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3797 South Hills Cir Fieceipt MECHANICAL PERMIT Permit No. CITY OF EAGAN . ' Fee fill in numbered spaces S/C Type or Prin[ legib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. ~ Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial O Institutional O 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Eouipment 8TU - M. Ea. No. Ectuinment CFM Forced Air E(FC Air Handling: Mfg. -r -7(D q 5 ~ Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. 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 Rouyh Flnal Inspections: Date Insp. Date -L /$3 Insp. 'q&) This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Receipt PLUMBING PERMIT Permit No. ~ CITY OF EAGA11{ Fee Frl1 in numbered spaces S/C Type or Print legib/y Tot. 1. Date 2. Installation Cost 3. Job Address il'.: Lot ~ Blk. / 7ract 4. Owner 5. Contractor : . ; • ~ ~,~i, • , Phone - 6. Address 7. City State Zip 8. Building Type: Residential ~ Commercial O Institutional O 9. Work Description: New ? Add ? Alter Ca Repair ? lfl. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield 8ath 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, dnd I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final ?nspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approvad C{TY OF EAGAN 454-8100 . CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt# To be used for ~AN p{}k(;H Est. Value $14,0('t) Date Al<(,+i ,19 Site Address j' }lILj-` CR OFFICE USE ONLY Lot Block i Sec/Sub. 5i TN ii 1 LL5 1:'• T On Site Sewape Occupency MWCC System Zoning Parcel No. On Site well (Actual) Conat iE Name "<< 11Y. E) T!:Sl'EA Ciy Water (Allowable) = Address Lk PRV Required ik of Storlea ° City • Phone 452-7431 Booster Pump Length Depth , o Name - ~ ~S'i'kLCT1C.~t. S.F.Total ~ u Address 1 1~: i t.r~ Footprint S.F. I.- City Phone ~ 1'+-f~2 1~% APPROVALS FEES M Engr./Assess. Permit ' " • y~W Name ~ Planner Surcharge Address CCz City PhOnB Council Plan Review 4 W Bldg. Off. SAC. City I hereby acknowledge that 1 have read this application and state that the Variance SAC, MWCC information is conect and agree to comply with all applicable State o( Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee _ Road Unit A Building Permit is issued to: ' Treatment P1 on the express condition that all work shall be done i n accordence with all appliCable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL Building Official Parmit No. Permit Hoider Date TNephone it Plumbing H.V.A.C. EleCtriC ~f 706 ~ Softener Inspection Date Insp. Comments FootingS I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final . ~l Ff ~c Well Pr. Disp. ctnr oF EAw?N 8745 Pilot Keo6 Roed Eagen, MN 55122 N2 4720 PHONE: 454-8100 BUILDING PERMIT 4,v[;!.). Receipt # ~,ar. • , 19 To be uwd for ;,~x :w1 GE6lsAalue Dote ° Site Addre 3797 50. ss Hi1 1 s Cr.• Erect Occupancy ' t.ot ` Biock I Sec/Sub. Sou th l t i 1 1 S) 9 t Alter p Zonin9 Porcel # Repair ? Fire Zone Enlorge ? Type of Const. .ic:'-ster o~,e Nome . Move ? # Stories Z Address !~odbr. idge Demolish ? Front h. ~ Ci `Phone Grode ? Depth ft. ~ Approvols Faes o Nome r~•:tnf&,. Address ~uL' . fite PL~tz~~ssment Permit - . J261 Woter & Sew. Surchorge - City Phone - Police Plun check yVjW Name Fire SAC • ~ x~ /lddress Erig. Water Conn. ' <W Ci Phone Planner Water Meter •~'r' Council I hereby acknowledge thot I have reod this apptication and state that gldg. Off. _ the informotion is wrrect ond agree to comply with all applicable n State of Minnesota Statutes and City of Eagan Ordinances. APC Total - Signature ot Permittee A Building Permit is issued to: t•• :i ~ ia:as Lflf s:>>t on the express condition that all work shall be done in accordonce with all opplicable Stote of Minnesota Statutes and City of Eogan Ordinances. Building Official , • _ , Ponk # peM lared hewiffK Plumbing Mechanicol INSPECTIONS DATE INSP. RougM~n Final Footings Si'G Date Insp. Dote I?ap. Foundotion Plumbin9 S- Frame/ins. MecFanitnl F.-) Finol I Remarks: ~ ~ . CITY OF EAGAN • ' 3796 iilot Knob Roed ` Ea9an, Minwesote 55122 Phona: 454-8100 F'LUM]BING _ PERMIT No. 1121 Dare: ?-iay 19, 1978 Receipt No.: " Single I Site Address: 'F7 SOUth H111$ C1rC1 r` Residential ~ Lof l Block 1 Sub/Sec. SI-i lS _ Multi Res., Comm./Ind. I r. :f r) , :-:r,;.! Name New/Alter. /Repair ~ Address SOtii:l"lgc3t.e OFf1.CE• Cost of Instollotion 1in<Jton 554?~~ n.r~n City Phone: Permit Fee ),,rt Plumbing Co. • Nome Surthorpe ~ Address T:umbolclt :~ve. Phone: Total s Permit is issued on. the express condition that all work sholl be done in accordance with all applicable State of Minnesota 5tatutes and City of Eagon Ordinances. Building Officiol ~ CITY OF EAGAN ' . ' 3795 Pllot Kwob Road ~ Ea9aa, AAlnaesete 55122 Phoee: 454-8100 PERMIT No. 1169 Dote: Ap r'i 1 27, 19 , Recelpt No.: Single I . Site Address: 3797 I Residentiol Lot Block Sub/5ec. Multi Res., Comm./Ind. I Name ' ri~~~•: New//11ter. /Repair . ~ Address C.cst of Installotion City JITtl2"lc~t~,?'? Phone: Permit Fee Name . i-zinder & Sor, ; . sumhorge . ~ Address '0 r, • B llt.1.C'_r ~ u City Phone: Total This Permit is issued on the express condition that all work shall be done in accordonce with oll appliooble Stote of Minnesotn Statutes and City of Eagan Ordinances. ? Building Officiol CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 VV= SWEENFR PERMIT No. 2" I1-2'-~-78 1246F Date: Receipf No.: Single I 3797 SO. HUI9 CirCl@ Residentiol X Site Address: Lot 1 Block I Sub/Sec.`C'_c~~ ilixlS Ist: Multi Res., Comm./Ind. I Nome Fdjdhard Tester - New/Alter./Repair ; Address 3~, ~~s ~~~~le Cost of Installation O ~,r~n Cify ~ Phone: Permit Fee Nome rwyners Soft Vftter Surcharge .50 ¦ g Address 3R01. Calib0m7.a StrBet t=7.r':. r 0 ~ - City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes ond City of Eagan Ordinances. Building Official ~M. . , . . . ..K_ . . PLUMBING PERMIT For Office U Only CITY OF EAGAN PERMIT # ~ CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT~ PRICE PHONE 454-8100 DATE: ~ Site Addf~ss k • S T • BLDG. TYPE WaRK DESCRIPTION Lot ~ Ewgo9c k ~ub ~gNew - ~ Mult. Add-on , Name Vpti-C _FF wr i h ~i V~cr S comm. Repair a Other Addre c City w"nt J'~7/~• Phone~ RE3. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FIXTURES TOTAL Name 'A; c5 c r Water Closet -$3.00 ' $ 9 7 ~a, . aam ru~ - s3.00 ~ Address Lavatory - $3.00 ~ City v1 Phone 4j-'Z 759 Shower -$3.00 IGtchen Sink - $3.00 UrinaVBidet - $3.00 FEES Laundry Tray - $3.00 COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains -=1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APLUES Whidpool -$3.00 _ MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Dutlets -$1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERIAIT) ' STATE SURCHARGE PER PERMIT .50 Softener -$5,00 (ADO $.50 S/C PER EACH a1,000 PE FE Well -$10.00 Private Disp. - $10.00 . . - ough Openings - $1.50 51GNA PERMITTEE U•.G. Sprinkler System - $12.00 . PERMIT FEE: ~ FOR: CITY OF EAGAN STATES S/C: GRAND TOTAL: ~ CITYOFEAGAN RemarksLOQllIElf e,~,CJ'-OG,1~[I wdhC?t-c/~Dr I 1 nip. 4 f7L Addition SOUTH HILIS ls't Lot '1 Rlk 1 Parcel_ 10 70790 010 Ol owner -z street 3797 So. Hi1lgCircle stace EaB~, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 1973 581.88 .19 lo 5AN SEW TRUNK 1,51 1971 1 .52 'T .33 20 87 SEWER LATERAL ~p 1975 2 295•31 15i~02 15 WATERMAIN * WATER LATERAL 197'rj 15 WATER AREA .96 STORM SEW TRK iF STORM SEW LAT 1975 1 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9450 3-24-78 250-00 ' SUILDING PER. #4720 sac , 0--_ - PARK CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 eeceIven FROM AMOUNT $ I & DOLLARB ~oo ~ CASH ? CHECK FOR FUND CODE AMOUNT D A sY NUMERICAL FILE COPY OF EACsAN WATER SERVICE PERMIT 370b pilof Knob Road PERlv11T NO.: :ergcn, MN 55122 DATE: Zoning: No. of Units. Owner: Address: dress: Site Ad Plumber: - Meter No.: Connection Churge: Size: Account Deposit: Reader No.: Permit Fee: I ayree fo eompip witfi the Cify of Eagan Surcharge: Ordineneet. Misc. CFarges: Totol: BY Date Paid: „ Date of I nsp.: I nsp.: uP EAGAN SEWER SERVICE PERMIT 3745 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: 1 Zoning: No. of Units: Owner: ' f- - ` i ' Address: _ 'i.lj iY~`.t ~1_ Site Add - : ress: Piumber: I o9ree to eomply wilh the Cify of Eagan Connection Charge: Ordinanees. Acwunt Deposit: Permit Fee: Surchnrge: BY Mix. Charges: Date of Insp.: Total: Insp.:_ - Dote Paid: cirY t,. EAGAN WATER SERVICE PERMIT 379b Pilot Knob Road PERMIT NO.: taqan, MN $5122 DATE: _ i9: _ No. of Units: . Owner: - AEidress: - • Site Address: Plumber: , necti Charge: Meter No.: Size: ccou Deposit: Reader No.: 2 it . ! agree to comply ith fhe itY Ea n Sur har . Ordinancea ~ Misc. Chorges: Total: By Date Paid: Dote of Insp.: Insp.: CITY OF EAGAN SEVNER SERYICE PERMIT 8795 Pilor Knob Rocd PERMIT NO.: 11, MN 55122 DATE: _ 2u' '-Ig' - No, of Uniis: 0,•112r: Address: - Site Address: Plumber: I agree to eo wi 1ty of Eo Connection Charge: Ordinances. ~ Account De posit: Permit Fee: g $urcharge: Y Misc. Charges: Dote of Insp,; _ Totol: Insp.: Date Poid: ~ ~S a . l1.~ ~ l I ^ I~ \ ~ i •L.. S I . ? JI ` ~t1 i • 1.'?_~ ~ , fn A ~ a Z ; Z D , < y ; I ~J~ 1 ~ _ • _ ~ ~ \ - ~ ~ W ~ ~ - - - z4.r' A LT ~ m 3L ~ ' ~ _ CITY OF EAGAN N_ 14 7 4 3 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receipt# To be used for DECK & ~ 3-SEASON PORCH Est.Value $14 000 Date MARCH 29 1988 Site Address 3797 SOUTH HILLS CR OFFICE USE ONLY Lot 1 Block 1 Sec/Sub. SOUTH HILLS 1ST OnSiteSewage _ Occupancy MWCC Systam _ Zoning Parcel No. On Site Well _ (ACtuap Const a Name RTCHAR? TF.STF.R City Water _ (Allowable) w PRV Required # ot Stories 3 Address 3797 SOUTH HILLS CR - 0 City EAGAN Phone 452-7432 eooster Pump _ Length Depth a Name KURT BECF.KE CONSTRUGTION S.F.7otal .o v Q Address 1204 RONDFAL7 L.AKF. RD Footprint S.F. m P City FORF.ST T.AKR Phone 41 4-671 R qppROVALS FEES t-a Engr./Assess. Permit 138.00 Name f i Planner Suroharge 7.00 i - Address u~ City Phone Council PlanReview 69.00 sw a Bldg. Oft SAC, City I hereby acknowledge ihat 1 have read this application and state that ihe Variance SAC, MWCC information is correct and a ree to compy with all applicable State of Water Conn. Minnesota Statutes and Cf Eag Or inancgS, i~ Water Meter Signature of Permittee \ A)--~ . Road Unit A 8uiltling Permit is issuetl t¢_KURT BRG .KF. Treatment P1 on t he express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks ''-I.~yy~ TOTAL 214.00 Building Official~~ J1J\G crrr oF eacaN 3795 Pilot Kno6 Road Eagan, MN 55122 N? 4720 PHONE: 454-8100 BUILDING PERMIT $44,000, Receipt # ~ To ba u~ed for Sf D1a1 Q Q C~~Lalue Dote taT' _ 4-- 19-- Site Addrea 3797 SO. Ni115 Ci. Erect Occupancy T Lot 1 glxk 1 Sec/Sub. SouCh N1115 ISt qlter ? Zoning-_ PD - PCrtel # Repair ? Fire Zone _ __3 Enlarge ? Type of Const. v . m Name HiChETd T"ster Move ? # Srories Z 2245 k'oodbridge Address Demolish ? Fmnf ft. ~Cir Rosevllle phone Grode ? Depth Ff. - ° Nome I1. N rustafson ADDrovals Fees zG 550 Southeate Office PLBZaAssessmenr-- - PQ,ma.125 o Addreu Z'1. Ui~ Ul Bloomington phone 835-7262 Woter & Sew. Surchorge _ City - - police Plon check ~w I Name Fire SAC 500.00 4= Addreu Eng. Water Conn. 250_00 ~W City Phone _ Plonner_ WaterMeter 6~~~Q~ Council _ 1 hereby acknowledge that I have read this opplimtion ond state that gldg. Off. the informotion is correct ond agree to comply with all applicable AP~ Total ~5~.5ti $tate of Minnesota Stotutes and City of Eagon Ordinonces. Signature of Permitree - A Building Permit is issued to: D. H. Gustafson on The express condition that oll work shull be done in occordance with oll applicable State of Minnesoto Statutes and City of Eogan Ordinonces. Building Officiul -9 rni. eaows~ „oia ~2' Z< 1 ~ ~o ^~r S ( S~ (D rC~ C~ ~18n thvfrom JI6 4-54 Ranuest Uate fire No. Rouuh-inlInsw:~-tion •12-1E-81 Rp'`'~s`' ~N OReanv N~~w ? Will Notifv Insoec- mr When Reatlv u-Licensed EIer.Vical ConVqctor 1 hereby re4uest inspection of ahove ? Owner . elxctrical work installed at: SVeet AAdress, Box or Roule Nu. - City 3797 S. Hills Circle Fagan ecumi o. Township Name or No. Range No. Cnunly Dakota Occupant (PflINT) Phane No. Richard Tester 452-7342 Power Su401ier Address ElechrcalConVactor (Comuany Name) Contractor's License No. Rossoi;, Inc. 40828 g Mailirie p.dJress ICOntrar,tor or Owner Moking Instailationl P.O. Box 254 Lake Elmo, Mn. 55042 Aut ' e~IConvactor~Owner Makinfl Installatinnl Phone Number a 270- 0ZttJ ' MIN ESOTA SiATE BOAND OF ELECTRICITY THIS INSPECTION qEQUEST WILI NOT Griggs-Midwey 01dg.- floom N497 . BE AGGEPTED BY THE STqTE BOAND . 1821 UniversitV Ava.. SL Paul, MN 55104 . UNLESS PflOPEH INSPECTION FEE IS lu.....e 16121 297.9111 ENGLOSED. REQUEST FOR ELECTRICAL INSPECTION ,z-;, Ed-00001 -03 T 7 C AV 'TC~ II' See instructions tor completing this form on b, ek of ~ ~t Vellow coPY. ~ ~ X" Bewjw Wor7c Covered by 7his Request '291~2-;z Q Ne Add Rep. Type of 8uilding Appliances Wiretl Epuipmenl WireA Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Fumace Silo Unloader Industrial Btdg. Air Conditioner Bulk Milk Tank P2r01 Other o.!m v thar (Sper.lty) t er SUecily Other Oth, Compute lnspection fee Below # Fee ServiceEntranceSize p Fae Faeders/5ubteetlars N Fea Circuits 0 to 100 qm s 0 tu 30 Am s 0 ro 30 Am ~s 107 to 200 Anips 31 [0 700 Amps 37 to 700 Fvn A6ove 200 qmps Above 100_Amps A6ove 100_P.m~s Transiormers Remote Control Circ. Partia!%Other Fee $iyns Speciallnspection $ Remarks 10. (~~TAL FE ~Or RoaO~~-~n ~~~~1 I, the Electricel ? Inspectoq hereby certitV-that the nbove Final O:ite inypaction hns been made. This request voiA . 18 mon[hs fiom T s request void LI ~[7I ~~pl,l~~ ~-(l I rj ? sO v~ ~a. 1~months fram AG'l- 4061A v' Ao, oc) I le.quest Uate Fire No. Rou q~wNh-in InsVection ? G Rer.er~ed7 ?Beatly Nuw ~'9~ill Notify, InsOec- '„7 ~ 2~~ Q j p~es ?No torWhen Reatly Q rcensad Electncal ConV»ctor I hereby request inspec[ion oi above ? Own'er elactrical work instelled et ' Street Address, Box or Route No. q rtt, Ciry :3 77 7 S-o .~G CC~'t\cA~ `~~•r'-sv eclion o. Townshio Name or No. Ran e No. Cou ity O a. ccq t IPfl NTI Phane N .s ~ z Power $upplier . Address Electri I gon~ actor (Co y Na ConVactotes License No. G~~"~-~`~..~~ ~ o y ~r Mailing AtlJress (COnttp ctor or Owner Making Insteil tionl o Authori e 5'g~a[ re (C ntractor Ow r king Installetion) Phone Number , ~ f~ -iJ Gr THIS INSPECTION HEQUEST WILL NOT MINN OTp STATE 90AXD OF ELECTNIGTY Griqps-Mltlwey Bldg. - Noom N-191 BE ACCEPTEO BV THE STA7E BOAND UNlESS PflOVER INSPECTION FEE IS 1821 University Ave., St Paul, MN 55104 ENCLOSED. Q REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-oa { 4 , See insVUCtio.s lor completing this torm on back ot yellow copy. "X" 6elydv Wbrk Covered by This Request 3S ~g~ NZ Ad YOe of Buildin9 APOliances Wired Equipmant Wired .1 Home Range Temporary Service Duplex Water Heater Lightin Fixtures Apt. 8uilding Dryer Elec[ric Heatin Commercial Bldg. Fumace Silo Unloacler Industrial Bldg. Air Conditioner Bulk Milk Tank farm Other Pxci Y Other (SUecify) t.er Sueci y Ot er Other Compute lnspection Fee Below H Fee Service EntrencaSize N Fee Fexdars/Sub(eedars k Fee Circuits 0 to 100 Am 5 0 to 30 qm s 0 tn 30 Am s101 to 200 qmps 31 to 100 Amps 715D 31 to 100 qm s -tOZO 200 Amps Above 100_Am s Above 100-Am s or `e'r' Remote Control Circ. ) Partial,'Other Fee igns _ ~ Special Inspection $ Aem~ncks 4 ~ OTAL F E S nouen-r„ Insoecmr. h ca r y . certity that a Final , cDate i.spectiun has been mede. -¢zr This request void 18 months fwm This request void 18 months from Q Date,o~£ Request~Z6 P 6'3080 l ~U I, as ' LL~I icensed Electric Co tractor ? wner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route Na. 3 7Z7 ~-.14~~ C. y;9 Section Townshi Range County . Which is occupied by Q.v (Name of Occup Is a roughin inspect' re uired on this job? No ? Yes Ready Now ? Will Call B" Power Supplier AQdress ~ i i Electrical Contracto ' Contractor' License No~7~'6 omp eJ Mailing Address 5 6 - 4/3 (Elec cal Co ~actor wn Making Thls Installatlon) Authorized Signature a Phone No. 7i3 -61(l l (E t c 1 Controctor or Own r Making ThIs Installatlon) STATE B RD COPY This iirspaction request will not be accepted 6y ffie - State Board unless proper inspection feeis enclosed. Minnesota State 6oard af Electncity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ~f3EQUESTFORELECTRICALJNSPECTION P 63080 CHEC99CLOW WORK CO ERED BY THIS REQUEST TyyiR ot BuAding New . 6ep. Check Appliances Wired Fr Check Fquipment W'ved For Hu - ? ? Range [Er Tempoxary Wiring ? uE plex ? ? ? Water Heatet Lighting Fixtuces ~ Apt. Bldg. ? D ? Dxyei C~~ Electric Heating Commecciai Bldg. F-3 Fumace Silo Unloader ? Industrial Bldg. Air Condi[io Bulk Milk Tank ? F,azm ? ? pList List Other ~ ? ? Heheis) Heiers COMPUTE INSPECTION FEE BELOW Service Enhance Size: # Fce Feeders&Subfceders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eies 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. A6ove 100 Amps. Above 100 Amps. Transfocmers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fe Rerhatks TOTAL F a,~ I, the Electrical Inspector, hereby ceat r a 6ve~inspection has been r (Rough-in) Date S 3/'- l) (Final) Q- ~Date r'-:;b - 7 This request void 18 months from ~ This request voitl 18 mmn ths bom Yy~lS 6 ~ D 967 6 fleques[ Uate F re No. RouPh-in InsUec[ion nspec- ~ / N q ired? ~Reatly Now p4W~li Notity, I t'J ~ es ?No ~ Zor When Reatly Ucense0 ElecVical Contmctor I hareby request inspacfion of above ? Owner elactrical work instelled at: StreetAddress, Box or Route No. t ~ CitY 3,7967 SvvTh Xr cFt-c ~ cy z,,-cz. ec[ion o. Township Name or No. Ranpe No. Coanty 07' Occ nt IPflINTI Phone No. Power Supplier ANdress Ef~'~~ ,Esa,l Conytr~alctry ICOmpany/Namel J+ r Cunhayr,t~or's License//N~o. IL~YY~T N ~L~.!'~+ 1 ~~l/ Mailing AdJress (Co c~m or Owner Makinp Ins~al io 1 ~ J 'Tat v or' A Signature 1 to ner Mak{yie I .1lationl Phone Number 96_-_zVW TMIS INSPECTION flEQUEST WILL NOT MINNESOTA STATE BO D OF EIECTNICITV Griggs-Midwey Bltlg. - Aoom N-791 BE ACCEPTED BV THE STATE BOAHD IM121 Universitv Ave.. St Peul, MN 66104 UNLESS PROPEF INSPECTION FEE IS ° °47-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os See instructions 1or completing this form on beck o1 Veilow coFY~ II, bl~' ~6 7-n V 6 "X" Below Work Covered by 7his Requesf pdd Re6. TVOe of BuilUinB ~+o0liancee Wiretl Equiumenl Wired Home Ranye Temporary Service Duplex Water Hezter Lightiny Fixtures Apt. Building Dryer Electric HeaUn Commercial Bidg. Fumace Silo Unloader InAustrial Bldy. Air Conditioner Bulk Milk Tank Farm tnxr oeei v Ihce ISnrr.ifvl C ~ er pvcify ther 01h(ar ompute lnspec[ion Fee Be/ow p Fee ServiceEntranceSize n Fee Feeders~Subieeders N Fee Circulls U to 200 Am s 0 io 30 qm s 0 tn 30 An+. os Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 700_Amps Above 100 os Transtormers Irrigation Booms Partial.' er Fee iNd Signs SUeciai Inspection $,W TOTA FEE .U Pemxrks ~ ~ ~t r4ddc?" rt7 flou h-in p "e EI ric InsPector, heraby certify t~et the above peciion hes bean Final ` Date ` ins mada. l ~niE 70 months irom l i4h . ~ . ~SQTA,~q MINNESOTA VALLEY ~eOT yq 'SURVEYORS & ENGINEERS.CORP. . ly IXqOE-I2TNAYENVES011TX 6YNNA.LL1E,MIXNESOTA55379 PA-: 19P77SY Certificate of Survey for: ~USTAFSDN _ ~ • - SO(/Ty - , ' • _ C~iPCL Lc- - ~ . r'~ t . I~ - - - - _~scorr oA~ - - ~ Lot 1, Slock 1; South Hills First Addition . ~ . ' ~ , . 1 q«ebrevri/y fhat rhiti is a vua and aan•ar .prosentafian NIllislg0~ s Vallly $UI'YlYO~ E ~ . . . . FY Y; el a furv.y el IFe bovndanea o/ Ma ohov. d..arrb.d land, Engl'lfs, r' ~,pf~~ pnd of Ihe IeeoNen ol all 6riiding~, Me,eon, ond all visible - _ bY R L S . ~nvoaehmenls, iF any, bom x on + d land. • A i` aurvey.d by me rFuL= S~day efSE."PT _A.o. 191 4 NilillrB Reg. No. -3 ~ . . . ( i. . . . . _ 's . . - _ i~ . . . . . . . . . r Total exposed roof/ceiling area Total skyl'ght area k. Total roof~ceiling framing area (average 10~ ~ 1. Total net insulated roof/ceiling area......... : Determine "U" vaTue for each roof/ceiling segment. J 7C n11i' _ k. X r,Un 1. g i;UU _ 4 .............e....::"..:..................Total = If total of #!I is the same as, or less.,than N2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope'Design . To utilize the total envelope system method, bhe'values establis'^ed by the sum of items #3 and #4 shall not be greater than the sun c°' items #1 and #2. 1. + 2. _ 3. + u. _ , 1 . ~ EXTsP,IOR E NMELOPE AVER,SGE "U'° COPBPUTATION aWNER R~u~-,ev T~Sr~e - szzL ADDRSSS^ Io_q I &.ock t SourH Hie,u ` I st R, CONTRACTORt H. LUSTAF.tbN 4. A'SSoC,. /NG, D=3•21- FHCNZ$3S-72G2. Determine vrorking square footage of•each: 1. Total exposed wall area 1509 sq. ft. x.17 = 25~o•S3 2. Total roof/ceiling area //5l$ sq. ft. x.05 ° 5.41 Total exposed vrall area above floo'r =140ig a. Total waJ.l w1r.dovi area /35,0 b. Total dc?or ar,ea / c. Total sliding glass area a9•4 . d. Total firepl«ce wall area 7. e.. Total wall fr.aming area_.(average.l0.%)..,-. 1440-15 f. Total net wall area above floor 883.0 g. Total.rim joist area , . . , . /RO.O - Total exposed foundation area h. Total foundation wir.dcw area /115 i. Total net four.dation area above grade Decermine "J" va11te of each wall segment. - a. 135 x "U" ,55 = 74,2 t b. s x t}ut, r.1s C. , x «Ut, D. g vrUml e. IYp. I X 9iUti .T~ _ . f. 813' X"U" 49.27 g• 20• g ,~Ur~ '(e_ ilzo h. D X U" ? i. 9$.5 X "U" .39 • 3 ............................................Tota1 = 227.01 If item #3 is the rame as, or less than item #1, you have met the intent of SBC 6006(c)2. DATE BUZLDZATG PF.RMIT APPLICATION include 2 sets o£ plans. 1 site plan w/elevations and 1 set of energy caiculations. ~ 7b be used for Re-s,p&-ki`oh. Valuation jf'7 pBv site Address: 3711 S. *GCS Qt.BCGC-' Lo!t 1, Block Seo. SuD, Parcel Number scoret +tca.s W Aoo,PnN Owner AotCNA'2? TG57E'IC Telephone Address 23'qS 13600 SII.f D(et ,/aSEULuL< . Nr#.),7. ~ Contractor,D, P. 6pam~1 ~ r~aOC . lIUG Telephone Azs' 7Z.(p 2. aaclress fQSa S&uztllo~ft OFf~ P[~}2A ri, l~'~0 ww. s Y3t Arch./Eng. b.K. 4105PV-SW *96t. Telephone A&C'724Z _ Address OFFICE USE Erect AlgW 146tl5p- Occupancy Alter 2oning Repair Fire Zone ~ Enlarge Type of Const. ~ Move N of Stories nemolish Front Grade Depth OFFICE USE Oate of Approval & Initiai FEES Assessment Permit ~ZS Water/Sewer Surcharge Police Plan Check Fire SAC , fi .D~DO Eng. Water Conn. Planner 4•dater Meter Lbuncil Aldg. Off. ~ - - A.P.C. TOTAZ, - <d ~ . ~ , 7988 HUILDING PERMIT APPLICATION - CITY OF EAGAN ~ 43 SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS ~ NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/SOMEOWNER MQST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL TJNITS FOR SALE UNITS 4 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT., 7 SET OF ENERGY CALCULATIDNS COhMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: 75rAyD~~Drtl~ Va uation~ /~OVc~v Date: - ~ Site Address OFFICE USE ONLY Lot ~ Block ~ On aite sewage_ Occupancy MWCC system Zoning Pareel/Sub 15;0krm Hw.~ 157- ADmN- On site well ~ Aotual Const City water Al.lowable Owner PRV required _ 1l of stories p Booster Pump _ Length Address 37"1) Depth S.F. Total City/Zip Code t/._.. Footprint S.F. Phone L'Sr~"' APPROVALS FEES Contractor Engr/Assess Permit 3~J ~J~°-,,... • Planner Surcharge , O v Address uLk.t~r Council Plan Review (~9 Do ror`1~ ~~4 ~^;~~`js,o B~dg. Off. 3~25 SAC, City City/Zip Code 1" S•1 Variance SAC, MWCC ~ Water Conn Phone ~ Water Meter Road Unit Areh./Engr. Treatment P1 Parks Address Copies 1 City/Zip Code TOTAL '00 Phone 1i PERMIT # ri 1 ~ RECEIPT DATE: 2002 RESIDEPTlAL PLUM$INfi PEIiM1T APPLICATION crrYog EAsAx 3$30 PILOT KAOB iiD £R6kA, bIA 551EE 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: 7 7 ~ P'"--- OWNER NAME: : wq~ ~ TELEPHONE yts"f~ 6~ (AREA CODE) INSTALLER NAME: TELEPHONE ~ 5V9/- Sf?G 7 E STREET ADDRESS: (AREA COD CITY: STATE: ZIP: ~ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 Counry fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit 518" meter'rf needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ~ ReplacemenUadditional: ~ watersoftener waterheater $ 15.00 State Surcharge $ 50 Total $ ~S s° ~ I hereby acknowledge that I have read this applicaGOn, state that the information is correct, and agree to complywith all applica6le Ci of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for an amages raused /b e City during its normal operational and maintenance activiUes to the hacilities conshucted under ihis permit within City propertylri -of-w~y/easemQrrt SIGNATU OF PERMITTEE 1/0~~ Ili, • t �'i i � For OfficeUse I /r /5 ' % 1c� � r ' • < ,c ivrEi hiermilM. FEB 2 2 2019 Permit Fee: 1p_) • (.) 3830 PILOT 0108 ROAD.I EAGAN,,MN•55122.18.10 Date Received: a ;Jl / c( (651)675,5675 I TOD:(651)454.8535 I FAX: (651)'675-5694 • .bulidInginseect nsOcItygfea9an.com Staff; . t_ di J .2018 RESIDENTIAL PLUMBING PER,MJrr APPLICATION 6 -I1 Date: 1 ..o 'Site Address; 0 ,4 / /16t t +" , 164 D. Tenant: U�(/�/� 1 (t4.11,..,,,,,/,.(t; .1S.F F N N. —h I/ I Suite# .__ , VIN N tit� 13)`iill �p ep.� ; . .0/t• /J. Phone: W-4,,'/A i.l4, ,u (�q)y'd#):fr Address/City/Zi.: 'r' ` 4.. _ • �,O" t>i, 1' �� MILBERT COMPANY dba CULLIGAN WATER r /�I ` ,� i�'>�!5�,1.i�,iiy ��' ,+��9 Name: `_ S Vt � License#: WC641376 { la"`1'st +�' . 17ffu5 Address: 1801 50TH STREET EAST `f 4tQI'tt 17, . �•�I• )�� City: INVER GROVE HEIGHTS r., v 4s'.i,,, 4� State: MN Zi 55077 • °'' 4 j't X.,)0,,-I. 8cja�9� P Phone: 651-451-2241 a.`. ,/ .r ARIA, 'Mitt i art')1>Sr.3,(gt(-10 ; S;q£1', Contact: BILL MILBERT Email; •loria.abas@culligan4water,com rOtt. s' Is. I 9t''(t — I., s.. „,, se New Replacement Repair Rebuild Modify'Space _ iWork in R.C.W. .f,,,m,d}: ,V11$1144A, %AA Description tu. 4 , �.,T` D ptlon of wo _............_,..........__ rk: t.- S t;k',Apt ,?'• z ,:1;'c+. RESIDENTIAL 4 ',folio.,l ). ,lj�� •t't;�),.. ' l �I,i,:yA,+t+,l h,� _____Water Heater • • tc"`` 41, ��,'10 i 1• Lawn Irrigation }3 �t 1 � �T+("'t' bj't RPZ/ PVB) --X.Water Softener + 44' ,,tG„ �,,, � Septic System Add Plumbing Fixtures ( Maln./ 41,104.11.41 �1?'a y Lower Level) reVell,i,{ — New • Water Turnaround el •,> wt'+yuan. ,1rrtYY(r,`•�.i'.'.w Abandonment RESIDENTIAL FEES: - --- _.....- -------- • • $60,00 Water Heater,Water Softener, or Water Heater and Softener(Includes S.ta.te`Surcharge) ---.— ~ — $60.00 Lawn Irrigation(Includes State Surcharge) • $60,00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround"`(Includes Slate Surcharge) 'Water Turnaround(add $280.00 if a 3/4"meter Is required) $115,00 Septic System New(Includes County fee and State Surcharge) TOTAL FEES $ 60.00 CALL BEFORE YOU DIG. Call under r underground utilities, One Call w(651) r 54-0002 for protection against underground ulllhy d.ar� mage•,Call -- hours be ore you Intend to dig to receive locales of underground utilities, www.-o.herslaleonecali.oro You may,subscribe to receive an electronic notification from the City y of proposed ordinances by signing up for an email update on tho City's websito at www.cllvofeegen,eom/subscribe. I hereby acknowledge'th'at 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 (or e permit, and work Is not to start without a acc rdancewith he approved pi ppp In the case of.work Ich requires a review and approval of.an r , Perm I; t al the work will be In A. x �' / t tr Appilcant's•PrintedName �� x �(�( ,K Applicant's Signature 4ir("°d?,:. t,,•14:.,""• Ltrtitatra:At'ir 4i)Ty{ I tor�il iv117,1,ti:1`i•`,r..':;:li:,;'G ,1 ki)iQrr Q :IGE US'6w,,,is. „ �;.,5,.S,. .. sf: .. . i.6S,n.: .tt?,!vill.' 4 rvy ll,l, 1,1/44t0,1iY t k �>,(i. 'r"•'',k i,d.F;�J.��i,�5�,�; �1 r�iS'�:',;'i:;34 ;,r>, r ,;. i64,3.r� ,r.,,Yri.,y,:r �u ��..i': �. �.' 'h., r'cn<, `•.N' )`1 Mss, >1 Y•!.' `` +,: ' aIM t1'ii: i.r .r,n t Y'), 1. '/lipVi,ig l a :. a( li .4)'.k.i' :r4,:i aee +fl.r)' '.�1'•r..�.'Z '�';�'%Y•'�,. a',i.r,irs�i '..�5r'r+r '•. :}rte,;;1. �6,V,18y.J0 .1,(g. ora' .�_:) r.^•<'1 ly,xn..` ,t!\.ry.. t%r,�..' .� { e S ;,i 4 {: ._e i 5,...;ir,:I�r: ,.!r!i„Y'':T' Y f”. r ,•.. .,';i,s rtw bQnS.:..%1:1..,r.t} ' ta.!{nd 4iN ii:14{ri 1 Re •�� .Iri' �a,:f::'r:. :�{tst��,�ur��1�J�j�d�' i• i' i, ,.b r ,r"i t; 7r.•,�.if : F l:..r.,... a. ) ��, 3. ' rl�} 1i�$: ;�.r ., t '•y14t1`t ti}� 1�2 ;f.;` •y'�'i��ifit(?!Pi Y'r.. <'t:}1+F44b�:+tl:4,vrf.baIVY. , jf'4�Y r•1: ;(,f . 4nt7r •- SE'i �!`{1...,(kerxv t ,Qf g' r r fi:l• 41&1 g1 i,'t}•t, . i t k f�£r t$,„,..1.r :1�7h t. ^'ft tt pp �. i "'/ ,:. t,f �++I• , ,p<fi ,a Ro: >i q s�:.r,t.,y t :i fi i•!�i,iii�'��'- 44p: ;.. �r..lr`' a!'}i1r��(�tb�r�f. �/�y,y( ll��,"4�., c5•t�t?� iV1'9P'�fr$�I� SF;i is jL, d,/7,�,.i;.'t T ,` ;rfn. �r,� ti'' r�_�.. t•,SG•.L � tI '^kt.6- '1., 'l ti "? ``3't.•4'V'zI,t �.04g0 4# :U..+t.,tv,il i'1 :roN,,,!"i .,i' -;N . J cam, ,) DE,,, �� ` .Fr,�V1�� 1.fs ��Y• ,o f t t,J. I;rT f �J`r•a , .},,,:t`r,' F:�C cr#� !yd a. 5ry,. �.�'.Ir�E•.9.4� 91 fe., •ii'. t b .a. :;r;a a:isr r.�Xr'•Z�RnI%,}4)i.•.•}:tt,l�' •r :,;�:�' ;�.�,s x+(@ •+,/��' s r ;.. yW,.t�/ .s"•t�..�,�::3;1! R, 1...,d,Li0.n7',.,. 3,.,!7:.,,.c w.`iY,,,,t :lr 't i)ap tr.60 J ,.di z,,u. L}r t r,. �.q!,?', ({ 3 � l t� r l htrz, {r?,.:r,,�+�•• i , h ,\ f', ,•C t, r J S? ! b31::,,,. i.. r{`'•1 £li `I� r �o ,'' e . 1_s,f ad�Qkl�eg„,i! k;vfylpri ,`i ` �,, ir�'',F:.,,��t �S �fi• Yi.`,,4: ,,g0, �Yii, • i.. �ff?�n:,'4�:�ii;lt�`:t 4��'J•A�yll,•�'c��:r,3l�t;.,.;:. r For Office Use :::( . Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(ftityofeagan.com 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 05/20/2020 Site Address: 3797 S Hills Cir Eagan MN 55123 Tenant: Bethany Grace/ Beth Ismil Suite#: Resident/Owner Name: Bethany Grace/Beth Ismil Phone: 6126709047 Address/City/Zip: 3797 S Hills Cir Name: Janecky Plumbing & Heating License#: Contractor Address: 720 Pontiac PI City: Mendota Heights State: MN Zip: 55120 Phone: 651454-9297 Contact: Dave Email: Type of Work _ _New _Replacement _Repair _Rebuild ✓Modify Space _Work in R.O.W. Description of work: Rough in plumbing for bathroom sink Tankless Water Heater Lawn Irrigation( RPZ/_PVB) Standard Water Heater Description Add Plumbing Fixtures(1/ Main/ Lower Level) P Water Softener Description: rough in plumbing Septic System New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60. tion (includes State Surcharge) $60.00 New fixturesjidding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and$200 for Radio Read =$550 *Sewer&Water Permit also required for connection charges ��1� TOTAL FEES$ COO 03 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ord'nances 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 with t permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ape ' I of plans. Bethany Grace x Applicant's Printed Name App cant's *1!"7 "' Page 1 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA164133 Date Issued:09/21/2020 Permit Category:ePermit Site Address: 3797 South Hills Cir Lot:1 Block: 1 Addition: South Hills 1st PID:10-70790-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Beth A Ismil 3797 South Hills Cir Eagan MN 55123 (612) 670-9047 Options Exteriors 460 Hoover St NE, Suite 2 Minneapolis MN 55413 (651) 705-6376 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176615 Date Issued:05/24/2022 Permit Category:ePermit Site Address: 3797 South Hills Cir Lot:1 Block: 1 Addition: South Hills 1st PID:10-70790-01-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Bethany Iris Grace 3797 South Hills Cir Eagan MN 55123 Black Ladder Restoration Llc 150 32nd Ave NW St. Paul MN 55112 (612) 743-3082 Applicant/Permitee: Signature Issued By: Signature