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3040 Shields DrDate. -?' hoc C1F F ?? Permit No: y 7?? l s (./ Size: 42 [30 PW Knob Road Meter No: Date fox 21199 Reader No: 7 d an, MN 65121 Ra PC,I: Lela ay lumber =? Eta R3 500.00 d C.`. cc0009 ;onn. Chg: 15 . {2 l,?ta of 111 1111 kcct. Dep: li; . 0" of Eagan permit Fee: , 5 d I agree to comply with ttre City Surcharge: 15b . 0 Ordinances. Tr. Plant Meter. r By ?, r - Misc.: WATER SERVICE PERMIT CITY OF E"qAN ' SEVER SERVICE PERMIT 3W pilot Knob Road 9650 P.O. Box 21199 PERMIT NO.. Eagan, P" 55.1,21 DATE: 2-27-87 ZonirU - No. of Units: 6 -plea Owner. F.aypo Inc. Address: Site Address: 3040 Shields Drive #106 L10 B2 Le')'av Lk Hill Plumber. Valley Plumbing I agree to comply with the City of Eagan Ordinances. 100.00pd Connection Charge: 47% QQpd Account Deposit: t S 0Q j Permit Fee: 10 QQTd Surcharge: 5(lrtii BY Misc. C Date of Insp.: Total: _ Insp.: Date P, w OF EVAN Permit No: f, 4 4-9 i Pilot Knob Road Meter No. Box 21199 Reader Na. in, MN 55121 er. rZYPo, Inc. nn. Chg: 500.00 pd ct Dep: 15.0() d rmit Fee: 10.00 e, rcharge. . 5 Jod Plant 156. c1t)Dd ter. ?. Zoning: - No. of Units: Date: 2 - 2 7 -0 7 Size: Date: I agree to comply with the City of Eagan Ordinances. WATER SERVICE PERMIT I . CITY OF EAGAN Permit No: :W14 3830 Pllot•Knob .goad Date: ' 2 7• •c' 7 P O Box 21199, Eagan, 199• Meter No. ? Size 55121 Reader No: Date ?°Yan, -,AN ----------------- Owner. ='HYPO' Lic; Conn. Chg: 504, OOpd Acct Dep: I). OOpd Zoning: P3 Permit Fee: No. of Units: 5- Iex Surcharge: .50 d Tr. Plant ? -')b. JIJpa I agree to comply with the City of Eagan Meter. Ordinances. AA;-- CITY 3830 P.O- I Owner. Address: _ Site Address: Plumber. _ WATER SERVICE PERMIT d -SEWM SERVICE PERN PERMIT NO.: 64 5 DATE: 2-27-81- c Inc No. of Units: 6-plea I agree to comply with the City, of Fagan Connection Charge: Account Deposit: - Permit Fee: Surcharge: Misc. Charges: Total: ___ Date Paid: CITY OF EAGAN Permit No: Date, 3830 MI. ,+ nod Road Meter No. 37( L S y 9 Size: P.O. Box 21199 Reader No: o 7o 1 4 9 73 Date: 3' a " B 7 Eagan, MN 55121 taypo, Inc: Site Ve Hills Sao. otyAKT41'1`•Z '.' Conn. Chg: ffl 15 . (}t) r ! !??;2! ? its: TO er_ Acct Dep: G'q #[? ni Permit Fee: Surcharge: I tgk comply with the City of Eagan Tr. Plant 1- Ordiin`ances. Meter. Misc.: By? - SERVICE PERMIT CITY Ot: EJ"%N Permit No: Date: 2-27-37 3830 Pilot Knob Road Meter No: x_76 P.O. *x 21199 Size: S/?" Roc !L Reader No. (3.76 :Z`? ! Date: y3 - .2 - F7 Eagan, MN 55121 Owner. Site Ad Imc. B2• LeMav Lk nn. Chg: SU0. gftk d{? i l? tia zcrn s ctc. ' f ct Dep: rmit Fee: " 15. t 'No o fU X V 10 ! 0 d F - BY 1. rcharge u W to comply with the City of Eagan Plant r 156.00;r Ordinances. Meter. _ Al Misc.: - By? WATER SERVICE PERMIT V Eel, AN " SEWER SERVICE PERMIT Hot Knob Road x 21199 PERMIT NO.: 9647 lim ei.- - Plun I agree to comply with the City of Eagan Ordinances. By Date of Insp.: Insp.: 3830 P.O. Meter No: _ Reader No: 71?. Inc. Site Addi Plumber. Lk Conn. Chg: 500 • DQpd Zoning: R3 Acct Dep: 15 OOpd No. of Units: 6 rlcz Permit Fee: 10, 0ORd Surcharge: _50nd I a ree t l g o comp y with the City of Eagan Tr. Plant 156,0012d Ordinances. Meter. <q SQ^d By WATER SERVICE PERMIT Connection Charge: A7__ S - QQpd Account Deposit: i ; f}f}i_ Permit Fee: 1 n nn d Surcharge: Misc. Charges: Total: Date Paid: Date: 2--27-117 Size: Date: , CITY OF EAGAN 3830 PHbt Knob Road P.O. Box 21 Ug ; _ Eagan,,MN65121 Zoning: Address: Site Addr ' Plumber. " SEWtiR SERVICE PERMIT PERMIT NO.: DATE: - No. of Units: 0, -v 1 agree to comply with the City Ordinances. of Eagan Connection Charge: ? 75 OOD i Account Deposit: 1 5 ,S10Dd Permit Fee: ?nnd By Surcharge: r t i Date of Insp.; Misc. Charges: ?Insp.: Total: Date Paid: CITY OF EAGAN Permit No:'!A 3 '-3= D t 830 Pilot Knob Road Meter No. P _ e: a .O. Box 21 y 99 Reader No: Size: E8980, MN 55121 Date Owner. - a3fi0. Tnc, r3 Site Address U Shields Drive Al L Dal P B? Le??ay L D Zs lumber ep Plumb in Conn. Chg: 500.00pd CCLr ~ Acct Dep: 15.00pd Zoning: P Permit Fee: 10.0ppd No. of Units: 6 -plex Surcharge: . 50 Tr. Plant 136.0 ?nd t I agree to comply with the City of Eagan Meter. Ordinances. By--- WATER SERVICE PERMIT Conn. Chg: au u. v,;. a 3attiHg .;G r Acct Dep: 15.8 dit? tc?? a[?a+ie 6-ylex Permit Fee: 10•yftuou ?t Surcharge: • 5c ' N94 tolapiy with the City of Eagan Tr. Plant 156. Ordinances. Meter. 61- SL )Pd ' Misc.: By WATER SERVICE PERMIT CITY OF EAGAN Permit No: U= (495 Date: 2-27-87 3930 PfloTKnob Road Meter No: -3 Z 4`? S? Size: ??8 " 20? 7f P.O. Box 21199 Reader No: C 7 °7 41 ? Date: 3 - A - 87 Eagan, MN 55121 CITY OF EAGAN 3830 Pilot Knot noC Road - SEWER SERVICE PERMIT P.O. Box 21199 PERMIT NO.: 9649 Eagan, MN 55121 DATE 2-27- P r' Zoning: No. of Units: 6°nlex Owner. "--avyo Inc. Address: Site Address: 3040 Shields L,.r Plumber. Valley Plumbin- 10 -246 67115 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: Insp.: 100.00pd Connection Charge: 475()Dpd Account Deposit: 15 00pd Permit Fee: In UP, Surcharge: sq Misc. Charges: Total: CITY OF EAGAN Permit No, E4Q8 3830 Pilot Knots soad Meter No: P.O. Box 21199 Eagan, MN 591124 Reader No: Site Address: Plumber ?. Conn. Chg: 500, 00 Acct. Dep:_ 15.00 Dd f Permit Fee. 10.00 d Surcharge: .50 d Tr. Plant_ 156.0 d Meter. Misc.: Date: 2 --2 7--8 7 Size: Date: Zoning. R3 No. Of Units: F_ lex I agree to comply with the City of Eagan Ordinances. WATER SERVICE P 3830 pilot Knob Road Meter No: P.O. Box 21199 Reader No: d ?9 83 Eagan, MN 55121 CITY OF L..aAN Permit No: ry G Date 2-27-S7 Size: l Date: Z " Site Address: -- V lle Plum Plumber. c. s. ., . i 3 500.00 pd ."honing: ?, . Conn. Chg: G-nlex Acct. Dep: 15.100 No. of Units: Permit Fee: 14.00 . 50 t v `'' Itaxaf t Y with the Clty of Eagan Surcharge. 156.00 t nances. Tr. Plant Mme-14 Meter. By (?-may Misc.: WATER SERVICE PERMIT ,nob Road Meter No: Size: 199 Reader No: Date: 55121 Site Address: --W.? !-melds :'r 1-ve "1.,)4 Llie 7,1 ._e?- ag "III Plumber Vnllev Plutabir,i?,, Conn. Chg: Acct Dep: 500.00pd 15, 00yd Permit Fee: 10. 0ORd Surcharge: • 5012? Tr. Plant 156, OOnd Meter. 63 4A-' Zoning: t? No. of Units: 1 agree to comply with the City of Eagan Ordinances. WATER SERVICE PERMIT CITY G. °AGAN Permit No: Date: 3830 PRot Knob Road Meter No: X ;'"-? S Size: -421L a&-A P.O. Box 21199 Reader No: -70.2 q ,Zf Date _3 Z ?7 Eagan, MN 55121 Owner. ayno Inc Site Address: 3040 Shields ; aye "1 Q4 T ?? r T , s Conn. Chg 500, 00 `i ohi4 fR P-3 Acct Dep: - T- nits: 1 _ n . e.- Permit Fee: 1 Surcharge & ee to comply with the City of Eagan Tr. Plant r..: Ordinances. Meter. , A ' r -- Misc.: BYL t Vr -? WATER SERVICE PERMIT s CITY OF FAGAN SEWER SERVICE PERMIT 31 ID flif Knob Road O. Boa"21I" PERMIT NO.: li4 MN 55121 Zoning: r? DATE: 2-27-$7 5-plex F No.otUnits: Owner, ypo Inc . Address: Site Address: 30 0 Shields drive X104 L10 E2 LeMa Lk lilills Plumber. Valley Plumbino I agree to comply wfth the City of Eagan Ordinances. l` By Date of Insp. Insp.: Connection Charge: 475 _ nQP1C Account Deposit: t 5 pD,ya _ Permit Fee: Surcharge: t,a t Misc. Charges: Total: Date CASH RECEIPT r CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 14 RECEIVED T - FROM AMOUNT & DOLLARS +oo CASH ['CHECK FOR •1-1-F-?+- j1i?t/N FUND CODE AMOUNT Thank You White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT. I? 'CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ?OATE 19` RECEIVED !J FROM AMOUNT $ & DOLLAR ? CASH ? CHECK I, ? 444 V FOR / D __.QJO D E A M OU N T i L Thank You BY 71'n- White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAC'.N, MINNESOTA 55122 RECEIVU0 - ° FROM 13 AMOUNT $ DOLLARS Sao ? CASH ? CHECK FOR White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIN 01-5210 Bldg. Permi t' 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 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 CITY OF EAGAN d } (" "a ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` " 12721 ,. PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 6 UNIT M. D . Est. Value $317, 000 Date u b OCTOBER 2 '19 Site Address 3040 SHIELDS DR Erect Occupancy 1 Lot Ia Block 2 Sec/Sub. LEMAY LAKE HILIkemodel ? Zoning L'U I I Parce o Repair 0' rl'r,0rr P,5 ? Type of Const Via . Addition ? No. Stories PJ.BERT C X F-UPF Move ? Length 120 $ i Name 7101 FRANCE AVE SO Demolish ? Depth n o Address 920-8831 EDINA Int Impr. ? Sq. Ft City Phone Install ? = o Name ::: YPO CONST Approvi $ ¢ Address ;r1 'It Assessment _ ON Phone Water & Sew. a F = Name Police Fire o Address En g. W i City Phone Planner Council I hereby acknowledge that I have read this application and state that the 10/2/86 Bld Off information Is correct and agree to comply with all applicable State of g. . Minnesota Statutes and City of Eagan Ordinances. - APC r V D t ? Signature of Permittee REYPO COMtST r . a a e Permit -? .7 i =' • Jv Surcharge 158.50 Plan Review 487.75 SAC 3, 450. UO Water Conn3 . 000. 00 Water Meter N/A Road Unit 1r740. 0 0 Tr. PI. 936.00 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 =K ` ?- Permit No. Permit Holder Dale Telephone M Pruribtrig 1;2 0 H.YA.Z. l? ! W ll ! ( ?j ?o Electric it E -T--A) " L 76/ tAL-,f Sotlener Inspection Data Imp. Comments Footings I 6 Footings 11 Foundatlan Framing .2 Roofing Rough Plbg. Rough Htg. Insul. Fireplace Final Hig. 7 • ,!? Final Plbg. -/S r Mdg. Final Cert. Occ. Deck Fig. Deck Frmg. Well Pr. Disp. 10/2/86 SITE ADDRESS f-6c 1&".a -W 67 71,-g7,5, &Ae,,4 3040 SHIELDS DR 10 2 L B Sect. /Sub. 0?/a cc 12721 Unit # Permit # LEMAY LAKE HILLS INSPECTION DATE INSPECTOR OTHER FRAMING ,,- ROUGH PLGG. /, - ROUGH HTG. 1s114l$4 INSUL FIREPLACE - _ 77777 FINAL NTG. s - - y7 FINAL PLGG. = S _ g UNIT FINAL sue- r - y ?`°?, CENVOCC 102 INSPECTION DATE INSPECTOR COMMENTS r--,•s.: :E'..i ?F,Mfg.:_.f 'TR'.,f`r .-yi, L.., •'u{ a'k .'. ?. .y, >,f . ,r: ?7" +. _ "r 'a. `?.1 ?!'?:?• - 11 ? PERMIT # ' MECHANICAL PERMIT RECEIPT # 0 -? CITY OF EAGAN ?? 3830 PI LOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: ,.,' PHONE 454-8100 Site Address Lot Bloc k Sec/Sub ; -- n CZ? BLDG. TYPE ., ; WORK DESCRIPTION r-v R m Name es. New M l ?- Add t -on u Addr r i r Comm. Repa c City J Phone O ' . i ther Name 1 FEES C Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMMAND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM ov BEYOND $1,000.00) Gas Piping Outlets # = Oilier FEE tf i , SIGNATURE OF PERMITTEf= " SAC: / 5 J TOTAL- FOR CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # l CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE _ 2 42 CONTRACT PRICE 7 PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Su b ` - • Res. New Name Mutt Add-on Address Comm. Repair c city Phone ` Other Name N FIXTURES W t r Cl t - $3 00 TOTAL W Address a e ose . ??th Tubs - $3.00 p City Phone Lavatory - $3.00 Shower - $3.00 JF Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains - $ .50 s MINIMUM - COMM/IND FEE - 20.00 $11.5 .50 Water Heater STATE SURCHARGE PER PERMIT - .50 . Whirlpool - (ADD $.50 S/C IF PERMIT PRICE GOES in Outlets - $1 :x:GaS Pi 50 BEYOND $1,000.00) p g . Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 = Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: ` 4 ?? FOR: CITY OF EAGAN GRAND TOT AL- 10/2/86: f el ft-- icmc '?C? '710 *& 1--V51 6 ??/O•00 SITE ADDRESS 3040 SHIELDS DR 105 Unit # Permit 12721 10 B 2 Sect./Sub. LEMAY LAKE HILLS INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBB. .271-f? ROUEN HTG. 13 6 S4 gez-- INSUL FIREPLACE FINAL HTG. s-: -r 7 FINAL PLBB. 87 UNIT FINAL CERVOCC INSPECTION DATE INSPECTOR COMMENTS 10/2/86. 3040 SHIELDS DR 106 12721 SITE ADDRESS Unit # Permit # L 10 B 2 Sect/Sub. LE1 AY LAKE HILLS INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLI6. ROUEN HT6. ?y f4 INSUL / --2 FIREPLACE FINAL HTG. y CP , FINAL PLIG. UNIT FINAL s Y 7 CERVOCC ?? 7 C'O INSPECTION DATE INSPECTOR COMMENTS 10/2/86: SITE ADDRESS 3 04 0 SHIELDS DR Unit # 104 Permit # 12721 L 10 B 2 Sect/Sub. LEMAY LAKE HILLS INSPECTION BATE INSPECTOR OTHER FRAMING 6 ROUEN PLBG. o? - // - 9-G 1 ROUGH NTG. />14 Z8,c INSUL zz) B FIREPLACE FINAL HTB. S 7 FINAL PLBG. ?7 UNIT FINAL S` Y 9 CERT/OCC INSPECTION DATE INSPECTOR COMMENTS 10/2/86 SITE ADDRESS 3040 SHIELDS DR L 10 B 2 Sect/Sub. 103 12721 Unit # Permit # LEMAY LAKE HILLS INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLOD. ROUGH HTIL INSUL FIREPLACE FINAL HTG. FINAL PLGG. UNIT FINAL S? - -zr 7 CERVOCC S • ,??. 7 C°_ . INSPECTION DATE INSPECTOR COMMENTS 10/2/86• SITE ADDRESS 3040 SHIELDS DR 101 12721 Unit # Permit # L 10 B 2 Sect/Sub. LEMAY LAKE HILLS INSPECTION DATE INSPECTOR OTHER FRAMING _ 26 - Lq? ROUGH PLBG. ROUGH HTG. INSUL l - -- ?J Lv C7 FIREPLACE FINAL HTG. 5 ;zz- r 7 (? . FINAL PLBG. %5 d 7 UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS - 4v . (Urtif irott of (Orrupaury eitp of (eagan ltva 'btlm of WROt g iWertim 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 the following., Usc CLs66auon 5 UNIT >? . _ i &ag. pr,n;, No, 127 ,t OauMay Type F` Zoning District Type Cones. r ?ii.PFF% l _ r: c• Owner of Building Address . Building Address ± lOU ry ^`s Date: a BuMing Official POST IN A CONSPICUOUS PLACE TOWNHOUSE CITY OF EAGAN 7 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12 CC J 15 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 5 UNIT '9.D- Est Value $487,000 Date AUt;U.:; T 28 tg t36 Site Address 3U50 SP I4ELDS DR Erect Occupancy 'l 's Lot Block LaIAY ?- Sec/Sub. LAKE HILA&odel C3 Zoning Pr) l Repair h ? Type of Const c;.. Parce Cm.r.? ra Jn Addition ? No. Stories ALBERT C KEMPF Move ? Length '6 U Name 54 z 7 D1 FRANCE AVE SO Demolish ? Depth Address Int. Im r ? Sq. Fr o Namex ?OK;T r O ¢ Address ~ City Phone ?a W W Name Address i Wz City Phone I hereby acknowledge that I have read this applicati information is correct and agree to comply with all Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee REYPO G Water & Police _ Fire - Eng. Planner Bldg. Off. APC Var. Date Permit $ 1,400-5C Surcharge 243.5C Plan Review 725.25 SAC 4, 600.OC Water Conn.4 , 000.OC Water Meter N A Road Unit 2 r 3 2 0.0fC Tr. PI. 1,248.0( Parks NSA Copies *14,537.2t Total A Building Permit is issued to: "`."'t% "`? `??? 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 r Permit No. Permit Holder Date Telephone M Plumbing ?7751? U /o io Electric s U Softener Inspection Date Insp. Comments Footings l ?o Footings 11 Foundation Framing Roofing Rough gh Plbg. Rough Mg. _ Insui. Fireplace Final Hig. Final Plbg. Bldg. Final S--ert face. Deck Fig. Deck Fnag. Well Pr. Dlap. i ?:r.? 4.,1'?u•,?c. - ??.??„?, %?le.•?,t? Y viz a Cgrrtifiratr of Mrruvanry Citp of (Cagan 11?Rrb"w of sunwo jwtrtwn This Certtfwate 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 the following. U" CWsifi.U,,n LINTY M.D. Bldg. ebrmit No. 1? - OccnWay Type R! Znniuj District Type Com i,FL+ !:1ISi F.. AT o of Buitdiug .`? C. Add= BoiWing Address M% Si.i Iaality 1 40141- 31 rr»ay/..A,tce J/S io,w,HUo+cS Budding olfical POST IN A CONSPICUOUS PLACE PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE BRACT PRICE: f.G PHONE: 454-8100 Site Address Lot Block m Name y- Address c City 2.<. m c 3 O Name •` Address City - Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE -$10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 SIC IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New m Mutt 1. Add-on Comm. Repair Other NO. FIXTURES TOTAL __y _Water Closet - $3.00 $_ (Bath Tubs - $3.00 Lavatory - $3.00 --L --Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 c?.a_Floor Drains - $1.50 -Ar-Water Heater - $1.50 Whirlpool - $3.00 = Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE y' STATE S/C: GRAND TOTAL s PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN y 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION at Block Sec/Sub r /17 //Ir4, N w R Name ea e ll Add-on M u Address Repair Comm E City J Phone . Other Name FEES W Address RES. HVAC 0-100 M BTU -$24.00 R: City ° Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ORK ?N i j F ADDITIONAL 6 M BTU _ 6.00 TYPE OF W ly ?• GAS OUTLETS 1.50 EA Forced Air M BTU ? s COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other , FEE ' O SIGNATURE OF PERMITTEE S/C: TOTAL '?? ?/? FOR: CITY OF EAGAN SITE ADDRESS 3050 SHIELDS DR Unit # 101 Permit # 12535 L . 'A 7. T.F.MAV T.AKF T-iTT.T.G TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC C? i = $ INSPECTION DATE INSPECTOR OTHER FRAMING a -,3- 97 ROUGH PLBG. J--?r ROUGH HTG. _ 7- g? INSUL _ ?6 ??r? FIREPLACE FINAL HTG /- !Q FINAL PLBG ?( GT ri?e?1C1 . UNIT FINAL CERTIOCC .?y INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3050 SHIELDS DR Un?t# 102 L MA LAKE HIED Permit # 12535 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. 97 ROUGH HTG. _ INSUL ?d FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC ?. _?? INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3050 SHIELDS DR Unit # 103 Permit # 12535 TYPE P R I # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC /,,4 7 INSPECTION DATE INSPECTOR OTHER FRAMING -3 - ? ROUGH PLBG. 77 L, ROUGH HTG. 7 INSUL ;7 FIREPLACE FINAL HTG 1119A1 7 Q? FINAL PLBG UNIT FINAL CERT/OCC // .2 INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3050 SHIELDS DR Ifm # 104 Permit# T. . _ R T.1TM21V T.SY hlrTTU- 12535 TYPE PERMIT# PERMIT CONTRACTOR DATE TELEPHONE# PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING _3- 97 ROUGH PLBG. ?7 -G ROUGH HTG. -r 7.g 7 INSUL _a6 7 w FIREPLACE FINAL HTG zr? & FINAL PLBG UNIT FINAL CERT/OCC ,?/ e?? INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3050 SHIELDS DR uu ??tt 105 Permit # 12535 LAKE HVm.s TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC 7 G . C? U INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. t j g7 ROUGH HTG, a- - 97 INSUL d 7 lJ FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERVOCC f ?y ?? INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3050 SHIELDS DR ()? 106 Permit # 12535 T. 9 _ R 7 _ T.PMAV T.AKP ?iTY L` TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC IIIX;7 INSPECTION DATE INSPECTOR OTHER FRAMING -- 3. 7 ? . ROUGH PLBG. - ? ?7 nn ,CJ, ROUGH HTG. g7 , INSUL - a6 8 ;7 Ce,? L1? FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERVOCC /,/ ?? INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3050 SHIELDS DR Unit # 107 Permit # L 9. R 7. T.RMAV T.AlWV T4TT.T.C 12535 TYPE PERMIT# PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING _ ROUGH PLBG. ROUGH HTG, _ 97 INSUL d -,D6 -6-7 ltd FIREPLACE FINAL HTG , 2y FINAL PLBG 7 --4,? - r § gild &(k2 &?&x UNIT FINAL CERT/OCC / ?- INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3050 SHIELDS DR Unit # 108 Permit M 12535 T. Q n 7 T_PURV T XVV UTT T Q PE PERMIT N PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC -//Ay 7 Cv a G C% INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. -= 8 r ` D^?/- ?G A, e? L(^G ROUGH HTG. 8 INSUL a - 6 -,?,7 0A FIREPLACE /e-17• j?7 A, FINAL HTG //u ?j 0 p fp FINAL PLBG - UNIT FINAL ?p 'j0 Q CERVOCC INSPECTION DATE INSPECTOR COMMENTS INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: : „, ?, ,; I ?„ APPLICANT: .?.iii ; ? ?, !?N rii ?„ ?+, I FM AV LAF- U M II I , Ic?I•INIMMi '. (n!:'? ?,?N ?,3H I:?r ? I t? I rt, N I 0 1 i t '?' PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. F L Permit No. Permit Holder Date Telephone • S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. [Sul. Fireplace ?f1s T Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. This request void 18 months from Cl r!i C 71086 4v 88S5 -flequired? ?Ready Now (30 Will Notify. InsPec- 12 /4/86 ®yes ?No for When Ready [}? Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Boa or Route No. City 3040 Shields Drive # 105 Eagan action No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Raypo Inc Power Supplier Address Dakota Electric FARMINGTON Electrical Contractor (Company Name) Contractor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Instailationl 36 ennebec Drive Eagan orize Signature (ContractodOwner Making Installation) Phone Number j . ---- l! James Harvey 452-1565 Ml STATE BOARP-66E LECTRICITY THIS INSPECTION REQUEST WILL NOT Grigg.-Ili) av Bldg. -Room N•191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1921 University Ave.. St Peul. MN 65104 Phone (612) 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee--0?0001-05 See instructions for completing this form on beck of yellow copy. r -7&i&Q r, "X" 8etow Work Covered by This Request of Building Appliances Wired Equipment W flange- Temoorarv Servi is g Fee Service Entrance Size # Fee FeedererSubfeeder5 a Fee Circuits 0 to 200 AMPS 0 to 30 Amps 10 0.00 0 to 30 Amps Above 200 Amps $ $, 00 31 to 100 Amps 31 to 100 A Swimming Pool Above 100_Am s Above 100-Amps Transformers Irrigation Booms Partial Other Fee 613 395 Special Inspection ?s TOYALF eLrks 1 ., / . 40.50 nwY?„?„ ?? ?G I, Lhe r Inspector, hereby ? certify that the above Final r / a inspection has been made. This request void ?a/s/?/- ((? Fj'?sJ I a months from -7 C 7108 11,/0 /? Z %1Prul /hzlha ?GG???GJrGO Request,Uale Fire No. ' iRoug h-iit Inspection Reqw red? []Ready Now ® Will Notify, Inspec- 1214/86 12 Yes ON. for When Ready [Licensed Electrical Contractor I hereby request inspection of above 0 Owner electrical work installed at: Street Address, Box or Route No. City 3040 Shields Drive # 106 Eagan Section No. Township Name or No. ange o. County Dakota Occupant (PRINT) Phone No. Raypo Inc Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Installation) 3600 Kennebec Drive Eagan A on ad Signature (Contractor /Owner Making Installation) Phone Number - MI / ESOTA STATE BOAR .QF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Ofi"ggs-Midway Bldg. - Apom N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave. 81. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0600 - ENCLOSED. ??4G REQUEST FOR ELECTRICAL INSPECTION of% /EB--000001-as See irratru 11ona for completing this form on back of Yellow copy. [r:•' 9 00`1 .J f Q 7 "X"• Below Work Covered by This Request riAddl Rep-' Type of Building 1 Appliances Wired ' Equipment Wired Home Range' - - Temporary Service Ik g Fee Service Entrance Size R Fee Feeders/Subfeeders a Fee Circuits 0 to 200 Am s 0 to 30 Am s 0 30.00 0 to 30 Amps Above 200 Amts .00 31 to 100 Amps 1 5.00 31 to 100 A swimming Pool Above 100_Amps Above 100_Am Transformers Irrigation Booms Partial, Other Fee m gas bpeclal inspection $ Remarks 40.50 TOTA EE 16339 4AV 1• the E1971ricel / l - n1 t4loo Inspector" hereby ?/rC7?mccr certify that the above Final e-??°?" -`? eter,?? inspection has been made. This request void .. months fromld C ,710 8 2 G /7 rr Request O,te Fire No. Rofgh-in Inspection Regmretl? O Reatly Now Will Notify Inspec- 12/4/86 Yes []No for when Ready K) Licensed Electrical Contractor I hereby request inspection of above 0 owner electrical work installed et: Street Address, Box or Route No. City 3040 Shields Drive # 101 Eagan Baron o. Township Name or No. ange o, 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 Installation) 36 Kennebec Drive Eagan A oriz Signature (Contractor Owner Making Installation) Phone Number i James H e 452-1565 MIMNESVTA STATE BOARD OFEL/ECTRICITV THIS INSPECTION REQUEST WILL NOT Grigg9-Midway Bldo. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. /g/" /qG REQUEST FOR ELECTRICAL INSPECTION EB-00D0" See instructions for completing this form on beck of yellow copy. ?P0 a JJ ?r _•? Q -4 "X" Relow Work Covered by This Request Mewl Add! Rep.! Type of Building Appliances Wired ' Eeuipment Wired Home Ranqe - - Temoorarv Service N Fee Service Entrance Size a Fee FBeders/Subfeaders 0 Fee Circuits 0 to 200 Amps 0 to 30 Amos 0 30.00 0 to 30 Amps Above 200 Amps 1 5.00 131 to 100 Amps 1 5.00 31 to 100 Amps Swimming Pool Above 100_Am s Above 100-Amps Transformers Irrigation Booms .50 Partial 'Other Fee Signs I Special Inspection L TOTAL FB?? erre.ka 9 40.50 a •tL% j1. the . Electrical e / ?.fJ? Inspectortor, hereby certify that the above Final DateO inspection has been t ! nmde. This request void 1S months from o% C 710-8 3 Request Date / Fire No. Rough-in Inspectian /RegwretlP ?Ready Now [? Will Notify. Mspec- 12/4/86 ®Yes ?No for When Ready ? Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work instal led at: Street Address, Box or Route No. City 3040 Shields Drive # 102 Eagan ecuon o. Township Name or No. ange No. County Dakota Occupant (PRINT) Phone No. Ra po Inc. Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contrartor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Installation) 3 Kennebec Drive Eagan A oriz Signature (Contractor/UWner Making Installation) Phone Number James Harve 452-1565 Mlf{NESOTA STATE BOARD OF,EIICTRICITY THIS INSPECTION REQUEST WILL NOT Gri?ggp((Mldwey Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1921 University Ave.. St. Paul. MN 55104 Phone(612)642-0900 ENCLOSED. /o2js??'Cp REQUEST FOR ELECTRICAL INSPECTION Ee-00001-05 See inatruetions for completing this form on back of yellow copy C -71 & n "X" Below Work Covered by This Request New Add Rep. Type of Building Applieneea Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures X Apt. Building Dryer Electric Heating Commercial Bldg. Furnace '?- Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm then pe.v lh 1SISpedfyl t nr Veci y Other Other Compute Inspection Fee Below g Fee Service Entrance Size N Fee Feeders/Subfeeders N - Fee Circuits 0 to 200 Amps 0 to 30 Am s 0 30.0 0 to 30 Amps Above 200-Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 _Amps Above 100_Am ' Transformers Irrigation Booms .50 Partial,'Other Fee Signs Special Inspection s T T Re mnrks t 1b 3:3 9 40.5 O A E C L Q Rough-in inal t 172 117141 -ZI) Oate ,?ff PP Date /` Z ?Q +J I, t Elacaril`al Inspector, hereby certify that the above 'na pection has been made. This request raid 18 months from r This requ 18 months C 1-11 4 & 3'CY.5g' $410.00 Ran vest ) to I F,,. No . ?,Repuhedd,lnspection ?Ready Nowg] Will Notify, Inspec- 12/4/86 K]Yes ?No for When Ready 10 Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Box or Route No. City 3040 Shields Drive # 103 Ea an action No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Raypo Inc Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractor-s License No. Hilite Electric 40445 Mailing Address (Contractor or Owner Making Installation) 0 Kennebec Drive Eagan thori at Signature (Contractor/Owner Making Installation) Phone Number James Harve 452-1565 M INAESOTA STATE BOARD ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 1EBO-0001-05 See instructions for completing this form on back of yellow copy. !PO i7 .?J C `? ( I; r', W rk Covered by This Request Type of Building I 'IIIIIIIIIIIIII11pnce3 Wired I Equipment Wired ce Bulk Mi a Fee Service Entrance Size fl Fee Feeders/Subfeeders g Fee circuits 0 to 200 Amps 0 to 30 AMPS 0 30.00 0 to 30 Am Above 200 Amps 1 5,0Q 31 to 100 Amps J-- 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Am s Transformers Irrigation Booms Partial.'Other Fee L? Signs Special Inspection ?s remarks 40.5J0 TOTAL F 16339 trn-??, I, the " ctr i c _ / Inspector, eraby certify that the ab.y inspection has been 51dam` MUMST FOR ELECTRICAL INSPECTON /EBp-00001-05 1' See instructions for completing this form on back of yellow copy. CG rJ ?J?a; X" Below Work Covered by This Requesi Hdd Rep. type of Building Appliances Wired Equipment Wired Home Range Tmporary Service Duplex Water Hoinwr ghting Fixtures x Apt. Building Dryer ic Heatm C ommercial Bldg, Furnace lo Unloader Industrial Bldg. Air Conditioner lk Milk Tank -A I N Fee service Entrance size o Fee Feeders/5ubfeedera M Fee Circuits 0 to 200 Am s qm s 0 t 0.00 0 to 30 Amps Above 20 mps 1 5 , 00 31 to 100 Amps oo 1 5 00 31 to 100 Amps Swimming Pool Above 100-Am s Above 100-Amps Transformers Irrigation Booms '.50 Partial 'Other Fee signs Special Inspection S Remarks 16339 65.50 TOTAL F S A?/ flgogh-in []ate .... ( j ' /0 I, the Ele bical ? Inspector, e y Final yr fy'? O I @eO pn (I'` '? ( certify that the above inspection has been made. this request void 18 months from This request void 1 /'5/G& H months from O C 71085 /- io ,,m?N ??' ;5-4'0'e;0 Request Dale I 'I -- ] Fire No, l ough-in Inspection Requ red? ?Ready Now W Will Notify. Inspec- 186 t 12 Yes ?NO for when Ready Q Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. 3 City ec O. Township Name or No. Range o. County Dakota Occupant (PRINT) Phone No. Raypo Inc Power Supplier Address .Dakota Electric Farmington Electrical Contractor (Company Name) Contractor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Instapation) 36 0 Kennebec Drive E A oriz it Signature (Contractor Owner Making InstallaHl Phone Number - / ?- . J es Harvey 459-1965 THIS INSPECTION REQUEST WILL NOT MIN OTA STATE BOARD ELECTRICITY Gr "a-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. FOR RENT UNITS CITY OF EAGAN NO 1272 t-own;jpuse' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 62/z r BUILDING PERMIT PHONE: 454-8100 Receipt N ! Tobeusedfor 6 UNIT M.D. Est.Value $317,000 Date OCTOBER 2 1986 Site Address 3040 SHIELDS DR Erect 1?3 Occupancy Rl Lot 10 Block 2` Sec/SubLEMAY _ . LAKE HILLISemodel El Zoning PD P l r ? l t? Repair El Type of ConsL {} ar ce o . Addition ? No. Stories ALBERT C KEMPF Move ? Length 120 W Name Demolish 11 Depth 6? o 7101 FRANCE AVE SO Address Int. Impr. 11 Sq. Ft pity EDINA Phone 920-8831 Install ? • o Name REYPO CONST Approvals Fees =00 uQ ua W W xd a Wi a Phone Assessment Water & Sew. Police Name Fire Address Eng. Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appli ble State of Minnesota Statutes and City of Or In Signature of Permittee A Building Permit is issued to: REYPO CONST all work shall be done in accordance with alfapplicole State of Mi nesc Planner Council Bldg. Off. 10/2 /86 Var. Permit $ 975.50 Surcharge 158.50 Plan Review 487.75 SAC 3.450.00 Water Conn3 • 000.00 Water Meter N/A Road Unit 1,740, 0 Tr. PI. 936.00 Parks N/A Copies Total $10,747. 5 on the express condition that and City of Eagan Ordinances. Building Official ?Iqlq 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside plumbinq on the same application, separate applications and peunits are required. Date 1 l l AA '?,}k? 1' ?/ Site Street Address OLtci O? `? vlw "' • ' Unk # Property Owner ?V9cu-cunt Telephone # U05o WLLW-??- Contractor kEWAml him J Telephone# ( )uu?•? )Ii I V- Address , City State Zip The Applicant is: _ Owner & Occupant Y Licensed Plumbing Contractor Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin 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. H you installing only a water softener and/or water heater, do not complete thi n r? ?I move to the next section and place a checkmark next to the appliance(s) installing. ?E -Septic System Abandonment IU O 2Qp7 1 -Water Turnaround (add $136.00 if a 5/8" meter is required) gy Other: Water Softener Water Heater $ 15.00 new _ 1100 replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge .50 $ Total I $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. PERMIT M ?gg1i CITY USE ONLY RECEIPT DATE: '2-1-0 RESIDENTIAL MECHANICAL PERMIT APPLICATION crrY OF iEAem 3830 PILOT KNOB RD EAeM MN $518E 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITEADDRESS: JC44C) f)k ct5 ` rj,)e_ # I/OLD OWNER NAME: Xn re ? br TELEPHONE #: _?0 5 ? -9Sloy T- n YY\ 1?( (AREA CODE) INSTALLER NAME: 1 O?/1 1? l _y If_+ TELEPHONE #: rI S .'? -? 3 3 (AREA CODE) STREET ADDRESS: I? XC) j hClf v , f3/ , ) CITY: K -1 rn(?1 STATE: rr _ ZIP: 55?VIVI Place a check mark next to the permit work tvue New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: fl° QDL .(_MpJ v °? i 5rit? N State Surcharge $ .50 Total $ 5o O Reminder: Call for inspections. l1 0 NNATURE OF PERMI TEE Updated 1/01 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMRRCUL MECE ANICAL PERMIT APPLICATION CITY OF KA6AN S$SO PILOT KNOB RD KAO", INN 551 EE 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE #: - (AREA CODE) CITY: STATE: ZIP: WORK TYPE: New construction Install U.G. Tank - Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work When installing/removing underground lank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01 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 V FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND UhIITS IoI,?oZ,io3JD4,ioS,io6 To Be Used For: Site Address 11-1q Lot 10 Block OF SURVEY - CHECK WITH BLDG. DEPT., & STRUCTURAL PLANS, SET OF 3) 7 0ar? Valuation: 2 ` Date: 9-1 Erect ? Occupancy R1 Parcel/Sub F M/' ( ICE 41l- 5 Owner 1 {fit r C (?//???v? Address I ?y(,{ r?G` fiC?K S . City/Zip Code Phone Q l -?-b Contractor a-t cc-v" Address City/Zip Code Phone 9-a-b - S % -t) Arch./Engr. Address City/Zip Code Phone U Remodel Zoning Repair Type of Const Addition # of Stories Move _ Length /ZO Demolish Depth ?v0 Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit 9 7K 5-° Water/Sewer Surcharge /S$ 5,0 Police Plan Review 7 ??3 Fire SAC ?,L D Engr Water Conn Planner Water Meter A. Council Road Unit 7 Bldg Off -/2 Treatment Pl 9?6 APC Parks Variance Copies TOTAL flJ 7` 2j NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. CERTIFICATE OF SURVEY FOR Scale: 1" a 30' o Denotes Iron lion. 879. ? LANE S00001'1 I" W 8 2.44 Y679.0 /2. so 7.49 SHIELDS DRIVE Sanitary Sewer ]overt Elev. = 879.6 LLo"esb iNV, LEGAL DESCRIPTION Lot 10, Block 2 LEMAY LAKE HILLS Dakota County, Minnesota MERILA & ASSOCIATES, INC. ENGINEERS, SURVEYORS, SITE PLANNERS 1601- 67th Avenue North - Brooklyn Center, Minnesota 55430 Telephone: f612) 560-2660 LEISURE 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, if any, thereon, and all visible encroachments, if any, from or on said land. As surveyed b. me this "G day of-L- exrnyixEt, 19? 17/ .` "'4? 'I_ Minn. Reg. No. ZZS Job No. ( Book - Page CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: CP,W ? q i/11lq§ BUILDING 025048 01/17/95 SITE ADDRESS: 3040 SHIELDS OR LOT: 170 BLOCK: 1 LEMAY LAKE HILLS TOWNHOMES P.I.N.: 10-44650-100-02 DESCRIPTION: FIREPLACE NEW c' rj REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - MEDENIS JAMES 3040 SHIELDS DR 106 EAGAN MN 55121 (612)688-2538 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 Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE (GAS) Building ...Permit Type Building Work Type i j 1 L.. / f ISSUED B SIG URE I J CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS: LOT: 170 BLOCK: 3040 SHIELDS OR LEMAY LAKE HILLS TOWNHOMES 1 APPLICANT: MEDENIS JAMES (612) 688-2538 BUILDING 025048 01/17/95 L PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS) CITY OF EAGAN 3830 PILOT KNOB RD - 55122' 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) jw M 1 681-4675 ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured Ind. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 1 tree preservation plan if lot platted after 7/1/93 required: _Yes _ No DATE: 01 7 p I ?s CONSTRUCTION COST: DESCRIPTION OF WORK: /PS` 4tL M64T-N-61o it/K'`E&/465 &? Gf}S?lNts? STREET ADDRESS: 30 y0 sy/c -s Q+e• 10? LOT jL BLOCK SUBD./P.I.D. #: -? P k o.,I Xld _ I (}44hJIL PROPERTY Name: M 66610 S Phone #: 6 ??1a5 3 0 OWNER 30yo #/O 6 Street Address City: &J State: >?N Zip: S- CONTRACTOR Company: Phone #: Street Address: License #: City: ARCHITECT/ Company: Phone # ENGINEER Name: Registration #• Street Address- City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Penalty applies when address change and lot is correct and agree to comply with all 4 1 ,./1 A Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 Multi (additional) ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units APPLICATION FOR PERMIT CITY OF EAGAN SEWER AND/OR WATER CONNECTION MOTE: PPO WlT OF FEE AT TIME OF APPLICATION DOES NOT CONSTIR M APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. (Please Print) ••1) PRO PERTY ADDRESS: 0- ? p zd-? J/•P LEGAL DESCRIPTION: - (Lot/Block/Su division or Tax Parce ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: " i bn Ye ar ) ... PRESENT ZONING/PROPOSED USE: (N Q M,ZTRCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY ? INDUSTRIAL ? R-2 DUPLEX (Two Units) ? INSTITUTIONAL/GOVERAII= R-3 TOWNHOUSE (Three + Units) (-Units) ? R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: Uxy-- „<,?, • 3) u m w• For City Use- p NAME:- Plumbers License: ADDRESS: ?v Active CITY. STATE, ZIP: 5 Z Expired Not recorded PHONE: } s? / MAS TEd LICENSE# !> ap ?7 yy d al 4) ' •.. • ?• NAME: ADDRESS: CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER 17?f 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, ABO VE 7) r n u d lG% po?/V Yh .. (Circle one) rst?w l _ 11 FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /D-S? $ $ /D • S? $ $ $ $ $ $ $ `J 7S ' U y $ $ $ $ /6-L n $ $ /?3/0-0 $ Z/cam 6 7// s` _7/6 " RECEIPT RECEIPT SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ?G'3 ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL 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 CONDITIONS: APPROVED BY: TITLE: ?7 7 DATE: ?" . oc 7 TOR CITY USE ONLY PERMIT # ISSUED Pd W/Bldg. Permit FEES: $ $ id S? SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ / 3,Sl ? 9`) ,3$ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER G v } 0 $ $ ACCOUNT DEPOSIT - WATER/ $ D $ WAC $ c? 7 s U $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ S (;r© $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 2 7? A efr $ 0-7) TOTAL G 7// S 7/0 RECEIPT RECEIPT #- DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO Q DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: DATE: /7- ?J / CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION • - x,.==:?,?xxxx,.x,.,.xxxx,.,?xx,.x?,?xx??,.x,.,. Please Print) PROPERTY ADDRESS:? LEGAL DESCRIPTION: - Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: n Year) CODP7ERCIAL/RETAIL/OFFICE INDUSTRIAL ? INSTITUTIONAL/GOVERNMENT 2) 1+ v? NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) u i:: NAME: ADDRESS: c i CITY, STATE, ZIP: PHONE:s//•?j'_ Z-171-- 4) re '*a 14 2?gI NAME: ADDRESS: CITY, STATE, ZIP: PHONE: ErCONNECTION TO CITY SEWER q j CONNELTION TO CITY WATER ? OTHER 6) ® PLEASE BOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - - ? PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE ? (Circle one) 0 R-1 SINGLE FAMILY ? R-2 DUPLEX (Two Units) ( R-3 TOWNHOUSE (Three + Units) (Units) R-4 APARTMENT/CONDOMINIUM ( Units) Active L1 ? ' Expired Not recorded LICENSE# .yO 7 K9 St Initial NOTE': PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CDNSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. CIT'V OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTS: PAYMENT' OF FEE AT TIME OF APPLICATION DOES NOT CONSTI4 = APPROVAL OF PERMIT. (Please Print 1) PROPERTY ADDRESS: a p6) 1l7 3LQ? LEGAL DESCRIPTION: " Lot Block Sub ivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT'ISSU'ANCE: i } (Month/Year PRESENT ZONING/PROPOSED USE: CA•IPERCIAL/RETAIL/OFFICE r( INDUSTRIAL INSTITUTIONAL/GOVE WIENr 2) NAME: ADDRESS: 0 R-1 SINGLE FAMILY Q R-2 DUPLEX (Two Units) 14t R-3 TOWNHOUSE (Three + Units) (Units) R-4 APARTMENT/CONDOMINIUM ( Units) CITY, STATE, ZIP: PHONE: • 3) NAME• _i -- For City Use _ Plumbers License: ADDRESS: Active ( CITY, STATE, ZIP: Expired 2-7 Not recorded PHONE: _'25-L-? /,? TER LICENSE# 0,20. ? ?""? ?? St Initial NAME: ADDRESS: CITY, STATE, ZIP: PHONE: CONNEGRION TO CITY SEWER CONNECTION TO CITY WATER Q OTHER 6) ' • ?" ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) W7. M - -V- -2 Za INSPECTION OF SEWER AND/OR WA= INSTALLATIONS WILL NOT BE SCH D- UI UNTIL PERMIT HAS BEEN APPROVED. FOR CITY USE ONLY PERMIT # ISSUED 07-x/ Pd w/Bldg. Permit FEES: $ $_ 4/)-,5 $ $ /D " SZ $ ,Z3 $ $ $ ?S•e? $ D $ $ $ $ /67?q C/% $ RECEIPT RECEIPT y SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER G ?C) 73 ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL 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: TITLE: DATE: /a 7 b- 7 CITY OF EAGAN .APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION maiw-: PA)TOM OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER r INSMI.ATIONS WILL NOT BE .SCHED- s ULED UNTIL PERMIT HAS BEEN r APPROVED. rt 1) PROPERTY ADDRESS: ?p SLR LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESEN]` ZC)TXING/PROPOSID USE: (Month/Year) ? COM!4ERCIAL/HETAIL/OFFICE ? INDUSTRIAL ? INSTITUTIONAL/GOVERNNgINT R-1 SINGLE FAMILY ? R-2 DUPLEX (Twv Units) R-3 TOWNHOUSE (Three + Units) (_,,L_Onits) ? R-4 APARTM=/CONDOMINIUM ( Units) 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: yY,;2- 3) c: For City Use ME o Plumbers License: ADDRESS: ; Active A i CITY. STATE, ZIP: Expired (/ 'r a Z ? R Not recorded PHONE:! TER LICENSE# a 2r?r37/Vr Sta 3'al 4) ••• • is NAME: ADDRESS. CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER 0-?OONNECTION TO CITY WATER ? OTHER 6) • r © PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ? PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE . C (Circle one) TOR CITY USE ONLY PERMIT # ISSUED ?z Pd w/Bldg. Permit FEES: $ $ 1D -3 -0 SEWER PERMIT (INCLUDE SURCHARGE) $ $ /10 'JZ WATER PERMIT (INCLUDE SURCHARGE) $ (v 3' Fo Ub0 Z3 $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ / S' Cr7j ACCOUNT DEPOSIT - SEWER?>6g4 73 DD // $ $ ACCOUNT DEPOSIT - WATER $ O (J $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION 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 LIS . T AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: IS? C G?7(¢j_r?? -? TITLE: DATE: -CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (Please Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: (Lot/Block/Subd.ivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Month/Year) C] Ca4,ERCIAL/RETAIL/OFFICE 1-7 INDUSTRIAL n INSTITUTIONAL/GOVERNMENT rj R-1 SINGLE FAMILY 0 R-2 DUPLEX (Two Units) Iv"1 R-3 TOWNHOUSE (Three + Units) Units) R-4 APARTMENT/CONDOMINIT-M ( Units) 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: •III?V? , 3) u ra• NAME: For City Use Plumbers License: ADDRESS: Active i CITY, STATE, ZIP: Expired recorded PHONE: r, 4Z MAS LICENSE# ? O .? M Staff Initial NAME: ADDRESS: CITY, STATE, ZIP: PHONE: .5) • v : a •: :: •o• ?. CONNECTION TO CITY SEWER Up CONNECTION TO CITY WATER OTHER ' 6) • • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPR PERMIT TO 1, 2, 3, 4, ABDVE G2 G (Circle one) 7) Z6?' tUrw,: PAYMS'NT' OF FEE AT TIME OF APPLICATION DOES NOT CCNSTITU E APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. TOR CITY USE ONLY PERMIT # ISSUED Pd W/Bldg. Permit FEES: $ $ 4) - sz $_ $ S s $ 7 O $ ? 7ir s RECEIPT $ $ $ RECEIPT SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER-- c? 73 ACCOUNT DEPOSIT - WATER`/ O WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL 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 CONDITIONS: APPROVED BY: TITLE: DATE: 'CIT'Y OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION Num: PAYMENT 'OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLA TONS Wri.r• NOT BE SCH D- ULM UNTIL PERMIT HAS BEEN APPROVED. (Please / Print 1) PROPERTY ADDRESS:30 LEGAL DESCRIPTION: " Lot Block Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: i (Mon Year) PRESENT ZONING/PROPOSED USE: COHPERCIAL/RETAIL/OFFICE INDUSTRIAL INSTITUTIONAL/GOVIIti,NT 2) R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) R-4 APARM4EW/CONDOMINILM ADDRESS: CITY, STATE, ZIP: PHONE: - 2 / ( ?L Units) ( Units) 3) u r: NAME. P For City Use Plumbers License: ADDRESS: Active Expired i CITY, STATE, ZIP: Not recorded PHONE IICENSE# © Al S? teal 4) ••• • NAME: ADDRESS: CITY, STATE, ZIP-. PHONE: 5) • v : a •W :: • a• ?• ® CONNECTION TO CITY SEWER 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 (Circle one) 7) r. n u• • ?i7r. D Ls e? . riSCuTS ? .? ? / ? ? 7 .FOR CITY USE ONLY ' PERMIT # ISSUED Pd W/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $_ // G i? G7PUJ3 $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ / O t? ACCOUNT DEPOSIT - SEWER 6 pb 7-3 $ $ ACCOUNT DEPOSIT - WATER $ / U $ WAC $ S 7 S - v c? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $_ / $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ A CJ--U ?Z 3 $ 7j` TOTAL 7 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: (O i r fV?->i i x TITLE: DATE : ?1 7 d L 1.61 ? I Le. fty LL Ai1b To-Wnhome's city of eagan THOMAS EGAN Mayor July 6, 1994 EDWARD RYAN 3040 SHIELDS DR STE 104 EAGAN MN 55121 Re: Front entry Dear Mr. Ryan: PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER Council Members THOMAS HEDGES City Administrator E. J. VAN OVERBEKE City Clerk There is a problem with the front stoop and the planter which appear to raise up every spring with frost, then settle back down. The entry seems to have a drainage problem which keeps the soil wetter and the frost goes deeper. The front stoop and planter raise the door frame so as to cock the door so it will not close properly. Therefore, if the planter could be readjusted or removed and the water properly drained, that would solve the problem. Sincerely, all.. Bill Bruestle Building Inspector BB/mg MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 551221897 PHONE: (612) 6814600 FAX: (612) 6814612 1DD: (612) 454 8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Oppottunlty/Aftlrmatlve Action Employer MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122 PHONE: (612) 681-4300 FAX: (612) 6B) -4360 TDD:(612) 454-8535 SNOW STORAGE. DRAINAGE AND UTILITY EASEMENT THIS INDENTURE, made and entered into this &.*d day of MAY , 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, all being in the plat of Lemay Lake Hills, Dakota County, Minnesota: 17.-Iq ? Lots.l, 7,-8,-9, •10-ana 11 of Block 2-, 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 sod 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. Martin E. Shields Myrtle E. Shields STATE OF MINNESOTA) ss. COUNTY OF?) On this day of 19 V ; before me a Notary ,yyP,?ubl}*? /7 ?ic1 to a.eu/ d,r.)LL1W?' within and for said County, pers Wally appeared me personally known to be the person described in and who execut the kceu2?C foregoing instrument and acknowledged that 4-he executes the ame as?hQt? free act and deea. 1 (S E A L) Notary Public THIS DOCUMENT DRAFTED BY: ---------------- RAUGE, EIDE o KELLER, P.A. HAROLD LIVANDERJR. ` WTARY PU&M-MNK=A 1200 Yankee Doodle Road WAS94M CMVM Water View Office Tower Suite 303 WCm.MVE9JUNF1.199t - Eagan, MN 55123 (612) 456-9000 EXEMPT FROM STATE DEED TAX STAMPS COMMERCIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ?C) 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 Form (1) 1 I • Master Exit Plan (1) 1 L • Emergency Response Site Plan (1) 1 • Soils Report (1) l • SAC determination -call 651.602-1000 • SAC determination - call 651-602-1000 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. I r? Dat/??/ ? f? Or Construction Cost $ Site Address ???lyly??V? ` u?. 6 •??? y Unit/Ste # Former Tenant Name Tenant Name w + vud ?wftm p 1lyzff_ ls~A `Dn Description of Work --TecLr i f ° 1 ?rl)(lC Property Owner ?a/? 1 YJI11? ????IUX 1 Telephone # ASZA22,- 260(1 ?i Contractor MCI, t 9 Address Inof q I I?IC?LIE State M p , ? (56A, AVJ& c.J r Zip 55E557 j _ City p? !'7a'?u le Telephone # (q57??1 ' J 1 Arch/Engr Address State ip Registration # City i Telephone # (,' ) i Licensed plumber installing new sewertwater service: Phone y( _)_ 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. N Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types - 01 Foundation 26 Public Facility L 30 Accessory Bldg. 14 Apartments L 27 Commercial/lndustrial L 32 Ext Alt - Apts. F 15 Lodging - 28 Greenhouse 7 34 Ext Alt - Comm E 25 Miscellaneous C 29 Antennae . C 35 Ext Alt - PF ? 37 Nail Salon 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 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 Sprinkiered Type of Const 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 _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage SAW Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Building Inspector Total 60oq? Co PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit 5ISs-Z) Date -?-/ Site Address ^' Unit # Property Owner ) I li Telephone # (L Contractor H P PIPEWORKS 3670 DODD RO.' 7 Address EMAN MN F' City (651) 365 1 ":j-... ( ) Stale Zip Telephone # The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" metertf needed - $121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener )I? ater heater I $ 15.00 t1 I placement _ additional $ .50 State Surcharge By - -- Total S 1?- I hereby apply for a Residential Plumbing 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 with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the cppse of work which requires a review and approval of plans. i l l al n n n t o 101 n _ hMnAA Applicant's Prb&a Nam Applicant's SignaWre City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 R E0 EE, MED JUN 12009 ---------- --, For Office Use I Permit s: `7"( I I Permit Fee: , Date Received: _ I I C I ? Staff: I 2009 COMMERCIAL PLUMBING PERMIT APPLICATION Date: dl Site Address. 3pq 0 !5 fne" 1C'). 5 Dr, Ienant: TOr,J,^\? p? , Suite H: PROPERTY Name: Lam-." Phone: OWNE R CONTRACTOR /? Name: 0 ?x` C_? •-? ?` ^? Licensek: S g8 ?O M ?'?ZU `\13 ii-trCit St Add t S53z"f M"?b Zi ress: y: a e: p: ??o3 3'S ^ Salop Ke Contact Person: Phone: TYPE OF New Replacement __ Repair build _ Modify Space Work in R.O.W. WORK Description of work: PERMIT TYPE COMMERCIAL - New Construction _ Modify Space Irrigation System ( Y-yes / _ no) RPZ 1 _ PVB) • Rain sensors required on irrigation systems Avg. GPM __ (2" turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 203.00 Avg. GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ x1% =$ Permit Fee Required on ALL new buildings and boulevard irrigation systems _ $ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1.001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the City's Engineering Department, (651) 675-5646, for required tee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ 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 thehe wor. accordance with the approved plan in the case of work which requires a review and approval of plans. X 1 '0_ r ?j,.Qvc?? & x Applicant's Pri ed Name Applicant's nature FOR OFFICE USE Required Inspections: -Under Ground PRY Required: Yes No Approved By: -Rough-In Air Test -Gas Test -Final Date: Page Use BLUE or BLACK Ink ---------, � For Off(ce Use � "� I � ^�� ` • � �j � � I Clty of Ea�a� ��E��E� ; Permit#: _ � � Permit Fee: 3830 Pilot Knob Road pk� � � 1D�5 � � i Eagan MN 55122 I Date Received: � Phone: (651) 675-5675 � i Fax: (651)675-5694 � Staff: ��__��J 2015 RESIDENTIAL PLUMB G PERMIT APPLICATION , , � �� Date:_�� `� �. Site Address: ✓�'� � Tenant: � ,� �� Suite#: �� +� � ��,"�� ' ��Res�iden"�1 �� Name: � Phon wn.er �3� �"`� � '� ' ��"�� ;� �. � � Address/City/Zip: , V , �—_ � ,,,,, � 9- .. �"Vv .:�� g. �F.iY: . �� k �5; '� °�_ � tvame: M�bert Corr�pany Inc dba Gulligan Water WC6413 76. �� r ' ..... _ License#: � c�t . Inver Grove Hgts. �. � , � � ��;� ��'� �' `1�8Q�. S0� St East � " Contracto; ; Address: y �„ �� F . , �� - � : Mn 55077 651-451-224r ��'�� State: Zip: Phone: 3e. ',�� '. }�� William R Milbert � ��'� f�� ,< Contact: �� Email: � � � � � ; T� e o�f� f �: —New _Replacement _Repair _Rebuild _Modify Space _Wo�1c in R.O.W. � �Yp � �'� � �'� ,„�� ; Description of work: � �y�'`�� 's� v RESIDENTIAL � .,.��.� � r�� "�� Water Heater z x ��` Lawn lrrigation(_RPZ/_PVB) �Water Softener �� 'Pe�fll It�T�p - Add Plumbing Fixtures�Main/_Lower Level) �� _ � °� Septic System � �� y�� ' � Water Turnaround �� New � �,��, �`�',;��;',,�. � � Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, 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, Septic System Abandonment,Water Turnaround*(includes$5.0o State Surrharge) "Water Turnaround(add$200.00 if a 5/8"meter is required) $115.00 Septic SVstem New($10.00 per as 6Uilt)(includes County fee and$5.00 State Surcharge) ��Q • O O TOTAL FEES$ �� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against undergroun�utility damage. Call 48 hours before you intend to dig to receiVe locates of underground utilities: www.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work witl 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 staR without a permit;that the worfc wiil be in accor ce with the approved plan.in the c of wo hich requires a review and approval of plans. �: �Ilr X � X ApplicanYs Printed Name ApplicanYs Signature � • : n- � �� zr � , . ,�� ,,. �FOR,OFFI�G�� 5..: 5 �� R� �ewed � �a . �� . 9�' � � � .� �,. �.. < ' � ��eq;uired�nspec�:i:Qns ��> �� dse ,� �o t� . ��Q � � .� �ir�' �5# � �� `` .s�,�� `�� . k � �Ftt�. � , . �Meter Related Ite�s� `�ete �S�i� � ac�ip'-�� e�.,�r .� . e e�._ ��. .ro� . .. w..�.,.M .._ ��F �.,.,.� � ��4.� , ��,� _ , � t � _ _ . ,�..�. ; �..