1476 Woodview Ave E
CITY OF EAGAN
3795 Pilot Knob Rood Eaysn, MN 55122 N2 4460
PHONE: 454-8100
BUILDING PERMIT Receipt
st '4 77
To 6e und for i emodel ~;+semenl Date ' .1 9
Site Address 1 K82 o:.Pdv i ew L Erect ? Occupancy
Lot ~ Block Sec/Sub. `urrey I:g~1ts I I Alter 0 Zoning -
Parcel # _ Repoir ? Fire Zone
Enlarge ? Type of Const.
10:Name _e f f i-, berg Move p Stories
lr'•F~:i fx~J E.
dress Demolish ? Front ft.
4'~~-4792 Grade ? Depth ft.
Phone ~
~ Approvab Fees
o Nome
Addmss Asseument - Permit
Woter 8 5ew. Surchorge • 5o
Cit Phone
F Polite Plan Check
u°; Nome
F W Fire SAC
Addreu Eny. Woter Conn.
iW Ci Phone Pianner Water Meter
Council
I hereby acknowledge thet I have read this opplication and state that gldg. Off.
the information is correct ond agree to comply with a!I applicable 5~
Stote of Minnesota Stotutes ond City of Eogan Ord;nances. APC Totai
Signature of Permittee
.iFl f rFV '~ld~ Er
A Building Permit is issued to: on the express condition that
oll work shall be donez occordance with oll upplicable State f Minnescto Stotutes and City of Eogan Ordinances.
Build(ng Official ' ,
ra.M # o.b 1...d r.,YM..
Plumbinq
Mechonicol
INSPECTIONS DATE INSP.
- - Rouph-In Find
Footinfls Date trup. Dote Irup.
Foundatia, Plumbtnp
Frome/ins. Mechonlcal
Finol
Remorks:
1
CITV OF ERGAN Remarks
Addition• .SIIRRNY HFTGI-iTS 11 Lot? BIk 12 Parcel 10 -73001-079 1$
Owner Street 1476 WOOdV12w J'[fSt StateEagai1 M11N 55122
i
Improvement Date Amount Annual Years PaYment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1974 1438.91 95.92 S Paid
WATERMAIN
* WATER LATERAL 1974
* WATER AREA ZJ]Q
STORM SEW TRK
* STORM SEW LAT 1974
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. 110.00 7139 I2-29-72
BUILDING PER.
sac 240.00 7139 12-29-72
PARK
CITY OF EAGAN Remarks
Addition• SURRGY HEIGHTS ll Lot 6 eik 12 Parcel 10 73001 060 12
Owner~-~Yi` ~ rL'~' ~ ~ • Street Garage
~ State
1,1171,
Improvement Date Amount Annual Vears Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER,
SAC
PARK
CITY OF EAGAN Remarks F-_
AddRion• SIIRi3FY HRTGHT4 11 Lot'_5-_ Blk 19 Parcel 10 73001 OSO 19
Owner_~ ~ no Street Garage
Stare
~.•y.
Improvement Date Amount Annual Vears Payment Receipt Date
STR E ET SUR F.
STREET FESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATERLATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CUFB & GUTTER
SIDEWALK
STREET LIGHT
WATEF CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition- SEJS,[jEY j{EiCj-j'('C 17 Lot 2 Blk 12 Parcel ](L7VQ0], 1`120 ~19
ownerlp.~~Iri^ ~ t"'' St,Qe, 1478 Woodview East State 10 73001 020 12
Improvement Date Amount Annual Vears Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1974 1438,91 95.92 15 Paid
WATEFMAIN
WATER LATERAL 1974
* WATER AREA
STORM SEW TRK
* STORM SEW LAT 1974
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. 110.00 I2-29-72 7139
BUILDWG PEF.
SAC 240.00 7139 _12-29-72
PARK
CITY OF EAGAN Remarks-
nddirioo SURREY HEIGHTS 11 Lot lk lZ Parcel 10 73001 030 12
~
Ownertl f_ s SVeeL State
L 7 ~
Improvement Dare Amount Annual Vears Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STOfiMSEW LAT
CURB & GUTTEfi
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITV OF EAGAN Remarks- '
Addition SURREY NEIGHTS ll t_ B 12 Parrel 1(L730(1I
(1t19 13
~
Owner~ ' Street GAr State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks'
.oddition SURR'EY }IEIGIITS 3-T.%A Loc R sik Parce110 73001 ggg 1:2
Ownec f- ~ Street 1480 WOOdV12W EBSt State_ 1$-i'36Bi-OM-12 A'
' _t..
Improvement Date Amount Annual Vears Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWERLATERAL • . 81
WATERMAIN
• WATER LATERAL
x WATER AREA
STORM SEW TRK
* STORMSEW LAT 1974
CURB & GUTTER
SIDEWALK
S7REET LIGHT
WATER CONN.
BUILDING PEFi.
sac 40. 7139 12-29- 2
PARK
CITV OF EAGAN Remarks
nddition- SURREY HEIGHTS 11 Loc 1 Blk 12 Parcel 10 73001 010 12
~(Ilan~~ `'~c~.,r~;tTY,.;~~y~ 1482 Woodview East Ea an, MN 55122
Owner. Street State g
Improvement Date Amoun( Annual Vears Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWERLATERAL . . 31
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CUFB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 7139 2-29-72
BUILDING PER.
snc 7139 2-29-72
PARK
CITY OF EAGAN Remarks
nddiuon-SURREY HEIGHTS 17 Loc 4 sik Parcel 10 73001 040 11
Owner T"' 1 ',~.t r.< l,' F Street Garage State
•
Il7 (i /[/~'i!i ~ ' .T=
Improvement Dare Amount Annual Vears Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWERLATERAL
WATERMAIN
WATERLATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PEF.
SAC
PAFK
CITY OF EAGAN Remarks _ _
Additiorr S1IRREY HRTf,HTS 11 Lot 3 Bik 7,1 Parcel 1(L73001 030 11
Owner~~ Street Garage State
Improvement Date Amount Annual Vears Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
ciTr oF eacnN
3795 Pilof Knob Rood Eagen, MN 55122 N2 4460
1 PHONE: 454-8100
t$UILDING PERMIT APPLICATION $500. Receipt # 7184 _
To ba used far Remodel RasemPnt pate AUgUSt 24, 19 77
Site Address 14$2 WOOdV1EW E. Erect ? Occupancy
Lot 1 Block lZ Sec/5ub. Surrey Hghts II Alter 6 Zoning
Parcel # Repair ? Fire Zone _
Enlorge 0 Type of Const.
z Name Jef£ie Shldsb¢T Move ? Stories
3 Address 1482 WoodVlew E. Demolish ? Front tt.
Cit E Phone 452-4792 Grade ? Depth ft.
~
o Nome $BIp•• '`VV'a"^ls Fees
o~ Address Assessment Permit $•00
u~ Cit Phone Water & Sew. Surcharge • 50
r Police Plan theck
,~„w Name Fire SAC
~Z
Address_ Eng. Wuter Conn.
aw Ci Phone Planner Water Meter
Council
I hereby acknowledge ihat I have reod chis application ond state that gldg. Off.
the information is correct and agree to comply with oll opplicable 5.5~
Stote of Minnesota Statutes and City of Eagan Ordinonces. APC Total
Si9nature of Permittee
A Building Permit is issued to: Jeffrey Shldsberg on the express condition ihot
all work sholl be done i accordanc withi II o plic State f Minnesoto Statutes and City of Eagan Ordinonces.
Building Otficiol y t(- -z , x, ~I,
Cities Di ital ualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
.
> VILLAGE OF EAGAIQ
' 379$ Pilot Knob Road
Eagan, 1vlinnesota 55122
'-FEEiMT NO.: 297
. 10 t``The Pillage oY Eagan hereby granta to A: BLldw Butler
. . •
v- a!_ 20-1 55118 oP ' ' -
a _ acnYrvr. Permit for: (Owner),_ _
at 1483-85-87-89-75--77-79-81-&78-80-82 - -
woodvie•a £9t , pursuant to application dated 12/21/72
Fee Paid: tp,)_ , dated this pb a day o£ December 19 p
6.00 s/c ~ -
Building Inspectoz- T~
riie;,Lanical Permits:
c:id Total:
~
02 VILLAGE OF EAGAIV
379$ Pilot Knob Road
Eagan, Minnesota 55722
PEUUT. N0. : 297
i4The Vi]lage oY Eagan 'herebp grants to A: Bindw. e ~ . Butler
A-.-=-~~..Sa»a of
P
a_ u~e•,'rvr. Permit for: (Owner)•
at 1li83-85-87-89-75--7?-79-81-768-80-82 '
woodview Erst , p rsuant to application dated 72/21/72
Fee Paid: .0,I_pp dated this 26th day of December 19 p
6.00 s/c ' 'Building Inspector^ -
Pieohanical Permits:
iid To'tal;
li
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, NUxmesota 55122
' PERMIIT`N0:.-- 297
The Yillage of Eagan hereby granta to A: BlDda', ~~~~i~l ~j ' 1~ tler
w vr. _ aanl 5Ct t s of aaReYTar, Pertnit for: (Owner) Su
1 r.a Hel¢hts
at 1483-85-87-89-75--7?-79-87-76-78pr82 -
aoodvierr Ecst , pur ant to application dated 12/21/72
Fee Paid: $2LQ_pp dated this 26th day o£ December 79 p
6.00 s/c ' "Building Inspectoi*! ~
i4e„Lanical Permits:
i•:id Tutal;
, l2l ~
Q l U' VILLAGE OF EAGAIJ
379$ Pilot Knob Road
Eagan, Minnesota 55122
`
. PERMT N0. e''"?, p
The Dillage oY Eagan here
by grants to -Satler
. „ .
1si S. aant S1',118 of • _ 'a av. eYTVr. Permit £or: (Owner) Su=.r.jW Heiahta ^
at 1483-85-87-89-75-°77-79-87-76-78-8 w 8t2 -
ood~ri ew Eest , pursuan to application dated 12/21/72
Fee Paid: J$2LjL00 dated this pbth day o£ _ December 19 p
6.00 s/c
Building Inspecto_° ~
i•ie;,heinical Permits:
L:id '1'oi.al;
. /v 73001 o~o ~a
. . S.~ c
S # VILLAGE OF EAGAIV ~
~ 3795 Pilot Knob Road
Eagan, 1vSinnesota 55122
YERi,IT NO.: 292
The 4illage o£ Eagan hereby grants to Coneolidated PlumbiUg
of 1500 C].iff Road, &u'nsville, MN 55337
a PLUMING Pexmit for:
(Owner) Surrey Hesghte
at see below , pursuant to application dated 12/2/72 A
Fee Paid; 1,280.00 dated this 2pd day o£ pBpember
. s o
13uilding Inspecto_•
iieclianical Permits:
iid Tota1;
1483-85-47- -80-82 11~84-86-88-90 woodviev Eaet t
1531-33-35-37, 1538-ko-42-l~L~' 0-32-,31i-36~Ae 1 1_ , 523-25-27-29:
~C i5t5_t7it 2t t ' D~, 53 33-35-37, 1523-25-27-29,
~ 496-98-~ 502 oLi 5~ °1~9 ~15-11~ 2o wo°ioav81ifi~ q, 1491-93-~8~q~ wooavieW uaet
est • ~ ~ ri ~ ~ "6-.. ~ _ ~r
VILLAGF OF EAGAN
3795 Pilot Knob Road
Eagan, riiinnesota 55122
!'ERI.IT NO.: 292
• The Village o£ Eagan hereby grants to Coneolidated P1~I*+0 rn-_
1500 C11Pf Roed, gurnsville, MN 55337
of
a PLUMBING Permit for: (Owner) SltrreV HeSghte
a'u aee balox , pursuant to application dated 12/2/72 A
Fee Paid; 1p280.00 dated this 2nd day o£ Dopember 19
--12L-'
Building Inspecco'~
i~iachanical Permits:
1t1'i8d3'-T85-otal-
47'
75-7 1531-33-35-37, ~ 538-1~O~k2-l~li; 1530- 2-~~6'pe4pe~a1~538-33-35-o 3~7, 523 2$-~ ~9~ 5-27-29;
`Dl 1515-174-19-210 1507-09-tt_t3 woodvierr Be t t_
11?96-98-t5o2-oli, 1511~-t6-i6-20 woodvisw~' ~9 93~8-~7~t oadviev Baet~ ~~,y~
g9t•/~9
~
. t v 7300/ o~o /a
VILLAGB OF EAGAN
3795 Pilot Knob Hoad
Eagan, Minnesota 55122
1'E10IT NO.: 292
The Village of iagan hereby grants to Coneolidated Pl**u?bg
of 1500 Cliff Road, EUrn8°i3le. MN 55337
a PL[JMBING permit for: (Owner) Slurrey Heighta
at aee belrnt ~ pursuant to application dated 12/2/72 A
Fee Paid: 19280.00 dated this 2ud day of Depember ~ 19--72-,
. a o
Building Inspecto'° ~
lvie;,Iianical Permits:
id Total:
l~i83-85-47- , 2 1464-86-88-90 woodview Eaet t
1531-33-35-37, 1538-Ii0~2-l1Ji, 1530.32--36~Aepen, 1531-33-35-37, 1523-25-27-29~5-27-29:
1515-17&19-21 , 1507-09-t1-t Woodvierr He , 11y91-93-98- woodviesr Baet
1496-98-1502-04, 1514-16-~ ~ 2o wooa~as? ~~t. ~ ~ ~ ~ -
VILLAGE OF EAGAId
3795 Pilot Knob Road
Eagan, 1°Tinnesota 55122
l'ERi';IT NO.: 292
The Village o£ Eagan hereby grants to Coneolidated pl3MjbiDo
o£ 1500 cliYf R°ads Burnav]11e, MN 55337
a PLUMBING permit for: (Owner) Slurrey Heights ^
at aee beloir , pursuant to application datad 12/2/72 ^
Fee Paid: 19280.00 dated this 2t1d day of Deogmber 19
. a o '
Building Inspecio-c ~
iliechanical Permits:
~rid Tota1;
t483-85"47- ' -80~ 1484-86-88-90 woodview Eaet, 1523-25-27-29;
3 1531-33-35-379 1538-l~0~2-1at~0 1530-32-~-3bsAepen, 1531-33-35-37, 1523-25-27-29,
~ t st 5_17i19-21,150'7-R9-t 1-t~ woodvse~r aee~, 1491-93 ~17ooaview Saet
1496-98-1so2-o4, ~ 5j u-16-1 20 woodview set. ~ 4
t RESIDENTIAL BUILDING
r •
~ a(4R3 Permit Application S U a0
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWchon Reaui2ments RemodeVReoair ReauiremenLS Oftice Use OnN
3 2gistered site surveys showing sq. ft of lot, sq. N. of house; and all rooled areas 2 copies of plan Cert of Survey Rectl
(20% mazimum lol coverege allowed) 1 set of Energy Calculalions for healed additions Tree Pres Plan ReW
2 copies of Dlan showing beam 8 window sizes; powed (ouM design, etc 1 site survey for additlons & decks Tree Pres Not Reqd
1 setofEnergyCakula6ons Adddion - indicateif on-Srfesepficsystem _ Oo-siteSepGcSystem
3 copies oiTree P2servalion Plan if lot platted aker 711193
Rim Joist Defail OpUons selection sheet (bldgs wiN 3 or less unim ~ I L, D3
Date / a / Q-~ Construction Cosi' ~~ay
Si[e Address 0 i V UniUSte #
Description of Work y gep~tiCP voaf\~ S}eD S
Property Owner SwreAQti:~yt,~> `Ow'~~GiMQS Telephone#(Is~j
Contracror American Building Contractors, Inc.
Address 12247 Nicollet Ave South Ci[y
state Burnsville, MN 55337 Teiephone )
(952) 707-6959
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone ~
Mechanical Coniractor Il 0 2003 Telephone )
Sewer/WaterContractor U Telephone#( )
BY
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 in the case of work which requires a review and
approval of plans.
L4~ Cv4NV\
ApplicanYs Prin d Name Applicant Signature
OFFICE USE ONLY ' .
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16•plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex 23 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_V or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
Ft 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy r1 ~ MCIES System Census Code `/S Y Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const V r1 W idth
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
c~7 Foo[ings (deck) Z[1 FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
t D Framing _ Siding Stucco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[)
_ [nsulation _ Retaining Wall
Approved By , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
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Fde Edit 49ew Took _App8cstions Help
Coinmems
s i C-aaan Building I Eagan Deveiopmer?t lPeemRs I Connestion I~
LM ~
° ' . Ortmer ~ Eagan RsseeS+ntes Eagan Propetty I Eagen Zanir+g
,
IF4 ~ f Parcel ID 10?~0108012 ~ `
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• Address 1480WOODYiE . W AdE E
- - - , . - . - (
Dwner 1 STERN HARLt~N~ _Z
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1EAGAN MN ~~55122-1323 IME.
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Start ~ a Eg 1- Documen,,. lOGIS PI... Inbox - . 7om Ca(b,.. ~ Russ Ntat.,. Y G ik of E... i I:UO RM
. _J~~ C~ _
1
~ COMMERCIAL
002 BUILDING PERMIT APPLICATION
CITY OF EAGAN ~
651-681-4675 -7 • ~ ~
Foundation Onl New Construction Interior Im rovement
• Struc[ural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sels
. CivilPlans (2) • StructuralPlans (2) • CodeAnalysis (1)
. CertificateofSurvey (1) . CivilPlans (2) • ProjectSpecs (1)
• CodeAnalysis (1) ° . LandscapmgPlans (2) • KeyPlan (1)
. PrqectSpecs (1) CodeAnalysis (i) • Master Emt Plan (1)
• Spec. Insp 8 Testing Schedule . Certifcate of Survey (1) • Energy Calculations (1) nol always"
• Soils Report (1) • Spec Insp 8 Testing Schedule (1) ° • Elec Power & Lighting Form (1) not always"
. Meter size must be established . Meter size must be established • Meter size must be established -if applicable
• Project Specs (1)
. 1 . EnergyCalculations (1) " 1
1 • Electnc Pov.er & Lighting Form (i)
1 • MasterEwtPlan (1) b
y . Emergency Response Site Plan (1)
L • Soils Report (i) 1
. MGES SAC determination letter . MClES SAC determination letter • MC/ES SAC determination letter
call 651-602-1 D00 call 651-602-1000 call 651-602-1000
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
Contact Building Inspections for sample.
Permit for new buildings or additions wdl not be processed without Emergency Response Site Plan. Ask Building Inspections for requuements.
Zy ooc3 Flaf F~c
DRTE' 7 Zt~' Z WORK TYPE: NEW EM~DEL CONSTRUCTION COST' ~
SITE ADDRESS ~ y <;-O 1 7I caJ ~~yC X~
TENANT NAME: SU??P , &ttly.6n do-S S SUITE #
FORMER TENANT NAME, IF APPLICABLE
DESCRIPTION OF WORK 9 N' 2 q -rsr/
Name: (O ~ .5- 5`7 Phone ( 75~-J -7 5-
NROPERTY Last ~irst /
OWNER
StreetAddress:
City: l'0f~ State: pYj 7ip: 53 y3~
Company: /,S 'e~F- ~ Phonelt: (6 /Z ) p6/ ~ Gz y3
CONTRACTOR
StreetAddress:
City: State: MI/7 "Lip: 557
i
~ ~n I
ARCHITF..CT/
LNGINEER Company: ~11II ~ II''Phoneii ( )
C : ZOuL
Name. RegistraUOnfr:
Stree[ Address'
li =
City: State: Zip:
Licensed plumber installing new sewer/water service Phone )
I hereby acknowledge that I have read this apphcation, state lhat the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
SignatureofApplicant<~_~ ,
undated 7102
~
OFFICE USE ONLY ,
SUSTYPE
? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 CommerciaUIndustnal ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Camm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
C 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr C 42 Demolish (Foundation) 0 46 Windows/Doors
? 32 Addition ? 36 Move Bldg 0 43 Reroof ? 47 Repair
? 33 Alterations C 37 Demohsh (Bldg) ? 44 Sidmg ? 48 Authorization
G 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code -!~H Zoning sq. ft.
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. af Bldgs. Width sq. ft.
Const (Actual) ~ Basement sq. ft. MC/ES System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Tes[ ? Heating ? Insulation C7 Plumbing ? Stucco/Stone
APPROVALS
Planning Buildmg Engineering Vanance
VALUATION $ Odo FIa-r Fe~
Permit Fee 6 q •~O
Surcharge 1• BU
Plan Review
MC/ES SAC % SAC
City SAC SAC Units
Water Supply & Storage Meter Size
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total 1 ~
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' i OECKMC TO BE 7/4 X e CEDAR SELEC7 APPUEU HdtRONTAILY POST b ALLNAIIS YEET UBC REqNtEUENTS i0R 1000 < 4' O.G PICKETS CRETE BASE JOISTS AqE 2%10 iREAiED iB' 0.C: .40 RET. SW >13'-0'
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JdST HANGERS Af1E SIIEO AND NNLFD AS RFWIREO pOSR ApE 6%6 iREAIEU ACq .60 RET• : BEI SiARS MEET 2000 UBC REWIftEMENTS 8' NA%. PoSE X -m
~
'-'--1
,-?j
' ~ MASTER CARD
LOCATION y/ooD~~[u/ F /y7 • ~B ~~d -~2 JuKAEv HG73' ;7-7
OWNER D G~s7'a 4~soAj ICL //1 !~q 0 I I O M
STRUCTURE AND
LAND USED AS C/ J,~d 7Z,4A
Issued To
Permit No. Issued Conirector Owner
_
BUILDING _2~~_
PLUMBING P. 7 Q ~f/
-_~i_ de
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
H EAT W G
GAS INSTALLING
SANITARY SEWER s A
OTHER CAJ Z
G/_}•~~s-
OTHER
Approved
Items (Inifial) Date Remarks Distance From Well
FOOTING i2 - 7- "J SEPTIC
FOUNDATION 1;-2 v CESSPOOL
FRAMING TILE FIELD FT
FINAL
ELECTRICAL DEPTH
HEATING f- 3 f" 7 OF WELL
GAS INSTALLATION
SEPTIC TANK .
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
~ _ ~
I COMPLIANCE INSPECTION R.EPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE ? NON{OMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPtY.
~ ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. O GOMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPIY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
? REINSPECTION REOUIRED DATE OF REINSPEC710N
REINSPECTION REVEALED
CERTIFICATION - I cenify [hat I have carefully inspected tha above in which I have no interest present or prospective, and that I heve reported herein
all significant conditions observed to he at variance with ordinanCes of the Town of Eegan, apprwed plans and specifications, end any specific require-
ments for off-site imprwements relating to the property inspected.
~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DI.TE
COMMENTS:
IIEDO
~
MASTER CARD
LOCATION
t?oeaJ.eu F /~/7L,~'B-~d Bj, JuRRE•/ /~7~G1f XC7
OWNER D f/S frDIIJ ~O Id ~P d~/ D M
STRUCTURE AND ,
. LAND USED AS
Issued To
Permit No. Issued Coniractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC 7ANK
WftL
EIEGTRICAL
HEATING 7 Q~ 7
GAS WSIALLING
$ANIIARI SEWER
OiHER
O7HER
Approved ~
Items (Initial) Date Remarks Distance From Well
'UOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING _ TILE FIELD FT.
FINAL
EI_ECTqICAI
HEATING DEPTH
- f' 3I' 7 OF WELL
GAS WSTALLATION
SEPTIC TANK .
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARV SEWER
Violations Noted
on Back
COMMENTS:
~
MASTER CARD
LocarioN 1?ooDdiru/ g /'/76•~B~~R2 J~~tqEE~/ ~G~
OWNER D ?S~~SD~J D ICL A, d ~ D M
ka
STRUCTURE AND
LAND USED AS ~ ~y~_? r~A
~
Issued To
Permif No. Issued Contractor Owner
BUILDWG
---r~r~
PLUMBING
CESSPOOL - SEPTIC TANK
:V[LL
ELEC7RICAL
HEAiING
GAS INSTqLLING
SANIIAP,1' SEWE2
orHER_
O1HEH I
Apprpved
Items (Initial) Date Remarks Disiance From Well
~ OOTING $EPTIC
FOUNDATION Z CESSPOOL
FRAMING TIIE fIELD FT.
FINAL
EI_ECTFICAL
HE.471NG DEPTH
- f' 3I " 7 OF WELL
GAS INSTALLATION
SEPTIC TANK .
CESSPOOL
DRAINFIELD
PLUMBING
WEII
SANITARY SEWER
Violations Nofed
on Back
COMMENTS: .
- ~
~J
MASTER CARD
LOCATION y/oe,y?arU/ g /'176•7B ~d'B2~ JuwqE'•/ t'1G7.t ~
OWNER D Gas7a~rspA? ~old IY~~dBb cin
STRUCTURE AND
LAND USED AS
Issued To
_ Permit I No. I Issued Coniractor I Owner
BUILDING
aLUMaiNG
CESSPOOL - $EPTIC TANK
bY[LL
ELLCTRICAI I I
HEATING
GAS WSTALLWG
- - I
SANITARI' SEWER
OTHER ~ I /0 63 I
OTHER
Approved
Items (Initial) Date Remarks Distance From Well
FGOTING j~ 7• ? SEPTIC
FOUNDATION 1,2_ ) . y CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING t' 7 1' 7 OF WEIL
GAS INSTALLATION
SEPTIC TANK CESSPOOI
DRAINFIELD
PLUM8ING
7
WELL
SANITARY SEWER
Violations Noted
on Back
COM~N.ENTS:
~
~J
, ~V)
nr+mE
BUILDING PERMIT APPLICATION
znclude 2 sets of plans, 1 eite plan w/elevations and 1 set of en calculationa.
2b be used for Valuation
site Adaress: G~ooc?vi, el? L~.
Lot Block Sec./Sub. Parcel Number
~ f 1-1 orvr2 kP y -9? ~t 9--
owner ';~G'FR~Y SW1-036Gn7C~. Telephone ~SZ~74Z
Address f¢frZ
rA,c .sr/
Cbntractor .<C 2F Telephone
Address
Arch./Eng. 09 ~ Telephone
Address
OFFZCE USE
Erect Occupancy
Alter iff'" Zoning
Repair Fire Zone
L•hlarge Type of Const.
Move # of Stories
Ilecmlish Front
Grade Depth
OFFICE USE
Date of Approval 6 initial £EES
Assessment Permit ,SU U
4later/Sewer Surcharge I:rv
Police Plan Check ~F.S U
Fire SAC
Enq, U?ater C'onn.
Planner t•Jater Meter
muncil
Rldg. Off.
A.P.C. 7'OTAL
EAGlaN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: December 2, 1972 NUMBER 1229
OWNER:Surrey Heingts 1)~ Address 476 -~8-80=82 Woodview East
PLUMBER Cons olidated Plumbine Co. TYPE OF PIPE heaw cast iron
DESCRIPTION OF BUIID ING
Industrial Commercial Residential Multiple Dwelling No. of units
4 unit towns ouses
Location of Connections: Connection Charge 6•/~-a
10.00 d1212
Permit Fee P 72
P
Street Repairs
Total
Inspected by:
Date
Remarks•
By.
Chief Inspector
Tn consideration of the issue aad delivery to me of the above permit, I
hereby agree Co do the proposed work in accordance with the rules and
regulatiotts of Eagan Tocanship, Dalcota County, Minneaota
By
Consolidated Plumbing Co.
PLease notify when ready for inapection and connection and before any portion
of the work ia covered.
3
I EAGFN TOWNSHIP
3795 Pilot Knob Rosd
_ St. Paul, Mianeaota 55111
Telephone 454-5242
PERtUT FOR WATER SERVICE CONNECTION
Date: 12/2/72 Number: 1063
~
Billing Name: Surrey Heights ~ Site Address 1476 78-80-82 Woodview East
Owner: Billing Address
Plumber: Consolidated Plumbing Co.
Location of Connection Meter Size Connection Chg. 011
~
Meter No. Permit Fee 10.00 Dd 12/2/72
Meter Readistp.~ Meter Dep. •$Ojpd 12/2/72
V~+78' Meter Sealed: Yes Add'1 Chg.
G 7~1~80-xaa6o~d-s6-.~a~G
a~ 1'S~_1182- QNO Total Chg.
,
Inspected by
Date
Building is a: Remarka;
Residence
Multiple x No. Unitsl+
IAM1PROPLfi'LY INSTALLtD i,i-tiERS.
Commercial
Industxial Hy:
Other Chief Inspector
In conaideration of the iseue and delivery to me of the above permit, I
herehy agree to do the proposed work in accordance with the xules and
regulations of Eagan Townahip, Dakota County, Minnesota.
BY=
Consolidated P1Lmbine Co.
Please aotify the above office when ready for inspection and connection.
~
\ .
EAGlN TOTJNSHIP
3795 Pilot Knob I:oad 0
St. Paul, Minnezota 55111
Telephone 454-5242
PERMIT P'OR SEWER SERVICE CONNECTiOC!
DATE: December 2, 1972 NUMBER 1229
OWNER: Surrev Heihgts ~ P.ddress 1476 L8 80=82 Woodview East
PLUMBER Cons olidated Plumbine Co. TYPE OF PIPE heavy cast iron
DESCRIPTION OF BUIID ING
Industrial Commercial Residential N,ultiple Dwelling No. ef uniY.~
4 unit towns ouses
Location of Connections: Connection Charge A l e
c''~
Permit I'ee 10.00 pd 12/2 72
P
Street P.epairs
Total
Inspected by:
Date
Remarks:
By.
Chief Inspector
In consideration of the issue and delivery to me of the above pexmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Torrnship, Dalcota County, Minnesota
By
Consolidated Plumbing Co.
Please notify when ready for inspection and connection and before any portio?
of the work is covered.
? /
EAGFN TOWNSHIP
U
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNIIT FOR WATER SERVICE CONNECTION
Date: 12/2/72 Number: 1063
Billing Name: Surrey Heights ~ Site Address:11~7T-82 Woodview East
Omner: Billing Address
Plvmbes: Conaolidated Plumbing Co.
Location of Connection Meter Size Comection Chg. N
Meter No. Permit Fee 10°00 nd 12/2/72
1476- 3 7~y8 ~ y'~~~a Meter Reading Meter Dep. • 50 jpd 1 2/2/7 2
"i478-
Meter Sealed: Yea Add'1 Chg.
711 48o-.r.3a-.~ai4 -
9/.S~S'~ - °••.,~a-'~~,.~-l673h' ~ I~ Total Chg.
~ inspected bq
Date
Building ia a: Remarks:
Residence
Multiple x ro. Unita4
Commercial
Industrial gy; ^
Other Chief Inspector
In conaideration of the iseue and delivery to me of the above permit, I
hereby agree to do tUe proposed work in accordance with the rules and
regalatioas of Eagan Towaship, Dakota County, Minnesota.
By:
.onsoli ated Pl,mb;na Co.
Please notify the above office when ready for inspection and connection.
~
' EAGIiN TOidNSHIP
3795 Pilot Knob P.oad
St. Paul, Minnesota 55111
Telephone 454-5242
PER1ylIT I'OR SEWER SERVICE CONNECTIOP]
DATE: December 2, 1972 NUMBER 1229
OWNEP.: Surre.y Heingts ~y Address 1476-78(-~30 82 Woodview East
PLUMBER Cons olidated Plumbin¢ Co. TYPE OF PIPE heavv cast iron
DESCRIPTION OF BUIIA ING
Industrial Commercial Residentiel Multiple Dwelling No, ei tinit,
4 unit towns ouses ~
Location of Connections: Connection Charge d.Z'-e
Permit Fee10.00 pd 12/2,~2 ~/J3
P
Stree[ Repairs
Total
Inspected by:
Date
Remarks•
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toc-mship, Dal;ota County, Minnesota
By
Consolidated Plumbing Co.
Please notify when ready for inapection and connection and before any poreion
of the work is covered.
~
Y ' EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERta T FOR WATER SERVICE CONNECTION
Date: 12/2/72 Number: 1063
Billing Name: Surrey Aeights ~ Site Addreas:1476-7 -80 82 Woodview East
Owner: Billing Address
Pltmiber: Consolidated Pltunbing Co.
~
Location of Conaection Meter Size Connection Chg.
Meter No, Pe=mit Fee 10.00 od 12/2/72
1476--~a~yd9y Mecer tteeainF,Meter Dep. .50jpa 12/2/72
y~478- ~+?~1~~37i- L73h~
Meter Sealed: Yes Add'1 Chg.
~,1 ~y8o-•v3~ G o~.v,s/-~'a/G
vyt9/~S~~y82-~.••.~a=~~s~-~73~ ~ NO Total Chg.
Inspected by
Date
Building ie a: Remarka:
Residence ~
22ultiple x Ko. Unita4 ' -
Commercial
Iaduatrial gy; ~
Other Chief Inspector
In conaideration of the iseue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Eagan Townehip, Dakota County, Minnesota.
BY:
Consolidated P1Lmbine Co.
Please notify the above office when ready for inspection and connection.
~
12
EAGliN TOtdNSHIP O ~0 ~
3795 Pilot Knob Road
St. Paul, Minneaota 55111
Telephone 454-5242
PERDIIT POR SEWER SERVLCE CONNECTIOP!
DATE: December 2, 1972 NUMBER 1229
OI,iNEP.: Surre,y Heingts ~ P.ddress 1476-78-80 82 Woodview East
PLUPiBERConsolidated Plumbing Co. TYPE OF PIPE _ heavy cast iron
DESCRIPTION OF BUIIDING
Industrial Commercial Residential i.ultiple Dwelling ro. of units
4 unit towns ouses ~
Location of Connectfons: Connection Charge o.~'-e
Permit Fee10.00 pd 12/2 72
P
Street Repairs
Total
Inspected by;
Date
Remarks•
.
By.
Chief Inspector
Iu consideration of the issue and delivery to me of the above petmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Tormship, Dalcota County, Minnesota
By
Consolidated Plumbing Co.
Please no[ify when ready for inspection and connection and before any porcion
of the work is covered.
~ . .
• ~Z
EAGFN TOWNSHIP l 0 ~
3795 Pilot Knob Road 0
St, Paul, Minnesota 55111
Telephone 454-5242
PERtUT FOR WATER SGRVICE CONNHCTION
Date• 12/2/72 Number• 1063
Billing Name: Surrey Heights ~ Site Address:1476-78-80~~ Woodview East
Owner: Silling Address
Plumber: Consolidated Plumbing Co.
Location of Connection Meter Size Coaaection Chg. N
i
Meter No. Permit Fee 1040 pd 12/2/72
11476_ Meter Reading Meter Dep. •SOjpd 12/2/72
q 37i- L73~-t / /
Meter Sealed: Yee_ Add'1 Chg.
AG"2-&734- 8' xo xocei cng.
Inspected by
Date
Building ia a: Remarke:
Residence
14ultiple x No. Unital+
I,:~.t , JC ~L+ I;.,I ;LL_J
Commercial
Iadustrial gy; ~
Other Chief Inspector
In conaideration of the iseue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulatioas of Eagan Townahip, Dakota County, Minnesota.
By:
Consolidated P1Lmhine Co_
Please notify the above off3ce when ready for inspection and connection.
~
- - -
.
4b~ ~ far aicp- us--~ 1 '
Ci4y ol Laian I Permitp:
nV ^ I
~ Permit Fee: ~J • ~ I
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
-----------------J
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: SiteAddress:_14742 ~~~~?/(~I~ AVe G
Tenant: Suite
RESIDENT / OWNER Name: 1 1 M hl T7 ~ pfu Phone: toSp 02 I' I2S D-b
Address / City / Zip: c"YIe. E . S S~'Z-Z
CONTRACTOR Name: License#: (O f -7 C?~M
CNMton
Address: s,rj1_3[`i.ri.13qp
City: 3670 Dodd Rd. #100
State: Zip:
Phone: Contact Person: 1,~r1 5 o -
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W.
Descri tion of work: Ci 2aycc
PERMIT TYPE RESlDENTIAL
~ ater Heater Water SoRener
Lawn Irtigation Add Plumbing Fixtures
RPZ PVB) ~ Main _ Lower Level)
SepticSystem _WaterTumaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Suroharge)
050.50 Add Plumbiny Fixtures, Septic System Abandonmeni, Water Turnaround` (incWdes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) C., G•,~
TOTAL FEES $ •-~J
I hereby acknowledge ihat this information is complete and accurate; that the work will be in conformance with the ordinances and codes ot the City oi
Eagan; Ihat I undersland this is not a permit, but only an applicalion for a permil, and work is not lo staA without a permit; that the work will be in
accordance vnih the approved plan in the case of work which requires a review and approval of plans.
x cSaxnes G . ~4p~.lv_r- X .
ApplicanYs Printed Name ApplicanYS Si'
FOR OFFICE USE Reviewed By: Date:
Requfred Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Final
383s5 ~
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA108769
Date Issued:01/09/2013
Permit Category:ePermit
Site Address: 1476 Woodview Ave E
Lot:7 Block: 12 Addition: Surrey Heights 2nd
PID:10-73001-12-070
Use:
Description:
Sub Type:e - Furnace
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector,
952-445-2840
Janel Behrends
122 West 3rd S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Timnit Habtu
1476 Woodview E
Eagan MN 55122
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
From:ALLSTAR CONSTRUCTION 19529427464 05/07/2014 10:14 #166 P.023/037
U r V 1 t I 1(a , 1 A l b i I bOi AM_ W o A u i w IPv12 E.
Use BLUE or BLACK Ink
For officeUse__------- I
Permit ✓
City of Eaaan
I Permit Fee:
3830 Pilot Knob Road
j
Eagan MN 55122 j Date Received: 51-7 Ili
Phone: (651) 675-5675
I 1
Fax: (651) 675-5694 I Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5-1-H Site Address: HID, 14195 L40,1 2. %WiVitW E,,i (r('> ynou ~i to". es)
llbit..#:
~..~._~..r. Name: S . r'e' CIU,Phone: ..._Qa...~,_..w.~..~,r..-,,...9,.~
44f Resident/
Owner Address/City/Zip: 16 QJ CI 4 W, Pdlrl~wOl~In I ~Cdtih 9YAirito MN
r Applicant is: Owner Contractor
Description of work: _ lay cif ~f'' R01)f
Type of Work
I Construction Cost:- 4291 I GO .0() Multi-Family Building (Yes X
No Company: LL Contact: tQlhe MtJ4CY(X0in
Address:.51y5ltjftfi Qil St. ' IU?~ City: Mop(f. Pfain
Contractor ~
State: _RN Zip: 553r 3f] - Email: dQ[V1f rta OIIIftV • bL
License t' V VM 515 Lead Certificate N JA T- 21701(0`{ - 0
If the project is exempt from lead certification, lease explain wh see Pace 3 for additional information
P 1 P Y~ (see Page )
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:
t
Mechanical Contractor: Phone:
S
Sewer & Water Contractor: Phone:
NOTE., Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
a~_~= _4r~ .r yR~Ka4x conclude that their are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.ora
1 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.
Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x C,tkftl, Mc~ermut~ x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177370
Date Issued:06/28/2022
Permit Category:ePermit
Site Address: 1476 Woodview Ave E
Lot:7 Block: 12 Addition: Surrey Heights 2nd
PID:10-73001-12-070
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Nicole Denise Nelson
1476 Woodview Ave E
Eagan MN 55122
(701) 200-3225
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature