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4677 Ridge Cliffe Dr ? `? 1082 Payne Ave. ?"- St. Paul,-iVIN 55101 651 /772-2449 GAS WORK ORDER STAN DARD 6HEATING09 410 W. Lake St. Minneapolis, MN 55408 612/824-2656 & AIR CONDITIONING A Blue Dot' Service Co. EQUIPMENT INFORMATION LAST HM FIRST ZIP WK PH DATE TYPE MAKE v? MODEL W U 1-?U 4 SERIAL ?-PFML INPUT ORSAT TE ST RECORD C02 ?L % METERED INPUT cj -7 Cfh CHIMNEY TYPE ? VzJ" 4 02 ? % LIMIT SETTING ?. ° FLUE SIZE ? L CO °k PILOT OUTAGE sec CONNECTOR SIZE (pl? OCT id. Z 200 NET STACK TEMP ? TOTAL CHIMNEY INPUT . r. btuh --- ' CITY OF EAGAN " 3795 Wlot Knob Rood Eagon, MN 55122 N2 5541 PHONE: 454-6100 BUILDING PERMIT Recetpt # . ,.;._ To be oad for Est. Value Dote , 19 Site Address Erecr p Occuponcv n Lot Block Sec/Sub. Alter Q Zoninp Repair ? Fire Zone porcel # E i T t f C - n urge ? ype o ons . 19 ?'?'?'esor Ho!?c Nome ''' ` Mowe ? #' Stories z Address 7' L".'? Demolish p Frcnt '-0T1-vL 77 J.7 ... Grode (-l Depth ft. Nome 't'` `: Approvalt reea a Address Assessment ' Permit Woter & Sew. Surchorge Phone P l h k Pl F FW Name o ice Fire on c ec SAC ' ?? Address Eng. t Water Conn. W Pl YV t M t a Ci Phone anner a e er er Council . I hereby acknowledge that I have read this opplication ond state thot Bldg. Off. the Information is correct and ogree to comply with oll opplicoble ' State of Minnesoto Statutes and City of Eagan Ordinunces. APC Total 5ignature of Permlttee ?? ?• di h h i A Building Permit is iswed to: ?? ? on t at on t e express rnn t oll applicoble State of Minnesoto Statutes and City of Eagon Ordinnnces. cli work sholl be done in nccordance with Building Official Prwk # Pww Plumbing - Mechanicol /7 ? SS (? 3 ?.3 O INSPECTIONS DATE INSP• Roueh-In Final Footings Gate Insp. Date Insp. Foundation Plumbing Frnme/ins. Mechanical Final /3 , Remorks: ? --•,. - CITY OF EAGAN ' 3795 Pilae Knob Reed Na Ea9on, Mlnnesote 6Slu Phonr 4544100 PERMIT Dote: u/17/80 1.483 Ridge Cliffe Drive 5lTe Address: INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Lot Block 1 Sub/Sec. .Tlu?y. Cake Ridre Pn Name ?rrin Thorl,ison . Address i?o')1r1? r 's 2' ."1ci ? Ciry `'-nnetona'. , • Phone: Name ?nZ Ryttn . ? Address 1?+7?+5 So. ;?obr1.` , ' ? City pOS?°.?II!.oi.Lit .1r phone: This Permit i s issued on the express condition thot all work sholl be Minnesoto Stotutes ond City of Eogon Ordinonces. New/Alter./Repair r'`e "' Cost of Instollotion Permit Fee • r i Surchorge ? Tofol done in accordance with oll appliceble State of Building pfficicl CITY OF EAGAN 3795 PiW Knob Roaa Eogas, MN 55122 N2 5542 ,• PHONE: 454-8100 BUILDING PERMIT Receipt # To be und fa Est. Value Dete 14 Site Address Erect p Occupancy Lot Block Sec/Sub. 'fitr.": . C Kl: c- - iL.- r, Alter p Zoninp Parcel # Repair ? Fire Zone ? Enlorge ? Type of Const. oWc Name ? Move # Stories ? qdd,rgu . ` , - . Demolish ? Front ft. 1 f? P Grode p Depth ff. Ci hone Anneernl: Feet ? Nome _ 0? Address r:,.. Name _ Address Assessment - Water & SeW. Pol ice Fire Permit - Surcharge Plan check SAC Water Conn. Water Meter Council _ I hereby ucknawledge thot I have read this application and stnte thot Bldg. Off. the informotion is correct ond agree to comply with all opplicoble APC - Stute of Minnesota Stotutes and City of Eagan Ordinances. Signoture of Permittee A Building Permif is issued to: oll work shall be done in accordance with all Total on the express condition that Statutes ond City of Eagun Ordinances. Building Official PMnM # DaM 1 rmwNfN Plumbing A 079 4 /7 Mechanical ? 7(p 2 D INSPECTIONS DATE IMP• Rouph-In Pinal Footings Date Inap. Dote Insp. Foundation Plumbing Frame/ins. Mechonicol Finnl :Z3,? zk Remarks: „ No. 1W cirY oF E?caN 8745 Pllot Knob Rood Eo9ee, Minnesota 95123 Phone: 454-8100 PLL;,1L'IP'G PERMIT Dote: :;/17/80 Site Address: 4631 RidFe Cliffe DY'1ve 4 Jh'T?T•Cv}:? ?d?.^r.d Lot Bixk Sub/Sec. Nome ?rrfn `?'hoa^?son ` Address _ "? ' , _ - - , i ..,:'; ' ,•.^' ? rrP.'? Ciry `Iinnetotil:a,MT'd phone: Name ?':Z °`.T3I' ? Address 745 °•O. RObPTt ? City 7`»-' y Phone: i This Permit is issued on the express condition thot all work sholl be Minnesota Stotutes and City of Eogon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: 1 ' Single I Residentiol Zi- P1.C:_ Multi Res., Comm./Ind. I New/Alter./Repoir Cost of Instollotion Permit Fee P0•0r, Surthorge ' Total done in occordance with all opplicable State of 8uilding Offfcial cirY oF E?GAN 3795 Pilet Knob Reed No. ,-, gaoe", hU"uesote sslu INSPECTOR NOTIFICATION Phem: 454-a100 REQUIRED BY LAW 4- PERIVIIT FQR ALL INSPECTIONS Dote: - Receipt No.: ? Single I Site Address: r`? c:°'e1 rf.' '.)T. Residentiol % Lot ?' rrIBlock Sub/Sec. ?} \'L1/)L¢.L'`??' /? ulti Res., Comm./Ind. . ? ? Name 'Liel Plemetz Address = 11 `' City ? ? Phone: - Nome , "(' Address :?. i i'n2'I:i New/Alter./Repoir. Cost of Instollction I Permit Fee SurcFarge 5.00 50 I City = Phone: Total This Permit is issued on the express condition thot oll work shall be done in accordance with oll opplitoble Stote of Minnesoto Stotutes ond City o4 Eapon Ordinonces. Buildirg Officiol . : cirr oF EA"N `'• 3795 Pilot Knob Road Eagan, MN 551 Z2 N2 5540 PHONE: 454-8100 iUILDING PERMIT Receipt # Site Address Lot Block Sec/Sub.? . '?•-' - Parcel # oWc Name 2 Address 3 ° Ci Phone Erect ? Alter Q Repair ? Enlarge ? Move p Demalish ? Grade ? Occupancy Zoning Fire Zone Type of Const. # Stories Front ft. Depth ft. a Name Appravals Fees ,o u? Address Assessment Permit Water & Sew. Surcharge ~ Ci Phone Police Plan check Lbu W Na^e Fire SAC r ?? Address Eng. Water Conn. <W Ci Phone Planner 1Nater Meter ?. Counci I I hereby ocknowledge thot I have read this npplication and state that gldg. Off. the information is rnrrect nnd ogree to comply with all applicuble APC • Totol State af Minnesota Stntutes and City of Eagon Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition thot oll work shull be done in accordonce with nll opplicable Stote of Minnesota Stotutes and City of Engan Qrdinances. Building Official ?. `. 1 hrmie # Dat• lon Pwmitt" Plumbing 7 Mechonical 1 (p / INSPECTIONS DATE INSP. RoupMln Final Footings Dote Insp. Date Insp. FoundaYion Frame/ins. _ Plumbing Mechnnicol Finol ? '> G Remarks: 5 r`- 8-C) .? 6 - ) -7 - 8c) '< I . cirY oF EAGAN 3795 Pilof Knob Road No.' Eagen, Mlnnesote 55122 Phone: 454-8100 PERMIT Dote: Site Addreu: -'id'r Cli `.' _°e '),.iv,-- Lot J!iny. Cat:e Rdg. ?nd Block Sub/Sec. Ncme T.. ITi 8 . g Address ?71•- ': ?::kin: ?r-??? r?,?,i ? City _lneton2:a,' ' Phone: Name eri2 RYP-'_ r ? Address 1?745 Co, . ? City Phone: This Permit is issued on the express condition thot ail work sholl be Minnesoto Stotutes ond City of Eagon Ordinonces. Receipt No i Single ' _-'r?-• I Residential Multi Res., Comm./Ind. I ,. ,•. New/Alter. /Repoir Cost of Instollotion Permit Fee Surrhnrna Totol done in accordance with oll cpplicable Stcte of INSPECTOR NOTIFICATIQN REQUIRED BY LAW FOR ALL INSPECTIONS Buildinq Officiol No. 4 12, cirY oF EAw?N 3795 Pilot Kwob Reed Eogen, Minnesota 55122 P6ewa: 454-8100 ? PERMIT Date: Site Address: Lot ` 1-7-81 :C77 Ric'lgeclif_f Blxk 14 Sub/Sec. ZTC` (Z-- Z Comm. / I nd, Nome New /Alter. / Repo! r ? ? Address Cost of Instollotion City Phone; Permit Fee Name ` ? Surchorge ? Address City Phone: Totol This Permit is issued on the express condition that all work sholl be done in occordance wlth all opplicuble State of Minnesoto Statutes and City of Eogon Ordinonces. INSPECTOR NOTIFICATION REQUIRED SY LAW FOR ALL INSPECTIONS Receipt No.: Single Residentiol Building Official cirY oF EAcAN 3795 Plle! Kne6 Resd . Eogae, Minnasota 55122 No. P6ene: 454-8100 PERMIT Dnte: 9-19-80 Z679 Ridgecliffe Dr. Site /lddrcss: ? f? I B Lot lock Sub/Sec. 1? iar? For3 - Nome ` 3 Address S F_U''1f' O City Phone: Nume TneT8 Soft Water ? ???.' California ?' Address " Ciry ' . Phone: This Permit i s issued on the express condition rhot ail work sholl 6e Minnesoto Statutes and City of Eagan Ordinances. INSPECTOR NOTIFICATION REQUI RED BY LAW FOR ALL INSPECTIONS Receipt No.: `:()98z Single Residentiol Multi Res., Comm./Ind. I ne.? New/Alter./Repoir. Cost of Instollotion Permit Fee Surcharge ' Total done in accordance with oll opplicable State of Building Official CITY OF EAGAN ? 3795 Pilet Keob Rood Eogen, MN 55122 N2 5539 , PHONE: 454-8100 , BUILDING PERMIT / Receipt # To be usW for Est. Volue Date , 19 5ite Address ' Erect Q pccuponcy Lot Block Set/Sub. Alter ? 2oninp parcel # Repair ? Fir+e Zone Enla?ge ? Type of Const. oWe Name ' Move ? # Stories ? Address Demolish ? Front ft. Ci p??e Grode p Deptfi ft. ? Nome APProveh Fees 0 Address Name _ Address I hereby acknowledge that I have read this application and state that the informotion is correct ond ogree to wmply with all opplicable State of Minnesoto Stotutes and City of Eagon Ordinances. Assessment - Water & Sew. Police Fi re Eng. Plonner Council Bld9. Off. _ APC Permit Surcharge T Plan check SAC Water Conn. Woter Meter Total Signature of Permittee I A Building Permit is issued to: on the express condition that oll work shall be done in occordante with oll oppliaoble Stote of Minnesota Statutes ond City of Eagan Ordinances. Building Officiol Permk # Dsh IwneL PMwMh" PI umbing Mechanical / "' (,, (> g 3 d S?S/d?(a( .3 /? ? Q_C_c? . INSPECTIONS DATE INSP. R???n Final Footings Date Irop. pate tnaw Foundation Plumbing ? 735 ? V R-10 Frome/ins. S' ? oQ Mechanicol ? Final ?L` Remarks: /'eI cirir oF E?GAN 3795 Pilot Knob Reed Eogen, MinnyoM 55122 No. PAone: 454-E100 PERMIT Dote: t 1? / , Slte /lddrcu: Lot Thnv. Ce.ke Rd¢. 2nd :ouoi?,ec. •?IT"] _???,r,..?? , ? . ? v.".nc Name ? 171' ;.C,.-_ :l]'r`q!` ; Address O ' ??:?etc?nka rc_, City ' Phone: . _.,.. Nome - . ? Addreu e 0 City Phone: This Permit is issued on the express condition thot oll work sholl be Minnesoto Stotutes ond City of Eagan Ordinonces. 4677 Ridge Cliffe Drive Block INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Singie I Residential Multi Res., Comm./Ind. I fVew/Alter./Repair. Cost of Instollotion Permit Fee Surtharge Total done in accordarxe with all opplicable State af Buildinq Officiol CITY OF EAGAN Remarks - Addition :JnfIlIjN 'LCAKE RLIILiF 7T1ti Lot 1 Blk 4 Parcel # 10 39801 010 04 Owner L. . L ' It street 4677 R1d$e Cliffe Drive state_ Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRAQING SAN SEW TRUNK ,30 1975 66.97 4.46 15 * SEWER LATERAL 3`.3$ WATERMAIN * WATER LATERAL WATER AREA .?2. IggO 158.81 10.59 15 STORM SEW TRK ,j?? * STDRM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. It - tv BUILDING PER, of It SAC 11 it PARK . CITY OF EAGAN Remarks Addition -T(1FtAT1UY rAKE R,TnjyELot 2 Bik q Parcel #14 39801 020 04 Owner;! ' Street 4679 RiclgP Cliffg ilrivP State-Fagani MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK p 1975 66.97 4.46 15 44.67 C006869 1 0 *,6EWER LATERAL 35, WATERMAIN * WATER LATERAL WATER AREA I980 1$8.81 10.$9 iS STOFM SEW TRK J/"a , * S70RM SEW LAT 1981 CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN. 71 BUILDING PER. 11 i+ SAC Ir +i PAR K CITY OF EAGAN Remarks " Addition :701MY CAKE RTDG'F. 2nd Lot 4 BIk 4 Parcel #10 39801 040 04 owner I?lj?;. "" streec 4681 Ridge Cliffe DTive 5tate Eagan, HQV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK p 1975 66.97 4.46 I5 * SEWER LATERAL WATERMAIN * WATER LATERAL WATER AREA ya?.• O 1$8.51 ZO.$J IS STORM SEW TRK * STORM SEW LAT igRi CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 970-00 to - It BUILDING PER. if it SAC 00 525 PAR K . CITY OF EAGAN Remarks Addition :T()H= rAK,E1tTI)GE 2Ad Lot 3 Bik-4 Parcel #10 39801 030 04 Owner Street 483 Ri d,g .• lff . n i v. StateHagan .. MN 55I22 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 3o 1975 66.97 • * SEWER LATERAL ,y.;7? WATERMAIN * WATER LATERAL 81 WATER AREA .$8.81 I0.59 1$ [ STORM SEW TRK ..5,1 ? 1981 343.41 68.68 5 34241 12006876 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. It BUILDING PER. ASS4 SAC PARK CASH RECEIPT CITY 'OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 wcccrvao FROM AMOUNT $ I oaLLwRs ,oo ? CASH ? CHECK rOR ' YVhite-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BY i ?? CASH RECEIPT CITY 'OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 n¢cKrvao FROM aMOUNT $ I & DOLLAR4 tee ? CASH ? CHECK . ? ./ . FOR • . :41 - 44'iA' 1, , '?_- '7/. i ; FUNO COCE AMOUNT Thank You <=°a-- . BY " White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY ' 4F `EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 eeceiveo FRdN AMOUN7 ? I ? CASH ? GHECK DDLLARS too FOR 7? FUND GODE AMOUNT Thank You c>1°?- 8 Y ? White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY ? OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ I & DOLLARS ;oo E]CASH ? CHECK FOR ? Th/Jank You el--, B Y YVhite-Peyers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN SEWER SERVICE PERMIT 379; P;lot Knob Roed PERMIT NO.: Eogon, MN 55122 DATE: Zoning: No. of Units: B to comPlr WiN, N,e G+y of Eogoe Connection Charge; ? Account Deposit: ?ncas. Permit Fee: Surchorge: Misc. Charges: of Insp.: Total: _ Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3'095 P,'lot Knob Road PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No, of Units: Owner: _ Address: Site Address: PlumN_r: Meter No,: Connection Charge: 1 Size: Account Depvsit: Reader No.: Permit Fee: 1 ugree to eomply with }he Ciry of Eagan Surcharge: Ordinonoes. Misc. Chorges: Total: By Date Paid: No.. M aomply with the City of Eagan ess: Address: ClT" Of EAGAN 379s Pilot Knob Road Eogon, MN 55122 t onmg: ?ner: dress: ite Address: lumber: I egree !o oomply wiH+ the Ciry of Eagan Ordinances. By Date of Insp.: CIT" OF EA6AN pplot Knob Rond ning: ner: dress: [Reader an, MN 55122 e Address: mber: ter No.: e: •No.: greo to camply wiH+ the City of Eayoe dinances. WATER SERVICE PERMIT Connection Charge: - Account Deposit: Permit Fee: Surcharge: Misc. Charges: Totol: Dnte Paid: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connectian Charga: AGCOtlRt DCPOSIt: Permit Fee: Surcharge: Mist. Chorges: Totat: Data Paid: Y • WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: -.-_-- Connection Charge: Account Deposit: _ Permit Fee: Surchorge: Misc. Cfwrges: ? Total: - Date Paid: By Date of Vnsp.: SEWER SERVICE PERMIT Rood PERMIT NO.: L2 DATE: No, of Units: 5ite Address: Plumber: 1 agree to wmply with tha Ciryr of Eagon Ordinanees. 1 ? Y ?Date of Insp.: ? nsp.. ? It WATER SERVICE PERM IT ? EAGAN Jot Knob Road PERMIT NO.: MN 55722 DATE: Coning: - No. of Units: Owner: Address: Site Address: PI umber: Meter No.: Connection Charge: 5ize: Account Depos;t: Reader No.: Permit Fee: 1 agree to aomply with fhe City of Eagan Surcharge: Ordinanoea. Misc. Chorges: T t l o a : , B ' Date Paid: y Date of I nsp.: I nsp.: ` ITY OF EAGAN : pilot Knob Road gan, M?i 55122 wner: _--- ddress: il'ilumber: ning: ---- te Address: rea 1'c eomply with the City of Eagan 1 ag Connection Churge: Account Deposit: Ordinonces. Permit Fee: $urcharge: Misc. Chargess By - p.: Date of Ins Total: Date Paid: I nsp.: Connection Charge: Account Deposit: Permit Fee: Surchorge: Misc. Charges: Total: Date Paid: . io SEWER SERVICE PERMIT PfRMIT NO.: DATE: No. of Units: CITY OF EAGAN ' 3795 Pilaf Knob Rooa ? Eagaw, Minnesota 55122 P6one: 454-8100 H.F:A2I23G 1763 PERMIT No. Dote: 4/3/80 Receipt Na.: l"! 40 7 lt683 RiCi$e Clife 10. Single I Site Address• Residential 1 n!' l, -n1.@X ". 3 4 Jhny,Gake Ridge d I Lot Block Sub/Sec. _ _ Multi Res., Comm./Ind. Orrin Thampson I10mes Ncme New/Alter./Repair new ? 1712 xopldns croasrosa ; Address Cost of Instnllation a lu?i.tmetaenka, rA+i ., City Phone: Permit Fee N' •?' ' Ray YFelter Henting Name Surt.harge. ? $ 463? r,h-r capo Ave. ? Address u ?.`?ys . ••,? AC 55[,^^ '? 5-?^?,7 City Phone: Total This Permit is issued on the express condition thot all work sholl be done in aCCOrdunce with oll applioable StOte of Minnesota Stotutes and City of Eagan Ordinances. Build(ng Official CITY OF ' 3795 Pilof Knob Road • Eagon, Minnesota 55122 Phone: 454-8100 F•:r..4':ING= PERMIT No. 17F. 2 4/3l? ??7 Dote; Receipt No.: 1!? Single Site Address: 461'l Rtdge Cliffn D"I^e Residentinl ' - - Lot Block 4 Sub/Sec. _JhY'CakP Ridre 2nx Multi Res., Comm./Ind. Name Or!'ln Tl?BO?I 'i'w New/Alter./Repoir 3 Address 1712 110p1dl18 CrosSt`OFtd Cost of Installation ? ??21T?tiOT1?SA ?V City ? Phone: Permit Fee ???•'- ~? Narne RaY Nelter }iesting . Surchorge . ? nddress 46 ?' C?d r.age Ave. ? . - - -." , - ^, -,` 4n? t ^5_6s?r City " ' ' _ Phone: ' Total This Permit is issued on the express condition that all work sholl be done in otcordance with oll cpplicoble State of Minnesoto Statutes and City of Eogan Ordinonces. Building 09ficial I ' CITY OF EAGAN ' 3795 Pilot Knob Road Eognn, AAinnesota 35122 Phone: 454•8100 IIEATING - PERMIT Na. ? ? 74vi Date: 41 j/51 Receipf No.: 164V'I Single Site Address: 46 ' ':idr?e C? iff e Residential 1 Of '?-pl@X Lot ? BI«k 4 Sub/Sec. Name OrriA 'thompom H(X31e9 nE?d? New/Alter./Repair g Address 1712 Hopid238 C2`O$8i'06d Cost of Instcllation O x. . City Mimmetonka Phone: Permit Fee _ ` Narne RaY Welter Heatiw, Surchor9e ? Address 4637 ChiCii..°O Ave/ ? ' i>, -rz,1)" ? City Phone: Total This Permit is issued on the express condition that all work shnll be done in nccordonce with all opplicable Stote of Minnesota Stotutes and City of Eagun Ordinances. ? Building Official `- l ? - . ` CITY OF EAGAN - 3795 Pilot Knob Road ? Eogon, MinnesoM 55122 Phone: 454-6100 PERMIT Date: - - Site Address: 4677 Aidge Cliffe Dr. 1 4. Lot Block Sub/Sec. JhzW. ?',l88 Name Orrin Thomp90n • Address 1712 HopkiI18 ?'iT088PO8d e ? 2dinnetonla, 553431 5G4-71'2133 City Phone: Ray Welter Heating Name . 4637 Chicego ? Address e o ,, ? ? ""•I 5517 i??_F?t=,7 City Phone: This Permit is issued on the express condition thot oll work shall be Minnesoto Statutes ond City of Eagon Ordinances. No. 17fi0 18447 Receipt No.: Single I Residentiol 1 C.f I+-pyey Multi Res., Comm./Ind. I New/Alter./Repair n°v,• Cost of Instollotion Permit Fee 2C-' 10 surcharge Total done in occordance with all opplicoble State of Building Official This request void 18 montha from iS/-71 Date of this Request Fire No. S 51864 I, censed Electrical Contracto OOwner, do ereby r q est inspection of the above electri- cal ivfring installed at: ?j .? e,,- Z,C?_ Street Address or Route No. ??? ??? ifi-o ? City Q4*4 Section Township Range County Which is occupied by `otyu' (Name of Occupaat) (? ? Is a roughin inspection required on this job? No ? YReady Now ? Will Ca11,?PC. Power Supplier 1EP. Address rAf4 `ueiuj Electrical Contractor ????(Mt? Contractor's License NG°.? (COmpany Name) ' Mailing Address C , l fcf- ??f( 64et cal ??`` r ar Ownar Making This Installatlon) Authorized Signature /?..J Phone No. 9WZ>?P5 (Electlcal Co'n4ractor or own r Making 7nis InztallaUOn) . Q- This inapectian request will not 6e accepted hy the State Board unless proper inspection fee is enclosed. minnesota aiace ooara or c?ecaiciry ? Griggs Midway 81dg. - Room Nt91 ? niversity Ave., St. Paul, Minn. 55104 - Phone ?97-2111 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST / y /E?O(?1-02 C) ? S 51864 TyFe of Building New Add. Rep. Check Appiiances Wired For Check Fquipment Wired For Home ? ? Aange Temporary Wiring ? Duplex ? ?? WaterHeeter ? LightingFixtuies ?' Apt. Bldg. ? ? ? D ? Electric Heating ? Commercial Bldg. ? ? ? F Silo Unloader ? Industrial Bldg. ? ? ? n'? Bulk Milk 7ank ? Fa?m ? ? ? List Other ? ? ? k eis ere OHthers# ere COMPUTEINSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Cucuits: # Fee 0 to 100 Am . ? 0 l0 30 Am eres 0 to 30 Am eres b• IOI to 200 Am s. 31 to 100 Amperes 31 to l00 Am eres ANove 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Contro] Cire. Partial o? othec fee Signs Special Ins ection Minimum fce E Remazks TOTAL FE ? . ? ? I, the Electrical Inspector, hereby certify (Final) This request void 18 months Crom the ab veiinspection has 6een ma?-? ?a P;., j o?J //,??J/?,?.1! ? Date ? ?? ??e _ ? -??- ; i;,Y---?=-.r--., Wl uest void hs from Da e'o this Request ? 0 ? Fire No. S 51863 p`tion of the above electri I, ? s`? p Licensed Electrical Con,tr?? r 40ywn ?do hereby sequeZ ins - cal? in ?g installed at: t7 C c.?Y .?o Street Address oi Route No. 4K c,4T,` '''1"'• Citymbw" Seetion Township Range County Which is occupied by Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Ca? Power Supplier Address ftfzhIl,15W Electrical Contractor Contractor's License No? ,[' Compa?nyj N?ame) Mailing Address nn fl 1?. {uec ma onc caor or uwner maKm9 i nis inswuauon) Authoriud Signature Phone No. ?a&tr (Elactr cal Co ractor or Owoar Makinq This Installatlon) °?? uThis inspection request will nat 6e accepted 6y ffie Stete Baard unlass proper inspection fce is enclased. Minnesota State Board of ElectriCity / Griggs Midway Bidg. - Room N191 EOQ001-02 1 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 REQUEST FOR ELECTFtICAL INSPECTION S 51863 (, ECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired For Check Equipment W'ved Foi me !,.p7?I- ? ? Ho -171 Rangc ' Temporary Wiring ? Duplex ?LI D ? Water Heater Lighting Fictures ? Apt Bldg. ? ?? Dr ec , ? Electric Neating ? Commercial Bldg. ? ? ? F Silo Unlaader ? Industrial Bldg. ? ? ? A?. ? i BWk Milk Tank ? arm ? ? ? R L rs? pLisl e fs? O[het ? ? ? ere H re COMPUTEINSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfceders: # Fee Citcuits: # Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers RemoteConvolCire. Partialoxotherfee Signs Special [ns ection Minimum fee $5 Remarks TOTAL FE ? ,S 0 ? I, the Electrical [nspector, hereby (Final) This request void 18 months from has beencg aaE-? Date 5 ary d .pate ?-/?-? A eyuest void 1917 1 nths from Date o this Request Fire No. S 51862 I, as Licensed Electrical Cont?tor O01 er, QO hereb request inspection of the a6ove electri- cal wiring installed at: Street Address or Route No. ("0 1 ' wV?` CLiI`F Dkl ity &NUW Section Township Range County Which is occupied by Is a roughin inspection xequired on this job? No ? YeOf-- Ready Now ? Will CalCK PowerSupplier p4A Address f pot, &1n Electrical Contractor Contractor's License No4.370 (COmpany Nam<) Mailing Address 1`f i l ?.. n ? P. Authorized Phone No. (Electflcal CohtraCtof o/ Owna/ Makln9 Thls Install8tlon) ,??1 , r} i)M This inspection request will not be accepted by ffie L., __??';?? ,? c?l State Basrd unless propar inspection fee is enclosed. mmnesota StaY 1fo2ra or tiacmciry Griggs Midwa 81d9 Room N791 im University Ave., St. Paul. Minn. 55104 - Phone 297-2111 .. REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST /!/ / QI/ 2 S 51862 Type ot Building New Add. Rep. Check Appliances W'ved Foi Check Fquipment Wired For Home ? ? Range (,}??7? Temporazy W'ving ? Duplex 0 ? Wacer Heater LJ Lighting Fixtuies ? Apt. Bldg. ? ? ? Dryex ? Electric Heating tommercial Bldg. ? ? ? Fu ? Silo UNoader ? Industrial Bldg. ? ? ? Air n-? / Bulk Milk'Cank ? Farm ? ? ? List P „ . List Other ? ? ? p Hei --j ?` p eiersI H COMPUTE INSPECTION FEE BF.LOW ? Service Entcance Size: # Fec FeedecsBSubfeede[s: # Fee Ci[cuita: # Fce 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres ,W IOl to 200 Amps. 31 to ]00 Ampetes 31 to 100 Am res Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers RemoteConUOlCire. Partialo,otherfee Signs S cial Ins ection Min"vnum fe ? Remazks 3/ J d TOTAL FE ? I, the Electricat Inspector, hereby c?jS?' tha?? je; os ms ction has been m e. (Rougtt-in) (/c.?.i_.'"?' Date ?- T (Final) ? Date ?'- This request void 18 months from This reqyest void 18 months from /g/7/ Date o this Request Fire No. s 51861 I, a icensed Electrical Contractor OOwner, do hereby requ t i spect2io-n`o the above electri- cal ' 'ng installed at: Street Address or Route No. ?JbbC- (L`ftfr O2v • City Mari lion Township Range County ?kp-a Which is occupied by 1 hii'N ls a roughin inspection required on this job? No ? YsM Ready Now O Will Calltl:' Power Supplier ? Address ` W''i ?1 UN Electrical Contractor v&NA- E?a3A"4- Contractor's License N??L (COmpany Name) Mailing Address Authorized Signature aI Ownef Making No. (l '?-5w (Electrical Contractor or Owner Making Tniz Installation) This inspection request will not be accepted hy the - v ?-? ??: ?-/.•- i?? State Board unleu proper inspection fee is enclosed. Minnesota swte noara ot tiecviw[y . Griggs Midway Bldg. - Room N791 University Ava., St. Paul, Minn. 55104 - Phone 297-2111 40REQUEST FOR ELECTRICAL INSPECTION ECK BELOW WORK COVERED BY THIS REQUEST /kl°1- o/ S 51861 Type of Building New Add. Rep. Check Appliances Wrted FoT Check Fquipment W'ved Foi Home D2L ? ? Rangc Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? t. Bldg. ? ? ? Dry e ?] ElecVic Heating meicial Bldg. ? ? ? Fu - Silo Unloader 0 dusttial Bldg. ? ? 0 A'v o Bulk Milk Tank ? Fazm List List ) O[her ? ? ? Oth Heie 7 ? - Others} Here 7 COMPUTE INSPECTION FEE BELOW Sewice Entiance Size: # Fce Feedeis&Subfceders: # Fee C¢cuits: n Fae 0 to 100 Am s. &D O 30 Am eres 0 to 30 Am re s 101 to 200 Am s. ]00 Amperes 31 to 100 Am res Above 200 Amps. + e I00 Amps. Above l OQ_Amps. Tcansfocmers teControlCirc. Pactialorotherfee ?- ' ns S al lns ection Minimum fee $ Remazks TOTAL FE ?, f0 V? I, the Electrical Inspector, hereby certif,q',i 't the,?a?,ov i s ep ct}qp has been ma d (Rough-in) G-1?7 `'?IDate 7 (Final) ,4/f,. 6611A? ,?(11 Date .? ,W This request void v 18 months from crnr oF Er?caN . 3795 Pile! Knob Road Eagan, MN 55122 N2 5539 d PHONE: 4548100 BUILDING PERINIT APPLICATION RewiDt # - Te ba used for 1 of 11Plex ?Est, Value 43+600 Date 12/11/ 19 79 5ite Addmw 77 Ridge Cliffe Dr. Erect 8 OccupancyR3- LotI_ Block Z Sec/Sub?mnar.Ridga 9nA Alter ? Zonfng Parcel # Repafr ? Fire Zone -v- w 9 0 zG VSy ? Enlorge ? Type of Const. Nome Orrin ThomASOn Homes p.o„e p # Srories Acidmu 1712 Hopkins Crossroad Demotish ? Front 22 ft. c? Minetonka 553 3Phme 5-7333Grode ? Depth ?a. Name 'S-ame Approrah Fees Name I hereby acknowiedge that I hava reod this opplication and stote that the informafion is conect and n9ree to comply with all applicoble State of Minnesota Statutes and Ciry of Eogan Ordirancss. Si9nofure of Pertnittee A Building Permit is issued to: - oll work shall be done in accordonu Assessmenr = Water 8 Sew. Police - Fire Eng. Planner _ Council - Bldg. Off. _ APC Permit Surcharge 22.00 Plan eheck 62.75 snc 525.00 Water Conn.270.00 Water Meter 60. 00 Rd.Unit 75.00 Toral 1,140.25 e S on the express conditioo ffiot and City of Eagan Ordinances. BuildlnB Officiol CI'i1' OF Ea('?AN -, ---•-- j BUILDING PERMIT APPLICATION Ixclu3e 2 sets of plans. 1 site plan w/elevations & 1 set of ernetgy calculations- To He Used For R?ifleLCF Valuation 43 , 600 • oo Date I Site Address: NNy cwv.L Lot Elocx y sec. sub. a,Dme A.+v Parcel #: 14f O.mer: Pddress: City/Zip Cade: Phone #: Contractor: M ES AddLE35: a Division of U SH^mo r...........:__ 1712 HOPKINS CROSSROAD Glty/ZlP COCj2: . MINM1ET(lNkn pq0N 563i3 Phone # : sy `i ? ? 3 33 Arch./Ezg. Address: City/Zip Caie- Phone #: DLC 3 1979 OFFICE USE ONI.Y Erect A _ OccupancY Alter Zoning PD Repair Fire Zone 3 Enlarge _ 'Iype of Const. 7t" Mave # Stories Demolish E'ront a.2 ft. - Grade Depth yy ft. APC APPRDVAIS FEES 6? assessmenrs D Pemit Water/Sewer Surcharge a a ? Police Plan Check Fire 3AC gng , Water Conn. frZ 7 0? Planner Water.Metes ? cl U R it 7 '? Council oa n Bldg. Off. zvrar., /-YO - BUILDING PERMIT Site Address - Lot 2 Block Parcel # cin oF Er?c,nN 9793 Pilof Knob Road Eagan, MN 53122 N2 5540 ' " PHONE: 4548100 l ! 'PLICATION Receipt # plex Est. Value 43,600.00 Date 12/11/ 19 79 --- See/Sub. e.ecr occupancy R3 Alter ? Zoning PD Repair ? Fire Zone III Enlarge ? Type of Const. V Move ? # SMries Dertalish ? F/ont 22 ft. Grade ? Depth j4 k. Aoorovalt Feee c Name ••' " "'ya,. Z Ad 1712 Hopkins Crossroad ? ?inne on a 544- o IName Same 8i Address ?- n«, oti.,.,e Name _ Address I hereby acknowledge thot I have reod this appiication and state that the InformMion is mrrecf and agree to comply wikh all applicable State of Minnewta Statutes ond City of Eagan Ordirronces. Signature of Pertnittee A Buildine Permlt is iuued •o• Orryn Thomnsori i nll work sFwll be done in accordance wit slf/aoolicable'St of Asmssment" Water & Sew. Police _ Fire Eng. Plonner _ COUMiI _ Bldg. Off. - APC Permit ? • ? v Surchorge 22.00 Plan check62' 75 snc 52 .00 Water Conn.270.00 '70.00 x?5`JriMle£er _75- Totul _ on tha express condiHon fhof and City o£ Eogan Ordirwnces. Buiidirg Official -;,c ???'- 'Ib Be Used Eor S1tE PddL'PSS: ,. CITy pF EAGAN Include 2 sets of plans. 1? 1 site plan w/elevations & ?q) BUILDING PERMTT APPLICATION 1 set of eneYgy calculations. :,oF.,ec- Valuatian is, boo•oo Date DCLC 3 1979 OFFICE USE OAII,Y . IAt. 2- BLOCIC Ll SEC./SUb. ?R?c??E? •2faD Parcel #' Oaner: Acidress: City/Zip Code: Phone #: Contractor: AdCZL'ESS: a Division of t1 S 3-!rM= rg.....-.? _ ES 1712 HOPNI,NS CROSSROAD C1ty/ZlP COdE: _ . MInNFTltnlKe a414141 55349 Ptcne #: S'i y - 73 33 Psch./En4 Pcldress: City/Zip Cale: Phorie # : ETeCt IX_ OLYRIpdRCy "C/ 11:?3 Alter Zoning /?49 Repair Fire zone 3 Enlarge _ `iyPe of Const. Move # stories Dennlish £ront 22 ft. Grade Depth 5/ ft. APPROVALS FEFS ? Assessments/ Pexmit s? /aS wat,er/Sewer Surchatge am ?' -? Police sz P? ?eck ? Fire SAC 52S = glq, water Conn. v >o? ac- Planner Water Meter Council Roacl Unit 7s` Bldg. Off. APC T7PP,L b? c) ? cITr oF EAc,AN ? 3795 Pilot Knob Road Eagse, MN 35121' N2 5542 -PHONN 4548100 BUILDING PERMIT APPLICATION Receipt # To be und r 1 of 4 Plex Est, Value k3>600.00 pate 12/11/ 1 q 79 SIM Address uul i Erect [N pccupancy R3 Lot 4 BI«k 4 Sec/Sub. Jhny. Cake Ridge 2ndqlter ? Zoning Pn parcel #. Repair ? Fire Zone TTT Enlarge ? Type of Const. U Name Orrin Thomsson Homes Move ? # Smries Z Address 1712 Hopkins Crossroad Demolish p Front pp fr. o c+tMinnetonka, 553 po. 5_ 7333 Grade p oePrh rt. p Name Addre ? ro... Name 1 hereby acknowledge that I have read this opplicotion and state that the infom+atfon is mrrect and ogree to comply with oll opplicable State of Minnewta Stotutes end Cly of Eagon Ordinarrces. Signoture of Permittee A Bullding Permit is issued to: Brri all work shall be done in accordnnce with all Bullding Officiol ASSessment = Water & Sew. Police _ Fire Eng. Planner - Council _ Bldg. Off. _ APC 1 Fees Permit l?. ?) U Surtharge ? Plan check??. SAC Water Conn.2'(0.00 Tota5- _ on the express condition that Ciry of Eogan Ordinances. .. CITY O£ EAGAN • , BUIIDING PERNIIT PPPLICATION Include 2 sets of plans. 1 site plan w/elevations & 1 set of enesgy calculations. OrC 1 1979 Valuation ?, boo.oo Date '- 2b Be used For R . .. s?,o ?. _ site Pddress: G 91/ i-? OFFICE USE ONLY . oNNNy cnr.e. ??, ?p3 ?t si? ' _ s?./s,?. R,.,.E ?„v ? ? Alter zoning - Parcel #: /ro-c-? ne' Z gepair Fire Zorie Owner: Address: City/Zip Code: Phone #: Contractor: MES AddtegS: a Division ot U Cu-.-,o r...........:__ City/Zip.Code: 1712 HQPKINS Cn^OSSROAD Mir?h?ntiKn 641MN 653§3 Phcne #: Axch./En9• Address: City/Zip Code: Phone #: Enlarge _ TYpe of Const. S? Nbve # Stories DPniolish Front 902 ft- Grade DePth yy ft- APP%)VPSS Assessment5 Perniit Water/Sewer Surcharge - Polioe Plan Check G ?z Fire Slr- v?a 5 gig, Water Conn. ,>o ? Planner Wdter Meter !aD - Council Road Unit 73 Bldg. Off. APC Jiya. ?s TOML cirr oF Er?c,AN 8795 Pibt K4?b Road Fagan, MN 35722 N2 5541 PHONE:'454-8700 BUILDING PERMIT APPLICATION Receipt # / Ts be uwd for 1 of 4P12x Est. Vclue 43,600.00 Date 12/11/ 19 79 Site Address _ l.or 3 Bl«k Parcel # Erect Occuponcy 133 2mdAlter ? Zoning pn Repair ? Fire Zone TTT - Enlarge p Ty{» of Const. 4 W Name ()rri n Thnmzncnn Homac Mova ? .# $tories i ,qdd,ess 1712 Hopkins Crossroad Demolish [] Front pp h. ,.,_Minnetonka ?___ 544-7333 Grode ? oepth 44 ft. 9 Name Addre Name Approrals Feea A55essment I7//70 Water & Sew. Pollce Fim Eng. Plonner Council Bldg. Off. APC Pertnit Surchorge 2 • 00 Plan check 62 • 75 sAC 525•00 Water Conn. 270.00 Water MeMr 60 . 00 Rd.Unit 75.00 I hereby acknowledge thct I have read this application and state that the information is correct und agree to comply with all oppliwble StaM of Minrresota SMtutes and City of Eogun Ordirwnces. Signafure of Pertnittee A Bullding Permit is issued to: -0j Or?f oll work shull be done in accordance witl pplicaJa e-5 te of Total HpirieS on tha expre:s condition tFwi x-Watutes ond Ciry of Eagan Ordirances. Building Officiol -1 ` CITY Of' EAGAN j , BUILDING P£RMIT?APPLICATION Include 2 sets of plans. 1 site plan w/elevations S 1 set of energy calculations. Rb Be Used For R??nF.,?a Valuation tj3,6oo.oo Date D; E 3 19?9 Site Address: ,,,4„>_ r?.?Jt Y1?tsue? OFFICE USE ONLY. :roErect ?_ Occupancy "5.-- Lot 3 Bloc]c L_ Sec./Sub. WocF A„a p,lter 2oning Parcel #: Repair Fire Zone 3 ? Enlarqe _ Type of Const. 7Z Owner: Move # Stories Address: Demolish _ Front Grade DePth S'4 ft- City/Zip Code: Phone #: Cornxactor: ES AddrESS: a Divisian of U S F^.,P r?....-•:-- ^_'_ 1712 HO?KIM1S CROSSROAD .j ??/ZIP ?A?c: - MinlnETnAN4 AnInIPL c Ptcne #: s4'i-?333 Arch. /IIzg. . Address: City/Zip Code: Phone #: APPROVALS FEES Assessnents Z,? PPrrnit /ZS 0 waber/Sewer Surcharqe .2a ? Police Plan Check Ga Fire SAC F vt 4- water I.Dnn• .70 Planner Water Meter ? council Roa3 unit 7-5- Bldg. Off. APC 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4?Zo vo New Canskudbn Reaulrements RemodellRenair Reauiremenb Office Usfl'.Onlv 3 regstered site surveys showiM sq. ft. of lol, sq. R. of house; and all roofed areas 2 copies of pWn Ced of Survey Reed _ Y_ Fl (20W maximum lot coverege allowed) 1 set o(Energy Calculativns for heated addiUons Tree Rrea iNan`RBai' . _ Y_ N. 2 copies of plan showirig beam & window s¢es; poured Mund design, etc. 1 site survey for additions & decks Tree Pres Requ(red _Y _ N lsetofEneigyCalculations Adddion-indkateAon.sdeseptksysfem On-site5epticSysGem,. .. _Y..._.N 3 copies of Tree Preseroatian Plan if bt platted aRer 711/93 Rim Joist Detail Optbns seleclion sheef (buildirigs with 3 orless units) Date I p/MZLLA/ OS' Constructioo Cost ? l olP ?02 Site Address C1 S Unit/Ste # Descriptian of Work '2/1C i S4l rGN !3RL? I f `::X? ' Multi-Family Bidg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Pmperty Owner Telephone # (651) 401: • (pn? RMA HOME SERVICES, INC. Contractor Home Depot Installed Sales Address 3200 Cobb Galleria Pkcvy., Ste. #200 Ciry S[ate Atlanta, GA 30339 Telephone #( ) BG20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Workshcet (Jsubmissiontype) Su6mitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor 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 this is not a permit, but only an application for a permit, and work is not to start withou a permit that the work will be in accordance with the approved plan in the case of work which;requires{a i?V ie.? d ap val of plans. ?? I I OJC?oc-'D ?dti?????? :,,,?' 2 3 2005 I? ? L Apphcant's Printed Name Apphcant's Signature ? 4 OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex O 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 72 12-plex PI6g_Y or_ N? 25 Miscellaneous Work Types ? 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 ? 46 WindowslDOOrs ? 34 Replacement "DemollGon (Entire Bldg) - Glve PCA handout W applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation 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 Other Total Installed Siding and Windows LIMITED POWER OF ATTORNEY . CUUN 1 Y OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales loca±ed at 660 Mendelssehn Avenue North, Golden Va11e;.;1VIN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-7ones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary aud appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Powe; of Attorriey are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attomey shall expire and automatically be revoked on the 21 st day af May, 2004, which date is one year from the execution hereo£ Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. M WITNESS WE-IFREOF this Limited Power of Artorney is executcd this 21 st day of May, 2003 . David N. Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 200? Notary POic in for the State o eorgia b4y Commission Expires: January 21, 2006 396816.v3 ' Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT RESIDENTIAL BUILDING S9 7 a 9 Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfion Reauiremenfs RemodeVReoairReauiremenGS Office Use Onlv 3 registe2d site surveys showing sq. it. of lot, sq. ft. ot house; and all roofed areas 2 copies of pWn Cert of Survey Recd (20%maximumlotcoverageallowed) lsetofEnergyCalculationsforheatedadditions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 7 site suney for additions & decks Tree Pres Not Reqd lsetofEnergyCalcuhalions Adtlifion-indicateHonsdesepticsysfem _On-siteSep6cSystem 3 copies of Trce Preservation Plan'rf lot platted after 717/93 Rim Joist Detail Options selection sheet (bldgs wBh 3 or less uniLs Date fo / lU / C13 Site Address y6 F/ e Construction Cost ?OUD ? ? ? Ola,--2 C_ [+?:?.?UniUSte # Description of Work ?s7?tZll ?'?j rir?ccv ?1P/? Multi-Family Bldg _ Y N Fireplace(s) _ 0 2 Property Owner o /yJ? ??rvn Telephone # (-( 7•T-d?o r ? Contracwr C4S l;' Address ,,20 plo? _7?_Vl„« ? State ^A/ ?e- - Zip .SS7J City Telephone # ( ?S-,L) ylo ?- Z ?3?_ zsr-I o :") 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ven8lation Category 1 Waksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( IL_ I hereby apply for a Residential Building Permit and acknowledge that the informatioA?'?is-complete-and=accug?te; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the cVe of work which requires a review and approval of plans. / h ,e( en Applicant's Printed Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. 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 ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_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 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - 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. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addirion) _ Plumbing Foundadon HVAC Drain Tile Other Roo£ _ 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 By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsWction Reauiremenh • S registere0 site surveys showing sq. tl. o(l06 sq. R. of house; and all mofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam 8 window sizes: poured found design, etc.) • 1 sel of Emrgy Calculations • 3 capies oi Tree Preservation Plan if lot plalled aRer 711193 . Rim Joisl DetaB Options sNecfion sheet (bldgs wiN 3 or less wiLs) DATE ? ? AUQ ? Oa (s7 as' RemodellRenair Reauirements . 2 copies of plan • 1 selufEnergy Calculations forheated adeiGons • 1 sitesurveyforeztenoradditions8decks • Indicate il home served by sepGc system for additions VALUATION '6,00S? SITE ADDRESS yLD'tl QDN&y4_`ZX MUITI-FAMILY BLDG _ Y Zi N TYPE OF WORK?eQX Co l?%AVut\_DFIREPLACE(S) _ 0_ 1_ 2 APPLICANT?nMQ • VXOcv..Q_?2E?1` STREET ADDRESS COb\n &?CA1?QA j A. '?LWt `CITY _STATE(?ZIP?39 TELEPHONE # 103•9421 • CELL PHONE # FAX # PROPERTYOWNER ?TOU ?'? TELEPHONE# (05 1•VIS• (S(p(p{ -------------------------------------------°-------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIN.NqESOT:1RliI.L57670C:1TGGORI'1 MIVVESOT:\RULF_S76i`? (J submission rype) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: V[cckimical svstem includes: Sewer/Water Contractor: Phone # Fee: $90.00 $i0.O0 ----------------------°---°---------..__...._..------------...------------..._.....-------...._._..-----°-------------- I hereby acknowledge that I have read this application, state that the?nformation is correct, and agree to comply with all applicable State of Minnesoto Statutes and City of Eagan 'dinances. Signature ot Appllc ---------- - ------------------ W W----- ----- -_- ___- ----- ---------- --------------- -___- -- -° - - -°-------------------- OFFICE USE OVLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled S/02 _ Water Softener _ Water Hea[er _ No. of Baths Air Condiuoniug Hca[ 2ccoven' Scstcm _ Phone # Lawn Sprinkler No. of R. D ? ne VC 0 W" *.; For: U. S. Home Corporation ? \\ ? \ C. R. WINDEN & ASSOCIATES, IMC. IAND SURVEYORS ToI. 645-3648 1381 EUSTIS SL, ST. PAUL, MINN. 55106 Scale: 1" = 50' ? ? - ? DRI VE O? a 3? ? `? W ?2j.3? ?33? Q= ? h ? •? C? ^1 ? Q D h N ?, 0.67 ? •?a ? ?3 ? M Q ?. ? 7g h ?67 h \ Ql ?4.6> Q 33 Q „t n ( Note: As of this date Johnny Cake Ridge Second Addition has not been recorded. Lots 1 thru 4 inclusive, Block 4, Johnny Cake Ridge Second Addition, Dakota County, Minnesota. WE MERE6Y CERTIFY TMAT BOUNDARIES OF TME lANO THIS IS ABOVE A TRUE AND CORRECT REPRESENTATION Oi A SURVEY OF THE DESCRIlED AND OF THE LOCATION OF All SUIIDINGS, If ANY, TMEREON, AND All VISISIE ENCROACHMENTS, IF ANT, FROM OR ON SAID LAND. Dorad thi.2 7 th dor eF t4y. A.O. 19?9 C. R. WIASSOCIATES, INC. Surrayor, Minnew?e Ropi?frolien 1de. ? ? z s RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681•4675 New ConsWction Reauiraments . 7 registered site surveys shaxing sa. fl. of lot sq. R of house; and all moled areas (20%rrwtimum lot coverage allowed) • 2 co0iee of plan showirg beam 8 vnndow s¢es; poured found desgn, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan iF lol platted aRer 711193 • Rim Joist DetaJ Options sHection sheet (bldgs vnth 3 or less unit5) DATE 9• ?Oa ?-4 _-l-?;' Remodel/Reoair Reauirements • 2 copies ot plan . 1 set of Energy CalcWafions lor heated addilions • lsitesurveyfarextenoraddilions&decks . Indicate if home serveC by septk system ror additions VALUATIoN a.a lo09 SITE ADDRESS MULTI-FAMICY BIDG _Y ON TYPE OF WORK-PeQ\QU 3 1Y1SLjS?FJ,REPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS I TELEPHONE #?3S4a1$gella CE4L PHOI! RMA Home Depot Installed Sales 660 Mendelssohii Ave. North Golden Valley, MId 55427 ATE _ ZIP PROPERTYOWNER A" T-Q? TELEPHONE#IOSI•'40+ - 6 7 IN .......................... ---.................................................................. COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ytlN`ESpTA R[iLES 7670 C:kTEGORY 1 IIIVNESO'1':\ RL:LL•'S 7674 (J submission type) . Residential VentilaUon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculalions Submitted Plumbing Contraetor: Phone # Plumbing system includes: _ Water Softcner _ Lawn Sprinkler Fec: 590.00 Water Heater No. oC R.I. Baths No. of Baths Mechanical Contractor. Phone # N{eclianical system includes: Air Condiuoning Fer: S70.00 Hcat Recovcry Systcm Sewer/Water Conhactor. Phone # " _ J ---------------------°---------------------------°-------°-°--...-------------------°----------°--------°---------- I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply wiih all applicable State of Minnesota Statutes and City of Eagan r inances. Signafure of Applic t _.--------- ---------- _._------ ----- -- -------- _-_.__...---__°------------- ------ ------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 . OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level 13 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundafion) ? 45 Fire Repair ? 33 Alteration ' ?'37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy • . . MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTtONS • _ Footings (new bldg) FinaL'C.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Wa[er _ F inal _ Pool _ Ftgs Air/Gas Tes[s Final - FraminB _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search, Copies Other Total Building Inspector CSTY fJF EAC,AN CASHTEF: JS TERMIAlAL PlO: Oii ?FlTFe 12/13/99 TIME: 13;41:22 ID: NAMEe LOCO CDNSTRUC7ION LLC 3210 9001 4677 RIDGE CL_IF 83.25 2155 3001 4677 RIDGE CI.IF 1.20 3210 3001 4679 RIDGE Cl..'tE' 83.25 205 3001 4679 RIDGE CI_II= 1.20 Total F:Er_eipt Amount: 168.30 CFA2083-- . USEF IIi; JAN Installed I*'?,?'SPOWER OF ATTORNEY Siding and . • _- FoolLJNTYOFCORB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney ar'e,: limited solely to the express powers,delineated herein and apply solely to the..Work., This Limited Power of Attomey shall expire and automatically be revoked on the 30'' .. day of May, 2003, which date is one year from the execution hereof. Further, the ' powers conveyed by this Limited Power of Attomey may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 3nTA day of Mh`E , 2002. David . z SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 30n, day of May, . ? Notary blic in for the Stat of eorgia My Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobh Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT 35'2- 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55922 I 3 q ? ( "}' ! New Construetlon Reauirema 651-681-4675 MC RemodaVRenair Reoulrements D3 rapistxed sRe aurveys shoWing sq. fl ot bt, cq. R M house and gjl rooted areas IZO% maximum lot eoveroae allowed) D 2 copies of plans (show 6eam 6 window strss; poured fi0. deaipn; etc.) ? tcetotenergyealculatbns ? 3 copies of Uee precenatlon plan N bt pWed Mx 711193 DATE: IZ-/ 3-9`/' 2 copies o( pWn 1 sst of inergy calculatlons for hsated additions 7 sfte survay kr exterbr addlUoru 6 decks aa CONSTRUCTION COST: 2 y°? l DESCRIPTION OF WORK: T x";-r- o F? STREET ADDRESS; -y- 7 /Z?nqc C///-- LOT: ? BLOCK: ? SUBDIP.I.D. #: -xC-) V\ vk V? sn? C ac ? s` CJ.? s5 ? PROPERTY OWNER CONTRACTOR ARCHRECTI ENGINEER Name: /? ? 112' r1r 14 Phone #: Last First 9treetAddress: ? Ctty State: ? Zip: Company:.ezo(/?v (?G•-? S i Phone#: L vr? 73 (area code) Street ddress: lo o 7/// ?A/ License # Exp3" 31., e o City ?' v .-ti -T- 'r'o ' State: rn.--? Tp; SS? 3 5 7 Company: Telephone #: ( Name: Street Address: Registration A: City State: 2ip: Sawer d water Iicensed plumber Inew consWctlon onNl: Talephone ik Penalty applies when address change and bt change Is requested once permk Is Issued. i hereby acbawledge tlut I have mad this appiicatlon, state thffi the intormation ia co and agree to campty sll applicabk Sfate of Minnesota StatuEes and C1t of Espan Ordinances. 4 Signature of Appllcant: OFFICE USE ONLY ? Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 18-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments D 99 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 _ 8-plex ? 75 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Tenant Impr ? 39 Gas Line Only ? 43 5iding/Soffits/Fascia Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ e SAC Units % 5AC CSTY OF EAGAN CA3HIER: 7S TEfiMINAL N0: 017 DATE: 1203/99 TIMF: 13:41:40 I[i: NAME: l.QGO CON57kUC'iION LLL' 3210 9001 4677 RSDGE CLIF 83.25 205 9001 4677 hIAGE CLIF 1.20 300 9001 4679 FIDGE CLTF 83.25 205 9001 4679 RIDGE GLIF 1W0 To+,al Rer..eipi: Amount : 16$.90 CFi1Z1183 USEft IU: tAN 35 ?-3 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681•4675 NewConsWCtion RaouiremeMC RemodeVReoairReoulremeMs D 9 regktered alte suneye showing sq. ft of bt, aq. iL of houae 2 eopks of plan and II roa(ed areas 0% manimum lot eoveraae allowed) 1 cet of anergy calculatlons for heated addkions ? 2 copies of plans (show beam & window sizes; poured (nd. desipn; etc.) 7 sMe survey for axferioraddiffonc & decks ? lastoienergyealcumone D 3 aoPks o1 tree praservatlon plan iF bt plaGed after 71tI93 DATE: I 2`/ 3-5;9 CONSTRUCTION COST: DESCRIPTION OF WORK; J2- 2 IC STREET ADDRESS: -/-< 7`I /L LOT: ? BLOCK: 4 SUBD.IP.I.D. #: C-AA_a. &,Q? ?l ?-. Name: Phone#: PROPERTY ' I.ast First OWNER Street Address: ? 'yG 7 7 ?Z //J c- ? City State: ? Zip: Company:/ o`- Phone #: C/,/ Z y?.r 73G ?? (area code) CONTRACTOR r- s t Zo iL t_ }?? StreetAddress:?f??' ?? License# Exp. 3-3/- 5 0 City ? 0 f`?, `7- Z-" State: Zip: SS 35?7 ARCHITECTI ENGINEER Company: Name: Telephone #: ( 5treet City 5ewer 8 water licenaed plumber (naw construcdon onNl: Registretion #: State: Zip: Tdephane PenaHy applies when addrass change and lot change is requested once permtt is issued. i I here6y aclmowledge that I have read fhia applicatlon, state fhffi the informatlon Is corre), and agree W comp all applkable State of Minnesofa SfaGAes and Clt ofEagan Ordinances. Signffiure ofAppliwM: \ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE U5E ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10.plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex p 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous woRK nrPe 0 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Tenant Impr ? 39 Gas Line Only ? 43 Siding/Sofrits/Fascia Move Bldg. ? 40 Gas Insert O 44 WindowslDoors Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5NU Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ ). i SAC Units % SAC CITY OF EAGAN CASHIER: SS TERMINAL NO: 775 DATE: 04/20 /00 TIME: 14:45:51 ID: NAME: LOCO CONSTRU CTION LLC 3210 9001 4657 RIDGE CLIF 111.25 2155 9001 4657 RIDGE CLIF 2.50 3210 9001 4687 RIDGE CLIF 139.25 21E5 9001 4687 RIDGE CLIF 3.50 321?0 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 CR127 061 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ( 851-881-4675 New CorufiucHOn ReaulremeMa Remotlel/Reoatr ReaulremeMs ? S reglsteretl sife wrveys ahowinp aq. ll. d lot, sq. H. ot house 2 copies of plan and g@ rooled oreos (20% rrwulmum lol coveraoe dlowecp 1 sel ot energy calculaBons Tor heatetl atltllHOna D 2 coples o1 plara (show beam & window aizea; pcwred fnd. deaign; etc.) 1 slte survey for extedor addlNons 3 decks > 1 set W energy calculaNOns > 3 coples of hee preaorvatlon plrni If lof plultetl afler 7!1/93 ?CD DATE: /-/- I &- " t) 0 CONSTRUCTION COST: DESCRIPTION OF WORK: _?, r R , j v t` r? <?, P F STREET ADDRESS: LOT: ? BLOCK: ? SUBD./P.I.D. M: h1 5? G- r' ?/ Name: ? C?- ..^. .. I \. " I . n 4? Phone o: x T f? 4,/?'3 / PROPERTY tast flrat OWNER Sheet Address: cty State: UP., . Company: ct?on LLC. Phone C ? 4900 71st Avenue North (area code) COMRACTOR Loretta MN 85357 2-01e,'4$?b's Sheet Address: Licenae q Exp. ? f Cliy Stote: ARCHITECT/ ENGINEER Compuny: Name: Telephone 9: ( Sheet Address: RegishaTbn i: citY State: Lp: Zlp: Sewerlwater licensed plumber (N InsWllina sewerlwaterl: Phone #: ( 1 I Ihe y acknowledge that 1 have read thls applicatbn, slate that ihe in tbn is cortecl, an agree to comply wHh afl opplicable Sfate of Mnesota Sfalutes and City of Eagon Ordinances. ? Signafure of Applicant: ` OFFICE USE ONLY Certificates of Survey ReceiveJ - Yes _ No ' Tree Preservation Plan Recefved - Yes _ No _ Not Requiretl OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 07 Foundation ? 07 05-plex ? 02 SF DwelGng ? OS 06-piex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plax ? 11 10-plex ? OB 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair O 13 16-plex ? 21 Porch (3-sea.) ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 18 Deck ? 23 Porch (screened) ? 19 Lower Level ? 24 Storm Damage Plbg Y or _ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bklg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (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) (Allowable) UBC Occupency Zoning # of Stories Length Width 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 S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Totai: SAC Units % SAC sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinkiered Building Engineering Variance Valuation: $ ? 31 Ext. Alt - M uIG ? 33 Eact. Aft- SF ? 36 Multi a - CITY OF EACAN FARLY UTILITY CO\?IECTION PER"lIT Q-? ? Address Subdivision/Parcel - I hereby request permission from the City of Eagari to connect to the sanitary sewer and water lateral line in the public right-of-way. I- understand that the City has not yet cospleted, 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 and its agents harmless from any damage that ma}• occur due to this early connection. It is understood that no Occupancy Perm?t will be issued or water allowed to be turned on until the City utili[y system has been 'eclared operational by the City Engineer. /z Signed by - Plumber: _ Owner: Developer• Builder: ? Dated• CITY OF E1CAN EARLY UTILITY CON`IEC'CION PER"SIT ' Address Subdivision/Parcel - I hereby request permission from the City of Eagan [o connect to the sani[ary 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 noz to use, test, or connect these individual services to any interior plumbing and understand the require- _ ment [o cap the sewer service to prevent any unauthorized use. ---- -- - - - -- - --- --- - In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that map occur due [o this early co nnection. It is understood that no Occupancy Pexm't will be issued or water llowed to be turned on un[il the City utility system has been declared erational by the City Engineer. Signed by - Plumber: Owner: Developer• Builder: ? Dated: CITY OF F2.FAN • - --- - - - ' EARLY UTILITY CONPECTION PERMIT _. _..- - - -? . .. ?,-<- ?'`/ Subdivision/Parcel ` Address • • I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public righ[-of-way• 1 un3erstand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree no:: to use, test, or connect these individual services Co any interior plumbing and understand [he require- ment to cap the sewer service to prevent any unauthorized use. - - -- -+--- - - In accepting this permit, it is agreed that I vill hold the City and%'its agents harmless from any dar.iage that may occur due to this early connection. It is understood that no Occupancy Pei?nit will be issued or water allowed to be turned on untiLtheCity tility sy stem has been declareoperatiunal by the City EngineerSigned by - Plumber: f?? Owner: Developer• Builder: ? Dated• 7_? ? - CITY OF EACAN - -- - - - --- EARLY UTILITY CO6.vECTION PERMIT - __ - - -_ Q Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and wa[er 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 sever service to prevent any unauthorized use. I --- --- -- - - ------- - In accepting this permit, it is agreed that will hold the City and its agents harmless from any damage that ma} occur due to this early c?/ ction. It is understood that no Occupancy Permit will be issued or water l l o w e d to be turned on until the Ci[y utility system has been declared operational by the City Engineer. ? Signed by - Plumber: Z' ?. l Owner: Developer: Builder: ? Dated: CITY USE ONLY LOT ? BL SUBD. V 0 YIYtU 60L Jrn PERMIT #: % ? ? 7__i; RECEIPT #: RECEIPT DATE: 2000 MEGHAN1CFcL PERMTf (g£SIDENTIAL) crrY oe Ensnx S$SO PILOT I(NOB RD f.A6AN MP 557 EE Date• ( o ti Lt?:) 651-681-4675 Complete this secrion onlv if you aze installing HVAC in a single-family dwelling, townhome or condo under construction and not ownerloccupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BN • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surchazge .50 Total $ Complete this section on if you are remodeliy:e, addinr to, or repla cin2 an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. _ New ? Fumace _ Air exchanger Reminder: Call jor final STTE ADDRESS: OWNER NAME: XReplacement Other _ Air conditioning Other - (AlitA COUt) INSTALLER NAMF? PHONE #: - (AREA CODE) STREETADDRESS: lA4K°•,?_ ? r?. e-•,•3C."8 CITY: CF,T?n?'.?; ; ?i - 7BY; Fee $ 30.00 State Surchazge Y Total $ 30.50 CITY USE ONLY L _ BL _ SUBO. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: EOOO hlECHRNICAL PEitM1T (COMMEiCIikL) GITY OF EAfiRN S$SO PILOT K1VOB itD £AfiAN, b!N 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings m ti-fa 'ly buildings when separate permits are not required for each dwelling unit DA?: j ? ? WORK TYPE: _ New construction Install U.G. Tank _ Intenor Improvement _ Remove U.G. Tank _ Processed Piping When instafling/removing underground tank, call 651-681-4675 for inspectimz by fire marshal and plumbit:g inspector. Descriprion of work: Fees: 1% of connact price OR $30.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x t%_$ (Base Fee) State surchazge TOTAL $ SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): calculate at $.50 for each $1,000 Base Fee PHONE #: (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: _ CITY: , PHONE #: - - -? (AREA CODE) STATE: ZIP: ? , . SIGNATURE OF PERMITTEE CITY USE ONLY PERMIT #: 7 RECEIPT DATE: 7 mIDENTIAL MECiLANICi4I. ffJtMTI' APP11CATlOR crrY oF EAsAx 3830 Pu.or xNos Rn gfl6RA MN 551 LE 651-681,4675 Piease complete for: D single family dwellings townhomes and condos when permits are required for each unit Date: 7 /7/0f SITE ADDRESS: OWNER NAME: Z/6g/ /??YJGECLIFf D/2, (fNj2tS !5• Z-uSE ?fhr'<}rJ, _5-5I7,7- INSTALLER NAME. (? h`QIs LuSE/ P.4uL M4r1nl7" TELEPHONE #: r STREET ADDRESS: CITY: STATE: 01? ..6 11 .., L .. ..+ r? rl.n ..n...,i+.un.4 rvnn (AREA CODE) ZIP: New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Natureof work? State Surchar e $ 50 L Total ? gl• g) Reneinder: Call for inspectlons. TELEPHONE #: 6Sl- ?lSy-6ZS9 (AREA CODE) NATURE OF PE ITTEE uPaacea iio1 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: CObIM£RC1AL MECRARICA1. PEPM1T APPLICATION C11'YoP EASAlv 3830 Pu.oT xxos Rn El18l4N, MP 551 E8 651-8$1-4675 Please complete for: all commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): PHONE #: (AREA CODE) ' WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: Specify Nature of Work: New construction Interior Improvement Processed Piping Instal[ U.G. Tank Remove U.G. Tank When installing/removing underground tank, ca11 651-681-4675 for inspectian by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1% _$ (Base Fee) State surchazge TOTAL $ calculate at $.50 for each $1,000 Base Fee SIGNATLTRE OF PERMITTEE PHONE #: - (AREA CODE) STATE: 2IP: Updated 1J01 655!/ 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. /5- 50 Date 7_ / /Y ! 6 Z/ Site Street Address _X? Unit # Property Owner -!kO.Mtr_4j c a.Qtk> Telephone # ((,S ( )?/??- ?=1 ?? Contractor Telephone #(?51) VD_ Address 3 (??b LC)wQ,;O.lJpaQ City ? Statewot- Zip_K / .? -I - The Applicant is: _ Owner ontractor _ Other e c Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _WaterTurnaround (add $121.00 if a 5l8" meter is required) Other: Water Softener "Water Heater $ 15.00 ? replacement _ additional Lawn Irrigation System RPZ_ new rebuild $ 30.00 State Surcharge (?? R T $ .50 Total $ I hereby apply for a Residential Pfumbing ermit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. rn 14,q v e_w5. LMALk c ApplicanYs Printed Name ApplicanYs ignature p15.So 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 }o_a ???ulos New Consiruction Reguiremenis RemodeVReoair Reauiremenls bFfMe tke ?lv 3 registered sde surveys showing sq. N. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cea'1 oTSuNeY Recfl Y N. (20% mazimum lot cwerage allowed) 1 set of Energy Calculations for healed additions T?eeP[e3 Plgn Rerd _Y _N, 2 copies oF plan showing beam & window sizes; poured found design, etc. 1 site surve/ for additions & decks Tre? f'res f?et?yNed ,,,. Y M11 lsetofEnergyCalculations Addition-indicaleifortisitesepficsystem OltsteSepGc?pslem _Y :N. 3 copies of Tree Preservation Plan if lot platled afler 711193 Rim Joist Detail Options selection sheet (61dgs with 3 or less unils Date L*A o,5 Construction Cost c? ? l? • Site Address ?L ?Q ? p Unit/Ste # o ? ? ? Descriptian of Work i Multi-Family Bldg _ YX N Fireplace(s) _ 0_ 1 _ 2 Property Owner =?p '(C ZA.? ` !1 I .l Yl4 ? Telephone # (Lp5 ( ) ?U• ?u? n Contractor ? --y- Address qq okc? City 9?CLC-?' Q-y'l i State Zip ? Telephone #((6?g n7)- O? Cs?? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (Jsubmissiontype) Submitted I . . Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N fee applies. Licensed Plumber Telephone #? Mechanical Confractor Sewer/Water Confractor Telephone #( Telephone #( If so, 257o plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is'p-Yo-sta?tholrt a S• rr3 2 i • n permit; that the work will be in accordance with the approved plan in the case of work whicl? N c?ines a?revie? a?^nd approval ofplans. ? JAN 2 5 Z905 ?n? ???1'1 ? ?n Ys Printed Name plicant's Signature BY__ OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-pleu ? 20 Pool ? 30 AccessoryBidg ? 02 SF Dwelling ? DS 06-plex ? 16 Fireplace ? 21 - Porch (&sea.) ? 31 Ext. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Ait - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-ptex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_nl ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 0 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg ) -Give PCA handoutto applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinkiered Type of Const Width REQUIItED 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 _ Frazning _ _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ 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 Other Total City of ?apIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ ? ?:??ce=i;sa?y I j PermN #: ? Permit Fee: ? j Date Received: ? i ? I Staff: ? I L _ ___ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SlteAddress:%/3 7enant: F1150 1+71-10ee0 06-71' Lf640','? Suite#: RESIDEN'f / OWNER Name: jc?3? cyr/Cphone: Address / City I Zip: Applicant is: _ Owner Contractor TYPE OF WORK Description of work:'Te,W- Gr-ic- -^f ?'j-e_'-'JP,_tff_ Construction Cost: Mufti-Family Building: (Yes ? / No CONTRACTaR Name:/VfJ?? r+,'e_-TC,'? `?lL License #: cxo I 5-ci 4-1 7 3 Address: Ciry: ? IL ?!? ?vv? State: "d- ziP: Phone: (5I1-A J`7'/^55 Contact Person: 5 i s?1 fn? ?? % COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categorv t Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Sutimitted S b it d u m te submisslon type) • Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a permit for a stmilar plan 6ased on a master plan? _Yes _NO If yes, date and address of master plan: Licensed Plumber. Phone; Mechanical Contrador: Phone- Sewer & Water Contrector: Phone: NOTE: Plans and supporting documents tfeat yoLf submlt ar@ consldejed to`be-public infoimatron. : Portlons of ' the informatron may tie classiffed as non pu6fic lf yau provide speclfic reasons fhatwouid permif fhe'Cify to conclude?hat the are'trade secrets.. " , = . . I hereby acknowledge that lhls fnfortnation is complete and aecurate; 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 tor a permi[, and work is not to start without a pertnit; that the work will ba in accordance with the apprwed plan in ihe case of work which requires a review and approval of a"fis. f X 'Y ApplicanYS Printed Name yA'nrs(fcanYs Sianatu Page 1 of 3 • 1t1lTlp Permit ~y*,> Ui~ V i EaQali Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: ! Phone: (651) 675-5675 Fax: (651) 675-6694 t Staff:' VEX I t...- 2009 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: C 1 77 r'(471' `(eF-l Tenant: Suite RESIDENT f OWNER Name: t.i ' l/erg 'K~- 12c - ~ t' 'hone: Address f City l Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes /No ) CONTRACTOR Name: ,&6f U'e `n/ COP );License I S 9 / 73 Address: I t city: ar eg - State: Zip: Phone: (~/2-~5 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 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 issued a permit Eagan 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: Plarrs'ai d supporting d'ocriments fhatyou sdbmrt arrn i onsirterec rf be public in ai~ formation f?artrons "of the information maybe classified as Lion public rf your protride specrfrc eason"""s drat m ould permit the City: to_. conclude";tlrat'ffi_e at<trade secrets: I hereby acknowledge that this information is complete and accurate; that the work will be In pnformance 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 vur : Is oo o start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and apprrrvliF r X f (YYd [J X a d~~' Applicant's Printed Name A ants Signature Pagel of3' 7' DO NOT WRITE BELOW THIS LINE q 7 SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage 04-Plex ? 12-plex ? Miscellaneous WORK TYPES CtJ~~ ~'1Ji~:~ej U-)41, ? New ? Interior Improvement Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 16) U°v Occupancy -rp G -'3 MCES System Plan Review Code Edition )'Y)yt Z401c`1 SAC Units (25%100% Zoning Q ~3 City Water Census Code L3 Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water _Final Pool: -Footings -Air/Gas Tests Final }o Framing Siding: _Stucco Lath -Stone Lath -Brick Fireplace: _R.I. _Air Test _Final Windows Insulation Retaining Wall Reviewed By: ` -f~----, Building Inspector . In o ? !"2 eti t Q'r) ° ao RESIDENTIAL FEES: 5-7, Base Fee {7, l TI'I7i rn t~.0 AV P 1z~v: ~J y, spa Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 C. R. WINDEN & ASSOCIATES, INC. HIND SURVEYORS TAI. 645.3646 1381 EUSTIS ST., ST. PAUL, MINN. 55106 For: U. S. Home Corporation Scale: 1" = 50' DRi VF' h 3 t3 4 oryI^~r~3~ C~ 06 4 Qi a3 ,:ti67 11 '06 Iq 2x.3° 3 2fl 223 h q 6g ~2 a±,y e RV~"ry Note: As of this date Johnny Cake ED Ridge Second Addition has not A w ~ l S- been recorded. DAM 3 /6 INSPECT,! Lots 1 thru 4 isive, Block 4, 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. Doted tk18 day of IVlov. A.D. 1979 C. R. WINDEN & ASSOCIATES, INC. Svrv.yor, Minnswto Raiatret+on N~.7„ �'�� I, � �� l��/. �� Use�LUE qr BLAGK It�k � for0#�icelJse--------- 1 i j Permit#: '��j Clt� of �� a� .��/ ; . �j��: ; � l.? Pemmt Fee: ~�J�-'.� 8830 PilotKnob Road � � Eagan MN 55122 � Date Reeeived: � Phane:{651)675-5675 I I Fax:(65'f)675-569d ► Staff: t I t . . . . � . . � t��....e ��.��.�1 . . 20't4 REStDENT1AL BUiLDlNG PERMIT APPtlCATION Date�_�°"��`�� Site Address:`�� t J�,`-�'l� � �L G<r/'� �i'�, Unit:#: Name: ��1°�rli��'' �'�� f J ec�/?�r�i L_ �Phone: Res'tdentl QWtl�i' Address/Ci#y/Zip:��"��" ��` Applicant is: Owner �l, Contractor � TY�e o�WO�'k. Description of work: '��u�'►- �(��' �{ �L :�'v�//�' Canstruction Cost ��',1 d� � Multi-Family Building:(Yes�I No_„_) .�"�� Company:IVt:?Y7-r��'�7� � c�YJ f�r�-�'iT�DfS Contact� r� �G��'i'�r' �c�ntra�tar aadress:�z-I� '`�l Z��/ �,� L,�-y» i{s ci�,:�yj��-p�- C�,�lt t,�L,r� � State:�Zip: ��3!� Phone:Gj��`'"�°'Emaifi:,�tm�d1.:�3Yt,�5`7�Gc��`�i��e�v — `��?v-C:r�r�,. ' u�„��: �3� l.�`l �!73 �aa ce,�c��:�V�.�--.,r r=>r y!a 3 —t If#he project is exempt frorn lead eertification, please exp[ain why: {see Rage 3 for additionat infc�rmation) GOMPLETE THIS AREA ONLY tF CONSTRUCTiNG A WEW BUILDtNG In the tast 12 mon , the Glty o#Eagan issued a�rmit for a similar plan based orr a mas#er pt�n? � .Yes _No If yes,date and addr f m��plan: Licensed Plumber: Phone: Mechanical Co�tractor: Sewer�Water Gon r: Rhone. .. l�T�. =and sr�p�v�'#rng docutnents tt�at�rau srrbtnit are con��dered to be pe�blic infr�rrr�fion l!?'��i�o,�s of ei►fc�t`tr�atior��ray bs�lassi#�1 as non pe►blic if yo�prov��sp$c�c t'�sr��rs#t►�f wt�uld��i��r to co�►cf�d��hat the ar+e��te sec�+ets CALL BEfQRE YOU DtG. CaH Gopher Stat�One CaU at(651}454-0002 for pratectian against undergrour�ut�ity damage. CaU 48 hours before you intend to dig to r�ive'locate,s of underground utilities. www.aopherstatecsnecafi.ora i hereby acknowledge`3hat this infom�ation is c�m�rlete and accurate;#ha#the woric wiN be in conformance with the ordinances ar�codes of the Cit�r of Eagan; that I understand#his is not a permit,but anty sn apptication for a permit, and wrork is not to start without a pertnet;tMat t#ae wo�#c wrtll be in accordance wikh the apPnoved ptan in the pse ot v�Drk which requHes a review and apRroval of pfa�s. Exterlor work aukha�zed by a building pemtlt issued in accordance with the MEnn�ota&I�te uiMfig Cale m�t be completsd within i80 days of permit,issuanee. ,� ' � � � �, - . , x i/ ' J'�`I ,G X AppticanYs Pri�ed Mame anYs Signature Page 1 of 3 �{��°l�l. `-� (:w��( , �(��SJ. `--{(.m�� u��ezu�o�es.�►cK�� I for Office Use _ „ � � ` 12�.�2c�� ` � j Permit#: � �1�� 0� ��a�Il ; Z/`� ; ; b � Permit Fee� ��J�-'J 3830 PiiotKnab Road � � Eagan MN 55122 j Date Rec�ivaa: j Phorre:(661 j 675-5675 � 1 Fax:(651)675-5694 l Sfaff: I i I . . . . � � . �� .. . � . �� J : 2014 RESIDENTIAL BUILDING PERMIT APPLICATION J � r _ c�$t�:��'l�~�� s�t�n�a�:�� 'LI� 3 �. �/.Y�l' ,OJ�,, u„�t#; . � ' � . ''�" f,� Name: !J f�!"�l'1✓�� !t�t,c�f�dlr9�'iC... � Phone: � Residentf � C31Nt��f Addr�ess/City/Zip;_-1��7�,/�' /�'�/1'� AAPficant is: Owner j/\, Contractor ��'✓' f' ,� 'L �' �� Type of Work , Description of wark: � �!� � � �O Construction Cost I�i��0 � �Aufti-Fami{y Building: (Yes�i No ) ��j� 9' Company: t�Y?.s1�5� C_e�Y1��r�-C��OfS '� Contacx:�� /�G`�✓�y Cantra��ar Address:O�(7� ��'�'��! �t�- L�,'�'1�'� � Gity:1��'� ��t�Ii�- State:�Zip: ��3`� Phone:G��_�5/Emaii:��+rn��3✓'��5`7`�Gc��9�✓��vv - �+YJG—Gr�c'"� �.ice�#:l3C l.�`l �fi 73 i.ead ce��x�#:��.�-,�r-»rlr�3 —J It#he pcoject is exempt from lead certi€ication, please explain why:{see Rage 3 for addifionai inforrnation) CQMPtETE TH1S AREA 4NLY tF CONSTRUCTING A NEW 8UlLQiNG In the last 12 man , t!�Clty of Eagan issued a permit for a similar ptan based on a master pfan? :Yes No lf yss,date and addr f master pian: Ltcensed Ptar�ber: Phane: � Mechanical Contractor: ' � - -- Sewer 8�Water Con ` r: Phone: •---- =l�OTEs s,and supportir��dacu�►n�nts t�tat ya��Nbmit ar�cvnsitlered to be pubHc ir►forcM�on P�rtit�r�s af �nfc��»atr`�rr�ay�ctas.�et"��aF as rion public if ytrur p�+�tv�s�e spsc�c reas�ns#l�at wc�ufat�ermif#�re�lty�� conct��le�`h��tlfe ai��ra�Te se�re�s. CALI�BEF4RE YOU DIG. CaII Gopher Stafie One Call at(651)454-0002 for protection against underground ut�ity darnage. CaA 48 haurs beiore yflu irttend ta dig to r�eive locate.s ofi underground utilities. www:qopherstateanecalf.org 1 hereby ack�owledge that this ir►formation is canp[ete and accurate;that the rnrork r,�if be in confiamance with the ordinances and c�des vf the Ci#y of Eagan;that I understa�d this is not a pecmif, but only arr application far a pem►it,and v�rk is rwt to start without a pertr+it;that the work witl be in' accordance wlth the aPProved ptan in the case of wrork whic;ti requires a review and approYat ofpians. Exterior work authorized by a bulidirtg permit issued in accardancs with the M�nn��a S1�ae iiding Cafs m�t be complet,ed witihin 180 days of parmit issuance. C � x �� ff�G�� X ApplicanYs Prir�ted Mame ' ant's Sigrrature Page 4 of 3