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4100 Skylark Lane
CllyofEaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: 0'1/ Pemrit Fee: .9 —" Co Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION C' Date: /%' 2010 site Address: 'Wo®—q//r S,C'y/aa,i- L4 4t: lGl c, `S" Tenant: Aleocd»-tar / i % ity ET , •"�6��' , X14' 53/2 Z Suite #: /l RESIDENT / OWNER Name: /7<.4Pa�44./. r G.sssen et -",,,,Y Phone: 9952 ;7i 3 .r '/ 2 7 Address / City / Zip: S.' 3 r 4, fy 41-174 P /&b...aj,,, /2V.eem ,&i.'ow aj.5N-3VY ,...Ar Applicant is: Owner )( Contractor TYPE OF WORK Description of work: A.. ¢ ae.e//.r«...er+e 40 oke st 6.1.14, z-1«ee .44.4-., -'-r ' Awavt 4* Construction Cost s/3, c od> Multi -Family Building: (Yes / No ) CONTRACTOR Name: A/jS`r 0, 4,4.1rt.,c ki,,,e-r ,e416, .--1 7" License #: 20.g3/.5-7.5"- 0.g3/$7Address: Address:57'V3— ,.27 /Sf.."41c/ --Cif City 715,m/«c ,e .4 State: /Ix, Zip: 53-3S% Phone: /75-2, ?+'Z. 795'Y Contact 371.50,4/ /i f 4 Email: J .4.,54:1 ,,r& • /_sf ,,-.. 6. COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? 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 inn. ',Portions of the information may be classified as nonrpubllc if you provide specific reasons that would pt the City to conclude that they we trade SW s CALL BEFORE YOU DIG. CaII 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.ciopherstateonecall.oro 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 walk is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which regtrres a review and approval of plans. x A,N 4 +Ct41'V7 Applicant's Printed Name 1 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family 4 Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool DESCRIPTION Valuation Plan Review (25%_ 100%) Census Code # of Units # of Buildings Type of Construction _ Interior Improvement Move Building Fire Repair Repair tr` 6°0 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Additio )„, Foundation 61, Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Meter Size: t*5 Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: 'I Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required )e. Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control L(Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL tvot Page 2 of 2 Fram:ALLSTAR CONSTRUCTION 19529427464 10/14/2010 14:16 #165 P.002/025 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-56. Use BLUE or BLACK Ink Permit#: 9 1a%5 to L/ Permit Fee: 4:4,.'"' fp . S% Date Received: 2010 UILDING PERMIT APPLICATION Sky Cork L•a✓e- Date: /1941/7Z0/0 Site Address: Yoo, Y/O2, 7/0,1 y/0 be SI/a'1 Y//s wry., V/./5 Y//G, 57//1 Tenant Name: /114-..,64,4/+e Alp /{o,, (Tenant is: New / Existing) Suite #: Former Tenant: J PROPERTY OWNER Name: A'%r+4o . lJ.Ias /ea 6.4 0-&-, ((3.12,7 Phone: 0„S't)_.?S3- 02? Yy Address / City / Zip: 6 y3 Ln, i 4 al Ad-,,,, a„,,, P,444 -,,,e. NS s3-3 Applicant is: Owner XContractor / TYPE OF WORK Description of work: L >!,,. .� ); i ..— XO. t 4!} Construction Cost: $ / yy, .SPL ' f? CONTRACTOR Name ,._ : v.. a u...1 License #: LOG 3/S- 76-- 5Address: ,..[ .... Address:S//YS" l.,r�Ksfr.iw J/ YcJe /0 City: M/ /4.......4/ State: k1,y Zip: 375 Phone: qsz) 992 -7 %/�� Contact: 644,//01. --'ft Li2.4f6(-Email: Galla.. -P IL�/,>'hfr.-. p2 ARCHITECT / ENGINEER Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: .Phone #: T OTEsa a/t ntif up if► �e $ h at you su aLif � �? t! 11 ! tom: ?� ss l it l# i%G oil ro d� the inf4i'm tion may OW .w)'^R . �' y.Y Al ex".A'•44��` .A :r .1�r:1n ,R�'.; dude thaat t y: re tra t•+*'S!;' cret ,., ?, ., 4zi f ti 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.00pherstateonecail.orq 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; the /�work will be in accordance with the approved plan in the case of work whichrequiresafevi�w and approval of plans. x L. !//t GA//?O x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New / _ Interior Improvement Addition Move Building l Alteration < _ Fire Repair Fireplace Garage Deck Lower Level Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) — Pool Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous S ',,L)r—. ) /r71e, hvc 60 dyLsSi Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%_) Census Code # of Units # of Buildings Type of Construction Repair V6 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: S Ice & Water )( Final Framing Fireplace: _Rough In Insulation Meter Size: Occupancy Code Edition Zoning Stories Square Feet Length Width Air Test Final Reviewed By: 1 2 _ Siding Demolish Building* Reroof Demolish Interior _ Windows Demolish Foundation Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required 1C Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests _Final )C Siding: _Stucco Lath _^Stone Lath _Brick Windows Retaining Wall: Footings — Backfill — Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 600t -r4 lel R/cG j IA/ r it 112j. rdr (2 Page 2 of 2 CITY OF ~AGAN ffi~DALE DpFiemarks Addition l.^~'~ADOWLARK RIDGE 0-OPI - Lot 501 elk 02 Pa wiI0-32950-501-02 Owner' Street 4118 SiAf~t~1E--I~4NE So. /rle~~ow State ~ EAGAN NW 55122 Improvement Date Amount Annual Years ~t~' Payment Receipt Date STREETSURF, ori iIISZ Cel ~ STREET RESTOR. GRADING SAfV SEW TRUNK Or iD8.1 CBZ - * SEWER LATERAL WATERMAIN * WATER LATERAL 1973 WATER AREA 1975 11.76 15 Park Donation 101 1977 52.82 .28 5.? a * STORM SEW TRK 19T3 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGNT WATER CONN. BUILDING PER. SAC PARK CITY OF AGAN HILLAHDALE ADDNRemarks Addition ~MEADOWLARK RIDGE CO-OP~ tot 502 Rik 02 10-32950-502-02 EAGAN MV 55122 SKYLARK Owner' Street 4116 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN 5EW TRUNK ori inal C@Z ~ SEVYER LATERAL WATERMAIN ~ WATER LATERAL 1 3 WATER AREA ~ .76 1/ D 5.28 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ' WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN HILLANDAL$ ADD emarks Addition RADOWLARK RtDGE CO-OP Lot 503 Rik 02 ar~l 10-32950-503-02 4114 ' So /7lmdaa/~ ~a~ EAGAN MN 55122 Owner Street State Bldg.#5 Unit #3 Improvement Amount Annual Years Payment Receipt Date STREET SURF. ri ingl yoxcel STREET RESTOR. GRAOING SANSEW TRUNK ori inal piLrcel SEWER LATERAL WATERMAIN * WATER LATERAL j 3 WATER AREA 1975 11.39 IS Park Donation 1t)? 1977 52.82 .2$ 10 * STORM 5EW TfiK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 6UILOING PER. SAC PARK CITY OF AGAN HTLLANDALE ADDN Remarks Addition ~MEADOWLARK RIDGE CO-OP) Lot 504 gIk 02 percel 10-329 0-504-02 Owne; Streec 4112 SrIAF&4RK 61NE Se- Sta t~o~ EAGAN MN 55122 Bldg #5 Unit #4 Improvement Date Amount Annual Yean Payment Receipt Date STREET SURF. OPj, j.IISl Parcel STREET RESTOR. GRADING SAN 5EW TRUNK ori inal -pi CCZ * SEWER LATERAL WA7ERMAIN * WATER LATERAL 1973 WATER AREA Z .76 /c I 5.28 10 * STOfiM SEUV 7RK 1973 STORM 5EW LAT CURB & GUTTER SIDEWALK STREET IIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN gILLANDAj,E pDDN Remarks Rdditfon NEADOWLARK RIDGE CO-OP) Lot 505 Blk 02 Parcel 1L0-32950-505-02 E So. fN~«?r Sta ~ EAGAN MN 55122 Owner Street 4110 te Bldg.#5 Unit #5 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. original STREET RESTOR. GRADING SAN SEW TRUNK ec! ori inal Cel 9F SEWER LATERAL WATERMAIN * WATER LATERAL 1973 WATEA AREA 1975 11.39 .76 iS Park Donation I 1977 52.82 .28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PRRK CITY OF EAGAN iI ~ lq R arks - Addition (~~ON~1L~~gGEpC~-OP ~af 506 81k 02 p 1 10-32950-506-02 Owner Street 4108 State EAGAN 1tiIIV 55122 Improvement Date Amount Annual Years Payment Receipt Dete STREET SURF. OTigirial PiLrcel STREET RESTOR. GRADING SAN SEW TRUNK ori inal cel SEWER LATERAL WATERMAIN ~ WATER LATERAL 1 WATER AREA ~ .76 110) 5.28 iF STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN $jI,LA1PDpjaE pDD1QRemarks nddition &ADOWLARK RIDGE CO-OP~_Lot 507 eik 02 percei 10-32950-507-02 zz; Owne~ Street 4106 Sd• S~Te d EAGAN MN 55122 Bldg.#S Unit #7 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Ori iA&l C@Z STREET RESTOR. GRAOING SAN SEW TRUNK 02' i118,1 C61 1i SEWER LATERAL WATERMAIN • WATER LATERAL 1913 WATER AREA 2 19 S 11.39 . 6 Park Donation rol 1977 52.82 5.28 0 • STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET IIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF ~AGAN gIj,j,p~pj,E pDD~qRemarks Addition_ I~~E,ADOWLARK RIDGE CO-OP~ Lot 508 pik Parcel 10-32950-508-02 Owner Street 4104 EAGAN IJ 55122 Improvement Dete Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOH. GRADING SAN SEW TRUNK ori inal Cel ~F SEWER LATERAL WATERMAIN 9F WATER LATERAL 1973 WATER AREA 1975 11.39 .76 Park donation 1i01 1977 52.82 .28 0 *jjTORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STFEET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF E GANg~~,~,p~ Rerr ~arks Additfan~;'EADOVPLAFZK-~G~~ZJ~q-OP1 Lot 509 Rik 02 ef i 10-32950-509-02 Owner 5treet 4102 ~h ~e ~ate ~o4O~ EAGAN MQ'1 55122 Bld .#5 llnit #9 Improvement pate Amount Annual Years Payment Receipt Date STREET SURF. OZ'igiII8.1 C@1 STREET RESTOR. GRADING SAN SEW TRUNK ori inal Cel. * SEWER LATERAL WATERMAIN * WATER LATERAL 1973 WATER AREA 2-1 1975 11 . 39 15 Park Donation / 1 1977 52.82 .28 10 ~ STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. SAC PARK CITY OF EAGAN $ILIANDALE ADDATRemarks Addition ~i`'EADOWLARK RIDGE CO-OP~ Lot S10 Rik 2 ar~e ~ 10-32950-510-02 Owner Street 4100 So~f~+ ~~te ovo[_ EAGAN NIN 55122 Bld .#5 Unit #10 Improvement Date Amount Annual Years ~ Fayment Reoeipt Oate STREET SURF, ori inal CCl. STREET RESTOR. GRADING SAN SEW TFUNK original p cel * SEWER LATERAL ~i WATERMAIN *WATER LATERAL 19T3 WATER AREA ( 1975 11.39 J 15 ./Y Park Donation tO1 1977 52.82 5.28 10 5.3a * STORM SEW TRK 1973 STORM SEW LAT CURB 8i GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PAR K CITY OF EAGAN ;49650 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: _454-8100 Reteipt # ( Te M wud fer REPAIRS Est, Volue $4, 000 DaTe CKTOBE1q 25 19 84 SiteAddress 4118 SKYLARK LN Erect ? Occupancy kl Lot SU Block 2 S±c/Sub. HILLANDALE Remodet ? Zoning R4 Parcel No. Repair IN Type of Const. V 1 HR Enlarge ? No. Storiea W Name MEADOWLA.RK HOME OWNERS ASSN Move ? Length ~ Address Demolish ? Depth City Phone Grede ? Sq. Ft. MERCHANTS AIAINTENANCE Approrals Foes Name 33335 tu Addre~ , P.Q. box Assessment Permit v - Woter & Sew. Surchorpe 2.00 City Lhone Police Plon cfieck SHELTER RF.SOURCES Name Fin SAC 1219 ? Address i U15 F, Eny. Water Conn. 333-15631 MPLS ~W City Phone Plonner Water Meter Councll Road Unit 1 hereby acknowledye thut I have reod this opplicotion ond state that Bid9. Off.10/24/84 parks the informntion is torrect ond ogree to comply with oll applicoble A~ Total $46.50 State of Minnesota Statutes ond City of Eogbn Ordinances. ~ ~ Var. Date $ipnoture of Permittee ~ `~C~~ ` ` A Building Pertnit is issued to: MERCHANTS MAINTENANCE on the exprets tadition Ihot oll rrork shotl be done in accordance with ail cpplicoble Stote of Minnesotc Srotutea and City of Eopcn Ordinonces. Buildinp Offitiol - - Pwmit No. Permit Holdx Daq Plumbing H. V A.C. Electrie Softaier Imptetion Oate Insp. Other Footings Foundation Framing ° 0.-+ Rouyh Pibg. Rouyh HVAC Inwlation Final Ptbp. Final HVAC Final Csrt/Oec. Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN - ~ ' - - 3830 Pliot Knob Road, P.O. 9ox 21-199, Eagan, MN 55121 , PH ON E: 454-8100 BUILDING PERMIT Receipt~ To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. ~ ' . On Site Sewepe Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const Q Name City Water (Allowabte) W PRV Requlred * of Storiea ; Address ~ City Phone Booster Pump Length Depth , o Name S.F. rotai ~ ` Address Footprint S.F. ?°G- City Phone APPROVALS FEES ~ W Engr./Assess. Permit Name _ ' AddreSS Planner Surcharge 4 W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Wariance SAC, MWCC infortnation is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued ta__ ' Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official TOTAL Permit No. Permit Holder Date Telephone ~ Plumbing 117 H.V.A.C. Electric 5oftener Inspection Date Insp. Comrtlenta Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg, o 51 Al Isul. oA./ 6/1s 1k F ireplace " Final Htg. Final Plbg. _ /Va tr 46M` Bldg. Finai Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMIT # !'~2O MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: PHONE: 454-8100 Site Address gLpG, npE WORK DESCRIPTION Lot C Biock Sec/Sub Res. ` New ; , ~ Name f Mult Add-on Q~ Comm. Repafr Address ~ ~ Other c City Phone • - 2 FEES Name ~ r ~ r RES. HVAC 0-100 M BTU -$24.00 c Address • ' - ADDITIONAL 50 M 8TU - 6.00 p City ~'~Phone (RES. HVAC INCLUDES A/C ON NEW . CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 64. 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 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 PERMIT PRICE Gas Piping Outlets # ~ BEYOND $1,000) GOES Other FEE • i I ' / - , S/C: SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN INSPECTIQN RECORD I Control No. 0347 CITY OF EAGAN PERMIT TYPE: duY i{; "Ne 3830 Pilot Knob Road Permit Number. 000 4 j y Eagan, Minnesota 55123 Date Issued: f9~ (612) 681-4675 SITE ADDRESS: LOy =60r SLOCK, 42 APPLICANT: 41i6 3KYI.ARK LANF. NEAT-N-sLp FIREPIACE^ N11,tAN[?AlE (612) 894-0758 PEPRITl ~I~~BTYPE: TYPE OF WORK: NEu INSPECTION . f oql f.NC; i: tNAI. F~REPIA[t PfMAKKS: PFCEIpt f / ~;1~•z~-_~4"'~'i~" = es~`+~:!''. .s~c. . .`~e, f. ~y~'~ " ' ` rt. r~ r _ fy. k11 ~ ~ f~~ ^ .~i~~ i• 'ri t t . . F ~ ~I \ 4 Ti ~~~~~t+ _ a , ~ . _ ~`~is.!? .j. ? ~ J ~fi • . . . . _ . . ' ' _ ~ Parmft tto. Permit Holder DaOa TiNpfwrM! S/W PLUMBING HVAC ELECTRIC ELECTRIC Mspection Oate h"p. Comments Footings I Foundetlon Frartung Roofing Rough Pibg. Rough Htg. ISUI. Rreplece 244 g r I Flnal Htg. Orsat Test Flnel Pbg. Plbp. lnspeclor- Notify Pkrmber Con6t. Meter EngrJPlan Bldg. Finel Deck Ftg. Deck Firel Well Pr. Diep. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • .A ~ I.J•.~11 ll ( i ilfd 1 i 11 11 ~ r tllll t ~ I 1~1~ ! Ilitl ~1 l ti. d I ri.i ~I 1 v~~, i Ny r? I i ti ~I i i.' i 1 I~l i i~. -t I 1 ~ I i~.t ~ ; N !(1 f', hN4 ~bHtt '.(S J F+yh !.Nfo i,Qyq hil.i t.N.' k>o ! ~ # ~ Permit No. Permit Holder Date Telephone IF SM! PLUMBING HVAC ELECTRIC ELECTRIC Inspectbn Date Insp. Commenta Footings I Foundation Framing Roofng Rough Plbg. Rough Htg. Isul. Fireplaoe Rnal Ftlg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr.lPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ s+n r. f~ a Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: `l' ' °j APPLICANT: "11 Annxal ARF Pn PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A . .A I•c;~tilf:k:.~: ilJ~IUt~f'~ li'tI tlt?~ r,f9t~1 lis~, ~(i)I 174 !5 ftt~l KqR) 1747 rtnr F-84 ) 1749 (tRT F,03) 1i51 (lflf F,~ I ~ ~ ~ Permit No. ParmM Holder Date Telephona # ELECTRIC PLUMBING HVAC Inspectfon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING $"25-19 ROUGH PLUMBING PLBG AIR TEST FOUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL mons th rom ido;o da, P~ ed ; eox 303-416 0M mi "uest id,e *L__ ~ PLEASE PRINT OR TYPE Req~h Rough-in insp«tion required2 ? Yes lar'No Inspernon Other Than Rough-In: ~eady Now 0 WII Call (You must mll the inspedar when ready) Date Reody: I, licensed mn}radar ~ owner hereby requesf inspedion of ihe above eledriwl work at: Job Address (Sheet, 9ax, or Roote N ~ Ciry Zip Gode Sectian No. iownship Nama or . Range No. Fire No. Gounry Phone Na. Xo~A n~e lla2 6 &efs PowerSupplier Address A7 l Co~nrador (CarypanY Name) ~ Conlmdor License No. Moslar Lic. No. (Plont Elecl. Only) Mol6n9 Mdress (Cont orOwrar Per(orming InsM atio /il~ ssY rB AuMonzed ' omracroro erforminglnaMlln'o Phone No. 41 P ~DOS 1A10 6/95 ATE AflDCOPY• EEINSTNUCTIONSONBACKOFYELLOWCOPY IIII III I II I II~I REQUEST FOR ELECTRICAL INSPECTION ~O2 Minnesota State Board M Electricity 1821 University Ave., Rm. -IPA, SL Paul, MN 55104 * 3 0 4 1 6 2* anone (siz) saz-oeoo / ome up ex Apt Bldg. OIIfL.. New Addn mercial Indusfrial Farm Remod Re air Air Cond. Hig. Equip. Water Htr. Load Mgmf. Other: D er Ran e Elec. Heat Tem . Service "X" above fhe work covered by fhis request Enter remarks in this space and on }he bock of the whife copy only. Calculafe Inspection Fee - This Inspection Requesl will not be accepfed without the correct fee: Olher Fee # Service Enfra'x.e Size Fee A Gmuih/Feeders Fee Mobile Home Park Stall 0 t0 200 Amps 0 to 100 Amps Sireet Lfg./Trafiic Sig. Above 200 Amps Above 1 Amps Transformer/Generator INSPECTOR'SUSEONLV OTAL $ign/Outline Ltg. Xfmr, Alarm/RemoM Control ~ -O Swimming Pool I hereb mm ~nul I In: ected Me eleanml insalb~m ascnbed henin on Ihe da-e:.mtad Iffi9afion Baom Rough-In Dore Speciol Inspeciion ~ Flnal p> Do Investigotive Fee THIS INSTALlAT10N MAY BE ORDERED DISCONNE D IF NOT COMPLETED WITHIN-118 MO THS. CITY OF EAGAN ~J~ 14738 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PH0IE: 434-8100 Receipt #g a3a~ Tobeusedfor REPAIR (FIRE) Est.Value $7,000 Date MARCH 29 Site Address 4112 SKYLARK LN OFFICE USE ONLY Lot 504 Block 2 Sec/Sub. HILLANDALE ADD On Sire Sewage _ occupancy MWCCSystem _ Zoning Parcel No. onsitewell _ (ACtual)const a Name KATHY STOUT Ciry Water _ (Allowable) W PRV Required # of Stories z Address 4112 SKYLARK LN - 0 8ooster Pump _ Length City RAGAN Phone 894-1460 (WORK) Depth , o Name TIMBERCRAFT CO S.F.TOtai ~a Address 217 OLD HWY 8 FootprintS.F. ~ CityNF.W SR7GHTON phone 633-8611 pppROVALS FEES ~a En r'/ASSess. Permit 82.00 wW Name g ~ i- Address Planner Surcharge _3 • 50 x Q W City Phone Council Plan Review Bldg. Off. SAC, Ciry I here6y acknowledge that I have read this application and state that ihe Variance SAC, MWCC information is correct and agree comply with all applicable Sta of Water Conn. Minnesota Statutes and City of E g n~ rdinan . Water Meter Signature of Permittee Road Unit A Building Permit is issued to: TIMBERCRAFT CO 7reatmem Pt on the express condition that all work shal I be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks 8uilding Officialll ,(~lllAh1~~7~1l~_I J ~yy~1a TOTAL 85.50 I - ~ ~ ~ EAGAN TOWNSHtP BUILDING .PERMIT 2636 Ownex Eagan Township Address (Present) .~4...................... Town Hall Buildez .~Q`0. ......................e..............._......----'..C.o..*.`.~!~--- 7j........_--...... . Address Date U DESCRIPTION Sloriea To Be Used For Fsoa! Dapffi HeighS Esi. Cos! ~Permi! Fee Remarlcs ~ ~~.5~ /D .r*~"7r /~750 l r /D 93• `e /r~7/ LOCATION 334.ro Slreel, Aoad or oiher DescrlpSSoa oi Localion , Lo! FETo-ick Addilion os Trac2 . \~o \ ~ ~~~y , ~ / a /?<-e-za-~-~z._e~ This permi! doea ao! authorise e use of sl:ee s.-roa , alle7n or eidewalks aor does it give the owner or 6fs agan! the righ! So create anp sifuatioa which !s a nuisaeee or whieh pzesenls a hasard !o the heallh, safetq, coaveeienee aad . general welfare !o anpone in the cosmunifp. - THIS PERMIT MUST BE KE T ON THE PAEMISE WHILE THE WOAK IS IN PROGR S$. S- This is to eariif !hel...---.. . ~...has ermission !o ereat a....... (P -e~_. y' P ....._upoa the above described premise eubjeat fo the provisioas of the Building Ordinenee fos Eagan Towaship adopled April 11, 1955 a~~ ~e:`:..:..-.......I._ Pes ~ . . Chaisman ot Tnwn Board ~ ,Z-; Suildinp Impecfos iITY OF EAGAN M 9650 3830 Pilot knob Road, P.O. Box 27-199, Eagan, MN 55121 PHDNE: 454-8100 BUILDING PERMIT Receipt # / Te M uftd 4er REPAIRS Est. Value $4,000 Date OCTOBER 25 19 84 SlteAddreas 4118 SKYLARK LN Erect ? Occupancy Rl Lot " elock 2 Sec/Sub. HILLANDALE Remodel ? Zoning R4 Parcel No. Repeir ~ Type of Const. V 1 HR EnlarBe ? No. Stories ~ Name MEADOWLARK HOME OWNERS ASSN Move ? Length ; Address Demolish ? Depth b Phone Grade ? Sq. Ft. City Name MERCHANTS MAINTENANCE Avororols Fees ~ o 8~ Address P.O. BOX 33 Assessment Permi 2.00 ~ City COON RAPID4hone 7 0-1555 Water & Sew. SurcMrge GW Name SHELTER RESOURCES FireCe SAC check i~ Address 1 MARQUETTE AVE Erq. Water Conn. ~W City ' MPLS phone 333-6837 plonr~er WorerMeter Coun[II Road Unit I hereby acknowledge that I hove reod this apDlication and state that Bid9. off.10/244 parks the in}ormotion is corrett and agree to wmply wi pII avPlicable APC Total State of Minnesota $tatutes and City of Eog n O di hncei. Var. Date Sipnature of Perminea ~ A Bullding Pertnlt Is issued fo: MER A TS INTENANCE on the expreu conditlon "ha' pll work shall be done in accordance pvlicoble Stote f M nesoto Stmutes ond Ciry of Eapan Ordirances. Buildinp Official +H, . . . ALL CONTRACTORi'MUAT BE LICENSED WITH THE CITY OF EAGAN INCLUDE Q SETS OF PLANS, CERTIFICATES OF SURVEY ~ SET OF ENERGY CALCULATIONS To Be Used For: Valuation: 'e16*0 ~ Date : lb `a 3-8 Site Address: T- _y//£f ~A), . . Lot:~ Block:a- Sect/Sub: y-,//q rL Erect: Occupancy: Parcel Remodel: Zoning: Repair: ~ Type Of Const: yI R, Owner:[~~qp~ Enlarge: # Stories: ,Move: Length: Address: Demolish: Depth: City/Zip Code: Grade: Sq. Ft.: Phone Contractor: Address: e6- 6q-- 33335 A"-=.ASSessments: Permit: L}~- `'O ~ 2.- City/Zip Code: SS y 33 Water/Sewer: Surcharge: 2K Police: Plan Rev.: Phone -/SSS Fire: SAC: Engr.: Water Conn: Arch./Eng: (2&SORdeS - Planner: Water Meter Address:/a/c/ A,,-E- Council: Road Unit: Bldg. Off.: ~ Parks: City/Zip Code: juj*X5 _ ~S4;/03 APC: 5~U p,,,,.,04. 333 _68'37 variance: ~ A. So,So ~ Fo,orriee_usQ i , City of Eapn ~ Pem,t # ~ Permit Fee: 3830 Pilot Knob Road ~ i Eagan MN 55122 j Date Received: Phone: (651) 675-5675 PaX: (651) 675-5694 ~ Staff: C~ I 2008 MECHANICAL PERMIT APPLICATION ~_M _T T_~ Date:.9 /i /oO SiteAddress: SEP 15 2008 ~ TenanT: S RESIDENT! OWNER Name: / E,~-2k Phone:~5-/-q6_~ Address / Cky ! Zip: T~IZI SlC y- G-N CONTRACTOR Name:dNe- 4".e 4'16~2 g/.P License#: ~~T S$5Lf62 Address: City: `49 5 State: NA) Zip: Phone:Lr1-~/-~37 ~~7 7 ContactPerson: -2)•f~~~~.ol4LL TYPEOFWORK -New k- Replacement _Additional _Alteration Demolition Description of work: e~ A' i ~ NQTErBothrroofmounted,and'ground mounted mechanical equlprnent is,reqmred to ~ be"screerieii by City':Code. Pfease contact.tlie.'Mechanical Inspecioi"or`one.ofYlie ~ Planners for information on ermitfed screenin meHio'ds.," PERMIT TYPE RESlDENTIAL COMMERCIAL ~ Fumace - New Construction _ Interior Improvement Air Condtioner _ Install Piping _ Processed _ Air Exchanger _ Gas _ Exterior HVAC Unit ' HVAC units must be screened _ Heat Pump Under / Above ground Tank Install / Remove) Other " When installing/removing tank(s), call for inspeclion by Fire - Marshal and PWmbin Ins ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (repiace eumed out appliances, ducnvork, etc.) (includes $.50 State Surcharge) $ 7'52 TOTALPEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Pertnit Fee - If Permit Fg is less than $1,000, surcharge is $.50. - If Perrnit Feg is >$1,000, surcharge increases by $.50 tor each State Surcharge $1,000 Pertnit Fee (i.e. a $1,001-$2.000 Permit Fee requires a$1.00 surchzrge). $ TOTALFEE I hereby ackncwledge iha[ this inrormztion is comple[e anc accurate; that the wcrk will be in cenlormance with ihe ordinances and codes of the City ol Eagan; that I understand ihis is not a permit, but only an application for a permit, and work is not to starl without a permip that the vrork will 6e in accordance with the approvetl plan in Ih case ot vrork which requires a review and approval ol plans. x ApplicanYs Printed Name ~E s Applicani's Signature 'fOR~OFFlCE USE Review~l.By:° 'Date' ' ,Required Inspections i_Under Ground _ Rough In ;_Air Test; Gas Sgrvice Test _In-floor Heat'_Fnal I 1 w ~ 411 Permit ~ ~ Clty Of Ea1~aIl o y 2p0~' ~ ~ ~ 3830 Pilot Knob Road PPR ! Permit Fee: Eagan MN 55122 j I ~ Date Received: ~ Phone: (651) 675-5675 ~ I Fax: (651) 675-5694 ~ sraff: I L 2008 RESIDENTIAL PLUMBWG PERMIT.APPLICATION Date: ~ ~!v SlteAddress: ~aAA-t 0-0 own-QJv renant: Michael Gerard suite#: 4116 Skylark Lane RESIDENT / OWNER Narc Eagan, MN 55122 Phone: Add 6126363518 CONTRACTOR Name: License (X01524.. Address; 2- I U~ bax%h 9D Ciry: ~ State:rm Zip: 5540ff PhoneA'IZ) (?vj ' `(~3 ContactPerson: ~eSS TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work fn R.O.W. Description of work: PERMIT TYPE RES/DENTIAL X Water Heater Water Softener - Lawn Irrigation Add Plumbing Fiatures ~ RPZ/_ PVB) 'Main ` Lower Level) Septic System Water Turnaround New ` Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener,,or Wster Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn frrigafion (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $.50 State Surcharge) *W ater Turoaround (add $136.00 if a 5/8" mete: ;s required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 Stata Surcharge) $90.50 Fire Repair (replace burned out appliances, ductworic, etc.) (includes $.50 State Surcharge) 50 TOTAL FEES $ SO, ~ I hereby acknowledge that this informafion is complete and accurate; that the work wfll be in conformance with the ordin8nces and codas of the Ciry of Eagan; that I understand this isnot a permit, but only an application for a permit, an o i not to stad without a permit; fhat the work will be in . accordance wifh the approved plan in the case of vrork whlch requires a review and ap oval o ans. X~ )e-~r~cn L• nl or b l aY3-U ApplicanYs Printe me I(cant re FOR O~FJ~Ue~~t~`~ ae ' 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ 114, / a S ) ~ Site Street Address y/ 0 2 S.~Y L.9rL/t ~ U~--6u Unit # PropertyOwner uUM~~-~~-~a"~ _ Telephone# (sV Contractor Telephone# (763) 1;0V-21-44 Address A-,~-tLlo City Qpk~ State rh.-a Zips~vzj The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. !f vou are insiaUing onlv a water soitener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _ Water Turnaround (add $125.00 if a 518" meter is required) Other: Water Softener J/ Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 rotal $ /S~ S° ' 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 approv . ~ ~ ApplicanYs Pri a e ppiicanYs 3 UN 2 2 2005 - (x 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION~b~~ City Of Eagan ~N 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 Date (p l /-5- l 0_5~ Site Address y/ D1 Unit # Property Owner (.tJo ~ /~orina,~ Telephone ik 074~ Contractor Street Address City 6,2 State "Yr~nl Zip S.s/12 Telephone# (65-/ ) d'99 9,P9P Bond Expires: The Applicant is _ Owner _-VIContractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ~ furnace _Additional Replacement ~air exchanger N0 ~ air conditioner _New -Lzteplacement other State Surcharge $ 50 Tatal $ Ja S~ 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, 6ut 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 ~of'r`2 TAUe7\_ ~ ApplicanYs Printed Name Applicant's gnature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustrial 6uildings . multi-family buildings when separa[e permits are not required for each dwelling unit Date Site Sheet Address Unit # Tenant Name (if applicable) Arevious Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is Owner Contracror 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 i»spection by Fire Marshal and Plumbing lnspector p¢C[Ill[ F¢¢S: $70.50 Underground tank installation/rcmoval $50.50 Minimum (includes Slate Surcharge) or ContractValue $ x I% _ $ PermitFee • If eo rmit fee is $1,000 or less, add $.50 State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 pe rmit 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 Date: PLUMBING(RESIDENTIAL) ~p OS7 PermitApptication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings TownLomes and Condos when pernuts are requiced for each unit Date ~ Site Address Unit # Property Owner ()QT I Telephone t! ( Contractor u.~ff'~~.~-. . , a naaress 3670 DODD C;iy oIZZ3 State (651)1316Vjsj)I Zip Telephone # ( ) The Applicant is _ Owner Contractor _ Other Septic System New _ Refurbished Submit 2 sels of plans and MPC iicense $ 100.00 Includes County fee. Additfonal consultant fees may apply. Alterations To Eaisting Dwelling Unit, Including $ 50.00 _ Adding fiMures to lower levels or room atlditions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener ~'Water heater $ 15.00 placement _ additional State Surc6arge .50 ~ Total ~ , y , I~~-- ~ ~ I hereby apply for a Residen6al 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 with the Plumbing Co es; that I understand tiris is not a permit, but only an application for a permit, and work is not to start without a permit; that e ork will be in accordance with the approv d plan in e ca e of work winch requires a review and approval of plans. Applicant s in ed I ar ApplicanY ature 1988 BIIILDING PERMIT APPtICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCUI.ATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WZLL HE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS ENT9L QNI/TS FOR SALE ONIT7~S # OF UNITS - %ow+~ you5c- I"e ~air' 7`~~'re--7'ck,,7 as~//vrunc{~y INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COP4tERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: ?E' r Valuation :,~&~o i Date: 3 Z g ~ Site Address l~z- 5,('y /e, P'K OFFICE USE ONLY Lot 61)4 Block On site sewage_ Occupancy 1' MWCC system 2oning Parcel/Sub J-j~„u,uey)fj,, ~kj~t On site well Actual Const MS . K cr City water Allowable Owner y PAV required + # of stories Booster Pump _ Length Address `Tl~ Z ?'le Lh I Depth S.F. Total City/Zip Code ~q v1 S.S~L Z- Footprint S.F. cvorle ~ V J7~~ Phone APPROVALS FEES r, Contractor ~I ?N ~ e?` C?a 4-Z Engr/Assess Permit 82, 00 p r/ Planner Surcharge 3,50 Address 7 0/p~{ f-! ui~e Q Council Plan Review Bldg. Off. SACO City City/Zip Code NE w 13 F^i Lo h. S S~~ Variance SAC, MWCC Water Conn Phone 6, 3 3 ^e6,/ 1 Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies I TOTAL City/Zip Code Phone # ill~m ~tln~~v ,d J~so a~, d~ )A 11 anda.le AcNn MASTER CARD / • LOCATION / P a d e r.? / a rA S- OWNER 41? ?r Cp , STRUCTURE AND IAND USED AS ~~~,(~yL hj)v'~' as Issued To Permit No. Issued Coniractor Owner BUILDING C,A/i/S (CHSDI"). '6f-ai PLUMBING CESSPOOL - SEPTIC TANK WELI ELECTRICAL NEATING GAS INSTALLING SANITARY SEWER OTHER OTHER • APProved ' . . Items (lnitiap Date Remarks Disiance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARV SEWER , . Violations Noted on 8ack COMMENTS: COMPLIANCE ITJSPECTION KEPORTS TO 6E USED ONLY 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. ? ACCEPTABIE SUBSTITUTIONS OR DEViATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: , ? REINSPECTION REQUIRED DATE OF REINSPECTION • REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest presen[ or prospective, and that I have reported herein all significan[ conditions oLserved to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific repuire- ments for off-site improvements relating to the propeny inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: • ~ sa a- - % EAGE3N TOWNSHIP 3795 Pilot Knob Road St. Paui, Minnesota 55111 Telephone 454-5242 PERZ41T FOR WATER SERVICE CONNECTION Date: Ju1y 12, 1972 Number: 893 Billing Name:Beuse-Hillendale Bldg. #5 Site Address:11100-02-04-06-08-70-12-14-16-18 Sky ark Lane Owner: same Billing F.ddress Plumber; Weierke Trenching & Excavating Location of Connection Meter Size Coanectioa Chg. ~ Meter PermiY Fee 10.00 Meter Reading Meter Hep.2 2. 1 ~ Meter Sealed: Yes Add'l Chg. NO Total Chg. Inspected bq Date Building is a: Remarks; Residence I4ultiple x Ho. Units10 ownhouses Commercial IndusCrial 8y: Other Chief Iuspector In consideration of the iseue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Townahip, Da&ota County, Minuesota. By: Weierke Trenchinroa & Excavating Please notiiy the above office when ready for in.pection and conaection. l )ef f. gk ~ t ~ kJ~i ll and yl p~ EAGIaN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEFIER SERVICE CONNECTION DATE: 5/L,/72 NONBER 997 - Se c. ,2O OWNER•Buere-Hillendale Bldg. #5 Address PLUMBERWeierke Trenching Typg pg pipg Heavy Cast Iron DESCRIPTION OF BUIIA ING Industrial Commercial Residential Multiple Dwelling No, of unfts Xc 10 Location of Connections: Connection Charge Permit Fee 70.00 pd 5/4/72 .50 pd 72 Street Repairs Total Inspected by: Date Remarks• ' By. Chief Inspector In consideratioa of the issue and delivery to me of the above permiC, i hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tormship, Dalcota CounCy, P7inneaota S3' Weierke Trenclvng Please aotify when ready for.inspection and connection aad before any portion of the work is covered. PERMIT # RECEIPT OATE: ~ fi£SID£NTIAL PLUM$1Rfl P£iiMIT ~PPLICATION crrY oF EAsa?rt saso Pnor Kxos sn SRfiAP, MN 55122 651-6$1-4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit > backflow preventer for irrigation system SITEADDRESS 41Oo SKULLLI'y- LQ.n& OWNERNAME:: ~JQmes (5c0tt TcLE?i;GNE#: q 5q-cvD73 (AREA CODE) INSTALLER NAME: R TELEPHONE DBA VENTOO/APPUANCE INSTALLER8 (AREA CODE) STREETADDRESS: 2BOs(~ rFr~8121tv827•q033 --WILITH CITY: MINNEAPOLIS, MN 65408 STATE: ZIP: Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 - Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repairlrebuild of RPZ • lawn irrigation system • waterturnaround Nature of work: YyQ~r N G~" Septic System, new/refurbished - $ 225.00 . includes Courty & Consulting Inspecior iees • requires MPC license State Surcharge $ .50 Total $ Reminder: Be sure fo schedule inspections of alterations; i.e. water heaters, water softeners, etc. - - I hereby acknowledge thaCl have read this applicaUon, statethafthe information is corcecf, and agree to comply with all applicable Cityof Eagan ordinances. Il is the applicant's responsibility to notify the property owner that lhe City of Eagan assumes no liability for any damages caused by the City dunng its normal operational and mainlenance activities to ihe facilities constmcted under this permil within City perty/right-of-way/ea e nt. SIGNA F PERMITTEE Updated 1101 PERMIT CkO~7~ CITYOFEAGAN 3830 Pilot Knob Road PERMITTYPE: euzLozres Eagan, Minnesota 55123 Permit Number: 0 2 4 9 8 7 (612) 681-4675 Date Issued: 12 / 21 / 9 4 SITE ADDRESS: 4100 SKYLARK LANE LOT: 510 BLQCK: 2 HILLAPIDALE P.I.N.: 10-32950-510-02 DESCRIPTION: (FIRE WALL) Bqilding'_Permzt Type MULTI. (MISC.) Building Wo.rk Type ALTERATION r f% i ~ REMARKS: INCLUDES 4102 4104 4106 4108 4110 4112 4114 4116 4118 SKYLARK LN L075 509 508 507 506 505 594 503 592 501. FEE SUMMARY: VALUATION $3,000 Base Fee $54.00 Surcharge $1.50 Tqtal Fee $55.50 CONTRACTOR: OWNER: - APPlicant - MEADOWLARK RIDGE LTD PTNRS 1660 S HWY 100 428 MINNEAPOLIS MN 55416 (612)546-8201 I hereby acknowledge that I have read this application and state that the informdtion is correct and agree to comply with all applicable State of Mn. Statutes and City ofi Eagan Ordinances. ~ APPLICANT/P E S NATURE IS ~EO-B SIG T~ ~w~ CITY OF EAGAN ' 1994 BUILDING PERMIT APPLICATION 1.4"q 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site urvey ; luc py of nergy calcs. ; 1 6 1994 COMMERCIAL 2 sets of architectural & structura _plans,_1_S.R.t_Df_ specifications, i copy of energy ca . Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 12 ~ 15 / 94 Valuation of work $2,250.00 Site Address: 4100 - 4118 skvlark Lane STREET SUITE p Tenant Name: (commercial only) - o LOT.~~ BLOCIC I_ SUBD. P.I.D. fe Descri tion of work: Install firewall in cavity behind garage wali per attactaed drawing The applicant is: D Owner El Contractor ? Other (Describe) Name Meadowlark Ridqe Limited Partnership Phone 546-8201 Property Lasr FIRST CY1L'1S Sorensen Owner qddress _ 1660 so_ xiarn.rav ioo aza STREET SiE # City Minneapolis Styte NIN ZjP 55416 Company Above Phone Co ntra ctor Address License # Exp. City State Zip Architect/ Company voat trchitectural Phone 835-5275 Engineer Name _ Fd v«xt Registration # Address 8900 Penn Ave. so: (200) City Blocmington State MN ZiP 55431 • Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wi all appl ate of Minnesota Statutes and City of Eagan Ordinances. Signa ture of Applicant: L OFFICE USE ONLY ; m,~ • BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 11 Apt./Lodging ? 16 Basement Flnish ? 02 SF Dwg. ? 07 4-Plex ~12 Multi. Misc. O 17 Swim Pool ? 03 Sf Addition ? 08 6-Plex ? 13 Garage/Accessory O 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Coimn./Ind. Misc. ? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE ? 31 New -E933 Alterations ? 35 Tenant Finish ? 37 Demolish 11 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION tonst. (Actual Basement sq. ft. MWCC System (Allowable lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well tensus Code 5131lr Depth On-site sewage SAC Code ~ O 3 Census Bldg _L APPROVALS Census Unit Planning Buildin9 Assessments Engineering Variance REOUIRED INSPECTIONS ? Site p Footing 43~Framing ? Insulation ? Wallboard 129,Final ? Draintile ? Fireplace Permit Fee veiuac;a,: g Z, Zsn ` Surcharge Plan Review license MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 5AC % SAC Units ..PERMIT Cont o No 0347 CITY OF~ EAGAN 3830 Pilot Knob Road PERMIT TYPE: euiLoiNG Eagan, Minnesota 55123 Permit Number: 000429 (612) 681-4675 Date lssued: 0 4/ 3 0/ 9 2 SITE ADDRESS: 4106 SKYLARK LANE LOT: 507 BIOCK: 02 HILLRNDALE DESCRIPTION: Bu31d3ng_Permit Type FIREPLACE Building Work Type NEW ~ / ~ , . REMARKS: RECEIPT kL Q~ g"'j CvG FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee E25.58 CONTRACTOR: - APPlicant - sT. LIC. OWNER: HEAT-N-GLO FIREPLACES 18900758 0002960 IAEADOWLARK RIDC,E 3850 W HWY 13 6495 qUEEN AVE S 9URNSVILLE f9N 55337 RICHFIELD MN (612) 890-0758 (612)866-1536 I hereby acknowledge that I have read this application artd etate that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L - APPLICANT/PERMITEE SIGNATURE ` I//% IGE PERMIT #'~j k, CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 4:;L- ~j 681-4675 r SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working da~y of month in which re uest is made r lot chan e is re uested once ermit is issued. Date 3D 9a Valuation of work Site Location: /D 1~ L y'I STREET LTE • Tenant Name: LOT BLOCK oZ SUBD. N Descri tion of work: The applicant is: ? Owner ? Contractor ? Other ccegcr;ne> Name Phone BW - 153~ Property uST FI ST Owner Address ~ 1P74LL/rzixi Aze_,5 STREET STE # City ~ ot State Zip Company Phone Contractor Address ~gs~ ~ ,r l3 License EXp. City 2 ( State l7, Zip r,~ Company Phone Architect/ Engineer Name Registration # Address City State ZiP Sewer & water licensed plumber . Processing time far sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 06 6arage/Accessory ? 11 Res. Add./Porch 0 16 Agricultural ? 02 SF Dwg. ? 07 Fireplace - ? 12 Comn./Ind. New ? 17 Building Move ? 03 Two family ? 08 Deck O 13 Comm./Ind. Add ? 18 Demolition ? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous ? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac. WORK TYPE ? 31 New ? 34 Remodel ? 37 Move ? 32 Addition ? 35 Repair ? 38 Demolish ? 33 Alterations ? 36 Tenant Finish ? 99 Undefined GENERAL INFORMATION Occupancy Basement sq. ft. MWCC System Zoning lst F1. sq. ft. City Water Const. (Actual) 2nd F1. sq. ft. PRV Required (A1Towable) Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation 11 Wallboard ? Final p Draintile ? Fireplace Permit Fee v.w.sran: s Surcharge ' Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 S•--~ 651-681-4675 I ~j Reaufrements ? 2 coples of plan DATE: ~t/Q~uP~Gu.1 Z3 /tt'v L4. Q U C727 CONSTRUCTION COST: DESCRIPTION OF WORK; Lfb~- If muiN-tamfry btdg., how many unlts7 A/ IND ,!DA7E THE FOLLOWIMG EAUIPN~EIdT TO BE REPLACED AMD BY WHOPA: Plumbing _ Homeowner gr Contractor Npme YFSS Mechanical _ Homeowner Qr Contractor Name >FERAcE r.iwrs,c r/eATz,e v.aL-uE c,'C trq ~ r1~1-~Z BY 4rurownv--?e 4=r- 6As caM~ilivY "NOte: If somebody ofher man me homeowner is pertorming plumbing or mechanfcal work, they must apply for appropriate permit. Only Ilcensed plumbing contractor or homeowner may complete plumbing work. STREETADDRESS: 410r` L-A/Yz~ LOT: O ~ BLOCK: Q~) SUBD./P.I.D. Yk~ ,\(S V--~ Name: Phone#: PROPERTY last First OWNER / ~ SheetAddress: 41~9 /"~~'7c.JL?~,eCC ~dt~E Cify 1~~64ti( State: N/V Zip: ~EDo?n~~ 7a 2t5 -'~-6xuE ae A-'L Company: K~v&d Y~T r+hone n: (area code) CONTRACTOR Sheet Address: License # Exp. Clty State: Zip: RECFIVED AUG 2 3 2000 s~3Y: I hereby acknowledge thai! have read fhis application, sfate that tlie inform ' n is correct, and agreeto compy wilh all appGca6leStafe of Minnesoia Staiutes and Ciiy of Eagan Ordinances. Signature of Applica . OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex p 13 16-plex ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 04 02-plex ? 10 08-plex ? 19 LowerLevel ? 24 StormDamage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Demolition permit - Give PCA handout to applicant GENERAL INFORMATION # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55722 I'-4 a o v 651-681-4675 Reauirements ? z copies or plan DATE: f-,22- 0(j CONSTRUCfION COST: DESCRIPTION OF WORK: /C%6 A0 P~ P~~~.FP4 UW6I9 o many unlis7. INDICATE THE FOLLOWIPIG EAUIPf1AEPlT TO BE REPLACED AND BY WHOAA: Plumbing Homeowner gl Confractor Name ~ Mechanical ~Homeowner gE Confractor Name "Note: If somebody other than the homeowner is performing plumbing or mechanical work, they mustapply forappropriate permit. Only Iicensed plumbing conhactor or homeowner may complete plumbing work. SiREET ADDRESS: I(DY f< L.Co"/c LOT: BLOCK: ~ SUBD./P.I.D. l~ a Q101 k Ck x~- Name: ~d17 el/` Phone q: PR0PERT1f Lp51 FIBf OWNER ~ L/// K~@~ Sheet Address: VCNy ~ ('l Cna 4 State: ~ Zlp: Company: Phone S: (area code) COMRACTOR Street Address: License # Exp. Cify Stafe: Lp: I hereby acknowledge lhaf I have read ihis applicaHon, state that the inform ' is conect, and agree compy wilh a0 appGcable StaFe of Minnesofa Sfatutes and City of Eagan Ord(nances. i Signature of Applicant: i AUG 2 9 2000 BY: OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 73 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Att - Multi ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ect. Ak - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 04 02-plex ? 10 08-piex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _YOr_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Demolition permit - Give PCA handout to applicant GENERAL INFORMATION # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV CITY USE ONLY ~ RECEIPT ~ SUBD. ,~~IXX.Qii2LY.2GC~ DATE:~ 7996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, f.e. Vanee system, etc. Date: z4/~9l FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL r SITE ADDRESS: L114119e, OWNER NAME: tt,4r?hE'e-l-_5- PHONE INSTALLER NAME: Am/o f' STREET ADDRESS: 1,2001 96~ CITY: j;CtImoE STATE: ZIP: !6~3 PHONE#:( 8/~ ~ J CITY USE ONLY ^ L BL RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. w multi-family buildings when separate permits are ~ required for each dwelling unit. GATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: o $25.00 minimum fee gl 1% of contract price, whichever is greater. 0 Processed piping - $25.00 w State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (iMPROVEnnENTS oNLv) INSTALLER: ADDRESS: CITY: STATE: ZIP:_._. PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR 09"g,rv 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan 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 uni[ / Dates- ~ Site Address Unit # PropertyOwner Telephone#(9,:-,),) Z,-A~-597-,Z . Contractor Street Address City 1_9U1 State {~1~n Zip S~tQV Telephone# (~j,~r) -'131 `s92a~ Bond Eapires: The Applicant is _ Owner ?Contractor _ Other Add-on or alteration to ezisting dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ? airconditioner _New ?Replacement other State Surcharge $ .50 Total $ ySt..iJL 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 pla . / .U ~ ~ r ~ I~ 0 M2n ~facv k k [ I~ Applicant's~Pr'xnted Name A canYs Signature i, % ~s ~iUG 04 ?0O'5 ~ 2005 COMMERCIAL MECHA1vICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmple[e for. commercial/industrial buildings . multi-family buildings when separete permits are not required for each dwelling uni[ Date Site Street Address Uoit # Tenant Name (ifapplicabie) 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 be/ow Interior Improvement _ Install Piping _Processed _Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector P¢rmit F¢¢S: S70.50 Underground henk installationlremoval $5050 Minimum (iocludes SMte Surcharve) or ContractValue $ x 1% _ $ PermitFee • If ep rmit fee is $1,000 or less, add $.SO $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 pe rmitfee $ 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 wi[h the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name ApplicanYs Signature Approved By: , Inspector Date: , I Permit k: City of Eapn ' ~g~~p~gG5~ ; I ~ 3830 Pilot Knob Road ~ Permit Fee: ,~lJ• :/v I Eagan MN 55122 ~ I ~ Date Received ~ Phone: (651) 675-5675 I ~ Fax: (651) 675-5694 ~ Siatt: I I 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I'Zl -U I Site Address: `f I Vb %y I(,1,1 K Lf1 ~ Tenant: Suite RESIDENT / OWNER Name: ~aVYIE"s ~ct- Phone: O ~ ~~9412A7 3 Address / City / Zip; r4 ~ J ~ ZZ CONTRACTOR Name: License#:llJ~,7~~/~/L am ~ Address: 657-365-1340 3670 Dodd Rd. #100 Ciry: Eagan, AAN 55123 1338 Sta)te: Zip: Phone: Contact Person: i'~6 ,J C d'er--) TYPE OF WORK _ New V-Replacement Repair Rebuild Modity Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENTIAL ~Water Heater Water SoRener Lawn Irrigation Add Plumbing Fixtures ~ RPZ PVB) Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RESfDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County tee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ ° I hereby acknowletlge iha[ this intormalion is complete and accurate; that the work will be in conformance with ihe ordinances and cndes of the City of Eagan; that I understand this is not a permit, but only an application ior a permit, and work is not to start without a permit; ihat the work will be in accordance with ihe approved plan in the case of work which requires a review and approval of plans. x \,A~~ x ` ApplicanYs Printed Name i" ApplicanP ignature ~ FOR OPfICE U9E . Reviewed'By: Date: ; . Required lnspections: ' _Under Ground Rough-In ' _Air Test _Gas Test _Final < 3~3~f? ~ 1110, Fram:ALLSTAR CONSTRUCTION 19529427464 10/18/2012 16:34 #614 P.001/010 • City of Eaaao 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 207 Use BLUE or BLACK Ink For Office Use % Permit #: ,hi %7 3 Permit Fee: /It r q1 % Date Received: /�! / 7✓! Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 19 Date: d 17/ a Site Address: oa o 0 via P HI; i t U ; unit #: Name: /ri.e.La' j/ L ieh/p G/O �, t,(PA, /,v,r��,4 / j Phone: 0_57 \ 2..C3-.7 9 rf Address / City / Zip: la c/.3ff 1j, ,d,4„,-/- ./ e,k.t..14 --et/e, ,.e. -4..„;:,L, Jit. // 5-s'3 f° V Applicant is: _ Owner X Contractor i p_ RESIDENT./ OWNER Description ofwork: / GG ..- o /p /r,&71; ramp.- fC� , J I t $l©I. ,., J J Construction Cost: 4t G 0, fit; '4. . Multi -Family Building: (Yes / No ) Company: Qi/si-a.-Civari-c7SD,- /144 „�mg.o.7 Z. ' Contact: 4/4,4ites r, CONTRACTOR Address: S% �� .ik dr/ _ ir'ze./ Sp 1e /6�i City: /.Jei.�L_ State:lar4Ar' Zip. c---3 ` Phone: 9r2- - 272-- 7V.5 -Y" License #: G' 6'3/576- Lead Certificate #: /47^_ !o'6 r— If the project is exempt from lead certification, please explain why: see Page 3 for a-/dditional informattin) 1.1-1 iq 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• Portrons.of the information,ay be classified,as non public if you provide specific reasons that would permit the City to conclude that the 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.000herstateonecall.orq 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 GL �%/[ �� / Div,. // X ad! App icant's Sign ture Applicant's Printed Name Page 1 of 3 • 1 I L LAKt& DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Single Family Garage Multi frL:..i/5(,(;Iji Deck `01 of _ Plex _ Lower Level Accessory Building WORK TYPES New Addition Alteration tenor ImpFovem nt _ Siding _ Demolish Budding* Move Building_ Reroof _ Demolish Interior Fire Repair_ Windows _ Demolish Foundation Replace Repair _ Egress Window_ Water Damage Retaining Wall Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool /(277-3 9 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous DESCRIPTION Valuation Plan Review (25%_ 100% /�, ) Census Code 1 # of Units # of Buildings Type of Construction (121)./IC-2,2- Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: ' (Ice & Water Final �.l Framing--- Vt.0o','3- L!,Lki Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 5 of -A p-rtr3 Page 2 of 3 From:ALLSTAR CONSTRUCTION 19529427464 09/30/2013 15:19 #670 P.002/016 41oO I A t Oa. 41 bjk ( ~ 1 b (c) oil 4-1101 4Use BLUE or BLACK Ink 4 a I t 1 $ I - For Office Use I I City of Evan 11 Permit Permit Fee: 504. RS I 3830 Pilot Knob Road I i O 17 I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 r p~ 1 Fax: (651) 675-5694 I Staff: ~_r7 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1- ~0 _W3 Site Address: Lh • n) Unit Resident! Name: C Clo• n CDMWrJN Phone: tt Owner Address / City / Zip: UL438 Lit Wt 21216 V1 UAJ , Edit I?Y01 M C t MIN V_-Pj3LiL4 . Applicant is: Owner _k Contractor Type of Work Description of work: 1 l1 li i UII U111i~{ 1P r( (~hi~i ,~~C(,~ J- Construction Cost: S3I I X55.1 1 Multi-Family Building: (Yes J& /No Company: A8tay QnS~VtQn MOMM& LLGContact: l tP r Contractor Address: ~5195 11 pU al J i 1et;* lp~ City: AtV& nat n State: MN zip: 55-26f Phone: JZ" CH2- lq(~L I License FJI ~~IGJ1r'J Lead Certificate N A-T 211)9 [Dy ' D 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 yoy 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 the '.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.oooherstateonecall.ora 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 Minneso State Suildi Code must be comp) d within 180 days of permit issuance. x t .tn yt x Applicant's Printed Name A lie Ps Signal re Page 1 of 3