4543 Villa Dr
CLAIM VOUCHER-REFUND REQUEST seh~3
CITY OF EAGAN
MAKE CHECK PAYABLE TO: VALLEY PLUMBING
ADDRESS: 860 QUAKER AVE
JORDAN MN 55352
RECEIPT #/DATE: 50926 7/10l03
51203 7/15l03
52185 7/31/03
52788 8/13/03
REASON FOR REFUND: INCORRECTLY CHARGED PERMIT 60180, 60183, 60271, 60272
60273, 60561, 60562,t60563
60564,60769
TYPE OF REFUND:
Plumbing Permit 9001.4087 $
Mechanical Permit 9001.4088 $
Building Permit Fee 9001.4085 $
Plan Review Fee 9001.4222 $
SAC (MC/WS) 92202275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
WaterConnecrion 92203865 $
Sewer Permit 9220.4532 $
Water Permit 9220.4507 $
Account Deposit 92202252 $
WaterMeter 9220.4509 $
WaterTreahnent 9220.4685 $
Water Supply & Storage 9220.4680 $
Surcharge 9001.2195 $ 26.50
Overpayment 90012250 $
C7ub Box Deposit Refund 9220.2253 $
Consriucrion Meter Dep Refund 9220.2254 $
Other - Fire Pernrit 9001.4096 $
TOTAL $ 26.50
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
8/19/03
SIGNATURE DATE
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
p~~ 3 Telephone # 651-675-5675 FAX # 651-675-5694
Please complete For: Single Fanuly Dwellings
Townhomes and Condos when pemnts are required for each unit
Date 7 / 30 / 03
SiteAddress 1~73 I//,V~, Byaldinc~~0 Unit# ~-7
Property Owner ef,,?rA 5p //-5 Telephone # ( )
Contractar
Address 660 aJa 4y AV1- • City --T-0-/dAn
State 4 N Zip $-'Osd' Telephone # (95~1) ~y)Wd/
The Applicant is _ Owner ~ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional wnsultant fees may apply.
Alteratioos To EsisGng Dwelling Uni[, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5!8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system ~
L 12
i~
_ Water softener _ Water heater $ 15.00
_ replacement _ additional Qy_
State Surcharge $ .50
Total 4 sC ~I 6- Sp v
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the wozk will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an applica6on 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.
JOS~vt. ILLIII ~/-?L
ApplicanYs Printed Name A licanYs Signature
RESIDENTIAL MECHA1vICAL
Permit Application
City Of Eagan ~
(o l(~~ 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings & Townhomes and Condos when permits are required for each unit
Date
Site Address //10~e K//L/~.~c~ # 0 Unit #
ProperTy Owner ~ (/'I10 Telephone # ( 4Sx)
Contractor
Street Addresa $910 FVentvuorb Ava. 6-1 city
pifiriflespalis, .
State (952) 881-9-n Zip Telep6one # ( )
Bond Expires:
T6e ApQlicant is _ Owner ~ Coniractor _ Other
Add-on, modification or al[eration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner _ New _ Replacement
other
State Surcharge $ .50
61
Totsi $ aLb'OSo
SE') 0 8'. u~n- ~ t
Iuu
I hereby apply for a Residenrial Mechanical Pernut and acknowledge that thd~uforxnarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and witl~rthe:Mechanicai_Codes; that I understand tlus is not a
pernut, but only an applicarion for a permit, and work is not to start without a permit; that the work will be in accordance with the
appmved plan in the case of work which requires a review and approval of plans.
~
SED6WiG44 FtFa. & A1R COND. CQ A
Applicant's Printed Name Applicant's Signature '
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please comple[e for, commercial/industrial buildings
multi-family buildings when sepazate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is Owner Contractor Other
Work Type
_ New construction _Install _Remove Underground Tank
Interior Improvement Schedule inspection during installation or removal of fank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fce (includes State Surc}iarge)
Contract Value $ x 1% _ $ Permit Fee
• If pernut fee is $1,000 or less, add $.50 $ State Surchazge
If permit fee is over $1,000, add $.50 per
$1,000 Pemut Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge 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 with the Mechanical Codes; tLat I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that !he work will be in accordance with
the approved plan in the case of work wluch requires a review and approval of plans.
ApplicanYs Printed Name ApplicanYs Signa[ure
Approved By: , Inspector Date:
61 o c.L i Co i 4S51~
CR--~~.r v't l c~~ conMERCrAL
2002 BUILDING PER11dIT APPLICATION
CITY OF EAGAN 5 r~ _~D ~-4 ,J 651-681-4675
"I
Foundation Onl New Construction Interior Im rovement
. SWCWrdI Plans (2) sets . ArchitecWral Plans (2) sefs . ArchitecWral Plans (2) sels
. Ciw7 Plans (2) . Structural Plans (2) • CodeAnalysis (1)
. CertificateofSurveY (1) . GvilPlans (2) . Pro1ect SPem (1)
. CodeAn2lysis (1)" . LandscapirpPlans (2) • KeYPlan (1)
. ProjectSpecs (1) . CodeAnatysis (1) . MaeterExi[Plan (1)
• Spec.lnsp.&TestingSchedule • CertificateMSurvey (1) • Ene'gyCalculatlans (1)rrotaMrays"
• Soils Repat (1) • Spec. Insp.B Testlng Schedule (1) " • Elec. Power & Lighting Form (1) natalways"
• Meter size must be esiablished • Meter s¢e must be eshablished • Meter size must 6e established - if applipble
• ProjeG Spea (1)
1 . EnergyCalwlations (1) " y .
1 • FJectric Power & Lighting Fam (1) " l
i . Master Exit Plan (1) 1
l . Emergenq ResPense Site PWn (7) 1
l . Soils Report (1) 1
e MGES SAC detertnination letter • MGES SAC detartnfnation letler • MC1E5 SAC determination leter
ra11651-602-7000 call 851-802-7000 calL651-602-1000
Food 8 beverage or bdging fadlides - submit pian to MN DepartrneM of HeaNh. Call 651-215-0700 for details.
CoMact Building Inspections for sample.
Pennit for new buildings or additlons will rwt be processed without Emwgency Response Site Plan. Ask uilding Inspections for requirements.
~
-
DATE: / 02 WORK7Y PE: X lay REM ODEL CONSTRUCTiON COST.o. ~~~d
V SITE ACnoEcc. ~ /',D J5 ' I ''i 'S 1 LI Ll r;
TENANTNAME: Cedar Villas Housing SUITE#:
FORMER TENANT NAME, IF APPLICP.BLE:
DESCRIPTION OF WORK (~Pik^OW/
Nanie; Cedar Vilias, LLP. Phone#: 6( 12 ) 341-7800
PROPERTY Last First,
ovmm
StrestAddrtss 900 Second Avenue South, Suite 880
: _
CyTy,, Minneapolis gffite; MN Zip; 55402
Company; Frana and Sons, Inc. Phone#: 9( 52 193 ~i
CONTRACfOR SftetAddress: 633 Second Avenue- Sou"th
Hopkins State: MN 2~~ 553432 ~
~
l~
ARCHI7'ECT/ B ~1
ENGINEER Company: Elness Swenson Graham ArchitectsPhone#: ( 612 ) 339-5508
Name: David Graham Registration#: 14808
SucetAddress: 700 Third Street South
City: Minneapolis - 5tate: MN Zip : 55415
Ucensedplumberinstallingnawsewarlwaterservice: Imperial Developers pnone#: 6( 51 ) 454-3338
f hereby ecknowiedge that 1 have read this appYwatbn, etate that the Irrfortnatlon is correct, an g W counply with all appiicable State of
Minrresofa Statutes and Gty of Eagan Ordinances.
Signature ofApplicantb, z? ~ ' G~~-~-"-
Updated 7/Q2
OFFICE USE ONLY
SUBTYPE
? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartrnents p 27 CommerciaUindushial ? 32 Ext Alt - Apts.
? 15 Lodging ? Zg Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
WORK TYPE 0 37 Nail Salon
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doocs
? 32 Addition ? 36 Move Bldg O 43 Reroof' ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding D 48 Authorization
0 34 ReP~anant ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code 7,oning sq. 8.
SAC Code # of Stories
No. af Units sq' ft'
sq.
ft:
NCo.~o,fBl ~ Width .
~ ) Basement sq. ft. MC/ES System
(Allowable) Fiist Floor sq. ft. City Waber
UBC Occupancy sq. ft. Fire Sprinkiered
MISCELLANEOUS INSP.ECTIONS
? Cras Service Test O Heatin8 ? Insulation p Plumbing ? Stucco/Stone
APPROVALS
PkmiinS Building EnSineenng Variance
Permit Fee VALUATION $
Surcharge '
'lan Review 0~0
V!C/E3 SAC % SAC
,fty SAC SAC Units
Nater Supply & Storage Meter Size
i/W Permit
'/W Surcharge
'rea6nent Plant
'ark Dedication
'rails Dedication
Vater Quality
)ther
:opies
otal
Use BLUE or BLACK Ink
A -AND.
r - - - - - - - - - - - - - - - -
I For Office Use G Q
Permit 5 ' 0 A8
City of Ea a~
Ilk e1 R I Permit Fee: ~04 • 2
3830 Pilot Knob Road I
Eagan MN 55122 I I
Phone: (651) 675-5675 i Date Received:
Fax: (651) 675-5694 I Staff: ~
L-----------------I
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: q ! 3 Site Address: T~ v ; A4 D~
Tenant Name: Ila S (Tenant is: New / Existing) Suite
Former Tenant:
Name: C. //on Phone: ~~""dy- perAJ7`/ " S/jO
Property Owner Address / City / Zip: 00 trP v rov- A
Applicant is: Owner Contractor
Type of Work Description of work: R® -P1o-1A T :511 h 4
Construction Cost: $ I d
Name: 6~i~%`- en 6 o • License
Contractor Address: 3q S' City: ~ Id e., th
State: n Zip: S 5q) Phone: 36L 7 G / cam"
Contact: 06V'id\ A-I Email: do m 0. CA I 0 C
Name: Registration
Architect/Engineer Address: City:
State: Zip: Phone:
Contact Person: Email:
i.~.
Licensed plumber installing new sewer/water service W _ 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.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 which requires a review and approval of plans.
x 01 VIJ , YI-) x L
//0
Applicants Printed Name Applica t s Signature R.
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172975
Date Issued:10/25/2021
Permit Category:ePermit
Site Address: 4543 Villa Dr A
Lot:2 Block: 01 Addition: Cedar Villas
PID:10-16900-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Cedar Villas Lp
1600 Hopkins Crossroads
Minneapolis MN 55305
(952) 941-1044
Centraire Heating & Air Conditioning
6811 Washington Ave S
Minneapolis MN 55439
(952) 941-1044
Applicant/Permitee: Signature Issued By: Signature