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1860 Casey Tr ---r n---------j City of Eap i Permit # ( 213 I Permit Fee: Q •51 3830 Pilot Knob Road Eagan MN 55122 Date Received: 3 7 Phone: (651) 675-5675 Fax: (651) 675-5694 j Staff: t?,.3o L - ----------I k<2~008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ~)d U15 Site Address: Tenant: Robert Speich Suite 1861 Casey Trail RESIDENT/OWNER Name: _ Eagan, MN 55122 Phone: 6514053082 Address / City 5 Li( ~7 CONTRACTOR Name: 2- Q '"Otllt License -D to zfty Address; Q D5 Wt qD' City: ~t 1 State: r" Zip: ~D Phone:/t►W M a 2i7' Contact Person: Jess J TYPE OF WORK _ New -Replacement _Repair _Rebuild i Modify Space - Work in R.O.W. Description of work: PERMITTYPE RESIDENTIAL X Water Heater Water Softener _ Lawn Irrigation -Add Plumbing Fixtures RPZ / _ PV8) Main _ Lower Level) _ Septic System Water Turnaround New `Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $136.00 if a 5/8" meter is re,Iui;ed) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) CJ D TOTAL FEE I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinance f4hCCilfj o tr~ Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a perm I a he work will be it accordance with the approved plan In the case of work which requires a review and apprgvai~of plans. MAR 2 7 ZOOS x /Qi7T f Lief L ILLVI V1 wh circh ~ , x 11( Applicant's Printed me App i re By .a F.OROFF.)C%:ltu+F't::t;+,z,E.'t"<'?"'~a ~':ec2ter 10/6,933 RESIDENTIAL PLUMBING I Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings Townhoomes and Condos when permits are required for each unit Date (J9 / U3 71 1 Site Address le~ f~_~I 1 (_J Unit # Property Owner Telephone # ((/51 Contractor EWORKS 3670 DODD ROAD Address €AGAN MN 55123 City (651) 365 ( ) State Zip Telephone # The Applicant is - Owner -ILocontractor - Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations to existing dwelling $ 50.00 Add fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system Water turnaround 5/8" meter if needed - $121.00) Other: RPZ _ new _ repair _ rebuild O 1 v I~ SEP 3 o 2003 $ 30.00 UUU Lawn irrigation system I Water softener )/Water heater $ 15.00 replacement _ additional State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. J Vey 0 1.'4 App icant's__ ri ted jApicanV's a COMMERCIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 36 a aS CEO "Z 4 lv Foundation Only New Buildin Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Surrey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always** • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always** • Meter size must be established • Meter size must be established • Meter size must be established-if applicable l • Project Specs (1) 1 • Energy Calculations (1) 1 • Electric Power & Lighting Form (1) d 1 • Master Exit Plan (1) 1 L • Emergency Response Site Plan (1) 1 1 • Soils Report (1) 1 • SAC determination -call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination -call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required when it states "not always". Permit for new building or addition will not be processed without Emergency Response Site Plan. Date <9 (93 Co tructionCost y~I cS'Gr✓® Site Address Unit/Ste # Tenant Name Former Tenant Name eGo - X01 - y~-j - ->o e, Description of Work JT mgn7 G Property Owner ! 7 f- ~C{ !LG ~G~ ro'/1/) t r ' Telephone # ( ) Contractor / ✓ OAS Address 2 3 lJ~`✓~ t° ~G City ar State f7 ZipS.SOd-~ Telephone # 4:51) Arcb/Engr Registration # Address City I i~ caplf State Zip Telephone # ( 9 AUG 1 1 2003 i Licensed plumber installing new sewer/water service; Phone ) I hereby apply for a Commercial 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 Signature V CLIFF LAKE TOWNHOMES 2ND 17791 PAGE 1 OF 2 PERMIT DATE & USE LOT BL ADDRESS P.I.D. #'S 7/95 8-PLEX 010 01 1919/ JAN ECHO TRAIL 092 02 1917/ 091 02 1915/ 090 02 1913 089 02 1914/ KYLE WAY 088 02 1916/ 087 02 1918/ 086 02 1920 085 02 7195 12-PLEX 020 01 4420/ JAN ECHO TRAIL 099 02 4418/ 100 02 4416/ 101 02 4414 102 02 4412/ 103 02 4410 104 02 4409/ NAPER BAY 093 02 4411/ 09402 4413/ 095 02 4415/ 096 02 4417/ 097 02 4419 098 02 8/95 4-FLEX 030 01 4410/ NAPER BAY 108 02 4412/ 107 02 4409/ KYLE WAY 105 02 4411 106 02 8/95 12-PLEX 010 02 1871/ MICHAEL POINT DR 120 02 i 1869/ 119 02 1867/ 118 02 1865 117 02 1863/ 116 02 1861 115 02 1860/ CASEY TRAIL 114 02 1862/ 113 02 1864/ 112 02 1866/ 111 02 1868/ 110 02 1870 109 02 14 COMMERCIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 30 a , I Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Only New Building Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always- • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established-if applicable 1 • Project Specs (1) 1 • Energy Calculations (1) 1 1 • Electric Power & Lighting Form (1) J• 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 1 • Soils Report (1) 1 • SAC determination -call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination -call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required when it states "not always". Permit for new building or addition will not be processed without Emergency Response Site Plan. Date e 1-/1 1-0-3 Construction Cost i Site Address 8~/- G3-~SG7- 6 7 / se y 76o,,1 Unit/Ste # Tenant Name Former Tenant Name Description of Work 1f ~ -oc 7- Property Owner / e Q 0/7a Telephone # ( ) Contractor L~~T_ 69 f /o/ f Address 93 h Ue city a1-1,P?1-17 State All) Zip ~S6o2 Telephone # (O fX Arch/Engr Registration # Address City State Zip Telephone # AUG 1 1 ~ u. Licensed plumber installing new sewerlwater service: Phone I hereby apply for a Commercial 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. Atli a Applicant's Printed Name ApplicAesSigna ture CLIFF LAKE TOWNHOMES 2ND 17791 PAGE 2 OF 2 PERMIT DATE & USE LOT BL ADDRESS P.I.D. #'S 9195 12-PLEX 020 02 1861/ CASEY TRAIL 127 02 I 1863/ 128 02 1865/ 129 02 1867 130 02 1869 131 02 1871 132 02 1860/ BUCKLEY BAY 126 02 1862/ 125 02 1864/ 124 02 1866/ 123 02 1868/ 122 02 1870 121 02 9195 8-FLEX 030 02 1856/ MICHAEL POINT DR 141 02 1854/ 142 02 1852/ 143 02 1850 144 02 18551 SLEEPY HOLLOW 148 02 1853/ 147 02 1851/ 146 02 1849 145 02 9/95 8-FLEX 040 02 4421/ SLEEPY HOLLOW 133 02 4423/ 134 02 4425/ 135 02 4427 136 02 4420/ MICHAEL POINT DR 140 02 4422/ 139 02 4424/ 138 02 4426 137 02 15 PERMIT CITY OF EAGAN CW32 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 026292 (612) 681-4675 Date Issued: 08/29/95 SITE ADDRESS: 1860 CASEY TR LOT: 1 BLOCK: 2 CLIFF LAKE TOWNHOMES 2ND DESCRIPTION: Building' Permit Type 12-PLEX Building W6,rk Type NEW UBC Occupancy~ R-1 U-1 Construction Type V-M Zoning PD Building Length 160 Building Width 60 BuiId1rrg pttories : 2 REMARKS: INCLUDES 1862 1864 1866 1868 1870 CASEY TR S & W - VALLEY 1861 1863 1865 1867 1869 1871 MICHAEL POINT DR FEE SUMMARY. VALUATION $767,000 Base Fee $4,022.00 CITY SAC $1,200.00 Plan Review $1,407.70 WATER CONNECTION $9,000.00 Surcharge $383.50 S & W PERMIT $100.00 SAC $10,200.00 S & W SURCHARGE $.50 SAC 100 TREATMENT PLANT $4,464.00 SAC Units 12 ROAD UNIT $55,100.00 Subtotal $16,013.20 Total Fee $35,877.70 CONTRACTOR: - Applicant - ST. LIC. OWNER: PULTE HOMES OF MN CO 14525200 0001371 PULTE HOMES INC 1355 MENDOTA HEIGHTS RD 300 1355 MENDOTA HTS RD 300 MENDOTA HEIGHTS MN 55112-1112 MENDOTA HEIGHTS MN 55120 (612) 452-5200 (612)452-5200 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances.,,, ~ AC / flaIn Ro~~rl l ~ APPL NTIP MI E SIGNATURE ISSUED BY SIG TURE INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 6 2 9 2 Eagan, Minnesota 55122-1897 Date Issued: 08/29/95 (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: 2 APPLICANT: 1860 CASEY TR PULTE HOMES OF MN CO CLIFF LAKE TOWNHOMES 2ND (612) 452-5200 PERMIT SUBTYPE: TYPE OF WORK: 12-PLEX NEW INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: INCLUDES 1862 1864 1866 1868 1870 CASEY TR S & W - VALLEY 1861 1863 1865 1867 1869 1871 MICHAEL POINT DR a - , CITY OF EAGAN 3830 PILOT KNOB RD - 55122 I 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) _ 681-4675 New Construction Reauirements Remodel(Reoalr Reouirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam 3 window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711!93 required: _Yes _ No DATE: _li~I C✓J CONSTRUCTION COST~~fZC do DESCRIPTION OF WORK: L)Alt OU) / F- Gy/, STREET ADDRESS: b' Z / G f3 SS ,,~f 1- LOT -,L BLOCK SUBD./P.LD. CL L~r,~y 74-411- LOT PROPERTY Name: T6LTt= 4,,,Fj I AI(, ' Phone CC) OWNER uaT FIRST Street Address, 1'5~;5 k-Laa f A0 5100 City: AL6 iA &Ad o State: A Zip: ~/Z C CONTRACTOR Company: 15~4rMrz- Phone Street Address: License City: State: Zip• ARCHITECT/ Company: Phone 3-7 q - ENGINEER Name: fjAwlv r, 65F- Registration M StreetAddress* 21`s S•1L N~ntN #q©a City: 14relQrrAI2A, 5 State: ~Aro Zip: ~ Sewer & water licensed plumber. l/h LL & 4m 6 t j 6) Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: rr~t~ j OFFICE USE ONLY RECEIVED Certificates of Survey Received Yes No AU6 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Mufti Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ,5-09 12-plex 0 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE X31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition 13 34 Repair ❑ 37 Demolition 3 ,0. k' GENERAL INFORMATION fte Const. (Actual) _E ~~us Basement sq. ft. MCNVS System (Allowable) W Main level sq. ft. G oz City Water UBC Occupancy 2- i a-/ sq, ft. C~ z5e, Fire Sprinklered .r/,o Zoning P- sq. ft. PRV # of Stories Z sq. ft. Booster Pump Length /bo sq. ft. Census Code. _ 105 Depth GG Footprint sq. ft. SAC Code _3 Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: s 7CP 7, o eo Surcharge Plan Review License MCNVS SAC 5 City SAC ~LG f Water Conn. Water Meter G Acct. Deposit La ire SNV Permit J , p S/W Surcharge •,,1G((~ Treatment PI. / ► d/Y Road Unit ! Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Pulte Homes of Minnesota Corporation July 26, 1995 Mr. Joe Voels City of Eagan Plan Review Department Mr. Voels: This letter is to inform you that Pulte Homes Inc., will be using the same plans specifications for the 12 unit buildings located on Lot$ 2 Block 1, and Lots 1 & 2 Block 2, 2nd addition as used on Lot$ 2 Block 1, 1st addition. We will also be using the same plans and specifications for the 8 unit buildings located on Lots 3 & 4 Block 2, 2nd addition as used on Lot 1 Block 1, 2nd addition. None of the structural building components, H.V.A.C.,"plumbing or electrical will change from the original building on Lots 2 Block 1, 1 st addition. Re ards, r L Tom Thell Designer 1355 Mendota Heights Road., Suite 300, Mendota Heights, MN 55120-1112 Phone: (612) 452-5200 • Fax: (612) 452-5727 • License #0001371 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION . a PROPERTY LEGAL . a W U W T' J Q a W DATE OF SURV ~a g 5~- h LATEST REVISION: c: o 0 s x s DOCUMENT STANDARDS ❑ ❑ Registered Land Surveyor signature and company D"~'C] ❑ Building Permit Applicant ❑ • Legal description Q'~O ❑ Address M--'C3 ❑ North arrow and scale m--'❑ C • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ❑ • Directional drainage arrows with slopa/gradient % ❑ • Proposedlexisting sewer and water services & invert elevation e--,[ ❑ • . Street name ❑ • Driveway ELEVATIONS Existing m--'❑ ❑ • Sewer service 2"~ ❑ ❑ • Property comers ❑ • Top of curb at the driveway ❑ 91~-❑ • Elevations of any existing adjacent homes Proposed ❑ Garage floor 0/13 ❑ • First floor 0--13 ❑ Lowest exposed elevation (walkout0window) ❑ • Property comers t>"❑ ❑ • Front and rear of home at the foundation PONDING AREA fif applicable) ❑ m~❑ • Easement line ❑ ❑--'13 ! NWL ❑ CK- ❑ • HWL ❑ EY' ❑ • Pond # designation ❑ Zr" ❑ Emergency Overflow Elevation DIMENSIONS ❑ • Lot lines/Bearings & dimensions ❑ Right-of-way and street width (to back of curb) ❑ ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 7. porches, etc. (i.e. all structures requiring permanent footings) er ❑ ❑ • Show all easements of record and any City utilities within those easements 6 ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ -6 ❑ Retaining wall requirements, if a T Reviewed: LIrl t/ Nam ! 96te July 195 rf~, ExTEHIbh ENVELOrE AVEhnCE "U I Grp' y ^ I r"'1. 11 (al IC o!lnen! {ijc9F f~.<< ~ , sliE nnnntss! 47Z2 if /~CG&' !/5~ Tti o CnrrIRACTUR! bETEh11111E tf0llr,IllO sgUnnE kootAnb br EncNt (7~~ 4q Fk x'IU,1 r r I. ToInL Exrostb t1nLL WHEW,,,,,,,, I 'J Q 1.7{~ 4q Tt ~ rll rlr I~ ° I7r V 2. TOTAL Hoot/cEILINb AltEA,4,,,4,, VV V TOM Exposto 14ALL AREA CALCULATIONst Total exposed wall area above floor 0 sq fk trl i a) Total wall window area! ' DOUPLE glazed,,,,,, ~ aq ft x null 441 2( rylgzedr,r..+ Ig t b) Total door aYea 'U" c) Total slldltig !!last door great glazed. .,,i, i?i P~9 gq It k,~Uu .,;4- p h~ 0., nlazeJ.,..„ e (1) Total fireplace wall area 4q Ft k Hull 8~• y , o9Z MY e) Total wail FYgminq areacoMmal g_y Iq ft x t'U!' fro (Averoge W).+,. f) Total net wall area above G~(/ (y y(,,~,7 tirn, 044 floor (Insulatod).IRR'"P` 7rol5 sq Pk x.'tU" .Ob7 ` ~Or9U g) Total rlm Joist graa y sq It K t'U" O~(q Total foundatlon Iq ft area (Exposed)..++,.+.+• , Iy~ tt x t,U,t , I,) Total foundatlon window aYea 1) Total net foundatlon _J.' Iq ~t k nllu area above grade,..,.... TOTAL u) thru 1) ° X13,3 3, . If Item P3 Is the same as, or less than IkEm,p'(t you lava Mat kha Intent of 2 HCAR 1.16no9 A and U. Page t OTAL UPOSEO Roor/cEILIIIr(tALCULAtIDIft1 5c1..'°'{ . Total rxposed roof/cal I Intl areal 111 +1 ~ , f! . : J) Total skylight ah0614111liit, ~qJI: x'1011 k) Total root/cetlinq freminN:,°` II 1~ Zb area (Averape I,o2,) 11 i,`1'1 ~P~, sq ~t x U , b I) dotal net Insulated nZ 13 >jf . r roof/celllnq brba1,11,I, , 9q ft it 'lull II 10AL J) thru 1) dU If total of bh Is the some asr or Inn than #21 you have Mat this Intent of 2 HCAR 1,16001 A and 0, 1 ALTERNATE 0011-01119 ENVELohE WIN To utlllze the total envelope tyttbm methods the values wab114hed by the sum or Items N3 and ph shall not he cheater than this tulwof I WO Ml'dnd .R2, 1, Iq1, 31 + 2, I~,?8•; .i. a,1- 21~,'~2 6 40 V47 1 1 I • c~r_•TIr.Icn71oN I hereby certify that I have calculated this 0011 factors and n0 values heroln and that the butIdlnq herg•dest: Ad meet gr bxceads the State of Hlonesota Energy Conservatlon Act, i f S nnaturg , (Date) 1'n111' ? 1 w r EXTERIOR ENVELOPE AVERAGE 11U'~ COHPUTATIOl) 'ra' !rCl'Gt' ~jr} 107 1 f. 1 ifs l 9 -,7 ;`Glf!#L• 51'IE ADDRESS! ~ ~ ~ ° ~ Q ` ' bATE ! _ hllUNk` s i=% ! C1~-n1~ Lull TRACTOR! a~TERNItIE NoRk111C, snUARE koaTAGt: or 1:AC111 1. TOTAL EXPOSED 11ALL AREA,,,,,,,, rl l(~' +sq ft x uUu t 2. TOTAL ROOT/CEILING ARIA,++++.++ K7(A ~b ft k 3, TOTAL EXPOSED WALL AREA CALMATIn"S1 Total exposeJ wall area above t a) Total wall w111Jow area' DOUBLE glazed.,,,.. 80, 65 _9q rt k „U,l ALE- gIazbd,,.+,+ 4q hE k ~iU,l ` e - / b) Total door area c) Total slldlhn glass Jour areal ly.. ir~~ r_ __l'gtl rt k IIN+1 a 'r' I~UII a J - sg, r t A g►ozeJ+,,,+, d) .Total fireplace wall area 4q rt k o4Z~ q'`~5 e) Total wail frarning area `1 „U'l Ito „ f7•3(o (Average 10:!).+„+,~,.,, IU~,`> _4q ft k a f) Total net wall area above *111:1- ~M- 5.b floor (Insulatod),KrH'(^t jr1k,.5 so ft x!'U" Ub7 e _105 - Z4 1,1 v m .04. f1) Total rim foist area+GPYY'I'~~ rt k U •Ud Total foundation so (t area (ExposeJ)..+..++.+. h) Total foundatlon .91 window area 1) Total net foundatlon ft „ area above grade.+,++++, ~q ft U„ TOTAL a) lhru 1) d ~`1 3• If Item N3 Is the same as, o,• less than Itblo,#11 you Lava Met tl,e Intent of 2 IICAR 1.1000P A aid 0+ Page L I ',t 'NIAL ExI'psEn Itoor/CEILllitl CALCULAT►OMS1 Total exposed roof/celllnq nrea4iiiiiai ~~1 Ft I) Total skyllaht areaiioiii6 4q,tt k hull k) Total roof/celllnq framing ' area (AveYape 10%) i i i i i 115 liq Ft x Bull Z b d 115 1) 'Total net Insulated roof/celllnq area,+isAi,, y1P1,`~ !q Ft k full s 1114 +i. TOTAL J) thru 1) If total of #It Is the same as, or less than Nei YOU have met the Ilitant of 2 HCAIt 1+16008 A and 0t 1 I ' ALTEh11ATE nOILO111O ENVELOPE bE§1011 in utilize the total envelope system method, the values estah)►siled by the surd or Iteiiis F'3 and hh shall not be gveatar thin tha !Um bf Items #1 end x21 I. _ lot Ire 1+. 49 19~i►4 I Ctr_,TIh_►cAtlb11 I hereby certify that I have calculated the Ou" Factots end "hl' values heroin and that the hlllldlnq Ilere.desti-lhed meets or ekc6dh the State of Minnesota Enerny conservatlon Acti s gnalur~ / (bate) hnr,, 2 ,~~zav'n. _ •.i r 'zi.. a- 1 . r.',. ru ~~y ~ ;G: :y ''S'r-. •Y-`--'J Jj'G 4~ .J-a: a -`y J:7. - »-y. .r•a'h.~_'.~,-, td. .°'-~'•'~'w~. .t init. "a:(i ib1'a•'v ~ Lr, w~: n 14n'•':rwkv>.e. :+CM..zav'R. 3rs! xf-,{•.•dr~n, Y`'"T . 'y`'',: sJ",., t~rw~` .!'•t '.'Tj°'", ..~5?'3t ~~~~h Tr ..i ~ ~ ` r. r. •.v' t •d6 T"a`. i 'Ac.7 "~rq", v, d+o:' . r ,'a `'ir.,:C~.? '(G f r d > n f x u, a ~`'tti • a'.A w, ~ .,-.~~r~ CITX U,SE;OLY BL.. K'*> {:a • . sz,x rS RECEIPT x SUED IYLQ ` a~rr'w iv, ~ .DATE: J t _ u 1995;MECHANICAL PERMIT-,(RESIDENTIAL) CITY OF.EAGAN `;'h, " 3830* PILOT KNOB ;RD EAGAN; MN 55122 Please complete for: single family dwellings towntioiries and condos when°permits , are required for each unit} :a New construction Add-on furnace ' Add-on air conditioning Fireplace conversion (to existing fireplace) Date: FEES Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 HVAC: 0-100 M BTU 1'Zx 24.00 = 7-i& ,CO Additional 50 M BTU ~2)c, 6.00 = '72• co ► Gas Outlets (minimum of 1 required @ $3.00 each))( IZ NO.C J ► State Surcharge .50 TOTAL I M) 1 fal ~ l~0 3,~8(0~, l£'la~I J +E3(~ ~ I~ + M1chGlel Pk . , SITE ADDRESS: Oa. l INA 4 i~ t Py EF310 OWNER NAME: J~11~n~. VF r~1n, l ~f ~1 PHONE INSTALLER NAME:1 STREETADDRESS: ~1 W L CITY. .__L S'' jj ' fL STATE: ZIP: PHONE V G. Wera icate of cccuvanc~ WitV of pagan 2rnrtaent of Zambia 3nopection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: u. Classlfiarim 12-P EX Bldg. Permit No. 26292 occ~ lype R1/U1 zoning District PD Type Cost. VN Owner of Building FULIE HMO INS Aar 1355 >wFMM HTS RD, MWM HIS Building Add c, 1860. CM IRAIL Lcaj;tyL I, B2, Q.IFF LAKE TOWENES 2ND X, Doe: Buillifiag AIM MMS: 186264, 166, 188, '70 CASEY M & 1861, 163, 165,157, 169, '71 MIMAEL PoIn IW POST IN A CONSPICUOUS PLACE SITE ADDRESS 18 0 ` S eV f ro l Unit # Permit # 9 01-14 LQK6 /D Wnkom -s L Z Sect./Sub. ~.Q l9 , qr9 Q3 '~77 INSPECTION INSPECTOR DATE COMMENTS Y7~~ 9-~S 0 A5 ~ylsao f af_ I/ L M-14 6/ 2,0 2-7C ~5 INSPECTION INSPECTOR DATE COMMENTS 4 SITE ADDRESS a Set/ Ira Unit # Permit # a42 a902. / B olz Sect.. ii . 0-);ff La Ke 11 o wn komeS 4*d INSPECTION INSPECTOR DATE COMMENTS 44-62A~ r may-- ,,j.. r 6 i7 nt 1/-/1.5b' O 111741- ze --Y C/ q f INSPECTION INSPECTOR DATE COMMENTS 1 _ ~1 SITE ADDRESSlX64 OQSe-V lI"L~J 1 Unit # Permit # « L B Sect.ISub.~) ~A t- O WY1 ~OYY1 e 5 Of 9IQ S77" INSPECTION INSPECTOR DATE COMMENTS ? ~t y~ 9-a S~ ' t -fa n Yk a~ ~ INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS V f Unit # Permit # 0?& a 7 cz k,(ke- rd I_ B o2 Sect./Sub. Jiff !own domes cQ - Yft 9i9 s ~ INSPECTION INSPECTOR DATE COMMENTS Y Q #445 xY►s Iii i/-17- 03- fulil 0 INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS O s e ✓ ~a I Unit # Permit # a 9 a~- Lam n x o S I+11 L B Qvl- Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS u~ ? A-4 f l~F 1422-- INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS r o ~~Se~ i Unit # Permit # 9 L 1 B Sect /S b "Ke f.$51 - o2- 94 /9 7 INSPECTION INSPECTOR DATE COMMENTS A -4 yfsa / ~i r! Pl- Q.-I:; AV6 INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESAW tAt"ed ~r Unit # Permit # C 7 L B Secc.~ ub. 0,1 e I o a 9Y9195 1 "77 . INSPECTION INSPECTOR DATE COMMENTS Q ~lr 5 A)vq P o ~ - / Z.V- ` ow- -r1Z 'y INSPECTION INSPECTOR DATE COMMENTS I ~ SITE ADDRESS 1p O 6 3 MIA4e Unit # Permit # (c a9 A L B Sect./Sub. q14-f QU-" 6(y) ° r 9//, a° INSPECTION INSPECTOR DATE COMMENTS ret~ I . / AU), hW7 I INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS/ O &6 I ae-) -~h hr. Unit # Permit # L r e Sect./Sub. O f~ ,A k e I owY11'l Ones c1d qi9 f- ao INSPECTION INSPECTOR DATE COMMENTS ~a INSPECTION INSPECTOR DATE COMMENTS ' ' Y 1 SITE ADDRESS 1 u / 0~Ue 1 r!. ~r Unit # Permit # Z L B Sect./Sub. ( 4/ cr Like own", O( r .110 INSPECTION INSPECTOR DATE COMMENTS 7 ~ 9 2v - 9 e.m. 2r INSPECTION INSPECTOR DATE COMMENTS or 4 SITE ADDRESS 9 / I I t7 A e j 1 ' Unit # Permit # A ~ a L B Ckl~ ect./S b Ph JQke-~Zowrl . INSPECTION INSPECTOR DATE COMMENTS 7x it aye r~ /'12. INSPECTION INSPECTOR DATE COMMENTS I` SITE ADDRESS 1 / lM e 1 T t -~r Unit # Permit # L B Sect./ ub. INSPECTION INSPECTOR DATE COMMENTS 117 (q'5 440 /-4i-~ IR~ / , 2 INSPECTION INSPECTOR DATE COMMENTS Address 1860, '62, '64, '66, '68, '70 CASEY TRAIL & 1861, 163, 165, '67, 169, Zip 5512 '71 MIa-LAEL POINT DRIVE Lot 1 Blk 2 Sub aTFF LAKE Ibis ZID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy -0 Request ate Fire No Ro Ip !nsptlatior Requiretl Inspection OthNoerwThan oughNo-Iniity Inspector (Y call inspector when ready) E] Ready HI ✓ e Yes ❑ No Date Read I Ylicensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) { City I co, l4~ ICvlU21 ~%t `\r -DriVb O Section No Township Name or No Range No (;.only O cupr a`t~R, INT) v\ kvivj Y' Phone Z Power Supplier Address 1 3oo-2Z~ Sf. Ele focal Contractor (Company Name) Contra tor's Licsnse No Ills rl~c-t~ca Cons. Co Clili oO o(s Mailing Address (Contractor or Making 19gtal tion~~ po_LCI 1 , , ' 'S51 D7 9 _4. Authonxe Signature (ConiradorlOwner Making Ilahon) Phone Number 6o 6 cz~~ InQ Z2 28. 3 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roam 5.128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 56104 I UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 1111111 ENCLOSED ,'aJ REQUEST FOR ELECTRICAL INSPECTION A2~5 lio ~ see instructions for completing this form on back of yellow copy 019 4S "X" Below Work Covered by This Request "ds New Add Rep. Type of Building Appliances Wired Equipment Wlre Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Olher (specify) Contractor's Remarks 4 c~c~- A-m P ~ W ~12o r.nsz. Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps O L 0 to 100 Amps 5,a, Transformers Above 200-Amps 1 Above 100 Amps Moo Signs Inspector's Use Only TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY DERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH a I, the Electrical Inspector, hereby Rough-in Dale certify that the above inspection has 4 Fnal ! D been made. e OFFICE USE ONLY This request void 18 months from Req. st Date Fire I. Rau Inspech"m Required Ins ectw0 Other Than Rough-In Q (You ust call inssector❑when ready) ReatlY Now ~+17f Will Notify inspector 1 s No Data Ready KIlcensed contractor ❑owner hereby request inspection of above electrical work at Jobi dgresa:5 (Street , 4Box or Rome No l 1ckod ^ ln4- bn' vc Cny V) SecOOOlVVVVN\\o 33TOwnship Name or No II I'yll(l1 Range No Co ty Oc nt(Ppl T) Phone No Z` Po~ Supplier ~ 1 lh V lKl~l I ~G Addr S~V V v 1 ✓ 1 EI total Contractor (COm y Name) r!~ Contractor's License No Mmling Address (Contractor or Owner Makmg Installation) a--7 $ 5vco e e2} M 0 Authorized Signature (ContractodOwner Making Instal ation) Phone Number rn~ MINNESOTA STATE BOARD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roam 5-128 II III I I I I I II I I II BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (6121 642-0800 ENCLOSED 3~-~ REQUEST FOR ELECTRICAL INSPECTION [~~y(ry]y~~(y%~~ msVUrAigns for completing this form on back of yellow See copy "X" Belobv Work Covered by This Request 919 4;-5-35 Ne Add Rep. Type of 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 (specify) Contractor's Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps c, D to 100 Amps Transformers Above 200-Amps Above 100 -Amps 7 Signs Inspector's Use Only TOTAL Irrigation Booms PLDL „SpecialInspection Alarm/Communication THIS INSTALLATION MAY BE OR ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R°ngn,n Data t ' certify that the above inspection has been made Final / %h~ oa1g~ `f G/~ OFFICE USE ONLY This request void 1s months from Reques Date Fire No. Rau Inspecrum Required Ins coon Other Than ,o hln II You mu tyall inspector when ready)Ready Now Will Notify Inspector G' l I-q es ❑ No Date Read I )(licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Rome No.) City M Q~J I2GC f 6 CO- hylvb G rl Secr.n No. Township Name or No Range No County r 1 . O upanl(PRINT) Phone No. 1k~ 1~oM~~ 200 Power Supplier Address C. I ZZOK 4-rw ( eS~ Electoral Contractor (Compen Name) Comrador's License No 11 V\s Lucv . C~ns~ - Co C;',.OeN~ l9 Mailing Address (Connector or Owner Malan nslallatron) a--I% u+ 5~ .Pic 5~ / Authorized Signature (Contractor/Owner Making Installation) Phone Z - Number Z833 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S428 BE ACCEPTED BY THE STATE BOARD 1821 University Ave, St Paul, MN 55106 II I I I UNLESS PROPER INSPECTION FEE IS Phon 41110 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION QI~ 3a J~(p/p/q/Q.~ 0 • 9 I~{J ~ See mstmchons for completing this loan on back of yellow copy "X" Below Work Covered by This Request e Add Rep. Type of 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 (specify) Contractor s Remarks =-PIMP Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps Soo I 1 0 to 100 Amps S.oa Transformers Above 200 Amps 100-Amps ,00 Signs Inspector's Use OnIY TO-T7AL Irrigation Booms ~v I-7• 50 Special Inspection / Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Roagn-.n Oa1~~ certify that the above inspection has - been made. Final ,i''2 Data OFFICE USE ONLY This request void 18 months tram Reque Date Fire N. Po Inspecon Regone d Inspection Other Than prough-in J I (V u t caethspector when ready) Ready Now Will Notify Inspector Ves ❑ No Date Ready I X licensed contractor Downer hereby request inspection of above electrical work at: Job Address (Street, Box or Route No ) City C0-1 NU dycd PaIXI~` Ve, of(-) Secbon No Township Name or No Range No County Occupant ~RINT) ^ Ph on N Power Supplier V^f\- Address C nC. ' 1 - `c_sfQJJ~ eclocal Contractor (Con Y Name Contractors Lnense No Mailing Address (Contractor or Owner Making Installalbat ajq S 10-7 Authorized Signature (Contractor/Owner Making Installation) Phone Number r~I zl:q-wel ID OF ITY THIS INSPECTION REQUEST WILL T 62 9Undven ry Ave., Pau MNe 5109 II III I I I I I II II II II III UBE ACCEPTED BY THE NLESS PR OPER INSPECTION FEE 5 1Phone(612) 642e., 111 ,l REQUEST FOR ELECTRICAL INSPECTION j@(~ t 4 G'lp` V 111. See instructions for completing this form on back of yellow copy "X" Below Work Covered by This Request, Ne Add Rep Type of Building AppllancSs Wired EquipmenYPhred Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management CommAndustrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks 11~~~ Compute Inspection Fee Below. I OO Pi TOwrAl,OLM_ # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ICZ,OD I 0 to 100 Amps C. Transformers Above 200 Amps Above 100-Ames -7 DO Signs Inspectors Use Only TOTAL Irrigation Booms -7-7,~ Special Inspection Alarm/Communication THIS INSTALLATION MAY EE Z ~R CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-m Date / i certify that the above inspection has been made. Finai G' `i ~L~+/C o e r~f OFFICE USE ONLY 'L This request void is months from Request Date l Fire o Rou Inspectwn Required Inspectmn Other Than ugh In (You u4t fall uk,ecmr when ready) ❑ Reatly Now Wdl Nobly Inspector 9 l 1 { 5 Yes ❑ No Dale Ready I )iQlicensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No City I6 q M,' lbljac1 Point ~~~2 Mn, Section No Township Name or NoRange No Occu nt (PRINT) O x~ Phone No - Power Supplier Aconite s { OLC +V, C. - Eledocal Contractor (COmpan Name) Contractor's License No. l CA00 a Co Mai ing Atltlress (Can or or Owner Makin Installahon) 1 KkM G5[07 Authorized Signature (Curiae WnOOwnner Making as Ilatlon) Phone Number ab~ 1/ 2 Z'{ 2933 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Orlggs-Midway Bldg. - Room S-128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (6121642-0800 ENCLOSED ~R / REQUEST FOR ELECTRICAL INSPECTION , jwq$~' t O r 6i-cam C/ p1p& / ~ See inshuctions lot completing this form on pick of yellow copy g _ C/ tP A~ "X" Below Work Covered by This Request Ne Add Rep • Type of Building Apphanca`s 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 (specify) contractor's Remarks n 1 ',W Compute Inspection Fee Below., 100-Ai-yip Tv 0ALO it # Other Fee # Service Entrance Sze Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps O I 0 to 100 Amps 159-10-C Transformers Above 200_Amps Above 100 -Amps p Signs Inspector's Use Only. - TOTAL cc,,.. Irrigation Booms f5Nj -77r 50 Special Inspection 'te Alarm/Communication THIS INSTALLATION MAY -ORDEREII NECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. / oat ~'7(R I, the Electrical Inspector, hereby Rough in certify that the above inspection has Final ~ oat been made. OFFICE USE ONLY This request void is months from 6 r S3 6 2 Request Dat Fee o Roug nspecTOn Requiretl Inspecher Other Than gh-Inti _ I _ (You t call inspector when ready) ❑ Ready Now ill Nofy Inspector _I L Yes ❑ No pale Reatl I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box r Route No) Coy 1 J i av-2I Polf\A- Drive, e xn 6echon No. Township Name or No. Range No CoMnty /y'^ -~'a+ +1011 Occupant lPRINT)~ Phone No. tali pu- ~ Power Supplier Address V ~Yl L - M% . EI ctncal Comractm (Company me) \ r - Contractor's License No Madmg Address (Contractor or Owner Making tallaeon) \ 1 7 \ / Authorized Signature (contractor Owner Making am ater Phone Number ED6 22L(-z833 MINNESOTA STATE BOARD OF ELECT ICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave, St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.8888 ENCLOSED `,;Z__.REOUEST FOR ELECTRICAL INSPECTION pt See instructions for completing this form on back of yellow copy ' 10, "X" Below-.Wort:-revered by This Request Ne Add ep. Type of 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 p other Ispi contractor 'a Remarks /~mio 171~,v~~- Compute Inspection Fee Below: IOv- ' # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps S It 0 to 100 Amps 55.ao Transformers Above 200-Amps Above 100 -Amps ,o7 Signs Inspector s use only TOTAL Irrigation Booms 2 Od Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in certify that the above inspection has been made. Final Dale OFFICE USE ONLY This request void 18 months from 09 ;356 Requ I Date hre No Roug nspection Required Inspection Other Then Rough-In od u call inspector hen ready) ❑ Ready Now 1K"TI-Will Notrfy Inspector t (y yes No Date Rentl I K.] licensed contractor ❑ owner hereby request inspection of above electrical work at: Jab Address (Street, Box or Route No ) Qty I& OD Tea Z ) Sectum No. Township Name or No Range No County Oc upanl(PRI T) r hone No Zoo M~ o~ M N). qS2 -S P wer Supplier Address -e-L. ~ Uolyl~ Elec ical Contractor (Company Name) Contractor's License No I ~n E1Qc. Mail Address (COntrac t or ner Making Installation) 5+ -7 S S -f -,r eL-}- Ij(vI l`it` Authorized Signature (ContraaodOwner Making Installation) Phone Number 113 D LA RRA an 7,2 -?S-3.3 MINNESOTA STATE BOARD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5126 III III I I I I I II BE ACCEPTED By THE STATE BOARD 1821 Univerelty Ave, St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 _ 11111 ENCLOSED. J~ REQUEST FOR ELECTRICAL INSPECTION 11. See instructions for completing this farm on back of yellav copy. Will rl 'X" Below Work Covered by This Request,. Ne Adtl Rep Type of 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 (specify) Conlraoter's Remarks Compute Inspection Fee Below. I w ~ T f~ VDv\' # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps I 0 to 100 Amps Transformers Above 200 Amps 11 Above 100 -Amps '7, c)0 Signs Inspectors Use Only TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-In Date a~ certify that the above inspection has been made Final x'2 /4 T -1'D -y OFFICE USE ONLY T This request void 18 months Im. Reg st Dat Fre N Rough In coon Required Inspection Other Than Pori 1 (You us a I inspector when ready) E] Ready Now ~WIII Notify Inspector 1 Yes rw No Date Read I k licensed contractor ❑ owner hereby request inspection of above electrical work atY Job Address (Street, Box or Route No ) City 1 i rau Section No Township Name or Range No County OpcpP~P INr) ~ ~ 1 1 > ~ Phone O Pqwer Supplier Address Elechuad Contractor (Company Name) Contractor's License No 0 l C C4N"00q0,Le Main, Address (Contra or or Owner Making Installation) a~$ Sinl~ S e Sf. PCB I MAJ S l o-7 Autp~nzetl Signature (ContradotlOwner Making Inst I ) Phone Number isz o~ a 7y" zzq-2&-j3 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-128 11111111111111 I II I I ! I BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55184 I UNLESS PROPER INSPECTION FEE IS Phone (612) 642-6800 ENCLOSED /1 3 REQUEST FOR ELECTRICAL INSPECTION P71 / See instructions for completing this form on back of yellow copy 5 "X" Below Work Covered by This Request T Ne Add Rep. Type of 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 (specify) Contractors 1R~emna_rks Compute Inspection Fee Below. 1 Q o ~ ~p # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 \ 0 to 10o Amps Transformers Above 200 Amps \ Above 100 _Am s O(7 Signs Inspectors Use Only TOTAL Irrigation Booms d -7 So Special Inspection Alarm/Communication THIS INSTALLATION MA1 C.DFR6 DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in certify that the above Inspection has c been made. Final 7Q forz, q OFFICE USE ONLY This request void 18 months from 95 354 y° Requ st Date Fire 146. R Igh l eMion Requved Inspection Other Thep ough-In ^ (You r tceasl inspecMO ❑wh on ..dy) Dare Ready Now WIII Notify Inspector I N license-dl contractor 1 ❑ owner hereby request inspection of above electrical work at: Job Address, (,Styr1eet, Box or Route No) i/~/~ 'r City I Uu 1 :r Section No Township Name or No Range No County Oc upant(M D/T' M PhL4N~~ 2,D0 Power Supplier Add a. (~'(nJ Oztvr~ u30p- 22b-~L' etdcal Contactor (Co ny Name Contractors License No 1S ~-S+ - co . a b Meiling Atltlress (Contracor or ner Makin Installation) a~ 8 Z~- S+ . P 1 1>~ N SI 0_7 Authorized Signature (Contractor/Owner Makin 1 Ilaton) Phone Number z - 28 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mldway Bldg. - Room 5.128 II III I I I I II I I I I I II BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 551M UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~~/$J~(pD'~ 0 10l See instructions for completing this form on back of yellow copy `s /~5✓✓✓ "X" Below Work Covered by This Request ;;.y • _ Ne Add Rep Type of 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 (specify) OoNtactots Remarks - V- I MA" 'Tvv~ (U wn-X-- Compute Inspection Fee Below. # Other Fee # Servca Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps I zo I 0 to 100 Amps 6qkCx Transformers Above 200 Amps Above 100 -Amps 7 E Signs lim,mo is U. Only °°''TOTAL Imgation Booms L7,2 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R""glmin certify that the above inspection has ` f final slij not@/~ been made. 6 OFFICE USE ONLY m 'p9 g 5 53 ~ plequ st Date Fire No RougMn In Required Inspection Other Than ough-In 01-1 (Yoe a mspector when ready) Reatly Now 'Jill Nutty Inspector s ❑ No Dale Reatly I glicensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No) City i~ Tr I cz Section No Township Name or No Range No County Occupant (PRINT) Phone No KAN Power Supplier Atltlress Cori ~-f QS~ ectncal Contractor (Company Name) Contractors License No CAocikio Mailing Address (Contractor or Owner Making Installation) ~,1 s I ` Auin ture (Contractor/Owner Making Ins Ilatro Phone Number xry " W MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-128 BE ACCEPTED BY THE STATE BOARD 1821 Uniyersity Ave., St Paul, MN 55106 II III I I I I I II UNLESS PROPER INSPECTION FEE IS Phone (6121542-08M ENCLOSED REQUEST FOR ELECTRICAL INSPECTION °,'')je 01 s cl 00 See instructions for completing this form on back of yellow copy 6`1 "X" Below Work Covered by This Request flee, Add Rep Type of Building Appliances"Weed Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin 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 Fae # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 00 0 to 100 Amps Transformers Above 200-Amps _ Ab a 100 -Amps 'j 60 Signs Inspector's Use Only TAL Irrigation Booms Oa Special Inspection Alarm/Communication THIS INSTALLATION MAY BE RED•91SCON ED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough in Date r certify that the above inspection has Final oe /T~ been made. l OFFICE USE ONLY This request void 18 months from xa6~ 0 9 jp5 5 2 Reque t Date Fms o flo Inspechdh Required Inspection Other Than ough-In I' (Y call Inspector when readyh= Ready Now WIII Notify Inspector -f Ves ❑ No ` Dale Reatly .I fflicensed contractor ❑owner hereby request inspection of above electrical work at, Job Address (Street, eo or Route No) City Ln~ ~a i ro-LI Vl Section No Township Name or No Range No County t~4k 4+rh Dccu ant (PRINT) Phone Ne. cti1 N1 N r 2-S?AO Power Supplier Adtlress (e ~h i c ~k3~o- 2,2fl '5+r E men Contractor in y Name) contractors License No n ~~f-Co Mailing Address (Contractor or Owner Makin Installation) C21$ SA-a-b (U 9S)07 Authorized Signature (ContractorlOOwri nMou install Va^ho^nI) Phone Number VwY ` MNNESOTA STATE BOARD OF ELECTRI nY II II I I I I I II I I I I II I THIS INSPECTION REQUEST WILL NOT Ggs-Midway Bldg. - Room 5128 III BE ACCEPTED BY THE STATE BOARD 1821 University Ave-, SL Paul, MN 55101 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0888 ENCLOSED I G REOLIEST FOR ELECTRICAL INSPECTION tV&ed Sae n nmUOns for comple0ng ih'a form on back of yellow copy /9 ,5 "X" Below WOCk.CoveLpd by This Request Ne Add Rep Type of Building Appliances Wired EquipmeHome Range Temporary SeDuplex Water Heater Electric HeatinApt. Building Dryer Load ManageComm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contmclor'a Remarks 100-AKkP TOwvAho►-_2 Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fea # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 08 11 0 to 100 Amps c7] Transformers Above 200 -Amps 1e 100 -Amps 7.ozb Signs Inspector's Use Only T'OTAL Irrigation Booms 77.50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-In Date .~y the above inspection has o~ L c been ertify that made. Final OFFICE USE ONLY This request vad 18 months from 0-10 Oro Requ t ate Fire o Rou nsVec6on Required Ins ec"n" Other Than Sough-In q- ( f (Vn uv call mspeclor v~hen ready) Ready Now X-TI Will Notdy Inspector Yes l.I No Date Reatl 1 licensed contractor Downer hereby request inspection of above electrical work at: Job Address (Street, Box or Route No I City 137G c, 'rra t l E a-v~ Section No Township Name or N Range No County Occupan~NT) O Phone No ` O Power Supplier AWines. d+C I LC Yi c' I' - ZD+tq 6~ . e - - Ele lrical contractor (Com y Name) Contractors Licarise No. Ilins e- Q'4. U, lkoo 0 ~0 M~~ddress (ConSA- tractor or Owner Makng Insta 7l r 1 O~ Authonzed Signature (ConlmM "`hor/Owner Making 1 mllaboru Phone Number MINNESOTA STATE BOARD OF e~m II 22 -253 3 ELECTRICITY THIS INSPECTION REQUEST WILL T Grigga-Midway Bldg. - Ron. 1321 Ui ersity Ave., St.Pau,MN 6 5104 I) I) I i III I I I I!I III I~ UNLESS PROPER INSPECTION FEE 15 Phone(612)642-0600 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION = pgQOxgs III. See instructions for competing this form on back of yellow copy GY(~d "X" Below Wark. Gored by This Request 'Ne Add Rep. Type of 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 (spealy) Contractor S Remarks Compute Inspection Fee Below. `OOX # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps llS,oc) 11 0 to 100 Amps ,Oo Transformers Above 200 Amps I Above 100 -Amps '7.ozi Signs inspectors use only TOTAL Irrigation Booms 7 O 1-77,50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in L'~v~'~ Date y certify that the above inspection has / been made. Final j~jy~y✓,~ Date OFFICE USE ONLY This request vcid 18 months from 0 b~b` 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 9l~ 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Pie se complete for modifications to existing residential dwellings. Dat -fatd4P Sit Street Address Unit # Pro erty !:Owner Telephone # ( ) Co tractor CA'd~A_s6nC Telephone# (763)7V-69(68 Address- a S / ip'% a.( 51. A, City State km • Zip S'S5l `T The Applicant is: _ Owner Contractor -Other Sep is System New - Refurbished Submit 2 sets of plans and AAPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alte ation s to existing dwelling $ 50.00 Acid plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the alDplience(s) you are installing. Sep:ic System Abandonment Water Turnaround (add $130.00 if a 5/8" meter is required) Other: -Water Softener Water Heater $ 15.00 _ new replacement awn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 Stat Surcharge $ .50 Tota $ . Sb I her by apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I unde stand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in acco dance with the approved plan in the event a plan is required to be reviewed and approved. 2 Appli ant's Printed Name Applicant's Signature DEC Y 12006 ----------1 ~ ~h~ce'_117se I 40" I I City of Ea p Perri j l~ _ V I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122~ Date Received' Phone: (651) 675-5675 Staff I Fax: (651) 675-5694 I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9,121/03 Site Address: jQ1 Q1 I RESIDENT I OWNER Name: Phone: Address 1 City I Zip: Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work: Construction Cost: 7 ( Multi-Family Building, (Yes No CONTRACTOR Name: l f License L1lJI ~5! 1 Address: 22-302 M' UC5 City: I/ nO~ S ) State: M&__ Zip: Phone:-(061- q n-(>?I Contact Person: fo M CGLF~ I N COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 52 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: "NOTE: Plans and supporting, docum,entq that yod`iubMit are considered to be.pub6c mformationl'; Portions of the information'=maybe clasified as n'on publ(c, if you prQvrtleF specrfic reas_on`s fhat would permit the City to ~Yl , ' 7"con'eludethat the'eretr~ilesearets 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 f p ns. x Gov T -:-Y .Mid X Applicant's Printed Name Appli nt' ature Page 1 of 3 Id 1~ 1~ F-----------------I Fvr''CZ)( cefUs City of Eap Pe mit#7V~ I Permit Fee: ♦Iv~{,V~ ~1 I 7 , 3630 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I _ Fax: (651) 675-5694 staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION /~1/03 Site Address: E71 micHAc-& I~{ f V I I] f7 ~ Date: 0 IVC 1 2 W-30 RESIDENT I OWNER Name: Phone: Address / City / Zip: Applicant is: Owner - Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes 2 / No CONTRACTOR Name: 22-302 EXl `Z( ~ rLicense * . J JP_ )R 1 Address: /V ue [ City' ,,r I ltJ/~ ~iSI nState: M AI Zip: _/^i502'-/ Phone: r~Ji- `'T b 1 vW, /I Contact Person: II~II'1~ IYICGLAf1V) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporhng,documents thaf youasubmft;are considered to be public information:-Portions of the information maybe ties§ffted as non pu6lfcf yQu proyfde specific reasons that would permit the City to V1,'concludeh`at the are~trade secrets ,ti ~s 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; hat the work will be in accordance with the approved plan in the case of work which requires a review and approval f p ns. x C;ou~z~ly L . MI"1N x Applicant's Printed Name Appll nt' ature Page 1 of 3/1 L BL CITY USE ONLY O RECEIPT SUBD. 3 an DATE: d~ 9s t1V 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x 3 0 = ~j= Bath Tub 3.00 x a = 3 c- Lavatory 3.00 x a Kitchen Sink 3.00 x is - = s b- Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x h- = 3t,_ Floor Drain 3.00 x is = 3c - Gas Piping Outlet ' minimum -1 3.00 x l a = 7t, Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ` Dakota Cty. license 20.00 = U.G. Sprinkler ' home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 3 3 I 1 SITE ADDRESS: 190U- 20 Co st4l -ftt E 110-1i N ~t <l t /I 0? OWNER NAME: Qu `t INSTALLER NAME: V s 1. _f l t 1 - STREET ADDRESS: G~ - v_ CITY: a d a _ STATE: r - ZIP: PHONE ( ) `~'1a 1 a 516NATURh OF vt=K fIII' S : Lot 1, Pulte Homes YGlock 2, CLIFF LAKE TOWNAOHES 2ND ADDITION, City of Eagan, Dakota County, Minnesota and reserving easements of record. J J~a S1 ~ s J 911,1 I N85e30'OO-W a~ CASEY 220. 00 0'~~ 912.5 912,6 LW oP~ 912.2 - 912.7 TIRA IL im YI 912.9 ° Y 413.0 1~ ° 919.5 -cl v' 1 I 91 20.00 93 0 o°I` 919, H ° O. 20.00 °o N ,o a 919.3 18)0 28. 01 91q,3 ° e- 00 ' 10.00 i 4. ea 1868 n 1866 28.00 ° 1864 28.00 qo 1862 1860 ~ I i L" 414.3 Proposed l2 4.00 ° Unit Condo 913.9 LO 14.10 9 Bldg, Slab I ATE0.8 a Elev.- 915.0 0 ` ERYKE Gar. Slab - r 4..1o Elev.= 914.6 919,3 d913.q ° 1811 28.00 1869 1661 s 0 0 o ° 28.00 1865 1863 4.00 -I--~ o rn m 10.00 18.00 ° 914.3 ° 2e. 00 1861 0 ° I ° 20. 00 V.P is 414. i l I 914.1 'I I n1 9~ l ~ °o o ! p v N of °0 1 °1'•Yj ~ 18.00 Q \ a- { Q19.5 f 0. 00 h 913.7 0\4, 1 9123 i 585°30011 E s o / -j_ ~ J 9125 f(~/ 9127 913.0 q1 /✓1Il-. ~L _ 913.3 P wnrEA _111 ' ~~~oop 913.9 (CJ0 Oo IXJOpO0_R O WALL ~PC~ooOOOa'-'- d-Q S76-$2,SB9 952.72 xg2pO _ ` q2/ R°425.00 g3~Jo A-22148'359 CL I~~ kAKE ROAD 6f'Q Q h,'o R EV) VVE1) ~ ~e3 Sd- ID z'.J PROPOSED ELEVATIONS 1EAr,"ENG E GDEFT. Top of Foundation = 915.0 BENCHMARK, Garage Floor =9]'U0 Basement Floor = "iA Aprox; Sewer Service Elev. = 9~•qr Proposed Elev. = O Existing Elev. _ MIN. SETBACK REQUIREMENTS Drainage Directions = Front - House Side - Denotes offset Stake = SCALE nch 30 Feet Rear - Garage Side - I HEREBY CERTIFY TO PULTE MASTER BUILDERS THAT THIS IS A TRUE JOB NO: AND CORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE 9sR-2~ DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR BOOK: PAGE: ENCROACHMENTS, EXCEPT AS SHOWN. Planning Engineering Surveying 1 9201 East Blooeln tan Frasses Blooelnytoo. Minnesota 55420 DATE E d-0 1 ' ~ 4eleFaana (8121 BBB-0288 CADD FILE: DWG. CHK. JET E NDGRE , LAN SURVEYOR I S A PLTE95 3 Use BLUE or BLACK Ink I For Office Use i J~ I 'J I 3~ ► Permit # 1 I Ctt of Ea an Permit Fee: p I I 3830 Pilot Knob Road l Eagan MN 55122 i Date Received: l Phone: (651) 675-5675 Pax: (651) 675-5694 I Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S~ ew Site Address: Unit # Name: i1 +1, Phone: , Resident/ o ~,,,;rs~ _ ,~1 i C.. Owner Address I City/ Zip:, ~ 1.f ~Z 1 i - Applicant is: OwnerContractor _ t I 1 Description of work: Type of Work 45 ~Multi-Family Buildi nq! (Yes / No ) i Construction Cost lV '7" S i'}!t Irv' , ~~rt Company: Contact: Contractor Address: _2100 5~"hrm 1Y2 city: _>r _C L~Zip:.S~;'r" Phone: s State. _jA i License* Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes ,No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: _ NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude chat they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www g2ighers-W12 recall ora I hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. y Exterior work authorized by a building permit issued in accordance with the Minnesou gate"}3uiit3 ng cycle must t)e co[Tiploted within 180 days of permit issuance. , _ t - - x - ' Appli'cant's Printed Name Applicai7i's 513ature Page 1 of 3 S For Office U. se City of EaPH I Permit A I I I _ l 3830 Pilot Knob Road Permit Fee: ~ Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 staff: 1 I 1 2008 REST ENT'IA UIL®ING PERMIT APPL ATION-^----- Date: r ! `7' Site Address: fzL`~ _ J o /glc /Z 4 Tenant: Suite: RESIDENT" / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: _ T} xeo 7a Construction Cost: i Multi-Family Building: (Yes- / No CONTRACTOR Name: A ~I ~-5' ~'~Jr7 14 7-5~tr7Ce' License Address: 7 GtYf'7 Z~'!' > r~ ? -Q 1 State: IV41 Zip: , ~-J I13 43 Phone: 82 Contact Person: > > COMPLETE THIS AREA ONLY IF CONSTRUCTING NEW BUILDING ` Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted N submission type) Energy Envelope Calculations Submitted In the last 12 months, has the City or Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supposing documents that you subm are considered to be 'public inforrr~afion 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. 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 { agan; 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 ccordance with the approved plan in the case of work which requires a review and approval of p ns. .pplicant's Printed Name Applicant's Signature Pagel of 3 i Ii