1746 Sartell AveCITY OF EAGAN
3795 Pilot Knob Road Eagan, MH 55122
PHONES 454.13100
BUILDING PERMIT Receipt #
To be wed for Est. Vnllle BntP 10
Site Address
Lot Block Sec/Sub.
Parcel #
at Name UI'.11 Qi c,
W
A
Address c-'tttt'_1. i Awl.
_ _. rr?nn wr
? Nome • • . , ? ,
01 Address r
Name -
Address
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Length
Grade ? Depth Sq. Ft.
Approvals Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
I hereby acknowledge that I haw read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC Total
State of Minnesota Statutes and City of Eagan Ordinances
Signature of Perrnittee
A Building Permit Is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
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CITY OF EAGAN
Addition VCUa6L" Ui'UVC lru
Owner :t?;Vtk 4 U 1t `T Icy 1,111? ^_P Street
10 _, 10 16707 140 10
Ave. State Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK o 1970 125-00 .00 2
* SEWER LATERAL ZZ 197 1 39910 307.2 Paid
WATERMAIN
* WATER LATERAL 197
WATER AREA
STORM SEW TRK 19
STORM SEW LAT 1974 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
This requessl void 18 months from / ) 0 f J
q AM- ??? -e-?5 5 9 7 2
Date of this Re uest /
1, as ? Licensed Electrical ConWactor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 1 12;`?1lv Cim
Section Township Range County
Which is occupied by
Is a roughin inspection required on this job? No O Yes ? Ready NowM Will Call 0
Power Supplier Address
Electrical Contractor Contractor's License No32?
(company Name)
Mailing Address
Authorized
STATE BOARD
No.5--3 PRZI
This inspection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
Minnesota State Board of hiectricity
,054 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
0 9y?; 9
P 55972
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range ? Temporary Wiring ?
Duplex ? ? Water.Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dry?.1 ,
` r?? Electric Heating ?
Commercial Bldg. ? El ? Fu
a7&'
m ?
) Silo Unloader ?
Industrial Bldg. ? ? ? t
,,
Av ondittoner s \ f Bulk Milk Tank ?
Farm ? 11 El LList ) List
other ? ? ? }
Heiersf Herers?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: a Fee Feeders&Subfeeders: # Fee n Fee
0 to 100 Am s. 0 to 30 Am eres res
101 to 200 Am s. 31 to 100 Amperes res
Above 200 Amps. Above 100 Amps. Amps.
Transformers Remote ControlCuc r fee
W ,3-d
Signs Special Ins ction SS
Remarks , j . OO
FE5. ,j:57p
I, the Electrical Inspector, hereby certify that the above inspection has been made.
(Rough-in) Date
(Final) _ f Date 7
This request void 18 months from '
CITY OF EAGAN N° 7 0 7 4
.? 9795 Pilot Knob Road Eagan, MN 55122 -
? " PHONE: 454.8100 . ,r7
BUILDING PERMIT SPACE Receipt
To be aced for DIG OUT CR AWL Est. Value $1r 100
Site Address 1746 Sartell Avenue
Lot 14 Block 1()_ Sec/Sub. Cedar GrOVe 8
Parcel # 10 10707 140 HY 10
W Name i± TL10131=9
zz Address 1746 &ttp.11 A
?_ ee100 _- Ar;O 0711
o Name Tim .bmei .h
Address Ibute 1r Bm 226
ru..Ttrinr Takp os,..... 447-4441
Name _
Address
I hereby acknowledge that I ha'
the information is correct and
State of Minnesota Statutes aj
this application and state that
to comply with all applicable
Erect ? Occupancy
Alter Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Length 24
Erode ? Depth 20 Sq. Ft.-
Approvals Fees
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner
Council -
Bldg. Off. _
APC
Permit i
Surcharge -
Plan check _
SAC
Water Conn.
Water Meter
Road Unit _
Total $20.00
Signature of Permits I
A Building Permit Is issued to: 'Tim on the express condition that
all work shall be done in accordance with all app cable to of Mi tatutes and City of Eagan Ordinances.
Building Official / `?v '
/-
To Be Used For "_Y S _
Site Address: / 1 y, S A,-e C a,".
Lot J_y _ Block __LO Sec. /Sub.
Parcel #: 16 7402 / qo /O
Owner: ?eo7 C'?/?3?'2y
Address: Sf/-27FGL AF Ste'
City/Zip Code':/ Ai m n ? Ss /z Z
Phone #: ? 2 13
Contractor: j i?„h we?Ch
Address: L zz /o
City/Zip Code: 2 iu G L.a fLE /7? , xS3 72-
Phone #: (? 2-
Arch. /Eng. :
Address:
CITY OF EAGAN
BUILDING PERMIT APPLICATION
Valuation 1 1A)c)
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date 12 -/-? ;I-
OFFICE USE ONLY
Erect Occupancy
Alter T Zoning in /
Repair Fire Zone AI A
Enlarge _ Type of Const.
move # Stories
Demolish _ Front xq £t.
Grade Depth 'P 6 ft.
APPROVALS FEES
Assessments Permit / 9
Water/Sewer Surcharge z
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
City/Zip Code:
TOTAL ? 0
Phone #:
L
.,
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 416
The Village of Eagan hereby grants to Cedar Grove construction Co.
of 7343 Concord Blvd. Fast, so. St. Paul
a ratimnrua Permit for: (Owner) same _
at U46 sarQ11 Avenue 14-10-8, pursuant to application dated 12/14173
Fee Paid: 520.00 dated this 26th day.o£ DecOmber , 19 73
.50 s/o
Building Inspector
Mechanical Permits:
Bid Total:
. VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 441
The Village of Eagan hereby grants to cedar Grove construction
Co.
Of 7343 concord Blvd. E.. So. St. Paul
a wvaTiNC Permit for: (Owner) Sam
at 1746 aartoil ave. 14-10-8 Pursuant to application dated 12/14/73
Fee Paid: S20_nn dated this 26th day.o£ December , 19 73.
.50 S/c
Building Inspector
Mechanical Permits:
Bid Total:
` EAGAN TOWNSHIP
,n y., BUILDING PERMIT
Owner ---- -.,4 A- -xlb .C--?-?--.J.`..................... ..........
Address (present) .....,P..? :.-.. ----------
Builder
Address ......
N° 3188
Eagan Township
Town Hall
Dale ....13 .-..} & ° T?
Stories To Be Used For Front Depth Height Est. Cost Permit Feel Remarks
LOCATION
or
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
- ..._ -?---- ...... has permission to erect a.-.. J "-,4 ' e This is to eertifp, that.._Lg...?._.rR'L.^-t ....-.-..--..--.•_- ........ '- ......._..... ......
the above described premise subject to the provisions of the Building Ordinance for Eaga}f Township adopted April 11,
1955. cc?? ??
.................-..-.._....L°..:.`..::......... ?.........:Y.`.°..:".. Per ---------------'..-.._`.--....0`.".."............:...............--
Chairman of nwn Soard Building Inspectoy,6,
EAGAN TOWNSHIP
N9
BUILDING PERMIT
Owner ._...... -.c:,y?s?---......:?':?'"`
Address (present) ----- 14-? ---------1 :... : -.,-c ---------- .......... ....
Builder _.............
Address
DESCRIPTION
1-16 c-&.. -V ?
c.=
2931
Eagan Township
Town Hell
Date ....
Stories T
o Be Used For Front Depth Height Est. Cost Perm.! Fee Remarks
p
"6
oxrena, nuns ur vaaacr a,wua?aaavn ar a.vcanan LOr B.Oca addition Or Tract
3, 4 SI 1, ? 7 3 /° l'• _. _6- f
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
n o..
This is to certify, that. ....l.s:r.?.x.?_.:y2.`..._?`:o :!`.:4ahas permission 20 erect a..._l..G :..................j............: ............upon
the above described premise subject to the provisions of the Building Ordinance for Eagan Township ado led April 11,
1955.
7 C ?C
......................___..........._.... ...---------.?.`............?:.".:_: Per .........-'----- -------:..........? .........
Ch r yµ.K?i,?J Building Inspector
9
FILLAGE OF EAGAN
1795 Pilot KnoAoad
:ogan, MH $5122
Fuming: B-1
)caner: Cedar
%ddress:
iite Addr
Plumber:
SEWER SERVICE PERMIT
PERMIT NO.: 1430
DATE: 12/29/72
No. of Units:
agree to comply with the Village of Eagan Connection Charge: 260. 00 pdAW
Drdinances.
Date of Insp.:
Insp.: -
Account Deposit: 0.00 d 12/29/72
Permit Fee: P
Surcharge: ,50 pd 12/29/72
Misc. Charges:
Total:
Date Paid: -
MASTER CARD
LOCATION
OWNER
-iii
STRUCTURE AND
LAND USED AS
Permit
No.
1,40,ued Issued To
Contractor Owner
BUILDING a
PLUMBING 9?C
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER Tq ? D
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING Z SEPTIC
FOUNDATION „3 -74 CESSPOOL
FRAMING ?b. TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
, -
WELL
SANITARY SEWER
zip -
01
-
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
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
OBSERVED.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
O REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATI ON -1 certify that I have carefully inspected the above in which 1 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 to the property inspected.
El ALL IMPROVEMENTS ACCEPTABLY COMPLETED
DATE
a.
I
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 12/26/73 Number: 1384
Billing Name: Cedar Grove Construction Site Address.-49-'Wn
Owner: same Billing Address f8$ 1746 Sartell Avenue
Plumber; Stein's
NO Total Chg.
Building is a:
Residence xx
Multiple No. Units
Commercial
Industrial
Other
Meter No. Permit Fee 10.00 Ad 12/29/72
Meter Reading Neter Dep. .50 pd 12/29/72
Meter Sealed: Yes_ lAdd'1 Chg.
Inspected by
Date
Remarks:
?7 l??y err {'OR
By:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Please notify the above office when ready for inspection and connection.
5
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
130-.
Date / / 9 / d-±?
Site Address-)74 . 5a a-r-hr a i )c 5
Unit #
Property Owner (?(? _ t\I CU L f Telephone # (bbl ) Lba- CQsq
Contractor Wohlers Southside Htg. & Air, Inc.
'
Street Address
State St., #106
6950 W. 146
Apple Valley, MN 55124
(952) 431-7099
City
(
Telephone #
)
The Applicant is Owner Contractor Other
Add-on, modification or alteration to existing dwelling unit
furnace replacement
Q? air exchanger
/?. air conditioner
other $ 30.00
State Surcharge $ .50
Total Fi I ] 4 7 C"
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and hecurate; 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 application for a permit, and work is not to start without p rmit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
?11e 1 12YS 1? ..'n lei
Applicant's Printed Name Applicant's Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone #
( )
The Applicant is Owner Contractor Other
Work Type
- New construction Underground Tank -Install -Remove
- Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fee (includes State Surcharge)
Contract Value $ x 1% _ $ Permit Fee
• If permit fee is $1,000 or less, add $.50
If permit fee is over $1,000, add $.50 per $ State Surcharge
$1,000 Permit Fee
$ Total Fee
1 utavoy apply for a kommerciat mecnanrcat remut 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 with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: Inspector Date:
? ? ?A?e
2007 RESIDENTIAL BUILDING PERMIT APPLICATION 4 I ' V
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reaulnements
3 registered site smeys slw,wng sq. R of lot, sq. R. of house, and all mofed areas
(20% maximum lot coverage allowed)
1 Soils Report g proposed building is to be placed on disturbed Sol
2 copes of plan showing beam R window sizes; poured found design, etc.
1 set of Energy calculations
3 copies of Tree Presembon Plan blot platted after 711f93
Porn Joist Detail Options selection sheet (buildings with 3 or less units)
btnnegasoo mechanical ventilation form
Remodel/Repair Reauvements Office Ilse Only
2 copies of plan showing footings, beams, joists Cat of Survey Reed _Y _N
1 set of Energy calculations for hued addiians Soils Report _Y _N
l site survey for additions 8 decks Tree Pres Plan Reed _Y _N,
Addtion- irlrate ifonsde septic system Tree Pres Required _Y _N
On-site Septic System _Y _N
/ 2-f 3 00-k& O-
Plans are considered public information unless you state they are trade secret and the reason.
Date/ y / 1'7- Construction Cost /Je" a w
Site Address 71/4 84,4-c1 A1f- Unit/Ste #
Description of Work ?kna i /2/hpei..J
Multi-Family Bldg _ Y %-N Fireplace(s) A 0 _ t - 2
Property Owner 1N T+ 1 ro Telephone #(c6? U / o^l ,!- -4-jp
/J,
Contractor /r"CGCAO+b?+-?'LG/7'iG-s Ile-
Address 110`1 454' AV?--, S City Sur" -L, ST, P,41(14,-
State /vl /V Zip DSO 3'i Telephone # (66 I)
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Category 1
(J submission type) • Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor Ga lL "'i ?f F\
Sewer/Water Contractor
I hereby apply for a Residential Building Permit and acknowledl
is complete and accurat
e;
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.
AwDrt ra 9ALA114SSe. -
Applicant's Printed Name
Applicant's Signature
Telephone #(
Telephone #(
Telephone #(
A DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plea ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 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/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 1# 19 Lower Level ? 24 Storm Damage
? 06 04-p1ex ? 12 12-plex JT' //? L A/?v 0 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
`P 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant
Description: Water Damage` Yes
Valuation 3/ 0,90. V0 Occupancy MCES System
Plan Review 100% or _ 25%
Census Code` Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) - Sheetrock
- Footings (deck) _ Final/C.O.
- Footings (addition) Final/No C.O.
Foundation HVAC
_ Drain Tile Other
Roof
Ice & Water Final Figs _ Air/Gas Tests
Pool Final
_
Framing _ _ _
Siding _ Stucco Lath - Stone Lath -Brick
_ Fireplace _ R.I. _Air Test - Final _ Windows
Insulation Retaining Wall
Approved By:
---- - -° - - - --- Building Inspector
--- - -- -- - - - -
----------------------------
---- ---
Base Fee
Surcharge
Plan Review
111
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? r
2007 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. Do not combine inside and outside.
nh urhinn nn tha came nnnlicatinn• aanarata annlinntinnG and oermlts are reoulred.
Date -ti2_ / 17 0 7
/
Site Street Address Unit#
Property Owner Telephone # ( )
4 Telephone# (7(o'?i ?S-$'Co9r'!?(
Contractor
Address j q?&G7- aO?7W4yt A1k_) City E-IA C UE?,r- State Zip 55330
The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee applies when extensive plumbing repairs are made to a buildin .
ns to existing dwelling
Alte $ 50.00
7
Add plumbing fixtures to - main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. ff you are
installing only a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
-Septic System Abandonment
-Water Turnaround (add $136.00 if a 5/8" meter is r quired)
Other: v er
-Water Softener Water Heater $ 15.00
new _ replacement
Lawn Irrigation _RPZ _PVB -new -repair _rebuild $ 30.00
State Surcharge .50
$
?
s/
Total
I hereby apply for a Residential Plumbing Permit and acxnowieage mat me mronnauun is cuoiPicM C11U aUu IU«, Lno. ",?
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.
lsare?G /j?Go av?
P'lV,, y 1pagy;'eY
Applicant's Printed Name Applicant's Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1746 Sartell Ave
Lot: 14 Block: 10 Addition: Cedar Grove 8th
PID:10- 16707 - 140 -10
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Cedar Valley Exteriors LP
9145 Springbrook Drive, Suite 105
Coon Rapids MN 55433
(763) 755 -2221
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Hai Van Tmong
1746 Sartell Ave
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA087362
11/11/2008
ePermit
Use BLUE or BLACK Ink
Amn r - - - - - - - - - - - - - - - -
I For Office Use
~ n City Olf Eanan Permit#: 6 I Permit Fee: I 7 I
3830 Pilot Knob Road p. l
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff: t3la
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ,rx Site Address: Unit
I
Name: Phone:
Resident!
Owner Address / City /Zip:
Applicant is: Owner Contractor
Type of Work Description of work: Ot_
Construction Cost: Multi-Family Building: (Yes / No
n d~~ w- -
j Company: Ft'ue , ear r~x i"~~'10/~ Contact: Tp( ll
Address: City: ~ i-J-7:1 LZ L,
Contractor { -Q- 4~
State: Zip: 2'~ Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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:
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 their are trade secrets.
. _ . _
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of1ermit issua e.
x ~c -C e- P` z-0
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
*CAI of Ea •,. ,_: . '1 Pervnitik
Perm Fee: l'00.°1)
3830 Pilot Knob Road /1-..?3 / '
Eagan MN 55122 NOV 2 3 2015Received:
Phone:(651)675-5675 stay-
Fax:(651)675-5634I ..,
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: U ��1. l U Site Address: I1 U V(1 U t2 1)Q
Tenant: UQ 0 sum#:
A'� /^�^ l I �1 Q
- Nam:��I�. 'V Q tJ Phone: (DJ i''l�or -9 9SCI a
�td�IO�g ``�J
a .. Address i City I Zip: 1 6 •f t- Ra
Croix Crystal Water Treatment 64997ME.-4W;',':.-- ;,:,--- :,',::',;V:: ,,m,•:'-Ai„,:,,,, ,• Name: !icer 4:
rtit Ooze
Address: 3440 Yoerg Dr city Hudson
gN
State: VVI �: 54016 Phone: 7'15-386-8667
coact: Jim Email: croixcrystal@att.net
I New ,Replacement Repair Rebuild —Modify Space Work in R.Q.W.
(*work: Install Water Softener
RESIDENTIAL
Water Heater I _
1 1 Water Softener I
Lawn Irrigation(_RPZi_PVB) i
�' SePtic System Add Plumbing Fixtures( Mail f_Lower Level)
New
Water Turnaround
I
` } _Abandonment t
RESIDENTIAL FEES:
t $60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn irrigation(includes Slate Surcharge)
€ $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
"Water Turnaround(add$28000 it a 3/4"meter is required)
I $115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$ 6 0.(
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.gopherstateonecalLorg
I hereby acknowledge that this information is complete and accurate;that the work will be kr conformance valti the ordinances and codes of the City mof
Eagan;that I understand this is not a per ,but only an apprication for a permit,and work is not to start without a permit that the work will be te
ac rdance with the approved plan in the case of work which requires a review and approval of plans.
x Jim Schober x --- ? (;)k- �
Applicant's Printed Name Oilcan s Signature
FO1 OFFI 1 flr
it In tet 3051- € Incl Rof 'Int
Reli _ s: er Rhe -