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4648 Ridge Cliffe DrCITY OF EAGAN Addition JOhT1n;` Cake Ridg,B 2]lti Adflitin*+Lot 1 Bik 1 n Parcel #10 39801 010 10 owner Street 4648 Ridge Cliffe Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADI NG SAN SEW TRUNK 36 4 *SEWER LATERAL _; ?7-- 1983 227743 455 49 2277 43 C006$4$ 10 j $Q . . WATERMAIN *WATER LATERAL 1981 WATER AREA STORM SEW TRK S-J- " 343.41 C006848 10/15/80 *STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 17060 12/11/79 BUILDING PER. SAC PARK ? CITY UF EAGAN Remarks Add. ition Tnhnn)r CAkP.R.idgP ?nd Loc ? eik 1..0 Parcel 10 39801 020 10 Owner?- street 4650 Ridge Cliffe Drive State Eagan, MN 55122 , Improvement Date Amount Rnnual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK p 1975 66.97 4.46 15 *SEWER LATERAL ?g 1981 2277.43 455,49 5 WATERMAIN *WATER LATERAL 1981 WATER AREA STORM SEW TRK 5-) 1981 343.41 68.68 5 *STORM SEW LAT 19$1 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. if BUILDING PER. ti SAC 00 525 PARK . CITY OF EAGAN Remarks Addition ,Iohriy Cake RidBe 2nd Lot 4 Bik 10 Parcel #1,0 39801 neD 10 Ownerr 1• L ..-. ` Street 4652 Ridge Cliffe Dr1Ve state E8gai1, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STFiEET RESTOR. GRADING SAN SEW TRUNK a 1975 66.97 4.46 15 *SEWER LATERAL Jl?g 2277.43 C006851 10 15 80 WATERMAIN *WATER LATERAL 1981 WATER AREA STORM SEW TRK 198 4 41 68.68 5 343.41 C006851 10 15 80 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 75.00 17058 12 11 79 WATER CONN. 270.00 el BUILDING PER. n n SAC it tr PARK ... , , vF EAGAN Remarks Addition .7ohniny Cake Ridge 2nd Loc 3 sik 7n Parcel #10 39801 030 10 Owner- Street 4654 Ridge Cliffe Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUFiF. STREET RESTOR. GRADING SAN SEW TRUNK D 1975 66.97 4,46 15 *SEWER LATERAL 1981 2277.43 455.49 5 WATERMAIN *WATER LATERAL 1981 WATER AREA STORM SEW TRK ? 1981 343.41 68.68 5 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road i 75.00 17059 12/11/79 WATER CONN. 270.00 BUILDING PER. SAC 00 25 PARK . A* CASH RECEIPT CITY OF EAGAN 3795 PILOT KN08 ROAD EAGAN, MINNESOTA 55122 DATE 19 RECCIV6D FROM AMOUNT $ I & DOLLARS 1 oo Ej CASH CHECK FOR White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BY ? CASH RECEIPT CITY QF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RiCE1VEO FROM AMOUNT $ I ? CASH ? GHEGK DOLLAR4 ;oo FOf? BY White-Payers Copy Yellow-Posting CopY Pink-File Copy Thank You Mosipw CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIV6O FROM AMOUNT $ I ? CASN 0 CHECK DOLLARS 1 oo FOR ?/?..?. BY L/ White-Payerz CoPY Yellow-Posting Copy Pink-File Copy Thank You CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RCC EI V GD FRdA AMOUNT $ I & DOLLAR$ 1 oo ? CASH ? CHECK FVND COO6 ?MOVNT Thank You 1 BY i White-Payert Copy Yellow-Postiny Copy Pink-File Copy . . CITY OF EAGAN 3795 Pilet Knob Rood Eagun, MN 55122 N2 5565 • PHONE: 454-8100 r BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect Q Occuponcy Lot Block Set/Sub.' Alter ? Zoninp parcel # Repoir p Fire Zone ; Enl T f Const arge ? ype o . oc Ncme r'"i'? ,n iiorae° Move ? # Stories W Z 3 Address • Demolish ? Front fi. ? Ci Phone z Grode ? Depth ft. ? 0 Name Approvals Fees ZU S? Addreu f' ('if.. P"na Name _ Addreu I hereby ncknowledge thot I hove reod this opplicotion and state thnt the infarmation is cArrect and Cgree to COmply with ull upplicuble State of Minnesota Stotutes and City of Eagon Ordinances. Water & Sew. Police Fire Eng. Plonner counci l B(dg. Off. _ APC Permit ' Surchcrge ' Plan check . SAC Woter Conn, Water Meter ??.r. Total Signoture of Permittee I A Building Permit Is issued to: ? . . on the express condition that oll work shall be done in accordance with oll opplicable State of Minnesoto Statutes ond City of Eagan Ordinonces. Building Officiol hmM # DaM Iswd ?auitfN Plumbing 7 7 - /f/- O Mechonicol INSPECTIONS DATE INSP. RoupFfln Finol Footings Dcte Inap. Date Insp. foundotion Plumbing Frame/ins. Mechanicol Final Remorks: No. :>32 iEATINa CITY OF EAGAN 3795 Pilot Knob Rosd Eagen, Minnesoto 55122 Phone: 454-6100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Dote: June 3, 19.".^. Receipt No.: 1918(-, Single I Site Address: ??f-'i!t !A r";132^`e ' . Residential 'C Lot 3 ?Block Sub/Sec. t`a1` eT I Multi Res., Comm./Ind. I r)I`1'i2'1 T?'iOL ?50II L;QLte,, Name New/Alter./Repoir. ' a Addreu :°o-?kii:s Crossroacl Cost of Instollation 'ir,ne toni:a , 'i 1 ? -, - Ciry Phone: Permit Fee .` Nome Surchorge . ? Address .' ('j'l ','aloav0 . . ? , . ? _. City Phone: Totol This Permit is issued on the express condition thot all work sholl be done in accordance with cll applitable State of Minnesota Statutes and City of Eogon Ordinances. Building Officlal No. -78b cirir oF EAG?N 3795 Pilat Knob Rood Eagan, Minnesofa 55122 Phone: 464-8100 P1tilI'lbi? ' PERMIT Dute: 7_ 14 _ _ ' Site Address: 4j?54 Lot Block _ Cliff Dr. 1G gub/Sec. =' • Cake fZ1dr*e II Name tJrrin T2;amoson iIome_, . . ? Address 1'?l? '=ap?"- ` ?rG33 T`OLt,13 ? City ' Phone54Z7 `^ - , _;, 7j . ? . , Nome . ? Address "145 :3. V .. - City Phone: This Permit is issued on rhe express condition thot oll work shall be Minnesoto Stctutes ond City of Eogan Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol I Multi Res., Comm./Ind. I New /Alter. /Repair Cost of Installation Permit Fee Surcharge Totol done in accordonce with oll applitable Stote of Buildiny Officiol cirir oF EAcaN 3795 Pilof Knob Rood Na Eo9on, Minnesota 55122 INSPECTOR NOTIFICATION Ph~: 464-8100 REQUIRED BY LAW '0i1d PERMIT FOR ALL INSPECTIONS `"" C Date: 10'6-80 Receipt No.: Single I Site Address: 54 Rid(?eClifFp Dr. Residential ? r f I Lot .% Block Sub/Sec. - M --??f ? uiti Res., Comm./Ind. ,OZd t5 ?:.0' r _. •` ?.. ? Nome New/Alter./Repoir . # Address .9 a'T"' Cost of Installafion O i r-, - City Phone: Permit Fee ' Nome :,J,,:?, ?•r; `.???'i, f ;r? ? Surcharge ? ? Address ?1 Calif'ornin ? e 3 C;ty ?1s Phone: . . Totol . This Permit is issued on rhe express condition that oll work shall be done in accordonce with oll applicable Stote of Minnesoto Stotures ond City of Eogan Ordinonces. Buildiny Officiol Receipt MECHANICAL PERMIT Permit No. ' ? , - CITY OF EAGAN Fee Fill in numbered spacea S/C Type or Print legib/y Tot 1. Date 2. Installation Cost 3. Job Address Lot ' Blk. Tractu 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential 0 Commercial O Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. Fuel Type No, Eauinment BTU - M. Ea. Forced Air No. Equipment CFM Ai Handli Mfg. r ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Fir?ali ? Inspections: Date Insp. Date %? Insp. i This is your permit when numbered and approved. ' Approved CITY OF EAGAN 454-8100 . . ? cinr oF EAG,nN 3795 Pilot Kaob Rood Eagan, MN 55122 NQ 5566 PHONE: 454-8100 BUILDING PERMIT To be used for Est. Val ue"' t ? U • Receiat # Dote , 19 . Site Address - 1 1 I i c ;: s. ^ Erect ?:. Occupancy ? Lot Blatk lU $ec/Sub:J "kA•`, : i`-t-'( i' Alter ? Zoning il} Parcel #. Repair p Fire Zone Enlarge ? Type of Const. oe Name 0r r i; i ? ?} ornp s on H ome s move 0 # Storles W 3 Address 171 =t:^ CTossTOads pemollsh ? Front ` L ft. ? Ci Phone Slj,_7 ;?j - Grode p Depth ff. Appeovalt Fees ? Name Zp e .................,. I p tt 8Q Address ae ? r.... Nome _ Address I hereby ocknowledge that I have read this applicotion and state thot the information is correct and agree to comply with oll appiicable Stnte of Minnesota Stotutes and City of Eugan Ordinances. Water & $ew. Pol ite Fire Eng. Planner Council Bldg. Off. - APC ermi Surtharge Plan checl4b,?? SAC ? Wcter Conn. Water AAater - ?-?'-? ::nit .00 TOLOI Signature of Permittee 1 A Building Permit is issued to: on the express condltlon tFwt oll work shall be done in accordonce with all applicable State of Minnesota Statutes and City of Eugon Ordinonces. Building Officiol P*Mk # pet? law ?OMNtu Piumbin9 f',?j ? -/y' d Mechonical a / 22AL. 1 L) ?O INSPECTIONS DATE INSP. Rouph-In flral Footings - Dote Inap. Dote Insp. Foundation Plumbing Frame/ins. 7/?v? Mecfianical Finol Remarks: - • CITY OF EAGAN 3795 Pilet Knob Read Eogoe, Minnesoto 55122 No. P6one: 454-8100 PERMIT ?Tune 3, ia?' ? Dote: 5ite Address: .?'i4yn MrC -DriYe 1n Lot 81ock Sub/Sec. `??' Ck. d,?e Nome " ? Address 1712 iiopk3T',8 Ci'of38roac? ? C'ty Phone: Name Rwr 'i. 1,41ter i-ie3,*.'::,' ;'o. r ? llddreu ? e `'1C3FC AVP.. City Phone: This Permit is issued on the express condition that oll work shall be Minnesoto Siotutes and City of Eogon Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residentioi Multi Res., Comm./Ind. New /Alter. / Repoir Cost of Installotion •,n ., Permit Fee Surtharge Total done in accordance with oll opplimble Stote of Building pificial ' cirir oF EAcwN 3745 Pilot Knob Reed Eagae, Minweseh 55122 No. - P6one: 454-8100 1yui:',i.' PERMIT Dcte: 7-1l+-80 Site Address: ;','J5? nid,s;e Cliff Jh`. Lot 81xk 10 Sub/Sec. J. Cake i:ige '_'I Name Orrin T!io=,sor. Fior..: e Address ^ ^??kir.s -- eirY ietorlca, _ . Pho?,e: 544'733-1 Name p. y g Address e 0 V ' ,! . City Phone: This Permit is issued on the express condition thot oll work shall be Minnesoto Stetutes ond City of Eagan Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: ? $ingle Residentiol Multi Res., Comm./Ind. I New/Alter./Repair. Cost of Installation Permit Fee Surcharge Total done in accordunce with all applicable 5tate of Building Officiai CITY OF EAGAN 3795 Piloi Knob Rood No. ' Ea9an, Mlnnesota 55122 Phen.: 454-8100 PERMIT .. - ' 0 Date: Site Address: H f f? Lot ? Block v Sub/Sec. Ncme -,.- . Address ? City Phone: Nome . ? ? Address 3:301 C'.alifnr^ i.;-? ' ? -ls m, 7' City Phone: This Permit is issued on the express condition that all work shall be Minnesoto $totutes and City of Eogon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential ,r., •__ . . New/Alter./Repolr Cost of Instoilotion Permit Fee Surchorge Tota I done in accordante with oll applicable State of Buildinfl Officiol - CITY OF EAGAN 3795 Pilor Knob Raad Eayaa, MN 55122 - ' PHQNE: 454-8100 BUILDING PERMIT 4 n 1 P-m Site Address Lot Parcel JeC/JUb. W I Name . , 14 Z Address 1712 i{nnkins "'Crnssrt;,:Iil, ? • .. .. - ? G / / 7 '? . . K o? u ? Name _ Address Name _ /4ddress I hereby acknowledge that I hove read this application and state that the information is correct and ogree to comply with all opplicable State of Minnesota Statutes ond City of Eogon Ordinances. Receipt # Erect ? . Occuponcy N°_ 5564 Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grode ? Depth k. ADP?OYOIs F02f Assessment _ Water & Sew. Potice Firo Enp. Plonner Council Bfdg. Off. _ APC Permiti Surchcrge Plan check SAC Water Conn. Woter Meter _ Totol - ' Signoture of Permittee I A Building Permit Is issued to: on the express condition thct all work shall be done in accordance with oll opplicable State of Minnesota Statutes and Ciry of Ea9on Ordinonces Building Officiul FsmM * DaN lowi ??tMM Plumbing 7Py , - /y- O Mechanical .?,p O INSPEGTI4N5 DATE INSP• Rouph-In Final Footings Z 6?go Dote Insv. Date Insp. Foundation ? Plumbing Frome/ins. Mechonicul Final . Remarks: S- p -.) ' 76 • CITY OF EAGAN • . 3795 Pilot Knob Road ' i Eogan, Minnesoro 65122 No. Phons: 45I-8100 . • , ' S " pERMIT Dote: June 3 ,1'-1:: r•; ('14.±'i e ?T.'_ve Site /lddrcss: ? ln J?r:y. "-..'idige II Lat Blotk Sub/Sec. 'rrin Thar.trson IiO.mea Name ? g Address " `'-' 2 :io??l?_il s Ci`os.?Z'oed ? ? ,.;._L1t?t071?fS , City Phone: Name ? ?. . /lddress ? City ' Phone: This Permit is issued on the expreu condition that oll work shall be Minnesota $totutes cnd City of Eegan Ordinantes. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. ? New/Alter./Repair Cost of Instcllotion Permit fee 5urchorge Toto I done in occordance with all oppliooble State of Building Officiol CITY OF EAGAN • 3795 Pilat Knob Road Eogon, Minnesota 35122 No. - P6one: 454-8100 PERMIT Dote: 7-14-30 Site IWdress: 4550 11idge C13ff Rd. i Lot Block 10 Sub/Sec. J , Cake R.i iCe 1, INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residentiol Multi Res., Comm./Ind. I Name -'t'ir. T'1QIITD8oT1 iIone,, New /Alter / Re air . p ; ' : Address :'- Cost of Instollation O Cicy Phone• r Permit Fee Name Surcharge . ? Address ' c City Phone: Totol This Permit is issued on the express conditian that all work shall be done in occordanoe with all oppliwble State of Minnesota Stotutes ond City of Eogon Ordinonces. Building Official , -,. . _ ._ .. . . • _ • . ,,,,?? ?. • . -_ ? ?r CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for p8? 6 DOCIRS Est. Value $1,00() Date JUNE i g , 19L9 Site Address 4648 R;DGE CLIFFE L'R Lot 1 Block id Sec/Sub. ??Y? OFFICE USE ONLY Pareel No. occuPancy - Fees Zoning W Name ?lOJl1v 1.1ST$f.:(?CHR (Actual) Const - Bldg. Permit 26.L? Address -"6" RYDGE CLIYFE PF, (Albwable) - S 50 0 urcharge • City CAGM Phone 452-6782 # of scories - ' Plan Review 12 Lengih 2 o Name gTEWART Co oepm 10-1 sac ciH O s Address 3019 1tUS8ELL AYE 1'i S.F. Total , - U ? Ciry MIlIIZEAPOLIS Phone 529-7057 S.F. Footprints s,nc, Mcwcc Water Conn On Site Sewage 18, ¢W Name on Sice weli Water Meter W _ ; Address nnwcc system - ?Z a W City Phone wa?er city Acct. Deposit - &'W P i PRV Required erm t _ I hereby acknowlege that I have read this applfcation and state that the Booster Pump - SM/ Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatmenl PI Si9nature of Permitee i ?- . APPROVALS Road Unit i , / .??.Tli1?•,4T C(i A Building Permit is issudd to: PlallflBf - Park Ded. on the express condition that all work shall be done in accordance with all Cauncil _ applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy. pff, _ CoP?es 8uilding Official ? Variance - TOTAL 27. g` Permk No. Permk Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Commenta Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Freplace Final Htg. Final Pibg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bidg. Final Deck Ftg. ?O Z I S Deck Final 7 Well Pr. Disp. BUILDING PERMIT -- • -- • •- ? lex Site Address Lot Black Parcel .# 99 Name W 3 Address - « b p Name _ N2 5563 Erect Occupancy Alter ? Zonirg Repair ? Fire Zone Enlarge p Type of Const. Move ? # $tories Demolish ? Front ff. Grade ? Depth - ft. Approro Is Fees ?? Address Assessment Permit ' ? Ci Phone Water & Sew. Surcharge Police Plan check u? W Name Fire SAC ?? Address Eng. Woter Conn. <W Ci Phone Planner Water Meter Council I hereby ocknowledge that I hove read this applicntion ond state that gldg. Off. the informotion is correct and agree to comply with ull opplicable APC Totcl Stote of Minnesota Stotutes and City of Eugan Ordinances. 5ignoture of Permittee A Building Permit is iswed to: on the expross condition thot ail work sholl be done in accordance with all applicable Stnte of Minnesota Statutes and City of Eagon Ordinances. Building Official CITY OF EAGAN 3795 Pilot Knob Road Eogan, MN 55122 PHONE: 454-8100 Receipt # Date - . Sec/Sub. rmuk # DoM I?fd ParmItfM Plumbing 7?,3 7 Mechonicol S 5933 7 57 2o d INSPECTIONS DATE INSP. Rouph-In Finol Footings /-/C-Z Dote Irap. Date Insp. Foundation Plumbing Frame/ins Mechanical Finol J / . Remcrks: 5 ,s .2;2 - 'j?6 No. KEATINC. CITY OF EAGAN 3795 Pilot Knob Road Eogen, Mlnnesoto 55122 Phone: 454-8100 PERMIT '?-1, 1 Date: Site /lddreu: 1 Ir ? 'rny. Calce dge :".I Lot Block Sub/Set. +'^ Il l1I\?LI: ;IJL ?0 A+E9 ` Name ° e Address ? irmetoru:a City Phone: T' V Iti . ?Ylet3r tlefi tiT1t- Nome ? •-r ; :F. , ? Address . - ' ' - City Phone: This Permit is issued on fhe express condition thaf oll work shell be Minnesoto S totutes ond City of Eogan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: 19186 Single Residentiol Multi Res., Comm./Ind New//11ter./Repoir. _ Cost of Instaliction Permit Fee Surchorge Totat ' done in accordonce with oll applicnble Stute of Buildinp Officiol No. ,-7$3 cirr oF EAGAN 3795 Pilot Knob Read Eagew, Minnnota 56122 Phowe: 454-8100 PERMIT Date: ?-11?-80 Site /lddress: Lot 46 Ridge Cliff Dr. Block Sub/Sec. J. Ceke ?id{ ;= 7 _ - ?in Thompson flome:i Name ? /lddress r„ City . ? . .. . , . _.. : , .. _ . Phone: Nome !?7an ' . ? g Address ? 0 City Phone: This Permit is issued on rhe express condition rhat oll work sholl be Minnesoto Stotutes ond City of Eegon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. I New/Alter./Repair Cost of installotion Permit Fee Surcharge Total done in occordonce with all epplicable State of Building Officiol Cl7Y OF EAGAN 3995 pilot Knob Rood Epgae, MN 55122 Zoning: pwner: Address: Site Address: Piumber: 1 agree to eomph with the CitY of Eagan flrdinaneea. By Date of Insp.: 1nsp.: SEIAIER SERVICE PERM?T PERMIT NO.: DATE: _ No. of Units: Gonnection Chor9e: Account Deposit: _ Permit Fee: $urcharge: ?- Mist. Charges: - Totol: --- Dote Paid: WATER SERYICE PERMIT C;TY QF EAGAN 3795 Pilat Knob Road PERMIT NO.: Eagan, MN 55722 DATE: , • . - No. of Units: Zoning: Owner: Addsess: ' - R ] ') j C L;:1.110r , i Site Address: Plumber: Cannection Charge: Meter No.: -- Account DepoSit: Size: Reoder No.: _ Permit Fee: _ 1 ugree to eomply with the City of Eagan Surcharge: .?-- .--- t,- - Misc. Charges: Ordinanees. Total: Date Paid: By I Dote of Insp.: nsp.: _ WATER SERVICE PE[tMIT C1T1F' OF EAGAN 379,3 p;lot Khob Road PERMIT NO.: Eugan, MN 55122 DATE: No. of Units: Zoning: Owner: Address: Site Address: PI umber: Connection Charge: Meter No.: S Account Deposit: ize: Reader No.: Permit Fee: 1 aqree M we+PlY with tRe City of Eagon Surcharge: Misc. Charges: Ordinances. Totol: Dote Paid: Y pate of Insp.: Insp.: CITY • GF EAGAF! 3745 Pilot Knob Roed Ecgan, MN 55122 Zoning: Owner: Address: Site Address: PI umbe r: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 1 agroe to eomplr with the Citq of Eagan Ordinances. By Date of Insp.: I nso.: Connedion Chorge: Account Deposit: _ Permit Fee: $urcharge: Misc. Charges: - Totaf: Dnte Paid: CITY OF EAGAW WATER SERVICE PERMIT 3794 Pilof Knob Rood PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No, of Units: Owner. ?i- -- Address: Site Address: tiI7 .l C R1.ds8 I I Plumber: __- Meter No.; Connection Chnrge: ' •' Size. Acoount De poSiY: Reader No.: _ Permit Fee: ' `V ' ' I ogroe to complr with the Citr ef Eagan Surcharge: ' Ordinonees. Misc. Charges: Totol: BY Dote Poid: CIT2 ..f EAGAN 37^5 Pilot Knob Rood Ecgan, MN 55122 Zoning: Qwner: Address: $ite lKddress: Plumber: 1 agrae to eomply witfi tha City of Eagan , Ordinaneee. Date of I nsp.: SEWER SERVICE PERMIT PERMIT NO.: n e-rc. I No. of Units: Connection Chorge: Accaunt Deposit: _ Permit Fee: Surcharge: Misc. Chorges: - Total: Date Paid: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber. I ogree +o complr with fhe City of Eagan Ordinpnees. Bv Date af Insp.: I nso.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: M1sc. Charges: - Total: ITY OF EAGAN WATER SERVICE PERMIT 7?r5 Pllot Knob Road PERMIT NO.: 2 DATE: f agan, MN 5512 oning: No. of Units: ` ' i.*t wner: ddress: I T r.,, 1g ?:,??, e ite Acidress: lumber. etet No.: Connection Charge: ize: Account Deposit: eader No.: Permit Fee: 1 f'(, agree to eomply with fhe City of Eugan Surchorge: 50 t;d d met2i 00 60 rdinances. cO . ? Misc. Charges: 7otal: BY _ Date Paid: Date of Insp.: Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Z? ?eq??? ?oia o`?'3 6? o?e+y C?ZI' 14 0m monis :Sum . Date,?of this Request Fire No. ? 59340 I. as ?Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal K1(ring installed at: Street Address or Route No Section Township Which is occupied by 14i5q RV96 Curlr Aw, -c,tygc,[o Range County bkk-d7R ??0 -1 Is a roughin inspection required on this job? No ? YesZ' Ready Now ? Will CalM Powcr Supplier R-r=k Address Electrical Contractor '"'G L?' ????C° Contractor's License No.7??q Jll( G. a?r?ame? Mailing Address ? C ? : ?( ctr I C ctor or Owner Making Thls Installatlon) ?0 10 Authorized Signature Phone No. o (Electrlcal Con ractor or owner Makln9 Thls Installatlon) This inspectionrequest will not be aceepted by the IJ E`'9 l3=il 4f ?State Board unless prapar inspection fee is enclosed. mmnasom awce eoam or uecinciry ' Griggs Midway Bldg. - Room N191 7621 yniversity Ave., St. Paul, Minn. 55704 - Phone 297-2111 REt2UEST FOR ELECTRICAL INSPECTION CHECK BELOW WOAK COVERED BY THIS REQUEST jCJ0t7b E13-00001-02 S 59340 Type of Building New. Add. Rep. Check Appliances W'ved Fox Chect Equipment Wired Fm Home ? ? Range Temporary Wiring q Duelex 13 ? ? Water Heater Lighting Fix tures Apt. Bldg. ? ? ? Dryei Q Electric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? Av Conditione Bulk M0k Tank ? Fazm ? ? ? List h cs? -.. List th rsI Other ? ? ? e _' ?e ) e COMPUTE INSPECTION FEE SF.LOW r Service,EntranceSize: Fee Feeders&Su6feeders: # Cvcuits: n Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres ,0i) 101 to 200 Am s. 31 to 100 Am res 31 to 100 Am ces Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remo[eConVO]Circ. Partialocothetfee .30 Si ns S ecial [ns ection Minimum fee Remarks .? / r I TOTALFE, ?.`?? zg(? I, the Electrical Inspector, hereby (Final) This request void 18inonths from been made. e e iainneso[a sra[e noara or ueccncity Griggs Midway Bldg. - Room N191 ,82 l?,1ir,v,rsity Ave., St. Paul. Minn. 55104 - Phone 297-2111 REQUEST FOR ELECTRICAL INSPECTION ECK BELOW WOAK COVERED BY THIS REQUEST f ytrOv EB-oa,o,_oz $ 59339 Type of Building New Add. Rep. Checlc Appliancea Wired For Check Fquipment Wired Fm Home /? - ? ? Range ? Tempocazy Wiring [] Duplex `d - ? ? Water Hea[er ? Ligh[ing Fixtures 91 Apt. Bldg. ? ? ? Dryex ? Electric Heating ? Commercial Bldg. ? ? ? Furnace f DL Silo Unloader ? Industrial Bldg. ? ? ? Ait Conditi ? Bulk Miik Tank ? Fazm List List OthOi ? ? ? p yeieISf ereecs? COMPUTE INSPECTION FEE BELOW Service Entrance Size: * Fce Fceders3.Su6feedecs: x Fee Circuits: u Fce 0 to 100 Am s. 1 154 0 to 30 Am res 0 to 30 Am eces . V 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res Above 200 Amps. Above 300 Amps. Above 100 Amps. Transfocmers 1 1 Remote Control Circ. Partial or other tee L , Signs 1 1 S ecial Ins e[ion Minimum fe .00 Rejnazks TOTAL FE O. f l?=00 [, the Electrical Inspector, hereby certify?a?the (Roueh-in) (/CJ. (Final) This request void 18 months Crom been made, e Tofa 4!J e ?Z Th'tv,requ?st vro?l V ' months? 7 8 Date of this Request Fire No. S ?j " 9 3?2g I, as(5Wcensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Streef Address or Route No. '4652- 9106E ?iff- 0p• City W`*' Section Township Range CountyWe? Which is occupied by op-4414 ??meSOt`s Pow _ Is a ioughin inspection required on this job? No ? YesCEL_ Ready Now ? Will CalldiC Power Supplier 1.(-- k Address ElectdcalContractor ?ELL eLa???'tG Contractor'sLicenseNo.??-'IJ I (COmpany Name Mailing Address L _(EI rlca ontractar or Owner Makln9 Thls Installation) p Authorized Signature Phone No. T1 Q ' (ElectllCel ControCtOf or OWner Makin9 TMs InStellaUOn) SYAV?j C8i1OA?D (0 Pv This inspectian request will not 6e accepted 6y the f6 State 8oard unlass proper inspection fee is enclosed. REQUEST FOR ELECTRICAL INSPECTtON ? Ee-ooooi-oa p See inetruc<ions for completirg this tam on hack of yellow copy. -tq '093921 "X" Below Work Covered by This Request 3-7 g(p 3 0.dA Hep. TvOe of Builtling Appliances WireE Epuipmenl Wired Home Range Teaiporary Service Duplex Water Heater lightin,y Fixtures Apt. Building Dryer Electri<: Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldy. Air ConAitioner Bulk Milk Tank Farm ome, oeci v emer isu,,dfv? r- u?:c?ly Ot er Othe, Compute Inspection fee Below N' Fea ServicaEntranceSiza k Fee fexders/Sub(eeders N Fee Circui[s U to 200 qm s 0 to 30 qm s 0 to 30 Am Above 200 qmps 37 to 100 qmps 31 to 100 qm s Swimming Pool Above 100_Amps Above 100_Am s Transiormers Irrigation Boorc?s Partial /Other Fee Signs Suecial inspec[ion [ 0 5 10 T Renv?rks •J OT F ? floueh-in Oate I I. the ' Inspactar, heraby certify that Me abova Fina? ??? ? insoec[ion has bean made. This reouest vold 18 monihe 4om minnesota atace uoara ot tieccncity _?VV l Griggs Midway Bldg. - Hoom N191 /9(7 EB-00001-02 ;7821 ?Iniversity Ave., St. Paul. Minn. 55104 - Phona 297-2111 ? I?QUEST FOR ELECTRICAL INSPECTION 59338 CHECK BELOW WORK COVERED BY THIS REQUEST Type of Building Ne Add. Rep. Check Appliances Wired For Check Fquipment Wired For Home ? ? Range Tempoiary Wiring ? Duplex ? 0 Water Heater Lighting Pix[ures ? Apt. Bldg. ? ?? Dryar ? Electric Heating Commercial Bldg. ? ?? Fumace Silo UNoader ? Industrial Bldg. ??? Au Conditio p Bulk Milk Tank ? Fazm ? ? ? List /77 . List Other ? 0 ? p Heiers? FlfV ftecs? ['(1MPIITF INSPFCTi(1N FFR RFI (1W Ul{f-7 A Secvice Entcance Size: it Fec Fcedus&Subfeedets: * Fei?'- C¢cuits: x Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 10.00 101 ro 200 Amps. 31 to 100 Ampeies 31 to 300 Am eies Above 200_Amps. Above 100 Amps. U Above 100 Amps. Transfoxmers Remote Control Cuc. Partial or other fee SLL • 0 S' ns Speciai Inspection Minimum fee $ Remarks TOTALFE 'l?? p ,2p,Q6 I, the Electrical Inspector, hereby ce that ov€ inspection has been m<'.?? ?? (Rough-in) ?, r Date (Final) _ 4e-?- Date /7-5' This request void 18 months fmm Mre4u?st void ? C???19? onfhs from Date of this Request S I? I? Fire No. ? "???? I, asLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wmng installed at: Street Address or Route No. %50- W6e City Section Township Range County DAir-OTA Which is occupied by Is a roughin inspection required on this job? No ? YespC- Ready Now ? Will CallO PowerSupplier 1`s Address FALK0670f" Electrical Contractor Bet't' Contractor's License No.0? !''q l o?noany Na'`?) MailingAddress??ll ?? iff RQ: (EI VI CQ or Owne! Making Thls Installatlon) Authorized Signature - Phone No. W a? S?jS (Electrltal actor C ractor ar Ownaf Making This Inatallatlon) ???T? ????? ???? This inspection request will not be aceepted by the SteteBoerd unless proper inspection fee is endosed. This reqvest void g-g 18 mon[hs Imm VV0 9-392"1 Ly, 13101 S,C, r- .--2nd. 37$(o 3 /o.oa Raquest Uate Pire. No. ReorIuUhedn?lnspection OReatly Now QWill NotifY Inspec- ?Yes }(0 No «" H'hen Reatly ??Eed ElecVical ConLxctor 1 hereby request inspectian uf above ? Owner elechical work insta11e0 eT Sveet AAdress, Bo% or floute No. . Ciry 4652 Ridge Cliff£Drive Eagan ectoon o. Township Name or No. Range No. Coumy Dakota O cuut?^t (P INTI GFhris ;?ise Phone No. - 452-4234 Power Supµlier Adtlress Elecvical Cnnvactor (COmvany Namel Conhaclor's License No. Rossow Inc. 40828 8 Mailing Address (COntrac[or or Owner Making Insmilation) P.O. Box 254 Lake `1mo :+In ? i Auth 'zetl ature (Contractor/Owner Making Installa ioN Phone Number 770-50L-,(,. MIN SOTp STATE BOARD OF ELECTNICITY THIS INSPECTION PEQUEST WILL NOT Grie9s•Midwey 81de. - Room N•191 BE ACCEPTED BY THE STATE BOAXD 1821 Univer¢ity Ave.. St. Paul. MN 56104 UNLESS PROPEH INSPECTION FEE IS v....... iam Io711111 ENCLOSEO. ?/?/Uq REQUEST FOR ELECTRICAL INSPECTION .": eaaoom-07 / ? Seeinsimctiom kr completing Mis form on back o1 yNlow wpy. O E QL7 4 $ 0 X" Below Work Covered by This Request ` e? Add p. Typeoieuilding AppliancesWiretl EquipmaniWired Home Range Temporary Service Duplex Water Haater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm ' Air Conditionar Other (spedfy) CoMr0cin5 Re rk? O??O?CN Compute lnspection Fae Below: # Other Fee # ServiceEntrance5ize Fee # Ciicuits/Feetlers Fee Swimming Pool D to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A Amps SignS Inspector§ Uee Only: TOTA L Irrigation Booms f lv , ? Special Inspection AlarmJCommunication Other Fee I, the Electrical Inspector, hereby certify ihat the above inspection has been made. RouBh-in F;nei oa?e oate OFFICE USE ONLV This requast witl 18 months Irom E 67480 Req?es? Dale Flre fioug?-i epection Requi Refldy Now ? Wdl Notily Inspector pyea, o WhenRe9tly4 I licensed coniredor ? owner hereby request inspection oi above electrical work at: ,bb Atlaresa (Street, Box or Route NoJ ql,Lzg A44!.OCAA? jo'{A? City ? ? ! / u YC.// Seclion M. Township Nem No. Range No. C. My Occupent(PRINn Ptwne No. w's br e A PowerSUypp?ler [+ AdEress N J / ElecVical Conlrac[or (Compeiry Name) CqMrac[m$ Liwrea No. Malling AtlCress (ConVac[or or Oxner Making 1 telletion) ti Auth ' Signetuea (CoMretlor r Making Inslallatbn) Phone Number NINNESOTA STATE BOA?E P ELEC'fNICITV THIS INSPECTION REQUEST WILL NOT Grlgge-MMway eltlg. - Hoom S1TJ BE ACCEPTED BV THE STA7E BOARD 1821 Universtty Ava, 51. Paul, MN 65704 UNLESS PROPEF INSPECTION FEE IS POOna(612)692-0800 ENCLOSED. mmnesoca scate uoara or nac nciry Griggs Midway Bldg. - Hoom N191 ?0 University Ave.. St. Paul. Minn. 55104 - Phone 797-2771 REQUEST FOR ELECTRICAL INSPECTION cCK BELOW WORK COVERED BY TH15 REQUEST 14 bC?V Es-oooo i_oz S 59337 - Type o[ Building New Add. Rep. Check Appliances Wired Fm Check Fquipment Wired Foi Home ? ? ? Range Temporaty Wiring Duplex ? ? Watei Heatex Lighting Fi?ctures ? Apt. Bldg. ? ? ? Dryec ? Electric Heating ? Commeccial Bldg. ? ? ? Fumace ?f Silo Unloader ? IndusUial Bldg. ? ? ? A'u Conditio ? Bulk Milk Tank ? Farm Lisl J List Other ? ? ? p y Hele?sl p Hehers? COMPUTE INSPECTION FEE BF.LOW Secvice Entr+nce Size: # Fce Fceders&Subfeeders: C¢cuits: # Fce 0 to 100 Am s. [0 30 Am eres 0 to 30 Am eres .6J 101 to 200 Amps. ro 100 Am res 31 to 100 Am etes 1 Above 20D Amps. F i ove 100 Amps. [ Above ]00 Amps. Transformers Remote Control Circ. Signs ecial Ins ec[ion Minimum fee Remazks ? TOTAL F 7G ? L p (Final) This cequest void 18 months from i ?spection has been made. Date ? Date ?j ) ?' T}!1S If' U?'.St VOld 4S I`?[ /O '` R- ? U 7 h:piontfi§ from Date o this Request 5 I?Fire No. 59337 I, asnsed Electrical Contractor D Owner, do hereby request inspection of the above electri- cal winng installed at: Street Address or Route No. %40 1??OC-fF, G-V1`? opy- Ci(?ty G? Section Township Range County U?-all Which is occupied by Is a roughin inspection required on this job? No ? YesK Ready Now ? Will CaJLZ Power Supplier RI-I°' Address 1 RF4KWJGW ElectricalContractor F>6CC' EzEc'-fx tc' Contractor's.LicenseNo.4 (COmpany Name) t? MailingAddress ??f {? c r. ??t'? ?1?' e [rlc ?l:onif cior of uwnel maNing inls Ins[allaqonJ S Authorized Signature Phone No. g?1(1'S.?G (Electrical Contractor or Owr»r Making This Installatlon) ????E WARD .???? This inspectian requestwill not he accepted byMe State 8oard unless proper inspection fee is enclosed. cirY oF eacil?N 3795 Pilot Knob Rmd Eegan, MN 55122 ' 'PHONE: 434-8100 BUILDING PERMIT APPLICATION 1 of 4 plex ?_ ,4,3t600, Site Address 1•,1., Lot 1 Blxk 10 Sec/Sub. Parcel # - W Name _ ; Addrem b Cit r p Nome _ ? 00 Address Ci _ ?w Name _ W _z Address I hereby acknowledge that I have read this appliwtion and stote that tha information is correcf and ogree to wmply with all applicable SMte of Minnewta SMtutes ond City of Eagan Ordinances. Signature of Pertnittea A Bunding Permit is Issued to: Orrin Thompson all work shall be done in accordance with all applicable $}atp of 3 N? 5563 ReceiCt # . /IP4? _ _ Dec. 11 _39 Erect g] Oaupancy R3 Alter ? Zoning PD Repoir ? Fire Zone 3 Enlorge ? Type of Const. V Move ? # Srories Demolish ? Fiont 72 ft. Grode ? Depth 44 fr. ADProvals , Fees Pssessment!' Woter & Sew. Police _ Fire Eng. Planner _ Council _ Bldg. Off. _ APC Permit "" 1" _ Surchorge 22' O Plan check62.75 SAC 525.89 Woter Conn. 27Q.()(). Water MMer 6Q.()() n a v ?r., i-?--?.xt`--75--v0 Totol 1140.25 on the express condition that f of Eagan Ordirwnces. Buildinp Offitial CiTY OF EAGAN BUILDING PE?'ei7' AP£LICATION Include 2 sets of plans. 1 site plan w/elevations & 1 set of energy calculations. D-N 3 1979 Zb Be Used For RES?n n- Valuation -4%, 600. oo Date Site Address: IAC ? BLOCk S2C./SUU. R4OoMNfNE 2naD Parcel #: Owner: P,cldress: City/zip Code: Phon2 #: Contractor: _ MES p,ddrESS: - a Division of U S F!^"A rn.....-.:_- _ 1712 HO?KINS C^nOSSROAD Ci.ty/Zlp COdL': MINhFrntiKa n+a?IN 55'4a Phcne #: sLi y= . . , - .. .`<?i. Arch./fng. Pddress: City/Zip Code: Phone #: - OFFICE USE OAII.Y FSect _CY\ occupancy iP3 p,lter Zoninq f Raoair Fire Zone .? Enlarge _ Type of Const. Nbve # Stories Dennlish Fmnt ft. Grade DePth APP%7VAIS F'EES Assessments/a/? Pesntit /'ASAg Water/Sewer Surcharge 5T$ = Police Plan Check Ga -2 Fire SAC gig, Wates Conn. ZLZd planner Water Meter 6a = CAUTSCll - Road L1fl.lt -)"S- 8 Bldg. Off. APC . TOTP,L //40 AW ciTr.AF Er?caN • 3795 Ptlot Kne6 yeod Eogan, MN 55124 N0_ 5564 PX6.;iiE: 441' -8100 / BUILDING PERMIT APPLICATION Receipt ?- ?- -.--? L- 1 of 4 plex %1_1.._ 43,600. t i 7oo Site Address Lot 2 Parcel # - Nome z Address 1712'.. HLLpkina OCrngernaAc Erect ? x Occupancy Alter 0 Zoning p11 Repcir ? Fire Zone 14 Enlarge ? Type of Const. V Move ? _ # Stories Demolish ? Front _??ft. Grade f"1 Deoth fr. yNOme Approvals ? " Fees pV Addmn Acenc? ?• x?I Pn.rmjrl 2S?S0_ u? Water & Sew. Surcharge 2 2_.?0 Ci Phone Police Plan check_ 62 75 G °C Nnme Fire SAC 595 00_ c ? Addrcss Eng. Water Conn. 270r00 ?! <w Ci Phone Planner Water Meter- gn. gq 75 i - Council t .00 Un I hereby acknowledge that I have read this application and state thot gldg. Off. the Information Is correct end ogree to comply with oll opplicable 1140 25 State of Minnemm SMtutes and City of Eagan Ordinances. APC . Total Sigrwture of Permittea Orrin Thompson Hom s 42 A Building Permit is issued to: ? on the express condition that all work shall 6e done in uccordance with oll oppliwble State of ne es and City of agan Ordirwnces. Building Offieiol '_'-? ° le Sec/Sub. ,. CITY OF EAGAN Include 2 sets of plans. . ' ?. 1 site plan w/elevations & BUIIAING PERMIT APBZICATION 1 set of enen7Y calculations. valuation 113 , 600 . oo Date DEC 3 1979 To Be Used For ?Zr-stueuer- - site Address: oFFzcs usa arus HNNy CAY-F- IAt a- BZOCIC 10 S2C.?Sl$). 0.AD&g 'J.f+D Parcel #: Oaner: Address: City/Zip Code: F.r2Ct ? OCCllpdl'1G]7 ?? - Alter 2oning R2j7d1S Fire Zone 3 Enlarge _ Type of Const. Y Nbve # Stories Damelish Front Grade DePth Phone #: APPR(7V11LS F EES / ?'"?79 Assessments Pezmi.t Contractor: MES water/sewer surchaz9e Address: a Division of U S Ft^mu r........-.:-- police P]„3I1 Q1EC]C Gity/Zip Code: 1712 HOPKINS CROSSROAD F1T? MFhhfrnr?un 6,It+IN 55' SAC ?'2'r? e 43 Ervg, Wates Conn. e Phone #• S'i y -'7 3 ? Planner Water Meter Council Road Unit Arch./En4.. Bldg. Off. Address: APC City/Zip Code: Phone #: / 1/D aT ciTr oF E,scaN 5795 Pilot Knob Road Eagae, MN 55123 mo 5566 PHONE: 4548100 BUILDING PERMIT APPLICATION y Receipt 43,600. 1 of 4 plex 79 Dec.ll ra be oma ro. Est. Val Date 19 SiK qdd,ess 65 R d e Cliffe Dr _ E,ect ?x Occupancy R3 Lor 4 Bi«k 10 Sec/SubJ ? e Ridge II Alter ? Zonina pp Parcel # Repair ? Fire Zone ? Enlarge ? Type of Const. 17 . w ? z 81 Name 9rrin Thompson HOmeS Move ? #$tories Address 1712 Hopkins CLOSSL08d3 pemolish ? Front Ciri Minn etanka Phone 544_7333 Grade ? Depth 44 ft. Approvelp . j y Feea Nome_ Address Nome Fire Addrea Eng. WoMr & Sew. Police - <W 1 CiW Phone Planner _ Council _ I hereby acknowledge that I have recd this applicotion and stote ihat Bldg. Off. the information is conect and agree to comply with cll applicuble State of Minnesota Smtutes and City of Eegan Ordinances. APC - Signoture of Permittee Pertnit 1[D.:)U Surcherge 22-00 Plan checq+6a._ SAC O Wnter Conn. 270-0 WaterMeter 60_00 Rd (Init 75_00 Tota- .....?..._" A Building Permit is issued ro: on the express condition thot all work shall be done in accordance with al a? ble St te of innesota Statu3es and City of Eagon Ordirwnces. Building Offittal ? i C' „ ?. CPfl' OF EAGAN BUILDING PERDtI'P APPLICATION Include 2 sets of plans. 1 site plan w/elevations 6 1 set of eneYgy calculations_ ncC 3 1979 To Be Used For R ioEU E valuation 43 6o0 • oo Date Site Pddress: OFfICE USE ONII.Y NNy cwwm rAt q siocx to sec. s?. a,o _ -1pn Parcel #: Oaner: P,ddress: City/Zip Code: Phone #: Corxtractor: AdClr2ss: a Division of U S F'?-+o r?. ES 1712 HO?KINS CROSSROAD•^ City/Z1p. CAdE: 0."InnF7nNKe?hSIN.N-55349- Pnone # : sy y - 7333 Arch. /Eng. Address• " Gity/Zip Code: Phone #: - . - Erect _,& oc?ncy R3 Al.ter zor,iny i° Repair Fire Zorie 3 gnlarge _ 7ype of Const. Nbve # Stories Dainlish Fxont .22 ft. Grade Depth - ?!Y ft. P,PPFdJVAL.S F'EES Assessments S7 . , Perntit W3ter/Sewer Surchatge St a == - Police Plan Check &2-? Fire SAC glq, Wdtes COnn. ? >0 Planner Water Meter Council Road Unit ?s-4Em- Bldg. Off. APC TOTp,L cinr oF EacnN • . 3745 Pilaf Knob Raad Eagan, MN 55124 N2 5565 " ° P71pNE: 4548100 BUILDING PERMIT APPLICATION Receipt To 6a und fer 1 of 4 Plex Est. VQ143,600. p4ec. 11 ?y79 Stre Address 4654 Hidge Cliffe Dr. Erect }D O«upancy R3 Lot 3 Bixk 10 Sec/Sub.J C($ce Ridge II Alrer ? Zoning P.B pareel #. Repair ? Fire Zone I Enlarye ? Type of Const. V rc Name Orr3n Thompson Hames Move ? # Stories ; Address 171 2 • Demolish ? Front 24 a .-:.., e?"' ai.i. laal Gmde fl DeMh ft. p I Noma ot Addre: 1- r:... Name 1 here6y ocknowledge that I hove read this application and state that the ininrtnotion is mrred and agree ro comply with all applicable State of Mfnnesota Statutes and Ciry of Eogan Ordinonces. Slgnafure of Permittee A Building Permit is issued to: nrr< oll work shail be done in occord'arxe with oll Buildirg Official Water & Sew. Police Fire Fn9. Plonner _ Council _ 81d9. Off. _ APC Permit L°?•"V Surcharge 22•00 Plan check 62.75 SAC - 575 Woter Conn.270.00 Wmer Meter? Rd Unit 75:00 7oral 1140. 25 on the express candition That Statutes and City of Eagan Ordinnnces. CITY OF F11GAN $Uf7,DING PII2MST PPRI,ICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of P.+e*-gy caicu7-ati-ons. D Valuation ?. 600 - oo ?? cC 3 1979 To Se Used For Site Address: OFFICE USE OIVI,Y nNNNy a,wE. ?3 IAt 3 BlOCk I'D SE:C./Sl7t1. RmLE SLf+fl Erect oCcupancy ? - 2 In Parcel #: OMmer : Address: City/Zip Oode: Alter onirsg Repair Fire Zone Enlarge _ Type of Const. Nbve # Stories Delmlish Front Grade Depth 511y ft. Phone #: APPROVALS FFES o Assess[ientst? Pexmit s? r: Contract MES water/Sewer Surcharge PA AddLBSS: -a Division of U C E!-.-,P r.. •-- Po11Ce P? ?? i '" 1712 HOPKIVS C^nOSSROAD 7 F1Y2 S? ?'?`t ? 2: C].?7/21p. COC MINhfTnRU?4ffAIN 55'43 . Water Conn. 2 70 - Phone #: syy-'1333 p?er watex Meter ? _ _ . = .. councii RDacl Lfiit >r Arch./f1zg.: Bldg. Off. PBdress: APC City/Zip Code: Phone #; CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Tobeusedfor DECK & DOORS Est.Value $1,000 Sife Address 4648 RIDGE CLIFFE DR Lot 1 Block 1O Sec/Sub. JOHNNY CAKE Parcel No. w Name JOAN LISTBERGER 3 Address 4648 RIDGE CLIFFE DR ° City EAGAN Phone 452-6782 o Name STEWART CO , o? Address 3019 RUSSELL AVE N City MINNEAPOLIS phone 529-7057 ww Name ,z- Address , aW City Phone I hereby acknowlege iha[I have read this plica?on and state ihatth information is correct and agree to co p y? wrt ? II applic I State Minnesota Statutes and Ci of Eagan d? nc n'? A Building Permit is issu@tl to: aizwtuct i.v on Ihe express condition [hat all work shall be done in accordance with all applicable State of Minnesota Slatutes and Cily ot Eagan Ordinances. Building Official 'Q:d. Lm.rl N° 16671 Receipt # -0 Date JtINE 19 , 1989 Occupancy Zoning (Actual) Const (anowaeie) 8 oi5tanes Lengih Depth S.F. Total S,F. Foolprinis On Site Sewage On Site Well MWCC Syslem Ciry Water PRV Repuired Booster Pump APPROVALS Planner Countil 8ld9. O(f. Variance OFFICE USE ONLY -22-' tn, FEES Bldg. Permit 0 Surcharge .5 Plan Review snc, ciry SAQ MCWCC Water Conn WaterMeler Acct. Deposit SMI Permit S!W Surcharge Treatment PI Road Unit Park Ded. Copies 1.00 TOTAL Z7•SO W .., C/ YMWY For: U. S. Home Corporation ? ? 6y 1 ?. ? Scale: 1" = 50' \ cF tr ?6? M ¢ C ? ti?D oQ ? cr q` \ \ C. R. WINDEN 6 ASSOCIATES, INC. IAND SURVEYORS ToL 645-3646 1361 EUSTIS ST., ST, PAUI, MINN. 55108 ? .? 0= I Note: As of this date Johnny Ca Ridge Second Addition has not been recorded. \ Lots 1 thru 4 inclusive, Block 10, Johnny Cake Ridge Second Addition, Dakota County, Minnesota. WE NEREBY CERTIFY TMAT THIS IS A TRUE AND GORRECT REPRESENTATION OF A SURVEY OF THE 60UNDARIES OF THE IAND ABOVE DFSCRI6ED AN D OF THE IOCATION OF All 6UItDINGS, IF ANY, THEREON, AND All VISIBLE ENCROACMMENTS, IF ANY, FROM OR ON SAID LANO. Dotad this 27fh doy of NOV• I..D. 1979 C. R. WINOEN d ASSOCIATES, INC. bY eF'-.c?..??° L,C"?'/, -G,?o•L -' Surwyor, Minnewra Rpist.atien No. 772 3 RESIDENTIAL BUILDING Permit Apptication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ?cli Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWdionReauirements RemodeUFteaairReauirements OfflceUseOnN 3 regste2d site surveys showing sq. ft. of lot, sq. ft. of houu; and all rooted areas 2 copies of plan Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Cakulations (or heated additwns Tree Pres Plan Rerd 2 copies ot plan showing beam & window sizes; poured found design, eta 1 site survey for addi6ons 8 decks Tree Pres Not Reqd 7 set of Eneyy Calculations Addition - irMlcate if orr site sep6c system _ Oasite Septlc System 3 copies of Tree Pmservation Plan if lof pgtled afler 711/93 Rim Joist Detail Optlons selection shcet (bldgswBh 3 or less unifs Date ro / / :3 / 03 Constructio n Cost ?r) " ? k ] y ? ? Site Address l UniflSte # Description of Work C1(.7:5 "Jh ? V"'17}2?]/?"S Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 ? Property Owper Telep6one # ( -e7?11-4glo/ 57 ? r Contractor ? Address 3 City A .SU (L State s Zip Telephone #(9? ???? V-1o.00 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , • Residential VentllaGon Categ r ee ?i ? ? n • New Energy Code Worksheet (J su6mission type) Submitted ? ?r1 ?? ? U?!I Submitted • Energy Envelope Calculations 5u mitted 1 n .IUI? 1 6 2G03 ? Licensed Plumber #( Mechanicai Contractor Sewer/Water Contractor #(95Z) & 0?1- D2S6 Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved pl 'n the case of work which requires a review and approval of plans. ,%C/.//!j( 'T, kGSkI Applicant's Printed Name Applicant's Signatur OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 EM. Alt - Sf ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA hantlout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ p]umbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Watei _ Final _ Pool _ Ftgs Air/Gas Tests Final - Framin$ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (newJreplacement) _ Insulation _ Retanilng Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 1989 BIIILDIBG PERMTT AFPLICAYION CITY OF EAG9N 3INGLE FAMILY DWELLINGS 2 3BTS OF PLANS 3 REGISTEEtED SITE SUR9EYS 1 3ET OF EtiEAGY C9LC3. MULTIPLE DWELLINGS AENTAL ONTTS COt89EACIAL 2 SETS OF ARCHIiECTURAL 8 SYRDCTURAL PLANS 1 3ET OF SPECIFIC9TIONS 1 3ET OF F.NERCY CALC3. FOR S,1.B ORI'IS t OF DBITS BOTEs ADDRE53FS FOR CORHEA LOTS - COATRACTOA/HOMEOtiNER MOST DE3IGNAiS iiHICB IDDRE55 IS DFSIRED. NO CAANGES WII.L BE ALLORED ONCE BOILDIIiG PERHIT IS I3SDED.. 3ERER 8 1i?TEA YSRll! FE63 lAD ACCOI)liT DEP03IT F6E.4 iiILL H8 INCLIIDED fiITH THE BOILDINQ PEAMIT FEE. P60CES3ING TIME FOA SEVIER !ND WATEA PERMTIS IS TWO DAY3 ONCE A PERMIT 6AS BEEq COMPLETED IHDIC9TING A LICENSED PLIMBER. PENALTY APPLIFS 6IHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS AEQUESTED. LOT CHANGE I3 REQDESTED ONCE PERMIT IS ISSIIED. , ZNSTRIr.. Foz? l7ooYS To Be Used For: £ ?JbL-.? " Valuation:? B' Date: b? ' Site Address "4 r-tg Ki A6S GaW At. Lot ? Bloek / (3 Parcel/Sub 4 d Owner ?JoOAN <,srgu RGa"R '?' lddress SA nAS City/Z3p Code Phone Contractor 5^C?l A RT GoM PR N'! Address 3 o iq aii,<CSyb Av5 NO City/Zip Code ?Q p LS 1 41 N Phone <LR , "7 OS 7 Arch./Engr. /oao- Oceupaney Zoning Aetual Const Allowable 0 of stories Length Depth S.F. Total Footprint S.F FFfS 22+ 10• On site sevage On site well _ MWCC Sqstem _ Citq water _ PAV required _ Sooster Pump ? APPROVAI.S Planner _ Couneil Bldg. Off. Variance Bldg. Permit a6-00 Surcharge -Sv Plan Review SAC, City SAC, MWCC Water Conn Nater Meter Acet. Deposit S/W Permit S/W Sureharge Treatment P1. Road Unit Park Ded. Copies ? SDBTOTAL Penalty TOT9L Address 510inti.5, City/Zip Code 1?01 MAILTIPLE DWELLINGS 2 SST3 OF PLANS TSGYST68ED SITE SIIAOE23 - (CHECS iTITa BLDG DIV.) 1 3ET OF F.NEAGY CALCS. Phone # C. R. WINDEN & ASSOCIATES, INC. IwND SURVEYORS T*1. 645•3646 1361 EUSTiS ST., ST. PAUL# MINN. 55108 For: U. S. Home Corporation -------------- 64 Scale: 1" = 50' p z N s l33 Qr 3 , 6j ° ; h Oi p h 46 ? ? 3 ? ? M1 ?3 h ? ?Z, ? ?ti 1T 0Q L { ir 1J.33 ? ¢V ? ? . .n ? '33 IX' ? cv 3Z \ \ Q ? F \ Note: As of this date Johnny Cake Ridge Second Addition has \ not been recorded. Lots 1 thru 4 inclusive, Block 10, Johnny Cake Ridge Second Addition, Dakota County, Minnesota. WE NERElY CERTIfY TMAT THIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVET OF TNE 60UNDARIES OF iMF lANO A60VE DFSCRIlED AND Of TME IOGATION OF All WIl01NG5, IF ANY, TMEREON, AND All VISIlIE ENCROACMMENTS, If ANY, FROM OR ON SAID IAND. Detad Ihis 270 dor oF Nov• A.D. 1979 C. R. WINOEN 8 ASSOCIATES, INC. ,,V, °t?_.V--1??/..?.?..? Sunqor, Minnowro Rpiprolien We. 772 CITY USE ONLY SUBD.I ^-B^L?-t/ RECEIPT #: ? '"I k4 RECEIPT DATE: 1998 PI,LTMSING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinklar system --------------------"--------------------------------'- FIXTURES -----'-------- EACH ------------------- # TOTAL Shower 3.00 x = Water Closet 3.00 x = 6ath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/S 3.00 x = ater 3.00 x 3.00 x = Gas Piping Outlet " minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construclion 5.00 x = Water Softener ' kr exisling dwelling 20.00 ' x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G.Sprinkler "Porexistingdwelling 20.00 - Alterations " to existing residance 20.00 = Water Tum Around 20.00 = Private Disposal System ' MPC iic. 75,00 = (new and returbishad systems) Private Disposal Systems ' Abendonment 20,00 = RPZ (new installation only) 20.00 = S STATE SJRCHARGE .50 TOTAL ,0-/0 -------...------------••--ve -------•----------------••-°----------•••-----°-?•--------•••--------• •-----°----. °•------------•-------•- I hereby acknowiedge that I ha read this application, state tha! the informadon is coirect, and agree to comply with all applicable City oi Eagan ordinances. It is the applicanPS resp-"-`" --""`---"-'"--?"?--""- 'f Eagan assumes no liability for any damages caused 6y the City during ks normal operational andI LISTBERGER, R der this pertnit within CBy propertylright-of-wayleasemant. 4648 RIDGE CLIFF DRNE SITE ADDRESS: EAGAN, MN 55122 OWNER NAME: (651) 452-6782 I INSTALLER NAME: ?IdQ.?l?01? rn 61mCa TELEPHONE#: StREET ADDRESS: CITY: M1Ll1JC&R0u S _ STATE: ZIP: __055408 PERMITTEE CO/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of E$gan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauiremems RemadeUReoair Reauirements 3 registered site surveys showing sq. ft of l04 sq. ft. ot house; and ell roofed ereas 2 capies of plan (20% maximum lot coverage allowed) 1 set o( Energy Calculations for heated additions 2 copies o( plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks 1 set of Energy Caiculations Add'NOn - indkate if onsde sep6c system 3 copies of Tree Preservaton Plan'rf bt platted aflar 711l93 Rim Joist Detail Options'selection sheet (bidgs wifh 3 or less unBs 7?6? 0 0 ?7 -77. 16 .. . ..,,r.*_...,.,. s?.? Date --q 2-ob Construction Cost 29!V 0 ? SiteAddre s ?(oSy W !-p?f 6G-Xflq ? Unit/Ste # 613iv /ti v 537 2 z. Description of Work &-Ig, 2.TaYL `U X -;t -,s oirck- Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Y??? L• -rN/o? Telep6one #((aQ )il(y?I ^ 1nOL.?? 'a- g - a? Cantractor Address City State Zip Telephone#( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catecorv 1 Minnesota Rules 7672 Energy Code Category . Resitlentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissioniype) Submitted Submitted • Energy Envelope Caiculations Submitted Have you previously construcfed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone Telephone p ?)V ? I hereby apply for a Residential Building Permit and acknowledge that the info ation is cVWete an accurate; that the work will be in conformance with the ordinances and codes of the Ci ? t e of MN Statutes; 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 wi116e in accordance with the approved plan in the case of work which requires a review and approval of plans. L, u?6xv, (::?? ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Suh Types ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 DS-plex ?18 Deck ? 23 Porch(screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pitig_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 ,A- 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation ?-(9 1, Census Code T•9 (,{ SAC Units T # of Units # of Bldgs Type af Const ? ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Int Improvement ? 38 Demolish Interior O 44 Siding Move Building ? 42 Demolish Foundation ? 45 Fire Repair Demolish Building* ? 43 Reroof ? 46 Windows/DOOrs 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth Footings (new bldg) ? Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test Final Insularion REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. TPlumbing . HVAC Other _ Pool _ Ftgs _ Au/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick Windows _ Retaining Wall Approved By: f(/ , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit R Surcharge Treatment Plant License Search Copies Other Total ? '/ • • • ??Q???? C. R. WINDEN 6 ASSOCIATES, INC. IAND SIIRVEYORS Tel 645-3646 1381 EUSTIS ST., ST. PAULP MfNN. 55108 For: U. S. Home Corporation '01.7 Scale: 1" = 50' ?'Qn \ o, h I ?, A Q?' ? s> a a 3 ti ? : 0c 6 Q{? h ,? ? ? oQ a,gy . ? . ??• is Qt ? ? .? 0 GF ? ? r?cv?v Oti y A j rtr ?Azo L, ?.T?Gd'Lf s r zz ? D ' Y? ? -7? 5 /? Note: As of this date Johnny Ca Ridge Second Addition has not been recorded. n J,????.,, U\ v U ? ? s 0 yy '33' s"?' --? ia' ??o st 1 thr 4 inclusive, Block 10,? Johnny Cake Ridge Second Addition, Dakota County, Minnesota. ? 41 LxT?C,?, .4-o- dcL?,- ? . WE MERE6Y CERTIfY THAT 60UNDARtES OF TME lANO THEREON, AND All VI516LE TMIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY OF TNE ASOVE DfSCRtlEO AND OF THE iOCAT10N Of All 6UIlDINGS, IF ANY, ENCROACHMENTS. If ANY, FROM OR ON SAID LAND. Dotad r6is z74h day oF NOV• A.D. 1979 C. R. WINDEN 8 ASSOCIATES, INC. b y SYr.vyor, Minneseta Rpialrcrion Ne. 77zs qi?-La? 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single fanvly dwellings & rownhomes/condos whrn permits aze required for each unit *3 o. sa Date ? = ge Site Address /G , qC/?7 CJ ? Y' ?p ? br• Unit # Property Owner VR)o Pr n a r-c.? Telephone #( qSy 'q4 )s Sc) 4V Ai r F r Contractor p y. not I I StreetAddress r'(iE,. SU) tE Jvb City PMLJC? State MP Zip 5530S Telephone #(1103) L/R?- ? 7z ? Bond #: 10(06 Expires: The Applicant is _ Owner ? Confractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 x furnace _Additional _Replacement air exchanger _X airconditi oner _New _Replacement other State Surcharge $ .50 Total $ `jo`S-D 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 City of Eagan and with the Mechanical Codes; that I erstand this is not a pexxnit, but only an applicafion foc a permit, and wock is not to start without a permit; that the work ein ccordance with the approved plan in the case of work wluch requires a review and approval of p ?f HA9'k 'D. JohYlsoL.? ?? Applicant's Printed Name App icanYs Sign ?? \ 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelfing unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Con[ractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove `"see be/ow Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: '"`When installing/removing underground tank, cafl for inspection by Fire Marshal and Plumbing lnspector P01'RIIL F¢¢5: $70.50 Underground tank instsllation/removal $50.50 Mirtimum (includes Stare Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If pe rmit fee is $1,000 or less, add $.50 => $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 ue rmitfee $ Total Fee I hereby apply for a Commercial 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 approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name ApplicanTs Signature Approved By: , Inspector 7Cyo62--/ Nov 30M 2006 RESIDENTIAL PLUMBING PeRnnir aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. , Date J-L- I 1 (J • Site Street Address y I Unit # IPropertyOwner l?i1114Y1 A-mJ(?nS Telepnonea(/E'i?) 33I'61Ia- / contractor Telephona N ((oSl )3bs -) 3?{0 . Address l?J City State.4N Zip 553 The Applicant is: _ Owner L""Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans a Includes County fee = $ 100.D0 ab $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softe ner andlor water heater at the same time. !f you are installing onlv a water so/tener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System A6andonment _ Water Turnaround (add $130.00 if a 5/8" meter is required) Otner: Water SoKener Water Heater $ 15.00 _ _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 15•150 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to staR without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name Applicant's Signature My of Eaian 3830 Pilot Knob Road Eagan MN 55722 Phone: (651) 675-5675 Fax:(657)675-5694 ------------------ ? E.AY?ce; lJs:e ? j PermN #: I i ? Pertnit Fae: ?. j Date Received: ? I ? I Staff: ? I 1 ---------------- 20Q8 RESIDENTIAL BUILDING PERMIT APPLICATION Date: StteAddress: Tenant: A15a L( 6 S L? Sulte RESIDENT / OWNER Name: y/ c? gv-oqyL rf'ff? 41'40hone: Address / Ciry / Zip: Applicant is: _ Owner Contractor TYPE OF WORK Description ofwork:'feq-? [?rr- -f Gonstruction Cost: ? -7 2 0 MuRi-Family Building: (Yes A- / No CONTRACTOR Name:/V'J/ujc?' 5)_ Gt9et--;7?lC License #: ?i 7 3 . G?Y Address: CJ&?.7 '1 7<?9'1-7i Lj,/??L- /l,/ ? City: ?!L ??'r?v? 5[a[e: l2 /- Zip: 5 5.31i Phone: 02-A 572^gl l 7 Contact Person: COMPLETE 7Fti5 AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code . Residential Ven6lation Category 1 Worksheel . New Energy Code Worksheet C8t290ry Submitted S itt h d u m e (4 SpbmiSSlon type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar pian based on a master plan? _Yes _NO It yes, date and address of master ptan: Licensed Plumber: Phone: Mechanicai Contractor; Phone: Sewer & Water Contractor: Phone: MOTE: Plans and,su'p"porting docamenfs oat you'submit are consideied-to be pubUc informa66n,.`Portions ot ' mformatwn rn aX.tie classdied as nonFpublic if you provide speclfk reasonafhat would permif the City to=°_, ` con cfude that the a?`irsde secreis. I hereby acknowledge that ihis ifiortnation is complete and accurate; that the work will be in con(ormence with the orcfinances and codes ot the City of Eagan; that I understand this is not a permR, but only an application for a pertnit, antl work is not to start wiihout a pertnR; that the work wilf be in accordance with the approved plan in !he case of work which requires a review and approval of ". ? f X C?rr ? m"? x ?? /yt ? ApplicanYS Prlntetl Name ;,a[ dicanYs SlanaturaoO' Page 1 of 3 ? ? ? ------------ ? ???,?e I j Pertnit#. ? PermRFee: /301 w ? ? Da[e Rec 'ved:f '( ' OCJ j 1 ? I I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION e"d I? Date: 11 //7 Ske Address: `-I (,c 50 R4 PcI,sf pf-, rf Tenant: Suite #: RESIDENT/OWNER Name: Wen G)c,Nw.nn? Phone: (oS1-331'bl/? Address/City /Zip: 0 L/GSC% Q dE? Clff Dr,+G ? Applicant is: _ Owner X Contractor TYPE OF WORK Description of work: P?e o Ic, e ?.. + rq+ tx S r i a 10 X 10 Du.-K J ConstructionCost: Mul[i-FamilyBuilding:(YesN/No? CONTRACTOR Name: ,c,h He, oc:J Gc:?SxUCnc? License#: a-O?-{037Y Address: 8 S-4 I Co ? ee w«.a kJ e City: CorrL? - G, o: c State: yo N Zip: 5S0 Phone: ?CSI-7?i? ° y324? Contact Person: Sam,F i? E+Drc Y" 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 Workshee[ Category Submltted Submitted (4 Submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _NO If yes, date and address of master plan: Licensed Plumber: Phone: Mechanicai Contrector: Phone: Sewer & Water Contractor: Phone: NOTE: Rians and,'supporting, tlocuments lhat you su6mit are considered to beapub7fciniorrnation Portrons oi,? the mfarmation irray tie clas'sified as n„on putiliclf you provide specJfic reasons [hat wouTtl permff (he City?to cclnclrid6 ttiat the are_trade secrets._ ' I hereby acknowledge that ihis infortnation is complete and accurate; that the work will be in conformance vrith the ordinances and codes of the City of Eagan; that I understand fhis is not a permit, but only an application for a permit, and work is not to start without a permd; that [he work will be in accordance w@h the approved plan in the case of work which requires a review and approval of plans. x s4m,E NE'rJF,(V x I/ ApplicanYs Printed Name ApplicanCs Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garege ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex El OS-plex -K Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex O 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building` ? Addition ? Move Bu ilding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ` Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_,X_j Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width Footings (new bldg) Sheetrock Footings (deck) - _Cy\?, FinallC.O. Footings (addition) FinaVNo C.O. Poundation HVAC Drain Tile Other: Roof: _ICe & Water _Final Pool: _Footings _Air/Gas Tests _Final Freming Siding: _Stucco Lath _Stone Lath _8rick Fireplace:_R.I. _Air Test _Final Wind'ows Insulation Retaining Wall Reviewed By: I Li , Building Inspector RESIDENTIAL FEES: Base Fee ? ,n Surcharge ak 311- Plan Review v MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page2of3 ? . w C.R. WINDEN 6 ASSOCIATES, INC.? e4 IAND SURVEI'ORS Td i46-3646 1981 EUSTIS SL, ST. PAUto MINN. 55108 For: U. S. Home Corporation \ c?. peoK.??p?'ScalB: 1" = SO` S Il.?"? OL ? h6j?'p:a3'` Q/ h '73 h ?l h / ? ?. 3 p?io? ?? n 4? I ? ?a Q? ? ? Note: As of this date Johnny Ca Ridge Second Addition has not been recorded. \ Lots 1 thru 4 inclusive, Block 10, Johnny Cake Riflge Second Addition, Dakota County, Minnesota. WE MERElY CERTIFY TMAT TMIS IS A TRUE AND COiRECT REPRESENTATION OF A SURVEY Of iME SOUNOARIES Of THE IAND AlOVE DESCRIlED AND OF TNE IOCAtION Oi All WIIDINGS, IF ANY, TNEREON, AND ALl VIS!!lE ENCROACMMENTS, IF ANY, FROM QR ON SAIO /ANO. Ootad thif 27f daY gF Nov• A.D. 11179 C. R. WINDEN t ASSOCIATES, INC, 6 Sur.?yor, Minnawro RpiNrotien P1e. 772 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeltReoair Requirements Office Use Only 3 registered site surveys showing sq. it of lot, sq. It. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Carl of Survey Recd _Y _ N (20% maximum lot coverage allowed) I set of Energy Calculations for heated additions Soils Report _ Y_ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd -Y N, 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required - Y _ N 1 set of Energy Calculations On-site Septic System _Y N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date -*7T Construction Cost Site Address Unit/Ste # Description of Work (I E 1-M& li~ o~or Multi-Family Bldg - Y N Fireplace(s) - 0 1 - 2 Property Owner Telephone # 7 Contractor Address J w 4A , CA vlv Cy[iCity r` State -'t- Zip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy- Code Category • Residential Ventilation Category I Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y N If yes, date and address of m!wster plan: Licensed Plumber Telephone Mechanical Contractor Telephone Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 pl in the case of work w requires a review and approval of plans. ffn AV Applicant' Printed Name cant's e - Permit U V/ t r City of Eaw Permit Fee: 356-1 3830 Pilot Knob Road C Eagan MN 55122 Date Received: a j Phone: (651) 675-5675 -1144 Fax: (651) 675-5694 staff. 1 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '/I ~6 £ f/~ fiG " '"L t Site Address ,1 Tenant: ( 1'Ki 'i'ft' 'V Suite RESIDENT / OWNER Name: Jf~ KL hone: Address I City / Zip: Applicant is: Owner X Contractor TYPE OF WORK Description of work:!` 49 e Construction Cost: l s, 5eP 0 Multi-Family Building: (Yes I No CONTRACTOR Name: fC~/"G~ GC7r~~,•~' E Z-x-- License J2<71 59 73 Address: ! 7City: 1 ~f ~C- ~~r9L~C State: , Zip: 5 S 3 ~l Phone: /2 ~5 Y- T Contact Person: J2 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet - New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes __No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: NOTE Plans and supporting documents that you submit are considered to be publicriformation. Portions of the information may be classified as non-publrc`,f your providespe sons drat would permit the;City to conclude that 'ey y axe trader's I hereby acknowledge that this information is complete and accurate; that the work VAl be in nce 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 noj o 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 proval of pia Applicant's Printed Name ants Signature Page l of 3 lw~ DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage 04-Plex ? 12-plex ? Miscellaneous WORK TYPES it C I U2 e 5 7 r II i i~; ' &4,405 ? New ? Interior Improvement ,kl Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage * Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation J (Q D a y . o v Occupancy MCES System Plan Review Code Edition rill/ Z°o? SAC Units (25%100% Zoning City Water Census Code t4 3 Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: zo Footings (deck) Final/C.O. No C.O. Footings (addition) Final/ Foundation HVAC Other: Drain Tile Roof: Ice & Water Final Pool: Footings -Air/Gas Tests -Final Framing Siding: _Stucco Lath Stone Lath -Brick ~0 - Fireplace:_R.I. _Air Test -Final Windows Insulation Retaining Wall Reviewed By: Building Inspector - - - - - RESIDENTIAL FEES: 5 n ~p h9 j~~ t/ ,e B cow Base Fee Surcharge t,) ktk S M n )~U ~c°~? ~i ©ea Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2of3 C. R. WINDEN & ASSOCIATES, INC. { ~ LAND SURVEYORS Tali. $45.3646 1381 EUSTIS ST., ST. PAUL, MINN. 55106 For: (?-qgqg U. S. Home Corporation 6'4 Scale: 1" 50' h 33 a^d? ev, Q D• b• p 6^' h 3 C Ifl h I 6;, It b, f aQos7 { rn d n ~q c rx° 3z Note: As of this date Johnny Cake Ridge Second Addition has not been recorded. Lots 1 thru 4 inclusive, Block 10, Johnny Cake Ridge Second Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doled this 27A doy of NOV. A.D. 1979 C. R. WINDEN Si ASSOCIATES, INC. by 779 Surv+rlror, Mia seta Rpittrotiin No City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4648 Ridge Cliffe Dr Lot: 1 Block: 10 Addition: Johnny Cake Ridge 2nd PID:10- 39801 - 010 -10 Use: Description: Sub Type: Work Type: Description: e - Water Heater New Water Heater Meter Size Meter Type Fee Summary: Nicole Whirley Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 Total: Applicant/Permitee: Signature PERMIT City of Eaan Manufacturer Serial Number Comments: Permit closed without required inspection(s). Letter sent to applicant on 3/3/10. (pf) PL - Permit Fee (WS & /or WH) Surcharge -Fixed - Applicant - $50.50 Owner: Joan C Listberger 4648 Ridge Chffe Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Remote Number $50.00 0801.4087 $0.50 9001.2195 Plumbing EA091202 09/18/2009 ePermit Line Size I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us PERMIT City of Eaan Site Address: 4648 Ridge Cliffe Dr Lot: 1 Block: 10 Addition: Johnny Cake Ridge 2nd PID:10- 39801 - 010 -10 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Permit Type: Permit Number: Date Issued: Permit Category: Comments: Permit closed without required inspection(s). Letter sent to applicant on 3/3/10. (pf) Fee Summary: Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec 445 -2840 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature - Applicant - $50.00 0801.4088 $0.50 9001.2195 $50.50 Owner: Joan C Listberger 4648 Ridge Chffe Dr Eagan MN 55122 Mechanical EA091203 09/18/2009 ePermit cal Inspector, (952) I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature      ïý      ÿ ÿþþý  üùü     ûýýþþ ú÷úîýÿ Üïúö     áìê   ÿþ   þýüûúù ö ýûúù  õ ûúù õóà ô óà ù ñ   ãý ö ýö áäýùú Ú  þðý ø  ñù æ ñ ï ïñ  ðý ñ    ü  ñè å  óóù  ÿå å ñ   þ ù èöå åù å è ö üñç      ðý üúó  åñúïñ è  ø éêêèêèê õû  þý ï  éèìèì Ùýáÿè  ô ó  òñ ùù Üö æ Üöü áþï ê  öåå  þèýîô  îô íëêê ï üúó  ï ïæ  ïùù ïï å ñ  ñùúóïùùü þ  åî þý öúå  ä  è ùùà ñ þ ý ý úþ ý � � ; � �� �� t v , l U���j ��/S�, �(� � Use BLt�E or BLACK Ir�k � �----------------.. E For Office Use � ; � ��-� �73� G�� �� L� �� � � Permif#_ _ 1 � � � 1 JV �� 1 �� � Pertnit Fee: � --� � 3830 Pilot Knob Road ` Eagan MN 55122 j Date Received: � Phone:{651)675-5675 I i Fax;(651)675-5694 1 Staff: I I F � . . . . . . . . � . . . � . t�..�.���.... - ��������.�l� 2014 RESIDENTIAL BUILDlNG PERMIT APPLfCAT1CiN . �a�� �,.!"'��"`J c f Site Address• �1�1 t ��� �� �r. I � � /._�v'✓ �li'� ����� Y��i���� . . . Name: �L7�n��' G'r�f'7`j � �tv��l�rt�- � P�e: Res[dentl £�Wt1�T Address I Ci#y/Zip._ ���`✓�^' /�'�i'� � Applicant is: Owner � Contractor �.-.. Type c�f;Work Descciption of wor�k: �Grr�r �(�� �{ �c�G -rrQ°r� Constnaction Cost:��i��p � Multi-FamiEy Buiiding:(Yes�/No� � /� ..�' ,/ ,��� '' ( Company:l VUYZ��5� C_�7 v1��r��7�t7r'S Contact: �,��1 /������' , C+�ntra�tor � ,4ddress:�'�f�2 Z�r�C..f���- L,�-�x /� city:���'�C' (�,s�v�'�-- � . � State:�Zip: f5�3� J Phone:����'��Email:��f»r� �3rrLJ�S"T�Gdyl`�✓���t�r� — License#: �� ��� � 7� '��c--C'r�r..-� i.eaa cerc+�c.ate#:rV�.�r..-r-`-���l v 3 —i If the pro}ect is exempt from Iead certification,please explain why: {see Page 3 far additiona{infiormatian} COMPLETE Tti1S AREA ONtY tF CONSTRUCTING`A NEW BUILDtNG In the tast 12 mont� the City cf Eagan�ss�d a perrnit€or a similar ptan based or�a master ptan7 � Yes No If yes,date and add f master ptan: Licensed Plumber: Phone: Mechanicai Contractor: Sewer�Water Con r, Phone: tVt?I�, and s�rppc�r�i�z�tl�r+c�men#s fhat you sabmit are cz�»�id.w�d to be pc�btie irit'r�rrrl�r�ic�n Pa�rt+fot�s:of e�►f��r»a��n rr�a�y he�/assi#`�eaf�s r►on pvblic rt'yoe�provfd�s�i��c nsasons�wc�utd°�err»it�"#�e��t�` cartcfuote#h,�tf�e :ar�e tra�I�s�refs CALL BEEORE YOU DI+G. Ca11 Gopher S�te One CaB at{B51)454-0002 fQr protedion against undergrou�i utdity damage_ Cai!48 hours beiors you in#end to dig to receive locates of underground utilities. ww�nr:QOpherstateonecali�ora i hereby acknowiedgs that this infoimation is r�mple#e and accurate;that the wrork wil[t�in c�nformance with U�e ordinar�ces arid c�des of the Gity of Eagan;that l ur�dehstarad this is not a pentiif,but 8nly an application for a perm+t, and wo�1c is not to start without a pennit;ihat the wa�ic witi be in : accordane�with the appraved ptan ir�the ease af work which rsquires a reviewr and approvat of ptans: fxterior work authorized by a building permit issued in accordance w�th the Min�esata State iFding Code m�t be compieted within 180 days af parnrit issuancs. ,�J C .� � . e .. . ..�,. X L/ J''�'l ,G X ApplicanY's Pnnted Name ' ent's 5ignature ; Page!of 3 �l� l� , ��(1'��1 ��i S t}, �(a `j Use BLUE ar$l.ACK lok y �-----=----------- � For Office Use � ' j Permit#: �2'� ��� ��� ���� �� � � i ' _ �� .. i � � Perm�t Fee. �� 3830 Piiot Knob Road � - � Eagan MN 55122 i Date Rec�ived: � Phone:{651 j 675-5675 1 ! Fax:(651)&75-5694 i Staff� 1 t t . . � . .. . . . . . . . .t.�����...... - ...�����'��1 . 2014 REStD�NTtAL BUiLD1NG PERMIT APPLtCATIQN ! t ` rj�y L.r-/� ,p v <�!�i Date: V'"'I�'"j� Srte Address: `'�[� l � � �� 7 -! /�' ��j L ��/ ! Unit#: Name: �C��I'1��t' �'-�'Tt �.- /t�tv��c�rt�- � Phone: ' � i�side�ti � � � � � � � � � � �.C��AtCf�r �� Aadress 1 cit;+/�ip- � ��1�'�'`�-�" � �jli � � APplicant is: Owmer � Contractor ` �� � � � � Typ�of Work DescriptiQn of work: � c'?t� � � �°� ' Construr�ion Cost: ���l�0 � Multi-Fami{y Buiiding: (Yes � !No ) Com an tJYZ.r� r' '' / '��� �r�a }'�G��1��! p y:�/�5 C c�vJ�s�r�-G.�O 5 Contact: � C0�1#t1�i?#' Address:��[?c"'1 ��'l��y✓�°��?�*�- L,y��t /� City:���'�[" �l�G�l-��.._ _ � r State_�Zip: ���3�► Phane:����'��Email:t�►»r��Jt3r'W��'T��.�yl`Tr�✓���ear� tac�nse#:�� l�`� � 73 -r,�U_�=f., L.ead c�rtifica�#:�4.�a�.r..r r=���lt�� °-� if the pro}ect is exempt feom lead certification,please explain wtty: (see Page 3 for additionat infotrrration) CQMPLETE TtitS AREA ONLY IF CONSTRUCTING A NEW BUI�DING In the last 12 m , the City of Eagan iss�d a pertrrit for a simifar ptan based orr a master ptan? _Yes _,No If yes,date and add f master plan: Licensed Plam�r: Phone: Mechanicaf Cor�tractor: �.. Sewer 8�Vltater Con r: Phone: 11f0I�`. ;a��t svpF�rr�iFrit�;tlacu�en��tat you��hmi�'ar�,consid�red`#t�b�.pubtic irt�rm�fiv» P��#o��of ; rr��i�ativn►na�X�e�c�ass'�ed as nar►petbt�c if�o��srvvfde s�i�f1�reas�rrt��w�utd�ermtt�'+�'i#y tc� t cc�i►clu�t�.#t�t,t�e ar+e b�d��ri�ts " - ea��e�FORE vou���. Cail Gopher State One Call at(651)454-0402 for protec�ion against unde�ground�ity damage. Ca1148 hours before you intend to dig to receive tocates of urtderground utifities. www.aopherstateanecaltosa i hereby acknowledge#ha#this ir�focmation is c�nplete and aixurate;that the wrork wili be in�rrformance with the ord+narn�s and codes-af the Gity of Eagan;that I understand fhis is not a permit, but a�ly an application for a permit,a+�d wock is not to start without a pennit;t#�at the work wili be in . acxordanc;e with Ute approvecf ptar�in the case af wortc which requires a review and approvat of plarss. Exterior wark autharized by a building permit lssued ln accardance with tF�AAinnesota StaGe iiding Code m�t be comp�withln 180 days af psm�it issuanca. �, X �� 1�/'��-��� ,��' X ' ApplicanYs Print�ed hiame ' nYs Signature Page 1 of 3 Use BLUE or BLACK Ink r----------- -----� • � For Office Use f� � ..5 c�i �0�� � �II"'f ' Permit#: � � Clt� of �a�a� � , � �� i Permit Fee:� • � �� 3830 Pilot Knob Road � Q`�,� �("" � Eagan MN 55122 � Date Received: O J � Phone:(651)675-5675 I I Fax: (651)675-5694 ' I Staff: I � I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: ��� � � --- � �-�_ yv�-�.�� ��& lF �y Name: � /� Phone: ,,� ' �� ' ��� d Address/City/Zip: /�� �/ � r�l�' � ��� i � �, ��� �� Applicant is: Owner �Contractor � � , � _� �` ;. Description ofwork: �b x��`l�J�'� '� /b �� �`�� �r E' �� �� ���i��, ��s-.— �}�-G�;�� `'`U✓9�,� ,�-,,�j � � � �,. � � � � Construction Cost� �� C� 1VIu ti-Family Buil ing. (Yes /No � ` ' t,�• - \ Company: � � !�C ` �Contact:�'t t R C /� � ^ � r �0����� Address: � r''� �t City: � � State:�Zip:��aC..�(o Phone: � � `���Email: l'� � 7l1 Y`�l��J Z � �: � � � � . /� / ;�� � ; „�„_; � License#:(0��7(D� Lead Certificate#: If th p oject is exe p�t from lead certification, please e plain why: �to��rn �'i�ri� re� �t/ � -��r� a� C MPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: ��7 ����t�at s��'�►r���u�r��!�t',��r:���i��ne�r��er��i�iE�e p����f���r �o���' � � ������ir���+`�����s���r��r�������r�t�;�c������s�`t����#���� .a� � � �„Wil,i.i��`�{�i �����q � ,�-�. CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qoaherstateonecall.ora 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 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. Exterior work authorized by a buildi permit issued in accordance with the Minnesota State ilding de must be mplet within 1 days of permit is�anc� ,..--- � �... x ��h �B 1 x ApplicanYs Printed Name Appli t's Signa ure ge 1 of 3 r� , y�y� �;����i� �DO NOT WRITE BELOW THIS LINE /.S ���-�'� SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi � Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation � Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION !� Valuation �V� Occupancy �i�'��' MCES System Plan Review Code Edition �� � ""� SAC Units (25%_100%� Zoning �,� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction �_ Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: � Reviewed By: � � , Building Inspector RESIDENTIAL FEES �'�;��`� Base Fee �`. �� r ��'"��� � ` Surcharge Y����°'"' ���,��` , �e��; ,� ;. Plan Review � � � � `�"� MCES SAC � � ��`� k ..�� ���� City SAC ,� Utility Connection Charge j?'� ��� :� � � ��,! � �:l S&W Permit&Surcharge � Treatment Plant Copies TOTAL Page 2 of 3