3575 Blue Jay Way
? CITY OF EAGAN WAT'M SERYKE PERIYNT
3830 Pit€?t Knob Rosd
P4,0. 86z.211S9 PERMtT PIO.:
EBgan, IIAN : 5'
?21 ? D/R7'E: ?: ?:. i=_' ;
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a
ner
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O No. of llnits: 9230a 12 iMftt? ?
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Addrem ?
Site JiddTeSS: ???? $?t? •??i'? Vay LS B2 ?.p.2t.iT??€?t?Li F?..8:1wa S?
PlUlttbbf: ThgW$on. P 1 tSl43.biu? . . .
-
Meter No.: Connection Chorga: 4. POO• f3op'I
Siu: Acoounf Deptssits
Reode? No.: Perm;t Fee: 10. t?nt]d
' I AefN tocOAIply wuh d1! City Of EmJOp SUfLE10rg8: • )R????'
! Ordiw0110m mlSG. O'IOWS: 1.277s fV gCt
Totol:: ? me::ex' 760,00.od
j BY DCii+e Poid:
Date of Ir?sp.: Insp,;
CITY OF EAGAN gEWN SfRVKM PERM#T
3830 Pilot Knob Road
P
. O. Boz 21199 PERMIT NO.s
,
Eagan, MN 55121 DATE:
Zoninp: -- R4 No. of Units:
Owner: t3rr4n Tims?H,Qm ea
Address:
Site Address: 2+::.} Alue .t?X WA ?.,5 '?t . ?r;nat?_?.Ei?'r la?'r
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Plumber: Thesmps+?x?. 2'lit?tb:f:?g
iO-24--63 56896
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1 yroe !a oomoly vrilh No Cky of Eegsw Cw?eMCtion Chorpe: 5,13-0_ 0(}pil,_„
Ordiueeea. Ncoount Depoait:
Permit Fee:
Surd,crge: .5Q;td
BY Misc. Charfles:
Dote of Insp.: Totoi•
Insp.: Dote Paid:
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1T'Y OF EAGAN ..
11165
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383a P"ilaf'Knob Road, P.O. Box 21 199, Eagan, MN
_ 55121
PHONE: 454-8100
BUILDrNG_:fERA+lIT
?teceipt
To M wroA fo? 12 '01NI s.r . Est. \/ ius 2 7 0 0
;
? S€te Address - 3 5 75 BI.IJE -JAY U,dly ' Erect ,?7 t3cc???ency;._,,,, •,??, ? ' .
i?t -?' Btt?ck 2 Sec/Su?. ?+?;x1N?'ai''01'? laL Remadel'.[? ?'11ng.
?- Parce! ldo. ReRair ? ",'i`yp@ ?f Gonst J?'1.: z
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Addition ? .?
No. S[aries •?
1;'??.', I:N`?.'H0i*3.PSGV CiMU Move ?
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Length 0,17 ,? -
f y e? 7+
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Rhone , -, Install El .
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AVVrovab Ill?
Assessment . Perlaot, n A5
" city Phone Wcter E?? ?iv, S ?.?
? Polfce ? ?2
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Phone Plonner
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' Countil #i+tai tnit l?. ?.,?a&
? y i?itktwsvlt-g4 #lmt C fiaat?,:r?t? this opplicotion ond stote thot gidg. Off.
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;? jt?tcxrm4t+0rr i? _ ct .?t
ttl-?'is? to comply with oll appticoble .
.
APC
?f'-?if?nesofa Statutes and City af Eogon Ordin0nce8. P?? VA
? Var. Date
5?rtqtue* of Permittee `
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Cc?pies
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Tota? ++?-?t ? ?79 , 2
t.?F29?It?i
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f-,tJP?l?:
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A?uii?i?g Permit fs issued to: ,
an the expreae cwAtko et+pa
qtd vrotk siwH be done in otcordante with t?td uppficable Stote o# Minnesota Statutes ond City of EoQcn
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8wlano Officiol _ ..A,
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. . . ... .. . . . . . . ... . -----?-
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Permit No. Permit Hoidw Gata Telephone #
Pfumbiig 7 aSc?-
?,v.?. ? t???
F?"C
C,0 ,,.te oV G Y 14
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?a ?
-4? o'5?.t,
SarPtar+sr
Inap4ction Date tnsp. Other
Footinys I PhUg W 6
Foatings ii
FoY,indation
Framlng
Roaffng
Rousn wbg.
Rpugh Htg.
insul.
Fireiace
LL - .?v?'3 c?,c,cf
47 Jzl
Final Htg. K aQ<AaCE
Ftnal Plbg. 1-4eu
Final
CMVOCC.
Water Oeseribe Latation:
weli
Sewer
PG pisp.
f ? ? ..- ? ?. )•,? ? ?
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Receipt ? MECHANICAL PERMIT Permit?o. ?
Y CITY OF EAGAN,3-,' .T-? U X/Fee 20.04
Fi/l in numbered spaces S/C
TYPe or Prini legibly j ?`I 1. Date 2. Installation Cost 3000•00
3. Job Address3575 B3M ?? W4rot Blk. ? Tract
4. Owner MUIOS"OMN
, . _ . ' ?.
5. Contractor RAY N. 'AI,'I`ER H&'.TIIdG Phone 825-6867
?
6. Addreu 4637 Chii:BtgD Ave. "o.
7. City bfpls • State MR•
2ip 55407
8. Building Type: Residential 13: Commercial O Institutional O
? 9. Work Description: New 12 Add 0 Alter ? Repair ?
10. Describe Install ???? & ?.fv Fuel TYPe ??t PAS
11.
Plo, F.qui@nmi 8TU - M. Ea.
Forced Air 55AQQ No. Equiament CFM
Air Handlingc
Mfg.
B°ilers E
Mfg. Mech.
xhaust
Unit Heater
Mfg. Other
? Air Cond. 22,8C} BU E1.eC
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above informatio is true and correct, and I agree to
comply with all ord",?riances d des g rning this type of work.
,, ,f
?gned : e'` r for
,
RougM FinaJ
Inspections: Oate Insp. Date insp.
This is your permit when numbered anti approved.
APProvat! CtTY (?F EAGAltit 4544100
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OFT7"77
?i' CITY Of
RAOM
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Ae! rf
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rYPe or Arini /Vibly T
art.
1. Date 2. trrstaltatian Cast
= 3, ,3er6 Address' / . ? ' Olk. ?
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' 0. WtN{C NSGfIpt14';hfi: N@W ? Add 0 Al4'EtC 0 R#paIF 13
?. 10. Describe
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3575 BLUE JAY WAY 101 11165
SITE ADDRESS Unit # ?? . Permit # _
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHQP}E #
PLUMBING S-p
H.V.A.C. ? ? ? 1? ?U f 5
ELECTRIC .
INSPECTION DATE INSPECTOR QTH€R
FRAMING
ROUGH PLBG.
ROUGH HTG. Go,Zf.- l1 ??i ?d' ?t1
INSUL
FIREPLACE X6
FINAL HTG
? FINAL PLBG - -?? - Y -S'/ • /? ' ,F3?i? .
UNIT FINAL
CERT/OCC- ?j
lAl CdC'<
INSPECTION DATE INSPfCTOR COMMEAJTS
?
,'... ? .
3575 BLUE JAY WAY 102 11165 :
SITf ADDRESS Unit # Permit #
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPNOtdE #
PLUMBING
H.V.A.C. /o
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PLBG. / ` °? -STS? aC/•'/ a -
ROUGH HTG. f??? CtJ ?? d,n J.ar ?»ervpad l/? h S'
INSUL o2 - ? V ?lo ? ?,.=
FIREPLACE
FINAL HTG
fINAL PLBG
UNIT F1NAL
CERT/OCC 7? ??
INSPECTION DATE INSPECTOR COMMEN'fS
SITE ADDRESS 3575 BLUE JAY WAY -
Unit # 103 Permit # 131?r5 ;
TYPE PERMIT # PERMIT CONTRACTOR DATE 7ElEPHONE #
PLUMBING (oc), ?d,
H.V.A.C. -3 I
ELECTRtC
INSPECTION DATE INSPECTOR OTHER
FRAMING /- Wj
ROUGH PLBG. J--o2? rG • W-
ROUGH HTG.
INSUL
FIREPLACE
fINAL HTG
FINAL PLBG
UNIT FINAL
CERT/OCC Ge? ?
INSPECTION QATE INSPECTOR COMMENTS
SITE ADDRESS 35'?5 BLUE JAY WAY Unit # 104 Fetmit # 13.165
TYPE PERMIT # PERMIT CONTRACTOR' DATE TELEP'HOlUE #
PLUMBING ? j /J^-t SZ1 ._.. I v/
H.V.A.C. ? a fd ? ?
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING ? ?6 Gf1
ROUGH PLBG.
ROUGH HTG. 02?
IN5UL a -
FIREPLACE
FINAL HTG `-rY G?..?
FINAL PLBG
UNIT FINAL a4l
CERT/OCC
_
.3
Z? ,,?
INSPECTIOW DATE INSPECTOR CaMMENTS
SI7E ADDRESS 3575 BLUE JAK WAY UIllt# 105 F@Tfl11t # 11165-`
TYPE PERMiT # PERMIT GONTRACTOR DATE TElEPH0NE #
PLUMBING 1013 2 5"'
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING
' ROUGH PLBG.
ROUGH HTG. ,¢d"' p-tJ
iNsuL 0 /16 F A ?
FIREPLACE ??--
FINAL HTG
FINAL PLBG
UNIT FINAL Zaj
CERT/OCC
IPtSPECTiON DATE INSPECTOR COMMENTS
SITEADDRESS 3575 BLUE JAY WAY Unit# 106 Permit# 11165
TYPE PERMIT # PERMI7 CONTRACTOR DATE TEIEPMONE N
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE " INSPECTOR OTMER
FRAMING f o2 - X6
ROUGH PLBG.
ROUGH HTG. Ga).?
1NSUL o2 '-?v -?l0 &-o-?
FIREPLACE l -? ?- $6 ? R ?
FINAL HTG
FINAL PLBG 'J???fO ?? •
UNIT FINAL
CERT/OCC 2t),
??
INSPECTlON DATE IWSPECTOR. CQMMENTS
SITE ADDRESS 3575 BLUE JAY WAY Unit # 201 Permit # I1165
TYPE PERMIT # PERMIT CONTRACTUR DATE TELEPHONE #
PLUMBING I
19 A& / I0
H.V.A.C. (10 3 3? ? IO ? ? ?
ELECTRIC L
1NSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PLBG. .VisUa4 --
ROUGH HTG. Le4
iNsuL
FIREPLACE
FINAL HTG
sx,
FINAL PLBG
?
UNIT FINAL
CERT/OCC
IMSPECTit?N DATE INSPECTOR CUMMENTS
_..a?
?„ .. / U lr
O ~
a
PERMt #
FOL
P
? ?t?00?"i" # ? .? ? --?
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3830PILQT KNO$ RE}AO. EAGAM, AIN 55121 DATE 6 -
° CONTRACT PRICE FH4ME: 464-8100
Site Address `? ?•? --.?c. ` C(1 ? ? :'? ??'' BLDG. TYFE WORK DESMPTlOt+1
? Ltst ? Block a S?/Sub
C1a Res. X New, ?.-
b ?PE WATER C 1 V=' Mult Add-on
? as Addre?? D`2 FacGe ?tor d*e.
'esate rAtiTI
^ Comm. Repair
?
t Ciiy ' a38-1€80 Phone Other
-
? NO. FIXTt1RE3 TOTAl. :
?
?
c Name
Address u) lf -2 G? Water Gl+csset - $3:00 $
Bath Tubs -$3.00
? p City bL??- Phone g 74 Lavatory - $3.00
Shower = $3.00 ,.._
? FEES Kitchen Sink - $3.00
`
" COMM/tND FEE - 1% OF GONTRACT FEE Urinat/Bidet -$3.00 --
?undry Tray - $3.00
? MiNIMUM - RESIDENTIAL FEE - $10.00 Floor Drains - $1.50
- MINIMUM - COMM/IND FEE - 20.00 Water Heater -$1.50'
STATE SURCHARGE PER PERMIT - .50
Whirfpool -$3.00
€ (ADD $.50 S/C IF PERM1AIT PRICE GOES Ges Piping OuElets -$'l.50
. BEYOND $1,000.00) 1 Softener - $5.00 ,--' • ;?
[ Well - $10.00
i jr. Private Disp. - $10.00
Rough Openings - $1.50
: SIGNATOEOFOERMITTEE FF?: ..a GG :
' ;. STATE SIC:
^ FOR: CITY OF EAGAN >QRAND TtiT1RA.t' ?• 5y?? V
3575 BLUE JAY WAY 202 Z1?-6"
SITE ADDRESS Unit # Permit #
TYPE PERMI? # PERAAIT CONTRACTOR DATE TELEPHpNE #
PLUMBING
H.V.A.C. ;3 10(31 I ?S
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PLBG. >-acP-G, V4zo.L A
ROUGH HTG. r-.o2 _ t.,)
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG
UNlT FINAL
CERT/OCC
?
INSPECTION DATE INSPECTOR C01u1MENTS
SITE ADDRESS 3575 IILUE JAY WAY Unit # 203 P€rmit # 11165
TYPE PERMIT # PERMfT CONTRACTOR DATE TELEPHONE #
PLUMBING 1 I`? r.. ?vl?l I??/
H.V.A.C.
ELECTRIC
1NSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PLBG. 6, d- vj -?
ROUGH HTG.
JNSUL _ -2
FIREPLACE /'",p
FINAL HTG
FlNAL PLBG
UNIT FINAL
CERT/OCC
INSPECTION DATf INSPECTOR GUMMENTS
SITE ADDRESS 3575 BLUE JAY WAY Unit # 204 pem* # 11165 _
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING L?j?
H.V.A.C.
ELECTRIC '
INSPECTION DATE INSPECTOR OTHER
FRAMING a."Z - S'(,l
ROUGH PLBG. 2-3-8C A vw L ^G
ROUGH HTG.
I NSU L
FIREPLACE l ^lp
FINAL HTG
FINAL PLBG - _
UNIT FINAL 3- C,d
CERT/OCC
INSPECTION DATf FNSPECTOR _ COMAAfNTS
?
3 5 7 5 BLUE JAY tntAY : 205
SITE ADDRESS k)nit # F'errbit # ??.
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPMONE #
PLUMBING UJ ?rav..? ?c??? ?
H.V.A.C.
? 3 33
GJ.z??
l v/,3 /
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING ?`-oZciL-SG '
ROUGH PLBG. .W. I -l^.?
j ROUGH HTG.
? INSUL 1,o.k '
FIREPLACE f^ a y 861
FINAL HTG
f
FINAL PLBG
UN1T FINAL
CERT/OCC
1NSPEC7ION DATE INSPECTQR ' COMMENTS
SITEADDRESS 3575 BLUE JAY WAY Unit# 206 Permif# 11165
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHUNE #
PLUMBING b? , I / 11 /
H.V.A.C. 3 a / 013 l Ik)
ELECTRIC
INSPECTION DATE INSPECTOR OTHfR
FRAMiNG f- a„F? ` ,
ROUGH PLBG. 2 A-6
ROUGH HTG.
INSUL
FIREPLACE
FINAL HTG
FI NAL PLBG
UNIT FINAL
CERT/OCC
INSPECTIOId DATE INSPECTOR Ct'}MMEMTS
.
CITY OF EAGAN t''
Addition ???TON Lot S Blk 2 Parcel 10-4SOSO-OSO'02
Owner3,l 1>1 "t4c.f 1?t1 ??? ti .ft!'? tLtL Street 3575 BLUE +3AY' WAY State ?M NU °?S123
.'ll, /.7-v l'}Y'S
Improvement ate Amount Annual Years Payment Receipt Date
STREET SURF. ,
STREET RESTOR.
GRADING -
SAN SEW TRUNK 4971 M"'ll"IIIIIIIII 15,75 20 78.75- 99-35 11-13-84
SEWER LATERAL
* Sewer Lateral 94-5 1985 16 176.71 3234.34 q . 0 ?O 3' -/3--??
waTERnnaiN ?- 1985 ' 1810.02 362.00 5 0 ?D /153? -i -??
* WATER LATERAL ?.9SS
wa-rER,a:REa 78.81 7C009935 11-13-$4`
* Services 1985 -?
s-roRMSEw -rRK 1955 2834.44 5b6.89 5
' * STORM SEW LAT 1985
.-
CURB & GUTTER 0 ?
lt"r o
SIDEWALK
STREET UGHT
Roa Urut 896 10 24 85
WATER CONN. SOO.OO
BUILDING PER. ?.ZZCS
sac 525.00
PAR K
?
Cf D0 CITY OF EAGAN N° 11165
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
?
BUILDING PERMIT ReceiPt * 5? 9te
To be wed for 12 UNIT M.D. Est. Volue $527, 000 pa1e OCTOBER 24 19 85
SiteAddress 3575 BLUE JAY WAY Erect X] Occupancy R1
5 2
Lot Block LEXINGTON PL 1 Remodel ?
Sec/Sub Zoning R4
Parcel
Na .
Repair ?
Type of Const.
VN
Addition ?
No. Stories 2
W
Name ORRIN THOMPSON HOMES Move ?
h ?
l Length 137
Z
Address
1712 Demo
is
HOPKINS CROSSROADS I
t
l
? Depth 4 3
9
City
MKTA n
.
mpc
Phone 5 4 4- 7 3 3 3 I nstall ? Sq. Ft.
o Name SAME Approvob Fees
???
Address
F- City Phone
Name _
Address
City Phone
Assessment _
Woter & Sew
Police
Fire
Eng.
Plonner ?
Council
I hereby ocknowiedge that I have reod this opplicotion and stote thot Bldg. Off. 10/18/8!
the inlormotion is correct ond ogree to comply with all applicable AP?
$tote of Minnesotc $tatute"nd City of Eagan Ordinonces.
?. Var. Date
Permit $ 1 F500.5C
Surcharge 261 . 5 C
Plan Review 750.25
SAC 61,. 300. O C
Water Conn. 4, 800 . 0 C
Water Meter NlA
Road Unit 2, 688. OC
TcPI. 1,272.OC
Parks NZA
copies
Sipnature of Permittee - I ORRIN THOMPSON HOMES Total $1.7,574.25
h Building Permit Is issued to: on the expreu condition that
all work shall be done in otcordonce with oAapplicob e State f Minnesoto Statutes ond City o4 Eogan Ordinonces.
Building Officiol
0 " CASH RECEIPT •
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MIN SOTA 55121
?
DATE ? ? 19
RECEIY6D
_ FR2e, ? ?iE'.?'X-; ?-C "") ? ? ?:_t y3?..lL^rz,_?•
/
AMOUNT $
& DOLLARS
o---.?_.. ....
? CASH CK
FOR
l.
.25
? ? ,, ?,
?? ?_ ? ?' :'•? ? ? '?:
FUND CODE AIAOUNT
]
l -
r j
J
Thank You 41e
fV_ 57098 ,
White-Payers Copy
Yellow-Posting Copy
Pink-File CopY
TILLGES CONSTRUCTION CO. DETACN A1Vv rct I AIN 1'Hi5 ?TA i EMENT
THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BEIQW.
LAKEVILLE, MN 55044 TF NOT CORRECT PLEASE NOTIFY US PROMPTLV. NO REGEIPT DESIRED.
DELUXE - FORM NWC-3 V-2
DATE I DESCRIPTION + AMOUNT
Building Permit Fee- Vienna Woods
$2,250.50
V.2 .
N?,p
L i
l
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?---?
/
?y
°G t
. C?
? ?.?
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This request void?-3r,1»?? /ff?1lc.L ' J-4/19,00-
18 mo?hs trom JQ"?OO?',? -l?o?aol!v -0-30 -or? t?e?,?,R-.,o-pa.fe?Q-?Ib•vv
r?
flequesY'FAte fire No. Rough-in Inspeciion
Required? [:]Ready Now8,Will Notify, Inspec-
-? ?7(YeS .? No . tor When Ready
1?
* icensed Electrical Coniractor 1 hereby request inspection of abovr
? Owner rJ?l? f?? _ ?pp?electrical work installed at: ? Street Address, Box or Route No. Cii ?"")?
? ? I
ection o. Township me'rNo. ? o rfty. ,s .
Occupant (PRINT) Phone No.
-
?
?
Pow r Sup lier Address
?jg?
EI trical Contractor (Company Name) Contracior's License No.
'ffailing Addr ss (Co ractor or Owner Making Instailation)
<?? /l0 ?,/? ??u(O?
Authorized Signature (Contractor/ ner Making Instal ationl Phone Number
. .
pffNNESOTA STATE BOARD OF ELECT Y THIS tNSPECTION RERUEST W9L6 N0T
Griggs-Midway Bidg. - Room N-19 BE ACCEPTED BY THE STATE BOARp
1821 University Ave., SY. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ? EB-00001_04
See instructions for completing ihis}form on back of yellow copy. -, X" Be1ow Work Coverwd by This Request •.'`?
ladd Rep. Type ot Building Appliances Wirod EquiUmen[ Wired
Home Range Temporary Service
Dupiex Water Heater Lightiny Fixtures
Apt: Building Dryer Electric Neatin
Commercial Bldy. Furnace Sifo Unloader
industriai Bldg. Air Conditioner Bulk Milk Tank
Farm ? Other(SPecify Other(SUecify)
LIIPf (SUecify . Other Otfier . . Comnute lnspeciion Fee Below
# Fee ServiceEntranceSize # Fee Feeders/Subfeeders # . . Pee Circuits
0to200Am s 0to30Am s 0 to30Am s
Above 200 qmp5i 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100-Amps Above 100_Amps
Transformers frrigation Booms Partial'Otheri€ee
Signs Specialinspection
TOTAL F
Rerr?r s . ?
I i
Rough-in . . .
?
F Date
i- =? .
I, the Electrical
Inspector, hereby
certify that tfie above
Final - ? Dat inspection has been made.
This request void 18 month?o , l.d?t.W" ? I y I?b OO ??? ? g
/ 0?0 f? 5-?iw-s.e' F?
/') U A- S.tuu:c' /D, o D ?
This request void
78 months irom
A ?199 7 0 5 ? 5 g ,:, P rA I'a
W-licensed Electrical Contractor
? Owner
-?
Sxreet Address, 8ox or Route No.
? 575 _ B u,9 6- TN we
eci+on No. I Township Namb or No.
I hereby request inepection of ebove
electrical work instailed at:'
City
t<nI...,a_!
VN N1 O DccuPant (PR1NT) Phone Na
riP-ki,J, 7bC*sn m "Q+: S
Power Suppliar Atldress
?- - r-_Ar
Electrnical Contractor (Company Name) Cgntractor's -License Np. I
E?.?'t? ?L.Ler h??'I rsLS- L
Mailing AtlUress ICOntractor or Owner Making Instailationi
14t'1 6, wv- mo
Authorized Sig ture ( ontractor Owner Making Installatinnl Phone Number
rJ a
-7
M1111NES TA STATE BOARD OF ELECTRICITY THISJNSPECTION REQUEST WIIL NOT
Gr9ggs-Midway Bldg. - Room N-781 BE ACCEPTED BY THE STq7E BOARD
1821 University Ave., St. Peu1, MN 55104 UNLESS PROPER INSPECTIQN fEE IS
P#one 1612) 297_2111 ENCLOSEb.
Aequesi te Fire No. Rough-in Inspection
Aequired7
[DReady Npw WiII Notify. Inspec-
? ?? ? Yes o ? tor When ReadY
REQUEST FOR ELECTRICAL INSPECTION ? es-000011;04
ee instructions for completing thisJorm on back of yeflow copy.
"X" Below Work Covered by Thrs Request
A
O97a?? o?
Add Rep. Type of Building Appliancea Wired Epuipment Wired
Home Range Temporary Service
Duplex Water Heater Li htin Fixtures
Apt Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ther peci Y ther (SUecify)
t .r Specify 0t er Other
_mmniAe In.cnnctrnn Faa Ralnw
# Fee ServiceEntranceSize q Fee Feeders/Subfeeders # Fee CircuiYs
0to200Am s 0to30Am s 0to30Am s
Above 200_Am ps? 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Am s Above 100;_Am s
Transformers Irrigation Booms 4. Partial-'Other F
signs bpeciai inspection gTOTAL F ?O ?
Nema rks
?N1P?k1 SER?',c; ON ,
Rough-in ate t, the Electrrcat
Inspecto , hereby
finai certify that the above
D1{-7-/ medection hea been
TlNs request void 18 moMhs from
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Teiephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage ailowed)
1 Soils Report if proposed buiiding is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation fortn
RemodellRepair Requirements
2 copies of pian showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for a ?? ??
Addition - indicate s c te
Plans are considered public information unless vou
e
?
Use Qniv
teod .,.,_ Y _ N
` Y _N
Recd _ Y _. N,
iired _ Y _N
iystetll _ Y ...,_ N
sec* and the reason.
Date Construction Cost C_DcJd /
Site Address U-e, ?[ ?,ca ltiYt.?,? Unit/Ste #
la ct t p 'o Doo+r uuw^ t
Description of Work
?
J
Multi-Family Bldg ? Y._ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 11Gc.t.,-2 S rni Gko,, Telephone #((.051) 7S-S-' 310a
Renewal By Andersen
Contractor
- 1920 County Road "C" West
Address - Roseville, MN 55113 C??'
State License #20130983 Celephone # ( )
651-264_4777
COMPLETE TIi1S AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catego rv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the Cify of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
sEP 0 5 zoos
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building 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 the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without E
permit; that the work will be in accordance with the approved plan in the case of work which requires a review anc
approval of plans.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvqes
? 01 Foundation
? 02 SF Dweliing
? 03 01 of _ piex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex
? 08 06-plex
0 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
? 13 16-piex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Levet
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
Work Tvqes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
E3 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage Yes
Valuation _ Occupancy
Plan Review 100% or 25%
Census Code Zoning
SAC Units Stories
# of Units _ Sq. Ft.
# of Bldgs _ Length
Type of Const _ Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings (deck) Final/C.O.
_ Footings (addition) Final/No C.O.
Foundation H VAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs
_ Framing _ Siding _ Stucco Lath
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Air/Gas Tests Final
_ Stone Lath _Brick
?q aouo
2006 RESIDENTIAL BUILDING rExMIT ArrLicATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
!0-e!:7"D
New Construction Reauirements Remodel/Repair Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ali roofed areas 2 copies of pian showing footings, beams, joists '?-
?
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tre??'r
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Caiculations Add'rfion - indicate if on-sife septic system
3 copies of Tree Preservation Plan if lot piatted after 7/1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Date Construction Cost A5 'a ? -
Site Address ? s "-7 5- )? ? Unit/Ste #
?
Description of Work ?C-P &,tr_?,?Jjj ? wl N pr}-w
Multi-Family Bldg ?Y _ N Fireplace(s) 0 _ 1 _ 2
Property Owner T-° f ?9 P_1T__/Z Telephone # ( (pS n ?S Z - Z (v S (
RENEWAL BY ANDERSEN
Contractor 1920 COUNTY RD. "C" WEST ?? ct,&4-_
Address ROSEVILLE, MN 5511-3 City +1/
State 651-264-4777 Telephone #(?521-
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING Q NEW BUILDING
- Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanicaf Contractor
Sewer/Water Contractor
7elephone # ( )
Telephone # (
Telephone # (
I hereby apply for a Residential Building 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 the State of MN
Statutes; 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.
~s? ?l V1't
Applicant's Printed Name
. ?
Applicant's Signature
r-,-ef.,
'
L4 o • ?`i ? ?? o _ `? ( O? ? lc; ?? ? ? , f'z-J r? t') V_?g Y7-ut i ua c N ?-? ? G'-A4 t f
DO NOT WRITE BELOW THIS I,INE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work TVpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
DeSCI'IptlOtl: Water Damage Yes
Valuation Occupancy MCES System
Plan Review 100°!0 or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIl2ED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings (deck) : FinaUC.O.
_ Footings (addition) FinaUNo C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing Siding
Stucco Lath
Stone Lath Brick
_ Fireplace _ R.I. _ Air Test _
Final _
_
Wmdows
_ Insulation _ Retaining Wa11 Approved By: , Building Inspector
--------------------------------------------------------------------------
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permif & Surcharge
Treatment Plant
License Search
Copies
Other
Total
-7-21 Ol- I
2006 RESIDENTIAL BUILDING PEiuvrlT APPLicaTloN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodellRepair Reauirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate if on-site sepfic system
9 q ?J?
Office Use Onlv
CeR of Suroey Recd - Y_ N
Tree Pres Plan Recd _ Y_ N.
Tree Pres Required _ Y_ N
On-site Septic System :_ Y_ N
/
Date 11)6 ?
Construction Cost
Site Address UnitlSte #
Description of Work
Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 2
Property Owner Telephone # ( )
7 f ?i? ? ?f 1
Contractor ?t?.- A?
Address CIty x
St
t ZiP?? 7 ' Telephone #
a
e COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar pian based on a master plan?
_ Y _ N if yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # f
Telephone # (
I hereby apply for a Residential Building 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 the State of MN
Statutes; I under.stand 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.
J).??
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-piex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
D@SCI'Iptloll: Water Damage
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screenlgazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
O 39 Eut. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
YDemotition (Entire Bldg) - Give PCA handout to applicant
Yes
Valuation Occupancy
Plan Review 100% or 25%
Census Code Zoning
SAC Units Stories
# of Units Sq. Ft.
# of Bldgs Length
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Sheetrock
_ FinaUC.O.
, FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests
_ Siding _ Stucco Lath _ Stone Lath
_ Windows
_ Retaining Wall
Building Inspector
Brick
_ .?_,.. G ?:? `? ? ? ? /5.•.??C_?`
ARA 1
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
V-1tr . CITY OF EAGAN CXt?t.J??
?, ._.
-
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Dateq
?
Site Street Address Unit #
x
Property Owner
Telephone #
( )
McGUIRE &
60512th Avenue South
C
t G?
??3?r
on
ractor Telephone #
Address ? Citv State Zip
The Applicant is: _ Owner ? Contractor _ Other
Alterations to existing dwelling n nn $ 50.00
_Add fixtures to rooms, excluding water softener and wat ? eater
_Septic System Abandonment SEP 20 2004
_Water Turnaround (add $121.00 if a 5/8" meter is requir d)
Gther: ? w.. - ----
_ Water Softener XWater Heater $ 15.00
replacement _ additional
_ Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge
?-- $ .50
_
-
Total
T
$
I hereby apply for a Residential Plumbing 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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
n _ , . .4 t 1 . : , d _ . . -L.e I ! r-7
Applicant's Printed Name AlSplicant's-Signature
1/ .
7ns/86 .
TO WfiOM IT MAY CONCER.N:
??rc-
RECEIVED i u t, 2,3 1986
This is be.ing written as a means to doctanent infozmation and FhQne conversations
regarding the animai nuisance and misrepresentation of Orrin Thompson regarding
the ranaval of the animals within six months, upon which misrepresentation I
purchased my hcxne at LLexington Place.
When I fisst Iooked at the Lexington Place ccmpIex, I was told by Ann Duchon af
Orrin Thompson that the anima3s located in the kennel across the v,ray from
the unit I was interested in purchasing uould be rgnoved within six months.
She also stated that the kennel owners had alrea:dy been advised to clean up
the premises prior to occupation of new residents in this particular ccxtplex.
I was also tAld as a concession for putting up with the anunal nuisanee
for the interim, Orrin Thompson would not charge me for the firepZaee, which
wa.s already in the unit. Iwas tola that a letter had been received fran
'Ibm Hentges of the Gity of Eagan s+-.ating that the animals would be removed. (in 6 nos, )
I did not see the contents of the letter and suggestecl to Ann that I might call
Mr. Hentges to confirm the date that the animals uuuld be renmveda Ann jokingly
asked if 2 did not tnxst her and again assvxed m that the animals wouI.d be
renoved within six months. This sarre assurance was given to me as I inspected
the unit and again as I moved into the unit.
About a month ago, after ecmpany and friends complazned about the animal noise
when visiting and whi1e on the phor_e (one of my friends said on the phane that it
sounded as if the dags were in the hoia.se with me) and after being awakened
nune.rous times in the middle - af - tYie ru:ght Y I called the -police c1exartznent at
3:45 ANl on a Sunday tc> inquire as to wliat kind of ordinance was_ in place for this
type of nuisance. Tlie police officer sai.d fie had severai ccmplaints and infornied
me that in fact Orrin Tfic3mpson lied: to me because the owners of the kennel never
had nor did not intend any time in the £uture to move the animals frcn the
premises.
That week; I visited with Ann and told her of the d.isturbing news,, Cannie was
in the offiee at that time. A-nn said she thought she had originally told me
that the animals would be removed withinthree months, that the pronerty with
the kennel was zoned residential ard that they would be moving within three months.
She asked me tA be patient and that I should continue to call the police because
they would advise the kennel ownexs to guiet the animais.
TYat same evening, I called the police departrnent agai.n. An officer came to my
house and again told me that Orrin '_nccxnpson had lied to me as well as the other
awners in the Lexington canpiex and restated that the ovmers of_ the kennel never
had nor do they intencl in the future to move the animals or theinselves.
In several coriversations with the City of Eagan, I was told that the premises are
zoned agriculture and that the City was looking for a diffe.rent place for the
animal pound, but that the kennel and its owners never had nor da they intend
in the future to mave the animals or thenselves.
First conversation with Mr. Swanich of Orrin 'I'hcmpson was less than productive.
I informed Mr. Swanich that Orrin Thcmpson had lied to me as well as my
neighbors (who confirmed that they had been told the animals were to be removed
within 3-6 mnths as I had). Mr. Swanich sa.id he could not comnent until he
spoke with Ann Duchon. Scine t.i_me later, Mr. Swanich and I had another conversation.
Mr. St,vanich inforn?ed me that the City was looking for anothexp7_a:ce for the
ani.mal pound. That the owners of the kennel had a use permit which was to expire
in December. T'hat a petition would be secured and that at a public hearing in
Decenber, the i3etition along with the residents in attendnace would, hopefully,
place leverage on the use pennit not to be reissued. 7 then asked the same
q_uestions as I had in my initial conversation with Mr. Swanich, Trllzat recourse
do I and my neighbors have as to the misrepresentation that Orrin Thcgt?pson mde
regarding the remval of the anima.ls within 3-6 months? I also stated that I
and my neighbors under no circLunstances would have purchased our homes`had we
known that there was any chanCe at all that the animals ;night not be renoved.
In other words, we purcha.sed our hcme on the inisrepresentation-of Orrin Thompson.
Mr. Swanich then said that in his eonversation with Ann Duchon, she now says
that she never told any of the potential residents nor the current residents
that there wvuld lae a removal of the animals within 3=6 manths. The implication,
therefore, is that I and my neighbors are fabz'icating this entire episade and
conversations with Ann Duchon. I suggested to Nlr. Swanich that I seek legal
counsel. Mr. Swanich ad.vised me to to in that my-doing` so wnuld on].y line the
pockets of my Iegal counsel as well as nrrin Thcapson'°s as it would be my word
against Ann L'tzchan'•s, .
'_ro date, I signed a petition Nlanday, July 14 whicfi is to be presented to the
City Counci]_ meeting. TFie, petition states that the animal . nuisance ordinace
is being violatecl by t1ie kennel and that tYleir license should be revoked.
N!.y question is who is responsible for enforcing this ordinace? Who can I call
to enforce this ordinace? The an.imals are still barking constantly and no one
is doing anything to quiet them or pzt 'up baz;r'icades or enclasing the kennel.
ezya1Z1 1Pi inzr1t1?`1CJ i171.`i i.S iZ"i1° C?CiCLIIT°?2i1?t.1Gii ai-id alSu ios: SfniBC)riet
T1111c, pai?se
anyone to gi:ve me scs-e straight answers as to this dilema. Please reply to:
Judith A. Cn'cfiard, 3575 Blue Jay Way #206, Eagan, M 55123. Thank you,
Sirieerely,.
?
'Judi A. Orchard
?
y / ??-
./
. /
1985 BUILDING PERMZT APPLICATION - CIT7C OF EAGAN
I /v 1 le ?y NOTE: ALL CONTRACTORS HUST BE LICENSED WITH THE CITY OF EAGAN
- Y..
I
INCLUDE 2 SETS OF PLANS
?1?I?tlr???ON
Plan: ? k+?
?nri 3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
_
l
i.
To Be Used For; Residence X.A.Z. Valuation: Z1 ,000 IIate:
Site Address: 5157?9 DWi 'JaY ??? OFFICE USE ONLY
GeNAVbN
Lot: 4?7 Block 2- Sect/Sub ?Pr9,4VIE r e c t x Oecupancy (Z•?
Remodel Zoning R-¢
Parcel # Repair Type of Const V h?
Enlarge # of Stories Z
Owner Move Length 13
Demo).ish Depth 43
Address Grade Sq Ft
City/Zip Code
Contractor Orrin Thompson Homes APPROVALS
Address 1712 Hopkins Crossroads
City/Zip Code Minnetonka, Minnesota 55343
Phone # 544-7333
Assessments Permit
Water/Sewer Surcharge
Police Plar. Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off 7=915-parks
APC Treatment P1
Variance
TO?AL
1500 . 'o
ZG3 5=
-7 Sp. z?
(o3c?,
4f3cx? .
Z6S?
N/""
IZl2,
Arch./Engr
Address
Phone #
. ?.
a .r' z
?? : . y ..... .
I V:
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?5>,?.?":?v f?Oh.!6
G?A 2-4\(.a
5Z ???t?00
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4?3
42? x 2, v ? 1 c? cn7 .?
I Soo . ?'
?
? Z?7 x . ? ` 2co ?,,,
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IS-0 f ?.25
\ SC? - - c?-
- SP?C
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... •?A?.?,,?.,.+?
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' C40a.o ?-
?
' Ppl?.i ?.: ?,
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' MINtJESOTA STATE E:trRt;Y (:ODE CALCULA'fIONS
?. ? BAScD O,V CtiAPTik i GF THE
`. ' MOUtL E3ERGY CODE - 1983 EDITION
'- AdupLiun EffFCr.ive 111184 )wner
??X1N G`?c?t
covN??Y ??cEs
t2 uNLT
Phone r? tP 1 ?-$.85
;ite Address • •
;ontractor 0tZV,1A TR6MFs60 HaMES Phone
3uilding Classification: Type A1 (Single Family & Ouplex) Type A2 (Residential
(3 stories ar ess
(Other) (Over 3 stories)
.?
RA FORMATI
1cNE L IN ON
l. $uilding Perimeter q-?Z- ft. . •
2. Wal1 height (ground to eave) 1g,lg ft. '
Z ' .
3. 1. x Z. (above) gross wall arga, ft.
3. Building dimensions (L) x(1J) Ft.2 roof b floor area
?. Square fcot area of rim joist - Floor joist size (2 x ? 2?) 2
? x PerimeLPr = Rim joist area = tAZi ft
72 '
= . -
6 • Ooors - Area IDEAL pkS. . .. .
' Thickness in.actor
.. Type of Construction . . Perimeter ' ft. -
htanufacturer
7. Total door's perimeter ft ' .
8. Windows: Manufacturer State approved
U factor , 9?2
TYPE SIZE AR-A (Ft.2) NU,MEER QF 70'Ai. FEET 2 .
• cqCH UNITS
aTT? Y?n sH ??- ?
g. Total ft.2 G1ass 8$?
106 Fireplace area: Width x heiaht = x = Ft.2
11 .Exposed foundation: Height x Perimeter ---- x = Ft.2
; )TIPLETION OF THIS FORM I5 REQUIRED FOR ALL NEiJ COtISTRUCTI ON, ?1AJOR REI40OELIN6 AtvO BUILOINGS BEINC
4)VE0 WHERE EnERGY, OTHER THAN THE MINIMAI CODE al.LO:-tArICE, IS USED.
'• F.,,.,ming aren = 10% of gross wall aren. .
13. , Gross wall area ??'O _ ft•2
IWindow area A oD_q_ ft.2 U windows S'L U x A= <02
Rim joist area _? •' ft,2 U rim joist Q ?_ U x A= 3?
? 2 Door area A 2 U ft. U door area = i U x A= ?7
o? L b?aL bRs, z , ?area A q-?D ft. U tJ x A= ??( 8
ft.2 U U x A = -
?
Framing area A -7+01 ft.2
Net wal l area A 4+52, ft.
U frami ng area =_. L±?_ U x A= (( l
Uwali = aCo tixA= 243?i
--
(138) TOTAL . . . . . . . . . . U x A =
14. Grross wall area x 0.11 (A-1 single family & Quplex = allawable U x A/Code
(13. above) 3 A-2 other residentzal
x .23 OLher bu dings
x .28 (Over 3 stories)
BTUH Must be larger th2
. A ??qt) x l: Code, (7ZZ ?07• 138 above
15. Ceiling framinq area (Af) equals 10x of ceiling area ? or the same as)
ISA. Gross ceiljng area =(L) x(W) ft.2
153 Joist area (Af) = 10a ceiling area = (o -z _ ft.2
2
I5C. Net ceiling area (AC) (ISA - 15B) _ ft.
U ceiling x A C_ IQ& fU _ x 1625' _141
. U framing x A f= ?Zl? x,
15D. 707AL U x A ........................................ ?
,
16. Ceiiing area (15A) x 0.026 (a-1 sinqie family b duplex - code allowable U x A •
. x 0.033 (A-2 other residential
x 0.06 (other)
A(15A) (?Zlg (o x U(cQde)= E 03?s
BaUN Must be iarger than 150 (above)
F (or the same as)
Zd $
NOTE: Use U and A values obtained from nps 1, 3 and 4.
W
F ?
"i WKSON JONES COMPANY 07306 6REEN 7506 SUFF . G7706C fCOV!RLESS MADE IN U.S A
? .
::4H
???YS?M E.aT?r t N6 - -_-?"rAlu? u VazUE
Inalde air Eilai
. fi8 ??
WAbL Intaricr wail .? . 1
SECTZON ?Wall) U ? ? `:
. n erivr wall ,? t '?(
SECTION 4+1 s cud R= ?
4.38' (Frarafng) U. - :
Sheathing
siatng ?7 .
Iasnlacion ?3.pD f2l / '
Sheathing_
T
S id iag
?
Ou=side air film .I7
R TOTAL , '?, Insfda air film .68
S''L'D j t .
ZND uAi.L
SEC:ZOPi
Iitterior wall
InsulaCloa i
/.
(NaZI ? U . $ .
?
Estsr x3II eoveriag Factarior sir R s.1 T
H 'rOTAi,
RZ1K
JOIST
1?-.-
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t
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?
?.
. ` (
f
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Quts tae air f f Im , i 7
?_ .
. g 20TAL ;.C80
Instde air film R= .68
? -
Interior air film R= .6a - ' •
Insulatian
I? irteh soft xooa R=1.88 tRim j
U s ?
Joist)
Shea=h sng , 0J3
Exterfor Wall ecvering
(-7
ExLerior air film Ra .I7
R TOTAL
' -
or air film R= .68 .
Znsulatior.
Fouadatfon .
(Fdn. ) 1
U
Eaterior air fflm = .17
. . -' . b7z
. raru.
? osed 9locic . . ,
ti. .
rED .,tC SFaCE A80yE
A VAL?V` ' MI LllE
F~rca;4l;;?, CFiLING . ,
_ O.ci 'Atr Fi1m Q.61
:.
InsulatioR 39, 6p . : 4 . .
? .
Jaist ` .
Cai T f rcg
r
f z 7m 'Q. 61
. . ?& Tctat R 3?. 7 S.
I .
• . b2? V .s T
F? 4' RCOF QR CATRt"RRL C`?Lr`SG , .'. .
i 11a 1 ue R '1Rt,UE
I . . _ FrZ,'1iMG ; CETLlNG ?
. :?...?.: Q.61 - ?nside air fZIm 0.6i ?
? • Cei I i rtg
Jaist (s;,?Q
! • Iasulat;on. f • Qi r saace
• Raaf derkfng
; • Insulatzan .
• Bui 1 t-Up roor
. 0.I7 Out.side air _filrt 0.17
' Total R " 1 U
R - -
4i rtdOw i rtf11 trati cn .5 cfm/t f neai -f-0ot af cr-ack . . ,
tes:dential doar infzTtration Q,? ??/Squsr2 foat or daQr and mint '
,cn-residentzal daar infiItratzart 17.0 cf?/TineaI zaat af c? t m?a c?de re?uir?rent ,
c?c
Ib 72" cIIrrcrete block mo fasuiatiaa =,47 R Z.i -
!b TZ" cancrecz b1cck insulated cares =.26 R 3.8 .. e
15 12" Iisilrweight blocic . :
:t? TZ" Tfgnr?veight biqCk insulat,.d ??s s.32 R? 3.2 .12 4 8.3
1 sfn4te glass- = 1.73; with StCrnt .tyirtd?-m .54 1 double gTass = .53 . ? • ' .
! trfpie gTass = .41
.
e.YLarzor walts and ceilings must have a vapar tarrier
:apor barrler must 6e an t.?te inside (heatzd side) of cyaTl.?Q.IO ?JEtTit r3X.). .'
raoor trarriers of th e p a 1 y e t h e I e n e t.hi n F i lm havA nc R vaTue. .. . .
- -
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CITY Or EAGAN 2l84
'tt?u
; APD
. LICATI0N FOR PER:%IIT
.
SEWER AND/OR WATER CONNECTIODi
_ (PIEASE PRINI)
1) PF.OPE7TY ADDRESS:
LMAI. DESC22P'TICV:
(IotlBlook/S li: divisicn or TWc Parc ' .
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3} PM!BER. (PL ' PR Hi) FOR CITY USE OHLY
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PFiC}:lE -
5)' IN7IMTE :dEiICH PERNiIT IS BEII`,C RDQUFSTTD: •
? CG?.',NtECTIOV Tn CITY SUi-ER
? cQiVNF7GTIG`N m CZTY WA2'Et
' Q 011ER (PLEr'1SE DESCftIBE)
-V 0 PMASE F?OID APPP.CNED PER4IIT F'UR PICK-U'P BY CNE OF AER IE
PIE'-,SE :7IL APPR?D ? P??•LLT ? TJ l, 2, ? 3, 4 ??
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PERM2T '-` ISSUED
rt-t-S
$ ? nr:?"_ ?47?^ ?Cr
?L'.?L.. s. ?I_I?..:....
WATER PEWt?T ( IlICL'uD : Su RC::ARGL )
WATER METER/COPPERHORN/OUTS3Jr- REt?DER
$ - WATER TAP (INCLGDE CORDORATION STOP)
$ SE:dER TAP
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ACCOUNT DrPOSIT - W AT°R
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$ TRUVK WRT£R ASSESS:?E"..:T
S TRL'N:{ SEivER ASS::.SS:iE:iT
$ LATEP,riL BENEFIT/TRUi1K Sr.::TE:.
$ LATr.:AL SEVEFIT/.TRUNK tIATER
$ 7,` ` `''`?-•, WATER TREATME??TT PLANT SjIRQiARGE ----
$ - OTHER: ..: ?
$ TOTAL
: $ . 71, f?.% pu"OL'::T PAID j REC-IPT U__
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NNECTION REQUIP.E _ .
_. .: ?..._
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EXCAVATION IN PUBLIC RIGiiT OF WAy? .
? YES ZF YES, THE:J ti"PERMIIT FOR *AORK WITHTN
- POBLIC ROADWAY" y(IST BE ISSUED BY THE
NO ENGINEERIrIG DIVISION. LIST AS rl CONDI-
TION.
SL'EJEC'I' TO THE
• FOLLOIdING CONDITIONS : ?•
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.
APPROVED BY:
TITLE_ ' -
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C?WN?R N?ME: H 905- 1?23 W 973-8895
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2006 RESIDENTIAI, $UILDIN(i PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Gonstruction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20%maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found tlesign, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Opfions selecbon sheet (buiidings with 3 or less units)
1Vlirinegasco mechanical ventilation form
RemodeVReaair Reauiremenfs
2 copies of plan showing footings, beams, joists
1 set of Energy Calculafions for heated additions
1 site survey for additions & decks
Addfion - indicafe if on-sife sepfic sysfem
1475
?z
?
f0e?
,? ?.,?,,-? ??? ? ; . . ....
Date f/ 8 W
/ v 6 Construction Cost 3 000.
Site Address 3 51 S (3 l,V ?C. JA? Unit/Ste
Description of Work Q LO1200(1'1 h(1 rfOQ N$ vS I r( ?. lzj( 1 Si-Ir-a- 4 nO/ 1 ^Y6_5
Multi-FamiIy Bldg _ Y_ N Fireplace(s) 0 2
Property Owner TIa**\ SAl.D I r.l ?Z?FA?4 Wi (T?ES Telephone#(
RENEWAL BY ANDERSEN
Contractor 1920 COUNTY RD. "C" WEST
Address ROSEVILLE, MN 551 l-3 City
State 651-264-4777 Telephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet ? • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masfer plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber ? Telephone #( )
3
Mechanical Contractor 9 ?w ? Telephone #( )
Sewer/Water Contractor
Telephone # (
I hereby apply for a Residential Building 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 the State of MN
Statutes; 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.
'T1 m 5 S.J1--?`----
Applicant's Printed Name Applicant's Signature
DO NOT WRITE SELOW THIS I,INE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex
DeSCi'IpttOtl: Water Damage
Valuation
Plan Review 100% or
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - S F
? 36 MulEi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Yes
Occupancy MCES System
25%
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIItED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings (deck) FinaUC.O.
_ Footings (addition) FinaUNo C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Fina1 _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath Brick
_ Fireplace _ R.I. _ Air Test _ Final Windows
_ Insulation _ Retaining Wall - Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
C.R. WINDEN & ASSOCfATES, IHC.
LAND SURYEYORS Tei. 645 •3646
1381 EUSTIS ST., ST. PAUI, MINN. 55108
?
Scale• 1" = 40'
O Denotes Iron Monument
CERTIFICATE OF SURVEY
FOR:
U. S. HOME COR??ORATION
t
R¦
( OOQ ) •Denotes Proposed Elevation
--=- Denotes Direction of
Surface Drainage
Datum - N.G.V.D. 1929
easd,men t
5 89° IZ' 5£3" E I
?.,?. : - t •o? -;
NO 8ss.o} N
B9L.5 ? ? .?
(893. __ a) ?
.4
10 + cs9 } ? ?
?
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t } ? r ?
, L09 ?0 1l.08 24.5 '?3.5 3• 2 H.67 ?? r
? ?.
J -?
PRoPoSEP IZ-Ub?tT r?' ?
,`?i? ?'irat Ftocr Ei. * 89?? 2 0
, .c .7s
N 14. Sb N ti ?
(ns1 (s9 y. 4 )
26 v `?`' r??•N? , 0-v V' ii 0 Q o $S (? - ?.7 N
a 5 N ! al .? ! . 2? _ ? ? 1 --?? ? Gr s' Z fl
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0 1-4 a9?3$?O?a???.
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B i_. UE ._.) P!=4 1N F? ?
Lot 5, Block 2, LEXINGTON PLACE FIRST
ADDITION, Dakota Countv, Mi.nnesota.
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARiES OF THE LAND
ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY,
FROM OR ON SAID LAND. I
Dated this {Ot4day of 4c1'p6er- A.D. 19e5 C. R. WINDEN & ASSOCIATES, INC.
R?v?'sed Lof Num,6er /O-/O-B5
by jo-4-? -?
Surveyor, Minnesota Registration No. '1'ILts