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1575 Baylor CtCITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Read P. O. Box 21199 PERMIT NO.: 7 77 Eagan, MN 55121, . DATE: Zoning: No. of Units: ('-W or zon I o,,cs Owner: Address: Site Address: Plumber. I agree to amply with the City of logo" o dimmew I BY Date of Insp.: Connection Charge: S . 00 pd Account Deposit: 15.00 pd Permit Fee: L T) (7 Surcharge: Misc. Charges: Total: - Date Paid: CITY EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21 A9 ' PERMIT NO.: » '-' •' Eagan, MW55121 DATE: i t ZoniWg: No. of Units: Owner, . • ' o r ?.;°. c:? Address: Site Address: 7,7 Plumber: I 1 agree to Cora* with the City of Eeges Ordioonees. By Dote of Insp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: Tool: Dote Paid: Pd n CITY OF EAGAN 3830 Pilot Knob Road P. O: Box 21}199 i- Eagan, MN 55121,1 SEWER SERVICE PERMIT PERMIT NO.: DATE: Zoning' No. of Units: Dwnsr• ' eW tlor on .or Addre s: Site Addi Plumber: I ogiea to aoieplhr w11h the C* y of Eagan O4sences. By Date of Insp.: Connection Charge. 4 • lo Account Deposit: Permit Fee: Surcharge: Misc. Chorges: Total: _ Date Paid: ,,. t - E.:% A.v L EWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21194 PERMIT NO.: Eagan, MN 55121, DATE: Zoning: No. of Units: Owner: 07, 1 * 1; Address: Site Add, Plumber- I agree to comply with the C*y of Eagan Ordinances. By Date of Insp.: Connection Charge: 4 2 5 it Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: - Dote Paid: CITY OF EAGAN 1 0007 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be wed for Est. Value Date 19 1 ' i r 1 _i : ' L i=. I' Erect ? Occupancy Site Address ^ _ L" i t Bl k L Remodel ? Zoning o oc /Sub. Repair ? Type of Const. Parcel No. Enlarge ? No. Stories c i Move ? Length art Name D li h 11 th D 7 emo s ep 2 .. Address Grade e 0 Ft Sq . . Name r.?.. .. Address Assessment City Phone Water & Sew. Police pW Name Fire 11 Address Eng. ,W City Phone Planner I hereby acknowledge that I have read this application and state that Bldg. Off. the information Is correct and agree to comply with. all applicable APC State of Minnesota Statutes end City,*( Eagan Ordinances. Var. Date Signature of Permittes A Building Permit Is issued to: all work shall be done in accordance with all Building Official big State of INC Permit " 0 Surcharge . Plan Review. SAC Water Conn. Road Unit 2 Z.?U 00 I3 iC Total on the express condition that Statutes and City of Eagan Ordinances. Permit No. Permit Holder Date Telephone # Plumbing C 3 H.V.A.C. Electric N 9 rnL y 3 c l . Softener Inspection Date Insp. Other Footings a c () Foundation Framing f , 08 Roofing S i W Rough Plbg. Rough HVAC Insulation & r Final Plbg. v iC P 70 Final HVAC ?? Final 4 X08 Cert/Occ. Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN ; ' 0 l 3830 Pilot Knob Road, P.O. Box 21-199, Eagan. MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # T. L. 1575 t' A Y Z,('r: Erect ] Occupancy ': ? Site Address t Bl k L b S /S L '$ ?• i? Remodel ? Zoning Pu o oc ec u . Repair El Type of Const. V Parcel No. Enlarge ? No. Stories move 11 Length } t, W N I - Demolish ? Depth G Address Grade ? Sq. Ft. City Phone 4 Install ? ,0 Name U Addre I- City . SAME Phone _ I hereby acknowledge that I have read this application and the information is correct and agree to comply with all State of Minnesota Statutes and City of Eagan Ordinonc Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with all oppiicc Building Official Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 3I APC Var. Date Permit Plan Water Meter 6.3 - o u Road Unit 8 0 cif, 1 2 Ol Total V 9 . 5 0 on the express condition that Statutes and City of Eagan Ordinances. Permit No. Permit Holder Date Telephone # Plumbing r p I ? -e * ti Z (o `i 33 ? 5? H.VA.C. w l? 5 Electric '? T X30-? ? t-Z) Softener Inspection Date Insp. Other Footings ?2R ?E5" Foundation Framing e f Roofing Rough Plbg. Rough HVA r? 1 y Insulation S Final Plbg. Final HVAC Final A Cert/Occ. Ir -add 3P Water ibe Location: lszt0a- Vllell Lti?a? Sewer Pr. Disp. CITY OF EAGAN :, sa 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT To he umdfar 00 Receipt * Site Address / Erect ? Occupancy Remodel ? Zoning r Lot Block Sec/Sub . Repair ? Type of Const. Parcel No. Enlarge ? No. Stories T AlC Move ? Length Name h D li ? th D emo s ep Addres s Grade ? Sq. Ft. City Phone i +' Install El Name Phone Phone s read this application and state that agree to comply with all applicable I City of Eagan Ordinances. 'A Building Permit is issued to: all work shall be done in accordance with all •opplicc Building Official Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. J j r' 3 ,' C : APC Var. Date INC Plan Water Conn. 0 Water Meter ; I1 Rood Unit t) Total 5 (i on the express condition that and City of Eagan Ordinances. 3 /S- - Permit No. Permit Holder Date Tele hone # Plumbing / H.V.A.C. £. ltd C-?C.. ?( I "I Electric Softener le LIL Inspection Date Insp. Other Footings { 2 i Yti t? r` Foundation Framing Roofing Rough Plbg. Rough HVAC ?y Insulation Final Plb? " S Final HVAC • V441 Final Cert/Ooo. Water 1 Describe Location: Well R Sewer Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: "" 11 I'' N O 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (1'' 10 ' t I (612) 681-4675 SITE ADDRESS: APPLICANT: I r+r I;l nl r. ir'tYI OR t I rd} rt t I I III i IIFrp111`. I f1P ! lII ! lifl ('. .'N1+ t t. ! t 'I.'44 l.r.!," PERMIT SUBTYPE: "I I ? TYPE OF WORK: UP PA I R fit I' 1 l ! I IN iiIIARDRA I t 5 b. f)t CE t III MART: `• I Permit No. Permit Holder Date Telephone k ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 7f??fj) 1(f(?? j BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: lilt I 1 11 1 Nta 3830 Pilot Knob Road Permit Number: 4i ' a ti v Eagan, Minnesota 55122-1897 Date Issued: 4 > / n ti (612) 681-4675 SITE ADDRESS: 1 1 w I `' ` "' ' 14 APPLICANT: lilt +, tit U1 1 1 I'AN') 11H 1 1 01 I N. t I I I II I I I U M A • ; I At I IIC I1iII I':: 2140 t ,• 1 +1.'H t•!:,?.0 PERMIT SUBTYPE: TYPE OF WORK: h1!$; 1 1 • r•t 1 ' + P of ',1 I r I P I Ill'] RE PA IK (S 11)1No) kI:MAIdKS : INt IUCIi . It,/E• El iluf 4,) It /7 (1111 1) P-01- is (I'll M) HAYII)fa CI Permit No. Permit Holder Date Telephone se ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL L7 /? BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Ili CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: I I "I I III 1 ..;' , fl Ali l rrl•; + I 1 HEIMA`-• I AA F IIF .'NII PERMIT SUBTYPE: { I r 1 ? TYPE OF WORK: fit '.r I, 1 I' I I ON H11l I It I NO 0.1/491 06/01/96 IKFPA IK IIIIARDIRA I I ?, ??I I 1 Nr? RI' MARK O ;CORD PERMIT TYPE: Permit Number: Date Issued: F III Ire APPLICANT: II. iI- I i I I tI I t.: I 1 'I it r.'.1. Permit No. Permit Holder Date Telephone 1t ELECTRIC PLUMBING HVAC Inspection Date [nap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST SLOG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT T. M MW fee l . ' "., Est. Value . k?n 10003 Receipt # -, ] Erect Q Occupancy Site Address R model Zoning Lot Block /Sub. Repair ? Type of Cant. Enlarge ? No. Stories Move ? Length Name h D li ? th D Z emo s ep Addre ss Grade ? Sq. Ft. City Phone Install ? Name Address City Phone Name Address iW City Phone I hereby acknowledge that I hove read this application and the information is correct and agree to comply with all State of Minnesota Statutes and City of Eoaon Ordinonc Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 3 % 2 . $ ,' 6 APC Var. Date Permit Surcharge Plan Review. SAC Water Conn. Water Meter Rood Unit Total Signature of Permittee on the express condition that A Building Permit is issued to: all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Date Telephone at Plumbing r 72 f H.VA.C. Electric L1 Q Softener Inspection Date Insp. Other Footings ) ) 4 ?S Foundation Framing Roofing , 4h, Rough Plbg. Rough HVA A.. y Insulation Final Plbg. Final HVAC Final Cert/Oce. Water Describe Location: Well Sewer Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: Fill I 1.1, lac' 3830 Pilot Knob Road 0.• f:?. 54 Eagan. Minnesota 55122-1897 Date Permit Number: Issued: 0 1 / 29 / 46 (612) 681-4675 SITE ADDRESS: LOT 8 h14 '( Y, fiAYLOH CT 1-: HE [t1HT:'i 2ND PERMIT SUBTYPE: ,:1• ml.-' . APPLICANT: i t, 1) #,8 L 4708 TYPE OF WORK: UF,SCNIPTION 1'RAH] NC; FINAL REHARKS1 SEPARATE FEkNIT RKOUTkIW PUk ELECTRIOAL WORK P L PATR1'rK ALTERATION CONVERT TO ?-SEASON Ii Permit No. Permit Holder Date Telephone s< ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DEC,, FINAL W49rV W?/ -1*7 I 'Am I-btwz-' AV w.. dsFJnir is Es1?IJi '14? GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ADDRESS 1 / - is , /t.'- ( ' U .1 1 CITY 4 G ., OCCUPANT HEAT LOSS DATE OWNER Alt L-- LD it - v SOLD BY INSTALLED BY-- It Electrical Work By j'f Gas Line By = y y TYPE OF HEAT GA_ FAHW_ STEAM SPACE HTR. UNIT HTR.----OT-HE.B GAS DESIGN CON MAKE Model % - ' Serial A/`777 INPUT ?.CONTROLS THERMOSTAT r b3'? Heat Plug Valve ,/-' , / Limit Limit Setting Fan Setting r • -L Pilot Type c Pilot Make /R r ~ >/YA-t.. Pilot Model Pilot Timing L.W. Cut Off Pressure Percent CO2 Input CFH Percent 02 " Stack Temp. 3 = Percent CO MAKE OF BURNER Max. BTU Rating MAKE OF FURNACE Vent Size KIND OF LINER SIZE NONE Draft Hood ' - Regulator Filters Size Number Chimney Location Inside Outside Chimney Construction Smoke Bomb Wiring Draft Test Tag Door Pressure Lighting Date Tested Company Testing Name of Tester 1 '? " ., GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ADDRESS 7S (3 .' CITY OCCUPANT OWNER HEAT LOSS DAZE IJflT INST. SOLD BY 2, INSTALLED BY yv "r 126 G''( Electrical Work By Gas Line By TYPE OF HEAT GA_ FA HW_ STEAM SPACE HTR. UNIT HTR. T GAS DESIGN C&E MAKE -2' Model Serial <'4 INPUT CONTROLS THERMOSTAT Heat Plug Valve Limit %-F T 4 Limit Setting Fan Setting - Pilot Type rte, Pilot Make Pilot Model Pilot Timing L.W. L.W. Cut Off Pressure 3 Percent CO2 Input CFH Percent 02 Stack Temp. Percent CO MAKE OF BURNER _ Model Max. BTU Rating MAKE OF FURNACE It DA Vent Size KIND OF LINER SIZE NONE Draft Hood ' 'y. Regulator Filters Size Number Chimney Location Inside Outside Chimney Construction Smoke Bomb Draft Wiring Test Tag Door Pressure Lighting Date Tested Company Testing Name of Tester GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ADDRESS _!`?• % CAA <„c C:. i n t CITY A6A ` OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY L 7 s3 2 1 ?n .l 2 n INSTALLED BY Electrical Work By " /,14. Gas Line By 'rte TYPE OF HEAT GA__ FAQ HW_ STEAM SPACE HTR. UNIT HTRQTI?E GAS DESIGN ?? MAKE X&I T: MAKE OF BURNER Model ' c:r 3 Model Serial cr Max. BTU Rating INPUT t? U U G u MAKE OF FURNACE Model CONTROLS DA-1E THERMOSTAT / _ Heat Plug Vent Size J 12 1/ Valve Limit ! ' ?y :_<_•? Limit Setting Fan Setting /UQ Pilot Type / ' -,t• :<. Pilot Make Pilot Model y /AI Pilot Timing L.W. Cut Off -, Pressure Percent CO 2 Input CFH ? Percent 02 Stack Temp. •`< Percent CO Draft Hood Filters Size_ Chimney Location Chimney Construction SIZE NONE Regulator Inside Smoke Bomb Wiring Draft Test Tag Door Pressure Lighting Inst._ Date Tested Company Testing "f Name of Tester !-% ' ` GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ADDRESS CITY '~ OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY L Z INSTALLED BY Electrical Work By r Gas Line By `^ •'! TYPE OF HEAT GA_ FAQ HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN C IV-AGA MAKE ---',' . ?1o y Model '? ' h7 r= 2' Z. 7 Serial 13 u °.' . 11 INPUT c27 CONTROLS THERMOSTAT Heat Plug Valve Limit Limit Setting uu Fan Setting Pilot Type Pilot Make Pilot Model ` - 1 Pilot Timing f -' s '•' '1 L.W. Cut Off Pressure Percent CO2 Input CFH Percent 02 7 Stack Temp. Percent CO oa MAKE OF BURNER Max. BTU Rating KIND OF LINER SIZE NONE Draft Hood --' - Regulator Filters Size Number Chimney Location Inside Outside Chimney Construction .., ' . Z-5 Smoke Bomb Wiring '' Draft Test Tag Door Pressure Lighting Inst. Date Tested 1 r~ Company Testing C iT ?. Name of Tester -4- }L t- CITY OF Anr WATER SERVICE PERMIT 3830 Pilot Kndb Road P0. Box 11199 2 PERMIT NO.: Eagan, FAN" 55121 ?°" DATE: 3/29/', Zoning: No. of Units: 1IT it ,, Owner: WT MKILSUM7 Address: Site Address: Plurnber. - Meter No.: Size: Reader No.: I gene to se -p b with tbo City of Eegen Ordinarrooe. 9y Date of Ins barge: asit: Surcharge: . )c1 Misc. Charges: net er Total: s Date Paid: r x Knob Road 21199 MN . 551 5121. ..3? Zoning: Owner: Address: PERMIT NO.. 6017 DATE: ?, l ^ l No. of Units: Site Address + ? s lake umber. ,[pl etr No.: S ?FQ Connection Charge: r',(1 00 r•./ Size: lA ° '" F? F r ^9eposit: r Reader No.: A 3 M ?'D 7 I Permit Fee: no I gree ft eowofp wNh of Eyes Surcharge: O Rear 6 Misc. Charges: ?? Total: p By ' ?'?"""` Date Paid: Date of Insp.: Insp.: of Knob Road O. Box f11:Q9 WATEK a: v t:. . toi id j T , PERMIT NO.: Eagsn, MN 55121 DATE s : Zoning: No. of Units: Owner: Address: 1 7 j'n , ` v , Site Address Plumber. Meter No.: a .S 5 Acdoult Quit: Reader No.: / D L. 07 7 7 Permit Fee: I none to oewoip will dN Cihr of 6oe¦ Surcharge: Ordbewase. Misc. Charges: Total: r• i ' By Date Paid: Date of Insp.: Insp.: I i'Y c7i- EA%jfkiy WATER SERVie:L PERMIT lot Knob Road ? PERMIT NO.: Pox 21199 4 zn n, MI11 55121 DATE: Zoning: No. of Units: 1 tin f. t_ ? n : c Owner: - Address Site Address: AtEi? i?'] 1-0 ' :" I ti k?pc c7' S T ;1 L -? ?L s Plumber: y = r•:: ? ; .deter No.: 3 5? SO S 3 Connecti Charge: Size: -zfq, /?-t.._% ?`f F. - Aocaunt posit: ?'1 1 „A Reader No.: _f O 1- : A ?. 4 (n Permit Fee: I -we* to Comply with the City of l ogoe Surcharge: Ordiwa Misc. Charges Total: 7? D ;??1 C v?, - ' By Dote Paid: Date of lnsp,: Insp.: io iI $5 CITY OF EAGAN Addition Owner C.?- / Street n- Lot Bak s a- Parcel #10 59SW_380 "@g 1575 Baylor Court State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 473 *SEWER LATERAL a 1981 7 S? 5 15-05 A=112 5-5--83 WATER MAIN *WATER LATERAL 1981 WATER AREA 1983 4.61 _ A012172 5-5-83 STORM SEW TRK Jai 1()81 319 908? 249.1 A0121 2 - 8 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT $280.00 50452 3/27,/85 WATER CONN. 500.00 " 11 BUILDING PER. 10005 SAC PARK CITY OF EAGAN emarks Addition Thomas Lake Height a ddition Lot It S Blk Parcel #10 Owner Street 1575 B Baylor Court State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ?79 71 5-594 s I 1[ .89 A012112 5-5-81 STREET RESTOR. GRADING SAN SEW TRUNK 9 V3 Q-4GC. *SEWER LATERAL A 9 37.61 7.52 15.05 A012172 5-5-83 WATERMAIN *WATER LATERAL 1981 WATER AREA 1981 13651 4 A012112 5-5-83 STORM SEW TRK 249.91 A012112 - -83 *STORM SEW LAT 981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 500.00 n • aUILDING PER. SAC 925.00 PARK CITY OF EAGAN emarks070 OJT Addition 'T'homas Lake Heights, Addition Lot AD 7 RIk a-• Parcel #10 Owner Street 15 77 Baylor Court State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 97Q 71 111.89 A012172 5-5-83 STREET RESTOR. - GRADING SAN SEW TRUNK *SEWER LATERAL 37.61 7.52 15.05 A0121T2 5-5-83 µ WATERMAIN *WATER LATERAL WATER AREA 7730 5 5 . 1 A012172 5-5 3 STORM SEW TRK 20-82 24g.-g1 A012172 5-5- 3 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. son - nn BUILDING PER. SAC PARK CITY OF EAGAN Addition iJLUIU7 Owner Street 1577 B Baylor Court Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 111.8 A012112 5-5-83 STREET RESTOR. GRADING SAN SEW TRUNK 9 7 7 *SEWER LATERAL 1141-, 1991 37.61 7.52 15-05 A0121 T2 8 5-5 3 WATERMAIN *WATER LATERAL 1981 WATER AREA 3E Loal 4.61 A012112 5- 83 - STORM SEW TRK 19gi 317 37 go 82 is 249.91 A0121 T2 5-5-83 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 500.00 n n BUILDING PER. SAC PARK 2 9 6 821 /? OFFICE USE ONLY This request void 18 months from validation date printed in 4:this box_ /fZ6 979 CIO PLEASE PRINT OR TYPE A (/ q d uest DaN Rough-.n inspection required? ? Yes Inspection Other Than Rough-In: ady Now 0 Will Call ou must call the inspector when r.adVl Dote Ready: I, "licensed contractor ? owner hereby request inspection of the above electrical work at Job 51 f Box, oub N I Y Clry No Zip Cade 5ection No. Township Name or Rang. No, Fire NN oo- C-1 )t Oc uP nl '^ Phon I{o g Power Supplier Address El ri Contactor (Company Nam ?c. Contractor license No. ?nS Master U, No. (Plan ! Elect. Only) Maili Addnas (Contractor or Owner Performing Insmllamn) _ ' NZ c/hl// A)S92. 2-S;6 - Aothanud ignobre ( o act or Owner Pe orming Installofionl No or one 33,, EB-00001A-10 6/95 STATE BOARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY EST CTRICAL ill l ll MEaUota State Boa dEof Electricity 5 9'9I9Lt 1821 University Ave., Rm. S42 p, St. Paul, MN 55551104 _)K 2 9 6 8 2 1 2 * Phone (612) 642-0800 ome uplez Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod a air Air Cond. Htg. Equip. Water Hfr. Load Mgmt. Other: Dryer Ran a Elec. Heat Tem Service "X' above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee if Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Fraffic Sig. Above 200_ Amps Above 1 O Amps Transformer/Generator INSPECTOR'S USE ONLY TO L Sign/Outline Ltg. Xfmr. Alarm/Remote Control c? Swimming Pool I hereb cerh that I ins ected the elernical insmin on the ed _da,Io Irrigation B oom Ro ,gh- Dote ecial Ins ection S p p Investigative Fee ° THIS INSTALLATION MAY BE OR RED DISCONNECTS IF 140T COMPLETED WITHIN 1 ONTHS. is request void y? 9O/? 18 mantis from ? ?/1 1 ( J J A- 079659 RG, ov Request Date Fire No. Rough-in Inspection C fl Ready Now ? Will Nolify, Inspec- ?? 23-$ ?Ves ?No tar When Ready Licensed Electrical Contractor I hereby request inspection of above 9-owner electrical work installed at: Street Address, Box or Rout No. s lov L r Cit a CZ 11 e tion NO. Township ame or No. ange No. County j(J? Tq F U j_L Occupant I PRINT) ?Qrnes . - A ?1 4 m .; Phone No. ?5a- 571-e Power Supplier Address Electrical ntractor(Company Name) Gel o cen e &IeG v;cl`Q. Contractor's License No. Mailing Address (Contractor or Owner Making Installation) A riz ed Siena tut (Contr to t r Owner Making Installation) I I `in` Phon Number h/52 - 5-711'S 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 Pr.....e 16121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ES-00001-04 5 n90 ?y?+ [ See instructions for completing this form on back of yellow copy. A 1 17 "J R : 7 q "X" Be/ow Work Covered by This Request Add Rep. Type of Building AppliancesWirsd Equipment Wired Home Range Temporary Service Duplex Wh Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pecu v Other (Spocify) Other Sped TT Other Other Compute Inspection Fee Below # Fee Service EntrenceSize ff Fee Feeders/Subfeeders N Fee Circuits O 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Am ps 31 to 100 Amps 3 to 100 Amps Swimming Pool Above 100_Am s Above 100_Am ' Transformers Irrigation Booms Partial/Other Fee. Signs Special Inspection -? / TO Remarks G[). U TAL FEE I I n. 7( Rough-in 'p //e'b &) I, the E legs l se l.N J Inspector, hereby certify that the above Final 'te ction has been t d12 41 made. This request void l8 months from r BUILDING c4 I 2) ?U RESIDENTIAL l ZS Z Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan - Carl of Survey Real (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions _Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. I site survey for additions & decks -Tree Pres Not Reqd I set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date / / CD3 Construction CostJ (--)4 - CC) Site Address 4 'J-l _?S p Ft 0_* . - Unit/Ste # Description of Work Multi-Family Bldg - Y N Fireplace(s) _ 0 - 1 - 2 Property Owner 11?? M\I l Y--, Telephone # (L951) t (5c? • ?J>?L (?5 RMA HOME SERVICES INC. Home Depot Installed Sales Contractor 3200 Cobb Galleria Pkwy., Ste.#200 Address Atlanta, GA 30339 763-542-8826 State _ BC-20268257 Zip City Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone #( Mechanical Contractor Telephone #( Sewer/Water Contractor Telephone #( I? SCn ? 1 J3] III 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 bf Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and3work 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. 4??s ASCUA????? Applicant's Printed Name Appl ant's Signature Installed Siding and Windows LIMITED POWER OF ATTORNEY COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 21st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 21st day of May, 2003 David . Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 2003._ 993%& Ql?t+po Notary Pais in for the State o eorgia My Commission Expires: January 21, 2006 3968I6.'3 Proudly sold, furnished and installed by IRMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT f D (? ?? RESIDENTIAL BUILDING lX vl Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?O-l5D ca-L-d r//a? New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. R of house; and all roofed areas 2 copies of plan Carl of Survey Real -Y _N (20% maximum lot coverage allowed) I set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd -Y -N 1 set of Energy Calculations Addition - indicate lion-site septic system On-site Septic System -Y -N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Site Address / `J 7 C O4 Construction Cost 600 Ct. &c2 Mry/., S3 /c c2 Unit/Ste it Description of Work * 1 r1/ S!2 Lit a- &6-roi71 a baxe/72 ec t Multi-Family Bldg - Y X N Fireplace(s) _ 0 1 - 2 Property Owner p I.5 7 7 &ic%'C` G / ACC / SJ/o2,? Telephone # (63/) p 9®? 85 Contractor x tO/2 °f^ Address State //-'- /`J 77 ?Gayt0,t Ct e-Cec 7 M? ?J/aol City CCtQc2/Z Min i)-e50fCt Zip 53/0U Telephone#(6J7) 690 3837 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category I Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? -Y _N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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 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. %;Yajea-- AlezkryTS ??DIO Applicant's Printed Name Applica s Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea-) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex 717, 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 IK 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 ? 34 Replacement *Demolition (Entire Bldg) - G ive PCA handout to applicant Valuation O Gf M /ES S ccupancy ystem - C Census Code Zoning City Water SAC Units Stories Booster Pump - Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered - 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 ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS Final/C.O. 4 Final/No C.O. _ Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding - Stucco _ Stone Windows (new/replacement) Retaining Wall Approved By7? , 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 RESIDENTIAL BUILDING 59 3q5 Permit Application t y a , 7] City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of Jot, sq. ft. of house; and all roofed areas 2 copies of plan - Carl of Survey Recd (20% maximum lot coverage allowed) t set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. I site survey for additions & docks _ Tree Pres Not Reqd l set of Energy Calculations Addition- indicate Won-site septic system _On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date a0 / /05 Construction Cost (Q, a 99 Site Address 1451," lgx co,{k-, Unit/Ste # Description of Work R y Lh S `b I p th b b w1-k; h .0 nct { i t% Multi-Family Bldg - Y _ N Fireplace(s) _ 0 - 1 - 2 Property Owner Yw% tK-Ct\ W;* Telephone # ((psi) 1j5 !K (a? WS RMA HOME SERVICES INC. Contractor Home Depot Installed Sales Address 3200 Cobb Galleria Pkwy., Ste. #200 Atlanta, GA 30339 State 763-542-8826 BC-20268257 City ephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor ( 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. Y-os& _)c,.tt.SoeC3 iuA d_( _ Applicant's Printed Name Applicant's Signature r -. . A. Installed Siding ands&RSPOWER OF ATTORNEY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 30th day of May, 2003, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 3O day of MkI , 2002. a- C p ki? David I z SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 30`h day of May, Cie Notary blic in for the Stat of eorgia My Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhornes and Condos when permits are required for each unit Dates/ 15/ 0 t Site Address rj 1 5 p?? c Unit # Property Owner Telephone # (Ls 1) Vfl 3 3 Contractor Q ?ao1 e,vyp ,? ` Address .3 \ a 1 O t o .. Q.? City C 0. State tq\ _ Zip S S L &3 Telephone # (4S\) ka S - \ 3 4 13 The Applicant is Owner Contractor Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures 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 ' Water softener I Water heater $ 15.00 replacement _ additional $ .50 State Surcharge Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accuraa; that the work 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 application for a permit, and work is not to start without a pert{'V.that-the. work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name AppIicant's Signature JOr 4jJx/$ MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 036 - ED ( 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date / t? /_____ Site Address IT-7s /17 C,?, Unit # Pro ert Owner / -I h hone # ( ? l 1/ f' T /0 ) t???' S 72 p y e ep - Contractor ?"nrr'r•?•? - r*,- „ & AIR 8210 Wcntworth A'a. So Street Address M tz clik h" ?! 55420 C'? State p ,, : ( 881- T l hone # e ep The Applicant is Owner `Contractor Other Add-on, modification or alteration to e 'sting dwelling unit $ 30.00 f urnace replacement _ air exchanger ? air conditioner ./ ? L / "V ?{ & u n other f 1) State Surcharge 1 M(w g ?en? Il ?i11, 1 $ .50 3 ?- Jrb 6 Total BY ? _ . $ I hereby apply for a Residential 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; 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. jJ Applicant's Printed Name Applicant's Signature 0?-fg 1117 MECHANICAL (RESIDENTIAL) 3b St Permit Application S 5 (p (p City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date J / J / / 4_ Site Address IS 2s4 eX Unit # Property Owner Telephone # (6d l d7" Contractor 'w' GWl ,K HFATING &AIR t:omm-, r, ° 8910 Wentworth Ava. So Street Address Minneapolis. MN 95490 City State (952)881- 9 7.tp Telephone # The Applicant is Owner l?/ Contractor Other Add-on, modification or alteration to existing dwelling unit furnace replacement ??- €7D $ 30.00 air exchanger ? air condition er /?' ?G' Dd 4( f b&do other State Surcharge $ .50 Total 1nr U `f„ ICI I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete an accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start withou a`tta ,, at. 1 be in accordance with the approved plan in the case of work which requires a review and approval of plans. car n??':'7f° c t f" <'f) App scant ss ed Named d Applicant's Signature 75951 THOMAS LAKE HTS 2ND BAYLOR COURT 1542 10 75951 210 02 4-PLEX - TWO UNITS ADDRESSED 1543/1543B CLEMSON CT 1546 10 75951 240 02 1556 10 75951 170 02 1556B 10 75951 180 02 1558 10 75951 200 02 1558B 10 75951 190 02 1560 10 75951 130 02 1560B 10 75951 140 02 1564 107,5951 16002 1564B 10 75951 150 02 1566 10 75951 090 02 1566B 10 75951 10002 1568 10 75951 120 02 1568B 10 75951 110 02 1569 10 75951 020 02 1569B 10 75951 010 02 1571 10 75951 030 02 1571B 10 75951 040 02 1575 10 75951 060 02 1575B - 10 75951 050 02 1577 10 75951 070 02 1577B 10 75951 080 02 16 SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-9000 TEST RECORD ADDRESS/ OCCUPANT SOLD BY Spun, e'es MAKE Le VJ L k / SERIAL NO. ` S'? 3,1 195 ?6 THERMOSTAT O 3c, VALVE /O r7.Z y 1-'1 'L /1 LIMIT ?f ?Z v LIMIT SETTING r a FAN SETTING 71, -i G y PILOT TYPE IGNITION MODEL / 0 '•.? C 6 1 / PILOT TIMING I h f ?A f PRESSURE ' .S PERCENT CO2 INPUT CFH PERCENT O2 / STACK TEMP. d PERCENT CO CITY Tn OWNER c, y ,tC-S / - 1? r 1?? INSTALLED BY MODEL ? ?+' 0L//f 3JZ/ J 70 INPUT `v O VENT SIZE II n` TYPE OF LINER LINER SIZE ?// i IJ`?^•` "' ?? { I? IH I i1 r FILTERS: SIZE /4 P d 06 O k NUMBER - WIRING fj u-rh S'-/ TEST TAG LIGHTING INST. DATE TESTED .7- 3 (-T3 COMPANY TESTING Vr r NAME OF TESTER 1? FORM 235 (REV. 11/89) FORM DISTRIBUTION: WHITE COPY JOB FILE YELLOW COPY - CITY Comm-erc,c J BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 3 aEj New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and oil roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy CalcNations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Dead Options selection sheet (bldgs with 3 or less units) DATE l%7 SITE ADDRESS / 5 7.1 /S 7 TYPE OF 3 E_T APPLICANT ?MULTI-FAMILY BLDG .! _ N FIREPLACE(S) - 0 - 1 - 2 STREET ADDRESS H (3-' w to o'" CITY STATE ZIP S S91 5 TELEPHONE # G 12- -$b\ - CELL PHONE # FAX # bl a - $b l - bob? PROPERTYOWNER TEEPHONE#763" y2S- Y6: --------------------------------------------- ----------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENtIZt BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category I Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: - Air Conditioning Heat Recovery System Phone # Fee: $90.00 Fee: $70.00 Sewer/Water Contractor Phone OCT 0 4 2002 --------------------------------------------------------------------------------------- --------------------- I hereby acknowledge that I have read this application, state that the information isjcorrect. and agree to with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths RemodeNteoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION 4-c, 0 V.1 Certificates of Survey Received Tree Preservation Plan Received _ Not Required Updated 4/02 D1 01? 301 .0 C9 3o3100 0p10 $?'a gt33 N Op 3 ? D .a o aN ?? o R??3 O aN - - ?3 v 1u a, "aW o 3??°5t"3?o1 C OR COUNT l? O Denotes Iron Monument o Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 931.0 Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 931.5 I hereby certify that this is a true and correct representation of a survey of the boundaries of.. Lots 5, ' 6, 7, and 8, Block 2, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota: And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 13th day of March 119 85 Paul A. Johnson rhV 9 Land Surveyor, Minn. veg. No. 10938 iN: 40' CERTIFICATE OF SURVEY 900K ?A[iE for MCCOMBS-KNUTSON ASSOCIATES, INC. ?A' ON S W?StllT1Ei FEEINffEE WE SIIIIYfYEEE III ER[ r1AEEERS FILEM N of } WMNEAIOLIL FM NUTENIIMN. WNEEOTA 7430 (TOWNHOUSE) CITY OF EAGAN N_ 10005 ?' - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt. # To be used for 1 OF 4 PLEX Est. Value $58,000 at, MARCH 28 9 _.8_5 Site Ad6sa 1575 BAYLOR CT Lot Block 2 Sec/Sub. THOM LK HTS 2N Parcel No. Name NEW HORIZON HOMES INC Address P.O. BOX 1367 City MPLS Phone 420-3900 F Name SAME iiU Address City Phone rW Name D. GRISWOLD xz Address 43 W City Phone 5- 75 24 i Erect LI Occupancy R1 Remodel ? Zoning PD Repair ? Type of Const. V Enlarge ? No. Stories Move ? Length 44 Demolish ? Depth 27 Grade ? Sq. Ft. Install ? Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Permit 41 307.00 Surcharge 29.00 Plan Review 153.50 SAC 525-00 Water Conn. 500 _ 00 Water Meter ii3_00 Rood Unit 2Rn 00 I hereby acknowledge that I have read this application and state that Bldg. on. 3/23/85 T. P . 132.00 the inlormotion is correct and agree to comply with all applicable APC I Total $1 . 989 _ S0 State of Minnesota Stotut nd Cit of Eagan Ordinances. Var. Date Signature of Permittee a ?„31s d1AA [M A Building Permit is issued to NEW HORIZO MES an the express condition that all work shall be done in accordance wit II applicable tare Mi nesoto Statutes and City of Eagan Ordinances. Building Official 1J 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN upfr 99 INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS I pF 4 PLER -?' To Be Used For: RLs,Dcsac . Valuation: av Date: Site Address: [T7? B?y?e,c Cotter Lot: I Block 2 Parcel # OFFICE USE ONLY Sect/Sub770'emwr L,ektErect Occupancy N'1y*"r2"2Remodel Zoning pp Repair Enlarge Type of Const # of Stories Length Depth 7 Sq Ft Owner fife.,) M,eizo./ /t mes x,yc- Move Demolish Address PQ, eox. 13[e7 Grade City/Zip Code 6%s'r. S4l?yp Contractor sgmy APPROVALS Address City/Zip Code Phone # Arch./Engr P. CC,c,swoJJ Address Phone # y3.T 7-W-2V, Assessments _ Permit 0-, ea- Water/Sewer _ Surcharge 29,°' Police Plan Review 153, so Fire SAC 2S°° Engr Water Conn Planner Water Meter (o3.°= Council Road Unit tbO, Bldg Off 7 P Parks APC Treatment Fl ( 3 Z. °° Variance TOTAL (TOWNHOUSE) r CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N! 10006 PHONE: 454-8100 BUILDING PERMIT Receipt T. be used for 1 OF 4 PLEX Est. Value $58, 000 Date_ Site Address 1575B BAYLOR CT Erect ? Lot 5 Block 2 sec/Sub. THOM LK HTS 2ND Remodel ? Repair ? Parcel No. Enlarge ? Name NEW HORIZON HOMES INC Move ? ? Address P.O. BOX 1367 Demolish Grade ? City MPLS Phone 420-3900 Install ? o SAME Approval. Name Occupancy R1 Zoning PD Type of Const. V No. Stories Length 44 Depth 27 Sq. Ft z' 8 Address Assessment Water & Sew. t- City Phone Police D. GRISWOLD Name Fire Address Eng. City Phone 435-7524 Planner I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. Council BIdg.Off, 3/23/8! APC Var. Date Fees Permit 307.00 Surcharge 29.00 Plan Review 1 r.3 - 50 SAC 525-00 Water Conn. S(1f) f10 Water Meter 6-4 n 0 Road. Unit?$.a.r00 T.P. 132.00 Total $1,9 9.50 Signature of Permittee I A Building Permit Is issue. to: NEW HORIZO HOMES INC an the express condition that all work shall be done in accordance with all?,ep1plico-bl to f Minnesota Statutes and City of Eagan Ordinances. Building Official t , ?-/ads ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN UNIT clcl INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS I of 4 PLG? 58,aro. To Be Used For: R[s,ocs'cj_ Valuation: Date: 3 -/g.BS Site Address: Tyr ig 7?„/o.t co"&-?- OFFICE USE ONLY Lot: r _ Block 2 Sect/Sub 770-rt+n•s AAfl. rect • Occupancy _, Z?Remode I Zoning Parcel # Repair Type of Const Enlarge # of Stories Owner ?/? /foK?Z? ?om4 _ e Move Length 4 Demolish Depth Z? Address P p. lox /3ln 7 Grade Sq Ft City/Zip Code O?s., tae. n- yp -------------------------------- Contractor sem s. APPROVALS Address Assessments _ Permit Water/Sewer Surcharge City/Zip Code Police Plan Review 153. so // Fire SAC ____ Phone # `, 420 ".I 9D O Engr Water Conn ___ Planner Water Meter 6 3. Arch./Engr p C:crswoLJ Council Road Unit Bldg Offs lj?Lz Parks Address APC Treatment P1 132•= Variance Phone # gsr n-29 TOTAL - I ?7. S O s3?73?? (?0.0Q- l*) (TOWNHOUSE) CITY OF EAGAN N! 10007 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t15-? PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 1 OF 4 PLEX Est. Value $58,000 pots MARCH 28 lg 85 Site Address 1577 BAYLOR CT Erect 91 Occupancy R1 Lot 7 Block 2 Sec/Sub. THOM LK HTS 2ND Remodel ? Zoning Pp Repair ? Type of Const. sr Parcel No. Enlarge ? No. Stories NEW HORIZON HOMES INC Move ? Length 4h w Name Demolish ? Depth 2 7 z P.O. BOX 1367 Address Grade ? Sq. Ft. City MPLS Phone 420 3900 Install ? ff CAMW Approvals__ Fees 8 Name - Address City Phone I Name D. GRISWOLD 11 Address u a? Z City Phone 435-7524 I hereby acknowledge that I have read this application and state that the inlormotion is correct and agree to comply with all applicable State of Minnesota Statutps_gnd Citysf Eagan Ordinances. Assessment Water & Sew. Police Fire Eng. Planner Council 5 Bldg. Off. 3/23/8 APC Var. Date Permit ci au r.uu Surcharge 29.00 Plan Review L U=50 SAC `!25-00 Water Conn. 500- 00 Water Meter J;3 O C Rood Unit 7510 00 T.P. 132.00 Total $1,989.50 Signature of Permittee I A Building Permit is issued to: NEW HORIZON ZMES INC on the express condition than all work shall be done in accordance with all op ble Stat of nesota Statutes and City of Eo;on Ordinances. Building Official 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN U+,JIT 99 INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS I of 4 '- s8,ovo To Be Used For: Q[s,oc uct? Valuation: TX?= ?oe Date: g_id fr Site Address: /s77 B,o„/o,r Co aT Lot: 7 Block 2 Parcel # OFFICE USE ONLY Sect/Sub fl' nos s+eks-Erect HCtphss2"-`Remodel Repair Enlarge Owner n/e?d /fo,e/Zaw /,4,,,e, raic. Move Demolish Address t°O ttox 1-7167 Grade _ City/Zip Code z *&, ?.rr. TTf ?o ------------ Occupancy R-I Zoning PD Type of Const NT S of Stories Length 44 Depth Zi Sq Ft Contractor 5Am L APPROVALS Address Assessments Permit 30-, _ Water/Sewer _ Surcharge 23. oa City/Zip Code Police Plan Review (53. 5' Fire SAC 5Z5 '= Phone $ Engr Water Conn Soo. D Planner Water Meter (p3, °-° Arch./Engr P. C,t:swotj Council Road Unit i ° Bldg Off Parks Address APC Treatment P1 I32. ' Variance Phone # gas- yr2S/ TOTAL (TOWNHOUSE) CITY OF EAGAN N_ 10 0 0 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 S - BUILDING PERMIT Receipt To be wed for 1 OF 4 PLEX Fst. Value $58, 000 Date MARCH 28 19 8` 1577B BAYLOR CT Erect KI Occupancy R1 Site Address THOM LK HTS 2 8 2ND Remodel ? Zoning P1) Bl Lot ock Sec/Sub. Repair ? Type of Const. y Parcel No. Enlarge ? No. Stories NEW HORIZON HOMES INC Move ? Length 44 Name Demolish ? Depth 27 Address P.O. BOX 1367 Grade ? Sq. Ft. City MPLS Phone 420-3900 Install ? SAME Approvals Fees } Name 8? Address h City Phone Name D. GRISWOLD x? Address u Z c <W City ? Phone I hereby acknowledge that I have reod this application and state that the information is correct and agree to comply with oll applicable State of Minnesota Statutatand City of Eagan Ordinances. Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. off. 3 23 85 APC Var. Date Permit . 0 0 Surcharge 2 9 . 0 0 Plan Review_ 53. C SAC 525.00 Water Conn. 5 0 0. 0 0 Water Meter 6 - - 0 C Road Unit 7Rn 0C T.P. 132.00 Total $-1- 9 R 9 S C Signature of Permitee I A Building Permit Is issued t : NEW HORIZON ES INC an the express condition that all work shall be done in accordance with all appli la State oyMfAgesoto Statutes and City of Eagan Ordinances. Building Official ?/ :'?'?? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN UNIT 99 INCLUDE 2 SETS OF PLANS 3 CE RTIFICATES OF S URVEY F 4- L I SET OF ENERGY CALCULA TIONS O , F ex To Be Used For: BCSOC>CocL Valuation: moo - Date: J?5- Site Address: 15-778 B.wr/o R Cot,jo_ OFFICE USE ONLY Lot: f- Block 2 Sect/SubT7tanws Li frcErect x Occupancy W#941rlt9Remodel Zoning Parcel 0 Repair Type of Const ? Enlarge # of Stories Owner f1/t.,,) A/p,c,ZO,,I L/o,1ses Xya. Move Length Demolish Depth Li Address PQ, tax. /31n7 Grade Sq Ft City/Zip Code LQls., /l7,r... rJreyo ------------- --------------- ----- Contractor Sqm jr-- APPROVALS Address Assessments Permit 30-7 . ,r _ Water/Sewer Surcharge City/Zip Code Police Plan Review 153 3 5 'D Fire SAC C7 5 °= Phone Engr Water Conn Soo Planner Water Meter = e2 Arch./Engr r% C,c,swpLJ Council Road Unit Bldg Off Parks Address APC Treatment P1 13Z. Variance Phone # __ y3s - 7,rz y TOTAL !(;Xe . c ,t4 +ws Ica. Sfydqu?kk HEAT LOSS CALCULATIONS HEATING& AIR CONDITIONING LIK 2- tVi7E 211, ? CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. ° Insulation NTindows Doors Guide Referenc Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes--No Yes-No e Ig- FLLtyjyst Room Length '2.2. Width Z Height 'CA Fl. f De-ra Room Length t?/O .. 4dth ' ;,• Height Wi ndows a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Ar ea No W.rllh of pane Height of pane No. of lights Lineal ft. of crack Area an. it. No Width of pane Height of pane No. of lights Lineal It. of crack Area sq. It. 2 -IS 2 a{ I tot I ll? I b 1 t _ ___ Coef Btu COeI tu B Infiltration 13 Infiltration 3 . ' 13 Glass 2q - Glass - i1 1( :S() Exp• wall X Z Exp. wall lizi x Net exp. wall 3.a q, 1 91 Net exp. wall '? `?• 4 -'`--? ., -4fiT 3lf- opt 117 22.2 Int. wall Ceiling .-Z x t2 2b - Coiling Floor Floor cf:'d Total Btu. 7 51 17 ''Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. 1N11,1Room Length 13 Width Height Fl. 166 ,2+Ni?cLorrl Length I 'S Width !r! Height :.. Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea Na. Width of lie Height of pane No. of lights Lineal ft. of crack Area oq. It. - - No. Width croons Mw ght of pane No, of h is h Lineal It. of crack Area sq. h. o' $ qrp 2 16 - 2g A6 2. 1 Coef Btu Coef Btu Infiltration 224(3 Infiltration 21 [ ( ' '%r' _ Glass .. S Qbb Glass i -.T :n •C,_.,_t, - Exp.wall aC 6 Exp. well I2711 a _ Net exp. wall - + Net exp. wall -7 Int. wall `-. - - - Int. wall Ceiling Ceiling ' Flow .. Floor i`, 1.: I•^ `11; ;_t Total Btu. S Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. 'rT Room Length i2 Width Height Fl. Room Length Width Height': Windows and Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea No. Width of one Height of pane No. of lights Lineal ft. of crack Area sq. ft. No. width Wof ane H.:nght of ane No. of I. hts Lineal ft. of crack Area aq• I. Coef Btu Coef Btu Infiltration Infiltration [Z Glass Glass Exp. wall Exp. wall , p Net exp. wall Net exp. wall it Int. wall lot. wall pP Cei I ing t3.*.i Ceiling ..l Floor Floor _- - -- _ -- Total Btu. Total Btu. ? Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area x L t. ? ' i} ' iT br S tfY HEAT LOSS CALCULATIONS HEATING&AIR CONDITIONING CO. MINNEAPOLIS.MINtJ. Weatherstrips A.S.H.V.E. Construction No:*'`i-•` Insulation J INindawe Doors Guide Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes-No Yes-No 19.__ ----- F1. V Room Length Width Height "'FI, gth Width Height Wi ndows a nd Doors- Cracka ge and Ar ea Windows and Doors-Crackage and Area No. Width of and Height o/ ana No, or lights 4neel ft. of cra Are s No. Width of Dan* Haight of ane No. of lights Lineal ft. of crack Area to. ft. 2 2a ?b Coef Btu Coef Btu Infiltration ?.d ?t_Q Infiltration -- Glass ) Glass Exp. wall Exp. wall Net exp. wall 2alo Net exp. wall Int. wall Int. well Ceiling Ceiling Floor . 10 ]G (,9 Floor Total Stu. Total Btu. Required sq, ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area El. c.,ryt Romt Length Width 1% Height Fl, Roam Length Width Height Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea 40. Width of ane Height of ane No. of lights Lineal ft. of crack Area eq. ft, - No. rtlrh of pane Height of Pane No. of rihts Lineal ft. of crack Area sq. 1t . Y 9 2 o Coef Btu Coef Rin Infiltration I 117 2223 Infiltration Glass (jgro a? Glass Exp. wall Exp. wall ____- Net exp. 11 252 4.1 113-7 Net exp. wall wl--%I u Mix 1) f 2 U 22 Int. wall . Ceiling Ceiling Flea i-X 1 J 4`Z Floor Total Btu. l) ^? Total Btu, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .. Required sq. ft. E.D.R. or sq. ins. W. A. Leader area _..?... Length I Width Height FL Roan Length Width Haight Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors -Cracka ge and Ar ea Nu ? Widrh o( ane Height of Pane No, of lights Lineal It. of crack Area sq• ft. .. No Wi ran of parts Hr qht of pane No. of li his Lineal It. of crack Area sq. ft. Coef Btu Coed Btu Infiltration Infiltration _ Glass Glass Exp. wall Exp. wall Net exp. wall 7>11b :)VI6 9.1 2 O -111% Net exp. wall Int. wall Int. wall Ceiling ailing Floor 7C 1 g { 4 2 Flax Total Stu. Total Btu. Required sq. It. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .. I PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: SITE ADDRESS: 1577 BAYLOR CT UNIT B LOT: 8 BLOCK: 2 THOMAS LAKE HEIGHTS 2ND P.I.N.: 10-75951-080-02 :SCRIPTION: CONVERT TO 3-SEASON BUilding_ Permit Type SF (MISC. ) </BuiidingWork Type ALTERATION ,;Census Code 434 ALT. RESIDENTIAL S..Jasy w ?. t .FE 1st 1(t 1 i „- BUILDING 028254 07/29/96 REMARKS: SEPARATE PERMIT REQUIRED FOR ELECTRICAL WORK FEE SUMMARY: VALUATION $3.000 Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 CONTRACTOR: OWNER: - Applicant - GEAGAN PATRICK 1577 BAYLOR CT EAGAN MN (612)681-4708 B I hereby acknowledge that I have read this application _and 0,tate that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances.. 'APPLICANT/1' TEE SIG TU ISSUED BY. N l[1 EE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 !( 6 • oZ S ?5H 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 "e ¢ yl ew construction Requirements Remodel/Repair Reauirements ? 3 registered site surveys ? 2 copies of plan I' ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks). ? I energy calculations ? I energy calculations for heated additions" ? 3 copies of tree preservation plan If lot platted after 7/1/93 requi : Yes No DATE: 1/'7-7 CONSTRUCTION COST: 4 fid d DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK (F>AN? SUBD./P.I.D. #: 3 2 C w io81-5I7or i-7 ltC y `?s PROPERTY ,64q Name: ?a?Frzi oK - - Phone #: OWNER Street Address* 1 S77B L & y/uue CoaciJ City: ?G State: Th t Zip: CONTRACTOR. Company: ?roe Oka. ?- Phone #: Street Address: License #: City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration #: Street Address- City: State: Zip: Sewer & water licensed plumber change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the Information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex 05 SF Misc. ? 10 _-plex WORK TYPE C d h (?(i f; ? 31 New 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck J (ree? eA ?c??? /a S SPasn? ????f ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. /3 V SAC Code Census Bldg Census Unit Engineering Variance 6 ' Permit Fee Valuation: 7 yam, 7 Surcharge / Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S1W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: soRdoJ-!?6 % SAC SAC Units HORIZON HILLS HOME OWNERS ASSOCIATION ARCHITECTURAL CONTROL APPROVAL According to Application dated your Architectural Control alteration of y q? tio approval is r?hi?P f`? 1?1C Q 10 5[?^ ? for the additon/ Building permit. at Pendi0iq the receipt of it 4o S2QSm' y of Eaaann Once you have obtained a City of Each Building for the building permit Permit, mail a copy of it, along with any applicable drawingsaslrequired , to: As stated on your original Application, no work the Architectural Control Committee has been su Your City of Eagan may begin until qan Building Permit. PPlied a COPY of The approved completion date of this addition/alteration shall be by this date9 please contact the If Your Project is not completed extension request. Failure to Architectural Co for an approved obtain an extension?b the completion date could result in HHHOA Y the addition/alteration project and assessing completing the the costs to you. Date: 22- Approved by: 6<1 tea'/ ?t?0 ? ?.U White Copy - Homeowner/Canary Copy - Horizon Hills File Horizon Hills Home Owners Association Attn: Architectural Control Committee Post Office Box 21423 Eagan, Minnesota 55121 September 9, 1995 Patrick and Suzanne Geagan 1577B Baylor Court ,..',Eagan, MN 55122 Dear Pat and Suzanne: This letter is to inform you of the final decisions made by the Board of Directors relating to the conversions/additions of a three-season porch onto units during a buildings residing project. The following specifications should be followed by the contractor and you, as the home owner, are responsible for ensuring these specifications are adhered to: 1. The 3-season porch shall be where your existing 10x10 screened porch is located. 2. The existing 10xl0 deck shall be adjoined to the 3-season porch as it is now attached to your screened porch. 3. The total area of your 10x10 3-season porch and 10xl0 deck shall not exceed 10x20 in total dimension. 4. The porch elements shall consist of the following elements: a. The lower 1/3 to 1/2 of the porch shall be vinyl siding, matching the vinyl siding being installed on the building. b. The upper 1/2 to 2/3 of the porch shall be white vinyl slider windows as follows: i. The windows shall be centered on each wall so the same amount of space divides the windows on a wall with the divider wood of the window frames. The wood divider areas between windows shall be painted to match the color of the vinyl siding being installed on the building. c. The top portion of the porch to the roof line shall be vinyl siding, matching the vinyl siding being installed on the building. d. The interior door from the porch to the deck area shall be a white steel door with a glass top section of up to 1/2 of the door. e. The exterior door from the porch to the deck area shall be a white steel storm door with a full view glass area, or a full view wooden screen door painted to match the color of the vinyl siding being installed on the building. Painting of this door shall be your responsibility. f. The floor boards of the porch and deck shall be consistent with the City of Eagan building code and shall not be less than 5/4 inch boards. g. Any new supporting ground posts shall be painted to match the color of the vinyl siding being installed within one year after the date of installation to allow proper "bleeding" of the wood. h. No matching decking spindles are to be installed on the exterior of the porch. P.O. BOX 21423, EAGAN, MN 55121 1612) 688-0695 HORIZON HILLS HOME OWNERS ASSOCIATION i. The porch ceiling and roof areas shall be properly vented to prohibit ice melting from the roof backing into the townhome unit, thereby creating an insurance claim for repair of any damages. 5. The deck elements shall consist of the following elements: a. Proper footings for supporting ground posts. b. The wood elements of the deck flooring shall be consistent with the City of Eagan building code and shall not be less than 5/4 inch boards. c. The remaining wood elements shall be consistent with City of Eagan building code and shall be consistent with other visible decking in the Association. d. The Association will stain all wood elements of the deck, except any specifically stated as your responsibility, to match the color of the vinyl siding being installed within one year after the date of installation to allow proper "bleeding" of the wood. It should be noted that because of the time constraints of the contractor to meet his obligations with the residing of not only your building, but two other buildings in the Association, time may not be pulled from the Association to completely install your porch. It is your responsibility to make arrangements with the contractor so the completion of your porch will not interfere with the residing project of the Association. It is also your responsibility to make financial arrangements for the payment of the 3-season porch expenses, together with any expenses which may cause the Association's deck rebuilding bid price of $650 to increase. These items may include the installation of a new deck footing, new supporting joists, and/or supporting beams to fully support the construction of the 3-season porch. Because this 3-season porch is being installed together with a rebuilding of the existing IOx10 deck, reimbursement of the $650 replacement reserve allocated to your unit for such deck rebuilding shall be reimbursed to you by the Association upon completion of the 10x 10 deck extension and 3-season porch final inspection by the City of Eagan. This will also mean that repair and/or replacement of any element of your IOx IO deck has been completely satisfied by the Association for this current reserve period and that the Association has no further obligation to repair and/or replace any elements of your 10x10 deck. It should also be noted that you are responsible for all repairs and/or replacement of any element of the porch and that they are not reserved for by the Association at any time. If these specifications are not as you understood them, or if you do not agree with any of the specifications, please notify the Association in writing prior to any work beginning on your unit. Once work has begun on the installation of your porch and deck, it shall be understood that you have agreed to these specifications, that you are contractually obligated to the Association's contractor for payment of any work, and that none of the specification can be changed during the construction process and/or in the future. Please call if you have any questions. Sincerely, Horizon Hills Home Owners Association 46?0? A?? Barbara Koob Property Supervisor cc: File 01 IV S72• aq 3p.,K / Cg70.90 1'Op44' 3p, o! 13' 30 ^ W Qo23 r 3 , f 2q, ?6 00 ?3 op `ray c2 P/Boo 13 30 =t 2q o°" ! ,. •r / 2g C.Rc3O /? p 1p to bo S7S,3Q 7? 9 w RUN, „• 31 y, v ?3 o r.oo 300• La ' ??? ;: ;,?23.3.2a / ? \? 101 111 • y 9 = O O `:} H v O J b N7fi ' 18 I \? Qaz v O O .*.? v ' !03 30• q?,W ?- q?2?°2q /? f /Mp N7.0p /4 /P N °o •,r 3 0 O /03 112c, 0 2 / G 2'94.31 X00 2 00 '?•? 1 M nj O •`T ` / r`? / P 3t'00 I8 1° y r 2.00 rnN/ =t y? •O / N75•?_ 31?n,. 93._ 4a _ n. ,?/te Yj n LOT 70 ?2 - i 30 7 O / O b/ h Cl) // ?3 ? O 4(/ V 411 7 N h N _ , M D O .? T 4 K y i v 41- tir JOM N r n1 m 2 O Sv ?. Q 4u ' ?G1 c•' ?? .. co 30 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 1575 LOT: THOMAS P.I.N.: 10-75951-060-02 PERMIT PERMIT TYPE: Permit Number: Date Issued: BAYLOR CT 6 BLOCK: 2 LAKE HEIGHTS 2ND aoso4sr' BUILDING 027490 05/07/96 DESCRIPTION: GUARDRAILS uild,i'r,`g_,Permit Type uilding IQrk Type ensue Code>. f c .. & DECKING s'! BEC K /h,1.a,,CJ , REPAIR 434 ALT. RESIDENTIAL r1 rl j FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: NELSON, KEITH 18511 86TH PL N MAPLE GROVE MN (612) 420-6550 - Applicant - 14206550 55311 L MITCHELL BAYLOR CT MN 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 Mn. Statutes and City of Eagar Ordinances-. OWNER: WITT 1575 EAGAN APPLICANTP MITEE SIGNATURE ISSUED BY. PIGNATURE CITY OF EAGAN 3830 PILOT KNOB RD 55122 4ff,ffo 1996 BUILDING NG PERMIT APPLICATION (RESIDENTIAL) 2mq 440 681-4675 New Construction Reouirements RemodetReoair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? I energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: Alz`w s G y? O R A I u5 O Q /C STREET ADDRESS: / -S 7 5 & L U tZ 7 1 ,I LOT BLOCK I SUBD./P.I.D. #: , r h ny I-a t4 fl) 26d PROPERTY Name: (D.i-t VII ?APXI??? Phone #: OWNER VAT "AST Street Address, City: State: Zip: CONTRACTOR Company: Ke.1i14 PJ9-S6 A/ Phone #: (-/ ?0 4253-0 Street Address: l S S"J C?'G7t f'( IV License #• City: mN/e GtO tIE State: Zip: (S3 /1 ARCHITECT/ Company: Phone #- ENGINEER Name: Registration Street Address, City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change anc I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: SEEATPACHE QS HAND4UT OFFICE USE ONLY FOR FURTHER MFORMAT:OM Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-75951-060-02 DESCRIPTION: Buildi A8uidi Census PERMIT PERMIT TYPE: Permit Number: Date Issued: 1575 BAYLOR CT LOT: 6 BLOCK: 2 THOMAS LAKE HEIGHTS 2ND (SIDING) ng Permit Type MULTI. (MISC.) ng rk Type REPAIR Code 434 ALT. RESIDENTIAL v 9° cis&sW BUILDING 027489 05/07/96 u ti REMARKS: INCLUDES 1575-B (LOT 5) 1577 (LOT 7) 1577-8 (LOT 8) BAYLOR CT FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $199.75 $6.50 $206.25 $13,000 CONTRACTOR: - Applicant - OWNER: NELSON, KEITH 14206550 HORIZON HILLS ASSOC 18511 86TH PL N 1576 BAYLOR CT MAPLE GROVE MN 55311 EAGAN MN (612) 420-6550 I hereby acknowledge that I have read this application and state that the information is correct-and agree to comply with all applicable State of Mn. Statuttes and City of Eagan Ordinances APPLICANT! R EE SIGNA RE ISSUED B SIGNATURE- I11k CITY OF EAGAN 3830 PILOT KNOB RD 55122 4 jq 1996 BUILDING NG PERMIT APPLICATION (RESIDENTIAL) 681-4675 Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured Md. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: - Yes - No DATE: C 7 fl? ?3 oQO CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK_ Ll (, d a C, 1 " `T' wit', rAFD__.) ,ILL4? -l SUED./P.I.D. #: Ammn PROPERTY Name: /!ok' 1111-6 S nS.o Phone #: OWNER nR*T Street Address' City: / / State: Zip: CONTRACTOR Company: K & /il/ l?/frZ 5'b /r/ Phone #: 1/00 G 510 Street Address: /$?// ,Y6 PL /_J License #: city: i21i?p? State: /, Zip: j3'3 // ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address- City: State: Zip: Sewer & water licensed plumber: . Penalty applies when address change an,: change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 1577 BAYLOR CT LOT: 7 BLOCK: 2 THOMAS LAKE HEIGHTS 2ND P.I.N.: 10-75951-070-02 BUILDING 027491 05/07/96 DESCRIPTION: GUARDRAILS & DECKING Sf )3uilding.,,,Permit Type OCCK M4,44.o , ?fBuilding 1lork Type REPAIR CenE°us Code \ 434 ALT. RESIDENTIAL 2;7 jJ REMARKS: FEE SUMMARY: CONTRACTOR: NELSON, KEITH 18511 86TH PL N MAPLE GROVE MN (612) 420-6550 L_ - Applicant - 14206550 55311 PERMIT TYPE Permit Number: Date Issued: OWNER: HINRICHS 1577 EAGAN HARVEY BAYLOR CT MN 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 Mn. Statutes "And City of Eag.jn Oe'dinances. A CANTMERMIT SIGNATURE ISSUED B4 SIGNATUREW d --? CITY OF EAGAN 144% 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? I energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: S- 7- ? ? . CONSTRUCTION COST: DESCRIPTION OF WORK: CG ") L--3 7 D K I Nc 0 Gj D EC STREET ADDRESS: I5 7744- 6& Log C r LOT BLOCK SUBD./P.I.D. #: J ?? ?aL I` nf?? PROPERTY Name: hi,f ik tt(lhff)2a1 Phone #: OWNER Street Address City: State: Zip: CONTRACTOR Company: 1%-I t ? 5a'U Phone #: q w-6-0Z Street Address: (L License #- City: fkylE Goa l' State: /yt,- Zip: ARCHITECT! Company: Phone #: ENGINEER Name: Registration #: Street Address* City: State: Zip: Sewer & water licensed plumber. change are requested once permit is issued. Penalty applies when address change am I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY FOR FURtHER BWORMA Certificates of Survey Received Tree Preservation Plan Received Yes No No Yes PERMIT# 145 39;k RECEIPT DATE: 5-''-0 RESIDENTIAL PLUMBING PERMIT APPLICATION crrYOF EAGAN 3630 PILOT KNOB RD EAGM, MN 55122 651-6$1-4675 Please complete for: SITE ADDRESS: OWNER NAME: : > single family dwellings > townhomes and condos when permits are required for each unit > _ backflow preventer for irrigation system MYRIN, JAMES 1575 SAYLOR COURT UNIT B EAGAN, MN 55122 (651) 452-5748 INSTALLER NAME: STREET ADDRESS: CITY: LvA AVE. SO';7 MN 5540d Place a check mark next to the permit work tvoe _ TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) STATE: ZIP: New residential dwelling unit under construction and not owner/occupied $ 90.00 _ Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround M Y 1 8 zoo-, ? (? n lJ Nature of work: r .& Wa.-rer 1 CE.LVL I cr IJ Ly_? _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SIGN URE OF PERMITTEE Updated 1/01 CITY USE ONLY 5g/?I L BL RECEIPT #: SUBD. /k DATE: ____ 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for ? single family dwellings ? townhomes and condos when permits are required for each unit Add-on furnace New construction °C ? Add-on air conditioning Add-on air exchanger, i.e. V ante system, etc. Date: (; - /fl -Ci to FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of I required c@ $3.00 each) ? State Surcharge .50 TOTAL cJ/? SD SITE OWNER PHONE #: lwyJ SEDOWICK INSTALLER NAME: II`^T;Pd=t AIR D? 1,31 WENTWORTI-I AVE. no. STREET ADDRESS: ,e0618. -?•? AV55 881-9000 CITY: STATE: LIP: PHONE #: ( F /C9 -3o -9G Use BLUE or BLACK Ink For Office Use ~ j Permit pi - t of Wan 1 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: 11)- i Phone: (651) 675-5675 1 'QeV 1 Fax: (651) 675-5694 1 Staff: i I - - - - - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1b - I Site Address: ►5? / 8 ~ 15 7 r Unidt '-___C - Name: n — r i/ ~llf1 f S Phone: f =2- -72-. -.Md Resident/ Owner Address / City / Zip: Applicant is: Owner - Contractor Description of work: Rama r--* _ Type Of'Work Construction Cost:~,$ 5 Multi-Family Building: (Yes _ _ / No Company: __s~~►T' fJ~~jd~✓~---- Contact: Contractor Address: M ~r)el~ City: 1C2C2~5 State: r r r rv - Zip: __Jr_syd Phone; 6Zc2 ;?2-1- 5-5-6-6 License - 910 6 2-- Lead Certificate -~AJ-:: 2 ~91fI'7 -1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes _-No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: _ Phone: _ --_A--- Sewer S Water Contractor: Phone: - NOTE: Plans, and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to .conclude that the 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.aoohersWs2-r ecali.ora I hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x fli 2a~bP_4A ee Applicant's Printed Name Applica s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA127034 Date Issued:09/18/2014 Permit Category:ePermit Site Address: 1575 Baylor Ct B Lot:5 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Deb Larson 8815 209th St Lakeville, MN 55044 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - James D Myrin 1575 Baylor Ct B Eagan MN 55122 (651) 216-9965 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163046 Date Issued:08/12/2020 Permit Category:ePermit Site Address: 1575 Baylor Ct A Lot:6 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-060 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations 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 - Mitchell K Witt 1575 Baylor Ct Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167865 Date Issued:03/31/2021 Permit Category:ePermit Site Address: 1575 Baylor Ct A Lot:6 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-060 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 - Mitchell K Witt 1575 Baylor Ct Unit A Saint Paul MN 55122--482 (612) 325-7042 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature