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4657 Ridge Cliffe Dr4qo 44r City of Earn 3830 Pilot Knob Road Eagan MN 55122 -RECEIVED Phone: (651) 675-5675 Fax: (651) 675-5694 DEC 7 1010 Use BLUE or BLACK Ink Permit #: Permit Fee: -J ` 06 Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f o�` 43 "- l C-)SiteAddress:. 1-4 (p6 / P� iQ � C l I 't-�t" Dr 551 Tenant Suite #: RESIDENT / OWNER Name: Y Q. t vi Y1. Ow e I Phone: CP5/ Li 3 `] q5 Address /City / Zip: LI 10 7 Wtd ,_ a ( I T I) r • Applicant is: Owner i4 Contractor TYPE OF WORK Description of work: 12-0- p la U5 Wei 114. 6U)S I. 11 --X! .s---177/ Q op -c, 7) Construction Cost: J) 1 • 0 0 Multi Family Building: (Yes / No `7 CC NTRACTOR Name: W e Yr.esizw C Q e. ia.,k -Vs License #: -d r G z LI 9 Address: 110 Lone. (JUiC fol�4'J i City: GGt. cl.r h i. I o( Phone: *0 1 -1 D a I Ci State: � Zip Contact: 1\‘)0,-)N. c:.( "---So Email: — COMPLETE In the ast 12 months, has _Yas No tf yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Plans ocUl'tleid red t! b pu r r f io Po do {: the�nformat1el s fieri a n n ublir if you ►rovide spec i ul F i�l�r>i th C% conclude that the °' are;trade s Teta �r _ ., CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. aopherstateonecall.orq hereby acknowledge tnat this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; -hat 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 accorda ice with the approved plan in the case of work which requires a review and approval • plans. �vO.Y�C SGh Y ie -S ik Applicant's Prihted Name x — — Applicant's Sig CITY OF EAGAN Remarks Addition jA?nnTCAkeRidse 2:nd Lot Blk 6 Parcel #ln 39R01 nl(] (ih Ownev . ? ".1 I - 7 - !2V, r, street 4657 Ridge Cliffe D2'ive state Eap?an$ MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK 30 1975 7 * SEWER LATERAL J!' ? WATERMAIN * WATER LATERAL WATER AREA STORM SEW TRK `y' cf * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 97000 it BUILDING PER. SAC PAR K ? CITY OF EAGAN Remarks Addition .TOHNA[Y .AKR RTDC; . 2nd Lot 9 81k-6 Parcel #7() 39801 070 06 Owner y street 4659 R7ldge Cliffe Drive 5tate Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date S7REET SURF, S7REET RESTOR. GRADING SAN SEW TRUNK 3011 1975 66.97 4.46 15 * SEWER LATERAL " ? WATERMAIN * WATER LATERAL 1981 WATER AREA A 19$0 158.81 10.59 i5 STORM SEW TRK S,?g • S70RM SEW LA7 1981 CURB & GUTTER SIDEWALK S7REET LIGHT Road Unit 75.00 WATER CONN. 270.00 of if BUILDING PER, n it SAC n t? PARK CITY OF EAGAN Addition .7QHNNY' CAKF RTDC;F. 2nd Lot4 Bik ( Parcel #ln 39801 040 06 Qwnef Street 4661 Ridge Cli£fe Drive state Eagan, MN 55122 r ?' '?? h 1 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 30 1975 66.97 4.46 15 * SEWER LATERAL ? WATERMAIN * WATER LATERAL WATER AREA 19$0 158.81 10.59 STORM SEW TRK 5,-1 * STORM 5EW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC 525 00 PARK . CITY OF EAGAN Remarks . Addition jo?=r Ca3re Rkclse 2nd Lot ? eik 6- Parcel #10 39801 030 06 Owner 5 street 4663 Ridge Cliffe DY'ive stace Eaea.n, NIN 55122 improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ,3p 1975 66.97 4.46 15 SEWER LATERAL WATERMAIN * WATER LATERAL 1981 WATER AREA I980 158.81 10.59 1$ STORM SEW TRK 1981 343.41 * STORM SEW LAT 1981 CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. 970-00 BUILDING PER. 45549 f? n SAC ri ?r PAR K GASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 R6C61 V BD FROM AMOUNT $ I & DOLLARS +oo ? CASH ? CHECK FOR White-Payers Copy Yellow-Posting Copy Pink-File CoDv Thank You / ?"Y • BY ? ?v omw GASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 wecsivco rreoM AMOUNT $ I [] CASH [:] CHECK . ?; FOR White-PaYers CaPY Yellow-Postinp Copy Pink-File CopY Thank You BY ?? ? v? GASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 nee eIvsn PROM AMQUNT $ I dt DOLLARS fe0 ? CASH 0 CNECK rOR B Y / LJ? ' Lr? f/ White-Payers Copy Yellow-Posting Copy Pink-File CopV Thank You CASH RECEIPT CITY 4F EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNE50TA 55122 DATE 19 RiC61VK0 PROM AMOUNT $ I & UOLLARS ioo Ej CASH ? CHECK ROR ??? ?? B Y White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You cirr oF E?w?N 3795 PNoF Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # To be wed hr Est. Volue Date Site Address Lot Block Sec/Sub. Parcel # w I Name Z 1712 I"oph. ns Croseroad 3 Address.. ., . ,. o . , ,. . , - ? Name _ Z? Address s ? r1.,, i-e Name _ Address I hereby acknowledge thot I hove reod this application and stote thnt the informotion is correct and agree to comply with all applicoble Stote of Minnesota Stotutes and City of Eagan Ordinonces. 1 ,o -lk-- \\- Erect C3 Octuponcy Alter ? Ioning Repair ? Fire Zone ? Enlarge p Type of Const. Move ? # Stories Demolish ? Front h. Grnde ? Depth ft. Aaaro.ob Fees Assessment = Water & Sew. Police Fi re Eng. Plnnner Council Bldg. Off. - APC Si9notu?e of Permittee A Building Permit is issued to: on cll work sholl be done in accordance with oll oppliaoble State of Minnesota Stntutes and Ciry a N2 5549 Permit Surchorge Plan check 5AC Water Conn. Water Meter Total / ie express condition that Eogan Ordlnances. Building Officiol P.mtt # o i" ?..¦? Plumbing 7 Mechanical / 7Q / -Va 4 C INSPECTIONS DATE INSP. Rouph-In Pinal Footin95 Dote Insp. Dnte Insp. Foundation Plumbing Frame/ins. ? Mechanicol ? Final 71 Remorks: No. 'TH cinr oF EAcaN 3795 Pilof Knob Road Eagan, Minnesota 55122 Phone: 454-0100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Date: L/17/80 Receipi No.: $ingle ? Site Address: =<' ('1i£Fe Dr. Residenfial Lot Block ( Sub/5ec. 11-11 Narrie O2'rin 'ihm.pson New/Alter./Repair nev . ; Address 1712 'r.o7]:i^!3 .ressroad Cost of Instnllotfon O '.lI1Za@t01'1?EL i" ^7•C'1' City ? •T Phone: Permit Fee ??1., ` Nome Surchorge ? ? Addreu ? ? •i -', n Ciry Phone: Total This Permit is issued on the exp?ess condition that nll work sholl be done in atcordante with all applicable StGte of Minnesoto Stotutes ond City of Eagon Ordinances. Buildinp Official r? (JC :•?.: ?'( ? . • ?" PERMIT # ? o . MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ? ? ? gLpG, npE WORK DESCRIPTION Lot _Block T c/Su b Res. ? New . • Mult Add-on ? ? Name > E . se. Comm. Repair ? Address ! 0 MI NNEAPOLIS, Mt 55 42 Other c Ciry FEES ? Name ) RES HVAC 0-100 M 8TU $24 00 c Address . - . ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERM 50 EA 1 M - . , TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. ? M BTU - au MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM ? (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other ? FEE S1C: 51GNATURE F P RMI E TOTAL ` ? • 5?' FOR: CITY OF EAGAN INSPECTION RECORD i?i CITY aF EAGAN PERNIIT TYPE: 3830 Pilot Knob Road Permit Number: ? Ea an, Minnesota 55122-1897 9 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: , I i i u??? ? t. ? t t t. it?r , ?? ,;tr?•? W110I'i , I IiF I i: ?,,l?l?. ?N?I ??. t ? ...??. •.? ? i PERMIT SUBTYPE: TYPE OF WORK: 14f.w : ?•. F-: .._ f ? . . .... ,. , ., ? . ... . . .. ..-.._. . ., ,_. . .? ..,._-. .. .?--.. .;" ?? , .,<.-... . . ? .. .. .. ? , ? . ? J 1?t`;(.RJf'7II?M (l1 fF'I.Ai[MINI) Permlt No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspactlon Dete insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL NTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG 117 /?-1!3 DECK FINAL y INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: `? ?? a l 1? I Ntj ?? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: e?'. /,• F; /?'r; (612) 681-4675 SITEADDRESS: APPLICANT: ! , . . t 1 f1?;{ t i! 1 1: UI: .; sI I L ;,r3, : + t1M•-. ( i Nt. tlid r?}.I !i 1 (ifj L N E1 F L PERMIT SUBTYPE: TYPE OF INORK: . , .; , ,:i r' ArEt i IitIi r itl F'LACE f1Ffk ) Permit No. Permit Holder Dete Telephone M ELECTRIC PLUMBING HVAC Inspection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIFEPLACE FiREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG .2. ?? ? yJ DECK FtN?V. ( ZIA1 ' T M ? . - I CITY OF EAGAN 3795 Pilot Knob Rood Eogan, MN 55122 N2 5550 PHONEs 454-8100 'BUILDING PERMIT Receipt .# To 6t ased for' Est. Value Dote 19 Site Address . Erect Q Occupuncy Lot 81xk Sec/Sub. - Alter ? Zonfng Parcel #. Repair ? Fire Zone Enlarqe p Type of Const. oc Name OZ''1T2 ???'7ne? Move ? Stories 3 Address Demolish ? Front ff. p •'.ci; :j. C1 ,-" _ i`-: Phone Grode p Depth ff. oe ? °•:e Nome Approrab Fees ?o ?„ . z 8? Address Assessment Woter & Sew. ? Ci Phone N Police ame 9W Fire ?? Address Eng. <W Ci Phone Planner Council I hereby ocknowledge thot I have read this application and state that gldg. Off. the information is correct and ogree to comply with oll opplicable State of Minnesota Statutes ond City of Eugan Ordinances. APC Pem?it _ Surcharge Plan check SAC Water Conn. Water Meter Total Signature of Permittee - ? A Bullding Permit is issued to: on the express condition that oll work shall be done in accordance with all applicoble Stote of Minnesota 5tatutes and City of Eagan Ordinances. Building Officiol ? hnnM #x Dab IMw/ POMMeM Plumbing ?J Mechanical / 7 .P?.c. . Tj 89 5 O ' INSPECTIOIVS DATE INSP. Rouph-In Final Footings tl ) Date Irnp. Date Inw. Foundotion Frame/ins. ' - Plumbing Mechonical ? CJ Final ? Remarks: 5--? - ? d ? - i? ?? iz? No. 75 cIrr oF E?Gn?N 3795 Pilot Knob Raed Eogen, Miwnesoto 59122 Phone: 454-8100 PLL?YBINrr PERMIT Dote: Site Address: .; 4661 Ridge Cliffe Drive 6 JhrW.Cake Rdg.2nd Lat Block Sub/Sec. 17rrin Namt ? Addre" 1712 Hopkinr -rc,ssroac? ? Ciry -`iar.etonl-Q,`^+ Phone: ; er'. ?2yar. Name . ? Address ' City Phone: This Permit i s issued on the expreu condition that oll work shall be Minnesota Stotutes ond City of Eagon Ordinences. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. I neu New /Alter./ Repot r Cost of Installotion Permit Fee • .? Surcharge ??r 7n Toto I done in occordance with all epplicable Stoce of Bu ding Official No. 378 cirir oF E?cAN 3795 Pilot Knob Reed Eayan, MlnwesoM 55122 Phone: 454-8100 PERMIT Dote: 9-6-80 Site /lddress: 1+661 rdcli;•ecliffe Lot ? Block 5ub/5ec. ? ?-- ??. Name L'@&Il LaP80P. ? Address ea'?-' A3 abOVP. ? City Phone: Name C, arff:ters SOf t W8te'^ ? ? Address ?•"71 :G???c.;:;li;i ;J,_ 7y?-??i City ' Phone: This Permit is issued on the express condition thot oll work sholl be Minnesota Stotutes ond City of Eogan Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No,: 20781 Singl@ Residential Multi Res., Comm./Ind. I New/Alter./Repoir. Cost of Instollation 5. ?,.. Permit Fee Surcharge r? c Totol done in accordance with oll applicoble Stote of Buildinq Officicl No. ?67 CITY OF EAGAN 3795 Pilof Kwob Read Eagoe, Minnesote 55122 P6one: 454-8100 %onr:. PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS 20376 Dote: Receipt No.: Single Site Address: 4659 Ridgeclif£ I Residenriol 1{ Lot Blxk Sub/Sec., r? ? v Multi Res., Comm./Ind. I 'lc^V'z':i SCOtt i+ ? Tl°C•? Ndme - New/Alter /Repoir . ; Address Cost of Instollation O City Phone: Permit Fee (00 Name ?Gr.',.*.?ere ? o'"t. ,.ate:' .. • ?? Surtharge ? ' < :?)1 GB].i£ornia Address ? r, r1-e1 Ciry Phone: Totol This Permit is issued on the express condition rhat all work sholl be done in atcordence with all opplltable Stote of Minnesoto Stotutes ond City of Eagon Ordinances. Buildinp Officiol - • " CITY OF EAGAN ? 3795 Pilet Kaob Road Eagen, MN 55122 N2 5548 PHONE: 4548100 BUILDING PERMIT Receipt # To be wsd fw , Fst. Value ' Date ' 19 - -i.l •_ : ?? . ,?. Site Address Erect p Occucancv Lot Block 5ec/Sub. Alter ? Zoniry III Parcel # Repair ? Fire Zone '., Enlarge ? Type of Const. ' Name ? rr-? n r Move ? # Stories _ i : ::r: • ;.s .._-osS2'OP_(] Z Addresg . .? ? , ,.u,?, >?:?-•; , Demolish ? Front ft. _ Ci Phone Grade ? Depth ft. Nome o Approvoh Fees u? ?? Assessment - ? ? Permit Water & Sew. Surcharge Ci Phone Police Plon check ?W Ncme Fire SAC F ?? /lddreu Eng. . Woter Conn. <W Ci Phone Planner Woter Meter Council •' I hereby acknowledge that I hove rend this application ond stote thot gidg. Off. the infomwtion is rnrrect and agree to comply with all epplicable APC Total " State of Minnesota Statutes and City of Engon Ordinances. Signeture of Permittee A Building Permit is issued to: on the express condition thet all work shall be done In accordnnce with all opplicable State of Minnesoto Statutes and Ciry of Eagon Ordinances. Building Officiol ?- - P?k # Dah Iwd Psewittr Plumbing ? &] Mechunical 173 ? A r__ . S 5 / e INSPECTIONS DATE INSP• Rouph-In Finol Footings Date Intp. Date Irop. Foundotion Plumbing Frome/ins. ? Mechanftal Final Remarks: ? l ? CITY OF EAGAN , 3795 Pilot Knob Reod No. Ea9ae, Minwetota 55122 PtioM: 454-8100 :f "S I: i!". PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Date: Receipt No.: Single ? I Site Address; Residential • ? _Y. y Lot Block Sub/Sec. Multi Res., Comm./Ind. Name New/Alfer./Repofr. ? ' ; 12 Iiopkir_s Cr,?"?,?!? r. ? Address Cost of Installotion 1r2.._!__'t..?.•r'?_C. ?i ' n?? Clty L Phone: Permit Fee ? Name Surchorge ' 711 5 r0 ? Address City Phone: Total This Permit is issued on the express condition that oll work sholl be done in xcordonte with all applicable Stote of Minnesota Statutes and City of Eogan Ordinonces. Building Official • - cinr oF r?(AH • 3795 PHet Knob Rood Eayan, MN 55122 , PHONE: 454-8100 BUILDING PERMIT Tn 6s wd Fd Site Address Lot Biock _ Parul # oe w z ?O ? 0 Z °u ug ? Receipt # N2 5547 ?3,F()o. Sec/Sub. 'Thn•l . C?s,e> -,t o;?e Name "I'xin 'hormson }i res Ncme Address Nome _ Address Erect [] Occupancy '1'' Alter ? Zoning Repoir ? Flre Zone _ ? Enlarpe ? Type of Const. Move ? # $tories Demolish ? Front ft. Grnde p Depth ft. ? Approvols Fees Assessment Water & Sew. Police Fire Eng. Plonner Council Bldg. Off. APC I hereby ocknowledge that I have reod this opplication and state thot the fnformotion is correct and ogree to comply with oll applicable State of Minnesota Statutes and City of Eagnn Ordinonces. Permit r Surcharge Plan check SAC Woter Conn. Water Meter Total Signoture of Permittee I A Building Permit is issued to: on the express condition that all work shall be done in occordance with oll cpplicable State of Minnesoto Statutes ond City of Eagan Ordinonces. Building Official FwmM # peM Penn" Plumbing 1(17 ?1 Mechanical / " q G . L V2CZ a d2 INSPECTIONS DATE INSP. Rouph-In Final Footin95 ?1 /g 7 Date Inap. Dote Irnp. Foundation Fmme/ins. Plumbir?g Mechanicol Final 2 -2'- ? Remorks: ? /240 ,CI CITY OF EAGAN ' 3745 Pilor Knob Read No. Lo9en, Mlnnesota 55122 Phene: 454-8100 PERMIT Date: Site Addreu: !?ST ?-,.jcl"e CiiPfe Dr. Lot Block Sub/Sec. -------- --- - - INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol Multi Res., Comm./Ind. I Name Or.rin Thompson F.o?raea New/Alter./Repoir. 0 Address 171:' ?'opkin3 Croeeroa(' Cost of Instollotion "{ .inetona}:, hC" City Phone: Permit Fee ' Nome rTG'AZ Ryan - ? Surcharge Addreu I?; `j )4c ? City Phone: Total This Permit is iuued on the express condition thot oll work shall be done in accordonce wifh all opplicuble Stote of Minnesoto Stotutes ond City of Eogan Ordinonces. Buildirg Official SEWER SERVICE PERMIT ITY 0f GGAN 795 Pilot Knob Road PERMIT NO.: ' gin, MN $5122 DATE: oning: No, of Units: ner: ddress: . ite Address: Plumber: I agrea to compip with 4he City of Eogan Connection Charge: Ordinonees. Account Deposit: Permit Fee: - Surcharge: gy Misc. Charges: , Date of Insp.: Total: Insp.: Dote Paid: CITY Oh EAGAN 3795 Pilot Knob Road Eag^n, MN 55122 Zoning: Owner: Address: Site Address: Plumber: Meter No.: Size: Reoder No.: I dyroe to aomply wllh the City of Eagan Ordinances. By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: Connection Chorge: Account Deposit: ? Permit Fee: Surcharge: Misc. Charges: Total: Dote Paid: I nsp.. CITY OF EAGAN 3795 Pilaf Rnob Road Eagon, MN 55124 Zoning: Owner: Address: Site Address: Plumb-.r: 1 agres to eompiy with the City of Eagcn Ordinanees. By Date of I nsp.: I nsp.: Connettion Chorge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Dote Puid: C'-Y OF EAGAN SEWER SERVICE PERMIT 3195 Wlot Knob Road PERMIT NO.: Eogan. Mlr 33122 DATE: Zoning: No. of Units: ' Owner: Address: Site Address: ' Plumber: I agree to eortrpFp wlth fhe City of Eagan Ordinanees. By Date of Insp.: T'f OF F 4fiAN 95 Pilot Knob Rood gan, M?'. 55122 ning: ner; l dress: Address: mber: ter No.: e e? Reader No.: I egroa Fo eomplp wir6 rhe City of Eagan Ordinaneea. By Dote of Insp.: UU.U'J PI Connection Charge: Actount Deposit: Permit Fee: Surchorge: Misc. Charges: Total: Dote Poid WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: PERMIT NO.: DATE: No. of Units: Connedion Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Totol: Date Poid: I nsp.. N SEWER SERVICE PERMIT oF L?IAA Pilo+ Knob Rond PERMIT NO.: MN 56122 DATE: No. of Units: t ess: Add ress: ber: ee to wmply with the City of Eagan Connection Charge: Account Deposit: - Permit Fee: Surcharge: Misc. Chorges: Total: Date Poid: of Insp.: ITY OF EAGAN , 79F Pilot Knob Road ? "gon, MN 56122 Zoning: ? ner: ress: ite Address: PI umber: eter No.: Connection Chorge: ize: Account Deposit: ?eader No.: Permit Fee: '11 ayme to aomply with the City of Eagan $urchorge: ?dinancos. Misc. Charges: Total: B Date Paid: y D f I : t l?sP•: nsp. a e o CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot tnob Rood PERMIT NO.: Ec:gan, MN 55122 DATE: Zoning: No. of Units: Owner: - Address: Site Address: n umvC i. Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 ogree fo wmply wll6 Hhe Cify of Eogon Surchorge: Ordinonces. Misc. Charges: Totol: B Date Paid: Y Date of Insp.: l^sp•' WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: CITY OF EAGAN 3795 Pilot Knob Rood Eagen, Minnesoto 55122 P6ona: 454-$100 Dote: HEATING PERMIT No. 1741 18?_f?C,, ReceipT No.: Single I Residential Y (1. -Pi_e§) Multi Res., Comm./Ind. I 3/u./80 4663 Rtdge Cliffe Dr. Site Address: 3 E dhn,q.Cake 2nd Lot Block Sub/Sec. C?rrin T'hmsnan Mnes Nome . 1712 Hopkins Crnssr,>ads 3 Address O } dZ1T1Bt.OBkS ,UN City Phone: R-9,7 H. 1Me1teP HeSti,-,;,_ Name . ? Address 4637 Chicago Ave. } e City Phone: _ This Permit is issued on the express condition that oll work shull be Minnesoto Statutes and City of Eagan Ordinonces. New/Alter./Repofr. ? Cast of Installation Permit Fee ?^ , nr l 5urcharge , 5n ?. Total done in accordance w all opplicoble State of Buildfng Official CITY OF EAGAN 3745 Pilot Knob Road Eagan, Minnesota 55122 Phona: 464-8100 HF.TINr' PERMIT Dote: 3/u*/80 Receipt No.: Single Site Address: 4661 Ridge Ciiffe DX'. Residential No. 17?0 X( Lot 4 Block E' Sub/Sec. _Il'y• CBke 2'ld _ Multi Res., Comm./Ind. I Name 07-rin Thomp8on New /Alter /Repair n? . 3 Address 1712 HOpk3IIS C2't)8B2'?d Cost of Installotion O City Phone: Permit Fee z? . rYl Name Ra9 N. 1Yelter Heating Surcharge .50 . ? Address 4637 chioagO AVe. 0 ? City ?:'pls 55%?'i7 ".'.5-+' ::+ ' ' _ Phone: ? Total 2r, 50 This Permit is issued on the express condition that all work shcll be Minnesota Statutes and City of Eagan Ordinances. done in xcordance with all applitable State of Buildirvg Official CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minne:ota 55122 Phone: 454-8100 FEATIN01 PERMIT 3/24lg() Dcte: Site Address; ? Lot Nome - g Address ? Ciry _ 46" xtage c'ilirr@ xa. 6 JbTy. C8k@ ?_IId Block Sub/Sec. _ Orrin 'ihamgsan HQimes 1712 Hopkim ?'iroAQ!'08a8 MiIiIIe tiOSlkB r M Phone: Ray H. Welter R-eatir.g No. 1734 18289 Recelpt No.: Single I Residential Multi Res., Comm./Ind. I New/Alter./Repoir new Cost of Installation Permit Fee 20• M Name Surchorge • ? . $ 4637 Chi oago A4e. g Address e ? ?.toIs. ,'AN 55407 ^?5-??3E•7 Ciry Phone: Total ?? • "?? This Permit is issued on the express condition that oll work shall be done in accordance with oll upplicoble State of Minnesota Statutes and City of Eogon Ordinances. Building Official cOWsTtoN arR REQUzxm cirY oF UGAN ' 3795 Pilot Knob Rood Eagan, Minnesoto 55122 Pbone: 454-8100 PERMIT Date: 3/24l80 Site Address: 4657 Ridge Clj.ffe Lot 1 Block b Sub/Sec. _ `Thrq•Cake IZ _ Nome Orrin ThamPom .. °e ? Address 173-2 Hopki2IB ?''02'99T08d City ???etcmika, Phone: 544-7333 T3s3r N. Keltar Heating Name . ? ? ? 0 Address 4637 t'hicago Ave. No. 1739 Receipt No.: 182$9 Single (4-PlCa ) I Residentiol x Multi Res., Comm./Ind. I New/Alter./Repalr n" Cost of Instollation Permit Fee 20-00 Surchorge • 50 20. 5rJ VlCity WRF'13. , 5r-I 1:r1'? Phone: <'25 .N14'7 ITotal This Permit is issued on the express condition that oll work shall be done in accordance with oll applicable State of Minnesota Stotutes ond City of Eagan Ordinances. Building Officiol ??07 REQUEST FOR ELECTRICAL INSPECTION e?ey.00001-05 See ins?ructio?s tor camplelirp this torm on beck of vellow copv-/? "X" Below Work Covered by This Request NwvIAAdI RepJ TypB o) BYilEinp I ADClianeee Wind bQUWmenl Wired ? ex rm oner p Fee Service Entrenea Size k Fee Feede,s/Subleedera• p Fee Circuits 0 tp200Ams Oto30Ams Oto 30Am Above 200 qm ?y 31 to 100 Amps I 31 to 100 A s Swimmin Pool Above 100_Am Above 100_Am ? Transformers rrigation Booms Partial.'Other Fee Signs Special Inspection g emarks 0-V- TOTAL FE I,the Electrical Inspector, heraby cerlily lhel tha above insoaction hes Oeen rrede. reQUeet This rnquest voitl1,1-?A7 7--, 9, C m9h5from 13 6 ,C J. Nxquest Date Fire, o. RooO..?? Insuection equYied? ? eady Nuw ?]Will Notity Insuec- / ?Yes o , tor When Pedtly Licensed Electrical Comractor ? I hereby requeat inspectien ot ebove .er . electriml wwk installed at: Sveet Adtlress, Bok or R//ou//te No. ^ Ciry 52 eclwn o. Tow ship Name or No. Flang o. Counry Occupn (PR)? D? L./z Phone No.?-? ? Power Sapulier Address • ?Electrical CoMractor ICompany Name) Contractor's Lippnse No. :IARRISON ELECTRIC Inc. 421857 Mailine Aadres C ntrecio Owner Makin Instailation) 3640 0 '?7 . Min ea olis, MN 55412 Authorized i nam Cto Owner Mak ng InslallatioRl Phone NumOer 521-0520 MIpNE80TA $TATE BOARO OF EIEGTRICITY THIS INSPECTION PEQUEST WILL NOT GriOes•Midwey BId9• -?om N•191 gE ACCEPTE? BY THE STATE BOARD UNLESS PROVER INSPECTION FEE IS 1827 Universitv Ava.. 51. Peul, MN 66704 Phe. 16741 642-0800 ENCLOSED. Minnesota 5tate Board of Electricity Griggs Midway 81dg. - Room N791 '?"-7821 University Ava., St. Paul. Minn. 55104 - Phone 297-2171 ' REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOAK COVERED EY THIS REQUEST / ??°tS?ba/°z S 51850 'Iype of Building New Add. Rep. Check Appliances W'ved For Check Fquipment Wired For Home ? ? ? ? Range W ? Temporary Wiring L ? ? Dupley, atex Heate[ ighting Fixtuies y ApL Bldg. mmercial Bldg. ? ? ? ? ? ? Drye Fum Elec[ric Heating Silo Unloader ? ? ustrial Bldg. ? ? El A'u Bulk Milk Tank ? ? List 1 List Other 0 0 ? o y Heie?s) p Heiersj COMPUTE INSPECTION FEE BF.LOW Selvice Entcance Size: # 1 1 Fee Fceden&Subfeeders: # Fee C'vcuits: # Fce 0 ta 100 Am s. 0 to 30 Am eres 0 to 30 Am eies 101 to 200 Amps. 31 [0 100 Am res 31 io 100 Am eces t 4/0 Above 200 Amps. Above 100 Amps. Above 100 Amps. Transforme[s RemoteControlCirc. Partialoiotheifee Si ns Special Inspection Minimum fee $5. Remacks TOTAL FE C V, J Zga) I,the Electricallnspector,hereby (Final) This request void 18 months from has been m Date Date _,(5 ? Thi;`requesl void /8/7i ] 8 months from -+ Date o this Request 3 W Fire No. S 51850 1, as icensed Electrical Con a?ctorr???Owl{ey? do he eb request inspection of the above electri- cal wiring installed at: ?- 6treet Address or Route No. 4903- C'ty ,&A6p,, 0 ion Township Range County Which is occupied by 0914(4 -ftmo" PzIneS rwm.. nt n?un??n Is a roughin inspection required on this job? No ? YeO;;? Ready Now ? Will CaMQ_ Power Supplier 4& Address Electrical Contractor V? &gaxL,-- Contractor's License No&? ? (Company Name) Mailing Address Authorized Signature No. (rieccncai convacwr or uwnar maKing i ms instmiacion) Qi?1 FJ,;'1 !t? ??? p?!J This inspection request will not be auepted 6y the e J ? lS?i ? State Board unless proper inspection fee is enclosed. Minrresota State Board of Elechicity Griggs Midway 81dg. - Room N191 r 1821 Universitr Ave.. St. Paul. Minn. 55104 - Phone 297-2711 REQUEST FOR ELECTRICAL INSPECTION S 51849 CHtCK BELOW WOBK COVERED BY THIS REQUEST Type of BuAding New Add. Rep. Check Apptiances W'ned For Checlc Fquipment Wired For N?ome ? ? ? ? Range rim W Tempora[y Wiring L i Duplex a[er ighting Fixtuies d Apt. Bldg. ? ? ? Electric Heating ? meicial Bldg. ? ? ? e ! Silo Unloader ? ustdal Bldg. ? ? ? ond Bulk M0k Tank ? Fazm 0 ? ? ? ? ? List J p y e fs List p ehers? Other H f ie H COMpUTE INSPECTION FEE BELOW Sevice Entrance Size: Fee FcedersBcSubfeeden: it Fee C'vcuits: # Fce 0 l0 100 Am s. 0 to 30 Am res 0 to 30 Am eres d 101'to 200 Am s. 31 to 100 Am eres 31 to 100 Am e:es ' pJ Above 200 Amps. Above 100 Amps. Above 100 Am s. Transformers RemoteConttol C'vc. Partial oc other fee Signs Special lns ction Minimum fee Remazks ? TOTAL FE ?J ? ZgJL I, the Electrical Inspector, hereby certify?t at,;the /D,.....I. :..1 (Final) This request void 18 months ftom bove'fnspection has been ??. ? rl I w.Date "i ? `_'Date_ TRfs request void / IF / 7 t 18 monthgfiom ' Date o this Request Fire No. S 51849 I, asLicensed Electrical Contractor ? Owner, de reby request ins ectiotof the above electri- ca'1 wYui??g installed at: ?, ?i-n-Y Street Address or Route No. cw F7` f)zv% City? .on Township Range Countylpmc__?J_ Which is occupied by 0"-tf,.I TaciJ N*S Is a roughin inspection required on this job? No ? YesUk- Ready Now ? Will Call6;e ` ' %' 1 4 J PowerSupplier Address 1 ? 6• 1v f ' kTT Electrical Contractw Contractor s License N Mailing Address 1`i l l (COmpany Name) 'U-r ff P. a v! A d Si h i _ ( I r Contractor or Owner Making Thls Installatlon) r no'poir ut ze gnature or n Phone No. (E tr a ontractor or Owner Making Thls Installation) This inspection request will not be accepted by the Stete Board unless proper inspectian fee is enclosed. Minnesota State Board of Electricity Griggs Midway Bldg. - Room N191 82J tlniversity Ave., St. Paul, Minn. 55704 - phone 297•2111 REQUEST POR ELECTRICAL INSPECTION WHECK BELOW WORK COVERED BY THIS REQUEST /?? /9tyu0#b1-02 S 51848 Type of Building New Add. Rep. Check Appliancea W'ved For Check Eqaipment Wired Foi Nome 19- ? ? Range (IZ Temporary Wiring ? Duplex ? ? N`ater Heater Lighting Fixtures ? t Btdg. ? ? ? Dryec ? Electric Heating ? mmercial Bldg. ? ? ? Fumace (?. ? Silo Unloadef ? dustrial Bidg. ? ? ? A'u Conditioner b 6ulk Milk Tank ? Farm L ist 1 List Other ? ? ? p } Hehels) p HehelS? COMPUTE INSPECTION FEE BELOW Semice Entrance Size: # Fee Feeders3.Subfeedecs: # Fee # Fee 0 to 100 Am s. ' 0 to 30 Am res res ffijp 101 to 200 Amps. 31 to 100 Am res res Above 200 Amps. Above 100 Amps. Amps. 6100_Amps. Tiansformeis 1 1 Remote Contcol Circ. fee cic- y u Signs ecial Ins ction Sp Remarks ?j.J ? I ,(? I, the Electrical Inspector, hereby (Final) This request void 18 months from in6pection has been made. ? ? Date ,.. / , ' Date - ?, " ? o? 7? This request void 18 montht from s 51848 Request Date o t his Fire No. 1, Licensed Electrical ontractor ? Owner here6 request inspect'on of the above electri- d at: ri i t ll li ' {'? ?? • ? n g ns a e ca ?} a "1?? ???E' ?'? ??"(?• pou? Street Address or Route No. City ?ion Township Range County !`-?? ? Ir ?. ? Which is occupied by Is a roughin inspection required on this job? No ? YesM Ready Now ? Will Call(91 Power Supplier 4Ar Address T Electrical Contractor ????7? Contractor's License NA (COmpany Name) Mailing Address 1? , ?. "ff- Rp, i/Zi4SYI (.i-J?- nlrat ol or Ownef MakMg ThiS InStallation) Authorized Signa[ure (EIgC (wl o Phone No. Do `?u p? (Electr cal ontr ctar or Owner Makin9 This Installatlon) i?? ??? This inspectian request will not be accepted by the L ? State Board unless propar inspection fee is enclosed. Minnesota State Board of Electricity Griggs Midway Bldg. - Room N791 W21 Universiry Ava., St. Paul, Minn. 55104 - PFwne 197-2111 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST iFg.{1; 01-02 L a ? , S 51847 Typz oP Building New Add. Rep. Check Appliances Wired For Check Equipment W'ved Foi Home ? ? Range Temporary Wiring Duplex ? ? Watex Heater Lighting Futures ? Apt Bldg. ?? ? Dryer ElecVic Heating mercial Bldg. ? ? ? Fumace Silo UNoadex ? ustrial Bldg. ?? ? A"v Conditioner Bulk Milk Tank ? Farm ? ? ? ist L List Othei ? ? ? p AeheISI HeheiS? COMPUTE INSPECTION FEE BF.LOW Service Entrance Size: x Fee Fceders&Subfeeders: # Fee C'vcuita: # Fee 0 to 100 Am s. 0 to 30 Am eres a 30 Am eres 101 to 200 Am s. 31 to 100 Am res o 100 Am eres .0.? Above 200 Amps. Above 100 Amps. t ve 100 Amps. Txa nsformers III Remote Control Cim. ial or othet fee ? s Special lnspection mum fee $5.0 Remazks _ ! . 'fOTAL F 7 ?7 0) I, the Electrical Inspector, hereby certi t the?a'6 irispec ' n has been m e. (Rough-in) r ?'?? ,?{ Date ? 7 S-Ci (Final) Date This request void 18 months from This'iequest void W14?onths from his Request ?S Fire No. 518 4 7 1, lcensed Electrical Contractor OOwner, do hereby re uest inspection of the above electri- cal wiring installed at: ?t ? C 2nd Street Address or Route No. 157 (-`pblc `-"i ry` City?? Oon Township Range County Wluch is occupied 6y O 1'-1'-v `-54m4f 62W lNVmo nf ll?rnan11 Is a roughin inspection required on this job? No ? Yes6K_ Ready Now ? Will Ca1KE( Power Supplier RE;(?r- Address t r.M'i-" loG -1 U7`+ Electrical Contractor ? 6L*aF_(`Z- Contractor's License NR?y (COmpany Name) MailingAddress Yfil g • cw fic- t?p_ Authorized ? a] c ncracwr or uwner making iMS Installatlon) ?q ?r?? Phone No. O ? .r o1 Owner Making This Installatlon) I?n.?C,?f This inspecbon request will not be accepted by ihe '`y ?J LI State Baard unless pmper inspectian fee is encla' cIn oF E+c,AN . ' 3795 Phet Kr.ob Road Eagan, MN 55122 N2 5548 PHONE: 4546100 ?-??a? BUILDING PERMIT APPLICATION ReceiPt # 1 of 4 Plex 43,600. 00 12/11/ 79 Est ya?ue Te 6a mad for Dcft 19 Site Addre,?s 4659 1 ge i e r. e i e n dErecc [$ Occuvoncv g Lot Block Sec/Sub. Airer ? Zoning PD Parcal # Repair ? Fire Zone III Eniarge ? Type of Const. V ? Na? Orrin Thompson Homes Move ? # Srories z Ad? ? 1712 Hopkins Crossroad pe,,,olish ? Front 22 fr. - _ e a City phone ' _ Grade ? Depth ? fr. o Nome Same Apvio"la Feea ? Address Asseument 12 ?ermit 125•50 ? Water &$ew. SurcMrge 22.00 C Phone Volice - Plan check 62.75 ?1 Nome fire SAC 525.00 x2 ? Address Erg. 2 WMer Conn..Z00 ? <w Ci Phone Planner WMer Meter 60. 00 Council Rd.Unit 75.00 1 hereby ocknowledge thot I hove reud this application and state tFwt Bld9. Off. the information is correct and ogree to comply with all applicable APC 1,1?10.25 Total State of Minnesoto Statutes nnd Ciy of Eagan Ordirwnces. 57gnature of Permittee A Bullding Permit Is issued to: OY'Y'ln oll xrork sholl be done in accordanee with mes on the express condirion that of MiCnesota Styt tes and City of Eagan Ordimnces. Building Offlciai CITy pF EAGAN Znclude 2 sets of plans. • -' r' „ • 1 site plan w/elevations & BUIT,DING PERMIT APPI.ICATION 1 set of energy calculati-ons. Zb Be Used Eor jZ?,o •. Valuation 43, boo.ao Date QLC 3 1979 Site Address: U/_ ?rA ???.av 1??•?l? ?h.. • OFFICE USE ONLY nNwNy cnv?. Lot 2. Block b Sec./Sub. wo _c Parcel # • , 4df" Aa< <?s ?•/? ? OFmer: _ Pddress: City/Zip Code: Erect Occupancl' 3 Alter Zoning i° Repair Fire Zone 3 Enlarge _ 'iype of Const. Nbve # Stories DPnolish Front ?s ft. Grade - Depth yy ft. Pho e # : APP120VALS F'EE5 n Assessrents/;% Pexnut /25'l" Contractor: MES water/sewer surcharge 2a PddL'ESS: a Division of U SH^nP rm. g-- pplice P13II Q1eCk (p.'ty' C1?/Zlp COfI2: 1712NOPKIySC"OSSROAD 9 Fix'2 - MINNFT(1NKa tiS1pIAI 65 $p?` Lsa((i'? ? s ?• water Conn. ?70 Phone #: sy` 1-'7333 Planner ? Water Meter zaD ,. Council Road Unit 7s-.0-e Arch./En4•: Bldg. Off. Address: APC City/Zip Code: Phone #: 70I'Ai, -2'r cirr oF EAc,aN • ' 3795 Pilet Kne6 Read Ea9en, MN 55122 N! 5550 PHONE: 4Si-8100 / , n ? BUILDINfi PERMIT APPLICATION ?? Receipt .{k ? T. be used fer- 1 of 4 Plex Est.Value 43,600.00 pote 12/11/ ,i9---79 +? 1 Ridge Cliffe Dr. Slte Add ss Erect [? Occupancy R3 Lot e?ock Sec/Sub.Jhny. Ce,ke Ridge 2nd ? Alter 9 Zonin pD Repair ? Fire Zone III Porcel # Enlarge ? Type of Const. V rc Name Orrin Thompson HOmes Move ? # Stories i ? qddress 1712 Hopkins Crossroad perrroi;sh ? t Front 22 ft. o a City Minne phone 5-7 33 Grade ? Depth 44 ft. ? Same Apvovale Fees o Name -- - Zu V? Name I hereby acknowledge thot I hove read this appliwtian and state that the infortnntion is correct and agree to cvmply with all applica6le SMte of Minnewta Statutes and City of Eagon Ordinonces. Signoture of Permittee A Bullding Permit is issued t• Orrin Thom psp c all work shull be done in accordance h qll oppi bl ? of Buflding Offfcial Asseument _ Water & Sew. Pol(ce - Fire Eng. Planner _ Council _ Bldg. Off. - APC Permit ' 1?7.7U $ufCft0190 22.00 Plan check 62.75 SAC 525•00 Water Conn.2 0.00 Water Meter 60. 00 Rd.Unit 75.00 Total 1.11+0. 25 _ on the expreu condition thaT and Cfry of Eagun Ordinarrces. CITY OE' EAGAN BUILDING PERMIT PRPI,ICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations• To Be Used For Valuation y; , 600 - oo Date Sit2 Pddress: ?faNNy ea?.e. LQt. L{ BLOCIC fc, S2C.?S11r1. R?O[ E ?YD Parcel #: Owner: Pddress: City/Zip Code: DLC 3 1979 OFFICE tISE ODII,Y Erect X OcctitpancY Alter Zoning Repair Fire Zone ? - Enlarge _ 7me of Const. 1/ - Nbve # Stories Dennlish Front a,a, ft. Grade DePth -- ?"/ ft. Phone #: APPItlVAIS r'M:Yti t AssessaentsPermi.t JaS? or: Contrac MES w3ter/sewer surcharqe aazo- P,cldreSS: a Division of u s. ?!r?-,A r,...,.._.:- polioe Plan CheCk (o62 ? ^ ll12 HDPKIi?S CJSSROAD GL?/Z1Q. COaE: AaINNETntike nnln??35' ' F+lre SAC Ss't5 " . a a Eng • water Conn. ? a >o Phone #: s?y?'7333 Planner Water Meter ? Council Road Unit Arch./En9•: Bldg. Off. Pddress: APC City/Zip Cade: -g s Phone #: ?mraL l / yo dgP 5 S'S? CITY OF EAGAN • ' 9795 Pilat Kne6 Reod Eogan, MN 55722 ?iON"48700 BUILDING PERMIT APPLICATION To 6a used fer 1 of 4 Plex Esr. Vc Sue Addr-- 4663 Ridee Cliffe Dr. Lot - Porcel # 43,600.00 Block - Set/Sub.v1"''''VW" IL-"°l ? Name Orrin ThoiApson Homes 3 Ad 1712 Hopkins Crossroad o "inne on a, - p Nume ? ?u Addre. Nnme I hereby ackrwwledge that I have read lhis appllcotion and state tFwt the infortnafion is correct ond ogree to comply with all upplicable Stata of Minnewta Statutes and City of Eagan Ordinances. Signnture of Permittee Receipt # N° 5549 Erect (X OccuponcY R3 I Alter ? Zonirq PD Repair ? Fire Zone III Enlurge ? Type of Const. V MOVe ? # Stories Demoiish ? Front 22 ft. Grade ? Depth ff. Approvals Faea Assessment 1C/01 ly Permit 1eJ.7u Water 8 Sew. Police Surcherge 22.00 Plon ehetk 62 • 75 Fire snc 525 • 00 Ene. Water Conn.270.00 Planner WoterMeter 60.00 Counc;l Rd.Unit 75.00 Bidg. Off. APC Total 1,140.25 A Buildirg Pertnit is issued to: 0 T'lri Th On H u1ES on the express condition that all xrork sholl be done ln acco wit all, icable State of Minnewta Statutes ond City of Ecgon Ordinances. Building Offielol Y? ``' , ?`? we? CITy pP EAGAN Include 2 sets of plans, ' ' " • 1 site plan w/elevations & BUILDING•PEFA'+ST APPI.ICATION 1 set of enezgy calculati-ons- 7.n ae osea For valuarion y3, bco.oo Date OcC 3 1979 Site Address: yG 6 3 •?d-n ?2?P-fz-. YJ.L OFE'ICE USE ONLY ? ? Ny cnrr. Lot 3 Block 6 Sec./Sub. PdLG'01 #: Owner: Address: City/Zip Code: Erect x OccuPancy ?f3 Alter zoniuxl P%7 Repair Fire Zone Etil,arge _ Zype of Const Nbve # Stnries Denolish Fmnt ft. Grade Depth -vv ft- Phone APPROVAL'S :' - Assessments ? Pemtit / CAntractor: ESWater/SewEr Surcharge :5ka? Address: ? a Division of U. 5_!-!r.o. rczp,.-:V - pOliC2? plan check ?i a C.1?/Z1F] COC72: . 1712 HOPKINS CROSSROAD - Fire . MINNFTl1NIte a7IN11 5534 $p.C - ?S g S ` „r. ,- 9 water Conn. S 2 ?o Phone #: s'i` ? -9333 Planner Water Meter leD ? Council Road Unit E-W Arch•/En4•- Bldg. Off. Address: APC City/Zip Code: Phone #: cirv oF Er+c,AN 9793 Pi1M Kna6 Reod Eagan, MN 53122 N2 5547 , PHONE: 4 51i-8100 BUILDING PERMIT APPLICATION " Recelot # l7n°Z -,- , To ba wed far 1 of 4 Plex Esr,yal„Q 43,600.00 pate 12/11/ 79-19- 5tte Addreg 4657 Ri e i e rive Erect [i? Octuponty R3 Lot 1 BI«k 6 Sec/Sub. JhnY. CakeRidqe 2xidqlter - ? Zoning PD Parcel # Repair ? Fire Zone III E l T f C t V n nrqe ? ype o ans . w Name hrrin Thnmiann HnmPC Irovy 0 # Stories ? Address 1712 Hopkins - Crossroad Demolish ? Front 22 fr. c.tvMinnetonka phone 544-7333 _ Grode ? Depth ff. a Nome _ ??? Address ? r..., Asseument 1e / o / I Water & Sew. Police Fire En9• Plonner Council Bldg. Off. APC Fees Name_ Address I hereby ccknowiedge that I have read this apDlication and state that the infortnotion is correct and agree to comply with all applicable Stote of Minnesoto Statutes ard City of Eagnn Ordirances. Signature of Pertnittee A Building Permit is issued ta: all xrork sholl be done in acwrdance with Permit 1Gp . 7U_ $urCh0f98 22 • 00 Plan check 62.75 yqc 525•00 WMer Conn.270. 00 WoterMeMr 6o.oo Total 1,14o.25 on the express mrdition that y of Eagon Ordimnces. 6uildinp Offictal CITY OF EAC'?AD1 ? - • BUYIaING 'PERNII'P APPT,ICATIIXV Include 2 sets of pl.ans, 1 site plan w/elevations 5 1 set of energy calculations. n?.c 3 1979 To Be Used For E Valuation t eu Fr j3, boo - oc Date c usip Site Pddress: ZI L 57 OFFICE USE ONLY jlOt BZOC)C ONN E ??' SEC.:.?SIItJ •FSECt ? OCCl1pdI1CY Alter Zoning Parcel #: Regair Fire Zone ? nlarge _ 4yne of Const. FS ? Owner= Nbve # Stories Pddress: Uemlish _ Front g • ft. 2,2 ft , Grade Depth . ?y City/Zip Code: Ph # APPROVAiLS FEES one : tor t C Assessments/YPesmit /as? . on raC ES Water/Sewer Surcharqe aa P,ddTESS: - a Division of U. S. H1"P r.......R.:___.. poliCE Plan Check &;? ? I ' l 1712 HOPKINS CROSSROAD " Flre Sp? 5,?e ? P COC E : Clt.]7/Z A INNET(1NKn nn?yN 55349 • water Conn. Erig a Phone #: s`1L 1 - `7333 Planner Water Meter ._/.d ? ".? .. Council Rnad Unit 'xs' a? Arch-/E'19- = Off Bldg . . s Pdd APC res : Gity/2ip Code: Phone #: - TDTAL .G P ?5y'7 ,5S3ql, RESIDENTIAL BUII,DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 *?o, o C) New ConsWCtlan Reauiremenfs RemadeVReoair Reauirements Oifice Use Onlv 3 registered site surveys showing sq. R of lot, sq, ft of house; and all roofed areas 2 copies of plan CeR of Suney ReW (20% maximum lot coverege allowed) 1 set of Eneigy Calculations for heated add'N'ons T2e Pres PWn Recd 2 copies of plan showing 6eam & window sizes; poured (ound design, etc. 1 sRe survey for additions 8 decks Tree Pres Not Reqd isetMEnergyCalculations AddPo'on - indicetei(on-sifesepfksystem _On-slteSepticSystem 3 oopies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selectlon shcet (bldgs wiih 3 or less untls Date 3 / -L,31 Construction Cost Site Address -t?0 S 1 nto J f f P UniUSte # ^- Description of Work dmLf (/ (J( G( 'jS CY (YpC'f (/Py I'Ah SPj`'l pG, ??cr r? cr ?as Ii??, ? Multi-Family Bldg _ Y_ N Ftireplace(s) _ 0 '/ ? 1 2 ?x?sfi?h Property Owner TO S' e ? ?jt ?'ra u? b V` 1 0 Telephone #?/ (OW-) 6 96 --?vv8 Contractor ?? ?(` P ,S lo(J, ?°a j'' ?I/ /1'd Address 3Er,5-0 ?• W(4 13 e City_ G!rfl1/J/ State ?A4.h),- Zip sUZ9 Telephone # (93;T ) COMPLETE THIS AREA ONLY IF Energy Code Category Minnesoh Rules 7670 Cateeorv 1 . Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor CL' I n i C ? A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( #(9sz) A9D-O9s o #? ) I hereby apply for a Residential Building PedM-and-ackuovAedgc:4hkt the information is complete and accurate; that the work will be in con£ormance 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 pemut, 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. L12 !/[U??d C• / 1c) i?_? Applicant's Printed Name 01 " P akl_? - ??L Applicant s Signature OFFICE USE ONLY Sub Types .. ?. . . ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 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 ? 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 WindowslDoors ? 34 Replacement 'Der„oli:icn (Sidirn Bidg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. af Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved Fiy Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Suilding Inspector G. R. WINDEN 3 ASSOCIATES, INC. LAND SURVEYORS fol 643•3646 1381 EUSTIS ST., ST. PAUI, MINN. 55108 For: U. S. Home Corporation ?/D ?? ? Scale: 1" = 50' ? \ \ \F \\ O ? F ? Note: As of this date Johnny Cake Ridge Second Addition has not been recorded. Lots 1 thru 4 inclusive, Block 6, Johnny Cake Ridge Second Addition, Dakota County, Minnesota. WE NERE6Y CERTIFY lMAT THIS IS A TRUE AND CORRECT REVRESENtATtON Of A SURVEY Of THE 60UNDARIES OF THE LAND A60VE DESCRI6ED AND Of THE IOCATION OF All 6UIlDINGS, IF AN1', THfREON, AND All V1516tE ENCROACMMENTS, If ANY. fROM OR ON SAIO LAND. Dotad this 27th doy ef IyOy• A.D. 1979 C. R. WINDEN 6 ASSOCIATES, INC. l?-4? Survopr. Mianewte Royiaratien No. 22zs ? ? 'CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-39801-030-06 PERMIT PERMIT TYPE: Permit Number: Date Issued: 4663 RIDGE CLIFFE DR LOT: 3 BLOCK: 6 JOHNNY CAKE RIDGE 2ND ? R.0- 9 8M BUILDING 028107 06/28/96 DESCRIPTION: -?1 (REPLACE DECK) ?jiildinq, Permit Type SF (MISC.) prrildiDg l4p " rk 7ype REPAIR Census Cod¢?_, 434 ALT. RESIDENTIAL .._\ i k& 7 .% ? r t 3 REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $45.00 $.50 $45.50 CONTRACTOR: - Applicant - ST. LI SUNDANCE CpNST INC 15377564 000567 6922 42ND AVE N CRYSTAL MN 55427 (612) 537-7564 ? OWNER: LAGROW MARV 4663 RIDGE CLIFFE DR EA6AN MN 55122 (612)452-0610 I fiereby acknowledge°that' T have read this applzcatian end state that the information is correct and agree to comply with all applicable 5tate of Mn. Statutgs arr.0 CiCy of Eagan Ord;inan,cQS. APPLICANTlPERMITEE SIGNATURE 'ON1 ISSUED eV: IGN E I CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? ?'Oq1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Canstrudion Reauirements ? 3 registered sile surveys * 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 1 energy calculatlons ? 3 wpies of tree preservatlon plan if lot plaNed a%er 7/t/93 required: _ Ves _ No RemodeUReoair Rec+uirementa ? 2 copies oF plan ? 2 site surveys (exterior additions S decks) ? 1 anergy calculatlons for heatad addHions DATE: (?? - Z 1 -LIc CONSTRUCTION COST: -? RCo, oc) DESCRIPTION OF WORK: -?ea C' L"`^ G,Q E? k STREET ADDRESS: BLOCK LOT A /P I D #: G SUBD )_ _ . . . . PROPERTY Name: Mavv Lo, Gvkz)w Phone.#: 4452-dG (O OWNER u - s. C?Q ? ? 1?? ,,. p C?: JCVe ? Street Address• City: c- a U c. c.? State: Zip; ?S ? Z Z CONTRAC70R Company: 5 ??a?P Cc??^? - _`?• Phone #: 537- 7 5G y Street Address: &-l z z ?JZ?? A'Je N License #: 5 ?_70 City: State: M AJ Zip• 5-S41Z7 ARCHITECT/ Company: Phone #• ENGINEER Name: Registration #• Street Address• City: State: Zip: Sewer 8 water licensed plumber: change are requested once permit is issued. Penalty applies when address change and Ict I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received R[MMEDD Yes _ No Yes _ No -------- BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. o ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace 0 ? 05 SF Misc. ? 10 _-plex 15 Deck WORK TYPE ,,o/--31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning . 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MC/WS System Main level sq. ft. City Water - Sp. ff, Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. ? _ Footprint sq. ft. SAC Code x2 _ Census Bldg Census Unit D Building ? Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valua6on: $ ? % SAC SAC Units CM f'c.' EfCCN _ , .'. N'1l: a .. 1_UANN PAS =N :3c: C 2001 4561 h'7'`GE CuIr T0.0D Etlt: IC:i]i 4661 rtTnC:' C? T_;` (]X1 N t - ; t a;. .ecei o# Pnoin fe SD. `"C "rt'1C4 , ',?...,.11O,t; .^5't?E:'P PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERAAITTYPE: suzLoznQ Permit Number: 0 2 9 7 8 9 Date Issued: 0 4/ 21 / 9 7 SITE ADDRESS: 4661 RIDGE CLIFFE DR LOT; 4 BLOGK¢ 6 JOHNNY CAKE RIDGE 2ND P.I.N.: 10-39801-040-06 DESCRIPTION: (REPLACEMENT) ermit Type DECK plrk Type NEW e??? 434 ALT. RESIDENTIAL a? vi?,???k ''w Wl? REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: . I % I her-etsy a infarrmativ SGa CUtes? a % OWNER: - wpplicant - AASEN LU ANN 4661 RIDGE CLIFFE DR EAGAN MN 55122 (612)6$6-0951 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4ffD• ffD lqqff CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681 -4675 New Construdian Reouirements ? 3 registered ette surveys • 2 eopias of plans (indude beam & window alzes; poured fid. design; etc.) ? t energy calculations ? 3 copies of tme preservetion plen H lot platted after 7/1l93 requfred: _ Yes _ No RemodeUReoeir ReauiremeMa • 2 copies W plen ? 2 ake surveys (exterior edditions 8 tlecks) • 1 errorgy calwlaNOns for heated adtlitiona DATE: ?- / S -9 t CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: LOT ? BLOCK SUBD./P.I.D. #: PROPERTY OWNER 0 / j?, ar /ess Name: Z A S2t-1 I .i4 an(-\ Phone #: ('0 0?"09 5 I Street City: Q State: lV? Zip: ? ?161 C7:)- ^ CONTRACTOR Company: Street Address: ! City: State: ARCHRECT/ Company: ENGINEER Name: Street City: State: Phone #: License #: Zip: Phone #: Registration #: Zip: Sewer 6 water licensed plumber (new construction ony): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowiedge that 1 have read this application and state that the informatiop is correct and agree to comply with all applicable State of Minnesota Statutes and City M Eagan Ordinances. I ,. Signature of Applicant: OFFICE USE ONLY Ceriificates of Survey Received _ Yes _ No APR 15 1997 Tree Preservation Plan Received - Yes - No - Not Required SUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish n 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility a 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 _-plex ,0' 15 Oeck WORK TYPE 0'31 New ? 33 Akerations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowabie) UBC Occupancy Zoning # of Stories Length Depth Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq.ft. Footprint sq. ft. Planning Pertnit Fee 5urcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Building 43 Totai: MC/WS System City Water ? Fire Sprinklered PRV Booster Pump Census Code. <t 3 ?! SAC Code Census Bldg ? Census Unit o Engineering Variance Valuation: $ % SAC SAC Units For: U. S. HOME CORPORATION .Qg-'? w \V Scale: 1" = 20' Denotes Iron PR l VATE OR 1 vE wqy (R1D6E CLiF FE Dawe for Fu,tal qddress) v ? ' 114 ? c 57 ? 5'7 n ? ? Z2. 3? /2 2 1 Z 21 33 2 ? m #4G59 / # 46 5 7 m /2.67 m N .? ?? m ^ 1 1 m? N N N ?1 i `J ov i ? ? l? N/ It1 ' l? 4' 44 33 10 ?. / n ? d < m L t j N N N f?1? N , L ? ;7nl N i ?t,• s#4643 ? ?212?3. 2 2 22 33 I?L7 . , ? ? 57 v ? 57 /!9 PR/ uA Tf- DR/ vE WAY ?RiDGE CLIFhE Okive {or P4 5 ra1 Addr e 55? Lots 1 through 4 inclusive, Block 6, Johnny Cake Ridge Second Addition, Dakota County, Minnesota. v- lOK10 To Wnf m^? `? a ?oxa0 cja-U? WE MERE6V CERTIFY THAT TMIS IS A TRUE AND CORRECT REPRESENTATION OP A SURVEY OF THE 60UNDARIES Of TME IAND AlOVE DESCRI6ED AN O OF TME IOGATION Of AlL l1;Ci61NG5 IF ANI; TMEREON, AND All VI516LE ENCROACMMENTS, IF AM'd, F010M, Qp ON $AID IAND , . Dotad fAi. ?9ry day ef ?u/v A.D. 1980 0 C. R. WINOEN E ASSOCIATES,, INC. `y ' Surveyor, Minnewro Rayinralioe No. /09o C. R. WINDEN & ASSOCIATES, INC. IAND SURVEYORS ToL 448•3646 1381 EUSTIS SL, ST. PAUI, MINN. SSIO! ..?..?. xxxxxx?x*?*** CITY OF EAGAN CASHIER: JS TERMINAL NO: 775 DATE: 04/20 /00 TIME: 14:45:34 ID: NAME: LOCO CONSTRUCTION LLC 3210 9001 4657 RIDGE CLIF 111.2 2155 9001 4657 RIDGE CLIF 2.50 322110 9001 4687 RIDGE CLIF 139.2 2155 9001 4687 RIDGE CLIF 3.50 3210 9001 4664 RIDGE CLIF 111.25 2155 9001 4664 RIDGE CLIF 2.50 3210 9001 4681 RIDGE CLIF 111.25 2155 9001 4681 RIDGE CLIF 2.50 3210 9001 4621 PENKWE WAY 111.25 2155 9001 4621 PENKWE WAY 2.50 Total Receipt Amount: 597.75 ? Ia-7o& 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirr oF eacan 3830 PILOT KNOB RD • 55122 oI V 0 651-881-4875 New Cwisinr.:iion itAcuiremenh RartwdaURaoalr Reauiremenh n S reglsfered sIte wrveys showing eq, fL W loi, sq. R. ol house 2 coples ol plan antl,Qp roofed areas (70% maximum lot covamae atlowedl 1 sel ol energy calculaHOns tor healed atltllNOns > 2 copies of ptana (show becm & wlrWpw sizes; poured Ind design; etc.) 1 fife wney for exfeAOr addlflons 8 decks n 1 set ot energy caiculadons ? 3 coplei of hee preaervallon plan It lOt platted afier 7/1 /93 DATE: CONSTRUCTION COST: yfU?UI DESCRIPTION OF WORK: F e Ct? C) STREET ADDRESS: 'Y 6 S LOT: BLOCK: SUBD./P.I.D. #: PROPERTY OWNER Name: ? ? ? r-•? _? ?/-1-K-C !?-?,'?/ ? o lasf Flrsl Sheet Clly . Comp COMRACTOR Sh96t Gty . _ Siqfe: ARCHITECT/ ENGINEER Company: Name: Telephone Y: ( ) Sheet Addreas: ReglshaHon #: ay State: Zip: Zip: Sewer/water licensed plumber (If Installina sawer/waterl: Phona #: Li I hereby acknowledge Ihot I have read this appllcaNon, state that Ihe info n Is cortect. agree to comply wHh ad appqcable Sfafe of W+innesota Stalufea and CHy of Eagan Ordirwnces. Signalure of ApplicanY. ` . OFFICE USE ONLY 4900 71 st Avenue North State: Zip: Pnona o: '7 6 ?>' (area code) _ I1cense kExP y o/ Certiflcates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 02 SF Dwelling O 08 06-plex ? 03 .01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 OS-plex ? 05 03-plex ? 11 10-plex O 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 17 Garage O 22 Porch/Addn. (4-sea.) O 18 Deck O 23 Poreh (screened) ? 19 Lower Level ? 24 Storm Damage Plbg _Yor_N ? 25 Miscellaneous ? 20 Pooi ? 30 Accessory Bidg. ? 36 Move Bidg. ? 43 Reroof 0 37 Demotish (Bldg)' ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowabte) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Building sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered ., Engineering Variance Valuation: ? 31 Ext. Alt - Mutti ? 33 Ext. Att - SF ? 36 Muki SAC Units % SAC RECORD OF COMPLAINT Date - 93 Complaint taken by , T h Se v e r,so,2 Type of building y PL e Y 19- 3 Name Mo r v L 4ro Address Lega] description _ L o 14 . ? /? L A? ,TL,?-o , . I-a kc /?i?/yz,Z 12 a/ Phone number y.S2- O 61D ? Complaint __ No ekJP.," 1? ,O .fC , Action taken ---D--n /;^ i .?-/ Zw 9. ? Saiof cJer' Z ea ? i h (K' TOO /L \ Wq 1 /l°r' ?LoSe O O?BH%"/ Jo G Co?N Comments ? Qi n f9.C?S ?S7`v c?f o//rJe f 4 a d P G . O / ee ? S7n iar 1101 / n 1,4 c / ? r r d rrl r •&4 ?n gvta fr2- wd 4LTrr.z ?? o ?? ,?o?? e?ay' ?/7 ? cuasLir? S?a? ??y4K C.O. Tee/ wos /Te.••el-r f e*sca? • Signature ?d if, ry, ,??Iez /% e_T ?. ?:?? n c,> vi e _ Md r? L a [r ,_ O 6 I il i' BUII.DING COMPLAINT GUIDELINES • When a complaint is received, get the address, name, phone number, and a general idea of what the problem is. • Always have two City employees present to (1) verify the conversations, (2) offer additional opinions, and (3) lend credfbility. • Get 'both sides" of the story if there is a conflict. • Ask other inspectors and City employees if they are familiar with the address or the problem. • Contact other agencies or departments (ie. Dakota County Human Services, 431-2424; police department; fire department), if necessary. • Provide hand-out materials if they are available. • Maintain a record of inspections and conversations on a City complaint form. ? ? SiPEEt ? Y ? e ? 3 H O N ?s (TrP'C :fFtCT RJ:?. 12' ?o"r-re.,ia•?f----i 12 tYV• h0. . ? ? ? - 15' ?= ?(brr) rce ? i tYV_ ? I 7?:A kn.- ..?'t,?- e,-?re :?1op por? ? I - SEVC?y?'NY? .On? Cf t54:L{%INCj ? ` IJ TYPIr01_ ? = - i (`rrr I5? ? ; Svn_ _-_? t . .??y ?fV'?[P S- ?• ' c:.i<a 1fcN frs, f' ?T'mr.?. j c.MC .`-nw,. :' ? _. P ? IittP) C?iV. .,i'« E_ . '-''??• '?E I YYf ? I ? r:•, ??. ?mwex u. <- ;-`• ?'? ? ?? ? - ? ?AM! TRe..?.?t "YP: I ' • L.IS.r . i i ??.lfYK?J6vEliz ? .! . - A5 a = .' 1? , :e?.Ee ?1YM) - " 9fw<rf .? ? 'I'J ? A :. m.A ?.. L' *h9nN? _ ' ? e rAAf (••'•?'=f'J°P ? .UiV. ? - - - CITY OF EACAN ' _ . - - - -- - -- - -- - - - - EARLY UTILITY CONNECTION YERMIT '7`L'>h 7' Address Subdivision/Parcel - I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way• 1 understand that the Ci[y has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree noc to use, test, or connect these i individual services to any in[erior plumbing and understand the.require- ment to cap the sewer service to prevent any unauthoriaed use. -- --- -- - - - ---- - - - -- - --- In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that ma} occur due to this early connection. It is understood that no Occupancy Permit will be issued or water ailowea to be turned on until the City utility system has been declared ?erational by the City Engineer. / Signed by - Plumber: (?rAP ` Owner: Developer: ? Dated: --?vl-2:22? CITY OF EACAN EARLY UTILITY CON:IECTION PERMIT Address Subdivision/Parc' I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. 1 - understand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the. require- _--ment to cap the sewer service to prevent any unauthorized use. _-_.-_- - ---- -- ---- -- - --- --- -- --- -- In accepting this permit, it is agreed that I will hold the City an s agents harmless from any damage that niay occur due to this early? connection. It is understood that no Occupancy Persit will be issued or wa er allowed to be turned on until the City utility system has bee decla ed operational . by the City Engineer. ?. ? Signed by - Plumber: Owner: Developer: Builder: i Dated• ? _ - CITY OF EAGAN . ? ? ??- ---- ? --?-?? EARLY UTILITY COVNECTION PERMIT .._ - .....----? - ---- - - ? ?-- - - - _.? ^ . .. --- - _ . - wi?•?.. i ,., , ?,?--_ . Address _Subdivision Par e I here6y request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in [he public righ[-of-waY• I understand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree noc to use, test, or connect these individual services to any interior plumbing and understand the,require- , ment to cap the sewer service to prevent any unauthorized use. -- ----- - -- - ----- -- --- - --- ----- -- In accepting this permit, it is agreed that I will hold the City an its agents harmless from any damage that ma}• occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until the City utility system has been declared operational o ?s by the City Engineer. Signed by - Plumber: Owner: Developer: Builder: ? Dated• CITY OF EACAN EARLY UTILITY CONNECTION PERFIIT . __-- .. .. _._ - . : ` Subdivision/P Address arcel • I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-waY• I_ understand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and undetstand the require- ment to cap tha sewer service to prevent any unauthorized use. - -- ------ - - - - - -- - -- - - - --- -- -- --- - : - In accep[ing this permit' it is agreed that I will hold the City and itS agents harmless from any damage that may occur due to this early connjction. _ It is understood that no Occupancy Permit will be issued or water allowed to he turned on until the City utility system has been dec?ared ope? tional by the City Engineer. _' -x, /•. '?'K r? s . ?'c-.f ?'2 Signed by - Plumber: / Owner: Developer• Builder: - 1 Dated: ?5'ga 5 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 70 °? ema ???1 e/ New Conswction Reouiremenfs RemodeVReoair Reauiremencs 3 registe2d site surveys showing sq. R of bt sq. fl. of house; and all roofed areas 2 copies of plan - (20%mazlmum btcovernge albwed) 1 sel of Energy Calculations fw heafed additions 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey fw addWons & dedcs 1 set of Enerqy Cakulations Additinn - iMicate Ban-site septic system 3 copies of Tree Preservation Plan'rf lot plat[ed afler 711/93 _ Rim Joist Delail Options sekdion sheel (Wdgs with 3 or less unifs Date 4?3 struction Cost Con \ iUSte # II Site Address n DescriptionofR'ork Mul6-Family Bldg ? Y _ N Fireplace(s) I?C 0 _ 1 _ 2 PropertyOwner ,(/:0 1-1,117 Telephone#(/pS;1 ContracWr Address CitS State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesoffi Rules 7672 Energy Code Category , Residential.Ventilation Category 1 Worksheet • New Energy Code Wwksheet (J submission type) SubmiNed Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( j Mechanical Contractor Telephone #( ? Sewer/WaterContractor '!?? JUN g 4 2004 Ifl Telephone #( I hereby apply for a Residential Building Permit and'aclrnowledge 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 5tatutes; I understand this is not a pernut, 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/',7 ? Applicant's P' ted Nam Applicant's Signatur OFFICE USE ONLY Su b Types ' > ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_YOr_ N ? 25 Miscellaneous Work Types ? 31 New O 35 Int Improvement ? 38 Oemolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ,n34 ReplaCement / 'Demolition (Entire 81dg) - GWe PCA handout to appiicant Valuation to Occupancy MCES System Census Code N Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? A) Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _?C, Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roaf _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas T uu Fina] _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge 1? t Plan Review ?? ?d ?t MGES SAC ? -70 -` City SAC Utility Connection Charge S&W Permit & Surcharge - Treatment Plant License Search Copies Other Totai 'of jl . A For: U. S. Home Corporation C. R. WINDEN & ASSOCIATES, INC. LAND SURVEYORS Ttl 645•3646 1381 EUSTIS SL, ST. PAUI, MINN. 58108 K V Scale: 1" = 50' \ \ ? \ \ \ Note: As of this date Johnny Cake Ridge Second Addition has not been recorded. Lots 1 thru 4 inclusive, Slock 8, Johnny Cake Ridge Second Addition, Dakota County, Minnesota. WE MERE6Y CERTIFY THAT TMIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY OF TME lOUNDARIES Of THE IAND AlOVE DESCRIlED AND OF TME LOCATION Of ALL WItDINGS. IF ANr THEREON, AND All VIS16lE ENCROACHMfNTS, IF ANY, fROM OR ON SAID IAND. Dotad 1his 7;h day e{ "A V• A.D. 1974 C• R. WINOEN 3 ASSOCIATES, INC. ??..pL?"'c'?i?"W • b,y ' SVlvhr0/. Minnowro Royistrotien NO.?J?, ?q l 3?- 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Canshgiction ReariraneMs 3 registeed sle wrveys sMx7ng sq. fl. M IaL sq. fl of house; end go mofed areas (20% meDumum bt coverage albred) 1 Soils Report if pioposad 6uilding is b be pEeced on distlu6ed sod 2 capies of plen shaxing beam 8 window s¢es: poured found design, elc. 1 sel of Erreigy Caktulafims 3 copias of Tiee Preservation Plan'rf lot pladed a11er 711193 Rim Joist Detail Oplions selection sheet (bWdings wiU 3 or less unib) Minnegasco mechanical ventilatlon fortn *130.00 RemodeVF2ePa'v Reauuamenls Office Use Onlr 2mpiesofplanshowingfwtlnga, beams, jdsls CartofSurveyRecd _Y _N 1 sel of Eretgy CalaWBais far hwted eddifiais Sdk Repoit _ Y_ N 1 site surreyfor addNOns & deda Tree Pres Plan Recd _Y _ N. Addilion-indkateff an-srfeseptlcsyNem TreePresRequired _Y _N OnsifeSepticSystem _Y _N D 8 - C2 Ca4f-E-.? Plans are considered oublic information unless vou state thev are trade secre4 and the reason. Date 0'7 / oZ -7 / 0 -7 Constructioo Cost _ D l a04 •00 SiteAddress LI65 7 Riaae- Ct:F-f ?CiUC UniUSte # Description of Work ReDla d ? 10 ' d2GtiC u.> Jrlh ID4fee GCC)R Multi-Family Bldg X Y_ N Ftireplace(s) ZC 0 _ I _ 2 ProperlyOwner W 2k 3 "f2a 0&3et'? Telephone#(E$l )(7$$'811a t ConlraMor Je A V Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Cade Category - Mi°°esota Rules 7670 Cate¢orv 1 . Residential Ventllation Category 1 Worksheet (4 submission rype) Submitted . Energy Envelope Calalations Submitted A NEW BUILDING Minnesoh Rules 7672 . New Energy Code Worksheet Submitted In ihe last 12 months, has the CiTy of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, daTe and address of masTer plan: Licensed Plumber Mechanical Conhactor Sewer/Water 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 City of Eagan and the State of MN Statutes; I understand tlus is not a permit, but only an application for a pemut, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review. and approval of plans. MQ.I Oloe 0 7rA&K , ApplicanYs Printed Name Applicant's Signature JUL 3 0 2007 DO NOT WRITE BELOW THIS LINE Sub Twes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvoes ? 31 New j( 32 Addition ? 33 Alteration ? 34 Replacement ? 07 O5-plex ? 08 06-plex ? 09 07-plex ? 10 OS-plex ? 11 10-plex ? 12 12-plex ? 13 16-plex ? 16 Fireplace ? 17 Garage ,g 18 Deck ? 19 Lower Level ? 20 Pool ? 30 Accessory Bidg ? 21 Poroh (3-sea.) ? 31 Ext. AI[ - Muki ? 22 PorohlAddn. (4sea.) ? 33 Ext. Att - SF ? 23 Porch (screeNgazebo/pergola) ? 36 Mutti Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Irrterior O 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors •Demolidon (Entire Bldg) - Give PCA handout to applicant Descriotion: water oamepe _ ves Valuation 306V ev Occupancy «G 'y MCES System '- Plan Review i?q 100% or _ 25°/a 2enG Z/PG Census Code Zoning R- 3 City water SAC Units - Stories - Booster Pump # of Units Sq. Ft. ?2 .7 8 PRV ? # of Bldgs Length Fire Sprinklered ? Type of Const Width ? REQUIRED INSPECTIONS Footings (new bldg) _ Sheehock ? Footings (deck) Final/C.O. _ Footings (addition) Ai- Final/No C.O. Founda.tion ? HVAC Drain Tile Other Roof _ Tce & Water _ Final _ Pool Ftgs _ Air/Gas Tests Fioal _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace RI. AvTest Final Windows _ _ Insulation T _ Retaining Wall Approved By: Building Inspector Base Fee v Surcharge Plan Review MC/ES SAC City SAC Utility Connedion Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ??0 so? V "*%& Q/ Y" For: U. S. Home Corporation ? C. R. WINDEN 3 ASSOCIATES, iNC. LAND SURVEYORS TaL 645-3646 1381 EUSTIS ST., ST. PAUI, MINN. 55108 ? Scale: 1" = 50' ? \ \ ? \ \ ? ? F EAGAN 4REVQE ?? BV.6 BUILDING It;,'-fCYlONS DBNISION Note: As of this date Johnny Cake Ridge Second Addition has not been recorded. Lots 1 thru 4 inclusive, Block 6, Johnny Cake Ridge Second Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT TMIS IS A TRUE AND CORRECt REVRESENTATION OF A SURVEY Of TFIE 60UNDARIES OF iME LAND A60VE DFSCRf6ED AND OF THE LOCATION OF ALL 6UILDINGS, IF ANY, TMEREON, AND All VI516LE ENCROACHMENTS, IF ANY, FROM OR OP1 SAiD LAND. Detad this 27fh day oi MOV, A.D. 1979 C. R. WINOEN 6 ASSOCIATES, INC. br . . . Survayo?. MiwMtOlo Ropi?twlien ?. 77zs My 0f LLLnELLn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Pax:(651)675-5694 ------------------ i oralc-&Ius? j Permil #: j I 1 ? Partnit Fee: ?. j Date Received: ? i ? I Staff: I I 4 ? - J 2008 RESIDENTlAL $UILDING PERMIT APPLICATION Date: SiteAddress: q6 Tenant: ra 15v i ytLl?-c.5 q151 464( <-l Ge.3 ? Suite RESIDENTIOWNER Name:JC)L c_:g-f{?? ?-/Phone: Address / Ciry / Zip: Applicant is: _ Owner Contractor TYPE OF WORK Descriptian of work:?? -'+?' G'rr- •-4 !q?c-'4zer- ?? Construction Cost: ? ? ?' MWli-Family Quilding: (Yes No CONTRACTOR Name:/0/C,'--e?1_ GSjra T r?'iOj ? G?ZC License #: a0I5 -C7 4T 7 3 . Address: ?E&-7 G,,P,7 e_ /!,/ City:/Z'IL ???':?v? State: Zip: 55-31I - Phone: l r / Contact Person: c/ , f? ??? % ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 7 Minnesota Rules 7672 Energy Code . Residential Veniilation Category t Wwksheet . New Energy Code Worksheet Cate or Submitted g y Submitted (d submission type) • Enetgy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan7 _Yes _NO If yes, date and address of master plan: Licensed Plumbec Phone: Mechanical Contrector: Phone: Sewer & Water Contrector: Phone: ; NOTF; Plans and supportfng documents that you submit are considered fo`be pubUC informatton. Portlonsof r: the inform$fion may lie classifled as no'n-public; N you-proylde specifrc reason's-that would permit;the Clty '? =?- - concludelhatthe ere`#radesecr;?ts. . I hareby acknowledge that this information is complete and accurate; that the work will he in conformance wfth the ordinances and codes of tha City of Eagan; that I understand this is not a permit, but only an application for a permi[, and work is not to start withouf a permR; [hat the woHc will be in accordance with the approved plan in the case of work which requires a review and approval of p s. C ' X ?m MEc>9_161 X ? r fyj?-. ApplicanYs Printed Name ' .nK"o?u(ecanYs Sianatuest"Page 1 of 3 _ f rordf~co; e I s ~ :::::4" Ci6 o1 EaQall 1 3830 Pilot Knob Road Date Receive Eagan MN 55122 Staff:. Phone: (651) 675-5675 t Fax: (651) 675-5694 - --2o09 RESIDENTIAL BUILDING PERMIT APPLICATION d/57 ~G L/Ct l L/C 3 rep `~y~.~-7' ~ ~ Date: Site Address: Suite Tenant: C2'7•L ~r If ~f°~ ° F' c~r'~ G Vii'', 12 ?phone: RESIDENT I OWNER Name: Address I City ! Zip: Applicant is: Owner Contractor 10 TYPE OF WORK Description of work: J Construction Cost: 5'' 0 Multi-Family Building: (Yes / No CONTRACTOR Name: /L~fht fr' 7/`~COfl e y// S 'x License Address: City: / r/?f~G~ State: Zip: S~ Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cate 0 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet _ . _ • New Energy Code Worksheet Category Submitted Submitted . Envelope Calculations Submitted submission type) Energy 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 maybe classified as non public rf pu`pro ide spec is reasons`that would permrt theCi'ty to conclude that "t#ae are`trade secrets, I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wilh 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 rk is no n start without a permit: that the work will be in accordance with the approved plan in the case of work which requires 1E iw and approval of pia x ~ m ~frf' Applicant's Printed Name` A i ant s Signature page 1 of 3 '00i'l ' C. A. WINDEN & ASSOCIATES, INC. LAND SURVEYORS To. 145.3646 1381 EUSTIS ST., ST. PAUL, MINN. 55106 For: U. S. Home Corporation Scale: 1" 50' Cell/ 01 Qt J~aog'ti hn Q 0 A ti 09. oc'> 4 3 A Note: As of this date Johnny Cake Ridge Second Addition has not been recorded. Lots 1 thru 4 inclusive, Block'6, 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. Catsd 1I?i• 27th dor 4i NOV A. D. tt 79 C. R. W INDEN & ASSOCIATES, INC. % #?x Sw'ryr~r, Mipt?fsNa R atrotla~ N. 222 �r � r,� �,j �,/ _.�: l�aJ �, L(2�� f �r(� I, I ��;� -- Use BLUE or BLACK�c r ---------------. 1 For E�iice I1se i i � � Permit#: �J� � �t of �� Il �� Permit Fee: < ,�� I 3830 Piiot Knob Road ! ► Eagan MN 55122 � Date Received: � Phane:{651)675-5675 � } Fax:{651)675-5694 � Staff: I 1 l . � . � . . . . � . � . � � � � ��.��....... - �.�� J 2014 RESIDENTIAL BUILDING PERMiT APPtiGATION �t�� ..�- '"I,�"�� Site Address� L-1�5d�'-"t�/�g 3 r��5G lil��1�� u„�t:#, � Name: ��'1✓��-t' t'—�'��. �r::„�hs�r L: .�fi�� Phane: � f�eslden#t OWCt�c Address/Ci#y/2ip:��r�}'"�' /��,�,� � APPlicant is: Owmer � Contractor �v� � �- � "�' Type o�Work Descriptian of work: � G�l� � � ��'�' , � ; Construction Cost: ��'c��p Mufti-Famiiy Buiiding: (Yes � !No� Company:tVf?YZt��°.5� C� c�v7%s�r�C,��17�'S '� C no tact t/r� /�G�7��% CCirit1'3�f�1' Address:Q�(j�2 Z✓$Y1�✓/ �js� Lr!�}n°Z �d City:j�r'�'�- ��l'ti'"� � � '�_ G'�`��-��`'�" 1` � State: Z : �� PhonB: Email:t �rn�d9 Jd'L�GS`7��d yl�i��u t�v — Lfcense#:�� I.�� Ll 7� �n v_c:�t--• , �eaa Certificate#:M,a-t�,..r>/i 1 r�3 -°1 If the project is exempt from lead certi€ication, please explain why: (see Page 3 for additional information} COMPLETE THiS AREA t3NLY IF CONSTRUCTING A NEW BUtLDING !n the fast 12 mant , t1�City of Eagan issusd a permit#or a similar pian based urt a master pla�? ' Yes �No If yes,date and addr f master plan: Licensed Plurnber: Phone: Mechan'rcal Contractor: , Sewer�Water Cont r: Phone. 1114FE. s=ar�d.�uppartin,g dc�cumertt,s fl�a#you st�btnit are consid'er�d#t�L�e publ`r�in�,r��a�n: Pz�r�ort�of ' ��fot�natia+�rnay�e�/ass�ed as nan�pt�blic if yau provide�pec�c n�asotrs#hat wc�crfd�e�mlt#�e C�,y?ta ' " '� � : � ' �� c�n�Iude#ha#the`� ar�e�eade secref� '� � � � � ` CALL BEFORE YOU DIG. Calt Gopher 3tate One Call at(6S1}q54-0002 for proiection against underground uGlity damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.QOOherstateor�ecail.ora I hereby acknowiedge that this iMormat�on is complete and accurate;thai the v�rork wili be in c�nfamanc�e writh the ordinar�and codes of the Giry o# Eagan,fha#1 understand this is not a permit,buf only an application for a peanit,and wr�rk is not to start without a penni#; that the wo�lc will be in accordance wikh the appmved ptan in the case of v+rork which requires a review and approwat of plans. E�cter�or v�ork autharized by a buildl�permit iss�d in accordance with the Minn�ota State ilding Gafe mt�!1�complet,ed within 180 daya af parmit issuance. �,c � x i/' I'�t G " '' x .. ' :. - ApplicanYs Rrinted Name a+tt's Signatare Page 1 of 3 �,� �/ �- �./ �j �,,/ �,/� ; _ 1�� t C�°� l� [ �� l fo�.� Use BLU�or$LAGK I�c � For Qf#tce U�se-------- i � � i Permif#: �,J� � C�t� af��a� �o ; u� � � � Permik Fee. � 3830 Ritot Knob Road '; Eagan MN 55122 � Date Rec:eiv$d: � Phone:(651)675-56Z5 i i Fax:{651)675-5694 I Staff: I t t � � � � . . . � . . � . . � : .. � .t��..�� .�� .�.��1 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �°'��`!� L-�� '�f---�� r r��.rG ��j��/'•\ � Site Addn�s• tlnit#• � p { � tVame: tJC?fT-1�i�Lf' �� tr�t�.�ll�it..:.. � Ptrona � ResrdenU ; �'?Wil�t' Address l Ci#y 1 Zip:�7�✓�°' �� APPficant is: Owner �l�, Gontractor �� Type vf Wc�rk Description af work: ��'� ,�?�� -'R'�� Construction Cost: ��'f l�P � Mufti-�amity 8uiiding:(Yes�/No� Company:LVCJYZtJ�5� C�c'�v'1�y'v9��?�t�/'S '� Contact� r r-vt /�G�t1a�' Address:�t'�� Z'�'�c��'�� L.�j��t /�d City:��'�2- ��I�I.A'�. C�ntra�tc�r � " , �J2--��_fj� State:�Zip; ��,, Phone: ' Emai1:t�►rn��9t3Yt,�5'T��c�Yl`l'�i/��r�v — �YJ v_C:t7 r�a I.icenss#:13� I.�`� � 73 I.�d Cgrt+�cate#:1V�.t-',...�=»Jla 3 �-1 !f the pro}ect is exempt from lead certifcafion, please expfain why: (see Page 3 for additionat information) CflMPLETE THlS AREA ONtY tF CONSTRUCTING A NEW BUILDING !n the last 12 mon# , t#�Glty of Eagan issued a pertnit for a simifar plan based cn a mas#er ptan7 ' _Yes _No 7f yes, date and addr f master ptan: Ucensed Plumber: Phone: AAecl�anical Contractor: Sewer�Water Gont r: Phone: 1�ft7T�'. s'a�al!sr�p�orting documents tltat,�au submit are consFdered tt��e pubtic in�'�rm�ti�rn. Por#iarrs bf rnfor�atioR�rta�r�e�la�s�if"�ed as non=pt�bli�;jf yo�provide�p�i�"fc reast�ns#h��rt�rld�ermit##�te C�y tc� c��clude#lrat�re ar�e d�rde�rets CALL BEFORE Y�U DiG. Cail t;opher Sfate One Call at(6,51)454-0002 forpratection agair�st underground uUlit�r damage. Cait 48 hours befiofe you intend to dig to receive toqte.s of underground utitities. v�u;r.aanherstateonecaiLorg 1 hereby acknowledge thet this iMo►mation is c�mpfete and accurate;that the Hrork wiit be im m�famance wiih U�e ordinances arid codes of the Gity of Eagan;fhat i understar�d this is nof a permi#,buf only an application for a permit,and vvark is not to start without a pertn►t;'that ihe uvork wiil be in - acxordance wath�e aPproved ptan in the case oi vwrtc which requfres a feview and aPRravat ofplans. Exteriw wark autharized by a buiiding permit issued in accordance with the Minnesota Sta#e iiding Code must be ccmpieted within 180 days of p�rmit issuance. �sf� X i/ ' �` �G � f'-j� X ' .r ' �! APplicanYs Printed Name arlt's Sigrtature ; Page 1 of 3