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3975 Sibley Memorial Hwy CITY OF EAGAN Remarks Addition Barton=Mcgray Lot 2 ik ~ Parcel 10 13700 020 01 Owner ~~~n 7,/~, .r -~~i•`• - Street 3975 Sib_ ey a~:~ mJ`~iwy " 5tate Eagan,, rN 55122 i Improvemen Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RE5TOR. GRADING 5AN SEW TRUNK 1968 113.75 3.79 Q Pa1d SEWERLATERAL 1977 66766.77 676.68 10 6766.77 C002381 0-6-76 service stu s 1977 WATERMAIN WATER LATERAL WATER AFiEA 1977 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. - = BUILOING PER. 23 79.2 20 1- - so,c 0.00 208 1-8_ 6 PARK PERMIT # MECHANICAL PERMIT RECEIPT # 'rk l J~ ~J` • - CITY OF EAGAN 3530 PILOT KNQB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New Mult Add-on ~ Name ~o Address Comm. Repair Other • ' r- City - Phone _ FEES ~ Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAI 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other . , FEE, SIGNATURE OF PERMfTTEE S/C: ~ rTOTAL• ' 11 FOR: CITY OF EAGAN . , PERMIT # MECHANICAI. PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB RDAD, EAGAN, MN 55122 DATE: ~ CONTRACT PRICE: PHONE: 454-e100 For Office Use Only: Site Address g' t r rO' gLpG, nPE WORK OESCRIPTION Lot 81ock $ec/Sub Res. New c: ~ ~ , : ,1P Mult Add-on ~ Name ~u Address Comm. i, -Z Repair ~c Ciry ~ - Phone aher FEES t ~ Name - ~ ~ ' RES. HVAC 0-100 M BTU - $24.00 c Address f''~ ~'N ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) . GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF GONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 6 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000) ~ Other FEE: - SIG URE OF PERMITTEE S/C: . TOTAL• FOR: CITY OF EAGAN s~/1 5d 94z/ , . co.wiMFRC I ki CITY OF EAGAN 9939 3830 Pilot Knob Rosd, P.O. Box 21•199, Epsn, MN 55121 PHONE:454-8100 dUILDING ~ERMIT Rece+a+ T1 M ONd fM 'i ;'i I L ESt. Volue DOte rSite Addrm Erect ? Occupency Lot Block Remodel ~ Zoning ~ AiID I TT'?i~r Repair ? Type af Contt. Percel No. Enlarge ? No. Stories ;;'r? c'. e? Yi IP - W 1 i r. i. Move ? Length e s ~ Name Uemolish ? Depth riQ ~ n z Addross . c7 BC:i 6C21 Grede ? Sq. Ft. 450k, .5 . F. ~ c~tY ' L~ v~;L.~ ,c.; r, P?,o~e ? 16 i ~-5 6- 2 U~, i instau o 70 ApP.erels Fe'a Neme Addrest -43'?. C IL-a F2.D C Assessment Permit J~ b 6- 4~~,, woter a sew. s+~~r,o.g. 5 t~ City " Phone palip Plan Review tW Name Fin SAC W Address Enp. Water Conn. City Phone Plonner Water Metar ~ Z. Council Rood Unit I hercby acknowiedfls that I hove reod this appliwtion ond stote ttwt Bldg. Off. Perlu tha inlormotion is Correct ond agree to camply with oll oppiiccbld, APC Total ,5 U Stote o# Minnesotn Stotutes ond City of Eogon Qrdimnces. Var. Date Sf9noturo of PerTnittae i.,.. !.!w7171 a /1 Buildinq Pem?it is issued to: on tM oxpres conditlon 1hai oll work sholl be dona in xcordonce with oll cpplicoble Stote of Minnesoto Stotutes and Gry of EoOan Ordinoncea. 6ufldinp OfflNal 9 i . S' T T 11 ~ 0 y M 11 T 11 m I ~ o a• . 9' 9 c c o. < ~ ~ ~ < ~ o ~ ~ m ~ a ~ ; • " ~ ~ D ~ Ap 4r 3 ~ c~ G p ~ N ~ ~ S ~ r z o = n ~ w 7 ; i ~ 7 s s v J ; C s ~ ~ - This requ8si wid ,e~~,,~~'3 L -1 ,6~ . ~ ~ _417, Requnst Oate Fire No. FouBh-in Inspection ~ ~~p pu-red? ReaAY N. ~ Will Nolitq Inspeo- Ol p Yes ?NO lor When HeatlY Licensed Elecvical Conlractor 1 hereby repuest inapection oi above ? Owner elaecrifal work instelleA at: Sveet Address, Box or Route No. Ciry 75 S s 177g,naz w ~ 6.~ . e<:von o. Township ame or No. I 1lanpe No. Cwnry .Dik Ka7"a. Occupant (MiINT) Phone No. 45;7)rRW1V1 tI4L1 YP1 Power $uDDlier ACdress ElecVical Contractor (COnqany Namel I Coniractur's License No. -qra,~~ iling Address ~ConVactor or Owner Making Instailation) ~/~-'l L~N~,~ ~ ,e Qv.€ 'et odOw k' retalla[ion) Phone N~vnber AutAoriz t (C .[r THIS INSPECTION pEQUEST WILL NOT YINN OTp STATE ND OF EIECTRICITY Grigys-Midwey Bldp. - Room NA91 BE ACCEP'IEO BY THE STAiE BOARD 1821 UniverstY Ave., St. Paul, MN 55104 UNLESS PIiOPER INSPECTION FEE 4S Phoro (6121 2972111 ENCLQSED. L.f q(61.j9 NEQUEST FOR ELECTRICAL INSPECTION . EB-01°°°1-O° jf% C , See irttructions 7w comdleting ihis tpm m back of Yeliwr copY. dlef~m /4~ 3// ~ 81,5323 ""X~" Be/ow Work CnveF~This Request VOW ~ Add ReD• Type of BuilJing AppliancsaNirM Equipmen[ Wir¢d Home Range Temporary Service Duplex Water Heater Lightfng Pixtures Apt. Building Dryer ElecVic Hea[in Commercial Bldy. Purnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fdnn Other cec. Othe, ISUecifyl t .r pecify ther Other ompate lnspection Fee Below M Pae Se"ieaEMreneaSize # Fee Fpedars/Subicede. N Fee Circaits Oto~ Amps .5° 0 to30A Oto30Am mps 2~ve 200 A- 31 to 100 qmys 31 to 100 qm ming Pool Above 100_/1nnps Above 100_Amps Transformers Irtigation BooirS Q Pattial.'Other Sigas Special Inspec!ion5~~ TOTAL FE Ne~rerks / i flolqMin Date the Electrica InSpBC[Oq hBrOEy certlfV thel [he HEOVe Final ~ D=le/ y l iospection has been 11is rByueslydE78montlmfiom . This request void i1>1 q/tilc.%i`4uf_ 18 months £rom ~ e 86993 Date of this Request Fire No. I, as ? Licensed Electrical ontra tor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Addressor Route No. 3~7S aW-!6 ;'/A+^-' ~'ty Section Township Range County Which is ocwpied by /~?N c~y~ J/Z a.5- (Name ot Occupant) Is a roughin inspection required on this job? No x Yes O Ready NowIK Will Call ? Power Supplier Address Electrical Contractor A? ~~/W` 6 3 Qb~S~Q' ~ Co tractor's License No. _ 5 (CONany Name ^ r ~ Mailing Address ~ 13 ~[.~50~s'!Z i~ u S, ou n5 S~-3 t ic I C Owner Maklnq Thls Installatlon) Authorized Signature ~ Phone NQ:i~06'~ 75~C (Elec ica ontractor or Ownar Making ThIS Installatlon) ~~~~E ~~~~D C~Y Th'is inspection requestwill not 6e eccepted by the Stete Board unless proper inspection fee is anelosed. mmnesota 5[ate troertl or tlectnCrty Griggs Midway Bldg. - Room N191 EB-00001-02 -.,t1831 University. Ave.. St. Paul, Minn. 55704 - PFqne 297•2111 . ~,p~ ' REQUEST FOR ELECTRICAL INSPEC'110N + SU693 CHECK BELOW WOAK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired Foi Check Equipmmt W'ved For Home ? Range ? Temporary Wiring 0 Duplex ? Water Heater ? Lighting Fixtures 11 Apt. Bldg. ? Dryer ? Electric Heating ? Commefcial Bldg. ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Au Coculitione: ? Bulk MilkTank Lis[ Lis[ Farm ? ? p Q Other ? ? ? Aeieig~ Hehreeis~ COMPUTE INSPECTION FEE BELOW Setvice Enhance Size: # Fce Feeders&Su6fcedeis: Fee Circuits: # Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres Y 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. 11 Above 100 Amps. Above IO~Amps. Transformers Remote Control Ciic. Pactial or other fee ..v Signs oG Llfi, Special Ins ction Min'unum fee 55.00 Remazks t TOTAL F E/Q , y~(J I, the Elect I~ t r!'i by, - rtify that the above inspection has been ma e. (Rough-in) Date (Final) Date ' This request void ' 18 months from _ J.~"1 2 2 a , c~~ / 4o RequEst Data Fire No. Rough-in Inspeqion 7_~_ Q~ Required9 ? RBBtly Now goill Nofiy InspeHOr ~ GVes o When Reatly? IX~ licensed contracror O owner hereby request inspection of above electrical work at: Job Atltlress (SIreeL Box or Route No.) CiTy 39 s- S'ble Me-Mor `a Nm ~o o~ Section nlo. Township Name or No. Renge No. Counry Da o-~Q Occupanl(PRINT) Phone No. e u-)) ~~1 s P4in~" -L 60 Power Supplier Adtlress Elecmcal Gonvanor COmOany Name~ ConVaclor5lirense No. es± E~e. . C. 00 Mailing AOdress (ConVactor or Owner Making Installation) y'1y HioL-.Jaf a u. 11 n_~5yo6 Authonze gnawre ICOmracror,Owner Making Inslallationl Phone Number G aa-aos MIN SOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-MiCwey BIEg. - Hoom S-173 0E ACCEPTED BV THE STATE BOARD 1821 University Ave.. St Paul, MN SStO< i1NLES5 PflOPER INSPECTION FEE IS Phone (612) 662-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E6-00001-OB ;1.+~, - ? See insimctions lor compleGng Ihis lorm on Dadc ot yellow copY ~ "X" Be/ow Work Covered by This Request -41 F ew Add Rep. Typeof8uilding AppliancesWiretl EquipmeniWired Home Range Temporary Service Duplez Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial Fumace Farm Air Conditioner Other (syaciy) Gonhaclor5 Remarks: Compute lnspection Fee Below: 5¢ 4 E-nC )O 5 ec-I Tv,p SUrn M ct (`Y # ' Other Fee # ServiceEntranceSize Fee k CircuitsiFeeders Fee Swimminq Pool 0 to 200 Amps o to 100 Amps ao.9o Transformers Above 200 _ Amps Above Amps Signs Inspecmr5 use onlv: 4 p TAL Irrigation Booms vZO.'15,D Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee $o COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspecbr, hereby Rough-in Date - certify that the above inspection has F;nai oale been made. OFFICE USE ONW ~ ^ Y Thi3 request voitl 18 months Ymm ~ . CITY of EAGAN Na _3823 B ILDING PERMIT Owne: ~ 3795 Piloi Kaob Roed ' Eagan, MinnesoSa 55122 Addrees (Presenl) .../~.{„e-...[1V .(.~:y..~0.... 454-8100 Bu?lde= D.ta Addreee DESCAIPTION 8tosies To Be Uced For Froni Deplh Hatgh! Ent. CoslPermi! AamCrk~ !Sa(~p~,~/c~ ated~ ~ /Q„d~ co pr 234.LD LOCATION c ~ Streel. Road or oiher Deacripiion of Looaiion I Lo! ock Addilion or Tsae! ~ E 'Z- This permit doea aot aut ize the use of s!r s, roads, alleys or sidewalka nor does it giva the owaer h' gan! the =ighf io create anp silua ion whieh is a nuis e or whieh presents a hazard !o the healfh, eafelp, eonvenIenes and general welfare fo anpone in the communitp. THIS PEAMIT MUST B )KEPT ~ E EMISE P WHILE THE WOAIC IS IN PROG~R SS. T6Is Sa !o cesHip, that.~f.. • . . ............has permisafon !o ereef ..................._uyea the above describe emise subjecf !o the provi ons of all applic sdin oes for the ZIrEagan. . Pez .-L.................................. Mayor BuildznQ Impsclor { - - COMMERCIAL ~ CITY OF EACaAN (ya 9939 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 4548100 ~ BUILDING PERMIT R=«iM # T. M wad fe. RETAIL STORE Eat. Value $10, 000 Date MARCH 1 SiteAddreu 3975 SIBLEY MEM HWY Erece ? occupency Lot 2 elock 1 Sec/Sub. BARTON-MCGRAY Remodel f~ Zoning ADDITION Repair ? TypeofConst. Percel No. Enierge ? No. Stories T- Move ? Length 900 W Neme SHERWIN-WILLIAMS oemolish ? oapth 50' ~ z P.O. BOX 6027 Address Grede ? Sq. Ft. 4500 S. F. crcy CLEVELAND pnone 216/566-2081 lnsiail ? o Name CONSTRUCTION 70 Apvrovab Fass Zt'i Addreaa 1430 W CTY RD C Azsesunent Permit ~ . g ? CityROSEVILLE phone 636-4390 WoterESew. SurcFarpe 5 0 0 Police Plan Review ~w Name Fin SAC Address Enp. Water Conn. ~W City Phone Plonner WaterMMer Councfl Rood Unit I hereby atknowledge thof I hova read this opplicotion and ztofe that gldg. Off. Parks the inlormotion is corM ree fo wmply with all opDlicable APC Total $ $rJ. 50 Stato of Minnasoto St Ciry ino^c es. Var. Date Sipnoture of PemA Building Pe~mit s CONSTRUCTION 70 on tha axpress conditlon that oll work shall be dona in xcordanca with at `j I 'lcoble St~J!e 6 in~new~ta Statutes ond Ciry of Ecpan Ordirwncea. Buildirp Officiol ~•z~'~~~•/L-~ YILLkCE OF EAOAN WATER SERVICE PERMIT 31''r5 l3'f`Knob Road PERMIT NO.: 1967 Eagan, MN 55114 DATE: 4Z28/76 Zoning: f,)omn._ No. of Units: 1 Owner: K11IneY ShOeB Address: - / Site Address: 3975 S1bleY Mm. fh+Y• 55122 7y, sLg2ez Plum6er: Wentel P1iIDlbiflq Meter No.: 24806731 Connection Chazge: Size: 5/8 IODCkMell Accaunt Deposit: Reader No.: 724306 Permit Fee: 10.00 pd I agree ta comply witA tha Village of Eagan SurCharge: •50 Pd Ordinaneas. Misc. Chazges: 60.00 pd TotaL• I By Date Paid: Date of Insp.: Insp.: wuaaF-oF eAOaN SEWER SERVICE ZERMIT 3T957ilotKnobRead PERMITNO.: 4 Z8 6 Eagan, MN 55123 DATE: Zoning. COm - No. of Units: Owner: Rinney Shcee pddrees: 3975 Bibley ~m• HwP• Site Address: Ylumber: wenzel P1tIInb3n9 0. P 700.00 pd 1 aym to eomplY with eha Villaga of Eogan Connection Chazge: Ord.nonces - Account Deposit: Permit Fee: Surchazge: ~ By. Misa Chazges: Date of Insp.: Total: Date Paid: Insp.: REQUESTFORELECTRICAL"IIVSPECTION ee-ooam-a7 ? See inslmctions lor crompleting Ih151ortn on back ot yellow copy. @,19 469 "X" Below Work Covered by This Request ew Adtl Rep. Typeofeuilding AppliancesWired EquipmeniWired TempOrary Service Duplex ter Electric Heating Apt. Building Other (Specily) Home tAirConditioner Comm./Intlustrial Farm Omer (specity) Contracror5 Femarks~ W,Ye rv(,- WvAC )Z#.P 7y up.,*T Compute Inspection Fee Below: # Other Fee # ServiceEnlrance Size Fee # Cirouits/Feeders Fee Swimming Pool 0 to 200 Amps / 0 to 100 Amps 7,pp Transtormers Above 200 _ Amps Abov Amps SignS Inspecror3 Use Only: TOTAL Irrigatian Booms J!b Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rougn-m oate • certify that the above inspection has F;nai o been made. OFFIGE USE ONLV This request voi0 1B months Irom C'~ .9 4 6 9 Feque . Oate Flre No` RougRininspection ~ C~ Requiretl? Rdfeady Nav ? Will NoGty Inspector 2 ~ / U ? Yes ? No WhOn ReaOy? I Q''ylMnsed contractor p owner hereby request inspection of above electrical work at: Jo0 Atltlress (SVeet, Box or Roule Na.) 3 cl I, City S.'b/e ~ 4,~ 13978 Sepion No. Townshlp Name ar No. Range No. Gounry D.l 7&- OccuOam (PRINT) Phone No. PowerSupplier/~ Atltlress ElecMCal Conlractor ICompany Name) ConVacrorS Licensa No. 02gg~7- Mailing Address (ConVactor or Owner Making InsWllation) p Authorrzed gnalur onVatlonOwner MaNing Installatian) Phone Number ~'3! 5g~-o MINNES TA ATE BOARD OF ELECiRICITY THIS INSPEGTION REOUEST WILL NOT Grig9s-Mitl ay Bltlg. - Room S-1]] BE ACGEPTED BY THE STATE BOARD 1821 Unlversity Ave., Sl Paul. MN 55106 UNLESS PFOPER INSPEGTION FEE IS PMm (612) 6C24B00 ENCLOSED. r ~ X9 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONiRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY GOMME{2LIa.L SET ENERGY CALCULATIONS To Be Used For:~T~y1~5"fD2E Valuation:t~~l ~C~~.~Date: 2-2-7 Site Address: 3q75 S/BL.j5yYYIeM• I-IWy. OFFICE USE ONLY Lot: Block ~ Sect/Sub Mc G~ l Erect Oceupancy H-dc11 Remodel ~ Zoning Parcel I! Repair _ Type of Const Enlarge 11 of Stories / Owner Move _ Length CjQ' Demolish Depth 5 O ' Address ~jx (0~2.^] Grade _ Sq Ft ±5005F. I 44-IO ~ Cit y/ Z i p Cod < c~ V~ t.9N 1J .~ld 10 ~ Phone 2~(.~- ~(o(~-ZU~ ~ APPROVALS ContractorG0,4S"fF-UG'Tfanj 70 Assessments Permit g~O. Water/Sewer Surcharge S.°O Address 1¢-So W,Co, Police P1an Review M Fire SAC City/Zip Code -)?OSEyi~~, Ss Engr' Water Conn Planner Water Meter Phone 1,3¢3q7> Council Road Unit I Bldg Off Parks Arch./Engr. ~OnLSTQJ~T10n1 70 APC Treatment Pl Variance Address TOTAL City/2ip Code Phone Ik CITY USE ONLY PERMIT RECEIPT DATE: C. b-If-o) APPROVED BY: INSPECTOR COMMERCIA1. MEGHlkNICAI. PMMIT APPLICATiOR C1TY Of EA&M 3$30 PILOT KNOB RD EAHi4N.1NN 55122 651-687-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: Juyle-Z, aOD/ SITEADDRESS: 3976 OWNER NAME: PHONE - 1 ( REA CODE) TENANT NAME (IMPROVEMENT'S ONLY): Sn e W j h 4/'~ g WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLERAJliQr4 MecY1AY1l CQ' :iAC- ADDRESS: L7(v5QkenneLxr. br Sio PHONE#: &51 - 45C2 -0? (AREA CODE) CITY: QQOr STATE: /~l N ZIP: 5 ~a~ WORK TYPE: New conshuction [nstall U.G. Tank _ Interior Improvement _ Remove U.G. Tank Processed Piping Specify Nature of Work: Rep'Q Ce Wken insta!(iyig/removing undergroui:d tank, call 651-681-4675 for inspection by Fire Marskal and Plumbing linspector. D ~ 2 ~ 0 T N Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. D Underground tank removaUinstallation = minimum fee JUN 0 8 2001 Contract price: S lR69 ~ x 1%= $ 74. (p 4 (Base Fee) By State surcharge .50 calculate at 5.50 for each $ 1,000 Base Fee TOTAL $ !15. I 9 SI ' URE O4PERIMITTE 3 Updated VOl CITY USE ONLY PERib[IT RECEIPT DATE: iiUIDENTIAL MECiiANICAI. PEiMIT APPLICATION crrY oF rAsM 3$30 PII.OT KNOB RD EAl&AN FIA 55122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE AQDRESS: OWNER NAME: TELEPHONE ' . ' (AREA CODE) INSTALLER NAME: . TELEPNONE (AREA CODE) STREET ADDRESS: C ITY: STATE: ZI P: Place a check mark next to the ermitwork t e` New residential, dweiting unit under constructionarod not owner/occupied $ 70.00 Add-on; modification or alteration to existinq dwelling unit 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: ' State Surchar e $ 50 Total . $ Reminder: Ca[l for inspeetions. . . SIGNATURE OF PEILMITTEE Upd:,red I/Ol MASTER CARD LOCATION C e~o eM. 9 ~5 OWNER 402t - STRUCTURE AND ~d~ Sn OE S LAND USED AS F / Issued To Permit No. Issued Coniractor Owner BUILDING ~-g' ~G PLUMBING c-i CESSPOOL - SEPiiC TANK WELL ELECTRICAL HEATING -_(._Y_ _1[ • YL GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING y_Y 7-7 lo SEPTIC FOUNDATION CESSPOOL FRAMING ,~a G TILE fIELD FT. ~ FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING S/0.7L WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE $UBSTITUTIONS OR ? DEVIATIONS COMPLETION OF CERTAIN IMPROVEMENTS . WILL BE DELAYED BY CONDITIONS BEYOND CONTROL, NON-COMPLIANCE. BWLDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: t~ -/cr 7G ~i~~• ..~,yo~~sr„~`- ~Ge~o~y ~ ? REInSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATI ON - I certify that I have carefully inspected the a6ove in which I have no interest present or prospective, and that I have reported herein all significant conditions obxrved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: Y PmzCh 7, 1977 Am Cal CorporatSon 130 White Plaias ImaB 7iarrytorva. N.Y. 10591 Attentions Oordon Janesky Re: ea, 3995 Sibley_ t~emnr. 1 Hig2»ray Lot 2M,1c-I; arton'MC(Yny AflBitio City of-Eagaz?, aneso a Dear Sir: After our telephoae convezsalioa of March 1977, I did estenaive checking of our recor8e wilh the Ciiy Clerk and the City oP Eaqan Watez DepartmenE. Ons recor8a ahow Lhat the $1,000 isndacape 8ond, #5752146, iseuefl by Aetna was relesead at the eame tlma the OCCUpancY PerID1t vas iasaefl, which wne on . JUee 7. 1976. Wonld it be posaible Eo sen8 a Copy of the receipt or Permit Por the $100.00 8eposit in queation? we can PinB ca racord of euch a deposit. Hopefully the eaclosed ieErer will release you from the Boad in qneation. VeZ'Y txttly YOUrer CITY OF EAGAN I - - ~ - - - - - , ~ , ~ Mazch 7, 1977 . lae: ianflscape 8ond Am Cal oorporation (Rinaey Shoes) Loi 2 Blook 1 HazEoa l*GZay AdBition 3975 Sibley t7emorial Highwap City of Eaqan, MN 55122 4p To mhom it may conaerni ' R'he landecapiag of the above property meete the minimum stan8ar8e of Che Cfty of Eagan, and vae appmvmd Jnne 7. 1976. eond No. 5-752166 Sesued by Aetna to the City of Lagan, which ia no longer in our filee an8 !s presumed Co heve been retnrned bo Aetna is here- Dy releaseS. Dale S. Petezson Hui181ng InepecLor ` 4 _ _~~l - /_~3 - - - - - - _ - / - - - - - - - - - - - - - - ~ ~iiG E'_f - - - - - - - - - - - nr.tet-~ - - - - - - ---C~C~_~ __of ~~~h_ -~-n--- ~ - - - - - - - - - - - - _~~~?r /~ja~r~~ ~~-d---- ~,l~ -A'9~' --~~G~- _ '112/k 1~'er. - - - . _ - - c~~/b x) /And,,r«pQ or-d l-Y 6- -dx Gj P Z"v~ - - CUT- TlP Jam e _ i~-i m P ~~c?~J~-ne - ~~'~`ryt r~~ */a s /s',foecJ t-?~ ~ ~,/~..s' n ~ - yi 4q~v~e_ A-)c - ~P~~'~V jr/~ P _ P Ct~ ~D S -~e~C' - r_~ /P as~~ ~ oJ - ~r~ ~ - 'C~ ~ ~n ~ - i r~ ~ _ c~_ ~ EJ`~i v ~ . - - - _ - - - - - - - - _ _ _ G'r. r~~~' ~ ~f ~ _~~c~ _ P-- _ _ _ / ~ w ~ ~ r - .o rf - - - - - - - - ~ . . S- / - - - - - _~D-/l - - - - ev ~ ~ - - C,~,_~y_ - ~a j --~h~•.- -s~',? y _ ~ - - - - - - - - - - - - / - _ b 7-~( r Q-ba-? - T,IP ~__~5~~~/~ ~ - - - - - - , ~-n C~- 7~ , - - - - - - - - - - - - - - - = - - - - a _ - - - - - - - ~ _.(J~ ~ L?_L~i~.~ : ~ Z-7-~!l ptG,.ooj elL1'1_d, / /'/~-m/l. / -~~-r K 1- - I°'e'tot¢pL 4-0-1. _-2~ _-n- AaP rre, ~ - - - - - - Qfiice Use t For City of Eap Permit Fee: 3830 Pilot Knob Road i Eagan MN 55122 { Date Received: Phone: (651) 675-5675 i t Fax: {651)675-5694 t st 2009 COMMERCIAL BUILDING PERMIT APPLICATION y g-1 ' 0 9 3 9 5 S~"blur Mem€V% Date: a / Ni v Site Address: Tenant Name: (Tenant is: Newt Existing) Suite Former Tenant: PROPERTY OWNER Name: 1)4 k4 tQ Car y 6 D 4 Phone: 651r 6 75 - y4/6 7 Address / City / Zip: 12 2 f 'Yawn Leo tre Drive Applicant is: Owner Contractor TYPE OF WORK Description of work: QV%~ ~ Demd ~?~f !on Construction Cost: CONTRACTOR Name: W S ken I qd re r 5 _r c2ydtf"1 Inc, License Address: 1365 d coon *4/ RO4d t4 f City: CD ~O Q /State: N Zip: ~ 3 2 Z Phone: 95 2 - y66- 2 23) Contact Person: Do n Name: M e,1404 7q0'1) Registration # ARCHITECT / ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as nonpublic if you provide specific reasons that would permit the City to conclude that Mey are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit; but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of Plans- )IL Don l i1i kesh Buser x ,lam- nuc Applicant's Printed Name Applicant`s Signature Page 1 of 3 For Office Use j Perms O City of Eaazi I I Permit Fee: i 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 t t Fax: (651) 675-5694 L.------------- 2009 SEWER AND WATER REPAIR I DISCONNECT PERMIT Date: g _ / ? ? O i F e: $50.50 X City Sewer X City water Repair X Disconnect Description of work: O i$ O1! n e 6)4 c1 Y sewer 1, wa ter' Q f M q ' ('i t 14 r tree t street Address for Proposed work _'175 J ' 6 /e y Meru or, -al Hwy. OWNER Name: 1^1 ck 2n h 4th% r EXGavm Phone: `I SZ ' IV S6 ~ 2 2 31 ,Dakota CO. 13650 60z'Of}r 4ogd Y/ Address 1 City/Zip: C D Applicant is: Owner j Contractor Licensed Pipelayer )C Master Plumber Property Owner Name: DOA WIGkenh 44118/' Phone: 6 t2 - 2 7d- 7 766 Address /city /Zip: / 36 fa G o" ~y Rdad y/ Co/'0A e MN ,~'S3 Z Z Pipelayer Training Certification Card 0 s 4 6 or Master Plumber License I acknowledge that the information is complete and accurate and 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 fora permit, and work is not to start without a permit. Don W i cken hqwCr Applicant (Print Name) Applicant's Signature r nt X V~ eX Y'f V1 + 11 i avYlS