1395 Sigfrid St`? lrmll, fnc. J
!^P,C r1 TJYA- jI t. . r,u. -- 1x
hlominpton, Yinn ;c•T.a
i
DELMAR H. SCHWANZ
LANDSURVEYOR
Req.ste.ed Uncle, Laws of The State or Minnesota
100% MAIN STREET P.O. BOX M • ROSEMOUNT, MINNESOTA 55068
f 3
a SURVEYOR'S CERTIFICATE
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I hereby- certify-that this is a trw- and correct representation of
Lot 1, Block L, 71LDFRNM. WN FIFTH ADDITION, Dakota Gmnty, An-no, ot6.
Alsr. shoving tt,? locAti•;n of A rr?r. ,rte: building thereon.
-13-711
r
MINNESOTA REGISTRATION NO 9626
-^SAN Remarks
Addition Wilderness Run 5th Addition Lot 1 Rlk 4 Parcel 10 84354 010 04
Owner t• Street ' /397 ut?'Lld of State Eagan., MN 55123
K-TK 'g la') ,?1 r,
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 $132.60 $6.63 20 PAID
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
163 - 00
9420
1 r,
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $560.00 12448 12-19-74
BUILDING PER.
SAC $800.00 12448 12-19-74
PARK
-- 4
n:., 07 FIAC.,?N
3795 Pilot '1ob R.:ad
Lapan, Minnesota 55122
13 9S- E c? P
PERMIT NO.: 541
The City of Eagan hereby g.-ants to Thomson Plumbing Co.
of 12201 Minnetonka Blvd.
a PLUMBING Permit for: (Ocrner) MARELL CONSTRUCTION
1365 E. Sigfrid, 1395-0_7 E. Sigfridt 6t., 1361-63 Taster Lane and
at 1382-84 E. Balsam , pursuant to application dated 12/19/74
Billed
Fee jjk": $140_00 dated this 19th day of December 19 74
3.50 S/c
Building Inspector
Yechanical Permits:
aid Total:
CITY OF &, GAN
3795 Pilot Knob Road
1 Eagan, Minnesota 55122
PERMIT NO.: {I'l
The City of Eagan hereby grants to _ 'ly N llp3tax HentincF
of 463? ehleage Ave. go.
a AF7ATTMG Permit for: (Owner) Marell Const.
at i/ zgSdPrt(i , pursuant to application dated 12/2/74
Fee Paid: __.14D an dated this 9th day of Dec. , '19 74.
1.00 s/c
Building Inspector
Mechanical Permits:
Bid Total:
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: b1z
The City of Eagan hereby grants to Ray N waitar Hent'ng
of
463? A
a RF.AmTNC. Permit for: (Owner) Marell ConSt.
at jig-, 7/r- R;rrfrjd , pursuant to application dated 12/2/74 %
Fee Paid: _g4 n dated this qtb_ day of Dec. , 19 74.
1.00 s/C
Building Inspector
MIcr;?ilical Permits:
Bid Total:
CITY of EAGAN
BUILDING PERMIT
Owner ......4?7? ..... &.!- ....................mo o
Address (present) ...1.°....- ...... 4........??.....c..d-?
,,7
Builder ..........
Address ........
M, ie
N2 3502
3785 Pilot Knob Road
Eagan, Minnesota 55122
454-8100
Date .1 ..-./1::. 7y......._...
stories To Be Used For Fron! Deprh Height Est. Cost permit Fee Remarks
_ '7.r
-V 9,3, o o `off tic. Ge
V LOCATION
or
31
This permit does not authorize the %'(se of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify. thet----21.1.^.. .......... .............has permission to erect a...Rec' e_. ...................... ?............_u
the above described premise subject to the provisions of all applicable Ordinances for the Cify of E
............................ ,, :....- .s ................... Per -.--._.----................... "---'-" "-'---"--............ .. ............,
, Mayor Building Inspector
MASTER CARD
LOCATION )l z::-. S, 4b Irv, j / .?95 n- 97 1-4-
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING .Z Q 2!n is -
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL _
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING v SEPTIC
FOUNDATION -I _ CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING -? - -- OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER /pr 7}
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
INSPECTION
1:1 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FI CATION -I certify that I have carefully inspected the above in which 1 have no interest present or prospective, and that I have reported herein
all significant conditions observed 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
DATE
z.
2006 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
30.50
Date
Site Address 1'3 Cl5 J 1 ?'T V I 'Sy
I ri •
Unit 4
o l a &Q W n Telephone # (6 5J) q405-412 5
Property Owner ?
Contractor _
O'CONNOR ONE HOUR
Street Address 1904 VERMILLION STREET City
HASTINGS, MN 55033 jy
Telephone # (?p?j1 ) I _ t}
? -
State
Bond #: Expires:
The Applicant is Owner -Z Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional -Replacement _ New-
r
I
,
'
air exchanger r?
II
1? I j I A
(I
air conditioner III 1'nnII O CT It
_ heat pump
_r
_ other {
v - - -- --!
State Surcharge D
-? Illl
$ 50
U
$
Total
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 thgwor will be in accordance with the
approved plan in the case of work which requires a review and approval of plans
Applicant' Printed Name Applr ant's gnature
75-370
Please complete for:
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
single family dwellings & townhomes/condos when permits are required for each unit
,30-,56
I / t
/
?
?Q
p?
i w Vvyow St dyl a S . E
SiteAddress
Unit #
(`
? A V i eY GU W t
Telephone # ((o r7
) °I D 5 - '} q 15
.
Property Owner
Contractor
O'CONNOR ONE HOUR City
Street Address _ 1904 VERMILLION STREET
HASTINGS, MN 55033 Telephone # (6
State
Bond #: Expires:
/
Contractor
The Applicant is Owner 5% Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional Replacement _ New
_ air exchanger
air conditioner
_ heat pump ,
other
CL'%i S .50
State Surcharge D
OCT 5 1U06
Total
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 theca $ of work which requires a review and approval of plans.
ApplUU177",,artfss I rinted Name Applicant's ignature
J
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
S9 4 G -1 3830 Pilot Knob Road, Eagan Mn 55122 9 9,
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenfs RemodeVR80air Requirements Office Use Only
3 registered sita,surveys showing sq. tt. of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd
2 copies of plan slowing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd
l set of Energy Calculations Addition - indicate if on-site septic system -On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
00
Date c2 / a / Construction Cost 3. CDI (G
Site Address Unit/Ste #
Description of Work
Multi-Family Bldg - Y _ N
Fireplace(s) _ 0 - 1 _ 2
Property Owner a ?i t r(' COIO (?tCf? Telephone # ((prj j) !0J' 4115
Contractor
Address
State
RMA HOME SERVICES INC.
Home Depot Installed Sales
3200 Cobb Galleria Pkwy., Ste. #200
Atlanta, GA 30339
763-542-8826
BC-20268257
City
ne#(
COMPLETE THIS AREA ONLY IF CI
Minnesota Rules 7670 Category
Energy Code Category . Residential Ventilation Category 1
(4 submission type) Submitted
. Energy Envelope CaICUlations Su
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
BUILDING
Code Worksheet
I hereby apply for a Residential 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 thi, s 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.
Kato.. ?cilSan? ?eM-n.OyL?
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 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
Footings (new bldg)
Footings (deck)
- Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
- Fireplace _ R.I. -Air Test -Final
Insulation
Width
REQUIRED INSPECTIONS
_ 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
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
36 Move Bldg. ? . 42'. Demolish (Foundatioh) '? 45 Fire Repair
37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump ,
Sq. Ft. PRV
Length Fire Sprinklered
Building Inspector
Installed
Siding and c &RSPOWER OF ATTORNEJ
OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Attorney are
limited solely to, the express powers delineated herein and apply solely to the Work.
This Limited Power of Attorney shall expire and automatically be revoked on the 30'h
day of May, 2003, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WITNESS WHEREOF this Limited Power of Attorney is executed this
;ON day of MA`f 2002.
a kq§
David z
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
30'h day of May, 0
Notary blic in for the Stat of eorgia
My Commission Expires: January 21, 2006
396816 v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
24880 EVERGREEN PARK 84354 WILDERNESS RUN 5TH
1395 10 84354 010 04
1396 10 84354 010 01
1397 10 84354 010 04
1398 10 84354 010 01
1437 10 24880 070 01
SIGFRID STREET
1438 10 24880 070 03
VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Mat Knob Road PERMIT NO.: 1662
Eagan, MN 55122 DATE: 12/19/74
Zoning: PM) No. of Units:
Owner: M ret ]. OonetruCtion
Address:
Site Address: 1395 -97 E. Sigfrid St.
Plumber: Thompson Plumbing Co.
Meter No.: Connection Charge: 30:88
• **
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 billed
1 agree to comply with the Village of Eagan Surcharge: .50 balled
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.:
Insp.:
VILLAGE OF EAOAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2422
Eagan, MN 55122 DATE: 12/19/74
Zoning: PU No. of Units: 2
Owner: mare11 Construction
Address:
Site Address? 395 -97 E. Sigi`xid St.
Plumber: 'Thompson Plumbing Co.
400.00 pd
1 agree to comply with the Village of Eagan Connection Charge: 4". 00 Pd
Ordinances. Account Deposit:
Permit Fee: 10.00 billed
Surcharge: .. 5f) tuaiso
By: Misc. Charges:
Date of Insp.: Total:
Insp.• Date Paid:
Use BLUE or BLACK Ink
r
For Office Use I Permit r
410. l l~ 3~ j
City of EaEd I Permit Fee: 1Z
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: /
Phone: (651) 675-5675 I A/ I
Fax: (651) 675-5694 i Staff: r17
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: J v~' 1 C, 2 C'P a (Z' C- L ~ Phone: ~ G S l~ 30 ~ ' ~ ~ ZS
Resident/ S S 12
Owner Address/ City/Zip: 13611-!15 S 1 E 1 S` r C(%
M •N
i
Applicant is: 2LOwner Contractor
_ Description of work: U _l N
I Type of Work l
Construction Cost: Multi-Family Building: (Yes 2 / No )
Company: Contact:
Address: City:
Contractor !
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets..
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x 'TKA J,Ciz- Ct1-fSC- C(Z- r) x J rky t rzVL C(~
Applicant's Printed Name Applicant's Signature
Page 1 of 3