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3925 Boston CirCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3925 Boston Cir Lot: 2 Block: 1 Addition: Lexington Square 2nd PID:10- 45076- 020 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 $50.50 Owner: Cary L Cusack 3925 Boston Cir Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Issued By: Signature Mechanical EA079705 09/11/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Parcel Files Cover Sheet Unique ID: 1945 3925 Boston Cir 104507602001 SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-9000 TEST RECORD ADDRESS/ SOLD BY, CITY r-?ctaixo OCCUPANT OWNER INSTALLED BY MAKE L Y " I SERIAL NO. / V 0 THERMOSTAT VALVE 14 1r LIMIT f 7 " [ LIMIT SETTING d FAN SETTING / ? L U _ PILOT TYPE f ?? IGNITION MODEL PILOT TIMING PRESSURE L-Af -L PERCENT C02 INPUT CFH PERCENT 02 _ STACK TEMP. PERCENT CO. 1 ) 14 h --3413 ''d o - MODEL INPUT V V VENT SIZE TYPE OF LINER LINER SIZE FILTERS: SI ZE NUMBER WIRING TEST TAG LIGHTING INST DATE TESTED 13 -01? g COMPANY TESTING NAME OF TESTER FORM 235 (REV. 11/89) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY This reques.void 5T,;?/ff Iv ?!_;? 94V f 18 months from C &845 ?- ? Request Date // Fire No, Rougt?ed?lnspe on eady Now Q Will Notify Inspec - N Yes ONO for When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. /j j City n Section No. Township Name or No. Range No. Cow y Q l?-??C.Ca Occupant (PRINT) Phone No. Power Supplier Z)q G?. Addr/r /1/111®?Vt' Ele'trrIcal Contra ct9r (Comp ny Name) Contractor's License No. Mailing Address (Contractor or /3GaB ar 07r l Making Insta'lation) 7 c Q ? Authorized Signature (Co tractor/Own Making Installation) I1 Phone Number - . - MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?-„ EB-00001-04 51?? / See instructions for completing this form on back of yellow copy. R A F X" Below Work Covered by This Request 4d Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer i Electric Heating Commercial Bldg. Furnace T Silo Unloader, Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other (Specify) Other (specify) t er Specifyi Other Ofher F r'--ita Incnor?Fnn I-pp KBInW p Fee Service Entrance Size Feeders /Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps O to 30 Amps Above 20QAmps I E 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Am s Transformers Irrigation Booms Partial,'Other Fee signs opecial inspection $ TOTA Remarks L E /-t1U / 4C:::) 42 of Rough-in Date 1, the Ele Inspector, hereby certify that the above Final D' ?,, pection has been tJ made. This request void 18 months from This request void '? 18 months from?' ?! C 16 914 r r,? , . ,-e ?2 << - Request Date Fire N Roug, n inspectio; RequI d? QReady Now ill Notify Inspec- Yes O No for When Ready SIT icensed Electrical Contractor I hereby request inspection of above FJ Owner electrical work installed at: Street Address, Box or Route No. City 71 Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. U Cdr G r r . 3o Power Supplier Address Din KOTA '!" Electrical Contractor (Company Name) Contractor's License No. M 10 L-4-Q D ? T" 1 1 d ?- Z Mailing Address (Contractor or Owner Making Installation) R(06,6- .D Autho zed Signatur ontractor/Owner Making installation) Phone Number , _ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD Griggs-Midway Bldg. - Room N-191 1821 University Ave., St. Paul, MN56104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297_2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION of% EB-00001-04 See instructions for completing this form on back of yellow copy. 1 R•q 1 4 "X" Below Work Covered by This Request 94 Ad¢j Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader industrial Bldg. Air Conditioner Bulk Milk Tank Farm - Other (Specify) Other (Sr,erify1 Other (SPOCIty) 71 Other Other l ,rnnurp.Incnprr/nn F^.ppKBlnw # Fee Service Entrance Size. ft Fee Feeders/Subfeeders ft Fee Circuits of 0to200Amps 0 to 30 Ams 0to30Am s Above 200__.Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above100_Ams Transformers Irrigation Booms Q 15 - Partial-'Other Fee Signs Special Inspection $ T ; Remo rks . i -.M OTA` 5j ? r ? V lough-in the .-- U Spector, hereby certify that the above Final Da /,prr ction has been d( e. Ibis request void 18 months from CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12004 PHONE: 454-8100 4 BUILDING PERMIT Receipt # 6& To be used for SF DWG/GAR Est. Value $121,000 Date MAY 2 7 '19.8 6 3925 BOSTON CIRCLE Site Address Erect ( R3 Occupancy Lot 2 Block 1 Sec/Sub. LEXINGTON SQ 2 Remodel ? Zoning R1 Parcel No Repair ? Type of Const. 14 Addition ? No. Stories Name METRO CUSTOM HOMES Move ? Length 66 W P.O. BOX 1049 Demolish ? Depth 36 3 Address ? ° City BURNSV]k 454-9383 Int.Impr I ? S Ft. Q nstall o Name SAME Approvals Fees 00 Address Assessment Permit $ 485..50 City Phone Water & Sew. Surcharge 60.50 Police Plan Review 242-75 F W Name Fi SAC 575.00 Z re Address E W t C 500-00 0 ng. er onn. a a W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 1 hereby acknowledge that I have read this application and state that the 5 Bldg Off /21/86 Tr. P1. 156.00 information is correct and agree to comply with all applicable State of . . Minnesota Statutes and City o again Cardin ce? APC Parks ?y J/ Var. Date Copies Signature of Permittee G Total $2.373.25 A Building Permit is issued to: METRO CUSTOM HOMES on the express condition that all work shall be done in accordance with all applicable State of h4jnnesota Stat t ikc-ef.-Eagan Ordinances. Building Official CITY OF EAGAN WATER SERVICE P i IT PHAKnob Road (d 9 7619 P.10. Box 21189 PERMIT NO.: Eagan, MN 55121 DAT : 6-27-86 Zoning: Ri No, of Units: 1 Owner: Metro Custom omes Addrosa: „ Site Address: 3925 Boston Circle L2 R1 Lexington Sq II Plumber: Matthew Dan Meter No.: 372/5/37W 500.OOpd Size: S/-k"/PO?,t t 15.OOpd agree to asagdfr ?? ? •11?/es: . 5Opd o? +. 156.00pd TP orahmmom REQUIRED Mil Total: 63.50pd meter By Dote Paid: Date of Insp.: Insp.: 8' l8`vfo CASH RECEIPT CITY ;.CAF EAGAN 3795 LOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED 111111 $?? i-s3 AMOUNT & DOLLARS ?bo ? CASH gir74 Foot `fr ?t ?t'l't?t.r ?' Ey o7 S " ,tj ?+S ?'?'?' r c mi e"" /y?• FUND CODE AMOUNT --------------- Thank You. 0B Y Waite-Payers Copy Yetiow-Posti" Copy Pink-PiJe.C4pry- CITY OF EAGAN $&30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12004 p N ; HO E. 454-81 BUILDING PERT-. Rece ipt # To be used for SF DWG/GAR Est. Value $121g 000 Date MAY 27 19 -aft- Site Address 3925 BOSTON CIRCLE Erect DC Occupancy R3 Lot 2 Block 1 Sec/Sub. LEXINGTON SO 2 Remodel ? Zoning. Parcel No Repair ? Type of Const. . Addition El 44o: Stoves W Name METRO CUSTOM HONES Move ? Length 66 . BOX 1049 P © Demolish ? Depth 3: ,- . .. Address Int. Impr. ? Sq. Ft. ?54???83 City 5URN6V4 Install ? or Approve o Name S Address Assessment City Phone Water & Sew. w W Name Address c w City Phone I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City ofagan Ordinances. Signature of Permittee_, l!-sue Police Fire Eng Planner Council f Bldg. Off. 5/21/8 APC Var. Date Permit 85.50 Surcharge 60 50 Plan Review 242 75 SAC am. 575,00 Water Conn. Soo 00 Water Meter._. .63 50 Road Unit 290.00 Tr. Pl. 136.00 Parks Copies Total $2,373.25 A Building Permit is issued to: 1~fd 'L U L US11JL'1 I UI b on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Perms No. Permit Holder Date Telephone # inumbing 02 - d" H.V.A.C; Electric /(D914 / 1 3 h $ 4 - inspection Date Insp. Comments Footings I a 7 dv Footings ll Foundation Framing Roofing Rough Plbg. Rough Htg. Fireplace Final HH g. t4 Ptbg. Final C-7 8/ Of? r i tdg. Final a srG /?, cart occ. Ialsc l Zf AA -f Qiuw, ?.,,?,_ C . a IU e i,^.w4?7P?r'yE? ,r. - ..;,y'?" r. =, rs w,? sP°'Fn+•?,.? ?,. 'rk+r*C^i PERMIT # ar PLUMBING PERMIT • CITY OF EAGAN RECEIPT # • 39,30 P1L01 KNOB ROAD, EAGAN, ran 55121 DATE d CONTRACT PRICE PHONE: 454-8100 Site Add ess 317-5, -3G =`_r 1'j C.1(L BLDG. TYPE WORK DESCRIPTION Lot _ Block Sec/Su Name 1 r,rrb e u 1 f4^-)t f FL "c... Adores /S/ C/sr7ou sc l C City o r.ro? RI Phone 417 - 3-7730 C 3 0 Name - Address City ' Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN Res. New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 • a0 Bath Tubs - $3.00 3,00 Lavatory - $3.00 OCJ Shower - $3.00 :? _ °p Kitchen Sink - $3.00 _ Urinal/Bidet - $3.00 =Laundry Tray - $3.00 •00 I Floor Drains - $1.50 • U I _Water Heater - $1.50 • S , Whirlpool - $3.00 Gas Piping Outlets - $1.50 ' C? Softener - $5.00 Well - $10.00 Private Disp. - $10.00 = Rough Openings - $1.50 FEE STATES/C: S y 3 ' 50 GRAND TOTAL: ?.r?..., . -. u..,._.,.r:......- *ra •..+- T' +^€.at??n"s' ' ...r.?..,,r... .z,,:.ss.xs'43?F°'r. .rr.,??. , , .- .... ,.- a:.s: n?.s ?.,, , PERMIT # 7 / ?7 MECHANICAL PERMIT RECEIPT #? - - CITY OF EAGAN 1 LO _ l r - `? 3830 PILO T KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address - 117 f BLDG. TYPE WORK DESCRIPTION Lot_ Block I Sec(Su R N Name es. _ ew Address Mult Add- Comm. Repair S City Phone Other Name ?' ?.. FEES 3 Address RES. HVAC 0-100 M BTU - $24.00 p City. I) Phone .. ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK lj() 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 IF PERMIT PRICE GOES (ADD Vent CFM I ND BEYOND $1,000.00) Gas Piping Outlets # [ Other $ FEE: SIGNATURE OF PERMITTEE S/C: T? TOTAL: FOR: CITY OF EAGAN CITY OF EA6AN WATER SERVICE PERMIT 3830 Pilot Knob R1 7619 P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 627-86 Zoning: No. of Units: 1 Owner: Metro Cuatc '"-e-£ Address: Site Address: `Vt lsc::°RErxtn Plumber: Matthew D1a, . Meter No.: Circle L2 B3 I el zs . Inc. Size Render No.: 1 agree to eow r the City of B.sen Osaa& By Date of Insp.: Connection Charge: 500.OOpd Account Deposit: 15.00 Permit Fee: 0•._„' Surcharge: . SI Misc. Charges: 156.8 d TP Total: 63. SOpd . meter Date Paid: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. 0. Box 21199 PERMIT NO.: E721 Eagan, MN 55121 DATE 6 7 _3 Zoning: R No., of Units: Owner: atrri stay? fay !i Address• k,. Site Address: 39 S ttnR csas l Xc i e 7') 1 C--W ? r. crr Erg j Plumber: atatth lwn4a1 g4, rlac. 5-27-86 63016 10 00pd ' I "tee to comply with the C*y of Bases Connection Charge: sfi7„'S. V j A nt D T it ccou I . epos : Pem* fee: 1:2 Surcharge:Yt..- 8Y Misc. Chorges: Date of Insp.: Total: Insp.: Date Paid: 0 14a -le 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements Remodel/Repair Reouirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior additions & decks 1 set of energy calculations 3 copies of tree preservation plan if lot platted after 7/1/93 DATE: I I Cl 19 CONSTRUCTION COST: 7,UDO DESCRIPTION OF WORK: c (?t7UT STREET ADDRESS: tam Bait 1 v C i rr? r? ?,ll lrl_,, ?`?( LOT: BLOCK: SUBD./P.I.D. #: l- i Name: k Cap Phone #: C(SI-) tjoD l W3 - PROPERTY last First OWNER Street Address: ??C 1 CI rCIC, City Ewan State: ML j Zip: Company:_ C h Phone #: ?P f - Q?-t vl (area code) CONTRACTOR Street Address: q License #;D4S-7d Exp. 336600 City I I'1i 1 State: M t'1 Zip: 5 4 ARCHITECT/ ENGINEER Company: Name: Telephone #: area code Street Address: Registration #: City State: Zip: Sewer & water licensed plumber (required for new construction only): Penalty applies when address change and lot change Is requested once permit Is Issued. 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 JUN 1999 Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Requee~----°- -- OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of_ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) 0 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex 0 10 8-plex 0 15 Lodging ? 20, Pool ? 25 Miscellaneous WORK TYPE 0 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors 0 33 Alteration 0 37 Demolish Bldg. ? 41 Wood Stove 0 45 Fire Repair ? 34 Repair ? 38 Demolish (In terior) r, 42 Reroof GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Permit Fee V Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 120 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1-SET OF 1SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' ' $2,000 LANDSCAPE BOND To Be Used For : Ltvgle- Valuation: Date : Site Address _ -1 }-? 13 p5 J_ . _ Lot 2. Block ?A Parcel/Sub Owner ..?.?? Address 17Q f Q - g City/Zip Code 1Jle '{7 3? 7 Phone Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone I OFFICE USE ONLY Occupancy Zoning Type of Const # of Stories Length Depth Sq Ft APPROVALS FEES Assessments Permit Water/Sewer - Surcharge e, Police Plan Review Fire '._..?..._,. SAC Engr Water Conn Planners Water Meter Council Road Unit Bldg Off/f4 S Treatment P1 APC Parks Variance Copies TOTAL W;,v.. rJROSE ENGINEERING COMPANY, INC. .1000 EAST 14611 STREET, MGM G?S??A CONSULTING ENGINEERS puRHHEAS and LAND SURVEYOAS BURNSVILLE, UINNEEOTA 55337 PH 4-2-300fl CerLi}'z ease Y - 6b I r. T i c rz : L `r Z , ` ? 3 L ? 0 (:-'1?- l LEX E Cj 7-0 t- S Qv??E Z t'ID . AC+? #-rl Ot*1 , a A'14-' Cc,, . ? x I LOT z t 3po / bo /895.1 l 'E lore EXIST,' C•;, E?6?1/?rr%oN ?£? 9 b5? pEr? 51 c. 1??o?oS?C ELEVA O -\ Su R- ?A .-€ t7?Atn? AG Sato 33 = Tdp ©crtlsra?z? ?4 -AC?c GL oO & ?! .EVAr o?.l 3a) op zoo. rGf _ t2??lAC•`So. 00 Qj ?F' SC r„j% V1 - s 9q- : Ch Nm: ? •?, cr n?? ?j93,4? `, zz3 1?_ M xtY ?? (0 o '7 S CO 09 c 00 01 rZjET € Ac-IL (84'1• ?1?? CCU I her:by certify that this is a true and ccr^ect repreeen ation of a tract of land as shoxn•and described hereon.. As prepared by me on this r day of '___ , 1904(' . Minn. leg. No. ' IV SO o 41 ********************************* FEE AT TIM OF CITY OF EAGAi ICAO DOES? NOT CONSMTUTE APPROVAL OF PERMIT. APPLICATION FOR PERMIT INSPECTION OF SEWER AMA)R TNgrAT LATIONS WILL NOT BE scram- SEWER AND/OR WATER CONNECTION ULED UNTIL PERMIT HAS BEEN APPROVED. *********************************** (Please Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID #) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Month/Year) Q COMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY r7 INDUSTRIAL R-2 DUPLEX (Two Units) O INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APART ENT/CONDOMINIUM ( Units) 2) NAME=2+r ADDRESS: paoie i'ma TTZ . CITY, STATE, ZIP: *?j PHONE: 3) • u ?. ?• NAME: For City Use Plumbers License: ADDRESS: Active CITY, STATE, ZIP: Expired Not recorded PHONE:--- 4tZJ MASTER LICENSE# Staff _fFit al 4) R, Milk NAME: ADDRESS: CITY, STATE, ZIP: PHONE: -5) 1 v ??a: •?• ea • ?? CONNECTION TO CITY SEWER CONNECTION TO CITY WATER ( OTHER ' - 6) 4 • iQ PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE P E MAIL APPROVED PERMIT TO 1, 2, Q, 4, ABOVE (Circle one) 7) ?.?: ?u:! - y- • r' ir • • • • a i° a• • • - a i?• .1 ?• pal- . ?. ., • ?- • , a• • ?• R• 1?• 1 1 I f aa• •,11?r 1 1 1 al' • at' :?• 1 11 • , 1 FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ Zd'?? WATER PERMIT (INCLUDE SURCHARGE) $ __ k3l $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ / SEWER TAP $ $ /J ACCOUNT DEPOSIT - SEWER $ $ /5 t1 ACCOUNT DEPOSIT - WATER $ ZJ C <'?? $ WAC $ 6 7s $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ - $ LATERAL BENEFIT/TRUNK WATER $ l $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Li NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: --I/ August 28, 1986 Re: 3925 Boston Circle, Eagan, MN Foundation - West Wall To Whom It May Concern: The above named property has been constructed by Metro Custom Homes, Inc., P. 0. Box 1049, Burnsville, MN. Excavation and backfill were done by Kuper Excavating, Inc., 7401 W. 126th Street, Savage, MN. The west foundation wall of the above property was damaged during backfill. Corrective measures have been taken. The repaired wall has been inspected by William A. Boe P. E. (Minn. Reg. #6594). His August 23,1986 report and recommendations are attached. We, Cary L. and Eydie M. Cusack, Buyers of the named property, acknowledge receipt of Mr. Boe's report and hereby relieve the City of Eagan of liability in respect to the west foundation wall based on the findings and recommendations of the report, and subject to the usual 10 year structural warranty by Metro Custom Homes, Inc. and Kuper Excavating, Inc. We understand that should any future problems develop with the west foundation wall, Metro Custom Homes, Inc. and Kuper Excavating, Inc. are soley, jointly and severally liable. Cary L. Cusack Date M. Cusack D e R William A. Boo Dnsul t ng Civil A4gl near P. 0 Box 255 moo ee, P Minnesota 5Y79 Telephone s (612) 445 - 3282 August 23, 1986 Mr. Louis E. LaPt errs P. 0. Box 1049 Burnsville, Minnesota 55337 R$s Foundation Wall at 3925 Boston Circle, ]lagan, Minnesota Dear Sir s In the morning of August 21, 1986, I inspected the foundation wall at the above site, The purpose of the Inspection was to determine if the will was sound and what should be done to make It sound, The cracks In the concrete block wall are not caused by any- settlement problems. They are from lateral pressure against 'thee wall. •Aoooretlp4 to you and Dug Kuper. (11xeavator ) thoy were amused during the bee #iiing of the wall when the temporary wall bracing. gave stay. In the orig'imal oonetruction, there were three areas of we filTh with 2 ' #j..reb4rs in each. They are about 16 feet apart. Reinforcing sspaoed more thann f set apart does not do too much Veda The will rrae straightened as en oh as possible and fe only 3/4 Inch out of vertical in I feet, This would increase the bending stress in the wall less than 4 The will had been repaired by filling 11 -:Aar* coves in the back wall and adding a re-bar In each core. There i s no evidence of any more movement in the wall. I would not remove the backfill and try to straighten the tall &ny-moreo if the cracks in the joints. are all' tuck pointed, the wall sbpuld;look and be very sound. If there Is anyy, new-movalmont, it will show up In the new tuck pointed joints. With the amount of reftitoraing that is. now In the wall , there should be no problemst Sincerely, William A. Boo P.I. ( 14 fin. Rig. # 659#: ). - 44c< 34,25_ 3DSto$ GtR.ct??, ?... ' r.a vnt titiuN( cork W o r Qh.d h4*goyte.-t MP4Jti,c&D c.'cce.,t.:c;t (4) Mir. So„G r?R ??J V,? tF !?,?1?+ 6 ,,4 ,.l Sa,,L s ' ?'?? {, 3) ` /a ?Ilit: l 4 t4 t 1? vo . (` 11, L't i, 4, t. s ? .? c.l I/? ''1 G { • t? ` t-A x'r = 2 d xlr?,a r t3 M'"' J d?'p• 11t,r't+,v rc * 98o T? 98a at/ L: 3t4rt M S # c?s E' ze r.+r S4ca? co, JOW Y e Co yw11 ?y t]!r??9???. t°?i w ? • (? ? Mi ? 4." '" ° '40 Mas i, 40-1 ss 3 L 3 ) z -4 I?. S a? aF l u k L •?- ----?-? d tt 6' 3. ITA I oil trv ret tk'? y?, Kraw T• (1U or COL rur4 .') 34 -2 3 1996. PERMIT City of Eagan Permit Type:Building Permit Number:EA116800 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 3925 Boston Cir Lot:2 Block: 1 Addition: Lexington Square 2nd PID:10-45076-01-020 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 . Angie Olson 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 - Cary L Cusack 3925 Boston Cir Eagan MN 55123 (612) 770-9446 Reroof America 10740 Lyndale Ave S Suite 10W Bloomington MN 55420 (952) 888-8440 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144276 Date Issued:07/19/2017 Permit Category:ePermit Site Address: 3925 Boston Cir Lot:2 Block: 1 Addition: Lexington Square 2nd PID:10-45076-01-020 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Cary L Cusack 3925 Boston Cir Eagan MN 55123 Twin City Fireplace & Stone Company 6521 Cecilia Cir Minneapolis MN 55439 (952) 232-1840 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164942 Date Issued:10/12/2020 Permit Category:ePermit Site Address: 3925 Boston Cir Lot:2 Block: 1 Addition: Lexington Square 2nd PID:10-45076-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Cary L & Eydie M Tstes Cusack 3925 Boston Cir Eagan MN 55123 (651) 681-0034 Brigley Roofing Inc 13585 Gardenia Path Apple Valley MN 55124 (651) 458-5760 Applicant/Permitee: Signature Issued By: Signature