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1805 Trailway Dr CITY OF EAGAN I 11$ 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT ' ReceiPt ~t Te be w"d fer Est. Velue f' Date 19 Site Addresa JS aS T RA IL WA2 Erect ? Occupancy Lot Block Sec/Sub. _ Remodel ? Zoning Parcel Na Repair ? Type of Const. Addition ? No. Stories Move ? Length W Name Demolish ? Depth ; Address 1733 Int Impr. ? b City. Phone 34• Ft. Instali ? Approvols Faes , ~ Name Assessment Permit 81 Address ~ City Phone Water 8 Sew. Surcharge Police Plan Review - ~Z Name Firo SAC Address Eny. WaterConn. - 1'~ ~ W City Phone Plonner Water Meter '2 r~ Council Road Unit I hereby acknowledfle thot 1 have reod this opplication ond stote that Bldg. Off. Tt PL the in(ormotion is correct ond agree to comply with ol) opplicoble APC State of Minnesoto Stotutes and Ciry of Eo9an Ordinances. Parks Var. Date Copies Sipnotum of Permittee Total A Bullding Permit Is issued to: ' -on the exprcss condition thot all work sholl be done in accordonce with oll opplicoble Stote of Minnesota Stotutes and Ciry of Eoflan Ordinances. Buildinp Officiol ` Permit No. Pe?mit Holdar Data Telephone # Piumbiny (V.S D -6CA I. OLd H.VA.C. El.ee.ie SoTtensr Inspsetion Date Insp. Other Footings I Footings II Foundatlon Framing Roofing Rough Plbg. Rough Htg. InsuL G4G, ivk Firoplace Final Htg. • • ' ~ Final Plbg• Final c.~vo~~. cchr~rs 3 ~ waser oesc?ibe Loeation: Well Sewsr Pr. Disp. - - PERMIT # MECHANICAL PERMIT RECEIPT # ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Addr'es/~ ~ /211 BLDG. TYPE WORK DESCRIPTION it . Lot~LL Block ~ Sec/Sub ~ . New ~ NameMult Add-on -INING Address ° 84 ~ , Comm. Repair c City e y ip~g Other Name 77 ~ 1e, , 6 72 7, 77, ,z FEES ~ c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU _ 6.00 GAS OUTLETS 1.50 EA. Forced Air M BTU ' COMM/IND 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 10 S/C: C& S TU E OF PERMITTEE ~ ~l ,~f~" S•S TOTAL-/ tl Gv FOR: CITY OF EAGAN CDTY OF EAGAN 11190 3830 Pilot Knob Roal, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Te be wed ier Est. Value Date 'f`• ' , 19 Site Addresa t Erect ? Occupancy Lot Bbck L-----Sec/Sub. f''i-~ .1" Remodel ? Zoning Parcel No. '~T.I s' ~.t?, F~', ' Repair ? Type of Const. Addition ? No. Stories Move ? Length . ~ Name Demolish ? Depth ; Address 7.+.'S Int Impr. ? Sq. Ft. City Phone Ffistall ? + r~ ~ ApProvols Fees Name u~ Address Assessment Permit F City Phone Water 8 Sew. Surcharge Police Plan Review ~W Name i:X, Kh~aIvKt K: C;)I`3 Fire SAC Address Eny. Water Conn. ' 4 W City Phone Plonner Water Meter Council Road Unit ' 1 hereby atkrvowledge thot I hove reod this opplication and stote thot Bldg. Off. Tr. PI. the information is torrect ond ogree to comply,with oll opplicable APC ~ Stots of Minnesota Stotutes and City of Eogon Ordinonces. Parks Var. Date Copies Sipnaturc of Permittea _ Total - ' • A Building Permit Is issued to: on the exprcss condition thaiJ oll work shall be done in accordance with oll applicoble Stote of Minnesoto Stotutes ond City of Eaqon Ordinonces. ~ Buildinp Offlclol - Permit No. Parmit Holdsr Data Telaphone it Plumbinq rg~- H.v.,.c. ~ ~-l ~~L ~ l (o L( . Electric Softannr Inapection Date Insp. Other Footings 1 Footings 11 Foundation Framing Roofins Rough Plbg. Rough Htg. Insul. .f aor Fireplace 9- P=~~ . 30 Flnal Htg. Finsl Plbg. ..Ag Fin4l CeFyOcc. Wffier ~~ibe Location: Well Sewer Pr. Disp. . _ . PERMIT # -7wly MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Addres§ ~5:F BLDG. TYPE WORK DESCRIPTION Lot V Block ResNew ~ ~ Name 0.. ~ .K Mult Add-on y Address~` T , 11'~!Vcpk Comm. Repair c Ciry ..t...:~...- _ . R~A~ - Other ~ Name FEES c Addre RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK~ M BTU ADDITIONAL 6 M BTU - 6.00 D G` GAS OUTLETS - 1.50 EA. Forced Air ~COMM/IND 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 (ADD $.50 S/C IF PERMIT PRICE GOES Vent. CFM gEyOND $1,000.00) Gas Piping Outlets # Other ~ FEE: S/'C. !iU SIG UR F PERMITTE~ t~C TOTAv ll , FOR: CITY OF EAGAN SITE ADDRESS 1805 TRAILWAY DR Unit # 7 Permit # 11189 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING (YlY 4 , ROUGH PLBG. 14/ ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG - /a r UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1805 TRAILWAY DR Unit # 6 Permit # 11189 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING -zzl/~(, . ROUGH PLBG. --lp~G ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG IJNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1805 TRAILWAY DR Unit # 5 Permit # 11189 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING Q H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING 72 - ilp ~l ROUGH PLBG. ROUGH HT6. INSUL FIREPLACE / Xf,~ FINAL HTG FINAL PLBG UNIT FINAL 9 _ CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1805 TRAILWAY DR Unit # 4 Permit # 11189 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING ~1~3 g- ~g~ H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE B- FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 2805 TRAILWAY DR Unit # 3 Permit # 11189 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING _ Z"G _ ~67 A, . ROUGH PLBG. d s~ ~ ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG , tq UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1805 TRAILWAY DR Unit # 2 Permit # 11189 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING 3 g~ H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ZZ - ~ ROUGH PLBG. lb ~ . ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG , UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1805 TRAILWAY DR 1 11189 Unit # Permit # TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. EIECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ,ZZ..~~ ROUGH PLBG. - 0 ~ ROUGH HTG. 16zf- INSUL 14~~ ~j(r t(-,ev FIREPLACE FINAL HTG -)ge . FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1805 TRAILWAY DR Unit # 8 Permit # 11189 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING s , H.V.A.C. ELECTRIC INSPECTION DATE INSPECT R OTHER FRAMING AlAt ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE ~Q -~6~ ~6 GU, FINAL HTG FINAL PLBG 9, --~r~ UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1807 TRAILWAY DR Unit # 8 Permit # 11190 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING ~ 5,j H.V.A.C. ELECTRIC IIVSPECTION DATE INSPECTOR OTHER FRAMING -Z-Z~ 1v4. ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE l~d FINAL HTG FINAL PLB6 , UNIT FINAL f VI- CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SiTE ADDRESS 1807 TRAILWAY DR Unit # 7 Permit # 11190 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECT R OTHER FRAMING z,Z- ROUGH PLBG. C7-1,0 ~ ROUGH HTG. 6 INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1807 TRAILWAY DR Unit # 6 Permit # 11190 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING ^ H.V.A.C. ELECTRIC INSPECTION DATE INSPECT R OTHER FRAMING ROUGH PLBG. ROUGH HTG. 6 P~ INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1807 TRAILWAY DR Unit # 5 Permit # 11190 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECT R OTHER FRAMING q- Z~- d G W, K ~ ROUGH PLBG. - 6 ~ ROUGH HTG. INSUL FIREPLACE j0 - Fj-~Lr G{,~, ~ FINAL HTG FINAL PLBG ~ . J UNIT FINAL ~r(I~ CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1807 TRAILWAY DR Unit # 4 Permit # 11190 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING 6 q SCj,,~ OLql IQ-I q H.V.A.C. ' ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING i ROUGH PLBG. . ROUGH HTG. /p ///j(~ ~ INSUL ozz) FIREPLACE lr(~ FINAL HTG /I izf FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1807 TRAILWAY DR Unit # 3 Permit # 11190 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING p ROUGH PLBG. ROUGH HTG. / o INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1807 TRAILWAY DR Unit # 2 Permit # 11190 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING - ~z • ~g ROUGH PLBG. GC - ROUGH HTG. INSUL /0 6a,~- FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1807 TRAILWAY DR Unit # 1 permit # 11190 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING Cp 3 0? r S~; a I a'JR I~ H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING g-LZ.. ~ ROUGH PLBG. _ ROUGH HTG. INSUL ~p.- f'!~(• • FIREPLACE FINAL HT6 FINAL PLBG UNIT FINAL ~y CERT/OCC INSPECTION DATE INSPECTOR COMMENTS Receipt PLUMBING PERMIT Perrriit No: CITY OF EAGAN. ; ` Fee : Fill rn numbered spaces - 'S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. ~ rac - - A~ 4. Owner °~l y~. • rZ - ~ 5. Contractor Phone S • ' °1' 6. Address 7. City State ` Zip _4 8. Building Type: Residential O Commercial F-I Institutional ? » 9. Work Description: New C7 Add ? Alter ? Repair ? 10. Describe , rr ~ 11. No, Fixtures No. Fixtures ? - - a -Water Closet Cesspool/Drainfield ` r Bath tubs Septic Tank ~ Lavatory Softner d Shower Well ' Kitchen Sink Urinal/Bidet Other ~ Laundry Tray Floor Drains Drinking Ftn. Slop Sink - Gas Piping Outlets f` 12. I hereby certify that the above information is true and correct, and I agree to i comply with all ordinances and codes governing this type of work. Signed : - y for - Rough Final Inspections: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 CITY OF EAGAN Remarks Addition BLACKHAWK TOWNHOUSE APTS Lot 10 Blk 0 PafCel. 1'8' "''i00 00 Owner Street 1$05 - 1$07 Trailway D~tate Eagan, MN 55122 Improvement Date Amouni Annual Years Payment Receipt Date STREETSURF. S2@ rcel #1 02900 01 0 for ori i al assessmeats STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL + WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT Road Unit SM0.00 57047&57048 10/29/85 WATER CONN. 500.00 BUILDING PER, L1189&11190 sAC 525.00 PARK ; TOWNHOUSE CITY OF EAGAN N° 11189 . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 y PH 011! E: 454-8100 BUILDiNG PERMIT ~ Receipt # Te be used for 8 UN I T M. D. Est. Value $ 3 7 3j0 0 0 Date OCTOBER 29 1 9 85 Site Address 1805 TRAILWAY DR Erect Kl Occupancy R1 Lot 10 Block 1 Sec/Sub. BLACKHAWK TOWN- Remodel ? Zoning R4 Parcel No. HOUSE APTS Repair ? Type of Const. V 1 HR Addition ? No. Stories 2 TAddr e WALNU T TRAILS Demolish ? Depth 83 ess 7 9 0 0 XERXES AVE SO # 17 3 3 int Impr. ? sq. Ft. 4 3 City BLMTN Phone 8 3 5- 0 8 2 2 Install ? 7,200 , o Name SHAREVEST INC Approvals Fees A d d r e s s S~ E Assessment Permit $ 1j113.0( ~ City Phone Water & Sew. Surcharge 186.0( ~ Police Plan Review 556.5( FZ Name KORSUNSKY, KRANK, ERICKSON Fire SAC 3' 3Fi0 . O( x~ Address 570 GALAXY BLDG Eng. Water Conn. 3, 2 0 0. 0( t W City Mp T. S Phone 339 - 4 2 0 0 Plcnner Water Meter 120.0( Council Road Unit 1g7 9 2. 0( I hereby ocknowtedge thut I have reod this application te that gldg. Off. 10 / 2 9/ 8 Tr, pI, 848.0( the iniormotion is correct a gree to ' cll plicoble APC Stote of Minnesota Stot and City a rdino s. Parks Var. Date Copies Signcture of Permi Total $11, 17 5. 5( h Building Permit is issued to:" SHAR ST INC on the express condition thai all work sholl be done in accordance w' II plicoble St t of innesote Statutes ond Ciry of Eagon Ordinonces. 9uilding Official TOWNHOUSE CITY OF EAGAN N 0- 11190 . 3830 Pilot:.Knob Raad, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 206 ~ BUILDING PERMIT ' Receipt # I~8 5 Te be used for 8 UN IT M. D. Est. Value $ 3 7 3,0 0 0 Date OCTOBER 29 SiteAddress 1807 TRAILWAY DR Erect IR Occupancy R1 Lot 10 Block 1 Sec/Sub. BLACKHAWK TOWN- Remodel ? Zoning R4 Parcel No. HOUSE APTS Repair ? Type of Const. V 1 HR Addition ? No. Stories 2 ce Name WALNUT TRAILS Move ? Length 83 Z 7 9 0 0 XERXES AVE SO . # 17 3 3 Demolish ? Depth 43 Address Y Int. Impr. ? Sq. Ft. ~ City BLMTN Phone 8 3 5- 0 8 2 2 Install ? 7,200 SHAREVEST INC Approvols Fees Name ,o Z~ Sp~E Assessment Permit $ 1,113.00 o Address ~ Woter & Sew. Surcharge 186.00 City Phone Pol ice Plan Review 5 5 6. 5 0 ~W Name KORSUNSKYR KRANK, ERICKSON Fire SAC 3, 360.00 Address 570 GALAXY BLDG Eng. Water Conn. 3, 2 0 0. 0 0 ~ W City MpT.S Phone 3 3 9- 4 2 0 0 Planner Water Meter 120.00 Council Road Unit 1,792.00 I hereby ocknowledge that I heve read this opplicotio - s te that gldg. Off. 0 2 9 S Tr. PI. H 4 8. 00- the intormotion is cerrect ond a to comply oll o licoble APC State of Minnesoto Stotutes ty of Ea inon s. Parks Var. Date Copies Signcture of Permitt Total $11, 17 5. 5 0 h Building Permit is issued to: REVE on the express tondition thar all work shell be done in occordance with pl~ le Stote o Minn m Statutes end City of Eo9an Ordinonces. Building Official ~ _ CIT'Y OF 5AGAN WATER SERVICE PERMIT . 383q.P114;t Knob Road - P. rp,, Box 21199 , PERMIT NO.: - . . L 1 . . -'Eagan, MN 551"2,1 DATE: y Zoning: No. of Units: •T .3.•~,.,C' Owner: ~ m . i. f:. ~ Address: i.`~..,'~y aC x: i - , < Site Address: 4~, ry' , t tJ rl ..1~ r,= Plumber. Meter No.: -3 7q 3 ~6 Connection Chgrge: ~ Size: i " pCf Aiccourtt Deposit: I. Reader No.• .6 vv /V_ Perrnit Fee: i ~ „ yt.. 1 agree to wmply wilh tLe :Citi? of -Eag`sn Surcharge: , , OrditaneSs. Misc. Chorfles: Total: , ~ A gY Dcte Pcid: Date of Insp.: InSP•: q- z 3 - - _ - - ~ ; CITY OF EAGAN SEWER SERVICE PERMIT ~ ~ 3830 Pilot Knob Road pE~IT NO.: j ' P. O. Box 21199 ~ Eagan, MN 55121 DATE: i ' Zoning: No. of Units: 1i Owner: - ~ ~ ~ . ~ I Address: ~ , ; Site Address: ~ ' Piumber: ; j ' 1 egree M eoanply witb the Cih? oE EO9on Connection Chcrpe: I Ordinanees. Account Depasit: ~ Permit Fee: ~ iI ` Surcharge: I ~ By Misc. Chorges: I, ' Date of I nsp.: Total: ~ ~ Date Pcid: ~ ~ I nsp.: ; i i ~ _ ~ II . 1985 BUILDING PERMIT APPLICATION - CITY OF EAG1N NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS ~ 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS • To Be Used For : Valuation : Date : S ~ Site Address: I(PD !5 4 ~ OFFICE USE ONLY - l Lot.l~ Sect/Su1B1ackhawk 'IEcreAlhouse_~tsQccupancy ~ Remodel Zoning Parcel Repair Type of Const . . . , . . Addition # of Stories Owner Walnut Trails t Move ~ Length Demolish Depth AddresZ900 Xerxes Ave. S. #1733 Int.Impr. Sq Ft ~ Install Ci t y/ Z ip ftbe o m i ngt o n M N 55431 . . . . , Phon e 8 3 S- 0 8 2 2 gPPROVALS FEES ~ Contractor S h a r e v e s t, I n c. Assessments Permit Water/Sewer Surcharge Address 7900 Xerxes Ave. S. #1733 Police ~ Plan Review ~ Fire SAC City/Zip Code Bloomington, MN 55431 Engr Water Conn Planner Water Meter Phone 835-0822 Council Road Unit ~ - Bldg Off Treatment Pl ~ Arch./Engr. Korsundkv Krank EricksQn APC Parks Variance Copies Address 320 Second Ave. S. ~ TOTAL City/Zip CoddKinneapolis?_ M_N 55401„ Phone # 339-4200 / 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY , SET OF ENERGY CALCULATIONS ( ~ To Be Used For : ~ Valuation• . Date• . / m Site Address: OFFICE USE ONLY /0 ~ . Lot:~- Block Sect/Su@lackhawk 'I&v$bouse AptsOccupancy .......r Remodel Zoning _........r., Parcel # - - Repair Type of Const . Addition of Stories Owner Walnut Trails Move ~ Length ~ 7900 Xerxes Ave, S. #1733 Demolish Depth Address Int.Impr. ~ Sq Ft ~ Install City/ Zip &)~%o m i n g t o n, MN 55431 Phone 8 3 S- 0 8 2 2 AppROVALS FEES ~ Contractor Sharevest, Inc. Assessments Permit ~ Water/Sewer Surcharge Address 7900 Xerxes Ave. S. #1733 police ~ Plan Review ~ Fire SAC City/Zip Code Bloomington, MN 55431 Engr Water Conn ~ Planner Water Meter Phone 835-0822 Council Road Unit Bldg Offl_~ 2 Treatment Pl ~ Arch./Engr. Korsundky Krank Erickson APC Parks Variance Copies Address 320 Second Ave. S. ~ TOTAL City/Zip Codginneapolis, MN 55401 Phone # 339-4200 ' ' . " x ' 1 N FMOSITA o • I • ' m I A ' ET I I O' ` 3I • M ~r• e ~ a• • • ~ . • ~ : - a~~ ~ ~ o ~ • • ; . •g n R, U CITY OF EAGAN APPLICATION FOR PERMIT SEWER ANID/OR WATER CONNECTION (Please PROPII2TY ADDRFSS : Pr nt )r - 1) T FY;AT• DE5CRIPTION: 2L (Lot Block Subdivision or Tax Parcel I.D. NuAber) IF EXISTING STRC'C'I'~.~RE, DATE OF ORIGINAL BUILDING PERMIT ISSL~ANC~'.E: (Month Year) PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DL'PLEX ('Itivo Lnits ) R-3 TOWNHOL'SE (Three + Lnits) ( Lnits) R-4 APARTMENT/CONIDOMINIUM Lnits ) CONIl~CIAL/RETAIL/OFFICE INIDC'STR.IAL INS'IIT`CTIONAL/GO 2 ) • : . . . NAME. , . ADDxESS : CITY, STA'I'E, ZIP : PHONE: 3) For City tse N11ME : Plumbers LicensF ~D~ss : tive CITY, STATE, ZIP: C= ed PHONE : MA.STER LICENSE t R OY'c T ~ Staff iti . 4) - :~d ~:.i~ NAME• . ADDRFSS: CITY, STATE, ZIP : PHONE : 5 ) ii a • ~ : • CONNECTION TO CITY SEWER XCONNECTION TO CITY WATER Q OTHER (Please Describe) 6) v~' •?i ~ PLF.A.SE HOLD APPROVID PERMIT FOR PICK-L'P BY ONE OF ABOVE PLFA.SE MAIL APPROVID PERNIIT TO l, 21 31, 41 ABOVE " (Circle one) p . ~ ' F O R C I T Y U S E O N L Y " , ~ PE??MIT ` ISSUED ; FEE'S : $ ~ SE:,;ER nERMIT ( I`1CLvLi. SURC_:?RCE) ; $ /C,~ WATER PERD'[IT (INCLuDE SliRCHARGE ) , $ ~4-.v u WtiTER METER/COPPERHORN/OUTS IDE READER $ WATER TAP (INCLUDE CORPORATION STOP) , $ SLWER TAP $ r. -.T J. r. C ^ - - R ` - . l.. . . : ~ _ 1 ~ _ . ; ~ ` j a - $ ACCOliNT DEPnS IT - WATLER ° $ v Cj WAC , . $ SP.C $ TRU;,7K jIATER ASSESS.IE:1T ' $ TRliNK SE.vER ASSLSSMENT ; $ LhTEP.riL BENEFIT/TRUNK SE::LR $ LATE:~L BENEFIT/TRU:VK jJATER $ WATER TREATMENT PLANT S URCHARGE $ OTHER: $ TOTAL Arl ~ OLtiT PAID/REC..IPT ~ . 7 ' DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY? ; YES IF YES, THEN ti"PERMIT FOR WORK WITHIN ' PUBLIC ROADWAY" MUST BE ISSUED BY THE ~ NO ENGINEERING DIVTSION. LIST AS A CONDI- TION . SL'BJECT TO THE FOI,L,WING CONDITIONS : ; APPROVED BY: TIA'LE: DATE: . - „ , Use BLUE or BLACK Ink r I For Office Use L Permit City of Ea I Permit Fee: 3830 Pilot Knob Road i I Eagan MN 55122 i I Date Received: I Phone: (651) 675-5675 1 Fax: (651) 675-5694 j Staff: i-----------------1 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: I `l )`?0 -7 Tenant Name: u~1 o a r (Tenant is: New / Existing) Suite 33 Former Tenant: _ i Name: 3 /,49 . Phone: erZ 77 - `l I Property Owner Address / City / Zip: pl~~,/! 7~ i E Applicant is: Owner Contractor Type of Work Description of work: I Construction Cost: Name: AlOi~ W e S 1 C 0 4/ eiY6 License 1 Contractor Address: _6 L 3 City: )NrIc- 6101;C State: A dam Zip: 55 311 Phone: Contact: Email: j Name: Registration .4) If Architect/Engineer Address: City: State: Zip: Phone: i tl Contact Person: Email: Licensed plumber installing new sewer/water service: _ Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portionof the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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, ch requires a review and approval of plans. x ~J r y;r>v Applicant's Printed Name is nt's Signat Page 1 of 3 atm For Office UseQ n 7 , ; i ; , Permit ft: /-5—5 (0 .. % EAGAN � ..• Permit Fee: Staff: _ 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 ba a.au.x=la sacroas.assec c a1 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 1 Payment Recvd: _Yes No Email:buildincinsoectio ist citYofeaoan.com 1 Plan Submittal:eolansecitvofea an.com L Plans:_Electronic Paper 2018 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email,CD or flash drive Date: 7--d7---/y Site Address: / TC" ' /1.- W 4 I n U- Tenant:_ Suite#: Property �—/- e----- r/. 7 a J 7 Owner Name: i ; it ` / . ,,rL_�.e,i_, -hone: lb 7 I _ Name: I 1, fiI , r/A4rie#: �� 7i 15 / o Contractor Address: Y / T rn �r,t 1& p State W Zip:,SSD o7 �7 1 I 6s-1-y1 I Phone:tc�S 1 7 ap 57 Email: a 0 c ilii ' j I , _New $L Replacement Repair _Rebuild Modify Space Work in R.O.W. Type of Work � `�� _ — Description of work: \\E� COMMERCIAL _New Construction _~ Modify Space i 1 I _Irrigation System( yes/_no)(_RPZ I_PVB) ' • Rain sensors required on irrigation systems i i Permit T ( • Avg.GPM 1 � ypeg (2"turbo required unless smaller size allowed by Public Works) � I 1 _Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. i Domestic:Size&Type Fire: 1 1 Avg.GPM High demand devices?_Yes_No _Flushometers_Yes_No COMMERCIAL FEES ' Contract Value$ .3 ot 0 O x.01 I I $60.00 Permit Fee Minimum i 1 $60.00 PVB/RPZ Permit(includes State Surcharc; =$ Permit Fee I =$ Surcharge f Surcharge=Contract Value x$0.0005 N the project valuation is over$1 million,please call for Surcharge - _ _ =$ TOTAL FEE Following fees apply when installing a new lawn irrigation system ~ ~ `- $ Water Permit IContact the City's Engineering Department.(651)675-5646,for required fee amounts. $ Treatment Plant i' $ Water Supply&Storage t — _ $ / _•�Sttaattee Surcharge 1 i =$ (p,2V vTOTAL FEE You may subscribe to mcslw an eleetronk notification TiOni the City of proposed ordinances by signing up for an email update on the City's website at www.cltvoftasian.comisubscribe. CALL BEFORE YOU DIG. Call Gopher Slate One Call at(651)454-0002 for protection against underground uti I hereby acknowledge that this information is complete and accurate:that the work wit be in conformance wlh nces and •• • the City of Eagan:that I understand this Is not a permit,but only an application permit,and work is not to start a permit;that the work will be in •- the • •an In the care of work which requires a review :7ThTe . 0 .. x ,. • , i #foed97---\__J Applicant's Printed Name Applicants Signature �f FOR OFFICE USE Approved By: Date: 2-g '1 7 Required Inspections: Under Ground Rough-In Air Test _Gas Test Final PRV Required: Yes No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 1 of 3