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3808 Willow Way j ~ 4 CASH RECEIPT , .C CITY OF EAGAN ' P. O. BOX 21-199 EAGAN, MINNESOTA 55121 . DATE I9 Recglvso , . FROM . AMOUNT $ I, 4 DOLLARS oo 7 ? CASH ? CHEGK FOR 1 /UNO CODE AMOUNT L ' ~ Thank You - BY+ ~ White-Payers Copy Yellow-Posting CopY Pink-File Copy CASH RECEIPT CITY 4F EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECtiV6D FROM AMOUNT $ 7F r S & DOLLARS ~oo ~ CASH E] CHECK FOR " ~ Uo? L C45 FUNO COOE pMOUNT Thank~ ou BY J White-Payero Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN NO S8~r2 . 3830 Pilot Knob Road, P,O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ' BUILDING PERMIT Rece~Pt # 7/ ~ Te w'ua~d for 1 OF' 4 PLEX ya~,~ 3 G, 0 0 G p~e F~BRUIIRY 2 7 , ~ q 3~ site Addresa 38 0 3 WILLOW WAY E~r ~ ~3 ~ot E7 s~ock 1 c~/s„b. BRIAR HILL 4TIi ^~te~ R3 Parce~No. 10~-14993-670-~1 O Zon~~ Repoir ? Fire Zo~e N/A Enlarpa ? Type of Gonst. ~1 W Name ~l'OLLEFSON BLDR . Move ? # Stories ~ qddress 1~5~ P10RWOOD DR. Demolish ? Length 26 ~ City L•'11CAN Phone 4 5 4- E 8 7 3 Grvde p Depth ~4 Sq. Ft. oc SAt1~ AvP~o~a~~ Fees o Name Z~ Assessmen? Permit • O Address u~ City Phone Wnter b Sew. Surcharfle 18 . 0~) Police Plan check 11 n.~ u ~ W N~^e Firo SAC 5 2 ~ 0 Address Enp. Water Con~. ~ SO . 00 ~ W City Phone p?~~r Woter Meter 6~• ~ Q Council Road Unit 2_ 6 ~i~~ I hereby ocknowledye thot I have reod this opplicotion and state that Bldfl. Off. ~he informntion Is torrect ond agree to tomply with oll opplicoble APC Totol a 1 ~ E n E_ ~ 7 5tore of Minnesoto Statutes ond City of Eagan Ordinances. Sipnofure of Permittee /1 Buildir?g Permit Is issued to: - on ths exprcss candition ~hnr oll work sholl be da~e in atcordonte wifh oll o licoble Stote of Minnesota Stotutes ond City of Eapan Ordinances. Buildirq Offitlul : ~:-c:~-f ` ~~cL! ~ • - Psrmit No. Permit Holder Misa Permit No. Holder Plumbin9 y 3 v"7 y'~- H.v.A.c. t~ 9 ~ ~ -30 -8 w.u Wetsr Disp. S~vwr Elsetric A ~j InWettion Date Insp. Othe? Footinqt Foundation Framing Rouqh Plbp. y g' ~ Rouph HVA Inwlation Final Plbg. Final HVAC Final Weter Dftcribe Location: ~ YYeli SevNr ' Pr. Dbp. ~ . ~ . . . - ~ CITY OF EAGAN N• 8855 a 3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121 PHONE: 454-8100 BUILDR4G PERMIT Rece~pt # y~ : WITH BASEME'v'!' To be aNd iw OF 4 PLEX Est. Volue $ 61,000 pate 'FEBRUARY 27 I q 84 Site Rddreu 3310 WILLOW WAY Eree ~ pccuponty F:3 Lot r) n BlockI qac S~b. BRI1~R ~3ILL 4TI3 Alter p Zoninp Ft3 Percel No. ~ ~ -o Repoir ? Fire Zone rr/A TQLL~FSrJ.~ BLDRS. E"i°ro° D Type of Const. oe Name ~ Move Stories 1655 ?~IOi2~ti00D DR. p # City~ FAG~'~1 Phone 4 5 4- ti 8 7 3 ~^1Olish ? Length 2~ ~ Groda ? Depth 44 Sq. Ft. Name SA-*iE ApproYOls Fess 8~Zu Address /lssessment Permit • C ~ City Phone Woter & $ew. Surcharye 31.00 Polite Plon theck 159.50 ac Z Name Firo SAG 525.00 x- - Address 4 S 0. 0 0 uc Enp. Water Conn. ~W City Phone Planner Woter AAeter 63.03 Council Road Unit I hereby ocknowled9e thot I heve reod this applicotion and state tFwt Bldy. Off. the informotion is wrrect and egree to comply with oll opplicoble 07 . , ~ Srute of Minnesota Stotutes and City of Eogon Ordinonces. APC Totol ~ Sipnatura of Permittee /1 Building Permit is issued to: - ~ on tha express tonditlon thni oll work aholl be done in ocoordance wlth all, applic~ble State of_Minnesoto Stetutes and City of Eopon Ordirwnces. Bufldinp Offlciol / t--' - C < ."Q .Jd Jwmeg ieloM OVAHIeWd '641d ifuld uoilelngul l f7.> OVAH 46noa ~llIld 40-!! h~ 6uiwa j uoiiapunoj JaWp •dcul aleO uolloadul Q.S ~ h a- 9~~ 1n~ 'L ,.N,.s •ana +OPM IIeM bulqwnld ieploH •oN l!wjed •3s1W isPIoH 3iw-led •oN 3iwJad CITY OF EAGAN ~T 3$~30 Rilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 lr ? 8$54 4 PHONE: 454-8100 BU16.DING PErLMIrt' Recelpt # i. 7 ~ 84 Te be uaed foe 1'T 4 PLEX fst. Value $ 36,000 DateF^BRUARY 2 I 9 SiteAddress 3 8 12 W T"T ~Y Erecf ~ occupancy R3 Lot ~ Block_~_Sec~l~uti. BRIAR f?ILL 4TH Alter ? 2oning R3 Parcel No. 10-14993~450-01 Repoir ? Fire Zone _ Enicrge ? Type of Const. W Name T L E SON BLD . Move ? # Stories ; Address 55 I10RWOOD DR' Demolish ? Length 26 b City Q Phone Grode p Depth 44 5q. Ft. j~j~jE Approvals Fees e ,o Name oU Address /lssessment permit $ 220.00 u~ I.- Citv Phone Water 8 Sew. SurcFwrge 18 • 00 Police Plon check 110.00 uW Name 525.00 Fire SAC u~ Address Enfl, Water Conn. 4 O.0 0 =W City Phone Planner Woter Meter -63.00 Coundl Road Unit 260.00 i hereby ocknowledge thut I hove read this opplication and stote that gldg. Off. the inlormotion is correct ond ogree to comply with oll applicable Sfate of Minnesoto Statutes and City of Eagon Qrdinances. APC Total .00 ~ 5lynoturo of Permiftee ~A Building Pert»it Is issued to: on tha express condition that oll work sholl be done in occordonce wlth qll opplicoble Stote of Minnesota Statutes ond Cify of Eoqan Ordinances. BuHdinp Officiol Permit No. Permii Holder Misc. Permit No. Hoider Piumbinp H.v.n.c. 4 ~1 ~Yad v~'c.k 4-3 0-S w.n we~? Disp. Sewer E~~~~c A D~j"Y» b M Y Y; •5~ Irupection Date Insp. Other Footings Foundation Framinq Jr~ ,lQr Rouqh Pibp. 477q- Rough HVAC ~Sf+y Insulation s ~ Final Plbq. ? _ ,e*1 eq Final HVAC F)nal Water Describe Location: Woll ti Sewsr Pr. D+sp. • CITY OF EAGAN $$53 s 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454•8100 BUILUING PERMIT jIITFI BASF?~:: ' :r Receipr - Te bo w"d for 1 nF 4 PLE$ Est. Value ~6111")DO Date FEBRUARY 7 , 19 8 a Site ,4ddreaa 3214 WILLOVI 4JAY ErKt R3 ~ Lot C Bicek 1 Seo/Sub.BRIAI: I'TIaI_, ~"iI? Alter ? ~ Zo~~~~ R3 hir~ Parcel No. 1 1- !1903- F 6 O- O 1 Repoir ? Fire Zone NP Enlarye ? Type of Const. V ac Name F.I'S,)rI RLDRS. Move p * Stories = Address ++~i ~~700D DR. Demolish Lenqth ~L ~ C ity Phone 4 5 4-6 c 7 3 Grode ? Deqt ~*h` ` Sq. Ft. Approvafs Fees ~ Name o~u Addreu Assessment Pem+it ~ u City Phone Water a Sew. Surchorge Police Plon check ' • > ~ ~ ~W Name Firo sAC ,address ~ b Gc~ Eny. Wafer Conn. ~ W City Phone Plonner Water Meter 63. 7 0 Council Road Unit 2 f n_ n p I hereby acknowledge that I hcw reod this applicotion and state thot gl.~f, the informotion is torrecT ond agree to tomply with oll opplicable T~o' r`~ Stota of Minnesota Stotutes and Ciry of Eo9on Ordirances. Sipnaturc of Permittee A Building Pem+it is issued to: on the sxpress tordition Ihnt oll work shoH be done in ocwrdor?ce .with oll opplicoble Stote of Mlnnesoto Stotutes end CVty of Eapon Ordfnances. Buildinp Officlol - ~ k-' - ,~i Permit Na Permit HoltMr Misc. Psrmit No. Holdsr PlumbinQ y e-,,, H. V.A.C. Wa11 Water Disp. S~w~r Elect?ic 0 51~~ rn ~it~ !s Y.sb Impection Date Insp. Other Footings Foundstion Fnminp -~5•f~/ ~ 7 37 ~ Rouyh V Rou~ HInwlstiFinsl PlFinal HVAC 7" ~r•~ Final i Water De Locatio YVell Sewer ' Pr. D'ap. /0 6 PERMIT k f C) 0 MECHANICAL PERMIT RECEIPT # ~ CITY OF EAGAN 3830 PiLOT KNOB ROAD, EAGAN, MN 55121 DATE: s aa -nv~ CONTRACT PRICE PHONE 154-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot_I"0_Block ~ Sec/Su I' Res. ' New m N a m e Mult Add-on ~ N Address Comm. Repair c City - Phone pther ~ Name ' FEES c Address ` RES, HVAC 0-100 M BTU -$24.00 p Ciry Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL fi M BTU - 6.00 GAS OUTLETS - - 1.50 EA. Forced Air M BTU . COMM/FND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $,50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other FEE S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN Reoeipt MECHANICAL PERMIT Permit 11to. C1TY OF EAGAN Fee Fi/l ir? num6ered spaces S/C Type or Print legi6ly Yot. 1. Date 2. Instal4ation Cost 3. Job Address Lot Blk. / Tract 4. Owner 5. Contractor Phone 6. Address 44 7. City State t Zip - 8. Building Type: Residential Commercial ? Institutional CI 9. Work Description: New D' Add ? Alter ? Repair ? 10. Descri6e Fue1 Type 11. No. _Eqipment BTU - M. Ea. No. Equipment CFM Forced Air ` Air Handting: 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 wi#h 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 464-8100 ~ Receipt PLUMBING PERMIT Permit No. ' CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost ~ ' 3. Jo6 Address ~ Lot Blk. 'Tract !/J~/S 4. Owner A. ! G ~1 ? s ~ f- ~ 5. Contractor ~ ~ ~~Tr Phone 6. Address r'//' 7. City %'i' / State Zip 8. Building Type: Residential Ot'- Commercial ? Institutional ? 9. Work Description: New W~'~Add ? Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield / Bath tubs Septic Tank Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Qther ~ Laundry Tray 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 comply with allArdinances and codes governing this type of work. Signed : for ~t.,z Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee FiII in numbered spaces S1C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. ~ Tract ~ 4. Owner 5. Contractor " ~ ~ /~f'/~ Phone 6. Address r 7. City State ~i Zip - ' r 8. Building Type: Residential C9~Commercial O Institutional ? 9. Work Description: New L7 Add 0 Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank Lavatory Softner Shower Well i Kitchen Sink Urinal/Bidet Other • ~ L ' I Laundry Tray i'z i~- ~ Floor Drains Drinking Ftn. Slop Sink f 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 numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fes fill in numbered spaces S/C Type or Prini legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Bik. Tract 4. Owner 5. Contractor " Phone 6. Address ' 7. City State Zip 8. Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New El Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. EquiRment 8TU - M. Ea. No. Euuiament 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 numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt MECHANICAL PERMIT Permit No, ~ CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legib/y Tot. 1. Date 2, Installation Cost 3. Job Address Lot Blk. Tract 4, Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential 13 Commercial ? lnstitutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Enuipment 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 numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN t v Fee i c . . : v Fill in num6ered spaces S/C -Type or Print le{fibJy Tot. 1. Date z~) y 2. Installation Cost A, 3. JobAddress • ~Lot Blk. ' Tract '~~~1 4. Owner ' i /r`' ~30~? < ~ 5. Contractor ~~t-~~r vf~i? Phone `/.7~~ 6. Address i' / ~f : ~ d • /t b ~ . ~ • ~ 7. City ' . F ii; State /l" /i(./ Zip i~ G,_. y• 8. Building Type: Residential Cf-"" Commercial ? Institutional 13 9. Work Description: New ICY Add ? Alter ? Repair O 10. Describe 11. No. Fixtures No. Fixture.s ! Water Closet Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner Shower yvell / Kitchen Sink . Urinal/Bidet Other _ C ,r;t_ . tr ~ Laundry Tray i~- 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 comply with all ordinances and codes governing this type of work. i Signed : C = ' ts'~~f'r for Rough Final ; Inspections: Date Insp. Oate Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip • 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add O Alter O Repair ? 10. Describe Fuel Type 11. No. Equipment 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 certity 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 numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks ` Addition BRIAR HILL 4TH ADDN Lot 67 Blk 1 Parcel 10-14993-670-01 owner Street 3808 WILLOW WAY state EAGAI+1 A'IIV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSUFIF. 107- 1971 Paid und ori inal rcel STREET RESTOR. 1975 70.69 7.07 10 PAID MEM 1227.78 56 5 82.23 A014347 8-3-84 ZC 43 7 8-3- 4 SANSEW TRUNK tJO 1968 29.60 .99 30 12.94 A014347 8-3-84 SEWERLATERAL TRK 77,5 1983 237.37 23.74 10 *SEWER LATERAL ja_ 1971 32.42 1.62 20 4347 8-3-84 **WATERMAIN 1984 5 *WATER LATERAL 19]1 20 WATER AFEA 331 1977 59.19 3.95 15 27.67 A014347 8-3-84 "Stubs 1984 5 STORMSEW TRK 1984 323.50 64.70 5 258.80 A014347 8-3-84 *5TORMSEW LAT 1971 20 **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK STREETt4BtiT' 1009 1986 153.70 15.37 10 260.00 41718 2-27-84 WATER CONN. 450.00 11 if BUILDING PER. 8853 SAC 25,00 PARK CITY OF EAGAN Remarks Addition BRIAR HILL 4th ADDN Lot 68 Rlk 1 Parcel 10-14993-680-01 Owner Street 3810 WILLOW WAY 5taie EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. gf STREETRESTOR. 1975 70.69 7.07 10 PAID R r tZ30 1984 1227.78 245.56 5 Z 1984 2136.20 427.24 5 1708.96 A014434 8- 4- SAN SEW TRUNK 1968 29.60 .99 30 12.94 A014434 8-14-84 SEWER LATERAL TRK 7Z 1983 237.37 23.74 10 189.91 A014434 8-14-84 *SEWER LATERAL lbl 1971 32.42 1.62 20 9,74 A014434 8-14-84 **WATERMAIN 1984 S *WATER LATERAL 1971 ZO WATER AREA 1977 59.19 3.95 15 27.67 014434 8-14-84 **STubs 1984 5 STORM SEW TRK g3 1984 323.50 64.70 5 258.80 A014434 8-14-84 *STORM SEW LAT 1971 20 **Sto Se Lat 1984 5 CURB & GUTTER SIDEWALK STREET+tt~F~T, ^ 1009 1986 153.70 15.37 10 260.00 41718 2-27-84 WATER CONN, 450.00 BUILDING PER. 8852 sAC 525.00 PARK CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 65 81k 1 Parcel 10-14993-650-01 Owner Street 3812 WILLOW WAY state EAGAN hIlV 55122 Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. ~ J HIRM STreet ~ 1984 1227.78 245.56 5 **Sewer Lateral Zc 1984 2136.20 427.24 S SAN SEW TRUNK 1968 29.60 .99 30 12-94 SEWERLATERALTRK 25 1983 237.37 23.74 10 igg-gi * n n **WATERMAIN 19$4 $ *WATER LATERAL 1971 20 WATER AREA **STubs 1984 5 STORM SEW TRK 1984 323.50 64.70 5 958-80 *STQRM SEW LAT 1971 20 **Storm Sew La-t 1984 5 CURB & GUTTER SIDEWALK f STREET-H!37T 1009 1986 153.70 15.37 10 ROAD IT 260.00 41718 2-27-84 WATER CONN. 4SO.00 of rr BUILDING PER. 8 $ SAC PAR K CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN l.ot 66 Bik 1 Parcel 10-14993-660-01 Owner street 3814 WILLOW WAY state EAGAN 1NId 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. L i STREET RESTOR, 197$ 70.69 7.07 10 RRRRM S STreet t30 1984 1227.78 245.56 5 982.23 A 014301 7 24 84 * * Z n IT SAN SEW TRUNK 1968 29.60 .99 30 17-94 it SEWER LATERAL TRK 25 1983 237.37 23.74 10 189.91 *SEWER LATERAL 161 1971 32.42 1.62 20 9.74 **WATERMAIN 1984 5 *WATER LATERAL M97 ZO WATER AREA 59.19 3.95 15 27 67 **STu 5 STORM SEW TRK 323.50 64.70 S 258.80 *STORM SEW LAT 1971 ZO **Storm Sew Lat 1984 S CURB & GUTTER SIDEWALK STREET b4C#FT 1009 1986 153.70 15.37 10 ~B //Sf a? ROAD UNIT 260.00 2-27-94 WATER CONN. 450.00 tl rt BUILDING PER. 4 SAC It it PARK Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN ~..f / Fee Fill in numbered spaces S/C Type or Prrnt legibly Tot. 1. Date 2. Installation Cost 3, Job Address ' Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address • `i ~ - ' % ~ - ~ 7. CitY State Zip , 8. Building Type: Residential Ck" Commercial ? Institutiona) ? 9. Work Description: New CV' Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield / Bath tubs Septic Tank Lavatory Softner Shower Well ~ Kitchen Sink Urinal/Bidet Other _I Laundry Tray ~ 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 comply with all ordinances and codes governing this type of work. Signed . ~ _ ,J _ '•,C`-~~;~ for Rough Final - Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ' : ! ` 1 1 3830 Pilot Knob Road ~ Permit Number: 0.1 7 »A 1+ Eagan, Minnesota 55122-1897 Date Issued: " ~ ~ • ~ ~ ~ ~ ' ~ ~ (612) 681-4675 SITE ADDRESS: APPLICANT: (III I i,: • I i! i~ ~ ~ i. ~ i ~ ~ . 512 - o~ ro PERMIT SUBTYPE: TYPE OF WORK: r. INSPECTION DA • .A ~ , . : ! r4i~ 1 Pl~.I~i !1 I ! ~irl i. IIIII'tl f N I't I:i; 1 ~ J L Permit No. Parmft Holder Dete Telephone # ELECTRIC 359 F ~ S J ~ PLUMBIN HVAC Inapection Date Insp. Comments FOOTINGS FOUNO FRAMING [7 ROOFING ROUGH PLUMBING ~ PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ~•)~lJ~ oi a GYP BOARD FlREPLACE FlREPIACE AIR TEST FlNAL PIBG - - j A ar - - PINAI HTG i ~ a -y,6 i ~ ORSAT ~ TEST BLDG FINAL I BSMT R.I. ~ I 65MT FINAL DECK FTQ OECK FINAL i I x ` CASH RECEIPT ~ ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 o A RtC61VtD" FROM r t AMOUNT $ rr. `'i" ' '"IL~~,~C -I~'~~..:.~~~, {'I ~ ~ &.ti~. I DOLLARS A . _ . I~ CASH ~ r; w 4.3) j~ . J-'/f Lfp CV y, L : • / r A 1 FUND tODE - AMOUNT ~N~,n_~ ~~2~i-:`r~~:•l"y ~ ~ ~.~'~~~+iJ t'~t'J ~ 11 han u~!v. . e11ow=Pottinp Coptil~` CASH RECEIPT • CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNE50TA 55121 DAl\~ , RtC61V6D~'.~ ~ ~ ~ • \ AMOUNT$ A DOLLARS . ' CASH c ~ 1 , ~ i ~1 ~ ~ ~~i ;.,i,: J: ' ~ , ~ ~ ~ ~ ; L~ FUND CODE ' AMOUNT % y -7r! ~ Thae Y~\ou . _ 11 ~ ,?i` BY. ~ ! : . • . 1~T ~ ~ I. ~ . . ~ 41718 ~ YVhite-Paysrs p1? . _ . • • -.:l~•- Yellow-Postinp CopY • : • , s. ; CASH RECEIPT - ~ CITY OF EAGAN ~ P. 0. BOX 21-199 .4, EAGAN, MINNESOTA 55121 DATE . weccrvcD " RROM AMOUNT $ r ~~U I K9 a .i f ~ ~DOI.LARS-. s r f CASH i 'F~j~~ _ /s] JFJ(1 r: r :,^•'~~"p . • : : , uot c~ ~ r. . rUHD CODC AMOUNT ` ll: ( J oZ, G~ v~~ iX 4~ =1'..~.. ~ , i . .ry~~i. , 3~ L 75/ .{3yO~ ' ~.Than ou r B y . ~I~r'•° ' '7~8 r . _ ~ White-PaYert (bpy - 8` Yellow-Pottiny Copy ciTV er FAGAN SEWER SERYICE PERMIT 3830 Pilot Knob Road - P. 4. 9ox 21199 PE7iMIT NO.: _ Eagan, MN 55121 DATE: Zonirg: No. of Unlts: o~ i e a: Owner. j i)1 50' ~ Address: Site Address. ; ` 3 ~i i 11 o~,r ,L(; i t ~ Plumber: T - j i ' _ 1 ' 7 4?;i.;'J f,tt I .9.« ro oo.snhr whh ehs clfY of E.oa. c«,?tecNon ohorga: Orainonps. Account [kposif: ~Permit Fee: i`3 . ()C1 Surcharpe: gy Misc. Charpea: Dote of Insp.: Total: Insp,; Dote Paid: cirY C: 'AGAN WATER SERVICE PERMIT 3830 Pilot Knob Road - P. Q. @ax 21199 PERMIT NO.: Eagan, MN 55121 DATE: • Zoninp: y No, of Units: pwne,: ;m1lcFson i3lttrs Addross: Sire Address: ;5illo~«• ,i,~:.? ;~Y iiri::r ill ~=t:t Plumber: Meter No.: Connection Chcrge: 43C.00 15 . C r Sixe: Acaount Deposit: r . Reoder No.: Permit Fee: 1~• ~ ~ r~ 1com to canPly wN6 tM Ciry af Eeyon Surchorge: Ordineneu. Miac. Choryes: ()3.01) 1>d 4:'iC-Acr Total: gy Dnte Paid: Date of I nsp.: Insp•: CITY OF EAGAM WATER SERVICE PERMIT 3830 Pilot Knob Road - • P. O. 8ox 21199 PERMIT NO.: 5427 Eagan„ MN 55121 DATE: 1'! 25/"" , ex No, af Units: o T inings. '~t rer5ite Addresa:9~1~ ~13~S:3t~w 7rE~ ~L6 •1~1 Lriar iill 4tn ~ , umber. . --~-s---~ ~ 450. 00 I)d Meter No.• ~ ~i D ~ Connection Chorge: Size: (r _ Acoount Deposit: 15 . G D ~i~1 Rende No.: ~3L 3~ Permit Fee: p c. 1a9rae M omply wiN+ !iN City of Eiga¦ Surchorge: p~ Ordiea ? Mtac. Uwrpes: (3. c},) pd tnet er Totnl: g te Poid: Date of Insp.: InsP•: CITY OF tAGAN SEVIIER SERVICE PERMIT 3830 Piiot Knob Road PERMIT NO.: r;~ r P. O. Box 21199 Eagan, MN 55121 DATE: ~ ~ 2 Zoninfl: No. of Units: pN,ne,; TbIlefSOn Bldrs Address: Site Address: 3$I0 Hillow Wsy Lc 51 iiria:° Hill 4t'. . Plumber: .-+7 =J :•.{1 sqrw to oaaPy wilh !ha Cih? of Eayoe Conriection Charpe: Ordinanees. Account Deposit: ' PerITit Fee. ~ ~ F n f, - Surcharpe: By Misc. CF+orpes: Dote of Insp.: Totol: Insp.: DoM Paid: CITY OF f.AGAN WATER SERVICE PERMIT 3830 PM,t Kno6 Road i. P. O, 13ox 21199 PERMIT NO.: Eagan, MN 551,21 DATE: ~ ~ ~ ~ ~ , Zoning: `No. of Units: O pwner; ;ollafson Blctr.s Address: Sire Addrcu: 38I0 w'ftlow ?v'3y LG<, i3I Briar :ii12 •itli Plumber rei'-_ .'dTl PZl1P.~,;1P.C Meter No.: Connection Chorge: 4530.00 A Siu: Account Deposit: 1 r' • C 0. Reader No.: Permit Fee: 10.00 p u 1gorK to amnoly wkb !M Gty ef Eegen Surcharge: .50 pd Ordieonea. Mist. Charfles: pd ri18t @T Totol: BY Date Poid: Date of Insp.: Insp.: CITY nF EAGAN WATER SERVICE PERMR 3830 Pi;at Knob Road _ P. O. Box 21199 PERMIT NO.: - Eagan, MN 55121 DATE: Zoning: No. of Units: 1 t7 <~i;~ Owner. Tb lef' t . , ~ . y l:~ i 1117I Ite Address: > V""ri a;- ~ ] 1' I lumber: - "nr, ~ , •.'?~Y~z3. 7; ~•~~7~ ;;3'' Meter No.: p 6) Connection Charge: 450.Q0 ~ lieoder u: ACc<Surrt Deposit: 1 S f; C: No.: Pertnit Fee: _ 10 . 0 0 p , taym to tpyynPly wft liw CitY of Ee"n Surcharge: . S 0 ;D 0 Ordinon Misc. Charges: 63. 09 1?d ID0t / Totol: B - ~`-iTote Paid: , Date of Insp.: h~ 57 C! Insp.: CITY OF £AGAPI WATER SERVICE PERMIT 3830 PiFot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55~21 DATE: o ex Zoninp: No. of Units: Ov"mr Tollefson L'ldrs Addross: site Addrm: 3812 Willaw Way LG:, P? E.riar lifil t Plumber. Genz R an AAeter No.: Connectian Chorge: 15,UU r) S1ze: /\ccount Deposit: Reoder No.: Permit Fee: ~ _ 1sorM [e os=plT wllh elw Ciey of tww Surchar9e: Aet i-T Ondinenas. Misc. Choroes: 63.0-PZ Total: eY pote Paid: Dote of (nsp.: l^dp.: CITY WEAGAN SEWER SERVICE PERMiT 3830 Pilot Knob Road P. O. Sox 21199 PERMIT NO.: Eagan, MN 55121 DATE: , Zoninp: No. of Units: o -,t. lex pW,wr: 'Iollefson R13rs Mdress: Sire Address:3812 +tiillow Way L~~S '~'1 12U 13riar liill 4th _ Plumber: rES1Z tZ Il PZ'.]:''1I2": 2-27-84 42715 • P I .ftnm to e..qlp wNh ehe p1r of E.ss. c«+rnctlon aenpe: 425.00 pd Ordinawces. Acoount Devosit: 1 5_ Q 0 nd P.rm1t Fes: 1C . 0 C_~ Surcharpe: gy Misc. CF,aroes Dote of 1 nsp.: Total: Insp.: DaN Poid: CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. a. 8ox 27199 PERMIT NO.: - Eagan, MN 55121 DATE: j . Zoninfl: No. of Units: 1 o 4'1 i c~x Owner: To 11 jig ross: ~~fr e41L .E,~ • Site /lddrcss:p,.,~~ _ql F>riar Hill 4th i Ptwr,bar. T;- I r;G e'i z ~Ya~ ~•r' ~ ~ ~ r No.(`.3~U e 07.3_2,.3 ~ction Charye• 450.0~? pd Df~t: , r. Recde No.. 11 .3 - 3 7T4/ Permit Fee: 10.00 r' 1 pew ft eanol~r Mh Hw City of Eeyew Surchorge: .50 P 1 ordinences, Misc. Chorpea: "3. 00 pd met.ci ~ Totcl: BY e Paid: Date of Insp.: i}f.Z?c1,;z Irsp., f ~ CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knab Roa. f. O. Box 21199 PERMIT NO.: Eagan, MN 55121 D/1TE: Zoninfl: No. of Units: Owner, - - ; . Addross: Sita Address: i 1 4 Lt', Plumber. ' . . , Meter No.: Connectian Char9e: Size: Account Deposit: Reoder No.: Pe?mit Fee: ' I Mrw to esnioly wib !M Ciryr ef Eepo Surcharge: i` OrJtw.na... Misc. Choroes: i;t~ ;~1 ^cCCr Total: 8y Dote Paid: Dote of Insp.: Irup.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob :':oad pERMIT NO.: P. O. Box 21199 Eagan, MN 55121 DATE: . ~ing: No. of Units: Ownar. . Address: Site Addras: ' - Plumber. . . ,i . 1 prw te eeRyh? wah tM CA]r of go"¦ Ca+necdon Chor"= y Ordlmnoa. /lccount Deposit: Permit Fee: SuRF+arpe: By Mlsc. Chorom Dote of Insp.: Totol: Insp.: Date Poid: CITY OF EA v WATER SERVICE PERMIT 3830 Pilo• Kitu?.' oad • I P. O. bix 27199 PERMIT NO.: .7 2 Eagan, MN 55721 DATE: Q p e,, ;ng; No. of u~its: r: ?ess: _ ,.'~1 j~g~.rll~g 1;j~SB1 briar }iill 4Lh Site Address: Plumber. ,,,~Aetar No'~' Q ' - ~ v "tgAonnection Charge: . rltcouM Deposit: ' Size: r ' Reader No.: 031- ~0 ~ 3~ Permit Fee: 1 aym te aowipip whh Nw Cih ef Eayon Surchorge: Oraiwe Misc. Gnrpes: al: 8Y Dote Poid: Date of Insp.: I^sp.: This request voitl , e ~ tts? ° 416 L 08 e) 710 - Request 02te . Fre No. Rough-in InsyerGon flequireA? Reatly Now DWill NolifY Inspec- ~ ?Yes ~No IF" tor When Readv -:&Ucensed ElecVical ContrxClor I hereby raduasl inspaetion ot ebove ? Owner electrical work instelled at: Street tldress. Box or Houte No. Ciiv &!a (,v/~,Lvw C t.) ection o. Township Name or No. HanBe No. Coua Occupant(PfllNT) Phon¢ No. i Power Supplier Address p X~. ni.00- f.` 4tAlf Electrical Contractor IComDany Namel Contractor's License No. t Leef,€~6'G o l 60 Mailing AdJress IConvaclor or Owner Making InstailatioN 1 5 fia • Aulhori ed Sipnamre ConuactodOwner akine Installationl Phone Number MINNESOiA STATE BOAflD OF ELECTRICITY THIS INSPECTION XEQ EST WILL NOT Griggs-Midway Bldg. - Roam N-791 BE ACCEPTED BY THE STqTE BOAflD UNLESS PROPEH INSPECTION FEE IS 1821 Univarsity Ave., St. Paul, MN 56104 ' Vhone 18121297-2111 ENCLOSED. E REQUEST FOR ELECTRICAL INSPECTION e-oocwi.oa ~Ii, See insvuctions /or comoietiM Uis torm on back oi yellow cupv. 0 416 '"X" Below Work Covered by 7his Request 63 SO / 04Addl ReO. YyOe ol Building ADPlioncea Wired Equipmenl Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloeder, Industrial Bldg. Air Conditioner Bulk Milk Tank F3rm Oc e peai y ther ISneufvl -17TRii-r SVecify Ner Other ompute lnspection Fee Below N Fee ServiceEntmnceSize tt Fea Faeders/Sabteeders N Fee Circuits 0 to 20j200-AmI,,H m s 0 to 30 qm s 0 m 30 Am s Above 31 to 100 Amps 31 to 100 qm s SwimmPool Above 700_Amps Above 100_Am s Transfers Irngation Booms Partial,'Other Fee Signs Suecialinspection ~ Rerro.ks $l~~ TOTA fb ~1 f,~~ qoueh-in Onte I, Me c ' Inspactoq heraby cerlily that the abova Final D"te inspection hes baen i!d meo. . mis repueal voiE 18 monihs irom 18 This rapuost roid 1 f (,1 f~ 5-1b' y4 momhs Gom l e A 0577~~ Hepues[ ate Fire NO. p~ uph-in I~pec[ian R 9uiretl? ~qeaCV N~+''~~ ~11 Notif~}Inspec- / es ?No ~ ~ ~or Wh¢n q¢~. icenseA E7ectrieal Con[ractor 1 herebY request irtspeetion ol a6ove ~J Owner elaelriml rwk i.talled aC Sveet Address, Box or Route No. Citv 39 b - /D - 6' Gw ecuon o. TowrehiD Name m N. Rango o. Covnt ' I~ Occupam IPRI T) n Phone No_ 5 1 5 5~3 Z Po r Su p Address ~ Ele I Co ~actm IC ~v amal Cantructo's LiceRSe Nu. Mailing dres ~COmract r Owmer ina l~steliati nl o (0 7 S a A~e AuN 'zed SioMture ICOmra or/ r kinB imullafionl Pho ~vnbe'? 9D MINN OTA STATE AND Oi ElEC7I11CITY THIS.INSPECTIDN qEQUESf MILL MOT Gripps-Yidwnv B' Z. M-78/ BE ACCEPfEU BY iNE STAIE BOAND 1821 University Ave., St. Peul. YN 55104 UNLESS PROYER INSPEC710N FEE B Phore f8731297Q711 ENClO3EU. y 3~ r~ IEQUEST FOR ELECTRIC~IL 111VECTIOId EB-°°°°'~+ ' See i.atruet:om for rnoplotinp [his fmm on bae4 of yellow cnpv- A 0,97776 X" Be/ow Work C?vered by This Request AAd Rap. TYYe ef BuiWinp Appliuncea Wirsa EOUipmenl Ylired Home Range Temporary Service i Duplex Water Heatcv LightiFixuIFes Apt. Building Oryer ElecVic Neatin Conunercial 81dg. Fumace Silo Unloader IndisVial Bldg. Air Cwditioner Bulk Milk Tank Fa Other ceu fv) t r IStrecihl I y t er OIAer ompute lnspection F e Be%w R Fea ServieaEMreneeSize R Fee Feeders/Subfeetlara N Fee Cireeirs d 0 to 200 Anips 0 to 30 A 0 tn 30 Amps Above 200-Amps! 31 to 700 Amps 31 to 100 q Swimning Pool Above 00-Anips Above 100_A Transfoimers Inigation Booms Partial'Other Fee Signs Special Inspection 5170SV TOTAL mnrks (17 Rouph-in ) i" Dat 'OP41- t!ro EI ~cal ; <..V tt' ~~y . ( ] lasosetw. I~naM prtiiy th01 The i4pvn Final hys hesn TtINra0ueel WIE IBmaltlro/mm CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55721 *T lr O 8852 ;s PHONE: 454-8100 BUILDINCa PERMIT Receipt # 171g : Te 6a uted Ier 1 OF 4 PLEX Est, yelue $ 36 , 000 pate FEBRUARY 27 , 1 9_~0 SiteAddress 3808 WILLOW WAY Erect m Occuponq R3 Lot 67 elock 1 SeclSub. BRIAR HILL 4TH qlter ? ZoNny R3 Parcel No. 10-14993-670-01 Repair ? FireZom N/A Enlorge ? Type of Canst. V w Name TOL•LEFSON BL•DRS. Move ? # Stories z Address 1655 NORWOOD DR. pemol;sh p Length 261 City EAGAN Phone 4 S 4-6g 73 Gmde ? Depth 44-Sq. Ft.- z S~:ME APOrovala Fees o Name ~O ou Address Assessment Permit u1 City Phone Woter 8 Sew. Surcharge 18 .00 Police Plon check 11 0. 00 FZ Name Fire SAC 525.00 Address En9. WoterConn. 450.00 W Gty Phone plonner WaterMeter63.-00 Countil Rood Unit 260_00 I hereby acknowledge that I have reod this upDlication ond state that Bldg. Off, Ihe informotion is correct ond ogree to comply with oll applicoble APC Totol $1 .646 _ 00 Stote of Minnesota $tatutes and City of Eogan Ordinonces. Sipnature of Pertnittea A Building Permil Is issueA ro; on the expreu cordiflon Ihni all work shali be done in occordante with nll opptiyqble $ta WubMinnewto Sfatutes ond Ciry of Eayan Ordinonces. Building Officiol CITY OF EAGAN N• ~ $858 ~ 3830 Pilot Krrob Road, P.O; Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~~7 BUILD`PFIG PERMIT WITH BASEMENT Receipt # To be wed !or 1 OF 4 PLEX Est. Volue $ 61,000 Date FEBRUARY 27 , lq84 3810 WILLOW WAY R3 Site Address Erect Occupancy LotS1H-Block~§c(S~b.BRIA~R HILL 4TH qlter p Zoning R3 Parcel No. 9 Repoir ? Flre Zone N/A Enlarge p Type of Const. V x Name TOLLEFSON BLDRS. Move ? # Srories Z Address 1655 NORWOOD DR. pe„wlish ? Length 26 ~ city EAGAN pnone 454-6873 Grode ? Depth 44 Sq. Ft.- ~ SAKE Approvals Fees Name o oU Address Assessment Permit 319.00 u~ City Phone Water 8 Sew. Surchorge 31 . 00 ~ Palice Plan check 159.50 WW Name Fire SAC 525.00 rZ ~3 Address Enp. WaterConn. 450,~00 ,W CitY Phone Plonner WoterMeter63-00 CAUntil Road Unif 260. 00 I here6y acknowledge that I have read this applicotion ond state fhat Bldg. Off. the in(ormotion is correct and agree to comply with oll applicoble APC Total $1, $~7.5~ Srote of Minnesota Statures ond City of Eagan Ordinonces. Sipnoture ot Permittee A Bullding Permit Is issued to: on fhe exDress condition thai all work sholl be dorx in accordarxe with ol v1i ble litato of Mlnnesota Statutes ond Ciry of Eogon Ordinances. Buildinp Oificial CITY OF EAGAN *T k 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 jr O 8854 PHONE: 454-8100 l BUIf DING PERMIT Receipt Te 6s uwd (er 1 OF 4 PLEX Esr. Value $ 36,000 Date FEBRUARY 27 19 84 SiteAddress 3812 WILLOW WAY Erect ~j Occupancy R3 Lat-612_elock 1 Sec/Sub. BRIAR HILL 4TH Alter ? Zoning R3 Parcel No. 1 0-1 49 3-650-01 Repuir ~ Fire Zone N,A Enlorge ? Type of Consf. V W Name TOLLEFSON BLDRS. Move ? # Stories z Address 1655 NORWOOD DR. Demolish ? Length 26 city FAGAN Phone 454-6873 Grode ? Dep2h 44 Sq. Ft.- t0 Name $AME AoVrovoh Feas Address hssessment Permit 2 • 00 CitY Phone Wofer &$ew. Surcharge 18.00 Police Plon check 1 Z Name Fire $AC 525.00 ~y Address Eng. WoterConn. 450.00 ~ W City Phone Plonner Water Meter 63.00 Councll Raod Unit 260 _ QQ 1 hereby acknowledge thot I hove read this opplicotion and state that 91dg. Off. the inlormation is correct and ugree fo wmply with all applicoble Stote of Minnesota Stotutes and Ciry of Eagon Ordinances. APC Tofol ~ 1 1 64 6 . 0 0 Sipnoture of Permittee A Building Permif Is issueA to: on the exryress corditlon Ihnt oll work shall be done in occordan[e with pplicob~}}att~~~e of Minnes~~ota Statutes ord City of Eagon Ordirwnces. Buildinp Officlol . ~in CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 AT l~r 8853 PHONE: 454•8100 BUILbING PERMIT WITH BASEMENT Recelpt # l~ Te 6a wad fer 1 OF 4 PLE% Esr.Value $ 61,000 pate FEBRUARY 27 19 84 SlteAddress 3814 WILLOW WAY Erect QX Occuponcy R3 lot 66 Block 1 Sec/Sub.BRIAR HILL 4TH After ? Zoninq R3 varcel No. 10-14993-660-01 Repalr ? Fire Zom N/A Enlarge ? Type of Const. V w Name TOLLEFSON BLDRS. Move p # Sto.ies ; nddress 1655 NORWOOD DR. pemoiish ? Length 26 o city EAGAN phona 454-6873 Grode 44 ? Depth Sq. Ft.- rc SAME Aporo.ol, Fees o Name 319.00 ~u Address Assessment Permit $ ~ City Phone Water B Sew. Surchorge 31.00 F Police Plan check 159.50 Fw Name Fire SAC 52$.00 ~a Address Eng. Water Conn. ~ s00 ~W City Phone plonner WaterMeter_f; 3 .00 Cauncil _ Rood Unit 26n- Q Q I hereby acknowledge tFwf I hove read ihis ap0licotion ond state that Bldg. Off. the inlormation is correct and ogree to wmply with all opplicoble APC Total 1~8~7.5~ Sfate of Minnesoro Statutes ond City of Eogon Ordinances. - Sipnoture of Permittee A Building Permil is issued to: on the express condition thnt all work sholl be done in occordance i h all 00 ' le Stare of Minnewta Statutes ond Gry af Eogan Ordinonces. Buildinp Official i~ ~~'~~i ~ 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OF Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 Tclcphoric # 651-675-5675 Please comple[e Tor: single family dwellings &[ownhomeslcmndos when permits are required ('m euch uni[ llate 0 8/ 2 3/ 0 7 Sitc Address 3814 WILLOW WAY Unit # PropcrtyOwner CURTISS &CAROL MOEN Telephoneq(651 ) 454-3714 Contractor GENZ-RYAN StrectAddress 2200 W HWY 13 City BURNSVILLE State MN ZiP 55337 Telephone ggZ )_767_t000 Bond t1: 929298827 Expires: 8114/08 The Applicant is _ Owner X Contractor _ Other Fire repair (r¢place burned out appliances, ductwork, etc.) $ 90.00 This fee applies when eMensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 x furnace _Additional X Replacement _ New air exchanger X airconditioner heat pump other State Surcharge $ .50 Total $ 50.50 I hereby apply for a Residential Mechanical Permit and acknowledge Lhat the intormation is complete and accurate; that the work will be in eonfonnance with the ordinances and wdes of the City of Eagan and with the Mechanical Codes; that I understandthis is no[ a permit, but only an applicarion for a permit, and work is not to start without a permit; that the work will be in accordance with [he approved plan in the case of work which requires a review and approval of plans. _ , KIM RENVILLE (Is ApplicanPs Printed Name Applicant's Si ture ~ ( ~ 2004 RESIDENTIAL BiTII.DING PERMIT APPLICATION ~~J ~ City Of Eagan > ~ ~go c~ 3830 Pilot Knob Road, Eagan MN 55122 ~ ~ ~f~~T~lephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtionR~uiremenis ~ ~ ~s RemodellReoairReauiremenis ~ Office'se%n 8 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan (20% mazimum lot coverage aibwed) 1 set of Eneigy Calalations for heated add'NOns ~mr*~ 2 copies of plan showing beam 8 window sizes; poured fouM design, ela 1 site survey for addiUons & dedcc `(1 P[e5'~R.eq r t set W Enemy Celwlations Addifion - indtate if on-sAe sepfie sysfem 3 copies of Tree Preserva6on Plan if lot platted after 711/93 Rim Joisl Defail Options selection sheet (bldgs wiN 3 or less units aa Date oy / a 9/"_ Cons[ruction Cost Sd'~~T e3~ ~ Site Address 3 TJ /0 61"!/n 7 UniUSte # 2 Z Description oi W ork Cl11 !L[Qd ctJ /"~A AEC Y/-z 1)(". Mulki-Famity Bldg _ Yk N Fireplace(s) _ 0 _ 1 _ 2 ~ p Property Owner f~"n Olti'/+-S Telephone #v, $r ~t/~~(- Contractor Gf/f~C 4L d',%AOV Address Z::0. C,. City AGAtJ ~ls- State Zip :f,12W_ Telephone #6pz -la R 6 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , . Residential VentllaUon Category 1 Worksheet rlew Energy code woncsneet (J submission type) Submitted Submitted . Energy Envelope Calculations Submilted 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 # ( D ~ MAY 0 5 2004 Sewer/Water Coniractor Telephone Y I hereby apply for a Residential Building Permit and aclrnowledge 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 pemut, but on3y 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. i ~~cnz ApplicanYs Printed Name Ap icanYs Signature OFFICE U3E ONLY Sub Types ? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30~ Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex O 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-piex ? 11 90-piex ? 19 Lower Level Q 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' q 43 Reroof ? 46 Windows/Doors ? 34 Rep(aCement 'Oemofttion (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Fnotings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests Final _ Franvng _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test - Fiaal _ Windows , Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Totaf CITY (Y' ['.AN Include 2 sets of plans, 1 site plan w/elevatirna i BUII!)ING PGfa-tl`f APPLICATIQN 1 Bet of enetgy CALailatiana. , . 70 8e Uead Fbt 4--FW Valuati Date .gi~ lGm~ ' Sit4 Addrese~r~r'r:~+„ 1,1~1 I i/'1.1I /I1AiG,~ C~'FICE~ USE Qd[.Y Is~t. ` 810Ck SE7C./Si.lb. pr~ pcc%*ancy ~ i rexoel 1= Z6 - ( y9~/ 6gv - o? nlcer zon;.~ ~ Aepair Fire Zor?e ' Ownert ~.~PP. ~lllA.l.1 Xr.Larye= 7ype of 06nst. ' . Addre"= Mbve N Stori.es - Dertnlish Fmnt ft. • akY/l.1.A Oocjes Grade Deptli ft. ~ ' YhCt~a 1: + ' APPIYlVNS E'EES ; Omtr.ctckr= J LC "~~1 As~~mmts Peniit 0 Water/sewer Nol.ioe Plan Ctieck i City/21p Oode: Fownl, Fire S74C .S' Z~ I PFW11a i= F'IM)• WatPS Grnn. ~SO ~ . ~ PLaruier watPr Meter G 3 : ~ 71rrh,/".t CYuuncil Hoad Unit I Bldg. O£f. ~ lY3d~efie: • AIY: ~ C1tY/Zip CSO3e: • ~ ~ = mrnL 1 ~ b 6 ~ , . Tallefsoo Buildera iac. Os.11488 183-80 JACKSON - SURVEYORS N RLCfIST[RtD UNOtR LAWi OI /TAT[ O/ YIIMMOTA 3818 EAST 55th STREET, MINNEAPOLIS, MN 65417 727-3480 . " - oLLt(Kp0['m C[Tuft8h Prapssed Garaga Floor Elav, /Dl.o Scale: 1" 40'- Prsposed First Ptosr Elev. I o 9 0 0 De°OL68 IrDA Propased Baeement Floor Elev.~~~_,r 000.0 eExiating Elev. ~ -Drainage ~ / ~ ~ V " ~ - _ 0, 0 0' ` r~ • ~ 'e , 62. l~/ • A 3~. N $ Y f Q~ Zo23~ I~ ~ l '~rly o 4~ 2. n S`"~ ~ ti• ~ ~ , ` yN 1 NER6YY G[RTIFY TNAT TX[ ABOV[ 1S A TRII[ AND GORR[CT PLAT OF A SVRY[T OF C • ~ Lots 65,66,67 and 68,61ock 1,8=i+r Hili 4cn. Addiiien, Daketa Csunty,Kinoeeota. . ws suevsvco w M[ TMIS 2ad. _d,r or-y-e-bwcv A.o. 1984 • ' .~3_" ' 6wha F. C. JAGKION. MOMN~ RtO~fT1Y17ro11. NO. 7~00 . r' S r . . . r } . ~ h ~ r . ~s .+l yj~/~ 7'i a . ~ ,~a S+y eji '~''J 'a +~.s.i.:n ' • ~ y f'~ a~;s ~ ~ ~ i{ .~{.iY 7 ,y~~.f?'14: F,3,ti ~ is-~ i L t i r~-..~ ~ E..t~:, i n "~"T~~~'F' t}~rL r~ . r~i ~ ri}t~. ~ T~~W~?~~"" ~J ( ~7 s Y."~a~ ~Y +~t'yia~.~-]^'~~-f t. T'~~ ~ 4"~°i -3iY' ~ H ~IS" ~,~'~~.•37~~~~~ ~ At } W 3 Fah; ~ r, ~ -~r y ~ ; ...~x~ _ ~~y~ ~~tPY.f ~t71~i d*.~s A f J,`'S~L rjyz ~d -7i ~ , . { ~'r 2! • r L j~aT"eG ~ > T, s'_ Y _ ' i.~,. 7 .w~T.~at~+~ 4 ~~~i~~-~~l;r('7r~~~M~~~~~-i w h i ~ ~ a a r• r- ~ a ~78 a n~' y .__i.. ~ : CSr`~ C+~~ ' " ! , . _ ~r a • : - . . • ' " . 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C.~•5 .i ~~i'• 1+ 4'~~ ~ a.t" 141l ye.ra'~'~1_aL•"~':"!yi'.1''i:id_:~i <I~•.+!.l~~~.r~,k,.~i~d.'v_~u:t;~~~.LLL'~3~St~~~.~f~.w•..::. ~'t_ !i~ crrY cr M _cM db5d41~S- ir,ciuae z sets of plane, p ~ 1 site plan w/elevatiare G BUIIDTw PCIASI'P APPLICATION 1 8@t Of erletgy C8lculat10f18. , '1b se uee?i ior vaiuatiori oate ' &ite OFFICE USF. QdLY BlodC SEjc./5ub. ~vin"v I I 4' FSreCt : OOOAWICY j. raroel 1 s l I~~~i 3__ (0 5 0- o I Al ter Zoning ~ Aepaix' Pire 2one QAes': 7ype of Const. ~,~g; Hbve N Stori.ee • Decnlish Fmnt f{, ~ C1tY/Z1P Oocie: Gracle Depth £t. rna~ r: • APPIiCIVISI; ~ - , ~ OCrltxaCtaDrs Asse'ssn:nte Pernttt oe ~r Psurdiarge 1an checJc ; ~tX/~P ~s ~ Fire SnC Water ! f• PFwn9 1 s ~ ~"3. Com, 41,11 Plauier Water Mete[ ~ 71rch./F?g.t ' • l]owscil Aoad Unit 2~D~~ ~ I Bldg. O£f. Addeera: + 11PC ~ i C1tY/Zip Cbde: plxt?u i: 'iC1mA[, , . . ~ , CI'1Y ~ a? s°3 Include 2 sets of plana, 1 site plan w/elevati.a?a i Bl.1IIi)ING PGRAIT APPLTCATION 1 eet of emrgy caiculatians. , . 110 8o uned rbr ~ 63~ >v~l~wr.ion ~'~Q nAr.e ai6~. IG1~~- . ' 6iie I~ 0F'Fic~~ USF ONLY Iot~~ 910CI[ Sec./Sub. OccmRancy Al.ter zor,ing AFire 7ane 7yCie oP Oorst. N Storiea Deinlish 1"mnt R, ; at7(/Z1P OUde: Gxade Dep'th ft. ' Pliom i: • ~ oonrr.coar: 1'ollP-F~ ser.s Pervdt ~ ~ ~aj ~(.,y(~W~~YI U~J Water/Sewer surct~ge ~~I ~ Nolice Plan CtM~Ck ~ 9. So ~ C1tY/2iP Oqdas E-A .~JJ'rl Fire SAC .S' 2S °O . f P11Q19 1: - ~ Eg. Watet C'om, W6 ~ Planner Watr~x MeteT ]It'dl./Fflg. i OounCi.l Hoad URit 1Bldg. Off. ~ I 1k3d1t~a1163 • ATaC i CityNzip tbda: : # = mrnL ~ ~ g ° 7. 5 , . . ~ ~.f- Ci'PY cY' r11G71N Include 2 sets of p].anB, 1 site plan w/elevations i BUIInING PGPMIT APPLICATION 1 set of eneM Calculatians., I xb Be Uaad Pbr Valuatiwi .3~ Date ~Q~• . oFFzcE' l]SF. ONLY rat '~-Blocic sec /sub- ~YIa,V~!-tj~ •4 ~et z~ Al.ter Aepair 1Fire 2one Qwneri ]hLauye 'lype of Oonat. ' . hbve ~ N Storiea Darnlish Fmnt Et, ~ ahl/~1P Oxieo Grade Depkli ft. ' PllGxra 1: APP1aCNN.S FEES ' ~ WntiaCtOts Assessir:nts Pernut d j J1ddr"r: po.Lioe/~ P1an o~- i d.tY/7.ip code: Fire 5AC ~ Ptlon9 Water Conn, o ' Plaru~er Watex MeGar 3'~ . ` ]1sch./A~. t (kxuicil foad Unit ~ i I Bldg. Off. a Add~s: ~ A1+C ~ CitY/Zip Code: : Pltiaxt i: mfA[. / ~ ~ , 2 / 8 C~ CITY OF EAGAN APPLICATIOi1 FOR PEPMIT SES•7ER AND/OR WATER CONNECTIODI - ` - (PLEASE PRINT) 1) PT.?OP~T'I~' ApDRESS: .5 808 L-f/i%IO ~ G~i~ r.Fr=,t. DESC~zTPTTc.r: _Lo T' 6`7 l,LcL,~ - (Lot/Block/SUbdlvision or Ta:c Parcel I.D. Nur r) i~{I=='= :G STRL'CTL:2E, DaT' G_= CRIGi dAL ciiILDI:`;G F~ ~ST ISSU?iiC_: L'SE. ? R-1 Su1G'LE rP;,IILY -__11 R 2 GUPL.r..`l (ZS:~ UNITS) LY9-3 'IC1.v'~iEfC{ISE (Tf-T2EEE + iJVZTS) INITS) O R-? APPSM"zT::/CCLSXI,!L,Iili:l ( L-NITSi ? CCt`'RCLz,L/RETAII,/OF'FI= Q i,1lL'S=L ? INSTITCiTIG~7.ili,/GOVxNAEl7P 2) APPLI= (PLEASE PR[4!) NAME: TOLLEFSON BUILDERS, INC. ADDRESS: 1655 Norwood Drive CI'iy, STaTE, ZiP: Eaqan, MN 55122 • PHO~LIE: (612) 454 - 6873 ~ 3) PUT,TER PLEASE PR1tIT) FOR CITY USE ONLY ~ E, - GENZ-RYAN PLUMBING AND HEATING - PL H ERS LICE4SE: ADDRESS: 14745 South Robert Trail Active CITY, STA'rE, ZIP: Rosemount MN 55068 Q Expired PHONE: Not~~ (612) 423-1144 PLUMBER LICENSE 1849M 4) 0CCL1'?-]T/CSv'AI&R (PLEASE PRINi) . SAME ADnREss: , as- . . : CITY, STATE, ZIP: J~BBV~ PfK?NG: 5} IIVDICi,TE WHICH PEP7~IIT IS BEING REQUESTED: CC.a"VEC.TION 'In CITY SD7ER ~ ~ CO:dNECPIGN 'Ih CITY Wp,TER ? 0'I'f'.EA (YLE115E DESCFtIBE) 6) D:pIG, 0:Z: El PLE1SE E:OLD APPRC)VEp PER+7IT FOR PICi:-UP BY OIVE QF ABOV~.' ~ PI.EaSE ~ULiL APPROVID P&'Z`LLT 'Il7 1, 2, 3Q 4 P,BOVE (Circle one) -E 7) SIcz=-';E: DATE: R~f:a~l sJa i~ a il !~~:s : s rs ~rsi:a e i~ s r-ssa ~ R e.l srt~i_.~ r..i~-~ a a~t s em ~asac w ' . . . . . . ~ Y F O R C I T Y U S E O N L Y PERMIT " ISSIIED ~ F°T'S= $ CF!.-iD DvASITT T-• ^ rUr-O(`H2 . _ _ ~I~iCL..JL Ja...F. $ WATER PERi`4IT (INCLUDE SURCHARGE ) $ WATER METER/COPPERHORN/OUTSIDE REr.DER $ WaT:sR TAP (INCiUDE COP.?ORATION STO?) $ SE;,7E3 T`.P $ ACCOUNT GEPOSIT - SEi•:ER $ ACCGUNT DEPOSIT - 6dA:ER : $ WAC $ SAC - S T4T.1NK ?dATER ASSESSi-IE:IT $ TRUNK SETJER ASSESSMENT t $ LATE°.AL BENEFIT/TRUNK SEL•7ER $ - LATERAL BENEFIT/TRUNK WATER $ OTHER TOTAL. ~ . . . .A;`QOUNT PAID/RECEIPT M1 F~` . . . . ' . _ _ . _ . . . . . ' QOES UTILZTY CONNECTION REQUIRE EXCAVRTION IN PUBLIC RIGHT OF WAY? • YES IF YES, THEN A'"PERMIT FOR WORK WITHIN ~ _PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERZNG DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLO:JING CONDITI-ONS: ^ _ . . APPROVED 'BY: . _ , _ . . . . . . _ . TITLE: , :r . . . . E . _ . r . DATy: 1)P. ~ ar ~ w~~ s.s~ uc~ ra ww ntw wwmasv w" wom wum w~~ Mpg w_a ~w m m_nk me;n ncowae w:in wm c:• , ; ~ . 2/84 ~ v ! + CITY OF EAGAN APPLZCATZON FOR, PERi+1IT ~111 ~ SEPIER AND/OR WATER CONNECTIODT - (PLEASE PRIHT) 1) PP.OPEF'iI'Y p,CDRESS: ~818 CCJ,'I,041 Ld/a+S-J LEG=+L DFSCRI°TICV: L.07- (pB - Q LOGK f3eI/92 1-1•'11s' 1f rN /,~d d,iJ; (Lot/Elock/Subdivision or Tac Parcel I.D. NisnCer) ic EiI:='=`:G STRC:'CP ;ZE, DA`I';~ OF ORIGidAL :iiILCL`;G ==~tST I=?J;C:: O R-1 Si.`:C~~. Fa,%Ir,rv L7 R-2 D[JcLE{ ('IbiO UNITS) Q-R-3 'IC7•v-NHCt?SE ('C= + U:]ITS) iTiI'='S) ? R-1 Avaiz=-;T/Cv^NDO`,LTVIL':I ( L:I'1'?'si 0 CCl,~'•SE2CLAI,/R"'I'r1IL?'OF`_FIC° p 11mC;STr2L3L ? INSTIZL'TIOiVAL/GGVEm\'=PP Z) AppLTG V'I• (PIEaSE PR[Ni} N1atN.E: TOLLEFSON BUILDERS, INC: ADDRESS: 1655 Norwood Drive Ci'i't, s'raTE, zzP: Eaqan, MN 55122 - ` PHO"L\E: (612) 454 - 6873 J 3) P=.iBER PLEASE PRINI) , FOR CITY USE' ONLY NN%IE= GENZ-RYAN PLUMBING AND HEATING PLUNBERS LILENSE: ADDRE55: 14745 5outh Robert.Trail Active CITY; STATE, ZIP: Rosemount MN 55068 0 Expired ait. ~ Mot of Hecord .PHONE:(612) 423-1144 PLUMBER LICENSE !i 1849M arr nxtia 4) (PIEASE PRINT). . . , - _ NA'IE= SAME - rwDREss: as CITY, STATE, ZIPr J~68V~ PIKFIE: _ ~ 5) INDICI,`Ic. L4I-IICH PEPJIIT IS BEIitiG gEQ(IESTfD: CC~u'~7ECTION TO CITY SE.SIER ~ C0'NXTIGN 'PO CITY WATER ? (7=( PLFASE DESCRIBE) 6) L,DIG;," ~ PLE?_SE f?OLD pPPROVID pg7.tiLIT FOR PIC~:-UP BY OLVE OF ABCn7E Q PL£lSE ;*AiL APPROV'cS3 PERNffT Tt7 1, 2, C) 4 ABCJVE (Circle one) 7) - stN7'ti~-~._ '~-4hr% DaTe: lf°~3 8`7~ mr't osi mw sf s r: sa:a :m ~ st rt ~tw:~ Ym-f~-r f.~ a B[ aa ~ RcaaL c dw FOR C ITY U S E ODILY 1 PER~tIT ISSUED F°rs - S°_;•iER nro~ir•.. ^ •o(,u. iB _ (I'iC.r.,:~c SL.,....t_=.1_.) $ WATEit PET.U1IT ( INCLUDE SURC::ARGE ) $ WATER METER/COPPERHORN/OL'TSIDE READER $ WATER TA? (I„Ci,UD° COp?ORATICN STO?) $ SE:JE° TAP $ ACCOUNT GEPOSIT - SEi•iER $ ACCOUiVT DcPOSIT - WAT°R $ eO, WAC $ sac $ TFUNii T.VATER ASSESS"IE,1T $ TRUNK SE:JER ASSESSME:VT $ LATERAL BE:IEFIT/TRUNK SE,,:ER $ LATERAL SEVEFIT/TRUVK WATER $ • OTHER ~ ~ $ TOTAL $ q~~.Sd AMOUNT PAID/RECETPT DQES UTILITY,CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGriT OF WAY? ~ YES IF YES, THEN A"'PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED SY THE NO EIVGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO TfIE FOLLO?dING CONDITIOUSc „s . . APPROVED BY: . . . TITLE: ___,de_,pe DATE:'' w_+~ w~ ir ww nwm ~ wu+ wtm wM re ar~ 04 rN Ra 6.t40 wM pQ foo w.a wF M sa ajog wte ekgM sa w. nr~ a.e or ll ~ ~ . 2/OY C C, i F CITY OF EAGAN 1~ / FE APPLICATIODI FOR PER`1IT SEWER AND/OR WATER CONNECTIO.i (PLEASE P3INT) i) PropE:I= ADoREss: 3~/~ Gu,`//ow (Voq") r.Fr:,i, DESCRIPrzcv: Lor (Lot/Block/Subdivision or Tax Parcel I.D. NwTber) iEiIS:'=_:G STRIJC17F2E, DaT' GF ORIGi SAL .`:uILCLTIG PEF:~ST ! PRESy i5:: ? R-1 Su;G'~ iPHSLY - Q R- UPLEX ('IVCp L'NIT5) R-3 TCtv'T,ii-?CUSE (TMtE"' + [7nIT5) TTlITS) ? R-4 APAP.`1T.1z'`1P/CtiNZCC•!LVILtil ( U-NITS) ? COf^2IEPCTAL/RETAZL,/OFFIC° Q mmL'S'IRL=iL Q INSTITL'TIONAI./GCVEIRMNE3v'P Z) AppI.ICaN-P (PLEASE PRI4i) NAt`1E: TOLLEFSON BUILDERS, INC. AnDRESS: 1655 Norwood Drive Cri'Y, SrATE, ZIP: Eaqan, MN 55122 - ; PHONE: (612Y 454 - 6873 3) PIVmBEP (PLEASE PRINi) FOR CITY USE 08LY NA`E: GENZ-RYAN.PLUMBING AND HEATING PLUNBERS LICE45E: ADDRESS: . 14745 South Robert Trail Active ` CIrl^1, STATE, ZIP: Rosemount MN 55068 Expired -.PAODIE• ~It. _ Not af Pecord _ . , . 423-1144 ~ PLUMBER LICENSE /f . 1849M cr_j~<f -.0 YE-a initia 4) OCCUF'A_NT/G!vilE:P:. . (PLEASEPPINf ) , . " ` - . . . _ NA'E= SAME - ADDRESS: AS CITY, STATE, ZIP: ABBVE PHd:IE: . - , . . _ . . . . . . . . . . . . . w 5) IN[JIG,TE WHZCH PEPNLIT IS SEItiG REQUESTED: CUM"VF.CTIOIV RlO CITY SE.Tr7ER C01'~IEIECPIG.I 'Ib CITY WATEf2 - ? CII'F'ER (PLEASE DESCFtIBE) 6) L`:DIG; 0:E: El PLF.ASE F:OID APPR()VID PERMiT FOR PICFC-UP BY ONE OF 11BCU.' ~ PLEkSE +TAIL APPROIm PERtitIT 'IU 1. 2. (D 4ABOVEE , - (Circle one) n ' i t . SY . . .r . . 7) ' SI~.'a'IL7Ec, ~•Gf /G~~~ . _ . . . _ . DATE Z ~~r~~ ! R ~I,Cia+~ia' i i l! ~~~~ca f~l fs't s r:ss-a m at et f ~:~i f~-1~J~1~ .!qy~ls s at~.sc• m F O R C I T Y U S E O N L Y PEFMIT ISSUED ~ ~ F°ES: $ rr.,in n~~~rrm ; n~ / a<S~a S_.. ~(I`C:.;:D° SU..~?~?3G~) WATER PERP1IT (INCLUDE SURCHARGE) $ WAT°R METER/COPPERHORV/OUTSZDE REAuER $ WATER TAP (I:VCL'JDE COR?ORATION STOP) $ 5°:4EB m" P $ ACCOUNT CEPOSIT - SEi~ER $ /~S. ,-`-e ACCOUNT DEPOSIT - WAT°_R $ 6~ WAC $ sac $ T4UNK S4ATE.'. ASSESSi-IEDIT - ~ $ TRliNK SEL+IER ASSESSMENT $ LATEP.AL BENEFIT/TRUNK SEWER $ - LATERAL SENEFIT/TRUNK WATER $ OTHER . . TOTAL . . AMOUNT.PAID/RECEZPT n ~~7 7G'Z ,';~l_ • _ " , . . . . . - . :..x , ~ . . . " [pC?ES UTILITY:CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY? . YES IF YES, THEN A"PERMIT FOR WORK WITHIN PU$LIC ROADWAY" MUST BE ISSUED BY THE [7~ NO ENGINEERING DIVISION. LIST AS A CONOI- ' TION. SUBJECT TO TFIE FOLLO:JIDIG CONDITIONS: . . _ . . . _-w ' - ~ . . . . . : : . . . . . : . " APPROVED'BY: _ . . - TITLE: `~Gf~.. . . _ . . . .i ~ DATE: lm al"Rm OFSa7r.af&'a.on Pm . ! 2/84 V ! CITY OF EAGAN APPLICATIODI FOR PERMIT SELdER AND/OR WATER CONNECTION . (PLEASE PRIHT) 1) PF.OPEF~'TY ADDRESS: 4/i1/I04/ (e(.'f1Y r_FraL, DF_SCRTDTICDI: ~fJ7` !vv G _/3LUG N / ~•~//5WC /74II-s (IOtf3lockfSubdivlsion or Tax Parcei I.D. Ntunber) ir =:7_ :G STR['CP'RE, De?TE G° ORIGINAL :.UILCS:`;G ?ERST ISSU:VNC.: i;-5: ? R-1 ~.:iGLE LA~,,1LY • - _ ? DUPLZX ('Iti:D UNITS) R-3 TGSvTIHCCISE ('L'FME" + (7*1ITS) [NZTS} ? R-4 1~pA.R`?"~"`:T/CC~IDCI`LIIL:! ( UDTITJi ? cam, iEec?aL/REraTL/oFF?cE ? MUSiRT?.L ? INSTITUTIONAL/GD4Ep%j= z) ~~LICn-N-T (PLEASE.PftI41) N*1Ec TOLLEFSON BllILDERS, INC: ADDFtESS: 1655 Norwood Drive CITY, STA'rE, zrP: Eaqan, MN 55122 - ~ PHO~~: (612) 454 - 6873 ~ 3} Pu;TBE? , PLEASE PRINT) fOR CITY USE ONLY GENZ-RYAN PLUMBIN6 AND HEATING PLUN ERS LIC.45E: ADDRESS_ 14745 South Robert Trail , active CITY, STATE, ZzP: Rosemount MN 55068 Expired iI E•• It,. 0 Nat of Record PHO(612) 423-1144 , PLIIMBER IICENSE N. 1849M arr inttia 4) OCC.Pa;~,/a1NER . . (PLEASEPRIN1) . ' rArE: saME ADDRESS: AS _ CITY, STATE, ZIP: AQQVE 2IE: . . _ . , w 5) INDICrTE WHZCH PERMIT IS BEZNG REQUESTID: ~ ~ CODNEC:I'ION TO CITY Sa1ER ~ CO^:IGN 'IO CITY WATEI2 - _ ? di'f'.F'r2 (PLEASE DESCFtIBE) 6) PI.EASE I?OID APPF20VID PERMIT FOR PICI:-UP BY ONE OF ABGUE ~ . ~ PIEaSE;-TflIL APPRaVID PER-%IIT TCJ 1. 2, . 4 AEOVE _ , ~ . (Circle one) . , _ . - ~ ..7)=._siCZaft.~ ,C~% DaTe: !R6l:s~afllfA;i~?lilt,-~l~fe~/~ss . . . . i~ ~ . . . ~~-M A iaf s~s: ~a"a ra ae ~:5:~•~ f~ Y1 a"R ss11C~-m"giC e F O R C I T Y U S E O N L Y PER+SIT u ISSUED ~ FEES: $ $ e WATER °ERUIIT (INCLUDE SURCHARGr.) $ ~~.~----d WATER METER/COPPERHORN/OUTSIDE REiaGER $ L4ATER T,aP (IVCLUO° CORPORATZC:V S:OP) $ SEWED TAD $ ACCOUNT DEPOSIT - SE"lER , $ ACCOUNT DEPOSIT - WATEB $ WAC $ SAC $ TRUNK T.4AT°? ASSESSME:IT ,.Y $ TRliNK Sc;aER ASSESSMEAIT $ LATERAL BENE4'IT/TRUNK SEidER 'i ' $ LATERAL SEVEFIT/TRUNK WATER $ • OTHER ) - ~ $ TOTAL A:tilOUNT PAID/RECEIPT . 7 ~t~N . . . _ _ . . _ . . . !I1QE5 UTILITY CONNECTION'REQUIRE EXCAVATION ZN PUBLIrC RIGiiT OF WAY? E= YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROAD44AY" MUST SE ISSUED BY THE ~NO ENGINEERING DIVISION. LIST AS A CONDI- TION: SUBJECT TO THE FOLLO?•7ING CONDITIONS_:__ -.r . . . . . . . - . - . . . . ~ APPROVED BY: . . ~ / ; TITLE: DATE c reasr~w~i+~~c~~as~~+~a~+tf~ww~anc+w~~f~aa+c~iawarart?oz's:~xma~wirw~ . PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u z Lo I N G Eagan, MinneSOta 55122-1897 Permit Number: 0 2 7 8 8 6 (612) 681-4675 Date Issued: q 6/g g/g6 SITE ADDRESS: 3810 WILLOW WAY LOT: 68 BLOCK: 1 BRIAR HILL 4TH P.Z.N.: 10-14993-680-01 DESCRIPTION: 4 ~41rf4,.Permit Type BASEMEN7 FINISH y, ype ALTERATION j d~. q ~ rk T 434 ALT. ftESIDEN7IAl. ~ s A' p2b L4 ' @~IX l~~x. F 4 ~ n c° - %rf, U ~-Wv`~ Y n-rj~ &W U%~.v~ aj a~.w~r-xY4-a ° ~ em~( za 3 n_ 5.~t~'~ ~ a =aa .h ka ~;rt REMARKS: FEE SUMMARY: Base Fee $50.00 5urcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - sT. LzC.OWNER: ROELOFS CONST INC, KEN 14718390 0001095 BURNS TIM07HY 1650 SHADYWOOD RD 3810 WILLOW WAY WAYZATA MN 55391 EAGAN MN 55112 (612) 471-8399 i NaYe 'rend 't#~is applipat'a.or!°artd state tttdt 'the 1 her'e by,se.krioal.~d~~ xh4'~ j nform~t,3on: is,c~rr:~ct anc~ agr~=e~, ~p `eomply ~i~kr aJ;l ae Stat; of Mn . ' ~ • S~a~u~~s an.d`C3`~y "ct~~ Eagarl 4rdar?anOe5_, ~ / 1 3 ~.f 9 A'~PLICANT/PERMITEE SICyI,IATURE Th SIG ATURE ' CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~~;,~i t 681-4675 New CunsUUetian Raquirements RemodeUReoatr Reouiremenis ? 3 regislered ske eurveys ? 2 coples of plan ? 2 copfee of plens (Include beem 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (ezterior additians & decks) ? 1 energy ealeulafbns ? 1 energy calculalions for healed additions ? 3 copies of tree proservation plan N lot platted aRer 711/93 reqWred: _ Yea No DATE: CONSTRUCTION COST: ~~~U~~ DESCRIPTION OF WORK: STREET ADDRESS: LOT ~ BLOCK SUBD./P.I.D. PROPERTY Name: ~ Phone OWNER Street Address• City: ~ State: ~ z1p: 41 ~ 31M I47 CoN7RACTOR Company: Ph{one . Street Address: ~ U r License Ciry: State: Zip:Z. ARCHi7ECTl Company: Phone ENGINEER Name: Registration 5treet Address• City: State: Zip: Sewer & water licensed plumher: Penaity applies when address change and lot change are requested once permit is issued. I hereby acknowiedge that I have read this application and state that the information is corcect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY C e r t i f i c a t e s o f S u rve y R e c e i v e d ^ Y e s No ei,A~Y 1 1996 Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY . BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging Basement Finish ? 02 5F Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscelianeous ? 05 SF Misc. ? 70 _ plex ? 15 Deck WORK TYPE ? 31 New ~33 Alterations o 36 Move o 32 Addition o 34 Repair ? 37 ' Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowa6le) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire 5prinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code ~ ,x . Census Bidg ~ Census Unit ~ APPROVALS Planning , Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNUS SAC . City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC 5AC Units 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ L tirr oF EAcnN 3830 PILOT KNOB RD - 55722 851•681-4875 New CanatnicNon Reaulre menh Remodel/Reoair Reaulremenh ? 3 reylstered aNe wrveys atwwlnp aq. fl d bt, aq. ft o1 house 2 copiea of pian ond go rooted arew t20%maxlmum bt coveraae dlowetD 1 set of energy calculallons for heated addlflons > 2 coplea of plans (ahow beam & wlndow aizes; poured fid deslgn; etc.) 1 aite wrvey for exterbr addiflana & decks > 1 set a energy calculallons i J coplea ol hes preaervallon Plan tt lot plaHed alter 7/i/93 DATE: A Lt,c, °l Z~'" n coNsrRU7T yON cosr: ~ Q 8o~ ~ n VGU 6~ 2 t ¢ DESCRIPTION OF WORK: STREETADORE~~ LOT: BLOCK: ~ SUBD./P.I.D. Name: 4U111-0 wt ff Phone PROPER'fY Lust FIM OWNER Sheet Address: Cpy State: Zip: . Company. lL4,,`P &LLS ~Jh~(?4Phone!Z 7z-1 -//07 - (area code) CONiRACTOR ~.s~.Exp. 2 40 / SNeetAddress:- Ucense # C(ty /V/9 I S State: ZiP: S S Y ~Ci ARCHITECT/ ENGINEER Company: Name: Telephone ( ) SMeet Address: RegtsfraHon CHy State: ZiP: Sewerlwater licensed plumber iH installina saweAwaterY. Ph°ne ( I hereby acknowledqe ihat I Iwve read this opplication, state ttaf the infortnafion is cortect, and agree to comply with aA applieable StatE of Minnesota Sfahites and CNy o} Eagan Ordinances. Signafure of Applicanh OFFICE USE ONLY Certificates of Survey Received ~ Yes No Tres Preservation Plan ReCeived _ Yes _ No _ Not Required OFFICE USE ONLY r BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex 0 13 16-plex ? 21 Poroh (3-sea.) ? 31 Exc Alt - Mutti ? 02 SF Dwelling ? OB 06-piex ? 17 Garage ? 22 Porch/Atldn. (4-sea.) ? 33 Ext. AR - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) 0 38 Mutti ? 04 02-plex ? 10 OS-plex ? 19 lower Levet ? 24 Stam Damage ? 05 03-plex ? 17 10-plex Plbg _Y or _ N C] 25 Miscellane0us ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bidg)" ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UeC Occupancy sq. ft. City Water Zoning sq. ft. Baoster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee 9- a5 Valuation: $ _ Surcharge CITY OF EAGAN Plan Review LIC@I7S6 CASHIER: JS TERMINAL NO: 719 MC/ESSAC DATE: 08/09/00 TIME: 13:46:55 City SAC , Water Conn. zn : WatBrMeter NAME: MIKE MOHS CONSTRUCTION Acct. Deposit . , r S/W Pefmit 3210 9001 3808 WILLOW WAY 139.25 SNV Surcharge 2155 9001 3808 WILLOW WAY 3.50 ~ Treatment PI. Park Ded. ~ Trails Ded. Other , Copies ~ Total: 1 L4 -)L SAC UnitS Total Receipt Amount; 142.75 % SAC CR135605 USER ID: SAN - - , , . BRIAR HILL 4TH 14993 PAGE 3 OF 3 PERMTT ~ DATE & USE LOT BL ADDRESS 6i84 a-PLex 570 Ol -3830/ WILLOW WAY 580 01 3826/ 590 Ol 3828 HEATHER DR/ 600 Ol 3824 WILLOW WAY 4/84 4-PLEX 610 Ol 3820/ WILLOW WAY 620 01 3822/ 630 01 3816/ 640 01 3818 2/84 4-PLEX 6$0 01 3812/ WILLOW WAY 660 01 3814/ 670 01 3808/ 680 01 3810 10i83 a-er.Ex 690 Ol 3804/ WILLOW WAY 700 01 3806/ 710 01 3800/ 720 O1 3802 viaz a-Pr.ex 010 02 3802/ HEATHER DR 020 02 3804/ 030 02 3806/ 040 02. 3808 v/sz a-PLEx 050 02 3810/ HEATHER DR 060 02 3812/ 070 02 3814/ 080 02 3816 7 CITY USE ONLY L ~ BL RECEIPT SUBD. o&64oltl DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 551,22 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH tLQ TOTAL Shower 3.00 x = ,3 ~ Water Closet 3.00 x Bath Tub 3.00 u = Lavatory 3.00 x Kitchen Sink L , ` 3.00 :c = Laundry Tray V'`/ 3.00 :c = Hot Tub/Spa ~lS 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 _ Gas Piping Outlet * minimum - 1 3.00 ;c = Rough Openings 1.50 _ Water Softener 5.00 ;c = Private Disposal ' oakota cty. iicense 65.00 = (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Alterations r t0 BXi3ting 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: L~~ A4ui'e-(' INSTALLER NAME: 4--02 Ai'e"V 6~"h STREETADDRESS: ~d~' l7'~~~c- dvg CITY: STATE: ZIP: . PHONE ( (j~L) !33 563~ ~ ~ OFFICE USE ONLY L BL RECEIPT SUBD. DATE: 7996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3$30 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ all commerciallindustrial buildings. ~ multi-family buildings when separate permits are = required for each dweliing unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7 IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. lF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY:LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: fNSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURF: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: ~ Zp' 2006 RESIDENTIAL BUILDING rERmrr nrrLicnTrorr o-O City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeUReoair Reauirements Office'UseOnlv 3 registered site surveys showing sq. R. of lot sq. tt. of house; and all roofed areas 2 copies of plan shovnng foo6ngs, beams, joists Cert ot Survey';Reoi _ Y_ N (20% maximum lot cove2ge allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y N 2 copies of plan showing beam & window saes; poured found design, etc. 1 sile survey for additions & decks Tree PresRequ'ued _ Y _ N 1 setofEnergyCalcula6ons Add'rtion - indicateif on-sifesepticsystem OnsAeSeptlcjSystem - Y ~N 3 copies of Tree Preservation Plan i( lot plaried afler 71153 Rim Joist Detail Options selection sheet (buildings with 3 or less unhs) Minnegasco mechanipl ventilation form Date / / f J Construction Cost Site Address ~~CL I 4, 1:[/ UniUSte # ~ Description of Work iY, i1.S f o 1~('1 /?1 S~ ~C~IV ~f/~~[~i~/~'~!!'1 G~~ S l~~I 1~.~ Multl-Family Bldg _ Y h' N Fireplace(s) _ 0 _ 1 _ 2 Property Owner T ne # ~ S -0 73 contractor Bv, Q S i(~ ~G N PU ryJ\ APR 0 7 2006 Address City dW Pln1ido FhaNh n State iJCtnw PQ8100A0 Zip Telephone ti (Ors C~i UJ I 00 N, Felrvlew ArG. RonvI11Y, MN Od110 q'i K I ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionrype) Submitted 5ubmitted . Energy Envelope Calculations Submitted in the last 12 months, has the City of Eagan issued a perrnit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ~ Mechanical Contractor PG Pi ~l '4-) 1010 Q Telephone #(9Q 73 6, `~7 76/ Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the infortnation 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. ApplicanYs Printed Name App icant's Signa DO NOT WRITE BELOW THIS LINE Sub Tvpes O 01 Foundation ? 07 OS-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 PorchlAddn. (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 O 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New C3 35 Int Improvement ? 38 Demolish Interior ? 44 Siding O 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows(Doors ? 34 RepleCement •Demoli6on (Entire Bldg) - Give PCA handout to applicant Description: WaterDamage_Yes Valuation Occupancy MCES System Plan Review 100%or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length ~ ~ ~ ~ hi 6hSeo69-atltr- Type of Const Width eg0st20a nxne*,1 .evA wgivzia9 N 00119 Lt?@t NM etlivoaoq /08S-6E84?~ REQUIRED INSPECTIONS _ Footings(new bldg) _ Sheetrock _ Footings (deck) _ FinallC.O. _ Footings (addition) _ FinallNo C.O. • Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ F'veplace _ R.I. _ Au Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector - - - Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ð ÿ ú ÿ ÿþ ÿþýþýþþ üÿÿ òöî óî í ÿ øå åí ù ýüûúù ö é ð üúù ö é ÷öéñ ÿò øü ð ü ðååâü ÿù Ú ýÜüÿ ò ãò ò Üü ò ÿû ò æóÿ öö þÿó ó ÿò æðÿó óÿ ÿó ÿÿæ ðÿ ûòä ÿ Üü ûùÿö óÿòùò æ ÿ îçåàçæìæå øü ýü ÿ çìææì Ûÿüÿåþæ ÷ñõþñ ùôó ÿ õ ÿñü ÿã ÿ ýòÿÿ ïöÿù õÿõ÷å ÿ ÿõ÷ìì ëìèïï ûùÿö ÿÿã ÿ ÿ ÿÿ ÿÿó òÿ ÿÿ ò ùöÿÿ ÿûýÿ óõ ÿýÿü ÿðùó ÿ ÿâ ÿ æ ÿé òý ÿü üùý ÿü 41,11`City afEaean 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 675-5675 Fax: (661) 675-5694 Use BLUE or BLACK Ink Date Received: Staff: S-717/2- (19 2`)-/Z 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: II'/4-X Z 9 / X Site Address: 3 f ' 3 FS °, 3 VI 5 L JAL Lor -V t.) Unit d: Fkj RESIDENT t. OWNER�: ;"'' , Name: c/o /45s° c.l +rro ,J 1vi.JSJ 61144- 10-,-J G% Phone: 7 " 3 -1193 3' z 7 Address / City / Zip: 7 °A Z Z_ •;-/,..' Z.rsl E 2 d MAPL 2 Gave 35-3 / / ' Applicant is: Owner X Contractor Description of work: Y/o 6- i2 2-cr Construction Cost: / %l. ffr7° ' Multi -Family Building; (Yes k' / No ) . ' , . = . CONTRAFOR .:: Company: (14/ 4.-7-4/4,.!2. /ri4,, -: , Le',2i? Contact: b L. {i., RIZ, 5 Address; 9o4r f3. !p o .1' fes- City: Al'h r State: / Zip: SSy/ f Phone: cv/ 4- F 1►' - ( W3 License #: 4 C 1'1 / 13 ! Lead Certificate If: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Llceneed Plumber: _ Phone: Mechanical Contractor: Sewer & Water Contractor: Phone; Phone: ::NOTaE. 'la d' :an coo s•.. , ,I��!+!R ��5�`�u .#ld�leid $p.� 4�'i �►;r'�4'�►;-o>F all. :..'' ilhti':� ,r �?!?D�F.I81%,R:,C nP/.: Vides 4Ni'/t~. ,. .. .. .. ,... :�... .,,. -'�_ TM� *l�'a(:?G. ,. ,-.q",r�.ia!!a•�Y,�J ��irE�R.•r ,.... ...... . �.......eoMeliuf� ttiat:Ehtsyr aare,oali� ��+ets:. .. ... ... .. . ... CALL BEFORE YOU DIG. Call Gopher Stats One Call at 1651) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. w Nw,000herstateonecai.orq I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit, and work is not to start without a permit: that the work will be in accordance with the approved plan In the case of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota tate Buitdi de must be completed within 180 days of permit Issuance. n{ x %AL/iq t )/LR/S x Applicant's Printed Name Applicant's Signature Z0 3JCd Page 1 of 3 1NICW dOI831X3 I3S L9Z9T98Zt9 SZ:0t ZIOZ/6Z/S0 Use BLUE or BLACK Ink I I Per office Use--- - I j Permit V of Etan I Permit Fee: 3830 Pilot Knob Road Eagan MN 86722 pate Recelvad: 2-TI 3/, i Phone: (651) 676675 i Staff: I Fax: (651) 675.6694 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date; 3 y She Address: 3 8io, 3 8~ z, 3 y ~1 LGo(,►) is AV Unit Name: e a AbZ.AtZ'4 r__ C. Phone: 763 -.5 FI-- 9'77x ReiIderw o Go~p,s 1~ /n.J owner Address i City /Zip: ~S D E Gr4Yu1Z Qv, A), A r Sryl 7 Applicant is: Owner Contractor a• P L %4'L f^ f b•"J 6 b '01re' 0 i4 9 *0 G O 'Work Description of work: R £w.e ~ E £ TYPO' Construction Cost: , e~dg.. S"oo (IU Multi-Family Building: (Yes No Company: £ 1 Lrrr r ~.Pr o 2 IY~rd~ . Cv .2P. Contact N ✓ r 0 O19uaA' S /dam LJ GatA Y77, City: PL 5 Address ContI~Ct01 state: /VJ'~ zip: SS-09 Phone: lp/ Z - 9 to - Co 2 e1.3 License r~ Z Y/ / 3 > Lead Certificate It If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) t%'Lh4-S_ ~u/L7' PoS:' 157 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: sd tjl~Rlyir~gl~tt(, i* 1Y ~ 1W.M., Phis and the~,lor►neaoii.;~iy • ct ro • r~",ylaitr .gala ~ , • ~ . . CALL BEFORE YOU DIG. Can Gopher State One Call at (651) 454-0M for protection against underground utility damage. Cell 48 hours before you intend to dig to receive locates of underground utilities, vmw.ooaherstateonecall.org 1 hereby acknowledge that this iMOrmstion is oomplele and accurate; that the work will be in conformance with the ordinances and codes of the City of accor : dance that I t with the the appr appr tide is not me but only an appliootion for a pem+R, snd work is not to start without a permit; that the work will be in ccor plan In the e case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued In accordance with tfte Minnesota State Building Code must be complet>Ad within 180 days of permit issuance. X- t'4 4 2.2~ 5 x Applicants Printed Name Applicants Signature Page 1 of 3 b0/TO 39Vd 1NICW 1X3 I3a L9Z9Z98ZZ9 OZ:tT bTOZ/8I/ZO PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161091 Date Issued:05/05/2020 Permit Category:ePermit Site Address: 3808 Willow Way Lot:67 Block: 01 Addition: Briar Hill 4th PID:10-14993-01-670 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Daniel Kerr 3808 Willow Way Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature