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1566 Baylor Ct CITE OiEAGAN • ' ' WATER SERVICE PERMIT 3 Pilot Knob Road P. O.. 6 x 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: R3 No. of units: C 4 )1 cx Owner: New Herita:te 1"ar-as Addrew.. Site Address: '3,U•./.lOC Lii L~ i;]"h3.~i 'x~KP .ir~'- - Plumbar: Meter No.: 3(0/ 3lvO d i Connection Charge: 500.07tx? Size: !Iz G Account Deposit: 5. 0 iipu Reader No.: A A7 2 D Permit Fee: I prw to a oplip with tha City of lawn Surcharge: 0rh9eaneee. Misc. Charon: 132.0Cpx? ',7 Total: 63.00n,-: te! r By Doge Paid: Dote of Insp.: to Insp.: CITY OF EAGAN, 'WATER SERVICE PERMIT U30 Pilot Knob Road I P. O. Box 21199, PERMIT NO.: Eagan, MM 551,21 DATE: 5-P5 Zoning: R3 No. of Units: 1 of :~l cox Owner: w heritage -tomes Address: Site Address: ?.563 D4.%'1WADUW& i`~cxnas Lace Tats 2 rrfKm Plumber: c:-;;ott cow, Meter No.:~Io 136 digging call c schorfle: - 0.00;Dd Size: ~LLLFHvi - E_CTRkc644 t: 15. oouc! Reader No.: L V D t ~F OVA TX J 1 pree to ~f With the h e • Surcf+arpe: OAhse•ces. Misc. charges: 132.!-!0;7x1 Total: G-3.00;x:1 Wit. r By- Date Paid: Date of Insp.: Insp.: Y OF EAGAN WATER SERVICE PERMIT 0 Pilot Kemb Road 30P. O. Box 21199 PERMIT NO.: 1.E Eagan, MN 55121 DATE: Zoning: No. of Units, Owner: ' I. L~_ra' "t -1 Addrew: nsamr. Site Add. ss Plumber: Vii, I y;11 ' S Meter No.: c Corotiati~ert Charge: Size: ft Rea r No.: D ` i 11 I > r . errk t Fee: i -pres to oo -ph wa the city of amps Surcharge: Own7,zz~'*- Misc. Charges: r Total: BY Dote Paid: Dote of Insp.: Insp.: 11171 Lr1':~,Y OF EAGAN WATER SERVICE PERMIT ,.38?0 Pilot-Knob 4ad P. O. Box 21199 PERMIT NO., Eagan, MN 55121 DATE: Zoning: No. of Units: 1 Of 4 Owner: Address: Site Addro' 7y Plumber. _ Meter No.: 9 '279 O/ Connection Charge: J ~ 3 5 ! . . Size: .5 , , Ram Account Deposit: L "'H! Reader No.:_ Permit Fee: 1 e9ree to eearOly with the City of Esyea Surcharge: 2. onn Misc. Charges Total: ; rf' By Date Paid: Date of Insp.. Insp.: CITY OF*EAGAN WATER SERVICE PERMIT 3830 Pilnt Knob Road P. O. Box 21199 PERMIT NO.: Eagiff, MN 55121 DATE: Zoning: No. of Units: 1 of K Owner: Addmw Site Address: Plumber: - I ~,I)_. Meter No.: Connection Charge: r~-1 Size: Account Deposit: Reader No.: Permit Fee: 1 pnro to eoow%r wkb lie City of Eeyea Surcharge: _ oediw~ Misc. Charges: Total: , By Date Paid: Date of Insp.: Insp.: CITY OF 1EAGAN SEWER SERVICE PERM 3830 PUA Knob Road P. O. Box 21199 PERMIT NO.: Eagap, MN 55121 DATE: - Zoning: No. of Units: Owner: y Address: _ Site Address: i - _1 ; T'' Plumber. 1 som to F% with the Gig of 589ew Connection Charge: Odl.mmm Account Deposit: per" ft Fee- Surcharge: By Misc. Charges: Dote of Insp.: Total: Insp.: Dote Paid: CITY OF EAGAN• WATER SERVICE PERMIT 3830 Pilot Knob Road P. Box 211% PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: }Lc i Address: Site Address: Plumber. Meter No.: Connection Charge: • Cu ` Size: Account Deposit: J Reader No.. Permit Fee: 1 elree to oew/ip nNi the City of Bova Surcharge: k OrlimaNNs. Misc. Chorga: 32.4) Tim ntt~r Total: 63.0 By Date Paid: Date of Insp.: Insp.: CITY OF CAGAN' SEWER SERVICE PERMIT 3830 Pilot Knob Road P. 0. Box 211.99• PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner. Address: - Site Address: 1'~5?_ BdylODd~4 ? 3, i> Plumber. K n, -;nn tG'-'-lr 1 spree to asragli wiN the C*y of fpew Connection Charge: 0 din MGM Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot "ob Road a. Box 21199 PERMIT NO.: _ Eagan, MN 55121 DATE: Zoning: No. of Units: ` # y Owner: - E:° iIC11!1~3^ Address: Sits Address: Plumber: : = - - Meter No.: Connection Charge: Size: Account Deposit: ; Reader No.: Permit Fee: 1 yree to -ph / skb tM City of Epe■ Surcharge: Orrlaas"s. Misc. Charges: - _ • J fix? 1 ~ Total: „ Tm er By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN • SEWER SERVICE PERM 3830-Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: - - Owner. 'irl „"):lP Address: _ Site Address: i566B T'ZNllQr Plumber. . - I eg m h aespy with on they of iysa Connectlon C harce: OaMa.ees. Account Deposit: Parmlt Fee: Surdmu : BY Misc. Owrpes: Date of Insp.: Total: Insp.: Dote pow: CITY OF EAGAN WATER SERVICE PERM 3830 Pilot Knob Abed 'P. O. Box 21199 PERMIT NO.:. Eagan, MN 55121 DATE: Zonirq: No. of Units: - '=4 Owner: Address: Site Address: ..'N Ti 71.. Plurnber: McMr No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 Nree to emmoly with "m City of sagas Surcharge: _ 0 dig mom Misc. Charges Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN • SEWER SERVICE PERMR 3830 Pil'of Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: " Owner: Address: Site Address: 3a, Plumber. n I eg r e to eery 011 wkh the C11y of ieprr Connection Charge: Ordiaanew Account Deposit: Permit Fee: Surcharge. BY Misc. Charges: Date of Insp.: Total: Insp.: Date. Paid: CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DAT RKCBIV D E I~ ' FR AMOUNT $ I_~) C] CASH ❑ CHECKIS tJI.~ 2114' _4_ A -1 R O I {(7/J I ~B P{/• lSN CODE A T 1 0~ L S d 0-tl Thank You yy , N° 50754 ~ White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 iJ WILDING PERMIT Receipt # TO be wed for Est. Volue Dote 19 Site Address Erect ED Occupancy i c~ Remodel ❑ Zoning Lot Block sec/Sub. Repair ❑ Type of Const. Parcel No. Addition ❑ No. Stories W r,: Move C1 Length 4d Name .l ct l 2. Demolish ❑ Depth Address R e J Int Imps ❑ Sq. Ft. City Phone 2D--3_ ~3C Install ❑ Name Approvals Fees Address Assessment Permit- City Phone Water & Sew. Surcharge Police Plan Review W Name Fin SAC ri_'`i_Qft Address Eng. Water Conn. ~:1Cr _ elf; Z. City Phone Planner Water Meter t(1 Council Road Unit nji I hereby acknowledge that 1 have read this application and state that Bldg. Off, Tr. Pl. 1 - OIL-- the information is correct and agree to comply with all applicable A~ State of Minnesota Statutes and City of Eagan Ordinances. Parks Var. Date Copies Signature of Permittee Total t i . ; A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan OrdirxwwAm Building Official Permit No. Permit Holder Dots Telephone is Plumbing 0 J-) v ~u ~!O H.VA,C. ~ E J- w JC Electric I J l~ g Softener Other inspection Data Insp. Other Foot ings 1 Footings 11 Foundation Framing Roofing 41/ Rough Plbg. Rough Htg. Insul /p Fireplace Final Htg. Final Pibg. Final / Cert/Occ. WatK Daseribe location: Well Sewer Pr. Disp. CITY OF EAGAN ti.)tj ✓ u 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be tram for Est. Value - Date 19 C( Erect ❑ Occupancy Site Address Lot 9 Block Sec/Sub. Remodel ❑ Zoning Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories ~1 1 YOF2I7C' Move El Length W Name Demolish ❑ Depth ..0 Z Address 1).u.. Bux 1 i Int Impr. ❑ Sq. Ft. City PLC 71 Phone 1!70191T Install ❑ Approvals fees Name Address Assessment Permit City Phone Water a Sew. Surcharge J.: ' . ~U Y Police Plan Review pW Name Fire SAC 1$U 25.00 z i ,i3 Address Erg. Water Conn S(0.00 W City Phone Planner Water Meter - U0 Council Road Unit 180.00 I hereby acknowledge that I have read this application and state that Bldg. Off. b, Tr. Pl. 34,(1) the information is correct and agree to comply with all applicable APC pg State of Minnesota Statutes and City of Eagan Ordinances. - Var. Date Signature of Permittee - - Copies Total A Building Permit Is issued to: on the express cordition that all work shall be done in accordance with all applicable State of Minnesota StotutK qnd City of Eagan Ordinances. Building Official I Permit No. Permit Holder Data Telephone Plumbing S-L., q) I 6 C ~J H.v.A.c. q3 r ^ l~ / Electric G3 !3 a 'D TD Soitwwr 61 Inspection Date Insp. Other Footings I ! Footings 11 Foundation Framing Roofing Rough Plbg. Rough Htg. Insul. Fireplace Final Htg. Final Plbg. Final cert/Occ. Water Describe Location: Well Sewer Pr. Disp. Receipt MECHANICAL PERMIT Permit No. J CITY OF EAGAN r +Fee Fill in numbered spaces S/C ` `ra Type or Print legibly Tot. JO 1. Date 2. Installation Cost <<` 3. Job Address 1Jb6 Blk Tractf 4. Owner j ~ ~ 5. Contractor~• j -4(1n(4L ma y/.Phone 6. Address 7. City State / t Zip J J 8. Building Type: Residential Commercial ❑ Institutional ❑ ter, l(J ~ci c~- 9. Work Description: New ❑ Add ❑ Alter ❑ Repair 10. Describe tx', Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Cf$>rS Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with al rdinan s and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is yotir petmit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt #t To be salad for Est. Value itI Dote 19 Site Address Erect El Occupancy Lot - *1 Block Sec/Sub. f 1{Y• ? C ii; ' Remodel ❑ Zoning 'r , Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories et Name j move ❑ Length W Demolish ❑ Depth i Address Fflk IA- Int. Impr. ❑ Sq. Ft. City 1}',' Phone Install ❑ Approvals Fees C;h. ii'. u Address Assessment Permit City Phone Water 3 Sew. Surcharge Police Plan ReviewT Z Name Fire SAC 5?~~-OQ PuE Address Eng. Water Conn. ' 0r) - OU <W City Phone Planner Water Meter I _ Oct council Road Unit 280 _rnl 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. ui r { Tr. PI. 1 32 C16 the information is correct and agree to comply with oil applicable APC Parks State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Copies Signature of Permittee Total A Building Permit is issued to: on the express Condition thm all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinonces. Building Official r Permit No. Permit Hoklsr Duo Telephone Plutibing ) V J H.v.n.c. 3 01 CL w 'Jc 1 /O 1 Electric &313(1 L I 1 to (8 r S-b Softener Inspection Date Insp. Other Footings I Footings II Foundation Framing t Roofing /l/~ ~s GL, Rough Plbg. Rough Htg. 4 Je Insul. Fireplace Final Htg. Final Plbg. Final ~So~%y J2G Cert/Occ. Water Desaibe Location: Well Sewer Pr. Disp. CITY OF EAGAN S n r o 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be Used for Est. Value Dater, 19_x. Site Address Erect Occupancy Lot Block Sec/Sub. Remodel ❑ Zoning Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories Move ❑ Length W Name Demolish ❑ Depth Address' Int Imps ❑ Sq. Ft. City -Phone-. ~ Install D Approvals Fees Name s~ Address Assessment Permit City Phone Water b Sew. Surcharge Police Plan Review ~uW Name Fire SAC ~ 13 Address Eng. Water Conn. W City Phone Planner Water Meter Council Road Unit -~;4.~ 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. Tr. PI. the information is correct and agree to comply with all applicable APC Parks State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Copies Signature of Permittes _ - - Total A Building Permit Is issued to: an the express condition that all work sholl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Des Telephone S Plumbing 5 ti y L C HNA.C. tp p O S E-d w '.'(k - 3 = g~ Electric 3 3 ~~L(o b Softener Impaction Date Insp. Other Footings I Footings 11 Foundation Framing Roofing Rough Plbg.;. ado- Rough Htg. 1//;/L6' ?U1 9 /A! 8~r 2. e.~ e Insul. Fireplace Final Htg. r Final Plbg. Final Cervocc. Water Describe Location: Well Sewer Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: + Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ! I?ilp{;5 ~°5f. t III I ~lil f ~."i'JI~ ( I Iii+~ I I . PERMIT SUBTYPE: TYPE OF WORK: 1 I'i5I f'!Ii INSPECTION DATE INSPTR. • TYPE DATE INSPTR. [-I I td u I ! I ! , , I I I'!+^r! 1'. '•i 1 :1f`:1 i i ! ! t Ii I I :;i i 7 ! ++tl! {il I !!i. HI~.I'; I Ili~il: t kl'~ Ili. I I I ! i~ ! i F•,1 I{!!i,l I Permit No. Permit Holder Date Telephone N S/W PLUMBING Ja. oo HVAC ELECTR ELECTRI ~1 q ~9 Inspection Date Insp. Comments Footings I Foundation Framing Roofing r~ Rough Plbg. V.s/Q I/ Rough Htg. Isul. Fireplace ~~7r1"G y y~l `l~ Gy Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Jam/ Bldg. Final Deck Ftg. / Deck Final Well Pr. Disp. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fes Fill in numbered spaces S/C Type or Print legibly ToL 1. Date 2. Installation Cost 3. Job Address Lot Blk._ Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip B. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter 0- Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn" Slop Sink Gas Piping Outlets 12. 1 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 Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address l ' 'Lot Blk. Tract 4. Owner 5. Contractor one - 6. Address 12201 MINNETONKA BLVD. 7. City State Zip 8. Building Type: Residential (Q--- Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures 'Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances andcodes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Ilk. - Ara~~ 1 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 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 Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4548100 Receipt " PLUMBING PERMIT Permit No. CITY OF EAGAN Fee fill in numbered 4mcm S/C Type or Print legibly Tot. 1. Date r - 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor one T G 6. Address 12201 MINNETONKA BLVD. MINNETONKA, MINN. 55343 7. City State Zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 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 464-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk.;2 rac 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank j Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn, 3 Slop Sink Gas Piping Outlets 12. 1 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 Final Inspections: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 >l✓ y s// t/S Receipt MECHANftL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spacer S/C -j Type or Print legibly Tot 1. Date 2. Installation Cost ' ' 4 .r, Get »rct C 3. Job /Address I d4 Blk. Tract 4. Owner e 6 ~Uca f . s 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential B Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type --;c- 11. No. uinment BTU - M. Ea. No. Equipment CFM Forced Air ' Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. i Gas, Piping Outlets 12. 1 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 Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt i PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces a/c Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner b. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures t Water Closet Cesspool/Drainfield Bath tubs -.-T . Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink L_ Gas Piping Outlets 12. 1 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 Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. - - CITY OF EAGAN Fee Fill in numbered spaces S/C Type or A nr legibly Tot. 1. Date /i 2. Installation Cost 3. Job Address i Lot ' Blk. Tract ` 4. Owner 5. Contractor one THO: , 6. Address 12201 MINNETONKA BLVD. MINNETONKA, MINN. 05545 7. City State Zip 8. Building Type: Residential 0 Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 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 Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 484.8100 I _ GEO. SEDGWICK HTG. & AIR COND. CO. 3 LI 4/-S HOUSE HEATING TEST RECORD ADDRESS ~LOf~ C l CITY OCCUPANT OWNER HEAT LOSS ATE,#tl G. INST. SOLD BY , TL'r t2 INSTALLED BY Ce o c, C(,\ C IC Electrical Work By y 1 Gas Line By Geu sec~ TYPE OF HEAT GA_ FA_/_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAX9 OF BURNER Model ~'~h Aw oa? ~1 OS v Model Serial Max. BTU Rating INPUT o a MAKE OF FURNACE Model CONTROLS ~ THERMOSTAT _ -p'S Bi Heat Plug Vent Size ZZ z6 Valve t 55~ X KIND OF LINER DATE NE Limit ST Fr- o Draft Hood, Regulator AJ ^J c^ - Limit Setting QS'o°1'_ Filters Size Number Fan Setting ?~?►C Chimney Location Inside Outside Pilot Type 4 ~c spa' ^ k Chimney Construction C ~s J3 Pilot Make r-c L Pilot Model q 4~ - ) n- Smoke Bomb _ Wiring Pilot Timing s7Draft Test Tag SE'S L.W. Cut Off Door Pressure - Lighting Inst. G ~C Pressure C- - Percent CO 3 /0 Date Tested it 2 & - Input CFH-~.` c ~/-l Percent Testin9 ~C 02 Company Testing Stack Temp. Percent C02 ° Name of Tester Form 235 GEO. SEDGWICK HTG. & AIR COND. CO. 3 y~~sLS HOUSE HEATING TEST RECORD ADDRESS 0 C C i CITY .3 OCCUPANT OWNER HEAT LOSS DAT HTG. INST. SOLD BY Lit) oQL - c,~A 2., INSTALLED BY\ 72 Electrical Work By i. A r Gas Line By C' o TYPE OF HEAT GA_ FAQ- HW_ STEAM SPACE HTR. UNIT HTR. O HER GAS DESIGN AMAIN ON MAKE a ~4 MAKE OF BURNER Model 3 9 g4 G JA w o Q v: 0,S u Model T C V I E W E D Serial s 8`~/~ 6 98 Max. U_Rating-- - INPUT U v v MAKE OF FURNACE - _ - Model 6Y 24 _ CONTROLS J 7-rr `l 11 Heat Plug Vent Size THERMOSTAT Valve E-55E_,X KIND OF LINER SIZE NONE Limit STCmc Draft Hood 0 t• r~ swl TL-s Regulator siot Limit Setting o2 So Filters Size Number Fan Setting Chimney Location Inside Out ide Pilot Type Chimney Construction « r, Pilot Make Saec ~o Pilot Model Smoke Bomb Wiring r' Pilot Timing 7 Afy T Draft Test Tag J!' L.W. Cut Off Door Pressure Lighting Inst. Pressure Percent C020/~- Date Tested / y - oa y - C S Input CFH ~ C Percent 02 6 fU Company Testing o Serau : K Stack Temp. Percent CO Name of Tester Form 235 GEO. SEDGWICK HTG. & AIR COND. CO. 3 9411l 1 HOUSE HEATING TEST RECORD ADDRESS CITY OCCUPANT OWNER I HEAT LOSS DATE HTG. INST. SOLD BY L\a ~a,~tkt Z INSTALLED BY Electrical Work By . i•' Gas Line By C•- TYPE OF HEAT GA_ FA-Z_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN pk GVERSION ~ d o-" MAKE . MAKE OF BURNER r 6 Model _ .3 `I'CS%) ~J Ol •4 Model - 12 Serial ~ a 94Aa t 9 Z~Max. BTU Rating INPUT - O r o MAKE OF-FURNA - Model CONTROLS THERMOSTAT~_ Heat Plug Vent Size Valve > .t u KIND OF LINER SIZE NONE Limit Draft Hood ~n Regulator Limit Setting Q so i=- Filters Size Number Fan Setting T ~ Chimney Location Inside Outside Pilot Type t~E> 1 ^ c Sri<+ Chimney Construction ' Pilot Make J p e CA r-c, i- Pilot Model Smoke Bomb Wiring Pilot Timings 7f)~✓ Draft Test Tag YE S L.W. Cut Off Door Pressure Lighting Inst. ''D K Pressure • 3 - Percent C02 Date Tested ~4 - ~,S Input CFH '70 - r (7; FN Percent O2 Company Testing r'U S F~ . K - Stack Temp. Percent CO Name of Tester Form 235 GEO. SEDGWICK HTG. & AIR COND. CO. ,CJ 3 J ~iZS HOUSE HEATING TEST RECORD ,Q ADDRESS CITY OCCUPANT OWNER HEAT LOSS D TE H INST. S~ . C SOLD BY ~II Z INSTALLED BY o - Electrical Work By _ E Id < Gas Line By J N ~ TYPE OF HEAT GA_ FA- HW_ STEAM SPACE HTR. UNIT HTR. THER GAS DESIGN ~*VERSION MAKE 1 S1.)A-; O ~ MAKE OF BURNER C Model ? 6 L13 - SU Model. Serial S6'8SN/ 9~;~ Max. BTU Rating- _ INPUT _ a o c MAKE O ILRNACV -Model CONTROLS THERMOSTAT Heat Plug Vent Size [ Valve T J) r, S 0 ,1 Cu n C- KIND OF LINER 0 SIZE NONE Limit _---4cAn~sT .07 Draft Hood 16.7, ed Regulator N Limit Setting ; /Q 4 O 0/-- Filters Size Number Fan Setting /0 6 °,t Chimney Location Inside X, Outside Pilot Type /p r• -S r~a'X Chimney Construction u~ c Pilot Make T'o j+n c o n Con vo L bb Pilot Model 7M90 -CAN Smoke Bomb Wiring Pilot Timing -'T s-7,4 #Vi Draft Test Tag L.W. Cut Off Door Pressure - Lighting Inst. " K Pressure s"" c Percent CO 2--~~e-0- Date Tested Input CFH EW Percent 0 Company Testing l' Name of Tester rs ° Stack Temp. Percent c Form 235 CITY OF EAGAN Remarks De- Addition Thomas Lake Height ddition Lot BIk ~2Pa10el #10 Owner ~t street 1566 Baylor Court State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 8~ 1 STREET RESTOR. GRADING SAN SEW TRUNK *SEWER LATERAL 1 57,61 7,5-2 A012172 WATERMAIN *WATER LATERAL 1981 WATER AREA ~.61 -8 STORM SEW TRK 1981 [312. 37 20.82 249.91 AOM 2 5-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Uni t An-On n rr WATER CONN. 500.00 BUILDING PER. 10583-10586 SAC ci25. 00 PARK CITY OF EAGAN Remarks Addition Thomas Lake HeightAddition- Lot /O Rik AL Parcel #10 Owner f Street 1566 B Baylor Court State Eagan, MN 55122 Improvement Date P71.61 nt Annual Years Payment Receipt Date 53 STREET SURF. 279-71 55, - 94 S 111.89 A012172 STREET RESTOR. GRADING SAN SEW TRUNK /173 pax; 50-, * SEWER LATERAL 7. 5? - -8 WATERMAIN * WATER LATERAL WATER AREA 19gi 136-si 27-30 C; 4 STORM SEW TRK / 1981 2 249.91 &0121T2 5-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. rV)I) nn BUILDING PER. 10583-1 SAC 525-00 PARK CITY OF EAGAN Remarks &3aU Z.24, Addition Thomas Lake Height ddition Lot Ik 19=,rcel #10 ~ A 8 Owner street 1568 Baylor Court State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1981 279.71 55.94 5 1]1.89 A0121T2 5-5- 3 STREET RESTOR. GRADING SAN SEW TRUNK 44~ +BEWER LATERAL 1112 1991 37.61 7 . 52 . 15.05 A0 1 5-5-83 WATERMAIN 'WATER LATERAL 1981 WATER AREA 5 1 A0121T2 I STORM SEW TRK h 19gi .37 20-82 1 STORM SEW LAT 1981 724-9-.91 A 1 - CURB & GUTTER SIDEWALK STREET LIGHT n n WATER CONN. C;00 no BUILDING PER. RI-1 ()rgf; SAC PARK CITY OF EAGAN emarks - _ 2YjW M2 Addition Thgmas Lake Height ddition Lot elk _ -Parcel #10 7f% Owner / street 1568 B Baylor Court state Eagan, Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 111.8 A012172 5-5-83 1981 279-71. S-1; 94 -1; STREET RESTOR. GRADING SAN SEW TRUNK 7 *SEWER LATERAL 1981 37261 5Z 15-05 a012172 8 WATERMAIN *WATER LATERAL 1981 WATER AREA 1981 136 - -1; 1 27 - 30 -1; 14.61 AQ121 2 5-5-83 STORM SEW TRK 1981 312.37 20.82 1 -1; 249.91 A0121T2 5-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT RoaA 11nii- $280.00 53620 ?1285 WATER CONN. 500.00 n u BUILDING PER. L0583-10586 SAC PARK RESIDENTIAL f BUILDING PERMIT APPLICATION d ~I b 3~ 5 CITY OF EAGAN 3830 PILOT KNOB B RD RD - 55122 R,D, 651-681-4675 ^qqq New Construction Reaulremerds RemodellReoeirReauirements 74~~oj . 3 registered site surveys showing sq. R of lot, sq. R of house; andrl0 roofed areas . 2 copies of plan (20% maximum lot coverage albwed) . 1 set of Energy Calculations for heated additions . 2 copies of plan showing beam & windows¢as; pouted found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Inds If home served by septic system for additions . 3 copies of Tree Preservation Plan I lot platted after 7/1/93 . Rim Jost Detail Options selection sheet (bldgs with 3 or less units) DATE 2-/a , h~ VALUAION .~G Y'6- JOB SITE ADDRESS / S(o 6 IF MULTI-FAMILY BUI ING, HOW M Y UNITS? e/-6a L PROPERTY OWNER~t °~/1/`/r '/P Flo PP~2 ACTLLVI o e VVun~ TYPE OF WORK lY 2~~~~ FIREPLACE(S) 0 _ 1 _ 2 APPLICANT PHONE# Ib~a~_ d 353a ADDRESS 3 Y311 ZIP CODE 55-a ,p-y PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical System Includes: - Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone ~ id I F"',A a t ~1 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Or innaannces. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex DP 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi D 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or_ N ❑ 25 Miscellaneous 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 2 Q Z~ Occupancy 7Q- ? MC/ES System Census Code Zoning /10--Z5_ City Water SAC Units ~L Stories Booster Pump Nbr. of Units _L Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const S-'-t) Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) IA51 Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final - Siding _ Stucco _ Stone Insulation _ Windows (new/replacement) Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total y A9 Request Data Fire No Rough-In opsect equired Inspection Other Than ROUgII-Io (You m~uuss~t call inspector when ready) ❑ Ready Now ❑ Will Notify Inspector 9y ca Yes ❑ .NO Dale Ready I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street Be. or Route No.I city S f3 u too C~- 'i a*1 Section No. Township Name or No. Range No. County / Occupant(PRINTI ~tp 14S Phone No. a eq 1 1 Vt /e Power Supplier Address Electrical Contractor 1 ompany Name) Co achers License No. S Mailing Address (Contractor or Owner Making odleflal}(nl - zic'ei Authorized Signature IG nV / er Making Ins ali n) Phone Number MINNESOTA STp 6OARD OF ELECTRIC ITY THIS INSPECTION REOUEST WILL NOT Grlgga-Midway Idg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 5510A UNLESS PROPER INSPECTION FEE IS Phone(612)6i2-0606 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION '078914 ES 0 o -oe ~q 8/ 7 S. Instructions for completing this form on back of yellow copy. W 4 999 "X" Below Work Covered by This Request ew Add Rep. Typeot Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (speafy) Contrector'rs Remarks: f= V/i s~!5~ a f t% Compute Inspection Fee Below: r # MIrrigation er Fee # Service Entrsance Size Fee # Circuits/Feeders Fee ool 0 to 200 Amp 0 to 100 Amps Above 200 Amps Above 100 Amps Inspector's use only: TOTAL p ms ection unication THIS INSTA LLATION MAY BE ORD SCONNECTED IF NOT This request void 18 months from ✓J , ~P O 061-936 L'1 (3 L)'-- kJ q 2- Y.1 Sa Request Dater - Fire No. Peeuuhfetl Inspection Ready Now} Will Notily InsPec- 9-13=1985 7{Ryes ❑No for When Ready v.~op Licensed Electrical Contractor - LR I hereby request inspection of above ❑Owner electrical work installed at: Street Address, Box or Route No. City 1566 Baylor Court Eagan ection o. Township Name or No. Range No. County - Dakota Occupant l PRINT) Phone No. New Horizons Power Supplier Address Dakota Cty. Farmington Electrical Contractor (Company Name) Contractor's License No. O.B. Thompson Electric Co. AO"R A40602 Mailing Address (Contractor or Owner Making Installation) 12201 MtkaABlvd., Mtka 55343 _ Authorized Signature (Contractor/O%r Rr Maki g'Installalion' Phone Number 6f .r^ 1 933-2521 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul, MN 65104 . Phone 16121 297-2111 - ENCLOSED. 5157 6% REQUEST FOR ELECTRICAL INSPECTION ER-00001-04 - 'r See instructions for completing this term on back of _7 VVollow copy 93 A X" Below Work Covered by This Request Noss Add Rep. Type of Building Appliances Wired Equipment Wired XX Home Range Temporary Service Duplex water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. j EX- 2.50 Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peel Y .vier (Soecoy) tha. Feu y Other Other XX- ompute lnspectiott Fee Below n Fee Service Entrance Size s Fee Feaders/Subfeeders p Fee Circuits UG 0 ®Qo 200 Am s 0 to 30 Amos 0 25.0 0 to 30 Amps Abovq20U-Amps 31 to 100 Amps 31 to 100 Am s SwimPoolAbove 100Am s Above 100_Amps Transrs Irrigation Booms Partial%Other Fee Signs Special Inspection Rem: irks $43.00 TOTAL `douse Rough-in Ora,Le y~ the Ele r _ ! Inspector" hereby certify that the above Final at. `~C Faction has been -2 JJ made. This request void 18 months from This request void 3 / 18 months from -7-e (Q 5W 41 , 0 7 9 7 g5. 9, ,6 of liv m &7 a ~io•~, Reoucst Date Fire No. Rouuh-in $.Spec on Re: d? ady Now ❑ Will Nolify Insper- ( s No for When Ready 'Licensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed et Street Address. Boa or Route City 15-66 ral action No. Townsh' Name or No. Range No. County Y Occu and (PRINT) Phone No. S„~1 ~5a _v a~3 Power Supplier Address A,~~ Electrical Contractor (Company -Name) ^"^*+°~'z^s License No. ':;ZD 5 EL R C go Mailing Address (Contractor or wne a i on1Auth on a Signaty a (CO a8or akfd I st. r Phone Numbygr XrX~, / ~O V V fV MINNESOTA STATE B OF ELEC ITY THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD 18219 75-v oom N- 55104 UNLESS PROPER INSPECTION FEE IS Pho1821 97-2211111 I, MN cJU ne (61122) ) 2971 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ER-00001.04 See instructions for completing this form on back of yellow cOPY~ 116571 7 X' Below Work Covered by This Request / -1 New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo I.lnloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm they puc v Thor ISo,:im t e Veci fV ther Other lompute Inspection Fee Below M Fee Service Entrance Size N Fee FBedarsrSobfeedars H Fee circuits 0 to 200 Amps 0 to 30 Amts 0 to 30 Amos Above 200 Amps, 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 1110_Am)s Transformers Irrigation Booms Partial-'Other Fee Signs Special Inspection $ Remarks e,~ TOTAL O Rough-in Date I' the El. - Inspector. hereby certify that the above Final ~t~/~ inspection has been made. r This request void 18 months from This request void Q~ VS,Qnonths from -g 063937 L 10 a ~ L)c, o a R"o,'A1 te Fire No. Rough-eIdn?Inspection Repu r Ready Nuw Will Notity InsOec- -.9 13Oa=1985 nly.s ❑No nr When Ready Licensed Electrical Contractor I hereby request inspection of above ❑10wner electrical work installed at: Street Address. So. or Route No. City 1566 B. Baylor Court Eagan action No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. New Horizons Power Supplier Address Dakota Cty. Farmington Electrical Contractor (Company Name) A406<02r's License No. O.B. Thompson Electric Co. Mailing Address (Contractor or Owner Making Insmilation) 12201 Mtka,Blvd., Mtka 55343 Authorized Signature.(Contra clor Owner Making InstallatiA) Pho a Num er X33-2521 THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS one 1612) 297-2111 ENCLOSED. p REQUEST FOR ELECTRICAL INSPECTION EB-00001-04. See instructions for completing this form oa beck of yellow copy. 0,9 / X" Below Work Covered by This Request ft4A,1d Cep. Type of Building Appliances Wired Equipment Wired XX Home Range Temporary Service Duplex Water Heater X Lighting Fixtures. Apt. Building Dryer Electric Heating Commercial Bldg. Furnace 2.50 Silo Unloader Industrial Bldg. X Air Collditioner2,50 Bulk Milk Tank Farm Other Spec y Oiher(specifyl t ,r S_V-_1 fy th Other ompute Inspection Fee Below # Fee Service Entrance Size a Fee Feaders/Subteeders # Fee Circuits lujuu 0 200 Amps_ 0 to 30 Amos 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Am s Above 100_Amps Transformers irrigation Booms Partial- Other Fee Signs Special Inspection 5 Remarks 6e TOTAL' `E Rough-in Date e , the El 'k. tri ~j.r,Inspect tor, hereby certify that the above final Dot e Faction has been _de. This request Vold 18 months from This request void D D 18 months from ( U 063938 1- ~b a 7),,m, uK4-v RP.quest Date Fire No. Rough-in Inspection Required? C]Ready NowlaWill Notify Iaspec- 9=r3-1985 191e, ❑No or When Ready ,TTLicensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Bmx or Route No. City 1568 Baylor Court Eagan Section No. Township Name or No. Range No. County Dakota Occupant( PRINT) Phone No. New Horizons - - Power Supplier Address Dakota Cty. Farmington Electrical Contractor (Company Name) Contractor's License No. O.B. Thompson Electric Co. A40602 Mailing Address (Contractor or Owner Making Installation) 12201 Mtka Blvd., Mtka 55343 Authorized Signature (Contractor/Owner Making Installation) Phone Number f r'a : G ~d~ 933-2521 THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Griggs-MidweY Bldg. -Roam N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED, 5a REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ,,See instructions for completing this form on back of yellow copy. >r, ""X" Below Work Covered by This Request zf Nen4Add . ep. Type of Building Appliances Wired Equipment Wired X% Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Floating Commercial Bldg. X Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm outer peel v Other (Sper:ity) t .r Specify Other Other Ds,Dp, 5.00 ompute Inspection Fee Below p Fee Service Entrance Six. a Fee Fe.dets/S.bfeeder. N Fee Circuits 1100DG19 .0 0 to 200 Amps 0 to 30 Amps 1.015 .00 0 to 30 Amos Above 200 Amps, 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Amps Transtormers Irrigation Booms .50 Partial-"Other Fee Signs Special Inspection 43.00 TOTAL F ~ Remarks 4 HOn$ J Rough-in D11e r/ ,the Ele Inspector, hereby certify that the above Final Date inspection has been per. 1.4 made. This request Vold 10 months from 55376 a? ¢ 9 0 Request Date Fire No. Rough-in In ction Required Inspection Other Than Rough-In (You must call inspector when ready) ❑ Ready Now W Will Notity Inspector Yes ❑ No Date Ready I licensed contractor ❑ owner. hereby request inspection of above electrical work at: Job Address (Street Box or Route No.) City 6 t6 Section No. Township Name or No. Range No. Coun Occupant )PRINT( Phone No. Power Supplier Address 06* 1 q/lryi Ay Electrical Contractor(Co Perry Name) Contractor's License No. aiit C f r-c C~lo?A69 Mailing Address [Contractor Or Owner Making Installation) 110--y Ad Aumonzetl 5 store Cony l 'Owner M tnstallaaon) Phdone N umbe9r / III 76J -5-66' MINN OTA STATE B D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mldwsy Bldg. Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. f 9a f REQUEST FOR ELECTRICAL INSPECTION o-• EB-000m- III See instructions for completing this form on back of yellow copy. 4 717~~... I b- 6 c 07 N 5 7 6 "X" Belowilvi Covered by This Request , Nei Add Rep- Typeof Building Applianceswired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specity) Contractors Remarks: r_-M6 11~ Compute Inspection Fee Below: _ 9 ~7~~ # Other Fee # Service Entrance Size Fee is Circuits/Feeders Fee Swimming Pool 0 to 200 Amps C to 100 Amps Transformers Above 200 Amps Above 100 _ Amps Signs Inspector's Use Only: TOTAL Irrigation Booms [~~/-LC~rfd Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the Electrical Inspector, hereby Rough-in ~U. certify that the above inspection has Final Date G been made. OFFICE USE ONLY This request void 18 months from Reque t le Fire No. Ro -In Inspection Req iretl Ins ection Other T n Rough-in (You inusl call inspeor8 hen ready) Reatly - We1iBYnspedor C] Yes No Date Read YY..]] I licensed contractor ❑owner hereby request inspection of above electrical work at Job Address (Street, Box or Route No. n City C [-0^ T ,AIJ Section No. Township Name or No. Range No. County Oc-cup{ant (PRINT) Phon No. p Power Supplier Adtlress Electrical Contractor (Company Name) Contractor's License No. 7h - .Sri it &';l ~ e4clwf/z- Mailing Address (Contactor or Owner Making Installation) Auth ri a natu ( a rl ner Making Installation) Phone Numbe MINN A STATE BOARD OF ELECTRICRY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg, - Boom S-128 I I BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul, MN 58184 1I1 II, 1 I III III II UNLESS PROPER INSPECTION FEE IS Phone(612)642-0888 I III ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ER-00001-0-9/ O' V 0, See instructions for completing this form on back at yellow copy. "X" Below Work Covered by This Request New Add Rep. Type of Building Affina es- fired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps over 100 -Amps Signs Inspector's Use Only: TOTAL - Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE RDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough in Date certify that the above inspection has Final oa been made. ' OFFICE USE ONLY This request void 18 months from . This request void L+r~ 6 9(~ ~i~r 18 mnn[hs from Jh/ M f J 6 a i1~ LK, v g.o t) I I Request Date Fire No. Rough-in Inspection 9-13-1985 Required? ❑Ready Now PgVi Notify InsPeo )a Yes ❑No for When fleetly 30"1-ecensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Bo• or Route No. City 1568 B. Baylor Court Eagan Section o. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. New Horizons Power Supplier Address Dakota Cty. Farmington Electrical Contractor (Company Name) Contractors License No. O.B. Thompson Electric Co. A40602 Mailing Address (Contractor or Owner Making Installation) 12201 Mtk`a,Blvd., Mtka 55343 Authorized Signature (Contractor/Owner Maliitg Ins tells ti n) Phone Number Cam' o 0~ 933-2521 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mitlwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone 1812) 297-2111 _ ENCLOSED. 55.? a REQUEST FOR ELECTRICAL INSPECTION EE-00001_04 See instructions for completing this form on back of yellow copy. o '-X" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired 7{ Home Range Temporary Service Duplex Water Heater g Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. g Furnace 2.50 Silo Unloader Industrial Bldg. X Air Conditioner 2.50 Bulk Milk Tank farm Other peclty [her ISnnci fy) t er Specify R Other D Othuur K.DD, 5.00 ompute Inspection Fee Below Fee Service Entrance Size 4 Fee Feeders/S.bfeeders K$2445.5C Circuits .0 )U(;10. 00 0 to 200 Am 2s 0 to 30 Amps D to 30 Amps Above 200 Am is 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above 100_Amps Transiormers Irrigation Booms Paitial.'Other Fee Remarks Signs Special Inspection TOTA EE House /.J Rough-in D `b ti r I, t Electric • Inspe erehy certify that the above Final - Dx to Cam. r~2~ . ~.e inspection has been made. This request mld to months from -RENNEFMAL CO v A wI -e r c_ i c-- Soul-> ~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New Conetructlon ReeufremerM RemodellReoair Reeulremerde • 3 registered site surveys showing sq. R of lot, sq. t of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations fo heated additions . 2 copies of plan shaving beam 8 window saes; poured found design, etc.) • 1 site survey for exterior additions d decks • 1 set of Energy Calculations . Indicate 9 hone served by septic system for additions . 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Oetall Options selection sheet (bldgs with 3 or less units) DATE VALUATION :;2 T< SITE ADDRESS 56~ 7 56SI 8. /.~/r-+ MULTI-FAMILY BLDG XY -N TYPE OF WORK FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT E-Z STREET ADDRESS y t`- ~ b 0-~I` 5?~ CITY STATE )N 111` S Sy 15 TELEPHONE # G 17- -bbl - CELL PHONE # FAX # 613,- Vo - dab 7 4a4~ PROPERTY OWNER 1 /CW Lrr! / rl~~S M.n<< TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY ~TJ Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MPINESOT:1 RULES 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: - Air Conditioning Fee. $70.00 Heat Recovery System Sewer/Water Contractor. Phone # I, n it OCT 0 A 20n7 I hereby acknowledge that I have read this application, state that the information is,Correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina ces. Signature of Applicant v OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 ~i) .a' .t928.7 Cp~R 0000 60~ t0 - . ~sZSS> A < f N~ 67 e 9260 ~ 3ia~ ¢.90 F' p ~ f 9Z6, p~ ~925p) O 21.33 3100 ra O .v . ?I 3 7.0 ~.\O Off- a .4r 3\ b 0~" O b' 0 ~'41 j V \H 0 1 O Z ?O\ \ i' 0 ; \3M \ 7t 33Q~ \V O r N 3/ 00 ?Z 3;.\~ b / 57.? -0 3j00 R O 4 jc'E /o (9240) d" 0 Denotes Iron Monument o Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation- (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 926.0 Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 926.5 1 hereby certify that this is a true and correct representation of a survey of the boundaries of: Lots 9, 10, 11, and 12, Block 2, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 13th day of March 19 85 Paul A. Johnso REY/s£D G/to/es C4AN44FD LOTS 9410 To 9( w/o Land Surveyor, Minn. Reg. No. 10938 KALE 11,40 CERTIFICATE OF SURVEY for McCOMBS-KNUTSO ASSOCIATES, INC. NEW HOFUZ ON EOEEYITIEE [EEIEREi WE O fUErETEEi ATE PLANNERS c 7430 `7 t\_.....~s: MNNEIJOLIE rna MUTCNINEON, WMNEEOT~ i CITY OF EAGAN N_ 10 5 8 4 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PH ON E: 4548100 Receipt # A (u (U To be used for 1 of 4 PLEX Est. Value 56,000 Date JITY 16 , 19-35 Site Address 1566 BAYLOR COURT Erect (i] Occupancy R-3 Lot 9 Block ceclSub. Remodel ❑ Zoning PD Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories NEW HORIZON HOMES, INC. Move ❑ Length 44 s Name i P.O. BOX 1367 Demolish ❑ Depth 26 Address Int. Impr. ❑ Sq. Ft. City MPLS Phone 42039 0 Instal ❑ Name SAID Approvals Fees s5 Address Assessment Permit 301-00 K City Phone Water b Sew. surcharge 28.00 Gx Police Plan Review150.50 w Name Fire SAC 525.00 u~ Address Erg. Water Conn55OO. 00 1Z City Phone Planner Water Meter 63.00 Council Road Unit 280.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. 6/26/855 Tr. Pl. 112-on the intormotion is correct and agree to comply with oll applicable APC Parks State of Minnewto Statu nd City of Eoga Ordinances. ////JJJJ~~~ Var. Date Copies Signature of PermiMee~ ~~~RIK( Total 11 -9_79 5(1_ NEW HORIZO 1 A Building Permit is issued to: '$r N an the express condition that d City o7 Eagan Ordinances. all work shall be done in accordance with all opplicabl t a ,eSo =10_7 Building Official 1. ~ \ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN " 11 NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ii UNIT ~(o TD61h~({ OUSt: INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY IOF PLeX 1 SET OF ENERGY CALCULATIONS I~ a S_I~oi~OCO. To Be Used For: _Rts~otwet, Valuation: - 4 Date: 21 krona P5 Site Address: 15(n( JjffU ('J- OFFICE USE ONLY Lot: -9_ Block ,Z Sect/Sub 77F0 ~s .c,eks-Erect )C Occupancy R-3 L'~1 Remodel Zoning PO Parcel 0 Repair Type of Const Y Enlarge # of Stories Owner A/ ~,ej ~,,,e Tam Move Length Demolish Depth 2~0 Address P.O. t~ox /367 Grade Sq Ft City/Zip Code Lp~i.Nr SSY~a Contractor sym t_ APPROVALS Address Assessments Permit 301.E Water/Sewer Surcharge City/Zip Code Police Plan Review 150-~ Fire SAC ge Phone U Engr Water Conn Sop. Planner Water Meter Arch./Engr r ~1tiswaLd Council d Unit 250.°= Bldg Off6 l,, D Parks Address APC Treatment PI 1;2-le Phone 4 Variance S, S U Has 7S2 ~1 TOTAL /I i i CITY OF EAGAN N~ 10583 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 Receipt # 536", _y To be aeed for 1 of 4 PLEXst. Value 56,000 Date JULY 16 , Iq 85 Site Address 1566B BAYLOR COURT Erect1 Occupancy R 3 Lot 10 Block 2 -e^lSub. THOMAS HTS 2 Remodel El Zoning pT) Repair ❑ Type of Const. V Parcel No. Addition ❑ No. Stories NEW HORIZON HOMES, INC. Move ❑ Length 44 Name Demolish ❑ Depth 26 1367 Address MP BOX Int. Impr. C3 Sq. Ft. City MEL S Phone one 420-3900 Install ❑ O Name SAME Approvals Fees Assessment Permit 301.00 ~ Address City Phone Water E Sew, Surcharge 28.00 Ga Police Plan Review 1 50 _ SO Name ME Address Fire SAC 525_525-()n 3s Address Erg. Water Conn. 900 (If) RE City Phone Planner Water Meter A'A _ nn Council Road Unit 7Rn no I hereby acknowledge that I have read this application and state that Bldg. Off. ~6/RS Tr. ad Pl. 7?7 no the information is correct and agree to comply with all applicable A~ Parka State of Minnesota Statutes nd City of Eag Ordinonus. Ver. Date Copies Signature of PermiMaa~ Total 7 Q7q /Sn A Building Permit is issued to: NEW 14ORTZON H an the express wjndiflon~ t all work shall be done in accordance with all applicable f of M' rota Statutes and City W Eagan Ordinances. Building Official ,k TI~41'24 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN 1 NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN Lf-JIT 9L TF~WNIIOUSE INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS or- 4 PLtX Sarno. To Be Used For: _RlSIpEw[r_ Valuation: } Date: 21 kma 85 Site Address: J5(oCo --P JoU ( OFFICE USE ONLY Lot: 10 Block 2 Sect/Sub T)w.., S 44X~Erect Occupancy f94*j Remodel Zoning p Parcel # Repair Type of Const -Z Owner Enlarge # of Stories 1l/a,J fto~c~zoi L/omes s<~c Move _ Length 44 Demolish Depth 2Lo Address P p, t4ox /3!,7 Grade Sq Ft City/Zip Code L P s., /l7iar..T.?fsy. Contractor Z34rn APPROVALS Address Assessments Permit '30 0~- Water/Sewer Surcharge 8,° City/Zip Code Police Plan Review 150 5- Fire SAC 525."-- Phone # Engr Water Conn rrpo.°-° Planner Water Meter (D3.° Arch./Engr D ~~cirusaC~ Council Unit Bldg Off J Parks Address APC Treatment Pi Variance Phone 0 3s 7T8 TOTAL ~L~C7 Sv ' CITY OF EAGAN N_ 10 5 8 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 Receipt # To be wed }en I of 4 PLEX Est. Value 58,000 Date TFH.Y 16 19-.:L Site Address 1568 UDE iRT Erect 0 Occupancy R-3 Lot 1_ Block 2 Sec/Sub. TFl S T.1{ FITS 2 Remodel ❑ Zoning PT) Repair ❑ Type of Const. 17 Parcel No. Addition ❑ No. Stories Move ❑ Length 44 Name NEW HORTZ NV H(TMF'_Gr TTY`_ Demolish ❑ Depth 9"j_ Address- _P_0_ BOX 1367 Int lmpr. ❑ SQ. Ft. City MPT G Phone Install ❑ SAME Approvals Fees o Name 8' Address Assessment Permit 9 City Phone Water R Sew. Surcharge ~n .00 ~a Police Plan Review j z93.5() ~W Name Fire SAC 525_00 UO Address Eng. Water Conn snn_nn <W City Phone Planner Water Meter 63.1710 Council Road Unit 280. 00 I hereby acknowledge that 1 have read this application and state that Bldg. Off. 6/26/85 Tr. Pl. 1 39 Off the information is correct and agree to comply with all applicable State of Minnesota Stotute City of Ordinances. VaCDate Parks Signature of Penmittes yZz r - Copies NEW AORI HOMES, Total T~r8t7~l1 A Building Permit Is issued to. - INC. L)j an the express Conditlan thm all work shall be done in accords (~~woh all opoll a Sto nnewta Statutes and City of Eagan Ordinances. Building Official `s-tt• - ~t~>1-~,/ 0~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN U Nil INCLUDE 2 SETS OF PLANS rO11h~FjC7U 3 CERTIFICATES OF SURVEY ~O F 4 PLEX 1 SETT OF ENERGY CALCULATIONS SS, ooo. - To Be Used For: RLSIOErtJCL Valuation: s(~ggA Date: 21 Site Address: 15(c, Tdtl h~ a OFFICE USE ONLY Lot: _1 Block 2 Sect/Sub7-AFomes "*a-Erect X Occupancy -3 Parcel 0 •9'l-w Remodel Zoning Pn Repair Type of Const 'V Owner Enlarge $ of Stories I✓e.,J I~o~l~zow/ &Cmc' r,,,L Move Length 44 Demolish Depth 2.'I Address PO. 14ox 1-767 Grade Sq Ft City /Zip Code L~P~s. , ar. T?S~yo Contractor sgmjr-_ APPROVALS Address Assessments Permit Water/Sewer Surcharge 2q City/Zip Code Police Plan Review 153. So Fire SAC y25. Phone 9 Engr Water Conn Soo Planner Water Meter (03. Arch./Engr p. C-Xicr opL.1 Council R2,ad Unit Zab. Bldg Off s arks Address APC Treatment Pl 132,'= Variance Phone F C V3-.r- 7S2 s1 TOTAL / So CITY OF EAGAN N_ 16 5 8 6 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 Jc~3 ~aoLU BUILDING PERMIT Receipt g To be and for 1 of 4 PLEX Est. Value 58,000 Dota7ULV 16 , 1q--E5 Site Address 1568E BAYLOR COURT Erect 10 Occupancy R 3 11 2 THOMAS LK HTS 2 Remodel ❑ Zoning PD Lot Block cec/Sub. Repair ❑ Type of Const. V Parcel No. Addition ❑ No. Stories e: Name NEW HORIZON HOMES, INC. Move ❑ Length 4- _ Z P.O. BOX 6 Demolish ❑ Depth 27 z Address Int Impr. ❑ Sq. Ft. City MPLS Phone 420-3900 Install ❑ SAME Approvals Fees a o Name u' Address Assessment Permit Jn7 no f- City Phone Water 8 Sew. Surcharge gQ - no Polio Plan Review _],5j ~B_ GW Name Fire SAC 59S nn H Address Eng. Water Conn. SUOa iW City Phone Planner Water Meter inn Council Road Unit 280~00- I hereby acknowledge that 1 hove read this application and state that Bldg. Off. 6/26/85_ Tr. Pl. 32 the information is correct and agree to comply with all applicable APC Parks State of Minnesota Statutes,~nd City of Eayary~Ordinances. [_y~~ Var. Date Copies Sigrwture of Perminaeo NEW HORIZON Total 1_ e A Building Permit is issued to. H~ 7ldi^. on the express corxlinon Itwr all work shall be done in accordance with all appli e'State of rmsotc Statute% and City o! Eagan OrdinanCei. Building Official L~c' /11 f r~ 1985 BUILDING PERl1IT APPLICATION - CITY OF EAGAN V~ NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF FAGAN \ `l U hlIT 19 INCLUDE 2 SETS OF PLANS T~~Nlloll~C 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS I or- 4 ~Ek sa To Be Used For: RLsopC ycL_ Valuation; C~--- Date: 2l ~ lurne. FSS, Site Address: M(Of3_ f-4" OFFICE USE ONLY Lot: I- Block 2 Sect/Sub77APMAS AA*4-Erect X Occupancy R-3 IiEi9arr Remodel Zoning 12- I Parcel # Repair Type of Const Enlarge # of Stories Owner /fo,t~zo.l , kmas y„C- Move Length Demolish Depth Z~ Address P.D. egic 1-767 Grade Sq Ft City/Zip Code 1?llfyo Contractor SRm t- APPROVALS Address Assessments Permit Water/Sewer Surcharge 2l.~ City/Zip Code Police Plan Review =1a Fire SAC 525. Phone 0 Engr Water Conn Scx~. Planner Water Meter ~3. Arch./Engr D Cie A.,ot l Council ad Unit 180. m Bldg Offk ct J Parks Address APC Treatment P1 l 52•~ Variance c Phone 0 Nis-7.sa4e TOTAL TE j~1~a[~Q_ Taer.AN►1AVSE_ ^7 N f 2(►s75 MINNEAPOLIS, MINN. HEAT LOSS CALCULATIONS HEATING& AIR CONDITIONING C0,14,4" cl, Weatherstrips A.S.H.V.E. Construction No. VInBUletion Wndows Doors Guide Out. Wall IM. Wall Ceiling Roof Floor Kind How Applied Reference Yes-No yes-No ig FI. L iw , j o _,?Ho°m Length ^,Z Z Width Z Height j Ft. f'ngSt &13 Room Length o -Y{:daM G Height r Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area No w.mx Heiph[ No. of L,nael h. Area Wl ath He,pht No. of Lineal It. Area of pane of cane lights of crack s°. It, No. °f ane of ane li hta of crack ap. ft• ~ ~1~ 2 2 t 2 2i 17 Coal Btu C-yaef Btu Infiltration '`'5 Infiltration 2~ 3 -1co SI' Glass 2y Glass 11 ti "r Fi% Exp, wall 12 a Exp. wall 1c) A Net exp, wall 244t Net exp. wall int: watt- Oqr 1 l!Z 22.2 Int. wall ceiling. a t2 2b Ceiling 2oto drS , 5 1/, n Floor Floor 7 Total Btu. 5-117 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. rr., rna(_ Room Length j 3 Width Height Fl. `C»Ihq„gom Length i 5 Width ! i 1 Height Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area No. WiArn Harpht Nc. of Lineal ft. sq. No ~nah -Herghl No. of Uneal fl. Area of ane al ane li h[s pl cr ck ft. o ane nl ane - h hla of era .k a f[. G -7 L E E ee~ru 2$ 2 2 ! Coe( Btu Coef Btufq Infiltration 224 Infiltration fit{, R7Jrl G1866 S~ AG ca Glass I f r"fl Exp. wall Exp. wall :a Net exp. wall , U 62 Net exp. wall Int. wall Int. well R CC Ceiling j y 7t.~ 9 j 2,5 2 Ceiling Floor Floor S ~L) !t ~j U1: Total Btu. S Total Btu. 3-:1,11 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. . or sq, ins. W.A. Leader area F1. YC;.~ ,t Roam Length 1~. Width Height FI. 6flCVVA Room Length I() Width C? Height It Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area Wrlm Herghl No, of Lineal Ir. 4rea W,mh Hr qht Nn, of L,neel It. Area N°' of ane of pane li hts of crack ap, h. No. at ane of ane h hts of crack s f[. Co Btu e( Btu Infiltration Infiltration _ Glass Glass Exp. wall Exp, wall Net exp, wall Net exp. wall Int. wall Int. wall 2j0 Ceiling rrl r'•. ; l Ceiling 12•x."1 21 Floor - - Flow Total Total Btu. Btu. Required sq. ft. E.O.R. or sq. ins. W.A. Leader area 1 Required 6q. ft. E.D.R. or sq. ins. W.A. Leader are !I _ HEAT LOSS CALCULATIONS HEATING& AIR CONDITIONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. - Insulation Widows Doors Guide Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Reference Yes--No Yes-No 19 Ft. -173 Room Length IQ Width Height Fl. Room Length Width Height Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area No. Widrh He-Ohl No- of Lneal It. Area Nq. Width Height No, of Lineal fl. Area al ane of pane lights of crack eq. 11. Or s of ane lights of crack SQ. If. Cosi'l Btu Coal Btu Infiltration a~ 3A I 7(p C) Infiltration Glass Glass Exp. wall I !q' Exp. wall Net exp. wall S(n .2 0 Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor :k LV-1 Floor Total Btu. Total Btu. _ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.Room Length Width Height Fl. Roan Length Width Height Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area Widrh Height No. of Lineal h. Area W~gth Htnpht No. of lineal t, Area No. of ane of ane lights of Deck sq. ft. No. al one of ane lights of crack s q. ft, r lal a fv' L Coe( Btu Coef Btu Infiltration 01'7 2223 Infiltration 1 13 Glass qp Glass Exp, wall Exp. wall 'AS IL Net exp. wall 232 4.1 k 137 Net exp. wall Lni_+ual•l ,;r". ( Z '7U 22 Int. wall Ceiling Ceiling _ Floor 4l Floor - Total Btu. Total Btu. I ID Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R, or sq. ins. W.A. Leader area Length ► Width Height Fl. Room Length Width Height Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area Nu. W.mh Height No. of Lineal fL Area Ng. Winch H"'I't Nn. 0 1 Lineal It Area of pane of Pane li hta of Crack sq. ft. of ane of ane lights of crack sq. it. Coef Btu Coef Btu Infiltration Infiltration Glass Glass _ Exp. wall Exp. wall 5to q.t Net exp. wall Net exp. wall 7;<6 Int. wall Int. wall Ceiling Ceiling Floor S Floor 7. Total Btu. Total Btu. Requirell sq- It. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BDI"LOINd~ Eagan, Minnesota 55123 Permit Number: 0 2 4 4 6 0 (612) 681-4675 Date Issued: 08/31/94 SITE ADDRESS: 1568-B SAYLOR CT LOT: 11 BLOCK: 2 THOMAS LAKE HEIGHTS 2ND DESCRIPTION: BOil ding'~.Permit Type BASEMENT FINISH Building W'6,r_k Type ALTERATION r r- 1J CNI, REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 COPY $.50 Surcharge $.50 Total Fee $36.00 Subtotal $35.50 CONTRACTOR: OWNER: - Applicant - BATA JOSEPH 1568-B BAYLOR CT EAGAN MN 55122 (612)486-1816 h i hereby acknowledge that s have read this application and state that the information is correct and agree to comply with all applicable State of M,n.. L Statutes and City of Eagan Ordinances`, 2 Z I AFVLIGANTiPEF%M ITEE IGI TURE ISSUE : SIGNATURE INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 024460 Eagan, Minnesota 55123 Date Issued: 08/31/94 (612) 681-4675 SITE ADDRESS: LOT: 11 BLOCK: 2 APPLICANT: 1568-B SAYLOR CT BATA JOSEPH THOMAS LAKE HEIGHTS 2ND (612) 486-1816 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING INSULATION ROUGH IN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK J CITY OF EAGAN 14440 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site sur eys, 1 copy of energy calcs. AuG 2 6 M4 COMMERCIAL 2 sets of architectural & structural p ans_$_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 Valuation of work Site Address: I.S(19 11,8i 34 y102 Ct. C to&A,.1 STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUED. 19 S L;iI<e f(ee5( S P.I.D. # and AAd_11t toll Description of work: r e , n'S The applicant is: Owner ❑ Contractor ❑ Other (Describe) Name 13P,M ,30st0k-F Phone 46&-S&SS(hWrd Property LAST FIRST 4B6_ 1877 (won k) Owner Address _IgIe~ "69' ~ boa C STREET STE # City ~C'A-.J State NA/ Zip 2 ~1_ Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 2/84 CITY OF EAGAN lull APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (P EASE PRINT) 1) PROPERTY! ADDRESS: LEGAL DESCRIPTICN: (Lo /B1 /Subdivision or Tax Parcel .D. N=mDer) IF E.`iIS'I.'::G STRU=-M- , DATE OF OR11=1AL EUILDL`;G PE_,<IT ISS~A CG: PRESL.'r ::-7rN ;/PTnPCSED USE.: ❑ R-1 SZ;GLE FAMILY ❑ R-2 DUPT Y M,.-O LNITS) ❑ R-3 Traa% iSE (TI-m.ED + =-.S) ( UNITS) R-4 APA2 PVT/COII-SIr~1 ( UNITS) ❑ CCi2k1ERCLAL/RErAIL/OFFICE ❑ mDUSTRIAL ❑ LVSTITUTIONAL/GCVEP^T-\ . 'T 2) APPLICANT PLEASE PRINT) NAME: ADDRESS: CITY, ST.A=' ZIP: PHONE:- ~J 3) PLL .IBER (PLEASE PRINT) FOR TY USE ONLY NAME - T118NM€~GN NAMING CO INC LU RS LIC NSE: ADDRESS: 12201 MINNETONKA BLVD, Act e CITY, STATE, ZIP; MINNETONKA, MIN . ~ E fired~ PHONE: U M Er fig PLUMBER LICENSE N o of rd r nitia 4) OCCUPANT/Q.zTER NAME: (PLEASE PRINT) ADDRESS. CITY, STATE, ZIP: PHONE: 5) INDICriTE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER ❑ OTIMR (PLEASE DESCRIBE) 6) INDIC=.Z ❑ PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLFASE MAIL APPROVED PERMIT TO 1, 2, ~ 4 ABOVE i (Circle one)` 7) SIG,~TURE: DATE: > / - . ~fAei~ilii~i~iMFSii :lea ~t re~~±~~aarars~saa! F O R C I T Y U S E O N L Y PERMIT ISSUED FEES: $ /p.5~ SEi•iER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - WATER $ uo. ~w WAC $ S~s-,uu SAC $ TRUNK WATER ASSESS?ENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SE; ER $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL AMOUNT PAID/RECEIPT n s DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C~ YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE -NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: t TITLE: DATE: a ~r wr r. s~ r ~ r r~ ~ i.e ~ w ate! ■ta eta eta l! qtr ata wF ~ De ~i~ •e.~ Ra ~ sr w a 41 2/84 CITY OF EAGAN .(III( APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRI ) 1) PROPERTY ADDRESS: LEGAL, DESCRIPTION: ~IJ o2 ~ ( /B1 IS vision or T -P" cel I.D. Nimner) IF '-IS71::G ST1==E, DATE OF ORIGINAL FUILDL:G P=IT ISS:;%.NC PRFS Z Il r/P?DPOS USE: ❑ R-1 S Z= FAMILY ❑ R-2 COPT= (7NO LSTITS ) 3 TC . USE (LT= + L"IITS) f LINZTS) R-4 APARr2=lT/CC_Zo-%!I`ITL•1 ( WITS) ❑ LL^^TFCr--iL/RE"AIL/CFFICE- ❑ ?NMUSTRIAL ❑ INSTITLTICNAL/G-"VE-L.NLM~,L%r 2) APPLIC VT ASE PRINT) W-IE: ADDRESS: CITY, STATE, ZIP: PHONE: 3) PLL.iB-~-' . NAME- (PLEASE PRINT) FOR CITY USE ONLY T4499PSCN °6U~h6(NG CO INC. PLUMBERS l3GEASE: ADDRESS: 12201 MiNNETONKA BLVD. etive CITY, STATE, ZIP: MINNETONKA, MINN. 553 E 43 d No f Re rd PHONE: PLUMBER LICENSE # r n:tta 4) OCCUPANT/CJ.yjTI ~ (PLEASE PRINT) NAME : ~ n ADDRESS: _ 'z~ CITY, STATE, ZIP: PHONE: 5) INDIC<"ATE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SEWER [ CONNECTION TO CITY WATER ❑ 071ER (PLEASE DESCRIBE) 6) UMIC= C:I: ❑ PLEASE HOLD APPROVED PERMIT FOR PZC"-'P BY ONE OF ABOVE [}PLEASE MAIL APPROVED PERMIT TO 1, 3 4 ABOVE. (Circe one) 7) SIG:TATURE: -f - C t_ DATE: D-5 MR wWANLAWs W~ ,Mrra ~raaras:~oaa~r r.~ssa=a:~a:r~ra~+ arar =~sa.~r F O R C I T Y U S E O N L Y PERMIT ISSUED FEES: Z6, SE:9ER PER_..T..,• (IVT-T-D' SUVCqARGE) $ SU WATER PER",1T_T (INCLUDE SURCHARGE) $ ?cu WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ i>-uu ACCOUNT DEPOSIT - WATER $ S UU- `v WAC $ 53S.C,() SAC $ TRUNK WATER ASSESS?,ENT $ TRUNK SEWER ASSESSJIENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ / ' Lv WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL VJ L . $ S AMOU% T PAIDi'REC.EI?T R ~G7j~~ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: i APPROVED BY: TITLE: DATE : ~~X 1 MOHMEsMws..u.name" fslzwp%.ws_Mnem.Ewm•," sq~wMwai.wr I 2/84 C, CITY OF EAGAN (111 APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRI~ 1) PROPERTY ADDRESS: LEGAL DESCRIPTICN: (IO /B1 /Su >visicn or Tax P4fxce1 I.D. Nurser) IF iIST~:G STRU=-ME, DATE OF ORIG IAL EUILDL1:G PE-""ST ISs:~r :Cz: PRES=1 Z:nNrlT,/PROPOSED US : ❑ R-1 Si1iGl=. FAnTLY ❑ R-2 DUPL.°•Y (7%0 UNITS) ~❑f~ 3 M..~.CUTSE (TF-P= + UNITS) ( CHITS) _V-_4 tl??~LTM P/CCZ~C.1rIr•I ( =TS) ❑ Ca%'TMERCIAL/ RZIPAII✓OFFICE ❑ INT)USTRIA ❑ INSTITLTICNAL/GOVE.°Sn~-T 2) APPLIG.21T LEASE PRINT) NAME: u~ l s ADDRESS: CITY, STAT:.', ZIP: PHONE: 3) Pll:mBE.R NAME: (PLEASE PRINT) FOR CITY/USE ONLY PLUMBING CO., (fly PLUMBER ICENSE: ADDRESS: Activ nn{nrra~ CITY, STATE, ZIP: MTNNETONKA A ELVD. Exp" ed Mi -Ha nii .",Sad / Q kilo of R ord PHONE: PLUMBER LICENSE # /7j6 r nici~ 4) OCCT-TAMP/C.gNER f NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: 0/'CONNF.CI'ION TO CITY SEWER u CONNECPION TO CITY WATER ❑ BIER (PLEASE DESCRIBE) 6) IND_CA r• ONE: ❑ PLEASE HOLD APPROVED PERMIT FOR PICT:-LOe P BY ONE OF ABOVE LEASE %AIL APPROVED PEF,•LIT TO 1, 24 ABOVE m (Circone 7) SIG:,"~,17GRE: - DATE: 7 - ~J- fl1R ! i IR b it:~ i i YR iRii :i i ! !!lJFf~YFji f1 i 11t ®[i YiOS"i [ F O R C I T Y U S E O N L Y PERMIT ISSUED FEES: $ ~D•SU SETTER PERMIT (I`TCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) $ G 3•°'° WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SETTER TAP $ i ~S,uu ACCOUNT DEPOSIT - WATER $ W~AC~ $ S6c $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SETTER $ LATERAL BENEFIT/TRUNK WATER $ 3~'<u WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ AMOUNT PAID/RECEIPT 1 _,~'7J DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: v TITLE: DATE : URM~+IR::~14 BM:Pl IRSI Nk-r N% sa 10~M wa R 10 W iJf 2/84 % CITY OF EAGAN ( APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT 1) PROPER'L'Y ADDRESS: LEGAL DESCRIPTICN: 7 / (Lot/Bl,ock/S vision or Tax Parcel I.D. Nun:)er) ' I`r E ;IS =:G STPI:M ME, DATE OF ORT.G IAL EUII.DL:G P.F_•ST ISS`UA_ C✓: PP,-SE`'I' nN'rL c;/PP.OPOSED U=- - ❑ R-1 SLiGLE FAMILY ❑ R-2 DUPT_`. (TwN0 UNITS) R R-3 TaR ?CUBE (TFD + U`TITS) ( TNI"_'S) R-4 APARTI ~1T/CC.,Ma.LTNIitiI ( L ITS) ❑ CC`Ta=,CIAL/RE:AIL/OFFICE ❑ mmUSTRLAL q LNSTITGTIONAL/G=TIM ..\'T 2) APPLIC?idT LEASE PRINT) NAi•E: ADDRESS: CITY, STATE, ZIP: PHONE: 3) PIi:,,.TBER PLEASE PRINT) FOR CITY USE ONLY NAME: _TNOMPSCN PLUMCNIG E9 INC. 12201 MWNETOM"A GwD. PLUMBERS LICENSE. ADDRESS: MINNEfeNKA, MINN. 05343 ctiv CITY, STATE, ZIP: Exp'red PHONE: card % 37i~)d~PLUMBER LICENSE N Tl~ Ott n1t13 4) OCCUPANT/Or.gjyM MANE (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: S) INDICATE WHICH PERMIT IS BEING REQUESTED: ❑'ccoNNEcrION TO CITY SEWER ❑"6ONN=ION TO CITY WATER ❑ an ER (PLEASE DESCRIBE) 6) INDIC, E C:+c: LEASE HOLD APPROVED PERNUT FOR PICT:-UP BY ONE OF ABOVE LEASE NAIL APPROVED PER%UT TO 1, 24~3) 4 ABOVE (Circle one) 7) SIGNATURE: DATE: J J ~ 1 ]tJ~ ! It I'! ps~i+ i i i sss~ at ! WFIa~ ~ S ~ ~ i sFiaa~ r F O R C I T Y U S E O N L Y PERMIT ISSUED r FEES: $ S J SEWER PERMIT (INCLUDE SURCHARGE) $ /G'~ U WATER PERMIT (INCLUDE SURCHARGE) $ 3 w WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ /)-(l L) ACCOUNT DEPOSIT - WATER $ S v~ zJ WAC $ Sz c SAC $ TRUNK.WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SESdER $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ ~S'~•°` AMOUNT PAID/RECEIPT # S°7J~f DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR T40RK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE C~ -NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: 7 ~}~s~wain~Lf~waw!f~wi.wawaikw>♦Raw~wltiA~!!7Raw®w wWL+P* awwanwi L H BL CFTY USE ONLY RECEIPT 443 SUED. DATE: D'l7o?- 873 1995 MECHANICAL PERMIT (RESIDENTIAL) ~r~ , • CITY OF EAGAN 3830 PILOT KNOB RD S~'1/95 $W e EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Fireplace conversion (to existing fireplace) Date: 1~ 2~ QS FEES ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required @ $3.00 each) ► State Surcharge .50 TOTAL SITE ADDRESS: 15A L4~aL Ck T- OWNER NAME: ~oE pwc- \ PHONE INSTALLER NAME: 'k-~A CON STREET ADDRESS: MM 2000 CITY: pco STATE: ~N ZIP: PHONE (6,k) 42A -2•LZtI a44 > a 4 <,s x & A v f n, Y x y 4 e ~F's,d 23 g, 'Y34 x.£Lia~£fi<zy' EBB>°`~°y~e4> ~~y.$' ('`°<r z im r'3 kk . `t . ~ R<gfN ~ 3 ~ ~ w > $.d. tai. ~ R' Y 5, Y £x ~ t 5•'W gH. 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814673 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOI S A CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.. - - - NO. FIXTURES EACH TOTAL SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET - 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 r^RIVATE DISP. • Da$cty. ik. 20.00 U.G. SPRINKLER ` home under coos[. 3.00 ~ 4< ALTERATIONS • to ausdng 20.00 WATER TURN AROUND 20;00 { STATE SURCHARGE S0 TOTAL: G". S l SITE ADDRESS: 9 I~pC~((1 y UM c4 OWNER NAME~:1~0-e L4 B~~fi~/`Cc INSTAL,LER:_Idf~'l_ ADDRESS: l 3 ~a ~C<I~o IJ f CITY: e u rti s v F m STATE: ZIP CODE.-,5 PHONE (01) U l c4 6d SIGNATURE OF PERMITTEE t aIe 'yw+, wtt . CLAN V6bc' ht t itob sT Is'>~a.1~1 a~J bra ~ r, 44P Im $1 „ s , ,,ItY OF RAGA tLAiJkAMt,. M-L k, ELECTRIC to o a ADbilt§~. 2402.FRIENDSHIP LANE, dr'. Location >.-_I568..S~IYL2R DURT. e Al i I k2, THQ&a s=,LA-k-L IG#la 2 Rkeeigt No. /Data -.,d/. jLtkz~ lIL ReA§6fi f6t Refufid'C'sGONtxACroR_is U§fNG.ANOTHER_ELECTRICIAN:.. - a ~ Type 6t iffuhd lisefffbai $etEift #AJ48gl9 32Hf 09 0 .40;00, Piumbing Pdtrnit 3212_§220 mo hatiidgi Pdtteit 3213=020 S Sutthatge 2155-9220 II Nat@t Gbnnddti6ti taffgi[ 3713-9220 '1 , $di►ei ObfineEti6n pettoit 3743-9220 AtddUfit D6066it 2252-4220 Utility Atdbunt 6vdt=O&YIhifit 2250-4220 1 - -Other.. TOTAL 40:00 i deeiate utidat Plnaltia® 6f Ito that thlg at66utt{ 6iainl bit dttndnd is '3uat and that fib pat't Hf it hag bedii Pald. I ' _ 10/24/94 DATE ti GNATURE ---/G ay-9y 1 I: S RESIDENTIAL BUILDING a Permit Application City Of Eagan / O O r 3830 Pilot Knob Road, Eagan MN 55122 to W Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel(Reoair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot sq, ft. of house; and all roofed areas 2 copies of plan Can of Survey Recd _Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Recd _ Y _ N I set of Energy Calculations Addition - indicate ifonsfte septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan g lot platted after M/93 Rim Jost Detail Options selection sheet (burgs with 3 or less units Date 9 / /D GL3 Construction Cost ,03 or 500 Site Address Unit/Ste # c CX~✓ a Description of Work )jeb' ,c~ Multi-Family Bldg ~C Y - N 1 Fireplace(s) _ 0 - 1 - 2 Property Owner yr; 7o-n tVS N O1R Telephone # ( ) Contractor kD c. - e L1kr A r S BE! Exterior Man ftme"ee-e~ Address 405 West 60th Street City Minneapolis, MN 55419 State Zip Telephone # tZ) S(a 1 1 a-_~2y 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. 2 f1 `s It Licensed Plumber C vu`) V'~ Telephone # ( ) Mechanical Contractor 1'. S~n t Telephone ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signatuml 75951 THOMAS LAKE HTS 2ND BAYLOR COURT 1542 10 75951 210 02 4-PLEX - TWO UNITS ADDRESSED 1543/15438 CLEMSON CT 1546 10 75951 240 02 1556 10 75951 170 02 1556B 10 75951 180 02 1558 10 75951 200 02 1558B 10 75951 190 02 1560 10 75951 13002 1560B 10 75951 140 02 1564 10 75951 160 02 1564B 10 75951 150 02 10 75951 090 02 1566B 10 75951 100 02 1568 10 75951 120 02 1568B 10 75951 110 02 1569 10 75951 020 02 1569B 10 75951 010 02 1571 10 75951 03002 1571B 10 75951 040 02 1575 10 75951 060 02 1575B 10 75951 050 02 1577 10 75951 070 02 1577B 10 75951 08002 16 RESIDENTIAL BUILDING ' Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 I ► f 0i Telephone # 651-675-5675 FAX # 651-675-5694 . SU New Constmcbonn Requirements Remodel/ReoairReguirements Office Use OnN 3 registered site surveys showing sq. ft. of lot, sq. fL of house; and all roofed areas 2 copies of plan Cart of Survey Recd -Y -N (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Tree Pres Plan Recd -Y -N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd -Y -N 1set of Energy Caloulatioos Addition - indicateffon-sdeseptic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan Slot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date G / 22 / ?co-3 ConstructionCost I own Site Address 1 ~ c c ~ RA YLC e C-T, Unit/Ste # ~g Description of Work QtPLACE 10,~2G nECL- CSAmt Af Gg79 CLEMforV W Multi-Family Bldg Y - N Fireplace(s) - 0 _ 1 - 2 Property Owner V i , S~- 0- Ck Telephone # ( ) Contractor K-hs1Lt E iLeicjfr Address 90S M/, CIO"" ST. City µlNaEfl®ol-Is State M I N NE SOT A lap S4 11 Telephone # (6s 1 322 - 4-7 C, 5 - E CXT 103 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted o, 25% plan review Have you previously constructed a building in Eagan with a similar ' M rill 1777 _77 771 -n fee applies. $EP 2 2 2003 Licensed Plumber elephone ) Mechanical Contractor B ele~(=)=t Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and apprtovyval of plans. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex X 18 Deck ❑ 23 Porch (screentgazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Y or_ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors x 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation OGt7 Occupancy 3 MC/ES System Census Code Zoning ED City Water SAC Units - Stories Booster Pump Nbr. of Units Sq. Ft. _Icy PRV Nbr. of Bldgs Length / O Fire Sprinklered Type of Const Width la REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Building inspector - Base Fee 70 2--y r Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies _ SZ~ Other Total f y2 x928.7 e,4 Y0z CpU~, Sao to C9~55~ 'P C9p6. I I a ~ S> u O) 3/• o p 4jp P \ (W.0) (925.0) O Zz.3; 3~op I`N \ ' 27 3 111 za \ 4?\ - N Al \30 / N h `,fib 0.\~ e To a 1 4b, J. ;\q3 \ p 0h \V 33, n 00 \ b Q Il %L \,ohe o..\h 3 CDs\ zt.33Q \ 00 d s71e R 4q jO E / 09 24.0) b N ~ L~~~`t C-'r~S71 O Denotes Iron Monument o Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation- (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 9Z6.0 Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 926.5 1 hereby certify that this is a true and correct representation of a survey of the boundaries of Lots 9, 10, 11, and 12, Block 2, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 13th day of March fg 85 Paul A. Johnso RE/15ED G120185 cHANGED LOTS 9410 To ge w1o Land Surveyor, Minn. Reg. No. 10938 774 CERTIFICATE OF SURVEY for COMBS-KNUTSON ASSOCIATES, ~E~~E III WE EOEEITOEE III EITE rWIII NEW ~~ON HOMES RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ~ V-1 o "s Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RenodelfReoair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies of plan Cart of Survey Recd _ Y _ N (20%maximum lot coverage allowed) 1set of Energy Calculations for heated additions Tree Pres Plan Reod -Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. t site survey for additions & decks Tree Pres Reqd _ Y _ N 1 set of Energy Calculations Addition - indkate if onsde septic system On-site Septic System -Y _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgswith 3 or less units Date ~ / ~ / -:003 Construction Cost 4 q, W o~ Site Address K CO E B A Yl_o C CT , Unit/Ste # 15 68 t k PIACr Description of Work )0>2c) peCU h yjo n w CSA MJ: AS 1r,8 r CLI MO V 00 Multi-Family Bldg Y -((~~N Y- Fireplace(s) - 0 - I - 2 Property Owner ` gx ~pLp YI C~ O W Telephone # ( ) Contractor k hl 'l LE EXl E 4 rok Address La0~ W, Col" 10, City A1rN1VtAr6itr State l N N 1A c-r} Zip l~l Telephone # (Gri I) 3 2 2 - Lf C-?t"!69 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted ~n,1y'r7'I i Have you previously constructed a building in Eagan with a simll~ VIL u g l' If so, 25% plan review fee applies. SEP 2 2 2003 Licensed Plumber Tel( ) Mechanical Contractor By Telep one ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of Mai I Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. MI'ZHht:L QvoH Gr~~ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex A 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Y or - N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldgr ❑ 43 Reroof ❑ 46 Windows/Doors x 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appllcant Valuation - ezv- Occupancy -3 MC/ES System Census Code L/3~l Zoning 1_ City Water SAC Units - Stories - Booster Pump Nbr. of Units - Sq. Ft. od PRV Nbr. of Bldgs Length D Fire Sprinklered Type of Const Ui✓~ Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone - Fireplace _ R.I. _ Air Test - Final - Windows (new/replacement) - Insulation - Retaining Wall Approved By Building Inspector Base Fee_ Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total f 9zg.5 46.4 OOP l 927.6 *L (915,5) ~~c P 2~ 926.0 / a 31.00 430'E. 76.0) 925.0) O 22.33 3ioo ~ .v \21.33 11 ~ It 70 tv o`b V\O O 0111, ~ 29 33 . \ \ \:y2.33Q \ \o 0 IZI ~tPLAc, d S7I°4430 ~ o% P XIslJK,. (924.0 d" \ ) O Denotes Iron Monument Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation- (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation- 9Z6.0 - 6 Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation- 9 Z 6.5 I hereby certify that this is a true and correct representation of a survey of the boundaries of., Lots 9, 10, 11, and 12, Block 2, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 13th day of March 19 :95 Paul A. Johnso RE✓/S£O 6/L0185 CNAN4ED LOTS 9A+o ro 96 wio Land Surveyor, Minn. Reg. No. 10938 SCALE 4o CERTIFICATE OF SURVEY .AGE for McCOMBS-KNUTSON ASSOCIATES, INC. : JL)s>> CONSULTING EIGINEEES ■ WE SU11E111E ■ SITE rUNNER FlL[ M° NEW ~i~ ES MUMMEAE°Lq W XYiCMINODM,WMNEEOTA 7430 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 I S . Please complete for modifications to existing residential dwellings. Date > / / g / Q~ / Site Street Address S& O tba t o r W u (-G Unit # Property Owner r-a r1da Cy-_ K,60jz- Telephone # W) 56~~5 Contractor 1 1 ae tAB k-S Telephone # jW) 3~ 6 - (34 b Address- 2~ dG{t r (l city CCU Qi'1 State /hr) Zip 1013 The Applicant is: - Owner `/Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: _ Water Softener Water Heater $ 15.00 t~ replacement _ additional Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge D $ .50 Total I hereby apply for a Residential Plumbing Permit and acknow edge th&th mation is complete and accurate; that the work will be in conformance with the d oinanc codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, btu only an application for a permit, work is not to start without a permit and work will be in accor4nce with the approved plan in the event a plan is required to be reviewed and approved. ~f, ~ eb 1 lip(,[ /ll~ ~L jV~hc? Applicant's Printed Name Applicant's Signature -7 00-5 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys showing sq. n. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd. _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _ N 1 set of Energy Calculations Addfibn - indicate if onsde septic system on-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) i Date Construction Cost Site Address `7 (~lO ~Jf/ /1~9G CT' Unit/Ste # Description of Work l/0 ' lw Grl Ff (~}CCS Multi-Family Bldg Ytp~ _ N nn Fireplace(s) _ 0 1 _ 2 Property Owner ~N ~ZO Telephone # ((9i) 543 . W7 g Fireside Hearth&Home Contractor _ 14,399 Huntington Avenue Address _ Savage, MN 55378 City State _ 952.736.7761 _ Telephone # ( ) License #20512060 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y - N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the Isof work which requires a review and approval of plans. 3S ql Applicant's Printed Name 4Appi is SignatuiV PERMIT City of Eagan Permit Type: Building Permit Number: EA106513 Date Issued: 0812412012 ~it~ of 11QR Permit Category: ePermit Site Address: 1566 Baylor Ct Lot: 9 Block: 02 Addition: Thomas Lake Heights 2nd PID: 10-75951-02-090 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: BAC Construction Services Todd D Gale 3032 Minnehaha Ave. S 1566 Baylor Ct Minneapolis MN 55406 Eagan MN 55122--185 (612) 721-5500 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I For Office Use/ - ~y j Permit* 5 ~(3 -L a My of Eagn I - 0 1 3830 Pilot Knob Road I Permit Fee. 61c) 1 Eagan MN 55122 Date Received: , Phone: (651) 6754675 Fax: (651) 675-5694 I staff. ~ I 1 l 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _1&z I J - I3 _ SiteAddress:~ )666- 11~~ Cr}•_ Unit Name: r ~ r l -tu/ i h /_es-__ Phone: 411.2. '721- ~ 'D Resident/ Owner Address / City / Zip: Applicant is: - Owner _ Contractor Type of Work Description of work:. r2t~q Fro~A- ------Y~--~- _ hh ~~11 V - Construction Cost: V _ G 1 Multi-Family Building: (Yes No Company: Z'9 -G17 r vc- Contact: _&_h_1 q e. Contractor Address: ~ lZYJa.7je~,---- City: r~J/}1'}~Q iW7Ir~.5 State: m/U Zip: Phone: 61a License M ~3 r 19106 2.- Lead Certificate #:-N N _ Z = f If the project is exempt from lead certification, please explain witty: (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: _ DOTE. 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-OM for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.ong 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. Applicant's Printed Name Appllca s Signature Page 1 of 3 ,_ r For Office Use • • f Permit#: 4 4 /s6oD 4:4. .0,, E AG A N ...•.. .•moi/ Permit Fee: —7/1-fi Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 4 C E IVE r:' P1L- (651)675-56751 TDD:(651)454-8535 1 FAX: (651)675- V_ I Staff: ; buildinginspections( cityofeasian.com , JUN 1 0 2019 2019 RESIDENTIAL B :`• I k - l'i IT APPLICATION Date: 4/ 7p/ Site Address:_/_169 6 l (xt lA-- Unit#: Name: 0i61i Phone:Gai Address/City/Zip: rud Applicant is: Owner .L.Contractor p-0 'Tha (BHT je #eir' k�S 6 f Q �� -- Type of, , Description of work: / ei; �1r 4 /i�_,2441 07"�- 1�x �� fi R ,fir )Oei : Construction Cost: `7I , Multi-Family Building: (Yes /No ) • s -. Company:/ eeli ST?eltGTTetrt, 9sVD / C.Th yiEbntact: /e4/1.� 1*. //`ent j Address: 14-11). &6 ez e- City: 69/Le ji,,, L e i State:, ld Zip: 95./.41/ Phone:4,s7-.24,6-V k nail:, r(p v6rAf rJrZW.s/ve jso P c;.r ,,-- , ,, License#:.P7 - 22 9I It Lead Certificate#: If the project is exempt from lead certification, please explain why: I /1-0041,1 ga Atieliei 1 147ir 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: Fire Suppression Contractor: Phone: NOTA 7 -die information maybe ,- ;� �z<'. -x - You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before ycu intend to dig to receive locates of underground utilities. www.00aherstateonecalLorq 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 pe '; that the work will be in accordance with the approved plan in the case of work which requires a review and approval x PAIL L 01' enV r x di 1 Applicant's PrintedApplicant's Signature DO NOT WRITE BELOW THIS LINE / 4 ( 7 E.4`-( I 0(2-- / -6e SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) _ Multi C Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous aft-01 of k 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 _ lO Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION �c Valuation c.tc/ 3i aloe•._ Occupancy – MCESystem Plan Review Code Edition o SAC Units (25%_100%p) Zoning F'.7 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction VB Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) ZO 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 � 1 Other: Reviewed By: 2) �(�/�' ` ' `c` ti A- , Building Inspector RESIDENTIAL FEES � X; S2/ emi r/. Base Fee �- / Surcharge Plan Review /D , 2t ' ' - 2 'Ia SS ' 'if MCES SAC ® //j:D J 19 , i4,-- City TCity SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3