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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 I __75 !0 0 ?a ;a I& ?o 2 Y 0 ?q Jq .F ZOT /, Quk. 4- 75'. Cert. W7 3ro -,I- A 49.5 14 " I a, PR2O P06L0 w BUIL0 IP16 N 'Ati N N I " -3T 77.5 8o " {-UT.L rTy EASENCnT $r-ALE I"=40 i 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