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3671 Widgeon Way CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 ~ ~._DATE 19 RtCEiV6D FROM AMOUNT $ cy! f~,~ I f) ~ Ac DOLLARS ~oo ? CASH [y] CHECK row ?,p~~^.+~, K 6 Z4 ' 1_ L ~ /K~ 0 = 7 / FUND CODE AfAOUNT ~ . . y'rj ~J ? Thank You ~ B Y White-Payers Copy Yellow-Posting Copy Pink-File Copy AW CITY OF EAGAN , . ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE: 454-8100 BUILDING PERMIT Re«+pt # To be wed fer Est. Volue Dcte 19 ~±7.iv Y Erect ? Occupancy Site Addreu " Lot Block Sec/Sub. Remotlel ? 2oning Parcel No. Repalr ? Type of Conn. Addition ? No. Stories Move ? Length ~ Name W Demolish ? Depth z Address Int. Impr. ? Sq. Ft. City Phone Install ? Name Approvals Ftes Assessment Permit u~ Addresa ~ City Phone Water & Sew. Surcharge Police Plan Review ! W Name { Fire SAC 1,1~ Address Eny. Water Conn. u ~W City ' Phone Planner Water Meter Countil Road Unit 1 hercby ocknowledye that I how read this applicotion ond stote thot gldg. Off, Tr. PI. the inlormotion is correct ond ogree to comply with oll opplicobla APC Parks Stote of Minnesoto Stotutes and City of Eagon Ordirwnces. Var. Date Copies Sipnoturo of Permittes 1 ~`i ' i • _ ~ ti Total ~ ' ` A Buildinq Permit Is issutd to: . ` a? the expresf condiHon tho+ oll work sholl be dons in occordonce with all applimble Stote of Minnesota Statutes ond City o3 Eopcn Ordinonces. Buildinp Official ' Permit No. Pwmk HoWer Date Telephons ~ Plumbinq .VA.C. Iv . o ctric ~ L /I ~ _ ~ - . Soitemr Inspeetion Date Insp. Other Footings I Footings II Foundation ~ Framing 6 Roofing Rough Plbg. ~yL J • Rough Htg. Insul. Fireplace -lb -a Flnal Htg. QS Final CeryOcc. Water ax?ibs Loeation: Well Sewer Pr. Disp. ' r PERMIT # PLUMBING PERMIT RECEIPT # 62 i CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: l~~. ~ PHONE: 454-8100 Site Address JV 14 /'L~ BLDG. TYPE WORK DESCRIPTION LotBlock Sec/Su ~ - Res. New ~ Name,'-/' Mult Add-on ~ Address 14' G•IIK,~ Comm. Repair c City Phone - Other NO. FIXRIRES TOTAL Name LWater Closet - $3.00 DV 3 Address ' G ~gath Tubs - $3.00 . UU p City Z 'r, s~/^' Phone t.avatory - $3.00 O Shower - $3.00 FEES Kitchen Sink - $3.00 Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE pv MINIMJM - RESIDENTIAL FEE _ $10,0p Floor undry Drains Tray - - $3.00 7 J MINIMUM - COMM/IND FEE _ 20,00 $1.50 STATE SURCHARGE PER PERMIT - .50 ~Water Heater - $1.50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES ZGas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• •00 , , • ~ CITY OF EAGAN t~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 PNONE: 454-8100 - BUILDING PERMIT Receipt ~t Te bo wed fer Esf. Volue Date , 19 Site Address Erect 0 Occupancy Lot Block Sec/Sub. Remodel ? Zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories , Move ? Length 19 W Name Demolish ? Depth = Address Int. Impr. ? Sq. Ft. ~ City Phone Install ? Approvals Feas ~o Name uu Address Assessment Permit ~ City Phone Woter b Sew. Surcharge Police Plan Review ~W Name Fire SAC ^ Address Enp. Water Conn. ~ W City Phone ' 0,' 0 Planner Water Meter ~ Council Road Unit I hereby ocknowledga thot I havt read this application ond srote thot gldg. Off. Tr. PI. the information is correct and cgree to comply with olf applicable APC Parks Stats of Minnesota Stotutes ond City of Eagan Ordinances. Var. Date Copies 5iqnaturo of Permittee Total A Building Permit Is issued to: on fhe exprcss condifion that all work sholl be done in occordance with all applicable State of Minnesota Statutes and City o3 Eoqan Ordinances. Buildinp Officiol - Permit No. Permit Holder Date Tslephone ~ Plumbing H.NA.C. C• ~ Elsctric 3-) 't -o Softener Inspection Date Insp. Other Footings I Footings 11 Foundation - Framing b Roofing Rough Plbg. M.1F 27- Rough Htg . ~S l~fi Insul. Fireplace Final Htg. Final Plbg. wl, ( Final Cert/Occ. ~ y ~e as Water Dasaibe Loeation: Well Sewer Pr..Disp. r . . ,..V.,. , , . . . PERMIT # ;L~ E.~ h M MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ' CONTRACT PRICE: PHONE: 454-8100 Site Address • BLDG. TYPE WORK DE_ SCR,~PTION Lot~. B ck ec/Syub Res. New 37. Name Mult. Add-on Comm. Repair co Address Other c City Phone FEES 7,7 Name ' RES. HVAC 0-100 M BTU -$24.00 c Addres ADDITIONAL 50 M BTU - 6.00 p City Phone - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK ~ COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler .,V, BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater -7VI BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ~ L` BEY,OND $1,000) Other $ FEE: S/C: S ' SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN . . . .-...:..s.. , . . . . . . . . . . . . . . . . . : , PERMIT # ' . PLUMBING PERMIT RECEIPT # o ~ 7 ~v CITY OF EAGAN ¢p3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ` / : •.r' ' ~ - % - BLDG. TYPE. / WORK DESCP JPT10N Lot Block ~ Sec/Sub Res. v New Mult. Add-on ~ Name / ' t ` +.~?•a,4 Comm. Repair ~o Address ~C 1 7- Other c City ~C . Phone ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTbL Name Water Closet - $3.00 ' $ S' o~_ -1~Bath Tubs -.$3,00 a c Address 3 1_Lavatory - $3.00 - p City +',a u 'A: c.Phone 3 rR"~/. -1rShower -$3.00 3 p ~ / Ki?chen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ---I-Laundry Tray -$3.00 -3" APT. BLDGS - COMM RATE APPLIES -LFloor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES -LWater Heater -$t.50 ~ MINIMUM - RESIDENTIAL FEE - $12.00 -1_Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 1 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 -..,7 - : - - ` Rriva4e Disp.'- $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: `S "f S f STATE S/C: FOR: CiTY OF EAGAN GRAND TOTAL: - CITY OF EAGAN I a 4 9 3 ° 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 . ~ BUILDING PERMIT Receipt Te bs, wwd fa 4 Est. Vcl ue i.~ Date _ i9 `'•i -Erect - Q Occupancy 3 Site Addreas Remodel ? 2oning Lot ~ Bicek Sec/Sub. Repair ? Type of Const. Parcel No. Addition ? No. Stories Move ? Length W Ne^1e , Demolish ? Depth ; Address Int. Impr. ? Sq. Ft. b City Phone ' " Install ? a - : ~ - - ~ Aporovals Fees ~ Name ! 91 Assessment Permit Addresa ~ City Phone Water d~ Sew. Surcharge 43• U~ Police Pian Review 210,50 ' _.JO W Name ~W T'f'P Firo SAC 52~' xO Address Enq. Water Conn. 50-Q . 00 ~ W City Phone Plonner Water Meter 63.00 Council Road Unit 2 f ~ +1 - ~ 0 1 hereby acknowledga that I how reod ihis applicotion and state that Bldg. Off, 6/2d%0- Tr. PI. 32 . i; 10 the informotion is torrect ond ogree to comply with all opplicoble APC Parks Stote of Minnesoto Stotutes and City of Eagan Ordinonces. Var. Date Copies Sipnoturo of Pertniftee ; i Total h Buildinq Pertnit is lssued to: " on the express condition Ihai oll work shall be done in accordance with oll opplimble State of_Mlnresota Statutes ond City oF Eopan Ordinonces. Buildinp Officiol Permit No. Pe?mk Holder Do" Telsphons ~ Plumbing W14 ~ - IS 1 H.V.P.C. Electdc L s~-- sotco.. Irapection Date Insp. Othe? Footings 1 7 L~ 4 S o l4 Y,~~ Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Jnaul. Firsplace Final Htg. ~ Final Plbg. _ Final Cert/Occ. Wffier Wsaibs Location: Wetl Sewer Pr. Disp. I PERMIT # / O y3 PLUMBING PERMIT RECEIPT # . ' ' CITY OF EAGAN ~ , ~ _ ~ ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE~, 000 •OV PHONE: 454-8100 Site Address30-'" W'd W2,"2 BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Su -2 (k)c~c)c,~'~_ Res. X New k ~ Name M M6CAQ)1,- L CoiVlt. Ilk Mult Add-on ' •*1 ~ Comm. Repair co Addres a c CityB' ~R"-t! P h o n e 0' 6 Other I- vAo , r !~UN~{ Name i- ~ SD ~.)SC R.0~rt lo r~ 10 . FIXTURES /aTO~U L ~ ` Water Closet - $3.00 3 AddressNt4 O61_~NZlc~-2 Qop- f ~Bath Tubs -$3.00 OV p CitfR ~ Phone ~Lavatory -$3.00 73 o" Shower - $3.00 • 0 FEES =Kitchen Sink - $3.00 • C>0 COMM/IND FEE - 1% OF CONTRACT FEE -T--Urinal/Bidet -$3.00 ` Oo Laundry Tray - $3.00 MINIMUM - RESIDENTIAL FEE - $10.00 7-Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20•00 I Water Heater -$1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES ZGas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Oppnings - ~1.50 SIGNATURE OF PERMITTEE I s711' j P~ FEE:~ 5a J~ STATE S/C: t3u FOR: CITY OF EAGAN GRAND TOTAL• J`3 • 00 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT rteceipt To be wed fer Est. Volue Dote J 19 . Erect ~ Occupancy Site Addreat T C FtAN Remodel ? Zoning P 'y Lot Block Sec/Sub. Repair ? Type of Conat. Parcel No. Addition ? No. Stories c Move ? Length ~ Name W .Y Demolish ? Depth Z Address Int Impr. ? Sq. Ft. 9 City ' Phone 43 1-3551 Install E3 °C y .:irF F1'tRTP • ,.~,,~tr~.} I;T'^ Aporovols Fees O Name ~ u, A~~a Assessment Permit Water a $ew. Surcharge • =j ~ City Phone ~ a Police Plan Review tW Name Firo SAC `~r' • ~d iZ Address I 6`.i A--1 ST U ~ l`l V ~ Enp. Water Conn. 7 ~;.»3o00 `a3 ~?0 ~ W City ~Phone ti Plonner Water Meter • Council Road Unit 2 a d,u.C` ( hereby ocknowledge that I havt read this applicotion and state that Bldg. Off. C` 18 ~ Tr. PI. the inlormotion is torrect ond ogree to tomply with oU applicable APC perks Stote of Minnesoto Stotutes ond Ciry of Eogan Ordinonces. Var. Date Copies Sipnoture of Pertnitteo TOtBl A Buildiny Pertnit Is issued b: on the express conditlon tho+ all work shall be done in xw?dance with all applicoble State of Minnesota Statutes ond City oi Eopan Ordinonces. 8uildirq Offfciol ~ Psrmit No. Psrmk Holder Dib Telephone ~ Piumbing H.v.n.c. eactric Sohenwr Inspection Date insp. Other Foatings I Footings II Foundation Framing ~ ~ a e/s 11'.n .^.oftng ~q, t1 ~ugh Plbg. ~`ugh Htg. 71U gG/~cv sul. Ftreplace Final Htg. Final Plbg. Final Cert/Occ. Water Desaibs Loestion: Well Sewer Pr. Disp. , PERMIT # ~7S & ~ PLUMBING PERMIT ' RECEIPT # CITY OF EAGAN r 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Addres • ` ' < ~ ' ~ ~ ^ ~ = " BLDG. TYPE WORK DESCRIPTION Lot~ Block ~ Sec/Sub Res. New ~ Name ~ ~ ~ ~ Mult Add-on m Address\ )-y UCA Comm. Repair c CitytL,~,±L1, 51) I 1~.: PhoneNY > Other N9 FIXTURES ~ TOTAL ~ Name ZJ- `r Water Closet -$3.00 c Address~~k440 L'l^ Z-? ~N ' Bath Tubs -$3.00 O Citv~'_i 1?ti-c. ~J 'K 11 Phone T Lavatory - $3.00 • ~ Shower - $3.00 ' r"0 ~Kitchen Sink - $3.00 FEES ~ Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRAQT FEE TLaundry Tray -$3.00 • V~ MINIMiJM - RESIDENTIAL FEE - $10.0~ T-Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20.00 U STATE SURCHARGE PER PERMIT - .50 -LWater Heater -$1.50 (ADD $.50 S/C IF PERMIT PRICE GOES ~Nhiripool -$3.00 =Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 G - Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: 1' s • ~ ~ (Itrti#irafP uf (Orrupttnry titp of (f agan Epparbttrnt o# lutibing ItcapPriirnc This Certif cate issued pursuant to ihe requiremenu of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regu/ating building construction or use. For the following.• Use Clessification i ~I:^ vBldg. Rrmit No. OccuPamY TyPe F'S Zoning District Type Coau. v wner o( Bwlding '~'•.a. A' FI.SCF,.Ri~ A~ 1 s;: ~[.r~;- ~V~, ~P'~L~ V.14i~i~'~' O 367? [r].RG:r~V SX. '0CJ:`i Building Addreas Locality Date: Building Olticisl POST IN A CONSPICUOUS PLACE CITY OF EAGAN Remarks 33W43 Additio ST• FRMCTS WOOD 3RD Lot 1 Bik 1 Parcel 10-65902-010-01 "ovy'ier street 3671 WTDGEON WAY state ~GAN MN 55123 Improvement Date Amount nual Year ' Pay nt Receipt Date STREETSURF. 0g STREET RESTOR. GRADING SAN SEW TRUNK 1985 131 . 84 8.79 1 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK Q 1$5 311.26 20.7 1 STORM SEW LAT 1983 396.81 79.36 5 0 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. „ u BUILDING PER. 10 L~ 96,97,98,00499 SAC 525.00 PARK CITY OF EAGAN Remarks I)i'J•'-/~'~Xlo --A" Z$lb Addition ST. FRANCTS 111WD 3RD ADDN Lot 2 Bik 1 Parcel 10-65902-020-01 Owner ' street 3673 WIDGEON WAY state EMaAN NV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. (p O 1982 199.14 39.83 5 - STREET RESTOR. GRADING SAN SEW TRUNK 1985 131.81 8.79 1 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA ~ 1983 83.97 16.79 5 . STORM SEW TRK ~Z 1985 311 . 26 20.75 15 , 7,E, STORM SEW LAT 1983 396.84 79.37 5 , 44,2 CURB & GUTTER SIDEWALK STREET LIGHT Road nit • 7/1/85 WATER CONN. 500.00 it 11 BUILDING PER. SAC 525.00 PARK CITY OF EAGAN RemarksG5_78S(~,-~R~ 2$l~ ~ Addition S'j' • PRANCrS WOOD 3RD Lot 3 sik 1 Parcel 10-65902-030-01 ,pwner ' street 3675 WIDfiEON WAY state EA~'aAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 05 -1982 199.24 39.83 5 STREET RESTOR. GRADING SAN SEW TRUNK 1985 131.84 8.79 15 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1983 93.97 16.79 5 STORM SEW TRK Z 1 STORMSEWLAT 1983 396.84 79.37 5 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. u u BUILDING PER. sAC 525 00 PARK CITY OF EAGAN Remarks ~~&`45-G~~l Addition ST• FRANCIS WOOD 3RD Lot 4 Bik 1 Parcel 10-65902-040-01 Dwner ' street 3677 NIDGSON WAY State EAGAN MV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. (pOS 1982 199.14 39.83 5 STREET RESTOR. GRADING SAN SEW TRUNK 1985 131.84 8.79 15 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA I 1983 83.97 16.79 S STORM SEW TRK 10 1985 311.26 20.75 15 STORM SEW LAT ~1983 396.84 79.37 S CURB & GUTTER ' SIDEWALK STREET LIGHT Roa UIll't . WATER CONN, 500-00 n n BUILDING PER. 10496,97,98-410499 SAC PARK CITY OF EAGAN WATER SERVICE PERMIT 3830.Pjjot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ' Z~ing; ' No. of Units: OWflQ?. . . e . ea C! Address: 3 (P 7 . - e ore Site Address: Plumber. Meter No.. 3 n i arge. ~.~f~ nt ~sit: ~ Size: , DJrAI JV 9Eg Permit Fee: Reader No.: I agno ts aanoly wuh !Iw Cihr ef Eeyon $urcharge: OediwenaM. Mise. Charyes: Total: ` By Date Paid: v Date of Insp.: I^W•: i CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilat Knob Road PERMIT NO.: P. O. Box 21199 Eagan, MN 55127 DATE: Zoninp: No. of Units: Owner: /lddreas: Site Address: Plumber: Meter No.: Connection Charfle: Size: Acoount Deposit: Recder No.: Pem+it Fee: I e9ne h oanPip wh6 Nw Citp ef Leyos Su?charge: OrdisemoM. Misc. CF?aryes: _ TotaL• By Dote Poid: Date of Insp.: I^sp" CITY OF EAGAN SEWER SERVICE PERMIT 40$30 Pilot Knob Road . P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoninp: No. of Unih: Owner: Address: -3 YZ G `I' `I i' ~ ~~...a Site Address: Plumber: 1 eoroe to eomply wNh !iw Cily d Easae Connsction Charpe: 425•00;`3 Orainenac Acwunt Deposit: I d 0s:, Permit Fee: r Surchorps: gy Misc. CFa?pes: Totol: Date of InsP. . Insp.: Dote Poid: CITY OF EAGAN WATER SERVICE PERMIT 38?1 :nob Road P. ~ , . 1199 PERMIT NO.: Eagan, 11AN 55121 DATE: ~ Zoninp: No. of Units: - Owner: Address: sire Address: c-T61A i~= !~L Wumber. - Meter No.: ' 4 . 0 Connedion Chor9e: 509• ~ AL+1llie A~~,/ ~Posit: 1 ~ . Reade No.;42/1) 6~le 8 9 S Pe?mit Fee: L`'• 1 aorse Io emnPly wil6 tM Ciyr of Ee9en Surchorge: O?dieenea. Misc. Choryes: ~ • ` ~ Aa~~ Total: By '%~~%v`2a Dote Paid: Dote of Insp.: Inap.: ~p 7-[) . ~ CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. 0: sox::1199 PERMIT NO.: Eagan, MN 55121 DATE: ; Zoniny: No. of Units: Owner: Addmss: Sit! AddIen: Plumber: - - - Meter No.: Connection Char9e: Size: Acaount Deposit: Reoder No.: Permit Fee: 1 qme ft osmolp wNb 1M Ciey of Eowa Surchorye: Odiwwam Misc. Gwrpes: Total: By Date Paid: Date of Insp.: Irop.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O, Box ;7199 PERMIT NO.: Eagan, MN 55121 DATE: ZO^i^4: ` No. of Units: Ownar: - : ~ Address: Site Address: Plumber: , i'; , ;r i 1 ym M esmpip wuh tIN Ciyr of Eaoan Connectlon Chorpe: OrdlMnqc Account Depoait: Permit Fee: Surchorpe: By Mix. Charpes: Dcte of Insp.: Totol: Insp.: Daft Paid: CITY OF EAGAN WATER SERVICE PERMIT 383q p'1at Knob Road PERMIT NO.: p. O. fTox 21199 DATE: Eagan, MN 55121 ~ ' No. of Units: Zoniny: Owner. - - ~ Address: ' - Site Address: Plumber. ~ Connection Charfle: Meter No.: Aocour't Deposit: t.' . Size: Reader No.: ~ 9 8 9 Pem'+it Fee: 1 ye» M amily wilh flw C*' el 509p Surchor9ec Mtsc. :Gwsws: ~ :1~,k~ci ~i~O~' Totol: - pots Poid: By In pate of I nsp.: CITY OF EAGAN WATER SERVICE PERNIIT 3$30 PilOt Knob Road PERMIT NO.: P. O. Box 21199 D/~TE: Eagan, MN 55121 Zoniny: No. of Units: Owner: Address: - - Sits Address: Plumber. Meter No.: Connection Charge: Stze: Acoount Deposit: Reoder No.: Pertnit Fee: I pfM to o010Vy wilh 11N Citf ef Gpp Surcharye: ~ .7 f3!7c)+_, Misc. Charpes: Or~iM~aa. Totoh By pate Paid: Dote of Inap.: Insp.: CITY OF EAGAN SEWER SERVICE PERMR 3830 Pilot xnob Road pERMIT NO.: P. O. Box 21199 DATE: - , _ . Eagan, MN 55121 ' No. of Units: Zoninp: r . - Owrw(• i ..3 ~ . Address: SitQ Address: Plumber: ' 3. =1 - - . . . I Mne to eouiVh? w~ 1M Ciep of EN°s Co^^°dlon Char~pe: u~ ~ peposit: Oraiueeea. PeRnk Fee: Surdwrgs: Misc. Choross: By Total: pote of Irop.: ~W: I nsp.: ~ CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P.-0. $ox-21199 PERMIT NO.: ' ! " Eagan, MN 55121 DATE: ZOf111'1g: R! NO. Of Uf11tY. 1_ •J l. ?t .p~ _ _ .r. _ - _ . Owner. Mdross: IAIADRiiAte SiM /lddross: i : : , Plumber Charpe. 540. ~ Meter No.: . 3 7d ;~ijiCR V-- f Le"l, • ~ uAr~t Deposit: 1:~.0`'t Size: « ~ W. Patnfil~ Reader o.• 1 prw M oanPly wi11i flM Cihr d Eoyee Surcharge: OrdiMaam Misc. Chorpes: 132• 00t ,c, _ Totol: • ~J~~d "~'~'r gy Dote Poid: Date of Insp.: InsP•: CITY OF EAGAN WATER SERVICE PERMIT 383(l Pilot Knqb Road pERMIT NO.: P. O. Box 21199 Eagan, MN 55121 DATE: Zoning: No. of Units: Owner; 3 Addroft: SiM Addrcss: PlNIMIblf. Meter No.: Connection Charys: _ Size: AcaouM Deposit: . Reoder No.: Pertnit Fee: 1 Nm to emvh? wo 11w C*1 oi bpe Surcharys: Mlst. Chorpss~ Totoi: BY poh Poid: Oote of IrKp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road pERMIT NO.: P. G. Box 21199 DATE: Eagan, MN 55121 ' _ . . Zoninp: ' No. of Units: ` Ownsr: /lddress: , i . • Site Nddreu: - Plumber. .,t M;-..-.r•- I prN h eaeVb wNb tM CilY ef 909e0 Connection Charpe: OrdiMmea. /lccouM Deposit: Permit Fee: SurcFwrps: By Misc. Charpes: Dcte of Insp.: Total: potr Paid: Insp.: REQUEST FOR ELECTRICAL INSPECTlON .c-« - i01-04 ..7 q ~ See instructions for compieting this form.on bnck oi yellow copy. z. ~%~j~ ~i 4 3 4, ""X" " Below Wark Covered by This Request d Rep. Type of Bu Iding Apptinnces Wired ' Equipment Wired _ew Range Temporary Service DupLex _ Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy: Fumaee Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Speci y Other lSper.ifyl t er Specify. Othe, Qiher ompu e Mspection fee Below # Fee erviceEntrenceSize t! Pee Feeders /S ubfeeders # Fee Circuits U to 200 Am s 0 to 30. qm s 10 0 to 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100-Amps Above tQO_Amps Transformers Irrigation 13ooms Partial-"Oth Signs Special inspection 5 Rerrarks TOTAL F E6 st Rough-in 14, ~,the Elec ' Inspector,hereby D certity that the above Final J~ . inspection has been ade. This reQuest void 18 months f[om ~ REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi_oa 5 ' See instructions for completing>,this form on back of yellow copy.. Q r~ 070916 "X" `Below W-ork Covered by This Request Now 4dd Re~f Type of Building Applinncas Wired Equipment Wired • Home Range emporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatin t Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Buik Milk Tank . Farm Other Spea y Other (Specify) t er Specify Other Other flmpute lnspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders Fee Circuits U to"200 Amps 0 to 30 Am s 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 q S -Sw.imming Pool Above 100_Amps Above 100_Amps Tiansformerg Irrigation Boorcis Partial-'Otber Fee ` Sign's Special Inspection g S~ TOTAL FEE Remarks Rough-in Date 1 the\Eleatr-iEal . : Inspector, hereby certify that the above Final ~inspection.has been made. This request void 18 months from This request void 18 months from ~p U u O B 0 7 0 9 16 T Request Da; Fire No. Rough-in Inspection Fequired? F]Ready Now E] Will Notify, Inspec- G~ ?Yes o , tor When Ready *icensed El ctrical Contractor 1 hereby request inspection of above Owner electrical work instalied at: . 'tStreet Address, Box or Route No. City r7 '7 c~~~ Ac4c c~ ecUOn o. =e_o, o. No. County Occupant (PRINT Phone No. Power Supplier Address be? k t X4 Ele-d`s.~ - ~ Electric 1 Contract r(Company Nam 1 Contractor's,License No. ~ Mailin Address (Contractor or Owner Making Instailation) s '7 Authori ~t Signatur (Contractor/O ner aki g Installation) Phone Number / ~ 5-55 THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE g(OARD OF ELECTRICITY Griggs-Midway Bld Room N-197 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE 7S 7821 University Ave., St. Paul, MN 55104 Phone (612) 297-2111 ENCLOSED. This request void s- co :5 78`months from . . 5434 L LI Recaub.d Fire No. Rough- inI nspection ~ F/ q. ired? ~Ready Nqw Will Notify. InsPec- ~L . V Yes ?No or When Ready ~Licensed Elecirical Contractor 1 her,eby request insoection of above ~ Owner electrical work i'nstalled at: Street Ad4re s Box or oute Citv 4 w, (2' ection o. Townsh p Name or N. Ran No. Coun ll a Occ t(PRl T) ~ ~ Phone No. ' /~l/IW J PoDe Sup lier Address o14 5 6 Elec ntract Co any ame~ C tror's License No. b / Q MaiJing Address IContractor or Owner king Instailationl 1 S ~ Authorired 'gnature Mractor~0 n r aki In tallation) Phone Number ~ i MINNESOTA STATE BOA OF ELECTRICITY THdS ECTION RE U L NOT Griggs-Midway Bldg. - oom N-191 BE ACCEPTEO BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Phone (612) 297-2711 ENCLOSED. 'YC~' REQUEST FOR ELECTRICAL INSPEC !ON Ee-oooot_oa W See instruotions for completing this form on back of yellow copy. 1~~--- 11882 ""X" Below Work Covered by This Request Q_ ev, Add ReD• Type ot Building Applionces Wired Equipment Wired Home ' Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electrie Heatin Commercial Bldy. Fumace Silo Unloader, Industriai Bldg. Air Conditioner ' Bulk Milk Tank F Other SPecify - Other (SPer,ify) Other Qther M ompute lnspection Fee Below # Fee ervice Entrance Size # Fee Feeders/Subfeeders it Fee Circuits 0 to 200 Amps 0 to 30 Am s 0 to 30 Am s Above 200 Amps 31 to 100 Amps ~ 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Amps Transformers ~rrigation Boorris ~ Partial• Other Fee Signs Special Inspection $ TOTA fi- Rough-in Rerr~ rks Dnte the Electncal ~ S 14 nspector, hereby Vi certify that the above . P ~3 ~ Final OP 1e nspection has been d made. ~ This request void 18 months from p _ , This request void S _ 18,months from -*C118 8 2 L3 Request ate Fire No. Rough-in Insvection Required? ~Ready Now D4Will Notify, Inspec- Yes ? No ~~~[or When Ready Ucensed Electrical Contractor I bereby request inspection of above ? Owner - electrical work installediat: . Street Address, Box or Route, No. City , ection o. Township Narrie or No. Tange No. County ~e k Occupant (P INT) Phone No. - 6-6 s Power Supp ier dress . D Elect 1 Con acior (C,ompany Name) Con ractor's License No. ~ r-I C 0 -3 ~/-O Mailing Address 1Contractor or Owner Making Ins ilation) ~ Authoriz d Signat e lContrac or Ow r M ing Instailati n1 Phone 4umbe+~ MINNESOTA STAT BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway BI - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. E ;EQUEST FOR ELECTRICAL INSPECTION ` „ B-OU001-00 1" L+' See instructions for completing this form on back of yellow copy. ~ 3.3 3 "X" Below Work Covered by 7his Request Now dd Rep. Type ot uildin Appliances Wired Equipment Wired - Home VLM~ Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bidg. Air Conditioner Buik Milk Tank Farm otner Peci y Other (Soer.ify) t er Specify Other Other ompute lnspeciion fee Below q Fee ServiceEntranceSize # Pee Feeders/Subfeeders # Fee Circuits U to 200 Am s 0 to 30 Am s 0 0 to 30 Am s Above 200 qmp5 31 to 100 Arnps 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Am s TransformerS Irrigation t3ooms artial-'Oth Signs Special inspection $ TAL EE ~ Rerrarks Rough-in Date I, the Ele 7,-;W Inspector, hereby 41- 140,0 Final ? p, ocertifv that the above inspection has been made. Thla reQuest void 18 months from ~ This request void co~~~ ~ I 18 months from . ~ 3~433 Req'u t' a Fire No. Rough-in Inspection / Required? DReady NoWi1l Notify, I~sPec- ~ es ? No [or When Ready 'censed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street A ox or Route No. CZ44? N '~5&773 4 ~ /L ~ ecuon o. Township Name or No. Range No. Coun / Occu ant Ip INT) Phone N'o. ISL pa 4 hLt 4 1 Power S pli Addres D~(4L a o oQ XS40 G Efe i al Con ractor.(~o pany ameY Contractor's License No. 4s ~ ~jt~~"rrc, 6 ~07 g- 3 Maili g Addss (Contractor r Owner Makin Instailation) Z Authori d Signatur (Contra t~O er king Installation) P one Num r. 6 ' S.5 THIS INSPECTION REQUEST WILL NOT MINNfSOTA STATt.-E ARD ELECTRICITY Griggs-Midway Bld Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 UniveSt. Paul, MN 55704 Phone (612) 297-2111 ENCLOSED. RI AL INSPECTION ,r-„ EB-00001-04 1-2- `See instructions for completing this form on back of yellow copy. ~ y~ y~o ~ ""X"' Below Work Covered by This Request yU C~: 6.~0~ N-A f,a d Rep. Type ot Building AppliancesWired EquiUmen.[ Wired Home Range Temporary Service Dupic~x_ Water Heater Lightin,y Fixtures 'Apt. Building Dryer Electrii; Heattn Commercial Bidy. Fumace Silo Unloade,r, Industrial Bidg. Air Conditioner Bulk Milk Tank Other peci y Other (SPer.ify) Farm t er Specify Other Other ompute lnspection Fee Below q Fee ServiceEMrenceSize qFee Feeders/5u6feeders #Fee Circuits U to 200 qm s O to 30 Am s 6 O to 30 Am s Above 200 Amps 31 to 100 Arnps d 31 to 100 Am s Swimming Pool Above 100_Amps I~bove 100_Amps Transformers Irrigation Booms Partial-`Other Fee Herrarks Signs Speciallnspection S n TOT FEE - ~~r Rough-in Qqej`I, th Electrical Inspe y certify that the above Final '~1e inspection has been made. . This request void 18 months from This request void 18 months from / n _ _I:f ' ~ 6 Y 6 / LJ C,_.16,-8 0 ~ ct> Repuest Date Fire No. Rough-in Inspection ' 8 fiequired? ~Ready Now ill N~tify, Inspec- es ? No ~ r When Ready icense Fectncat Contractor 1 hereby request inspection of above D Owner electrical work installed at: Street Address, Bax or Route o. C Y ~ I ~U,~ eo ~i1~ olq a N ecUOn o. Township Nam or No. Range No. Coulitf ~ Occu~ (P~AINT) Phone N~ 355 ~ G d Power Sup lier Address f ~ D a C-le %5,4 Electric?~ o ractor Compan m e) Contractor's License No. ~r ~e 6 ~ J3 Mailing dr~ICorytrac~ or wner Maki~ Instailation) ~ Aut r zed Signat (Contrac r/ wn Ma ' g Installation n N~ ber ~ ~ THIS INSPECTION REQUEST WIIL NOT MINNESOTA STAT OARD OF ELECTRICITY BE ACCEPTED BY THE STATE BOARD Griggs-Midway RI . - Room N-191 ~cci.tY_Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS _ ENCLOSED. REGIUEST FOR ELECTRICAL INSPECTION ~~"E~• es•oooo,-oa ~ ? SeeAstructions7or completing this form on back of yellow copy. 512_9 0 X" Below Work Covered by This Request s a 3 ew Add Rep. Type of Building AppliancesWired EquipmentWired }iome Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm.llndustrial Furnace 0 f f pe a me e r Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below.• # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps . 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps SIgnS inspector's Use Only: TOTAL irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 181 ONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final e been made. r S'.1Gs13 OFFICE USE ONLY This request void 18 months from 51,290 -23 0 ~ , / -s~ Fj,equest Date Fire No. RInspection Required? O(Ready Now p Will Notify Inspector 5- 2 0- 9 3 El Yes [XNo When Ready? IEjclicensed contractor E3 owner hereby request inspection of above electrical work at: Ir'8 e~~ Job Address (Street. Box or Route No.) City 3671 Widgieon Way Eagan Section No. Township Name or No. 7ge No. County Dakota Occupant(PRINT) Phone No. Wilfred C. Hageman Power Supplier TZdress Dakota Electric Farmington Electrical Contractor (Company Name) Contractor's License No. Roehning Electric CAO 1557 Mailing Address (Contractor a Owner Making Installation) 14811 Endicott Way Apple Valley, Mn. 55124 Authorize 'gr!ature (Contractod ~xyner Maki g Installation) Phone Number 423-4328 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 . UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 1 Receipt ~L ~ MECHANICAL PERMIT Je~- CITY OF EAGAN ~ ~ Fee Fill in numbered spaces S/C -9- 6 0 Type or Print legibly Tot. do 1. Date ~~q4 ~ 2, Installation Cost 34,y! J strF,eA 6 t: ~4S 3. Job Address;gf' ~ d Lot~Blk. 1 Tract LtJOQas2 3OS w' 7` 4. Owner 5. Contractor G 12LJC, Phone 6. Address /S/ 7 Q -F1 Sff70G?/^f7- a 7. City nk-eA h-4f4~ State Zip ~S~ 7 v 8. Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter O Repair ? 10. Describe Fuel Type 11. No. Equipment 8TU - M. Ea. No. Equipment CFM - Forced Air Air Handling: Mf9• Boilers Mech. Exhaust i fg. Unit Heater ~ Mfg. Other ~ Air Cond. A~/WfT Mfg, i ~ Gas, Piping Outlets ~ ~ ~ 12. I hereby certify that e above infor io is~true and correct, and I agree to 't d' ances and cod e ing this type of work. S7,ne or Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. . ' Approved CITY OF EAGAN 454-8100 , . . - . . _ . r' ~ ~ CITY OF EAGAN m 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 10 4 9 9 LDINCs PERMIT PHONE: 454-8100 Receipt Z # I Te b, w,d ie? 1 OF 4 PLEX Est. Value $103,000 Da1e JULY 1 19 85 3677 W IDGEON WAY Erect ~l Occupancy R3 Site Address Lot 4 Block 1 Sec/Sub. ST FRAN WOODS 3 Remodel 0 Zoning R~ Repair ? Type of Const. ~ Parcel Na Addition ? No. Stories RAYMOND FISCHER nnove ? Length W Name Demolish ? Depth Z Address GLAZ IER AVE Int Impc ? Sq. Ft. ~ City A.V. Phone 431-3551 Install ? Approvais Fees ,o Name FISCHER STAPF PARTNERSHIP Zu SAME Assessment Permit .50 o Address 51.5 0 u City Phone Water 8 Sew. Surcharge Police Plan Review 220.25 ~W Name pROBE ENGR Fire SAC 525.00 =Z Address 1000 E 14 6 TH ST Eny. Water Conn. 500.00 ~W City BURNSVILLEphone 432-3000 planner WaterMeter 63.00 Council Road Unit 2 8 0_ 00 I hereby ocknowledge that 1 have read this applicotion ond stote that gIdg. Off. 6/2 8/$ 5 Tc PI. 132.00 the in(ormotion is torre o ee to comply with oll applicoble APC State of Minnesoto ~Wfutes and ity an O ces. Parks , Var. Date Copies Sipncture of Permi Total $ 2,212 _ 2 5 A Building Pennit is iuued w: F CHER STAPF ARTNERSAIP on ths exprcss condition thai oll work sholl be done in acwrdonce with al o plicoble Sto of Mi ne ta Statutes ond City o3 Ecqon Ordinonces. Buildirp Official ~ W(.TOeqHOUSE ) - . y CITY OF EAGAN N ° 10 4 9 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . PHONE: 454-8100 BUILDING PERMIT Receipt .3 2- Z-~3 Te be uad ia 1 OF 4 PLEX Est. Velue $ 9 6,0 0 0 Dote JULY ~9 8 5 SiteAddress 3675 WIDGEON WAY Erect E Occupancy R3 Lot 3 Block 1 Sec/Sub. ST FRAN WOODS 3 Remodel ? Zoning R3 Repair ? Type of Const. ~J Parcel No. Addition ? No. Stories RAYMOND FISCHER Move ? Lenyth Name ~ Z Demolish Depth Address Int Impr. ? Sq. Ft. 9 City ' V. Phone 431-3551 Install E3 ~ FISCHER STAPF PARTNERSHIP Approvals foes ZF Name . 00 Assessment Permit o~ Address SAME u~ City Phone Water 8 Sew. Surcharge 48.00 Police Plan Review 210 . 50 ~W N~e PROBE ENGR Fire SAC 525.00 9i 1000 E 146TH ST x~ Address Eny. Water Conn. 500.00 , W City BURNSVILLE phone 432-3000 planner WaterMeter 63.00 Countil Road Unit 280.00 I hereby acknowledge that I hove reod this applicetion ond stote that gidg. Off. 6/28/8 5 Tr. PI. 132.00 the informotion is cor an og e to comply with all applicoble APC State of Minnesota atutes on ity Ea n O ces. Parks Var. Date Copies Sipnature of Permi Total 2, 1 7 9. 5 0 h 8uiiding Pennit is issued ro: FI HER STAPF PARTNERSHIP on the exprcas condition thot oll work sholl be done in accordance i h ail applico le St ta Statutes ond City oi Ecpon Ordirwnces. Buildinq Officiol ( TOWNHOUSE ) CITY OF EAGAN e .3830 Pilot Kno b Roa d, P. O. Box 2 1• 1 9 9, Eagan, M N 5 5 1 2 1 No_ 10497 • PHONE: 454-8100 BUILDING PERMIT Receipt Te be wwd fer 1 OF 4 PLEX Est. Voiue $ 9 6, 0 0 0 pate JULY 1 ~ 9 8 5 SiteAddresa 3673 WIDGEON WAY Erect 0 Occupancy R3 Lot 2 Block 1 Sec/Sub. ST FRAN WOODS 3 Remodei 0 Zoning R3 Repair ? Type of Const. y Parcel No. Addition ? No. Stories Move ? Length ~ Narrme ~YMOND FISCHER z 14640 GLAZ IER AVE Demolish O Depth Address Int. Impr. ? Sq. Ft. ~ City A. V" Phone 431-3551 Install ? Apororols Fees o Name Z?- Assessment Permit . 0 0 ou Address u~ City Phone Water &$ew. Surcharge 48.00 Police Plan Review 210 . 50 ~~',,,°C,~+, Name PROBE ENGR Fire SAC 525.00 Address 1000 E 14 6TH ST Eny. water Conn. 500.00 uW City BURNSVILLE phone 432-3000 plonner WaterMeter 63..00 Council Road Unit 280.00 I hereby ocknowledge that i have reod this oppiication and state that gldg. Off. 6 2$ $ rJ Tr. PI. 132.00 the in(ormotion is corre n cgr to comply with oll applicoble APC State of Minnesoto ttutes ond of ga rdi Parks ^ Var. Date Copies Siynaturc of Pem+itt Tota1 $ 2.17 9. 5 0 A Building Permit Is issued to: FISCHEfi STAPF -PARTNERSHIP on the exprcas conditfon that oll work sholl be done in accordance with oll oppli le State of inne ta Statutes ond City o3 Ea9an Ordinonces. Buildirq Officiol ' lYOWNHOUSE) CITY OF EAGAN No 10 4 9 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ . PNONE: 454-8100 J BUILDING PERMIT Receipt # Te be w,d fer 1 OF 4 PLEX Est. Volue $10 3, 0 0 0 pOfe JULY 1 , 19 8 5 3671 WIDGEON WAY Erect 12 Occupancy R3 Site Addreu Lot 1 Block 1 Sec/SubST FRAN WOOD 3RDRemodel ? Zoning R3 . Parcel No. Repair ? Type of Const. V Addition ? No. Stories of RAYMOND FISCHER nnove ? Length z Name 6 0 GLAZIER AVE Demolish ? Depth Address Int Impr. ? Sq. Ft. 9 City A.V. Phone 431-3551 Install ~ FISCHER STAPF PARTNERSHIP Approvals Fees - 440 O Name Address S~E Assessment Permit • 5 0 v Water 8 Sew. Surcharge 51 . 50 ~ City Phone Pol ice Plan Review 220.25 r'°C Name PROBE ENGR Fire SAC 525.00 12W 1000 E 146TH ST x~ Address Eny. Water Conn. ~Q. 00 ~W City BURNSVILLE phone 432-3000 plon~r WaterMeter F~1-00 Council Road Unit 280.00 I hereby ocknowledge that 1 have read this opplicotion ond stote that gldg. Off. 6/2 $/85 Tr. PI. 132 . 00 the intormation is torrect ree to comply with all applicoble Sfofe of Minnesoto $ty of og rdi APC Parks - Var. Date Copies Sipnoture of PTotal ~,-1.2 25 A Buiiding Permit Is iuued to: FI HER STAPF P TNERSHIP on ths exprcss condition that oll work sholl be done in accordance with oll ap 'wble State o in to Statutes ond City oF Ecpan Ordinonces. Buildirq Officiol ~ ~ - ~ 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION ~6c, City Of Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address 36 ! e Unit # Property Owner Telephone # ' Contractor 149 V ~ /(D Street Address Jll~[~ S - CA-) ' Cih' State Zip Telephone # Bond Expires: The Applicant is Owner ontractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _ Replacement air exchanger ~ air conditioner _New Replacement other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical 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 echanical Codes; that I understand this is not a permit but only an application for a permit, and work is not to start with ut a per it; that the work will be in accordance with the ic u a review and approval o plan . prove in the case or ;PE Applieant's Printed Name Applicant's Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaVindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Proper.ty Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is Owner Contractor Other Work Type _ New Construction _ Underground Tank _ Install _Remove **see below _ fnterior Improvement _ Install Piping _Processed _Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contraet Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 ep rmit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: I 2004 RESIDENTIAL BUILDING PERMIT APPLICATION a 1~ ~ ~O City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVRepair Reauirements 3 registered site surveys showing sq. N of lot sq. ft. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Plan R6cd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks T e~ ~ F€e'ir 1 set of Energy Calculations Add'rtion - indicate if on-site sepfic system 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost Site Address 7 J 3 , Unit/Ste # e o h Description of Work ~/z- 12-~ P4 ~r Multi-Family Bldg Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner LJ 'dO Ofl-"-phone ) ~ Contractor ~ v ~ f.~-.. h o~?- f 27, Address City c. f J l State /1-N rl-3 Zip f 3 3 Telephone # (OuT,)) L?.5-- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category 0 Residentiai Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar pian? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor 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. 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 ? 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 08-plex 0 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 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 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 Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV #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 _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ 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 COMMERCIAL ~ - ~ 2002 BUILDING PERMIT APPLICATION ` CITY OF EAGAN 651-681-4675 Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) . Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always'* • Soils Report (1) • Spec. Insp. & 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 • Electric Power & Lighting Form (1) 1 y • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 1 • Soils Report (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 cal I 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 will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: / /6 07 WORK TYPE: _ NEW _v REMODEL CONSTRUCTION COST:--~Ji L)UO _ SITEADDRESS: 36 7 Z~,3 % TENANT NAME: ~ s c vv' ~ U~.~' ~G w.J yd SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK k e- U c~ 7' S ~?'~o -e Name: l.0 ',X4 t ~ ca -•.i LAydveP v aJ Phone ~ PROPERTY Last First , OWNER Street Address: 6J r4r,9 c- G..3 City: State: /-I-, ~ Zip: Company: e J 24~iJ4 Phone Y ~ CONTRACTOR n StreetAddress: /f 45>- X3 o City: /3 u r..fJ 4J ' - State: Zip: JrS~ ~ ARCHITECT/ ENGINEER Company: r v Phone ' Name: Registration U~ ~ Street Address: - ~ City: State: Zip: Licensed plumber installing new sewer/water service: Phone ( I hereby acknowledge 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. G~~a L( Signature of Applicant: ~ Updated 7/02 OFFICE USE ONLY i . ~ SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CommerciaUIndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning sq. ft. SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of 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 Test ? Heating ? Insulation ~ Plumbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION $ Permit Fee Surcharge 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 ! . SAINT FRANCIS WOOD 3RD 65902 PERMIT DATE & TYPF, i,nT BL AnDRF,SS 7/985 a-PLEx 010 01 3671/ WIDGEON WAY \ 020 01 3673/ 030 01 3675/ 040 01 3677 vga DuP 010 02 3670/ WIDGEON WAY 020 02 3672 6i85 4-pLEx 040 02 3674/ WIDGEON WAY 050 02 3676/ 060 02 3678/ 070 02 3680 14 _ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN MOTE: ALL CONTRACTORS l9UST BE LICENSED ipIITH THE CITY OF EAGAN uNt-r I n. 1 t5 r~WNNc~USG INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For :ifes 1 I0ENT/A1. Valuation : Date : 2 ,s , ocU ti kou- Site Address: OFFICE USE ONLY Lot: Block l Sect/Sub 3AJ Erect X Occupancy ~-3 Remodel _ Zoning ~-3 Parcel 4t Repair Type of Const SL Enlarge # of Stories Owner eu/j4-941D f fjSC ~i eaF Move Length Demolish Depth Address Grade Sq Ft C i t y/ Z i p Cod e Phone 4131 ;?557 APPROVALS Contractor PA~-t-&A9AeUdsments Permit 440, s~ - Water/Sewer Surcharge 51 s= Address /v6eb a...p-.. Police Plan Review ,2Z0. ?s Fire SAC City/Zip Code dYfA 641/ Engr Water Conn soo. V4 4- Planner Water Meter . Co3. Phone 61Z -~3f -.3S"51 Council Road Unit 250. Bldg Off 2 Parks Arch./Engr. APC Treatment Pl k 32 Variance , Address IDOO ;t4 TOTAL City/Zip Code -?3'7 (~/1 - 4~32 - 30od Phone # s ~ r 1985 BUZLDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS l4UST BE LICENSED WITH THE CITY OF EAGAN LINIT" ZA ~ 2-(3 `f"OWNN~USL. INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS ~ tqt= 4 Gl (v, c>0.`7, 00 To Be Used For: Valuation: =-u Date: ~z7 ~rS Site Address :~6;73 OFFICE USE ONLY Lot: Block ~ Sect/Sub 3 Erect x Occupancy R-3 Remodel Zoning R-3 Parcel # Repair Type of Const g Enlarge # of Stories Owner Move Length Demolish Depth Address Grade Sq Ft City/Zip Code Phone APPROVALS Contraetor Assessments Permit Z(. ~ Water/Sewer Surcharge Address Police Plan Review ZID,so Fire SAC 5Z5. City/Zip Code Engr Water Conn Soo. = Planner Water Meter 63. = Phone Council Road Unit 2So.~° ~ Bldg Of ~ Parks Arch./Engr. APC Treatment Pl Varianee Address TOTAL City/Zip Code Phone # s ~ P 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS l4UST BE LICENSED WITH THE CITY OF EAGAN U N i T 2A o~ ZB 1roWNH0.tsE INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS I ot= 4 o, q tD,-ooo. ~ r To Be Used For : ~o~uN Nour~ Valuat ion : $e~~ Date : 7$S -r- Site Address: .~j 475~ •'v- LJ~ OFFICE USE ONLY Lot: ~ Block ~ Sect/Sub 3A,& Erect ~ Occupancy R-3 Remodel _ Zoning ~-3 Parcel # Repair Type of Const Enlarge # of Stories Owner Move Length Demolish Depth Address Grade Sq Ft City/Zip Code Phone APPROVALS Contractor Assessments Permit 421 . ~ Water/Sewer Surcharge ._4e.`L Address Police Plan Review jp,SO Fire SAC 5 2-5, City/Zip Code Engr Water Conn 500 Planner Water Meter Phone Council d Unit 280, Bldg Off G * Parks Arch./Engr. APC Treatment Pl 2, Variance Add re s s TOTAL City/Zip Code Phone # ~ OL/*? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS l9UST BE LICENSED WITH THE CITY OF EAGAN uti~r IA orz 1e TbWrt t-fOUS~: INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS I oF 4 lo3c~. ao To Be Used For: ~'ou,,~~a~SE Valuation: Date: (o t7 $S Site Address:3 (,o V7 OFFICE USE ONLY • ~...o+,..u.%.- Lot: q Block f Sect/Sub Erect X Occupancy Remodel Zoning pl-3 Parcel # ~ Repair Type of Const y Enlarge # of Stories Owner Move Length Demolish Depth Address Grade Sq Ft City/Zip Code Phone APPROVALS Contractor Assessments Permit ~-4o.'-° ' Water/Sewer Surcharge SI.yO Address Police Plan Review 220.?S Fire SAC 52S . City/Zip Code Engr Water Conn 500, = Planner Water Meter Phone Council ad Unit 2So. Bldg Off Parks Arch./Engr. APC Treatment Pl 132 = Variance Address TOTAL City/Zip Code Phone # . ROBE zi, P~E PNGINEERING ` PLaNNEAS and~LAND S~UAVEYORS COMPRNY, INC. 1000 EAST 1461A STREET, BUtiNSVILLE, I~IINNESOTA SS33T PH 4432'3000 Lgoal .Qe-scr4e2~ fcn: LoTS 213, ~ 4 BLOCK ST. rRANe/5 Woop , 3RD ADDIY'ioN, ) DAKOTA COUNTY) M/NtUESVT,q, i.~?5~oi DENOTES EXISTIN6 ELEVqTION (~~•a~ DENOTES PROAOSED ELEVATIQN 1NplCATE5 DIREC.T/Q/V QF SURFACE DRqINA6E FlNISHED C-,qRA6E FLDOR ELEVQTIQ" NORTH SCALE : 30' ~ ~ Mo ~ ~V/pGE~3 z~ . v - S 7g a ol . . /02. eZ o0.. E o ~ S e 5 9 3eo , ' k w ZO'42- ` 5 g9¢ 0O N r W i k 12.9t a,.,, ~ 1 2Z•5e 4 38 0-0 p lU (~Q Oo 4.~ ^R ^ . % N 4 ` ~v ai co ~ ~Q~~; t~ 2 ~p}~0 9,se 19,so o . ° M ~o , QI N i 2/' E I 3e.00 2 J~ i~ ~ . • _ 80 ~ s '78, 32.00 ~ / 3 ~ 1 00 ao 32. op a 0p ~'c 38. ~ ;~.Si •'c OP a ~ s >g 8. o o ho , 00, , . I hereby certify that thia ie a true and correct repreeentalion of a tractot land •s sha+n'and deacribed hereon.. Ae prepared by me on this VrAl_ day ot .TU.%JE , 19 8'S 1 r. ~ 2/84 CITY Or EAGaN APPLICATIuN FOR PEYLMIT ' 1111 ~ SEIdER AND/OR WATER CONNECTIODI (PLEASE PRINi) 1) PF.OP= AL'DRESS : { r.Fr%r.. DE..~sPrIcv: (LotBlock/SL..aivisycn or Ta:ti Parcel I.D. NL.~zer) S'I':;LC-17' vj', Dai~. Oc C2T_G^~i ciiI=1 L'r' _ .r: _Li ISSUrNC:: .~.~.~,.~V•~ P~~Sr ~";Tr,/P~OFCS=_) tS': ~R-1 Sz:= F?<4=1 . . ? R-2 LUi= (7i~ l+_il1TS) . G~ 3 'iCi`.~~ -rvr?C~' ('T~' 1 U. l i C ) ~ TJiV1 _'S ) p ..-4 APA:: `!E:~'I'/CC_Z)0:Air; 1!-;M ( L'IN I =1 ? CCS.!~'~ :1~~-'Tu/ :CG~.-TiTi~(,ii ~ T~ ? 1\uvs=L . . ? IN, S 1 i7_7 ivnm 1L/ UV'4' i: ',Rl' Z} APpT,Ic:-::-,r ~ ~f'LLnJC rnltii) N7-V IE ' ts e~rw ~i ACD.RESS : s:aTE, zzP: - PxoNE: 3) p=.IEE?, SE Py, T) FOR CITY USE 04LY NAl : /f~ , PDD^ESS: PLUHBERS LICEtiSE: Active CITY, _.STATE, ZIP:' Expired ~ Not of Record • PHO:IE: 7 /,5-P? pLU4BER LICENSE # " at' :n1t1a1 4) OC..'CC7pAi~PI`/Cr,vi;E.Z NA (PLEASE PRI4i) t`~: ADDRESS: CITY. STA1E, ZIP: PF-i0`IE: 5) INDIC'LZ'E .ti1HICH PERi•SIT IS BEZtiG R.F'QUESTM: ~ CC:+:~IE',CrION 'IO CITY SE6-i'm - C0NT:IF7CTICN TO CITY I.'A7'EZ (7ifEt (PZ.ZASE DESC?.IBE) 6) U.'DICA.:, C:u.: . • EJ PLa",SE FrOLD APP??OVID PER%IIT FOR PICi:-b-P BY ONE OF AFGVE °T.~-,.SE 'Mr1IL APPROVED P=%LIT T`J 1, 2.~ r'1FM'E - (Circle one) 7) sz~~TL-z:.: DATE: ~t 01 a~.KSe.,a i~ ~ s.e E a.e~ ~.~t s r+~ ~ s a~a a~ s s~ s as~ :s a a~ f~ ut~-~ r~~ ~.e ~ rs rrc~ ~e~~-a's,sa~ F O R C I T Y U S E O N L Y PERMI'^ ISSUED r'S : $ F°~ SF~.:LR T~r7`:1T^' ( I`_:C: i~. JU.',C-~:?vG~ $ /o. J-Z) WATER PE?.~tTT (INICL'uDL. SuRCt:ARGEi $ -1 ' WITER METER/COPFERHORN/OUTSID" REr,LER $ WATER TAP ( ZNCL~:DE CORPORATiO11 S'i'OP ) $ S: :•:r.R T.-? $ ~C~T~ r'. ~r V lI _ r.= ~.c _ _ - _ • ~ $ /S AC.^_OutiT D=:P~~SIT - j- 7aTEE R $ WhC $ .S`a•S ~ SAC $ TP.liNK f•7AT°R t,SZ -:7 SS:.~;3T $ TRL'NK SE,:•:ER :~5-SES5:.::i'^ $ LtiTyRAL BEivEFIT/TRti:1K S-,:•:E~: $ LATr,RaL BEtir.FIT/TP.U:1K S`7AT°R WATER TREATMENT PLAI?T SURCHARGE $ OTHER: $ TOTAL AMOLTNT PA'1?jRy~~IPT D07-S UTILITY CONNECTION REQUIP.E EXCaVATION I;1 PUBLIC RIGHT OF WAY? YES IF YES, THE:I A"PERMIT FOR 'r70RT.-'. WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGZNEERIDIG DIVISION. LIST AS A CONDI- TION. SL•EJECT TO THE FOLLOWING CONDITIONS: • APPROVED BY: TITLE: . DATE : as~ ..ri... ~ ~ .t~ w ~ ~ w ~ w ws~ ~ta ~a~ w s~ ~a rE ~ ~e ~t~ ~ s~ ~ 1 2/84 , CITY Ot EAGaN It111 APPLICATION FOR PERLMIT SEWER AND/OR WATER CONVECTIODI ~ (PLEASE PRINi) 1) ProD~ ~DPZss : L'1/at T_MAL DaSliPrTcN: _ L 2 ,6 T ~ (Irct/Block/SL:aivisicn or Tax Parcel I.D. NL:: zer) .~;I~__:u S'T:;L'':'E, D.±. 0~' C~2IG~.e7ci.iI=L:G =-':1^' ~ .SJI.c'i~ . _c_..= J PP`S= US': O R-1 Sy: j.L. Fr ~ r . ? R-2 L~'-1-7=..: ('I;:'O L72NITS) . 3 iV:'.'1~~=(Y1CF ML~D~ 1 L1T"mC) ~ Tj,,~ 1 11 ? R-4 cL?.::^+`:I'/CC_j)ci,1Tr; :-L:~1 ( Livi._ ? ? El V i1V~ 2) APPI.I= / (PLEASE PRINi) r/ r ' ADD.RESS : ~ &6V-C> , CT="_', STrTr', ZIP: = PFo-NE: (PL ASE PRIY FOR CITY USE ONLY NPl-'IE: ~~t~'/Tfl`Z~/?sv~!'r ~ PDLFESS: ~j7' PLUHBERS IICEYSE: Active CZTY, _.STATE, ZIP: Expired r H3icn Not of ReCOrd . PHO~TE: PLUMBER LICE4SE ' ar - ;n1ti3 4) OCC_"umAi~rT/Cuum N (PLEASE PRINi) F~'KE: ADDRESS: CITY, SThTE, ZIP: PHO`JE : 5) INDIGATE :aE-iICH PER?•lIT IS BEItiG RE7QUES'I'ID: CC:INE'.CTION 'IO CITY SEGJEt C~ CC:.:VECTICN TO CZTY WATEt Q Cr'iMR (PL.E'SSE DESCP,IBE) 6) ~~~IG~~:: C.~.: • • ~ Q Pr..rASE F?OLD APPRWIID PERNIIT FOR PICK-L'P BY OD1E OF ABGVE •~PT.y=zSE :1r1IL APPR(7VID P',:•LLT TJ 1, 2. 34 r'~F''E . (Circle one) 7) DAZ'E: 7 ` R O! aRM fe~st i~ ?tr tat ~t ~:a~v ~rt s ~'+t s:s as-a~ a ~s s s~ s sa~ :a a a~ fe ati~-yt+s~~ ~r ~ rs ~ s~~~ F O R C I T Y U S E O N L Y rSSUED $ \ fQ ~dATER pgl,*tT'^ (T\l,.TCLtiDE ~URCHARGci $ WaTER METER/COPPERHORN/OUTSIDE I- REr,DE? $ WATER TAP ( INC:,::DE CORPORATIOy S':OP ) $ S: , vr.R TA ? =R $ Ac^cutiT D''.POS1T - L•ramER $ caac $ s,;%.c $ TRliNK WAT°R ASSEESS:.-E.IT $ TRliNK SEE,•;~R :,Sc-z Z..~..E:iT $ Lhi :?.-~L Br:vrr I`'/TRL'iIK Sr.:~.''E~ $ LaTERaL BENEr I'i'/TRU:1K Z`7AT='R $ ?JATER TREAT^fENT PLA_%TT SURCHARGE $ OTHER: $ TOTAL $ Ati?OU`:T PAID,"R: Cy-?T ~ D0: S UTZI.ZTY CONNECTION REQUTP.E EXCaVATIOiV IN PUBLIC RIGi-iT OF WAY? YES ZF YES, THE:I A"PER;IIT FOR 5•]ORi: WITHIN PUBLIC ROADWAY" MUST BE ISSL'ED BY THE NO ENGINEERITIG DIVISIOCJ. LIST AS A CONDI- TION. SLT~::ECT TO THE FOLLOWING CONDITIONS : • APPROVED BY: ~ TITLE: • DATE: 7~/~~ - ~ ~ m pe sit wse mq~w ""M ON am 4o spe W410 ~ ~ m jmo w~~ ~m Am son w m ~ , •y~Y 2/84 ~NX. ' CITY Ot EAGAN APPLICATIuN FOR PERi4IT SEWER AND/OR WATER CONNECTIOr1 (PLEASE PRINi) PF.LP= ADDPr.ss: T.FriAL Dr...IPrTcv: 31 (IAt/Block/St:baivisicn or Tax Parcel I.D. ML.-ear) ~ IF -=-=-,ME, Dai' OF CPIGmaI, `.1.1 .T.S~U;~NC.: pDL'CL,..+ L'': - ? it'~Z SL'.V ~ • i r1'T1L~ D R-2 ('IT,;O L'NITS) TF-• - ~ t2-3 `~~'C:`.1:,-rv`?CZ' (_R~ S) p ..-4 C;NI:"` ~i ? : Ci•~~;C~.=.L/:2EI'~L,/Cr ~ IC::.' ? v5121~-L . ? y's 2} APP?._~=1' (PLEASE rniNr) , tVe-~i•~ : ~l.S'C./if~ r/ ~V .i r ADDRESS : CI'm., ST;=, ZIP: PHONE: 3) pu.=E,? (PLE- iE rRINi- f4 FOR CITY USE 0!7LY NPl: " ~ii?~j o3'!G/'ef.v- C ;~~S, PLU°BERS lICE9SE: PZC Active CIT'_'..:STATE, ZIP: ~2 S ( C] Expired Not of Record • PH0NE: PLUMBER LICEVSE i~ ' ar- :nitia l 4) OCC.'u?F`dT/Ct;':;E'ct NA (PLEASE PRIt~T) i~: ADDRESS: CI?"I? STATE, ZIP: ° PHO`IE: 5) INDICAiE :'IEiICH PERi•lIT IS BEItiG R.F~.,~UES=: ~ CC:.~'~1F.CrIO:V 'IO CITY Sa-,ER CO..""1F7CTICy 'Io CITY LaA1'E2 0`71E2 (PI.EASE DESCP.ZBE) 6) INDIG~::. C..:.: . • Q PIZ',,SE F?OID APPF?= PERti1IT FOR PICK-LP BY ONE OF AFCVE °TE=,SE R*aIL APPROVID PER.'•LIT T'J 1. 2.(D 4 A£OV'E (Circle one) 7) DATE: ~S " R C~r~iAfR_10 ~ i~ L'! !!:g ~ ' • i bwmi7 :s a 1t !r! it~-!~ lyi~ fy ! Llt ! = Ctmg4W F O R C I T Y U S E O N L Y P--?-%lI'" " ISSUED F ..::.S : ~ 5~..:.r.... Pi7~.ST7^ (I~:l T.:i~. JUa~`~ ~ ~ 1 7 a.~lJl.,/ $ WATER PER."tT~' {I::CL'uDE CuRC:-iy-RGEi $ ' WaTER METER/COPFERHORN/0UTS_D7 REhDE? $ WATER TAP (INCLL'DL CORPORATICN STOP) $ 5..~ER TA? $ .._:.~R $ ~s AC.^_OuNT D=:Pr`SIT _ PJaTE' R $ Wr,C $ SAC $ TRliNK WAT°R ASSESS:ir„T _ $ TRL'NK 5---:':rR ySS_=;S:iE`iT $ LhT~P,r,L BEivr.r IT/TRti.dK S77:•:E~ $ LtimERAL BEtiEr IT/TRUNK WAT°R $ WATER TREAT*fENT PLAiNT SURCHARGE $ OTHER: $ TOTAL al"ot;.:T PAID j -1 P1 : DOES UTZLZTY CONNEC.ION REQUIP.E EXCAVATION IN PUBLIC RIG'rIT OF WAY? ~ YES IF YES, THEN A"PER.lIT FOR 117OR?; WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGZNEERING DIVTSIOU. LIST AS A CONDI- TION. ~ SliEJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: '7z TITLE: ' DATr: w:p! WlfM P!a pFM ie logme wio /tO m p4 W309 "!i PkW 04 ilN ~ ~ 1 ~ 1 C~ 'y~ ~i 2/84 CITY Or EAGAN APPLICATION FOR PERMIT SE.dER AND/OR WATER CONNECTIODT (PLEASE PRINi) ProDE=-- aDIDREss : ~ ~ ~ 7 ~l? ~ ~ DaS=P'rTcN: (LotBlock/St: ;ciivisicn or Tax Parcei I.D. N~."rzer) ~ SI':;L'C"1'=, DaTE OF CPIG217~i., EUI:r^L":G ISSZ.c,-NC.: MESL'= L;S-_-. p R-1 SL:GLc. FPtit.ILY . ? R-2 LLP= (7,-.'0 L'NITS) . @~Z-3 TC,,.~~=rvTcz~ (~?n,~ + L-.yic) ~ tj '112:'S) - p R-4 E-,~,: ~;~=:T/CC:.',:•~r; ~-~1 ( L'tiI;- ` p CCi•L~I~CL=~L/;ZE'I'f,II.,/Cr ~'IC:: ? ~'C~ST~I::L . ? L~STI' ~~'Ii.'~;AL/GGV.~,n~-T 2) (PLEASE PRI7ii) 'OVf'? crT^~, sTr~, zzP: A Cf - Pl:oN E: 3) pLj,;,1Ea", ~PLEAS rRiNi) FOR CITY USE 04LY NAl: RESS: ~ PLUHBERS IICEYSE: PDD ~ s-- Active CITY, _,STATE, ZIP; Expired • PHO~IE: H, i Cr ~ Not of Record Y S 7' l,> r~ j PLUMBER LICENSE 3 6 ' ar- .nitia 4) OC'C[JpA1]T/Cr','TIM ( P L E A S E P R I T) NAI'~ : ADDR.ESS : CITY. STATE, ZIP: PI :aIE : 5) 1NDIG'1TE WEiICH PERi•iIT IS BEItiG RECUESTID: ~ CC:I~1F'JCrIOV 'In CITY SD1ER ~ C0:J:vECrI0.1 'Ib CITY WATEt Q rI1'i1Et (PLZ- 7'%-SE DF.SCRIBE) ~ 6) INDICA-l" C..r.: . • ~ ~J ~~.SE F?OLD r~PPRWm PER^^.IT FOR PICi~-L~i BY O:JE aF AF,~E • PT_E.•~~1IL APP~ P~~•LIT TJ 1, 2, (3~4 r'1~74'E (CircY one) 7) sIG:.AZT.,'R:.: ~ ~ • a1-~liAfo_ss i~ itr ~at !~:a~~cfv ~t aa rx ~ia +r s s rFS s:a :a ami[ fue mtmill:meyyir memo rs am s ewatgar F O R C I T Y U S E O N L Y PE?MIT ISSUED F__ $_~//q. Slo Sy::LR Py7\4T': ( I\Tt`:..:t'i~. $ WATER PER."tIT (IiICL'uDL :JRCHARGc.) WATER METER/COPPERHORN/OUTST-D=- READE? $ WATER TAP (INCLL'DE CORPORATiON STOP) $ SE:vER T.AP $ ~ $ ~S AC.^_OuNT DFPC`SIT - WAT°R WaC J $ SaC $ TRLNK WATER ASS7E`SS:?_=.:T $ TRli:JK SP.:-,-,ER ySSySS:iE:iT +S LATyR.yL Br,:14r,FIT/T:?U:1K S-_:•i~... $ LAi r.RAL Br.Nr.FIT/TP.U:1K ;9ATL'R $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL g--~ ~ $ Ll i t'1MOL'tiT PAIJ;'qECEIPT ~ j.33 2,,f DOES UTILZTY CONNECTION REQUIP.E EXCaVATION IN PUBLIC RIGHT OF WAY? C, YES ZF YES, THE:I A"PERIMIT FOR Tr70RK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERIDIG DIVISION. LIST AS A CONDI- TION. SliEJECT TO TEiE FOLLOt4ING COIVDITIONS : • ~ APPROVED BY: ~ TI:Lc: ' . DATr : ~~~~F5 w mlit wfe Mum Wtm /4 w-we sio wm PE m st w" sm+a mkw 0! sA w m ~ twin city testinq ftNMaWWtCW%,& WW- 662 CROMWELL AVENUE .o.;a d' " ST PAUL, MN 55114 PMONE 612J645-360t ar REPORT OF: DENSITY TESTS OF COMPACTED FILL . . . ~ S RANCI-S WOOD-3RR ADD.ITION~...-' PROJEGT: NEAR tEXI"NGTON AVENUE cATe: November 6, 1984 EAGAN, MINNESOTA coPIES-ro: 1-Fischer Construction REPORTEDTO: Ray Fischer 6801 W25t 150th Street /AACtittn: n: Curt Fischer Apple Valley, MN 55124 y of Eagan Dale Peterson LABORATORY No. 11-8792 TEST NUMBER: 12 13 14 15 DATETAKEN: 10/23/84 - 10/23/84 10/23/84 10/23/84 UNIFIED SOIL CLASSIFICATION: C1 dyEy sand C1 ayey sand C1 ayey sand C1 ayey sand (Moisture-Density Sample Number) with a little with a little with a little with a little gravel, mostly gravel, mostly gravel, mostly gravel, mostly fine grained, fine grained, fine grained, fine grained, brown (SC)-2 brown (SC)-2 brown (SC)-2 brown (SC)-2 LoCATIO?v: Blo_ck__, Block 1, Block 1, Block 1, ~ lots-1--& 2-~-~ lots 1& 2 lots 1& 2 lots 3& 4 ELEVATION OF TEST: 891' 889' 887' 891' DEPTH BELOW EXISTING GRADE: Surface 2' 4' Surface FIELD DENSITY DETERMINATION: Method Density in Place by Nuclear Density Method "B" ASTM: D 2922-81 (-#4 Basis) Dry Density (pcf) 135 130 123 126 Moisture Content 8.4 9.6 10.0 12.0 Plus #4 Material 13 15 9 11 LABORATORY MOISTURE-DENSITY RELATION OF SOIL: Method ASTM:D1557-78, Method "A", (44 Basis) Maximum Dry Density (pcf) 132.0 132.0 132.0 132.0 Optimum Moisture 9.2 9.2 9.2 9.2 COMPACTION TEST RESULTS: Compaction 102.5 98.5 93 95.5 Specified Compaction 93 93 93 93 ATTENTION: Density tests are valid at the location and elevation of the test only. No representation is made as to the adequacy of fill and compaction at locations and elevations other than those tested. AS A MUTUAL PROTECTION TO CLIENTS. TME •UBLIC AND OURSELVES. ALL REPORTS AR[ fUBMITTED A6 TME COMFIDEN7IAL rROP[RTV OF CLIENTS. AND AUTMOR• IIATION iOR PuBIiCAT10N OF STATEMENTS.CONCLUSIONS ON E%TRACTS FROM OR REGARDIHG OUR REPORTS t5 RESERVED rENDIMG OUR WRI77EN AGPROVAL , Twin Cit Testing and Engineering,L96oralory, Inc. ~ ~ I By , twin cittir testinq ana ~nnv abaraton~, ~nc. 662 CROMWELL AYENUE ST. PAUL MN 55114 VHONE 612/6e5-3601 11 ~ ~ REPORT oF: DENSITY TESTS OF COMPACTED FILL 'ST FRANCIS WOOD-3RD ADDITION ~ROJecr: NEAR LEXINGTON AVENUE cnTE: November 6, 1984 ' F EAGAN, MINNESOTA Ray Fischer coPiESTO: 1-Fischer Construction REPORTED TO: 6801 WeSt 150th Street Attn: Curt Fischer Apple Valley, MN 55124 1-City of Eagan Attn: Da1e Peterson LABORATORY No. 11-8792 TEST NUMBER: 16 DATE TAKEN: 10/23/84 UNIFIED SOIL CLASSIFlCATtON: Ciayey sand, with (Moisture-Density Sample Number) d 1 i tt 1 e gravel, mostly fine grained, brown (SC)-2 LOCATION: B10Ck 1, lots 3& 4 ELEVATION OF TEST: 880' DEPTH BELOW EXISTING GRADE: 2' FIELD DENSITY DETERMINATION: Method Density in Place by Nuclear Density Method "B" ASTM: D 2922-81 (-#4 3asis) Dry Density (pcf) 125 Moisture Content 9.3 Plus #4 Material 12 LABORATORY MOISTURE-DENSITY RELATION OF SOIL: Method ASTM:D1557-78, Method "A", (44 Basis) Maximum Dry Density (pcf) 132.0 Optimum Moisture 9.2 COMPACTION TEST RESULTS: Compaction Specifed Compaction 94.5 93 ATTENTION: Density tests are valid at the location and elevation of the test only. No representation is made as to the adequacy of fill and compaction at locations and elevations other than those tested. AS A MUTUAL pROTECTION TO CLIENTS. TNE PUBLIC AND OURSELVEB, ALL REPOR75 ARE SUBMITTED AS TNE CONFIOENTIAL rROrERTV OF CLIENTS. AND AUrNOR- I2ATION FOR PUBLICATION OF STATEMENTS.CONCLUSIONS OR E7(TRACTS FROM OR REGARDING OUR REPORTS IS RE6ERVED PENDING OUR WRITTEN APPROVAI I Twin City esting and Engi ering abo~otory, Inc. SG-222 (81-A) BY CITY USE ONLY j L BL I RECEIPT SUBQ. d 4- ~d RECEIPT DATE: oe//0 1999 PLUM$INfi PEiMIT (RESII}ENTIAL) CTTY 0F ER6AN 3$30 PiLOT KNOS ftD EAfiA1V, MN 55128 (651) 681-4675 Please complete for; ? single family dweilings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES §ACH 9TOTAL Shower 3.00 y, _ Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Not Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3,00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener * for dwellings under constructlon 5.00 X = Water Softener " for existing dwelling 30,00 x = U.G. Sprinkler * for dwelling under const. 3.00 _ U.G. Sprinkler " for existing dweiling 30.00 = Alteratiorls ` to existing restdence 30.00 = Water Turn Around 30.00 = Private Disposal System " MPC lic. 75,00 = (new and refurbished systems) Private Disposal Systems ' Abandonment 30.00 = RPZ (new installation/repair) 30.00 = e inder• Call 681-4675 for inspections of water heaters, STATE SURCHARGE .50 water softeners, aiteratlons, etc. . TOTAL I hereby adcnowledge that I have read this application, state that the information_is_c~Rec~_and anr.eeso_sa~mnJv~n!Itt~alLappifcabie Ciry of Eaganordina'nces.It is the applicant's responsibility to noGfy the property owner that th~ jused by the City dunng Its normal operatlonal and maintenance activities to the facilities constructed DILORENZO, CARLOE iement. ~ 3673 WIDGEON WAY i SITE ADDRESS: EAGAN, MN 55123 (651)454-8221 OWNER NAME: ~ ____i tNSTALLER NAME: 0.,0 15f/lJC4„ 7ELEPHONE - "70,3,3 STREETADDRESS: CIN' ' STATE; ZIP: S O~ SIGN E OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMtT (RES) - 1999 CITY USE ONLY LBL J RECEIPT S SUBD. J~-.a (•~(/06~f ~ ? DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NQ, TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x = Gas Piping Outlet 'minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: -7 OWNER NAME: ~?-~2-C~s ~ ~9,~Z, INSTALLER NAME: STREET ADDRESS: L969 tL A 0 b CITY: STATE:ZIP: PHONE ( 33--~ f 3 S~ U~ ll ~7 OFFICE USE ONLY L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are n2t required for each dwelling unit. IlA'rF- CnNTRArT pa!CE:--_-- WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pjai3Ai fee due on all permits. CONTRACT PRICE x 1 % STATE SURCHARGE TOi AL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: . PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: COMMERCIAL BUILDING ~ • Permit Application ' City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 L Telephone # 651-675-5675 FAX # 651-675-5694 a a ~ ~ ~ Foundation Onl New Buildin Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) . Civil Plans (2) • Project Specs (1) • Code Analysis (1) . Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master Exit Plan (1) • Spec. insp. & Testing Schedule . Certificate of Survey (1) • Energy Calculations (1) not always*' • Soils Report (1) • Spec. Insp. & 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 1 • ProjectSpecs (1) 1 • Energy Calculations (1) 1 y • Electric Power & Lighting Form (1) 1 1 . Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 1 • Soils Report (1) 1 • SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination - call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required when it states "not always". Permit for new building or addition will not be processed without Emergency Response Site Plan. ~ Date Construction Cost Site Address Vi- ll) "u ~-yXnit/Ste # Tenant Name Former Tenant Name Description of Work Property Owner i..-k ; z a 'o -(J`(' Telephone # ( ) c..~ Contractor L tJ Le X/a Address City /Q c. /-L) J u. f"/ c State /11 ,J Zip ~~3 3 ) Telephone # `71.2 J~ej_ ration # Arch/Engr R gi ~zty Address J State Zip~ Tel~ :p ~ ~nII # ( ) Jv.J ? Licensed plumber installing new sewer/water service: - ~P~one I hereby apply for a Commercial 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. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CommerciaUIndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous 0 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon 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 only) - 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 (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ 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 Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total ; . SAINT FRANCIS WOOD 3RD 65902 PERMIT , DATE & TYPE LOT BL ADDRESS 7i985 4-PLEx 010 01 3671/ WIDGEON WAY 020 01 3673/ 030 01 3675/ 040 01 3677 7i84 Dtrn 010 02 3670/ WIDGEON WAY 020 02 3672 6i85 4-PLEX 040 02 3674/ WIDGEON WAY 050 02 3676/ 060 02 3678/ 070 02 3680 14 Oct 10 2012 12:53PM BRUCKMUELLER PLUMBING INC 6516882160 Cllyef1a�afl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r page 1 Use BLUE or BLACK Ink For Office Use i Permit #: /0f (I Permit Fee: (l/ 62 CC) Date Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION / Plumbing / Sewer & Water Date: /0- 34.2 Site Address: 36/ % Gtt Id3e,, e,, ' -'1 Tenant: Suite #: VT �d aa,a° ('�d F 4 � �,�,V` ( iK T— � t M1 �' 1 'KJ . Name: �9ho 4 to vi / Wag Ce51� P//'Y��n Phone: �5 �� %qg3 Address / City / Zip: 2(41 / . 01&'-i-,4, a i - L s < a. _I 575-1,p ti ! x ` ! wy� �} '3 �"' Name: eri t -C 7 f l f �Cr f Lu i» br i'i g. ,.: -ne. License #: O Ga I'g5 / - pry) Address: 3619g Pen ' JI r1t "a Auti1x 6. City: of g2 p') State: MA) Zip: 5-51.,) I Phone: 6 57- 6+3 G. - C ? 0 ql CP Contact: Email: r°h id 5.4 �, i 2, &" ai�� Ik^^ f, PLUMBING (Within the building envelope) VSump Pump Repair SEWER 8 WATER (Outside the building envelope) Repair Other: Other: r 1'1¢ ro h wk-, �.y1111 (i , �N Description of work: Ar1119 -Sa m p pU n 113 I,7'/)i %1 c"a (.gyp ilz7 (7-dCIr° , FEES $60.001 Each (includes $5.00 State Surcharge) TOTAL FEE $ 6 0, 00 *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan,cornijnflow, or City Hall at 3830 Pilot Knob Rd. 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.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. 11-141.e Snick/?'La der_ Applicant's Printed Name A lcant's Signature G . � �v���i�� `� Use BLUE or B[,ACK !nk r.__..�.���a.�v..s..�__....__..._ 6 �or Office Use I • �lUV �� �U U� � Permit#:----�—�a(L-C�-�1SL—. j u � � ` ' - '`j-(3 � 3$30 Pilot Kttob Road � Permit Fee:_ ���- � Eagan MN 55122 � � Phone: (659) 675-5675 i Qate Received: `.����_ � Fax: �651) 675-5694 j � � Staff:_ � �-------- --------I 2014 COMMERCIAL BUILQING PERMtT APPLlCATION Date: Site Address� exp��' �t9�3— a3�p� 'J�—��07� Tenant Name: (Tenant is: New/ Existing) Suite#: Former Tenant; Nams: Fhane: Property Owner 1 3`- Address/Gity f Zip: 7 - 3(��13'�(p���c��]_�i,, �� (� � Applicant is: Owner �Contraetor Type of}Nork Description o#work: QP �(''� � ( � � Construction Cost: � �� Name:����si�'1'UG��ti("�t"'3 �►�. Lic�nse#:_�-�� ��� � Cantractar Address �S�� 'r��� � � �P;.a'�°' Gity: ��� Q��,,. ` State:—��ZiP:s����"'i , Phone: `^� "�'J�, ° �J`�"� — '�(�'m"j',�.� Contact: ���,,a,• e��(" EmaiL c�4"'(` � t� �'Vl� , Name; Registration#: ArchitectlEngineer Address: city: State: ZiP� Phone: Contact Person: Emaif: Licensed plumber insta(ling new sewer/water service; Phone#: NOTE:Plans and supporting documents that you submit are considered to be puklic Informatlon. Portions of the infarmafion may be classified as non-pub/ic if you provide speciflc reasons that would permit the City to � conc[ude that the are�rade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651}454-0002 for protecfion agai�st undergraund uti{iry damage. Call 48 haurs before you intend to dig to receive locates of underground utilities. www,gopherstateonecail orq I hereby acknow{edge #hat this informatian is comptete and accurate; that the work wifl be in conformance with the ardinances and �codes of the City of Eagan; that I understand this is not a permit, bui only an application for a permit, and work is not to start withou#a rmit;that the work will be in accordance with the appraved plan in the case af work which requires a review and a,provaf af p4ans. X ��arr� X ApplicanYs Printed Name Applic 's Signat e Page 1 of 3 Use BLUE ar BLACK Ink r-__._-_-,_._-_-.__,� � For Office Use I l• f � - ��`�� `� � �l�y O1 ����� Petmit#: i ���� i � Permit Fee: . 3830 Pilot Knob Raad � � Eagan MN 65722 � Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � I 1 -------------------� 2014 RESIDENTIAL BUILD(NG PERMIT APPLICATION Date: ��-$ "'1� Site Address: � Unit#: Name:_(�;�� � �f1 f� �4<��+�. Phone: Residentl 1 Owner Address t City i Zip:���1 l.c�i�iaG� l.�U��r �o.��r, �(, � Applicant is: �wner �Cantractor ���Type of WOrk �escription of work: � ��)�1 'F�a�,���4�� Reo�� �n.er,.�s `°`�` Construction Cost: Multi-Famiiy Bui(ding: (Yes�t No�, Company: Contact: M,i��... Contractor Address; h�?,� �„ �c�., t,c��,}- City: ��e1,�c,n � State: � Zip:��� Phone:�4��'g.L1�-7Q7�mail:_�ty-t��C�c�S�"�c��rr+�Rl=�C�^°L License#:��..,,i�1 ��'] Lead Certificate#:_ ��"� TM-�tQ"�,�°'� � 1f the praject is exempt from lead certification, piease explain why: (see Page 3 for additional informatinn) �� � COMPLETE THIS AREA ONLY iF C�NSTRUCTING 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 ciassified as non-public if you provide specific reasons thaf would permit fhe Cify to conclude fhat the are frade secrefs. CALL BEFORE YOU DIG. CaA Gopher State One Call at(651)454-OOQ2 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of undergraund utilities. www.qooherstateoneca(I.orq 1 hereby acknowfedge that this informatian is compfete and accurate; fhat the work wi(i be in canformance with#he ordinances and codes of the City o# Eagan; that i understand this is not a permit, but oniy an appiication for a permit, and work is nat to start without a permit; that the work will be in accordance with the approved plan i�fhe case of work which requires a review and approva{of plans. Exteriorwork authorized by a buiiding permit issued in accordance with the Minnesota 5tafe Buitding Code must be completed within 1&0 ,.,,,„,, days of permit issuance. , x c t'f x ApplicanYs Printed Na Applica s Signa re Page 4 of 3 , For Office Use �j�? - / % % i •• 0 r ® Permit#: j/ 0 / V ,, ,,, EAGAN • "'O Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(ir)citvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i- ` aO I Site Address: 3( 1 1 Y\,t �'.O n W0 1 .airQl\ Unit#: Name:A_(\A ��f.v �4a� Phone:(C36 I- 5D'1 1 © Resident/ 0 1.) 5 51;.a Owner i % Address/City/Zip: �J(D`� � ''�' `[� �j '�CI,�Q'r'a� Applicant is: Owner 1/ Contractor . Description ofwork: R ec�� �� \r� l 3 3(Li73 3C0`l 5 3(p1-1 `ype of Work ) ) Li 50 Construction Cost: a 1 0,-,1 Multi-Family Building:(Yes V/No ) Company: Ivor . Con 3--\- O 1�1 1-1C.. Contact: JJ 'A J4ureaV Contractor Address:10( 15 dyes"Se/ 1\0e., city: CAA 45't1 State: /4's Zip:5,53 I S Phone:61153-ci'h1 --11Email Miry-0I CL)1 � 5I\)-COrr't SILicense#: S)C 11 cit ,RQ 5 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 supportingporting documentaffinfiriu submit are considered to be public information. Portions ofthe informatio.;° a classified as non-public if you providepe fic reasons that would permit the City to conclude that they are trade secr tga, 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.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. x M' \'ve_J gOf co x Applicant's Printed Name f Applica s Signat e PERMIT City of Eagan Permit Type:Building Permit Number:EA155748 Date Issued:05/31/2019 Permit Category:ePermit Site Address: 3671 Widgeon Way Lot:1 Block: 01 Addition: St Francis Wood 3rd PID:10-65902-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Wilfred Hageman 3671 Widgeon Way Eagan MN 55123 (651) 452-1983 Murray Construction Inc 10675 Jersey Ave Chaska MN 55318 (952) 941-7075 Applicant/Permitee: Signature Issued By: Signature