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1556 Baylor CtCITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road w P O. Box 21198 PERMIT NO.: Mon,'MN 55121 DATE: Zoning: - No. of Units: Owner: `>t? Address Site Address: - Yj+? °-L• ' ?.' r ".am Wts 2 r Plumber. - s'on P1 a"* i rl. Meter No.: Connection Charge: ' •'?02d Size: Account Deposit: ! ' • ,) ?x Reader No.: Permit Fee: I eareo to emplp with the City of Eetie¦ Surcharge: ordImsen. Misc. Charges: v4 r.?? - a Total: BY Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Roac P. O. Box 21199 E,*gan,,MN 55121 Zoning: Owner. _>• Address: Site Adds Plumber. I Nree to a" err-ph wNi tie City of Bape Ordinances, By Date of Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: ?., Permit Fee: - Suncivarge: Misc. Chorpes: Total: Date Paid: CITY OF EAGAN 383010:lot Knob Road P. O. Box 2119% Esgan, 55121 Zoning: _ WATER SERVICE PERIM PERMIT NO.: ?U3343 DATE: No. of Units: Address: Site Address: i.K3}{e H9tS 2 Plumber. , Meter No.: 729 43 Connection Charge: X00.00 Size: ?LQ to T _ A.rn. wkt ?]..w m+- 1-77. • C. Reoder No.: D X 07 Y/ Ir jy Permit Fee: 1 esm to eava* rrpb the City of Iowa Surcharge: . 7 Oral" Misc. Charges: Total: 9 Dade Paid: Date of I msp.. I nsp, : CITY OF FAGAN WATER SERVICE PERM 383b' ilot Knob Road P. O. Box 21499 PERMIT NO.: Eagan, M4 55121 DATE: - Zoning:. - - No. bfUnits: Ownwr: - - -:12,JI7 c Address Site Address: Plumber: Meter No.:.3! 1-6 Size: Account Deposit: Uwa Reader No.: I?? ao 9 O? d Permit Fee: ' " 1 grew to amov with the CRY of Usaw Surcharge: )+ Ordlwwnces. ` Mist. Charges: i ^ ff Total: ?- @Y Data Paid: Date of Insp.: Insp.: CITY OF EAf.AN WATER SERVICE PERMIT 3830,Pilot-Knob Road P. O. Box 21499 PERMIT NO.: Eagsn, MN 55121 DATE: Zoning: _ R No. of Units: Owner: !?.)rLT,(--n Address: Site Address o IL z 7 Plumber. - Meter No.: Connection Charge: "' Size: Account Deposit: Reader No.: Permit Fee: I some to Comply with &0 City of Bellew Surcharge: ornwoweeee Misc. Charges: Total: By Dote Poid: Dote of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: -,3 Owner. Ifor Address: Site Address: Lkl 1--L-- Plumber S I aped to m mph with dw Cky of fwaaw orawowoee. By Dote of Insp.: SEWER SERVICE PERM PERMIT NO.: DATE: - No. of Units: Charge: Corwwctlon *25.00 4? L Aooount Deposit: , • { 1 Permit Fee: Surcharge: Misc. Charges: Total: - Date Paid: CITY C`' EAGAN WATER SERVICE PERMIT 3820 fi. A nob Road , P. O. %3 2T1 99 PERMIT NO.: ?7 n Eagan; M?I 55121 _ DATE: ? Zoning: - No. of Units: 7. JY :>? }C Owner: -wit r . - .. L e± Address: _ Site Address: Plumber. _ Meter No.: S /Y Size: + 1 Gem to ae.oy wNh 06 C*y of Egee orll"wom By Dote of I nsp.. Connect f? 10pd Permit Fee: Surcharge: Misc. Chorges: ?'P Total: Dote Paid: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21190 Eagen,'MN 55121 Zoning: _ Owner: -w ^n`: ?cp-?.-cS Address: Site Address: ' Plumber. Meter No.: Size: Reader No.: 1 o"m to eamply with the City of Epee OnNneaew By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: - No. of Units: 1 Ckwinettion Charge: _ 3!'r . Account Deposit: _ Permit Fee: Surcharge: Mist. Charges: 1 Total: _ Dote Paid: _ Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 211119 Eagan, MN 55121 Zoning: SEWER SERVICE PERM PERMIT NO.: r 14 DATE: No. of Units: Owner. °"aw u-or'i.za f5On-s Address: ?- Site Address: - Plumber. t:S?7if1 544215 i emm to ea mph with do City of 9efoe orlleeeeee. By Date of Insp.: Connectlon Charge: Account Deposit: Permit Fee: - ?-r. Surcharge: Misc. Charges: Total: - Date Paid: OF x 21199 Man, MN 55121, Zoning: _ ??3 Owner: "3ew is Address Site Address: Plumber. - 1556 . TfW-)n p WATER SERVICE_ PERMIT ?o PERMIT NO.: DATE:l No. of Units: Meter No.: I.(m I /7X rriv?y? i???+onrbcfion ?Fw SUU. ULpCi Size: ? ? ? ?tYJ tltw 15. 00pd NoI e$ree le eomwly v" lire Clry of Leoe¦ Surcharge: . , ,u ` Ordi Misc. Charges: 132.00pd `I'P Total: 63.00pd t7et.ar B 7?K'?'?7 Date Paid: Date of I Insp.: IZ-4 I'-"- r OF EAGAN 3830 Pilot Knob Road P. d. Box 21199 Eagan, MN 55121 Zoning: _ y Owner: TI Address: Site Address = ^• 1 ?„ Plumber: Meter No.: j Reader No.: 1 grre to comply wuh the City of 1""M Ordineece L By Data of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: - No, of Units: Connection Charge: Acoount Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Dab Paid: --i I Y OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 221199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: 1- ; Owner. Address: _ Site Address: 32 ttk -t a teke F]c 5 2 Plumber. -- i MM to "M* w1 a the City of ggpn Orameaces. By Date of Insp.: Connection Charge: Account Deposit: L Permit Foe: Surd orpe: 1. Misc. Charges: Total: Daft Paid: GEO. SEDGWICK HTG. & AIR COND. CO. 3 541 9V HOUSE HEATING TEST RECORD ADDRESS CITY OCCUPANT OWNER HEAT LOSS DATE HTG. INST. A ?- SOLD BY I 17 ffC2, INSTALLED BY r 'r'" c.l -' ' Electrical Work By Gas Line By TYPE OF HEAT GA_ FA Y_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER AS DESIGN CONVERSION MAKE T MAKE OF BURNER Model Aw a=?,,k Y U - C Model - Serial o9,yS4 3 eC./ 6 Max. BTU Rating _ - -- - - INPUT S ?' yuv MAKE-Of IF'ORNACE CONTROLS THERMOSTAT Heat Plug Valve ` S Limit S'f C -In r c_ Limit Setting - o? SD of Fan Setting Pilot Type E/tir?r, c s r?ct r k Pilot Make 5;7_ (-o L Pilot Model 9 Pilot Timing L.W. Cut Off - Pressure C • Percent CO2 66 Input CFH =? y Percent O a Stack Temp. Percent COZ Q i? Vent Size KIND OF LINER Draft Hood L4 ' / Filters Size _ Chimney Location Chimney Construction C/a'ss Smoke Bomb Wiring NONE Draft Test Tag Door Pressure -` Lighting Inst. = " Date Tested Company Testing Name of Tester GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ADDRESS-/-)- CITY OCCUPANT OWNER HEAT LOSS DATE HTG. INST. -? SOLD BY _ L 2 INSTALLED BY 'N A ? Electrical Work By Gas Line By - TYPE OF HEAT GA _ FAY HW_ STEAM SPACE HTR. UNIT HTR. OTHER G DESIGN MAKE MAKE OF BURNER Model Moiiel Serial 478s' A3 (3s:? Max. BTU Rating - INPUT 5 U 0,123 MAKE OF FURNAC CONTROLS THERMOSTAT - '1-s Heat Plug Valve Limit J` T c c Limit Setting Fan Setting Pilot Type Pilot Make Pilot Model f9G i 1 S. Pilot Timing L.W. Cut Off ` Pressure Percent C02 %a Input CFH Percent O ?Vll Stack Temp. 2 Percent CO C? `f? Vent Size KIND OF LINER NONE Draft Hood 1, '. Regulator Filters Size Number Chimney Location Inside Outside Chimney Construction Smoke Bomb Draft Wiring Test Tag Door Pressure -" Lighting Inst. Date Tested ??" - - Company Testing Name of Tester O? HOUSE HEATING TEST RECORD MAKE OF BURNER ADDRESS ._L S 'J 41L'L0yZ L f CITY OCCUPANT OWNER HEAT LOSS DATE HTG. INST__ _ SOLD BY G. d O ?7, I !f 6,[?ri INSTALLED BY ° P Electrical Work By J?T Gas Line Byr TYPE OF HEAT GA_ FAI-, HW_ STEAM SPACE HTR. UNIT HTR. MAKE /?o hTNN Model _ S gS404W Oag (./ OS y , Serial - G191,939-5-6c4 INPUT Sy Oou CONTROLS THERMOSTAT T -S? S C- Heat Plug Valve ASS C C Limit '7l?ir?[ o Limit Setting .Sp 0v Fan Setting T inn e4 Pilot Type S r ?C Pilot Make C I r"L Pilot Model 39 -/ 9s Pilot Timing L.W. Cut Off Pressure -? 4..A C-• Percent CO2 Input CFH SO r- F/) _ Percent 02 Stack Temp. - 90 f- Percent CO '? ro Max. BTU Rating ,", U fy CONVERSION Vent Size KIND OF LINER SIZE NONE Draft Hood ?' F w ti Regulato Filters Size er Chimney Location Inside Outside Chimney Construction u T5 Smoke Bomb Wiring Draft Test Tag ?'P S Door Pressure Lighting Inst. O Date Tested //_ - 5 Company Testing `^j ' C Name of Tester GEO. SEDGW ICK HTG. & AIR COND. CO. L7l 3 5G HOUSE, HEATING TEST RECORD ADDRESS CITY OCCUPANT HEAT LOSS OWNER SOLD BY INSTALLED BY Electrical Work By Gas Line By } A - TYPE OF HEAT GA_ FA x HW_ STEAM SPACE HTR. UN IT HTR. OTHER GAS DE SIGN CONVERSION MAKE _ n MAKE OF BURNER Model c "q '-j -0 o? Model- ----- t Serial n ?9S/9 3b? '.~ Max. BTU Rating .. V INPUT S y JrJ y 0 FLiRAJACE MAKE ' _ -- - CONTROLS THERMOSTAT `9 Heat Plug Valve ?= S X Limit T (`'n? Cc) Limit Setting 0 $-U C!Z Fan Setting Pilot Type E??? C r c S rZ? Pilot Make ?- Pilot Model ?O -?9 Pilot Timing ?s 7 AN L.W. Cut Off /? Pressure > ?_ v Percent CO fc Input CFH Percent Oz /0 Stack Temp. - ? F Percent CO ° Vent Size KIND OF LINE Draft Hood_ NONE Filters Size OW'nlier Chimney Location Inside Outside Chimney Construction C `- Smoke Bomb Wiring Draft Test Tag ' Door Pressure - Lighting Inst. Date Tested Company Testing ??' , ?r ??, t, Name of Tester CITY OF EAGAN Addition- .1lluula Owner Lddit ion Lot 40 foZ -Blk A 1- Parcel #10 Street 1556 Baylor Court State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 111.89 A012172 5-5-83 STREET RESTOR. GRADING SAN SEW TRUNK 73 * SEWER LATERAL c21 37, (j1 7.52 15-05 A0121 T2 5-5-83 WATERMAIN * WATER LATERAL WATER AREA .61 A0121 T2 5-5-83 STORM SEW TRK 413 1981 317 - 37 2Q-R? 1 24-9.91 A0121T2 5-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT 28000 54425 Q /a IDS WATER NN. 500 nn 11 BUILDING PER. 10735 SAC 595 PARK CITY OF EAGAN Remarks A& ??- - Addition- Thntngs TA ?jPi gh Minn Lot 'O Blk A 'i- Parcel #10 Owner Street 1556 B Baylor Court State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 11 STREET RESTOR. GRADING SAN SEW TRUNK 19F 7.5 * SEWER LATERAL 1991 37.61 7.52 AM 2112 -8 WATERMAIN * WATER LATERAL 1981 WATER AREA 1981 136.51 '27 - 30 5, 54 - 61 AQ12172 - -$ STORM SEW TRK 1981 312.3 7 249.91 121 2 5-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Rnad Unit 280.00 54429 8/8185 WATER CONN. 500 00 11 BUILDING PER. 0 3 SAC PARK CITY OF EAGAN Remarks .0D0 Oz.- Addition Thomas Lake Height Addition Lot AR -20 Blk 0 a- Parcel #10 Owner h'? VU1 J. street 1558 Baylor Court _ _ state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 111.,8 A 172 - STREET RESTOR. GRADING SAN SEW TRUNK *SEWER LATERAL 1981 3761 7.-52- 1 .0 A012112 5-5-83 WATERMAIN *WATER LATERAL 1981 WATER AREA 1 () R 1 1,;6 51 9730 4.61 A012172 5-5-83 . STORM SEW TRK 44 1991 312-37 20 R? 29.91 A012172 5-5-83 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 280.Uu 54425 8/8/8.5 WATER CONN. BUILDING PER. 10735110738 SAC 525.00 PARK CITY OF EAGAN nn Remarks Addition . Thomas Lake HeiQht§k Addition Lot Walk = c,2:== Paresl #10 Owner Street 1558 B Baylor Court State Eagan, M 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 279-71 55 - 94 q 111.8 A012172 5-5-83 STREET RESTOR. GRADING SAN SEW TRUNK 9 3 Q * SEWER LATERAL 11.3 1981 37.6 7-- S 5 15-05 A012112 5-5-83 WATERMAIN * WATER LATERAL 1981 WATER AREA 61 A012112 - -8 STORM SEW TRK 1981 312 3 249. 1 A012172 5-5-83 * ST RM SEW LA T T 1981 CURB & GUTTER SIDEWALK STREET LIGHT 280-00 54475 A/8185 R WA 90n -on it n BUILDING PER. 10735/10738 it tt SAC 525.00 it It PARK -`''''NLA" "?` CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt To be saved for Est. Value Dntn 10737 Site Address Erect Lot Block Sec/Sub Remodel ? Parcel No . Repair ? . Addition ? W Name Move li h D ? ? z emo s Addres City s Phone ` L Int.lmpr. Install ? ? ,F Name Occupancy Zoning Type of Const. No. Stories Length Depth Sq. Ft. gu Address Assessment Permit u ?- City Phone Water & Sew. Surcharge Police Plan Review ?W Name Fire SAC i'I Address Eng. Water Conn. <W City Phone Planner Water Meter { Council Road Unit I hereby acknowledge that I hove read this application and state that Bldg. Off. ' Tr. Pi. the information is correct and agree to comply with all applicable APC rks P State of Minnesota Statutes and City of Eagan Ordinances. a Var. Date C ies _ Signature of Permittee op Total c' A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all applicable State of Mim*wto Statutes an d City of Eagan Ordinances. Building Official H.VA.C. I ? l I r-, 1 5 Q _4 'tea , QJi? P 12ro kti 115 gSjc, tl Electric Inspection Date I Insp. I Other Framing Final Htg. Final Pibg. Final Cart>Occ. Describe Location: ?? i, Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered boats Permit No. Fee S/C Tot. 1. Date 2. Installation Cost 3. Job Address Lot BIk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip S. Building Type: Residential O Commercial O Institutional O 9. Work Description: New ? Add O Alter ? Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Se ti T k Lavatory p an c 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 1 agree to comply with all ordinances and codes governing this type of work. Signed: for f Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 Receipt J .MECHANIW PERMIT Permit No. CITY OF EAGAN Pill in numbered specea S/C Type or Print legibly Tot. 1. Date ?? = 2. Installation Cost 3. Job Address Lot_L?r lk. Tract 4. Owner l ! T •)1 5. Contractor Phone 8. Address 7. City State zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New D Add ? Alter ? Repair ? 10. Describe ', ,-!4. Fuel Type 11. No. Eguipme t BTU - M. Ea. Forced Air No. Equipment CFM Ai ndlin : H Mfg. g r a 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 : -t = for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN - , Fee fill in numbered spaces SIC 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 S. Building Type: Residential ? 9. Work Description: New Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 r CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 681-4675 BUILDING PERMIT Receipt # To be used for BASEMBHT FINISH Est. Value Date JAM Site Address 1.558 MYLOR CT Lot 20 Block 2 Sec/Sub, TROKAS LAKS RTS Parcel No. ZND Name Im-M w Address 17799 XEltWOM TR #273 City IU4X YILI.E HN zip 55044 OFFICE USE ONLY 1= Name s 0 Address cay Zp Phone I it area !! 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 Ordinances. Signature of Permitee A Building Permit is issued to: M-AA =a 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 Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance Bldg. Permit Surcharge Plan Review .mom" #4 7 FEES 33.00 _ .50_ SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 35.50 ' Permit No. Permit Holder Date Telephone # SM/ PLUMBING ?/ f! WAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. [Sul. Fireplace Final Htg. Orsat Test Final Nag. Plbg. Inspector - Notify Plumber Const. Motor EngrJPlan Bldg. Final /Jb (? Ja e G f ?+e Deck Ftg. Ca ?' z ' g 2 Deck Final 0- ?? ` ?2f L Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PE RMIT Receipt ?t TO be seed fer Est. Value Date 19' ` Site Address Erect Q Occupancy Lot Block Remodel ? Sec/Sub - Zoning Parcel No . Repair ? Type of Const. . Addition ? No. Stories Name 09 Move ? D li h ? Length i z Address emo s Box I t I ? Depth ,o z City n . mpr. Phone Install ? Sq. Ft, Name Approvers Fees pV Adder Assessment Permit I' O? u City Phone Water & Sew. Surcharge 2 ' Police Plan Review i, , 5 U 9W Name Fire i . . ti 0 SAC 11 1 1 Address Eng. Water Conn. u <W City Phone Planner Water Meter Council Road Unit ' U 1 hereby acknowledge that I have read this application and state that Bldg. Off, Tr. PI the information is correct and agree to comply with all applicable APC Parks State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Copies Signature of Permittee r 5 0 Total A Building Permit Is issued to: an the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City W Eagan OrdinonceiL Building Official Permit No. Permit Holder Date Telephone ik Plumbino H.VA.C. 1,4 C X W l ZO y I Electric 3 9 ?ZG yr softener Irapection Date Insp. Other Footings 1 Footings II ?? - Foundation / Framing Roofing Rough Plbg. Rough Htg. ?• 4s ??G Insul. kA/ Fireplace Final Htg. Final Plbg. , Final v Cert/Occ. Water Describe Location: Well Sewer Pr. Disp. Receipt _ • 1 41 PLUMBING PERMIT CITY OF EAGAN Fill In numbered spaces Type or Print legibly 1. Date 2. Installation Cost Pe?mit No. Fee S/C Tot. 3. Job Address rj i4Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City r State Zip 8. Building Type: Residential D 9. Work Description: New ? 10. Describe 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Ce l/D i fi ld Bath tubs sspoo ra n e Se ti T k Lavatory p c an Softner Shower Well Kitchen Sink 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 I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4548100 Receipt -MECWWICAL PERMIT Permit No. CITY OF EAGAN Fee - - Fill in numbemd spaces S/C Type or Prim legibly Tot. 1. Date 2. Installation Cost 1 Jv < u 3. Job Address Lot_Blk. Tract 4. Owner 5. Contractor _ Phone 6. Address 7. City State Zip 8. Building Type: Residential ? 9. Work Description: New Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe ?l??,l?. Fuel Type r: 11. No. FgWpment BTU - M. Ea. Forced Air No. Equipment CFM Air Handling: Mfg. Boilers E Mfg. Mech. xhaust Unit Heater Mfg. Other Air Cond. Mfg, f' Gas, Piping Outlets 17 1 1 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 57-73.51 MECHANICAL PERMIT CITY OF EAGAN 3630 PILOT KNOB ROAD, EAGAN, PERMIT # RECEIPT # DATE: - Site Address BLDG. TYPE Lot Block Sec/Su 49 Prat nn ¢,.. a sco Res' X Name 4) Mult Address 0 0 L 1 n d e n A v e. .''l. Comm. - 5 Comm. c city r'?p r S • 55403 Phone Other Name c Address V n C) City, ' : d e n Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent. CFM Gas Piping Outlets # Other 1 nsf. 'ryera Pane FEE: 20 *'00, sic: 20,50 TOTAL WORK DESCRIPTION New X Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BUILDING PERMIT CITY OF EAO 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 Receipt 0 Site Address Erect U Occupancy j Lot Block -Sec/Sub. - - Remodel 11 Zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories 19 Name Move D li h ? El Length Address emo s Int Im ? Depth 5 F City Phone . pr. Install O q. t. Name 69 Assessment Add Permit - I- ress City Phone Water & Sew. Surcharge Police Plan Review a W W Name :; . Fin SAC 5 ` ; 1? Address Eng. Water Conn. tW r City Phone ^1 `` Planner Approvals Fees Water Meter Council Road Unit . 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. • `3 ?? Tr. PI. 1 34 the information is correct and agree to comply with all applicable APC Parks State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Copies Signature of Pennittee J . -77 -11 „ Total A Building Permit is issued to. on the express condition that all work shall be done in accwrdance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official f : 10735 Permit No. Permit Holder Date Telephone p Plumbin g HMA.C. W i dc- ? Electric Z .p a t? J ?i [-4• `l Softener Impection Date Insp. Other Footings 1 Footings 11 /7 Foundation Framing r Roofing Rough Plbg Rough Htg. /? 34 C &,Zff ?oa'r ro/S ??d6 ;U Insul. Ali Fireplace Final Htg. y Final Plbg. 24N 774e 4cZ'E - l CAZI!(E Final Cert/Occ. Water Dewribe Location: Well Sewer Pr. Disp. PLUMBING PERMIT CITY OF EAGAN Y'10 lo Fill in numbered spaces Type or Print legibly Date 2. Installation Cost Permit No. Fee s 8/C Tot 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone S. Address 7. City State Zip 8. Building Type: Residential ? 9. Work Description: New ? 10. Describe 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Ce l/D i fi ld Bath tubs sspoo ra n e Se ti k T Lavatory p c an ft S Shower o ner ll W Kitchen Sink e 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 454.8100 Receipt _ - ` MEC14ANICAIL PERMIT Permit No. CITY OF EAGAN ?d i r Fee f ° Fill in numbered spaces sic Type or Print legibly Tot. 1. Date 2. Installation Cost T. , 3. Job Address Lot Blk. Tract 4. Owner S. Contractor Phone 8. Address 1 7. City State Zip 8. Building Type: Residential © Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe Fuel Type .? 11. No. Egui meat BTU - M. Ea. Forced Air No. Eouipment CFM Air Handlin : Mfg. ?- ,P g 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 : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 CITY OF EAGAN 10 7 3 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # Tx be wed for Est. Value I ' Dote . 19 Site Address Erect ? Occupancy Lot 11 Block Sec/Sub. Remodel ? Zoning Parcel No Repair ? Type of Const. . Addition ? No. Stories Name Move ? Length Y; Demolish ? Depth Address Int. Imps ? Sq. Ft. City Phone Install ? Zu O? u 9 Name Address Phone ?iW Name - - ? u,3 Address 'WW City Phone Assessment Permit - 0 O Water 3 Sew. Surcharge - n 0 Polio Plan Review C'. 5 0 Fire SAC ' • Q 0 Eng. c ;, tr Water Conn. Planner Water Meter f - I•? Council Road Unit a Bldg. Off. Tr. PI. 132 • 0 APC Parks Var. Date Co ies p Total an the express condition that ;sots Statutes and City of Eagan Ordinances. I hereby ocknowledge 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 Permittee A Building Permit is issued to: all work shall be done in accordance with all applicable State of Miru Building Officio) Permit No. Permit Holder Dab Telephone s Pluming 5 - j]l=n RUM ?It; - HMA.C. L v i y, ?CJ ? I?? y Electric oZ f -,j Softener Inspection Dad Insp. Other Footings I Footings 11 Foundation Framing Roofing Rough Plbg. Rough Mg. Insul. Fireplace Final Mg. Final Plbg. Final srj y CscVOcc. Water Describe Location: Well Sewer Pr. Disp. M ? v ? Receipt MECHANICAL PERMIT CITY OF EAGAN fill in numbered spaces Type or Print legibly Permit No. Fee S/C Tot. 1. Date i k-S 2. Installation Cost .r 3. Job Address ti?lw l1 4 r" ? Lot f .t. 'Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential 0' Commercial ? Institutional ? 9. Work Description: New El Add ? Alter ? Repair ? 10. Describe: Fuel Type J 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. r. 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 : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT pPwmitNo. CITY OF EAGAN (-P Fee 1 Fill in numbered spoor 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 i State Zip S. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe _ 11. No. Fixtures Water Closet No. Fixtures l/D i fi ld C Bath tubs esspoo ra n e Septic Tank Lavatory S ft Shower o ner W ll Kitchen Sink e Urinal/Bidet Laundry Tray Other 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 4544100 Receipt ? PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City 8. Building Type: Residential ? 9. Work Description: New ? 10. Describe 11. State Zip Commercial ? Institutional ? Add ? Alter ? Repair O No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink -- Gas Piping Outlets I 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Ihis onths fromvoid ? 18 m months fr D0 9(14 (dS 0639 L1 /? a 7ho,? Go v 41.) c ri,, Request Date Fjv-Not Fong h. in Inspection Re i,.d' ll [-]Ready Now 2pWi pec- f 9-13-1985 ?No r Whnn Ready ®Xicensed Electrical Contractor I hereby request inspection of above - ? Own., electrical work installed at: Street Address, Box or Route No. City 1556 Baylor Court Eagan Section No. Township Name or No. Range No. County Dakota Occupant IPRtNTI Phone No. New Horizons Power Supplier Address Dakota County Electric Farmington Electrical Contractor (Company Name) Contractor"s License No. O.B. Thompson Electric Co. A40602 Mailing Address (Contractor or Owner Making Instailation) 12201 Mtka Blvd., Mtka 55343 Authorized Signature (Contractor Owner Making .Iretallatibn Phone Number i 933-2521 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1627 University Ave.. St. Paul, MN 66104 Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ' See instructions for completing this form on back of Yellow copy. / 7 9(7,(o(fS "X" Seaw Work Covered by This Request nPQ R Add Rep. Type of Building Appliances Wired Equipment Wired X Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace 2. 0 Silo lhtloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other ,peu v Other specify) ter 15P.Clfy) x 0the()jSh.Disp.5.00 Omer Comuute Inspection Fee Below k Fee Service Entrance Size fl Fen Feeders/Subfseders b Fee Grcuits 0 G10.0 0 to 200 Ames 0 to 30 Amps 10 25.00 0 to 30 Am>s Above 200 Amps 31 to 100 Amps ] 31 to 100 Am Swimming Pool Above 100 Amps # ?? Above 100_Am s Transformers irrigation Booms Partial, Other Fee Signs Special Inspection $43 00 Remarks Holl e . TOT E f Rough-in Dato ( ,the ctr ical Inspector, hereby that the above Final ?f{tn T? inspection has been rued.. This request void 18 months from This request void 18 months from / 55? V V " q I bo 1d5• 0 6 3A 2 9 L- 1 9 /? a „, ,[- K UtT et- 415. o d Request Oate Fire No. I Rough-in Inspection Requiretl? Ready Now7?Will Notify Inspec- 9 g3-1985 7wes ?No or When Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 1556 B. Baylor Court Eagan Section No. Township Name or No. Range No. County Dakta Occupant (POINT) - Phone No. New Horizons " Power Supplier Address EXNDakota Cty. Farmington Electrical Contractor (Company Name) Contractor's License No. O.B. Thomp-son Electric Co. A40602 Mailing Address (Contractor or Owner Making Instailation) 12201 Mtka Blvd., Mtka 55343 _ Authorized Signature (Contractor/4"Ne., Mee' *ng Insmila n) Phone Number 933-2521 MINNESOTA STATE BOARD OF ELECTRICITY ey THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Phone (612) 297-2111 ENCLOSED. S6,-)00 REQUEST FOR ELECTRICAL INSPECTION ,+ If See inst ruclicns for completing this form on back of yellow copy. 12 ['? A IRAry ! q "X" Below Work Covered by This Request EB-00001-04 1I( Z/v 19S New Ad flap. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater X Lighting Fixtures Apt. Building Dryer 58 - Electric Heatin Commercial Bldg- Furnace 2. Silo Unloader Industrial Bldg. Air Conditioner 2 , 50 Bulk Milk Tank Farm Other peci y Other ISper,ifyl t nr ppci fy lS3 merDi3 .Dish.5.00 Other Compute Inspection Fee Below If Fee Service Entrance Size # • Fee Feeders/SUbfeeders # Fee Circuits D01 1,310.00 0 to 200 Amps 0 to 30 Amps l q 25-00 0 to 30 Amps Above 200 Amps, 31 to 100 Amps ? 31 to 100 Amp, Swimming Pool Above 100_Amps 4 ? Above 100-Amps Transtormers Irrigation Booms Partial/011her Fee Signs Special Inspection $45 50 T Remarks House . OTAL i (.OO Rough-in Date [he Elec ncal O Y? l Inspector" hereby certify that the above Final ( ate spaction has been matla. This request void 1S months from This requ_egi void /? ? T O V (?? /` / 18 r his Teq s from {/'1 bCJ 0393 L Request Date Fire No. Routh-in Inspection Re unetl? ?Ready Nov. Will Notify, ec- 9-13-198$ ?' vas ?Np , for When RReeadady 431-icensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Be. or Route No. City 1558 Baylor Court Eagan ectlon No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. New Horizons Power Supplier Address Dakota Cty. Farmington Electrical Contractor (Company Name) Contractor's License No. O.B. Thompson Electric Co. A40@2 Mailing Address (Contractor or Owner Making Installation) 12201 Mtkaa Blvd., Mtka 55343 Authorized Signature (Contractor Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul. MN 55104 Phone 1812 297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-uo xn :oa ' See instructions for completing this form on back of yellow copy. .?j q(1M d5 " X" Below Work Covered by This Request Add Rep. Type of Building Appliances Wit" Equipment Wired X Home Range Temporary Service Duplex Water Heater x Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. X Furnace Silo Unloader Industrial Bldg. x Air Conditioner 2.50 Bulk Milk Tank Farm Other peals Other (Specify) t er sperafy x thefDis .Dish.5.00 °tnpr dmpute Inspection Fee below # Fee Service Entrance Size # Fea Feeders ?S ubfeeders # Fee Circuits 0 G10.0 0 to 200 Amps - 0 to 30 Amps 1C 25.00 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 Am Swimmin Pool Above 100, Amps Above 1(10_Amps Transformers Irrigation Booms Pa rti al:'Other Fee Signs Special Inspection $(!5 $0 TO? Remarks HOUSE . - (LFEE / I - ?}I Rough-in Oate ((?`` I, r cnical 9 Inspector, hereby certify that the above Final Da?tte / inspection has been w I;r-Iu1i' made. This ri mmnut void IS months from This request void ??? b O A months from QRgG.,j1 Lr 9/zb/SS ?S b - Required? ?Reatly Now Will Notify Inspec- 9-13-198$ Ep?es ?No in, When Ready 290IUcensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City ,1558 B. Baylor Court. Eagan ect mn o. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. New Horizons Power Supplier Address - Dakota Cty. Farmington Electrical Contractor (Company Name) Contractor's License No. O.B. Thompson Electric Co. A40602 Mailing Address (Contractor or Owner Making Instailation) 12201 Mtka Blvd., Mtka 55343 Authorized Sigaal"ontractor Owner Makinil Installa? on' Phone Number ¢` ' 17 933-2521 _ MINNESOTA STATE BOA D OF E ECTRICITV _ F11S INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 0 ' See ins(ructipns for completing this form on beck of yellow copy. 1 "X" 8elow Work Covered by This Request -/ Add Rep. Type of Building Appliances Wired Equipment Wired }c Home Range Temporary Service Duplex Water Heater RR Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo lhlloader Industrial Bldg. Air Conditioner 2.50 Bulk Milk Tank Farm they .Deu FV Other (Specify) Other pecifv X Other isp.Dis Other Compute Inspection Fee Below 8, Fee Service Entrance Size it Fee Fe rlms/Sebfeeders R Fee Circuits 0 G10.00 0 to 200 qm s 0 to 30 Am)'s 10 25.00 0 to 30 Amos Above 200 Amps 31 to 100 Amps 31 to 100 Amp, Swimming Poal Above 10O_Amps Above 100-Amps Transformers Irrigation Boon's .50 Partial.'Other Fee Signs Special Inspection $ 45 50 TOT Remarks House . AL -E. i`/ v Rough-in Date I, the Ele ' Inspector, hereby` 10-P r Final ?/{?[?U?DI IT ,O inspection has baen" I made. This request void 18 months from (TOWNFiOU$E ) CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Ta M mad iee 1 OF 4 PLEX Est. value $58,000 Site Address 1558B BAYLOR CT Lot 19 Block 2 Sec/Sub.THOM LK HTS 2ND Parcel No. ZW Name NEW HORIZON HOMES 2 Address P.O. BOX 1367 b City MPLS Phone 420-3900 G I Name SAME Address s City Phone FW I Name D. GRISWOLD 11 Address ,kq <"_' City Phone 435-7524 1 hereby acknowledge that 1 hove read this application and state that the information is correct and agree to comply with all applicable State of Minnesoto Statutes and City of Eaga(?ry/ Ordinances. Signature of Permift A Building Permit Is issued to, NEW HORIZON HOMES all work shall be done in accordance with all applicobfq S)gte of Mir N_ 10737 Receipt # N- AUGU8 .,.85 Erect X J Occupancy na Remodel ? Zoning PD Repair ? Type of Const. V Addition ? No. Stories Move ? Length 44 Demolish ? Depth 27 Int. Impr. ? Sq. Ft. Install ? Approvals re" Assessment Permit $ 307, 0 0 Water d Sew. Surcharge 21.00 Police Plan Review, 1 Fire SAC 525.00 Eno. Water Conn. 500.00 Planner Water Meter 63.00 Council Road Unit 280.00 Bidg.Otf• 7/25/85 Tr. PI, 132.00 APC Parks Var. Date Copies Total $1,989.50 an the express condition that Staf e.,,x City of Eagan Ordinances. Building Official (TOWNHOUSE) CITY OF EAGAN N°- 10738 . A' 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt ;qt - T. b, "d far 1 OF 4 PLEX Est. Value $56,000 Date AUGUST 8 I?5 Site Address 1558 BAYLOR CT Erect IR Occupancy R3 20 2 Lot Block SeclSub. THOM LK HTS 2ND Remodel ? Zoning PT) Parcel No Repair ? Type of Const. IT . Addition ? No. Stories W Name NEW HORIZON HOMES Move li D h ? El Length 44 Address P.O. BOX 1367 emo s I t I ? Depth 26 City MPLS phone 420-3900 n . mpr. Install ? Sq. Ft. g Namo SAME Approvals Fan 8C Phone wW Name D. GRISWOLD Ice Address &Z 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 Stotutet nd City of Eagan Qrdirances. 11-? If Signature of Pemnittee a "%?"`-T A Building Permit is issued to: NEW HORIZON HOMES all work shall be done in accordance with all li le Stag of Mir Building Official ti Assessment Permit 0 Water S Sew. Surcharge 28. 00 Police Plan Review 150.50 Fire SAC 525.00 Eng. Water Conn. 500.00 Planner Water Meter 63.00 Council Road Unit 2 R O. D 0 Bldg•af. 7/25?R TcPI. 132.00 APC Parks Var. Date Copies Total $1,979.50 an the express condition that aota tatutas and City o£ Eagan Ordinances. REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy 1' 09961 "X;Be16wyY0rk Covered by This Request e Add ?Flefp Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) _ Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks'. -Compute Inspection Fee Below: ®?/ / ?/7v /G Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 [0 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspectors Use Only: / TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final oate,? 6 U OFFICE USE ONLY 90, This request void 18 months from dw099 oPiy rya 7fo, ?'? lji, (/? ) S 7/fin Request Data Fire No. Hough-In Inspection Required? L.B Ready Now ] Will Nobly Inspector Yes o When Ready? 1 licensed contractor ? owner hereby request inspection of above electrical work at: ?? IC Jop Address (Street. Box or Route No.) Cry Section No. Township Name or No. Range No. County Occupant (PRINT) Phon No, A l' Pa Zla Power Supplier Address Electrical Contractor (Company Name) Contractors License No. p Ma mg A ddre r Owner ss IC niractor o Mak Instal la tion) ``y ? j q j y?1 Au d Signatur Irac r/Own Making Installation) Phone Number MINNESOTA SU BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED. (TOWNHOUSE) It BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454.8100 Receipt 1 OF 4 PLEX 56,000 8 Site Address _- 556 BAYLOR CT Erect KI Occupancy R3 Lot 17 Block 2 c/SubTHOM LK HTS . 2ND Remodel ? Zoning PD Repair ? Type of Const. y Parcel No. Addition ? No. Stories of Nama NEW HORIZON HOMES INC Move D li h 11 11 length 44 P O BOX 1367 emo s Depth 26 z Address . . Intlmpr. ? Sq. Ft. City MPLS Phone 420-3900 Install ? Approvals Fees Name SAME uU Address • City Phone W I Name D. GRISWOLD 2! Address ?b 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 StatutSpa?d City of Eag Signature of Permittee l:: ` A Building Permit Is issued to. NEW HORIZON HOMES all work shall be done in accordance with all a la S of it Building Official Assessment Permit $ 301.00 WaterB Sew. Surcharge 28.00 Police Plan Review 150.50 Fire SAC 525.00 Eng. Water Conn. 500.00 Planner Water Meter 63.00 Council Road unit 280.00 Bldg.off. 7/25/85 TcPl. 132.00 APC Parks Var. Date Copies 79 • 50 Total on the express condition that es and City of Eagan Ordinances. N_ 107 5 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) l • Electric Power& Lighting Form (1) 1 . Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1)'*" 1 1 . Solis Report (1) • MC/ES SAC determination letter • MC/ES SAC determination letter MC/ES SAC determination letter call 651-602.1000 call 651-602-1000 call 651-602-1000 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: WORK TYPE: _ NEW _ REMODEL n CONSTRUCTION COST: /5c2 61 SITEADDRESS: TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK SUITE #: Name: lt6l t` 2-0-Yt Phone #:c -5 , PROPERTY Last First OWNER City: State: Zip: (Z )? 6 2 y3 Company: [3-7- Phone #: CONTRACTOR Street Address: City: 7,4 AP State: /2 Zip: S yl? ARCHITECT/ ENGINEER Company: Name: Street Address: City: Licensed plumber installing new sewer/water State: Phone #: Registration #: ?. ; ?-n n = r= Phone #: I hereby acknowledge that I have read this application, state that the information is correct, and a\r?ee to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Updated 7102 75951 THOMAS LAKE HTS 2ND BAYLOR COURT 1 542 10 75951 210 02 4-PLEX-TWO UNITS ADDRESSED 1 543/1 543 8 CLEMSON CC 1546 10 75951 240 02 1556 10 75951 170 02 1556B 10 75951 180 02 1558 10 75951 200 02 1558B 10 75951 190 02 1560 10 75951 130 02 1560B 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 1571B 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 - . M Bq y - 4 `-- pe COUR T q (9 0 9 a s N > 030 ?3ipos°3p'E , 3/.00 iry 21.33 924.5 0 n \\, ?2.33 kq' \ ti 0 'D w a '? \ o / it 4- C N c ? 24. \ ? \ n a NY l W p 0 ON V LT ^F ? 2 ?q?'A' , .33 3 / NW 31.00 S75p 3i.o0, d (9Z( 3 0.aj !`N \ . d \i O Denotes Iron Monument 0 Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 9 Z ro. 5 _*_ Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 9 Z 7, 0 I hereby certify that this is a true and correct representation of a survey of the boundaries of Lots 17, 18, 19, and 20, 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 18th day of Ju1c ,19 85 Paul A. Johnson Land Surveyor, Minn. Reg. No. 10938 iGLE CERTIFICATEOF SURVEY / - ¢p BOON PAGE for MCCOMBS-KNUTSON ASSOCIATES, INC. /? ./?' CONSULTING [BGIBFFif ABB iUirRBB1 III SIT[ I ABBGf FnE o NEW ?/ N H M1?S ? :?:q'. M1MME/11°L4 W MUtCMIMBON,WMMFLOTA 74_30 '??r ?/ nRRV//FFF t/t/-BBBEEE??? PERMIT# ???p<Q RECEIPT DATE: ?UL 2002 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF £AGAN 3830 PILOT KNOB RD EACIAN, MN 5518E 651-681-4675 Please complete for: SITE ADDRESS: OWNER NAME: INSTALLER NAME single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system 1558 ?Ulor C?u,r°t VeurLnkv ) dames STREET ADDRESS: NQI`-WOVV) ?I41.Wt.W* 20105 Gay'fle.(d f b, TELEPHONE #: ((P50 1+510 - OT (AREA CODE) TELEPHONE* (atz-92-7- `fon Sa (AREA CODE) CITY: AA 16, STATE: Mrj zip: 55,109 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 - Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: _ D - RPZ: new installation/repair/rebuild MAY 2 3 2QQ2 $ 30.00 lawn irrigation system Replacement/additional: water softener X water heater $ 15.00 State Surcharge $ 50 Total $ 15 5SO I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City pro erty/right-of-way/easement. SIGNA F PERMIT-TEE 1/02 K - 19885 BUILDING PERMIT APPLICATION - CITY OF EAGAN r NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ?OW ?.I hlcuSC ( 4?I I T ?o INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY op 4 1 SET OFENERGY CALCULATIONS 5la, coo- - To Be Used For: Rcsio[NeX_ Valuation: Date: 22 J?? $ Site Address: 155Co li?c?c>y Cs- OFFICE USE ONLY Lot: C7 Block ,Z Sect/Sub 17A-As "*$.,Erect X Occupancy -R-3 He"Axr Remodel Zoning p p Parcel d 2 -° Repair Type of Const '$ Enlarge B of Stories Owner A/e?j ,t?oie/Za? Tic. Move Length 44 Demolish Depth 2Co Address P.O. t4ox /3ls7 Grade Sq Ft City/Zip Code --------------------------------- Contractor SHm APPROVALS Address Assessments Permit 1301, City/Zip Code Water/Sewer Surcharge L a Police Plan Review 1573 Phoned 420"3900 Fire SAC 525,° £ngr Water Conn 500• Planner Water Meter (o7?'.eo Arch./Engr P. C- pe/SWOLd Council Road Unit Tg-C7' Bldg Off r parks Address APC Treatment P1 Variance Phone d y3r-7S2y TOTAL So WNHOUSE) CITY OF EAGAN No_ 10736 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # . To be used for 1 OF 4 PLEX Est. Value $56r 000 pare AUGUST 8 iy 85 Site Address 1556B BAYLOR CT Erect 0 Occupancy R3 THOM LK Lot 18 Block 2 Sec/Sub HTS 2NDRemodel ? Zoning PD Parcel No . Repair ? Type of Const. V . Addition ? No. Stories Name NEW HORIZON HOMES Move ? Length 44 P • O. BOX 1367 Demolish ? Depth _26 Address Int Imps [:1 Sp. Ft. city MPLS Phone 420-3900 Install ? Name SAME Approvals Fees Address City Phone °w I Name D. GRISWOLD x? Address <1 City Phone 435-7524 I hereby acknowledge that 1 hew read this application and state that the information is correct and agree to comply with oil applicable State of Minnesota StotutaCS,.-.Q?nd City of Eagan Ordinances. Signature of Perm / ittea?e?G-^-•? 61an4`^"' NEW HORIZON HOMES A Building Permit is issued to: all work shall be done in accordance with all appligpbie State of Mif? Assessment _ Water 8 Sew. Pali" - Fire Eng. Planner Council _ Bldg. Off. 7/25/85 APC Var. Date Permit Surcharge 28.00 Plan Review 150.50 SAC 525.00 Water Conn. 500 • 00 Water Meter 63.00 Road Unit 280.00 Tr. Pt 132.00 Parke Coples 0 Total -Tf _,97 -5 _ on the express condition that City of Eagan Ordinances. Building Official 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN ToWNHoNNOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN UNI T 9r; INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY OF 4 1 SET OF ENERGY CALCULATIONS E ?' To Be Used For: ?_? rmCp, Valuation: ??5t) Date: 22 -l 85 Site Address: 155 (02 L22 ! d- Lot: JP) Block 2- Sect/Sub TLH 2, Parcel it Owner j1 , 1 rn 14nos cl?n ? i Qnt Address -20 76a 13(,7 City/Zip Code pPS ss44t) Phone X120 - ?qDO OFFICE USE ONLY Erect X Occupancy ?-3 Remodel Zoning Repair Type of Const Q Enlarge # of Stories Move Length 4 4 Demolish Depth 2(0 Grade Sq Ft APPROVALS Contractor _,?nirn a Address City/Zip Code Phone Arch./Engr. ?. Gro? u cJJ Address City/Zip Code Assessments Permit Sol -= Water/Sewer Surcharge 7-5- V9 Police Plan Review 150.6 Fire SAC 57 S, to Engr Water Conn Sop. "' Planner Water Meter Council Road Unit - Bldg Off Parks APC ? ?-Treatment Pl 132. GO Variance ? TOTAL / ? Phone 11 `135-52 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ?DWIJ15? INCLUDE 2 SETS OF PLANS UNIT' cl(o 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS - m Sao EPU. - To Be Used For: Valuation: _ r? Date: a?- 3ta, S5 Site Address: ISSR F y Qtiy `n A?r Lot: 20 Block 2 Sect/Sub TLN 2. Parcel # Owner ) c?nj%Q)i. Aryr? I)C Address -Pp ,?. 13C7 City/Zip Code SS4?0 Phone X120 -39o0 Contractor Sohn. Address City/Zip Code Phone Arch./Engr. Address City/Zip Code OFFICE USE ONLY Erect x Occupancy Y-3 Remodel _ Zoning F17 Repair Type of Const Enlarge # of Stories Move Length 4 4 Demolish Depth 2b Grade Sq Ft APPROVALS Assessments Permit 'i , °-? Water/Sewer Surcharge Z&2? Police Plan Review ?rjD,sO Fire SAC 52 y, Engr Water Conn 5cn.V Planner Water Meter b3.' Council Road Unit 0`=° la Bldg Off Z L25 Parks - APC Treatment Pl I32.? Variance C q TOTAL 7 So Phone # 43S - -15A . .` NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY I of 4 1 SET OF ENERGY CALCULATIONS 58,om - To Be Used For: <:::P?°? n?o Valuation: C_r r Date: 22 JJ,4 9, To W W HouSE. L1 W Ir 99 Site Address: 155b -B -BOL, CP- Lot: Iq Block 2 Sect/Sub TLH 2. Parcel 11 Owner ` ,,,,? rFY5in, r onr nU Address ?j O I c3 / r City/Zip Code 55440 Phone 42c) - 39oo Contractor Address City/Zip Code Phone 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN Arch./Engr. ?. ?Jtu?r,)[51 Address City/Zip Code OFFICE USE ONLY Erect Y- Occupancy (Z 3 Remodel Zoning ?D Repair Type of Const Enlarge # of Stories Move Length ¢4 Demolish Depth Grade Sq Ft APPROVALS Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off 7 g Parks APC Treatment P1 Variance TOTAL 0-7, ?' 1,9. a' T 33 0 SZS. t E00 .w 63. r 1 p32 ?'G I g !' SO Phone 0 435 - `152 ? HEAT LOSS CALCULATIONS HEATINGB AIR Sedf W" CONDITIONING CO. 0 twoo 3 -3f0 (16 N-CX 26,-7 5-11 MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Ondows Doors Guide Refers xe Out. Wall Int. Wall Ceiling Roof F loor Kind How Applied Yes-No Yes-No 18__ Fl. 1_,r Length 2Z, Width 1 Z Heigh 1 Ft. ( MI\ &r, Roan Length "Yo -W*ak "/t, Height Wi ndows a nd Doors- Cracka ge and Ar ea _ ; S6 Willows a nd Doors- Cracka ge and Ar ea No. W.mh cl ana Height of Dane No, of b his L.-eat It. of crack Area SO. It. _ . 5?? .,, 1 No' Width of Zane Hmght of ane No, of h .his Lineal ft. of crack Area ae• h• _ c? 2 2 1 ' ?s&? - - l 2 21 17 1 ' R 9 ? ?Y, / f` 2 t 1 6 1 1 5 L Ba 1-0 yr, Eoef ---Btu Coel Btu Infiltration 13 Infiltration 21 3- f ?f Glass 4q 9 2y Glass 1 1 =•!. X.; f. Exp. wall Exp. wall t? x E , '.) Net exp• wall 2LL q, 1 Net exp. W811 t : • '?• ~?. fm-watt- AOr' 1 117 2 12 Int. wall Ceiling )_ j_ X f?• Zb Calling 20x0 ?.5 c IJ ,.1 _ Floor Floor 4r-Y? Total Btu. 7.5-117 Total Btu. ,j 3. 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 Fl. , rr.,fnt C_ Room Length 1 Width Height FL E 2+Nrkcpm Length I5 Width i Height i Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea _ No. Width of pane Hei qht o1 ana No. of li hies Lineaal It. of crck Area .o. It. No. 01 ana Width Haight of ana Na. of Ir hta Lineal ft. of Crack Area so. ft. L E ";° 2 2$ 1110 2 2 t Coef Btu Coe( Btu Infiltration 22q0 Infiltration Z.1 3 "T313 Glass 41 So A00 b Glass )lS yJ Exp. wall ?c 56 Exp. wall 1Zx U? Net exp. wall 1(o iq.1 (p & Net exp. well It 3.21 Int. wall Int. wall Ceiling i J 7t" 1 1 $,$ Ceiling ISQ 2,5 3.15 Floor Floor f 3L n_ CiU Total Btu. 44 S Total Btu. 3?'f} 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 H. ?•,t ?? Room Length 1? Width Height Ft. Roan length 1- Width Height-7f Windows and Doors-Cracka Area Wi ndows a nd Doors -Cracka ge and Ar ea No. W?drh of pane He?9ht of panes No. of lights NO' W?mh IU qbt Nn. of h hts L,nenl It. of crack Area se. It. Btu Coef Btu Infiltration j Infiltration Glass Glass Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wall Int. wall Ceiling 2-10 Ceiling Floes ? t .?C. . Total Btu. Total Btu. _ '=S Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 210 Required sq. ft. E.D.R. or sq.,ins. W.A. Leader area HEAT LOSS CALCULATIONS 7!4e ' ? HEATINGSAIR CONDITIONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Windows Doors Guide Referenc Out. Wall Int. Well Ceiling Roof Floor Kind How Applied Yes--No Yes-No e 19 FI. `;, (J Room Length ?Q Width Height Ft. Room Length Width Height Wi ndows a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Are a No. wmrh of one Heioht of pane No. of It his Lineal fl. of c rack Area eq. It. NO• Wigrn of aM Hmpht of ane of No. li hts Lmaal It. of cr ek Area aq• It. ` .?... dL r ? s4Q I? Coef Btu Coef Btu Infiltration 311 WAlf Infiltration Glass tin rv-) Glass Exp, wall f }r,;., Exp. wall Net exp. wal I 2 Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor 1lJ ?4 Floor Total Btu. Total Btu, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E,D.R, or sq. ins. W,A. Leader area FL f•yr,°., ' Room Length -j_ Width 11 Height Fl. Room Length Width Height Windows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea No. W?Arh of ane He"hi of ena No. of fights Lineal it. of crack Area sq, ft. No. W?AIh oI ane Ho-ght of pane No. oI h nos Lineal fl. of crack Area s q. ft, Coef Btu Coef Btu Infiltration I 11-7 2223 Infiltration Glass 0 (]f? Glass Exp, wall Exp. wall Net exp. w I 2?Z n 9. ( Net exp. wall lctt.. `t:?,t fr f Z. "7U 2. "t Int, wall _ Ceiling Ceiling Floor 'l_2_X 1 4'j Flora Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.P. or sq. ins. W.A. Leader area FI,11 1;.?, , -p`,Bown Length 1 Width Height Fl. Room Length Width Height Windows a nd Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea No. W'mh of ane Height of pane No. of lights Lineal ft. of crack Area sq. ft. No. Wroth Of ane lfoignl of ane No. or b hte Lineal It. of crack Area sq. ft. Coef Btu Coef Btn Infiltration Glass Glass Exp, wall l Exp. wall Net exp. wall ? Net exp. wall Int. wall Int. wall Cei I ing Ceiling Floor f,:-l -j•i T-_ -_.F loon Total Btu. Cj Total Btu. _ T 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 _ I REQUIREMENTS: SINGLE FAMILY 1992 BUILDING PERMIT APPLICATION CITY OF EAG .10?A1 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTYAPPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE QB LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. To Be Used For: ?• Valuation: -? Date: ? Z/ F Z Site Address Lot J.L Block Parcel/Sub Owner e-f i Address City/Zip L,? F em. ??, i ey. Phone ?Zz 3 - (6? q 3 Contractor Address City/Zip Phone License Arch./Engr. S? Address City/Zip Code Phone # Occupancy Bldg Permit Zoning Surcharge Actual Const Plan Review Allowable License Fee # of stories SAC, City Length SAC, MWCC Depth Water Conn. S.F. Total Water Meter Footprint S.F. Acct. Deposit S/W Permit On-site sewage S/W Surcharge On-site well Treatment PI. MWCC System Road Unit City water Park Ded. PRV Trail Ded. Booster Pump Copies SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off. Variance FEE 35"-10 Sewer/Water Licensed Contr. Processing time for sewe water permits is two days once area as been approved. agrees that all work shall be done in accordance with (Signature o ermittee all applicable State of Min sota Statutes and City of Eagan Ordinances. CITY OF EAGAN No 2 4 7 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 k PHONE: 681-4675 BUILDING PERMIT Receipt # co 1 r624 s To be used for BASEMENT FINISH Est. Value Site Address 1558 BAYLOR CT Lot 20 Block 2 Sec/Sub. THOMAS LAKE HTS Parcel No. 2ND Name KWI-HA WONC Lu Address 17799 KENWOOD TR #273 ? City LAKEVILLE MN ZIP Name SAME Address city ZIP g Phone License # 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 E gan Ord7mar Signature of Permitee A Building Permit is issued to: KWI-RA W NG on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and C, it?y?of Eagan Ordinances. Building Official Ifl IL1A I IILCI Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY Bldg. Permit Surcharge Plan Review License SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL FEES 35,00 -50 1S Sn til'II ur W%U" run U"I YJn vvY L 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # 5 !3d13L8ING^.YELtCT.. DATE: "SIDENTM PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. --- ------------------------ ------------------------------ WORK DESCRIPTION ------------------------ COMPLETE THE FOLLOWING: ? E);r NO. 1 F FIXTURES EA. TOTAL r1N SH ) NEW CONST SA'Ttl ROaL+< ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR T WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 e7L TRAY LAUNDRY 3.00 - SITE ADDRESS: - HOT TUB/SPA 3.00 _ WATER HEATER 3.00 LOT: ?D BLOCK SUBD. FLOOR DRAIN 3.00 / GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 ADDRESS: OTHER _ _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 x{23 ?? U.G. SPRINKLER 3.00 O PHONE #: SUBTOTAL S 5 ` ST. SURCHARGE .50 SIGNATURE OF PERMI TOTAL: $ S•bb GUMMERGIAjiNDIISTRIAL; 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: PHONE FOR: ZIP: 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 a m R Cr Sat 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: lcc?k Valuation: !?'Date• Site Address %Yyq a 5 below OFFICE USE --/.ag-F7 Lot / Block Z- r` 14 7-- On Site Sewage_ Occupancy MWCC System Zoning Parcel/Sub /o- 7595/ /9/? ® Z On Site Well Type of Const City Water (Actual) Owner (Allowable) # of J b f) ??1(I 6 r I Stories Address Length ,? 1 City/Zip Code Eanoal MN ? ?d Depth S.F. To al L G Footprin S.F. Phone APPROVALS FEES Contractor Assessments Permit Water/Sewer Surcharge Address Police Plan Review Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOTAL City/Zip Code Phone 11 i r ? LL ? 2/84 ' d % CITY OF EAGAN 1AR APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: j'f0 r- LEGAL DESCRIPTICN: (LCt/Bicck/Subdivisicn or Tax Parcei I.D. Numer) IF ^iISC.;O STRL'C.^- ME , DAT- OF ORIGMI<AL ZUILDL`:G -=-ST ISS.:r_NC7: PRES= 2'.-Tr'7;/PnOPOSE7 USE: 02R-1 SM GLE FP SLY ? R-2 DUPLE { (TS;I) L^TITS) ? R-3 TU-711,1CUSE (TREE + L-TITS) ( TUNL ITS) ? R-4 AP .'==1,T/CC_:Da.M;Irn1 ( UNITS) p CCstiMEDCLAL/RE:AIL/OFFICE ? I"musTRLu ? INSTITTIONAL/Gv'-VE. T? ,E?:T 2) APPLSi"r (PLEASE PRINT) NAME: ' ? ?)V I 2?)Yl ADDRESS: 4t) LN of L-P-bc:-p NJ11- Til Q CITY, STATE, ZIP: }11• y i O /kr_ iL iA ?-?? PFCNE: 20' OO 3) Pu7mzR - NA[E (PLEASE PfliNT) 7? ` FOR CITY USE ONLY : ] __ Q Tr1 G1 Y f 191()e" ADDRESS. ? L f p, L22D I M ) n 0 Iv I Tfh j G PLUMBERS L-EYSE: CITY, STATE, ZIP: - . t - ?Wvk Mr? GjCj2%7 Active Expir d PHONE: PLUMBER LICENSE A Q Not f Record rr a n a 91 L..1:UPAr,1'r/Cv1JER /'? LLA]L YniNT J NAME: ?,h1L IY V Z- ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERINTT IS BEING REQUESTED: ® CONNECTION TO CITY SEWER ® C\7Nt=ION TO CITY WATER ? 0`171ER (PLEASE DESCRIBE) 6) uzoIG,m Oa: 7) SIG:,TL,-RE: ? PLEASE HOLD APPROVED PERmJT FOR PICT:-UP BY ONE OF ABOVE ® PLEASE 'HAIL APPROVED P=UT TO 1, 2, C) 4 ABOVE (Circle one) DATE: ?% - iZ ?8c, -) R R a:?lill/Y.p:f? i S li:i?fli i i I! A ii#/ i i i iiii:i a i 11t i?'J?ISi?! !! si i:i;r F O R C I T Y PERMIT °- ISSUED FEES; $ f[,-(?, / $ / o-S'c- $ C S S $ i 5 u $ $ G. rt $ S $ ( ??f $ U S E O N L Y E •71E orc R PERMIT (I_ICLLiE SU..,-_.r.RGE) WATER PERtIIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESS2IENT TRUNK SEWER ASSESS,4ENT LITERAL BENEFIT/TRUNK SEDER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL AMOUNT PAID/RECEIPT RL(- v , 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: .aaw?a?.wawawrc??aawarw?w??ar?+Raw??awRaw?sa??w±??c?wawai ti t.. : 7 2 /84 i CITY OF EAGAN i APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPEI=- ADDRESS: =,L DESCRIPTIm J ? Z `?f y}??yj y D (IAt/Block/SLi divisicn or Tax Parcel I.D. Numer) IF ASV _;G STRUC17M, E , DATE OF 02-IG^AL EUT-DL`:G =._=_-117. ISS??: PRESr T O:^.:.TIil:/P?nPOS D L•S: F?R-1 SDGLE FP?12L? ?'j R-2 OUP=,C M.'O UNIT M) ? R-3 TOIvZi'YMTSE (TI== i MITITS) ( UNITS) ? R-4 APA?'L=:T/CC_=ZIINr-,::M ( UNITS) ? CCi•?'-1E.°.CZ?L/BF.^,:-?ii?Ci?'ICr ? Z\OI:STRLm ? L%:STI:L'TICnAL/GMMERX=T 2) APPLIC:T I (PLEASE PRIYI) NAf•]E: I _ -- ? '(T(?(A/lal?"Y? ? TI?SYVI ? ? ADDRESS: II__ _l ?(o? ?3??n pJj ?I Jlt CITY, s.ATE, zip: ?Y1 > PHONE: 3) PI37-1BMR UNME: (,PLEASE PRINT) 112, n FOR CITY USE ONLY ADDRESS: PLUMBER ICENSE: ive CITY, STATE, ZIP: q,? r MM '55343 K ired PFi0: Zc7Z I PLUM MBE ER LICENSE N of Record ntt:a 4) OCCC,'PPD1T/CSYi.?F'tt (l ,A n,,,. „? _,I • LLASL PRINF) NAME: 7 ADDRESS: /{ 4 CITY, STATE, ZIP: PHONE: 5) INIDIVTE WHICH PERMIT IS BEIW, RFXESTE[): ® xNNECTION TO CITY Sam CONNECTION TO CITY WATM ? OTHER (PLEASE DESCRIBE) OI li.UlLa'i17; (;,Z: - ? P!-v %SE HOLD APPROVED PERMIT FOR PICT:-GP BY ONE OF ABM E PL: ASE '-UNJL APPROVED PERMIT TO 1, 2, C1 4 ABOVE (Circle one) 7) SICATLRE: _ (l? DATE: 2 rfRAilMl6A'J?W WliJ?Fi!'ilil'RAi:i?iYfiMLi i?W :iili?'?'A?yilRisitagr F O R C I T Y U S E O N L Y Pff?,ITT u ISSUED FEES: $ $ /0-so $ S s ?sU $ s. S 4z rau s $ S S S :.:ER PER?ITT ? ..••?^ r orc- r-. I•IC UL- JU.?..r P.V L) WATER PER^lIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP IT `70c:17 zZ`:ER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESS:?ENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: - TOTAL AMOUNT PAID/RECEIPT a ?7.L Gjl 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 Q NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: Ai•Ww:0. mamma Mw/!mra!A ounommm m."w"04:10 wkWAImis sim rcawFrM qpir w3 P*m/!sm wM -? I 2/84 7 CITY OF EAGAN {1111 A PPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROP= ADDRESS: ? - 1,5 L ? o LEGAL, DESCR PTICN: Z _ (I t/Bicck/Su divisicn or Taff Parcel. I.D. Numer) ' IF EiIS _:G STRU=.-RE, DATE OF ORIGy7'i, cUII.DL`:G p=-%S. ISSN?NC PREES= .,^`Tri]r,/PROPOSED IISE: ?P R-1 SL:GLE :P:%IILY ? R-2 DI7PI`" (7.,o T--NITS) ? R-3 =.,-L\LZCuSE (T ° + L^:IITc) ! [NI G) ? :-4 AP /C _?G.Lr 72[ 1 ( UNITS) ? CC?1TN °,CL: L/RE^'AIL/CFFIC ? L;DCSTaL S, ? I1'.STI'1'LZ'ICNAI./GCVE: N^E%T 2) APPLIGN'T (PLEASE PRINT) p? ?? NAME: 1 7?! l) T1 tiY? 2? ?? ADD.RESS:? 921 k7e Q67 CITY, STATE, ZIP: ?I PHONE: 3) Pu7-mE.R NA ME PLEASE PRINT) 0 2 FOR CITY USE ONLY L : , ,1,411, SIM G ADDRESS: I/l I a y S?"" PLUMB tILENSE: CITY, STATE, ZIP:flif/ea M ?? IQ Expired / FF 7 2 I ?I2`>N? PHONE: ? ??f-l PLUMBER LICENSE ,# dl? o e'rd art nit 4) CJC.C.L'PPSTT/CS'JTTER IYLt ASt PRINT) NAME: MW ,12S ADDRESS CITY, STATE, ZIP: PHONE: 5) INDICPTE WHICH PERTAIT IS BEING REQUEST: ® CONNECTION TO CITY SEF'ER ® CONNECTION TO CITY S,ATER ? CTIIER (PLEASE DF_SCRIBE) 7) SIC:,,TL'?i E: ? PT.-----rSE I?OLD APPROVED PER,4ST FOR PICK-GP BY ONE OF ABOVE ® PLEASE :FAIL APPROVED PEP-%IIT TO 1, 2,C3) 4 ABOVE n (Circle one) DATE: e.c. s ?IAaIM?YJO? i Rl?:a:??-'f?lf SAp?r? i? i fisii:?a 1R!lflftM?i?fl S ?l?illlt??? R C I T Y U S E O N L Y PERMIT °- ISSUED FEES: $ / ZJ.S v $ ?o,SG $ o J r,.. S $ $ j(J rJ $ Sr?- F $ $ S $ $ S .D4 SE.l.ER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP -CC,?-•.r -'-AC'S - - .ER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESS'lENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL AMOUNT PAID/RECEIPT 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: on aalal=swmanmmtwawma%=mwawmw:wmumww?w waw:aw.seMi+=as&=bmsr?. 2/84 J CITY OF EAGAN APPLICATION FOR PERMIT - SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: ASE PRJrT) i LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel I.D. Number) IF LMS-7 STRUCTURE, DATE OFORIG'NAL EUILDNG P=4IT ISSU*-,Cf: PRESENT Z,:,NINr,/PROPOSED USE: ? R-1 SINGLE FAMILY d j ? R-2 DUPLEX (TWO UNITS) L -Er-V-_3 TOWNHOUSE (THRZEE + UNITS) ( 7 UNITS) (3 R-4 APARUMgT/CONDONLjIIUM ( UNITS) ? CCMMERCLAL/RESAII/OFFICE ? INDUSTRIAL ? INSTITUTIONAL/GOVERNMENP E 2) APPLICANT ` PLEASE PRINT) J f NAME: ADDRESS: CITY, STATE, ZIP: PHONE: ??/ o <7?J ?`-c,) I i 3) PLD[viBER PLEASE PRINT) FOR CITY USE ONLY NAIVE: r@OMPSCH PIIINIBING CO INC i 12207 MINNETONICA BLVD. ADDRESS: PLUMBERS ENSE: Active CITY, STATE, ZIP: Expire j PHONE: PLUMBER LICENSE Record nitia 4) OCCuPANT/OWNER NAME: (PLEASE PRINT) : , ADDRESS. ?L GGO CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: NNECPION TO CITY SEWER b-'CONNECTION TO CITY WATER E] OTHER (PLEASE DESCRIBE) 6) INDICATE ONE: M PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE 0 PLEASE MAIL APPROVED PE MIT TO 1, 234 ABWE (Circ one) Q p 7) SIGNATURE: DATE: Q p w?a;we?arrEw?nrr?.rwt!5?*!i!irrYst?liirM+•r!h+fi!ihlf!rM?"!m!S!'lr?Rlh!?!!i?4kl?!!!1w.s F O R C I T Y U S E O N L Y PERMIT # ISSUED 1 -1 FEES: $ ?G?•j $ /G ) y 5 ?- $ G,vr $ •?S=uG SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER 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 2 OTHER $ TOTAL $ AMOUNT PAID/RECE;PT # yG ? 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 FNGINEFRTNC- DTVTSTON LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: .t wirrR?s? uc?ia=amwue mmi.m"WOO w:+mumne4pift w-ft wmm"pi4m=m w#+p4T114sroolm RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 63 New Construction Requirements Remodel42eoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. k. of house; and all roofed areas 2 copies of plan Cart of Survey Recd -Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pies Plan Reod -Y -N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 she survey for additions & decks Tree Pies Reqd -Y -N l set of Energy Calculations Addition - indicate if on-sffe septic system On-site Septic System -Y -N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date /'2-7 / '2Qa3 Construction Cost ,QdU a Site Address IS S6 I?R YLa R CT Unit/Ste # S(o Description of Work I?PFLRCE ?Ok10 Nck SitZyC'T UQC Multi-Family Bldg Y _ N Fireplace(s) _ 0 - 1 _ 2 Property Owner Telephone # ( ) Contractor r?T1QTElokMC-?-- Address SUS ?' ( }T~ (?T City r NNEAPGLf State Zip > S 4 lel Telephone # (?S l) 3 2-2 41 G `1 EXT 103 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 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 If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor '7 0 . as` Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. AlCf-f ACL eUDI-1 Applicant's Printed Name 11:5;??/V Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex P? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 7. 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant / Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco Stone Fireplace - R.I. -Air Test Final Windows (new/replacement) Insulation - - - Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ,Z rL .??, P Cq- -izl 4 740- Building Inspector M p^I Y4_ _ v 0 couer (9 2 -n3 Q ' t?9 JAv 'e3 -40-1 0 'C 4.0 0 1 V M r ?, a• o a 0 622-133 V /00 3 31. 7 3 S9Z(a O E Or rN o? d O Denotes Iron Monument o Denotes Wood Stake X000.0 Denotes Existing Elevation (000.0) Denotes Proposed Elevation 4 Denotes Direction of Surface Drainage Q N '? Cg2k. fl/ Proposed Top of Foundation Elevation= Proposed Garage Floor Elevation- 92 G. 5 Proposed Lowest Floor Elevation= 9 2 7. o I hereby certify that this is a true and correct representation of a survey of the boundaries of'. Lots 17, 18, 19, and 20, 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 18th day of Julc 119 85 ? ?^G ? ? rev Paul A. Johnson Land Survevor, Minn. Reg. No. 10938 `? ` CERTIFICATE OF SURVEY / 40' F00[ rwcE for _?1JJJJ -. McCOMBS-KNUTSON ASSOCIATES, INC. 'CAI ?ON S )> [OIItVUINi FFEIIIFFFf ? luD FUIIYp011F \ FI11 fII??FFRS fILF NQ ,?fC 1nr ?I111 /}?.... NINNEwfOLli M NVTCNINSON,WMNFipTw 7ff.'3(' RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq, ft. of lot, sq. ft, of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units RemodeVReoair Requirements 2 copies of plan 1 set of Energy calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-ske septic system Office Use Onlv Carl of Survey Rood _ Y _N Tree Pres Plan Recd - Y -N Tree Pres Not Regd - Y -N On-site Septic System _ Y _N Date Construction Cost Site Address /55Go J!?' /CI °? . [? /o/ l Unit/Ste # Description of Work c 31 CC7i 5 Multi-Family Bldg ' x Y _ N Fireplace(s) _ 0 - 1 - 2 Property Owner tt11 k-?DY t TP-1'1 0tT" ? A Telephone # (90 ) L4 Vb - 4 (a 3 U a si lic E-L4"o?^ s Contractor Address x error l errant 405 West 60th street city State Minneapolis, MN 55419 Zip Telephone # ((A 17- t - co Z,4COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 • 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 witl fee applies. Io n (? 'n T Licensed Plumber Mechanical Contractor Sewer/Water Contractor plan? - Y Telephone # ( Telephone # ( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printe Name Applicant's Signa OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 ?AccefsoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to appllcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) - Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building inspector . , 75951 THOMAS LAKE HTS 2ND BAYLOR COURT 1542 10 75951 210 02 4-PLEX-TWO UNITS ADDRESSED 1543/15438 CLEMSON CT 1546 10 75951 240 02 1556 10 75951 17002 155613 10 75951 18002 1558 10 75951 200 02 1558B 10 75951 190 02 1560 10 75951 130 02 1560B 10 75951 14002 1564 10 75951 160 02 1564B 10 75951 150 02 1566 10 75951 090 02 1566B 10 75951 10002 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 1571B 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 (p ,/10 +D RESIDENTL4,L BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Requirements office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan Carl of Survey Recd _Y -N (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tree Pres Plan Reod _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pies Reqd -Y -N 1 set of Energy Calculations Addition - indicate ifonsite septic system On-site Septic System -Y -N 3 copies of Tree Preservation Plan if lot plaited after 711/93 Rim Joist Detail Options selection sheet (bkfgs with 3 or less units Date / 27 / 2OU 3 Construction Cost Zj 0C)o Site Address IS S $ 9 P Y LG IC 4-T, Unit/Ste # 15 S 8 Description of Work I CE PI-ACE 10 K 10 T P C){ S-1 Q C.JC I U pli Multi-Family Bldg V Y_ N Fireplace(s) - 0 _ 1 - 2 Property Owner Telephone # ( ) ?as ?e E?- ;ors Contractor r f I t" v'° r r'r7q"T701'tlda?--1>r?e` Address H C,1r W . (Z oTo-1 T' City , ryW e APoiV State M?J Zip er)1}ICi Telephone#(Coril) j22-4`??9 X71 I?? 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 witlar plan? _ Y fee applies. Licensed Plumber Telephone #( a , ? w Mechanical Contractor t1 , Telephone # Sewer/Water Contractor Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Pen-nit 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. to IcHnw-L VVOM Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant J Valuation Occupancy MCIES System Census Code 7 - Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other _ Roof _ Ice & Water Final _ Pool _ Figs _ Air/Gas Tests _ Final _ - Framing _ Siding _ Stucco _ Stone - Fireplace - R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By -z-- , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total .2s I Y4 oe COUP T a JJ a+o7, ?[t5„t? 4 ^v? '? 51 "v7dic( a S 90 op? Q I(? E [o (9245 00 ? ?x.33 D I zz 33 or( 10 `gti5 ?- `- 0 n ?. n \\Z7, .\23 z4. 41 \ O I Q N ?? 0, 43 11L N o. i P p?9. zp i ca ?\ f h? / 3/pp O,E a oo, d s9z? 3i. d O Denotes Iron Monument o Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 92 io. S _* Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 9 z7, o I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lots 17, 18, 19, and 20, Block 2, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota And of the location of all buildings, it 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 18th day of Jule .19 85 Paul A. Johnson Land Surveyor, Minn. Reg. No. 10938 f" ` CERTIFICATE OF SURVEY lllL for H McCOMBS-KNUTSON ASSOCIATESINC. CAI c 'YG It tt `? G 1141 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoalr Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. tt of house; and all roofed areas 2 copies of plan Cad of Survey Recd _ Y N (20°,6 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. I site survey for additions & decks Tree Pres Reqd _ Y _ N 1 set of Energy Calculations Addition - indicate ifonske septic system On-site Septic System -Y _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Site Address 5 4-03 -? rjQj D pp Construction Cost 21?a= AYL CA? CT, Unit/Ste # (5S8 g B Description of Work 2bPLRCC ?0h16 1) L<Y ST IZuClui1(~ Multi-Family Bldg Y _ N Fireplace(s) - 0 - 1 - 2 Property Owner Telephone # ( ) Contractor r e_ T--icc ?, ?, w rs GyT Address ?6 S W State M T\) Cc" St City r N Al F. A/k+t-y K? zip S r?,y kq Telephone # (C51 ) 32 49G`? VA COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor BY +?-I Y _ N If so, 25% plan review Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. KCHRC--L evoM Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of-plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex A 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New P\ 32 Addition ? 33 Alteration 34 Replacement Valuation 0070 Census Code L/ L SAC Units Nbr. of Units Nbr. of Bldgs I Type of Const Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace - R.I. -Air Test -Final Insulation Width REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests - Final Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall Approved By 121 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered OWE- ? _1e.:=> .02 M BqY G o e --?- COUR7- -9 o 4 a st (. po75?30 0) Q \22.3. 31, CEO M 3 (92¢5 \\,Q e?2oa 0 7, a Le• ,? w' a '3 \ 0 51 n Zo o ti d' m \29.3 Is. O ?' j D\ O ?0 \ f ? ayx,?e(fT 6. a> Irv d ?EP1J?C ?or? ?tck qk103 TZ, O Denotes Iron Monument Denotes Wood Stake XD00.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 926.5 0 Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 9 Z 7, o 1 hereby certify that this is a true and correct representation of a survey of the boundaries of: Lots 17, 18, 19, and 20, Block 2, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota Count}, 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 18th day of July 119 85 Paul A. Johnson Land Surveyor, Minn. Reg. No. 10938 H7 CERTIFICATE OF SURVEY for McCOMBS-KNlJ7SON ASSOCIATES, INC. WW HOREON S /?*? )??' EEBEUPIYE UEIBIERS A LAND iBEr[iBEi 2 SITE HRREIR v7 NUTCMINEOB,WWiECOTA Use BLUE or BLACK ink For Office Use j Permit Ciq ~2of Eagn I Permit Fee: d ~(0~ 1 S I 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received 10 I Q'~ I Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff. _ y I 1 20'13 RESIDENTIAL BUILDING PERMIT APPLICATION s1aq- 5 Date: - 1 - l Site Address: j'3~_ 1555. Uni#`#: Name: _ [L I-)_ ~ 1 t _J CML/ Phone. '72/- S ode 'Resident! Owner Address / City / Zip: Applicant is: Owner - Contractor ! rL~ Type of Wt3rk Description of work: Re m o Construction Cost:'Multi-Family Building: (Yes Z~No ) Company. -R,9 ~ 1fr) !V Contact: C4rttractDr Address: 2~ _~1 c~iccity: N1 itLe~. l~"S State: M/ _ Zip: 5'Y416 (0 ~N Phone: 172-/- SO6 - License j ~ - 4 fo Z_ Lead certificate ' 2 4 ?*917 ` If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer $ Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of. the information may be classified as non-public If you provide specific reasons that would permit the City to. conclude that the are trade secrets. CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 4540002 for protection against underground utility damage. Cal 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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_ Ef r 2 4e(A tin es x Applicant's Printed Name tJ Applica s Signature Page 1 of 3 MAY-20-2014 07:36 FROM:VIKING EXTERIORS 651 256 1061 TO:6516755694 P.1/1 Use BLt;E or BLACK Ink r--------- ------I 1 For office Use l I 1 'J'79 7 p,~>~ ~Il Permit#: -J~~ 0J City 0 Ea 1 Permit Feo: 1 I 31330 Pilot Knob Road 1 I Eagan MN 55122 Date Received: ` I Phone: (661) 675-5675 I j I Staff: Fax- (651) 675-5694 I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date:.. M Al Site Address; - u~ unit R aVI1 /T~ Namo: Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Typo of Work Doscription of work; Fk% E.Q/04° 1QES/ GtJ 7 ~~~'q~'~J Construction Cost= o~o~ S~DO Multk-Family Building: (Yes / No ADGA Company: `I IKIN IMMtuKAn~, 1/~j~i„d7FRJ0~tS Contact: Contractor Address: 90 / N, orAo~ city: -Sd Sr ~~L Stale; AIV_Zip: , It77 Phone,&!J t,2a-/06/ Email:\Ih ^"'I yep 7-0 /de T License -W-003773 Lead Certificate 4 r- -5 '140 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 b Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for pruLaction against underground utility damage. Cal 48 hours bafuru you intend to dig to receive locates of undorground utilities. . ,.L 1 horeby acknowledge that this information is complete and accurate; that the work will bo In conformance with the ordinances and codes of the City of Eagan; that I understand this 1s not a permit, but only an application for a permit, end 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 16o days of permit Issuance. Applicant's Printed Name A ca►nt'o Slg atu Pape 1 of 3 • r For Office Us ti • Permit#: v� �^ • 1: EAGAN ,EIS®Efi Permit Fee: Date Received: L° I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 By: Staff: buildirminspectionstdZc itvofeaaan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L 7/19 Site Address: /6-47 I ,4%'Lo Coi.rr. Unit#: Name: #011,70731 /C' '7i1#ThSVI as4*' ).1 Phone: Address/City/Zip: } his - Applicant is: Owner Contractor j7 0171 i- PP X Y 1,c9r11. Description of work: i fatifai ' '' d0 / C li C', 51c.. /i0;(/ 4•1 Construction Cost: 2 1P©D Multi-Family Building: (Yes - /No ) Company:1/4 471,577 aL772 n.JOAOC ontact: 3#i"- /ni. +y Address: /4-iia 6H2 "ye- City: I lipLe J/frjf e State: t/ Zip: Lein, Phone:(jsi Wgrnail:il2ar?rr(a►Sy'�Cfi'T.t2vv.rive eetyi, 'C License#: t3L Z2 9 f ZZ Lead Certificate#: If the project is exempt from lead certification, please explain why: tArtird Atidalei 1 g7S7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Pfarsi � You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq i hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the ati of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pe '; that the work wit be in accordance with the approved plan in the case of work which requires a review and approval , x PALL m, t tj! x � L./i1 Applicant's Printed Na rr� Applicant's Signature DO NOT WRITE BELOW THIS LINE / j j(; R4L110a- LT-- /� DS SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) — Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) — Multi )0 Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 10 01 of i' Plex /_ Lower Level _ Pool _ Accessory Building WORK TYPES New — Interior Improvement. _ Siding _ Demolish Building* _ Addition — Move Building _ Reroof _ Demolish Interior _ Alteration — Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation z/ `��9' Occupancy L-- MCES System Plan Review Code Edition rnrt 'to 1 J SAC Units (25% 100% )6) Zoning J>,fb City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required — Footings (Addition) o Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: /—e,lYI /421k/ .1-. , Building Inspector RESIDENTIAL FEES Base Fee 1� 4 ji/D I r / D s 39.fT, Surcharge 6) ii /5; tap 5y1. Ay— Plan Review MCES SAC fi?JA;en .Jilt /4"P— City SAC Utility Connection Charge cIPT• 4 4f S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160830 Date Issued:04/16/2020 Permit Category:ePermit Site Address: 1556 Baylor Ct Lot:17 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Jill Gilbertson 1556 Baylor Ct Eagan MN 55122 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature