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1902 Southpointe TerCITY OF EAGAN WATER SERVICE PERMff 3830 Pilot Xnob R»ed PERMIT NO., P. O. Box 21199 DATE: Eagan, MN 55121 i + No. of Units: Zoning: Owner: Address r 't - 11 t?1.nIIItE' rr I ?2 Vl ?r i?l.... r Site Address: . _i enze Plumber: 3 0 ion Charge: Meter No.: Size: I Z ?? • c ? f y I?M?sit. ' Reader No.: ? 'll'????''i°' " . ?ecp 0,? tai 5lta 1 ,l r .P' 1 ^r 1 some to eanphr reillr tl?w oerJinena.. OTotal: r k k,Q ?Q Dote Paid: -? e of Insp.: Insp.: p,.- k c-v s- v a m b c F S FYI / CITY OF EAGAN 3830 Pilot Knob Road SEWER NICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Tort'..- ; Plumber: E - 34 1 Nees to e. *h wkh as city of Began Connection Charge: Ordineneu, Account Deposit: r Permit Fee: : n Surcharge: By Mist. Charges: Dote of Insp.: Total: Insp.. Data Poll: CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMR P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber. Meter No.: Connection Charge: 3i?` ?u? Size: Account Deposit: Reader No.: Permit Fee: 1 epees to GM* wuh the City of Began Surcharge: Orrirwwas. Misc. Charges: Total: By Dote Paid: Dote of Insp.: SITE ADDRESS 1902 SOUTHPOINTE TER Unit # Permit # 12413 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC (?,L,aZ C7 3 `? ?,? , ?,? L Z l I 7 ` y 7. Cj b INSPECTION DATE INSPECTOR OTHER FRAMING _ _ br6 ROUGH PLBG. ROUGH HTG. lp/S/ n ;/ v INSUL FIREPLACE / ST FINAL HTG PQ FINAL PLBG AQ UNIT FINAL CERTIOCC SITE•ADDRES,$ 1904 SOUTHPOINTE TERRUnit# Permit# 12413 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC 1 (2 (? CJ 5 `.?.., z? I ! 7 1` L/ 7• ?? INSPECTION DATE INSPECTOR OTHER FRAMING -/-;" -,6 ROUGH PLBG. C _ ,Q ROUGH HTG. 11-12 INSUL //-/-?- FIREPLACE / IS-157 f4u- FINAL HTG K2 FINAL PLBG Z24 UNIT FINAL 7 ;,Fl 9-7 CERT/OCC SITE ADDRESS 1905 SOUTHPOINTE TER Unit # Permit # 12413 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC -r- 17 t ?f 7 0, INSPECTION DATE INSPECTOR OTHER FRAMING ??? ?-l16 ROUGH PLBG. ROUGH HTG. f' U INSUL FIREPLACE FINAL HTG FINAL PLBG _1r-17 UNIT FINAL C ,2 -/y CERT/OCC I-y 3zI? ?-i- s SITE•ApDRES.S 1908 SOUTHPOINTE TER Unit # Permit # 12413 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING 11-12 - re? ROUGH PLBG. _ ROUGH HTG. 12 - ,v Ua- INSUL 6 FIREPLACE FINAL HTG g FINAL PLBG _?g? ZJr UNIT FINAL V-710 ,7 j ?V CERT/OCC IV I SITE•ADDRES.S 1912 SOUTHPOINTE TER$nit # Permit # 12413 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC E171kl- INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. Val INSUL FIREPLACE 11-f -10 FINAL HTG - p FINAL PLBG UNIT FINAL 7-.lo CERT/OCC SITE•ADDRES.S 1910 SOUTHP0TNTE TER Unit # Permit # 12413 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC C(?03 GC- INSPECTION DATE INSPECTOR OTHER FRAMING Y6 ROUGH PLBG. r S AG _C ROUGH HTG. 4J? 9/y INSUL FIREPLACE FINAL HTG ,l y in FINAL PLBG 97 UNIT FINAL V, -7 GCS CERTIOCC ? -,z6 - t 7 4 b 72 SITE•ADDRES.S 1916 SOUTHPOINTE TER Unit # Permit # 12413 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC X-/ INSPECTION DATE INSPECTOR OTHER FRAMING ? lr /j7 ROUGH PLBG. //t r ? ,$1C ROUGH HTG. l/fr, fro UG 124'e- INSUL FIREPLACE FINAL HTG FINAL PLBG _ ?"7 1 UNIT FINAL CERT/OCC of L . ?. SITE ADDRESS 1914 SOUTPOINTE TER Unit # Permit # 12413 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC , 4 7 INSPECTION DATE INSPECTOR OTHER FRAMING /?A61 ROUGH PLBG. y] j ROUGH HTG. •,?? j ?{ 9? g?y4 v (?' INSUL FIREPLACE FINAL HTG x-30- FINAL PLBG 797 L?"l{ UNIT FINAL qaT ?? CERT/OCC SITE ADDRESS 191$ g0lJT14PQTNTF IER Unit # Permit # 12413 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING / ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE _ 7_ 97 FINAL HTG ?/- 3 - 8 7 L' - FINAL PLBG UNIT FINAL y- 3 _ 7 L ?. SITE ADDRESS 1920 SOUTHPOINTE TEpt)nit # Permit # 12413 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC ' ? oq L)11-3- • .. ii?y?? '? 7 G INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. I f 4y-z ROUGH HTG. / !¢ V 7 / f?F INSUL I-o??-? ( S 1 7 FIREPLACE FINAL HTG j y P? FINAL PLBG - a3 87 UNIT FINAL CERTIOCC SITE ADDRESS 1924 SOUTHPOINTE TERJnit # Permit # 12413 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC ? b; L'' S/ 5 :f !171S-7 4V17 G' C.i INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. all ROUGH HTG. - AG U G INSUL FIREPLACE FINAL HTG 7 - 3 r? FINAL PLBG - 7 - G?7 = u' %' -? .mar/ 2 UNIT FINAL CERVOCC SITE ADDRESS 1922 SOUTHPOINTE TERUnit # Permit # 12413 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC ` INSPECTION DATE INSPECTOR OTHER FRAMING lrlF7 ROUGH PLBG. /If 7 ROUGH HTG. - ?? -7 INSUL FIREPLACE X FINAL HTG 6:1 .f. FINAL PLBG % % .CI UNIT FINAL 6 • ,?? y? . CERT/OCC - G - F 7 c = ?, BUILDING PERMIT Receipt # N? . 1?413 To be used for Est Value $616,000 Date 19 . Site Address 1 OtJTHPOINTE I'ERRAC_ r- Erect ? l Occupancy Lot Block Sec/Sub. SU,4 CLIFF 3RO Remodel O Zoning R3 Parcel No Repair ? Type of Const V . Addition ? No. Stories Name -).-,Vt:L0?ERE INC Move 13 Length 1 z 7 6 `Cf S'1 . 2 0 $ Demolish ? Depth 3:0 Address ,'; 35 - 5405 Int. Impr. 11 Sq. Ft City Phone e Install ? 0 Name E'41' CORP Approvals as Address Cl//?- Assessment '' City Phone Water & Sew. Police I W NameFire Address '" Eng. i W City ; .? JP4idne 4 i 1- '-7 4 6 9 Planner Council I hereby acknowledge that I have read this application and state that the Bldg. Off. b/7/86 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Var. Date Signature of Permittee A Building Permit is issued to: o all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagai Building Official CITY OF EAGAN 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Permit i ; i Surcharge Plan Review SAC Water Conn. ' Water Mete r Road Unit ` ' `' • t Tr. PI. 172.0( Parks A Copies i Total i the express condition that Ordinances. Permit No. Permit Holder Date Telephone M Plumbing 7) s H.V.A.C. 7S73 L(? ?6 Electric , I Softener Inspection Date Insp. Comments Footings I Footings II 6 Foundation Framing Roofing $C 440- Rough Plbg. ll-lq-7 "1511 Rough Htg. Insul. Fireplace Final Htg. Final Plbg. Bldg. Final 3 pp r? Cert. Dec. Deck Ftg. Deck Frmg. Wen Pr. DKP. A-Zft 014,14* ?.6r? ? .cs?s It PERMIT # / MECHANICAL PERMIT RECEIPT # s e p Qj CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE 7zo CONTRACT PRICE. PHONE: 454-8100 Site Addr M BLDG TYPE WORK DESCRIPTION Lot floc k /Subs . 4.r R N es. ew m Name 91 4 N < lei 1 l M Add u t -on 9 Addr L- l1 : r ,, u v? Comm air Re CA City P hone ?e' . Oth p er Name TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other S -a 914Ig,?. k-L M BTU M BTU M BTU M BTU CFM 14. FEE S/C: FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA 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) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 CT PRICE PHONE: 454-8100 Site Address 1 7 c Lot I f? Block S? Name _ Address c city Name I '"? • ` c Address p City PERMIT # 7 RECEIPT # 4 d~ DATE: 1- a , BLDG. TYPE WORK DESCRIPTION 3 Res. New Mutt Add-on - Comm. Repair Other 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 $30 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN N FIXTURES TOT4 Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 TEKitchen Sink - $3.00 Urinal/Bidet - $3.00 -TLaundry Tray - $3.00 Floor Drains - $1.50 7°Water 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 v S FEE STATE S/C: - GRAND TOTAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: Illf it 10 fkc4 1 .0111 ItPOI N7 f TER ` UH C:(I F f 3k11 PERMIT SUBTYPE: I 1ti 0111` I"(, 61) 11 It INO 0.18444 0 / %'1 1 14)(i APPLICANT: rt 11 h I .' ) b 4 t, TYPE OF WORK: ill .1 1. 1 , 1 41 1 IHAI c•1 41 R1'PA1R d ROt11- I Hia/`+I O'[N1; ? ft1 MAHV 1 Nr 1 11111 '-: 1 `104 1906 1 966 1910 19 1: 30111 HPO l Ni f 1 F ftR 1'a 1.4 1 '116 114IH 19'A'0 1'1:'.' 19:'4 _ ? ,? t?, 3 ii,?t a 3 ?66 y p Permit No. Permit Holder Date Telephone # 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 ,./ /?j/ BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Addition D Lot p Blk Parcel 10 79()77 040 02 Owner Street /9a ?? a44?Q? State Improveme Date Amount Annual Years Payment ipt Date STREET SURF. 103, 1.986 9625.30 641.69 15 STREET RESTOR. 9 2 4 9 8 5 4 2 6 5. 57 16 4. 3 7 15 GRADING SS TRK 929 1985 282.70 85.51 15 SAN SEW TRUNK 105 1971 1 .38 87.97 20 SEWER LATERAL 1034 1986 2362. 157.49 15 Water Area 201 1977 128.84 8.59 1,0511, WATERMAIN r "00, WATER LATERAL 928 1985 2401 . 22 160-.,08,/ 15 WATER AREA 343 1977 533 . 5 2 3 5. 15 Spr Sriih.% 956 1985 01.77 56 .35 5 STORM SEW TRK 124 1970 489.22 9.57 STORM SEW LAT 1050 1986 1739.39 115.96 15 CURB & GUTTER SIDEWALK STREET LIGHT SS 1.,q t 19,97 f,929.63 365.9-3 5 . WATER CONN. BUILDING PER. SAC PARK CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIVED 19 AMOUNT noLLARS 100 ? CASH E)CHECK FOR FUND I CODE I AMOUNT Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT ; CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE r 19 i , RECEIVED - r - , FROM AMOUNT $ I -& -DOLLARS loo CASH CHECK 'i FOR FUND CODE AMOUNT Thank You ??l1 BY, 65910 White-Payers Copy Yellow-Posting Copy Pink-File Copy This Feques from I/ (T,( ? d 6 p! e)a 18 months from S 1 O C 5 2 03 4 -o, r, c 1: F P 3 Re e t Oat /y? Fire No. Rough-in Ins Vac[ion Regw ? I ? .,/ Ready Now ,..,/ I Notify l.spec- U es ?No for When n Heady Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box o I ot, No. Cit Section No.' I Township Na or No. Range O. Coun Occup 1 (PRI T) 1 Ph o. Po r Su plier .? A ress nv Name) Electrical Contractor ?ICompa Contrec is L' (K, Jl 0 eaytp. rEsadLdcr MaIIMg'AOdrHSla/Ud7 k ng Into i lation) 14,940 PENNOCK J. Amp Autho'S1gr[pngq gnya V Baking Installation) 124 Ph ne Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Univaraitv Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phnne 16121642-MM ENCLOSED. cA REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 ' /'7 / , See instructions far completing this form on back at yellow copy. •P?Q,? $2Q34 i i "X" BeloW Work Covered by This Request l T Adtl Rep. Tvoevoe al Aoolianeea Wired Equipment Wired I 114041 ldna R Fee Service Entrance size a fee FeedersrSubleeders a Fee Circuits 0 to 200 Am s 0 to 30 Am s to 30 Am 0 bov Ae 200 Amps 31 to 100 Amps 1 31 to 100 Amps Swimming Pool Above 100-Am s Above 100_Am s Transformers Irrigation Booms Partial."Other Fee %e-_+ Signs (Special Inspection ?s ?? TOTAL FEE flerre rks ?? r L I 1-2-0 'y I, the•E leciricaf ?I d?1 Inspector, hereby certify that the above Final ?? - D inspection has been mode. TMe request Thimomh efr void }/ C/1 / O,39 Q C C??' l 18 Th months from l 0 4J (-. V 1 062035 Scan Cl; t F 31- ? 97-Co Request Date 1 /n 1 41 yo Fire No. ?ough-in Inspection e?qw? tl7 ?fleady Now gJill Notify Inspec- f Wh t • Vies ?NO or en Ready bg?licemsed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Satl dd,ess, Be. or route No. `??) 00 ja't Cit Section No. Town ip Nam or No. Ranee no . Cour Oc ant 1 I TI Phon N . i Po My Sup tier Address Electrical Contractor (Company Name) . C actors Licens o. Mailing Address IContr DTfIK .. Ing Instailation) Au on;e 45rigrlpEgr a5g Jr)ejaVationl 1 TtV y ? Gad Phone Na ber MINNAWrSTATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-131 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Psul, MN 65104 UNLESS PROPER INSPECTION FEE IS Phone16121642-OROO ENCLOSED. F 1/7I g,(. C. -32035 REQUEST FOR ELECTRICAL INSPECTION See instructions for completing, this form oo back of yellow copy. "X" Below Work Covered by This Request ES-00001-05 AAtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service - Duplex Water Heater Lighting Fixtures t Apt. Building Dryer Electric Heatm Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm they (Specify) the, ISpecifyl t P- v F ther Other Compute Inspection Fee Below q Fee Service Entrance Size a Fee' Feeders/Subteeders s Fee Circuits 0 to 200 Amps 0to 30 Ams 0to 30 Amps Above 200 Amps 31 to 100 Amps B 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Amps LJ- Transformers Irrigation Booms Portia l.Other Fee Signs Special Inspection -1 M Re s s TOTAL FEE \ I As, e Electricainspectorherby Final 0ertifV that the above nspeclion has been -/..d. request void Iha from rd ii171 3 %1 ?..J? ??a " [ 62t?36,1 sue„ CA, Request Date - Fire No. Rp uph-in Inspection Re qu i ?d? ?Ready Now UI Notily Inspec- '? ( ? j ?LfVes ?NO for When Ready IffLicensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box Route No. City ettion No. Township N We or No. Range NO. "N A & +C( Oc ant (P IN ) 1 P M o.6 - 3 Por Sup ier Address Eleciri LP111e(>FyrTtrany Name) ELECTRIC Li1Y(?1Zj?1 Contractors Lic se o. Mailin° Addj r ° Installation) LANE CvAal Authorized 6 ipnature I pe n 211-1 Pho a Number THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Orippa•Midway Bldp. -Room N•781 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1827 Universitv Ave.. St. Paul. MN 66104 Phnne 18121 R42-OR110 ENCLOSED. ?'r G7f1' REQUEST FOR ELECTRICAL INSPECTION EB 00001-ob If See instructions for completing this form on back of Yellow copy. "X" Below Work Covered by This Request NaelAddl Rep.1 Tvoe of auildina I Appliances Wired I Equipment Wired I urnace Farm p Fee Service Entrance Size It Fee Feeders/Subfeeders a Fee Circuits Uto20g qms 0to 30 Amps 0to 30 Am Above 200 gmps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Ams Above 100-Amps Transformers Irrigation Booms Partial-"Other --- Final This repuear vdd 18 special Inspection S :E J`L lo -0/a tlctcl nsp ?e E I 1 certily t thahat t th the a above inspection has been made. This request void IS man q from I 11 J -7 / ? n 2 1 This re J ?7 V L C 620-37(?,- '6u r, c.u, c- L/ 7.0a Requa t ate Fire'No. Rough-in Inspection . Regwr ? Ready Now ?II Notify. Inspec- Wh t L e s ?No ot en Ready Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed et: 5 r Address, Box r Route No. • R19 g City e ion Towns i ame or No. anee No. C' m k b+Q Oc ant 1 fll TI P e o. r Sue liar Address Electrical Contractor (Company Name) KENDRU~K 371 F Contractor's License No. L Z MaillnT4540 PENNOCK Ling Installation) 4 Au ii a l o t T,, MMS!rnq Nrs4llati.M Phone u bar MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grippe-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1321 University Ave.. St. Paul. MN 66104 Ph... 16121 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E6 00001-05 I/ ` d k II, See instructions for completing this form on back of yellow copy. X" Below Work Coveted by This Request $12,937 Typa of Building - Appliances Wired Equipment Wired Home 11 Ranae 1 .1 Temoorarv Service 4 Fee Service Entrance Size h Fee Feeders /Sub feeders a Fee circuits U to 200 Am S Oto 30 Amps Otn 30 Amps Above 2 0 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Am s Above 100_Am Transformers Irrigation Booms Pa rtial"Other Fee 1m1 r s Signs pecial Inspection ?S) T OA1 ? 7 ?L neugn•?^ _ ( I/, _? I1,nspe tHe.pElaclhecic ter. :b, Ireby certify that the above rFinal /?b ?? _ ^ /-I ioapeetion has been This request void d e L-) 18 MmIts from ?0 q,31 6,3 (-62038 -r?-? 1 CrI r!= 3}?? 'R00 Raq st Data • Fire o. Rough-in Inspection Requ d? ?Ready Now ill Notify, Inspec- [or Wh R Ryes ?No en eady Iff'Liconsed Ele trical Contractor 1 hereby request inspection of above ? Owner A electrical work installed at: Street dress, B Route No. City ction No. Township Na or o. Range NO. C uy Oc nt ( IN ) P e o. - er Sup liar Il k Address Electrical Contractor (Company Name] Contric or'a License Np_ Maili ng Address ,dly ner Mak "Awl ing Installation 1 SELF ` r. Authorized Sig t onlrattDr7ZIT kin Ilationl ho Number pt 1; VAT r ,i.- cK MINNESOTA STATE BOARD OF ELECTR CI Yi "W Y ' yL? THIS INSPECTION REQUEST WILL NOT Origge-Midway Bldg. - Room N-181 5512 UNLSS REOPERYINTHE STATE BOARD SPECTION FEE IS 1871 University Ave., St. Paul. MN 55104 Phone (812) 542-OSOO ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee 00001-05 ?.L 7/ j) b p' See instructions for completing this form on beck of yellow copy. n. i C-5 2038 '"X" 8elow Work Covered by this Request Add Rep. Tvoe of Building Appliance* Wired Equipment Wires NwA ex p Fee Service Entrance Size a Fee Feaders/Subfeeders a Fee Circuits 0 to 200 Amps 0 to 30 Amos ° 0 to 30 Am Above 20 _Am 1s 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Am s Above 100-Amps Transformers Irrigation Booms Partial•'Other Fee Special certlfv that the above inspection has been This request cold 16 18 his F T request void I I ss'ta /. o yy 6 3 C-? ?s 4 Th nth, ths from 062939 5c-. 1C1-1 rt zX17co Reque Oa a (^/ Fire No. Rouph-in Inspection ' I I'J( I ? Re??q u}f??etl ?fleady Nuw ill Notify, Inspec- for Wh R LVJYes ?NO en eatly Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or R to No. CitY ction No. To nship a or o. ange NO. ON Opeypa.t fl T) - KK r t Phone No. P. S.W. r C. Address J electrical contractor RI tprt IC V E 7l7l?t V?TIITT JJ?, Contra tors Lice ns No. Mailing tl if t ea y3OiLf as a n I 'on) r 124 A 1, & AA % Authi, i or4 f n c or er Making Installationl one mbar MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grippe-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 18I1 UnIversitv Ave.. St. Paul. MN 561 04 UNLESS PROPER INSPECTION FEE IS Phone (All) aa2aRDD ENCLOSED. 1 REQUEST FOR ELECTRICAL INSPECTION Ea-00001-05 / /nn It See instructions for eompletinp this form on back of Vol low copy. ?? 6 2 U 3 9 ""X" " Below Work Covered by This Request peed Ad. Tvae of Suildino - Aoolionces Wired Equipment WireO I p Fee Service Entrance Size p Fee FendersrSubfeoders a Fee Circuits 0 to 200 Amps 0to 30 Amps 0to 30 Am Above 2 0 gmis 31 to 100 Amps 31 to 100 Amps wi mming Pool Above 100-Ams Above 100_Am s t Transformers Irrigation booms Partial-'Other Fee Signs Special Inspection s / emar s OTAL FEE' r L-17 ?""a"-"' / the Elecxical // ?6? Inspector, hereby artily that the above Final ?jTr data inspection has been A1' /JdAna/?j mede. Thb request void 18 This request void // 71r Is months from O C 62040 L,97XI 'V7vo R quest Date /,() • 8 Fire No. ,/G n Inspection Rough-i ? Requn fleatly Now ill Nolify. InsPec- ? fo Wh R V es ?NO r en eady Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Bo or Route No. .. 1,71 14 , Ci action No. ow s ip Na a or No. RanOe o. Cou y Occupa 9 (PRI TI ' . Ph e Nn. Po Sup liar Address Electrical Contractor t ompany Name) KENDRICV FrInTp Contractor's Licans No. 9 Me 11 m9 Adjr,?g ICloOntractor or 7 Installation) ((?? L4? PPENNOCI,. L...- lr Author" re C n r t?F wrr?r?M-kigLjl?aionl lYll-2 J 4 Phon Number THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY BE ACCEPTED BY THE STATE BOARD 1821 Uil nir it ay Bldg. Ave.. . St. PaRoomulN. -•1791 97 MN 55104 UNLESS PROPER INSPECTION FEE IS P7827 lill r,..,.. tarn BA2-tmn0 ENCLOSED. /l71Y7 REQUEST FOR ELECTRICAL INSPECTION E6 00001-05 697511 111, See instructions for completing this form on back of yellow copy. e P - 9 n A n "'X'" Below Work Covered by This Request Equipment Wired ce a Fee Service Entrance Size I Fee Feeders/Subfeeders M Fee Circuits U to 200 Am s 0 [0 30 Amos in N) 0 to 30 Am - 5 Above 20 -Amps 31 to 100 Amps 31 to 100 Am t5 Swimming Pool Above 100-Am s Above tU0_Am s Transformers Irrigation Booms Pa rtia l.'Other Fee Signs Special Inspection 5 amar a TOTAL F //7.Lb 3 , the Elk tr is q r Inspector, reby /L 1 eertifV that the abov 0a ?/ inspection has been a made. TMa This request void 1/7It 7 18 months from C'62041?A4 R auest Dti -. I &97</ 7'oc> cnon Ready New ill Notify. InsDec- No for When Ready tensed Electrical Contractor I hereby request inspection of above Owner eIa.trikal work installed at: Si ree / / ddre s, Bozo Route No. City 4 4 6C) Section NO. Township Name or No. ange No. Cow Occ nt (PRI T • Phone n. is, Po ) Sup Address ( ompany Name) ).@Ntrical CooLnnttrrjacctorr r' Contras or's Lice Maa i}ir4?p ilddreselC?i,r C/may ffer Making Installation) < `tr'4p 7hL r-T'1 `1 C Yu n dA? CA S'rygt?er.IConha r,O nITS?D Installation) r, Y. 'y r`r7 o e Number v { ?7 THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTAICIT GrIBBe-Midway Bldg. - Room N-181 BE ACCEPTED By THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 0111 itv Ave.. St. Paul. MN 66104 P.- r9ts anI.nann ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION //EB-600001.05 C If See instructions for completing this farm on back of yellow copy. tP / 7 V1 s 2 n Q 1 "X'. Below Work Covered by This Request ?Ienj Add Rep.l Type of Building Appliances Wired Enuipment wirad ITT Home Ranee Temoorarv Service p Fee Service Entrance Size a Fee Feeders rSubfeeders p Fee Circuits 0 to 200 Amps 0 to 30 Amos 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100 Am s Above 100_Am s Transformers Irrigation dooms Pa rtia L'Other Fee Signs Special Inspection $ TOTAL yEE ??? arrerks , .l l/ I, the E ctrical I T) ^ 3`p Inspector, e y L Certify that the above Final ^ 0jt1e_ 9/ %`T? inspection has been c 7 made. This request voitld ? 1719 16 h f 7(/? mont rom s 62042 / Re oast Date /J 1 / ®t 47 / Fire No. duph-'n Inspection equ tl? es M No ?Reatly Now Will .lnsoec- for When n Resdy O'Licensed.Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Stre ddiess, Be or Route No.• (/dC-/ D a.?e? City la aan ecb r No. TownsM Name or No. Range No. County Occ nt IP IN 1 r 1^ Llv Phone No.? Powe SupPll r Address EleK{Fa?,?pgjr¢p kofTLLTn Nemel ?$+1jVV?jflLLllll j? :CTRIC Contra for-s Licens No. Me i I inp A n La dF?pprtelrple kynp?r2g?Nation) Authorized Signature o o D a tignl [Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1921 li sits Ave-. St. Paul, MN 551 04 UNLESS PROPER INSPECTION FEE IS Pb..... (R raim aaznwnn ENCLOSED. // 7/607 REQUEST FOR ELECTRICAL INSPECTION EB-0000011l-/05 If see instruct ions for completing tf}s form on back of ve Ilow cop v. - / 7Tl N" Below Work Covered by This Request Add Rap. Tvpe of Build ina T- Aootinnews wired Eouiument Wired I I I I I Commercial Bldg. ?X I Furnace Silo Unloader Industrial 81 d0. Air Conditioner Bulk Milk Tank N Fee Service Entrance Size N Fee Feade,s/Subfeeders d fee Circuits 0 to 200 Amps 0 to 30 Amps 1 0 to 30 Amos Above 200 ,qmjpsj 1- 31 to 100 Amps P 00 31 to 100 Amps Swimming Pool _Anns Above 100 Above 100-Amps Transformers Bo rngation oms Partial.'Other Fee Signs Special Inspection s " TOTAL J?`^E?'Wr?t1 Remy rks / ? / the lectricei '/ Inspec .. y cart fly l Fat the abov Date ina pection has been This request 1 8 This rag I rnorlth. void ?/71t7 C 020 3 chi C? lv97?? / G O Request Date Fire No. d gh-id?n Inspection 4lbqui ? es N. [:]Ready Inspec- Ready Now ill Notifv. for When Ready BrLicebsed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route N / ?9 10 City ection No. Township Name or No. Range No. OcKnt ( I ?1[` T) : t t Ph ,,We No, Pq r Supp ier Address Electrical Contractor (Company Namel Contractor's License No. Maitjng+gtgv{egyq{?qr{tsa,f Owner Making Instailationl 11.G1V1117t1.,jL p?LL.CTRIC Authoriz r _C?i a 3rMSkigalFlp7allationl v APPLE g J.211,C. Phone Number -- - r +•u. v.?AG`t THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg- - Room N-191 BE ACCEPTED BY THE STATE BOARD 1827 University Ave.. St. Paul, MN 66104 UNLESS PROPER INSPECTION FEE IS Phone 16121 642-0800 ENCLOSED. I/71JI7 REQUEST FOR ELECTRICAL INSPECTION kj% EB-00001?-/Os See instructions for completing this form on back of Yellow copy, r.& 177 ?C 620 3 "X" Below Work Covered by This Request AdlawM Tvoe of Aodiancee Wired Equipment Wired I Commercial Bldg. ??(j Furnace I Silo Un loader _ f n' Industrial Blda. Air Conditioner Bulk Milk Tank R Fee Service Entrance Size a Fee Feeders/5ubfeeders a Fee Circuits 0 to 200 Am s 0 to 30 Amos 0 to 30 Am Above 200 Am - 37 t 100 Amps o 31 to 100 Amps Swimming Pool ve 100_Am s Abo O Above 100_Am s Transformers Irrigation Booms Partial 'Other Fee Signs Special Inspection s V OTAL F Remar s Rough-in 1)qte _ zz I, the Ele rice i'/ Inspector. ereby certi1v that the above Final Date inspection has been C/z 3 ,Y made. This request void //7/d7 18 months from O / f 6244 4 y7f°? Rep est Data Fire No. ppo dph-'n Inspection .RgG d? I []Ready Now Will Notify I yes ?No an Reac, for Wh pp 'Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: SiresAddress Box or cute No. /' It CI Section o. To ip Nam or No. Range No. C y (PRINT) D Occur, A. m Pho N -?? Power Supplier Address le ical ontrac or ICompa nv a e) C r ri r•s L' en Mailing Addres14040 pgtractor or i`Ma Ii?Siaila Lion) PENNOCX .. rl Authcrizetl 1 orVQSV4ar +ng Instal a nnl old ,95124 Phon Number THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. -Room N•791 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1621 University Ave.. ST. Paul, MN 56104 Phone 16121642-0800 ENCLOSED. / 7 REQUEST FOR ELECTRICAL INSPECTION ?-°000 111-05 , k See inalrugtions for completine this f«m on back of Yellow copy. "X" Below Work Covered by This Request Ad Rep. Type of auiltline Appliances Wired Equipment Wired Home Range . , Temporary Service I I I Commercial Bldg. 1)q Furnace Silo Unloader Industrial Bldo. Air Conditioner Bulk Milk Tank k Fee Service Entrance Size tt Fee Feeders/Subfeeders # Fee Circuits 0to 200 Amps Oto 30Am s e 0to 30Am Above 200 Amps 31 to 100 Amps O 31 to 100 Am Swimming Pool Above 100_Am s $O Above 100_Am s Transformers irrigation Booms Pertial,'Other Fee ,-4/ Signs Special Inspection S LI1 TOTAL errerks ??ll U_ - J u? - nathe EI cbica C/e ]-13b" leta. aby ` I certpeify that the above Final / Date inspection has been // ! ?t? ?Il 2,?1.f3rr merle. This request void ze q / T I 18 months from (62045 L 916a; 3Alas ?? - If -0 Rep eSt' Data Y • ( J Fire No. Inspection RRough-in eq,tl7 Inspev ?Readv Now Will Notify. for Wh R / U f as C] en eady O'Eicensed Electrical Contractor 1 hereby request inspection of above ? Owner alectrOal3ml, installed at: Streets Cdress B x or No. ({9? , City Section No. Township ame or N . Range NO. Cpun Occu nt IPR N A ) a Phone No. - 04 Po Sp ier ' Address Electrical Contractor (Company Name) KFNDRICK ELECTRIC Contractor's License No. Mailing Addre@?4il(rVQr,N(1w/ra{f1Gld' oLA t-ri1 I `,J Lr .LV V 1[? .o Nl ion) n I Authoriz i ns a au on) P o um er 113,? - 503C- 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 1621 University OHOO St. Paul, MN 66104 Phone 16121842--0800 ENCLOSED. 1171,7 REQUEST FOR ELECTRICAL INSPECTION /00001 /s See instructions for completing this form on back of yellow copy. rt r 7 n n r "X" Be/ow Work Covered by this Request W0WAdaFW,t 'Tyne of Building 1 Aopliances Wired 1 Equipment Wired I I ectr i c oner g . F9e Service Entrance Size k Fee Feeders/Subfeeders A Foe Circuits U to 200 qm s 0 to 30 Anns 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 A Swinvning Pool Above 100_Amps 50 Above I00-AMPS 1 Transformers Irrigation Booms Partial' Qlbarjee Signs Special Inspection s L Remarks J TO AL rov Final certify that the above inspection has been made. Thisfecimstvold FOP:. 'SALE UNITS Pilot Knob Roadl P.O. Box 21-19, Eagan, MN 55121 'Y 12413 TOWI?'OUSE 3830 PHONE: 454-8100 1? BUILDING PERMIT Receiptp To be used for 12 UNIT M.D. Est.Value $616,000 Date AUGUST 7 ,tg 86 site Address 1902-1924 SOUTHPOINTE TERRACEErect C Occupancy RI Loth-Block 2 Sec/Sub. SUN CLIFF 3RD Remodel ? Zoning R3 Repair ? Type of Const. IT I UR Parcel No. Addition ? No. Stories 2 a ADVANCE DEVELOPERS INC Move ? Length = Name 3209 W 76TH ST., #20$ Demolish ? Depth i07 3o Address EDINA -5405 Int. lmpr. 13 Sq. Ft?? City Phone 835 Install ? a O U C R DEVELOPMENT COUP Approvals Fees Name MC Address SAME Assessment Permit $ 1, 723.OC Surcharge 308.0( Plan Review 861.5( SAO 6,900.0C Water Conn. 6 , 0 0 0.0 C Water Meter N/A Road Unit 3,480 0( Phone Water & Sew. 2w Name DOUGLAS A MOE, Police w Address 16884 YALE ST Eng. a W City ELK RIVAfine 441-5469 Planner Council I hereby acknowledge that l have read this application and state thatthe Bldg. Off. 8/7/86 Tr. PI. 1.872.0( information is correct and agr o comply with all applicable State of N/A Minnesota Statutes and City ag r ' ces. APC Parks Signature of Permi Var. Date Copies Total $21,144.5( A Building Permit is iss d to: RMC DEVELOPMENT CORP on the express condition that all work shall be done in accordance with all applicable State of Miryfesota,StatutFsarrd,Fity of Eagan Ordinances Building Official COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN u i 651-681-4675 c? a c-, . <?;? Foundation Only New Construction Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1)" • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp.& Testing Schedule" • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • Project Specs (1) l • Energy Calculations (1) " 1 d • Electric Pourer & Lighting Form (1) " d d • Master Exit Plan (1) 1 1 • Fire Protection Plan (1) l • Soils Report (1) l • 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 " Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. DATE: WORKTYPE: - NEW --REMODEL SITEADDRESS: /ge02 '- If'm SCOK 7& T/'/,. Call 651-215-0700 for details. r CONSTRUCTION COST: ?O TENANT NAME: Soo o\ Ny%+ I ? /w A Crt! SUITE* FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK Ti;i9rG« ?Y?L>IJ` A c # Ph 9 ?> Name: S Cf1/y ft t /n f one : ( PROPERTY Last First OWNER -72 -7 - Street Address: 114, RA City: c{? { t_A(,, State: j_ Zip: Company: IWGG LNIT CiTA S - Phone#: 0763 ?5f3'S3Q-5 CONTRACTOR d 4() ( nyY. 14 0- Street Address: k City: R (`Up V1. to ?- State: 'lVn Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Regis 111) n 2 3 2G9Z Street Address: AUG City: State: ` Zip: Licensed plumber Installing new sewer/water service: Phone M 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 Applica?T 7 Updated 1102 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous WORK TYPE ? 31 New ? 32 Addition ? 33 Alterations ? 34. Replacement ? 26 Public Facility ? 27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ? 30 Accessory Bldg. ? 32 Ext Alt - Apts. ? 34 Ext Alt - Comm. ? 35 Ext Alt - PF ? 37 Nail Salon ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. 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 C Plumbing ? Stucco/Stone Variance VALUATION $ Permit Fee Surcharge Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total A 72977 SUN CLIFF 3RD SOUTHPOINTE TERRACE PAGE 2 OF 2 1902/ 10 72977 040 02 1904/ 1906/ 1908/ 1910/ 1912/ 1914/ 1916/ 1918/ 1920/ 1922/ 1924 1925 10 72977 050 02 (4 Unit Garage) PERMIT # ?'5 c) RECEIPT DATE: a- b 2- 2002 MIDENTIAL PLUMBING PERMIT APPLICATION CITY OF KAGAN 3830 PILOT KNOB RD EAHAN, MN 5512E 651-6$7-4675 Please complete for: SITE ADDRESS: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system T,rr OWNER NAME:: E?(YII 1 I ?N (AX lLl PX TELEPHONE 04^1`101 (AREA CODE) INSTALLER NAME: STREETAD?DRE?SS:: JUTU IJV(A(A KULMA CITY: E?WV?? I TELEPHONE #: tq(?l_ j -b,40 (AREA CODE) SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPG 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 (+ 5/8" meter if needed - $118) _ Other: \Ij RPZ: new installation/repair/rebuild 2 3 2002 $ 30.00 MAY lawn irrigation system BY Replacement/additional: _ water softener i water heater $ 15.00 State Surcharge $ .50 15 Tom, $ I hereby acknowledge that I have read this application, state that the information is correct, and ree to co with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes o lia y ma as caused by the Citydun its normal operational and maintenance activities to the facilities constructed under this permit wi ' City - /easement. SIG TORE OF PERMITTEE 1/02 STATE: MW ZIP: %623 w"qf;pa& o/ FOR: R.M.C. DEVELOPMENT CORP. C. R. WINDEN & ASSOCIATES, INC. LAND SURVEYORS Tot 645.3646 1381 EUSTIS ST., ST, PAULI MINN. 55106 Dl FFLE,tj READ FZ • a'759. G5 4. 7 04247- w N 00 lU 0, Om 2 N 63°15'os"w 801.1-4k R' 34 97. 72 A •O°33'35` 34.17 W lmi- 0 n ,00 m° Note: As of this date, SUN CLIFF THIRD ADDITION has not been recorded. Lot 4, Block 2, THIRD ADDITION, Minnesota. SUN CLIFF Dakota Countv, 2 Scale: 1" = 60' (ooo.o) Denotes Pronosed Finished Ground E1. Denotes I of Direction of Surface Drainage 1.7ertical Datum N.V.G.D. 1929 a Denotes Iron Monument 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. Dated this 'W" der e{ 05-42 jeF A.D. 19e.5 C. R. ?W DEN & ASSOCIATES, INC. by Surveyor, Minnesota Registration Ne. III& M7419 /?7 yl 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, i SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CER' 1 SET OF ENERGY CALCULATIONS COMMERCIAL OF SURVEY - CHECK WITH BLDG. DEPT.9 INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: /G+ p00 Date: &S /9 /i?,v /9 /904, "96 it /9w,191; Site Address 191S! /920_/9.72/roasd OFFICE USE ONLY Lot Al Block Parcel/Sub "cm C?y? 3?/10/?f/oiJ Owner Wu Address ege9 ///eJ '? Jel ? ?a0f City/Zip Code fd/.?lg, JI%/Dd SS?H3Sr Phone .93s s- ezs Contractor i1/e_ .Qup d Address W09 *) 71,4'&1 SOS City/Zip Code f? 11AW s"S S Phone .835 -377_ Arch./Engr. Address //vP.-I W P41, /0 ,fj4 . V, City/Zip Code ,yam/ , 291W /1li lss-- 4p Phone n Erect Remodel Occupancy Zoning kl/ Afl 'q 3) Repair Type of Const ?? Addition 11 of Stories Move Length /dam Demolish Depth 11?._ Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit 17Q Water/Sewer Surcharge .. -: 3/ >" P-)_ Police Plan Review f,(421 50 Fire SAC OU Engr Water Conn Planner Water Meter Council Road Unit 3 U Bldg Off Treatment Pl r7? - APC Parks /a Variance Copies TOTAL 6 NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. OWNER: SITE ADI CONTRACTOR: Aye- 9.1-a ,(&DATE: PHONE: 8.?S-.j77,3 Determine working square footage of each: 1. Total exposed wall area .. 2 sq. ft. x . 11 = ? I3 3 2. Total roof/ceiling area .. 14 e9O fA-l _ sq. ft.. x .026 Total exposed wail area above floor = R,? 92 a. Total wall window area ............................ 42-2-- b. Total door area ................................... 1IR6 c. Total sliding glass area .......................... y,6 d. Total fireplace wall area ......................... e. Total wall framing area (average 10%) ............. FS Dy f. Total net wall area above floor ................... 72310 g. Total rim joist area ............................. 1c 71<' Total exposed foundation area = 15:2 h. Total foundation window area ....................... i. Total net foundation area above grade .............. /S2 Determine out value of each wall segment: a. 03?2 x lug 3? = .201a.2 b. &8o x out Dd?4 = 33. / ?4 = Z3S. 2 C. 14,96 x out d. x out e &W X lug f. 9. 23/e x out Ot! 7 = 3 lO. / _ ------- 9. G 7S x SUN O-V 7 = 3/. 7 h. X out _ i . /5,2 x ' U' 3 . ................................................... Total If item 93 is the same as or less than item 41, you have met the intent o SBC 6006(c)2. Total exposed roof/ceiling area = /9 e94{-?l J. Total skylight area ............................... ?!o k. Total roof/ceiling framing area (average 10%) ..... / 000 1. Total net insulated roof/ceiling area .............. 9,199 4/ 411#4 (OVER) CITY OF EAGAN ' EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION / ?,4? Determine 'U' value for each roof/ceiling segment: i . . c / / ? x ' u s sfp = /8. 1. 998 x 'u' 49A4 4 . ...................................................... Total = ?. If total of 04 is the same as or less than 02, you have met the inten of SBC 6006(c) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items S3 and 04 shall not be greater than the sum of Item4-?7 and 02. 1. /,/659 + 2. 3. RY?, 7 + 4. a?G• ?! _ CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 2 8 4 4 4 Date Issued: 07/31/96 SITE ADDRESS: 1902 SOUTHPOINTE TER LOT: 4 BLOCK: 2 SUN CLIFF 3RD P.I.N.: 10-72977-038-03 DESCRIPTION: ? (ROOFING/SIDING) ?tT Permit Type STORM DAMAGE .OBstz3,dxn€go?rk Type REPAIR CBn.SWe GoF" 434 ALT. RESIDENTIAL W 92 ?x` .T o f a t i s s? gn, og' i REMARKS: INCLUDES 1914 FEE SUMMARY. 1904 1906 1908 1910 1912 SOUTHPOINTE TERR 1916 1918 1920 1922 1924 CONTRACTOR: - Applicant - sI. LIB-O_W{?/N RR GIERTSEN CO 15461300 0001796 JUNN-ISUSE ASSN-GILL CROSS 860 DECATUR AVE N 1565 CLIFF RD GOLDEN VALLEY MN 55427 EAGAN MN 55122 (612) 546-1300 (612)853-9910 I hereby ^ackf1vvled'ge tCTati ktave. read thl's op.pl- cat3cn and 'stag that the nf?rmatibrr 1,s 100,rrict ari?d: agr#e t0, comply 43. h" alt app €abte iaie crf ?ln. :es" art,>C ty;' ?z# .E`gaT orairarrces Statut K r APPLICANT/PERMITEE SIGNATURE ISS L ,pi 104 C D B SIGNATURE CITY OF EAGAN 3830 PILOT KNOB RD - 65122 IS444 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Remodel/Repair Reaulrements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam b window sixes; poured Md. design; etc.) # 2 site surveys (exterior additions 6 decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan If M platted after 7/7/93 required yes _ No -7 5' `? 6 a s, DATE: 72 I ) f CONSTRUCTION COST: (,! DESCRIPTION OF WORK: STREET ADDRESS: r 7 ud LOT BLOCK SUBD./P.I.D. #: w PROPERTY Name: III &I 1 -1 OWNER _ Street Address' ? City: I C klkl uLAI Phone #: r&) '097 State: W C14&, zip, cj ? zz CONTRACTOR Company: 6?l?//'l'Sre -1 Phone #: Street Address: 9go oc_ License #• ( 7? 6 City: 6-old-CL 4 ou `e, State: mac- -1 Zip. 55qa ARCHITECT/ Company: Phone #- ENGINEER Name: Registration #, Street Address* City: State: Zip: Sewer 8 water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot hereby acknowledge that I have read this application and state that the 7M4 is C07 c and agree t comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Pd OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes No No L 8L CITY USE ONLY RECEIPT M SUBD. 11 to V1 1, I1 T J RECEIPT DATE: PERMITA 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for. > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system cnrrrrocc EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas iping outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x $ Laundry tray 3.00 x = $ Lavatory Septic System new/refurbished 'requires MPC Ile. Septic System abandonment 3.00 55.00 30.00 x x x = = = $ $ $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening Shower 1.50 3.00 x x = = $ $ Underground srinkler if dwelling Is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ 3-00 Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x -- State Surcharge .50 -> -> -> $ 50 Total `> > > Reminder. Call for Inspections of alterations, I.e. water heaters, water softeners, etc. .....................................................Fit ................ I Aareby edinowledge that I have read this application, state that the irifortnatlon is cortect, and agree to comply wkh all applicable Clry oagan ordinances. it is the applicant's responsibility to notify the properly owner that the City of Eaaan assumes no liability for any damages caused by the City during its normal operational and rr s permit within City property/right-of-way/easement. SITE ADDRESS: _ OWNER NAME:: - PEDERSON,KAREN 1904 SOUTH POINTE TERRACE EAGAN, MN 55122 (651) 905-1073 _ TELEPHONE #: (AREA CODE) INSTALLERNAME: ?WOK6Lom PLl1MA 1 [_o TELEPHONE#:/tOIR27- q03? (AREAODE) STREETADDRESS: CITY: //) - //)AJAJ E L-f i: If A ')n STATE: JjJAJ ZIP: 5.9q08 BY: SIGNATURE OF PERMITTEE CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION mur;.?: PAYMENT' CIF FEE AT TIME OF APPLICATION DOES NOT L'OI1S`TITUTE APPROVAL OF PERMIT. INSPEClZ(k7 OF SEWER AMID/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT.HAS BEEN APPROVED. ------------ (Please Print 1) PROPERTY ADDRESS: DpXowm ek- LEGAL DESCRIPTION: oc or Tax Parce IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon Year PRESENT ZONING/PROPOSED USE: ? COMNERCIAL/RBTAIL/OFFICE ? INDUSTRIAL INSTITUTIONAL/GOVERNMENT R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) 3 TOWNHOUSE (Three + Units) ( Units) ©/R-4 APARTMENT/CONDOMINIUM (_,6?LUnitS) 2) NAM: '46- ADDRESS: 0 ?Ag ,A- IF C CITY, STATE, ZIP: 'L. PHONE:_ q S' - / -z r 3) u i:: • l NAME: For City Use s 61 f j l D U Plumbers License: ADDRESS: Active CITY, STATE, ZIP: Expired Not recorded PRONE: MASTER LICENSE# St' t{??tyal 77 4) C?? NAME: ADDRESS: CITY, STATE, ZIP: %? (? v¢ ( 4/ PHONE: -5) n v as in •: :a Ry - 7I Er-CONNECTION TO CITY SEWER E,]-'CONNECTION TO CITY WATER OTHER 6) . i, ? 7) r n u• • PLEASE HOLD APPROVED PERMIT PLEASE MAIL APPROVED PERMIT 4 ('- O', UP BY ONE OF ABOVE,-?QW 3, 4, ABOVE yp?^r r ,?I e one) ll FOR CITY USE ONLY PERMIT # ISSUED 7 // zk Pd W/Bldg. Permit FEES: $ $ /D- 5-0 SEWER PERMIT (INCLUDE SURCHARGE) $ $ ?tJ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER / $ ?? o a 0, U O $ WAC $ C-z' - ?? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ 'CL1 TOTAL RECEIPT RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A " PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE DIVISION LIST ISSUED BY THE ENGINEERING . AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : Q 7/ Z C? /)/ f *************************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 765 DATE: 08/14/00 TIME: 15:11:29 ID: NAME: NORBLOM PLUMBING CO 3212 9001 1904 S POINTE T 30.00 2155 9001 1904 S POINTE T 0.50 3212 9001 4298 BEAVER DAM 30.00 2155 9001 4298 BEAVER DAM 0.50 3212 9001 3542 COACHMAN R 30.00 2155 9001 3542 COACHMAN R 0.50 3212 9001 4134 BLUEBRRY K 30.00 2155 9001 4134 BLUEBRRY K 0.50 Total Receipt Amount: 122.00 CR135779 USER ID: JAN Lu 4 L Sun G rrf AKOTA COUNTY NAME / DESCRIPTION AND DELINQUENT TAX RECORD PROPERTY DESCR IIPTION PARCEL IDENT IFICATION DISTRICT: EAGAN CITY Sch00 D isni SEC I,0T ?owHck sto DIST 14 PLAT T2977 LOT 040_ RLK G2) DIVISION /016362 196 l i UN CLI FF 3RD k ADDI 4 TION 2 TRANSFER DATE CRV. NO. LAST GRANTEE 01 28 8b DIVISION DIV CLIFF ROAD PRCPEFTIES 01 29 86 CLIFF ROAD PROPERTIES Cp JACK F DALY SOUTHPOINTE CONDO FILE #84 UNIT BLDG % INT Being pt of Lots 1,2,3,4,5,B1k 2 Sun Cliff 3rd Add n -7a.-q 71 - c17-v3 I ?ql I FA v EXHIBIT A to DECLARATION ESTABLISHING SOUTHPOINTE CONDOMINIUM Number of Square Feet Unit Number in Unit B1832 51830 W1834 W1B48 51852 B1850 B1838 51840 W1836 W1846 51842 B1844 1373* 1191* 1884* 1884* 1191* 1373* 1373* 1191* 1884* 1884* 1191* 1373* Detached garage/101 Detached garage/102 Detached garage/103 Detached garage/104 217 217 217 217 * Includes attached garage JBL:AJ4 Allocation to Unit of un- divided interest i common Building elements and percentages Number of common expenses 1373/72,036 one 1191/72,036 One 1884/72,036 One 1884/72,036 One 1191/72,036 One 1373/72,036 One 1373/72,036 One 1191/72,036 One 1884/72,036 One 1884/72,036 One 1191/72,036 One 1373/72,036 One Five 217/72,036 Five 217/72,036 Five 217/72,036 Five 217/72,036 EXHIBIT A to DECLARATION ESTABLISHING SOUTHPOINTE CONDOMINIUM Allocation to Unit of un- Number of divided interest in common square Feet Building elements and percentages Unit Number in Unit Number of common expenses B1856 1373* Two 1373/72,036 1191/72,036 51854 1191* Two 1884/72,036 W1858 1884* Two 1884/72,036 W1872 1884* Two 1191/72,036 51876 1191* Two 1373/72,036 B18 1373* Two 1373/72,036 18662 2 1373* T o 1191/72,036 5 51864 1191* Tw wo 1884/72,036 W1860 1884* Two 1884/72,036 W1870 1884* Two 1191/72,036 51866 1191* Two 1373/72,036 B1868 1373* Two * Includes attached garage JBL:AJ4 .t` EXHIBIT A to DECLARATION ESTABLISHING SOUTHPOINTE CONDOMINIUM Allocation to Unit of un- Number of divided interest in common Square Feet Building elements and percentages Unit Number in Unit Number of common expenses B1880 1373* Three 1373/72,036 51878 1191* Three 1191/72,036 W1882 1884* Three 1884/72,036 W1896 1884* Three 1884/72,036 51900 1191* Three 1191/72,036 B1898 1373* Three 1373/72,036 B1886 1373* Three 1373/72,036 51888 1191* Three 1191/72,036 W1884 1884* Three 1884/72,036 W1894 1884* Three 1884/72,036 51890 1191* Three 1191/72,036 B1892 1373* Three 1373/72,036 * Includes attached garage JBL:AJ4 . - .- - _,. I , , 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 5 o Date V- I 11 I 0-7 (1 Mrt?A n Site Street Address Unit # b?t/? UGW1 U 1 ®I Y t l ?y t , (Q?) "??Bl • tr4?? Property Owner Vms t tW dV Telephone # Contractor CHAMPION WATER SERVICES Telephone # 2 12 IT ver Ridge Address BurnsrlllA. MN s&137 r City State Zip The Applicant is: _ Owner Contractor Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes 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 only a water softener and/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: Water Softener v_ Water Heater V Water $ 15.00 _ - new replacement Lawn Irrigation _RPZ _PV13 -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 6 n I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; tnat the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordan .e with the approved plan in the event a plan is required to be reviewed and approvfe lS d.d. CIE 0 ?R V IE Applicant's Printed Name Applicant's Signature JUN 2 0 M7 - Use BLUE or BLACK Ink � ForOHlastJs�'---------� I Cit of a �Il � p���� � �`��� ; � � � , ���. � � ���: � 8830 Pllot Knob Road � � Ea{�an MAN 55122 j Dsle Receiv�d: � I l / j Phone:(851)679�8675 I � Fax:(651)6755684 I � � I I ♦....�������������r�...J 2o�a RESIDENTIA� BUILDING P�RnniT AP���caTroN �-l�—ly r4oz,o1�,o�,ott;�o, /� Oate: Sf�eAddrees:14i�,_�wi��?, zo,x�,xY Sau;,�/Po�.JT'E 7�2 Unit�: I �' Name:��o A C 7' /�1�4 n.l�1��1'N E�U T .7"�3 C Phone:7G3 -s'43 �7�� � , Address/City/Zip: �5 d � �e.i4 �-^�2 /�t/ � � �oi.�E.� +ViK�� . . � . /�'�.► .S�y,�h . Applicant Is: Owner �Contractor T �,;� .:..";�' Desarip�ion of wor�t� /�L'�.o✓z, e� Q ���f c E �i d�kJ co YP ���k� ' � � � Cohsbuction Cast��9 �� �" Multi-Family Bullding:(Yes x' I No� , . .., • Company: ��/ ���clt�oR /Y/�i,��. �� Contact �wv�9 1��2R�S ��a�7°� �aaress: �/os C�1 6v� S�. ��y; lhP�.S �`'_. � Sqte: /�� Zip: .S�S`�� 9 Phone: �O�� �6�~ �o z�l3 ' � : �icense#; �e �y/�s I l.�aa certificabe#_ If the project is exempt from lead certiflcatio�, please euplain whj/: (see Page 3 for additional information) �[-�la5 �1..)�¢� �a/Lr PoS, / }y � COMPL�TE THIS AREA ONLY IF CONSYRUCTING A NEW BUILDING In tAe laat�2 months,has the city of�agA�Issued a pennk for a��mflar plan based on a maater p1An? �Yes �No If yes,date and address of masbar plan� I.icensed Plumber. Phone: Mechanical Contrs�ctor: Phone: Sawa��VY�ber Contractor: Phono• NO�':��. �..,. ,... . . �-�. � �.<.. ' ,� � �f. '.1��!�',. �- � . ,. _ ..,�!�4�. ,j�,fa�'. . �� Y�% '�„'4y",- .:?' ;,i;" �i• �'W,il �a•� ,�?�.,A t� �:''.:����1�• "t °S.. CA�,L F.f�FOR�YOU bIG. Call Gophq Sbete pns Call at(661)45�.00pZ for proteclion egalnst underground utlliry demsge_ CeM 48 twurs befare you Intend to dig ta recelv�e lacatee of undetground utililies. �vw. op oherst�teon�q.c,� I hergby acknowledge that Ihis in(pmtation is complate ana sopuratg;Met�he woAc will be in Contomtance with the adinanoes and codes of the Gty ol F�gen; that 1 underbyqnd thig is nol a perntk, bu!oNy an appACBtion for a nermR,and wqrk ie not to stsrt wiThout a pertniN, Ihat thc worfc wiU be In� soeo�dana.w�tn tho approv�d plan In rfte Caso oi work whIG1 nBqU1nES a�evi81N 811d epprpv9l C1 plans. Exbedorworic aulhorf�sd by a building permit iSSUad In a�qrytance wfdl tNe Minnoso0s SEate BUlldl Code must bo oompl6ted witi�in 1$0 deys of pertnK Fssuanr,e, z ��Av�� 'g�R2�s X Applican�'s priM�ad Name Appllaant's SIQna� P�e 1 of 3 TB/Z0 3Jvd 1NI�W 1X� I3g L9Z9�98ZZ9 ZS�ZZ btOZ/ZZ/L0 Use BLUE or BLACK Ink � .-------------- , � Fa or�ce use � � i �r,• f ; Pem,it#: (� � � t,l� �! �� � � � �„�F�: 5 I S� ; � � � � 3830 Pilot Knob Road �''�h� F/� �!"!'�°'� I � � „ � Eagan MN 55122 -�;.� � Date Reoei�red: I Phone:(651)675�',675 � Fax:(651 j 675�5694 � �' I � �.����.����w������.��J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION �.�. /� 9n oy o�,og rc� /� Date: �� Si�Address:iSiy,��;�g, xu,xx,x 5�' Sov7-�Pe�.��~�' .7."�2� Unit#: �. Name:��o f1 C T /y1,q n3�4��rit E v T .�"�C Phone:7�3 -s'9 3 - ��7 0 R:� I G � ` t/�� bv�mer . ' aderess�c�y�z�p: 8 so a ��,a �--�,e Av ,� .� � p o E,..� �rr•�.► .SS"�',�,7 �. APpiicant is: - Ov�mer �Contractor T , �'IdV41�c. Description of work: T£� �F-�= � (Z E- �F — YP�:.. � Construction Cost��� 7��.� Multi-Family Building:(Yes � /No� . .. Company: �E 1 £,��rE.2•��e /�'17i,.s�. �� Corrtact ��av�� �`'��5 Cc�ai�r�::;" add�ss: �os t� 6�� S�. c;ty. �PL S. . s��: �� zp: ssy�9 Phone: (a�z - �b�- �x v3 : � ,. ucer�ss#: �� .�YI�3/ Lead cerdficate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additionai i�ormation) ����s �J�Q� l��,�r Pos. i 5+7 � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 morrths,has the City of Eagan�susd a pertnit for a similar pi3n based on a master plan? _Yes _No If yes,date and address of master plan: Liceosed Plumber. Phone: Mechanical Contractcr. Phone• Sewer�Water Contractor. Pho�: WO�.��af' " : .. „ . . r t/�e.��%rr�i'oi�:'�.�!��' ' :'+` '. ' .• �'�� �� •,,��. .'�" ,,, •,,.'�.Yrr•� ,���'• ..• .y _• '�',�a`f :a;. ,�,`'� '< a So' �`^' S.i X�SaG �:� �'s..� - t �.�'��j.�r�;.• �ALL BEFOR�YOiI DIG. Ca��Copher state o�Ca�i at(651)dsa�o002 for protedion against underground uduty damage. Cau 48 hours b�Y��d to d'ig co r+eCeive bCates of undencjround uGT�tes. www.002h_erstateonequ.orv I herebY�thet tlus infortnation is oanplete arld a�rate;that the work will be in confomianoe wifh the adinances and codes of ihe Cily of Eagan; that I un�and this is not a Cerrnit.but only an appGc�tion for a pein►it.and work is not to start�a aertnir.that the wcric wiu be in aoee�danc:•w:�►a tM aPP`ovod Wan Ut the cese af woMC whNY7 I��WfCS 8(@ViBVH 8fW 8�(NOV81 OT p18�i5. Exterior work aulhorized by a buildln9 Pennit issued in accordance with tha Minn�Stabe Butic6 Code must be rompieted wid�in 180 days of Permit�u8�. X ��Avi� �J�ILJs X Applicant"s Printed Name APPlicanCa Signaturo Page 1 of S