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996 Stony Point Rd - . > _ , CITY EAGAM Permit No: Date: I 383~ Pitvt Knob Road Meter No:'~D O~~D d~ Size: ~ ' P.O. Eiox 211g9 Reader ND: ~~T ~ Dat~ Eagan, MN 55121 " : Owner ~Ftro ~'ustom "u,,~e~ - ' SiteAddress: St4m- po~int Poad 1^ B"'. L~_ ~r 7r1, ~ ~ Plumber "resher F • ~ - ~ ~ a"'tt'i ~ 3 ~ ~ Gonn. Chg: • ~~~xi ~~?~~tI~J~IPS ''1 Acct Dep: 15 . c~~s~te i~g~ .~~~f ~'A~~Et~ ' Permit Fee: •'`''T~~~P~~~ ' Surcharge: • 5~~ ' ~~~e ~ ly wlth the City of Esgan Tr. Plant ~ Ordinancea. Meter. Mfsc.: BY ~ ~ WATER SERVICE PER IT ' . - - - - - , ~ ~ ' 94£~n 4 q~~ a~ CIT . OF ~AGAN Permit No: ~a~~ 3b30 Pllot Knob Road Meter No: Size: P.O. Box 21199 Reader No: ~at~' , Eagan, MN 55121 Owner. "etXO :'usto ~ ~i ~[pti~• Ap~IIC P,DBt~ T'~ ;j~ T -in ~t : 'r~ Site Address: Plumber. !~='c.~?'`'•- ''~~c :~I_. ~e • - - - Zoning: ~ Conn. Chg: ' ~ Acct. Dep: No. of Units: Permit Fee: 1~~ `'~~d Surcharg~ • SC~~' 1 agree to comply wRh the Cliy ot Eagan . (.10:,c1 Ordlnances. Tr. Plant Metec . _ . Misc.: By WATER SERVICE PERMIT * CITY~OF EAGAN Permit No: Date: t' -1R -~R i ' 3630 Pilot""~Cnob Road B/P No: Date: l+ ~ P.Q. Box 21199 i . Esgan, MN 55121 Owner. "~tro Custom F~on~s SiteAddress: "`~~~to~Y1q Point Road La ~3 Lexitt~ton 5~ 7~_;•. ~ Plumber. P.reah~?r ":FC I(il--?.err ~.n. n~ t. . ~ MWCC: [i!l. ~JO~~t~ Zoning• n~ City Chg: ~~r No. of Units: ` ACCt Dep: 1`~ r; t:~ :,~,T, , I agree to comply with the Gty of Eagan Permit Fee: " " ' ; ; Ordinancea. Surcharge: ' Misc.: By SEWER SERVICE PERMIT ~ ~ ' , CASH RECEIPT . ~ CITY 4F EAGAN 3830 PILOT' K~IOB ROAD ~ EAGAN, MINNESOTA 55122 , _ DATE ~ ~ - 19 ;f r+~cervEO ; " ~ ! . ~ 1~ i Fr+ow ! ~ ` - ` : ; ( . i H ~ ' i < < ~ ) ~ AMOUNT $ ~ -'l _ ~ ~ i 5 ~ , ~ 8 ~ DOLLARS ~ ? CASH ~ CHECK _ -Lr ~ ~ ~ - ~ i JII '~I~f ~ -`.7'~:~'~~~! ~L. ~ 1 l ~ `1 ~l- - ~ + I " 1 ~ ' ~ ~ 1--~ x ~ ~ ~ ~ - FUND OBJECT AMOUN ~ ~ Ki I I II Thank You . BY_ If ~ ~ x ~ ~ wrn~~ayers coPy . ~ Yellow-Pospng Copy Pink-File Cppy BLDG. PER~lIT 1Q0. I ~ ~ ~ ~ r::,fi' ~^i' ! ~I C,"~ ~ ~vx --~G~ ~]f~7 ~ ~ - ~ ~ C (1 f'CJ l vl ~ 01-3210 Bldg. Permit <J `~L~ ~ ~O 01-3422 Plan Check :.:J ~ ~ U~ 01-3445 Surch./Adm. ~ 01-3446 SAC/Adm. ~ ~ ~ r { `I `~2- 01-2155 Surcharge ~ ~860 Road Unit ~~J 20-2275 SAC ~U 20-3865 Water Conn. 20-3868 Water Trmt. ~ ~ ~ 20-3716 6:ater Meter ? ~ 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 5ewer Permit 79-3866 5ewer Conn. /~.1~) ~ ~3855 Park Ded. TOTAL i ' v ~ ~-_~C_-' CITY OF EAGAN ~ ~ ~ . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r PHON E: 454-8100 BUILDING PERMIT Receipt # ~ - ~ To be used for 5F DN(,/GAR Est Value $~~.Cl(K~ Date ~~iL 13 ,19 Site Address 44b ~70NY POIN'T RQAD OFFIGE USE ONLY On Site Sewage Occupancy B~~ ~ot ~ Biock 3 sec/sub. ~I~T~ 5Q Mwcc syscem ~ Zoning Parcei No. On Site Well (Actual) Const v~ City Water x (Allowable) r~~ ~ Name I+~LTitO Ct}ST(lT~l HQMES z Address p ~~X ~~9 PRV Required # of Stories ~ City a~'~SVZ~ phone 4~"~3~~ BoosterPump Length a~~ Depth ~ ~ , p Name S.F. Total ~ 4 Addres5 Footprint S.F. ~ City Phone APPROVALS FEES ~ ¢ Engr./Assess. Permit S6Z • ~ ~y W Name ~g~ ~j ~ Planner Surcharge ~ ~ Address ~ 2g1 ~pp Cit Phone Council Plan Review a"' y Bidg. Off. SAC, City 1~•~ I herebyacknowledgelhat I have read this application and state that the ~ariance SAC, MWCC s~' ~ information is correct and agree to comply with all applicable State of WaterConn. Minnesota Statutes and City of Eagan Ordinances. 67 . Water Meter 5i~ature of Permittee Road UrriY ~Z A Building Permit is issued ta ~y}E~~U Cl`S3~ ~~~5 7reatment P1 ` on the express condition that allwork shali be done in accordancewith all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Bui~alingOfficial T~TAL 2~~ ; . ; CITY OF EAGAN • l 3830 Pilot Knob Road, P.O. Boic 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt ~ To be used for Est. Value ` ' • ~ • DBte ~ys'i~ i ~ ,19 Site Address i~~`• 'S~, OFFICE USE ONLY Lot Block \ s Sec/Sub. ";r ~'j~ ; ~n Site Sewege ~ccupancy MWCC Syatem Zoning Parcel No. On s~te weu (Actual) Const ~ CityWater (AUowable) c Name W PRV Required # of Stories = Address ~ City ~ ~ Phone 5i°"~ ~``3 Booster Pump Length ~ Depth , p Name . S.F. Total ~ Q Address Footprint S.F. i-` City Phone APPROVALS FEES ~ W Engr./Assess. Permit Name ?W- = Planner 5urcharge ~ ~ Address . a W City Phone Council Plan Revfew Bldg. OH. SAG City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC ' information is correct and agree to comply with all applicable State of Water Conn. ' Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit ~~::'~:c ~14Ti`f? tiLis~.T~ A Building Permlt is issued to: Treatment P1 on the express condition that all workshall be done in accordance with al I • applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL ~ Building Official Permit No. Permit Holder Data Telsphone # Plumtiing '~~L"~ ~ -~~[c~ •yc~~k~ ,J 3 H.V.A.C. 2f ~ ~ Electric , t.l,C i o~ or~~ - r ~ Softener Inapectfon Qate Inap. Comments ' Footings I Footings II Foundation Framing S G ` C<,~G~C C Q~PT Roofing 4 ~ Rough Plbg. ~ Rough Ntg. _ fsl~ ~ Isul. Fireplace ~~y p Final Htg. y(~ &S Final Plbg. _ ~ ~ Bldg. Final Cert. Occ. n r v c~ r~ c~ - Temp. LP Deck Ftg. Deck Final Well Pr. Disp. T ; ~ • ~ft e?w a f~~erfi#tr~t~ uf (~rr~~r~~tr~ ~itp o~ ~agan ~p~t~ttlYriY Bf ~~t2t~ ,~Pl'~~~It This Certificate issued pursuant to the requlrements of Section 306 of rhe Unijorm Btdlding Code certifying tlrat at the ttme of issuance this structure was in compliance with the various ordinances of 1he City regulating burlding co~struction or use. For the following.• + i ux itRm~i No. 14822 I ~~r Trv~ ~ z~~a o~;a ~ Tra c~. ~ o~.or~~a~~Affi~ ~1SI~i H~S naa~ P.0 ffi~ ]d49* S'VII,IE ~ua~ aaa.«~ 996 SIA~IY POINT ~y L9~ B3. TEXIN~i~i 9(XIARE T~ ~ p„~: AI]GUST 1 I, 1989 ~ off~.r1 POST IN A CONSPICUOUS PLACE c _ . _ •~,j.~:,1~<..~r`-~,~~,F;~r"~~ . , . - . pERM~T# 7 ~,c~~' " ' ~ MECHANICAL PERMIT ' ~ ~ ~ ' ' ` " ` CITY OF EAGAN RECEIPT # y 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~i-`~~~ ~ CONTRACT PRICE: PHONE: 454-8100 Site Address ~ BLDG. TYPE WORK DESC¢IPTION ~ Lot `1 ~ Block ` SeGSub f- ~ Res. ~ New Name - ' ~ Mult Add-on m Comm. Repair ~ Address Other c Ciry Phone ~ ~ FEES ~ Name ~ RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City ~ Phone - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION} GAS OUTLETS (MINIMUM - 1 PER PERMI~ - 1.50 EA. TYPE OF WORK ~ COMM/IND FEE - 1o/a OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHaUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL~FEE - ALL ADD-ON 8 Unit ~-leater ~ ~ "`M 8TU _ = REMODELS - 12.00 Air Cond. ' M BTU ~ MINIMUM COMMERCIAI~ FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES : Gas Piping Outlets # ~ ~ BEYOND $1,000) Other ~ FEE { ~ ~ l ` ~ S/C: ~ SIGNATURE OF PERMITTEE ~ TOTAL• ~ FOR: CITY OF EAGAN _ . ,y . ' ~ ~ ' PERMIT # f ~ ' ' ' ' ~ ~ PLUMBINCi PERMIT RECEIPT ~ CtTY OF EAGAN ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~ CONTRACT PRICE: PHONE: 454-BiGO Site Ad~ess ~ ' ~ ' ' ~ - BLDG. TYP~ WORK DESCRIPTION Lot l _ _ Block ~ = " SeciSub Res, , ` New j'' 7 c~ 4, i` ~ Mult. Add-on : m Name i'`~,= ';;~r rc ~ 1!•Jc Comm. Repair ~ Address _ . - `f' ` ; G 'J~ ' Other c City ' Phone y~-'' RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - FIXTURES T TAL Name ~ ~ ~r~-'~' ~ , ~ Water Closet - $3.00 r~ _ c Address • F', / c y'7 TBath Tubs -$3.00 ~ 3 y ~ Lavatory - $3.00 p City J'. i'~'~~=. Phone ~'I ~ ~ =Shower - $3.00 , ~_Kitchen Sink - $3.00 FEES Urinal/Bidet - ~3.00 _ COMM/IND FEE - 146 OF CONTRACT FEE ~Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 ~ TOWNHOUSE 8~ CONDO - RES. FiATE APPLIES ~ Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 ~-Whirlpool - $3.00 ' l _ MINIMUM - COMM/IND FEE -$20.00 f Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI~ (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,004.00) Well - $10.00 , Private Oisp. - $10.00 L*- 1 f Rough Openings $1.50 ~ J~- . SIGNATURE OF PERMITTEE ~ I FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: ~ INSPECTION RECORD CITY ~F EAGAN PERMIT TYPE: h"' 3830 Pilot Knob Road Permit Number: ~ q''^' Eagan, Minnesota 55123 Date Issued: " ' ! ~ / " ' (612) 681-4675 SITE ADDRESS: , „ E ~ i ; APPLICANT: ~ i~ir~ r 1'il [N r Rfl l~ul.I I?~i~,lli~il~-: t~~N'. ~ i~~ i i i t~~~ t i~r~ ,:~ilr~l~ t I Ii r f, 1.' ~ nft I ;is+ti7 ~ PERMIT SUBTYPE: TYPE OF WORK: ~ ; r1r 11 ; i i I I~,~ii , i • • ;~il~ I I N~i I 1 tltt I ~ ~ I- - . -1 ~ . . . . . r. - -v,~.-.~,~•.-"'-.~w.+1lT•.`r'j'*R`1faoR~7rla17qR~'~1~'~'_ . _ , ;_v CITY OF EAGAN ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~«i PHONE: 681-4675 ,1 BUILDING PERMiT Receipt # To be used for ~;~p~~E Est. Value Date FEB 18 , 1992 Site Ad ress 996 S'1'~NY POIIJ'!' RD Lot ~ Block Sec/Sub.~~1N470l1 SQ 7TH OFFICE USE ONLY FEES Pe~Cel NO. Occupancy - Zs~~ Bldg. PertNt N3me di ~ (Adual} Const - Surdierge • ~ W~r~ 996 StONY POINT itD (~lowable) - ~ R~~y,~ ~ ~ EAGAN !!p ' ~p i~~tories = Lkerrse Phone 454-49iS oepm - snc, c~y ~ K u DAHM COl18T s.F. To'a~ - sac, nncwcc ~ S.F. Footprints ~~fBSS 2~ 17 ~ pn Site Sewage _ Water Conn ~ C~ MPPDOTA H?S !~i Zp SS120 On Site Well = Water Meter Phone 457-0113 Mwcc systern noot. oaposi~ ~ Q002 S 34 ciry water - V~~ # PRV Required _ S!W Permil I here6y acknOwlege Ihat I have read this application and state that the ~s~~ P~mP - S!W Surcharge inloimatian is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: ~ W DA~{H C~IST Planner - park Ded. on the express condition that all work shall be done in accordance with all - applicable State of Minnesota Stalutes and Ciry of Eagan Ordinances. g~~j. p}~, _ C°Pies Building Ofticial 1 x' Variance - TOTAI ~s~ ~ Pe.mit No. Pern,it Horaer oate Te~spnons S/V1l PLUMBINC3 HVAC EIECTAIC ~ ' ~ ~ ~ > ~ ~ E7EC1'RIC Inspsction Date Msp. Comments Foofings 1 Foundation Framing ' Roof ing Rough Pibg. Rough Htg. Isul. F~~~~ ~ - ~ q c,J Final Htg. Orset Test Final Ptbg• Pibg. Inspector- Notify~ Plumber Const. Meter EngrlPlan Bldg. Final Deck Ftg. Dedc Final Well Pr. Disp. ~~s s~-- ~i p 5 078 - ~ Requesl ~ate ir o. AougMin Insp w ~ Require0? ? Ready Now ~ Will Notify Inspedor ? Ves No When Ready? I~licensed contractor ? owner hereby request inspection of above elechical work at: Job Htltlress (Sireet Bax or Rouie NoJ City ~ ~'F' CQ A~ Section No. Townsnip Name No. Fange No. nry Occupan~(PRINT~ Phone No. ~ L' l.0.vK ~tS4- `tR~ Power Suppiier Atltlress Elecmcal Convactor [COmpany Name) Gontracto~5 Llcense No. ~c ~uc, yo9~so-y Malling qdtlress iConvacior or Owner Making Inslallalion~ o'Zb l~ ~1 O~ M1~ 5~S l~ ~ aumori¢ ~ !~Owner Making I stallalion~ Phone Numba~ y-S,Z-344 MINNESOTA STATE BOAHD OF ELECTPICI TH~S INSPECTION REQUEST WILL NOT Grlggs-MiGway BIEg. - Hoom S-193 ~ BE AGGEPTED BY THE STATE 60AF0 1821 Universily Ave_ SL Feul. MN 55104 _ ~ l1NLE55 PFOPER INSPECTiON FEE IS PM1One (61]) 69Y-OB00 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-~,,,,.. _ ~ See inshucuons lor cnrn0~et4.g this form on hack ol yellow copy s~gq,~~~~ ~ _ /O~8`~/ ~ ~ ~v("~~ ~(~7R X" Below Work Covered by This Requesi "r'-`-`-~- - ew ddd ~Rep.~' TypeotBUiltlinq AppliancesWiretl EquipmentWired Home Range _ Temporary Service ~uplex ~ Water Heater Electric Heating Apt Building Dryer Other (Specity) ~ Comm./industrial Fumace Farm Air Conditioner O~her~syecity) Convacio~'sRemarks'. ~1K ,~w*~~~ 2~~4 I ~ t Compute Inspeciion Fee Below ti ~ Other Fee # ServiceEnfranceSize Fee # CircuitsiFeetlers Fee Swimming Pool 0 to 200 Amps 0 to 10o Amps Trans~ormers Above 200 _ Amps Above 100 _ Amps j $i9f15 ~nspectors Use Only: OTAL 1 ~ Irrigation BoomS -1I- ~ ' dv ~J~Q Speciallnspection j n~armiCommunication THIS WSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby ao°qh-'" Oete certify that the above inspection has p~,,,a~ • oa~ p been made. 0'/~ OFFICE USE ONLY This requesl vo10 1B monins from This rxq~esl void .?/~/p~j ~/I~/~~ 18 nwn[hs fmm 5~ d<S ~l ~ D_' .9~~$5 _ ~,c n,~ Ra st Ila~ Fire IJO. Rouph-i I~suection Reyuire~? ~fleady Nnw ~ Wi11 Nntity Inspec- C ?~es ?No lor When HeadV censed ElecVical Contr~c~m I hereby reQUest inspeetion of abova ? Own9r electrical wark instellad ar St ePAddress, Bo Fo e No. City ' ~ ~ ecl on o. 7o nship me or N6 _ Hange No.~ Cowi~y O.cup nt IPHIN ~ Ph~ne Nn. ~o~,~ ~r~ - 3~'3 Po upplier Address Elec[rical Cmtracto ICompanY Namel Cnn[rac r's I.icense No. ~~F ~^~~~/ry FT F('^PRT!"~ Mailing ~ress ICO~~~c~5r~ a 1 y Instailationl 14540 PFN?~10CK LANE Author' ~4T3a~{LrA7[76ritr7cTdr7DwAeAClTkbi'[fJn6taYlQ[ionl Phone Number r'L V 1"1LLG 1 lvlltl JJ 1 G`S MINNESOTq STpTE BOAXO OF ELECTRICITY 7M~5 INSPECTION REQUEST WILL NOT Grigga-Midwey Bldg. - Noom N-191 0E ACCEPTED BY THE STATE BOAND l1NLE55 PROFER INSPECTION FEE IS 18?1 UniversitvAve..SL Pauf,MN 55t04 Phone16721642-OBOO ENClOSED. ~~6yC/$ ~ REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os ti ~a~~~ ~ ~ See instructions tor comole~ing lhis torm on beck oi vellow coC4~ ~~9~ O H 5 ~~x" Be/ow Wo~k Covered by ~his Request F~1d FaD. TyOe o1 Buileinq Apptioncea Wired ,EquiVmenl Wired Home flange emporary Service DUplex Wate~ Heater Lightiny Fixtures Apt. Buildinc~ Drye~ Electrii: Heatin Commercial Bidy. Fumace Silo Unlonde~ InAusinal Bldg. Air Conditioner Bulk Milk Tank ~ Farm o~hr~ oec~ v ~her Isned~v~ ~ ~r Suecifv Other Oih~>r ompute Inspec[ion Fee Below N Fee ServicaEnlrenceSixe M Fee Feeders~Subl¢ede~s b Fee Circuits (7 to 200 qm s 0 to 30 qm s ~ tn 30 Am s ' ~ Above 200 q~n~~y 37 to 100 Amps 31 to 100 Am s / Swimming Pool Above 100-Amps Above 100_Am s Transtormer5 Irngation Booms Partia ` ee Signs Specialinspection S/ • TO A P~A Nerm~ks aL NouBh-in Date the ectri~~l Insoectoq he~aby certiiy thxt the aEOVe Final f u•~~e ~ ins0ec[ion has bean / mede. TMa roQuesl voitl 18 monihs Irom ;8`~~~~s~,om" sy3~/88 8s~aii E 1014 2 ~ ~ ~ ~w ~a HanueKDa /1 Fire o. RouPh-in In ection ~ . 1~ Raquire ? ~Ready Nuw Nmify, Insper.- V es No m~ When PeaJy [j1JwC~(s¢d Elactrical Contraclor 1 hereby reqeest inspac~ion ol ebova ? Owner elecRicel work instelled at Str t yQCr~ss. Boa or R ute o. ~ City~ ~ L~ ~E u eciron o. Town ip Name or No. Range No. Gounty ~ Occauanl PflINTI Phon Nn. ~ 6 S M ~ONI.~ $,3 Powe upolier Atldress lectrical ConUacmr ICompany Namol Co tract ~Lice.nse No. 9 M~iJpq{~~ n ,I Y wne~ ~ak~~(~~ailationl K+'~" NOCK Lt~lvL Authon ure l~op~~c~d talla~ion) Phone Number ~ V ra~+::Pr a r MINNESOTA STATE BOAXD OF ELECTqICITY ' THIS INSPECTION qEQUEST WILL NOT ~ Grig9s-Midwey Bltlg. - Room N-791 BE ACCEPTEO BY TME STATE BOARD UNLESS PNOPEX INSPECTION FEE IS 1821 Univarsitv Ave.. St. Pqul, MN 55104 Phonel612)642-0800 ENCLOSED. ,5fjj~~'~ REQUEST FOR ELECTRICAL INSPECTION e i . 1 Sao ins4uctions lor complB~ing lhis torm on back oi vellow copy. E 1 Q 1 q, 2 '"X"' Selow Work Covered by 7his Request d~~ Mep TYVe of BuiitlinB Aooliantna WimO Em~iumen~ Wired Home Range Temporary Service Duplex Water Heater iyhtiny Fiztures Apt. Buildinc~ Dryer Electnc HeaLn Commercial Bldy. umace Silo Unloader InAustrial Bldg. Air Conditioner Bulk M~Ik Tank Farm O~her S~eci v ~~ner 6nec~~v1 1 .i Sucrify O~h¢r Othur ompute Inspection Fee Be/ow p Fee SarvimEntrencaSiie M Fea Fxnders/Subfeeders Fee Circuits 0 to 200 qm s 0 to 30 Am s ~ to 30 An+ s Above 200 Amp~ 31 to 100 Amps 31 to 100 Am s Swinmiing Paol Abave 100-Am s Above 100_Am~s Transiormers Irrigation Boorr~s Partial~'Other Fee Signs Special Inspection $ emarks TO L FE NouBh-in ~`~1 ~7 cyc' I, e Elec~rica . ~ {9/ Inso ehy ertily that the above iinal ~ ~P GC inspaction has baen ~ mede. ~hia request vofO 78 monMn irom • CITY OF EAGAN yQ2~ 1 1$ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PHONE: 681-4675 BUILDING r~1RM1T aeceip~ # C 0(-7.~ 37 To 6e used for FIREPLACE Est. Value Date_ _ FEB 18 gQ~_ Sile Address 996 STONY POINT RD 9 3 LEXINGTON SQ 7TH OFFICE USE ONIV Lot Block Sec/Sub. FEEs Parcel No. occupancy - Zoning _ Bidg. Perrni[ 25.00 N8rt12 MIKE CL'ARKE Iqctuap Const _ Surcrarga . 50 W Addfe55 996 STONY POINT RD (A~~owable) _ ~ R~~ Z i ot Srones ~ Cj~y EAGAN MN Zp ~a~gcn _ Phone 454-4945 Depth - SAC, Ciry Name K W DAHM CONST S.F. Total - SAC. MCWCC ~ S.F. FoO~prin~5 ~ AddfBSS 2217 ROGORS CT OnSilaSewage _ WaterConn 4R Qjry MENDOTA HTS MN Z,Ip 55120 on Si~e We~l - Water rneter rz Phone 457-0113 enwCCSystem _ City Water A«4 Oeposil cg ~~g~ p 0002536 - PRV Raquiretl _ SAN Permi~ I hereby acknowlage ihat I have read ihis application and state [hat ihe Boosler Pump - SnN Surcharge information is correct and agree to comply with all applicable Stale ol Minnesota Slatutes and City of Eagan Ordinances. TreatmentPl Signalure of Permitee APPROVALS Roatl Uni~ K W DAHM CONST Planner A Building Permit is issued lo: - Park Ded. on ~he express condition that all work shall 6e done in accordance with all applicable State oi Minnesota StaWtes and.~C,it'y/ ol Eagan Ordinances. Bldg. Off. _ Copies BUilding Olficial ~ ~h R a ~ I~ , r~1 Variance - TOTAL 25. 50 1 ~ CITY OF EAGAN ~JO 1 4 8 P Z 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 ~ ~ PHONE:454•8T00 e~ BUILDING PERMIT Receipt# O~'~ ~S To be used for SF DWG/GAR Est. Value $97,000 Date APRIL 13 ,19~~ Site Address 996~TONY POINT ROAD OFFICE USE ONLY Lot 9 Block 3 Sec/Sub. LEXINGTON SQ 7TH Site Sewage _ Occupancy R-3 MWCC 3ystem X Zoning PD R-1 Parcel No. on Site Well _ (ACtual) Const V-N ~ Name METRO CUSTOM HOMES cirywater X ~qllowa~le) V-N W Address P 0 BOX 1049 PRVRequired #otStories z - p BooSter Pump Leng[h . ~+7 ~ City BIIRNSVILLE Phone 454-9383 Depth 46' , p Name SAME S.F.TOtal ~Q Addfess Foo[printS.F. r City Phone ppppQypLS FEES ~w Engr./Assess. Permit 562.00 ww Name 48.50 Planner Surcharge i- Address ~Z City PhOn2 Council PlanReview z81.00 a W Bldg. Off. SAC, City 1~0• I hereby acknowledge that I have read ihis application and state that the VarianCe SAC, M WCC 5$0. 00 iMo~mation is cor~ect and ree to comply with all applica6le Sta[e of Water Conn. SSO.00 Minnesota5tamtesand-~fEa a O~dinances. Water Meter 67.00 Signature of Permittee ~ ~ Road Unit _3.ZS _ fl[1 A Building Permil is issued to: METRO CUSTOM HOMES Treatment Pi 204.00 on the ezpress condilion that all work shall be done in accordance with all applica6le S[ale ot Minnesota S[aNtes and City ot Eagan Ordinances. Parks n rora~ z,687.50 8uilding Official~~\,. , ~ ~~~~~cew~ City of Ea~a~ ; Pe~~t# S~ 8 ; ~ ~ i Pertnit Fee: ~ ' 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: ~ Phone: (651) 675-5675 i S[as: i Fax:(651)675-5694 I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~-5 ~06 Site Address: ~ ~ ~ ' ~c . 2.c~ . Tenant: Suite RESIDENT / OWNER Name: U~1 ~~t ~ rrw ~L Phone: Address / Ciry / Zip: q C J~~-o ~n e.y R.~ , ~ A 6 ~1+.~ ~.ti 5S l 2 3 Applicant is: _ Owner ~ Contractor TYPE OF WORK Description of work: ~~6 ~ 12t 'VletB F= Construc[ion Cost: S~~, tO Multi-Family Building: (Yes No ~ 1/ i CONTRACTOR Name: ~-f,,,,s License ~ a-~ ~ ~ ' ° Address: ~ ~~l SO - ~ ~ ek e~„ L ~ City: ~ ~-~/Z%v' ~ r State: Zip: ~S b Phone: G5~ ~i88-~~`I Contact Person:~o ~ `j S a'~5 '6~`-fD COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Cate90ry Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, 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 plan: Licensed Plumber: Phone: Mechanical Contractor: phone: Sewer & Water Contrector: Phone: NOTE: Plans and supporfing documents ihat you su6mit are considered to 6e public information. Portions of the informafion may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurete; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a pertnit, and wor~~is-aot start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and a va~ of plans. X ~l7`~ CNS~' S v1,T. X ~ ApplicanYs Printed Name ApplicanCs nature Page 1 of 3 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION ~ (,1 ~'~O City Of Eagan ~~T ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construd'an Reaui2ments RemodeVReoair Reauirements Office Use Onlv 3 registered s@e surveys showing sq. fl. af lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Reod _ Y_ N (20%maxuniun bt cave2ge allowed) 1 set of Ene~gy Calculadons for heated additions Tree Pres Plan Recd Y_ N. 2 wpies of plan showing beam & window s¢es; poured found desgn, etc. 1 site survey for additiore & decks Trae Pres Required Y- N 7selofEnergyCalwlafions AddRbn-indkateifon-si7eseptiesystem On-siteSeptlcSystem ~ _Y _N. 3 wp'ies of Tree Preservation Plan if lat platted after 117/93 Run Joist Detail Options selectlon sheet (huildiigs wBh 3 or less unifs) Date / / ,5-~-~o r ~ Con~struc/ti~on Cost Site Address ~P~ ~ di+~ ~ p~F~ UniUSte # Description ot Work N~~' ~f' ~i,Q ~ ~~d' %`riq~i0 ai9? Multi-Family Bldg _ Y~ N Fireplace(s) _ 0_ 1 _ 2 Property Owner ,I3J/~G ~-sy~c.~i~i /T ~p~~! Telephone # (~y ) 'k~f1 S/~~fY i Contractor er,Di+vc~s4fG~5 (.._sf~c.~~ Address /BOuf ~iV2~ ~ s City i.cr State j'yL`~ Zip ,~SS/""'~p Telephone # (9~ ~t !r ~S' 033 Gfl~ G/~ 308 7o~y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code CategOry . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheel (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations 5ubmitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan i e case of work which requires a review and approval of plans. .'7~Cv~scr L• D/'.s~lit/~~'l.+fcc~c Applicant's Printed Name A icant's Signatur OFFICE USE ONLY Sub Types ? D1 Foundation ? D7 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? D8 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ ptex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. O 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolitlon (EnBre Bldg) - Give PCA handout to appliwnt Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof' _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CITYUSEONLY d0~~ JpY~ PERMIT RECEIPT DATE: 8008 f~SIDEPTI~kL M~C~Hi4AICl,4I. ~~iiMIT ~~~LIC~TiOA crrY or ~snx s8so ~nor xxos sn Ei4HAA liN 5g1 EE 651-6$1~4675 Please complete for: D single family dwellings townhomes and condos when permits are required for each unit Date: fD~Z3~o1. SITE ADDRESS: 996 ~tn /'sc f ~o~• OWNER NAME: ~'Y~/u~ (..ConcL TELEPHONE 5~5~/- y9 S~S INSTALLER NAME: ~,l l~ ~G . TELEPHONE 89y- 9/~ 9~ STREET ADDRESS: ~//31 D~-f1 St~i~ `Y?1~~ 3cv CITY: _ i~ T ~ STATE: 7n~1 ZIP: sr/~2.. Place a check mark next to the permit work type _ Add-on, modification or alteration existin dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner? • other ^ Nature of work: 1-~.c,p.e.~,~ ~UR • R ~ G. State Surchar e $ .50 S1~ TDtal $ ~ nro ~ SIGNA F PERMITTEE voz CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR 800E COMM~CI~kL M~EC~lk1VIClEL ~P~iiM1T ~~PPLIC~TIOA CITY OF £AHlEft 3830 ~ILOT KAO$ !tD ~?~iiv, ~x 551 s$ 651-s$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE - TENANT NAME (IMPROVEMENTS ONLS~: WAS TI~RE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZIP: TELEPHONE WORK TYPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Specify Nature of Work: When instaUing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract pnce OR $50.00 minimum fee, wlachever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 ~~5~~ aa RESI~ENTIAL f ~ a . ~'S BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55'122 651-681-4675 New Canstruction Reauirement~ RemodeURewir Reauirements • 3 registered sile surveys shaxi(g sq. tl, of bt, sa. ft. of house; and all roofed areas • 2 copies of plan (20%maximum lot coverage albwed) . 1 set of Eneryy Calcula6ons for heated aaditions • 2 capies of plan showirg beam 8 window sizes; poured faund desgn, etc.) • 1 site survey kr extenor adCitions 8 decks • t set of Energy Calculations . Indicate if home served 6y septic system for aaditions . 3 coDies af Tree Preservatlon Plan if Iol 0~atteE after 711l93 • Rim Joist OetaY OD~p~s sNection sheet (bldgs with 3 or ~ess units) DATE ~~~~3~Q_Dl'•~a VALUATION ~~,3y(o~ SITE ADDRESS 9~CG ~~SRi.I ~'F.+~o~ MULTI-FAMILY BLDG _Y ')O N TYPE OF WORKiZc0~0.C2 r'J (a.nY~n~o~,,]S t~.i't'~{,~i.,", g~lS/~~/~~~~~G~/~F.I/R~EPLACE(S) _ 0_ 1_ 2 vtvr ~1.__~ '~Sy/ L APPLICANT STREET ADDRESS uFNEwnL sv n.~vDERSEN, INC:. STATE _ZIP 1920 COUNTY ROAD "C" WEST - TELEPHONE #~I•o~~•~~~~" CELL! ROSEVILI.E,MN 55113 # _ - PROPERTYOWNER'~l~~k.2 G~C~L~L , TELEPHONE#95a ~$S1•~~'~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~fI\rESO'l':1 RliLES 7670 C:1TEG<)Rl' 1 ~II~~ESO'1':~ Ri.:LL:S i6i? submission type) . Residenlial Venblatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: _ Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: ~90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Confractor: Phone # ~Icch:u~ical sys[em includes: Air Conditioning Fee: S7Q.00 Hca[ Recovcrc Systcm r iDr~(a~~i~~~~~ Sewer/Water Contractor. Phone M i ~ $Fp 1_ 3 2002 I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to compiy with all applicable StpTe of Minnesota Statutes and City of Eagan inances. - Signature of Applica ,~~~~~;T- ' OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 3/02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti ? 03 01 of _ plex ? 09 07-plex p 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF O 04 02-plez ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 ~emolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 ~emolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant . . ~ . . , Valuation OcCUpancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width ~ ' ~ • • ~ REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ p~~b~g _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs Air/Gas Tests Final _ Framing _ Siding Stucca Stone _ Fireplace _ R.I. _ ?.ir Test _ Fina] _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Sgarch ~ Copies Other Total l RE~GE~ITIAL ~ a~ 5 j~ag BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 New ConsWCdon Reauiremenh RemodellReoair Reauirements • 3 regislered site surveys showing sq. ft. of lot, sq. fl. oF house; and all roofed areas • 2 copies of plan (20% ma~cimum lot coverage allowed) • 1 sel of Energy Calculalions (or healed adddians . 2 copies af plan showing beam 8 window shes; poured found design, etc.) • 1 sde survey far exterior additions & decks • 1 set of Energy Calc~dations • IiMicate if hane served 6y septic system kr additions • 3 copies of Tree Preservation Poan'rf lat platled aRer 7/1/93 . Rim Joist ~elad Options selection sheet (Mdgs wBh 3 or less uni~s) y~ ~ DATE ` VALUATION -f ~ ~~~J JOB SITE ADDRESS 99 <D c~T~`r+~ ~~a~(~~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER m~~-2 C~0.C~-. TYPE OF WORK~Ics.cn~ wi~l,~~~4-1n...~.~n's~inw42v`ru~JREPLACE(S) _ 0_ 1_ 2 APPLICANT~ s• +~p ~ ArCI.A.tSR~ J U PHONE# !~5!•aCay43~~~ ADDRESS I~Io~ C!e P.~ G~ 1.1~~-a..n • Kq q?'~~ ZIP CODE S~!(D'~_ PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNFSOTA RULFS 7670 CATEGOR f~ (check one) - Residential Ventilation Category 1 Worksheet ~5 ~ - - Energy Envelope Calculations Submitted MAY 3 0 2oQ2 MINNESOTA RiTI.ES 7672 ~~r - New Energy Code Worksheet Submitted p~ By Plumbing Confractor. Phone Plumbing System Includes: _ Water Softener Lawn Sp~inkler Fce: $90.00 _ Wafer Heater No. of RI. 13aths No. of Baths Mechanical Confractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above infortnaGon must be submitted prior to processing of application. I hereby acknowledge that I have read ihis application, state that the inf rmation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ' ances Signature of Applicant Certificates of Survey Received _ Trae Preservation Plan Received _ Not Required _ Updated 2002 OF~IG~~1SE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 O6-plex O 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ ptex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck 23 Porch (screened) ? 36 Multi O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 32 Add'Rion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Damolitlon (Entire Bldg onl~ - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water ~ SAC Units ~ Stories ' Booster Pump ' Nbr. of Units Sq. Ft. PRV ' Nbr. of Bldgs Length ' • . Fire Sprinklered ' Type of Const Width REQUIRED INSPECTIONS ~ _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) pl~~g _ Foundarion ~pC _ Drain Tile p~~ Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ Retauvng Wall Approved By , Buiiding Inspector Base Fae Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies ~ ' ~ Other Total ~~~.i aaav ic.uv ~np tOJ Oll '9400 ? tfC~YlS¢Al: bY 4f1UtS1G7i5C1 . . ~uuziue re al ~ a~,e aoo~ ~ ~ ~ ~ 3836 Piiot Knob Road . Eagan. MDT 55122 To Whom Tt May Concxrn: Etder 7ones is authoriud to pnil bnild3ng pem~ita Por Renawal by Ancleiss~_ Ptease allow Slder Jones to proyide this seiyicc for ua in F,asan. '(hia aurhorlyat;an is valid for eny date beyond 6/6/Ol; wotil a~"enawal by Andcrsen manager exPce~sly cevokea it in wridng to the City. I rcquest this authotizacion be accepted expedidously, ss to not dela m the ovr building Poanita any fnztFtar. Plcasc caII mc If thcca arc enp queysciona. I can lwng of contaeted at 763-SU2~706. , Your immqdistc at2cntion to this maucr is apprec}ated, s~~iy, ~ . ond R Rau ostatlation Manager Renowal by A,ndpsen Co~pot~a~on . • C'.c.: Ksrra-F]de:r 7nnea ~~~4 . c - 7-~, ~ 4 Received Time Jun. 7. 1~01PM /~(C~ ~ 7 ~ RESIDE'YNf1AL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55'122 651-681-4675 New ConaW ction Reouiremenfs RemodeilReoair ReuuiremeMs • 3 registered site wneys showiig sq. fl. W lot sq. ft. of house; and all roofed areas • 2 copies ot plan (20% mmtimum lot coverape allowed) • 1 set of Energy Calculations for heated additions . 2 copies o( plan showing heam &wiMax sizes; poured f~und des~n, etc.) . 1 slte suivey for exterbr additions & decks • 1 set of Energy Cakuladons . Indicate if home served by septlc syatem for additions • 3 copies olTree Preservalion Plan if lot platted after 7N/93 • Rim Joist Detaa Optbre selection sheet (ddgs with 3 or less unA.s) DATE VALUATION lok CN~~ JOB SITE ADDRESS ~lo s~ ~1 CnR~ ~O.(~1 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 'f1'~."l~ GOU.~_ TYPE OF WORIC~,~1~,~ l n c.u~nrlnwS ~.ir4in~,~n aJX'~~}j~_C~vm;~IREPLACE(S) _ 0_ 1_ 2 APPLICANT~o+Pn~ ~~~n~odS~~ • PHONE#~I•ala~(~4~~,~ ADDRESS ~9aZ0 C.~u~(l~ ~100~, C, ~~~,Q.pLnln~~'f1f1YL} ZIPCODE~7'Sll~j PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY energy Code Category _ MINNESOTA RLTLES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $90.00 _ Water Heater No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi a ces. Signature of Applicant G~I K-~t~071/ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 ~OFFiCE USE ONLY ? D1 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ' ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt - Multi 0 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi O 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration p- 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •USmolition (Entire Bidg only) - Giv.e PCQ handout to apelicant Valuation Occupancy MC/ES System Census Code Zoning 'City Water ` SAC Units ~ Stories • Booster-Purnp Nbr: of Units ~ Sq. Ft. PRV Nbr. of Bidgs Length , , Fire Sprinklered ' Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinallNo C.O. _ Footings(addition) _ Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Au/Gas Tests Finai _ Frazning _ Siding S[ucco Stone _ Fireplace _ R.L _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies • Other Total ,•••,,•..cv•.J. iuv ac.ou rm ~oo Oli ~4fl60 ltta'1VCIYAL bl°'d1VUtSK`JC!'1 ~ . ~BIUU2l UU: re a~ Juna 2oor Ciry of Eagan 3836 Pilot Knob Road . Eagan, MN 55122 To Whom It May Cancern; IIder 7ones is authoazed to pull bnilding peimits fo~, Renax,al by Andazsen. ~lease allow Elder Jones tv pim•ide this service far us in Ea~an. 'rhia authcrrizatinn is vaiid for any date beyond 6/6/01; unti.l a~ewa! by Andersen manager e~p~y revokes it in wrldng to the City_ I request ttus authorizatioa bc accepted e~ccpedidously, ac to not delay in tha proce~sing of our buildiag pcmiits eay fyrthCr. Plcasc call mc lf ihccc arc eny questiona. I can ha contactcd at 763-502-0~706. , Your imm~diate at~ention to this mat[cr is appreeiatsd, Sincaiely, . ~ ond R. Rau astallation Manager Renewal by Andelscn Corporation Cr.: Karsi_F.irie.r.Tnne.a ~K=-YUia'-eC4 ~~p~,~„t ~ G - 7-~~j CH OA . LQAMAL ` ~~~a . . "f'~ommaaonE~ytrn.W.a,,zpp9 . Received Time Jun. 7. 1:01PM i ~ 1988 BUILDING PEAMIT 6PPLICATION - CITY OF EAGAN } # ~~I~~L SINGLE FAMILY DWELLINGS ! Y1 ~ ~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOA/HOMEOWNER MUST DESIGNATE WEiICH ADDRESS IS DESIAED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE IINITS ~ OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECB WZTH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COFASERCIAL ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET' OF ENERGY CALCULATIONS To Be Used For: ~~p 4 Valuation: fy 7 ~ ~ ~ ~ Date:/ ~ D C~ ' l T ~ Site Address ! 1 ~~QUU~ OFFICE USE ONLY Lot Hlock ~7 On site sewage_ Occupancy ~-3 CC system 2oning PD, ~2 - I Pareel/Sub 1~~~//y~~UVJ S4d/-1~/3~ 7 On site well Actual Const ~-N ~~y~~f7 ~ City water ? Allowable V-N Owner ~ p, ~,pt ~ l~ I/,~ ~ 0!~l ~f~~l PAV required _ Ik of stoMes ~ Booster Pump _ Length D" Address D, 0 y' Depth 5~i,_ „ ~ ~ S.F. Total City/Zip Code~~]~~'15 1~1 1/~~/ fN 55 3~ Footprint S.F. ,i . Phone ~ APPROVALS FEES Contractor ~i y-'f'~2~ Engr/Assess Permit ~ Planner Surcharge 49, so Address Council Plan Review ,O O Bldg. Off. ~~13 SAC, City O.00 City/Zip Code - Varianee SAC, MWCC SO,O~ Water Conn 550 Phone Water Meter d~oO Road Unit ~ o Areh./Engr. ~~il~'?GJei Treatment Pl o oD Parks Address Copies TOT9L ~ City/Zip Code Phone li ~~t~6 ~Z =bh~cG~~1 AZ =hlxZ ooz = Z ~ S Z ZI =~xh t,~ = z xz,t$ h~tr = ~.z xzz -ZZ =ii xz , h 9~ _ ~~C n hZ ~S~o f{ Z o R,~ i x-h5 L - '=~1X o/ h29 = 9~~ hZ 1.~u ~ _ ~099 =1,~ x z~ h ~z _ x h heb = Zzxzz ~d9 ..s . t , ~vc,~~v~~b'/1 ~ ~ M ETRO C (/STO M /~IOM ROBE TOE # IZ92.0~ ~OHSULTlHO fHd1HEEAS ENGiNEEA1NG p~ANHERS nnd LAHD ~LRYEYO!!S COM('ANY~ [NC. 1000 US7 1461A STREET~ BURHSYIILE. Y~HHESOTA 55337 PH ~432'3000 Cer~%I!`z crz~e ~Surv"e y /~:~a~= ^~,~~zO~• LOT9, BLOCK 3, LEX/N6TbN SQUARE 7TH ROO/T/ON~ • DAKOtA CO UNTY, M/ N N ESOTq (g9g,O5~TONy PO/NT ROAO ~9~ ~-1 W . N _ S 89°46'32"£ SCALE.' /"=30' 75.00 C@94 F~ O o ~895.8) - ~ - ! ~?5,~ OENOTES EX/sT/NG I N 1 J EtEVqT/ON ' sl ~n ~ ~S ~$y5,~~ DENOTES PROhb5E0 ' ~8~9 30' 6RONT BU/LD/NG ELEVAT/ON 96 r" IN~/CATES D/RECT/ON OF 45.67 ~2~33 SET6ACK L/NE I StiI7FACE 4AAi/YA6E' :6nFlAGEb 7.0 896.83 = I ~ 4 za.a4 . ~ Fiiv/SNED GARAGE FLOoR ~ \~8~'S N - N ~ ELEVAT/ON y.0 3 ~ - - - I 0 ou ` r ` 3 N I z.o pROPo5E0 4 . ~O I ~ HOUSE N ON { ~ . ~ M I\ Q~ ~ e 1q I ~ 36.0 ~ ' ~ ~ 8\ ~ ~~93.3) C~92. I N o ~30) S,E~~ <693.0)' \Q ~ ~ LOT 9 ' - ~ ~ " ri~ r~~~~/ ~ ~ 5 ~ C1._,.~~.~(`. . t I5 ~ORA/NA6E'ANG !JT/L1TY-~ I ~ ' EASEM£NT J ~ „ ~ V~~ • (890.i) . (89f.8) ~ 75.00 ° . 389 46'32'E ~ A ~ . i l landrasyahovniandtdeacribedihereonue.~adPrsP r°d Ypm ~ontthisn 3~„_ daycot h~rs+ccd , 19~• /1'~*.-~f.- }~~nif. ~les. NO. ~G_SS~ ~ CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION ~ ~ 681-46T5 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made r lot chan e is re uested once ermit is issued. Date ~ i~L Yaluation of work Site Location: ~9~ 9G S~O ~'J ~ /Jo~ i~'c d STREET StE tl Tenant Name: ~ i ~~-P_ n LOT BLOCK SUBD. 1~ 7~L P.I.D. # w~..~nu}~~ Descri tion of work: vt Sfa .e ~ CI-¢o.~-~ ~ The applicant is: ? Owner I~ Contractor ? Other (Deseribe) Name C/~ r K~ M'/~~ Phone y`15'y5~ Property ~psT f1R5T Owner Address 5'S ~ S 7`b n~ , d; ~ ~I' ~ STREET STE # City S c-~~ State '7~~W1 Zip Company ~c~ D 4 Li C~ ~ g/ . Phone H5 ~ D~/ 3 Contractor Address 2 2/~ d~ ~ o/' S C~u r f License # oo S'3 6 City ~n-~ o~e f~ l~ )`-5 State ~i'J~- Zip ss /2 d Company Phone Architect/ Engineer Name Registration # ' Address City 5tate Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appl icant: ,~~~~~~G~--~-- ~ OFFICE USE ONLY ' „ „ BUILDING PERMIT TYPE ~ ~j ? O1 Foundation ? 06 Garage/Accessory 11 Res. Add./Porch ? 16 Agricultural ? 02 Single Family ~ 07 Fireplace ? 12 Comm./Ind. New ? 17 Building Mave ? 03 Two-family ? 08 Deck ? 13 Comm./Ind. Add ? 18 Demolition ? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous ~ 05 Apt. Bldg. ~ 10 Swim Pool ~ 15 Public Fac. WORK TYPE ? 90 New ? 93 Remodel O 96 Move ? 91 Addition ? 94 Repair ? 97 Demolish ? 92 Alterations ~ 95 Tenant Finish ? 99 Undef9ned GENERAL INFORMATION Occupancy Basement sq. ft. MWCC System Zoning lst F1. sq. ft. City Water Const. (Actual) 2nd F1. sq. ft. PRV Required (Allowable) Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Bui]ding Assessments Engineering Variance RE(~UIRED INSPECTIONS ? Site O Footing ~ Framing ~ Insulation ? Wallboard ? final ? Draintile ? fireplace MICC SAL Fees: Yaluation: S Permit Fee snc x Surcharge Plan Review x License City 5AC sac u~,;s8 Water Conn. Water Meter Road Unit Treatment P1. Road Unit . Park Ded. Copies Other Total: PERMIT ~CITY OF EAGAN ~ 3830 Pilot Knob Road PERMIT TYPE: eui~orN~ Eagan, Minnesota 55123 Permit Number: 0 214 9 2 (612) 681-4675 Date Issued: 0 7/ 16 / 9 3 SITE ADDRESS: 996 STONY POINT RD LOT: 9 BLOCK: 3 LEXINGTON SQUARE 7TH P.I.N.: 10-45081-090-03 DESCRIPTION: r~ 14 X 16 Fe S X 8 B,.w"ildin%~,PermiC Type DECK Bu3lding laork Type NEW ~ \ r , l` ~ ` \ ; C~ \ - / ~ . / °1~ ti ~ ~ i~ ~ ~ ~~~;v~`~~ .1 !J~ \ ~ ~ ~l~ ~ ~ U`-~_'ic1,l ~ t REMARKS: FEE SUMMARY: Base Fee $26.00 COPY $.50 Surcharge $.50 Total Fee $31.00 Lic. Search Fes 55.00 Subtotal #30.50 CONTRACTOR: - Appl3cant - ST. LIC. OWNER: DORPINGHAUS CONST CO 18813967 0001594 CLARK MIKE 10046 PARK AVE 3 996 STONY POINT RD BLOOMZNGTON MN 55420 EAGAN MN (612) B61-3967 I I hereby acknowledge that I have read this application and state that the infqrmation is correct and agree to oomply with all appl3cable Stete of Mn. Statutes and City ot Eagan Ordinance~. IL - l~` - ~ / CAN MIT G ATURE ISSUED BN NATURE REACTIYATE _ (~[~~~~Q,/~~Up CITY OF EAGAN PERMI7 • 1993 BUILDING PERMIT APPLICATION 3~~ J U L 0 7 1993 681-4675 ~ /~f~~ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ~ / ~ / ~ Valuation of work 5 ~~'c' ~ Site Address: S~~-wiYlv v~w f STREET SUITE N Tenant Name: (commercial onty) IAT BIACK~ SUBD.~,,/ P.I.D. N ' ~E. Descri i ion of work: ~ The applicant is: ? Owner ~ Contractor ? Other coe.o~+~> Name C/~n~c J~9r~~ Phone Property LAST FIRST Owner Address `1/`~~ 5~~~-~-~r r/ ~~u-'~ STREET ~ STE / ' City i%fCil~v State Zip 5S`/~2 Company ~r~iu, ~.~u S ~<n~ s~~ ~'o. Phone l- 3~G 7 COtltfBCtOr Address /°OL/~ ~~9~'~r l~ S~ License #OGQ/5 9N 3xp~~ City j3/oo~i~-~,~o,z State .~ti ZiP ~~5%?G Company Phone Architect/ Engtneer Name Registration N Address City State ZiP Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apPplication and state that the information is correct and agree to comply wi~h al~l applicabl$ State of Minnesota Statutes and City of Eagan Ordinances. ~ ~ Signature of Applicant;~'/ G~6`:`-~~ / OFFICE USE ONLY , . . BUILDING PERMIT TYPE ~ ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? i6 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ~ 12 Multi. Misc. ? 17 Swim Pool 0 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 5f Porch ? 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc. O 05 SF Misc. ? 10 Mutti. Add'1. ~:15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~31 New ? 33 Alterations ? 35 Tenant finish ? 37 Demolish O 32 Addition ? 34 Repair p 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst Fl. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft: PRV Required 2oning Sq. Ft. total Booster Pump ;Y of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ~ Depth ~ On-site sewage SAC Code APPROVALS ~ b Planning Building Assessments Engineering Variance RE~UIRED INSPECTIONS ' ? Site ~ Footing ? Framing ? Insulation ? Wallboard ~ Final ? Draintile ? fireplace Permi t Fee ZJ v.~,,,t;,,,: g Surcharge , Su Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. I Trails Ded. ! Copies Other Total: SAC % SAC Units r ';tE.={~;45`~;. 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' • ~ ~~"~°~~'~~~w~~°~::~; ;n r~f'~~~<~~ ~ s ~ m ~,,;F-~~~ . ~ .'S 4~:i' ' ~ ~~IlA,w~ia~!%A1Vb;;r~!!!~V ( , . !-ASRiN!`NPVE',~ ' L~ ~:J - _ `t e `;'ti" ~ r~sa.;> , 4,~ ; . ~ r ; ~ ~ , . f Ae~~by ee~tl~'~~a~~~f~~e e tt~ie end e~t~eet t~+p~aa~~t~?t3ea 6! a~l~~~t st i~nd ~q~.;an~: dee~~lbed i~~r~en~~ Ae ~~~~e~ed by t~e~ ~t~ t1?i~ tsa;-~. dr~ bC ~:,,J~+~++trl..~..~,.,..:.,.;.~ ~~A,~;~~. . , . , ~ ~ ; r. - }:Ni~n~ il~~~ ~N~~~zn~s , ~ ° ; _ , t ~ ~:~~,t;~+~~tYs~:. , ; ' - ~ . C I TY O F E A G A fV PAYM~Tr OF k'EE AT TIME OF * • Y * ~rrscAxior, noFS No~r cor~.zzcr~ ~ ~ ~rxov~r. oF r~T. * APPLICATION FOR PERMIT ~ * * INSPF7CIZON OF' SEFIER A[~ID/~2 FII~'Q3t ,*t . nyg•Lzr.ramrp~7S WII.L NOT ~ SCF~-- * SEWER AND/OR WATER CONNECTION ~ ~ ~T ~ ~ ~ * APPROVID. ~ * ~ * r r ~ * . *:**,t***,t*,r r **,t*,r**r**~******,r*,t**** P ease Print ~ .1) PROPERTY ADDRESS : ~ q ~ S; p,,,~ y - ~ LEGAL DESCRIPTION: y'- 3 L~ k~ G rc,~ .S, ~7 Lot Block Subdivision or Tax Parce ID ) IF E7ffSTING STRL'GZL~RE, DATE OF ORIGINAL BL'ILDING pERMIT ISSL'ANCE: ' _ {M~n ear . PRFSENP ZONING/PROPOSID t'SE: q COfR'~ERCIAI./RETAIL/OFFICE ~ R-1 SINGLE FAMILY ' Q IfIDC~STRIAL ~ R-2 DL'PLEX (ltao Onits) ~ INSTIZ[]TIONAL/GOVERfP~NT ~ R-3 TOW[~iOLSE (Three + Units) ( Units) , p R-4 APARTh~1T/COAIDOMIDIIOM ( Units) 2) ~ NF1ME:_DRE~/,~n,E,2 ~XC • . ADDRESS: t 0~'t 1-~ r4 t O u1 :vvJ C 2~~ CITY. STATE. ZIP:~ p~ t f L~ l4 ~ ~ f~ ' PHOfIE: ~ 3 ~ . 3) ~ m~• For City Use NF+MEe U` L- I3f/IC • P1tunUers License: ADDRESS: ~QO /1~ t r ~i - l : . ACtiVe , crTSr, sra~, z~:~-!~'~E. ~J;q L ~f v~ n~.~ . ss'~.~ ~ r~t re oraea PHONE: ~f 3~-9G 7~~ MASTER LICBNSE - St~tial 6< 4) ~~k r:.i3T'D'~..~I'~', n . NAl`~: ~ErlLo (}t.Ol1S. . p,n~RESS: p o CS ~ x ~o y 9 ' CITY, STATE. ZIP:~.~,~;.itJC[!f . PHONE: 't-f Y - 9.3 g3 ' 'S) a• • : o • o~ - ~ CON[~CTION 1~0 CITY SEWII2 ~ CpNNA.^pION 10 CITY WATER 074T]ER 6) • • r Q PI~EASE HOLD APPROVfD PII2NIIT F'~R PICK-OP BY ONE OF ABOVE - PLFASE MAIL APPROVID PERMIT TO 1, 2, 3, p,BDVE . (Circle one) ~ ~ ~ ~ ~ ~('d~ . •r • r i~ ~ • r • o i~ n ~ a • a• ~ r • a. ~ «•r• • Ha~ ~ ~ ~ a ~ ~ ~ . _ ' . F'OR CITY USE ONLY ~ ' PERMIT # ISSUED ~S~~J ~ , Pd w/Bldg. Permit FEES: $ $ ~G-$"~% SEWER PERMIT (INCLUDE SURCHARGE) S $ ~~'S ~ WATER PERMIT (INCLUDE SORCHARGE) ~O 7'~ U $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLDDE CORPORATION STOP) $ $ SEWER TAP $ ~ ~S.U-Z ACCOUNT DEPOSIT - SEWER $ /J ~C3'U ACCOC~NT DEPOSIT - WATER S S5'~~' C7 S wAc S ~5'~'~c~~ $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRC~NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRLiNK WATER $ ~ L~~~ $ WATER TREATMEIVT PLANT SDRCHARGE $ $ OTHER: / . C CJ $ $ ~ % ~ G TOTAL S~ ~Z~~/ RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSIIED By THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWIIVG CONDITIONS: APPROVED By; TITLE: DATE : ld' ~ I ~ o~I~ ~G CC~cf~ ~ I a t~ ~s~~ . ~ - R . ~.rZbn~n1 ' - r e _ `n~ ~ ~ _ ' aa 6 , . ~ c . - ~ g 3 . ~ L12:1 0 $ UV 411`jCity etFaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use '7 Permit #: 3Dg Permit Fee: Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION Lt ►► ❑ Please submit two (2) sets of plans with all commercial pplications. Date:2) - I'j Site Address: 9'1 ij S 1 l� n.1 PO1 1 Tenant: Suite #: J I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Vassei j Ma Khat Applicant's Prided Name x Applicant's Sign )44. ksktide FOR OFFICE USE Required Inspections: Reviewed By: Underground Rough In r . Air Test Gas Service Test In -floor He HVAC Screen!n Name: L Phone' MII/( Grid San4, i art : I -L-19e-is ®r FGt `an 9% Pc .6512-3 tiSI—Z3s-9) ) Address /City 1 Zip: 5 tit) �-�-, Name: One, il6ur tlatih9 rnd /fir License#: 11Bu�g3J 1 Address: II 011 WCrmi Ili on Si- City: Hash riS State: 11 � Zip: 55dA� Phone: 6251-LI31- L1117 Contact: VI ParJl 161,110Dhilli1tsC_rVl(Lpros,C0w th , Email: tctI' � New X Replacement Additional Alteration Demolition Description of work: A �✓ds� x. SrG. 9, "+K^4`.Y 's .5*tn 'w .. ..,y{s, xs, i� +. ✓•,p, , nom::. - �N"'` z�."�.vx„ n ��AJ a. ,�.a . Fb t• �' r s _ ac- _"'&+3F�a«ia' 4 Y�� �, RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger 9 Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank ( Install / Remove) Other _ _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State includes State Surcharge Surcharge n h� = $ VC lJ TOTAL FEE $100.00 Residential New, COMMERCIAL FEES $60.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ Surcharge = $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Vassei j Ma Khat Applicant's Prided Name x Applicant's Sign )44. ksktide FOR OFFICE USE Required Inspections: Reviewed By: Underground Rough In r . Air Test Gas Service Test In -floor He HVAC Screen!n 1 For Office Use /� f „ e Permit#: Permit Fee: /12.S-�� Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionst citvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: I Name: , ti4 ,A. Lic KA it--14, t Phone: 4'51- 4 - t(rlYS` I Resident/ ' Owner k Address/City/Zip: 1 14j - 4"--c2K-. N'• (2-J -i Applicant is: Owner 1/ Contractor i Type of Work Description of work: f i0 ((Le,•idQ� Construction Cost: t.3 , 13 .3 4-.° Multi-Family Building: (Yes /No ) ,/ i I i Company: `.kA A_,, S,.v.s Contact: (3 0 b Ik--►-�•` '1�t-- I I Contractor Address: `7?-1 S-0 S i c_AeAk Lk : L_ City -� v,`, , State: Zip: Phone: Email: ����C, Ex-L---i, s M4= ©"^ a- 141St0 �• k License#: Lead Certificate#: M i4 T" -�-/ (,� ?bG If the project is exempt from lead certification, please explain why: I i 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, 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 plan: I i 1 Licensed Plumber: Phone: IMechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be i classified as non-•ublic if ou rovide s•ecific reasons that would •ermit the Cit to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and -• oval of plans. D x Q. t \w�` ------_.� Applicant's Printed Name Applic• is igna ure ---- . PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175344 Date Issued:03/29/2022 Permit Category:ePermit Site Address: 996 Stony Point Rd Lot:9 Block: 3 Addition: Lexington Square 7th PID:10-45081-03-090 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Michael J & Sandra L Clark 996 Stony Pt Rd Saint Paul MN 55123--156 One Hour Heating & Air 15191 Boulder Ct Rosemount MN 55068 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature