oecupaney Remodel Zoning _ Repair Type of Const Addition k oF Stories Move _ Length Demolish _ Depth Int.Impr. _ Sq Ft Install _ APPROVALS FEES Assessments Permit Water/Sewer Sureharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Couneil Road Unit Bldg Off Treatment P1 APC Parks Varianee Copies ?OTAI. NOTE: ADDHESSSS FOR CORNEB LOTS - CONTRACTOR/HOHEOHNER MDST DESIGNATE NHICH 9DDRESS IS DESIRED. NO CH9NGBS iIILL HE ALLOiIED ONCE BOILDING PERMIT IS ISSIIED. . ? UlJ . ?? 1986 BOILDING PEBHIT APPLICATION - CITY OF EAG9N NOTS: ALL COATBACTORS MOST BS LICENSBD iiTTH THB CITY OF EAGAN SINGLE F9MIILY DiIELLINGS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLS DTiiEEI.LIAGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS RENTAL DNTTS FOB SALS QNITS OF SQRYSY - CHE($ NITH 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: 40z-1Valuat ion: Date: g-?? -?G Site Address OFFICE DSE ORLY Lot a Block ? Erect _ Occupaney Remodel Zoning A Parcel/Sub !•?448 yf' Repair _ Type of Const / Addition li of Stories Owner C?po?1?y?i ? Move _ Length / Demolish Depth Address Int.Impr. _ Sq Ft Install Phone //-7?d APPROVAI.S FBES Contraetor Assessments Permit Water/Sewer Surcharge Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg Off Treatment P1 Areri./Engr. APC Parks Varianee Copies Address TOTAL City/Zip Code Phone # HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOHEONNER NQST DESIGNATE NHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOi1ED ONCE BIIILDING PEAMIY IS ISSQED. 5 z .?. 1986 BDILDING PEIaII2 APPLICATIOH - CITY OF EAGA6 HOTE: ALL CONTR6CfOH5 M[TST BE LICENSED iiITH THE CITY OF EAGAN SIBGLE FAlIILY DAEI.LIAGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYO 1 SET OF ENERGY CALCULATIONS MOLTIPLfi DWELLI9CaS - RSSIDENTIAL RfiNT9L DBITS F08 SALS ONITS INCLUDE 2 SETS OF PLANS, CER 1 SET OF SNERGY CALCULATIONS COlMERCIAL OF SORVSY - CHECB i1ITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SES OF ENERGY CALCULATIONS, $2,000 LANDSCAPE HOND To He Used For: /a ,- Valuation: Date: Site Address 4e/s619' G• oFFiCE Usg oNLY Lot ? Block g Erect _ Occupancy Re.model Zoning Parcel/Sub Repair Type of Const Addition # of Stories Owner (??0?!/??GG???h Move _ Length Demolish Depth Address l?G ep Int.Impr. _ Sq Ft / Install _ City/Zip Code Phone ?79rz? APPROVAIS FEFS Contraetor Address Assessments Water/Sewer Police Permit Surcharge Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Couneil Road Unit Bldg Off Treatment P1 Areh./Engr. APC Parks Varianee Coples Address TOTAL City/Zip Code Phone 4 NOTS: ADDRESSES EOR CORNEB LOTS - CONTRACTOR/HOMEOiiNER liOST DESIGNATE iiHICH 9DDRESS 13 DFSIRED. NO CH9NGFS idII.L HE 9LLOiiED ONCE BOILDING PERMIT ZS ISSOBD. 1986 HOILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL COHTRACiOES MOSY BE LICSNSED i1ITH THE CITY OF EAGAN SI6GL6 FAPIILY Di1ELLIAGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[TLTIPLS DiiE[.LIBGS - EESIDENTIAL INCLUDE 2 SETS OF PLANS, CEA 1 SET OF ENERGY CALCULATIONS COMRCIAL 9EBTAL UBITS FOF SALS QNTTS OF SDRVSY - CHLC% SiITH SLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: -- Site Address Lot _'3_ Bloek -11_ Parcel/Sub Owner (9:/?.'; ? a. /- vdZA L? ??Z': & Address -1??D 9 340* L.iv ?z City/Zip Code Phone Contractor Address City/Zip Code Phone 9rch./Engr. _ Address City/Zip Code Phone 4i Erect Remodel Repair Addition Move Demolish Int.Impr. Install Date: 2-c3 -z? Occupaney Zoning Type of Const li of Stories Length Depth Sq Ft APPROVAI.S FEES 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 rs?F0« NOTE: ADDRBSSSS FOR CORNEB LOTS - CONTRACTOR/HOMEOWNER lSII3T DfiSIGNATE AHICH ADDRfiSS IS DFSIRED. NO CHilQGES WILL BE ALLOiiED OHCE HOILDING PERMIY IS ISSUED. C1TY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION N07.w3: PAYMF'NL' OF FEE AT TIME OF ArPr..zcUIoN noFS Nom aorszzz[rM APPROVAL OF PERNIIT. INsPncriotv oF sDM Arm/ox VAznt INSTAILAzzoNs wIIa, NOr sE scHEn-- ULID UNPIL PERNIIT. HAS SEM APPRWID. P ease Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: L ri=F D??I L.- V151oA or Tax PaTCe IF EXISTING SIRCGZLME, DATE OF ORZGINAL BLILDING PERMIT ISSL'ANCE: " - FRFSENP 7ANING/PROPOSID OSE: (hbn Year) 0 CQtiPEFtCIAL/REPAIL/OFFICE M r7 IAIDL'STRIAL a INSTIIL.'TIONAL/GOVERNN]ENT ? . ? R-1 SINGLE FAMILY R-2 DL'PLEX (TNo [lnits) R-3 TOWNi00SE (Three + Units) ( Units) R-4 APARTNEN'i'/CONIDOMINILTI ( Units) 2) NAME:_ ?1/ i C 1 Le L. S o n! P?-?- - aDoREss: e- a, 13 o a- 1 2? . CITY. STATE. ZIP:_S C(qnf d,' Z yyk- r,' U73 PHoNE: I/ 3 3-6-I 7/ 3) • u c?• For City Ose .. ?ME• Plumbers License: ADDRESS: Active CITSt, STATE, ZIP: PHONE: MASTER LICCE[VVSE# EVirea Not recorded Sta £?Initial 4) •.• • • • i?- tvnME: / ? _ l9 C? o I! K1l- ?f l-? o?-- -L . _ aDDREss: 1 y 60 93 t- ek L l?- nr e 1?1 `- CITSt, STATE, 2IP:- (j L.# In/ h2 /? -S-1(!3?!- u3 ?'i {e PHONE: -7 F?SG - S S10 ' •5) ? v? r • ?• : a • a? - ?? ? CONNE(.`PION 1V CITY SEWII2 # CONNf)[TION M CITY WATEEt 0 O1'IIER - 6) ? •' • r ? PLF,ASE HOLD APPROVID PERMIT FC)R PICK-OP BY ONE OF ABOVE .-' --- `_ (?fPLEASE MAIL APPROVID PERMIT TO 1.Q 3. 4. ABOVE ? (Circle one) 7) n ?. u. ?y??? ? ? ?? ?5- 6 TOR CITY USE ONLY ' PERMIT # ISSL'ED 7U- / Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLLDE SDRCHARGE) $ $ WATER PERMIT (INCLODE SCRCHARGE) .. $ 6 3 SZ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER _ $ $ [l- a ACCOL'NT DEPOSIT - WATER $ O ' ° D $ WAC $ •.`J 7S^- ? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ ' LATERAL BEIVEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER $ ?J? lo 'Q O $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ 5-A O--Z) TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PPBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MUST BE ISSIIED BY THE ENGINEERING DIVISION LIST . AS A CO[VDITION. SUBJECT TO THE FOLLOWING CONDITIO[VS: APPROVED BY: TITLE: DATE : %/? ?/ CITY OF EAGAiV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOT;,?: PAYMFNr OF FEE AT TIME pF APPLICAMON DOES Wr CONMMM APPROVAL OF PIItMIT. irrsrncriorr oF sEWM Arm/oR MM rNerar.ramrpNS WII,i, NOT gE SQED- ULED [7NM PERNIIT.HAS BEEN APPR0VFD. xx,.xx,.x-W-xW-?f,...... _.wxwx-w,.-wxxxx P ease Print 1) PROPERTY ADDRESS : LEGAL DESCRIPTION: a ock/Subdivision or Tax Parce If' EXISTING STRL'Cii'RE. DATE OF ORIGINAL BL'ILDIN^v PERMIT ISSL'ANCE: PRESENP ZONING/PROPOSID [!SE: (Month/Year ) Q COA'AWCIAL/RETAIL/OFFICE rl R-1 SINGLE FAMILY r7 IIdJC'STRIAL Q R-2 DL'PLEX (Twn Units) ? INSTIT[)TIONAL/GOVEk2IU?= ? R-3 TOWN-IODSE (Three + Units) ( Lhiits) . ? R-4 APARTMEDPP/CODIDOMINIIIM ( Units) 2) R?? NAME=_hl L s p-?- ?4 aDDRESS:_ lp• c, /3 U X I 2 S- . CITY, STATE. ZIP:_ S C}i A! A,"d NV l?1 - SU 7 3 PxoNE: 4133-SI-?! 3) u c ?• - NAME: ADDRESS: CZTY, STATE, ZIP: PHONE: MASTE[t LICENSE# P.ctive Expired Not recorded St? itial 4) •• • ru,rE: 1- v e/?o ??-? ? annxess: l14 ? (73 ?-? 'L aa CiTY, SrATE. ZIP:_A LAi'/t/'e. SS4/ 113914 PxoM: 7 S ?-m- SSi ?5) :? r ? a• • ?• • a? o? u• -siu?? ? CONNECTION T0 CITY SEVEI2 CONNEGTION TCl CITY WATER OTlIER •. .. 6) ? •-• r E3 PLEASE HOLD APPROVID PERMIT FDR PICK-C?P BY ONE OF ABQVE PLEASE MAIL APPROVID PEE2MIT TO 1,?o 3. 4. ABOVE ? (Circle one) 7) r r• u• - ?J?1,.? -? /3_ ?? K3: P ^ Z`._ o-i FOR CITY USE Of?LY L PERMIT # ISSUED 7&1 ??- Pd w/Bldg. Permit $ S $ $ c SEWER PERMIT (INCLODE SURCHARGE) WATER PERMIT (INCLUDE SC'RCHARGE) WATER METER/COPPERHORN/OCTSIDE READER WATER TAP (INCLCDE CORPORATION STOP) SEWER TAP $ $ I5r . ?? ACCOLNT DEPOSIT - SEWER $ S 1-5-• C? ACCOL'NT DEPOSIT - WATER $ ,j L? C9 ?? D $ WAC $ ?75-' ,-)o $ SAC $ $ TRL'NK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRCNK WATER $ ?S?o °O D $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ $ 0 TOTAL ? G z,13 RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY? O YES IF YES, THEN A" PERMIT FOR WORK WITHIN POBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ? /jo? / FEES: S /n•SG s $ $ CITY OF EAGAN APPLICATION FOR PERMIT 5EWER AND/OR WATER CONNECTION *TOTw,: PA7@SENT OF k'FE AT TTME OF APPLICATION DOES NM CONSTrMVM APPRovar, oF PEarsr. it?sPnerioN oF sEWEt .nrro/oR WA= RCrar.ramrONS WIIS, M1' BE SCHE>- ULID UN7PII. PERMLT. HAS SEEN APPRWF9. ------------------ P ease Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF E}ISTING STRCCIL'RE. DATE C PF?ESENP ZONING/pROpO,SID LSE: Q M%P+ERCIAL/REPAIL/OFFICE Q IPIDL'STRIAI, n INSTIZT;TIONAL/GOVII2bPg,'NT 2) ? ADDI2ESS: iF ORIGINAL E ? ? d ? C'ILDING PERMIT ISSL'ANCE: - ? (Mon Year) R-1 SINGLE FAMILY R-2 DL'PLEX (7un Onits) R-3 TUW[+?iOUSE (Three + Units) ( IInits) R-4 APARTMENT/CODIDOMINIC'M ( ' Units ) CITY. STATE, ZIP: SC A tt/ dI` Z k.. iV ?i'S?U 7 3 PHONE: 3) u . ?• NAHME: ADDRESS: CITY. STATE, ZIP: PHONE: MASTII2 LICENSE# Plwnbers License: Active Expired Not reaorded Sta Initi.al 4) ??• • ? ? i?• NAD7E: _j_O Q4 _ AUDRFSS:_ I<// o (? .j> fr c? Z?3 h? -? N l' CITY. STATE. ZIP:-R Z-XI N f flt n! PHONE: -2e:u 5) ? v? a• • ?• : ? • ?? ?? ? CON[gGTION 1O CITY SEWIIZ ? CONMDCTION M CITY WATER ? p'PHER '. 6) " •-??- [] PI,EASE HOLD APPROVID PERI+'IIT FOR PICK-UP BY ONE OF ABOVE ? PLEASE MAIL APPROVID PII2MIT ? 1? 3, 4, p,Bp? A (Circle one) 7) r.r_ ?u: - (.J-fi U_ f71 v, /'` FOR CITY USE ONLI( PERMZT # ISSL'ED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ ?D • S G WATER PERMIT ( INCLODE SL'RCHARGE ) .. $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLIIDE CORPORATION STOP) $ $ SEWER TAP [i -o $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ $ wAC $ S 7S` U v $ sAc $ $ TRL'NK WATER ASSESSMENT $ $ TRLiNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRC'NK WATER $ 6-a $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC Q NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST AS . A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ,(1/? -,9 e,1 11-LO-7-I/-r.-, TITLE: DATE : w fo CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *10TF: PAYMPTTl' OE FF.E AT TIMS; pF APPLscazzoN DOES rxOm CONSMTM APPR017AL OF PERNIIT. ----------------- P ease Print) 1) PROPERTY ADDRESS: ?( 2 S, ,') ?i? ? ,j ?? ? LiPF ? ? OL,,t ?.L LEGAL DESCRIPTION: 3 81 '- Lot Block Sub ivision or Tax Parcel ID ) IF EXQSTING STRCCii'RE, DATE OF ORIGINAL HPI7,DING PERNIIT ISSL'ANCE: PRESENf 7ANING/pRpPOSID LTSE: (MonthfYear-j- .. ? COn-IERCIAL/RETAIL/0FFICE ? R-1 SINGLE FAMILY ' r7 IPIDL'STRIAi, ? R-2 DLPLEX (Ztoo IInits) ? INSTI'SL?TIONAL/GOVII2NMENT ? R-3 10WNfiIX!SE (Three + Units) ( Units) . ? R-4 ApARTMED7P/COAIDDMINIUM ( Units) 2) ? cuAnE: _ hl 7`C k e 1 s akv -k-1+ , ADDRESS: P. o. t30 u 7 2 fr . CITY, STATE, ZIP: _S Ca„r d,' d i'+'? N- S U7 3 PxoNE:- / 7I 3) • u c?• ??- For City Use . Plimhers License: ADDRESS: Active ? Expired CITY, STATE, ZIP: Not recorded PHONE: MASTEEt 7,ZCENSE# Sta Lv.tial 4) M.r U • ? n 1 NAME' ?< _ ADDRESS: !Yt rl 4.7 ti? L/i- .., CITY, SfATE, ZIP: 4 I'ni -e M Ai 3 S/- 4/ PHONE: 7 fsb ^ SZSN/ U • 5) ? :? ?• . , i r• • ?: ? • ? - E. ? CONNE(.`rION 7U CITY SEWII2 ? CONNWTIOI3 1O CITY WATER El OR4IER '. . 6) Fi • • r ? PLEASE HOLD APPROVID PEf2MIT FOR PICK-UP BY ONE OF ABC7VE --'- -- -` ? PLEASE MAIL APPROVID PERMIT TO 1.V/f 3. 9, PBOVE ? (Circle one) INSPECTION OF SETrgI2 APID/OR 47ATII2 rNernr.raTTpNS y,IL,L NYJT gE SCHD-. [ILID [INPII, PII2MiT HAS BEEN APPRaVF9. 7) lA .Y_ 'l1 /A. O ` FOR CITY USE aNLY-, - ? PERMIT # ISSUED 716 V Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLODE SLrRCHARGE) $ $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ /5_110-0 ACCO[JNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRONK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRPNR WATER $ ??700 0 $ WATER TREATMENT PLANT SDRCHARGE $ $ OTHER: $ ?2'?' !t'? TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q NO ROADWAY" MUST BE ISSLED BY THE ENGI[VEERING DIVISION LIST A . S A CONDITION. SU BJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TITLE: DATE : /? ? r? 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) ReaWrements CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 ? 2 copies ot plan pq1E: I0/7o/2 0 o a CONSTRUCTION COST: z-?o d f?] if DESCRIPTION OF WORK: C?CS'rvNaTla? It mulfl-family bldg., how many units? j?? INDICATE THE FOLLOWING E6IUIPMENT TO BE REPLACED AND BY WHOAA: _ Plumbing _ Homeowner Q-r Conhactor Name _ Mechan(cal _ Homeowner pj Conhoctor Name "Note: If somebody other than the homeowner is performing plumbing or mechanical work they mustapply for appropriate permit, Only Ilcensed plumbing conhactor or homeowner may complete plumbing woilc. SfREETADDRESS: --Avg" twSIo4e L4?Ft LOT: ? BLOCK: ? SUBD./P.I.D. #: ? L•?ic (a Name-'---7A"v% rOr t1 { S Phone N: 'yS 4• SL42 0 PROPERTY Last First OWNER Sheet Address: A62? ? tf-4cE Clty eAE`...4 State: ???•/ Company: (AiTEc aX Phone #: Zip: S? Sol•2y14o (area code) CONiRACTOR CQ License #COy 1177 Exp. Sheet Address: TUA^^Gr , n Cily ?,f?Aome?e3.?1.?? Siate: m°4 Zip; I hereby acknowledge that I have read this application, state that ihe Infortnafan is cortect, and agree to comply wilh all applicable State of Minnesota Statufes and City of Eagan Ordinances. n , - j,.??.DD Signature of ApplicaM-- ?T r) nf 7i 0 G??? J CITY USE ONLY LOT ? BL ? PERMIT#: SUBD. \l0? 14 l_gn,Ihp,. EAd? RECEIPT N: . (j>15?P a ?1 q RECEIPT DATE: 2000 MECHANICAI, PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IRNOB RD EAGAN MMI 55122 r? Date: 651-681-4675 (0? ?? ` W Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not ownedoccuoied. • HVAC: Q-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) $ 30.00 6.00 State Surchazge .50 Total $ Complete this section on[v if you are remodeline, addine to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New X Alteration _ Repair _ Other Furnace _ Air exchanger Reminder: Call for inspections SITE ADDRESS: OWNERNAME: INSTALLER NAME: STREET ADDRESS: CITY: x- Air conditioning Other Fee State Su:chaege Total $ 30.00 .50 $ 30.50 PHONE #: Vl5 l - `IS `1 - Z (AREA CODE) `? PHONE #: ILell STATE: 64k)_ ZIP: 55)u? h&ylij ? ?d4B-,- SIGNATURE OF PERMIl'TEE CITY USE ONLY L BL SUBD. APPROVED BY: • , INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (CObMRCIAL) CITY OF EAGAN 3830 PILOT IQd08 RD EAGAN, MN 55122 651-681-4675 Please compiete for: all cammerciaUndustrial buildings muld-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New consWCtion ='Install U.G. Tank ° _ Interior Improvement _ Remove U.G. Tank _ Processed Piping When installing/removing underground tank, call 65I-681-4675 for rnspection by ftre marshal and plumbing inspector. Description of work: Fees: i°/a of conhact price OR $30.00 minlmnm fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calwlate at f.SD for each $1,000 Base Fee TOTAL ' SITE ADDRESS: $ OWNERNAME: PHONE#: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS TfERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: ADDRESS: CIT'Y: PHONE #: - _ (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 V(90??u ? ?o?o(fice?l5e -------- ; ? Pertnit #: ch I PermitFee: ?'14 - d-'b I ? Date Recelved: I ?? I ? StaH: ? I I ------------------ 2008 RESIDENTIAL BUILDIING PERMIT APPLICATION Date: Site Address: AM t'wV zwe,m 111'UUbG-& 4X, 112 j q (C20 , tl 09 ?Z suite #: RESIDENTlOWNER Name: ULLs Cc?n?Tyl1dil' (1 ?XYVl ,') Phone: . AddresslCity/Zip:ja IW S u\m'(}1 y S"?• Applicantis: _Owner V Contractor TYPE OF WpRK Description of work: ?`??,_N?tu? Construction Cost: Multi-Family Buildin g:(Yes_/No CONTRACTOR Name: Cjh?- ?]Ct4UOk)VJ License #: a U711)5 11 Address: Isq?OZ O?1a"OA& b,v?ao(] City: _RY wnwwn . State: ?Zip: .?3m'-7 Phone:.(61l"'I (jb• (j',y1 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Cate Submitted or g y Su6mitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issueda permit for a similar plan based on a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: P-lans andaupportrqg dacu?ents thaYyoG sub?It ate,considered to 6e;public inforrnationr Portions of ? the informaflon may be classAred as non pubhctif?iou praWdepsp'eci?c reasons thaf wou/d permit the Cify to " ? ? ? .„?conclude??ax;.the.ar?,trade-secrets?,"=„?y' I hereby acknowledge that this information is complete and accurate; that the work will 6e in conformance wim the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a pefmil, and work is not to s[art without a permit; that the work will be in acwrdance wi[h the approved plan in the case of work which requires a review and approval of plans. ? X ?'?l'y?:.}.S, kl Mir,?(?umn X ?A rLk Q d(,'y\' Appliclangs Printed Name Applicants Signa ure A?.i Page 1 of 3 o 7 100/100'd 6V:60 (0H1)0102-10-ad8 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED AUG 2 4 2016 2015 RESIDENTIAL P�LUNILBING P Date: �LS "' Site Address:44° '�Y Tenant: Use BLUE or BLACK Ink For office Use Permit*: 138 37,3 Permit Fee: 9O Date Received: d'd Y://‘ Staff: IT APPLICATION Name; —b Address / City / Zip. Suite #: 01S Hilbert Cornpany.Inc dba Culligan Water' Address: '1;$01 50th St East License #: C641376 city: Inver Grove Hgts. State:' Mn Zip: 55077 Phone: .651-451-2241' Contact: William R Milbert Email: _ New _ Replacement _ Repair _ Rebuild _ Modify Space _Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as btiilt) (includes County fee and $5.00 State Surcharge) t0� 0 0 TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecail,oro I hereby acknowledge that this information Is complete and accurate; that the work will be. In conformance with the ordinances and codes of the City of Eagan; that 1 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 epproved piar1,jn.the case of wo4k which regYires a review and approval of pians. x Appli nt's Signature Oct 04 2016 03:50PM HP FaxPerfection Heating 6517773252 page 2 1111 C!tyofEaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use 4 Permit #: / - /Q 1 l Permit Fee: 00 Date Received: Staff: L 2016 MECHANICAL PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications.s Date: Ap Site Address: e/ 6076, 1 ag, C<<*+t J.. LAZ Z-.b;too.. v Tenant: Suite #: y y' r {� � ,� > 't � d { e' *, 4.,r t r1 °`" Name: Phone: Address / City /Zip: kt i •yyy sty ` } ?��R� ���� � �� ,. :' Y s Name: Qr'c?r►-11D ) /./c4r a License#: kid) gi20. Address: 1770 Coe P LA ''.. k City: l V 1oti ka.A_Dczet—C) State: MA) i/) Zip: ,...t.0-1.01 Phone: (9.:irq• 717 • Me ,)-0 Contact Ce&'e 1J L&.Q Email: J. Pet/' 44 o.o.� civ i s� . (,0,U.` ° yy 'i��Y1. � � 'n ,'� ` Y'g y r i• 1i �; �SAj'l$i'#�y fit 5 ` * yy`J, t 4'k. '� A 't K Y,y �4 z�'. 7.32h New Replacement Additional Alteration Demolition Description of work 1JQ/ua..1(,�lk,. UQ S,A s4 -all °t°r t It Dryer £ ' Feil fif t4Y.4 e}'; } m , n¢ � y .. 4 � � 5. °' .XT�.°: ,?..•r.a;le�.a...:Kw.. ;Ys�• .. ?: am�.,. �:!✓... ) J. )g II �' �'T t "'r 1 ° ' rf :: ..x R: , nn<•�Sw. P '^ _d jl `� 9y. •r - ' {g•�y;,�' `� �"7: .' Y, . .b' C Y i .,e$:". Ci�.� ... ,n.....v�);•qi a,r is 3t kz41" -7-. §'` � 4� � n6i�. A; ZI _ "x�}ffi ' r. �� t `i a , ' RESIDENTIAL _ Fumace - COMMERCIAL New Construction Interior Improvement — Air Conditioner Air Exchanger n9 _Install Piping Processed Gas Exterior HVAC Unit _Heat Pump .1 Other VIA 1411-: At -7 - _ Under/Above ground Tank L_ Install 1 Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ TOTAL FEE COMMERCIAL FEES Contract Value $ x .01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes Stale Surcharge = $ Permit Fee = $ Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan: that I understand this is not a permit, but only an application for a permit, and work Is n. - 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.