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859 Rogers Ct
1 . . - CASH RECEiPT ' ~ CrT~ ~OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE ' J f ~ g ! RFCStVED ' - ~ FROM AMpUNT $ I & DOLLARS ~oo ? casH"~ ~ CHECK FOR • / , [f• ~ / C~y,:' f ..f ~ r . . . , , FUND COOE AMOUNT J / ~ 4 .S i . Thank You BY ' ~ ~ i ' White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition NORTHVIEW MEADOWS ~ot 43 e~k 4 Par~e~ ~-52100-430-04 f Owner Streec 859 ROGERS COURT State EAGAN I~II~I 55123 Improvement Date Amount Annuai Years Payment Receipt Date STREET SURF. ~ 1Q 69 ~8 - - STREET RESTOR. GRADING SE LAT 5 1981 15.89 .79 20 12.73 009419 -1 - SAN 5EW TRUNK ~ 1981 138.48 6.92 20 110.80 Q09419 9-13-84 SEWERLATERAL TRK 1984 275.22 18.35 15 256.88 009419 - 5 ~ 1981 22.28 1.11 20 16.36 009419 9-1 -84 WATERMAIN $y~ 1984 70.67 4.71 15 b5.96 009419 9-13-84 WATERLATERAL 1981 18.65 .93 20 13.69 009419 9-1 -8 WATER RREA 1981 138.48 6.92 20 110.80 009419 WATER LAT 5)'l 1982 29.52 1.48 20 23.64 009419 9-13-84 STORMSEW TRK $5~ 1984 392.32 39.23 10 313.86 009419 9-13-84 STORM SEW I.AT DRAINAGE 1984 33.97 3.40 LO 30.58 009419 9-13-84 CURB & GUTfER SIDEWALK STREET LIGHT Road Unit 260.00 WATER CONN. 4~~.00 " " ~UILDING PER. SAC " PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ; 3830 Pilot Knob Road • Permit Number: y~ r Eagan, Minnesota 55122-1897 Date Issued: ' ' (612) 681-4675 c ~ Ii 1 tf 1 Nc+ :1 ~ ~ s,.~ SITE ADDRESS: i f3 r: r. , APPLICANT: . i~s~Fl. , ? ~ . ~ I ~ t i ! ~ • . 1 ~ I . , i , ~ F~~ ~ , , t ~ , . ~ , . ~ •1 . ' PERMIT SUBTYPE: TYPE OF WORK: . , , i ~ ; , , , , , . , ~ • . ; ~ i „ ;,.,i ~ ~ ~ ~ Parmit No. Permft Holder Date Telephone t ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING FOUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE -~y~ l?i , .~..-Ri FIREPLACE AIR TEST ~Q ~ FINAL PLBG FlNAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL a~o b . , •?_,y..,,~ ..A -x . , ^ . " ~ , . , , , e- . .~sr ~r ...,r-_n ~ _,~~.,~,,,~n,.... . ` . ...P,..,r..dr!-.n?~'7 _ , . ~ CITY OF EAGAN 18395 `"r' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUIIDING PEURI~I~,T ~ Receipt # J ~ ~ To be used for 3-SEIISON PORC~i Est. Va~ue ~7+~~ Date SEF 24 ~g4C Site Address aS9 ROG6RS CT Lot 43 Block 4 Sec/Sul7:-R~VIE~ ~S OFFICE USE ONLY Parcel No. ocx~Pa~cy g'3 M-2 FEES JOi'iH BAANDBERG Zoning - - 90.00 ¢ Name (Actuaty Const _ Bidg. Permit 3 Address 85 ROGER5 CT (Allowable) - Surcharge 3' ~ Y x of Stories ° Cit Phone 452-3873 ~eng~h ~ Plan Review ZF Name QUALITY RE!lODELINC o~~h D~k 1~4 snc, c~~y Address ~ WA S.F. Total - SAC, MCWCC ~ Clty Phone S.F. Footprints - O~ Site Sewage _ Water Conn F~ Name On Sde Well - Water Meter Address MwcC system - Aca. D s~t i W City PhOn@ City Water - ~ PRV Required _ S1W Permit I hereby acknowlege that I have read th~s application and state that the Booster Pump - SM1 Surcharge in(ormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI ~ APPFiOVALS Signature of PermitEe ~`r Road Unil QUA ITY R DELING Planner A Bulding Permit is ~ssued to: - Park Ded. on the express condition that all work shall be done in accordance with all Council S~(~ applicable State oi Mfnnesota Statutes and City of Eagan Ordinances. g~y. pff. _ Copies 98. 50 Building Official ~ Variance - TOTAL Permit No. Permit Holder Date Telephone X WAT~R SEWER PLUMBING H.V.A.C. ELECTRIC ,3~`v ,yc~ /r /p1r} ~ Inspcction Date I sp. Comments Foolings I Foundation F~~,~~ e ~e D Rooling Rough Plbg. Rough Htg. IsuL l0'" Z -~O Freplace Fnal Htg. Final P1bg- Const. Meter Plbg. Inspector - Notity Plum6er Engr.lPlan Bklg. Fina1 Deek Ftg. / - ? ~ - ~r Oeck Final ) ~f j t~ ~ n/,(/ S',~,~O~r: Oc~, ~ Well Pr. Disp. Cj t i~-, Receipt PLUMBING PERMIT Permit No. ~ ~ . GITY OF EAGAN Fee ~ ? „ 7U < i_ ( j-~, fill in numbered spaces S/C 5 i Type or Print legibly Tot. ~ 1. Date - - 2. Installation Cost r ~ t ~ 3. Job Ac~r~sS Lot~_Bik. ~ Tr ~f / 4. Owner 1-~ ~ ' v _ 5. Contractor ~~2 `~-1 Phone ~ S ~ 6. Address 7. City State Zip 8. Building Type: Residential C~,.~Commercial ? Institutional ? 9. Work Description: New ~~Add ? Alter ? Repair O 10. Describe 11. No. Fixtures ~ No. Fixtures Water Closet /1~ Cesspool/Drainfield ~ Bath tubs , Septic Tank Lavatory , ~ ) Softner Shower - ~r~' Well ~ Kitchen Sink , Urinal/Bidet Other c.f ~ Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink ~ Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with a~l ordinances anti~codes governing this type of work. Signed : ~,~e'-~._ : ~:~?~4~ for , ~T, , ~ Rough Final ' Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ~ Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee FiII in inumbered spaces S/C ~ Type or Print legibly Tot. ~ , / J, / , 1. Date 2.~1~ tallation Cost P~.~ 3. Job Address " i ~ • • ! ~Lot ~l ~ Blk. ~ ~ Tract ' 4. Owner ~ , c~ r" ~ ~ ' , 5. Contractor l" = ~l ~ ' ~ ~f , Phone ~ ~'l = ~ • ' - 6. Address ` ~ ~ ' ~ 7. CitY f _ ! ~ ' ~ ' State ~J ~ Zip 8. Building Type: Residential lt~ Commercial ? Institutional ? 9. Work Description: New C3" Add O Alter ~ Repair ? 10. Describe Fuel Type 11. No, Epuioment STU - M. Ea. No. Equipment CFM Forced Air ~ Air Handling: Mfg. r'' , , Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when ~umbered and approved. Approved CITY OF EAGAN 454-8100 . . . . . _ . '~Y.~T.~f`.. '1 ' CITY OF EAGAN ~ ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ` r' BUILDING PERMIT R~e+a~ # Te N w~d fo. S i ~WG/GAR Est. Value S 7 0, 0 0 0 p~e JULY 19 ~ q~3 4 859 ROGERS CT ~C p~,~~~y R3 Site Addr Erect Lot ~ elack Sec/Sub. ~O VIEW MFADS Remodel ? 2oning R Parcel No. Repair ? Type of Co~st. V Enlarge ? No. Stories W Name JOHN BRANDBERG Move ? Length ~ Z Address ~ ~emolish ? Depth ~ - Grade ? Sq. Ft. City Phone GRAND OAKS Appro~al~ F~e~ ~ Name Address ~ J l~ssessment Permit 3.00 City Phone Woter a Sew. Surcha~ye 3 5. Q 0 Police Plon check 171 • S Q ~W Name Fire SNC 525.00 s~ Address Enp. Water Conn. 7 ~ 0 ~ W City Phone Plonner Water Meter 6 3. 0 ~ Councll Rood Unit 2 6 0. 0 ~ I hereby ocknowledge thot I have reod this application and stote that Bldg. Off. Parks the inlormotion is correct and agree ro comply wifh oll opplicoble APC Total i ~ State of Minnesotc Sto~utes ond City of Eogan Ordinonces. Var. Date Sipnoture of Pertnittee A Building Permit is issued to: GRAtvp OAK:i ~~~~~y~ ~iNon Ihat oll work sholl be don~ in accordonce it~ oll cpplioobl~ Sfqte of Min~esota Stotutes o~d City of Eaflon Ordinonces. Bulldinp Officiol • ~ - ' - Pamit No. P~rmit Holdsr Dst~ Plumbirq ~ ~ ~1 Ll..'L'\ ~ I J~~~ H.~.~.~. `i ~ _J t ~ k.~~~.. ~ - ~ ~ Ebctric Softener Irtspection Date Insp. Other Footin¢ f ~ ~ Foundation Framing ~ 1 C ~ ~ 1 Rough Piby. , O ~ ^17 l' Rouyh HVAC ~J/~ Insulation Finsl Plbq. , g Fi~al HVAC /s:3'> ~ ~ , ~ . Final - - ,-a.~~ra.~ CKt/Occ. we~~ Describe Loeation: Wsll ' Sewer Pr. Disp. . CASH RECEIPT ; ~~~y~~ CITY OF EAGAN ~ P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECEIVBD . , RROM ' AMOUNT $ I ~ OOLLARS ~eo ? GASH ? CHECK FOR ~ ~?WV ~ ' . . ~ % ~ ' FUND ~ CooE nfdOUNT , . _ -_^y..~ . . Thank Y u ~ _ ~ ^ ~ BY ' 4t YVhite-Payers Copy Yellow-Posting Copy Pink-File Copy --~m~~...-~, CITY OF EAGAN S~W~R S~tYICE PERMIT 3830 Pifot Knob Road Z P. O. Box 21199 PERMIT NO.: Eagan, MN 551~~ DATE: ~ Zoninp: No. of Units: Owner: ~'r~n ti [?8 ks IWdress: S~~ q~~~: fi 9 Rogere Court Ik3 B NortMriew Me~dows Plumber: ~-'r~"}' C OII8 - ~-z~-~ a~.,~ i . F 1~~re~ to es~npy wilh e6~ qty ef ~agsw Connection Chorpe: 4 2 S. 00 pd Ordleanea. 1~ccow~t Oeposir L S. ~ Q p pe~„~ _ 10.00 pd Surchorpe: - .50 pd BY Misc. Q~orpes: Date of Ir~sp.: Total: Insp.: Date paid: CITY OF EAGAN WATER SERVICE PCRMIT 3830 Pilot Knob Road _ . , P. O. Box 2119A PERMIT NO.: Eagan, MN 55 ?~1 DATE: y~ i7 ~ Zoning: ~ No. of Units: ~~r: GrancT C'~ks Address: S~te IWdress: ~.ogere Court I. ? B?'ort zview ;~ea oWe erry . c ona c: Plumber: Meter No.: Connection Charge: p 5~=e: Accw,~t DePostt: ' pd Reoder No.: PeRnit Fee: ~ P I•gee. to oarPy wiei~ N~. Ciep of E.yow Surcharge: • p met er Ordinonw. Misc. Choroes: Totcl: gy Dota Paid: Date of Insp.: Insp.: . CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 5601 P. O. Box 21199 PERMIT NO.: Eagan, MN 551~'~7 DATE: - - ZO^~^9~ No. af Unirs: Grand Oaks rea: 5 Mdress: $59 Ro ers Court L43 B4 Northview Meadows P~~~~ erry cDona ~IeMr No.: 3~1 ~ ~7~~20 9~- Connedion Chorge: 470.00 pd Size: lr/ Account Deposit: g~' ~ 15.00 i Readar L- G~ a y 3~~_ permit Fee: 10.00 pd 1 ayna to eompy wNh Ws Ciy of Lagae Surchorge: >-•50 pd Mtsc. Chorges: 63.00 ~d mete: 'n,,I ~Ip ' Total: By y ~ i ~Lv /.~wC_~ ~I~. Dme Paid: Dcte of Insp.: Insp.: CITY OF EAGAN No 1 g395 ' 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8100 f~ f DDg"1 BUILDING PERMIT Receipt # ~ DECK & To be used for 3-SEASON PORCH Est. Value $7, 000 Date SEP 24 ,~gQ~ Site Address _ 859 ROGERS CT Lot 43 Bbck 4 SeGSut~ORTHVIEW MEADOWS OFFICE U5E ONLY PBfC@I N0. Occupancy R-~_M-2 FEES Zoning - w Name SOHN BRANDBERG (AC1ual) Cons~ _ Bltlq. Permit 90. 00 o Addre55 859 ROGERS CT lAllowabie) - Surcharge 3.50 City EAGAN Phone 452-3873 xo~smries - Lengih POLCti 1~ Plan Reviaw fo Name OUALITY REMODELING pepm peck ~.4 SA0. C~ry Address 1715 NOKIA WAY S.F.TOIaI - SAC,MCWCC City EAGAN PhOn@ 454-4179 S.F. Footpdms - On Site Sewage _ Waler Conn ~~w Name On Sile Well - Waler Me~er W Address Mwcc sys~em - a W CITy PhOf1B City Water _ Acct. Deposil PRV Required _ SNJ Permil I hereby acknowlege that I have read lhis application and stata that Ihe Boos~er Pump - SNV Surcharga informafion is correct and agree to comply with all applicable SWte of Minnesota Statutes an ot Eagan Ordi nces. Trealment PI Si nature ot Permitee ~ APPROVALS g ~ Road Unit A Building Permit is issued to: QUALITY REMODELING Pianner - park Ded. on the expres5 Condition that all work shall be done in eccordance with all Council 5. 00 applicable Slate of Minnesota StaWte1s an-d~ ,Ci~ty ot Eaqan Ordinances. Bldg. Ofi. _ Copies Building Oflicial ~~1~1.~ QdfA ~ ~ u y Varianca - TOTAL 98. 50 CITY OF EAGAN °2 ~ 3630 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 J PHONE: 454-8700 ,yy'~~./ BUILDING PERMIT rtece~vr # t Te bs wad fer SF DWG/GAR ~~.Value $70~000 Dare JULY 19_ ~q 84 SiteAddress $59 ROGERS CT Erect C$ Ocwpancy R3 Lot 43 aio~k 4 ~/Sub. NO VIEW MEADS Remodel ? Zoninq Rl Percel No. Repair ? Type of Const, V Enlarge ? No. Stories W Name JOHN BRANDBERG Move ? Length ~ 4427 LOGAN AVE NO Demolish ? Depth Address Grade ? Sq. Ft. c~tv rno~a 529-9468 ~ ~ GRAND OAKS Avv~ovals Fees o Name A~~~s . 7623 UPPER 167TH Assessme~t Permit S 343.00 City LAKEVILLEpho~e 432-6561 Water85ew. Surcharga, ~5-00 ~W Palice Plan check 171.50 Name Fire SAC SZS.O~ Address Enp. Water Conn. ~00 ~W City Phone - Plonner WaterMeter~~~0 Council Road Unit Z~ n- ~ ~ 1 hereby ackrrowfedge that I have reod this application and stote that g~dg. Off. Parks ihe inlormotion is~correct and agree to compiy with oll apvlicoble APC Total 867.50 State of Minnesoto Stotutes and City of Eogon Ordinontes. . ~ . Var. Dete Sipnofure of permiMee A Building Permlt ~s issued to: GRAND OAK$ on tha erpreu wndition tho~ otl work sholl be~done in accordartce it atl opplim e St e of innewta Statutes and Ciry of Eagon Ordirwnces. BuHdinp Offitiol . -~j/o'/~/~~ REQUEST FOR ELECTRICAL INSPECTION ~~y~~ ei~~~~ ~ Sea instruciions for completing ~~is lorm on back ai yellow capy. i Cs ~3,3 5 H Q~ ' ~X" Below Work Covered by This Request 4~~~ ewAtld Rep. 7ypeofeuilding AppliancesWired EquipmentWiretl Home Ranqe Temporary Service Duplex Wa1er Heater Electric Heatinq Apt. Building Dryer Other (Specity) Comm.flnduscrial Fumace Farm Air Conditioner ~ Ol~er~speciry) ConVector5 Remarks: Compufe Inspection Fee 6elow: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pooi 0 to 200 Amps 0 to ~00 Amps Transformers Above 200 _ Amps Above-100. Amps Signs ~nspecmr6 Use Only: TOTqL _ ~ Irrigation Booms ~jci~ Special Inspeaion aiarmlCommunication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITXIN 18 MONTHS. I, the Elecirical Inspector, hereby R~ug~-in oate, /.G certi that the above ins ection has ~ ~Y P Finai oaie ,j been made. OFFlCE USE ONLY This request w~tl 10 monRis Irom `~~~~~SU . C~/O/~~ ~ 33584,c~~ ~ ~ ~ ~~°D Reques7„pe~ Fire No Rough-in Inspecibn G Re iretl? ? ReaGy Now ~III Notiy InspMOr / ~Yes ? No ~r~'hen Ready7 I i] IicePsed contractor 1~ owner hereby request inspection of above electrical work at: JoD Atldress (Sireet. Box or Route No.~ City 59 ~'o ,e.~ C~. ,E~ a Sedion No. Townshlp N e or No. Range No, Counry~~~ Octupant~PRINT) Phone No. J01in rzxq~ SZ 3f373 Power Supplier qtltl~ess f~~n~.h /~''i Elecvical Contractor ~COmpany Name~ Con~roclor's license No. Mailing Adtlress ~Conlranor or Owner Making Installa~ion~ S`j .e.-s G~ Au~horize0 Signa~ Ira ~ wne aking In5laliation) Phone Number Z 38~~ MINN STATE BOAPD DF ELECTPIQTV THIS INSPECTION REOUEST WILL NOT Gtlg s~ Cway BIOg. - Room S1lJ 8E AGCEPTED BV THE STAiE BOAFD 18Y nlversfly Ave.. 51. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Plpne(61P~602-0800 ENCLOSE~. 9~3- _ ~ESr Fon ELECridca~ ~n1~ECnow E~'O00D1-O• , Seo im[rvciions, for euu~yloeinp thia ~tam m haGk of wllo~ capv- ~~'t/-~g~ A ""X'" Be%w Wnrk Covered by This Request w •tl Rep. Type of BuiMinp Applinnces AirW ' . ' FAUipwenl N"ved Home flange Tempwary Service t Dupiex Water Heater Ligh4ng Fixnures Apt. Building Uryer Electric Heati Conmercial Bldg. Fumace Siio Unloader IntLstrial Bldg. Air Corditioner Hulk Milk Taidc r her 6peciH? r OtAer ompute nspec[ion fee Be1ow A Le SenrieaNNanesbies R he Featlera~3uMeade~a s Fee C:rcu:is 0 to Z00 0 to 30 p 'Y 0 to 30 Above 2_A 31 to 1~0 Anys 6 37 to 100 Swimmi~ Pool Above 100- Above 100~ TransVamers Irri ion Boorrs Partial-'Otlier Fee Sigrs Special Inspection S Remarks TO ~ ~ ~m (/V XoWA-in D~a7te// 1. 1 ~ (/4'/i ( ~tt/~ ImOacts. hereb? oeN:M1 tlm~ p~s abera Fina~ ~ r tio~ hss b~so D' rm.~.aa,e~aae~m . Thisrepuestwitl y~l~6~ ` ~'Z~0'~~ 16 munths~ Iro+. A'06~234 ~ 4 ,~b~ e,,~,~ ~fa.~ Repues[ te~ Fire No. ~b uplr:n I~pection 1-.rr Nequ~red~ ~1leady Nwv ~y~u~ll NotHr I.rspec- 7 S ~p~ p No ~~a wm~ xaa,. 4~ce~aed Electriwi Contracta 1 Mraby requsaf i.upoc~im oF ebovs ~Ow~er elocViwl rork irmtelNd at: Street AAMess, Bos p Ibule Na City rs r-f' n ecUOn Tow~~" Nmne w No_ ~qe o. Caunq /v ~ i ~ 17a a ~-a.. Occu ~t IPItIMI ' Rvie No. ra n d Oa/ss ~32-~s~ / Power Supp~er 1 Address ~ G a~'c~ G. e8 ~ EI r' 1 ConV ctn IC nY N 1 Cmbacow's Li~ee No. ~~S~trG-~/ 07~fS~'3 AOaili~q d (Gwrt MOMibrlAakinplnslaFWtion ~ ~6 ~ ~w~ Aud~oriz Siy~atuie ( M~OCtor r ki'p 1~6tallationl ~m~e Nmber YINNESOTA STA7F Im Of ElEC7RIGIT' . TxIB II~PECTIOM IICQUFSf y1LL NOT Grippe-41iMnY Bidp- - Noom N-781 ~ BE AGCEPIED BP 7HE SfA7E BOAIm 1821 Univarsih~ Ava.. SL Paul. MM ~104 UMIF~ PNOPEB IN5fEC7qN fEE ~g Pn..m 16121 297-2171 E~~~• . . PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, M innesota 55122-1897 Permit Number: 0 2 8 9 2 7 (612) 681-4675 Date Issued: 0 9/ 2 7 J 9 6 SITE ADDRESS: 859 R06ERS CT LOT: 43 BLOCK: 4 NORTHVIEW MEA~OWS P.I.N.: 10-52100-430-04 DESCRIPTION: BASEMENT FIREPLACE Building~.Permit Type FIREPLACE Buildirtg Wo=rk Type NEW - /~Census C.ode~ 43R ALT. RESIDENTIAL ~ ry, r' ~ ~ °se . . - _ s ~ C-~ ;7 I) `.,re9;""':. -,,t r ,~if' ~:a ~~li.~f `~I`~ +~riit~ i~~'-'iS~~` it~-t!~i .,~rv~~:"i ` ~ \ ~ i . ~ ~*5;::.:2 c~ . REMARKS: FEE SUMMARY: Base Fee $25•@0 Surcharge $.50 , Tntal Fee $25.50 , II CONTRACTOR: - Applicant - OWNER: I TOTAL AZR INC 18947472 BRANDBERG JOHN 1923 W BURNSVILLE PKWY 859 ROGERS CT BURNSVILLE MN 55337 EAGAN MN (612) 894-7472 (612)452-3873 i I hereby acknowledge that I have read this applicat~on and state that the I intormation is correct and agree to camp~y wlth all appli~~hle 5tate of Mn. Statutes and City of Eagan Drdinancee, I~ . _ . _ I APPLICANT/PERMITEESIGNATURE ' ISSUED ' IG ATU~~ CITY OF EAGAN 3830 PiLOT KNOB RD - 55122 ~ 1996 FIItEPLACE PERMIT APPLICATION 651-4675 DATE: ~ _ ~ - ~ DESCRIPTTON OF WORK: ~CONSTRUCT IyE 'ti FIREPLACE: _ WOOD BURNIAiG ~ GAS _ INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTI-IER: ROOM TO BE INSTALLED IN: 4~~ STREETADDRESS: U ~ vl ~~-'~'S ~ ~v LOT ~ BLOCK ~ SUBD./P.I.D.#: ~~~~`^'`~""i~~~-~``~6~ APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Name:~Y-CIh~.U~`~'~ ~1~~~ Phone#: ~51-.3g73 OWNER ~ Fl~ Signature: Street Address: g`,~ ° 1~~~ ~S ~ City: ~~~Cs.~N state: m~ zip: `~5 I~ 3 FIItEPLACE Com an I T ~ Phone ~ ~ ~ P Y~ ?~NCT ~.1.~~n 1 Signature: ~ Street Address: t~~-3 1ZC~~~~. Licen~e City ~`~~'~1T~~ State: ~ Zip: ~ ~ GAS LINE Company: U~A- ~ ~-~1~T~~ Phone INSTALLER Name: Signature: Street Address: City: State: Zip: OFFICE USE ONLY BUILDWG PERMIT TYPE 0 14 Fireplace WORK TYPE a 31 New ? 33 Alterations 0 32 Addition ? 34 Repa'v GENERAL INFORMATION Census Code. SAC Code REMARKS Chimney/flue must be inspected before concealing. . , o.* ao•oo+ 3•50+ 5•00+ 98•50*+ 90•00+ 3•50+ 5•00+ 9F3 • 50 ~ 4 r V ~~34.5 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED DNCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. SEP 2 3 RECD / n T ~ q G To Be Used For: ~ ~r~5oc~ /`u~~ 'F'(~a u tion: ~ Date: /'a t- Site Address ~,5 f~or~,~- ~p~~T OFFICE USE ONLY 7000 e~~ Lot Slock ~ FEES T Occupancy ~ 3 A~'Z ,,p~ Zoning Parcel/Sub~rLG,-L~P~sr*'~/~' aurL Actual Const Bldg. Permit I Allowable Surcharge ,3. $1~ O~aner J~oj~.u ~?-~W~DI,?.Q-r~i # of stories Plan Review n Length ~QGH 2~ SAC, City Address ~i- ~Coc ~S Depth DtZ.K /2~%~9' SAC, MWCC r ~ S.F. Total Water Conn City/Zip Code jy~,1 rn~~,, ~ Footprint S.F. Water Meter Acct. Deposit Phone On site sewage_ S/W Permit e~ V~~~~,,~ On site well S/W Surcharge Contractor ,~L ~ MWCC System ! Treatment P1. City water _ Road Unit' Address l7 / S /1~0 w PRV Park Ded. Booster Pump Copies ~ City/Zip Code ~'yy~~ ~~r}1 SUBTOTAL ~ APPROVALS Penalty Phone S<f - y 1~ R Planner TOTAL 4•~1 Council ' Arch./Engr. Bldg. Off. Q(Z{ Variance Address Gity/Zip Code Phone ~ . VA~~-ns,.l ~ P~ ~~u7 ~r f2X12= !44 x9B= 59(0~ bE~~C j Do a r~ b76o o~ 7000 , SURVEYOR'S CERTIFICATE GRAND OPKS DEVELOPMENT COMPANY . . . r ~ I ~~l~ L 1 PROPOSED GRADES \ .r~ WERE TAKEN FROM O'~j / I5 THE DEVELOPMENT PLAN\ ` 9 N~ FOR NORTHVIEW MEADOWS ~3 ' / I BV SUBURBAN ENGINEERING, ~ / LAST DATED 9-29-83. ~ ~ „ ~ ; , g~ t~ ~o~z /,~Q~P~ LOT 43~ " , y o ~ E e I ^ ~ j P~'d r.t~~ s P~~~~ , ac ~ P 5 u ~ ~q j ~ ~ O~p ~ ~I ~a ,$a $ 19.771- Ci- l ~ 4, / ~ - 25.34 4~p~ ~ i V ~ . ~ ' ' / I liJ ~ o p/~ED HWSE i O ~ ~ ~ b ~ O ~ 1 ~ 8.00 4, p (f~ p N~ I ~ ~o / ' 9O p ; ` N ~ ~N~~a~ ~ t0 ~ ~N =`I ~ ~ 0. \ I\ v 22.00 i ~ . -za.oa_= , ~ ~ \ ~ ~ ~ 5 ; - . ~ :'~OW:. . a ,,.:u.>., M 1 GFfEC(~ 1N15 ' ~ ~ ~ ~ ~;~Q,; ~ O lD McN~MUM ~ , ° . ~•r . ~ ~pp' \ op0 ~q~aj ' R°36p, 50 38•7 S CT R~~ER DENOTES PROPOSED SURFACE ~RAIP~AGE O DENOTE~ IRON h10NUMENT SET SCALE: 1 INCH = ~ fEET • DENOTES IRON MONUMEM1T FOUND PROPOSED GARAGE FLOOR = '7(0. FEET X000.0 DENOTES EXISTING ELEVATION °ROPOSED LOWEST FLOOR = 9'13.9 FEET (000.0) DENOTES PROPOSED ELEVATI~N PROPOSED TOP OF BLOCK = 9-T7 ~I FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT COPIPANY THAT THIS IS A TRUE AND CORRELT ^~'""~«NTATION OF A SURVEY OF THE BOUNDARIES OF: ~ . . Lot 43 Block 4, NORTHVIEW MEADOWS, according to the recorded plat - thereo~, Dakota County, Minnesota. ANO OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROYEMENTS OR ENCROACHMENTS,. IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY UIRECT SUPERVISION. 7HI5 IS"fkk- DAY OF .~UNI:- . l9aq'• SIGtJED: JA~?ES P,. HILL, INC. . ? BY: v ~ ~T/c~ HAROLD C. PETERSON, LANO SURVEYOR ~1INNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE ~AMES R. HILL~ INC. 84765 Planners / Enginee~s / Surveyors FILE NO. 8200 HumbolAt Avsnu• South FO L DE R Bbominpton, Mn. 65431 81 Z-884-3029 o • n. 343•00+ i 5 • 0 0 + 1 7 7^ 5 G+ 525•OC+ 47G•OC+ 6 3 • 0 G + 260•OC+ 1667•50* .r.\, . . ~ . . _ . . ~(1 P-~ - G 3 a3 CITY oF' L•'nc~1 Include 2 sets of plans, ~ /t ~ - 1 site plan w/~leva~ons & ~ ~ D~~`"`~ ~ B U I L D I N G P P: R M I T A P P L I C A' P I O N 1 s e t o f e n e r g y c a l c u l a t i o n s. ~~.Dt~1(~. C~F~R, - - 7b Be Used For Valuation , p~ ~~p W ~ Date ~ ~ a~~~! - site ra~ess 8S C~' or•rzcs os~ orn,Y Lot ~ Bloc}c ~ Sec./Sub. 1VQ2~.•ec~ ~.~t t~kcupancy ~2-3 Parccl Alter zoning R-1 Repair I'ire Zone O.mer: .~•Ah r~ ~~~J~~~1~i'~ L•:nlarc7e _'[ype of Const. Addrnss: 7 (,06p-N ~-UC MO`re # Stories I~~lish Fzvnt r--~ ft. City/Zip Codei _ Grade _ Dcpth 4 8 ft- P?~~ 5 a°- 9y~ f~ ~~[~rx>vnr s r• r•.r•.s Contractor: Qq~s Assessrrrnts Perntit 343, [Jater/Sc~oer Sur.chan7e ' 35. = I~ddress: ~ ~ 2 3 ~v~.¢~~' ~6 7 ~ _ ~lice - Plan Check I~I I • .5~ Y City/Zip Code: C~„ ((e. r•ire _ s~c 5~ 5°~ Phone ~3dZ ~eS ~o ~ L•~~. _ water Conn. C{~D. ~ Planner k'ater Meter (03 m : Cour.cil Fr~ad Unit 2~b. % Fildq. Off: Tddress : FU?C City/ZiP Code_ - Phone # : - - . ~VI.AI. / ~ 6 ~ ~ S a ~ • . / SURVEYOR'S CERTIFICATE GRAND OQKS DEVELOPMENT COMPANY , ~ ~1 ~ PROPOSED GRADES \ ~ ~ - s WERE TAKEN FROM i"` ` o4j / ~5 ~ THE DEVELOPMENT PLAN\ 9 , FOR NORTHVIEW MEADOWS ~~j / BY SUBURBAN ENGINEERING, ~ \ / I LAST DATED 9-29-83. , ~ ~ ~f ,l I . ~ . , / ~ y~o5 j/~Q~P~ LOT 43~ ~ 0 / ~ ~ P~' P I ~ ~ ,s ~ S~~,E , ~ '-~~i ~6 O l.q% r y ~P ~ (9~~,~, 19.77 ~ / . ~ 25.34 - ~ ~ \ - 46.0/ ' ~ / ~ ~ ' / ~ W ~ o ROPOSED HIX~SE i O lS~ ti e. o~j I ~ O u~ u~ t ~ ~ ~ M i , N N"'> > 1 7~0~ ~ ~p % •.90I p ~ ~ I PN GA~ ~ ' (D \ r N~ `f1 ~ O \ I\ ~L ~ ``J Dti \ _28.~.3 z2 0o I i ~ , . ~ . ` ~k::ai3*~ ~ C~~ . / \ "t.041t,.M 5 • . / D \ ii0e~.;. ry) GFfEGf~ 7N15 ' N - ' ' g r's o ~ i b~ ~ ~ ~O p91M16~UN1 ~ ~ o . `4. ~ ~ ~ ~ : ~q,~~,/ ~ ~ Ra36 ~ p ~ . 38•T S C7 R~~ER DENOTES PROPOSED SURFACE DRAINACE O DENOTES IRON MONUMENT SET SCALE: 1 INCH FEET ~ DENOTES IRON MONUMEhT FOUND PROPO$ED GARAGE FLOOR = 'lCo~]/ FEET X000.0 DENOTES EXISTING ELEVATION °ROPOSED LOWEST FLOOR = 9?3.9 FEET (000.0) DENOTES PROPOSED ELEVATI~N PROPOSED TOP OF BLOCK = 4~~ ~ ~ FEET I HEREBY CERTIFY TO GRAt~D OAKS DEVELOPMENT COAIPANY THAT THIS IS A TRUE AND CORRECT , "~'""-«NTATION OF A SURVEY Of THE BOUNDARIES OF: Lot 43 Block 4, NORTHVIEW MEADOWS, according to the recorded plat - thereo~`, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILOING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS,. IF ANY, THEREON. AS SURYEYED BY ME, OR UNDER MY DIRECT SUPERYISION, THIS Is~ DAY OF SUNL:- . 1984• SIG~dED: JAh?ES P,. HILL, INC. ~ ~ ~ : BUt~ BY: HAROLD C. PETERSON, LANU SURVEYOR hSINNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE ~AMES R. HILL, INC. 84765 Planners / Englneers / Surveyors FILE NO. 8200 Humboldt Avenu~ South FOLDER ebomin9to~ Ma 6b431 812-884-3029 "_4a-.1;...:. ' ~•I~Bi . . ~~S 5a, . _ » _ ~ . - - ~ . ..u,A.. ' . ,.aedS$'9.u i.a.i. 7-y ~ ~ C\ QARRIER LOAO INFORMATION CEN~ER cv~ ~.ko~~ ~i , OPTION 1 OPTION OPTION c 1. Summerdesigndegrees f~C p CJr q ~ • (90, 95, 100, 105, 110 or 115) (1f 90, 105, 110 or 115, Item 2 N A) 2. Dailyrange(0°-35°) ~ ~ ~ : 8; . ..L. _s ~_J 3. wntereesigneegrees n q i~~ ~ x ~ (Precetle a minus number with M) ~ 4. NumEerofwintlowpanes ~ q ~ p ' p (1, 2 ar 3. If 2 or 3, Item 5 N.A.) 5. Stormwindows?(VOtN) ~':i.; ' ~ "_.r-...:,~'~.#, t'4`._~:>~.,._.~.~~# M 6. Windowsweathersiripped?(VOrN)..... y q y p ~ 7. Four window areas starting with N or NEOrientation N # ~I q ~ (Ex: Nk25A30a20k25Mk: Max per side: ~ 999 sq, tt.) 71 N or NE i/ p ~/c~ a ~;~.J 72.EorSE N 7~ a ~ a~ ~-J ~3 S o, SW # 3 p O-~ ~a w or Nw /.3 sa / y y ax sa 8. Shadedwindowarea . C q ~ C a L_ al (0 or sq. ft. Enter 0 if not applicable. -J Max: 999 sq. }t.) . 9. DoOrefea ~ ~ ~ (0 0~ sq. ft. Maz: 999 sq. ft If 0, Items 10 & 11 N.A.) ~ 10. Doorweatherstripped?jYorN)-........ ';.,~.-;~=.:p. 3.,.: -A I_J r.~~- ¢r.ti~~..., . ' ti 11. Stormdoors?(YorN) ~ #M µ~~?';.N 'p8~ ' •"pq 12. Firsistoryperimeter ~ p gc g I qI ~_J 13. Secondstoryperimeter p ~ p L_--J~ 14. Tnicknessofwellinsuletion ~ q ~ ~J (0, 2, 4 or 6" fiberglas. Enter MA for . masonry; R values, enter R, then velue. Ex: R19) 15. ~D oell earf Lrlf 0,'Items 16, 17 & 28 N.A.) ~ CI # p ~--J 16. BasemeMheateA?(YOrN~ . ':.,q.i_~N. , "~y _ ..~:p~ ~ . (If N, Item 77 N.A.) " ""Y'~ ~ 17. Percentabovegrade (Ex:S%=5) a ~ "i.q' , ~ ~ • - ,~0:,'F S 0 18. Area of roof with ezposeA beems or studiOCeiling . pq ~ M# (0 or sq. ft. It zero, Items 79, 20 & 21 N.A.) ~ ~ 19. WootlorfiDer.. . ""~'"y~e~;::'~""p' » ~ Y~,,~x,~~q ~ (Wforwood,Florl~berJiW,Item20N.A.. - If F, Item 21 N.A.) ~ 20. Thicknessoftiber . . i ; ~i:. . ~ (L5. 2 or 3" or R values) ~ ~ ~ ' 21. Insuletion :r. ~ .k~: ' . w ,~':,:i,tl. rr...r~l`:i...G (Y, N or R velues, Y assumes 1.5") OPTION 1 OPTION Z OPTION 3 22. Area of ceiling under vented roof or unconditionedspece ~ C ~ p p ~ (0 or sq. ft. If 0 Item 23 N.A.) 23. Thicknessoflnsulation . a " , ;q -,4.~, "~~'.p V,:.~:' Y ? (0, 3, 6. 12 or 1B" of fiberglas or R values Ex: R30) 24. Areaoffloorsoverunconditionedspaw L~ # p ~ 10 or sq. It. If 0 Item 25 N.A.) 25. ThiCknesso~in5ulatiOn I t'~:,. ' (0. 3 or 6" fibeiglas. or R values~. . . ~~=:1~ ' ; :%l~N~.. 26. Area of Floois over open or vented spaCe,II~~ f~ orgarage aa nR I #AI (0 or sq. ft. I~ 0 Item 27 N.A.) ~ ~ 27. Thicknessolinsulation ~ f~„',^~'.~M~ ~ ~~s';. Rr~,~;.: ~LL~e'...,p. (0, 3 or 6" o~ fiberglas or P values) ' . . ; . , , _ 28. easementarea . /Ic~; _ M '.'II'Q ~ NI . (0 or sq. ft. If Item 151s 0 skip ihle enlry.) 29. Totalheatetl area . ~ # ~,~j~ # p (sa. it.) 30. PerimeterofconcreteslaD ~ q 'y q ~ (D or linear it.) (II 0. I~em 31 N A) 31. Thicknessofslabinsula~ion.... . . 1~C~~ '~.q ~.r:~;J_J q (0, tor2„) . _ . ' ~ 32. Desired 5ummer indoor temperalure swing ~ Nq ~ Mp #k (Value belween 1 and 6 inclusive.) 33. DesireG winterinsidetemperature _ Z. # ~ p ~ q 34. Ductlocation g- q ~ p ~ (AT = attic, BA = basement, SL = slab, CR = crawl space, CO = contlitioneG space) (H BA, SL or CO, Item 35 N.A ) 35. Thicknessofinsulation ~ ` 'rt'~ ~ ~ . ~ g tS."';" e,.t,. ~ "=s"~ r^ '^~~If:, (o. 1 or 2". Use 2 for 1" ngitl.) - 'REPEATDATA7' p# q~ pa VorN •'CORRECTIONS7" ~ If there are no corrections required enter K#. ~ If inere are corredions to the data, enter - question number, q,-the new data, and pq. ~ ~ ~ ~ ' ~ - ~ ' ~ ~ • ~ - ~ E no upr he« Correcfi0ns, enter k# only. WN p qp p pp p p# COOLING B.T.U.H. EOUALS•~~AT NL~ °F B.T.U.H.~/ ~ qT ~~_°f B.T.U.H. AT °F HEATING B.T.U.H. , ~ EQUALS f~•~ ~ AT -~_°F B.T.U.H. Q'/~J `I_qT C°F B.T.U.H. AT °F ..NEPEATTNEANSWEqS"IVorN) N# #p pq . ..SAVEYOURDATA?" gq qp pp Y or N: or VRa# wili save your data and qoes~ . to beginning tor new Analysis; or NRqk will nol save data bW goes 6ack to beginning for new Anatysis. . JOBNUMBER ~ If you waN to save your data CLIC assigns ~ Job Number "STRUCTURE CHANGESY' . If [here are no changes required enler Nq. . I~ ~hCrB 2rE Chang@5 fo Ihe tl3ta; enler ques~ion numDei, a. ihe new tlata, and an. N MH p np p py Ez:25NR30M# ? If no lurther Change5, en~er NK only. kN pp pp R~I PqN~ U~ 14W~~/~4~ff~~pJ ~~?YI~~J~ - OPPORTUNIN HOME 3-~e Prinletl in U.S.A. 83B•039 SURVEYOR'S CERTIFICATE GRAND OQKS DEVELOPMENT COt+PANY . , ` ' • ' / ~ r PROPOSED GRADES \ s~ WERE TAKEN FROM i`~ o4j / I5 ` f THE OEVELOPMENT PLAN\ p~ lV FOR NORTHVIEW MEADOWS ~~j ~ / BY SUBURBAN ENGINEERING, ~ \ / I LAST DATED 9-29-83. ~ I . ~ ~ 3. . : h ~°~2 ~~~e~Pt LOT 43~ " ~ / ~Q~~ ~ % ~ ~ P~' I ~ ~`6~ p~P ~a? ~ ~,~`i ~,°1~ i ~ F' ~ ~~7~~A, 19.77~- Ci- , ~25.34 _ ~ i ~ / 46.0/ I ~ ` ~ / ~ (U . ` o ~ ROPOSED HOUSE i O tf~ N / i ry O , b ~ ~ - p v~ a. oo /s. oo P7 N~N-~~ ~(i ~9'I~o•4) vo ~~so°I p° \ C~ PN ~A~AmN ~ _ ~ QI ra~ ~ ~ O ` ~ ~ 03 _ _ z2.oo ~ -28_ I i ~ , ~ ~ \ oW'; ` . ~n g ' j A \ :..0:~:~".. - . N g ° M i b1 ~ i~O`;, i I `r ° - , : ~ , _ . ,oo,~ ~ ~q~aj ' R°36p, 5 / 38 ~T CT. R~~ERS .f_ DENOTES PROPOSED SURFACE DRAINAC,E O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMEhT fOUND PROPOSED GARAGE FLOOR = q~~. "1 FEET X000.0 DENOTES EXISTING ELEVATION °ROPOSEQ IOWEST FLOOR = 9"13 .9 FEET (000.0) DENOTES PROPOSED ELEVATTnN PRO?OSED TOP OF BLOCK = 9~`] , I FEET I HEREBY CERTIFY TO GRA(JD OAKS DEVELOPMENT COPIFANY THAT THIS IS A TRUE AND CORRECT . "~`,,,'=~rNTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 43 Block 4, NORTHVIEW MEADOWS, according to the recorded plat ~ thereo~, Dakota County, Minnesota. ANO OF THE LOCATION OF A PROPOSED BUILDING. JT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYEU BY ME, OR UNDER MY OIRECT SUPERYISION, THIS ~s~l+- DAY OF ,UNI+" + 1984- SIG~dED: JAF?ES P,. HILL, INC. ? BY : ~ ~~~~i/c.1 HAROLD C. PETERSON, LAND SURVEYOR ~SINNESOTA LICENSE N0. .12294 PROJECT NO. BOOK / PAGE ~AMES R. HILL~ INC. 84765 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Arenu~ South FO L DE R Bbomin9ton, Mn. 65431 e~ 2-ea4-3o2s 2/84 CITY OF EAGAN APPLICATION FOR PERMIT ! SEWER AND/OR WATER CONNECTIODI (PLEASE PRINT) 1) PROPERTY ADDRESS : ~ ~ ~/3 A ~ rS ~ ~ U r•rrnr. DESCRZPTION: L, l~ ~13 ~31.~ ~ k~l i (Lot/Block/Subdivision or Tax Parcel I.D. Ntunber) ~ IF E.YI~~=~:G ST:-cUCIVE2E, DATE C° ORIGi ~I, nliILL'ING PF'=,:~ST ISSJPi~:C.: ; lP'~r. ~z~.ear) PRESE`"P ~~';;SIV~;/P??OPOSF~ L'SE: f~R-1 STiVGI~ FP_"~IILY i ? R-2 DL"PLEX UT7ITS) ~ ? R-3 7'OWNHOCTSE (Tf~2EE + UNITS) ( IINITS) ? R-4 APAR~'tENT/COL~7DOMIIdIUM ( UNTTS) C p C~RCIAL/REPAI7~/OFFICE f ? II~IDUS'IRIAL ~ ? INSTITUTIONAI,/GOVERI~A'lE[~Pf j M 2~ ~p~~~. (PLEASE PRINT) ~ t~:t~: ~7 ras n d ~ t ~nD~ss: 3 t~ r~~a e r~ ~ crrY, srA~, zrn: k~Uill~ ll~,nr. ;~".,~'Z ~/~1` j PHONE: LI ~ Lo.S ~ ~ ~ i 3~ P~~ PLEASE PRTI~NT) FOR CITY USE ONLY ~ ~ rr~ ~ I ] G)VOI t PLUMBERS LICENSE: E ADDRESS: ~~j ~ V. Attive ~ CITY~ STATE~ ZIP: _t~ ~ ~/I 1( P N S'"S"d l•~L1 ~ Expired PHONE: a c 0 Not of Reeord y ~n ` ` .~~~ZPLUMBER LICENSE f/ o•~OGd a nitia ! 4~ OGCi7PANT~~V~I~2 (PIEASE PRINT) N71ME: ADDRESS: CITY, STA'I'~, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQLTESTED: ~ Q~NNECfIO?Q TO CITY SEUIER ~ CONNECPION TO CITY WATER ~ CyP[~R (PI~FIISE DFSCRIBE) 6) II~1DIG'~TE O:IE: ~ PLFII.SE HOID APPFK)VED PERMIT FOR PICK-UP BY ONE OF ABOVE ? PLFASE MAIL APPR(7VED PERMIT ~ 1, 3, 4 I1BWE (Circle one) 7) SIG'V~NRE: DATE: ~ I ~r~ ~ ~Rt~w~w~~~ ~ ~r;~:r~ ~ ~+i~~~~~ ~'~frl~~~~ y . .w;~m w F 0 R C I T Y U S E O N L Y ~ PERMIT ° ISSUED ~ F°E5: $ .~-a SF't,n7gg p~RMIT (IDICLliDE SUP.CFiARGE) $ i~.~° WATER PERA4IT (INCLUDE SURCHARGE) S G~~--0 WATER METER/COPPERHORN/OUTSIDE READER S WATER TAP { INCLUDE COP,PORATION S'r'^2 ) $ SE4~ER TAP S ~ S°--a ACCOUNT DEPOSIT - SEWER $ i~' ~ ACCOUNT DEPOSIT - WATER $ e. ~-a' WAC $ s-~~ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ ~ OTHER S TOTAL $ A~~ AMOUNT PAID/RECEIPT # o DOES UTILITY CONNECTION REQUIRE EXCAVATIOIV IN PUBLIC f2IGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ~ NO ENGINEERING DIVISIO[V. LIST AS A CONDI- TION. ~ SUBJECT TO THE FOLLOWING CONDITIONS: I APPROVED BY: ~>yr~p TITLE: _,G~,B DATE : ~ - ~ yo . .es~w~+~~~~wc~~esi~wt~~e~~ ws~ . . , . ~k r . . . . . ~ . ~ . ~Ak~!l~~~L#/Fi~~E~lEfi~~.. . . ~ City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Ct c Use BLUE or BLACK Ink Permit #: /o/5/ Permit Fee: 5" • a. 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: -1—)L 201 1 Site Address: Tenant: S sq - 661.1A. -t, Suite #: RESIDENT / OWNER Name: L+� _ 1 1.�1'r parPhone: 40,1-1.15, -3B7� t �_�'itff -✓t.. ` 5 % . Address / City / Zip: g69 — P.6ie v4 CLlvwt.Au_ CONTRACTOR __ II Name: I J4� & ti P) i� Au License #: 4576) 37 P m �t Address: i �J , — 1- £ Ate ti City: ,. State: Zip: 6S,4-.3 Phone: tole, G lP5e - - (1"l e) Contact: Lomat„ Al tl ail: rafirn ni LitaLli f",. zu I • Gr/lrn TYPE OF WORK _ New eplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Softener Main / __ Lower Level) .Water Heater Add Plumbing Fixtures ( Lawn Irrigation ( RPZ / PVB) _ Water Turnaround Septic System New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) State Surcharge) FEES $66, $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in a • • ance with the approved plop in the case of work which requires a review and apprgti I of plans. 411' City of Eaan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r L Use BLUE or BLACK Ink For Office Use /1 Permit #: / U-3?7Z 64())'Permit Fee: Date Received: L _ Z& )2. Staff: INFLOW & INFILTRATION PERMIT APPLICATION if Plumbing / Sewer & Water ' / a Site Address: R.-6-7 /e©j tei,"" 1 Tenant: Suite #: Name: "NI o,th 4r art o/ koe Address / City / Zip: Phone: z/ --3e7? Name: License #: Address: City: State: Contact: Email: Zip: Phone: PLUMBING (Within the building envelope) Sump Pump Repair Other: SEWER & WATER (Outside the building envelope) Repair Other: Description of work: FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name J A y? icant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA107634 Date Issued:10/19/2012 Permit Category:ePermit Site Address: 859 Rogers Ct Lot:43 Block: 4 Addition: Northview Meadows PID:10-52100-04-430 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Chris McGrath 1120 winter st N.E mpls, MN 55413 763-413-1100 Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John T Brandberg 859 Rogers Ct Eagan MN 55123 Harmony Homes 1120 Winter St NE Minneapolis MN 55413 (763) 413-1100 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA110291 Date Issued:05/02/2013 Permit Category:ePermit Site Address: 859 Rogers Ct Lot:43 Block: 4 Addition: Northview Meadows PID:10-52100-04-430 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Scott Newgaard 640 W. 92nd St Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John T Brandberg 859 Rogers Ct Eagan MN 55123 Bloomington Heating & Air 640 W 92nd St Bloomington MN 55420 (952) 884-3552 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118645 Date Issued:11/05/2013 Permit Category:ePermit Site Address: 859 Rogers Ct Lot:43 Block: 4 Addition: Northview Meadows PID:10-52100-04-430 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John T Brandberg 859 Rogers Ct Eagan MN 55123 (651) 452-3873 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176703 Date Issued:05/27/2022 Permit Category:ePermit Site Address: 859 Rogers Ct Lot:43 Block: 4 Addition: Northview Meadows PID:10-52100-04-430 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew A & Kimberly D Seamon 14529 Spaulding Dr Corpus Christi TX 78410 Greenguard Construction Inc 2915 Waters Road, Suite 101 Eagan MN 55121 (651) 289-7000 Applicant/Permitee: Signature Issued By: Signature