4803 Slater Ct CITY OF EAGAN ~ SEWER S~tV~E PERMIT
g83p pilot Knob Road p~M~T NO.:
P. O. 8ox 21199 D^.~:
Eagan, MN 55121 No. of Units:
_3 C.:A~ „ s i
pNrner. ~
/1ddfE55: , .~n-~ ^1 ~ ~ ~ .
SItQ /,~fE55: - ~
Plumbe?t _ _ ~ !.X: . `';':r;.n
- f r'fl~nr;
Yr,-'
i M~ to eanPhi ~!V C~M ~f ~Ye~ C°^^ ~i '1 5 rk'
~~INf1ON• ~ r"\ , ~
Pamnk Fae:
Surclw~pet
Misc. Chorpes:
By Totol:
pcte of insp.: ~ '
Irop.• - ,
CITY OF EAGAN WATER SERVICE PERMR
3830 PWot Knob Road pERMIT NO.:
P. O. Box 21199
Esgan, MN 55121 D/?TE: .
Zonirg: _ . No. of Units: ,
Owr~r: ~ A_°.:,
Address:
Site Addrcss: ~ ~ >,F• • . _ -
Plurnber. - -
NAeter No.: Connecfion Chorfle:
Size: Acoount Deposit:
Reader No.: Pem+it Fee:
1 N~w te es~Plp wilh !IN C~ihr ~f E~e• Surchorge:
Misc. Charqea: - -
Totol: ~
. By Dote Poid:
Date of Irap.: Intp.:
` CiTY OF EAGAN WATER SERV~CE PERMIT
~ 3830 Pilot Knob Road PERMIT . I*10.:
P. O. Box Z1199 - --1''- .
~ ` ~ D~ATE: !
Ea~an, M~` 55121 . - .
i - No. of Units:
%t _ ,
Zonillp: _ , . e;C~, ~"tC
py,rnsr.
` y~
Address: - j~~ . t , , ~ ` '
Plunber: ' ~ ~ - ~~dion GharDe: -
~°r ~'~O" Acoount Deposit: ~ ~ • „~~l
Size: ~ ~r
' ' ~./~t~-- ~?"'~it Fee:
~ R~r No.: ~ i ir~ ,
~ 11~r Ciep of E~9~M Surd,urgs:
~ ~ prN to ~P~'/ ' ' "
Mlsc. Choro~ p;.
j Oe~iw~~• Total:
~ pote Paid:
sv
Oate of InsD•~ tO `l O r$-'
( i ~
SEWER d~ WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER 5~~~ 3~ PERMIT DATE t 1/ 2 8/`'~
383U Pi{ot Knob Rd. CHIP # 613~ 30 g~ PERMIT # ~ 1117
Eagan, MN 55122-1897 ~ 4c~~,~
METER SIZE B.P. RECEIPT # "
f~ ISSUE DATE tl ~~,q~ B.P. RECEIPT DATE i 1/ ~ I~9
DATE •~~%i>~ ~ '
- PRV - BOOSTER PUMP
SITE ADDl~ESS ~ PERMIT REQUESTED ~
~ 7 ~,c,~ .
LOT BLOCK ~SECJSUB ~ y; ~ ~/SEWER ~~'WATER - TAPS
APPLICANT; • - ~ ~ ~ _ COMAAJIND RESlDENTIAL
AQDRESS: •='~"'~b = - s~~ -
CITY, STATE ~-''~/~a~ ~ / Z(P c 7 ~EW - EXISTIMG
PHONE: ~%'U- f= ?
? Lawn Sprinkler Meters are to be Installed
PLUMBER: %/~~iP.~.:. - Ahead of Domestic Meters on Water Line.
ADDRESS: -t Credit WILL fyOT be given for Deduct Meters.
CITY, STATE l~~ ~ / /~I ~ ~,:~k.4~ ZIP V .
PHONE: %i%'>.' _ _ - _
I AGREE TO COMPLY WITH CITY OF
OWNER: ~ - EAGAN ORDINANCES
ADDRESS:
CITY, STATE ZIP
PHONE: SlGNATURE WH METER ISSUED ~
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM !
SEWER PERMITS, CONTACT ENGINEERING DEPT. ~
INSPECTIQN REC~RD
CITY OF EAGAN PERMIT TYPE: ' ' ' ' ' ' '
3830 Pilot Knob Road Permft Number: ~
Eagan, Minnesota 55123 Date Issued: `f ~ " ~ ~
(612) 681-4675
SITE ADDRESS: ' , , , t ; APPLICANT:
. , i ~ • ~ i ~ , , I t uN~.
. i:~ ! , „ t~ .t ~ ~
PERMIT SUBTYPE: TYPE OF WORK: ~
~ . ~ , . ~ , ,
. .
~ , ~ . „ .
i ~;I c , t Fai,, I
~
~i
I
I '
~
1:1 Plrll:t ~ ~i f'ki;illl 1'I ( ~~1I I i t~l111 ~!t ~ J1~J'i I 1~~P{liltJ~~ ki{, , i~~ 1~ ' i.~~ ~
i
~ ~ I
.
` ~ ~
Permk No. Permit Holder Oate Telephone R
S/NV
PLUMBING `S .SL~~ ~
HVAC
ELECTRI ~ Q ,
I ELECTRIC
Inspection Date Inap. Comments
Footings I
Foundation
Framing ~//S(~ ~ ' "'~llj L[i~~v Oz~c~Y~-
Roofing ~S ~ i/ ~
`t
Rough Plbg. j _ / _G,' ~ `
Id [o
Rough Fitg.
Isul. ¢
Fireplace
Final Htg.
Orsat Test
Fnal Plbg. 7~-~ Plbg. Inspector - NotHy Plumber
Const. Meter
En4g.lPtan
Bldg. Final ~ ~
Deck Ftg. /a /
%
Deck Final ? ~
wen
Pr. Disp.
~ CITY OF EAGAN ' ~ J ; +
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121
PHONE: 454-8100 ~
SUILDIN6 ~ERMIT a~«ipr # "
Te M w~d fe~ . - Est. Value ?~''3 , i. . ii Dare ~'"s~`.: ~;h1E;k:!': ~ 19
Site Addreu i`~ `.~'i:k ' Erect ~ Oceupancy : ~
Lot ~ Block , ,-~clSub, ' ~ ~iCii= :,~~^~el ? 2oni~g
Parcel No. Repair ? Type of Const,
Addition ? No. Stories
~'~.''.lyT~::; l iV Move ? Length 1 v
W N~e Uemollah ? Depth S~
Address BURtJSV _CL_,E ~,1 Int Impr. ? 5q. Ft.
~ City _ : LLEphone 4 ~ 5 - ~ ~ h Install ?
~ ~ Approvol~ F~~~
Name
~ Address Assesunent Permit - ` . ~
~ City Phone Water 3 Sew. Surcharpe ' 1~~
Police Plan Review ~ ' ~
~Z Name Fin SAC ' ~
Address Enp. Water Conn. ~ i)
t W City Phone Plonner Water Meter '
Council Road Unit ~ ~ ' ~
I hereby ocknowledpe rhat I how reod this opplitution ond s~o~e that g~dg. Otf. ' r~ Tr. PI. i~ Z°'~
The inlormotion is conect and agree fo comply with all applicable APC
Srot~ of Minnewta Statutes qnd. City of Eogon ~0r~i~onces. Parks
' i Var. Date
Siqnoture of Pertnittae _i = CoPies
T~j : ;
A 9uildiny Per?nit is issued ta «'.~7':~iT'~ ; ~ t~ •al
xpross condition Iha+
all work sholl be done in aooordance with nll opplicable Stote of Minnesoto Statutes ond City of Eopon Ordinances.
8ufldinp Offidal
P~?mit No. P~rmit Mold~r D~a Telsphono ~
Plumbi~p ~ 10 ~ ~ ~I ( - cP . ~ ~S
H.YA.C. ~ D le~ I 7
ENetric y~ ' 1 ~ ~ ~ ~ - _ ~ ' - ~ " -
~/`l~`,r ~~b
Soit~nar ~
Irop~rtion Dat~ Insp. Other
Footlny~ I ~
Footlnya II
Foundatlon
Fr~miny
Roofinp
Rouyh Plby. 9/9 ~f ~ ~G-~
Rou~h Mtg. /J ~ '
Insul. ~ ~ ~
Finplacs ~b
Flnal Hty. ~~Ils) ~
Final Plbg.
Final
C+rVOca ~e e~ ( U 1 (e . ~
W~~ Wscribe Location:
WNI
8*wsr •
Pr. Dlsp.
Receipt J~- MECHANICAL PERMIT Permit No.
CITY OF EAGAN
r > Fee
frl! in numbered spaces S/C
Type or Print legibly f
T~. , - ~7 ~
1. Date S 2. Installation Cost ~ ~
3. Job Address ~~SC~ 3 Lot.~_Blk. Tract / IS R NG
R7~ A~~T -'Jd~~.S
4. Owner N(1 i'1 S ( J~ 1~ S
r--
5. Contractor A~ SDI~ - r~ ~ L Phone ~~S~ /~G Q
6. Address l~ c1 LUO~ lC f~ ~L
~ ~
7. City _OON ~ Q(~l D~ State /1~ 2ip . 1
8. Building Type: Residential Commercial ~ Institutional ~
9. Work Description: New LL~ Add ? Alter ? Repair ?
10. Describe ~ p~ V ~ F u St- Fuel Type ~~~T
~ ~
11. No. Eqiiipmeat STU - M. Ea. No. EQUiament CFM
Forced Air Air Handling:
Mfg.
Boilers 2 Mech. Exhaust
Mfg.
Unit Heater
~ Mfg. ( U O~ ~ Other
Air Cond.
Mfg.
Gas, Piping Outlets
I
~
12. I hereby certify that the above information is true and correct, and I agree to
comply with all,~rdi ances nd codes governing this type of work.
~ ,
Signed : ~
, ' ~ ' ~ for
~Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No. ~l i' ~
CITY OF EAGAN ,
, Fee , ~
~ ~ ~ ~ ' Fil1 in numbered spaces S/C ~ ~
Type or Prin[ legibly Tot.
1. Date j_)~ 2. Installation Cost '
.
3. Job Address 7~` Lot Blk. ,1_ Tract
4. Owner L- '
5. Contractor • Phone /
6. Address
7. City ' State - Zip
8. Building Type: Residential ~ Commercial ? Institutional O
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
_ Water Closet Cesspool/Drainfield
1 Bath tubs Septic Tank
Lavatory Softner
~ Shower Well
~ Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
~ Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
ClTY OF EAGAN F~
Pi!l rn numbered spaces S/C
Type or Prini legiWy _
Tot.
1. Date 2. Installation Cost
3. Job Address 4 L'• lCbt` Blk. ~ Tract I
%
4. Owner a.,~ . ^ + -
T~ .,T ,
5. Contractor ~ ~ ~ ~ ~~g.'y 1 ~ ~ ~hone- - • -
102 ~X~~'pSiGi' ~'e`~'. F.
~
6. Address ~Otl{{iLirc ~":iti'9^: :;~i~~~
L- e 4~~
7. City State Zip
8. Building Type: Residential [p`~ Commercial ? Institutional ?
9. Work Descriptinn: New Q Add ? Alter ? Repair ?
i
10. Describe ;~r - ~
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the ~bove information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ~ , . fdr - ;
i
Rough Final
Inspections: Date Insp. . _ Date Insp.
This is your permit when numbered and appro~ed.
Approved CITY OF EAGAN 454-8100
CASH RECEIPT ~
, . ~ CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
r ; ;
DATE f % Ig I
i ~
~ce~veo ' ! _ _ t
rROM . ~
+~.m~
AMOUNT $ „ ~ I _ ,
: ~
R pOLLARB
~oo
~ CASH ~CHECK
' ' r' ~`--,j'~-,~~~-t-'~~~. ' ~ r.' ~
IOR
'
~ ..s%~ ~
FUNO COO6 AMDUNT
, ~
~ rl .
r
i c
/
hank You ~ ~
;
BY '
~ -
,i Lr
White-Payers Copy
Yellow-Posting Copy
Pink-File CopY I
~nis reqoest void 7
78 months fmm ~1 ~ ~ ~ ~ ~~1 - g ~
o~5 l L. 36 ~ tv-1,.,,; ~-r CJ a~ ~ G~ c~
FequE3t Date - Fire NO. Rou~h-~n InsU~'r,UOn
9/~~~~ ReqwreA> ~Ready Now ypryill Nolify Insuer.-
f es ?NO ~ ~°~or When Ready
L~censed Eleclncal ConVactor I hereby request mspec~~on otebova
Owner eleciricel work instelled at:
Stre i Address, 9ox or Route No. Gty
o~ ~S £
ectmn o. Township Name or No. Hange n Count
OccupantlPRINT) / Phone No.
8 ~ CS~9'tFS
Power Sup ie AAdress
~1 ~E~
Electncal o hactor ICompa ame) C~~ntractor s License No.
E~ ,~i ~ o~f~9.ss-St
Ma~ ing Atl s ICoMract ~ or Owner MakinO ~~s~ail2uoN
2_b' r ~l0 ~ ~Cs ~3 Z
Authonzed Signa[ure ICo hactor ner Making InstallaLOnl PhopQNUmber
r~,
/C`~
MINNE OTA STATE BOAfl~ OF ELECTqICITY THIS INSPECTION qEQUEST WIL~ NOT
Gr~H9s•Midwey Bldg. - Hoom N-187 BE ACCEPTE~ 9Y THE STATE BOAflD
1821 Univers~ty Ava., St. Paul, MN 55704 UNLESS PROPEN INSPECTION FEE IS
.Phone 16121 297-2111 ENCLOSED.
REQUEST FON ELECTRICAL INSPECTION E0-~0001.04
55~„
/ ' See insiructwns lor comoletin9 lh~s form on beck of yellow cooK ~ / 1 ~ X~
J-. LI
p~ ~ "'X'~ Belr,w.Work Covered by Thrs Request '
f.Ad Rep. Type oi Builpuig Appliancea Wvetl Equipmen~ Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Bwldinq Dryer Electnc Heat~n
Commercial Bidy. Furnace Sllo Unloader
Industrial Bldg. Air Conditioner BWk Milk Tdnk
Falm Other pec~ y Othm ~Speufyl
1 e~ Specify t nr Othur
ompuielnspecLOn fee Below
p Fee ServweEnfrenceSize k Fee FexAers~Sableedere # F~e Circwts
Z O 0 ta 200 Am s 0 to 30 Am s U to 30 Am>
Above 200 qmps 31 to 100 qmps 'Q 31 to 100 A s
Swimming Pool Above 100-Am s Above 100_P.mps
Trans*ormers Irrigation Booms Parbal,'Other Fee
Signs Special Inspection g`/ ~ TOTAVFEE
Rem3rks ~y
~a
NauBh-in Da[r ~
C I, the Elechicel~
~ -rg~OJ Insoector, nerebv
certAy that tAe abpva
Final r ~~~e nspecHOn has been
r' made. ,
~~i9 repuesl void 18 monihe irom
~~~~66308 , ~ .u-f~s ~`~5 y~
Request ~a~e Fne No Rough-in pec0on NOTICE: Vou Mus~ Call Elec~ncal Inspector
` Requiretl If A Fough-In Inspection
1~ L~ Ves ? Na Is Required
1
I licensed contractor ? owner hereby request inspection of above electrical work aT
Job AtltlLress (Streel, 9m~ or Route No ) Ciry
~0~
Sec~ion No Townshlp Name o~ No Range No Couny~
Occu nl (PRINT) Phane ~Jo
~ r To~~ ~~~1 a_ .
Pawer Supplier Addreas
Electncal ConVactor (COmpany Name) Contraclor's License No.
o LL c d C~i~
Mailing Htltlress (Conimdor or Owner Making Inslalla00n)
:D, ~ l . ~G~{0~t~~ I~I ~ 5~
Aut o~ Signature (C nbacro~/Owner M ing Installalion) , Phone Number
~
MINNESOTA STATE BOARO ECTRIGRY THIS MSPECTION REQUEST WILL NOT
Griggs-Mitlwey Bldg. - Roo 51~3 y~ rC rpJ~4i r BE ACCEPTED BY THE STATE BOAR~
1821 Univttsily Ave..SL Paul, MN 5510G 7 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6C]-0800 ENCLOSED
/ REQUEST FOR EIECTRICAL INSPECTION ee.oooo,-oa
4Q~p~ ~ no ~ See mslrudions lor completmg ihis form on back of yellow copy i~'~~~ asa79
I~I 6 ~,-"J Q X",~elow Work Covered by Th~s Reques~ '~,w,;„
ew Add ep. TypeofBw~ding AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Elecinc Heatmg
Apt Building Dryer Load Managemeni
Gomm.llnduslrial Furnace Other (Specdy)
Farm Air Conddioner
Olher (specdy) Conhactor's Remarks
Campute Inspection Fee Below.
~ther Fee # ServiceEntranceSize Fee q Ciroutls/Feeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
SI(JOS Inspec~or5 Use Only TOTAL
Irrigation Booms C ; ~ `y~
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT ~
I, the Electrical Inspector, fiere6y Ro~qn,r, a e~ oi~~~
certifythatlheaboveinspectionhas F,,,ai
been made. V ~2
OFFICE USE ONLY
This request voitl 18 monihs fmm
r~,= ,~,d 5Y~ 5~, ~"L 3~,~ 1, r-~ 5
1 r r~p. .5.~ ~ W l~,o G/o~ i s ~ c>
flequest Da[c Fire No. Rnvph-in Inspection .
ReQUiretl~ ~RCady Now ~N/ill Nnuty Inspec-
es ?No ~or Whe~ peatly
icensed Eleeb~eel-C-enbaeter I herabY raquastinspecKOn ot ebove
er c[ncal work i~talled aC
Str Adtlress. Boa w floute No. Ci~
on TownshiD Name or No. iL~npe o. County
Occupan IWiIM) Phone No.
Power Su ia V/nC Atldre_ss
/ ~
Elechi ontractw IC nY Namel Con:racm~'s license No.
Jc~
i~ A s(COnt ctor or Ow~r Maki I~~ilation) ,~j~
~c ~Ct3 ~ ~l ~8 ~lc~ ,S~~t Z.~
AuMoriz iB~~ure (Gont~actor cer Aiakf~ Iretallationl Phone N~r
~'F~ Z
MINtJE$OTA STq'fE BOARD Oi ELFCTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-YiEwav B~M- - NNoam N-797 ~ ACCEPlED BY THE STATE BOqRD
1821 Universiq Ave-. SL Paui, MN 65704 UNLESS PROPEB INSfECT10N PEE IS
VMm I6121 297.2711 . ENCLOSE~.
Iy,~~4/'~-~ REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi_oa
5 1 lJ l~ ' See i~trve[ions tor completi~g this ferm m 4eek of yellow copy.
~~•41 ' '"X" Be/ow Woick`Cove.~ed by This Request
Ad~ ReO. Typg o: 6uiMing APCIiB11CBE fli~e0 E9~iDmBnl Wired
tipfiy Range empprary Service
p~p~~ Water Heater lightin,y PixWres
Apt Building Dryer Electrie Heatin
Cpnnercial 81dg. Furnace S:lo Unloader
Ind~istrial Bldg. Air Conditioner Butk Milk Tank
Fartn oine. ceu O~nm IscedNl
r Speu~Y ther Other
ompute lnspectron Fee Below
V Fee SeroiceEnt'a~aSize p Fee Feeders~Subfeeders C Fee Circuits
0 tp ~D Am 0 to 30 q 0 to 30 Am
Above 200 Amps 31 to 100 Amps 31 to 100 q
Swimmirg Paol Above 100- Above 100_Am '
Transiormers Imgation 9oarF Partial- Other Fee
$i~s SPecial Inspection S
Remarks ~ TOT j ~Er-
~LLJ
Roueh-in D
I. the ElecVi
• Insyscloi-l~e~eby
~lft fy that the above
Final ~ Va~ irtspec4on h¢s been
~ ~de.
lld~ ~epues~ wM 18 ~eo~tlRS kdn
' CITY OF EAGAN N~ 15018
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ~-3--~' I ~
SUILDING PERMIT Receipt#
Tobeusedtor DECK Est.Value $1,000 pate MAY 16 ~~g 88
S~te Address 4803 SLATER CT DFFICE USE ONLY
3 1 WHISPERING W00?S OnS~teSewage _ Occupancy
Lot Block Sec/Sub.
MWCC System _ Zoning
Parcel No.
On Site well _ (Actuap Const
~ Name ROBERT ROUSSEA Ciry Water _ (Allowable)
3 Address 4803 SLATER CT PRV Required _ a of Stories
° City EAGAN phone 894-3281 BoosterPump _ Length
Depth
a Name BEN OSTMAN S.F.TOtai
.o
a a Address 1300 DUNBERRY LN Footprint S.F.
u.a- Ciry EAGAN Phone 452-1576 ppppOVALS FEES
W w Neme Engr./ASSess. Permit 2~+.00
ti Planner Surcharge •50
z~ Address
~ Council Plan Review
aw Ciry Phone
Bldg. Off. SAQ City
I he~eby acknowledge that I have read this application and state that the Variance SAC, M WCC
mformetion is correct and agre o comply w 11 app/h~a~
~le
~State of Watar Conn.
Minnesola Statutes and Cjpp a n Ordi ic~s
/ Water Mete~
Signature of Permitteef
lioad Unit
A euilding Permit is issued to BE OSTMAN Treatment P7
on the express contlrton lhat all work shall be done in accoidance with all Parks
applicable State of innesota Statutes and City of Eagan Ordmances. 24. SO
BwldingOfficial~((,~f. ~1~I~,~~ L 70TAL
~ ~
~ CITY OF EAGAN N°_ 10 9 0 9
3630 PiIM Knob Road, P.O. Box 21•799, Eagan, MN 55121
PHONE: 454-8100 '~j
BUILDING PERMIT Rece~pr g _
Te M wed hr CF DWG/GAR Est. Volue +584 ~ 000 ~te SEPTEMBER 6 19 85
SiteAddreu 4803 SLATER CT Erect g1 Occupancy R
Lot 3 elcek 1 ~c/Sub. WHISPERING WOOD~amodel ? Zoning Rl
Parcel No. Repair ? Type of Conat. {J
Addttian ? No. Stories
HOME ESTATES INC MOVe ? Lengtn 70
W Name Demolish ? Depth 30
~ q~~g 2004 W BURNSVILLE PKWY Int~mor. ? SQ.Ft.
city BURNSVILLEpho„Q 435-6556 ~nsta~~ ?
o Neme SAME AvMOVOIs Fae~
o~ q~~g Assessmenf Permil S 3 5. ~ ~
u
~ City Phone Water 8$ew. Surcharge 42. ~0
~ Police PlanReview ~sS~
~uw Name Fire SAC 525. ~0
i? Address ~ SOO.OO
~u Enp. WaterConn. 63.00
~W City Phone Plonner WeterMeter
Council FofldUnit 28~•~0
I hereby ackrqwledge fhat I have reod this ep0licotion und sfote thaf gldg. Off. 9 6$ rJ Tr. PI. ~-3 2. ~ ~
fhe iniormofion is correcf and ogrea to camply with ull opplicoble APC
Store of Minrrowto Statules City of Eog ~ sdironces. Parks
Var. Date C~i~
Sipnature of PertniMSa 2~ 119 . 50
A Bulldin Permir Is iswcd'e~ HO L'' ' STATES INC Tate~
9 on riro e:prefa condifbn ~ha~
oll work shall be done in accordcnce with all o limbls Stote M'i-t~"~Y~Ciy af Ea9an Ordinonces.
Bulldirg pfficiol
CITY OF EAGAN RemarksLlLLq~•~~63-~V
Addttion Wh~ s Pn ri ng Wnndc ~ot 3 e~k 1 parcel 10-83950-030-:01
Owner Street 4803 Slaters Court State Eagan~ MN 55122
Improvement Date Amount Annual Vears Payment Receipt ~ate
STREETSURF. So 3 - d (~-aa ~S
STREET RESTOR.
GRADING
SAN SEW TRUNK ~`7 ~ d IU"~a ~OD
SEWERLATERAL~`~ ~ ?
WATERMAW 61 ~ ~ 9 C~ 0'aa.-s
WATER LATERAL
WATER AREA ~ 7 d U-~~ ~,j
STORM SEW TRK
STOflM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit $280.00 55179 1 6 85
WATER CONN. SOO. OO
BUILDING PER. ZO9O9
SAC
PARK
. CITY OF EAGAN
{ . 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PH ON E: 454•8100
IBUILDING PERMIT Receipt~
To be used for - Est. Value Date " ,19
Site Address ~ - ~ • ' OFFICE USE ONLY
Lot ' Block Sec/Su6. 7'~ OnSkeSewege - Occupency
MWCCSystem _ Zoning
Pa~cel No.
On Site Well _ (Actual) Const
~ ' ; , CiryWater (Alloweble)
a Name " -
W ~i 'C . C: PRV Required # of Storles
~ Address ~ eooster Pum Len th
° City . 'n " Phone P - 9
Depth
. o Name f:~. S.F.TOtal
Address 1 ~ai - ~ Footprint S.F.
o: City ~ Phone ~7a"~S?U ppppOVALS FEES
ww Name Engr./ASSess. Permit ~ '
Planner Surcharge
i- Address
a W City PhOne Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge Ihat I have read this application and state ihat the Vanance SAC, MWCC
intormation is correct and agree to comply with all applicable State of WaterConn.
Minnesota Starotes and City of Eagan Ordinances. Water Meter
Signature of Perm~ttee Road Unit
~
A BuJdmg Permit is issued to: Treatment Pl
on the express condition that all work shall be done in accordance with al I
applicable State of Minnesota Sfatutes and City of Eagan Ordinances. Parks
Building Official TOTAL
Permit No. Permit Molder Date Talepho~e it
Plumbing
H.V.AC.
Electric
Softener
Inspectlon oate Insp. Comments
Footingsl
Footings II
Foundation
Framing
Raofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
81dg. Final
Cert. Occ.
Temp. LP
Deck Ftg. ~z?g ~ S'
Deck Final - a ~ /U~*G- s~7iSSln~~`
Well L~ ^/~v/sf~ S~fLi~ ~
Pr. Disp.
.',:M
a,.r.._.._'r,.ui ~1~:;~ o~'r.' ':?::f x ~,r.:va. ' <~U ~ • ~
<`~i~s;,.. <:9€eY~:: ,;3p;3:;~c:~:; - ~ y,
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~:r`~de'<~" .,.~z;aa;..,...,;~'::~~i:~::~?':>:~s,>~~.~:'~~.yCf..,~ _.:c: e..~.n.~,~~~. .~::~~;~:s.a::e°'z~;«~..a:~ ~;4w~~
3 ,."'k?3ki. a Ng,«w.,a ~!~x~._7<?~~ -~'£.a.:
~..~-e~F.a~s~ r~ ,~°°a~''c . ;~s~ < S~ kt r ~ ~
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a.~Ei~~ . ~ .
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1994 PLUMBING PERMIT (RESIDENT7AI.)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(b12) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UN1T.
NO. FIX1'[JRES EACH TQTAL
SHOWER 3.IX1
WA'TF,g2 ~LOSET 3.G0
BATH T'UB 3:00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET ~~~m - i 3.00
ROUGH OPENINGS 1.50
WATER 50FTENER 5:00
PRIVAT'E DISP. • n~.ay. i~c 20.00
' U. SPRINKT_._FR • no~ ~ae~ w~r. 3.00
ALTE TIONS •~o 20.00 a, a,~
WATER URN AROUND 2A.00
STATE SUR.CHARGE .5.0
TOTAL: ~r~
,p f,~
SITE ADDRESS: ~ ...f~ ~-~1
O'vVNER NAME:~ ~
7~~~~,r~;~,,
INSTALLER:.
121 RE~WOOD DRIVE
~D~'SS:_ ~ ~PI P \IAI I Fv MN 5F19d ~ . _
CITI': STATE: ~IP CODE:
PHONE ( ) ~ ] ol " .!J d /
SI ATURE F PERMITTEE `
~ . . - , . ' ~
~ti
:ii~~hY;:~p~::rf.^,'~y i6':h?Y!:~' f, .ru~~sa~r ~..r FR u '+6~ ~ ..:~Mir"T 'iY.
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; r. 4 ~ '
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r .
1994 PLUMBING.'P,ERNIIT (COMMERCLIL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPL;ETE FOR ALL COMMERCIiAUINDUS'TRIAL~BL7II:DINGS. AISO'~FOR M~LILTI-
FA1vIILY BUILDINGS VJHEN SEPARATE~ PERMITS ARE ~+TOT .RBQUIltED FOR EA"CH
DWELLING UNTT.
_ NEW CONSTRUCTiON
4?JD ON
REPAIIt
WORIK DE$CRIPTION:
CONTRACT PIiIGE: $
FEE: L~Yo OF CONTRACT FEE.
ST.4TE SURCHARGE 5.50 FOR EACH $1,000' OF FEE. ,
MIIVIMi7M FE& $ 23:00 _
CUNTRACT PRICE X 1% $ _
STATE SURCHARGE $ ;
TOTAL $
SITE ADDRESS: "
TENAIVT NAIviEq ~ STE. # .
UR'NERNAME: -:a.s~.~,~.~u,.,.z-.
R . . . . _ . `
IIYSTALI.ER: • .
ADDRESS:
C~': STATE: ~ ZIP CUDE: .
PHONE
,r..
FOR•
CITY UF EAGAN APpLiGANT
I
~ . PERMIT ~,~9~
CITY OF EAGAN ,~r.~l~~
3830 Pilot Knob Road PERMIT TYPE: g u r ~ o x N~
Eagan, Minnesota 55123 Permit Number: 023477
(612) 681-4675 Date Issued: 0 5/ 0 3/ 9 4
SITE ADDRESS:
4863 SLATER CT
LOT: 3 BLOCKs 1
WHISPERIN6 WOODS
P.I.N.: 10-8395@-03@-01
DESCRIPTION:
° (FIRE DAMAGE)
Bru"ilding~PermiC Type SF (MISC.)
Building Wa,rk Type REPAIR
,
;
~
,
i i.
t
r
- ..'fr
~ `~`r~.~,
; ~ r
'r-,]G,J.~1~') t~r~~~~ ~J`,~;_~i1(~=~~3~~1
- t,:,, .~a t f,~ ~r u
7~ c.+
_ _
REMARKS:
SEPARATE PERMITS ARE REQUIRED FpR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
VALUATION $95,00@
Base Fee $617.00
Surcharge $47.50
Total Fee $664.50
CONTRACTOR: - Appiicant - 5T. ~zc. OWNER:
RONEL RESTORATIONS 14323A44 0002158 ROUSSEAU ROBERT
P 0 80x 2R0744 4803 SLATEft CT
APPLE VALLEY MN 55124 EAfiflN MN 55122
(612) 432-3A44 (612)686-8135
I hereby acknowledge tha~ T ha•ve rea~d t:his aRplicatian and s~ate t'hat 'Ghe
infarmation i,s correct ancl agree tes campl,y with a11 applicable State of Mn,
~ s~atutes and Gity af Eagan Ord3nanASS. ~
f~/~ ~
vl ~)Q~CC~. G(~f /.A Gl .Q/
PLICANT/PERMITEE SIGNATURE IS E~ B' NATURE
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: euz~oxNc
3830 Pilot Knob Road Permit Number: 0 2 3 4 7 7
Eagan, Minnesota 55123 Date Issued: 0 5/ 0 3/ 9 4
(612) 681-4675
SITE ADDRESS: ~ o r: s B L 0 C K: 1 APPLICANT:
48@3 SLATER CT RONEL RESTORATZONS
WHISPERING WOODS (612) 432-3444
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) REPAIR
DESCRIPTION (FIRE DAMRGE)
. .
FRAMIN6 ROUGH IN PLBG
ROUGH IN H7G FINAL
REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELEC7RICAL WORK
~ ~
L J
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°~:<>:<..
. nv~.~'1 . . ~"~`xzS~ma`
4:t. . . , Ya;:,ti.a<yro.'~.~I~' .
1994 PLUMBING PERMIT (RESIDENT7AI.)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(b12) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UN1T.
NO. FIX1'[JRES EACH TQTAL
SHOWER 3.IX1
WA'TF,g2 ~LOSET 3.G0
BATH T'UB 3:00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET ~~~m - i 3.00
ROUGH OPENINGS 1.50
WATER 50FTENER 5:00
PRIVAT'E DISP. • n~.ay. i~c 20.00
' U. SPRINKT_._FR • no~ ~ae~ w~r. 3.00
ALTE TIONS •~o 20.00 a, a,~
WATER URN AROUND 2A.00
STATE SUR.CHARGE .5.0
TOTAL: ~r~
,p f,~
SITE ADDRESS: ~ ...f~ ~-~1
O'vVNER NAME:~ ~
7~~~~,r~;~,,
INSTALLER:.
121 RE~WOOD DRIVE
~D~'SS:_ ~ ~PI P \IAI I Fv MN 5F19d ~ . _
CITI': STATE: ~IP CODE:
PHONE ( ) ~ ] ol " .!J d /
SI ATURE F PERMITTEE `
~ . . - , . ' ~
~ti
:ii~~hY;:~p~::rf.^,'~y i6':h?Y!:~' f, .ru~~sa~r ~..r FR u '+6~ ~ ..:~Mir"T 'iY.
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. :~'S ' <..'i ..~5. . . . n ~ 4.L;
r .
1994 PLUMBING.'P,ERNIIT (COMMERCLIL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPL;ETE FOR ALL COMMERCIiAUINDUS'TRIAL~BL7II:DINGS. AISO'~FOR M~LILTI-
FA1vIILY BUILDINGS VJHEN SEPARATE~ PERMITS ARE ~+TOT .RBQUIltED FOR EA"CH
DWELLING UNTT.
_ NEW CONSTRUCTiON
4?JD ON
REPAIIt
WORIK DE$CRIPTION:
CONTRACT PIiIGE: $
FEE: L~Yo OF CONTRACT FEE.
ST.4TE SURCHARGE 5.50 FOR EACH $1,000' OF FEE. ,
MIIVIMi7M FE& $ 23:00 _
CUNTRACT PRICE X 1% $ _
STATE SURCHARGE $ ;
TOTAL $
SITE ADDRESS: "
TENAIVT NAIviEq ~ STE. # .
UR'NERNAME: -:a.s~.~,~.~u,.,.z-.
R . . . . _ . `
IIYSTALI.ER: • .
ADDRESS:
C~': STATE: ~ ZIP CUDE: .
PHONE
,r..
FOR•
CITY UF EAGAN APpLiGANT
I
~ . PERMIT ~,~9~
CITY OF EAGAN ,~r.~l~~
3830 Pilot Knob Road PERMIT TYPE: g u r ~ o x N~
Eagan, Minnesota 55123 Permit Number: 023477
(612) 681-4675 Date Issued: 0 5/ 0 3/ 9 4
SITE ADDRESS:
4863 SLATER CT
LOT: 3 BLOCKs 1
WHISPERIN6 WOODS
P.I.N.: 10-8395@-03@-01
DESCRIPTION:
° (FIRE DAMAGE)
Bru"ilding~PermiC Type SF (MISC.)
Building Wa,rk Type REPAIR
,
;
~
,
i i.
t
r
- ..'fr
~ `~`r~.~,
; ~ r
'r-,]G,J.~1~') t~r~~~~ ~J`,~;_~i1(~=~~3~~1
- t,:,, .~a t f,~ ~r u
7~ c.+
_ _
REMARKS:
SEPARATE PERMITS ARE REQUIRED FpR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
VALUATION $95,00@
Base Fee $617.00
Surcharge $47.50
Total Fee $664.50
CONTRACTOR: - Appiicant - 5T. ~zc. OWNER:
RONEL RESTORATIONS 14323A44 0002158 ROUSSEAU ROBERT
P 0 80x 2R0744 4803 SLATEft CT
APPLE VALLEY MN 55124 EAfiflN MN 55122
(612) 432-3A44 (612)686-8135
I hereby acknowledge tha~ T ha•ve rea~d t:his aRplicatian and s~ate t'hat 'Ghe
infarmation i,s correct ancl agree tes campl,y with a11 applicable State of Mn,
~ s~atutes and Gity af Eagan Ord3nanASS. ~
f~/~ ~
vl ~)Q~CC~. G(~f /.A Gl .Q/
PLICANT/PERMITEE SIGNATURE IS E~ B' NATURE
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: euz~oxNc
3830 Pilot Knob Road Permit Number: 0 2 3 4 7 7
Eagan, Minnesota 55123 Date Issued: 0 5/ 0 3/ 9 4
(612) 681-4675
SITE ADDRESS: ~ o r: s B L 0 C K: 1 APPLICANT:
48@3 SLATER CT RONEL RESTORATZONS
WHISPERING WOODS (612) 432-3444
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) REPAIR
DESCRIPTION (FIRE DAMRGE)
. .
FRAMIN6 ROUGH IN PLBG
ROUGH IN H7G FINAL
REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELEC7RICAL WORK
~ ~
L J
' CITY OF EAGAN in~(C~~~U/[~~
~ 1994 BUILDING PERMIT APPLICATION
~ 681-4675 ~ ~ ~
~ ' ~ , ~ ' -
~ ~ i
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specificatians, 1 copy of energy calcs.
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 ~ / / Valuation af work ~ ~~o
Site Address:_ T o 03 ~~LR1r1L Cou~ ~ m~r ~i~ S~a 7
STREET SUITE !1
Tenant Name: (commercial only)
LOT ~ SLOCK J_ SUBD. ~L ~ ne~'n P.I.D. #
!U _7_
Descri tion of work: "-j,2~ //I~iri~C /`L /~i~21
The applicant is: ? Owner C~-Eontractor ? Other (Describe)
Name ~~.S.fe~~ ~ Phone ~~6-~~3J~
Property ~AST F~RS,
Owner pddress CZ_ ~
STREET STE #
City State~^' Zip .~3~ ~a-
Company NC- L a,~~ a~S Phone ~~a ~3
Contractor Address Y'd ~~Cb ~tly License ~i ~ aiSB' Exp.~
City ~~yll(~ V~~ State Zip `I~la y
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I h read this application and state that the information is
correct and agree to comply it 1 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
' CITY OF EAGAN in~(C~~~U/[~~
~ 1994 BUILDING PERMIT APPLICATION
~ 681-4675 ~ ~ ~
~ ' ~ , ~ ' -
~ ~ i
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specificatians, 1 copy of energy calcs.
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 ~ / / Valuation af work ~ ~~o
Site Address:_ T o 03 ~~LR1r1L Cou~ ~ m~r ~i~ S~a 7
STREET SUITE !1
Tenant Name: (commercial only)
LOT ~ SLOCK J_ SUBD. ~L ~ ne~'n P.I.D. #
!U _7_
Descri tion of work: "-j,2~ //I~iri~C /`L /~i~21
The applicant is: ? Owner C~-Eontractor ? Other (Describe)
Name ~~.S.fe~~ ~ Phone ~~6-~~3J~
Property ~AST F~RS,
Owner pddress CZ_ ~
STREET STE #
City State~^' Zip .~3~ ~a-
Company NC- L a,~~ a~S Phone ~~a ~3
Contractor Address Y'd ~~Cb ~tly License ~i ~ aiSB' Exp.~
City ~~yll(~ V~~ State Zip `I~la y
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I h read this application and state that the information is
correct and agree to comply it 1 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE OIVLY ' '
BUILDING PERMIT TYpE ~ ° #t ~
„ ~ ~
? O1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory ? 18 Comm./Ind.
~ 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
~ 05 SF Misc. ? 10 Multi. Add'1. D 15 Deck ? 20 Pub11c Facility
? 21 Miscellaneous
WORKTYPE ~~C ~c~a;r
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ~ 34 Repair ? 35 Move
GENERAL INFORMATION
Const. (Actualj Basement sq. ft. MWCC System
(Allowable} ist F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
~ of Stories Footprint 5q. ft. Fire Sprinkler
Length On-site well Census Cade
Depth On-site sewage 5AC Code o
Census Bldg
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
RECIUIRED INSPECTIONS
? _Site ? Footing ~ Framing ~ Insulation
? Wa116oard ~ Final ? Draint9le 0 Fireplace
Permi t Fee vei~s;p,: g om o
Surcharge
Plan Review
License l~o Pl°-N fev,•~w L
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:
SAC %
SAC Units
~ 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
ISd~~
SINGLE FAMILY DWELLSNGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS~ CERTIFIC9TE OF 3URVEY - CHECK WITH BLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
COFII~RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:(~~[./L Valuation: Date: ~ ~ O U
Site Address o~.3 J f} ~ ~ OFFICE USE ONLY
/b~J
Lot 3 Block ~ On site sewage Oecupancy
MWCC system 2oning
Parcel/Sub LuH~SPE,e~n~~~ ~V~U~s On site well Actual Const
City water ~ :~llowable
Owner (j~QC27 ~~iL~/~~5,5~~' PAV required _ 0 of stories
Booster Pump _ Length
Address ~/X03 S~r~~2 ~Oll2T Depth
S.F. Total
City/Zip Code LC~~,¢N, 5~~7 Footprint S.F.
Phone (f
7~j'~ j~ ff ~ SPPROVALS FEES
Contraetor ~C/!/ DST/~/A~~ Engr/Assess Permit J~
/ Planner Surcharge ,j~
Address ~,300 /LA/~~l.2.}' h~ ~ Couneil Plan Review
~ S S lZ Bldg. Off. ~~Z SAC, City
City/21p Code ~j~(f~¢ ~ Variance SAC, MWCC
Water Conn
Phone ~5.z - 7~ Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
TOT9L
C1ty/Zip Code
Phone 11
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Al-1. 6EAR~Ul.S MSUMED MIN1JE~ioTA
e pENOTIF3 11l.0~! Mo1JUAAEUT
;
' I he~eby certify U~at this survey was prepared by ma or
undcr niy direc6 r.up¢rviolon and tliat 7 am a duly Registered
~ Land Sut'veyur uuder Ll~e 1¢ws of lhe SLate of Minnceuta.
i . Uatei?/~ a~~,21_
R ~{~_r /6 Le toy F(': Bohlen
~/405 Regiatered Land Surveyor No. 30795
I
~ , CI.2\IM VOQCHER
~ CITY OF SAGAN
CLAIMANT ~C{U[~ CO~',Z~ !l? ~Cc ~
ADDRESS ~~C I~e~ Gc~ CPn ~
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I declare undet the penalties of law that this account, claim or demand is jus
and~that no part of it has been paid.
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Signature ' Date
. Pa' Y~if`~~G Cgvn ~ i/ ~ r. ~in1
FIN2:CLAIMS
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42° CO +
192°50+
~25^00+
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260 ^ CO +
132°00+
2r719=50*
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~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
~~1~. J
To Be Used For: NE~.~ ~~erawc,-~Valuation: Date: /S 3"$
Site Address: ~a ~ 3~--, ~OFFICE USE ONLY
Lot• ~ Block ~ Sect/Sub w
• ~.;~Q;Na Erect X Occupancy ~ ~-'j
T~ Remodel Zoning J ~-I
Parcel IF -
Repair _ Type of Const ~
Enlarge al of Stories
Owner Move _ Length _ O~
~ Demolish Depth 3p
Address _ Grade Sq Ft
~ ~ -
City/Zip Code
Phone APPROVALS
Contractor ~~mE CSt.,q1~E5 1w Assessments Permit 3gs, °
~ Water/Sewer Sureharge ¢Z,~
Address aaoy ay ,~~•,;~~r ~,T,?~C ,yy Police Plan Review ~~2,~
dFire SAC ~
City/Zip Code ~Q,~~ $~'3'~-~ Engr Water Conn Q d a
Planner Water Meter
Phone _ y~s =~„s'Sl Council Road Unit 2fj(y°D
Bldg Off Parks
Arch./Engr. Sq.~~ ws ~7600~ APC Tr~atment Pl
Address Variance
TOTAI. ~ ~ ' S D
City/Zip Code \ ~ iS
Phone ~
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MINIMUM "U" VALUE AND R-FACTOR AT ROOF, WALL, RIM AND CONCRETE BLOCK,
• . ' ,
, .
Provide insulation baffles .in every' ~ RODF j~.`iL{NG ~
rafter space. , ~R~ V~l
" 5 IQ IN-(ERIo(t AIR F~~M . b 1
: ~ . ~O ~/z.~ G`~P E~, ~ •'i5
QQ 1NSULA"[~D[~ tt-1s" 38~-00
~ .
OO EXj6RIo(~ A?R FILM .61
1 ~ 3 ~ (STtLI~
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' . . ~ ~ ~ WALL '
: , ' VALCF
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9 ' ~~~2° UYP.' BU . . yS
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. OO i y~:n B~~<p7~ l..~v
O ~M~~ont~ s~D~~+ca . 6a
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Floors over unheated spaces must have minimum R-factor of R-20 (tuc~-~under garages).
Floors over outdoor a3r (overhangs) must have a mfnimum R-factor of R-*~8.
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----~jG~?l.E 1'~= 3~ CA.1~..oTA. CeUNTY~
ALL g~,R1~J4S A~oMED MINIJF~l.oTA : r
,
ep~0'I~il~ iti,o~.l µDNUMENT ~ PI~A.T IS NoT oF R6c.o~zD ~ :
A5 oF -t-z.4-o5 ??a -rNE
D P~IC.oTM R~co 20 E~ chFF1GE.
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
I,and Surveyor under the laws of the State of Minnesota. . ~
Date: ~i"4a S' ~ ~ ~~.-l.._~ ,
I, oy . Bohlen
Registered Land Surveyor No. io795
FMm NO. 30-M-O111T CLAIM DEED Mfnnesota UN(arm Cnnve~~ncln~ Pl~nks (7478) ~en<~ t'u Momeap.n~.
Curpowuon a Vm~narN~p
~o IndW Wual Ifl
~ -
No del~nquent taxus nnd tranefer entered; Certificate
ot Real Eytute Vxlun ( ) filed ( ) nol requved
Cettiticate ot Real Est,de Value No.__________
~ _ . 19
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y
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2/84
u ~
~ ~~yr,ti /1 CITY OP EAGAN
111i1 APDLZCATI^v.T FOR PERI~IIT
SE~9ER AND/OR waT~R CONNECTION
(PLEASE PRIHi)
1) P~o~~ ~~R.sS: ~'Oa~ ( (j _
t.rral. D:;.. T_ T ` r ! - ~EJ ~S-'t{~(. _
cC~°T_CV:~ J-~ -LcEt'.
(Iot/Bl ~ ~ /
~ /Su:aivisicn or Tati P cel I.D' „~`,~r) ~
WS-'_=:G S?'~CC^'!,T~, D~IT:' 0~' O<2T.G~^.AL `u;IL^.~ :G
T~':11 ISJi.li~~,[
PDr~L:T~ .~..'.iZi~ i -c?_"i
/°~PCS'~ LS:;: ~R-1 $L.GL,: FP*,7 .
SLY
? R-2 DIJ~T~r..: {Tt'0 L'~1ZTS)
? R-3 'ICI.:ti.'~-?CYJ~E (T'I-~?^ ~ L'` ~:'S} { U.II'!'S)
? ~--1 eY>?~*c'~:T/CC:aCi•ir~;I~tii ( CtiI':'S)
Q CCi•!~1E?Ci=~L/RE^'•FiiL?OFF?~..^-
Q ~~tiST:tLyL
? L~iSTi'.^~'_^ICJIAL/GCV~~*i,+,~;~
z~ APP?.I~= \T r~ (PLEAJ~ ?Rlfii)
nl~~~~~~~ ~?i~, b, ~ ~ ~,a~ltT_
ACD~.SS: .--G_L
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~ ~ I~/ /lU-P ~G
CTP'_'. S_'r':~.', ZIP: VI t' I~ ~ F
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3) PLL:~S~E.? ,~1~
PLErsc rAlhi)
~1~= _ ~Ii¢U~L(` ~ FOR CITY USE O4lY
oI~-7 1~u rm b n ~~M~ ~~r~ ~v /
, PDL~~ESS: _ / / 3~~' y '~c- ~ . ' PLUN~IC:VSE:
~ ~ I7(lC_ ~~i~
CZT"l, ST;y' Zrp: ~ F~ Active
~ L~ ' ~ ~,3 Expir
PHOVE: ( Q Hot f Rec d
=3~ PLUtiBER IICEYSE N c~(r~ ~ ~J~l
I ~
4~ ~CC..~'F'PS1T/C!';i~I.,F'~t (PLEASE PRI~N,/1) ~r~ 'niti
NA~'~: ( ~G~!~l F_ ~O ~R / f` ~G7~'
a~D~S: ~-,2o c S~ Cc %
/ a ~~~~lf ~~..~~i~(~ ~C ~~~1~' j~l~<J~)
CIT:• ST.:T~, ZIP: t~ Lt ~ !l~> '
--1~ l ~ i / ~f' ,V ~
P~~~: y,~ - L- SS-~ ' -
5j ~I~~+E LdHZCH PEPS.IIT IS BEInG RE~(7E52'ID:
CG`:NECTION TO CZTY SE.S~"ER
~CCDI'.~'E~I'ZC:I 'It~ CZTY T4AT~2
Q ~'~R (PLGlSE DFSCPSSE) ~
6) ~:DIG~.:: C:.::
• ? Pr"~SE I?OID r~1'P1?OVID PER`^ST E17R PICIi-IIc BY Q;1E OF A6QVE
~ PLE~SE R*1\IL APP°17VID PE'.•lIT T`J 1~ 3 4
, ,
AF~C7I7E
/ (Circle one)
7) SI~~'IL'rZ-~.: ~-c ~ L _
- ~ ~ CLii-IC~Cc~ J DATr: _ ~_~~_y~r
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- - -----I
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:
HAIIOE, EIDE Bt HELLER. P. A.
ATTORNEYS AT LAW
GEOARVALE PROFES610NAL BUILpIN65
3G06 SIBLEY MEMORIAL NIGHWAY
Paul xHl1Q2 EAGAN, MINNESOTA 55122
Kevin W. Eide
AR[e Gooe 812
David G. Reller 7[t[~MONt 684-4YY4
Lori !S. Sellin November 1, 1985
Mr. Thomas A. Colbert
City of Eagan
3830 Pilot Knob Road
Eagan, Minnesota 55122
Re: Project ~419 - Donald Hilla Easement
Dear Tom:
I am encloaing a copy of the utility easement that was acquired from Donald J.
Hilla and wife, concerning the project mentioned above which we recorded on
July 25, 1985. You will note that the description that was done by Wayne
Cordes had some references to tax parcel numbers which are inaccurate for
description purposes and an objection was raiaed at a closing on the property
with Hilla. I'm not certain how those descriptiona were approved and how we
missed them and, in addition, how the recorder was allowed the recording, but
apparently it did go through.
We have forwarded a new description that Wayne has done for us to Don
Hilla and his attorney now has requested that the City quit claim its intereat
in the prior utility easement back to Don Hilla. I am enclosing a quit claim
deed that hia attorney has prepared and would ask that you arrange to have the
Mayor and City Clerk sign the quit claim and forward it back to me. The
blanks can be filled in later.
a\ Ver truly yours,
V~,~'N -.'o
; p QP"^" UGE, IDE 6 KELL P.A.
5
\5 Paul H. Hauge
PHH:cjb
enclosures
-~v ~ o~f ~D , a o
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmchon Reawremenls RemodelJReoav Reamremenis l7(fxe
Use Onlv
3 regislxed site surveys shaxing sq. fl of lot, sq. R of house, and ~II roofed areas 2 copies of plan C~rYOTSun+e~ R~cd _ Y_ N
(20% mazimum lot coverage allowed) 1 set of Energy Calculahons for heated additwns free PtesP[an Recd _Y _N
2 copies of plan shaxing beam 8 window srzes, poured found design, etc 1 site survey fir addi6ons & decks 7ree Brss Repu'aed Y~ N
i sel af Ene~gy Ce~ulatwns Additron - indicate d an-sife sephc syslem 6h5iteSEptie~p&19m _Y ~,_.N
3 copies af Tree Preservahon Plan if lot platted after 7/1l93
Rim Jaist DeMail Optro~rs selecUon sheet (bwldings wdh 3 or less unds)
Date ~ g / 63 / a?Ca,~ ConstructionCoat 7~~ ~
Site Address ~ 8D .3 ~r~ ~ ' ~ Unit/Ste #
S t di'~~2.,~ C~+ -
?escriptiouofWork /~-~o~
Multi-Family Bldg ~ Y~N Fireplace(s) _ 0_ 1 _ 2
Property Owner ~o~ 2 r-f- F-v~sS2n.•-~ Telephone # (~aS( ) ~~i `F - .3=2
Contractor D~S~ f~ CS r G
7J (5 ~~'L I~ ~ 2,~ ~
Address 1~~7-~ Gl,h 1°0~~ c~.4G~ .4?E• w• City ~.s~/7ou~T
State f't ~ Zip S~
n~ ~ Telephone #(~/5! ) 4~~~3- s~~~/ (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Enefgy COde Category , Residential Ventilation Category 1 Worksheet • New Energy Code Warksheet
(J submission type) Su6mitted Su6mitted
• Energy Envelope Calculations Submitted
In the lasfi 12 months, has the Ciiy of Eagan issued a permit for a similar plan based on a master plan~
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
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 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 pians.
~-t a~t K~'~~ ~
Applicant's Printed Name Applicant's ~g ature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 3D Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt-Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage p 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex O 11 10-plex O 19 Lower Level O 24 Storm Damage
? OB 04-plex ? 12 12_plex Plbg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demdition (Entire Bldgj - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review _ 1 ~0% or _ 25°~
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of 81dgs Length Fire Sprinktered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new 61dg) FinallC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundafion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing ^ $iding _ Stucco _ Stone _ Brick
_ Fireplace _ R,I. _ Air Test _ Final _ Windows
_ Insulation _ , Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
'o3S ~ ~
2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Kno6 Road, Eagan MN 55122
Telephone # 651-675-5675
Please compiete for: single (amily dwellings & townhomes/wndos when permits are required for each unit
Date p l~ l 6S
Site Address T~/ ~ 3 ~ T Unit #
Property Owner !J~ b S S e Gc t.~ Telephone #(/p 5 ~ y y- 3 2 B~
Contractor /~(g7~{'~ rr~~~ cA'~?Z ~oN9l^f~oNl1~?~ ~~L
Street Address iJ ~g ~ V City 1~~ ~~~L
State zip 5~yt~ Te~ephone# (`~63 ) 536-~bs >
Bond Expires:
The Applicant is _ Owner ~ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
~ furnace _Additional ~Replacement
air exchanger
airconditioner New _Replacement
other ~1,.~'~d/~(
State Surcharge $ 50
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 the case of work which requires a review and approval of plans.
(.~I~-/~,,'~`3 N d'
ApplicanYs Printed Name Applica s Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675
Please complete for. commerciaUindustrial buildings
multi-family buildings when sepazate pertnits are not required for each dwelling unit
Date / /
Site Stree[ Address Unit #
Tenanf Name (if appiicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone k ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "`see below
(nterior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"'When insfalling/removing onderground fank, call for inspection by Fire Marshal and Plumbing lnspector
PBTmIt F0¢S: $70.50 Underground tank ins[fllla~ion/removal
550.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% Permit Fee
• If en rmit fee is $1,000 or less, add $.50 ~ $ State Surcharge
If e° rmit fee is over $1,000, add $.50 for
every $1,000 ep 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 he in conformance with the ordinances and codes of the Ciry 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.
ApplicanPs Printed Name Applicant's Signature
Approved By: , Inspector Date:
~ ~ O_ l Z~ 20[IS RESIDENTIAL BUILDING PERMIT APPLICAT70N 0 ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Const~udion Reouirements RemodellReoair Reauirements Office Use Onlr
3 registered sile surveys showing sq. ft. of lot, sq. ft of house; and all raofed areas 2 copies of plan Cert of Survey Recd _ Y_ M
(20% maximum lot cove2ge allowed) 1 set of Enert~y Calculations for healed additions T2e Pres Plan Recd _ Y_ N,
2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for addNOns & decks Tree Pres Required _ Y_ N
lsetofEnergyCalculations AddiNon-irMicatedon~ftesepticsystem On-siteSepficSystem _Y _N
3 copies of Tree PmseNation PWn'rf lot platted after 7f1193
Rim Joisl Detail Options seledion sheel (buildings wAh 3 or less units)
Date / / O~ Construction Cost ~
Site Address y(~jp Zj 5~'it~-- UniUS[e #
DescripHan of Work 5%
~L, G A"S ~'rJl..~-1
Multi-Family Bldg _ Y ~ Fireplace(s) _ 0,K 1 _ 2
Property Owner ~tl~l 5 / ~ ~-C~J ~j~~ ~CU ~l~ ,r elephooe # ( (p~L ) ~grl - 3 Z~~
Illii l~ lh'
p )I l + ~
~ ~ G'a
Contractor L~S `~i ~ 2 6 r~~//
Address C7I GI i N 71/~(T~~ ~ll C~ty r~U 1 s~~~
State Zip $ -~Telephone # ( ~17J S~'(/ ' S~4'/ y
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Aules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission lype) Submiried Submitted
• E~ergy Envelope Calculations Submitted
In the last 12 months, has The City of Eagan issued a permit for a similar plan based on a master plan~
_ Y _ N If yes, date and address of master pian:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone # ( J
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 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 p in case of w which requires a review and
approval of plans.
l C
~~D~~N ~(~?J
ApplicanYs Printed Name ApplicanY ignature
OFFICE USE ONLY .
Sub Types
? Ot Foundation ? 07 O5-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 76 ~eck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? Q5 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
Q 33 Alteratio~ ? 37 Demolish BuiWing' ? 43 Reroof L7 46 WindowslDoors
? 34 Replacement 'Demolitlon (Entire Bldg) • Give PCA handout to applieant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories 8ooster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length ~ Fire Sprinklered ' ~
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
~ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
~ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search !
Copies
Other
Total
~
~ I(~~i~ ~ s°
j 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 !1 I ~3~ I v ~
Site Street Address -~~c~ 3 c`~ ~~.-a~ ~ Unit #
Property Owner +7`-w~''~ ~ ~4' ~ Telephone # (Cds~ ) n9 ~ ~ a
Contractor .5 ~ o<..-..~~s- - Telephone# (~5-~ ~3~ -3cs'~d~1
Address ndd ` ~ucl CityS\. c~o.: o Qc,-~.~- Stater~,~~.,, Zip ~~'•L
The Applicant is: _ Owner ~ Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
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. If rLou are installinp onlv a water softener and/or watei
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 5/8" meter is required) ~5~,,,,f+~ ~
_Other: V?~c~~n ~}i S~tik d%SO°SE/; -~eS~
Water Softener Water Heater ' $ 15.00
_ new _ replacement ,
-
_
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ 50
I hereby apply for a Residential Plum6ing 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 6e reviewed and approved.
~
~/1..1.:`C~ l~m_-o 3 { /~~r ~ ~
ApplicanPs Printed Name ApplicanYs Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4803 Slater Ct
Lot: 003 Block: 001 Addition: Whispering Woods
PID:10- 83950- 030 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Robert L Rousseau
4803 Slater Ct
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA089016
05/04/2009
ePermit
ty of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use Permit #: /00 --// -5
Permit Fee: 56- (DO
Date Received:
Staff:
f 2011 RESIDENTIAL PLUMBING
j -'PERMIT APP (CATION
Date:/1)5'` Site Address: O�`2) g %
\�`it, f�1 ( I U-42
Tenant: r I' .�1 , -f v' -h
Suite #:
Name: � � 1� f tq l WACSI
Address / City / Zip: Lt?) C
Name:
Phone: L5 l -A0b - 31 3
ci-n (Ian
License #: 05V)91.0
1
Address: (99‘01)1-4 'b (J3U �' City:
State: t\ Zip: 7-57—>q-- , Phone:(`rI11L -)1
11.0
Contact: 'i,i1G-e,Crell �l'v 1�1 Email: 1 l: Ui[�
New
(ti1
4
/
'(Replacement Repair _ Rebuild Modify Space _ Work in R.O.W.
Description of work: tY\ u . / OYAf Mt Y U ) v Oak ES t c.11tioes Pant
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
r (:— t f O4c, flub V v sI Pans
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.gooherstateonecall.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
ac . • _ with the = .ved plan in the case of work which requires a review and approval . • ans.
Applic ^'s ' inted
x sr 2I►�t1�
--Applicant's Signature
CityofEaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received: • io 0
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 41/2-/t4/o Site Address: fep 5 .54440-adoz r"
Tenant: /2Pii.wTy„£� w.tc
C c
Suite #:
RESIDENT / OWNER
Name: Ie' .,? QowS`'ea,.a-, Phone: 05' .2t /-. ®177
Address / City / Zip: ''td 5 f14 ,—ddstiesr .r,.i.' X14/
(
Applicant is: Owner )0 Contractor d i't f
TYPE OF WORK
�- fr4_f ` -Zi/04.0144414.11Descnpban of work: .1�]ri' r.s4s..ty� /d9so
�s
Construction Cost: ? 4,00 . Mufti -Family Building: (Yes / No )
CONTRACTOR
Name:,4 es' Ga,.,raddie«, AI41.440.6400447" License #: .2063/.S -7S
Address: 5/rs- .1:,./..-6,0,* i. ...G.,4../03 City: j� i . "� .�.-
State: 4'4 Zip: 53-7 7 Phone: 9 ' - 7VS,' 21
(-9,..q-)
Contact: 4,44.. ,49,22.„,...7- Email: ufi' g44 2110.. At / .9:114►aF�(-D:�+t.•d
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; Pia sand np0 r omen it re cons a Ifo be pu l fnfor apti7 s o
el #on m- .t7 claaat°. ux e s .harmit o yF
oncluhahe a e ese,- inLk ity `t-
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.aooherstateonecall.org
I hereby acknowledge that this inforrnation 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 pe it; that the •rk will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
•
x.4",,"44..1746044-1kui,ar--7/1,4•4c4,440044*•447I--
Applicant's Printed Name
Applicant's Signature
Page 1 of 2
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