4811 Shevlin Ct 1
CITY OF EAGAN WATER SERVICE PERNIR
;y8S0 Pi1ot Knob Road PERMIT NO.:
P. O. Box 21199 DqTE: 1
Eagan, MN 55121 No, af ~~;ts:
~ 1
ZO"~"~' ~ollefs~n 31dY's
Qwnar: ~V r
u311 Shevlin Ct L7 L~- ~riLtanY
Site Address:
Jenz R an ;0.
Plumbe~: Connection Char~e:
Meter No.: /~opunt Deposit: -
l.i . _ ,
Size: permit Fee: ~ ~r) po,
Reoder No.: C~ Surchorge: .00 od t*~et~r ,
1 eg~ to aaevh Misc. Choro~
~~MO~' Totcl: ~
Dote Poid:
BY Insp.:
pate of Insp•: _
_
• 4...
1'.
. ~ •.i, . . •
CITY OF,EAGAN SEWER SERVICE PEItM~j ~
3830 Pilot Knob Road
P. O. Box 21199 PER!`NIT NO.: ~%?c: 1
Eagan, MN 557,~7 DA.~; E_2
Zoninp:
Owner: Tollef80~ $,l~g No, of Unlts:
Address: ~
Site Address: 11 Shevlln CL L7 B:~ BZ'3ttany t?~ ~
Plumber, vE'AZ ~jrdfl
L-1~-~3 3 2 I 4~O ~ t
~.~n. to oon~~, wtei~ N~a qh, of E,~,s cor,nserra, Cho 42j. ~J~J ~ '
Ordin~neea, ~
AcoOUr~t DepOSiY: ~
Permit Fee: - 10 JO ~d '
BY Surctarpe: 5p p~
Dote of Insp.: M7ac. Chorp.a: y
Toto1:
I nsp,:
Dote Poid:
INSPECTIQN RECORD I Control Na V
CItY OF EAGAN PERMIT TYPE: R#~1 1 DTl~IN
3830 Pilot Knob Road Permit Numbe~: ~p~~~~
Eagan, M innesota 55123 Date Issued: 7 s/~~
(612) 681-4675
SITE ADDRESS: ~ , ~ ~ ~ Q~. ~ , ~ APPLICANT: ~
paii SHEYtiN cT cA14P~1ts tpM
~RI7'T'A11Y 4'fN i 612 ~ '31@-~'M3
PERNIIT SUBTYPE: TYPE OF WORK:
, BA'yL-'MENT F:IN~fiN AtrE~ATI'OM
FRAMIM[3 INSUI.ATIDN
riMAi~ FIREP~.ACE
- _ _ _
Permn No. Permk Howe? n~ee Te~epnons A
. S/W -
PLUMBING
HVAC
ELECTRIC rf g~ Q ~
ELECTRIC
inspectton D~te Insp. Commsnts
Footings 1
Fotx~datlon
Framfng 2 I'
Roofirg
Rough Plbg.
~ ~9•
Isul.
Freplace
Flnel Htg.
Orset Test
Fl~el Ptbg. Pibp. Inspector - NoHlyr Plumber
Conet. Metef
EnyrJPlan
Bidg. Findl
Oedc Ftg.
Deck Fnal
Well
Pr. Disp.
a~~ ~ _
CI4Y OF EAGAN
~ ~ 97l5 Ollof Knob Axd Eeqan, MN bS122 ~ 4~
PHONLs 4S4-t100
BUILDING PERMIT Receipt #
~
Te b~ uad for SF nLl(:/rAR Est. Volue SS~_L?0~ Dare -~,,,,e 19~_
Site iWdross •'+311 Shevlin Court Erea ~ Occuponcy
Lot ~ Block Sec/Sub. Brittany 4th ~,~~ef ~ Za,,;~y t-1
Paru~ ~t l~ 150Q3 070 O1~ Repo(r ? Firc Zone
Enlarge ? Type of Const. V
oc Nome ~~n~ ~~'f .on Rui 1 dern, Ine _ Move
W ? # Stories
; Address 1 C755 Normnnd nrive Demolish Q Length~3_
a Ci phone 454-6~373 Grode ? Depth~_Sq. Ft.
Nome Gumet' Appro~ols Fea~
,o
o~i ^~fe~ Assessment Permir Z~~-
~a~ ~5.0:~
F C~ Woter ~ Sew. 5urcherpe
Police Plan check ~~5~
~W N~^M Firo SAC ` 5- nn
Addreas Enp. Water Conn. Ltii~~AC~.
W
< Ci Phone Plonner Woter Meter
Council Road Unir ~,Sn -
I hereby acknowled9e that I hove reod this opplicotion ond state that 81dp. Off.
the inlormation is correct and agree to comply with oll applicable ~ 7 Z4 _ S/l
$tete of Minnesoto Statutes ond Ciry of Eoflon ardinances. Totol
Slpnoture of Permittee
A Bullding Permit !s issued to: Tollef Sott Suilders , Inc. on ths ext,ress cond~tton ~h~~
all work sholl be done in eccordonce w~th oll opplimble State of Mfnnesoro Stetutes ond C~ty of Eapan OrAim~ces.
Buildinq Off(ciol y -
Psrmit No. Permit Holdar Mitc. Permit No. Holder
Plumbing ~j ~ ~nr-1~ h (p-22-Y~ _
H.v.n.c. ~ 3 < < r ~ ~ t~_~
w.u
w.~~
Disp.
Sewer
eN~~~ Woqo33 E L•~t~c 7~o-Ss3
In~peetion ~ate Insp. Other
Footinpt (p-~-Q`3 C~-~
Foundation ~
Framinq
Rouph Plby.
Rouyh HVAC ,
Insulation ~
e
Final Plba ~ ~ ~
Final HVAC
Final
W~~r Deseribs Location: ~
YVell
Sewer ~
Pr. Dyp.
/
Receipt ~ PLUMBING PERMIT Pe~mit No. ~~~`Ir
CITY OF EAGAN
Fee
~ FiII rn numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. 1_ Tract
%r
4. Owner ' , 7
5. Contractor i 7 ti Phone •
6. Address 'r ~ '
7. CitY , _ E.,~y State i~%~ ~ 1L Zip ~
8. Building Type: Residential O Commercial ~ Institutional ?
9. Work Description: New Add O Alter D Repeir ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet CesspoollDrainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray •
' Floor Drains - _
Drinking Ftn.
51op Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is Your permit when numhered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ~ MECHANICAL PERMIT Pernnit No, ~
~ ' CITY OF EAGAN F~ 1:
~ , fill in numbered spacea S/C
TYpe or Print legib/y To~ i~,
1. Date ~ 2. Installation Cost
r~- f j . ,
3. Job Address 4 Lot c~ Blk. ~ Tract _ ~ '
A
4. Owner /.~1....~Y~~,_
f- `
r ~
j7
5. Contractor ~ ~ Phone " L ~ - ~ ~
6. Address ~ ~ ~ ^
7. CitY State i~'^-~ Zip y
S. Building Type: Residential [7~ Commercial O Institutional O
9. Work Description: New'~ Add ? Alter O Repair ?
10. Describe Fuel Type
11. No. ~uioment 8TU - M. Ea. No. EQUipment CFM
i f Forced Air L' { ~
Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
' Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes
fqov~g this type of work.
Signed : ~F" - . ' for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
CITV OF EAGAN Remarks
Addition BRITTANY 4TH ADDN ~ot ~ B~k 1 Parcel 10-I5003-070-0}.
Owner Street 4811 SHEVLIN COURT 5tate EAGAN hIIV 55122
Improvement Date Amount Annual Years Payme~t Receipt Date .
STREETSUAF. 19$2 452.94 90.59 5 181.20 A013868 5-9-84
STREET RESTOR.
GRADING Z 1981 23.82 1.59 15 17.50 A013868 5-9-84
SAN SEW TFiUNK 1976 173. 90 11. 59 15 69. 59 A013868 5-9-84
~r SEWERLATERAL 1981 246.32 16.42 15 80.64 A013868 5-9-84
Z Sewer Lateral trk 1983 133.33 8.89 15 80.01 A013868 5-9-84
WATERMAIN 1984 629.29 62.93 10
* WATERLATERAL 19H1 iS
WATER AREA 1981 229.95 23.00 10 137.9 0138 8 --84
STORMSEW TRK 5 g 1981 596.40 39.76 15 437.36 Aa13868 5-9-84
* STORM SEW LAT 19$1 1S
CURB & GUTTER
SIDEWALK
STREET LIGHT
RCU~D UNIT 250.00 3 442 -15-83
WATER CaNN. ~50.00 " "
9UILDING PER.
SAC
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
REC HI~/ fiD
FROM
AMOUNT $ I
~ A~ DOLLARS
+oo
~ CASH ~ CHECK
FOR ~
FVNO CODH AIAOUNT
<J
k Yo u
BY
White-Payers Copy
, Yellow-Posting Copy
. Pink-File Copy
CITY OF EAGAN N~ 814 3
, ~795 PUof Neob Rmd Eegan, MN SS122 •
' iHONEa 63J-B100
BUILDING PERMIT Receivt #
Te 6e waA fer SF DWG/GAR Est.value $50,000 oote June 14 ~q83
S~te Address 4811 Shevlin Court . R-3
7 1 Brittany 4th E~~ ~ a~~~~Y R-1
Lot Blxk Sec/Sub. Alter ? Zaning
pa~~ # 10 15003 070 Ol~ Repalr ? Fire Zone NA
a Name Tollefson Builders, Inc. En~arpe ? 7'ypeotcorur. V
W Move ~ Stories
Z Address 1655 Norwood Drive pe,,,oi;~ ~ ~~yth 38
~ Eagan 55122 p~,o,~ 454-6873 Grode ? Depth 46 Sq. Ft-
o Nome 0'aner ADV~ovals Faes
o~ Address Assessmenr Permit 2 3.
u~ Ci Phone Wuter & Sew. Surchorpe z5.00
~ Police Plan check l~il.
~ Name 525.00
W"' Fire SAC
FW
Address Eng. Wcter Conn. 450.00
~W C~ pho~ Plonner WaterMeter Fn.nn
Council Rood Unit Z50.~0
1 hereby acknowled9e thot I have read this oDPlicotion ond stote that Bldg. Off.
fhe inlormotion is correct ond agree to wmply with all opplicoble APC Total 51734.50
Stote of Minnesota Stotutes and City of Eagan Ordinonces. ~
Sfgnoture of Permittee
A Bui~diny Permit Is Issued ro: Tollefson Builders, Inc. ~}~,a expreu cordir~on ~hn~
pll work shall be done in otwrdonce with all opqlicable St f Minnesota tatutes ond Ciry of Eayan Ordinonces.
Buildi'g Officlal ~c -
g~434 ~ - - ~ ~~o
FeQUesi Da~e Fire N0. Ro gtl~in Inspection
Iratl? ? Ready Now ~WIII No11fy Inspector
~Ves C. No When Reaay?
licensed coMrador ~owner hereby request inspection of above electrical work at:
~
Jo~ A~~~ ~Shea~. or Ro ta No.~ ~ Gry
~ L
~ ~ J~
Section No. Township Name or No. Range No. County
Occ~PPINT~ PM1One ~ ? ~
om ~m~,C~ ~ K 2'
Power SvOPlier Atldress
y~ ~ st,z c~.
ElecVical Contractor IGOmpany Namel Contratlors License No.
~~~yQ-~S. .
Mailtng tltlrass IComrador or Owner Making Instal~ation)
~honze0
Sig~ Vact wner Making Inslailationi P~One Num~er '
~ -~Y2 7
MINNESOTA STpTE BOAflD OF ELECTRICI~ THIS MSPECTION PE~UEST WILL NOT
Griggs-MlEway BICg. - Raam Sll3 ~ BE~NCCEPTED BY THE STATE BOARD
1821 Onlversity Ave., SL Paul. MN SS10d ~ UNLESS PROPER INSPECTION FEE IS -
P~one (61]) 6dY~W00 ENCLOSED.
~
jjJ/~~ REQUEST FOR ELECTRICAL lNSPECTION Ee-ooao,.oa
?~ee ~nstmcM1Ons br compleung tbis lorm on back oi ye~low copy. 4'~~i' ~ Q/ff/~~
~ "X" Below Work Covered by This Request
ewlnea Pep. TypeOBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Watar Heater Eleclric Heating
Apt Building Dryer Other (Specity)
CommJlndusnial Fumace
Farm Air Condi(ioner
Otherlsuecily~ Gonhaclor's Remarks:
Compufe Inspection Fee Below:
# Other Fee # ServiceEntrenceSize Fee # CircuitslFeeders Fee
~ Swimming Pool ~ 0 to 200 Amps 0 to i00 Amps
Transtormers A6ove 200 _ Amps Above 100 _ Amps
Signs i~specror's use oniy: TOTALO ~
~Irrigation eooms p~
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
Rougn-in Date _ fj
1, the Electrical Inspector, hereby t `
certify that the above inspecfion has F~,,,a~ i a ; r oaie ~Q
been made. 1r~7 - , ' ~'d
OFFICE USE DNLY ,
This requesl vola 18 moMhs imm
Th~s request void ~ -~U ~ ~ ~ ~j~ 1~~~ ~'F~ 37 3~ ~
78 monihs Irom
h1090337 `~~~sa
RequR:t Dgte.. ~ Fire No. Rough-in Inspectian
1 Q R red~ ~Ready Now Will Nocifv. Ins~ec-
~ / 1'es ?NO ~~r When Ready
Licensetl Elec[rical Coniractor 1 hetaby reqaest insoection of abova
Ownar ~ elecbical work installed aY
Streel Atltlress. Box or Route No. Citv
' ~
ecl~o o. 7owns ~0 Name or No. anBe a. Caunry
1
OccupanilPplNT) Phone No.
~~.2~ / /
P wer Supplier Address
EI trical C nVdGtor (COmpany Name) Con{cqqtor's License No.
U~ ~Ceo 3
Mailinp ddress ICo racmr Cor O"w~ner Making InstailatioN
AuNorized SiBnature l ctor Owner akine ~nq{a IatioN on Number
~ . ~o.~ ~ ~r-
MINNESOTA STATE 00AqD OF ELECTNICITV THIS INSPECTION flEQUEST WIIL NOT
Grigps-MidwaV BItlB• - Room Nd97 BE ACCEPTED BV THE STA7E BDABD
1827 UniversitY Ave., St. Paui, MN 55704 UNLE55 PROPEN INSPECTION FEE IS
e~___ ~o~~~ ~o~ ENCLOSE~.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-OA
' See insbue[ions br completing this torm on back of Vellow eopy.
~~~~elow Work Covered by This Request ?j ~
Add Rep. Type of Builtling Applipnces Wiretl Equiyment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Pixtures
Apt. BuilAinp Dryer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
F2fm ~ m y ther ISPacifyl
L Pf U~uIY ' Olh~(
ompute 7nspection Fee Below
N Fee Service EntrenceSiie q Fea Feeders/SUbtaeders # Fae Circuits
0 to 200 qm 5 0 to 30 Am s 0 to 30 Am >s
Above 200 qm~s 31 to 100 Amps ~ 31 to 100 Am s
Swinvning Pool Above 100_Amps Above 100_Am s
Transiormers Irrigation Booms Partial.'Oth
Signs Speciailnspection
Rema~ks S ~ TO7A F Fi~ J~~
Bough-in D~[e ~he Ele '
~ Inspactoq hereby
cerlily that the ebova
Finel inspection has been
~ meda.
Thlb repueat vaiE 18 moniRa from
~ CITY ~ Include 2 sets of plans,
1 site plan w/elevations &
, • ~ Ht7IIDItJG PEPMIT APPLIG~.TION 1 set of erezyy calcul.atians.
Rb se asea Fur ~%r f ~'valuation Or Oo o nate I~V'd
A~
~
f~~ 9~ ~
Site Address ' I 1 ~d!1~ [~'FIC~ USE ONLY
tot slodc I sec./sub. ~ Erect ~ occ~pancy A~~
Paroel : ~ 0 L5 00 3 O 7 G A1ter Zoning /
Fire Zone
Q„n~r; ~ ~ ~
e_'lype of Cbnst. _ 1
Addz~ess: Nbve # Stories
Danolish F'xont 8' ft.
atjr~Zip Code; Grade Depth 5/.6 ft.
Phone N:
APP%R7ALS FEES
Contractore IoIIP,~.~{~I ~ileaQ~IPti~~> jb1(,. rssessrents Pern,it g'3 ~r-
~I [+Iater/SEwer Surchair~e ~S
Additss:. J~~ fV(SY61((XY~ I~~. Police l~lan checx
City/2ip ax3e• ~fA,o~~ SJ~o~i~ Fire ~Ss'r5
gig. ~Jater Conn. 5~"~
Phone N: %~5q-- Planner ~ Water Meter Gd
Arc3i./E1xJ.: . Council Road Unit ~:5 D~-~
Bldg. Off.~~
Address: ~
City/Zip C.ode-
Pr,~,e n~maa. 7 3 +~O
~ _ 3 ,~q~ `ze~ca~2o4 ~
O '
r
. ~ y~~
3~~
~
' T~llefs~n Builders Inc. Or.11424
, 1d3-77
JACKSON - SURVEYORS s~ete: t"= so'
, ~ ~ uenotea Iron
UGi:.O _ Exis[ing Elev.
- __=,~rainage r, Utility Eaaercent
= ~rainage 11GGIiTtR[D UNO[R IAWt Of ~T~T[ OF YINNLlOT•
i
3616 EAST 55t~ STREET, MINNEAPOLIS, MN 55417 7273484 '
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1 ~iEREGY C[IpTIFY TMAT TME ABOVE 19 A TRU[ ANO CORRlCT ~LAT OI A SUNV[Y OF ~
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Lot l,Block 1,Brictany 4[n. Addi[i~n, '
DaKa[a C~unt}~,Minnessta. i
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Pr~pased Carage Fl~or Elev, 10Y.5 ~
Praposed Firat Flo~r Elev. 106.7 W
f'roposed Basement Fl~~r Elev. 91.7 I
~I
2bt,,. May 19tf3
A{ fURV[V[D SV M[ TMIi--..__.. __.DAY 0/---__.--~.D.- ~ ~
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SION[O- . ,-i11~~-
F. C. J CKSON. M~Nruw • Rmnr'u.iiow. NO. l600 .
Cities Di ig tal Qualitv Control
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_ PERMIT ~ ~°n 0 0 91
CITY O~EAGAN ~ ~
3830 Pilot Knob Road PERMIT TYPE: eui~oiNc
Eac~an, Minnesota 55123 Permit Number: 000092
(612) 687 -4675 Date I ssued: 0 3/ 2 3/ 9 2
SITE ADDRESS:
4811 SHEVLIN CT
LOT: 7 BLOCK: 1
BRITTANY 4TH
DESCRIPTION:
Building,Permit Type BASEtAENT FINISH
Building Work Type ALTERATION
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REMARKS:
e oi79a~
FEE SUMMARY:
Base Fee ;35.00
Surcharge 5.50
Total Fee $35.50
CONTRACTOR: - Applicant - OWNER:
SAMPERS TOM 13780003 SAMPERS TOM
4811 9HEVLIN CT 4811 SHEVLIN CT
EAGAN MN 55122 EAGAN MN 55122
(612) 378-0003 (612)376-0003
I hereby ackrtowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
~ -
ANT~ MITEE SI NATURE ~ ISSUE~ : 5 GNAT~
PERMIT # CITY OF EAGAN ± ~
, 1992 BUILDING PERMIT APPLICATION
681-4675 1 g
RECt~
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typin~ of permit is requested, but not picked up by last working day
of month in which re uest is made o lot chan e is re uested once ermit is issued.
Oate / S / 4~- Valuation of work
Site Location: ~8/I S1~eU/rn (,'t•
STREET STE M
Tenant Name:
LOT ~ BLOCK _L SUBD. ~ P.1.D. 1
Descri tion of work: ; s
The applicant is: ? Owner ? Contractor ? Other (Deseribe)
Name SAo,oe ~S ~'o r~ Phone 6~~ -o~/a.~
Property ~AST ~ FIRST W k $a- z~ SP"
oc>o'~
wner Address 1\ 5~^e ~ c;, 378-
STREET STE M
City Eo.r.~o.,~ State Ml`~ Zip ~~.'ri lo«
~
Company Phone
Contractor Address License # Exp. ~
City State Zip
Company Phone
Architect/
Engineer Name Registration B
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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 Applicant: ~ ~ ~
~ OFFICE USE ONLY
. ~
BUILDING PERMIT TYPE
? O1 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural
? 02 SF ~wg. ? 07 Fireplace O 12 Conan./Ind. New ? i7 Building Move
O 03 Two family ? 08 Deck ? 13 Co~ren./Ind. Add ? 18 Demolition
? 04 Multi-fam. T.H. ~ 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous
? OS Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac.
WORK TYPE .
~ 31 New ? 34 Remodel ? 37 Move
~ 32 Addition ? 35 Repair ? 38 Demolish
~ 33 Alterations ~ 36 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy Basement sq. ft. MWCC System
Zoning lst Ft. sq. ft. City Water
Const. (Actual) 2nd F1. sq. ft. PRV Required
(A1Towable) Sq. Ft. total Booster Pump
~ of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 3~
Oepth On-site sewage SAC Code .
APPROVALS
Planning Building Assessments
Engineering Variance
RE~UIRED INSPECTIONS
? Site ? Footing ? Framing ~ Insulation
? Wallboard ~ Final ? Draintile ? Fireplace
Permi t Fee 3 S, Vatuatim: f
Surcharge So
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: S~-
SAC %
SAC Units
ity of eegan
3830 PILOT KNOB ROAD. P.O. BOX 21199 BEA BLOM9UI57
EAGAN, MINNESOTA 55121 ~ro~
PHONE: (612) 454-8100 THOMAS EGAN
JAMES A. SMITH
JERRV THOMAS
7HEODORE WACHTER
AUGUST 3, 1984 ~~^G~Mam~~
THOMAS HEDGES
. Ciry Admivstrator
EUGENE VAN OVERBEKE
City Clerk
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
TOLLEFSON BLDRS INC
1655 NORWOOD
EAGAN, MN 55122
Dear Sir:
Our records indicate that the dwellings listed below have been oc-
cupied without a request for a final inspection:
B•P. #8813 - 4846 SHEFFIELD LN
B.P. ~8140 - 3868 HEATHER DR
B.P. ~9093 - 1569 SHERWOOD CT
B.P. #8743 - 1570 SHERWOOD CT
B.P. $9101 - 1581 SHERWOOD CT L-~
B•P. #8143 - 4811r SHEYI;IN~~~ CT Q~/~~
ri
If arrangements are not made within ten (10) days to resolve these
oversights, this list will be presented to the City Council with a
recommendation for suspension or non-renewal of your contractor's
license in the City of Eagan.
Sincerel ,
Dale Peterson
Chief Building Official
DP/js
THE LONE OAK TREE. THE SYMBOL Of STRENGTH AND GROWTH IN OUR COMMUNItt .
*City otEap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Perm it#: 40 K/ C—'
Permit Fee: /0 S c
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
7 p q j j,
Date: 3 ��'` H Z- Site Address: & ! / Y� -� ,� t h,\ C r
Name:r� v Q� �j Phone:
Address / City / Zip: 36 1 t w. P d d ,n f- t
Applicant is:
wner Contractor
Description of work: PC b (IA 7.3
Construction Cost: Multi -Family Building: (Yes
Company: Contact:
Address: City:
State: Zip: 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 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:
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 of permit issuance.
lier/" SC rS
Applicant's Printed Name
ant's Signature
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