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1560 Baylor CtCITY OF EAGAN WATER SERVICE PERMIT- j?' Vi ' 3830 Pilot Knob Road 6243 P. O. Box ?1199 PERMIT NO.: EaRjan, MN 55121 DATE: 6-3-35 Zoning: No. of Units: 1 of o ex Owner: = *O : ?n I(x c QE's Address: Site Address 1560B Ba ylor. CL. L14 1-12 Lake 'Iqts. Plumber. Thom=> son Flb Meter No.: 3 S c,74` '= 'Conner Chorge: 500.00;x.; Size: ', Account Deposit: 15.00 p.1 Reode No.: 6? bi 441 / ?LS6 Permit Fee: 10.00 nd agree to empty wkh the Cityof Eeoe¦ Surcharge: • 5t' i? P BY^ a Paid: Date of Insp.: Insp.: F ! 7/ T4 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: t Plumber. _ Meter No.: Size: Reader No.: i pwe to comply with the City of Bases Ordiwaeaes. By Date of Insp.: Connection Charge: <i.. Account Deposit: Permit Fee: Surcharge: Misc. Charges: - - Total: Date Paid: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knoli Ropd P. O. Box 21199 PERMIT NO.: Eagan, MN. 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: - _ Plumber: I mom to *on* with the Cky of Bosom Connection Charge: ordimemew Account Deposit: Permit Fee: Surdxwge: BY Misc. Chomps: Dote of Insp.: Total: Dote Paid: - CITY OF EAGAN WATER SERVICE PERM 3830 Pilot Knob Road .; P. P. O. Box 27199 PERMIT NO.: Eagan, 'MN 55121 DATE: 6"-7_- S Zoning: No. of Units: Owner: Address: Site Address: ; - ` t s - - Plumber: - Motor No.. Connection Charge: Site: Account Deposit: Reader No.: Permit Fee: ywe to *am* wuh the City of Began Surcharge: Ordinances. Miff. Charges: '<1-)d rJ/"• Total: u0rx-.4 nett` By Doh Paid: Date of Insp.: Irk.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21189 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: - -' ^ ° - Owner: Address: Site Address: : C F i : ,• ' Plumber. `:• T'.t ' - • 100.0??? . I agree to ee -ph V46 00 Gfy of 10p• Connection Change: Q% oral"Reee, Account Deposit: ?!? n?'• Permit Foe: Surcharge: y. Bv Dote of Imp.: Misc. Changes: Total: Dab Paid: - CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199, - PERMIT NO.: Eagan, MN 55121 DATE: 2oningar No. of Units: i Owner:.:' Address: Site Address: 1564 gdylor CL. i "j B' -: x- i?3 T-.r- e Tp c t; . Plumber. TiAo:rosou Y 1°: r Meter No.: Connection Charge: $??-OG'?r Size: Account Deposit: ' j - 00 " Reader No.: Permit Fee: 1 Gem h eaaply with ow City of ayes Surcharge: orsllaeaem misc. awrges: Total: By Dote Plaid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21195 PERMIT NO.: Eagan, MN 55121 DATE: Zoning; No. of Units: Owner: Address: Site Address: Plumber: _ e0no to eam* wish the CNy of loge. Ordinances. By Date of Insp.: l?fl., I?Os ' Connection Charge: S S _ f}C u Account Deposit: Permit Fee: Surcharge: Misc. Chorges: Total: Date Paid: CITY OF EAGAN 3830 Pilot Knob. Road P. b. Box 21199 Eagan, MN 55121 Zoning: ' Owner: ?IP_GF fQ7 i Address: Site Address: 15,642. Plumber: WATER SERVICE PERMIT 3Z?j PERMIT NO.: 6 2 4 2 DATE: 6-3-R 5 -No. of Units: 1 of 4 nl ex Meter No.: 3 .!5- 1 g2?' Coe?r tit l y Charge: 500-2W Size: !Vx Account Deposit: 15.00 od Reader No.:4 e d Permit Fee: 10.00 Ad I agree to can whir Nro City of Eaye¦ Surcharge: . 30 pd Ordinances. Misc. Charges. ; 32.00pd SIC Total: 63.00pd ::teter By Date Poid: Date of Insp : Insp : . / . CITY OF EAGAN 3830 Pilot Knob Road P. O. Bcx 2119tu Eagan, MN 55121 Zoning: Owner: Address: WATER SERVICE PERMIT3c2?j' PERMIT NO.: 62"1 DATE: 6 - 3 No. of Units: 4 Z'1e Site Address: ?a l.or +• Plumber: you T' 11 . Meter No.: Coma Size: rc o-ely Aaxo, Reader No.: Permi t e!h? TO P11' wills lire City af?Hfgo ¦ ordloonese. - 7 mix. Total: By ate Dote of Insp. Insp.: .5o 0 Charges: Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 551Z-1 DATE: Zoning: No. of Units: Owner.,: =h:z ° - F 7E' E Address: - Site Address Plumber rf F' 1.4 Mater No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 "M to a Ply wkh the, City of legee Surcharge: Qrdiaowar. Misc. Charges: i •- :_ ,;.'. Total: By Dote Paid: Date of Insp.: Insp.: CITYtF EA-AN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: Owner: k)r i Z ?' : y ?? 3E Address: Site Address ?. 5 u' 0 k :y 1 ax Ct. Plumber. Tnoripson 111bg WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 1 I LX 'mcmas Meter No.: .3k4 7 9241_ Connection Charge: Ju"L" size: _ r" 11"? Account Deposit: 15.00 pd Reode No.: 1l 7--m I 3 -7 Permit Fee: 10.00 pd I Nrsa Is aosaollr With the Cltr of byes surcharge: .50 pd Misc. Charges: 132.00,-Xl S /C Total: 6 3 - PCa 15e L r B Date Paid: Date of 1 Insp.: l2, ??BS CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: ";;-i 3d1 p f''_ a Plumber: 1i1c5tnDCn ?'1 f - _ ._ ?3 L.L_.l11 1 yroe to amply with the Cay of Eagan Connection Charge: 425.001, oralnaaoes. By Date of Insp.: Account Deposit: I s . yf? p Permit Fee: ' ?' •' i Surcharge: Misc. Charges: Total: Data Paid: • c l r' ,. 1 r .f. Receipt PLUMBING PERMIT Permit No'.,/ . CITY OF EAGAN . ? Fee ,.y Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost . 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? I 10. Describe 1 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfiefd Bath tubs p Se tic Tank Lavatory p Softner Shower Well Kitchen Sink Urinal/Bidet Othe Laundry Tray r Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt' PLUMBING PERMIT Permit No. CITY OF EAGAN J (/ Fee fill in numbered spaces S/C Type or Print legibly Tot. y 1. Date 2. Installation Cost I 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential O Commercial ? Institutional ? 9. Work Description: New {7 Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/D infield Bath tubs p ra ti T S k Lavatory ep c an Softner Shower Well Kitchen Sink Urinal/Bidet h O Laundry Tray t er Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4548100 T l-? X549 PLUMBING PERMIT Permit No. %j CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly ' Tot. 1. Date 2. Installation Cost _ 3. Job Address Lot Blk. Tract I 4. Owner 5. Contractor Phone 6. Address 7. City State Zip _ B. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe I 11 No. Fixtures Water Closet No. Fixtures Ces ool/Drainfield Bath tubs sp Se ti k T Lavatory p c an ft S Shower o ner Well Kitchen Sink Urinal/Bidet Othe Laundry Tray r Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address Lot Blk. _ 4. Owner Tract 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? 10. Describe 11. Permit No. Fee S/C Tot. Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cess i fi l/D ld Bath tubs poo ra e n T S ti k Lavatory ep c an Soft e Shower r n W ll Kitchen Sink e Urinal/Bidet Oth Laundry Tray er Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ADDRESS CITY J OCCUPANT OWNER HEAT LOSS DA SOLD BY Electrical Work By `-'41! Gas Line By TYPE OF HEAT GA_ FA-,?'_ HW_ STEAM SPACE HTR. UNIT HTR. - OTHER GAS DESIGN CONVERSION MAKE --MAiEE--OE-Q U R N E R Ea t_' A Model u y /? ?? v a Model - Serial /l S AsLS `70?9 Max. BTU Rating _ TEWE-D INPUT y U 0 Cl U MAKE-9FfURNACE _ - CONTROLS THERMOSTAT = Heat Plug Valve E ?l Limit Limit Setting _ a5 o? Fan Setting Pilot Type. 1!5 1 c_ spa Pilot Make c ° a L Pilot Model 3? o - 9S Pilot Timing L.W. Cut Off Pressure W c Percent CO S u 2 Input CFH c ?/l Percent O Stack Temp. L90 v/ Percent CO `Zci- ?11 Vent Size i,- KIND OF LINER SIZE Draft Hoodv< f c.. i ?t a -^ Regulator A- Le- z: Filters Size Number Chimney Location Inside Outside Chimney Construction = l?j Smoke Bomb Wiring' ; Draft Test Tag Door Pressure Lighting Inst. r !L Date Tested Company Testing ' F " ` Name of Tester -' l GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ADDRtSS CITY OCCUPANT OWNER J't ''-2 -- HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY-' f Electrical Work By Gas Line By TYPE OF HEAT GA____ FA .-- FlW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVK N MAKE MAKE OF BURNER r n r? t? Model Model ?ni F D Serial •'} ? 6 ?+ Max. BTU Rating INPUT MAKE OF FURNACE CONTROLS °'--? THERMOSTAT Heat Plug Vent Size //4 Valve KIND OF LINER DP?"- SIZE NONE Limit ' - ` ' ? Limit Setting - " Fan Setting ? Pilot Type cA" • ? Pilot Make Pilot Model Pilot Timing r L.W. Cut Off Pressure Percent CO2 Input CFH u Percent OZ 7 Stack Temp. `g 2 u ' Percent CO -I " Draft Hood ' =¢ Regulator Filters Size Number Chimney Location Inside "J Outside Chimney Construction ; ? Smoke Bomb Draft Wiring _ Test Tag Door Pressure Lighting Inst. Date Tested Company Testing ?rU /J G Name of Tester GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ADDRtSS 2 /Q C? r CITY L-A 6-4-1 OCCUPANT OWNER ,+- !' i ' / T JN HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY `'- Electrical Work By Gas Line By TYPE OF HEAT GA_ FA- HW_ STEAM SPACE HTR. UNIT HTR.^ 0 FIG- A. GAS DESIGN CONY KI 0 MAKE MAKE OF BURNER R E V I E W E D Model ; /6 u--? - 4 Model Serial Max. BTU Rating INPUT MAKE OF FURNACE e--- CONTROLS THERMOSTATHeat Plug Valve Limit ' .13 r Limit Setting Fan Setting Pilot Type F / r C ft , Pilot Make "7 AC Pilot Model '' Pilot Timing L.W. Cut Off Vent Size KIND OF LINER SIZE NONE Draft Hood "-4-42 ' -i Regulator Filters Size Number Chimney Location Inside - Outside Chimney Construction Smoke Bomb Draft Door Pressure Wiring Test Tag Lighting Inst. Pressure Percent CO2 Date Tested / & - `i - Input CFH Percent 02 Company Testing Stack Temp. Z 0 Percent CO -9- Name of Tester CITY OF EAGAN Remarks T?-&? J-412 o Addition lholt13S I.ak? Height ddi _ion Lot -A IS -131k : parcel #10 Owner :. -?1h ? Street 1560 Baylor Count State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 111.89 A03 2172 5-5-83 STREET RESTOR. GRADING SAN SEW TRUNK 7,3 * SEWER LATERAL 1991 371 ' 7,52' 15.05 A0121 T2 5-5-83 WATERMAIN * WATER LATERAL 1981 WATER AREA AL -1981 13651 97 30 4.61 A012172 5-5- 8 - STORM SEW TRK 1981 -312 37 9() 8,7 21x2 A012172 5-5-83 * STORM SEW LAT 1981 - CURB & GUTTER SIDEWALK STREET LIGHT Road Unit $7gn no 52956 31/8 5/ 5 WATER CONN. . 500 00 n . . n BUILDING PER. i n-,11 4-1 n-'11 7 SAC 525-00 L PARK CITY OF EAGAN Remarks 25951 Addition_Tfzr+n+as L,a}lce HeiLL$ht? Arddition Lot As ZY Blk Parcel #J 0)3+"-4Owner b(f ?? ! N F Street 1560 Baylor Court t g t State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 77973 5 5 9 4 5 89 A012172 5-5-83 STREET RESTOR. - - . - GRADING SAN SEW TRUNK * SEWER LATERAL 37.61 S2 15.05 A0121 T2 - -8 5 5 WATERMAIN *WATER LATERAL WATER AREA 1 36 5 1 27 30 4.61 A0121 2 5-5-83 - - STORM SEW TRK 1 '419 37 210-91 A012172 -5-83 * STORM SEW LAT 1981 _ CURB & GUTTER SIDEWALK STREET LIGHT FDad Unit 1 $280.00 52256 5431/85 WATER CONN. 500.00 BUILDING PER. 0314-10317 SAC 525.00 PARK CITY OF EAGAN q Remarks I `17 ds? Addition Thomas Lake HeightW Addition Lot s /6 Bak Iff 0- Parcel #10 Owner iwing. fk, street 1564 Baylor Court State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1981 279.71 55-94 5 ill. 5 A012172 5-5-83 STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1981 7.61 52 15-05 a012172 5-5-83 WATERMAIN * WATER LATERAL 1981 WATER AREA 198 136.51 4.61 a0121 5-543 STORM SEW TRK 03- 1981 312.37 20.82 15 249. 91 A0121T2 5-5-53 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Rrind Upi 1- $280-00 S9956 5/31/85 WATER CONN. BUILDING PER. 0314-10317 SAC PARK CITY OF EAGAN Addition onia: 1` Owner ddition -Lot ---A X Blk * - Parcel #10 Street 1564 B Baylor Court State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 279-71 E;r' 94 5 111.89 A0121 T2 8 STREET RESTOR. . GRADING SAN SEW TRUNK ^ 7 * SEWER LATERAL 3 .61 rig 15.05 A0121 T2 5-5-83 WATERMAIN * WATER LATERAL 1981 WATER AREA 1991 116 - 51 77 30 54.61 A0121 T2 55 - •.$ STORM SEW TRK ^ 19R1 112-37 ?Q_R2 jr 21{9,1 x012172 5-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. n n BUILDING PER. 1 Q-41 4-1 r)_11 7- SAC 525-00 PARK (TOWNHOUSE) BUILDING PERMIT Receipt * Site Addnm d r, : y Erect Lot 1 ... Block Sec/Sub. = Remodel Parcel No. e: Name "T 2 7,1 .f Z _ Address City Phone Name u1 Address H City Phone Name , r!T' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 Phone 5 7 5 2 4 Repair Addition Move Demolish Int. Impr. 10316 5a.aS(? l Occupancy -k ? Zoning P; i ? Type of Const. 1 ? No. Stories ? Length 4 ? Depth 2 6 ? Sq. Ft. Assessment Water b Sew. Police Fire Erv. Planner Council I hereby acknowledge that I have rood this application and state that Bldg. Off. ' '3 1 S ` the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Permit ` - Surcharge Plan Review i - SAC d Water Conn. t ' ' - ft 0 Water Meter - ' ? (4 Road Unit S ll i Tr. Pl. Parks Var. Dete I Copies Signature of Permittee Total i r A Building Permit Is issued to: " on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone alt Plum6irq ?h Y? o f a L° - L? C H.VA.C. D ' (to .)ed •.cr / I Electric A % va c- av Softener Inspection Date Insp. Other Footings I G? Footings II Foundation Framing Roofing Rough Plbg. ? Rough Htg. )/,W AV Insul. yyy Fireplace Final Htg. Final Plbg. Final Cert;/DCc. -a Water Desaibe Location: Well Sewer Pr. Disp. ,; CITY OF EAGAN t P -7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 y PH ON E: 454.8100 QUILDING PERMIT Receipt # Site Address Erect Occupancy Lot r: Block ?+^/Sub. i Remodel ? i ,: ? Zoning ;,t? Repair ? Type of Const. 1i Parcel No. Addition ? No. Stories I ' e ' ?? Move " 13 Length G 4 W Name -- - • ` Demolish ? Depth i z Address s PC % 1,30 - Int. Impr. ? Sq. Ft. City ' L Phone 7 Install ? ,O Name Bu Address Assessment Permit ?- City Phone Water E, Sew. Surcharge Police Plan Review 1 '111 G W Name Fire SAC 13 Address Eng. Water Conn. utv iW City Phone 4 1 Planner Water Meter Council Road Unit i - 0 I hereby acknowledge that I have read this application and state that Bldg. Off. -2 Tr. PI._ the information is correct and agree to comply with all applicable APC Parks State of Minnesota Statutes and City of Eagan Ordinanus Var. Date Copies Signature of Perrnittee - Total ?i A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Data Telephone Plumbing -3 t o 7) HNA.C. 759c,cl CEO C t (3, a ElectWc ;L rA C_ 7 ? softener Inspection Date Insp , Other FootingsI Footings II Foundation Frami ng g Roofing Rough Plbg. Rough Htg. 9 Insul. , , Fireplace Final Htg. Final Pibg. Final Cert/Occ. ?? Water Describe Location: Well Sewer Pr._Disp, rirBiCT?VATE, _ 454-29224 CITY OF EAGAN PTct`FCnob Road, P.O. Box 21-199, Eagan, MN 55121 00*6 - J. OLSEM PHONE: 4548100 BUILDING PERMIT Receipt # Site Address i - -Y Erect 4 Occupancy Lot Block Sec/Sub. Remodel ? Zoning Parcel No. W Name Address r b City Phone Name uU Address I- City Phone Name Address City Phone I hereby acknowledge that I have read this applic the iniormotion is correct and agree to comply State of Minnesota Statutes and City of Eagan Signature of Permittee A Building Permit Is issued to: all work shall be done in accordance with all opl Repair ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int. Impr. ? Sq, Ft. Install ? Approvals Fees Assessment - Water 3 Sew. Police Fin Eng• Planne? Council and state that Bldg. Off. -? all applicable APC lances. Var. Date Permit I? = f Surcharge . ?- '- Plan Review SAC Water Conn r'v`? Water Meter '? ? • ?` Road Unit = U 0'?. Tr. PI. UU Parks 1 , 971 . C Copies , Total an the express condition that State of Minnesota Statutes and City W Eagan Ordinances. Permit No. Permit Holder Dab Telephone Plumbing HMA.C. 5q ` -I 15 F.Q U s 5 -160 Electric 3 (p(e--) I M c. tAL r Softener Inspection Date Insp. Other Footings I W Footings 11 Foundation V Framing Roofing lv Rough Plbg. "?Js 2? Rough Htg. P*;/ Insul. ?, ys Fireplace -ho AL., Final Htg. Final Plbg. Q 14 D I? Final Cert/Occ. ,f? - • r Water Descon Location: well Sewer Pr. DIsP. F jais W CITY OF EAGAN 3314 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for E st. Value Dat e 19 Site Address v Erect Occupancy Lot Block Sec/Sub Remodel ? Zoning . Repair ? Type of Const. Parcel No. Addition ? No. Stories Move Name li h ? ? Length T h r D Z Address Demo s t I I ? ept F S z n . mpr. q. t. City Phone 2 - ? n Install ? ?O Name Approvals roes s? Address Assessment Permit 1 City Phone Water 3 Sew. Surcharge ' Police Plan Review i S tW W Name Fire SAC r' 2 5 . 0 f. _? Address Eng. Water Conn. ' 1 tW City Phone a' Planner Water Meter ! 4' Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off, ! ii f Tr. Pl. the information Is correct and agree to comply with all applicable APC Parka State of Minnesota Statutes and City of Eagan Ordinances Var. Date Copies Signature of Permittee ` Total A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances Building Official Permit No. Permit Holder Date Telephone p Plumbing H.VA.C. I ' tt c C ,? c SIBS S?(`51b11 EN6ric L O 7 V ? / Y.? 0 c) Softener 7 G? y $ ! t? ) Y? o q U 1 - `?? b D d _ u-o Inspection Date Insp. Other Footings I Footings II Foundation Framin g j Roofing Rough Plbg. Rough Htg. $ 7 Insul. ?S Fireplace Final Htg. A)-)Fn C U l? Final Plbg. ,OSLa` LAC 4A/ 0. Final /?YLOQ? Cert/Dec. ?• Water Describe Locati Well Sewer Pr. Disp. Receipt PECHANICAL PERMIT • TY I=A ,? CI OF G?11 Fee s Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot f- -'BIk. Tract 1 -771u;- 4. Owner GEO. 5. Contractor Phone 6. Address A11(?ly:=r?; I o 7. City State Zip 8. Building Type: Residential Er Commercial ? Institutional ? 9. Work Description: New Er Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air, ?4' No. Equipment CFM Ai dli H Mfg. rjl /S/?+.Gr T r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : i. A: -'? % for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: + Ili l set 3830 Pilot Knob Road Permit Number: I r' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I ` APPLICANT: rt;'r? :, 1 t r li ; 1•I ACF tiAl IFRV 10"A ft 1 AK1' FIF 1 fill I'l .'NIj PERMIT SUBTYPE: f;n11f,14 1 N ( 61: ) f19K--11I4 TYPE OF WORK: 1 I NAI Permit No. Permit Holder Date Telephone k ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST Al. FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL w INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: „I PERMIT SUBTYPE: PERMIT TYPE: t+ r 1. it 1 NN Permit Number: 9 4 6 6 Date Issued: o / 8 -; / q ) ?1 `'' 1 -10 APPLICANT: 11, 11101: 11, { 111. 1 1 t ! {; TYPE OF WORK: 1-rPAIP ?rAkk`; 1N( 1001'; I(,hN-rt (lilt 14) JN64 (11)1 16) 1"t,4-i4 (I(1T 'lea) DAY1(111 1:1 Permit No. Permit Holder Date Telephone s ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: : t1 f t ri 1 mh 3830 Pilot Knob Road Permit Number: :1 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ' • "" ' i it 1 i f„ti'i t Uk t 1 oiN1A' F. Ak t tit F oli f PERMIT SUBTYPE: it l ' 1li1 APPLICANT: 3 s (h l .') Fi ?' Fi H ti l l Nil TYPE OF WORK: fit t;t Fr i F't I4IN Al i'FRAttON MAR FTW; ONLY Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ` DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55 1 22-1 897 (612) 681-4675 SITE ADDRESS: ' ' I (I ; " ' 1 I AYI nk + 111 +14 F,' i AY I Flt I IiII I:'Nli PERMIT SUBTYPE: ,11 1 1 F00 t 1 "+i", ON WORD PERMIT TYPE: Permit Number: Date Issued: HI ;,? I APPLICANT: loORNf MAN ( V. I ) F, H 1 0 7 TYPE OF WORK: I INAI +ik$ 611RY i+I) 1 I I ON Permit No. Permit Holder Date Telephone k ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FIDd-N- J l? r/M '-I t i - INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 I ' ' 1 ki SITE ADDRESS: -it4 ', I nk. I 111 I "li PERMIT SUBTYPE: I I -I IN(,: ! fl 7 *.? 1 J r. E7 ' A . Ib fitUf.K: PERMIT TYPE: Permit Number: Date Issued: 14 11 1 1 111 N1 0." ti 11) 6 4 1@187191 APPLICANT: TYPE OF WORK: I.i .1 i , , 1 I ,'rl Al IFNAIION f1;` t k F0117INlIS ONLY Permit No. Permit Holder Date Telephone 8 ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ?C 4 1ti.3 DECK FINAL CITY OF EAGAN PERMIT TYPE: X11 1 1' 1 N1 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: k.i t (612) 681-4675 SITE ADDRESS: APPLICANT: , „ 1 1. I I I i' :ri ,, r1,. i I::il I.AE?A 1,0: ?17 rill , : : ii':'. PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE fNSPTR. INSPECTION TYPE .• i Permit NO. F*rmit Holder Dab Telephone r ELECTRIC PLUMBING HVAC Inspection Dab Map. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG q f! 9s { DECK FINAL ?? 9s ? This request void 53 g 3'? 1Renuths-fro L 36 '70 136 a T VS,,L.IL-4*-S-? -0 4 *Ps Yc? 0 0 Request Data Fire No. Rough-in Inspection .y? []Ready Now UO Will Notify. Inspec- Yes ?No tar When Ready N Licensed Electrical Contractor - I herby request inspection of above Owner electrical work installed at: Street Address. Roo or Route No. r? `SIOVG t - City n ?? Section No. Township Name or No. Range No. Cq\u^m?y W Occupant lPRl TI } t Phone No. 040.M S ZC?-?tOd Power Sappho, Q ?i Address Fp?M+N?' ? T ta>- Electrical Contractor (Coopony Name) T CoMrctnr's License No. Avs? ?ES?. k 8Z t Mallim Ad s (Contractor of Owner Making Inswilationl , L +A L-- le-o A " . s A wiz Signature (COMMIClpr/Owner Making Installationl Phone Number Z8°4,4-74 MINNESOTA STATE,BOARD OF EIECTRICZP" THIS INSPECTION REQUEST WILL NOT Grft®s-Midway Bldg, - R. N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Aye., SL Paul, MN 8 04 UNLESS PROPER INSPECTION FEE IS Phone 18121 29]-2111 ENCLOSED. g 3 r'' REQUEST FOR ELECTRICAL INSPECTION c c ' See hastructions for completing this fpm on back of Yellow mpV. 3 6 6 7 0 ""R"" Retow Woreft wMd by This Request EB•DeDDt-01 # Fee ervice Entrance S izo # Fee Feeders/Suhfeeders # Fee Circuits A 17-00 0 to 200 - AMPS 0 to 30 q 0 to 30 Am - 200 Amps jAbove, 31 to 100 Amps 31 to 100 A Swimming Pool Above 100 Amps Above 100---A-Ps ranstooners Imigation Boor Partialo Other Fee Signs Special Inspection s TOTaL Rertwrks ? 6-JO Rough-in t Dater ? r %jj 7-? ,-the Electrical ! I mpacta hereby m cart that the above Final t Date pection ryas been 6- -do. 11112 request road IS Months from This request will 5393 ? ?N• /O 18 1 1 Jb h-U . L 13 0? 1yw?. Lktb?z /L O V Reque$$$I Date Fire No. Rnugh-in Inspection 7 / ?? Requrced? adY No N2-it. Y Inspec- ?Ves o or eady Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. tGc,0 C&U T City ection No. Township Name or No. Range.. No. County Ao Occupant (PRINT) 0Sw o?iZ.a.?-?0{+??5 Phone No. Q2 a-'39bo Power Supplier }u Address A'?[]Q 'Z.i\ L. v_ _I A ? 1G FARMtNh El??trical Contractor (Company Nargg)- ' k Contractor-s License No. Mac --Ijz yy j Mailing Address (Contractor or Owner Making Instailatio LStZ1 ?.i N. AYTbr? MQ SS 3727 A horized Signature (Contractor Owner Making Insta lationl C Phone Number /? A-2.8>- ,4Q-74 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REGUEST WILL NOT Griggs-Midwav Bldg. - Room NA91 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Pho. 1612) 287-2111 ENCLOSED. 53837 REQUEST FOR ELECTRICAL INSPECTION Aga See instructions for completing this form. on back of yellow copy. 3196-H .11. Below Wotk Covered by This Request 0 ES-00001-v. -)//??? Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other perply lher (sped ly) t .r (Specify Other Other ompute Inspection Fee Below _ # Fee Service Entrance Size g Fee Feeders/Sublarders 4 Foe Circuits it 0 to 200 Am 0 to 30 Am)S 0 to 30 Am s Above 200 Am is 31 to 100 Amps r 31 to 100 A Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Booms Partial•'Otber Fee Signs Special Inspection $ TOTAL FEE Remarks 'r '' UC,/t LrC/ • Inspector, hereb y certify that the bore Final ,j ? Dale rnpectian has been R ? rrmde. This request void 18 months from y 5 p ::,qua Date oft ilrs Re nest I J fJ LK, 0 ?Cy U CJ I, as ? Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. k5-0 0 - 10'6 Section Township Which is occupied by Is a roughin inspection required on this job? No ? M Power Supplier Electrical Contractor _ (Company Name) Mailing Address 1J' ? ( lectr al on ac Authorized Signature (Electrical cone actor{?.o?rrO??'wne L1VE BOARD COPY W - Range County Vame of Occupant) Yes ? Ready Now ? Will Call ? Address 01/0:q;W Contractor's License No. _ ?r Owner Making This Installation) Phone No. ll king T Iz Installation) This inspection request will not he accepted by the State Board unless proper inspection fee is enclosed. 0Minnesota State Board of Electricity 1 University Ave., St. Paul, Minn. 55104-Phone 645-7703 R&qUEST FOR ELECTRIC41- INSPECTION CHECK BELOW WORK COVERED BY T EQUEST 'R 20727 Type of Building New Add. Rep. Check App es Wired For Check Equipment Wired For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo UNoader ? Industrial Bldg. ? ? ? Au Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Other ? El El HerersI Here rersI COMPUTE INSPECTION FEE BELOW Service Entrance Size: n Fee Feeders&Subfeeders: u Fee Circuits: n Fee 0 to 100 s. 0 to 30 Am res 0 to 30 Amperes 101 t O Am 72 31 to 100 Am res 31 to 100 Amperes Above 00_Amps. Above 100_Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum f Remarks ?f TOTAL F? sXA ' I, the Electrical Inspector, hereby certify that the above inspection has been mad . / tG (Rough-in)_ Date (Final) _ n% Date - ?J This request void 18 months romp This request wit 01 4789 kVl?3a 7" M I-k- ?rr 5 0 Requ es[ Date No. Fire Requhed?Inspection ??? Now vWill Notify 1s - r. p a,-1-1d05 ?1'es ?No [or When Beady u-Licensed Electrical Contractor 1 hereh y request inspection of shove ? Owner electrical work installed at: Street Address, Box or Bout. No. City 1560 Baylor Court Eagan Soctina No- Township Name or No. flango No. County Dakota Occupant (PRINT) Phone No. New Horizons Power Supplies Add,... Dakota Cty. Electric Farmington Electrical Contractor (Comuaov Name) Contractor's License No- O.B. Thompson Electric Co., ;40602 Mailino Address (Contractor or Owner Making Instailation) 12201 Mtka,Blvd., Mtka 55343 Authorized Signature (Contmctor Owner Making Installation) " Phone Nesnher 933-2529 MINNESOTA STATE BOARD ELECTRICITY THIASCINSPECTION REQUEST WILL NOT BE CEPTED BY THE STATE BOARD 1821 -Midwait Bldg. - Roont m N--191 181 1821 University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phan 18121 297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB °°°°I?1 n 'Sea instructions for completing this farm an hack of Yellirn copy- y I ? I f 4 9 7 8 9 Gjq,NA ( "X" Below Work Covered by This Request U I U Add Rep- - Type of Building Appliance. (Fired Eeuipreent Wired X Horne Range Temporary Service Duplex Water Heater X Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. X Furnace 2.50 Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fans ther M- y other isoe,AO iher Specify X ever D].S .D15h.5.00 other .empure Inspection Fee Below • Fee ' Service Entrance Siza it Fee Facder.?Subteeders p Fee circuits UG10. D 0 to 200 ) Amps 0 to 30 Am 0 5.00 n 30 0 1 Above 200 gmlx; 31 to 100 Amps to 100 A 1 Swinmi Pool _ Above 100-Amps Above 1?-A Transformers Irrigation Bootrs Partial-` Signs Special Inspection s r T Ran®rks Ho se 43.00 o L F ;d u 0`' [btlplFin Date te El ecby tify tt Me .here Final pectitet hss been de. ilia taTtezt Void t•mddle ham this reque void 5lr} 1 / '9 1?IQ ; VOlrto i 1q 15.;1- -rv? "C l q.,)_ 5 Request Date 8?1-1g65 Fire No. Rough-in Inspection Re wred? ?Reatly Now Will Notify, Inspec- es ?No for When Ready Li6ensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Box or Route No. City 1560 B Baylor Court Eagan ecuon No. Township Name or No. Bang. No. County Dakota Occupant (PRINT) Phone No. New Horizons Power Supplier Address Dakota Cty.. Electric Farmington Electrical Contractor (Company Name) Contractor's License No. O.B. Thompson Electric A40602 Mailing Address (Contractor or Owner Making Instaiiation) 12201 Mtka`Blvd. Mtka 55343 Authorized Signal-( ntractnr/Owner Mak?rng?Installg r vv '? °? ? e Phon?Number ,?3-4521 ??tr?°? ?y r l..° ?^!' . MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Bourn N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 59100 ENCLOSED. Phone 1612) 2972111 REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ' See i-tructions for completirq this form an back at yellow COPY. 4 9 7 9 0 ? of "X"" Below Work Covered by This Request o' Atl Rep. Type of Building Appliances Wired Equipment Wired R Fee Service Entrance Size k Fee Feeders/Subleedem p Fee Circuits 1 OUG10. 00 to 200 Am s 3o 30 A o 10 25. 00 0 to 30 Amps Above 200 AmpS _ MP, 31 to 100 Amps 31 to 100 Amps Swin"ing Pool Above 100 _Amps Above 100-Amps Transtormers Imgation Booms - .50 i.,' _Qr Fee Signs Special inspection 4.6. g 43.00 I TO AL FEE House yz-5a Rough-in Data \ l Elechica st- ? Inspec. eby certify that the above Final Date paction has been made. Thil ietlvest vOkl 18 mmitS lmm This 5383 lr9 lac Street Address, Box or Route No. cc.>QP - City E'a 0 ecturn No. Township Name or No. Range No. County Occupant (PRINT) hPonrc No- 4Zc?-3°1? Lower Supplier Address 1{1?/Iw4c v& L. c. Erei c. Penn It l_oc`a,l Cnnvactor (Company Name) -{- a ' " Contractors License No. a'? (S C? a C Ie _?NGa N U s? ? Mailing Atldrs e ontmctor or Owner Insta ilation ing Z s ?K.> . u, ??N s3?? Au prized Signature (Contracto Owner Making Installation) Phone Moodie, QZa?-- 14 MINNESOTA STATE BOARD OF ELECTRIC) THIS INSPECTION BEQUEST WILL NOT Griggs-Midway Bldg. - Boom N-191 BE ACCEPTED BY THE STATE BOARD 1821 Un Wersity Ave., St. Paul, MN 55104 _ UNLESS PROPER INSPECTION FEE IS Ph.. 10 2) 297-2111 ENCLOSED. tt] ---eu -u- ,er ..or.uuum 1 hereby raeeest inspection of above ? Owner electrical work installed at: p REQUEST FOR ELECTRICAL INSPECTION O ,See instructions for completing this form M back of "If. eopy- Q 3 6 6 7 1 ""%'" Below Work Covered by This Request EB-OOODt-1M ??141dS Add Rep. Type of Building A Wired Equipment Wired Horne Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peciy Other ISMrityl l r Sucofy Other Other Compute Inspection Fee Below p Fee service Entrance Size p Feu Feeders?SUbleeders a Fee circuits O 0 1o20 0 Am s- 0 to 30 Amps 0 to 30 Am I Above 200 rrls 31 to 100 Amps 31 to 100 A Swimming Pool Above 100_Arags Above 100_AUW Transformers Irrigation Boons Partial`Other Fee Signs I special Inspection I$ * TOTALi ? Remarks IA"rL.? G/ Rough-in Date 1, the Etec iml ' c ` p V Inspector, hereby xrtify that the aboya Final Date 1 inspection has been 1 _ ..?J meas. lllIdetepttest void le months from Th lis request Void 1B 3f 3-7 /I q /f S- W72 l a ?.k Yd?L a o I Request Date Fire No. Rouph-in Inspe13i0n flequ red? ?ReatlV N-XV:l Ready Ireatec- ?No t0 When en Ready ' ? Licensed Electrical Contractor I hereby request inspectvm of above ? Owner electrical work installed at: Street Address, Box or Route No. ( C il A City l - s YLo ou wr N Section No. Township Name or No. Range No. C nIy a Occupant (PRI T 1ZOra QM Phone No. d('Ld ''?Ro0 r Supplier owe Address K A EL.L?C G F 1?? Electrical Contractor (Company Na.) ,? CaaVacwr"s License No. ' I ?U1"?Tttg? ?'?.? ] lS 0418 Mailing Address s (Contractor or Owner Making InstailaY 1 IJ L t IAO .. ?a.i u N ss ?? v Au rized Signature (Contractor Owner Making I allation) Phone Neenter 4Z8- 4-74 MINNESOTA STATE BOARD OF ELECTRIC IT THIS INSPECTION REQUEST WILL NOT .Griggs-Midway Bldg. - Room N-191 CCVVVV// RE PIED BY THE STATE BOARD 1921 University Ave., St- Paul, MN 55104 UNLESS ESS PROPER INSPECTION FEE IS ENCLOSED. Phone 1612) 29721 11 / REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 63. 1,0 ' See i.tructions for completing this form on back of yellow copy. 5 3 6 6 7 2 "X" Below Work Covered by This Request I ?'6p Add Rep. Type of Building Appliances Mired Equipment Wired Home Ran Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Healing Commercial Bldg. Furnace Silo llnloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othen pecdV Other Ism ilyl urne, LspealfY Other Other Compute Inspection Fee Below N Fee Service Entrance Size q Fee Feeders/Subfeedom g Fee Circuits 0 to 200 AMPS 0 to 30 Am to 30 Ant Above 200 qm s 31 to 100 Amps 31 to 100 Affrf? Swimming Pool Above 100_Amps Above. 100_Amps Transformers Irrigation Booms Partial%Other Fee Signs Special lnspec!ion $ Remarks TOTAL pG Rough-in r Dare .the Electrical Inspector, hereby Gnrtify llpl i14 abn. Final Dare inspectioo has been This request Vold 18 months from This request void 5 Y'?%, ? Irl ?S B t? 1 L I (a g 0- k?N 1vw M Lf? -D- _SID Request Date Fire No. 1101TI11 n Inspection Re ed7 vo ?ReadY NOw•Ll ' ( ( ec 4i-1-1985 e ?No to r When Ready licensed Electrical Contractor - 1 MrrWY repass[ inspection of above ? Owner electrical work irmtalled at: Street Address. Box or Route No. City 1564 Ba for Court Eagan ecuon "o. Township Name or No. Range No. County I Dakota Occupant (PRINT) -New Horizons Phone No. Power Supplier Address Dakota Ct . Electric Fa ton ?lec[rical contractor (Company Name) Contractor's License No. Mailing Address(Contractor or Owaer Making Installation) 12201 Mtka Blvd., Mtka 55343 Authorized Signature (Commctor Owner Makirm Installation) Phorre Number 933-2521 V THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midwav Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1921 University Ave.. St. Paul, MN 55100 UNLESS ESS PROPER INSPECTION FEE IS Plranw 115121297-211111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-nennl-04 ' See instructions for completing this form on bee It of veliew, copY. E?• g 1 u ? "X" Below Work Covered by This Request PwMAdd Rep. Tvoe of Buiidinq Appliam s Wired Equipmenl Wired ectric k Fee Service Entrance Size It Fee Feeders/Subfeeders q Feu Circuits S UG10. 9 to 200 qm s 0 to 30 Am 2 .0 0 to 30 An' s Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100Amps Above 100_Amps Transformers - Irrigation tlmnis .50 Partial-'Other Fee Signs Special Inspection S Remarks House s 46.00 / AL3EEO, 1. the I Final that the abova lion has been This request void This request wid 5 3 g 3. ? IS. 7bV 3 LI . 7,/9'K )00 lkZ A/,.- Request Dale Fire No. Rough= n Inspection Ileq i ed? ReadY Now Will [:)Ready Yes ?NO for When hen Ready atly Licensed Electrical Contraclon 1 hereby request inspeetion of above Owner electrical work installed at! Street Address, Box r Route No. City 1 Section No. Township Name ..No. Range No. aunty Kure. Occupant WRINT) PhoPhone No. iJ M ?? 424>- aoO Power Supplier Address a ELZC-ml c? . 1 'Fa12nn l . Electrical Contractor ICatpany Nagel Con:ractar's License No. 1 ?Ly l Mailing Address ontmctor or Owner Maki Instail n) ? 5 k2.1 Q N AJ, a SS MO W27 Au rued Signature IContracto 10w er Making Irsbllation) phonic ember 42a- 4'74 MINNESOTA STATE BOARD OF ELECTRICITY ® THIS INSPECTION REQUEST WILL NOT Griggs-Uidwav Bldg. - P. N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1627 University Ave., St Paul, MN 55104 Ph.. I6121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-01 3; It-33 'Sea instructions far completiM this form on bucket yellew copy. 3667 ..x.. Below Work Covered by This Request RAWAAddl Rep.l Type of Building 1 Anclianpas Mbae I Equipment Mired I ex Service Ml V Fee Service Entrance Size V Fee Feeders/Subfredem N Fee circuits t). D 0 to 200 0 to 3O A 0 to 30 Am Above 31 to 100 31 to 100 Am Swinmool ove 100Annps ve 100_Amps Transf Irrigation H" Pa rtia ,,'Other Fee Signs Special Inspection TOT FEE Remarks S4 1 ;L •"'„'O //? U ? ??VdJ^R+ I 1. the Electrical Inspector, hereby ` Final ^ ,//7oS/ F n? / 1 i Date? 1 Il certify that the above inspection has been yea. This This request wid ..o,rths frmn J r / Q7Q2 1-k a-? 9705 w 8^1-1985 I' ,e "" I „s?41y„ I?Ready Now ®14111 Notify Inspec-I N$yes nNn fur When Ready .Q u.nstwEleclrical Contractor I hereby request i t.l ion of above ? Owner electrical work installed at: Street Address, Box or Route No. City 1564 Baylor B. Court Eagan clloa .ship Name w No. ange o. F County T Dakota Occupant (PRINT) Phone No. New Horizons power Supplier Address Dakota Cty. Electric Farmington Electri®1 Contractor (Conmany Na.) Contractor's License No. O.B. Thom-pson Electric Co., Inc, A40602 Mailin,, Address IContractor or Owner Making Installation) 12201 Mtka Blvd., Mtka 55343 Authotaed SiBnature.IContractor/Owner Making Installati Phone Number ;; u? 33-2521 MINNESOTA STATE B0pRQ;OF'ElECl61CITY "?' . 1 ,&? r S INSPECTION REQUEST WILL NOT BE Criss-Yid,ov Bldg. - Roan N-191 UNLESS ESS ACCEPTED PROPER BY NNE STATE INSPECTION ROARS 1821 Univarsity Ave.. St. Paul. MN 59106 FEE IS Pt-n (E1212972111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E? 00OD1?' ' See i Owes fer mmpletirg this term art beck of volt. copy. / L Be/ow Work Covered by This Request ade Sep. Type of Buitdine Appliamte, Wired Equipment Wired Hri>i- Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Conmerciat Bldg- x Furnace 2.50 Silo Unloader Irdttstrial Bldg. Air Conditioner Bulk Milk Tank a other peu Other (Svecifvl pedfy x Other D1sp.D1sh.5.00 Other compute Inspection Fee Below 0 F. Service Entrance Size q Fee Fssders/SUbfeedet5 It Fee Circuits Ii )UUGI to 200 Amps 0 to 30 Amps; 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 A Swimming Pool - Above 100 Above 100_A Trartsiormers litigation Boon-6 Partial-'Other Fee Signs Special Inspection 00 $43 1 House . TOTAyrc Ibuph-in ate s D I" the IecVi '?? Ircpac mCy ? tiry tbt the above Faisal /h O to ? '1y Ii.. has been 6" K i n®da. ?raG?tvoN 18mpnWSftem .(TOANHOUSE) BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 Receipt 1 OF 4 0 5 Site Address 1564B BAYLOR CT Erect X7 Occupancy R3 Lot 15 Bl ock 2 Sec/Sub. THOM LK HT S 2ND Remodel ? Zoning PD Parcel No. Repair ? Type of Const. V Addition ? No. Stories NEW HORIZON HOMES INC Move ? Length 44 Name ? Demolish Depth 26 Aims P.O. BOX 1367 Int lmpr. ? Sq. Ft. City MPLS Phone ne 420-3900 Install ? Aaprowfs Fees Name SAME Address Phone W Name D. GRISWOLD ME' Address iW City Phone 435-7524 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 Stotut and City of Eagan Ordinances. Signature of Permitt.VCR' A Building Permit is issued to. NEW HQR T 7.ON HOMES all work shall be done in accordance with all app ale State of Mh Assessment Permit $ 301.00 Water b Sew. Surcharge 28. D 0 Police Plan Review 150.50 Fire SAC 525.00 Eng. Water Conn. 500.00 Planner Water Meter 63.00 Council Road Unit 280.00 BIdg.Off. 5/31/8 5 Tr. Pi. 132.00 APC Parks Var. Date Copies Total $1,979.50 qC on the express condition that sota Statutes and City of Eagan Ordinances. N_ 10316 Building Official (TOWNHOUSE) CITY OF EAGAN No 10 3 17 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # ?y Te M wed fee 1 OF 4 PLEX Est, Value $56r 000 Date MAY 31 tq 85 SiteAddrew 1564 BAYLOR CT Erect I$ Occupancy R THOM LK HTS 2ND Remodel Lot 1 6 Block _-2--sec/sub ? Zoning PD _ . Repair ? Type of Const. V Parcel Na. Addition ? No. Stories Name NEW HORIZON HOMES INC Move li h D ? ? Length h 44 26 Z Address P.O. BOX 1367 emo s Int l ? Dept S F z City MPLS Phone 420-3900 . mpr. Install ? q. t. SAME Approvals Fees Name 3? Address f City Phone CW I Name D. GRISWOLD EE Address <W City Phone 435-7524 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 Statute¢3?gnd City of Eagan Ordinances_ Signature of Permittea Z' "7?,e ? A Building Permit Is issued to: NSW riUHIZA N ttVri all work shall be done in accordance with all applicgbfdr State of Building Official 11V_z le Assessment Water b Sew. Police Fire Planner Council Bldg. Off. 5/22/E APC Var. Date Permit ' SUS. UV Surcharge 28 - 00 Plan Review 150- 50 SAC 525.00 Water Conn. 500.00 Water Meter 63.00 Road Unit 280.00 Tr. PI. 132.00 Parks Copies 1 97 50 ' Total r on the express conditlan that and City of Eagan Ordinances. (TOT; ' 40USE ) CITY OF EAGAN n{? 10 315 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # To be speed far 1 OF 4 PLEX Est. Value $56,000 Date MAY 31 19-15- Site Address 1560B BAYLOR CT Lot 14 Block 2 cec/Sub. THOM LK HTS 2ND Parcel No. W Name NEW HORIZON HOMES INC z Address P.O. BOX 1367 City MPLS Phone 420-3900 g Name SAME } u? Address • City Phone GW Name D. GEISWOLD I°w Skj Address ,Zi City Phone 435-7524 I hereby acknowledge that 1 have mod this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutp-and City of Eagan Ordinances. Emot LX Occupancy HS Remodel ? Zoning PD Repair ? Type of Const. V Addition ? No. Stories Move ? Length 44 Demolish ? Depth 26 Int. Imps ? Sq. Ft. Install ? Approvals Fees Assessment Water 8 Sew. Police Fire Eng. Planner Council BIdg.Off. 5/22/ APC Var. Date Signature of Permifteao '?*---? c A Building Permit is issued to: NEW H all work shall he done in accordance with all Permit $ 301.0( Surcharge 28.0( Plan Review 15 - 5( SAC 525.0( Water Conn 500.0( Water Meter 63 . 0( Road Unit 280.01 Tr. PI. 132.0( Packs $1,979.5( Copies INC an the express condition than ?sok.swutes and City of Eagan Ordinances. Building Offldal (TOWNHOUSE) CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT r.. e. -A 1" 1 OF 4 PLEX $56,000 Site Address 1560 BAYLOR CT Lot 13 Block 2 Sec/Sub. THOM LK HTS 2ND Parcel No. ffi Name NEW HORIZON HOMES INC Address P.O. BOX 1367 City MPLS Phone 420-3900 O Name SAME S Address v F City Phone W Name D. GRISWOLD i? Address <W City Phone 435-7524 1 hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes ?a?n,d City of Eagan Ordinances. Signature of Per nittee 421n ? L • ?'-_-----??_ A Building Permit Is issued to: NEW HORIZON HOMES all work shall be done in accordance with all applicable Stoll of M( Receipt # MAY 31 85 Erect 0g Occupancy KJ Remodel ? Zoning PD Repair ? Type of Const. V Addition ? No. Stories Move ? Length Demolish ? Depth 26 Int Impr. ? Sq. Ft. Install ? Apprevals Fees Amssment Permit $ 301.0( Water 8 Sew. Surcharge 28.0( Police Plan Review, 150 _ 5( Fire sAc 525.0( Eng. Water Conn. 500.0( Planner Water Meter 63.0( Cauncil Road Unit 280.0( Bidg.off. 5/22/85 Tr. PI. 132.0( APC Parks Var. Date Copies Total $1,979.5( an the express condition that s5o Siptute, nd City o1 Eagan Ordinances. _N_ 10314 Building Official '4 YIL QR 92?.?) CURT 94 NI Q °p2-4 33p'EI,? (926.0 '3i5 / 22.33 001 4ZI O IN /p 22 3 '0 a 2.6 m " n-+u ?924.5? .33 Z ,o n/v 4 /3 / I+ ti \ M1 ? y ?w o J / n 23.33 .,,•i y (924.0 013/.00 21.33 N 1 7Ze 34oo 44'30•. Io (924.0) 6 E;" d O Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 927,0 -*.-- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 9 2 7.5 I hereby certify that this is a true and correct representation of a survey of the boundaries of Lots 13, 14, 15, and 16, Block 2, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota Countv. Minnesota. And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 10th day of May 19 85 Paul A. Johnson 61 Land Surveyor, Minn. Reg. No. 10939 i =40' CERTIFICATE OF SURVEY JET 111 17430 McC OMBS-KNUTSON ASSOCIATES, INC. NM(MYlIL0N W s7 fENlUITINi FNEINIUf WE iVNY[TEN3 fIT! f WNlq IE?7V11??-v MpMME,VOW W bEMMIMf .MMMMTA 2004 RESIDENTIAL BUILDING PERMIT APPLICATION 'AID FES 2 ,?, 2CU City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 u1'1S rlL.S Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellReoair Reouiremenis Office use Only 3 registered site surveys showing sq- R. of lot, sq. ft of house; and all roofed areas 2 copies of plan Ced of Survey Recd Y - . N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y`-- • N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y, _ N 1 set of Energy Caculations Addition - indicate if on-site septic system On•site Septic System N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date 04; / / -Af Q ,00 Construction Cost Site Address s ss ) as nit/Ste # Description of Work .A 1 0dxL/ In is/ Multi O??/?,(?t'? N Q L " Al BoA-lm 1 2 Fi l 0 y _ I c _ rep a (s) _ _ 4 Property Owner LCfiYj ,, Telephone # ( ) Contractor ULI ;fit, Q o r -100 Address 5558 I .1 ', 5 f? City / State t l 11 t Zip J?? 3 Telephone#(g$Z) 9"9([?CU l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? -Y -N fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( If so, 25% plan review YJ LL;jl ; T' I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. _ ?pn Vow Applicant's Printed Name Applican4Siature COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Foundation Only New Construction 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 • Project Specs (1) 1 • Energy Calculations (1)" 1 I • Electric Power & Lighting Form (1) I • Master Exit Plan (1) l 1 • Emergency Response Site Plan (1) I • Soils Report (1) 1 • MCIES 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 Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. ** Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: l5) /r WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST: SITE ADDRESS: TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK Ao- Namc7 Phone #:,a ! Z? ` 7Q J PROPERTY Last First OWNER Street Address: City: State: Zip: Company: Phone #: (?) ICU ?? 7 CONTRACTOR vC J ?/ "I Street Address: City:/ 5 State:_ Zip: SS y? ARCHITECT/ ENGINEER Company: Phone #: ( ) Name: Registration #: ih, FF r ?7 n nn U? ,I Street Address: I n 1 ?T 1 1 I I cuut City: I State: Zip; Li 1?y- -- censed plumber installing new sewer/water service : Phone #: ( ) I hereby acknowledge that I have read this application , state that the information is oor ct, and agree omply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Updated 7102 k -, 75951 THOMAS LAKE HTS 2ND BAYLOR COURT 1 542 10 75951 210 02 4-FLEX-TWO UNITS ADDRESSED 1543/1543B CLEMSON CT 1546 10 75951 240 02 1556 10 75951 170 02 1556B 10 75951 180 02 1558 10 75951 200 02 15588 10 75951 190 02 1560 10 75951 130 02 15608 10 75951 140 02 1564 10 75951 160 02 1564B 10 75951 150 02 1566 10 75951 090 02 1566B 10 75951 100 02 1568 10 75951 120 02 1568B 10 75951 110 02 1569 10 75951 020 02 1569B 10 75951 010 02 1571 10 75951 030 02 1571 B 10 75951 040 02 1575 10 75951 060 02 1575B 10 75951 050 02 1577 10 75951 070 02 1577B 10 75951 080 02 16 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN To W N t?ousE. UNIT rI(? INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY ?1 1 SET OF ENERGY CALCULATIONS OF q- t %000-m To Be Used For; R[s,G[jvcL Valuation: Date: 1(o g)jg4 85 Site Address: 15(Do ?a???62 ?oteu OFFICE USE ONLY Lot: Block 2 Sect/Sub Txf "k?Erect )C Occupancy g , OCIAvAr 6 Remodel Zoning P Parcel 0 Z- Repair Type of Const _ S( Enlarge 0 of Stories Owner A/eoj Aolnje?Z?? ?o nez -MAic- Move Length 4 Demolish Depth 2fc Address pp t?ox. /3[ 07 Grade Sq Ft City/Zip Code P/s•. /?..ir. T.ryfvy ------------- ---------------- ---- Contractor syr„? APPROVALS Address City/Zip Code Phone 0 ,,4,// `-O)- Z7 Arch./Engr D. C-letswol.1 Address Phone 0 _ A 7rzy Assessments Permit on 3D1• - _ Water/Sewer Surcharge 2g, Police Plan Review \so 1° Fire SAC 525 °° Engr Water Conn 500't" Planner Water Meter (031°-' Council Road Unit 28o, Bldg Off f g Parks APC Treatment P1 132•= Variance TOTAL //yy ?/? ? 5 CJ x y 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN To w"NouS U NIT 9(o INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF S URVEY o 4 1 SET OF °O ENERGY CALCULATIONS F To Be Used For; _RLSr?Ea/[L Valuation: Date: It-0 ±2u Site Address: 1 COO 7B Ia CS' OFFICE USE ONLY Lot: L Block Z Sect/Sub77A'^ws "Xs-Erect X Occupancy r7?'s Remodel Zoning p - Parcel N ZNF Repair Type of Const S Enlarge 9 of Stories Owner Move Length 41 Demolish Depth Z& Address P0. A?Px. /3lG7 Grade Sq Ft City/Zip Code, T.rlcyp -------------- -------------- ----- Contractor S.gm t- APPROVALS Address Assessments Permit Water/Sewer Surcharge Z$.°= City/Zip Code Police Plan Review 1, ,o Fire SAC 5za Phone 6 Engr Water Conn 500. to Planner Water Meter tn3' tl Arch./Engr r Grc:swol? Council Road Unit ILW,00 Bldg Off ¢ Parks Address APC Treatment P1 13Z. Phone 9 y3a-7S2y Variance TOTAL l? p NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN To W V4 4cu S? INCLUDE 2 SETS OF PLANS ?? I T G 3 CERTIFICATES OF SURVEY c)1= f 1 4 SET OF ENERGY CALCULATIONS eE To Be Used For: _ Rrs,o cNcf, valuation: 0W Date: Ito `L4a 85 Site Address: Ic? _ / 4 jA1n OFFICE USE ONLY Lot: ICo Block ,g Sect/Sub 77Ao~s Laks-Erect x Occupancy Q-j 0"Y" Remodel Zoning 7p Parcel A Z '?E Repair Type of Const I Enlarge _ 6 of Stories Owner A/? f<crizsaJ , ?m4 Talc Move Length Demolish Depth Z(, Address Pp ,ev Y iii, y Grade 54 Ft City/Zip Code/s.. Contractor symJL-- Address City/Zip Code Phone $ Arch./Engr R G/e?swoLe? Address APPROVALS Assessments Permit b I ,`-- Water/Sewer Surcharge 2a ,9= Police Plan Review 150.5° Fire SAC 525. °° Engr Water Conn Soo.te Planner Water Meter 6 3.'° Council Road Unit -Lao.!- Bldg Off ar s APC Treatment P1 13 2 - Variance- Phone 0 N3T 7f29e TOTAL . 5 (} 1985 BUILDING PERMIT APPLICATION - CZTY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN TO W N Hou5E INCLUDE 2 SETS OF PLANS UNIT °IG 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS F Q J _ To Be Used For: Rtsw cL Valuation: ?_t? ? -w Date: j(a ,M" Bt; Site Address: I s(o413 12Q X61 CO( n OFFICE USE ONLY Lot: 15 Block 2 Sect/Sub7711-ws 40k9-Erect occupancy -3 Parcel Fia?rs Remodel Zoning F'p Repair Type of Const -?- Enlarge # of Stories Owner ?/ /fo,tizo,j T c. Move Length Demolish Depth Zlo Address Po fox. /3Co7 Grade Sq Ft City/Zip Code s. iNr. S?f?y+ -------- Contractor symI - APPROVALS Address City/Zip Code Phone # Arch,/Engr p G.?iswoL? Address Phone # y.3s1-2rz5.11 Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off A% Parks APC Treatment P1 Variance TOTAL 28. °= 15O,so 525. ZSO. `? 132 ?7y, S U 06. S?oow" HEAT LOSS CALCULATIONS HEATINGB AIR CONDITIONING 66. 0 fwaa 3 3, (R 1Ij N-CX 2(,751 T4' /4?MINNEAPOLIS, MINN. 7.1 v Weatherstrips A.S.H.V.E. Construction No. Insulation Windows Doors Guide Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes-No Yes-No Is_ . FL ? IV tW ?. YO pRm in Length Width) Height ' I Fl. mf?(S1 Room Length t?/O -Witill ' fs Height f i Wi ndows ndows a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Are a NO. 1 pan of and Hei an of pane No. Of li NUhts Lineal ft. of crack Area sq. ft. Nu' Witlrh of ane Haight or ane No. of N of Lineal n. of peck Area Area sq. It. 2 "I? 11 Z Z 1 1 2 21 17 1 ' tL I'J 2 h Coal Btu oel C Btu Infiltration Infiltration I 77 J 7 cell Glass 49 5 2q Glass .•? Exp. wall 3a Exp. wall l Net exp. wall 22, q, 1 91 Net exp. wall 9• 2? o . •ftTwBM- oD'r 1 117 2 Z2 Int. wall Ceiling ),.? X l2 zb Ceiling .ZO(Q d.5 ` I F low Flow .9 cy Total Btu. 7,5"] Total Btu. P 3,, Required Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required 6q. ft. E.D.R, or sq. Ins. W.A. Leader area Fl. IP_t tty (, Room Length ? Width Height FI. E Zr111?,?n Length 15 Width IQ Height _Windows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea NO. Warn of ane Hei qht of ane No. of Ii hts Lineal ft. of crack Area SQ" ft. No. ??Nh o ane Hn?ghl of ane No. of li his kneel I. Of rack Aree sq. a ft. " n?q .2 2$ 2 2 1 Coef Btu Coef Btu Inli ltretion 22-4() Infiltration Z I j ;;} !_• Glass 50 ?(]C, Glass I? °ii1 rl .?/ ? Exp, wall xG .? Gj Exp. wall 12 -A I? Net exp. wall [D tf) Net exp. wall 2 Int. wall Int. wall Ceiling 1 X'? 9 ,2,5 Ceiling t1O ?'?• 3 :? ?S Flow Flow IS0 1) total Btu. S Total Btu. 3''l -- Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F I_i, Tr\ t Roan Length 12. Width Windows and Doors-Crackage and Area Height 1 Fl. Room Length ' Width Windows and Doors-Crackage and Area `?% Height . NO. Witlrh of ane Meipht of Dana No. of lights Lineal ft. of crack Area sq. ft. NO' Winm UI ane H qht plane No. Of lights Linear It. of qra k Area sq. It• Coef Btu Coef Btu ltretion Infiltration Glass Glass Glass _ Ezp, wall Exp, wall Net exp. wall Net exp. wall - Int. wall Int, wall _ Ceiling l?.'A.-1 21U Ceiling 17.x_ a,:3 Floor Flnw : Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area y Q Required sq. ft. E.D.A. or sq. ins. W.A. Leader area HEAT LOSS CALCULATIONS HEATING&AIR CONDITIONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation NTindows Doors Guide Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes-No Yes-No Is- Room Length J<) Width Height Ft. Rofxn Length Width Height Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea No W, din Dune Ha,ght of Dane No. of li hts Lineal ft. of rack c Arse aq. }I. No. Width of one Na.phl 'Dane No, of lights Unsal ft. of crack Area sq. N. f ? Coef Btu Coet Btu Infiltration 1 311 ?&o Infiltration Glass Glass - Exp, wall Exp. well Net exp. wall .2 Net exp. wall Int. wall Int. wall _ Ceiling Ceiling _ Floor 913 7' U-1 Floor Total Btu. Total Btu. Required sq. it. E.D.R. or sq. ins. W.A, Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f Fl. Room Length ')_ Width {fj Height Fl. Rtwm Length Width Height Wi ndows a nd Doors- Cracka ge and Ar ea Windows and Doors-Crackage and Area _ No. Wldm of ane Hal ,ht of ane No. of li hts Lineal ft. of crack Area ''+q. ft. No. Width of Dane Hx,ghl df ann N of h o.his Lineal ft. of crack Area sq. ft. r?a p 4) Coef Btu Coef Btu Infiltration 1 117 2223 Infiltration - Glass 0ca t Glass Exp. weI I Exp. wal I Net exp, vyg 11 992 ?/tt -t. rl k Net exp. wall 31 U 22 Int. well Ceiling Ceiling Floor 'l_ZX 42 77.5 , Floor Total Btu. I 16 7 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Length 1 Width Height Fl. Room Length Width Height Windows a nd Doors-Crackage and Area Wi ndows a nd Doers -Cracka ge and Ar ea No. W, din of vane Height of °ane No. of li hta Lineal ft. of crack Area SQ. h. No. W, nt 1, of ane Hraght of ens Nn. nl h hts Lineal 11. of cr ck Area eq. h. Coef Btu Coe( Btu Infiltration Infiltration Glass Glass Exp. wall Exp. wall Net exp. wall `7 xb S6 q .t 2? a Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor -_.Floor Total Btu. Total Btu. _ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. It. E.D.R. or sq.. ins. W.A. Leader area PERMIT CITY OF EAGAN - 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 0 2 9 4 6 6 Date Issued: 02/03/97 SITE ADDRESS: a P.I.N.: 10-75951-130-02 DESCRIPTION: 1560 BAYLOR CT LOT* 13 BLOCK: 2 THOMAS LAKE HEIGHTS 2ND (SIDING) rmit Type MULTI. (MISC.) Type REPAIR 434 ALT. RESIDENTIAL w s c a xz.. eae +lii'ffik1„a Q,s itst?? £ at n g x". , a a W e xrc, ,iG"ai' ' a°°"nf 11 , - a REMARKS: INCLUDES 1560--B (LOT 14) 1564 (LOT 16) 1564-B (LO,T 15) BAYLOR CT FEE SUMMARY: VALUATION Base Fee $237.25 Surcharge $8.00 Total Fee $245.25 $16,000 CONTRACTOR: - Applicant - OWNER: NELSON, KEITH 14206550 TOWNHOUSE ASSOCIATION 18511 86TH PL N 1560 BAYLOR CT MAPLE GROVE MN 55311 EAGAN MN (612) 420-6550 I hereby ackYxorvlecga zha? h1ed'"?Ih?plieaadr' and sta 'that, .1149 in#ortrcatian -is cprr1ect a-n t1¢ agt ,g tb cc?(hp ¢ tspla bley at caf Mrr Statutes and Cry^Of agar ski dirtianes..._. tr _z. ? 1 J.a . ?IIIS{le1 APPLICANT/PERMITEE SIGNATURE ISSUED e : SIGNATURE CITY OF EAGAN; XU LL 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? I energy calculations ? i energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/11/93 required+ _Yes _ No DATE: re `7 I q--,74? CONSTRUCTION COST: DESCRIPTION OF WORK: ????- d? IJ?L ®/?( i 2?5 ? i?Lr7 3 .-, STREET ADDRESS: rs Y -(a v ? r; U ? f n LOT BLOCK 2 SUBD./P.I.D. PROPERTY Name: &,e /Zt? ITaLLS Phone OWNER , T ""sT Street Address: CT City: AJ State: M/--) Zip: SS CONTRACTOR Company: F1 B/ f /UZoZSa') Phon L 6 Street Address: EW gi(,77-1' L License #: City: ,,?7t46E 6,6611E. _ State: 11")A--,l Zip: 5S-?x ARCHITECT/ ENGINEER Company: Name: _ Street Ad( City: _ Sewer & water licensed plumber: change are requested once permit is issued. Phone #: Registration #: State: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No SEP 9 8 9996 --------------- Tree Preservation Plan Received Yes No PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: BUILDING Permit Number: 031626 Date Issued: 03/19/98 1560 BAYLOR CT LOT: 13 BLOCK: 2 THOMAS LAKE HEIGHTS 2ND P.I.N.: 10-75951-130-02 DESCRIPTION: ermit Type FIREPLACE a" Type NEW e 434 ALT. RESIDENTIAL sr d f8i'. Sia'Y8 '?yy' w Hv F4 R? § IN?Sg ?p p . fi" 1Sf?i.t 'INS ? ?F$3S __g{.r.." ItW Rt4 a REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 I CONTRACTOR: _ Applicant - STOVE & FIREPLACE GALLERY 18981174 1278 COUNTY ROAD 42 BURNSVILLE MN 55337 (612) 898-1174 g PI t E - b 4' Ifl 4 Ln i 4 t? e I 6evr-o } a kn w4 ttes thy(, I?at I t S. c.I P '"cI£IL ?ihfs(K?r"sC,UV#n° is oorr?ot ??1? ??Fr!& ., .n2t.@£t l.?.'ti`.end• Cxty #k'?r E( L ?v ?g_,. 1.., . APPLICANT/PERMITEE SIGNATURE OWNER: FUCHS SUSAN 1560 BAYLOR CT EAGAN MN 55122 (612)456--9410 Poba ISSUED e BY. SIGNATURE CITY OF EAGAN PILOT 5141C 1997 FIREPLACE PERMIT APPLICATION ?? o. ?o 681-4675 DATE: PERMIT FEE: $50.50 DESCRIPTION OF WORK: CONSTRUCT MLW FIREPLACE _ ALTERATIONS TO EXISTING INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTHER: STREET ADDRESS: rl?l, 6C k, LOT BLOCK L SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER CONTRACTOP. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: Phone #: - 4r-49 qq OWNER Signature: Street Address: 1ST \ ?- ?? City: State: Zip: FIREPLACE Company. CJ Phone #:? INSTALLER Signature: Street Address: lz-L$ Co?cIL ? (Z Wg--;A- License city?>ll rsu?l? State: Zip: GAS LINE INSTALLER Name: Signature: Street Address: City: Phone #: LI-Y7 --7 / Z State: Zip: PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 028959 10/02/96 SITE ADDRESS: 1560 BAYLOR CT LOT, 13 BLOCK: 2 THOMAS LAKE HEIGHTS 2ND P.I.N.: 10-75951-130-02 DESCRIPTION: DECK FTGS ONLY ermit Type MISCELLANEOUS ,rk Type ALTERATION '4- a. 434 ALT. RESIDENTIAL *cs"ia 5 s, T` ' !y`;,s i? rSsga ¢-w:-?' } 4i" m; ?vrer - mS _ 100 REMARKS: FEE SUMMARY- Base Fee Surcharge Total Fee VALUATION $21.00 $.50 $21.50 CONTRACTOR: - Applicant - J&C CONCRETE CO 18280877 8924 MT CURVE RD BLOOMINGTON MN 55438 (612) 828-0877 I hereby a'eknowledge _ti information i'-s `GG°r`r,eeti Statu-teS anc?.`C Cy .o# EfAPPLICANTlPERMITEE SIGNATURE $200 OWNER: FUCHS 1560 EAGAN SUSAN BAYLOR CT MN ? -yx ISSUE IG ATURE CITY OF EAGAN ' 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Remodel/Recair Requirements ? 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: Q ( --,, e 14 ?- CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS:.] _ o7 i/ s LOT BLOCK SUED./P.1.6.#: eI P, It,L J-An;AD ?Lnk PROPERTY Name: _Ia ? 14/W) Phone #: OWNER FAST Street Address- 51z- City: State: Zip: CONTRACTOR Company: J 4 C (?QIT C lie l? (2C Phone #: Street Address: -'WZ1I1/ ?UiLccF ?• License City: 1DG m ! ,V ? f? State: ?z 41 Zip: ARCHITECT! Company: Phone #:- ENGINEER Name: Registration #- Street Address- City: State: Zip: Sewer 8 water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and gree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 9 5 4 (612) 681-4675 Date Issued: 10/02/96 SITE ADDRESS: P.I.N.: 10-75951-160-02 1564 BAYLOR CT LOT: 16 BLOCK: 2 THOMAS LAKE HEIGHTS 2ND DESCRIPTION: :r,- DECK FOOTINGS tuilding,„permit Type Building Wa;rk Type `Census Code 434 ONLY MISCELLANEOUS ALTERATION ALT. RESIDENTIAL 1 t <' {{ j'Y t I. ° feel 1 ?y Xa]] 3 raj q 3 a 4t} i REMARKS: FEE SUMMARY: VALUATION $200 Base Fee $21.00 Surcharge $.50 Total Fee $21.50 CONTRACTOR: - Applicant - J&C CONCRETE CO 18280877 8924 MT CURVE RD BLOOMINGTON MN 55438 (612) 828-0877 OWNER: NORNEMAN 1564 EAGAN GREGORY BAYLOR CT MN I hereby acknowledge that I hav4i read this information is correct and agree to comply Statutes and:City of Eagan Ordinances.. APPLICANT/PERMITEE SIGNATURE application and state that the with all applicable State of Mn. ISSUED : SIGNATURE 1? 5 j CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements ? 3 registered she surveys ? 2 copies of plans (include beam & window sizes; poured fod. design; etc.) ? t energy calculations ? 3 copies of tree preservation plan N lot platted after 7/1/93 required: _Yes _ No Remodel/Repair Reouirements 4 ,? .5-a ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions DATE: R 1 -D e L -( CONSTRUCTION COST: d a00 DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK A'o , cJ & SUBD./P.I.D. M ()ec k f= x 191y5l,2 - -/ Z PROPERTY Name: n= ?/L4 2jMA11, Phone #: OWNER Street Address- City: State: Zip: CONTRACTOR Company: J i C. 0-0/-VC J` CC7 -' ?Ti Phone #: ?a T 7 Street Address: ?TGi? y!/?1T '64 r4 %LQ a p License # : City: /??/ fB `? State: -.-n 41 YI l Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #' Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and 'gree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No C+OX,?'o$iX7n:;D?Cr';k;/.iF?/•9F.:?FY(Y,(Yd;$:k"a': i?C?C?J;i9(i n?Y$i9tY,.. ' ' Y,<.n; r v:m:n'miR CITY OF EAGAN CASHIER S 1E:1':'eili Al. NO. P9 DATE% 09/24/96 TIMEN 003242 Ms NAME GREGORY H DORNEMANI MO 9001 064 BAYL..OR C7 45,,00 i2J.55 9001 :1.'364 BAYLOR C'C" 0.150 Mal Receipt Amoun& 45.50 CR.O64 `';'P; USER Mn NANCY 'F;k?kwYn ?%(k:?k?!:M. >eY(?M":M:k:>kYn".?.Yr:i::k>#ik?;'.<1X?&:u;>nik','.g.±v>XYf NX( PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: BUILDING 028880 09/23/96 SITE ADDRESS: 1564 BAYLOR CT LOT: 16 BLOCK: 2 THOMAS LAKE HEIGHTS 2ND P.I.N.: 10-75951-160-02 DESCRIPTION: Building-Permit Type DECK Building Work Type ADDITION 1='Census Code ",.. 434 ALT. RESIDENTIAL l •,`r1. „? it REMARKS: Y i C T /^ i 0 '43 w ..,a d.t ... FEE SUMMARY: Base Fee Surcharge Total Fee $45.00 $.50 $45.50 CONTRACTOR: OWNER: - Applicant - DORNEMAN GREGORY 1564 BAYLOR CT EAGAN MN 55122 (612)681-2207 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 andCity of Eagan Ordin'a'nces. PL T/PERMITEE SIGNATURE SS -UE BY4SIGG IATU EI CITY OF EAGAN 3830 PILOT KNOB RD - 55122 IN80 1996 BUILDING PERMIT APPLICATION (RESID 681-4675 New Construction Reauiremenls 3 registered site surveys 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) 1 energy calculations 3 copies of tree preservation plan If lot platted after 711193 M j Remodel/Repair R ire n i1c, ? 2 copies of plan ? 2 site surveys (exterior additions 8 de ? 1 energy calculations for heated additions required: Yes No DATE: ?LZ-- CONSTRUCTION COST: DESCRIPTION OF WORK: GG l C/?? ?C T S D STREET ADDRESS: LOT BLOCK SUBD./P.I.D. #: ?J ? 1 ? rr?' / - a o PROPERTY Name:( 9-iC ,6 GO /Z y h01'6; J yf hone OWNER uST Po n51 Street Address / ?/ C r City: ?f4 (?--A- J State: Zip: CONTRACTOR r Phone #: G Mreeress: License #: City: State: Zip: ARCHITECT/ Company: ENGINEER Name: Street Address: City: Sewer & water licensed plumber: change are requested once permit is issued. Phone #: Registration #:_ State: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the ;ilmnation, is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No September, 1996 City of Eagan Eagan, Minnesota To Whom It May Concern The holder of this letter is hereby authorized to build a deck with a total area measuring 10x20 on the property owned by Horizon Hills Home Owners Association. The holder of this letter understands that because the deck is built on Association property, it becomes the property of the Association, with the unit associated with the deck continuing to exercise their private use exclusions. The Association will ensure the deck is constructed and the cement footing is poured to meet the City of Eagan building requirements and will order the final inspection of such when work is completed. Please feel free to contact me with any questions or concerns. Sincerely, Horizon Hills Home Owners Association &6 &A Barbara Koch, Property Supervisor Member-At-Large CC' File P.O. BOX 21423, EAGAN, MN 55121 (612) 688-0695 HORIZON HILLS HOME OWNERS ASSOCIATION -? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 025827 Date Issued: 06/16/95 SITE ADDRESS: 1564-B BAYLOR CT LOT: 15 BLOCK: 2 THOMAS LAKE HEIGHTS 2ND DESCRIPTION: eruilding,Permit Type fuildi ng Work Type A t E DECK NEW n1 REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - HENNESSY 1564-8 BA EAGAN (612)683-0984 Applicant - BARBARA YLOR CT MN 55122 L_ I hereby acknowledge that I have read this information is correct and agree to 'comply Statutes and City of Eagan Ordinances. APPLICANT/P R ITEE IG A U PERMIT ckWo'? application and state that the with all applicable State of M'n." 822 R'ol-I nit ISSUED BT SIGNATURE J INSPECTION RECORD CITY OF EAGAN PERMIT TYPE 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 025827 06/16/95 SITE ADDRESS: APPLICANT: LOT: 15 BLOCK: 2 1564-B BAYLOR CT HENNESSY THOMAS LAKE HEIGHTS 2ND (612) 683-0984 PERMIT SUBTYPE: TYPE OF WORK: DECK BARBARA NEW CITY OF EAGAN c aJO ?n 3830 PILOT KNOB RD - 55122 `I U i 111 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 7 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No p DATE: C?O,NSrTRUCCTION COST: DESCRIPTION OF WORK: gff#nh/V /V ID /X77 / STREET ADDRESS: ' 1561tb B! YLok LOT 15 BLOCK Z SUBD./P.I.D. #: PROPERTY Name: I NNESSY MEB14fA Phone #: W-m OWNER Street Address- %S/04/Z3 49yZ-Df ,U- City: Ewew ( State: m/V Zip: 5S- 1Z2-CONTRACTOR Company: Phone M Street Address: City: State: ARCHITECT/ Company: ENGINEER Name: License #: Zip: Phone #- Registration #- Street City: State: Zip: Sewer 8 water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECE V Certificates of Survey Received _ Yes _ No JUN 0 7 1995 Tree Preservation Plan Received Yes No --------------- BUILDING PERMIT TYPE OFFICE USE ONLY ? 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 ? 09 12-plex • ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex 04.15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Permit Fee Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Engineering Valuation: $ MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance /ZDO' D i R_. % SAC SAC Units e'q Y? pR CO, o «. 57 Q (926.0) 3i O Z 3p'Er° ? 22.33 O "?0 22 3 Mio. 0 0 ry o% ty (924.5) N O /¢ N ?%P 4° ''?^ H? I w ° " V ^ V I_? 23. a, z2r, 1. 924.0) °1 /.pp 13 ^ 340o, (92 3o•.E 0 Denotes Iron Monument Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 927 D t- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 9Z7.6 I hereby certify that this is a true and correct representation of a survey of the boundaries of. Lots 13, 14, 15, and 16, Block 2, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 10th day of Mavn tg t35 fit' f? Paul A. Jo nson Land Surveyor. Minn. Reg. No. 10938 CERTIFICATE OF SZIS i for •? MCCOMBS-KNUTSON ASSOCIATES, INC. CONSULTING tOPNEOS ¦ WO SUntIOOS ¦ SITE 1fYOSO FILEN NM HOWON ' + WIVNEMCILIS w MIiCNINEDN.MNMEE°1A 7430 HORIZON HILLS HOME OWNERS ASSOCIATION ARCHITECTURAL CONTROL APPROVAL According to ttu e€-your Architectural Control Application (iate?3. gJ for the addition/ alteration ct / Y Zp approval is granted pending the receipt of a City of Eagan Building Permit. Once you have obtained a City of Each Building Permit, please mail a copy of it, along with any applicable drawings as required for the building permit, to: Horizon Hills Home Owners Association Attn: Architectural Control Committee Post Office Box 21423 Eagan, Minnesota 55121 As stated on your original Application, no work may begin until the Architectural Control Committee has been supplied a copy of your City of Eagan Building Permit. The approved completion date of this addition/alteration shall be /O -as- 2Z . If your project is not completed by this date, please contact the Architectural Committee for an extension request. Failure to obtain an extension by the approved completion date could result in HHHOA completing the addition/alteration project and assessing the costs to you. Date: 5 -/ 00 -7?7 Approved by: F '?l2 o t?-n ?JL• 2? C'L White Copy - H esc y - Horizon Hills File CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE (612) 454-8100 vmm"m FOR CITY USE ONLY PERMIT # RECEIPT # O CO 5 DATE: 3 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------'--------------- --------------- WORK DESCRIPTION NEW CONST _ ADD ON REPAIR I J OWNER NAME: ?/I f+' 'pKz gw /gyp SITE ADDRESS: ,/6 ?7 LOT: /40 BLOCK SUBD, INSTALLER: Mll_gJ1E't?r ADDRESS1 CITY: f 6q W/ ZIP: f?7 PHO E #:?/ SIGt:ATU E OF PERMYTTEE -------------------------- COMPLETE THE FOLLOWING: FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER _ WATER SOFTENER 5.00 ?0? PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL S-. ST. SURCHARGE .50 TOTAL: S !57 ' NO. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $_ STATE SURCHARGE $_ TOTAL: (SIGNATURE) CITY OF EAGAN " 2/a4 E 4 F 7 ; CITY OF EAGAN L APPLICATION FOR PER-IT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: 2 00 (0 Y_ LEGAL DESCRIPTT_CN: /3 (Lot/31ock/Subdivisicn or Tai: Farce .D. Ntrmber) DATE OF ORIGIN--, Eii2i :ING TCS PRESE:' 1?:?TL.r ?PCS , LSE- 13 R-1 S:!-.GLE .71= ? R-2 DLPrT^{ Mon UNITS) 5 R-3 TCIt CUSE (TFLR= + UNITS) U.7--L--S) ? R-A ARARI=T/CCi,,=1 L:1 ? MISWCIAL/?R?7kl? OFFICE ? r-MUSTRLAL ? I\STITLTIC%AL/CGI '.C 1ENT 2) APPLTC]-IT (PLcA SEPRRINi) fI , NAME: Y I } ?/' // ? ko b y l (-i(o *mw, ADDRESS: P O 90Z 13(al AIL P)(n`lt CITY, STATE, ZIP: M (VV1 P iS I C ? ^ PF.ONE: 3) PLL:IBER -= LEASE PRINT) ' - - FOR CITY USE ONLY NAME: WA I a in ADDRESS:' y? ,n ?f PLUMB LICENSE: Active' CITY, STATE, ZIP: N 6 Q zp' ed i- PRONE:" 12 - HAJic. 1?1?? j3 Z5 Z1 PLUMBER"LICENSE-# / ai Repord lY I ??? r inL[:a 4) LJL'LUPANT/C!'n TAR IPLCAZ)L PRINT) NPt-1E: ?{,?,? ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PEPTAIT IS BEING REQUEST11): ® LC:M=-ON TO CITY SE:-)ER ® CC:INDC:ICN TO CITY WATER ? (7I'T':.'R (PLEASE DESCRIBE) o) 1:.U1GeL`.: C:.:'..: ? PL° SE FOLD APPPpVED PERNIIT FOR PICK-LP BY ONE OF ABRi lB (J® PI-EASE ?AIL APPRM"M'PEP:•lIT TO 1, 216 4 ABOVE, n. (Circle one) 7) SIG:,-ATURE: /r DATE: l ' ?j ww<?IaF-aAFAir,i l?Ew::s+q as AS ?'?•-.a.wsosr:ss:a?:ra?[!f}?.rYF.i?lir +?a????t..Y`?__- r F 0 PERMIT °- ISSUED I T Y U S E O N L Y FEES: $ J? S^? S $ S?G•u? $ S a? $ $ $ $ i3a- SE-'.E? PERMIT (I?tCL c SURCH?r.G?) WATER PERPIIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE RENDER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER :.. _. TOTAL AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? a L YES IF YES, THEN A "'PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE C?M NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: as Wwws pomp* ?ww:m wt ww w=?wwwwllw:+waw:?w?wl, wfq w#!r go fl"wip4mw OR •w mm 2/84 ' CITY OF EAGAN FFt (,??? APPLICATION FOR PERMIT --- SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: F5w 6 ti//l\/It r Co)f )y LEGAL DESG.2IPTICN: L 2 - A 1//?, Cz?-L_L, (WL/Block/Subd1v1s1cn cr Tax Parcel I.D. Ntmmer) IF E.YIS_-:G STRUC [UME, DATE OF ORT_GuIAL EUILDL:G P?_ ST ISS P C PRES= Z:^.` ,r,/1PnOPOSEj) US : ? R-1 Si?;GILL FP SLY ? R-2 DUP= (TwNO UNITS) R-3 'iUIRZIHCUSE (TIFTEE + L^TJTS) ( UNITS) R- } AP?R? TMtiT/CC1)G-tr II[J?I ( UNITS) ? CG'A1MEPCLAL/REr.AIL/0FFICE ? IN'DUSTRiAL ? INSTITLTIONAL/GGVE T&T::\T 2) APPLI= (PLEASE FRINT) NAME: 1n f rn.P ?) ADDRESS: (0-7 ?rJL?7 P,L4 IVU CITY, STATE, ZIP: ? Y'I I YIVIP? ?n Mi I'd E544t> PHONE: AZ 1 ?0()CJ 3) PLUTBER. - PLEASE PRINT) NAME. f L U W 1 91 n FOR CITY USE ONLY , , ?i ADDRESS: ULk J PLUNRERS ?YSE:, . - Active ?I?'^?? .?^ CITY, STATE, ZIP: ' J1? ?Al M C55 ?2 41 Expir ? PHONE: 0-572S2,1- PLUMBER LICENSE N 2 of Re rd w iiia a md '?I `a-?-UrtLV 1/l_,1YlVt,[t ?? ?} lrccnec rnii?iJ NAME: r7.I ?LF W? ADDRESS: CITY, STATE, ZIP: PHONE. 5) INDICATE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER ? OTIM (PLEASE DESCRIBE) PLEASE HOLD APPROVED PERNUT FOR PICK-UP BY ONE OF ABOVE PLEASE `TAIL APPROVED PM-UT TO 1, 2, 03-4 ABOVE - -(Circle one)` 7) SIGNATURE:DATE: 2 ? ?! R A; KiR1Y?a! i Ctt ls:aar?! s A sai?a at? a? t•F rtttFSaa:s a s !? s]?:s l?ayrrn(?? fr 1ts s: intssa? r F OR C PERMIT °- ISSUED Y U S E O N L Y FEES: $_ l?), SJ $ /O-S y $ 63 $ $ )57e-v) $ /S'G U $ ,?(XJ.ltr] $ sas. $ S $ 1.3-. ` $ SET,..ER PERMIT (INCLt:DE SURCHARGE) WATER PER11IT M.CLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESS"ENT TRUNK SEWER ASSESSi•IENT LATERAL BENEFIT/TRUNK SE6•?ER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL ?j AMOUNT PAID/RECEIPT r DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE " NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ??- sR yr•R s?RwRawm w=m RwR!?ft wsOWL.= Rr• Rw1m ww,ws Rw!! W" ML40 w:w R rsA wm I . ?i 2/84 V, CITY OF EAGAN ' Illll APPLICATION FOR PE14MIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: (Lot/Block/SuLdlvision or Tax Parcel I.D. Numoer) IF CIS ?:G STRUCTURE , DATE OF ORIGuIALL EUILDLIG Pte; IT ISa:AN=G _.; tea-; PRESENT S.:'='T/1'opPOSE1) USE: ? R-1 SZGLE FAMILY ? R-2 DUPT-mx (T%D LIJITS) 1'R R-3 TCWtv'HCUSE (TI?D. --. + LZTITS) UNITS) ? R-4 APARUT-7%1T/CC.Da.S7IL`N1 ( UNITS) ? CCI41MERCI.AL/RE:AII /OFFICE ? mDL'ST R= ? INSTITUTIONAL/GOVE.RAl, \'T 2) APPLIC=2vT NAME: (PLEASE PRINT) ' ADDRESS: I j Zan y11P S U L? r? IX ? 0 ? 15200 7 ao -' CITY, STATE, ZIP: N PHONE: 3) PLL^.SBE? NAME:' -"" PLEASE PRINT) '... - - FOR CITY USE ONLY ADDRESS:- Z PLUMBERS LICENSE: ctive CITY, STATE, ZIP: 1Expir PHONE: PLUMBER LICENSE N. I -7tp 4 No of Record `?1 IA.LUYHN'L'/C7,YCIE.i'Z MME.. ,y trICH?G YNlIiIJ ADDRESS: SL ?- CITY, STATE, ZIP: PHONE: 5) INDICPIE 1111ICH PERMIT IS BEING REQUESTED: ® CONNECTION TO CITY SEWER CONNECTION TO CITY WATER ? Or111ER (PLEASE DESCRIBE) 6) R:DIGI12 uz, : ? PLF-aSE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE (® PLEASE MAIL APPROVED PERMIT TO 1, 2, (9 4 ABOVE (Circle one) / q 7) SIG:,-%TURE: DATE: r F OR C PERMIT u ISSUED F_ I T Y U S E O N L Y FEES : $_?qo S (? $ fff ?- LAC, $ --- $ $ /?i d!J $ $ S DU /%? $ S Z rrci $ $ SET-.ER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SE??ER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE $ 3.Z. OTHER: $ TOTAL U ? $ AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C] YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: OR im wFj i!iM b !! /E offps P! i! fi! w%" sq=m oki w! mill 4lfo /F! /E"f! Wiw Ri vamp* N m i ! 1 ~ C? 2/84 i CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT)) 1) PROPERTY ADDRESS: n I I J< r I Yj ?jU V l /ud- LEGAL DESC.RIPTICN: `7 Z IVl (, ?6 ?C (Lot/Block/Su:dlvlsicn or Tax Parcel I.D. Nu oer) IF aCIE --'-G STRU=RE , DATE OF ORT_GuPS, uJILDLNG PE?_?:IT I55u?.NC;: PP°S= E^,='.8:/P?OPOSED USE: ? R-1 SINGLE FAMILY ? R-2 DUPL.t'K (TL%O UNITS) R-3 TC7vaW OUSE (??;?W + L^IITS) UNITS) R-4 APARr.=T/CCNMau 1IUM ( UNITS) (I COMNIMCLAL/RE AIWOFFICE ? INDUST 2IAL ? L1iSTITUTIONAL/GGVERNnE:?,'T 2) APPLICANT (PLEASE PRINT) f NAME: ti eu? iZ-nn +f)iW5 ADDRESS: _ O P?rX 13L 1380S P)Oh oe Q0 CITY, STATE, ZIP: PHONE: "?q 3) PLLIBER NAME: P EASE PRINT) 7G (/l FOR CITY USE ONLY ADDRESS: ? ? M)Yl"A " 0 PLUHB LICENSE; n 2 Active CITY, STATE, ZIP.: 3+?) tN 0 Q Ezpir d " PHONE: ( q31 2521--- - PLUMBER •LICENSE N F ec #Fd ? d , - - a nitia TPLLASL PRINT) 4/ UC.tiUYANT/Cf,?IER NAME: Z- SIL?I?LG ?? ADDRESS: CITY, STATE, ZIP: PHONE: 5} INDICATE WHICH PFRh1IT IS BEING REQUESTED: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER ? O'MER (PLEASE DESCRIBE) ? PLEAE HOLD APPROVED PEP.MJT FOR PICT:-UP BY ONE OF \IABOVE PLEASE 1%7aL APPROVED PERRIT TO 1, 2, 3, 4 ABOVE J (Circle one) 7) SIG:.TLmE: DATE: r w aaa?rwfe.?s is at a atr:a?>t tnrr-a s:a?a r r.? sssa:rs ar:a?arr-.a.r ?r rf r?s=ecsar r F 0 R PERMIT E ISSUED I T Y U S E O N L Y FEES: $_?? )? ?U $ l?• so $ (??up S $ $ lJ iG? $ a $ was $ S $ $ 132,00 SEINER PERMIT (INCLUDE SURC?lARGE) WATER PER11'_T (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL AMOUNT PAID/RECEIPT 47 -5L3?_ - DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: 3 A fr Mm r M a• Wm ally as M" Mr.= am =MR W=m w" §%M !!M /f r? win R`W so= paw" R"m N* W mma sjm W r 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Si '3U , -? 9 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date --.&- /__ / Site Address /5-(00 &(4 /a e (:%uT ? g unit # Property Owner (?{ I e(S r ll ?+ C%S Telephone # ( Contractor \ Street Addresses Q?} Q City State \ Telephone # Zip S C (?j ) Bond #:-(9 /?73 c ? Expires: ? The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement _ air exchanger air conditioner N R l t - ew - ep acemen other State Surcharge JUN 14 2004 $ .50 T By $ 6915 otal I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pe t the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans/ _as Applicant's Printed Name Applicant's Signa re '7356 y 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 41 is '15o Date J / 20 / Efn 1 l kV 0 Site Street Address Unit If Property Owner' Y ?UV { CVJ( ?(,? Telephone# Contractor Telephone#) O ' Address City State 4N Zip _ 2:iQ AD (IA VA The Applicant is: _ Owner 41contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license includes county fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add 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 t a li l? E app ance(s) you are installing. D -Septic System Abandonment MAY 3 1 2006 -Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 - new replacement -Lawnlrrigation _RPZ _PVB new -repair -rebuild $ 30.00 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 0ity of Eagan and the plumbing codes; that I understand 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 accordance with the approved plan in the event a plan is re uire to bere i ed and approved. bni I_P lPYYAry Applicanits Printed Name Applica t' Signature \t1 Use BLUE or BLACK ink For Office Use j Permit It dd _ { ~1~2 - P 9,5- My of Eapn I ~ ~ I Permit Fee: 42- l 3830 Pilot Knob Road Eagan MN 55122 Date Roc: W 13 ~2 I Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 I Staff: 1 2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION rr y sldq. ~ Date: Site AddressJAEJO 1 Unit`#: Resident/ Name:.#nri 744tH Phone: Owner Address / City! Zip: Applicant is: Owner Contractor Description of work: Type of, Work Construction Cos : Multi-Family Building: (Yes No Company: _ 2 > T UC /t7~ `i en ~G' -~'11~------- Contact: Address: r'3 O ?J !"1 inn ~1ek _ City: MinneaplJfr~.s contractor State: _M I Zip:. 5Y4Yd Phone: _ Z~_ ~ License 197_06Z- Lead Certificate 2 V2197 - 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 Pity to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 4540002 for protection against underground utility damage. Cats 48 hours before you interd to dig to rive locates of underground utilities. ww~v r.aor~hert~teonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X. 6/ 2abeA 0~5n cr en .r . Applicant's Printed Name ----LJ Applicar s Signature Page 1 of 3