1515 Woodview Ave W
INSPECTION RECORD
~TY QF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: .
(651) 681-4675
SITE ADDRESS: APPLICANT:
Or. r ,
tlV 1 f' tJ A:./1" t.l
i~~ ~ „i• ? ~ '~~~li , ~ ~ ,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . .A
~ ~
1
Permn Holder Data rslephone M
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. CommsMs
FOOTINGS
FOUND
FRAMING
ROOFIN(3
ROUGH I
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINCa I
GAS SVC I
TEST
INSUL II
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST I
FINAL PLBG 1
FINAL HTG
ORSAT I
TEST
BLOG FlNAL I
I
DOMESTIC
METEA
IRRICaATION
METER
FLUSH I
MAINS
CoNDUCTIVr7Y
TEST
HYpppSTATIC
TEST il
BSMT R.I.
BSMT FINAL
DECK FTG 3
DECK FINAL I
CITY OF EAGAN Remarks- d- -
Addition SURREY HEIGHTS 11 22 parm, 10 73001 030 22
Owner . l~'~h•`. Street 151. !•70 'L State Edgdn, MN 55122
I ~
Improvemeni Date Amount Vears Payment Receipt Date
STREET SURF,
STftEET RESTOF.
GRADING
SAN SEW TRUNK
• SEWER LATERAL 1974 1438.91 95.92 15 Pdld
WATERMAIN
* WATER LATERAL 1974
• WATER AREA 1974
STORM SEW TRK
• STORMSEWLAT 1974
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. 110.00 7139 12-29-72
BUILDING PER.
SAC
PARK
~
ic-.u u~ i
y f
CITY Of EAGAN Remarks
Adtlition Su-rre Hei Lot 2 aik d Parcel7(~73991 eae 04
Owner ~~~~~C~ Street 1515 Woodview West gtate Eagan hW 55122
Improvement Date Amoun( Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWERLATERAL T43Y.TJT- . 81
WATERMAIN
WATERLATERAL
1974-
WATER AFEA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEF CONN. . - 9-
BUILDING PER.
SAC Z-2-9--76
PARK
CITY OF EAGAN Remarks--
Additiontijjnuv.o.~_,,,,y „vo~~HT-S Lot '-Blk 22 Parcei 1 n 7 10 03 020 2.2
Owner! Stteet GdLdyC State
Improvement Date Amount Annual Vears Payment Fieceipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CUFB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition S i-_. '??y uf1~}1t5 11 ~o ~"~~--Fr4 BIk 4 Parcel 10 73001 040 04
Owner ,~~'/-u ~riai3~~s'°" • screet 1519 Woodview West state EaganMN 55122
Improvement Date Amount Annual Vears Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
• SEWER LATERAL
WATERMAIN
• WATER LATERAL 1974
* WATER AREA 1974
STORM SEW TFK
• STORM SEW LAT 1974
CURB & GUTTER
SIDEWALK
STFEET LIGHT
WATERCONN. 110.00 7139 V-~z
gUILDING PER.
sac ' 7139 12-29-72
PAFK
~
CITV OF EAGAN Remarks 7 a
.4ddition SURREY HEIGfiTS 11 Lot 1 gik ZZ Parrel 10 73001 010 22
OwnerA)p,i "`.Street 1521 WOOdVi@w We3t Stare Eagan, MN 55122
Improvement Date Amount Annual Vears Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
; SEWER LATERAL 974 1438.91 95.92 15 Pa d
WATERMAIN
• WATER LATERAL 974
• WATER AREA 974
STORM SEW TRK
tSTORMSEWLAT 974
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. I10.00 7139 12-29-72
BUILDING PER,
Sac 2-29-Z2 -240-00 7139 PARK
. a ..k i . ' . . . t
VI
' 1WKVO OP ai~µ~.' 004W
3795 Pilot Knob Ro Eagan, Minnesota 55122
2L l
0
PERMIT NO.: 31Lp "
The Village of Eagan hereby grants to A. Binder & Son# Inc.
o£ 120 E. Butler Ave., Weat St. Paul 55118
a_ .Tr&A T~r- Permit for: (Owner) Surrey Haighte
a1499-1501-03-05-07-09-11-13CliI117-19-21
li..o+..iA,., , pursuant to application dated 4/20/73
Fee Paid: $94~ M dated this 30th day of April , 19 73
6.00 s/c
Building Inspector
Mechanical Permits:
ctid Total:
' ~ ' . - - , , • .
- - -
_
PILLAGE OF
Z~ 3795 Pilot Knob Road
Eagan, hlinnesota 55122
PERI4IT NO.: 3h0
The Village of Eagan hereby grants to A. Binder & Son, Inc.
of 120 E. Butler Ave., West St. Paul 5$118
a .jPAT=IG Permit for: (pwner) Surrey Haighte
il~99-150t-03-o5-07-09-11-t3-15- ~ ~ 19-21
a~ooavi~ , p suant to application dated 4/20/73
Fee Paid: $243 m dated this Oth day of April , tg 73
6.00 s/c
Building Inspector
Yiechanical Permits:
did Total:
a
PILLAGE OF EA(}AN ' - - . - ,
379$ Pilot Knob Road
Eagan, Minnesota 55122
PFRMIT NO.: 31L0
The Village o£ Eagan hereby grants to A. Binder & Sam, Iac.
or 120 E. sutier aoe., weat st. Paul 55118
a 'IrLRTSNG Permit £or: ( er)_ Surrey Naighte
a1499-1501_03-05-07-09-11-13-15-117~rr<fn21
T~~~+a+ , pur t to application dated 4/20/73
Fee Pai.d: ()n dated this 30th day of April , 19 73
6,00 s/c
• Building Inspector
Mechanical Permits:
Bid Total:
_ ~
t~, . . .
. ' • , ~ ^s°`5:~~~
k T`
VILLAGE OF EA(}AN
3795 Pilot Knob Road ^
Eagan, Minnesota 55122
PERMIT NO.: 3hp
The Village of Eagan hereby grants to A. Binder & Son, Inc.
of 120 E. Butlar Ave., West St. Paul 55118
a- 'lRATIr1(}Permit for: (Owner) Surrey Heighte
a1499-1501_03-05-07-09->>-13-15->>7-19 z
~o~i~+ , pursu to application dated 4/20/73
Fee Paid: 424a.00_ dated this 30th day of ppril , 19 73
6,00 s/c
I3uilding Inspector
Mechanical Permits:
j6id Total:
`.v~
" U
VILLt1GB OF EAGAN ~2
3795 Pilot Knob Road
Eagan, lliinnesota 5$122
PERP.IT NO.: 292
The Village o£ Eagan hereby grants to Coneolidated Plumbiro
of 1.500 Ciiff ftoad, Ilurngpilles pQT 55337
a PL[JI+IDING permit for: ~
(Owner) SUrreV HeSghts
a~ see below , pursuant to application dated 12/2/72 A
Fee Paid: 1t280.00 dated this 2nd day of Depember
Building Inspecto-~ ~
iviechanical PermiLs: U1-7- ,
, - -80-82, 1484-86.88-9o wooamte~? ~t, 1523-25-27-29;
3 1 33-35-37, 15j8-lio-li2yli, 1530-32-34-36 Aepen, 1531-33-35-37, 1523-25-27-29,
~ ~ 5~ i 7ii g-2i ,15o7-0~9-> >_1~ wooa~~, sa~, 1491-93'Q~ Y7~oodview Baet. ~
9~98-t5o2-ol~. 151 -16-t 20 wemvivt,n.
VILLAGS OF EAGAN
3795 Pilot Knob Road
Eagan, 14innesota 55122
?'EIUfIT NO.: 292
The Village o£ Eagan hereby grants to Coneo.lldated PlumbinQ .Co.
o£ 1500 Cliff Road, Burnavillej, p!N 55337
a PL[lMBING permit for: (Owner) Surrep• Aeighta '
au eee belrnt ~ pursuant to application dated 12/2/72 ^
Pee Paid: 1,280.00 dated this 2nd day of Depember , 19-72_,
. ac
Building Inspecio_* ~
Mcohanical Permits:
d 'total;
t~i]83-65-47- - -80-82, 1484-86-88-90woodviex Eaet 1
1531-3 -35-3?, 1538~0-la2~, ,1530-32-34-36 Aepen, 1531-33-35-37y 1523-25-2'l-29,5_27~29:
151519-2i , i so79_» _i~ wooa~er se~, 1491-93 ~~'f~oodvierr Baet
~ 49~ ~ 502-04, ~ 5~ -1 6-~ -2o wooaview aet.
' 16 7300/ G¢D
UILLAGE OF EAGAN ~
3795,Pilot Knob Road
Eagan, l'tinnesota 55122
PER1tIT NO.: 292
Tl-ie Village of Eagan hereby grants to Conealidated PlwohinQ_Ca~
of 1500 C11Pf Road, Hurnsville, AIN $5337
a PLUMBING permit for: '
(Owner) Surrey Helghta
at aee below ~ pursuant to application dated 12/2/72
Fee Paid: 10280.00 dated this 2nd day o£ Dopemper 1
3uilding Inspecto-~ ~
Me;.hanical Permits:
d 'Potal;
13-85-57- , - - , -80-820 1484-86-88-9o wooaview Eaet, 1523-25-27-29:
3 1531 -33-3-37, 1538-40-42-14, 1530-32-34-36 Aepm, 1-531-33-35-37, 1523-25-27-29,,
~ 1515 210 15o7-c9-> >-i~ wooaviea aes~, 1491-93 ~ ooavi.e~r uaet
9~98- 502-04, 151 _16-1 20 woodviefr est.~,~ q
t1+
aa-
73001 016
VILI.AGS OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
1'ERSf,IT NO.: 292
The Village of Eagan hereby grants to Coneolidated Plumbi4 rn-_
of 1500 Cliff ~s BurIIsvillB, MN 55337
a PL[R+BING permit for: '
(Owner) Stiu'reV Heighte
a'u aes belrnr ~ pursuant to application dated 12/2/72 ^
Fee Paid: 1p280.00 dated this 2nd day of Depember 1 9-72_,
Duilding Inspector ~
rieciianical Permits:
4 ' utal:
15-47- , - - - -60-82, 1484-86-88-90 woodviex Fset, 1523-25-27-29:
531-33-35-3~ , 1538-li0~2~; 1530-32-~-36 Aepen, 1531-33-35-3T9 1523-25-27-29,
~ 1 b95b-98 ~i 50 0!4 50759 i G-ii- 2o°w°iooa e?~eet ~9 ~90 ~17ooavsew gaat~
~
CIT;' C^ I:r1GAN
3;7;~5 Pi7.ot Kneb Road
' Eag ;n , Mjinr,eao ta 55122
PEFrIIT RTO.:---- 38
. T'.;c City of Ea.g2-n hFreby gre.nts to Milbert Oo. - CUlliqan I
~
of 1001 !lnrie Ave. so., So. St. Pnul. 1QQ 5507l
J. Bezmenn, K. Stroeky, J. Dragar, C. Iriah,
a gQT7Xn_g _ Permitsf'or: (Owner D. Gaueman B. MOC an end M. Haczi~
4;70 Qtivxup, t~2~~ 1521 6M 3 H~1
lr_-nt to appiic.tion daced _ 5/5/76 _
P;:e :si.c:: $.35.00 d<:ted this 25 day of !!av
3.50 s/c
Itui_ding SnsFec~,)r
1.7p:^ar.ir,r1 FerTits: ~
Ei_1 Tot:.lf
~
t ~ RESIDENTIAL BUILDING
~~q Permit Application
I L~ City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construclion Reauirements RemodeVReoair ReauiremenLS OKce Use OnH
3 registered site surveys showing sq. h of lot, sq. R. of house; and all roofed areas 2 copies of plan CeA of Survey Recd
(20% mazimum lot coverage alloxed) i set of Energy CaIcuW6ons for heated addNOns Tree Pres Plan Recd
2 copies of plan show(ing beam & window sizes; poured found design, etc 1 site survey for additions & decks Tree Pres Not Reqd
1 set of Energy Cakulatbns Adddion - irrdicate i/on-site septic system _ On-site Sepfic System
3 copies of Tree Preservalion Plan if lot platted after 711193 ~
Rim Joist Defail Op6ons selection sheet (bldgs wiN 3 or less units ~
Date -10 Construction Cost7
Site Address UnidSte #
s-s~a
DescriptionofWork~ ~pp~Lf ~ro,~-~Sfe4S
Troperty Owner _SUllkQ1L~s 10wv~v~0yv.e S Telephone 1 5A-) 511- S575-
Contractor _ American Building Contractors, [nc.
Address _ 12247 Nicollet Ave South CitY
State Burnsville, MN 55337 Telephone )
(952) 707-6959
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CategOry . Residential Ventila6on Category 1 Worksheet . New Energy Code Worksheet
(V submissiontype) Submitted Submitted
• Energy Envelope Calculations Submi
Licensed Plumber rr _ 0~~ 1\11 Telephone ~
t1~
Mechanical Coniractor OS 0 2p03 Telephone )
Sewer/Water Contractor ~ Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ~
UCA 1,Ufv~-V\
Applicant's Pried Name Applic t's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-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 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex B 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
~ 34 ReplaCement 'Oemolition (Entire Bldg) - Give PCA handout to applicant
Valuation zi,~00 Occupancy R'- 3 MC/ES System
Census Code ~~3 r Zoning yZ"3 City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Q J~ Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
ZE Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
1o Framing _ Siding Stucco _ Srone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utiliry Connection Charge
SSW Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
Fle Edt View ?ools Applicatiax Help
Q rR ry \7~ V R J~~~~I u~ ~~~ll ~
Comments ~ i
a
Eagen Building ~ Eagan Developmerrt ~ PermQs ~ Conrtection
Owner I Ea9an AssesslSeles ]Ea9an ProPenl? lEagan Zoning ~
1507
i Parcel ID 1-167'3-0`0~1`M2 i
~
Address 1517 '-4~; WOODYIEWAVEW '
" Ownet 1 JAEKE TIMOTHY M ~-_tj
9150JEF'FERSON TR
INVER GROVE HTS MN 55037 q
9 5 7 1
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y~gS v
~ .AdV 4 _J
Owner 3 0
7 z~ ~
Ts^ 4
'
Owner 4
.
, ~g:.
4i~~t`;
~ _ - - -"p
!.1 _ ~ ? -
~
~ Search PID ~ Search House 1517 WOODVIEW AVE W
;~Start Documen... ~LOGIS PI... ~Inbox - OTom Colb,.. ORuss Mat... City of E... 10: AM
53
. . ~
~oa qq5~ RESIDEnTIAL BUILDING
Permit Application Q
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5674
New ConsWdion ReouiremenLS RemodeVReoair Reoui2ments OKce Use Onlv
3 registered srte surveys showing sq. R of lot, sq. ft of houu; and all roofed areas 2 copies ot plan Cert of Survey Reo9
(20% maximum lot coverage allowed) 1 set of Energy Calwlations for heated addiGons Tree Pres Plan Recd
2 copies of plan showing heam 8 wiMow sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd
i set of Energy Calculauons Addifion - indicate ifon-sde septic sysfem _ Oo-sHe Seplic System
3 copies of Tree Preservation Plan if lot platted aRer7/1193
Rim Joat Detail Options seleclion sheet (bldgs wiN 3 or less unAS ~U--e4 12,11113
Date 01 ~ Construction Cos~t
SiteAddress \~06C11)%P.W +4vP ~015-I- UniUSte #
c
DescriptionofWork RPp\~C.tf V('vA~-
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner~ c3Vvrey {~e~4~E) 1UWv~~~N^25 Telephone#(~St~.) la~-SS~S
,
Contraetor _ American Building Contractors, Inc.
Address _ 12247 Nicollet Ave South cit3'
State _ Burnsville, MNI 55337 .3 Telephone )
(952) 707-6959
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category Minnesota Rules 7670 Cateeorv 1 _ Minneso[a Rules 7672
(J submission type) • Residential Ventilation Category t Worksheet . New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submi
Licensed Plumber (f~ Q q I 9 Telephone )
v
Mechanical Contractor 0 2p03 Telephone J
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a perntit, 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.
Q ,sv~ Cv.rr-.A L Lv\,
Applicant' rinted Name ApplicanY ignature
OFFICE USE ONLY
Sub Types
O 01 Foundalion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Exi. Alt - Multi
0 03 Ot of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt- SF
? 04 02-plex O 10 08-plex try 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04•plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraUon ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
'p 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 7~ i;~ o Occupancy jZ MC/ES System
Census Code 1-13~ Zoning 2"3 City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const U~ W idth
REQUIREDINSPECTIONS
_ Footings(new bldg) PinaUC.O.
po Footings (deck) ~D Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
fG Framing _ Siding S[ucco Stone
_ Fireplace _ R.I. _AirTest _Final _ Windows(new/replacemenQ
_ Insula[ion _ Retaining Wall
Approved By ~ ~ , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~ ~ ~
o . . .
F0e Edit Vieva Took Applitations hielp
-commerrks - ~ ;
Eagan Building ~ Eagan Devefopment ~ Permits ~ Connectian ~
Owner lEagan AssessiSeles ~ Eagan Property ~ Eagan 2oning ~
~
Parcel ID 107300104004
Address 1519 (VJOODVIEW AVE"W - ~
i
~
Owner 1 gELLEW KATHLEEN i m
~
1519 WOODVIEW W
~ EAGAN MN 55122-1327 .
Owner 2 ~
a 5
$ ~ xi-x~
7
4 4
Owner 3 a
secL: FEh. M1
Owner 4 ~
~
° 'W~ - ~
~ Search PID ~ Search House 1519 WOOD'JIEW AVE W
;gMStart ~Documen... ~ LOGIS PI.,, IMInbox - OTom Colb... ORuss Mat.,. City of E... S 1:O1 AM
PERMITti 1~ fl 1;L_ RECEIPT DATE:
RESID£NTIAL PLUM$INfi PEfiMTf l4PPLICATION
CITY OF E4fiE4N
S$SO PILOT KAOB fiD
EAfiAN, MN 55122
651-691-4675
Please complete for: > single family dwellings
: townhomes and condos when permits are required for each unit
i backflow preventer for irrigation system
SITEADDRESS: (N )
C4VNER NANIE. . 7~G05;,,o pJ~~-~-EG() TELE°HOr!E
I (AREA CODE)
i7~m /P KEs6~~ - /
INSTALLER NAME: fZK ~i G~Al10,655 TELEPHONE Z 6 ~7 l
STREET ADDRESS: (AREA GODE)
~yO ~ Y
CITY: ~ VlA rt7T~D STATE: ZIP: S~6~j
Place a check mark next to the ermit work t e
New residential dwelling unit under construction and not owner/occupied $ 90 00
~ Add-on, modification or alterahon to existinq dwelling unit, induding: $ 50 00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work. E ~,6 ~OP'IGg 47817
Sep?ic Systeiri, new/re`ur',isl;ed - $ 225 00
• includes Caunty 8 Consulting Inspector fees '
• requires MPC license
State Surcharge $ 50
To ta I $ S~
~V • J ! n~ I,~ f r ~ 1 ~
Remindec Be sure to schedule inspections of alterations, i.e: water heater's, water softeners, etc.
I` n~~~ '
Iherebyacknowledgethatlhavereadthisapplication,statethalthemformationFS~c6deq Gt,and~F~~toco~rplywithallapplicableCiryofE ganordinances It
is the applicanCs responsibility to nohfy the property owner that the City of Eagan assumes no liabihty for any damages caused by the ry during its normal
operational and maintenance achmLes [o the facihties constructed under~jthis permit prop lright-of-wa asemen
SIGNATURE OF PER EE
Updated 1I01
CITY USE ONLY
PERMIT#: ~~oy RECEIPTDATE:
RUIDENTIAL MECHlRICAL PERMIT ~PPLICAITOR
crrY oF easAN
3930 PaoT Kvos Rn
8A8RN MN 55122
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: (J-
`
SITE ADDRESS: k-~C)G(A- V I ~-j
OWNER NAME: aA,,-~ TELEPHONE 'r7 I- -I-Q a
(AREA CODE)
INSTALLER NAME: TELEPHONE 65 f-
(AREA CODE)
STREET ADDRESS: oZ~ 1 4-6 S~• L-0 C~ ~ cr;(46S
CITY: ~SQm~t1~ r~~ STATE: ZIP: 550(ba-4q,5
=5
Place a check mark next to the ermit work type
New residential dwelling unit under constructionand not owner/occupied $ 70.00
~ - , fieatiari-ar-elteraGexistina dwelling unit $ 50.00
ifutnace reolacement
• ai ohaag -
• air conditioner
• o e
Nature of work:
State Surchar e $ .50
Total b -~5G S~!
Reminder: Call jor inspections.
SIGNATt" PERMITTEE
Updated 1101
CITY USE ONLY
PERMIT RECEIPT DATE:
APPROVED BY: , INSPECTOR
COMMERCIAL MECEANICAL PFItM1T APPLICATION
CiTY OP E4fiAN
8880 PILOT KNOB RD
E48l41V, MR 551 YE
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE -
(AREA CODE)
CITY: STATE: ZIP:
WORK T1'PE: _ New construction _ Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
SpecifyNature of Work:
When insla![ing/remaving underground tank, caU 651-681-4675 for inspeclion by Fire Marshal and
Plumbing finspector.
Fees: 1% of contract price OR $50.00 mioimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Conhact price: $ x 1%_$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/O1
.
~ EAGAN TOWNSHIP
~ BUILDING PERMIT N° 2903
Owner Eagan Townahip
~
~-U n n~
Address (Prasenf' / ........................d...........
f...'t-a-...1 Town Hall
Huilder
Dete
' Address ~
...DESCRIPTION 6'T 6
5tonea To Be Osed For Front DepSh Heighf Est. Cas! ~Permi! Fec Remarka
.3a I c•iy, o-.-° i~ ,c, o~
- ~
LOCATION /
Si:eef. Road. or oiher Deacripiion al Location I Lo! Block I Addilion or Traet
I
S;Gz7`~~..u...~
?~,y
This permii does not auihorize the use of slreefs, roads, alleys or sidewalks nor does it give the owner or his egent
the iigh! !o ereale any sifueiion which is a nuisance or whieh presenfs a hazard So the heelth, safety, conveniance and
~ general welfare !o anyone in the eommunity.
THIS PEAMIT MUST BEKE~P"T ON THE PREMISE WHILE THE WORK IS IN PROGAESS.
Thls u fo eerfify, lhaS.,,.WC.cf.. . -..has permission !o erecf a....f'.....:Y~.........
the ebove deacribed premise Bubjeci io the provisof !he Building Ordinance for Eagan Township edopied April 11,
1955.
. .`...........1~::---..~rv..... Per ..._..--...~.KS~_.~;c....(/' QP
eSd Buildin Ins aetor
O ~
~~,F\ 4 -c5v~-C;,)--
? y, C/
~ A, ,.M MASTER CARD /
IOCATION
OWNER
STRUCTURE AND
LAND USED AS
Issued To
Permit No. Issued Confractor Owner
BUILDING
PLUMBING _
CESSPOOL - $EPTIC TANK
V.'ElL
ELECTRICAL HEATING ~
GAS INSTALUNG
SANITARY SEWER
---,F-c1-~
OTHER
OTHER
Approved
Items (Initial) Date Remarks Distance From Well
FUOTING y-1~. 77 SEPTIC
FOUNDATION y-1 y -7~ CESSPOOL
FRAMING TILE FIELD FT
FINAL -
ELLCTRICAI.
DF
F.t~ii?: G P1H
`/'14nF Wftl
G%,5 II•:STALLATION ~
SEPTIC iANK
CESSPOOL
DRAIN'rIELD
PLUM81NG t
~~L?J ~Y-~~•
WELI
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
7
. .
' EAGl;N TOTJNSHIP
3795 Pi1ot Knob Road ZU
St. Paul, Minnesota 55111 ~
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: December 2, 1972 N[MffiER 1237
Woodview
OWNER: ,rrev Heiehts ~ Address1515 17-19-21 6M~ West
PLUMBER Consolidated Plumbine Co. TYPE OF PIPE heavy cast iron
DESCRIPTION OF BUIIDING
Industrial Commercial Residential Multiple Dwelling No, of units
4 unit to houses
Location of Connections: Connection Charge o!o h;iio,a
Permit Fee 10.00 pd 12/2/72
pd 12/2/72
Street Repairs .
Tota 1
Inspected by:
Date
Remarks:
By.
Chief Inspector
In consideration of the issue aad delivery to me of the above pexmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dalcota County, Minnesota
By. Consolidated Plumbing Co.
Please notify when ready for inapection and connection and before any portioa
of the work is covered.
. ~
~ • EAGFN 1VWNSHIP ' 04
3795 Pilot Knob Road 62o
St. Paul, Minneaota 55111
Telephone 454-5242
PER141T FOR WATER SERIVICE CONNECTION
Date: 12/2/72 Number• 1071
Billing Name• Surrey Heights ff
Site Addrese: 51U17-79-21 Woodvi5w West
Owner: Billing Fddress
Plumber: Consolidated Plumbing Co.
Location of Connection Meter Size Connection Chg.
i
Meter No, Permit Fee 10.00 nd ff1222
Meter Reading t r Dep. •50 pd 12/2/72
1515_ M e Sealed: Yes , hg~.~=~Lc~
1517_ e
NO Total Chg. ~
v1519e22543940 _ 411477 i
15219
Inspected by
Date
Building is a: Remarke:
Residence F<< FOR
$25.G~
t-[ultiple x ro, units 4 IMPRppEHLY INSTALLED METERS.
Commercial
Iadustrial Sy;
Other Chief Inspector
In conaideration of the iseue and delivery to me of the above permit, I
hereby agree to do the proposed work ia accordance with the rules and
regulations of Hagan Townahip, Dakota County Minne ta
By: Z
Consolidated Plumbing Co.
Please notify the above office when ready for inspection and connection.
~
' 22
EAGEIN TOi1NSHIP
3795 Pilot Knob Road ~
St, Paul, Minneoota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: Decenber 2, 1972 NUMgER 1237
L17, Woodview
OWNER: ~rrev Heights ~ Address151519-21 Mq&RF6M West
PLUMBER Consolidated Plumbine Co. TYPE OF PIPE heaW cast iron
DESCRIPTION OF BUIIDING
Industrial Commercial Reaidential Multiple Dwelling No. of units
4 unit to houses
Location of Connectiona: Conaection Charge_9 (0 D."-D~
Pexmit Fee 10,00 pd 12/2/72
.Opd 2272
Street Repairs
Total
Inspected by:
` T Date
Remarks:
,
By.
Chief Inspector
In conaideration of the issue and delivery to me of the above peimit, I
hereby agree to do the proposed work in accordance with the rules and
regulationa of Eagan Toc•mship, Dalcota County, Minnesota
By
Consolidated Plumbine Co.
Please notify when ready for inspection and coanection and before any porCion
of the work is covared.
r-~
- Zv
EAGFN TOWNSHIP ~ '
3795 Pilot Knob RoEd O
St. Paul, Minnesota 55111
Telephone 454-5242
PERPII T FOR WATER SERVICE CONNECTION
Date: 12/2/72 Number: 1071
Billing Name: Surrey Helghts ~ Site Address: 1515 19-21 Woodvi¢w 'v7est ,
Owner: Billing Address
Plumber: Consolidated Plumbing Co.
Location of Connection Meter Size Connection Chg.
Meter No. Permit Fee 10.00 Dd 12/2/72
. •50 pd 12/2/72
Meter Reading t r Dep
, / s..,.-~ •//is/~
1515_=,A.-'t~er Sealed: Yea~
1517- -7-t7a.a'9 "F o--,! G / Z=
NO Total Chg.
i
w1519a22543940 - 411477
15219 a
Inspected by
Date
Building is a: Remarke:
Residence
14ultiple x xo. Units 4
Commercial
Induatrial &y: '
Other Chief Inspectbr
In conaideration of the iaeue 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 Township, Dakota Cou4v- t' Minne~Ota )
~ /
sy:
Consolidated Plumbing Co.
Plesse notify the above office when ready for inepection and connection.
~
EAGEIN TOTdNSHIP
3795 Pilot Knob P.oad ~
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: Decenber 2, 1972 NUMBER 1237
Woodview
OWNER: Surrev Heights ~ Address1S1S-17 19 21 4F&PRF6M West
PLUMBER Consolidated Plumbine Co. TYPE OF PIPE heaw cast iron
DESCRIPTION OF BUIIDING
Industrial Commercial Reaidential Multiple Dwelling No, of units
4 unit to houses
Location of Connections: Connection Charge [09 Q.p-p hi I I °a
Permit Fee 10.00 12T-/2/
.0 pd 2272
Street Repairs
Total
Inspected by:
' Date
Remarka•
BY
Chief Inspector
Ia 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 Towmship, Dal:ota County, Minnesota
By
Consolidated Plwnbine Co.
Please notifq when ready for inapection and connection and before any portion
of the work is covered.
i~
- - ~ , ~ -
EAGFN TOWNSHIP ~
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERtII T FOR WATER SERVICE CONNECTTON
Date: 12/2/72 Number. 1071
Billing Name: Surrey He1ghts ~ Site Address: 1515-17 ~9,21 Woodvi~w West
Owner: Silling F.ddress
Plumber: Consolidated Plumbing Co.
Location of Connection Meter Size Connection Chg.
i
Meter No, Permit Fee 10.00
Meter Reading t r Dep. •50 pd 12/2/72
, / o.,.-a .?/is/~
1515- ~-Q M~r Sealed: Yea_ hg,~.._.-._~
15'17-.a.~76--~%~ Ap Total Chg. ~
?i 519922543940 - 411477
i
15219 -y
Inspected by
Date
Building is a; Remarke:
Residence -
~
I3ulti le x
p Ro, Unita ,
Commercial
Industrial gy; +
Other Chief inspector
In consideration of the ieaue and delivery to me of the above permit, I
hereby agree to do tte propoaed work ia accordance with the rules and
regulatioas of Pagan Townahip, Dakota County' Minne ta~
, ~
By: Cv ~
Consolidated Plumbing Co.
Please notify the above oftice when ready for inepectlon and connection.
EAGEN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE; Decenber 2, 1972 ' NUMgER 1237
Woodview
OWNER: ~rrev Heights ~ Address1515-17-1 2 6FRRRF6M West
PLUMBER Consolidated Plumbine Co. TYPE OF PIPE heavy cast iron
DESCRIPTION OF BUIIDING
Industrial Commercfal Residential Multiple Dwelling No, of units
4 unit to houses
Location of Connections: Connection Charge hiII°a
Permit Fee 10.0,0 12
.50 pd 2 2 72
Street Repairs
Total
Inspected by:
Date
Remarks:
.
.
BY
Chief Iaspector
In consideration of the issue atxl delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of $agan Toemship, Dalcota County, Minnesota
By
Consolidated Plwnbing Co.
Pleeae notify when ready for inapection aud eonnection and before any portinn
of the work is covered.
. ~
~ .i ~ ~ ~ •
EAGFN TOWNSHIP
3795 Pilot Knob Rosd
St. Paul, Minnesota 55111
Telephone 454-5242
PERtUT FOR WATER SERVICE CONNECTION
Date: 12/2/72 Number• 1071
Billing Name: Surrey Heights ~ Site Addresa: 1515-17-19 21 WoodviCw West
Owner: Billing Address
Plumber: Consolidated Plumbing Co.
Location of Connection Meter Size Connection Chg=02/2/72~~~
i
Meter No. Permit Fee 1MeterReading t r Dep. •50 pd 12/2/72
M
1515- te Sealed: Yea hg,?g..
1517-.~a~a.E%•s n~.lG• i ~ NO Total Chg.
w"519s22543940 _ 411477
-
1521e.,~~~~,~ ~ - y~
Inspected by
Date
Building ie a: Remarka:
Residence
Multiple X so, Unita 4 IMpROpt„Li i(VSiALLED METERS.
Commercial
Industrial By; +
Other Chief Inspector
In conaideration of the ieaue and delivery to me of the above permit, I
hereby agree to do the proposed work ia accordaace with the rules and
regulatione of Sagan Townahip, Dakota County ' Minne"ta
By.
Consolidated Plumbing Co.
Please aotify the above office when ready for inspection and connection.
~
, - PERMIT
~ CITY OF EAGAN
3839)Pilut Knob Road PERMIT TYPE: B U I L D I N G
Eagan, M innesota 55122-1897 Permit Number: 0 3 3 9 9 4
(651) 681-4675 Date Issued: 11 / 12 / 9 8
SITE ADDRESS:
1519 WOOpVTEW AVE W
LOT: 4 BIOCK: 4
SURREY HEIGHTS 2ND
P.I.N.: 10-73001-040-04
DESCRIPTION:
Buildinq Permit Type DECK
Buildinq Work Type NEW
Census Code 434 ALT. RESIDENTIAL
.
~ , , - . - ,
. . _ t'
. , , .
REMARKS:
PLNN REVIEWED BY BILL ADAMS.
FEE SUMMARY:
Base Fee $50.00
Surcharqe $.50
Total Fee $50.50
CONTRACTOR: - APP.tioar,t - sr. LTC. OWNER:
,(3ROTEN DESIGN & BUILD 13229226 0005768 BELLEW KATHY
114286 CRANBERRY WAY 1519 WOODVIEW AVE W
,ROSEMOUNT MN 55068 EAGAN MN 55123
(612) 322-4226 (651)687-0818
I hereby ecknowledqe that 7 have read this appli.r.ation and stiate that the
information is correct and aqree to comply with all applicable State of Mn.
L Statutes and City ofi Eaqan Ordinances.
ANT/PERMITEE SIGNATURE ISSUED BY: SIGNAT RE
,
CITY 0F F_P(=AN
L'ASN:[EF: S 71:FMINRL NOa 893
UATE: 11/12/98 TIP1E: 0•100
rLi -
RAME: RnOTFN UESIGN G L+US'-rl
32t0 9001 1513 WCODV.T.E1^I A 50.00
2155 9001 1W9 KOUnVIEW A 0.50
e
To'r.al Rcce;_prt, amount.: 50.5R
CRO'3`)305
YSEF• f D n NANC"
~
' ~J
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
* 3830 PII.OT KNOB RD 55122
33 ~ ~ 682.4675
New Construction Reowrements RemodeVReoair Requirements ~--~XJI~/ ((4~- I~
? 3 registered site surveys • 2 copies of plan
• 2 copies of plans (inGuEe beam & window s¢es: poure0 fid design; etc.) ? 2 site surveys (extenor addRions 8 tlecks)
? 7 energy calwlations ? 7 energy calwlations for heated adtlitions
• 3 copies of vee preserva6on plan if lot platted after 711193
required: _ Yes _ No
DATE: CONSTRUCTIaN COST; 11D 0 ,
DESCRIPTION OF WORK: I~C, C-K
STREETADDRESS: /SI 5 V Y dod ?ZC17- &I&I-J
LOT: BLOCK: _'4 SUBD./P.I.D.
Nazne: 13E~IcI,,) Phone#:
PROPERTY 1.ast Pirst '
owxER (~i q
Su~eet Address: 0060r~w CN6~ST`"
City ~b6.AJ State: MN. Zip: ~
~2 .
Company: l~lZO -fE`(J 'bitz-51 LA) ll 1 L,~ Phone 3'Z2 " LI Z Z~
CONTRACTOA
Street Address: ~ 4Z g(~ L'~{~b~-~"( tn~fy License 0
City ~DStS~'~tOU+v i State: Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
Ciry Sute: Zip:
Sewer 8 water licensed plumber (new construction only): Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appliption and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECEIVED
Certificates of Survey Received Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required BY-
,
.
.
OFFICE USE ONLY ` , •
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex O 12 Multi RepairlRem. ? 17 5wim Pool
O 03 SF Addition ? OB 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ~15 Deck
WORK TYPE
? 31 New A 33 Afterations ? 36 Move
? 32 Addition O 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code C"'J
Census Bidg _L
Census Unit ~
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Cities Di i~ ta1 Qualitv 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.
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612
. . ~ ' . .
This is a Telecopy from the Law Offices of
BUWMAN ANY1 BROOKE Y.I.P ,
, 150 South Fifth Straet
Suite 2600
Minneapolis, MN 55402
(612) 339-8682
:Ffa' ,.E9R ^ G`•'"f,.~,~~ ~~',~iii. ;r• ; i9' l ~ ..G' i i i~r~',:
n
60'
~,.~i , u dC tl y~ 01~ V<y ' •i ~ Id~I~'~"r
y~~g,~ q~ II y
Sf ~ t ~ i;~l~l I I 4 ~ i' IEI.L~ II ~,~~i .dI qIS~
DATB: 11110/48, TIMB SENT: 5:30 P.M. NUNIBBR SENDiNCi TO: 681-4694
TO: Buildiug Inspector' HOWMAN ANA BRQOKE T.LP'S
FAX NUMBER; (612):672-32U0
OP: Ciri Of EaRan
FROM: Aonna Trimble Our machiue receives automarically
malce/modal JetFax
TOTAL NUMBER OF PAGES INCY.UDING COVER PAGE: 2
SPECTAL INSTRUCTIONS:
If you do not reccive all pages, please contact us unmediately at (612) 339-8682, ext..2532. ,
? Hard capy will follow by U.S. Mail
? T3ard copy wiil follow hy Pedecal Expresa
~ Hard copy will not be senE
CLIENT NAME : .
~
CL,IENT NUMBER: _ _ _ _ _ MATTER NLIMBFR:
612
Senf by: bOINMAN&BR60KE 612; 11/70198 5:26PM;JgtFdx #418;Page 2/2
Donna Trlmble
Surrey Neights Hameowners Associatipn
Eagan, MN 56122
~
VIA FACSIMILE
BuUding Inspector
City of Eagan
Municipal Center .
Eagan, MN 55122
To Whom It May Concem:,
1 am currently lhe President of the Board of Di1'ectors for Surrey Heights
Homeowners Aasaciation. The Board has given its apProval to Kathy Bellew's request
to add a deck to her resldence at 1519 Woodview West.
. Sinrarely. ,
Donna Trimble .
From:ALLSTAR CONSTRUCTION 19529427464 05/07/2014 10:08 #166 P.008/037
151, I51~~ IS I~ , 121 Woodu~
Use BLUE or BLACK Ink
I For Office Use I
j Permit#:
City of DEB I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I Q~p I
Fax: (651) 675-5694 I Staff: ( h 1
I 1
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5'1-119 Site Address: I5~;; i~ Cl11C,11 J511 WUWV1ew Wts+ (Guvme ~l T$ Otm~~
Name: SUTY_ fi b T > CIO, ~IOVSm ~mDOIYI U Phone: S9
r Resident/ t
Owner Address/ City/ Zip:163 b CI VV, PArkWOWI g-1101 PI?A(dt o M N
-_._.^F ( Applicant is:_ Owner _)L Contractor
Type of Work Description of work: Tea it off Re - RD of
a Construction Cost:. 1 2I I ZOO , 00 Multi Family Building: (Yes X / No )
k Company: AIlstay UnsInA Dn1 i7(r101_ 01_ GY) U7i, LUG Contact: tdYlt MC4yololn
E
City: Map(t. Plol(n
Contractor Address: StyS 1Y101VIStYiOll Sf _ 1110:1)
State: _KNZip: 953r-3'1 Phone: - Email M k Mist t . W I
` License P,431 G-5 Lead Certificate N AI- 2 A (0`1- O I
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) m
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 N you provide specific reasons that would permit the City to
conclude that they are trade secrets.4
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,oro
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.
Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
k Mlle mtbe►-mpt x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
From:ALLSTAR CONSTRUCTION 19529427464 10/13/2014 16:29 #854 P.002/004
Use BLUE or BLACK Ink
i For O�ce Use� �� i
Cit of E� �� I Permit#: � �
� � ��
� Permit Fee: � �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone:(651)675•5675 1 1
Fax:(651)675-5694 I Staff: I
I I
`����������������J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date, �� '��'��1 Site Address:_I�I� Y V O�V�l.� �IC• Unit#:
� Name: � G �. Phone: �
� Resident/ r�—
� Own�r Address/Ciry/Zip: `
Applicant is. Owner �Contractor
Description of work:,�Y�OVe � yw�O���i ��� V V`���(S
Type of Work � i
Construction Cost: �2� IDO _� Multi-Family Building:{Yes x /No_)
Company:�'tIIS�'fi1� �OY1S-IYU(i�l DI�1 MOINYI�.��Contact: ���P Meve�rr�a h
� ` Address: 5I'—IS �Yl(/�I/IS-CY10(,I St. �ID3 �,tY: Mrnp`e �IU�n
Contractor
State: �I�Zip:��°l, Phone: °l5Z�) �L-�`-I�Email: I VrI��OI llS��r �J7
License#: GJ1cJ Lead Certificate#:_N�T'��(�� ��
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 pertnit for a similar plan based on a maste�plan?
� _Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to.be public information.. Porfions of -
� the informafron may 6e classifred as non public if you provide specific reasons that woutd permit the CJty tv
���� __���_ conclude that they are trade secrets.� ��
CALI.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. wuvw.aoaherstateonecall.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 wkh the Minnesota State Building Code must be completed withi�180
days of permit issuance.
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Applicant's Prin ed Name pp icanYs Signature
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