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1809 Trailway Dr CITY OF EAGAN " °'t 1$7 3830 Pilot Knob Aoad, P.O. Box 27-199, Eagan, MN 55121 PH ON E : 454-8100 BUILDING PERMIT Receipt # Te 6e wW ier Est. Value pote , 19 Site Addresa Erect ? Occupancy ~ Remodel ? Zoning Lot Block SecJSub, 1 r'Repair ? Type of Const, ,n Parcel No. Addition ? No. Stories Move ? Length w Name Demolish ? Depth _ ~ Address Int Impr. ? Sq. Ft. City Phone cInstall ~ j r ne Approvab Fees o Name A~~~ Assessment Permit ~ City Phane Water E, Sew. Surcharge ~ Palice Plan Review 'J ~W Neme Fira 5AC i W Address Enq. INaterConn. - t W City" Phone s~~ "4 2`-, Planner Water Meter Countil Road Unit + • - I hereby acknowfedge that I hove read this opplication and stute that gldg. 01f.1 c -5 Tr. PI. - the informotion ii torrect and ugree to tomply with oll opplicoble APC Stota of Minnesota $totutes ond City of Eogan Ordinancet. Park$ Var. Date Cppies Sipnoturc of Pertnittee ~ Total h Building Pertnit Is issued to: " on the exp?ess conditiori thot all work sholl be done in xcordorxe with oll applicable Stote of Minnesota Stotutes and City o# Eoflen Ordinances. Buildlnfl Official Permit Mo. Pe?mit Holdar Date Telaphorte # Plwnbinq g~- H.LA.C. C- ; EMetNc Softarnr Irapection Date Insp. Other Footings 1 le Footings 11 Foundation Framing Rooffng Rouph Wbq. Rongh Hty. Insul. Fireplace Final Htg. Flnal Plby. C J N n Final CrrtlOcc. Watsr D*scri6e Loeation: Well Sewer Pr: D1sfs. ' PERMIT # v G MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Ad ess ' BLDG. TYPE WORK DESCRIPTION Lot. Block Sec/ New ~ Name u+• ~^5;tiTc¦ M•A Mult Add-on M Address l Comm. Repeir c City Phvne Other ~ ~ Nam FEES 3 Address RES. HVAC 0-100 M BTU -$24.00 p City Phon ADDiTIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 Forced Air 'c Ut~ ~Xv M BTA GAS OUTLETS - 1.50 EA. 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 BEYQND $1,000.00) Gas Piping OuUats # Other ~ FEE S/C. , GYJ IGNATURE OF PER EE - ~aF 9C? a1 TOTAL A~ ' FOR: CITY OF EAGAN s - _ . . ° ` CITY nF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Re«ipt # To M ww fw Est. Vclue i: Dote , 19 Site Addreas 18[ 1 ~ Erect 11 Occupancy Lot Bfock SeclSub. Remodel ? 2oning Percel Na Repair ? Type of Const. Addition ? No. Stwiea Move ? Length W Name Demolish ? Depth ~ Addresa Int Impr. ? Sq. Ft. City Phone Instell 11 Name Approral• Fees ~ A15 A~ress 1lssessment Permit v Woter S Sew. Surcharge ~ City Phone Police Plan Review ~W Name Firo SAC xi Addresa Enp. Water Conn ceW City Phone Plonner Water Meter Countil Road Uni[ I hereby acknowledgs thot I haw reod this application ond stote that Bldg. Off. !•'t Tr. Pl the informafion 1s correcf and egree to comply with all applicoble APC State of Minnesoto Srotutes and Gty of Eaqan Ordinanus. Perks Var. Date C~~~ Slpnaturo of PeRnittee . Total A 8uildiny Permit Is issued fo: ' on the express condition that oll work sholl be done in occordonce with oll oppliaobla State of Minnesota Statutes ond City of Eaqon Ordinances. Buildinp Official - Pwmk No. Prrmit Holdw Daw Tslephons if Plumbiny 6f- (p J•a,-i~~-. c-~; ~~4~~ HM.a.c. w,; ~ - - EbaMe L',~b Sohuw Inwection Dste Insp. Othar Footlngs I (,j~ Footin9a 11 Foundadon Framiny Roofing Rou9h Pieg. Rough Htg. Insul. je~ Firoplaee Final Htg. Flnal Plbg. , 7 _ l Flnal Cert/Occ. Wat Dascribe Location: WoII Ssrver Pr. Disp. PERMIT # , j • MECHANICAL PERMIT RECEIPT # r/-X E Is 3 CITY OF EAGAN 3830 PILOT KNOB ROAD, EA(iAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Address ; BLpG. TYPE WORK DESCRIPTION LOt BIOCk I S6C/ u r t~ r SUBLIARANAIR `"r Res. New 2 Name ofi Mult Add-on s Address INNE Comm. Repair c City Phone Other Name FEES c Address RES. HVAC 0-100 M BTU -$24.00 p Ciry Ph ne 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 E/~ Forced Air U/7f?5 M BT 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: S/C: ~ IGNATURE OF PER EE TOTAL• , FOR: CITY OF EAGAN SITE ADDRESS 1809 TRAILWAY DR Unit M 6 Permit # 11187 TYPE PERMIT M PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECT R OTHER FRAMING ROUGH PLBG. ROUGH HTG. qI ~(f , ~ INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL aa ~ CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1809 TRAILWAY DR Unit # 5 Permit # 11187 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING j C, 6~k ~~f g l H.V.A.C. ELECTRIG INSPECTION DATE INSPECTD OTHER FRAMING ROU6H PLB6. 71 ROUGH HTG. :~z /o 71,Y ~c ~ INSUL FIREPLACE FINAL HTG ex' FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR - CONFMENTS SITE ADDRESS 1809 TRAILWAY DR Unit # 4 Permit # 11187 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING la'Jq H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING T, x•' ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE ,i{~ ~ FINAL HTG FINAL PLBG UNIT FINAL CERTIOCC iNSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1809 TRAILWAY DR Unit # 3 Permit # 11187 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE N PLUMBING W~ ~ • ~~q~~ ~ H.V,A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING -)o_ ~ . ROUGH PLBG. g: I?A ROUGH HTG. INSUL FIREPLACE FINALHTG 16?-1(- FINAL PLBG UNIT FINAL / - CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1809 TRAILWAY DR Unit #F 2 Permit k 11187 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING C r~~ I H.V.A.C. ELECTRIC INSPECTION DATE INSPECT R OTHER FRAMIN6 ROUGH PLBG. ROUGH HTG. ~ INSUL /9~ FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC ~ INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1809 TRAILWAY DR Unit # 1 Permit # 11187 TYPE PERMIT # PERMIT CONTRAGTOR DATE TELEPHONE # PLUMBING 0-1Gt lg H.V.A.C. ELECTRIC 7- INSPECTION DATE INSPECTOR OTHER FRAMING ~ ~j • ROUGH PLBG. -p 3- 6 ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERTlOCC INSPECTIUN DATE INSPECTOR CQMMENTS SITE ADDRESS 1809 TRAILWAY DR Unit M 7 Permit # 11187 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING r~~nsd S(h~ /9 H.V.A.C. ELECTRIC INSPECTION DATE INSPECTO OTHER FRAMING ROUGH PLBG. ROUGH HTG. Q~y7 INSUL ~~y7~p4 i ~ ~G &~J ~`~•,~.'S.! FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL / 5- / CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1809 TRAILWAY DR unit # 6 Pertnit M 11187 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE N PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECT OTHER FRAMING '.70 , k 4 ROUGH PLBG. q`e ROUGH HTG. 7 flc fG~ le f 4 INSUL g ~ FIREPLAGE FINAL HTG FINAL PLBG UNIT FINAL , GERTIOCC INSPECTION DATE INSPECTOR COMMENTS SITE ADORESS 1811 TRAILWAY DR Unit 11 8 Pertnit # 11188 TYPE PERMIT M PERMIT CONTRACTOR DATE TELEPHONE N PLUMBIN6 (3 o'' y-Y,- H.V.A.C. ELECTRIC INSPECTION DATE INSPECT R OTHER FRAMING - ~ . ROUGH PLBG. _k ROUGH HTG. ~p4 p INSUL -ql. 0 ~g4 FIREPLACE FINAL HTG FINAL PLBG ~ ~ ~ , UNIT FINAL CERTIOCC ~ INSPEGTION DATE INSPEGTOR COMMENTS SITE ADDRESS 1811 TRAILWAY DR Unit # 7 Permit N 11188 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTHIC INSPECTIQN DATE INSPECTOR OTHER FRAMING . • ROUGH PLBG. ROUGH NTG. V- INSUL g FIREPLACE p FINAL HTG FINAL PLBG , UNIT FINAL LO CERT/OCC I" w\9cd4Ac4n! INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1811 TR.AILWAY DR Unit # 6 Permit 11188 # TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE# PLUMBING lc)l H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING zo • ROUGH PLBG. ROUGH HTG. ~~~(~~~4 INSUL $34 Y4 ~ FIREPLACE FINAL HTG ID- 1 FINAL PLBG Q~_~C UNIT FINAL /0 CERT/OCC INSPECTION DATE INSPECTOR COMMENTS . SITE ADDRESS 1811 TRAILWAY DR Unit N 5 Permit N 11188 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING ~y 3 ,j ~S (~i ~ ,c~-!q r~~ H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHEH FRAMING ROUGH PLBG. ROUGH NTG. ~ ~ ,F ~ff,kj INSUL Y r X~(J FIREPLACE 913 J' FINAL NTG F INAL PLBG UNIT FINAL 10 , CERTIOCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1811 TRAILWAY DR Unit # 4 Permit M 11188 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECT R OTHER FRAMING y' -)j • ~6 ROUGH PLBG. _ e ROUGH HTG. yT p ,~LU INSUL ~ yjl r(~ l(.!j . FIREPLACE ~ ' - FINAL HTG Ae~ FINAL PLBG ~--a ~6 , , • ~ UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1811 TRAILWAY DR Unit # 3 Permit N 11188 TYPE PERMIT N PERMIT CONTRACTOR DATE TELEPHONE M PLUMBING SC.hi ~~I ~ H.V.A.C. ELECTRIC INSPECTION DATE INSPEC R OTHER FRAMING ROUGH PLBG. 792 ~ ROUGH HTG. ~ S7 frlr iNSUL ~ s-llY4 X4- FIREPLACE FINAL HTG FINAL PLBG G, UNIT FINAL & -3 ~T.tCERT/OCC INSPECTION DATE INSPECTOR COMMENTS 51TE ADDRESS 1811 TRAILWAY DR Unit # 2 permit # 11188 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ' ELECTRIG INSPECTION DATE INSPECT R OTHER FRAMING - ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION OATE INSPECTOR COMMENTS SITE ADORESS 1811 TRAILWAY DR Unit # 1 Pemnit # 11188 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING (o H.V.A.C. ELECTRIC INSPECTION DATE INSPECT R OTHER FRAMING V~ ROUGH PLBG. _ ~ '0`~3 ~i • . ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS Receipt PLUMBING PERMIT Parmit No. CITY OF EAGAN Fae Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address G' Lot Blk. Tract 4. Owner 5. Contractor • - ~ - Phone 6. Address 7. City State 2ip ~ S. Building Type: Residential ? Commercial 0 Institutional 0 9. Work Description: New Ll Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Other = Laundry Tray Floor Drains Drinking Ftn, n Slop Sink • Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with atl ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. _ Date tnsp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 C1TY OF EAGAN Remarks Addition BLACKHAWK TOWNHOUSF APTfi Lot $ alk n Parcel Owner s«Qet 1809 - 1$11 Trailway Dr.te Eaga , MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. S2F: r'CEZ 1 02900 Ol f r T'igi STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK S70RM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT Road Uni 570 5&57046 10 29 85 WATER CONN. 500.00 11 BUILDING PER. SAC n u PARK lAg1'. . j ' • , - ~t . . C~TY OF E,~?GAN WATER SERVICE PERMIT 3830 Pitat Knoti Road PERMIT NO.: P. O. Box ?1199 DA7E: - Eegun, MN 55121 No. of Units: Zoninp: Owner. . . _i. `'r . . • ~ /\ddresa: Z~:,1~- 1~'.il Plumber. on CF+arqe: No.: Mater t -DWOsit: . sim: ' 1` ° `'k g~ iyy ~ - ~ae. No.: a 5N ~tc. I .a~» h osw~.b vrO tht orai"°"w"' REQ RED " Tota : Date Paid: B IrnP.: Date of IrKp.: gI 1~~7~ ~R SERy~E PERMR CITY OF EAGAN 3830 Pi1ot Kneb Road PERMIT NO.: p. O. Box 21199 pATE: Eagan, MN 55127 Na, of Units: Zanirg: ~ pwrnr: Addross: Site Address: Piumber. Cor~nsction Cha~' 1 a~ w aesn/1f N. G1r of us°~ Account Devosir. p"Booram Pemnit Faa: SurcF+crgm: Misc. C~+oro~ By Total: pote of Irop•: Doty paid: ~ {nsp.: i ~t4e~' ~ • ;.,~1' • ? •1F~~, - : • ~ ~r '{''`"Rt :n~~ ` lf . . 3~ . - _ _~It . _w TOWNHOUSE CITY OF EAGQN N2 11187 3830 Pilot Knob Rosd, P.O: box 21-199, Eagan, MN 55121 PHONE: 4548100 aU1LDING ~ERMIT aKe;pt # S7G ~ Te ie wod fae 8 UNIT M.D. Est. Volue $373,000 Dafe pCTOBER 29 19 85 SiteAddress 1809 TRAILWAY DR Erect ~ Occupancy R1 Lot $ elock 1 ~ec/Sub. BLACKHAWK TQWN-Remodel ? Zoning R4 Parcel No. HOUSE APTS Repair ? Type of Const, V I NR Addition ? No. Stories a ~ Name W»NUT TRAILS Move ? Len9tn 83 ~ Address 7900 XERXES AVE SO # 17 3 3 Demolish ? Depth 43 c;ty BLMTN phone $ 3 5- 0 8 2 2 .nt Impr. ? sq. Ft. install ? 7,200 ~ Name SHAREVEST INC ApProvals Fee~ Addresa SAME ^ssessment Permit 1 113 . 00 I- CI Phone Water E, Sew. Surcharge 186 . 00 Police Plan Review 556 50 NameKORSUNSKY, KRANK, ERICKSON Fire SAC 3,3 5 0_ 0 0 Address 570 GALAXY BLDG E 3,200 . 00 V City MPLS Phone_ 339-420 W$terConn. Pla+ner Water Meter 120.00 Council Rosd Unft 1,792 . 00 I hereby ocknowledge fhat 1 hme read. his applicoti ond s re that gldg. Off.1 0 129 /85 Tc PI. 848.00 the inlormotion is correct ond o wm if II piica6le Stote of Minnesofo Stotute ity of , APC Parks Var. Date Copies Siyncture of Permi Total $11, 17 5. 5 0 A Building Permit is lssued b: AfME INC on tM exprcss condition thoo oll work aholl be done in occordonce with ol pli le State o inn to Stututes ond City of Eopon O?dinances. 8uildinp Officlol TOWNHOUSE CITY OF EAGAN N° 11188 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Re~;~ # :.5 7~~ , Te be wmd fer 8 UNIT M.D. Fst, Yulue $373, 000 pate OCTOBER 29 1915 Site Addresa 1811 TRAILWAY DR Erect 01 Occupancy R Lot R_ glock 1 Sec/Sub. BLACKHAWK TOWN- Remodel ? Zoniny R4 Psrcel No. HOUSE APTS Repair ? Type of Const. V 1 HR Addition ? No. Stories 7 W Name H1ALNUT TRAILS Move O Length 83 Z Address 7900 XERXES PiVE SO . ~ 17 3 3 Demolish ? Depth 43 ~ Citv BLMTN _Phone 835-0822 Intlmpr. ? sca.Ft. 7200 Install ? , Name SHAREVEST INC ApPrOY°ls Faes u~ Address SAME Assessment Permit 1 1 . 0D F City Phone Wafer 8 Sew. Surcharge 186.00 ~ Pollce Plan Review 556.50 GW Name KORSUNSKY, IiRANK, ERICKSON ~Z Firo sAC 3,360.00 ~q q~r~s 570 GALAXY BLDG E~, Water Conn. 3,200.00 ~ W City MP L S Pnone 3 3 9- 4 2 00 plonner Water Meter 12.0 ~ 00 Wuncil Road Unit 1,792.00 1 hereby acknowledge that I have reod app ation on state thot Bldg. Off. 10 2 9 8 Tr. PI. 848.00 the information is correct and o o co wi h o opplicoble State of Minnesoto Stotutes o of rdi nces, APC Parks 5iunoture of Permitt Var. Date Copies A Buildinfl Perrr?it is issued to: S EV Total $11,175.50 on fhe express condition Iha+ oll work sholl be done in accordonce with I ble State in sota Statutes and City of Eopon Ordinonces. 8uildirq Offidol ~ ~ ~ 7985 BUILDING PERMIT APPLICAYION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED MITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: ( Valuation: Date: Site Address; /pQc/ ,~iZ,~,•x~ ~-l~ OFFICE USE ONLY ( Lot: ~ Block ~ Sect/Sub Erect Occupancy C ' ~ Blackhawk R§mod9buse Apti9ning Parcel # Repair _ Type of Const - - - Addition 1l of Stories Owner Move Length WaTaur ai s Demolish Depth Address~ Int.Impr. _ Sq Ft - • ri/jj Install City/Zip Code Bloomington, 55431 Phone APPROVALS FEES 855-0822 Contractor Assessments Permit Sftalev~RL, inc. Water/Sewer Surcharge Address Police ' Plan Review • . gi/ii Fire SAC City/Zip Code Engr Water Conn oomington, 1 Planner Water Meter Phone Council Road Unit 6,~-')-0822 Bldg Offjo29-iS Treatment Pl Arch./Engr. APC Parks orsundky Krank Erickson Variance Copies Address TOTAL 111'~] SSD` JZU econ ve. . City/Zip Code inneapo is, MN 55401 Phone p 339-4200 1985 BUILDYNG PERlIIT APPLICATION - CZTY OF EAG6N NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CZTY OF EAGAN INCL[1DE 2 SETS OF PLANS 3 CERTIFI'CATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation; 3 731 - Date: IU Site Addregss: OEFICT E USE ONLY Lot:2-71~ Block/$?- Sect/SutBlackhawk 7b?,Loatiouse Aptspecupancy Remodel 2oning Parcel # 10-~7onn ni i n~ ~ Repair Type of Const Addition ~ ll of Stories Owner Walnut Trails ' Move Length 7900 Rerxes Ave. S. #1733 Demolish ~ Depth Address Int.Impr. ' Sq Ft Install City/Zip &h@omington, MN 55431 Phone 835-0822 AppROVALS FEES Sharevest Inc. Contractor ' Assessments Permit 7900 Rerxes Ave. S. #1733 Water/Sewer Surcharge /$((p• : Address Police i Plan [ieview 55 Bloomin Fire SAC Tflo, City/Zip Code Bton, MN 55431 Engr Water Conn L~_n 835-0822 Planner Water Meter Phone Council Road Unit Bldg Offs-29-,RS Treatment Pl 8 4~' Arch./Engr,Korsundky Krank Erickson APC Parks Variance Copies Address 320 Second Ave. S. TOTAL City/Zip Codj4inneapolis, MN 55401 Phone # 339-4200 WAD . . . . . . .3. . ~ . . . . . . . . wfl,.L* . CITY OF EAGAN APPLICATION FOR PERhffT SEWER AbID/OR WATII2 CONNECTION (Please Print) / 1) PROPERTY ADDRESS: /''R-11 / ~6 y T'r a 't.' v? - ' ! ~ ~ T.FY;AT DESCRIPPION: (Lot B1ock7Stbdivision or Tax Parcel I.D. NuiTber) IF EXISTING STRC''C'IL'RE, DATE OF ORIGINAL BUILDING PEE2MIT ISSUP.DiCE: (Mont1h7Year) PRESENP ZONING/PROPOSED CSE: R-1 SINGLE FAMILY R-2 DCPLEX (2wo Units) R-3 TOM0L'SE (Three + L'nits ) ( Lnkts ) R-4 APARTMENT/CONDOMINIt'M (/l0 Onits) ` CONA7EE2CIAL/RETAIL/OFFICE IDIDCSTRSAL INSTIZ['TIONAL/GOVEE2NMENP 2) ~ rIAME: AnDREss: 9i9~G CITY, STATE,. ZIP: c~~oo -ny 1'-7 Z PxoNE: S< <3 9 3) r. / For City Use NPME: .5~. ?a » 5'P •'`-v~~ l ! ~3- p e -~~i~ Pltmibers nse ADDRFSS: ~lni/S~ ~ ~ 1/ ~7 _S~c. tive cr~, STATE, zrP: /l'/~7 cr a PHONE: ~~vP - 4 a S/ MASTII2 LICEI~ISE «y' Record St t1 NAME: 11"z r -e Z~ ADoRss: Zy6 0,Y e r x&.s A CITY, STATE, ZIP: m-ri~ /'?2~f Z~~a-/ PHONE: e;'~S` 5) ~ ' a~• • CONNECTION 'IC) CITY SEWE72 ~ CONNECTION TO CITY WATER ? 0'i'fffTt (Please Describe) 6) u • ~ PLEASE HOI,D APPROVID PM2NIIT FOR PICK-L~P BY ONE OF AHOVE i C~ PLEASE MAIL APPROVID PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) ' '~/``r' ~r'~~.-'-"`°'_' `G7z/ ° -S 1 F O R C 2 T Y U S E O N L Y ' • ' PERMIT y ISSUED £EE5: /6'S SEWER °ER^1rT (I?ICLUDE SU°CE?RGc) - $ WATER PERP1IT (INCiJDE JURCHARGL) $ &2 5_V° U WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE:4ER TAP $ ACCOUNT D.F,PpSIT - P7ATER $ WAC $ SAC 'S TRUNK WATER ASSESSi1ENT $ TRliNK SESJER ASSESSti1FNT $ LATERAL BENEFIT/TRUNK SE:•IER $ LATERtAL SENEFIT/TRUiv`K WATER $ a42 WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL . 7T SC S7G7"S . v AMOU:QT PAID/RECEIPT DOES UTILZTY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RZG'riT OF WAY? 7-1 YES IF YES, THEN i: "PERMIT FOR WORK WITAIAI PUBLIC ROADWAY" MUST BE ISSUED BY THE ~ NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUS3ECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TITLE: DAT°; Use BLUE or BLACK Ink < 3 I For Office Ose I' I 2_11i ~ Of EPermit I~1` ll~ I Permit 'Fee: ; 3830 Pilot Knob Road I - t Eagan MN 55122 I t_ Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 i I l Staff: L 2014 COMMERCIAL BUILDING PERMIT APPLICATION _ y Date: Site Address: 1? 0 41 Tenant Name: Ul!1lo ar (Tenant is: New / Existing) Suite Former Tenant: Name: 001-,)Q 242/51~_`z,0-I Phone: try " '770 ~41 flG) Property Owner Address / City/ Zip: 8/7 1 , Az, • Applicant is: Owner _ Contractor Type of Work Description of work: -,re,4A_ e fl-- ~ Construction Cost: F Name POP, w e 5~ C U ✓1license Contractor Address: (J L_ t) 5j t City: e"j°k State: lL Zip: 5"5311 Phone: b f i Contact: LT,- Email Name: Registration # Arch itectlEngineer I Address: City: State: Zip: Phone: Contact Person: ~ ..Email. Licensed plumber installing new sewer/water service: Phone { i NOTE, ,Plans and supporting documents that you submit are considered to be public information. Portions of the`i7rf wmation may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0082 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 applicatiog 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 1ch requires a review and approval of plans. Applicant's` Printed Name is nVs SiinatutT' Page 1 of 3 1 For Office Use �� „/ , 0 , r r . E AGA Permit#: 11 Q�/ � N, Permit Fee: -'=•"'- Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �=��---___—es 73.1 (651)675-5675 TDD: (651)454-8535 I FAX: (651)675-5694 Payment Recvd: _Yes o Email:buildinginspectionsccitvofeaaan.tom Plan Submittal:eplans a(RZcitvofeaaan.cOm L Plans:_Electronic _Paper J 2018 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as en electronic set of the submittal, submitted via email,CD or flash drive ldq* , , Date /f Site Address: # : 1 , i • — Tenant: _. _ •_—.. _ __ Suite#+_� Property Owner Name: i A / �'''" �___ __— 4 /, ,,f/i_A�,1_:• -hone: 6 J / V a .3-7 .; II Name: I L !AL int —r 1 I 0 t Lt'c�rrse#: 13 l / 1 S / lJ f Contractor Address: 15' / /�/l AJ .'f ity d StateA W Zi It : p:SSo a � I651 -7 b2f -1- e 5 /6.e.4' Cmi9 its I Phone' I � o�o� 5/ Email: ie _New Replacement Repair _Rebuild Modify Space Work in R.O.W. Type of Work' P 1Cj. A I \ei\ • ! Description of work: b� 1�- ; COMMERCIAL New Construction Modify Space Irrigation System( yes I no)(—RPZ/_PVB) . Rain sensors required on irrigation systems Permit Type • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) T Meters Call(651)675-5646 t;. remy that tests passed prior to picking vo meter. Domestic:Size&Type_ Fire: 1 Avg GPM High derft a d,•: t,c s'i ,•1 No Flushometers Yes No COMMERCIAL FEES Contract Value$ '3 R 0 O x.01 $60.00 Permit Fee Minimum $ Permit Fee $60.00 PVBIRPZ Permit(includes State Surcharge) • =$ Surcharge ' Surcharge=Contract Value x$0:0005 If the project valuation is over$1 million,please call for Surcharge $ tP oC °�� TOTAL FEE I Following fees apply when installing a new lawn irrigation system $ Water Permit I Contact the City's Engineering Department,(651)675-5646,for required fee amounts $ Treatment Plant $ Water Supply&Storage I $ State Surcharge 1 _$ TOTAL FEE You may subscribe to receive an oiectronic notagcation from the City of proposed ordinances by signing up for -an email update on the City's weballe It www.c l tvof eaaa n.comrs u ba c rt be. CALL BEFORE YOU DIG. Call Gopher State One Gail at(651)484-0002 for protection against underground uti mage. I hereby acknowledge that this information is complete and accurate,that the work will be in conformance with or ances and c • the City of Eagan:that I understand this is not a permit,but only an application f permit,and work is not to start witp?ul a permit:that the work will be inand a the plan in Inc case of work which reQmares a review X a�al of plans.91 .e jt-e,-150� xO Applicant Applicant's Printed Name A pP s Signature FOR OFFICE USE Approved By: Date:1/ 2-q Ii Required Inspections: _Under Ground _Rough-In Air Test _Gas Test Final PRV Required:_Yes_No Meter Related Items: Meter Size Radio Read Manometer Staff: Pagel of 3