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4120 Arbor LaneINSPECTION I CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: t I. ?r;trt;tI P 1 Ardt I ILS f1. 1 i PERMIT SUBTYPE: ? ; , , . , , GH- 1 N :CORD PERMITTYPE: Permit Number: ' '? ? ? ? ? • Date Issued: :?, I F1 r. /14 114 f, i ,,, i, APPLICANT: TYPE OF UVORK: r4'? t-! I ti +t;a i l,A r"rrtnI Permit No. Permlt Holder Date Telephone # S/W ' PLUMBIPiG HVAC ELECTRIC ELECTRIC Inspection Date Inap. Comments Foatings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace !a ? y !o ?d yy? ?? Final Htg. Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Finai Deck Ftg. Deck Final Well Pr. Disp. . . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION REC4RD PERMIT TYPE: Permit Number: Date Issued: ? SITE ADDRESS: t.i} hl.'4 1 i', i 1 i? ?: i u' ti! 1?? I Ikt;t7W l tattF ? PERMiT SUBTYPE: Wk W-P11lYd4 H(?!9f 1(•', 1. 1 '! ' i j I, TYPE OF WORK: . I :: I I ': I; ?1 f 4J 1 i?? ?1 11rd I t?:c INSPECTION D • .A I, ? . I I 1 ., i Iit H ? M/?trK •, :•.?,l? ?'??N fkA?; 11?#? ?.?? Nr't 1 Mf i it I•I?:v Permit No. Permit Holder Qate Telephone k S/W V14 L 47 w4limii-- P16 . ELECTRI a? ?0 9 9 po ELECTRIC Inspsction Date Inap. Comments Footings I Foundation Framing 7 . 1 Lc/ Roofing Rough Plbg. _ y/ 2 _ 2?r L/? Oot/ Rough Hlg. ? Isul. Fireplece _ P Final Htg. ?. Orsat Test Final Plbg. 9 Plbg. Inspector - NOtify Plumber Const. Meter EngrJPlan Bidg. Final Deck Ftg. DeCk Finel weli Pr. Oisp. -? -? ? ? I t+ . ? ClfYlDF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ON PERMIT TYPE: Permit Number: Date Issued: ? S{TE ADDRESS: 1 1) T I !1 fi f PERMIT SUBTYPE: ?,!, itI t%I t 1-J ` M'S. P1 A N IV 110 MI TYPE OF IIVORK: Mi?F1 ?. ?IF 4 111 NI I INSPECTION ? . .A ?: . • .. ,:Ii , , . , . : i fi I , Auti:"i ; W„u l:;tOMFftlIC I uN .. ?.tt N., f i mi i ia. ????v i ? Permit No. Permit Holder Date Telephone # S/W ?tt?vlBTItlG VI? ?. 4l i 4 4a +4? ELEC Rl ? ' ?v 9 °? ELECTRIC InspecUon Date Insp. Commerft Footings I U,)4 Foundation Framing Roofing Rough Plbg. i cy Rough Htg. ?I Z?' 93 -uG lJ?? ?? Isul. Fireplace Final Htg. 7?/u Orsat Test Final Plbg. _Z _ 1jQ /v PJbg. Inspect4r- Notify Plumher Gonst. Meter Engr./Plan Bldg. Final -2??? t ?J Oeck Ftg. Deck Final Well Pr. Disp. ?LGU ?2!du?/ _Zl!(7??I ? W? - - - ,. - - _ CFiTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: ?.rr- rv ?s n? ?e i?•? r? f i e? ra f TYPE OF WQRK: a " . I. I , v? wT I ni- $1 iIMt I•, INSPECTION ? i • . ¦A • ? ? D ? SE,: 1 { ?r1CtK?? St;.l,f ? «N(ftA('`i()Ft -- WtN.,i l, MM , FI ON RECORD ? PERMIT TYPE: Permit Number: Date Issued: PitV ? Permit No. Permlt Holder Uate Telephone # SMI -WWA- ELECT 5'a 5' /v ELECTRIC inspection Date Insp. Commenta Footings I /q/y2 Foundation t Framing f Roofing Rough Plbg. 2 , 11 Z-?/ ? ?-f • G L. F? Rough Htg. i Isul. 21 Freplace Rnal Htg. ??/ ? J i' !t N Orsat Test Final Plbg. -y 9 Plbg. Inspector - Notify Plumber Const. Meter Engr.lPlan Bidg. Final Deck Ftg. ? Deck Final weli Pr. Disp. Y b - C1`r 1( OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ' SITE ADDRESS: , PERMIT SUBTYPE: ! TYPE OF WORK: N )? 1.J 1 CIt R l?tV f'1 `i INSPECTION D• • D• I i rt,;? I :i ft k s 1:1114 i'C?N f)t?ti' t E?ii • 4!P N.:'F i -1 ON JcoRn PERMIT TYPE: Permit Number: Date Issued: r ctT . 13 ti, M : APPLICANT: I ANf ? -? Permit No. Permit Holder Dete Telephone # S/W P&JIME1+" ELECT ELECTRIC % Inspectlon Date Insp. Commenta Footings I Foundation C Framing Roafing Fough Plbg. 1- 27 - V`J- L' ? ,14 Fough Htg. 2z 9j? Isul. Freplace Final Htg. _ ? . Orsat Test Fnal Plbg. ?y y Iv Plbg. Inspector - N01ify Plumber Const. Meter Engr./Pian Bidg. Final X?/y ? Deck Ftg. Deck Final Well Pr. Disp. n # ? ? ?1! ?• i s K."eL`ttftCQtC of cCCIivQIiC? WU4 of Wagatt ?eparhaext of 13Ki[bixs axopectivu This Certiftcate issued pursuant to the requirements of tlre Uniform Burlding Code certifying tieat at the time of issuance this structure was in comp[iance with the various ordinances of tlse City regulati?eg buildirig corutructioR ar use. For the following: use c?mincat;on: 4 PIFX (1 OF 4 tNIIS) BMg. Permit No. 22332 Ocapancy Type MA{ 1 Zaning Diwict FD Type Consi. VN owner of euaaing WIIMM REALIY nearem 3312 151 ffT ST W. ROM= suilding nm. X4120 ARBOtt IANE t,?ity L14, B2, W@ffiL 1SQ - > / D.,: 1?re? POST IN A CONSPICUOUS PLACt _ %. N M ? y4 1 ? ?e?ti?icate n? ?ccu?anc? 6" ot Cfagan meoarhncuf ? ????? ??V"A" ' This Certifccate issued pursuant to the riequirements of tfie Unifarm Building Code certifying that at the time of issuance this structure was in co?npliance with the various ? ordinances of the Ciry regulating building construction or use. For tJte following: 1 OF 4 PLEX 22333 . use clawiecafion: swg. Pcnnit rvo. VN ( occupa-r TYve WhNSMRNWTjWT?1t1iCt S i ti = .i?"' r ; i?vs"?UNT Owner of Building Address • s • I Buil¢ing Addmss I.ocality Date: Boildh?g Dfficial POST IN A CONSPICUOUS PLACE _.s_. ?? • 2,:..... ??]? ?..?.,?? W,ertificate vf Ccculpanc? wft? oq Cfagan - ZeV a?eut of 13xi[hing 3xi3oechnn This Cerrifrcate issued pursuanl ta the requirements of 1he Ursiform Building Code certifyiRg that at the time of issuarrce lhis structure was in compliance with the variaus ordinances of lhe City regalating building construction or use. For rhe following: use cWssirwation:4 - P L E X siag. eern,ii No. 72't'? ?0-P?Y T)'Pe R3.4i1 Zoning Diw'itt Pn Type Const. VN OwnerotBuilding Add-ss 3312 ?ST W, [tr1lEMi'r w BuiWing Addcessl.acaliry r 1rWsNM , ., . ? ?y???? ?: T_ ? BwI?OS `!^??,... ? POST IN A CONSPICUOUS PLACE i i •' ?-_ ? 6.,.,?•- -•? ' - - ? ?! ' .ti ? Wertificate of Ccruoatcc? Wit4 of Cf agan moartment of $?ciUbi»g ?u+??rection This Certifcate issued pursuant to the requirements of the Uniform Buitding Code certifying thal at the tinie of issuanee tltrs structune was in cornpliance with fhe variaus orrtinQrtces af the City rrgulatiMg building canstruction or use. Far the fo!lowing: Use Classification: ?f? I UMl Bldg. Perm+t No. 22339 OocupantY 7}rpe R 311M 1 Znning Disaict VD Type Const. Va. owwr oe guiia;g UENSHAN,, uFer 1v nan- 3!j !?! 5-lSj-S£ W RSa $ui6ding Address 4 176 eAarn T sur Loca?"y L 13„--B2, G-W-W-lsr o-dce: s offiCi2l POST IIV A CONSPtCUOUS PLACE Address 4124 ARBOR LANE Zip 5512 ? L.ot ` 16 Blk z Sub w?'c?.lsr THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 3109 Yes No Inspector. /v4 Final grade (6" from siding) ? Pertnanent steps (garage) ? Permanent steps (main entry) l/ Permanent driveway Permanent gas Sod/Seeded grass v' TraiUwrb damage Y Porch t/ Basement finish j/ Deck ? Please verify with the builder the removal of roof test caps from tbe plumbing sys[em and the shuboff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy Address Lpt 13 ARHOR i aM Zip 5512? Blk 2 Sub wENZEt.lsr THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: ?L- CF - Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway ? Permanent gas r/ Sod/Seeded grass TraiUcurb damage ? Porch Basement finish r/ 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. Contaa engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Convactor Copy 0 AddCes§ 4123 AREOR LANE Zip 55122` L.ot 3 Blk 2 Sub THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ? qrg Yes No Inspector: Final grade (6" from siding) i.-'" Permanent steps (garage) L %/ ,+ib Permanent steps (main entry) ? Permanent driveway l/ Pertnanent gas i"" Sod/Seeded grass TraiUcurb damage y? Porch ? Basement finish i.? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - Ciry Copy Yellow - Residcnt Copy Pink - Contractor Copy & Address 4120 AREOR LANE Zip 5512 2 Lpt ., 14 Blk 2 Sub THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: a? Yes No Inspector: ? Final grade (6" ftom siding) Permanent steps (garage) t/ Permanent steps (main entry) ? Permanent driveway Il Permanent gas Sod/Seeded grass TraiUcurb damage V/ Porch Basement finish Deck Plcase verify with the builder the removal of roof test caps from the piumbing system and ihe shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engincering division at 681-4645 bcfore working in right-of-way or installing undergmund sprinkler system. White - Ciry Copy Yellow • Resident Copy Pink - Contractor Copy ? oyn-// y'Y /?/5/ M 52454 Request Dat Kire No ? Po -in Inspeclion NOTICE: You Muat Call Elecincal Inspeclor / / I 01 94 flequiredl II A Hough?ln Inspecvon ?I Ves L No Is fleqmretl I? licensed contractor ? owner hereby request inspection of above electrical work at. Job Adtlress (Strret, Box or Route No ) , City 4120 Arbor Lane Eagan Section No Township Name or No Range No. County I Dakota OcwpaM (PqINT) Phone PJo Wensmann Homes 423-1179 PowerSuppher Adtlress akota Electric Assoc 4300 220th St. W., Farmin ton Elecmcal Coniraclor (COmpany Name) Convac[or? Lmensa No. Joos Electric Co AM01895 Mailing Address (COnVactar or Owner Making Installalion) 3980 Beau D' Rue Drive, Ea an, MN 55122 Aulhonxetl SignaNre (COninc[odO.vner Makin allallo Phone Numbe? C.? - 688-618G MINNESOTA STATE 80ARD OF ELECTpIC THIS INSPECTION REOUEST WILI NOT Grlggs-MldwaY Bltlg. - floom 5-113 BE ACCEPTED BYTHE STATE BOARD 1821 UniversRy Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Vhone(612)642-0800 ENCLOSED a/?Q/r?+4Z REQUEST FOR ELECTRICAL INSPECTION I See mslmctions for complehng this foom on back of yellow copy M, .52454 "X"; 8elow bYork Covered by This Request ee-ooooi-oa ? 19151 New Aiid Re - TypeoBwlding ApplianCesWved EqwpmentWired Home X Range Temporary Service Duplex Watet HeatOr Electnc HeaLng Apt 8wlding Dryer Load Management Comm./Industrlal g Furnace Other (Specify) Farm Air Condrtioner Other (speafy) Contmo[or's Remerks Compute lnspection Fee Below # Diher Fee # ServiceEntrance5rze Fee # GircwtslFeeders Fee Swimming Poal 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above WO _ Amps SignS Inspector§ Use Onry TOTAL Irrigationeooms $89.50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE ED DISCONNECTED IF NOT Other Fee COMPLETED WIT 1 MON f I, the Electrical Inspector, hereby Rouqn-in ? oa1 certify that the above mspechon has been made. F,,,ai r oa? OFFIGE USE ONLV ? This request voitl 18 monihs imm ?ro 5%i: / yis / ? 2453 Request Date Fl e No flough-in spedion NOTICE; Vou Must Call ElecVical Inspectar 2/01/94 Reqwred'+ $IYes ?NO If A Rough-In Inspec0on IsReqmred I[0 licensed contractor ? owner hereby request inspection of above electrical work at: Job Adtlress (Streep 6ox ar Foute Na ) • 4122 Arbor Lane CAy Eagan Seclion No Township Name or No Range No County Dakota Occupent(PRINT) Wensmann Homes Phone Poa 423-1179 PowerSUppher Dakota Electric Address 4300 220th St. W., Farmington Elecincal Contrector(COmpany Name) Joos Electric Co. Contracmr5 Lmense No AM01895 Maihng Address (COn[rdGOr or Owner Making Installation) 3980 Beau D' Rue Drive, Eagan, MN 55122 Authorized SgnaNre (CoMractorlOwner Making Install n) Phone Number 688/6180 MINNESOTA STATE 90AflD OF ELECTRICRY THIS MSPECTION iiEpUEST WILL NOT Griggs-Midway Bldg. - Hoom S413 BE ACCEPTED BY THE STATE BOARD 1821 llnivernly Ave, St. Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS Phane (612) 642-0800 ENCLOSED g/??/? ,/ REQUES7 FOR ELECTRICAL INSPECTION _ ? `"py? ? See insvucHions for mmpieLng fhis farm on back of yellow copy I?(. . 5,? 4 5 3 X" Below Work Covered by This Request ,ow, 4 EB-00001-OB 99/5/ Naw Add Rep Typeof6wlding AppliancesWired EqwpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bwlding Dryer Load Management Comm /Industrial g Furnace Other (Specdy) - Farm Air Conditioner Other (speciiy) Conlraotor'e Femarks Compute Inspection Fee Below. # Other Fee # SerwceEntranceSrze Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to ioo Amps 1 74- Transformers Above200-Amps Aboveloo_Amps Signs ^ inspecmr's Use Only TOTAL Irnga4on eooms ? ???e $89. 50 Speaal Inspection Alarm/Communication THIS INSTALLATIO AY BE O ER CONNECTED IF NOT Other Fee COMPLETED 18 . f I, the Electrical Inspector, hereby R°°9n-'" OF certify that the above inspection has been made. oWe? OFFICE USE ONLY This request witl 18 months hom ?? ?/ F ? v 5 2452 /?- i `? ? ° (tly? / Request Date Flr No Rough-i paciwn NoTICE You Musl Call Eleclncal Inspector 2/ O 1/ 94 Raqmretl' If A Paugh-In Inspec0on , p Yes ? N. is fteqmretl IER licensed contractor ? owner hereby request inspection of above electrical work at: Job Atldress (Street, Bax or RoNe No J Qry 4124 Arbor Lane Eagan Seclion N. Township Name or N. Range No County Dakota Occupant(PRINT) Phone N. Wensmann Homes 423-1179 Power SuppLer Address Dakota Electric 4300 220th St. W., Farmington Elednwl ConVador(Company Name) Con[tactorS License No .Toos Electric Co. AM01895 Mailmg AOtlress (COntrector or Owner Making Inslallahon) 3980 Beau D' Rue D ive, Eagan, MN 55122 ANhor¢etl Siqnalure (Conimctor/Owner Making Inst ion) . ?'J. Phone Number 688-6180 MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigge-Mldway 81tlg. - Roam S-173 BE ACCEPTEO BV THE STATE BOAFD 1821 Universi[y Ave., St Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS Phone (612) 692-0800 ENCLOSEO REQUEST FOR ELECTRICAL INSPECTION ? S9e inslRrt.Yions f?mpiehng ihis form on back ot yellow copy M 5 2 4 5 2 "X" Below Work Covered by 7hl5 Request ???" EB-00001-OB 19/S/ e Add Rep. Type of Building AppliancesWired EquipmentWrted Home X Range Temporary Service Duplex Wa[er Heater Electnc Healing Apt. Building Oryer Load Management Comm /Industnal X Fumace Other (Specdy) Farm Air Conditioner O[har(specdy) Conlractors Remarks Co mpute Inspection Fee Below # Dther Fee # SerwceEnlrance5ize Fee # Cirouits/Feeders Fee Swimming Pool 1 0 to 200 Amps ], 1 to 100 Amps 74. Transformers Above200-Amps A6ove10o-Amps S19n5 Inspeclo05 llse Only. TOTAL trrigation eooms ?? ,?/ $89 . 50 Special Inspection Alarm/Communication THIS INSTALLATION MAY 8E O DISCONNECTED IP NOT O[her Fee COMPLETED W I 18 T S. ? I, the Elecirical Inspector, hereby Rou9n-in ? oa ,7 Q certrfy ihat the above inspection has been made. F,,,ai ? py?y l? q. OFFICE USE ONLY This request void 18 mon[hs irom pil5l ^? 9 °° ReQUest Date ire No 2/ O 1/ 9 4 R h-in Inspechon Re,?iired? NOTICE: Vou Musl Ga0 ElecVicallnspeclor 1f A Rovgh-In Inspecban ?I?es ? No Is Reqmred I EXicensed contractor ? owner hereby request inspection of above el ectrical work at. Job Address (S[reet, Box or Rou1e No ) 4126 Arbor Lane Ciry Eagan Sec[ion No Township Name or No Farge No County Dakota Occvpant(PRINT) Wensmann Homes PhonelVo 423-1179 Pawer SuoGlier Dakota Eleactric Atlaress 4300 220th St. W., Farmington Electncal ConVaclor (Company Name) ConVaclor's 4cense No Joos Electric Co. AM01895 MaAmg Address (COntraqor or Owner Making Inslallation) 3980 Beau D` Rue Dr've, Eagan, MN 55122 ANhorizetl SignaWre (COnVflctorlOwner Making Inst tion) d Phone Number 688-6180 MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOT C.riggs-Mitlwey BIAg. - poom 5193 BE ACGEPTED BV THE STATE 60ARD 1821 Univeralty Ave., St Peul, MN 55104 l1NLES5 PROPEF MSPECTION FEE IS Phone(612)64Y-D800 ENCLOSED IV K 3 3 Request Dale y I Pve No Rough-In Ine ion Requ retl (YOV must cell Inspeaor en re etly) Inspeclion Other Tiran [lough-In ? Reetly Now ??Z,I, Will Notity Inspedor No Yes ? D ete Reatl I p licensed contractor ? owner hereby request inspection of above electrical work at: Jeb Atltlresa (Strael, Box or Roula No I a A b ' ? ? Cny ? r or I - e' a c? Sacuan N. TownsNp Name or No. Renge No Cou?nry W??? Occupanl(PRINT) Phane No Power Suppller Atltlre9s Elecmcal ConVactor (Company Neme) r j- ? C l C u t - GonvactoYS Licensa No. 0 11_ ?e v a n, r v? yuc? oy \ 100 Mailing Atltlress (ConVactor or Owner Mak g,InsWllaOOn) e e qN Aulhorized SignaWre (Conlracin00wnar ? Meking etallallon) Pho)ne Num ber ? /y ? - 3 :? ? C? -I U 1 MINNESOTA STATE BOARD OP ELECTHICITY THIS INSPECTION REQUEST WILL NOT GriggsMlOwey BIEg. - Noom &128 BE ACCEPTED BY THE STATE BOARO 1821 Unlvarelty Ave., SL Paul, MN 55104 VNLESS PROPER INSPECTION FEE IS Vhana (812) 692-0800 6 ENCLOSED 0lr1REQUEST FOR ELECTRICAL INSPECTION 0033581 / See Inslmchons tQr completing ihle lortn on back ol yellow copy ? "X" 8elow Work Covered by This Request R'?,B? Ne Add Rep. Type of 8uilding Appliancas Wired Equipment Wired Home Range Temporary Service Du lex Water Heater Electric Heatin Apt Buildin Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Offier (spBaly) ConUectors RemaM1s Compute Inspection Fee Below: # Other Fee # Service Entrence Size Fee # Circuits/Feedere Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200-Amps Ab6va?100 -Am s SI f15 Inspedors Use Only: G TOTAL Irrigation Booms U S ecial Ins ection / iJ'LJ AIarMCommunication TXIS INSTALLATION MpY BE(ORDERE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18'h1QNI I, the Electrical Inspector, hereby A h R°°9n-in oace cert y t at the above Inspection has been made. Final i OFFICE USE ONLV This repuest voitl 1B mon1h51rom Address 4122 ARBOR LANE Lot - is Blk SUb WENZEL 15T Zip 5512 0? THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECPION. Date: Yes No Inspector: Final grade (6" from siding) I/ Permanent steps (garage) Permanent steps (main entry) ? Permanent driveway V/ Permanent gas Sod/Seeded grass TraiUcurb damage IX Porch / Basement finish j/ Deck Please verify with the builder the removal of roof tes[ 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 651-4645 before working in right-of-way or installing underground sprinkler system. WLite - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy 0 PERMIT CI•TY OF EAGAN 3830 Pilot Knob Road ' Eagan, Minnesota 55123 (612) 681-4675 PERMITTYPE: suxLoiNG Permit Number: 0 2 2 3 3 2 Date Issued: 11 / 0 8/ 9 3 SITE ADDRESS: ? 4120 AR80R LANE ? LOT: 14 BLOCK: 2 \ q WENZEL 1ST ?\\V P.I.N.: 10-83570-140-02 DESCRIPTION: REMARKS: 1 OF 4 UNITS Bul ldirSg, ,Permit Type 4-PLEX Buildin CJork 7yPe NEW .-UBC Occupancy-, R-3 M-i ? Construction T`ype VN Zoni.ng PD i Building Length ? 58 ; Building Width 40 \ rn i` ? il i"? 5 r? (?rz7 ?IL S&W CONTRACTOR - WENZEL MECH FEE SUMMARY: Base Fee Plan Review Surcherge sac SAC % SAC Units Subtotal ?EN-sAA NATAN Es 3312 1515T ROSEMOUNT (612) 423-1179 3T W MN 55068 VALUATION $581.00 $377.65 $43.50 $750.00 100 $1,752.15 PRV $87,0@0 MISC FEES Total Fee canc - oi. LiL 14231179 0@01458 $1,744.50 $3,496.65 WTNSKFINN REALTY 3312 151ST R05EMOUNT (612)423-1179 5T W MN 55068 I hereby aaknowlsdge that I have read Chis appY'3cation and staCe that t'he informatian is correct and agree to comply with all applicahle State of Mn. Statutes and City of Eagan Ordinances. L APPLICANT/P RMITEE SIGNATURE ? ISSUED V: S19NA7DW REACTIVATE'_ Yt-RMIT # . y ,?3Z G3L '?i ?v 0 C T 2 0 1993 CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION .3?y6. ?'S SIWGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, i 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 f0 ?'?Yaluation of work Site Address: 4100 k,682 ZANe STREET SUITE Y Tenant Name: (commercial only) IAT ) 4_ BLOCK ? SUBD Id Y.I.D. * ? ? Descri tion of work: The applicant is: ER Owner Ea Contractor ? Other <oescr;x> Name ll.Jewsm,mv,) ??T9 Phone 9Z3-1179 Property LAST F,RST Owner Address 331a isi s s-r 60 STREET STE M City 04osa.,c?rv-,- State MN Zip 65U68 Company wi!9%6mfl,uN Es Phone 4a3-1179 Contractor Address 3319 /Sr I-r rr_ w License #/y58 Exp. 313 119 V Ci ty Po?6)"ouuT State fi'1N Zi p 56W6 Company Gt/,--y,s,r,AW u l?ern?s Phone Architect/ r1 Engineer Name ? tF 6HzSrtto:-n Registration N 0991 Address City State Zip Sewer & water licensed plumber to?7? /vl -n?ic-AL . Processing time far sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read this a lication and state that the information is correct and agree to comply with all applicagRe State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: v OFFICE USE ONLY %L BUILDING PERMIT TYPE ' 11 01 Foundation ? Ob Duplex ? 11 Apt./Lodging ? 16 A Basement Finish 0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool E3 03 5F Additian ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. [3 05 SF Misc. ? 10 Multi. Add't. El 15 Deck ? 20 Public facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish 32 Addition ? 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) v-m Basement sq. ft. MWCC System y? (A1lowable) v- ?y lst F1. sq. ft. City Water UBC Occupancy ?-3 M_I 2nd F1. sq. ft. PRV Required y? Zoning p p Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkler Length ,SQ On-site well Census Code a 2 Depth y°, On-site sewage SAC Code ep3 APPROVALS I Planning Building Assessments Engineering _ Variance REQUIRED INSPECTIONS O Site 0 4lallboard ? FDoting ? Final O Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/M Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: v.tmt;m: $ 0 71 Oo O y y6 -1?61# , ')13,1, H°.i I Li F70 '4'x SAC % I? SAC Units 1 -r-- GEN2-RYHN e.0. / -T-??- l ? ExxbRIO•", g?'?'ELOPE hCcc?:?= "U" DIdt7ER W?KSln.,e.lnl '?•`?;`F,? SITE ADDUSS?ZE.C, cnNrxACTOR L o, iq. Z, ?U : R-94% 612+423+1149 P.01 ? i ( S i A -o i,) ? /V ? .? ADDRESS PHONE I ? DEtERMINE F`0°.KIa'G SOUARE FOOTAGE OF EA '. ? 1. Total exposed vall area ... s4• ft. x?_ F ! 8 , 2, xotal roof/eeili.ng area . m4• ft• R.Q,O Total eaposed wall area above floor = I? , s_ ':a?k52'atal wa1l::window_ area ....................... ! ...... _? ? 1:^_1ffdCel' f}OOI. &Y.0'd ................ ................. .... .I.. ... .... ^_ ? p ••TS ] t. ?S;glass. door. ar.ea ......._.. ......... .? . CD 'i.`,;"Tota7. ?firePJ.ac'e:. wall. ar.ea ...............?..i....,.,.... . .. • erag?? l?i) . rea °(^ i 3 ? - ._ ?.. I • e. . ?y .ng, a zam ;6: .t;Tata71, va l: ? -- ? ? ....... ;f,?-..:Total neG. wall- niea ,sb6ve.,£loo[ ......._ .: -- ..._..._.,---.?....? ..... '8• Total Yitn jvist area... • I ••• Total a:cposed foundation area h. Total foundation window area ......... i 3,._?Zotal net: foundation area- abave grzde ......., ...•:_ ' - :• ., - pye'te??CeiniYrie d:L!1?]NBYllEaf': ear'tL wa?t':seglcient. o ? V • ;-A „IItl .7, a . ^ , b. 3?'3 gflp„ U„ ? ?!o x ,fo„ ?? ?l , qa_ C. l;. 0 g nUn xlfut, aa d9'? '. l2-.03 ? f• I??C? RiIUII -? i F^ !„I/? ?O z:,?? g npn 6 , C.'7 p nUn h_ - ]C ]tpn 145( r? i. ? ? i . ? ? i ' i : . ? ' s ? ,- ? i- ? : t ; .Total ? •? 3. ........ ................... Sf item 03 is the same as, or ess efia`n itQm 'J1, you have met the lntant of SBC 6006 (c)2. 612+423+1149 03-16-93 03:19t]M I i i . ? P 001 , ? I ? i ? i ! GEN2-RYAN CO- 612+423+1149 . i Page 2 of 2 Total esposed soof/ceiling area = ? r J. Total skylight area ........ . ........... ..': . ? . • k. Total rooE/ceiling fYaoing area (average lOx)..? 1. Totai net ineulated roof/ccilxng araa .... _/z, Determine "U" Value for each rcoffceiling segment. G7 % uIIn C7 . ? k. 14? R??n?? ?z4'7 y U ' ?.. ?7 ? x IIUII ? 01 I mi b ..........................................Toeal /. If total of 04 is the same as, or less than 020 you hava wet tha S.ntanC ,.??r. ;?of??&BC ?6006(c)1. " ; •.4r_.??ktera'kt"eB'uading::E:s}veTope;Design : o utilize the'total'envelope syatem method, the values established by the sum of items U3 attd 04 shall'not be gieatar thbn thn sun oE itees 01 and #2. ? + 2 -• i 3 -_± 4 .. ?.. PoaPIP° brand fax transmitlal memo 76711 P otpa9es " ? i--- ? i -z- IR-94% 612+423+1149 P.02 i i ? i ? I , I i ? . ? ? iI 4 { I' ? ? ,.? --? ? I I i ? ? i ? I i ? ? ? i ? i i • I i ? 03-16-93 03:19PM P002 A26 PERMIT ?CITY OF EAGAN ' ?3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMITTYPE: guxLorNs Permit Number: 022333 Date Issued: 11 /@ 8/ 9 3 SITE ADDRESS: P.I.N.: 10-83570-150--02 4122 ARBOR LOT: 15 BLOCK: WENZEL 1ST LANZ t2t') ? it IOJY DESCRIPTION: REMARKS: ? ?. r #?? ??l i:?3li! r? 1 OF 4 WNITS 8t?ilding?Permit Type 4-PLEX ?uilding W»rk Type NEW rIf16C Ocduparib-y\?' R-3 M-1 i" Co,nstruction Tqpe VN Xal`tln9 ''. PD i 8 u11 din9 length, r Bu3lding Witlth ? S&W CONTRACTOR - WENZEL MECH FEE SUMMARY: Bass Fes Plan Review Surcharge SAC SqC % SAC Units Subtotal VALUA7IQN PRV $87,000 MISC FEES Total Fee 58 ae $581.00 $377.65 $43.50 $750.00 100 1 $1,752.15 $1,744.50 $3,496.65 CONTRACTOR: WENSMANN HQMES 3312 151ST ROSEMOUNT (612) 423-1179 L - Applicant - sT. Lzc. OWNER: 14231179 0001458 WENSMANN REALTY ST W 3312 151ST ST W MN 55068 ROSEMtlUNT MN 55068 (612)423-1179 I hereby aCknowl.edge that I h•ave read th3s dpp?ii,coti6fl "zt 5tate tb"rat Che informatian is carrect and agr.6.0 to eomply 1xi?,h 611 apPrdi•Geble 5tAte of h4tt, StaYuCes end C3ty o-f Eagan Ordfttences. . APPIICANT/PERMITEE SIGNATURE ISSUED B .Y IGNATU 0 ? REACTIVATE _ CITY OF EAGAN ? PERMIT #/ 1893 BUILDING PERMIT APPLICATION 0 C T 2 0 1993 681-4675 / ? ? ? 7 ?O • ? `? 012, U SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date .rC)_ / 7-3 Valuation of work Site Address: J/aa STREET SUITE M Tenant Name: (commercial only) IAT J,Z SLOCK SUBD. ?^ P.I.D. ! Descri tion of work: The applicant is: EL Owner E Contractor D Other (Describe) Name a/bQsmau,u k6rw? Phone ?1a3--/i?5 Property LASi FIRST Owner Address 513/a I51 't4- s-r W STREET STE M City QoSe}nouw-r State MV Zip 550('rr Company lUaNsrn,nwW Yneg Phone C011tf8CtOf Address 33/ a !51 ? 5? W License # Exp. City PLc) S6-*onovnn- State Mx1 Zip 53?369 Company GUi5wsm rrWu A?->+,EYS Phone Architect/ ti # )?9q1 i t R P h Englneer on s ra eg ?.?SL fh11trzam?T Name Address City State Zip Sewer & water licensed plumber CU 6-hrtEl- //9&m?4? c*c . 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 0.pplicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 02 SF Dwg. ? 07 4-Plex [3 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex [3 14 Fireplace O 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE 19 31 New O 33 Alterations ? 35 Tenant Finish O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ? 16 Basement Finish 0 17 Swim Pool ? 18 Comn./Ind. ? 19 Comm./Ind. Misc. ? 20 Pub11c Facility ? 21 Miscellaneous ? 31 Demolish Const. (Actual) v-N Basement sq. ft. MWCC System yt3 (Allowable) v-u lst F1. sq. ft. City Water ^ UBC Occupancy •3 M-I 2nd F1. sq. ft. PRV Required ' b Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ,5g On-site well Census Code laz Depth yo? On-site sewage SAC Code o3 APPROVALS ? 1 Planning Building Assessments Engineering Variance REQUIRED IN SPECTION S ' O 5ite ? Footing ? Framing ? Insul ation ? Wallboard C-1 Final 0 Oraintile ? fireplace Permit Fee vatuac;on: g S7,O0o ' Surcharge Plan Review 6vARAC.E?, yy6`?'k?6/A License Mwcc sAC c;t sAC F/ouSE c y , ? Sy 7? 3 ko Water Conn. Water Meter Acct. Deposit S/W Permit ? S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Lopies Other Total: SAC % )00 r SAC Units ? ? : R-9496 GENZ-RYqN :O. : °,nu 612+423+1149 P.01 ql?..' i i 0[???? ?L?/?L? I? ??w?i;?` SITE ADDR£SS YY? Z?- N I S?OR\ "7t?l.??J ' ? CoNTAACTOR ADDRESS PHONE I i DETEFMINE WO°1CI4TG SqUARE FOOTAGE OF EA . ? 1. Total exposed vall area s4• ft. x. 2, Total roof/Ceili.ng area I a9• ft. x??.b I I Total axposed wsll area above flaoc n. 'a?+?"TataL wall::windawf area ......._.._..... ..... ? ..... _? :- ?:±a1Ta"s?- door. anaa ....,..... ..... ....... .......... .... .?........... -_ ? *. nS ,g7.ass.doon aF.ea ......,..._............. ,?„ d_ ?-.-r"Tat'al ?Fir?Plac'e. wa11. ar.ea ........:......... !. -.?.•... ._.... ? ? , ?. Te= A"Taea]L vallJtaming, area ^(.qyeragQ' 107.)i ......._ _ ? JD y_ '#? ,.:Total .neL. wall- niee,gbove•.£loor. -..-- • • .. _ , , -- '8. 'Total kim joist atea .. _.-.-?..r.....,.. .? • ........ , I Total exposed foundation area i ?........... h. Tota1 foundatton window azea ....... ! i,:.:,ToCal nat..fouadatioa area• above grade ...,......_._ :•,• . 7Se'ceiAeCer6Yrie%M?'hcvaYue:-si`i ear'ti watI.:segaent. ! ? it 67g ? ? b. Jg` x ,lIIl, ? o x ,iolt ' ?1 • `?a? ' ?. d. 0 A IlUII ? I a ! - v , ' I . 0• ? ? 7C ltun ^ av ? /T ? r ??-•0.1 x i,Utt x ,i,,,l -- ' 0 h R IlUll _ i. /5!a ]( if pn Total 3. ............................... Zf item 03 is the same as, oY TergtF.an 1[em 81, yoa have met ehe i.ntent of SBC 6006 (c)2. 612+423+]]69 03-16-93 03:190M ?f ? r E i i ? i - ? l i• i i ! i? . ?. i . i I i ; ? ? v'ooi ??s GEN2-RYAN CO. 612+423+1149 1 . . i P_0F , Pmge 2 of 2 I ! • ; ' i Tota3. esposed soolF/ceili.ng area ' ? ..... ! f , Total skylight area ...._..•..•......•?.... j ? Total rooE/cailing fxap3ng area (average 109)-• k j I I /z . 1, Total neC insulated roof/ceilxng araa .......•• I neteradna "U" velue for each rool/ceiling segment. ? i n x itolt v J. k ; . g flulf ......... Tota1 4 ................ ?................. - ! ? If total of t74 is tha eame as, ot leas than 429 yoa have mat the in[anC . . ; i ; -}Tr_.?tern?te?Bu$J.din?:?veTog??Aesign ! ' ? i. ' To utilize the'total'envelope eyatem method, tha values established by es E it e the sum of ttems 43 artd fl4 'shall'nat'be greater than the sula o .? i A1 and P2. ' ' ' ' • • i . , l. + 2' - ---- c ' 4- --- . , . ; , ?- • Poat-ii" brand fax transmiflal meriio 7671 p o1 Cr9es p pL t i i i /I 'Y F Do. azmmrn?N `° ? j PhonaK ._ -, ( Depl. , ? : ?KM I OR I I .i I i ..__.._.._.-..-?-.-.-. _-.-..- 5 i ' ? t . ? ??? • ; i ! i I ? P,-94% 612+423+1149 03'16'93 03: 19PM P002 426 ? CFTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT , PERMITTYPE: BuzLoiNc Permit Number: 022334 Date Issued: 11 J@ 8/ 9 3 SITE ADDRESS: P.I.N.: 10-83570-160-02 4124 ARBOR LANE LQT: 16 BLOCK: 2 wErvzEL a.sr CE 161o 4e y N?1A3 DESCRIPTION: t.? i oF a uNZrs Bw1Iding? Permit Type ?uS.Idin•g 'Uqrk Type r116C 4ceupanc'y., CabStt'UCti.aYf T?pe Zoni:n9 / Sw,i2dihy, Lent?t?r . } ( Buildirig Widt-h ?•?` Lil'/ e.'MvAGURrxaN Q(Tv REMARKS: S&W CONTRACTOR - WENZEL MECH FEE SUMMARY Base Fee Plan Review Surcharge SAC SAC ? SAC Units 5ubtotal CONTRACTOR: - WENSMANN HOMES 3312 151ST ST W ROSEMQUN7 MN (612) 423-1179 $581.00 $377.65 $43.50 $750.00 100 $1,752.15 PRV $87,000 MISG FEES Total Fee 58 40 $1,744.50 $3,496.65 APpiicant - sT. 'rc. OWNER: 14231179 0001458 WENSMANN REALTY 3312 1513T ST W 55068 ROSEMOUNT MN 55068 (612)423-1179 i hereby ackncxwledge that T kr.a,vs read and stAto khmt the informat-ian is earrecC and ,sgr)eB tb Camply•wS6 all ap#aI3'?akle I SLatH bf titn, ? 5tatutes a•nd City of Eagan Qrcrinanoes. F? APPLICA PERMITEE SIGNATURE ? ISSUE BY. SIG E INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLosNG 3830 Pilot Knob Road Permit Number: 0 2 2 3 3 4 Eagan, Minnesota 55123 Date Issued: 11 / 0 8/ 9 3 (612) 681-4675 SITEADDRESS: LoT: ss BLOCK: Z APPLICANT: 4124 ARBOR LANE WENSMANN HOMES WENZEL 1ST (612) 423-1179 PERMIT SUBTYPE: 4--PLEX 0.-PLEX NEW R--3 M-1 VN PD NEW DESCRIPTION 1 OF 4 UNI75 INSPECTION Fp07INGS D. . FQUNqATION .A FRAMING RQOFTNG INSULATION FIREPLACE ROUGH TN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S&W CONTRACTOR - WENZEL MECH PRV --- ? V ? . ?. . ' ' ? ? . .!. _ .. _ . . .. _? TYPE OF WORK: REACTIVATE _ RERMI7 !Y . i???ENED .? ?3(?, (? C T 2 D 1993 CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION ? ,-3 y S?- ------------ SINGtE & - -- ets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date / 'jo / q-:? Yaluation of work Site Address I`' f)f2.Ae2 LN STREET SUITE k Tenant Name: (commercial only) IAT ? SIACK ? ?fi SUBD. P.I.D. M 0 Oescri tion of work: The appl i cant i s: B Owner El Contractor ? OtheY (Deccri6e) Name h)c?vs,m *ua cftz&I Phone 4a3-1 17 9 Property LAST ?IRST Owner 3=? Address -:?31 STREET STE M , City L S&rn avW'r State M Al Zip ??b$ Company W457?m}hvN /-a'ntfs Phone 4,*)3-1179 Contractor Address .?31a 151 ? Sr W License #/YSk Exp.3 /3119J City „ Qos?+wxr State /wN Zip -SSV68, Company I,UaW3r,AanJ f?oms Phone Architect/ Engineer Name Pa? l,ANt?s-rRo», Registration N R7991 Address City State Zip Sewer & water licensed plumber WkrvzAg- Az?icr4L. . 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: OFFICE USE ONLY •? BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? il Apt./Lodging ? 16 Basement Finish O 02 SF Dwg. ? 07 4-P)ex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc. O OS SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility O 21 Miscetlaneous WORK TYPE ?31 New ? 33 Alterations . O 35 Tenant Finish 0 37 Demolish 32 Addition 13 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) v-I.1 Basement sq. ft. MWCC System YA (pllowable) y-M lst F1. sq. ft. City Water YES_ UBC Occupancy R- m_I 2nd F1. sq. ft. PRV Required YC> 2oning pD Sq. Ft. total Booster Pum p 1 of Stories ? Footprint Sq. ft. Fire Sprink ler Length ? On-site well Census Code toz Depth ?i On-site sewage SAC Code _03 ? APPROVALS i Planning Building Assessments Engineering Yariance REQUIRED IN SPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee Wlutim: $ S 7oOO Surcharge Plan Review License L/'q6?VA6, 4t ?. MWCC SAC City SAC Water Conn. Hotlsc , - - 1'-+`]O?y( '? 9'??O - / Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units 1 ? ? P,-94% GEN2-RVAN ?O. ? 612+423+1149 P.01 p7CTjz1IO?: M'Ei.OPE "U" C0:"3 i TATIO\ ; SIT6 ADDRESS I? '?'7 L. c? Z - I 5 l /-? ?J ?? 1?i ,• ?oNTRACTOR L 07 ,ADDRESS YRofm i DETERTIINE WOPICIF.G SOUARE FOQTAGE OF Eel . ? 1. Total exposed wall area Sq, ft, x. 1 L ° ! 87, ? ? 2, Total roof/eeili.ng area . ?-4Z>-7__I_ _ s4• £t. x ,DV? ° ?- -i i Total eaposed wall area a6ove floor = I ; ? a_ 'a? k?:7'ota-1 wald.:windowi area _......_._......... I- -_.------ ....... ............................ J.. ... .... ^_ ? : ;g?asa door. ar,ea ........... ......... ?? f_ 1A.-r'ToYal ffireP7.ace. wall. ar.ea ,.......:...,..«...?........,. ._...._ ? - ; e. ;e:.t'Tota9t_va3l::ftam3ng, a'rea••(§yerage' 109.)I ........_? M Q ?_ #? ;,:Total .neG. Wall- nies,aboVe•.floor. -•.--"I• . • • "' • ' . ....•.•• .. 'g. 'Total kim 9oist acea .I . Total exposed foundation area h. Total foundation window area ..............••.•• ---- ?? -- ' i -!G:JjTotal nat: foundatiou area- above gzzde .......? .._• ._ ??? ' :•,•.15e'[e?AcCernSYtied!C??iNaYu?s?earliwa];Y-:se&ent. 1 1? c•;--g nDn b/•? ? b. 38 x„u„ C. x „o„ /1•9z- . ? d. d % 'Jp,, R lt(In e. I ?5c7 xl,U,t g? L"7 g nun • ' D : : h ? x ffUlt x lfpll =--.--r 3. ........ ....................Total Y ..-? .d . • - the 1.ntant 1 ? ?f i ? ? i i i i ? ? ? i? i. , .: ; ; E ? ? ? ? ? ? i ; If item ,?3 is the same 2s, or Ie s C1an itea dl, you have met ; oE SHC 6006 (c)2. ? 612+423+1149 03-16-93 03:19dM POOI ?26 GENZ-RYAN CO. 612+423+1149 P.02 2 0£ 2 . ' ? .i i • i ? ? Total esposed roof/ce1ling 8rea = ' I( • j, Tatal skylight eYea ........I ......... ?......... (average109).. i _ ng area k. Total rooE/cc3ling fxata aulated roof/ceillng eraa ... ....•_ i n ?. Total net Determine "U" Value for eaCh YCOP/Ceiling 6egment. i ? i ? C7 8 nQie C7 ? J. x „tT„ , ?,zg7 ? ' ? • ? k /? ' • ? . x uUu - ' i i ' ........ TOC8l • rF......?....?.?..?.................. i i ? . f i =f total of #4 is the same as, or less Ghan U2j you have met the l.nkent • ? ,.nt. :;.cf?+SSC ?6005(c)1. j ?. ,--}Tr?terdkte?u#.lding:?}veTope;Aesign ! i ! i. ' To utilize the'total"envelope syatem method, the values established by r s f it ? e a - the aum of items 43 and d4 srall'not'be greater than the sum o .? i dl and ?2. , ? ' . ? 1. + 4. -.._ • • --? I ? , ? Poat-I!° brand fax lransmRlal meri'io 7671 Fo of pages ? ?l. ' i i / -Z- I R-94°,6 i ' i 5 i 612+423+1149 ? . ? , i I ? i 03-16-93 03:10M P002 #29 XCITY OF EAGAN 3830 Pilot Knob Road •Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMITTYPE: BulLnxNG Permit Number: 0 2 2 3 3 0 Date Issued: 11 / 0 8/ 9 3 SITE ADDRESS: P.I.N.: 16-83570-130-02 4126 ARBOR LANE LtlT: 13 BLOCK: 2 WENZEL iST (a ? c.i2 I ?°'#193 DESCRIPTION: REMARKS: 68 40 412 'L'? 62_7?7(:(2j '.-'? (?JJ L'J 1 OF 4 UNITS B,uilding;Permit Type 4-PLEX uilding Wo`k Type NEW g -UBC Occupancy-, R-3 M-1 , ! Construction Typ; VN i Zoning Pp % Building Length ? ? 8uilding Width ., ?i . a S&W CONTRACTOR - WENZEL MECH FEE SUMMARY: Base Fee Plan Revisw Surcharge SAC SAC % 5AC Units 5ubtotal VALUATItlN $581.00 $377.65 $43.50 $750.00 100 $1,752.15 PRV $87,000 MISC FEES Total Fee $1,744.50 $3,496.65 WNTRACTOR: - Applicant - ST. LIC. OWNER: NSMANN HOME3 14231179 0001458 WENSMANN REALTY 3312 1516T ST W 3312 151ST ST W ROSEMpUNT MN 55068 ROSEMOUNT MN 55068 (612) 423-1179 (612)423-1179 S hereby acknowledge that I have read this application antl state that the information is correct and agree to comply with all applicahle State of Mn. Statutes and City of Eagan Ordinanaes. ' AQ APPLICANTtPERMITEE SIGNATURE ISSUED V: SIG E INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: Lo T; 4126 ARBOR LANE WENZEL 1ST PERMIT SUBTYPE: 4-PLEX TYPE OF WORK: DESCRIPTION BUILDING 022330 11/08/93 NEW 1 OF R UNITS INSPECTION FOOTIN6S .. . FOUNDATION DA FRAMSNG ROOFZNG INSULATION FIREPLACE ROU6H IN PIBG ROUGH IN HTG FINAL PLBG FINAL I REMARKS: S&W CONTRACTOR - WENZEL MECH PERMIT TYPE: Permit Number: Date Issued: 13 B L 0 C K: 2 APPLICANT: WENSMANN HOMES (612) 423-1179 PRV IF_ REACTIVATE _ PERMIT• N CITY C (??OF EAGAN L, 1 93 BUILDING PERMIT APPLICATION ,?? 0 C T 2 0 1993 681-4fi75 ,.?. FH_ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy CdlCS. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ,/ Valuation of work Site Address: 41a& Azzcr2 lav - STREE7 SUITE M Tenant Name: (cammercial only) IAT I 3 BLOC& 07 FSUBD. crY P.I.D. If Am- Descri tion of work: The applicant is: 12 Owner EKContractor ? Other (Destribe) Name w 5 u Phone 423°/!79 Property LAST FIRST. Owner t st-c..1 qddress 33' ?) >5/ STREEi STE M 70l?9 City KoS64navnrr State MN Zip 53 Company WLQ.,SmAW N /YOm?s Phone 423-iI?? Contractor ? Address 331.1 I51 License #>4/5S1 Exp.313L/2`L City PoSEnovwr State /4til Zip '2306 19 Company 6tJLqQ5°N MES Phone Architect/ # 1799i i t ti R - P h Engineer ra on eg s Name f}-i4ts r2wmn &?- Address C9ty State 2ip Sewer & water licensed plumber C-??-*±» /1'1?,?,?,«?? 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: v OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish T ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind. O 04 Sf Porch ? 09 12-Plex ? 14 Fireptace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE g 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) \1? Basement sq. ft. MWCC System Y?S (Allowable) v_? lst F1. sq. ft. City Water 116C Occupancy fz-3 rn-1 2nd F1. sq. ft. PRY Required c Zoning 1-+? Sq. ft. total Booster Pump # of Stories Footprint Sq, ft. Fire 5prinkl er Length S On-site well Census Code a Z Depth ? On-site sewage SAC Code 6 3 APPROVALS ? / Planning Bui7ding Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee v.itiae;a,: S g 7E O d p Surcharge LicenReview (?jr4r2ACrE; A6 / :/2?3 o MWCC 5AC City SAC ter Conn W , .; '?' ? ? ? ? ?_7(7 E . a . l Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other 7ota1: SAC % SAC Units ? ^ GENZ-RYAN ?,O- ? . . ' --?-?-- ?``j RTtT?RIOF. ?\'tELOPE hV£i1.-1E ^Ull f OTMR 612+423+1149 P.01 I ,? • ? i i I Tti- I SITE ADDRkSS z? '?nf ?5T"a,2? ?'?r5??? ; i coxxctacToR 1--c i 13 S ??,c rc Z LU -? z?- 15 T- Ab-tL;' -J ; t I ADDRESS PHONE 1. 2, ._. II. ? f- . ?- i P.=94% : i DETERMLNE tii0°1tI*'G SDUARE POOTAGE OF FJ+ • ? Total escposed uall area ... 3q. ft. x.1 Total roof/ceili.ng area . s4• ?t. x_tD° i Total exposed wall area above floor 'a?k?Tatal wel,l::windowi area _...?........... , ...... -_.? ? ; aiTat? &oor, axea, . -?'- - • ^•' doot: ar.ea.......?... ' ....... ^, ? . sfireP7.ace. wa11. ar.ea ........:......?...?. .,.?..•• ._......?---?- ; ;k> ?,'xotali wall:_#raming- atea °(s}yer8gf? 107.)I ?'_' . ._ '?_ „-.Tatal .neG. wall• area,above,£loor •...... -I• . •.. .. . ....,......••••• 'g. 'Total kim joist area I Total e!cposed foundaGion area i h. Tota1 foundatxon window area ....... ?••••••••••• --- ??-- d. •iTotal net .£oundation area- above grade ............_ ?? ` i ? > ? i? ? ti... . I -? fi?ce Ac?Cerni3tie d!]'?{?cvaYu?a?`? eae'& waJ;t•:seg? I ent. ? . . i ?^ ? ••,.. , b. ?V x nQr, e, ?? 1 P /'to ' f C. ?o x „oll , Ir3 1 97-- d. ? % Ilpn ? -- i 0• ? ?'f/ x IteVill ? IV?/.? : f. 11?C7 R iluet g [? g nUn i i b- C7 x nUrl i 7t lfpn , ? Total Y•a`?? ? i 3, ........ ..........:........ •: : ; If ltem 03 is the same as, oz I??an icem 81? you have met the 1.ntent : of SBC 6006 (c)2. 612+423+1149 03-16-93 03:190M P • 00t ?'2Fi • GEN2-RYAN CO. 612+423+1149 • - i Psge 2 oE 2 • •' . ? • TotaJ, esposed roof/ceiling area I ....'...•?- ?? -- ' J Total skylight area ................... k. Total rooE/cciling fzataing area (average 10T}.._ 1'tlY - Total neC irisulated ioof/ceiling araa .... Determine "U" value for esch rcoP/ceiling segment. J. C7 S nIIie C7 . ? k.?l.•?'Z -- R ,??n , ?Z'?f''] y 6, -za g uUII 4 ..........................................Toca1 If totel of #4 is the same as, ot less than 020 you have mat the inkenC ,.nr ,,of+=SBC,6Cn6(c)1, : -?T__?teraaterBu#?.dio??s}v.eToge?Aesign ' To utilize the 'total'envelope syatem methads the values established by • the sum of items 43 and #4 shall'not be greater thhn thc cun of 1CC49 A1 snd 02. • i + 2. ` L. -• ? 3 __+ 4. . . _ ? . PoBt-II"brand fax tranSmltlal mmmo 7611 p of pages rc? P.02 t . i j ? i E t ? I i ? . " I ? r i i i .'., ?. ..-`•?y ?f ? , I 00 Ca ? Oepl. Mona 1? az FeaN ? . I . ? ..__ -. _.-..-.-?_.-. .--•- 5 I , . . ? . , ? ? IP.°94% 612+423+1169 03-16-93 03=19FM P002 428 . PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WFF-N PERMITS ARE REQUII2ED FOR EACH UNTT. NEW CONSTRUCTION ADD-ON AJC .4L`B-ON FURNACE DATE ( I -1 a-C)'?j FEES' HVAC: 0-100 M BTU $ 24.00 , ADDTI'IONAL 50 M BTU 6.00 _.?.5 OUTLETS (MINIMUM i@ 53.00 EACH) b•C?U ADD-ON/REMODEL (E)aSTtrrc coNSTRUCTtON) $ 15.00 STATE SURCHARGE .50 TOTAL Jp,'S o SrrE ADD1zESS: 4190 CLnb?, LLIrj- OwNER NAME: LlJCQKmOnrl TE r-FPHONE #: INSTALL.ER: GENZ-RYaN PLUMBING & BEATING Co. ADD :ESS: 14745 South Robert Trail I CITy; Rosemovnt STATE: MN ZIP CODE: 55068 TELEPHONE #: (612) 423-1144 ? A MECHAMCAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII,OT KNpg RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOIvES AND CONDOS WfiEN PERMTTS ARE REQUIRED FOR EACF-I UNTT. NO. FIXTURES SHOWER Z WATER CLOSET T BATH TUB LAVATORY ! KTI'CHEN SINK ? LAUNDRY TRAY HOT TUB/SPA ? WATER HEATER / FLOOR DRAIN "Z GAS PIPING OLTTLET • mi,,;m,m • i ROUGH OPENINGS WATER SOF!"ENER PRIVATE DISP. • DaiLCry. Lc. U.G. SPRINKLER • home under oonst. ALTERATIONS • ,o ?ting WATER TURN AROUND STATE SURCHARGE SITE AD] OWNER C TOTAL 3.00 '?,av 3.00 G. aa 3.66 /_.oo 3.00 9. o0 3.00 3.UD 3.00 3.00 3.00 3.00 ov 3.00 ? 3.00 ua 1.50 5.00 15.00 3.00 15.00 15.00 .SO WSTALLER: ?F?VZL?L. /Y/45LlYAN/G,4(, ADDRE3S: ? / S % ?ffAI.JNEE 20 CTI'Y: ?GA N STATE: /'/N ZIP CODE: sS122 PHONE #: (?/Z ) J 52 ' l SGS SIGNA RE OF PERMITTEE 1993 PLUMBING PERNIIT (RESIDEN774,L) C1TY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 TOTAL: Z•so 1993 PLUMBING PERMIT (CONII?4ERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 682-4675 PLEASE COMPLETE FOR ALL COMAgRCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING Ui:;T. _ NEW CONSTRUCIION ADD ON ? RiiPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: l% OF CONTRACi' FE& STATE SURCHARGE: $.50 FOR EACH S1,000 OF pERWr FEE MINIMUM FEE: $ 25.00 ? CONTRACT PRICE X 1% $ S3'ATE SURCHARGE $ TOTAL ' $ SIT'E ADDRESS: TENANT NA111E: STE. # OWNER NAME: INSTALLER: ADDRESS: CIT'Y: PHOATE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT MECHANICAL PIItMIIT (RESIDEIV'17AL) ; CITY OF EAGAN ' , 3830 PILOT g1VOB RD EAGAN MN 55122 ' (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLIlVGS. ALSO, FOR TOWNHOMES AND COND05 WHF-N PERMITS ARE REQUIItED FOR EACH UNTT. ? NEW CONSTRUCTION ADD-ON A/C ADD-JN ?TRiidACE DATE I I- f c`?i-4 ? i FEESI HVAC: 0-100 M BTU $ 24,00 ADDTTIONAL 50 M B'TU 6,00 _.?.5 OUTLETS (MINIMUM 1@ 53.00 EACH) 3•cD ADD-ON/REMODEL (ExrsTING CoNSTRUCnox) $ 15,00 STATE SURCHARGE .50 TOTAL STTE ADDRESS: 4 ta Q a-)t_b? Lon& OwNER NAME: o.=et"15 r'nQ nn q67?2.Q/'.1/ TRi .RPHONE #: (-{ i 3-1 1 rl ? INSTALLER: GIIVZ-RYAN PLUMSING & HEATING C0. 14745 South Robert Trail CTT'y; Rosemownt STATE• M 'ZIP CODE: 55068 TFT FPHONE #: (612) 423-1144 nr ip(.de'fY i PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIF2ED FOR EACH UNTf. T?O. FIXTURES EACH ? SHOWER 3.00 3.&c, ? WATER CLOSET 3.00 ? ' L BATH TtJt? 3.i30 -3 LAVATORY 3.00 9.00 / KITCHEN SINK 3.00 I LAUNDRY TRAY 3.00 3. oa HOT TUB/5PA 3.00 ?- WATER HEATER 3.00 3.bo 1 FLOOR DRAIN 3.00 3.00 ?- GAS PIPING OUTLET • min?mum - ? 3.00 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00. , . PRIVATE DISP. • DeLcey. uc 15.00 U.G. SPRINKI..ER • home under const. 3.00 ALTERATIONS • to eASring 15.00 • - WATER TURN AROL3ND 15.00 STATESURCHARGE TOTAL: .50 39..so SITE ADDRESS: 41 ZZ 42do/e LAJ OWNER NAME: ?ENSM1-lNAV h`07W6Z?-S INSTALLER: PciV ZCG... IV,-r:-C/,LAAJ/G4 C-- ADDRESS: IySy .t>6fAG?iV EE KL? CTT'y; q(oRN STATE: ZIP CODE: S5?2Z PHONE #: ( 6/Z) 45Z' /S? S SIGNATURE OF PERMITTEE 1993 PLUMBING PERNIIT (RESIDENTIAL) CTTY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 PLUMBING PERMTT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP DINGS Wf-EN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH DWELLING U::;T. _ NEW CONSTItUCI70N ADD ON REPAIR WORK DESCRIPTION: CONTRACI' PRICE: $ FEE: l% OF CONTRAGT FEE. STATE SURCHARGE:.S•50 FOR EACH $1,000 OF "ItMl7' FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATESURCHARGE TOTAL SIT'E ADDRESS: $ $ $ TENANT NAME: STE # OWNER NAME: • INSTALLER: ADDRESS: CITY: STATE: PHONE #: ZIP CODE: FOR: CITY OF EAGAN APPLICANT MECHANICAL PERMIT (RESIDENTIAI,) G'iTY OF EAGAN 3830 PII,OT HNUB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPI,E'TE FOR SINGLE FAMTLY DWEi.LINGS. ALSO, CONDOS WHETT pERIvTTT'S pRE REQLJIRED FOR EACH UNTT. ? FOR TOWNHOMFS AND C NEW CONSTRUGTION ADD-ON A/C i ADD-CN FURNF,CE ' DA'rE _ 1 l-1?-q3 FEESI HVAC: 0-100 M BTU $ 24.00 ADDTTIONAL 50 M BTU 6.00 S` _.-6 OUTLETS (MINIMUM i@ 53.00 EACH) g.?C1 ADD-ON/REMODEL (EMsTIvG corrsTxucriox) $ 15.00 STATE SLTItCHARGE - .50 ' TOTAL ?3,5U I sTTE ADDRESS: qlgu CZ-tc.bo? Wn;L OWNER NAME: HrY6"I?n TEi.EPHONE #: /4oq3-I 1 "10) I ADDP.ESS: 14745 South Robert Trail CITy; Rosemount $Tq"j'E; M ZIP CODE: 55068 TEi.,EPHONE #: (612) 423-1144 t'lYlw ?- - ? PLEASE COMPLETE FOR SINGLE FAMILY DWELLING3. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES EACH TOT? I SHOWER 3.00 3•? _ 2. WATER CLOSET 3.00 L, vo 2 BATEi TU$ 3•00 L•&-v ? LAVATORY 3.00 9.o'D HITCHEN SINK 3.00 3.00 7- LAUNDRY TRAY 3.00 251o0 HOT TUB/SPA 3.00 / WATER HEATER 3.00 3.ob / FLOOR DRAIN 3.00 3. afl L GAS PIPING OUTLET • minimum • t 3.00 9. [» _ ROUGH OPENINGS 1.50 WATER SOFTENER , 5.00_ ., PRIVATE DISP. • n?.cty. iic. 15.00 U.G. SPRINKLER • eome under consL. 3.00 ALTERATIONS • to aasung 15.00 - WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: Q,j • SOb SITE ADDRESS: 4124 496C/Z Lti OWNER NAME:---9i E 6z.? INSTALLER: "iV Z ILL NECL/AatJlGLF C- CITY: L ACoAAl STATE: mx-? ZIP CODE: .SS ZZ PHONE #: ( lpl2 ) 452 - /,5-(o -5- _ - 6; SIGNATURE OF PERMITTEE 1993 PLUMBING PERMIT (RESIDE1vTlAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 ? . _ 1993 PLUMBING PERMTf (COD'MIItCIAL) CITY OF FAGAN 3830 PIIAT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMI?MRCLAUUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP:_DINGS VJHEN SEPARATE PERMTIS ARE NOT REQUIItED FOR EACH DWELLING L'i::T. IVF.'W Co ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 14E OF CONTRACT FEE. STATE SURCfIARGE 530 FOR FACH $1,000 OF PERMPI' FEE MINIMUM FEE: $25.00 CONTRACT PRICE X 1% STATESURCHARGE TOTAL SITE ADDRESS: $ $ $ TENANT NAIVIE: ' STE. # OWNER NAl?ZE: WSTALLER: ADDRESS: CITY: PH011'E #: FOR: CITY OF EAGAN STATE: ZIP CODE: APPLICANT .n , v - ?,.,:i?•, . . . , MECHANICAL PERMIT (RESIDIIVI7AL) I? CITY OF EAGAN 3830 PII.OT KIVOB RD j FAGAN MN 55122 (612) 6814675 PLEASE COMPLE'TE FOR SINGLE FAMII,Y DWEL.LIIVGS. ALSO, FOR TOWNHOMES AND CONDOS WIMN PERMITS ARE REQUIRED FOR EACH UNTf. NEW CONSTRULTION ? ADD-ON A!C A:?'J-ON FURPl?.CE DATE I I 1oGl3 , 'i FEES , , . <, . iHrva,c: aiaa M sTU ? $ 24,00 , ADDTTIONAL 50 M BTU j . (,pp 3.? _<?S OUTI.ET$ (MINIMLTM 1 @ 33.00 EACH) . , n a.DD-orr/REMODEL (EXIsrBVC corrszRUCrroiv) $15•ooF STATE SURCHARGE °.50 , p TOTAL , r SITE ADDRESS: q 1 ab Ca? LO rLQ. .: OWNER NAME: LCeosi7urln 4or72uJ • TELEPHONE #: as 3-I1'7Q ? INSTALLER: GENZ-RXAN PLUMBING & HEATING C0. ° ADD°.ESS: 14745 5outh Robert Trail CI''y: Rosesnoimt STATE: ? {ZIP CODE: 55068 TELEPHONE #: (612) 423-1144 ° ;? ?I PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. AL50, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. IO. FIXT[JRES I SHOWER 2. WATER CLOSET 2. BATH T-iJ"ti _"3 LAVATORY 1 KITCHEN SINK ? LAUNDRY TRAY HOT TUB/SPA 1 WATER HEATER 1 - FLUOR DRAIN F GAS PIPING OLJT'I.ET • minimum • t ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • neLcy. sc. U.G. SPRINKLER • 6ome under eonsi. ALTERATIONS • to ctisting WATER TURN AROUND STATESURCHARGE TOTAL: STfE ADDRESS: 9'/Glo L{,tL310K 4- nwi.?ER NAt.MF;??S?1AAI.V A EACH TOTAL 3.00 3. ? 3.00 . o0 j.^v'J ?. UD 3.00 9. o0 3.00 3,00 3.00 3. uo 3.00 3.00 3,00 3.00 3.00 3.00 15.00 1.50 5.00 15.00 3.00 15.00 15.00 .50 ? ?D INSTALLER: k)r-A) Z eE:_L /'lgGN.4 AVLG.4 C- ADDRESS: I IS9 71,1.4WN EC )(?D CITY: EL}GAAJ STATE: ZIP CODE: PHONE #: ( 4/Z ) -45-z- /3?b S SIGNATURE OF PERMITTEE 1993 PLUMBING PIILNIIT (RESIDIIVI74,L) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 PLUMBIING PERMIT (CONIIITERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (622) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALIINDUSTRIAL BUII.DINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UN:T. _ IVEW CONSTRUCfION ADD ON REPAIR WORK DESCRIPTION: CONT'RACT PRICE: FEE: l% OF CONTRACT FEE. STATE SURCFIARGE $.50 FOR EACH S1,000 OF PERMrr FEE MINIMUM FEE: $ 25.00 CONTRACI' PRICE X l% STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAN4E: INSTALLER: ADDRESS: CI1'Y: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: Lor: iq BLOCK: 2 APPLICANT: 4120 ARBOR LANE FIRESIDE CORNER INC WENZEL (612) 633-1042 PERMIT SUBTYPE: FIREPLACE TYPE OF WORK: NEW DESCRIPTION (GAS) BUILDING 024683 10/06/94 INSPECTION ., . DA ROUGH-IN FINAL F ? L . J ? CITY.OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.Z.N.: 10-83570-140-02 PERMIT 4120 ARBpR LANE LOT: 14 BLOCK: 2 WENZEL c,P- 3913 2, PERMIT TYPE: 8us Lp=NG Permit Number: 024683 DaTe Issued: 10 / 0 6/ 9 4 DESCRIPTION: (G A S ) B,W,jlding'-.Qermit Type ?uilding Wpr?k Type / t h1 ry r,?? FIREPLACE NEW 0 / p?r.- ( EJ?1? ` _" ? ? ? ?°?7 LJ L REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.56 Total Fee $25.50 CONTRACTOR: - Applzcant - sT. LIC. QWNER: FIRESIDE CORNER INC 16331042 0001068 QUIGGLE ARWIN 2700 N FAIRVIEW 4120 ARBOR LN ROSEVIL.LE MN 55113 EAGAN MN 55123 (612) 633-1042 (612)687-9579 T hereby'acknoaledge that I haye read thIs,app?}icatibn and staCB thaf the information 3s cnrreCt and agrae to comply:with eli appliGable State nf Mn. 5tatutes and City of Eagan Ordinances. ? L _ u APPLICANT/PERMITEESIGNATURE ISSUE .PIGN???RE ?? ? ? CITIl OF EAGAN 1994 BUILDING PERMIT APPLICATION .? 1,?n 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys,' 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans; 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request 9s made, 2) address is changed or 3) lot change is requested once permit is issued. I ??p c?s . CC7 Date 10 C7) / Val uati on of work 51 ? i Site Address: ?- D.O 0_--1poTL, k,G1,? STREET SUfTE N i Tenant Name: (commercial only) LOT BLOCK SUBD. {,' Q P.I.D. # Descri tion of work: ?'?lS?`?C1'1 C''s' S ? \YQ4 ufx'?- :V-?r The applicant is: ? Owner ? Contractor ? Other coescr;be> Name CL5_I.kDir1 4 &,C3Q.r\.4 Phone Property LasT FIRST Own@I' Address LAt2o QJ'? ?- STREET STE # - 551? 3 a City 0.Ao?.? State yr r. Zip - Companya1k1.pd Hta-k-N- (---)1b Phone a90-CF158 C011tY8CtOr Addressra._)W Q•2??vv.e.LA::> ?--?- License # OoS Exp. c7fy, 5ti.dtE 1`-N r-=' ?r?iji 55I1-3 Company Phone ' Architect/ Engineer Name Registration # Address ' City State' ' Zip u 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 c4rrect and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. ' Signature of Applicant: V"'-- s?? OFFICE USE.ONLY BUILDING PERMIT TYPE ? 02 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 S-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE O 31 New ? 33 Alterations ? 35 Tenant Finish 0 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS 11 Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. tatal Footprint Sq, ft. On-site well On-site sewage Building Variance ? Foating ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge .,_ riau ncVie"ri License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: vatuscs? ? < :t ? - -? z ?? vjw'? ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN t I_ (" -?) c- 651-681-4675 L? `T J--10 3 .°7 S Foundation Onl New Construction Inte'rior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . Strucfural Plans (2) • Code Analysis (1) • Certificate of Survey (1) . Civil Plans (2) . Project Specs (1) • CodeAnalysis (1) . LandscapingPlans (2) • KeyPlan (1) • ProjectSpecs (1) . CodeMalysis (1) . Master Exit Plan (1) • Spec. Insp. & 7estlng Schedule " • Certiflcate of Survey (1) • Energy CalculaGOns (i) not always" • Soils Report (i) • Spec. Insp. & Testing Schedule 0) " . Elec. Power & Lighhng Form (1) notalways" • Meter size must be established • Meter size must be established • Meter size must be established - if applica6le • PrqectSpecs (1) 1 • EnergyCalculations (1) 1 • Electric Power & Lighting Form (1) ! • MaslerExi[Plan (1) 1 1 • FireProtectionPlan (1)" y 1 • Soils Report (1) • MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651•602-1000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: SITE ADDRESS: 2602 WORKTYPE: _ NEW _ REMODEL CONSTRUCTION COST: S?; TENANTNAME: -Tt1E 6-R_f7?02 l4S?C S'TeJF= Z.o - SUITE#?L{12(04120y??1?.?,-+?(G??.,• FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK_B? Name: ?1'F 1?.?2 ?'?4']?_ • ?i?/G Zd?z? Phone#: CJh qoCD- ClNg2 PROPERTY Last First OWNER ?f , SfreetAddress: ?['y W-ciR I/-1i'lL- City: ?-Y}(,-tq-r'l State: _ ? _. Company: ITiR'r.? C6 i,SSS'2S CONTRACTOR ARCHITECT/ ENGINEER (At?j Zip: Phone #: ( ?l"? ? ) 2L5- l04' 3 StreetAddress: 10D S- C.OiQkCD2.1? ey-C1,WN1.[&C City: S) Sa. PqL, l^ State: MA Zip: r'J`-.•(r7j Company: _ Name: Street Address: CiTy: Licensed plumber installing new sewer/water service: Phone Regis4ation #: State: Phone #: ? Aus 1 9 ?c3z _Zip: 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 Ordinances. 'l Signature of Applicant: C. /) , Updated 1102 OFFICE USE ONLY SUBTYPE ? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Aparhnents ? 27 Commercial/Ind ushial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundarion) ? 46 Windows/Doors ? 32 Addirion ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building ? Insulation Engineering sq. ft. sq. $. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered ? Plumbing ? Stucco/Stone Variance Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage SNV Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies VALUATION $ % SAC SAC Units Meter Size Total ?+ ???_? 2006 RESIDENTIAL BUILDING rEiuvnT nrrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New ConsWC6on Reauiremenis 3 registered site surveys showing sq it M lot, sq. ft of house; and all rooizd areas (20% maximum lot coverage allowed) 1 Soils Report 'rf proposed building is to be piaced on disturbed soil 2 copies of plan showing beam & wmdow s2es; poured found design, etc 1 set of Energy Calcula6ons 3 copies of Tree Preservation Plan it bt platted aRer 7l1193 Rim Joist Detail Op6ons selecNon sheet (bui6iings with 3 or less units) Minnegasco mechanicalvenfilationtorm RemodeUReoair Reouirements 2 wpies of plan showing foolings, beams, joists 1 set of Energy Cakulations fw heated addi0ons 1 site survey for addiFrons & decks Addition - indicate if on-s'rfe sepfic system 0 / / 25 /. / S Otfice Use Onlv CertofSurveyRetd _Y _N SoilsReport _Y _N Tree Pres Plan Reoi _Y _N, TrcePresRequired _Y _N On-si[e Septic System _ Y _ N Date ?? I ? ?p ) .? ?, ? ?? ??, Construction Cost ? Site Address 13, A_(Zl3C_X_ 4A7`F?---? UnitlSte # 2- z 2 L1 ?746: Description of Work ?c52M[SUL-?-t l?Ar'?g- f?????1? 5? P??? ?/Nl?R?JS • ???7'?'?-?5 Mutti-Family Bldg ? Y _ N Fireplace(s) _ 0 2 PropertyOwner A-XZf12yZ6 Telephone # ( ) ConYractor ?o/tqeelae Address ( Z Zc>O City State 111aw.{t3a,i"?q- ZipTetephone#ITQ,) 2-9?,00 a AuG i 5 ? L?Y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672 Energy Code Categofy . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar pian based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work wi11 be in conformance with the ordinances azid 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. J? L'3 M, 1Cv71-61\1/f- ,. 5t)14??,_ ? Applicant's Printed Name icant's Signature ?ut 200'7 RESIDENTIAL MECHANICAL PERMTI' APPLICATION , City Of Eagan Wo raot xnon Rosa, Eapn Mtv 55122 ?AR 4 6 20(17 Telep6ane # 55I-675-5675 Please complcte for. single fsmily dwdlinga .@ townhomes/wndos when permits ere required for each unit D t a e IInit # 5ite Addresa S e r N' S r t o ?(S?- Z?' ?f 7 Tdepho=45 () roper y ww Contractor ZX?\?&s g ` A cit9 kil Street ddress Ssaoe T?n ? Telephone# (? ??'? 02l - O BOIId iJ: r\ 1 G? CnnL/ l llV l J EIpM}CS: ? ?? .. ThtlylpRt9nt18 _ OWOC[ Y COnuaciDi _ Oft f Fire repair (replace bnroed oat apptisnoea, ductworlc, dc.) S 90.00 This fee applies wheo e)densive mecharrical repaos are made to a twibcig. Add-an or altaation to exwung dweL'mg osk $ 50.00 fumace _Additional 41keplacement _ Ner+ air exrhanger ? air conditioner heat Pump other State Snrcharge $ .50 Total , I heieby apply for a Residemial Mechamcsl Pe:mit aud aclmowledge tLat ihe informah?'on is'complete and acc.vrate;lLat the work will be in confomvnce with tLe ordinaoces and oodcs of tffi City of Eagan and with the Mechatnpl Cods; tLat I andQStand ttns is n# a peunit, but onty an apptica4wn for a permit, and wodc is not to slart widYOUt a permit; that do wodc will be in acxordauce with die appmved plan in tle case of work which requaes a review ard approval of p1affi. . ~r ~ . . ~ ,,y • ~ a p a ~ y ~ . ~ , . . . , . "F '~'~~t~ ~ . . - . . ' ~ - - . . }.,T~~ FY _ . . ' ~ ' . Rf ~ µ . . . , . ~ . . . . ' i . . , : . ' . -:t~ t _ . . . . . . ~ _ ~ . ~ . - . , . . . . . Ll-_Og 4 h ~ xr. ~ r`cr ,^S 'T : - ~ _ , . _ . . . ~ . ~ . ~ ~ .,v . 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' ~ ' . . . . . . . . . . ~ . . , - ' t ~ ~lea '1 F~ J ' . ~ F, u - -.-----jE- - - ; i '~?-r ~ 9'Ib, , . , - DEScR! io P N PCZ1~1PttC- DR.IV-- ~ ~ l 10TS !3 I AND ~6 LOCk S B , , , !b, BLDCk 2, , T 1~/ENZEt FtRST ADD1 ~OI PD 1 T/OId, ~ k DA OrA COL~~TY , M1 NIYE SOTA CERTI FIC AT,~ O F 5 L1 R~/E' ? tJ R 1/ E Y foY 1NE NSM A N N I 5 NG I-OME 'S NC. ~ / APPROVED 9Y SCALE: I hereby certify that this survey was prepared by me or' IORAWN 8Y under my direct supervision and that I am a duly Registered DATE: Land Surveyor under the laws of the State of Minnes~ta, AsSOC~AT~D SURV YING dJV ~ ~ NG E ' ENGiAIE159I1VG, 1NC. Date:~~.f~„ ~ iS9 DRAWING NUMBER LeRoy H Bohlen ~ Registered Land Surveyor No, 10795 ~ p~yT NO.IBSA~IB%24 ~ " 0512312014 11:27 Les Jones Roofing, Inc. TAX)9528811009 P.0101016 Use SLUE or BLACK Ink ^ y For Office Use I j Permit ~ g` g 3 j City of Eqan ( r 1 Fee: 15-71.-7_45 Perot t 3830 Pilot Knob Road Fagan MN 65122 Date Received: (1 Phone: (651) 675-5675 I I Fax: (661) 67MB94 i Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S11 Site Address; 4120- q1 Z.'2 - qI2$-q 124 ~ -a LAAi ko""' Unit Name: yo m-E Aizaoas As hoc. ~e-Ar x,A-- #4 hone: to Sj- 4O-S- `a_5' C r.' Address /City IZip! _ H~9RBoQ . Ggf`faF Applicant is: Owner X Contrector Description of work: F-VA-4 b VC AWA /LEDc.3ce Construction Cost: ` 3 -2 Q r X Multi-Family Building: (Yes / No Company: ArS ToNg3 q~ofiallr &mc. Contact: d::'mat r A-NDE72so&/ Address: 9 Y / IN. go"' orAzzm- City: &e416lA61-22A1 r' State: Mn/ Zip: - ,~,f <`2a Phone: 95-A - 74 7 - AW _ License D Lead Certificate .VA-7- qO 3 'PR 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: r CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground uglltles. www ooaherstateonscall.ora 1 hereby acknowtedge that this Information Is complete and accurate; (hat 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 VA be In accordance with the approved plan In the case of work which requires a reYlew and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 980 days of permit Issuance. ,Crs AV06I20-t7,J x roz' de, e Applicant's Printed Name Applicant's Signature Page 1 of 3 City of Cappu 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED FEB 0 12016 Use BLUE or BLACK Ink For Office Use (� a Permit #: 1 't. ' "1 1 Permit Fee: (C1 • 00 Date Received" 1-1 (10 Staff: 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 1/27/16 Site Address: 4120 ARBOR LN Tenant: Suite #: J Name: CORWIN QUIGGLE Address / City / Zip: 4120 ARBOR LN, EAGAN, MN 55122 Name: K&S HTG., A/C & PLBG. INC. Phone: 952-484-1947 License #: 43 6 8 9 Address: 4205 HWY 14 W City: ROCHESTER State: MN Zip: 55 9 01 Contact: HEIDI BROWN Phone: Email: 507-361-2332 HBROWN@KSHEATING.COM New XX Replacement Additional Alteration Demolition Description of work: RESIDENTIAL XX Furnace XX Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ 6 0 . 0 0 TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum includes State Surcharge $70.00 Underground tank installation/removal *If contract value is GREATER than $2,010, Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 =$ _$ =$ Permit Fee Surcharge* TOTAL FEE 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. x RICK KEEHN Applicant's Printed Name Applicant's Signature