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3060 Shields DrCITY OF EAGAN 3830 Pilot ,:nob Road WATER SERVICE PERMIT P.Q. Box 21199 PERMIT NO.: '.141 Eagan, MN 55121 DATE: 11-4-86 Zoning: DI No. of Units: - 6-121ex Owner. ''aYnQ Tnr Address: SiteAddess: 1060 Rhipl io Drive PlIC- A-- eTtg Lk H 11q Plumber. Va111p:v P111tnhin gy Meter No.: Size: Reader No.: I agree to comply whh the City of Eagan Ordinances. CITY OF EAGAN 3830 Pilot 199 Rosd SEWN RVICE PUMR Eagan, MN 55121 Ionl PERMIT NO.c np: DATE: - Owner: rav a NO- of Address: Units: 1 e- te Addre=, 3 P lumber: r < ='- i ; f o ?iwerrps~?r +r'!>tM ? ?f of yp, By Die of Ines ; Total. DO% Paid: L ' .OGP `'? Ca"Wtlon ?De: , N amount Posit : ,11T Porn* Fog: Surcharge: Misc. Char CITY OF VAGAN 38.10 Pilot Vnob Road WATER SERVICE PERMIT P.O. Box 21199 Eagan, MN 55121 PERMIT NO.: ?g 1 Zoning: DATE: 11-4 -g Owner. No. of Units: Address: -? Site Addess: Plumber 1Antn, ki_. 12 -v/ -,nn n 1 agree to comply with the Clly of rc Rke?ocaI utifi#i , Ordinances. IF ftc+H 0 gP?a?r Ab EtC 5 n A? v``'( Igo REQU?VarD i Date of Insp.: Date Paid: _ Insp.: A') - 96 Connection Charge: .5 (]0 - 00p_ Account Deposit: - 15. OOnd Permit Fee: 10.OOad Surcharge: _ Sfk?d Misc. Charges: - 1 56 1ppd--T? Total: Date Paid: 34 :at Knob Road WATER SERVICE PERMIT ro'n O.-?So x 21199 PERMIT NO.: 8142 gan, MN 55121 DATE: L1?-4 6 ing: : R3 No. of Units: 6-plex Owner. Ravpo Inc. Address: -- nQ I SiteAddess: 3UbU Shields Plummer: Valley Plumb: Meter No.: -3 7? Sa 9 0 Size: W q o c x -we Reader No.: 0 76 7 414 1 .r, c agree to comply with the CittiO CE 11R dinances. Misc Total Ey 2ca<n ?'12Qtr?? B P? Date :Gate of Insp.: Insp. /2-!0_ g? CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: 500.OOpd 15.OOnd t60 l0.00nd Charges. 156.00pdTP Al SLlyd jpeter PERMIT NO.: 429G DATE: ' No. of Units: Owner. RaIRO Inc. Address: - Site Adds Plumber. ley Pluml?lng I epee to M, phr whir the Cky of lievee "Im"oss. By Connection charge: 4 Account Depo t: 15.0or" Permit Fee: 00 afi Surcharge: Misc. Charger Date of Insp.: Total: Doh Paid: CITY OF EAGAN WATER SERVI CE PERMIT 3830 Pilot Knob Road PERMIT NO : «1: P.O. Box 21199 . Eagan, MN 55121 DATE U-4-U, Zoning: _ F3 No. of Units: 6-Dlex Owner. iaypo Inc Address: 3060 Shields Drive - I "102 VR B? L eMav Lake Stills , Site Addess: Plumber. Valley Plumbing Meter No.: Connection Charge- 500.001!d Size: Account Deposit: 15.OOpd Reader No.: Permit Fee: 10.OOpe 50 d 1 agree to comply with the City of Eagan Surcharge: p . Ordinances. Misc. Charges: 156.00pd TP , Total: -1 Fl - SA_ By Date Paid: CITY OF EAGAN 3830 Pilot Knob Read SEWR SERVICE PERMIT P. O. Box 21499 PERMIT NO.: Eagan, MN 55121 DATE. ' i '4 Zoning: No. of Units: Owner Address: Site Adds Plumber, 10111`00 ft esss* wah se Cky N se"mr Orlines om By Dote of Insp.: CITY OF EAGAN ,.: 3830 Pilot Krab Rotdd '., P.O. Box 211V9 Eagan, MN 55121 Zoning: Cor~lon C harge: 47 S . Q4ad Account Deposit; Pannit Fee: Surcharge: Misc. Chorom Total: Dote Paid: WATER SERVICE PERMIT PERMIT NO.: DATE. - Owner. No. of Units: 6- ex Address: M Site Addess: Plummer. _ Meter No.: _ Size: Reader No.: ------------ 1 agree 10 Comply with the City of Eagan Ordinances. BY Date of Insp,: CITY 0' EAGAN -3830" Kaob Road P.0. Box 21199 .Eagan, MN 55121 Zoning: ------ Owner. AyjW Address: Site Addess: -IQE ,_$ Plumber. Val 1 rv Meter No.:3-76 66.; 1 agree to comply With I Ordina Cl? nces, 714/ 1° Y By -j&-Yj Date of Insp.: /Z-/o_dr. Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: Total: --. Date Pald: i WATER SERVICE PERMIT PERMIT NO,: 145 DATE: - No. of Unlts: _ 6-Lex Total: F+4 5n a ,na+r Date Paid: CITY OF EAGAN 3830 Pilo! <nob Road s? SERVICE PERM P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning. No. of Units: Owner. ?U Inc . Address: - - Site Address: 3060, ' ?1 i' •. Plumber. to deft* Im City Of W" asps Oraeneas Connection Charge: 4 , ACCOUnt Depodt. 1 C ,I _ T Penv* I": 7 By Surcharge: ' Date of Insp.: Misc. Charges Insp.: Total: Doh Paid: CITY OF FkGAN WATER SERVICE PERMIT 3836 Pitt Knob Road P.O. Box 21189 PERMIT NO.: 14 Z Eagan, MN 55121 DATE Zoning: F-3 No. of Units: $??; ax Owner. Rs)Epo I-C Address: SiteAddess: 3060 Sbielda DrIve 4103 La Pa 1 -MRv I' '-I.1.1s Plumber. i7a11 ey-_P1ii-bing Meter No.: Size: Reader No.: 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: CITY OF EAGAN 3030-PNM Knob Road P.O. Box 21199 Eagan, MN 55121 Zoning: Owner. Address: Site Addess: Plumber, Meter No.7y ? G.; . to comply with te: (J a? Rc a? 1KC4?iisc`'Charges: By n? n l?L. P \ Total.'* Date of Insp.: J Date Paid: Insp.: Connection Charge: 500.0Opd Account Deposit: jS OAPA Permit Fee: ltJ QQPd Surcharge: , .0.0pw Misc. Charges: 1560ana Total: ??^n? nt r.r { Date Paid: 1 WATER SERVICE PERMIT PERMIT NO.: c DATE No. of units: CITY OF EAGAN SEINED SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: - - Eagan, MN 55121 DATE: Zoning: - No. of Units: Owner: Address: -- Site Address: :, tl 6: } 3 h i- l i r; i V ? , t. Plumber. ?i I some to eeeph wkh Nw C*y of Epee Connection Charge. 4 % 0 , =' Ordleiesew Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Dote Paid: _ CITY OF EAGAN_ 3830 Pilot Knob Road R0. 8ox 21199 Eagan, MN 55121 Zoning: R3 Owner. o Inc. Address: Site Addess: 3060 Shields D.: Plumber. V&11e Meter No.: Pluiab1n Size: Reeder No,: 1 agree to comply with 'he Ordinances City Of Eagan 1 WATER43ERVICE PERMIT PERMIT NO.: 8146 DATE: No. Of Units: _ 6-nlex . Connection Charge: Account Deposit: Permit Fee. Surcharge: Misc. Charges: vv r ?p By Total: Date of Insp.: Date paid; Insp.: WATER SERVICE PERMIT PFRhAIT wn - (- I i# r> 1 agree to comply with the City of 1U`&rc Ordinances. 11-e y 'EOM Total By At d9arti-5-r-)3-6 ZDate Date of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 56121 Zoning: Sri SERVI PERMIT NO.: CE PERMIT DATE- No of Units: . Owner: ':aypo Inc. Address: Site Addi Plumber: 1 agree to empy WM6 fie City OF Selma ordiwene.e. By Date of Insp.: Conroalon Charge: 47 ,00gd Account Deposit: Permit Fee: - Surcharge: Misc. Charges: Total: Date Paid: _ CITY OF EAGAN also pilot Knob Road P.O. Box 2 ; '9 *ATER SERVICE PERMIT Eagan, MN 55121 PERMIT NO.: Zoning`. } DATE: i 1- 7 - a F Owner. -. No. of Units: -n.lex Address: Site Addess: i Plumber. al t _ Meter No.: Size: Connection Charge: r P Reader No., Account Deposit: -15-- P I agree to comply with th C Permit Fee: e ity of Eagan Ordinances. Surcharge- Misc. Charges: By Total: . _ P mater Date of Insn • Date Paid:- Insp.: AGAN WATER SERVICE PERMIT .ki Road 4 A 21199 PERMIT NO.: 8111444-86 kagdn, MN 55121 DATE Zoning: F3 No. of Units: 6-nlex Owner. Raypo Inc - Address: -- Site Addess Plumber. Valley F um g Meter No. - 7? ?oZ S in ` Size: ?/?sn RocPP -off Reader No.: e{o(e n taS ? I agree to comply with the City1 , .Sr M O di r nances. ? p&y l r Tota : BY Date Date of Insp.: Insp.,.. /2-/0_ f• ?ijtEl' r, CITY OF EAGAN? `Tt}Wr vc? u 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT Receipt # 7 12400 To be used for 6 Ui`?IT :1.D. Est Value 5317,000 Date AUGUS'i' 14 19_i -j Site Address Erect Occupancy X31-- Lot 5 Block Sec/Sub. ++smAY LR.f E I-IILBAilnodel ? Zoning 4 eIV P Repair ? Type of Const ??-- arc o. Addition ? No. Stories ¢ Name iL?iLl:T (-' I:E,L:PF Move ? Length t 20 Address ? ; 7 1?1 >; RWNCE AVM, SO Demolish t I I ? ? Depth 6,0 S Ft City .`:e'1 Phone 920-6c331 . mpr. n Install ? q. o Name REYPO CONSTRUCTION 0 ¢ Address SAAIP City Phone ¢ F W Name c= i a Address i 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee .'A Building Permit is issued to: RF;Yi%U COi:]S` RUCTICI all work shall be done in accordance with all applicable State of Minnesota PHONE: 454-8100 Assessment Water & Sew. Police Fire Eng. Planner Council Permit 975.510 Surcharge 156.5c Plan Review 487 • 7! SAC 3, 450.OC Water Conn. -3, 000 .O C Water Meter N/A Road Unit 1,740 OC Tr. PI. J36.0C Parks i /"A, Var. Date Copies Total $10,747. J on the express condition that Statutes and City of Eagan Ordinances. Building Official - Permit No. Permit Holder Date Telephone k Plumbing H.V.kC. /-? / -76 J Electric ?j ' j 1 l a softener Inspection Data Insp. Comments Footings) ?? ?? a6 /?,(f ?7 Ld Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Insul. Fireplace Final Htq. Final Plbg. Bldg. Final Cert. Occ. Deck Fig. Deck Frmg. Well Pr. Disp. ' 77b S • PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 4 G 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE : 454-8100 Site Address 491 !> BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub `- / D ! ? New R ' es. m Name ? c• G It! %C ? ? Mult !A+ &44J,'Add-on 3 Addre Comm. Repair City Phone y" Oth S er Name 74, 4. t L? FEES c Address RES. HVAC 0-100 M BTU i $24DO p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ` ADDITIONAL 6 M BTU - 6.40 ` v 150/l GAS OUTLETS - Forced Air M BTU 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 - . (ADD $50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # -! Other - FEE-- - Y SI AT E OF PERMITTEE S/C: • / ! 56 TOTAL ? FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN _30 PILOT KNOB ROAD, EAGAN, MN 55121 ?I PHONE 454-8100 Site Address Lot & Block m Name Addre c City 1 Name 3 Addre O City L PERMIT # RECEIPT # DATE: Sec/Sub FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE -$10.00 MINIMUM - COMMAND 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 BLDG. TYPE WORK DESCRIPTION Res. New Mult - Add-on Comm. Repair Other NO. FIXTURES TOTAL ' Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 =Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE ' STATE S/C: GRAND TOTAL (Irrufiratr of Mrruvaury 4Citp of eagan aep erit of 1u bhT 3tlB}tettim 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. uk cla,&uian 6 UNIT ID ams. penni, No. 12460 Occupancy Type RI Toning Dat. PD Type Ccmat Vh Ow= d Building ALBERT C. KDTF Add= 7101 FRAICI AW 9D, FDTNA BWdmgAddma 3060 SHIFTDS DRIVE Locality LS, B2, LEMAY LNT 1:i1J_r Date: RJTY Fi, 19-?,7 Meting Official POST IN A CONSPICUOUS PLACE SITE ADDRESS 3060 SHIELDS DR?I # 102 Permit # 12460 T. R _ A 7 _ T.RMAV f-Aw,' .T.v- 'TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC -37 I?3 ? V INSPECTION DATE INSPECTOR OTHER FRAMING ?- ROUGH PLBG. ROUGH HTG. INSUL 1 S 3 IY4 FIREPLACE FINAL HTG 7 FINAL PLBG -ap UNIT FINAL 7 CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3060 SHIELDS DR Unit 106 Permit# 12460 T. A. R 7 _ T.VMAV T.hTCV 4?? TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC 1J f .??? ?f Al ?,,( S? ,S T7 INSPECTION DATE INSPECTOR OTHER FRAMING (/_ / _ ROUGH PLBG. ROUGH HTG. 7 _ 9'?d INSUL An, FIREPLACE FINAL HTG FINAL PLBG ,g7-,-lo UNIT FINAL 1 7 CERT/OCC , INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3060 SHIELDS DR Unit # 105 Permit # 12460 T. Q n 7 T.L`MAV T RVV TJTT.T_C 'TYPE PERMIT PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. // l7 GIJ INSUL / ?6 Zgr, FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL y/g CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3060 SHIELDS. DR t 104 E UWIULS Permit 12460 'TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC C 3 INSPECTION DATE INSPECTOR OTHER FRAMING .7 GU ROUGH PLBG. ROUGH HTG. INSUL Aft, 17? FIREPLACE FINAL HTG FINAL PLBG a -- S7 UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3060 SHIELDS DR Unit # 103 Permit # 12460 S. B 2. T.FMAV T.AWV NTT.T.c " TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING _ 7 _ g B ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3060 SHIELDS DR Unit # 101 Permit # T. R - R 7 _ T.WMEV T.EY1;- UTT.TQ 12460 . TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC 7 2-1 t- 1 / ///,3 ICY INSPECTION DATE INSPECTOR OTHER FRAMING 11 -1 7 _ ROUGH PLBG. Z ROUGH HTG. //-/7-If,? Ltd INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL 714 /$ YAV CERT/OCC INSPECTION DATE INSPECTOR COMMENTS ADDRESS ?0 G o c?oao "J, L ?- )T: BL: )DITION: ME f : o FTG R.I. PLBG. FOUND FINAL HZ`G. FRAME FINAL PLBG. ROOF FINAL/C.O. INSUL POOL R.I. HTG.. DECK FURNACE CHG DAY CARE FIREPLACE GARAGE '"HER: FOR: 4 "? BLDG. PERMIT NO., 01-3Z10 n2ge . Permit 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 r f CJ c.? y I CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATES RECRIV6D - FROM AMOUNT $ & -DOLLARS loo ? CASH ? CHECK FORti. : Elie / ...K ?/ s?1 L? Thank You BY,'U i White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT. r CITY OF EAAN 3795 PILOT KNOB *EAGAN, MINNESOTA 55122 DATE 19, _ RECEIVED AMOUNT I$ -& _DOLLARS loo ? CASH ._D CK FOR / I / FUND CODE AMOUNT l? ) Thank You B )f ?w 66366 White-Payers Copy Yellow-Posting Copy Pink-File Copy FOR $SNTOUSE UNITS TOWN CITY OF EAGAN NO _ 12460 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 / PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for 6 UNIT M.D. Est.Value $317,000 Date AUGUST 14 .19 86 Site Address 3060 SHIELDS DR Erect .1 Occupancy R1 8 Block -2- Sec/Sub. LEMAY Lot - LAKE HILllSemodel ? Zoning nn - ? Repair ? Type of Const. VR Parcel ffo. Addition ? No. Stories Name ALBERT C KEMPF Move El Length 1 0 7101 FRANCE AVE SO Address Demolish ? Depth ? s a EDINA 920-8831 Sq. Ft Int. Imp.. ? Phone City Install a o REYPO CONSTRUCTION Approvals Fees Name up Address SAME Assessment Permit $ 975.50 City Phone Water & Sew. Surcharge 158.50 Police Plan Review 487.75 GW Name Fire SAC 3,450.00 Address Eng. 3 , 000.00 Water Conn. a w City Phone Planner Water Meter N/A Council Road Unit 1,740. C I hereby acknowledge that l have read this application and state that the Bldg 8/12/86 Off 936.00 Tr PI . . information is correct and agree to comply with all applicable State of APC ' . . N/A rk P Minnesota Statutes and City E fln rd e . a s Var. Date Copies Signature ofPermittee Total $10,747.75 A Building Permit is issued to: REYPO C STRUCTION on the express condition that all work shall be done in accordance with all applicaAe S34 of Minnesota-"tes and City of Eagan Ordinances. Building Official This 1 t""quest void 18 moh ffs from C-31182 a:3 0 )?- Request Date 1 Fire No. Bou h,-in Inspection eqq netl? ?Reatly Nowk]Wi l etify. nsoec- 11-12-86 g]Yes ?NO [or When Ready ® Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed et: Street Address, Be. or Route No. City 3060 Shields Drive # 101 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 40445 Mailing Address (Contractor or Owner Making Installation) 3600 Kennebec Drive Eagan Authorized Signature (Contractor Owner Making Installation) Phone Number James A. Harvey 452-1565 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs•Midwev Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 66104 Ph... 16121297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ER-00001.04 _ See instructions for completing this form on back of ? yellow copy. / G.2 0 rJ 37182 X" Below Work Covered by This Request Ca?? Ney, Add Rep. . Type of Building Appliances Wired Equipment Wired ^Home Range Temporary Service qlb-u ex Water Heater _ Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peCiv Other(Snacifv) ror pee rfy Other Other Compute Inspection Fee Below M Fee Service Entrance Size d Fee feeders/Subteeders a Fee Circuits - 0 to 200 Amps 0 to 30 Amps .0 3 U UT 0 1, 30 Am Above 200 Amps 00 31 to 100 Amps 1 5.00 31 to 100 Amps Swimming Pool Above 100_Amps - Above 100_Am s Transformers orris _50 Partial.'Othe, Fee Signs Special Inspection 4 TOTAL F Hemarks 40.50 EE ?I? # 1 6339 Rough-in inal ZJO e I` "'re O^te/ ( ,the Ele ¢al Inspectoq hereb y ce??rrrti fy that the above pection has been de. This request vold 18 months from 5(3 J This re 'tat void ?o'y -1 18 mon [, am X" C, '183 Request Date Fire No. Rough-in Inspection Regwred? ?Ready Now W Will Notify. Inspec- 11-12-86 fjYes ?NO for When fleatlV 5D Licensed Electrical Contractor I hereby request inspection of above ?Owner electrical work insts l led at: Street Address, Box or Route No. C ity 3060 Shields Drive # 102 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 40445 Mailing Address (Contractor or Owner Making Installation) 3600 Kennebec Drive Eagan Authorized Signature (Contractor/Owner Making Installation) Phone Number James A. Harvey 452-1565 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GOggs-Midwey Bldg. - Room N-191 BE ACCEPTED By THE STATE BOARD 1921 University 21 7Ave.. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 166121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION JIM ER•00001-00 Ilr Sae instructions for completing this form on back of yellow copY- ?-rC 37183 "X" Below Work Covered by This Request IwJAddl Reo-1 Tvne of Ruildino ADDtignces Wired Equipment Wired I to p Fee Service Entrance Size tt Fee feeders/S ubfeeders fl Fee circuits- 0 to 200 Amts 0 to 30 Amos 0 to 30 Amps Above 200 Amts 31 to 100 Amps 11 -5.00 31 to 100 A Swinaning Pool Above 100_Am s Above 100_Am s Transformers Irrigation Booms 1 !)01 Partial. Other Fee ' I I Signs ' I ISpecial Inspection 'S TOTAL FEE Remarks 40.50 16339 t NO,?0 Rough-in ate ? ??. the ElectriLal /I'? apeDtar, hereby certify that the above Final e, ON ( inspec lion hes been ?/?+a°°T a made. request This request void 11-1344 l?U -- 18 months from . Q C 37184 LB,Ba,r? o? 6P3o.s- Requilst Date Fire No. RReou¢IS-eidnylnspection ?Reatly Now Will Notify Insoec- 11-12-86 1 Yes ?No , for When Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed al: Street Address, Box or Route No. City 3060 Shields Drive # 103 Eagan ect%On NO. Township Name or No. Range No. County Dakota Occupant (PRINT) - Phone No. Raypo Inc. Power Supplier Address Dakota Electric Farmingtpr Electrical Contractor (Company Name) Contractor's License No. Hilite Electric 40445 Mailing Address (Contractor or Owner Making Installation) 3600 Kennebec Drive Eagan Authorized Signature (Contractor Owner Making Installation) Phone Number James A. Harvey 452-1565 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1921 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Pn..nn 16121297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EEB-o00001-04 0 see instructions for completing this form on back of Yellow copy. 6O _3 G 37184 "X" Below Work Covered by This Request fdd x heit-I Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water'Heater,_ Lighting Fixtures Apt. Building Dryer Electric Healing Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Qt er pec' y the, lSpecuvl Other pcci y the, Other ompute Inspection Fee Below g Fee Service Entrance Size tt Fee FeedersrSubleeders N Fee Circuits 0 to 200 Amps 0 to 30 Am s 0 30.0 0 to 30 Am Above 200 Amps 1 31 to 100 Amps ]- 5 0 31 to 100 A s Swimming Pool Above 100_Am s Above 100-AMPS Transformers Irrigation Booms , 501 Partial.'Other Fee I I Signs I I Special Inspection IS Remarks 40.5 TOTAVFEE 16339 f '- fy iha Electcical? ?1? Inspector, hereby certify that the above Final D/ ?s(?S made cti on has bea. This request void l/ J ryL.' 693 cs 18 months from. - ?c - C 3.? 18 5 6a , 4r ? ? ), ? A. R.q,!ej1j Fire No. RequiredInspection Ready Now ]Will Notify Ins Deo- 12-86 glYes ?No for When Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Box or Route No. C ity 3060 Shields Drive # 104 Eagan ecuon D. Township Name or No. County 1 7777 Dakota Occupant(PRINTI 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) 3600 Kennebec Drive Eagan Authorized Signature (Contractor/Owner Making Inslallationl Phone Number James A. Harvey 452..1565 THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midwev Bldg. -Room N-191 BE A CCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul. MN 55704 Ph- 18121 297-2111 ENCLOSED. P REQUEST FOR ELECTRICAL INSPECTION Ee-ooowoa - Sea instructions for completing this farm on back of yellow copy. 6J'30 •Fio2j 18 5 '"X" Relow'Work, Covered by This Request -? AAd Tvoe of gulltlino 11 Aootisneen Wirwd Enuipment Wired 1 ee U Bulk Milk It Fee Service Entrance Size H Fee Feeders/Subteeders a Fee circuits U to 200 Amps O lo 30 An s I LU 30.00 0 to 30 Am Above 200 Amts 31 to 100 Amps 1 0 31 to 100 Amps Swimrning Pool Above 100 Amps Above 100_Am s Transformers Irrigation Booms ,50 Partial-'Other c-- I I I Signs ' I ]Special Inspection Ls Remarks# 16339 1 / r Snl TOT This request void /,93 as ,B C months Request Date Fire No. Rough-in Inspection R wred? []Ready Now E] Will Notify, InsPec- []Ready 1Y-12-86 ]Yes ?NO or When n Ready M Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address. Be. or Route No. City 3060 Shields Drive # 105 Eagan ection No. Township Name or No. Range No. County Dakota Occupant (POINT) Phone No. Raypo Inc. Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractors License No. Hilite Electric 40445 Mailing Address (Contractor or Owner Making Installation) 3600 Kennebec Drive Eagan Authorizedi Signature (Contractor Owner Making Installation) Phone Number James A. Harvey 452-1565 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-181 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS ENCLOSED. ow.. ?.. IR11I 147 fitl fi _/ -3.jV6 REQUEST CTRICAL INSPECTION Feoucot.aa h6p See instruction. sting this form on back of yellow copy. 6?.3v vered by This Request C 171 RF"X -- eetow' k4@4,OeUI'SdP.r? Type of Sailding I AppIlfa?tREee"'Whad I Equipment Wired 1 I I I DnOlex 1 I Water Heater I I Liahtinu Fixtures I Commercial Bldg. Furnace Silo unloader Industrial Blda. Air Conditioner Bulk Milk Tank Of Fee Service Entrance Size H Fee Faerlars/SUbfeeders # Fee Circuits 0 to 200 Ames 0 to 30 AMPS 0 0.00 0 to 30 Am Above 200 Amps j 5, 00 31 to 100 Amps j 5,00 31 to 100 AMPS Swimming Pool Above 100_Arus Above 100-Am s Transformers Irrigation Booms Pu rtia L'Other Fee Signs # 16339 Special lnspecLOn s 40.50 This request void /f -/3,?? 6?-3a? 18 months from . C 37187 k, 6o, ?kV, _ Request Date Fire No. Ro ugh-in Ins "ctipn Repmred []Ready Now IM Will Notify Inspeo- 11-12-86 [Vas QNo for When Ready ® Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 3060 Shields Drive # 106 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 40445 Mailing Address (Contractor or Owner Making Installation) 3600 Kennebec Drive Eagan Authorized Signature (Contractor Owner Making Installation) Phone Number James A. Harvey 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 55104 UNLESS PROPER INSPECTION FEE IS Phones 16121297-2111 ENCLOSED. Q (p REQUEST FOR ELECTRICAL INSPECTION EB.00001-04 If Sea instructions far completing this form on back of yellow copy. C,3-7187 "X" Below Woik Covered by This Request Add Be!., Type of Building- Appliances Wired - Equipment Wired ifome Range Temnorarv Service a Fee Service Entrancesize H Fee Feeders/Subteeders H Fee Circuits 0 to 200 Amps 0 to 30 Ants 0.00 0 to 30 Amos Above 20 _Am )s 31 to 100 Antps 1 5.00 31 to 100 A Swimming Pool Above 100_Am s Above 100-Amps Transformers Irrigation Booms Part is l,'Other Fee,.. Signs Remarks I _ISpecial sp coon s / 65.50 TOTAL It 16339 -tA) ? /n)??t// I p{r?? I, the EIBC Nca,t ? /?/f!? Inspector, hereby Final certify that the above D;1te nspection has been i ? n? made. Time request raid PERMIT # RECEIPT DATE: 2002 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3630 PILOT KNOB RD EAGAN, KN 55122 651-661-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, ?nbackflow preventerfor irrigation system SITE ADDRESS: 3pbo sh l(!?Id5 L r I y-e +r OJ OWNER NAME:: J f l'Yi Yl Pc a' A l TELEPHONE* (vS l joco -996to (AREA CODE) INSTALLER NAME: I e I oy, TELEPHONE #. 1A EA 3LL 13 CODE) STREET ADDRESS: n U D (? R 1, t CITY: STATE: fiAN ZIP: 1_ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 518" meter if needed - $118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener water heater $ 15.00 State Surcharge nj lTr ;; $ .50 S - 2002 $1SS Total LI L j I hereby acknowledge that I have read this application, state thatthe information is correct, and ,agree to complywithallapplicablelCityof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no bility for,any d arse's cnaunnsed by the City during its normal operational and maintenance activities to the facilities constructed under this perm R v hin Cii rro?ertyhight-of vugytea;Qgrle0.t_ r1171 1A PERMITTEE 19$6 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, CER 1 SET OF ENERGY CALCULATIONS COMMERCIAL: INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND LIW ?-rS ICA1IOZ, 103,104,(OS, tC6 To Be Used For : l p 4 v? \ 7 1• ? - Site Address 301° o Lot `gS Block -Z- I OF SURVEY - CHECK WITH BLDG. DEPT., & STRUCTURAL PLANS, SET OF Valuation: 3 17 ooo"' Date: Erect Occupancy R/ Remodel Zoning PO Repair Type of Const 7ZV Addition # of Stories Move Length /20 Demolish Depth G© Int.Impr. _ Sq Ft Parcel/Sub L e m A-( <<= 1(L L S Owner l? Op, -}--- (,'L Kk-? g Address 9 1 D ? F°- V 0, r?G c A UK S City/Zip Code LjI y?q SSk? 3S Phone tc-)-d Contractor ??rp p en S Addresses . e City/Zip Code Phone t? _ 'zg?53 Arch./Engr. Address City/Zip Code Phone # Install APPROVALS FEES Assessments Permit 775 5! Water/Sewer Surcharge 50 Police Plan Revie w Fire SAC &?'_ Engr Water Conn s3n?n Planner Water Meter Council Road Unit Bldg off fia f Treatment Pl _3_6 APC Parks -- Variance Copies TOTAL 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. LEISURE. LANE Scale: 1" =40' o Denotes Iron Mon. 9 \? 3s. ?2Se 40, /b• 880.0\ o \ y z ca a ., o / Ate, /(V i n o 05 09 P( O 5r' o) ?r upl° 22'd4"E ?j b0 .S 2 a. xe \\ V `\ /SIX ev,.9x 1 bb^ Ord / ' °`0 ?, ? N ? r i Ba,.71? I )(818-0 ?I N la ' 90 L N Z 0 X 903.0 6 oti b ?' 2'L 0 111H 0 010 x898.6 - C'. ???/? Sanitary Sewer Invert Elev. = 884.1 (L0&1e s t) LEGAL DESCRIPTION Lot 7, Block 2 LEMAY LAKE HILLS Dakota County, Minnesota MERILA & ASSOCIATES, INC. ENGINEERS, SURVEYORS, SITE PLANNERS 1601 - 67th Avenue North - Brooklyn Center, Minnesota 55430 Telephone: (612) 560-2660 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. T As surveyed by me this 3 ? day of Gf "'Y , 196. lry?x?? cni(+l? t. Minn. Reg. No. Job No. gS?? Book - Page CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYMEW OF FEE AT TIME OF APPLICATION DOES NOT OONSTITUTE APPROVAL OF PERMIT. ----------- (Please Print) 1) PROPERTY ADDRESS: ?p(? p ??)P L?/I lJrrv ®/ " LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mon Year PRESENT ZONING/PROPOSED USE: CO.'+PJERCIAL/REI'AIL/OFFICE Q INDUSTRLNI, INSTITUTIONAL/GOVERNMENT R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) ® R-3 TOWNHOUSE (Three + Units) (Units) ? R-4 APARTMENT/CONDOMINIUM ( Units) 2) r NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) u m: NAME: c ADDRESS: CITY, STATE, ZIP: ki_t? F-J,4 11 .4 PHONE: y 9,,17 - ? i -2 r MASTER LICENSE# ( p Active Expired Not recorded tSitial 4) •ar • • • i?. NAME: ?A ?I D f7 TYLC ADDRESS: If .. S-A Z/-` CITY, STATE, ZIP:__ _ yn f.2 - PHONE: .5) r i r •: :: • o• ?? CONNECTION T CITY SEWER ® CONNECTION TO CITY WATER Q O'T'HER . 6) • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 0, ABOVE (Circle one) 7) r r. ?- 9- ?L INSPECTION OF SEWER AND/OR WATER INS!nUdATIONS wILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. FOR CITY USE ONLY P ERMMIT# ISSUED ? Pd W/Bldg. Permit FEES: $ $ /C? So ) SEWER PERMIT (INCLUDE SURCHARGE) $ $ i ? WATER PERMIT (INCLUDE SURCHARGE) $ // $_ _(A 3?5(p WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ?? C D ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ SDa C>Z? $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERA L BENEFIT/TRUNK WATER $ ?•f7G UZ? $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ /?-3 /' C- ) $ TOTAL 5 4, ?07,5 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 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: CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *IOTE: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WAR INSTALLATIONS 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 STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon Year PRESENT ZONING/PROPOSED USE: n CO?MRCIAL/RETAIL/OFFICE Q INDUSTRIAL INSTITUTIONAL/GOVERbZ= C] R-1 SINGLE FAMILY Q R-2 DUPLEX (To Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMZ/CONDOMINIUM ( Units) 2) r? ADDRESS: CITY, STATE, ZIP: ?/r/? PHONE: 3) u : ?• NAME. For City Use . . Plumbers License: ADDRESS: Active ILI, A Expired i CITY, STATE, ZIP: R Not recorded PHONE:q MASTER LICENSE# 12? ,?/oZ_ ' Staffinitial 4) IL*&42WA? ` NAME:_ J12-40n ;rte C7 ADDRESS: _ 7/D/ 4V &Sf 7464' CITY, STATE, zip: _'p?/?- ?yN PHONE: ® CONNECTION TO' CITY SEWER CONNECTION TO CITY WATER OTHER 6) ^ ?' • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,41 __?) 4, ABOVE (Circle one) 7) FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ /101 C WATER PERMIT (INCLUDE SURCHARGE) $ $ 3 J WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ /? ?' Vy $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ?o ? •D? $ ll?pp?, 5to TOTAL S L (OOd7? RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 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: ? c ? APPROVED BY: /Li w a n ) s-?. - TITLE: DATE : / ??jL CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION Now,: PA)RSN OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTA??.ATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. (Please Print 1) PROPERTY ADDRESS: ??0 S?iel?S ?r??l e/p LEGAL DESCRIPTION: (Lot/B1 ock Sub ivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Non Year) PRESENT ZONI%/PROPOSED USE: ? COMMERCIAL/RETAIL/OFFICE ? INDUSTRIAL ? INSTITUTIONAL/GOVERNII TE ? R-1 SINGLE FAMILY ? R-2 DUPLEX (Two Units) ? R-3 TOWNHOUSE (Three + Units) ( Units) ? R-4 APARMjENT/CONDOMINIUM ( Units) 2) ADDRESS: CITY, STATE, ZIP: PHONE: ,4?12 3) NAME.- ADDRESS:- CITY, STATE, ZIP: PHONE: !? MASTER LICENSE# 11?f{/d i Active Expired Not recorded Stoma f'Initial NAME: _Kq?/?O TJ2C? r ADDRESS: _7/6/ we5? 7iS? CITY, STATE, ZIP:,p"j2,4 PHONE: ® CONNECTION TO CITY SEWER fZt CONNECTION ZU CITY WATER ? OTTER ' 6) - w• k3govE;n ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,© 4, ABOVE (Circle one) 7) a r. y. .FOR CITY USE ONLY• PERMIT # ISSUED Pd w/Bldg. Permit FEES: I ?? ]! r ?cP $ $ /0 SO SEWER PERMIT (INCLUDE SURCHARGE) $ $ 6,50 WATER PERMIT (INCLUDE SURCHARGE) $ $ (p?,SO WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ It SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ $ 15•DD ACCOUNT DEPOSIT - WATER $ DqD $ WAC $ S?S• (? D $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ???? ?? $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL 6.!5,6 y7 14673 RECEIPT RECEIPT DOES UTILITY CONNEC TION 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 S . A A CONDITION. SUBJECT TO THE FOLL OWING CbNDITIONS: APPROVED BY: l TITLE: DATE: CITY OF EAGAN .APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE': PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WAIER nn nul-JIMONS WILL NOT BE Sam)- ULM UM'1L PERMIT HAS BEEN APPROVED. rt r P ease Print 1) PROPERTY ADDRESS: p? fJricl e /La'( LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon Year) PRESENT' ZONING/PROPOSED USE: C] COI"M CIAL/RETA I,/OFFICE Q INDUSTRIAL ? INSTI=ONAL/GOVMMNT 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: ! = 3) u .:• NAME: ADDRESS CITY, STATE, ZIP PHONE: MASTER LICENSE# /y/ ,,j/0 7 Active Expired 11 Not recorded staff teal NAME: ADDRESS CITY, STATE, ZIP PHONE: R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) ? R-3 TOWNHOUSE (Three + Units) ( Units) ? R-4 APARTMENT/CONOOMINIUM ( Units) CONNECTION TO CITY SEWER CONNECTION TO CITY WATER ? OTHER 6) • ? 7) r r u PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,6 4, ABOVE n (Circe one) ^ FOR CITY USE ONLY r. PERMIT # ISSUED eel, Pd w/Bldg. Permit e $ s 2- FEES: SEWER PERMIT (INCLUDE SURCHARGE) $ / WATER PERMIT (INCLUDE SURCHARGE) $ (oJ j J G WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ /6,,rD - ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ / ? $ WATER TREATMENT PLANT SURCHARGE $ $ n' OTHER: $ $ TOTAL P073 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 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: . // /y??6 CITY OF EAGAN .APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYAUM OF FEE AT TIME OF APPLICATION DOES NOT CONST11= APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATF.RR naarUJAr70NS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN s APPROVED. ? (Please Print) 1) PROPERTY ADDRESS: -?h(?b Sh?eLr/S OI}IJ/OS- LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID F) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Non Year) PRESENT ZONING/PROPOSED USE: [] Cal4ERCIAL/REPAIL/OFFICE Q INDUSTRIAL INSTITOTIONAL/GOVMUZM4T Q R-1 SINGLE FAMILY Q R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) R-4 APARTMENT/CONDOMINIUM ( Units) ( Units) 2) ' i4 r ADDRESS: CITY, STATE, ZIP: PHONE: 3) u c o- For City Use .. . NAME'-/4z'4a4/' j4vM1'1rzc &-D TfA- Plumbers License: ADDRESS: ff Active /' 1!1 CGr,ole za o Expired CITY, STATE, ZIP: k2';?Haan Not recorded PHONE: Ay4?? MASTER LICENSE# / -2 - ?2c?1s, S£ inrtial 4) IVS-Ok!M A is • NAME ADDRESS CITY, STATE, ZIP PHONE: 4e •5) ?'.: v sd •:• i of ??q 1po-? CONNECTION TO CITY SEWER rvl CONNB=ION TO CITY WATER OTHER ' 6) w• • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE `- PLEASE MAIL APPROVED PERMIT TO It 2,i l4, ABOVE (Circe one) l tzU' ?,?5' 9- p C TOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) ? $ ' JD, 50 $ WATER PERMIT (INCLUDE SURCHARGE) .. $ $ (p?J J? U WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ A5, O? ACCOUNT DEPOSIT - SEWER $ $ ?J, GsZ? ACCOUNT DEPOSIT - WATER $ 7U? ?? $ WAC 7C $ 6z) $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ Oro SC5 $ 9 ? TO „ TAL 62 56 p RECEIPT RECEIPT 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 IS . L T AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: J /?L?/ ?? _. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NYTF: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOr CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER TTLSTATS.ATTOj•]$ WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. -------------- (Please Print 1) PROPERTY ADDRESS: ?p&rQ LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) 2) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: ' Mon Year) PRESENT ZONING/PROPOSED USE: COMMERCIAL/TMAIL/OFFICE Q INDUSTRIAL n INSTITUTIONAL/GOVERNlp= R-1 SINGLE FAMILY Q R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) ? R-4 APARTMENT/CONDOMINIUM ( Units) NAME: ADDRESS: CITY, STATE, ZIP: PHONE:/19? 3) u c: NAME: ADDRESS CITY, STATE, ZIP PHONE:%/gA= MASTER LICENSE# /p 7 Active Expired Not recorded StaFF -initial 4) •«« • ix NAME ADDRESS CITY, STATE, ZIP PHONE: ® CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) " w' ?" • PLEASE HOLD APPROVED PERMIT FOR PICK-LIP BY ONE OF ABOVE ®. PLEASE MAIL APPROVED PERMIT TO 1, 2,?V 4, ABOVE n (Circle one) 7) r r. u i d6/_sC6LZi ???ts..? ' ?- 1) FOR CITY USE ONLY PERMIT # ISSUED 15 Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ $ ./,3)S6 WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ /S- oz) ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ oy $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL 5 ? 873 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 CONDITIONS: APPROVED BY: i d TITLE: / ?/? ?? DATE: l OF 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN, MINNESOTA 55121 PHONE: (612) 454-8100 it _. Special Assessment Search Date: Julv 13. 1987 Title Services Inc 255 Park Square Court 400 Sibley Street St Paul MN 55101 BEA BLOMQUIST Mayor THOMAS EGAN JAMES A SMITH VIC ELLISON THEODORE WACHTER Cour ll Members THOMAS HEDGES CM Admlk Ws or EUGENE VAN OVERBEKE City Clerk Re:,; Lemay Lake Townhomes 10-44651-430-01 I un the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The City's policy is to levy assessments based upon the current zoning or existing use of the parcel (whichever is higher) as reflected in the above assessments. If, and when, the parcel is rezoned or developed to a higher use, a condition of development approval will require that this parcel assume any additional assessment obligations that have not been previously paid for existing public improvements. The City Engineering Division can provide further clarification of this policy if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor. its employees guarantees the accuracy or completeness of the information provided which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration 'of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, ;F/20-r? - ? SPECIAL ASSESSMENTS Attachment THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY SNOW STORAGE, DRAINAGE AND UTILITY EASEMENT THIS INDENTURE, made and entered into this 1eInc day of IMIIY , 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: Lots 1, 7,-8, 9, 10 and 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. 44 Marti?fn' E. Shields Myrtl E. Shields STATE OF MINNESOTA) sa. COUNTY OF?) 5,(- On this day of , within and for said County, pers nally appear me personally known to be the person d foregoing instrument and acknowledged that -4- act and deed. (S E A L) THIS DOCUMENT DRAFTED BY: HAUGE, EIDE a KELLER, P.A. 1200 Yankee Doodle Road Water View Office Tower, Suite 303 Eagan, MN 55123 (612) 456-9000 19 a`° before me a Nota bed in and who execu ecuted the *ame Who Pu W COWL E7ne am 1.19" b the IfuJU2? free / EXEMPT FROM STATE DEED TAX STAMPS -•cRMIT# t--?lo 3ay RECEIPT DATE: ? RUIDUrMAL PLUMING PFANH APPLICATION arYog iEAem 3930 Poor KNOB RD ;PALM, MN 55122 651-6$14675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow, preventer for irrigation system SITE ADDRESS: OWNER NAME::?ti W[' QY\ TELEPHONE #: y5 , l9 ?i r U37 Sc??11??? (AREACODE) INSTALLER NAME: ?f I^? t lrv\Qc6,ALEPHONE#: ?7 334-(n1 -I STREETADDRESS: ` I? ^ P/c? I q 0 `1T 6- ci-V Gj (AREA CODE) V V r CITY: ' " ?7 T'ilO ^? -9 ?t STATE: ZIP: OHO Place a check mark next to the permit work tvoe New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: T1 Et M7 A TZ??e _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 T t l $ o a Reminder. Be sure to schedule inspections of alterations, Le. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages ca?ysad by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City propenylgght.of-way/ea_3`lment. 1/01 Ikcv?p COMMERCIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 31(, --7 ?S_- 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) "* b 1 • Electric Power & Lighting Form (1) " d l • Master Exit Plan (1) d 1 • Emergency Response Site Plan (1) d 1 • Soils Report (1) y • 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. J l Date / G Construction Cost $ ? ? y ? Site Address ? .? ([U ( @ . ? I tleOLS ?r- Unit/Ste # 9 ? Tenant Name 1x , , lU(1)Y1?(?1 Y?Q Can Former Tenant Name ill C( iJ? Description of Work I .Pay- Property Owner I I GLIa t tiu t t` t i+YL t D S r?? Telephone # (Q r Lgle' 2BDO Contractor Pd?ir? U I Address 17i?l L W CG0((e R& 504-, (? "` City -p-Y f to ? State MN 'V N Zip ? Telephone # (?) 51 Arcb/Engr Registration # Address City _ State Zip ). ) Telephone # (T Licensed plumber installing new sewer/water service: Phone #: (__) ll?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. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 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 26 Public Facility J 27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ? 30 Accessory Bldg -1 32 Ext Alt - Apts. ? 34 Ext Alt - Comm. ? 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 -Final Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage SAN Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total Building inspector