4677 Sorrel Pt ~ r CITY OF EAGAN
- 3795 Pilot Knob Rood Eegan, MN 55122 N~ 6 2 4 ~
PHONE: 4548100
BUILDIPIG PERMIT Receipt
To ba ~~ed fo~ i.•=:= Est. Value Date 19
Site Address -'J :~O'`rP.l nt . rOCjP- ~ Erect Q Occupancy
Lot Blxk Sec/Sub. F;i'3;"E~Cliff~ ~ Alter ? Zoning
Parcel # Repoir ? Fire Zone
Enla?9e O TYPe of Const. ~r
~t -
nII~~^ 1.?OT'^~~C;'n T:C,mNc
W Name ~ Move ? # 5tories ,
3 Address 171~' i1oT'':: ti;•;?^C? . Demolish ? Front , ft.
o "~:~*leto?^~-.° 51.I,-~'~?"~ Grade ? Depth fr.
Ci Phone
o Ncme Approrah Fees
u~ ~d~~ Assessment Permit
Cit p~~e Wa~r & Sew. Surcharge •
F~ r~ r,
Police Plan check
~ W Nome ` - , .
Fire SAC
Address Eng. Water Conn. ^ r
c~
QW G pho~ Planner WaterMeter ' r
Council Rood Unit ~
I hereby acknowledfle thot I have read this opplicotion ond stote tfiat g~d9, p{~.
the information is torrect ond agree to comply with all applicable APC Total
State of Minnesota Statutes ond City of Eagan Ordinances.
Signoture of Permittee
A Building Permit is lssued to: " ' - ` on the express condit(an that
cll work sholl be done in accordance with all applicoble Stote of Minnesotu Stututes and City of Eagan Ordinonces.
Building Official _ ~
Pennk # pah Isned ~annMlw
Plumbing /C -/G ~v
Mechanicol / ~ - d
ts r ~ ~ '
INSPEGTION$ I DATE INSP. Rouyh-In Fi~ol
Footings Oote Insp. Dote Insp.
Foundation Plumbing
Frame/ins. ~-~2~p - 8"/ Mechonical
Final
Remorks: 'a" ~ ~
/ / ~o - ~a -~-8
' ' CITY OF EAGAN
~ 3795 Pilot Keob Roed
No. g Eoyan, Minnetofe 5512~ INSPECTOR NOTIFICATION
w~o~e: 454-8100 R E Q U I R E D B Y LA W
T e~;;i ,~r FOR ALL INSPECTIONS
PERMIT
. 3-, , _ ,r'
Date: Receipt No.:
. Single ~ , I
Site /Wdress: Residential
, -i~..i..;,,. ; f'~' I
Lot Block Sub/Sec. ~ ~ Mufii Res., Cor?~m./1nd.
' . _ . ,ci:' T•;' 7n C „ .
Name New/Alter./Repair
~ ~ ~ nrkins ~rL>r.
3 Address ~ Cost of Instollution
O 1_ i ~ i e ~C~P~:2. , `T' F'i .
City ~ Phone: ~ ~ Permit Fee
~,y l~,~e:~l,~•_~ :
Name Surcharge
.
~ ~i r
~.~h.j.CS;TC 1'.Vt .
~ Address ~
e
ti ''=;l - ~ ` . ~
City . . Phone: Total
This Permit is issued on the express condition that all work shell 6e done in occordance with ali applicable State of
Minnesoto Statutes and City vf Eagan Ordinances.
Building Official
' ~ ctrr oF ~?c,~?N
~ 3745 Pilot Knob Roed
Eayae, Minneaota SSIZZ INSPECTOR NOTIFICATION
No. phonr 454-8100
REQUIRED BY LAW
~ ~ ' PERMIT FOR ALL INSPECTIONS
Dote: - 1 - Receipt No.: ~
Single
Sfte Address: '02'eE3~. Pt. Residentiol ~ I
Lot Block ~ SublSec. ~ici~ecli: fe - Mu1t~ Res., Comm./Ind. I
Name C`r~ in Thorapson ~07~?G'B New/Alter./Repair 1~
~ Address ' r~~-%-' ~~o~k~I1S Crar~'.. Cost of Installotion
'~on'~ a . tn . , - , , ,
City ' . 1 Pho~e: ~ .
Permit Fee
Nome I nY£1I1 -
~ Surchorge
T~ , ~ r ~ . , ~,7„~
~ Address -
City ' "L' + Phone: Total
This Permit is issued on the express condition thot oll work sholl be done in occordonce with all opplicable Stote of
Minnesota Statutes ond City of Eogon Ordinonces.
Building Officiol
CITY OF EAGAN
3745 Pilot Knob Raod Fagon, MN SSl ZZ N~ 6 2 4 2
- PHONE: 464-8100
BUILDING PERMIT Receipt #k _
Te be wed fo? ' ~ Est. Volue Dote J 19
,
Site Address " - ~ Erect ~j Occupancy
Lot Block ^ Sec/Sub. ,`~'."~`;t,~`' Alter Q Zoning
Porcel Repoir 0 Fire Zone .
Enlarge ? Type of Const.
W Nome ' - ~~T"F^ Move ? # Stories
z Address ~ " . _ . ~ "`-ril . demolish ? Front ft.
3 _
o Ci -~•~toTL"' . `Phone ~1 r. S Grade p Depth h.
°C Nome Approvab Fees
o
u~ ~re~ : Assessment PeRnit
Ci Phone Woter & Sew. Surcharge _
Police Plon check
~ W Name Fire SAC ~ ` . '
Address Eny. Water Conn.
aW G p~ Plonner Water Meter '
Countil Rood Unit ~
I hereby ocknowledge that I have read this application and stote that Bidg. Off.
the information is correct and ogree to comply with all applicoble APC Totol
Stote of Minnesota Statutes ond City of Eagan Ordinances.
Signoture of Permittee
. - ,
A Building Permit is issued to: ~ on the express condition that
oll work sholl be done in accordance with all applicable Stote of Minnesoto Statutes and City of Eagon Ordinances.
Buiiding Official
~~k ~l DaM lau~ h~lltw
Plumbing /Q~/Q
Mechanical j ,
;r~c~ ~ _ - - ~ ,
INSPECTIONS DATE INSP. Rouyh-In Finol
Footings -jt ~ Date Insv. Oate Insp.
Foundotion Plumbing ~c.~.~,~
Frame/ins. f-/~~( !-!`j- g"~ Mechunicol ` ~r
Final -~j-~I
Remorks: ~~~!'~6e''^~"''"~ ~f
aa -
cirY oF ~?c~?N
' ' ~ 3745 Pilo! Kno6 RoaA
' ~ Eagan, Mienesota Ss122 INSPECTOR NOTIFICATI~N
No. Phowe: ~bi-a100
REQUIRED BY LAW
~ PERMIT FOR ALL INSPECTIONS
Dote: 12_ :>r;
Receipt No.:
Single ~
~~''r ~ c-~1''`'~ Residential ' f
Site Addrcss: • `
: ~ • ~ I
Lot Blxk Sub/5ec. ~`~'2ir~f ' Multi Res., Comm./Ind.
Name ~~rrir: ;.'ioL~1~~o1-. :iOTM.~~:~ New/Alter./Repair ,
~ ~ddre5s i ry12 l:o~~ nr~ Crsrd .
- Cost of Instollntion
City . .'tr4'10T,0?'11:fl , „?l. Phone• ~;~~1 > Permit Fee .
` Nome ' 9 r ' ,`.~rtj; Surchorge
~ .j.~ "C rVr',
~ Address j'r
u
Ciry 4 Phone: ' Total '
This Permit is issued on the express condition that oll work shall be done in occordunce with oll applicable State of
Minnesoto Statutes ond City of Eogon Ordinonces.
Building Officiol
cirr oF ~?c,~?N
~ - • ~ ~ 3T9S Pilor Knob Road
No. ~ Easan, MinnesoM 5512~ INSPECTOR NOTIFICATION
Phona: 4S4.Q100 REQUIRED BY LAW
,,L,''~~"' pERMIT FOR ALL INSPECTIONS
, ,
Dote: Receipt No.:
Single I
: :'~rrPl ~'t~. Residential ~ r r' / ~ ~
Site Addreu:
, , I
Lot Block Sub/Sec. r~ x Multi Res., Comm./Ind.
Name "„'-.*1 _'l0~'"!3or I?Ol"t~s
New/Alter./Repair
~ - . . ~.C'~ki-
; Address ~ ~ Cost of Instullation
0 . 1'., _ ~
City Phone: Permit Fee
~,,r,
Nome Surcharge ~
.
~ , . .-.1, ~
~ Address , _ . . ' '
i~
City Phone: Total
This Permit is issued on the express condition thot all work shall be done in accordonce with all cpplicable Stofe of
Minnesota Statutes and City of Eogon Ordinances.
Building Official
/ ~M~~„~~~~+~~' ~0i ~
, , . . _ .TM .
~Y~c v~_,:1«
:1~-r_ °~'1'~~-_:L.a~__~,~
~ ~ ~f~ _ ' rr,~~
~~e~~i~irtt~.e uf (~rru~tt~r~ t,~~. ~
~ ~ ~Ctt of ~agan ~ ~
~ p
~~f , ~ ,
, ~p.p~r#mrttf ~f ~uit~in~ ~Jn~,per#inn i ~ ~
~i ~
~~r.,, T'bir Ccrtrficate i.raucd ~urauant to the requiremeru.r of Section 306 af the Unifa~rm Suilding j ~
Code ccrti f~eng that at t~C time of itsuanct thu rtrudurt wur tn tom~liance with thc vanou.r '
' ordiruincel o tbe Cit rc HTatin buildin corut+eation or utc. For the ollourin ~
t.. f 7 8 8 g f ~
. , y • ~ ~
r ~
1 of 4 Pi~ 6242 , ~
~I ure cl»aHc.uon BJag eermic No. ~
7x~
OowP~YTYP~ ~ '~PConrtmcuon V Pin7nna ~ ZoninBDiatrici r~ '~I
` ~ i~,~,
C}L'i~.il Addfaa 5~~
Owner af Bu9diq ,c ~T~~ ~ ~
~ _ Y '!V 77 W~ ~ J-r~ / I ~
~ a' B~~ L«,,~ty B2 Rici~ecliffe 4
~ A ~
~ ~ _~r~ir i,~~l..s ~ -~sai 2-26-81 ~ :~:r
~ `t~ i.~ e~utio~+~ uu~: ~
~
h
' ~O~T IN A CON6~ICVW CL t~
. _ _ _ - - _ _ ' ~
~l' ~"~1~i-..:~7'.1'.3~~ - ' _ _ _ -`.:b._.~:ia-v :'.~"c~ .,~i~~ ' ~
c~ - a
, . A ; ,
, ~
~ ~R1s . ~ ~ s,@ ~ ~ ~ . . ~a a~a ~ ~ ~ ~ . ~ ~
4,~.~~.1.,~.~'~~%~,~..~'~,.~.~.~ . ~.1~?~~,1~•:~~.,~.~,~.~'L~..~.,~i~
lJ~..~ei eP.~ ~ . . . ~ . n i : a
. , , cinr oF ~c~?N
~
, ' 3T95 Pilnr Knob Rood Eoqen; MN 55122 N~ 6 2 4 3
PHONE: 454-8100
BUILDING PERMIT Rece~pt #
Te ba uad for Est. Value ~ Dote ~19
Site Address - f'u ) Erect 0 Occupancy
Lot Block Sec/Sub. rl`'--"r c~ ~fe : Alter p Zoning
Po~~ # Repair ? FIre Zone
Enlarge ? Type of Const.
W Name _ "`-m S Move p Stories
ry ~i
; Address ~ i '-r^ril. Demolish p Front = ff.
b Ci _.c~ ~o'~;:r , P~e i~-! 7 J i~' Grade p Depth ft.
p Ncme , Approvuls Faes . .
o~ Address Assessment Permit
uF' Ci Phone Water & Sew. 5urchorge r~•^.
Police Plon check • -
~ W Nome Fi re SAC - ~ • ~
. ~
/lddress Eng. Water Conn. '
~
`W Ci ph~ Planner Water Meter ~ r' n~
Council Road Unit
I hereby acknowledge that I have reud this opplication and state that Bldg. Off.
the infoRr+ation is correct and agree to comply with oll applicable ~PC Total
State of Minnesota Statutes and City of Eagan Ordinances.
Signoture of Permittee
~~T•,-.: ~ ~ , ~r ~:=0..:
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with oll applicoble Stnte of Minnesoto 5tatutes and City of Eagan Ordinances.
Building Official
I ~ • •
~K~R x ~ ~
Plumbing ~~''/C "~d
Me~anical ~ - Q
c ~ !~C ~ '7 / l~ ,~f . c' ~t' ~
INSPECTIONS DATE Rough-In Final
Footings Date Inzp. Date In~p.
Foundation p~~b~~
Frome/ins. ~
/ - Mechanical
Final ol /
Remark5: / ~ / ~
. cinr oF ~?c,~?N
~ 3T9S Pilot Kwob Reed
~soa, Minn~wta ss~~ INSPECTOR NOTIFICATION
No. Phoae: ~S4-B100
REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Dote: Receipt No.: ~
, , , . , Single I
Site Add~ess: - ' ~ Residential
Lot ~ Block ~ Sub/Sec. ' ' - ' ' Multi Res., Comm./Ind. I
Nome r~:'~ - . . ~~^.e5 New/Alter./Repatr .
3 Address ~ ' ' _ ~.r;.~ ~rsrd .
Cost of Instollation
O
City ; ' ~~ei''-_ ` - Phone: -I ~ ~ Permit Fee ~
. „
Nome . , - ~ ~ _ ~ Surcharge .
.
~ ~~e_; , . ,
~ Address , . . -
~ _ , r
City Phone: Total
This Permit is issued on the express condition that all work sholl be done in actordance with oll cpplitoble Stcte of
Minnesoto Stotutes and City of Eagan Ordinances.
Buildiny Officlal
• , ~ CITY OF EAGAN
• 3795 Pilet Kso6 Ra~d
Eosaw, Mlneesota Ss12s INSPECTOR NOTIFICATION
rtia~.: as~-e~oo
REQUIRED BY LAW
FOR ALL INSPECTIONS
~ ~ ' =
~F' PERMIT
Date: ~ ~ ~ Reccipt No..
Single I
$ite Address: ,'FiV@I`SP, 1't. Residential ~ C;r
Lot Block • Sub/Sec. ~~'1PeC1.'LrfP l. Multi Res., Comm,/Ind. I
N~ ~rrin 7'11o7R_f)9ori HOTn@R New/Alter./Repair
` ~ : ~^kSns Crsr~? .
; /lddress ~ Cost of Installation
O
City Phone: Permit Fee '
~ic~~ry r,.~f„ . _
Nome Surchorge
.
~ Address 1`` ~ r •
~ , + . • ; _ :
City ' Phone: Totol
This Permit is issued on the express condition that all work sholl be done in occordance with ali oppliooble Stote of
Mi~nesota Stotutes ond City of Eagan Ordinances.
Buildiny Offitiol
i - - -
CITY OF EAGAN
3795 Pilo# Kneb Rood Eogen, MN 55122 N~ 6 2 4 0
PHON E: 454-8100
BUILDING PERMIT ReceiPt -
Te be wsd for - Est. Vnlue Date , 19
Site Address ' ' ~ ~ =1 Erect Q ~ Occuponcy
Lot Block Sec/Sub. 1 nrP ' Alter ? Zoning
Porcel ~jE Repoir ? Ftre Zone
E~large ? Type of Const.
W Nome "~,r' ' Move ? # Stories
; Address _ Demolish ? Front ft.
b Ci Grode ? Depth ft.
~ N~ Approvals Fee~
~O _ . _
Address Assessment Permit
r C~ Ph~ Water & Sew. Surchorge
Police Plan check
u~
W IVc??ie Flre SAC
~z '
x~ Address Eng. Wote~ Conn.
aW Ci Phone Plonner Water Meter ,
Councfl Rood Unit
I hereby acknowledge thot I hove read this applicotion ar~d state that gldg. Off.
the informotion is corred ond egree to comply with all applicoble APC Total
State of Minnesota SYotutes and Ciry of Eagon Ordinonces.
Signature of Permittee
A Building Permit is fssued to: on the express condition that
all work shcll be done in accordance with oll opplicoble Scote of Minnesoto Sfatutes and City of Eognn Ordinances.
Bullding Official
P~It ~j Deh Iwd PNSifh~
Plumbin9 ?Q~p, j i
Mechanical (p ~ ~ ~ (,~j
. T i /,~i Z -.Z-~'/
_ ~
INSPECTIONS DATE INSP. Rough-In Final
Footings ~~-~f Date Ir~. Date irup.
Foundotion Plumbing
Frame/ins. Mechanical
Final _ ~
Remarks: r: G - C~, /~1-~O - y'CJ
F/
~
cirr oF ~?c~N
~ ' ' 3795 Pilot Kwob Raed
No Eoqan, Minn~sota SS12Z INSPECTOR NOTIFICATION
Ptio~: 4S4.et0o REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Date: Receipt No.:
5ingle I
:'dE.7"'~1 .
Site Address: Residential
Lot Block Sub/Sec. Multi Res., Comm./Ind. I
Nome - ~ ' ~ New/Alter./Repoir ,
~ ~ ^ _'_O~'i:~.^,;~ ~ 1.":i'_' . .
~ Address Cost of Installotion
"iU .,0,':.... . i: .
City ~ Phone: Permit Fee
F7a-~ :i'. :l _
Nome $urchorge
.
~ Address • - _ .
~ , ~ . . . , ,
City Phone: Total
This Permit is issued on the express condition that all work shall be done in accordance with all opplicable State of
Minnesota Stotutes und City of Eagan Ordinonces.
Building Offictol
CITY OF EAGAN
~ • 3795 Pila Knob Read
No. ~ Eo9an, Minneso~a SSIU INSPECTOR NOTIFICATION
Ptie~.: 4S4-B100 R EQU I R E D BY LAW
F7.;,;ra~ix~~ PERMIT FOR ALL INSP~CTIONS
Dote: _~:.1.~ , Receipt No.: ^
Single I
Site /Wdress: ~ ' - r""~ = F't . Residential ! ~ . `
Lot Block Sub/Sec. ~?idtleeliff~ M~ir~ Res., Comm./Ind. I
Name ''--'rin r}1v'. -c'- '.;~T'?CS New/Alter,/Repoir ~
.
; Address -r =~~~~iri3 CrG?'~1 , Cost of Instailation
O
City ~O"1k8 Phone: Permit Fee
Name "-'-'1~ f'~~ Surtharge
~
~ Address ' ' r • _ ~ P .
~ , . ,
City ` Phone: Totol
This Permit is issued on the express condition that oll work shall be done in attordance wlth all appllcable State of
Minnesotn Statutes and Ci~y of Eogon Ordirwnces.
Buildirg Official
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~'i ~
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675
SITE ADDRESS: ~ ~ ~ ~ ~ ~ ~ ~ ~ APPLICANT:
E i . ;
~~f7f,`F I P7' ~ ~ : . . ~ ~ t r~~ . I ri~
, , i! 11 F f ~I ll; i , fc1~1
PERMIT SUBTYPE: TYPE OF WORK: , E,~, ~ r r~
, , .
~ , i, ~ ~ ~ ~ ~ . , . ~ .
• .
~ ; ~ , ~ r+: ,
~ : ~
~ ~
PermN No. P~rmit Holder Date Telephone
ELECTRIC
PLUMBING
HVAC
Inapactlon Date Insp. Comments
FOOTINGS
FOUNO
FRAMING
ROOFING
FiOUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA5 5VC
TEST
INSUL
GYPBOARD
FIREPLACE ~ '
FIREPLACE
AIR TEST
FINA~ PLBG
FINAI HTG i
ORSAT I
TEST
I
BLDG FINAL I
BSMT R.I. I
I
BSMT FINAL _ I
DEGK FfG ~
DECK FINAL
1N~YL(.;'l1UN 1~~(:UKI~
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
'A i f~~s~
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
, . ~ . ~
SITE ADDRESS: , , , - ~ ~ ~ F APPUCANT:
I . I~ . . . j~~j I i~~ . Piil'.IJ1~1.~1:. ~,1 ',IOlefil
~ ! ~ ~ , ~ i ~ ~ ~ ~ i I I I ~ , i ~ ~ . , ~
PERMIT SUBTYPE: TYPE OF WORK:
I I i: < 1 F4 ~ ~ ~ . , . ~ ~ . ;
• •
i ~ , . . ~ . i I ~ 1
i::~. R~ r Mht; cl ~ i i~tll . i I~f I N'~!'f ( ~ I. I~ i~i f~11 t ~~~hJ~ i i: ~ i~~~, ~
~ , ~
~ I
Permit Holder Date Telephone N
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PIUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE //D / ~ - L~~~ -
~
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TES7 •
HYDROSTATiC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fil1 in numbered spaces S/C
Type or Prrni legibly
Tot.
1. Date 2. Installation Cost ~
77 Sc~rrel ~ ~ 1~ ~ C` 4
3. Job Address Lot Bik. Tract
4. Owner i~•r.~n_ '',c~tlr~.~_~ t~ z ,
5. Contractor ' Cw?I~Z:S So{t '~,i._-: Phone
6. Address 3~71 C~.llrOr.'`~i~_ ' _
7. City ' State 2ip ~ ~
8. Building Type: Residentiah•fl: Commercial O Institutional ?
9. Work Description: New ~ Add L~ Alter O Repair ?
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 ~rdinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4b4-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee °
FrIJ in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2, Installation Cost
3. Job Address ~ ' ~ Lot Blk. Tract ~ ~
4. Owner ~
~ r~< Y . , .
5. Contractor Phone ~
6. Address ' r'~7~. `c~!'~~ ~ =
7. CitY State - Zip ~
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New ? Add ~7 Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
i
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floo~ 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 :
far
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454~100
Receipt PLUM8ING PERMIT Permit No. ~
CITY OF EAGAN
Fee
Fi1l in numbered spacas S/C
Type vr Print legib/y
Tot. -
1. Date 2, Installation Cost
3. Job Address •'~~7G ^ra~rer.s~ Lot~_Blk. 'Z Tract ~ ~C ~ `
4. Owner ~~.~''Y'~. I.-`u1~3:
5. Contractor ':x'T'.~35 ' Phone
6. Address 3^(1] C'~1 i fnrni t~
7. City ~ ` ` State . Zip , ~ ~
8. Building Type: Residential II Commercial ? Institutional ?
9. Work Descriptian: New D Add .E3 Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel I
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. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY QF EAGAN Remarks
Addition Ridaecliff~th Addn ~ot 2 sik 2 Parcel #10 fi~.983 020-t12
Owner j-/~~. ~ . Street 4677 Sorrel Point 5tate Eagan~ 1vW 55122
Improvement Date Amount Annual Years Payment Receipt Data
STREET SURF.
STREET RESTOR.
GRAOING
SAN SEW TRUNK 1980 ' 9 7. 38 j5
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA IJ$0 ~.3$ 15
STORM SEW TRK 1982 346.09 5 346.09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
R
WATER CONN,
~UILDING PER.
SAC Z
PARK
CITY OF EAGAN Remarks
Addition` R,l,d$.@C~lff 4~_Ad~n Lot ~ Blk 2 Parcel #10 6~983 030 02
Owner - Street 4679 Sorrel Point _ State_~gan, MN 55122
Improvement Date Amount Annual Years Payment Fieceipt ~ate
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 I10. 69 7. 38 15 95.95 C008109 3/37/81
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1980 110.69 i: 7. 38 15 95 .95 C007109 3/27/81
STORM SEW TRK 1982 346. 09 5 346. 09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
510EWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
sAC 525 00 21167 10 2 80
PARK
CITY OF EAGAN Remarks
Addition Rir~geclif£ 4~.h Addn. ~ot 1 eik 2 Parce~- #10 6398~ O10 02
owner .;v I i Street 4676 Traverse Point state_ Eagan, I~Il~1 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 110..Sg 7 38 15 96.15 C007109 3/27/81
SEWER LATERAL
WATERMAIN
WATER LATERAL 3
WATER AREA 8 15 96. 15 C~~71~9 3 27 81
STORM SEW TRK ~ 1982 346. 09 5 346. 09 C007616 12-23-81
STORM SEW LAT
/ _ ~y "
CURB & GUTTER
SIDEWALK
STREET LIGHT
Rd.
WATER CONN.
6UILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addtc~on _ Ridgecl iff 4th Addn_ ~oc 4 aik 2 Pa~ce~- #10 63983 044 02
Owner ~~L'.`' st~~t 4678 Traverse Point stete_ Eagan, hIIV 55122
Improvement Date Amount Annual Years Payment Receipt Oate
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 19g0 11~.69 38 1S 9 $
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATERAREA 19$Q j1Q.(~9 7.3$ j$
STORM SEW TRK 1982 346. 09 5 346. 09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
8
WATER CONN. 8
BUILDING PER.
sac sas.oa ziib~ io/z/so
PARK
GTY QF EAGAN SEWER SERVICE PERMIT
3795 P~, rob Rood PERMIT NO.:
~9~. dAN SS122 DATE:
Zoning:
No. of Units:
Owner: _
Address:
Slte Address: ~~~'r• - ~ ,
Piumber:
~°9'°° b~~Ph~ w1lh the City of Eagon Connection Charge:
~~1°O°~' Account Deposit:
Permit Fee:
B Surchorge:
y Misc. Cha?ges:
Date of Insp.: Total:
Insp.: Dote Paid:
cir oF ea~AN WATER SERVICE PERMIT
''05 . wob Road , PERMIT NO.:
Ea_ MN 551Z2 DATE:
Zoning: No. of Units:
Owner,
Address:
Site Address: -
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: ' Permit Fee:
a agres to wmpl~r wifl~ fhe City of Eagan Surcharge:
Ordinanees. Misc. Charges:
Totol:
By Dote Paid:
Date of Insp.: Insp,:
c~ ''?GAN SEWER SERVICE PERMIT
379a tnor ~nob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. ot Units:
Qwner: '
Add ress:
Site Address: ~
PI umber:
1 agroe to eo~npl~r witl~ the CitY af Eagon Connection Chorge:
Ordinanees. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Chorges:
Dote af Insp.: Total:
Insp.: Dote Poid:
OF EAGAN WA t eR SERVICE PERMIT
. Pilot Knob Rood PERMIT NO.:
cagon, MN 55122 DATE:
Zoning: No. of Units:
Qwner.
Address:
Site Address:
PI umber:
Meter No.: Connection Chorge:
Size: Actount De
posit:
Reoder No.: Permit Fee:
1 agree M eanply with the City of Eagon $urcharge:
Ordinances. Misc. Charges:
Totol:
BY Dote Poid:
Date of Insp.: ~n~ :
OF EAGAN SEWER SERVICE PERMIT •
. Pllot Knob Road PERMIT NO.:
Eogon, MN 55122 DATE:
Zoning: '
No. of Units:
Owrter:
Address:
Site Address: , .
Plumber:
~ 09~ ti eomplJr wlth the Cihr of Eagoe • Connection Charge:
Ordinanees. Account ~eposit:
Permit Fee:
B ' Surcho rge:
Y Misc. Charges:
Dote •of Insp.: Totol:
Insp.: Date Pcid: '
cirir o-+aaN WATER SERVICE PERMIT
3T95 Pilc_ ._eob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Z~^~~9~ No. of Units:
Owner.
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
$ize: Account Deposit:
Reader No.: Permit Fee:
I agrea to eompl~r with the City of Eagan Surcharge:
Ordinaness. Misc. Charges.
Totol:
BY Date Paid:
Date of Insp.: Insp.:
CITY O~ ''1GAN SEWER SERVICE PERMIT
3?9'~ Pilor wnob Roed PERMIT NO.:
Eogan, MN 55124 DATE:
ZO^'^9~ No. of Units:
Owner:
Add ress:
Site Address:
Plumber: -
I a9roe to eomplr with tha Ciryr of Eogon Connection Charge:
a''d"~~~~• AccounY Deposit:
Permit Fee:
Surcharge:
BY Mist. Charges:
Dote of Insp.: Totpl:
Insp.: Dote Pcid:
+ "1GAN WATER SERVICE PERMIT
37s. r~~~. ~nob Rood PERMIT NO.:
Eagan, MN S51Z2 DATE:
Zoning: No, of Units:
Owner; ~
Address:
• Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 ngree to eomply with the Cify of Eagan Surcharge:
Ordinanees. Misc. Charges:
Total: ~
Bv Date Poid:
Dote of Insp.: ~~p.;
I
~ ~
cirr oF Enc,~?N
„ ~ 3795 Piloe Kno6 Roud Eagen, MN SS1~2 N~ 624 ~
PHONB: 454-8100 .
BUILDING PERMIT APPLICATION. , Receipt
To be usad for 1 OF 4 p1eX Est. Value 37~100 Date 10..2 , ~q 80
sire Address 4677 Sorrel Pt. ~Model 82) Erect ~ occ~~~cy A~
Lot z Block 2 Sec/Sub. ~dgeclif£e 4 qirer ? Zoning pT~
Porcel # _ Repair ? Fire Zone
Enlarge~ ? Type of Const. ~ U
w Nume ~'~'i'in ThomnGOn Homas Move O # Stories
Z Address 1712 Hopkins Crsrd. Demolish ? Front 24-20 ft,
~ Minnetonka~ ~one 544-7333 Grade ? Depth 24-22 ft.
~ Approvals ~ Feq
o Name
o~ Address Assessment T Permff 110. 50
u~ Water & Sew. Surcharge 19. 0~
Ci Phone ~
Police Plan check 55.25
Gw Name Fire SAC 5z5.~~
~z
Address Erg. Water Conn. ~~5.00
aW CI Phone Planner WaterMeter 60.0~
Council Road Unit 1g5.00
I hereby ack+wwledge that I have read this opplication and stote that g~d9. pff,
the information is correct and agree to comPly with oll applicable
State of Minnesota Statutes and City of Eagan Ordinances. APC Total ~259_75
Signoture of Permittee
A Building Permit ~s ~ssued fo: Orrin Thompson HOIIl2S on the express condition that
oll work shall be done in acco ~a~nc~e w~~~th~ a~p,~pliw~ble
S~tate of. innewta StM)Utes and City of Eagon Ordinnnces.
Buildin9 Official A'~~'-a-C¢
!/,C'i( e~~,~.~/
I CZTY OF FJ+C~N Include 2 sets of plans,
~ ~L 1 site plan w/e]evations 6
~~Y BUIIDING PEStMiT APPLICATION 1 set of energy calculations.
Tb Be Used For R~1~p N~P Valuat~ion ~37~ ~oo.on Date SEP 1 9 1980
s~r~ naaress: y6 77 S~- re C.r~„cE~ $2~ OFFIC~ USE ONLY
Iot ~ alocx ~ sec./svb. R?oc~.1.1FFi Zo~!'Fa"~Y p~-
Parcel Repair Fire Zone 3
_Q.mer: En1az'4e _ 'Iype of Const.
_ Nbve # Stt~ries
pddipsg; a Division of U. S. Home Coronrat;~., Dan7liSh F1TJnt 'a~ ft.
~7TL KINS CROSSROAD Grade D2Pt1'1 o2y~c a.3- ft.
~ Clt]+~Zlj~ C1XSe: MINNETONKA MINN 55343 '
Phone .5 - l33 3 APPRDVALS FF~SS
Contractor: ~p~ni
T,~
f u~n~f~ I I~P~S-rcS- Assessrents Pesmit ~
a Division of U. 5. Home Corporation W3r2L~S2W2T Surcharge /9
Pddress: Police Plan Check ~
City/Zip Code: MINNETONKA, MINN.55343 FiLe ' SAC ~S~S
~ Eng. W3tPS CAn71. ~p
S.-°~~' -
Phane Planner Water *5eter ~b
Council Road Unit 1 85` eII
'~'~h' ~g" Bldg. Off .
Address: APC
Gity/Zip Code:
Phone ~t7P1~L
. _ ;
CITY OF EAGAN
~ 3795 PiIM Knob Reod Eagan, MN 33122 N~ 6 2 4 2
° PHONE: 4548100
BUILDING PERMIT APPLICATION ReceiPt # -~~1~ ~
To be uied fo~ 1 of plex EsL Volue 37~100 pme 10-2 , ~q 80
Site Address LF(j79 Snrral Pt ~TRnAaI. R11 Erect ~ Occuponcy N~
Lot~- Block z 5ec/S~b. Ridgecliffe Alter ? Zoning PD
Purcel # Repoir ? Fire Zone 3
. Enlarge ? Type of Const. V
W Name (lrrin Thnmrnl]_~.12E Move ? # Stories
3 Address 1712 HO J]_k1I1S Crsrd. oemorsh ? Fmnt ~Li-?f1 . ft.
° Minnetonka, ~,i~ 544~7333 G'ade ? ~prh rr.
Ci "°Phone
g Nome AOprovals Fees
~ ~ Assessment Permit l l(1 _ 5~
Addrew
~ Ci Phone Water 8 Sew. SurcFwrge ~ A- nn
r Police Plan check 55. ~5=
Fw Nome Fire~ SAC F7S nn
Address Eng. Water Conn. ~QS..~Q4
<w p~~e Planner Woter Meter 6n . nn
Counc(I Road Unit nn
I hereby acknowledge thot 1 have read this application and stote that gldg. Off.
the information is Correct and agree to CAmply with all oDDlica6le 1 25~.r~5
State ot Minnesoto Statutes and City of Eugan Ordinances. APC Total ~
Signature of Permittea
A Building Permit is issued to: Ot2'3n ThOIlipSOIl HOID85 a~ the exprea cordition that
all work sholl be done in acco ce wiTh all p~licable~ nesota Statutes and City of Eogcn Ordlnances.
Building Officiol -
.
1 CITY OF EAGAN Include 2 sets of p].ang,
I~ ~ ~ ' , , 1 site plan w/e]evations &
~U ~ BUILDZNG~PERMTT APPLICATIdN 1 set of energy calculations.
vsea For REs~D~N~'P V~~~on `i`37,~00,0o nat~ SEP 1 9 19II0
Site Address: H/ 7~ S' o v r e l l~'~ ~'hoae~ 81) oFFIC~ v5E OAII.Y
Lot 3 91ock 2 sec./sub. R?vc_~~.~kF~e ~~P~~Y -
Pazcel Alter Zoning f~,Q
Repair Fire Zone 3 _
Oamer: ' ~az'4e _ '~'Pe of Const. f/ _
Nbve # Stories
Darolish Front 2 o ft.
p~j~p,sg: a DiviSion of U, S. Hom= Co onrat'~„ ~ ~
~I7I'1 KINS CROSSROAD Grade Depth ~ a~... ft.
~ C1LYf21p ~'.Ode: MINNETONKA MINN F534~ . ~ . ~
Phone R: 5`F4-1333 ~P~s ~
Contractor: ~~pini~~~~ Assess~rents Pesmit ~
A[IdI'25S • a ~+vision ot U, S. Home Corporation ~ W3~r~5E~r Surcharge ~ f p~-
Police Plan Check ~-,r ~
C~ty/Zip Code: MINNETONKA. MINN. 553a3 Fire ' SAC ;S~cS~ _
Eng. Water Conn. ps' ~
Phone Plannes Water Meter
Council Road Unit ~
~h.~4•' Bldg. Off.
Address: APC
C7ty/Zip Code:
Phone 'roT~
CITY OF EAGAN
3795 Piloe Knob Rood Eo9an, MN DS722 N~ 6243
Plf~JNE~S4-6100
BUILDING PERMIT APPLICATION ~ Receipr # ~
Te be used for 1 of 4 plex Est. Value 37~1~~ Date 1~-z , 19~
Site Address GC~78 Travarsa Pt._ ~MndPl
f~7~ Ered Occupancy R3
Lot~_ Block Z Sec/Sub. Ridgecliffe l. Alter ? Zoning PD
Pa~~ # Repair ? Fire Zone 3
Enlorge p Type of Const. V
m Nome (lrrin Th micnn Nnmoc Move ? +f~' Stories
; Address 1712 Hopkins Crsrd. Demolish ? Front 24-20 ft.
b Minnetonka~ MT~h~e 544~7333 Gmde ? oemh 24-22 fc.
Ci
p Nume ApProvol~ Fees
Z~ Assessment Permit 110.50
o~ Address
~ Water & Sew. Surcharge ~-9•
Ci Phone
Police Plan check 55.25
ww Name Fire SAC 525.00
~
x~ Address Eng. Woter Conn.305.00
aW p~~e Planner WaterMeter 0 0
~ Council Road Unit 1g5.00
I hereby acknowledge that 1 have read this opplication and state that Bldg. Off.
the infnrmation is correct and agree to wmply with oll apv~~~able 1
259
75
State of Minnesofa STatutes and Ciry of Eogan Ordinances. APC Total
Signature of Pe,rmittee
A e~~ia~~9 Pem~~r ~s ~ss~ed ro: Orrin Thompson HOtR2S on the express candition ihat
oll work shall be done in accord~ with oll o~kcpble Stme of Minn~ Sto /tes and Ciry of Eagan Ordinances.
Bullding Officiol v~
. CITY OF F.F+G7+N Include 2 sets of plans.
3 1 site plan w/e]evatians b
1~., 'a„~ gUILDING PE~'[IT APPLICATION 1 set of energy calcvlatjans.
f~ ~ ;x ~ ' . -
1b Be Used For R~~o N~P v~,.,ation ioo,oo Date SEP 1 9 1980
Site Address: '~(o ~ /~-a ~ P~S~oDE~ $1~ OFFI(~ USE OIZI.Y
Lot `1 &lock sec./sub. Fs~ect occupancy ~ f~~3
Parcel Zoning f% .
Repair Fire Zone ~
Owner: ~az9e _ 'I~'Pe of Const. _
Nbve # Stories
DeTnlish Front ~ ft.
p,~j~psg_ a Division ot U. S. Home Coroaration_
~7I'T KINSCROSSROAD Grade DEj~t~l ~ 0~.2 ft.
~ C1L"~7~ZlP COdE: MINNETONKA MInIN 55?~~ ~ ~ ~
Phone # : 5'14 - l33 3 ~P~S
Contractor: ^i I I~~,~~ Assessments Permit ~(Q ~
Aadl'es5: a Division of U, S. Home Corporation . W3YEi~52NL'T SL1TC}idl~2 J9 ~
Police Plan Check c5'S
City/Zip Cod2: MINNETONKA, MINN. 55343 Fire ~ SAC ~o2:S'
Enq. Water Conn. .3 OS-
PhOne pjanrx~r Wdter Meter (p
Council Raad Unit Jg~S°"
~h.~g.: Bldg. Off.
Address: ~
Gity/zip Code:
Phone # : ~T~
• CITY OF EAGAN
~ ~ 3795 PiIM Knob Rood Eagan, MN SS122 N°_ 6240
PHONE: 454-8700
BUILDING PERMIT APPLICATION ReceiPt .{k ~~~7
To 6e aaed for 1 of 4 plex Est. Va~ue 37~100 oore 10-2 ~g30
Site Address 4676 Traverse Pt. (Model 82) Ered ~ occupancy P`3
Lor 1 Bbck 2 Sec/Sub. Rid~ecliffe 4 Alrer ? Zo~io9 PD
Parcel Repuir ? Fire Zone 3 _
, Enlarge ? Type of Const. V
z Ncme ~ Move ? # Stories
Z Address 1712 Hopkins CPSY'd. Demolish Front 2~+'20 ft.
~ Minnetonka, Mnphone 5~+~^7333 Grade ? ~epth 2~+-22 fr.
o Nome ~ Avvrovnls Fees
Z~ ~ Assessment Permit ~ ~ n- 5~
o~ Addreu
Water&Sew. Surchorge ~9-nn
Ci Phone
Police Plan check 55 _ 5
Name Pire SAC 525_C1Q_
ww
r-
s~ Address Eng. Water Conn. 3C15.00
<w ~ pho~ Plonner Water Meter ~iQ_9Q
Council Road Unit ~f~5_00
I hereby acknowledge that I have reod this opplication and state that Bldg. Off.
the information is c»rrect and ag~ee to comply with o11 opplicoble ~?59.75
State of Minnesota Statutes and Ciry af Eagan Ordinances. APC Totol i
Signature of Permittee
A Building Permit is issued to: ~rri n ThomnSOn HOm2S on the express condition that
all vroik shnll be done in accordance . ith all appl~ble~~ of Minr~esota
St~ ~ nd Ciry of Eagon Ordinances.
Building Official ~ l/.~C¢ ..c~1>-tJ
1" ' CTTY OF F1~GAN Include 2 sets of plans,
~ 1 site plan w/elevatians &
~j HUILDINC; PERMTT APPLICATION 1 set of enesgy calculations.
1/~~ -
'Ib Be Used For R~,o~ N~p Valuation `~3~, ioo,on ~te SEP 1 9 1980
Site Fiddress: y~)(~ 1/^O~/P~'S`C /~7~ ~+oDa~ 81~ OFFICE USE Ot~II~Y
I.ot ~ Blocx sec./Sub. R1ocEC~.1FFt E~ ~~~F~~Y ' sP3 -
Parcel 1i: F~-R'rN Alter Zoning ~lD .
Repair Fire Zone ~
~wner: ~~3e _ 'I~'Pe of Const. _
_ Nbve # Stories
I~rolish Front ~y ~m ft.
pdd~pSg; a ~ivision of U, S. Home Co
-I7I~ SINS CROSSROqD ~ Grade D2Pth ~y ~ ~Z7 ft.•
~ Clt}~~ZlP COCI@: MINNE70NKA. MINN SS3'~ . ~ '
Phone 5`fy-~333 ~P~S f'~
Contractor: ~
i-~N--
u~~~ ~„F~P~~--- Assessments Pesmit //0=~
Water/Sewer Surcharge /9 =
Pddre55: a Division of U, S. Home Corporotion ~
Polioe Plan Check~-
City/Zip Cod2: MINNETONKA, MINN.55343 FiZ'e ' SAC cf-,,Z~
Phm~e ~3• Wates Conn. ~o,~ ~
Planner Water Meter [ o ~ _
~~h ~9 . Council Road Unit ~g,,~-
Bldg. Off.
Address: APC
City/Zip Cocle:
Phone
m~nnesota ~tace ooaro or tiecmmry .
Griggs Midway Bldg. - Room N191 i" EB-ooo01-02
1821 U'=versity Ave., St. Paul, Minn. 55104 - Phone 297•Zttt ~IJ ~
' R~JEST FOR ELECTRICAL INSPECTION ~ 4
CHEC$ BELOW WORK CDVERED BY THIS REQUEST a 16 7~ 9~
Type oP Build'u~g Ne Add. Rep. Check Appliances W¢ed For Check Equipment Wfred For
e ~ ? ? Range Tempo~ary Wiring
lex~ ? ? Watec Heater ,?~l Lighting Fi~ctuces ~
ApL Bldg. Dtye[ yrn Electric Heating ?
Commercial Bldg. ? Furnace ~ Silo UNoader ?
Industrial Bldg. ? A's Conditionex ~ Bulk Milk Tank ?
Fazm ? ? ? List Lis[
Others~ - Othe[s~
Other ? ? ? Here f Rere
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee FeedersflSubfeeders: # Fee Ci[cuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0[a 30 Am eres 01?
10 to 200 Amps. 31 to 100 Amperes 31 to 100 Am ~es , r,]C)
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Trans[orme[s Remo[e Control Circ. Pa~tial ot other fee
Signs Special Ins ection Minimum fee
Remacks , TOTAL F
I, the Electrical I' ct~by,~'c t~f , hat above pe'ctidn has een made.
(Rough-in) Ed , ~ ~ .~lr-~/
(Final) c~ $c. / ~ ~
This iequest void
18 months from
a3,
Thii re est void F' ~ ~ ~
~
18 mon f om
i ` ~ 4
Da o this Request 1 f z' ~ Fire No. e
1, ~Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal~~fring instatled at:
Street Address or Route No. ~ Tj~-~nU~~~ ~~NJ Cpity
~on Township Range County
Which is occupied by V 1`-i~l l" ~~r1i SQ/~~ f~U~'M:~
(Name oT Occupant)
Is a roughin inspection required on this job? No ? Ye~ Ready Now ? Will C~~J
Power Supplier ~ Address 1 hi~
Electrical Contractor ~LL ~~C/ Contractor's License No~?~~
(COmpany Name)
Mailing Address ~ 7l E~ G Q,
(Elec r'=al C tractor o~ Owne~ Making Thls Installatlon) Q
Authorized Signature Phone No. -~~S
(Electrical ontractor or Owner aking Thls InStallatlon)
f~~~ n~~ This inspectian request will not 6e accepted 6y the
cJ Fii] Gi] t~ State Board unless proper inspection fee is enclosed.
Griggs~Midway B dgrd
~Room N191Y n, EB-0o001-02
t 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 ~ J I
QUEST FOR ELECTRICAL INSPECTION ~ iy
CHF~'..K B~LOW WORK COVERED BY TH1S REQUEST 16 712
Type of Bullding Ne~ Add. Rep. Check Appliances W'ved For Check Fquipment Wrtal Foc ~ '
Home ? ~ Range ? Tempoiazy Wiring
Duplex ? ? Wate~ Heater Ligh[ing Firztures
t. Bldg. ? Dryei Elec[ric Heating ?
meicial Bldg. Fumace Silo Unloader ?
ustrial Bldg. ~ Av Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? pList List
Othe[ ? ? ? Hehels~ HeheiS~
COMPUTE INSPECTION FEE BELOW
Se[vice En[rence Size: # Fce FeedeisBSubfeede[s: # Fee Ciicuite: # Fm
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 io 100 Amperes 31 to 100 Am eres ~
Above 200 Amps. Above 100 Amps. Above I00 Amps.
Transfo~mers RemoteControlC"vc. Partialorothe:fee
Signs cial Ins ection Minimum fee 5
Remazks f' TOTAL FE (I QD
~ ,
1, the Electric Ins ~ or'' rtify that the above ins ect~"°n has been ma .
(Itwgh-in) ~ ~~/L,. ~Dat . ~
(Final) i~~ , ~ ~ / 7-&f
Tlus request void
18 months from
This request void ~ ~i ~ 7 3 . ~
18 months from I D . ~O G
Date t}~quest ~ l~ 2''~ ~ Fire No. v~~ T
I, Licensed Elecvical Contractor ? Owner, do hereby request inspection of the above electri-
cal w~ring mstalled at:
etAddreuorRouteNo.``~~7fr +I~V~1`"~v T~INJ ~~t~W
~ion Townsltip Range County
Which is occupied by_V?~~' d I~P~~ ~~~f
(Name of Occupant)
Is a roughin inspection required on this job? No ? Y~ Ready Now ? Will Ca~
Power Supplier 'F~f" Address ~ ~V ~U"~
Electrical Contractor~~GL ~~GTti. v Contractor's License No~~
(CompanY Name)
Mailing Address `T ~ ~ ~ Q •
tri Contractor o~ Owne~ Making Thls Installatlon) ~r
Authorized Signature Phone No.
(Electrlcal Contractor or Owner Making This Installatlon)
~~}'~~~j ~ [t~~ This inspection request will not be accepted by the
~f ~ ~ State Board unless praper inspection fee is enclosed.
ta s~a[e noara oi e~ecmci[y
s Midway Bldg. - Room N191 v 3 EB-00001-02
1£ Ave., St. Paul, Minn. 55104 - Phone 297•2111 ~
' T FOR ELECTRICAL INSPECTION T 16 4 ~
CHECK BFT ORK COVERED BY THIS REQUEST
Typ f Bi~ng Ne Add. Rep. Check Appliances Wved For Check Equipment Wired Fo:
Home ? ? Rangc ? Temporary Wixing ?
Duplex ? ? ? Water Heater ? Lighting Fixtures
. Bldg. ? ? ? Dryer ~ Electric Heating ?
mercial Bldg. ? Fumace 1~ Silo Unloader ?
Industrial Bldg. ? Air Conditioner ~ Bulk Mtlk Tank ?
List oList
Facm ? ? ? ~eieis~ Heiers#
Othe~
COMPUTE INSPECTION FEE BELOW
Secvice Entnnce Size: # . Fce Feeders$Subfeeders: # Fee Circuits: # Fce
0 to IDO Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Ampe~es 31 to 100 Am eres ,iJJ
Above 200_Amps. Above 100 Amps, Above 100 Amps.
Transformers Remote Control Cixc. Partial or othei fee J
Signs ~ Special Ins ection Minimum fee $S
Remarks r'~~,'~
~ ~ ~ ~~OTAL FEE s
I,the Electrical c er er that vei ma .
. ,
(Rough-in) Date ~-Z7-f'/
(Final) ~ ' ' ~C~~.~ ~ 8 /
This request void
18 months from
y ~7 ~ %
This rey, r void o/ ~ D I~o ~
18 m~n±~m
Date.o this Request 1 I~ Z-- I~ Fire No. 1 16 71 g
1, a~Licensed Elecvical Contractor ? Owner, do hereby request inspection of the above electri-
cal winng installed at:
et Address or Route No. City~
~on Township Range County ~ 1~
1Vhich is occupied by .~5~~1~ + rav("~~a~r~
(Name oi Occupant)
Is a rougliin inspection required on this job? No ? Ye~"~ Ready Now ? Will Ca Y~'
Power Supplier F t-IP Address ~~~~~1~
Electrical Contractor ~L~ E~G~~G Contractor's License NoIL'~
I'L25
(COmDany Name)
MailingAddress I ~ ~i' . C~--~
(EI c ri Gontractor or Owner Makln9 This Installatlon) AnQ'~~ J
Authorized Signature Phone No. ~~7 ~
(EI ctric°a{ contractor or Owner Making Thls Installatlon~
EC I~1 n~~ ~J This inspection request will not he accepted by the
c~J k~ Ca li,~, C~' i( State Baard unless proper inspaction fee is enclosed.
, Minnesota State Board a/ ElecMicity /
~ Griggs Midway Bldg. - Room N191 i+ l~ EB-00001-02
182 ersity Ave.. St. Paul, Minn. 55104 - Phone 297-2111 ~ (
~UEST FOR ELECTRICAL INSPECTION ~3 T 36716~
CHECK BELOW WOKK COVERED BY THIS REQUEST ~
Type of Butlding New Add. Rep. Check Appliances W'ved Foc Check Fquipment Wired Fo: ~
Home ? ? Range ? Temporxry W'ving ~
Duplex Watei Heater Lighting Cixtuxes
t. Bldg. Dryer Electric Heating ?
mmercial Bldg. ? Fumace r~ Silo Unloader ?
Industrial Bldg. ? Air Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List pList
? ~ ? Hehcls~ Herels~
Other )
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee FexdersdSubfeeders: # Fee Cixcuits: # Fee
0 to 100 Am s. 0 l0 30 Am res 0 to 30 Am eces
101 to 200 Amps ~ 31 to 100 Amperes 31 to 100 Am eies W
Above 200 A p.. e 100 Amps. Above 100 Amps.
Transfocmeis ~ em Control Circ. Partial or othex fee
Signs ~i ~ pec lnspection Minimum fee
Remazks
~ TOTAL FE ~ f~
I, the Electrical Inspector, hereby certify thayyte<abov ' ion h een ma e.
(Rough-in) ~ - - ~
(Final) e ~ ~ ~ a ~
This request void
18 months from
i, E'j o
This teque' o~d ~i 3~°zj r h l C' d~ ~
18 mo~ths~ ~ ~
Date o ,this Request 1 I ~ ~ ~ ~ Fire No. ~ ~ ~ ~ ~
I, a Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
i installed at:
~t Addres5 or Route No. ~ City~
Section Township Range County ~
Which is occupied by ~i~-f~+~ ~?+VI t~S~ C~'uP'k~f
- (Name of OtcuDant)
Is a xoughin inspection required on this job? No ? Ye Ready Now ? Will Ca1DK~
Power Supplier 1 Address ~O
Electrical Contractor ~~~~~~G Contractor's License Norn~~'J
~ ~ (CO~a~ Name)
Mailing Address .
~ (EI ict i~ al C tractor or Owner Making 7his Installatlon)
Authorized Signature ' Phone No. ~ -~SOS
(Elett~ical Gont~actor o~ Owne~ aking T~Is Installatlon)
~~j'~~~ ~j~~[]~ This impection request wiil not be accepted 6y the
(f E~ b~( Stzte Baard unless proper inspection fee is endosed.
C.R. WINDEN d~ ASSOCIATES, INC. ~
LAND SURVEYORS T~I. AIS-3646
1381 EUSTIS ST., ST. PAUI, MIIJN. 55108 CERTIFICATE OF SURVEY
For:
U. S. HOA4E CORPORATION
Scale: 1" = 20'
G Denotes Iron
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Note: Buildings shown are proposed. ~
As of this date Ridgecliffe '
Fourth Addition has not been ~
recorded.
Lots 1 through 4 inclusive, Block 2,
Ridgecliffe Fourth Addition, Dakota
County, Minnesota.
WE HEREBY CERTIFY THAT TNIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOLINDARIES OF THE LAND
ABOVE DESCRIBED AND OF THE LOCATTON OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY,
FROM OR ON SAID LAND.
Aated this• ~S}hday of SBQ'Y A.D. 19'SO C. R. WINDEN & ASSOCIATES, INC.
' by ~~~...J111~ ..~..`Z!/.G«~+~- •
Surveyor, Minnesota Registration No. 1'~ZG
.•;[):•m;';.;:,;:i$i;::;c;(`XXq$v;•'(r;;;;ti,":~ik't;{k,z::;•,,,,4•Y.;:iY,,,(. ~ ~ ;9c~.
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~
PERMIT
~ CITY OF EAGAN PERMITTYPE: sus~oxN~
3830 Pilot Knob Road
EagaFl, Minrl@sota 55122-1897 Permit Number: 032118
(612) 681-4675 Date Issued: 0 6/ 01 / 9 8
SITE ADDRESS:
4678 TRAVERSE PT
LOT: 4 BLOCK: 2
RIDGECLIFFE 4TH
P.I.N.: 10-63983-940-02
DESCRIPTION:
~
Builiiin'g Permit Type FIREPLACE
%SuiLding Work Type ALTERATIQN
,~'Census Code 434 ALT_ RESIDENTIAL
j ~ . ~
/ J
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REMARKS:
CHIMNEY/FLUTE MUST BE INSPECTED BEFORE CONCEALING
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
~ CONUTRACTOR: - Applicant - OWNER:
LqKELAND MASONARY RESTORAT 1~557779 RIDGECLIFFE II ASSOCIATION
'i 9948 TRAVERSE PT 4678 TRAVERSE PT
COON RAPIDS MN 55433 EAGAN MN
~ (Fr12) 755-7779
Y hereby acknawledg;e that I YSave read ~his application and state that t'he
intormation is corract and agree to comply with all applicable State af Mn.
I Statutes and City of Eagan Ordinances.
L _ _
~d.~
APPLICANTlPERMITEESIGNATURE ~ ISSUE~ Y:SIGNATURE
~~.~vl ~ ~~O
~
CTfY OF EAGAN
3830 PII.OT KNOB RD - 55122
1998 FIREPLACE PERNIIT APPLICATION
681-4675
DATE: , j' a 7-`~ ~ PERM[T FEE: $50.50
DESCRIPTION OF WORK: _ Construct new fueplace ~ Alterations to existing
_ Install eas insert oalv _ Insffill pas line onlv
Other
JOB ADDRESS: y~ 7~ T/'Z U~.(SG `Oi?1
y LOT: ~ BLOCK: _ rrJ~ SUBDMSION/P.I.D. ' ~
APPLICANT (circle one only): OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state that the informatiott is correct .
and agree to comply with all applicable State of Minnesota Statutes and City of Eagan
Ordinances.
Name: ~1^u'c~C C~r~~! ~ [ISSoci27~ov~ Phone#:
PROPER'fY Last F'vst
OWNER
Signature:
Street Address:
Ciry State: Zip:
Company: L ~2 ~72So 2/' 2 ~~~d, Phone#: ~SS 7779
FIREPLACE
INSTALLER SignaNre:
Street Address: ~l~`7~~ ~rl~?Cf sf License # 7~i
City ~o~~ ~ State: ~ Zip: S~SY~
Company: Phone
, GAS LINE
INSTALLER Signature:
Street Address:
OFFICE USE ONLY
BUILDING PERMIT TYPE
~ Fireplace
WORK TYPE
? 31 New ~3 Alterations
~ 32 Additian ~ 34 Repa'v
GENERAL WFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
.~e~.:~:;~~c~:tcX:>;ci~?XWM1~Y,::~kcik~XYK~Y,i~ Y,c~:R:~kyk~e•l.:Y~Y:~ cM:;c~X:k~
CtTY !i1= icF1GAP,
C;61.`.i;l-{:I:f.-_R~ S '1-fiPiTNi"~i... P?~!: 3C)
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p;4;`I ')~llJ:l. ~f6'7'7 ;'i0f::ftGi:L. I,1' 0.'::i~l
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~ r.r...rr.:--.
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...:";Y,::''r;;';9~;?~:'ri;',;:l::K~ X:-,',;'?~>:;y: Y;y(~; .,l' ik;t)'6%k~k: 'M%~!;
~:!;°d:° i:',::~
.i~
PERMIT
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B u i L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 0 3 7
(612) 681-4675 Date Issued: 10 / 11 / 9 6
SITE ADDRESS:
4677 SORREL PT
LOT: 2 BLOCK: 2
RI06ECLIFFE 4TH
P.I.N.: 10-63983-020-02
DESCRIPTION:
GAS INSERTJGAS LINE
B;Gild;~~g-,.,Permit Type FIREPLACE
,duild3`r9g F7"4rk Type ALTERA7TON
; `Gensus Code 434 ALT. RESIDENTIAL
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1 t i p 3
,d'~~ ~ f .M l / r~ ~ ` ~ ~ i I , ~.i _
`t~;.~s,~~,ti\~
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $-5~
Total Fee $25.50
CONTRACTOR:. - Applioant - sT. ~IC QWNER:
FIRESIDE CORNER INC 16331042 0001068 GUERTIN ROB
2700 N FAIRVIEW AVE 4677 SORREL PT
ROSEVILLE MN 55113 EAGAN MN 55122
(612) 633-1042 (612)688-7402
I hereby ~i~know3ed~g~e C'hat i havs~ read~~~his ~-~~pp1~,C~stiorY and sta~e t~haC~t~h~
information is correct and agree to comply with all applicable 5tate of Mn.
Statutes and City of Eagan Ordinances.
~ F_~ _ . ~ _ . ..w- - . ~ ~ _
APPLICANT/PERMITEESIGNATURE T~~E~,B:S' ATURI ~
O CITY OF EAGAN ~J~ f~
3830 PILOT KNOB RD - 55122 JtJ • Jf
i/
1996 FIItEPLACE PERMIT APPLICATION
681-4675
L
DATE: ~G~ . c ~ ~~o
DESCRIPTION OF WORK: _ CONSTRUCT F' FIREPLACE: _ WOOD BURNING _ GAS
~ INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
~ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTI-IER:
ROOM TO BE INSTALLED iN: L'~ ~N l`C,l< ~l~/' 2A~ (CCC~Q ~.fJCY~[~ IOIA!^dv~l~lo1
STREET ADDRESS: ] ~ ! ~ ~ ~ ~ ~ ~ ^
LOT ~ BLOCK SUBD./P.I.D.#: ~~~~n~~~^~^-~
APPLICANT: (circle one only) OWNER ~CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
y, ~,JIn Phone ~~Q~
PROPERTY Name: ~(e-r•I~l'Q_Y I I`I/~ I"~~~t/J _
OWNER ~
Signature:
Street Address: ~ f/~ ~ ~ ~D ~ l ~ ~
City: State: ~ Zip: ~
FIREPLACE Company: /7 I~ l C'~ U'IVPSiLIL°/FNPSi~~~~~ Yfione ~
INSTALLER ~ „ ~C~~
Signature: , ° ~
Street Address: 3 S'SC7 (7 GJU License
City: ~Gt Y~ V~C ~f I«~ State: ~r r ~ v+ Zip: 3~ ~
GAS LINE Company: ~ CC Vri P G~ cFl`~'PIJ~'tGQ~sPhone
INSTALLER
Name:
Signature:
Street Address:
City: State: Zip:
' -
,
OFFICE USE ONLY ~ a"~` ~
BUILDING PERMIT TYPE
? 14 Fireplace
W ORK TYPE
? 31 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REA3ARK5
Chimney/flue must be inspected before concealing.
3 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
y~ ~h'~ oF
3830 PILOT KNOB RD - 55122 Z~
851-881-4875 J
NewCanihucMonReaulreme~lh Rertwdel/Reod~Reaulremenh ~~~II'QO
> 3 reglafered aife wrveYa showlny aq. fl W lot, sq. tt. ol hane 2 copfes W Plan
and g~( rooled areas (4DX mmdmum lot covemae albwedl 1 sei of energy calcWaXOna for healad addlHOns
? 2 c~lea of plana tshow beam 9 wlntlow sl=es; poured Ind. de9gn; etc.) 1 site survey for e~ctedor addBlona & decks
? 1 a61 Of pne~gy CaICUIOHonS
a 9 coplea of hee presenatlon plpn H lot platted ofter 7/1/9S ~
~8~Oo0
pqTE; 5~-,~ c,c~ CONSfRUCTION COST: ~
DESCRIPTION OF WORK: - a ~.rs ~ewr~ n~s - S ~ z~ r,_t ~
STREETADDRESS: ti~~Loj ~4~-~g T2ra~~2s~ a'~oi~T Ulo'}~ au~~`~ _Sae~2E.~...
LOT: ~ BLOCIC: a SUBDJP.I.D. A: 2 i o~z ~ c'_l ~ F~' 4 T'"
Name: Phone Y:
PROPERTY ual F~rsi
OWNER
Sheet Address:
City State: Zip:
. Company. ~Uu~o~ ~~nSTi r~ow~s__,~ Phone la ~ a 43S - a~ 45'
(area code)
CONfRACTOR
Sheet Address: ~ ` JQ- o~~ 4 i~F Ucense # 3o a~! _Exp.
Gty 6~ til~ u t ~ Sfate: n,~ ,.l Zip: SS 3~~
ARCHfTECT/
ENGINEER Company: Name:
Telephone tl: ( )
Shee1 Address: Registration
ciy srate: zip:
Sewedwater licensed plumber (if installina sewedwata_d: P~e
1 hereby acknowtedfle Ihal! have read fhis applkatbn. stafe Nwf 1he Infortnation is carect. and agree to comp~Y ~ a0 appUcable State
of Minnesota Statuies and Cily of Eagan Ordlrwncea
Sigrwfure of Applicanh ~
OFPICE USE ONLY D ~ ~ ~ ~ ~ ~
Certiflcates of Survey Received _ Yes _ No DEC 1 1 ZO00 ~
Tree Preservation Plan ReCeived _ Yes _ No _ Not Required
BY
OFFICE'USE ONLY
BUILDING PERMIT SUBTYPES
? 01 FoundaUon ? 07 O5-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuRi
? 02 SF Dwelling ? OS OB-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 11 10.plex Plbg _Y or_ N? 25 Miscetlaneous
? 06 04-plex ? 12 12-plex ? 20 Paol ? 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 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
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
SNV Permit
S/W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Totai:
SAC Units
% SAC
51~y~ ~I ~s_~
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pernvts aze required for each unit
Date ! / ~ ~v ~
Site Address ~~p~ i.y ~r(~ U~it~~~° P(~ ~ y1T Unit #
Property Owner lV I ~s~ ~ip~ ) L,!'1 ~ ~p Telephone # ((pS I ) (,$(o ~ ~~~5
Contractor (~T, ~1 ?~2n1V'~f kS
Address ~~`jL DD)~I~ City ~vi~~i~~
State ~r/1~u F'~_~ ?V Zip j: Telephone #~pS~) .~~~aj f•3't o
The Applicant is _ Owner ~ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ tebuitd $ 30.00
_ Lawn irrigation system i U r I~~^ /S n
` ~
~ x ~ ~ ~ 4 - ,
Water softener Water heater ~~Q? $ 15.00
~ replacement _ additional
~
State Surcharge ` $ .50
Total ~
I hereby apply for a Residenrial Plumbing Pemut and aclmowledge that the information is complete and accurate•, that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an applicarion for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case oFwork which requires a review and approval of p
Z~ ~t I-~ a I l o ~~ci,~,~ ~w r~,~,
ApplicanYs Printed Name li ant's Signature
'7(~~q~ >9~.~~
zoo~ RESIDENTIAL BUILDING rE~iT ArrLrcaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 6~1-675-5694
New Conswction ReouiremenLS RemodeVReoair Reauirements OfFice Use Onlv
3 registered site surveys showing sq. ft. of lol, sq. R. W house; aM a~ ioofed areas 2 copies of plan showing footings, beams, joists Cert ofSLrvey RecE ~_Y N
(20%maximum lotcwerage allowed) 7 setof Energy Calcula6ons for heated atlditions Soi6 Repat Y._ N
1 Soils RepoM1 if proposed building is fo be placed on disWrbed soil 1 site survey foradditions & decks Tree Pres Plan Recd Y~_ N.
2 copies of plan shawing 6eam 8 wndax srzes; poured faund desiqn, etc. Addition ~ rr~d'ca~e if on-site sepfic sysfem, Tree Pres Required _ Y_ N
1 set oF Enerqy Calculatlons Orrsite Septic System ~'~_Y _ N
3 copies of Tree PreservaGon Pian'rf lot pladed after 711193
Rim Jois[ DeWil Optians ulection sheet (buidings with 3 orless units)
Minnegasco mechanical ventilation farm
Plans are considered ublic information unless ou state the are trade secret and the reason.
Da[e / 1 a l~ Coostruction Cost 7~ Q~ ~
Site Address y ro ?"7 sd~ rC P. l. UniUSte #
So f ~ QT N 4~ 78~ ~~A ~l ~Ir .
DescriptionofWork ~Q - I
Multi-Fnmily Bldg _ Y_ N Firepl~ce(s) _ 0 _ 1 _ 2
Property Owner a~.P ) , r ~ l~s ~ OC . Telephone )
Contractor f~ ~-'P ?~A/1 /l.~ I rn,~J
~ Address ~ 3~~ 5~•: t'~ ~)~''"fi ~~7 City ~S l~ vt~' f
State Zip 0,~ Telephone #((o I 2a ~'~'7 -9/7 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Categofy . Residential VenGlation Cate9ory 1 Worksheel • New Energy Code Worksheet .
(J submission type) Submifted Submitted
• Energy Envelope Calculations Su6mitted
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 ond address of masTer plan:
Licensed Plumber Telephone )
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 Ciry 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 ofplans.
Uf},~~ 1"lRR/CV S ~ ~.u-~ /
Applicant's Printed Name Applicant's ign ure
CASH RECEIPT
CITY OF EAGAN
, . 3795 PIIOT KNOB ROAD
EAGAN, MINMESOTA 55122
DATE ~ Q
rxeceivEo
FROM
AMOUNT $ I
6 DOLLARS
~ ioa
CASH ~ CHEC~ ^ I ,
~~~1~1 i c ~
_ ` ~
FOR
FUND CODfi AMOUNT
Thank You
e Y
White-Payere Copy
~ Yellow-Posting Copy
Pink-file Copy
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146100
Date Issued:10/09/2017
Permit Category:ePermit
Site Address: 4677 Sorrel Pt
Lot:2 Block: 02 Addition: Ridgecliffe 4th
PID:10-63983-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Judith A Colton
4677 Sorrel Pt
Eagan MN 55122
Uptown Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use
Permit#: / /f 6 . / D__ .
City of Eakall Permit Fee:_ i0'06
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694
Staff:
L
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial7applications.
Date: Site Address: `4 ( 7-7 SD✓rr& Pr
Tenant: I-I/al. CV+.CIA Suite#:
Name: 3 U.CU- Le)I Y\ Phone. (2 S( Cst- VO 1
ResidentiOwner 3
Address/City/Zip �[ �Lhie- ., _._.. w _..., _ __.� . _ _�.._ i
I Name: 61(e*ir 7/7,'i ' " License#:
Address: / 0te 3� d r.�-/ate �l lam- City: 2f:;2,6-, 7 *'rte,- %fly
COntraotor 3
State/ A/ Zip: irQ j / Phone:
Contact: Email:
{ New XReplacement Additional Alteration Demolition
Type of Work I Description of work: ee f/tea .4-,a -I/4' -e--
NOTE Roof mounted and
ground mounted mechanical equipment is required to be screened by City
x Code. Please contact the Mechanical Inspector for information on permitted screening methods
RESIDENTIAL COMMERCIAL
K Furnace New Construction Interior Improvement
)
Permit Type A_Air Conditioner Install Piping Processed 1
t
_Air Exchanger , Gas Exterior HVAC Unit
i
—Heat Pump Under/Above ground Tank ( Install l_Remove) §§
�_ 8
3 Other
RESIDENTIAL FEES
4
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE I
COMMERCIAL FEESContract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
=$ Surcharge
Surcharge= Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
Nith the' pproved plan in the case of work which requires a review and approval of plans.
A„Vt) (off- (A/V-. )171
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K b �� x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
_Underground Rough In Air Test Gas:Service Test In-floor Heat Final .: HVAC Screening