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3800 Willow Way4101 City otBtau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755678 Fax: (651) 675-5894 Use BLUE or BLACK Ink For Office Use Permit a: ,1 .� NCI -3 Permit Fee: 5 Date Received: it IlLt ! 1 I - Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4 - I Li Site Address: 3 g CIO 0/ Lir c W L3 Unit lt: Resident/ Owner Name: e4 4 / M41..•3 Rbi L $T mow' cr Address/Ciy/Zip: SSo bsC 9T'u2 Applicant is: Owner KContractor Phone: 763 - s"73— 9770 Av, JJ, ill 60L6Za t4a.1 r /r0.4.) .sr ya 7 TypeofiNork, coniracior Description of work: Construction Cost Company a E PL GE- mucriPLLir .,titla Multi -Family Building: (Yes / No Z,r r se/ 0 2 /i%.e}i aT . Co QP Contact boa ✓ l 0 eg,, mai S Address: =/o LO %,O state: /19,3 Zip: 55'4/i 9 license e: 4- V/11 1 7 i city: m Pc. S Phone: 621..Z• Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ite,Nfiz - T vIL,r PoSY /777 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the Iast 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: WOTE: s i>ef4000 itB d the, et on, a �ti�no CALL. BEFORE YOU Call Gopher State One Call at (651) 4540002 for protection against underground utlhty damage. Call 48 hours before you intend to dig to locates of underground utilities. www.conherstateongcall.oro 1 hereby acitrwavtattga that this information is complete and accurate; that the work will be in conforrnarwe with the ordinances and codes of the City of Eaaan: that 1 undwafand this I not a permit, but only an application for a nom*, and work is not re lean without a permit: that the work ndll be h accoraanoe wfth the approved plan in the case of work'hid) 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 GNP of p.melt issuance. Applicants Printed Name ZO/Z0 39 d Applicants Signature Page 1 of 3 1NI'W 1X3 I3S L9Z9t98ZT9 9E:VT VTOZ/It/V0 . ~ . . . CITY OF EAGAN ~ r; . ~ 3795 Pitot Kwob Road Eeoan, MN 53122 PHONE: 4544100 EfUILDING PERMIT , ReceiPt # Te 6e wed fm 1 of 4'_'L:'.'. Est. Volue ~h 8 ,000 Dote (`ctohe7r ? 19 `j? Site Address , _ow Erect R- 3 7 1 I 1 RriaY' ?:~1.~_ Fttl Otcuponty PD ''-3 Lot Block Sec/Sub.~ /11ter 0 Zoninfl , _ Porcet # Repoir ? Firt Zone ,r ` _c ef8on u ezn. iic. Enlorye ? Type of Const. ` Z Name ~ orwoo r. lutove ? # Stortes µ ~ Address Demolish p Length ~ „ G 1 5142 p~ 454-b%i73 Grada ? Depth Sq. Ft. ~ 7=r Approrals Feas p Name Addross Assessment Permit - ` ' F Woter & Sew. Surchar9e Ci Phone police Plan check 13 7~~„ W Name Firo SAC 325.`' o iL /lddress Enq. Wcter Conn. 4 . l~') Ci p~~ Plonner Woter Meter -'7'~ Countil Rood Unit 250, r0 I hereby acknowled9e thot I hove rcad this opplication ond stote that Bldp. Off. the informotion is torrect ond ogree to comply with oll oppliceble ,172r) V, State of Minnesoto Stotutea ond City of Eo9an Ordinonces. APC Totol Sipnature af Permittee E? 'SoT1 u. c,72 T'6., IP.C - A Building Pem,it is issued to: on Ths express conditbn thn+ all work sholl be done in occordoexe with oll opplicabls 5tate of Minnesote Stafuies and Ciry of Eapon Ordinances. Buildinq Officiol Permit No. Permit Holder Micc. Permit No. Holder Plumbin9 3U )0 EI1Z- l\ ~-7 g3 H.V.A.C. / 12 l 5 8'3 , weu Water ' Disp. Sawer e~.~~ p c~ ! Z In~peetion Date Insp. Other mHVA '1-U ~2~3 ~Inwistion Final Pibp. -3cf- ~Q Finsl HVAC Final Wa"r Dbcri6e Location: IMsll Sevwr t Pr. D'ap. • _ , r . . j cirY oF EAGAN 8534 =795 Pikf K~ Road EaQan, MN SS122 , . ?HONEs 454•8100 BUitDING PERMIT Rec~ipt # Te be wuA ior 1 of 4:?Li.X Est. Volue :34000 Dote Octuber 3 , 19 3 Sito Addreu 3,102 Uillow Tday Erect i ~ 1 Briar ~iill 4tL ~ ~~u~~Y ? Lot ~ Block SeC/Sub. Alter p Zoninq (PD) ~ Parcel # 1~--1~~r):~3- 7;?~-)1 Repair ? Flre Zone Enlarya Q Type of Const. ec Nams Tvll~~`son Builders ; Tnc. Move W ? Sfories ~ Address 1655 Norwood Dr. Derr,olish ? Length 44 G:_.,`c•`in 351.22 454-6873 Grode Q Depth 2t'- Sq. Ft. °C Ncme O'n1e1 ApProvals Fees 0 o~ Asseument Permit , 7 • ' ~ u~ Ci Phone Water 3 Sew. Surchorge 1 Police Plon check 117 W Name Firo SAC ~ ~ Address Enp. Woter Conn. 4 52 u <W Ci Phone PlanMr WoterhAeter 60.10 Countil Road Unit 50• nn 1 hereby acknowledge that I havs read this applicotion and state that Bldg. Off. the informotion is oorrect ond agree to wmply with oll opplicnble ^PC Totol 1 i 2 5. C- ' State of Minnesota Statutes and Gty of Eoqan Ordinanus. Siynature of Pertnittee io erson <>i 1~er3, Inr. A Building Permit Is issued to: on the expross condition thno oll work shell be done in accordorxe with oll app,icable State of Minntsoto-5tetvtes ond Ciry of Eayan Ordinonces. Bufldlr?9 Offlciol Permit No. Pe?mit Holder Misc. Permit No. Holder Plumbiny 3 O ( l 11Z-P- ~~0'7~G~-~ H.V.A.C. Well Water Disp. 5ewer Electrie Inspection Date Inip. Other Footinyg rZ $3 Q~Il~ Foundation Fnmi~p -03Rouph Plbp. - / a'•~ ~ Rouph HVA .y3 Inwistion ~ Finsl PI6q. _ _S7 Fieal HVAC ~ 16411 Flnal Water Describe Lotation: YYell , Sswer Pr. Dbp. , - cirir oF UG,?N $535 .l745 Pilot Knob Raad Eogon, MN 55123 PHONE; 454-8100 ' BUIADING PERMIT Receipf Te b. ~u.d fe. 1 of 4 PI~LX Va1~ $4t~,00n ~e October 3 , 19 83 Slte /lddress 3f304 Willow [day q_3 69 1 Tiriar Hill 4ti~ Erect ~ Occuvancy _ Lot Blotk 5ec/Sub. AIter 2oning ` Porcel # 10-14993-690-01 Repoir ? Firc Zone ~ ~ame o e son u eze , nC. D Type of Const. ? # Srorie4 z 1655 Norwood Dr. Addross Demolish ? Length Ci I:a;zan 55122 454-6873 Grade ? Depth Sq. Ft. °C Name «c r ApProvals Fees 0 v` Address Assessment Permit 24.130 ~ Ci Phone Water & Sew. SurcMrye Police Plan check oc N°rt1° Firo SAC J W W Address Eny. Water Conn. 450.00 <W Ci Phone Planner WaterMeter60.00 Councll Road Unit 250' 00 I hereby ocknowledge thot I have read this application and stote that gldy. Off. , fhe information is correct and agree to comply with all appliceble 1/2000 Stote of Minnesoto Statutes and City of Eagon Ordinonces. APC Totol Sipnature of Permittee o e son u ers, Inc. A Building Permit Is issued to: on t~l -eXpress tondition that oll work shell 6e done in accordarxe wfth all oppliwble State of Minnesota $fatutes arid City of Ea9on ardinences. Building Officfal Permit No. Pwmit Hoider Miac. Permit No. Holder Plumbin9 GEAZ 10`7 `o 3 H.V.A.C. w.u wat.r Disp. S~wer Eleccric (,i1O9Z07 /(,fQ4f/'d`C 10y34~3 ~7~EA'? U1 ~d v~Q Inspection DaM Insp. Other Footings 4. ~ Foundation FraminQ Rouyh Plbg. _ Rouqh HVA ~-3 , Inwlation V-X,~ Final Plb¢ Finsl HVAC Final / Wner Describs Location: YWII ~ Sawer L Vr. DMp. CITY OF EAGAN ~ 3795 'i1M Kwo~ Roed Eeoan, MN 5512= 8 5 t.i ~ ?HONEs 4544100 BUILDING PERMIT Receipr # 0 To wuwd for 1 of 4 PLEX Est.Vniue S43~000 Dnte October 3 19Q 5ib /ddreu 3160C Willow [,"Ta+T Erect ;Q Occupancy Lot Block 1 Sec/Sub. KikA ,;riar Hi11 4^Iter ? Zoning (Pi7) P.-3 pQKel # 10-14993-700-01 Repolr ? Firo Zone NA cc Nar,1e Tollefson Builders, Inc. Eroe ? Type of Const. V W 1E55 21oraood Dt. Move ? # Stories ~ Addrea Demolish ? Length44 Ci Eas-.an 55122 Phone 454-6873 Grode ? Depth2:-Sq. Ft. Nome Own L r Approvals Fees /lssessment Permit 274.00 ~V ~r~ Ci Phone Water 3 Sew. Surchorpe 24, Qf) ~ Police Plan check 137.00 ~,~,W, NaT+e Firo SAC 525,00 i~ Addross Eny. Water Conn.l~SQ~.Q~ ~W C~ phone Planner Woter Meter 60•00 CouncU Road Unit 250.00 1 hereby ocknowledge thot I hove read this application ond stote tfiat Bldy. Off. the iniormotion Is corred and agree to comply with oll opplicable APC T~a~ $1~20. J~ 5tote of Minnesoto Statutes and City of Eogon Ordinonces. Sipnafure of Pertnittee A Building Permir Is Issued to: Tol l,: f son iiui.lde7CS. Inc. on the express condition that oll worlc shell be dorx in occo?donte wlth nll oppliwbla Sfate of Minnesota Statut City of Eepon Ordinantes. Bu(Idirp Offidal ' - - Permit No. Permit Holder Mise. Permit No. Holder Plumbinp 3 O (p~ ~/1 L ~U ~ ~ H.V.A.C. w.u Water Disp. S~wer elect.ic f3 Inapection Date Insp. Other Footinps U3 Foundation Framinp ~ 43 ~ Rouph Plbq. Rough HVAC r; Inwlation Final Plb¢ Final HVAC l Finai Waor Deacribe Location: VWII ~ Sewsr . Pr. D'wP. PLUMBING PERMIT For Offica Use Only CITY OF EAGAN PERMIT# CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE PHONE 4548100 DATE: 4, 4~%~~ ~ Site Address BLDG. TYPE, WORK DESCRIPTION ` Lot 29 Block / Sec/Sub Mult. Add on Comm. Repair Name ~e3E 7 Other a R ? , ~ Addres ~ CRy Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FIXTURES TOTAL Water Closet - $3.00 $ ~ Name ~ Bath Tubs - $3.00 c Address Lavatory - $3.00 ~ Ciry Phone ' Shower - $3.00 Kitchen Sink - $3.00 UrinaUBidet - $3.00 FEES Laundry Tray - $3.00 COMM./IND. FEE -1% OF CONTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener -$5.00 (AD .50 S/C PER EACH $1, OF PERMIT FEE) Well -$10.00 Private Disp. - $10.00 Rough Openings - $1.50 4MdAe SIGNATURE OF PER EE PERMIT FEE: STATES SlC: FOR: CITY OF EAGAN GRAND TOTAL: J.~~? Receipt PLUMBING PERMIT Permit No. ~1-D CITY OF EAGAN . Fee Fill in numbered speces S/C - Type or Print /egib/y Tot. ~ 1. Date ~ 2. Installation Cost ' 3. Job Ad ress - Lot Blk. Tract t 11 4. Owner ; • ,s„i. il 5. Contractor Phone T 6. Address , • ~ F. , 1 , • c /~C 1 , f 7. City State MF„4v zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New f~,,'~' Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures No. Fixtures Water Closet Cesspoal/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well % Kitchen Sink Urinal/Bidet Other Laundry Tray > ; l_ t.! Floor Drains Drinking Ftn. Slop Sink / Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : for Rough Flnal ~ Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Receipt . ' PLUMBING PERMIT Permit No. . ' CITY OF EAGAN • Fee ; fill in numDered specea S/C TypeorPrin[legib/y Tot. 1. Date.. Installation Cost ' 3. Job Address LotBik. ~TtadL' ' 4. Owner 'or' r~ • 5. Contractor Phone ~ ' • 6. Addresa ~3'" j. . 7. City State ' Zip 8. Building Type: Residential ? Commercial ? Institutional ~ 1 9. Work Description: New ? Add ? Alter Repair ~ 10. Describe 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Sohner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-6100 Reoeipt PLUMBING PERMIT Permit No. al ~ CITY OF EAGAN . ( Fee Fil/ in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address ` LBt lL Blk. ~ Tract 4. Owner 1_ r~xJ E-~ ~il 5. Contractor " r /r~TTf~T Phone 6. Address 7. C'iLy ' 1~/• SteLe ~v Zlp r. 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New E2f Add D Alter ? Repair O 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tu6s Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains y ~ Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all wdinances and codes governing this type of work. Signed : . . - for Rough Finat Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt ,'/n MECHANICAL PERMIt Permit No. CITY OF EAGAN - !7 t ,5;5 Fee Fill in numbered spaces S/C Type or Print legib/y - ' Tot. 1. Date 2. Installation Cost 3. Job Address~ ' ` ~ %!~f/%'•' l,ot • ~ Blk. Tract • ` ' ^ , . 4. Owner 5. Contract& " Phone 6. Address 7. City - State Zip - 8. Building Type: Residential L~l Commercial ? Institutional O 9. Work Description: New O Add O Alter ? Repair ? 10. Describe Fuel Type 11. No. Epuipment STU - M. Ea. No. EQUiament CFM Forced Air ~ Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg, Other Air Cond. Mfg. Ges, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this tYpe of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved - CtTY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee : c-• ~ fill in numbered spaces S/C TyQe or Print legibty Tot/- 1. Date - ~ 2. Installation Cost - ' 3. Job AcFdress. LotBlk. Tract 4. Owner r' .i. 5. Contractor c ~ ? Phone ~ 6. Address ~ , ' 'i ~ •!t~, . , % ~ ~ ~ 7. City State Zip - i 8. Building Type: Residential P,_ Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? . 10. Describe 11. No. Fixtures No. Fixtures Water Closet Caupool/Drainfield Bath tubs Septic Tank _ Lavatory Softner S'hower Well Kitchen Sink Urinal/Bidet Other '-;;7 ~2 Laundry Tray Floor Drains Drinking Ftn. - Slop Sink ~ Gas Piping Outlets 12. I hereby certify that the above intormation is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ~ • - for Rough Finel ~ Inspections: Date Insp. Date lnsp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-5700 ~ Receipt 4~0 l 3 MECHANICAL PERMIT Permit No. ~ CITY OF EAGAN ' Pee Fip in numbered spaces S/C Type or Print legibty Tot 1. Date ' 2. Installation Cost 3. Job Address . , +'r - • , . t.pt L Blk. Tract 4. Owner 5. Contracto), Phone 6. Address • 7. City State Zip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New O Add ? Alter O Repair ? 10. Describe Fuel Type 11. No. Eauioment BTU - M. Ea. No. Equipment CFM Forced Air - " Air Handling: Mfg, Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : I for Rough Final Inspections: Date Insp. Date Insp. This is your permit when rrumbered and approved. Approved • CITY OF EAGAN 454-8700 CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN l.ot 71 Rik 1 Parcel 10-14993-710-01 owner Screet 3800 WILLOW WAY State EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. I ti.. RRA&M Street $3C) 1984 1227.78 245.56 5 **Sewer Lateral Z -~1984 2136.20 427.24 5 r SAN SEW TRUNK 29.60 .99 i SEWER LATERAL `rR]( 19o 03 237.37 23.74 ~ * Z **WATERMAIN jl 9!8 41 S ~ *YVATER LATERAL 1971 0 WATER AREA 1 ~.7 '7 ' **STubs 1984 5 ' STORM SEW TRK g3 1984 323.50 64.70 5 *STORM SEW LAT 1971 20 **Storm SEw Lat 1984 5 CURB & GUTTER SIDEWALK STREETt'I$f'T 1009 1986 153.70 15.37 10 250.00 38961 10-3-83 WATER CONN. 4SO.00 BUILOING PER, 8533 t~ SAC 525,00 PAR K Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN ^ Fes ~ Fill in numbered spaces S/C Type or Print legibty Tot. 1. Date 2. Installation Cost r i 3. Job Address Lot BIk. Tract 4. Owner • ~ - ~ - 5. Contractdr s - - Phone 6. Address ~ ~ - • • ° ' • ' 7. City 5tate ~ Zip - 8. Building Type: Residential ? Commercial O Institutional O 9. Work Description: New Er Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. E.quioment 8TU - M. Ea. No. EQUiament CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certifjr that the above information is true and correct, and I agree to comply with all ordinances and codes,governing this type of work. Signed for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved ~ CITY OF EAGAN 454,8700 CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 72 BIk 1 Parcel 10-14993-720-01 Owner screet 3802 WILLOW WAY state EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, JOL 1971Paid und r ori inal arce STREETRESTOR. Z 197$ 70.69 7.07 10 F&EtARM Street P~O 1984 1227.78 245.56 S **Sewer Lateral Z 1984 2136.20 427.24 5 SAN SEW TRUNK 1968 29.60 .99 30 SEiNER LATERAL TRK72 -1983 237.37 23.74 10 *SEWER LATERAL 1971 32.42 1.62 20 **WATERMAIN 1984 5 ANATER LATERAL jJ'Jj ZO WATER AREA b1977 $5.19 3.95 15 **STubs 1984 5 STORM SEW TRK ~ 1984 323.50 64.70 5 ''STORM SEW LAT 1971 ZO **Storm Sew Lat 1984 S CURB & GUTTER SIDEWALK STREET 646F4;r 1009 1986 153.70 15.37 LO 250.00 38961 10-3-83 WATER CONN. 4S0.00 BUILDING PER. 8.534 SAC n u PARK CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 69 Rlk 1 Parcel 10-14993-690-01 Owner Street 3504 WILLOW WAY State EAGAN NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 10 ~ 1971 Pa' i'nal 1 STREETRESTOR. 7-11 1975 70.69 7.07 10 9WRM r 1984 1227.78 245.56 5 982.23 A014057 6-13-84 e' 1984 2136,20 427 24 5 1708.96 SAN SEW TRUNK VQ' 1968 29.60 .99 30 12.94 SEWERLATERAL TRK ZS 98 23.74 1$9.91 " ~*SEWER LATERAL 1971 32.42 1.62 20 9.74 **WATERMAIN 1984 5 *WATER LATERAL 1971 20 WATER AREA 1977 59.19 3.95 15 27.67 " " "Stub-S 1984 5 STORM SEW TR1C g 1984 323.50 64.70 S 258.80 *STORM 5EW LAT 1971 20 1984 5 CURB & GUTTER SIDEWALK S7'REET1r1@"'f; 1009 1486 153.70 25.37 10 2S0.00 38961 10-3-83 WATER CONN. 4SO.00 BUILDING PER. 5AC n ~t PARK Receipt MECHANICALPERMIT PsrmitNo. , CITY OF EAGAN Fee Fill in numbered spaces SIC Type or Print legib/y Tot. 1. Date 2. Installation Cost 3. Job Address Bik. ~ Tract,4 4. Owner 5. Contracfior ' Phone - - 6. Address • 7. City " State Zip 8. Building 7ype: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter O Repair ? 10. Describe Fuel Type 11. No. Eguinment BTU - M. Ea. No. EQUipment CFM Forced Air - Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : " for Rough Final Inspections: Date Insp. Date Insp. This is your permit when tiumbered and approved. Approved ' " CITY OF EAGAN 454-8100 C17Y OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 70 61k 1 Parcel 10-14993-700-01 Owner Street 3806 WILL4W WAY State EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SLiAF, t Z 1971 Paid und r o i ' STREETRESTOR. Z 1975 70.69 7.07 10 H S~ 1984 1227.78 245.56 5 982.23 A014135 6-28-8 11 z 427.24 5 1708.96 " SAN SEW TRUNK 1968 29.60 .99 30 12.94 " SEWER LATERA4 TRK17,5 1983 237.37 23.74 10 189.91 ' *SEWER LATERAL 1971 32.42 1,62 20 9•74 **WATERMAIN 1984 5 *UIIATER LATERAL 1971 ZO WATERAREA 1977 59.19 3.95 15 27•67 "Stubs 1984 5 STORMSEW TRK g3 1984 323.50 64.70 5 258.80 *STORM SEW LAT 1971 20 **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK STREET*44PaT 1009 1986 153.70 15.37 10 153.70 C' - IO ]0 q ROAD IT 250.00 38961 10-3-83 WATER CONN. 450.00 SUILDING PER. 8S36 SAC PARK Receipt > PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legib/y TolL 1. Date 2. Installation Cost 3. Job Address ' Lot Blk. Tract 4. Owner -'_11:~ 5. Contractor Phone ~ 6. Address ' f 7. City a r State ZiP 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Desa'ibe 11. No. Fixtures No. Fixtures ' Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory $oftner Shower Wel I Kitchen Sink Urinal/Bidet pther ~ f _z_i ~ Laundry Tray - ! ' Floor Drains Drinking Ftn. Stop Sink ' Gas Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ` for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTiVN RECVRD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ a r. t+ Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITEADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . Kf Ma14 h:~,• V i r.N t:, ray ~ J PermR Holder Date Telephone A SEWER/ WATER PLUMBING HVAC Inspectlon DaOe Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL (iYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTp ORSAT TEST BLDG FlNAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVRV TEST HYDRO5TATIC TEST BSMT R.I. BSMT FINAL DECK FTG ~At DECK FINAL ^ ~INSPECTION RECORD . CITY OF EAGAN PERMIT TYPE: ' I D "N'' 3830 Pilot Knob Road Permit Number: 0'' A Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ?JAv ~ i,iii ~ ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A ~ ~ Permit No. Permft Holder Date Tslaphone N S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectbn Date Insp. Commer?ts Foocings 1 S~,g ~3 4 t 1M k~ e "a~ a sP Foundatbn Framing Floofing Rough Plbg. Rough Htg- Isul. Rreplace Finel Htg. Orsat Test Final Plbg. Plbg. Inspec[or - Notiiy Piumber Canst. Meter EngrJPlen Bldg. Final Dedc Ftg. Deck Final i~ Well Pr. Disp. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 rt¢ee~veo FROM AMOUNT $ I & 7 UOLLAR$ / oo ~ CASH ? CHECK FOR ' ,.i • 10 FUND COOE AfAOUNT Th n You - ' + ~/B Y White-Payers Copy Yellow-Posting Copy ~ Pink-File Copy CITY f)F EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road - P. O. Box 21199 PERMIT NO.: Eagan, MN G!:121 DATE• 1 c)-11- :~'s Ioninfl: RA No. of Units: 1 of 4plex ~ Owner: -10~1laFcAt! Rltire ~ Add?ess: S;t, sSOG ~fillow Hay L70 51 uri.ar ~lill ~ith ; Plumber. (1CilZ R SA I Metar No.: Connection Charge: 4i0.00 pu i Size: Account Deposlt: ~ Reader No.: Permit Fee: - 14.00 ad ~ I agroe to wmplr wlth the City of Eagon Surchorge: • -id i Oralnonea. Misc. Chnrges: r.;Ct cL' Totai: i BY Dota Paid: Date of Insp.: ~nsp,; ~ i ClTY OF EAGAN SEVI/ER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 211Q9 PERMIT NO.: Eagan, MN 55121 pATE; 1)-1 t-'• ~ Zoninp: 14 No. of Units: 1f'J 1 pwner. io1lQfsor, a2drs j Address: i Site Address: _ 3806 iiil Iow iiay L70 --21 :'•riar l:f 11 4.:1 Plumber: Cen2 RY n ^ 10-:i-~:i 1 saree to eomplr wieh tbe G!r oF Eegaw Connectton Charge: 4 2:> S. 0,) Ordinaeea. Account Dcposit: Pertnlt Fee: Surtha?ye: - ' BY Misc. Clwryes: ~ Dnte of Insp.: Total: , Insp.: Date Paid: ' }A4 A r~ • • } `Li j ' ~.17't . . ./y . , i- ~ d. !dl[i .-,5e+ . s_ r_s1 - CITY 4F EAGAN WATER SERVICE PERMIT 3830 ?'ilot K nob Road P. O. gox 21199 PERMiT NO.: + Eagan, MN 55121 DATE: 10 i a 1 0f 4 11 ex Zoning: - ' - No. of Units: , Owner. Tollefson Bldrs , , Addmzs: Site Address• 3804 Willow WaY L69 z+i :,riar ::ill 4t. Plumber. G8'1Z RYaII fl - 4~~~OL t4 Meter No.: Connection Gharge: 5ize. Account Deposit: j Reoder No.: Permit Fee: ~ ~ ' ~ ~ 50 1 agrN to aon~pl~r wiNe t6e City of Eegae Su?charge: Ordinanees. Misc. Charges: Total: i By Dote Paid: 'Date of Insp.: I^:P•: ~ eF EAGAN SEWER SERVICE PERMIT CITY 3830 Pi!vt Knob Road pERMIT NO.: P. O. Box21199 Eagan, MN 55127 DATE: " No. of Units: 1+n~ 4;) 1 z:i Zonirg: • , ' Ownor: :ollctson ~lur~ Address: aaNv Io,~ ul 'T1:~T :111 4tti Site Address: iSU$ illow iti . an Plumbee C, I:z .n 10-3-:,3 3~2~.vu ~~c] 1 a4ras M oan~PM wHh ths Gh oF ~9on Connectton CharDe: OrdIMRCM. Account DepWt: . . 'PlRtfllt FEQ: 1 SUfChCrge* I , By Misc. G+arges: I i Date of Insp.: Totcl: : . Insp.: Dote Paid: ~ CITY OF EAGAN WATER SERVICE PERMIT 3830 Pi1ot Knob Road pERMIT No.: 5124 P. p. Box 21199 pATE: 10-11-83 Eagan, MN r121 1 of 4t1~ e_~_ No. of Units: Zoning: QW?IEf; ~(E55: te Address: 3806 Wf 11o1R 1118 L74 Bl B1'iar H111 4t r: enZ R ST~ 450.00 Meter No,: ~ Cannection Charge: si Account deposit: u: Permit Fee: Reader o.: I egres M wmplr with !M GI'r ef Eagan Surcharge: 6 ~ IDBC Mtsc. Chorfles: Ordinenea. Totui: ~ Dote Poid: By Date of Insp.: - Insp.: CITV OF EAGAN WATER SERVICE PERMR 3830 Filot Knoh Rosd _ - ~ P. O. Box 21199 PERMIT NO.: ).k:: : Eagan, MN 55121 DA7E: 10-11-33 Zo,,;ng; 4 No. of Untts: 1 of 4;31ex Owner: Address: ' Site /lddress: ~illox i,`a; 1.72 liI ~~riar ;;ill 4t', Ptumber: 2 Meter No.: Connection Charge Account deposit: Size: - ' Permit Fee: Reoder No.: 1 pree to oospy wiNe Me City of Eaqan Surchorge: Ordinanps. Misc. Choryes: r,lt,~)t~ L•tc2 Totul: gy Date Paid: ! Date of Insp.: I^sp•: ' i CITY i?F EAGAN SEWER SERYICE PERMlT j `s830 Pilot Knoh Rosd pE~IT NO.: 0 ~ P. O. Box 27199 10-1 I--s 3 Eagan, MN 55121 DATE' o_ rpTex Zoninp: IVo. of Units: 4wnar: Address: Q y Wa LYI L72 01 ~srirsr liill 4th ~ Site Address: j Plumber. `~eriz 't an 100.0~ l~f: ~ 10---83 5s~c~1 4~5. 1 e4ree to eomPh wIH' fM Cit1i of ~lan ~'+nectlon Choroe: ~ Ordinanees. llccount Deposit: 1~ ~fl nc] Perrr+it Fee: d ~ 5urctw?9e: Misc. Choroes: By Date of Irisp.: Total: Date Poid: Insp.. AGAN WA'TER SERVICE PERMIT Knob Road PERMIT NO•: 1 j~_ 11- 33 O. Box 21799 "%A7E: p p ex Eegan, MN 55121 i; 4 Na, of Units: Za,tng: - , ;;ldrs ~ ! ul le~. ~ ~~i pwnar. Addre.s; . ' 11 4t 1 Site Address: 38C',~ 1Vay 4.69 BI ~riar lumber: Gen2 !Z an 450.00 p~ s Connection Charge: tq No.: qccount DePosit: 1i1.0(1 j~ f f~ Permit Fee: Reoder No.. c~. 5u~harge: 60 . 00 p~ :aet et ~ OSfle to UtIlItluISC. Ch0(QeS, • GAt 644nl: , 'nj3fte • Poid: BY Date of Insp.: ITY OF EAGAN WATER SERVICE PERMIT ~ S?0 Piij-t Knob Road ~ P. O. Box 21199 PERMIT NO.: f'Eagan, MN 55121 DATE: .°0" j Zoning: ' No. of Units: i pwner; - ; 3liefson $ldrs reu: ~ 1 Address' ;iC' ~`lijlOW I371 3Ti~x3' _'?.11 1?~.'. ! ber: Cnz :Y3:1 ! Meter No.: -3t~ v 6'7-3 i( T 4 Connedion Charge: , ~T Size: y- - - ' ' Atcount Deposit: Reoder No.: Permit Fee: _ • ~~)i-il I lagrse to ~ ~'+~~f~dl~g~!ltillfEBbr'charge: aG r,d ~ o.r~~~... LE1'- .;i- ~ I C • GAS Or. c.horces: ~ Ig. gy ED BY Paid: Date of Insp.: Insp.: ~ CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 27199 PERMiT NO.: Eagan, MN 55121 DATE: Zoning: 20 4plex. No, of Units: Owner. TOllefSOn ~:ddPS ' Iv3dress: ~ ' sre Addrcss: itillaw V,ay UU-71 "j 3r4ar iiill 4 ti~ ~ Plumber. ~;E7±z 'v8n AAeter No: GonnettionChorge: 450.'`i pd 5fze: Aocount Deposit: ~ j ReoAer No.: Permit Fee: - i0. 00pG I Iagree M ea@ply wlfh the Gifp of Eayon Su?charge: - .:~1) ild I Ordinaaees. Misc. Chorges: { rl nG r; t• r Totol: BY Dnte Paid: a Dote of Insp.: (nsp.: ' CITY ;7F EAGAN SEWER SERVICE PERMIT ~ 3830 Pilot Knob Road + P. O. Box 21199 PERMIT NO.: J, Eagan, MN 551;1 DATE: 2oni • d . ^0: No. of Units: Owner. Address: srre Address: i3 i 1: ow Way i, i 1,;1 :lriar Hi 1 I 4t1: Plumber: ya ,1 ~ 10-3-3 i an?;,g 100.00 j)d I agm to comply wkb Hie phr of Eegsn Connection Charpa: Z200 1) d Ordinenoea. Aocount Deposit: Pemtit Fee: Surcharge: .50 ,~,d,,, ~ i Bv Mlsc. Clargea: ; Date of Insp.: Tatal: ~ Insp.: Dats Pcid: ~ ~ CITY OF EAGAN NO g533 9795 Pibf Knob Rood Engan, MN 55112 PHONE: 454-8100 8111LDIN6 PERMIT Receipt # 34& re ba wed fo. 1 of 4 PLEX Est. voiue $48,000 pate Octoher 3 1q 83 Sire Address 3800 Willow Way R-3 Erect ~ Occupanty Lot 71 Block 1 See/Su6.$riar Hill 4Yh Aiter ? Zoning (Pp) R-3 parcel # 10-14993-710-01 Repnlr ? Fire Zwre NA ~ Enlnrpe ? Type of Const. V z Nome Tollefson Builders, Inc. Move z Addreu 1655 Norwood Dr. ? # Sto~ies Demolish ? Length 44 c; EaQan 55122 pho„a 454-6873 G.ade ? Depth ZZ Sq. Ft.- o Name Ownex ' Aporoval: Fam o" Addren Assessment Permit 274.00 F ~1 p~~ Woter & Sew. SurcFwrge 24.00 - Police Plan theck 137.00 'Name Fire SAC - 525.00 ~Z g Address Eng. Water Conn. 450.00 tW Ci phom, Plonrwr WoterMeter 60.60 Council Road Unit 250.00 1 here6y acknowledge rhat 1 have reod this opplicarion and stote that Bidg. Off, the informafion is correct ond ogree to comply with all opplkable . Stote of Minnewto Stotutea and City of Eagan Ordinances. APC Totol $1720_00 Sipnature of Verminee A Building Permit Is issued to: T0112fSOri Bu' ders, Inc, on the ezpress condiHOn 1hm all work sholl be done in occordarxe with oll oppliwbl 1e o I ~nd City of Eagon Ordinonces. Buildinq Officiot cirr oF EaGnN N° $534 ~ 9795 Pilet Rnob Rood Eagen, MN 55144 PHONE: 430.8100 BU4LDING PERMIT Receipf # -~V 6/ To 6a wed 1or 1 of 4 PLEX Est. Value $48,000 pO}e Octobei 3 _ 1 q 83 Site Address 3802 Willow Way Emt R-3 $a O[cupency Loe 72 el«k 1 Sec/Sub. $riar Hill 4th qlrer ? Zonin9 (PD) R-3 Parcel # 10-14993-720-01 Repoir ? Fire Zone NA Enlarge ? Tvpe of Const. V 'm Name Tollefson Builders, Inc. Move ? # Srories z AddroA 1655 Norwood Dr. DemoiisM ? Length 44 ci Eagan 55122 phona 454-6873 Grode ? Depth ZZ Sq. Ft.- ~ Noma Ownei ADVrorals Feas 0 27400 Address Assessment Permif • ot u~ Cit Phone Weter & Sew. Surchnrge 24.00 PoliCe Plon check 137.00 ~w Nnme Fire SAC 525.00 Address Enp. Woter Conn. 450. 00 i W Cf Phone Clonner Water Meter 60 . 00 . Council Road Unit 250.00 I hereby acknowledge that I hove read this apPlication and state thot Bldg. Off. fhe informafion is correct ond ogree fo comply wilh nll oppliCOble $1]Z~.~~ Stote of Minnewta Stotutes and City af Eogan Ordirwnces. APC Total $IBnoture of Permiltee To efso uilders I . A Building Pertnif Is issued to: on the express mnditlon thm all work sholl be done in accordance with oll ble tate i ~rd City of Eagan Ordinances. Buildirp Offlcial CITY OF EAGAN N~ 8535 9795 Pllof Knob Rwd Eagan, MN 55I23 ' PHONE: 454-8100 BUI~DING PERMIT Receipt # Te ba uwd 4ar 1 of 4 PLEX Est. Value $48,000 Dote October 3 1 y 83 Site Addreu 3804 Willow Way Erect XX Occuponcy R-3 lor 69 Block 1 Sec/Sub. Briar Hill 4th quer ? Zoning (PD) R-3 percel # 10-14993-690-01 Repoir ? Fire Zone NA Enlar9e Type of Const. V m Name Tollefson Builders, Inc. Move ? # Srories ? 1655 Norwood Dr. 44 Address Demolish ? Length_ ~ c; Eaean 55122 phom 454-6873 G.ade ? Depth ZZ Sq. Ft._ Aovrovala Fee. °C Name Owne= o~ Address Assessment Permir • u~ Cit Phone ~Nater 8 Sew. SurcFwrge 24.00 Polica Plon check 137.00 FW Nome Fire SAC 525.00 Addreu Eng. Water Conn. 450.00 ~W Ci phorve Plonner WaterMeter 60.00 Council Road Unit 250.00 I hereby acknowledge thot I have read this upDlication and stole ihat Bldg. Off. fhe inlormation is correcf and a9ree to [omply with all opplicoble State of Minnewta Stotutes and City of Eagan Ordirwnces. APC Totol $1720.00 Signoture of Permittee A Building Permif Is issued to: Tollefson Builders, Inc. on th ress condition thn, oll work shail be done in accordance with all opplicable State of s o tu e o Eogan Ordinances. Buildin9 Offic{ol CITY OF EAGAN N~ 8536 3795 Pllet Knob Rood Eagen, MN SS122 I ?HONE: 4548100 BUILDING PERMIT Re"+m To M med ie. 1 of 4 PLEX Est. Vaiue $48,000 pafe October 3 _ 1 q 83 Site Address 3806 Wil.low Way Eract Occupancy R-3 Loe 70 Block 1 Sec/Sub. KX" Briar Hill 4 Atrer ? Zoning (PD) R-3 Porcel # 10-14993-700-01 Repmr ? fire Zone NA m Name Tollefson Builders Inc. vr°a ? Type of Consr. V Stories ~ 1655 NOrwOOd Dx. ? # Addreu Demolish ? Length 44 Ci Eagan 55122 phone 454-6873 Grode p Depth ZZ Sq. Ft.- Apvrorals Fees Z~ Nome ~~`'ner Asussment Permit 274.00 o Address u~ Water 8$ew. Surchor e 24.00 ~ CI Phone police Plan check 137.00 Gw Name Fire SAC 525.00 ~ Hddress Erp. WaterConn.45R-nn iW Ci Phone Plonner WaterMeter 60.00 . Council Road Unit 250.00 I hereby ocknowledge thot I hove read this opplication and sfote that gldg. Off. the inlormotion is correct and ogree to comply with oll opplicoble AP~ Totol $1720.00 State of MinnesoM Stafutes and City of Eagon Ordinances. Sipnature of PermiMee A Building Pem,ir Is issued to: Tollefson Builde s Inc. on the express cordition Ihnt all workshall be done in accordance with oll appliwble S of AM'nnes otuEity of Eogon Ordinances. Buildirg Officiol I CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 - < I )ATE J 19 . . ~ ~ % nece~veo ' . PNOM ' I AMOUNT~ $ / - i & DOLLARS A/ ~ ~es SH Q~FtECK - i ~ s- ~i ~~RYNp CODE ~ • pMOVNT ) ~ ) ' Th n~You~''~`~ i, aY White-Payers Copy Vellow-POSting CoDY Pin4_Ffle r n. ~hisreques, void/ ~~"S. 7!~ ~O~d Lt ~a-38010 ~b~~Z r_~ 72 _ 3SOZ o.~ ,~l1C. I Requost D'te Fire No. Rough-in Ins ? oection ~ qui d? ~HeaAy Nnw ill Notify, InsPeo- es N. When Ready i.e.sed Electrical Contractor 1 harebv raquest inspaction of above Owner elect ical werk installed at: Street Atltlress, Boz or Route No. CitV 8b0 aba 380 ection o. To nshi0 Name o No. flange No. CovnN ' o a a fc,- LVa4 Occupanl,IPRI ) Phone No.' wefi5u0 ier Atld PoU ElecVic ntrattor IComDa y N. Contrar,tors Licanse No. a ya F=3 Mailing A Jress Contracmr r Owner Makin Instailati ni 4V a Authori ed SiB~a re ICon ractor/Owner Making InsWllation) Phonu Number m -355 MINNESOTA STA BOAPD OF ELECTRICITY TMIS INSPECTION flEQUEST WILL NOT Grigge-Midwav 81dg. - Noom N•197 BE ACCEPTED BY THE STATE BOAND UNLESS PROPER INSPECTION FEE IS 1821 University Ava., St. Peul, MN 56104 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTtON ~ Ea-ooooi.oa ' See inatruetions tor co mnlali~g this lorm on beck ot yellaw co . X V BelOow Wo' rk Covered by This Request T" Z 7 z HAd RBP. TypO o( Building APOliances WfrBd EquiGmBnt WireA Hame Range Temporery Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo UnloaAer Industrial BIA,q. Air Corditioner Bulk Milk Tank Fa m otner pec"v 11ner lsnediv! ' Y Other Othe, Compu[e lnspection Fee 8elow Fee ServiceEntranceSiza # Fee Fenders/5ubleedars Fee Circuits ~ 0 to200qms 0 to30Ams 0 m30Am Above 200 Amps 31 to 700 Amps 31 to 100 Am Swinvning Pool Above 100_Amps Above 100_Amp5 Transformers Irrigation BoorrG_ Partial.'Other Fee Signs Speciai Inspection S ~nb§ ~ OT FEE Ae~rks Hough-in Date ih Elecirica ~~=aac abv certity that the above Final ~`e7_ ~ i~ypection has baen sT ~ mede. ? This reoueat void 18 monNa from Thiv request void /O gr~~Qr 1~l r' qTa zp q~Q 18 rtron[hs from f~T W, 92 73 ~~•b~ ReQUest Date Fire No. RouBh-in InsVec[ion Reqwred? ?Reatly Now ? Wi II NntiiV Inspec- ?Yes ?NO ~or When Reatly Licensed Electrical Conltactor I hareby reCUest inspection of nbove ? Owner electrical work installed at: Strcrc~,[ Address, 6oz or Route No. Citv ec,ion o. Township y// rp ry~ly~ Ranpe No. Coun]y~ W ~W ~ Orcd-nt IP INT Phm~e No. b 5oz, Powe7r'' ~$upplie - AGtlress ~ V ~ Electric 1 Contracmr ICOmpany ame) C~n ~4 r's Liw y~~q..~ V ~ d ~ Mailing AtlJreSS (CoMrncmr or Owner Making Instaila[ion) J& 7 Cl.Ve Authorized SiBnatm IContra tor Own MakinB Install ionl Phnne Number 3555 i MINNESOTA STATE BOAXD O ELECTflICITY 7HIS I SPECTION HEQUEST WILL NOT Grig9s•Mitlwev Bldg. - Room N•197 gE ACCEPTEO 6Y THE STATE BOAHD 7821 University Ave., St. Paul, MN 66104 UNLE55 PFOPEP INSPECTION FEE IS e1___ -~or Io, o'll ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ' SBe instructions for completing this torm on back oi yellow copy. u: g~ ~ O X" seloCd WbY# CoGeied by This Request 3 Hdd Hep. Type ol 8uiltling Appliances Wired Equiynienl Wired Home Range emporary Service Duplex Water Heater Lightinp Fiztures Apt. Building Dryer Eiectric Heatin Commercial Bldg. Furnace Silo Unluader industrial Bldg. Air ConAitioner Bulk Milk Tank Farm omer oo~i v me, 15nc~:lrv) t er u~ufy Oiher Other Compute nspectron Fee Below p Fee Service Entrance Siie q Fee Feeders/5ubteedeu, k Fee Circuits 0 to200Am s 0 to30qm s 0 m30Am A6ove 200 qm>s 31 to 100 Amps 31 to 700 Am s Swinvnin Pool Above 100-Am s Ahove 100_Amps Transiormers Irrigation Booms Pdrtial-'Olher Fee Signs Special Inspection 5 L Femarks / TO ~ 0 /OC/ Rouph-in Date I, the Elecvicwl Inspector, heroby certify that the ibove Final Date inspection has baen mede. Thls reauesl voltl 18 months Irom This ues' voitl S~ S!O ~ 18 mon /wm , ~ 1870 Requyst Uei~~2 Fire No. Rouph-in Insper.lion / Feqvired? ~Ready Nuw Q Will Notify InsOec- 5 k.,4p ?Ves DJ~Nio lor When Ready fcensed EleCVical Conuactor I hereby request inspection ut ebove Owner elecirical work instalietl at: Streel A ess. Box or Foute~fJo.I Citv ~ ecuon o. Townshi0 Name or No. nge o. County 0ccu4an[17 ~ one Nn. 3 - b Powei suaoiie. Adtlress . Elecvi i Contrec r (C aGon? CJ~ a 's Lir.ense. Io. 1Lr 7 27, , Maili Address tra, orMaki Installati nl Auinorized Siana< IConiractod wner Maki g ionl ra Number / MINNESOTA STATE BOAND OF E TqICITY THIS INSPECTION PEQU[ST W NOT GrigBS-MiOwaY Bltlg. - 0.oom N• t BE ACGEPTEO 0Y THE STATE BOAPD 1821 UniversitV N 56104 UNLESS PROPER INSPECTION FEE IS Ave., St. PauL Pi.....e IRt41 J9]~111 ENCLOSED. . 5'~/ N~ ;C1lVCJ1 rL11 CLCVIIIII.NL IIYJrCV~,Va, OY Sea instruciions lor completinp this lorm on back of va 11870 "X" Below Work Covered by 7his Reques7 ~po1/SS pdd pep. Type oi Builtling APOi~~.<ee Wfred EquiVmenl WireA Home Range Temporary Service Duplex Water Heater Lightin,y Fixtwe5 Apt. Buildinc~ Dryer Electric Heatm Commercial Bldy. Fum2ce Silo Unloader, Industrial BIA9. Air Conditioner Bulk Milk Tank Farm ot nr, neci v mor Ism,c~sv~ t er Su~~~ y Othc~ ~~h~" ompute Inspection Fee Below Circuns p Fea ServiceEnhenceSize H Fee Fepde~s~5ublenEl 0 to 200 Am s 0 to 30 qm s tn 30 An~ s Above 200 qmps 37 to 100 Amps 1 to 100 Am s Swimming Pool Above 100_bove 100_Am{n s Irrigation Boorr~drtia6`Other Pee ansiormer Signs SpeciallnspectOT FEE emarks ~ ~ Fn s Cfi ~ ~ Roueh-in A I. Me cal inspector, hereby CBt~1~V LM1B~ ~f18 AVOVO pection has bean Final ~ ns de. TNS repuesl vold 1B moMhn Irom ~C~ ~ 3 crTfr cr• r•~w ir,cluae 2 serB of plarre, . 1 site plan w/elevaYirns i BUIfDIiC PEfMI'P APPLICATION 1 Set of emec+gy Cajqllat{Gn9. , . 'ib Bo IJaed Fbt 4N~\ e~C Valuatiai ~/1L• /~"n Date A3 r 6ita Addrare(3Boo3soz,3Scy,ase(o(Co'llow CFFICE USE LNGY Iot;~(l ez 81odc' Sec./Sub%r~c,r%\\ y~~n T BrOCt racnel 1: I o- l V 4 4~. i - `71 D - 01 ,utex Zo,w,g ~ Aepair Fire Zone Gwnei's _ S 2~ ~ LIn.Large ` 7ype of ODnst. ' AddLims; move tl StOr.i.es . Damlish b'mnt ' atY/ziP Ooda= Grade Deptli 2 ft. • ~ ' Pfrons i: • r APPR'NALS F};ES - ~ OortttaCtOr: Asaessuienta Pemat ; 1lddtvsq: \uSS r, e~~1c, nc~ r• PoLoe ,~r p1an~Check ~ ~ Cty/'Lip oxda= Ea_ q~ ~s r. .~r jS\aa Fire SAC 6'25 Enl. Watet Cavi, --a~ i• PlY1n9 1 i Plaruiex Water Meter . I 11Cd'?./F7rj. s C))uncil Paad Unit ds0 _ ~ I Blc9g, Off. ~ Acldnres • AM ~ C1tY/Zip G1oda: : = Phan I: mrA[. I`7 ~ C~ Cab ~ C~S/A/~ ~ a~'~ ~-D y~ 6 ~ s Tollefaon Bulldera Inc. Or.11466 183-80 ~ /Y ' JACK5f3N - SURVEYORS Rf61tTtR[D UND[R LAWi OF STAT[ OP YINNlfpTA SILVLR SELL RDAD 3616 EAST 5 M STREET, MINNEAPOLIS, MN 55417 727- rL 66' EASEMEAl. NDRTN~¢1J 11AtJ1tAL!a4S GaI~I~ 9` ~12T53tpOC~B bCIItt -t3.24 1 33 / s~A~~: i"=ao' a 33 °BENATES IP.Cna . ~ °pO.O EX)ST!fVG LL. dKA:fvA6L- N N) Pzoposed Carage Floor Elev./o/C - Propaeed Firei F2oar Elev. ProPoaed Saaement F2oar Elev.%D/,,. rl J ~ i•, ~~~V L!MA I zz zz v ~ZG~, ~ ~ vET N y~~ 14.61 o. ZZ zz zz zz ~ i H ' O C a- I V -'4 Y C~ I~ 1p~ ~ lJ`~ F ~O O' ~ r 79.2> 1 NEIIEBT C[RTIFY TNAT TME ABOV[ 1s F~RU[ AMD CORq[CT PLAT OF A SURV[Y OF 82.4~ l 7y t~ . " i ' ?1~'{ I I " Lots 69,70,71 and 72,Bleck 1,Bri+r Nill 4th. Additlan, I Dakota Coun[y,Hinneeota. , As euRv[r[o n r[ TMII 26th. wr or Sept. 1983 ~.o. s~aMc F. G. JAGKiON. MilmlNt H7MT1~. 1'b. 3000 S ,4 + ..y tr'.~u.'+~~~r~ri 4~ R .y.' K •~l~ . 1'~Fj ~w ~r ~ ,r r"}~~F.S' ~'r.:~ ~v 4i v^ a i~ 'S~,.n~ ~ r~'~F~s ~ ~ F 3 ~ . 4 ~ i • .u J ' ~ { ^S, s r+«. i k ~ ~~e.,~ °+F ~'S<,~yM' a ~ ~ ~ ~ w ~~~1'! : ,.E ~"~oay~Z~ `a ~ ~ yr.:lr& ~ . a •::-3 ~ ~ r ~ v.~ z . p~ L7 -r ~ lVi~T/{ •\~L, C~ ~1J ~~J'~~y~7.~f ,w ~~~'~~d s `r~a'~ ~?~u.y*'„t- 1,,: 3 } 1 'J :ri ~~.^4^ ~ t .~`n.~...'~' y w~;'i 1' J j1 ~ . - ' i'I+~Fl3,U$tm _r,r.n^r"'3 ` - -_1.22"!£P F2.^~C?2IF:FCrJ IiO<`iBiT~ io?- TJ nC?( 'Vn2_:_::9 ADIJaa ECTS ~ ~ ' _ . ~ T'~.._t'ACl r~ i r.-0i;: AC~'? ;CEj nun CO=I'rlTn'~.^IC~! . ~ f ; ~ . • . IiI L r':? Og r3PGBLa Uh.i,L t 3~. ~ C • en E7,,os~ ' ir.T: L :o,. F?a.0_7 ej>',^.^.r ff.' cri ~~rea~ . r: . TT t'OiAI. Sn. 1,*-2. c-p rno^J -PS:^L* ! r . +S S.C(: - r + ~ riF-' L'3v ujoo:> wJ c.nR.•.1S ' -`r~'tyf! 0=7 I=YULATICO"T TT 31; o'pEICS - r.~c~ S7~US:, i t ':TFD CP TC:ULSIAC*g IP D.~Ica • . . . - . . : ~na IrpTr ~ - _ AVuCT 'Ti7C+ L'ALM 07 Txt't, rD 1:GL1.9 1~?8FE 0r FaR .C7i jaPh C~~ II*AiLT.-II C7 .22 i`03 2Li~ 0--m V T[i2T•'~I:; ? ~ . . . _ . ~ . . . . . ; h ~ ^ i ~4 ax ''r~ ~ ~:._s ~^c'+~'} t ~ T. ~ % Y ~el'~` ~y~y ~~i ~ r . • 2 yf.. ~ ,~''Y~" ~,~.J ~ ~ ef, , ,y W+ ~ i ,n > IM J y'k i z~ ' .d ri~4 qS ) } e+ ec**~A`s+ . r ~ YY a iX .M ~ X . ~ r!t~ ~'Yy dy 'ti YS 1 ~ . pJ ~rP ~ Y' ~1 ~ ~4' ~ `R ~ . ~y k f h ~ ~ Z y+ i.~'~YY,: 6? ~ '~~?rt i . 1 72~ a1" ~1"Sk 4 . YS~t~Ai4 ^~~r .'~d"~,~4• ' ,~~a~. . . ISM, ti. ~ ~ - . ¦ . 'zi T aU Tr Jl-t. 1 +~pa a ."~T F' . ~.tf.n..~~fl. ~,i'~'~~Jt' . r''~ 3.~ ~ ~z~=•."~! 'f S[S?^~7 3~ - '~~.~?47s~xb "T 3rr0.~~~_~~ 2~-d3 c! a 4S F rTLr~~~f, -t 'to,Z n y. 9 r.,*! ' T~.a.! J 9 ~ :C '+j t' Il . _7 ~ , a -~~5 i~ ~ "F~r.n~)- ..m.- ' ~ - ~r----- '~•~e~.e~ _ ~ ~4 - ~ W-..-~-- - - - ' - : [~`A LS ~tl' • ' 1 ~9 S. ~l~ f. tJT '-S S ~TCn. L~3 1~_ ^ . • ~15.57 • . , „ ti~ORS • : . },,~._~,.e..,~-.~~~.!~•.~~' _------~,..~,T 55 ~r, Q.~i.7 TCTALS C£ILdt:CS~ ~ L 49 I . ~ ' N ' ~ ~~'Lt9t~,wS'KJ~ ~ 3t +A S . f h, ~+f~' -it~ 5 ys ~ .i'I?~ ~ .s y". ? 3'~ . ~,~-+'~`sr ~.':''~~-n T~e"~i~ 3. .,x~' ..i'.~y~rc'~i~T' .:i v.-- r I~t.f+L,~ ~t'AP~cWAZ V ~ ~~ALUp 'ir•+ ~i'~~ i~~ ' A ..4. e~+ s?r?l~M y~ ft ~ .~'.~~~f'' i~ ar~s~ir~.''' y.t,.+~+~ ,rl,4ra f~..+.t-?.i5~c=i~ w t...~s~..c, • :~.r ~ 5~, w:5Al ~ r ~nta.~'•s~~l ~r~' ~{`~~^~'.'^y71'i+A`'SRa:,~4.~ ~lut ~ 3-~ ~ a{ s ~ ~.i~ ~ . ,y~„Af~~ ~ ^r ~.n~ ii 4~'" ' . ~i:~s i .t~ 1~ ~S ~'~!'f~ '7 iy 1 a~~~• aSG°':=• ~'~1~~ .r4{ 'a!~ ' , w ry I:lJY i "1!'~ ,i~'~'4"~.7a~ ~~-`.a. ~ k•~1' ~~~~j ~r~r~~.~• `4~_ d t .'~a , d"°„'~1 Q f~~d -~.ay'y • * ~~1~ . Dh :A ~T7 . .':k. A ! r' x ' .1 : CLD~aP. ~.~.1~~ '-~t. ~ OziS i 11_ 1 . ~ {r"'1f ' - _~l~',2 e i tit ~ - - o ~ CoUL PReVE-Gp-p A~2 7, fr1 ~ • ~ ~/s n ~ n {_~s-3~ vp?=r. wn~~ w/ tt'=~!rTF C( , ~.~~1 t71~ r~nc wn~+. ,v C.nent.c ~ ~-1- ~ ~---i_.- i~_~~~_.... A~a ~ j =12~.Z+.s~ 1-c; r~~..~ _7b- , ~ - -c - ' - rAL 'j ~-Li! y~~r, lc r5T U.~t IN?Ci.~T~ `~Cr;r.~ ~~~j! Cis~l6 ~.hT.{~ncG R ' -•.---r-s~..=~----.~tgr~~;~s P~~.~r ~r : ~ ` - CzI i6- r~u`- f•~ft 1 , Str~t~~r,!_1rI t ~l11 S~trF,rnc!cy !t?~i~ ~t r/ -ci yIV " "L, ~ti~ S~ ~~eciP f,'b fr,itPF I~L'Ari:nLA~~s~~~l ' _f _d__~- ___~_7~C•'~~i_•.~S~Si~C>. ' TpTC~~(.S-1R~~C=Z{ ~L o~..;C. r..wnL~ wIl N ' ' r ! { - i I ll f ~ r,R ' Jf _ ' - • e r ilr.c~ 7 1 ---~:L~>.`Si~L I Il 5i r!~)qi~r 9•~,.'jj_- ~~-J . . ~ 1 LouJLQ 'WP.c,~.~.V r a Da .7 C t' Un.a6 I~J cRO.~T~._=' _ R L oF:{~o.5 E . c~L~+2r~_~.r('! - ~l_~t ~ • n a J ' V 5 ~.I r, '_'~'i.lfJ.' f^_ y~~ , n _.f~.._. • _~t~? 7' +r ~ e , ~ ~it rL. ? 1~ ' 1I ~'L t~ • ~ oT_ A~_ .9 ``1~ Q9,1 r; ~ • . . • 1~, r, , . ''y. - • . r"a..t ~ .441i.$T.~~aN~( ~ l~ Xr: 'T ~ t-~ 1sI Ol~ ~ ~ l 1 n ? : ~ / t r. M' + i~.. ; T - •7'~~; 3 ?It7~.~itF ~ ~ I ;.•s:. ~ 1 ".it.'~ y~ • f ~ ~-t~~~.~~ > »r' 7. ~ , ~ •i r~ ..`r . 4i}' t, ~ ~ ~~.I. ~ ~i^'4~F ~/?~...~P. ef ~ J =1~ . f • ~ . - i : , 'I ; . . ' K ~4 3- , ~ , : ~ ~ " /i Tnt :p, ~ • . ~ " ,q . ~ ~ ? ~ ~ : . 'ri ~ ~ - : • 7tlif :y' ~''~~y~ . ~ . ~ . . . _ .c - . : ~J L J h:. i ~ 1 ~ . ~ . ~±~t~'' 1'~ /st~•~' 'Cn t , ~ ; .y ,Q„ n : co.~r -'1 , ~ j.: 77 , . . ~1 af~~ . ~ - ~}~i1: . 1- ~A. ' y D ~ - i. ~ , ~ ~ • ? , ~ J. . r ~i. a~ . i i • ~ ' . . . _ . ~ ' . ' ~ i YF~~~a ~ ~ , ' . ~ . : ' _ - . t,~,~~ . t. r'.•._t. • ' . . ' _ ~ ~::r 1_ ~ -'r, !i, . . . . . . . . .'1" •~K- ",i,v, ' - _ i • , • ~,L . ' 27r 9111 . 4 1 ,74 . . " , . , ' ` _ ~ v ~ ~ 1 / ~ ; k r ~ r t 4 ? t ll ~ ~ ~ . ~ ~ „ " .'r ti ~ . ~ L4.i%uL-.TF ' 1INSUL17t+e ~MC TNAt.iyS r , , . • . .,.Z . ' ` 1: i . ' . . ? ~~~s:~ ~ {.~^~r2 ~.1~ : ye Ja ~ ~ 1 J.~~ 1~.v t -,rr ? ~S.°' ~e ~ J ~~LI t~ ~ ~Y~w . t~i }M . -~1 . .~~ti ,a . r•F..~..,;~,.:r.>'..~: .iY;}~ '•~r~'!+~~''I'N.~f ~ ~t - ~ ~~gr ' . ~ • - ~ QT.1,*~~ ~ > , : ~ ~ ; ~ ~.d... . . ' , , • ~ . : . ` . ~ , , , ~ ~ t~J ..1 y . b ' l ~ . . . F~ ? rt. . .i~~'~,~~~ tk ' . \ ~ } 1. ~ ~ i . . ~ ' n ii • • f~ ` v~~. ~r . ~ n ) - 1z p~ 1 i '...l~ CtNI' i t ' 4 ne4 ~i f A ~tn ;}~~i. ~d~'l 1~: ~'~Iy yN.~~~7{'~,..1~'=1i.~,'s•..r_i~._..le ~~~...t3`,_.:.~,K..~~.i~r.+i'.1.:_+~1?3_~t~~a~.rtu,:s~w_o1~~~~.. ~v,~.,~~7° da~ , . , . . . _ ~ . . . ~ . ~ . . ~ . _ . . ~ _ . ~ CIi'Y (x' rWJ+N Include 2 sets of plana, 1 site plan w/elevaYions i ~ l O~ BUIID1'iC PGPMTT APPLICATION 1 eeC Gf Crtierr]yr Caladat.l,png, 7o as Ueed For valuatio,i ~~/J40 oar.e ' Site Addnaea 35t'oo„38ox~ 3Scy,38c(o`fi~~ tlow Gki - ~ 69, ~oJ_ ? ~CR'FICE DSF. ONLY , Tot.It L7a%814Ck Sm./SUb~c~arVM Erect i r~tV49~o1 „l~.....'~zo~r FioPa-i.x' Fite ?vne - ' Owrer: L~iLange _ 2ype of Cnnvt. 71- Move M Stories Deimlish 1'mnt 41 ~ CitY/Z1p Ca1e: Gcade - Deptii -ft. ' Ptnne i : , - APPfka]I1tTeCbOT: C ry~ p 'RJALS [.~g • ~ ASSeS:a1r3t1tH Pu.7dt ' ~ Jlddnaee: ~`nSS ~ C~ cmic~ nc~ ~ r Water/5e~ver g~~#~~ Piolice P1M ChecJc ~ , City/Z1P Oude: Fire SAC 5'aS i Ptuarl8 Enu • Water Com, ~ Plaruier water Meter~ ; ! ]1idl,/E7Y3, t OounCil Eload Unit 2S`6 I H141g. Uff. Aslclrera s + AFC 4 ~ CitY/ZiP Coda: • pha~a 1: mrAr, l`T z~ , C~, ~ ~ - . ~ . 2ollefaon Buildera Inc. Or.11466 A/ 183-80 JACKSON - SURVEYORS RFAItT[q[D UND[R LAWf OF fTAT[ OI YIMM[sOTA -I ~ SILVER BELL RnAD 3616 EAST 5 th SiREET, MINNEAPOLIS, MN 55417 727-34g{ ~ / .-.r C 66 EC~SEMEA;T ' y - N~RTNF_QA3 AlAryRAL GAS LQ~I~ 9~ 3uLbepOt'g itlfitett ~ 16.a3 s SCALE . I ° QO' ° DENi)TLS IP,Or.i voo.~ Lxis7ING L L. N' DKArNAGE- i ~ /7 I N 7 z N: Propoeed Carage Flnor Elev. /c ; c ~ 3 I ~ Prop5eed Firet Flocr Elev. Proposed Basement Floor E1ev./6/. r! J Yz ' 2z Zz - 2z ~ ' ~OZ~' N JF N , zZ zz ~ P ze 22 i vI O - Q I a~ 4 Y O 1 ~ 69 N; -7o a, 1 M[11fBY CtXTIFY TNAT TXE A00V[ If A T% U[ AMO CORq[CT PLAT OF A SURV[Y OF 52,4~ ! / 7Nn • ~ Lota 69,70,71 and 72,Bleck 1,Briar Hill 4th. Additfan, I Dakuta County,Hinneao[a. 26th. Sept. 1983 AS sURvcr[o Mr r[ iMia -owr w- w.o. f f, S4onc F. C. JACK60N, MlN Rt nir11&". No• 3000 i w ~ r~~ C ITY CY' T'A!_,AN Include 2 sets of plana, 1 s.ite plan w/elevationa l OF &71IDIW PGFd-1IT APpLICATICW 1 Set of enetgy cajculat,j,anB. To Ba Uead Fbr e valuation / ~7g606 Date ; 61 teAddnass 353co, 38034, 3Scy,380(0 Wi lloW WQCL Cg'FICE USF. RJGY , Iot 7l, ia 81ack:_~_ Sec./Subdr~ar'41,\\ y~~n Erect pon*ancN n~ I Parae]. i s I l V R 4~-~pO - ~ ~ Itlter Tnning - D - F9vair Fire ?.one ' Wnest lhilarge 'lype of Oonst. ' Addresg; Mo~.e N Stories Darolish I'mnt ' CitY/ZiP Cbde: Gtade ~ 'Pth 2~ ft. • ' Pltone 1: . ~ Ni'PI2WAIS ~ • Oontsac'tor: Asses:anuite Pernat 7 . ~ Addxuea: wo.l.ioe/~r P1an~Check'~q~ ~ , City/2iP Onde: Fire ~ -'-"~~rErq- i Plirna i: lc,~r1_21 r water Gorn, ~_yg o_ ' . P war.er Merrr ~y~ ~ 1 K[f1.~• i . oDl!!'ICll fload Vlllt. Hldg, Off. ~ atY/Zip Code: Phom i : 7mAL Zp ~ pcj ~ ~ Yollefeon Suildere Inc. lk.11466 , _ . A/ l$3,8U . JACKSON - SURVEYORS ~nrawco uwuaa urs w BrAn av wra+noTA ~ SiL~/ER SELL R6AD , 3878EAST thSTREET,MIMNEAPOLtS,MN55417 77:rL 66'EASEME?11, ` ' v0 ' N~RTAEQAI I.lAT11RAl_ LAS LG- y~ o ~tiKQOT'S ' / ~e.a3 , S ~I n a _ ~~I 30 1~.z4 g2.o5 Scac.E : 1"=4Q' Q °'DENOTES IRQ1.1 Ft ooo.o E-XI --TfNG LL. DKAINAGE- N Nf /7 1 7 Z a~ t ti Propeeed Garage Flaor Elev./c/a Propssed Firet Floar Elev. /cjp ,o Propseed Baaement Floer Elev.~kj-I J I r 22 ~ F~ P ZZ _ J 2z N ~ V~ ~p O¢I V r~AY G~ > 00 69 yp ~ 79.21 i NE11EtY C[RTIFT TNAT rME ABOV[ H A 7RV[ ANO CORR[GT PLAT OF A$URV['I OF 82,4~ ~ 7~ Q ~ ~ i f ~ Lota 64,70,71 and 72,Block 1,Briar Nill 4th. Addition, I Dakota Coun[y,Minaeeo[s. ~ l 26th. &ept. 1983 wr SvRvircc Nr rR TMU oAr w A.o. $IYNt I. C. GKfOti. MI we . Mo. Sl00 '0 PERMIT CITYOF EAGAN 3830 Pilot Knob Road pFRMITTYPE: aui~rff,Gds~ 23 Eagan, Minnesota 55123 Permit Number: 02e9 Date Issued: 0 5 J 13 / 9 3 (612) 681-4675 SITE ADDRESS: 3806 WILLOW WAY LOT: 70 BLOCK: 1 BRIAR HILL 4TH P.I.N.: 10-14993-700-01 DESCRIPTION: Buildirig Permit Type DECK Building~tork Type NEW J/ ~ I VJCi ~~7~.1~ U Lti REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - DREWS ALEXIS 3806 WZLLOW WAY EAGAN MN (612)686-7407 I hereby acknowledge that I have read this applicatipn and state that the infiormation is correct and agree to comply with all applicable State ot Mn. . Statutes and City of Eagan Ordinances. L &Z~ - Nit ~t~;c~l. I m.11 APPLI A ITEE SIGNATURE ISSUED V: I NAT E~- INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuiLoirtG 3830 Pilot Knob Road Permit Number: 020923 Eagan, Minnesota 55123 Date Issued: 05 / 13 / 93 (612) 681-4675 SITEADDRESS: Lor: 7e BLOCK: 1 APPLICANT: 3806 WILLOW WAY DREWS AIEXIS BRIAR HILL 4TH (612) 686-7407 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION . FOOTZNG FINAL ~ ~ REACTIYATE CITY OF EAGAN PERMIT N' 1993 BUILDING PERMIT APPLICATION 681-4675 SINGLE 8 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 6/ I X / q -_5 Yaluation of work Lv ~`~r 5ite Address: 7 RG~c-, STREET SUITE / Tenant Name: (commercial only) LoT 7() aLOCx ~ sosn P. I. D. M Descri tion of work: The applicant is: Owner ? Contractor ? Other (Deseribe) Name .r.i Phone o Property LAST FlRST Owner Address STREET STE k City State Zip Company Phone Corltractor Address License # Exp. City State Zip Architect/ Company Phone Engtneer Name Registration N Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this a plication and state that the information is correct and agree to comply with a~ appl' le of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY i ; BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex 0,12 Multi. Misc. [3 11 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. ~ 15 Deck ? 20 Public Facility 13 21 Miscellaneous WORK TYPE 0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish X 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Mater UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage 3AC Code APPROVAtS Planning Building Assessments Engineering Variance REOUIRED INSPECTIONS ? Site ? Footing O Framing O Insulation ? Wallboard ? Final O Draintile ? fireplace Permit Fee Z5, O6 v.iuac;on: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units CI'T"Y d`F EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: e u[ Lo s N c Eagan, M inneSOta 551 22-7 897 Permit Number: 0 3 3 7 6 8 (651) 681-4675 Date Issued: 10 / 2 3/ 9 8 SITE ADDRESS: 3502 WILLOW WAY LOT: 72 BLOCKa 1 BRIAR HTLL 4'TN P.Z.N.: 10-14993-720-01 DESCRIPTION: ~ Bwrlding Permit Type DECK BraildinG Worrk Type ADDI7ION .C'ensus Cods \ 434 ALT. RESTDENTIAL . % / ~,j: i ~ V , . = REMARKS: PLflN REVIEWED BY CRATG NOVAC2YK. FEE SUMMARY: Base Fee $50.60 Surcharge ~ $.50 Total Fee $50.50 CfJNTRACTOR: OWNER: - Applicant - SECHRIST FOSTER 'y 3802 WILLOW WAY EAGAN MN 55122 (651)892-1800 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applica6le State ofi Mn. Statutes and City of Ea9an Ordinances. ~ - APPL CANTlPEflMITEE SIGNATURE UED 8Y: SIGNATU I w . I ~Y .i a i . J • ;~N( ,.Yf.h>k.~[M`k.Y.Y,~.~:~.'~Xc 'M~.1'(i~.;•'f,th~k;Y,:~YK.•M iY.. ~X:YY,<vr::YR~'i:ir:>Y.W%9I I CITY rF" E:ArPdd ! I T?i:I;:M:I'r.1Fii._ Nr}; 710 j i n:17;i:^, LD;23/98 ?7:Nilii:;, ..5..39::i.7 ' SLi ~ NA~`li~,• MFlR:CI...YNN s;r_r;;HRy,l" 320 9001 3802 Wf.l_L01-0 kiAY i(:1„pt)~ , 21.55 9{)01 38pr. I^I:f.l..t._om !•AV ~ ~ i otal F',aceiG,t; Amouritg SD.l:SOi rRp9; ?'i'(' 3 U31::;? T.r.7;, fJAra,_Y 1 ~ , :~F?k:tc%("r`%X'K%y%tik:~X~~)k>k:i:Y;%[7'%k;4:MYn$?atik;X>khYi'F)k>;:,Y':%k~;`~)X'MI~ ' i - • 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ , CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 ~)---7 (,R 681-4675 New Construdion Reauirements . RemodeVReoair Reauirements C'_w~ t v'~ ? 3 registered site surveys ? 2 eopies ot plan ? 2 copies oT plans (inGuAe beam 8 window s¢es; poured fid. design; etc.) ? 2 site surveys (exterior add'Rions S decks) ?1 energy calcutations ? 1 energy calalations for heated additions ? 3 copies ot tree Dreservation plan 'rf lot platted after 7/1/93 required: _ Yes _ No pATE: I O - a--j- -(71 2S CONSTRUCTION COST; l~ UC) - DESCRIPTION OF WORK: ST E DDRESS: LOT: BLOCK: I SUBD./P.I.D. ~-l~n oA n 1~ l ~ ~ ~ + FS 9a-- C W ~ Name: ~N'tILIf1VlPhone#: PROPERTY Last FiMt OWNER Street Address: ~~a Wi \\ow' WG-~ City State: Zip: 5 S 1~- Z Company: Phone CONTRACTOR Street Address: License # City _ State: Zip: ARCHITECT! ENGINEER Company: Phone #l: Name: Registration k: Streei Address: Ciry State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and sfate that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. a Signature of Applicant: OFFICE USE ONLY F 2 21998 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Requved r ~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling _10!Z7 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex 15 Deck WORK TYPE I ? 31 New ? 33 Alterations . ? 36 Move ~ 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main Ievei sq. ft. City Water UBC Occupancy sq. ft. Fire 5prinklered Zoning - t_ sq. ft. PRV # of Stories sq. ft. Booster Pump ~ Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code _01_ Census Bldg _J_ Census Unit o APPROVALS ( Planning Building Engineering Variance Permit Fee Valuation: $ i u.-l Surcharge Plan Review . License MCNVS SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit SYW Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: °h SAC SAC Units ,n Euilders Inc. Or.11466 . ' ~ A/ 183-80 , JACKSON - SLIRVEYORS t PY61iT(q[D UMD[R LAWt OF fTAT[ pI MIMNCTOTA / L siLvER B~LL- RoaD ' 3616 EAST 5 M STREE7, MINNEAPOltS, MM 55417 727-~y~{ r [ ^C 66' EA SEM~l.:T, /S? NpKTM~QIJ 11ATiJK.4L~aA1 LCI 4 ~ ~ 9_ / _ ~y 1'SICQOT g Ztt~l[d~C ~.~b, as . s', ~ j3 Sca~G . I -A~' P ~ 33 °CErQ CTES IRCnj < ~ . . GRCi:.1JAGL- N N 72- N~ Fropoaed Garage Flaor Elev. Propeied Firei Floor Elev. Propoaed fiaeement Flaar Elev.~~~ r'. J iac~~; e~ .E!wA+ x<' zz - z2 ~ ~ '1(E! _ Si.~S ' ° -9o r i -µ37.5? ,T 2Z 22 22 j ol /Ci % ~ • pi P -7 JcC ,~r~~ lD p~ I NERCHY C[RTIFY TMAT TM[ ABOV[ li A TRU[ ANC COw/qlCT PL4T OF A SURVry pI 4R2,41 ~ - i ~ `Y ~ I Loia 63-[~.~14 ~710,}a71/1 ap~d 72,Block 1,Briar kiill 4th. Additlon, l .!!".\II73akota Coun[y,Hinneeo[a R ~1~ BY BY - DATE 9ATE BUtLDING INSPECTIONS DEPT. ` B"'`- 26th. Sept. 1993 As Wwv[rco Br r[ TMU---W'/ O/ •.D. ~ i SIOM[ ~ ~ - F. C. JACKSON. MIN R nrw,tT6w. No. sA00 CITY CY' I'A['N] Iralude 2 sets of plarss, 1 site plan wjelevatione z ~ ` O'~- EI[JTIDING PEEU41T APPLICATION 1 set of erleiyy cal,cujatiqm. . . . 7o Ba uead Fbr Valuatiori ~'yr~r hUU Date . Si 69.;_~0 3$cq 3$C2~'3SCy ~ 3$C(o; LJi llow (,~kx[.f-'- -CFFICEUSE CNGY , T0t"'7l,? ~ HloCk Rrect pccq~,.Y j rarcel 1: 10 -I y 44 - CoR~ - a 1 niter zonimi FdrAAa.ir Fire 7vne ' Owners e ]a-LLru~ye ` R'ype of Cbnst. ~g• tl Stories Deirolish I'mnt ft. ; C1tY/7.ip Qodes Grdde - pep,rh V~L ft. : ~ APPIaC'NAIS EIMS ]ntiCacUOr: ; ~ As:3es:airr~ts Pt_[lnit C~ ; . i ~nS~ \ V Cl r \~1clRC^ ~ r ~ /54'VeC SLLLC'.~1a2t~; ~ City/Z1p Clx9e s~ S ~ja Fire P Lan C:t~eck~ ~ s-'- SPC S`a Er". warPx Corui , ~`6 ~ . ~ Plaruxr Water Meter , 6Q ~ ; ! 1lccfi,/E7r~. r Oouncil Aoad Unit I Addreen Hlciy, Off. . ~ CitY/'Lip Cocia- i'tbcn(i 1: 'mI'AI. ~ «7A ~ cD b I i Tollefeon Bulldere Inc. Or.11466 /V,/ 183-80 JACKSDN - SURVEYOR5 REOIiT[R[D YND[R LAWG OP WTAT! W WNM[tOTA ~ SILVER BE.LL RnAD 3616 EAST M STREE7,MINNEAPOLIS, b7N 55417 727-3aea / ~Ct 66' EAS£nE.AfT, p /i~/ NoaTN~¢til r~A-r~rcA~GAS 4n. III 9G ~4LSiCpOt~B Elpl~t ~ 16.a3 ---tiZ - lS.a4 g~.c5 I 33 / ScaL E: I"=40' ° °'DL-Nn-rE-5 IPCn~ ~ Doo.~ Ex,s7iNn LL. 3 N L)KA:tiA6E- N N vI I R' PrDpveed Carage Flaor Elev./c70 ~ - Prupaeed Firat Floor Elev, /040 Proposed Basemen[ Floor Elev.~p~ o~~vcwnY zz zz C. N BI-bs ~ J a . ' i 3.oz°' ~ae ~o F~ l~o. Q~- 22 ze zz 2z ~ ~ O c¢ i Y Nn Y O~ I i aI f~C r~`l ~ t0 al ~ 79.2 7 1 N[11EBY C[RTIFY THAT TM[ ABOV[ li A T/UC AND CORRlR PLAT OF 1$VRV[l' Oi 8p,41 y 1 i Lote 69,70,71 and 72,Bleck 1,Briar Hill 4th. Additian, I Dokota County,Kirtneeota. 26th. Sept. 1983 As nuov[r[o Br r[ 7MU owr i S~aNC ~ F. C. JAGK80N. M1M ~RUAT(GM. No. 2A00 I CITY USE ONLY L C °l aL ~ aEceiara: I~-~-~ c6 ~1 I-~~ ' U SUBO. Ey 1(-X RECEIPT DATE: v PERMIT # 9 T ~ 1999 PI.[7M$iNfi PERMTP (fiESIDEPI7AW crrYorswshiv 86so PuAr Kxos sn gA8AN,INN 551 EE , (651)681-4673 Please complete for: D single Tamily dwellings ? townhomes and condos when pertni[s are required for each unit D backflow preventer for underground sprinkler system EOTP.L Bath tub $ 3.00 x = $ Fioor drain 3.00 x = $ Gas i in outlet " minimum - 1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ ivlinimum fee aiter ¢fons Qo existin dweilin 3O:J0 x = $ Private Dis sal S stem new/refurbished ` re uires MPC nc. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwellin under conswcrion 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Watertumaround 30.00 x = $ State Surchar e .50 $ a:..~l :ar..'.^.de:: Call foe Iilap2ctifsn5 6i SiiTeiariasii$, i..4. iti8i8e i:3civi5, iKai2a SGi:B:iai$, IciC. 1 AerebY admovAedge that I have read ttds applieatim. sfate tl~at the infamatlon ia correcC antl aB~ m~WY with all aPPh~ble Gty of Eepan ordinances. H Is Me aoplicanYS ressponsEb!!!.y L^ notlfy!he grqs-11 c+m3r Iha: the CRy of 'cayan assurres no iiabiii[y for any damages pused by the Gry during Bs normal ope28onal and maintenance actlvitles to tha fadlitles mnstructed under Mis pertNt wilhin (:Ity property/riphtof-way/easament. SITE ADDRESS: OWNER NAME: : L41,6 , TrJ6la-P-~ TELEPHONE ~f - y SZ ' ~ Z'7g (AREA CODE) INSTALLER NAME: 4q,..., ~r TELEPHONE ~o " Z- ~y S- 1 I 3-3 (AREA CODE) STREET ADDRESS: Z 3~ S~ ~i J( f C17Y: "A- STATE: ZIP: 1- SIGNATURE OF PERMITTEE 2007 RESIDENTIAL PLUMBING PeRnnR nPPLicnrioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please com lete for modifications to existin residential dwellin s. Date ~ I LI ~ Site Street Address 38DZ unita ~ C ,~1- PropertyOwner ~0S~r 4 ~v'l ~h vC`^'`Ytst- Telephone# (088 - 1-395- V Contractor 'kq ~an k~ ~y) ?It,vylb`n Telephone #(5174) (o~"rJ_~31 Address 32Jit3 ,pahom-cq A-yf- 64 Myh-fidcf state MN ziP 55~ The ApplicaM is: _ Owner & Occupant _ Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fiutures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 _ Add plumbing fiutures to main level lower level. This fee indudes installation of a water softener and/or water heater at the same time. If you are instaNing onlv a water sokenei and/or wafer heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _Water Tumaround (add $136.00 if a 5/8" meter is required) Other. Water Softener X Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Pertnit and acknowledge that the information is complete and accurate; Uiat the work will 6e in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will 6e in accordance with the appmved plan in the event a plan is required to viewedA app ved. ApplicanY Printed Name Ap li Sig ure - I ForOff_ice_Use ~ Clty of EapIl , j Permit# i~?- (Oa 0 ~ I pertnit Fee: 3830 Pilot Knob Road U I ~ Eagan MN 55722 APR 1 6 2008 ~ Date Received: Phone: (657) 675-5675 I Cl~ I Fax: (651) 675-5694 I Staff: I - 1 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 4 a, .r 2 L c S Tenant: Suite RESIDENT/OWNER Name:e/° AssoeF~,v.;e.y~ irl,cNn~ct~r.~%phone: '74-1 -Y5 Address / City / Zip: 3 S o R LJi[ G o cJ LJPq Applicant is: _ Owner x Contractor TYPE OF WORK Description of work: P£- !5 u; 4.,\ D£ t,~ Construction Cost: gZ 6 C)•0 v Multi-Family Building: (Yes X/ No ~ CONTRACTOR Name: E'x>cal o2 /)JivL 2P. License#: Address: ,V6S1-. lc c f~ S; . City: /W PL S, State: Ma Zip: 5S411 S Phone: 6,IZ-9 t,~-62Y3 ContactPerson: ~r9V£- ~u22i~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Su6mitted In the last 72 months, has the City of Eagan issued a pertnit for a similar plan based on a master pfan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information: Portions oi the info`rmahon may be classihed as non-public Ff you provide specific reaso`ns that would permit the City to' co»clude 'thaf the ,are trade seciets ` I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the oMinances and codes of the City of t the work will be in Eagan; that I understand this is not a permit, 6ut only an application for a permit, ttw= accor dance with the approved plan in the case of work which requires a review andapx Qp~r D 3rrlL>zIS X ApplicanYs Printed Name ApplicanYs Signature . Page 1 of 3 DO NOT WRITE BELOW THIS LINE ~ SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Famity ? 06-plez ? Fireplace ? Porch (3-season) 0 Ext. Alt. - Multi ? 07 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ~ Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 70-plex Lower Level ? Storm Damage ? 04-Plex . ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building• ? Addition C] Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation 'Ijo~ Replacement ? Egress Window ? Water Damage ' Demoldion (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 0,9 Occupancy TpC^ I MCESSystem Plan Review Code Edition 2 1 SAC Units (25%_100%1 Zoning CityWater Census Code Y 3q Stories Booster Pump # of Units Square Feet PRV # of Buildings Length - 2~ Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new 61dg) Sheetrock Footings (deck) FinaI/C.O. _ Footings (addition) ~o Final/No C.O. Foundation HVAC Drain Tile Other. Roof: Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Siding: _Stucco Lath _Stone lath _Brick Fireplace:_R.I. _AirTest _Final Windows _ Insulation Retaining Wall Reviewed By: Building Inspector RESlDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC lJtility Connection Charge 5&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 6uildera Inc• Or.11466 . / 183-80 : JACKSDN - SiJRVEYORS ~ RE61rTEA[O UMD[q LAWi Ow QTAT[ OF YINNlCOTA 17 y- 51L\/E.R L3ELL ROAD 3616 EAST 5 th STREET, MINNEAVOLIS, MtN 55477 727- ~ 'ti 66' EASEnEn:T, p N~RTNEQk3 A1ArJRRL r.AS LC. I~~ 9/ o ~ ~fSLhtpOt'~ T![8ft ~ .,1e.as c a< ,~.za ez.~s --~I , j3 ' ~ SctiLE: 1"=40' °'DEnjOTF-S IP.ar.i < ~ oec.c E-XI.~.?IN.fa E-L. i \ 6 3 ' DKa;nacF- ` Z' ~I N N~ 771r{ \ N~ I O 7 I ~ ~ Proposed Carage Flaor Elev. /o %C 1 I Propa4ed Fire[ Floar Elev. /ep.o { ~J Proposed Sasement Floar Elev./~/` ~-J ~a~ o~~~ C W P ~I ~i ~ o ~`f . ~ J - 2z Zz - ZZ ~ zt c ~ ~n ? ~ \ ~ ~ QV~~ N F~ 'I<.bi 61.55 JF . P 22 zz ze _ zz ~ I LA iO E wsY c I- Q 6^ ll N IO p~ 1 HEREBY CCRTIFY TMAT TN[ ABOV[ IC A`RUi tND CORqECT PLAT OF A SURV[Y Of g2•4/ ' i yV - r ( EAGAN i Lota 69,70,71 and 72,Block 1,Briar Hill 4th. Additia REVIE ~ Dakot: County,3iinneaota. EV, ~AVIE-q/17 L 10 8- SlPM3NG BRisPE 26th. Sept. 1983 Ai {URY[Y[O MT M[ TMIi---DAY 0/ •.D. FJ. SIOM[ ~ ~ r. c. JAcKSON. wiH Rs ~.r~ina+. No. seoo 3~oz - ~ 2 ~•,~Inw wfty / , . . I Farse - Cit of Eaoan j Permit ~ 6 I PermitFee: /~Q• E'/ IV~~°~ 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Statt: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ~1 ~ld Date: -5- CO Site Address: 4 a,.v 2 Ni G L To w,~ i,~os,t C S Tenant: Suite RESIDENTlOWNER Name:Ja Ass-c,b-,oFiJpJf,4 L irln.~nvcr„e.,-phone: -7& 1 -y5 v-s7;7-7 Address / City ! Zip: -3 VO tv L-31 L L o ~J f-J R y Applicant is: _ Ovmer x Contractor TYPE OF WORK Description of work: P, f5 ui c'\ D£[.l Construction Cost: 1Kz on - 0 v Multi-Family Building: (Yes X / No ~ CONTRACTOR Name: 63 E'x r f 2i o 2 JVN irJ Y. 2 P. License Z c x y// 3 i Address: NCS W'. (c e~~ Sr City: 177,PL S, State: M'~ Zip: SSS~i $ Phone: <vI.t-81, J ' 6,2113 ContactPerson: bq1~£ 4u.e2iS COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CatCgory Submitted Su6mitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumher: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: NOTE:'Plansantl supporting documents,fhat,you submit are considered to be public information. Portions of : the information "may be classified as non-public.if you provide specific reasons thaf would permit the City fo . .t.. _ conGude_that the `are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagarr, that I understand this is not a permit, but only an application for a permit, and wod~~ is not to sta ' out a permit; that the work will be in accordance wRh the approved plan in the case of work which requi2s a review and approv of p ans. c x AAuI D ?3re2szl5 x - ApplicanPs Printed Name ApplicanYs Signature . Page 1 of 3 J . ~ . , _ DO NOT WRITE BELOW THIS LINE ' sus rrPes ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext Alt - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex fiP Deck ? Porch (screenlgazebolpergola) ? Multi Misc. ? 03-Plex ? 70-plex ? Lower Level ? Stortn Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES )4 New ? Interior Improvement ? Siding ? Demolish Building" ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to appiicant DESCRIPTION: Valuation r7oa_ - Occupancy --L7"_2 MCESSystem Plan Review ~ Code Edition 2bo~ M?~ SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock ~ Footings (deck) FinaI/C.O. Footings (addition) ~ Final/No C.O. Foundation HVAC Drain Tile Other: Roof: Ice & Water _Final Pool: _Footings _Air/Gas Tests Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _AirTest _Final Windows Insulation Retaining WaliReviewed By: Building Inspector - RESlDENTIAL FEES: Base Fee Surcharge Plan Review CK MGES SAC City SAC Utility Connection CFiarge S&W Permit & Surcharge Treatment Plant ~ ~Z CcQ~ es Copies ' 570 v Total Page 2 of 3 ,n guildera Inc. Or.11466 183-80 A/ ~ JACKSON - SURVEYORS REBIITGA[6 UNDEq LhW9 OF RAT[ OP YIIMMOTA q SiLVER SELL RnAD 9676EAST ffiSTREE7,MINNEAPOLIS,MN55417 727-L¢94 - (L 66' EASEME..6lT NaRTNE¢IJ 1.iAry15A{_$AS GC. `I~ 9~ o ` ~acbcpor's c 4 sL.0~ -~•I 33 1 v 33 °GEi.70T~S IP.6r.~ eoc.G XI~T1~IG LL. ~ . E-( ~ t , ~ DKarhAGE- /7 J 7 Proposed Garage Flaor Elev./c;6,. j 3 I = I Prop"ed Fire[ F2oor Elsv. /~5,6 ~ ~ • I I J 0 G r~ c e~ v c w p Y p~ f ~ G. Propased basement Floer Elev./p/. ri a E~' N R 140e! 37.5s ,•-go.Ei - . ~ ° pN n1 ; P~O6 az _ zz ae _ xz ~ l~~ ~ p C E i? v/ 4 Y ia Q I • of, ?op. ~ \V ol _ 69 -7 O v r~ { MERLBY C[RTIFT TNAT TXE ABOY[ 1! A YRUC AND CO%F[CT PLAT OF A SURYEY OF 82 4~ 1 ~1~ ~G ~ ~ l Lots 69,70,71 and 72,Block 1,Briar Hill 4th. kddition, I Dakota County,Mirtneeou. ~~I~a~gLN ~CC RE~ Q/~Y 11`D [BV, BiDILDIfVG INSPECTIONS DPMON 26[h. Sept. 1983 An fURV[Y[6 MY Mt TMii DAY OF •.D. 3iant I. C. JAGKfON. MI?tNt~ R ~sfn IRw u. No. 3000 Date: Tenant: Gity of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 /06 0 C Use BLUE or BLACK Ink Permit #: �j / ( Permit Fee: 2 ` vV Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Q/2o//0 Site Address: 30 00 " 3 go z - 3866 It() (� / J Suite #: CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan . the case of work which requires a review and approval of plans. x Cf-lbt S ,1 --We Z� / O Applicant's Printed Name Applicant's Signature Page 1 of 2 RESIDENT / OWNER Name: D f S©G. cN.tivea A4 MT Phone: 37.29743-4/9Y- Address / City / Zip: 7Z dO E. FISP! LK C D M PrB LF 6eovE, MN SS 311 Applicant is: Owner X Contractor TYPE OF WORK Description of work: CAA 0VE R"Ere-,4 /v0LE / 9 1C ¢/ Construction Cost `f' (/ 2O6Multi-Family Building: (Yes X / No ) CONTRACTOR Name: 3E/ E-) l'«n /tM/iVT, Ca/ License #: d0.-? V// 3/ Address: /7/0S- 2 cSi72 /0. 6Qr City: / OVA/e 4,47 1-/s State: /1l d Zip: SO f 9 Phone: 1,2 2l' / -- to 293 r- Contact i)�tl/ j2 Email: j/1 tC. berg 1 . Co1vi coG COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: uhf{?yTE: Plan�sf+,alocum info o ay n i 3r�e be publi nformatronPortions of & o /Y e C be cI ids .0. $/4tM .Yv..n .. - .e .,=✓`. 'mw.�e ,._ x x ."'3. '3xhS ...<-z%;IX` '.;" 3 ..5;. CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan . the case of work which requires a review and approval of plans. x Cf-lbt S ,1 --We Z� / O Applicant's Printed Name Applicant's Signature Page 1 of 2 ôìô ûý ÿþ þý ÿþþ ýüûüúûû ùþþ îðî à þ óî óà ÿþô üûúù ô ÷ á ì ô Úü þ þù í ñü í îü ãþ ý þ ÿ þù ýßÞ þ óóåó ø þ ð ìþ ìú÷ ãÿ çêåêóåå óù ü îþ çêê òýýñ ôöð ùùþ õ Ûøúþüí ö þ þ úãðÛ ÷ îìþúå÷ì÷þú ü ÿþ þãá ßÞàâà î úþì îþîþä þîþùùþþþ îþî íþ þþ íùúìîþþùùþ þ ã þ þü þôúÿþ þï þ ê ùùþë í þü ü ú þü Use BWB or BLACK Ink -T-_ For Office Use • i Permit o ~ ~ ~ 1 I MY of EalanI ~ ~ as I Per+nit Foe: l 1 3830 Pitt Knob Road I late ftoowd: 10 I n MN 56122 I Phone: (651) 67541675 I s I For. (661) 67541684 W 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Emb. / Site Addrew.3?CV, 3 BP.E, 3 7'o N, 3Wo6 l~ 1 L..C-a W Wp Y _Unim xv a G 1 " 7 • 3 - 3 Name: 61o A C T 14 r4 .,J 4 6 ~ At Z. y T Phone: 'a` p ~o E~ f`itK er Addrm / City I Zip: V S0 Q All A3 • Applicant is:. Owner 2, Contractor /o'`j '~7 i :0tt Deacription of worts: `TE/1-2 O a Q E F Construction Corn Multi-Famliy Building: (Yes /No Company: 1I E J 41- rt.2~oR tae P. CoMat aravia Va" t2-R S Addrm: ~o s 60~ ST . City: Stabs: Afkj zip: SS'yi 9 Phone: 10-'A - ~6/- 4,;z y3 License C A 9";., 3 / Lead Certificate W. If the pmled is eMmpt from lead certification, please egplain why: (see Page 3 for additional information) ~ QLD(o3 t r ar-' a-iiLr Pos; l F'7 ?T COMPLETE THIS AREA ONLY IF CONSTRUCTING A ~N , IIMILPJNG In the last 12 momtire, has the City of Eagan issued a permit for a almilar pain based on a master plan? ' Yes Wo If yes, data and address of master plan: Licensed Plumber, Phone: Mechanical Contractor. Phone: war & Water Contracl or: Phone: CALLLRLY 0119. ftmn one call at (w) e34, m for pnotecoion a9wrrd underground udwy damage. Call 48 horns Underground udlftbs, wNnN.A4nleoner~all-arg I hereby acknowWp that this inbmadop Is ooWIW and acarrate; llwt the work wlil be in conbmarice with the ordinanom and codes oftine Qty of flan; that I undo 8WW this Is not a permit, but only an appGcom for a permit. and work is not to shut whhout a permlt: that the work wN be In 9ooorder~oe wqh tns epo+ovw Wan nn ti+o rvw erwon~ wHlah rogWroe a rbvlevr,end aDDrovar or Plana. ExWd0r *v* authorised by a building ponltit Issued In accordpnco wkh the Mlnmesom Sods Builds Code must be oomplebd wilhlm 180 days of permit issumme, x f~uR2rS Appiioant's P1 1 i;ad Name x AppllranCs Slgnnature Page 1 of S Z0/Z0 39Vd 1NICW 1X3 139 L9Z9T98ZT9 66:ZT 6T0Z/9T/0T tyofEaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-6675 Fax: (651) 675.5684 FA Use BLUE or BLACK Ink For Office Use 500 Permit* Permit Fee: 3` 0 Date Received: t Staff 93 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i" A/ - /y Site Address: 3?(iP. 3 �91:52, 3 S''5'/ 3 ??0(.. (0-1/L.Go&.) t '1 Unit#: Resident/ Owner Name: % i4 e 7 /I »A ',atm E 1 " 4.4K% C, Address / City / Zip: :so Q E C w 7 O D. 4v, /3, .� A Applicant is: Owner KContractor Typeofwork, J Phone: 743 - S-71— 9770 6o46E 1/44jaY /OA) Ss'4' ,7 Description of work: R24"..a P L +4-L£. 17.6/..)6 a Fd"I G, 4 filer/41_ Construction Cost: / 4i y UD • tro Multi -Family Building: (Yes / No Contractor Company: CU. ? £(7 Le/ 02 /y%d-r' T • Cs nit Contact Da ✓ r t 113..,22/ S Address: £/v -S- W 1.20tS J7 City: m PL. State: /4/d3 Zip: SS"'/i % Phone: 1./1- 8,/-102y3 ucense #: C- 2i/11 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) (11-4(0.5. Posy /77r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer & Water Contractor. Phone: NOTE: Plans ii rt t 1° s ..00.400010.00:10 theJnfi, na#on.maybeE. .as bl l plc. . e . :. ade CALL BEFORE YOU DIG. Can Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cai 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecan.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan: that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit: that the work will be in accordance with the approved plan in the case of work which requires a review sod approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Build' Code must be completed within 980 days of permit issuance. x 4 ✓' 4 /24.0 S Applicant's Printed Name x Applicant's Signature Page 1 of 3 r6 r For Office Use {� I /,l V' \ 1 I 1 / I Permit#: / / i2 �S : 7 1 I (. 1 I / ♦.__ _., /� EAGAN Permit Fee: L/L/5 �'1 . S---/to-/9 i!L,;, I\AC Date Received: 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 ?'_ V C (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56 ' , P f V 1 n Staff: buildinginspectionsacitvofeagan.com Ut , 2019 RESIDENTIAL BUIL IT APPLICATION Date: 4) 19-79-49ig Site Address: 3. 00 /„.i;/(o t.,, /227 , �� 7/441 Unit#: Name: /2)I w- 7q ((3 o -e-Ow S 455 oc•—)1 Phone: -6(S6 - /1' Resident! Owner Address/City/Zip: 31 C---), 3 5o a , %' C' (.);(l , kion / , Applicant is: Owner �Contractor Pb f LatZ_ r1, I( `/ Type of Work Description of work: C010-c- C' 77 op s%r` Construction Cost: ,ID•/5 , ( 5 -v Multi-Family Building: (Yesek- /No ) Company: Se_e„( t,vi ,`C Contact: K( ��n Contractor Address: //g9-1 ,��`&t-1 ()u 1707 /3lc'' City: - 1(-)•U' c •U' C Dc. _ 7e;S4'7`S State:44/V `f5 �T,Zip: I-70-3" - Phone:f5:2--�7 4 T11 Email: „,-,7t.„0'-i i -) License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacian.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00nherstateonecaliorq 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 17 � --1-10/71 J/71a✓►n x Appli ant's Prin?ed Name App'-tent's a ure `, DO NOT WRITE BELOW THIS LINE e6C) i✓)( I l D it /55`16: 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 76 Otof Plex _ Lower Level _ Pool _ Accessory Building 3 WORK TYPES _ New _ Interior Improvement _ Siding Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation 10Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 45- i3,00• ^ Occupancy i Z4-3 MCES System Plan Review Code Edition min ZD/S SAC Units (25%_ 100% ) Zoning F J. City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V'$ Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) )o Final/No C.O. Required p Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: /0Y‘r\ ' IC 11 a , Building Inspector RESIDENTIAL FEES SSD P Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3