3161 Alden Pond Laner. . . E . . .. . . . . . . .
. . . . . .: . . - `--. . .
1989 SIIILDIN6 PERM3CT 11PPLICATION - CITY OF EAGAN
SINGLE FAMILZ DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTBs tDDRESSES FOR CORNER LOTS - CORTYtACTORlHOMEOWNSR NtTST DESIGNA2E iiHICH ADDRESS
IS DESIRED. NO CHArTGES WILL BE ALLOiiED ONCE BIIILDING PERMIT I3 I38UED. ?
I?ITLTIPLE DWELLINGS RENTAL DNITS ?_ FOx SALI's UNITS 0 # OF UNIT3 -??--??
_ _ -- _ ;g.
INCL[TDE 2 SETS OF PLANS, CERTIFICATE OF 3URVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
C?OMMERIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,'
t SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- ` RECD DEC 2 3
To Be Used For: Townhouses Valustion: $09:P75 Date: December 20, 1988
Site Address Z?/2?Ooo OFFICE 03E O1?LY
G Z :
Lot --2- Block --?- 6-plex Occupaney R- 1 M`i FEM
Zoning ?
Pareel/Sub A1den Pond Aettkzl Gonst y- I H R Bldg. Permit
Allowable %/- Surcharge I
Owner 2220 Limited Partnership # of stories P18n Review
Length +I? SAC, City ,
Address 105 so. Sth St., Suite 705 Depth (a SAC, MWCC
S.F. Total Water Cann '
City/Zip Coc3e Minneapolis, MN 55402 Foatprint S.F. 28 Water Meter
Aoet. I3eposit 180
Phone (612) 341-0190 On site sewage S/W Fermit izo
On site well S/W Surcharge
Contraetor Rosewood Constructionj,Inc MWCC System Trestment Pl.
City water Raad Unit Zc>qo
Address 1711 w. County Road 8 PRV required Park Ded.
? Booster Pump Copies
_..?
City/Zip Code Roseville, MN 55113 TOTAL' ?.9 S'Ci
APPRQVALS
?
phone (612) 631-3254 Planner
C01121C3.1
....?-
Areh. /Engr. B1 umeMtals/Archi tecture In Bldg. Off.
VarianQe
..?_
Addt'ess 5860 Shingle Creek Parkwa? Cotuieil -
CitylZip Code Brooklyn Center, MN 55430
Phone # (612) 561-5757
NtYPE: SeWer & ilater Pormit leea and acoount deposit fees wi.ll be ineluded in the building
permit fee. Proaessing time For sewer and water permitie is Liro days onee a lioersed
plumber t?aa agplied for a permit at City Hall.
CLAIri VOUCHER' - REF'UND REQUEST
CITY OF EAGAN
GLAIMANT?a
.rnR taF?HAI`I .TNr
Lx
??.
, .
_
ADDRESS ImQ HIGHWAY 52
a T.F. t;RdVE. „MN 55445
3172-3182,, 3144=3154; 3161-3171,
Location A 10 1 -3 t 1 1 A.T..ARN_.L'tLT)_LA1ZE .
L12B1, L1OB2, L6B2, L14B1,
htTl
P
t
'
jo,
,X
A
U,F
9/20j89-94126, 8/21/89-93692
Receipt No./Date 9j7189-93903
Reason for Refund QVERPAYM NT pF PLUMBTNG F?RMIT F EES
Type of Refund Electrical Permit 01-3211 $
Plumbing Permit 01-3212 $ 114,,00
_
tiechanical Fermit 01-3213 $
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 , $
Account Deposit - 20-2252 $
Utility Account Over-Payment 20-2250 ' $
Other: $
$
TOTAL $ 114.Q0
I declare under the penalties of -law that this account; claim or demand is just and
that no part of it has been paid.
(.
/? _?
t
.
t . .. . ..
! . . . ... .
S PSE TEM$,ER 25 1 989
-
Fi Signature - Dats ,
?
I
xENT?j. ^rr R. CITY OF EAGAN,,,,, ,•, riJo 16805
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
:
BUll,D1NG PERMIT PHONE: 454-8100 Receipt # C2995
To be used for "' 6 PLEX ' Est. Value $242, 000 Date JULY 1$ 1989
Site Address 3161-3171 ALDEN POND LN
Lot 6- Block 2 Sec/Sub. ALDEN POND
Parcel Na
W Name 2220 LTD Pt?RTNERSHIP
a Address.105 SO 5TH ST.. STE 705
City MPLS Phone 341-0190
ZF Name ROSEWOOD CONST INC
0? Address 1711 W CTX Rn B
? City ROSEVILLE ` Phone 631-3254
WW Name BLUMENTALS/ARCHITECTURE'INC
?z Address 6860 SHINGLE CREEK PKWY
aW City BROOKLYN CTR Phone 561-5757
I hereby acknowlege that I have read this application and state that the
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A euilding Permit is issued to: ROSEWOOD CONST INC
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
OFFICE USE ONLY
Occupancy R-1 M-1 FE ES
Zoning 1Z=3-
?
036.00
1
(Actual) Const ?]?HR
, Bldg. Permit ,
(Allowable) VT-$R Surcharge 121.00
# of Stories 2- 518.00
Length 1*8_ Plan Review
Depth = &2- SAC, City 700.00
S.F. Total &-,-36 sAG MCwCC 3,450. 00
S.F. Footprints 6-,-3-28
4$0
3
00
-0n Site Sewage _ water Conn ,
.
On Site Weil - Water Meter 540.00
MWCCSystem XX- Acct.Deposit 180.00
City Water Y-V-
PAV Required _ S/W Permit 120.00
Booster Pump - S/W Surcharge 6.00
Treatment PI 1, 368 . 00
APPROVALS Road Unit 2,040.00
Planner - Park Ded.
Councii
Bldg.Off. _ Copies
variance TOTAL 413 ,4_59_ 00
j
. ? ' 6 t}f?-?ts
p°na
ldjj"1CJ )w Lotify Inspector
When Ready?
3163 ,? ?, _.,??,L;ar work at:
316?' " " cry
3161 " ?
,-'?-----
.-
3169 Range No. ?
County
?
? .• ^'?l Phone No.
Power Sfupplier /J
e
'? Address
+d'tt&"
-/ a
Electr' G ntrador (Company Name Contracror's License Na
Mailing Address (Contractor or Ow Making instailation)
11,2- `
Auth?fiR!gd ' Si ature (Contractor/Owner Making tnstallati Phone Nu?mb+er
s q¢a"°?e'si?/
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECFION REQUEST WILL NOT
Griggs-Midway Bldg. - poom Sf73 BE ACCEPTED BY THE STATE BOARD
1821 Universiry Ave., Sf. Paui, MN 55104 UNLESS PROPEfl INSPECTION FEE tS
Photte (612) 642-0800 ENCLOSED.
RE(?UEST FOR ELECTRICAL INSPECTION ?"« e6-00001-07
? ?
See instructions for completing this form on back of yeilow copy.
F 4n81g `- "X" Below Work Covered by This Request
ew Adq ep: _? TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (speciry)
Compute Inspection Fee Below: Contractor's Re arks:
?
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool O to 200 Amps Q 0 to 100 Amps a/
Transformers Above 200 Amps Above 100 Amps v 2--
SignS Inspectar's Use Only: TOTAL ?.g
irrigation Booms '3q 71
Special lnspection
Alarm/Communication
Other Fee ?
I, the Electricai Inspector, hereby Rough-in ? Date
certify that the above inspection has
been made. Final
, Dat
OFFICE USE ONLY
This request void 18 months from .
SEWER & WATER PERMIT
CrN tSF E1#GAN
3830 Pilot: Knob Rd.
` Eagan, MN 55122-1897
SITE ADDRESS 3151 J11dsr.?40? I,axts PERMIT REQUESTED
LOT _6 BLOCK __7_SEC/SU6
,?NVER ATER - TAPS
_?
APPUCANT: Rosewood Constrzacf 'a_ c3n, Inc_ _ ,
;
ADDRESS: 1711 W. Gounty Raad r3 ' _COMM/IND -C-+WSMENTIAL ,
CITY, STATE Rosev.i.i1e, MX ZIP 55113
PHONE: 631-3254 EW - EXISTING
PLUMBER: ;°yaa-lnr asAr j3a.dra,l ?I nr
ADDRESS: _?? 51) x; 4maw 75? 1 AGREE TO Cf1MPLY WITH CITY OF
CITY, STATE 1'44220 G-rc"?'em MN ZIP 55369 EAGAN ORDINANCES:
PHONE: 424-66B..
OWNER: 2220 -.i:9uzit-d Part,rte a4rhjp
r
ADDRESS: 7717
CITY, STATE Po:? ey , = ,sn? ZIP ? SIGN ? "fFJEN *R SU
PHQNE:
.
? C; ? ,_ ? . ?"? ?
`IW??IVORKtIVG 6i4§fS??U?t PRES?EINGt??R`?ST
PLEASE?a?.LOW
f
T -';
. r ;?l•:e
R S ER 'NTACT
m
l
s
fNGINEERING DEPT. APPLICANT AND PLUMBER,W,IlL BE NOTIFIED WHEN PERM PROCESSED.
?-
? _ ,
,,
SEWER & WATER PERMIT
? CITY OF EAGAN
i 3830 Pilot Knob Rd.
j Eagan, MN 55122-1897
OFFICE USE ONLY
METER # PERMIT DATE 81 11I39
CHIP # WATER PERMIT # IU771
METER SIZE B.P. RECEIPT # u2995
ISSUE DATE B.P. RECEIPT DATE 7 J 18I 89
_ PRV _ BOOSTER PUMP
?
SITE ADDRESS .1161 r'ne°A PERMIT RE(IUESTED {
, LOT BLOCK 2 SEC/SUB
I ?--`SEWER ^ WATER _ TAF'S
APPLICAMT: f'ras0wr,?2.:
?
ADDRESS: ?71?& .k. tots°avx Rcrxu
COMM/IND -°RmIDENTIAL
CITY, STATE ZIP .W:,?3.?3
PHONE: ` 3 .Z-3?'_;•s - IVEW - EXISTING
PLUMBER: zda,j= r.?ea,arfct3s,, 2'r.rr:'_
i ADDRESS: -laZ56 352 I AGREE TO COMPLY WITH CITY OF
CITY, STATE G:^vv' s.,, r?'1= ZIP 5530,9 EAGANORDINANCES:
PHONE: 4 2,6L -€6d U
? OWNER: ?4"7 1,?r.alyi"i3j P,arlmorShita
ADDRESS: 1711 W. Caur: tU aod r: SIGNATURE WHEN METER ISSUED
CITY, STATE r±?u ZIP ?;5113
PHONE: `
` PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
fNGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMITiS PROCESSED.
? 4
r& S ?ATER PERMIT
?? bFFlCE;USE ONtY a
? MEfiER #? 3-5 /? 04? PERMIT DATE 8f 11,/$9 ,
` 3830 Pi ot K
nob Rd. 3 6 ?713 WATER PERMIT # 10772
CHIP # '
Eagan, MN 55122-1897 -
METER SiZE B.P. RECEIPt # t: 2995 '
?
iSSUE DATE B.P. RECEIPT DATE '7118/ 89
PRV ? BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED s
LOT 6 BLOCK Z SEC/SUB
tl
pf-lt3 V ` ?.-? '
._SEWEI? ' 4r"WATER ? TAPS
APPLICANT: Rosewood an a mnf- i
C
t
R
1711 W nr?., Tnc
d B
.
oun
aa
li
ADDRESS: ?. COMM/IND _ ESIDENTIAL
' CITY, STATE RnseVi.iZe, MN' ` ZIP 55113
PHONE: 631-3254 .iE?/ ? EXtSTING
PLUMBER: ,d±ra?i..nr hmni,Ca 1,_ R1"2C„ ;
ADDRESS; tiin Ii?gw.?r.
?1'?? -1 AGREE TO COMPLY WITH CtTY OF
,
CtTY, STATE M??1e c;rove, t?fN Zip 55369 EAGAN ORDINANCES:
° PHONE: 424-5680 '
' OWNEFt: ` 2220--Liuatted paxtn o"bf
AQDRESS: 1711 su _ Catin•t.y Itar d 13 SIGNVU0E fN R 1 SU
; CITY, STATE Rosevi.?1e, ?1N
=
0 ZIP 55.Z.13 ??
805
` PHONE: 636 ,
f . /,
.!.- , /l ty ; , ? , ?
? PLt??'??L?bW TWt3 iVO" Dk? FOR PRCiSSI."F6R STdRpA' S ER P MITS, CONTACT
? ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERM IS PROCESSED. ?
SEWER & VIFATER PERMIT
CITY OF fAGAN
3830 Pilof Knob Rd.
Eagan, MN 55122-1897
OFFICE USE ONLY
METER # PERMIT DATE 8f x 1% 39
CHIP # WATER PERMIT # 10772
METER SIZE B.P. RECEIPT # + 2$95 '
ISSUE DATE B.P. RECEIPT DATE 7/1$/89
_ PRV - BOOSTER PUMP
, SITE ADDRESS .316.3 -41den ?'crtci :-.ane PERMtT REQUESTED
' LOT L BLOCK ? SEC/SUB ;:?>
- SEWER '---VIVATER
TAPS
APPUCANT: k0>eurcsau Construction, Inc _
ADDRE$S: 17111 k,'. Countt' Road 8 _COMM/IND
`?-""?ESIDENTIAL
CITY, ?'fPtTE ;?+rrsevil,?C, A-2V ZIP ?i51.1:3 ?.
PHONE: -,NEW < - EXISTING
PLUMBER: Ma;jflr tiechanical F 8r^ :
ADDRESS: 10650 Hfgybag 152 I AGREE TO COMPLY VWITH CITY aF
CITY; STATE _ yaz??e CTrove, ZIP: 55369 EAGAH ORDINANCES:
PHONE: 424-66II0
?
.?
OWNER: 222i?Lim tud_.?'.Lti°t'23F3.Y'S1'1iP ;
ADDRESS: 1721 W. County Raod B AT
W
N
t
° ?.?vi11?, 1?I?
?:?113 SIGN
URE
HE
METEf
ISSUED
CITY, STATE ZIP
PHONE: t,
,3t--Nt150
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING fOR STORM SEWER PERMITS, COFITAGT
ENGtNEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
;
` SE'VyER & WATER PERMIT
CITY bF 1UGAN
. 3830 Pilot Knob Rd.
? Eagan, MN 55122-1897
SITE ADDRES$ 2165 , PERMIT REQUESTED
!OT ?6 BLOCK .2_SEC/SUB
'
SEWER -L-V?ATER TAPS
E!`
APRLICAN7: R0sEw0acl Canstruction,, Tnc,
ADDRESS; 2711 W. County Road B _ CQMM/IND It-f4SIDENTIAL
CITY, STATE ?qr3esz3.Te. MN ZIP 55113 /
PHONE: '1 -i1 "' 3254 - N W - EXISTING
PLUIIABER: '•'aj7s, ?-?MgnhAn irra 7. T n?• _
ADDRESS: 136La xf grhwRW 752 . I AGREETO COMPLY Wi7H CITY 4F
CITY, STATE j i--? Grove, M?U EAGAN ORDINANCES:
ZIP 55369
PHONE: 2. .t, 6 80
OWNER:
ADDRESS: 7711 rr. rQuni-.ij Moat3 S SIGN U EN '
CfTY, STATE F'osr?r,? 7?,, 1?tlF ZIP 13_
PHONE:
., ?,r " : ?,,., r , ? ;%?
PLEAg?"?L?LOW?O ?IVORI?ING D?1YS FO?P?iQCESSI G. FOR TOR S WER P MITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBCR WILL BE NOTIFIED WHEN PERM IS PROCESSED.
SEWER &:WATER PERMIT
CITY OF EAGAW
' 3830 Pilot Knob Rd.
Eagan, MN 55122-1897
OFFICE USE ONLY
METER # PERMIT DATE 8 ?-
CHIP # WATER PERMIT # 10773
METER StZE B.P. RECEIPT # C 2995
ISSUE DATE B.P. RECEIPT DATE 7 /1$/89
_ PRV - BOOSTER PUMP
SITE ADDRES$ '.16aA'drin Dnn{-? '%at2e PERMIT REQUESTED
LOT :?- BLOCK
SEC/SUB
,-- te?SEWER L--"WATER ? TAPS
APPLICANT: T;;r_
ADDRESt: 1711 W. Coli .t?? goa?.' 'i? _ COMM/IND ln-ESIpENTIAL
CITY, 9TATE rt0s&*,zi1:1e, i0Z ZIP 5.51:13
PHONE: NEW - EXISTING
PLUMBER: P. La
lv.z°
-
ADDRESS: 10b 5Q ,t31'.c4hwal; 152 t AGREE T0 COMPLY WITFI CIT1f OF
CITY, STATE L-p.1e G.r'uveE LN ZIP 53369 EAGAN ORDINANGES:
PHONE
OWNER: 1? 4 M j t:,j,: Lza r
; ADDRESS: ' t?s ld Gsx:aatg-8oa3 r SIGNATURE WHEN METER ISSUED
CITY, STAI'E 44 ZIP 55a:-5
i PHONE: 6
` PLEASE ALLOW TWO WORKiNG DAYS FOR PROCESStNG. FOR STURM SEWf R PERMITS, CONTACT
° ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
. . ,. ._
f SE ER &?IUATER PERMIT . OFFICE USE ONLY
CI bF`EAGAN METER # 5 8°1 PERMIT DATE ?
3830 PilOt KnOb Rd. - -''??'????
Eagan, MN 55122-1897 CHIP # d??Sa ?O WATER PERMIT #.?.?7_,.,
' METER SIZE ? tfO B.P. RECEIPT # ?2995
ISSUE DATE ?3;3 qv B.P. RECEIPT DATE 7128/$4
- PRV _BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT 6BLOCK 2SEC/SUB ? ` APPLICANT: Rn?owood Construction, Znc. ??EWER ?!'WATER -TAPS
ApDRESS: 1711 w. county Road B _COMM/IND ? SIDENTIAt '
: CITY, STATE kOSeV.111er MN ZIP 55113
PHONE: 631-3254 ?W ->EXISTING -;
PLUMBER:' Malox' ME:Chax1 ir'a l,,F tnc _
ADDRESS`. i nE.`iLLRighwAy 152 I AGREE TO COMPLY WITH CITY OF
CITY, STATE Ma n1e Grove, l2N : Zip 55369 EAGAN ORDINANCES:
` PHONE; 424-6680
OWNER: 2220-Ljoited E'artraPrsh.i?
R1
ADDRESS: 1712 Ga C=tutt,? RnAt3 R SIGN ? 77;
STATE R?Lv, 7 I 1NN ZIP .?5133 ?, ??
CITY,
? / : ?
PHONE: 1 C;3r-B(i5o. . --
. ;
, .v :
PLEAS"LL??I.? ? ?V h'Vll .,,O ?„.'PRO??-_??StN FUR ' SORM SEWER PE CONTACT "(1????ING DAYS FO?t ?. ,
ENGINEERING DEPT. APPLICAIVT AND PLUMBER WILL BE NOTfFIED WHEN PERMI IS ITS PROCESSED.
..
? ?, ; ,,
..??`: " ` _ ?? ,f t _ u _ _ ,_ _ . ___ ?f_?_t. ?w
SEWER & 1NATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
OFFICE USE ONLY
METER # PERMIT DATE
CHIP # WATER PERMIT # 1022d
METER SIZE B.P. RECEIPT # C 2995
ISSUE DATE B.P. RECEIPT DATE 7/18/89
- PRV - BOOSZER PUMP
SITEADDRESS .;.7.fY> r3?de» R?? Kancy
? LOT _C, BLOCK 2 SEC/SUB `?iti?.? ` •? .
' APPLICANT:1'osewocx3 Canstruct;1011. :fnw.
t ADDRESS: 1711 ?s . Canntg ,'oad B
CITY, STATE :iU?ev.E11e, M?'Y ZIP 55
; PHOItlE: 6 '3--3254
PERMIT REQUESTED' -
?'?EWER -?--"' 1IATER _ TAPS
- COMM/IND '"-9'ESIDENTIAI `
? NEW - EXISTING
PLUMBER: :alnr ,t1eczrianica,l, Tne.
ADDRESS: 70g'-io--? 152 I AGREE TO COMPLY WITH CITY OF
CITY, STATE A'a p? ? ':?rove•?W ZIp 5,:3369 EAGAN ORDINANCES:
PHONE: ?2 4 °-6#s4: 0
OWNER: ';tlL "rr:it?e, Partaar-QU92
ADDRESS: i:i '1 ?''t r'? =? Raad B
SIGNATURE WHEN METERJSSUED
CITY, STATE 'r.; ;uvj_Zie.. :"Id ZIP 5:i113
` FHONE: t• 16- S ;: -iti
PIEASE ALLOW TWO WORKING DAYS FOR PROCESSING FOR STORM SEWER PERMITS, CONTACT
- ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PfRMIT IS PROCESSED.,'
j
? SE ER & 1NATER PERMIT OFFICE USE ONLY
CI OF`EAGAN D" PERMIT DATE 8f11/89
3830 Pilot Knob Rd. ?iET??t #? _'?
Eagan, IUFN 55122-1897 CHIP # 7 WATER PERMIT # 10775
METER.SIZE S 1S A-0?I B.P. RECEIPT # 'S: 7AA5
? ISSUE DATE- 0-3?4 B.P. RECEIPT DATE 7 18 89
PRV - BdfJSTER PE1MP
r
StTE ADDRESS 316 a»Qa Ptuad T.a ue' PERMIT REGlUESTEp
LOT ?_.,?BLOCK 2_SEG/SUB ? ?- `
?"SEWER ?ATER ? TAPS
APPLICAIdT: FtC?'?.ti*wOCX3 rnaal-riirYt-ion? ?r-_ : ?,,r?
ADDRESS: -?7Z1 V+ . Gcsu.?tct Ro?sd b _ COMM/IND ?EStDENT1AL
CITY, STATE R03ev11le, MR' ZIP 55?33
? PHONE: - ?E,3 1-3254 t_..^'1CIEW - EXISTtNC.,
PLUMBER: 1ltschara.ica3 1 AGREE TO COMPLY WITH CITY OF
ADDRESS: 1f?E'?c.C L..bt.ighwAy 3 fi?,d EAGAN ORDINANCES'
?
CITY, STATE P?tan]a [rove,, Miv ZIP 55„369 <
PHONE: 42?-6680
OWNER: 2220 r€'mitad PmE'tas"'ship
ADDRESS: z.77i kz nouni-.: R.nad u SIGEN M Rl
CITY, STATE Rnseville, mN ZtP 55773
PHONE: . ,
f,/r,G ?,r-? t.,lr` ' ?' .f,r'Z.?&'
PLEASL ALLOL??W TVGO':% .?SRK?I?G??A S1OF,?ROCE,SSING. FOR STO?M SEWER PE"ITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER W1LL BE NQTIFIED WIiEN PERMIT IS PROCESSED. ,
r _ _ '? `?.? . _ ? ' -t?-???c?. . ? ?". .!" .` .. _. _ : ? . _ ,_ . n- -... ., . e.? ?ea ._ . .
j . .. .. . .... . .. . .
I
? SEWeR & WATER PERMIT
? CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
OFFICE USE ONLY
METER # PERMIT DATE 8/11/89
CHIP # WATER PERMIT # 710,77S
METERSIZE B.P. RECEIPT # C 2995
ISSUE DATE B.P. RECEIPT DATE ?/ 18/89
_ PRV _ BOOSTER PUMP
SITE ADDRESS -•'.??? ?ldefl kc).My L-anP
LOT « BLOCK SEC/SUB
APPLICANT: Ytjsest•c:-2 CUil15truGt?[?I?. .Z'nc.
ADDRF,SS: 11?? t°,'. C:ounty Ro$;a b
CITY, STATE !. O3evf 11 e, MN ZIP '51'?' 3
PHONE: ,?.?1--34 54
PLUMBER: a?;a_jnr R:'r.?r-ltani ca 7, T::c _
ADDRESS: 10612 ftiyl1;.A?Z5:a
CITY, STATE ??O?:'.:? Crove, <i:v ZIP
' PHONE: 4:4-6680
PERMIT REQUESTED
?--'`SEWER ""`"'CNATER _ TAPS '.
- COMM/IND -?'"9ESIDENTIAL
` • ` `?EW - EXISTING
I AGREE TO COMPLY WITH CITY:OF
EAGAN ORDINANCES:
OWNER:
' ADDRESSc SIGNATURE WHEN METER ISSUED
CITY, STATE f•:?:??.c? °Z??, 1?_?: ZIP 5,;11 ?
PHONE:
` PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
e P
SEWEft & WATER PERMIT
CITt OF'FEAGAN
3830 Pilot Knob Rd.
: Eagan, MN 55122=1897
r
OFFICE USE ONLY
,
METEfi # ??,/-?O I8 PERMIT DATE $????.??89
CHIF' # C?l SS 60 9-9 WATER PERMIT # 10776
METERSIZE B.P. RECEIPT# ^ 249`+
ISSUE DATE B.P:'RECEIPT DATE 7 18 89
? PRV _ BOOSTER Pl1MP
SITE ADDRESS ; PEFiMIT REQUESTED
LOT 6 BLOCK -?:SEC/SUB ?? ?`
?EWER `''WAi'ER _ TAPS
APPLICANT: Rn?eurnM C'emstructian, Tnc ?
ADDRESS: 1711 W_ eauntg Road B
- CUMM/IND 1.e"IiESIDENTIAt
CITY, STATE Rosev11I0, MN ZIP 35113 -
PHONE: 631-3254 . ?EW ? EXISTlNG
PLUMBER: rTal.or uerFiax;ica2-, Tr.cADDRESS: ZU?r +8 ui.crh•aa.l;.I ?;-2 ` 1 AGREE TO COMPLY WITH CITY OF
CiTV, STATE ai Dla -r?ve, ?tN Zlp 55369 EAGAN ORDINANCES:
- PHONE: 424-6650 ;
;
OWNER: 22 . 2n Limitatd I2a.r_taex8hj
ADDRESS: I Z,Z3 is?. Cailrt?x? ?Gtad .2 . SIGN EN M R 1
CITY,S7ATE Rn;pui.Z7e0 MN ZIP 55773
PHONE: 6 7?_F:n?_ ,5r
?/ , _
PLEAS?E ?CL?t?1? ?aNWI'??1?1eC?LC*S'?d?I'SSIN?F6Rd , SEWER PE ITS, CQNTACT
ENGINEERING DEPT APPLICANT AND PL ?IIBER rAIItL BE NOTIFIED WHEN PERMI IS PROCESSED. '
??? C.?r 4 .?i. '??r•:va? .. ??; . _ '!?` r' . . . '? .. _,.e _? _ _ `: ,
SEWER &'WATER PERMIT
, CITY OF EAGAN
? 3830 Pilot Knob Rd.
Eagan, MN 55122-1897
OFFICE USE ONLY
METER # PERMIT DATE aL6Q
CHIP # WATER PERMIT # 1676
METER SIZE B.P. RECEIPT # c 2995
ISSUE DATE B.P. RECEIPT DATE 7 I18/8g
_ PRV - BOOSTER PUMP
' SITE ADDRESS ; .,;;j 47jon FL,l3ci .?jg??
LOT i;i-BLOCK " SEC/SUB
APPLlCANT: ?,?,?-t{?c_•? 2vf,si-_r -u': •, n, rnt_,a
ADDRES& 7 7:?.?. ?<. fnizac?) ?t?•.u ?.?
' CITY, STATE -:.22v.z11c-.ZIP .. .'?xZ K
PHONE: t::.:?.?• 32:;4
PLUMBER:
ADDRESS:
CITY, STATE ZIP =r5369
PHONE: »- 6 1.:u0
PERMIT REQUESTED
-SEWER _WATER _ TAPS
- COMM/IND ?ESIDENTIAL
?7VEW - EXISTING
I AGREE TO COMPLY WITH CIT1f 4F
EAGAN ORDINANCES: '
OWNER:
ADDRESS: ? ''? " $IGNATURE WHEN METERJSSUED :
CITY,:STATE ZIP ?;3113
?
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
SI.DG. PERMIT NO. "
01-3210 Bidg. Permit
01-3422 Pian Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
2Q-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
6 20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAI
CASH REGEIP7 i
CITY OF EAGAN -
3830 PlIOT KNOB ROAD Y
EAGAN, MINNESOTA 55122
oare 19 aECeIveo aaoM
AMOUNT
Thank You .
ev
c wnite-Peyers coPy :
veibw-Posfu,s CoPx
Pink-Fde Copy ..
I rtdTAL "T,11.
BUILDING PERMIT
To be used for ? PLEX
Est. Value ?242,000
Site Address 3161-3171 ??EN P M LN
Lot 6 Block 2 Sec/Sub. ?EN PM
Parcei Na
oc Name
? Address 10 SO S'TH ST., -STE 705
° City PiSO Phone 341'"0190
Name _
Address
Clty -
U?
WW Name
Address
<Uzi
City
c?f??.??a?.ri??LT VLrn?:i ? U<C
1711, W. CTY 4'v' B
:&EVILLL Phone ti31-32'54
i4??
;iP?? SA????I? . CPLEV, PM:Y
:.4:,?1i;LYN' _ P, 561-5757
I hereby acknowlege 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 Ordinancea
Signature of Permitee
A Building Permit is issued to: '
on the express condition that all work shail be done in accordance with all
applicable Stat!e of Minnesota Statutes and City of Eagan Ordinances.
Building Officiai
. . .. , a t?.=r . ?+?n:?.' • '^,k ?+« m bg . :.: . , , . _., . "„ ` . ; +> . s.<a ? '8+??i• •Y.'M";
? CITY OF EAGAN $?
?? 16 05
3830 Pilot Knob Rohd, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt # ?zvv:)
D
t JULY 18 $9
a
e , 19
QFFlCE USE ONLY ?
Occupartcy FEES
Zoning
0
3 P - ?
? ?
(Actual) Const Bidg. Permit I
?
(Atiowable) V _L
Surcharge ? •
# of Stories £ 51 ti XG
Length V46_
? Plan Review'
7Cc
. 00,
Depth ?
?- 9AC, City ,
S.F. Total ? ? ???}
,SAC, MCWCC
S.F. Footprirtts
3,460"? ?
On Site Sewage - UVater Conn
On Site Weli Water Meter 540' 00
MWCC S stem
y
i L-0* 00
City Water ??- Accl. Deposit 120.00
PRV Required _ S/W Petmit
? *
Booster Pump - S/W Surcharge `
1,368.
?
TreatmentPl
APPROVALS
Road Unit 2,040+00,
Planner - park Ded.
Councii !
BIdg.Oft _ Copies
Y
' 413o459•00
`
ariance 76TAL
~ Permit No. Permit Hoider Date Telephone #
1h=ATER
,
SEWER
PLUMBING d ?
H.V.A.C. 1/77T
ELECTRIC -11egAll
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isut.
Fireplace
Final Htg.
Fi+tal Plbg.
Const. Meter Pibg. Inspector - Motify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
-. . . . , . ? _.
. .. . .
` . .... :-:: . ....., I
. . X_.f. ,', . .
PERMIT # • - ''`
PLUMBING PERMIT
RECEII'T #
CITY OF EAGAN
-
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 'E
/
: CON7RACT PRIGE: PHONE: 454-8100
Site Address 1 ' BLDG. TYPE WORK DESERIPTION
Lot ' ,61ock -?;SecJSub Res. New .?-
? Muit Add-on
? Name N ,{ r 3 egi ;1 r C; Comm. Repair
Other
Ciry Phone '? ^'
? RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO, FIXTURES TOTAL.
111_Water Closet - $3.00
? Name +,,+ w s'L t ' ` , < Bath Tubs - $3.00
? Address
?. •?'? t
Lavatory - $3.00 L=?
3
p Ciry ?r? 1 a F Phone L _7 Shower - $3.00 ; c C
7 Kitchen Sink - $3.00 ? ? • ? `-
FEES Urinal/Bidet - $3.00 -
COMM/IND FEE - 1% OF CONTRACT FEE _1 Laundry Tray -$3.00
'APT. BLDGS - COMM RATE APPLIES 7_Floor Drains - $1:50
TOWNHOUSE & CONDQ - RES. RATE APPLIES _-7 Water Heater - $1.50 ? ? - ? G-'
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 "% Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1 000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
'-?
,
.. RMI EE
SIGt?TU E OF 49 FEE:
?
?f
( aCr
r?e?l
p'U??? STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
CONTRACT PRICE:
Site Address L=F -
Lot ' - Block
? .
! .+ . •'o'v'
, .? , r..
PERMIT #
??7 7-
MECHANICAL PERI?TIIT RECEIPT #
CITY OF EAGAN ? ?/?%' -?'?'
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
PHONE: 454-8100 ., For Office Use Only:
ec/Sub
7''' _ -
m Name EZ 1 j?
?O Address "U'.=w
c City
_ Name _
3 Address
p CitY -
' TYPE OF WORK
Forced Air
Boiler
` Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
' Other
Phone
M BTU
M BTU
M BTU
M BTU
CFM
fEE:
S/G
TOTAL:
74CD?. T1f? ' WORK DESCRIPTION
Rea New
Mult Add-on
Comm. Repair
Other
FEES
HVAC 0-100 M BTU
RES
424
00
.
ADDITIONAL 50 M BTU .
- 6.00 '
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMI'I)
1
50 EA.
COMM/IND FEE - 1% OF CONTRACT fEE ;
APT. BLDGS. - COMM. RATEAPPLIES .
-
TOWNHOUSE & CONDOS - RES. RATE RPPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS = 12.00
M{NIMUM.GOMMERCW::F_EE _ _ _ -z 20.00
STATE SURCHARGE PER PERMI7
50 SlC IF PERMIT PRICE GOES
(ADD $
.
BEYOND $1,000)
r
, ?-_•,
SIGNATURE OFPERMITTEE,
FORt.GITY OF EAGAN
6M&;-QPP' C' °?.p Z
4- yy-to '
SITE ADDRESS 3161 ALDEN POND LN Unit # Permit # ?
? .,
5
B
2
Sect./Sub.
ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
xe.
ps,
r
v
.
. ?
INSPECTION INSPECTOR DATE COMMENTS
'???,?,?cf?.
U
SITE ADDRESS 316 5 A L D E N P 0 N D L N Unit # Permit #!?eJ1?Lir-
2
B ,Sect./Sub.
ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
?f l?i?b ?a• S?
• 2l.ir/ ^ $'? d
ti5u?.? P -a 0?4-'a` e. <??s/
9
INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS 3169 ALDEN POND LN Unit # Permit #
? Sect./Sub. ALDEN POND
1NSPECTION INSPECTOR DATE COMMENTS
Ael
' Z:..-. ? ?? pr9d
a.ts
;' ;
??
.
«
r
?i n a.
INSPECTION INSPECTOR DATE CQMMENTS
??'.7?'r- ?'???. ?/??1???'
SITE ADDRESS 3171 ALDEN POND LN Unit # Permit #(
B 2 Sect./Sub. ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
V?v P-al N
VO
s'?60? I
? a;l` ,?i ?-?P=9o
D-3 2-?4g"d
Aoty v G. Ar ?' ? ??•"?i?' ? ?? ?
r
xf,
?
INSPECTION INSPECTOR DATE COMMEMTS
,
A,e
??J ? ? ?1?' 8j//?g?
SITE ADDRESS 3167 ALDEN POND LN Unit # Permit# I Jo?
6 2
B Sect./Sub.
ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
f?/ Pli 4kc., ?
Ls,
,
-??
QJ
- ,??f,?
INSPECTION INSPECTOR DATE COMMENTS
7'??;? %??--
,???,?
I1
SITE ADDRESS 3163 ALDEN POND LN Unit # Permit# ?/
6
B 2 Sect./Sub. ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
eel 7z b!'s- r !/
A.
A
?
0 t? •
INSPECTION INSRECTOR DATE COMMENTS
, - ,
?
_
4 0 7
F
8 8
Request Date Fire No. Rough-in Inspection
Required?
? Ready Now Mill Notify Inspector
?& ? Yes No When Ready?
10 licensed contractor 0 owner hereby request inspection of above electrical work at:
Job Address (Streef, Box or Route No.) Ciry
3f
I 3 ?
W
df-
Section No. Township Name or No. Range No. Counry_ _
Occupant(PRINT) Phone No.
6 'OV
ower Supplier Address
Elechica ontractar (Company'Name)
?
rl Contractork License No.
11.
e
e-
Mailing Add2ss (ConV or or Owner Making Installation)
4
11 s
Authori ' ature (Confrac[or/Owner Making Instaltation) Phone Mumber
A177 - 2-8' 77
MINWESOTA STATE BOARD OF ELECTRICITY THtS INSPECTION REQUEST WtLL NOT
Griggs-Midway Bidg. - Room 5-473 BE ACCEPTED BY FHE STATE BOARD "
5821 University Ave., St Paul, MN 55104 UNLESS PfiOPER INSPECTfON FEE [S
Phorte (672) 642-0800 ENCLOSE0.
o
F 40788
REQUEST FOR ELECTRICAL INSPECTION
? See ni structions for compieting this form on back of yellow copy.
X" Below Work Covered by This Request
.r-« eB-00001-07
%0 94?0ess
ew A-dd Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heafer Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
, Other (specify) Co a tor ?
iRemar `,f c-.
Compute Inspection Fee Below: ?t5'
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 0 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps ?
SignS Inspector5 Use Onty: T TAL
Irrigation Booms _;Wl• :7`',
Special inspection ?
Alarm/Communication
Other Fee
I, the Electrical Inspector, h81'2by Rough-in Date
certify that the above inspection has
treen made. Final Date
OFFICE USE ONLY . ? . -
This request void 18 months from
SEDGWICK:HEATING & AIR CONDITIONING CO. HEaTING Jog rvo 3??7`/ 7
8910 WENTWORTH AVENWE SOUTH • MINNEAPOLIS, MN 55420 • (612) 881-9000 TEST RECORD
') o?y ???1) LN .
k
, -,L? -G ?`1?
\
? '
'
ADDRESS CITY l
OCCUPANT OWNER
? ?-- '
? ?VV ?L (C
SOLD BY
- INSTALLED BY
1?0 (y l?
I?
?Is-bG 10
MAKE MODEL ..
SERIAL NO. INPUT Qno
c
THERMOSTAT
- VENT SIZE
D?e??
VALVE t? TYPE OF LINER
??
LIMIT 1 ??J LINER SIZE
LIMIT SETTING FILTERS`. SIZE NUMBER
I
D ?
(7 (
FAN SETTING WIRING
t
CT i?E71?
1
C?
PILOT TYPE TEST TAG
""
IGNITION MODEL LIGHTING INST. Li
PILOT TIMING
?
?
? DATE TESTED
J
' PERCENT COZ
PRESSURE J',
'?
?? •
COMPANY TESTIN G
INPUT CFH 75PERCENT O2
0?
7a ?
!?
I
STACK TEMP.
v
PERGENT CO
Y( NAME OF TESTER
FORM 235 (REV.11/89) _ FORMDISTRIBUTlON. WH1TE COPY - JdB.FILE YELLOW COPY - GTY
..... ..,_... ..t F-, _. .. _ ,, .. ,a,_, . _r .s ... r,..... K ,. . s .,_. .u W_.. .u._,.o ,,,._e .? ....,.,...s.=W.c.,..u..,.4..?,?,WSn.?.a.. _ _ ,...i_,..
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?? - .r . . . . . . . . . . ? ? . . ? .
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING Jos No 1 q 7
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (612) 881-9000 TEST RECORD
L/D'\I ?Dt?? > L.?I •
ADDRESS CITY
OCCUPANT OWNER
SOLD BY INSTALLED BY
6 5_0
MAKE MODEL l.? V C?
SERIAL NO. INPUT S-v oC
THERMOSTAT VENT SIZE
VALVE t? v?I?c I L-?? L L TYPE QF LINER
?
LIMIT L,
el LINER SIZE
?
LIMIT SETTING d d C2 FILTERS: SIZE NUMBER . ?
Ij FAN SETTING I V V WIRING ?
PILOT TYPE F LC c,7 Qo N I l..- TEST-TAG ?
IGNITION MODEL LIGHTING INST. ?
PILOT TIMING
PRESSURE PERCENT CO
?r
? /L7 DATE TESTED
Z
0/ \ ? L
? K
t?r
O
INPUT CFH s U PERCENT OZ O (J MPANY TESTING
?
C
C MONC R ?_? dVL CJI?-
STACK TEMP. PER
ENT CO NAME OF TESTE
. FORM 235 (REV. 11/89)
.. ?, _ _ _ . .. _ ,.. ..
_ . FORM DISTRIBUTION?: WHITE COPY JOB?FILE ?YELLOW COPY - CITV
. .. .u _ . .,. ._ .. _?n .._ _._..>a .?..,_..?.r.,.?z._.,.,__.,..,.u...?,?.?.?..ya?,u:. .uz-??..,...?._o:.?.e..e.,....?,,.R
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SEDGWICK HEATING & AIR CONDITlON11VG CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000
ADDRESS
OCCUPANT
SOLD BY J E 1)
MAKE ? (< U?Lj ( ?ONv
SERIAL NO. ? U!?`5 61 NV I'1
THERMOSTAT ? ? 1)U GJ' (
??
- ti
VALVE
LIMIT
T'
LIMIT SETTING C1 0?
FAN SETTWG (00
HEATING
TEST RECORD
CITY ? A&AN
OWNER
INSTALLED BY ? e
MODEL L G
b Zc.,11 (-K
JOBNO.1) # 5?7q?INPUT
6fl
VENT SIZE
TYPE OF LINER
LINER SIZE
FILTERS: SIZE NUMBER I
WIRING
PILOT TYPE ?TKo t'f (c- TEST TAG ?
ir.NiTinN nnnnFi ?r7 ?;e- (2T <4f4&i' ) , ir-'uTIr.?? ??ICZ-r ?
PILOT TIMING DATE TESTEQ
PRESSURE 1' S ?? ??• ?
PERCENT COZ C, +y? ? ?? )
INPUT CFH S`-' PERCENT OZ COMPANY TESTING ?? ?71?W (cl?
STACK TEMR 190 D? PERGENT CO NAME-0F TESTER CO!Ni
FORM 235 (REV. 11/89) .-FORMDISTRIBUTION: WHITE COPY JOB.FILE YELLOW COPY CITY.. . . , .. . _.. . .._ ,_ ... _ _.. ,. ?. . .?.. ,..a _ ._ ... . .,. ? . .. n.,. . .........s .. w .,_, ..e....?.__..?. .._,...,??.:._.`u,+ .,.?,.,..,e.? ??r,.,_..?,.?„n,.?..s...
SEDGWICK HEATING & AIR CONDITIONING' CO. HEaTING Jog No:l?? 7`17
8910 WENTWORi"H AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881 -9000 TEST RECORD
' ADDRESS S' 612/ t ,t/' T PvND L I`i • ? 7
V A
l
CITY
OCCUPANT OWNER
SOLD BY INSTALLED BY 5
MAKE /-'TP o (V C?- l
i
:J (
50 S?l
Iz
0
.
-
l
.
7
,
MODEL
? UaS 7° ?7
006
SERIAL NO.
I 1NPUT
C?l
-S E
?)
LoiL K ''
-
THERMOSTAT
V VENT SIZE C7
VALVE ??C7N`???W Q L:C? TYPE OF LINER
LIMIT Hu??t, ?-L.. LINER SIZE
LIMIT SETTING FILTERS: SIZE NUMBER ?
FAN SETTING I? U WIRING 1.?
l
`-? (zU??
=-
PILOT TYPE _ w TEST TAG
IGNITION MODEL ? n?leZ? ??AVJ LIGHTING INST.
17?,IS7A N I
PILOT TIMING o
E T
A
_
O
PRESSURE =" 0; PERCENT CO
?
/ ESTED
D
T
Z
?
?
Q
INPUT CFH 9-0 PERGENT OZ I COMPANY TESTING
C;? vO Ut pERC
STACK TEMP
N V Nt R (?-
.
,
ENTCO NAME OF TESTE
FORM235.(REV 11/89) :. FQRMDISTRIBUTION: WHITE. COPY JOB FILE YELLOW COPY - CITY
,. ?, _ `...... , .??. , .. ,
SEDGWICK HEATING & AIR CONDITIONING CO. HeaTING Joe No ?(
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 +(612) 881-9000 TEST RECORD
?L ?1`F 1 ?NJ LW
? _C
T
ADDRESS Y
I
OCCUPANT OWNER
O LED BY C?--
S
LD BY INSTAL
J? i?Y"IS I p Vl l? E 0L Z - 1 ?
MAKE MODEL
? 0 1lA T
SERIAL NO. INPU
S Et)bw(G'`
THERMOSTAT VENT SIZE
VALVE 2 N? TYPE OF LINER
LIMfT 0 NQ
LL" LINER SIZE
,
? LIMIT SETTING f7 (7
1 FILTERS: SIZE NUMBER ?
4 FAN SETTING I0 WIRING
!?
?L E ??IZVN ? C
` PILOT TYPE TEST TAG V
?O w ?
IGNITION MODEL LIGHTING INST.
PILOT TIMING ?L-
'X
PRESSURE S' S V`? •?• PERCENT CO DATE TESTED C
2
D 0If?
1NPUT CFH PERCENT O j?/ ,, )
COMPANY TESTING S G h' l7W ???
2
N
?
N
j
O
L
(QV
PERCENT CO
STACK TEMR NAME OF TESTER
FORM 235 (REV: 17189) FORMDISTRIBUTION: WH7TE COPY - dOBFILE YEIIOW COPY - CITY
. .... . . .. ._ . . . .. ... . _ , . .... .. .. . .. . .» ., .. _.., ,.,.,._ .?,..,...t... ,?.?......,..,..?.r.c:.c.:.'c:.a..,.a:.v:.r"`:
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000
ADDRESS ? ? ? f ? ?` Do' \I P? ? ? `-` N • CITY _
OCCUPANT
HEATING
TEST RECORD
1 lbl?
OWNER
JOB NO. 7 q ?
SOLD BY ?.? ?? ?Jv? lcK INSTALLED BY ? ?- % &
MAKE ? ? ? A MODEL f (0 -Z
SERIAL NO. 1? Cl H K? INPUT 0 00
THERMOSTAT
VALVE
LIMIT L^-)
LIMfT SETTING ac) o
(1
VENT SIZE 6
TYPE OF LINER`
LINER SIZE
FILTERS: S1ZE
NUMBER (
FAN SETTING I do WIFiING
PILOT TYPE ? lE C i I?oN TEST TAG ?
IGNITION MODEL LIGHTING INST.
PILOT TIMING -1 1 TS70y I 0
?, S?'C? r (?`? DATE TESTED
PRESSURE PERCENT COZ u
INPUT CFH !7 5 PERGENT OZ 9 % COMPANY TESTING 7 C ?? •
STACK TEMP. 0? PERCENT CO 0NAME OF TESTER ? V?
FORM 235 (REV. 71/89) . ? FORM DISTRIBUTION: WHITE COPY -.JOB FILE YELLOWCOPY qTY . _ .. . .. . . . . .. .. . .._ . , .a .. . _. ,< < < ,,. _ _ .. h...s... .. , . W . _ ?...s?.e. , . ..,v.?.. ..?.,.....,,._W ?.a??_ -.?" ..._.?...,?? s .. _ ' _ __
A
SEDGWICK HEATING & AIR CONDITIONING GO. HEATING Joe rvo 57`I.(.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD
'
,( ( ? 'I/ t ' ?QN ) L N . ??c,;7r'-4
ADDRESS CITY
OCCUPANT OWNER
SOLD BY INSTALLED BY
?? ? 'vI ?7TI?IlJ
?
MAKE
L MODEL
SERIAL NO. t V U GI 79,1 N? INPUT
T
E
OS
T
H
RM
TA VENT SIZE
C
9'ZW R
VALVE
2 TYPE OF LWE
LIMIT LINER SIZE
LIMIT SETTING 40 (o FILTERS: SIZE NUMBER ?
, FAN SETTING 100 WIRING ^f l"'
I?O
` tl-?
i (
PILOT TYPE
l
? TEST TAG
y
;44 A
W
IGNITION MOOEL LIGHTING INST.
PIIOTTIMWG
I
?
?
I
CO -7 IO
' PRESSURE P
C
N DATE TESTED
ER
E
T
U/
I
z ? ? \ ?? f ?I ?
COMPANY TESTWG I >
D
?
INPUT CFH 1 S P
C
O
ER
ENT
Z
? STAGK TEMP. ( U? O PERCENT CO 1 T01 ?? NAME OF TESTER ? C7 I E
? FORM 235 (REV 71/89) ..FOF1M DISTRIBUTION.: WHITE COPY JOB FILE VELLOW COPY CITY
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FORM 235 (REV. 11l89) . . . . . .
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FORM235 (REV. 11/89) . . FORM DISTfl16UTION: WHITE COPY - JOBFILE YELLOW COPY CITV
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SEDGWICK HEATING & AIR CONDITIONING CO.
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FORM 235 (REV: 11189) . FORM DISTRIBUT60N: WHITECOPY - JOB FILE YELLOW COPY - CITY
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FORM 235 (REV. 11/89) .. .
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SEDGWICK HEATING & AIR CONDITIONFNG CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000
ADDRESS CITY _
OCCUPANT
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TEST RECOR6
OWNER
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FORM235 (REV. 11/89) . . . .
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R„?rr;?sfj?;
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road
Ea an, Minnesota 55122-1897 Permit Number:
J Date Issued:
; (612) 681-4675
i; SITE ADDRESS: oAPPLICANT: r'al itt t;'s f'Ftt-411 ! 0,1N! a??f{9?t`4?34 t:`i.?s?';Tt'rlli l t?}R1
.`V... _
PItRMIT SUBTYPE: TYPE OF WORK:
????????
i ri ?.,?+ $>:?14 ?i {FI
r r? ?'I't) N f4 f-. p (W t? r
INSPECTION .• . ..
?
?K•g ?Ai. 4 1 t1Nt'
i"1 AN F; 1 V s t.OV !t 8`; 1ilptf: J
? - ? FERMIT
CITY OF EAGAN u
3830 Pilot Knob Road
PERMIT TYPE: ? LDz NG ,
B
,
, Eagan, Minnesota 55122-1897 Permit Number: 032459
? 7 f ? ? ? ? ?
? (612) 681-4675 Date Issued:
f SITE ADDRESS:
?• 3171 ALDEN POND LANE
L.OT: 6 BLOGK: 2
ALDEN PqND
?
? DESCRIPTION:
RERo v F
??.'Wtls Permit Type STORP9 pAMAGE
rk T y p e
? n;`:. F2EPATR
,
.?p?
` A34 AL7. RESTDENTIAL
..
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. . .
REMARKS:
'i INCLUfJES:3169, 3167s 3166s 3163' 3161 AI.DEP! P(:lNl) G.AfVE
pLAN REVZEWED BY PiTKE BARCK
! FEE SUMMARY:
?
i
' CONTRACTOR: -- AR P 1 i c a n t- OMN
xNREcoN coNsTaucrran? 245039ee R Ar aiDEnr PoNDs LzC
2265e ExEcurzvE DR 101 60e A-rLaNrxc AV E
STERLING VA 20166--9534 BqSI`ntd MA 02210
! (703) 450-3900
APPLICANT/PERMITEE SIGNATURE
i
SSUED BY; Si ATURE
`*`?`. ` 1998 BUILDING PERMIT APPLICATION (CQMMERCIAL)
???? CITY OF EAGAN
681-4b'TS
Submit foilowina to obta'rn necessarv nermit
Foundation Onl New Construction Interior im avement
structural plans (2 sets) architedural plans (2 sets) architectural plans (2 sets)
civil plans (2 sets) structural plans (2 ssts) code analysis (1) "
code anaiysis (1) " ` civil plans (2 sets) projed specs 0 sei)
soils report (1) iandscaping plans (2 sets) Key Plan
project specs (1) cqde anatysis (1) energy calculations (1) not always "
Special Inspections $Testing Schedule " soiis report (1), Eledric Power& Lighting Form (1) riot ahaays "
SAC detertnination letter from MC/WS - SAC detertnination letter from MCJWS - SAC de#ermmation letter from MGWS -
ca11602-1000 ca11602-1000 ca11602-1000
Special inspections & Testing Scheciule (1) "
project specs (1)
energy caiculations
"
(1)
Electric Power & k htin Fortn 1"
Contact Building Inspections for sample
?ood 8 Beverage r Lodging facilities: Plan must be submitted to Minnesota D+epartment of Heatth. Call 215-0700 #or detaiis.
DATE: ? s WORK TYPE NEW REMQDEL
DESCRIPTION OF WORK:
- _ ? . ?,...,.,.
CONSTRUCTION COST; fiENANT N,4ME: ??-
S1TE ADDRESS: 3171 > 7 1 /G /v .? ? •t.; SUITE
LOT ? BLOCK SUBD. P.I.D. #
Name:SJ-, Phone #:
PROPERTY Last First
OWNER ?
Street Address:
City State: C...(!f %?Yv/17 Zip:
?.----
Company: Phone #:
CONTRACTOR -'
Street Address: -?a (aJ'e License #
City ?7e fnl ? State: Zip: 4?Z0166 ",9?3 Y
ARCHITECT/
ENGINEER Gompany: Phone #:
Name: Registrarion #:
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (only if installing sswer & water):
1 hereby adcnawiedge that I have read tfiis application and state that the infortnatien. is cotrsct and agree ta comply with a1i applieable State oi
Minnesota Statutes and City of Eagan Qrdinancss.
Signature of Applicxant: ?./
OFFIGE USE ONLY
. .
. . . . . . . .
. ?
. k???? ? ? j?
? ?
? ? . . . ? . . .
.
. . ?. . ? . ..:. 9? .
?
? ? . .
BUILDING PERMIT TYPE ? ? . ? ? . . . . . . . . .
? ? . ? . ??A ? . . . ?
0 01 Foundation ? 19 Comm.tind. Misc. ? 21 MisceNaneous
D 18 Comm./Ind. Ci 20 Public Facility
Z iZ
WORK TYPE
D 31 New ? 33 Altera#ions Cl 35 Tenant Finisfi
L] 32 Addition DR 34 Repair !a 37 Dem4lition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MCtWS Sys#em
(Ailowable) First Fioor sq. ft. ? City Water
UBC Occupancy sq. f,: fire Sprinklered ?
Zoning sq. ft. ? Census Cade
# of Stories ? sg. ft. ? SAC Gode
Length sq. ft. Census Bldg. ?
, Depth Footprint sq. ft. Census Unit U
APPROVALS
Planning Building A4P, Engineering ? Variance ?
?
Permit Fee Vai
uation:
s -?
vved.
?
Surcharge
Plan Review
MC/WS SAC _
City SAC
Water Conn.
SNV Permit
S/W 5urcharge
Treatment PL
Park Ded.
Trails C?+ed.
Water QuaL
Other
Copies
Total:
% SAC
SAC Units
Meter Size -
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166743
Date Issued:02/01/2021
Permit Category:ePermit
Site Address: 3161 Alden Pond Lane
Lot:6 Block: 02 Addition: Alden Pond
PID:10-11225-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Alden Pond Apartments Llc
% Town Management Llc
3330 Dundee Rd Ste S1
Northbrook IL 60062
Residential Heating & Air
7454 Washington Ave S
Eden Prairie MN 55433
(612) 724-1899
Applicant/Permitee: Signature Issued By: Signature