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3030 Shields Dr
'CITY OF EAGAN SEWER SERVICE PERMR 3830 Pilo-, Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: - Zoning: ? . No. of Units: Owner. C. Addnem- 3830 P961 Knob Road WATER SERVICE PERMIT P.O. Box 21198 Eagan, MN 55121 PERMIT NO.: ^ _ n Zoning: DATE: t 1 y 5 Owner. Rs? 7n _y_]?e - e. No. of Units: Address: R? n I r I-i t7- Site Adders: -30 t0 Shia3 fle *?,.i ^ 1 r?7 Plumber: ?. n ? R ji - Meter No.: J Size: Connection Charge: 5nn n,? Reader No.: Account Deposit: agree to com My with the City of Ea an Permit Fee: 1`? a4d S g Ordinances. urcharge: Misc. Charges: Total: Date of Insp.: Date Paid: ' L Insp.: CITY f K 3830 Pilot Knob nob Road WATER SERVICE PERMIT P.O. Box 21199 PERMIT NO.: g IS 3 Eagan, MN 55121 DATE:- 1 1-4-8 5 Zoning: - R11 No. of Units: - 6-pl ex Owner. RaYRO Inc_ ( nrr?lrIfo ?) Address. SiteAddess: - 3030 shields Drive 41nl xlfi R.z T xrfly ik NiilC ^ Plumber _____Va1JL_e_xv_R1umb Inc, Meter No.: Size: Reader No.: q 9 R r"77 fl 19 I agree to comply with the City of I ??dlnanra? ! Date Paid: ' Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: s Zoni?x:• No. of Units: Owner: Address: Site Address: Plumber: 10-2-86 6711- I some to eeoply wNh Ilse City of levee OrdLeeem By Date of Insp.: 100.4ap.- Corntectlon Gorge: 3 75 Mod Account Deposit: 1 Permit Fee: I SurchaW: Misc. Charges: Total: Date Paid: CITY OF EAG? iN 3630 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Zoning: Owner. WATER SERVICE PERMIT PERMIT NO.: F 15 11 DATE: 11-4-86 No. of Units: -Dlex Address: „, ! SiteAddess: -3030 hip da nriv n A105 }} R? u.rY k .zi11 Plumber. Va 7 :Z pl nwhing Meter No.: Connection Charge: - 500.0012d Size. Account Deposit: 1 S=0QPd Reader No.: Permit Fee, 1 '1 Obiz 1 agree to Comply with the City of Eagan Surcharge: _ Sn ? Ordinances. Misc. Charges: 1 S6 _ 001,;1 Tn Total: 6a SO.,ntr my Date of Insp Ll -._ Date Insp.- CITY OF F WATER SERVICE PERMIT ' 3830 Plot h ."d P.Ot Box 211x9 PERMIT NO: -- 8158 Eagan, MN 35121 DATE: 11--4-86 Zoning: r "I No. of Units: 6-21 a Owner. P.avna Tnr '. ddress: 1--? I iteAddess: - Ii ?1- 1vn #10(, T1-1 Wo- T o1A4aU 11 Ri I l o lumber ya i ! .af! Meter No.: Size: Reader No.: U 10 .4 t agree to comply with the CI? rdinan By \ Date of Insp.: Date Paid: 7-F7 P. O. Box 21 Eagan, MN Zoning: Owner. Address: Site Address: Plumber: _ SEWER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: !0 1 M" to ee mob wllh the Cky of tiysa oramenem By Dote of Insp.: 103 L11 B2 Le*fav Lk Hi Connection Chorpe: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Dote Paid: clnr OFF -AN , 3830 Ph 411 Kno.; Road WATER SERVICE PERMIT P.O. Box 21199 Eagan, MN 55121 PERMIT NO.: r Zoning:. n ? DATE: O ? T No. of Units: ex wnerr. - - , Addres s: ri SiteAddess: itl?:7 S}field n- `v I C) 4 ),l ewLA-1 :"' ie"av Lk mills - Plumber. ins ' z Meter No.: Size: Connection Charge: 500.OO4d Reader No.: Account Deposit: - 15.OOpd I agree to comply with the City of Eagan Permit Fee: IO , OOpd Surcharge: . 54pc1 Ordinances. Misc. Charges: __L2 6.00 n.i Tr B By Total: Date of Insp.: Date Paid: Insp.: CITY r= k ,4N WATER SERVICE PERMIT 3830 Pilot Knob Road 8155 P.O. Box 21199 PERMIT NO.: _ Eagan, MN 55121 DATE: Zoning: R1 No. of Units: 6-Rlex Owner. Ralzpn Tnc Address. It l n 1 n Site Addess: 11 Plumber: u21107 Pl,nnhing Meter No.: 37G -S3 T om'Con r?eY on Charge: 500, Q0Rd Reader No: • 146i'mi SaA. ~'- v vv u 1 agree to comply with the Ci ¢yrvge: .50 ;td ?g 1 S 6.OOpd TP Ordins `?L?ti`? `?L Wan 63.59,d metm. BY Paid: Date of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. r?. Box 21199 Eagan, MN 55°21 Zoning: Owner: Address: Site Address i Plurnber. "i:mu !-i ` 1 agree h oeanf wkb do CRY of 9apa OrdiMaae. B y Date of Insp.: Insp.: srwa SERVICE PERMIT PERMIT NO.: DATE: - No. of Units: Connection Charge: Account Deposit: Permit Fee: Surcharge: - Misc. Changes: - Total: _ Dote Pold: AGAN TY OF E WATER SERVICE PERMIT . CI 383.^ PIIM A<nob Road PERMIT NO.: R 5 P.O. Box 211W DATE: Eagan, MN 56121 No. of Units: Zoning: Owner Address: 7 A! • C Site Addess: Plumber. Connection Charge: -SL14.IIU$?- Meter No.: Account Deposit: Size: Permit Fee: Reader No.: I agree 10 comply with the City of Eagan Surcharge: Misc. Charges: Ordinances G7 Sn..?i mot Pr Total: Date Paid: By Insp Date of Insp•: . CITY OF EAGAN 3830 Plot Kilob Road WATER SERVICE PERMIT P.OAW 21199 PERMIT NO : P l Eagan, MN 55121 . ' Zoning: DATE- i 1 ta,R( Owner. - &fl pQ Tan No. of Units: ? l arc Address: }AL.„ r' 81 Site Addess: T , Plumber. A :?R w Meter No.: S S ize: ,? C C?m tngk ?4r ?AA? 88--- e-d??-- Reader No_:d7D 7 ? . I agree to Com plr wqh the Cll? 1 Ordlna w p `Wisc. Charges: i:5 6 l~ Total: 63. 50p-4 ea By Date Paid: Date of Insp.: Insp.: +CITY OF EAGAN SEWER SERVICE PERMIT 9830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: ? _ Eagr". MN 55121 DATE: _ No. of Units: `Zor,AN; Owner: ?Address: 1 i pe _ r t. -. :ALLIS Site Address: r Plumber. 6._' elm to eara* wkb #beCky of 1111e98a Connection Charge: ordiaaasee. Account Deposit: Permit Fee: Surcharge: By Mim Chorgew Dote of Insp.: Total: -- - Data Pout: OF E Pilot 55121 Owner. - Address: - Site adders: Meter NO.: Size- Reader No.: of Eagan I agree to comply with the CRY Ordinances- BY Date of Insp.: WATER SERVICE PERMIT P, 157 PERMIT NO.: 11_4_86 DATE: 6_ le8 No. of units: 5 Connection Charge: ' S n???,d Account Deposit: 10 . Permit Fee: 5n?,a Surcharge: 1 r,n.,a TA Misc. Charges: Total: _ Date Paid: _ Insp.: AN WATER SERVICE PERMIT ob Road PERMIT NO.: 8157 ?. . .5551 t?wner a9 121 DATE: 11-4-86 oning: H? - No. of Units: 6- plea o Inc. Address: - Site Addess: Plumber. - Meter No.: Size: Reader No.: 500 ppy -- 1 agree to comply with the 1 ?`t7?itpiec. arges: 156 b0? Ordlnances. ll?? r cV Total: By Date Paid: Date of Insp.: Insp" CITY OF EA Owner Address. Site Addess. 3( Plumber. Meter No.: 3 Size: ., a Reader 7 3830 Ate K CAN A.O. Box 2119?g 004d Eagan; MN SS Zoning: 121 P3 ww TER SER VICE PERMf T PERMIT NO. DATE- No. ofUnits.- ex I a9roe to comply Sut" 90 Ordlnan fh the e?Cp city. ?L Q?+E fss*? - P BY QU1 P Date of lnsp.: dal: P ate Paid: me e. 7, F7 Insp.' .f EAGAN ..,0 Pilot Knob Road SEWER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zonirv: No. of Units: Owner. AdrlMee- Site Adds Plumber: 1 peso M aewpry wick Im City of fepae Osibeaem By Date of Insp.: CITY OF EAr=AN 3830 PIlot'Knob Road P.O. Box 2'. 199 Eagan, MN 55121 Zoning: P3 Owner. - Address: _ Site Addess: Plumber: _ Meter No.: _ Size: Reader No.: Connection chow: 4' 5 - i It) Account Deposit: ' Permit Fee: Surd+orge: Misc. Changes: Total: Date Paid: WATER SERVICE PERMIT PERMIT NO.: ` 1 r'r DATE: lI- -8 b - No. of Units: -p ex. I agree to comply with the City of Eagan Ordinances. BY Connection Charge: Account Deposit: Permit Fee: Surcharge: P Misc. Charges: me er Total: Date Paid CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE r, 19 RECEIVED FROM AMOUNT & DOLLAR! 200 ? CASH ? CHECK FOR f/ C FUND CODE AMOUNT Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT V l CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECe1V= FROM AMOUNT l0a ? CASH ? CHECK FOR BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT NO. J 71 ? ` 01-3210 B ermit ' j S 01-3422 Plan Check 01-3445 Surch./Adm. 7 01-3446 SAC/Adm. 01-2155 Surcharge ' 17-3860 Road Unit %'- 20-2275 SAC 20-3865 Water Conn. LJ 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL OR ,RENT UNITS CITY OF F N ? lo.. 101d, 38 30 Pilot Knob Road, P.O. Box 2G 21-199, Eagan, MN 55121 2, 12722 PHONE: 454-8100 `` . 6UILDING PERMIT R t . eceip # To be used for 6 UNIT 1-1 .D. Est Value $317,000 Date OCTOBER 2 ,19l 6 Site Addr 3030 I :LDS DR Erect LJ' Occupancy _ k 1 LAKE model 11 Zoning Lot Block Se /Sub. z'E`Y Pi) t !rWomaliftetepair ? Type of Const Ad ? dition No. Stories C Name ?c3r.RT C KEMPF Move ? Length 120 7101 F?2ANCF AVE SO Demolish ? Depth Address Int Impr. ? Sq. Ft I%1?I1SA 920-8831 h C p iry one Install ';'i-;YPO CO:1ST Approvals Name Fees Address :; A' :E Assessment 9 7 5.5 0 Permit City Phone Water & Sew. Surcharge 158.50 Police Plan Review 4 8 7. 7 5 Name Fire SAC 3,450.00 n Address Eng. Water Conn3 , 0 0 0.0 0 11411 City Phone Planner Water Meter N/A Council Road Unit 1, 740.00 I hereby acknowledge that I have read this application and state that the Bldg 8/12/8 Off 5 9 3 6 . 0 0 Tr PI . . information is correct and agree to comply with all applicable State of . . N/A Minnesota Statutes and City of Eagan Ordinances. APC Parks $10,747.75 Var. Date Copie s Signature of Permittee Total REYPO CONS 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 " .J Permit No. Permit Holder Data Telephone M Plumbing Electric C 37l 7 C ? 3J J'6i ` - l Softener Inspection Data Insp. Comments Footings I /,'- Gv Footings 11 Foundation Framing Roofing Rough Plbg. 3 ISA Rough Htg. Insul. Fireplace Final Mtg. T-A yr 7 4?. Final Plbg. Bldg. Final ??•?? • L2. Cert. Dcc. ?? G !J Deck Fig. Deck Frmg. Well Pr. Disp. PERMIT # - PLUMBING PERMIT RECEIPT # f` CITY OF EAGAN ' 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 4544100 Site Address 712S i ? e-- BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub -- - :_ \'\ ? ?_ j . ? - ? i 1 ? i `- Rea New Name 7,411,4 3 v Mult Add-on AddressG? AN Comm. Repair c City Q df AA W 441V Phone A -;Z /7 ? Other Name ~? lv NO. FIXTURES TOTAL Water Closet - $3.00 $ Address Bath Tubs - $3.00 p City `'i Iri4 Phone =Lavatory - $3.00 S v _0 Shower - $3.00 Kitchen Sink - $3.00 u FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE _$10.00 Floor Drains - 0 MINIMUM - COMM/IND FEE - 2000 $ $11.50 Water Heater . STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3. .00 _ (ADD $.50 S/C IF PERMIT PRICE GOES Z Gas Piping Outlets - $1.50 ?- BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE l U y STATE S/C ? - A ! ?? FOR: CITY OF EAGAN GRAND TOTAL MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 ;T PRICE: ^ Z/J0, PHONE: 454-8100 Site Address ro Name ZI Addre c City _ Name - Address TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other LA) M BTU M BTU M BTU M BTU CFM FEE- -S/C: TOTAL PERMIT # RECEIPT # DATE: Y -k- BLDG.TYPE Res. Mult I,-'_ Comm. Other WORK DESCRIPTION New Add-on Repair 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 FEE 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) SIGNATURE OF PERMITTEE FOR CITY OF EAGAN (9rrtif irate of (Orruvaury Citp of eagan atpwt and of Unwo 3wertwu This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For Me follo wing. Uu cI2=irkad00 17N= M.D. Bldg. Permit No. Occupwcy Type R1 Zoning Dr9na 11-1 Type Corm Owna of WIding A:..EW C. KR- Addrm 7 ! i . • 1't NI;E SC2 Locaty BuddingAddres Date: 24, 19'Budding Official POST IN A CONSPICUOUS PLACE 10/2/86 SITE ADDRESS 11 917 y1 - 4? 3030 SHIELDS DR Unit # 101 Permit # 12722 B Sect/Sub. LEMAY LAKE HILLS INSPECTION DATE INSPECTOR OTNER FRAMING ,? - 2 - F7 B to, ROUEN PLEB. 13 ROOON NTB. 2 e INSUL 1 r FIREPLACE FINAL NTG. P7 FINAL PLBG. UNIT FINAL CERVOCC ?'- z Y - F -7 ?? INSPECTION DATE INSPECTOR COMMENTS 10./2/86 ??-. /- 1rv,icy 9F .'a& SITE ADDRESS 3030 SHIELDS DR 11 B Sect./Sub. Unit # 102 Permit LEMAY LAKE HILLS 12722 INSPECTION DATE INSPECTOR OTHER FRAMING , _ 3 _ gj w e ROUGH PLBG. ROUGH HTG. INSUL 3154 F7 rlLlJ FIREPLACE FINAL HTG. z FINAL PLBG. UNIT FINAL CERVOCC o2y - ji7 { , INSPECTION DATE INSPECTOR COMMENTS 10/2/86, #C' 71099 J/3/2r-7 SITE ADDRESS 3030 SHIELDS DR Unit# 103 Permit 11 B 2 Sect/Sub. LEMAY LAKE HILLS 12722 INSPECTION DATE INSPECTOR OTHER FRAMING „1 - 3 -?? ROUGH PLBG. S-Z/- Z7 ROUGH HTG. 3 INSUL FIREPLACE FINAL HTG. -7 • ?' FINAL PLBG. UNIT FINAL Con/= INSPECTION DATE INSPECTOR COMMENTS 10/2/86 L?,pd J zjw7bc,? #(-7`71 /D.o Y46.Ce. /x/87 ;s .?lo,00 SITE ADDRESS 3030 SHIELDS DR Unit# 104 i'ermit# 11 g 2 Sect./Sub. 12722 LEMAY LAKE FALLS INSPECTION DATE INSPECTOR OTHER FRAMING a_ 2_ f2 1,).S- ROUGH PLBB. , F,7 /j All ROUGH NTG. 3 _ g;7 u1 INSUL FIREPLACE FINAL HTG. FINAL PLBG. UNIT FINAL CERVOCC -,zy ??? L= INSPECTION DATE INSPECTOR COMMENTS 1012/86.4 ?d- p??n?y SITE ADDRESS 3030 SHIELDS DR 105 12722 Unit # Permit # 11 Sect/Sub. LEMAY LAKE HILLS INSPECTION DATE INSPECTOR OTHER FRAMING -? _ Y'7 B, ROUGH PLIG. _ /?-I-- ROUGH NTG. 3 -,F7 ? INSUL 3 3 4 FIREPLACE FINAL HTG. FINAL PLIG. UNIT FINAL CERVOCC t?:7, ?. INSPECTION DATE INSPECTOR COMMENTS t0/2/86 SITE ADDRESS 3030 SHIELDS DR Unit# 106 Permit # 12722 11 g 2 Sect./Sub. LEMAY LAKE HILLS INSPECTION DATE INSPECTOR OTHER FRAMING - ?' - 6-7 W- B ROUGH PLIG. 77 'Isle ROUGH HTG. INSUL FIREPLACE FINAL HTG. kr L- A?, FINAL PLBG. UNIT FINAL CERVOCC INSPECTION DATE INSPECTOR COMMENTS Thi:. .yquesl wItl d? h 7 ?1/ Y 18 mon o.3 C 71 fleque5t Date Fire No, ugA-in Inspection quned? ?Ready Now Will Notify - 3/2/87 Use C] No for When Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner eleclrical work installed at: Street Address, Box or Route No. City 3030 Shields Drive # 106 Eagan ecllon No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone Nn. Raypo, Inc. Power Supplier Address Dakota.Electric Farmington Electrical Contractor (Company Namel Contractor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Instailation) Auth riz ad Si net (Cpgtrac for O ner Making Installation) Carl Smit Phone Number 499-1965 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg, - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St. Paul. MN 55109 UNLESS PROPER INSPECTION FEE IS Phnno 19121642AROn ENCLOSED. Gl,? F7 REQUEST FOR ELECTRICAL INSPECTION EB-0000011/-0005 Il, See instructions for cotmpletin6 this form on beck o1 vellow copy. / v "X" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Wafer-Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader 4ndustrial Bldg. Air Conditioner Bulk Milk Tank Farm they (Spec, y Iher ISncr:ily) t er peel y ter Other Compute Inspection Fee Below # Fee service Entrance Siza q Fee Feeders/subteeders # Fee Circuits 0to 200 Amps 0to 30 AMPS .0 0to 30 Am Above 200 Amps j 5 0 31 to 10Amps 9 3112 100 A Swimmin Pool 00 _An1 s Above 1 Above 700-Amps Transformers Irn gation Booms , 5 Pa rtial.'Ot e Signs Special Inspection B TOTA F T Remarks 16339 65.5 L E jfk Rough-in ( Oa[e 'C I" the Electrical 3 lOg? lnspectpr. hereby certify that the eoove Final Date/ inspection has been ?'! ..; made. This request void 18 months from This request void 18 months from C71134 7ri 6 -7vG- GG ' `Requiretlt Ready NowXjWill Notify. Inspec- 1/9/R 7 VIYes n No for When Ready LXLicOnsed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 3030 Shields Drive # 105 Eagan action No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Ra o Inc. Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractor-s License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Instailation) 3600 Kennebec Drive Eagan Authorised 5ignatur ontractor/Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. Ht. Paul, MN 96704 ge...,. 19111 Pno.rwnn ENCLOSED. j;7jX7 REQUEST FOR ELECTRICAL INSPECTION EB-00001 6 ?r See instructions for completing this form on back of yellow copy. 71/ 7 r? 1"t-1 Q A "X" Below Work Covered by This Request NewlAddl Revs Tvoe o1 Suildinp 1 Aoolianoaa Wired I Equipment Wired I Water is If Fee Service Entrance Size it Fee Feeders/Subfeeders a Fee Circuits 0to 200 Amps 0to 30 AMPS 0to 30 Am Above 200 Amps 5 0 31 to 100 Amps 1 5 . 0 31 to 100 Amp, Swirnmin Pool Above 100Am Above 100-Amps Transformers Irrigation Booms . 5Q Partial,'OthecFef? [_] ISigns Special Inspection ?s Remarks 16339 ---- 40.5 TOTAL FE 1,ih?l /Q?) ,j?037 I, tha Elebtri Inspector" her ebv Final fff//"J? / D,,, t, 71 that the above .. c tion has Deen all, made. 111111111IRMT void months from m V I hereby request inspection of above ? Owner electrical work installed et: Street Address, Box or Route No. City 3030 Shields Drive # 104 Eagan ecUOn o. Township Name or No. Range o. County Dakota Occupant (PRINTI Phone No. Ra o Inc. Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractor's License No. u*1' Flat•trir 040445 Mailing Address IContractor or Owner Making Installation) 3600 Kennebec Drive Eagan Authori ed_F Signature (Cq rector Ow er Making Installation) Phone Number Carl Smith 452-1565 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grippe-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. 81. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 313187 REOUEST FOR ELECTRICAL INSPECTION E6-oouvt Ii, See instructions for completirq this form on beck of Vatic. Copy. r 7'_1 .1 o n ""X"" Be/ow Work Covered by This Request Equipment Wired Electric tioner p Fee Service Entrance Size a Fee Feeders/Subfeeders k Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 0. 0 0 to 30 Amps Above 200 Amps. 31 to 100 Amps 31 to 100 Amps Swin"in Pool Above 100_Amps Above 100-Amps Transformers Irrigation Booms , S Partial, Oth ee L I Signs I (Special Inspection yhy -L4 mks 333 _ I _ 0, $ TOTAL FE, noupn-m / /G? u? I the Elect V ,(i' 7 Inspsc for. hereby --rti1V thet the above Final ice) ?; r A` Cillb 7 4 Mp?ecti on has bee. This request void 7// 7Y 18 months from C 71-099/// Request Date Fire No. ,' ough'-in Inspection eq cared? 1 ?Ready Now Will Notify InaPec- '112187 K) Yes ?No for When Ready ? I-icensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 3030 Shields Drive # 103 Eagan action No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Ra o Inc. Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractpr's License No. Fltl;re Electric 040445 Mailing Address (Contractor or Owner Making Installation) Authorized Signature ( tractor/Owner Making Installation) Phone Number Carl Smith 452-1565 THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY THE STATE BY BOARD Griggs-Midway Bldg. - Room N-191 BE ACCEPTED EE IS 1921 Universitv Ave.. St. Paul. MN 55104 UNLESS PROPER R INS PECTION FEE IS Phnne(6121 A42-0800 ENCLOSED. -31-318 7 REQUEST FOR ELECTRICAL INSPECTION Ee-00001-05 Il, See instructions for completirq this form on back of yet low copy. !1 D D "X" Below Work Covered by This Request W irrrd Equipment Wired I ectr i c itioner It Fee Service Entrance Size p Fee Feeders/Subfeeders Lit Fee Circuits 0 1o202 Am s 0 to 32A m s 0 3 0. 0 0 to 30 Am s Above 200 nn ps 1 5 . 0 0 31 to 100 Amps 31 to 100 AMPS Swimming Pool Above 100_Am s Above 100-Amps Transformers Irrigation Booms Partial-"Other Fee Signs Special Inspection S emerks 16339 ? 40.5 TOTAL F E???}D °'•' "' '? r Sad .S 1, the EI ctrica 9( Iner aybove cartifytily that h the l Final Data t i napection has been made. This request void 3 eZ F'7 71178' 18 months from C 710 9 8 ,a-46% Request Date Fire No. ough-in Inspection _ equ nedT []Ready Now Will Notiry, Inspec- 3/2/87 Elyes ? No for When Ready ® Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 3030 Shields Drive # 102 Eagan action No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Ra po, Inc. Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractor's License No. Hilite Electric 040445 Mailing Address ICG.tractor or Owner Maki 16nO Kpnnpbpc Drive ng Installation) An Authorized ature 1 ont`actor Owner Making Installation) Phone Number C" -11y Carl Smith 452-1565 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone 16121 642-MOD ENCLOSED. .397 REQUEST FOR ELECTRICAL INSPECTION ES-00001-05 It see Instructions for completirg this form on back of yellow copy. 711 / r) 71 n Q Q "X" Below Work Covered by This Request MewlAddl Red.1 Type of auildino 1 Applipnces Wired 1 Equipment Wired I Duplex Water Heater Lighting FIXtUreS Z Apt. Building Dryer Electric Heatin ?El Commercial Bldg. Furnace Silo Unloader Industrial Blda. Air Conditioner Bulk Milk Tank N Fee Service ErMrance Size k Fee Feeders/Subfeeders N Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 0.0 0 to 30 Amps Above 200 -Amps 1 $ , 0 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Amps Above 100Am s - Transformers Irrigation Booms , $ Partial-'Other Fee Signs Special Inspection ?s Remarks 16339 This request void ry?irQ7 18 months from C 71097 7//7X -;ir`.G. D O Req'tTest Date 1 Fire No. R o1 I nspection phe -in RN aired? l Nolity Inspec []Ready Nowl]Wil - o Wh R 3?2?87 Ves ?NO r en eady {Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed et: Street Address. Box or Route No. Citv 030 Shields Drive # 101 Eagan action No. Township Name or No. anBe o. County Dakota Occupant (PRINT) p T 11 Phone No. Power F, -p , ier Address Electrical Contractor (Company Namel Contractor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Installation) 1600 Kennebec Drive a Authori e ture ( ntractor Owner Making Insta la ti onl Phone Number z Carl Smith 452-1565 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N-1-191 91 BE ACCEPTED BY THE STATE BOARD 1621 Univere ltv Ave.. 9t. Paul. MN 66100 UNLESS PROPER PROPER INSPECTION FEE IS `Phone (612) 842-0600 ee-orov REQUEST FOR ELECTRICAL INSPECTION Alm 7// 7 n (] 1 See instructions for eo,gpletinp this form on back of yellow copy. C 7 1,D 7 7 X" Below Work Covered by This Request k?v AA4 Tvpa of auildina Appliances, Wired Equipment Wlre? Air N Fee Service Entrance Size it Fee Feeders rS ubteaders a Fee Circuits 0 to 200 AMPS 0 to 30 Amps 0 to 30 Am Above 200 -Amps 1 5 , 00 31 to 100 Amps 31 to lU0 Am Swimming Pool Above 100-Am Above 100_Am Transformers ImI ation Booms .5( ?artia LOther Fee Signs Special Inspection s 4 0. 5 TOTAL ema,ks 16339 r l _. uo npupn•rn /, r I -3+[09 (I 1. the f?a]ri,:b Inspector, Hereby 4X .. tifV that the above Final ' O,fsa 7 r inspection has been .ee. REQUEST FOR ELECTRICAL INSPECTION p° 0 See instructions for completing )his form on beck of yellow copy. /? .?i -C,37170 -X" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired EquiVment Wired I 1 I I Industrial Bldo. 1 I Air Conditioner 1 1 Bulk Milk Tank I p Fes Service Entrance Size „ Fee Feeders/Subfeeders N Fea Circuits Z. 00 0 to 200 Am s 12 30 Am s O 0 to 30 Amos 1 Above 200 Amos 31 to 100 Amps il 31 to 100 Amps Swinvning Pool Above 100_Amps Above I00_Amps Transformers Irrigation Booms Partial 'Other Fee Signs 16366 TEMPORARY SERVICE TOTAL EE - 1. the ElactncsI Inspector. hereby certify the, the above Final Oate inspection has been rneee. This request void 18 months from C 37170 Re"Best. Datp Fire No. Rough-in Ins peel( n Required? ®Ready Now ? Will Notify Inspec- 10-30-86 ?yes E&No for When Ready ® Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. f14 l. City PILOT '' `Ab EAGAN Section No. Township Name or No. Range No. County DAKOTA Occupant (PRINT) Phone No. LEMAY LAKE PROJECT 920-8831 Power Supplier Address DAKOTA FARMINGTON Electrical Contractor (Company Name) Contractor's License No. HILITE ELECTRIC #040445 Mailing Address (Contractor or Owner Making Installation) 360 NNEBEC DRIVE EAGAN, m. 55122 Au orized 5 nature )Contractor Owner Making Installation) Phone Number MSp4Tp( AWARD.OF ELECT ITy BETHIS IACCNSPECTION BEO STAT WILL NOT FEE IS BOARD Grigg - rdway Bldg. - Room N•191 UNLESS EPTED PROPER R I THE STATENSPECTION F EE IS 1821 University Ava., St. Paul, MN 55104 Ph... 161212972111 ENCLOSED. OFFICE USE ONLY This request void 18 months ham volidaNon do* prin ed iinnttJhis box. 2 0 , 1111oil111111111111111111111111 &, /tluz e * U 4 5 6 7 3 9 2* LEASE PRINT OR TYPE R Dare R ,I , inspecfion required? ? Yes No Inspection Other Than Roughln: ? Ready Now ?VJ111 Call . lYoa must mll the inspector when readyl Dote Ready. V I, lice sad contractor ? owner hereby request inspection of the above electrical work at: ress (Street, Rox, or Rook No.) 1,3 b i ire City f Zip Cade < 0 ? c s .,4-L-j )L - D Section No. Township Name or Na. Run, No. Fire No. ny Occupant u-rto- Phone o. S5-- Z- P er Supplier Address 'cal Contractor (Cam Na met Contractor License No. ?ao2?3Z Mms lic. No. (Pleat Elect Only) Me' s (Can%Qktor or Owner P1lerfaming Irebllmion) rn ^ C 1 Signature mnocla/r/a rming Irnfolotion) _.?¢6BCSfA-11 U; STAXO OARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY '///(AA 7 REQUEST FOR ELECTRICAL INSPECTION State Board of Electricity 456-7391- [M 1821 Univers ty Ave.. m. 5-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex pt. Bldg. Othe . ? ` New Add. Commercia l Industrial arm ®? o (,J ?-S a o!; t Remod Re air Air Cond. Ht . E uip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X' above the work covered by this request. Enter remarks in this space and on the back of The while copy only. ?-?L.? /Ji??eX?T Kam[-?y/- ? -- - ? ?Cei'e? f Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps to 100 Amps Street Ltg./Traffic Sig. Above 200Am s Above 100Amps Transformer/Generator INSPECTOR'S USE ON ITO-TALwr Sign/Outline Ltg. Am. i Alarm/Remote Control Swimming Pool here ce m cal insrollonon described herein on she dm sorted Irrigation Boom ko gW Ogle S ecial Ins ection p p Investigative Fee Do q 6 THIS INSTALLATION MAY BE O R D DISCONMEttkb IF NO OMPL.ETED WITHIN B MON S. UNITS FOR RENT CTY OF x 2 ! N 2 12722 T OWNHOUSE 3830 Pilot Knob R d 1-1 9, Eagan, M P.O. Bo N 55121 • PHONE: 454-8100 ? BUILDING PERMIT Receipt s 211 V Tobeusedfor 6 UNIT M.D. Est Value $317,000 Date OCTOBER 2 ig 86 Site Address 3030 SHIELDS DR Erect C?} Occupancy R1 ^y ?_? Lot Block Sec/Sub. LEMAY LAKE &model ? Zoning PD 1 i Ci i?a. Parcel No Oto bom'u5 Repair ? Type of Const Na . Addition ? No. Stories ALBERT C KEMPF Move ? Length 120 Name W Demolish ? Depth 60 7101 FRANCE o Address AVE SO Int. Impr. El Sq. Ft City EDINA Phone 92 0-8831 Install ? EYPO CONST Approvals Fees 0 2 o 0 Q u? r- Name R Phone ra Name tz Address a W City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applic le St of Minnesota Statutes and City of St Ordi Signature of Permittee A Building Permit is issued to: REYPO CONS all work shall be done in accordance with all applicablapState of Minneec Assessment Water & Sew. Police Fire Planner Council Bldg. Off. 8/12/81 APC Var. Date Permit $ 975.50 Surcharge 158.50 Plan Review 487.75 Water ConrO • U U u - w k) Water Meter N/A Road Unit 1. 740.00 Tr. PI. 936.00 Parks N/A Copies $10 , 747 .75 Total on the express condition that and City of Eagan Ordinances. Building tD2l9 r 1 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 %_10 be New Constmcfion Requirements RemodeUReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd l set of Energy Calculations Addition - indicate B on-site septic system _On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bidgs with 3 or less units Date X0) / X / 0-:? Construction Cost Site Address kL- 0 o D fs J1 ?ln /oz Unit/Ste # Description of Work j /J [ ? (iy„ Q?y Multi-Family Bldg _ Y _ N J J V Fireplace(s) _ 0 _ 1 _ 2 Property Owner G lS J22'a , Telephone # ( ) Ailled Fir081de Contractor dba FlreeMerNaflh&"ome Address 270DN.FShvieWAwa cram ft W1 65119 city State 0IM33.2561 Zip Telephone # ( ) 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 Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING _ Minnesota Rules 7672 New Energy Code Worksheet Submitted Telephone #( Telephone # Telephone # I hereby apply for a Residential Building Permit and acknowledge that the information is comp etean?ccurate; 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 apTalA, of plans. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 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 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 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) - 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) _ Final/C.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 Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN - 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodellReoair Requirements e 3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy calculations for heated additions e 2 copies of plan showing beam & window saes: poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate ft home served by septic system for additions 3 copies of Tree Preservation Plan if lot platted after 711M e Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE Z ti - Sv t.?G- ' U - VALUATION SITE ADDRESS ?nn7? ??? ? c t-l'7S I ilk 4(?- MULTI-FAMILY BLDG J( Y _ N TYPE OF WORK I1(? ?TIL =Pt_ALC° ( Cad FIREPLACE(S) _ 0 1 _ 2 APPLICANT > STREET ADDRESS` <?C/?t? SE1rr=t?? ?41CZe CITY C=AC., AUJ STATEiP ZIP SJ/Z TELEPHONE #WI (A D [ kELL PHONE # FAX # 5G_7CT_ 4922?1-07Z-r' TELEPHONE# (SR51 (0161 'byCr, PROPERTY OWNER 7 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ D (J submission type) a Residential Ventilation Category 1 Worksheet Submitted e Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes Sewer/Water Contractor. Air Conditioning Heat Recovery System Phone # Phone # JUN 2 1 2002 Fee: $90.00 Fee: $70.00 -------------------------------------------------------------------------------------------------------------------------- Ihereby acknowledge that I have read this application, state that the' do is c rrect, a ree to comply with all applicable State of Minnesota Statutes and City of Eag rdin c Signature of Applicant OFFICE USE ONLY Water Softener Water Heater _ No. of Baths Phone # t Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4/02 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 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-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 Plbg_Y or_ 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) _ Final/C.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 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND UNITS 1?1,102?103,10/Q,105,10/c To Be Used For: /Valuation: Site Address 36)-30 Lot ?- I I Block '2- 1r?lci' a, i o.ornon,? Parcel/Sub Le MA`( LAILE NIt?.S Owner 77dL,O„dT C /t?Gfy?F Address City/Zip Code P/A Phone 1y,6 3 Contractor C Address City/Zip Code Phone Arch./Engr. - - - - Address City/Zip Code Phone # 2 ZI,4q S .So 7- Erect X Occupancy )el Remodel Zoning Repair Type of Const -j(/ Addition A of Stories Move Length /00 Demolish _ Depth rcb Int.Impr. - Sq Ft Install APPROVALS FEES Assessments Permit rJ7rJ5o Water/Sewer Surcharge ?5 50 Police Plan Review Fire SAC a, Engr Water Conn Planner Water Meter Council Road Unit /74/0 Bldg Off 4" Treatment P1 APC Parks Variance Copies TOTAL /0 714 7, NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ftZMlr 3I7c*?:?* -ivacr? = 1133 2/7?U ? 2/7?. 2SO = 5112, ?O t?33 = ?i7_ S- 5'(? Sc?,?U,?peG? R?t/i? 975, -2 = 41e 7 7S 1014 2?f? x ?c - l7yb ??kTi?1E'VT 9 p??jks 1? %75, Sb /58- SD - 4?57, 7S" 3y?a 17110 4x? CERTIFICATE OF SURVEY x916.0 FOR LEISURE LANE N. a K?IA Ay 0ro h otit7 ?? IV k x9/1.2 12O Scale: 1" = 30' 2?'b .•'?`? / 110 o Denotes Iron flon. v 'j . Lam ` J`,?`? X 0`• J )(906,0 1 0 I 6z i I ?U G'> 1 I W L O 0. % i 20.93 _ ? ? o I, rn \ y8 i I ?? N 0.3 si Zp 1 I _s i7_ y?5,673. e O 10 1 n W 4 2 W t o A iN ? / i1 _' I N P V o ? e v ? ' ;1 1 ? --?vl o l? s fir ? aab. ? ? _ ., m t I O A?? 'c fJ (?.(xaC ?1 Z. d 1 I "? 1425 rt, I 1 w ow 1 1 w j ` I t _ 14.29-- I 8Y66%. 20 1i X10` 1 I' ?l O M A IP 1 r 11 = ° A ?m LOT 11 ?? \ ? i'J sil ~ 1 i nW,I A IW IaN 2 iN iA1 XF?B9.1 W ? l? AN • x 9 ?, ? 1 ta.z Io 1 \i i ? in 864,5 N 8 ° 1 0 ?Seo i I v] N ?%e3w 0 Zp O I 1 X B99 5- ?i 890. o `t i1 1 N I? ?' I z l v n to a /30 ??, ? \ I J' Sanitary Sewer c pp`2?. ;nvert Elev. = 880,9 N ?Z I T Lowest w) 9e$0,. I l10n J to ?\? z e+- ` ..8798 LEGAL DESCRIPTION Lot 11,.Block.2 LEMAY LAKE HILLS Dakota County, Minnesota I hereby certify that this is a true and correct representation of a survey of the boundariesof the above described land and of the location of all buildings, MERILA & ASSOCIATES, INC. if any, thereon, and all visible encroachments, if any, from or on said land. ENGINEERS, SURVEYORS, SITE PLANNERS As surveyed me this Z T day of 2ERZr. $719 E6-. 1601 - 67th Avenue North- Brooklyn Center, Minnesota 55430 P/t Minn. Reg. No, / ZS Telephone: (612) 560-2660 Job No. gS'?J Book - Page a CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ----------------------------- (Please Print) 1) PROPERTY ADDRESS: _ -X3® LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCILME, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon Year) COp' MCIAL/RE'TAIL/OFFICE Q INDUSTRIAL n INSTITUTIONAL/GOVERIZENT NOTS: Phla EFM' OF FEE AT TIME OF APPLICATION DOES NOT CONSTI7V1'E APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL. PERMIT HAS BEEN APPROVED. 2) ?L NAME ADDRESS CITY, STATE, ZIP PHONE: 3) u is ?• NAME: ADDRESS: i CITY, STATE, ZIP: PHONE: 4) •a• is NAME: ADDRESS: CITY, STAVE, ZIP: PHONE: R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) MASTER LICENSE# 2v/ Active Expired Not recorded Staff 7.nl.tia1 [ ] CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER ' 6) PLEASE HOLD APPROVED PERMIT FOUcle UP BY ONE OF ABOVE [3 PLEASE MAIL APPROVED PERMIT 3, 4, ABOVE one) 7) r n u• FOR CITY USE ONLY f PE MIT # ISSUED R Pd w/Bldg. Permit FEES: JJ ??N r $ __ $ 16.50 W SEWER PERMIT (INCLUDE SURCHARGE) $ $ Jp WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ AS OZ? ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $_ ,S n, ©0 $ WAC $ O y $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ?SG" Qy $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ?? Qy $ 7 J D TOTAL 7//L/ RECEIPT 67? -R ECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIS . T AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE l/?C? C : CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *****#***####*##*#*##### I:1) trlease Print) PROPERTY ADDRESS: ?ljeog?? f i ? L2 Sr LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID U IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT 7ANIA3/PROFOSID USE: (Mon Year) C01'A'ERCIAL/RETAIL/0FFICE r7 INDUSTRIAL n INSTITUTIONAL/GOVMUZ1E NT R-1 SINGLE FAMILY Q R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) ?r NAME: ADDRESS: CITY, STATE, ZIP: PHONE:-G/?-;- u a r• / For City Use . . 3) 42- =Q.4?/l/? Plumbers License: ADDRESS: z::Active Expired i CITY, STATE, ZIP: Not recorded PHONE: MASTER LICENSE# StaTf 4) W-ft ?9 Ok,Af@ *Q12 NAME: ADDRESS: CITY, STATE, ZIP: PHONE: .5) n vim.. i ?: •:?• • x • o? u- yya? IYI CONNECTION TO CITY SEWER 1?4 CONNECTION TO CITY WATER OTHER 6) PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ? PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE n (Circle one) P DTOTW': PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT ODNSPITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL, PERMIT HAS BEEN APPROVED. 1 7) K?j L- ?,iqlt;jm TOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /6„51) SEWER PERMIT (INCLUDE SURCHARGE) 1. $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ J SEWER TAP $ $ ??•O U ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ 6 o $ WAC $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ /o L $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: A.e4? " z d" , ?c TITLE: DATE: /? ?C, CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION * NOTR: PAYMENT OF FEE AT TIME OF * APPLICATION DOES NOT CONSTITUTE * APPROVAL OF PERMIT. r w INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN * APPROVED. (Please Print) CC,?? 1) PROPERTY ADDRESS: 303 S? o1dS LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID F) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon Year PRESENT ZONING/PROPOSED USE: C] MMME2CLAL/RETAIL/OFFICE Q INDUSTRIAL n INSTITUTIONAL/GOVERNMENT 2) • • w, NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) u r:- NAME: ADDRESS:- CITY, STATE, ZIP:_ PHONE: R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 T(X*1HOUSE (Three + Units) R-4 APARTMENT/CONDOMINIUM MASTER LICENSE# ( Units) ( Units) Plumbers License: Active Expired Not recorded Sta Initial 4) I?•,•.i:: NAME: ADDRESS: CITY, STATE, ZIP: PHONE: -5) ? :? v ? d: • ?• • 9l • 7• U• 11YO• CONNECTION TO CITY SEWER eCONNECTION TO CITY WATER OTHER 6) w• c • r PLEASE HOLD APPROVED PERMIT FOZclie P BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT , 4, ABOVE one) 7) J -- i .FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit $ FEES: $ /0•6'10? 76 SEWER PERMIT (INCLUDE SURCHARGE) /6 ,lo L $ WATER PERMIT (INCLUDE SURCHARGE) $ _ / SD WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ /S, Q-eD ACCOUNT DEPOSIT - WATER $ $ WAC $ 7 75. OZ7 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ 93.50 TOTAL 7 i iy 9b7 RECEIPT RECEIPT DOES UTILITY CO NNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: ?. `f d CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION !,OTT: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SENOR AND/OR WM= IPSTArTaTTONS WILL NOT BE SCHED-• ULM UNTIL PERMIT HAS BEEN APPROVED. ------------ (Please Print) 1) PROPERTY ADDRESS:, JrLt r ?[?Sri l e nor -! O/ LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: ' PRESENT ZONING/PROPOSED USE: (Mon Year) C] MN1MERCIAL/REPAIL/OFFICE Q INDUSTRIAL r INSTITUTIONAL/GOVERNMENT R-1 SINGLE FAMILY 0 R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) (j Units) Fj R-4 APARTMENT/CONDOMINIUM ( Units) 2) ADDRESS: CITY, STATE, ZIP:Zi,,44,r S?3?s L. PHONE: V# a - All / 3) c 7• NAME: ADDRESS: CITY, STATE, ZIP: PHONE: MASTER LICENSE# 2 p 7?7 7 IV / ?lumbers License: Active Expired Not recorded Sta Initial 4) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) CONNECTION TO CITY SEWER P CONNECTION TO CITY WATER Q oniER 6) PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT 1, 3, 4, ABOVE Circle one) 7) r /??dy`rrS? .FOR CITY USE ONLY PERMIT # ISSUED s 3 Pd w/Bldg. Permit $ $ ACCOUNT DEPOSIT - SEWER $ $ ?S•?? ACCOUNT DEPOSIT - WATER $ , QC V ? $ WAC $ C o C) 575 $ S • AC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $_ 1656 ? $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ n7() $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIS . T AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: FEES: $ /U.5 0 76 SEWER PERMIT (INCLUDE SURCHARGE) $ G•5G / WATER PERMIT (INCLUDE SURCHARGE) $ / (p ?'sU WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP TITLE: DATE : CITY OF EAGAN .APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTW': PAYMRNT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WAM IPSTAII_•ATTONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. (Please Print 1) PROPERTY ADDRESS:. LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRU`IURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Pbn Year) PRESENT ZONING/PROPOSED USE: COMMERCIAL/RETAIL/OFFICE INDUSTRIAL INSTITUTIONAL/G0VMU4ZNT M1 R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) ADDRESS: CITY. STATE. ZIP:_ 270 1gA1 r ?j'Jt ?S? PHONE: 3) u ::• r? I y? For City Use - NAME: ?I / x Plumbers License: ADDRESS: Active Expired i CITY, STATE, ZIP: Not recorded PHONE: MASTER LICENSE# VW p37 114 Sta tial NAME: !l y?? ?. ADDRESS: CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER ' 6) • v - • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - - - FtDr PLEASE MAIL APPROVED PERMIT TO 3 4 ?ircle?one) ? 7) lea'- TOR CITY USE ONLY t.- PERMIT # ISSUED Pd w/Bldg. Permit s $ $ $ $ FEES: $ 0,50 6764 s o. 50 ? s 1;3, 5D k SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER $ 15,601 $ WAC $_ 7 7S OD $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ '44 nlD $ 50 TOTAL 71/y RECEIPT RE CEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIS . T AS A CONDITION. SUBJECT TO THE FOLL OWING CbNDITIONS: APPROVED BY: TITLE: DATE: %? /S? Y V16- 4 CITY OF EAGAN APPLICATION FOR PERMIT NOTS: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTA1J,ATTTONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. SEWER AND/OR WATER CONNECTION ---------- (Please -PPrint) 1) PROPERTY ADDRESS: y,uy L'Ie) -1 - LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon Year) PRESENT ZONING/PROPOSED USE: Q COMMERCIAL/RerAIL/OFFICE Q INDUSTRIAL n INSTITUTIONAL/GOVERNMENT 2) r; ?Zo R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) (i Units) ? R-4 APARTMalr/CONDOMINIUM ( Units) ADDRESS: CITY, STATE, ZIP: g?- PHONE: 3) u :a For City Use NAME: ?r/i CP/%t3?i?/? Plumbers License: ADDRESS: Active Expired i CITY, STATE, ZIP: Not recorded PHONE: MASTER LICENSE# 7o37 St in 'al 4) Kraau :.t ? ADDRESS: CITY, STATE, ZIP: PHONE: n CONNECTION TO CITY SEWER 0 CONNECTION TO CITY WATER OTHER 6) v? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT. Vle 3, 4, ABOVE ?C- one) 7) r n u• TOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) to $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ 5 8? ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ :5 7S (?? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ScO,? o $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 931, 5G TOTAL i?7 ?967 RECEIPT R ECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISIO N. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: ` /? ?(, 3 J SNOW STORAGE, DRAINAGE AND UTILITY EASEMENT THIS INDENTURE, made and entered into this 1;*,? day of m4y , 1986, by and between MARTIN E. SHIELDS and MYRTLE E. SHIELDS, husband and wife, as Grantors, and the CITY OF EAGAN, Dakota County, Minnesota, as Grantee, WITNESSETH WHEREAS, said Grantors, in consideration of One Dollar ($1.00) and other good and valuable consideration, to them in hand paid by the said Grantee, the receipt whereof is hereby acknowledged, do hereby Grant, Bargain, Convey and Warrant to said Grantee, its' successors and assigns, the snow storage, drainage and utility easements situate in Dakota County, Minnesota, as follows: The westerly twenty (20) feet of the following lots, alt being in the plat of Lemay Lake Hills, Dakota County, Minnesota: ?Re?laii?-r" W0 Ames J-q Lots 1, 7, 8, 9, 10 and .1-1 of Block 4; said twenty (20) feet being immediately adjacent to the easterly right-of-way line of Shields Drive in said plat. The Grantee shall have the right to do whatever is necessary for the enjoyment of the rights herein granted, including the right of clearing the right-of-way of ingress and egress to and from said tract of land and over and across said easement only for the purpose of snow storage, drainage, laying, maintaining, operating and repairing said utility lines. By acceptance of these easements, the Grantee agrees that it shall replace any shrubs or son removed by it in the exercise of its rights hereunder to as near the condition which existed immediately before such rights were exercised as is reasonably possible. IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seals the day and year first above written. • Aar Martin E. Shields Myrtlt/ E. Shields STATE OF MINNESOTA) sa. COUNTY OF On this ?s day of utl? L9 before me a Notary Public..,,,,,, within and for said County, pers nally appeared Cfir rlu L? Ctac./ s tpG?ome personally known to be the person described in and who execut the ?ceu2L foregoing instrument and acknowledged that 4-h executed the ame asf'he&?-free // act and deed. , I (SEAL) Notary Public THIS DOCUMENT DRAFTED BY: ------------'"'-'"""------- "' HAUGE, EIDE a KELLER, P. A. ?QPUL M-MNNEWA 1200 Yankee Doodle Road WASCNMNCM4M Water View Office Tower, Suite 303 MYCOMM.F?IAE4AINELt991 Eagan, MN 55123 (612) 456-9000 EXEMPT FROM STATE DEED TAX STAMPS 41M COMMERCIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Only New Building Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) •' • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always- • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established-if applicable 1 • Project Specs (1) 1 • Energy Calculations (1) " 1 1 • Electric Power & Lighting Forth (1) " 1 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) " 1 1 • Soils Report (1) 1 • SAC determination - call 651-602-1 000 • SAC determination - call 651-602-1 000 SAC determination -call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. ** Contact Building Inspections for sample and if required when it states "not always". *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date / /F)3 (0 Site Address ww SI \l ?tS?U..11tl?i Dr. Tenant Name Lem Town I pl?:S Construction Cost lLJr Unit/Ste # x"?l1 Former Tenant Name Description of Work TQW U(t M C O Property Owner l2 i it M ?t?nhomn Aeon Telephone # Contractor tom t ' ?,n 1tCa?& Address 1 ?22K 1 I U State MA A &1,4L` 1 y) Zip 3J?? City F' 2A.t l ? ?' ,r V:, I , Telephone # (5,) Arch/Engr Address State Zip Registration # City Telephone # ( ) Licensed plumber installing new sewer/water service: Phone #: O LY - - __ J I hereby apply for a Commercial 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 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. bll , &M(e(?r Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types 01 Foundation 14 Apartments 15 Lodging 7 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr, of Bldgs Type of Const D 26 Public Facility L 27 Commercial/Industrial G 28 Greenhouse L 29 Antennae 30 Accessory Bldg 32 Ext Alt - Apts. ? 34 Ext Alt - Comm. L 35 Ext Alt - PF ? 37 Nail Salon ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS - Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final - Framing - Fireplace _ R.I. _ Air Test _ Final Insulation _ Final/C.O. _ Final/No C.O. Plumbing _ HVAC Other Pool _ Figs _ Air/Gas Tests _ Siding _ Stucco _ Stone - Windows (new/replacement) - Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total Building Inspector 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION ??if SC7 CITY OF EAGAN / 3830 PILOT KNOB ROAD, EAGAN MN 55122 ti 651-675-5675 Please comolete for modifications to existina residential dwellings. Date 1 1 5 . ?, (A (}? W a? Unit # / Site Street Address /h?• ? Dt Telephone # ((Aj I)4454-1J { Jai Property Owner h+ hone# ?{)Gvl? ?'1DV way'r s4MW) Tele C t t p on rac or Address City StatemN ZipSZ?0_7 Contractor Licensed Plumbin li t i & O t Th A O g can ccupan _ e pp s: _ wner 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 a lies when extensive plumbing repairs are made to a building. Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to _ main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If 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 required) Other: _ Water Softener Water Heater $ 15.00 new V/ replacement Lawn Irrigation _RPZ _PVB nQan{ _?? -rebuild $ 30.00 State Surcharge JUN Q S 2097 $ .50 Tot l $ a I hereby apply for a Residential Plumbing Permit and a(:xnowleage mat me imormation is cornPieie gnu du;W am, a iai a is work will be 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 a Kov plan in the event a plan is require o e revie and a p oved. Applicant's Printed Name Applicant's Signature City of Eaiali 3830 Pilot Knob Road Eagan MN 55122 Phone; (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit Permit Fee: - - Date Received; Stat. 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L tE 2- Site Address: 303Z) Sh C°15 g, Name: (34rAI 4 Ot q05 - RESIDENT! OWNER TYPE OF WORK Unit #: Phone:r7o221/7..1 55i,) Address / City / Zip: '30. C.) 511 ,'clei5 0 R 104 Applicant is: Owner Contractor Description of work: g C91/94 Ov) 6 0 Construction Cost b Multi -Family Building: (Yes) / No ) Company: 5 Pi (Pc,.471t. Pg0PeAly cloli,,,t-"*Contact: 1trtea CONTRACTOR Address: 5114 6-1.-7 k v 4/ City: i)rookitti ti state: IIA/ Zip: 5Sq21 Phone: License #: 3L 6 3i? 6i 1 26- 0 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: NOTE: Piens and supporting documents that you submit are considered to be public intimation. Portions of the information may be classified as non-public if you provkle specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 413 hours before you intend to dig to receive locates of underground utilities. vow oopheiptatoonecall 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 Eaganr that I understand this is not a permit, but onlyanapplication 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 arid approval of plans. Exterior work authorized by a building permit issued in accordance wfth the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Page 1 of 3 toe, 411101 City of Baan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: 10C 1? Permit Fee: (Q 0 Date Received: 1 v 13 Staff: > �- 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commerciala pli ations Date: /3 A-- 26)4—Site Address: 3O3O -)eS fr. 4-4,e4 �Uw / 7 / Tenant: 'boa 1", Suite #: RESIDENT / OWNER Name: To4q `` S c // Y Phone: C 5- / R %�— 06 7/ _ Address / City / Zip: 3 03 0 S�' ell/ P i Jt" CONTRACTOR Name: ' --n ^- -16) k h 3 ' -- { '1 e '-14 License #: Address: 7 % VY t% 4C Al. '� 44-/P City: 6 a, e_ 6'0 ' / +� / State: / ' '' - Zip: X -r 0 (4 Phone: 6'5 (- 2 3 $ - 7 ° 2-- 6 - p, -�_ Q. Fes. ,1. � 1. Email t - ` -- Contact ~ TYPE OF WORK New >S Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL / Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank (_ Install / Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State burned out appliances, ductwork, etc.) (includes Surcharge) $5.00 State Surcharge) = $ TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank installation/removal $60.00 Minimum (includes (includes $5.00 State Surcharge) State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is less than = $ Surcharge - If the Permit Fee is > $10,010, Fee = $ TOTAL FEE (i.e. a $10,010-$11,010 Permit 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. x Applicant's Printed Name x Applic nt's Si = ' ature FOR OFFICE USE Required Inspections:. Reviewed By: Underground Rough In ' Air Test Gas Service Test In -floor Heat ina ate: HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA158487 Date Issued:10/16/2019 Permit Category:ePermit Site Address: 3030 Shields Dr Lot:080 Block: 00 Addition: Lemay Lake Hills Townhomes PID:10-44651-01-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Andrew Krohn 3030 Shields Dr Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature