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3070 Shields DrOF F ?GAN 31i Pilgt Knob Road -0- Mx 21199 i Eatgan, MN 55121 j Zoning: DI I Owner. E!YPo Inc. Address: Site Addess: 3070 Shiel Plumber: 77allev Plu Meter No/./:? 70 ?n SoZ t Ri70' ?/ X ii RA, AC Reader No.: O X /V y i d ,7 I agree to comply wfth the City of Ordinances. A (o P) of Insp.: /Z-/o- g WATER SERVICE PERMIT PERMIT NO.: R 14R No. of Units: 500.00vd „:, 15.00nd .00 d Tp V ? Sfl rP Date Paid: Insp.: OF C AGAN WATER SERVICE PERMIT Pitbt Knob Road S 1', PERMIT NO.: 11-4 - Box 211 P1 n, MN 55121 DATE: F_rlex No. of Units: ng' a;7no nc . Site Addess: Meter No.: Size: Reader No.: 1 agree to comply with the City of Eagan Ordinances. BY Date of Insp.: Connection Charge: P f Account Deposit: , l p 10 Permit Fee: F Surcharge: pd TP Misc. Charges: Total: b3 Si?Pd teeter .. Date Paid: Insp.: CITY OF EAGAN SEWER SERVICE PEWIT 3830 Pilo- Knob Road 9 L'k' PERMIT NO.: P. 0. Box 21199 DATE: Eagan, MN -P121 , No. of Units: Zoning: Owner: Wdress: Site Address: . , ., `..r? r.._? , Con^Ktion 0aOe' to se oil w16 tide Coy of 1119"s, room room k Fee: Surchame: Misc. Charges: Total: of Insp.: Date Pow: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21198 E8"n• mly 55121 Zoning: Owner: Address: _ f:, Pluumber Tess: T? err" to soft* ""Now Of soon By -?_ Dots of )rap.: Insp,:? C "Ctton Ch.M.: Account Deposit, PeM* F«: SurcharQe; Misc. Charge:; Tow: _ Date Paid. CITY OF E,IGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P.O. Box 211,ib Eagan, MN 55121 PERMIT NO.: f147 Zoning: R3 DATE: ' Owner. .'a,mc No. of Units: 6-Alex E Address: Site Addess: 3070 Shields rn.: Plumber: Vall.ev ?ins Meter No.: '? Size: Reader No.: I agree to compty with the City of Eagan Ordinances. By Date of Insp.: CITY OF F.AbAN 3830 PIlbl Knob Road P.O. Box 21199 Eagan, MN 55121 Zoning: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: _ SOp_ MISC. Charges: 156 00Fd TP Total: ?4 Sn a r Date Paid: WATER SERVICE PERMIT PERMIT NO.: 8147 DATE: 11- --- No. of Units: 6-A1ex Owner. Rano Inc. Addre Site A Pluml Meter Size: Read( I ogre Ordinances. By (BP? Date Date of Insp.: Insp.: Misc. Charges: 156.00Fd TP Total: t Sn BIG" r CITY OF EAGAN SEWER SERVICE PERM 3830 Pilot Knob Road PERMIT NO.: 0. Box 71'.g8 P -). . Eagan, MN 55121 DATE: No. of Units: ,Zoning: n Inc. Owner: Address: Is Uri : Addr v U?ills ess Site Plumber. 1 gene to "a P! wllh do Ciff of "gem Connection Charge: v 0vvd - 17.00-T, '' 5 Account Deposit: ordigeeess. 1 . Permit Fee: 5 •'*?< Surcharge: Misc. Charges: By Total: Date of Insp.: Dote Paid: Insp.: CITY OF EAGAN 3830 Pilot `?• * Road WATER SERVICE PERMIT P.O. Box 1. ! 99 PERMIT NO.: E I- + 3 Eagan; MN 55121 DATE: 11 4 "? 6 Zoning: r3 No. of Units: 6-Ple?t f= t fr Owner RaYpo Inc. _ yI? ' Address: SiteAddess: 3070 Shields -r Ave iJ x`103 Le*'A is?ke ('.ills ° 'r Valley Plumbing Plumber. Meter No.: Connection Charge: 500.00pd Size: Account Deposit: 15.00rd Reader No.: Permit Fee: 10.00p d agree to comply with the City of Eagan Surcharge: .50p,! Ordinances. Misc. Charges: 156.00pd TP Total: 63 50 d %eter By Date Paid: Date of Insp.: Insn.:__ TY OF EAGAN WATER SERVICE PERMIT 30 Pilot'Knot Road O. Box 211fr9 PERMIT NO.: 8149 gan, MN 55121 I DATE 11-4-8 6 ning: rv of Units: No 6-nlex c . nerRaypo In . ddress: it eAddess: : 3070 Shields Drive #103 Leifay Lake Hills 1-7 g? No.: "R.,,- If - _t_a:RniaaGallW: k.UP1 "° 15 Reader No.: ' 6 /V 4 -7 ° 7 refdAr4glu . UrW ""lU . UUya rg . 50 d 1 agree to comply with the City o agan suto Ordinances. R \ REQ l e?h?g s: 156.OOvd TP ' J Total: 63.5ord meter By 7?4 fa1 o rris /1/c Qi2. Date Paid: Date of In Insp -X4 CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilat Knot, Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: .i Zoning: No, of Units: Owner: Address: Site Adds Plumber: 1 egrM to some* wide the C*y of Syoe ordieeneft By Dote of Insp.: Connection Change: A Account Deposit: Permit FM: tt iifiiv?rl Surcharge: Misc. Charges: Total: Date Paid: 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Zoning: Owner: _ Ramie yn?, Address: Site Addess: 3 X17 f1 S h i o t „ Plumber. -E]-_ Meter No.: Size: Reader No.: I agree to comply with the City of Eagan Ordinances. By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: - C? 7 1: r 11314 CITY OF V,e CW ` 3830,PB6r Knob Road t P.O. Box7?1199 Eagan, MN 55121 Zoriiing: Owner: Address. Site Addess: -3lt7n No.: No. of Units: . Connection Charge: s Account Deposit: , Permit Fee: Surcharge: Misc. Charges: Total: Date Paid:_ WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: _ c Reader eiuiv U1661118 ?,,...x XJ arg: - No.: O-Z I agree to comply with the City o ermit Fe Ordinancsa. ?iPOUg ' t/0- jt`e y Misc. Char ges: Moh^? F3 P? Total: to of insp.: -1? Date Paid: r Z /D 6 Insp.- CITY OF EAGAN 3830 Pilot Knob Road P. 0. Box 21190 Eagan, MN 55121 Zoning: owner. Address: A-170 U Shield s Site /address ?T?- 1.1 Egar !'"Mb tLn Plurnber: I some to do of Wl* 111" CUT of gave By ___- Dote of lnsP.: CITY OF EAGAN PPX PtBox 2 Knob, Road ~ Eagan, MN 55121 Zoning: Owner. _ Addess: No.: header No.: I agree to comply wIth Ordinances. the Clfy of Eagan I By Date of Insp.: L CITY OF EAGAN 3830 Pilot Kno` Road P.O Box 21199 Eagan, MN 55121 WATER SERVICE PERMIT PERMIT NO- 91 5f1 DATE: 11-4-86 307A Sbial tin nrivo A104 r May 1 Hills T.--, go 1 agree to comply with the City %FH 'r- E'" t Ordinances. 'V,4 ll" TEL A i`;E iAW By ??f ?lor,h:s 8i' REQUIR Date of Insp.: Insp.:. OWLIt ssr4WE PERMIT PERMIT NO.: -------- 7 77-7 DATE:, r, _ No. of Units. Connection Charge. 4 Account D°P°sit' Permit Fee' Surcvv": Misc. Chord" Total: Dote Paid- WATER SERVICE PERMIT PERMIT NO.: ^ DATE: No. Of units: '4-8 -Connection Charge: _ 50nu - Account Deposit; 15 00 d Permit Fee: I d Op d Surcharge: . 50 Misc. Charges: 1 Sf n 1 Total: 0-? Date Paid: _ i_s_ . CITY OF EAGAN 3830 Pilot Knob Road P.O. Bax.21199 Eagan, MN 55121 Address: Site Addess: 3070 Shi ds No.: WATER SERVICE PERMIT PERMIT NO.: S l_S2 r%ATG. - - No. of Units: ve eL-7 B- adei No.: "ne?C Dreg to comply with the City of E'n' ilnances. ???P?b REQL? .f ? l?'1D 1'rr.S ifB P? Total: Date to of Insp.: Insp.:. /z -/o- X16 Y OF EAGAN WATER SERVICE PERMIT Pilot Knoh Road > I ) BOY .1139 PERMIT NO.: an, MN :3121 DATE: ing: No. of Units: 6-Plea ier ress: ;r: r: -r '3= Addess: a ey urs nr, K- re A 1 IIfRR No.: leader No.: agree to comply with the City of Eagan Connection Charge. V Y _ r Account Deposit: Permit Fee: Surcharge: .? Misc. Charges: F? ?e er Total: Date Paid: of Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 211P-9 Eagan, tnN 55121 Zoning: T n C . Owner: Address: Site Address Shields V Plumber. al. i e} `'lunbi e?ree to esm ly v*b Ire Cly? of !oils Qai?gmueee. By Dote of Irtep.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: a Connection Change. ' Account Deposit: Permit Fee: Surcharge: Misc. Charges~ Total: Deft Poll'. FAR Raft UNITS CITY OF EAGAN TkW 11j)US ; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12459 PHONE: 454-8100 BUILDING PERMIT Receipt# 4? To be used for 6 UNIT T.H. Est.value $317,000 Date AUGUST 14 1986 Site Address 3070 SHIELDS DRIVE Erect ? Occupancy R1 dot -7 Block -2 Sec/Sub. LEMAY LAKE HILIJ&model ? Zoning PD P Repair ? Type of Const Vt. arce Addition ? No. Stories Q Name ALBERT C. KEMPF Move El Length 120 = 7101 FRANCE AVE SO Demolish 13 Depth 60- 03 Address 920-8831 EDINA Ph Cit Int. Impr. C3 ? Sq. Ft y one Install o Name REYPO CONST °u i Address SAME '¢' City Phone F W Name v Address e u=i City Phone I hereby acknowledge that I have read this application and stat information is correct and agree to comply with all applicable Minnesota Statutes and City of E a rdina Signature of Permittee A Building Permit is issued to. REYPO CONST all work shall be done in accordance with all applicable to of Building Official Assessment Permit ? Water & Sew. Surcharge Police Plan Revie Fire Eng. Water Planner Water Council Bldg- Off. 8/12/86 APC Var. Road Tr. PI. Copies T,..?10,747.75 on the express condition that City of Eagan Ordinances. SITE ADDRESS 3070 SHIELDS DR Unit # 101 Permit # 12459 T. 7 R 7 _ T.T:MAV T.AlZT? TITT.T.T-- TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC ?_ 3 `? 1 G ??\ ?? ?zrQsi 1 l i<: ?? .3 S • off, INSPECTION DATE INSPECTOR OTHER FRAMING ?? - as _ Yk ROUGH PLBG. 0_00• 11-6 ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/000 INSPECTION DATE INSPECTOR COMMENTS rtc34 U`,,i CITY OF EAGAN ?, f D W_ i??? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N"?? PHON BUILDING PEWIT E. 454-8100 Rece ipt# To be used for u J:;!T •r-H- Est Value $317,000 Date AUGUST 14 19 iii Site Address 3079 SHIELD 9 DRIVE Erect LJ' Occupancy R 1 Lot -3" Block -2-1 Se,/Sub. LEM,AY LAKE HlLhAinodel ? Zoning PD Parce _ Repair ? Type of Const V Q Addition ? No. Stories a ALR 4RT I . r, h"4P F Move ? 1-20 Length m z Name - :dCL 7101 FRANCE AVE SO Demolish ? Depth 6D 3o Address int. Impr. ? Sq. Ft. City Phone Install ? c Name REYPO CONST cU u Address ~ City Phone s F W Name z a Address 4 W City _ Phone I hereby acknowledge that I have information is correct and agree Minnesota Statutes and City of E Signature of A Building Permit is issued at) work shall be done in a Building Official REYPO CONST with all applicable Water 5 Police _ Fire - Planner Permit ' r v Surcharge 153.50 Plan Review' 5 SAC 3,450.00 Water Conn. 3, 000. Ou Water MeterNTA' Road Unit 1,740.00 Tr. PI. 936.00 Parks N/A Copies . 7 5 Total Council ,e Bldg. Off. 8 12/$1 APC Var. Date on the express condition that City of Eagan Ordinances. Permit No. Permit Holder Date Telephone # Plumbing 60 / kt.V.A.C. 7'7 /C,`6LtiI Electri4 Softener Inspection Date Insp. Comments Footings I Footings 11 as Foundation Framing Rooting L M Rough Plbg. OI / 6 (.A/I/3' Rough Mg. Insui. ?6. Fireplace Final Hill. Final Plbg. Z- Q 1 • ?? Bldg. Final Carl. Occ. Deck Fig. Deck Frmg. Well Pr. Disp. ? . PERMIT # (o MECHANICAL PERMIT RECEIPT # CITY OF EAGAN EAGAN MN 55121 DATE: 3830 PILOT KNOB ROAD / CONTRACT PRICE: L y?f1 -z , , PHONE: 454-8100 Site Address J d TYPE WORK DESCRIPTION BLDG Lot Block Sec/Sub . N R ? Name 4 ew es. M ow ?Jr ? wtr k Lf? i l 4 Add n u . -o Address 1 ' C R i H omm. epa r c City Phone Ot her 4 Name FEES - . c Address N RES. HVAC 0-100 M BTU 4i4 0 O City 1 %lit ¢e 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 - I-W.E4. 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 - 50=? (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM ?5? DU BEYOND $1,000.00) Gas Piping Outlets # Other i FEE: SIG TURE OF PERMITTEE - S/C: TOTAL: ?b• FOR CITY OF EAGAN ,. PERMIT # " . PLUMBING PERMIT RECEIPT # 11 1 CITY OF EAGAN ?- 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ? CONTRACT PRICE ? CC - PHONE 454-8100 Site Address - 7C) '6 r vc BLDG. TYPE WORK DESCRIPTION Lot?L Block Sec/Su New ,Y Name Mult Add-on Address Comm. Repair c City Phone < Other %/ %/ j NO NO. FIXTURES TOTAL c /ii , _ 1 Name / Water Closet - $3 l 00 $ 3 Address 2 . ? fa-Bath Tubs - $3.00 O City t Phone - Lavatory - $3.00 Shower - $3.00 / ---Kitchen Sink - $3.00 & FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1x16 OF CONTRACT FEE Laundry Tray - $3.00 MINIMUM -RESIDENTIAL FEE _$10.00 ?L_Floor Drains - $1.50 4 Floor 1.5o MINIMUM - COMMAND FEE - 20.00 f? Heater - r $1.50 STATE SURCHARGE PER PERMIT - 50 Whirlpool - (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 /Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: G FOR: CITY OF EAGAN GRAND TOTAL Y .rv. - +??_ a 1 s Terti#iratr of (Orrupaury Citp of (Eagan #r rnt of Want" jwrrtion 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..- Ux C tion UNL 71 M.D. ". Hermit No. 12459 Occupancy Type R Zoning Diaaia "_ 1 Type Coal. .'n {? Ownwot Addreea 7:111 i't7/L : is F T L.'.'.T?A sodding Amras _ C Locality Date: Bwlding OBrcid POST IN A CONSPICUOUS PLACE SITE ADDRESS 3070 SHIELDS DR Unit # 102 Pertnlt # 12459 T. 7 _ A 9 _ T.IWM2kV T.2kVT? TJTT.T.C TYPE PERMIT W PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC ( '7 J r] q ?? S_? .. 1 f C / Flo .5 C O INSPECTION DATE INSPECTOR OTHER FRAMING _F'r., ROUGH PLBG. U ROUGH HTG. ff INSUL O - , FIREPLACE FINAL HTG sf? 2y- p7 _ r FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3070 SHIELDS DR Unit # 103 Permit # 12459 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A,C. ELECTRIC G3'7 '7 5 ?_,?, - 11 O INSPECTION DATE INSPECTOR OTHER FRAMING lam` ROUGH PLBG. ROUGH HTG. - . Y? INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3070 SHIELDS DR Unit # 104 permit # 12459 T 7 n 7 T WILtrv T XTrW vTT T O TYPE PERMI # ERMIT NT ACT DATE TELEPHONE# PLUMBING H.V.A.C. ELECTRIC C 37 17 / G ?,? - • ?` ?'` INSPECTION DATE INSPECTOR OTHER FRAMING 8.6 Z416-- ROUGH PLBG. ROUGH HTG. 6t 4 INSUL , FIREPLACE FINAL HTG OPO FINAL PLBG UNIT FINAL Y7 CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3070 SHIELDS DR Unit # 105 Permit # 12459 r ? rs r. T 11 T1 -1 r "Us % TYPE PE I C DATE TELEPHONE# PLUMBING H.V.A.C. ELECTRIC Ll),3?1r73 INSPECTION DATE INSPECTOR OTHER FRAMING ?d ?z -8? 4V, B, ROUGH PLBG. L I 1 ROUGH HTG. 49 44 INSUL FIREPLACE FINAL HTG 17-,z _ 97 ?O FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3070 SHIELDS DR Unit # 106 Permit # 12459 T. 7 a 7 _ T.T?MAV T.RVW uTT.T.C TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC rJ l r7 1-???.;?e_ I LL, L 8"la INSPECTION DATE INSPECTOR OTHER FRAMING /©-tea ROUGH PLBG. 1,0 -- ROUGH HTG. INSUL - ?b FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERVOCC INSPECTION DATE INSPECTOR COMMENTS This l I /oc?!b L ?? U ?t 19 mor JT175 L .• Lf y'1'Za?t 0.he6 (?S ?``CO Re y (es, Datl. ' /g ? Fire No. Hough-in Inspec on t ? []Ready Nuw 11 Notify Inspec- I c+ ?NO Wi or When Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Box or Route No. 3676 .5NjEaDs, ox,uE 163 City EA(j:,4 N Section No. Township Name or No. flange No. County D.,4 eoTillif Occupant (PRINT) Lf too Phone No. Power Supplier LQ re F L E C Address File 4a 1),)6- 7-6 )o Electrical Contractor (Company Namel FH L I T-E E L6 t7i VL Contractor's License No. qe) Mailing Address (Contractor or Owner Making Installation) 3 lL _ N E L3 E IC,w E G4 I Au orized Si nature IContractor?Owner Making Installation) a Number PZ75 "2 - GS MINNIEyA,TA STATE BOARD OF ELECTRICITY THIS INSPECTION BEQUEST WILL NOT GriggsVidway Bldg. - Room N•191 BE ACCEPTED By THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 Ph University Ave., St. Paul. MN 66194 Penn. IRt]t 797.9111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 See instructions for completing this form on beck of yellow Copy. 37175 "X" Below Work Covered by This Request jNw4Addj Bep.1 Type of Building I Appllonces Wired I Equipment Wired I ectric Ik Tank N Fee Service Enlra nee Size # Fee FBeders/SVbteaders # Fee Circuits 0 to 200 qm s 0 to 30 qm s 0 40 0 to 30 An ,c Above 200 Amps tQQ 31 to 100 Amps I .p 31 to 100 Am Swi "In Pool Above 100_Amps Above 100-Amps Transformers irrigation dooms r Partial."Other Fee signs Special Inspection g s.Q TOTAL FEE eamarks /? ` ?y , I, the Electrical Inspector, hereby certify that the above inspection has been made. Thie request Vold 15 months from This request void I/? / cY( 18 monlF from 6 b (4*-U- 80 L 4s/1-/ t1Y (?-'(1g $35 o '' 1 ? / quired7 ? ?Ready Now III NotiW Inspec- t !V^/ No [3,e' II Readv Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: or Route No. Street Address, eoz tfI &L C) - 9 D?`ur xIo City 4 6.4 a l action No. Township Name or No. ange No.. County b1+90 T-4 Occupant (PRINT) YAO 1-pJC t Phone No. Power Supplier " T-4 IS r. Address r.4 4!k /uGra ru Electrical n1 r'CPey Name) .G EL- E It= Contractor's License No. L?6 qL1 S M ing Address (Contractor or Owner Making Installation) 6LENNE ?VLtuF- EsFCri4N Au or iz etl Bnature (Contractor Owner Making Installation) Phnne NL umber - ?1S?s6S MINNEdWA STATE BOARD OF CTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St, Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS ow___ ratn oRT-ottt ENCLOSED: ' l A7 / REQUEST FOR ELECTRICAL INSPECTION ES-00001-04 G .: See instructions for completirp this form on back of yellow copy. - 31 -' 8 O ""X" 8elow Work Covered by This Request Y eem Add Rep. Tvee of Ruimina Agnfiancee Wired Equipment Wired Bl Commercial dg. Furnace Sila Unloader n Industrial Blda. Air Conditioner Bulk Milk Tank a Fee Service Entrance Sixe p Fee Faeders/Subfeeders N Fee Circuits 0 to 200 Amps 0 to 30 AM OS 0 to 30 Am s Above 200 Amps ,QQ 31 to 100 Amps ,60 31 to 100 Am Swimming Pool Above 100_Amps Above 100_A mps Transformers Irrigation Booms Partial."Other Fee I I Signs I (Special Inspection ' --7" TOTAL FEE Remarks S?o Tom-,?--Cp Electricaiv certify that the above. Final A? /1T/ o inspection has been rrodo. This request void 1 (,+,/ IS months from . `' )b D f ` 37179 t.-.r1 6 ;2 L?Gti, ?a?he N` {Is ?3s.ec Request Cat9 / Fire No. Rough-in Inspection Reqw ? -tidy Now E] Will N lify Insoer es ?NO for When Ready R[icensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Be. or Route No. City T/ O 4t2 20 04 4 ecl ion o. Township Name or o. flange No. County 1 ? QFe a Occupant (PRINT) Phone No. Power Suppli Address k-,, fa Electrical Contractor (Company Namel ontractor's License No. yY5 f/ L t z ? r a C-C- d Mailing Address IContractor or Owner Making Installation) 0 • Au ru ed igna lure IContractor/Owner Making Installationl Ph a Number MZVTA STATE BOARD OF ELECTRIC THIS INSPECTION REQUEST WILL NOT Grigg.-Midwav Bldg. - Room N-191 ITY BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 7021 University Ave., Sc. Paul, MN 55704 Phnnw (6121297-2111 ENCLOSED. 1 ( / REQUEST FOR ELECTRICAL INSPECTION E8-000011 -04 /h' tT b , See instructions for comolelirg this form on back of yellow copy. -43 179 "X" Be/ow Work Covered by This Request lc 7 `I{ f A,4'ReP Type of Building App Liacces Wi od Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Blda. Air Conditioner Bulk Milk Tank # Fee Service Entrance size # Fee Feaders/Subfeeders # Fee Circuits U to 200 Am S 0 to 30 Amos O U.O 0 to 30 Amps Above 20 -Amps p 31 to LQ An2ps , D 31 to tU0 Am s Swimming Pool Above 100_Am s Above 100_Am2 Transformers Irrigation Booms r 5761 Partial: Other Fee L I ISigns I I (Special Inspection ?s / -\ Remarks -f TOTAL FEE /? i i S) i 11C I, the Electrical {/ 3 Inspector- hereby certify that the above Date Final inspection has been mach 1 02 This request void 1 /O? / <1?( 18 months from . b b C 37174 i,_9 62. Ile- v\-^ _,. ?.V_e G `5/ u / H-? (ls V35.00 Request Date /' Fire No. Rou -in Insp ction R wir ed? 1 - [:]Ready Now YCrTI Notify In spec- ' I (p a `(+ ? es Nu `jor Whnn Ready icensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. _H7 30')0 SHIELDS lefUE lay( City r= 6---4)1-j emton No. Township Name or No. Ranga No. County go Ti4 Occupant (PRINT) `' ?d mil- >U C . Phone No. Power Supplier DAevTi4 ALE C! Address _ ` , f=?/C!&Y /AJG-/`a N Electrical Contractor (Company Name) I f'f'ILt7-E I,LCCCTAe I? - Contractor's License No. ??3 Ma mg Address IC ontractor or Owner Making Installation) K1`: ti'NE B,E C D?2tuE E G-.4N Authori Si ature (Contractor/Owner Making Instal lationl P Nue- /? MINNESO STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT 1 BE ACCEPTED BY THE STATE BOARD Griggs- 1 ay Bldg. - Room N-191 821 University Ave., St. Paul, MN 55104 UNLESS PgOPEfl INSPECTION FEE IS oe....e 111191 991.9111 ENCLOSED. ?G I REQUEST FOR ELECTRICAL INSPECTION 113-000011-04 a. 1 See instructions for Completing this form on back of vallow copy. / s r 1 r q "X•" Be/ow Work Covered by This Request -37174 V Add Rao- Type of Building Appliances Wired Equipment Wire Silo Unloader Bulk Milk Tan p Fee Service Entrance Size a Fee Feeders/Subfeeders k Fee Circuits 0 to 200 AMPS o 30 AMPS LO 4.0 0 to 30 Am Above 2 0 to 100 Am ps , Q 31 to 100 Am s wmming Pool ! ft ove 100_Am S A Above 100Am s gation Booms , Partial."Other Fee Signs Special Inspection 135, TOTAL FF-EU'T q) Remarks a?.?.Jv ?? / ? ° I, the /C%• ('/? bt I rp' Inspector, hereb y h certify that the a bove Final ? fiat. ?? inspection has been "'', ? ( .,•J•.:J/?v.2. ?' made. 16 Y 1R777 s 777 II/VI? L ?-, '?- l k4 9 37172 /32 t??5 6o-oo Regues Fire No." Rough. in Ins pool on / /' ?? R cared? ?Ready Now I Notify Insoec, l es ?NO or When Ready Lice need L 'cal Contractor I hereby raeuest inspection of above ? Owner --* Id electrical work installed at: Street Addre=_ -. k or Route No. 3a73 .:, !5;#1f4-- ps i6y City EA6- 41ti ecuon, ^(` -Township Name or No. Range No. County f<6 T4 Occupa I (PRINT) Y 100 /1-3 C . Phone No. Power Supplier ,4 Ko 7-4 Address F144 At Q (s- ?'o I\J Electrical Contractor (Company Name) H/L/TC €IEC?'4I C COntrar. or's License No. O ?lJr Mailing Address (Contra'ct'or or Owner Making Installationl 3( KE1Kj tiE/3EC D41uc IEi46:o4x) Authorized Si nature (Contractor Owner Making Installationl I / PPh(9 nee Number 1 ? ? ? { V ?O a.J MINNESpYA STATE BOARD OF ELECTRI ITY THIS INSPECTION REQUEST WILL NOT Griggs?Mi?a?,ey Bldg. - Room N-181 BE ACCEPTED BY THE STATE BOARD 1821 l)wrGers ity Ave., St. Paul. MN 551 04 UNLESS PROPER INSPECTION FEE IS Ph..... 19121 9517,111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 'r See instructions for completing this form on back of Vol low copy. ,717 2 -X"- Below work Covered by This Request @? l r Novi Add F TVoe of Building Appliances Wired Equipment Wired H Range Temporary Service lex Water HeateE Lighting Fixtures Z. Building Dryer Electric Heating Coimercial Bldg. Furnace Silo Unloader t`ndustrial Bldg. Air Conditioner Bulk Milk Tank Farm the, pecb y nccr ISper,IfVl t ,r pec7 V Other 01h., ComDUte lnsoection Fee Below g Fee Service Entrance Size H Fee Feeders/Subfeaders g Fee Cire vets 0 to 200 AMPS 0 to 30 AMPS , 00 0 to 30 Amps Above 200 Mps 31 to 100 Amps 574 1 1 1 to 100 Amps Swimming Pool Above 100_Amps Above 100_Am s Transtormers Irrigation Booms Partial-"Other Fee Signs Special Inspection 5/ 56 TOTA f Remarks 4, L F E I r/?•?? aougn-in // J ^ `"// I I, the Electrical hereby r certify that the above IFinel r _` D^te?((y inspection has been matle. 6 I This request void /?( r(y_e ?l eY (.? C'• 18 months from ?o / 75 ?0 7 C 3 717 3 it- 435 GG Request Date _ (7^{L l? ? Fire No. Aouph-in Insp ction qu red? ?Ready Now .It Nntify Inspec- fo Wh R v T? I es ?No r en eady icensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Box or Route No. 36-)10 5H/tFCDS DMUE #7aS City L''AC 3tv ecLOn No. Township Name or No. Range No. County DA4 tLoT.4 Occu0a t(PRINT) .4YPa ! c Phone No. Power Supplier D, 4K6T reLECT Address F,44k1 t IUCrTG N Electrical Contractor (Company Name) Contractors License N$. 1414-t7"iF ELEe-Tj0-1'1C Uo14 U.S Mailing Address (Contractor or Owner Making Instailation) (L?x? E6Ec D41UE F-A64NJ A thorized ignature (Contractor Owner Making Installation) Ph ne Number 155%J- MIk4 A STATE BOARD OF ELEETRICITY THIS INSPECTION REQUEST WILL NOT Gri99 idwsv Bldg. - Be.. N-191 BE ACCEPTED BY THE STATE BOARD 7821 University Ave., St. Paul, MN 65104 UNLESS PROPER INSPECTION FEE IS or.,..._ ia17l 997911t ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-00001.04 1, I ?? 1 See instructions for completing this form on back of Yellow cap V. 4y I 17 1 7 * ""X"" Below Work Covered by This Request f1ewIFFAc -Rep.} Type of Building I Appliances Wired I Equipment Wired Silo llnloader Bulk Milk Tan If Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps p 30-CO 0 to 30 Am S Above 200 Amps 31 to 100 Amps .OQ 31 to 100 A s Swimming Pool Above 100 Am s Above 100_Am S Transformers Irrigation Booms r Partial :Other Fee Signs I I (Special Inspection ?S2t..6 I TOTAL FEE-, I" the Electrical r U44 Inspector- hereby I ` cerlily that the above Final"ta c inspection has been made. request ya1d 10 months tram 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 4 (0 \A 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. `I I S C?;-o Date 1/ 1 2-9 1 6 U Site Street Address 10-70 514 1 C L b5 bQ Unit # / Ool Property Owner U l c TO 121 A L A By MA1 E y Telephone # (451) Q54-58"O Contractor STEIN k(ZAU S Address I I Z E 50 ST_ , P C. o AA fj IA/ G S f-(-- 101 City C H-IS KA Telephone # (9SL) 3 /,/ - 0128 State /AA/ Zip SS 3 1 A The Applicant Is: - Owner Contractor -Other Alterations to existing dwelling -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 _ Water Softener Y replacement _ Water Heater additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 5.5 0 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. LucRES1A -S PS6 Applicant's Printed Name zol, I?li77 ?In Si nature AP+ 0 2004 u? 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for! single family dwellings & townhomes/condos when permits are required for each unit -1S30 ,43? 5 / 13 / (4 Date Site Address L D-7b ? l l CtUs Df- • Unit # 1C52- Property Owner V 1 Ctl*)?Q, L-l?7 7 1G Telephone # ( ( 51) Wohlers Southside Htg. & Air, Inc. Contractor 6950 W. 1461 St#106 Street Address Apple Valley, MN 55124 City (952) 431-7099 State ( Telephone # ) Bond #: T?`L? ?? a a Expires: C? The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace ``'' -Additional ?Replacement _ air exchanger air conditioner Replacement New other State Surcharge $ .50 Total <C!) kZ I hereby apply for a Residential Mechanical 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 Mechanical 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 case of work which requires a review and approval of plans. _ Applicant's Printed Name Signature Tod MAY 1 7 2004 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction Underground Tank _ Install Remove "see below Interior Improvement - Install Piping - Processed `Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1 % _ $ Permit Fee • If Hermit fee is $1,000 or less, add $.50 77:1 $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 ,permit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 Mechanical 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 case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAA NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF KAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS ? FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND Gti.tITS lol, IDZ, l03 , 104, f0$ , IO to To Be Used For: & STRUCTURAL PLANS, SET OF --? a0J , Valuations Date: Site Address ?) (Y l J h'I e- 1d S µ4- 4(i Lot Block - I r Parcel/Sub -GMA`( (--AC1= FI?$ Owner ` C4- C I? e- Address 1 D I T r a I-, C P_ Ti U-C City/Zip Code I `)L °? 5 S l{3 S Phone q l 30 - ?3 r , Contractor/_ _ tp?0 Y151 Address 7 a r City/Zip Code Phone Tao - ?) Arch./Engr. Address City/Zip Code Phone # Erect Occupancy L - Remodel Zoning Pr Repair Type of Const p" Addition # of Stories Move Length /ZO Demolish Depth '00 Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit 47 S sb Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit 1-747o Bldg Off- /s Treatment P1 a b_ 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 ti25e s3 ?o, V` ofZ , N '1 W 1 LEISURE 3 \ ?S Scale: 1" =40'' o Denotes Iron Mon. So ?Nrafnag ae nd I1 Y \\y ?, 6` N eeme S n t S(e S ? m s o 1"?'? 9 R? ,yp SpJby, 'L 9 'in 41 gqq ?' ,y 3R. v1?o?5 6\'oN s so N ` P(O pO ?`2v'. ?aA?p'(. ?1?A `.4 Ga 66 a '? o z ?J OJ (fl M 0 `yv• .fit 05 ?; 4 l3 4• ?? ? ao, e Vs ' ysS ? ? i3?•33 X Bq9• ? ` . J.1 t G! O %? ' . d tlitY e It a5en ?03? D Ora, 9 a? ??? 5&.&CD X1100°00'07"6 K815.2. -T V° ?o30 A, 0 S S O x 898.5 Sanitary Sewer Invert Elev. Cow oaf. I "v.) 879.3 LEGAL DESCRIPTION Lot 8,.81ock 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. rsJ' As surveyed y me this 1/3 day of 16161"1 , 19L4 ? f1 11 tl-'Minn. Reg. No. ?fY LANE Job No. S S Book - Page IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING /PROPOSED hbn Year) /PROPOSED LSE: (Please Print) / 1) PROPERTY ADDRESS: _-7iO7O ?;?/p S GYf/?P /D/ _ LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID 0 cavERCIAL/RETAIL/OFFICE 0 INDUSTRIAL o INSTITUTIONAL/GOVERNMENT CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 2) NAME: ADDRESS: R-1 SINGLE FAMILY 0 R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( iUnits) R-4 APARTMENT/CONDOMINIUM ( Units) CITY, STATE, ZIP:- ZQYN449A[? PHONE: )4!2,2 ? 3) u m a NAME: ADDRESS: CITY, STATE, ZIP: PHONE: qq ,?? /Q f MASTER LICENSE# n Plumbers License: Active Expired Not recorded S Ti 4) ?• is NAME: ?? V I)Yl !' _ ADDRESS:/ CITY, STATE, ZIP: 1; 4 PHONE: •5) a v ? a• •:r• :: • a? - :?s n CONNECTION TO CITY SEWER Q CONNECTION TO CITY WATER L] OTHER 6) • i PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 4, ABOVE - 1 /1 (Ci a one) NOTE: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. FOR CITY USE ONLY PERMIT # ISSUED X/ 4-1 ;? Pd W/Bldg. Permit S FEES: $ 10-5cQeS 6,2 6SEWER PERMIT (INCLUDE SURCHARGE) /.DO $ ? D SD WATER PERMIT (INCLUDE SURCHARGE) ? g $.5 U WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ l / S. O ZJ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ 156 Clo $ WATER TREATMENT PLANT SURCHARGE $ $ ! OTHER: $ ?a2 D $ 93' U C) TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: APPLICATION FOR PERMIT CITY OF EAGAN SEWER AND/OR WATER CONNECTION HOTS: PAYMRW OF FEE AT TIME OF APPLICATION DOES NOT CONSTITM APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. P ease Print) FF;? xxxx 1) PROPERTY ADDRESS:,070 5k Aaya LEGAL DESCRIPTION: - Lot Block Sub ivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon Year- COMMERCIAL/REPAIL/OFFICE INDUSTRIAL INSTITUTIONAL/GOVERNMENT 2) 7-41 0 R-1 SINGLE FAMILY Q R-2 DUPLEX (Tao Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTmm/CONDOMINIUM ( Units) NAME: /f . ADDRESS: CITY, STATE, ZIP: PHONE: yp// 3) u c 7• ADDRESS: CITY, STATE, ZIP: PHONE: MASTER LICENSE# 'Z _ 4) WK-as • i- NAME: c Active Expired Not recorded Steal ADDRESS: /,cJeCf • CITY, STATE, ZIP: PHONE: 'S) '/ Y• ._ I 1 Y: • 71• 1 • 71Q • 7• yp:,y Y7/ CONNECTION TO CITY SEWER IN CONNECTION TO CITY WATER OTHER ' 6) 1 • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE n (Circle one) TOR CITY USE ONLY PERMIT # ISSUED f/ etl I Pd w/Bldg. Permit FEES: $ $ /D,SD SEWER PERMIT (INCLUDE SURCHARGE) :. $ $ 1,9,56S ton WATER PERMIT (INCLUDE SURCHARGE) $ $ CPJ J b WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ n 6 ACCOUNT DEPOSIT - WATER $ WAC $ S75 S SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ?cS $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ Ic0l on $ TOTAL Kb)3 RECEIPT RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: j? //? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PA)WNf OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS Wnr• NOT BE sat D-• ULED UNTIL PERMIT HAS BEEN APPROVED. Please Print) ? 1) PROPERTY ADDRESS: ,q 5?jielc!< zaw. LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon Year) PRESENT ZONING/PROPOSED USE: COMLMERCIAL/RETAIL/OFFICE Q INDUSTRIAL n INSTITUTIONAL/GOVERNMENT R-1 SINGLE FAMILY 0 R-2 DUPLEX (Ito Units) C( R-3 TOWNHOUSE (Three + Units) ( Units) ? R-4 APARTMENT/CONDOMINIUM Units) 2) ADDRESS: CITY, STATE, ZIP: PHONE: ?y 3) u :,• _ For City Use .- l? ??. ?? nn r ry PlGE;rs License: ADDRESS: Q Active L j i CITY. STATE, ZIP: Expired ??(( Not recorded PHONE:1/4Fg , /?/ MASTER LICENSE# ®p?/? ;2 St?Initial 4) ••« • 37 NAME: i ADDRESS: 7/aJ ?.??c 71s 7? CITY, STATE, ZIP:n d ?h PHONE: •5) it Y• i Y: • ]1• •:1 ?• U' yY7• CONNECTION TO CITY SEWER ® CONNECTION TO CITY WATER OTHER 6) r • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE -"- - PLEASE MAIL APPROVED PERMIT '10 1, 2, 3 4, ABOVE (Circe one) TOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ JD-Sa ? )SEWER PERMIT (INCLUDE SURCHARGE) $ $ ?O'SD WATER PERMIT (INCLUDE SURCHARGE) $ $ J D WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ SC ` © a $ WAC $ C J 7S C?LJ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ ER R WAT T EATMENT PLANT SURCHARGE $ $ ' OTHER: $ Q5 J O $ / TOTAL 6? y7 v?3 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 I DIVISION LIST AS SSUED BY THE ENGINEERING . A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: ` G CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION APPL-------- APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR NII= INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. -.. -xxxx:xxxxxxxxxxxxxx=xxxxx:xxxxxxxxx (Please Print 1) PROPERTY ADDRESS: ?07? ???llt ?r????(?? _ LEGAL DESCRIPTION: "- Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon Year) PRESENT ZONING/PROPOSED USE: MMMERCIAL/RETAIL/OFFICE Q INDUSTRIAL INSTITUTIONAL/GOVERMN ENT R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ? R-4 APARTMENT/CONDOMINIUM ( Units) ( Units) 2) rTr NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) u c: N ADDRESS: CITY, STATE, zip: 7, /?fd PHONE: 9- MASTER LICENSE# ??sr?1L7 i 4) •a• • i? i Active Expired Not recorded Sta Initial ADDRESS: CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER EP CONNECTION TO CITY WATER O'T'HER 6) v • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - - PLEASE MAIL APPROVED PERMIT TO 1, 2,(M 4, ABOVE /1 ^ (Circle one) 7) r u' - XJI'f?r_ c. FOR CITY .v USE ONLY PERMIT # ISSUED ?/ 5 v Pd w/Bldg. Permit FEES: ?j ? $ $ G0 ??"'SEWER PERMIT (INCLUDE SURCHARGE) $ ' WATER PERMIT (INCLUDE SURCHARGE) $ $ fi?3 SO WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ll $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ S am' OC' $ W C A ` $ 75' CCU $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER / $ 156 6() $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ ZJ,0 TOTAL 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: l h I CITY OF EAGAN .APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PA)W T OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLA'T'IONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. ^XXXXXXXXXxXXXXXxXXxxxxxXxXXxxXxXXXX (Please Print 1) PROPERTY ADDRESS: O_z7 LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID IF EXISTING STRUCMME, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: ~ (Mon Year) PRESENT ZONING/PROPOSED USE: C(XMMMCLAL/RHTAIL/OFFICE Q INDUSTRIAL INSTITUTIONAL/GOVERUMiT 2) •'ir n NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) u is a• N ADDR CITY, STATE, ZIP: PHONE: y9, MASTER LICENSE# 4) •«« • •,? •,t.iT m NAME: ADDRESS: CITY, STATE, ZIP: PHONE: vlurvers license: Active Expired Not recorded to Initial ® CONNECTION TO CITY SEWER FA; CONNECrION TO CITY WATER OTHER 6) ?•? • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, , 4, ABOVE n (Ciro one) n R-1 SINGLE FAMILY 0 R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) FOR CITY USE ONLY PERMIT # ISSUED /.$-? Pd w/Bldg. Permit R 11 FEES: $ I).j Z SEWER PERMIT (INCLUDE SURCHARGE) $ D,j WATER PERMIT (INCLUDE SURCHARGE) $ ? WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ $ ap ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ nt) $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ 9+ So TOTAL RECEIPT RE CEIPT 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 AS DITION O . . A C N SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: TITLE: DATE: j/?? ?? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYKEW OF FEE AT TIME OF * APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER =UJATIONS WILL NOT BE SCHED- ULM UNTIL PERMIT HAS BEEN * APPROVED. _ _. "`Si,1Z].Fiifi"Flfa.x a.'txxxxxnnnnnxnxnnnnt +cn Please Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: " (Nbn Year PRESENT ZONING/PROPOSED USE: 0 Ca',1ME2CLAL/RETAIL/OFFICE r( INDUSTRIAL n INSTITUTIONAL/GOVERNMENT 2)F NAME: ADDRESS: R-1 SINGLE FAMILY 0 R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) CITY, STATE, ZIP: PHONE:?9'? - ?/ ?/ 3) u NAME.-y4 ADDRESS: CITY, SPATE, ZIP: 42 ZIA Active Expired Not recorded N PHONE:/ MASTER LICENSE# ?!n y gaff Initial 4) ??w9 :.i ? NAME: ?A?/?-ham ADDRESS:?LQZ "g -S „L ;2;-' SZ CITY, STATE, ZIP: PHONE: g CONNECTION TO CITY SEWER CONNECTION TO CITY WATER ? OTHER 6) E] PLEASE BOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - PLEASE MAIL APPROVED PERMIT TO 3 4, ABOVE (Circle one) 7) 1 -FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit $ $ ?•6_0 $ 575 C)7? $ o D s /J3/ 0(D y RECEIPT FEES: ((?? h 6 II??SEWER PERMIT (INCLUDE SURCHARGE) $ /a.SD ?? D WATER PERMIT (INCLUDE SURCHARGE) $ 3 S0 WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ $ $ $ $ s p•SU RECEIPT SEWER TAP 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 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 : SNOW STORAGE, DRAINAGE AND UTILITY EASEMENT THIS INDENTURE, made and entered into this 6? 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: L `1 . 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. Martin E. Shields Myrtl E. Shields STATE OF MINNESOTA) ss. COUNTY OF U 19 befor?e? me" 'aNotaryyPublic On this day of within and for said County, pers nally appeareon7 ." e ltu.( cTc• u?' me personally known to be the person described in and who executdib the 4040 foregoing instrument and acknowledged that 4-hogexecutea the game asrhgti-free act and deed. / (S E A L) Pu THIS DOCUMENT DRAFTED BY: ------------I" "".."""""""" HAROLD HAUGE, EIDE n KELLER, P.A. NOTARY PUBUC-MJPL NMA 1200 Yankee Doodle Road WA&iRM COUNTY MY cow. Ono me 1'1 Water View Office Tower, Suite 303 rwnnnnx Eagan, MN 55123 (612) 456-9000 EXEMPT FROM STATE DEED TAX STAMPS 4 0s, COMMERCIAL BUILDING Permit Application City Of Eagan _ 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Only New Building Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established-4f applicable 1 • Project Specs (1) 1 • Energy Calculations (1) 1 • Electric Power & Lighting Form (1) 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 1 • Soils Report (1) 1 • SAC determination - call 651.602-1 000 • SAC determination - call 651-602-1000 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. D te / 2?D- / ?nrrr1?? 0 ti * C C a Site Address ? t lJ ? • o onstruc on ost Unit/Ste # ? ] ? ? ? ` ' ' 11 Tenant Name 1?C,1 I ClM Iwoh?Qb f1Y?LY_jU?l 00 Former Tenant Name Description of Work ( ROX 0(t t e (/t.\k Property Owner UJ w-f bl __A r1,)5O Telephone # (?) Contractor 11 ? ) n I I'\ 1 y, 7 Addressnn AA `2?1 1%co?f 1 ,e, JUI.l.ll1 ?y t? City &-t 7P a J Telephone# ?) ` 1n State IV6 Zip S? Arch/Engr Registration # Address City 1 F State Zip Telephone # ( Licensed plumber installing new sewerlwater service: i Phone #: 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. ((?? Exam &wieCev Applicant's Printed Name Dkik:P>_U Applicant's Signature OFFICE USE ONLY Sub Types 01 Foundation 7 26 Public Facility G 30 Accessory Bldg. 14 Apartments L] 27 Commercial/Industrial 7 32 Ext Alt - Apts. 7 15 Lodging 28 Greenhouse ? 34 Ext Alt - Comm. Li 25 Miscellaneous C 29 Antennae E 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 Sprinklered 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 S/W Permit SAN Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Building Inspector Total O J I () PLUMBING (RESIDENTIAL) l C? E Permit Application ?S J City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit 6 0 01 Date / I) / EPPOLITO, JOHN Site Address 3070 SHIELDS DRIVE #101 Unit # EAGAN, MN 55121 (651) 405-9584 Property Owner Telephone # ( ) Contractor NOMLOM PLING CO, (612)827-4033 Address 2- 05 GM RFIELD M City 90 U A ov, State ip 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 $ 00 50 - Adding fixtures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system Water turnaround (+ 5/8" meter if needed - $121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener X Water heater $ 15.00 X replacement _ additional State Surcharge 1 JUL 02 $ .50 u U Total $ 15. SO Rv _ _ 1 hereby apply for a Residential Plumbing Permit and acknowledge that theiriformation is coinp"leta 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 permii, 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. J?,-? Norblc?v? Applicant's Printed Name Ap ant's Signature