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1878 Southpointe TerCITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: P. O. sox 21199 DATE: Eagan, MN 55121 No. of Units: ------- Zoning: +±.: <. v:> e2S Owner: Address: Soutr. of Site Address: , ; ,pan is -1 Plumber. Meter No.: Size: Reader NO.: ? 00091, `' the city of flav I p? to ordlmsoa& Connection Charge: Account Deposit:.1nd 1permit Fee' Surcharge' ?..i Misc. Charges: Total: Date Paid: By ___- pole of Insp.: CITY OF EAGAN 3830 Pivot Knab Road p. O. Box 21199 Eagan, MN 5 l2l Zoning: A4vance ,,evelo ei Owner. Address' jR7 1900 South Site Address: any p"c}anica ,3-255 Plumber ?,._2 56 f 1 Nye to e80* wo GM of amps ordiraw?' t By ___r Dote of Insp.: Ip ITY OF EAGAN 830 Pilot Kn,b Rozd , O. Box 2 199 Eagan, MN X5121 Zoning: Owner: Address: 1 Site Address. PERMR SEWS SERVIC j PERMIT NO.: h DATE: t s _ No. of Units: j ?2UU.uvi"' ConneCti°" C?1O"pe' Account DePa?t: Permit Fee: Surcharge- Misc. Charg" Total: . Doh Paid= WATER SERVICE PERMIT PERMIT NO.' I DATE' _ No. Of Units: CITY OP EtAGAN . s . 3890 PNW Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est Value , Date a 19 Site Address n 7T J1@ z+ TERUAf?Pect Q Occupancy - Lot Block Sec/Sub. ?.;T?•,F nj, ;r?_??? Remodel ? Zoning Parcel No. Repair ? Type of Const y Addition ? No. Stories W z Name - 0 ?4 Trst -" 4 i; .'!G - Move ? Demolish ? Length ? `? 7 Depth A Address I I ? F S nt mpr. q. t. City Phone Install ? = o Name - "?T r^(1R P 0 < Address Z tl ~ City Phone -x-!94-4 ILI- Ila 15 W Name i fi F me mp eps R 3 Address z z i City Phone i A '-. I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Fagan Ordinances. Signature of Permittee- - A Building Permit is issued to: all work shall be done in accordance with Building Official Assessment Water & Sew. Fire - Eng. - Planner Council Bldg. Of APC- Var. Date Permit , --U 0 Surcharge- _?T0 0 Plan Review _,6 1 : :.)U SAC 0j Water Conn.UU Water Meter i474? Road Unit , .00 Tr. PI. U0 Parks Copies Total 44 - a on the express condition that of Eagan Ordinances. 'dN0 'Ai .nolW?l agµasap IPA .&-:14-1 .11m 4304 Rind 'BPd 1 - '6ald Igul, O BIH Igul: aagldaul: ?! //6 In" U -? - '61H 46nol 9 -Bald 46noI 6uwoi Bulwgi; uollgpuno; Arn ?/9 II s6upoa 7017 Is6upoo; puawwoo •dsul alga uopoadsu iausllo'. OPP" aJ'1f•A'I r t l' ?C 6ulgwnl N wo4"Pi aNd JGWoH *Umd oN WA-d PERMIT # 7 -? ' PLUMBING PERMIT -? CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE Site Address _LL m Name _ Address c City - Name f' iJ -Q c Addr ^ , !v 7 L V esL p City ff Phone ` - Y - = FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE -$10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) BLDG. TYPE WORK DESCRIPTION Res. T New X Mutt Add-on Comm. Repair Other FIXTURES TOTAL Water Closet - $3.00 t Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 = Kitchen Sink - $3.00 Urinal/Bidet - $3.00 = Laundry Tray - $3.00 Floor Drains - $1.50 =sk ater Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: ' STATE S/C: GRAND TOTAL- - FOR: CITY OF EAGAN PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address - TYPE WORK DESCRIPTION LDG Lot Block Sec/ ub > P . T om; `? / R N Name es. ew tt =a, Add- M R Address u on Repair Comm c city Phone . Oth i Y7 A) IG 1 er Name FEES c Address RES. HVAC 0-100 M BTU - $24.00 C) City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU 6.00 TYPE OF WORK d GAS OUTLETS 1.50 EA.`' Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 ' _ (ADD $60 S/C IF PERMIT PRICE GOES Vent Gas Piping Outlets # CFM BEYOND $1,000.00) Other _ FEE SIGNATURE OF 10ERMITTEE S/C: TOTAL FOR: CITY OF EAGAN SITE ADDRESS 1880 SOUTHPOINTE TER Unit # Permit # 12036 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC Q VJ INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE /b/6 FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC SITE ADDRESS 1882 SOUTHPOINTE TERRUnit # Permit # 12036 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC C INSPECTION DATE INSPECTOR OTHER FRAMING q - Z- • ROUGH PLBG. 7-,'n - I-6 f? 4, ROUGH HTG. Y/10 Z14 f U? 7 INSUL FIREPLACE e frd FINAL HTG Y j Y p tlov FINAL PLBG - 3- J UNIT FINAL 17 CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1884 SO TH OTNT . T .RR Unit # Permit # 12036 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTO OTHER FRAMING -Z-Y( , ROUGH PLBG. 7j ROUGH HTG. 30 ?? %`/ 00, UG7 S I6i INSUL FIREPLACE e- FINAL HTG FINAL PLBG UNIT FINAL -vc- t L??.,• a . ?ci" 5 CERVOCC SITE ADDRESS 1886 SOUTHPOINTE TERR Unt113? B ?'l peff?Ii t 12036 TYPE PERMIT M PERMIT CONTRACTOR DATE TELEPHONE N PLUMBING H.V.A.C. ELECTRIC -? CG i4-/ - INSPECTION DATE INSPECTOR OTHER FRAMING // - Z- ?V ROUGH PLBG. - ?? f, [mil , ROUGH HTG. J/f F/ INSUL /? FIREPLACE _ ;?o .? (O ??4 g¢ N. C Aw FINAL HTG 311 c?/i; FINAL PLBG ?-7 - UNIT FINAL S CERT/OCC ?/ ?97 ?? SITE ADDRESS 1888 SOUTHPOINTE TERIbnit # Permit # 12036 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC l a l C/ , - ,? 1 -- INSPECTION DATE INSPECTOR OTHER FRAMING . Z -j ROUGH PLBG. ROUGH HTG, p er Af4 V4/ INSUL FIREPLACE FINAL HTG FINAL PLBG G f 1-7 , `r UNIT FINAL CERT/OCC SITE ADDRESS 1890 SOUTHPOINTE TERR Unit # Permit # 12036 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V,A.C. ELECTRIC I U c ll c o ci -? _ INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. L . ROUGH HTG. v 6 /U, !rs 4 oel INSUL _ /? - ?6 a) ,B FIREPLACE f 1l FINAL HTG -3v PAP FINAL PLBG UNIT FINAL 3d g CERT/OCC SITE ADDRESS 1$92 SOUTHPOINTE TERR Unit # Permit # 12036 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC ¢ INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. -/ ROUGH HTG. INSUL ?- 96 FIREPLACE f(e FINAL HTG 87 P fi'. FINAL PLBG UNIT FINAL CERT/OCC SITE ADDRESS 1894 SOUTHPOINTE TERR Unit # L3 aZ Sclncjtf#. 2'v Permit # 12036 TYPE PERMIT# PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTO OTHER FRAMING ROUGH PLBG. ROUGH HTG. g ,?G D G F 3 y INSUL 00, 8 FIREPLACE ! b T FINAL HTG -6 I td- FINAL PLBG a A , 1,-22-,r6-- GJG? yl*l UNIT FINAL CERT/OCC L-3 rbL 5th C I i?.? 3y' 12036 SITE ADDRESS 1896 SOUTHROINTF TFRR Unit # Permit # TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECT R OTHER FRAMING ROUGH PLBG. ROUGH HTG. ?? I3 0l ?(r i U.G. P? F INSUL -a2 D - F6 W FIREPLACE FINAL HTG FINAL PLBG d??o7c?r UNIT FINAL CERT/OCC SITE ADDRESS 1898 SOUTHPOINTE TERRUnit# Permit It 12036 TYPE PERMIT M PERMIT CONTRACTOR DATE TELEPHONE M PLUMBING H.V.A.C. ELECTRIC ? -a?-- INSPECTION DATE INSPECT R OTHER FRAMING JJ ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE ? l/ y FINAL HTG 61A y &? . FINAL PLBG UNIT FINAL y F? POf'r' CERT/OCC 6 y7 C- SITE ADDRESS 1900 SOUTHPOINTE TERRUnit # L 3 4z 5uncl iF? 3'J Permit # _ TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC [ INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ?Li' ROUGH HTG. INSUL FIREPLACE 9 y 4 ?,? FINAL HTG FINAL PLBG UNIT FINAL CERVOCC ?j_2 _? 6 Ct? 8 12036 b INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: '+ 4 3 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: r ' (612) 681-4675 I to I.. U. ADDRESS: i tl ! li! I fit r APPLICANT: .. i?llT 11 f'1)iNl F 11"!t ; i . ; 11 "IIIy 1. t .l 1 I iIt1t { t. 12 j 54E- - 1 100 PERMIT SUBTYPE: TYPE OF WORK: V1- PA I I? 11601 1N61':10 1Nfil Pf MAkh.'.. 1N1:1 UOF.S 1.RA0 18".1 1H84 1,"86 1H"H SMITHPOTN1F 11 k1? 1890 169: 1694 1H96 '1H4H 19A0 _ ,: VIM _ Permit No. Permit Holder Date Telephone Y ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAG N Remarks Q L ,- 16,16.2. %Igj Addition 1L C ?, Lot ? Blk °2 Parcel /o 7X 977 03o O-Z Owner f4te Impro ement Date Amount Annual Years Payment eceipt Date STREET SURF. 1033 1986 9625.50 641.70 15 STR E ET R ESTO R. 924 1 5 4265.55 284.37 15 GRADING SS TRK 929 1985 82.80 85.52 15 SAN SEW TRUNK 105 1971 1 9.6 8 7. 9 8 20 SEWER LATERAL 1034 1986 2 3 6'21,0 157 .4 7 Water Area 201 1977 129.00 8.60 15 WATERMAIN V?w WATER LATERAL 928 1985 2401.05 16 7 15 WATER AREA 343 197 533.25 5.5 15 Ser Stubs 956 198 2801.85 560.37 STORM SEW TRK 124 197 489.00 19.56 25 STORM SEW LAT 1050 198 1739. 115.97 15 151Y.'70 302.94 5 CURB & GUTTER SIDEWALK STREET LIGHT 3 365.93 5 WATER CONN. BUILDING PER. SAC PARK FOR SALE UNITS CITY OF EAGAN : 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 2 12036 PHONE: 454-8100 6 BUILDING PERMIT Receiptu ;a .:32 53- Tobeusedfor 12 UNIT M'.D. Est. Value $616,000 Date JUNE 2 tg 86 SiteAtldress 1878-1900 SOUTHPOINTE TERRACEErect I1 Occupancy R1 Lot 3 Block 2 Sec/Sub. SUN CLIFF 3RD Remodel El Zoning R3 PD Parcel No. Repair ? Type of Const. V 1 HR Addition ? No. Stories Name ADVANCE DEVELOPERS INC Move ? Length 107 W 3209 W 76TH ST., #205 Demolish 11 Depth 174 o Address Int. Impr. 11 Sq. Ft City EDINA Phone 835-5405 Install ? o Name RMC DEVELOPMENT CORP ow Address 3209 W 76TH ST., #205 u < City EDINA phone 835-3773 W W Name DOUGLAS A MOE ARCHITECTS Address 16884 YALE ST <W City ELK RIVM,e 441-5469 I hereby acknowledge that I have read this application and state that the information is correct and y remp a ape State of Minnesota Statutes and City o Oa S ignature of Perm ittee A Building Permit is issued to: RMC all work shall be done in accordance with all Assessment _ Water & Sew. Police Fire Planner Council Bldg. Off. 6/2/86 Var. Date CORP Permit $ 1,723. 0 Surcharge 308.00 Plan Review 861.50 SAC` 6L,9r?0r?0.00 Water ConrNADY O O0 Water Meter N/A Road Unit 3.480-00 Tr. PI. 1 , 872.00 Copies Total $21,144.50 on the express condition that an Ordinances. Building CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ATE \ _- ? tq RECEIVED FROM AMOUNT ?/ ??Iop 4__DOLLAR¦ ? loo CASH El CHECK vOR /? .? •. / l , _-7 i - /.r .1 i2 FUND "- CODE AMOUNT Thank You N'_ 67755 -- White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT • CITY OF EAGAN 3795 PIL OB ROAD EAG MINNESO 55122 D E \/`19?? RECEIVED // / 0 P•s.. ?_ ?L-Y AMOUNT L/T $ C/) lar'U & DOLLARS loo ? CASH ? CHECK FUND } O CODE i Mp/yRT . 6( e 'c Thank You N_ 63716 White-Payers Copy Yellow-Posting Copy Pink-File Copy This request void -7 .acF- _or (,-- /& J /Q 7 18• th. from n2 !/"' Ot (X v 4 2 8 5 4 V > - Requea Date 713? I Fire W Rouph-in Inspectiow' Requ ' ?Roady Nuw ?.WHYN n Inspec- for Wh n R d ? Q off es ?No e e ea y Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Bon or a No. 1911? SD ?" ,rJ City F740, Aid action No. Township Name or No. Range No. Coun Iu?? Occupant (PRIN) Phone No. ??13 Po Supplier /`?/• Address Electrical Contractor Company Name) KENDRICK ELECTRIC Contractor's j{ No. qc se Mailing Ad ra 5 Wt[r80tENj1q fi9/MEfi nLI lJll r?1V 1V V ion) i ?n Authori a i t a ionl P ne u ber MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Orlggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phnna 16121 297-2111 ENCLOSED. 'J ( REEOUEST7OR ELECTRICAL INSPECTION EB-00001 a / ?- 6 (,0 / See instructions for completirq this tram on back of yellow copy. 2 4-2 8 5 "X'" Below Work Covered by This Request A - ?ep. Type of Builtl no Appliances Wired Equipment Wired Home Range Ter ary Service Duplex Water Heater ightiny Fixtures Apt. Building Dr r Electric Healing Commercial Bldg. urna ce Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Ve0 v thcr (Specify) t er Spcufy Other Other Compute lnspeCtion Fee Below e Fee Service Entrance Size ft Fee Feadars/Subferders q Fee Circuits 0 to 200 Amps --I - -- 0to 30 Amps 0to 30 Am US Above 200 Am is 31 to 100 Amps 31 to 100 Am Swinvni ng POOI ] 0 Am s Atwve 1 Above 100_Am Transformers ; Irrigation Rooms Partial, Other Fee Signs Special Inspection $ Remarks t TOTA FEE r /-/ ?n Rough-in O pate I, the ecvical 7 Inspecto , v ify the - ova Final ?j T Dale n 4 ction onrhes been ape v n\ 7-7 ma datle. This request vOld 18 months from This request void a e /o 7 18 months from ! C? U co t C.- 24286 1?r?"%y? - R7- est Date 1 r 8 Fire No Rough-in Insp-do Regmr Ready Now ?.WRrlJOtity. - f Wh R es ? No or en eady MICT icensed Electrical Contractor I hereby request inspection of above 11 Owner electrical work installed et: Street dress, Box or Route No. 8 City Section No. Township Name or No. Range No. Cpmtty Occup' t I I . TI I L 011X? rru?- J Phone No?-i3 Power plier Address Electr {Wka{;y dfpan Name) V??Y41llr'K x,FCTPIC Contrar s License No. 2lnAY/Y7 Mailing Add a rfet?Ma'B7nglrlHt?`/aronl Vei'11 l 1V.G nwI Authorize 1 na ure ( nN ne Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwav Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1921 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Ple...e Ia121 J9TJ111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ") p ? See instructions for completing this form on back o1 yellow copy. 6141062 ?J /V // C 2 8 6 "X" Below Work Covered by This Request #.f dl Type of Building Appliances Wired Equipment Wired - Home Range Te ovary Service Duplex Water eater fighting Fixtures Apt. Building -e Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peu v therlSpeci fyl 1 .r Specs y Other Other Compute Inspection Fee Below a Fee Service Entrance Sixe ft F eeders U Fee Circuits 0 to 200 Amps 0 to 30 Am Above 200 Amps ps 1 31 to 100 A Swimming Pool Am s =Above Above 100_Amps Transformers ms Partial.'Other Fee Signs ction ' 5 TOT F ' Remarks 4 I 7 E 7 nf) Rough-in Onate I, t EI , met t [?? Ina Factor, hereby certify that the above if Q) Final • D:ita inspection has been made. This request void 1S monttla from iornq?ue void ?_C) ?-LYE NOOt /? y.73 G-5/0/7 18 months from V C 2_4287-s Reifuest D to (? /^ t F2 ? Fire No. Ro uA_h-in Ins 7l Yoh Requn > ?fleady Now ?.N9'fY Notdy, InsDec- f Wh R , es ?No or en eady g?<censed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed et: Scree ATldress. Boz or Rou I NO. City ecUgn No. Township Name or No. Range o. Count Occupe IPRIIJT) `Mf ? OEV Phy No. 73 Power Su Ner eoL. c Address P6-F- Electr {wal-CCC oo?n}?t'rJaccttoorr (Company Name) i ConO/ tracto'e i-Mens No. , Mailing Add j ICon y?g LO.Li'j*? pda?,tnyLAjgEon) ress +7.,T+IL'IU?KV r+ Authori[ ?e n nl one umber MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigga-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1021 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121 297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION s.EB•00001-04 7 See instructions for completing this form on back of yellow copy. C/O 2 4 2 8 7 "X- 8elow Work Covered by This Request G J / F Rep. Type of Building Appliances Wired Equipment Wired „ Home Range Te ra ry Service Duplex Water Heater fighting Fixtures Apt. Building Dr r Electric Heating Commercial Bldg. 'Furnace Silo unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm th, peel V Other lSpeclfyl f .r Spocify other Other Compute Inspection Fee Below p Fee Service Entrance Size tt Fee Feeders/Subfeeders a Fee Circuits 0 to 200 Amps 0 to 30 Amps It! X0 30 Am 0 Above 200 Amps 31 to 100 Amps , : ii 31 to 100 Amps Swimming Pool Above 100Am s Above 100_Amps Transformers Irrigation Booms Partia L th at Fee Signs Special Inspection Remarks ?r ?p,? TOT 6F,fn Rough-in ( Date I, th Electrica r ^r,?' p Inspe for eby certify that the above Final (te inspection has been ,?,, ?. made. This request Vold 18 months from This request void 18 months from O iJ ?C-I V •J u? C 24288 >- _ C - Regpest U l; ire No. RouPh-in Requu Erc(iOn C]fleady No. InapeC- 171N otify, Sr as ?NO Ior an dy 19- censed Electrical Contractor I hereby request inspection of above Q Owner electrical work installed at: Street Address, B x or Route NjZ t City oVS , Section No. I Township Name or No. Mange NO- Lowr Occupant Z T ,1 W H Ph N0. ` PowerNpplier Address /t Electrical Contractor (Company Name) Contract is Licen No. KFNTMOV F.INCTRM Za Mailing Ad leAj ( n1ractor ENOC?ng. or Owner Makintj Authori , t n i ?? a onl Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roam N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone 1812) 297.2111 ENCLOSED. EQUEST FOR ELECTRICAL INSPECTION EB-00001-04 7-ate -? See instructions for completirp this form on beck of yellow copy. 0 2 4 2 8 8 "X"- Below Work Covered by This Request A Sep. Type of Building Appliances Wired Equipment Wire Mi If Fee Service Entrance size h Fee Feeders rSubfeeders h Fee Circuits 0 to 200 Amps 0 to 30 Amps TO 0 to 30 Am J S b e 200 A mps 31 to 100 Amps 31 to 100 Am - ?A mming Pool Above 100-Am s Above 100_Amts nsformers Irr I gation Booms Partial.* they-Fee Signs Special Inspection aemarks TOTA EE ll7 /X) certify that the abov W inspection has been needs. This request void 15- W' 18 months from C 24289 -, D31, 63 (05107 .Yu fle uuired? "svr:r++u... Read Now Jtn Nolif lo 2 r1??/ ?q ?• ? y 9?^ R spec- +. l' A !/J Ifs nNn Ior When Heady [r]"Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at Street Add, s ox or out 0. I. City pcl on No. Township Name or No. Range No - County Occu p' t,IF NT) E; Phor?g Nn. Power Supplier C? Address GT_ Elec 'ce 7{ r o (Company Name) ICK ELEC'T'RIC Contractor '; Licmoss No. /4'62 Mai Tg Addres dbQ:CgMR 0C ;Mspai. pL Authorized a o ' Igsd I Y Phone N bar THIS INSPECTION BEQUEST WILL NOT MINNESOTA STATE v Bldg. OF ELECTRICITY g. -Room N•181 BE ACCEPTED BY THE STATE BOARD 1821 UnniversversiVty Ave.. 810St. Paul, MN 66704 UNLESS PROPER INSPECTION FEE IS 1821 Pe..,,. 19121 297_2117 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB 0eo0t-na , Sae instructions for completing this form on bec% of Vallow copy. &S / 'X" Relow Work Covered by This Request 24289 , Ad?.Bep.l Type of Building Applia nee# Wired Equipment Wired -° Home Range Terpporarv Service BUlk Mi # Fee Service Entrance Size # Fee Feoders/SUbfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps Am Above 200 Amts] 31 to 100 Amps I, .? Sw i mmin Pool Above 100_Amps t I00_Amps 9 Tran 'Othpx--FQe 1 .1 I Signs I I ISpecial inspection s4 enyrks 11 I, the loctrical - Inspect y certify that the above Final , ,' f AN C41 1 inspection has been ? /'^ Y made. 0?1 8 X68 ;a ? Regue Date 1 - Z - Fire N oughln Inspection uiretl VOU must call Insp or w en ready) "'U", Inspection Other Than Rough-In Ready Now ? Will Notify Inspector ' i ((J Yes No d Ito I licensed contractor ? owner hereby request inspection of above electrical work at: JoB Address (Street. Box or Route No.) City 46 4 1 F ) fi stoc? I e vV?2 - & r Section No. Township Name or o. Range No. County Occupant (PRINT) C S Phone No. Z ?-? 418 can c e Power Supplier Address Electrical Contractor (Company Name) Contractors License No. ss (CO actor or Owner Making Installation) Ma" Acklrre Q -tt.,Rq? \,, o NA Aut r Signature (COntr iOwn Making Installaton) Phone Number y 2,3--))3) RIClry INSPECTION I N y v II II I I I I I I II I I I I II Vers A e,. S Pau, MIN 55109 1821 U PROPER IS I U LES Phone (612) 642-0600 I N SED REQUEST FOR ELECTRICAL INSPECTIONS la EB-00001-09 0, See instructions for completing this torte on back of yellow copy. ) S???? "X" Below Work Covered by This Request "k V Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify)- Farm Air Conditioner Other (specityl Contractors Remarks: Compute Inspection Fee Below.. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 1 1 0 to 100 Amps Transformers Above 200 Amps Above 100 _Am s Signs Inspeclors Use Only TO L Irrigation Booms G? D ?Q _ Special Inspection Alarm/Communication THIS INSTALLATION MAY -ORD ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby if h h Rough in Date cert y t at t e above inspection has been made. Final r oat OFFlCE USE ONLY '. This request veld 18 months from This request void /7 18 the (tom 6 K? w iC 24 290 //7 quest Date •• 3 ` Fire o. Rough-in Insoectad ?/ Required 1 0fleady Now [V Vh"Tlot ify InsPec- for Wh n R d ?NO e ea y ['Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at:. Street dres..ox or pout 1 City eagin ectin No. Township Name or No. flange No. Coun ? Occupant PAIN ) r Phor S r uP ier ejcrjrl? Address , 1 , °TlIM1lA//•/iT EI ctri ll + t )RfdK`Pt7tTRIC 1 K Cant rdt;tors License Nl ``f\-lT6 /?Y/`L p. Mailing Addre1 t r i D ANE) Authorize n t re Contrac or wn r eking Installation) Phone N er MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. -7 (F, REQUEST FOR ELECTRICAL INSPECTION E13-00001-04 _ [/ See instructions for completing this form on back of yellow copy. N: ? ?? C 2 4 G 9 0 ""X"' Below Work Covered by This Request /L d Rep. Type of Building Appliances Wired Equipment Wired Home Range Te porary Service Duplex Water Heater Lo ?Lightinq Fixtures Apt. Building er Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pert y Thor Is nevi lyl 1 er Specify Other Other Compute Inspection Fee Below p Fee Service Entrance Size a Fee Feeders/Subfeeders a Fen Circuits 0 to 200 qm s 0 to 30 Amos 0 to 30 Amos Above 200 Am is 31 to 100 Amps 31 to 100 A s Q Swimmin Pool Above 100Amps %M Above 100-Am s Transtormers ..ciation Booms Partial/O Signs Special Inspection Rem9 rks s? TO L E t? E 7 Rough-in Date ( / I, a Electr' Into hereby • certify that the above Final inspection has been r ill made. This Muest Vold 111monftistmm This request vdid 7 18 This reci s (r (' 2 2 91? bra 7 l'?,/. Y7 - Request Date 7 Fire No. Ro ugh-in Inspe io / Require []Ready Now ®NR?Nntify Inspec- R? 'k 7 s No E) for When Ready ceosed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: St gs(gIe ix or ute New ee City I i Section No. Township Name or No. Range No. Cou' , _ OccI t I4R, '1L PhonNO. Power upplier Address Electrical Contractor (Company Name) Centr ,tor' License No. KEND R I C K E LEC TRIC ?SP s dnta s ?r °^ ???^^^,,, ?a?R 1y1t/^^^ Mailing A?drer C CyMrj Mff tionl 4 ?ViV L(•, Autho r I r Ow lion) one Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwev Bldg. - Room N-191 BE ACCEPTED By THE STATE BOARD 1821 University Ave., St. Paul. MN 65100 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. ; SQUESTaFOR ELgECgTRICAL INSPECTIIONet of yenow copy. EB-OOUoi.04 C 4 291 "X" Below Work Covered by this Request ?l0 tl Pep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service -ti Duplex Water Heater g tiny Futures Apt. Building Dr Electric Heating Commercial Bidy. urnace Silo UnlOader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Ispecov) Other t .r Veu fv Other Other ion fee Below p Fae Serv ice Entrance Size it Fee Feeders rSubfeeders d Fee Circuits U to 200 Ames 0 to 30 Amps - _Q 301, to 30 Amos LO Above 200 Amfs 31 to 100 Amps ,S^t - 31 to 700 q s Swinvning Pool Above 100_Amps t Above 100_Am s Transformers Itr i gati0n Booms Pe rtia 1."Other Fee Signs Special Inspection s ? - Remarks r 7 4 TOT F Bough-in ( Dale r •v, (^ I, the el C•)/? r Inspector. hereby certify that the above Final ?{t" L finspection has been This reauest,old 16 months from This ehs Ira, _ ; 18 C a.F_O (Z-1 /- D T/ iC./V `r ??lJ nth24 2 9 2 Request Date Fire No. Rough-m spectum J(' Requi []Ready Now Ua-WFrTd74otifv Insoec- / es ?No for When Ready ensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Rout o. 9Z ' City Section No. Township Name or No. aoge No. Coon Occupant(1 INTI ^ Ph re No. Power Supolier?/J tl?????? /?/J (/J !? V 1--er- M1/? `/ Address Electya}1{-.py4rffC!Fyn t9C`l`R1C i fL'??? jjJJLl1 jj?V Contractor ?isg n. (r'??LL Ma i l i ng AAA dr rr n Atin I' tionl M Authorized Signatur tractor ner a ing nsta la ion) Phone Nu V MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 88104 UNLESS PROPER INSPECTION FEE IS Phone (812) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ouoof oa i 7 Y? See instructions for completing this form on back of Yellow copy. C 2 4 2 9 2 "X"' Below Work Covered by This Request ?/ lJ INS. frRal aep.1 Type of Building I Appliance. Wired 1 Equipment Wired 1 ce ce Bulk Mi N Fee Service Entrance Size . Fee Feedere/S.bleeders k Fee Circuits 0 to 200 Ams Oto 30 Amos L Oto 30 Am ljs Above 200 Amps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Am s Above 100-Amps Transformers rri gation Booms Partia e Signs Special Inspection s r geniarks TA FEE 21-T40 > y ;^, e carne any .94 M certify thet the above Final r , .. CY t?inspection has been ->•y made. This request void -) 11 f? p (?, 18 months fr I-,, _i -U w' L 0 v-7/ 18 13 C, 2293 ?' - Request Date : y 2 '3• Fire No. Rough-in Ins k -on Required? Ready Now ®1k,MNotify Inspac- f Wh ?NO or en Ready Lll"-.ensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Rou No. City i(] ec on No. Township Name or No. Range No. Couny.l /l x/?/l,`,TIV-/-+ Occuoe IPR NTI g Pho N -7?3 I Powe uppli r ^ qqq Address (Company Name) Electrical Contract., ctt., Contra/; to r' Li nse No. ,( ? Mailing Ad a (Conti ctor or Owner Making lostailationl ?r v40 ?'E WCK LANE Authori e t wn i?0f?t6N at ion) J 6G `t Ph V Number I MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigga-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297_2111 ENCLOSED. REQUEST FOR°L2CTRICs.ll- INSPECTION g-oaot_oa ?x??? sea inshuctions for completing this form on back of yellow copy. 10 C 2 4 2 9 3 -X" Below Work Covered by This Request (o5?v "w4 FjpdrRep.I Type of Building I Appliances Wired I Equipment Wired I Fi ce Bulk Milk p Fee Service Entrancesl O F Fee U to 200 As 0 to 30 Am s J Abov200 Am B 3to 100 A s Swinwning Pool bve 0 !§A Transformers Partial,'Ot ee Signs Special Inspection $ Remarks TOT F,E?jt Thi rjomh request void O (/ v O v 18 dbnths from C 24294 Request Uate Fire No, Inspecti R Requ tl? ?Ready Now "701ify Inspec- t I Yes ?No for When Ready ale'-?4 Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street x or Rggte No. .t City action No. Township Name or No. Range No. County Occupy n{?IPR T L o ,r ?V/ Phone.. (AV/ Power S plier 1 lJL 51 1 Address ? 1 1 ^? .1MI /W/T' ElectriL81 C_ ontractor (Company Name) KLLa1yT1TlRI/l`, K ELEMIC Contr ctor's Lice se No. Mailing AddrSp kin?fns+!/17j la[ion) r N.1PL.r `(•j,jvf?yr? K ll n ? pe Author iz I nl Phone umber MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 66104 UNLESS PROPER INSPECTION FEE IS Ph....v IR121 747.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 "' sea instructions for completing this form on back o1 yetlow copy. , C 2 4 2 9 4 ."X'. 8elow Work Covered by This Request S/6 L A,04"ep.l Type of Building I Appliances Wired I Equipment Wired ce b 'Fee Servlee Entrance Size H Fee FeechOs/Subfaeders H Fee Circuits 0 to 200 AM DS 0 to 30 Am s ID 0 to 30 Am Above 200 Amps! 31 to 100 Amps L 3a) 31 to 100 Amps Swimming Pool Above 1 OO_Am s Above 100-Amps Transtormers irrigation Booms Partial.'Oth ee oigls special Inspection B emarks t TOTA FEES 74?F/ Inspect ??•••?? by n-al /PA' Z) i .) t. certify that the Abov Inspection has beeen been made. This request void 0 trmpnth?Sdrom [ _a 6 'O YJ f?+ 3 '*' sI 0 / C 24295 7 Y7 - Request Date O/ _ Fire No. RoequPh-in In ecti n Ruir Ready Now x ....11 ntit y In ? spec- I. ? o IT!'J NO es ? ror Whe Pe n ad y Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Ad Box or Route ? CitY ecuon No. Township Name or No. Range No. countt Occupa/}t (P NT)t P J PhoneUp. Power SML P/^1jTI'?? '^• ,' Address Electrical Contractor (Company Namel KENDRICK ELECTRIC Contractor's License No. ynta?,ta Mailing Aljr 4 t?r?to(?L'',,?i\\jjlv?O LgL7R lion) (jJ,1 Autho r (rC?w k tionl Pho Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 Un1 97Ave., St. Paul, MN 66186 Pnnnn 181221 128].2111 ENCLOSED- 7` yr REQUESTeFOR E LECT RICALq INSPECTIONok of ygllo.v ropy. ti Fe-00(101.04 :- (10 If See instions lor 0 2 4 2 9 5 "X" Be/oW Work Covered by This Request S ?U A ep. Type of gui Iding Appliances Wired Equipment Wired ?.?;-6.? Home _ Range - . Temporary Service winmerclal mag. Urna ce Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank # Fee Service Entrance Siza # fee Subfeedem # Fee Circuits 0 to 200 Am s Amps 0 to 30 Am S Above 200 Am esi Amps E 1 to 100 Am s w imming Pool 0_Am s Above Above 100_Am s Transrormers Booms Partial,'Other Fee Signs Sp ecial Inspection emarks 54' TOT FEE 1/7 Rough-in Date ?/ I, e Electric ?' oylO_ InsP ruby Final 11 certily [het t above he ? inspection has been metle. This request yon] Fr (?? I 1 8 months f _0A91 48,3 107 C 24 296 ) <?. _ - Renuest to Q- ? r 3 Fire No. Rough-'n Inspe rtionJ Regmr ?Ready Now V.IMiff'?o lily Inspec- for Wh R 0 es ? No en eady M<--- nsed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed et: Street Ad ess, ox or auto ? City ectlon No. Township Name or No. Range No. Count zle-L .Occupant) INT Pho No. Power Su li // Lr Address Eler j tqr (CmpanLy Name) j? ?+1.GC 7l k" 1 Contractor's Lice No. (9 -?C^f c?j Mailing A R'.Wtjb.JE? 1?jjpygM1lltakr(igHrVii tionl JJ'' ji jir4????l?Rt?fl?'Sj11 LL.a 1V 1.10 q&V& Author LU O Lion) Ph a Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 Ph University Ave., St. Paul, MN 55104 g6..eu rxllt ygT_olil ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E9-00001-04 See instructions for comDlatirq this form on beck of yellow copy. C 2 4 2 9 6 ""X"' Below Work Covered by This Request ?5/ 7 A ep. TYpe of Suiltling Appliances Wired Equipment Wirers t ce 'P Fee Service Entrance Size a Fee Fenders/Subfeedera b Fee Circuits 0 to 200 Amps W2 30 Amps it) 0 to 30 An+ Above 200 Am ? 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100 _Amps Above 100_Am)s Transformers Irrigation Booms Partia L'Other Fe Signs Special Inspection A Remarks 5 TOTAL E? f raj I, the lectnca (f? Inspec eby J- cerlily that the above Final nata inspection has been 4-y made. This request void FOR: R.M.C. DEVELOPMENT CORP. C. R. WINOEN 6 ASSOCIATES, INC. LAND SURVEYORS fd 845.3648 1381 EUSTIS ST., ST. PAUL, MINN. 55105 ,?2 69 Q A/ `00 D ?O 2 ?7 s-BO A_ V ? y Rt? 4 ?e .yG f. ? r f0 z\ o%?yyJ ?' n \ %fl?p6 u / X49 ?e 0" o co \ N r ? JO i. Scale: 1" = 60' (ooc=o) Denotes Proposed Finished Ground El, 4 Denotes Direction of Surface Drainage Vertical Datum - N.G.V.D.192 Note, As of this date, SUN CLIFF THIRD ADDITION has not been recorded. Lot 3, Block 2, SUN CLIFF THIRD ADDITION, Dakota County, Minnesota. WE HEREBY CERTIFY THAT/ THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doted this 1'4" day o1 QC710btr A.D. 19$S . C• R. WINDEN 8 ASSOCIATES, /INC. by C jC"W iIu.4 Surveyor, Minnesota Registration No.'t1K mm" COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN co 651-681-4675 Foundati New Construction Interior Improvement • Structural Plans • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans • Structural Plans (2) • Code Analysis (1) • Certificate of Surv • Civil Plans (2) • Project Specs (1) • Code Analysis J • Landscaping Plans (2) • Key Plan (1) • Project Specs • Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Tes Schedule • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report • Spec. Insp. & Testing Schedule (1) • Elea Power & Lighting Form (1) not always- • Meter size must b Meter size must be established • Meter size must be established - if applicable • Project Specs (1) 1 • Energy Calculations (1) 1 • Electric Power & Lighting Form (1) 1 • Master Exit Plan (1) ! 1 • Emergency Response Site Plan (1) 1 1 • Soils Report (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651.602-1000 Food & beverage or lodging facilities -submit plan to MN Department of Health. Call 651-215-0700 for details. " Contact Building Inspections for sample. " Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: 3' 0 WORK TYPE: _ NEW MODEL CONSTRUCTION COST: 7 bi1j, Street Address: C//i/ ST (?(? ) ?j ? Sj?? Company: Allslg? Phone #: CONTRACTOR Street Address:d? Pyo / 7?Fy"Z )0w N? SITE ADDRESS: ? ? - / ?' y? ?; / . TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK Name: ??SSen CQ?f')AAntLT Phone #: L(QS? ) / p ??- PROPERTY Last Fir t OWNER City: r___14 ,t ??(n State: '?A /? Zip: City: ARCHITECT/ ENGINEER Company: Name: Street Address: City: Licensed plumber installing new sewerlwater Phone #: Zip: 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;'/` Updated 7102 State: 0 /1 Zip: Phone M ( ) \1I 1 U `{ Registration #: ll (11 {i IJ State: OFFICE USE ONLY SUBTYPE -, 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. 14 Apartments ? 27 Commercial/Industri al ? 32 Ext Alt - Apts. 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE J 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors 1 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding O 48 Authorization 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning SAC Code # of Stories No. of Units Length No. ofBldgs. Width Const. (Actual) Basement sq. ft. (Allowable) First Floor sq. ft. UBC Occupancy sq. ft. MISCELLANEOUS INSPECTIONS Gas Service Test ? Heating APPROVALS Planning Building ? Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered E Plumbing ? Stucco/Stone Variance 'ermit Fee Surcharge ?Ian Review MC/ES SAC Clity SAC Nater Supply & Storage S/W Permit 5/W Surcharge Treatment Plant ?ark Dedication Trails Dedication Nater Quality Jther Copies VALUATION $ % SAC SAC Units Meter Size Total 72977 SUN CLIFF 3RD 1830/ 1832/ 1834/- 1836/ 1838/ 1840/ 1842/ 1844/ 1846/ 1848/ 1850/ 1852 1854/ 1856/ 1858/ 1860/ 1862/ 1864/ 1866/ 1868/ 1870/ 1872/ 1874/ 1876 1878/ 1880/ 1882/ 1884/ 1886/ 1888/ 1890/ 1892/ 1894/ 1896/ 1898/ 1900 10 72977 010 02 10 72977 020 02 10 72977 030 02 SOUTHPOINTE TERRACE PAGE 1 OF 2 7 PERMIT# &?- \S-0 I RECEIPT DATE: Please complete for: SITE ADDRESS: 2008 UiSIDENTIALPLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 {PILOT KNOB RD EACIAN, MN 55128 651-6$1-4675 single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system OWNER NAME:: 1 r ( Orly., LJa,a l o TELEPHONE 1(&50 452--475-1o 1 I (AREA CODE) INSTALLERNAME: ?L)I-61oyln ?,lt.vvtWn4 TELEPHONE#: X0)2-92.7- `4033 STREET ADDRESS: 2°l05 ?(til^FIGI ?V'?VIN? 501. i4i (AREA CODE) CITY: Is. STATE: MQ ZIP: 55408 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. - Water turnaround - existing dwelling unit (+ 518" meter if needed - $118) Other: RPZ: new installation/repair/rebuild $ 30.00 lawn irrigation system Replacement/additional: water softener X water heater $ 15.00 State Surcharge $ .50 Total D ? ?r+ ?' ? O J V iv i e--- l u l I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith II plirable City of Eagan ordill an es. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability far any dama as caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-wa ?asemen--? ?. p SIGNATIOR£ OF PERMIT-FEE 1/02 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND aQ A//aels? -r/4/E To Be Used For: Awl 4P/l'ps /878 logo 10*4f Site Address /J?go1 iA9?; /891 Lot .3 Block Parcel/Sub. ?N &VI -f fiod 4W Owner QVAAeeA- l?uf? t IJOe- Address 7k6!. 1 City/Zip Code AVAI SS/{3S Phone Contractor h*-7Ne- p Address City/Zip Code iy SSSf3? Phone Sdf- 3773 Arch./Engr. Address 14.9 9-Y ),/P s Fiy? I City/Zip Code ff/l ,A!Eye4 '&iVjr •S.S.f80 Phone # /?- ./H/- ;C" 9 Valuation: h Erect Remodel _ Repair Addition Move _ Demolish _ Int.Impr. Install Date: Occupancy -L- Zoning K? Y'P Type of Const77_1NFC # of Stories Length X0-77 Depth 11 at Sq Ft APPROVALS FEES Assessments Permit 173 Water/Sewer Surcharge -50 Qy Police Plan Review L%1 Fire SAC Co9D0 Engr Water Conn r v Planner Water Meter Council Road Unit Bldg O£f Treatment Pl 151°L APC Parks Variance Copies TOTAL / / yU 2 NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. /co coo 5/(?, &OU ?/,7.Cf?,9.iz(aE e . 5 v 306 / 72 3 ?uir?- C?,UIT 12 ,? ?5 7Z x/33 s " ?29U /-723 /723 303 ?klz? 5?19a 187E CITY OF EAGAN % - ? EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION 1 OWNER: SITE ADDRESS: ?/ / CONTRACTOR: ?jry L? (ilG?/JY?ivf &,DATE://4, Determine working square footage of each: 1. Total exposed wall area .. sq. ft. x .11 = 3 2. Total roof/ceiling area .. sq. ft. x .026 = / ?! Total exposed wall area above floor = 9,??a a. Total wall window area ............................ / 32 b. Total door area ................................... c. Total sliding glass area .......................... VkeD d. Total fireplace wall area ......................... e. Total wall framing area (average 10%) ............. Os/ f. Total net wall area above floor ................... J Z24 g. Total rim joist area ............................. d, 2r Total exposed foundation area h. Total foundation window area ....................... i. Total net foundation area above grade .............. /S?a Determine 'U' value of each wall segment: a. 1132 X lug -3;z .2,09.2-.2 b. IV 9n x 'U' Dh9 .33./ C. A1190 x ' U' sZtq = ?3S 2 d . x ' U' e. Roy/ x tug f. 7. A3/I x ' U' D?f7 - 3 10. / 9- to 7S x tug 01f7 = 3/.7 h. x 'U' - i. /S2 x 'U' /isy 3 . ........... ................ .... ............... ..... Total = If item 03 is the same as or l ess than item 01, you have met the intent of SBC 6006(c) 2. Total exposed roof/ceiling area = /Q 4016)/ J. Total skylight area ............................... ?lo k. Total roof/ceiling framing area (average 10%) ..... A Ova 1. Total net insulated roof/ceiling area .............. _ g.9 9f (OVER) PHONE: P? X773 ? S y Determine 'U' value for each roof/ceiling segment: j. }2, x ' U' , #0 = /.? -V k. 000 x gut lea2 = ;Z .O 1. g9,1 x 'U' 4 . ...................................................... Total = If total of p4 is the same as or less than 02, you have met the inten f SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items 03 and #4 shall not be greater than the sum of Items 01 and A2. 1. /338 + 2. 3. 8X7, 7 + 4. I> PERMIT # ' I 1 3 RECEIPT DATE: ) 17 (Z_ MIDEN UL •PLUM$INd PERMIT APPLICATION crrY OF EAt3m 3930 PILOT KNOB RD RAGAN, MN 55188 651-6914675 Please complete for: SITE ADDRESS: OWNER NAME: : i INSTALLER NAME: STREET ADDRESS: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system HIPP, MARY 1898 SOUTHPOINTE TERRACE EAGAN, MN 55122 (651) 452-5304 S TELEPHONE #: (AREA CODE) TELEPHONE #: 12 Z Z-7 - *33 (AREA CODE) CITY: l r IlO1 S STATE: Nhn ZIP: SS-go? Place a check mark next to the permit work tvoe New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: YS? ?J1a Gn (??oi i7eX ti e a?G?r _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ ??•?'? Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. 1 hereby acknowledge that I have read this application, stale that the information Is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. S G A URE OF PERMITTEE Updated 1101 PERMIT ' CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 028443 (612) 681-4675 Date Issued: 07/31/96 SITE ADDRESS: P.I.N.: 10-72977-026-03 1878 SOUTHPOINTE TER LOT: 3 BLOCK: 2 SUN CLIFF 3RD DESCRIPTION: (ROOFING/SIDING) Gjldk Permit Type STORM DAMAGE uTldin?`ork Type REPAIR Cin Us Cod434 ALT. RESIDENTIAL mss' ,: R, 4 ! .' ;$ man ;il -1 REMARKS: INCLUDES 1890 FEE SUMMARY: 1880 1882 1884 1886 1888 SOUTHPOINTE TERR 1892 1894 1896 1898 1900 CONTRACTOR: - Applicant - ST. LIC.OWNER: GIERTSEN CO 15461300 0001796 TOWNHOUSE ASSN-GILL CROSS 860 DECATUR AVE N 1565 CLIFF RD GOLDEN VALLEY MN 55427 EAGAN MN 55122 (612) 546-1300 (612)853-9910 i I; ti a r`a'ft y '+ infarmatt S t'a t3A te'% APPLICANT/PERMITEE SIGNATURE ISSUED W. S ATUR CITY OF EAGAN 14443 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Remodel/Repair Reculrements 3 registered site surveys 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) t energy calculations 3 copies of tree preservation plan If lot platted after 711/93 required: _Yes _ No DATE: l ?"5 DESCRIPTION OF WORK: STREET ADDRESS: _ LOT L BLOCK SUBD./P.I.D. #: 'I C® rr+ruu-l PROPERTY Name: i.? Phone #: OWNER "MST Street Add ess•? ?PO P/r?c g ° City: State: r'MMr w-i Zip. ,7 S ( Z CONTRACTOR. Company: /?rl ma =? ^?0 Phone #: ? q& 3 ?" Street Address: % 11 6 ? t,1` 14y Oo License #• /711 City: State: Nw Zip. S sye? 7 ARCHITECT/ Company: Phone #: ENGINEER Name: Registration # Street Address- City: State: Zip: Sewer 8 water licensed plumber: change are requested once permit is Issued. ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions Penalty applies when address change and lot 1 hereby acknowledge that I have read this application and state that th nfo ation rrrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: e?ad std???r OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No BUILDING PERMIT TYPE OFFICE USE ONLY tv- A ?1 ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? ? 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SM Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units CITY OF EAGAN .APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT OONSTIZSTIB APPROVAL OF PERMIT. INSPECTION OF MiER AND/OR WOO DOr`ALLATIONS WILL NOT BE. SCfED- UI UNTIL PERMIT BAS BEEN APPROVED. ..• -•YYYYYYYYYYYYYftYYYYYYYYYYYYYYYYYYY*Y P ease Print 1) PROPERTY ADDRESS : ?$ _ l ?L1Q SOU ! O /??? Tlz?f?ct? - LEGAL DESCRIPTION: G G f 3 `?L Lot Block SuoQ1v1S cn or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Month/Year) f?1 CollVERCIAL/RHTAIL/OFFICE 0 INDUSTRIAL C7 INSTITUTIONAL/GOVERM&-NT 2) r, ? ADDRESS: CITY, STATE, ZIP: PHONE: ED R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3?TOWNHOUSE (Three + Units) ( Units) Z R-4 APARTMENT/CONDOMINIUM (/Q, Units) 3) u is ?• NAME: ADDRESS: 3800 iCENNESEC Of3IVE, EAGAN, MINN.557z[ 45216-6-5 CITY, STATE, ZIP: PHONE: MASTER LICENSE# 001445M2 4) ....4 Ti men-mm--m S License: Active Expired Not recorded Staf I iniai kj 6) PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE " - - - PLEASE MAIL APPROVED PERMIT TO 1,0 3, 4, ABOVE L (Circle one) 7) a r- FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $- /r% .S SEWER PERMIT (INCLUDE SURCHARGE). $ $_ ?D ^ ?c WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $_ Gam? ACCOUNT DEPOSIT - SEWER $ / $ ACCOUNT DEPOSIT - WATER $ C'??CJo $ WAC $_ (<- %C9 f? - ('J/? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ / $ LATERAL BENEFIT/TRUNK WATER $- $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $??C TOTAL •P ??5..---- RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: Ac TITLE: DATE: T" ?/? MEMO TO: TOM COLBERT, DIRECTOR OF PUBLIC WORKS JIM STURK, PLANNING DEPARTMENT BILL AKINS, ELECTRICAL INSPECTOR CRAIG KNUDSEN, ENGINEERING TECH FROH: DOUG REID, BUILDING INSPECTIONS DEPT DATE: I9 97 The Protective Inspections Department will be performing a final inspection for occupancy of /87g` Ir10D ?Jf>t??? i L2C?. on Please return within 48 hours with your approval or denial. Failure of response within that time frame will be determined as approval. It will be each departments responsibility to contact the construction firm with necessary requirements before final inspection and notifying the Building Inspections Department when all requirements have been taken care of. Thank-you. DR/js APPROVAL: DENIAL: (SIGNATURE & DATE) (SIGNATURE & DATE) ?,;- sg S, ,5-b, 5-D 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION - -_ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 I / please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date - I t? , _ (1 + / 1? rn /y p Site Address )Q' (Jgl..(J R)bt? Unit# Property Owner Telephone#Oq-) 39'3-7303 Contractor Si, , . Pa), 1 01, , x 7 Street Address Ci V State J J I Zip Telephone# Bond Expires: The Applicant is Owner Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace -Additional Replacement _ New air exchanger air conditioner _ heat pump other C?ay O State Surcharge $ .50 Total $ 50 . j I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that to work will be in accordance with the approved plan in the case of work which requires a review and approval Applicant's Printed Name Appli s Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110132 Date Issued:04/24/2013 Permit Category:ePermit Site Address: 1878 Southpointe Ter Lot:026 Block: 03 Addition: Sun Cliff 3rd PID:10-72977-03-026 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Renae Frienwald 2200 Hwy 13 W Burnsville, MN 55337 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 - Charissa Graff 1878 Southpointe Ter Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature � U�e BLUE or BLACK Ink �-----_..�_-------i . � For OlMce Use � ; Pw,,,it� Z�'S/Z� I �� 0�� Permit Fee: I J,� I 9830 Pibt Knob Road j I Eagan MIN 661ZT � Date Reoeivad: i Phons:(651j 695�678 � � � Fax:(661j 675�684 � � �._____________�__� 2013 RESIDE�TIAL BUILD�NG PERMIT APPLICATION i�7s�� s��. 8x,�r�i; s�� St� s- -J�/ ' cu� o,.J rd ,�'2 Date: Sibe Addro�s:/�� 9 A,�'/�4 6,9 B,i� S�ouTii�P UnR�: � �,. , Name:GLc f1 G 7" /y1�4,J+4��'N SU: .�"�C Phone:7(r� -S'S3 - 4770 Raa� .� Gr►e��,..D 1�r�c.�' Oy�e� , Address/Ciry I Zip: �'S�D � �G�l rv.Q Ad p � ; �- '..: �,�,�.0 s'Sy�7 � �. Applic�nt is: Owner ,�Contredor ��,��. �escription of wortc: `T s,g,2 oF-f" � 2� �F � � , ConsUvction Cost��x 7 85.GQ Multi-Famfly Building:(Yes � /No_� . >t� ��1 .' company:G,�E J �'ar r�,¢�o.¢ /y17i..�:. �p ContacC ��v�� r�R�5 ��r, Address: �o S' � 6 0� S�. �;�: /h P�s ' � - � State: /Yl�Zip: SS'// 9 Phone: �O'z �b�' �Z`/3 � � , Licorts�#: �C .�y 1I 3/ l.ead CerWicaLe#: ff the projeGt is exempt from lead certification, ple�ase explain why: (see Page 3 for addiGcnal information) ��s t,J�2� R��-�r. Pos; J 97 S' COMP��T'E THIS AREA ONLY IF CONSTRUC71NG A�i„IEW BUILDING In the last 12 manfhs,has the city of�apan lesued a permn'br a sirnilar plan baasd on a ma�bBr plan� _Yes ,.,�,No If yes,date anp�ddress of ine�ter plen: liceneed plumber. Phone• MecAanical ConWttor: Phone: Sewer�Wa�er ContrA�tor. p��; ��,'��. , ,o .. ; .. �,� � � . .�g, _ �p r,�jjr' •��y 'G •S7+c•'�l' '�`� �� .`x,�;`,i',` :'I'��::'�a��aS �'�",� rY��!' �,p ;'.��F��j��'yl'. CA„LL B�FORE YOU DIC3. C�II Gppher Sbq One Cal)at(B61)46L-0002 for protedion ageiytigt unde(ground udlily damage. CaU d$hpuls befnna yau it�end to dlg to rec�lve locete4 af undarground utqftles. y�!,9pphersr�teonecad.o� 1 heroby ackrwwledge that this informadon is ramplate and axurate:Ihar the work will be in coriformance wdth d�e adineuioes end oodas af Ihe City of EaBan; that I undelStend itqs is rlot�permk.but on}y an eppiication fnr 8 OermR.and work fa noC to stert without a oam+lt;that the�wnc win wo in s�wd.nw w:u,eno oPWvwd pen m tno osee dwv(k vMnldl roqW�S d rEVioW anC 8ptlfGV8101 p{0►Ie. F.xOerior worlc authprized by d buildin8 pertnit(saued in�dance wF!!�tfle Mlnnesota StaEa Bulldi Cqda mu�st bs Completed within 180 days of penni�ieouance. X I��..�A �a212 �S ApPlicanP's Printsd Nams x _ App11canCe Signatun vega��s Z0/Z0 �9vd 1NIvW 1X3 I�g L9Z9Z98ZZ9 bS�80 bt9�/TZ/99 Use BLUE or BLACK Ink � �� i � For ORice Uae. � � I • ; pe�►n�: � � 1 i C�t of�a � � � � � � '"��;' �'i� !�"°*'°.� ; Pertnit Fee: � 3830 Pilot Knob Road Eagan MN 55122 /' � Dabe Received: i Phone:(651)675�,675 � 1 Fax:(651)675-5694 � �' j V��_J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION �-�� l� >�78, �Pd,sz, gy, ��, S3� o�.�:� TL2< Date: Site Address:��e►,,px, Fy,q�,y�,r Sc,� SovrflP Unit#: � Name:��o A C T /y1�4 n.3�4�E/'tit E�T .T•}C Phone:7l03 -s'9 3 - �7�o Res�e�i#/. , . � �� . : , Adaress�city r zip: �so � �e.�4 7—,�,2 Av ,c� '� �2 1'9 �oi�E.•' f/r}�L.L�£� • /r�•�s s',T"y',t 7 � Applicant is: Owner �Contractor ' :''�� •..�. Description of work: /1�K o ci E � (2 ��F�� d r s�S�o TYPe;��YoMc Consbvction Cost�•�� — Multi-Family Building:(Yes � /No_� ' Company: �£ I £��r f2�o R Iy1�t'i..��. �� Contact ��v�� Q�'R-R�5 ��;4 -. .: '. : Aadress: �i/os t� bv� S�. c;ty; �PL S. Coa�ai:�cr��`�. _. - • State: /Y�� Zp: S'$�y/ 9 Phone: !o�,'� - �6�� Z�/3 � . License#: �C .�y�/3/ Lead Certificate#: � If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I�.iLDloS t��2� �vlL� POS; ! S� 7 � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 mo�,has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes,date and address of master ptan: Licensed Plumber• Phone• Mechanical CoMractor: Phone: Sewer�Water Contractor: Phons: !��j 1�I0!/S��R��.M...' .��`Fr. r+7`�..�}t' `: '✓.'. .'.�.� , a,; .. t�. � +�. �, ,c. •,�-,y:fS VlC,7�� Y +. Yr � ��?gS� ,�,1�. ',��. ,`'�_.,�.�y..,,�. + ��1 & , ,�,�� b::`; :w ,:`, �,,.. .1.. ,��,w�,a��!{.::..,��/ s �t .i��:.;.• �5� Yj�?��W+�O�y'#'W,J :.y�J{d"•.'.•.. i.w'^'.y'.�� td� st .d CA�I.BEFORE YOU DIG. Call Gopher Stabe One Cal!at(6S1)454-0002 for prote�ction agair�st underground otility damage. CaII 48 hours before you ir�tend to dig to nec:eive locates of underground utili6es. wuvw.ao�heistateonecall.or4 I hereby adcnowledge that tlus informaUon is oomplete and accurate;that the woric will be in confortnanc�e with tl�e ordinances and codes of U�e City of Eagan; that I understand this is not a permit,but only an application for a pertnit.and woric is not to start without a pertnit;that the w�k wiu be in acoondance wkh the aPP��1 Wan in the caSe 01 Wpltc vyhlUl fgyUifCS 8 fCViBNV 8fld 8�f'OV81 Of�113(18. Ezbena'work suthoraed by a building permit issued in accordance with ttw Minne.sota S�ts Buildi Code must be completed within 180 ��Pe�lt Issuance. x ��Avi� ��22rs x Applicant"s Prirrted Name APplicant's Signature Page 1 of 3