Loading...
1894 Sunrise CtCITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road _ P. O: Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ?Zoonii°ng: R ?emes No. of Units: ? t Address. ,Site Address: unr iepfQog,;- ?c. L : 4 um C11 f s t No.: _ Reader No.: 6 8 i.. 6 8 q '7 - - - Permit Fee: I memo to eom wlHr tow City of teyaa Surcharge: _ orJIM Misc. Charges: Total: By Date Paid: _ Date of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O.,Bor 21 X99 Eagan, MN 55121 'R I Zoning: Owner: i.omes Address: Site Address: " .unr se curt Plumber. Meter No.. Size: Reader No.: 1 earn to emplp wkb do City of town ormsenem By Dote of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units. L23 B4 Sun Cliff st Connection Charge: Account Deposit: Permit Fee: Surcharge: ` Misc. Charges: pd-meter Total: Date Paid: Insp.: CITY OF EAGAN SEINER SERVICE PERMIT 3830 Pilot Knob Road P. O. Sox 21199 PERMIT NO.: ' Eagan, MN 55121 DATE: Rio' It, No. of Units: Owner: 'Homes Address: Site Adds Plumber. I crew to "W* was tib Gty of tele¦ Connection oxw9e; 425.00 pd - ONbeeeee. - 77 7 - 7 Account Deposit.- 1 Permit Fee: l r.7 ' By Surcharge: . c „ . Dote of Insp.: Misc. Charge: Insp.: Total: Date Pout: CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 l DATE 19 _ RaCE1VED ' FROM / AMOUNT Is DOLLARS 100 ? CASH CHECK r FOR I r t_? l i FUND CODE '/ AMOUNT ? r Thank You BY L i White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 AMOUNT ? CASH 0 CHECK DOLLARS 100 FOR White-Payers Copy Yellow-Posting Copy a;.,4_F;io r nv Thank ? BY CITY OF EAGAN 96`1", 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt To be used fm SF D WG/GAR Est. Value 59 . 0 00 Date n CT RF' ' 9 2 19 tip? Site Address 1r,94 SUP]F2I ST; C;()u,-i' Erect GQ Occupancy `- Lot 3 Block 4 Sec/Sub. SUNCLIFT 1ST Remodel ? Zoning Parcel No. Repair ? Type of Conn. V Enlarge ? No. Stories W Name .;Si?1 HO?:F:S Move ? Length 36 Address 1448 0 TJ P P E T: ? T i; CT Demolish ? Depth 40 b -:_.. APP VAT.T. ___ Grade ? Sq. Ft. SAi li ; 91 (o tJ Approvals Fees Phone Assessment _ Water a Sew. Police Fire Eng. Planner Council Permit Surcharge Plan check SAC t Water Conn., '/j Water Meter + Rood Unit .:a I hereby acknowledge that I have read this application and state that Bldg. Off. Parks the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total 1 , . i i' Var. Date Signature of Permittee - .' a ?/ '/ ,1'! i A Building Permit is issued to: RSA: HO:%tES on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Dab Plumbing ' ) - -'?.?'I 5.l •? I ?- ` "` a : T H. V A.C. p S Lj J I' lv ?{ Electric Ma $Y t ??13 I . Softener Inspection Date Insp. Other Footings 10(12 Foundation Framing Rough Plbg. , Rough HVAC Insulation Final Plbg. 14,V !A Final HVAC Z- 5 - -S Final Cart/Oec. 1-491 Water D ribs ova"tion?: wen Sewer Pr. Disp. Receipt MECHANICAL PERMIT Permit No. _ CITY OF EAGAN Fee Fill in numbered spaces sic • %P' 11-2-- Type or Print legibly Tot. ";:). ' 0 1. Date +!r!'F• 2. Installation Cost 3.735-b-ARTFr'eff''3{}`' ' - Lot elk. Tract 4. Owner d-??`. r 5. Contractor Phone 6. Address ' 7. City 4pl5• State Zip 8. Building Type: Residential O 9. Work Description: New ? Commercial ? Institutional ? Add O Alter O Repair O 10. Describe '` "!Sta1 ]. he-a Lnr Fuel Type 11. No, EQuinmenL BTU - M. Ea. Forced Air - No. Equipment CFM Air Handling: Mfg. Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. 1 Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : . for Rough Final Inspections: Data Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Ll. Type or Print legibly Tot. 2c, 1. Date > Y 2. Installation Cost 3. Job Address -tot Blk. Tram 4. Owner ?'? z 1 / ?i 5. Contractor Phone 6. Address 7. City -;a , e , : State --), Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New W Add ? Alter ? Repair ? 10. Describe 11. No. i - Fixtures Water Closet No. Fixtures Cesspool/Drainfield / Bath tubs Septic Tank / X1 Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray i Floor Drains Drinking Ftn. _L Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed Rough for Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 Kteceipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces s, Type or Print legibly Permit No. Fee S/C Tot 1. Date t 2. Installation Cost /J /' _ 3. Job Address/ Lot Blk._ Tract r. 4. Owner 5. Contractor t?i f Phone 6. Address; 7. City ' State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory 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 ordinances 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 New ? Add ? Alter El Repair ? DAY/DATE ADDRESS ??GGVi Ivt?c? 1 ILI TIME f FIG. FOUNDATION COMMENTS: FRAMING ROOFING INSULATION FIREPLACE , R.I. HTG. AIR TEST R.I. PLBG. FINAL HTG. FINAL PLBG. < FINAL C/O DECK FTG. DECK FINAL FOR: w.rdifirate of (Orrupaury Citp of Cagan I9p;wrtmmt of Wuitbing JwWrMan 79iis Certificate issuedpursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Clasai0cation SF DI'1J1.:/GAR Bldg. Permit No. tr 9637 Occupam; Type R3 Zming District RI Type Cons, V ?1911 FUSS 14486 UPPFR GU7, MIF CT-APP Owner of Building Addrns _ _ c -1_n D,.: FEBRUARY 5. 1985 Building Offlew This request void `/ ? 1 1 ?[ [ 18 months from t v VIIIL? `( 7 ` (? A 0 96 8 3 6 `f Sc, 4 a 5 Request Dale Fire No. Rough-in Inspection Requir Ready N r?-,,?- _ ec Now Ifd es ?No I., When Ready rcensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street dress. Box or Route No. City "I J e Don No. Township Name or No. Range No. County I r/? o/ OOccu ant (PRINT) - j Phone No. 86? 5 M lVome e-, 2/ 3S-$ Power Supplier Address A Ma n4gQ2 N o Elec rical Contractor (Company Name) Contract is License No. EZ veTk C- n1C , S7? Mailing Address (Contractor or Owner Making Instail lion) A4d ?5/'a Author" d Signature (Contrac ,/Own Making Installation) Phone Number 3 -73 O MINk;BOTA STATE BOARq?G ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mitlwey Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Univeraity Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS ENCLOSED. Phone 16121297,2111 REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 So. Instructions for completing this-forq on back of vellow cope `I Be/ow Work Covered by This Request 71 a j' Naelpldl Rep.1 Type of B.;'-Wa 1 Aooliances Wired 1 Equipment Wired I ex is N fee Service Entrance Size 1F Fee FeedersrSubfeedera d Fee Circuits 0 to 200 AMPS - 0 to 30 Amps O to 30 Am Above 200 Am 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Am s Above 100--Am PS Transformers Imgation Booms . Partial-'Other_E Signs Special Inspection 9 r 00 TOtjJFE yo / Remarks f tt` tart tr, pec "hahereby certify that the abov to jR6ection has been request CITY OF EAGAN N9 9637 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 /J/ PHONE: 4548100 7 BUILDING PERMIT Receipt 46 To be used for SF DW(,/(;AR Est. Value 59. 000 Date OCTOBER 77_, 19_$4_ Site Address 1894 SUNRISE COURT Erect Ex Occupancy R-3 Lot 23 Block 4 Sec/Sub. G TN TFF I ST Remodel ? Zoning R-1 Parcel No. W Name RSM HOMES Address 14486 1PP .R HRTF. T b City APP VALL Phone Name SAME Address (- City Phone Name _ Address City Phone Repair ? Type of Const. V Enlarge ? _ No. Stories Move ? Length 36 Demolish ? Depth 46 Grade ? Sq. Ft. Approvals Faes Assessment - Water 8 Sew. Police Fire Eng. Planner - Council _ Permit 11 () 00 Surcharge 99 Sul Plan check ]- 55 (10 SAC F?S 0000 Water Connd_ 74n nn Water Meter 6 2 0 0 Road Unit ..2,-6Q.?-Q& f.hereby acknowledge that I have read this application and state that Bldg. Off. I Parks the information is correct and ag ea7to compy w State of Minnesota Statutes an Ea l 1 d" i all applicable APC Total ( f nces. Var. Date Signature of PenniNee ?-/,1.[a, '? A Building Permit Is issued to; on the express condition Thai all work shall be done in o.cgordorllpe with all.9pplicable State of Minnesoto Statutes and City of Eagan Ordinances. Building Official ?d ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN f l? J 3 ll INCLUDE © SETS OF PLANS, ,` P © CERTI FICATES OF SURVEY © SET OF ENERGY CALCULATIONS To Be Used For: OU S F P1?C? ?GF?fz. Valuation: x,000 Date: Site Address: .24SC • • Lot:o?3 Block: Sect/Sub: a^x: "ect: X Occupancy: 3 Remodel: Zoning: R-I Parcel #: Repair: Type Of Const: - ? 2 ,,// Enlarge- 1 # Stories: Owner: 5» 0mes ' Move: Length: 3(0 Address: `!L- ? Q_ 6op Demolish: Depth: qCo .Grade: ' Sq. Ft.: City/Zip Code: h, , n Phone #: Contractor: Address: City/Zip Code: Phone #: Arch./Eng: Address: City/Zip Code: nh. nc$. Assessments: Water/Sewer: Police: Fire: Engr.: Planner: Council: Bldg. Off.: APC. Variance: Permit: Surcharge: Plan Rev.: SAC: Water Conn: Water Meter Road Unit: ?i Parks: ? ?oPY Q• 6 10.- X25 2/00 I (o 4 = 54 4 X 5 2'137 l?? ? to = I coo ns4 = ?4v 1?23(o 2c? x 20 = 4cx? x i i - 4 40 ? ,D?3G ? Z CITY OF EAGAN Remarks PO "'1 Addition SUN CLIFF 1ST Lot 23 elk 4 Parcel 10-72975-230-04 Owner •li street 18W SUNRISE COURT State MAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1985 2775 79 555 36 5 S. STREET R ESTOR. GRADING SAN SEW TRUNK 197 76.54 3.06 25 ( Y If ty SEWER LATERAL C?- 11547.94- 09.53 fdlf ?71 77 WATERMAIN is WATER LATERAL 19A.; --- WATER AREA 7,bi 1973 $ 3 62 ff(7t STORM SEW TRK 16 1971 322.29 16.11 20 G r r N (% is STORM SEW LAT 1999 i- ek CURB & GUTTER -- SIDEWALK STREET LIGHT Road Unit 260.00 1147186 10-22-84 WATER CONN. 470.00 ++ +? BUILDING PER. -119637 ++ ++ SAC 52500 n rt PARK . V- q©. 00 All City a Eato 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675.5694 2008 RE Date: Site RESIDENT I OWNER' Name: f/, /n N l "'- Address I City 1 Zip: Applicant is: _ Owner ? Contractor ??/ ys? ??95f Phone: TYPE OF WORK Description of work: Construction Cost: CONTRACTOR Muld.Family Building: (Yes _ I No License #: Address: 1 r r w City: ?H%K'der State: Zip: 55 Phone: GEl • LI?A9 •"1 &J Contact Person: Karen COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING M*nn nra Rules 7670 Cateaorv 1 . _ Minnesota Rules 7672 New Energy Code Worksheet Energy Code um ai Venalat on.Category 1 Wo ksheet Submitted C Submitted subbmitteitted (J 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 Licensed Plumber: Mechanical sewer & Water contractor: phone: Phone: i hereby acknowledge that this information Is complete and accurate: that the work wit be in contormance with the ordinances and codes of the wok ve 04 in m Eagan, that I u this is not a penniL but only an application for a permit, and work is not. to without a puma; that accordance 'th the a0lovel plan in the ease of work which requires a review and approval of plans i x 141Al/1 ?4//"GV x Applicant's Printed Name Appli s Signature Page 1 of 3 C';/IV4 ---------------- I I ? Permit #: 8?ilu0 ? Permit Fee: 4 j D I I Date received: I l I I Staff. f _ J PERMIT APPLICATION ?.e eo?/ suite wei*" v/ Y" For: RSM Homes (892. 6 O LLJ N _ O N ? o- V) Q 0 C. R..WINDEN & ASSOCIATES, INC- LAND SURVEYORS T*L 645-3646 13SI EUSTIS ST., ST. PAUL, MINN. 55108 SUNSET C00 ?\T R•1`96.82 1 N 8`°O18 ?gg?i S- y0 a----27---- n (8951 o 8.5 Ir.3 a4: i 1 2 J PROPOSED rec° m? HoUSF r? ' a, 0 34 -1113 ?' O-I ?- 895. Z?lr?s'Or[rhn?g t I 5I L_`_J t ?5 '79. 6 8 N 89° 30' 31" E N Scale: .1" = 30' O Denotes Iron Monument NOTE: e Denotes Wooden Stale- Proposed Garage Floor E1.695.5-! (895.2) Denotes Proposed (il Finished Ground El. -q -- Denotes Direction N Of Surface Drainage Vertical Datum - N.G.V.D. 1929 Q Lr) 890.93) Lot 23, Block 4, SUN CLIFF.FIRST ADDITION, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF All BUILDINGS, IF ANY, THEREON, AND All VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Dotsid this 2 ND day *12CI"obee A. D. 19,6`1 C. R. WINDEN 6 ASSOCIATES, INC. Sur'siyo" Mlnwot to Rplttretien Ne /R671 NMI. EXTERIOR EIJVELCPE AVERAGE "U' COMPUTATION 04NER SITE ADDRESS CONTRACTOR ?S ?9??ic4 DATE. PHONE Determine working square footage.of each. lQ Total exposed wall area ..Lsf6 o sq., ft. x y1V a ?? ??0.2b ® 4r Total roof/ceiling area • 9Glo•0 sq .ft. x ,AW Total exposed wall area above floor = /.S'f2'q.o h. Total foundation window area o I. Total net foundation area above grade .? Determine t`U' value of each wall segment. X nU c .09I a a- X 'U!, t S? a D. D X e.X tlu't '.U" b a .i..2 O f.X ttu" ,0a a g. X I l u' . 0'S9 a fe? h. x :,ut c a o i. /gyp, I/ X gull a -O// 3 ............................................Total a AK-7-9 If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. C7W Total wall window area ... .......: ?•G d. Total fireplace wall area c. Total sliding glass area . area a ?8,? .lOx).••,(y3? e. Total wall framing area (erage O bB. Total Total door expos area exposed .......foundat.i..on...... ......:.?,?' f. Total net wall area above floor •G Total rim joist area .. .. .?/ Total exposed roof/ceiling area 9Gli•? J. Total skylight area .. ...... k. Total roof/ceiling framing area?(average 10 1. Total net insulated roof/oeiling area ..•.... ?p y Determine IV value.-for each roof/ceiling segment. J• O O 1.8G91? x ul •0,24 4 .........................................Total ? aG.s r? If total of 04 is the same as, or less than F2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum,of items #1 and #2. + 2. ?B p = X33/ Dsc4e?,a.' ? ?rsef?? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PU OT KNOB RD - 55122 O 9r--1 11-7 (651) 681-4675 - New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? i energy calculations ? 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: Remodel/Repair Requirements ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST: H bllq - DESCRIPTION OF WORK: Vyv-&? OV ??? , <lOM?3 STREET ADDRESS: ??'I LI rr; p n . LOT: a ? BLOCK: +_ SUBD./P.I.D. #: ?. et" Name: /-11.V?(?1 C V? r1 J ifV? Phone #: LI5 1 ( (?J PROPERTY Last First OWNER Street Address: City State: Zip: Company:?Cl I?l r v e r c Q,\ ?r a k t Phone OI-) - C) Od CONTRACTOR 11??? Street Address: 1 t n LC r L l r\ kr '? l ?I U (License # 7 p Exp.?j city ?jlR.f r\, f U- Stater ? r'1 Zip: SS? 3? ARCHITECT/ ENGINEER Company: Street City Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Phone #: Registration #: State: Zip: I hereby acknowledge that I have read this application, state that the information is State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required Penalty applies when address agree to comply with all applicable OFFICE USE ONLY BUILDING PERMIT TYPE I ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch 13 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering . Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Census Code SAC Code Census Units Census Bldg MC/ES System City Water Booster Pump PRV Fire Sprinklered % SAC SAC Units i RECORD OF COMPLAINT Date Q Complaint taken by Type of building SG Name Address Legal description Signature Phone number I/ 5. - q! LC 5? Action taken BUILDING COMPLAINT GUIDELINES • When a complaint is received, get the address, name, phone number, and a general idea of what the problem is. • Always have two City employees present to (1) verify the conversations, (2) offer additional opinions, and (3) lend credibility. • Get 'both sides" of the story if there is a conflict. • Ask other inspectors and City employees if they are familiar with the address or the problem. • Contact other agencies or departments (ie. Dakota County Human Services, 431-2424; police department; fire department), if necessary. • Provide hand-out materials if they are available. • Maintain a record of inspections and conversations on a City complaint form. 1_ - l z/s4 o- i CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: _ 1pqq Suo r i s e- 01. LEGAL DESCRIPTICN: (_ p? 3 ?? l1nCll t n /J c e oD//l P/l ?s (LOt/Block/Subdi.vision or Tax Parcel I.D. Number) , IF EXIST-`.G STRUCTURE, DATE OF ORIGINAL EUILDL`';G P=,:4IT PRES: --,-NI_X:/PRL'PC'SE) USE: R-1 SLVGLE FAMILY ? R-2 DUPLEX (?I%0 WITS) ? R-3 TOWNHOUSE (THREE + WITS) ( WITS) ? R-4 APARUS-7'/CONDa% 1r 1uM ( WITS) ? COmivIE.RCIAL/RETAII,/OFFICE ? LMCSTRLAL ? INSTITUTIONAL/GO%/ RTZ= 2) APPLICAN. T (PLEASE PRINT) NAME k /11 k, % 'd A ' ek 5?nI44 I : a ; 1 e-- gmZ2L12z . af- - ADDRESS: lqL q So w} 13 CITY, STATE, ZIP: O L O r wit k? M A) 5 3 7? PHONE: U y 7- Loss O 3) PLumBER PLEASE PRINT) FOR CITY USE ONLY NAME: pp im er ` yU?9 So ,I /,y I o-? 3 ADDRESS: 1 J PLUMBERS -1 LICENSE: Active CITY, STATE, ZIP: erg' p r ?? e yy? ?y S 5 3 7? = Expired itR PHONE: y47- 6GgU PLUMBER LICENSE N = Not of Record aarrr niiti[a - 4) OCCUPANT/OS,TCIER iPLLASL PRINT) NAME: R PY?? rn e S ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SLWER CONNECTION TO CITY KATER OTHER (PLEASE DESCRIBE) 6) L%'DICA Z ONE: E] PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ® PLEASE NAIL APPROVED PERMIT TO 1, 2, 3, 4 ABOVE (Circle one) 7) SI=TURE: ? / 7 l [2?yLQO DATE: !?l q,aee_q/eFAAlrili:>•-?ii1!t .. .. .. .. - ±••.• ?_.?? O R C I T Y PERMIT ° ISSUED FEES: $ s-o $ $ $ $ o--d $ ?7d.O z? $ U S E O N L Y SE-1^11E? DVD%TTT (=C -DE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEF9ER TAP ACCOUNT DEPOSIT - SEINER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL AMOUNT PAID/RECEIPT 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: TITLE: DATE: //- / 9,??z 4s'+wwimom!iwm_wuw ekmmwwwsaeWONevewww??ehneea??i?se?ARawmwMwwm City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1894 Sunrise Ct Lot: 23 Block: 4 Addition: SunCliff 1st PID:10- 72975- 230 -04 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Fee Summary: Contractor: Pronto Heating & Air Conditioning 7501 Washington Ave. S Edina MN 55439 (952) 835 -7777 ME - Permit Fee (Replacements) Surcharge -Fixed Applicant/Permitee: Signature PERMIT City of Eaan Comments: Permit closed without required inspection(s). Letter sent to applicant on 9/25/09. (pf) Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec 445 -2840 $50.00 $0.50 Total: $50.50 - Applicant - Owner: James J He an 1894 Sunrise Ct Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Mechanical EA088981 05/01/2009 ePermit cal Inspector, (952) I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature