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1887 Sunrise CtC01 i JF r<.-0j.. ,. WATER SERVICE PERM 3830 PiY`:'k* -Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: ran: `?titlft'1 ? " C? c > t 1'+ t " Site Address: 1,187 umbar. u C I;::3 1 N r r 1 Meter No.: 3 Q Connection Charge: pd Si..: oc1C"3 a ADdour6INOdtlt: 15.00 p.t Reader No.: n Q i 10`3 S Permit Fee: 10.00 pu 1 mom to "=p1p with IM City of iooe¦ Surcharyd: 50 nc? 131.00 pd Orrirroaoee. / . Misc. Charges . CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ` Zoning: 1 No. of Units: 1 Owner ?:lilie ':onst Address Site Address: I A7 Sunrise Court Ll,? B4 Sun Clif f Plumber: ;tc riu_lIer ?'1':^ Meter No.: Connection Charge: 500. JC nc'. Size: Account Deposit: 1 S • -?^ *x' Reader No.: Permit Fee: 0 n?'• 1 ooroe to own* whh the City of 1110"a Surcharge: c! OeJiisoaas. Misc. Charges: 132.00 pd Total: 63.00 nd ma er By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: 1 Owner: ; l i l i e Address: Site Address: 1 P• 7 S SEWER SERVICE PERMIT PERMIT NO.: 722(1, DATE: 4 No. of Units: 1 Plumber. LUC ,J,.. _'LD 3-22 _''3?n I ooreo tr son* wish the City of gqpo Ordheance. Connection Charge: Account Deposit: _ Permit Fee: Surrhnrrw BUILDING PERMIT - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 Receipt # . Site Address A ;; ^ ? sur'm s.;._. COi.ly:r Lot ? Black- '+ SaclSub. Parcel No. Name iii ILIr (ONST CO. Address ? 4 4 SU RIOR CT Tre C_aN -- ___ /. S/ _14 11 R ,9 Name PLIL t" ,'ON`'+T "O u? Address - G A ^' h -- h- City Phone that I Signature of Perrnittee A Building Permit Is issued to: all work shall be done in accordant Building Official k -J? - , )9983 Erect W Occupancy Remodel ? Zoning _ Repair ? Type of Const. V Enlarge ? No. Stories Move ? Length z c Demolish ? Depths Grade ? Sq. Ft. Assessment Water a Sew. Police Fire Eng. Planner its application and state that comply with all applicable f Eagan Ordinances. 7ONST all applicable State of Minne Bldg. Off, "5/8 5 APC Var. Date Permit _ 144. Go Surcharge rm) Plan Review ?` - 50 SAC Water Conn. Water Meter _ Road Unit - Total riu1?F_ i. on the express condition thor y of Eagan Ordinances. Permit No. Permit Holder Date Telephone # Plumbing ?? I? l4 lr - l/ •g 4 _ H.VA.C. G Electric A ( 1J 1 0 Softener CU q doh! Inspection Date Insp. Other Footings Foundation Framing (D 13 Roofing fl7 L Rough Pibg. Rough HVAC Insulation Final Plbg. CU !J Final HVAC Final Cat/oce. '?9 lUtS Water Describe Location: Well Sewer Pr. D sp. Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address Lot Blk. 4. Owner Permit No.-)/ Fee S/C Tot. - '? Tract ' 5. Contractor '????' ??i%'•' Phone 6. Address ';7k 5 ''?/ /7{I'- 7. City ( State Zip ) 8. Building Type: Residential © Commercial ? Institutional ? 9. Work Description: New ?1 Add ? 10. Describe 11. Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Se tic T k Lavatory p an Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordin ces and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 Receipt y1 ? i 1. Date 4 t /V 9 3. Job Address ` T-- 4. Owner MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly I •, Tot _ Installation Coat f lot Blk. Tract 5. Contractors 6. Address /?? ?-O Phone I J 7. City ' State 8. Building Type: Residential O Commercial ? 9. Work Description: New ? Add ? Alter ? 10. Describe 1 11. Zip Institutional ? Repair ? Fuel Type No. ci EquiQment BTU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handling: r u' Boilers . Mfg. Mech. Exhaust Unit Heater Mfg. Air Cond. Other Mfg. P G as, iping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinancesnd colt's governing this type of work. Signed: ;i._...f . ?.. i ;Y for Rough Flnsl Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 This request void `4=1 ? -dS 18 months from ? / ?C V . D U l 1 ?o ) I A 093615 L q 6`1 C 2• k4 q . 5-f 'a ad Request Datte `9 Fin; No- Ibup iii Inspection flequ ed? Ready NawJr. Irll Notify Inspec- es ?NO Vr When Ready Licensed Electrical Contra, ctor 1 hereby reetrest inspection of abolre alrrctriral 14&_ ? 26e w installed at: Street Address, Box or Route No. /0,9 7 ?? `--T City ?fJf ?1 ec ion No. Towns ip Name or No. rge o- I County O ant IPRINTI ' Phone No. _ ?lvG7- T S wer Supplier ?? ?iJ Address 1 //?Jl J U /V al Contractor I Company Nunes) Canvacmr's License No. Mailing Address (Contractor or Owrer Makirrg Installation) S Authorized S tore ICq rector Danner Maki nsla lati 1 umbe, MINNESOTA STATE BOARD OF ELECT111CfTy / THIS INSPECTION REQUEST WILL NOT N-197 ( BE ACCEPTED By THE STATE BOARD Griggs-Midway Bldg. - Roan UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 557M pr,nn. 18'121 29T-211t ENCLOSED_ REQUEST FOR ELECMCAL INSPECTION EB-00001- f V S. instructions for eoaplstinp "mix form by fmck at "It. eapY. r / _ (/ l A ""X- Below Work Cove by This Request 1 VA ) AdJ Rap. Type of Building Appirontes Aired Equipment Wired g Fee Service Entranee S # Fe. Feders/Bubfeaders a Fee Cicuits 0 to 200 0 to 30 A -0 to 30 Am Above 200 A E 31 to 100 Atrps - 31 to 100 A Swim nin Pool Above 100_ Above I00? Transformers Irrigation Boo g-LI Partial-'Other Fee Signs Special Ircpection $ OJ? Remarks _. 1 ,T1 Rough-in tgzpdetor- hereby , t ha t t h riity e a bove Final / ?Z sz bb ti o g -hh ?a? This request void 16 months from L7}iJ'-j? This request vo 18 no.tths from Id 5n `1 ? Y ?C U ?(a 8 /8 A 093611 L?`E-(4 C ?t if -,ifo.csv Request Date Fire No. Rough-? Ins Pect.on Requved? eady Nn N0 ty. InsPec- ?Yes ?No t When Ready Licensed Electrical Contractor 1 hereby request inspection of above ? caner electrical work installed at: Street A r Route No. ! C. pir, eCLO o. 7owash,v Name or No. Range No. County 1 Occu t ) Phar N Por Su tier ? -? Address J S actor ntractor (Company Nam(h) Co ;actor's License No. ion i ing Address lCo rector or Owner Making Instal ]at J( Jz (/foJ at re (Convector er a "ng stallati A hor" ed SlI Phone Number co -3 ,a MINNESOTA ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs•Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Pk..... 19tH 297_2111 ENCLOSPn REQUEST FOR ELECTRICAL INSPECTION 1•110001-04 See instructions for completitiogive-Mm on back of Yellow copy. a ??5 ? "0'93 6 f 1 ""X" Below Work Covered by This Request Add Rep. Type of Buiidhm; Appliances Wired Equipment Wired Commercial Bldg. Furnace n Silo Unloader f n-?- Industrial Bldo. Air Condi Yionerf Bulk Mk Tank p Fee Service Entrance Size k Fee eeders/Subfeeders p Fee Circuits 0 to 200 Amps to 30 Am s 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100-Amps Transtorrners Irrigation Boorrs ?7h Partial,'Otherfiee ,aG I, the Eleetr_icad' Inspector, hereby priftdy that the above inspection has been made. from -------------------- CASH RECEIPT " 'CITY OF EAGAN ? P. 0. BOX 21-199 EAGAN, MI,SOYA 55121 Are' 1D NECEIVED 'ROM (ya r? Ar' J ?? AMOUNT s &_DOLLARS ?ao E] CASH?FI£EK Zc ' FUND I 'CODE ". 11 A.OUNT .21 Thank You 1 6 0 3 3 Ni L-File CITY OF EAGAN BUILDING PERMIT 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 Recelpt # - To be aged far SF DWG/GAR Est. Value 62,000 Dole MARCH 22 19 __85 Site Address 1887 SUNRISE COURT Erect 12 Occupancy R-3 Lot 14 Block 4 Sec/Sub. SUN CLIFF 1ST Remodel ? Zoning R_1 V Repair ? Type of Const. Parcel No . Enlarge ? No. Stories Move ? Length 3M Name BLILIE CONST CO. Demolish ? Depth 47 Z Address 644 SUPERIOR CT Grade ? Sq. Ft. City EAGAN Phone 454-1438 Install ? Appravots Fees CO- P Nance Ri TT TF CONST CO. ZV SAMF o Assessment Permit_ 3+34-9.09 Address u1- Water 6 Sew. Surcharge 31-00 City Phone Police Plan Review 159.50 s w Name Fire SAC 595.00 F Address Eng. Water Conn. 50171 nn City Phone Planner Water Meter-6-3-s90 Council Road Unit 980nn I hereby acknowledge that I hove read this application and state that Bldg. Off. 9/75/85 RlAkf TIP 1 39 _ 00 the information is correct and agree to comply with all applicaple APC Total 9 nn0 SO State of Minnesoto Statutes City c ..Ecgan Ordinances. ' '- ////??// / Var. Date Signature of Permitfee A Building Permit is issued to: O. on the express condition that innesoto Statutes and City of Eagan Ordinances. o nth ofI fp?pplicoble State " all work shall be done in o ! y( / s _ Building Official 1 ~-?T - N_ 09989 S-_V 3 30 CITY OF EAGAN Remarks 0J )' / Addition SUN CLIFF 1ST Lot 14 Blk 4 Parcel 10-72975-140-04 Owner 441111n r? ,/)_ rOjP, ? Street 1887 •` SUNRISE' CMMT State EAGM NN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. S 1985 9775 79 555 16 5 CO 6 I-S' F5? STREET RESTOR. . GRADING SAN SEW TRUNK 1970 76.54 3.06 25 z . 52 eo 11.3 k6 %y SEWER LATERAL 1989 3547.9L' 09.159" 5 :2 11 ?3 _ WATERMAIN WATER LATERAL 1985 WATER AREA Zt)) 1973 &2A is to. 3 e V STORM SEW TRK (()j 1971 3?22.29 16.11 20 5 Co //3 k (e /e2- S=BS! STORM SEW LAT 1985 Services 1985 CURB & GUTTER SIDEWALK STREET LIGHT Pgad ??it $2@0 00 50330 3 122/85 WATER CONN. . 500 00 u , n BUILDING PER. QqRq SAC PARK 319-00 + 31°OQ} 59.50+ E.25.00+ 500.00 + 63.00 + 290.00 + 132.00 + 21009.50* be ?0? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: p I cLec, ,t4L Valuation: GZ,000 m - Date: Site Address: f U OFFICE USE ONLY Lot: t{ Block Sect/Sub Ss/ rd,,?,Erect x Occupancy Remodel Zoning R -l Parcel 11 Repair Type of Const Enlarge # of Stories Owner J, & C©?ST Co Move _ Length 3g Demolish Depth 4-7 Address (n { S ?? CT- Grade Sq Ft City/Zip Code ----------------------------------- Phone q'24 - f`t 3 8 APPROVALS Contractor f\ V, -e- Address City/Zip Code Phone 4+1_ ,L(_ Arch./Engr. Address City/Zip Code Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off 2.25-1'5 Parks APC Treatment Pl Variance TOTAL 59 Sa 525 50b. ? 280. ?q 132.. a vo 9-s o Phone # 1 ?x 14 = I9? X 54- ? IoS84- 22 X ? = 3©3 X 41 ' 12(o Zg 20X22.990 h(I _ x}840 ?1148 - 4r- ?I HL: T LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS MINNEAPOLIS. INItVN.•; ' *eZhenttips A GuideE Construction No. 1 f Insulation Windows Doors Reference I Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes- o Ye - 0 19_ I doom Length Width Height er 11 FLI Room Length Z... Width 6 Height w Windows and Doors-Crackage and Area b 11 Windows and Doom--Crackaae and Area No, Width of pane Height of pane No, of lights Lineal n. of crack Area aq it F I 1 ?11 Coef. Btu InAltration Glass Exp. wall Net exp. wall 1: ARE Int. wall - Ceiling 3 Floor total Btu. Required sq. ft. E D.R. or sq. ins. W.A. Leader area F1: Room Length/2-6 Width Height Windows and Doors-Crackage and Area width a akt NO. Of Lineal ft. Area N0. of filing I Of yang lights of crack eq. ft. Net exp. wall - ' Int. wall, Cuing y No. Width of pane Height of Dane No.. of lights Li neat ft.. of crack Area eq. ft. ^.i Coef. Btu Infiltration /D O. Glass p Exp. wall Net exp. wall Sf Int. wall Ceiling Floor Btu. ft. E.D.R. or sq. 'Ms. W.A. Leader area T/G Room I Length Width ?f and Doors-Crackaffe and Area /F (7, Glass Exp. wall Net exp, wall 2 Int. wall Ceiling Z Floor " Total Btu. t}Z Tots! Btu. - Required sq. ft. E.D.R. or sq. ins. WA. Leader area Required sq. ft. E D.R or . his. WA Leader area Inspectors notes: I j h t ' AY ?2 _ .a f Y .Y T F f ._. y y HIAT LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS MINNE! ' - - . Weatherstrips A.- Construction No. Insulation uide Windows ( Doors Reference Out. Wall [nt. Wall Ceiling Roof Floor II Kind How Yes-No Yes- 0 19- 171.1 (- Room Length 5/o Width /41 Height I FLT Room Length Z Width Windows and Doors-CrackaRe and Area W' d d D rs-Ck d A No. Width of pane Height of Dane No. of light, Lineal ft of crack Area en tt. v C f. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Requir a ft. E.D.R. or sq. ins. W.A. Leader area FI. Room Length Width / jam' Height / Windows and Mors--Craekage and Area I?L Btu Net exp. wall 0 i.' MINN. f n ows a n oo roc a ge an r ea No. Width of pane Height of gne No . af o t Llnsal tt. of crack Area N, ft. z 20 f, 6 r r? Coef. Btu .' Infiltration 20, Q Glass Exp. wall yz Net exp. wall 26 Z Int. wall Ceiling f yQ - Floor -total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I C Room I Length Width Height Windows nd Doors-Cracka ge and Area No. wla th o[ Dane Hslght Of pans No. of Ilghb Llnegl ft. of crack Area W. [l. v 90 Of Infiltration Zo.- Glass g *, : Exp. wall ! Net exp, wall Int, wall Ceiling Floor Total Btu. Total Btu. Required sq. it. E.D.R. or sq. ins. W.A. Leader area R aired sq. h. E D.R. or s q. ins. W .A. Leader area Inspectors notes: T .d HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS HVE Weatherstrips A Gutde Construetion No. Windows ( Doors II Rtferenee I Out. Wall Int. Wall Ceiling Roof Floor 11- }'es- Imo n 19_ n Height Wi ndows a nd Doors -Cracka ge and Area No. Width of pane Height of pans No. of h hie Lineal It. of crack Area q. I . z a a ??? /y C . Btu Infiltration rLZ Glair b" 3m Exp. wall Net exp. will I Int. wall Q Vie- 30 Floor S( 1 otal atu. y Required sq. t. R. or sq. ins. W.A. Leader area CM. O(JAAAA'? Room Length / L Width f Height Windows and Doors--Crackage and Area Infiltration Net exp. Int. wall Total Btu., . Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Inspectors notess MINNEAPOLIS. MM 4- 1jr1jr-- Room I Length, Windows and Doors-Crackage Insulation How Width Area No. Width Of pane Height of pane No, of light. Lineal ft. of crack Area ad. ft. / la l 5` ? Q Coef. Btu Infiltration Y!5- 0 Glass a 7 p' Exp. wall O Net exp. wall 2 O Int. wall Ceiling Floor 1 (1321 5 1 12,94 Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl.l Room I Length Width Windows and Doors-Crackage and Area NI of Width I ba a ofevena light. of crack aor ft- Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Rewired sq. h. E.D.R. or sir. ins. W.A. Leader area 1. 4/qq w .. 0/ 91" For: Blilie Construction NOTE: ? Denotes Wooden Stake Proposed Garage Floor E896,93 ( 896.6 ) Denotes Proposed Finished Ground El. 'rt--- Denotes Direction Of Surface Drainage gfo? Vertical Datum - N.G.V.D. 1929 'tq io (890, 2121 a J? h? C / l5 5 r i, - ? I 4 erhan9 1 / I.S?Ov I r 1 ?A96,6) LA on --? %0o M ?? Ln O? N rn PROPOS45D al w I HOUSE 5 L, 5 y-, (8966) Zo ze f I- M 0 4A r. ' o ?g9+3a} 60 pp `8 93.99) N 8 ° I B' SET COURT SUN Lot 14, Block 4, SUN CLIFF FIRST ADDITION, Dakota County, Minnesota. N Scale: 1" = 30` L) Denotes Iron Monument WE MEREBY CERTIFY THAT THIS 15 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 Dotod this ?q day ofd rdar A.D. k985- C. R•WIINDEN 3 ASSOCIATES, INC. /1 Surveyor, Minnesota RepntreNon No 7726 C. R. WINDEN 3 ASSOCIATES, INC. LAND SURVEYORS rot 646-3646 161 EUSTIS ST., ST. PAUL, MINN. 66106 j, r 2/84 T CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLE,ISE,PRINT)) 1) PPOP= ADDRESS: v ?i / ?O O 7 S?/s7/ ! S P C ??/y / LEGAL DESCRIPTICN: L- /G1 (Lot/Block/Subd_visicn or Ta:{ Parcel. I.D. N=Lter) L IS__ :G S -,UC_1,,:4., DATE OF ORIG ,1AL, EUIL:=.: P-'•!!T TS C=: = f PP2S_ ^27T :?/P: DPCS = .SE: UR-i SZ-, FA - rr.y V -- -' ? R-2 DUPLE:: (TANO UNITS) ? R-3 TaQ :OUSE (Tf-R=E. + L?IITS) ( UPIITS) ? R-4 A_p711,2 =7r/CO2SJC m=L..1 ( UrNiTS', ? COCA CIAL/RtTAII,/OFFICE ? I'mUS-1RL%L ? IN5TITUTIONAL/GOVEFC2-IE9' 2) AFPLI= (PLEASE PRINT) NAME: ADDRESS- G 5'e/ > / CITY, STATE, ZIP: F?a?0u -12 PHONE: 3) PLu.,m '? NAM / (PLf,ASE PR IIj.i?) FOR CITY USE ONLY E: ADDRESS: ' jdQ v -- fj 7 r 3?`c PLUNBpS LICENSE: CITY, STATE, ZIP: , , + Sri &,vv S 5 // j E Active C] Expired PHONE: Hyi-? 4,5,7-/S yZ PLUMBER LICENSE # 3 2 G Q Not of Record e ::;w arr -nicta 4) 0(.LUPA3fr/CS•TNER IYLLA3t VHINJ) ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PER^yIAIT IS BEING REQUESTED: Gg CM'11ECSION TO CITY SErVIER mmcrION Tb CITY WATER ? OTMER (PLEASE DESCRIBE) 6) I:DIC,." C:_:: ? PTE,:A.SE EOLD APPPOVED PER4IT FOR PICT:-UP BY ONE OF ABOVE Q PLE!?.SE ;•';?IL APPROVED P=-UT TO 1, 2,6?) 4 ABOVE (Circle one) 7) SIG':r=RE: 1 ? DATE: 2 XI !p5' F O R C I T Y U S E O N L Y PERMIT °- ISSUED FEES: $ io. "c--° $ O.Sa / $ J S S $ S $ - d /___; _7_7 SE *."ER PERMIT (= TCL SURCH:. C3) WATER PER14IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESS.-IENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK ='.-ER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL $ AMOUNT PAID/RECEIPT -` lO DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: tcs?p TITLE: DATE: f1??}? i?!?!Mf!!lM /tom U4 ¦!?-}f wM Alice+w EFJAM1#Ra!=l.eff§ wa ptM0qW1@ MM City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r ForsOtfice Use Permit #: /06 g'4 3 Permit Fee: Date Received: Staff: INFLOW INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: Tenant: Suite #: RESIDENT / OWNER Name:cY` �je f7141/ul�-F%2� 5 Phone: -S7' 6�� 7,124L . Address / City / Zip: /8-g 7 S6A4-J e s'Se ---''.6 - 44-5 4,0 J MAI . SS/ZZ CONTRACTOR Name: 1 P " License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the ViUmp Pump Repair building envelope) SEWER & WATER (Outside the building envelope) Repair Other: Other: DESCRIPTION Description of work: e,E'PdUre SdvW,4 uv p (A C'(,t-Q '- FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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 whic, requires -review an. ;ova.f plans. x CP Applicant's Printed Name x Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground Rough -In Final 411'' City of Eapll Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use _%, Permit #: 1 z Permit Fee:ei- Date Received: Staff: k 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 2- s-l.J Site Address: (& 7 f'-' Unit #: Resident/ Owner )C e G 7Z 2A 9'52 27/:��.3 / Name: r r+y Phone: / Address / City / Zip: l SO7 Scw2tsa C7- Applicant is: Owner Contractor Type of Work Description of work: ! "moi " Construction Cost: ` ' Multi -Family Building: (Yes / No ✓' ) Contractor Company: 61/ M 17/t/reak3,r-.f Contact: jfii, Pri VeY 11 r- SOS ,41,/c/-- V6 Address: s4i l 'f .. 5 - City: mac.-G.. ,r State: /? N Zip: 5 -5 -as Phone: G 3 % - Z7� "l Z- 2 License #: ,CG33 j Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.gooherstateonecall.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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota o Building Code must be completed within 180 days of permit issuance. x A 5 Av 016n/ Applicant's Printed Name x Appli nature Page 1 of 3