4671 Sorrel Pt t CITY OF EAGAN
3795 Pilot Knob Rood Eogan, MN S512Z N~ 6 2 4 7
PHONE: 454-6100
BUILDING PERMIT Receipt _
Te 6a aMd hr Est. Volue Date ' 19
~ • ,,:~~7
Site Address Erect y[~ Occupancy
Lot Block Set/Sub. '''-'~+~pC~'-f~" Alter ? Zoning
Parcel # Repair ? Fire Zone
Enlarge ? Type of Const.
~ Name - ; "'z'~'-s Move ? # Stories
3 Address ~ y' i ; _ - ~~?'STd . Demollsh p Front ~ ~ - ~ ft.
o ~o.'L~_a, TPhone 5G4-7??? Grode ? Depth ft.
~ Name Approvob Pees
o .
U~ ~d~~ Assessment Permit
~ G Phone Wnter & Sew. Surchorge `
Police Plon check
~W Name ~ Fire SAC ~ ~ `
Address Eng. Woter Conn.~
<W Ci Phone Planner Water Meter
Council Rood Unit ~ ~ ~
I hereby acknawledge thot I have reod this nppiication and state that g~d9, p{f,
the information is torrect and agree to comply with all applicable _
State of Minnesota Statutes ond City of Engan Ordinances. Total
Signature of Permittee
A Buliding Permit is issued to: ~ ' ;E` on the express condition thct
oll work slwll be done in occordance with all applicoble State of Min~esota Statutes and City of Eagan Ordinances.
Building Offlcial
*
~~rwk ~M Iwaed PermlMw
Plumbing ~ -l4
Methanical - i , ~
c- ~ C c: T//. 7/ D - w' ~ ~t'/
INSPECTIONS DATE INSP. Rouoh-~~ Final
Footings d Date Inap. Date Inap.
Foundation Plumbing ~
Frame/ins. ~-?~Y..B'( Mechani~l -
Final - /
Remorks: ~C, - l4 - ~Q
~ ' - CITY OF EAGAN
3795 Pilof Kwob Reed
Na Eagan, Minnesote SS1?2 INSPECTOR NOTIFICATION
Pbo~e: 454-8100 REQUI RED BY LAW
~ F,~~+.~q PE~~T FOR ALL INSPECTIONS
~ ?_-Z~--.f; ~ ,
Date: Receipt No.: -
Single I
SiTe Address. ~ • ` ~ r T~ Residential , ~ i~'y-
A f1('rq_,-] i."'~_~ .t I
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Nome ~-'-~Zn ~iQ~S New/Alter./Repoir '
~ Address ~~r`~ • Cost of Installotion
• »ry
City ~ ' r+~'~~ ~ • Phone: ~ - / ~ ' Permit Fee
Ncme ' j'IE?l.~'J'.r l:c:c'it'~R;
Surchorge
.
~ Address 37 Q1~C~C3C i'~V'~ .
c
3 .
City Il. ' Phone: ~ Totol ~
This Permit is issued on the express condition thot oll work sholl be done in accordance with olt appliwble State of
Mlinnesota Statufes and City of Eogan Ordinonces.
Building Offitial
. • - CITY OF EAGAN
~ ' ~ 3795 Pilot Knob Roed
Eeyan, Minnewta S512Z INSPECTOR NOTIFICATION
No. ' Pbone: 454-8100 R EQU I R E D B Y LAW
r~~-~'~~'i~ ~ PE~~T FOR ALL INSPECTIONS
- , , ,
Dote: ` ~ ' Receipt No.:
Single ~ I
nc _~'_''c~V''^je Pt. rr~ ~
Site Addreu: Residentiol
T~..~ :',~ecli~''"~ f I
Lot ~ Block Sub/Sec. ~ Multi Res., Comm./Ind.
Name 1':orm~on i-:ome~~ New/Alter./Repcir
• , -,'i, : oTi.ir_s Crsrd.
~ Address ` ` Cost of Installation
"-i t'L':P_tOi)h~t, ~ r~! i
City Phone: " " Permit Fee
Nome ~'~'-n~
` Surchorge
y Address ~[.rlF._ ~F;l'Z`i,
~
V '~..,i i -
`-'r~^,nr^~ •n~~h
City ~ ~ - ' Phone: Total
This Permit is issued on the express co~dition thot oIl work sholl be done in occordance with oll applicable Stote of
Minnesota Stotutes and City of Eagon Ordinonces.
Building Officiol
. ' , ~ ~ ~~F` ~ ' •q-~-P'~'"~`'q„~1+'~',~~~..~''~-'~,~~.~,"-"'!"~~.~1~'~
<
~r s_ ~
R~ Y';. ~"r-".'..- r --?yy
•-z^_^,~z -•-~r-~ w- ~ -~r---'-~ _ is.=
-.s-~_ .a ~
~,0 _ _ _ _ . _ _ .
~ s
~ (~~e~~if ir~~~ ~f (~rr~t~~~tr~ ` a ~
. ~ ~ ~Citp of ~agan , ~
~
g~ ~p.~~r#mprtt ~rf ~uil~ding J~.s.prrii~rn
~ ' ~ .
T6i~ Cntr icate iJSUed arluunt to the rc uirementt o Secdon 3()6 0!hc Uni orm Buildin 'i~
I f ~ 9 ~ f f $ I~
1'`~ ~~j Cade urtifying that at tix tinae of iasxa~tu tbi.t ttructurt wat in compliancc with tix variou.r
k
E, ordi~rancrs o f the City rcgulati~g bKilding wnn+uction or ruc. For tlx f
ollowing: ~
4?~ :i ,
i•~ c,.,~~ 1 of 4 PIF~ B~d~. No. 6247 '
~P~Y~'R ~ 1YP~Cosswction ~ PiicZann ~ ZoningDiscrict ~
~ (~{T 1 1q ~~j~,,~ n,..,,,7 ~
~ ~ - t: O~rner o! Balldim ~ Addren 17J.L ~1Si.ila t.aiu I , '
~ 8,~~,~~„ 4672 Travpsse Pt La,,;~, L4,B3,Rick~e~liffe 4 ~
f~~~ J// i Q7 ~
~ ~:I _M/~~~~[~t .~~.'C`~ 1.0i'~./ ~~fi~Vi I
~ BIY{dItIQ~{CY( ir+ ~1IC: ~
~ f" l.~ " ~
./f
~I ~WT IN A CONN CUOUO RACE
.-'4'~'~t~~~:~~ - . _ . _ . . _ . _ _ _ ~ _ti
' _.-~r~. ~Ya_ ~ - .e~ ti
~ llli„ _ ~ " ~ .~.ia=J - d. _ ~
, ~ . - . u.~ , ' ` .
~~j~`~~~~~~~~~~~~~~~~
~1 _ '~e~' ~s.r~ ~r,~?- ~
G.'.-~ sY~ - ~ - . ~ . _ _in . w .,.n,
• CASH RECEIPT ~
CITY OF E~GAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE f9
R[ClIVED
FROM
AMOUNT $ I
a~ oo~~wRs
~ ~o.
/ ? CASH ? CHE
~i~~
7i~~~i~/.i~ i ~ ~ ~
~ - ~
FOR
FUND COO6 AMOUNT
Thank You ~
~ BY W
White-Payers Copy
Yellow-Postinp Copy
, Pink-File Copy
~ , tITY OF EAGAN
_ ' 3795 Pilot Knob Road Eagan, MN SS 12Z N~ 6 2 4 4
PHONE: 454-B100
BUILDING PERMIT Receipt #
To b~ wed fer Est. Value Dote , 19
5ite Address Erect • Q Oauponcy
Lot Block Sec/Sub. - Alter ~ Zoni~g
Pa~~ # Repoir ? Fire Zone
Enlarge ? Type of Const.
. , n • . ~~.,F, c
oWe Ncme Move ? # Stories
= Address Demolish p Front _ ft.
3
~ Grode ? Depth ft.
Cit Phone
~ Name ~?PPr~ls Fee~
0
/lddress Assessment Permit
~ Ci Phone Water 8 Sew. Surcharge
Police Plon check
~W Na^~ Fire SAC
Address Eng. Woter Conn.
tW C p~~ Plonner Water Meter
Council Rood Unit
I hereby ocknowledge that I hove read this opplication and state that g~~
the informotion is correct and agree to comply with all applicable
State of Minnesoto Stotutes and City of Eogon Ordinnnces. APC Total '
Signoture of Permittee
A Building Permit is issued to: on the express condition thot
oll work sholl be done in occordance with all applicoble Stote of Minnesota Stotutes ond City of Eagan Ordinances.
Buildirq Official
~.~x # o~e. ~,.,»a .N.~e~..
Plumbing /l ~ /G ~~d
Mechonical ~ ~ - - a /~,U ;
~ % i ~ ,'C f i -i - .C~~~ ~L.-~
INSPECTIONS DATE INSP.
Rouph-In Final
Footings Da~e Irpp. Dnte Irap.
Foundation Plumbing
Frome/ins. ~ /~02~=~/ Mechonical V ~
Final G -
Remarks: /(~~/0 ~l~
cir~r oF ~?c,~?N
3745 Pifot FCno6 Rood
Np Eagan, Minnesota 551Z2 INSPECTOR NOTIFICATION
Ptio~e: +~s~-a ~ oo R E QU I R E D B Y LAW
PERMIT FOR ALL INSFECTI4NS
Date: ; Receipt No.:
Single I
~ l ' Residential
Site Address: - ` ~
Lot ` Block Sub/Sec. f-; Multi Res., Comm./Ind. I
Nome ~'1:. `_?]C; ~ ;3Oi: :2i1'.Y'~~:
New/Alter./Repotr
~ Address , ~1'2 '~~'~'~'s " Cost of Installation
' ;
:~"~.:~~t'1}"c~ r ~ - r _ , ~
City ' Phone: ~ Permit Fee
T,~Y. ~ - . -
Nome ' _ . Surchorge
~
~ '~"3l ~h.i~
~ Address ` '
o I
V , - ,
City T i- ' ~ Phone: Totol
This Permit is issued on the express condition rhar oll work sholl be done +n accordance with oll cppliccble Stote of
Minnesotu Stotutes ond City of Eogon Ordinonces.
Building Officiol
_ - ~ CITY OF EAGAN
~ ~ 3795 Pilot Kneb Rood
Na Ea9on, Minnesoto 55122 INSPECTOR NOTIFICATION
~~o,~: +?s~-$too REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Dote: Receipt No.:
Single I
r • - - + Residentiol
Site Address: ' - r`~~~"'I',3~` _ : . ~
Lot Blxk 3 Sub/Set. F~~=~'~cliffe Mulri Res., Comm./ind.
Name ~a ihaamaon I;~1l1@$ New/Alter./Repair
~ Address ~%~12 Honkin.~ Crsrd. Cost of Instollation
~
City L-. l~~21.ka . Phone: r L 1~ `7. 3^ Permit Fee ,
Nome ~''"-~-1~ TtV~ Surthorge
.
~ Address a..~~''C.- ^:~.~r-,r~
0
~ City c~: ,1 Pho~e: 1~~ 1,., Total
This Permit is issued on the express condition thot ail work shall be done in otCOrdance with all applicoble 5tcte of
Minnesota Statures and City of Eagan Ordinances.
8uilding Official
' ` • CITY OF EAGAN
' ~ 3795 Pilot Knob Road Eagae, MN 55122 N~ ~ 2~ 5
PHONE: 434-8100
BUILDING PERMIT Receipt
To be uted fer ~'1"x Est. Value '7 Date ^ 19
,.r~; ~ r, i; . ; _ ~
$ite Address ' ~ Erect p Occupancy
Lot Block ~ Set/Sub. ~~-~"F~~~£fe 1t Alter ? Zoning
Pa~~ # Repair ? Fire Zone ,
Enlarge ? Type of Const.
~^l.r~;r.r~.^I'„~ '.!]f'~.PS
W Name Mave ? # 5tories
~ Address T~~~~ ~~Z~^T:~ . demolish ? Front ft.
G . ~hone ' ~ r' .3 ~ 3 Gmde ? Dep1'h ft.
'Y Name Approvals Fees
~ Assessment Permit
u~ Address
Ci Phone Water & Sew. 5urcharge
Police Plan check
~W Nome Fire SAC
Address Er?g. Water Conn.
aW G Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state thnt sldg. Off.
the information is rnrrect ond agree to comply with all applicnble
Stnte of Minnesoto Statutes and City of Eagan Ordinances. pp~ Totol
5igncture of Permittee
A Building Permit is issued to: ~ ~ on the express condition that
oll work shall be done in accordance with all applicable State of Minnesoto Stotutes and City of Eagon Ordinonces.
Building affitiol
. •
P~en?k # pel~ ysosd PMeittr
Plumbing ~~-/G1 ~~i
Methanicol _ U
~ t~~ I ~
INSPECTIONS DATE INSP. Rough-In Final
Footings ~ Date Insp. Oate Insp.
Foundation Plumbing ~ _ /
o Z~
Frame/ins. a 6~ Mechanical
Final ~4
Remarks: ~ ~6 - ~
jr ~ o - s d ~
. ' crnr oF ~?~aN
3795 Pilo! Knob Road
Eayan, Miwnesoto 6S12Z INSPECTOR NOTIFICATION
No. Phone: 454-8100 REQUIRED BY LAW
FOR ALL INSPECTIONS
:c~~.- ;nc~ PERMIT
Dote: ~'~M, f'~',~ Receipt No.:
Single ~
5ite Address: ~+i' i 1 `.'~'I'''" Residential
Lot ~ Block SublSec. ~--`~'~~'ffF Multi Res., Comm.llnd. I
Nome -?=1.-~l~i '..:CR.~.JJ`'I. 1~C~i_"-
New/Alter./Repafr
; Address 17~2 ;~r~-ins «"SY'c~.
Cost of Installation
O
City `~'1:~~'LF. _ Phone: Permit Fee
Name ?~.cx'y ~1 , ~ a
SurcFwrge
.
~ Address 37 QZICc?~ T~•.n"` ` .
~ • . , ~
City Phone: Totol
This Permit is issued on the express condition thot all work sholl be done in occordnnce with cll applicable State of
Minnesota 5in~utes ond City of Eogon Ordirwnces.
Building Official
` . w ~ CITY OF EAGAN
~ 3795 Pilof Knob Road
No. Eason, Min~ewM 551~ INSPECTOR NOTIFICATION
Phone: 4ss-e~oo REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Dote: Receipt I~io.:
, , ~ 5ingle I
i „07`T'el ~'t. Residentiul -
Site Address:
~ ,cl~ffr ' I
Lot Block " Sub/Sec. Multi Res., Comm./Ind.
; - : , , c,; ,e
Nome New/Alter./Repair
~ , ._t~~.,~
~ Address - - - ' Cost of Msio~tofion
~ r~~,.!~-ry.~„~. .
City ~ ~ Phone: Permit Fee
~~,r. , -
Nume Surcharge
.
~ Address ~ ~
~ .
City , . Pho~e: - Totul
This Permit is issued on the express co~dition thot all work sholi be done in acoordonce with ell upplicable State of
Minnesoto Statutes ond City of Eagon Ordinonces.
Building Official
_
i ,,~-r~`. . - °r-~`~.~~-~ „1~1`. ; ~ , '`"#~'~°'~~TP ~ `_'~~ip'~"~!N?'~~•
~ ° '~,l~" w~ ' , ' " J?
. . , . , : : . ,
~ ,
~ t ~ , L r-~-v - ~T~~-~~ _.~--±r ~ ~ _ ~ -P. :a~^r ~y:~- w'~.-----"r s~" ~i.L'e„-- . ,6
~ - - ~
~ p~ • # q ~
~.1.~~tt~it~tt~P 111 ~~P1Z~~tI1.C1~ r;~,
, ~ ~
~ ~ ~lt Of ~a c~il ` ~
p g
~i~ !
r ~ . , ' ~ p~I~tl'f1riPtlt ~ ~Lttl~ilt~ .~~}1PtIlDYI
~
~ Tbu Cati f
icatt itsued ~r~rtr~aru to tix rcquirrmenu o f Section 306 o f 1he Uni
f
orm Building 'r
t;~~ Code cntif~ing that at tfx time o
f ia.tua~aa tbis .ttrutturc wa.r in com plranu with tix varioHS ~I;~
ordinanccs o f tIn City regulating building constructron or use. For thc follou.ring: ; J~ -
~ 1
. ~
~ ~
~ ~
U.~ ~su~~ 1 of 4 PI~ ~de. r~~~ No. 6245 I~ ~
pornpancy Type ~ 7yp~ Coa+wcdon v Pi~s Zone ~ Zani~ Distria ~ ~;1
. i~'I~ din ~ ~ Addrcn 17~ . / ,
, ~ O~rner of Hull 6
~
~~d~, 4671 Sar~+el Pt ,~,;,~2,B3,Ric3gecliffe 4 ~ . ~
,a ~ / ~
, ~
~ ~ .,c~f~
~ /~'~l. ~ 2-26-81 -y ~ ~
' Bv,ldin` officLt Daee: '
~
~E
~ _ _ti
_ ~ ~O~T N COr~ nC 6 6 KAtE _ ~
~ _a..:~.Ya..~.. "~,_a.~^.]._''_ ._i.~tiS `^~-""_.a~._.n..'~. ~..:.1._ _ Y..__•.'•~':b. ~5 ~
~ ' • _ d_ ~ .a" ~ ~ " . s~~ .
. . ~ ~ . . - ~
k { w ' ~
~U . `~D ~ : ~ . ~ 4~A• ~ ~ ' ~ ~ ' ' ~ _..'~O,
,O . , I
~r.~l
Oc«s •a~ :inoiw u.s.w.
- • • cirr oF ~?~aN
. 3795 Pilo~ Knob Rood Eagan, MN SS12Z N~ 6 2 4 6
PHONE: 4548100
BUILDING PERMIT kece~pr #
To b~ wed for P:' Est. Value Date , 19
$ite Address ' ~•,~~7 ' ' ~ ~ c~ _ - ! :2 )
Erect p Occupancy
Lot Block Sec/Sub. `~~i i i fP ! Alter ~ Zoning
Porcel # Repair ? Fire Zone f
Enlcrge ? Type of Const.
oWc Name - . Move
O # Stories
~ Address ~ Demolish ? Front ~ h.
o ~ '.,~:n',r;:L'!'^ . ' '~l_!.-7_3j~ Grade ? Depth ft.
G Pfione
~ Name Approvols Fees
,o _
Address Assessment Permit
~ CI Phone Water & Sew. Surcharge
Police Plon check
~W Name Fire SAC
Address Eng. Woter Conn;
<W Ci Phone P~onne~ Water Meter
Council Road Unit
I hereby acknowledfle thot I hove read this application and stote that Bldg. Off.
the informatio~ is correct and agree to comply with all opplicable APC Total
Stote of Minnesota Statutes ond City of Eagan Ordinances.
Signaiture of Permittee
A Building Permit is issued to: on the express co~dition that
oll work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagen Ordinonces.
8uilding Official
~arsk # Deh I~wd P~rwMMe
Plumbing a~(o fi/ ~ ~ ' Q
Mechonicnl ~ a _ -
~ ~ fi ~ -02 ~ - ~ ~ .
INSPECTIONS DATE INSP. Rouph-In Ff~al
Footings d'-/- j~i.J Date Irnp. Date Irnp.
Foundotion Plumbing 1__
Frcme/ins. ••-/~~i - ~'.2 Mechanical T
Final ~ - a~ - ~
Remarks: -
~ ~
. . ~ cinr oF ~?~aN
3795 Pilot Knob Reed
Eoyan, Minnesota S912Z INSPECTOR NOTIFICATIQN
No. Pl~one: 4b4•8100 REQUIRED BY LAW
FOR ALL INSPECTIONS
. ~=~i~''`' PERMIT
Date: ~ ~~Y~`~ Receipt No.: ~'4
' Single I
Site Address: ~ r'~''~-'~ 1- , Residential 1 G ~
Lot 81ock Sub/Sec. ,?•```^-•1 i r` ~ Multi Res., Comrn./lnd. I
Name ~ i~OP_ :.CI"~':
- New/Alter./Repai?
~ Address ~ 7~.2 i:Oxa}S1ri,4 C.~.'"r'~
Cost of Installation
City ,'u~~~~''-~~ 1'~• Phone: Permit Fee
,
Nnme . "~C'>- - ~ SurcFarge
.
~ Address ~7 C"! ~_r~.~ . .1,-C' .
e
s City Phone: _ . Total
This Permit is issued on the express condition that oll work shall be done in accordance with all opplicable State of
Minnesota Statutes and City of Eaga~ Ordinances.
Building Officiol
- ~ ~ ~ c~rr oF ~?c~N
3795 Pilot Knob Read
No. Eoqen. Minn~wta 5b122 INSPECTOR NOTIFICATION
Phon.: 454-8100 REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Dote: " Receipt No.:
Single ~ , ~ I
Site Address: "t' ~3 `~"'~ri'c ~ ''t , Residential '
'~~d^@CZlr'E Multi Res., Comm./Ind. I
lot Biock Sub/Sec.
Name
^ , . ,l, 'c?^f,~ New/Alter./Repnir
'o ~.`'1 ^ ~iopkir.s Cr.~r .
; /lddress Cost of Instollotion
O
. . r , -
City - . - ' Phone: ~ l~ ~ ` ~ " ~ ~ Permit Fee
~P.S:? !•;~'AI? Surchorge
Nome
.
- , ~1 : - ~ .
~ Address ~ ' ~
e
~ , - ,
City Phone: Totol
This Permit is issued on the express tondition that oll work shall be dorx in acco?dance with oll opplicabie Stcte Of
Minnesota Stotutes ond City of Eogan Ordinances.
8uildin~ Offitiol
Raceipt ~ PLUMBING PERMiT Permit No.
CITY OF EAGAN . -
Fee
Fill in numbered spaces S/C `
Type or Print legibly T~
1. Date 2. Installation Cost
3. Job Address - ' - Lot '3 Blk. ~ Tract ~ ~ C `
4. Owner " ' '
b. Contractor ' I? - %~iU %1 ' Phone ~ . T
6. Address ` •
7. City ~ State Zip " /
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New It7 Add ? Alter ? Repair O
10. Describe
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 above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ' ~ for
Rough F inal
Inspections: Date Insp. Date Insp.
This is Your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN Remarks
Addition ~ R~~1uPCla iff dth Af~.~~'1. Lot 2 Blk ~ Parcel- #1,0 F,'~9f2'~ ll~tt !1Z
Owner ti~~ ,l 5treet 4671 Sorrel Point Eagan, MN 55122
_ State -
~i,~ -
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK lgg 10 9 8 1 95,~95 C007109 3/27/81
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 95.95 C~071~9 3~28~81
STORM SEW TRK 1982 346. 09 5 346. 09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
~UILDING PER. Z 5
sAC 525 00 21166 10 2 80
PARK
CITY OF EAGAN Remarks
Addition ' Ridgecliff 4th Addn_ ~ot ~ B~k ~ Parcel #10 639R3 03t1 n3
owr,e? ~ ~ 'f Street 4673 Sorrel Point stete Eagan, MN 55122
Improvement Date Amount Annual Years Paymeni Receipt Oate
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 95.95 C~~7109 3 27 gl
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 95.95 C~~71~9 3 2~ 81
STORM SEW TRK 19$2 346. 09 5 346. 09 C007616 12-23-81
STORM SEUV LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
~
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition R~dgecliff 4tY~.Addn. ~ot 1 sik x Parcel ~p_ p~'~
Owner ~ Street 4670 Traverse Point state EaPan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 110.69 7.38 15 95.95 C007109 3/27/81
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1980 110.69 7. 38 15 95 95 C007109 3 27 81
STORM SEW TRK ~p 1982 346. 09 5 346. 09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
~UILDING PER.
sac 10 2 80
PARK
CITY OF EAGAN Remarks
Addition Ridge .t; f 4 h Addn ~ot 4 eik ~ Parcel #1~ 63~3 (L40 03
Owner ~ - Streec 4b72 Traverse Point 5tate Eagan, I~Rti 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 8 95.95 ~0~~1~9 3 2~ 81
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1982 346. 09 5 346. 09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTEF
SIDEWALK
STREET LIGHT
WATER CONN.
HUILDING PER.
sa,c 0 21166 10 2 80
PARK
q~i~ /~c
d ADDRESS
LOT : ~ BL : ~ ~ Q C~..{ I ~~t~°
ADDITION:
TIME:
~rG •F ~ fI • G~K4~. . LBG .
~ N r?/~-S ~!P-~~~ I N" l .
~ ~
~M Q,c P /l~~
~ ~ o.
~°°F~RcGI~ F~''~'
~ NSUL P d POOL
~e1~ vs
R.I. HTG. DECK
FURNACE CHG DAY CARE
FIREPLACE GARAGE
OTHER: l ~ -
_ ~ . ~f/ r~l '~,~(j~l d~.~ .
f, ~
~ ~/",(JC . ~I~-,c~d
~ ~
.
INSPECTION RECORD
CITY OF EAGAN ' ~ PERMIT TYPE: ~ ~ ~ ~ Ej ~ ~
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: F i:~ : , APPLICANT:
~ri+F:i-~ . n~F , , ~9 , t ti,
~ . • x ~ . . . , . . ,
PERMIT SUBTYPE: TYPE OF WORK:
. .
~ ~
~ ~
Parmit No. Permlt Hotder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspeetion Date insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
FOUGH
HEATING
GAS SVC
TEST
INSUL
GYP BdARD
FIREPLACE
FIREPIACE ~r
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAI
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
f • _ ~'S :
- _
. . -
CITIf OF EAGAN WATER SERVICE PERMIT
3793 Pito? Keob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No, of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Depasit:
Reader No.; Permit Fee:
I ogree fo eomply wlth tha City of Eagan Surchorge:
Ordinanees, Misc. Cha?ges:
Total:
9y Date Paid:
of Insp.:
Insp.:
CITY OF EAGAN SEWEtt SERVICE PERMIT ~
3795 Pilot K~ob Road PERMIT N~.:
Eogon, MN 55122 DATE:
Loning: No, of U~its:
Owner:
Address:
Site Address; _
PI umber.
( ag~ tO C°mPh' M'~th tl+e City of Eagan Connection Charge: '
Ordinonces. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Chorges:
Dote of Insp.: Totnl:
• Insp.: Date Poid:
_ _ _ . -
cir ~F EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 5512Z DATE:
Zoning: No. of Unit6:
Owner:
Address:
Site Address:
Plumber:
A4eter No.: Connection Charge:
Size: Account Deposit: ~
Reader No.: Permit Fee:
I egree to eomply wirh the City of Eogan Surcharge:
O~dinanees. Misc.. Chorges:
Total:
~Y Dote Paid: ,
Dote of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
37y?b Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units: ,
Cwqer: ~
Address:
$ite Address: ,
Plumber: ~ .
I agree to wmplr with the City of Eogan Connection Chcrge:
Ordinaeces. ~ Account Deposit:
Permit Fee:
Surcharge:
gy Misc. Charges:
Dote of Insp.: _ Total:
Insp.: Date Paid:
~iT' S~GAN SEVUER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to eomply with t6e City of Eagon Connection Charge:
O~dinanees. Account Deposit:
Permit Fee:
Surcharge:
gy Misc. Charges:
Date of Insp.: Total:
Insp.: . Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eag~n, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
$ize: ActounY Deposit;
Reoder No.: Permit Fee:
I agree to oomplp with the City of Eogon Surchorge:
Ordinanees. Misc. Chorges:
Total:
By Dote Paid:
Dote of Insp.: Insp.:
C~TV OF EAGAN SEWER SERVICE PERMIT
3795 P7er Knob Road
~90~, MN 55122 PE~~T NO.:
Zoning: DATE:
No, of Units:
Address:
Site Address:
Plumber:
~°9~ tO ~+nP~Y with tLe Cify of Eagon Connection Charge:
Ordinoeees.
Account Deposit:
Permit Fee:
BY Surcharge:
Dote of Ins M~~• Charges:
P~ ~ Total:
I nsp.:
Date Paid:
CITY OF EA~ •'r WATER SERVICE PERMIT
Knob Road
-~~an, MN 5512Z PERMIT NO.:
Zoning: ~ATE:
(hvner. No, of Units:
Address:
Site Address. ,
Plumber: ~
Meter No.: I
Size; Connection Charge:
Reoder ?~o,; Account Deposit:
1 agree ~~pIY ~vith ll~e Cit PermiY Fee:
Ordinanees, y °f E°9O1 Surcharge;
Misc. Chorges:
By Torol:
Date of Ins Date Paid:
p.:
. ~ nsp.:
~ CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N~ 624~J
- ' ~ PNONE= 454-8100
BUILDING PERMIT APPLICATION Receipt # `~~~G.~~/
Te be used fer 1 Of Q p1eX Esr. Volue 37~100 Dote 10-2 , ~9$~
Site Address 4671 Sorrel Pt. (Model 82) Erect ~ Occupancy R'3
Lot 2 siock~- sec/Sub. Rideecliffe 4 Alter ? Zoning PD
Pa~~ # Repoir p Fire Zone 3_
Enlarge ? Type of Const. V
z Nome (lrrin Thnmrenn Hnmec Move ? # Stories
~ Add~ess 1712 Hopkins Crsrd. oemoush ? Front ~4'20 fr.
C~ Minnetonka~, I~o~ 544-7333 Grode 0 Depth 24-zz tt.
~ ADPrmals Feei .
p Name
o~ Address Assessment Permit 110. `JO
Water & Sew. SurcFwrge 19.00
Ci Phone
F Police Plan check 55.25
ww Name Fire SAC 525.00
~W 05.00
Addreu ~ Eng. Water Conn.
aW Ci ~ Phone Pianner WaterMeter 60.0~
Council Road Unit 185.00
I hereby ackrwwledge that 1 have read this appliwtion and state that gldg. Off.
the informotion is mrrect ond a9ree to comply with oll applicable APC Total 1, 259. 75
State of Minnesotu Statutes and City of Eogan Ordina~ces.
Signnture of Permittee
A Building Permit is ~ssued to: OT'x'in ThoIDpSOn HOID2S o~ the express condition that
all work shall be done in accorda with oll opglifablq State of Min~esotn Stmutes and City of Eagon Ordinances.
Building Officlal ~~-~~c~
~ ~ CITY p~' FAC,AN Include 2 sets of plans.
~l ' 1 site plan w/elevatians &
~ ~j gUII,DiNC; PERMPP APPLICATION 1 set of erergy calculations.
' ' ~ate SEP 1 9 1980
4b Be Used For R~~p ur n Valuation ~ 1 oo,oe
Site Address: r(v nop 1"JdF~ ~oDE~ 81~ OFFICE USE ODII.Y
Lot ~ E1ocJc 3 sec./sub. (Z~ocE~Gt.1FF~ E~ ~~n~Y ~
Parcel # : t~ Alter Zoning ~Q ,
Repair Fire Zone 3
Enlax~e _ 'lype of Const.
~'~ier~ Nbve # Stc~ries
Dacnlish Front 2~ 2o ft.
pdd~pSg; a Div'ision o/ U, S. Home Coroorar'~., - ~ ft.
-T7T1 KINS CROSSROAD Grade DEPY~I 2~-- _
~ C1tY~Zlj~ COde: MINNETONKA MINN 5s34~ ~ ~
Phone 5`44-1333 ~P~S F~
Contractar: nppini Tunneocn(~I I IBf rr~ Assessments Permit ~/IJ'~
Pddress: a Division ot U. S. Home Corporation . W3tEr/S~v,L'r Sl1YChdL'ge J 9~
, Police Plan Check
Qty/Zlp COdO: MINNETONKA, MINN. 55343 Fire ~ 5~ i5-o2,5~'~
Water Conn. OS~°
Phone pl~r Water Meter /o~
Council Road Unit ~
R~
~~h•~'g• ~ Bldg. Off.
Address: ~
Qty/Zip Code:
Phone # : ~T~'
~ y
CITY OF EAGAN
3795 Pi1M Knob Road Engan, MN 5S1Y2 N4 6246
' PHONE: 454-81C0
BUILDING PERMIT APPLICATION ReceiPr # .
To 6e uaed For 1 of L, plex Esi. Vofue 37~100 Dote 10~2 , 1980_
Stte Address 4673 Sor~'el Pt ~Model 82~ Erect ~ Occupancy R3
Lot 3 Block 3 Sec/5ub. Rid~ecliffe 4 Alter ? Zoniny PD
Parcel # Repair ? Fire Zone 3
Enlorge ? Type of Const. V
rc Nome Orrin Thmm~Gnn Hnmae Move ? # Stories
z 1712 Hopkins Crsrd. oemonsh ? Frant 24-20 ft.
O Cddress ~~etonka, ~.~e S~rQ~7333 Grade ? Depth 24-22 {f.
~ Nome APPfO`'O~s Faes
Z~ Assessment Pertnit ~.o-n
Kn
o~ Address
Water & Sew. Surcharge ~ Q nn
Cit Phone '
F Police Plan check 5~.,_,vr'JF
~ Name Fire SAC F~o_S
nn
rw
Addreu Eng. Water Conn.~,.Q~
<w Ci Phone Planner WaterMeter.(3Q.,8Q._
Countil Road Unit ~#~.,n~~
I hereby ackrrowledge that I have read this application and stote that Bidg. Off.
the information is correct and ngree ro comply with all apDlicubie APC Total ~~9-75
$tate of Minnesot Statutes and City of Eagon Ordinantes. r
Signature of Permittee
A Building Permit is issued to: ' on the express condition that
oll work sholl be done in a rd ce wit II a Dlicable Stote of Minnesota Statutes ond City of Eagan Ordinances.
Building Officiol ~"-~-OS~~ ~
" • CZTY OF F~C'.Afi Include 2 sets of plans,
'I 1 site plan w/elevations 6
~ 1.~ ~ BUIIDINC+ PERMTT.APPLICATION 1 set of energy calculations.
1% ~Y -
Zb Be Used For R~~D~ N~ P Valuation 37,~ oo.oo ~te SEP 1 9 1980
site P,ddress: ~p~3 ~ri,oaa~ 81) oFFI(~ USE ODII.Y
i.ot 3 slocx 3 sec./sub. R1DCEU-IFFG E~t _.G_ ~~P~L7'
yt~ Alter Zoning p,c+~ _
Parcel gepau Fire Zone _
O.mer: . ~~9e _ ZYPe of Const. Q/ _
Nbve # Stories
D~riolish Front ~ 2o ft.
pd~psg; a Division ot U, S. Home C _
KINSCROSSROAD GrddO D2Pl'1] 02~~ s'~d~-- ft.
~ Clt]~~ZlP COdE: MINNETONKA MiNnl F53q~ . ~ ~ ~
Phone S`t 4- l33 3 ~P~S ~
Contractor: nppini TunnnPc~8P1~1{~~~_ ~sessrents Permit J~
a Division of U, S. Home Corporation W3~Pr~SeweL Surcharge / g ~
Pddress: Police Plan Check c~S'~
City/Zip Code: MINNE70Nf(A, MINN. 55343 FirE ~ SAC
E7~g. Water Conn. ;z os"~
Phone Planner Water Meter fo4
Council Road Unit j gs~
~h•~g•0 Bldg. Off.
Pddress: ~
City/Zip Caie:
Phone # :
~ CITY OF EAGAN
~ 3795 Pilot Kno6 Road Eegan, MN 5512'2 N~ 624~
PHONE: 45M8100
BUILDiNG PERMIT APPLICATION Rece~Pt # ~?/I6~
Te be used for 1 Of Q AleX Est. Value 37~1~0 Date 1~^Z , Iqg~
Stre Adaress 4670 Traverse Pt. (Model $2) E~~cr ~ occ~pa~~y R~-
Lot 1 Block~_ Sec/Sub. Rid~eClif£@ 4 Alter ? Zoning PD
Porcel Repoir ? Fire Zone 3
Enlarge ? Type of Const. V .
w Name (lrrin Th~Gnn Hnmas Move ? # Srories
; Address 1712 Hopkins Crsrd. oemorsh ? Front 24-20 fT.
~ Minnetonka, l~iOne 5l+/+-7333 Grade ? oePrh 2G-22 tr.
p Name AvProvals Faes
o~ ~re~ Assessment Permit l 10 _ 50
v~ Water & Sew. Surcharge 19 _ 0~
CIt Phone
Police Plan check 55-25=
~ 525.~~
ww Nome Fire SAC
~
4~ Address Eng. Water Conn. _~.QL`._04
<W CI Phone Planner Wuter Meter Hn _ nn
Council Road Unit l R5 nf1
I hereby ackrrowledge tFwt I hwe read this applicotion and stote that g~d9, p{},
the informotion is correct ond agree To comply with all applicn6le APC Total 1,259.75
State of Minnesota Statutes ond City of Eagan Ordinonces.
Sigrwture of Permittee
A Building Pertnit is issued to: OTrin ThomnSC~n H[~mae on the e~ress tondition that
all work shall be done in nmor nce y~ith a1L,~qppli~ le1 ate of j
inne~~
s~otu~ tatutes and City of Eagan Ordinoncea
Building Official v
> a CITY OF EAC'~AN Include 2 sets of plans,
~ ~ / ~IJ~~ 1 site plan w/elevations &
gUILpiN(; PERMIT 14PPLICATION 1 set of energy calculations.
~
1b Be Used For R~,n~~P Valnation IoO~on oate SEP 1 9 19a0
Site Address: y~76 ~1~+oDa~ $1~ OFFICE USE OrII.Y
Lot slock Sec./sub. R?ocE.G41FFt E~t ~~P~~Y
parcel ~ : 4 r.1~ ,Alter zoning _
Repair Fire Zone 3
Owner: ~~Je _ ~YPe of Const. ,y
- Nbve # Stnries
a Division ot U, S. Home Coroorat•~~ ~mllsh Finnt 2y o,,, a~ _ ft.
~~~5 ~-T/T1 KINS CROSSROAD Grade Depth ~t~ o(~t ft.
C1iY~ZlP COd2: MINNETONKA MINN 5~gq~ , ~ ~ -
Phone 5`4 4- l33 3 ~P~S FE~S
Contractor: npptni Tu Assessments Pennit /0 ~
---o,r-,~9A4P~9fV I E9P`4E~ w~ter/sewer Surcharge j~
AddrESS: a Division of U. S. Home Corporation pOliCe P1aIl ChEC'.k 6iS'
City/2ip Code: MINNETONI(A,MINN.55343 FirE ' SAC ~SdcS"Q~'
~q. Wates Conn. .i'~j5
Phone plannar WateT Meter (n~
Arch./~g.: Council Road Unit
Bldg. Off.
Pddress: ~
City/Zip Code:
Phone
CITY OF EAGAN
3795 Pilot Kno6 Road Eugan, MN 55142 N~ 6 2 4 ~
PHQNEs 4s`~-6700 a~/~
BUILDING PERMIT APPLICATION Receipt # ~F-
Te 6e uced for 1 Of Li. pleX Est. Vulue 37,100 Date l(1~~ , 198~
Sne Address 4672 Traverse Pt. (Model $2 E~e~r ~ occ~Pa~cy E3
Lot_ ~ eiock~- sec/Sub. Rid~ecliffe L~ Alter ? Zoning PD
Parcel Repair ? Fire Zone ~
Enlorge p Type of Const.
w Name flrrin ThnminSnn H~mac Move ? # Stories
; Address 1712 Hopkins Crsrd. oe„wlish ? Front -2L,-20 fr.
~ Minnetonka, Nfr~~e 54G-7333 Grade ? Depth ~r.
~ Name Avvro.eb Feas
Z~ Assessment Permii l
l(1
5!1
o~ Address
Water & Sew. Surchor9e ~ Q nn
Ci Phone
F Police Plan check_55
~5
ww Name Fire SAC F~~; ,w_nn
~Z .
Address Eng. Water Conn,3Q.,5.~0.__
<w Ci Phone Planner Water Meter
Council Road Unit ~SE_~~w-_nn
I hereby acknowledge thaf I have read this application and state that gldg. Off.
the information is mrred ond agree to comply with all applicable 1 259.75
State of Minnesoto Stotutes and City of Eagan Ordinances. APC Total ~
Signature of Pertnittee
A Building Permir is issued fo: Orrin ThomDSOn Homes on the express conditfon that
all work sholl be done in accordance F h oli opplic e St e af Minnesota tatutes and City of Eagon Ordinonces.
Building Official -
CIT1f OI' EA['~+N Include 2 sets of plans~
/ 2'`'y~~ 1 site plan w/elevations 6
~ R~~ ~ U ` gUIi,pit•7(; PER13TT APPLICATION 1 set of energy calculation4•
r~r -
1b se Used For REs~D~u~P V~~~?on'~3?• ~oo,oo Date SEP 1 9 19a~
Site Pddress: ~n,r ~,a2-y~~- ~`oDa~ 81~ OFFIC£ USE ODII.Y
int Block 3 sec./sub. R?ncEt~.~Ft~ ~ o~?P~~Y p~-
Parcel # : y t~
Repair Fire Zone ~ _
Enlarge _ 'Iype of Const.
Owner: Nbve # Stories
~ Danolish F~vnt ft.
pd~p~g; a Div'~sion of U, S. Home Coroorar~~., - ~¢~trz ft.
~7Te' KINS CROSSROAD Grade DePt11 oifCf / ~
~ Clty/Zip CodO: MINNE70NKA MiNnl FS34~ ' '
Phone # • 5'f 4-1333 ~P~S ~
Contractor: nRRini Tunnnocnni ~ 1er~ Assessrents Permit //0 ~
a Division of U. S. Home Corporation W~~r/Sc~rer Surcharge / 9~
Pddress: Polioe Plan Check
City/Zip Cod2: MINNETONKA, MINN. 55343 Fir2 ' SAC ~~~5~ _
Phone ~4 • water Conn. ~ p S
Planner Water Meter (,0
Council Rflad Unit Jg~~
~h.~'4• = Bldg. Off. ~
Address: ~
City/Zip Code:
Phone # :
- - - 1
f'j CASH RECEIPT ~ I
E~~
CITY OF EAGAN ~
3795 PILOT KNOB ROAD
EAGAN, TA 55122 ~ I
DA 19 ~
weeerv
y / s I
iR I
AMOUNT $ . y~/ I
7
/ /{F~ e__DOlLARB I
II
~ . [ / /
/ff~ i
7~ -5'~?/~e`~"~`~`~ --w..~~" ~
.
L%~ ~~'~~~t~f~ s~7 ~ _ '
~ )v Ja sZ+-«~ ,
b7/ l~uiVeo
r.,..,? L, ~
iVND CDD6 PMD NT ~
~ ~
~ o?~l ~a
~
~ 7:.• ao~ ~ .
/ . ~ v t4
_r3, ~ "7yv~ "r/
Thank You.~-s ~
B~ . i
NO ~~lUU YVhiie-VavenCoVV
Yellow-POStin9 ~PY
Pink-Fila CoPY
, t 1' CASH RECEIPT ~ ~
r~~~
CITY ~F ~AGAN
3795 PILOT KNOB ROAD
EAGAN, TA 55122 ~
DA ~ Q
r
?
wetHrv
iR I
AMOUNT $ L. I
T-Tf i
~e_oouwns ~I
I O~ ~ CASH 1 I
/
i
„~f ~ 5~~ ~ ~
R 670 -~a.~~u~c I
G7/ uM.o (
~i~...s~ I
FYND COCE ~MO NT I
~ I
~
o7a'T~ 0`C)
/ I
I7~J ~
G ~
~ 7.-- ac~ r I
/ ~ V t4 I
o7yv arl i
Thank You~s ~ ~ i
~ ~
B~ - ~
N~. 211 G 6 Whiie-oaven Covv
Vellow-Porting CopY !
Pink-File Copy ~
/c.~~ ~ /'f'i ~ ! ~ ~
This reques[ void ~ ~ ~ ~ f~ ~,~j ~ ~
`18 mpn6;s;rom
~ 1 7 Q
Date this Request ~ ~Z'~ Fire No. ~ 1~ 1~ V
I, Licensed Electrical Contractor ? Ownet, do hereby request inspection of the above electri-
cal ~ g installed at:
StreetAddressorRouteNo. ~Yl~v ~1'f~1U~~ C{i~tpy,~,~~~~
Section Township Range County ~t'` t%l~
W~ich is occupied by V~'1~ ~~I Y>~+`~
(Name oT Oct pant)
Is a roughin inspectio~ required on this job? No ? Ye~ Ready Now ? Will C~,
Power Supplier 1~~" Address ~~~~1
~
Electrical Contractor ~EL~' ~L~GT~/G Contractor's License No1~395~5
)~f (COmpany Name)~1
MailingAddress ~ rt,~,
1~~ ical ntracmr r owner raaking Tn1s Instauation~
Authorized Signature ~ Phone No. ~SS~S
(Elettrlca Contractor or Owner Makln9 This Installatlan)
~~,(,j~ This inspection request will not 6e accepted 6y the
~j State 8oard unless praper insptttion fee is anclosed.
~xmn~esote staY no9rn or eiec[naty
Gri s Midwa Bld Noom N791 ~ ES-00001-02
1821 University Ava., St. Paul. Minn. 55104 - PFwne 297•2117- ~y ~ -
' ~.-~EST FOR ELECTRICAL INSPEGTION
CHECK"BELOW WORK COVERED BY THIS REQUEST ~ ~ 16 ~ O H~
Type ot 8uilding New Add. Rep. Check Appliances W'ved Foi Check Equipment Wued For
Home ? ? Range Tempoiary W'ving ?
Duplex ? ? Water Heater ? Lighting Pixroces ~
ApL Bldg. ? ? ? Dryex ~ Elec[ric Heating ?
Commercial Bldg. ? Furnace ~ Silo UNoader ?
IAdustrial Bidg. ? A'v Conditioner Bulk Milk Tank ?
List / List
Farm ? ? ? p } p
Othe[ ? ? ? Hetels) Ne[ers~
COMPUTE INSPECTION FEE BELOW
Service Ent~ance Size: # Fee Feeders&Subfeeders: # Fee C'vcuits: # Fee
0 to I00 Am s. 0 to 30 Am eres 0 to 30 Am eres , 0
101 ta 200 Amps. 31 to 100 Am ces 31 to 100 Am etes Z
Above 200 Amps. Above ]00 Amps. Above 100 Amps.
Transforme~s Remote Control Circ. Partial orother fee v
Signs S cial lns ection Minimum fee SS
Remazks ;j~ TOTAL FEE ~
~
I, the Electrical nsp or, ~ er y that the ~boveyr~spection has been made.
(Rough-in) l~'~ i.f/lrJl~~.l~ta ,~-/O-~/
(Final) ' ~ ~te (D - 3U-S~
This request void ~
18 months from
~ ~ ~ ~ ~6 ~
. ~
Date o this Request `2"~~ Fire No. T I U( 1 O
I, a~icensed Electrical Contractor ~ Owner, do hereby request inspection of the above electri-
cel irin installed at:
~t Address or Route No. ~~7 ~~~~VJ~ 1 J• City
~ection Township Range County=~
Which is occupied by ~/~'1'~ ~ + ~I~f
, (Name o( Ottupanq
Is a roughin inspection required on this job? No ? Yes~_ Ready Now ? Will Cal~
Pawer Supplier ~ Z-"?'4 Address ~lol`i l~
I~N
Electrical Contractor ~ E~ E~G~~G Contractor's License No.~
-L~
I . I~ ~ (GOmDany Name)
MailingAddress LI ~
(E` Ica ont~acto~ o~ Ow~e~ Making Thls Installation) M ~
Authorized Signature Phone No. ~Yi~b 5~
(Elactrical ontracto~ o~ Ow e~ Making T~IS Installatlon)
~j' ~Q~~p ~ This inspectian request will not he accepted 6y tl~e
J ~r,y Q ~i~ State Board unless proper inspection fee is enclosed.
mm99su~u aaaY wa9ru m nm:u~uia i
Gri s Midwa Bld Room N791 1 EB-00001-02
sity Ave., St. Paui, Minn. 55104 - Phone 297-2111 ( b
CH.EC BELOW WS
RKOCO EREDTBYI TH S EQ EST ION T 16 710
Type of Building New Add. Rep. Check Appliancq Wired For Check Equipment Wired Foi .
- me ? ? Rartge Temporary Wicing ~
lex ? ? Watex Heater ? Lighting Fixtu[es
pt. dldg. Dryer Etectric Heating ?
Commercial Bldg. Fu~nace ~ Silo UNoader ?
Industrial Bldg. Av Conditioner ? BWk Milk Tank ?
pList pList
O hex Hehe13~ Heha 3~
COMPUTE INSPECTION FEE BELOW
Service Entcance Size: Fce Feede~sdSubfeedeis: # Fee C¢cuita: # Fce
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres OC)
101 to 200 Am s. 31 to 100 Amperes 31 to 100 Am eces
Ayove 200_Amps. Above l00 Amps. Above 100 Amps.
Trxnsformers Remote Control Circ, Paztial or othec fee
Signs Special lns ection Minimum Cee S5.
Remaiks TO'IAL FEE ~,Q.
I, the Electric~l~ peetc r, ~ by,c rtify tha bovy?}Is ~ctipn has been ma
(Rough-in) I ` ( !/v r ~ -o~ 7-~
(Final) ~ ~ D p
,~J- f1
This request void
IS months from
~
°."'his reyuest void ~ 3 ~ ~
AAFwnths from ~
r - ti ~ i ~ ~o
Date this Request I F;~ ~o. s~ 16 71 ~
I, ~Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal ~~~iring installed at:
Street Address or Route No. ~ e~y~`--' r V City E~61~
*on Township Range County
1Yhich is~ ccupied by L~Y'y~~~ ~tJ~l `Ps~-`I~ ~
(Name ot Occu ant)
Is a roughin inspection required on this job? No ? Ye~ Ready Now ? Will Ca~
Power Supplier I~L.~ . Address 1107y_1~ ~~G~~
Electrical Contractor E~cC~~IG Contractor's License No.~~
~ (COmpany Name)
Mailing Address ~ ~ ~r
(E ric oMractor or Owner Making Thls Installatlon) ~~Q `~O~
Authorized Signature Phone No.
(Electrlcal Contractor or Owner Making Thls Installatlon)
Q Q(~ ('aj o~(VJ This impection reques[ will not be acceptad by the
~~,j 0 U State Board unless proper inspection fee is enclosed.
~nrresota State Board of Electricity
Griggs Midway 81dg. - Room N797 EB•00001-02
1827 University Ave., St. Peul, Minn. 55104 - Phone 297-2111 .
~ C~EIiPSY WOitIC COVEREDTBYITH S EQUEST ~ON ~3U 6~ q~ ~
~ 1
Type of Building New Add. Rep. Check Appliances W'ved Foc .Check Equipment Wired Fm
k~ome ? ? Range Temporary Wiring ~
Duplex ? ? Water Heater Lighting Fixtutes
t. Bldg. ? Dryei ~ Electric Neating ?
mercial Bldg. ? Fumace ~ Silo Unloade[ ?
ustrial Bldg. ? ? ? A"a Conditioner Bulk Milk Tank ?
pList Jy pList Jy
Farm ? ? ? Heiels) Hehe15)
Other
~OMPUTE INSPECTION FEE BELOW
Setvice Entrsnce Size: # Fee Feeders~Subfeedets: S Fee Cixcuits: # Fce
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres .,QC!
101 to 200 Am s. 31 to 100 Amperes 31 to 100 Am fes
Above 200 Amps. Above 100 Amps. Above 100 Am s.
Transformeis Remote Control Circ. Paztial or other fee ~
Signs Special Ins ction Minimum fee 3
Ramarks TOTAL FE ~B
I, the Electri ~ skr~' U~ ~ c~r ify that bove, p~ctien has been ma e.
fRough-in) U l../. ~~-fr~
(Final) , i D3~ ~
//a
Tius iequest void ~ "
18 months from
This request void ~ •Jj ~ 3 ~"`~~6~- ~ ~ ~l o'~
18 mo~~s fr~ ~ 3
' IZ~ ~a
Date o this Request I F,re No. T 16 717
~Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal win~g installed aC
et Address or Route No. l W~~ ~ ~~YCRWrO~
~ction Township Range County
Which is occupied by ~ 1~-~l`~ HoMPsa~ ~~1~~
(Name of Occupant)
Is a,rougttin inspection required on this job? No ? Ye~- Ready Now ? Will C~
PowerSupplier r~~ Address ~~~NV7ZW
Electrical Contractor G C'~GT~ ~G Contractor's License Nor~~
(COmOany Name)
Mailing Address R~~
(Ele r cal Co t actor or wner Making This I~stallation)q
Authorized Signature Phone No. U90 ~-~~s
(Eie ttlcal 8'o ra<tor or Owner Making This Instailation)
'(C~`F~ ~('C Q~[?~~ This inspection requert will not 6e accepted 6v
~ ll (n,1 [5 GU Stata Baard unless proper in~~~• -
Minnesota SWte Board of Electricity
~ Griggs Midway Bldg. - Room N791 ~p EB-00001-02
~1821 ~~iversity Ave.. St. Paul, Minn. 55704 - Phone 297-2717 6~
Rt/~'•'EST FOR ELECTRICAL INSPECTION T 16 717 ?
CHECK ~ELi~1NORK COVERED BY THIS REQUEST
Type of BuOdi~ Ne Add. Rep. Check Appliances Wired For Check Equipment Wited For
Home ? ? Range Temporary W'ving ?
uplex Water Heatet Lighting Fixtures
t. Bldg. ? ? ? Dryei Elec[ric Heating ?
mmercial Bldg. ~ ? ? Fumace Silo Unloader ?
Industrial Bldg. ~ A'v Condi[ioner ? Bulk Milk Tank ?
pList pList
~'acm ? ? ? Hehe~s~ Heiers~
Other
COMPUTEINSPECTION FEE BELOW
Secvice Entrance Size: # Fce Feeders&Subfeedeis: # Fee Cacuits: # Fce
,0 to ]00 Am s. 0 to 30 Am eres 0[0 30 Am etes
101 to 200 Amps. 31 to 100 Am eres 31 to ]00 Am res
Above 200 Amps. Above ]00 Amps. Above 100 Amps.
.Transformers RemoteConkolC"uc. Partialorotherfee .S`~
Signs S eciai Inspection Minimum fee 55.0
Remazks a~ TOTALFEE a~.'~ ~~,I.U
I, the Elec cal r~ r by ertify t~e abq6~'i~pedtion has been ma ~
9 _ 1
(Rough-in) v~" . ~ te ,
(Final) ,"~ate 07'
Thas request void ` `
18 months from
.
C.R. WINDEN i ASSOCIATES, INC.
LAND SURVEYORS T~1.645-3646 CERTIFIC~ITE OF SURV~Y ,
1381 EUSTIS ST., 5T. PAUI, MINN. 55108 For:
U. S. HOME CORFORATION
KARIS WAY~
73.9 I se: e >
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Note: Buildings showns are proposed.
As of this date Ridgecliffe
Fourth Addition has not been
recorded. Lots 1 through 4 inclusive, Block 3,
Ridqecliffe Fourth Addition, Dakota
County, Minnesota.
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OE THE LAND
ABOVE DESCRIBED AND OF THE LOCATION OF ALL BIIILDINGS, IF ANY, THEREPN, AND AI.L VISIBLE ENCROACHMENTS, IF ANY,
FROM OR ON SAIA LAND.
Dated this ~~~day of S~pi" A.D. 1980 C. R. WINDEN 6 ASSOCIATES, INC.
'i%' ^vi!„Lu~('E'y(,- r
by
Surveyor, Minnesota Registration No. 'iZL~ "
~~~~~~~:~~~~~~~~~m~~~~~~~:~~~~~~~~r„~~~~~ri
L' [TY (7F EoIGA?~!
CASFISERe i'iL 7EFiN~):i'!AL i~Qs i 1.8
Aiq7Er ~3/1F/:38 T'ZMc: I.`.i~2~.24
.fDa
NAi`1~c FlI_I...IEC~ F.T.fiG51(?E: ]:I~C
3~2:L0 a[J01. 467:i 5pFiC;E.L F'T 50.00
'r31`~.`i 3f]171 4Gi3 iQRI~E'L I'''T 0...`.i~
Tot;a7. Rr~cE:i.~~t Ama.ani:: 5~~"iq
Gh'O8'i'c %~F3
U5ER :EL~: MFi~LYNi~
~?X >R ~ X< r~ w,, r~ Xc;~ v„ XC k: ae ~C ~x rt v,~.v,<,;: ~ m~~ C rx a~ y, ~ t
c Yc v,c ~
PERMIT ~
\ CITY O~,'~ EAGAN
~C 3830 Pilot Knob Road PERMIT TYPE: ~ u r ~ o z N ~
Eagan, MinneSOta 55122-1897 Permit Number: 031612
(612) 681-4675 Date Issued: 0 3/ 16 ( 9 8
SITE ADDRESS:
4673 50RREL PT
LOT: 3 BLOCK: 3
RIDfiECLIFFE 4TH
P.I.N.: 10-63983-030-03
DESCRIPTION:
GAS INSERT
~u~~d~n~'^~Permit Type FIREPLACE
!'Building Wirr-~ Type NEW
Census Code 434 ALT. RESSDENTIAL
J y$
% Y y°
t.
`\t i.~ . . ~ .
~ ~~y 4.-/~ e _,:,xi°~`
Y~g y y
~ ~
t`` f/
~ L r't_ I~ ''-y
J/~ 5.:~ C\fS r~1`, ~ tC?7(~~t ~i(l~ ( 4~
La e: t..~ 1^, ~ a lM...~~ ~ 6.i~ t.! i..' ~
,,;_~.~~~µnxp ~v
~~g i ~.~'~a`
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: _ Applicant - ST. ~IC.OWNER:
F`IRESIDE CORNER INC 16332561 20@90911 HAYES COLLEEN
27@0 N FAIRVIEW AVE 4673 SORREL PT
ROSEVILIE MN 55113-0847 EAGAN MN 55122
(612) 633-2561 (612)6$6-4515
;r , ~ _
R ~ ~
?
~ . ~ f ~ ~.r~~ .
2 hereby acknawledge that Z have read th;is app~ication and state that the '
intormaCion is correct and agree to comply with all applicable State of M~.
~ 3tatu~~s and City a~~Eagan Ordinariees. ~
-~M,r, Rci,~~.l iYtt.1
APPLICANT/PERMITEE SIGNATURE ISSUED~Y: GNA UR
CITY OF ~AGAN
3830 PILOT KNQB RD - 55122
` . + 1997 FIItEPLACE PERNIIT APPLICATION
~ ~p ( 7- 681-4¢75 ~ d . ~
~
DATE: I~~ ` , PERMIT FEE: $50.50
DESCRIPTION OF WORK: CONSTRUCT v~ FIREPLACE _ ALTERATIONS TO EXISTING
~ INSTALL GAS INSERT C1jNLY
_ INSTALL GAS LINE ON
~Y
OTf~R: I
I
STREETADDRESS: ~ `-~0 ~ I ~
LOT ,Q BLOCK ~ SUBD./P.I.D.
i
APPLICANT: (circle one only) OWNER CON'~RACTOR
I hereby acknowledge that I have read this application and sta~e that the information is correct and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: ~7-(~ e ~ ~ ` l e~ Phone ~ /S~~
OVVNER I
5ignature:
I
Street Address: r ~ ~ ~ ~ ~ ~~1 ~ ~
City: C~ State: Zip:
~aa~o~s
FIREPLnCE Com an ~ ~ ~ , e~ Phone 33 -
P Y• i
INSTALLER t
Signature: `
i
Street Address: 3~-~d ~ License °2~ Q~
City: ~GV'vl ~f,~ l~R _ i State: Zip: b/
GAS LINE Company: Phone
INSTALL~R
Name:
D 15 ~ ~ ~ v ~ gnature:
~ 1 k 1~ eet Address:
Ci : State: Zip:
r ~ ~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code O1
REMARKS
Chimney/flue must be inspected before concealing.
r
. ~t;~ ' ! 1~'~
jt
3 M1 .._.+f/j;~
~f
~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ CITY OF EAGAN
3830 PILOT KNOB RD - 55122 3G~•~~
~ y~ ~G/~ 851-881•4875 f a "I1-~ra
New ConshucXon ReaWremenh (~emotleUReoalr ReauiremenlE
n 3 reglafered s8e wneys showing eq. H, of loi, tq, rt. ol house 2 copies of plan
and g~( rooletl areaa (20% maximum lot covemae [9bwadl 1 sef ol energy ailculaHons for heated ad~HOnf
> 2 coplea ol plans (show 6eam 8 wlndow slus; poured tnd. design: etc.) i s8e survey ta e~dedor additlons 8 decb
n 1 aef ol energy calculatlons
D 3 coPies ol hee Preservation plan B lof plafled alle~ 7/1/93
DATE: ~GG b-l r~ti oc~ CONSiRUCTION COST: I~~ U~ V~~
DESCRIPTIONOFWORK: E4T~~e-~o~e- l4l-T~~LWT~t~t~[S S~~i~u
STREETADDRESS: '~~o~c> T~2~vF_i25C Po~n.~T
LOT: ~ C7 BLOCK: ~ SUBD./P.I.D. Y: Y1 i nl-, F.r~~t FF~ ~{T
Name: Phone M:
PROPERTY wsr Flrst
OWNER
Sheef Address:
CHy ~ State: a Zip:
. Company. ~z.~~~LL.t45Tin1h HUIVI.ESj i~•l~. Phone~: l,~~a. u35~~«4C'
(area code)
CONTRACTOR
Sheet Addresx ~'~'"~°---~-U-~ o. t3rnc q«1 License # aD?.s-~ Exp.
Clty 1~-x e~~ S~ u_~ State: r~ ~ Zip: 55 i3'~
ARCHITECT/ ~
ENGINEER Company: Name:
Telephone t: ( )
Street Address: Reglshatlon
City Sfate: ZiP:
Sewerlwater licensed plum6er (if installina sewer/waterl: Phone
1 hereby acknowiedye Ihaf I have read thia opplication, state Mal lhe IntormaHon is cortect, and agree b comply wHh an appacabie StatE
of Minnesofa Stalutea and City of Eagan Ordinances. .
Signalure of Applieanh
OFFICE USE ONLY D ~ ~ ~ ~ ~ ~ ~
Certificates of Survey Received _ Yes _ No ' D
~E~ 1 1 2000
Tree Preservation Plan Received _ Yes _ No _ Not Required
BY
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Faundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Att - Mutti
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 03 01 of _ plex ? 09 07-plex O 18 DeCk ? 23 Porch (screened) ? 36 Mutti
? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Stortn Damage
? 05 03-plex ? 11 10-piex Plbg _Y ar _ N ? 25 Miscellaneous
? O6 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bidg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ~ 42 Demolish (Foundation) ? 46 WindowslDoors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories s9• ft•
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actuai) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. Ciry Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
°k SAC
~#a~-~.
~
A~1? -'~ra~EC~IFF~ ~fT~F ,
city oF eagan
3830 PILOT KNOB ROAD. P.O. BOX 21799 BFA BLOM9UI51
EAGAN. MINNESOTA 55121 movo~
PHONE: (612) 454-9100
THOMAS EGAN
JAMES A SMITH
. VIC ELLISON
TrIEODORE WACHTER
, CWncil Mainbel5
n~on~os Heo~es
April 25, 1966 c;N,am;,,;,~,o~w
EUGENE VqN OVERBENE
CiN Clerk
OARIN THOMPSON HOMES
1712 HOPKINS CROSSROAD
MINNETONKA~ PIId 553~3
RS- 4671 SORRE[. PT
• EAGAH, MN:
TO WHOM ZT MAY CONCERN:
Upon request by Mr. Garfield Whitney, recorded owner of said property, we
inspected what seemed to be a failure of the brick veneer on the garage. We
observed that there was bring veneer on one side of the overhead door~ but not
on the other. There were loose bricks piled alongside the garage and there
was evidence indicating that briek veneer had been in place previously. Close
inspeetion seemed to indicate that ties used to anchor the bricks and wall
together, if used, were used very sparingly.
Sineerely,
a e Peterson
Chief Building Official
DP/~s
CC: Garfield Whitney
THE LONE OAK TREE. THE SYMBOL OF STRENGiH AND GROWfH IN OUR COMMUNIIY
r
~
- w
599 Warwick Street
St. Paul, MN 55116
April 9, 1986
Orrin Thampson Homes
Administrative Offices
712 Hopkins Crossroad
Minnetonka, PiN
Dear Sirs:
RE: Property at 46~1 Sorrel Pt., Eagan, MN 55122
On April 7, 1986 a section of the hrick veneer facing on the garage front wall
left of the overhead door, broke away from the wood framing and fell in one
piece to the driveway. Upon impact, the section broke into several pieces.
Lawn furniture placed on the driveway for sun;~ing by the occupants of the town-
house, Mrs. Motschenbacher and her daughter, was flattened by the brick mass.
Luckily, tHere was no personal injury, but the furniture had been used by Mrs.
P1otschenbacher just prior to the incident.
My own review of the masonry indicates insufficient nurnber of inetal ties and
possible incorrect placement of them so that anchorage of the brick veneer to
the wood frame backup was not adequate. One tie was 5roken into two parts.
There was no previous indication of impending separation.
I wonder if the Orrin Thompson firm has been aware of this problem, or if any
kind of garage-by-garage inspection has been instituted, or if any effort to
correct this deficiency has been implemented? I understand that this kind of
damage. has happened before at Ridgecliffe. It is essential that Orrin Thompson
review their position regarding this defect before someone is seriously injured
or a small child is killed.
On llpril 8, I contacted Colleen at the office of Orrin Thompson and after hear-
ing of this problem, was told a service man would be sent out to ascertain the
darnage. Colleen allowed that I would hear from ±he service person or herself
by the end of this week. I have asked the Motschenbachers to leave the debris
where it is until the service person makes his inspection. This debris does
block their access from the sidewalk to the drive and is a concern for them.
This morning, I contacted Mr. Dale Peterson of the Eagan Building Department.
He expressed interest and olans to ~Jrop by 1:o examine the failure. Also, hir.
Howard Noziska of the Minneso'ta Masonry Institute is planning to review the
damage.
1
, Gr•rin Thompson Hames
. ' f~age 2
April 9, 1986
Needless to say, my concern as the property owner is to have the failed wall
rebuilt correctly and have the remaining brick wall also rebuilt or reinforced
in some manner (from the garage interior). The repairs should be made prom~p~~tly
and made using quality materials and erected by skilled workmen. The bric~
if any needs to be replaced, should match the color range of the existing. Also,
this work should be accomplished without further damage to the lawn, plantings,
drive, etc.
Please contact me as soon as possi6le vaith a schedule of the repair and date of
expected commencement and completion. If this work will not begin by April 11,
I request that Orrin Thompson send someone to relocate the debris, clean up the
site and temporarily protet tlie now exposed garage construction from the weather
with suitable covering.
I trust that Orrin Thompson Homes will correct this damage as the construction
is only six years old and this most definitely is "premature failure" of Orrin
Thompson construction. In addition, M,r. and Mrs. ~4otschenbacher expect that
their lawn furniture be replaced with naw, to their satisfaction, at no cost
and as soon as possible.
Plans have been made to put the tovanhouse on the market May 1. Needless to say,
this damage if not corrected soon, would be very detrimental in my efforts to
market this property. Contact me at 853-2459 (office) or at 690-3742 (home).
Sincerely,
r ~i
Gar~B. Whitney
GBW/jw
cc: Eagan Building Department, Attn: ~ale Peterson
Minnesota ~1asonry Institute
Ridgecliffe Second Association
Mr. and Mrs. Jeff Motschenbacher
2005 RESIDENTIAL PLUMBING PERfiflIT APPLICATION ~~5 ,"~v~
CITY OF EAGAN
3830 PlLt7T KNOB ROAD, EAGAN MN 55122
8a1-675-5675 ~
Please complete for modifications to existing residentiai dweliings.
Date~l~JI/~
Site Street Address ~f ~ ~ r ~ ~ I l Unit # '
Property Owner ~r~-~li~ Telephone # ) ' I ~J
C~orMractar V'~ `('J I 7elephone # (V(~~) %
Address "r ~ c ~ .i r v t ~ ~.Q State Zip •
The Appllwnt is: _ Owner ~ontractor _Other
Alterations to existing dwelling D
Add plumbing fuctures (excludes water softener and/or water heater-complete ~Q
section if installing these appliances). In1 ~u~ p~ 2QQg
t~ u
~SepNc System Abandonmeni
~WaterTumaround (add §125.00 if a 5/8" meteC is required)
Other:
Wale~Softener WaterHea4er $ 15.00
, new ~ replacement
Lawn Irrigation _RPZ _„_PVS ^new ~repair _rebuild S 30.00
Sfate Surcharge E .50
~C c~
Totai 3
J
I hereby apply for a Residential Plumbing Permit and acknnwledge that the information is complete
and accurate; that the work will be, in conformance with the ordinances and codes of fhe City of
Eagan and the plumbing codes; thak 1 understand this is not a~ersr~~t: but only an piicatiQn fior a
permit, wori~ i~ nnY tn sterk rvithout a p~rrrait ~ncf work wiiE be in ~~corda e v~rith the proved plan in
the svent a plan is required to be reviewed and ap oved. ~
~.1~~ ~ ~ a.r~z, ~
ApplicanYs ~inted Name Appiicartt's Sign ure
~i~ ~9 g
zoo~ RESIDENTIAL BUILDING rExnziT nrPLrcnTiorr
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWc6on Reouirements RemodeVReoair Reauiremenis OKce l~se Onlv
3 registered site surveys showing sq. h of IoL sq. fl. of house; antl all mofed areas 2 wpies of plan showinq footings, beams, jois5 Ced of Survey Recd _ Y~-~_ N
(20%mazimumblcoverageaDaved) 1sMNEnergyCalculatlonsforheatedadditions SoilsRepoR ~~_Y._N
. 1 Soiis RepoR rf pmposed building "s to be placed on disturbetl sal 1 s'rte survey for addi6ons 8 decks Tree Pres PWn Recd ~~~_Y N.
2 copies of plan showing beam & window sizes; poured found design, etc. Addibon - indicate Aon-sife sepfic syslem Tree Pres Required _Y _ N
7 set of Energy CalcuWtions Oms~le Sep6c System -_Y N
3 copies of Tree Preservauon Plan rf lat platted aRer 711133
Rim Joisl ~etail OpFons selec6on sheel (Cuildings with 3 or less units)
Minnegasw mechaniwl venGldfion fam
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date / 10 Construction Cost 7,~ Q[J
Si[e Address ~(s 7r So ('~t L Unit/Ste #
yla7 S~rrrL O'r Hlo7v - yb'72 '~f~A vtrS< P~,
Description of Worlc ~Q - ~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner J~, a~ .P r r r~s ~ OC , Telephone )
Contractor ~A xiP ~A~ ~l, i t rn.~
Address ~ 3~ cI ~~~~'"~~~T f'~ City ~~Tr ~i~'f
State 1'~, ~ Zip . 0,3 Telephone ( j~ 4'~'7 -4// 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residentiai Ventilation Category 7 Worksheet • New Energy Code Worksheet
submission type) Submitted Submitted
• Energy Envelope Calculations Submitted ~
In The lasT 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone J
Mechanical Contractor Telephone ~
Sewer/WaterContractor 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 Eagac~ 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 plans.
~ UA /~~4/~ lCu S ~ - la.
ApplicanYs Printed Name Applicant's ign ure