1569 Baylor CtCITY OF EAGAN WATER SERVICE PERMR-36 3 -3 ((
3$30 Pilpt Knob Road ?
P.Q..Bot,21199 PERMIT NO.:
Eay_n, MDT 55121 DATE:
Zoninp: k ; No. of Units: ? - - - -
Owntr: :-4, i:rf_ ?nr. unJII ,i;s
Addresi:
Acddren: 4
OF
r TII m ?c?.
No.: 5 C'' ' Connection Chorye: ,
5tte: 1 ? - _ - Account DepasFt:
Reado No.. -0 ?{?3, •?f f? 9 ?'- Permit Fee:
1 Nn* to e=ply w11A 11w Cily af: Gp raFQ ?`
Orrlwnnaa M1x. Chorpss:
e
? Totol:
BY -
2a? Dota PoW:
Date of Ins • Intp.:
D
GAN WATER SERVICE PERMR
0 Pilot Knob Road
.
' P. 0. 80x
211" PERMIT NO.:
,
? Esgan, MN 55121 D/1TE:
2onirq: No. of Units: "
pwner: - :.ew 1lorizon 1:7oi.;es
Address:
Site Addrem 1,71 Bavlcr ,.
"i
Plumber. • . >.--tpsn^ :
s
, - - -
?
- - -
Meftr No.: Conr+ection L-dhorpe: 30U. QC} Pu
Siu: " AccouM Deodstt:
Reode No.: Pennit Fee:,
1 Nm te eawapmp wh6 !1e CieY 01? I?? : ?arqir`
Mtsc. CFwrpes:
Totai: () I fl;l -,. I :-Q , , r
BY Dot1 Pafd:
Date of Irup.: I?ap.:
.S
GAN
?Knob Road P. O. i?2 1199 Af
Eagan, MM 55121 `
Zonirg: ;
i?orizon i'.omes
Addross:
? ;sn
Site Addreas:
Wumber. 'i o::;p
AAster No-
Sire: n T?
WATER SERVtCE PERMR -30') 3( Z
PERMIT NO.:
DATE: . No. of Units:
¦
1 Nc« to ee.hlr wMb????? ?drc"A .50 pd
pno„enow ?? Chorgn: 132.00 pd
Totol: 63.00 pd meter
BY Dole Paid:
of Insp.: ` Infp.:
, ? ?? ??
CITY OF FAGAN
3830 Pilot Knob Road
P. O. B6x 21I99
Eagar., MN 55121
Zoninp:
Owrwr: ek'
/lddroaa:
51te llddnss: I 5? 1;R
Plumber. ";
WATER SERVICE PERNUT
PERMIT NO.: 627-)
DATE: F-7-85
- No. of Units: 1 of Gplea
AAets? No.: CoAn6ttion Chorge: 500• 00 Dd
Sir.s: - /lcbount D.posit: 15.00 pd
Reods No.: Permlt Fee: 10.00 pd
1 Niw te smapor wilb !Iw Clep ef aya¦ suni+orpe: .50 pcl
Mlsc. Charges: 11'. 00 vd
?
z
Z TotaL• r ` 00 p ,4 -t? r
..
&
B
Dote Paid:
ECt. of Insp.: Irpp.;
-22- S`
?
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Raad
?
P. O. Box'21199 - PERMIT NO.:
Eagan, MN 55121 DATE:
Zonin9: No. of UMts: I Qf %; -
Ownwr• '::??? 1in•r?_z?u ?it??ae.:
llddness:
Site Addras: 1571 Bayldr Cotrt 1,-1 i?_ ?t r:r:» '.? I..:•
Plumber. _ _ `('"omPBOn.
Mettr No.. Connectian Chorye: 500,00
Sir.e: Aocount peposit; 15. OG
Reodsr No.: Permk Fee: 10.00 ed
I Niw te as *pip wilb !IM Geq of bPO Surchorge: 't'?''{'
OrawMer. AAtsc. Chargss: 0 R?-
Totcl• rl>> ,,A -ro , .. 4
By pcd. Pold:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMR
3830 Pilot Knob Road .
P. O. Boz 21199 ' PERMIT NO.:
Eagan, MN 55121 DATE: ?
Zoninp: No. of Units: + P- e'`
Owri.r
Address:
-
Site /?ddross: i.?7I ??t?':lo'c" ??, _ .? ?,, .
Plumbar.
..'''.i.":?
f prN ta osin* vrft iw CRY of !ep¦ Connection Charpe:
"MwoM. ACODUf?t DEpOtit:
Po"?1it rYl: n'i
SIJrCFfOrQl: ?' -
BY Misc. Charpm
Dote of Insp.: Totoi:
Insp.: Dote Pald:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. G':vaoz 2"1199
PERMIT NO.: ,
'
Eagah, MN .55121 . D/?TE:
ZOftj?: NO. Of UMfS: 7 ? r .? 3 i•
Owrnr: ot':p
Addross:
S1te /1ddrow i%i IF! Be2Y?Or CO::rc - !.:_
Plurttbsr. ?'i????p9o.: PIb,? --
MrFer No.: Connection Chorge:
Size: Accourn Deposit:
Reodsr No.: Permit Fee:
1s/we io asw0lr vrili dN Cky OF laws Surchoroe: ?
Onnuwam Misc. Cha?yes: `
Totol: ?? ? . .
By Dot* Paid:
Dote of Insp.: irap.:
CITY OF EAC`s7tN
3830 Pilc+* Knob Road
P. d: 8ox 21199
Esgari, MN 65121 •
Zanirg:
Owr»r.
Addrcss:
Site Nddi
Plumber:
1 pne h esiyhr wilr /V Clhr oF yp¦
OrNMnaa.
Bv
Dote of Irap.:
SEWER SERVICE PERMR
PERMIT NO.: '
DATE: ?
. • :?!
No. of Units:
Con.wction Uwrpe: '• ? S. QC nc1
Aooourrr oepo,M: 15.00 pa
P.mar Fee: 1 ry . nn -,,=
su.darpe: . "'
Misc. CFnrpm
Totoi:
DaM Paid: _
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob Road
P. O. Box'21199-% PERMIT NO.:
Eagan, MI1L 55121, D^TE:
ZoninO: No. of Units:
pwner, Vev t:orizor, ttcarir.s
ltiddreas:
Sits Addrcss:
Plumber. Thtne peot3 P 1`_,: -
Meter No.: Connection Chorys: }!? 1.
Siu: Accamt Deposit: 15
Reoder No.: Pem,k Fee:
1oNw !o aowplp Wilh tM Ciy of Eqpw Surcharpe: -
onliMans. hUft. ChOmS:
Tofol: f' 3 . U'.?? -;F- • ?
6y Data Pald:
Dote of Insp.: Irqp.:
CITY OF EAGAN
3830 Pilot Knab Road
P. O. Box 21199r,
Eagan, MN 55121-
Zonlnp:
SEWER SERVECE PERMIT
PERMIT NO.: / 4 `,b
7 -?
DATE: 6-7
No. of Units:
Owrwr. tiew horizOti Homes
lldd?ess: _
Sits Address:
Plumber: _
I NrN to eonb wiM !w Ci1y oF Lmwo
OrdiMear.
By
Dote of IrKp.:
:1 B2 Thomas
ConrNCtion Chowge: 1,25• 04 Dd
Acaax,t oeposrt: 15. ? 0 nd
Permtt FN:
Surdwrye:
Misc. Chorqaa:
Totol: _
Doh Pold:
CITY OF EAGAN WATER SERVICE PERMR
3830 F?.?ot Knob Road
P. O. Box 21199, PERMIT NO.:
Eagan, MN 55121 p^TE:
ZonInD- No. of Units:
OMIMr:
Addro'iS:
SitA Addlom
Plumbar. =-- - -- - - - --
Meter No.: Connectian Chorps:
Site: Acoount Deposit:
Readsr No.. Perrnit Fee:
1 Nne te eeNlp wuh 1M CM7r oi bven Surchorye: . 5!1 1,?,;
OriMwaw. Miu. CMrpss:
TOtOI:
By Dote Poid:
ecte of Insp.: Irop.:
CITY OF EAGAN SEINER SERVICE PERMIT
3830 Filot Knbb Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 56121 pATE;
Zoninp: No. of Units: - ' - -
OwMr, - ?•?: h??ri ?n?? i•:
AddflSS:
Slt! A1ddflSS: F?Agl[]r r'Ct, r- i:;: .
Plumber. Thr+mr-:oo?n Plb,--
I oNw to so"lf wMb !ie CNY of Eww
OrJiwenom
By
Dote of irap.;
ConrwcHon QwMe: 4 = ' , 0,-.
Aecou,t Deposit: 1 S •
Pffrtlif FNC i f.
$urdtGrQl:
Misc. Chnrpsr
Total:
Dote Poid:
CONTRACT PRICE:
? Site Address ; J ?
Lot Block
? .
m Name
? Address ?c Ciiy
?.
L Name
I 3 Addr
I p city
? TYPE OF WORK
? Forced Air
I Boiler
Unit Heater
Air co?,d.
Vent
Gas Piping Outlets #
Other
•?- ?? MECHANICAL PERMIT
CITY OF EAGAN
i 3830 PILOT KNOB,ROAD? EAGAN, MN 55121
PERMIT #
RECEIPT #
DATE:
?., BLDG. TYPE
Sec/Sub _
t? LIX
iU AIN "?TMult
Comm. '
rt?t(e _'?'?'V, 55416 Other
M BTU
M BTU
M BTU
? y M BTU
CFM
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 146 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMMIIND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
? . .?» .
FEE ?-' '? '? ` ? sfi k:E',zL?• ,
SIGNATURE OF PERMITTEE
S/C:
TOTAL• ?'? FOR: CITY OF EAGAN
CITY OF EAGAN
' 3830 Pilot Knob Road. P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
eUILDING 'ERMIT aeuipe
PLEX
58.000
?.? ?0 .3 r) 3
i.? ? ULf
SlteAddrea 1`i )(FS BAS L?OFt (?I? Erect ? Occupancy
Lot Block 2 S./Sub. T1? nM T, <<• ,j m? ? R,n Remodel ? 2oning
Parcel No. Repair ? Type of Conrt. ? •
Addition ? No. Stories
? Name TV E; `^,' ? O Fi 1? Move
D
li
h ?
? Length
27
? Addres s 1. emo
s
I
t I
? De th
P
' mpr.
n Sq. Ft.
City mi':.S phane "
t20-39U0 Instan 0
ZI ; Nane E IME
uu
Address
H Citv _ Phnno
Name .1). (-RI,`_=4d0:_,n
i? Address 4 3 5 - -)
I heroby ecknowledpa thot I how rood this opplicotion ond stote that
tM Information Is conect ond ogree to comply wifh oll opplicoble
Stab of Minnesoto Statutes and City of Eagon Ordinonus.
Sipnaturo of Permittee A Bulldiny Permit is issued to: L10ME5
all work sholl be donw in occordanu witk oll opplioobl• Stofe of Mir
Buildinp Offklol
Assessmenf Permit Jv I. v v
Woter & Sew. Su?charge 29.00
Pol ice Plan Review 153.50
Fjn gqc 525.00
Enp. Water Conn. J0 Q. 00
Plonner Water Meter 63.00
Council Roed Unit 280.00
Bldg. Off. 0/3/85 Tr. PI. -?32 . oG
APC Parlcs
Var. Date Ca
ies
p
' -? ^
, `J •. '-; . ., t?
Total
on fhe express cwKltbn thot
nesota Statutes ond City of Eogon Ordi?wncm
Permit No. Pwmit HoWa Daa Telephone ?
?umeing 5;?5 `f s-b' q 4- I k-? 9 33-?5
H.VA.C. w? rZ ??s s ?
E?? 34 ?> l? - ? ?r v
Sahmm
Iraaetion Date Insp. Othe?
FooNnysl ?S J V
Footinps II
Foundatlon
Framing ?( ?
RooNn9
Rough Plbg. • ?
RouyhHty.
Ingul.
Finplscs
Flnal Hto. f?r?S
Finsl Plbp•
Flnal
Csrt/Oec.
12
Wstsr ?ibe Loeation:
We11
Sswer
Pr. Diap.
BUILDING PERMIT
T* w mw/ Iw ! . 4 R t, „' X
Receipt #
10352
$ 5 8 , 0 0 0 r)"" LocaF ,- ,o as
Slte Addren n r
.
` Erect ? Occupancy ?.
.."
Lot Block ?ISub Remodel ? 2oning Yl)
. Repair ? Type of Const. V
Parcel No.
Addition ? No. Storias
l NEYi fiUR.C ZON HUM.F.S T t C Move ? Lengtn 44
a Name
P. O.
Ii.^.X 1367
Demolish
?
Depth
27
? Address
[?iPLS
420 -3y?? Int Impr. ? Sq. Ft.
City Phone Install ?
??
u?
?
Name _
Address
SAME
p W Na„e '? , uRIsF?!oZD
W
_? ?ddrm
? W City Phone 4 -15 ` V '= 2 4
I hercby ockrawladye that I how rood this cpplicction ond state thct
the Informotion Is torreCf ond ogree to tomply wifh all uppliCable
Stoh of Minnesota Statutes ar+d City of Eogop Ordinor?css.
$ipnOturt of PermittN
11 Buildiny Permif Is issued fo• NEW f30RI"ON HOh?_Y•5
dl work shall be dons in atcordante with all applioobl• State of 1Mlne
CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8700
Assessment Permit ? s' ? •
Wofer 3 Sew. SurCharge ?? ? •
Poliu Plan Review ? 53.
Fi.. sac . ,, 5 .
Enq. Water Conn. ".; 0 •
Plonner Water Meter 63 »
Council Roed Unit 280.
Bidg. Off. Tr. PI. 132,
APC Parlcs
Var. Date Co ies
P
1 raC Total
? on tht txpnts Condifion lhot
osoto Stautes and City o3 Euqan Ordinoncas.
? Pwmit No. Pormit Holdw Mo Telephone ?
Plumbinp
H.,,A.C. 5 5 ? ?1c? 1 ?
Elwtrlc A-H 7" I O ? Q 0
Softww
lnweetion Date Insp. Other
FooUnys l (p
Footinga II
Foundation
/
i
Framiny
Rooflny t w
Rough Plbp.
Rouph Htg. ?
Insul.
Finplece
Ffnel Htp.
Flnal Plby. ? - ?
Flnal
COr.1/Occ.
V
Watw Daleribe Location:
Wo11
Sower
Pr. Dlap.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
sU1LDING 'ERMIT Receipf
1 O;' 4 PLFX
SiteAddreu j ?A'i,-C:? •I,
Lot ? Block '- ?eclSub. isHC?(r; 1.•' N'I'S 2Ni;
Parcel No.
? Narr,e .? ;-iORI7,ON HOMES INC
W
? Address . . J: ` 1367
city Pnone 42 a- 3 9 0(;
=p Neme
u? AddrE
Ciev
SAA1$
?W Neme n. r :ISN(??1..?
W
s? Addresa
V ?
='W City Phone y 3r -/'24
U
9?35 0
S-a -5-U -/
Erect N Ocwpsncy !<.i
Remodel ? Zoning i?z;
Repair ? Type of Conit. V
Addition ? No. Stories
Move ? Length :1 ;
Demolish ? Oepth 2,
Int. Impr. ? Sq. Ft.
Install ?
APProva Is FNs
Assessmenf
Woter b Sew.
Polfca
Fin
Ela
Pner
Councii
Bldg. Off. 5/ 3 8 5
Permit 5 3 0 7 • (10
Surcharge 29.00
P1an Revlew 153.50
SAC -) c: j . 0 0
Water Conn. 1500.00
weter Meter 63.00
Road Unit 2 90 . 00
T. oi 132.00
I hercby acknowled9e rhut I hove read fhis opplicotion ond stafe that
fM inlormation is torrect ond agree to comply with oll epplicable
Stats of Minnesoro Statutes and City of Easan Ordinonces.
Sipnoturo of Pem+ittM
A Buildlnq Pennit Is luued ro: :+.UR: V-:C;°`.F _'
oll work sF,oll be done in occordaxa with oll epplicoble State of Minrl
Bufldlnp Oificiol . 4
APC ( Parks
Var. Date Gopies
INC
Tota1 -
on the exproa condition thol
ond Gty oi Eopon Ordinonces.
.
Mrmit No. Pwmk Holdw Deft TeI
ePhons
Pluiiibino
H.VA.C. 5 i ? Z(Q j
Eiictric ?- I T
BoRofw
intpedion Dab Insp. Othn
Footlnps I
Footings II
Foundetion
Framiny
Rooflnq
Rouqh Plbg.
Rouqh Htg.
InsuL i
Firoplace
Final Htg. ?•17-
Final Plbg. .f 7
Final
Cervocc. g d cl ! 5 -?' '
Watef Wscribe Locstion:
We11
Sswar
Pr. Disp.
f
' • ' CITY OF EAGAN e, * ?
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
sU1LDING PERMIT Receipt
T. w wed fer Est_ vnlue ' '.Dere Jt1IAE 7 tq OS
Site Address 1569 DAYWR CT I*Ct L* Occupaney A3
THOM LR HT9
Lot 2 Block Z cPc/s„b 21tD Remodel ? Zoning pn
. Repair ? Type of Const. 9
Percel No. Addition ? No. Stories
?1EW AORILON HOMIsS IlIC Mo"e ? Le"geh 44
Z Name
p•O. ?X 1367 Demolish ? Depth 27
Address
? Int ImD?. ? Sq. Ft.
Citv ?La Phone 420--390C Install ?
'419 Nane $AM
Addrest
? Ciri Phnna
F W Name D• Cl! I3ROLD
_,z-, addrm
?W City Phone 35- Z4
A...?.a:?.. llaii..:..t . Assessment Permit • Jv I• V V
1 hercby ocknowledps that I have road this opplication ond stote that
the informotion is corrcct ond oqrea to comply with oll applicable
StoM of Minnesota Statutes and Ciry of Ecyon Ordinonces.
Sipnoturo of PennittN ' _-Z ?1 BQ?$ Nits A Buildinq Pertnit Is luwd to:
atl woeic shatl be done in occwdonwA with oll oppliooble Stote of Minn
Woter S Sew. Surcharge 29.00
Pol ice Plan Review 153.50
Fire sac 525.00
Enp. Water Conn 500, ?Q
Plonner Water Meter _63,Q 0
Council Road Unit 280, 0 0
Bldg. Off. y 5 Tr. PI. 132A0
APC Parka
Var. Date Copies
rotal $11989. 50
INC
on the express tonditbn lhat
aota Statutes and City of Eaqon Ordinonces. ,
PKmit No. Pamk Holder Dab TeIephoM f
Plulm6irq ( SrLI ? b
H.v.a,.c. ?j g S?at w; c,t ?z 45 ? r
ENetrie y
Softo»r
Inspeotion Date Insp. Other
Footing. I tn ? J
FooUnysll
Foundation --
Framing ?
Roofiny ?
Rough Plbg.
Rouyh Htg. f• y A1 f ? I - cr
Insul.
Finplacs
Final Htg.
Final Pibg.
Final
Csrt/Occ. q U? ? C( n g?
Water Domi6e Location:
Well
Sawer
Pr. Disp.
Roaipt ' MECHANICAL PERMIT Ponnit No. ` CITY OF EAGAN Fm . ? -.r
' F46 flll in numbervd specat S/C
Type w Prin[ !eglWY • ? ? ,
Tat ? •
1. Dste -• ? 2. Installation Cast '•
??
3. Job Addresi + Lot?81k. j --Trsct
,
4. Owner .; •
5. Contractor 1 n n? ca ?c ,?
Phone
6. Addreas t i n c' e c. .
7. City ' State ' Zip
8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe Fuel Type ` ' ? `'
I 11.
No• F.auigm :t 8TU - M. Ea.
Forced Air No. Ectuiament CFM
Ai
:
H
dli
Mfg. r
an
ng
Boilers
Mfg. Mech. Exhaust
-
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
? 12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
? Approved CITY OF EAGAN 454-8100
RaNpt . ; ? . ;?-
?
1. Date
3. Job Address ' '
4. Owner
?l
Fw ?-
S/C
Tot
T'ract,?--?--?
5. Conmctor Phone
6. Add?ess
7. City
State 2ip
8. Building Type: Residential D Commercial ? lnstitutional ?
9. Work Description: New ? Add 0 Alter O Repair ?
10. Desaihe A? ? t Fuel Type --=?
11,
No.
? Epuinment STU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. ' y
Boilers
Mfy. Mech. Exhaust
Unit Heater
Mfg. Qther
Air Cond.
Mfg.
Gas, P'iping Outlets
12. 1 hereby certify that the above information is true and correct, and I aqree to
comply with all ordinances and codes governing this type of work.
Signed: r f
Rouyh . ` ?Final
Inspections: Date Insp. Date Insp.
This is your permit when num6ered and approved.
Approved CITY OF EAGAN 454-8100
MECHANICAL PERIVlIT Pern
CITY OF EAOAi11
Flll !n numbsred spscea
Type w Ptin[ lepibly
2. Installation Cost
Receipt - ? ? PLUMBINC PERMIT
CITY OF EAGAN
FiII in numbered $Paces
Type or Prinr IegibJy
1. Date --2. Installation Cost
3. Job Address i .( ; .i?t ; Lot Blk. _
4. Owner
5. Contractor
6. Address __-4 .% I
7. City
8. Building Type: Residential ?
9. Work Description: New 0
10. Describe
11.
Permit No. '
FM i
S/C '
Tot '
;
1
I
TreCt
a
Phone I
Zip
Commercial O Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
i
fi
C
l/O
ld
Bath tubs easpoo
ra
n
e
S
i
T
Lavatory ept
ank
c
f
S
Shower o
tner
W
ll
Kitchen Sink e
Urinal/Bidet Oth
Laundry Tray er
Floor Drains
Drinking Ftn.
Slop Sink
Gas Pipinq Outlets
12. I hereby certity that the above information is true and correct, and I agree to
Comply with all ordinances and codes governing this type of work.
Signed : ,' ?
for
Rouqh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?
Receipt - ? PLUMBING PERMIT Pennit No.
CITY OF EAGAN Fm
?
fill in numbered;paces S/C
Type or Print legiWy TcvL
1. Date 2. Installation Cost
,
3. Job Address Lot 81k. ' Tract ?
?
4. Owner
5. Contrector_
6. Addreu
7. CitV - - , :,
8. Building 7ype: Residential O
9. Work Description: New O
10. Describe
11.
Phone Scate Zip
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Ce
l/D
fi
i
ld
8ath tubs e
sspoo
ra
n
Se
tic Tank
Lavatory p
ft
S
Shovwer o
ner
W
l I
KitChen 5ink e
Urinal/Bidet Oth
Laundry Tray er
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and.codes governing this type of work.
Signed : ' for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reaipt MECHANICAL PERRIT Psrmit No.
CITY OF EAGAN pM
..t
Fill in numberod spaces S/C
Typs or Prln[ legiWY ToL .?
1. Date = 2. Installation Co3t -
? ' ; , . . `-
3. Job Address i?•..i4r;:: ; Lot ? 81k. Tract
.?
4. Owner
b. Contrsctor Phone
8. Address
7. City State Zip
8. Building Type: Residential E3 Commercial O Institutional ?
9. Work Description: New 0 Add O Alter O Hepair ?
10. Desaibe - )_I% ' Fuel Type -?141
11.
No. Equioment BTU • M. Ea.
Forced Air No• Equipment CFM
Ai
Handlin
:
AAfg. , . r
g
Boilera
Mfg. Mech. Exhaust
?
Unit Fleater
Mfg. Other
Air Cond.
Mfg.
+ Ges, Piping Outlets
12. I hereby oertify that the above information is true and correct, and I agree to
comply with all ordinanoes and codes governing this type of work.
Signed: for
Rouph Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
Rnipt •' ' ? MECHANICAL.PERMIT
CITY OF EAtiAN
d
FJJI in numbered apaces
Type or Prini leplbJy
Psrrttit Nu.
FN `
S/C
Tot
1. Dste 2. Installation Cost
.% ' _
3. Job Address _ <- `LotBik. Tract
4. Owner 4 , r: - ,.. - ---?
5. Contractor Phone
6. Address
7. City State { 2ip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Desaiption: New d Add ? Altar 13 Repair ?
?r
10. Desaibe Fuel Type
11.
No• Fau*gjment 8TU - M. Ea.
Forced Air • No. Equiament CFM
Air Handtin
:
Mfg. ?s ...,.?.. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond. • ?
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work,
Signed:
for
v ?
Rough` Final
Inspections: Date Insp. Oate Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Rmoeipt
oe
PLUMBING PERMIT
CITY OF EAGAN
Fil1 in numbered apaces
Type or Print legibly
1. Date 2. Installation Cost
3. Job Address Lot j, Bik. . Tract
4. Owner
5. Contractor Phone 6. Address 7. City ' State Zip
8. Building Type: Residential El Commercial ? Institutional ?
9, Work Description: New E7 Add ? Alter O Repair D
10. Describe
11
No, Fixtures
Water Closet No. Fixtures
C
/D
f
l
Bath tubs esspool
rain
ie
d
i
T
k
S
Lavatory ept
c
an
f
S
Shower tner
o
W
l I
Kitchen Sink e
Urinal/Bidet O
h
Laundry Tray t
er
Floor Drains
Drinking Ftn.
S
lop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Si9ned :
tor
RouqF? F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EA(3AN 454$100
Permit No.
Fee
S/C
Tot.
'i
7 -;
Reaipt MECHANICAL PERMIT Pennk No. ". ,
CITY OF lAGAf11 ' Fw
? Fil/ !n numbered spaces S/C ?-
Type ar Print legJb/y Ta.
1. Date 2.InstallationCo:t_. ' -t?-•?
3. Job Add?ess Lot , ?Blk." Tract
4. Ownar ?•-.-- :??.,? ?=-? -
5. Contractor Phorie -
6. Addreu
7. City Stete Zip
8. Building Type: Residential `O Commercial ? Institutional ?
9. Work Description: New EJ Add 13 Alter ? Repair ?
10. Dascribe Fuet Type -
11,
No. Epuioment BTU - M. Ea.
Forced Air - No. Equiament CFM
Air Handlin
:
AAfy. g
Boilsrs
Mfg. Mech. Exhaust
?
Unit Heater
Mfy.
Air Cond. Other
Mfg,
Gas, Pipiny Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ` ?- -' • ' for
Rouyh ? . . r? F inal
Inspectiona: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Rmaipt
;
PLUMBING PERMIT
CITY OF EAGAN
Pill in numbered spaces
Type or Print /egib/y
Parmit No.
FN
S/C
Tot 1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
8. Address
7. City State Zip
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New [I Add 11 Alter ? Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
l
C
D
i
fi
l
Bath tubs esspoo
/
e
ra
n
d
Septic Tank
Lavatory f
S
Shower o
tner
W
ll
Kitchen Sink e
Urinal/Bidet h
O
Laundry Tray er
t
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codas governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Uate Insp.
This is your permit when numbered and approved.
Approved C1TY OF EAGAN 454.8100
CITY OF EAGAN ? PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ,
.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ? "r :
, ... . , ?.
1 I!•?M?i , I Ah t t?t ? t,it t', :'Mt?
PERMIT SUBTYPE:
;-i<<l_i i ra
APPUCANT:
; ,. ; .? , •?.•?, ?. ,_.
TYPE OF WORK:
I . , 1 ; '.?
f f Nl
?
L
HFIi
Permit Holder Date Telephone M
PLUM8ING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PIBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIFEPLACE •
FIREPLACE
AIR TEST
FINAL PLBG
FINAL NTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METEF
FLUSH
MAINS
CONDUCTIVIIY
TEST
HVOROSTATIC
TEST 4m
BSMT R.I.
BSMT FINAL
DECK FTG
DECKFINAL Y/?,, //?d
'? O //?
?.? YJ
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: : O1:
„? r1 1.
I}i?+ti1?.• 1 lil ! iil 3 1oi I'i :?ND
PERMIT SUBTYPE:
,
TYPE OF WORK:
.. ., I ..1,.
F
L
?f 4D iNf;
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
i ?. } . f •{ .' ?) ,, ?., . i?
Permit Holder Date Telephone N
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVIN
TEST
HYDROSTATiC
TEST
BSMT F.I.
BSMT FINAL
DECK FTG
DECK FINAL ??0? ?
-- - - INSPECTION RECORD -s !! --
i
CITY OF EAGAN PERIVIIT TYPE: 830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i f
i?r c ?,t? ? s ; r?n ? ?, ; .• ? ?.:-c? ??e,R )
i PERMIT SUBTYPE:
, ,.TYPE OF WORK:
llffi'A1 R
nF 1W rt111 1 rnw ( s-" tt,I M,?
? tNaI
I i`MARKS: 'fPlt:t.tE41t"`? 1'•,fi *.1--t; (i t?-1 11 1S T} ; 1?1F :3
1t)71 1; (1 01 R) BAYkf1R i,:7
?
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
? SITE QDDRESS:
;
. ?
PERMlT SUBTYPE:
,
TYPE OF WORK:
INSPECTION .. . .A
?...s
PE
RECORD
PERMtT TYPE:
Permit Number:
Date Issued:
APPLICANT:
Permit No. Permit Holder Oate Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
fOOT1NGS
FOUND
FRAMING
ROOFING ?
ROUGH
PLUMBING
PLBG
AIR TEST
flOUGH
HEATING
GAS SVC
TEST I
1NSUL
GYP BOARD
FIREPLACE
RREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
PERMIT SUBTYPE:
4 Ii I: ' , i? ri rj',
F
L
TYPE OF WORK:
} 1 N I-1 1
I
Permit Holder Date Telephone #
PLUMBING
H VAC
InspeGtion Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TES7
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIDG FINAL
DOMESTIC
METER
IRRIGATI(7N
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT F4NAl
DECK FTG
DECK FINAL 17/.l?O ?_ d(
?uci
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
I 111??}(i . I fih 1. i{ I'. .'IVI?
I PERMIT SUBTYPE:
1, 1 1 1,, : .
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
? I? 1.' 1 t?:i i i ti?•l.'
TYPE OF WORK:
04 :.l 1. I 1 I 1 liN
Ni u
c I?at': >
lill 1 1(r 1 Nis
0!.
0 t.i / .•.? 4
ONE-P
INSPECTION .• . DA
F -1
L I
?
?-
?
Permft No. PermR Holder Date 7elephone M
S/W
PLUMBIIVG
HVAC
ELECTRIC
ELECTRIC
Inspectbn Date Insp. CommeMs
Footings 1
Foundation
Framing
Roofing
ROUgh Plbg.
Rough Hig.
isul.
Flreplace
I46/
Flnal Htg. ?
Orsat Test
Flnal Plbg. Pibg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
weli
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SITE ADDRESS: ? :, r
f
'r IEI'hl;j .! iqf..i. lll t t?ll i`?
PERMIT SUBTYPE:
? ?L
PERMIT TYPE:
Permit Number: 7 1,? g
? Daie Issued:
4 Pt. Or. Ki . APPLICANT:
N 11 5+.• ?.? 1 ?t ?' if l?. !:y 4. 49
TYPE OF W4RK: Fa F W
;ll .. ; ,> 111:!,, rCtFPt Ar'rM r: N T?
? ` ?
-------------------
Permit Holder Date Telephone #
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
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
1EST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
???
, GEO. SEDGWICK HTG. & AIR COND. CO. u?-]
? ? HOUSE HEATING TEST RECORD '
ADDRESS ? ? T ? _i ../?•? ' . ' CITY
OCCUPANT OWNER /'? • _? ! ' ,,'; . ? _
HEAT LOSS DATE HTG. INST.
SOLD BY L?13 Z INSTALLED BY
Electrical Work By •- 1- " Gas Line By - - -
TYPE OF HEAT GA_ FA.y-_--HW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVf-FM?1l
MAKE
Model
Serial
INPUT
CONTROLS
THERMOSTAT Heat Plug
VBlV@
Limit
Limit Setting 7 A -?
Fan Setting
Pilot Type ?-
Pilot Make ? •-?? ^ ` ? ?? ?' `^?
Pilot Model
Pilot Timing t-
L.W. Cut Off
,
Pressure Percent C02
Input CFH Percent 02
Stack Temp. Percent CO
MAKE OF BURNER
Max. BTU Rating -
MAKE OF FURNACE
Model
Vent Size
KIND OF LINER "*SIZE NONE
Draft Hood Regulator
Filters Size Number
Chimney Location Inside - - Outside
Chimney Construction '
.3
`?, " 1 '
Smoke Bomb Wiring %<
Draft Test Tag L?
Door Pressure Lighting Inst. -'
Date Tested "-
Company Testing
Name of Tester
Form 235
GEO. SEDGWICK HTG. & AIR COND. CO. '2a <?U 3 T
HOUSE HEATING TEST RECORD _
4DDRE55 'f • i- :. ,,.: ; ? ;,. - CITY
OCCUPANT OWNER ' -? ? - HEAT LOSS DATE HTG. INST.
SOLD BY Lip o 2 INSTALLED BY.i - " --
Electrical Work By Gas Line By _ ' -
TYPE OF HEAT GA_ FAHW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAK E -(= ;
Model?/;,. . ? i
Serial :L. ? . ..?
INPUT -
CONTROLS
THERMpSTAT - --?Heat Plug
Valve
Limit- ? ?- •. : -? ?
Limit 5etting z -? ?
Fan Setting - ? -
Pilot Type
Pilot 11Aake
Pilot Model Pilot Timing L.W. Cut Off -
Pressure Percent C02 6
Input CFH Percent 02 _4C?
Stack Temp. Percent CO
MAKE OF BURNER
Max. B7U Rating -
MAKE OF FURNACE
;
Vent Size
KIND OF LINER _
Draft Hood
Filters Size _
Chimney Location
Chimney Construction
NONE
Inside -r Outside
Smoke Bomb Wiring '
Draft Test Tag
Door Pressure Lighting Inst. -r?
G -
Company Testing `- ' = ?-?L i- 'c ?
Name of Tester `- 1?? k.` y-
GEO. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD
? ?' f-
ADDRESS ?:? . U..?` CITY
OCCUPANT OWNER
HEAT LOSS DATE HTC7. INST._
SOLD BY
Electrical Work By
TYPE OF HEAT
? L S 13 Z INSTALLED BY
Gas Line By
GA_ FA.? HW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVEBSrO1
MAK E
Model r-- - -
Serial
INPUT
CONTROLS
THERMOSTAT Heat Plug
Valve
Limit - •, , 1 r
Limit Setting
Fan Setting
Pilot Type (-
Pilot Make ' ? • _ ' ? ? `=
Pilot Model
Pilot Timing ti.-' rl L.W. Cut Off
Pressure Percent COZ
Input CFH Percent OZ ?._.
Stack Temp. ? ? Percent CO
MAKE OF BURNER _
Model
Max. BTU Rating -
MAKE OF FURNACE
Model
-- . , ?
Vent Size
KIND OF LINER V P E NONE
Draft Hood - ' -- > •-; j- Regulator
Filters Size Number
Chimney Location Inside Outside
Chimney Construction t .• s ?
Smoke Bomb Wiring ?-
Oraft Test Tag
Door Pressure Lighting Inst.
Date Tested - - _ ? - '?
Company Testing
Name of Tester
Form 235
GEO. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD
ADDRESS CITY r ?
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY Z INSTALLED BY
Electrical Work By Gas Line By - " - ?- ? ?
TYPE OF HEAT FA= HW
GA STEAM SPACE HTR. UNIT HTR. QTI
_
_
GAS DESIGN C??dV?R
MAKE
Model
Serial ? - -
INPUT ?. 7
MAKE OF BURNER
Max. BTU Rating -
MAKE OF FURNACE
CONTROLS
THERMOSTAT Heat Plug
Valve -• ,
Limit J
Limit Setting _ ? -
Fan Setting
Pilot Type
Pilot Make
Pilot Model
Pi{ot Timing
L.W. Cut Off
Pressure Percent COZ ?
Input CFH Percent 02
Stack Temp. Percent CO "
Vent Size ?
KIND OF LINER SIZE NONE
Draft Hood Regulator
Filters Size Number
Chimney Location Inside ' Outside
Chimney Construction '
Smoke Bomb
Draft
Wiring
Test Tag "
Door Pressure Lighting Inst.
Date Tested
Company Testing - "
Name of Tester -
CITY OF EAGAN d, Remarks I5?? D?D O?-
Addition ,A i ght li'tiOn Lot ??- aik 3?-- Parcel #Lp '
owner L ?;r ? r-?'??.iJ? -?f street 1569 Baylor Court state Ea_gan. hQV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
1981 .8 A022 2 5-5-83
STREET RESTOR.
GRADING
SAN SEW TRUNK 19,25
*SEWER LATERAL ? 1981 37,61. ' 7.52 $ 1.0 A0121 2 5-5-a3
WATERMA I N
*WATER LATERAL 1981
WATER AREA 's 4.61 A0121T2 5-5-83
STORM SEW TRK 249.91 A012112 5-5-83
*STORM SEW LAT 19$2
CURB & GUTTEF
SIDEWALK
STREET LIGHT
WATER CONN. SOO. 00
BUILDING PER. 361
SAC
PARK
CITY OF EAGAN
Addition Thomas LakfReights Addition Lt eik ?j A= Percei #10 ?
Owner 12L(? ?t I Lt=-)A ` Street 1569 B Bayi'LoY' Coux't' State Eagan, hIIV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, 1u.8 A012172 --83
STREET RESTOR.
GRADING
SAN SEW TRUNK /9'
*SEWER LATERAL 'S,'Z, 1981 _ 37.61 . S2 1.0 A0121 2 3
WATERMAIN
*NIATER LATERAL 1981
WATER AREA .61 AM21 2 5-5-83
.
STDRM SEW TRK $ 9 249.91 A012172 5-5-83
'kSTORM SEW LAT 1981
CURB & GUTTER
51DEYVAIK
STREET LIGHT
Road Unit 280.00 52504 85
WATER CONN, 500.00
BUILDING PER. 10360
SAC
PARK
CITY OF EAGAN Remarks ?!??--?--?
Addition Thomas Lak a eights Addition Lot ?- -3 sik #? Parcel #10
Owner t 'J ?- .' ;- J.?, -- ; Street 1571 Baylor Court State Eagan, MIlV 55122
Improvement Date Amount Annual Years Payment Receipt Date
S7REETSURF. ? 111.8 A0121 2 - -S
S7REET RESTOR.
GRADING
SAN SEW TRUNK
*SLWERLATERAL A 1981 O A01212 - -S
WATERMAIN
*WATER LATERAL 1981
WATER AREA ?j 1981 13651 7730 5 4.61 A0121 2 - -8
STORM SEW TRK 249.91 k01212 - 8
*S70RM SEW LAT 1981
CURB & GUTTER
51DEWALlC
STREET LIGHT
$280.00 52504 6 85
WATER CONN. 500.00
BUILOfIVG PER. 10362
SAC
PAR K
CITY OF EAGAN
Additipn Tho14c
Qwner n F i' ?
tddition ?ot 10 1? Rik It 04- Percei #10 79%0-660-0
street 1571 B BayloT Court State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, g ul . S A0121 2 --8
STREET RESTOR.
GRADING
SAN SEW TRUNK r
*SEWER LATERAL 37" b 7
?2 1.0 A0121 Z --B
.
_
WATERMAIN
*WATER LATERAL
WATER AREA ?'Sf 4.61 AO 2112 5-5-83
STORM SEW TRK ' 249.91 A0121 2 5-5-83
,tSTORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. „
BUILOING PER. 16363
SAC 525.00
PARK
This repuesl void ??9
18 months from
0:-063900
Reques[ Date
^? Fire No. Rouph-in InsUection
RequireA?
?Reatly Now G1YJI11 Notify InsPec-
'"+3=3-1985 ?v.s asv?, ?"?or When Reatly
? Licensed Elecvical ConVnctor I hereby reQUast ins0ection uf above
? Owner elactrical work ins<alletl at
Street Atldress, Box or Rouie No. Ciry
1569 Baylor Court Eagan
ecbon o. Township Nama or No. Range Nn. County
Dakota
Occupan[ (PqINT) Phone No.
New Horizons
Power Supplier Address
Eler.vical Convactor(COmpany Name) Convactor's License No.
O.B. Thompson Electric Co., Inc. A40602
Mailinq Address (COntracmr or Owner Makine Instaila[ion)
12201 Mtka,Blvd., Mtka 55343
at N
AuNorized Sfe;Wtuie (Contractor/Owner m k nB Ins Phone Number
F1 933-2521
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION HEQUEST WIIL NOT
Griggs-Midwev BId9• - Room N-191 BE ACCEPTED 6V THE STATE BOAXD
UNLESS PFOPEH INSPECTION FEE IS
1821 University Ave., St. Peul. MN 55704
Phone (812) 297-2111 ENCLOSED.
/9-3 REQUEST FOR ELECTRICAL INSPECTION ee-ooooi_oa
' See instruclioqs tor compleling lhis form on back of Vallow coOK 0
?//'% /
Riy nn ""X'" Be/ow Work Covered by This Request ? S
of euilein9
ce
lo
I I I I Industrial BIAa. I I Air Conditioner 1 IBLJIk Milk Tank I
ite
M - Fee ServiceEnnanceSize u Fee Faeders/Subfaeders
#
F.? Circults
0 to 2Q0 qm s 0 to 30 qm s 0 to 30 Am s
Abve 200 qmps
J
37 to 100 Amps
L 31 to 100 Am s
ool Above 100_Amp Above 700_?+mps
Transformers Irrgation Boorcis 0 Partial.'Other Fee
Signs Special Inspection ??-
Remarks Final InsPectio 510.50 TOTACF¢EDAG )
j (
Rough.in ' Drite ?
I, the IecVicel
Insoectoi, hereby
certif
thnt tA
b
Final
1e' y
- y
e n
ove
inspection has been
mada.
Thle repueet void 18 monihs Irom
; m4 e o,d
?????OG 453YG9
? Lk- Yx 6 0
Bequest Data Pire No. MupQ-in I?u^uer.tion
7^ ?,?? ReQU? T QqeaAY Now ili Noti(y.lnspec -
as ? N. m, wneo xeaav
[U.'Cicensed Elecirical Contractor I hereby request inspection ot abova
? Owner elaclnral ww4 imtalled at
Streec Address, e
!S(o or Raute No.
U
Co 7,kr City
?cr
ecuon o. Township ame or No. Moge No. C. W ?
Oc?upnnt (PRINT) ?I ?Yl , Phon Na+.
ab- 39do
Power Supplier
Pak-s
E ?ec Ad s
r' ?m
rt
Elec[rical Cmhac[or (C ny Name .?, ? Co?ncrac ?. ?}.ise No.
t3
Mailing Atl ress
15?? onir c[or or wner Mak ng IerstailaGon)
I U ?
A oriz ig ture (Canlrac[ dOwper big king Ireralla[ion)
a Phana
?r
yS3p?
` `
7
MINtJESpTA STATE BOARO OF ElECT111CiTY THIS INSPECTIpp pERU T NIILL NOT eyL Gripgs-Mid'way Bldg. - Room N•191 BE ACCEP7EU 9Y THE STATE BppRp
UMLE$S PpppEq INSPECTION FEE IS
1827 University Ave., SL Paul, MN 55100
Phone 16121 2972111 ENCL0.5ED_
REQUEST FOR ELECTRICAL INSPECTION
? Sea i?struetions for co?l £?"is form on bnck ot yellor swpy_ ???
? 3 6 Ej 6,(? X"" Below ??bbrk Covered by This Request
NeudAdal Peo.l Tvue of 9uilAina 0 AooliancesNired I Eauiament pired ?
ElecViC
Farm
C Foe ServiceEntrenceSize p Fee Feeders/Subfeetlers N Fee Circaits
2. 0 10 0 to 200 Amps 0 m 30 A 30. 0 0 to 30 An.
Above 200 Amps 31 to 100 Anps 37 to 100 A
Swirtvning Pool
l
t? Above 100-Amps Above 100-Amilx;
Transiortners Ivigation Bowr? Partial,'Other Fee
$igns Special Inspection Syaso
Pe?rmrks TOTI.`VFEE
??A-00
floueh-in ( I.t?e ?cal
I"g ? I?peclor. herebr
mrti1Y ?l tM abov0
Fi?al ( Oa1e
? impectim lus been
Titlo lequeat vatl 18 montlo fmm
This re0uestvoid C,/
7 rronNis trom f?j ?
3 ? / /? _I /f )
Q b6?3 9 1
Request Daie Fire No. RouNh-in Insvection
Reqwred? ?
ReadY NowE3[VJill Nntity
Inspec-
9-3-1985 ?ves M44o .
Ior When Ready
Ea( icensed Eiectrical ConlrACtor I hgreby request inspection oi above
? Ownrr elecvical work instelled a<:
Stree[ Address, Boz or Route No. City
1569 B. Baylor Court Eagan
eEVOn o. Town5hi0 Name or No. ange No. County
Dakota
Occupant (PHINT) Phone No.
New Horizons
Power Supplier AAdress
Elecirical Convactor (ComDany Name) Con« ac?or's l.icense No.
O.B. Thom son Electric C A40602
Mailing Address (COnvactor or Ownar Mekinp Instailation)
Au[horized Signature IContractor?Owner Makiny Installat?bn)
` Phon¢ Number
,
, • .
. (.?
; ??
?L
-
?' 533-2521
?
_
e
,r,,?
.
,
MINNESOTA STqTE BOAND OF ELECTHICITY Y? THIS INSPECTION FEQUEST WILL NOT
Griggs-Midway Bidg. - Aoom N-181 BE ACCEPTEO BV THE STATE BOAHD
1821 UnivarsitY A?e.. 51. Paul, MN 55104 . UNLESS PPOPEH INSPECTION FEE IS
Phona 0121 297-2111 ENCLOSED.
R QUEST fOR ELECTRICAL INSPECTION ea-ooooi-oa
• ? 55t ae instructiens tor completing this form on baek of yellow coOY. /?/?
n /af
? I I h ? q1 "X" Below Work Cavered by This Request ?i
Nw4 Adtl Reo. TYOa of ewitling APCliances Wired EquiVment Wired
Home Range Temporary Service
Duplex Water Heater Ligh[iny Fiztures
Apt. Building Dryer ElectriC Heatin
Commercial Bldg. Fumace Siiu Unluader
Industrial Bldg. Air Conditioner Buik Milk Tenk
Farm otnar .pecifv Otherlsoeciiy)
ther $Vecify Ot er Other
ompute lnspection fee Below
p Fee ServiceEnVanceStze 4 Fee Feaders/Subfeeders C Fee Circuil
s
0 to 200 qm 5
0 to 30 Am ps
0 to 30 Am
s
Above 200 qmps 31 to 700 qmps 31 to 100 Am M
Swimming Pool Above 100_Am s Above 100_Amps
Transiormers Irrigation Booms 50 Pdrtial.'Other Fee
Signs Special Inspection $10
50 TOT
?
flemarks . AL FE
/
?- /
NouOh-in Date I. the eMcal
Inspec?oq heraby
c rtity thet the above
Final le inspectipn hes bean
?N'?'? ?ea.
TMS reauest voiU 10 montha from
/
is .eauest roia C3/ /0
monins (rom ? T 1
Z? ? 1 R
?
7 Requi ? ?Ready Nuw Q?Nntify Inspec-
-'S ?No tm When ReatlY
icensed EI¢cVical Convaclot I hgreby requesf inspection of ebove
?Ownvr eleGrical work installed aP
Street AtlAress Box r Noute No.
56
c
g
-
fi Ciry
Fc
cv
. 1
1
l
i 0- r t
vt
ctmn o. 7ownshi0 N me or No. RTnBe No. C nty +z
Occupan[IPB T?
nzon
AlAw
meS Phune No.
-39?0
Power S?u?pplf"er
K-O ?T rl G Adtlr s ?
n"Y1,1
Elecfn I Contractor ICo an Namel
(
? oNracmr's I.icense No.
s
rl
, r e s c? 1 -
lAailinp Addr? (C ntractor or Owner Mak
tsla
&
L inH Insl ilation)
>
6
1p10
3 a
- ro
rj o
ni ss
7r ized Sie?a[ure (COntract r/Owner
e aking Instulla on) "
P onn Number
-
y
7
YINNESOTA STqTE BOARD OF EIECTRICITY d` THIS INSPECTION flEQUEST WILL NOT
Grigps?lidway Bidg. - Room N-191 BE ACCEPTED BY TNE STq'fE BpppD
1821 Universiry Ave.. St Paul, MN 55104 UNLE55 PNOPEN INSPECTION FEE IS W..... /fi121 29]2111 ENGLOSED.
5 REQUEST FUR ELECTRICAL INSPECTION ea-oouoi-w
, See instructio-s for completin9 lhie form on back ot Yallow copV• "X" Below Work Cavered by This Request v`?
I
Rdtl Rsp. TYDe of Buildine Pg?e MimA Eqoipmant Wired
Home Ranye Temporary Service
Duplex H'ater Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Convnercial Bld,y. Furnace Silu UnloaJer
industrial Bldg. Air Conditioner Bulk Milk Tank
Farm O?ner nca y cnrr 15rrtv)
ther Svecily Otncn ptnu,
Compute /nspec[ion fee Below
• Fae ServiceEn[ranceSiza tt Fee Feeders/Subfeetlnrs H Fe¢ Circuits
0 to 200 Am s 0 to 30 Am s /Z POiOl 0 to 30 Am>s
Above z00 Ampsj 37 to 100 Amps 31 to 100 Alps
Swimming Pool Above 100-Am s Above 100_Amps
Transformers Irrigation Booms Partial.bther Pee
I I I.Signs ' I ISpecial Inspection JS rnTOTqYFEE 1
Nenurks . ? ? . !'7 4 1
1. thn Elcc? I I
? -jj(p Inspecbr, i?ereby
cer?ity thaf tha above
I I Fim? ins0ection has been
miae.
lYienue#
Th,= eo?? yo,d 53Y6
? ?/l?lbr
,e ?. .ns,r o
? g
B? L L( 0 z?
Rvquest Ua[e ? Fira No.
/-? J r? ? flough-in nslection
Requir
?Heady Now
IDI ill Notify_ InsPec-
Wh
n
/ O
es No or
en Ready
1.icensed ElecVical Conhflc[ot 1 Aaraby requesl insDOOtion of above
? Owner electrical work installed at
5[rerec Atldress, x or flou1te No.
(
I
? Cit
a
J9
1 D1 q
ecLOn o. Townshi Name ar No. Han9e No. C nty
Oc upant IPR/I
NT
- Phune No. ^T
?
1
/
r Su plier s '
Add?
,rmrn
cc
Ele riwl Cm[racror IrOm ny N mel Contractor' License No.
`
? -S
Mailin0 Addr s(CO trdctor ar Owner Making Instail ionl
ISlal ?r?? ?, ?YU 553a7
Au rized Sgnature ICOnhactor/Owne Makin Instellati I Phone Numbe?
MINNESOTA STATE BOARD OF EIECTRICITY THIS INSPECTION REQUEST WILL NOT
- R.O. N4S1 BE ACCEPTED BY THE STATE BOARD
GriWS-YiOweY Bldg. UNLESS PROPEN INSPECTION FEE IS
1827 University Ave., SL Peul, MN 55709
Phnre 18121 29]2171 ENCLOSED. " '
.1%// Q REQUEST FOR ELECTRICAL INSPECTION Eg-o°°°'-°a
57
1?? r ? Seo instruccims tor completirre this larm on back of lllle?
vellow coov. /(?
636666 "X" Below Work overed by This Request ??/O
0
ada Rev. Troe nf euilaing Aooliames rlhea Eauipment Wired
Home TPange Temporary Service
Duplex Water Heater Li,yh[iny Fixtures -
Apt 6uilAing Dryer Electnc Heatin
Cortmercial Bidy. Fumace Silo Unbader
Industrial Bldg. Afr Conditioner Bulk Milk Tank
Parm Othe:i oeci v Otner (sueclry)
? . uc6fy O[ er Other
Comnute lnsnection Fee Below
N Pee ServiceEntre.ceSize p Fee Feed9rs/5ubfaeders N Fev Circuits
tio 0to200Am s 0to30Am s 6 0to30Am s
Above 200 qmps 31 fa 100 Amps 37 to 100 Amps
Swimming Pool A6ove 700_Amps Above 100-A -
Transtorme.rs Irrigation Booins PattiaL'Other Fee
Sigis Special Inspec±ion
icemarks S??O TOTAL FE?`?
! ?Y
Noueh-in 1. Me ElecGical
Inspectoq hereby
Final ertity ihBi the dboVe
insVec::onAOSbeen
[ J' mode.
tMa mqumt vold 18 monllm Irom
This request void
1?8 months from 9 3 L?
Repuest Date Fire No. Rough-in Inspeciion
?ReaAVNOw?
ec-
,
l
'
9-3-1985 N.
to
r
When
fteady
UlicenseA Elacvical Contractor I hereby requast inspeclion oi above
? CJE7her electrical work installed at
SVeet AAdress, Bax or Route No. . Citv
1571 Saylor Court Eagan
ecUon o. Township Name or No. Range No. County
Dakota
Occupam (PNINT) Phonc No.
New Horizo s
Power Supulier .4Adress
Elecvical ConIIactor ICompanV Name) CoMractor's Licrnse No.
O.B. Tkompson Electric Co. A40602
Mailing Address (Convactor or Owner Making Instailation)
12201 Mtka Blvd.
Mtka 55343
,
Authorized Sienature (COnVactor Owner Making•Insta1)3ciim) Phon
N
e
ym
her,
? Q
[
{
ry
py
?? THIS INSPECTION REQUEST WLLI. NOT
MINNESOTA STATE BOA0.D OF ELECTNICITY
Griggs-Midwey Bldg. - Roam N•191 BE ACCEPTED BY THE STATE BpqRD
UNLESS PqOPER INSPECTION FEE IS
1821 UniversitV Ave., St Paul. MN 55109
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi:oa
? r 3? Sea instructiong for campleting this Torm on back oi yeliow copy. /]??/? `?
? q "X"" Below Work Covered by 7iris Request ,' ?
New4 Addl Rep. TYOe oT Buildin9 AOPliancea Wired EquiumeM Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. BuilAing Dryer Elecvic Heatin
Commercial Bldg. Fumace Silo Unloeder
InAustrial BIAg. Air Conditioner Bulk Milk Tank
Farm - Other peci y 011,erl5pecifvl
t er Sueci y Oi er Othir
ompute lnspection Fee Below
•# Fee Service EMrencaSize fl Fee Fnxtlers/5ubfeednrs U F.. CircuitE
U to 200 Am s 0 to 30 Am s to 30 Am. s
Above 200 Amps 31 to 100 qinps 31 to 700 Am s
Swinvning Pool Above l0U_Amp P A6ove 100_Amps
Transiormers Irrigation Booms Partial'Other Fee
SUeciallnspection
TOTA
E
pe?+virks Final inspectio L FE
,Op ?
Rou9h-in
inal D:ne
??e
??(y 1
I, ihe Eiectryi ?7
Inspector?t?ier¢by
cartify Ihet the abave
nspec<ion has been
mada.
(his requeal valG 18 months irom
iz request void ?
78 iiwnths from
B1063857 ? L V ?
Requ -' Date
' Fire No. Houeh-in Insoe ction
Requ?red?
?Npatly Now?1'ill Notify Inspec-
8-28-].98rj X91 Yes ?Nn wr When Ready
yyo-rcensed ElecVical ConVactor I hereby requeslinspection ot ahove
? Owner eleclrical work instelled at
Street Address, Box or Route No. . Cny
1571 B. Baylor Court Eagan
ecuon o. Townshi0 N2me or No. ange No. Couury
Dakota
Occu ent (PRINT) Phane No.
Pfew Horizons
Pawer SuOOlier Atldress
Elecvical ConVacmr ICompany Name) Cnnnactor"s Liconse No.
O.S. Thompson Electric Co. A40602
MailinA Address (CoMractor or Owner Makinp Instailationl
12201 Mtka Blvd., Mt]ca 55343
Au[horized Signawre (Contractor Owner Makin9 Installation) Phone Numher
i i
?j
y THIS INSPECIION qEaUEST WILL NOT
MINNESOTA STqTE BOAND OF ELECTqICITY Griggs•MiOwaV Bldg. - Aoom N-791 BE ACCEPTED BY THE STATE BOAND
iB21 Universitv Ava., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phane (812) 297-2111 . ENCLOSED.
REQUEST FDR ELECTRICAL INSPECTION ea-ouooi-oa/
'r ?See instructia? for completing this form on back of yellow co0v
/ "X" Relow Work Covered by This Request . ??
Nev,lAAtll flep.1 ryua oi euimine I noonancas wirae I Equipment Wiretl I
Wa2er Heater
Milk
k viceEn4enceSize fl Fea Fantlers/5ubfeetlers N Fnn Circults
o 200 qm s 0 to 30 Am 0 to 30
Am )s
a Above
200 Amps f
31 to 100 A
31 to 100 q s
imng Pol Above 100mps Above 100_AmFn
nsiormers Irrigation 8oorc?s Pertial.'Other Fee
ri
k Signs Special Inspection
5 10$0
TOTAL,FEE?`
emar
s
Final Inspection ,Orj ?
BouBh-in Date
I, ?h Electrlca??
Inspector, ereby
Final
D'?//?e 1sL
?
? ertify that the abova
inspection has bean
R %
( mede.
18
This requesl void
? ? ?? ? 5 f U? ,?j ( 1 4 5
18 months from C
A n79G93 •- ` ?-? ?1?3 1),,'wc i,(F -0 -b, , o ?
Dal
Aequest FirNO.
e Roueh-nlnsu^;on
Required? KReady Now Q Will Nolity Inspeo-
o/?J/?
S
?yes tR,? - ---
tor Whan Reatly
01icensed Elecfrical ConVmc[or 1 hereby request inapection ot ebove
5a Owoer electrical work installed at
Street Address, Box or Nou[e No.
J / / . CitY
d")
ecUOn o. Townshi0 Name or No. neu No.
ro" Counnty
X R!J
Occuuan[(PRINT)
m Phone N`o.
Power Supp ? / / -?-- .
G Atldress
Elec[rical Canlrector ICOmDanY Namel Contractor's License No.
Mailinp AdJress (COn[ractor or Owner Making 1mlailation)
Authoriz Si e(C rac wner Makin9 tnsullatianl Phone Number
MINNESOT ? THIS INSPECTION REQUEST WILL NOT
STATE BOAND OF EIECTIIICITY
Griggs-Midway Blde• - Roam N-197 BE ACCEPTEO BV THE STpTE 80AND
7821 University Ave., St. Paul, MN 65704 UNLESS PNOPEfl INSPECTION FEE IS
PM- fe121 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001+04
j
D s1 ?! ' See -instructio?ns br com ' ihis furm on beck oI vellow copy. A 079693 "X" Be/ow Work Covered by This Request (L4,31 i g5/
?Fd-?o. Tvoa ol Builtlina Appliances Wired Eqaioment WireA
I 1 I I Industrial Blda. 1 1 1 Air Corxlitioner 1 I Bulk Milk Tnnk I
p Fee ServicaEnhenceSize p Fee Feeders/5ubteetlers p Fee Circuits
0 to 200 Am s 0 to 30 Am s 0[0 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 Am
Swiimning Pool Above Anipsi Above 100_Amps
Transtormers Irrigation Booms Partial'Other Fee
Signs Special Inspection _5-?i TOTALFEE--?/
emerks /
? i n n - GV
Inspector, hereby
cyCfly that [he above
nsoaction nes eaen
T?? aq.e w;d ?j3?f 41
?n?s6 ? ? l. L/ S z.
71I o18S
,C.?c- "" -t. C4 a d C)
Request Oa[e
c ? ?
? Fire No. ftouph-in Inspeclion
?W r ?
?No
?Neady Now, EtV i11 Notity.lnsveo-
eur When Heady
censed ElecUiwl Cwvacmr 1 herebY reauest insoection oF above
R?wne
r elac[ncal wmk iratallotl at:
51reef Address, Boz Rwte No . CitY
? ?
C
' E-K
ecLOn o. Township Narife or No. I No.
-w County
a{ 1 y??
?O 1 C/'-"
ccupam I?INT? Phone No_
ryles
Power Supplier . Aad ss rrm
ny N
MC ICOrnpa
mel
Con:rar,tor'slicense No.
.
Mailine Address Co tractor or Owner Maki? InsW ilation)
J?
s? a
(c
?
a
6
ss 3?7
-
c,
. o
y,
Au orized Signaiure IC/o?ntrecto Ow/ner king Iretall tionl
,
`'
i7 q+oce NreM
v'etl{+
? .
?
. /
/(.
i
V
l
MINNESOTA STATE BOAflD OF EIECIRICITY r?l TNIS INSPECTION REQUEST NILI NOT
Grigps-Mitlwey Bltlg. - Room NA91 BE ACCEPiED BY iT1E STAiE BOARD
1821 UniveraitY Ave., St Paul, MN 557OC UNLESS PppPEp INSPECTION FEE IS
- .- 197-2111 ENCLOSEO.
?36 6 7
REQUEST FOR ELECTRICAL INSPECTIOM EB-00001-04
, See irtstructions fw eorri,leting this fam m beck of vellow coyy.
X' , ?Below Work Covered by This Request
ni 9uildil? na I Aoolianees NirW EvuiPaweol WireA
ic
Farm
p Fee ServiceEn[mncaSize U Fee Foedars/Svbleeders # Fee Gircuits
/,}, Q(:, U to 200 Amps 0 to 30 A 70. •%e? 0 to 30 Am s
Above 200 qmps 31 to 700 Amps 37 to 100 Amp,
Swimming Pool Above 100_Amps Above 100_Am -
Transiormers Irrigation Boon?, Partial'Oth?Fee
Signs 5pecfalinspection S ? \
qa_5 TOTALIF
? ????
Re?rerks
r
ROVph-in ? Date 1, the Efectrical
I ??? insvector, herebv
nify that tha above
Final ? ?pection has been
i140 ?de.
Tpy reareet voiU 1Bmonti¢ M1um
?3?
5s =
N
Repuest Dete Fire No. Rough-In Inpsection Repu
I ,, (Vou mW wll inspeclor hen reatly)
' Inspection Other T an RougRln
? qeatly Now Will NoIiTy InsOedor
Ves NO 4? Date Reetly
I IrY licensed contractor p owner hereby request inspection of above electrical work at:
r?
Jo0 AdOress (Sireet. 6ax or Route No-I
# City
E
B
1 I f3a o? o c G.h
Section No. Townshi Name or No. Range No. Counry
Occupanl(PRINT) Phone No,
Power Supplier AOOress
Elechiwl Conirector(COm1pany Name? /
? ConVactor's Gcense No
.
O\I L
YI Y? l?. /
?
V
Mailing AOdress lCo Vactor or Ownar Making InstallaLOn)
s? ??e- ?_??- ?clu1 fuN 5?10
Inst ation?
Aulnorizec 5'iqnalure IConVactorlOwner Makin?
d
?
Pnone Numbe?
g
22y-
,m
Q?
-Q'\ z
33
MINNESOTA $TATE BOAPD OF EIECTHICIT? . O? ?QS e THIS INSPECTION REOUEST WILL NOT
Gdggs-Midway Bldg. - floom S473 U \4L BE AGCEFTEO 6V THE $TATE BOAFD
1821 Unlvemfly Ave.. 31. Paul. MN 55104 /? ? UNlE55 PROPER INSPEGTION FEE IS
Phone (812) 66E-D800 ? q f?-? ENCLOSED.
4/3/? ;EOUEST ? FO r R EP E CTRI ? CAL ? INSPEOTION ?{ ?? oyaoo?
M ? 4 C
o'y x" eeiow worK coverea oy i nis nequesr
ew Add Rep TypeofBUiltling AppliancesWired EquipmanlWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Managament
Comm./lndustrial Furnace Other (Specify)
Farm Air Conditioner
Otner(specify) ConLacbr's Femarks:
Compute Inspection Fee Below: ,` 1re' ? l?f re-.p la c e
#. Other Fee # ServicaEntranceSize Fee # GircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps bove 1001 _ Amps
• SignS Insvecror4 Use Oniy: ' TOTAL
IrrigationBOOms
Speciallnspection
Alarm/Communication THIS INSTAILATION MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oa?e
certi that ihe aboVe ins ection has
? P
been made.
Final
-?
OFFICE USE ONLV
This request voitl 18 monms fmm
2006 RESIDENTIAL PLUMBING PEf2M17APPLICATiON
CITY OF EAGAN
3830 PILOT 3CNOB ROAD, EAGAN MN 55122
659-675-5675
Please complete for modifications to existing residential dweilings.
?5.60
?
Date
?_ i
._
Site Street Address Unit #
i Property Owner Telephone t! ??- -
ContraCtor Telephone
ZipS??"337
State?
?
?
it
?
,
y f
nnL?
a?
iiJa.O Kf
Addres?1?
The Applicant is: _ Owner ? CoMrector _Other
New _ Refurbished Submii 2 sets of plans and MPC license
Septic System includes County fee
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
t Add plumbing fixtures. This fee includes installation of a water sofiener and/or water
heater at the same time. If you are installing onl a wafer softener and/or water
heater, do not complete this secYion; move to ihe next section and--check:-the-
appliance(s) you are instailing.
_Septic System Abandonment
Water Turnaround (add $130.00 if a 518" meter is required)
Othec
- ?. ---
?'
Heater
t
X W $ 15.00
a
er
Water Softener
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
$ 50
State Surcharge
s 1.5-"60
? Total
I hereby apply for a Residential Plumbing t'ermrt ana acKnowieoge cnai ine ?muilllauvi,
work wili 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 permii, work is not to start without a permit and work will be in
accord ce with the appr ed plan in the event a pian is required t e reviewed and a proved.
?
ApplicanYs Printed Name Ap ic nt's Signature
RESIDENTIAL
? BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 45722
651-681-4675
New ConeVUCtbn ReauframeMa
• 3 regislered sRe surveys sfqwing sq. fl. of lol, sq. ft. of house; and all roo(eQ areas(20°6 maximum lot coverage allowed)
• 2 copies ot plan shovring heam & wiMow saes; paured found design, etc.) • 1 sef of Energy Calculations ?• 3 copies of Tree Preservatbn Plan 'rf lot datted after 7/1193
• Rim Jaist Delail Options selecfion sheet (bldgs with 3 w less units)
DATE 1 ?-
SITE ADDRESS
TYPE OF WORK
? E:? ?
APPLICANT
STREET ADDRE55 \-k3 b G_?"
TELEPHONE # G I'Z 4'&1 - CELL PHONE #
4a4?
*0-- STATE ?"nZIP S Sy 1e7
FAX# Wa- Vol-- 6a0
PROPERTYOWNER ??`?l: ??y ?C1W1\"S TELEPHONE# 71D3 - LfaS`W3?
--------------------------- ---------------------- ------------------ --------- -------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RUI.ES 7670 CATEGORY 1 MINNESOTA RULES 7678
(J submission type) • Residentlal Ventiladon Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor:
P(umbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
-° ° ° °--°------------------ °° °---------------------°--°----------°--^ --------------°--°------------°-------•
I hereby acknowledge that I hpve read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature ot Applicant
OFFICE USE ONLY
FIREPLACE(S) _ 0 _ 1 _ 2
_ Water Softener
_ Water Heater
_ No. oF Baths
_ Phone #
I.awn Sprinkler
No. of R.I. Baths
a73
?
RamodeAReoafr Reauirememe
. 2 copias of plan
. 7 sel o( Eneegy CalCUlatbns for heated additions
• tsilesurveyforezteriaradditians8decks
. Indicate if hane served by sep6c system for atlditiords
VALUATION ) S I -7
?z \ar- Ct`
k MULTI-FAMILYBLDG _Y _N
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
uPd3wa aroa
Q (b ??? E ?l °D \ o 0
3'
3
o \ o? °. p Q?'? 1 ?
%i(w
r? 3'S t• ?? o o ?
o0 \o ?
?r? vc ? ?,1-?? ?• \? r
?
lzr
r ? -- - .
:
916,ti ,
0 Denotes Iron Monument
0 Denotes Wood Stake ? COU6
XDO0.0 Denotes Existing Elevation Proposed Top ot Foundation Elevatio ?Tr
(000.0) Denotes Proposed Elevation Proposed Garage Floor Elevatio - 931.0
4- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 93/ $
I hereby certify that this is a true and correct representation of a survey of the boundaries of:
Lots 1, 2, 3 and 4, Block 2, THO*tA5 LAKE HEIGHTS 2ND ADDITION,
.Dakota County, Minnesota.
And oi the location of all buildings, if any, thereon, and all visible encroachments, if any, irom 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 23rd day of MaY ,19 85 ,
Pau A. J 6 on
Land Surveyor, Minn. Reg. No. 10938
?"„_4O, CERTIFICATE OF SURVEY
IMMIC F•CE fior
?
McCOMBS
F-KNUTSON ASSOCIATES, INC. ??, ??,///??????? /?.1 ? ?/?? ??
IIGp[Gi ? LLFO SuIVFx01i ? Sii! tt???[RS p?iEp, ?1 ? Fg Q1AF?S
O ?1 ? ? ?Vf??V?
?L WMHE?IOLU vW HUTCXINSOH_MIMNFLOip ?/ n?T3
?
(TnWNHOUSR)
-- •? CITY OF EAGAN N° 10 3 61
+ 3630 Pilot Knob Hoad, P.O. Box 21-199, Eagan, MN 55121
PHONE:4548100 ??U J
BUILDING PERMIT R«e+vr # ?
Te M wed 1er 1 OF 4 PLEX Est. Value $58,000 DO1e SUNF. 7 , 1 q 85
SiteAddrese 1569 BAYLOR CT Ebbct Q{ Oacupaney R3
THOM LK HTS 2ND
La z Blxk 2 ?c/sub Remodel ? Zoning Pn
. Repair ? Type of Const. ?
Parcel No
.
AdAition ?
No. Stories
NF.W HORIZON YOMES INC
Name Move ?
li
D
h ? Langeh 44
Z
q?rm= P.O. BOX 1367 emo
s
l
t l
? Dapth Z ?
? n
mpc Sq.Ft.
Cicy MPLS phone 420-3900 instan ?
? Name SAMF AvMevab iees
s
A?? Asseument Permit 307. 00
?
City Phone Wo«r & Sew. Surcharge 29 • 00
Police PlenReview 153,50
Nme D_ GRTSWOLn
tW Firo SAC 525_00
i
?-, Address Erp, waferconn 500 _ 00
?W City Phone 435-7524 Vlonner WaterMeter 63 _ 00
Council RoadUnit 2RO_00
I hereby oeknowledqe fhot 1 hava read this opplimtion and aroro ehot Bidg. Off. 5/31/8S Tr. PL 1 3 2_ 0 0
tha Information Is corrccT and agree to comply with oll opplicobla
APC
dimnces.
Stote of Minnesota Srotutes oyW Ciryo
0 Parke
?
` Var. Dete Copies
Sipnaturc of Perminee a-? 5 T0ta1 $1'989. 0
A Buiidinp Pmmit Is iuued W: NEW HORIZ N HOMiS ZNC on the axpraas condiflon Ihol
dl work aholl be dom in accordanee with im a S tutes and Ciry ot Eapan Ordinancat.
Buildinp Offidal
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAH
NOTE: ALL CONTRACTORS HUST BE LICENSED WITH THE CITY OF EAGAN
Tc?wN?-tousC
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY GALCULATIONS
? o F ? PU-=X "=
To Be Used For: Qts?O[?vc? Valuation: 56-,Q9a Date: 28 TQ«g , 85
Site Address: i$(n9 -PcwI U7J Cmc& OFFICE USE ON[.Y
Lot: 2., Block 2 Sect/Sub77AomMS .c,sk?Erect X Occupaocy R-3
Remodel Zoning pp
Parcel # Repair _ Type of Const 5,Z
Enlarge # of Stories
Owner A/e-J AlygiZO? /,lnr"sx zvc- Move _ Ler.gth 6f?
Demolish Depth 27
A d d r e s s Ifox /3l07 Grade _ Sq Ft
City/Zip Code L?O?s., ?7...... rryyp •` ------ ----------- --------- -----
?
Contractor sym ? APPROVALS
Address
City/Zip Code
Phone O
Arch./Engr I:% C-,c#.vao,[j
Address
Phone S _ y3s- 7.r.2 iI
Assessments permit
Water/Sewer Surcharge
Police Plan RevieK
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off? Parks
APC Treatment P1
Variance
SOSAL
30l • °-°
.L9 o0
153.9'
525. °°
500, °=
l 32. °=
6 9- s o
(TOWNF30USE) CITYOFEAGAN No
-
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 10360
PNONE: 4548100
BUILDING PERMIT Receipt g
Te M med 1er 1 OF 4 PLEX Est. Value $58,000 pote JUNE 7 ?q 85
SiteAddreas 1569B BAYLOR CT erect 0 occuvancv R3
La 1 Bloek 2 Sec/Sub. THOM LK HTS 2ND Remodal ? toning PD
Parcel No.
W N?g NEW HORIZON HOMES INC
P.O. BOX 1367
? city MPLS phone 420-3900
? Name SAME
I
7 u
Addreu
? City Phone
GW I Ne,,,e D. GRISWOLD
Address
i3 ciev Fnone 435-7524
Repair ? Type of Const. V
Addition ? No. Storiea
Move ? Length 44
Demolish ? Depth 27
Int. Impr. ? Sq, Ft.
Inatell ?
AOOrevaH Fees
Asussment _
Water E Sew.
Police _
Firc
FO
Pnsr _
Couneit
Bldg. Off. 5/31 /S 5
APC
Var. Dete
1 herobY ockrawledgs that 1 Mve rcad this opPliwtion and srote Met
fha inlormotion is Correcf and agree fo comply with all opplicoble
Stab of Minnesota Statut!ka?C?'iry ?En n O`dinances.
C?
SiQnoturo of PermiMMa?
A Bulldiny Perm+e Is issued ro: NEW HORI ON HOMES
oll work shail be done in accordonce with oll appli Stata f Ilniw
8uildieq OfflGal
INC
pemry a JV/.VV
surcherge 29.00
Plan Review 153.50
SAC S2S_OO
WatBrConn 500.00
Water Meter F 3- 0 0
RoadUnit 28n_00
7r. Pi. 132.00
Parks
? copies
7otal $1,989.50
_ on ths expras Cadition Iha+
and City ot Eopan Ordironces.
1985 BUILDIHG PERMIT APPLICATZON - CITY OF EAGAN
NOTE: ALL CQN7RACTORS MUST BE LICENSED ilITH THE CITY OF EAGAtI
ToWN Wou-?C-
INCLUDE 2 SETS OF PLANS
, 3 CERTIFICATES OF SURVEY
: 1 SET OF ENERGY CALCULATIONS
w
aF 4 P?EX ? SSMO. -
To Be Used For; gcs,O[/ucL Valuation: Date: 28 gS
-rT
Site Address: 15c09 3`3L a?IcnJ CotJI'' OFFICE USE ONLY
oK- ?
Lot: L Block ,Z Sect/Sub77-.n..s t,ek?Erect 2? Oecupancy ?-3
Parcel p
Z? Remodel + Zoning PD
Repair
Enlarge
Owner A/etJ ic_ Move
Demolish
Address _00. 1fox /3G7 Grade
City/Zip Code -------,
?
Contractor 5Rm JF-- APPROVALS
Address
City/Zip Code
Phone IJ
Arch./Engr R ??t?swcL?
Address
Phone $ y3s 7T.2ge
_ Type of Cor.st y
_ $ of Stories
_ Length
_ Depth 2J
_ Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police Plan Revieu
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off. W Parks
APC Treatment P1
Variance
TOiAL
30l . "'
2q.m
I 5 3 so
52S•°=
SL- •o
? a
132. =
/, 9? 950
( T044NI'nSJSE )
+ CITY OF EAGAN o
10362
N
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55 121 _
PHONE: 4548100 ?aS' ?/
BU ILDING Re«ia
PERMIT
#
Te M wW fer 1 OF 4 PLEX Eat. Value $58,000 pate JUNE 7 ly 85
Sitenddress 1571 BAYLOR CT Erect IR O«upancy R3
Lot 3 2 THOM LK HTS 2ND Remodal ?
Bloek SecBub 2oning PD
Paroel No . Repalr ? Type of Conrt. V
. Addition ? No. Stor ies
W
Name NEW HORIZON HOMES INC ?'love ?
li
h ?
D Lengtn
h ¢¢
'
Z emo
e
P.O
BOX 1367 Dept Z
?
? Address .
?
Int lmpr.
Sq. Ft.
c;ty MPLS phone 420-3900
instau E3
? Neme $AME ApProvalf ien
s? Addresa Assessment Permit 3 0 7. Q?
? Clty Phone Woter 8 Sew. Surcharge 29 • 0(
153
5(
Police .
PlanReview
?w Name D. GRISWOLD Firo SAC 525.0(
?? Addras Enp, Water Conn `QQ. 0(
iW City Phane 435-7524 pfanmr WeterMetar ??0(
I hercby ockrawladpe thot I haw read this opplication ond staro tFwt
the inlormation is corrM and a9ree fo comply with oll applicoble
SMta of Minmsoto Statutes nd City ofEa?g/9p Ordinances.
Sipnoturo af PermiHee-?(-?°?^^' - =r-?
A Buildinp Permir Is issued ro: NEW HORIZON HOMEF.
oll work shalt 6e dona in accordance with all„dgplimbla St of M
Countil
BIdg.Off. fi 3 85
APC
Ver. Dett
INC
RoedllnH 28in-Q(
TcPL 132-O(
Parks
Copies
' Total $1 , 9 R A- 5(
_ an tM axperi tordifion Ihot
ard Ciry ot Eapan Ordirancet
Buildfnq Oflidol
1955 TLDTrNG PFRMTT lPVf Tf eTTAV
- CITY
NOiE: ALL CONTRACfpRS MUST BE LICEHSED IfiTH THE CITY OF EAGAN
T-ouN HouSE
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF S URVEY
: 1 SET OF ENERGY CALCULATIONS
l o F 4 Pi-ex Gg
cbo- `-
.
To Be Used For: Res,?[?vcL Valuation: ?t?U Date: 28 `{l7g4 85
Site Address: 15`II Coich.v OFFICE USE ONLY
Lot: 3 Block ,Z Sect1Sub77APmj@s 4ek?erect x Occupancy ?-3
Remodel Zoning p
Parcel U Repair _ Type of Const E:
Enlarge # of Stories
Owner ?/? Move _ Length 44
Demolish Depth _
Z1
Address PO. 14ox /3C o7 Grade Sq Ft
_
City/Zip Code -------------- -------------- -----
Contractor sAm ? APPROVALS
Address Assessments Permit 307.°O
Water/Sewer Surcharge 2q °=
City/Zip Code Police Plan Review 153.5"
Fire SAC 525,,a2
Phone 8 Engr Water Conn 500, "'
Planner Water Meter (03.=
Arch./Engr p?,??rwaL? Council Road Unit 280.
Bldg Off 3 rParks
Address pPC Treatment P1 13
Phone $
y3S- 7.T.2 ?/ Variance iOrAL
q
[ 1 `
?
? ?- S
( TOWNHOUSF ) CITY OF EAGAN No
-
3830 PiIM Kiro6 Road, P.O. Boz 27-199, Eagan, MN 55121 10363
PHONE: 4548100 ??spL
BUILDING PERMIT aeu+w #
1 OF 4 PLEX
58,000
Move ? Langth 44
Demollsh ? Depth 27
Int impr. ? Sq. Ft.
Install O
Apyrovab Feas
SiteAddrea 1571B BAYLOR CT Erect kJ occupancv R3
Lot 4 elmk 2 SeclSub. THOM LK HTS 2ND Remodel ? Zoning PD
Repair 13 Type of Const. v
Percel No.
Addftion ? No. Stories
Neme NEW HORI20N HOMES INC
Addrefs P.O. BO}{ 1367
City MPLS pnone 420-3900
? Name SAMF.
u
1
s Addreea
? City PAOne
?w I Name D. GRISWOLD
?
x? Addreae
?W City Pnone 435-7524
I hercby ockrawladga thot I haw reod this applicetion and stote that
fhe in(ormotion is CorrcR ord ogree fo comply with oll epplicable
Stota of Minnesota Stututs}'°4zid City o/f 'E?a/qqn ?Ordirancas.
Sipnoturo of PemuMes
A Buildinq Permir Is lsswd to: NEW HORIZON HOMES
dl work sholl 6e done in accordance witFyOry applimble StateAMs
Asxssment _
Water 3 Sew.
Police _
Firo
Enp.
Plonner _
Councfl _
Bldg. Off. 6/ 3/ 8 S
APC
Var. Date
Permit v .+•+ I . v..
sumna.ae 29.00
PlanReview 153.50
SAC 525.00
WaterConn 500.00
weterMeter 63 _ 00
RoadUnit 280•00
TcPI. 132.00
19 85
Parks
- I Covies
rotal $1, 989.50
on ths sxpreY Canditbn Ihot
Storures and City ot Eoqan Ordinancn.
Buildinp Officiol
. 4 103 ?s
? 1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOiE: ALL CONTRACTORS MUST BE LICENSED NITH THE CITY OF EAGAII
TowWNcuSE
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES QF SURVEY
- 4
I o
PLc 1 SET OF ENERGY CALCULATIONS
n
r x a,o.
ss -
To Be Used For: _ Res,?tNeG ,
Valuation; Date; 28 `hlaa.? 85
Site Address: OFFICE USE ONLY
Lot: 4 Block 2 Sect/Sub 77APmMS t,akc.Erect K Occupancy 12-3
H"9*'r Remodel Zoning PO
Parcel S Repair ^ Type of Const Z
Enlarge p of Stories
Owner A/uJ /.{opti zow sR,e- Move Length 4-4-
_
Demolish _
Depth 2,"7
Address _pp, ?o x /3G 7 Grade Sq Ft
_
City/Zip Code ? Pls., /?i?r. T?f?f?p ' ----------- --------------------- -
Contractor APPROVALS
Address
City/Zip Code
Phone 0
Arch.lEngr p ???swvLe/
Address
Phone $ y3s- 7.Y2 y
Assessments Permit
Water/Sewer Surcharge
Police Plaa Review
Fire SAC
Engr Water Conn
Planner Water Meter
Couneil ad Unit
Bldg Off 6 Parks
APC Treatment P1
Variance
iOiAL
?-7 ro
{53•5=
5Z5 • s
Soo.°=
Z$o. ??
43Z.=
?Jv9So
'?P?GhL 'TowneNov`.,E?:;
46ArLossc,aLcuLAriorvs HEATINGBAIR CONDITIONING CO.
It)
N c7f 2L- , ?7
MINNEAPOLIS, MIN(d.
Weatherstrips A,S.H.V.E. Construction No.'???>''?'? Insulation
Nfindows puprs Guide ,
Reference ? Out. Wall Int. Wall Caflinp ` -fbof FloOr Nind How Applied
Yes-No Yes-No 1y__ . ,
FI. ?VjWG Room Length Q,'Z„ Width 1 2 Hefght
?/p -N4?t1. :' ''. Height?: _
? PI. Q(1(?Z ?Ropn Langth %
YJi ndows a nd Doas- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Are a
Na
of ana Heipht
of ana No. ol
?i hts Lineel It.
oi crack Awa
•• ft. 1 (1 ? Na WiO?h
01 ene Morpht
o1 ane Na. ol
li ?IS Lmeal f?.
al crack Aree
sa? 4.
?1 2 9. l 2 21 1"7
2 . 6 1 1 ?A<
coe+ Btu coer otu
Infilaetion Intilt.ation J`7?
Glass 2q Glaes
Exp. wall - X ? Z Exp. wall IQ 7C
-
Nei exp. well 2,2. q.I I Nel oap. well ? a `? I •'; ?
'. w9th oor i 117 2 Int. wall .-
ceiii„e 12x i? Zb cewng --
Fioo. . Fio«
raai etu. 7 5^? Taai etu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader eree Requirad sq. ft. E.D.R. or sq. ins. W.A. Leader area
FL Room Length 1 Width NeigM fl. ? 2+11ef?9,om Length ?5 Wid[h !+_?I Heiyhf' `
Ydi ndows a nd Dows- Cracka ge and Area Wi ndows a nd Doors- Cracka ge and Ar ea
No. Witl+n
ol ne Heiphl
of ane No. of
li hta L?neal 16
oT crgc 4rea
cq. fl.
.
No' W?dfp
ol an HxipM
nl ane No. ul
l. his lmeal h.
o? vack Area
sq. ??.
°' g 28 lin 2 `2 - t_
Coe! B W Coaf 8 tu
Intikracion 2.Zq? Intiltretion '0
Glass S 06 b ? Glass ( ' _-_- -_ -
Exp. wal I a-$
. ? 6 "Of
- Exp. wel l c,?.r
- __'_ .
._.__ ... ...._..
"'.__-_
Ne[ axp. wall A Net exp. well
Int. wall . . . , .. . 'Int. wall f
' -'. _... _
caiun9 i X'-1 1 2.$ ceucne
----
Floor
Floor
iotel Bw. S Totel Btu.
Required sq, ft. E.D.R. orsq. ins. W.A. Leader erea Required sq. 1t. E.D.R. or sq. ins. W.A. Leader area
--- _.,
FI. Room length 1^t Width Heipht `fl. Naom Length Width
YJindows and Doors-Crackage and Area Wi ixlows a nd Doors -Cracka ge and Ar ea
N9' Wi dlh
ol ana Heiqhl
ol ane No. of
?i hu Lineal 1t.
ol cra Area
s. iL
NO' Wlnro
uf nne Heppht
uf pnn Nn. nl
k hig Linenl 11.
of clack 4rea
e0. ft•
. COef Btu Co¢f Btu
Infiltration Infiltrntion
--Glass Glass
EHp. wall Exp. wall
Net exp. wall Net ezp. wall
Io(. well Int. wall •
"Ce?l„E, ,z k.?
a. 2 ? ?e,?,?s
-
`_.
_--
? ?
?
-- -
Floor _--- - ---
• Fln`x s;?
Total 8ru. . -° Totel Btu. ?.t_
RequiieJ sq. fA E.D.R. or sq. ins. W.A. leader erea ' O ROquirecl eq. ft. E.D.A. ar sq. ins. W.A. L88der area\,
.' .•..•.' _: :.? r: ? µY? ? • ? '..a? ? . .
. .-. /__ , ?j?•, ? .
KE,orLosscaLcuwriors HEATING&AIR CONDITIONING CO. MiNNEAPOUS,MINr,.
Weatherstrips - A,S.H.V.E. - Constructia+No < - Insulation ?
ATindows Daors Guide
ReferenCe Out. Wall Irrt. Well Ceiling?' ROOf Floor Kind How Applied
Yes-No Yes-No 19__ -
.
Room Langth. JQ Width Height FL Room Length Width Heiyht
YJi ndows a rrci Doors- Cracka ge and q rea " Windows and Doors-Crackage and Area
Na, w,Aln
01 ana Ha! oht
of ana No. o(
li hta Lineel (L
af cre Area
sp. f?.
' ' NQ Wdth
olg Meipnt
ol ane Nn. ol
li hte Linea1 N.
of crack Area
*a, ??
? :LL? a ?(D -
J
In(itvation
?U Coef Btu
7tOQ
Infiltretion ?nyl ? f ? i?.,.... ..
Glass . t Gleas _
Exp_wall `Exp. w011
Nat exp. wall , 2 Nel exp. well
Int. w.all . . . Int. well
Cailin9 . , . .. .:` Ceiling .
Floor . (,pj Floor
Taal Btu. .23 Total Btu.
Reyuired sq. ft. E.D.R. or 6q. ins. W.A. Leader area Requirad eq, ft. E.O.R. or sq, ine. W.A. Leader area
. F1. 'j Room LenBth -)_ Width
* HeigM FL Room Length Width Haipn:
...___._...
_"_
YJi ndows a nd Doors- Cracka ge and Ar ea Windows and Doors-C?ackage aod Area
W,tl,n
01 nane He,ht
of ane No, of
Ii hls L.neal Fl.
of c.ack Aren
?q. fL ' .
Na' W,4th
ol one HxIpht
of rnn No. uf
li hb Lineal It.
of crack 4.ea
sp. ft.
ry ?,
--
----
coer e cu coer
etu
Infilhation t (1 2'12 .': Infiltretion
Glass - 40 -'Glass "
Exp, wall - - Exp. well
Net exp. 11 992 . 1 11 ' Net exp. wall ,
Iat?+?a44 ,- ( 1 20 a2 Int. wall
Ceiling . ' 'Ceiling '
Floor j-X I 'G']. . J%JS Floor _
7otal Btu. ? ^7 ''TOtal Btu.
Nequired sq. tt. E.O.R. or sq, in5. W.A. Leader area "Required sq: tt. E.D.R. or sq. ins. W.A. Leader area
Length 1 Width Height FI. Ropn Length Width . Heiflht_ _
Windows and Doors-Crackage and Area Wi ndows and Doors -Cracka ge and Ar ea
NO' ?y?Cih
ot tna HeipM
of xnp No. of
li hte lmeal IL
ol tre 4reo
Ep: 1?.
-
N?' Witlm
ul ane Nmq1,e t
u? .1? Nn. nf
h h[s Lineal 11.
af crack 4rea
s4. ??.
CO@( BIU Coe( Btu
'R-..
Inliltrnti0n
Glass Glacs '
Exp. wali .:.... . Exp. wnll
Ne[ exp, wall X'b 2, C) -Ne[ exp. wall
Int. Well - Int• well
-
-----
Cailing Ceiling _`_
Floor fina
Total Btu. Totel Btu.
Nequired sq. ft E.D.R. or sq.-ins. W.A. Leader area '.ReQUirad cq. tL E.D.R. or sq. ins. W.A. Leadar area
.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: BUZLpINc
Permit Number: 031127
Date Issued: 07I27/ 9$
SITE ADDRESS:
P.I.N.: 10-75951-030-02
1571 BAYL.OR CT
LO7a 3 BLOCK: 2
THOMAS IAKE HEIGHTS 2M1lD
DESCRIPTION: •
(REPLACEMENT)
E?tni1'.cfilng Permit Type DECK
?y,i°1d3nq"Iqprk Type NEW
„ 434 ALT. RESIDEN7IAL
en.$?.us' <ad°e"'.*"
?N ? ua
s . `." . .,.?, .
V,.e
t?9s?i `ai?,r
m
c s "? ? s
ax i+a " '"E $i
stnd ?$ `?va?
REAAARKS:
?
iWn a-? €"?i s u-?i c r t???•?
E r m
f t rmsFls.ii ??° mfi
FEE SUMMARY:
Base Fee $50.00 COPIES .75
Surcharge _ $.50 To'Cal Fee $51.25
Subtotal $50.50
CITY OF EFlGAN
CASHIFRt S 7E(iPfltJFlt. 00. 776
WE.e 07/27/90 TSMFa 15:38a24
ID:
NAME:
3210 9001 1607 CLEHSON UIt 50.00
'4 55 9047. 1.607 CLFM5DN DR 0,50
3430 9001 i6U7 CLEMSON DR 2.25
3430 9001 i57J. BAYLOR CT 0.75
1?155 9001 1.571 BAYLOR CT 0.50
3210 9001 'J.Sii. BAYLOR CT 50.00
3210 9001 1563 BAYLOR L'T 50,00
2155 9001 1.569 BAYLOR CT 0.50
3430 9001. 1569 BAYLOR CT i.25
3430 9(]01 155' CI._EYiSON LIFi 1.25
r.Rn95400 ?m CONTzrauE
USER IUe NANCY *?X CON'iINIJE
CONTSNUE
C.T.TY ClF EFlGAN
r'ASHIER: S TEfi14IiJAL N0: 776
DATEe 07/27/9$ TIMF: 15:38:25
IL:
NAMEe
i
PiJJ 9001 1557 CLE.MISON DFti CJ.CJO
3210 9001 1557 CLEMSON DR 50.00
3210 9001 1563 BAYI_QR CT 50.00
2155 3001 1569 BAYLOR CT O..ciO
3430 3(]01 1569 BAYLOR CT 0.75
3430 9001 1605 CLFMSON Dfi 2.25
2155 3001 1605 CLF.t'4SOtd Cifi 0.50
3'210 3001. 1605 CLF..MSON PR 50.00
3?10 3001 1571 BAYLOR CT 50.013
2155 9(]0i. 157i. BAYLOR CT 0.50
CRL795400 CONTINUE
l1S17-Ft ID: MANCY CONTZNUE
????k?#kc:k%C?X??k?%?c?C?C??CXcsk?k#*?*??c?C?Xc* CONTINUE
CITY QF I:AGAN
CASHIERe S TEftMINAL i40: 776
PATE: 07/E7l98 7IM1_: 15:3£3:2i
ID:
NAME:
3430 9001 1.571 BAYLOR CT 0.75
Tota1 keceipt Amo!ln+,: 36i.?.75
CR09:S4•QC]
l1SEfi :f.De NANCY
rf
?. •
' 1997 BUILDING PERMIT APPUCATION (RESIDENTIAL)
-+ :J ? •.? „
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-d675
New Constructian Reauiremenri RemodeUReoair Reouirements
? 3 registeretl site surveys • 2 copies of plan
4- 2 copies of plans (include beam 8 window sizes; Daured fnd. design; etc.) ? 2 site surveys (exterior additions 6 decks)
? 1 energy calculatians ? 1 energy calculations for heated additions
? 3 copies af tree preservation plan if lot platted after 7/1193
required: _ Yes No DATE: /I -rD ? G ( I CONSTRUCTION COST;
DESCRIPTION OF WORK: /?L,1 e'0 " S-T /,,) 2 lD /722/0 I42?/M /Q
STREETADDRESS: 71 .971?y14D/e ?-T
LOT g_ BIOCK L SUBD./P.I.D. #: -,JLZ
PROPERTY Name: ? ni&011 ? A) Phone #:
OWNER ? v- „a„
Street Address:
City: State: Zip:
CONTRACTOR Company: /'s f, /{-H Phone #: `? Zd G S-ra
g6,7-t- Street Address: License #:
City: a1ff1z!!5- State: Zip;
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip;
Sewer & water licer.ned plumber (new construction oniy):
and lot change are sequested once permit is issued.
Penalty applies when address chanc=
I hereby acknowledge that I have read this application and state that the information is correct and agree to compiy with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Ves _ No
Tree Preservation Plan Received - Yes _ No _
o? 4? ?
?
,T
(9 1? ? • E °p ??
-? 3400 ,?,i3
. ?r
O r yq 3j`\
3
° r.?.
1 ?' ???\ o
M
Q. Q o
? CA?
\ o
?y
i?
/
?p? f ? 916'?
,?
d .
3
M r
z o a? )ot
o ?
?
? ?.• ?
r-ti 30)
o ??IL
? ? -
?
I
?
0 Denotes Iron Monument 46"41? b
° Denotes Wood Stake O',1p C+
X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= OU?T
(000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 93/.0
-t-- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 93/-5
I hereby certify that Mis is a true and correct representation of a survey of the boundaries ot
Lots 1, 2, 3 and 4, Block 2, THO.*tAS LAI:E HEIGHTS 2ND ADDITION,
Dakota Countv, Minnesota.
And ot the location of all buildings, if any, thereon, and all visible encroachments, if any, from or
on said land. N also shows the location of the stakes as set for a proposed building. As surveyed
by me or under my direct supervision this 23rd day ot MaY 19 85
Pau A. oe?pson
Land Surveyor. Minn. Reg. No. 10938
C??iTiFICATE OF SURVEY
ASSOCIATES, INC.
F:? OMBS-KNUTSON fiOf
rottutlu:l?G4?t?t ? l??o sVenc?ll ? 2?11 rla??iAS ? V?-t ? / ? ?/?ti?^, . . ,/??/?
/??? V\/ F-N T•Lll /I ml F-0f L J
Wyy(ppl6 vp MV lCnIM3ON.Yiyy(tOT4 ?/? 1 iL ? 1 1(VI ?LL..tJI • 1 n/1
1
Y
? ??
_, j? ?
,.
,
O ? ..?
- 6'?
PERMIT
? CITY OF EAGAN
3830LPilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Num6er:
Date Issued:
BUILDING
031124
11/17/97
SITE ADDRESS:
1569-B BAYLOR CT
LtlT: 1 BLOCK: 2
THOMAS LAKE HEIGHTS 2N0
DESCRIPTION:
B'uiltling'-Permit Type
Suiltiing Wcsr,k Type
Census Cocle
/
. ?
,
.?..-=
FIREPLACE
NEW
434 A'LT. RESIDENTIAL
Q'? ?.! ..?1 t ayX?fY Q-2? m jXr
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
r
$50.00
$.50
$50.5@
CONTRACTOR: - Applicant - 5T. LxC OWNER:
FIRESIDE CORNER INC 16332561 2009091 LUEDKE WILL
2700 N FATRVIEW AVE 1569-B BAYLOR CT
ROSEVILLE MN 55113-0847 EAGAN MN 55122
(612) 633-2561 (612)454-8624
v
Z hereb,y acknowled-ge that I have'read;this'applicatinn and 56tb tha'C the
infor`matibn is correct and agra.e°toT?ca`ihp,ly°.w3:th a2l-appl?i,c4b1e Ste.tev t+# I?n.x m
5tatutes and, City amfi :Eagan: OrsfinancIs•` ,, .
? . '`.i •ti', ' - a y ; ?
APPLICANTlPERMITEE SIGNATURE
Jfi(4Llj.oi.rA_j ?
ISSUED BYqSIG *A E
CITY OF EAGAN
?
3830 PILOT KNOB RD - 55122
1997 FII2EPLACE PERMIT APPLICATION
681-4675
DATE: 11 14
7 - ` 7 PERMIT FEE: $50.50
DESCRIPTION OF WORK: _ CONSTRUCT L[EW FIREPLACE ALTERATIONS TO EXISTING
_ INSTALL GAS INSERT ONLY
_ INSTALL GA5 LINE ONLY
OTfER:
STREET ADDRESS: I C6 GI - ,EJ - 5/4 y C-- t7 K ` (,
LOT BLOCK ? SUBD./P.I.D. #
APPLICANT: (circle one only) OWNER
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.
PROPERTY
OWNER
FIItEPLACE
INSTALLER
Name: L--0
Phone #:`TS#- - 66 2'4-
Signature:
Street Address: t3A Y LO /:;?, C'.?,,
City: ?7A cR 'la N State: 1'14 N Zip:
Company: t'E>4 1?9b 'c.,eJv`lL Phone #:
Signature:
:??'.SC7 -w -0 y " /3 License #: 2-00 202 //
GAS LINE
INSTALLER
Cit}? U'c,?il S V i LL.? State: 41 AJ Zip: `!!SL3 9,7
Comp
Name:
Signat
Street
City:
State: Zip:
CI7Y OF EAGAN
CASNSFR: S TFfiMTNAL NOe 5:3
DATC: 11/10/37 T2ME: 14e20a50
ILi ;;
NAME: FCFITFi D NEL'.70N
3210 3001 1555 ClF_'MSON bF 243.75
2i.55 3001 1555 Clf-_:t1SL7N Uk 8.50
:3_`30 30()1 1569 HAYLf]R L'T 243. r 5
2i, 55 3001. 1569 HAYLt)k CT 8:, SO
.
Total F.er.eipt Ama.tnt; 516.50
CR08c!8;31
USF.R IIie NfaNCY
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031100
11/10/97
SITE ADDRESS:
P.I.N.: 10-75951-020-02
DESCRIPTION:
1569 BAYLOR CT
LOT: 2 BLOCK: 2
THOMAS LAKE HEIGHTS 2ND
. (SIDING)
B`uilding?wPermit Type
Bui;-lding W?,r.khType
' Cerrsus Code %
- . ? i. . .. .?? '?k.
F.? ..
_ ? .. _ . . . . .? Lb
I? d ~ ?
4
MULTS. (MI3C.)
REPAIR
434 ALT. RE9IlJENTIAL
4 1"S y }
? s.?l Cy ? i 6 1?'a P ? r? C?)? r?? F?' ''"` ._.>_.?
y ^%? sss ,? t a?.
`;. f' (? , .-??..
N
V
REMARKS:
INCIUDES 1569-B (LOT 1) 1571 (LOT.3) 1571-B (LOT 4) BAYLOR CT
FEE SUMMARY:
VALUATION
Bese Fee
Surcharge
Total Fee
$249.75
$8.50
$258.25
$17,000
CONTRACTOR: - qpplicant - OWNER:
NELSON, KEITH 14206550 HORI20N HILLS TWNHSE ASSON
18511 86TH PL N BAYLOR CT
MAPLE GROVE MN 55311 EAGAN MN
(612) 420-6550
T hereby"acknowledge tha't-Z hawe -read'-this e6s?plieatiom antl state thot, the ..
inFbrmation is correet and agree to :epmply ,wIth a1,1.=app],ioabls= S,tata of. Mn. „
8tatirtes° andCity tr Eagan Ardirtarreesr,: , -" r•???
e
-
APPLICA /P MITEE SI NATURE - ISSUED B. JIGNA URE`'T' 1
\
4 25b. ?
511,66 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681 -4675
New Constructian Reauiremenfs
Name: -M??A Zv/`" Phone#:
• 3 registered sde surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fitl. design; etc.) ? 2 site surveys (eMerior addRions 8 decks)
? 1 energy calculations ? 1 energy calculations for heatetl additions
• 3 copies of tree preservation plan if lot platted after 711/93
required: _ Yes _ No -
DATE: 7 CONSTRUCTION COS : ? o u? a ?CO
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT 14F BLOCK
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
?
Remodel/Reoair Reauirements
FlNST
Street Address:
City: State: Zip:
Company: )K,-'jf'h' Phone #:
U "w 61S sa
Street Address: 1 $?1/-L- ?C- License #:
City: 9AP/Z? State: Zip: SS 3
Company:
Name:
Phone #:
Registration #:
Street Address:
City: State: Zip:
Sewer & water licer.^ed plumber (new construction only): . Penaity applies when address chanc=
and iot change are tequested once permit is issued. `
I hereby acknowledge that I have read this application and state that the information is correct and agree to c ply with all applicab!e
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 _ Not Required
1 SUBD./P.I.D. #: fifta, LL-AhV )i1rl
.
CITY OF EAGAN
CASH.T.ER: S TEFMSNAL NO; 77E
DATED 07/27/38 TSME: 15:34:58
ID:
NAME::
3210 3001 1607 CLE.MSOR+ DR 50.00
2155 900]. 1607 CLEMSON bR 0.50
3430 9001. 1607 CLFM50N Dh 2.25
3430 9001 1571 BAYLOR CT 0.75
2155 3001. 1.571 BAYLOR CT 0.50
321.b 3001 1571 BAYLOR CT 50.00
;3'c10 9001 1569 BAYLOR f;T 50.00
2155 3001 1569 BAYI._OR CT 0.50
3430 300:1. 1564 BAYLOR CT 1.25
3430 3001 1557 CL.E:MSON OF 1.25
CR035400 CON'1"INUE
LiSFR ITis NANGY CONTINLtC
CON7INUF
C;ITY OF EAGAN
CASNIEk: S T'EhMINAL. N0: 776
AATE: 07/27/38 TIMEe 15:34e59
ZDe
NAMEe
2156 9001 1557 CLEMSOF! DF? 0.50
321.0 9001 i.557 GL.FM50N DF 50.00
3210 3001 i.SE,j ECAYLDR CT 50,00
7155 9001 1569 BAYLOR r.T 0.50
3430 30(] L 1569 BAYLOR CT 0.75
3430 3001 1605 CI_EMSON Dfi 2.?5
2155 900:L 1605 CLEMSON Uh 0.50
321.0 9001 1605 Cl_EMSUN Ufi 50.00
3210 3001 1571 BAYLOR CT 50.00
2155 3001 1571 PAVLOR CT 0.50
Cf;(]95400 CONTINUE
USER IU: NANL'Y XnX COMTINLfE
C(1NTINUE
CITY OF EAGAN
CASHIER: 5 TERMINAL NCI: 776
DATE: 07/27/98 7.T.ME: i5:35:01
ID".
PlAME:
3430 9001 1571 BAYLOR CT 0.75
Total Rereip+, pmouni;: 362.75
CR0354CJ0
USER ID: NANCY
#?a?Ac#?k?X?XX:Xc%c%cXc?CXcX?%c%cXC?C?C%c?k?C%??C?CX??C %c?XXc#?k?k?k?X?k%?
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date IssuecJ:
BUILDING
030476
07J26/98
SITE ADDRESS:
P.I.N.: 10-75951-010-02
1569 BAYLOR CT UNIT B
LOT: ?? LOCK: 2THOMAS lAKE HEIGHTS 21VD
DESCRIPTION: aEBUILo DECK
BuzTl'd`i"trg Permit Type DECK
,.Buziding`"Work Type NEW
,1`Censvs Cpd2`'`^,_ 434 ALT. RESIDENTIAL
i
- fEj„? ,. bo =
?
z t? er
REMARKS:
FEE SUMMARY:
Base Fee $50.00 COPIES $•75
Surcharge $.50 7ota1 Fee $51.25
Subtotal $50.50
CONTRACTOR: - Appzicant - OWNER:
NE'LSON, KEITH 14206550 IUEDKE WILLARD
18511 86TH PL N 1569 BAYLQR CT B
MAPLE GROVE MN 55311 EAGAN MN
(612) 420-6550
- I hereay acknowledge that I have read this application and staT.e that the
informatipn„is correct and agree to nompYy with all appl'icable State of Mn.
Statutes and City ot Eagan Qrdinances.
APPLICANT/PE IT E SIGNATURE IS D BV: SIGNATURE
?
• , 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?sl-as
? j ciTr oF eacnN
3830 PILOT KNOB RD - 55122 n e n,?
681-4675
New Construction Reauirements RemodeVReoair ReouiromarHs
? 3 registered ske surveys ? 2 oopies of plan
? 2 eopies of plane (inGude beam 8 window saes; poured iM. tlesign; etc.) ? 2 site surveys (exterior addflions 8 decks)
? 1 energy celculations ? 1 ene
rpy calculations for heated eddiGons
? 3 copies of tree preservetian plen if lot platted after 7/1/93
required: _Yes _ No DATE: ?V/L 7 CONSTRUCTION COST:
DESCRIPTION OF WORK: "}' ID lX I ? dJ ?I X517
STREET ADDRESS: L(a N IS JS /1- ?j L K
LOT _L BLOCK Z SUBD.JP.I.D. #:
PROPERTY Name: (Let-Lte&? Phone
OWNER
Street Address:
City: State: Zip:
CONTRACTOR Company: 1 +-1-4 ,f 2?58)U Phone #: y 2-0
Street Address: License #:
Ciry:_/C/??? State: Zips z/(
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licer•ned plumber (new construction only): . Penalty applies when address change
and lot Change arn ?equested once permit is issued.
I hereby acknowtedge that I have read this appliptlon and sfate that the infortnation is correct and agree to comply with all applipbie
5tate of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECEIVED
CertificatesofSurveyReceived _ Yes _ No J 7 19
Tree Preservation Plan Received _ Yes _ No _ Not Required B?
July, 1997
City of Eagan
Eagan, Minnesota
To Whom It May Concem:
Re: I S__ C-r
The holder of th'rs letter is hereby authorized to build a deck up to a total area measuring 10x20
on the property owned by Horizon Hills Home Owners Association. The holder of this letter
understands that because the deck is built on Association property, it becomes the property of the
Association, with the unit associated with the deck continuing to exercise their private use
exclusions.
The Association will ensure the deck is constructed and the cement footing is poured to meet the
City of Eagan building requirements and will order the final inspection of such when work is
completed.
Please feel free to contact me with any questions or concerns.
Sincerely,
Horizon Hilis Home Owners Association
4-7 A
Barbaza Koob, CMCA
Property Manager, Member-At-Large
cc: File
P.O. BOX 21423, EAGAN, MN 55121
(612) 688-0695
HORIZON HILLS HOME OWNERS ASSOCIATION
?,,?,.?..:?31•v? .. -?--
r
? ., 1 9?--! HRS c?1?o PaQeH
1;t'
Q 65. ?0'
` ^,` "-5
? a`
0
0
MT
`
;.
?
, ;A
.,
,
?
-Z' o\
0 0.
M ?q
N
?
?
3
o-
?''
Y \D
? \ u ^
(? E, gJiLD 16 xI D DEL.K. E'x3
??\ ?` ? p•
3.? o
,, .•" ? '
•?W
` O
1iD
_ C a
?
? _r3?b5/?SQ0)
? O l
i-, r.
?
0 Denotes Iron Monument
° Denotes Wood Stake
X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= v?Tr
(000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 931.0
?- Denotes Direction of Surface Drainage Proposed Lowest Floor Eievation= 931.5
I hereby certify that this is a true and correct representation of a survey of the boundaries of.
Lots 1, 2, 3 and 4, Block 2, THO*L9S Ltll:£ HEIGHTS 2ND ADDITION,
Dakota County, Minnesota.
And of the location of all 6uildings, if any, thereon, and all visible encroachments, if any, from or
on said Iand. It also shows the locat,on of the s[akes as set for a proposed building. As surveyed
by me or under my direct supervision this 23rd day of MaY ,19 85 _
0.? "g jg???
Pau A. J ? on
Land Surveyor, Minn. Reg. No. 10938
, „_ .
? rmkc i" qo CF.?.TIFICATE OF SURVEY
c onns ?? ?wGE for
S-KM1IUTSON ASSOCIATES, iNC.
????? [GN3Vl111G qOI111A5 ? i??o su?rl+oes ? 3in ruuui F.iE ? \?\ A/ Lj/"?[?(7? LJr? «C
?.-. . WYMFMOLIf W MUTCw1a5pM.upu1fLOT• 7430 I?ICrY ??R.?fliL.. ???..?iNIL?J
0
i
?
b
- • •?...Iflt \YMfll1, -- --
CITY OF EAGFlN
CA5HSrR: S TFRMINAL N0: 776
?ATE: 07t27/38 T'f.ME: 15:35:24
IG:
NAME:
3210 9001 1607 CLEMSUN Dk 50.00
E155 9001 1607 CLEMiiON L+R 0.50
3430 9001 1607 CLEMSQN bR 2.25
3430 9001 1571 BAYLOR CT 0.75
29.55 9001 1571 BAYLOR CT 0.50
3210 3001 157i. BAYLOR CT 50.00
3210 9009. 1569 BAYL_OR CT 50.00
ZSJJ 9001. 1563 BAYLOR CT 0.50
3430 3001 1569 BAYLOR CT 1.25
3430 3001 iJJf CLEi1.riUN CI!t 1.25
CR035400 CONTINl1F
USEf, ID: NANCY GUN'T'INI1E
CON7INUE
CTTY UF EALAN
CASHIEfi: S TF_.h'MINAL tJO. 776
11ATEs 07/27/98 TIMF: 15:35:25
ICI;
NAt1IZ:
2155 3001 1,557 CI.EMSON L1F 0.50
321:1 3001 i.ci5i CLFMSON UR 50.04
3210 3001 15E3 BAYLOR CT 50.00
2i.5b 3001 069 BAYLOR C7 0.50
3430 9001 1569 BAYLOR CT 0.75
3430 9001 iL-OS CLEMSON Ah' 2.25
21.55 9001 1605 CLEM?'J?ON YIR 0.50
3210 3001 1605 CLE.MSqN IiR 50.00
320 9001 1571 HAYL.OR PT 50.(]0
21.55 9001. 1571 BAYLOR CT 0.50
Ckp35400 %cXt C0N'TINUE
IJSER IAu NAhlCY kc? CC1NTINIUE
Xc????x*XcXcXc?c???C?C#?XX??k?k?K?k?Y?CZxXcXc%c#?%?X%??X??X?%%???kX?
C,ONTINUF
CITY OF EAGFlN
CASHIEF: S T'F_.fi`NINAL ir0: 776
Dh17Ee 07/27/94 TIMF: 15:35:27
TD:
NAME:
3430 9001 1571 BAYLOR CT 0.75
fo+,a7. fieceapt Amoun+„ 362.75
:R0954Q0
JSER ID: NANCY
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-75951-020-02
PERMITTYPE: ffifflNG
Permit Number: 0 ? ? 2 ?? 9$
Date Issued:
1569 BAYLOR CT
LOT: 2 BLOCK: 2
7HOMAS LAKE HEIGHTS 2ND
DESCRIPTION:
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Suhtotal
r"Census Cotl?="^...
j ?
?-
. rt
!F
f"J
(REPLACEMENT)
B.U`ilding Permit Type DECK
8uildinq"Work Type NEW
$50.00
$ .50
$50.50
434 ALT. FESIDENTIflL
?
kN {
.J
CtlPIES $1.25
Total Fee $51.75
9ONTRACTOR: - APPlicant -
NEL50N, KEITH 14206560
18511 86TH PL N
MAPLE GROVE MN 55311
.(612) 420-6550
OHWORM:N HILLS TWNHSE
BAYLOR CT
EAGAN MN
ASSN
55122
(
I hereby ackrtowledge th-at I have read this
infiarmatian is porrect and agree ta camply
Statutes and City, of Eagan Ordinan'ces.
L.
APPLICA /PERMITEESIGNATURE
FERMIT
applicat,iqn ond state that the
with aIl applicalale State of Mn.
.. .. . . ... ?
ISSUED > IGNATURE
I
' ?1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PiLOT KNOB RD - 55122
681-t675
New Construction Reauirements
? 3 registered s8e surveys
• 2 copies of plans (include beam 8 window sizes; DoureO fnd. design; etc.)
? 1 energy calcuiations
? 3 copies of tree preservation plan d lot platted after 7!1193
required: _Yes _ No
DATE:
DESCRIPTION OF WORK: ?
STREETADDRESS: Q (-2 7
LOT I BLOCK I 5
RemodeVReoair Reauirements
FONSTRUCTION COST:
,-" /D?2
.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: 4R,,P\fs,,,,,m !wiv Phone #:
r? u - qR9T
Street Address:
City: State: Zip:
Companv: Phone #:
Street Address: J(a,9 Vl Ald License
City: ? State: ? Zip;
ARCHITECTf Company:
ENGINEER
Name:
Street Address:
CitY: State:
Sewer & water licer.?ed piumber (new construction only):
and lot change are tequested once permit is issued.
Registration
? V .
J ?
Zip:
Penalty appiies when address chance
! hereby acknowiedge that I have read this application and state that the infortnation is correct and agree t compiy with all applicaC!e
State of Minnesota Statutes and City of Eagan Ordinances. , ?,
Signature of Applicant:
?
OFFICE USE ONLY y ? 10
Certifcates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Req
Phone #:
• 2 copies of plan
• 2 site surveys (exterior add@ions 8 dedcs)
• 1 energy calculations for heaMd a0ditions
aS'' f
o? 4: e
0 D
R ' ?: 213'5
3l 0 ?
`
O
O ?
\ O? ° p 1
.t
?
?
_.1` ?
O
a o
.n ?
? N
?. ?
r ?
? .S (OCI ???I IU? CT
?-
. I
f' 416 5 '
? 9181
0 Denotes Iron Monument
° Denotes Wood Stake
X000.0 Denotes Existing Elevation
(000.0) Denotes Proposed Elevation
0- Denotes Direction of Surface Drainage
?
?. \
?
46.1??0? C?
Proposed Top of Foundation Elevation= U?T
Proposed Garage Floor Elevation= 931.0
Proposed Lowest Floor Elevation= 931.5
I hereby certify that thi5 is a true and correct representation of a survey of the boundaries ot
Lots 1, 2, 3 and 4, Block 2, THO"LAS LAI:E HEIGHTS 2ND ADDITION,
Dakota County, Minnesota.
And of the location of all buildings, it 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 23rd day oi Mal' 19 85
McCOMBS-KNUTSON ASSOCIATES, INC.
I lf [o?fOlIn: IMcullI{ a L1so sUnrRC,[ N srt! rtuNilli
%A Wyyl?lli -i MUiCMINTpM.Y1rw111T4
Pau A. J p on Land Surveyor, Minn. Reg. No. 10938
j i%`-4o' C??iTIFICATE OF SURVEY
°°°` '^" fior
l?ifh0. V\¦ ?V?? F?V??V
7430 ?Y
CITY USE ONLY
L BL
SUBD. i!J?"luaa 4?R?Q2. ,?, vr n?
RECEIPT #: 3 927
DATE: /09.91
1995 PLUMBING 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
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x f_ _
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ZO• W
SITE
OWNER
iNSTALLER NAME: =ommm pWC'r"-` '-
e90 dARNEID AVENUE SOUTr
STREET ADDRESS: •'?????M AUu1WFSATA s
8274003 • 87f-491)
CITY: STATE: ZIP:
PHONE #: (
'U 7-
CITV OF EAGAN
CASHIEfi: S 7E:fiMINAL NOe iiE
DATE: 07/27/98 TZME: 15e35:24
io:
NAME:
3210 3001 1607 CL.E.MSON L1F 50.00
2155 9001 1607 rLEM50t! UR 0.50
3430 9001 SEiOi CLEMS0N Uft 2.2.°i
3430 3001 1571 $AYLOR C7 0.75
2i5.?i 9001 157i BAYL.OR rT 0.50
3210 9007. 1571 BAYLDk CT 50.00
3210 9001. 1,.',ti3 RAYLOh CT :dJ.QO
21,°i':i yDpi 1563 BAVLOh' CT 0.50
3430 9001 1569 BAYLi1R [;T 1..c 5
3430 3001 1557 CLEMSON LIli 1.25
Cfi035400 CONTINUE
USF_R Ili: NFlNCY .r,l1Nl'INUE
?%#X?#X??t%??kXc?C?c?C?C?t?C?Y#X?X?%?%?X???X?XtXc%tXc?sXc CON'TINUE
CSTY UF EAGAN
CASHIER: S T[:RMINAL N0. 776
DATE: 07l27/38 TIhfE: 15:35:25
TII :
NAME:
2155 3001 1J.l, i CL-EMSON DF 0.50
321:1 3001 1.557 C1_F_MSON DR 50.00
3210 9001 1569 BAYLOR C7 511.00
2155 9001 1569 BAYLOR CT 0.50
3430 9001 1569 EtAYL01i CT 0.75
3430 3001. 1.605 CLEM:iOi`! DR 2,25
?iss 9001 sEOS cLEnsuN nF 0.50
3210 9001 1605 CLF_MSON DR 50.00
3210 9001 1571 RAYLOR CT 50.00
21.55 900i. 9.571 PAYLf.lft CT 0.50
Ck035400 C:ON'TINUF..
USEft IL1t NANCV CONTINUE
CONTINUF:
CITY OF EAGFlN
t';ASHIER: 5 TERMINAL NOe 776
LA'iE: 07/27/38 TIrfF_: 15:35a27
in:
NAME:
3430 9(]01 1571 RAYLOFi CT 0.75
Total Receipt, Amount: 362.75
CR0954C1U
U5CR SB: NANCY
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BurLazNG
Permit Number: 031128
Date Issued: 07/2 7/9 g
SITE ADDRESS:
1571 BAYLOR CT UNIT B
LOT: 4 BLOCK: 2
THOMAS LAKE HEIGHTS 2ND
P.I.N.: 10-75951-040-02
DESCRIPTION:
>6
?ii f
h 1 ti?}?? 7I i # j
REMARKS:
FEE SUMMARY:
8ase Fee
5urcharge
Subtotal
CdAITRACTOR:
NELSON, KEITH
18511 86TH PL N
MI?PLE GROVE MN
(612) 420-6550
$50.00 COPIES
$.50 Total Fee
$50.50
RESIDENTIAL
$.75
$51.25
- applicant -
14206550
55311
OHOR-IO?N HILLS TWNHSE ASSN
BAYLOR CT
EAGAN MN 55122
I, T hereby acknowledge that I have read.this appli,cation and stete thaC the I
information zs oorreCt and agree to comply with all applioable State ofi Mn.
Statutes and Gity ofi Eagan Ordinances.
[,_
?
APPLIC NT/PERMITEE SIG RE -? ISSUE : SIG ATURE
(REPLflCEMENT)
Qu'il'ding Permit Type DECK
,;BUi,lding"Work Type NEW
r'Gensus C.ode -` 434 ALT.
.?
i
?
997 BUILDING PERMIT APPUCATION (RESIDENTIAL) ?? ? ?•=f ?'
CITY OF EAGAN
Silit 3830 P1LOT KNOB RD - 55122
681 -4675
New Construction Reauirements
RemodeUReoair Reavirements
? 3 registered site surveys ? 2 copies of plan
• 2 copies of plans (inGUde beam & window sizes; poured fnd. design; eta) ? 2 sRe surveys (euterior add@ions 8 deeks)
? 1 energy calculations ? 1 energy plwfations for heated additions
? 3 copies ot tree preservation plan if lot platted aRer 7/1l93
required: _ Yes No -
DATE: ?7 l C ? n ? CONST?UCTION COST:
GESCRIPTION OF WORK: &?? 41-11 "erl D
STREET ADDRESS: ?
LOT BLOCK
SUBD./P.I.D. #:
PROPERTY Name: _I PllmrL7? 1x1V Phone #:
OWNER ? ApeT
Street Address:
CitY: State:
CoNnzACroR Company: ? ,??/f/,ei?-??-
Street Address: tlg9oxl°
Zip:
Phone 0153-d
License #:
City:State: ? Zip:
U
ARCHITECT/ Company:
ENGINEER
Name:
Street Address:
City:
Sewer & water licer•-ted plumber (new construction oniy):
and lot change are, equested once permit is issued.
Phone
Registration #:
Zip:
Penalty applies when address chance
1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicab!e
State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Signature of Applicant:
_ Yes _ No
_ Yes No
State:
PERMIT ? N UMq
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u r Lo i N G
Eagan, Minnesota 55123 Permit Number: 023697
(612) 681-4675 Date Issued: 0 5/ 2 3/ 9 4
SITE ADDRESS:
1571-B BAYLOR CT
LOT: 4 BLOCK: 2
THOMAS LAKE HTS 2N0
DESCRIPTION:
- (GAS)
Building.Permit Type
Building Wo-r.k Type
_ \..
._.?
r
a
,
REMARKS:
FIREPLACE
NEW
,
?- ?
??j'J {9?L!1
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Appl3cant - ST. LIC. OWNER:
FIRESTDE CORNER INC 16331042 0001068 RATZ MARY LQU
2700 N FAIRVIEW 1571-B BRYLOR GT
ROSEVILLE MN 55113 EAGAN MN 55122
(612) 633-1042 (612)452-0970
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply w3t'h all applicable State of Mn.
- Statutes and City of Eegan Ordinances. -i
APPLICANT/PERMITEE SIGNATURE (ISSUED? : S GNA????
'CITY OF EAGAN
j3c9f 1994 BUfLDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered s9te surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ? /Iq/q Valuation of work
Site Address:
STREET S(11TE #
Tenant Name: (commercial only)
LOT BLOCK 7 SUSD.
??
{ .?
? ?
1
, P.I.D. #
r
1
1
,' ?.r,
,, ?t
Descri tion of work: 0? 1 Q 4 7[?
The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner Address ?, iW4 ,(Z
STREET Y STE #
CitY State /7/ ? Zip
Company fG-7/U- Phone k96 O7$ 6
Contractor Address _-_3QSb License # /N Exp.
City(TState )W )0 Zip ??5
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPplication and state that the information is
correct and agree to comply with all a li
able State of Minnesota Statutes and City of
E
O
di
agan
r
nances.
Si
t
f A
li
t
;W/,,
&L
gna
ure o
pp
can
:
,
Y ?
2/84
CITY Or EAGAN
APPLZCATIOV FOR PE?MIT
S£WER AND/OR WATER CONNECTIODi
(PLEASE PAIHi)
1) PP.O°EKP`! ADDR£SS: `
rFraI. DESSCRSbPIC;I:
(Lot/Block/Su:.ciivision or TaY Parcel I.D. Nurcer)
IF '..?.11.7=a .STR.L:?rl'tar.r DAlE OC CP-TCiLIAL LIJILDZ.Ci 'Z''1i T$Jt.e'_NCZ-:
' ic•:? :- .r '2="i
PRESL:: ?..^.`ll2a';/PROPOSm C•S: ? R-1 SZ,GL-. F??SII.Y
0 R-2 BUPIL;_E: (7-:0 G^:i_'S)
. 0P-3 TCl.Y1lF/`yTCF (mr?o^ + L?n•:S) ( t7,7I?5)
? r-.? ?a.=tiTT_/ccMc:.,T;rtii ? U?lITJJ
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'
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? =STI'IL'TIC%AL/Gv'"V='RT
(PLEasc ae r?r)
2) P?'?ISC:a'I`
?
' I SO
ACD.RESS:
CIT'_'. STF.TS, ZIP: Mk) c j.
s PhONE: ? - -
3) pj)L^.*,EER , (PLEdSE PP1NT)
NAt?¢,': i FOR CSTY E O4lY
12201 MINNETONKA BLVD.
PDDRESS:'
PLUMBEPS CE E: ^
Acti e
CITY, STATE, ZIP;? x red
PHO?IE• I"''Ic"
i PLUNBER LICE45E !! f R ord
- ' tt n1C1J
(PLEASE PHINi)
4) OCC[7PPNT/GT.\TIM
NA
CQE:
ADDRESS:
CI2"l, STAT'E, ZIP-
PFiUNE:
S} INplcATz ;%j{ICH PER-LIT IS BEIhG RF.QLTES'PEp: '
? CC:I.IFC.TIODI M CITY SE47ER
? cermz.-rzcy zv czz^r taazER
? 0,71ER (PLEASSE DFSCRIBE) '
? 6) L'i7D1G?? C::r.. •
. ? PMASE f?OLD r1PPP.aVID PER?+ST FOR PIC'i.'-LiP BY O;IE OF Afin,IE
? PL F=S :•;aIL APPROVID PFF.•]IT TJ 1. 2. 3 4AFOVE ?
(Ci.-cle one)
' 7) SI(=.:,TCRE: DATE: C)
?
Oil?l a?aw_a?s..?s ? a? s?c?aa?.n a? ?a'r?cr sra ?o an i..G?a=a:? s.? rwcu.rr.rs? r+ ? rs i?a.a?ssa.?
F O R C I T Y U S E ON:,Y '
PERyIT '-` ISSUED
I
FEES:
$ ?p.sU
S ,
S
S JS ?
$ /Sov
s szr. ?
s
S
$
$ -
$
$
. $ TJDBMT^i' (I`ICu:lLG SUPC:.IP.JG)
WATER PERAlIT {IpiCLUDE SliRCEARGL}
WaTER DIETER/COPPERHORN/OUTSZD : READ: R
WATER TAP (INCLUDE CORPORATIO:I STOP)
SE:vER TAP
AC.^.OUNT Dt:POSIT - 41AT°R
wac
sac
TRiiVK S4ATER ASSESS:?E:IT
TRliNK SEWER aSSE55:?ENT
L`nTEP.AL BENEFIT/T.°.U:IK SES:*"':c
LA: cRAL BENEFIT/TRU1?'K j4ATER
WATER TREATMEIv'T YLANT SURCEiARGE
OTHER: ` ` -
TOT?,L
Ai"-OCNT,PAID/RECEIPT
DOES UTILITY CON:IECTION REQUIRE EXCaVATION IN PUSLIC RIGHT OF WAY?
L, YES IF YES, THEN n"PERMIT FOR 'r10RK WITHIN
PUBLIC ROADWAY" MUST BE ZSSUED BY TI?E
Z::a--INO ENGINEERIDIG DIVISION. LZST AS A CONDS-
TION_
StJEJECT TO THE FOLLOS9ING CONDITIONS:
APPROVEO
TI:LE: '
DATE: F /5S ?
w W?m ww?m m=a w ww +?s4 wrw m+ vtmw mim 0.04 m,+ mmsa m?m 5ft4ft McW rE slW
? ?
,
? ' .
? i
?
2/84
? ?n''? ?
l?.
< CITY OF EAGAN
p`
i
A PPLICATI^vN FOR PER:•IIT
SEjdER AND/OR WATER CONNECTIODi
(PIEaSE PRINT)
1) PP.OP?*t!'Y ADDRESS:
I,E.;=+L DESG2I°TIC:I:
(LotBlock/Su.:aivisicn or Tax ?arcel I.D. NLL:.?er)
L' ?:I?'=:G S?'P.CCP':'?E, Dr1T' 0" Cc2T_Gi^.Ai. uiIL,7' L':G -=-ISsZ;;,_NC3:
,
c=:.%
P'=5c .^_ z;: 7T:r,/pROPOS:m D R-1 sINGLc. FPMffLY .
IM R-2 DUPL.._? (T.',O L?NI:S)
. Q R-3 ZGSvK?reTSE (T:= i L':]i:S) [ u-NI'!'S)
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p I1'CliST.RI.?L
? ZZSTI':LTICnAI./GG'v=f_E%T
2) A?T_...TC:_iT . (PLEASi PRL'ii)
f ??ri wn ?-
ADoREss: ?QPAYV Pi ??3PJO'5 c 6
C=, sTATE, Zrn: r MW 5C5?/190
E. PfiO?:
3) PLL:'°n
?: TN
MP
t1 (PLEdSE PR1NT) ,
S?N FOA CITY USE O4LY
_
?
PLUMBING CRaIN6 '
ADDRESS: 12201 MINNETONKA BLVD .
PLUu.BEe75 6NA:
. Aeti
CITY, STATE, ZIP: ' .' x red
?
pHO?= ? Haicr.
PLUNBER LFCENSE N N ord
?
?
' nicia
4) 2'[[T?F_VT/GF,:iIE.R
NAME: n (PIEASE PRiNT)
ADDFtESS -
CI'!R. STA2E, ZIP-
PtK}:tE:
S) I1i1pICI.iE :qHICH PERMIT IS BEING REQUES'lM: '
JE CL:."`iIEC,TION 'Ib CZTY SEViER
? GON,=ON 'Ib CZTY S-TATER
? U.'[1ER (PLG15E DESCRIBE)
6) rZZG,.^:: C:.::: . •
' • ? P*.r\SE f?OLD r1PPROVID pERMST FOR PIr,:-Gc BY O:QE OF AEM'E
I
.?_PLZS :T?SL RPPRflVED PEF1IIT 'PJ 1, 2. 3, 4 AB O4'E
I
i
I
7) SI
' (Cicle- one)
,
C.;-?TL
R: :- DATr: - J' ?
.
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M
l_ r •
F O R C I T Y U S E O N L Y
PER}!IT °- ISSUED
F=Es: $ /L;.?v
O: ?G
$
$ (r-v '
$ . .
S
WATER PEiL^1Z:' {IPICL'uD: SliaCHArZGc'.)
WATER METER/COPPEBHORN/OUTSIDE READEB
WATER TAP (INCLUDE CORPORATIOV STOP)
S::dcR TA?
$ $
?'?-r? •?-e?
$ S
$
$
5
$ .
$ -?a-c) -
$
AC.^_OuDIT DEPnSIT - WATER
wac
SAC
TRliJIK WATER ASSLSS:?D_:1T
TRliN:C SE:•iER ASS :SS'•?E?iT
LATERAL BENEFIT/TRU:IK SE:':F.'A
I.ATERAL BEVEFIT/TRU::K WAT°_R
WATER TREATMENT PLANT SURCHARGE
OTHERt - -
TOT.?L
m OL\T PAITJC°I?T ?'._SQ)Lc?/7i? ,
_ . . . . .. .. _ ,.' i;.
DOES UTILSTY CON:IECTION REQUIRE EXC?,VATION IN PUSLIC RIGHT OF WAY?
? YES ZF YES, THEPI n"PE3MIT FOR *r70RK WITHIN
PUBLIC R0ADWAY" MUST BE ISSUED BY THE
?--A10 ENGZNEERING DIVISION. LIST AS A CONDI-
TION.
SUSJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TI.LE: '
DATE:
w fm o+om
t -
.?
y
Z/BQ
I
CITY OF EAGAN
?
M
N?u
-
APPLICATION FOR P£R:ti1IT
SEWER AND/OR WATEA CONNECTIOAT
. (PLEASE PRINi)
1) PROD? ?ORF-S5: I?? I??II J???
rcraI. D:SC'tiI?yPICV:
(Lot/Block/Sti,tiivisicn or Tax Parcel I.D: NL.^mer)
! T'r MilS._;G STRS:C^ME , Deli : Or 02?G.i AL `uiIL^L:G P=-=. ISSZ:?\?:
Zear1
PDrS=. :^;7LiF:/??OPOS=-) C+S: ? R-1 SitiGZ:. nL+SLY .
M R-2 DUPI-=? (2'.<O L^]I:'S)
. Q R-3 RCxv1II:nTCr (Tf'?= + L':1I:5) U.1I':'S)
? iZ-'} UllITJJ
? CCIti!%IE?CL3I,/RE.'"".?:I?CE TICE
Q 'CCSIRZm
Q ??STl?LTIC\.?L,/GG'VE???+.E?'T
2) AP?LIC.iT (PLEASc PRlt1i)
NAt•1E:
ADDRESS: ?Q (Q
Crrzr STnT--, 7.IP: ? M ? .?
e PF'0NE: ? _ , - -
3) pj,Umn, PLEA?E RI
-
MPSON PLU?IBIN?
C?
H
a FOp CITY USE OYLY
r??: -
..
T
O
ADDRESS: 12 . PLUee LICEA
bAINNETANKA_ IutINN 55343 Attiv
CITY, STATE, ZIP• ed
PHONE= H?, ICr.
PLUMBEA LFCENSE N i Of R COI'
-
- " ' r nicta
`?) C.LLCiYP1?fP/G?v?IEtZ ?,?.? CILCAJG YM1Cif)
?
ADDRESS:
CIZ"l, STATE, ZIP•
PFiC}:IE:
5) INDIG,TE :V[-lICH PERi3IT IS SEInG REQLTEgTID:
EM Q,'':zI£CfIOD1 4q CZTY SE4iER
? Q."'D7?,'EX.TIG.1 'Iq CIT1' UATER
? U•"IER (PLCASE DF=BE)
--
• ? Pl--LSE f?OID RPPP,WID PER'4IT F02 P=-LP BY ONE Of e\£ME
? PIE7-SE ?:aIL APP.RpVm PFF:•LLT T'J 1. 2, @3 4 AFOGE
-,- -I (Circle one) -
7) SIC.-%2L'Rc,:
DATE: L7-'B5
?f ?! olilawJS?a i? +? aa ?c??a?aa aw ?? o??a a? s s?cs?.a:?a ai ?.e?ra??sy ? r rt ? aa ?saa
F O R C I T Y U S E O N L Y
Pc2MIT °- ISSUED
FEES: $ /l7-S°
/G.So
$
S -
5
S /S.uv
S
S
$
S
$ S
$
WATER PERfIIT (IPICL'uDE SliRCHA3tGE)
WATER METER/COPPERHORN/QUTSID ; REe=,OEcZ
WATER TAP (INCLCDE CORPORATION STOP)
SE:GE2 T?.?
=ICCC_._ ?..?GSI= - c_..=3
AC.^_OUtT DEPOSIT - WATER
iaac
SAC
TRliVK WATER ASSESS:?ET
TRGNK SES•7ER aSSESS:•iE:iT
LeITEP.:+L BENEFIT/TRU:IK SE:•.TE.T'c
I.aTERAL BEDIEFIT/TRU::K WATER
WATER TREATMEIdT PLAIQT SURCHARGE
OTHER: ::: - . --
TOTAL
,i
AM0CTt'T PAZD/RECEI?T n S`?oZy7.L
AOES UTILITY CONNECTION REQUZP.E EXC?VATION IN PUSLZC RIGHT OF WAY?
L, YES IF YES, THE:I n"PERMIT FOR 'AOR:t WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY TY.E
_?O ENGINEERING DZVISION. LIST AS A CONDI-
TION.
SUEJECT TO TFiE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DAT°:
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?
2/84
CITY Or EAGAN
AP?LICATZON FOR PERMIT
SEj4ER AND/OR WATER CONNECTIODT
(PLEASE PRIMi)
1) PP.OP=_Z!"! ACDRc'SS:
i Fr-,L Dy...CRSPTZC:1:
(Loc/Block/Su:.ci.ivisicn or Tat Parcel I.D. N4:,oer)
37 W:IS:'=;G S?'PS;C^TRE, DaT: OF CcZT_GZAi uiL:I.`:G ISS::r\G.:
PR:..SL^ _.:^.;7I:r-/??DPOSED L'S: 13 rZ-1 S= FA?ffI.Y .
13 R-2 DUPL.": ('I'ti0 L^?i 5)
. 0 R-3 2Cf.vti.,cE (T!-'?'.."? + L?1I^:5) ( INITS)
II R-4 :,:?1PW`?:'P/CC_7Ci'_T_'IIL?i ( [T.iITS)
? CC1l"IERCLM/RE^'.?I?Cr?'IC::
p m'CCST:Zi.AI,
p ?STI:LTIC?L?L/Cw^V?'J?TM"?T
Z) }_P??,I`•.,r (PLEASi ?R1tiI)
l
NAi•lE: fkv
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AcnREss: 9 o ?
cr:Y, sTaTE, ziP: Y1'll y)tjcaD
"LI
?Sp
_
.
PHONE:
3) p11711REP, . PLEASc PRINT)
tu??:'--THOMPSON PLUMING CO., INL. FOR Y USE O4LY
.
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DOES UTILITY CON: eT20N REQUIRE EXCaVATION IN PU&LIC RIGHT OF WAY?
SUEJECT TO THE FOLLOSJING CQNDITIONS:
'
? ES IF YES, THEN A"PERb1IT FOR 'r70FZK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
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APPROVED BY:
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2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
--J's l -?05-, a-
93n ,?.
Ne+vConstrucllonReauirements RemodWReoairReauiremenis ?? ft7
3 registe2d sfle surreys showinq sq. fL ol lot, sq. R of housa; and J roofed areas 2 wpies of plan Gert ofYSuiveyAea ?;,
(20°6 maxunum bt covera9e allowed) 7 set of Energy Calaladons for heated addifions Tr?e 15I6`01en Recl? y
2 copes of plan showing beam & win0ow slzes; poured (ound design, etc 1 site survey for addifions 6 decks T(?Pfes ftequrted '? Y=N
isetofEnergyGalculations Addilbn•'uMicateilon-sifesepG'csystem Ti?-slteSepbcSys{em
3 copies of T2e Preservation Plan H lot platted aRer 711193
Rim Joist Detail Options selac6on shcet (bldgs with 3 or lass units
Date
Site Address
Description of R'ork
Multi-Family Bldg X Y _ N
Cost 'J 1 O 1 V /
, v 4-- UniUSte #
F7replace(s) _ 0 2 ?
Property Owner \ 1 VX\S L.IXI` 1 Y,)..d v
RMA HOME SERVICES INC.
Cootractor Home Depot Installed Sales
3200 Cobb Galleria Pkwy., Ste. 9200
Address Atlanta, GA 30339
State 763-542-8826
BG20268257
Telephone N ((g;[) Lfsw1 ?o
City
_ Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEIAI BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residen6al Ventila6on Category 1 Worksheet • New Energy Code Worksheet
(4 su6mission type) Su6mitted Submitted
. Energy Envelope Calculatlons Submiried
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so; 25% plan review
fee applies.
Licensed Plumber
Mechanical Contracior
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and aclmowledge 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 pemut, 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 requues a review and
apprqval of plans. i/ n L
pplicant's Printed Name ADplicant's Signature
Installed
Siding and Windows
LIMITED POWER OF ATTORNEY
CUUN1 Y 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 loca±ed at 6E0 Mendelssohn Avenue North, Golde;? Valle=,.•, *r1I`T
55427, having a license number of BG 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 Powerof Atterney are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attorney shall eapire 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
al-iy time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WI?'NESS WHEREOF this Lim=ted Power ef Attorney is execiitcd th:s
21st day of May, 2003
David N. Katz
SWORN TO AND SUBSCAIBED BEFORE ME by David N. Katz on this
21 st day of May, 2003.
Notary Pftaic in for the State of eorgia
b4y 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
05i162007 10:12 ERGqN ENG+COM DEU 4 96519051-45 ND.361 902
xor RESIriEr1TIAL BUTLDYVG rEMr nrptYCaT[arr
Ciry 4F Eagan
3836 Pilot Knoh Road, Eagan M1H 55122
Telepbonr # 651-675-5675 FAX # 651•675-5694
-.NewC-icSmRmuimmenh
3 regis[ew sig surveys snmving sq. ft. of bt, sq, ft of hoam; anu all roofed aless
(20%macimum 10(averege eoowee)
1 Sai15 RepoR If proPms¢@ Mriftllrg $ tp pe platBQ at disNrbed sal
2 mDin al plen ehewing EeBm 8 wlndoWSkas; pametl kund daslgn, elc.
I 5Bl ol ErlByy CalalatlOnS
3 coDIas ol TMe Preaervation Plan rf bf platted after 711l93 .
7im,lo',9 Debl Optiwm seleqpn 511eH IOUiICirig,s nO 3 of iess un651
4Annapsm rtadhenrtal venUlaGM lprm
Remade4Rmtr Reoulrements;
2 coples of Dian showing foo6ngs, heams. joisfs
7 sEt of Ene+gY Ceiaiathns kr healed aidioons
1 si(e suivm for addltlcns & ded0
Aa'tllNon • 1rtlicatBll an4e sey0k ayafem
sfate thev are trade
'P gO.C)o
Offica u:eOn
Cenol6urveyAecd Y _N
Soils R¢pOrt _Y _N
Tree Pfes Pmn Recd _,Y _N.
TreeP2sReQUlred _Y_N
Qn31105eptiasystem _Y ,_N
Date l?^ 1 o7B07 Const-uction Cost
Site Address I?!Q r1 TJnSUSte p
J
Aetcription of Work
:?Iu14?-Famlly Bldg _ Y _ N
Freplnce(s) , 0 - 1 _ 2
? Troparty Owner ?"'?e-,j Q,Ovynp. 'felephone N(16/) z
Q-
Cantnctor
Kddress
State
Window Concepts of MN, Inc.
990 Lone Oak Road Suite 114
Eagan, Minnesota 55121
Toll Free 1-888-712-1733
License #S 20163493
www. windowconceptsmn. com CPty
Telephooe N ( )
COMPLETE THIS ARE/A ONLY IF
Energy Code Gategory -M'nnesota Ru1es 7674 Catrnor? 1
(J submission type) , • Residenlial \lentilation Catsgory 1 Workshast
Suhmltle0
• Energy Envuiope CalaWtions SuEmitted
A NE1M BIitLDING
_ Minnesota 12ules 7672
• New Energy Gode WarksheeE
5ubmltteG
In ihe bst 12 monfhs, has the City of Eogan issued c permi} for a siMdarplan bdsed on o moster plan?
_ Y _ N If yes, dote and atlc]ress of master plan:
I? ?
Licersed Plumber /MechonicalContractor 4FP 12 2007
Sewer/VJater Contractar
Telephone #I
Telephone # (
Telephone #(
I here6y apply for a Itesidenpai Building Permit and acknowledge that the information is complete and accwate;
that the work will be in conformance with the ordinvnces and cpde5 4f the Ciky of Eagan und the State of MN
StaWes; T understand this is not a permit, but only an appiicatian for a permit, and work is not to start without a
perm:t; that lhe work will be in accordance with the appro ved pIait iu the case af work which requires a review and
appraval of plans,
App?icant's Printed Name Applicant's Signature
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Use BLUE or BLACK Ink
( For Office Use I
1
j Permit#:
L_t~-Q_fl 21/ j
City of Wan I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: A01-14 I-A j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff.
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - l hI 3 - Site Address: 15f ~5623 1571 )5?19 _ jor-~f-}' 'U n' Name:
[I---~! Phone:
Resident/
Owner Address ! City / Zip:
Applicant is: Owner Contractor
I
T e of Work Description of work:ef
Yp Construction Cos Multi-Family Building: Yes _ / No
Company: rill TiQI/ CZ/0✓Contact:
Address: -s LQs.? ~__LrZneG~a city: L4LCLCtr°a ~PL1~J_5
Contractor
State: I-t/ - Zip: Phone:
License -11 1 0 n 2- Lead Certificate -Nd ( 2 =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:
Sewer & 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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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 r~/ r'Z a~~7~i2 en_---- x--
Applicant's Printed Name Applica s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA135496
Date Issued: 03/21/2016
of ER 1n Permit Category: ePermit
Site Address: 1569 Baylor Ct
Lot: 2 Block: 02 Addition: Thomas Lake Heights 2nd
PID: 10-75951-02-020
Use:
Description:
Sub Type: Fireplace Construction Type:
Work Type: Gas Insert
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
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
Fee Summary: BL-Base Fee$3K $88.50 0801.4085
Valuation: 3,000.00 Surcharge-Based on Valuation$3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
The Fireplace Guys Llc James Tstes Blomgren
680 Hale Ave N#110 1569 Baylor Ct
Oakdale MN 55128 Eagan MN 55122
(612)326-1919 (612)326-1919
1 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.
Applicant/Permitee:Signature Issued By:Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141690
Date Issued:03/24/2017
Permit Category:ePermit
Site Address: 1569 Baylor Ct
Lot:2 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James Tstes Blomgren
1569 Baylor Ct
Eagan MN 55122
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature
IZECIEIVFLID
For Office Use C°\\GC109
APR 16 2020
Permit Fee /117'
Date Rer,eNec-:
N
F-4 X Statf
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
/4, ii-oz 4 SiTe Address. /541 inyto.A. Unit#:
„e41 // /70,Pt./4P,Ae_$_ 1.4012-Cd-441,Phone
Restderit!
OwnOr 7:7 etc,ifr./
_ A
gettj is/
411104
Type of Work -
it 000
(.0S+t - Multi-Family Building (Yes A
/7 nitrytietd.#61- -thic
(err s;riet-t 401,) ie im_t Contact 4f_a_z_m_jionyi
I c/I C.:010L4”; 19-11e City i-fifi
Contractor
PIA,70 Woly 6-57-1Y1. Vjor Erna /47foki,-Cti,:)thy/4"'rerenAll'i C
ktcense te 1.7 .Z z— :_eaci Certificate#
lead certification. eRSP &X0C n,
hirAti4.1474#i ,41t4.441 444.11_ f 7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
months. has the City of Eagan issued a permit for a similar plan based on a master plan?
and address
e & ,,tt Phone:
—
Men
,,..‘:)ntractor Phone:
Sesfirrii. &tiVat.';'4r Contractor- Phone: .
Contractor Phone:
. _
NOTE:Plans and supporting documents that you submit are considered to be public information. PortiOns Of the hifortiation may be
classified ia Ian-pub/lc if you provide specific reasons that would permit the City to conclude thatfileyjne tred,e secrete- ,
,r,C,E,Ore an electronic notification from the City of proposed ordinances by signing up for an email update on th-C:fy
xter0c,i wik ai itporized tyy a building permit issued Jn accordance with the Minnesota State Building Code must be completed within 1130
•LIV,`;
711:if ORE vCifi -., Gopher State One Call +651i 454-00C2 twist underground utility damage Ca!!40
r . cot .-"maone with he crdlaIoaiarid lode-
.,t : nci• lo start wit,o . 0 permu that iill- AP'
riff,Ct Vr*' r
X, 1104Glia
A pwr:—;it. DttrIttt Narrs A piicant's Signature
. DO NOT WRITE BELOW THIS LINE /sC J 8 ''j/D C4-. / 9J
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
Multi X Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
X Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 'S-3,bcx% Occupancy I-1-2,c - 1 MCES System
Plan Review Code Edition O i� SAC Units
(25% 1004) Zoning City Water
Census Code 2/3<-( Stories Booster Pump
#of Units 1 Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction S' Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: /V/s�-� , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162130
Date Issued:06/29/2020
Permit Category:ePermit
Site Address: 1569 Baylor Ct
Lot:2 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
James Tstes Blomgren
1569 Baylor Ct
Eagan MN 55122
(651) 295-8534
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162804
Date Issued:07/29/2020
Permit Category:ePermit
Site Address: 1569 Baylor Ct
Lot:2 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James Tstes Blomgren
1569 Baylor Ct
Eagan MN 55122
(952) 486-0427
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature