4728 West Wind Tr ~irr oF E~a~?N ~ t +-=-p n
~715 ?il~t Kwer Ro~a E~oon, MM '1f122 1"~ O~ ~ 1~
r ~ ?HONLi 454-~100 _
QUILDING PERMIT R~ia #
Te ~M ~wd fee SF DWG/G?iR Value ~45, 000 ~te Au~~tast 23 19 83
Stte /~ddress est ra Enscr `~`j Occuponcy 3
L~t E Biock 4 Park Pid~e Alter p Zonirq ~--1
Repoir ? Firc Zona `3~
Poreel #
aIIA 8r OS @ Enlorp~ ? TYpe of Consf.
N~ 18U3 W. 1 Oth St. M°"e p # Stories35
~ ,~ro~ Demollsh Q Length~
Aurne~ville 894-8772 Grode ? Depth Sq. Ft.
uscon Aomes Approvels F••.
og 1000 14(~th St. Asseument Permit ` '
C~ Busnsville 432-1433 Woter 3 Sew. Surchorfle '
r
Poliu Plan check `
~°C Nome ~
x~ Address FEnp. Woter Conn. ~ 5~7. OG
u
~ W C; p~~ Plonner Woter AAeter 6~~~
Cou~cil Road Unit
i hereby acknowledye thot 1 hove read this opplicotion ond stote that Bldp. Off.
the informotion is corrett and ogree to tomply with oll opplitoble
State of Minnesoto Statutes ond Ciry of Eoqon Ordinances. APC Totol
Sipnaturc of Permittee
A Bullding Permit is issued to: an the axpr~w oondition tlxi+
oll work sholt be dona in accordonce with ell oppliooble Stoh of..AAinnesotn Stotutet ond Ciry of Eopon Ordinonces.
Buildinp Offlcial
P~rmit No. Pamit Holdsr Mite. PKmit No. Hold~r
Plumbinp 'j~~ ! ~~11Z~ ~
H.vr?.c. 8" ~~.n z-g R-z 7- ~
w.n •
w.rn
Di~p.
S~r
EMcaK /~-DO(lS ~L~~` !I-IS'$3
Imp~etion D~tr Imp. Other
Footlnp~
Founet~dw+
Framinq yj
~
Rouyh PIlq. D /7-~3 ~ 4
Rou~ HVA ,?4 ,
~~.~ana, a i19 ~ I
FirNl Plb¢
Final HVAC
Final ~1 ` ~
Wabr Dacrib~ l.ocation:
YWII .
y H. .
~YY~I
P/. Qi~p. , ~ ~I
~ / : :
CITY OF EAGAN Remarks
, Addition PARK RIDGE 1ST ADDN l.ot 6 B~k 4 pa~ce~ 10-56750-060-04
I Owner St~eec 4728 hIEST WIND TRAIL state EAGAN l+~W 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 19H2 14.91 1~ 23 1--$3
STREET RESTOR. d/ rt 1~2.91 C00986 10-23-84
r 1985 389.08 25.94
SAN SEW TRUNK 1982 9.81 15 117.78 A013239 12-6-83
* SEWER LATERAL 1985 6
WATERMAIN
* WATER LATERAL 1985
WATER AREA i9Ha 9. H1 iS I1~ ~H AOi 9 iZ- -83
STORM SEW TRK 1485 370.93 4
* STORM SEW LAT 1985 "
CURB & GUTTER
SIDEWALK
STREET LIGHT
Z
WATER CONN. 4SO.OO
6UILDING PER.
SAC n n
PAR K
Receipt ~ MECHANICAL PERMIT Parmit Na ~ ri i
? c-~ CITY OF EAGAN. F~ I
~ Fill Jn numbered spaces S/C
Type or Print legibly 7ot. :
1. Date ~~Z2 ~~l ~j 2. Installation Cost I
4 W ~ ,~.u ,
3. Job Address C.JL'3 %~9 Lot ~ Blk. ~ Tracr"~' <t'~~i
4. Owner ---~:.~~.,..~...a II
5. Contsaetor t~ 1 ~ ^ ~ • Phone - , _ ! I~
6. Address G '~_v~,•.~_.~ks~ tiJ--~a.~.~
~ ~
7. City ` State '~Y..l Zi p ~ i-~-- ~1-' '~I
8. Buifding Type: Residentiai ~ Commercial ? Institutional O I
9. Work Description: New [:7 Add O Alter O Repair ?
10. Describe '-s t Fuel Type c~-~_
V
11. No. E.quinment 8TU - M. Ea. No. EQUiament CFM
~ Forced Air ~ , C; L
Air Handling:
Mfg.
Boiters Mech. Exhaust -
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to ~
comply wit~~rdinances ar~d code overning this type of work.
Signed :i ~ i
for
Rough F inal ~
Inspections: Date I p. Date Insp. '
~
This is yo~r permit when numbered and approved. ~
Approved CITY OF EAGAN 4b4-8100
~ ~
Reoeipt 1 PLUMBING PERMIT Permit No. ~
CITY OF EAGAN F~ -
s,'
j ~ ~ ' Fip in numbered spaces S!C
E TYpe or Print legiWy Tot.
,
~ ~ r ~ l
1. Date ` I'~' ' ';~_2. Installation Cost ~
• _ c .
3. Job Address ` " ~ ~ Lot ~ ~_Blk, r - T~act ~
~ 4. Owner ~b, ~ C wi -
, -
5. Contracto? , i~~ ~ ! r~ r ~ iv Phon~r- < ` / / ~r ~ i
, 6. Address / f y ~ ~r~ r~ • ~ n ~7~`r 'fT ~ ~
7. City , , > . ~r,~ ~ - State ~ 1 ti Zi p : c . c
8. Building Type: Residential Commercial ? tnstitutional ?
9. Work Description: New Add O Alter ? Repair ?
' 1d, Oesc~ibe
11. No. Fixtures No. Fixtures
Water Closet ~poo~/prainfield
Beth tubs Septic Tank
Lavatory Sohner
Shower Well
Kitchen 5ink
Urinal/Bidet p~ef
Laundry Tray
Floor ~rains
Drinking Ftn.
Slop Sink
% Gas Piping Outlets
12. I 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 - i - . - ' :
'-r~'1
Rough Finel i
Inspections: ~ate Insp. Date Insp. ~
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
. .~r . . . . . . . ' . _ . . . , , . . . ~ .Y . . .
CITY OF EAGAN 2~ 9
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PNONE: 454-8100
BINLpt~i PERMIT Receipt # ~'i ~
To ~e used for A~;TI011 Est. value ~?3 ~ 0~ Date ~ 19 9~9
Site Address 4728 ilB8t NIND TR
LOt 6 BIOCk 4 SeC~Sub. p~ ~i~ OFFICE USE QNLY
PBfCeI fVO. Occupancy _ FEFS
~ ~K Zoning _
¢ Name (Attual) Const Bidg. Permit
W a~zs ~sr ~sm ~ -
~ Address (Allowable) - Surcharge 1• ~
City Phone 4sZ-~939 M of 5tories _
Lenglh _ P~an Revfew
z~ Name J JO$$P!i COiNSTRUCTI~ oep~n - sAC. c~cy
o~ 4380 l1AI~i°!D CIR
„d Address s.F. rocar - sac, Mcwcc
~ y
¢ Cit Phone ~~~Z S.F. Footprints _
On Site Sewage _ Water Conn
r~
~ W Name On Site Well - Waler Meter
s~ AddrBSS MWCCSystem _
i W City Phone City water _ Acct. Deposit
PFV Required _ S/41! Permit
I hereby acknowlege that I have read this application and state that the Booscer Pump - SMI Surcharge
information is correct and to comply with all appl able ate of
Minnesota Statutes and Ci of aga r ces. ~ Treatment PI
Siynature of Permitee ~ APPROVALS Road Unit
A euilding Permit is is~ued to: 't J~B~ ~T~~TION P~anner - Park Ded.
on the express condition that all work shall he done in accordanca with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. g~. p~. _ Cop;es
SS~~
Building Official ~ Variance TOTAL
Permk No. Permit Holdsr Date Telephone #
WATER~
sEwER
PLUMBING
H.V.AC.
ELECTRIC
Inspection Date Insp. Comments
Footin9s~
Founddtion
F~~,~~ ~o-z?- p
~
~
Final Htg.
Final Plbg.
Consf. Meter Plbg. Inspector - NDlify Plumber
EngrlPlan
eki9- Fina1 ~.o ~
Dedc Ftg.
Dedc Fnal
Well
Pr. Disp.
CITY OF EA~AN N~ S41O
979! Pllaf Knob Road Eagan, MN SSI'l2 ~ •
PHONE: 454-8100
BUILDING PERMIT ReceiPt # U"Z~
To•be u~ad for SF DWG/GAR Es~.ya~~ $45~000 DO1e August 23 ~y 83
Site Address 4728 WeSt Wind Tlail Erect gp Occuponcy R-3
Lor 6 BI«k 4 Sec/Sub. Park Ridge Alrer ? Zoning R-1
Percel # Repoir ? Fire Zona NA
Enlarge ? Type of Const. V
W Name Dana & Barb Voshell Move ~ # Slories
Z Address1803 W. 140th St. Demolish p Length 35
3
° C; Burnsville pho~,e 894-8772 Grode ? Depth 46 Sq. Ft.-
~ RuscoR HOmeS ApDrorala Fees
p Name
o~ Addreu 1000 E. 146th St. Assessme~t Permfr 2 0. 0
u~ Cit BuIInsVille pha~e 432-1433 Water & Sew. Surcharge ZZ • 5~
Police Plon check 130.25
Gw Nome Fire SAC 52$.DO
~Z
Address Eng. Water Conn. ~+50.00
iW Ci Phone Plunner WaterMeter 60.00
Council Road Unif 2$~.0~
I hereby acknowledge fhat I hove reod this aOP~~~a~~o~ o^d sfote thal Bldg. Off.
~he intormation is torrect and agree to wmply with all opplicoble APC Total 51698.25
Stote of Minnesota Stotutes and City of Eagan Ordinonces. ~
Signofure of Pertniffee
Ruscon Homes
A Building Permil Is issued to: on Ihe express condilion ~hni
oll work shull be done in accordonce with oll o wble Stat ~ a Statutes ond City of Eogcn Ordinances.
Buildinp Offfcia~ ~ ^ .
CITY OF EAGAN ~0 ~ ~ 2 ~ 9
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~ PHONE:454-8100 ~
BUIIDING PERMIT Receipt # i
To`beusedror ADDITION Est Value $3~000 Dale OCT 19 ~g$2
Site Address 4728 WEST WIND TR
Lot 6 Block 4 SeGSub. PARK RIDGE OFFICE USE ONLV
PdfC81 NO. Occupancy _ FEES
Zoning _
w Name ~RK TYSON (ACluail Consl _ Bldg Permil 54.00
; Address 4728 WEST WIND TR (Allowa6le) _
° City EAGAN PhOne 452-4939 x oI Stories _ Surcharge 1. 50
Lenglh _ Plan Review
o Name J JOSEPH CONSTRUCTION Depih - SAC, Ciry
°a Addfess 4380 MALMO CIR S F 7otal
u~ ~i~y EAGAN Phone 454-5002 S F. Foo~pnnts _ SAC. MCWCC
On See Sewaga Waler Conn
FQ _
ww Name On Siio weil - waier Meter
~
x~ Addf2S5 MWCCSysiem
gw Clt PhOnB Cny Waier _ Accl. Deposn
Y
PRV Reqwred _ SlvV Permtl
I hereby acknowleqe Ihat I have read this apphcation and state that ~he Boos~er Pump - SiW Surcharga
inlormation is correct and g e lo c mply with all ap 'cable tate ol
Minnesota Statutes and Ci ol ag dm~nces. Treaemeni PI
Signature of Permitee APPROVALS RoaO Unit
A Buildinq Permit is i u to' - J JOSEPH CONSTRUCTION Pianner - park Ded.
on the e:press contlieon thal all work shall be Aona in accortlance with all Counal
applicable State ol innesota Stalutes antl Ciry of Eagan Ordinances. eldg. Oa. Copies
I, ! Variance _ 7p7q~ 55. 50
Building Ofticial -
.~~~~Dl./'A
A
~ 768__GF_SP~ ~ ~Ty pg gAGAN Include 2 sets of plans,
~ ~t 1 site plan w/elevations &
BLiSLDING PEI~ff'r APPLICATION 1 set of energy calculations.
y~,Rr y5; a o a -
Zb Be Used For S i ngl a Fami l P Valuation ~ Dat2 ~ Q~~ ~
Site Address L,7~q WPCt Winrl Trail OFFICE USE ONLY
Lot Bloc3c Sec. Sub. ~
1 / Parlr Ri ~3,~P EYect ~ OccupanCy
Parcel - Alter Zoning / ~
Repair Fire Zone.
~aner: Tlana R Rarh Vnehall ~az'9e 'I~e of Const.
Address: # Stories
],$n~ w l L n+h _ ~plish Front ~S' ' ft.
City/Zip Code: a„rt1_~ville
--.!nN ; 5~~a Grade Depth y(~ ft.
Phone Ro4_g~99
APPROVAI.S FEES
Contractor: RuscOn HOmGS Assessments Pesmit ~/0~--°
?4ater/Sewer Surcharge
P3dress: 1000 E. 146th St. Police Plan Check /3 n~s.
City/Zip Co3e: Burnsville. MN 553'i7 Fire SAC S'~~- -y
EY~g. Water Conn. yS0
Phone 432-1493 Planner water Meter (od ~
. Council Road Unit ,~,rn
~~-/~4•~ Probe En~ineerin~ Bldg. off.
Address: 1000 E. 146th St. ~
City/zip Code: Burnsville. MN 55337 /y p-~
~7PAL I ~D ~l P ' Z'~
Phone 432-'i000
~AOBE (ONSUlTIHO [HOIN(~Af
ENGINEEAiNG P~ANNtA1 end ~nHD S~~v~YO~s
COMPANY, INC: - ~
L f000 W7 I4ilA STf4CCT, EURMSVILI[, 41INNC30TA 9S~]7 ~H ~]2-~000
cc c c~c ~ ~ ~ur- -Y-~,y
,~Q4I l~C.fcrl~ ~pT C. , 81..OGK ~1 , PARK RIDG,E
DAKOTA CAVhI~Y, MINNESOTA
; - -
' i,SJ
~ f~ORT(~ ~i.e~
SGALE 1~~= 30~ - ,
BEARINloS.SH~hIN ARE ASSUNED 5 . ,
_ o ,1(1'~~ ~G ~ ~C o '
al.~~~,~j i/ ~ \ 6j~i-
~ ~.!_~Z~o, ~ o ~
~ DRA1'~n6E M10 \ ~ ~
un~trY ~ 9
9~~',,~ ~LOT \
~ ;r~ s
i`''~ ~ o J ~i~•s,
~ti~ . ~ y~, c , ~ ~ ~ ~ , ~41~. S~
Z ~ ° o : c6'~ 3
(9 a~ ~ ~ \ D ' " ~w 9ti•o'r
J \ ° a~"d s~~ b\~~ T°P 9zv.5
• ti3 ~ 1
6 ~ /
~
. O r"
~ ~.~F~ 1 ~
j ~
s'~ ~ ./~jq q ~,'11 ~ " '
Q ~a ~ ~ i
. ~ o ~ ,yp' ~ ~~y° \y • , , .
~ ~i
i
~ $ 34~ FRC..~r ~1110~~(~
9 ~f'c q ~8AC1~ UuE
~i d L1y~'L~
C~ ~ `
` o- DEIJOT~S ~RON MONUMEf~R SET
` ~ ~ZS•°J DENo~'ES ExtST1Nl~ E1.EVA~1oh!
~ y~ ~ ` ~ .
r•.~~ Fi~l 97 ~ . ~4z.5_~ DENC7TES PROPosED ELEY/STlohl
~rvo ~l~a.5o tp `r DENOTES ?1REGT4ot~l oF
SuRFACE ~fZAINAC,E.
9tv,g~ - FINiSHED GAWaGE FLOOR EIEVATION
9zt,.~7 - rvP or 8~oc~ EuE.iAno~:1
I hereby certify tliat tliis is a true and correct rr.pre~entation of a tract of land as shown and
described hereon. As prepared by me on this 17~'`~ day of .d.~suSr , 19 ~3
~ ~.~++.r~t. Minnr.~ota ftcgistration No. /l~085
AOBE coHsutTiHO ~Ha~NC~ns
ENGINEEAING p~R?+N«s ond LAND ~URV(YOAS .
COMPANY, INC: - ~
L 1000 WT Iti~A STf1CCT, EIMNSVIIIC, 4IINHCSOTA S3~]T ~M 4]2-7000
Cc r,~ C c~c,2`~ o~ ~~-Y~ t~
~Q'4I ~C.7 CT' ~ P 4~ ~o ~ • _ ~.p'r , g~p K , PARK Rl DG~E
DAKOTA COUNZ~l, MINN~SoTA
~ ~ ~ f..
" NO RT ~1 . . j
SGALE 1°= 30~
B~R~µleS SNO4YN ARE ASSUMED s ~ . ' ,
o~l~~~ ~ ~ ~G'o.
a V~ V ~I.~ / / \ `'j ~i _
~'~i ~.1~/ ~ p
~ DRA1.1o6E M10 j~/ 9 `2~°~ \ ~ /
~~~N
~9~~,,~ ~LOT ~ \
L~~ ~ ' ~~c~.a o 'O 1 ~i~.s~
qti ~ /
Z ~ ~ zti' c - ~ ~ r1 , , 1 ~ _ \ (qz~. 5~...
o ~ cB'~''3
~9 v. ~o~ ~ ~ \ r ' f / ~ ~..,r 4ti.o'7
~ o o~ "\~J.`~ / / jOjO 9u..5 .
~ ~ s3~ 's ~ f
~
6 13 r /
F o ~'F° ~.~a~1 ? j/
g~7 \qa
A'~, O / ~ 5 p • / ~y ~ . , ,
~
y ~ y ~ u~~ % h
O oy.~ w
6,~ 3~~ FRn.lr $u~~-U~6
y ; q ~'BA[,iL v~E
~ ~ eL,~
o- DENOT~S IRpN h'~OµUNENT SET
` ~ ~is•J DENOTES ExtSTlNls EIEVAT1oh!
~
Z p .
~4zs.~ DENaT~S PROPoSED ~~/~ToN
rN~ Fi4•97 ~ - - .
-rov qZo.So ~ `r OEN~'fES p1RECC1ot~l oF
SuRFAC~ DRAINA.C,E
9tv•33 - FINISFIED CeI~RAGE Fl.OOR ~EYATIOtJ
. 9zG. ~7 - roP oF E1E.~A no.~:J
I hereby certify that this is a true and correct rr.precentation of a tract of land as shourn and ~
described hereon. As prepared by me on this 17M` day of .d-~6uSr , 1g ?~3
/ ~~..r~/t Minnr.sota Itcgistration No. /!~$S
C TY OF EAGAN FOR CITY USE ONLY
383 PILOT KNOB ROAD
EAGAN, MN 55122 PERMZT #
PHONE: (612) 454-8100 RECEIPT # , 9~
PLtIM$ING .PEFt~SZT DATE: O 6~
RE3TDENTI.4X::; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON ~ _ SHOWER 3.00
REPAIR _ _ WATER CLOSET 3.00
BATH TUB 3.00
o ~ LAVATORY 3.00
OWNER NAME: ~ OT KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS: ~7~ Y, b,~nt7L Gvin/~ T/C _ HOT TUB/SPA 3.00
WATER HEATER 3.00
LOT: C BLOCK SUBD. _ FLOC.°. DRAIN 3.00
~ i/ C l/ - G(S PIPING OU;.
INSTALLER: / l~~.n a vl MINIMUM - 1 3.00
/J ~ ROUGH OPENINGS 1.50
ADDRESS: IOD~ ~~,~n.E -rcJ OTHER _
WATER SOFTENER 5.00
CITY: SO ZIP: r Sv PRIVATE DISP. 15.00
-
PHONE ~l ys~ - U.G. SPRINKLER 3.00 ~
SUBTOTAL ,9
ST. SURCHARGE ~ .50
SIGNATURE OF PERMITTEE
TOTAL: ~
COMMEFtCI.4L%IND175TRIAL': PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLINC UNIT.
°
CONTRACT PRICE: ~ FEES -
OWNER NAME: / 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1$ $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
1989 HIIILDIHG PERMIT APPLIC9TION
CTTY OF EAGAN
'
SINGLE F9MILY DiIELLINGS MQLTIPLE DIiELLINGS COt~R~RCIAL
2 3ETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHISECfIIRAI.
3 HEGISTERED SITE SURVEYS REGISTERED SITE SIIRVEYS - 6 STEDCfQRAL PLANS
1 SET OF ENERGY CALCS. (CHECg iTITH BLDG DI~.) 1 SET OF SPECIFICATIONS
1 SEf OF ENEAGY C9LCS. 1 SET OF ENERGY CALCS.
MULTIPLfi DWELLINGS AENTAL QNITS FOR SALE IINTTS # OF DNTTS
90TEt ADDRESSFS FOfl CORNER LOTS - COATRlCTOR/HOMEOfitTER MOST DFSIGNATE iTHICH ADDRFSS
IS DFSIRED. NO CAANGES WII.L BE ALLOiiED ONCE BDILDING PERMIT IS ISSOED..
SEWER 8 AATER PERMIT FEES AND ACCOi1NT DEP0.SIT F6ES iTILL BE INCLODED WM'8 THE BOILDING
PEAMTT FEE. PAOCFSSING TIME FOR SEWER AHD 11ATER PERMIIS IS TWO DAYS ONCE A PERMTT HAS
BEEB COMPLETED INDIC9TING A LICENSED PLOI~ffiER.
PENALTY APPLIFS i1SEN: PEAMIT IS NOT PAID FOR IN SAME MONTH TT IS REQiJESTED.
LOT CSANGE IS REQIIESTED ONCE PERMIT IS ISSIIED.
To He Dsed Forq~o C_~~i-~~rlc-a Valuation: -..30Oo i Date: /o iB
Site Address y~Z~ /NEsY ~No ~ OFFICE USE ONLY
Lot ~ Block ~ Occupaney E'EES
Zoning
Parcel/Sub ?'R/CC ~O G c' Aetual Const Bldg. Permit SY
~ / Allowable Surcharge T
O~mer i%R,C',e (~So~/ 0 of stories Plan Review
t /J/ Length SAC, City
Address 'y ~G~c~ WEsr ~?/~p / 2. Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code ~A G~~ Footprint S.F. Water Meter
Acet. Deposit
Phone 7SZ- y%..3/~ On site sewage S/W Permit
I/'~ On site well S/W Surcharge
Contraetor J. ~OSEPf/ Lcti+S%~c:~a^i MWCC System _ Treatment Pl.
City Kater Road Unit
Address ~/3cS'o ~'-'/~c~-.e C~2 PRV required _ Park Ded.
Booster Pump _ Copies
City/Zip Code ~-~+G~-? SS/Z3 SIIBT02AL
APPROVALS Penalty
Phone yS~/-SO O Z Planner TOT6L ~
Council
Arch ./Engr . Bl dg. Of f. 1~l
o~~b
Varianee
6ddress
City/Zip Code
Phone ~
. - WENZEL L~tP ~ ~ `t l ~a'~~- ~ ~
MECHqNICAL
& HILITE
ELECTRIC 3600 Kennebec o~~„e
~ Eagan, Minnesota SS122
452•1565
TO: ~ ~J DATE:
~
~~-~ri r~-,.d ~ ~M,1,~ J / y a'
ATTN.: ~~1 i~ ~•n~ «K~•~I SUB.iECT:
Gentlemen:
~ ENCLOSED ~ WE ARE SENDING
? UNDER SEPARATE COVER ? WE ARE RETURNING
~~~'l~ I~ i' ~ S 1 ~~~j v~-- '7 a'~ $ T W~ Y./ D
FOR APPROVAL LJ APPROVED FOR SHIPMENT
? FOR FABRICATION ? FOR YOUR INFORMATION
REMARKS:
VERY T ULY YOURS
~
ev
Cities Di ig ta1 Qualitv Control
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~ HOUSE ~HEATING TEST RECORD ~ ~
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. 'a~ .
OCCUPANT OWNER ~
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a~~. ~ HEAT LO55 DATE HTG. INST, . , r;~
f~*;.."`~~' SOl.OBY INSTALLE0~8r*~~~n/4~, ~
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MAKE ~ MAKE OP BURNER
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~G~S~.~F;stl'S'ISAL'w~ . ~~i~TY:~.~...~F' ~ .6:`
~ CITY USE ONLY 1~7 ~j L
~ S ~ RECEIPT ~
SUBD. ~ RECEIPT DATE: '~O r ~
PERMIT #
E000 ~Li7M$1N6 i'~MTi' (f~S1DENTIAL)
crrY oF fasax
S$SO ~ILOT KNOB RD
gf1fiAN, MN 551 EE
esi-aei-~a~s
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - i 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $ ~
Lavato 3.00 x = $
Se tic S stem newJrefurblshed • requiras MPC lic. 75.00 x = $
Se tic S stem abandonment 30.00 x = $
RPZ new installatioNre aidrebuild 30.00 x = $ ~
Rou h o enin 1.50 x = $
Shower 3.00 x = $
UndB~ rOUndS finkle~ ifdwellin fsunderconswction 3.00 x = $
Under round s rinkler if existing dwellin 30.00 x = $ I
Watercloset 3.00 x = $ I
W ater heater 3.00 x = $ . B
W ater softener If dwelling under eonstrucNon 5.00 x = $
W ater softener u existin dwemn 30.00 x = $
Waterturnaround 30.00 x _ $
State Surchar e .50 $ .50
Total ,_a E 30•.-r~
Reminder: Call for inspections of alteretions, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read thie appliratlon, state Nal Me information is correct, and agree lo comply with ali applica6le City of Eagan ordinances.
II is the applipnCS responsibility to notity tha property owner that Ihe Cily of Eagan assumes no liability for any damages dused 6y Ihe City during its nortnal
operational and maintenance.activities.to.ihe.tarlliGes.mnstruCted.undef_this.Dartnd wrthin Ciry propertylright-of-wayleasement.
SITEADDRESS: cu{iR,T ARA
4726 WE~INDTRAIL I TELEPHONE
OWNER NAME: : EAGAri, M s~22 -
(AREA CODE)
(651j454-6386
INSTALLER NAMt' TELEPHONE
(AREA CODE)
STREET ADDRESS: ~
CirY: f~12~ $?~"4033 • STATE: ZIP:
E
°?~at~F-~lP~l~9~, h2ru ss~e~
SIGNATU OF PERMITTEE
f - w . 1Y. Road WAN VICE Pte` '
Pam NO.: 0
5512 DATE: �-2 J
R2 14 of Units 1
ie '
s g
�ie1CM;
,4:1 ;M 4 728 jest W ind .' Lea It .Rid , "�. • ` � -- - .Plbg t
- , +.0.
-Meter � Canne iction charge. �
Account Deposit:
Reader No: Permit Fee: 10:50
1 ages to soil wi th Ci of # og e e Surchoryte
'' prdiwe�ea. 7 Misc. Choroes: _ 6 , th . QCi e . •
- 't to]: :
g / ire Pod
13ote of insp.: / . I '� i nep.:
F
tjkl ', a'. " 7 TN • 4 !
4414,, ` 02 ' "qt r _ 9.2 t !1 4
:.*ddress;r4014110:4 :
If Ste Address. FTITITT/L1MMPnrriii_ Erpriin
8 -2 ,r N12.1,c „. 4 +.00 p;
4 *O ".. W E N of I (.101 1. b e
Deposit:
p -.f•
am.: .50 cho
of ,
Use BLUE or BLACK Ink
For Office Use I rte/ I
n Permit#: 111 I / ~ j I
City U~i En"U{
Ed Permit Fee: l
3830 Pilot Knob Road I / I
Eagan MN 55122 I Date Received:
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: f '7 I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: T45 Phone: 5 ! G~ - ti t 5
Resident/
O-7 T
wner Address /City /Zip: P_
f /Q_
Applicant is: X Own/ear Contractor
Type of Work Description of work: ems,, f ~C>
Construction Cost: Multi-Family Building: (Yes / No Z)
Company: Contact:
Contractor Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: 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 the 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.goi)herstateonecall.org
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 State Building Code must b completed within 180
days of permit issuance.
Applicant's Printed Name Applicant's Signature
/ Page 1 of 3