1815 Senja CtCITY OF EAGAN 2,1 LOCA WATER SERVICE PERMIT
3830 Pilot Knob R
P. O. Box 21199 PERMIT NO.:
Eagan. MN 55121 DATE: l
Zoning: _ No. of Units:
Owner: j,
Address:
Site Address:
Plumber: _
Meter No.: _
Size:
agree to eerrpal whh the Ci 4? 8ht %Wa'
Onliwewoes. ?L 1 1 R?
V?' Total:
By Date
Dote of I Insp.:
7, ?? 8b
. n -
,t
t•
AM P
• 156 ' ,;.
Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot P.nob Road
P. O. Box 21 199 PERMIT NO.:
Eagan, MN 55121. DATE:
Zoning: _ No. of Units:
Owner. - ,t
Address: _
Site Address:
1
Plumber: lu ut a v
Meter No.. Connection Charge: 5or, .'30p '
Size:
Amount Deposit: , ;
?- .
Reader No.. Permit Fee: 33-r'
1 9 to comply whir tie City of ampo Surcharge: 5?C
OMineaeee. Misc. Charges
Total: r
By Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERM
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units: ,
x
Owner:
Address:
Site Address:
Plumber. }
I sywe ro am* vr" Hie CRT of upon Connection Charge:
Odle,esem Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.: Total:
Insp.: Date Paid:
CITY OF EAGAN
Addition Ri d-Rec1 i ff First AddA Lot 10 Rik 9-Parcel #,10 _63g8O 100 09
Owner Street A/.St?r -???» r State Eagan, MN 55122
I Q S Se.?,; c.
Improvement Date Amount Ann Al Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 198n 184_49 19- 147.62 000 6 8 2-18-82
SEWER LATERAL 1982 1305.42 1305.42
C007616
-12-93-81-
-
WATERMAIN
WATER LATERAL 1982 1260.79 5 1260.79 0007616 12-23-81
WATER AREA 147.62 8 8
STORM SEW TRK 1982 638.24 5 638.24 0007616 12-23-81
STORM SEW LAT 1982 955.45 5 955.45 c007616 12-23-81
Services 1982 637.75 5 637.75 0007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
REACTTIJATE FOR DECK - Fr-M WIII•IM 7/8/ STY OF EAGAN r r
.R?Nt 'Air N 828-4+413 ( 38W)
4,522„ 30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ° -
PHONE: 454-8100
BUILDING PERMIT Receipt #
11E??
To be used for SF D w 13 Est Value $68,000 Date 1 4ARC [ t 17 19 -ab_
Site Address 1815 SENJA C OURT Erect Cl( Occupancy R3
Lot 10 Block Sec/Sub. RIDGECLIFFE 15qt-model 11 Zoning
Repair ? Type of Const
Parcel No. Addition ? No. Stories
ORR I N THOMP SON HORES, Move ? Length 41
W Name 1712 H OPKINS CROSSROADS Demolish ? Depth aF.
Address Int Impr. ? Sq. Ft.
c City !.:TKA Phon e 544 -7333 Install ?
O
ow
Ut
?¢
W W
UZ
W
Address Assessment
City Phone
Water & Sew.
Police
Name Fire
Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
Planner
Council
Bldg. Of
APC-
Permit 4 337.00
Surcharge 34.00
Plan Review 166.50
SAC 575.00
Water Conn. S00,00
Water Meter 6 3 - 5 0
Road Unit 290.00
Tr. PI.
Var. Date I Copi • 00
Total
A Building Permit is issued to: ORRIP, THOHPSON '10hi.:;
all work shall be done in accordance with all applicable State of Minnesota
on the express condition that
and City of Eagan Ordinances.
Building
Permit No. Permit Holder Date Telephone M
Plumbing
6
H.V.A.C. C
Electric a O `? •?
Softener
Inspection Date Insp. Comments
Footings I ?c C
Footings 11
Foundation
Framing
Roofing
Rough Plbg. !
Rough Htg.
Insul.
Fireplace
Final Mtg.
Final Plbg.
Wdg. Final
Carl. Occ.
Deck Fig. ;r- 7-r7 IY" A
Deck Frmg.
Well
Pr. Disp.
PERMIT # G 0
MECHANICAL PERMIT RECEIPT #
/ CITY OF EAGAN
/ S E/V JA i 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: °
Site Address _
Lot 11,611,
Name
v Addre:
c City 1
Phone
BLDG.TYPE
as Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
Name
Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
11L M BTU
M BTU
M BTU
M BTU
CFM
FEE:
SIC:
TOTAL
U3jQ FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT F EE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Z
?j SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT #
Q ti? r2? elt' PLUMBING CITY OF EAGAN? RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE L
Site Address
Lot ja) Block
m Name _
m Address
c City
b-tERe-1-2 LPG. TYPE WORK DESCRIPTION
Sec/Sub ?.1?
New
n u m I n g CO. Mult Add-on
M i n n e t o n k a V Comm. Repair
9 MN Phone 933-2521-
Other
W Addre O p n 5 1' 0
O City MtK 8 ' ' Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 SIC IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF PERMTrEE
FOR CITY OF EAGAN
NO. FIXTURES TOTAL
' Water Closet - $3.00
/ Bath Tubs - $3.00
-3- i _
'
Lavatory - $3.00
7-
Shower - $3.00
=
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
-=
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50 }
.Whirlpool - $3.00
- Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
%
-
Rough Openings - $1.50
FEE
STATE S/C: '
GRAND TOTAL `
This request void l f? _ ry _
18 months from cx v L'
C. 3690 L lo , fife 17/
Request'Date Fire No. Roup h- in Inspection
Ready Now Will Ne
pec-
Yes No n y
mr When Read
icensed Electrical Contractor 1 hereby request inspection of above
LUOwner electrical work installed at:
Scree( Address, ax or Route No.
C J ? yl JCL
??'. Ci
Section No. Township Name tiN . Range No. Cou rt
Occupant LRINT) Phone No
V ?
333
S
Pow Supplier Atldress )
?
?? ?
GLl
El t icaI Contractor (Company Name) Contractor's Licens No.
a - i
JJ 7-3
Mailing Atltlr s (C ntrac r or Owner Making Installation)
?W-c.arr?
Authorized Signature (Contractor/Owner Making Installation) Phone N mb(,aarr/
L `
NNESOTA STATE BOAROm ECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldv. - R N-1B1 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St- Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
e?___ 'swi avv_vitt ENCLOSED.
-a--? L REQUEST FOR ELECTRICAL INSPECTION EB-00001'04
- /See instructions for completing this form on back of Yellow copy.
_ Ir ? :_Q Q n -X" Below Work Covered by This Request
?l Add! Rep. Type nt Building Appliances Wired ' Equipment Wire"
Home Range Temporary Service
I I I I Industrial Blda. 1 I Air Conditioner 1 I Bulk Milk Tank I
d Fee Service Entrance Site a Fee Faeders/Subfseders N Fee Circuits
0 to 200 Amps 1 0 to 30 Amps 0 to 30 Amps
Above 200 Amps r 0 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100_Amps Above 100_Am '
Transformers Irrigation Booms, Partial,"Other Fe
Si
nal
on
4 /O 1. the Elect 'ca
Inspector. hereby
certify that the abot
Date^? r/ inspection has been
jui??7
' RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
ry- (1 3830 PILOT KNOB RD, EAGAN MN 55122
J l I 851-881-4875
New Conatructlon Reauiremente
• 3 registered sae surveys showing sq. fL of lot, sq. ft. of house; and fill roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes: poured found design, etc.)
• l set of Energy Calculations
• 9 copies of Tree Preservation Plan it lot platted after 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or Was units)
DATE 5 '?/0 2?
SITE ADDRESS
TYPE OF WORK_
APPLICANT -j
STREET ADDRESS
TELEPHONE #
I ?- , /d
IC
MULTI-FAMILY BLDG _ Y N
FIREPLACE(S) _ 0 _ 1 _ 2
'- STATE /VMIP
22
# 9&?49 ?_Sq/5?
CELL PHONE # 61,2 ,?&- 7W
PROPERTYOWNER TELEPHONE# 66-1- 4D -09
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Water Softener
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
Fee: $90.00
Phone #
Fee: $70.00
Phone if
O I U
I hereby acknowledge that I have read this application, state that the Information is Corr ,,and agreelo?oraely?
with all applicable State of Minnesota Statutes and City of Eagan Ordin k
I
Signature of Applicant
o a ?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
,?IU2.gs
Remodel/Repair Reaulrements
• 2 copies of plan
• I set of Energy Calculations for heated additions
• I site survey for exterior addalons & decks
• Indicate a home served by septic system for additions
VALUATION ODD
r
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 06-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibgyour_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - 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.
Footings (deck) - Final/No C.O.
Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding _ Stucco _ Stone
_ Fireplace - R.I. - Air Test -Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT# ( D
RECEIPT DATE:
8008 RUIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF KAGAN
3930 IPHAT KNOB RD
"e". MR 5512E
651-691-4675 D (l N7 (?
Please complete for: single family dwellings, townhomes and condos when permits are required for In 1 5 2002
backflow preventer for irrigation system
SITE ADDRESS: By
?
Q I a
OWNER NAME:: 7
TELEPHONE #: ??I - `l ,?? - iJ(1 7
-
STALLER NAME
d)
C
? ' (AREA CODE)
f / l CJ
\ CO TELEPHONE #: 1, - 1A ? J E ! l
IN
: 1
/ ) hoe (AREA CODE)' `
o
h
?L
/-,,I
STREET ADDRESS: l
r
(
I
(
CITY
/ 0 he
? l' l
STATE: ?y? /i l l V / l
ZIP:
: L
.
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
- Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
- Abandonment of septic system.
- Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118)
Other:
- RPZ: new installationlrepair/rebuild $ 30.00
- lawn irrigation system
Replacementladditional: _ water softener kwaterheater $ 15.00
State Surcharge $ .50
l? $7?
Total $
I hereby acknowledge that t have read this application, state thatthe information is correct, and agree to comply with all applicable Clty of Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no Iiabitlity for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within Cily property/rightof-wayleasement)
SIGNATURE OF PERM TTEE 1/02
CITY OF EAGAN N 11626
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT r - .. 10 Receipt #?n ?. .
To be used for SF DWG/GAR Est. Value $68,000 Date MARCH 17 ,1986
Site Address 1815 SENJA COURT Erect ff Occupancy R3
Lot 10 Block 9 Sec/Sub. RIDGECLIFFE 1S`Aemodel ? Zoning RI
Parcel No Repair ? Type of Const. I7
. Addition ? No. Stories
ORRIN THOMPSON HOMES Move ? Length 42
s Name
HOPKINS CROSSROADS
1712 Demolish 1:1 Depth 46
ilt Address Int. Impr. ? Sq. Ft.
o
City MTKA Phone 544-7333
Install ?
a SAME Approvals Fees
o Name
8a Address Assessment Permit 337.00
City Phone Water & Sew. Surcharge 34.00
8 Police Plan Review 168.50
F W Name Fire SAC 575.00
u? Address Eng. Water Conn. 500.00
a w City Phone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that l have read this application and state that the Bldg.Off. 3/14/86 Tr. PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and
C
of Eagan O
rrdinances.
??itt APC Parks
?
,
?-
f
J Var. Date Copie
Signature of Permitt - % 4&?tea...--
Total s 0 0
'
ORR N TI HOMPSON ROMP
A Building Permit is issued to: - .
on the express co ndition that
all work shall be done in accordance with all applisabl tate of Minne ota Stg tes and City of Eagan Ordinances.
Building Official
/J? a?
1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
BS3
_?CA fA
To Be Used For: ?"-t 1I I Valuation: G ® 000 Date: 3 ' 12 - 6 La
/'y TEA ccxce7
Site Address (]?? OFFICE USE ONLY
Lot 10 Block 9 Erect )c Occupancy ?•3
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS'OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS;AND 1 SET OF
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
Parcel/Sub a1--Del on 1, l F-F / S
Owner
Address
City/Zip Code
Phone
COMMERCIAL
Remodel Zoning F_'4
Repair Type of Const
Addition # of Stories
Move Length
Demolish Depth 4(b
Int.Impr. Sq Ft
Install
APPROVALS FEES
Contractor _j tV)-^ PS (AJ Assessments - Permit 33-7
Address ?71Z f'WV_1143 C` Water/Sewer _
e' mQrj? Police Surcharge
Plan Review 34
(.B•bb
Fire SAC
y
City/Zip Code tA i*vle-:" 17ur ? S5 Engr Water Conn S
Phone -1333 Planner
C Water Meter G3.Sv
ouncil Road Unit 29v
Bldg Off 'i 14s6 50 Treatment Pl /,S/e
Arch./Engr. APC Parks
Variance Copies
Address TOTAL Z 17-
City/Zip Code
Phone #
NOTE: ADDRESSES FOR CORNER
ADDRESS IS DESIRED.
IS ISSUED.
LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT
I.LAI<R LNUINL'LKINC, UUMFANY • LtS17 WAY!.A'i'A HVUU;VAI(I) • M1NIVLAFUL15, MN a eHUNL: 1/4-4/40
,
CERTIFICATE OF SURVEY FOR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporation
BENCHMARK: Top nut of hydrant at
Flora Drive and Lenore Lane
Elevation = 946.30 ft.
(NGVD-1929)
FRONT GARAGE SLAB:
Proposed el. = 949.00 ft.
Scale: 1" = 30'
• Iron monument found .
o Wood stake set
000.0 Existing spot elevation
r? Proposed spot elevation
Drainage direction
5EN JA COURT
0
V
V
M1ti?
V
I?
v
0
o'
0 I
d
r
W 10 I
N
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,
58 W 139,42
S 85° 5g' E f 10.00
-4zs_
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3d o r a
O
-- a
o I 0
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I I' m 6.33 m O
110
a 13.67 -?I'_-°
? a
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a
J ? N
4Z.o _ II_.o I O
N I In
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_ N
Lot 10, Block 9,
RIDGECLIFFE FIRST ADDITION
Dakota County, Minnesota
I hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,
thereon, and all visible encroachments, if any, from or on said land. I further
certify that this survey was prepared by me or under my direct supervision and that I
am a duly Registered Land surveyor under the laws of the State of Minnesota.
MN Reg. No. ;"T q Date ? - P) I "', ':,
n REV_.. RnTATFO HAUSF
W
z
J
W
Ly
0
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Proposed House -IL- As-Built House- prawn by 7cN 'Prn;2ct nn
ities Digital Oualitv Control
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-•• • •a• •• • r• •• •• ?r • • :1•
• Y •
CITY OF EAGAN°
APPLICATION FOR PERMIT SEWER AND/OR %WM CONNECTION
'1) 'PROPERTY ADDRESS r
:
"' . LF]'AL DESCRIPTION:
Lot Block Subdivision or Tax Parcel I.D. Number)
IF EXISTIM STRUCTURE, DATE OF ORIGINAL BUILDING- PERNUT ISSUANCE:
PRESENT ZONING/PROPOSED USE: -1 SINGLE FAMILY
_
R-2 DUPLEX (Two Units)
R-3 W ffEUSE (Three ± Units) ( Units)
R-4 APARTNIEN r/CON DOmINILTI '(77-777 Un7_ts)
-COMWIALAIRIAIL/OFFICE
$ a ?t P 'Pk 4i Y
? 4
?iit 7 ' p A E f8. ????}}?YY ??,,**
y ??1L`1lJVJ1??J.FW
H N 4F. kn"W Ih/ Yr
?
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Y
.
Lis" .
*
+
,-INSTITUTIONAL/GOVERNNIENr _
r
NAME:
ADDRESS:
CITY, STATE, ZIP: /AWRI
PHONE:
NAME:
ADDRESS:
STATE, ZIP:
PHA:
?uw •w OeA P6111Ig)N6 rn iNr.-- -
12201 MINNETONKA BLVD. . .
MINNETONKA, MINN. 00?4
MASTER LICENSE #
For City Use
Plumbers License:
Q Active
Q Expired
G Not Records
SZafTtuEial
6) u • 1
PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPROVED PERMIT TO 1, 2 33 4, ABOVE
i (Circle one)
`s' { ! -. , rarer'-'a.w Sx _
'y FOR C ITY- USE`
OrN L Y Ur
4
'f x r>? 4
?Al
PERMIT °: ISSUED
...'rv:l.rY. -. ..rte .. .. .? L :. ....3N .. -
n FEES
°T' .° R,,1_T (INCLUDE SU°^4?.RGc)
[' r4 5 y TER--PERMIT (INCLUDE SURCHARGE)
a -s' WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP
:.s c $ ra irk SEWER 'TAP x L
"Z.Z?jz 1-7 Z
r' - ,rte: ;.+' •r*.>r'.:
r $ '?3Mx ACCOUNT DEPOSIT - WATER S
.$• C/'G/'? C1 -"'C`j f! WAC ,w err ry'?.:•.. 1'y, `'?.4y °e..t
7-S o`-Zi '
$ SAC'
.""TRUNK WATER ASSESSMENT
ti $ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SE:MR \
$ LATERAL BENEFIT/TRUNK WATER `
$ - ??? O n WATER TREATMENT PLANT SURCHARGE
OTHER: w
$ TOTAL
AMOUNT PAID REC
ODES-UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY°
YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC-ROADWAY" MUST BE ISSUED BY THE
Q. NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:,
-4
APPROVED BY: (?G6A-
TITLE: /
DATE : ??L? ??
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1815 Senja Ct
Lot: 10 Block: 9 Addition: Ridgecliffe 1st
PID:10- 63980 - 100 -09
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:
Patrick Tacheny Exteriors
127 East County Rd. C #7
Little Canada MN 55117
(651) 490 -0211
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA084261
07/14/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Blake Pederson
1815 Senja Ct
Eagan MN 55122
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
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1815 Senja Ct
Lot: 10 Block: 9 Addition: Ridgecliffe 1st
PID:10- 63980 - 100 -09
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Blake Pederson
1815 Senja Ct
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA084797
07/30/2008
ePermit
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
$88.50 0801.4085
$1.50 9001.2195
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 with all applicable State
Issued By: Signature
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: /0/51(
C
Permit Fee: • 0 ()
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1 7- 1 I
Tenant:
Site Address: I `/' 15 Se ✓l j (A C f,
J
Suite #:
RESIDENT / OWNER
Name: Blake (-)(71( (-so t1 Phone: Gr 5 1 ' I 1 L - O37
Address/City//Zip: 1 SI Ser) -+, fagan)7, .s/c a
CONTRACTOR
Name: 1(%} License #:
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK
New \/ Replacement
_ \./Repair _ Rebuild Modify Space Work in R.O.W.
_ _
Description of work:
PERMIT TYPE
RESIDENTIAL
V Water Heater Water Softener
Add Plumbing Fixtures ( Main / Lower Level)
Lawn Irrigation
( RPZ / PVB) _
_
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.ciopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of lans.
x F.1akc Pederson
Applicant's Printed Name
p icant's Signature
FOR OFFICE USE
Date:
Required Inspections: _Under Ground Rough -In Air Test Gas Test Final
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