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3782 South Hills Ct YILLAOI SF EApAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: 2761 Eayon. MN 59122 DATE: 7I8/76 Z°ning' RT No. of Units: 1 Owner: n_ u C»atafs~+ ~~ate~e Address: 5ite Address: 37R? Sn _ H; 1 c (-t T 1 1 n~ 0- Hill g Plumber: Gustafson 6/1/76 #3076 10$.00 pd ~°o"" tO wmMr wift the Vilby* of Eo9en Connectlon Charge:350.00 pd ~inances' Account De poeit: Permit Fee: 10.00 pd Surcharge: • 50 pd BY' Miec. Chazges: Date of Insp.; Total: Insp" Date Paid: nLveF AF EAGAM WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: 2009 Eagon, MN 55122 DATE: 7~8~76 Zoning: RI No. of Units: 1 Owner. - D H GustafsOri & ASSOCieteB Addreas: Site Address: i~782 So. Hills Ct. Lll B2 SO Hills Plumber: us-t$f~n Mete_r 6Nyo. Connection Charge: 160. 00 pd Account De ~ G posit: _ ~•er No.: Permit Fee• 10.00 P$ _ O~ to oom~ with flw Villo 50 ' ye oi Eoyoe Surcharge: . pd Misc. Charges: 60.00 pd ~ Total: By Date Paid: Date of Insp.: Insp.: • T - . . , . i... . . ' t - .f.•-. . ~ t-:s, 51 CITYOF EAGAII! RemarksMi'Y;Lt' ti LC l~-I~ZJr Addition SOUTH HILLS 13t Lat 11 Rlk 2 Parcel 1~ 70790 110 02 Owner.ploUi/~ U`j~ . I,''~ Street 3782 SOUth Hills Coul't State Eagani MN 55123 Improvement Oate Amount Annual Years Payment Receipt Date STREETSURf. STREET RESTOR. 1975 1,489.60 148.96 10 1191.68 A003166 10-6-76 GRADING 1973 581.58 8.19 10 349.16 A003166 10- -7 SAN SEW TRUNK 1971 146.46 7.32 20 146.46 A003166 1-6-76 1F SEWER LATERAL p 1975 2,295.31 153.02 15 -7 WATERMAIN # WATERLATERAL 1975 IS WATER AREA I 1972 239.22 11.96 20 179.42 A003166 10-6-76 STORM SEW TRK * STORM SEW LAT - A'003166 10-6-76 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 160.00 3076 6-1-76 BUILDING PER. SAC PAR K 4.. i CITY OF EAGAN - 3830 Pllof Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 13157 PHONE: 454-8100 BUILDING PERMIT' Receipt # - To be used 1w 8ASEME'3T Est Vatue $16,000 Date FF;BK~JARY 2 , 1987 SiteAddress 3782 SO HIT,L i C`.[' Erect ? Occupancy Lot lI Block 2 Sec/Sub. SUUT!1 HILLS LS`I'Remodel Ik Zoning Parcel No. Repair ? Type of Const Addition ? No. Stories W Name DAVE NELSO-N' Move ? Length 3 Address SAMr Demolish ? Depth ° 452-4603 Intlmpr. ? Sq.F+ Ciry Phone Install ? o tvame BIRY-IN D. VOIGHT CUNST I14C APProvals Fees Address 3557 UPPER 143RD ST W Assessment Permit $ 135.50 ~ City ROSE11-10423-1296 Water & Sew. Surcharge 8•00 15 Police Plan Review 6 7. 7 5 F Z Name Fire SAC Address Eng. Water Conn. W i City Phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. Tr.PI. information is correct and agree to co gkl wit II applicable State ot Minnesota Statutes and City.of~t&ga APC Parks Signature of Permitlbe Var. Date Copies $ 211. 215 Total A euilding Permit is issued to: 3RYAN 14 VOICHT CONST I ti1C 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 PwmR No. PermN Holder Date TNophom 0 PiA6lny H.V.A.C. eleemc °2ls47 SOnMM Inspeeilon Date Inap. Commenls FooNnysl Footlnqs II Foundation Framinq RoM{ny Rouyh Plbp. Rouyh Hty. Imul. Finplaee Flnsl Ntp. Final Plby. Bldq. Final Cart. Occ. Doek Ftp. Dock Frmy. WNI Pr. Disp. PERMIT # I MECHANICAL PERMIT RECEIPT # ~l CITY OF EAGAN 3830 PiLOT KNOB ROAD, EAGAN, MN 55122 DATE: _rC ! r 7 CONTRACT PRICE: PHONE: 454-8100 Site Address - BLDG. TYPE WORK DESCRIPTION ~ Lot Block SeclSub Res. New m Name Mult Add-on X ~ Address ; - Comm. Repair ~ Other ~ City ~ Phone FEES ~ Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 O City Phone (RES. HVAC iNCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ' M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIRL FEE - ALL AOD-ON 8 Unit Heater M BTU REMODELS -12.00 Air Cond. M BTU q MINIMUM COMMERCIAL FEE - 20.00 Vent CFM ~ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: _ S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN ..,+r'Y~"'~v~y"".' ~ w.'ir+:lia..trt~f6'11 . , ' ~7l~+'F'... _ '.-•.y..;ti•M. ~...ri ..o. . CITY OF EAGAN ~~S ~`l~73 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ BUILDING PERMIT Receipt # - I To be used for DECK Est. Value =1 100Q Date APR 10 t941 Site Adc~rt ss 3782 80llTll Hli.i.S CT OFFICE USE ONLY Lot 3 BIpCk S2C/SUb. Parcel No. occuPancy - FEes Zoning NEI" W Name DA (Actual) Const - BIdg.Permit 25'00 - 3782 SO111TH HiMS CT 0 Address (Al10''eae) - Surcharge .50 City LVW Phone # of stories -2V / ~~h Plan Review BRIAI~ YOIGHT Name DWn+ - sAC, cay Address S.F. Twai - sac, nnCwCc RWENUUNT ~ City Phone S.F. Footprints - On Site Sewage _ Water Conn ~ WW U wcc Name On 5ite Well _ Water Meter Address • MwcC syscem - Aod peP°sii i W City Phone Gty Water - PRV Required _ S/N Permit I hereby acknowlege that I have read this,iapplicqtiona~ d state that the Booster Pump - S/W Surcharge information is correct and agces to co4ly Wi4 all a~plicable State of Minnesota Statutes and ~'ity'~f.6ag OrdinanEe9. , Treatment PI / Signature of Permitse ~ ~ Y ' , APPHOVALS Road Unil - A Building Permit is issued t. BRjAN VOY Planner Park Ded. on the express condition that all work shail be done in accordance with all Council applicable State oF Minnesota Statutes and City of Eagan Ordinances. Bldg. Olf. _ Copies 1 Building Ofiicial - ~ ; ' V~'a^~ - TOTAL Parmit No. Pe?mk Fiolder Date Telaphone # WATER SEWER PIUMBING H.V.A.C. ELECTRIC Mapection Date Insp. Commsnts Faotingsl f WfldBtlOf1 FfBfflifl9 Roofing Rough Plbg. Rou9h Ht9_ Isut. Freplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notily Plumber Engr.lPian Bldg. Final Deck Ftg. . 2 ~ Deck Final 3 Wefl Pr. Disp. • CITY OP EAGAN 3798 Ptlot Kaor Road Eoooa, MN 55122 N2 5185 PHONl: 4544100 • BUILDING PERMIT Receipt # ` ` . Te be wsd for - :i6 EsE. Volue~ Dote 79 37t31 5o tliliw Ct Site Address ' Erect Occupancy Lot ' Block 2~ Sec/Sub. ' H 1 1 s AOt~rl Alter ? Zoning y~ 1 Porael # Repeir ? Fire Zone 3 Enlorge ? Type of Const. W Name Move 0 # Stories h. Z Addross Demolish ~ Front 112 ~ Ci Phone 452-4603 Grode ? Depth ft. ~ Name -•'~~F~rl in R1,3ra inc Approvob Fees o ; v~ Address 3 7~7 ~-o• ' f.lls Di. Assessment Permit ^ 454- 59 3 h Water & Sew. Surchorge Ci Phone ~ Police Plan check ~W Name Firo SAC Address Eng. Woter Conn. <W C~ ph~ Plonner Woter Meter Council I hereby ocknowiedge that I hove read this applicotion and state that BI . Off. the fnformation is correct und ogree to comply with all applicoble A~ Total '~0 State of Minnesota Stotutes and City of Eagon Ordinances. Signcture of Permittee - A Building Permit is issued to: '1 i:~:`~ r~ i c': crc ~ on the express condition that all work shcll be done in accordance with oll applicable Stote of Minnesoto Statutes cnd City of Eagon Ordinances. Bullding Official hnmM # palr IamM hrslttM Plumbing Mechanical INSPECTIONS DATE INSp, Rouph-In Find Footings Dote Irsp. Date Intp. Foundation Plumbing Frame/ins. Mechanical Final -:2;2 -Yt, ~ Remarks: r . . -z. CITY OF EAGAN f•, - 3795 PiloF Knob Rood Eegan, MN 55122 • PHONEs 454-8100 BUILDING PERMIT Receipt # Te b-a wed for Est. Volue Qote 19 5ite /lddrcu Erect ? Occupancy Lot Block $ec/Sub. Alter ? Zoning parcel Repolr ? Firo Zone Enlarye p Type of Const. 99 W Na?~ Move ? ~j! Stories ; Address Demolish Q Length b Ci Phone 6rode ? Depth Sq. Ft. °C Nome Approvals Fees 0 u~ ~~e~ llssessment Permit ~ Ci ph~ Woter d~ Sew. Surchorge Police Plan check Name F,,, Fi re SAC 1lddress Enp. Water Conn. MW C~ ph~ Plonner Woter Meter Courxil Road Unit I hereby ocknowledge thot I hove read this opplicotion ond state that Qldg. O{f. the intormotion is correct and agree fo comply with oll opplicable ^PC Totol State of Minnesoto Stotutes ond City of Eagan Ordinances. 5ipnoturc of Permittee /1 Building Permit {s issued to: on tha axprras conditlon tFxn all work shall be done in acoordance with oll oppliooble Stote of Minnesoto Statutes ond Cify of Eeflan Ordinonces. Buildinp Offtciot o` ~ 0 S C Z m` r ~ O a ~ v M M C ~2 ~ry T+ u ~i - z L^, O 0 1S ~ O ~ ; c ~ Q C V d Q ~ ~ : ~ ~ C d > > d = ~ ~ W C S LL LL a ~ ~ LLa LL LL ~ ~ ~ d INSPECTION RECORD CITY OF EAGAN PERIIAIT TYPE: 3830 Pilot ICnob Road Permit Number: Eagan, Minnesota 55123 Date issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: :~~i t I! Ft I Ll ti I~ T ~~i " .i ~ ~ i~. PERMIT SUBTYPE: ~ TYPE OF WORK: ~ ~ ~ ~ • . INSPECTION • .A ~ h Ii! I, t t;hll i 1;7 u~lil l f+ .E' .X., • ~ J Parmft No. Permit Holder oate Telephone # S/VN PLUMBING . HVAC ELECTRIC ELECTRIC Mspection Date Insp. Comments Footinqs I Foundatlon Framing Roofing Rough Plbg. Rough Htg. Isul. Flreplece Rnal Htg. Orsat Test Rnai Pibg. " 1lcJ Plbg. Inspector - Notily Plumber 7 Cortst. Meter Engr./Plan ~ eidg. Final Deck Ftg. Deck Final weu Pr. Disp. ~ ~I I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ? <<+l~ 3830 Pilot Knob Road Permit Number. 4 Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS• APPLICANT• ' ' PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DA . DA F L ~ PermR No. Permft Holder Date Telephone / ELECTRIC PLUMBING HVAC Inspectlon Date Inap. Commente FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD I FIREPLACE I FIREPIACE AIR TEST I FINAL PLBG ~ FINAL HTG I ORSAT I TEST I BLDC3 FINAL ~ BSMT R.I. I BSMT FINAL DECK FfG DECK FINAL ~ CITY of EAGAN N~2 _3955 BUILDING PERMIT OWaBI .tSOC la ~PS 3795 Pilof Knob Aoad .~..(.!7..;....~.l1.SS. .C~. ,l~l / Eagan, Minaesofa ssiaa Addrass (Presen!) .................I............ r.f 454-8100 Builder - Addrau Dela DESCRIPTION Btoriea To Be Used Fos Fronf Dap2h HaiBh! Eet. Coe! Pormit Fee Remarks oc 14 ~ 6 ~ s9fw-~ ~Z7- LOCATIOIi Slreet. Roed or oiher Dec ripiion of Location I Lo! I ]oek~ Addilfoa or Tsae! This permif does aot aulhosize !6e use oi clreele, roads, alleys or sidewalks aos does it give the ownes os his agen! the righ!!o ereale any situation whieh is e auisanee os whieh presenls a hasard fo the healfh, safelp, aoavenienes aad general welfare !o anpone in the aommunily. THIS PEAMIT MUST BE KE~/PT ON THE.(P/A~EMISE WHILE TFIE WORB IS IN PROGRES . This is !o eerSip, fha!_~..,C........... G.!jLC.permisaioa !o Jy. --------.C/Gf~Pf~.[ _upon the above described prem' sub3ecft fo the provisiana of all applicable inanaes or !h2' Ci agan _..~"d . .../~,.1.~----.-...................... Per . ~~L.....------.._......-----............ ' MaYor Buildiny Impeeloz ' S. i'l/ s /gt . CI11 OP EAlfi~1! 3795 Pilot hnob Road EuSr~^ , M_nne3ota 55122 Fc^SI P NO.: 707 , The City of Eagan hereby grants to Proiect Plmnbinu Co. of 9743 Hwnbol8t Ave So. a Pltmbin4 Permit for: (Owner) D 8 Guetafson - Go18 Medallioa Egms at 3782 So. Hille Court ~ pursuant to application dated 7/27/76 Fee Paid: $20.00 dated this 28 day of Julv , 1916 ' .50 s/c Building Inspector Mechanical Permits: Bid Total: ,0 70~90 ~i~ oa /st CITY O'r' iAC:^.id ~,7'5 Pi.l'vt I,nob Road Ea~.°:, ;LnneL;ota'5j"122 PEINIT The City o` EaUsr, hereby g.rants to MILflFRT CO.-=--CULL3,GAN of 1001 t:F.RIr. AVF_,ySO • - F.ICHARP FIORSLrY 2 WATF?F. SOFTENrF. Pei;r.it for: (Owner) nnvrn NFr.SON ' 13,~ F. IIalsam a'u jfj782 So. aill.s Ct. ~ pursuant to application da+ed _9/2417E Fee Faid: 510.00 dated this _2.L_day of October r~> J~ 1.i:0 s/c IIuilding Ins-oectoi, i;eehanical Pern:its: Pid Tctsl: cITr oF eacaN 3795 Pi1M Kne6 Rood Eugon, MN 55722 NR 5185 PHONE: 4348100 BUILDING PERMIT APPLICATION Receivt -~L" $4,100. ro be uaed far Screened Porch RdAa. vaiue oare May 1 _ 1979 Slte Address 3782 So Hills Ct. Ered pX Occuponcy Rg Lot I I Block2 Sec/Su6. Sn_ Hi 7 1 a Addn Alter ? Zoning RL Porcel # Repair ? Fire Zone 3 Dave S Cheri Nelson Eniorge ? Ty°eofConn. s Nome Mave ? # Stories Z Z SO. Hil 3 Ct, pemolish ? Front lZ ff. ; Address ° Ci Eagan phom 452-4603 Grade ? Depth lZ fr. ~ Name Timherl ine Bl dra Tnc ADProvala Fees 0 . Address 3707 So. Hills Dr. Assessment Permit 1800 2.50 ~ C~ E8g8n Phone 454-5918 Water & Sew. Surcharge G Police Plan che<k °C Name Fire SAC ~w Address Eng. Water Conn. <w Ci phmy Plonner Water Meter Council I hereby ackrrowledge that I hove read this application and stnte that gldg. Off. the information fs mrrect and agree to mmply with all applicable 20, 50 SMte of Minnesota Statutes Aand,C.ity of Euga'nJ Ordinances. APC Total Stgnature of Permittee ~?~Timhprl C~y • A Building Permit is issued to: ~ on the express condifion thnt all work shall be done in accard with all ' i ble State of Minnesota Stmutes ond City of Eogan Ordirwnces. ~ Buildin9 Official ) CITY OF EAGAN 3830 Pilol Knob Road, P.O. 8ox 21-799, Eagan, MN 551121N°- 13157 PHONE: 454-8100 BUILDING PERMIT Receipt# -70,379--~ 7o be used for BASEMENT Est. Value $16,000 Date FEBRUARY 2 , 1g8Z SiteAddress 3782 SO HILLS CT Erect ? Occupancy Lot 11 Block Z Sec/Sub. SOUTH HILLS 1STRemodeiX$ Zoning Parcel No. Repair ? Type of Const Addition ? No. Stories w Name DAVE NELSON Move ? Length Demolish ? Depth o Address S~E Int Impr. ? Sq. FL ciry Phone 452-4603 Install ? o Name BRYAN D. VOIGHT CONST INC APProvals Fees $Q nddress 3557 UPPER L43RD ST W Assessment Permit $ 135.50 ~ c;ty ROSEMOWKWe 423-1296 water & Sew. Surchar9e 8.00 Police Plan Review 67 . 75 F= Name Fire SAC ~ i Address Eng. WatOr Conn. i W City Phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off. Tr.PI. information is correct and agree to co Ip wi g all applicable State of nninnesota Statutes and C' aga APC Parks Var. Date Copies-T 2 z 5 Signature of Permi e Total A Building Permit is issued to: BRYAN D VOIGHT CONST INC on the express condition that all work shall be done in accordance with all appl^icabltate ot MinnesoA Statutes and Ciry of Eagan Ordinances. BuildingOBicial ' Xx ~'j ~ Thisreyuestvoid ,3'30 Li~~ p d1 Sw,j`FI~,~S ls~ [~O ~8 iRonths from 872.58 Requ st Dat fire No. Flou h-i nsUection / ~~yy t Re u 1. ~HeaA Now Will Notify InsVec- O; ~~-z! ~ Yes ~ ? No ~ lor When PeotlY Licensed Electriwl Contrctor I hereby request inspection ot above ? Owner electrical work installed aC Sueet Address, Bux r Rou[e N City ~ $H I ~ a- ection o. Tnwnshiv Namo o, No. Ranye No. Cou ~ ~ Oc IPRINTI Phone No. -Q ower Suppli" AnAress EIF rical Conhacior f'ompany Namel - ConVar.m~'s Licenso No. Mailing ddress (C t tor or Owller,Making Inslaila[ionl , ~ J~GG a ~i+t_ ~ A. Mo ' etl Signawr Conhact dOwner M king Install tioM. Phone Nmnber MINN A STqTE BOAflO OF ELECT ICITY THIS INSPECTION qEQUEST WILL NOT Grie9 ~tlway Bldg. - floom N•197 BE ACCEPTEO BV THE STATE BOAND 1821 UnivarsitV Ave., St. Peul, MN 55709 UNLESS PPOPEfl INSPECTION FEE IS ow.._- 1a11i oa-r I'll ENCLOSED. n}( REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 5& See instruc[ians lor comPleting this form on bnck of yellow copy~`~ T `~.,2 "X" 5elewWgrk Covered by This Reqirest -;.q~~ ~ Ne~ f[dd TYaP oi 8uiltling Appliances Wired EquiOment Wired Home Range T porzry Service Duplex WaTer Heater Liyhting Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. Furnace Silo Unloader Industrial 61dg. Air Cond4tioner 8olk Milk Tank FTfm Othnr Speci v Other (Sp cifvl f ther Sut'r,ify Other Other q~,~ Compute Inspection Fee Below p Fee Service EntranceSize N Fee Feeders/5ubleeders N Fee Circuits Oto100qms Oto30qm,s , QZ1 Oto30Ams 101 to 200 Amps 31 to 100 qmps 31 to 100 Ain Above 200 Amps Above 100_Amps Above 100_Aitips Transiormeis Remote Control Circ. Partial!Other F Signs Special Inspection Remarks S TOTALFE ~fp7 Rough-In ~ ~ ~ t:.• , ` Date _ I, the Elechical Inspector, hereby certify that the xbove Fioal inspection hes been ~ 7 D made. rhis reauast voitl 18 mon[hs from This request void ~ 18 months from e 72 2 g 8 rRequest Date ' Fire No. RouBh-in Inspection I o1 fl q iretl7 Readv Nuw C] Will Notify Inspeo ~ ruQr// ~j~tqv Yes ?NO lorWhenReatly ,Kicensetl Elec[rical Condacror 1 hareby request inspaction ot eEOVa ? Owner alec4ica1 work insfalied at Sueat Address, eoz or qome No. City 35 ' s d kr-f- Fq a.R ection o. Townshio Name or No. RanBe o. Count Occuvant (PAINT) Phone No. Powe( $upplier Adtlres3 ~wMyrt, kN C~4. ~ S 13000 ~MMxwell e'u Vu" Elec ical Conbactor ICOmpany Namel Contractor's License No. ~j+awn EIPC-f~^tc. 4/ MailmO Ad ress IContracror or O ner akine Inst ationl aQ o a~- ve ss N Authorized SiB^atura (Convactor Owner MakinO lnstal tionl Pfinne Numbar jit" MINNESOTA STATE BOARD Of ELECTRICITY THIS INSVECTION REQUEST WIIL NOT Grippa-MiAwey Bldq. - Room N-187 BE ACCEPTED BY THE STATE 80AND UNLESS PROPEN INSPECTION FEE IS 1821 Univenaitv Ave., St. Peul. MN 66106 Phone 18121 862-OHOO ENCIOSED. 7 REQUEST FOR ELECTRICAL INSPECTION . ~ See irmtruetions for cemolbtirip thic form on beck of Yellow copy. ~9 12- 188 "X" 8elow Work Covered by lhis Request AAtl Neo. TyOe ol Building AOOlinncen Wired EquiVmenl Wired Home Range Temporary Service Duplex Water Heater Lightiq Fixtures i Apt. Building Dryer Electric Heatui Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm tner oec. v tner 15ner,ilyl t .r yeufy Ih¢r Oth.r ompute lnspection Fee Below p Fee ServiceEntrancaSixe d Fae featlars/Subieedeis N Fee Gircuits 0 to200Ams 0[o30qms ^ 0 M30Am Above 200 qmpy 31 to 100 Amps 31 to 100 qm s Swinunin Pool Above 100_Am Ahove 700_Am s Transtormers rngation Booms Partial.'Other Fee Signs Speciallnspection S emarks ~ei- TOTAL 172 6-0 Bouph-in ~ Date . • I, the EI I { ` ~647 Inspactoq pereby certily thet the above Final Y- D^!e, pA inapection hea been made. (his request roW 18 months Irom 958o Req est te Fire No. Roigh-in Inspection ~u` Repuiretl? O Reatly Now ill Notiry Inspecror r7 Iv 1- J`~~ 1 ] Ves en Ready? IAensed contractor ? owner hereby request inspection of above electrical work at: Jab FtltlreSS (Sbeet Boq or Route Na.~ .1 City PA&AI~ Section No. Township Name 0~ No. Renga W. Couny Occu ant(PqlNT) PFrone . V1~ }~FLso~ 4~Z --46o3 Power Suppuer ntltlress EI vical Comractor ICompeny Neme) Contr ctor§ Licensa No. ~9ro2eFs8' ~f-~f- 5'h?zytc~ Mailing qtldress IConh clor or Owner Making Installaiion) $ UZ . 55lo9 Aulhorizetl Signat vaclonOwne, akin InsWllalion Phone NumOer 6 5 9 - 224 ol?t t MINNESOTA STATE BORflO OF ELEGTFICRV I nI_ p 1I1 THIS INSPECTION REQUEST WILL NOT Grig9s-Mldway Bbg. - Hoom S1T3 ~rW~~~~ BE ACGEPTED BV THE $iATE BOARD 1811 Univxslty /ve.. Sl. Paul. MN 55100 n ~I UNLESS PROPER INSPECTION FEE I$ Ptqire(B1]16i2-0B00 ENCLOSED. REQUEST FOP~ ELECTRICAL MSPECTION ~ , ^eeooom oa 110J,1111 6 7 2 See insVUCtions ior romple~ng this lortn an back ol yellow copy a ~ Q~O K "X" 1501aw Work Covered by This Request ew Add fiep. Typeol8uil0ing AppliancesWiretl EquipmentWiratl Home Range Temporery Service Duplex Water Heater Electric Heating Apt. Building Dryer Olheu(Specify) Comm./Industrial Furnace Farm Air Conditioner Otnef (syecity) Convactor5 RemaMS: 71x71T Compute lnspecfion Fee Below: # Other Fee # ServiceEntrance5ize Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps to 700 Amps Translormers Above 200 _ Amps Above 100 _ Amps Sig05 Inspeclor5 Use Only: / TO ~y $ Q Irrigation Booms Speciallnspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. ' I, the Electrical Inspector, hereby Rouqn-m . ~ oale Cehify that the above inspeqion has Final te been made. OFFICE USE ONLY Thls Rquasl void 1B monihs irom CITY OF EAGAN NO ~$S~3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt#CZ ,a xz9 To be used for DECK Est. Value $1 , 000 Date ApR 10 . 192L_ SiteAddress 37$2 SOUTH HILLS CT Lot 11 Block 2 Sec/Sub. SOUTH HILLS 15 OFFICE USE ONLv PBfCBI N0. Occupancy - FEES Zoning a Name DAVE NELSON (ACluaq Consl - 81dg. Permit 25.00 ; AddreSS 3782 SOUTH RILLS CT (Allowable) - Surchar e .50 ° Cit EAGAN Phone 452-4603 r oi stodes 9 y Lenglh 2$ ' Plan Review o Name BRIAN VOIGHT Depih 34' snc.ary, ~a Address 3557 UPPER 143RD ST W S.P.Tmal - SAC,MCWCC ~ City ROSEMOUNT Phone 423-1296 S.F. Footprints - On Sile Sewage - Water Conn f ww Name OnSiteWell - WalerMeter z MWCC S stem AddreSS ~ Wa, i = Accl. Deposi[ aw City Phone ry PRV Fequired _ S/YJ Permil I hereby acknowlege that I have read this plication d state ihat ihe Booster Pump - S/W Surcharge intormation is correcl and agree to co ly it rble State ol Minnesola StatNes and an Or ina ce 7reatment PI Signature of Permitee 6 APiROVALS Road Uoit A Building Permit is issued t. BRIAN VOI HT Planner - park Ded, on the express condition that all work shall be done in accordance with all Co+^cil - applicable State of Minnesota StatNes anyyyd~~~,,,Ci1l'y ol Eagan Ordinances. gldy. pf~_ _ Copies BuildingOHicial n L~1~.O1l~~JJ` n Variance - TOTAL 25.$0 \ cirr oF Er?caN N° - 7094 3795 Pilot Kaob Road Eegan, MN S5121 - PHONEa 451-8100 BUILDING PERMIT Receivt Te bs utad for DIN7NG RQOM ADD. Est. Volue $7.000 . Date 10nI-1KY 17 . 19 82 Site Addreu 37$2 SO-Mtl Ei111S COLfft Erect ? Occupancy R 3.. L,t 11 ei«k 2 s«is,n. SO• Hills lst Alter ? zm+ng R-1 parcel # 10 70790 110 02 Repair ? Rre Zona ~ Enlarge Typa of Conat. oe Name David 1,blSm Move ? $tories ~ i 3752 So. Hills Co~srt oemousn ? Lenythl3'4 ~ Addrean 55123 Pho,x Gmda ? Depth 10! sy. Ft.- Ci ZYmberline StI1.1aEYS. IIiC. Aovrovab faes Name p Z Assessment Pemit o~rAddress 3707 50. H11.15 DL'. 3.50 ci Fagan 55123 phaM 454-5918 Wuter S Sew. SurCharge Police Plan check 31.25 Ww Namo er Fire SAC NA . ~z Enp. worgr Conn. x~ Address ~W C~ Phone Planner WoterMeter~- Council Rood Unit _NA_ I hereby ackrwwledge that I have read this application and state tfwt Bldg. Off. fhe in(ormotion is correct and agree to compty with oll applitable APC Total ~7.25 , Stote of Minnewto Statutes and ity of Eogon d'~nces. $Iprroture of Pertnittee ` ~~Skr_ A Building Permit is issued to: TInber1-Tie &i1d2TS, TT1C. oo the ezpress conditlon thnt ail work shall be done in accordance wi II applicob Ota Innetoa Statutes and Ciry of Eagon Ordinonces. y ~ Buildinq Offfcial . CITY OF EAGAN Inclucle 2 sets of plans, ~ /0Q `y 1 site plan w/elevations & BUILDING PERMLT tPI1 set of energy calcu].ations. To se usea For~c~'t' /c./ Valuatio~o Site Address IY2- ,S'!J C~ f pFFICE USE ONLY Lot _14_ Rlock sec./s,ab. SO 1-4115 Erect occupancy T~ Parcel /.24- /fi~r?. c Alter Zoning y~ 1 (2S ' 7/' .D Il ~P~r Fire Zone Owner: /lJ4tJ i 6 /Y'/ S' a i? Enlarge ~K Type of Const. Acklress: So ~~115 G + Yjo°e # stories , ft. Demolish Front ~ y City/Zip Code: A? 5'SI Z~ Grade Depth /0 ~ ft. Phone / APPROVAI.S FEES Contractor: ~'7 W+ 6PR k/ti- c~ch> t• Assessmtents Permit ~ T.dater/Sewer Surchazge ?~S Address: ~j-~ G 7 5' o~ ~/~S police Plan Check~- City/Zip Cocle: Fire SAC G Phone ~J' Water Conn. C Planner water Meter Cj P,rch./Enq. eouncil xoad IInit N C~ Bldg. Off. Address: 37D-1 Z, ,Q>2 APC City/Zip Code: .9-f/ 4, 4/~/),t, 47 ' aS7 Phone # : Z/ 9 /V TdI'AL ' PERMIT 01+lf 'bF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u z Lo r N G Eagan, Minnesota 55123 Permit Number: 021319 (612) 681-4675 Date Issued: 0 6/ 2 8/ 9 3 SITE ADDRESS: 3782 SOUTH HILLS CT LOT: il BLOCK: 2 50UTH HILLS P.I.N.: 10-70790-110-02 DESCRIPTION: ,i KITCHEN REMODEL edildng.\ ermit Type SF (MISC.) ,Building Wprk Type NEW r` \ ~ /r r f0L~~ REMARKS: SEPARATE ELECTRICRL PERMIT REQUIRED FEE SUMMARY: VALUATION $10,000 Base Fee $117.00 Surcharge $5.00 Total Fee $122.00 CONTRACTOR: - Applicant - ST. LTC OWNER: NORTH STAR SERVICES 12277061 0002111 NELSON DAVID P 0 BOX 4099 3782 SOUTH HTILS CT ST PAUL MN 55104 EAGAN MN (612) 227-7061 (612)452-4603 i hereby aaknowledge that I have read this application and sYate that Che information is correct and agree to comply with all applicable State of Mn. Statutes ertd Ctty of Eagan Ordinances. L APPLICANT/PERMITEE SI NATURE -t ISSUED Y: S GNATU E INSPECTION REC4RD CITYOFEAGAN PERMITTYPE: BuILDiNG 3830 Pilot Knob Road Permit Number: 021319 Eagan, Minnesota 55723 Date Issued: 0 6/ 2 8/ 9 3 (612) 681-4675 SITEADDRESS: LoT: si BLOCK: 2 APPLICANT: - 9782 SOUTH HILLS CT NORTN 57AR SERVICES SOUTH HILLS (612) 227-7061 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) NEW DESCRIPTION KITCHEN REMODEL INSPECTION • .A FRAMING FINpL REMARKS: SEPARATE ELECTRICAL PERMI7 REQUIRED , . _ ~ REACTIVATE',._ RECEOVED CITY OF EAGAN PERMIL 91893 BUILDING PERMIT PPLICATION 16 1993 681-4675 - ~ SINGLE & MUL7I-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of ener9Y calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date /6 Yaluation of work Site Address: ~ 7 STREET ' SUITE 0 Tenant Name: (commercial only) T0 BLOCK ~ SOBD. P. I. D. * Oescri tian of work: ' C~en m - nb ~rue ru od' ' a~on s The appl i cant i s: ? Owner LT Contractor ? Other (oes«iee) Name IIelsa~ pas-j Y- C~1ej~ Phone Property LAST FIRST Owner Address LJ STREET STE / City ~P62 State /~~Al' Zip S~)od-3 Company ~/1/0/-`7`-), S-r&~' SRf?~CR~ Phone Contractor Address P 0-2aic !fo°1 ~ License i a})) Exp. City 39a,n ~ State Zip ArchitecU Company Phone Engineer Name Registration N Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I 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 Applicant: OFFICE USE ONLY BUILDlNG PERMIT TYPE y ° - - ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement finish 0 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool O 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory ? 18.Comm./Ind. O 04 SF Porch O 09 12-Plex 0 14 Fireplace ? 19 Comm./Ind. Misc. 05 SF Misc. ? 10 Multi. Add'1. ? 15 Oeck 0 20 Pubifc Facility ? 21 Miscellaneaus WORK TYPE ? 31 New ~ 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC 5ystem Spliowable} lst Fi. sq. ft. City Water UBL ccupancy ~ 2nd it. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code qyc-/ Depth On-site sewage SAC Lode APPROVALS ~ 0 Planning Building Assessments Engineering Variance REQUtRED INSPECTIONS KrcHEw ~~moDE~ ? Site O Footing Ef Framing ? Insutation ? Wallboard Q~F'inal ? Draintile 0 Fireplace Permit Fee Q oo v.tuat;d+: $dJ,' Surcharge S,,» Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units. #*»~c~~~~~~~M~**~w*~x~~z~*rsx~r.~cz:~rt.~*~z • CITY UF ERi.AN I:ASHIER: S T-RMIhAL NO: 341 . WiE: GE/11/97 T111iQ: 14:88a02 tL: . NAMEe , 9EIS$4_ WiNDW P. SIPIkG . 3210 9001 3798 5 HI! L° i,,+ ?155 5~1 3782 S yTLL~'C7 S,L~f1 • ~ • • . i • . . ~7. ' . . Ta*ai -Receipt Amoynt e 1E7.25 • M063996 . tJSFR ?D: kANCS . • A~`x4ckn%Xc~*~%7U~7K~R'A~~kM~:* *#~%~IcR7%7kffi~ICk~%~*~~~C PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 PermitNumher: 029479 (612) 681-4675 Date Issued: m 2/11 / 4 7 SITE ADDRESS: 3782 SOUTH HILLS CT LOT: 11 BLOCK: 2 SOUTH HILLS 1ST P.T.N.: 10-70790-110-02 DESCRIPTION: • (SSDING/TRIM) . ~ui,ldflt~ermit Type SF (MI5C.) ng Type ALTERATION ensj,is G~nt}~ 434 ALT. RESIDENTIAL . ~c F p ~j 4,my r~'w: ~ ~ REMARKS: FEE SUNYMARY: VALUATION $10,000 Base Fee $162.25 Surcharge $5.00 Total Fee $167.25 C~~ONTRACTOR: - Applicant - sT. LIC OWNER: '4S~IS5EL WINDOW & SIDING CO 14516835 0006453 NELSON DAVE 1-53 E THOMPSON AVE 3782 SOUTH HILLS CT 0 ST PAUL hIN 55118 EAGAN MN (612) 451-6835 ~ hsr's4y, acknau~.~dt~~ th~~-~ h~ue rea~}; ~h~:s~pplxta~io'n state ,that t~hs ar avn ,.a_ a§,ria ` -tq'cvmpky- .'With-ail of rtln. zt~f~rmati+sr~ ~s ccrMr~Ge ,r, ~ S~atut€~ , ~ - ~ APPLICANT/PERMITEE SIGNATURE ISSUED B : SI NATUR 03 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) Jj(,j. 9S cITr oF E?cAN 3630 PILOT KNOB RD - 65122 681-4675 New Construdion ReaulremaMS RemodeUReoair Reaufremerrts • 3 regiatered si[e surveys ? 2 copies of plen ? 2 copies of Dlans (indude beam 8 wirMCw sfxes; poured fid. dealpn; atc.) ? 2 sHe surveys (exlerior addRlons & decks) ? 1 energy calcufatlons ? 1 eneigy calculations for heated addkions ? 3 eopies M tree presenetion pWn if lot platted after 7/1/93 required: _Yes _ No ' DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: Sicti i nA ~ Fl Iun, .4V; m STREETADDRESS: 3Ha Sn,,4k kmc LOT I I_ BLOCK I SUBD./P.I.D. PROPERTY Name: Glumn Daoe Phone#: OWNER Street Address: 3 -l' A? 5,,,1h I I s C.aUr+ City: ,&Ahe, State: ,l N Zip: CONTRaCTOR Company: Beisse~ wrJW WSj;V\2~ Phone#: `ISI Street Address: 153 ,r -&m oSnn License i D' f. y5 3 City: i,tleA 5'.I Pu,1 State: M OJ Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construction onty): . Penally applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the iMormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY Cerriiificates of Survey ReceNed _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY M x + SUILDING PERMIT TYPE ~ At ~ ~ 0 01 Foundation n 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility a 04 SF Porch o 09 12-plex o 14 Fireplace a 21 Misceilaneous 0 05 SF Misc. n 10 = plex o 15 Deck WORK TYPE n 31 New o 33 Alterations n 36 Move a 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Ccnst. (Actual) Basement sq. ft. MCiWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. R. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bidg Census Unit APPROVALS Planning Building Engineering Variance Permk Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit • SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Totai: % SAC SAC Units PERMIT# ! Y 1791 ~ RECEIPTDATE: SOOE MIDERTlAL PLUM$INH PEiMIT APPLiCATION crrY or Etsm S$SO PILOT KftOB iW ry7 ~2 EAHAA, Etft 55] EE 651-6e1-4675 D - .IAN 2 9 2002 Please complete for: single family dwellings, townhomes and condos when pertnits are required for eac it, backflow preventer for irrigation system By SITEADDRESS: OWNERNAME:: I ICt~ I~SU`~ TELEPHONE#: (AREA CODE) INSTALLEP. NAME: Vi-- LLr- TELEPHONE L0.7 346 t/ / (AREA CODE) STREET ADDRESS: i' (o ~ v 9 )'~fi ~ ~ CITY: f rlk ~-ak an? „ STATE: 1IIlW ZIP: 5537'1 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION 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. _ W ater turnaround - existing dwelling unit 5/8" meter if needed -$178) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener ~ water heater $ 15.00 State Surcharge $ .50 Total $ 1 herebyacknowledge that 1 have read this application, state thatthe infortnation is cortect, and agree to complywith all applicable Ciryof Eagan ordinances. It is the applicanYs responsibility to notify the property owner lhat the City of Eagan assumes no liability for any damages caused by the City during its normai operational and maintenance activiGes to the facilities constructed under fhis permit within City propertylright- f- ay/easement. SIGNATU E OF PERMITTEE 1/02 3q y RESIDENT! L BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 657-681-4675 New Construction RenuiremeMS RenmdeVReoair ReaulremeMs . 3 registered sile surveys showing sq. R ot lot, sq. R. of lause; and all roofed areas • 2 cropies of plan (20% maximum lot coverage allowed) . 1 set of Energy CalcWatbns far heated addiGons . 2 wpies of plan shawing heam & window sizes; poured found design, eta) . 1 sRe wrvey for ezterior additions & decks • 1 set of Enefgy Calculatim . Indicate tt home served 6y sepGc system for additions • 3 coples W Tree Preserva6on Plan'rf IM platted aRer 711l93 • Rim Joisl Detail Options seledlan sheet (bldgs with 3 w less unils) DATE VALUATION Iy ~ I~I~O JOB SITE ADDRESS CCtAi'~' IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERif OWWERbCLU,A. ~SON TYPEOf WORK ~'A las~;v4.~s ro. r /06 o~ ~s ~}4..~., ic ~ • PIREPLACE(S) 1 _ 2 APPLICANT'IL \tG PHONE#j{e'3•1VS-IyOC) % ADDRESS ZIPCODE + PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Su !MAR D - Energy Envelope Calculations Submitted L5 MINNFSOTA RULES 7672 2 7 2002 - New Energy Code Worksheet Submitted ~Plumbing Contractor. Phone f Plumbing System Includes: _ Water Softener _ Lawn Spruikler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Condirioning ree: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone # All above inforrnation must be submitted prior to processing of application. 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 Ordin nces. Signature of AppllcaM nAnb1kD~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 Elder,Jones Building Permit Service, Inc. 1120 East 80th Street Bloomington, MN 55420 Phone: (952) 345-6047 Fax: (952) 854-4909 To whom it may concern: We at Elder-Jones Building Permit Service, Inc. are acting as an agenY for Peila Windows & Doors, Inc. If there aze any quesrions, or if the pemut has to be picked up in person, please give us a call at the number above. If the permit can be mailed back to us, we have enclosed a self-addressed envelope for your convenience. Thank you, ~Q11J0~ Kara Benson ext. 147 Elder-Jones Building Permit Service, Inc. 1120 East 80th Street • Bloomington, Minnesota 55420-1498 952-854-2854 0 FAX:952-854-4909 BUILDIPiG ?EiI°IiT AP:rICA`aTrN GIiECK Lot__/L Block L- Acidition p~Q I s ~ Parcel and section nuraUar ~ Street 'IL & iTorr,ber ~ 7 p 2~ Owner M1~ {A111 j0,0 ~<~e?~ddress T,~~'>•~__._.~. Develaper ~ ~t0/1 4 Tc:1a._.r.__ Zone-Ordinance #52 Lot a:i2e X Total area Platted Unplatted Building Size T % To+al area Occupax?.cy cytp.~ T~0 Of CCT?St.T'llCi•1011 /~OOA M 40 Setbacks:. Street sides Rear J' Sides Parlcr..gc Total asaa Total spaces Parlang area setUacks: Street side Rear Sices Landscapa approval Bond required , Special Asseesments: d~ SA:; charge @ v450.00 ! a n • ~m-k Water areas ~ Assessed Unassessedy"k ~(7 V ~ If assessed: Conneation charga If unassessed: Connection charge Lot divisiona Additional assessments needad Not needed Laterals: Assessed V Not assessed Waiver of hearing: Naeded Not needed Water g Sewer Dept F3uilding Dept _ Assessmsnt clk,~2J Police Dept Fire Dept (Comm ?y Ind only) MINNESOTA VALLEY ' _<<A. . SURVEYORS & ENGINEERS CORP. • r l qCCpLUtNArtwEiDUIN tuxMb'all.MaxESOiA riln Certificate of Survey for: ~USTAFSON ~ ~ . . . ~ • . . ~f~_ . ~SOUTH • H/LL S a,~P'h$ h ~ec r.nw. io ~ ~ .COURT ~ ; ~ bA~ E~e~2S~ • . V ~ ' NA Q . _ . , . 8 . . . z . ' ~ - . . ~z-- . A. - . . . ~ . . ' ' ~ ~ • --L_`5O' . - : __.wESCOTT . , . . _ : . . . . . , . ~ . . , • • ~ Lot 11, Block 2, South Hills First Addition A 1 Mre6ya~rNlr 1F~1 tAi~i~ o br~ owd ~err~H r~y~~Nn1e11~o hllonesotr lr'Olltr SUrYO)'0I{ & . ~ ~i_ -~t'%:.1't:`~'•• Engf,ueers. C rp el a wr~~y el 1M baundari~+ el IA~ obe~~ de+a~ib~d loed~ . .!I~'~'~ ~ e . Ond el 1A. lo~o~ion ol oll bu.lAiw9f, ~her~oe~ oed all vnible yy R •nN~oaAm~nl~~ J ony. Irem or on +~d lond. ~ . MSvrv.p.d bY m~ thnL"_deralT A.D. 10!'1• NI I00. R le. ~0.. ' . . '.~t . ~ . ~ . . , , ~ . . . M . ; ~ ~ ~ • ~ ~ . • ~ . . , f' - rb _ .'t4 ' ti.wM~~N ' . _C, r__ ~.Lb.. • i..+: a . 4iT~: ..~lry'~~' ~ '4~' I MASTER CARD LOCATION Jp a -gO. 4& Q OWNER STRUCTURE AND ^ IAND USED A$ JfC s+~ Issued Ta Permit No. Issued Coniractor Owner BUILDING 395r~./~)G- ~•n.e. • PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL H EATI NG GAS INSTALLING SANI7ARY $EWER OTHER I 07HER I Approved ' Items (Initial) Date Remarks Distance From Well FOOTWG ~ SEPTIC FOUNDATION CESSPOOL FRAMING ~ TILE FIELD FT. FINAL ELECTRICAI DEPTH HE.4TING OF WELI GA$ INSTALLATION SEPTIC TANK CESSPOOL DRAWFlELD PLUMBING WELL SANITARY SEWER - ~ Violations Nofed on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OP OBSERVED VIOtATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTA6lE SU85TITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTiON REQUIRED DA7E OF REINSPECTION REINSPEGTION REVEALED CERTI FICATION - I certify that 1 have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- menu for off-site imDrovements rela[ing [o the property inspected. F] ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: z3 14~ ~?3 ~ ~ i 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SING?,E FAMILY DWELLINGS NITLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. ZAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDIN6 PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: crc k, Valuation: r"~J Date: Site Address 37dz S~`~` ff''I S Cl~ OFFICE USE ONLY Lot II Block Iz FEES c? Occupancy Bldg. Permit ~.5 y~ ~ Zoning Surcharge Parcel/Sub S°i"~` h,l'S IrQST I'~1~p Actual Const Plan Review Allowable SAC, City Owner NelS+ , # of stories SAC, MWCC Length ~ Water Conn. Address 3~~2 a~a u'f7' Depth 19P_ Water Meter S.F. Total Acct. Deposit City/Zip Code tb-~ /75J -S374-7 Footprint S.F. S/w Permit S/W Surcharge Phone On site sewage_ Treatment Pl. On site well Road Unit Contractor Vv lofT MWCC System _ Park Ded. City water Trail Ded. Address PRV _ Copies Booster Pump City/Zip Code SUBTOTAL p~?'r. SU APPROVALS Penalty Phone Planner Lot Change y Council TOTAL ~v Arch./Engr. (~2r~ Bldg. Off. Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with (Si ature of C tor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. V,~~' . • MINNESOTA VALIEY ' E,S~TA'Vq SURVEYORS & ENGINEERS CORP. Y00041OM&v[NY[ WlM NI~Mb 1LLl.~w~4fO1~ SSIn WW mm _ . . L kS•ENG~ • Certificate of Survey ior: D~,~ ~ TAFSOi1/ _ ' • ~ ~ ~C. . ' O , • 171LL S %Phh e~~ nau, io - . CDURT ; ~ b4• • . 1 ~ A • ~ - QO < ~ . . ~ ~1 • ~ ' - • . , , ~r'/y-,..o. : ; • ' . ~ _ . . , . . • . . . . . . . . : , . • ~ ~ • ~ • • ~ Lot 11, Block 2, South Hills First Addition ~ 1 MrebTev1ify IMf 1his i. and urr.H nOr~~~Me~l~n hilanesots ~~1lll~' SUtrl~'Of~ & . ~ti.x'. yT'%:~:•~" Eng. I.aters, C rp •1 e/ th* b... da"e* el tM ebeW. tl..nib.d lend. R L S ' ~ end N~h• le~e~ien el oll ev~~nmq~, ~Ae.wn~ owd all .,.isi. ~py •nu~oaFm~nl~~ J eny~ Irem w en ~u~d Imd. ! ' n . •......y.e s, m. dar.~~iT. •.D. 19~ !ltlnn. Reg. No.. QLQ3 ' , , ' ~r ~ , y ' - ' . . , , , ~ . . . • . , ~ I . . . ~ ~y .1. MaM,~\ ~4. Yn , • _ wT~ _RI . . ~~.7T~ .w~~ , DATE I BL'Ii.DItiG PER'!iC ?.P°LICATIO Include se[s of plans, 1 site plan w/zlevatiuns and' 1 se[ of energy caicuations. To be used for '`JG96"tD 'FbRsM /EDD. Valuation ~~'~d0« Site Address: '378Z 5°M'14 HII.I.S <::~f Lot Block S c./Sub. Parcel Nurber Ow^Zer Telephone 4Fa-q(-03 Address 3782- SouTFF 4tiWS CoURT Contractor -TjM'B8Y-1d&lE 8~(6*fQU , ItIG, Telephone ~'f5~~~18 Ad3ress '3761 $;AATN' 4QU'S ;OVS Arch/Eng. Telephene ! Address OFFICE CSE OvLY I Erect ~ Occupancy ~ Alcer Zoning Repair Fire 2ene Enlarge Type of Const. 'rtove 6 of Stories Demolish Front J-~ Grade Depth ~ ~2- L+a[e of Avaroval and Initial ' Fees ~ Assessment Permit Wa[er/Sewer Surcharge ~ ' Police Plan Check ~ Fire SAC Engineer Water Connection Planner Water Meter Council J r'..t~..(. :Q ~ PtlRC.}.} Q 44oUSpJ' ~a- ; ~ ' - s j 0•* R i 135•50+ B- 0 0 + 67 •'75+ 211•2ti* / 1986 BIIILDIAG P APPLICATIOA - CI1R OF EAG9N AOTE: ALL CONTRAClOHS MQST BS LICEASSD WITH THE CITY OF EAGAN SIAGLE FA4IILY DWELLINGS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DABLLINGS - RESIDENTIAL BENTAL pBITS FOR SALS DNITS INCLUDE 2 SETS OF PLANS, CERTIFICARE OF SIIRYSY - CHECg iiITH BLDG. DEPT., 1 3ET OF SNERGY CALCULATIONS COPAfERCIAi: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 1S4Se7~'Gn77-" j /y lv/ y r7 To Be Used For: Stt Valuation: Aate: Site Address 3/o Sa, ff,-//5 Ct• OFFICE USS ONf.Y Lot ~ Block Ereet Occupaney Remodel V, Zoning Parcel/Sub Repair _ Type of Const Addition # of Stories Owner Move Length ,7 ~5 C t Demolish Depth Address 3 7r2 ,SQ, ff Int.Impr. Sq Ft Install City/Zip Code k4'G-~07) Phone 3 APPROVA[S FSES SD ContractorZj(Zj'6't~ D: 016h~/ CO+Ju'• • Assessments Permit Water/Sewer Surcharge Address Police Plan Review (Q'J,75 Fire 5AC City/Zip Code Engr Water Conn Planner Water Meter Phone 44- 76 Couneil Road Unit Bldg Off Treatment P1 Arch./Engr. APC Parks Varianee Copies Address i0T9L City/Z3p Code Phone # HOT6: ADDEESSBS FOR CORHER LOTS - CONTRACTOR/HOlIEOWNER tiIIST DESIGNATE WHICH ADDRESS IS DSSIRED. HO CHANGES WILL BS ALLOi1ED OBCE BOILDING PERMIT IS ISSIIED. Prop: 3782 South Hills Court ' SPECIAL IMPROYEMEN75 on Dakota All ttaat tract or parcel of land lying and being in :9RRnPpAm County, Minnesota, described as follove, to-Wit: Lct 11, Bloch 2. SouCh Hills lst Addition Thie ia to certify that I have examined the recorda in the ofFice of the Village Clerk, V111age of....FAgaP.........D~ko~a~AiemrApip County, Minnesotao and find that the above-described tract or parcel of land has the following improvements ae indicated by CHECK MAR16: Water Mciin Sidewalk Street Paving Main Trunk Sewer Curb & Gutter Alley Paving _Iateral Sewer Street Grading Garbage Collection Stc,rm Sewer Alley Grading Tarring Street Street Sprinkling 1 furtner certify that according to the records of said office, the folloving assessments HPPPar unpaid: ''.i.;.: c: impv't, Runs Heginnings Origiaal Total Amt. Unpaid Amount subsequent to ' current year none w I further certify that acce-ding to the records oY said office, the following impravements are contemplated or pending after having been approved, and are nov in the process or planning or completion: Kind of Imprv't. Approx. date of Approx. Coat of Completlon Improvement none Dated this 27 day of ~,_p„,, 1978 , Assessment Clerk aM4~f Village Clerk L Village of Ea an 1444 ~L ~Y`` ~'aS G 9d~,T~r'WY egT ~ ~Y f£ c b v^x s d p .3 Y~~`,." ``Ja"d~~`s~.. ~'FMS,~„.~,~~~~~~'.~~..~`zaF&w;.,.~. ) • ,eK:~~~~+~ t , i.. . . .ar) .a..e..«nww.'P~3.~a3~.ix 1993 PLUMBING PERNIIT (RESIDENI7AL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. NO. gXTURES EACH TO SHOWER 3•00 WATER CLOSET 3•00 BATH TUB 3.00 -7 KI CHEN INK 3•00 LAUNDRY TRAY K' 3.00 HOT TUB/SPA 3•00 WATER HEATER 3•00 FLOOR DRAIN 3•00 GAS PIPING OUTLET • mNimum • 1 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5•00 PRIVATE DISP. • Dewcty. iic. 15.00 U.G. SPRINKLER • nome unaer consi. 3•00 ALTERATIO~ ~o ~~~u~~ 15.00 `~ATE~"RN- AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: ~7~~ S~u.~lti ~.~•//r C°T OWNER NAME: INSTALLER: ~ s ~ ~i ~4 • ADDRESS: 0 3 CITY: Sie /a~- / STATE: /y~•`' ZIP CODE: f ri u 3 PHONE /z-~ z 5----- SIGNATURE OF PERMITTEE 1~ Y ~.'1"X' ~?~tL'~' 3a:' . ~D .2.: ......r ri .x..a ,f.:..J..:...S.:.n.. 'Z .nc,'Ek.'Mq. .n.n.~fS.Mroa ~'riAR~O..... . ..i.. 1993 PLUMBING PERMIT (CODXI2CL4L) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMAERCIAL/INDUSTRIAL BUII.DINGS. ALSO FOR MULTI- FAMILY BUP _DINGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH DWELLING U:;:T. _ NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPITON: CONTRAGT PRICE: $ FEE: 1°k OF CONTRACT FEE. STATE SURCHARGE $.50 FOR EACH $1,000 OF ~R1GIPl' FEE MINIMUM FEE $ 25.00 CONTR4CT PRICE X 1% a STATESURCHARGE $ TOTAL $ SI1'E ADDRESS: TENANT NAA1E: STE # OWNER NA11TE: W STALLER: ADDRESS: CITY: STAT'E: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT 77~ 9~ _ scJ 2006 RESIDENTIAL PLUMBING PeRnnirAPPLicarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please compiete for modifications to existing residential dwellings. Date 4 / 18 1 C)'7 Site Street Address 3'76 ~ Sovtti, K, I l.s C-t.Ea a,,,, Unit # Propertypwner Da~ (~e(s0" =Iephone# ((~5f ) ~ISZ_{~p3 Contrector ~ro-~ L4 --Pro '4)f u v"jo-e„iq Address ~8 I~j 7 rj c? ~ Telephone (~5Z) 46q (0 4 qc~ cityLal~--vl(le Swte:M~ zip5so~y The Applicant is; _ pwner A Contrector _pther Septic System _ NeW _ Refurbished Submit 2 sets of plans and MPC license InGudes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onlv a water softener end/or water heater, do not complete this section; move to the next seCtion 'and check the ' appliance(s) you are installing. _,Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other. V.i _ Water Softener _ Water Heater $ 15.00- _ new _ replacement Lawn Irrigation _RPZ PVB X new _repair _rebuild , $ 30.00 , State Surcharge ' $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is com let work will be i e and a n conforman . P ccurate•that ce with th , the understand this is not a permit, but only an a'pplication for a perm tfwo k sl ot o start without a pertnm a~nd wordkewil be in accordance with the approved plan in the event a pian is required to be reviewed i d approved. ApplicanYs Printed Name ' nYs Si natu L4 7 qo.~ 2007RESIDENTIAL BUILDING rExMiT nrrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Constructlon Reouirement~ RemodellReoair Reuuiremenfs Otfice Use Onlv 3 registered site surveys shovnng sq. ft. of lof, sq. ft. of house; and all roofed areas 2 copies M plan shovnng footings, beams, joisls CeM1 of Survey Recd _Y _ N (20%maumumiMtwerageallowed) lsetofEnergyCalculafionsforheatetladditions SalsRepod _Y _N 1 SoOS RepoA tt propwed building is to be placed on disNrbed sa1 1 site survey for adtlitions 8 decks Tree Pres Plan Recd _Y _ N. 2 copies of plan showing beam & windax sizes; poured (ountl design, etc. Addilion - indicatei(onsife sepfic sysfem Tree Pres Required _Y _ N lsetofEneryyCalculations Oo-siteSepficSystem _ Y _N 3 copies of Tree Preservafion Plan if lot platted aRer 711193 . . Rim Joist Detail Opfions selection sMeet (buildings with 3 or less unils) ASnnegasco mechaniwl ven6lation fortn Date q / Z/ V 7 Construction Cost S U~ Site Address 07 Cl- Unit/Ste # Description of Work ~ Multi-Family Bldg _ Y --lq., Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone #(6S"1) 7 S L~VCo o_3 Contractor Address~yy~ 6i State Zip S 'Celephone # ( bS'f~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A PIEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Categofy . Residenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submissiontype) Submitted Submitted . Ener9y Envelope Calculations Submitted In the last 12 months, has ihe City of Eagan issued a permii for a similar plan based on a masier plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone Mechanical Contractor Telephone ~ Sewer/WaterConiractor Telephone#f ~ 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 tlie ordinances and codes of the Ciry of Eagan and the State of MN Statutes; I understand this is not a pennit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordauce with the approved plan in tlte case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signatu DO NOT WRITE BELOW THIS LINE Sub Types ? 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 Eut, Att - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage . ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ' ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `DemollUOn (Entire Bldg) - Give PCA handoutto applicant D25C1'Ipt1011: WaterDamage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning . City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width ' REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) Final/C.O. _ Footings (addition) FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ . Insulation _ Retaining Wall Approved By: , Building Inspedor Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3782 South Hills Ct Lot: 11 Block: 2 PID:10- 70790 - 110 -02 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445 -2840 Fee Summary: Contractor: Binder Heating & Air Conditioning 222 Hardman Ave N South St Paul MN 55075 (651) 457 -8781 Addition: South Hills 1st ME - Permit Fee (Replacements) Surcharge -Fixed Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: David V Nelson 3782 South Hills Ct Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA087992 01/16/2009 ePermit PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121059 Date Issued:03/11/2014 Permit Category:ePermit Site Address: 3782 South Hills Ct Lot:11 Block: 2 Addition: South Hills 1st PID:10-70790-02-110 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. Josh Mcguire 1424 3rd St N Minneapolis, MN 55411 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Cheryl A Nelson 3782 South Hills Ct Eagan MN 55123 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155131 Date Issued:04/30/2019 Permit Category:ePermit Site Address: 3782 South Hills Ct Lot:11 Block: 2 Addition: South Hills 1st PID:10-70790-02-110 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 - Cheryl A Nelson 3782 South Hills Ct Eagan MN 55123 Norwest Contractors Inc 1370 Crestridge Lane Eagan MN 55123 (763) 420-8268 Applicant/Permitee: Signature Issued By: Signature