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3603 Widgeon Way CITY 1OF EAGAN SEINER SERVICE PERMIT 3795 Pilot Knab Road PERMIT NO.: Eogan, MN 55122 pATE: Zoning: No. of Units: Owner: - : i , , . , , Address: Site Address 's, iA ~'i Plumber: 1 ogree !o wmpFy wifh Hhe Ci{y of Eagan Connection Charge: 25X(-' ' Ordinonees. Account De posit: Permit Fee: Surcharge: ~ gy Misc. Charges: Date of insp.: Total: Insp.: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Ea90n, MN 55122 DATE: • • Zoning; No, of Units: ~ Owner: " Address: Site Address: ' - ~ f . . . Plumber: ' Meter No.: Connection Chorge: $ize: _ Account De Reoder No.; Posit: Permit Fee: ~°9ree to comPlr wilh the City of Eagan Surcharge: ' Ordieanees. Misc. Charges: ~ Total: By Date Poid: Date of Insp.: 1 nsp.: • . CITY OF EAGAN 8795 Pllar Knob Roed Eogen, MN SS1~ N~ 5 4 7 2 PHQNEs 454-8100 BUILDING PERMIT ReceiPt # To bs used ier Est. Value Dnte . 19 $ite Address Erect ? Occupancy Lot Block Sec/Sub. - Alter ? Zoniny Parcel # Repair ? Fire Zone Enlarye ? Type of Const. W Name Move ? # Stories ~ Address Demolish ? Front ft. ~ Grode ? Depth ft. Ci Phone ~ Nome Approvols Fees ,o ~u Address Assessment Permit Ci Phone Water & Sew. Surchorge Police Plan check ~W Ncme Fire SAC Address Eng. Water Conn. aW Ci Phone Planner Woter Meter Council I hereby ackrawledge that I have read this opplicetion ond state that gldy, p{{, the infnrmation is correct and agree to comply with all appHcable Stote of Minnesota Stotutes and City of Eogan Ordinances. APC Totel Signcture of Permittee /1 Building Permit is issued to: on the express condition that oll work shall be done in occordance with all applicable Stote of Minnesota Statutes and City of Eagan Ordinantes. Building afffClol . , • . Persk # paN Iea~ POMktK Plumbing 7~ _ Mechanicol /41o a_ - Tj- -v INSPECTIONS DATE INSP. Rouph-In Finol Footings Date Insp. Dote Inap. Foundation Plumbing Frame/ins. //•/9-~f' Mechanicol - - Finol Remorks: a - a ~ • ~ ~ . ~xt"er~or -r" !P ~Vqle Tto~ ~IrP~ ~o?c~ l~r~r/!~~ i~t~r I r/ 2 y to yr3dlarro7` IKttµlltd ••r~`t P~ ~'!'?cst«+y ,I?t c K ~ ~~'arrr ro d eGk Zo hr e o~p le r'ed, . ' CITY OF EAGAN 3795 Wlot Knob Rood Ea9ae, Minnesota ssizZ INSPECTOR NOTIFICATION No. Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS 9-8-SQ . Dcte: Receipt No.: Single : I Site Addreu: ' Residential ; F'rencis I Lot ~ Blxk Sub/5ec. ~ Multi Res., Comm./Ind. a N1an+e New/Alter./Rcpair . ; Address Cost of Instollation . City Phone; Permit Fee COmmeT3 SOI't vi&t62' . Nome Surthorge . ~ 3r..~ ~i r•~lliforni". . . ~ Address City Phone: Total This Perrr+it is issued on the express condition thor all work shall be done in accordance with all appliooble Stota of Minnesota Statutes ond City of Eagon Ordinonces. Building Officiol • ' CITY OF EAGAN 3795 Pilot Knob Road ~ Eagan, Minne:ofa 55122 Phone: 454-8100 PERMIT No. tt 1524 Date: ReceipT No.: I 3603 W1'dqem w` Single Site Address: Residential ~ Lot ~ Block ~ Sub/Set. Multi Res., Comm./Ind. ' -'ar.tin? Colst..`^t:~'rtl an Name New/Alter./Repair. 0 1471 ;~'lc~I'1CIP 3 Address Cost of Instollation O Faqan 452-5373 City Phone: Permit Fee r~,F'Il2-n~rffi1 r, n Nome, Surcharge ~ ~ e ~ Address 14745 `~3. T'd'-cT"t e 0 V ,~,r ^~~~r`~ i~~~ . City Phone: ~Totol This Permit is issued on the express condition that all work shall be done in accordonce with all oppliwble State of Minnesota 5tatutes and City of Eagon Ordinances. Building Official ~ CITY OF EAGAN ~ • ~ 3799 Pilot Knob Rood ' Eagan, Minnesoto 55122 Phoee: 454-8100 f~°Z'~~ • ~ PERMIT No. 1610 • Date: 31/5/79 Receipt No.: 16 Single I Site Address: 3603WxCIgG'UTl Wdi7 Residential ~r Lot Block 1 Sub/Sec. _ St. FrdTaCia _ Multi Res., Comm./Ind. ~ Name 'rCart"h~' New/Alter./Repoir m 14%1 i3ri,dmeview TErracE 3 Address - Cost of Installotion O City Phone: Permit Fee ~ ~ ~ • 00 P~-- 1 t~l.~.o% rlllc' ~f~ Name , Surcharge - • . ~ Address 13004 B 16th AVe. t,;c1. c 0 V -r~;_ Phone: ) , ` Totnl r City This Permit is issued on the express condition that all work sholl be done in accordance with all upplicable 5tate of Minnesota Statutes and City of Eagon Ordinances. Suifding Officiat ~ CASH RECEIPT ~ CITY OF EAGAN - 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVffC FROM AMOUNT $ ; I & DOLLARS ~oo ? CASH ~ CHECK i , 6J _ ii FOR - . .r' PUND CODE ~ AMOUNT ~ - " . ~ i Z Thank You ~ ly . White-Payers Copy Yellow-Posting Copy ~ ~ 3 r ' Pink-File CoPY yrr ~.~~,'.~~,`~,-r'^. ;-r~'?~-~.-.~rr~ . 1"=:r ..c~_:y_ r4i. "c-.~_' ~ . - _ " _ ti~Z~=..:_~5•~__'T'~'-~- ~i- ~~.LS;ti~__3~;' ~ ~j~' V~rrftf tra} l~ ~f "'avrrupaury v Citp of (Eagan r~ r: mPpal'IttlP2t# of llI[I~trig ~ ~ ~y • ,1 Tbds Ccrti ficate iasritd pursArant 1o tbe requinmcntr of Sution 306 o f tix Unifo.+n Building ~'r Codr resti f ying that at t!x time a f itsxanct tbit ttrraturt wat in compliaact with tlx variout ordixaRCCS o f t& City ngxladng blaldiag cattrxcsinn w ux. For tlx following: t,.chmawnfim SF D9vPlling / ('~aragP eias.ftrwift xa--5A72 t ~ o0„n.,wr TYa R3 TYp. cOExtmwbv - Fi.. 7.,.,. I I I zj% nwria Rl . ' hAnC!.arthv (;onetr_ Add,.r 1471 O~~r ot ~urdfo~ • clgpvi • ~ 3603 Wi on Way Lmobty Lotl Block l,St. rancis Wo By: March 4, 1980 ' TM4PORARY (AS REFERENCID ON INSPECTION CARD ) i ~ ~l _ _ _ _ _ ~wT r • co~ncuou~ rue[ - _ - _ ~ ~_~._.~~A ~_L- :z ~'_~sti•~-~- ~.:=_yi. ~ ~i'.~_~•_i~r.: _ ~ p- ` . . . . . . • y~ CITY OF EAGAN Remarks Addition ST. FRANCIS WOODS Lot 1 Rlk 1 Parcel- 10 65900 Ola Ol Owner Street 3603 Widgeon Way State Eagan, NW 55123 +2m"& 8ackvvee& f~~ Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 3 5 1582.65 STR EET R ESTOR. IMP~Ijf 75.00 GRADING *SAN SEW TRUNK rV 3414.67 A008937 3 11 80 fSEWER LATEFAL WATERMAIN 11WATER LATERAL *INATER AREA t •STORM SEW TRK 1tSTORM 5EW LAT 1980 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. it 9,70-00 BUILDING PER. 5479 SAC PAR K Ll .7 90 °a ~ RESIDENTIAL ~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 657-681-4675 New ConsW etion Reauirements RemodeVReoairReau(roments • 3 registered sile surveys shovnng sq. ri of bt, sq. ft ot twuse; enc6ll ropfed aiees . 2 copies M plan (20% mauimum bt coverage albwed) . i sel of Energy Celalations far heated add'Abns • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exteria additions 8 tlecks • 1 set ol Energy Calalatbns . Indiwte'd Iwme served by septic system for addiGons • 3 copies of Tree Presenation Plan N lot pladed after 717193 • Rim Joist Detail Options selection sheel (bldgs with 3 w lass units) C c--i- I I DATE VALU/~[ION JOB SITE ADDRESS O~ l.cE C~s,f1 1L ) Ci ~r=-t~~+_TM^f IF MULTI-fAMILY BUILDING, HOW MANY UNITS? -0 PROPERTY OWNER Al? ~ K f2a n K'iCLP M4 r CM V_ TYPE OF WORK Re p(ce-CC cAe&. FIREPLACE(S) _ 0_ 1_ 2 APPLICANT M4f K- 2Lye n C r 6-af~ PHONE# 65l-06gF~llZ~o ADDRESS :~G~ ZIPCODE PAGER # CELL PHONE # 6 12- ~ Y7 a 96d FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY ener9y Code Category _ MINNESOTA RUI.FS 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor. Phone tk Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Fs ,`,1'' I I I Sewer/Water Conhactor. Phone 0 0 ~ J J All above information must be submilted prior to processing of application. "CV I hereby acknowlpdge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SlgnalureofApplicant i Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ~ ~ ? 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3•sea.) ? 31 Ext. Alt- Multi O 03 01 of _ plex O 09 07-plex 0 77 Garage ? 22 PorohlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ;8; 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex 0 19 LowerLevel ? 24 Storm Damage O 06 04-plex O 72 12-plex Plbg Y or _ N ? 25 Miscellaneous O 31 New ? 35 Int Improvement O 38 Demolish (Interior) O 44 Siding x 32 Addition 0 36 , Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration • O 37 Demolish (Bidg)" 0 43 Reroof 0 46 WindowslDoors ? 34 Replacement •Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation 2/0 -,PC, Occupancy L-114L MGES System Census Code y3VI Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs _L Length Fire Sprinkiered Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ~ Footings (deck) ~ FinallNo C.O. _ Footings (addilion) _ Plumbing _ Foundarion HVpC Drain Tile Roof _ Ice & Water _ Final _ Other _ FraminB _ Pool _ Ftgs _ Air/Gas Tests _ Fina] _ Fireplace _ R.I. _ Air Test _ Fiual _ Siding Stucco Stone _ Insulation _ Windows (newlreplacement) Approved By Building Inspector Base Fee--------------__w~~~~_____._.--- Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies ~ Other Total , cirr oF Fr,cu?N TM 9795 Pilor Kno6 Raad Fagan, MN 55122 N2 5472 PHONF: 4548100 BUILDING PERMIT APPLICATION Receipt re be wea Fe. Single FamilvEst.volue 55,000.00 p,te 10/11 197 9 sife Address 3603 Widgeon Way E,.ect ~j p«„P,,,cY u3 Lot ' 9l«k 1 Sec/Suh. St Francis afrer ? Zoning Rl Parcel # Repoir ? Fire Zone ~ Enlarge ? Type of Const. W Name Move ? # Stories ; Address Oemotish ? Front 48' ft. b Ci Phone Grode ? Depth SO' ft. ~ Name AvvroYalc Fees 0 OU Address 1471 BYl q2Yldq2 Assessment Permit 1 dR _ 00 Ci Phone 4ri -"l 73 Wafer 8 Sew. Surcharge 2 7_ S 0 Police Plan check 7 4 fl ww Name Fire SAC S 9 S n n ~ ~ Address Ery. Woter Conn2 . n n n aw Ci Phone Planner Wuter MeMr 6 0 0.(}Council 75 00 I here6y acknowledge that I have read this cpplication and stote that BId9• Off• the intortnation is correct and agree ro mmply with all applicable APC Total 1 1'7-2.~ State of Minnesota Statut nd Ci ~gan Or'~an i ~ Signature of Permittee A Building Permlt Is issued to: on tha exprew condition that all'work shall be done in acwrdance with all appl,i~q~/ l~e~ tate of ewta Statutes and City of Eagun Ordinances. 6uilding Ofttciol /ty-t~-(7F v CITY OF EAGANInclude 2 sets of plans. : ~ ~ 1 site plan w/elevations & BUILDING PERMIT P,PPLICATION 1 set of energy calculations. 'Ib Be Used For L, S ! dL°h c L° Valuation n6T J ~te A) ~le _ /r / 51 /1~1v„c Gvo 0 oFFICE USE ONLY site Address: La ~f rAt ~ slocx ~ sec./sub. s7` Frect occupancy 3 Parcel Ct/cc~-Bot> l-VAlter Zoning , genair Fire Zone Qaner: dP c ~ ~ ~ ~~7e - TYPe of Const. Move # Stories Address: Dem?lish _ Front h~ ft. . Grade Depth ft City/Zip Cocle: nrwxie 'V~-~ - s-" 7 3' APPROVALS FEES Contractor: Assessments PeYmit Water/Sewer Surcharge Address: Police Plan Check 7'Y City/Zip Code: Fire SAC Phone ~I• Water Conn. ~ Planner water Meter 610 Arch./E.hg.: Council Road Unit Bldg. Off. A Address: ~ City/Zip Code: ` Phone ~ TOTAL This request void 18 months from D3te of this Request 2 4 7 4 4 I, asX Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. J~20 3 Z"J/.d C Uc-'r.V Ze)lgq City~G'5UV Section Township Range County ~C/*K07-,4 Which is occupied by /i L: RRT;7/!v (~OiL/S T2ee-t (f 7`> o&l (Name of Occupant) Is a roughin inspection required on this job? No ? Yes ~ Ready Now ? Will Callo Power Supplier ° L , Address Electrical Contractor ,.CX;~~ eL~t~cJ Contractor's License No/%9.s~ ' ~(ComOany Name) Mailing Address •tt) • 7a tttricalCO t orOw akln97 In Ilation) AuthorizedSignatur ~ No. *Mfric I ontra r or OWrter Mak 9 T Is Insta atlon) LI n~~ ~ f,n~~~ This inspection request will not 6e accepted by the ~ g I(s State Board unless proper inspection fee is endosed. r---t Minnesota State Board of Electricity / G S'a3 ~ 7954 LJniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 AEQUEST FOR ELECTRICAL INSPECTION CH K BELOW WORK COVERED BY THIS REQUEST s 24744 Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment Wued For Home ? ? Range Temporary Wiring ~ Duplex ? Water Heater ~ Lighting Focwces Apt. Bldg. ? Dryex ~ Electric Neating ? Commeccial Bldg. Fumace Sdo Unloader ? ]ndustrial Bldg. ? Air Condit' ner Bulk Mdk'Iank ? Farm ? ? ? List i List Other ? ? ? Heie`s~ ~ Reieis~ COMPUTE INSPECTION FEE BEL0 Service Entrance Size: # Fee Eeedcrs&Sitbfeedecs: # Fee Circuits: ik Fee 0 to 100 Am s. `~n,. Oitd730Aih res 0 to 30 Am ies 101 to 200 Amps. ,;31 g 100 Amperes 31 to 100 Am eces , 0-0 Above 200-Amps. - A6ove 100 Amps. Above 100 Am s. Transformers Remote Control Circ. Pariial ox o[her fee Signs Special lnspection Minimum fee Remarks TOTAL FE ~/C. 6 I, the Electrical Inspec[or, hereby cert' t the o've inspection has been made. (Rough-in) Date (Final) / ~ Date This request void 18 months from ' 1 Citq o+ Eaqan C35Fi R£CFlfs b°ec?ipt D_;e Sif'i/'.HL'b R?t2ipt Ftamber 107891 7EAN M K11E4e;RfHER 3603 [dIDGEOti WGY 1101.4216 SE.68 DAYCA6'c" IN;FECTION Totai Keteipt itmouret 50,88 117237 13;20:23 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN pG 3830 PILOT KNOB RD - 55122 ~ --j ~ 651-681-4675 ~ , New ConshucNon 0.eaulremerrts Remodel/Reoah ReauRemeMs D 3 regMered aRe surveys showUg sq. H. M bt, sq. fF. ot house 2 copies ol plan and all roofed areas (ZO% maximum lot coveraae allowed) 1 aet of energy eakulatlons for healed addXions D S copies of plans (ahow beam 3 wlndow sKes; poured fnd. design; etc.) 1 sNe suney for exferior addilbna 6 dec W ? t set M energy calculaflona D 3 coples of free prmenaNOn plan N lof plaMed afler 7/1/93 DATE: OC t S (~7 ~1 c1 CONSTRUCTION COST: 00 DESCRIPTION OF WORK: Te~ r U+ f P-~~n ~n S I ~l o~ S-2 STREET ADDRESS: ~ Co O 2 l.J i G~~L2 ~t r~ LAJG4 .E c, c c, n~ LOT: ~ BLOCK: ~ SUBD./P.I.D. ~Py-Q Y\-CA n L~0-0 CJ Name: RG, eCC MQC~Q~ Phone#: ~52-/Q s-7 PROPERTY Lan F OWNER Sheet Address: 3CaIj ~j ~ cl n vV6Av1 ciiy ~ a stafe: /'4 V zlp: Company: Phone ~ (orea code) CONTRACTOR Sfreet Address: <-:2 - Ucen%e ~ ExP• City StaFe: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Shee't Address: RegistraFion Cffy State: Zip: ,Sewer 3 water Iicensed plumber (reauired for new conshucfion onN1: PenaNy applies when address change and lot change is requested onee permN is Issued. ~ 1 hereby acknowledge fhat I hwe read Nda applicaHon, stafe fhaf the IMormation Is conecl, and agree to comply with all applicabl Stale of Mfnnesota Statutes and CNy of Eagan Ordinances. n n Signafure of Appllcant ' OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-piex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (45ea. ? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-piex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE O 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to appiicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units 2oning sq. ft. No. of Bldgs # of Stories sq. ft. MGES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SJW Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units °h SAC CITY U5E ONLY L BL ~ RECEIPT SUBD. rl1A • jg4m-4;4 !.f/dw DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellin s ? townhomes and condos when permits are required for each unit New construction Add-on fumace v Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: fo ~1 ~ 9~ EEM ? Minimum Fee: Add-oNRemodel (existing residence only) ~OU ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge (io) TOTAL ~ SITE ADDRESS• 3663 ~/A eOn ° "Q l~ OWNERNAME: /6~ I,/1 Rea-' PHONE#:'~S ~/5!P INSTALLER NAME• D{2.I~i'~S SU4S;de ~l VV STREET ADDRESS: 7~ 3D CITY: e~- Yu STATE: ZIP: PHONE#:(t~ lZ) `~~~`~~g`I • 'g.4 CITY USE ONLY L - BL _ RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITlr OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. • all commercialCndustrial buildings. ? multi-family buildings when separate permits are ~ required for each dweliing unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: P $25.00 minimum fee 2c 7°k of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of pg= fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL S:TE AC?DFtESs: OWNER NAME: TELEPHONE I TENANT NAME: (IMPROVEMENTS ONLI) INSTALLER: ADDRESS: CIn': STATE: ZIP• ~ PHONE SIGNATURE: 51GNATURE OF PERMITTEE CITY INSPECTOR ~ - ~ f j*41robe L~ngzneeriiz.q Compacny RO/ 7kwQ?/"eIeT.4 T%~-QfZ„ .BLL7'7~57/'IIIe~ 7lZz~ta plkvsss 890-~7106~- ~ ~ . ' ~r~• ~ ~ ~ Leqal Description: Lot 1, Block 1, ST. FRANCIS td00U, Dakota Caunty, IiinnesuLr~l ~ ~ _ WcKwoop _ pqctvE 5 98° 19' iZ" W • ~ I 5 ° 'I y, 1 .00 K t+ ' ~ NORTH ~ 5 ~ c~ ~i scALt 1"~ ' pta.lr Sarsnuc i..~c ~ ~ ` -)U~ L 0 T 1 I L_ <<~.0 ~ I ~ 0- 1 V ~ 10 ~ ~ .1l1TV FI~,~F T pjUy,~:qE.,~ AND T eto.o0 5$° 1'12 W ~ , i ( . p10'TE. ' AlL F,eARlN66 SNOWN ARE A`,j,uMED. I her;:by certify that this is a true and correct reprr;entation of n Lrnrt of l-mti <as shown and de;,cribed by rae thi, 27th day of Decem6cr, IJ7A. ~ , . , ~ Y [ 7 • ; r y~ ~ ,,R ~t~ 4 e~r ?~;"iac,~-ete~e~i+i« S9~-•s~ ~ ~ t: . Block 1p 5T.`FRANCIS WOOU, Dakota County, Minnesota~. ~ Leqa1 Description. Lot'1f ~ sp'r-Kv4wp _ vE 19' 12" W . . . ~ . . - ~ . ~ g , : _ sLA?.L .1 30 _ . . r . < . t . ,t . ~ ' '•Oka~T SiTe+.c1L ~uG , ' ,;U Y ~ . v L O T~ ; . . _ x ? . , : - ~ .,1 7t , :r ~ . . . ~ . . . . ~1. . Y 4. < . L { N y \ . 1 ~ ^ s e~ i 12 w: . y . - :1 f ~ s? . . ~ - , 1 . . . r - - 007€ ' pLy` gEqRIr1G6 ~ SNDW'tN . . correct of Decemberge197aion of: a tract of land ~ ~I.herQby,:certify'thaedtb~smeethisr27thnday as,snoum -and describ y, r•: ~ . , ~ ~ ?~L?. 5158. . . . . , . ~ ~ < . , CITY USE ONLY 4LEt-MIT 14 ?;n H RECEIPT DATE: RESIDENTIAL MECHANICAL PEftMTT Af'PLiCATION CITY OF gAfiHN 3830 Pv.or icrtos ao E?snx aur ssi 2a 651-68]-4675 VYII 1~~`t2r - "P~ 5zM Please complete for: ? single family dwellings townhomes and condos when permils are required for each unit Date: ~ ~r)~ v ~ SITEADDRESS: c_/1L~lJ~ L'VIUQtm OWNER NAME: ~YIL ~Q~~jC~~i? TELEPHONE In~l _b`b% (AREA CODE) OEPENDABLE INQOOR AIR QUALITY, INC. INSTALLERNAME: n~,}ca rnnn1 pnomc on~~~ ~ _ TELEPHONE#: ~Q~"~~' (AREA CODE) COON RAPfDS. N4N 65433 _;6d6/ STREET ADDRESS: C I TY: STATE: 21 P: Place a check mark next to the ermit work t e New residential dwelling unit under constructionand not ownerloccupied $ 70.00 Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • OthOf v L~ „1J Nature of work: 1 State Surchar e $ 50 Tota I Remii:der: Call for inspections. - ^ / 1 ft~a~~-r SI 1 A i OF P MITTEE Updated 1l01 CITY USE ONLY PERMIT RECEIPT DATE: ~ APPROVED BY: , INSPECTOR COMMEftCIAL MECE4NICAL PEfiMIT APPLICATION Cii'Y oF E46iRN 3$30 PILOT KNOB ftD KkHlkN,1HR 55122 65 i-s81-4s75 Please complele for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE - '(AREACODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? P N. NAME: INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: WORK TYPE _ New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Specify Nantre of Work: Wheii i»stalling/remnving ui:derground tank, call 651-681-4675 for inspection by Fire Marshal anrl Plunibing linspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinsta]lation = minimum fee Conaactprice: $ xI%=$ (BaseFee) State surcharge calculate at 5.50 for each S 1,000 Base Fee TOTAL $ SIGNATliRE OF PE&'vIITTEE lipdated 1101 PLUMBING (RESIDENTIAL) ,C,- PermitApplication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit nace Site Address 6 6 q EL Unit # PropertyOwner /AQ Y"'~ k~~ece N1Cc C' ~C~'tTelephone#(6~y) (~R6'~~~b Contractor , \ Address CitY State Zip Telephone # ( ) The Applicant is Owner _ Conhactor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fiMures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround 5/8" meter if needed -$121.00) ~ Other: M a tt P f~ ( V~ ^'N 6 i rf ti A p pOk Z'F ff-ro ?1 PxG'WNri C~ G i? r _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ additional State Surcharge D rt, ~ i? L~ I~ D 6" 03 rat8i I hereby apply for a Residential Plumbing Pemut and aclmowledge that the informati is_c9mplete.and_accurate•- at the work will be in conformance with the ordinances and codes of the City of Eagan and with the P umliing Codes; that I understand tlus is not a pernut, but only an application for a perndt, and work is not to start without a permit; that the work will be in accorda e with the approved plan in We case of work which r/equires a review and approval of plans. ' M4~~. (~GS2l~^LtG~n2(r- ~ ~Q-_ Applicant's Printed Name ApplicanYs Signature RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reauirements RemodeVReoair Reaui2menfs O(fice Use OnN 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey Real (20%mazimumlotcoverageallowed) lsetotEnergyCalalationsforheatedadditions TreePresPlanRecd 2 copies of plan showing beam & window sizes; poured tound desgn, elc. 1 site survey for additions & decks Tree Pres Not Reqd isetofEnergyCalculaUons Addition-ind'rcatei/on-sdesepffcsysfem _On-sdeSepticSystem 3 copies o( Tree Preservatlon Plan if lol platted afler 7/1193 Rim Joist Defail Opfbns seleclion shcet (bldgs with 3 or less units Date Construction Cost SM.Dd Site Address a71) i S~~~g~ E a-..xm 5S"n.#UniUSte # '/r/ /I W.li/ ~eMO ex-lCr,Ar-Dmi Description of Work n'~C~u~~ ~^01 a 74c~_.__14) av / 2fMO24-1 T- ~ Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1"k 2 Property Owner 04 1` A:~_ KdC S< r,-) gc'-L a~ Telephone # (69l Zk ~ Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy COde Category . Residentiai Venlilation Category 1 Worksheet • New Energy Coda Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone ` Sewer/Water Contractor 7elephone # ( li LUUJ I hereby apply for a Residential Building Permit and acknowledge that the inforxnatio IEWiWWIO 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. Ma r k !(aesenvccc. ~ev ApplicanYs Printed Name Applicant'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.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 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 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) - plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ A'u Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By MI'Ve le K ce.r, guilding 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 2005 RESIDENTIAL BUILDING PERMIT APPLICATION 0-7) City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reaviremenis RemodellReoair Reauirements Offtce~J`e~Opiu 3 registered site surveys showing sq. N. of bt, sq. fl. of house; and all roofed areas 2 copies of plan CertoF Swuey Recd Y,_N (20% macimum lot coverege allowed) t set of Energy Calculations for heated additions Trep Pres Pfen R2Ctl _Y _N 2 copies o( plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 'Iree Pres Requir~ YN iselofEnergyCalculalions Addition - indicatei/on-sitesapficsystem 53~siteSBptieSysiem •..::Y•_N 3 capies of Tree Preservation Plan if lot plafled afler 711193 Rim Joist Detail Options selection sheet (buildings with 3or less unils) Date lc~ l aJ l (DS Construction Cost Site Addreas J-Qc-a, g Unit/Ste # Description of Work GIC- S Multi-Family Bidg _ Y_ N Fireplace(s) _ 0 2 Yroperty Owner Telephoue ) ContraMor Address 1 ZZ ~1~ • City -I~ /1,.~ State Zip Telephone # ( ) ~1 177 OEC U , I L 3Y' _ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIWG_`_ _ - Minnesota Rules 7670 Cate~ 1 Minnesola Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ~ Mechanical Conhactor Telephone J Sewer/Water Conhactor 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. ~c~-rT -THis~v S ~ ~ f - Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 1 D-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 700%or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUII2ED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Foo[ings (deck) FinaUNo C.O. _ Fooflngs (addiGon) _ Plumbing _ Foundation HVAC _ Drain Tile . Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AiNGas Tests Final _ FraminS _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulalion _ Retaining Wall Approved By: , Building Inspector . Fee Base Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Suroharge Treatment Plant License Search Copies Other Total 60 2007 RESIDENTIAL MECHAPTICAL pERMIT aPrLicATIoN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 - Telephone # 651-675-5675 P1Pasecomplete for: single family dwellings & townhomes/condos when permits are required for each unit Date _L-,i._ / , % / 0 7 SiteAddress ~3(oo 3 U,)i C-,~Nen-) Unit# Property Owner R-)ar 1`l Telephone #(GS I)~~jg -04 50 Coocractor DanWohlers Southside Htg. & A/C ' 6950 W. 146`h St., #106 Street Address Apple Valley, MN 55124 - ~iTy State (952) 431-7099 Te?ephone#( ) Bond#: R,~--Z- 05 4-7 aa -J Expires: a5-0 7 The Appiicant is _ Owner X Contractor _ Other Fire repair (replace bumed out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to ezisting dwelling unit $ 50.00 furnace _Additional ~Replacement _ New air exchanger ~ air conditioner heat pump otFler State Surcharge $ .50 APR 3 0 2007 rotei $ I hereby apply for a Residential Mechanical Permit and acknowledge that the informafion is complete and accurate; tha[ the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that L mderstand this is not a . permit, but only an app(ication for a permit, and work is not to start wi[hout a permit; that the work witl be in accordance with the approveA plan in the case of work which requires a review and approval of plans. Cr'Ctc-1 1~~~'112rS olr~C1_C.e~~ Applicant's Printed Name ApplicanYs Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA121850 Eagan, MN 55122 Date Issued: 04/16/2014 (651) 675-5675 ERju www.ci.eagan.mn.us of Site Address: 3603 Widgeon Way Lot: 1 Block: 1 Addition: St Francis Wood PID: 10-65900-01-010 Use: Description: Sub Type: Single Fam Construction Type: Work Type: Day Care Inspection Description: Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Zamzam Deregsy 612-987-0571 Fee Summary: Day Care Inspection $50.00 1221.4216 Total: $50.00 Contractor: Owner: - Applicant - Sharmarke A Hassan 3603 Widgeon Way Eagan MN 55123 1 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use fn CityOl �� 11 :::t:e. 7 / USc cz. 3830 Pilot Knob Road1LR r' Eagan MN 55122 � Date Received: ` [,� Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: b I / Site Address �� \,J 01G o'm Unit# I Name: 5i�rc f-11C a .SSair\ Phone: 1 Resident/ Owner Address/City/Zip: 36 03 � P r0 ki:„.7 , i f x Applicant is: Owner Contractor Type of Work Description of work: Te G r C C QC'— aC�1 1 Construction Cost: G fi�tt,,—7 V lj_eC Multi-Family Building: (Yes /No)( ) � Company: X CCS tX� _ , j,..hL Contact: 1.--) i-\/ � Contractor Address: b�30 ( 0 31- A #'I l() City: Qc L 0 c.lc State: Email:S )�� Phone: I )—n909 M Zip: J� � ��9CL r, ,,�.�.n� r��J 1 License#: G �Q7-2 Lead Certificate#: If the project is exempt from lead certification, please explain why: i Jaz. � .K.� ,_, __�.�,�_d�._�„__,.��...__. . _ . _ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit fora 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: Fire Suppression 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 conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota tate Building Code must be completed within 180 days of permit issuance. x ha r TOIL leN.c.'P t. x Applicant's Printed Name Applicant's ignIfure Page 1 of 3 • RECEI jib, % : (14 For Office Use `T X 6 '' E SEP 1 8 2018 Permit#: / r--4xx AGA tsj 39----5." / V y *•� Permit Fee: `/''� �( AG Date Received: t -( u a 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 Staff: iI buildinginspections(a�cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Resident/ I Name:6 hQ Yrn�t v\ Phone: t�r• 7-1(31'‘ L Owner Address/City/Zip: 3693 \ o j�� I,,J4j V Y\( my\ S� 1-13 Applicant is: Owner Contractor Type of Work Description of work: SZ e ry pa e_`� t I �,j �%l� c 1 fr n "r�`Q ,�I a � Construction Cost: J,' Multi-Family Building: (Yes /No ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non:public if ou rovide specific reasons that would ermit the Cit to conclude that the are trade secrets You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x S\V M40,,/-0 \)c\ x Applicant's Printed Name App ' ant's Signature • DO NOT WRITE BELOW THIS LINE - /� )/2T / . 0 ..5e)SUB TYPES •V Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi '(Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding _ Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION 2_4(:_k_0 Valuation Occupancy _V-)\--L--4 MCES System Plan Review Code Edition L' Ivy a p l Ye SAC Units (25%_ 100% X) Zoning n/� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction VO Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) V Final/ No C.O. Required Foundation Foundation Before Backfill /` HVAC_Gas Service Test Gas Line Air Test Hood Roof: Ice &Water Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes . 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall:_ Footings_ Backfill_ Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 7 I; , Building Inspector RESIDENTIALFEES 1)Base Fee r t ic ,(1- r\.L `.:-i.r /1,4-r I`,/ , 2`1jris Surcharge Plan Review MCES SAC City SAC Utility Connection Charge i- b �(,/f „ \ 9 9 0 9 S&W Permit& Surcharge } -' Treatment Plant Copies TOTAL Page 2 of 3 .... --., __ :6f» 11J7c 167'1 %L / __,-- f .'robe engineering, Co,rpanq $O! 3""restreZarlsr 21-czi4, .Burr:sr/ Ue, Mina 124%ons 890-4W4- CA ‘ V j\ Q6\' • 0 i / \SA Legal Description: Lot 1, Block 1, ST. FRANCIS WOOD, Dakota County, FiinncsoL. J SJ $ eft° 19' 12."w ----17:,/ 4 O „.. , '.00 .1 1\1) . t NORTH scALt 14N, 30' 1 4'Ppo, s crs++c� .., i q ;� c, ,_- 7 4 O O 1 I a �r:j i � �C, L.f ' , ..` Vl -- - - - -- y''. ell,. 4 .. ,_ - � --1 g Ct C:‘) �� _ 10 IcZ)V... t7wwV:A6= rwo ,,,nL • + sow> !i' 12'`W Ic---', v.p- ri-iii, pia-i& ,,,,r,-," 5 reTuAAV f9, 9-i25'/(r it iiii\''' > riOTE = ALL BCARIr J65 540%"/rJ A3 AS UMED. I hcroby certify that this is a true and correct representat iori of a trert of 1•In+f +s shown and described by roe this 27th day of December, 1)7P. ----, ,, -, _ - - ; -4:1n. I ‘1•1111•100%. VORIMININNIMINSIONII / i