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3687 Widgeon Way INSPECTION RECORD Cffi.1V OF EAGAN PERMIT TY E: 3830 Pilot Knob Road Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i ~ 1 { d~L\IUt. 4', 1„itrt>I~ 71 ( r i s ~ i[,', 1 PERMIT SUBTYPE: TYPE OF WORK: ~ INSPECTION .A • .A ;.a !1i J1 1 I'G 11 11114 f 'ri•f;t" i. % , ! l;~,,~i V'S~'~" . , •z~"~ „ , - ~ _ ~ nv < f ` t ~i I ` Permit No. Permit Holder Date Telephone # S/W ~ PLUMBING /(l ~~SO _ HVAC ' 3 ~'737 ELECTRI 5S 1319 'T ~atD ELECTRIC Inspection Date Insp. Comments Footings I Foundation ~ ~ ~ Q 1 f ) w Framing G - ~ Roofing Rough Plbg. Rough Htg. / lsul. Fireplace ~ ~ t Q iv Final Htg. Orsat Test t< t> Final Plbg. Plbg. Inspector-Notify Plumber o` Const. Meter Engr.IPlan Bldg. Final O Deck Ftg. 1,-b lN Deck Final Well Pr. Disp. 9~~7 ~ -y , ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: , „ 1 APPLICANT: ~ r F i:~, ia l,.IilY ;i , ! E'zCf 1 t NI: a PERMIT SUBTYPE: TYPE OF WORK: s~ i ;si:~, • ~ , s~t it INSPECTION . .A ; t1 ;II fo liJ.! ; 1 i 1 i 1;i~ ; ;?~l+:I1 1 S.I I'I :;~~~~~~If i C~ t# i~i 1!"rl'.t !'I }t~, : i~~•Jt~f fat Mi1t=P t;j'I}i t t4i'i f 4, i< ri . ~ J Permit No. Permit Holder Date Telephone # ~ SNV PLUMBING (QPPO t HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing 3Q 9 ~ Roofing 14 Rough Pibg. II~~7 7 ~7 /Y Rough Htg. l5ul. 9y Fireplace --~pGl v[ Final Htg. Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final aL Deck Ftg. Deck Final Well Pr. Disp; ~ ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 ~ SITE ADDRESS: ~ ) r , APPLICANT: ti;iti;i ,:r! kt{'SY i'iiPJ'.!~")Ni. • I I Yt tirll Ii•lUiftl 1 1? PERMIT SUBTYPE: - TYPE OF WORK: INSPECTION . I i~-1~+• iiifftVl1t5 1! 1 : P4f.hl~.~ ~,riitf' If~l1~ I rd'.ti! A! t1'•1 ~ i f~'I( 1 ilk ! ! jei l'f F 1W;'ri ! I t:t= ~ j4Jrii 1dlt~yAl;? lJ d'I .;i~ +.,;~1~ t ~^~i! t. t; i'i t;., ~ ~ Permit No. Permit Holder Date Telephone # . SNV PLUMBWG ~ HVAC ELECTRICL, ELECTRIC Inspection Date Insp. Comments Footings I J Foundation vCr Framing Roofing WlAq Rough Plbg. ~ Rough Htg. Isui. Q Fireplace f~ Final Htg. 6- Orsat Test Final Pibg. 16221 Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. 'Y .;~.'n x~~ a r t;:~i~'!'.'?;.:. ; - ~ . h'Y~PO:.:.. r ..a . . r yµ5.. + : • . w. ~.~;,:±~r+ `s ,t , .n ~F"'. F~?'S: . "c-.~'.~ F.'nc '-='i;rawe~.• , . . ~rr . . . . ' •L.. . ~ CITY OF EAGAN A# 1~335 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 1OF S pLFX Est. value $133.000 0 Date SEATEMHER 6 19 40 Site Address ~ 3643 tdl hGEON ;dAY 7 2 S a. PRAM1~::1 S W40 ST}! OFFICE USE ONLY Lot Block Sec/Sub. R-3. M-1 FEFS Parcel No. Occupancy RAYP1Otdp F F7.SL:4E!2 Zoning R-3 _ Bldg. Permit ~ ~ 55.00 W Name (Actual) Const VrL o Address 1 J A (Allowabie) Vt- fl6. SO' Surcharge City Phone - # of stories 491.00 F1SL1iF.R S2AFP ::ONST 1NC Length 54 Plan Review ro~OO ~ o Name Depth 32 sac, cicy ~Q Address / S.F. Total - SAC, MCWCC 600.00 ~ City Phone ~ S.F. Footprints - 625.00 F On Site Sewage _ Water Conn W W Name On Site Well g~' 4d Water Meter s= Address MWCC System XX Acct. Deposit ~~•Q~ a W City Phone Ciry water xx PRVRequired _ S/WPermit I hereby acknowiege that I have read this ap;.I;nation a d state that the Booster Pump - S/W Surcharge .50 intormation is correct and agree to comply h all ap lic le St te ot 252.00 Minnesota Statutes and K~ of agan Ordi nces. Treatmenl PI Signature of Permitee 7 ' APPROVALS Road Unit , A Building Permit is issued to: 11 F1SCHER STAPF Planner - Park Ded. on the express condition that II work shall be done {n accordance with all Council applicable State of Minneso Statutes and Citypf Edgarl Orylinances. Bldg. O(i. _ Copies ~~5 00 . Building Official Variance - TOTAL . ~ - Permit No. Permit Holder Date Telephone # WATER a 9 U Q SEMOER ` PLUMBING H.V.A.C. • g~ oQ3'S~'J ELECTRIC ~C ` 71 ~7 Inspection Date Insp. Comments Footings I Foundation Framing l6 =~p Rooting Rough Plbg. ~%f'~ "L 7-i ' 1 ' ~L~ • ~J ~ Rough Htg. Is,l. Freplace 10 /7/5 6 A'lJ Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final Deck Ftg. DeCk Final Well Pr. Disp. Cu~l ~ ~ ci' ~X . 5o! p ;t--. . _ . , . . . . . . , ~'N'~l'l"*~c'~S'~.!~_:~.' s'::r~. ..:a;r _ . .~.-z.•+ ~ ~..--,5.. w . . . . . . ^Tmerc°F^"±~,1°'^c+4^' ~F. /pf CITY OF EAGAN ~ ~956 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT (0 w n h~rne' PHONE: 454-8100 Receipt # - i ^ t ..:To be used for Est. Value $1209OW Date Jun 4 , 19 Site AddJess 3695 ~~M ~Y Lot d Block Sec/Sub. OFFICE USE ONLY ~ 9 PBroel N0. Occupancy FEES R11YMlID 1F F'18G'llEit Zoning vu s 710000 m Name (Actual) Const Vfi Bldg. Permit z (Allowable) 60'00 ; AddreSS - Surcharge ° City ' O Phone 431-35:1it # of stories -u~00 Length ' P~an Review ~ 1?1SCHE~ STA 3~ ' o Name Depth - SAC, city 0 Q AddfeSS _ S.F. Total - SAC, MCWCC COMOU0 ~ Clly *V* Phone S.F. Footprints - -~~(~Q > On Site Sewage Water Conn M UQ "rW W W Name on site weu Xr_- Water Meter sZ Addf@SS MWCC System 30*00 UO 3m- Acct. Deposit <W City Phone cirywater - PRV Required _ S/W Permit ~ I hereby acknowlege that I have read this application and state that the Booster PumP - ~ S/W Surcharge information is correct and agree to comply with all applic ble State of • Minnesota Statutes and C~~ttyof Eagan Ordinanc s. ^ Treatment PI ~j~ • A ~ -dr ! • . APPROVALS Signature of Permitee - r Road Unit A Building Permit is issued to: COMI)L4 planner Park Ded. on the express condition that all work shall be done in accordance with all Council aPPlicable State of Minnesota Statutes and CitY of Ea9an Orcjinances. Bldg. Oft. Copies J`~• " t ` Variance - TOTAL Building Official . . . . . ~ . . s, a.. ....a. :.u.... . . _ - r .:c......., _ . ..._u:an__ , ....,e..u.._.at:v..:_a. _ _ Permit No. Permit Holder Date Telephone # WATER 11j1j17- SEWiR PLUMBING ~ p2 9v H.V.A.C. O(~~ O • ~ OD ELECTRIC 7 fC0 Inspection Date Insp. Comments Footings I ~ j SJ (L~6. Foundation G J Framing b Roofing Rough Plbg. - -!rj Rough Htg. Isul. Fireplace Final Htg. d ~ Final Plbg. b - ~ Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. 8 /(,l Deck Final Wel1 Pr. Disp. r.~!~~.. . . .rt ~•~''!.,6+.:..••''yF ~:;SY.i+vF.p~. ~N";t+.3A,yb~ 7~°°w"~w" , PLUMBING PERMIT For Offic~e, y~e~ryly • CITY OF EAGAN PERMIT # ~ ~ CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #~zl PRICE PHONE 4548100 DATE: 5 v Site Addr~_ss 1 geon ay BLDG. TYP~ WORK DJSCRIPTION Lot ~o B 1 g~S„b Res. NeW - Mult. Add-on Lip P_C a ica ~ flC . Comm. Repair ~ Name other ~ Address ' ' _ c Cit Ap e ey,, Phone RES. PLBG. QNLY - COMPLETE THE FOLLOWING: - y N FIXTURES TOTAL Water Closet - $3.00 $ Name g ~ ~ ~ Bath Tubs - $3.00 • ~ Addr ss azier Ave . Lavatory -$3.00 • ~ City APP e a ey Phone431-3551 ~ shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 - FEES ~ COMM./IND. FEE - 1% OF COtdTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES --t--Water Heater -$1.50 .50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50 1. bO- MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE S CHARGE PER PERMIT .50. Softener -$5.00 (ADD C PE ACH F PERMIT FEE) Well -$10.00 Private Disp. - $10.00 f Rough Openings - $1.50 SIGNAT RE OF PERMITTEE PERMIT FEE: 37.50 STATES S/C: .50 FOR: CITY OF EAGAN GRAND TOTAL: 38.00 . PERMIT # , ~ ~ • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ' CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address L ~L ' BLDG. TYPE WORK DESCRIPTION LotBlock Sec/Sub . Res. New Mult Add-on ~ Name ~ ~ Comm. Repair ~ ' - -ia Address < , i Other c City Phone ;I FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address i_ fi' ADDITIONAL 50 M BTU - 6.00 p City ` ~•~~'~?~`f Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 194, OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M 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 # BEYOND $1,000) Other $ FEE: ' SIGNATURE OF PERMI EE S/C: - , TOTAL: x FOR: CITY OF EAGAN r7 ~ . , SEWER & WATER PERMIT QFFtCE USE ONLY CITY OF EAGAN METER # PERMIT DATE 3830 Pilot Knob Rd. D ~ PERMIT # 11 Eagan, MN 55122-1897 CHIP # METER SIZE B.P. RECEIPT #C'~`i ~ l- " , ISSUE DATE ~ B.P. RECEIPT DATE DATE _ PRV - BOOSTER PUMP SITE ADDRESS PERMIT REGIUESTED LOT BLOCK SEClSUB 'T ~q - SEWER - WATER - TAPS APPLICANT: ; ~t~ ~~c..... ; ~T,,~ _~e-~-,~1 ' • ADDRESS: ~ VG, COMM/IND - RESIDENTIAL GTY, STAT~ ~ ` ~2 '~i•'~- • ZIP NEW - EXISTING PHONE: Lawn Sprinkier Meters are to be Installed ' PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 76,;ii 146 S V; Credit WILL NOT be given for DedWCt Meters. CITY, STATE 'firt . ZIP C ' `y kr . PHONE: I AGREE O COMPLY WITH CITY OF ; OWNER: EAGAN ORDINANCES ` ADDRESS: 6CLA%- 9VC CITY, STATE A• V• ZIP - ' -DI PHONE: ' SIGNA RE WHEN METER ISSU , PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. , . SEVYER PWJATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE U`J,r Ot~/ • 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # k 1~2~ METER SIZE B.P. RECEIPT DATE ISSUE DATE B.P. RECEIPT DATE 09 2t . ` - PRV - BOOSTER PUMP SITE ADDRESS PERMIT REGIUESTED LOT 7 BLOCK ? SEC/SUq Sr FRANC1S WU()DS ST-t SEWER - WATER - TAPS 4PPLICANT: " - ~ = • - • ADDRESS: - c_~~•a,.4 , - COMM/IND x RESIDENTIAL CITY, STATE ' ' ZIP s? q _ NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed /\PLUMBER: '1~- ' ' ~'t-` • Ahead of Domestic Meters on Water Line. ADDRESS: 7640 i ` Credit WILL NOT be given for DedUfCt Meters. %CITY, STATE ZIP PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: F3 5C'IF:R-STAF'F uONST EAGAN ORDINANCES ' ADDRESS: 1~040 Gi.AZ1FR. aVE CITY, STATE • ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . ,y~9~F„Q~.. . . . . F. CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAO ' EAGAN, MINNESOTA 55122 fi ~n n ^ DATE 9 79~ r ' r' . , AMOUNT $ L- f~'~'~ ~ • & DOLLARS , ,oo O CASH YCHECK J-.--z-- FUND OBJECT AMOUNT Thank You , BY C 9811 Pink--File coay _ . _ . _ _ . . . e...,.,.. , T..._ _ SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER ~ 5- PERMIT DATE h, 7/G0 3830 Pilot Knob Rd. 11434 Eagan, M N 5 5 1 2 2- 1 8 9 7 CHIP #~~6 PERMIT # ~$L75 METER SIZE -S ~ B.P. RECEIPT # 1990 ISSUE DATE B.P. RECEIPT DATE 6/ 5/9C~ DATE _ PRV - BOOSTER PUMP SITE ADDRESS 3695 k1OGI:ON i•3~;i pERMIT REGIUESTED LOT 6 BLOCK 2 SEC/SUB ST FitANCIS WnOU 5TH . , "SEWER ~'WATER - TAPS APPUCANT: I 6:r-.._~ ADDRLSS: ~~U b ~ ---C~-~ ~ • -COMM/IND "RESIDENTIAL CITY, STATE C'~~~- ¢ a V~~' _X_ NEW - EXISTING PHONE: sz - Lawn Sprinkler Meters are to be Instatled PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: Credit WILL NOT be given for Deduct Meters. CITY, STATE LLA-) ZIP PHONE: , . n I AGREE TO COMPLY WITH CITY 6P OWNER: t• ~ EAGAN ORDINANCES 1` C.,<~~~ .Q~~~' <<%?.-~ ~ ADDRESS: ' CITY, STATE ZIP PHONE: SIGNA RE WHEN METER ED PLEASE ALLOW TWO WORKING (DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM .~EWER PERMITS, CONTACT ENGINEERING DEPT. SEWEJR &.WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 6/ 7~ 0 3830 Pilot KrWb Rd. 11434 ~agan; MN 55122-1897 CHIP # PERMIT # METER SIZE B.P. RECEIPT # 81 7"' JUNE 4, 1990 ISSUE DATE B.P. RECEIPT DATE oarE „ - PRV - BOOSTER PUMP SITE ADDRESS 319t' WAY PERMIT REGIUESTED LOT BLOCK SEC/SUB ~'T F~Nvtg WnOD STH ~ ' + " SEWER " WATER TAPS APPLI~,'"`/~NT: ADDRESS: 4~f t~~ . ~ ~=L.e - • COMM/IND x RESIDENTIAL CITY,'STATE `~t"'~- , Va-U"' ZIP I_ NEW EXISTING PHONE: ' `I s'/ L? S- ~ I Lawn Sprinkler Meters are to be Installed PLUMBER: "'--x ~''"~'-4 'r''" ~ - • u=~% ~ Ahead of Domestic Meters on Water Line. ADDRESS: ~ Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP ' r , - PHONE: . t" I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: •,SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~ I ~ ~ CASH RECEIPT i ~ CITY OF EAGAN ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ' y DATE 19~ RECEtVEo i- ? , ; ~,y~c. FROM ~ ~.L,; , _ 3 AMOUNT 8 DOILARS ,ro ? CASH C~ CHECK MR L/ ~ i FUND OBJECT AMOUNT ~ Thank You . ~ . , . E BY ` C V ~ 1 Whit~PaY~ ~PY Yelbw-Postirg Capy Pink--Fife Copy RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN y~ ~'7D! ~~1 ~l ~ 3830 PILOT KNOB RD - 55122 ~ V V 651-681-4675 New Construction Reauirements RemodellReaairRequirements • 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; an~ll roofed areas • 2 copies of plan (20% maximum lot coverage albwed) • 1 set of Energy Calculations for heated additions • 2 copies of pian showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations • lndicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) k ~ DATE IIII'~,=7.~ ~ ~ ( VALUA[ION ~r~'/J0/'l JOB SITE ADDRESS M9 ~ rA 1~/? WAU IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ' PROPERTY OWNER Ct YL K00661- TYPE OF WORK ~K I BvtfihtisPr~Cll~~ ,~~'g F REPLACE(S) _ 0_ 2 APPLICANT -F~1 v`e~J(I Y't2 L~- /Il - S/ eo PHON E# ADDRESS 3; 375-6) (j)-. ~f~ ~ 1A a!'~ Yt- SUc 1~P ZIP CODE PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 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 5oftener ~ Lawn Sprinkler I'ee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: =L2 ji'n Phone #q5l~~VZO~-~ Mechanical System Includes: Air Conditioning ree: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. 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 Ordi ngs. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIti 0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 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 (Bidg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Btdg 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 Sprinkiered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ FTgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. Air Test _ Final _ Siding Stucco Stone _ Insularion _ Windows (new/replacement) Approved By , 8uilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Piumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN NO 183 3 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PHONE:454-8100 ~~1~~ BUILDING PERMIT Receipt # ~ To be used for 1 0 F 5 P L E X Est. Value $133 , 000 Date SEPTEMBER 6 19 90 Site Address .3693 WIDGEON WAY 7 Block 2 Sec/Sub. ST. FRANCIS WOOD 5TH OFFICE USE ONLY Lot Parcel Nd. occupancy R-3, M-1 FEFS Zoning R--3- W Name RAYMOND F FIS~HER (Actuat)Const Vn_ BIdg.Permit 755.00 ; AddresS 14640 GLAZIER AVE (Allowable) ° A.V. 431-3551 #ofStories V~- Surcharge 66.50 City Phone - plan Review 491.00 'FISCHER STAPF CONST IN" Length 54- 100.00 o Name Depth 32 sac, cicy Address SAME S.F.7otal - 600.00 oa SAC, MCWCC ~ City Phone SAME S.F. Footprints - On Site Sewage _ Water Conn 625. 00 ~ W Name On Site Well - Water Meter 90.00 ~~-y AddfeSS MWCC Sys?em x~ a W CItY Phone City Water XX_ Acct. Deposit 30 . 00 PRV Required _ S/W Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge .50 information is correct and agree to comply with all jalicblc State of 252.00 Minnesota Statutes and f Eagan Ordi n s. 7reatment PI Signature of Permitee , APPROVALS Road Unit 355.00 A Buiiding Permit is issued to: FISvHER STAPF Planner - park Ded. on the express condition that II work shall be don 'n accordance with all Council applicable State of Minneso tatutes and City gan Or inances. Bldg. Of(. _ Copies Building Official Variance - TOTAL ~3 , 395. 00 __S CITY OF EAGAN NO 17956 , 3830 Pilbt Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' BUILDING PERMIT 113*_$ PHONE: 454-8100 Receipt # ~ 1-7~ To be used tor Est. Value $120 , 000 Date JUNE 4 1 g 90 Site Address 3695 WIDGEON WAY OFFICE USE ONLY Lot 6 Block 2 Sec/Sub. ST FRANCIS WOOD R-3, M-1 Parcel No. 5TH ADD occuPancy FEES Zoning R-3 W Name ~~MOND F FISCHER (nctual) Const Vn Bldg. Permit $ 710.00 o Address 14640 GLAZIER AVE (Aliowable) V? surcnarge 60.00 City A• V• Phone 431-3551 # of Stories - plan Review 461.00 Length 54- ; o Name FISCHER STAPF CONST INC Depth 32- sAC, cicy 100.00 o~ Address 14640 GLAZIER AVE S.F. Total - 600.00 ~a SAC,MCWCC ~ Cit A•V• Phone 431-3551 S.F.Footprints - Y _ water Conn 625.00 On Site Sewage W w Name On Site Well - Water Meter 90 . 00 Address Mwcc system XX 30. 00 Qc~ Acct. Deposit 4141 City Phone city water XX_ PRV Required _ S/W Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump - SnN Surcharge .50 information is correct and agree to comply with all applicable State of 252.00 Minnesota Statutes and Cit of Eagan Ordinanc . Treatment PI Signature of Permitee APPROVALS Road Unit 355.00 A euilding Permit is issued to: ISCHER STAPF CON N Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota S utes and City of gan Ordinances. Bldg. Off. _ Copies ~ $3,313.50 Building OffiCial - Variance - TOTAL S 0& CeL'ttfiClite nf .CCC1ipliliC~ Mt4 of ~agan - ZOarta~eat o~ ~aitbiug ~n~~ection This Cenificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: llse Classification: NMTI Bldg. Permit No. 23228 Occupancy'fype R3/141 Zoning District R3 Type Const. VN owner or euaaing FI9MR Si'APF MiST INC Address 14640 (LAZIER AVE, APPLE VAUEY BuildingAddress 3687 WMGEON WAY I.ocalityL1Os B2, ST FRMr.-IaS WOOD 51H l~`'"~,.,G.c... i~,.~,.•i~.~ ~ nate: Bu " Ofticia! U POST IN A CONSPICUOUS PLACE Address 3687 wIDGEoN w[Y Zip 5512 3 Y.Ot 1 ?0 Blk 2 Sub ST FRAW-IS inTO0D STH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: aS 4~ Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas ~ Sod/Seeded grass ~ Trail/curb damage Porch Basement finish ~ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system: ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy Cel.`ttfiCQte of cCClipQ1iC~ ~it~j v~ ~agan Zeoartmeat of 18xiibi»g 3nf~pection This Cenificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating buildiRg construction or use. For the foUowing: Use Classificauon: NUt+TI Bidg. Pertnit No. 23227 Occupancy Type R3/+41 Zoning Distria R3 Type Const. VN Owner of Building'~~~ ~CMW BW Address 14640 ER AVEs AME VA= Bu~wng naare.,WQ WI,D= WAY Lo.A,ryl.Q, B21 ST F-MICIS W= 51H Date: r ~ . -(,~uikfing of~cial ~ POST IN A CONSPICUOUS PLACE Address 3689 wm7m wAY Zip 5512 I.ot ' y Blk 2 Sub ST FRANCIS GWD 5TH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 4a R & Yes No Inspector: Final grade (6" from siding) ~ Permanent steps (garage) Permanent steps (main entry) Permanent driveway . Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink = Contractor Copy 4?' s =d f ) . CtrdfiCQte Df CCC1tb,,QliC~ , ~it~j o~ ~agan Zeoaxtmeut of 13uilbiag an3pection . This Certificate issued pursuant to the requirements of the Uniform Building Gode . ~ certifying that at the time of issuance this structure was in compliance with the various ordinahces of the City regulating building construction or use. For the following: Use Classification: HLTI Bldg. Pecmit No. 23M Occupancy Type R3/M1 Zoning District R3 Type Const. VN Owner of Building FISU'+ SDPF OONST IW. pddess 14640 QAXM AVEs APPLE vALLEY suiwing nan.. 3691 WIDGHM taAY ~ity L8, 82, ST FRANCIS WOOD Sth Daze- ~ \Suildiog Official POST IN A CONSPICUOUS PLACE 1 ' Address 3691 wmGEoN WAY Zip 55123_ Lot d8` Blk 2 Sub sr F-RANcIS Ta00D 5TH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Q q~~ y's Yes No . Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch ~ Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy , , , , y} 1 _ r ~ We~ficate nf cccqanc~ wit~ of Cfagan ~e~rarta~ettt o~ ~uilbi»g ~n~~cctioa This Certifccate issued pursuanf to the requirements of fhe ilniforni Building Code certifying that at the time of issuance this structure was in compliance with the various ~ ordinances of the Ciry regulating building construction or use. For the following: .t 1 OF 5 PLE% 18335 Use Classification: Bldg. Permi[ No. (M Occupancy Type ZoninL~. Disvict T Const ONB F FISCH . GbER AYE,.APPLB. VALLEY _ Owner ofBuildirig Address .rH > > . U Buildr'ig Address 1 Locality ~ ,L7 Date• 12/1/q2 , Building Offic ' POST IN A CONSPICUOUS PLACE .R _ , Address:3693 WIDGEON WAY LOt 7 Blk 2 Sec/SubST FRANCIS WOODS 5TH These items were/were not complete at the time of the final inspection. Date: 12 I 92 Yes No _d- Final grade (6" from siding) Permanent steps - garage r~ Permanent steps - main entry J~ Permanent driveway i/ Permanent gas Sod/seeded grass j/ Trail/curb damage Porch Basement finish i~ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. ~ IIEC/0.FD 1111M White - City copy Yellow - Resident copy Pink.- Contractor copy Address: 3695 WIDGFAN WAY Lot 6 Blk 2 Sec/Sub ST. FRANCIS WOOD 57gi These items were/were not complete at the time of the final inspection. DATE: OCTOBER 25 1990 Yes No INSPECTOR: Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry y/ Permanent driveway ~ Permanent gas Sod/seeded grass ~ Trail/curb damage Porch ~ Basement finish Deck Please verify with the builder the removal of roo£ test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink.- Contractor copy < < ~~'~r#~ T _ Citp of Cagan , 3orprbnm nf Buoing itcprrti,an This Cer[ificale issued pursuant to 1he requirements of Section 306 of the Unijorm Building Code certiJying that at the time of issuance this structure was in rnmpliance with the various ordinances of the City regulaAing building consrruction or use. For the foUowing. ~ . s. vse a.sirKation SB-Dw~-sA ewa. ~c xo. 17956 ~YTYPe-B~IMI ZoningDiwiu IkBi-l TypeCo,~e VIt ° oM,mocswildins Ft9MM 5'rl1PF Llf'i+TST. neam I4544 Gd.AZIER M. A-v- = 1AY t;~y Tb, B2. .r,T FRANLZS WOll 5TH r Dw- [1('iCUM 25,199~ POST IN A CONSPICUOUS PLACE ~ { ~DATE: ~EP 6, 1990 RE: 3693 WID6EON WAY (F?ISCHER-STAPF CONSTRUCTION) c, R Your Sewer & Water Permit for the above property has been completed. It will be held at the Public \*rks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. . Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REGIUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. _ JUNE 7. 1990 DATE: RE: 3695 WIDGEON WAY, L6, B2, ST FRANCIS W00D 5TR F FISCREK xx _~Your Sewer & Water Permit for the above property has been completed. It will be held at the 0"'Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ~ : Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REGIUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. . 8 ~ - ~ ~ ~ ~ iT4'~5 ~ 3 Request Date ire No. Aough-In Inpsection Required Inspection Other Than Rough-In (Vou u t call inspector when ready) ~ Ready Now ?Will Notity Inspector ~ ~a Yes ? No DateReady I icensed contractor I] owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City . IF- Section No. Township Name or No. Range No. County . Occupam (PRINT) Phone No. Power Supplier Address CV5 Pt- ~ r-Nnl' 4by-t Electrical Contractor (Company Name) Contractor's License No. ' Mailing Adtlress (Contractor or Owner- Making Installation) Authorized Signature 1 ntract riOwner Making Installation) Phon er MINNESOTA ST TE B D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bidg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD . 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB•OOOOi-o$ ~ ~ ? See ir,°~uctions for completing this form on back of yellow copy. 4 5 8 5.-`X" Be/ow Work Covered by This Request ' ~ _ . ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range - Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industriai Furnace Other (Specify) Farm Air Conditioner Other (specify) Contrector's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps S.CQ I V 810'100 Amps Transformers Above 200 Amps -VAffoave-1~0 Amps SignS Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR RED DISCONNECTED IF NOT Other Fe COMPLETED WIT 8 M ~ I, the Electrical Inspecto, ereby Rough-in Dat~ ~ <P certify that the above inspection has Final Date been made. .4' OFFiCE USE ONLY This request void 18 months from . ~(T(~~C~6 0 0 ~ C-3~st0bt~d~s~'7 Request Date Fire 14o. ~Rough-In Inspection Required Inspection Other Thaugh•In I (You m st call inspector when ready) ~ Ready Now Will Notify Inspector ! Yes ? No Date Ready I~'+ ensed contractor ? owner hereby request inspection of above electrical work at: Job A dress (Street, Box orRoute No.) City Section No. Township Name or No. Range No. County Occupant(PRINT) Phone No. ~ 131 -3s.~~ Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contrac or Owner Making Installation) EOIJ v ~ Authorized Signature ontractor/Owner Making Installation Phone Number MINNESOTA TATE BOARD OF ELEC ICITY THIS INSPECTION REQUEST WILL NOT Griggs•Midway Bldg. - Room 5-128 BE ACCEPTED BY THE STATE BOARD 1827 Untverslty Ave., St. Paui, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (672) 642-0800 ENCLOSED. f REGIUEST FOR ELECTRICAL INSPECTION ~v. a, ~ E o ooi-oa 00 4 600 ~ See instructions for completing this torm on back ot yellow copy. ~ ~17 Be%w Work Covered by This Request Ne Adtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (S eci ) Farm Air Conditioner Oth specify) Contractor's Remarks: e w,v Compute Inspeciion Fee Below: # Other Fee # Seroice Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps - Transformers Above 200 Amps Above 100 Am s SI nS Inspector's Use Only: T TAL Irrigation eooms ~ S ecial Ins ection Alarm/Communication THIS INSTALLATION MAY BE ORDER SCONNECTED IF NOT Other Fee , 5 v COMPLETED WITHIN 18 NTHS. I, the Electrical Inspector, hereby Rough-in j~ Dat~ certify that the above inspection has ~ Final Date ~ been made. ~ OFFICE USE ONLY ;,~J This request void 18 months from 7 3tg, a , ~ - Request Date Fire No. Roughdri Inpsecti(YA Required Inspection Other Than Rough•In (YOU must call inspedor when ready) ~ Ready Now ~ Will Notify Inspector ~ ~ M Yes ? No Date Ready I I' ensed contractor E) owner hereby request inspection of above electrical work at: J Addrebs (Street. Box or Route N) City ~.c.~~ 3 ~9 SectioniNo. Township Name or No. Range No. County Occupant (PRINT) Phone No. ~ - 357 '5_ / Power Supplier Address AJ Electrical Contractor (Company Name) Contractor's License No. 9~ Mailing Address (Contrect~ - wnerMaking Installation) Ia~ b~~ ~ Authorized Signature ontractortOwner Making Installation Pho e Number o 3sSS MINNESOTA STATE BOARD OF ELEC CITV THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104- UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REGIUEST FOR ELECTRICAL INSPECTION ee-ooooi•oe'': ~ ~ ? See instructions for completing this form on back of yellow copy. 9 70343 "X" Below Wo;k CovPred by This Request gew dd Rep. Type of Building AppliancesWired EquipmentWired ' Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner O (s{~ecify) Contractor's Remarks: e cv o Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps Z,O °S 0 to 100 Amps ~ Transformers Above 200 Amps Above 100 Amps Signs , Inspector's Use Only: TOTAL Irrigation Booms ~D • ~U gU Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee 1 ,'~t7 COMPLETED WITHIN 18 THS. ~Date ~ I, the Electrical Inspector, hereby Rough•in -T certify that the above inspection has Final been made. ~ OFFICE USE ONLY ThiS request void 18 months from ~ ~sPc' Reques Date Fire No. Rough-in Inspection Required? X? Will Notify Inspector ? Yes No When Ready? I,% licensed contractor 0 owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) Ciry 3 9/ G~`• a~ ~aa. c~ Section No. Township Name or No. Range No. County ~e^G2~~-CJ c.~~ Occupant(PRINT) Phone No. Power Supplier - Address " " ! /.A C_ _ Electrical Contractor (Company Name) Tontractor's License No. D Mailing Address (Contractor or Owner Making Installation) ; Authorized Signatur4(C ntractor/Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT Griggs-Mldway Bidg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION es-00001 -07 ~ ? See instructiims for compieting this form on back of yellow copy. 9Qas Q ~ X" Be/ow Work Covered by This Request C~ 5 0 0 -7 3 ~ vo~~ ~ ~ ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specity) 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 U Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final oaie ~ been made. 0.11FICE USE ONLY . This request void 18 months from 26 O- 517 81 OFFIC US ONLY This request vaid 18 months from validation date printed in thi box~.. ~s-, ~9. F-, ; lr~,~.~~~111996 C*Qb PLE,ASE PRINT OR TYPE t:20 Request Dafe Rough-in inspedion required2 ? Yes XI No Inspection Other Than Rough-In: %.Ready Now []Will Call 3+$ Lo (You must call ihe inspector when ready) Dote Ready: 3~~- 114. 1;_facensed contractor ? owner hereby request inspection of the above electrical work at: Job Address (Sireet, Box, or Rou No.) City Zip Code anl:olk W'~c,~~ Cc" Secfion No. Township Name or No. Range No. Fire No. County OccupaiM 5h~~ PhoneNo. - ~er 15 t ~ Powei $upplier Address ~J Elecfriml Contracfor (Company Name) Co hador License No. Master Lic. No. (Plant Elect. Only) G. ~ ~ o Mailing Address Tl; OwnPerforming ins afion) l tQ vQ- V_~Qyll_ Authorized Signature (Conira r or Owner Performing Insfallafion) Phone No. o' S5 EB-OOOOlA-10 6/95 STATE BOA COPY- SEE INSTRUCTIONS ON BACKOF YELLOW COPY REGIUEST FOR ELECTRICAL INSPECTIONST ~ MN 55104 IIII) F12 ~II~II~~ Misota essat qvearRmf S-128C~ Paul' * u d5 ~S 7 8* Phone.M12)-- fi42-0800 d/~' Home Dup ex Apt. Bldg. Other: New Addn Commercial Industrial Farm TbwN f'lO+wE Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: D er Ran e Elec. Heat Tem . Service "k' above the work covered by this request. Enter remarks in this space and on the back of the white copy only. R 4?,-4 a tq % s.¢e-o,~ bK.a.. k o.t 4a4.e o-C p.. G~~ 5od-Q.f Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Ofher Fee # Service EMrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street ltg./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY Cinsidescri TOTAL Sign/Outline Ltg. Xfmr. o.GJ a~10 Alarm/Remote Control Swimming Pool I hareb ceAi that I ins ected the eledrital bed herein on the dates stated Irrigation Boom Rough-In Da+e ~ Speciallnspedion a0~ Final Date Invab#g0}iYe Fee S ujLdt THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF T COMPLETED WITHIN 18 MONTHS. 40001, Reques'Dafe Fire No. Rough-in inspection ? Re uired? Ready Now t~1 Will Notify Inspector 1 a-Z_~ Z ~Yes ? No When Ready? %s II:k licensed contractor D, owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City 36Q 3 w~& ¢.on wo,X coq a h Section No. Township Name or No. Range No. County 'Da)'\ ~Q Occupant(PRINT) Phone No. Fi sclr)cr ~ S ?ar+ner!3 h i Power Supplier Address ~o~c'~ ~~CS~r'v'L RrrrliYl '}'o~ Electrical Contractor (Company Name) ntractor's License No. C ~ C.A d t 1q2. Mailing Address (Contractor oi Owner Making Installation) ?2~-~'~ Zoone Ae S '3 av a - Authorized Si n ture (CoMractor/Owner Makinci Installation) one Number 8Q0-3S55 MINNESOTA SAT BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mfdwa dg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PFOPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. .-.AuEST FOR ELEr•TRICAL INSPECTION ea-oooo,•oa 42 ? See instructions fo4ompleti11khis form on back ot yellow copy. ~ ~'LO~/33 /J y2?JC° Below Work Covered by This Request Add Rep. TypeofBuilding AppliancesWired EquipmentWired ~ Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other(Specify) Comm./Industrial Furnace Farm Air Conditioner Ot (specify) ContractoPS Remarks: ~rvtc¢ ~Lov¢rwd ~?.h~.r Hz078~ Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Q~ Transformers Above 200 Amps Above 100 Amps SignS Inspector's Use Onry: ~ OTAL s,O Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE NNECTED IF NOT Other Fee O COMPLETED WITHIN 18 - THS ~3, ~ I, the Electrical Inspector, hereby Rough-in oate certify that the above inspection has Finai e been made. OFFICE USE ONLY Thi§ request void 18 months from ~/7V ~ ~20784 Request Date Fire No. Rough-in Inspection p Required? ? Ready Now ~rWill Notify Inspector KYes ? No When Ready? Iglicensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) Ciry - 3 9/a7rr?7j Section No. TName or No. range o. County i¢Kv pw Occupant(PRINT) Phone No. - S i 3 - S5' Power Supplier Address 'OF-1-<v c Electrical Contractor (Company Name) . Contractor's License No. ,2 G G Mailing Address (Contractor or Owner Making installation) gO Authorized Signature (Contractor/Owner Making Installation) Phone Number MINNES A STATE BOARD OF ELECTRI Y THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED 8Y THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ;ESee (~UESiT~ FORoELE CTIRI~CA~L bINSPEICTION es-ooooi-oe ~j G o 7~ 4, Be/ow Work Covered by This Request ew Add ReR. Type of Buiiding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial ' Furnace Farm Air Conditioner Ot specify Contractor's Remarks: x , Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool f 0 to 200 Amps - 0 to 100 Amps Transformers Above 200 Amps 100 Amps ~ SigllS Inspector's Use Only: TOTAL ~ a0 Irrigation Booms ~ 7 -7 _5_`7 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in - DateU~_'? _ certify that the above inspection has Final Date been made. 1/ 47 OFFICE USE ONLY This request void 18 months from ~~__010 _ . 4~. ~ 9~o ~ 50o59 41&& . .~o Request,bate Fire No. Rough-in Inspection /Required? ? Ready NowWill Notity Inspector ~ ~p ~ o es ? No When Ready? Ifn( licensed contracior p owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City cl s ~ ! l7Cr~o~ ~eI~111~mj Section No. Township Name or No. Range No. County 3 plf-Cv v~ Occupant(PRINT) Phone No. ?l-3ss Power Supplier Address i¢K Or-4 Electrical Contractor (Company Name) Contractor's License No. /1?/~3 ' ~G / G m D 7 Mailing Address (Contractor or Owner Making Installation) a y~ -5 _ Authorized Signature (Contractor/Owner Making Installation) Phone Number MINNES A STATE BOARD OF ELECTRI I Y 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. ~~7~ REOUEST FOR ELECTRICAL INSPECTION ~~^11ea-00001 -07 ~ ? See instructions for completing this form on back ot yellow copy. v rT ~5,~ o'-5903*`X" Below Work Covered by This Request ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Ot_hpx-tspeci ) 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 Sigf1S Inspector's Use Only: TOTAL i Irrigation Booms Q • ~ S~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONVii? P I, the Electrical Inspector, hereby Rough-in i certify that the above inspection has Final Da ` been made. OFFICE USE ONLY This request void 18 months from 3 1~ 8 - 1 ~ Request Date ire o. Rough-in Inspection Required? ? Ready Now ? Will Notify Inspector ? Yes ,j`,Vo When Ready? IVicOnsed contractor ? owner hereby request inspection of above electrical work at: Job Adaress (Street, Box or Route No.) Ciry Section No. Township Name or No. Range No. C _Ij IV, S , +YU ~?c,`s ~C.~~~ d ` c~~ C__ l-o - Ca 6 /ac Occupant (P NT) hone No. ~ 4 ~ ` -5 5 S ~ Power Su lier Address ~ ~v,c.~ Electrical Contractor (Company Name) Co tractors License No. Mailing Address (Contrador or Owner Making Installat(io~n) \c~ 4ta`1 ~ ~'1~ '1-~i1 C? j r-c Authorized Si ature (Contractor/Owner Making Installation) Phone N` ber MINNESOTA S TE BOARD rF LECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 173 BE ACCEP"FED BY THE STATE BOARD ' 7821 University Ave.,,St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~r'• es-00001-07 ? See instructioos for completing this form on back of yellow copy. ~ 315 $ . `X Below Work Covered by This Request ew Atlii Rep. 0' TypeofBuilding AppliancesWired _ EquipmentWired Home Range Temporary Service • Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor§ 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 Sigtls Inspector§ Use Only: TOTAL ~ Irrigation Booms Special Inspection ~ Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. , ,Z1 OFPICE USE ONLY This request void 18 monihs from P79(e F3 2006 RESIDENTIAL PLUMBIIVG PERMiT APPLICATION ClTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Piease complete for modifications to existing residential dweilings. Date Site Street Add ress 9sJ !~~/1 C,~' " ) U n it # Property Owner ~i'~`~_,_./ eTelephone # (~.~lr' Telephone # Contractor m Address ~ ~~~`1 ~ City % Irt .e~ 6 /~/L 1 E' State Zip The Applicant is: _ Owner ~ Contractor _Other Septic System _ New ~ Refurbished Submit 2 sets of plans and MPC license Includ $ 100.O f Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. !t' you are installing onl a water softener and/or water : heafer, do not complete this section; move to the next section and check the appliance(s) you are installing. - _Septic System Abandonment Water Turnaround (add $130.00 if a 5/8" meter is required) Other: - X Water Softener _ Water Heater =$1 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 $ .50 State Surcharge Total f hereby apply for a Residential Plumbing 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 plumbing codes; that 1 understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed a d pproved. s~1=11~-~- *Aa Signature 4Apict's Printed Name ~ W~15 RESIDENTIAL BUILDING ~ 7a Permit Application City Of Eagan ~..~~•e•~~ l`~/~3 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction ReauiremenGs RemodellReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y_ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y_ N 3 copies of Tree Preserva6on Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date & / 03 Construction Cost ')f C) d U Site Address 5 10 _1 .Q Unit/Ste # ' Description of Work c- Multi-Family Bldg N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) Contractor ~ L) e- r-- f ~ .J P ~s n-. ~ ,1 ~ C . Address . C' . ~ a City ~o c. 1l State A~1 Zip,j r 3 Telephone #(~s~) C-13..5- - ~ o-~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Category . Residential 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 plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor n ne # ( ) ll Sewer/Water Contractor Tele ne # ( ) OCT 2 2 2003 ; 1~ I hereby apply for a Residential Building Permit an knowled e that the information is complete and accurate; that the work will be in conformance with the ordinances and Tcodes 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. cae~ e 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 ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N4 25 Miscellaneous Work Types e r.> ? 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 A 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy ~G 3 MC/ES System Census Code t ~ 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. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retauvng Wall Approved By 2?? , 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 ~ a 2- RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 i~~~ ~n.3 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodellRepair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ail roofed areas 2 copies of plan Cert of Survey Recd Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y_ N 1 set of Energy Calculations Add'dion - indicate if on-site septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date I o / / eJ Construction Cost U Site Address 3 1-.As Unit/Ste # Description of Work /V L e- A ~ f N Multi-Family Bldg ZY _ N Fireplace(s) _ 0 2 Property Owner Telephone # ( ) ~ : ~ , J 7- j c. _ Contractor ` Address City i-,..~ J' tJ f%/~ State Zip SS' 3 3 ) Telephone #.(9 ~k e-13 S- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate~orv 1 Minnesota Rules 7672 Energy Code Category . Residential 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 plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor T 7TeIe ne # ( ) n Sewer/Water Contractor F2003 e CT 2 2 I hereby ap ply for a Residential Building Permit anknowledge that tiie nformation is complete and accurate; that the wark will be in conformance with the ordi 'n co es o'"ie 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. J ~ pplicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types 0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 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-piex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ~A 25 Miscellaneous Work Types Le 9 (r F, R ? 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 40 10 9-A Occupancy 7 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 v ~ Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) t-O 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. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector ----------------------------------------------------------------------------------------------------------------------l----- - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other I Total I 2 RESIDENTIAL BUII,DING a~ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y_ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd Y_ N 1 set of Energy Calculations Addftion - indicate if on-site septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date /dO/ 0 3 Construction Cost ~e? Site Address LA-~ jcP te- v-~j C-41 4 ~i Unit/Ste # 1-0 Description of Work /c.! 12- L (0`` Multi-Family Bldg ZY _ N Fireplace(s) _ 0 2 Property Owner Telephone # ( ) Contractor 4t^tJ e-,r- J ~ ,s f /,;a Address i " - o . ~ a '01, City 43 ~ r •v cS cJ .'r/ v State t-j~_ ..r Zip J' S'"" 4 3 ? Telephone # (°t 51;~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code CategOry . Residential 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 plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor ne # ( ) Sewer/Water Contractor 2 20WIe ne ) I hereby apply for a Residential Building Permit anB e ~ffi,,-e nformation 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. n ~ e--~ Applicant's Printed Name Applicant's Signature OF'FICE 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 ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous Work Types ~ e T;> iF' a ? 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 x 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code L13q Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr, of Bldgs Length Fire Sprinklered Type of Const v Y) Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Foorings (deck) ~ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ~Q 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 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PLiTMBING (RESIDENTIAL) 41J T Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit DateA_ Site Address Unit # Property Owner Telephone # ~ ~Z ! ? Jv 10 Contractor 3670 DODD ROAD city Address EAGAN, .r.J i State (651) 365 i?L,'v Zip Telephone ) The Applicant is Owner Contractor 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 Egisting Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener X Water heater $ 15.00 replacement _ additional 3 Fr.$ .50 State Surcharge [ U Total $ I hereby apply for a Residential Plumbing Pernut and acknowledge that the info ~-i~°a't_-ion-is-cainpne a urate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pernut, but only an application for a permit, and work is not to start without a perxnit; that the work will be in accordance with the appw d plan in the ca4owork which requires a review and approval of ns. , Applicant's Printed Name Applicant's Signature /~jJ ~ ~ RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodellReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y_ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd Y_ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Zo Construction Cost 4:2 Site Address Unit/Ste # -v Description of Work L0 n o 0 ~ c. c., l~ ~ Multi-Family Bldg N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) Contractor C v e Address City. 13 State n ,J Zip_ 5'-S" Telephone # S~) 5-- V COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Category . Residential 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 plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( Sewer/Water Contractor Telephone )qr'T ~ ~ 2TI ~ i•. R I hereby apply for a Residential Building Permit and acknowledge that the information is coinplete 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. A- c c 4---) C- e -j 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 A 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair 33 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 W idth / REQUIRED INSPECTIONS Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other /Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final d 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 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total aQv )il COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 j 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 Scheduie (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 • ProjectSpecs (1) y • EnergyCalculations (1) 1 1 • Electric Power & Lighting Form (1) l 1 • 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 cal I 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: b a WORK TYPE: _ NEW V-REMODEL CONSTRUCTION COST: U d v SITE ADDRESS: 3~ c~-~ / 3 ~ , ~ ~ • c L v G.c4r TENANT NAME: Vv_~~ ,9 SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK vG. e- ~LZe, ~ Name: Cu C_ o J l.tS 4.3 v ~ ) J~d n +.tJ Phone DS' PROPERTY Last First OWNER 3 Street Address: e, 0 ~ City: 2_- s_ c State: Zip: / 9`rC) Company: ~,Phone (ctEW CONTRACTOR Street Address: City: ,8 c, l'J , { cJ State: Zip: ARCHITECT/ ENGINEER Company: Phone ( ) Name: Registration 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 cor ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: g-l" c Updated 7/02 L.. : e ~ ~ Y OFFICE USE ONLY -SUBTYPE ? 01 Foundation 0 26 Public Facility 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts. 11 15 Lodging ? 28 Greenhouse El 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 1-1 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 Floar sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation 1.1 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 STH 65904 APPROVED 12/86 PERMIT DATE & TYPF, i,oT $L AnnRF.SS 4i87 a-P[,Ex 010 01 3682/ WIDGEON WAY 020 Ol 3684/ 030 01 3686/ 040 01 3688 050 01 COMMON AREA 10i88 DuP 060 01 3690/ WIDGEON WAY 070 01 3692 6/88 3-Pt,Ex 080 01 3694/ WIDGEON WAY 090 01 3696/ 100 01 3698 > ii92 s-PLEx 010 02 3697/ WIDGEON WAY 10i89 020 02 3699/ 10i89 030 02 3701/ 12i88 040 02 3703/ i vsg 050 02 3705 6i90 s-PLEx 060 02 3695/ WIDGEON WAY 9/90 070 02 3693/ _ 4/94 OSO 02 3691/ 4i94 090 02 3689/ ° 4/94 1 02 3687 110 02 COMMON AREA 7/94 4-PLEX 120 02 3685/ WIDGEON WAY 7/94 130 02 3683/ 7/94 140 02 3681/ 6/93 150 02 3679 16 , "i . PERMIT CaT1( OF EAGAN ~ 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 3 2 2 8 (612) 681-4675 Date Issued: 04/ 20/ 94 SITE ADDRESS: 3687 WIDGEON WAY LqTs 10 BLOCK: 2 ST FRANCIS WtlOtl 5TH P.I.N.: 10-65904-100-02 DESCRIPTION: Bul1d`.xrt~,,~~Permit Type MUL.TI. (ADD' L. ) 1I.d4,ng Wbrk Type NEW t1<<ccupane~r'^';,1, R-3 M-1 >anst:ruct~nn nTy~i,e V-N '~.otaihg R-3 ; OuiI dlng. L 6 44 th 38 4:1r~ g, e 66 go t ~ rR.i e s 2 X ~ ~ . ~ ~~I REMARKS: S& W PLBR - BRUCKMUELLER PLBG FEE SUMMARY: VALUATIQN $131,000 Base Fee $748.00 MISCELLANEOUS 11,828.50 Plan Review $486.20 Total F'ee $3,928.20 Surcharge $65.50 SAC $800.60 5AC % 100 SAC Units 1 5ubtotal $2,099.70 CONTRACTOR: - App1 i c a n t - 5 T. LI C. pWNER: FISCHER S1"APF COIVST INC 14313551 0004649 FISCHER 5TAPF CqNST TNC 14640 GLAZIER AVE 14640 GLAZIER AVE APPLE VALLEY MN 55124 APPI.E VALLEY P1N 55124 (612) 431--3551 (612)431-3551 I ~er~by ackr~t~wx~.edg~ tha~ ~ ~have, rearJ t~i.i*s ap~ali°caat~.on and s~at~ ~Chat'~th~. , hlrrQ.; rrf~rmat~;carn ~`rrr~rec.t.:a'nd: agr4e;' tQ ~carrnpy -w~:th- a~l a ppl~.c a b °3~e i sState 'c~f ' Sta~Cwtes an:d C~.tye °raf ~a°gon =~1:rd~nances ~ ~an , A LICANT/PERMITEE SIGNATURE SSDED BYI SIQNAT RE CITY OF EAGAN 994 BUILDING PERMIT APPLICATION 681-4675 ? ;a•~~~ ~ L ~~c 2 ~ A r= A lV SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work Site Address: .,.3 C2 STREET SUITE # Tenant Name: (commercial only) f LOT BLOCK ~ SUBD. F.I.D. Descri tion of work: r' The appl i cant i s: O Owner Contractor ? Other (Describe) Name kA 111140,v /J Phone 1-131 - Property LAST FIR Owner Address N&4v 6L,4 0-ICC~~ ~LL STREET STE # City ~~~4fi- (/XL`FY State /'74/- Zip ~Sfa ~7 Company j^iscrl r-R- SfiX /0/-- CoAv~ f. ZIVC . Phone Contractor Address 1~16 qCa /9'/~ License #40v51641f Exp.-3 City ~Lj- PlOt F_ State 147/1/. Zip Company IVf: . Phone 4M 2 - 300 o Architect/ 13 e1'C Registration # 16 0 9~ Engineer Name q o R ~ Address /0 00 -'--A 5-~ ~IES,6_41_ ~u 4V-' v 1~116 State 1~7 N, Zip City ~C' Sewer & water licensed plumber .9,PuckAqr.IlF2 pLu~ ~ ;w'ap , Processing time for sewer & water permits is two days once area has been approved. 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. > Signature of Applicant: ` . OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging 0 16 Basement Finish 0 02 SF Dwg. O 07 4-Plex 0 12 Multi. Misc. E3 17 Swim Poo] ? 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessory O 18 Comm./Ind. 11 04 SF Porch D 09 12-Plex 0 14 Fireplace 0 19 Comm./Ind. Misc. ? 05 SF Misc. D 10 Multi. Add'1. O 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE 0 31 New 11 33 Alterations ? 35 Tenant Finish ? 37 Demolish O 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION , Const. (Actual) Basement sq. ft. ! 3 z MWCC System X (Allowable) lst F1. sq. ft. City Water - .-r U B C O c c u p a n c y 2n d F 1. sq. f t. c/sy P R V Requ ire d Zoning ~ Sq. Ft. total Booster Pump # o f Stories z Footprint Sq. ft. Fire Sprinkler Length 3 g On-site well Census Code /D z Depth 77;_ On-site sewage SAC Code o a APPROVALS Census Unit -7- Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS 0.Site 0 Foating 0 Framing t$ Insulation 11 Wallboard JD Final ? Draintile 0 Fireplace Permi t Fee veluat;a,: g~~' Surcharge QS~,,t~-~st J Plan Review License 3~',~3y = (2gz MWCC SAC 1~,~- ~ Y= t`f~ ~ z,4. zo -~?~/G = ~l~~f'o City ate S W rConn. Water Meter Acct. Deposit S/W Permit 7h~? -'`y--~\ S/W Surcharge ~a~ ~Z Treatment P1. ( Road Unit Park Ded. 3 z Trails Ded. ? ~ Copies Other ~ Total: SAC % SAC Units PERMIT . CITY'OF EAGAN ~y 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N C Eagan, Minnesota 55123 Permit Number: 023227 (612) 681-4675 Date Issued: 0 A/ 2 0/ 9 4 SITE ADDRESS: 3689 WIC)GEqN WAY LO7s 9 BLOCKs 2 ST F'RFINCIS WQpD 5TH P . I . Id . : 10--65904-090-02 DESCRIPTION: -aBU44 d~~`~termit Type MULTT. (ADD' L. ) f~ui°~.d°ing Ob~rk 1'ype NEW ~IBCOf 0 CU°p6 l'?~R-3 M-1 /f~°'Csanst ru ctan V-N t? tt S t't ' g~.---, R-- 3 ~u.~lcfxng ~.ength = "4~ 38 uiIcla.ng ~tid~h" . ~ ~ 66 ~ Bt~x 1<. lcl`a.r?gq ~tr~ra,es 2 ~ ~ REMARKS: S& W PLBR - BRUCKMUELLER PLBG FEE SUMMARY: vALu+arIon~ $126,000 Base Fes $730.50 MISCEL.LANEpUS 11,828.50 Plan Review $474.83 Total Fee $3,896.83 Surcharge $63.00 SAC $800.00 SAC ~ 1.00 SAC Units 1 Subtotal $2,068.33 CONTRACTOR: -Ap p 1 i c a n t- 5 T. Lz C. QWNER: FTSCHER STAPF CqNST INC 14313551 0004649 FISCHER STAPF CQNST INC 14640 GLAZTER AVE 14640 GLAZZER AVE APPLE VALLEY MtV 55124 APPLE VAI:LEY MN ; 55124 (612) 431-3551 (612)431-3551 h,p reby ac* nct.w j,ed ge: t-hat I ..h a ue re&d . t:h,~.s.~ a pp l,ic ati ovn Man d~ stater that t Ke ; .w ~ aa.nfio rma t.a,tara,. i,s;• cnarre-~t a n,d~a,:g r-ee ,,,t.o omp ly, w3."tK- a1.=1 applic-akrke'Sta te -a-of 'AMn.; .t s5 t.a vtu t;e s~ ~ ad G~i ty.E o.fi=° E a g aen 0 r ct i n &n 6 e~~ . • .a:: > . . =a , n.F c~~Q~~ 1 Dipy ~ - II - APPLICANT/PERMITEE SIGNATURE - - SS ED BYI SI NATURE! CITY OF EAGAN 994 BUILDING PERMIT APPLICATION ~ --681-4675 A S- r`/.~ ~ PZ A A,' jLl ---~~AFQz 1 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l~copy~-o~f=e~ergY:_..~ calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work Si te Address: STREET . SUITE # Tenant Name: (commercial only) LOT ~!2 BLOCK , SUBD. -s--f Al A aai-7-1oP.I.D. #:5`1 Ci`l ' b?0 ^ Descri tion of work: /Vo bL/ ;~'O wiv ook g The appl i cant i s: 0 Owner Contractor ? Other (Describe) Name ic-h iZ l- og/p Phone 4~3/ -3 5~( Property LAST FI RS Owner Address ~ ~a iV'o G-7Z 4 Z I'lz-lc- A Pr STREET STE # City State Zip , - Company -rl:cf7li /l Phone --'ISI- Contractor Address 1~6VU Cl-Q-0-4-4 14-1lZ License # 0661d Exp. 4 ~i ° City , fpzrz State Zip Company lealeIz- Phone Architect/ Engineer Name . oec- v ~ Re9i strati on # 160 Address /000 City State Zip 5W,33 ~ Sewer & water 1 i censed pl umber 01euclcIw r~ ~l,6r~ JOZ a rl. L 1 lilw Processi ng time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: ~ . OFFICE USE ONLY ~ ~ ~ , .~..s ~ . BUILDING PERMIT TYPE 0 01 Foundation 0 06 Duplex ? 11 Apt.JLodging ? 16 Basement Finish El 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool 11 03 SF Addition 11 08 8-Plex D 13 Garage/Accessory 13 18 Comm./Ind. 11 04 SF Porch 0 09 12-Plex ? 14 Fireplace ? 15 Comm./Ind. Misc. 13 05 SF Misc. O 10 Multi. Add'1. D 15 Deck E3 20 Public Facility E3 21 Miscellaneous WORK TYPE fla 31 New O 33 Alterations 13 35 Tenant Finish D 37 Demolish ? 32 Addition ? 34 Repair El 36 Move GENERAL INFORMATION Const. (Actual) lIA/ Basement sq. ft. ~0 d MWCC System ~ (Allowable) I/,~ lst F1. sq. ft. City Water - UBC Occupancy 2nd F1. sq. ft. ~ PRV Required Zoning -VZ 3 Sq. Ft. total Booster Pump # of Stories Z Footprint Sq. ft. Fire Sprinkler Length 3.0 On-site well Census Code ~o z Depth 76 On-site sewage SAC Code ~ Census Bldg APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? .Site (Et Footing 0 Framing jg'Insulation O Wallboard ~ Final 0 Draintile O Fireplace Permit Fee vaiuat;«n: g 12(~,Oma Surcharge ~Q P1 an Revi ew /e v./ LicenSAC 2yk 3~ ~ ~6~ z~-~-zZ=.S"~t-/6 = C i ty SAC 137- (2 Water Conn. ----m Water Meter /3,S o_a Acct. Deposit S/W Permi t S/W Surcharge /23 Treatment Pl. Road Uni t z 4 /y Park Ded. Trai 1 s Ded. Copies `/y Other Total : zh 39kz~ i ~'9~ SAC % SAC Un i ts f~xL ~y~~ - a . PERMIT C~- l , CITY OF EAGAN 1/`_10 3830 Pilot Knob Road PERMIT TYPE: BUILpING Permit Number: 023226 Eagan, Minnesota 55123 (612) 681-4675 Date Issued: 04j 20/ g 4 SITE ADDRESS: 3691 wzoGEvrv wAv LOT: 8 BLQCKt 2 ST FRANGI5 WpQp 5TH P.I.N.s 10-65904-080-02 DESCRIPTION: 130x1diti"!~Permit 7ype (MULTI. (App' L.. ) ~u.ild i6~ eW'Ojrk T y p e NEW 1;OC1BC° Oecul?6nec~,, R-3 M-1 ;Cons~ruana. TYpe V-N ~ ,Zoni,ng R-3 Buaxd3.ng ;>Lsn~eth ~ 38 dxn9 °'t•i1CltIr 66 W ~s t ~ ;r 'j-'~ 2 ~r s LZ REMARKS: S& W PL.BR - BRUCKMUELLER PLBG FEE SUMMARY VAI.UATIqN $126,000 Base Fee $730.50 P1I5CELLANEOUS $14828.5b Plan Review $474.83 Tntal Fee $3s901.83 5urcharge $63.00 SAC $8@@.04 5AC % 100 SAC Units 1 Lic. Search Fee 5.00 Subtotal $2,073.33 CONTRACTOR: - A p p 1 i c a n t - S 7. LIe. OWNER: FI5CHER STAPF CONST INC 14313551 0004649 FISCHER STAPF CONST INC 14640 GLAZIER AVE 14640 6LAZTER AVE I ARPI.E VIiLLEY MP! 55124 APPLE VALLEY MN 55124 (612) 431-3551 (612)431-3551 . . , e a4 a . a = 1 J hereby a°ck nawl6 dgee that j aKavb" read thase ipppli,c.a~at~ri ar~ct stat p :tfiat., the T.n,;'f~rmit.~c~~rt:v vcorr~:~_cet, and ~a.g.re e- to arscamp~.~+ au.~th a.11 appii-c,~b~.e - S t ate o'F e . ~atatut4s and~ Cityn°f Ea c~~n `Cl`r~dxnar~~~'s . . , r: e ee awr ~ a~ o- -e r F , . . . z , au fid.. A LICANT/PERMITEE SIGNATURE ISSUED Y: IG ATU INSPECTION RECORI) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: 04I20/94 (612) 681-4675 SITE ADDRESS: LpT; 8 gL0 C K: 2 A?PPLICANT: 3691 WIpGEpN WAY FISCWER STApF CONST TNC ST FRANGIS WQOD 5TH (612) 431--3551 PERMIT SUBTYPE: TYPE OF WORK: MULTI. (ADq'L.) • NEW INSPECTION .A . .A FQO7ING5 FqUNDATICIN FRAMINC f20qFINC TNSULATION FIREPLACE ROUGH IN PI.BC ROUGW IPd H7'G FINAL. PLBC FItVAL REMAFtKS: S& W RLBR BRUGKMUELLER F'LB6 ~ tt L CITY OF EAGAN 7 681-4675 "A, 1994 BUILDING PERMIT APPLICATIO ~~R 2 199~~, Q4,13 ? 8 r ~ ~ 7- ~41~~ /~7~ /,J r-_ . _ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 3 Valuation of work Site Address: .3(~i9/ A/tO /-t,-,4~ STREET SUITE # Tenant Name: (commercial only) LOT g BLOCK -R SUBD. P . I . D . # -f- hl ~ ~ J~ r '7"f0 a~ fD 6 90 ~ --4 c~ Descri tion of work: o- p ce~ yV A t~d~1,C The appl i cant i s: O Owner Contractor ? Other (Describe) Name ~sL h G2 /VA t/A ohr Phone V31 Property LAST FIRS Owner Address A ve STREET STE # City ApPL.E State ~ ~Zip Company ~~GAr~2 5~'/`7,4 10/5 CaIVSf -~~Phone Contractor Address f~6 9'6 6 ZIA Z-!z' 41-IAE License #060-,16 Exp. S 3City A& OL. _4 State /l/. Zip 6-~T /zq Company M • L 1L/c • Phone Architect/ . Regi strati on # Engineer Name 4 Address /DCn? 1674S'1- 1~167-1-1 ~S_'7-,e~",67 T_ City ~L[e 6Z!9~ E r~lrm State Zip SS.3 s> 7 Sewer & water licensed plumber PLuA~ Processing time for sewer & water permits is two days once area has been approved. 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. , Signature of Applicant: ~ OFFICE USE ONLY ~ r BUILDING PERMIT TYPE ~ n. ? O1 Foundation O 06 Duplex ~ 11 Apt.Jlodging ~ 16 Basement Finish 0 02 SF Dwg. ~ O7 4-Plex D 12 Multi. Misc. ~ 17 Swim Pool D 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory ? 18 Comm./Ind. 0 04 SF Porch O 09 12-Plex ~ 14 Fireplace 0 19 Comm./Ind. Misc. ? 05 SF Misc. ~ 10 Multi. Add'1. ~ 15 Deck ~ 20 Public Facility ? 21 Miscellaneous WORK TYPE ~'31 New O 33 Alterations ~ 35 Tenant Finish ? 37 Demolish D 32 Addition ~ 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) ~ Basement sq. ft. 90 o MWCC System ~ (Allowable) lst F1. sq. ft. ,~S City Water UBC Occupancy M 1 2nd F1. sq. ft. ~ PRV Required Zoning R_3 Sq. Ft. total Booster Pump # of Stories 2 Footprint Sq. ft. Fire Sprinkler Length 3~ On-site well Census Code p z Depth ~ On-site sewage SAC Code D3 Census Bldg APPROVALS Census Unit ~ Planning Building Assessments Er~gineering Variance REQUIRED INSPECTIONS D .Site ~I Footing ,C~7 Framing Insulation 0 Wallboard ~7 Final O Draintile ~ Fireplace Permi t Fee v,~~t;«,: g d Q~ Surcharge r Plan Review ~a~ ~icense LaG.-e~ z yk zz ; .~z~,~~~ ~ MWCC SAC c City SAC ZZk3~ ` ~~Z ~~/y8' Water Conn. ,r ~ ` 3,_ 1---- Water Meter _ . Acct. Deposit ~°Ok /s` ~ Z~j t/~/ c/y~ S/W Permit S/W Surcharge M~;,, Treatment P1. Road Unit 2,~'~kp = Z~<~~ Park Ded. 7k Z ; !y Trails Ded. Copi es 9--''~` ,Sosog y y Other ~ g 3S, 3G;~s'y ~ Total: ZN~ SAC % SAC Units ~5~'~J ~ ~9? ~c~k s~ ~o ~ SZ 9 y ~x a = ry ~ ~?f ksr ~ ~ , . _ C . . L . • =`rc.r~" r~J ~ 7 / ~ 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN J J "SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMEF2CIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 'I SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS - / # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY ' OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED, NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. OF AU 6 2 9 RECD Tc -N Ot-t C_- To Be,Used For: Valuation: I 331 000 ^ Date : A Q Site Address -3(,,, g3 0,10 c, 16'aA) It/py OFFICE USE ONLY Lot -7- Block ~ FEES Occupancy R'J M-1 i•) Zoning n Parcel/Sub Sfi FiPANC1S /F/pe(J S tA Actual Const ' V-N Bldg. Permit ls5'00 / 1~},p/J. Allowable y-N - Surcharge b(~.50 f,S~, F/L, # of stories Plan Review 1,00 Owner P~qi//y~Qlu Q f~ Length $y' SAC, City 1 DO-0D Address %Y( S/v A Z/,~ R Depth 32 - SAC, MWCC (oG~' ,C~~ • ~!I S.F. Total Water Conn ZS,Oo City/Zip Code ~P~,L ~~{~L ,A/1 • Footprint S. F. Water Meter 90,00 Acct. Deposit 30,po Phone On site sewage_ S/W Permit 30.00 Y ` On site well S/W Surcharge oSO ~SCVIR 5`4/0~ ~Vd- 1CXWCC System ? Treatment P1. Z52, ~ Contractor F • City water ~ Road Unit 355, vo Address NC92) CLA'~~IC/z A1%~4 PRV _ Park Ded. Booster Pump _ Copies City/Zip Code A P/"n4 F- {~ALJr~, A/~. SUBTOTAL 124 APPROVALS Penalty Phone 4 1,2 1 " 4"7e"..-5/ Planner TOTAL Council ~ Arch./Engr. ' ~~rh1Ca. Bldg. Off. Variance Address 1606 City/Zip Code ?1'1uD€l- A ~ Phone # ` . . . . . f~ V V V I , , iSZ~~ =IS~~IQ~i . ~ 'LbS OS -a i tp~~b . .....r. sc~ . r~ ` - J `.s ~ 22L-'vY?^~ d /1 c ~ . `J ' , i 1990 BUILDING PERMIT APPLICATION 17?!540Y OF EAGAN ',UN`~ I Vgo SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQI7EST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. 10f- S' To Be Used For: Valuation: 120 /000 Date: Site Address OFFICE USE ONLY Lot p Block a _ FEES occupancy Q-3 M_1 Zoning R-3 ~j Parcel/Sub K/ S~ ~ Actual Const ~ Bldg. Permit a f • Allowable N Surcharge 6 p. 0 C> D p Ocaner # of stories Plan Review AtG u Length `jH SAC, City I DO, 0~ Address , 62~ . Depth 32 SAC, MWCC '(s00 ,00 S. F. Total Water Conn (oZS, 00 City/Zip Code Footprint S.F. Water Meter C70 .00 Acct. Deposit • 3o' Phone On site sewage_ S/W Permit 3 D,00 4)~ On site well S/W Surcharge .SD Contractor L.~ . . MWCC System tl^ Treatment P1. 25a.OQ , City water v' Road Unit '15$, p0 Address yc) PRV Park Ded. Booster Pump _ Copies City/Zip Code ~ . SS 2 SUBTOTAL APPROVALS Penalty Phone Planner TOTAL ~2) 31 . . ~ Council ~ Arch./Engr. Bldg. Off. ~4,a• Variance Address f00C) ~City/Zip Code ~`//Y. 55337 Phone # ' ~ VLl~t~~~° 1~?~.1 ~ . 3Z clmo x ? 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ALSO, FOR TOWNHOMES AND 7CONDOS EN PERMITS ARE REQUIRED FOR EACH UNTT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FLJ-kNAC;h- FIREPLACE INSERT DATE ~ FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExISTING CoNSTRUCTION) $ 20.00 STATE SURCHARGE .50 ~ TOTAL - 5 ~ SITE ADDRESS: C3i%JNEic NAME: WP.YY_ TELEPHONE ADDRE • , CTTY: D STATE: ZIP CODE: _ d TELEPHONE ~ - SIGNATURE OF P E ~ . ~?~i~::::'~:~~i:` ~k!~J:~~i~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ; . ~ . . . .;;ciz:':::r;:.:;~::::•::•::•::•;:;•;:~;::~;:.::.::::•::~:•;::•;:::::::~::f:~:r:~>::>::•::~:::~:::;;:::;:;.:::•::•::•::;;•:::;.::>::•::•:•:•:•>:•::•:~:::•:•>:~:::•::•::•:;;•;::•>:<;•::•::..::~x:.::.:::•. ~ ~1 ~ : ~'~:::::;::::;:::`.::.::::;:::::::::::;i:::::i::i~:::.::;:;~::.::;.:::::~:;.::.::.::.::;;;;:.r»r;:.::.i:.::.::.>:~;:.::::::::;::::;;:;::.:is::;; : • ~2':::'} ~.:::C::'~:::i::i:E::Y:::::>;:;`::'::i:::;::::'~'::::::::`::;`:::::;~;t•:::::::::::::::i;: . . ~:::;:~;:::;;:~:::::;::?::~:f;:~:~:~::~:::::;`.::'•`:~::~:~::::::;:;i:';: :;:::;~.'•r;:::~:~:::~:::;;~::=:::: ~:~::~::::::?;t::~::~:;:::.r:::;•:::;•>:~:~:;.:>::::•::•::~>:•::~;:a>:::;;:i:::~:::~3i:~;;:;:;';:~::;:~ ~~it:::::~3::::2~::~:3i;~'~::::;:;::;:; : . :;::~i:::;:::::::::::::::;:~:;~::;:;;:;:;~:~:~:;:;::?:::~:;•':~::~:~:~:`•::::~~~:~:i::~:~':'::~::o::~:S:~::.;%.;%..?::i:S>; <~~~::'~':~::~:f :~:~::~:~i::~:f:: ~::~:;:~:z~::~:~: . . ~ r:::.::.:::::::: r:::.;..s•::::>::::.;: :.;::::•::•;::•::•::•r:.:::•`.:`•::•::o:•::•::•::•:.:;:::: s:•:~::<.::;:... ~ ~ : . : :•::::::::~;::.::::::•::.s :.:•;•:::;";:"::~>:.::::•::::;~::a:::•::.:;;:t:::>:~: ~ ::;;:•::•:::..:::.:;.;:•>::::•:::;~;:~;;:.;:i•~::;:•::•: :::;::[.:>c:.::;;.::•::::::::;:::•::::::•:;j•:;::;::•::~:::.:;;::. . '':~~i::~i::~£:~:~::i:::>:•i::;;~::>:k:::~::=:~;::::::3::!:?;~S:~t:::;;;.::•::::•::•::>:~:::.>:•>:•:>:•:~.:~::.:.;:•::•>:•>:•t:~>i>:.:>:~:•::•::•>::~:>:;:>::.~:...:::.:::•.:::.. . ~ ~ <~:'~~?::;:':;::r:i::::;i:~ i~i:~:::~:•'•::~:~5:~':>:::~::::j%:~:5:~: t::;;:;i:'::~: i::;:~::~:::~i::':'::it ~:::;•.;.:::••x•>•~::.;:•;:•::.:::•::•::•:::•r::.::::•;::: ~:.r:•r>;:~;::<.r:•::_::•:•::::. : t•::~::.::::~::~:::::~:: i::S:~:::::: ~ • . . . . . . 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII,DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT, n-ATE: •..4'rITiLXC'fi' Pr iCE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF i~Q~:;;,FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SrIT ADDRLSS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLI) INSTALI.ER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR I : :<.>:.:.:.::.;:.;:.::.;;<:;;:.;:::.:>:.>;:.;;:.::.;:.:.:.::.:.:.;:.::.:.:.:.::.;:.;:.:.::.::.; : . . ~.f•.'`::::'::'::::_':'::;:::i;'::"'':~~~::';?,;;:~~~'::~::?:'~::<~s[<z:E:`:>:;ri:i:Ei::>;::::;':::>::'?•.''::~:iE>ii:`:::::~:::::E>:::;i>:::::;%E:::::::::::EEE:E:,`•::;::}::;:i:::':::;::::::;i:>i:>r:::::;:::::<:>':;::»::'r.':>;;s>:::;i::::::::<:::::?::::::::::::::::::::~::i; ~ ;;i ::i:i:' •,':•::~;•.F:~.':~'''?::::i::::;.:::;::>i::::::;::>zi:::':::::::::` .::::::::::::..,,,~,,,,~,~,,,~',+i~.:~:::: : : ~ :?::i:::::.:>::5;`; ::~:~::;.>::.>;::::;:>:•>::~::•::•:>:a:~>::~;:~>:~>:~:>::•>:•::•::•::•>:•>:•::•:<:.»:.»:~>:~:a::•>:•:::::~>:~::•>:~:ta::•:•: ~:•::.:•:•>::•>:•::•>:•::<•»»s:ti:•>:.>:.>:<•S>:~»:~>:.>?:::>:::••rii::~:::•>:•»::•::•::::•>:•>::•:•>:•:•:•:•::::::::•>:•:... ~.£Si::`•S: ::i: >:.>:.>:.:.:.:o:•.:: .i _;;::Y::::~' :;:::i::: ::'t~iiii:~:~::'',:,:,.;::'::~::::''.::::::.':::'.,~...:?.~:.::~:~::ti:$~:.}::~` :~'~:$'~i:`:~SS:~:i:::~::~5:~:'~'::.~:''''..:~:~:;'':'::;:'.<:":'i:':+;:.~~:":'~.ft'~'.'•:'~'..•'t.~...'~~.'~.'~~.~••~'~'~:~::~:':':~:~::8:::;:;::~';:;::::>:;;i:•`:~:~i''SiS::::;: . . . : ......+4~~titti;'.;:..•:''~.':.`:.~..::'2it:t:.~~'::::.:::<:<t:::::::::::::o-:::.~::.~:::.::::::::>::::::::::.~:::::::::::::::::::::::::.~:t::: . . . . . t:.. ::n:~:::.>::tt:::.::.:;::::::::::.~:::::::.. M1.... . . ~ . ..~...~.:~~o-; :..:.:~:.,••:::.~:::::::::::::::.,....,•:::.>:w:::•;;o-:rr:;:::;•::::;sr>x:•.~ . . ~ ~ ~ 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS,. WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE ~ FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 6, 6n ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL ~ SITE ADDRESS: SKO O 7 GC/~ ~ ~ OWNER NAME: qELEPHONE ~ INSTALLER:(~~~J/j ADDRESS: 4WI CITY: STATE: ZIP CODE: TELEPHONE ~ , SIGNATURE OF PER ITTEE :'::::::':'':::::::'::::::>'::'i':::>::>:::~i:'': . ~'~l~J::~:i::il;:: :;':~:~;::;::`:;iE:::::'::`~:':.::::;::::::::.:';i::EE::::::::::ir:iE:E~;;:.':~EE:I;Ef:::>::E::i'~'::!:2::::::::::'~'~~:~:'::::::i:'f:::::~~::::::::;:i~.~:.::;~>::::::::::::~:#';:::;;::::`i'i%':2';~.'......"~•~~~~~:..~~:..~.~ ~ . r~ : s:.;r:..<.::.::.:::.r 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. 17a'I E: COivl°~t~CT PRiCE: $ ' NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF gFffM FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SI'1'E ADL)RESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ~ ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR L BL 4- CITY USE ONLY RECEIPT r~O / ~ SUBDJ- J/6a4lAW 6(/W DATE: / 1995 MECHANICAL 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 New construction Add-on furnace ~ aIP /N1l1nl.~I!!~ij~A/'7y A. •?j.s ..~.r~vC.E+ ir~nyerwvi', i. \/ww~..a~ wc i~rr~t2ii'i, cL~~. £d'l' ~...+I'~vi'3 s<~~'. ~v e ro. 4~'L~- Date: q5~ FEE.S ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) (P , o~ ? State Surcharge .50 TOTAL ~ • SITE ADDRESS: &h OWNER NAME: PHONE INSTALLER NAME~ ¢ G~ STREET ADDRESS: CITY: . ~ STATE:_ IP: PHONE ~ ~ RMITT/EEJ CITY USE ONLY ^ L BL RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete far: ? all commercial/industriai buildings. ? multi-family buildings when separate permits are D-qt required for each dwelling unit. n,aTF~ rONTRACT PRICE- _ WORK TYPE: NEW CONSTRUCTION INl"ERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR I CITY OF EAGAN L_,/ B~- MECHA1vICAL PERNIIT RECEIPT #/D SUBD. ,At• GcAwb ~ (612) 6814575 DATE RESIDENTIAL PLEA.SE COMPLEIE UPPER PORTION ONLY FOR SINGI:E FANIILY DWEI.LINGS. ALSO, COMPLErE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMT!'S ARE REQUIRED FOR EACH DWELI.ING IJNIT. OWNER: FEES STfE ADDRFS • ADD ON/REMODEL (EI[QSTIING $ 15.00 CONSTRUCTION ONLYj 1INSTALLElC*j,jdkwo HVAC: 0-100 M BT[J 2q;00 PHONE ADDITIONAL SO M BTU 6.00 ADDRFSS: : 95 GAS OUTI.ETS - MINIMUM 1 @ $3 EA. 01.00 CTI'Y: SURCHARGE $ .SO . SIGNA TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WfIEN SEPARATE PERMTl'S ARE NOT REQUIRED FOR EACH DWELLING iTNIT. WORK DESCRIPTION: CONTRACT PRICE FEES 196 OF CONTRAGT FF.E. STATE SURCIIARGE IS $.50 FOR EACH $1,000 OF PERMTT FEE. $ PROCESSED PIPING - $25.00 $ 1VUNIMiJM FEE - $25.00 OWNER: TOTAL: $ STfE ADDRFSS: TENANT: SUITE INSTALLER ADDRESS: CITY: ZIP: PHONE CITY SIGNATtTRE: SIGNATURE: ~yh~j ~r ;:n•{,.iiiiii?iii:•:•:?•:f4iiiiiiiiiiii'r?::~ii:viii . :i~:,' ::.:...........:v.................. ~1i: ~ ?i': ; ~.ii:::::~::~ii:::::: ~:::i::::::.i' :ti::i.i:<i:}::i•,':ti:::::::::::::::::::::::::;:ii::::i<i::iii:~i::i.'•i:~:::::'::::•.'i::::ii:::::i::;::::i:i:i:;:::i::::::;:::::':::r::::i:::::ii::::::::>::::5::::i::i:::?::::i:?::::::::::::::::::::::i::::i:::::::>::::::::: . s:'~ ? :>:i ~i:::ii:: ~A~N.~:Y~.. ~Ti."......... . •::~>'•~>::~:i:~'i: - $'t~'t2i%~i:::!<:~:;.~;'.t;;.~::•;'~'~~.. ~'~r:~:~`:3°:~~?.;:i~i~i#~i~s'i~.#~i;`;~;i~~.i`': :<?~''r.#:;~i~ ia'~::3?"~:i:2•':;~?~:?3: i~'~#:'•2<f?i,ii;3:;;.iiyi`>.?:::<:;:i:i;y?;,.'%i.;;i.E'::::;;;;iii:iii'iii:::?;`:~:ipi~?;;?•':'i~i;'i:;:.'•!;`:.%'i%:i:i%;':~:i; ~:;;?:::::i'if;~~<? <:.;i.t.;:::',~:::~:ii:iiiiiii.i::';;:ii.t:;:<:::•':::::>:::;it:::ii:::2:t::::::::::t;[:.:i[:~:::' i`t:::::''<:G°%~::T[iti;~~~ . . . . ~ . : . . . . . . . :v.~:::::.~:::::::::::::::: :..~::.~::::::::.....:.:::.:~i: . . . :.....::.:.~i.v:%...:.. r..q:::.:.~::>....:..::......: . . : : . : . :n .:i.. : : • • ni::: : :i...i}i: : i' ::L{.iiiiiii:ipi}}}ii:~:iiii}?i}?iiiii:::ii}ii:4i:iii}iiiiiiiiii::n:iniiiiii::iiY. . .a '.ii:ii:•:i{{::i.i:4i:C}iiiii:itiL:x:ti•ii:{.'ri}iiiiiii:Lii:~ii:•:ii:v:~i:i4:4ii: . . : v . : : . . . .::::?~..~...W~.•....r.~F~~::n~:::::::::.~:::::::::::::::::::::::::::::::::::::::::::::.~.~x: :.::::::::::::~.L~~.:::::: :y:::::::.: . ..F:~.~~..... .............................................................................................................................n.......n . . ......................n....................................................... . . .~..'..+.tvv..v......v:x...»....n::::.sy.:~.~m:::::::m:::.•::x.~::.4•:::.w:.~:::::.•. v:::::::::. J~+~11~. ~.a•::::.:::n ?.?-.t::.::s:::::.•.~:x . . •:..v:. ~.,.:.rn 1994 PLUMBING PERMIT (RE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHQIVIES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ~ . ' NO. FIXTURES EACH T.OTAI. ~ ~ SHOWER 3.00 Dv _ 3 WATER CLOSET 3.00 ~ r _ _ • - BATH TUB 3.00 ~ LAVATORY 3.00 2,co KITCHEN SINK 3.00` 14 v.. A LAUNDRY TRAY 3:00 ~ - HOT TUB/SPA 3.00 WATER HEATER 3400 - _ ~ FLOOR DRAIN 3.00 GAS PIPING OLJTLET • minimum - 1 3:00 'J..~ ROUGH OPENINGS 1.50 -.z. . WATER SOFTENER 5.00 Rfi , PRIVATE D'ISP. • Dak.Cry. lia 20.00 ~ U.G. SPRINKI.ER • nome unaer const. 3.00 ALTERATIONS ' to existing 20:00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 ~ TOTAL: ~ SITE ADDRESS: OWNER NAME: ~'3~i~? ~ ; _ . : . INSTALLER: '~e''41"' G~~•- ~ - ADDRESS: lo, Gi STATE: ZIP CODE: CITY: Y ~ . PHONE ( ) Gy~~ ~'~2 S b _ . SIGNATURE OF PERMITT~E 'i . , , _ .............-.............................:..:.........................................................................:..:.:....:......................................RE : ............................................................................,.................,1[~~:::.:::.:>:w;>: ~:.:o-:.:.: ~;:<.:.rr::.:r::;;:;;;;:: o-:::::::.::::;:o-::.>:::1• ~:•::.•:.•x•:.:::::::::::: • 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COIVIMERCIAL/INDUSTRIAL BUILI?INGS. AISO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ ' I'i'sG: li)o OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF p0~4!IIT FEE. NIINI11iUA? FEE: $ 25.00 . CONTRACT PRIGE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESSc TENANT NAME: STE. # OVVNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PH4NE FOR: CITY OF EAGAN APPLICANT . cfrySEumm , . ;s:::>::::>::: ; :<::<:: :B~i«:;:>,>~;>::v<<::=::«::;:<:::::<:;:«:::::::;:;?;>;:»::>::::::»>>::>::>::::<:`:`>::::::>>:>:[i:»:::'::::<;:;:'•.:;a;:::'•.::>>`":::;:»:>:;:<«<;#::;>;;;::::;>>;`:>:;:`::`::z>`::::;:;:>:'::>:'•`•••'••~~::':':>::».:> : ~ , ~ . . . . . ' "~f: ::'r`.......... :::~::::•::::•;::..::•:s+::•:•:<.::4:•;:s:'t:;<:::.;~:. , . . . ~ . ~ ~.v::: ~;ss+:;a::.;: . • . . . . . . 'ii:2:;•`:t;:~i~<:i'i~ii:i:~;i::i~::;:~::::?;?`:>ii:'i:~:i5iii;ii: i:;;~::''i%.'%`:~Si:r::%::>,::;+.ii;;::i;i':~`i:i:iii:%i:`:`':''iii«~ ~:?iii . ~ :ti:~' 1.: :.;.ti. :.>r.;~ c ~ y~ 'aS::r::.?:,:i:i::•`.k•`.'<:: i::: ~ . . . . ::•n: a:~::.- ~ :~t;~. ,y : : •;:.::t~:: • : [ ~ . . , ~ i: . : - ; r::;t[`;:i[;i`Gt:~::;:ii~i>tk::Gi:.`;i%.`::tr';tS:.'•i`it;':i~r:5:k::::~:::<:'+;.i:::;:;:;.:,`•i;»>i:::i: . . . ~ ~ . . . '~,f~j ~ ....:i:...:t•~o-»o-».::~ . : ::~':.::.::::.;:...<..:r::.;:.: • . . : . . . . ' : f:%;;:~:i . . . . : . . : . . . . : ;.:......:...::::::::t.:x..,..............t . ..xr ~ : • - . . . . . . . t . . _ . . . . . . . :{.:x•'a:.:.".:'.':.'.. . . . . . . :<.::>::;;:::.~.;r:::.:::r:c::a::o:•• . . . . o:::..•::.:::.,M:#:a.vr.?Rea.t?•:::.,•....,.................... . . : 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. - - - - - - - - NO. FIXTURES EACH TOT~ SHOWER . 3.00 3. o0 _3_ WATER CLOSET 3.00 a « BA'I'H TUB 3.00 ~ LAVATORY 3.00 KITCHEN. SINK 3•00 / LAUNDRY TRAY 3.00 HOT TUB/SPA 3•00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING O.UTLET • minimum -1 3.00 °z;l 3_ ROUGH OPENINGS 1.50 C1k 512 WATER SOFTENER 5•00 PRIVATE DISP. • Dak.Cty. lic. 15.00 U.G. SPRINKLER • bome ??nder const. 3.00 ALTERATIONS • to adsting 15.00 WATER TURN AROUND 15.00 77;~ STATE SURCHARGE .50 TOTAL: SO ~ O~ SITE ADDRESS: 3 G OWNER NAME: INSTA:_,LER: ~ ADDRESS: 77 5o CITY: Eef~y P4-,- STATE: ZIP CODE: l7 s~ f~~ PHONE SIGNATURE OF PERMITTEE ~::~~~`:;~~i~ . . . . . . . . . . »>:;::.;:.:.:.;:.;»~>r;;;;:<:>;;;:.;;;:.:;;.::;::;:~ ;;::<::c:<:;:::.::.:.^•. . <•,`•?;[ii: ;i::[iE~'ii;''i;~;~•.`:~'`i::z;i:`it'i::~ii>:::?:'~;''~zE:`E?zi?:`~':;i~z;~:;~?~>?i;;`:?~:.•.`•:`>'?i`:%>:i;<:;_:i;::;E?;;:;:3i:`~~~:;~:3i`>:~;?:`:ii'•;;:':<i;:';=:'`~;i;;>;?`;i;;iE;i~;3:i5:;Ei;;:i[;;::i'`;S;`>.ii;`;if;i>i:is<EEEfi~:':it~r:;:''.!!;; . . : t.. ' . ~ ~ .::::<.:~.,:..::p:i•i;:';'9YfS: :i;:t~>:`':iri:i~;ai:'•'i;i;ii;i:;i;;i;:i;.%;:;:.;?;::i:.i:Y;.::`•:::,i:i:.i'::S`:: i:::;i:t;i'?;i;.;::i~;:2:~::: i~:>:`:-::S:Si`:.:::::::i;i;$ii:>::'£Si".:ai:::::i;i:ii;?;'~ . . . , ~D,. : ><::<::: A 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL,/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUI". 7INGS WHEN SEPARATE PERMTl'S ARE NOT REQUIRED FOR EACH DWELLING U_ 1. _,T. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPT'ION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH S1,000 OF PERMJI' FEE MINIMUM FEE: $ 25.00 . CONTRACT PRICE X 1% $ STATE SURCHARGE $ . TOTAL $ SITE ADDRESS: TENANT NAAZE: STE. # Od'ETIER 1!'AAZE: INSTALLER: ADDRESS: CITY: " STATE: ZIP CODE: PHONE FOR: - CITY OF EAGAN APPLICANT `"~~~;;.`NMN . . . <>::>:<»:..:•::»~»~~ ~:>~>::>:>:<:>::»::>:>::::::::»<:::<::>::;::»> , : : : y~ . . ..:...::.:.;.;:....::::::;.;;>~.;;.:..;:<c:::...:::: ~r;;:•~,:::,..::.,:.:.::.;:..;.:::;:: :.:.o~;.:;>::.:,;•:;~ > s~ . . . . . .;:o::::n>;s:;::~»::::::::::::::: ::.::::::>:.::::::::;4::•::::>:: :::.::::•r:::::.t+::•:::.>:~>;.;~>:::::.:>::: :p;•...:;::;~::::t ~ ...:::::::::::::::.:::::::.~:::::::::::::.:::::::.>•.::;.::.:::.»»::;:::<.::.>:.>:>:.:»s::.::;.::::;r>;i:::i;.>o->o-;:qi:;::>'<:::i:i:>:::::.......... .<iSF:%..::t>::: ~~..;:i:;:i~i'%i:iif:i<'t[:;[:;:?iiGiiiiiiii: _ : . . . . n:..::.~.~. . ~ :::,'v,tth'•i:}:iY - '~:i~:^`•:•i:~~~iii:C>:i~'r::;'.S:'~ii>i:~?';':iiii:~:iniii:i>•"+ ~:~'4~~ . . ; ' ' .i'. ~ : . : . . .i•h:: ' . j. . ::.;.y. . .~n:Tii}{~S~ :i;:~'':'•'~•'.•~iS.•.'~:.:.~.••~••~~:{i:~::;i:?i:;i:;:;:;:;i~{~.Sii:i~i:~i't:::i:jj:`!:::~. ~::.Y.!! .:::::::::::::::?:.~:::::::::::::::::i~:•:::::::i~.. . . , n,,. .y. . . ~ ~ . . ~ . . : . . ::;S:;riw;v::::::::.~:::::::::: •:::::cs>r.•::>:::.. , . ..r . . . , ..v:^~+.i;~~ . . w . . . : . . . . ~:::o>:~ . T ~11.D~.._ . . : :......~'o:>:o-»:o-;::::>:»;i~:x::.:::•:>5•:.s::»::.:::::::: ,Y...aA.~`:?~:••'...+'~ .i~:: •::.:::::::::::::::-:s~ : t 1993 PLUMBING PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. - - - - - NO. FIXT'URES EACH TOTAL SHOWER 3.00 ~ • ° ~ WATER CLOSET 3.00 BATH TUB 3.00 ~ e o L'-7 ~ LAVATORY 3•00 l ~ J KITCHEN SINK 3•00 3 , / LAUNDRY TRAY 3.00 1 e ° c-~ HOT TUB/SPA 3•00 ~ WATER HEATER 3.00 , d v FLOOR DRAIN 3.00 ? d Oc'- ~ GAS PIPING OUTLET • minimum - 1 3.00 3~~ v ROUGH OPENINGS 1.50 4i, s~ WATER SOFTENER 5•00 PRIVATE DISP. • Dak.Cry. lic. 15.00 U.G. SPRINKLER • home under const. 3•00 ALTERATIONS • co cxist?ng 15.00 WATER TURN AROUND 15.00 _ STATE SURCHARGE .50 TOTAL: S O` O~ SITE ADDRESS: Y6 ci r OWNER NAME: INSTALLER: r~iZ"~ho'e~ ADDRESS: 27 J U CITY: /~77e,-r!~i 4e,14 STATE: ZIP CODE: PHONE SIGNATURE OF PERMITTEE .;>;;>;;:;.:;.;>::.;:.::.;:.:;.:;.;>:.:.:;;.;:.;:<;<:.:.;>;;;:::<:>:<:::::>::»::»::>::><::<:::::>::>::>::><:::>::::»:::>.>.::::;;;:.:;:.>:.;:,:,.>:,.:< : . . . . . :.::::::.:.....:...,..::.:.:::::~~~.:~r,r,::.ss:.:::.>::o:;.::::>:.:>;;:::::;o;:;:>sr.:::::;.;:: :i;i:itft::>~:i:'.t::tt;i;:i;i;i:[i;i;3iiiiii;:iii;ciii;;ii;:!:Y~:::S;%:Si>:SS3f:t''>i'<'<l•::;?.}:;i:::>c::;:it>'<;::::ii:;::;i::t$>:{:3:?t;Ci:it;~i~ii:::::::iiti:;iii;t:ttii:YCiif:ji;:_;:::i~,;`:>'iii~ti??::?:t::;:3it~ii%~`f::;, . ,ca . ...~..::..>a.:... . .;::.::;<:«;;;>.:::::.:::.;;::.;_:;::.:::;:>;.:»;;><:::.:•.::<>:::;:::::»><>:::;:::::<:~;:._._.:~:::<.:::<:::;:::<::.:.:<::>:;< :::::::::::::::::::::::::::::>::::::::<:::::;::::::::::>:::::.>:::<.<::>:.;,,><.:;:.;~•~:::~::.:;:;:>;.; : ~ . D. ;:;:.<::::<:<::::<:::::>::>:::::::>:~~:::::::::::::::::::::::::::>:::: 1993 PLUMBING PERMIT (COMIVVIERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAI,/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUI? :7INGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH DWELLING L': xT. NEW CONSTRUCTION ADD ON REP,e.IR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1°k OF CONTRACf FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF p£RMr'I' FEE ~ MINIMUM FEE $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAAZE: STE. # OWNER NA11IE: INSTALLER: ADDRESS: CIT1': STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT L ~ BL ~ CITY OF EAGAN CITY USE ONLY ' PLUMBING PERMIT SUBD.,/_N"• U/ (612) 681-4675 RECEIPTn # v 6 c9 DATE ~9- 77 - RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: ~N0. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON ~ SHOWER 3.00 ~ REPAIR ~ WATER CLOSET 3.00 12 Uf) BATH TUB 3.00 I~D ~ LAVATORY 3.00 ~ OWNER NAME: ~ KITCHEN SINK 3.00 _g.oo f LAUNDRY TRAY 3.00 _ gM SITE ADDRESS: WATER HEATER 3.00 ~ ~ FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 .g.~~ ROUGH OPENINGS 1.50 ADDRES S: 02 197 OTHER WATER SOFTENER 5.00 CITY: 65~L'L-4- ~~1 1-4 ZIP: PRIVATE DISP. 15.00 ` U.G. SPRINKLER 3.00 PHONE : G~,~ W. TLTRNAROUND 15 . 00 d STATE SURCHARGE .50 'jv SIGN E OF RMITTEE TOTAL: $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. . STATE SURCHARGE m $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. IHSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN . COMMERCIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~ QTelephone # 651-675-5675 FAX # 651-675-5694 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" o 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 1 • 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". Pemut for new building or addition will not be processed without Emergency Response Site Plan. Date ? /,),F-/~~ W 1 C~~ v\- W struction Cost C7` d U~ Site Address - ~ Unit/Ste # Tenant Name Former Tenant Name Description of Work f~Lo (A-1 s Property Owner C,.r 4,d o a :S J Telephone # ( ) ~ Contractor 4-C) e- a n. e- .s Z .J ' Address A City /3 t- /'„JJ' f),jl/C__ State ~010 Zip e .s ~o Telephone # ( gd ~j yc? ..S-Arch/Engr _ Regi~tration # ~ (Address ',City State Zip Telep~onMe # ( ) u ; Ii i ~ Licensed plumber installing new sewer/water service: •----Rhone 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. C. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Aparhnents ? 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 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 Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair 0 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 (addition) _ 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) _ Insularion _ 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 STH 65904 APPROVED 12/86 PERMIT DATE & TYPE LOT BL ADDRESS 4i87 a-rLEx 010 01 3682/ WIDGEON WAY 020 01 3684/ 030 Ol 3686/ 040 01 3688 050 01 COMMON AREA ioias DuP 060 Ol 3690/ WIDGEON WAY 070 01 3692 6/88 3-PLEx 080 01 3694/ WIDGEON WAY 090 01 3696/ 100 Ol 3698 i ti92 s-PLEx 010 02 3697/ WIDGEON WAY 10i89 020 02 3699/ 10i89 030 02 3701/ 12i88 040 02 3703/ ivss 050 02 3705 „ 6/90 s-PLEx 060 02 3695/ WIDGEON WAY 9/90 070 02 3693/ 4/94 080 02 3691/ 4/94 090 02 3689/ 110 02 _MMM 4/94 1 00 02 3687 ~ ON AREA 7/94 4-PLEX 120 02 3685/ WIDGEON WAY 7/94 130 02 3683/ 7/94 140 02 3681/ 6/93 150 02 3679 16 , � R �� Use BLUE or BLACK Ink r---`-^----------- I For Office Use I �� O� �U U� � Permit#: ��V! l� 1 • � � � �II � 3$30 Pilot Knob Road � Permit Fee: ��• ' Eagan MN 55122 � � ,� � i Phone: (651) 675-5675 t Date Received: Fax: (651) 675-5694 � � j Staff: � �-------- --------I 2074 COMMERCIAL, E3UILDING PERMIT APPLICATIUN Da#e: Site Address:�B 1 � 3(��"1-�(Qq�- �[�j°l 3"3(o°�� a �c�� r,,� .�)C�,�j � Tenant Name: (Tenant is: IVew/ Existingj Suite#: Former Tenant: Name: Phona: Pt'O�LI'Cy OWri�t` Address 1 City t Zip: (�+��' �te��3f�91- 3 -� (.,c.�c:��, App(icant is: Owner �Contractar Type of Wark description of work:_, �C�,�^� � Construction Cost: � �5 Name: t#' ��C.. License#:__�..��c�t Cl�� Address: �� r��d ��'.� l��,S�" City: f1�. � Contractar ��n ot�� State:_��V ZiP�� Phane: � ��, " �� -' '�("��'�� Contaet: 4 � e,,��`�" Emaif: t.�'t"(' c� rV`tS� _ Name: Registration#: ArchitectlEnginesr Address: �Ety: State; Zip. p��. Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents that you subrnit are consideretl#a be public informafion. Portians af the informa#ion may be ctass�fied as nan public if yau provide specific reasons that would permrt the City fo correlude thaf the are trade secrets. CALL BEFORE YOU D1G. Cal!Gopher State t?ne Catl at{651)454-0002#or protection against underground utility damage. Call 48 hours before you infend ta dig to receive locates of underground utilities. www,qopherstateonecali org t hereby acknowledge that this information is camplete 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, a�d work is not to start without a �ermit;that the work will be in accordance with the approved plan in the case of work which requires a revisw and approvai of plans. x (�'�i c°_• i/Y1Jf�.1 ,� ' �, Applicant's Printed Name Apptican Signature Page 1 af 3 ��`��:a ��r� .� �.....��a.�.. �<� � �t�d�_....,�,....�..._.._.�..�...._.,�...�.�..� �� F'��k��: / �� i � � • 383D Pilof�4nob R�d � Perrni�fee:__�J�,�j 1 Eagan MN�5922 � .�°�'. 0 Phane;{6�7j 675-SS75 � Date Recei�d: 1 Fax:{851}6753594 1 � t �taf#. � � € ____._..__________.,.__g 2�'�4 �E��Q��f�fAL BI�fLQ�NG PERMtT ,APPL.[CATtQN oac��-��...1— t�s�f��a��s�: � n �'�' Unit#: ;s �: � �— � � �... � � ��:: �L',�1 � F � ` � �..�-.-.,.--Tt��„-��-b-� z g;�,,�� p �.�� .:� . �,,,,..�-,� ,. � ---�`$..� �� =��_�r s:��:�: g 'a � - `� k....��... � � �5 �aa... � � ... ��v �� ,- ��'s' K�.; _ *� w =�_ � '; Qemt�J� �;. e c�c� � a �._�..�. � � P � 1-�v,nc� c.�3:.� i7w,� � � f �; ;?C�'€� : ,�i��:, G Y1� � _��'�_�.__._..._......�.�._....e � � , � �` � �ri�`a��i?te�..'�` _:m��$�C�tS"lS�.��°�t3..._._...�� , � �r��3��, ` :k - ., �..,R . ��. ��.. � Ct3i'1tr�ct�r �ddr�ss: `� �+, ,� �w L.��- ,_..._.. ��t�: ��,+�l��n�� e S#ate: �r� Zip:�-��'� Phane:��'�Li�-�7(�7�mai#:=��r�,.,�,r��-"�ciy v�U � � � �t�es�s�#°�r.�.�..`�..�2 Leat��ertifiicate#:_ I��rT �-l l��-1:� , � . �,.:; �� -- -� ; �, ,.r�. �.. . -��C�= '` �:� �� . . � � ---------=m•-�- _� ' �,�;. � :��.� i� '� _ rg #� n __ _ , . ,; . . . _..�<� ,�:��k�1�t�.`�.,4'�E3 ��w��' d_;��L.s�3i�;.��r.�`.s"'4�:�'¢'�4`,-� �- v � ` ' ' ., '�' '?'�4,��' , �'t�J'��i..��5'lE� K��d't a�.P��k. �� 15'�3��4.i��li(13�iY�ifY C7VI��t��.i � €r� �ast�2 snonth�,k�as t�e��y of Eagan issu�c!a perrnit€ur a simitar pfa�based on a masfer lac�? P ____Yes �No ►�yes,date and addr�ss of,�nast�-�t�: � Licensed P�urr►ber: J?1�;�• � Mechanical Contracta�r: Phone: Sewer&Water Contrac#or: Phone: �LQT� �ta�� _ s��: ��r�,��'r�- �:�.�a�il��i�r��t�;�, ��a��'.� ? ��r�` x ,�� ",�, ! ;:��i��u�r��< ��c��, �� . �. ��, , ��rai�.��.�� _ . . �Ofi��i�''� �� ap - �s�i��. �it�� T�� 8��`{53�� #IJ3�fia$cC:11iYTS 3 �'s.7�ca_ r : .._._ ....p�..... b�OY��as?Fu!?"S�.�RC11S5 i'�iCS 3iJ ic�.�€Vs,.T°�°.�� i��'fii�F�Tt�S,Es'��&��.§�� #��F$��G�lE:�CC,��£tt�. � ��,T'�.�2ftL'�t3YY$S�3a'`e'ci"ii3i,��, ��$�}�.t3#¥t5 i h�reby a�knrrov�dge that t3i��nfarm�asn is c�mpi�t�and accurate;that tihe wc�rk un'�1 be in r�sn#armance witlz ihe ordinanc�s anc3 codes of the C�y rri Eagan;#hat i undersiand this is not a '�C witt accordance with the approved ptan in th�caste of�work wh cfi requ�ires a ev�w a�IaPA�v�oi pFans�io star!withvut a p�armit; thai the work wih b�in � Exterior work authorized by a build`sng permit issued in accordance with the Minnesata 8tate Bullding Cpde must be comptet�.d vMtt,{ti;;�,�gr�, da.yR o€gr�cco�it��'�s�cs. ,, � " ' t^°�, _ � Appts'cant's Rrinted Na Apptica s ign re Page 1 oP 3 r � Use BLUE or BLACK Ink � r_________________�j �„ ' i For Office Use a�.i n,�tJ � �� LS C7� 0 f Ln �n � Perrnit#: i � i a� 11 ��...0 `. . �_.�..� ' /a3`�g � � Permit Fee: 3830 Pilot Knob Road � /' � Eagan MN 55122 �� ,? 2�3J � Date Received: ��'�� Phone: (651)675-5675 � - � Fax: (651)675-5694 � Staff: � I i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date:��- r Site Address: c'3��7 � Unit#: � � '�� Name:��1'' [�C�nC� Phone: (exS�-��7- �q'...�'� ��d�` �° " �� Address/City/Zip:�g7 t,.�� a� �_�c�G�c3,� 1"�� J�f�Z �. � -�rfr � Applicant is: Owner �Contractor � � '�� ' Descriptionofwork:� � � 'N'�,u Dnf',-}� �'��' 4��,� Ty��t�1��'tk � —r— '� ` �'+ �� Construction Cost: 'b Multi-Famil Buildin � �� , �� Y 9� (Yes :✓ /No_) �� Company: JI" �F-,' . �C..� Contact: M,� KP.� <� GO.�'�"��C�` ?' Address:�'(<<'�6 .�°`� � l�.�T City: J(�kc�r�E� °�� State:�Zip:�� Phone:��"��1''7�`�mail: fY�CXfCkI C.c'Y��'�� ,M�� GC7� � �-` License#:�0��$� � 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 8�Water Contractor: Phone: Fire Suppression Contractor: Phone: ', �V��" P�S��j?�r��l��a��Ct;S��'��a�'�b��a��`Y��. F��i�� -.� ��`��F�A7��Lli7�+e��'��ii]V��K��'��,y��^�� A j A . � N .. ., .. . . �� .�y� �� : � . , ,, . -� ,r.�. �_. , o:,� � '�" e. � >...^.uKfi. 2 �'`5' �� : L ,. ,✓,.. � .'�. . .�.�i�n.� '� � ,�. � 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.qopherstateonecall.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 State Building Code must be completed within 180 days of permit issuance. x ��1�Q.- �'�(1 J f'�f�i�i X ApplicanYs Printed Name App cant's Sig ture Page 1 of 3 ��ri ` 'pr� � ' DO NOT WRITE BELOW THIS LINE �� SUB TYPES _ 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 Valuation � Occupancy �t�>�.�3 MCES System --�� Plan Review � Code Edition ,Z,�'�y SAC Units �---- (25%_100% t� ) Zoning /2-3 City Water ^ Census Code 34 Stories -"" Booster Pump � #of Units 1 Square Feet -- PRV � #of Buildings � Length `— Fire Suppression Required .--' Type of Construction �?� Width ---�' REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) �k Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control � _�a--.-.� Other: Reviewed By: G�-„�'J`� , Building Inspector _ tT�i v RESIDENTIAL FEES Base Fee 7.3 i� Surcharge Plan Review �j� � MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies % TOTAL Page 2 of 3 . For Office Use Permit#: / r) C/ �e % , ' ,r AGA N .{. 5E' 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(a cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date "1 ` r0i(O-- i? Site Address: 3 51 -)f\ `iel O Q r\ Unit#: i t i Name: -1 c rer. /AO OCAJar, -_ Phone: Coo I,- Cal- 9939 1 Resident/ I q� Owner Address/City/Zip: 36 7 L 3 6 . i.t` ...1,__, --\/ o c a Fu.) 5 5' .a 1 - y ° ' Applicant is: Owner /Contractor Type of Work ,, Description of work: A erc 3�R j 3(0. Q11 l®Ol l)'3t�S3� c3(o`15 r 3, Construction Cost: a l 3 45 Multi-Family Building:(Yes V/No ) Company: ucrc 1 CCVN4 .C?\ Drl LnC.. Contact /A t )4uf'Yo-V Contractor ° Address: i(1±.0 5 de,rsey Noe- City: clva5 Y 0-2 i t : State: )"I� Zip:56318 Phone: -��1---)0-15mail: (Ylor rcA j C.Or' t 1 c`-L ASN-C(Y ' zI I License# B C 11 a a S Lead Certificate#: If the project is exempt from lead certification, please explain why: l 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 provides*- ific reasons that would •-rmit the Ci to conclude that the are trade secrets. You masubscribe b to receive e ei a an electronic ,notfication from the City of proposed ordinances by signing up for an email update on the City's websiteat ww 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.gopherstateonecail.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 t\1C_> itis 0r 1� x , . / 7/V � ?' Applicant's Printed Name ( Applica s Signat e PERMIT City of Eagan Permit Type:Building Permit Number:EA152689 Date Issued:10/25/2018 Permit Category:ePermit Site Address: 3687 Widgeon Way Lot:10 Block: 02 Addition: St Francis Wood 5th PID:10-65904-02-100 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Karen Kooda 3687 Widgeon Way Eagan MN 55123 (651) 687-9939 Murray Construction Inc 10675 Jersey Ave Chaska MN 55318 (952) 941-7075 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA158843 Date Issued:11/05/2019 Permit Category:ePermit Site Address: 3687 Widgeon Way Lot:10 Block: 02 Addition: St Francis Wood 5th PID:10-65904-02-100 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Weber Acquisitions Llc 1025 Dodd Rd West St. Paul MN 55118 (651) 248-0842 The Fireplace Guys Llc 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160494 Date Issued:03/12/2020 Permit Category:ePermit Site Address: 3687 Widgeon Way Lot:10 Block: 02 Addition: St Francis Wood 5th PID:10-65904-02-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Weber Acquisitions Llc 1025 Dodd Rd West St. Paul MN 55118 (651) 775-7629 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature