3778 South Hills Ct SEWER SERVICE PERMIT
CITY OF EAGAN
3795 Pilot Knob Road PERMIT NO.:.
MN 55122 DATE:
Eagan,
Zoning: _ No. of Units:
O
wner: _
Address: _--
Address: 773 :i , _ .
Sit 1 car
e
Plumber: --
I agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee: -
Surcharge: - -
By Misc. Charges:
Date of Insp.: Total:
Insp
: Date Paid:
.
CITY OF EAGAN W
3795 Pilot Knob Road ATER SERVICE PERMIT
Eagan, MN 55122 PERMIT NO.:
Zoning:
-------- DATE:
-------------
Owner.
No. of Units:
Address: ?t
Site Address:
Plumber:
Meter No.:
Size: Connection Charge; -
,Reader No.. Account Deposit:
1 agree to
com
Ply With the City of Eagan Permit Fee:
'Ordinances. Surcharge:
Misc. Charges:
By Total:
Dote of Insp..
----------- Date Paid:
------------
Insp.;
CITY OF EAGAN
' 9795 Pilot Knob Rood Eagan, AIN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
.. I&. & Gar&. ,.. ..
Site Address 3 / 18 bo HILLS 1. C .
Lot Block 2 Sec/Sub. !i 11 s t
Parcel # 10 7 •' ' 90 1) .) .
at Name
W
Address
city
o Name
ZV
o
Address
u
u
~
Ci
WW
?W
Z
xr? Name
Address
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.
Signature of Permittee
1'• 14 Gus t f son
N! 4977
ept. 21 - 78
Erect ?x Occupancy T
Alter [3 Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish C] Front ft.
Grade ? Depth ft.
Anoro vals Fees
Assessment Permit
Water & Sew. Surcharge
Police Plan check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council -i
Bldg
Off
.
.
APC
Total
• ??
A Building Permit is issued to: S on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Fennit # Daft bmW Fermlttee
Plumbing
Mechanical
L
INSPECTIONS DATE INSP. Rough-In Flnol
Footings '- $ Date Insp. Dote Insp.
Foundation _ Plumbing
Frame/ins. Mechanical
Final
I
-f-iA?e 9' A rat P ??riX?? y ?
Remarks:
r!' ,p
CITY OF EAGAN
3745 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454.8100
J , i ,• . - PERMIT
Date:
9-28-78
Site Address: 3778 So. Hills Ct.
No. l-''
Receipt No.: 11842
Single
Residential
Lot Block 2 Sub/Sec. So. Hill-S, ISt I Multi
X
Name hl:SLaTSOt} New/Alter./Repair
Address Cost of Installation
City
?' 1 S • Phone: Permit Fee
Name Grp} ,,, S(!
- Surcharge
ddress So. Rober' r
V
City j,oser?ount, :5)" Phone: Total
This Permit is Issued on the express condition that all work shall be done in accordance with aft applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RECOVeo
FROM
AMOUNT F-1
DOLLARS
roe
? CASH ? CHECK
FOR
'hank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OFEAGAN Remarks 0Qn - a I?PSCJi ?C7i ,Lk1Ira b./7lt
R
Addition SfJLTTH HIT- 1 st lot $ Blk 2--Parcel 10 70790 ORO 02
Owner&ef l h-` NarA r il•toml i Street 3778 SO. HUTS Court State FAganz ITT 55123
1
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING 7 1973 581.88 58.19 10 174.62 A007648 4-17-79
SAN SEW TRUNK ('5 1 1971 146.46 7.32 20 80.58 A007648 4-17-79
• SEWER LATERAL 3 0 975 2.295.31 153.02 15 1530.21 A007648 4-17-79
WATERMAIN
* WATER LATERAL 1975 18
WATER AREA 972 2 143.54 A007648 4-17-79
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250.00 11816 9-27-78
BUILDING PER.
SAC 500.00 11816 9-27-78
PARK
This regnst void 18 months from ?-A a
7 L?Q t4
Datebf this Request,/ / 1-1V P 94223
I, asLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Mdress or Route No. S /J,//J- C-/- City?4?'ih
Section'Township
Range` County e?!____,?f;&
Which is occupied by /? -/ 7 . l /'c 1 {a fSe v a t4 frGc -
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes 0 Ready NowX Will Call O
Power Supplier (.( - , L
Electrical Contractor
(Company Nam
Mailing Address 7 ?/ C -
(Elec rl etc nt ri
Authorized Signature (EI al Contractor or wr
SLATE BOARD COPY
V07 1 '174
Contractor's License Nqd3?2yr
No. 1.?SAAJ'
This inspection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
University Ave., St. Paul, Minn. 55104-Phone 645-770 9
4P a
?
` REQUEST FOR ELECTRICAL INSPECTION
CI? C.K BELOW WORK COVERED BY THIS REQUEST
P
9422
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range El Temporary Wiring ?
Duplex ? ? Water Heater Lighting Fixtures ?
Apt. Btldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace L? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ® Bulk Milk Tank ?
Farm ? ? ? List List
Other _ o 11 11 Heh HereOthers
COMPUTE INSPECTION FEE BELO
Service Entrance Size: # Fee Fee s& Circuits: # Fee
0 to 100 Amps. 010 30 Am res 0 to 30 Amperes
101 to 200 Amps. / Du 31 to 100 Amperes 31 to 100 Amperes
Above 200-.Amps. Above 100 Amps. Above I00 Amps.
Transformers 1 1 1 Remote Control Cite. Partial or other fee
Signs Special Inspection Minimum fe
Remarks
TOTAL F Si
?
1, the Electrical Inspector, hereby cert' a; b ve i4lspection has been de
(Rough4n) Date 7i
(Final) Date W- } 7
This request void 18 months from
This request void 18 months from $-Z ?O? S? 1 /tea d
R 1388
Date of this Request
I, as Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route
Section
Which is occupier byJ
Is a roughin ins:
Power Supplier
Electrical Conti
Mailing Addrev
Authorized Sigi
NAM
this job? No Di Yes ? Ready Now C& Will Call ?
-Q;?VAd4ressy?/1L4 ??300
Contract 's License No V / y me) J J?T
ectrFal Contragtor or Oyrrfer Making This Installation) i, _ r
L Phone No.] J t'/ /J
Contractor or Owner M sing This Installation)
00 This inspection request will not he accepted by the
State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
191h University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/-2 aoAse-
R 1388
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range ? Temporary Wiring ?
upl" ex - ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Con 'N'
6
? Bulk Milk Tank ?
Farm El C] E] List
ethers 4
UPI List
ethers
Other.• ? ? ? Here Here COMPUTE INSPECTION FEE BELOW ®®
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Amps. 0 to 30 Amperes 0 to 30 Am eyes
101 to 200 Amps. 31 to 100 Am res 31 to 100 Am Peres
Above 200_Amps. Above 100 Amps. Above 100Amps.
Transforme[s Remote Control Cuc. Partial or other fee
Signs Special Ins ection Minimum fee 5
Remarks ? "' , o _ - - e-
1!-'++'411 !?""?4°?[.0, TOTAL F E o
r
1, the llectricaAnspector, hereby certify that Ve above inspection has been made
(Rough-in) f Date
(Final) Date
This request void 18 months from
CITY OF EAGAN
9795 Pilot Knob Read Eagan, MN 55122
PHONE: 454-8100
BUILDING *ERMIT APPLICATION $51,000. Receipt #
- Sf Dwlg. & Gar&.
Site Address 3778 So Hills (:t.
Lot 8 Block 2 Set/Sub. So 8111 c 1 s t
Parcel # 10 70780 080 02
a Name D H Gustafson d Assoc
W
Address NI 1n
__ a4S_'19L9
oo Name _
Address
Ci _
Name _
?w
4Z Address
Ng. 4977
Sept. 21 78
19
Erect [3[ Occupancy
Alter ? Zoning B1
Repair ? Fire Zone --3„
Y
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth it.
Approvals Fees
Assessment Permit L4L.UU
Water & Sew.
Police
Fire Surcharge
Plan check
SAC 2 5. 50
500.00
Eng.
Planner
Council Water Conn.
Water Meter
Park Don 250.00
60.00
120.00
Off
Bld
.
g.
APC
Total 1097.50
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.%,1?Tt
Signature of Permittee -
A Building Permit is issued to:
all work shall be done in cc cc
Building Official vc
a__
D. Gustafson on the express condition that
oll?a plicable State of /ytihnesota Statutes and City of Eagan Ordinances.
?g77
DATE +U-78
BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used for SIw&LE Fjt?IL.Y A-ec' Valuation
Site Addrest: %7'76 $643'1-ei (- I".r COUG'T
Lot S Block 2 See. Sub. Parcel Num_p€r ID 7n7W ODD O
gb. *ro (+IL-r Flotsr 41POI -79-
owner Q ((, Ce v5 rA lata-+ t. I{GS °c. / uc. Telephone a3? '1 %AO-L
Address Mks.
Contractor D. (i. 6.4& -Af-ia," i /grsoc.
Address N,21$-
Arch./Eng.
Address
Erect v
Alter
Repair
Enlarge
Move
Demolish
Grade
Telephone 83r- -72-(.'-
Telephone
OFFICE USE
Occupancy
Zoning
Fire Zone
Type of Const.
# of stories _
Front
Depth
OFFICE USE
Date of/)Iroval & Initial
Assessment _ ?.
water/Sewer
Police
Fire
Eng. -
Planner
Council
Bldg. Off.
A.P.C.
FEES
Permit lYa
Surcharge mss -°",
Plan Check
SAC S?
Water Conn. s?
Water Metter r
O
TOTAL
// L7
10C,I
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New construction Requirements
• 3 registered site surveys showing sq. R. of lot, sq. R. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• i set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 7/1193
• Rim Joist Detail options selection sheet (bldgs with 3 or less units)
DATE M- O D
SITE ADDRESS Mn s t ? W C48WLj MULTI-FAMILY BLDG _Y ,?( N
TYPE OF WORK GJ160A FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT 0+-
STREET ADDRESS 93y- r Ale Aj
TELEPHONE # ?a51 ?lI a3?T CELL PHONE #
VALUATION ` &g60•QU
557?"?5
FAX #
PROPERTYOWNER Z,?nQ QUOn TELEPHOr
,1 AUG 14 2002
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ON l?
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNfAtTA?-
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant CMG
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Remodel/Repair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions R decks
• Indicate' home served by septic system for additions
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
/z/ or) . -7S
Fee: $90.00
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
- Framing _ Siding _ Stucco _ Stone
_ Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
\1
1\
1
j, \\ Q
r
/ ?
r.. \
l
r'' 1
cis
?1-
N
2
+1,ZL?
;