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4337 Sequoia Dr CITY OF EAGAN Remarks Sew & r pAMTLi 3 8t COIltl pCl. on 6-2-69 Addition Evergreen Park Lot LL eik 5 Parcel 14 24880 040 05 Owne} f-=~ Street 4337 Sequoia Dr. State Eagan,MN 55122 7- „ Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 175.00 8.75 20 122.50 CQQSj$Q 9-14-78 SEWERLATERAL 0 WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK yL~ 32-3-00 323.00 C005393 6 6 80 STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 210,00 1586. 7-22-•69 BUILOING PER. SAC 240-00 1-10-73 PARK . RESIDENTIAL: ~ BUILDING RERMIT AFPRICATtQN ~ uT-Y OF RAc,aN ~ 383O PItOT KNOB RD..'S5't22 DL~ 651-881-4675;. Na Cons . u~reaientsRemal~UR ' l~e - ~ ~ ' ~ ~ u~: 3~agis~ered.sl~atttv$ysshay4 Bq;Voftot,SQ.,(tW,hotu@:amN'rqQfedareas • Zcapies-fif.Aw . • - (?09y tiur6Ltn larcaon~ge`ai6?ved) . tseFaf Eiisr~y Cafiaila~',Ax hao"ZOMM 2~opieBOipJansfiowing,beam~WindaVrsi~as,pcwtedfqundd~siqn,elc~• . i~~es~er~r:~t~raae~nne~~a` • 1 s~le[.~ttJy.Cal~xiladons ~rrbioate~Ffiane~e~:~y~e~tic.sysmRiti`bxa~lfdo~ _ - . 3=0es.01Ti8e,P1seVaeanPkn'tf4pt*Wab9c711W. . - ~ Rdn J9ht'i7e.ta~' QpdAtlssel~)la~~e!'{b~s witb 3 eF lesnnltsj : F - QATE vALuRIa14 .1C)B 31TE ADL?RM IF lVIiUlT14AMl4Y BUiLDlNG; MOW MAUY iJ.NITS~ ~ PROPERTY OWNIE - Q ' "rJ - - Tly-PE'a:f.11U4)RK holF FIRMiACV(S), _ 4.; .t , 3' _ . . , APPLfCANT . Ua S", - ; T . ~ - IIDliE$S A PA?GER~# _ :C~i.l PHQNE~~:~~~~ FAX # . - : , NEMRES1VEN1IALBUILDING C)N1»lI- FII,l: OUT COMPLETECY ' i [Enef9y.Code~categor,y' 1~111VI~IOi~TA RULES:-7.67i~'CA`"E~~Y 1 ` - ~(efie~ck~o~e~ = ResiderTfWi VenftQan Ca*orY l; Wbr&s~?Ot $wbnnltped. - F-necgy Envelopid.CaWadorrsSubmftterl _ MIN. NESa"[`A. I;UAIY-S 7672 ' - Mernr Energy .Co0e;.Vi4riesheet S4bon(tted Plumbing Corttra+cf~o~: Phone 1'1umV~:~}stet7h Tinduclcs:- Wacer softena ~ I.,-oan SPriunkler sw 130 NWler :Heater No, of I. B-atbs: li % N0: vf ;Baths - _ , M@Ghaflj.CE7CGOntfOC#flC: ;P~ior~~e# iVlet-JiMe'd -Sysiew lftcwes: ~ Aie'CUZidirivnir~H I?`ee:: 176.00 Heat RccavcrvS}•steni ^ SewerJWcf?er Cvr+troctot: - - - Bhorie.~k' ~ . - - - _ ; . ~ it Alf above infocmaRloni must be 46brygEfed,prior ta prv.cessirrg ,of applir.aamn. ~ J y_~ _ . I tien~by acknoWfedge4hetf ! havo road -#fiIs a;ppYicafion, steit. tbe irtrw~tfw is d:qgMse i0.cornpty wi#M dll applicable S.tats o.€ Minnesota S.to#utes and .Ci3:y ofi qn rii~t~anc~. , . 519r~oture oE'ARPUear4t . , _ - - - - _CerEMcate~:6tSuruey;RmFmEi _ Ttee:Pcesenvabon Ptan eiwetl ~ t4lot~°Required 4~pcfated`~ro~ . - , OFFiC.E USE QNLY a a1-. FoUpdecion :a, al 05-0ex a 18 isvrox o,20 'Poi fl 30 Acee6~W,01dg. CI •l}2 SFIMellsng 13. ,08: 06-plex 0 ifi FirOplace' O.. 21 Porch (3rsetkw) 'O 31, Eikt: A)t- Muld ~.'Q3' Q1~of_ple~ Ct' 09 •07-plex d 1.7- Garage 13 22' ftrch/Addn.,.(+tses.y .;q 3& aL Atc-SF . . O 04 "02=1eya L'! 16 08-.A,1esc 0 18 .Deck [I 23 -Parch Wmerteti)r .0 16 MuIG 0 .a5• .03=p1ez ~ 11 1'0~pla~ Li 19 Lovi~er Leval 0 24 5tomn D_amag~: C] 06, 04'rplex Q 12 12r,plax P(bg-SF or _'h! 13 25 Mtrellaneous: b 31 New E1 ~5 Imt Improvemarit O i 3:$- Demoltsh (Intieriar) ?.44 Sidi"ng. ? 32 Ad040. 11 36 tatove8ldg. O 42- D.emokh~[~ound.atio.nJ Q 45 Rire'Repair Oi33Atteratibrf,. 0 9T '[3,ermotish{81dg)` E3. 43' Reroof Q 46 Wlitlowsf0vars: iCl.: 34 Replacement "00rinotittoft .JEnttre 131019,on4y) 7!.6ive PGA handout toaPPficanf 1f41patiaP pdcupe.rtcy MCIEa -Sysfem 'CenWs Code,. Zoning City'W_gter SAC :L1nfts Staries B.aostec.Pamp Nbr. af Units. :Sq~ Ft. ~ PRV Nbr, afi B:Vdgs , ~.~eqg€M- Fire.SpririWererll Type of Corast, 1N.fd#h 'REQUIRED INSPECTION-S _ f ootiugs .(ttew bYdg) ^ Fina1ICLO- _ '~~tin.gs;(deEk) F~i~tNo G.O:. _ Pctoti4s.,(a3dition) ` Plnmbing ~vuAd~tr~n ~ HURC Drain ri,!¢ Roof _ 1clt* water- ~ Fina] ' _ Oter Ftanting: _ PQo1 Ft_gs Airr, G,asTcafis, _ FireplaCe_ r R:I, ` A.~r T~est _ Fitat S.idung ~ :5tucco^ Stone _ Iqsularian Wincltaws ('~ewlreplaeemenx) ,Appmvocl;-By j..,840ding iinspedor Base Fee Surcbarpm ~ ,C) Plan. Reyi.dv+r~ MC/ES SAC Ciiy SAC. Vtilate.r su1?PlY & Storage S&.W,*Perm,it &'~-SijrcMatg.s TreortiteRt'Mattt P[uinbin.g permit: Mechanic ' ai P,ermii ~t;2cense .~ear~h. C~ipies Qther Totar - ' C9/6 6~3/41 Request Date ire No. gh-In Ir"ection Requiretl Mspection Olher Than Rough-In ' 4~ Z 94 (vou must cen inapectar wnen ready) ~ qeatly Now ? W ill NotHy Inspeclw ? Yee El No Oate Ready I!~ licensed coniractor ? owner hereby request inspection of above electrical work aC. Jo0 Atltlress (Street. Box or Route No.) Ciry 4337 Sequoia Drive Eagan Saction Na. Townsnio Name or No. Range No. Counry Dakota OccupantlPRINT) Ppone No. Norman Peterson 454-6532 Power Su00lier AdOress Dakota Electric Co. 4300 220th St. Farmington, MN Eleclrical Comratlor (COmpany Name) Convector5 Licensa No. Total Electric, Inc. CA01834 Mailing Atloress ICOnVactor pr Owner Making Installalion, 1537 92nd Lane N.E. Blaine, MN 55449 Authanze0 Sigwlyre (COnVaqonOwner Makmg Inslallanon) Phone Numb¢r l 786-8484 MINNESOTA STATE BOARO OF ELECTPICITY THIS INSPECTION FECUEST WILL NOT Grlggs-Mitlway BIOg. - Raom Sn73 BE ACCEPTED BV THE STATE BOAFD 1821 Universily Aw.. St. Peul. MN 55101 UNLESS PROPEF INSPECTION FEE IS `one (612) 612-0800 ENCLOSEO. _ ~ REQUEST FOR ELECTRICAL INSPECTION Ee-aoaoi-o- S/0/ a~`~CDa g ~ See insVUCtions tor rompleting this form on back ot yellow copy ~ 0 0069 3 JC" Below Wurk Covered by TM's Requesf ew Atltl iiep. TypeofBuilding AppliancesWired EquipmeMWireU X Home Ran9e Temporary Service Duplex Water Heater Eleclric Heating Apt. Building Dryer Load Management CommJlrtdusfrial X Fumace Other (Specify) Farm W g Air Conditioner ONer (syecity) Conbactor's Remarks: Compute Jnspection Fee Below: # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 l0 200 Amps 0 ta t00 Amps Transformers Above 200 _ Amps Ahove 100 _ Amps Signs lmsPec,ors use onry: rD7aL trrigation Booms / 50 Special Inspection Alarm/Communicatio~ THIS INSTALLATION MAY BE OR -SDI CONNECTED IF NOT Other Fee COMPIETED WITHIN 78 MONTHS. I, the Electrical Inspector, here6y R°°qn;m oate certify that the above inspection has Finai ~ been made. OFFICE IISE ONLY This request void i6 months /rom RECORD OF COMPLAINT Date 1°3 Complaint taken by Type of buBdin Name Address Legal description - Phone number --3 Complaint a v. 04,t Action taken oLrJ TZ Commenu , .v... Signaturc ~ 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) . ~ CITY OF EAGAN " 3830 PILOT KNOB RD • 55722 651-661-4675 Reauiremenfs ? 2 coples of plan 14 DATE: 9 CONSTRUCTION COST: bUO D. O O DESCRIPTION OF WORK: B~F4YtF--nf ~ Ii mulH-Iamiy bldg., how many units? INDICATE THE FOLLOWING EAUIPRAENi TO BE REPLACED AND BY WHOPA: _ Plumbing _ Hameowner gt Contractor Name _ Mechanical _ Homeowner qt Contractor Name "Note: If somebody other than the homeowner is performing plumbing or mechanical work They must apply for appropriafe permit. Only Iicensed plumbing contractor or homeowner may complete plumblng work. STREET ADDRESS: / 337 01E- ~ LOT: -4- BLOCK: _S SUBD./P.I.D. lL ratFPY1 PQr N ^ Name: Phone '7' S~-~?~ 3~ PROPERIY Last flrst OWNER SireetAddress: q337 J~au Dl~" City A-F~ 14 Sfate: ~ Zlp: Company: V~r ~-~v~?~Si tr'~ YJ~SJ-phone li: (area code) CONTRACiOR Sheet Addreu: u License # ~42 I// Exp. 0// Clty wt'j STate: Zip: ~~.:E1VED LB S EP 7 - 2000 1'': I hereby acknowledge ihaf I have read thisapplicafion, state fhat the information is cortecf, and agres to comply wilh oll appGcable Sfate of Minnesofa Stoiutes and City of Eagan Ordinances. , Signature of Applicant: 71 OFFICE USE ONLY ~ . BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 6ct. AR - Multi ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF ? 03 01 of ` plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi D 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or_ N? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bidg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Demolition permit • Give PCA handout to applicant GENERAL INFORMATION # of Stories ' sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Orrv'1 ~ (lorO4-i~r Pe, e YSON 7 337 Se~ttO,G. Dv ~Gsr~ ~fs~- os3~= Fqq4H /n nl Ssia 1770 H:o ~7 S fq ~ r w~c l ~ I ! Heq-F2Y ~ `ai+n ~ I O I ~ r q ~ i _,uMp- I -(Pri I ~ ~ I I' i f~ ; ~ r- i PP,a~ _ ~ Gas ~o~~ I , J~LIlV!Clac"'~~ OD`3 i orwt ~ l~oro~G,r Pe- fe rsov~ '~3J7 SgtL4o; 4 DY I ! !Y~-0 Nso ~---Q Sfa i v wG ~ ~ He4fer ~so'4n .r 7~ i ~ ~cxr/Jac E 9 r 9 t I , I ° u4 ~S a I I ~ ~r/o v i 6 ; , ~ ~ i , OP~'~P~~ ~ Ja5 $±OJPi I r~~ . 70/F ~ ' . . . . ra.•eatf . ;~~F~'. s... a ,~p~.<: r d.......r?!+ . .~d::.' g~ e~.;~yGyo~:~~gw' ~ 3+~F,~ a ~ 'y~'.:''~x:~Z'~:~'rw~.3~~'.r:<~. . ~k'c, . d ' % 1994 MECHANICAL PERMIT (RESIDENI7AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 ~ PLEASE COMPI,ETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WI-IEN PERMTI'S ARE REQUIItED FOR EACH UNIT. - - - - - NEW CONSTRUCTION ._4- ADD-ON A/C ADD-ON FURNACE FII2EPLACE INSERT DATE `~fo?8~~~ FEES HVAC: 0.100 M BTU $ 24,00 ADDITIONAL 50 M BTU 6.00 GAS OLTTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExisTuNG CoNSTttucrtox) $ 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: 433-7 3 C-ytD! GZ •bf 1 V P ~ OWNER NAME: Ndrv~l~~.v, PP.l~ ~{P.YScn TELEPxoNE#: nvsTAL,r.ER: kor,'s IYJPC4a~~~ca~ ADDRESS: I SQ E- SGICck01ZeP A)t17o`e CIT'Y: S~~1CLkOa?Z.P~P / STATE: M/) ZIP CODE: 55379 TELEPHONE 5~- r~Sg 5 IGNA OF PERMITTEE ~ F~~~ t:~~ ~ ;AYIa ~~~2 gi~, ..°'~~Vi~~*~,3~.ce'`? ~yf ~~a~~.'~,g~q,'0~~x'~~;'.•"'~4~~-0c~~,'~` y~ v ltom_ 1994 MECHAHICAL PERMIT (COMMERCIAL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAI,/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII,DINGS WI-EN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH DWELLING UN1T. DAT'E: CON1'RACT PRICE: $ NEW BUILDING TNTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF FEE $ . :.R...:,..... Y:£aw:. • PROCESSED PIPING: $25.00 MINIMLJM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. w..~.~...~.F1..a.xs..« TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLl) INSTALIER: ADDRESS: C1TY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR , EAGAN TOWNSHIP BUILDING PERMIT N° 2009 Owae: Eagan Townahip Address (psesen2) ~IFae_~ ._..'!u'~:!~r.~~._..~ Town Ha)1 Builder Dele ° Address DESCRIPTION 5fories To Be Used For Fron! Depih Heigh2 Esf. Cos! Permif Feel Remarlcs LOCATION Sireei, Road or oihee Descripiion of Loea2ion I Lo! Slock Addition or Trac! ~33 7 'Je-, _ - , s' G'.-~ G This permi2 does aoi authoris !he use of alreels, roads, alleps or sidewalke noz does it give !he owner or hia agent the :ight to creafe any siiuation whieh is a nuisenae or which precenis a hazard !o the healYh, safelp, eonvenianee and genesal welfare !o aayone in the communifp. ~ THIS PERMIT MUST B£ KEPT ON THE PREMISE WHILE TfiE WORK IS IN PROG SS. ThSs is !o cezfifp, lhafl~p~`.~......^-.~^^~..~-.~~...haspermission !o erect a_ -..._upoa - the above described premise subjeet !o the provisions of the Building Ordinanee for Eag Townsk' adopfed April 11, 1855. ~ ~P . : .-1`-.':............----. Per ^'.`~c~ nQ InsPectos Chairmdfi of Tnwa Board Buildi, 91-is ' Eagan Township pERMI~NO. A.~.8._/.... Dakola Counlp, Minnesoia Date " Application fnr Building Pexmit Tppe of building or work coalemplated. Cirele oorreei desaripiions. - - ~ Reside__-nfi ~ Commercial Induslrial Olher......_----- Euil Enlarga Aller Repair Insiall Mova Wreck Oiher Dimeasions..._--" Coai....... . Defails ox remerks Localion Num6er Siree2 Beha! cross sixcels I Suo Esi. Valuahon Lo! Bloclc Addif:on Reasrangemeal as Trac2 ~ flar~~£=~~/ - . ddress ~ ~0.....0 - `x Coniracior Address The undexsigned bereby makas apolicatioa !or a permit !o - „ do mork as herein specif?ed, eing-if do all work in sfrict acaordaace wilh !he buil g-o inanee adopled April 11, 1955 fee collecled. bp !he / Eagan Tawaship Board o ar isors. Permit fees ere no! refundable. ° . ~~~~J...t~lj ~ 5igned ~Na1 ~ ~c,~ 5 _ RE 2E Af Yo 0 ~ 0 ~ r a Cyr i ~ . S E4~uoi~ 02. ,oo'~-- - Gflc~~E NoUSE zs r z c A n N Fd p H ?o H[RTtCZG'~Y' 1$~ ~ ~ r - is' o C, -1 0 ' r ~ ~ o N a ~ I P~ I 1 I i ia6~ ~ EAGAPT TOWNSHIP :795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE• j~lv 9 NUMBER 409 OWNER• LZA=r, f/,., ,,,s / °fi,~Address~,y~-S/ PLUMBER1f~~~ TYPE OF PIPE Heavy Cast Iron f DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units Location of Connectiona: Connection Charge Pexmit Pee pd. Street Repairs Total Inspected by: DaYe Remarks• By Chief Inapector In consideration of the issue and delivery to me of the above pezmit, I hereby agree to do the proposed work in accordance with the rules aad regulations of Hagan Tormship, Dakota County, Minaeaota By. Wenzel Plumbing & Heating Co. Please notify when ready for.iaspection and connection and before any portion of the work is covered. . ~ EAGf.N TOWNSHIP 3795 Pilot Knob Rosd St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date:~a~~~ 9 Number• 283 Billing Name: Wy~ ' Site Address: of y/,3 1J Owaer:~3 Billing Address Plumber: LZ_7~lg7 Location of Connection Meter Size~9f' Connection Chg. ' d Meter N4,/ Permit Fee Meter Reading u~-~ MeCer Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. F+Y~ Inspected by Date Building is a: Remarks: Residence Multiple No. Units Commercial Industrial Hq: Chief Inspector Other In consideration of the iseue and delivery to me o£ the above permit, I hereby agree to do tte proposed work in accordance with the rules and regulations of Eagan Tocanship, Dakota Countp, Minnesota. By: Wenzel Plumbing & Heating Co. Please notify the above office when ready for inspection and connection. OUTSIDc WORK OADER ~Ei1.LL~ ~ FRO'd: Of '.~i _',:";•~;f: ii Chicago Title Insurance Company 11~6 1978 60 East 4th Street St. Paul, Minnesota 55101 Teleplione: (612) 227-7226 r ` Toc D -1 i F' I~ uE: FILE No. Legal Aescription: Address°: - - - , Please Search the records of: ( ) County , ; ( ) City of and furnish the ol owing in ormation in connection with the above: (NOTE: Furnish only that information indicated by "X") t•take new abstract covering above legal description Make new RPC covering above legal description Continue abstract covering above legal description (Abstract encloaed) ( ) Dtake no searches ( ) Delinquent Tax r) Taxes for the year 19 Total Amount Homestead Base Tax Non-Homestea Not Paid DistriCt _ First Half Paid Plat Paid in Full Parcel The unpaid amount of levied assessments, including any interest due. The amount or approximate amount of pending assessments for local improvements. NONE ( ) Water Tax Easenents as si:own on the recorded plat. ( ) .7udgments ( ) Hankruptcies ( ) Federal Tax Liens on the following: Such search discloses the fol.lewing: Uud9ments Bankruptcies Federal Tax Liens ( ) Check for $ is enclosed. send statement to pay if there is a charge for the above requested information. NOTE: If more room is needed than provided on form, use reverse of the this form and indicate that reverse is used. SEE REVERSE. I hereby state that the aboye is, to my knowledge, a true and correct stutement. {/GJ/ IIY Assessment Clerk /-~e~efr~-- _DATE=z 1,079 _ CTI T--121 (6-72) ;[l.V:X YCU. s, ~-~-c~ ~ o s 6, 3 PERMIT; #J1 6~ 'CYCLED A/5C B& L£LECTRIC, ~`INC. BEVERLY GUSTAFSON EDWRRD LANGE 1689 COVINGTON LANE 4684 RIDGE CLIFFE DRIVE EAGAN, 14N EAGAN, t4N ARNOLD DUBBELDE JOFIN DETERS 4425 SLATER ROAD 4423 SLATER ROAD EAGAN, T1N EAGAN, IdN CHARLES SHIRRODI BRUCE CROSBY 4714 W. WIND TRAIT, 1761 WALNUT LANE EAGAN, MN EAGAN, MN NOAt•IAN PETERSON k0Y CREELPIAN 4337 SEQUOIA DRIVE 1883 BEAR PATH TRAIL EAGAN, MN EAGAN, MN JAMES DAHLBERG TERRY DAVIS 1641 MALLARD CIRCLE 4895 SAFRRI PASS EAGAN, MN EAGAN, MN Use BLUE or BLACK Ink r For Office Use ►t-f1 • , . ' Cit of Ea Ed11 I Permit ~ I J I Permit Fee: 3830 Pilot Knob Road l U j Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: _ I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone("^6 5 ` -45 Residentf' Owner. Address/ City /Zip: 43,37 ✓ ~ " Applicant is: Owner Contractor Description of work: 42 r ~ Type of Work / v Construction Cost: / Multi-Family Building: (Yes / No Company91Z l '1,-J (Al u(T col -~T Contact: v Contractor Address6) ~o- 3( 1 211 City: ~0~q, State: ~f v Zip: Phone: Lead Certificate CP'rj ~ License #:FCC, If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: _ _ m . Pz, .m .~.e•• r . a e ~_.m. ae... w. NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.ora 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 of permit issuance. r r X 09,- D, V ~1 ~ x Applicant's Printed Name App Ii s i ure Page 1 of 3 Use BLUE or BLACK Ink � r________________i I For Office Use � I � � � Permit#: ��� �� � I Cit of �ao '� � � � Y b� I Permit Fee: � 3830 Pilot Knob Road � i Eagan MN 55122 i Date Received: � Phone: (651) 675-5675 � � Fax: (651) 675-5694 L Staff: ______________� 2015 RE IDENTIAL PLUMBING PERMIT APPLICATION � Date: Site�ddress: Tenant: Suite#: �p� ��� �i�' �� ��in� � Name: U r Wl C' �''S��l Phone:�S"/ c�S�—(�5��.�' ���� � ��' . � ����°��� � , m.:, !�� - ��: Address/City/Zip: .� � tc 6 r�G �- ct �� -5���°� � �+ i �< 4� � � � �� ��� � �� � Name: License#: � �y� _ �� i� =; "���� � Address: City: E ���������` �� � : �,� ���9�. g . �� � � �d r � State: Zip: Phone: w;�r��v�i��6�iT�`� _ r����i� �� ��� ���� `�, :�� Co ct: EmaiL � ��i�KK � . �� '��� �`�� N w v� Re lacement Re air Rebuild Modi S ace � -Work in R.O.W. ���--` °�+�v ` � ,4 p — P � — — fY P — = x �° �� Descripti n of work: ��r��'��; �� '"4 � RESIDE TIAL 5��� i��� � � � � ,� . � �Wat r Heater � �r��� � � �Water Softener � � � � � a� � � � La Irrigation�RPZ/_�PVB) � �� � ��YP��� �� �,�� ��R � ����� Se ic S stem Add Plumbing Fi�ures�Main/_Lower Level) ����u���� � '� � ����o P�� Y ���° �,��� NeW WaterTurnaround ��u w � n;, �� "� Abandonment � RESIDENTIAL FEES: $60.00 Water Heater, Water So ener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes 5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, e tic S stem Abandonment, Water Turnaround*(includes$5.00 State Surcharge) "Water Turnaround (add$2 0.00 if a 5/8"meter is required) $115.00 Septic System New($1 .00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. C II Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to d g to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this informati n 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 ermit, 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 th case of work which requires a review and approval of plans. 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