626 Sally Cir INSPECTION REC~RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~ q F. ~ r~
Eagan, Minnesota 55122-1897 Date Issued: ~
(612) 681-4675
SITE ADDRESS: ~ ' r' , " ~ 1 ~ G' ~ APPLICANT:
i e~ f: 1:' NL Ur.k ~
. r11 I Y f~i7 ~ ii , „i i.~:i~:, i f P~' I!•!~
. V f; : , . , , i . ! , . ~ i r
PERIIAIT SUBTYPE: TYPE OF WORK:
~ ~ . , i ~,~t
, ~ , , . ~
• „ .
, . ~
~ ~
~ ~
PermR No. P~rtnk Holdar Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspectior~ Date Insp. Commsnts
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FfREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT ~
TEST I
BLDG FINAL ~i
- I
BSMT R.I.
~
BSMT FINAL I
DECK FTG i
DECK FINAL
I
I
I
I
CITY ~F EAGAN Remarks
Addition SEII~1RFiK A DITTION Lot 12 Rlk 3 Parcel l~ ~710~ 12~ 03
Owner ~cri L~~ a~ 6.+~ ~set 526 Sally Circle State ~g~+ ~ 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 19'TO ~j3~QO 2•ZL 2~j P81C~
~ SEWER I.ATERAL 1~f3 1 700.00 113•j 15 Paid
WATERMAIN
WATERLATERAI Zg77j l~j
WATER AREA
STORM SEW TRK 1984 459 .00 30. 60 15 459. 00 C0083$8 8-29-83
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 2
9UIL~ING PER.
SAC
PARK
cir~r oF ~?c~?N
, ~ 3795 Pilot Knob Road Ea9an, MN 5312~ N~ 5 2 4 3
PNONEs 454-8100
BUILDING PERMiT rt~~~r #
To be oad ier Est. Volue ~ ° Dcte 19
S(te Address ~t•;.~``~ ~`t"~'~. ''~"9.` _'•r 1.1`~ ('i~~rl~'Erect 0 Occupancy
-
Lot - Blxk ? Sec/Sub. cF~~`'t'' Alter ? Zoninp
Porcel # Repair p Fire Zone
TT Enlarge ? Type of Const.
oWe Nume ' Move ? # Stories
3 Address ~~~-'r`~Zn Demolish Q Froni ft.
b Ci Phone Gro~ ? Depth ft.
~ ' ,`r 17 ~'~'f!'?~~t ~?PP~ovol~ Fees
Name
z~ c,nl ln+, _ . Assgssment Permit
Address ` , ^ ^ - -
~ Ci Phone ~ ~ ~ - - ^ Water & $ew. Surchorge
Police Plan check
~W Name Fire SAC
Address En~. Water Conn.
<W Ci Phone Planner Water Meter
Caunci I
1 hereby acknowledge thot I have read this applicotion ond state that Bidg. Off.
the information is rnrrect ond agree to comply wifh all applicoble APC Total
State of Minnesota Statutes ond Ciry of Eagan Ordirances.
Signoturo of Permittee
``~T=`'}~~'~-~ on the ex ress condition that
A Building Permit is issued to: P
oll work shall be done in accordonce with afl applicable State of Minnesoto Statutes ond City of Eagon Ordinonces.
Building Officiol
J
P~M # pal~ IaueA p~e~ittN
Plurnbing
Mechanical
INSPECTIONS DATE INSP. Rouph-In Final
Footings _ Dote Insp. Date Irnp. ,
Foundotion Plumbing
F rame / ins. Mechanical
Final -
Remarks:
~x,~r ~763 .,ick~~ll g/Z
Z
-~a~
~3~~•~ESIDENTIAL MECI~ANICAL PERMIT APPLICATION ~ ~ ~5J
City ~f Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-b75-5675
Please complete for: single family dwellings & townhomes/condos when perrnits are required for each unit
Date ~ ~ I Z I
Site Address ~~.ro ~l7~~ ~ Unit #
Property Owaer ~~~I~~~ Telephone # ( )
Contrackor ~/~;.L,~1rC;~/!/~
Street Address [~'1~ .~'/~~y~~!~ " ~ City
State Zip ~G~ Telephoee # (~~f } ~f~
Bond ~ o~~~ _ Expires: ~~C_~
The Applicant is Owner ~Contractor Other
Add-oo or alteration to existing dwelling unit $ 30.00
~ furnace _Additional _Replacement
air exchanger
air conditioner _New _Replacement
other
State Surcharge $ 'S0
Total $ s~
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in confarmance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a perrnit, 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. -
.~~~~~~r~~/
Applicant's Printed Name Applicant's Signature
2005 COMMERCIAL MECHA1vICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 5~12~
Telephone # b51-675-5b~5
Please complete for: commerciaUindustrial buildings
multi-family build.ings when separate permits are not required for each dwelling unit
Date / /
Site Street Address Unit #
Teoant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is Owner Contractor Other
Wark Type
_ New Canstruction _ Underground Tank _ Install _R~move *''see belaw
_ fnterior improvement _ Install Piping _Processed _Gas
Nature of Work:
'*W)ten installing/removing underground tank, call for inspection by Flre Marsha! and P/umbing lnspector
Permif Fees: 570.50 Undergroand tank installaHo~/removal
550.50 Minlmam (includes State 3urcharge)
or
Contract Value $ x 1% Permit Fee
• If ermit fee is $1,000 or less, add $.50 ~ $ State Surcharge
If permit fee is over $1,0~0, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the infarmation is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an applicakioA for a permit, and work is not to start without a permit; that the work will be in accordance with
the appro~ed plan in the case of work which requires a review and approval of plans,
Applicant's Printed Name Applicant's Signature
Approved Sy: Inspector Date:
L-~ ~j ~ RESIDENTIAL BUILDING ~ 7,S
Permit Application
City Of Eagau
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Constructbn Reauirements RemodeVReoair ReauiremenLS OH'~ce Use Onlv
3 ragistered site surveys showing sq. f4 of IoL sq. k. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20°~ mazimum lot coverage allrnved) 1 set of Ene~gy Calalations for healed additions Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 si[e survey for additions & decks Tree Pres Not Reqd
1 5et of Energy Calculations Addifion - indicate i(on-sife seA~~ system _ On-site Septic System
3 copies of Tree Preservatian Plan if lot plafled after 711193
Rim Joist DeYail Optbns selecfian sheet (bldgs with 3 ar less unifs
Date i Construction Cost ~0 3 ~ ~ ~
SiteAddress ~ a G ~i9~1/v L'.~~ Unit/Ste #
Description ot Work /~C ~ A`~ C9.4 /?1~~a P
Multi-Family Bldg _ Y ~N Fireplace(s) _ 0 _ 1 _ 2
Property Owner T i9/(.O U~LLC Telephone #(LS7 ) li ~ g~ Lyg Q
Contractor ~LS~o~^'~ ~Z~++oo~P~~
Address y~,~o~l a .02i City Lij ~o ~.A~1G~ ~j'
State %v1 HJ Zip S S" TJl $T Telephone #(LS/ ) ~l S~• a. L S~G
~ I
/ ~f ~ `l,~i"
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Eoergy Code Category . . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(~submissiontype) ~ Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber r, 2~ Telephone )
p , _1
Mechanical Contractor L ~ 7(!~!~? 1', Telephone )
`r n iJ
Sewer/Water Contractor 1' i~,~~ Telephone ~
i
;
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 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.
~R~T /h s ~'.q2 !t c,. ~ C.e-?l~l/I
Applicant's Printed Name ~ Applicant's Signature
OFFICE USE ONLY
Su6 Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gaze6o) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) L"I 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitfon (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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Fooungs(deck) FinaUNo C.O.
_ Footings (addition) . _ p~~b~g
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Fioal
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au 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
Capies
Other
Total
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PERMIT
~ ~~TY OF EAGAN PERMIT TYPE:
- 3830 Pilot Knob Road B U I L D I N G
Eagan, MinneSOta 55122-1897 Permit Number: 030635
(612) 681-4675 Date Issued: 0 8/ 14 / 9 7
SITE ADDRESS:
626 SALLY CIR
LOT: 12 BLOCK: 3
SELMARK
P.I.N.: 10-67100-120-03
DESCRIPTION:
(SIDING & FASCIA) ~
Building~-~ermit Type SF (MI3C.)
;Building Work Type REPAIR
~ C~~r~s~Us Cd~l~e 434 A'LT. RESIDENTIflL
i
~
IJ
~
. _a . . - -iv"
, \ - , ' X f .
. ~~~-i
~'l,;lr~`"" -
~ ~
, '5'(,,_ r
„1`, tt.~. 1~'~~(~i~7'1'~1 i~ .,r){~~~''` si1,'£`~"I!t^.'PW`_i7t"f'"` ~I~'1
~ s l.E i `1 ~.1 ` _i \ ~ f ~ t_.~
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" . ..m. ~3. r
REMARKS:
FEE SUMMARY:
VALUATION $8,000
Base Fee $137.25
Surcharge $4.00
Total Fee $141.25
CONTRACTOR: - qpplicant - ST. ~IC OWNER:
C~STOM REMODELERS INC 17842646 0001748 6RU66 CHRIB
474 APOLLO DR A 626 SALLY CTR
~!.dNO LAKES MN 55014 EAGAN MN
(612) 784-2646 (612)688-6480
I fier~'by'~cknowled'g~ that' I irave re~ti3 tH3s a-p'plts~aC'fon '~ncf''s~~CS tirat the
infiormation is correct and agree to comply,with all applicable State oF Mn.
~ Statu~es and Gity-of ~agan Ordin~rnass. -
,~a.~a R ~
APPLICANT/PERMITEE SIGNATURE ~ ISSUED :'S16NAT RE
, -~I''
~ r I 97 BUILDING PERMIT APPUCATION (RESIDENTIAL)
~L/k1`~\/ CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681~675
tiew Construction ReauiremeMS EtemodeVReoair Reauirements
? 3 registered sRe surveys ? 2 copies of plan
? 2 copies of Dlans (indude beam & window sizes; poured fnd. design; ete.) ? 2 site surveys (exterior additions 8 detks)
? 7 energy wlculations ? 1 energy calculations for heated addftions
? 3 copies of tree preservation plan 'rf lot platted after 7/1/93
required: _ Yes _ No ~ '
DATE: ~ 3-~ 7 CONSTRUCTION COST: ~
,(~.eu> ui/ly) srdln
DESCRIPTION OF WORK: /E0.r 0~~' Ex; si-F~i 9~°~T~~ APP/v rP'I'! BH~~~ B~rrl ~ so~~4a FA~I,a
STREET ADDRESS: ~~Z ~ S F~ 1 ly C i`rcl~e
LOT ~ BLOCK SUBD./P.I.D.#: ~~h~~
PROPERTY Name: ~.h~~s ~ kFMI+~ ~~u ~ h Phone ~gg'- ~4
OWNER ~.a.
StreetAddress: ~Z~ S~IIY Gf~C.l~e.
City: ~-~q ~h State: C~'~nl Zip:
CONTRACTOR Company: ~5-lo,n R~rrne~~,Prs Pho e#: ~ -z
Street Address: 3 3~~9~ ~ ~
~7~/ ,4?oLl.n Dr. ense#:
City: Lr !ro A-~ ~s State: /h ~ Zip: .S"o I S~
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licer.~.ed plumber (new construction only): . Penalty applies when address change
and lot change are ~ equested once permit is issued.
I hereby ack~owledge 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: `
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
' ' -
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-piex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _ plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations o 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 Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
a4
Permit Fee 37~ ~5 Valuation: g~000
Surcharge ~f. ~
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
To~~: a5
~,s sa,c
SAC Units
~ ~ EAGAN TOWNSHIP
BUILDING PERMIT N°• 2659
Owne= --"..~4~^~....W.:..._....----....-'--------' Eagaa Towaship
/ ~ , ,
Addrecs (Preseni) ..G~-kl._y..Y~..-_..~"~'::'.._.~~....... Towa Hall ,
Builder Date ,:3~/6 ~7.~................
Addreas
DESCRIPTION
5fosies . To Be Used For Froa2 Depih Heigh! Est. Cos! armi! Fee Remazke
~ c2~.~e-~. ~/y ,-s ~aq77 ~7a,sU~j~i
LOCATION
Slreel, Aoad or oSher Desaription of Localion I Lo! Bloek Addition ox Trae!
b ~ G ,~,.~"y ~e- / a 3
Thls permi! does no! authorise !he use oi alreets, roads, alleps or sidewalks aor does i! glva !he ownas or h6 agen!
!ha righ!!o creale anp si~uaiion whieh is a nuisanae ox which presanla a hasard !a !he 6ealih, aaiefy, conrenlence and
general welfaxe fo anpone in !he eommuaiip.
THIS PERMIT MUST BE PT ON THE PAEMISE WHILE THE WOAR IS IN PROG SS.
This is !o cerlify. Ihal .....~.:.................._..........has permiesion !o erec! a...... upon
° -
!he above deacribed premise eub ee! !o !he provisioas of !he Suilding Ordinanea fos Eaga Townahip adopled April 11,
1955. ,
"
- ~ per ......-----~-~--~--~~-!~"-~t--------.0.....-r~
Chairman o Tnwn Boardg Bulldin Im eclos
/ z - 3 Selm a~
TOWN OF EAG3N
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERAIIT N0.
The Board of Supervisora hereby grants to ~ N. Walter Heatiitg CO.
' of 1~6~Chica~o Avernxe, Minneapolis ~5l~Q7
e HEATTN6 permit for: Sal Caanpat~y
(Owner) ly
at ~26 saily CirC~.e~ Eegan , pursuant to applfcation dated
4/21/72
.
Fee Paid: ~20.00 Dated this th day of _ p~~ , 1972.
. 0 a~
Building Inspector
_ . ~ ~s9
TA, MIPINESO7A VALLEV ~Tq~y
~ V~~~~n~ SURVEYORS & ENGINEERS CORP.
ppppFi}iN~VE1WlbUTM lY9MSVIlIP.YMMESOTI SSIA ~j~l~
K n~.~. nanw ~<c
~Yp~.E . ~RS•E~
Certificate of Survey for: ~ENA/ETf/ .~fPPELF3AUM
SALL V C/,QCL E
, /7B. 50
~ o -
Z ~ ~ I~
-D ~~0 Or•vi~aqe crnd L/ii/ity~ asemenf S
~ ~ ~
~ °
Q \ ~ 0 ~~r ~
° ~ 5~ NSeti ° I
3 0 ~
o \ 1~ Ppp~'~ ~
p \ I
~
o a ~ _1~
~ _ ~ iqo, i3 " - -
1 ~
I
I~ .
~
Sca/e LdP 11 ALOCi: 3 SELt4ABP
oDenates ii'an m,anum~n~
~/-9~
1 heraby urfiiy ~ho~ rhla is o 1ru~ ond aorn~l repr~un~otien Mleaeeol ~ Valley 5urveyore Qi
01 0+urv~y e/ 1h~ beundori~i o~ ~he obo•~ du~rib~d land~ p~C' Oe~G!!~!, COfP
ond of ~ti~ lo~aiien ol ell bvlidiny~~ rher~on~ ond ap vi~ibla by ` ~ ~/r ~ . R L S~
enaroaahm~n~~, ii anyr lrom or on soid lond.
a.,,,...y.d s~m~ ~n„i;~~b..YO~ il:~n~/, ~.o.ioi2. !111nn. ReQ. No.
~ MASTER CARD
• LOCATION . . ~,Z6 /2 • 3 ^ ,T..~~,~`
T
OW NER
STRUCTURE AND S
LAND USED AS r
Issued To
Permit No. Issued Caniractor Owner
BUILDING ~ ~ 7 y
PLUMBING ,;'!$--ff- ~M~~~L /
E
CESSPOOL - SEPTIC TANK
WEIL
ELECTRICAL
HEATING ~ ~
~_L~L~
GAS INSTALLING
SANITARY SEWER q` Q ~
OTHER I~I ~
f R--
OTHER
• Approved
Ifems (Initial) Date Remarks Distance From Well
FOOTING r~ SEPTIC
FOUNDATION ~ ~ . CESSPOOL
FRAMING 1/ TILE FIELD FT.
FINAL
ELECTRICAL
r ~ DEPTH
HEATING OF WELI
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PWMBWG ~ ~ ~,j/'
WELL -~~-2
SRNITARY SEWER Y ~
~
• Violations Noted
on 8ack
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY 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 SUBSTITtJTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYE~ BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION •
REINSPECTION REVEALED
CERTI FICATION - I certify that 1 have carefully inspected the above in which I have no interest preunt or prospective, and that I have reported herein
ail significant conditions otserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site imprwements relating to the property inspected.
~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
COMMENTS:
•
23
~ _ .
si(n
CITY o~ EAGAN N° 4117
BUILDING PERMIT
CARL VINCEN',C 3795 Piloi Kaob Road
Owasx
' Eagan, Minnesola 55122
Addrese (presenS) 626 Sally Circle 459-8100
Huilder ~STERN CONST. CO.
10/18/76
Dala
6950 Wa zata Blvd., Mpls.
Addrese
DESCRIPTIOIQ
8lories . To Ba Uead For Fronf Depfh Haighl Eef. Coa! ermi! Fe Remarka
I Garage 20' 22' 3,500 ~12.00 s~c
LOCATION
Sireel, Road or olhes Daseriplion of Localion I LW Bloak Addtlion or Trec!
626 Sally Circle 12 3 Selmark
This permi! does no! au2horiae !he use oi slreels, roads, alleps or sldewalks nor doee i! give !he oqmer os his agen!
~ !he righ2 to eseate anp silualion which is a nuisance or which presenfs a hesard !o !ha health, cafeip, eoavenienea and
ganesal welfase !o anpone ia fha communiSy.
THI$ PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGAESS.
Thia is !o certifY. ~hel----_F?Q.~t~K71..~9i~.Sk.....C9.< ...............hes permisaion !o eree! a---._.....Garaae...................................._upon
ihe above descr~remise subject !o fhe provisions of all applica Ordin es for f6e Ci agan
_G. .~i-~..'~.~..~.i-----....
. .
Pex~~~!/~--d~~{~~~ .
Mayor Buitding Impaclor
~i/~
CEM~EPlY TICKET
~ .
KfESYERP! COPISYRUCTION ~,_~7 7~~
' ' Dcte
City , ~ ~~Garage Side~~ X~X~Apron
Address ~~~c-( l N l' [~Detached ? Attached
Name ~kr ~ ~!/tC°_C~It t ~Wiremesh ? 1/2" Rods ~Conduit Pipe
Telephone_i5~~? y0ffice Overhead Door Size1~ / Offset`-~'1 ~Cl
Permit 06tained By L-rmr--~~/~'~.p Service Door Location~~ ~5~~'- ~/U/
.
Old Garage Removol By
Dote Promised
J ~Id Cement Remo~~l By~ , ->/I~N~~'
$alesman l..-fLE~/IG~~'l~ ` ~.'.-79;2',ls ,
Drivewar Size
~ ~,~~,2%;tj~,~~ Blox Size ond Locmion ~ '
Cement Man "
49orerproof Backfill
Cement From Excavntion By ^
Gradual $teep
Grade-Fiat Slope Slope/~
Fill From
/l~lC E~~ ~--~-y-~6
~
PLOT PLAN DETAIL
~ ~ / j ' ~ ~~r] ~~'~t~
IS' ,~Y=3, ~
I Lo f ~ , 7 ~
. a~-3' ~ f- GG~r ~
GG ~r~0/1't /~JUSE.':
1 ~ / i~ ~
7 - - ; ic` . -,3 ~1~~,
i~~;~
~ Oi'I ~ast~- ~~•c.f~{
~ - _ ~ ~15~-
, ~I~ S -
~ ' 1, ~ ~14C~'Y/ ' Ge1/f~etf
; ~ ~ ~
~ ' d'a7"~ , ~
f G ~ ~ ~
F~y~ ~ ~
~ '9~//7
.
' Date: /Ol/.~/7G .
-r~ ~^-T
BUILDZPdG PER~'fIT t?.P?L.r.Ct1:I~Id
I,(yp ~ a'L gLCCR AADIiION /JoO..
~
PA.RCEL & SBCTION P1USdBER IF Ui~I.ATTED
ADDRF,SS OF F1IRCEL - ~J'~~ ~.'o - -
?Oi4ITIG OCCJPAI°CY USE--~ -
E~TL~~AmED COSi~~~.~Z 9S~ ~ ~ C~ X~?-~
0??i.IER vLi A!/ ' iorv~, TEZEPHONE iVO. ~o~- `S`~'
AADP.EuS ~
~ r
CONTRACTOR ~ o~rf'`- C"~ ~-t7 ~nxorr5 rTO. -5
y~- 3~ R~s~
ADDRESS 6 J~J-JC ~i~c2 ~v~ ~z~/
Notes Inclnde ~ite plan, building plans, and enerqy calculations v~ith this
application
Siqned~~~-~n.~-N ~~~o _
~ pF£ICE USE
VALi711TI0Id ~ Jr00
SAC
F11TER COidA1EC1^IOT7
~dATER NIETER
BUILUING PEk~~lIT FEE ~
~ ~
SURCHARGE F~E
PLAP1 CF~CK FEE
PARK DEDICATIOSd FEE
OTHER -
~
TOTAL*
AR°ROVl3L5:
ASSESSiw]Ei~1T CLERK HUILDING DEPT. POLZCE DEPT.
V]ATER & SL'FIER DEPT. FIRE DEPT. PARK DEPT.
crrr oF ~caN
~ v 9795 Pllot Kno6 Road Eagon, MN 55122 N~ 5 2 4 3
~ PHONE: 454-8700
BUILDING PERMIT APPLICATION Rgc~~c~ # f`'~~
Ta 6e uwd for ~1C Est. Value 1~900. p~e 5-30 , ~q79
Site Address ei~~" r;Y~~~ F+~f+ Sall~ Cim12~rect Occu n ~
C$ Po ~Y
Lot 12 Block 3 s~~/s~b. Selm~.rk Alter ? Zonin9 RZ
Pa~~ Repair ? Fire Zone
Enlarge ? Type of Canst. U
w Name C~1 V111C~1t Move ? # Stories
Z Address 626 Shcly C]YCl2 Demolish ? Front ft.
0
Ci E Phone 452-5944 Grode ? Depth ft.
p Name ClHtt2n ~O~St ApProvals Fees
o`~' Address 4526 N1C0112t AV2. SD. ~ Assessme~t Permit 9.00 _
V~ Mpls. PFwne 827-3651 Water & Sew. Surchorge 1.00
~ Ci
Police Plan check
~w Name Fire SAC
Address Eng. Water Conn.
<W Ci Phone Planner Woter Meter
Council
I hereby ockrwwledge that I_ hove read this application and stote that g~dg. Off.
. the Informotlon is correct and agree to comply with all app~icable AP~ T~a~ 10_00
SMte of Minnesoto Statutes and Cixy of E gan Or inances: -
~ ~
Signature of Permittee
A Building Permit is issued~q C~- ~ t~~~-~ on the express condition that
all work shall be done in~
c. nce wi}Fi I apv~~w61e Stat Minnesota StMutes and City of Eagan Ordilwnces.
Building Officlal -
CITY OF EAGAN Inclu~s~ `of
plans,
BUILDING PERMIT APPL2CATION 1 site plan w/elevations 6
1 set of energy calculations.
0 / q
To be used far ~£.G /L~ Valuatton ~ 9~f~ ~ Date 5/ZCY / t~ ? ~
f ~
Site Address ~n ~i'i.l~~-? ~/~'cl f, OFFICE USE ONLY
Lot ~ Block 3 Sec./Sub. C y r~ Erect ? Occupancy '
Parcel ~k Alter Zoning
Repair Fire Zone
Jwner: ~'/j~~ ~~~G£~~' Enlarge Type of Consi.
Move 6 S[ories
~ddress: _ 2~ ~ ri ~~U ~/./'G~~. Demolish Front ft.
~ Grade Dep[h ft.
'hone !i: ~,SZ ^ ~
Approvals Fees ~
:ontractor: ~~(f?Gyt f'/j/ ~/~NS~ ~ i
Assessment Permi[ q
~ddress: _ ~~'`j,Z {i~CG~ C~i,iF' Wa[er/Sewer Surcharge
Police Plan Check
Fire SAC ~
'hone ~ ~ ~ ~ ~ Eng. Water Conn. €
Planner Wa[er Meter
,rch/Eng.: Cnuncil Road Unit ~
ddress: Bldg. Off.
APC ~
hone /O ~
TOTAL
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MASTER CARD
LOCATION 62h Sally Eircle L12 Blk 3 Selmark
OWNER VINCENT, CARL
STRUCTURE AND
LAND USED AS Garage
Issued To ~
Permit No. Issued ConTractor Owner
BUILDING 4117 10/18/76 Western Const. Co.
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
EIECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I
Approved
I}ems (Ini}ial) Date Remarks Distance From WeII
FOOTING i0-xo- H SEPTIC
FOUNDATION CESSPOOL
FRAMING ~~~j"• ~ TILE FIELD FT.
FINAL
ELECTRICAL DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Nofed
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS.OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPIIANCE ? NON-COMPLIANCE. BUILDER DOES NOT
O&SERVED. INTEND TO COMPLY.
? ACCEPTABIE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILI BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION RE~UIRED DATE OF REINSPECTION
_ REINSPECTION REVEALED
CERTI FICATION -1 certify that I have carefully inspected the ahove in which 1 have no interest presant or prospective, and that I have reportad herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specificacions, and any specific require-
ments for off-site improvements relating to the property inspected.
~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILOING INSPECTOR DATE
COMMENTS:
~3
. ~
EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephoae 454-5242
PERNIIT FOR WATER SL+RVICE CONNECTION
Date: March 29, 1972 Number: 799 ~a-3 oS~Jr3?G~
Billing Name: Sally Corp. Site Address: 626 Satly Circle
Owner: S~e Billing ~ddress
Plumber: ThomASOn Plumbin~ Go.
Location of Connection Meter Siz Connection Chg. 220,00 nd 1~/10/~2
~'3~~ 10.0o pd 3/29/72
Meter Na?/`' G~ Permit Fee~~~2 s/c
Meter Reading Meter Dep.
Meter Sealed: Yea Add'1 Ch~0.00 water meter 3/29/72
NO 1bta1 Chg.
Inspected by
Date
Building is a: Remarks:
Residence~_ r,f'i ci'! i
~V~_
P4ultiple I~o. Units ~~ii~ (i'i.:lri~ ~[i~ f:ii:lrl~~.
~ Commercial
Industrial By:
Other Chief Iaspector
In coasideration of the isaue and delivery to me of the abwe pexmit, I
heraby agree to do the proposed work in accordance with the rules and .
regulatioas of Bagan Township, DakoB~ ~ou~~sota.
Thompson Plumbing Co.
Please notify the above office ahen ready for iuspection and connectian.
~ . ?
EAGl3N TOWNSHIP
3795 Pilot ICnob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICB CONNECTiON
DATE: March 29, ~972 Ntl[~ER 960
OWNER• Sally Corp. Address 626 Sally Circle ~'`/m~~~,(_
PLUMBERThompson Plumbing Co, qypg OF PIPE Heavg Ca~t Iron
DESCRIPTION OF BUIID ING
Industrial Commercial Reaidential Multiple Dwelling No. of units
xx
Location of Connections: Connection Charge ~+0.00 pd 4/70/72
Permit Pee 70.~ pd 3/~9132
. opd32972 s c
Street Repairs
Total
Inspected by:
DaCe
Remarks•
By
Chief InspecCOr
In consideration of the issue a~ delivery to me of the above permit, I
hereby agree Co do the proposed work in accordance with the rules and
regulations of Sagan lbemship, Dakota County, Minnesota
Sy
Thq~pson F1L1?!bi*!e Co. 12201 Minnetonka Slvd.
Minnetonka, MN
Plesae notify when ready for inspection and counection and before any portion
of the work is covered.
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f For Office Use trioe)ij
• • Perrnit#:
E AG N
/ )0,co
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsAcityofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7-24�1 GI Site Address: ly ` S`i 1/y C I yak Unit#:
.� II
Name: J 9ShU`1 S 0>r Phone: 6/Z - Zoe.-53
Resident/ 1 l
D loner Address/City/Zip: 2...6 (J,)(&' �1��.1 L-1910 '1 N 55/2 1
Applicant is: X Owner Contractor
Type of Work Description of work: 12e..
Construction Cost: 5vCX) Multi-Family Building: (Yes /No )
Company: Contact:
Contractor
Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents Met you submit are considered to be plc information. Portions of the information may be
classified as nosvublfp if you-provie Specific reasons that would'perrit the City to conclude that they are dada secrets.
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.citvofeanan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.aooherstateonecaliorq
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 f pia .
x et —COO-Si—
Applicant s
C0O-SiApplicant's Printed Name Appli ant's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161773
Date Issued:06/12/2020
Permit Category:ePermit
Site Address: 626 Sally Cir
Lot:12 Block: 3 Addition: Selmark
PID:10-67100-03-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Joshua Soost
626 Sally Cir
Eagan MN 55121
(218) 368-6866
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature