3200 Alden Pond Lane? .He RENTAL ttNaT
BUiLDING PERMIT
To be used for 8'"P=
?..+.,-
;? . . ., F . .' ?, , '. .?-
? GITY OF EAGAN ? ? ? " ..? ? ? •?? ? ? ? 3 ?? ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ° f .. ?
. .. ?,. .:.
Receipt # 00
Est. Value ??22#WD Date AM 1 19 81)
Site Address 3200""3214 AUM POND LB
Lot It Block I Sec/Sub. AIAM PM OFFICE USE ONLY
P2fC@I NO. Occupancy FEFS
Zoning
W Name 2$20 UHt'L'RD PA??2P
3 Address i0'? 8 F1? S'"y ?? 7{?;?
? City wu Phone' 3$1--4190
o Name ?? ?T???• I?
?Q Address ???? ? ?? ? a
lx City 0619VILIA Phone 631-3254
wW - ' .
Pw
; Address
a W. Phone
I hereby acknowlege that I have read this appticatiorr and state that the
information is correct and agree to comply w+th aU applicable State of
Minnesota Statutes and City of ?a?a Ordn_znces.
??
Signature of Permitee
A Building Permit is issued to:
on the express condition that all work shail be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
(Actuaq Const V4 89 Bldg. Permit ? *M4+?W ;
(Allowable) V"'l MR
urcharge
,
??+?
?
# ot Stories Ptan Review ?,???
Lengih
Depth SAC, City Ww?
S.F.J6tal -?- SAC
MCWCC 4I??.?
?potprints
S
F ?.l?
? , '
.
. _ ???,?
On Site Sewage ? Water Conn
On Site Well Water Meter 720.00
MWCC System xx
?-
Acct. Deposit
+????
City Water 160.00
PRV Required _ S/W Permit
Booster Pump - S/W Surcharge 8000 ?'
1*?4*00
Treatment PI
APPROVAIS , Road Unit 2020,00
Planner - Park Ded.
Council
BIdg.Off. _ Copies
17f?ooo
'
Variance - TOTAL
. Permit No. Permit Holder Date Telephone #
WA7ER
SEWER
PLUMBING
?
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing .
Roofing
Rough Pibg. - ??
Rough Htg.
Isul.
Fireplace
Final Htg.
Finai Pibg.
Const. Meter P1bg. Inspector - Notify Plumber
-Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
Well .
Pr. Disp.
. ,
;p u
. *
PERMIT # -- ""'
'
MECHANICAL PERM11' ? , ..,
RECEIPT #
CITY OF EAGAN
DATE:
3830 PILO
f T KNOB ROAD, EAGAN, MN 55122
CONTRACT P RICE: 4`,*e! PHONE: 41-81 0 For Office Use Only:
Site Address i " J'O- 19J° I` kDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New °w"?
• F'
?'? "• v ; Mult Add-on
Name
? Comm. Repair
?
C Address
CIty > ??{,.l)i
nnulCA:.!i^JH??:' •'?'?`7 ?'3di?t! Other
_
. . . .
Name
c , .;
Addre
s
p ?
?
Ciry
1'??
Phone
.
TYPE OF WORK
? Forced Air -02 M BTU
? 8oiler M BTU $
Unit Heater M-BTU $
?
. Air Cond. M BTU R
Vent. CFM $
` Gas Piping Outlets # $
Other $
FEE: j
S/C: ..,? U
TOTAL•
.. x?=? ....
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. :
COMMlIND FEE - 1% OF CONTRACT FEE .
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODEL$ - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50 '
(ADD $,50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
_y?-
i'f
SIGNATURE OF PERMITTEE
FOR; CITY OF EAGAN
?_.
^ , .::ww :5P ?w.,:?}R? :'M4' tr , :: • . , .: ^ • rr ::.. x :ni:d
. . PLUMBING PE
• ' ' CITY OF EAC
CONtRACT 3830 PILOT KNOB ROAD, E
PRICE PHONE 454E
Site Address .3,a6L -
Lot ? t ;-, , B)ock
? Name t
? Address
c City ?
Far Office Use Oniy
PERMIT #
MN 55122 RECEIPT'#
DATE:
WORK DESCRIPTION
New
Add-on
Repair
BLDG. TYPE
Sec/Sub l` Res.
? Mult.
Comm. `
Phone
Name9Vc 12 c,a ;d 41 6 i 44? (,:f-_ic,a
= Address
? City + +;!a:e ?' ? I { ? ? Phone ;?
+ RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- '4 NO. FIXTURES TOTAL
" j i;_ Water Closet - $3.00 $
Batfi Tubs - $3.00
Lavatory - $3.00 W
Shower - $3.00
Kitchen Sink - $3.00
COMM./IND. FEE -1% OF GONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES `
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMNI.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADDA.50 S/C PER EACH $1,000 OF PERMIT FEE) ;
SIGNA
FOR: CITY OF EAGAN
Unnal/Bidet - $3.00
Laundry Tray - $3.Qg0,. : . ? ;
? Floor Drains - $1.50 cc
Water Heater - $1.50 ,4c_
Whirlpool - $3.00
Gas Piping OuUets - $1.50 ?-
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Welf - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
PERMIT FEE: .0
I STATES S/C:
GRAND TOTAL: ??-
SITEADDRESS 3200 ALDEN POND LN Unit# Permit# o
11
B 1 Sect./Sub. ALDEN POND
INSPECTION INSPECTOR DATE ' COMMENTS
??I'??L-` ?? : ??a`"
-
7 ,
/??'• .t.lc` / ?( I&/ -?'??l
t?' ?
INSPECTION INSPECTOR DATE COMMENTS
SITEADDRESS 3202 ALDEN POND LN
11
Unit # Permit #
B 1 `SectJSub. a 1 d e n p o n d
INSPECTION INSPECTOR DATE COMMENTS
ur r-??- pa
,
3 ?? -Fo
SITE ADDRESS
11
L
3204 ALDEN POND LN
B 1 Sect.lSub. a l d e n p o n d
Unit # Permit #
INSPECTION INSPECTOR DATE COMMEHTS
lrl
?l l LU -r/-9d
?ti ?? Ds /? -Pd
f_?? ( p?, 3r1? ?
SITEADDRESS 3206 ALDEN POND LN
L 11 B 1 Sect./Sub.
Unit # Permit # _ I fflQ
alden pond
INSPECTION INSPECTOR DATE COMMENTS
4,42
..ly ?
??S /. riv
C!-!?
/r?0 ^/?
. . . . . .... .
l?z e
l
`- `?? -
SITE ADDRESS
3208 ALDEN POND LN
Unit # Permit # ?
11
B 1 Sect./Sub.
ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
1 P,C? G?/ l-ii-9v
/? 7
`?
1
<
?;?4 p s 3-?6 ??
SITEADDRESS 321b ALDEN POND LN
11 1
L B Sect./Sub.
Unit # Permit # o
ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
_
AXA(
? . 4 -C Z b `? _O7
4 Q ,c S
; <td ,? <
-?? 9?
.3
? ,??4L{'?? . .
L?` . .. . ? . . . .
324'2 Ai.DEN POND LiV
SITE ADDRESS Unit # Permit #
L 11 B 1 Sect./Sub. ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
. C? 6
2
ff??fr „eiic? 1 e- ?
lJ?. fllv
?.J ?
? Q ' F b
?'
,
SITEADDRESS 3214 ALDEN POA1D LN
11
Unit # Permit # ? 010
B 1 SectJSub. a 1 d e n p o n d
INSPECTION INSPECTOR DATE COMMENTS
?f U? • ?/ a?
? l ?S" ? 18 pm
'l ? o
e ?
jif
v
INSPECTION INSPECTOR DATE COMMENTS
.
§
? ------?-
Ar -7
SENE0,4VATEA PEilMIT
ft
O
OFFICE USE ONLY
C
Y OF
EAGAN 9/5/89
3830 Pilot Knob Rd. PERMIT DATE
I
10847
P
O
Box 21199 WATER PERMIT
#
SEWER PERMIT #
.
.
Eagan, MN 55121 METEER # AV, EI.P. RECEIPT# 11 3669
1 k,.
wAeeg-f Ij a-44 B.P. RECEIPT DATE 8/31/89
METER SIZE VVA??
bATE
ISSUE PFIV BOOSTER PUMP
SITE ADDREs-s- _3200. A 1den Pon d Lane PERMIT REOUESTED
LOT 11 BLOCK ___:LSEC/SUB A0
Lef<EWER __CWATER -TAPS
APPLICANT: Rosewood Constrij ction Inc-
ADDRESS: 1711 W_ Cnimty R d- g COMM/IND L-!!:::7RES1DENT'lAL
CITY, STATE Roseville., MN zip 55113
PHONE: 631-3254 L,!?_-_N_Ew EXISTING
PLUMBER:
ADDRESS. 10650 Highway 15 2 1 AGREE TO COMPLY WffH CATY OF
CITY, STATE Maple Grove, - TIN zip 55369 EAGAN ORDINANCES:
PHONE: 424-6680
OWNER: 27-20 1-imited Par tnPrship
ADDRESS: 1711 W. rOunty R d- B HEN E u
S.G. R
CITY, STATE Roseville, iMN zip 55113
777
PHONE:_ 636-8050 ,
PLEASE ALIL6W TW?6 WORKINO DAYS , FOR PROCESSING. FOR STORM SEWER P/RMITS, CONTACT
ENGINEERING DIEPT
SEWEEi & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
E MN 55121
agan, READER # _B.P. RECEIPT DATE
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP `
SITE ADDRESS '_ PERMIT REQUESTED
LOT I'• BLOCK 1 SEC/SUB
. i
s.''..?
. .
:_.?-§'E1NER #---~WATER _ TAPS
APPLICANT:
ADDRESS: 1711 ?'_ Cwz,rv T?d_ r,, , ' „•-,?-?R.._
- COMM/IND -°?~'_ ESIDENTIAL
CITY,STATE R c) a evieA ZIP r<a11R ,
}xM,1 -4?54
PHOhEI: ?,?'NEW -EXISTING
.
?
PLt1M8ER: ???icr '<1eChaIIiCg?1
ADDRESS: 17i, J11M' a. S-7 I AGREE TO COMPLY WITH CITY OF
?"`i.''
CITY, STATE 1.c?: F. •?'t3N?3t sws. ZIP *?St,
? :??* • EAGAN ORDINANCES:
PHONE: tt 2
OWNER: 2220 L$_mited rartnersh' p
s ?: -
ADDRESS: 1i`13 ia ,, , fit'?tu2tY .ci. _t
SIGNATURE WHEN METER ISSUED
CITY, STATE ROSSI.*i1le;; Aff'l ZIP 75 i"s
PHONE: 636-8050
PLEASEALLOW TWO'WORKING DAYS FOR PROGESSING. FOR'S70RM SEWER PERMITS, CON7ACT
? ENGINEERING DEPT.
.
OFFICE USE ONLY
PERMIT DATE ?' / 5 ; t'9-
WATER PERMIT # 12t''' ? SEWER PERMIT #
METER # B.P,RECEIPT #' " 16614
. x .. . .. . ..
. , .., .
. . . .
. , .
1. a+... :
. • :, ... , 7777,
_
,.,; , . • '
, ,
; ; . .. ,.. . . „y
?
.
, R PERMIT OFFICE USE ONLY
i' CP?'`?`??'?EAGAN
? 3830 PIIOt KI1ob Rd. PEfiMIT DATEI 915J89
`
P.O. BOX 21199 WATER PERMIT #? SEWER PERMIT #'
C 3$69
'
Eagan
MN 5512? METER #
B.P. RECEIPT #
'
, -REAPM# ALL B.P. RECE?PT oATE 81311 ?0 .
METERSIZE-
ISSUE DATE -3 ?. ??d _ pRV ^ gOOS7ER PUIVFP
SlTE ADDRESS 3202 Ala$n P?? ?ne PERM17 REQUESTED
LOT 11 BLOCK x SEC/SUB '
?
?
?
ROSewood ConstruGti
APPLICANT:
ER _ PS
WER
.on, ? l
'
ADDRESS: 1711 W. County Rd. B
COMM/lND
ESIDENTIAL
CITY, STATE RoSeVille, M: _
-
ZIP 55113
63].-3254
PHONE:
EW - EXISTIIVG
PLUMBER: Maior M??haniGa2
ADDRESS`. - 10650 HighwSy 152 1 AGREE TO COMPLY WITH CITY OF
GTY, STATE Maple Grove= NIN Zip 55369 EAGAN ORDINANCES:
PHONE: 424-6680
OWNER: 2220 Lirnited Partnership
17
?
11 W. C4tntY Rd.
ADDRESS:
R
@
11
MN
? B SIG /j R H E N t
U
OS
E,
Y
.
CITY, STATE ZIP yS113
PHONE: 636=8050
PLEASE ALLOW TWO WORKING-DAYS FOR PROCESStNG. FOR STORM SEWER P RMITS, CONTACT
ENGINEERING DEPT
?F .. . • , i/'-^'s. , i
? ! Y• ? r
?' ., .'- .._ ? -a._ ! .'/ ..- ...- C< ? .
SEWEEi & WA,TER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
, Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE' 9 I.5 / "(i
WATER PERMIT # SEWER PERMIT #
METER # ' B.P. RECEIRT # C' 3f69
READER # B.P. RECEIPT DATE 81311 4
METER SIZE
ISSUE DATE ' - PRV - BOOSTER PUMP
.
SITE ADDRESS ,02 '('c'-< Pr '" ? L ;-' PERMIT REQUESTED
LOT L BLOCK -? SEC/SUB
:?r.?s?.tun;?{? (,r ,?s?`-?'.7r.-? ?- r ; SEWER ATER _ TAPS
APPLICANT:
ADDRESS: _COMM/IND -`''RESIDENTIAL
4
_ CITY, STATE ZIP ? . _
. ,? 7 ?. ? . .. ,.. PHOIaBiE.:. •'' - ,...s i?'`'NEW _ EXISTING
PLUMBER:
ADDRESS: I AGREE TO COMPLY W17H CITY OF
CITY, STATE ZIP EAGAN ORDINANCES:
'i PHONE: 4224-6690
OWNER: 2220 l..i;nited Fartner. ssi?iI2
ADDRESS: 1711 'I° ?ounty ?Id. !', SIGNATURE WHEN METER ISSUED
CITY, STATE Roseville, ZIP 55113
PHONE: 636 - 8Q; 0
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
7
S WER ,?ER PERMlT
? QFFICE USE ONLY
I C
YDPEAGAN `
l 3830 PilOt Kr10b Rd PERMIT DATE 9/5f 84
.
i P.O. BOX 21199
' WATER PERMIT #`I Af'49 SEINER PERMIT #
METER #?(_ 334 B.P. RECEIR7 # 0 3669.
Eagan, MN 55121 • 44E*BE14 #, 91 B.P. pECEiPT DATE _8MAD
METER SIZE
ISSUE DATE PRV _ 6005TER PUMP
SITE ADDRESS 32QJ A1??n P4nd %a_w PERMIT REQUESI`ED
LOT 11 BLOCK '- -LSEC/SUB
?=EWER - ?-?MATER _ TAPS
nd Cnn
APPLICANT: Rr?sewc? StT.1 2C'CLOn, T71C -
ADDRESS'. 1711 N)_Countv Rd : $ _COMMfIND _-LeflOSIDENTIAL
CITY, STATE Roseville, Mti ZIP S-5113
PHQNE: 631-3254 ?1QE1N _'EXISTING
PLUMBER;: ?_.??,; or Mechsnicai
ADDRESS: Y(L?0 -f3i?kr?a?3t 15 2 I AGREE TO GOMPLY WITH GITY OF
CITY, STATE ''1aple Crave, YIN 55369 EAGAN ORDINANCES:
PHONE: . 424--5684
OWNER: 2:22A- ?i?i??d ??.r t??+??'Shin
ADDRESS: - 1711-W Cotinty B sl.._B SIG HEN ER 1
CITY, STATE Rnseyil IA, MN ` ZIP S+U ?
PHQNE: 636-3.0r,- _
PLEASE ALLOW TWO WOaKING DAYS FOR PROCESSIDIG. FOR STORM SEWER P MITS, CQNTACT `
ENGINEERING DEP_T. -
; ,, ; . ,
,. %? r,r? l_,•' -5 1`
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
ISSUE DATE - PRV - BOOSTER PUMP
y SITE ADDRESS 3,204 A-14012 z"Ond PERMIT REQUESTED '
lOT Z- BLOCK 1 SEC/SUB
??ATER TAPS
-
?YSEWER
APPLICANT: ?';j;ee,ror??? ?`r?:?s?-??i.c?tiriF? , ?'nc
ADDRESS: € TII wr:.Caun'.`y Rc3. _COMM/IND _Iell'15SI1DENTIAL r
, CITY, StATE RO5evl.lYe. ZIP -55 41'
pH("W; 61].-32?'a4 .,ff4EW -EXISTfNG
. .A . . . . . . .
PLUMBER; MajI3T HeChAniray . .. .. . .
? ADDRESS: i fl65(t }li nbwnv? 1;2 I AGREE TO COMPLY WITH CITY OF `
? CITY, STATE -?il:e !?rove r1121 ZIP 55369 EAGAN ORDINANCES:
PHONE: 424-66"?
OWNER: 7-220 1-1-rzited Partuersi tin
? ADDRESS: 1731 1? Fm,t?r R
SIGNATURE WHEN`METERISSUED
; CIiY, STi4TE TZiasevil I e_ A'SA? ZIP 5_r 113
PHONE: 636-805
0
?
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
OFFIGE USE ONLY
PERMITDATE 915/8g
WATER PERMIT # 10,849 SEWER PERMIT #
METER # B.P. RECEIPT # G 3669
READER # B.P. RECEIPT DATE _8131,.I$t3 ,
METER SIZE
? ,
. .. . ., . ., . . .: , _..-?" ? ;?-. , t ;. „ 3`7, 7 8 +" ;7 .,,^'^w.,+--mr _
S*E?tYV?ArTER PERMIT ' OFFICE USE ONLY '
CITYOFEAGAN 9,?51$9
,
3$30 PIIOt KfiOb Rd. PERMiTt?ATE
WATER PERMtT # 10850 SEWER PERMIT #"
P.O. BOX 21199 METER # LO < J 7 0,7 B.P.'RECEIPT # C 3669
Eagan, MN 55121 • _a.q # -1,- -^' B.P. RECEFPT flRTE
METER SIZE
ISSUE DATE PRU T BOOSTER pUMP
SITE ADDRESS 3206 Alden-: Pond Lane PERMIT REQUEStED
LOT 3i BLOCK JSEC/SUB
Rosewoad Construction,
APPLICANT:
Irzr.. LfgEWER : -wA7"ER -TAPS,
ADDRESS: 1711 W'' ???ty Rd' B ?i''RESIDENTIAL '
COMM/IIVD
CITY, STATE ROsevil.l.e, T
_ _
ZIP 55113
PHONE: ^3254 EXISTING
PLUMBER: Majox' MeChaxiical
ADDRESS: 10550 HighWAy 152 I AGREE TO GOMPLY WIT'H CITY OF
CITY, STATE Maple Gro-vesIMN ZIP 55369 ' EAGAN ORDINANCES:
PHONE: , _6bzi0
OWNER: ' 2220 I;i.i117.teCj. PAl"tSAershi. p ?
RDDRESS: 1711 W. COtu3ty Rd. 8 SIG EN IU?+ U
CITY, STATE RasevilIe, MNTT
63
050 ZIP 55,L13
,? r <
6-$
PHONE:
PLEASE ALLOW TWO WORKING DAYSFOR PROCESSING. FOR STORMSEWER PERMITS, CONTACT
ENGINEERING [2EPT.
? ..i
SEW6R & WRTER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
METER SIZE
? ISSUE DATE - PRV =_ BOOSTER PUMP ' I
' SITE ADDRESS 3206 AJL,; a'l Ll`?"'=' PERMIT REQUESTED
LOT 1° BLOC K I SEC/SUS Z
APPLICANT: "os8v?csc?4< ?'SEWER `'"' VIIATER - TAPS
ADDRESS: ?7 /r5} z
??/ 11 19? C13k/?'Ii.4Y
^ COMM/IND -" RESIDENTIAL
CITY, STATE ZIP
PHO?: :.? -:? ; µ =W - EXISTING
?Nr
-
PLUMBER:' j`ajOx MeCht tlica:t
ADDRESS: 10650 11B. ghrA?? 157 I AGREE TO COMPLY WITH CITY OF
? CITY, STATE ??a-p1e 0"ove= ?*7` Z1P EAGAN ORDINANCES:
? PHONE: w,;a..G
?
OWNER: 2220 I.imited Partnershi.n
ADDRESS'. 1711 ?i• Cot1nty Rd•B
SIGNATURE WHEN METER ISSUED
CITY, STATE Rosvvil:?e, $'n4
ZIP
! PHONE: 636 - 8050
?
,
r PLEA$E ALLOW TWO WORKING DAYS FOR PROCESSING. FOR
STORM SEWER PERMITS, CONTACT
ENGINEERING DEPL
OFFICE USE ONLY
PERMIT DATE 19/5f 89
WATER PERMIT # 1085n SEWER PERMIT #
METER # B.P. RECEIPT # C 3669
READER # R P RFCFIPT nATF 8/3II S9
, .
SgWE%9 A 1Af*TER PERMIT OfFICE USE ONLY
CtTIf OF EAGAN pERnntTOATE 915/89
3830 PilOt K110b Rd. WqTER PERMIT # 10851 SEWER PERMIT #
P.O. Box 21199 METER #!175- 130 a B.P. RECEIPT # C 3669
Eagan, M N 5 5 1 2 1 ; a?r?#?3B.P.:RECEiP?rDarE: 8I3189
METER SIZE
iSSUE DATF PRV _ BOOSTER F'UMP
SITE ADDRESS Pon.d T.,ane PERMIT REQUESTED
L.OT ZZ BLOCK 1 SEC/SUB e aw
Rosewood Construction, Inc. -?tWER `--ATER _TAPS
APPLICANT:
ADDRESS: 1711 W. CQunty R, B
CITY, 55113 _ COMM/IND T?DENTIAL '
oser STATE e, ZIP 631-3254 PHONE: _+r'"NEW - EXISTING
PLUMBER: MaToT MEic11Snic 1
ADDRESS: - 11 11065- Hi ?hwAV?_ I AGREE TO COMPLY WITH CITY OF
CITY, STATE M=Ze Grove, MN ZIP 55369 EAGAN ORDINANCES:
PHONE: 424-6680
OwNER: 2224 Limited Partnersfif
ADDRESS: 1711 W. OLU1ty .
osevl e, SIG EN U
CITY, STATE ZIP 55113 PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERIN DEQT.
?.
SEWEfi & WArTER PERMIT
CITY OF fAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS 3:'OS PERMIT REQUESTED
LOT 11 BLOC K I SEC/SUB
-?\NER '-°`1ATER _TAPS
APPLICANT:
ADDRESS: COMM/IND ESIDENTIAL
CITY, STATE ZIP `' .
-
?
PHON : N.
EW - EXISTING
PLUMBER: t'.n,inx t=?c?r11 Y ra't '
ADDRESS: 1f '1[?6t-,O E'ighwa-.r 152 I AGREE TO COMPLY WITH`CITY OF
CITY, STATE Kgle Gx"nve, nv ZIp EAGAN ORDINANCES:
PHONE: 4 2 4 - 6
; OWNER: s c20 Lvmbtr-,:'.
? ADDRESS: 1711 r atli':y Rc;, ,;?
,:
SIGNATURE WHEN METER ISSUED
CITY, STATE ti A3
ZIP
? FHONE: ?.? ?-
i
! PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWERPERMITS, CONTACT
i ENGINEERING DEPT.
,
SEW6IR &WATER PERMIT OFPICE USE ONLY
GfTI( OF EAGAN PERMiT DATE g j5/ gg
3$30 PilOt KnOb Rd. WATER PERMIT # it?85z: SEWER PERMIT #
P.O. Box 21199 `
Eagan, MN 55121 METER #_V 14 h ???? B.P.'RECEIPT #^ 2?
g
fER?fEfi'#6f?3 g- g?2g '-? B.P. RECEIPfiDATE??
METER SIZE ° e .99
ISSUE DATE RRV ? BOQSTER PUMP ;
SITE ADDRESS 3210 `?-?den P?? L`?e' PERMIT REQUESTED
LOT 11 BLQCK LSEC/SUB
Rosewcsod Construction. Inc. --?SEWER -''GVATER ? TAPS
APPLICANT:
ADDRESS: '1711 W. County R. 13
- COMM!!ND _ RESIDENTtAL'
CITY, STATE StlV? e, ZIP ?
631-93 3254 PHONE: N W _ EXISTING
PLUMBER: Majox MEchanical
ADDRESS: 10650 'Highway 152 - I AGREE TO COMPLY WITH CITY QF
CITY, STATE Mapke GrQV?, MN ? ZIP 55369 EAGAN ORDINANCES:
424-6680
PHONE:
OWNER: 2220 iafmited Partnership
ADDRESS: 1711 W. COunty R.d, B
Ro?evil2e ' ? SIGN U E HEN I U
CITY, STA7E 9. ZIP /
PHONE: 3 -80S(1 l
f
PLEASE ALL4W TWO WQRKING DAYS FOR PROCESSING. F.OR STORM SEWER PE MITS, CONTACT
ENGINEERIN!' DEPT
- ?. : ??l 4 r _ ,.: > , . ': :• - ; - ,<.? .. -•?-?: :??; t?? ?_ '
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
METER SIZE
ISSUE DATE ? PRV - BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT BLOCK SECfSUB
APPLICANT: SEWER WATER _TAPS
-
,
ADDRESS: ?1 ''c?tzllty 1- :?, . .?
.,
i..?-
COMM/tND
RESIDENTIAL `
4 ATE
GITY, ST ?.f Q ZIP 5511.5 -
_
. . .
PHONE: - 4LX .. . .;,., EW ' - EXISTING
? PLUMBER:
ADDRESS: 19650 11irhway 15 I AGREE TO COMPLY WITH CITY OF
CITY, STATE R`ap tA "` nve°:{' ZIP 57,369 EAGAN ORDINANCES:
PMONE: 2 - 6 ?s::V,,
OWNER: ->? 2?, ?4J.?ti tec T'?r ?aie? ??? ?
'
ADDRESS: 1f.i-?. V?/,. 4?l?J.????4 ??rv s. '''?"'» ps
" ' . . . . . . : .. .
SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP " t . `
PHONE:
676
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
' ENGINEERING DEPT.
OFFICE USE ONLY
PERMITDATE 9r `469
WATER PERMIT # I aa+2 SEWER PERMIT #
METER # B.P. RECEIPT # ?` 3669
READER # B.P. RECEIPT DATE 11 31 8
?
SITEADDRESS 3212 Ald?n PQjid Lane` PfRMIT REQUESTED
LOT' -?? BLQ!C K ? SEC/SUB I
? ?-
ATE
WER
?-1
TAPS
-
APPUCANT: Rosewooa Construction, Inc.
-
R _
N
_.te
Sk
ADDRESS: 1711 W. COimty Rd, $ COMM/IND
&SIDENTIAL
CITY, STATE g?V Ie, HN ` ZIP 55 ?
_
631-3754
PHOfVE: EXISTING
PLUMBER: ' Majar Mechanical -?"
ADDRESS: 14650 HighWSy 152 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE MapZ? GroVeaMN zip 55369 EAGAN ORDINANCE$:
PHQNE: 424--66
QWNER: 2224 Limited Partnershi p
ADDRESS: 1711 W. Couqlty Rcl'. B
CITY, STATE
Rosevil:le, A?IV ?
ZIP 55113 SIGI U
j 7 ; "
77!?
PHONE: 636-$05-0 7
;
; PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PE MITS, CONTACT
ENGINEERING DERT.
,• ?;,, r?,? ,,-
SEWER &•W74TER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
ISSUE DATE - PRV - BOOSTfR PUMP
SITE ADDRESS 312Z2 A.tdE3n Fvz3u ,i.;ta,;te
LOT -I-' BLOC K 1 SEC/SUB
APPLICANT: ???ewo4d Constru+ctionr Znc.
ADDRESS: 1711 ?V, 'o"mty R W a
CITY, STATE SeV1 e, ,ff; ZIP 55113
PHON?:
PLUMBER: `Ra.7Qx Meclianical
ADDRESS: 29650 Ii3 f±l?way 152
, CITY, STATE Maple GrnVe;. ??`I ZIP S5369
PHONE: ' f
PERMIT REQUESTED
? SEWER V1A_'TER - TAPS '
- COMM/IND ??SIDENTIAL ;
W - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
OWNER: ?220 Limitgd Partr?e;^ship
ADDRESS: 1711 Fl° County `??. P? SIGNATtJRE WHEN METERISSUED
CITY, STATE 111RSetr3 lle, T414 ZIP ri.ri 11+
PHONE: ,... ..
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
OFFICE USE ONLY
PERMiT DATE 9/5I89
WATER PERMIT # 1035? SEWER PERMIT #
METER # B.P. RECEIPT # n ??
READER # B.P. RECE4PT DATE 8 31 9
METER SI2E
. . . . . r..,
i,. . " . ' .. . , . .. . .-a . _ . .
. . _ . . . " . ? .:, . `.!.
SEWEEi &WATER PERMIT' OFFICE USE ONLY
CiTY OF EAaAN 9/5/$9
3830 PilOt KriOb Rd. PERMIT DATE
WATER PERMIT #10854 SEWER PERMIT #
P.O. BOX 21199 " METER #?T ? 13D a? B.P. RECEIPT # J:-36fi9_
Eagan, MN 55121
44 B.P. RECEIPT DRTE s? /?g
METER SiZE o
ISSUE DATE -PRV ? BOC}STER PUMP
SITE ADDRESS '3214 Alden i'ond Lane' PERMIT REQU TED
lOT 1=1 BLQCK ! SEC/SUB ' ?
ARPLICANT: Roseisood Construction, Inc - SEWER - WATER? TAPS
ADDRESS: 1711 W. Coimty Rd, L ??"'
- CC?MM/IND - RESIDENTIRL
CITY, STATE z?os evi lI e, W; ZIP 5511-7
PHONE: 631'° 3'S4 ?NEW ? EXISTING
PLUMBER: 11a}pr Manhanir-al
52
ADDRESS: i t'?3") Hi g. hw??
1 I AGREE TO COMPLY WITH CITY OF
"?
C?1
CITY, STATE : a?aj'?le :';rov".. ,
ZIP ' 55369 EAGAN ORDINANCES:
PHONE: XXXXNXX 424-6680
OWNER: 2220 sa-izn.it:pd Dz:,::t.n.ex-5h ir
ADDRESS`. 1771 141,m „? '2d _B
°
CITY, STATE .?os?:vi' le 1?
ZIP ?CX ?IS XKN
M77tl
g
PHONE: '?b_a,6 _',75 0 5ii?t13 '
A
PLEASE ALLOW 'fW0 WORKING DAYS FOR PR OCESSING. FOR STORM SEWER AE MITS, CONTACT
' ENGINEERING DEPT. _ ,
SEWER & VV'ATER PERMIT
CITX OF EAN
3830 Pilot K ob Rd.
P.O. Box 21199
Eagan, MN 55121
SfTE ADDRESS PERMIT REQU
,PSTED
LOT 11 BLOCK ? SEC/SUB ,
vSEWER i''?WATER
TAPS
APPLICANT: Rosevoc?c? ?'t?rs::rucci;:ri, ?
ADDRESS: 1711 ''` • {'omt}' P01• _ C(;?MM/IND `"w RESIDENTIAL-
CITY, S?TATE ?':?SeVi11?. ' ,v ZIP ,,?'
PHON?: ?NEW -EXISTING
PLUMBER: kSec`h_:ir.icnl
ADDRESS: 30659 ??z m-my I AGREE TO COMPLY WITH CITY OF
C1TY, STATE ?"Qle ':-;xow' _ ZIP EAGAN ORDINANCES:
PHONE: ???XXXX
OWNER: red 2;13:t-1cIVS11 i
ADDRESS: 1711 ."_ . rmm ° r,' - ?' SIGNATURE WHEN METER ISSUED
CITY, STATE 111osevZTle 0i4 ZIP '?? 19UN
? PHONE:
,
PLEASE ALLOW TWO WORKING DAYSFOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
fNGINEERING DEPT.
? //L?? L? /V ? . . y .. _ . _ . . _ _. .- : e. ? _ _ . /'4??0? ? ._
%
/
4 0 8 0 3
equest Date
?y??^ Fire No. Rough-in Inspection
Requi d?
? Ready Now &Wff Notiry Inspector
3 S'es ?No When Ready?
I t?licensed contractor 0 owner hereby request inspection of aboue electrical work at:
Job Address (Street, Box or Route No.) City
Section No. Townsbip Name w No. . Range No. County
Occupant(PRIN1)
/ Phone No.
? fJ' ,
a
Power Supplier Address
Electrical Contractor (Com any Name) Cantractor's License No.
d -3 / CJ Ir .Z, 2--
Mailing Adctress (Contractor w Owner Making Installation)
? t_ >
i ?
A
ulW orized ignature (GoMr todOwner Making)f
Ila4ion}
Ptrone Number
WNNESOTA S'FATE BOARD OF ELECTRICITY ? THfS INSPEGTION REQUEST WILL NOT
6riggs-Nlidway Btdg. - Room 5-773 BE ACGEPTED BY THE STATE BOARD
7821 tJniversity Ave., St. Paul, MN 55104 UNtESS PROPER kNSPECTION FEE fS
Phone (612) 642-0800 ENCLOSED.
/d? RE+t?UEST.FOR ELECTRICAL INSPECTION ?"« es-00001 -07
?
/ t3 10- See instructions for completing this form on back of yellow copy.
F A G 3 X" Below Work Covered by This Request
ew Add Rep' TypeofBuilding AppliancesWired EquipmentWired
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 Be/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feedere Fee
Swimming Pool 0 to 200 Amps 2o 7 0 to ROAmps 2vly,
Transformers Above 200 Amps Above Amps ?
SigtlS Inspectar's Use Only: TAL ?
Irrigation Booms ? ?'
Special Inspection
AlarmlCommunication
Other Fee ?
1, the Electrical Inspector, hereby Rouyn-in ? 6at
-?
certify that the above inspection has
been made. Final ? D e
OFFICE USE ONLY
Th'ts request void 18 months from
? CASH R,EGE?PT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 '
RECEIVED
AMOUNT
& DOLLARS
C White-Payers Copy
Yellow-POSting Copy
Pink-File Copy
Thank You
BY
PE
^
C
RMITN0
?
-,31.z
01-321o c"'.,,? ?- l
B1dg•
01-?22
?
°errnit
P,an
Ch
01-3445 ?k c'ct
T.' 01,3446 Surch./qqm NO 16880
01-21$5 SAC/qqm. an, MN 55121 ?
Sur?
h
7
/''? ?
5_
ar
Bt
@
?0
?
? ;
.
cept #
f.,.i <
Road (/?
Tr
? 2275
Date
(c,? AUG 1 , is 89
c SAG
??
?[? c?v
?
?
wat OFFiCE USE ONLY
er Conn.
20-3868 ipancy R-2 M-1 FE Es
water Trrnt.
20-3716 00 ng R=3
wat$C tuai) Const V- 1_? Bidg. Perm+t .1.?kL?t.,40
20?2 Jr2'
MetGi' fowable) V- 1._.H$ Surcharge 160.00
ACCt 0
?-3713 ?p' ot Stories
ength
184'
Pian Review
707.00
20-37q?, water Permif Jepth 66' SAG cicY soo. 0o
79_38? S??'er Permi f G S.F. Total 1
a?
cints
S
F
Foot 1,656
T
984 sAC, nncwcc 4 0. 00
28? ?W@r ? ?Gl
3$5
nn .
.
p
?Lj On Site Sewage .,.
Water Conn 45640.00
5
.
p *
a? ?gd or, sice wBn
MWCC S
m _
xx
Water Meter 720. 00
, yste
Ciry Waker XX Acct. Deposit 2_40.O0
PRV Required _ SMl Permit 160.00
.
Sooster Pump ? g/W Surcharge 8.00
TOrAC Treatment PI 1,824.0
Q
SignaZu?._ APPROVALS Road Unit 2,720.0
0
A 8uiiding Permit is issued Pianner - Park Ded:
on the express candition that aii work shail6e j Councit
appiicable State of Minnesota Statutes and City ai Eagan gldg, pff. _ Copies .
Buiiding Official
? Variance - TOTAL 1 7 t993. Q0
i 1989 BIIILDING PERMIT APPLIGATION CITY OF EAGAN
V
SINGLE FAMILY DWELLINGS I (ot INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES QF SURVEY, 1 SET OF ENERGY CALCULATIOIdS
NOTEs ADDHESSffi FOa CORNER LOTS - CONTRDCTOR/HOMEOWNER Kt1ST DESIGNATE WSZCH ADDRESS
IS DESIRED. A0 CHMTGES WILL BE ALLOWED ONCE BIIILDING PEBMIT IS I33UED. a
MtTLTIPLE DWELLIN(35 AENTAL tJNITSFaa 3ALE UUtITS _# OF mIT5 ftm-w
- --- -ti- - -9•
INCLtTDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY'
CALCULATIONS ?
CONMRCIAL
._...`_...
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND" 1 SET 4F ENERGY CALCULATI4NS
RFCO DEC 2308
To Be Used Fors Townhouses Valuations ?2A-i-. y-?-"= Date: pecember 20, 1988
Site Address :IL. 322,0o OFFICE USE OI?I.Y
/r ? R-? ?v?-? ?s
Lot --?- Bloek ?' 8-p1eX Oceupancy
Zoning
Parcel{Sub A1den Pond Aetual Const V- 1 Bldg. Permit I4}_
Allowable r_y? Surcharge 1(O
Owner 2220 Limited Partnership # of stories ' Z P1an Review r)or?_
Length I F314 _ SAC, City SOD
Address 105 so. Sth St., suite 705 Depth c?? SAC, MWCC ?1(rsQt?
?.F. Total (?,..& Water Conn
City/Zip Code minneanolis, 1?11v 55402 Footprint S.F. rR84 Water Meter 720
Aect. Deposit ZtIQ
Phone (612) 341-0190 `On site sewage S/W Permit 160
On site we11 = SIW Sureharge A
Contraetor Rosewood Construction, Inc MWCG System v Treatment P1. ?
? City water ? Road Unit ?????`''
.o
Address 1711 w. County xoad s PRV required + Park Ded. ----
? Booster Pump Cogies
Citp/Zip Code RosevilZe, MN 55113 TOThL 10,.9013_
1PPBOYAIS
Phone (612) 631-3254 Planner
._...?
Council
.....:..__
ArCh./Engr. BZumentaZs/Architecture In $Idg. Off.
,_...-
Varianee
Address 6860 Shingle Greek Parkway Couneil -
Citq/Zip Code Brooklyn Center, MN 55430
,.._.
phone # (612) 561-5757
NOTS: Sewer & water Permit faes and aceouat depoait Peas will be ineluded fn the building
permit fee. Proeessing time far sewer and irater peraits is tro days onoe a liaenaed
' plumber hae aPPlied for a germit at City Sall.
?
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JoB NOT)tt 2 C? I
" 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(672) 881-9000 TEST RECdRD
ADDRESS 1 "?t 00 ftf,?l/ oI Y `?? ?'I ? ?--?I • CITY
OCCUPANT
SOLD BY ? e --I)(, k') ? L(/-
MAKE
SERIAL NO. __?D
THERMOSTAT ? G_'Jc,G
VALVE P'0916-;?'n St(''lO
LIMIT wOL L
LIMIT SETTING ( -`'--0
FAN SETTING 'v L) '
OWNER `
INSTALLED
MODEL F-G -7A !S- D& t n
INPUT
? +t
VENT SIZE '
TYPE-0F LINER.
LINER SIZE
FILTERS: SIZE NUMBER (
WIRING
TEST TAG ?
PIlOT TYPE UN ? c-
IGNITION MODEL _1\ oi7e?-l t)AkJ LIGHTING INST: ?
PILOT TIMING --?-- ? ( rlI ? ( ]
? ' ? DATE TESTED
PRESSURE PERCENT COZ ?
' °%
INPUT CFH 7`5 PERCENT 0 2 U ??O COMPANY TESTING ??- I 1(? ?tLf ?
STACK TEMP. PERCENT CO NAME OF TESTER I t Vl^ ?? ? C'
. : FORM 235 (REV. 11169) . FORM.DISTRIBUTIbN:, WHITE COPY JQBFIGE YELLOW COPY CITY .
,. . . _ . . ., . ,. . . . .. , . .. . . ,. . . . w.,r..? ._........?. .... .,. s ..rr...3 ?..?......Y ?%?...t .;.m.x.:.,.....au,`s....,.a:?.s..
SEDGWICK HEATING & AIR CONDITIONING GO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000
ADDRESS ?C) v,; CITY
OCCUPANT
HEATING
TEST RECORD
E `P& k t-'(
OWNER
JOB NO -'O 5? 7'?) I
SOLD BY vLiINSTALLED BY --f & - (lU C4A C-' (?
MAKE MODEL E V V i't SV 0,.-?(S -(?;
SERIAL NO. INPUT THERMOSTAT ?--) E ) vL'J (L- K
VALVE
LIMIT L-L.-
LIMIT SETTING f `7
FAN SETTING 'ov
? Ir
VENT SIZE
TYPE OF LINER
LWER SIZE
FILTERS: SIZE NUMBER I
WIRING kl?
PILOT TYPE TEST TAG LI-'
I IGNITION MODEL LIGHTING INST.
PILOT TIMING
U? DATE TESTED CT ?
PRESSURE PERCENT COZ O L,
I INPUT CFH PERCENT OZ + J/V COMPANY TESTWG / t?? LCJ 1 C? G
STACK TEMP. 423 v V` PERCENT CO ? tol?? NAME OF TESTER T iV-?
a
. FORM 235 . (REV.:11/89) . FORM bISTRIBUTiON: WHITE GOPY - JOB FILE ? YELLOW AOPY - CITY' - ,,, „L_,.? ,.?. . _ . , .? .,_ .. , . ,,.? ., ..__ _..._ ... . ._ .?. .,, .. . ., v . . „ .. . . .. . .. .. ... . n. ....,. .?. ,.,... .. , .. . _,.,, ..?._a ...?..??,.t.;.,;i; t,. . ??:e.?..,..?d....,.,.? ,,..&?_...e,?. .,.,. . i...,?..,>,,.:,.?..?a...,.
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING Joe rvo
?
8910 WENTWORTH AVENUE SOUTH • MINNEAPOL
IS, MN 55420 •' .
.
(612) 881-9000 TEST RECORD '
ADDRESS ?d ?L! C'1G ? O? 4 O ND L f V . ?tL A I1
CITY
OCCUPANT OWNER
SOLD BY JV INSTALLED BY ^= C..??a U.> I C-(?
MAKE ?V l S T ?o G
F
A
o bC
" ()
9
. T?
-
b
MODEL
SERIAL NO. INPUT S-O 000
THERMOSTAT VENT SIZE
VALVE TYPE OF LINER
r LIMIT LINER SIZE
LIMIT SETTING ??i (V7 fILTERS: SIZE NUMBER '
FAN SETTING ?l7(7 WIRING
PILOT TYPE FLE IC ? N( C_ TEST TAG ?
IGNITION MODEL LIGHTING INST. ?
i PILOT TIMING
i PRESSURE PERCENT CO
p U? DATE TESTED
f
2
? _
COMPANY TESTING
f INPUT CFH PERCENT O2 n
4 STACK TEMP..CZ f v ? PERCENT CO NAME OF TESTER ???-? W I C
FORM 235 (REV..11/89) . . .
.. __ , , .E ., _..,t < .. ... .. . .. ...r .. .. _ ,.,.._.. __. .
.. , __ . ....w FORM DISTRIBUTION[ WHITE COPY JOB FILE -YEU..OW COPY - CI'R
... . ....,._. .._ ....,..?,_ ,. ...?,.....,?.. ..,.,.u.?.;?,a_..,.at,..ia?.,.._ ?,.e_.? - _ ° _
SEDGWICK HEATING & AIR CONDITtONING C0. HEaTING Jos rvo.f
??''
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD
ADDRESS - 1 2 06 LA L bo N C.) N ?i L I `t CITY ?--- ?? A /q
OCCUPANT
SOLD BY
MAKE i l'LV??? I??/' TG
SERIAL NO. ? O(?s1,' ?t VA
THERMOSTAT ? p- llL/ l.v (CirC
VAWE (_DI?It_,1(4,)eL-L
LIMIT C) L\(,) e? L ?--
LIMIT SETTING
FAN SETTING
OWNER '
INSTALLED BY ? ? ' ! `? ?t/ ? u?
MODEL
INPUT K'A 5 9 I/6 2,' r?
VENT SIZE II
C
TYPE OF LINER
LINER SIZE
FILTERS: SIZE NUMBER ,
WIRING ?
PILOT TYPE r_ LV TEST TAG
IGNITION MODEL RT ,S?f LIGHTING INST. ?
PILOT TIMWG NT
? DATE TESTED
PRESSURE PERCENT CO2 r ?IJ
COMPANY TESTING ? E
INPUT CFH e57 U PERCENT OZ ?
STACK TEMP. NO v F PERGENT CO I? V 1 1? NAME OF TESTER ??? (C)16
FQflM 235 (REV. 11/89) 'FORM DISTRIBUTION; WHITE CQPY JQB FILE YELLpW COPY - CITY .
-?
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING Jog No
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(s12) sai-sooo TEST RECORD
ADDRESS O,O R E-- 1)O I V ?o(V o LN. CITY 1... 6/?r N
OCCUPANT +>> OWNER
SOLD BY INSTALLED BY
MAKE I' ? IZ { f?j"? V C7 N? MODEL ???? ?`l SU !J C?? I 5
SERIAL NO. ? Q"t l? 'J v ?! K R INPUT s?. ULUC:.?
THERMOSTAT G?
VALVE C--
LIMIT ?--
LIMIT SETTING
FAN SETTING ?U U
PILOT TYPE c' ? ?o ?j ? C.
IGNITION MODEL i' Jqp vj
PILOT TIMING 4V+
_ C u
VENT SIZE
TYPE OF LINER
LINER SIZE
FILTERS: SIZE NUMBER
WIRING
TEST TAG
LIGHTING INST. ?
DATE TESTED L)
PRESSURE
INPUT CFH '?5 V PERCENT COZ
PERCENT O2
? J ?
COMPANY TESTING C' <
STACK TEMP. 0 PERCENT CO NAME OF TESTER I?Y" CoIL
FORM 235 (REV. 11189) FORM`DISTRIBUTiON: WHITE COPY - JOB FICE : YELLOW CpPY CITY
-.:
;.... :.. .. ,
.. ..
.. ; . - .. - : ?. ? . . ; . ?..
• , , . , .... . t.u.,_..a.._?,.,..?..,_?>.. .., y...?,.;4;??.,....k..?uF.,?:;..'.?..ra?A:?.s,ea:
I
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING Joa Noj)p
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881 -9000 TEST RECORD j
)I LI V
ADDRESS 7?C) 4L)f ? I
L
-, CITY
,-+
OCCUPANT OWNER
SC
O D BY ?? ?/?7?? I C'??
L
S
Ld BY
S IN
TAL
E
I l? GV( T( p C?N (
9
?
MAKE MODEL
SERIAL N0. ftC),2J` 72N KA INPUT J? DOU
THERMOSTA T VENT SIZE
VALVE I IU!V'?,?? LCr TYPE OF LINER
LIMIT ?u?L(_ 11NERSIZE
LIMIT SETTING (?70 FILTERS: SIZE NUMBER I
FAN SETTING I ov WIRING V/
PILOT TYPE ? LCCT ?- UN TEST TAG V
IGNITION MODEL ? D^ e-?F LIGHTING INST. v
-TI?d4N i-
PILOT TIMING a _ ? t
? v
?
/ 0
/J
'
vJ
C` DATE TESTED
PRESSURE
PERCENT COZ i!)
.
b
INPUT CFH PERCENT OZ ? /17 COMPANY TESTING
STACK TEMP?? I v J? PERGENT CO NAME OF TESTER
FORM 235 (REV. 11189)
., .. ,
_. . ... .. .. ,. . . _ FORM DISTRIBUTION[ WHITE :COPY - JQB FILE : YELt6W COPV - CITY .
. .. ; _.'.. . '.. _' _.-
,. . .. . .. . ....... .._ .N,...., .._......d. .,.?...._?.z,.,.?..,....m,..,..,a.,.:.....,?e,a... _ -
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING Jos rvo.??
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 884 -9000 TEST RECORD
ADDRESS 'PDRI-
?- ? F`
Y ? ??/Z ?\I
CIT
OCCUPANT OWNER
SOLD BY . J?? G w I C Il INSTALLED BY
n
?' I ?? ar ISTIC c7l?jl
MAKE
? MODEL
SERIAL NO. INPUT J 0 . 000
THERMOSTAT ???vUJ ??l\
VENT SIZE
VALVE +1V LL TYPE OF LINER
LIMIT ?N7 N E-, Iv-)e L- ?-- LINER SIZE
LIMIT SETTING FILTERS: SIZE NUMBER 1
FAN SETTING ! t7 ? WIRING ` %--l/J
PILOT TYPE E LCrT K oNl(- TEST TAG Ls-'
IGNITfON MODEL ?4
? 4 S*vJ t/
NG INST
G
L .
LI
HTI
PILOT TIMING A, N 1 ?-?? C?
PRESSURE '' ' ??, L)C PERCENT CO2 DATE TESTED
D' Cf?
INPUT CFH sPERCENT O
2 `-f? U/ COMPANY TESTING
?-
0 J?
1
5 r\I ON C R
STACK TEMP.
-
PERCENT CO
. NAME OF TESTE
FOflM 235. (REV. 11/89)
. . _ . , . .. . _ _. . . _ , FORM RISTRlBUTION: WHITE COPY - JOB FILE YELLOW.COPY - CITY
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SEDGWICK HEATING
8910 WENTWORTH AVENUE SOUTH • & AIR CONDITIONING CO.
MINNEAPOLIS, MN 55420 •(si2) asi-sooo HEAri"G
TEST RECORD
ADDRESS 3t,7 ) Ci 6L.! iO1` I ?oNn LNI CITY E`Kl/Pll(
OCCUPANT
OWNER
JOB NO. ? ?1 ?6 (
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IGNITION MODEL ?_17bQ.CA Ji4A,W
PILOT TIMING
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TYPE OF LINER
LINER SIZE
FILTERS: SIZE NUMBER
WIRING ?
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DATE TESTED a - ? ! I L?
PRESSURE - ' PERCENT CO
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NAME OF TESTER
?FOflM 235.(REV..11/89) FORM DISTRIBUTION: WHITErCOPY JOB FILE :YELLOW COPY - CITV
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CITY OF EAGAN PERMIT TYPE: ;;, i a r14 ,
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897
Date Issued:
(612) 681-4675
SITE ADDRESS: t ? APPLICANT:
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1:# €0 zIg } 1 'a00
'. PERMIT SUBTYP?: TYPE OF WORK:
k ??PA?i P
€?ts4, 0 11 r
INSPECTION .. . ..
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tr# A H 4,, t'4ftit€i"Il H 't PI I?f 1. 19r?1-t I"C
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AI R TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVIN TEST
HYDROSTATIC TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
FERMIT
FEE SUMMARY:
22&50 EXECUTIVE DK 101
; S1"ERLZNG VA 20166-9534
,
j (703) 450-3900
APPLICANT/PERMITEE SIGNATURE
0 K1q . Pl i t..nn I r.t.. n v ?
B05TpN MA 02210
OFFICE USE ONLY
?
?? '? ? ?•?
BUILDING'PERMtT TYPE `
0 01 Foundation ? 19 CommJlnd. Misc: ? 21 Miscelianeous
O 18 Comm.ilnd. ? 20 Public facility
I ? i2
1NORK TYPE
?
0 31 New
O 33 Alterations
D 35 Tenant Finish
D 32 Addition ;k 34 Repair ? 37 Demolition
j GENERAL {NFt3RMATiON
I Canst. (Actual) ? Basement sq. ft. ? MCfWS System ?
(Allowable) First Fiaor sq. ft. ? Cfty Water ?
UBC 4ccupancy sq. ft. Fire Sprinkiered
?
Zoning
' ? sq. ft. Census Code
# o# S#ories sq. ft. ? SAC Code ?
j Length sq. ft. Census Bidg. 4>e
? flepth ? Footprint sq. ft. ? Census Unit
? APPROYALS
? Planning Buifding Engineering ? Variance
Permit Fee Valuation; $
Surcharge
Plan Review
MC/WS SAC
City SAC
Water Conn.
S/V1/ Permit
S/W SurCharge
Treatment PI.
I Park Ded.
? Trails Ded.
P Water Qual. I
I Other
Copies
Total:
?
% SAC
SAC Units
Meter Size
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169483
Date Issued:05/27/2021
Permit Category:ePermit
Site Address: 3200 Alden Pond Lane
Lot:11 Block: 01 Addition: Alden Pond
PID:10-11225-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Alden Pond Apartments Llc
% Town Management Llc
3330 Dundee Rd Ste S1
Northbrook IL 60062
Residential Heating & Air
7454 Washington Ave S
Eden Prairie MN 55433
(612) 724-1899
Applicant/Permitee: Signature Issued By: Signature