842 Cliff Rd7
---------- - INSPECTIUN RECORD 7Control "°.- 7? o
CITY OF EAGAN PERMIT TYPE: OU I! qIMB
3830 Pilot Knob Road Permit Number: ?oA??•
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: t o rs i Mo Crc :I APPLICANT:
842 CLYFF Rp BER&MI.D ROOfIMA Cb .tMC
SECti4M 35 (812) 771-7411
PERFVTt???VftFi'L 1 TY
TYPE OF WORK: AtTERpTIOM
uEbr.axPtxop RE-sOoFINa
;?r???, ?r?.
? .ai^? r_, : :1 ,.•.a.?
/f :,1:' _ .?ss s¦ F ? ~ . ..- '. --'?- - --'- ' y? . , - I
? ! .- -. ..' .?-* ?
¦
PsrmN No. ihrmk Hofder Wb Tsbphone#
SlW
PLUMBING
HVAC
ELECTRIC
ELECTRIG
mspenlon o.ae Mwp. comnsets
Foolvrgs I
Foundation
Frerntrlg
Roofing
Rough Plbg.
Rough Fltg.
l9ul.
Fit+eptace
FhaI Htg.
Oteat Test
Firtal Plbg. Plbg. Inepector - Noti1y Plumber
Const. Meter
EngrJPlen
&dg. FWal
Dadc flg.
DeCk Fna1
weu
Pr. Disp.
CITY OF EAGAN
Remarks
Improvement Date Amount ? Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING PROPERTY RE-ADDRESSED 860 CLIFF RD
SAN 5EW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL ?
?
WATER AREA ?(?JVC?
?C!t??IYVl1W W
w ?
? S ? 2 o
?
STORM SEW TFiK ,
(
STORM SEW LAT i In
I 1
CURB & GUTTER staO CG4 9/ti '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
` CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
f SITE ADDRESS:
f ??S'?'L F ?? ? r ????
' PERMIT SUBTYPE:
M ! I I I I ',i.jl ?,If ,
f PF MAkR 1. ; 1)(10 ? F f
F
4N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
ti?i,•; ?a?-,? ?:sNi
TYPE OF WORK:
f1i.•,I ftll`fitiN
l+if I ?I,I ff„
9
t+r Mnf t 1,y 1
i':.t 14411 rJ t nKF_ PAKt. ? j
??
Permit No. Permit Holder Date Telephona #
ELECTRIC
PLUMBING
HVAC
Inspectlon Data 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
FINAI HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
I DFCK FINAL 1 I. I__ _
beiMO ? 121 2?144,
L-----L -- ? -?---
r
CITY OF EAGAN ?
3795 Pqof Knob Roed Eepon, MN 5512=
' • PHONE:IS4-a100
BUILDING PERMIT
Te be wed Fo. C1: LLTLEst. Value $?
Site /lddross ' l i E f Poac;
?)
LOt BIOC SQC/SUb. S r_ C ti iO C: 3
Parcel # 1." -;:"'S10•-O1J-Ol
ac Nome
? Addm!
?g Nome y ....
?1 /lddress 256
f' C'i,v 1- . P 3u1
Nome _
Address
th St. Eest
( hereby ocknowledge that 1 heve reod this opplicotion and state
Hhe informotion is correct and ogree to tomply with oll oppl14
State of Minnesota Stotutes and Ciry of Eagan Ordinances.
Sipnoture of Permiftee
c... ??. _ . onstructio
A Building Permlt ls issued to:
all work sholl be done in accordonte with ell applicobW State o
8uildlnp Offlciol
Receipt # '
Erect '(3 Occuponcy
/11ter 0 Zonin9 r^',nr`' raTks
Repoir ? Fire Zone
Enlor9e p Type of Const. '• -L3211rY
Move O # Stories
Demolish ? Length 12'"'?ntry 56-i;each
Water & Sew,
Firo
Enp.
Planner
Council
Bldg. Off.
APC
Permit 3'R4 . _ j
Surcharge 4 3 •
Ptan check 1=' 7 ()n
SAC 52 5 . ? -`
Wofer Conn. ' ? f,
Woter Meter': %
Road Unit 7
Totol
C.
on the express condlt{on thni
soto Stotutes and City of Ea9on Ordinances.
Permit No. Permit Holder Misc. Parmit No. Holder
1/l,C/?u(???
!V tJ laI _02
( 0 a?
7j?L S.? kEi' '? ,
I
?
7,
S(oo'1'l (,f ??. ?'11?r- JD'?-$3
3s?'? ?I r ?-13-?y l?,
Irnpaction Date Insp. Othar
Footingt ?
Foundetion
Framinp
Rouph Plbp. p,1O ? .
/- ?S
Rouph HVAC
Insulation
Final Plbp,
Final HVAC
Final ? .
Wetar Dewibe Location:
7
YYell
7 ? s
5ewer
Pr. Disp. -
cirr oF EAcaN
9795 Pilet KnyS Raad Feqan, MN 55122
PHONE: 454-8100
BUILDING PERMIT ENTRANCE &
Te be used fo. BEACH BUILDINGS
Site
Lot 010 Block 01 See/Sub. Section 35
Porcel # 10-03500-010-01
rc IN.m. Dakota County Parks
9 z Address $500 127th St. East
r:..,Hastines 550330h..... 437-6608
o iName C.K.C. Construction, Enc.
i? Address 2565 Dellwood Avenue
r- .-:.St. Paul 55113 633-051
Nome Bonestroo. Anderlik Rosene
Address
I hereby acknowledge that I hove read this opDlicotion ond sfote that
the information is correcf ond agree Jp comply with all opplicoble
State ot Minnewta Statutes and Cit4?of EmSAfy,Ordirwaces.
Sipnotum of Permittee ?
A Building Permit Is issued to: ?
oll work sholl be done in otcordance
N° 8482
Recelpl # ?" '1?
Erect 11 Occupancy B-Z
Alrer ? Zoning County Parks
Repair ? Fire Zone NA
Enlorge ? Type of Const. . V Masonry
Move ? # Stories
Demolish ? Length 12-Entry 56-Beach
Grode ? Depth LO Sq. Ft. 41
Avvra•ab Fees
Asseesmenr Permit 394.00
Water 8 Sew. Surchorpe 43.50
Police Plan check 197.00
Fire SAC 525.00
Eng. Water Conn. NA
Plonner Water Meter 7`1A
Council Road Unit 750•00
Bldg. Off.
APC Total 1909.50
, Inc. m ryhe exDress condiHon thnl
OLnnemto Statutes and City of Eagan Ordinonces.
Building Officlel
?.?
CITY- OF EAGAN
&A , BUILDING PERMIT APPLICATION
To Be Used For °} .9?0.0k $( cI0- . Valu4ation ? p? ? d od
Site Pddre?c- ?6Cl( ?F- ? a
Loot e)f v sloCx 6( sec. /sub. 5F0- ?3 S
Pazcel #: /b l) sSC70 01D 01
oaner: I
Pddress:
City/Zip Code: N.As-)-I'0i5 SSo33
Phone # : y 37 -66ed'
Contsactor: C.:,L!C'.
Address a ,25? s
City/Zip Code: Sr, A.,, / !?'J Ss7/3
Phone #: 6 .3 -3 -o s 38
Arch./EY1g.:4nws-'-i,r'Coso??
Pddress:
City/Zip Code: ?7- PP,. / /?H ssiiz
Phone # = (o -3? _ yd'oo
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date l -ZC? $ Z
OFFICE USE ONLY
Erect ? OccupancY __--- ?- c?
Alter Zoning PeL rlL
Repair Fire Zone
Enlarge Type of Const. _ asav?r
NKove # Stories
Deimlish Front E,kArj ?sid ?+z a??l.Bld ?slo ft.
Grade Depth ? ft.
APPROVAI,S FEES
Assessrents
Water/Seaer
Police
Fire
F1ng.
Planner
Council
Bldg. Off.
APC
Surcharge (4 ?, 50
Plan Check ( 4`i , 0 6
SAC (I) 525 ?d6
Water Conn.
Water Meter ?
Road Unit CI c 7 S(7 ? o
'IbTAL + t v `
Pezmit 39cr ,o0
PERMIT
-? CIT?Y OF EAGAN
R3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Datelssued:
SITE ADDRESS: ?Z
J8*f cLxFF Ro
LOT: 1 BLOCK: 1
SECTION 35
C2DSG 79 V
BUILDSN6
027556
05j15/96
DESCRIPTION:
(SCHULT2 LAKE PARK) ?
ermit Type MISCELLANEOUS
oj-k Type DEMOLISH
649 DEMO OTHER
?w! ?? <?-;-?," .
?ei? % r?? 08M "a? ,iO"s ??rz
$t &Net ?"ym a. g q
? ?t wm are re?_ ?c as-
.'?i?M ??? "mi°:L 'w w` ars ik?? ?uJ t?m -•?i " ? 9f"ai^m ? n?
u
REMARKS:
DOG KENNEL
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
7ota1 Fee $25.59
CONTRACTOR: - ppplicant - OWNER:
KflMISH & SONS, A 24511381 DAKOTA COUNTY PRRKS
6010 E CQNCORD 8500 127TM ST E
INVER GRQVE H75 MN 55075 HASTIN6S MN 55033
(612) 451-1381 (612)438-4660
T hereby ime?s'Y3????tkt??, ??i?,?; ? ?faswe d;this ipp?,?caC#Et?I?
?gcdje t#"!qts+?P?-y?,wityr ?a?,? ataC0 ?.df Dlm .?t.
° StatU?es °dxr?§??t?+ ?s? E;aic,??a? tTrdin?rt'eL
j
te? i zv +F e R'= 3C 91' . P i"Yd Y&c. e..e F:.. ?
APPLICANT/PERMITEE SIGNATURE 7SSUED,Mt. SIG P TURE' ?
11CITY ???? OF EAGAN q?
7996 BUILDING PERMIT APPLICATIAN (COMMERCIAL) '? )4:1.?0
681-4675
The foilowing are required with appropriate certification for ell p= wnsWCtion:
. 2 each: architedural plans; mech. & elec. plans; fire sprinkler plans; strudural plans; site plans; WMscaping plans; greding/dreinage/erosion control
plan; utility plan
? 1 each: set of specifications; set of energy celculations; eledrical power & lighting krtn; Special Inspections & Teating Schedule
? letter from MCANS (phone 01222-8423) indicating SAC detertnination
? Code analysis indiwting: Codes used; oceupanq classfications; setbadcs; mauimum allowable area es per Building and Cky Codes along with sq.
ft. per floor; type of construcUon (synopsis of consWdion components) & any oocupanry or area separetion walls;
occupancy loads; exR synopsis with a diagram indicating exiting loads from each room or area, travel paths 8 all reted
wrridors; plumbing fixtures; and parking.
Q¢.+...?'rro,.+
DATE: Yv) V4w /y 199e_ WORK TYPE: ?
DESCRIPTION OF WORK: 02-W, n acd Dou I41V?.
CONSTRUCTION COST:
SITE ADDRESS:
TENANT NAME: ry bA)v
LOT ?_ BLOCK SUBD? IL 3Z P.I.D. #
M.
PROPERTY Name: ?.,aKvra- ?o,,,T„ P?.ks. Phone #: `/3?- YsS a
OWNER ""'
'J?'
BSOO »2j4 5-1
T
S
•
5treet Address•
City: /??s?L State: Y" w• Zip: 5 S O'?'i
CONTRACTOR Company: r1•?h?s?? Sa?s 1+-? Phone#: 3J1?
StreetAddress,
City: ?;7,,"&' Zip: :sSO?7
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #•
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber:
I hereby acknowledge that I have read this application and state that the information is cortect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
' ?.,a
PERMIT
CITY CiF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(672) 681-4675
auiLnirac
000990
06/3@/92
SITE ADDRESS:
842 CLIFF RD
L07: L BLOCK: 1
SECTION 35
DESCRIPTION:
Base Fee
Plan Review
Surcharge
Totel Fee
RE-ROOFING
-su3'Itl'ing Permiti Type P.UBLIC FACILITY
, Building,Work Type ALTERATION._..
L
•,
a
?
REMARKS:
L o IqG`?`f
FEE SUMMARY
PERMIT TYPE:
Permit Number
Date Issued:
lf•a ?
$26,000
VALUATION
$256.50
$166.03
$13.00
$439.53
CONTRACTOR: - APPliCent - OWNER:
BERWALO ROOFING Cp ZNC 27777411 DAKOTA COUNTY BOpRO OF COM
2440 N CHARLES ST 1560 W HWY 55
N 3T PAUL MN 55109 HASTIMGS t41tl 65033
(612) 717-7411
I hereby acknouledge that Z have read CMia applicgCion and sCate that the
information is •correet and a•gree to comply with all applicable Stete af 14n.
Statutes and City o'F Eegan OM•dinances.
?
? ?
APPLICANT/ ERMITEE SIGNAT RE ISSUED B' . SIGN E
Control No. 0730
PERMIT N
REi1CTIliATE _ gqo
CITY OF EAGAN
1992 BUILDING PERMIT
681-0675
APPLICATION
?, ?!P" ? ; RfCd .
4 '431.=3
C4,y;.( G __ '? D
SINGLE S MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Oate Valuation of work ??S 73a.
'
Site A ess: ?8?oa/ ?A1C? (?rf??l?z QwEL.iJi?J?
'10- kC?
a ?
?
STREET
SUITE M
Tenant Name: (commercial only)
L
i.ox ai.ocx -?
suan. ??,?A ?? P.I.D. ?
Descri tion of work: '(ZERco rnt q?- S
The applicant is: ? Owner Cd/Contractor ? Other (Describe)
Name TOO- Q,qycorA- CocaN-q 13o9M1Q a?CoAr! Phone
Property LAST F,RST
Owner qddress l-{ +C-#w R-;! Ss
STREET STE /
City //#S Y ???-S State ,Q /Il Zip 613.3
Company =$oeF-(ZwFtLa {2W?tivQ 0a - ix/'e, Phone 777-7ylG
Contractor Address '-?tf?r) N• S7-, license # Exp.
City /1fe - sT. p, At.6L- State AU/N Zip 'SSI09/
Company SOnlSouec-G Phone --7 cP1 :2_?
Architect/
Engineer
Name ?G1?"Af l4• 0 4F4-'-4G.r,_ Registration # ld3 2g
Address
City /up" • State ni1N Zip
Sewer 6 water licensed plumber Processing time for
sewer 8 water permits is two days once area as been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
O 31 New
? 32 Addition
OFFICE USE ONLY
, ..
I ,
? 06 Duplex
? 07 4-plex
? 08 8-Plex
? .09 12-Plex
? 10 Multi. Add'1
0 33 Alterations
? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
?1 of Stories
Length
Depth
APPROVALS
Planning
Engineering
REOUIRED INSPECTIONS
? 11 Apt./Lodging 't] 160 Basement Finish
? 12 Multi. Misc. O 17 Swim Pool
? 13 Garage/Accessory ? 18 tomm./Ind.
? 14 Fireplace 0 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public facility
-? O 21 Miscellaneous
Raofclce_k rem orQelI V.
? 35 Tenant Finish ? 37 Demolish
O 36 Move
Basement sq, ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
? Site ? Footing
? liallboard ? Final
? Framing
O Draintile
MWCC System
City Water
PRV Required
Booster Pump
Fire 3prinkler
Census Code
SAC Code
Assessments
`/3 7
? Insulatian
? Fireplace
Permit Fee ZSsz,_so I v.iuatim:
Surcharge 13
Plan Review 03
License -
MWCC SAC
City SAC
kater Conn.
Nater Meter ,
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
g ?? coG
SAC %
SAC Units
For Office Use
Permit City of Eayn
:
3830 Pilot Knob Road Permit Fee ~ J Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I/
Fax: (651) 675-5694 Staff--------------
2009 MECHANICAL PERMIT APPLICATION Dat
CMG
e: 3 23 ~ Site Address: - ~S A84Z 1,i
V--)?F
L ~¢NON l~7I/t-L J G/c, I.1- - Suite B v/L,A16
RESIDENT/OWNER Name: Z>9/C07W GwUN7-Y j /ZI.'~ Phone: 6S/-'707-a
Address / City / Zip: .4L..4) ' ~41/E /DfLe ,/V 33-12-y-
CONTRACTOR Name: 2f Po/24T ~'IEG 14 4'Gff"L- License
Address: S7/4' N/8'2 o ,4V4 . /%002P,)2-7 y
City: A& fV 1A State:-MA/ Zip:
Phone: (p -AOC1- 70 ~ Contact Person: ~L,e Pa /
TYPE OF WORK New Replacement Additional Alteration Demolition
E'2 > 3 4 V /N G ~eP/4 f t D t9 c~' Fort?.
Description of work: 2 -S.E~ 4 d41 - 1/N ocG v/P/.E.") /'10D~
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
RESIDENTIAL -X ItCvosk A " COMMERCIAL
PERMIT TYPE Furnace New Construction Interior Improvement
Air Conditioner _ Install Piping Processed
_ Air Exchanger Gas ` Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ P1 000 x 1%
$50.50 Minimum (includes State Surcharge) $ 5 60 Permit Fee 6441 'v
- If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ • State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEEL, 1 iti
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; tha
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 w' e in accordance with the approved
plan in the case of work which requires a review and approval of plans.
X- P p
/GK O77Z& x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:.,. Required Inspections: Under Ground Rough In _Air Test Gas Service Test -In-floor Heat YFinal
Exterior HVAC Screening Inspection
PERMIT
Permit Type: Buildiug
3830 PILOT KNOB RD 4110po Permit Number: EA058182
EAGAN, MN 55122 City of EaRan
(651) 675-5675 Date Issued: 03/03/2003
Site Address: 842 Cliff Rd
Lot: 1 Block: 1 Addinon: Section 35
PID: 10-03500-010-01
Use.
Description:
Sub Typc: Single Fam
Work Typc: Move Building
Description:
Census Code: 9999
Occupancy:
Construction Type.
Zoning:
Square Feet
Remarks' Call for fnal inspcction.
? Scparate permi[ required for septic abandonment. (ld)
Fee Summary:
BL - Base Fee 75.00 9001.4085 Surcharge - Tixed
Pmancial Guaran[ee 2,000.00 9001 2257
Total Fees:
0.50 90012195
$2,075.50
Contractor: - Applican[ - UWner:
Omng House Movers
St. Lic.: COUNTY OP DAKOTA
11640 275th St C/O PARKS DEPT
Lakeville, MN 55044
(952)461-3265 1590 HWY 55
HASTINGS, MN 55033 651-438-4672
I hereby aclaiowledge that I have read this application and state that the information is conect and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
ApphcanUPermitee: Signature
Issued By: Signamre
RESIDENTIAL BUILDING
'Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWCtion Reauirements RemodellReoair Reauirements Offce Use Onlv
3 registered sile surveys showing sq. ft of lot sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20 % maximum lot wverage allowed) t set of Energy Calculatlons for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set of Energy Calcula6ons Addition -indicate ifon-sAe sepfic sysfem _ On-site Sep6c System
3 copies ot Tree Preservation Plan if bt platted after 7A193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date,2-/ 2b
l 03 Construction Cost
7
Sitc Address !i p C?o Unit/Ste #
Description of Work ?? ( / " lT?
Midti-Family Bldg _ Y_ N Fireplace(s) _ 0 _ I _ 2
?7
G
O
P Telephone # (?(
-
wner
roperty
r
Contractor
Address l( (/ ??
Stale r!
Zip ? r City
Telephone #(??
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category , Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #
FCC 2 8 2003
I hereby apply for a Residential Building Yermit and acknowledge that the infiorm ?fion is complete and Mcurnr.
ihat the work will bc in conformance with the ordinances and codes of the City yF_agtin_and- ?i' %'l N
Statutes; i understand this is not a permit, but only an application for a permit, anPwo`rFis not to start wiihoiit :i
permit; that tlle work will be in accordance with the approved plan in the case ol'work whicli requires a reN ic\\- ;inil
approval of plans. 171--L.,c r
?Ie` C.?_ VV ivj
ApplicanY's Printed Na Applicant's SignaYure
OWNER'S PERMIT APPLICATION (FOR BUILDING MOVE)
0 Date of Application: 3
0 Address & legal descri
I"1 q2 " ZZ9?1-
0 Address &
?
0 Huilding owner's name:
addreas:
phone i:
0 Landowner's name:
address:
phone #:
?
If landoxner is dlfferent from building owner, provide approval from
landowner to operate on the property.
0 Indicate if structure is conaected to:
_ City sewer City water v Septic ?iiell
_ Electric service _ Gas service _ Other (list)
0 Indicate party responsible Por utilities disconnect:
Owner ? Mover Other
OFFICE OSE ONLY
Real estate tazes/assessments on building
Real estate taxes/assessments on land
Otillty diaconnects
Electrie
Gas
Sewer/vater
Landosmer approval
of building being moved:
ro of proposed destination:
l
FA
_ M09ER`S PERMIT APPLICATION (FOA BQILDING MOVE)
0 Date of lpplication: %._(/'/t^ 2K 1?
0 Address dr legal deacription oP Duilding beiag moved:
0 iddress 6 legal description of propoaed destination:
0 Weck situatian that spplies:
? Huilding presently located in Eagan - to be moved out of Eagan
Building preseatly located in Eagan - to be rslxated in Eagan
(Requires Council approval)
Huilding located outside of Eagan - to be relxated in Eagan
(Requires Council approval)
Building located outside of Eagan - to be moved through Eagaa to
another Citp.
0 Mover's Name:
Addreas
Phone 0
Mn. Mov
0 Highlight origin, route, & deatination on ourrent City map. If Countq
or State roads are uaed, provide copy oP those permits.
0 Proposed date & time of move (aotifq Eagan Police Department). aOTEt
Eagan Polioe xill not aooampaay aove imtil time ooordinatioa has bsa? mde
rith aeigtboring aunieipa2lty.
0 Sise i veight of etrueture
OFFICS IISS OHLI
, !lover's permit fee
, Permit i
. Ouarantee to repair
3
PLIIMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Kuob Road, Eagan Mn 55122
Q Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when peruuts are required for each unit
Da[e 3 / g '1' / O?
Site Address ? Unit # ?
Property Owner Telephone # ( )
Contractur ???X ??
?s! ?rxo
_
AdaCeSS city
State Zip Telephone #
The Applicant is _ Owner X Con4actor _ Other
Septic System New Refurbished Submit 2 sets oS plans and MPC license $ 100.00
Indudes County fee. Additional consultant fees may apply.
Altera[ions To Existing Dwelling Unit, Including $ 50.00
Adding fixtures to lower levels or room additions , excluding water softener and waier heater
? Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.OD)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
.50
State Surcharge u
Total
I hereby apply for a Residential Plumbing Permit and aclaiowledge that the mFormat that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemvt, 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 wor which requires a review and approval of pl ns.
G1, ll, ,? ?, ?p ??/???
Applicant s Printed Name Applicant Signa e
2000 SLTII.DING PERMLT APPLICATION (COMMERCIAL)
CITY OF EAGAN
)-41- ('1 651-681-4675
Re uirements
C;V,-* ia? 7 7 ?, ?- a-0 C)
Foundation Onl New Construction Interior Im rovement
• SWCtu21 Plans (2 sets) • ArchitecWral Plans (2 sefs) • Architectural Plans (2 sefs)
• Cwil Plans (2 sets) • Struclural Plans (2 sets) • Coda Malysis (1) °
• Certifipte of Survey (1) • Cfvil Plans (2 sefs) • Pmject Specs (1 set)
• Code Analysis (1) " • Landscaping Plans (2 sets) • Key Plan (7)
• Projact Specs (1) • Code Malysis (1) " • Master Exit Plan (1)
. Spec. Insp. 8 Testlng Schedule " • Certificate of Survey (7) • Energy Calwlations (7) not always"
1 • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power 8 Lightlng Form (1) not always"
1 • ProjectSPea (1) d I
1 • EnergyCalculations (7) " l I
1 • Electric Power 8 Ughtlng Fortn (1) " 1 .'
1 • Master Exit Plan (1) 1 '
j . Fire Protection Plan (1) " 1
1 l 1
• MGES SAC determination letter • MGES SAC delermination letter • MClES SAC detertninaUOn letter
call 657-602-1000 call 851-802-1000 call 651-602•1000
" Contact Building Inspections for sample
Food & beverage or bdging facilities: Plan must 6e submitted to Minnesota Department of Health - call 651-2150700 for details.
DATE: '!?" WORK TYPE: _X NEW _ REMODEL CONSTRUCTION COS-4-52. 7 v
DESCRIPTION OF WORK:
TENANT NAME: SUITE:
fC7 - 6-
FORMER TENANT NAME: S,¢rM-z-
SITE ADDRESS:LOT --L BLOCK -j- SUBD ?f' C/`? ' U N 35
Name: ?2Xr T ??s? f? ?'A?hJS Phone#: (,(?,5
PROPERTY Last First
OWNER
Street Address: ?SQCl T's'+ -,l
City /6;T.z!?3 5 State: ///1ii. Zip:
Company: ? w:22Z le _ Phone #: ( ) -<S,99/Y/ 2 ?
CONTRACTOR
Street Add
City _
ARCHITECl'/
ENGINEER Compaoy:
Name:
Sueet Adi
City _
State: Zip:
Phonc #:
Registrarion #: _
State: Zip:
Sewer/water licensed plumber (if instaliina sewat/water): Phone #:
I hereby acknowledge that I have read this application, 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: -??-Z?4?
OFFICE USE ONLY
BUILDING PERMIT SUB7YPE
? 01 Foundation *26 Public Facility
8?'30
AccessoryBldg.
? 14 Apartments ? 27 CommerciaUlndustrial O 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous O 29 Antennae ? 35 Ext Alt - PF
WORK TYPE
?31 New ? 34 Repair 0 37 Demolish Bidg. ? 43 Reroof
? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Siding
? 33 Alterations ? 36 Move Bldg. ? 42 Demolish (Found) ? 45 Fire Repair
? 46 Windows/Doors
GENERAL INFORMATION
Census Code
SAC Code ?
No. of Units
No. of Bldgs. ?
Const. (Actual)
(Allowable) S, rl
UBC Occupancy FAf-V--
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floar sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning Building ISJ
Permit Fee ? 3 • ?-?
? Insulation
Engineering
VALUATION:$
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
% SAC
SAC Units
Meter Size
sq.ft.
sq. ft.
sq.ft.
sq.ft.
MC/ES System
City Water
Fire Sprinklered
? Plumbing ? Stucco/Stone
Variance
/l> ?? •
Total S`4 - --1 `1