4135 Ruby Lane
INSPECTI(.)N RE(;UKD
CITY OF EAGAN PERMITTYPE: ~ ~ ~ ~
3830 Pilot Knob Road Permit Number: H~? ~
Eagan, Minnesota 55122-1897 Date Issued: ~ •
(612) 681-4675
SITE ADDRESS: ' . •"`~-l" 1 " " o APPLICANT:
030 z
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .A . DA
~ tiia~ti~~f,~?1'!i~r.
L~ J
Permk Hoider Date Telephone #
PLUMBING
HVAC
inspectfon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE .
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
MEfER
IRRIGATION
METER
FLUSH
MAINS
cauoucriwrv
TEST
HYDROSTATIC
TEST
6SMT R.I.
BSMT FlNAL
DECK FTG
DECK FINAL
INSPECTION RECUIZv
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 038 4 r;
Eagan, Minnesota 55122-1897 Date Issued: o
(612) 681-4675
SITE ADDRESS: APPLICANT:
I I. . . ~ i . i
Z , •tl . I . ~ I It~`~'1 1' 1 I`:'
~ ~ . . ~ . . ~i' 030
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .A . .A
.
R!`b1A{ ~ ,i1 {'r~ ) ~ ii 1 ^'(!ai ~ 1~1~1 i+~ ~ I ~~(,1'i tii,~.. ,
~ ~ ~~.}+R! e
l~ J
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date lnsp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
RQUGH
HEATING
GAS SvC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNDucTivirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSYE(;'1'ION KE(:UKll
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' ~ ~ 10 '`5d, ' 0 APPLICANT:
~ , . 4 (1;; 030 Z j,
PERMIT SUBTYPE: TYPE OF WORK:
, ~„tt•~. , . ~ ,ti i i
' ti11914+ ~
INSPECTION D• • rA
~i
f~~M~,~ t . i I;. ~ 1: 1+~t.i~ ~ 1:i,< i I~~taM 1~1~Mr,~ ;
_ _ - ~
L J
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspeclion Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIFEPLACE
AIR TEST
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
DOMESTIC
METER
IARIGATION
METER
FLUSH
MAINS
corvoucnviTr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTICIN RECURD ~
CtT°y OF EAGAN PERMlT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: j``
(612) 681-4675
SITEADDRESS: APPLICANT:
~
PERMIT SUBTYPE: TYPE OF WORK:
. .
i f~ ti PI I I r 1
y ~ I t.i f'I r.i 1
5 ~157 /v/ w- l 9
• . ss fa ss 0 .b ~ o0 5 ' vv o-o
. s~ q135) ~ q13-7
55117 NI 55 7
!~5 ~ N7 ~ ~`b
i ~ 1~ ttllltY 1 f~
, F• tl 1'i_H1+ VAI l 1 Y 1'1111i
E _ . . . - _ . . t • • • • ~
_ permit Np. permit Holder Date Telephane M
SiHV
• . PLUMBING
. HVAC
ELECTRIC
ELECTRIC
Inspectlon Dete insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplece
Fnal Htg.
Orsat Test
Fnel Plbg. Plbg. Inspector - Notify Plumber
Const. Meler
EngrJPlan
Bidp. Fnal
Deck Ftg.
Dedc Final
wen
Pr. Disp.
~ . INSPECTION RECORD
. . ~ CITY OF EAGAN PERMIT TYPE:
3830 P'ilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
!ANF • ii ~ ~ i i~i~~i ~ ~i 1144 , I 1!1•
pi11
PERM
.11 IT SUB ,TYPE: TYPE OF WORK: ;1i,,
INSPECTION
KI MAlzr ~ N~ t v~~~ . ~ ~ . . ~ ~ , ~ , , . . , , ~ ; ~ ~ ; : : ~
1. W 4'I kiK VNI 11 Y?'lftf;
~ ~
. PermR No. Permit Naitler Date Telsphone 11
S/W
- - PLUMBING y.?'
• HVAC ~ 9~• .~`/b~-~~~/~p
ELECTRIC
ELECTRIC
Inspectan Date Inap. CommeMs
Footings I
Foundation
Framing
fioofing
Rough Plbg. ~ r-
aougr, Ftt9.
?r fir /4s 4tj vi- i;i A-Fztj
ls,l. :30 - ~s G/G
Fireplace
Final Htg. e..r ~ ?
Orsat Test
Fnal Pibg. Plbg. InspeCtor - Notify Piumber
Const. Meter
Engr./Plan
Btdg. Final D ALL
v~,/ TS
Dedc Ftg.
DeCk Finsl
Well
Pr. Disp.
SITE ADDRESS ~ Unit # Permit # ~ 7
L s sect.isub.
.
INSPECTION INSPECTOR DATE COMMEHTS
c-
LI6 as /3S ,C'. - 3 /~1-G .~?-~r~
E~ ~a ~0 3 y 3-yS-y-2--z/
~~~y ~ 13.~ -37
1~pYII3 `l1 3C -37
INSPECTION INSPECTOR DATE COMMENTS
/L U~ ! / 3s f' 37
37
~
WtL'fiftCQte of CCClipQltC~
Wit4 of Cfagan
moartmcut of 13mitbing 3860ection
This Certifcate issued prersuant to the riquirements of the Uniform Building Code
certifyrng that at the time of issuance lhis strrreture was in cornpliance wrth 1he variaus
ordinances of the City regulating building construction or use. For the follvwing:
UscQassification:8 TJM 8-RM BWg. Pertmt No. 22Igq
Ocaparcy 'I'ype R I/"1 i Znning District PD/R4 Type Const. VN
owner of suiminpE ROT1Li]AID 00 IIC neeress 5201 E RIVER RD, FROA EY
Buildingndmes!.4I3S RI1BY IAM [.ocaliryl2, B2, DIF'FIEY flaIM 2M
At.Sj3'INGLiIDES:- k 137-34~41-43-45-47-1 4q R(JBY
r - - D.-
POST IN A CONSPICUOUS PLACE
IN5PECTION REC4RD
CITY OF EAGAN PERIIAIT TYPE:
3830 Pilot Knob Road Permit Number. •'H 3 16
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS' I- ' N . ; 10 1 ~ APPLICANT:
' i cil: tt t M. 1
I'11RY ( AN!' i
i~ I S I f J i a+rlIMllpl , 'Pl1j
PERMIT SUBTYPE: TYPE OF WORK:
t+i Ir;~t~itti~,lI'I !'f~ 1 I~
INSPECTION DATE INSPTR. INSPECTION TYPE DA
I ~IIII~F) ~11~~ 1 {fd(i)
I;ri~l! lt~~i
MEir: p I r!i i iitl? , 41 ; ;1 1 4 , f~ • ? sii; , i ia;
1016 H/4 013 0?12 1 AlN HbV
F
L
~
Permft No. Permit Holder Date Tetephone M
ELECTRIC
PLUMBING
HVAC
Mspectlon Date Insp. Comments
FOOTINGS
FDUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGN
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
I
BLDG FINAL I
BSMT R.I_
BSMT FINAL
DECK FiG
i I
DECK FlNAL - I I
_I
I
, ~
M 55469 ~ , ep-I Ig
Reqbest Dete Fire No. ough-in napedion NOTICE: Vou Musl Call Eleclricel Inspecror
e uir ? I~ A Rough-In Inspaclion
Yes ? No Is Requiretl.
Ix licensed contrac[or ? owner hereby request inspection of above electrical work at:
Job Atldress (Slreet, Boz or Route No.) Ciry
4 35
Section No. Township Name or No. Renge No. Co
Occ pant(PRINT) Phore No.
P plier Atltlress
Electrical Con[reNOr (COmpany Neme) Conlractor5 License No.
MailingAGtlress(ConloYwor~roeWacv yi~li~n1'W
~ ~ea el w~~rw
810Q2?5TH 8T. . ~Awy~'
W., MI
Aulhor¢etl Signature (C tr dor/Owner glikirig Inslallation Phone Number
MINNESOTA STATE BOARD OF ELECTpICRV THIS WSPECTION qEQUEST WILL NOT
Grigga-Midway BIEg. - Poom 5-113 BE ACCEPTED BYTHE STATE BOARD
7821 Univereity Ave., 5t. Veul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION `~:"d ee-aooolae
~A i Sea insVUCtions for completing ihis lortn on tack ol yellow copy. 7 01
lol 55469 ~'X" Below Work Covered by This Request ~
e Add Rep. Type of Building AppliancesWired EquipmeniWired
Home Range Temporary Service
+ Duplex Water Hea[er Electric Heafin9
ApL Building Dryer Load Management
Comm./Industrial Fumace Other (Specity)
Farm Air Conditioner
Other (specly) Conlrador§ Pemarks:
Compute /nspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming P0a1 0 to 200 AmpS ~Q O to 100 Amps 6
Transformers Above 200 _ Amps Above 700 _ Amps
SignS Inspecmr5 Use Only: TOTAL 60
Irrigation Booms ~ a^
Special Inspection
Alarm/Communication THIS INSTALLATION MAY O D ~ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, ihe Electrical Inspector, hereby Rouqndn oate
certify that the above inspection has Final oate
been made.
OFFICE USE ONLY
This requesl voitl 18 monM3 fmm
M 554~70 53 L"!ei701;
Requesi Da~e Fi a No. ough-i Inspeciion NOTICE: Vou Must Call Electncal Inspec1or
~ Re uired? I( A Fough-In Inspection
Ves ? Ab Is Requiretl.
1 9 licensed contractor ? owner hereby request inspection of above elactrical work at:
Job Atltlre1ss (SVeet, Box or RouW NoJ City
l F_
Section No. Township Name or No. Panga No. corw~
Occ ant (PFIM) Phone Y1o.
P pplier AtlEress
I
Elenncal Conhactor (COmpany Name) Canirac[or9 License No.
MailingAdtlress(COMr o or0 nerC-Main nslalla(ion) "v vi,w. w-~a'
~ w~vr
Authonzed SignBWr¢ ~C racbr/Owne~ king Inslallat=w PhOm Numbar
MINNESOTA STqTE BOARO OF ELECTAICITY THIS INSPECTION REQUEST WILL NO7
Grigge-MMwey Bldg. - Hoom S173 BE ACCEPTED BV THE STATE BOARD
1821 UnIVenlty Ave., St. Paul, MN 551W UNLE55 PROPER INSPECTION FEE IS
Phone (812) 612-0800 ENCLOSED.
~o'j~~3~j3 REQUEST FOR ELECTRICAL INSPECTION W EB00001-OB
See inslruclbns !or ~pmpleling ihis torm on back of yelbw cnpy.
M,55476 "X" Belov4 Work Covered by This Request ~ 7 e Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Ouplex Water Heater Eledric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Faim Air Conditioner
Olh¢r (specify) ConVactor§ Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 15 1100 to t00 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Inspecror5 Use Only: TOTAL .YJ O
Irrigation Booms ~ ~
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O R CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby R°°9rom oate
certifythatthea6oveinspectionhas Fnal oate
been made.
OFFICE USE ONLY
This request voitl 18 moMhs from
•M 5 5 4 71 k4ge~
C~-~ z o•~
Requesl Date Fire No. Fough-i Inspection NOTICE: Vou Mus1 Call ElecVical Inspecior
Fe uired? If A Roughln Inspeclion
Yes ? No Is Flequired.
I~licensed contractor ? owner hereby request inspection of above electrical work at:
,bb Atldress (StreQet,~ Box ot Route No.) City
14 11 l
SacUOn No. Township Name or No. Range No. Co
0 ant (PRINn Phone hJO.
KP r Supplier Adtlress
Elecirical Contractor (COmpany Name) Convactor5 License No.
MailingAdOressCOntryqp~q~L]rne~f~akir~gfrgipY~wn)'NG. CA~e1
V~~~W
$1j940Tr. 5', W., Ff3TN. MI M~
Autporizetl SigneNra ( MorlOwner king Insfalla~ion Phone Number
MINNESOTA 5TATE BOARD OF ELECTFIICffY THIS INSPECTION REQUEST WILL NOT
Griggs-Mltlway BIEg. - Roam S173 BE ACCEPTED BV THE STATE BOARD
1821 Universlty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Pham (612) 602-0800 ENCLOSED.
,1,A1~7JIC7g REQUEST FOR ELECTRICAL INSPECTION ee-oooo,-oa
~ See inslructions for mmpieling this brm on back af yellow copy ti~~
M 5 5 4 71 ~ X~~ Below Work Cavered by This Request -
ewAdd Rep. TypeofBUiiding AppliancesWired EquipmentWiretl
Home Range Temporary Service
bu'plex Water He2ter Electric Healing
Apt. Building Dryer Load Mana9ement
2 Comm.Anduslrial Fumace Other (Speciry)
Farm Air Conditioner
Other (specify) ConVackorS Remaeks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrence 5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps It 0 to 100 Amps Q
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspectors Use Ony: TOTAL 'C p
Irrigation Booms /i~ -G~
Special Inspection
Alarm/Communication THIS INSTALLATION MAV 8E DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby Rouy" i osie
certify that the above inspection has F;,,ej
oate
been made.
OFFlCE IISE ONLV
This raquest voiC 18 months hom
!a e3 53 ~/~0 i~
•M 55472~a,Ba,.
Requesl Date , Fire No. Rough-in nspeclion NOTICE: You Must Call ElecMCal Inspactor
1 R uimtl? If A Rough-In Inspection
Yes ? No Is RequirsG.
IXlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Aadress (Sireet. Bax or Route NoJ Ciry
~
Section No. Township Name or N Range No, C
O~vpaM (PfliM)
Phone FJO.
K
Po r Supplier Atldress
Eleclrical Contractor (COmpany Name) Contredor5 License No.
MailirgAtldress(COnhtGKPLQwne~.MdNip~LiWpYiYpn)'NC,. ,C~q^v.381
CLGY~AV~
.-zzsn~ er. w.. FdTN., r~rv ssoza
AuYnorizetl SignaWre (C nNwner king Installatio Phone Number
MINNESOTA STATE BOARO OF ELECTHIGm' THIS INSPECTION flEOUEST WILL NOT
GdggsMltlway Bldg. - Foom $-173 BE ACCEPTED BY THE STATE BOARD
1821 Unlvereity Ave., St. Peul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phona(672)642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION gr?, ea-oooo,-oe
~ ? See insVUCtions lor completing Uhis form on back of yellow capy.
` 7U
M 5 5 4 7 2 x /f
" Selow Work Covered by This Request r l
ew Add FYifp. TypeoBuiltling AppliancesWired EquipmeniWired
Home Range 71 Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Managemenl
CommJlndustrial Furnace - Omer (Speciry)
Farm Air Conditioner
Olher (specify) Contractor5 Remarks:
Compute lnspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Circuils/Feeders Fea
Swimming Pool 0 to 200 Amps ~ 0 o to 700 Amps
Transformers Above 200 _ Amps Ab 100 _ Amps
Signs Inspectors Use Only: TOTAL O
Irrigation Booms „uJ ^
Special Inspection a
Alarm/Communication TNIS INSTALLATION MAY B RD ISCONNECTED IF NOT
Other Fee COMPIETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oaie
certify that the above inspection has FinW Da[e
been made.
OFFIGE Il3E ONLY
This request voitl 18 rtronths from
, , 46a -
Request ~ate - Fire No. tF1qU,.-'1. Inspection NOTICE: Vou Must Call ElecMcal Inspedor
Ii A Rough-In Inspeciion
? No Is Requiretl.
IXlicensed contractor ? owner hereby request inspection of above electrical work at:
Jab Mtlress (5[reet, Bm ar Fame No.) City
M3
Sectian No. 1 Township Name oe No. Range No. Co
O pant (PRINT) Phorie YJO.
P Supplier Pddress
Elearical Comraaor (Company Name) ContrectoYS License No.
Mailing Address (COmrCo~jyne~~~{~on)'NC. CA00381
~ . W.~ P3TN. MN 56024
Authorizetl SigneNre(C ractor/Owner kirg InsYdllation Phone Number
MINNESDTA STATE BOAPU OP ELECTHICITY - THIS INSPECTION FEQUEST WILL NOT
Griggs-MlOway Bltlg. - Ronm 5-1T! BE ACCEPTED BY THE STATE BDARD
1821 University Ave., SL Paul, MN 55104 UNLESS PflOPER INSPECTION FEE IS
Phone (612) 842-0800 ENCLOSED.
la/j3%~g REQUEST FOR ELECTRICAL INSPECTION ee-ooooi os
l ? See insWCtions br completing this form on back oi yellow copy. ~ n (
M 5 5 4 7 3 X" 3e/ow Work Covered by This Request
eW Add Fep. TypeafBuilding ' AppliancesWiretl EquipmentWired
~ Home Range 7emporary Service
Duplex Water Heater Electric Heating
Api. Building Oryer Load Management
Comm./Industrial Furnace Other (Specity)
Farrn Air Condi[ioner
Olher (specify) ConlmctorS RemaBS:
Compute Mspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps Q
Transfofiners Above 200 _ Amps Above 100 _ Amps
SignS Inspecmr5 Use Only: TOTAL G
Irngation BoOms ~
Special Inspection J
Alarm/Communication THIS INSTALLATION MAV BE O ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby Rough-in ' Date
certity that the above inspection has Flnal oata
been made.
OFFICE USE ONLY
This reques[ void 18 months from
0/-;7
~M 5 7 4~°ia.: ~ Qfy"~ Z
Request Dale Fire No. Roughin Inspeclion NOTICE: You Mus[ Call Electrical Inspector
W~etl? I~ A Rough-In Inspection
~ ~ Ves ? No ~s Require~.
INcensed contractor ? owner hereby request inspection of above electrical work at:
Jpb Adtlress (Street, Bax or Roule NoJ CM
Sedion No. Townshlp Nama or No. Rarige No. Co~~--+tT
Occu ant(PflINr) Phone po.
Pow Supplier Pdtlress
Eleclrical ConVector (COmpany Name) Contracror§ Licenae No.
Mailing qddre ~~r n
61
Authorizetl $i - C trac~ ne aking In o ~ Phone Number
MINNESOTA STATE BOAfiD OF ELECTPICRY ~ THIS INSPECTION REQUEST WILL NOT
Grigge-MlGwey Bltlg. - Poom S-113 BE ACCEPTED BY THE STATE 60ARD
1821 University Ave., St. Paul, MN $5709 UNLESS PROPER INSPECTION FEE IS
Phane (612) 662-0800 ENCL0.5ED.
~.Afl 3/Gtg REQUEST FOR ELECTRICAL INSPECTION ee-ooooi oe
! ? See inshuclions for completiig tpis form on back ol yellow mpy.
M 5 5 4 7 4 -X" Beiow Work Covered by This Request - '
4~w AAd- . p. TypeofBuilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Healer Elactric Heafing
Apt Building Dryer Load Management
Comm./Industrial Fumace other (Specify)
Farm Air Conditioner
Otner(speciy) Camraaor5 Femarks:
Compute Inspection Fee Below:
# 01her Fee # ServiceEntranceSize # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps Fee p 0 to 100 Amps Ct
VansfOrmers Above 200 _ AmpS Amps
Signs Inspeaors Use Only: (,d T TAL L
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY B ORDER ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final oaie
been made.
OFFICE USE ONIY
This reQUest voitl 18 manihs fmm
z
ReQUest Date -FiYe No. Raug in Inspedion NOTICE: Vou Must Call Electriwl Inspector
11 ` - ~ Raquiretl? If A ROUgh-In Inspeclian
s ? No Is Required.
I~Q licensed contractor ? owner hereby requesf inspection of above electrical work at:
Job Address (Streel, Bm or Route No.) Ciry
4 I wS~
Section No. Township Name or No. Fange Na Co
Oc upant(PRINT) Phone No.
P rSupplier Atldrest
?
Eleclrical ConGactor (COmpany Name) ConiraMOrS License No.
MdjlingAtldress(COnirtp' Ca B~wieCLGnAlelwio-lqPtWlyyp.) 'N`. Cn,~~wyew/
V 1 RIV
87GO+~STl1 8T. W.. FGTN.. IyMI 56024
Aullwrrzed SignaNre ( or/owner Ing Inslallation) Phone Number
MINNESOTA STAiE BOARD OF ELECTi11CIN -'J 7HIS INSPECTIDN REpUEST WILL NOT
Gr189s-Midwey BIOg. - floom S173 BE ACCEPTED BV THE STATE eOARD
1821 Unlveraity Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
ia~1 ~~c3 REQUEST FOR ELECTRICAL INSPECTION es-00oo1 oe
p~ ? See insWClions for wmpleting ihis fotm on back oi yellow mpy.
5 5 4 7 5 "X" Below Work Covered by This Request ~l7 b/~
lol
ew Ad ep. Typeoieuilding AppliancesWired EquipmentWired
Home Range Temporary ServiCe
Duplex Water Heater Eleciric HeaNng
Apt. Building Dryer Load Management
Comm./Industfial Furnace Other (Speciry)
Farm Air Conditioner
Other (specity) Contmdor's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fae
Swimming Pool 0 to 200 Amps p 0 to 100 Amps
Transiormers Above 200 _ Amps Ahwe 100 _ Amps
SIgnS Inspeaor5 Use Only: 70TAL 5 Q
Irrigation Booms ~ "'r
Special Inspection G
Alarm/Communication THIS INSTALLATION MAY BE RD D NECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Eledrical Inspector, hereby Rough-in oaia
~certifythattheaboveinspedionhas Final oa~e
been made.
OFFICE USE ONLY
TNs requeat witl 16 months from
a v~
5457
Reques[ Date Fre gh-in Inspection NOTICE: Vou Musl Call Elechical Inspector
1 I_ uiretl? If A PougRln InsOeclion
j ~ Yes O No Is ReQwred.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (SVeet, Box or Foute NoJ Ciry
Section Na. Township Name ar No. Renge No. Cou
Occ ant (PRINT) Phore tlo.
Poplier ~ Pddress
1
Eleclrical ConVaclor (Company Name) Contmctor5 License No.
Mailingqddress(Contraclo_1r€Oyyne ' n)
8 ~4
:
6 ~
Authorized Signatura (Con[ractor/Owner ing Installation Phone NumDer
,f1~W"A
MINNESOTA STATE BOAFD OF ELECTPoeFR- THIS INSPECTION REQUEST WILL NOT
Griggs-MlCway Bltlg. - Hoom 5-173 BE ACCEPTED BV THE $TATE BOARD
1821 University Ave., St. Paul, MN 5510a UNLESS PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCLOSED.
J!'ic; REQUEST FOR ELECTRICAL INSPECTION 11
= es-oaam-os/~
M, 5 5 4 5 f Sea instructions for campleting this farm on beck of yellow copy.
~ o
X" Below Work Covered by This Request
ew Add Rep. Type of Building ~Appliances Wired Equipment Wired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Load Management
Comm./Industrial Furnace Other (Specity)
Fartn Air Conditioner
Olher (specify) ConVaclor§ Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps D o to 100 Amps ~
Tfansfortnefs Above 200 _ Amps Above 100 _ Amps
' SignS inspeqOrS Use Only: 4V TOTAL L, Q
IrrigaiionBooms /_a• ~
~C
- Speciallnspection
= Alarm/Communicafion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 M HS.
I, ihe Electrical Inspecto5 hereby Rough-in
certify that the a6ove inspection has Final a e
bsen made. ~
OFFICE lISE ONLY ,
This request voitl 18 monihs 1mm
~ _3_v_o r u//4dl - 0 ~;m/'~
~lz-
~
; ;
1 P..
C~~j of E~a~ ~
I ~
~90 PilOtN
INKnob iloed sp
EaOen i
W12Z j~~ ~
Pftanvr (661) 87658T5 Daro Recaavap ~ ~
i ~
FYX: (~1 j 975-6iW4
f 9tatt~ I
2009 R SlDENTIAL BUILDINQ pFRMI APPUCAnoN - ~ +
T~naM: 14.1
8u1eom
RE8IDENT / OWNlR Nnme: ~
Pnone:
Addross i City r Zrp:
Applkant (s: r ~ Controct
TMPE OP woptx DtaCripti0n o} work:
canaauaro., te MWti•FBrnly Buifdfnp: ( Ves -.k- I No I
CONTRACTOR Nama
C Ucanaa a:
~r*$s.- -
Cicy:
,S^7iate: W t 2rA:"WAJ&
PNOna: contoct Pa L^Sr~ {r
COINPLETE TM!$ qREp Ip 13U1LOING
SnargY Code MI~OEBLi~ I 7872
• Aeald,mial ertqfation Cateqory i Worbn~at .
'~"OrY SubmMaa Nwr Eryryy C.etl~ Waiph«t
N a+OmWaNon hPel • E~ror E veboo ce~~ura s~+omxed 9uemueea
1n tns la~t t 2 enontlq, hms M~e GtY fquetl a PermK for asemHor
; Wan hawA oef ¦ plan4
____Yae -No !t ycq. tlate emd a0d~ia M reweter p1ert:
Lbwwwd Pkwnbor.
~ Pponli:
Yleh~aleN COffIreCWr:
SOWN i WaovY
conwCIOf: ~
' PhOrM:
~ ~Ml[I~'ll+Wip~'1~ (ObC - .
~Y~ ~ry~ ~ ~L` fMMO101 MIM~ 017~1~0~ ~M:~y~
Ep~in: Y 3 m~a[ I DM1Yd7e %Aqer 11~t 11qs I~!orr~ation ie oomplaa:na eoeuTah: ma[ me rork wdi ee a~antl thb is rept
+a a parthl4 Due only sn Splieallort fm a P~rmn. snd te na to ~wi fla~ ~c~ ~~o
Onda wiBi !M qPP~o+od P~err ln m6 caa! Of werk whiCh rsQuMSa e rs.new arM I I pl~ns. t~wut permih fhaf the worK win hs in
~ppNO~ns's P?lm~p Nrme - x
App1'
Paga 1 af 3
2'd XkiJ 13C2135H_1 dH WdOZ:E 6002 8T 4a=l
- __.r- - - - - - -
' I
Of Ea ~ j PMrMt JZb I~ ~ ~
1~
3890 Pllot Knob Road I Pertnlt Fae:
~ I
Eagan AAN 66122 ~ Dam f~aee~ved:
PhOne: (BS1) 675-6678
Fax: (651) 876-6684
~
2009 RESIDENTIAL BUILDING PERI1sIT APPLtCATIQN
o~.: a! I.OR she nd,res,:L41;~C3 QJAhV Lane ir,u~fr~e~a ~'I1~1 ~LI I'~1 '-fl3']'-tl
~en.ra: Om ons - swaM: 4f4~i L
RESIDENT f OWNBR Name: uliTICN Om r~5 pryone;
Addrees J City! Zlp:
Applicerit Is: _ pyyner K CoMrador
TrPE OF WORK Description of wwk: ~LcL~ n a
Conslructlon Gost; MuNi-FOmly Build'mg: (Yes /No~
CONTRACTDR Neme: 1 Licanse
AtlOresa: {1
CIty: Hod= Stete: ..W i_ Z9p: jc0
anom: Corrtact Person: $m* 4 ht~15.C.1.aawr-%`
COMPLETE THES AREA ONLY }F CONSTtUCTING A NEYY BUlLDING
Minnesota Rulea 7670 Ceteoo,rv I Mlnnesota Rules 7672
EIIltgy COdB . q«aentiaf Ventiiatian Category1 Wwlalroet New Enargy Code WaNOheet
Cetapory Swminea sudnkted
(J submies7an type~ • Ensrgy Emrelope Caicul9tlOrlt SubmMlOd
1n fhs Iset 12 mpnths, Im ths Gty oT Eoplen Iesued p psrtnlt for a Sirllifar pfan bassd on n mas0ar planl
Yes No !f y98, date and addross ot ma9ter pien:
Lkensed Plumbar: Phone:
Mechanfcal CoMractor: Phone:
8srver e Watsr Contraetor_ Phans.
~
Mrasy acknoxiee~ Mat tAis iMormetiort a oompESte srttl oaeurate; tAat me woAc wfll be M nfprmpnoe. oriflna and aodes ol'tRa City W
^ag0n; ihW t utqsROand tlda Is nol a pYrmll, but only tn appilCaqpn {or ~ psm~k, nd le not to eta w7t 9 pefM that Ms W011c wiB ho In ~dance w!!h the aPProved Plan in the nase ot work wlfMJi requi~ae a isview ond a of plans.
?ppllwnYB?Anbed pms ApplicaMa • . . Page 7 of 3
I'd XHJ 13172i3Skil dH WdOb:E 6002 11 QaA
-Office ll-se
~~~~sx~,`''"y ~ For I
n [~a ~O~'
C7ty 0f ~;L•['~LLn I Permit# ~
~
~ Permit Fee: D 061
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 1 ~ I
Fax: (651) 675-5694 i Stafl:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1 13 ` RU r, W tont
Tenant: Suite
RESIDENT / OWNER Name: vt PIl Lih I ft_ Phone: 1511 Li Sy - S~Y tp
Address / City / Zlp: `T U6V Q/ 14
Applican[ is: _ Owner = Contractor .
TYPE OF WORK Description of work: 3 W inCIOW 1IJGT)b door rcp]n ts meP-r~ li) x1A/Ay
Construction Cost: 7 113 Multi-Family Building: (Yes No
Pella Windows & Doors ~ p~~, s g g y
CONTRACTOR Name: 15300-25th Avenue N.- Suite 100 - ~icense
Addres Plymouth, MN 55447
763/745-1400
City:_T_ q„~ ~ImFSRQd _State: Zip:
Phone: Q~a ~3 4 s- L btr -7 Contact Person: f Jbd/(.~ F16 r~oiU S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 Submission type) • Energy Envelope Calculations Submitled
In the last 12 months, has the Cfty of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address oi master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and suppnrting documents that you submit are considered to be public i»formation. Portions of
the information may be c/assified as non-public if you provide specific reasons ihat would permit the City to
conclude tha? the are trade secrets.
I hereby acknovAedge that this information is complete and accurate; ihat the work will be in conformance with the ordinances and codes of the City oi
Eagan; that I understantl this is not a permit, but onlyan application for a permit, and work is not lo start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x -rim 6c h tn k zjjkl~"_~
Applicant's Printed Name A plicant's Signature , Page 1 of 3
/
2007 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Plans are considered public information unless you state they are trade secret and why.
. . • . . Interior Improvement
. Strudurel Plans (2) sets • Soils Report (1) • Architedural Plans (2) sets
• Civil Plans (2) • CerUfiwte of Survey (7) • Code Analysis (1) "
• Certificale of Survey (1) • 5tructural Plans (2) • Prqect Specs (1)
• Code Matysls (1) • Architec[ural Plans (2) sets • Key Plan (1)
. Project Specs (1) HVAC units req'd. on bWg elev. / site plan • Master E)tlt Plan (1)
. Spec Insp & Testing Schedule (1) " • Civil Plans (2) • Energy Calculffiions (1) not ahvays"
. Soils Report (i) • Landscaping Plans (2) • Elec. Power & Ligh6ng Form (1) not always"
. Meter size must he established • Code Analysis - (1) " • Meter size must be established-if appliwble
J . Energy Calwlations (1)
- J . Emergency Response Site Plan (1)
J • Spec. Insp. &Testlng Schedule (1) " J
f . Electric Power & Lighting Form (1) " J
J . ProjedSpecs (1) ~
J . Master ~it Plan (1)
• SACdetertnination-ca11 651-60 2-1 00 0 • SACdetermination-ca11 6 51-60 2-1 00 0 • SACdetermination-ca11 651-602-1000
• Fre Stopping Submittals
. Fre SuppressioNAlarm Form . Meter size must be eslablished
Call MN Dept of Health at 651-201-4500 For details regarding food & beverage or lodging facilities.
Contact Buildmg Iuspections tn see if it is required and for a sarnple.
Permit for new 6uilding or addition will not 6e processed without Emergency Response Site Plan. -
Date LZ l- /--l07_ ConstruMion Cost
Site Address 42-,y _ UniUSte #
TenantName Former Tenant Name
~ i 35 I 4 3~I I y yl y 7 /y9
Description of Work Re - eooT'
Property Owner Telephone # ( )
Applicant is: _ Owner X Contractor Contact (9$a V75-$ _
Contractor GR-5.5.F..L) /
Address Yo'Z2.i` Bti~ Lse.~ /eo2d CitY
state rYl~U zsP Telephone #(CLI'2 ) a53 -y9sg
rL.ch/Eagr Registration #
Address CitY
State Zip Telephone # ( )
Licensed plumber insWiling new sewer/water service: Phone
. I hereby apply for a Commercial Suilding Permit and acknowledge that the information is wmplete and accurate; [hat the work will be in
confortnance with the ordinances and codes of the Ciry of Eagan and the State of MN Statutes; I understand this is not a permit, but only an
. application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of
work which requires a review and approval of plans.
~~ag~5ignatu~
Applicant's Printed me Appli re
- Pioneer Ensineerine 7831883 Y.01
•
- - - - j
7422 Enterprlse Drive •
Mendoto Heights, MN 55120, :
* PIONEEA (612) 681-1914-Fux 681-9488
~~ND PUNNERS - LnN05CApE ARd4l~Cr 625 µi9hWO 10 NOfUcast
U
lMD SUPVEraRS • GNl ENGMEERS ~t2 ..783-~SSO'FO%`~IS3'-~883 ~
* ~ngineer~ng Blvine. MN 55434
* * it 1 ( ) * T ~
Certificate of Survey for. THE ROTTLUND COMPANY,. iNC.'
S UNIT BUILDING DETAIL
192.92
F - .J - 52.38 ' i 44.08 T 44.08 - - -
6r 950 7.0 ~6^ 7.50 2287.50 18.50 ^ ~ 7.00 m
.00 0 7.50 S ~[1 N n ~ P.67 ~ie.ss B e.sz '
p 1.35
P~20POSED BIIILLING FOUNDATIC~N - - ~`UNITS:
I
,.33 ~ A 1833 B ~ ~ ~ F1 ~ 7.00 18.50 ~•i 7.SD r n 7.00 2258 7.7.50 18.Sw 97
9 ~9,E7 .87
C~
+
r I
6-1 ~)S 40.GP _ - -1_ - - 52.36
L - - _ 52J8 r _ -
192.92
Scale: 1 inch = 30 feet '
N .05_50•48° E
ll~9,gy 1 82E- ~ ^ i
DRAINAGE & "
IITY
EASEMEN7 .TNOTE •
~
All Intarior Dullding linas ahown ora fhe
canfeAine of tMe 1(nch ofr spoces_
~ ~ '9.t?y ~
d \ \
y ~ K. `
~
I
/A
Fa \ \ R~ / \ d 0/" ~
aF
\
/ez~ ry.~
N,vri
P
Beerings shown ore assumed
179_64
ti 900.0 penotes Existing Elevotion S 05',32'¢7^ w
. oo. Denotes Proposed Elevatlon
- Oahotes Droina9e &
Uti11tY Easement t~`~...7 ~
Denotes Drainoge Flow D!rect!on PRO C
s Monument I~~SE 1~~~fIM~ ' v 077~` , lv~
-a- Denote
_.El Denotes Offset Hub Gcroge Ftoor Slab Elevotfon:
LOT 2, BLOCK 2 DIFFLEY COMMONS ~
DAKOTA COUNTY, MINNE507A 2ND ADDITTON
I IlefebY teftify lhe[ this survay, plan or report WPy pre ared 6y me or under mV dlrecl supuvlelon and lbat I am daly RegistereA LanA Surveyor ,
under lhe lews of iAe State of Minnssota. Daied Ihisday of QT/ A.D. 19~. ,
.
X i
F 9ERT U. SIKICH .S. R G. M1O. 14501
Scale: 1inch=60tea /
sb
2005 RE5IDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please compiete for modifications to existing residential dwellings.
Date
Site Street Address 41 ~~l C~i.~ h v1 LGtn e Unit #
PropeityOwner VtKYl wCnd6r-f- Telephone# ((q5~) 60 0[112'
Contractor ~-~P P i p-e w o r KS Telephone #((,5j) 3105 I 'W
Address ?Jk,20 Dnc1 d Rd cicy i.oi,an State M^/ zIp 5512 3
The Applicant is: _ Owner XContractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5I8" meter is required)
Other:
Water Softener ~ Water Heater $ 15.00
_ new ~ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
g
Total :
I hereby apply for a Residential Plumbing 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 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 accordance with the approved plan in
the event a plan is required to be reviewed and approved. I
D~C~~fll~]f~~l
Min dU 4~u.
ApplicanYs P-inted Name Ap icanYs Signa re 2005
BY
- ~v
,
RESIDENTIAL BUILDING
co- Permit Application og+-vz~
J ° City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWCtion ReauiremenLa RemodeVReoair Reaui2menb Otfice Use Onlv
3 registered site surveys showing sq, ft oi bt sq. S of house; and all roofed areas 2 copies of plan _ Cert of Swvey Recd
(ZO% mazimum lot coverege allaved) 1 set of Eneigy Cakulations for heated additbns Tree Pres Plan Recd
2 copies o( plan slawing 6eam & wiMOw sizes; poured fouM design, etc. 7 site survey for additions 8 decks Tree Pres Not ReqA
lselofEnefgyCalculations Additlon - iiMkafeifon-sdesepticsysfem _ On-site5epticSystem
3 copies of Tree Preservation Plan if lot pWded after 711193
Rim Joist DetaU Options selectlon sheet (bldgs witli 3 or less units
Date Y1'ov\ Construction Cost a, 15ar0
/
Site Address 911{} ~v„y L Q,NSZ I1n1USte #
Description ot Work \O. 3L ZCQ'C T~'~l i `!l
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner ~bvTelephone#(1p~'jl) ~8~•3say
Contractor RENEWAL BY ANDERSEN
Address 1920 COiJNTY ROAD "C" WEST City
ROSEVILLE, MN 55113
State 651-264-4777 oe # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A•~IEW BUILDING
; ll
- Minneso[a Rules 7670 Cate o 4I, ~ , Minnesota Rules 7672
Energy Code CategOry . Residential Ventilation Category Worksheet New Energy Code Worksheet
(J submission type) ~ H r n i 5 i
Submifled I~~j, Submitted
• Energy Envelope CalculaUOns Sutamitted
I~~~
Licensed Plumber By eiephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor 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 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.
oRG.t'c,, ~Sot~ ~,/fi l 6 4
ApplicanYs Printed Name Applicant's Signature
I
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 07 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storrn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New 35 Int Improvement ? 38 Demolish (Interior) 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolltion (EnUre Bldg) - Give PCA handout to applitant
Valuation . Occupancy MC/ES System
Census Code Zoning City Water
SAC Unifs Stories Booster Pump .
Nbr. of Units Sq. Ft. PRV "
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
_ Approved By , Building Inspector
-
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
TreaUnent Plant
License Search
Copies
Other
Total
~d•.•. Li. JV rm , o, 0 ~ Li400 xsnKnne, ur enunnnnn
• . Wuw
re .
. .
June 2001 '
3836 Piiot Snob R;oad ' .
BUM MN 5.5122
To Whom It May Coitcern: .
II
der 7ones ie authpriy,ed to pWl budding permits PorRatewal by Ardec=. Pteaso Atlow
Bld
date (x ncs to ptovidc tbis RS'vi~e for na in 8agart. 'lttis mtdtorizetian is valid for any
Yoad 6/6/01: until apjnewal by Andmsea mauaM wWfasdy mvolaas ic ia wridap
W the City.
x est this authorizettian bc accepted-expe~flously, as oo not delay in ehe prvc~siitg of
rn dfiS Plinib mty Atrt6et. Ricaac cn21 mc if th= etro etty qneattone.. I can be
~ contacbed at 763-502-4706.
Your immCdiebe m2eaClon W this mattcr Is . • .
Sincietely. . •
ond IL Rau
ostxllation Managcr .
Renowal by Andevsen Cotpvratxon .
('r.: Karn-Fldcx ]nnea
~ 11~~ '
Received Time Jun. 1. I:01PM
, IE~PTDAT:
, PERMIT# `C O ~ ^ ~
`(l1.1'1
LJ / \
j
2002 MIDEftTIikL PLUM$IAfi PEiZM1T MPLICATIOA
cn'Y og eALeAx
3930 PaoT Kxoa sn
El?BAA. MN 55122
651-681-4675
PaSTED t
Please complete for: single family dwellings, townhomes and wndos when permits are r`quired for each unit,
backflow preventer for irrigation system
SITEADDRESS: `T f
OWNER NAME: : TELEPHONE "1n9- ZSl,)
(AREA CODE)
INSTALLER NAME: ~I~,,;~~_ TELEPHONE (AREA Q"I
STREET ADDRESS: 605 - 12tI1 AV@ $O
Hopkins, MN 55343 STATE: ZIP:
cin:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 Countyfee
Note: Additional consultant fees may apply
. MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of sep6c system.
Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other: M
- r~
_ RPZ: new installation/repair/rebuild $ 30.00
lawn iRigation system ~ C y
~
Replacement/ dditionaL' _ water softener ~ water heater $ 15.00
State Surcharge $ .50
Tota! $ --~D' `5o
I here6y acknowledge that I have read this application, stale that ihe information Is wrrect, and a gfm"'~gyils ll appli le City of Eagan ordinances. It
is the appliranPs responsibility to noUTy the property owner that the City of Eagan assumes no cau ed by lhe City durin its n rmal
operetional and main[enance activities to the facilities constructed under this s nt. y Y
d
SIGNATU 4 F PERMITTEE 1162
PERMIT # ` RECEIPT DATE: ~
2002 REsWENTIA. PLUMBuvs PEftMrr APPLIcATIox ~ 5 . 5 0
~ CffY OF EAGM
S$SO PILOT KNOB RD
E4fiAA,1NN 5518E
851$$1-4875
Please complete for: single family dweilings, townhomes and condos when permits are required for each u ~ APR 2 9 2002
backflow preventer for irrigation system ~
SITE ADDRESS:
~ hG BY ~
OWNER NAME: TELEPHONE 6s-1_ (-/6-! -
(AREA CODE)
McGUfRE 8 SON9 TELEPHONE
INSTALLER NAME: 605 19rrt p,_v_vRUE SOuU+ (AREA CODE)
STREET ADDRESS: yOPkl(1S, ~IIV 553$3 CITY: STATE: ZIP:
f ~,ep S2 -7 / i 1
SEPTIC SYSTEM, newfrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacemen dditional: _ watersoftener V-waterheater $ 15.00
State Surcharge $ .50
Total
I herebyacknowledge ihat 1 have read this application, state thatthe iniormation is correct, and agree to complywith all applicable City of•Eagan ordinances. It
is the applirant's responsibiliry to notiTy the property owner that the Cityof Eagan assumes no liability for any damages caused by the Cityduring its normal
operational and maintenance activities to the facilities consVUCted under this permi[ within City' ropert / ght-of-way/easement.
SIGNATUR O PERMI E 1102
,
PERMIT
~ CITY OF EAGAN PERMITTYPE: u=DING _
• 3830 Pilot Knob Road Permit Number: 0 21916
; Eagan, Minnesota 55123
• (612) 681-4675 Datelssued: 09/09/93
SITE ADDRESS:
4135 RUBY LANE
LOT: 2 BLOCK: 2
DIFFLEY COMMONS 2N0
DESCRIPTION:
Bu11d3hg_Permit Type FOUNDATIDN
Building`Wark Type NEW
,-UBC Occupan`cy. R-1 M-1
j"Constructipn iype V-N
/ Zon3ng ~ R-3
Er ~
% BuildYng Length } 193
Building Width \ 72
Building stories ~J 1
/
It
OU~ C~C~~G~~C~~G~i
REMARKS:
INCLUDE3 4137 4139 4141 4143 4145 4147 & 4149 RUBY LN
S& W PLBR - VALLEY PLB6
FEESUMMARY: VALUATION $29,000
Base Fee $278.00 CITY SAC $800.00
Plan Review $180.70 WATER CONNECTION $5,560.00
Surcharge $14.50 WATER METER $846.00
SAC $6,000.00 S & W PERMIT $100.00
SAC % 100 S& W SURCHARGE $.50
SAC Units 8 TREATMENT PLANT $2,592.00
Subtotal $6,473.20 ROAD UNIT $3.120.00
Total Fee $19,485.70
Tt'1"fW~b"INC, THE PP 115710304 0001335 TTi~~R~"1'7UN0 CO INC
5201 E RIVER RD 4201 E RIVER RD 301
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
I hereby aaknowledge that I have read this application and state that the
information is correct and agree tq comply with all appiicab2e State of Mn.
S a tes and Gity of Eagan Ordinances.
L
fiLl sli APPLICAN /PERMITEESIGNATURE _ -TUESB. S~N1t~Rl I
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuzLozNs
3830 Pilot Knob Road Permit Number: 021916
Eagan, Minnesota 55123 Date Issued: 0 9/ 0 9/ 9 3
(612) 681-4675
SITE ADDRESS: Lo T: 2 a Lo c K: 2 APPLICANT:
9135 RUBY LANE ROTTLUND CO INC, THE
DIFFLEY COMMONS 2N0 (612) 571-0304
PE~&IjflffioNPE: TYPE OF WORK: NEw
INSPECTION .
FOOTING
REMARKS: INCLUDES 4137 4139 4141 4143 4145 9147 & 4149 RUBY LN
S& W PLBR - VALLEY PlB6
F
~
~ ~
nGA~.ii~n~~ ;::i:>'v'_eL @% ~l~/ • v• ~r~~.r.• v.r~. ~ ~~~y.w~fM.
PER1,iIT J 1 1993 BUILDING PERMIT APPLICATION Znd
. ~ c, U 3_t?93-_ 681-0675 B-~c Qjc Garde.?~ 1~1aweS
M+d1rs+eqi9,
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 3 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date C) / ~L) 4aluation of work
Site Address:`//3S 1//37,4/i39,411y' q/</=. Vi 7 y! >RuE, _
STREET ITE f
Tenant Name: (commercial only) "71~e 1&4"?-IUvd CO- Z'InG.
IAT BIAC& ] SIIBD. Z~ P.I.D. M
D •rt« c. ~w..
Descri tion of work: ` y TowY.lo~ t
~
The applicant is: fmLOwner MContractor ? Other (Describe)
Name'1"1\2 G±-4-IuN_ct C.o. 5,Ae_. Phone_S?!-o3oc~.
Property LAS* FIRST
Owner qddress 4520~ ~iVer OU *3cf
STREET . STE M
City FCi'dlPq State 40t 2ip 5S~ZI
Company `Xt.Ae_ qS q bo?d Phone
Contractor Address License #!303S Exp.'3-3t
City State Zip
Company Phone ~to12~ =433-325?.
ArchitecU
Engineer Name Ti w l,,~n ~ i~-f?` Re9istrati on # t(0 3(0'7
Address 41 Sq 9talJyr44o"r• p/ace
City nrt_O4v,tksL State Zip 55S41T
Sewer & water licensed plumber Qi VY"~ ~ekq Processing time for
sewer & water permits is two days once area has beerrapproved.
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: TS~j / / ~
OFFICE USE ONLY .
BUILDING PERMIT TYPE IS 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish-
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool '
? 93 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Cortm./Ind. O 04 SF Porch ? 04 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. p 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
E§ 31 New El 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair p 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System ,zs
(Allowable) v•,y lst F1. sq. ft. City Water /cc
UBC Occupancy R_I M_I 2nd F1. sq. ft. PRV Required
Zoning R-3 5q. Ft. total Boaster P
d of Stories I Foatprint Sq. ft. Fire Spriump
nkler '
Denth h 9z.92 ' On-site well Lensus Code
P On-site sewage SAC Code
APPROVALS
~ 7.. ~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
O Site ? footin
? Wallboard 9 ? Framing ? Insulation
? final O Draintile ? Fireplace
Permit Fee 21$,00 v.tLes;a,: g aq,
Surcharge ~y ,Sn Plan Review
License
MWCC SAC ~ "o O, 0(7
Lity SAC goJ
Water Conn. 55G,o, o~
Yater Meter yyp,~n
Acct. Deposit
5/W Permit
5/W Surcharge „a
Treatment Pl. ZSa2,oo
Road Unit .3120.00
Park Ded. _
Trails Ded.
Copies
Other
Total: 19, 4 65-zzo
SAC % ~oo
SAC Units
: . ~ .
Webster Building Products Corp.
~ QUALI_TY M/LLWORK
~ 230 Weat 61st Street • Minneapolis, Mimcsota 55419 • 861-3311
.
_ - , - _
,
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,
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` PERMIT
~ 16
;i ITY OF EAGAN PERMITTYPE: BuzLozNe
3830 Pilot Knob Road
~ Eagan, Minnesota 55123 Pertnit Number: 0 2 219 9
(612) 681-4675 Date Issued: 10 / 12 / 9 3
SITE ADDRESS:
4135 RUBY LANE
LOT: 2 BLOCK: 2
DIFFLEY COMMONS 2ND
DESCRIPTION:
B. 31din Permit Type 8-PLEX
uilding ork 7ype NEW
UBC Occupanc~j R-1 M-1
Construction Tpe V-1 HR
Zoning ~ PD R-4
Building LengCh 193
Building Width 72
Building stories 1
S~
d2 (2 a
REMARKS:
INCLUDES 4137 4139 4141 4143 4145 4147 & 4149 RUBY LN
S& W PLBR - VAILEY PLBG
FEESUMMARIF VAIUATION $339,000
Base Fee $1,476.00 (UTILITY FEES PD $.00
Plan Review $959.40 ON FOUNDATION $.00
Surcharge $169.50 PERMIT #21916) $.00
Total Fee $2,604.90 Total Fee $2,604.90
WLUNbT9b-INC, THE_ App1115710304 0001935 T'H~-F~0-7ti'UND CO INC
5201 E RIVER RD 4201 E RIVER RD 301
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
IL _ - J
APPLICANT RMITEESIGNA7URE ISSU BY.'SHIRNATURIF
ATU I~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 022199
Eagan, Minnesota 55123 Date Issued: 10 / 12 / 9 3
(612) 681-4675
SITE ADDRESS: Lo r: z B L 0 C K: 2 APPLICANT:
4135 RUBY LANE ROTTLUND CO INC, THE
DIFFLEY COMMONS 2ND (612) 571-0304
PE RMPT SUBTYPE: TYPE OF WORK: NEw
INSPECTION .
FRAMING INSULATION
FINAL FIREPLACE
REMARKS: INCLUDES 4137 4139 4141 4143 4145 4147 & 4149 RUBY LN
S& W PLBR - VALLEY PL66
F
~
_ ~
PERtti7 1993 BUILDING PERMiT APPLICATION ' Znd
~ 681-0675 B.p(Qjc coard uA 90A+GS
' al I 10 masfe/' " 1f1 I~-11
SIN6LE 8 MULTI-FAMILY 2 sets of plans. 3 registered site surveys, 1 copy of energy
calcs. COMMERCIAL 2 sets of architectural 8 structural plans, l set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued. -
Date c, Valuation of work b'~~
Site Address:`~~~5 S'Iz15. Yt'f9 Rabv 1_au~
fTREET ITE K
Tenant Name: (commercial only) -fTeP Ro4-4-lUvd CU Z'.nC.
IAT SIAC& .J_ SIIBD. Z~ P.I.D. M 044l?4 Cc~w.
Descri tion of work: `1' ` N owr.~ou t
~
The appl{cant is: 'P.Owner CS.Contractor ? Other cee.er+xi
- Name'The 44-IuNd G-o Toe_ Phone 5071 -o!o4-
Property LAsT FIR:r
Owner Address 5Zo I It• Cver r2..-~ *3a 1
STREET . STE K
City State M.+ Zip SS$Z~
Company '.CL.*e- aS e~bo%t _ Phone
COCItieCtOT Address License Mi31S Exp.1-3I{id
City State ZiP
Company )~~'-ll-e,, ~ 45 c. Phone ,012~~'133-32.SZ
ArchitecU
Engineer Name Ttu lw)k, - V~ Registration # l(036-7
Address 41 ~9 9!'o1Atr44ot^_ iDlace
, P 55345'
~
City h:nri~Rkat State //ifrt Zi
Sewer 3 water licensed plumber Processing time for
sewer & water permits is two days once area has bee approved.
I hereby acknowledge that I have read tfiis•application and state that the infarmation is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ~
Signature of Applicant: ~ ~
BUILDING PERMIT TYPE T
G • .
001 Foundation ? 06 Duplex ? 11 Apt./Lodging 13.J6,.6asemeTFt F'inish
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition El 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
O 05 SF Misc_ ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
E3 21 Miscellaneous
WORK TXPE
EZ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
i7 32 Addition ? 34 Repair ? 36 Move
aENERAL INFORMATION
Const. (Actual) V-M Basement sq. ft. MWCC System YES
(Allowable) v-N lst F1. sq. ft. City Water
UBC Occupancy R-1 M -I 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
4 of Stories i Footprint Sq. ft. y g fire Sprinkler
Length 7A Z On-site well Census Code )c,
Depth 9 zOn-site sewage SAC Code c3
ti LSu-s-, "J l~k~ 1
aPPROVALS
?lanning Building Assessments
ngineering Variance
REQUIRED INSPECTIONS
Site ? Footing ? Framing ? Insulation
J Wallboard O Final O Draintile E3 Fireplace
Permi t Fee LI ~?(0, oo veimc;a,; g 3 311, O n0
Surcharge ~ 6~1
Pl an Revi ew
License c t+
`j CO~~ ~~a
WtC SSAC AL # ~2 C~
C
y
Water Conn. ~
Water Meter 06 0
Acct. Deposit ~
~ 5/W Permit *
~ S/W Surcharge ~
~ Treatment P1. ~
~ Road Unit
, Park Ded.
~ Trails Ded.
; Copies
Other
, Total: a~ ~ c
,
SAC %
SAC Units
4- Raroc1;'TFi PEr<M~ -4i 21916
~
, , PERMIT ~
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028315
(612) 681-4675 Date Issued: 0 7/ 19 / 9 6
SITE ADDRESS:
4135 RUBY LANE
LOT: 76 BLOCK: 9
DIFFLEY COMMONS ZND
P.I.N.: 10-20451-076-04 q q~
DESCRIPTION:
WIND & WATER DAMAGE
uAkding.2Permit Type STORM DAMAGE '
I:Building 4ork Type REPAIR
Cert•Su6 Cade 434 ALT. RESIDENTIAL
;
f,,, . _ .._~",.,I•
s
~
.
~t
tr i.'n
REMARKS:
INCLUDES: 4137, 39, 41, 43, 45, 47, 49 RUBY LANE
L075 074 073 072 071 070 064
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. LIC OWNER:
DU ALL SVC CONSTR INC 17889411 0003178 DIFFLEY COMMONS
636 39TH AVE NE 4135 RUBY LANE
COLUMBIA HT5 MN 55421 EAGAN MN
(612) 788-9911
I hereby acknowledge that I have read this appliaation and state that the
informatian is correct and egres to comply with all applicabte 5tate of Mn.
Statutes and City of Eagan Ordinances.
L ~
APPLICANTlPERMITEE SIGNATURE ISSUEDVY
, . CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
, 681-4675
3l~S-
Naw r,anstn!elion Rea~irements RamcdeUReoair ReauiremeMs
? 3 registered site svrveys ? 2 copies oF plan
? 2 copies of plans (include beam 8 window sizes; poured tnd. dasign; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculatfons ? 1 energy calculations for heated additions
? 3 copies of tree presarvatlon plan if lot plafled after 711/93
required: _ Yes No .
DATE: ~IIOg! 6 . CONSTRUCTION COST:
DESCRIPTION OF WORK:
o7b7 o-, 13 a- ~1 ola b~9
STREET ADDRESS: '"1~35 3~T3q, ~3~yJ~, y~~q ~
LOT BLOCK SUBD./P.I.D.
PROPERTY Name: Phone
OwNER ' usT nnsr
Street Address-
City: State: Zip:
CoNTRACTOR Company: +k Off alLfHio^- Phone 18$- 941
Street Address: 63b'3* uwp- License 3 /-7o
City; _ O" State: Zip: 55t/2I
ARCHITECT( Company: Phone
ENGINEER
Name: Registration #Street Address•
Ci{y. State: Zip:
Sewer & water licensed plumber: ~ Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the information is corcect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
uL
Certiflcates of 5urvey Received _ Yes _ No 1996
Tree Preservation Ptan Received _ Yes _ No
OFFICE USE ONLY . .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36- Move
? 32 Addition ? 34 Repair ? 37 Demolition •
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire 5prinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
' FERMIT
CITY bF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permii Number: 0 3 2 8 4 8
(612) 681-4675 Date Issued: 0 8/ 10 / 9 8
SITE ADDRESS:
4135 RUBY LANE
LOT: O76 BLOCKa 4
tlIFFLEY COMMONS 2ND
P.I.N.: 10-20451-076-04
DESCRIPTION:
REPAIR CHIMNEY
Buildz`nq:,Permit Type STORM DAMAGE
6uilding C:Ibrk Type REPASR
'Census Code 434 ALT. RESIDEN7IAL
i
`
. ;
, l.
Ii` f t
r. ~ :1 . -..i.i ) ..ed
REMARKS:
REPAIR CHIMNEY pUE TO STQRM DAMAGE.
FEE SUMMARY:
CONTRACTOR: - Applicant - 57. Lzc. OWNER:
DU ALL SVC CONSTR INC 17889411 0003178 PLETCHER DIANE
636 39TH AVE NE 4135 RU6Y LflNE
COLUMBYA HTS MN 55421 EA6AN MN 55122
(612) 788-9411 (651)686-8415
Z hereby acknowledge that fi have read this appliaat3,tsn and state tha*C the
infbrmation is correct and'agree to comply with all applicable StaLe af Mn.
5tatutes anci City of Eag,an Qrdi.nances.
L
APPLICANTlPERMITEE SIGNATURE I SUED BY: SIGNATUFiE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN n Q~
3830 PII.OT KNOB RD - 55122
681-4675
New Construction Reauirements RemodeUReoair Reauirements
? 3 registered sde surveys • 2 copies ot plan
? 2 copies of plans (inUude beam & window s¢es; poured fnd. tlesign; etc.) • 2 sde surveys (ezterior atlARions & decks)
? 7 ener9y ealeulations ? 7 energy wlculations for healed additions
? 3 copies of tree preservation plan H bt platted after 7f1/93
required: _ Yes _ No
DATE: t`J~3/YG . CONSTRUCTIONCOST;
DESC TION OF WORK: i - ~77qru~v~ /Z~sli ~friuct~6
STREET ADDRESS:
'J LOT: (P BLOCK: ~ SUBD./P.I.D. 1M VL'~ 0 VVy d-'"
Name: li~p~ /~%i4-iVF_ Phone
PROPERTY Last Fist
OWNER /
Street Address: y~r~v/~ Aywe-a
City State: WIr_ Zip:
Company: PU YCC Phone#: AF7- -r/YJr
CONTRACTOR
StreetAddress:Zd6 - .sLwk License#
City ~o>h' State: W& - Zip:_ei;S L.~ f
ARCHIl'ECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
1 hereby acknowledge fhat I have read this application and state that the infortnation is correct and agree to co ply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
RECEIVED Signature of Applicant:
fik OFFI E USE ONLY RECEIVED
FY:
Certificates of urv y Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required BY~
. . ~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex O 12 Multi RepaidRem. ? 17 Swim Pooi
O 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility
? 04 SF Porch ? 09 12-plex ? 14 Firepiace O 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Atterations ? 36 Move
? 32 Addition ? 34 Repair O 37 Demolition
GENERAL iNFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bidg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
CRy SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°h SAC
SAC Units
PERMIT
G`ITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Bu r Lo z N s
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 8 2 8
(612) 681-4675 Date Issued: 9 8 J 0 7/ 9 S
SITE ADDRESS:
4137 RUBY LANE
LOT: Q75 BLOCK: 4
DIFFLEY COMMONS 2ND
P.I.N.: 10-20451-075-04
DESCRIPTION:
REPAIR CHIMNEY
BU'iltliAJ_Permit Type STORM DAMAGE
,gu.i].:ding Work Type REPAIR
_Census Code 434 ALT. RESIDENTIAL
t ~~,,,,m:,.__-•
1
REMARKS:
REPAIR CHIMNEY DUE TO STORM DAMAGE.
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. LIC. OWNER:
DU ALL SVC CONSTR INC 17889411 0003178 QRR .70YCE
636 39TH AVE NE 4137 RUBY LANE
COLUMBIA HTS MN 55421 EAGAN MN 55122
(612) 788-9411 (651)681-1585
I hereby ackn:owledge,that I have read this appiicat3on and state that the
information is correct and agree to comply with all applicable 5tate of Mn.
Statutes and City of Eagah brdinances.
L
APPLICANT/PERMITEE SIGNATURE ISSUEO BY: SIGNA URE
• ' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
•-~j -a 3830 PII.OT KNOB RD - 55122 ~
~ 681-~75 g-~ -
New Construction Reoui2ments RemodeVRecair Reauirements
? 3 registered sfte surveys ? 2 copies Of plan
• 2 copies of pWns (inGude beam 8 window saes; poured fid. design; etc.) ? 2 sda aurveys (azterior additions & decks)
• 1 energy wlwlaNons ? 1 energy calculations for heated addRions
? 3 copiea of trea preservation plan A bt plaCed aRer 7/1/93 required: _Yes _ Na
DATE: CONSTRUCTIONCOST;*9d!Q
DESCRIP ON OF WORK: ~~,e.oac ~~..t-y~ /~~~~it_ - C~L~i~s<E ?
STR TADDRESS: oe'7 /r>iv
LOT: BLOCK: ~ SUBD./P.I.D.
Name: 09Q, Phone
PROPERTY Im!
OWNER J
StreetAddress: !&-y~ A"~y
City State:
Company: 2.9 I/~ Jk.0-(/! fi97- Phone 2"- 95~J ~
CONTRACTOR
Street Address:~! 36 7.9A 7¢r/t-4-r h~ License it -;P'l'J d
City &p State: h . Zip: ~V,3 XZ/
ARCHII"ECT/
ENGINEER Campany: Phone
Name: Registration
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is Cortect and agree to comply with all applicabl
State c City of Eagan Ordinances.
~ RIFCEIVED
i Signature of Applicant: ~L ,
BY: CE USE ONLY RFCEIVED
Certificates of Survey Received _ Yes _ No jVi;;
Tree Preservation Plan Received _ Yes _ No _ Not Required Blr;
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 .Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory O 20 Public Facility
? 04 SF Porch ? 09 12-piex ? 14 Fireplace 0 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition O 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprini sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Pian Review
License
MC/W5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
PERMIT
CITY 00 EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road
Eagan, M innesota 55122-1897 Permit Number: 0 3 2 8 4 7
(612) 681-4675 Date Issued: e 8/~ ~ f 9$
SITE ADDRESS:
4147 RUBY LANE
LOT: 07()BL0 CK: 4
DIFFLEY COMMONS 2ND
P.I.N.: 10-20451-070-09
DESCRIPTION:
REPAIR CHIMNEY
B,uildi.ng,.,;Permit Type STORM DAMAGE
Building W'ork Type REPATR
-26ensUS Code'' 439 ALT. RESSDENTIAL
;
~ , .
,
_ . _
1_ . rc
REMARKS:
REPAIR CfIIMNEY DUE TO STORM DAMAGE.
FEE SUMMARY:
CONTRACTOR: - Rpplicant - ST. LIC. OWNER:
DU ALL SVC CONSTR INC 17889411 0003178 BIRKELAND CLAZRE
636 39TH AVE NE 4147 RUBY LANE
COLUMBIA HTS MN 55421 EAGAN MN 55122
(612) 788-9411 (651)688-3504
2 hereby acknowledge thet T have read' this appli€ation and state that ths
informaCion is co-rrect and agree to comply with a11 applicable 5tate afi Mn.
Statutes and' C,ity of Eagan Ordinances.
L - L
~ Iw~--~LJ /
APPLICANT/PERMITEE SIGNATURE I SUED BY: SIGNATURE
< 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 65122
e82-4e75 New Construction Reauir ments RemodeUReoair Reauirements
? 3 registered sBe surveys • 2 eopies of plan
? 2 copies of pWns (inGude beam 6 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior add'Rions & decks)
? 1 energy calwlations ? 7 energy calalations fer heated addkions
• 3 copies of tree preservation plan "rf lot platted after 711/93
raquired: _ Yes No
DATE: g I..~/Y 5? CONSTRUCTIONCOST;~7~.elsi- op,~ .r4 E,
DESCRIP ON OF WORK: ~1n2lyc ;D.rsrw.vr-Qr
.
STR T ADDRESS:
LOT: -I BLOCK: ~ SUBD.lP.I.D. L21vIvY120~0 al(o
Name:' ~~,~/-jPwd Phone (o ~4 - 3S0 ~
PROPERTY Lazt Fitst
OWNER /
StreetAddress: /.Z /~jJ~j~ ~s/y~ ,
City .C'r4gdA/` State: Zip:
Company: 26/ 1// Phone LO f
CONTRACTOR
Street Address: 6/ 3 F 7f}iJ~ License 78
City State:/1/e2 - Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appliption and sfate that the infortnation is correct and agree to comply with all applicabl
State o ity of Eagan Ordinances.
ESignature of Applicant: BY~ E USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No .
Tree Preservatian Plan Received _ Yes _ No _ Not Require BY:
,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 .Swim Pool
? 03 SF Addition ? 08 8 plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch 0 09 12-piex ? 14 Fireplace ? 21 Miscelianeous
? 05 SF Misc. ? 10 _ plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/W5 System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit .
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Capies
Total:
% SAC
SAC Units
t
~pk~~~
^ 6
c ' i a. ~ y c n ~r 3 $}i a< e e Gr E .,3
1993 PLUMBING PERMIT (RESIDIIVI7AL)
CITY OF FAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681.4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
SHOWER 3.00
`VJA"I'r'.it C:LUSET 3.00 3y.-
BATH TUB 3.00 a•~ -
LAVATORY 3.00
. KITCHEN SINK 3.00 &-1-
LALJNDRY TRAY 3.00
~ HOT TUB/3PA 3.00
WATER HEATER 3.00 3-ti -
~ FLOOR DRAIN 3.00 a -
GAS PIPING OUTLET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • vak.cry. iic. 15.00
U.G. SPRINKLER • tiome unaer coui. 3.00
ALTERATIONS • io austing 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: ~ u
SITE ADDRESS: `1
OWNER NAME:
INSTALLER:
ADDRESS: C o 1 t)
CITY: ) c~ r c~ STATE: ZIP CODE: J~ 3~ ~
PHONE ( ) LI ~'t 0 - b I'} l
~
SIGNATUREOF PERMITT~ EE
: a R~'j i .s ~~)~S i{#'3a°~`'~'<$abn ° y~~~aYr.~~"R^'~4.*s~~~ c~ qt~~?^{R'>$4~~.~~ ~"'~.&F`~r>y~~ i
..m.. ~,.wc,~i.'E^ ........~..~~,_.~t,na~eu&`>x.«a~nu'~~tiw~'~~.xa.3~~~ ~:aua&ea•.,.`" ~ A~y,i~.15„F~ .`R,r~~`6'~..~3~~w.~"s'm~i~.ew..,~i.¢v~"~"~.~~,~`
1993 PLUMBING PERMTf (COMIVIERCIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMI~MRCL4UINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP JINGS WI-IEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWEL.LING Us: i I'.
NEW CONSTRUC110N
ADD ON
REPAIR
WORK DESCRIPTION:
CONIRACI' PRICE: $
FEE: 1°k OF CONTRACf FEE.
STATE SURCHARGE: 5.50 FOR FACH S1,000 OF PERM FEE
MITTIMUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SI1'E ADDRESS:
TENANT NAA4E: SI'E. #
OWNER NAME:
WSTALLER:
ADDRESS:
CI1'Y: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
i ~i' US~ C~NLY wyyy~y
. i4... . n o .En[.x.u..~rtM~w+r.u9~.83~v.'.~S h.~:~~F~.'...~'.........w... .......a~..s.::
1993 MECHANICAL PERNIIT (RESIDENTiAL)
CTlY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC; 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OLJTLETS (MINIMUM 1 C S3.00 EACH)
ADD-ON/REMODEL (ExlsTING coNSntUCnoN) $ 15.00
STATE SURCHARGE .50 ~ •
TOT
ayo ~
srrE,~,DDxESSy~`~s;51,`~~~,,v''~~S,y,,;~~
OWNER NAME: ~~\Km~ TELEPI-iONE
INSTALLER:
ADDRESS:
CITY: STATE: \'N-&N ZIP CODE:~
TELEPHONE
SIGNATURE OF PERMI7TEE
, .
~X' USE QI~.'~
:.'f~ "}Y"Y w R 3 ~Wf :
KU-
~ DL ~ F -1 5 S Qyg'k Y.A~f t3.. N S°~ '~1 ~ 5~Y S.: ( P
si Zz >S' 233.3fx 3i~~'Y e'c . y~3ka.>s~ Fy
a£37.i'ks'~ u, o
W Alµ
1993 MECHANICAL PERMTT (COMMERCIAI,)
Cl'IY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OT'HER MULTI-FAMII.Y BUILDINGS WFEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRACT PRICE: $
NEW BUILDING
IN7'ERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF COI+TTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PAWI FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPNONE
TENANT NAME: (IMPROVEMENTS ONLS)
INSTALLER:
ADDRESS:
CTTY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECI'OR
Cities Di ig tal Qualit_y Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
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Serial # 4{7 6~ / 7
Chi"p D 3 S o -7 (,7 I
Permit # „2 aL{ 3 S
~ Address: 1-113 S. - 41
9 ~
I AGREE TO COMPLY WITH TY OF EAGAN
I OFtDINANCES s
~
Signature: z~co
~ RESIDENTIAI, RUJI.TiING ~
y S/~ vr ~;'L?' Permit Applicatiou ~
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
NewConsWdionReauirements RemodeVReoairReauirements Oflice UseOnlv
3 registered site surveys showirg sq. k. of lot sq, fL of house; and all roofed areas 2 copies of plan Cerl of Survey Recd
(20% mwimum IM coverage allowed) 1 set of Eneyy Cakulations tor heated additions Tree Pres Plan Reed
2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 sde survey for addifions 8 decks Tree Pres Nat Reqd
1 set of EneTgy CaIwW6ons Addrtron - indicafe if on-site septic system _ Onsite Septlc System
3 copies of Tree Preservatlon Plan H bt pletted after 717193
Rim Joist Defail Options seledion sheel (61dgs with 3 or less units
Date I q /t ` / ~ Construction Cost
SiteAddress `y~ ~~E7~.,~ LSc7~~_ UniUSte #
Description of Work /
Multi-FamilyBldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone 4,0 G ) Y~ D!
Contractor
. RENEWAL BY ANDERSEN
Address 1920 COUNTY ROAD "C" WEST City
State ROSEVILLE, MN 55113 ne )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted - Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber Telephone # ( )
"y
Mechanical Contractor Telephpqe;I'(~i
Sewer/Water Contractor TelephoTIil#~(~a~)5~~
'U
y i
' ion is co a mplete and accurate;
I hereby apply for a Residential Building Permit and aclrnowledge that the Y
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 without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
appro al of plans.
ra-
Applicant's Printed Name p licant's Signature
OFFICE USE ONLY r
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 OS-plex ? 18 Deck ? 23 Porch (screen/gazeho) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_r w_ 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.
_ Foorings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVpC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved 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 '
ToWI
r.,••.. •u., i~c.o~ rna ~o~ o~i W4tl0
. . . 1(Lt191f11!}L riYlN'IUISL47tSM .
rE al
. . .
auna 7, zoo~ .
City Of Hum .
3836 PiIot Kuob Road
Eam MN 55122
To Whom It May Concarn: .
Etder 7ones is auffiodzed to pto bmk'Hng permits Por Ranewal {ry qndeisen. Pteusa aliow
Stdcr 7oncs to pcovide this scrvicc for us in Bagan. 'Rda muharlYatian is valid fvr eny
dabe bcyond 6/6101: an6l
to the City a~ew~ by ~~n ~~Y navakea it in witting
-
i requcst this authoaza@on bc accepted expedidously. av to nat
our bnildin8 delay in the proczssi% of
Pcanits any ibztitcr. Picaac cari mc lf thcxc ara nny qtteatioae. _ I caa be
, coutactcct at 763-502-47U6_
Your icnmtxIiate mttarCion to this mattcr is a 9 •
sinoekely, . .
mttd R Rau
datx[Iation Mattagcr
Renrnual by Andason Cotporation
f'.c:: Karn_F.l~ie~ 7~nea
JW~ c~H p ~ , ^ww,sP„o~L
~ ~
Received Time Juo- 1:01PI~ I
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.
Date
Site Street Address zd Unit #
Property Owner Telephone # ( )
Contractor ~ ~T Se~~•"ces Telephone# y6~-3ag/
Address aiyr~s- ~r/e,~~~.^~ ~?c City State MAv Zip <55-6f~
The Applicant is: _ Owner ~ Contrector _Other
Alteretions to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
X Other. AeutouL a S44 Rud ~.~.Lc.- w%t/t /Wh~poeL~b~ /~SQ•
Water Softener Water Heater $ 15.00
_ repiacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 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.
Y- YU~ G"/ae4s
ApplicanYs P nted ame ApplicanYs Signatu
~ 9 ZS
S°Zo QO(p ~2ESIDENTIALBUILDINGs
~
City Of Eagan
3830 Pilot Knob Rosd, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremen6 RemodeVReuair Reauiremenls Office Use OnN
3 registered si[e surveys showing sq. fL of lot, sq. fl of house; and all ruofed areas 2 copies of plan showing footings, 6eams, joists CeA of Survey Recd _Y _ N
(20% maximum lot coverage allowed) 1 set of Energy CalcuWtions for heated additions Tree Pres Plan Recd _Y _ N
2 copies of plan shaxing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Ttee Pres Required _Y _ N
7 set of Energy Calculations Addtion -indicate iFOn-sde septic system Onsife Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot platted affer 711193
Rim Joist Defail Op6ons selection sheet (buildings wiN 3 or less units)
Minnegasco medianical ventilatlon form
Date 24 /06 Construction Cost fu~
r~
Site Address Ll (3 S`( I3-7 4131 `it 'it`1tLt 3Litqs1-( tLc K l'-t~ uniusre a t,~. yv~al-~ ~ - t ~
Description of Work lZC4w.r Yi f(, w~v~ i~ A~tY~YUw~.~,~+8~' ~ S t)
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
Contractor ~,4 r Ai \ ti.eNn ou v Y ~0 ~^^s-S Uc.d ~-~"a^-~~.•--l'~h'f~ !Mf~ ~'N v"'~°
Address ~0 M'A'c M.e woek y-4-k City W a4 'Z..~w
State (`^13 Zip J 53 q ~ Telephone #(a $2) YK S' 0I G C
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet •/~e e y Code Worksheet
(J submission type) Submitted
• Energy Envelope Calcuiations Submitted U V D
U (f y
In the last 12 months, has the Cify of Eagan issued a permit for a similar plan based on a masTe~~dn?$ 4 7Q06
L. ,
_ Y _ N If yes, date and address of master plan: ,
' Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the informarion 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 pernut, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
LSUu v J ti \ ~N~ S
ApplicahA PrInted Name p' ignature
DO NOT WRITE BELOW THIS LIlVE
Sub Tvpes
? 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 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) '~2=+36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
g 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg) - Give PCA handout to applicant
DesCrlptlon: Water Damage _ Yes -
Valuation QO .O O Occupancy ~ MCES System
Plan Review 100% or 25%
Census Code t L( Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const _Ll(3 Width
REQUIRED INSPECTIONS
_ Footings(new b(dg) Sheetrock
_ Footings (deck) FinaUC.O.
_ Footings (addition) ~ FinaUNo C.O.
_ Foundation HVqC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
e Fram~S _ Siding _ Smcco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
~W41 Approved By: , Building Inspector
-
-
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search .
Copies
Other
Total
Use BLUE or BLACK Ink
JAI
I For Office Use
Permit#: k-1S of I Permit Fee: 1E2~
City Ea~d
3830 Pilot Knob Road I
Eagan MN 55122 t
Phone: (651) 675-5675 i Date Received: 1 3
Fax: (651) 675-5694 j Staff: I
L-----------------I
2013 COMMERCIAL BUILDING ERMIT APPLICATION S u.~ I
Date: 1 27 1-75 Site Address: YGIV
Tenant Name: 0-,,VR j convoy", a.~►\\S ®4,.~ ~ar~cn kor&'*(Tenant is: -New/ Existing) Suite
Former Tenant: Q
Name: ~tN Z.oeUne. S V~~~a.5 w~~ d1aC~,n IwncS Phone: lJo- 4 3 a• 87
9
Property Owner Address / City / Zip: P~~ok J N>3e_ o n~ n m 5,5-0 (0
Applicant is: Owner Contractor
Description of work ~GwC O~F on-\C- Govt GK~► 5"A1^h Ct~ai~
Type of Work Construction Cost- 155 1 3 11
Name: O ~ (_0V%5. ('QC1i o License V5 L Z2 t a
Contractor Address: kouvtd{ lc_ ayL City: 1~5L ~yJ~'1 T
State: M 1 Zip: J~t~( Q Phone:G S- I" 2 k;L
f
Contact: LC4. Email:
Name: Registration
Architect/Engineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
- . n..,........ r..... m_t
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.aopherstateonecall.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 accordance with the approved plan in the case of work which requires a review and approval of plans.
x
x D -qm. wi
Applicant's Printed N We Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132662
Date Issued:08/27/2015
Permit Category:ePermit
Site Address: 4135 Ruby Lane
Lot:076 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-076
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Micheline J Wolfe
4135 Ruby Lane
Eagan MN 55122
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143449
Date Issued:06/15/2017
Permit Category:ePermit
Site Address: 4135 Ruby Lane
Lot:076 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-076
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Micheline J Wolfe
4135 Ruby Lane
Eagan MN 55122
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
-I
O For Office Use /
:0 /V�7(
U, „ffi ,�*, , Permit#:
x,444 .m.0^
Permit Fee: 60
\,'.0111410
�
r s re 10 Date Received: /1- '''/'
®''/'7
3830 Pilot Knob Road I Eagan MN 55122 Staff:
Phone:(651)675-5675 I buildineinspections@citvofeaean.com J
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: //3- /7 Site Address: ` J 3 S /C "�
Tenant: Suite#:
. Name: i ` S a 3 3 / a 2 3 S
�if�l1 �!' C ►12) , n 2 �U Phone:
' Address/City/Zip: ! 1 3`- 1
n 153-
Name: License#: Y' -- 6 Y`,
Address: :4 City:
Coni in
State:__P � o�22172 Phone: (o �' Z S Z
Eagan,MN 55122.0172
p,", Contact: t - Email: r-,i 1A-e_ /47-e--r-';o--% ,,1..r t i n. r
New Replacement —Repair —Rebuild —Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Water Softener
,sxLawn Irrigation( RPZ/—PVB)
Septic System Add Plumbing Fixtures( Main/—Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 6. d- 6(I
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.aooherstateonecail.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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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.
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Applicant"s Printed Name Ap cant's Signature
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