2830 Vilas Lane
~I• G'- ~ PERMIT #
F;. MECHANICAL PERMIT
L,/~a L~• CITY OF EAGAN RECEIPT #
- •`r, :
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -
CONTRACT PRICE: PHONE: 454-8100
Site Add ess BLDG. TYPE WORK DESCRIPTION
Lot Block - X ~ Sec/Sub Res - New
~ Name Mult Add-on
Comm. Repair
Address Other
c City Phone
FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p Ciry Phone h(RES. HVAC INCLUDES A/C ON NEW
, CONSTRUCTION)
GA5 OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA,
TYPE OF WORK COMM/INO FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
i
FEE
S/C: SIGNATUR OF E MI E
TOTAL " ~ur
FOR: CITY OF EAGAN
CITY OF EAGAN Remarks
Addition Country Home Hei hts Lot 3 Rik 8 Parcel
Owner, 1 Street 2830 Vilas Lane state Eagan. MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
0 SAN SEW TRUNK 196$ $100. 0Q $3. 33 30 PAID
~e SEWERLATERAL& Stub 1972 $3220.00 $161.00 20 PAID
WATERMAIN
* WATER LATERAL & Stllb 1972 ZO
WATER AREA
STORM SEW TRK 1984 495.00 33.00 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
3977-
WATER CONN. $280.00 - -
BUILDING PER.
sac 200.00 2951 11-6-70
PARK
~ INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ I ANf= W.
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION
F-
L
~
Pern,n IVo. vern,n Hower Date relepnone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Oete Insp. Comments
Footirgs I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. ~ J g L~~ 1
~lJ
lsul. Lv~.v a~1 '
Fireptaoe
F'inal Hig.
Orsat Test
Fnal Plbg. Plbg. Inspector- Noti(y Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
EAGAN TOWN S H I P N? 31
BUILDING PERMIT
• ' " .`r ' ~ • ' ~ Eagan Township
Owner ..._..'.°..`.Y~i`_-,--•-........
Town Hall
. /
Address (Present) •-•=.'.F--°•--_
.
Suilder ._..-...r++....-•----------~---•• D t
-•=~r.............. j--- ~ a e
~
Address
DESCAIPTION
Slories To Be Used For Fron! Depth Height Est. Cosi ~Permii Fee Remarks
/ LOCATION
Stree3, Road oi o er Descriplion of Location I Lo! Eloc Addiiion or Trac!
~ ~j,r+~ 4~ ~}b'Yr'~ I• 4. c' . ;~~j
lI !
This permit does not suthorize the use of streels, roads, alleys or sidewalks nor does it give the owner or his agent
the iighi to creaie any situa2ion which is a nuisance oz which presenfs a haaasd !o the health, safety, convenience and
general welfare io anpone in !he community.
THIS PERMIT MUST BE KEPT 0 THE PREMISE WHILE THE WORK IS IN PROGRESS.
~
• .
T2us ia !o certify, ihat_'" --•..~:..-------E"-~-(,................. hes perm. ~ssion !o erect a---•-•':--•-' • P
u on
the above described premise ~ yaot- to the provisions of the Suildiag Ordinance for Eaqan Towna d April 11,
1955.
. ; . .
~.!A':~''r!'''•_'' ::._~.,_..,.~~`';i^`~-` ~r
• - • ~ • • • Per
~ Chairman of Tow Board Building IaspecYor
E,o?GAN -rowlV s I-I I P x,.) 172
UILDING PERMIT
Ownen e4:`Eagan Township
Address (p/Town Hall
A Builder
D
-
Address
DESCRIPTION ~
Siories To Se Vsed For I Fron! Depih Heighf_ Esl. Cos! Permi! Fee Remasks
LOCATIOff"
Sfreel, R ad or ofher Descripiion of Locaiion I Lo! Blo Addition or Traci
- 1'his permit does not aufhorise ihe use of sfreels, roads, alleys or sidewalks nor does ii gia he owner or agenl
the righS Yo creale any situalion which is a nuisance or which presenfs a hazard fo the healih safefy, convenience and
general welfera !o anyone in the communily. ~
THIS PERMIT MUST 8 T N HF~ P~MISE_ WI-IILE THE WORK IS IN PROG .
This is io certify, iha! ~ .-._..._-has permission !o erect a..... _......._-____._.__--upon
!he above describe premise ' fheapzovisions of the Building Osdinance fox Eagen ownship adopled April 11,
1955. ~
_ ~ - . Per
Chairman of Town Building Inspector
nLLaoe ov EacnN WATER SERYICE PERMIT
PERMIT NO.: 1613
3795Pilor Kno6 Road 10/31/74
Eogon, MN 55122 DATE:
RI No. of Uni[s: 1
Zoning:
Owner: ~___a ~ rliff=d
Address: 7 9Zfl ti witt_Bt~_Pd 55104
Site Address: -292Q laQ ~n~ 3+4B9 CfSH
Plumber:-qy~.+~pp~-y-~-- 2g0.00 pd
Meter No.~. ~ Connection Chazge. 15.00 pd
Size: AccountDeposit: 10.00 pd
Reader No-:47 ~ / Permit Fee: .50 pd
I agree fo comply with tha V+Ilaga o4 Eagan Surcharge: 60.00 pd
"(y~ ) Q r ~
Ordinancai. Misc.
TotaL•~~ b
gy Date Paid:
Date of InsP. - Insp.:
Y14LA1!E OF EAOAM SEWER SERVICE PERMIT
3795PilotKnobRood PERMITNO.: -2377
Eagon,MN 55121 DATE: 10/31/79
Zoning: gl No. of Units: ~
Owner:
Address: 12.10 Ilewitt
Site Address: 2329 Vilas Lane L4B9 Cllii ,
Plumber: same
I ayrw b eemply wlth Na Vlllaqe of Engon Connection Charge: 400. 00 pd
15. 00 pd
Ordinanas. Account Deposit:
Permit Fee: 10.00 pd
Surchazge: • 50 Pd
By, Misa Chazges:
Date of Insp.: TOtal;
Inep.: Date Paid:
r u
PERMIT (f
-AC;' CI1'Y OF EAGAN 41 -3
3830PilotKno6Road PERMITTYPE: auiLorNe
Eagan, Minnesota 55123 Permit Number: 022104
(612) 681-4675 Date Issued: 10 / 01 / 9 3
SITE ADDRESS:
2830 VILpS LANE
LQT: 3 BLOCK: 8
COUNTRY HOME HEIGHTS
P.I.N.: 10-18300-030-08
DESCRIPTION:
MAC SOUND ABATEMENT
Bu31d3ng~\ermit Type SF (MISC.)
Building Wbrk Type ALTERATION
r'UBC Occupanc R-3
.
i~ `
\j
JT
1'~ ~`l ~ L ls r ' ~
LLi L'
REMARKS:
FEE SUMMARY:
VALUATION $10,000
Base Fee $117.00 COPIES $3.50
Surcharge $5.00 Totel Fee $130.50
Lic. Search Fee $5.00
Subtotal $127.00
CONTRACTOR: - APPlicant - sT. LIC. OWNER:
SUPERL THERMAL SYSTEMS 15717464 0008253 LARSON CLIFFORD
5155 E RIVER RD 2830 VILAS LN
MINNEAPOLTS MN 55421 EAGAN MN
(612) 571-7964
i hereby acknowledge that I have read this application and' state that the
informat3on is correct and agree to comply with all applioable State of Mn.
Statutes and City ofi Eagan Ordinances.
-APPLIC~! /PERMITEE SIGNATURE SSUED Y: IGNAT E
RacTIaaTE _ CITY OF EAGAN
PERMIT a 1993 BUILDING PERMIT APPLICATION
~ 681-4675 ~,I~~• f(j !
n104 :.ti ~ N I[- I
I
calcs. ^4 I~
6-Dateq T1-FAMILY 2 sets of plans. 3 registered site surveys, 1 copy o e ergyo
CIAL 2 sets of architectural 5 structuril plans, 1 set of
specifications, 1 copy of energy calcs. ~i
flr- ~
s: 1) when permit is typed, but not picked up by last working d&YLW
st is made, 2) address is changed or 3) lot change i,s reQuested once permit
/ Yaluation of work
Site Address: LO -
SiREET SUITE ~
Tenant Name: (commercial only) O-Zl FF02iQ L-/ rS&"r7
Y.I.D. N
IAT BIACK ~ SUBD. I~' k
, -Xo r
Descri tion of work:
~
7he applicant is: 0 Owner ~ Contractor ? Other (Deceribe)
Name Phone
Property LAST FIasT
Owner Address
STREET CTE /
City State Zip
Company SUPF.YZLT#bMQI Sa..STa2nS ~i'i I.i_ Phone
-T ~ '
COntfaCtOf Address ~~5 ~1~ A, O~-- ~ License N~'-~~ Exp.~
oco a,~9 ~~jt~ City ~"l~nn-2riD~zis State mr) Z i p
55 a-
Company Phone
AfChiteCt/
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 here6y acknowledge that 1 have read this a lication and state that the information is
correct and agree to comply with all applicagRe State of Minnesota Statutes and tity of
Eagan Ordinances. , - I `
Signature of Appl icant -~l'~~ ~N~`~
OFFICE USE ONLY
BUILDING PERMIT TYPE `
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement_Finish
O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ~C~ 11 Swim Pool
? 03 SF Addition ? OB B-Plex O 13 Garage/Accessory ? 18 Coma./Ind.
? 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
7L05 SF Misc. O 10 Multi. Add'l. ? 15 Deck ? 20 Pub11c facility
O 21 Miscellaneous
WORK TYPE
O 31 New ~[33 Alterations ? 35 Tenant Finish 0 37 Demolish
O 32 Addition ~~~7~~34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actua?; Sossmar~t sq. ft. NWzr cy_;4m
(Allowable) lst F1. sq. ft. City Hater
UBC Occupancy 2nd F1. sq. ft. PRV Required
2oning ~ Sq. Ft. total Booster Pump
/ of 5tories Footprint 5q. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage 5AC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REOUIRED INSPECTIONS CSe..~.~ Cwctro I~
? Site 13 Footing 0 framing ER Insulation
? Wallboard 19 Final ? Draintile ? Fireplace
Permi t Fee , C» r.tu.:i«n: g1 000D
Surcharge , op
Plan Review °
License
htWI;C SAi;
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/M Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: SAC %
SAC Units
f 'v~ xz $ ,3<~'~.n~ r ~~.c~„f•F'ylZ'`~'k; 6s o- < 9 u~ rt ~ ' _ ~7o d
Fa.
. . . . w .
1993 MECHANICAL PERMTT (RESIDENI'IAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SWGLE FAMILY DWELLIINGS. ALSO, FOR TOWNHOMES AND
CONDOS VVHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - - - -
NEW CONSTRUCI'ION
ADD-ON A/C
ADD-ON FURNACE
DATE ~U' ZD~Q~J
FEES
HVAC: 0-100 M BTU $ 24•00
ADDITIONAL 50 M BTU 6•00
GA5 OU7LETS (MINIMUM 1 C S3.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCT70N) $ 15.00
STATE SURCHARGE .50
TOTAL p~; sb
srrE nvaRESS: MD Vi IaS Lartc.
OWNER NAME: TELEPHONE 4.~~ -44~?g
1NSTALLER: ~ C IC Sa~ P~~r
ADDRESS: 4LI~ ~lf'ru- Sr
CTT-y; A'yW"Y~Gc_ STATE: zIP coDE: Q5303
TELEPHONE
SIGNATUR F PERMITTEE
I
XSE QM
v ' , y <E ~ •3$~pE a a~. ` ,;,x` y, £x L'a3 x ~ e 's,... a iy ^'i ~ ~ Wev,1.w °sr E
s. ~1 . . . . . Y n~ifiMM F :4,.0..,,.. . . .
1993 MECHANICAL PERMIT (COMMERCIAL) '
CTIY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIALIINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF GCSNTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE.: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF #'~1tMIT FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELF''HONE
TENANT NAME: (IMPROVEMEN75 ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATUP.E OF PERMITTEE ''tTY INSPECTOR
EAGHN TOiiNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE; December 1, 1970 NUMBgg 664
C 14,P(,
OWNER• Clifford H. Larson Address 2830 Vilas Lane, St. Paul 55118
PLUP'BERWeierke Trenching TYPE OF PIPE cast iron
DESCRIPTION OF BUILUING
Industrial Commercial Residential Multiple Dweliing No, of units
xoc
Location of Connections: Connection Charge~ ~200.~00 ~d 12/1/70.
Account Dept. -13.QU-p~T271/70
Permit Fee 10.00 pd 12/1/70
SCreet Repaira
Total
Inspected by:
Date
Remarka:
By
Chief Inapector
In consideration of the issue acad delivery to me of the above pezmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Fsgaa Totmship, Dakota County, Minneaota
gy
W ter Treaching d Excavating
Rosemonnt. Minn. 55068
Please notify when ready for.inepection aad connection aad before any portion
of the work is covered.
EAGAN TUWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: December 1, 1970 Number: 506 C. /V 114•
Billing Name: Clifford H. Larson Site Address: 2830 Vilas Lane, St. Paul 55118
Owner: same Billing Address same
Plumber: Weierke Trenching d Excavating
Location of Connection Meter Size Connectioa Chg.
NOT HOOKING UP YET. ,TOST Meter No, Permit Fee 10.00 od 12/1/70 .
BRINGING LINE INTO HOME. Meter Reading Meter Dep.
LTPILITY AGREEMEN'f SIGNED.
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence XXX
P4ultiple No. Units
Commercial
Industrial Hy:
Other Chief Inspector
In coneideration of the 3esue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the zules and
regulations of Bagan Toamahip, Dakota County, Minnesota.
By: .
Wei ke Trenching d Excavating
Plea3e notify the above office when ready for inspection and connection.
EAGAN 2OWNSHIP
3795 Pilot Knob Road
St. Paul, Minaesota 55111
Telephone 454-5242
PERtiIIT FOR WATER SERVICE COPINECTTON
Date: August 23, 1971 Number: 691 3-SI
Billing Name: ci ifford iarcon Site Addrese: 2Ran wtA-q r.a.,a, Fflgan 55121
Owner: same Billing Address same
Pltmmber• same
Location of Connectiou Meter SizeS 8 Comection Chg. 280-00 p 8/23/71
Read Out No.:237676 10.00 pd 8/23/71
Meter No~1508224 Permit Fee_50,pn 8/23/71 s/c
Meter ReadinlP000 Mp-ter Dep. 15.00 pd 8/23/71
Meter Sealed: Yes Add'1 Chg. 8.00 pd 8/23/71
NO Total Chg.
Inspected by
Date
Bnilding is a: Remarks:
Res3dence xx
F4ultiple fio. Units
t., . . T'
ERSe.
Commercial ~~•~~~rv
1i:;PR`JFc I''a~!~LLED NSET
Iadustrial Bq:
Other Chief Inspector
Ia conaideration of the iseue acsd delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and '
regulations of Eagan Township, Dakota County, Minneaota.
sy:
(Mrs. Cli ford Larson)
Please notify the above office when ready for inspection and cons?ection.
I
:
BAGAN TOWNSHIP
DAKOTA COUNTY, MINNESOTA
I/We hereby request of the Township of Eagan pezmission as
followat
water
1. To connect the vmw*Mxz)o=== service line fram my residence/
commercial buildiag at 2830 Viias Lane to the
Water
lateral located same
2.
3.
It is underatood that I/we will not hook up and use the service
until I/we have paid to Eagan the necesaary connec[ioa fee far such
hookup. It is further vnderatood that in the eveat that I/we do hook
water
up and use sai.d ariddam)bcsom aervice before paying the required
connection fees, that I/we will be required to pay the Township a sum
in addition to the cannection fee of $100.00
I/we also underatand that I/we will also be required to pay
to the Township in additioa to the fees required above the normal
inspection fee for each inspection by the Eagaa utilities department.
Dated: November 6. 1970
Signed: i.
2830 Vilas Lane, St. Paul 55118
Ordinanee No. 114: Pemut No.
WELL CONSTRUCTION AND ABANDONMENT
91-9179
WELL PERMIT
DAKOTA COUNTY PUBLIC HBALTH DEPARTMENT
ENVIItONMENTALHEALTH SERVICES SECITON
WATER QUALITY MANAGEMENT UN1T
14955 CralaAe Ave., Apple Valley, MN 55124
Telephone: (612)891-7556
WIiEREAB, the DiON-TRANBFERABLE
PERMITTEE/DBA: Kimmes/Bauer Well Drilling I88IIED TO # 19521
ADDRE88: 21830 Lillehei Ave. REVIEWED 8Y DS
Hastings, NIIN
has submitted a permit application, has paid the sum of One hundred
($100) dollars to the County of Dakota as required by Ordinance Number
114 and has complied with all of the requirements of said Ordinance
necessary for obtaining this permit to permanently seal the well(s)
described herein:
An abandoned well(s) with a casinq diameter of 4 inches, depth(s) of
184 feet and completed in unconsolidated sediments will be permanently
sealed. The well(s) shall be cleaned of equipment and debris,
disinfected, neat cement pressure grouted and terminated at least two
feet below grade.
The well is located in the municipality of Eagan as follows:
Well Location: Property Owner and Well Owner aad
Addresa_(if differeat) Address (if different)
2830 Vilas Lane Cliff Larson
EagN - _
NOW, THEREFORE, Kimmes/Bauer Well Drilling is hereby permitted and
authorized to permanently seal the well(s) described and located above
for the period September,__19911 to September, 1992, subject to all
provisions of said Ordinance, the Minnesota Water Well Construction
Code and any conditions attached on the reverse side of this permit
form.
Given under my hand this 6th day of September, 1991.
kw,A611 ATTEST 22ff~j 11• flojvc1p~~
ENVIRONMENTAL HEALTT-SUPERVISOR ENVI ONMENTAL HEALTH DIRECTOR
FROM DRK CTV SOC SVC 9. 5.1991 /6129 p; 3'~
~ DAKDTA COUNTY DOeN~ Z a50 8Eq ANDERGON
PUBLIC HEALTFf DEPAR7MENT
COMMUNiTY SERVICES DIVISiON
• I.
VF. Public Hcallh Nursing Enyfronr~gnLpl Hggfjp. EmergenCy Mc2dic81
Services Services
'47
REpI.v TO
C NoflMm Scrvicv CanIU x WBIlrn 6lrv2e Cen10t
88 9121 WOMMahh AvinUs f19556dumAvenae
Wait6l.P&u1.MN6511E AOM* vauy.AV+75194
(6191A:A4CIA 46t41 e9l->600
rer1614)450.p940 ' PoMIBIP7A97-700
DAKOTA CDUNTY PUflLIC 1{FALTH A$PAftTMENT - WATF.A QUALITY MANAGEMENT
WESTERN SERVLCE CF,NTER, 14955 Galaxie Ave. WesC, Apple Valley, MN 55124; (612)$91--7556
PACSIMII,E (612) 891-7473
MUNICIPAL_NOTICE OP WELL Y.ERMIT APPT_YCATION
SfiND TOt"Cl.1lV, MUNICIPALITY: FAS&LJ 4.i'4 -81 6d
OPFICE:_Cj3!!4 uqLLo, TELEPHONE: ( ) SACSIMILE:S4J~~
P1iAM:~/b TNSPECTOR 0 TELEPHONE:, ( ) ~/-7S~
DATE/TIME FORWARDED: CO2S*SENTS:
REFER YO WELL PL'RMIT N0. Q!~ C~L'~ •
DAKD'CA COUNTSf SJATEit QUALTTY MANAGEML•NT HAS RECEIVL•D THE WELL PC1tMIT A?PLICATIOk(S) DE-
SCRISED SELDW. PLE.45E NOTE: IP YoU REqL1IBE £URTHER REVIEI•1 OF THIS APPLICATI0;1(5) OR
IF YOU HAVE AFY QUESTZONS OR CONCERNS ABOllT IT, CONTACT OUR OFFICE AT 891-7556 OR TNE
ENVIRO:IMENTAL HEALTH SPECIALIST LTSTED AAOVL. TF THERE IS N0 RESPONSE FRONI YOUR OFFICE
WITHI\ 24 HOURS (F,}CCLUDYNG WEEKENDS AND HOLID?.YS), 52AFF WII,L ASSI]P1E TIiAT YOll H;1VE \0
OBJECTI0:15 '1.C1 THE TSSUANCE OF T1fE PERlIIT. ALSO PLF.A5E NOTE THAT PLP-NSTT ISSL'ANCE IS
ALWAYS CONDIILONED 0N THE QBSERVANCE OF Ah'D CO;fPLIANCE WITH ALL APPLICaBLC LOCAL RE-
QUIRE}tE:7T5 A\*D ORDINa;ICES. A COPY OF THE SdELL PLR`!IT 1JILL BE PORWARDED i,1HEN CoMFLETEP.
PROPERTY OWNER: WELL 01dp1ER: .^~F -
LOCATIU& aF WELL(S): ADDRESS_~t3a
PROPERTY ID N0. C 00 DINiST0: -OF OF OF OF SECTTOV
TOS1;t3RTY NORIH, RANGE WEST. lIUNICIPAT.ITY:
W[LL DRILLER: DATE RECORDED:
Sr~cs~L
ANTICIPaTED ORILfJ:NC/SEAI.ING DATE (Tr K\Ok'N):
WFLL(5) UESCRIPTIOX: PRLDL4RY_U5L'NEW CONSTRUCTION` 3EC0\STRI!CTIO\_
TEMPOIWRY CAPrI'sG ; t'EIt;L\tiBRT -SG1LI\G&~~'\L•:\L iLaINTEa:1\C:i: ltlGL\1>:=D RLGISTCRgU_
',JI?I.L lli,l>t(.fLR~i\CNLS. idFi.l, p;iP'17v,# F!_11:7. AQGIFfR
' . .
I
i
City of EaEaIl ' Pe",t #
3830 Pilot Knob Road ~ Pertnit Fee:
Eagan MN 55122 j Date Received:~ j
Phone:(651) 675-5675
Fax: (651) 675-5694 i Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~ Q Z aa Site Address: 2~~ V\ C
Tenant: ='3 Ce;~_* C] 4...~ YJ ~ l\ Suite
RESIDENTlOWNER Name: Lt> - cFW.b ~ Phone:
Address / City / Zip: 2930 G~ V\,V
Applicant is: -&Owner _ Contractor TYPE OF WORK Description of work: ~V(J~ ~)bc~V C~ 5~, GjC1l/.~
Cons[ruction Cost: 1Z r7~ Multi-FamilyBuilAng: (Yes_/No~
jPVl -tPiSSof„ iCt,~f j License Z 0 b Z 7 C~ cl
CONTRACTOR Name: _ VLC
Address: ll,110~l SG ~b G`j[e er
City: J~ ~~-u 1 State:lVi~ Zip:
Phone:laIZ"Z-3-]`,bClpQ'j ContactPerson:~~e")
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel
Category Su6mitted Submitled
(4 5ubmission type) • Energy Envelope Calculations Submitled
In the last 72 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:svpporting documents thaiyou submit are cansidered ta bepublic information. Aortions of
the infarmation inay,be classified as non-public'it you provide specifrc reasons that w%ould permit ihe City to
concludedhat ifie :are trade~secrets I hereby acknowledge that ihis 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 ihis is no[ a permit, but only an application for a permit, and work is not to start without a permiY, th t the work will 6e in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X X
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
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