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622 Sally Cir cir~r oF Eac,~?N 3795 Pilot Knob Road Eagan, MN 551 u N~ 4 2 5 3 PHONE: 4:f4-8100 BUILDING PERMIT ;.`~'~~f. Receipt To be used fer ' ~ Date ~ , 19 Site Address ? Erect ? Occuponcy Lot Block ~ 5ec/Sub. `'i~`1`:r'` Alter ? Zoning Porcel # _ Repoir ? Fire Zone _ Enlarge ? Type of Const. W Name ` ~ r ~ ~ ! Move ? Stories Z Address ~ Demolish ? Front ft. 3 ~ Grode ? Depth ft. Cit Phone ~ 5 ~ Name Approrol~ Fees 0 Assessment Permit ~Q Address ~ Water 8 Sew. Surchorge _ • ~ Ci Phone Police Plan check u~ WW Nome Fire 5AC FW Address - Eng. Woter Conn. QW Ci Phone Planner Woter Meter Council I hereby ockrwwledge that I hove reod this application and state that g~dg. Off. the information is correc: ond ogree to comply with all applicable - State of Minnesoto Statutes ond Ciry of Eogan Ordinances. APC Totol Signature of Permittee • . . . rzT ? A Building Permit is issued to: _ on the express condition that oll work shall be done in occordance with all opplicable State of Minnesoto Stotutes and City of Eaoan Ordinonces. Building Official # oar. ~....a r«.x~,» Plumbing Mechanical INSPECTIONS DATE INSP. RouOF~in Final Footings Dote Irup. Dote Irap. Foundotion Plumbtng Frame/ins. Mechonitol Finoi , Remarks: 1N ~Y1:~;1'lUN KL(.:UK1~ CITY OF EAGAN PERMIT TYPE: ~ ° ~ ~ ~ ~ ~ 3830 Pilot Knob Road Permit Number: ~ r. / 9! Eagan, Minnesota 55122-1897 Date Issued: ~s ! F ~ ' (612) 681-4675 ~ ri 1;., i.+,,,r , SITE ADDRESS: ' F, ri ~ iti APPLICANT: i , ~ ;t~~t i , ~ , i~ ~ PERIUIIT SUBTYPE: TYPE OF WORK: t., , . . , ~ i~f ~ fil M/~;;f , t r,,p, i~ t., ;<I) I :t~~ilM•, t: ~~~e.~n. ~Y~ ~ ~ ~ ~ Permit Holder Date Telephone # PLUMBING H VAC Inspection Dafe Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIF TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARO FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIV~TY TEST HYDROSTATIC TFST BSMT R.I. BSMT FlNAL DECK FTG 9 ryJ/ a! 9if DECK FlNAL ~ 11~I~YLl;11V1~I KLI.:UKlI CITY ~F EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan Minnesota 55122-1897 Date Issued: 2) 681-4675 SITE ADDRESS: t. i~~ ~ r, r • APPLICANT: f= ! t~ ri ~ rlll: ~ x! f~i I{T1~'. 1 Nf~ . + . ~ , ~ , . ~ ~ ~ . f ~ I PERMIT SI~BTYPE: TYPE OF WORK: , :i; . . . . , ~ ' ~ ;I I ~!f~ ~ • ~ i:~ i ! , ~ - ~ I t~. ' ilf f 1 ! f . ,~i . , t,;n t, ~ !t1 t I ~ l l~t .~l . r ~ y~.F,~ P ~t ;...r:.-:~.c~ 5:.1. a.: ,YY~~~.~ . . . _ _ ~ I Y~ ~sk c ~.n, te~ , §R~~=.. . ~ ~ Permit Holder Date Telephone Y PLUMBING HVAC Inspection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER , FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN Remarks Additio S~.~A~"° ~DI ~N Lot 6 Rlk .'S Pa?ce~ IO 67100 060 0;5 Ow~er street 622 Sally Circle State_ ~'ag~~ ~ 55122 ; Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ],9'l~ ~3.~~ 2•12 2~j Paid SEWER LATERAL 197 1 700~00 ~.l ~ l~j Paid WATERMAIN WATER I.ATERAL 19 ~ ~.rj WATER AREA STORMSEWTRK 1984 ~+1~.~~ 2~.33 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 22Q.QQ 59g6 ~-28~ 2 BUILDING PER. sac 2~+0.00 86 6-28- 2 PARK CITY OF EAGAN 3745 4ilot Keob Roud Eogae, Minnesota 55122 Phone: 454-8100 WATx:k SCF'I'E23ER pERMIT Na• ~y Date: ~"~YCh ].5, 1a77 iteceipt No.: ~5n~~ Single f Site Address: ~~313.v Circ~F Residential I Lot ~ Biock ~ Sub/Sec. ~~~G~ Multi Res., Comm./Ind. I Name ~ r~~' ~~o~dahl New/AIYer./Repair ~ltpra~ion . 3 Address 622 SallV CirClP Cost of Installotion O City ~~`~n Phone: Permit Fee 5. {)r; ~ Nome NlilY~ert Co. - i,u ~~.icran Surcharge ~ Address 1001 Marie Ave. e 0 ~ City S~. fit.. ~aul Phone: 7otol This Permit is issued on the express condition that al) work shall be done in occordonce with all applicoble Stote of Minnesota Statutes and City of Eagan Ordinonces. ~ ~ . ~ ~ ~utldin~„Off~cio~ _ - ~.~~u..._.. 5 ~ Q ~ ~ RESIDENTIAL ~ S BUILDING PERMIT APPLICATION ciTV oF ~racaN 3830 PILOT KNOB RD~ EAGAN MN 55122 651-fi81-4675 Nwv Constructbn Rwuirenwnb RenwdNlRewir RsauirortwMs • 3 registered site surveys simwing sq. R of lot, sq. It of haue; and ~II roofed areas • 2 copies of plan (2096 maximum lot coverage aAawe~ • 1 set o( Ene~gy Calculatia~s for heated additions • 2 copies of plan showirg beam ~ window sizes; poured found desgn, etc.) • 1 site sunrey for exterior additbru & decks • t sel of Energy Calculations • Indlcata if home served by septic system for additions • 3 copies of Tree Presenration Pfan N lot platt~d after 711/93 • Rim Joist Deta~ Options seledion sheet {bldgs with 3 or less units) 30 DATE VALUATION SITE ADDRESS ~0 7~. ~a t t l.~ Co~,.~ 4, MULTI-FAMIIY BLDG _ Y ~N TYPE OF WORK C7Y~ ~~,s~ FIREPLACE(S) ~0 _ 1_ 2 APPLICANT ~ ~ STREET ADDRESS CITY STATE ZIP TELEPHONE # ~ SI- ~l ~ ~~CELL PHONE # FAX # PROPERTY OWNER TELEPHONE # COMPLETE THIS SECTIaN FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTr1 RLILES 7670 CATEGORY 1 MINNESOTA RL`LES 7672 (d submission type) • ResidenUal Ventiladon Category 1 Warksheet Submitted • New Energy Code WoAcsheet Submitted • Energy Envelope CalculaGons Submitted Plumbing Contractvr: Phone # Plumbing system includes: _ Water Softener ~ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Conhactor: Phone ~ Mechanical system includes: _:1ir Conditioning Fee: $74.00 _ Heat Recovery System Sewer/Water Contractor. Phone ~ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnature of Appllcant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Founda4on ? 07 05-plex ? 13 16-plex ~ 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? U8 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex 0 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi O 05 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding O 32 Addition ? 36 Move Bidg. ~ 42 Demolish (Foundation) ? 45 Fire Repair D 33 Alteration ? 37 Demolish (Bldg)* O 43 Reroof ~ 46 Windows/Doors O 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Wid~ REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ p~~~g _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Fram~n$ _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee ~""""""'-_r__~_~~_~_~~__~~M_~____~ _ Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY USE ONLY PERMIT ' ' ~U ~ a RECEIPT DATE: Q008 ~SID~RTI~kL M~Ci3~ENIC~tL ~P~EliMIT ~~~LICRTION crrY oF $ast~x S$SO PQ.OT KAOB iW ~ABAR MR 551 YE 681-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 2 SITE ADDRESS: 7 L/ C4 (1.Q` Q~ OWNER NAME: r~~P ~ A N(1.(C lY LI1~X- TELEPHONE P_ S INSTALLER NAME: ~,~,~`T'(~ /~J( N-(~jg.rl ~ TELEPHONE STREET ADDRESS: CITY: STATE: ZIP: Place a check mark next to the permit work type Add-on, modification or alteration to existin dwelling unit $ 30.00 • furnace repiacement • air exchanger • air conditioner • other Nature of work: ~~-K;~~t 1 GQ S~ 1/l Q~ State Surchar e $ .50 TOt81 $ 1 JC d~-,~2~^~-~ ~/)/OK~ 1 / GNATURE OF PERMITTEE ~ t/oz CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR E008 COMbI~C1~kL bl~C~kNIClkI. ~~~M1T ~L1ClETIOA CITY OF ~R&~E1V 3$SO ~ILOT KNOB !iD ~s,~1v, ~1v 551 aE 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE - TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZIP: TELEPHONE WORK TYPE: _ New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Specify Nature of W ork: When installing/removing underground tank, cal[ 651-681-4675 far inspection by Fire Marsha[ and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank rexnovaUinstallation = minimum fee Contract price: $ x 1% (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNA'CCJRE OF PERMITTEE Updated 1/02 ~ ~ RESIDENTIAL J ~ ~ ~ ~ 539 7 S BUILDINC PERMIT APPLICATION C~ CITY OF EAGAN ` 3830 PILOT KNOB RD, EACAN MN 55122 C: r~ 651-681-4675 ~ ~ New ConsWcHOn Raauirementn RemodeUReoair Reautrements • 3 registered sRe surveys showirg sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies ot plan (20% maxenum lot coverage allowed) . 1 set ol Energy CaIcWaGas for heatad addiGons • 2 copies of plan shovnng beam 8 wiiMav s¢es; poured found design, elc.) • 1 sBe survey for exterior additbre & decks • 1 set of Energy Calculatians • Indiwte'rf hane served by septic system foradditions • 3 coD~es of Tree Preservatbn Plan if lol platted after 7/7193 • Rim Joist Detad Options selecUOn sheet (bidgs vrith 3 or less unils) DATE Z~ ZO~ Z VALUATION SITE ADDRESS ~022 Sal I...r C l P~C.~`ei MULTI-FAMILY BLDG _ Y ~r N TYPE OF WORK - FIREPLACE(S) ~ 0_ 1_ 2 SI-r'ucl-ur~ APPLICANT J~~~.(2~_~L[~.~ I STREET ADDRESS ~e2"~ ~G ~ li ~~'~~I Q CITY , t1_STATE~ZIP S~l~ TELEPHONE# (,~~~~if•3345 CELIPHONE#G51_ , f~3-~f3Q8 vFAX# PROPERTYOWNER ~~~~2rA JW(~~a.~, TELEPHONE# nSl- LI ~-l~ ~9_~ COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~IINNESOT.~1 RULES 7670 CATECORY 1 MINNFSOTA RULFS 7672 (J su6mission type) • Residential Ventllalion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Piumbing Contractor: _ Phone # _ Plumbing system includes: _ Water Softener _ Iawn Sprinkler P'ee: $90.00 Water Heater No. of R.I. Baths ~Io. of Baths Mechanical Coniractor. Phone # Mechanical system includes: _ .~ir Conditioning Fee: ~670.00 Heac Recovery System D~~~~ M~ IJ Sewer/Water Contractor. Phone # I hereby acknowledge that I have read this application, state that the information is c ct, and agree to co ply with all applicable State of Minnesota Statutes and City of Eagan ^Ordinances. Signature of Applicant ~ ~u%~%°'~'''`'~ _______...___~____w_._.______.... OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ' ~ ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ~17 Garage ? 22 PorchfAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02•plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 37 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 only) - Give PCA handout to applicant Valuation Occupancy 6~~ -l~~ MClES System Census Code Zoning City Water SAC Units Stories ~ Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ~ W idth ~ REQUIRED INSPECTIONS Footings (new bldg) FinallC.O. _ Footings (deck) ~ FinaUNo C.O. _ Footings (addition) _ p~u~~g _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ RL _ AfrTest _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By ~ ~ , Building Inspector Base Fee Surcharge df~ Plan Review ~I~/ r~ ~~~~/=-(f.~ MC/ES SAC - /~~~t~ ~ J L City SAC ~+O ~ = ~ , ~ 3 ~ Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Dakota Counry Real Estate Inquiry Page 1 of 1 . ~ Dakota County Reai Estate Inquiry DaYa Updated 711l02. Select o tion and clidc map: ~ Center . - - Legend Whoie County ReFresh Map P~ ~ Pacels a, ~ Common.0onersh~ V ~wa~ ,r~ ~ wMf.6seme~a J ~ ?Oed~cazad RIW 4 ~ Standard!~ ~.I Choose a search rr~ihod. ertler aiteria, and dick Go or hit enter key. :a.re: . - House 622- ~ ~ G° - Address: ~Ily Circle i . Go ` PIN:._.. J~Go Cop~ri}~rt 1D02. ti~«a co . _002 Est Value (Payable 2003~ $151,700 PIN: 10-67100-060-03 20D1 Taxable Value Pa able 2002 : Details ddress: 622 SAILY $127,500 ~ "F~ CIR Pa able 2002 Tax: $979.14 _ Ci : EAGAN, MN 55122 otal Acreage: 0.28 j,Plat ' ear Built: 1972 This application ~as developed by the GIS unit of the Dakota County Survev and Land IMormation D~artment in tnoperalion wiYh Assessina Service_s, Treasurer - AudROr and Propedv Records DepartrnBnts ~ 7"~~F~~C~~ ht~p:fl2fl7171.98.200/scripts/esrimap.dll?Name~vebql &Left=544614.526823151&Bottou... 7/24/2002 Attention Terry: I witl be repiacing an existing structure. The slab will be a thickened edge slab and not a foundation. I have submitted 2 copies of my plan, 2 copies of my materials list, the estimate for the siab, and the copy of the plat taken from the Dakota County web site. When we talked on the phone you mentioned that this would take 7-10 business days. If there is anyway possible that I could get the permit sooner, it would be greatly appreciated. 1 am trying to coordinate the carpenters and siding people. Thank you, Roberta Nordahl 622 Sally Circle Eagan, phone# 651-454-3395 I ~~~m~~~~~~~m~~~~~~~~~~~~~~~~~~~~m~~~~~~ crrv or- EAGAN CAiHl'Eft: S TGRMINAL N0: iL3 UA7Er, 081~E~/98 TSME: 15:12e24 II~ : NA~'fE: FiOf;EfiTA L.Yt~li~ ~lOFUAHI_ 3210 3Q01 E~22 SALLY CZRCL 50.00 2155 3001 62c? SAL,LY C7.RCL 0.50 , 3430 9001 622 SALLY CIfiCL 0.25 34:10 3U0]. 6c2 5(-SLLV C]:RCI_ 1.00 7ota1 Rer..ei~~+, Amo~.!nt: 51.i5 Cfi09E~tl4 i USEk SU: NANCY ~k~k~k#X~**~k#~k m*Xc%~~%~k ~kc~~X~%~~k~K~~~k~Ca~# # ~%~~k~k #~k# PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s u a ~ o z N ~ Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 7 9 7 (612) 681-4675 Date Issued: 0 8/ 0 6/ 9 8 SITE ADDRESS: 622 SALLY CIR LOT: 6 BLOCK: 3 SELMARK P.I,N.: 10-67100-060-03 DESCRIPTION: Buildinq_.Permit Type DECK ;Buildit~g W'ork Type NEW ''Census Code 434 ALT. RESIDENTIAL ~ ; ~ ~ i- r t ._h.~ J V' ( . i - \ / Y`. \~i ~ . 1 1 l/ ' I ( ~ . ~ _ _ F ' { ~ ~ t ` REMARKS: PLAN REVIEWEO 8Y BILI ADAMSe FEE SUMMARY: Base Fee $50.00 COPIES $1.25 Surcharge ~.50 Total Fee $51.75 Subtotal $50.50 CONTRACTOR: OWNER: - Applicant - NORDAHI ROBERTA 622 SALIY CIR EAGAN MN 55121 ~ (651)454-3395 ' I hereby acknowledge that I' have read this appl'acation and state thaU the 9,nformation is correct and agree to comply with all applicable State oP Mn. Statut~s and Gity pf Eagan Ordinances. _ _ ~ ~ ~ ~-~c„ ;l.v 7'J ~ _ ~ ~ ~L APPLICANT/PERMITEE SIGNATURE I EO BV: SIGNATUR ~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) / C2TY OF EAGAN 3-~ ~ C~ ~ J 3830 PII.OT KNOB RD - 55122 681-4675 ~I- t~ New Conshuction Reouirements R9modeUReoair Reauirements ~ • 3 registered site surveys ? 2~piea of plan ? 2 copies oi plans (inGude beam 3 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior adOdions 8 decks) • 1 energy wlwlations d s ? 1 eneigy calculations Por heatetl addRions ? 3 copies of tree preservation ~rian if lot platted aRer 7l1/93 required: _ Yes No DATE: CONSTRUCTION COST; ~~,S~JO. C~O DESCR N OF WORK: EET ADDRESS: 2- W~C~/ G Z- f ~ LOT: ~c BLOCK: ~ SUBD./P.I.D. ~,`~-~'wl C~ `l ~^~~z Name~~ j~~,e~ 6~ °l,((~-T.~ Phone ~ri'C'~ ~.3.3~ S PROPERTY ~a'st- First OWNER / ~ ~ ~ Street Address: (r~ G~2 ~Q ~ ~ll LC-JLllJ Ciry t'~ cC-r State: M~_ Zip: ~ ~ ~ Company: ' Phone#: /~,~`",~iC)~~ CONTRAC'TOR Street Address: ~9 License # City St . Zip: ,S'~D ARCHITECT/ ENGINEER Company: Phone Name: Reeistration S~eet Address: City State: Z~p: Sewer 8 water licensed plumber (new construc6on onyJ: . Penalty applies when address chang and lot change is requested o~ce permit is issued. I hereby acknowledge that I have read this applicatio~ and state that the iniortnation is correCt and agree to camply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ ~~o~~ OFFICE USE ONLY Certificates of Survey Received ~ Yes ~ No ~ 4~ Tree Preservation Plan Received _ Yes No Not Require OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 4 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 ~Aulti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex 15 Deck WORK TYPE ji~ 31 New ? 33 ARerations ? 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 Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code O Census Bldg ~ Census Unit ~ APPROVALS Planning Building / ~ ~ Engineering Variance Permit Fee Valuation: $ ~ Surcharge Plan Review License MCNVS 5AC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. T'rails Ded. Other Copies ~ Total: °/a SAC SAC Units ~ ~ ..s~ ~ ~TAV MINNESO~A VALLE~ ~S~TA~Vq ! Q~(~ SURVEYORS 8e ENGINEERS CORP. < ~ sl 'C ~ :;a~E.irn..e.oe:oorn e~a~iv~~;e.+~nHe:a~• ~•.:~e ~ ~wi . AL~ W ,vo:no Fy0 HV~/ 2 y~RS E~ r . 7 ~ti'-A~~ ~ 6 u~~ ~ Certificate of Sur~'e ~ for : . h / %i, 6! ~ I - - - - f ~ L .-7il~Oc7= /~ti.'-,'; F.~yc„-„- ' ~ I v . ~ ~ l ~ i i- =-=----i \J ~ ~ ~ , ~ ~ ~p \ i ' ; ? i ~ ~ ; ~ IL~=~ n i ~ ~ ~ Q ~ ' ~ j ~ I /J ~ ~ V~ I M - - 1 I~ i N ~ s ~ ~ ~ ~ ` I j I ~ ' i ~ ~ i 'I I i ~ ~.o~ ~ ~-,c~:; 3 .;Fya:.:. ~ ~ r... - ~ ~ ~a~- ' , ~ De~o»s ir'an rnonumen,` i i i 'I Ltinnesota ~'alley Sur~eyor+ 8~ ~ i Aa.eby ~arrily t6a~ +M.~ .a a r.u• und ~o.~r~r repravnror~o~ ~ En ineers. Corp. . ~ • ol o+oiray o~ rhe hwrdunw o~ rhe ubo~e daurl6ed IynG, g ' ~ i t./ r_. . . R L 1 ~ . , ...,ae1 ~na ~o<u~~o~ e~ oii e~~id~nys, ~n«..on, ne ull r~„el~ , by , _ar__...__.-.__.!!'.i~..-___ - ' _ I moomn.~ann. d„~y, r.a~. o. o~ .o~n i.,~e. i _ ~ . ~ . n. ~~...y~a ny,.,~~ ~n,.~_a~y a~ f.:Lqc:G___.-.n o ic_,'.` i. ~[fnn. Ree. \u. ~_'~.s__-_'_-____ _.J ~~~~~~~~~~~~~~~~~~~m~~~~~~~~~~~~~~~mm~~ CI7Y OF EFiGAN L'ASH7ER: S TE~~fINFlL N0: 8i8 AFlTF'r OE3/i.9/98 T]:ME~ i.E;:54r,i.8 I I~ : NAME: MN EXTERI01';S INC 3c10 `3D~i 6i?c SALL..Y CTR 324.'i5 ^c15,`.; 3C101 E,?i? 5(-tL.t..Y C7F~ 11.,50 To+,al fiE~reipt qrt~~unt; 33E,.25 r~n~i-,~aa usr~ zn: t~at~cv ~~m*m~~m~~~m~~~mm~:~m~mmmm~~~~cm~~~~~~m~~ PERMIT ~IT'1( OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u ~ o s r~ ~ Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 9 6 5 (612) 681-4675 Date Issued: 0 S/ 19 / 9 S SITEADDRESS: 6z2 SALLY cz~ LOT: 6 BLOCK: 3 SELMARK P.I.N.: 10-67100-060-03 DESCRIPTION: soFFxT/wzNOOws Bu,~-],d'attt~-;Permit Type SF (MISC. ) ~ e~rild'ing CJ~~rk Type REpAIR ,Gtensus Code 434 A~T. RESIDENTIAL i ~ . .--_-~4 r~ \ _ r y~; r.~,~~,~, . ;b;~:;..J.,_ ' ~r j ~ 1 S~ -~~4. ~l. C~i: c f; f ~ ~ ~.a „1 i i y,~ ~ ~ ~ _ h - ...`,~i'~ ~ . v~y,~ ~ . S L'~ REM~~£ SOFFIT FASCIA GUTTERS AND REPLHCE WINDOWS. FEESUMMARY: va~uarzoN $2s,eae Base Fee $324.75 Surcharge $11.50 Total Fee $336.25 M~1~NE517T'ATEX'TERIORS SNCpP 113915514 0002877 IJ~O~D-A-ffL~ ROBIN 86.90 JEFFERSON HWY 622 SALLY CIR OSSEO MN 55369 EAGAN MN 55122 (6~12) 391-5514 (651)454-3395 I hereby acknowledge that I have read this application artd state that the information is oorrect and agree to comply with all applicable State oF Mn. Statutes and City of Eagan Ordinances. ~ . ~ ~ APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATUFE~ _ . • 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 ~ ~ New Construction Reauirements RemodeUReoair Requirements ? 3 registered site surveys ? 2 copies of plan ~ I~ ? 2 copias of plans (inGUCe beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior add'Rions & dedcs) ? 1 energy calculations ? 1 energy calalaUons for heated addftions ? 3 copies of Vee pre rvation plan 'rf lot platted after 7N/93 required: Yes No DATE: /7 CONSTRUCTION COST; Z ZDU /U ~y DESCRIP ION OF WORK: ~ r r ST T ADDRESS: ~ LOT: BLOCK: ~ SUBDJP.I.D. S--~L1NL(~~ Name: l Phone / ~ PROPERTY Last F~rst ~ OWNER / . Street Address: (O ~ City State: Zip: ~r/v~ Company: ~iS~- ~ Phone ff~ ~ CONIRACTOR p_ ' ~ ~D ~'~G6 R~~ StreetAddress: G~~~z~G~/J'~ ~~G/ icense# ,iyyyt/pZ~~~ i City State: Zip: ~3~ ~ ARCHITECT/ ENGINEER Company: Phone Name: ' Registration Street Address: Ciry State: Zip: Sewer & water licensed plumber (new construction onty): . Penaity 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 i ortect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicank ~~~~o~~ OFFICE USE ONLY i u CeRificates of Survey Received _ Yes _ No ~ Tree Preservation Plan Received _ Yes _ No _ Not Requir r' , OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish D 02 SF Dwelling ? 07 4-plex O 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 ? 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 Sprinkiered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Gensus Unit APPROVALS Planning Building Engineering Variance Permit Fee 3a S Valuation: $ Surcharge I l " ~ Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Traiis Ded. Other Copies i Total: ,~~_~S % SAC SAC Units CITY OF EAGAN 3795 Pilot Knob Road Ea9an, MN 557]2 N~ 425~ PHONE: 4548100 BUILDING PERMIT APPLICATION $550. ReceiPt .{k 5568 ro be u.ad fo. Fence pote i'~~ April 1 ~y 77 Site Address 622 Sa11y Cr Erect [~j Occupancy ~ I Lot 6 Block_ ~ $e</Sub. SELi118TIC ql}er ? Zoning Ri . Parcel Repair ? Fire Zone _ Enlarge ~ Type of Const. W Name Jeffr~ A Nordahl Move ? # Stories 3 Address 622 Sally Cr, Demolish ? Front - ft. ° ~~r EaKan pho~e 454-3395 Grade ? Depth ft. ~ Name Seme As Above Approvola Feea ZF' P.ssessment Permit 6.00 o~ Address Water & Sew. Surcharge • 50 Ci Phone Police Plan check Fw Name - Fire SAC Address Eng. Water Conn. u aw Ci Phone Pianner Water Meter Councii I hereby atknowledge that I have reod this appiication ond state that Bldg. Off. the information is wrrect and agree to comply with all applicable b.SO State of Minnesoto Statutes an City of Eagan Ordinances. APC Total Signature of Permittee e rey or a A Building Permit is issued t: on the express condition that oll work shall be done in corda e t appli $tate of innesoto Statutes and City of Eagan Ordinances. Building Ofticial - ~ ~~53 r Date: ~ ~ J ^ ~ ~ BUILDI'i1G PF,RMIT PrPLICAtIO'_i LOT (p BLOCK ~ l~JDITIO.I~~ .cr2~ PARCEL E SECTIOfI P][JY13ER IF Ui1PLATTED T,L~DRESS OF PARCEL 'pZ~ 1~ i --C°c ~ IO:dl"i•:G OCCUPARTCY USE~ L~-c..~-ri ~SI`L~iP.i•L~'D coST ~ ~ • U v 3 ~ ' ~ . axov:~ mo. ~ _ 7 3 cl ~ ~ ~~-~R~~, ~A. NaRa TELE n~~~ss ~ 22 Sfl ~ C+'~~~ ~ CO?:iTftACTOR 7'ELEPI30PIE TTO. ADTai2ESS Ydoter, Include si.te plan, building plans, and energy calculationo a~ith tii.s application Signed ~t. 1 ` _ U:"~'ICE USE ~ V.AF.u~17.O~i.T SPC S'ilri'~i]L2 COiTi:EC=I011 C~~1:ATL•R !>9I;TER ~ ?G AUILDIPIG PER1dIT FL;S ~~~-_Og SIIRCIiFfRGE FLE FI,d\Yi CFf~CK FE~ ~ s PARK DEDIC7ITZ~:7 r~E r_. OTY.BR TOTfiL~ APPP.OVALS : ASSESSFIE:CT CI,ERIt BDILDIIdG DEPT. POLICE DEPT.__! r~pmER & SficSER DEPT. FIIL D~PT. PF1:2K DEPT. ~ ~ J V • ~ i • . . • . • • . • • ~ . • ~ Ghf RG4. ~ ~ ~ ,-~--r-- ~ {~O+AS E ~ ~ • ~ s r ~ ~ ~ a ~ ~ ~ (,22 S1~L~-y C( (~CL c ~ ~ ~ • • ~ • ~ • ~ ~ • ~ ~ ~ EAGAN TOWNSHIP BUILDING PERMIT N° 3028 ~ Omnex %~~~~/---~a--....~ ° Eagan Township Address (Presenf) -"'..b..,n.~.... . . 4l.2.t.._ Town Hall n . Suilder ....................f.~,l.. De=e -~~----~!,~-/9.~:~:_... Addzess ......_----°•~-~,~.^0........_~$R2.1iA...... DESCRIPTION Sioxies To Se Used For Fxonf Depfh Iieighf Esf. Cos! Permit Fee Aemark ; ~5`D~ I ~ !~s ~ ~ v ~ LOCATION Streei, Road or ot6er Deseripiion of Localion I Lo! Slock Addifion or Trae! ~ ~ - - 6 ~ _ This permi! does aoY aufhorise t6e use of streeffi, roads, allepe or aidewelks nos does il give !he ownes os his egen! ~ !he righ! to creale enp siluaiion whieh is a nuisanee or whieh preseafs a hasard !o !he healffi, salelp, eonvenience and general welfare !o enpone in fhe communilp. THIS PERMIT MUST BEy~ K-EP N E PAEMISE WHILE THE WORK IS IN PAOGAESS. This Is !o cer2ify, fhat.l.C:.....~ _~.J.°------..°---...._......°---has parmiasion !o eree! a...~l~~if"~.°-° ...................._......._upon !he above desa ' ed premiee subjec! !o !he provisions oi ihe Buildi 'a ee for Eag owaship adopled April 11, 1955. " Per Chai men of T~vn Board Suiiding Inspeclo: / / ~ MASTER CARD LOCATION R~ - ~ ,Z - ~ • OWNER ~~~~~~Pl~~I • STRUCTURE AND IAND USED AS Issued To Permit No. Issued Contractor Owner 6UILDING ~'0Z S/ ~j ? PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL H EATI NG GAS INSTALLING SANITARY SEWER I OTHER I OTHER I Approved Items (Inifial) Date Remarks Distance From Well FOOTING i ~~~J SEPTIC FOUNDATION ~ CESSPOOL FqAMING - 6- ~ TILE FIELD FT. FINAL ELECTRICAL DEPTH HE,4TING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOO~ DRAINFIELD PLUMBING WELL SANITARY SEWER ~ .d. Violations Noted on Back COMMENTS: ~ t , COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN 6VENT OF OBSERVED VIOIATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BF DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLlOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CE RTI FICATION - I certify that I have carefully inspectad the above in which I have no interes[ present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific repuire- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: ~~e WORK ORDER ~~d 1 ~ 1850 COMO AVE. ST. PAUL NAME ~ 1~eh-ne.f"jr F~ JYIi~~°~' ~ ~HC,s~ = iysk ~3~ a6 a CALL: 545-0331 ~ ~ - ~oFS noo~ess G z z Str//~ c~~ a~/nC~'L~' Fc- c .s~,~~. ; ' ~u~~tl D~.sc~iption _ E4LDC~ CODE /~f?E/A _~~~~/V Jf~~--rf.5 ~ ~ f 1 ~.ot L ~ ? ~ [_l oiti -3 ~nt_r-sMn.r~ _rn~, `i~ , ~ i l ~c'd n ...?w.~~rlu.Li~- ` _ ~ ' COh1~iRl~CT DP.7 " -.1 ° _SIZE ag .~~?6 ~ l"- F(,p~ OPrIC2 SE ONLY balue- O T >e Consc. F 2a~-~iu.r~ ~j~- x YF CONTRACTOR `~~~~-~ti= - JOB = `...a Slab: ~ In (~'~$y Sussel SUSSEL J08 ~ 4'~'~ ~ ~ ~ ~ CONTRA T= f_u/- x ? E3y Owner Approx. I ~ ~ 2-STARTIN~$ppIfVT50NLY : v J " S.P.!L~. ;~r~~ FR~~ . S SC~.J!t.1~.~.. ,Q . \ -e I I1 I~_. ~ c~ Anoy- ~ ~ , _ s,~ ~ ~ iiv~~~e ~ ~ ~ _~~s.el~_ F ~~~~.sy~re,r O~her ~ "~Sc7uarclNitli ~fl~b~--- y~~ ~p~ ~ l-t-4Crth l . J . I~PAcsh { . ~ ~ ~ Al - ~I-+v~octRen~..-..F~V I~~'0 'L.. „%7'~ 1 . i `.i2f ~ y~5~F~_i,7 M~s p~ ~ , O . _ ~_r ~,---e ;-t~,~- ' i I k _ ~ ` ~-1-sam~~~~g- ,i ,+C s'/ ~ a - - ° _ C+idcr-Far~~ ~ ~ L" ~ f~.A.6.U. t-1~D ~~+CIv~a7_~\~~ ~ ~ N k j7~.'~,~ (;r,ir{~ f'oin~ ~ . ? . J' . 3 G`~ y c~ ~ ~ C.o~inuii u`"; w;t o~' ~ ~ ~ ~ U.H. Dr. Offs~~t ~ LG~~~~ ~ ~ ~ ~ . t ~ _ S.D- Lowtion nn'~ ~y Go- I '~=~'$YCiCh'T ~'9q"HvSrti~ ?CSy Suz~cl ~ • p~~ ~ ~ ~ / ~WVincfaw; NOw`4- ~ \ ~~-QV~C ~/rtFSY9L 0 ~y~~ t,¢c~r~ \ r ~~J . Exlsting qarage: No ~ , ` ~ - ~ ? i ei.~ ncd `]~rt~ctied Vus CI , \4 ~f . . be /ow 40.~ ' ~ S.-eo ~s'~nnp:- -s-- ~ / Frc+inggranewillbe. . . . / ~ ~ DC o3.~a-~'- . ~ ~ , a5 is ~ ~ ' Lr~r~L~ ~ ~ i - . p~ ~ ~ ?ConvcrtedtoLS avnw~ar ~ U . _ .-..4}S-'n.~,,,l,;.gy.a~_ ~ ? Removed By: Onne~ t] ~7 ~ ~ f ~ Sussel [-,j . ~ J~~nk Must Qc Rem~ved By Owner . b i ~ . ~ , ? SPucify other removals by Sus- ~ ' ~ . . . . . _ ~561 O~ OAN~C1"-tiees 6ushes, etc. a.~ ~ - (.~I Show approx. dist gdiage Yo - . . house and all prop, Ilnes . ~ SY2kes visible - ~Yes ? No ' ~ Survcy available ~~1i~`Ycs f ; No . . . ' ? Special ins*,ruc[ionj,_frony~ ~ ~ r ommer:9lsSQ~LS~ ' ~ - ~ - j ~L~ ~ - ~ o/ Cl?i . . . . . , . . . ~ . . . _ . . . . . . . . . ~ i ~ ` ' a~ ~e ~ ~ ~L' ; a~n ~ ~ S ~ - rati _v=courr~ncr?> , ~cPoe ' ~roP~'~~~uc. , . Bt~EC.•ow- ~ ~ , , . , . +~~_~t,• . . t ~ ir ~ CITY o~ EAGAN Na 3833 UILDING PERMIT Owns: ..~lll'~.L°..1~ .J`... ~ L~ 3795 Pi1oY Keob Road L ~9•~°•~ ~ 1~ ° ~-~//-~-~/~°~~/y.9 Eagan, Minnesota 55122 Address (Preaent) ..._v.~..F.......~~~[..~.......(,~~4 454-8100 Builder .~.A .............'..y~... 1~,..................................~.... ~1 / ~ -t~• ~ . . ~ L!d{ Dafa ..fi..`.lb....7.1r Aaa:... .e......:e.rs:a.,n.... . .a.~N~ S's~93 9' DESCAIPTION Sioriea To Be Used For Fson! Deplh Heigh! Eet. Coa! Permi!_ea Aemazka - ~ X t ai o `~~D ~.s o LOCATION 5treal, Aoad ar other Deaeripiion of LoeaSion I Lo! Bloek Addllion or Trae! ~ ~ I ~IYY~QY~ 7'his permi! does noY aulhorize !he use of slreefs, zaadn, alleps or sidewallcs nor does i! give !he owaer os Lif agen! !he righ! !o creale anp siSua2ion which is a xuisance or which presenis a haserd !o !he heallh, safelp, eoavenlenee and genera! weliaxe !o enpone in fhe cowmuniiy. THIS PERMIT MUST BE'yJ~ PT ON THE~A.EMISE WHILE TH£ WOAK IS IN PROGRESS. , R Thla ia So cerlifp, al:~,~P,L~.Q-------------q~:n..~.°--...........haspermisstoa !o eeeets--•-~C `~/"i.-`l- ----..T.:(.~P......,E?~tf5~ the above describe remise subjec! Yo 1he provisions of all appl' e Or nces for fhg Ci! o gaa. l 'Z.r.L,~.,,-.....'_.._"'_'_............ Per " ~ ~Mayor BuAdiny Inapactor " MASTER CARD ~ocanoN ~ ! I~ - ~ (p ~ .1e-~rnG12/~- OWNER P $TRUCTURE AND LAND USED AS a r~ ~ / w Issued To Permit No. Issued Con}ractor Owner BUILDING ~~33 Z~IG^ ~ fJaOO ,~I1C. P1OI J~K~YsIN PLUMBING ~ RI~ ~s y' CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING ~ SANITARY SEWER OTHER I I OTHER I Approved Items (Initial) Date Remarks Distance From Well FOOTI NG SE PTIC FOUNDATION CESSPOOL FqAMING ~ TILE FIELD FT. 1 FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Batk COMMENTS: . ~ COMPLIANCE INSPECTION REPOR,TS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR ~ COMPLETION OF CERTAIN IMPROVEMENTS ~ DEVIATIONS. WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. NON-COMPLIANCE. BUILDER WILL COMPLY WITHOU7 DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REIlvSPECTION REQUIRED DATE OF REINSPECfION REINSPECTION REVEALED CERTI FICATI ON - I certify that 1 have carefully inspected the a6ove in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and a~y ~ecific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: . ' EAGAN TOWNSHIP BUILDING PERMIT Ne 2~57 Owae: . . . - - - . . . Eagan Towaship ......--~'y--"-_ Addreas Ip=esent) ...~~.....z?:..%.....C.~...~^-.r:~s~.....~:~~..._... ~.t`.~`'~"'~ Town Hall Huilder 3~/L ~7Z Daie Addreee . DESCRIPTION Btoriac To Bs Vaed For Fron! Depsh Heigh! Eel. Coe! ermit Fea Aemuke I ~ A . .3d~ 8'~ aG J~;7so ~ ~q.so ~ LOCATION 6 .,.t-d 8lreet. Aoad or olher Desarlpifoa oi Loealfon I Lo! Sloek Addilion os Tsse! .Z 1 ,~-Q-~ ~ jn _3 i~-2,~.^-r~-l,~~ Thls pesmf! doas aof aulhotisa !he u+e oi elraels, roada, allepa or eidewalka nor doea gioe !he owaes ee Lb agan! !he righ! !o creale aep situalion whlch ts a auisanee or which presenla a hasard !o !he health, sefelp, eonveaienee and genaral welfaze !o anpone in !he eommunilp. THIS PEAMIT MUST BE K PT ON THE PREMISE WHILE THE WORK IS IN PR06A SS. TLis is !o cerHfy. Shal ~,............--°......°----.6as permissfon !o eree! a.°- ....°~.^..'.'.~::..:----°--°°-.°-.._upoa !he above described premise subje Y!o !he provisiona of !he Suilding Ordinance for Eag n Township adoplad April 11, 1955. ~ ..........................~-r - rer ................---!~.`.'~c,.._._.~..~........~....'..~..:--^--~....._..~................... ° Chaixm~of Tnwn Boerd Huildin Ins ector ~ . ~ ~p -.3 c~F~/!'lC~,c~~t_._ TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT N0. The Board of Supervisors hereby grants to ~ 2i5 of Ray N. Welter Heating Co. a Permit for; (Owner) $t k637 Chica~;o Avenue~ Spu~'s an~e~~ appYic~ati6Y~ated HEATINQ S~3* ~~P~' 6z2 sall.v cs,rcle A Fee Paid: Dated this day of , 197_. 6/11i%J2 $20.00 t6th June 2 •5~ 8~~ Building Inspector , /-3 _ ~m~/~ ~ TOWN OF EAGAN ~795 Pilot Rnob Road ~agan, Minnesota 55122 PERMIT N0, t8$ The Board of 5upervisors hereby grants to ~~pg~ Pl~bing Co. ~ of _ ~2~01 I+~irsnetc>nka Slvd„ i93nnetonita1 ~~361 a Y-'ir''~~G Permit for: (Owner) S C . ::~n c~n ad, 625 626, 62i~, 22 at _ and 629 S y Circ ~ , pursuant to application dated s~25rrz Fee Paid: A~~~~•~ • Dated this 29th day of March ~ 197~ . Building Inspector s . ~ ~ ~ 7 ~~TAVq MINNESOTA VALLEV SATA~Vq~ ~1~, SURVEYORS & ENGINEERS CORP• ~ ~c"~ c ~ IHOOE4}NAVEMUlSOYTN lWMSVIIIl.MINNESOTI 39l! Mer: 6Y61150 ~Fl.r ~f'~~ ~ ~ '~+rs E~ ~ ~ns E Certificate of 5urvey for: ~FN ~PPE-L BAUM ~ I 66 I /Q N y 1 l~ D~aiaage E Ufi/~~y Eose~~> ~ V O Pb a I ~ I h ~ L h V I V ~ ~ T h ~ ~ S O; o ~ ~ ~ ~ C S . ~ aba ~ I ~ ~ , ~ ~ ~a ~ ~ ~ ~ h h ~ JS N I sa ao 4 h I 99 99 ` 13 LOT 6 BLOCK 3 SELPfARF • / „-4~" ~ ~ Denofes iron monumenf vrsr I ha.e6y~..r~~y ~no, rn~. n ~ r.~. o~a ~o..«r ~epr~senm~ion Minaeso~a Valley Surreyors & Eo Infero, Corp.l oi o s~rvey ol the bo~ndaries ol rhe abo.~ d~saribed load~ Q { • y~ _ , R L 5 und el ~hc lomrion ol oll belldingt~ ~heraon, ond all risibla py d.-..- ~t e_«~~ . . L enarnochmen~i~ i/ onr, I.am oi on +uid land. a. .~.,,ey~d hy ~e~,.[,~-aoy o+,Ly~o.rl. n.o. ~v~~ At{nn. Reg. No. , o f _ s MASTER CARD ~~~AT~~N ~ ~ 6 - 3 - St~.~~ • OWNER 'v~~piJ}~GG~/GLti~~___ . IAND USED ASD S T U~ Issued To Permit No. Issued Coniractor Owner BUILDING S ? 7 y S$ YN c PLUMBING ~ ~ CESSPOOL - SEPTIC TANK ~ WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER ~ OTHER ~ OTHER . Approved - Items (Initial) Date Remarks Distance From Well FOOTI NG I~+/Q~7 SEPTIC , FOUNDAiION CESSPOOL FRAMING ~,~3- 7 ~ TILE FIELD FT. FINAL ~ ELECTRICAL DEPTH HEATING ~-~'3-~ OF WELL GAS INS7ALLATION . SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING ~ - ~ ~ 7 WELI SANITARY SEWER -z ~j ~ c(i ~ Violations Noted + on Back COMMENTS ~ T~ ~a1 - r.~ ih~ _ . COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS • . PERMIT NO, DATE OF INSPECTION CONDITION$ OF CONSikUCTION Ai THiS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE SU85TITUTIONS OR DEVlAilONS. . ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYE~ BY GONDIiIONS BEYOND CONTROL. ? NON-COMPIIANCE. BUILDER WILL COMPLY WITHOl1T DELAY, ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQl11RED DATE OF REINSPECTION • REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the abwe in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating 2o the property inspected. ~ ALL IMPROVEMENTS ACCEPTABLY COMPLE7ED Bl11LDING INSPECTOR DATE COMMENTS: • z s EAGAN TOWNSHIP 3795 Pi1ot Krtob Road St. Paul, Minnesota 55111 Telephone 454-5242 _ PERMIT FOR SEWER SERVICE CONNECTION DATE: March 29, 1972 NU~SBER 963 QWNER: Sa11y Corp, Address 622 Sallv Circle lo ~ S~~%~~. PLUMBERThompson Plumbin~ Co. TYPE OF PIPE Hgayy Ci,a Tron DESCRIPTION OF BUIIA ING Industrial Cou~ercial Residential Multiple Dwelling No, of units ~ Location of Connections: Connection Charge 2~0.00 pd 6/28/~2 Pexmit Fee 10.00 d 3/2 2 . 0 pd 3 29 2 s/c Street Repairs Total Inspected by: Date Remarks• By Chief InspecCOr In consideration of the issue aad delivery to me of the above pexmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Bagan 1bs•mship, Dakota County, Minneaota By Thompson Plumbing Co. Please notify when ready for.inspection and coanectioa and before any poreion of the work is covered. ~ ~ EAGFN TOWNSHIP ~ ' r 3795 Pilot Rnob Road St. Paul, MianeaoCa 55111 Telephoae 454-5242 PERNJIT FOR WATER SBRVICE CONNECTTON Date: March 29, ~ 972 Number: 802 lo e3 ~~m~~~- Billing Name: Sally Corp. Site Address: 622 Sal~p Circle p~,y~er• same Billing Addresa Pl~ber: Thampson Plumbing Co. Location of Connectioa Meter Size Connectioa Chg. . ~d b/28/'~2 ~a32 ~y Meter No, Permit Fee 10.00 nd 3/29/72 Meter Reading U ooo~ Meter Dep. •50 pd 3/29/72 Meter Sealed: Yes Add'1 Chg.60.00 water mtr. 3/29/72 NO 1bta1 Chg. Inspected by DaCe Building is a: Remarka: Residence ~ 22uleiple Iro. Units i;, . _ . _ ~ ,,_.,,.~.-t;y u.~;.,~L'~_. ~,,:_~~i. . Commercial jj~~„,..,t i:~~~ Industrial By: Chief Inspector Other In consideratioa of the issue and delivery to me of the above permit, I hereby agree to do tt~e proposed work in accordance with the iules and regulations of Sagan Towaship, Dakota County, Mianesota. By• _ Th~npson Plumbing Co. Please notify the above office when ready for iaspection and conaection. ì ý ïù þýüýû ÿþþ ýüû ûúù øýýþþ úúø ú ý ÿ ÿþõ úù ø÷ öó é á ùø÷ öø÷ öó é ô óéï ÷ý õù á ù íù÷ýø Üü úÞùý ì ÷â Þù ý æðý üóó÷ ü ûýððýü þ ÷ æáýððý ÷ ýð ýýæ áý ä ý Þù øýó ü ðýø æ ý çååæ åæå ôø úù ýü ý çæ ãæã Ûýùýûæ óò õñð ÷÷ý ï óý ï ýôý ãáùøïýáö úýøá ï þýüýòô ë è øýó ü ý ýâ ý ý÷÷ýý ý ý ðý ýýü ÷øó ýý÷÷ý úý ðò ýúýù ýáøðþýüýíý æ ÷÷ýé úüýù ù øúüýù þýý üðü ûýýðû ð ô÷ ð þýö ÿþýüûú÷ó÷ ú÷ýüûöù ÷ûú÷ó÷ â÷ Úâ÷ýüûâÿèÿ÷÷ ÷öÿôþ÷õôöÿôþ÷ Ú ýü÷÷ ý òÿüõñú ÿ÷ëâöðð ñðññ ÷ôíáú ßø÷úóàåéãéñã õû ÿ÷ê÷ íçåéé ôÿÿó öòñ ûû ýüÙûûõþ÷ö÷êý òÿüõñú üò÷ ÿ÷ëâöðð âö áàñðññ ê÷þüù ê êë÷êûûêêè÷ô÷÷ ÷ôûüùêûûþ èâ ÿòüè ì÷é ûûø÷ô ÿ÷ ÿü ÿ÷ PERMIT City of Eagan Permit Type:Building Permit Number:EA163434 Date Issued:09/01/2020 Permit Category:ePermit Site Address: 622 Sally Cir Lot:6 Block: 3 Addition: Selmark PID:10-67100-03-060 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Christine A Brown 622 Sally Cir Eagan MN 55122 All Elements Inc 301 Chelsea Road Monticello MN 55362 (763) 314-0234 Applicant/Permitee: Signature Issued By: Signature