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1772 Turquoise Tr CITY OF EACAN 85 94 1 ~ ~v 3795 rilof Knob Reed Eeyen, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt To be wad fer FQRC]I Est. Volue ~7> 000 pate OCtober 19 19 3 Stro Addrcss 1772 1urc:uoise 1rai1 Erect OccupancY R-3 ' t's Cedar Grove 6t'a ~ R-1 Lot ' Blxk 5ec/Sub. Aiter ? Zoning parool # 10-1670:5-070-08 Repolr ? Fire Zone ZlA Enlorye O TyPe of Const. Vn oe Name Bill '•iadden Move p # Stories ~ Addrcss 1772 Turquoise Trail Dorrwlish p Length 26 Lanan 55122 phoM 6rode ? Depth 16 Sq. Ft. DCU Conatruction Approvals Fees Name /lddreu 1124 Je688r.Zine Assessment Permit 3.50 Cit ~'t . P~.ul. 5510E 771-5012 Weter & Sew. Surcharye Police Plon check ia Na^ ~ Flre SAC ~ Addraas Eny. Water Conn. W C+ p~M Plonner Water Meter Courxil Road Unit 1 hereby ocknowledge thnt I hove read this applicotior+ ond stote thot gldy. Off. the information is correct and agree to comply with all applcoble Taa' , State of Minnesom Statutes and City of Eogon Ofdinonus. Siqnoture of Permittea tLILL.'j ['QCCtOT. A Building Pennit is iuued to: ~ on the express condition thm all work shall be done in accordance with oll appliooble State of Minnesota Stotutes ond City of Eapon Ordlnonces. BuildinQ Official - Permit No. Permit Holder Misc. Permit No. Hotder PDisp. S~wer ElM"c 140~51 ~ r~Co}A 2o.eo Impection Date Insp. Othe? Footinqt -fb -8 Foundation Frsming Rouph Pibp. Rouph HVA Inwlation Finsl Plbp. Final HVAC Finsl ~ tiibe Loc ion: , Water Well Sewer Pr. Disp. CITY OF EAGAN Remarks Sew & wtr permits and w-tr COT1T1. pd. 021 11-14--6$ Addition Cedar Grove #6 Lot 7 Bik 8 Parcel 10 16705 070 08 oWnerwL~,` a sc?eec 1772 Turquoise Trail StateEagan,MN 55122 112a t Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING *SAN SEW -PRt1fQRLp,-[, 1970 1472.00 20 Paid SEWER LATERAL WATERMAIN WATER LATERAL 1970 ZO WATER AREA # STORM SEW TRK 1970 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 200,00 1072 11 -2o-68 BUILDING PER. sac 200.00 1072 11-20-65 PARK ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ . INSPECTION RECORD CITY O F EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~ i Ilft~111i11'•t 11+ :I; ' ;i~~pl~ ~ r,l i I, i I;1 f Ic . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . i;a ti t~. ~ I rfo I F- ~ L Permk No. Pe?mR Holder Date Telephone II S/1N PLUMBING HVAC ELECTRIC ELECTRIC inspectbn Oabe Insp. Commerrts Footings I Foundation Framing Roofing ~ Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Orsat Test Fina{ Pibg. Plbg. Inspector - Notify Plumber Const. Meter Engr.lPlan Btdg. Final Deck Ftg. Deck Finel Well Pr. Disp. This ~equesl wid~~~G; c 18 nronths tmm O O / D 94359 /-7 Re0uysl Uate Fi e No. Rouph-in InsUectinn Required! Poady Now Q Will Nolify Inspec- Ap~. 26, 19$$ ?Ves ~]NO tnr When ReaAv ~ Licensed Elecnical ConVactor I hereby raquest insoection ot above ? Owner eiectrical work instelled at Stree[•Address, Box or floute No. Ciry 1772 Turquoise Trail Eagan ecuon o. Tawnship Name or No. Renge o. County Dakota Occupnn[ IPflINTI Phone No. Bill Madden 454-2335 Power SuoPlier Adtlress Elec[ricxl Comractor ICompany Nemel Convacmr's Licunse No. Corrigan Electric Company 039544 8 Mailinq AtlJrass (Contractor or Owner MakinO lnstailationl P.O. Box 475, &osemount, MN 55068 A ~ r zetl SignaWre 4 ontra /Owner Makiny Installation) Phone Namher 423-1131 INNESOTA STATE BO D OF ELECTRICITY THIS INSPECTION REQU[ST WILL NOT Griggs-Midway Bldg. - floom N•197 BE ACCEPTED BV THE STATE 80AND 1827 Universitv Ave.. S[. Paul, MN 55104 UNLESS PflOPER INSPECTION FEE IS PAnnu (fl191 F69.OX110 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oe ' See instructiens for completi,p this form on bqck o1 Yellow capV. D- '94 359 "X" Be/ow Work Covered by 7his Request Add FeoType oi 9u11tling AOCliancee Wiretl Equiumen[ Wired Home Range Temporary Service Duplex Water Heater Lightiny Fiztures Apt. Building Dryer Electric Heatui Commercial Bldy. Fumace Silo Unloader Industrial Bldg. X Air Conditioner Bulk Niilk Tank Farm Othxr OarJ v 5iherl5peclfy) t er Succify Olhcr Otner ompute Inspection fee Below q Fee Seir,rice Entrence5ize k Fee ieeders/Subfeeders N Fqe Ciicaits 0 to 200 Am s ..:,p,7 0 to 30 qm s 0 to 30 Fim s Above 200 qmpy31 to 100 qinps 31 to 100 A s Swimming Pool qppye 100-Am s Above 100_Amps Transiormers Irrigation Boortis Partia j r Fee Signs Special Inspection Ne~rks $ qouph~in D-te I, ctrical Inspector, hereby cerLilY thnt the a4o1e Final , 5-r/,;+e X~ inspection hes been maaa. mis re0uasl voitl 18 monMe trom ,his e4.as ~o;d 18 mon[hs fmm An 7,ri 1 L.-7 ~i 8tcoCa.r a o. ov flenuest Date Fire No. I I ReqOhe~? lnsuer,tion ~Reatly Nuw D Will Notily Inspec- ?~es ?NO tor When Reatly ~ Licensed ElecVical Contractor I hereby request insDe.tion of above ? Owner electrical work instelled ac Street Addresys, Boz or Poure No. 7 City /''7` / uYfv(jlSe ? I _~-a ecuon o. Township Name or No. HanBe o. County Occupnnt (PqINT) Phone No. W; i, uw i '~6-y- z3 3s Power Sup/p'lier / AAtl~re"ss / Df ~u a C ~~PGT.I C / Gvl~rln f-~.vr Elecvical Contractor (Company Namel Cuntractnros License No. Mailine P.dJress (ConUactor or Owner Making Iretaila[ionl . Authorixr,d Si9nature ICOntractor Owner Makine Inslallutiunl Phone Number THIS INSPECTION PEQUEST WILL NOT MINNESOTA STATE 80AND OF ELECTAICITY Griges•Midway Blda. - poom N-191 gE ACCEPTED BY THE STATE BOAHD 1821 Universitv Ave.. St. Peul, M N 55100 UNLESS PROPER INSPECTION FEE I$ ENCLOSED. Phone (672) 297.2771 REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 a~ 5 3 r See insirvctians for campletin8 this torm on back ot Vsllow .aay. vl z3 /g y q ~ W. "X"' Be/ow Wnrk Covered by This Request AAtl Pep. Tyoe of Building ApPliunceaWirod Equiument Wired Home Range Temporary $ervice Duplex Water Heater Liyfitiny fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. fumace Silo Unluader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm om«, oe,:Irv om„r isu<<:irvl t~er ueciy Other Othert]?Q~';h~ ompu e lnspection Fee Below Q r4 n(N k Fee ServiceEntrence5ize tl Fen Featlere/5uhtexders N Fne Gircuits U to 200 Am s- 0 to 30 Am s 0 to 30 Am os Above 200 qmps 31 to 100 Amps 31 to 100 A s Swimmin Pool Above 100_Amps Above 700_Amps Transformers Irrigation Booms 50 Partial.'Other Fee Signs Speciallnspection S Remirks . v s'U TOT a•~ RouBh-in Date a I. c ncel • ^p~-`'`' SOector, he,aby artity that Ne abova Final eclion hes been Thie repueat voitl 1B montlre irom CITY OF EAGAN Np 8ra94 3795 Ppd Knob Road Eayen, MN 55122 PHONEs 454-8100 BUILDING PERMIT Receipt T. 6e med Ier 3 SEASON PORCH Est. Volue $7,000 Dote O ob 19 , 19--&3_ Sita Addreu 1772 Turquoise Ttail Erect Xg Occuponcy R-3 I.ot 7 el«k $ Sec/SubCedar Grove 6th qirer ? Zonirg R-1 parcel # 10-16705-070-08 Repoir ? Fire Zone NA Enlorge ? Type of Const. Vn rc Neme Bll l Madden Move ? # Stories z Address 1772 Turquoise Trail Demolial, p Length 26 ci Eagan 55122 pF,pne Grade ? Depth 16 Sq. Ft.- o DCD Construction ADVrovalt Fees Name Z~ 1124 Jessamine Assessment Permit 62.50 o Mdress ~1- Cit St. Paul 55106 p~M 771-5012 Water 8 Sew. SurcFwrge 3.50 F Polica Plon check Fw Neme Fire SAC Addreu Enp. Water Conn. ~ W ci phom Planner Water Meter Council Raod Unit I hereby ocknowledge that I hove read this applicotion ond state that Bldg. Off. the inlormotion is cqIrect and ogree to comply with nll oppl' o e $66.00 Stote of Minnesolo Sle~te~ ute end City of g O dinonces. APC Totol ~J Sipnoture'of Permin~~ I on ru ion A Buliding Permit is issued to: on iho express condition thm all ;work shall be done in acmrdance with all a pl' ble Sta f Minnesota Statutes cnd Ciry of Eapon Ordinancea. 8uilding Official CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION _l set of_ er.ex'gy cai.culations. Zb Be Used For iZ/J , Valuation ( p~ 6' 0 0 Date site Aaaress: J~? 7~ ~~a ~<e _ Tra~1 or,ezr.E osE orrr,Y Lot Bloclc ~ Sec./Sub' . Cf.~ Ve-Erect Occupancy Parcel lo "((076 S -6 70 ^O ~ !Alter Zoning Repair Fire Zone EnlargeK:: Type of Const. Oaner: Move # Stories Address: o 'is,F Demolish _ Front ~.12 ft. Grade Depth ft. City/Zip Cocle: ~ag CvJ Phone U APPROVALs FEFS Contractor: ~lssessaents Perntit ~ water/Sewer Surcharge ~ Address: police Plan Check City/Zip Code: I"cw/ Fire SAC Phone # : `721 - 5-61 ~ Eng • Water Conn. Planner Water.Meter Council ad Unit Arch./Eng.: Bldg. Off.: Address: APC City/Zip Coc1e: Phone # : =AL EAGAN TOWNSHIP BUILDiNG PERMIT N? 1887 ~ Ownex ~ ---~'_'c--s-`c--._~:~.?.----...- ~ Eagan Township . ef,ci_ k_ Address (Presenl) Town Hall ~ Builder . ~ Addreas Dale .._~.~~~O.~.C..~..1......_...... ~ DESCRIPTION 5tories To Be Used For Froni Depih I Heighi Esl. Cos! Permif Fee Remarks _ . LOCATION otil0 (Ja..1ti~ ~ ylya p~s. , Sfreet. Road or ofher Descripiion of Lacahon Loi Block Addifion or Tracf This pwmil does aof suShorise the use of sireels, roads, alleyc or s15ew ks ndr does it giva the owner or his agent the ri4M to eseate aaq sifuafion which is e nvisance ot whieh presents a hasard So the health, satety, convenience and genesal iwalfare !o anpone in the communiYp. THIS PERMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGRESS. J This u ~SO ceriifYihai.........-_ - - on ' . ..__.hes permission !o erec! a._..~P~...~......a¢.~cr.. _uy the ebove described premise subject io the provisions of the Buildin4 Ordinanae for Eagan TownsMp adopted {April 11, 1955. .-'--k'----h---• - . Per . . .4 ~t'-=fc C ~:t Iis ..p rman of TnwnSoard Huildin"- y - ecfor . ' . , ~ C< 6 I . ~ . EAGFN TOWNSHIP 3795 Pilot Knob Rosd St. Paul, Minnesota 55111 Telephone 454-5242 PER2aT FOR WATER SBRVICE CONNECTION Date: Number:_ Billing Name: Site Address:22' ~f 6 i mer:Billing Fddress Oc ~ Plim3er: : ? ff~~~-r~ ~ Connection Chg Location of Connection Meter Size-^/d 6~ 'f/ Metet No-~ Permit Fee 7 5_,_ i Meter Readiug~ Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by i Date ' Building is a: Remarks: ~ Residence ~ I Fiultiple Ao. Units ; Commercial Industrial By° Chief Inspector I Other i ' In consideration of the issue and delivery to me of the abova pexmiC, I hereby agree to do tYe proposed work in accordinnesota,the rules aud regulatioas of Eagaa Township, Dakota County, M $y: ection Please norify the above office when ready for inspection and conn. { ; ~:,~c~xa rowtvsx7r ' ~795 nloe Knoh P.cacl St. Paul, P4inne2ota 55211 , Te2ephone 454-5242 PEM1IT_ I'OR SLSdER SEFVICE CONZIECTZOPI ~ DATE: _ NUt4BER 292 ; OkNEP.: F:3drecs js~ ! ;LUMBER TYPE OF PI ~ DSSCRIPTION OF BUIIAING ~ i ~ Industrial Commercial Residential Pfultiple Dwelling No. of anits LocaCion of Connections: Connection Charge --7 ~ ; PermiC Fee ' Street Repairs j i ToCa2 i F I Znspected by:_ _ DaCe ~ Remarks• li i i ~ i By i Chfef Inspector In considerAtioa of the issue and delivery eo me of the above permit, I hereby agree Co do the proposed work in accordance with the rules and regulations of Eagan Touttship, Dakota County, Minnesota ` By Please aotzYy when ready for inspection and connection and before any portioa ot the work ie covered. i , ~ E. I f~ 1 i~ i! !_r:~~/ ! i I R I I ' I I I I - ~ F ~ F ! I C ~ I ~ I ~ I i I i ~ P Y - F- S ' t- • T: i. ? y IF I~g • I t- `f i~ e. F f Q 6 ~ rt `'S a ~ . ~ r ~,y• ~ i h ' # g I~ E ~ ~ . . , . ~ . . . . . . ~ 5e _ city of eagan MEMO TO: DIANE DOWNS, UTILITY BILLiNG CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECH DATE: AUGUST 25, 1993 SUBJECT: STREETLIGHT ENERGY COSTS CEDAR GROVE NO. 6(141 LOTS) This memo is to inform your department to begin to invoice the energy costs at the singie family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition as listed below: Block 1, Lots 1 1 Block 2, Lots 1-8 8 Block 3; Lots 1-18 18 Block 4, Lots 1-11 71 Block 5, Lots 1-9 9 Block 6, Lots 1-53 53 (Lots 54 through 61, Block 6, shouid not be billed at this time) Block 7, Lots 1-12 12 Block 8, Lots 1-18 18 Block 9, Lots 1-11 11 TOTAL 141 The City is currently being billed by Dakota Electric for streetlighting in the above listed subdivi5ion. i Ed Kirscht • Sr. Engineering Tech cc: Mike Foertsch, Asst. City Eng. EK/je PERMIT CC 3 ~ 43 ~ CITY OF EAGAN A ~c,i 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 024479 ~ (612) 681-4675 Date Issued: 0 9/ 01 / 9 4 SITE ADDRESS: 1772 TURQUpISE TR LDT: 7 BLOCK: 8 CEDAR GROVE 6TH P.I.N.: 10-16765-070-08 DESCRIPTION: (ROOFING) ejLlilcPing?„permit 7ype 5F (M2SC.) Building 44Yk 7ype REPAIR I/ J;:.. 1--'7 L L~ ~ `t] ~l ~ ~ CI REMARKS: FEE SUMMARY: VALUA7ION $4,000 Base Fee $63.00 3urcherge $2.00 Total Fee $65.00 CONTRACTOR: - Rpplicant - 5T. LiC. OWNER: GENE'S HOME CARE & REPAIRS 14543402 0002715 MADDEN WILLIAM 2017 FLINT LN 1772 TURQUOISE 7R EAGAN MN 55122 EAGAN MN 55123 (612) 454-3402 (612)454-2935 I here'by aaknowledge that I have raad this applicatian and state that th2 inf'ormation is correct aod agree to campiy with a11 appliCable State of Mn. L 5tatuCes and City o'f Eagan prdinanees. J URE APPIICAN?/PERMITEE SIGNATUFE 5~08`r IG ~ ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0244 79 Eagan, Minnesota 55123 Date Issued: @ 9/ 01 / 9 4 (612) 681-4675 SITE ADDRESS: LoT : 7 B L 0 C K: g APPLICANT: 1772 TURQUpISE TR C,ENE'S HOME CARE & REPAIRS CEDAR GROVE 6TH (612) 459-3402 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) RERAIR DESCRIPTION (ROOFIN6) INSPECTION . FRAMZNG ROUGH IN PLBG ROU6H IN HTG FINAL F ~ L i4419 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 5~9p / I / Z~/ Valuation of work Site Address: ~77a j .E~vv/5~ ~ STREET . SUIiE # Tenant Name: (commercial only) LOT BIACK SUBD. 71yup . I.D. # Descri tion of work: The applicant is: ? Owner '19 Contractor ? Other (Describe) Name LU11-g.w y' Phone i~s~ a3-~g Property LAST FIRST Owner Address /77.7- T~~I~E , STREET STE # City ~9~.? State l71/~ Zip v~~/Q~3 Company Phone Contractor Address License # a7 Exp. City ~~f.a.? State hl~ Zip Architect/ Company Phone Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this aPplication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: RESIDENTIAL 15 ~~~\10BUILDING PERMIT APPLICATION - CITY OF EAGAN 3830 PILOT KNOB RD, EAGAM MN 55122 651-681-4675 New Construetion Reauirements RemodeUReoair Reauirements • 3 registered site surveys showing sq, fl. of lol, sq. ft. of house; and ell roofed areas . 2 copies of plan (20°h mauimum lot wverege allowed) . 1 set of Energy Cakulations for heated additions • 2 copies of plan show(ing heam & window s¢es; poured found design, etc.) . 1 sde survey for eMerior atlditions & decks . 1 set of Energy Calculations . Indicate if home servetl hy septic system for addiUons • 3 copies of Tree Preservation Plan N lot plaHed aRer 711193 . Rim Joist Deteil Options selection sheet (61dgs with 3 or less unAS) DATE ° ' VALUATION SITE ADDRESS I777 7_1ee4r,l a/.r? / Y~.d MULTI-FAMILY BLDG _ Y LN TYPE OF WORK s; 0,/.'~i5 FIREPLACE(S) ~6 _ 1_ 2 APPLICANT AP o e4l"°'-r SiREETADDRESS_L77Z Tu~ g,,uo,'Q-e ~7 Jr CITY_ZEFaa~$TATE~?- ZIPSC("2L TELEPHONE # 6 f-/,ysYj- 221 r CELL PHONE # FAX # PROPERTYOWNER Lr/•~~~%6h, I/~74~G/g-, TELEPHONE# 9~ y~Y-z33J~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINVESOTA RULES 7670 CATEGORY 7 MINNN:SOTA RULLS 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Piumbing Contraetor. Phone # Pluinbing system includes: Water Softener Lacm Sprinkler Pee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conclitionitig Fec: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use I 1 J I City of Ea a~ ; Permit I I I Permit Fee. ~ aS I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: W Phone: (651) 675-5675 l I Fax: (651) 675-5694 Staff: I l 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J L-0/Site Address: f ? 7 2 ()41 U / / L Unit Name: ~4LL ZY) A Jd~-5-lv Phone: Resident/ Owner Address / City / Zip: 7 0 o / r TA/ L- Applicant is: Owner Contractor ~-~4 q1,;-VV -3 Type of Work Description of work: / Construction Cos 1 Multi-Family Building: (Yes / No Company 0- 1\ Contact: Contractor Address: l Dq J tl- T r',6KJ0f;r4L /91~z_ City: State: AV Zip: Phone: el 2 2,2 1 X12// License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.oopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. J x -T o f l x Applicant's Printed Name lica Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA117275 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 1772 Turquoise Tr Lot:7 Block: 8 Addition: Cedar Grove 6th PID:10-16705-08-070 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Elizabeth Hess Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William V Madden 1772 Turquoise Tr Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature !" #$%&'()'*+*, -./$%'"&0-1O3$2?$,+ -./$%'53/4-.167898B: =*%-'!>>3-?17:@79@:A7B -./$%'#*%-+(.&1--./$% C$%-'6??.->>1''7DD:''"3.V3($>-'".'' K"#$% &&W'(())* &&N9(,A&\\AY9&IL 012 !34!IK3543W43K3& 8/9 =->F.$0%$(,1 :-;&<=>9 @)*(Q/T2A/N*/A-$)*&<=>9 @A%&<=>9 ?9>#,$9 29/$A)>)* <Q&A&CA9&@)*(Q/T2A/ N9*/-/&N(9 767&4&+$$->,*$= ^*)*G :P-,A9&R99 3 1F>AY9F9*/&&L9&LF9&A9P-)A9&/F%9&(99$A/&)*&,##&;9(AF/M&1.&,#9A)*G&Q)*(Q&>9*)*G/&A&)*/,##)*G&",=&A&"Q& #(//-,%>1 Q)*(Q/`&$,##&.A&.A,F)*G&)*/>9$)*M&N,##&.A&.)*,#&)*/>9$)*&,.9A&)*/,##,)*M N,A;*&F*O)(9&(99$A/&,A9&A9P-)A9(&Q)L)*&!3&.99&.&,##&/#99>)*G&AF&>9*)*G/&)*&A9/)(9*),#&LF9/&HC)**9/,&:,9& "&4&",/9&R99&U7cU!36MX5&3W3!M73W5 G--'C3//*.&1 :-A$L,AG9&4&",/9(&*&b,#-,)*&U7cUXM33&V33!MX!V5 b,#-,)* &&7`333M33 "(%*21H7ABI:B' #(,%.*F%(.1JK,-.1 4&&'>>#)$,*&&4 ?9*9Q,#&'*(9A/9*@)##),F&b&C,((9* !VX3&N-*=&?,(&N&@9/!KKX&<-AP-)/9&<A ?/9Y)##9&CE&&55!!6Z,G,*&CE&&55!XX HI5!J&XI747KKK 1&L9A9;=&,$%*Q#9(G9&L,&1&L,Y9&A9,(&L)/&,>>#)$,)*&,*(&/,9&L,&L9&)*.AF,)*&)/&$AA9$&,*(&,GA99&&$F>#=&Q)L&,##&,>>#)$,;#9&:,9& .&C)**9/,&:,-9/&,*(&N)=&.&Z,G,*&+A()*,*$9/M '>>#)$,*T09AF)99 &:)G*,-A91//-9(&"= &:)G*,-A9 x . • 1 RECEIVED Use BLUE or BLACK Ink } L ,4 , ,, DEC 15 2016 For Office Use �` �r. Cityof Ea I • Permit#: f0 3830 Pilot Knob Road Permit Fee: (20v - Eagan MN 55122 Date Received: /07--/.5--1(0 Phone: (651) 675-5675 Fax:(651) 675-5694 Staff: '6% J f,015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 4ite Address: _ o r / �, ' I L.isri 1 � . Tenant: a- An / i , I + r` ;lyf', { r Suite#: r• i. -001,t i AI ,i IE Name: .! Ill 6e P ne: 151 416 � o.- -L5 -' #� ,t u s wz•1,31 Address/City/Zip: / � 1 I ` '� 4eFi;�3 >`S' �rti' °„ • Milbert Company Inc db Culligan Water 1 W p.41376 Name: P....Y' t nEarF` r 3 License r�'a I4itv- ,if { 4 a{ Address: 1801; 50th St East City; Inver Grove Hgts. ;'( stater Mn Zip; 55077 Phone: 651-451-2241' &v':: "�,i'� {�;, �3 ,1; William R Milbert x r�l,`F ist '+l�ordiNri Contact: Email: �` .-f,, o °,,-I _New __Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. r s �.: r , II ��t +{�, zr�ni1'3i1 Description of work: fi..417,470.7‘,..,',40J,(41,. RESIDENTIAL ' T t f ;gli jus cOlt is ,c i• Water Heater, � ��C'14 Lawn Irrigation(_RPZ/ PVB) Water Softener •tri er ii �N¢ ,41,,,;+�aK ,.1 itic}��i f, ` Septic System Add Plumbing Fixtures Main/_Lower Level) c 41 1 , fit i lr,P �9(' V4, +o ?'¢r� E }t ri, , New Water Turnaround ` `. '. { t` —Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround"(includes$5.00 State Surcharge) 'Water Turnaround (add $200.00 if a 5/8"meter Is required) $115.00 Septic System New($10.00 per as built)(includes County fee and $5.00 State Surcharge) t O O TOTAL FEES$ (00 t . 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.00pherstateonecall.oro 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 accorda ce Ith the approved plan in.the csse of workphich requires a review and approval of plans. . x Cfi—liti/MA-- Applicant's �I c :l x f ;cl�Printed Name Applicant's Signa 4-;et s f 49-'`t`i4 i `t,'..10,--,hey s,.Y "wil4 -} l r,�e5' {i'• i4 ,1,'h �j ry{t,,,r t+L `3„,--,,,§$„;t1,5,,,, i,.:;, r.lii ct'l r tk�‘r4,?�`t1x e`4'i<{,4' F -;etI ,,i�i.iFr��r, 3i. lle-g � i, r' i I'M.':11F ,3r s„ r' iii, i=F.S' .i 'vSt.r:.t F z r r ( tpr E Y 'F® °F �t . - :1 P •°y.4044":4"410 v,' 'fi 1.R6v :}�ppV'' o' 1',t,'*P ttivi.��-sglrr'�t jlavrci 'Ve:A'' NO - - k 1 m:,-t »' (t• -�-Y.:�.`'c 1A �.''9�}t . 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