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4656 Ridge Cliffe DrNo. ? CITY OF EAGAN 3795 Pilot Knob Rood Eo9en, Minnesota 55122 Phone: 454-8104 - ?"r C °?- ?PERMIT Dote: ? SC?: Rid?ecifffe ' 5ite Address: L t Bl k S k?/ ? b S o u oc ec., / Name ` Address :E 39 ?'.bOVa, City Phone: Nome !'OrC':L'I`S ?Of'L "da"tei' . ? • - ? Address , , i .; ? City , .. . ' ? - Phone: This Permit is issued on the express condition thot oll work shall be Minnesota Stotutes and City of Eo9on Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./lnd New/Alter./Repair. Cost of Installation Permit Fee Surchorge Totol ' r done in ocwrdance with all cpplicable State of Building Official CITY OF EAGAN '• 3795 Pilat Knod Road Eegen, MN 35122 N4 5561 PHONE• 4S4-S100 = ?BUILDING PERMIT ReceiPt # To re used for Est. Vnlue Date 19 Site Address Erect Q Occupancy Lot Block Sec/Sub. <<-• - Alter p Zoning parcel # Repair ? Fire Zone Enlorge ? Type of Const. Name r. r.?osu? Move ? # Stories W 3 Address k'. ` ,'? Demolish ? Front ff. 0 Ci Phone Grade ? Depth ft. cz O Name Approvals Fess ?? Address Assessment _ Water & Sew. ? Ci p??e Police ?W Na^e Fl re ?? Address Eng. a W Ci Phone Planner Counci I I hereby acknowledge thot I hove reod this opplicotion and state that Bldg. Off. - the information is correct and ogree to comply with ull opplicable State of Minnesota Stotutes and City of Eagnn Ordinances. APC Permit Surchnrge _T...- Plan check SAC Wcter Conn. ? Water Meter t,, :, Totol 1 1 l.n,,..? ` Signature of Pertnittee I /1 Building Per?nit is issued to: on the express conditian thot oll work sholl be done in accordance with oll applicoble Stote of Minnesota Statutes and Clty of Eagan Ordinances Building Otficicl ??k # Dah n rA ?ewMh? Plumbing f 7'7 Mechanical ??c.• • ? ?? INSPECTIONS DATE INSP. Raph-In Final Footings 4 NU Date irqp. Date insp. Foundation Plumbing Frame/ins. ? i 3 G -e23-$0 Mechanical Finnl Remarics: Nojp , . _..^.TI?i?= Date: May 13, 1980 cInr oF EAGAH 3795 Pilot Knob Roed Eagan, Minnesota 55122 Pheee: 4544100 PERMIT Site Address: Lot 4662 Riage ciirre nr. ' . Cal?e R.id.?e II Block Sub/5ec. ? Receipt No. Single Residential INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Y ( 4-T)ldx ? ?.?? 1 .. ..i?.?c.?. NO^'u New/Alter./Repoir. - 1712 3?opKins C`Toc: `r??;:r'_ ; Address Cost of Installotion O ' - netonka,?.C-! ?C , City Phone: Permit Fee t'l .' Nome Surcharge • . ? 463'7 Cl,_ica'o 1=_ve. : . ? Address ' Ciry ~ 1 ; Phone: Total `"`"' • "iThis Permit is issued on the express condition thot oIl work sholl be done in accordance with all applitoble State of Minnesoto $totutes and City of Eogan Ordinances. Buildin9 Offitial ? crnr oF EAGaN 3795 Pilot Knob Road ?o Ea9oe, Minnesota 55122 Ption.: 454.0100 PERMIT Date: 1, 1980 Site Address: ••;?F%<? R1dge C11ffe Ir. Lot Block ? Sub/Sec. `'-??•`"'?.:'i'? --?`??' Nome O=i21 T.P1QTpSOT1 HCvjE9 . ? Address 1712 lYOpkiCL9 CT'0852'Od.: City =???• Phone: g. L ? ? 0 u Nome "Pry &I'1 Address 14745 So. Robert Trl. INSPECTOR NOTIFICATION REQUI RED BY LAW FOR ALL INSPECTIONS r Receip[ No.: Single I Residential 1 pf' i; .r.?t,le;c i; Multi Res., Comm./Ind. ( New/Alter./Repatr r'•I?lw Cost of Installation Permit Fee 20• - r Surchorge ? City --' ? Phone: ? Total ',.? This Permit is issued on the express condirion that oll work sholl be done in accordance with all applicoble $tote of Minnesoto Stotutes ond City of Eogon Ordinonces. Building Officiol - aTr oF Er?wN • 3795 Pilot Knob Rood Eagae, MN 55122 N2 5562 PHONE: +164-8100 BUILDING PERMIT Receipt # -f ) I 1 =1 ) ? !r FX To 6e gosd Fw Est. Volue Date 19 - Site Address i u s_ ;.' i ? C? • J : ? I Erect p Occuponcy ?. Lot Black i . c?? c ?: -: ,i •. ? ' Sec/Sub. ? Alter ? Zonin Parcel # Repalr ? Firo Zone ? ' Enlarge ? Type of Const. l12' r 1 tl oe Nome rhO1f1 n S Oil tiome s Move ? # Stories Z Address ok. ns .roFsroau Demolish ? ., Front ft. 3 { ?itv '•linnetonk.:_ phone 544-.73333 Grade ? ft. Depth ? Z 09 ? u F Name _ Address Name _ Address Assessment Water & Sew. Police Flre En9• Plonner Counci I Fees Permit Surcharge Plan check SAC . Water Conn. 770 ? Wofer IVreter _ . "'• 777 I hereby acknowledge Yhot I have rend this applicotion ond state thot Bldg. Off. the inforrration is correct and agree to oomply wiih oll applicoble APC Total i?? ' State of Minnesotn Statutes and City of Eagon Ordinances.. "--i ' Signature of Permittee A Building Permit is issued to: VTI'fn 'Ihomason f4vm? ? on the express condition tfiot all work sholl be done in accordance with all applicable State of Minnesoto Statutes and City of Eagon Ordinances Building Official Permlt # pote ar d PwwiftM Plumbing 77 / Mechanical ?'j d !j i,3 vgg!,. -S,51?w INSPECTIONS DATE INSP. Rouph-In Ffnal Footings Date Inap. Date Irop. Foundotion Plumbing ? Frame/ins. lr?S3 ,?C Mechanicol Final Remarks: ?- .? S- Yo ( . cirY oF Er?"N 3795 Piloe Knob Reed ? Eayan, Mineesore 55122 INSPECTOR NOTIFICATION No. Phone: 454-8100 REQU{RED BY LAW MATItIG PERMIT Dote: Gliffe Dr. c?r.. A,-1?ta«• Lot ? Block Sub/Sec. J.caxe RaA, zi ':ti).:;::CT'SO?1 Name ' ? Address 1712 Hapkins Grossroad ? '^ ton?ta Cify y - Phone: _ . i . Nome WElter Heating . g Address 4'637 G.1±g!1Co .1-,-.- . i City Fhone: .. This Permit is issued on the express condition that oll work sholl be Minnesoto Stotutes and City of Eogan Ordinances. FOR ALL INSPECTIONS ' Receipf No.: Single Residential Multi Res., Comm./Ind. I New//11ter./Repoir Cost of Instollation 2('.r),: Permit Fee Surcharge Totol done in accordance with all applitable Stote of Building Offitial No. Dafe: Site Address: 4 Lot CITY OP EAGAN 3795 Pilot Knob Roed Eagan, Minnesere 55122 Phone: 454-8100 PERMIT Tuly I, iy?j0 4600 F'jClpE 011f.rr? ':,7'. Block Sub/Sec. J . Calae R1dg+e 2rri 01-rin iLtcrpci?l t3 me$ Ncme . Address 7.71?' :'.en?-i.ns GroasroaC City Phone: ren- ''(y871 Nome . '.c. _ Address ? ? . City Phone: This Permit is issued on the express condition thof all work shall be Minnesota Stotutes ond City of Eegon Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: 5ingle Residentiol Multi Res., Comm./Ind. ? New /Alter./ Repair Cost of Instailation ._C. , Permit Fee Surcherge ? Tota I done in accordance with oll appliooble State of Building Official Receipt PLUMBING PERMIT Parmit No. CITY OF EAGAN . Fee Fill in numbered spaces S/C Type or Prinr /egi4/y Tot. 1. Date 2. Installation Cost ? 3. Job Address LotBlk. Tract 4. Owner 5. Contractor ' '•%- Phone ? 6. Address 7. City - State ? Zip ? • $. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory ? Softner ?ower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink 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 F inal lnspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464,8100 cirr oF E?c,AN 3795 Pil* Koob Read Ee9on, MN 35122 PHONE: 454-8100 BUILDING PERMIT Receipr # FItIZSN. BASEME*'T SIM Addreu Lot Porcet .# -. Block ?/5?. '':??n}? Ca ?: f:? ? ic* . 2 oc Name W z Address , : rivr. Ci Phone o Name ? ? u? Address 4 15-S(17 Nome _ Addreu 7 ?n P, ? Ersct ? Occupancy Alter ? Zoninfl Repoir ? Firc Zone Enlorye ? Type of Const. Move ? # Srories Demolish ? Length Grode ? Depth 5q. Ft. Approrals Faes /lssessment _ Woter 8 Sew. Polite Fln ErW Plonner Councll Pertnit Surclarye Plon check SAC Water Conn. Woter Meter Road Unit I here6y acknowledge that I hove reud this opplication and stote that Bidq. Off. rhe information is correct ond egree to wmply with all applicable ^PC Totol 5tote of Minnesoto Statutea ond City of Eagon Ordinances. Sipnofuro of Permittee A Building Per?nit is issued to: on the exprcss condition Ihai oll work sholl be done in occordonce with ell opplicoble Stote of Minrusotu Stetutes und Clty of Eepon Ordinonces. Bufldinfl Officfol Permit No. Permit Holder Misc. Permit Na. Holder Plumbing ? ?? ? 1.-. /D'Z( H.V.A.C. YVall Wator Disp. S?vwr Ekctric Int?action Date Insp. Other Footinys Foundation Framing 14 Rouyh Pibq. 1 ? i ?? " ? + Rouyh HVA Inwlation Final PIbQ Final HVAC Final Water ?ibe Loeation: • YWII Sewar Pr. Dbp. Receipt PLUMBING PERMIT CITY OF EAGAN ? Permit No. ' Fee - Frl1 in numbsred spaces S/C Type or Prinr /egib/y Tot. ? 1. Date 2. Installation Cost 3. Job Address lot ? Blk. r I Tract ' ' - 4. Owner ' -~ - -' 5. Contractor Phone 6. Address ?- 7. City State Zip 8. Building Type: Residential Commercial ? Institutional 0 9. Work Description: New ? Add Alter O Repair ? 10. Describe 11. No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank 1 Lavatory Softner 1 Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and oorrect, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ,`...-. ,. ,.;?.p..., -_r,r -y ..PF`"?f-. `aT's"Mr-••_.. . . .. , •c ? ?11F': '! 7/F*s.7.'RT,v+";a? ' ' n • MECNANICAL PERMIT ?. .: - CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE rj PHONE 454-8100 Site Address BLDG' TMPE Lot'T, SeGS b Blq k M ? ? _ ? t ' ? Comm. ame ? - - -- ^ - - - other City Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. BTU Vent CFM Gas Piping Outleis # Other CommJlnd. Contract Price x 1% PERMIT FEE F: S/C: TOTAL: t_?. . For RECEIPT # DATE: __z New Const Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.OU ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW . J VYYIVrIVV.7C Ot I,VIYVVJ - 11CJ. r1nIC nrrLi?? MINIMUM RESIDEMIAL FEE - ALL ADD-ON & - $ REMODELS (INCLUDES GAS PIPING) - GAS OUTLETS (AIINIAAUM - 1 PER PERMIT- - ONST 12.00 50 EA 1 $ .) NEW C COIAWIND FEE -1%OF CONTRACT FEE . . $ APT. BLDGS. - COMM. RATE APPIIES $ MINIMUM COMMERCIAL FEE - 20.00 $ STATE SURCHARGE PER PERMIT - 00 OF PEAMIT FEE} 50 S(C PER EACH $1000 ADD $ .50 . ( . • cinr oF EA"N . 3795 Pllot Knob Rood Eagan, MN 55122 N2 5560 _ PHONEs 454-0100 BUILDING PERMIT Receipt .# To be wed for .`` p 1 ex Est. Value 4 3, d00. Dota 19 51te Address 4 6"r 3i Erect ?'`' Occupancy , Lot Blxk Sec/Sub:-T' Alter p Zoning porcel # Repair p Fire Zone ' E t f Co t T n o?ge ? ype o ns . o e Nome Utrin ThOtttDSOII 4{omes Move ? .# Stories W ? Address 1712 "opkins Crossroacl Demolish ? Front ft. lTine r?"`?K a 544-73333 Grade ? Depth ff. C( Phone Approvela Fees ? Name zg o? V ? Address Name _ Address I hereby acknowledge thot I have reud this application and state that the informotion is correct and agree to comply with all applicoble Stote of Minnesota Statutes end City of Eagan Ordinances. Woter & Sew. Pol ice Fire Eng. Planner Council Bldg. Off. - APC Permit ? L-J• -v Surcharge 2) 2 • pa Plon check (12 - y ? SAC - Water Conn. 7- 7 t? • (%U Water Meter 60• t)O : ?'. 75.00 Totcl ' I '=' Slgnature of Permittee I A Building Permit Is issued ta on the express condition that all work shcll be done in accordance with all applicnble Stnte of Minnesota Statutes ond City of Eogon Ordinances. Buildi?g Official PKwM # pe% Plumbing 7 C j Mechanicol ?? . s593ya ???e?v INSPECTIONS DATE tNSP. RougFrln Final Footings ? Dote Inap. Date Irnp. Foundation Plumbing Frome/ins. f V-Q Methonical ? Final F^8--SJ 5"= ? 9 -8c7 Remarks: s -? ? !?'Q • - ? ?py-,y6 ,*OA ? No. ? n Date: • - Site Address: Lot cinr oF EAGAN 3795 Pilot Knob Reed Eagan, Minnesote 55122 Phewe: 454-e100 PERMIT 4658 Ridge Cliffe Dr. ? Block ? Sub/5ec. ' • CEtkB E3[lg. IZ I)rriIt171o1T37)sor Nome . ° Add `ipki 218 '?1'( ;; S C< <! . e ? ress City Phone: Name ? g Address T V City , . Phone: This Permit is issued on the express condition thot oll work shall be Minnesota Stotutes and City of Eogon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS ' Receipt No.: I Singie Residential Multi Res., Comm./Ind. I New/Alter./Repoir. Cost of Instollation Permit Fee ' Surtharge Totc I ' done in accordonce with all opplicable Stace of Building Officiol No. cirr oF EAG,?N 3795 Pilo! Knob Reed Eogaw, Minnaoota 55122 Phene: 454-8100 Pl-11I1'DI O,R- PERMIT Date: •Tuly 1 't o i; l] SitQ AddfE55: -- Lot ? Block Sub/Sec. ?•?•? Nome O'r'iI'1 `I'=son Hm:' . 3 Address G'Y'OSSS'OSC: O City '{'T1r't'Di l'kr, Phone: Nome !'' rlyan . ? g Address ? i- - - - - - ? City Phone: This Permit is issued on the express condition thot oll work sholl be Minnesoto Stotutes ond City of Eogon Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residentiol -- Multi Res., Comm./Ind. I riew New/Alter./Repair Cost of Installntlon Permit Fae $urchnrge l l , r) Total done in occordance with all applicable Stote of Building pfficial L cirr oF E?caN 3795 Pilot Knob Raad Eagen, MN Sslu N2 5559 • PHONE: 454-8100 BUILDING PERMIT Receipt # Te be oad for Est. Value • Date -- : 19 Site Address Erect p Occupancy Lot Black Sec/Sub. Alter ? Zonirp Parcel # Repoir ? Fire Zone Enlarqe ? Type of Const. ? Name Move p # Stories ? Address:- - - Demolish ? Front h. Ci -' ' Phone Grade ? Depth ft. o Name ApProvels Fees t- ?? Address ?- r,.., cti...,e Ncme _ Address I hereby acknowledge that I have reod this application ond state thut the information is correct and o9ree to comply with ali applicoble State of Minnesofa Stotutes and City of Eagan Ordinances. Assessment _ Water & Sew. Police Fire Enfl. Planner Counci I Bldg. Off. - APC Surchorge Plan thetk 5AC Water Conn. Water Meter Total Signature of Permittee I A Building Permit is issued to: on the express condition thot oll work sholl be done in accordance with oll opplicable Staie of Minnesota Statutes and Clty of Eagan Ordinances. Buildirtfl Officiol ? eA / O P«,.ir # oa. Plumbing Mechanical ? 2 ???._ S v d INSPECTIONS DATE INSP. Rouph-In Flnd Footings ? Dote Inap. Date Irnp. Foundation ? PI umbing Frome/ins. L-;2 3 -Sa Mechonical ? Final Remarks: ro ? ,? ?.? • ? ?,Q .I'? ? ?"?L j'? 4,A ? No' .`l I Dare: ? y Site /lddress: Lot CITY OF EAG/1N 3795 Pilof Knob Road Eogan, Mienmoto 55125 Ption.: 451-8100 PERMIT 4656 Ridge Cliffe Dr. J . .itl)•:(? ; "? -• ,. 1 Block Sub/Sec. .- 1?r4 n -'%:o: " Name " g Address ,- r'12 :.Oplcins C.:" ^u". c ? ' ,.I1LtG211ti£i ? T' `., City Phone: Nome . ..?r? ,.r _ . ? ? Address 'hi8-I`ro '-v . ' e is . City . Phone: This Permif is issued on the express tondition that all work Sholl be Minnesoto Stotutes and City of Eogan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FQR ALL INSPECTIONS Receipt No.: Single I Residential '- 4-?? Multi Res., Comm./Ind. I New/Alter./Repair Cost of Instollati4n Permit fee Surchorge ' Total ' done in occordance with all eppllcoble State of Building Officiol fdo. CITY OF EAGAN 3795 Pilot Knob Reod Eogan, Mlnwesota 55122 Phone: 454-8100 pimlbinF. PERMIT _. ., Qate: j'jy • i '=i t, ? Site /14dress: 4U5E Rid.ge C1i` f2 DT'. Lot Blxk Sub/Sec. J. C8k° Pi-C4"e =- . . Name Tr'Y'iPl `I71QtlC]8071 1:01'M3f' ` ? A "cr_ lcirjS ^rOss-?O, : - ? ddress City ' .1;"1• ';OTl}ZA? ??'? Phone: Name =? iZ l?a.rl p. Address ? City Phone: This Permit is issued on the express condition thot all work sholl be Minnesota Stotutes and City of Eagan Ordinances. INSPECTOR NOTIFICATION REQUI RED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential _- G: • -_-J.?? Multi Res., Comm./Ind. I ,. , New/Alter./Repair. Cost of Installotion Permit Fee Surchorge ' Totol done in accordance with all applicoble Stote of Building Offitial CITY OF EAGAN Remarks Addition_Johnny Cake Ridee 2nd Lot 1 Bik 9 Parcel #10 34801 010 09 Owne? street4b5,6 B.id? Cliffe Drive State Fao MN 55122 improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING 5AN 5EW TRUMK 30 1975 66.97 4.46 15 :?SEWER LATERAL 5 WATERMAIN ?eWATER LATERAL WATER AREA STORM 5EW TRK ?-a ? 343.41 0 *STORM SEW LAT 1981 CURB & GUT7ER SIDEWALK STREET LIGHT Road Unit 75.00 17036 12 11 9 WATER CONN. 270.00 " it BUILDING PER. 95559 Ii SAC PARK ?- . # CITY OF EAGAN Remarks Addition T r.?T Cake gi,Aoo ?nA - Lot Z eik 9. Parcel 010 39801 020 09 Owner street 4658 Ridge C7 i f_fe Dri ve 5tate Eagan, mn 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK D 1975 65.97 4,46 15 *SEWERLATERAL `a 19 WATERMAIN *WATER LATERAL 1981 WATER AREA STORM SEW TRK 1981 343.41 68.68 5 343.41 0 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 75.00 WATER CONN. 270.00 of 11 BUILDING PER, SAC PARK CITY OF EAGAN Remarks - - Addition Johnny Cake Ridge 2nd Lot 4 R,k 9 Parcel # 10 39801 040 09 Owner Street 4660 Ri d?e r.l; ffe D?rive StatePagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTQR. GRADING SAN SEW TRUNK d 1975 66.97 4.46 15 *SEWER LATERAL WATERMAIN *WATER LATERAL WATER AREA STORM SEW TRK Jr2 1981 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT •t Road 75.00 17039 12 11 7 WATER COMN. 270.00 11 11 BUILDING PER. It 11 SAC ?? +T PARK CITY OF EAGAN Remarks adaicson_ Johnny Cake RidQe 2nd Lot 3 ik 9 Parcel #10 39801 030 09_ ownerL': street 4662 Ridge Cliffe D7clve State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. S7REET RESTOR. GRADING SAN SEW TRUNK p 1975 66.97 4.46 15 *SEWERLATERAL ? 1991 2277-43 45-5-49 2277.43 C00 46 10 15 8n WATERMAIN *WATER LATERAL WATER AREA STORM SEW TRK -62 y 1,9811 343.41 68.68 5 343.41 C006846 10 15 80 *S70RM SEW LA7 1981 CUF?B & GUTTER SIDEWALK STREET LIGHT R a 75.00 17038 12 11 79 WATER CONN. 270.00 11 fr BUILDING PER. # Sfil 1? 11 5AC PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE wacKIvec FROM AMOUNT Is I a ooLLwws ,oa ? CASH ? CHECK FOR - FUND C0D6 AMOUNT Thank You BY ? YVhite-PeYen CoPY Vellow-Postinp CopY Pink-File Copy CASH RECEIPT CITY 4F EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE aaceiven waom 19 AMOUNT $ I OOLLAR$ 100 E]CASH F]CNECK FOR FUND CODE AMOUNT -- ? Thank You BY YVhite-Payers CoPY Yellow-Postin9 CoPY Pink-File CopY .CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ I 4 OOLLARS I oo ? CASH ? CHECK POR FUND CODE wMOUNT Thank You J ? BY ? ? . 4Vhite-PaYers CoPY Yellow-Poating Copy Pink-File CoDY JCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ 17 Q DOLLARS 1 ao ? GASH ? CHEGK FOR A .? / FUNO CODE AMOUNT Thank You BY White-Payen COpy Yellow-Posting Copy Pink-File CoPY ITY OF EAGAN 795 Pllot Knob Roud gan, MN 55122 nirrog: ner: ' ddress: 5ite Address: Pivrt ,ber: 1 egree to eomplr with the Citr of Eagan Conneci-ion Chorge Grdinonces. Account Deposit: Pennit Fee: - Surcharge: BY Misc Char es: . g Dote of fnsR•: Total: 1 Insp.: Dote Paid: , CITY OF EdGAN 3795 Pilot Knab Road WATER SERVICE PERMIT PERM17 NO.: Eagan, MN 55122 DATE: Zoning: No, of Units: Owner, _ Address: Site Address: ? Plumher: Me`er No.: Connection Charge: Siza: Account Deposit: Reader No.: Permit Fee: 1 agres M aomply with the City of Eegon Surchorge: Ordinanees. Misc. Chorges: By Date of Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units Total: Date Puid: ' oF EA"H WATER SERVICE PERMIT Pilot Knob Rood PERMIT NO.: in, MN 55122 DATE: 1on;ng: No. of Units: Owner, Address: Site Address: Plumber: Meter No.: Connection Chorge: Size: Account Deposit: Reader No.: Permit Fee: 1 sgeee to eoinply wilh fhe City of Eagon Surcharge: Ordinaneee. Mfsc. Charges: Tota I: gY Date Paid: Date of Insp.: Insp.: 3795 Pilot Knob Road PERMIT NO.: Eagan, MH 55122 DATE: Zoning: No. of Units: Uvner: Address: ' fo eompty witle !he City of Eagon of Insp.: 11Q,{ Connection Charge: Account Deposit: PeRnit Fee: Surcharge: _ Misc. Charges: _ Tatal: ? _ Date Pnid: ? . WATER SERVICE PERMIT EAGAN CIT 3199 Pilot Knob Road PERMIT NO.: Fr gan, MN 55122 DATE: Zoning: No. of Units: Owner: - - Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reoder No.: Permit Fee: 1 ogree to compf?r with the City of Eagan Surcharge: Ordinanoes. Misc. Charges: Total: By Date Paid: Date of I nsp.: I nsp.: crrY Of EAcaN SEVNER SERVICE PERMIT 3795 Pilat Knob Road PERMlT NO.: Eagon, MN $5122 DATE: Zoning: No. of Units: Qwner: Address; Site Address: Plumber: 1 agrea fo wmply wieh ehe Citr of Eagan Crdinc-iees. By Dnte of Insp.: Inso.: CITY 0F EAGAN - 3 "5 Pilot Knob Road Eagon, MN 55122 Zoning: Owner: Address: Site Address: Plumber: Meter N • " Siz Connection Chorge: e: Account De posit: Reader No.: Permit Fee: 1 egrea to tomplr with the City of Eagan Surchorge: Ordinences, Misc. Chorges: B y Toto): Date of Insp.: Dote Poid: ° Insp.: 7F EAGAN . Pilot Kno6 Road dagon, MN 55122 Zoni ng: Owner: Address: Site Address: Plumber: Connedion Charge: Account Deposit: Permit Fee: Surcharge: Misc. Chorges: Total: Date Paid: WATER SERVICE PERMIT PERMIT NO.: DATE: No, of Units - SEVIIER 5ERYICE PERMIT PERMIT NO.: DATE: No. of Units: I ngree to eompllr with the City of Eagan Connection Chorge: Ordinonces. Atcount De posit: Permit Fee: ' Surcharge: By . Misc. Cherges: Dote of Insp,: Total: Insp.: D P id t " . e o a : This request void 18 ths f om mon : pate e I1iis Request Fire No. S 59344 I, as(L,icensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 1W- ?-? ?E; (WfF Dp_'% City g Section Township Range County bAgal-k N7iich is occupied by V W_tN ? Ni1 111->? t }'r?? ? (Name of otcupant) c Is a roughin inspection required on this jo6? No ? Yesfg- Ready Now ? Will Call'+O ?n? Power Supplier ? Address Rd? `1N6iWJ Electrical Contractor -F) CLt- ?LEGT?( („s Contractor's License No (COmpany Nama) Mailing Address ??? (fil rica ontr ttor or Owner Making Thls Installatlan) C. Authorized Signature Phone No. (Electrical Contractor or Owner Making This Installatlon) SUA @? ????? ???? This inspectian request wiG not be accepted by the a State Board unless proper inspation fee is enclosed nes a State Board of Ele@2riclty Griggs Midway Bldg. - Room N191 1827 University Ave., St. Paul, Minn. 55104 - Phone 287-2177 ' REQUEST FOR ELECTRICAL INSPECTION ECK BELOW WORK COVERED BY THIS REQUEST ( CIO-Z'l0 EB-00001-02 $ 59344 Type of Building Ne Add. Rep. Check Appliances Wired Foc Check Fquipment Wired For Home ? ? Range Tempocary W'ving ? Duplex ? ? ? Water Heater Lighting Fixtures 154 Apt Bldg. ? El ? Dryer Electric Heating ? Commercial Bldg. ? ? ? Furnace Silo Unloader ? Industrial Bidg. ? ? ? A'v Conditi g¢t ? ?' 1 Bulk Milk Tank ? Farm ? ? ? Lis[ ?.--- o fsI , _ ei List Rehets O[her ? ? ? H e COMPUTE INSPECTION FEE BELOW '-? '1 /f// ) J Service Entrance Size: # Fee Fcedus&Subteedeis: C'vcuits: # Fce 0 to 100 Am s. 3S 0 to 30 Am eres 0 to 30 Am eres /,0?1 101 to 200 Am s. 31 to 100 Am eres 31 to 100 Am res . QU Above 200_Amps. Above 100 Amps. Above 100 Amps. 'Iransformers Remote Control Cixc. Partial or other fee C Signs Special Ins ection Minimum fee Remarks TOTAL F ? 7. S ?p /?•00 I, the Electrical Inspector, hereby ce ' that ove inspection has been ? (Rough-in) - Date , (Final) Date This request void ' ? 18 months from 1'his request void (:?(7 Z 9 ?j G^4(!?L L /9600 ] $ months from ? S' ? ?s? 93LF3 ? J Da[e of this Request Fire T7a I, as$'Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal winng installed at: Street Address or Route No. City CA Section Township Range County IJ !? Which is occupied by ls a roughin inspection required on this job? No ? Yes(12?,_ Ready Now ? Will CaqQ Power Supplier atA Address Electrical Contractoc 4?cLL E_cc-mtk(c, Contractor's License No h3_751 i Mailing Addreu li ? l le' Authorized Signature ition xo ) . q90 -SSDS, ,uec[nca, conirac[or or uwner makmg rms wstauatlon) SU(? `?E ?? ??D'?1? ??f?? This inspection request will not 6eaccepted 6y the 8?"9i r L4I L=db1U ?!`? State Board uniess proper inspectian fee is enclosed. -' - Minnesota State Board of Electricity Griggs Midway Bldg. - Room N791 ? 1821 University Ave., St. Paul. Minn. 55104 - PFwne 297•2111 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST / 900d EB_0000 1 02 S 59343 Type of Bullding New Add. Rep. Check Appliances W'ved For Check Fquipment Wiced For Home ? ? Range Tempoiary Wiiing ?. Duplex El ? Watet Heater Lighting Fixmres cz Apt. dldg. ? ? ? Dryer ? ElecVic Nea[ing ? C, ommercial Btdg. ? ? ? Furnace ?. Sdo UNoader ? Industria] Bidg. ? ? 0 Air Condi ? Bulk Milk Tank ? 'Fazm List A List Othei 0 ? ? p Hehels? p He iels? FEE BF.LAW o tu Q to Above Remazks TOTAL FEE 07, 5V 29,0d ( I, the Electrical Inspector, hereby c a s ion has been ry= (Rough•in) 2 Date 3 (Final) Date 7 This iequest void 18 months from ,;s,rd4uasi void r?f l? 78 rtionNs fmm EV 275-85 ' ui? 32(a25 ??Dr ?? Ryiquest Date Fire No, flough-in InsuecUOn Req ired? ?Ready Novy?W?ll Notit [nspec- ?Ol Qaa- yes ?NO mrWhen eatly C-] Licensed ElecVical Conttactor 0Owner I heraby request inspection of ebove electricel work installetl at Street Address, Boz or Hou[e No. Cily 4660 2iDcc cuFr-??? EA G A? ecuon o. iownshi0 Name or No. ango No. County b Nko-T fl Occupant (PRWT) Phone No. 2o?6FtZ,T+?'vlJlp C4tSl?-AD 41;4'$(7$O Power Sup piier Address n ? S C Elecvical Contracmr IComoany Name) Cuntrar.tor's License No. W Mailing AdJress IContracmr or Owner Making Instailationl 4 o RnD(ziE ?ti\S Sti D 2 Authorized Signatore IContraccor/Owner Making Installation) ' Phone Number -Q? 4'5-B-bgo 30•oc7 ? MINNESOTp STATE BOARO OF ELECTHICITV . TMIS INSPECTION NEQUEST WILL NOT Grig9s•Mldwey BId9. - poam N•197 gE ACCEPTED 9V THE STATE BOAND 1821 Univarsity Ave., Si. Peul, MN 55104 UNLESS PflOPEN INSPECTION FEE IS e."' mw, oo, a'll ENCLOSED. . REQUEST F.OR ELECTRICAL INSPECTION ee-eo t- a Sac inslruc?ions tor com0leting this form on bxck of Yellow coPV• ?7585 ? - 3? "X" Below',lJOSk Covered by 7hrs Request 3;z ? Hdd Aep. Type of euilding ApDliances Wired Equipmenl Wired Home Range Temporary Service Duplex Water Heater Lighting Pixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Indusvial BIAg. Air Conditioner Bulk Milk Tanl< Farm ther peci v OiherlSUeciryl cr ecif O[ er Othi;r Compute lnspection fee Below d ` Fga Service EnhanceSiie d Fee Feeders/SUbteeders N fee Circui[s 0 to 100 qm s 0 to 30 Am s 00 0 to 30 Am s 107 to 200 Amps 31 to 100 Amps 31 to 700 A A6ove 200 qmps Above 100_Am s z ? Above 100_Amps Transiormers RemoteControl Cira v Partial%Other Fee Signs Special Inspection T Re?++arks AA ,%.. .1 . ? . ?An . ? ..n aaL a.??OrtLt 4. ? FEE?. r _ ftough-in Oa ? ? I the " ??-,76q , gcta.. he.aby certi?y.that the above Final /? r? 4?je ?,i iugQorf,-.n hes been mee, ' ThiS repuest vo,tl ia monubs fioT H ?6 01 ? 9 oass 1 Request Date e No. F h-in Inspeclion quired? ? Ready Now ? Will Notity Inspectar 8/ 15 90 ? Yes ? No X Wnen ReaOy? I? licensed contractor p owner hereby request inspection ot above electrical work at: Job AEtlress (Streel, Box or Route Na.) Clry 4658 Rid e Cliff Dr. Ea n Section No. Towns?ip Nama or No. Renge No. CouMy D kato Occupant (PRMT) Phone No. Jim Lattonica Power SupPlier AOOress ElecUical ConVactor (COmpany Name) Coniractor's License No. Lein Heatin and Elec. 042 Mailing AOtlress (COnVactor or Owner Meking Installation) 6525 E. 170th St. Prior Lake Mn. 55372 AutM1Orrze re(Con[ractor/pwner Maki Ins[allation ?? Phone Number - MINNESOTA STATE BOARD OF ELECTRICITV / THIS INSPECTION REOUEST WILL NOT Grigga-Mitlway eltlg. - Hoam S173 6E ACCEPTEO BV THE STATE BOARD 1821 Unlverelry Ave., SL Faul, MN SS10C UNLESS PROPER INSPECTION FEE IS Phone(812) 862-0800 , ENCLOSED. ??/?+? REOUEST FOR ELECTRICAL INSPECTION ( ?$ce insimctions for wmpleting this form on back of yellow copy. m o£ 101 X" Below Work Covered by This Request ??? EB-00p01-OB ? 9eel5 s ew A Rep. TypeofBUilding AppliancesWired EquipmentWi2d Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Olher (Specity) Comm./Industrial ' Fumace Farm Air Conditioner Olher (specity) ContracNr§ Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEniranceSize Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 - Amps Above 100 _ Amps SignS Inspector's Use Only: ? TOTAL Irrigation Booms 15. ?? Special Inspection Alarm/Communication THIS INSTALLATION MAV BE OR DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO HS. I, the Electrical Inspector, hereby Rouph-in oate certify that the above inspection has been made. F;?ai ?e w 7/ d OFFICE USE ONIY ? Tnis request voitl 18 months hom ' Thic-request void ?°3 ? 7 ?' (/ ? / c/ DO 0 18 p?onth"s 1'i0111 Date o this Request 511 lid Fire No. V 59342 I, asLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal winng installed at: Street Address or Route No. %55 1"??&?: 6^ fy- ?u, City? Section Township Range County 4WW7-4 1Vhich is occupied by ogo_t4 ' t Is a roughin inspection required on this job? No ? YeC.<_ Ready Now ? Will Callo Power Supplier Address Electrical Contractor Contractor's License No ??lyl9 Mailing Address igil e - Authorized 4 W AN BOARD o ov PhoneNo. ?9a-sses nstallatlan) This inspection requast will not heaccepted by the State Baard unless proper inspection fee is enclased. Minnesote State BoerA of Electncity Griggs Midway Bldg. - Room N791 .7821 Upiversity Ave., St. Paul, Minn. 55104 - Phone 297-2117 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST 17000 gB_ooooi_oz $ 59342 Type ot Building New Add. Rep. Cheek pppliances W ired For Check Fquipmenl Wired Foc Home ? 0 ? Rarge ? Temporary Wiring- Duplex ? ? Water Heatec ? Lighting Fixtures ? ApL Bldg. ?? ? Dryer ? Electric Heating Commercial Bldg. ? ? El Fumace Silo Unloadex Industrial Bldg. ? 0 ? Air Condition P 1A Bulk Milk Tank Fazm ? ? ? ? ? ? 1 eI , Lo h - ? jers? Othei re He ) e COMPUTE INSPECTION FEE BELOW Se`vice Enttance Size: # Fce Feeders& Subfcede[s: # Fee # Fee 0 to 100 Am s. '1. 0[0 30 Am eres res , W 101 to 200 Amps. 31 to IQO Amperes res Above 200 Amps. Above 100_Amps. gA Am s. Tcansformers RemotConUOlCuc rfee . J S' s 5 clns ct ion Remarks ?.&) I, the Electrical Inspector, hereby certify (Finai) This request void 18 months from has been made- Oe npte ? ?'U TN_quest void e? / .07 qoitC41- M/90D 0 ] 8.montfis from v ? 51,1? S Date of this Request ? Fire No. I, a3'censed Electrical Contractor 0 Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. q?56 RtD6t llll`F Dp-u, C(i?t,y,?-+ ! ??? _ Section Township Range County L7d"I?TIa Which is occupied by Is a roughin inspection required on this job? No ? Yeck- Ready Now ? Will Cal[? Power Supplier 1-=P3 Address fizl f-h iNOT44 Electrical Contractor £LL ELEGT?bS, Contractor's License No!imi9 Mailing Address ( le trt I contractor o. owi Authorized Signature .:i itlonJ No. p?p (tleCtncal ConVactor or Uwnar maRing I n1s installatlon) ST6? ?{ pE ?CA ..?` ? DD Py This inspection request will not he eceepted by the n State Board unleu proper inspection fee is andosad. Minnesota Stete 9oartl of Electncfty Griggs Midway Bldg. - Room N791 ?821, Upiversiry Ave., St. Paul. Minn. 55704 - Phone 297-2111 REQUEST FOR ELECTRICALINSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST pgoco EB-00001-02 $ 59341 Type of Building New Add. Rep. Check Appliances Wired For Check Fquipment W'vM Fo= Home ? ? Range Temporaxy Wiring ? Duplex ? ? ? Water Heater Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating Commercial Bldg. ? ? ? Fumace 6. Silo UNoadei ? Industrial Bldg. ? ? ? A'u Conditio et ? Buik Milk 7ank ? Farm ? C) ? Lis[ ? ? ? List Othei ? ? o p _ . Hehers? X O ereers? R CnMPI1TE INSPECTION Service Enttance Size: it Fee Fceders&Sub[eed'¢ts: j C'ucuits: x Fee 0 to 100 Am s. , J 0 to 30 Am res y 0 to 30 Am eres b,LO 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres ,iJO Above 200_Amps. Above 100 Amps. Above 100 Amps. Transfocmers 1 1 RemoteConuolCirc. Paztialorotherfee Si ns Special Inspection Minimum (ee Remazks I i, / i TO'IALFE a?, 2?,oo I, the Electrical Inspector, here6y certjat t1?e v i s e n has been made. d (Rough-in) ??'..7 !' . Date (Final) Date ?/?//o ?/ ?- This request void 18 months from ciTr oF Er?G?N 9795 Pilot Koob Road Eagan, MN $5122 N! 5559 PyONE: 454-6100 BUILDING PERMIT APPLICATION Receipt # Z 70 :U2 Te be u.ed 40. 1 of 4 plex Est,ydQ,600, pot, Dec, 11 1j9 Sire Address 4656 R.4dge rl ; ff nr Erect e{ O«upancy R3 Lot 1 Block 9 Sec/Sub. J. Cake Ridee II Alrer ? Zaning PD Parcel # Repair ? Fire Zone 3 e ? Type of Consr. V Nome rrln ompson omes ?? ? # Stories Z 3 iliz qddrelq OP IIS TOSSTOB Demolish ? Front 22 ft. ° City Phone 544-733 Gmde ? Depth 44 ft. ? or, u4? ? Name _ Address Name _ Address I hereby ocknowled9e tFat I hwe read this apPlicotion ond state thot the information is correct and agree to comply with all applicable State of Mfnnewta Statutes ond City of Eagan Ordinances. Signoture of Permittee A Bullding Permit Is issued to: OTii aIl work sholl be done in accordanee with all Approvah Fces Assessm t ?-? Permit125_50 Water & Sew. $urchorge 22-00 Police Pion check 62.75 Flre SAC 525.00 Erg. Woter Conn..2.ZQ?OD Plunner Water Meter 60.00 Council Ed Unit 75.0 0 BIdg.Off. APC Total on the express condition that ,tota Statutes ond City ot Eagan Ordirwnces. Building Official .. , C4 OF EAGAN BUILDING PERNIIT APPI,ICATION Irkclude 2 sets of plans. 1 site plan w/elevations & 1 set of erbergy calculations- D vatuation yir 6 co . oo vate L C 3 1979 Zb Be used For RESineLae /? -?- site Pddress: /,?(os ,? ?o -Cl+???p? 1.?-• oFFICe usE ota.Y 0 ?Hr+Ny GAt?F. ,O I.Ut $ZOCk 01 SflC.?Sl7b. R?e?rE '•LfaD EreC't ? OCCUp3T1Cy ? Alter Zoning Pazcel #: gepair Fire Zone 3 QNmer: P,cldress : City/Zip Coc7e• Enlarge _ 'Iype of Const. Move # Stories Deniolish Front a2 ft. Grade Depth ft. - - Phone #: p,ppRf}UAI,,S FEES mit P %? ? `S ,-o / Contractor: er Assessments - eRR'Pl E S Water/Sewer Surcharge d aa ?' p3dx'ess: a Division of U ???n?A r.,..,,,... _ police Plan Check /?2 lty/Zip COd2: C 1712 HQPKI\S CROSSROAD F1Ie SAC MlNhF7nr.WA A"InMI ' ? . 65 ?3 water conn. ?' a >o Pnoine #: s'i` 1-'t333 Planner Water Meter o ? Council Foad Uni.t ?d- Arch./Eig. : Bldq. Off. Pddress: APC City/Zip Cade: Phone #: TOTAL iivd ? . cITr oF EAcaN . 9795 PtlM Kne4 Read. , Eagee, MN 55123 N2 5560 PANE: 'dS46100 ?2 L? ?7 BUILDING PERMIT APPLICATION Receipt # Te be uned fo. 1 of 4 plex Esr. volue 43,600. pate Dec. 11 1979 sue nddress emc ? X a?upancy R3 Lor 2 Blak 9 Sac/Sub. • Cb$eRidge II Alter ? Zoning PD Parcel # Repair ? Fire Zone 3 E l T f C a n arge ? ype o onst. W Name ' Orti n Thomoson Homes Move ? # Stories ? nddreu 1712 Hopkins Crossroad pe,,,ousf, p Front 22 h. Minnetonka 544-73333 Grode ? oeprh 44 n ?? ?ane . ? 0 Name APOmals? z Fees ZV Address ? 1- Name I hereby ocknowledge that I hove read this application and state that the information is correct and agree to rnmply with all applicable State M Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Buildfng Permit is issued ta - I all work shcll be done in acwrdarxe Building Officiol Water & Sew. Police - Fire Eng. Planner _ Cauncil _ Bldg. Off. _ APC Permit 147.7U Surcharge 22•00 Plan check 62.75 SAC 525.00 Water Conn. 270.00 Water Meter 60.00 Rd Unit 75.00 Total 1140. 25 on the express wndition that Statutes and City of Eagan Ordinances. CPpy pg EpGpN Include 2 sets of plans. •- • 1 site plan w/elevations & BUILDING PERMIT APPI,ICATION 1 set of energy calcul-ati.ons. ???on D?C 3 1979 _ y3 , boo • oo Date Zb Be Used For Rys,oevae v site Pddress: ?i/65?Y IC,t?A•? AdO?n OFFICE USE oN[.Y ?'oHNNy cn.?- Lot ? Block *V Sec./Sub. fuy %00 Parcel #: Owner: Address: City/2ip Code: Erect OccupancY p,lter Zoni.ng P gepair Fire Zone -3 Enlarge _ Zype of Const. ? Nbve # Stories Demlish Fmnt 2z ft. Grade - Depth yy ft. Phone #: APPROVALS FEES ts / ?? Permit SO /A 5 Contractor: MES _ Assessmen Water/Sewer surchar4e . ?? oo P,[1dTes5: a Division of U S F-.-,a r,. ,i_ polyce Plan C11eCIc L• 7J 1712 HO?KINS CF6SSROAD ? City/Zip. Code: A?whErnn?un :b?ltL 657 - F1LE S? 4d , , • i3 ?- water Conn. ?7n , OU Phone #: s`l'i -9 333 Planner Water Meter /.D.oO ? . Council Road Uni.t 7 ? ?p Arch-/En9-= Bldg. Off. - Pddress: - APC City/2ip Cade: Phone #: 'IC7TAL / / y/J ? a ? cirr oF EAcnN • 3795 Pflef Knob Recd Eagen, MN 55123 N? 5562 PHONQs 4548100 BUILDING PERMIT APPLICATION 001 Receipt c- 43*600. ; of 4 Plex Dec. 11 79 Te 6e umd (o Esr.Vaiue Dare , 19 4660 Ridge Cliffe Dr. Site Mdmss ? Erect ?u?nry R 3 Sec/Sub. J C ae 1 ge I lor 4 Block 9 Alter ? Zonirg -3 PD Percel # Repair ? Ffre Zone ------v- e ? 7ype of Co?,st. W Nme Orrin Thompson Homes Mo? ? # Srories ? op ns rossroa Address DemolisM ? ZZ Front ft. Ci Minnetonka phone 544-.73333 Gmde ? Depffi 44 fr_ o Name Approvola Fees =ri Address Assessment ?? Permit 7 95, 50 Water & Sew. Surcharge 22- 00 Cf Phone Police Plon check (+7 _ 7 5 ?w Name Fire $AC 59 S_ 00 Y? Address Eng. Water Conn. 22n nn <w Ci Phone Planner YJOte?Meter-6D__.aD R 79 OQ i Council a t I hereby acknowledge that I have read this opplication and state that Bldg. Off. the informotion is correct and ogree ro comply wfth all appiicable $tote of Minnesotu SMtutes and City of Eogan Ordinances. APC Total 1140 25 Signature of Pertnittee A Building Pertnit is issued to: Orrin /IL on the express condition thaf all work shall be done in accordance with oll app mb _ e of i nesota Statutqs qnd City of Eagan Ordirmnces. Building Officiol ° ??'`'? „ .. CITY OF EAGAN BUILDING PERMST P?PLICATION Include 2 sets of plans, 1 site plan w/elevations fi 1 set of enesgy calculations- D?C 3 1979 4b Be Used For `7???? y3,_boo.oo ?? Site Address: OFFICE USE OrII,Y . ?NNy ?.? R.3 LOt BLOCk g_ S2C.?SUb. aueir E 1faD ETECt Y-, OCCujJdnCy - pilter Zoning P Parcel #: Raoair Fire Zone 3 Qwmer: pddress: City/Zip Gode: Phone #: Cornsactor: M ES Addtess: - --a Division of U S F!-ma rn... g__ 1712 HOPKIVS C"OSSROAD C1t.]7/ZlP COdE: - MINhFT(1NKn hslolfl? 6Ty34? Phcne #: Syy- 133Z - Arch./Eng. Address: City/Zip Code: Phone #: Enlarge _ Mave Danolish Grade Zype of Const. # Stories EYOnt Depth aR ft- _ft. APPRb7VAiS FEES Assessnents Penni.t /l s ? Water/Sewer Surcharge 2R ? Police Plan Check Fire SAC Eng, . Wdt.2Y CAH21. 'P;P0 Planner Water Meter 40 Council Roac1 Unit N Bldg. Off. APC zrnau, ? /? ?s cInr oF Er?"N 9795 Pilot Kneb Raod ¢agan, MN 55122 N? 5561 •+ "OHONF• 454-8100 BUILDING PERMIT APPLICATION 43,600. Receipt #- / -20 3'p To be amd ro. 1 of 4 Plex Est. Value Date Dec. 11 19 79 Sita Address 4667 ?Rida ri+fF nr Erecr EIc Occupancy R'+ Lot3- Blxk9_ Sec/Sub. J Cake Rid¢e II Alter ? Zonirp Pn Parcel .# Repair ? Fire Zone 7 Orrin T ompson Homes Eniarga ? Type ot Cor,sr. v W Name Move ? # Stories ; Address 1712 Hopkins Crossroads Demolish ? Front 27 k. ° r:... Minnetonka oL..__ 544-73333 Gmde n oeorh 44 h. ? Nome g? Addre Name I hereby acknowledge that I have read this opDlicotion and stote that the information is mrrect and agree to comply with all opplicable Smte of Mfnnesota Statutes and City of Eagan Ordinances. Signature of Pertnittee rr n oi "son A Buildine Permit is issued to: all work sholl ba done-in accordonce with all appli e Sta ? Building Offieiol Feea Water & Sew. Police _ Fire Eng. Plonner - Council _ Bldg. Off. _ APC Permit 19 5. SD _ Surcharge 72-nQ Plancheck 62-75 $qC 595 Ofl Water cono. ?7n_nn Water Meter 6n _ t)n Rd iTnit 75_00 Total 11140 . 75 " on the express condition that Statutes and Ciry of Eagon Ordirqnces. 1. - . . .- , CITy pP EAGAN Include 2 sets of plans. 1 site plan w/elevations & BU3'LDING PERMIT APPI.ICATION 1 set of enesgy c.a]-cu]-ations. nrr 3 1979 Valuation 43, 600.00 Da{e L To Be Used For Rss?o +. Site Address: !?// O?p?$'. OFFICE USE ONII,Y "'? ??soaNr+y ew?. Lot 3 Block _°S_ Sec./Sub. Q+or_E 7t++o Pazcel #: Ormer: Address: City/2ip Code: Phone #: Contractor: MES Address: -a Division of LL s H,mo r,...,..._.:__ 1112 HorKivs c-RossROao CI.Cy/ZlP COCI2: MINnFTnNKe n9?ryAI §5'?} Phcne a- S4 y-17 333 Arch./Eng. Address: City/Zip Code: Phorie #: qnT11L / /S/d Erect Occupancy Alter Zoning P gepair Fire Zotbe 3 Enlarge _ 4ype of Const. Nbve # Stories Dainlish Front a 2 ft. Grade Depth -s!?! ft. APP%)VAZS FEES Assessments ? Permit /496- Water/Sewer Surcharge Va 0 Police Plan Check 6ag Fire ? ? glq, Wates Conn. 2 54 Planner Water .Meter Council Road Unit 7s Bldg. Off. APC CITY OF EAGAN _ 3795 Nlef Nneb Reod 4 Eagan, MN 55122 NO 75G7 PHONE: 451-8100 ? - BUILDING PERMIT Receivt To bs ased 1or FINISA BASEMENT Est. Volue $3.000 Dote O`tnhor 13 19-82-_ Sue Addreu 4660 Rid9e Cliffe Dxive Erecr R-3 O ? ccuponcy Lot 4 Blxk 9 $ec/Sub.JOhtlAy CBke Rdg. 2 Alter $] Zoning parcel # 10 39801 040 09 Repair ? Fire Zone Enlarqe ? TYPe of Consr. Vn ?me iaobert & Ju11a Conrad Move ? # Stories z Addrc u 4660 Rid e Cliffe Drive g Demolfsh [I Length_IlA ci Ea qan 55122 phono 454-8080 Grode ? DepthNA_Sq. Ft._ ? B eIF Construction aovo•al+ toe. o Name u? Addrea 14905 OskWOOd DIivE 1- ru.. BuSnsvill[± oL..__ 635-SF,17 Name _ Address I hereby ockrrowledge thot I have read this opplicotion and state that the informofion is cotrect ond ogree to comply with all applicable Stota of Minnesota Statutas oad City of Eagan Or,dinonces. Assessment _ Water 8 Sew. Police _ Fire Eng. Planner - Council _ Bldg. Off. _ APC Permit - Surchorge - Plan check _ SAC _ Wafer Conn. Water Meter Rood Unit _ 7otal $40.00 Sipnufurc of PermiMee ?- I A 8utlding Permit is iwued to: H& J IIStZ'IICti on the express condition thnt oll work sholi be done in acwrdante with oll cob Sta in Stotutes ond City of Eoqon Ordinantes. Buildiny Offidol _ CITY OF EAGAN Include 2 sets of plans, 0475(0-1 1 site plan w/elevations & BUILDING PERNIIT APPLICATION 1 set of energy calculations. 7b Be Usecl Fbr }?'??isk ?tSF++?tFnaluation?OJD? ? Date ? Site Address 4bb0 CZAOGE GLIsFr?. Op pFFICE U$E ONLY I.ot q slocx ` sec./sub.34\nK Qkg????Fxect occupancy Parcel #: )0 3?°l370( 00 01 Alter . Zoning T Owner: RzgLR-z rSjLkA ce N RAD Address: ?-tvbo 21Dur, ctlrF+= otL City/Zip Code: cNvW,4 n„a SSt'a'1 Phone #: 4 S4 - 4b s o Contractor: gk cm N s T. Aaaress: lqQ Us pn_kwoo City/Zip Code: BIy?-K5V: l(@ 55 3 37 Phorie #: qsJ - SCo ('? Arch./EYig. . Address: City/Zip Code: Phone #:' Repazr Fire Zone Ehlarge 'Iype of Const. y-- P'bve # Stories Demolish Front ? ft. Grade Depth ft. -?_ f4ater/Secaer Police Fire Surcharge Plan Check SAC Etig. Water Conn. Planner Water Meter Council ' Road Unit Bldg. Off. / '/ - APC ZCl2'AL ?lj ?? y C. R. WINDEN & ASSOCIATES, INC. 1AN0 SURVEYORS Ttl 645•3648 1361 EUSTIS ST., ST, PAUL, MINN. 65108 For: U. S. Home Corporation 3 .? ?i ? ? ? scale: 1" = 50' h S> 'h o ry ? P? ? A p? 0?7 S 3 ? 4?h •¢ .?z x a .? Q ? 10 ?r ? Note: As of this date Johnny Cake Ridqe Second Addition has not been recorded. Lots 1 thru 4 inclusive, Block 9, Johnny Cake Ridge Second Addition, Dakota County, Minnesota. WE MERE6Y CERTIFY THAT TMIS IS A TRUE AND COARECT REFRESENTATION OF A SURVEY Of TME 60UNDARIES OF THE IAND ABOVE DFSCR16ED AN D Of TME IOCATION OF All 6UILDINGS, IF ANY, THEREON, AND All YISfBLE ENCROACHMENTS, If AN1', fROM OR ON SAID LANO. Dafad tAi, 027A der eF do ?. 1979 A D C. R. WINDEN d ASSOC IATES, INC. . . rC.C'o J-go . br - Surreysr. Minnowfa Royiorotroa Ne. 772 ?C- CITY USE ONLY L ? BL 9 RECEIPT#: 7r1 9 7 SUB ?? RECEIPT DATE: S// ?( y 7 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 881-4675 Please complete for w singie family dwellings * townhomes and condos when permits are required for each unit New construction _Y Add-on fumace ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: / / FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.0 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge ? TOTAL SITE ADDRE5S: OWNER NAME: s?? 2_. "L PHONE#: 313? INSTALLER NAME: WR31 iWNr AW AIR ._._ PHONE #: STREET ADDRESS: 4131 Ob 5N4 MemoW Hry, #200 ciTr: WMHMG ANQ AiA CaV(ATMg 41310)tlSbqMemWfal Hn#pp fW MN 55112 (6t2) 8"gg 17:; URE O RMITT EE CITY t13E OMLY L _ BL _ SUBD. RECEIPT#: RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. DATE: WORK TYPE: CONTRACT PRICE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRfPTION OF WORK: FEES: • $25.00 minimum fee g_r 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of ?t fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENAN7 NAME: (innPROVeMeNrs oNlY) INSTALLER: ADDRESS: CITY: PHONE #: SIGNATURE: STATE: ZIP: SIGNATURE OF PERMITTEE • all commerciaUndustrial buildings. • multi-famiry buildings when separate pertnits are aQj required for each dwelling unit. CITY INSPECTOR L /B 9 CITY USE ONLY ?- ?? 9 SUBD. RECEIPT #: 14)!/6 0 9 RECEIPT DATE: 1998 PLLJt-MING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGPN, DII1 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system ------- FIXTURES --------------- EACH --- ---- - - - - ------- --------------° # TOTAL Shower 3.00 x = Water Closet 3.00 x = 8ath Tuo 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = ater Hea er 3.00 x Floor Drain 3.00 x = Gas Piping Outlet ` minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener ' for tlwellings under construdion 5.00 x = WaterSoftener `forexistingdwelling 20.00 X = U.G. Sprinkler ' fordwelling under,wnst. 3.00 = U.G.Sprinkler "forexistingdwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System " MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems"nbandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50 TOTAL 3 U -----------------------------------th-is application, s--------------tate that --------the info------rma-- -and ----agree ------M --comp------ty -w--ith -.all _.._.applicabie..------City -? of -Eagan --------- ordinances-----. - I hereby edcnowledge that I have read tion is correc[, It is the applicanPs responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages causad by tha City during its normal operational and maintenance activities to the facilities constructed under this permit within Ciry properry/right-of-way/easement. SITE ADDRESS: ??- OWNER NAME: INSTALLER NAME: /?n? TELEPHONE #: STREETADDRESS: o7,pmd CAr+??u? M ?irr ?G cirv: 77V STATE: ZIP: CD/PERMIT FDRMSlRPLBG PERMIT (RES) - 1998 CITY USE ONLY LOT ? BL ? PERMIT #: _ SUBD.o>/l"Y\? C?'_L RECEIPT #: RECEIPT DATE: t . l ?i-13 ? 11-ae) -dD 2000 MEGHANICAL PEfiMI1' (RESIDENTIAL) C17'Y OF El46AN 3$30 PILOT (iNOB i{D E46AN MA 55122 Date• U (1) 6$1-6$1-9675 l Complete this section onlv if you aze installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDPTIONAL SO M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surcharge .50 Total $? Complete this secrion onlv if you are remodelin2, adding to, or replacinF an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. _ New _ Replacement ? Fumace _ Air exchanger Reminder.• Call far final irupection. SITE ADDRESS: '4 OWNER NAME: INSTALLERNAME: STREET ADDRESS: I4S4'? t CITY: ? c? Air conditioning Other Fee State Surcharge Total $ 30.00 .50 $ 30.50 II--) _ Other PFiONE #: PHONE kHttCA?' ? /? ...? --lJ / LJG L.L J . ? (A$.F,A CODE) , _ - L _ BL _ SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 M£CHANICAL PERlYI1T (CO1NMEiiC1AL) CTf Y OF E4&m 3$30 P1LOT 1{NQB RD EAsAu. bflv 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK T'YPE: New constructlon Install U.G. Tank _ InteriorImprovement _ Remove U.G.Tank _ Processed Piping fVhen instafling/rernnving underground tank, ca[1 651-681-4675 for inspection by fire marshal and p[umbing inspector. Descriptioa of work: Fees: I% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $_ SITE ADDRESS OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONL1): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: CITY USE ONLY PHONE#: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE . ? 2006 RESIDENTIAL BUILDING rEUrviiT arriacaTiorr City Of Eagan 3830 Pilot Knob Raad, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfion ReouiremenLs 3+egistered stle surveys showing sq, h of lot sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report'rf proposed building is to be placed on disWr6ed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Ener9y Calculations 3 copies of Tree Preservation Plan rf lot plafled afler 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodellRePair Reouirements 2 copies oi plan showing footings, beams, joisGs 1 set of Eneyy Calcula6ons for heated addNOns 1 sile survey for additions & decks Atldifion - mdicate H onstte sepfic system Date _3? Site Address IV66a Construction Cost UniVSte # 2- Description oi Work Pc7 0"L-? d? Multi-Family Bldg _ Y_ N Fireplace(s) 1 _ 2 Properry Owner 7 Y-0 u o Telephone # (6 y? 6 Contractor Address State Cit3' Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Cate9ory 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permif for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Wqter Contractor Telephone # ( Telephone # ( 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 Ciry 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 plan in the case of work which requires a review and approval of plans. !? -lo°° Offce llse Onlv beAofSurveyRecd '-_K _N SoilsRepod:-? _Y _N TreePresPlanReCd _Y _N TreePres.Reauiretl -_Y _N On-s'de Septic Sysfem =._ Y. _ N - ?J Applicant's Printed Name pp i ant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes r - . ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex 'k 18 Deck ? 23 Porch(screen/gazebo/perola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding -11C 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldg) - G ive PCA handout to appliwnt DBSCI'IDtion: WaterDamage_Yes 6 Valuation C.f, 0 Occupancy MCES System Plan Review 100% or 25% Census Code c? -3 q Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const 14 Width _ Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS Sheetrock FinaUC.O. ? FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies ? - , 2,5'' Other Total . S-oW 6?'?0L. ? ? 4! % ? . . ? For: U. S. Home Corporation .? \ \ O ? \LF ? Note: As of this date Johnny Cake Ridge Second Addition has not been recorded. Lots 1 thru 4 inclusive, Block 9, Johnny Cake Ridge Second Addition, Dakota County, Minnesota. WE NERElY CERTIFV THAT iH15 IS A TRUE AND CORItECT REPRESENTATION Of A SURVEY OF TME 60UNDARIfS OF tME IAND w80vE DEStRI6ED AN D OF TME IOCATION OP All lUIIDINGS, If ANY, TNEREON, AND ALl Vt518tE fNCROACMMENiS, IF AN1', FROM OR ON SAIO IAND. Dotad tAis 27A dar e4 NOV- A.D I979 C. R. WINDEN 8 ASSOC IATES, INC. . Cz ? 44 14? . br Surrayer, Minnowta Raqiurolron Ne -2-?-LG . ?3 ? a .? Q= / C. R. WINDEN b ASSOCIATES, INC. LAND SURVEVORS TOl 646-3646 1381 EUSTIS SL, St. PAUI, MINN. 53108 s¢ Sc le: 1" = 50' r t ? o? ? 4r)A2^> A3.3y - ,4'? tr 6? "? o ryh ? p; .? 4OQ 06? ? ,. 4L 4 ? „ pz \ ? F \ \ \ , . 1. ? . ... ??i„???-' • • a? .f,. ?}`??t ?,;t?.??. ! ' i 2006 RESIDENTIAL BUILDING rExMiT arrLicaTioN C;XiR4-i( City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New ConsWCtion Requirements 3 2gistered site surveys showinq sq. ft of lot, sq, ft. of house; and all roofed areas (20Yo maximum lot coverage allowed) 1 Soils RepoA if proposed building is to be placed on dislurbed soil 2 copies of pWn showing beam & window sizes; poured (ound design, etc. 1 set of Energy CabulaUOns 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less uni4) Minna3asco mechanipl venGlation fortn RemodeVReoair Reauirements 2 copies of plan showing foolings, beams, joisis 1 set of Energy Calculatione for heated addi6ons 1 site survey for addiGons & decks Adddion - indicate if arsfte septk system 6Z ( 0//e, q'-' Ctflii?l3 A?r1 r ?o e cM"??1?? N ,?? s?PiINR %?- .'?? Da[e `&? Construction Cost Site Address z;,-;- Unit/Ste # 191??-/ Description of Wo rt U ?o 'D ? p Multi-Famity Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner VIj v i 0. vo T-V(-0 q Telephone #(?p?j '???? ? Contrac[or lM / Address ?/ KJ o+- City StaYe l ip Telephone #(? 5 I) 6??- -?16 / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residen[ial Ventilation Category t Worksheet • New Energy Code Worksheet (4 submissiontype) Submittetl 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 master plan: Licensed Plumber Telephone #( Mechanical Contractor 2006 Telephone #( Sewer/WaterContractor 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 perxnit, 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 ofplans. at .?4-114 Applicant's Printed Name -? & Z?? Ap icant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OSplex ? 13 16-pfex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi k 03 01 of _?j plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm 17amage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof .j? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to appfiwnt DeSCI'IpllOfl: Water Oamage _ Yes ? Valuation ? Occupancy R MCES System Plan Review 101100% or _ 25% Census Code ? Zoning /2 -3 City Water - SAC Units - Stories ?- Booster Pump ? # of Units - Sq. Ft. . ? PRV ? # of Bldgs - Length 1 Fire Sprinklered i Type of Const ? Width ? REQUIRED INSPECTIONS _ Footings(new bldg) _ Sheehock _ Footings(deck) FinaUC.O. _ Footings(addi6on) FinaUNo C.O. Foundation D? HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final ? Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace _ R.I. _ Air Test Final Windows ? Insulation _ _ _ Retaining Wall Approved By: Suifding fnspector Base Fee ? Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total T -77 C11 ity of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?----------------- ? i ; Parmft #: ? Permif Fee: ? Date Received: ? I Staff: I `------------------' 2008 RESIDENTfAL BUILDING PERMtT APPLIGATION Date: SiteAddress:_ y6rj4- 1Dfz. Tenant: rr???-4-Gj `14 5 6 I?{? + L(( ,?j'Z Suite#• RESIDENT/OWNEH Name: C3?/s9n '' e-:?-hr 9.. i.15L -/r+[ -?r A4>`h-Phone: Address J City / Zip: Applicant is: _ Owner Contractor . TYPE OF WORK Description 0fwork-.1e_?4,/' Ur-r- *-f -7 Construction Cost: 1O?f -7 2.0 MWfi-Family Building: (Yes?/ No CONTRACTOR Name:/f/0/U)--,sr G,:Sn-r0?U?'S y?6C License 5-f1 `7 73 . Address: Ciry:zL4?1L ?? ??vL State: l2id.- Zip: ,j 5-311 Phone: C/L-f'J 7 y-!/ l lI Contact Person: L? f-?'/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code • Residentiai Venfilation Category 1 Worksheet . New Energy Code Worksheet Cet@g01'y - 5u6mitted S it b d u m te (4 sUbmiSSion type) • Energy Envetope Calculations SWimitted !n the last 12 months, has the City of Eagan issued a pertnit for a stmilar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractorp Phone: Sewer & Water Contrector: Phone: =1VOTE: Plans and supportinq docuinents that you submit are;consfdered !o`be public infoimatron. _; Portions o€; ? tfie inforrnatron may 6e elassified, as nbn?uub/ic-if you pro,'vide specifec reasons fhaYivoU,ld.permit f;he City to "- , ?conclude-thatYhe aretradesecFets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the orcrinances and codes of the Ciry of Eagan; fhat I understand this is not a permit, but only an appliCation fnr a permit, and work is not to start without a pertnit; that the work will ba in accordance with the approved plan in ihe case af work which requires a review and approval of g"?s. .? ` ? '. X? c? Yl'I??v'=? x.,,j ApplicanYs Prlnted Name.QeeAir.anYc Stnnwru Page 1 of 3 So,!50 Date: Site Tenani: $Ultp #: RESIDENT / OWNER Name: Phone:?lS? Address / City / Zip: los ?/ D CONTRACTOR Name: 062 ?f? &xa faTi?v?i ???2 License#? 1?' LT ??53?62.? Address: /20 L( ??Eiesy/i[L/ oiv ST City: ?L)-ST? NS 5 State: P"t) Zip: Phone: L??%-f?37-??77 ContactPerson: z)• TYPE OF WORK - New ? Replacement _Additional _ Alteration _ Demolition . Description ofwork: . ? iVff]FE 8ath,raafinr`aun3etl;andgraundmauniealmettianrcalequrpmentes:reqtrlredtb"r ? be screetred 6y Er?y,?ode. =Pleas? contact ihe Mectiamcz1,!ri°specfar or°nne o# €he e ;' PlanneYs:tor°ir?toation arr?ermrtteJ screeain tlrads r PERMIT TYPE RESIDENTIAL COMMERCIAL ? Fumace _ New Constmction _ Interior Improvement 4Air Conditioner _ Install Piping _ Pmcessed Air Exchanger - _ Gas _ EMerior HVAC Unit ' HVAC units must 6e screened _ Heat Pump UnGer / Above ground Tank (_ Install / Remove) Other "` When installing/removing tank(s), call for inspection by Fire Marshal and Plumbin Ins ecior RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fir2 fBp2ir (replace burned out appliances, duciwork, etc.) (includes $.50 St3te Surcharge) $ ?JO•SO TOTALFEE 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, suroharge is $.50. . . - If Permi Fee is n$1,000, surcharge increases by $.50 for each =$ State SurCharge $1,000 Permit Fee (i.e. a 31,00 1-$2,000 Permit Fee requires a$7.04 surcharr,e). - $ . TOTALFEE i nereoy acrcnowiecge [na[ mis mmrmstion is compie[e anQ accurate; thal ihe work wtll Le irt confoimance wi[h 1he ordinar,ces and codes oi the CiTy oi Ea9arr, ,hat I understantl ihis is not a permit, but only an applica[ion for a permit, and work is not to stan without a permit, ihat [he work will he in accortlance wi[h the approved plan in the case of work which requires a review and appmvai of plans. Xj?). ??/T'S'JLYG'L?//??LLI? l>rCYB?lJCJ 5. /0iC X ?C./ /?f/ILGCY Applicani's Printed Name ApplicanYs Signature 1?w ? Ol.i o3 Z008 -------------, ? Fprmfiee,,fl5e ? I ? Pertni[#: 1 ? Pemnit Fee: ? Date Received: ? Staff:. I ----------------- 2008 MECHANICAL PERMIT APPLICATION i7C-e- FOR OfFICE'USE Revfewed By:" Date:" RequireG;tnspect?ons ?` Under Graund - : °Rough In ,T Ai?Test= ? GasSeiviceTest In flaor Heat •Fnat "? ....?».., .. . ..._. . . _, ,...,.. - ._.> ._._...: : ,-?.....=-.a ?----------------- _? .. ? Permft #: t I Permit Fee: I I ? Date Received: ? I ? ? Staff: ? I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L- ?OD Site Address: Tenant: Suite #: l RESIDENT/OWNER Name: w?\Lt••.. caw..?- Phone: Address / City 1 Zip: L-\\,, 51e aA, } 1 rw? Applicant is: _ OwnerX Contractor TYPE OF WORK Description of work: ? Construction Cost: o o ? Multi-Family Building: (Yes / No ? CONTRACTOR Name: ??`N (1 fl 41? C OM CS?4.1r?G C??? License ?L b 5 Address: 701?- City: ?`n S`S 1'tJ State: ? Zip: Phone:rJd_? LV3'e_ ContactPerson: V-?a `fv uA v`S COMPLETE THIS AREA ONLY IF CONSTRIJCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted 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: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ortin'g?docurrientshChatyou?submitare consideredio bepublic.infArmadon., PorUOn?oi - yO TE:,Plans and stipp ? ? the information may be class7fed as tion public ifyou pr,oYide speclfic,ieasons that would permit ine'CiEylo , . ? _ ?. ? . .. w.: .?ii . ?? a,?,_ ' ,,,?:ca»cfude?6atthe arefradeseCrets:;:"_?, y _ G I hereby acknowledge that this information is complete and accurate; that the work will 6e in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a pertnit, but only an application for a permit, and work is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of work which requires a review and appmval of plans. x IZ,t- T1 ID -F?) l) \S x ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATIONC'cd J�- Use BLUE or BLACK Ink or„ttffce s# 2 Permit #: �S Permit Fee: Date Rece Staff: 13v. civ Clq Date: D'C \SiteAddress: a5t \fit- CaL\'C'310V Tenant: S t1V\ QOM () Suite #: RESIDENT / OWNER Name: 5-663' 3''Q.)) Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: L' �Z C�U� ECS\� Construction Cost: Multi -Family Building: (Yes Q_ / No ) CONTRACTOR Name: 1>fiy`U(11\--9 bVI) License #: Address: �i v a \`(E S 'l3 City: Pho e: "11..sa — Contact Person: D State: (}% Zip: SS611 COMPLETE 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: NOTE: Plans and supporting documents that you submit are considered to be public information.: Portions of the information may be classified as non-public if you provide specific reasons that would permit the City conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 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. x \CCA,1 o vis Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Garage Multi k Deck 01 of _ Plex _ Lower Level Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: Reviewed By: � l Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required X Final / No C.O. Required HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 000 qua For: U. S. Home Corporation C. R. WINDEN & ASSOCIATES, INC. LAND SURVEYORS Tel. 645-3646 1381 EUSTIS ST., ST. PAUL, MINN. 55108 Note: As of this date Johnny Cake Ridge Second Addition has not been recorded. Lots 1 thru 4 inclusive, Block 9, 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. i Dated this 2 7 day of dot;,. AD. 1979 C. R. WINDEN & ASSOCIATES, INC. by / #44.4fg.4a12)/1,_ Surveyor, Miat.sota Registration No. 7726 - - - - - - - - - - - - - - - - - For Office Use yo. P91 722 ! City of Eaau v Wil 3830 Pilot Kn ob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION N Date: Site Address: IA~ b Tenant: Suite RESIDENT I OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: L_rt ~ Lt~ Construction Cost: S 'IN p 0 "-'1 Multi-Family Building: (Yes / No CONTRACTOR Name: k V O t C CJ c~ A C License L b \0 Address: `70 O~-'~ A 472 City: V~ ~r 1 State: Zip: Phone: S O? L\ 3d' \ Contact Person: 7 t A O 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 ('1 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 public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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. X 1~ C r1 t) x Applicant's Printed Name Applicant's Signature Page 1 of 3 Permt#: City of Ea,aII 11, 14 1 -2~5 Permit Fee. 3830 Pilot Knob Road ff Eagan MN 55122 Date Received: 0 Phone: (651) 675-5675 I IL- Fax: (651) 675-5694 I staff. 2009 RESIDENTIAL BUILDING PERMIT APPLICATION ~?~d f(t 51 /4'o ' ~~~2 i~ / 7 H Date: Site Address: Tenant: 0i?4e- 5 / U J L ~'G $ i' Suite RESIDENT / OWNER Name: Tf.~g '1"iTwn / 'hone: Address / City I Zip: Applicant is: Owner X Contractor '4 _ lhL -s 64r< of TYPE OF WORK Description of work: ? Construction Cost: Ise 0 Multi-Family Building: (Yes /No CONTRACTOR Name: License ,t7 al 5L7 417 Address: f Z~ ~,•~,fl /L City: ~ 'lam State: Zip: S 3 /r Phone: lojZ `P- ~~T Contact Person: 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 (I 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 public information. Portions of the information may, be classified as non-public if you provide spec ific'reasotis that would permit the City to canclcriie,thatthe are trade. secrets: I hereby acknowledge that this information Is complete and accurate; that the work be in conformance vdth 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 no o start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a revie+tand approval of pla X (Y11 X r Applicant's Printed Namf A an ,4 Signature Page 1 of 3 yes ~s~ C1 C. ft. WINDEN a ASSOCIATES, INC. C`J LAND SURVEYORS rot $45-3444 1381 EUSTIS ST., ST. PAUL, MINN. 55106 For: U. S. Home Corporation Scale: 1" = 50' Asa a b mss, O h~ a~ W ry t GG77 .-U Z m xy (A m Note: As of this date Johnny Cake Ridge Second Addition has not been recorded. Lots 1 thru 4 inclusive, Block 9, Johnny Cake Ridge'Second Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM CM ON SAID LAND. D&.d 7 +l+i.... .1 dor sf Woy, A.D. 1979 C. R. WINDEN ASSOCIATES, INC. Surxo IY[ Ras~ah Rhistrotiow Ns. 722 �� (.� . ��5�, �� c�, ��(�2� ,Use BLUE or$LACK t� -- - --- ------� � Fw tNfice Use � r� j Permit#: L�� !�� f V�� `� � � Permit Fee: �` � � 383Q Pilot Knob Road Eagan MN 55122 � Date Receivsd: j Phone:{651)675-5675 1 1 Pax:{651)675-56'34 i Sfaff: 1 I t �---__-. ---------� 2014 RESIDENTIAL B�JILDING PERMIT APPLtCATIC�N o��_c��-1�-�� r� 5� - `�� R�4�� `�� s+t�ada�ss: u�r��• Name: �C?/�i"1s'e t?' G�'�� /�ta.�.?�1i�s�re.�. � Phone: ReSlderttl ' Owrter add►��i c�ty��i�;_ _��-~ �'''�' � Applicant is Owner � contractor , ,-' Qescription of work: ��v�r �(�� -��Q°J� Type c�f Vli�rk � Cons#naction Cost: ��',l��' Mul#i-�amily Building:(Yes�/No ) i'7�� { �� Company;/��?Y7.r��5� C_e�y7��z�9•��t7/5 `� Contac� i/r� 1�t��' Contr�ctor � Address:�z'IIU l Z��f ��r- Lr,�-y�-� �ts city:�J��a+''�- ��v1.�� r r State:�Zip: ��j Phone:�'��°"�'Emaii:��Fm� .�s�'t,�.�S'�'��yl`�,✓�f��e7a - License#:�� .�� / 7� �y!c._�t�-• �ead certiticate#:N.✓�.�-�-�--r�=»�C t�3 -1 If the pro}ect is exempt from lead certification, please explain why`(see Page 3 for addifiona!information) CiJMPLETE THiS AREA 4�tLY iF CONSTRUCTING A NEW BUILDING '' _.-.-�""'1 !n tl�e last 12 mon , ti�City o#Eagan issued a�rmit fo�a aFmilar pFan based ort a master p�n� _Yes _No If yes,date and add f mas#er plarr. Licensed Plumber: Phone: Nlechanicai Contractor: • Sewer&Water Cont r: Phone: Nt�rE; s�►n,�t suppo�#ing docr�ment��ti�t yat��r�tnrif are considerecf to':he p�b�ic in��#i�n. P+��v�s of �- , �tt#'�r,�a�ian may be�l��e�o�as non=publfc if pt�tt pr�vide s�ec�+�reasor�s#h�t�+v�tuld,�ert�tt�e C�#y tt� � � �� : � � �, �co»�ltrcl�-�It,a#-the a�e tr�cl��r�s�ts� � � ° � - : , �� I CALL BEFORE lf„�?U DCG. Cali Gopher Stafie One Ca8 at(651)454-00Q2 forprotes�inn�ainst undergro�ut�lity damage. Cafl 48 hours ' be€ore you intend to dig to receive locates of underground utilities. www.�opherstateanecalLorq 1 hereby acknov+Aedge that this.information is compiete and ar,curate;thai the work wiN be in t�nfonnance with the txdinar�s and c�des af the Ciiy of E�an;that I understand this is not a permif,but anly an applicafian for a permit,and wroflc is not to start without a�rmEt;fihat the wo�lc wil#be in asxordance with the appraved pfan in the case of v�r#c which r�q��res a reviera and approvat ofpla�. Exterlor woric autho'ized by a buiiding permit issued tn accardance wlth the Minnesota Sta4a ikiing Gotis m�t be c�omplebed within 180 days of p�nrtit issuance. '�� ` xV�� G � X Applicanf s Pcinf�d Narn� T ' an#'s Signature : ' Page 1 of 3 1�� e . ��s� , �� U. ��(�2, Use�3E.t�E or�3LACK In� ----- --------- -� i For Office Uise � 1 ` I ' j Penr►it#. �� j '' �� 1J��ll � Perm�Fee: ; !��`�� 3830 Pitot Kno6 Raad � � Ea an MN 55122 � Date Received: � 9 ! 1 Phone:(651`)675-5675 I I Fax;{651)&75-5694 1 StafF: I I ! . .. . . . . . . . . � . : . � .. . t��,�.��..� ...�� .�.�.��1. Z014 RESIDENTIAL BUILDIN� PERMIT APPLlCATIQN � a��: ��1��I�` s�te Aadress:�j� 5� ' ��-- R�`�� l� � �� r�#• �1 � �d� IVame: ��/Tl?�'f'� C�� !t�ta�.�h�i L.r Phone: ' R�identt ' (?Wfl�t' Address!City/Zip: ��./�' ��"� Appticant is: Owner •/L Gont�aciar Type Qf auork Description of work: ��v�'c� r1(�� l ��- Y--�v�'' Construcctioo Cost: j�',l�� Mu(#i-�amily Building:(Yes�/No ) .�'�� '� �, Company:�Y��7� G c'7Yi��s�9-��U•�`5 GoMact� r,� f��°��a � COti#raCtOr Address:�� '�v)�✓� �7� Lr,�z /� Gity:/�� .�,�fZ�+��.- �i ,rj State_�Zip: /`-�� .3'� Phone:��""�'Emaii:��rn�?�Js�`L�z�ST�dy.�,`�d✓��ear� ucense#:t3C l.�`$ t-! 73 �'r1 c._�_� '� �.eaa ce�ti��ate#:iv:�...x--...r—>��lr�3 �-I lf the projeet is exempt from lead certification,please explain why: (see Page 3 for addifionat informatron) C4MPLETE THIS AREA 4NLY tF CONSTRUCTING A NEW BUiLQING ...�-�-�-''� !n.the last 12 man , tt�Cityr of Eagan issued a�rmit for a similar ptan based orr a master p�n? _Yes _„No It yes,date and addr f master plan: Llcensed Plumbec: Phone: A�echanicai Gontraictor: � Sewer&Vlfater Gant r: Phonec l�'?�E: ;a��`�uppo�ng tfo+�uarents.fhat you�ukm�t�re�onsfde�eai t�be�t��%c ir►f�trm�#�� ,Ptt�for�s�t� , �rrfarrtiation�ra�y be�lass��s non=pt�blic�!if�rctu pr±c�u3de sp�ci�reasor►s#tat'woufd�erm�t�ire�,r tc� : canctude fhat the ar�frade se��rets: ; CALL BEFORE 1f,�3U DIG. Cai1 Gopher StaEe Qne Cali at(651}454-00Q2 forprotes�iion�gainst underground ut�ii#y darrtage. Cai!48 hours �fore you intend to�fig to receiae locat�of underc�round utilities. www.aopherstateonecait.orq i hereby acknov+Aedge that this information is compfete and�urate;that#he wro�c wili be in conformance with the ordinar�s aru!codes-of the Git�+of Eagan;that I understand tfiis fs not a permit,but oMy an applicairon for a permit,and w�ork is not to start withouk a permi#;that the work wn(t be in accordance with the aPproved Ptan in the case of rwrk which req�s a revisw and approvat of pians. Eaderior work authorized by a twFiding permit isaued ir�accordance with tt�Minnesota'Siake iWing Gode m�t be compieted vrRhin 18Q> days af parmit issuartca f �r � x �Lf l� G e i x , Appl�canYs Rrinf�d Name ant's Sigrta#ure Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155465 Date Issued:05/16/2019 Permit Category:ePermit Site Address: 4656 Ridge Cliffe Dr Lot:1 Block: 09 Addition: Johnny Cake Ridge 2nd PID:10-39801-09-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sandra K Rossow 4656 Ridge Cliffe Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159356 Date Issued:12/11/2019 Permit Category:ePermit Site Address: 4656 Ridge Cliffe Dr Lot:1 Block: 09 Addition: Johnny Cake Ridge 2nd PID:10-39801-09-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christopher R Rossow 4 Knoll Cir W Burnsville MN 55337 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature