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4300 Clemson CirI CITY OF EAGAN c ' ,. ? $ 7 3 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 --, PHON E: 454-8100 BUILDING PERMIT Receipt# To be used far Est. Value Date ,19 Site Address OF FICE USE ONLY Lot BIoCk Sec/Sub. On Site Sewage _ Occupancy , MWCC System _ Zoning ParC81 No. On Site Well Type of Const Cit Water (ActuaQ a Name y _ (Ailowable) W 3 Address * of Stories Len th 0 City Phone g Depth I F Total S ? . . , p Neme Footprint S.F. 0? Address APPROVALS FEES Ci P. ty Phone Assessments _ Permit ? V WateUSewer _ Surcharga y j W W Name Police _ Plan Review _ F Fire Cit SAC _ ? Address _ , y 0 = m City Phone Engr. _ SAC, MWCC W Planner _ Water Conn. Council _ Water Meter 1 hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thatthe information is correct and agree to comply with all applicable APC _ TreatmentPl State of Minnesota Statutes and City of Eapan Ordinances. Variance _ Parks Copies Signature ot Permittee TOTAL A Building Permit is issued to: on the eacpress condition that all work shall be done in accordance wlth all applicable State of M innesota Statutes and Ciry of Eagan Ordinances. Building Official Psrmit No. Psrmit Holder Date TeIsphone+k Plumbing ' ? .? ? ?t? '??' . , h /?; 3' . H.v.ac. Electric Softener lnspactlon Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough PI Rough Htg. Isul. Firepiace Final Htg. )?-y- ? • ?J . ' ? Final Plbg. Bldg. Final Cert.Occ. i.j,_i? Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. [ H i y ?' J CONTRAGT PRICE: Site Address Lot Block Sec/Sub ? ? Name ?o Address c City ' Phone - L Name 3 Address ' p Ciry Phone'`- FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMtT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) _ J . I SIGNATURE OF PERMITTEE ' FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 PERMIT # 'K_'?rs ? RECEIPT # 710 CO& a DATE: .1Z -- BLDG. TYPE WORK DESCRIPTION Re's. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 S Bath Tubs - $3.00 Lavatory - $3.00 - Shower - $3.00 Kitchen Sink - $3.00 - Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 ' Water Heater - $1.50 ? Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMI7) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 - Rough Openings - $1.50 ' - FEE: -- `L STATE S/C: ? GRAND TOTAL• ? ? ? CONTRACT PRICE f Site Addres? ?- Lot ,,/ - Block _ 4& ? Name .T Address c Ciry ? Name ??'eal ? c Address p Ciry Ml&AAILAL PERMIf RECEIPT # ??0 CITY OF EAGAN p 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ?-?,z,? - e 1 o u PHONE: 454-8100 BLDG. TYPE WORK DESCRIPTION e.-. Sec/Sub Res. New ? : - - • Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 Phone (RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. OF WORK i Air Unit Heater Air Cond. Vent. Gas Piping Outlets # ??. M BTU M BTU M BTU M BTU CFM 1 COMM/IND FEE - 1a/o OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) ? FEE: ZL? (?c. S/C: SIGNATURE OF PERMITTEE E, TOTAL• ? FOR: CITY OF EAGAN . CITY OF EAGAN • .' 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 PHONE• 454 8100 BUILDING PERMIT Receipt To be used for ? Est. Value Date ,19 SiteAddress ' ' `-•" .L` ., .° ,. `` Lot Block ? Sec/Sub. ' RAILS OF Parcel Na a Name '7x HakllUN ItQPtES 1711:; I = Address '- o, M,{ 1367 ° City• Phone ¢ Name ?O ?? Address P Ciry Phone yVj W Name I.X. z Address = City Phone tW OFFICE USE ONLY On Site Sewage ? Occupency ? S MWCC 5ystem _ Zoning On Site Well _ Type of Const City Water = (ActuaD (Allowable) * of Stories Length Depth S.F. Total Footprint S.F, APPROVALS FEES Assessments Permit ?. ? Water/Sewer Surchflrge r ? Police Plan Review Fire _ SAC, City Engr. _ SAC, MWCC •' Planner Water COnn. Council _ _ Water Meter I hereby acknowledge that I have read this application and state Bld9. Oft _ Road Unit that the information is correct and agree to complywith all applicable APC _ Treatment P1 • State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condltion that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Dats Telsphone it Plumbing 0T37 .v.ac. ? ?? 5 Lla? ?9 f lectric E ??' ' ? -•,?. 2? ??'?? ? ? OC? 5ottener Inspection Data Insp. Comments Footings I % Footings II Foundation Framing Roofing Rough Plbg. - - ,? J Cl . • /? ?? Rough Htg. Isul. Fireplace Final Htg. +l? Final Plbg. Bldg. Final ?P,9p7 &j-- cert. occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. PRICE: Site Addre - Lot 1ock ? m Name - - ? Address ' { c City Phone Name ? c Address ` p City ? 'Phone. _ -- ? `'l . FEES COMM/IND FEE - 1% OF CONTRACT FEE APT BLDGS - COMM RATE APPLIES TOWNHOUSE S CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.U0 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - 50 (ADD $.50 S1C IF PERMIT PRICE GOES BEYOND $1,000.00) 1 ( ?I SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # '5 -? ? 7 PLUMBING PERMIT RECEIPT # l"l? ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 - BIDG. TYPE WORK DESCRIPTION SeciSub Res. f New ? l- ?... Mult Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTUAES TOTAL Water Closet - $300 s - Bath Tubs - $3.00 ' Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3 00 . Laundry Tray - $3.00 - Floor Drains - $1.50 - - Water Heater - $1.50 +' '?-- Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - i PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 __Rough Openings - $1.50 ` - FEE STATE S/C: GRAND TOTAL: PERMIl # MECHANICAL PERMIf ' CITY OF EAGAN RECEIPT # ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: h 7 -•--- -- --•-- ' - ^ - ' - - - Site BLDG.TYPE Res. ? Mult Comm. Other WORK DESCRIPTIO New ? Add-on Repair ? Name _ m Address c Ciry _ c Address % O City Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuUets # Other ?c..L M BTU M BTU M BTU M BTU CFM --?- FEE: S/C: TOTAL: FEES 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 PERMIn - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE FOR: CIN OF EAGAN . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 • ' PH ON E: 454-8100 BUILDING PERMIT Receipt To be used for t"} L!,", Est. Value $63'0,, Date Site Address -t 1 • 1.1 Lot 1 Block Sec/Sub. '•' { r„' i U J .' Parcel No. ar Name i WN liUMES z Address . ; .? 13 City Phone ei 0 a Name • .o ? < Address P City Phone F W Name ' ? za Address I ? =W City Phone i+1AY 7 13584 19 7 OFFICE USE ONLY On Site Sewage _ OcCUpancy MWCC System _ Zoning On Site Well Type of Const v City Water _ (ActuaD (Allowable) ' # of Stories Length Oepth S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit Water/Sewer _ Surcharge f Police _ Plan Review ?F Fire SAC, City Engr. _ SAC, MWCC . Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application end state Bldg. Off. _ Road Unit that the information is conect and agree to comply with all applicable APC _ Treatment P1 State of Minnesota Statutes and City af Eagan Ordinancea Variance _ Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: . on the express condition that all work shall be done in accordance with all appn„?b{e State of Minnesota Statutes and City of Eagan Ordinances. Permit No. Permit Holdor Date TNsphone s PlUmbing }T H.V.;A.C. Electric 733 Oc ?ofrer?r ?F - ? ? ) i ?'? ,} - .,, ??,,/ ? ?; Inspection Date Insp. Commsnts Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bldg. Final f C: ?'• Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well k Pr. Disp. PERMIT # ' • • PLUMBING PERMIT RECEIPT # . ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: • ?? ?- ? CONTRACT PRICE PHONE: 454-8100 Site Address Lot Block - Sec/Sub ? Name ? Address ? c City Phone Name '+ .. _ ? Address p City . ;. Phone- ' -. . FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPI.IES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - FiESIDENTIAL FEE - $12.00 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 BLDG. TYPE WORK DESCRIPTION Res. New M u It. Add-on { Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ' Water Closet - $3.00 ? S Bath Tubs - $3.00 ? Lavatory - 53.00 - Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ` laundry Tray - g3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - S3.00 . 1 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ? FEE: STATE S1C: ?v GRAND TOTAL: rcrsmi i ? ? ? ( " ? MECHAkIbAL PERMIt RECEIPT # 7?- , CITY OF EAGAN 3830 PILOT KNOB-ROAD, EAGAN, MN 55122 DATE 7 Site Address _ Lot -?2/ * ? Name _ m Address c City _ Name _ 3 Address p CitY - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuGets # Other Sec/Sub Phone BLDG. TYPE WORK DESCRIPTION Res. k1111 New ? Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CdNSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) ? - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES MINIMUM RESIOENTIAL FEE - ALL ADD-aN & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GQES BEYOND $1,000) y ?J M BTU M BTU M BTU ?L M BTU CFM ? FEE S/C: SIGNATURE OF PERMITTEE TOTAL• av • FOR_ CITY OF EAGAN CITY OF EAGAN 454-81 00 DEPT. OF BUILDING INSPECTIONS Correction Notice Located at I have this day inspected fhis structure and these premises and have found the following viol,ations of city codes governing same: / i?' ? l? G ?; -? L/? L ? ? 7"1 ? c ? _? `? ` ,6 ??'? T.- A'! ? ? r n h, jCi//L T When eorrections have been made, please call 454-8100 for inspection. ; Date Inspector City o( Eagan DO NOT REMOVE THIS TAG ? _ •; PLUMBING PERMIT w ' CITY OF EAGAN ,/ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 Site Address ? Name ? Addre c City - Name ' - 3 Address p City Phone FEES 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 FOR CITY OF EAGAN PERMIT # RECEIPT # DATE: _ BLDG. TYPE WORK DESCRIPTION Res. ? New _ Mult Add-on Comm. Repafr ? Other NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE 3/C: ' ? /..? GRAND TOTAL• - -- ` ? ZU PERMIT # ? MECKANICAL PERMIT RECEIPT # CITY OF EAGAN . 3930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: )' ' l=? J CONTRACT PRIC • PHONE: 454-8100 Site Address 7 BLDG. TYPE WORK DESCRIPTION Lot ? Bloqk _ Sec/Sub 7 ' , I ' ) , Res. New / . . .. .. .',:,? , lt % .i-'?..• . Mult Add-on ? ,s Name • Comm. Repair Address r 1 l,? •,, 1 ?..., Other C City 1 ?? 0 89 Name FEES RES. HVAC 0-100 M BTU -$24.00 c Address v ADDITIONAL 50 M BTU - 6.00 ; p City Phone / (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 1 PER PEFiMIT) - 1 50 EA GAS OUTLETS (MINIMUM . - . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU ? MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) Other FEE: ?'?" ' •?i / : ,,r ,?? fi,, ?:.:i? :r!/.:1, .• S/C: J? SfGNATURE OF P MITTEE TOTAL• FOR: CITY OF EAGAN v/o9 ox P?Aw ? . , CITY OF •, , 3830 Pilot Knob Road, P.O. B, PH O N E: 454-81 BUILDING PERMIT To be used for "i ` !. . Est. Value i3585 Eagan, MN 55121 Receipt Date ""'Y 7 ,19 Site Address OFFICE USE ONIY Lot Block ` SeC/Sub. `'fp?Lc OF On Site Sewage - Occupancy " ?kc, MWCC System _ Zoning ParCei Na _ On Site Weu _ Type of Const t rc Name W = Address 3 ?, , , . )Ci o Ci ?1 Phone a O Name . ? ? Address ? City City Phone that I have read this Signature of Permittee •? ? A Buitding Permit is issued to: ell work shall be done in accordance with all Building Official on and stat 811 appliCabl ? Ciry Water _ (ActuaQ (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit WatedSewer _ Surcharge Police _ Plan Review Fire _ SAC, City Engr. Planner _ SAC, MWCC _ Water Conn. Council _ Water Meter Bldg. Off. _ Roed Unit APC _ Treatment P1 Variance _ Parks Copies ? TOTAL on the express condition that Minnesota Statutes and City of Eagan Ordinances. e e . Permlt No. Permit Holder Date Tslephona * Plymbing H.V.A.C. Electric r Softener Inspection Dat* Insp. Comments Footings I Footings II r Foundation Framing Roofing Rough Plbg. - ? ?? ,,? ? _ ? ? A Aough Htg. ' Isul. Fireplace Final Htg. Final Pibg. Bldg. Final ? yr G. A. C@Y1.OCC. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. PERMIT # 110? =% -= ?__ PLUMBING PERMiT RECEIPT # °- CITY OF EAGAN 3830 PILOT KNaB ROAD, EAGAN, MN 55122 DATE: ? ICT PiiICE: PHONE: 454-8100 Site Address lot Block Sec/Sub 9d Name 2 ?u Address c City Phone ? Name .` ? Address p City Phone ` FEES COMM/IND FEE - 1ai6 OF CONTRACT FEE APT. BLOGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMMlIND FEE - $20 00 STATE SURCHARGE PER PERMIT - 50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? , t SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BIDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.40 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 - Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn 5oftener - $5.00 Well - $10.00 Prfvate Disp. - $10.00 = Rough Openings - $1.50 FEE: STATE S/C: •?= GRAND TOTAL: ? • • .. rtrtnnI 1 9 v " ( ,.- ?_ _- IIVCliAM16AL PERMIZ y RECEIPT # 7-5 0 7-;i- ' • • CITY OF EAGAN ` . 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE 7 Site Address '''- ` gLpG. TYPE WORK DESCRIPTION Lot ? Block 42- Sec/Sub Res. New Name ?,'?:WnNORTH AVE. S0. Mult Add-on S Address IN NLIS, tA P' 55420 Comm. Repair c Cit i •' ???") Pt?'Q Other y ne ; , FEES c Name ? RES. HVAC 0-100 M BTU AODI -$24.00 Address TIONAL 50 M BTU - 6.00 O City Phone (RES. HVAC INCLUDES A/C ON NEW ' CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER P RM 50 A ( - E M - 1. . E TYPE OF WORK COMM/INO FEE - 1% OF CONTRACT FEE Forced Air ? M BTU •?`? APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. -2 q M BTU MINIMUM COMMERCIAL FEE - 20.00 V t STATE SURCHARGE PER PERMIT - .50 en . CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # _L • v BEYOND $1,000) Other $ FEE: S/C: Q1? SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN CITY OF EAGAN _ 11 454-8100 . ? DEPT. OF BUILDING INSPECTIONS Correction Notice Located at I have this day inspected this structure and these premises and have found the following violations of city codes governing same: When corrections have been made, please call 454-8100 for inspection. Date! '/?? ? Inspector City oi Eagan DO NOT REMOVE THIS TAG INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: i: ( 04 t .. ? t t' M';r1W ( i ft (ltAl 11; (?i I f1(?MA`+ 1 AKk ? PERMIT SUBTYPE: i T?; 1 "14 APPLICANT: TYPE OF WORK: ! i)1+#? [i!I 1. 1 i1] M4;+ 0'ip4 3l Hr/ ie>/q7 INSPECTION .. . DA I ' HAFtK.`a•_ SEf'AFtiS7t PFPMI 1': kF1111iRt f) f Ot: AH'i t"I Vf lP It:AI. t7ft f'I UIIRiN1l W0141' Permit No. Permit Holder Date Telephona N ELECTRIC PLUMBING HVAC Inspectlon Date Inap. Commenta FOOTINGS FOUND FRAMING d ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING ? GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL / // • BSMT R.I. BSMT FINAL DECK FTG DECK FINAL . ? Y . ...p. . .,. j. .??° . +! .V. x ':. . . - . ' ._?. ? SEDGWICK HEATIIVG & AIR CONDITIONING CO., CP`7"/ HOUSE HEATING TEST RECORD ADDRESS CITY r c,C ''.( {v , OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SQLD BY IN5TALLED BY Electrical Work By Gas Line By _ ?' f __•+? r?_ _ TYPE OF HEAT GA_ FA Y HW STEAM SPACE HTR. UNIT HTR. ? OTHER ? GAS DESIGN CONVERSIDN MAKE - %9 ? 1 '? '-? _, ?•", i" ; MAKE OF BURNER Model -+ --?T Model Serial Max. BTU Rating INPUT MAKE OF FURNACE l Model - THE RMOSTAT 2?2 Vaive Limit Limit Setting Fan Setting Pilot Type Pilot Make Pilot Model Pilot Timing ?eat Plug . ?,.. Z L.W. Cut Off "`- ---- ? • ? V Pressure Percent CO2 Input CFH Percent 0 2 Stack Temp. Percent CO ?'?' - %? • ?l Vent Size r 17 KIND OF LINER SIZE NONE Draft Hood f?- Q , ta Regulator Filters Size Number ' Chimney Location Inside Outse Chimney Construction • ?? Smoke Bomb u Wiring -? " Draft Test Tag `• :f _ ` _ Door Pressure r Lighting Inst. xDate Tested Company Testing Name of Tester Form 235 SEDGWICK HEATING & AlR CONDITION,fNG CO: • 1 ? - 'HOl/SE HEATINC TEST RtCORD ? . ADDRESS 4300 ? CL?MSOf? C?R CITY t'l OCCUPANT OWNER 8??B Pq fc a WESS?L HEAT LOSS ` DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By -_?L( 1?Di: ? Gas Line By _ ccr TYPE OF HEAT GA_ FA --<' H1N_ STEAM SPACE HTR. UMIT HTR GAS DESIGN MAKE - Z?74C2!?! Ya t.1T MAKE OF BURNER Model 44G, A 1,t?o--L90 S o Model Serial 49 S fo A O N 4 Bv Max. BTU Rating INPUT So F c c c MAKE OF FURNACE CONTROLS THERMOSTAT-3?14 Heat Plug Valve- S?( ?Li ez- /JSoX - .Z ? Limit ?T E "'\ C 6 Limit Setting -2!a7n ° V:- Fan Setting _ k a o ° qF- Pi lot Type E%-c= c-t mn N ic Pilot Make _ SPA ai< Pilot Model _ N SL 1 Pilot Timing N!?:T c) ,i T L.W. Cut Off Pressure ? • ? tA1< < - Percent CO 2 ? Input CFH So Percent 02 ? ? Stack Temp. a?'-?° ? Percent CO Model Vent Size ? KIND OF LINER SIZE NONE Draft Hood _-?) '? S????-? Regulator S Filters Size Number ? Chimney Location Inside X Outside Chimney Construction C LA S,1? 'H; Smoke Bomb Wiring ? Draft - Test Tag _ Door Pressure Lighting Inst. Date Tested `f - ?w ::p ' Company Testing ?A_ C-?- G t ki 1!' K_ Name of Tester Form 235 59 c1 SEDGWICK HEATING & AIR CONDITIONING CO. . HOUSE HEATING TEST RECORD ADDRESS 43C ` CITY 9-7 0 ^A r,?, OCCUPANT '---' OWNER tQ w-1 44 -,R `u?.l +-I,I vN1r,-S HEAT LQSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By 13%.kq Gas Line By c'? TYPE OF HEAT GA_ FA->-e- HW_ STEAM SPACE HTR. UNIT HTR GAS DESIGN MAKE ? R ti 1c-.t-l'T MAKE OF BURPIER Model 395tGnW0a14n5C1 - Model OTHER_ CONVERSION Senal 4q4•6A OSOO? Max. BTU Rating --?"-"" - INPUT - 5n• n? c-, MAKE OF FURNACE ---? Model ?---`- CONTROLS THERMOSTAT T g34 Heat Plug Valve - ?lt =3 « r Limit - S Te rw C ? Limit Setting .?Sr^,° F?:: Fan Se#tirrg - !_ pc-,° rl? Pilot Type ? ?-? ? ?6 r'.l iL Pilot hllake SPnRV_, 1[?t?l aoig Pilot Model Pilot Timing S'( 6- ?,17 L.W. Cut Off Pressure 3• S"J, C - Percent CO 7°?o Input CFH 50 Percent 02 <, °l1L, Stack Temp. ?G e Percent CO .1?jr.'rjr-_ Vent Size ? KIND OF LINER SIZE NONE Draft Hood 5 < < , Regulator !?E Filters Size Number 1 r Chimney Location Inside Outside Chimney Construction L_?a `-? E Smoke Bomh ----^-•?' Wiring C?K_ Draft - Test Tag ?E S Door Pressure -- Lighting Inst. (2SK, Date Tested ? - ?! - C, -1 - Company Testing Name of Tester C--C? t-4 q? *,a Form 235 SEDGWICK HEATING & AIR CONDITIONING CO. ? r HOUSE HEATING TEST RECORD /? '? ?_: 19 ? ADDRESS CITY crl 5 OCCUPANT tIC ?r C?Kr OWNER HEAT LOSS DATE HTG. INST. SOLD BY tNSTALLED BY- '` •'?Electrical Work By Gas Line By ? TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR. QTHE GA$ DESIGN CONVERSION MAKE MAKE OF BURNER Model ' ;!';' (>;? c ?C; _ ' ?`?.•' . C. Model - - Serial Max. BTU Rating ? INPUT J UG MAKE OF FURNACE r Model THERFJIOSTAT- c, Valve -? ? Limit { Limit 5etting _ Fan Setting Pilot Type Pilot IlAake Pilat Model 7 ( , CONTROLS Heat Plu q ? Vent Size ` ? %?'??--7+'? '? - KIND OF LINER _ DrefiHood )ticj Filters Size _ ? { Chimney Location Chimney Construction Pilot Timing 4- rv S'a rk.1 L.W. Cut Off "---r Pressure ( Percent COZ Input CFH? Percent O ?J 7' 2 Stack Temp. Percent CO ? ? J r?c ? ? SIZE NONE ? Regulator 1 ` Number r Inside Ou ide C Smoke Bomb Draft Wiring Test Tag Door Pressvre Lighting Inst. Date Tested ' L ? 8?5- Company Testing ' a-,` C' /;` '' Name of Tester o% -"?- ''Form 235 ? - . ? . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ,?,•r. ?? zs377 Eagan, Minnesota 55122-1897 Date Issued: 16121 RR1-4875 SITE AQDRESS: I e?3a0 ? ri r1,. r , PERMIT SUBTYPE: 1; -tip 1 I.hlii 1 FINI APPLICANT: Lgrr TYPE OF WORK: N 1 1;i 111 `? ?r l i' f I ??t+l (; :d A'.t1t! ) f i: nM 1 ra11 1,)" td/1F;K'- : A',I J'f1OA l 1 }•1 i? iN l I t', 1:1 t)!l 1 l;i i1 } s)I, 1? M'v V 1 t i I t; l e 1t1 E1fjt{t Pertnit No. Permit Holder Date Telephohe • ELECTRIC Q-p?'?f.g ?& ? `r PLUMBING HVAC Inapection Date Inap. Cvmmenta FOOTINGS FOUND FRAMING i ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TE$T INSUL GYP @OARD FJREAlACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ?GG-G BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITX OF E-..nN Permit No: ?? 75 -'- 5-19--?' ? Date: 'o 31(30 Pt?-t'Kr`ob Road Meter No: ? Size: P.O..F3ox 21199 Reader No: ? Date: Eagan, MN 55121 / + ??1esa l.ori2oa. I'ornes ?V Owner. SiteAddress: 4300D Clemaon of Thomas L. Conn. Ch9: 5 25 . f)Ond • r8111u`'u- AS ?.tC' ' 3 ? Acct. Dep: Fl?? o.' I? A? L o Permit Fee: I ?- ? ? Surcharge: ' ?'s ' I agree !a comply with the City ot Eagan Tr.Plant ??'?•??? ` Ordinan ` Meter r,7 I),i. + M isc.: gr YeZ Z2 WATER SERVICE PERMIT ` CITY O"AGAN , ?.. SEWER SERVICE PERMIT 3830 R41ot'K1iob Road Pti%Abox 21199 9907 PERMIT NO.: Eegarh MN 55121 DATE: 5"19"_3' Zoning: 1 Na. of Units: Owne S'w roL'i r zon Iiomes . Address: - - - - - - - - - - ..., . Piumber j noinpsvn r.cumo iiie' ,?^ ^ n I agree to comply wRh the City of Eayan Connection Charge; :);4p•uvizq Ordinances. Account Deposit: 15. OQpd I BY t ( Date of Insp.: i Insp.: i ? L-` - ? - - --'_ ? ?-' -.' - Permit Fee: 10. 002d_ Surcharge: - S0Fd, Misc. Charges: Total: Date Paid: CITY lr1F,EAGAN 3830 Pilot Kitob Rvad Rf). Box 21199 Eagan, MN 55121 Owner. X Ew Site Address: ? T Conn. Chg: Acct. Dep:_ Permit Fee: Surcharge: Tr. Plant_ Meter. _ Permit No: Date: ' Nieter No: S g '? Size: o Reader No: z Date: ? k emsvn r«ils of Thotnas T.'. IJi9ree to comply with #he City of Eagan WATER SERVlCE - -? ? CITa( OF EArpAN .i ,...._, SEWER SERVICE PERMIT ? 3830,10111of l4nob Road g90t_ -? P.O. Box.21189 PERMIT NO.: Eagan,'MN 55121 DATE: -13"3' Zonin9? t-3 No. of Units: 1 ? Owner idew &rizon Nocues . .. d Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: I agree to comply wNh the Gty of Eagan Connection Charge: - 525.44va Ordinartces. Account Deposit: _ 15. bond CITY fiF E/[G71N Permit No: 5--1 7 Qate: CITY OF I?AGAN 49' Permit No: L 383@Pilot Knob Raad Meter No- 3?7Z " oc ?5'?d Size: 5 3830 Pibt Knob Road ry q Meter No: P.D. Box 27199 Fteader Na C3 ?aq8? ? 3 Date: , -,S-7 p,0.' gox 21199 Reader No: L?. a? Eagan, MN 55721 Eagan, MN 55121 _;ew ?_ orizon iio?:;?s idew : Owner iorizon ?iot,ie? ? Owner Site AddrPSS? 4301B Clem$p Illjllk W L?,? ??_,B2 Trails of Thomas Lk . Site Address: 4301 Clems,plij ' ?;;? ] ^.^. Ti Chg: Conn - ?-' . ""`„? ,•" . Aect Dep: 15. Permit Fee: 10• Surcharge: • 5 Tr. Plant 180• 0 Meter A' . Misc.: I agree to compiy with the Ordinances. WATER SERVICE Qate: Size: 1' 6-k Date: ' Conn. Chg: 525. 0r) ? - ?ngta" +- }.., Rl?+? Acct Dep: Permit Fee: ? ?py?i9,? , 15 ? E N_ q, ?f,? . ? r? ? Surcharge: ~I agree to cemply with the City of Eagan Tr. Plant Ordina ea. Metet Misc.: WATER SERVICE PERMIT f CITY OF EkGAN SEWER SERVICE PERMIT ? 3830 Pilot Katsb Road I P.O. frpx;rr19j PERMIT N0: Eagan, AN 551213 DATE: Zoning: ' ?+? pr 4T v?$ No. ot Units: ' Owner. , ` , , ? Address: _ I.k Site Address: mps ! Plumher. Ptumbtffg ( , ..!'? 4"?; . J iJ T. P I agree to comply wkh the City of Eagan Connection Charge: 52$•00F" Ordinancea. Account Deposit: 1 S. OOpci Permlt Fee: 1 0• 00pa ' Surcharge: • SQpd ? gy Misc. Charges: Date of Insp.: Total: ? Insp.: Date Paid: ? CITY OF EAGAN ? 3830:Pilof Knob Road P.O. Box 21199 , Eagan, MN 55121 Zoning: P3 ! Owner. New rizon HamE G .'.. Address: ?01 ?'1, I Site Address: ?BOn Ci? ? Plumber. Thompspn Plumbii ' I agree to oomply wlfh the Clty of Eagan i Ordinances. ; ey i Date of Insp: SEWER SERVICE PERMIT 9904 PERMIT NO.: DATE: No. of Units; Conneci3on Charge: Account Deposit: - Permit Fee: Surcharge: Misc. Charges: _ Total: ?,.?,.,.,.. ..,.... ' . ... CASH RECEIPT ?. ? CITY OF EAGAN ? 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ? 18 ? RECEIVED . . .. PROM ( y . AMbUNT $ & DOLLAR! +oo ? CASH 0'64ECK FOR ' .• . ? ? ? ? ' ?-1 I?? ? BY /??'2`? •r White-Payers Copy Yellow-Posting Copy Pink-File Copy .,- - BLDG. PERMIT NO.,"??,??" I _ 01-3210 Bld ? f ..,;;, . . ? = y?'•l g. Peri 01-3422 Plan Checl 01-3445 5urch./Adi 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit ZD-2275 SAC 20-3865 Water Conn 20-3868 Water Trmt 20-3716 Water Mete 20-2252 Acct. Dep. ? 20-3713 k'ater Perm: ? 20-3743 Sewer Perm; ? 79-3866 Sewer Cvnn, 11-3855 Park Ded, ? TOT--,_? I Thank You ,a Fox sALN T. H. CITY OF EAGAN ?f 0- 13585 ,„r N 3830 Pflot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt# 73s To be used for 1 OF 4 PLEX Est. Value $63,000 Date MAY 7 119 87 SiteAddress 4301B CLEMSON CIR Lot 22 Block 2 Sec/Sub. TRAILS OF Parcel No. thomas lake rc Name NEW HORIZON HOMES INC z Address P.O. BOX 1357 ° City MPLS Phone 420-3900 ,p Name SAME 0 a Address ? City phone ¢ w z n z W Name _ Address City _ I hereby acknowledge that 1 have read this application and state that the intormation is Conect and agree to comply with all applicable Stete ot Minnesota Statutes and Silty a(kagan OrQi}P[ioces. Signature of Permittee A Building Permit Is issued to: NEW H( all work shall be done in accordance with all OFFICE USE ONLY On Site Sewage Occupency R3 MWCC System x Zoning PIl On Site Well Type ot Const V Ciry Water X (ACtuap (Allowable) # ot Stories ?? Length Depth 26 S.F. Total Footprint S.F. APPROVALS FEES Asseasments Permit $ 374.00 Water/Sewer _ Surcharge Police _ Plan Review 1 R7 _(1Q Fire _ SAC, City 100_ o0 En9c _ SAC,MWCC 599_00 Planner _ Water Conn 59 5_!1o Council _ WaterMater 67_!lQ BItlg.Off. _ RoadUnit 305_00 APC _ Treatment P7 180.00 Variance _ Parks Copiea -3O V? TOTAL • INC State of on the express condition that Statutes end City of Eagan Ordinance& Building FOR SALF• T.H. CITY OF EAGAN rJ° 13584 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 BUILDING PERMIT PH ONE: 454-8100 Receipt#23s ?? Tobeusedfor 1 OF 4 PLEX Est.Value $63,009 Date mAY 7 ,19 87 SiteAddress 4301 CLEMSON CIR Lot 21 Block 2 Sec/Sub. TRAILS OF Parcel No. THOMAS LAKE e Name NEW HORIZON HOMES z Address P.O. BOX 1367 o City MPLS Phone 420-3900 p Name_ ?a Address ? City_ a w z u z W Name _ Address C ity _ OFFICE USE ONLY On Site Sewage Occupancy ? MWCC System Zoninq On Site Well Type of Const Ciry Water _X- (AChaq (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council I hereby acknowledge that I have reatl This application and state Bldg. Ofl. ihattheinformetioniscortectendagreetocomplywithallapplicable I A? State of Minnesota Statutes and City Ea Ordina Variance Signature of Permittee e A Building Permit is issued to: NEW HORIZON HOMES all work shall be done in accordance with all applin sor? ta Statu Building Official MStateof M 1&-al.i FEES _ Permit _ SurCherge Plan Review _ SAC,Ciry _ SAC,MWCC _ WeterConn. _ Water Meter _ Road Unit _ Treatment P7 _ Parks Copies R3 PD V $ 374.00 31.50 t?n„7 np 100.00 -5^r.-`rv0 525--^0 67. 0 30-`?-. 0 --i86:80 TOTAL $.2,294„S0 _ on the express condition that and City of Eagan Ordinances. FOR SAE l.H. r ? SiteAddress 4300B CLEMSON CIR Lot 23 81ock 2 Sec/Sub. TRAILS OF Parcel No. THOMAS LAKE a Name NEW HORIZON HOMES INC = Address P.O. BOX 1367 ° City MPLS Phone 420-3900 a .o Name ?? Addre ? Ciry_ w W Name zz. Addre U aW cIry_ OFFICE USE ONLY On Site Sewage OccuDancy R3 MWCCSystem X Zoning Pn On Site Well Type of Cons[ r City Water (ACtuaq - (Allowable) ? # oi stories Length T+? Depth 26 S.F. Total Footprint S.F. APPROVALS FEES Assessmenis _ Permit T 374.00 Water/Sewer _ Surcharge 31.50 Police - Plan Review i fi 7• 00 Fire _ SAG City 100.00 Engr. _ SAC,MWCC 595.00 Planner _ WaterConn. 595_00 Council _ WaterMeter 67.00 I hereby acknowledge that I have read this application and state BIdg.Off. _ Poed Umt 30_5- 0 thalthelnformationisconectandagreetocomplywithallapplicahle APC _ TreatmentPt 1A(l_n0 State of Minnesota Statutes and Cln Ordi'E!?n Varlance - Parks Copies Signature of Permittee ? ?- rornL ?? A Building Permit is issued to: NEW HORIZON HOMES INC on the express condition that all work shall be done in accordance with all a plicable Stat"f MinAnesota Statutes and City of Eagan Ordinance& Building Official , --0.-c?.y;/?o,e.dL. CITY OF EAGAN N° 13586 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT ReceiPtn 7.3-!5 G?d Tobeusedfor 1 OF 4 PLEX Est.Value $63,000 Date MAY 7 ,1987 r FoR Saz.F, T.H. CITY OF EAGAN - ? 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 No_ 13587 PHONE:454-8100 ' BUILDING PERMIT Receipt# `73 S Y P 7o be used for 1 OF 4 PLEX Est. Value $63,000 Date MAY 7 ,1987 Site Address 4300 CLEMSON CIR Lot 24 Block Z Sec/Sub. TRAILS OF Parcel No. THOMAS LAKE rc Name NEW HORIZON HOMES INC ? Address P.O. BOX 1367 ? CitY MPLS Phone 420-3900 olName SAME ?Q Addrass ? City Phone f¢ Fw Name_ xz. Address aw City_ OFFICE USE ONLY OnSiteSewage Occupancy ? MWCC System Zoning On Site Well Type of Const Ciry Water X (ACtuaQ (Allowable) n ot Stories Length Depth S.F. Total FootDrint S.F. APPROYALS Assessmen[s Weter/Sewer Police Fire Engr. Planner Council FEES _ Permit _ Surcharge _ Plan Review _ SAC, City _ SAC, MWCC _ WaterConn. _ Wa[erMeter _ Road Unit _ Treatment P7 _ Parks COpies TOTAL I hereby acknowledge that I have read this applicetlon and atate I BICg. Off. thattheinformationiacorrectentlagreetocomplywithallapplicable APC State of Minnesota Statutes and Ci E gan Ordi n , Variance Signature of Permittee G A Building Permit is issued to: NEW HORIZON MES INC all work shall be done in accordance with all applicable $,tate of Minne44#a Statu R3 PD ? ?- $ 374.00 31.50 "p iv^^.z,0 -525-.00 `r. 00 - 3U"0 -Z80.00 ?. 50 _ on the express condition that and City of Eagan Ordinancea Building Official L? b This request void 18 rtwnths trom C 73364 ElecVical Conlractor 1 hereby requBS< inSpection ot above elec<rical work installad et DReadyro?1l Nntity InsPec ' lor When Ready THIS INSPECTION HEaUEST WILL NOT eE ACCEPTED BY THE STAh BDApD UNLESS PROPER INSPECTION FEE I$ ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-oa ? Sea instrucuons 1.1 campleling this form on beck of yellow copY. "N" 8elow Work Covered by This Request id Rep. . TyOa of Buildine ApOliancea Wired Equiumenl Wired Home Ranye 7emporary Service Duplax Water Heater Lightiny Fixtures Apt. BuilAinp Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial 81Ag. Air Conditioner Buik Milk Tank Fefttt Other peci y i her(Snur.ity) t ar Sueci y Othor Other 7 Fee ServiceEntranca5iie p Fae Feeders?5u?feedars N Fea Circaits O to 200 qm s O to 30 Am s 0 2? 30 Am s Above 200 Amru 31 to 100 Amps 31 to 100 q y Swinvning Pool Above 100_Am s Above 100_Amps Transiormers Irngation Boorc?s PartialOther Pee Signs Special Inspection $ - _ Aemnrks TOTAL T `E ot? ? Nou9h-in - Date ' I, the Eiectncal Inspector, hmaby ' cartily ehet the above Rnal pppqqq??? oectien has bee. ?O ?neAe. ThiarepuestvoitliBmonMyfmm . . MINNESOTA STATE BOARD OF ELECTflICITY Gri09s•Midwev gl49. - Room N-191 55104 t821 Universifv Ave.. St. Paul. MN -. , r^+?I 847-PRAO This reques[ void 7,5-710 18 npmhs Imm 1 5 n ? R % _0.? r? ? y.rz,.1.,,? -?,1?_; $`-?? °a ? Pepuest Date 'C., G? Rre No. Rough,i'n'Insperuon R ui + Ready Nuw?l Notify In spec- ? Whea Pead O lJ ? N. v ensed Electrical Convactur 1 here4V request inspection of ebove ? Owne,r elecVicel work installeE at: 5 r e,s,4y?d J`? ss, x o, R Oe o. Clrv ecimn o. Township Name or No. RanBe No. Coun[y Oc P n[ (PRINT) 4i &-) rn-16? Phune No. Power $upp -e i , (WL! V Adtlress Electrica? tractm (COmpany Namel r?mZ-6 oY-) F te QJ i Contr' r's LicenVeo ailing A?Jress (Con o. wner Mzkipp?lnstailionl ? ?' ' Authorize (Co ? aking ta ti I Phor)CN?umber C/ 3 MINNESOTA STATE 90Afl0 OF EIECTNICITV GriB9s-Midwey Bltl9. - Room N•191 1821 Universi[v Ave.. Si. Paul. MN 55104 ^FOne 16121 642-0800 THIS INSPECTION REQUEST WILI NOT BE ACCEPTEO 9Y THE STATE 80AHD UNLESS PROPER INSPECTION FEE IS ENCLOSED. 0A,? REQUES7 FOR ELECTRlCAt INSPECilON , See nshuctons for completing lhis form on back of Yellow covV. yes-oo-yoot-os m i C, nG-, Q "X'" Below Wark Covered by 7his Request ? New da Aeo. TyDe o+ euiim„s Apoiancn. wuretl Eauiunient Wired Home Fange Temporary Service Dupiex Water Heater Ightlny Rztures Apt. Bullding Uryer Hectric Heatin Commerdial Bldg. Fumace 51!o Unloeder Industrial Bldg. Air Conditioner Bulk Milk Tank Fann O'hnr pe<-J (11hee ISPenivl t er Succiiv, Otnor O+hur Fee Sa,vice EntrancaSixa p Fee Feeders/Suhfezders a Fee Circults 0 to 200 Amps 0 io 3C7 Am 5 0 to 30 Am )s Above 200 Ainps 31 to 100 Amps 31 to 100 A s Swimming Pool A6ove 100_Amps Ahove 100_AmVs Transiormer5 Irrigation 8ooms Partial-"91.her-Fee Signs Special Inspection TO L FE€ Hemarks FouBh-in . D1te 7 /r'a/1 I, ha Elecvlca m a?m, aey arti y at the above I Final r De ?"' ins0eetion has peen made. (hIS reQUest voi018 monlhs Irom 7his reQUest void 18 nwnths fmm L ? 0 15057?. fle.qvest Uate ?? ?? (?['? ? Fire No, Rouphn^Insuectinn HeQUiroid7 ? ? Ready No INo tifv Inspec t Wh (\ F N or N R dy ??aeo uecvicai Convac?or 1 herebv re0uest insvaction of ebove ? Ownar alectrical work inatalled aY SheepA dres , 9ox F ure Nm j i? 75 emmn a Townshlp Name or No. qange No. Cowny Ocm ent (PRWT) ?2c.? r 1- ?or? ?.S Phone Nc. Wowe" itov"ins AdAress E I Contractor ICOmpany Ndme Conrcact i's I.icnnse o, Mai ing AAJress)IC nlratqr wner Makii[aila[? e ns Auffiorized ien ur (Contr tall' ? r ner kiny I e" Phon uniber 3 ? mirvrvtsolq STATE 80AND Of ELECTMCfTY - IHIS INSPECTION REQUEST WILL NOT GrieBS•MidweV Blde. - floom N-197 BE ACCEPTEO BY THE STpTE BOARD 1821 Universitv Ave.. 5i. Pwul, MN 55104 UNLESS PNOPEH INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ? ; SQUESTUFOR E LECT floeA 91Nthis SP oC on ONck ot vanow coov. EB-aooot-os ?77/O n C)j )F,7 "X" Below Work Covered by 7his Request HAd R.P. TyDe ot 6oilEinu Appliancef Wired Equipment Wired Home Range Temporary Service Duplex Wa[er Heater iyhtiny Fixtures Apt. Building ryer Electric Heatin Commercial Bldy. Lrnace Silu Unioader Industrial 81dg. Air Candition r BWk Milk Tank Farm ?nr? neciN oinci Isuccitv) t ier uorifv ther O?h?er l=mmr,ule lnsnorfrnn hac liolnw N Fee Service Entrenee5ize x Fee Fentlers/5ubleeders u F. CircuHs tp 200 qm s 0 to 30 qm s 0 to 30 f1m Above 200 q1111s 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100-Amps Abave 100_Amps Transiormers Irrigation Booms PartialOlher_Eee Signs Specialinspectipn 54 TO L FEE Hemarks .? . - df , -n i i / 50 r lc•n ) txr_ u-u.eu t i?/r_ii? u e t•. = u? i NouBh-ih Elecvi nsoe eroOV / findl e? (" InspBCfiOn he9 hOBn V'd- pria,. fnia reauest voia 18 moniha irom Thls request void 18 rcpmh5 1wm 0 15056 censed Electrical Contraclo, n Owner v ) -2?6 ? Con?ractor (Company [we .r,89s-Mia.vay 91Ag. - qoom N-191 1821 Univerailv Ave.. St. Peul. MN 55100 Phone (612) 642-0800 ?gh-i"Insper.?inn lu511 iretl] OReadY Nuw?tl?ll Notilv In saec- s ?Na l?[or When Fleadv I hereby request inspection ol ebove electricel work installed et: r r te UCY- THIS INSPECTION XEQUEST WILL NOT gE ACCEPTED BY THE STqTE BOqRD IINLESS PPOVEfl INSPECTIDN FEE IS ENCLOSED. _-i cLECTRICAL INSPECTION ea.ooooi-os _u insLUCtiuns for com0letin9 "is form on Enck of yellow copy. "X" Below Work Covered by Ihis Request \ Hdaf Xep. Type oi 6uiltl?ng Apoliancee Wirad-- Equiumenl Wired Home Range Teinpnrary Service Duplex Water Heater ightiny Fixtures APt. Buildinq Dryer Electric Heatin CommerCial Bldg. FumaCe Siio Unloader Intlustrial Bidg. Air Conditioner Bulk Milk Tank Farm ornN, Sne, v otno, tsue,:,ryi ... ....... _ ?'_ t m 5peclrv __"'___ ,- .. . otne. oinei p Fae Service Envanca5ize Y, Pee Fextlers /Subfexders IX Fen Circults 0 to 200 qm s q 0 to 30 m>s 0 in 30 Am>s Above 200 qm??y, 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_P.mps Transiormers Irrigation Booms Partial.-0ther fee Signs SUeciallnspection . Hertnrks . ) 1 TOTA EE (?.GG i Rough-in p??t • ? I the Electncxl i t ,??? nsoec r, na, Final p, e carli/y that the above ? d '-? inspection has been rtaae J . - 757 n 057 984 7 a? ? °o Fire No Rduy;rin Inspeo[ion FeQUIr Inspectl ? Then ough-In Reausat De;a . iYOo musl I In;pec?or ?vhen reatlyl r + eatly Now Will Notif sp Yes ? No Dare Reatly IIlcensed contracror ? owner hereby request inspection of above electrical work at Job Adtlress(SVeol, 5ox or Raule No cuv Sectian P!o. Tov»snip Nam= or Nu. Hange No Cou Or,c Udnl P ) Phone No. Po?er SuppM1ar Hddress EI Ii'ical Gonuaclor ( Campany Nanie) Conlr tor's Lioense No. ` .Mai g Ads ss (ConVxmr r Ovmer F aklno Instal v Au-noriz naWra (COm:a or.0. cr hlaking Inslalla n) P?N}??? Y MI ESOTA STATE OA OF ELEC CITY riggs-Mitlway BIJ - Room 5428 1821 University A., St. Paul, MN 5 104 Phone (612)642-0900 BE FCCEPTED BY THE STATE BDARD UNLE55 PROPER INSPECTION PEE IS FNCLOSED. (f /? /?5 REQUEST FOR ELECTRICAL INSPECTION ?097 ?n?ryn S 4 Ins.mctlone tor completing Ihis form on back of yellow copy- 0 :7 Q "X" Below Wnrk Covered by This Request ? ? /WW090$ 'ta4: Neuv A d ep. ype ot Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer load Management Comm./Industrial Fumace Other (Specify) Farm Air Conditioner f' OMer (spen'ry) GonVactor's Remarks. V.>?yyy„?j,? ? y\ -Z' C_??C4-.. ?G CT.C ?^kJ\2_, , MOJZ Compute lnspection Fee Below: # Other Fee It Service Enirance e Fee # Circuits/Feeders Fee Swimming Pool 0 ta 200 Amps 0 to 100 Amps Transformers Above 200 Amps 0-Amps S'IgIIS Inspector'a Use Oniy TOTAL l Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M HS. I, the Elecirical Inspector, hereby RpOq"-'" wv certify that Ihe above inspection has been made. Fi„ai Da[e , •? OFFICE USE ONLV V V reouest vtitl 18 monlhs Imm This requesl voitl 1B momhs Irom DD'.15 0 5 5?..?Gf i3? ;l?n-:C.> ,? X/G?'7__?;?;'??.?c? He.ques! Da c?_?? Fire No. peq0h-?d.InsVertion ?Ready Nu? Nolily.lnspec- ON. [or When Reudv ypercensed Elecirical ConVactor I hereby reQUest insOection oi ebove /- wmk inslelled at " Owner SU?`ddr ss, B. r /o;te No. ecLOr, u. Township Namn or No. -"- ? Range No. City Coumy Or u an[ IPflWTI . ? t. V V ! 'j ?/! ???,(? VC " Phone No. Power Su0V11R[ ? )%A Ai 1 V`•?? v ?J Address le ' al Contractor ICOmVany Namel Cnotrappp???ppp r s License o y?.. Mai in AJre?s 1 nVac or o ner aking latio ? ?U ? V /--5 30413 J ? Authori ed t ICOnv tor er akinB Insta ati PhupyN? er ?? - ` f rWis irvSPEGTION HEQUEST WILL NOT MINNESOTq SATE BOAPD OF ELECTHICITY Griges-Mitlwev eldg. - Room N•191 1821 Universilv Ave.. SL Paul, MN 55104 Phone (612) 642-0800 BE ACCEPTED eY THE STATE eDAND UNLESS PflOPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTHICAL INSPECTION es-ooooi-os /n ?7 J'? U? / ? Sae insM1UCpons for comoletin9 this form on back oi Yellow ropy. ,.'7?j '1V -'1 -:G (1 G C "X" Below Work Covered by 7hrs Request E60 AAd Neo. TvVa ol auildins Aoo???ncee wired '_ men? wired i Home miye ee Serv Duplez Water Heatar ixtwes Apt. Buildinc? Dryer V eaLn Commecal Bidy urnace der Industrlal BIAg. Alr Condltioner Tenk Farm Othei aer.i v cilv) t cf 5uccirv O,ner ? FBB SarvicaEntrencaSize H =AbovelOO-Amps lee?e?s ? f GIlCU??S 0 to 240 Am ps ? tn 30 Am s Abave 200 Amps ps 31 to 100 Am s Swimming Pool P,mps Above 100-AmPs Transtormers ms PartialOth er Fee Signs ection ? 707 FEE Remarks ? vti ftough-In ? D11e . [h Eiec< - al 7,-64 s0a . hereby c4? fy thet the above Final D'?? eclion has baen ' mla rapuest vold 18 monttre irom ?N??g 2007 RESIDENTIAI. BUII,DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telep6oae # 651-675-5675 FAX # 651-675-5694 New Canshucfim Reauhenenls 3 m9MmW sitesol`reYb showen8 59. R ofbt. s41L of Aurse: and E9roded mreas (2(Y%mazfiwm bt cwaage aVowedy 7 SoOs RePOrt ifptopmed huildmg is to 6e-ptaced on dishuhed sao 2 wWies dDm ahow'sg bemn 8wMNidaw s¢m Paured famd dasign, ea i set of Energy Cdadetioris 3 oVies of Trae Preservatian Alen N lot plgCed afla 711193 Rim Jaist Delml Op6onv selec6m sheet (buddrMs wiffi 3 a less units) Mmnegasco mechenx29 m61efim tam RarlodellRmeir Reuuirements Olfire Use ONv 2capiesoFdanshowu9fo*gs.6aems.psls Catd9uvayRecd _Y _N isetotEnagyCaluMmsforhe0adadditions . Sab Repat _V - N 75deauveyforad&tionv8deft TreeResPlanRed _Y _N, Ad64un-iwfcafer7ona&eso* syslem TreePresRequired _Y _Itl pr? SepticSysEam _Y _N Pians are considered ubiic information unless ou state the are trade secret and the reason. ? Date 0 -7 Coostrnction Cost d9 Q, O C7 d site naaren a o - 43 0 0 ? - Y p/ 443 p 1 ? Unit/Ste M G/c.... lei ? Descriptan of Work E b o ? I I? f r?i?l?ll?l G?? '?( Multi-Famity Bldg {o!? _ N Fireplace(s) _ 0_ 1 _ 2 Property Owner o? 74a n. c.f L S/<< Telephone #((' j -,) L 4 S' ?? Q U Contractor C ?1 Or,'L to Q . Address . ? . aty;Qw-rusu • 1(e State fA ti( . Zip Tdephone # (qS-Z) ? 3 S 'e!;) COMPLETE THIS AREA ONLY IE CONSTRUCTING A NEW BiJILDING Energy Code Category - MinnesM Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 (J submtssion lype) 'Reside^tla1 VentilaBon Category 7 Worksheet • New Energy Code Worksheet Submitted Submitted • Energy Ernelope Calculations Subnifted In fhe last 12 months, has the City of Eagan issued a pertnii for a srcnilar plan based on a master plan$ _ Y _ N If yes, date ond address of master plan: Licensed Plumber Mechanical Conhactor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fagan 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 star[ 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 ofp(ans. '/ ?(JCt' l?r?r.r1 !7 r?C.f !?e-? re -r. L,0 e. L. .--, Applicant's Printed Name 1 ,-,6? *(- 3 a,;1 y A- z6a? Applicant's Signature i c76::? 1987 BIIILDING PERMIT APPLICAYIOH - CITY OF SAGAN SINGLE FAMILY DWELLINGS nICLODE 2 SSfS OF PLANS, 3 OF SOBVSY, 1 SBT OF ENERGY C9LCQLATIOHS BiOTE: ADDRESSES FOR COENfiR LOTS - C09YRACTOR/HOMEOANEB MDST DESIGHAiS AHICH ADDRESS IS DFSIRED. NO CH9NGfiS WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIISD. HOLTIPLE DiIELLINGS - R&SIDENTI9L RENTAL DPITS FOR SALE OAiYS V INCLUDE 2 SETS OF PLANS, CERTIFICATE OF 511BVSY - CHECK WITH BLDG. DSPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANSt 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Rp,p40-rlQ Valuation: Date: 16-7 Site Address 43UU CL-9msoiU Ci Lot 24 Block 2 On Site Sewage_ S MWCC System Parcel/Sub v-T,? (,g???,{v?„cw On Site Well City Water ? Owner ?? %M oio-? JIAI` Address P.0. f3ox- City/Zip Code Tft?,A•, /PI/n S544D Phone -42D -`3qn() I 6PPROVALS Contractor ,g.ZVVrlQ Address C3ty/Zip Code Phone Arch./Engr. Address City/Zip Code Phone U Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Occupancy ?71 ? Zoning ID Type of Const (Aetual) ? (Allowable) ?- # of Stor3es Length ¢¢ Depth Zb S.F. Total Footprint S.F. FEES Permit 374- Surcharge 31. s° Plan Review l ?57 SAC, City VOO. SAC, MWCC .5 ZS. Water Conn 525- Water Meter l07. Road IInit ?,05, Treatment Pl l SO. Parks Copies TOTAL ? 1987 BDILDING PBR@ffT APPLICATION - CITY OF SAGAN SINGLE FAMILY DWELLINGS IBCLIIDE 2 SET3 OF PLAAS, 3 CERTIFICATSS OF SQRVSY, 1 SET OF ENSRGY CALCOLATIOHS HOTE: ADDBESSES FOF CORNER LOTS - CONTRACTOR/HOMEOANEH MOST DESIGHAYS HHICH ADDRESS IS DS3IRED. HO CH9NGfiS WILL BS ALLOWED ONCB BQILDING PERHIT IS ISSQED. MOLTIPLS DTiiELLINGS - RFSIDENTI9L EfiNTAL iAiITS FOR S9LE ONITS I? INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SDRPSY - CHECg iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COM@ffiRCIAL 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: Ppd,UQ?E Valuation: $C3, Date: IS/ d K7 Site Address q3C(?g CLeNlsc,)v Ct2cL?e Lot 2-'-') Block Z_ Parcel/Sub ?'?-?,q?? 69? qho++w6 Owner TPe.r -?g?{? ??rnBO c?rrtL Address p. 0. QU-K, City/Zip Code °YYL?., "s\, 55-4dD Phone A2o- 3qCO Contractor 1«m,k Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone S On Site Sewage_ Oecupancy ?3 MWCC System ? Zoning pp On Site Well Type of Const City Water ? (Actual) (Allowable) # of Stories Length 4-4- Depth Z6 S.F. Total Footprint S.F. APPROY9LS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review 18 l. Fire SAC, City ? q0- Engr SAC, MWCC S2S- Planner Water Conn 525 Council Water Meter 67 . Bldg Off Road Unit 305. APC Treatment Pl I gO, Variance Parks Copies TOTAL 1987 BIIILDING PERMIT APPLICATION - CITY OF SAGAN SINGLE FAMILY DWELLINGS IPCLDDE 2 SEfS OF PLA9S, 3 ?- ?-0 OF SDRVSYt 1 SST OF ENERGY CALCUI.ATIOHS NOT6: ADDEESSES FOE C08NER LOTS - COHTRACTOR/HOMSOfiNER MUST DESIGHAYS iiHICH ADDRESS IS DESIRED. NO CBANGSS HILL BE ALLOWED ONCE BIIILDING YERMIT IS ISSIIED. MOLTIPLE DWELLINGS - R&SIDENTIAL RSNTAL IIAITS FOR SALE OHIYS V INCLUDE 2 SETS OF PLANS, CERTIFIC6TE OF SDRVSY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhAFRCIAL 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: Q¢p;3Dm? Valuation: Date: SW?? S3te Address 4??D? CLEti,sC)U CkT_rtiq_ Lot 2 1 Block 2. 1 On Site Sewage MWCC System v Parcel/Sub On Site Well ater ? City W Owner _ _ ?r ??thervx?. 1?? cOrnc- Address n 0 80X I3(A City/Zip Code 2411 /)A-n , Phone Q 2D - 3q 00 APPROV9LS Contractor ,zyamQ Address City/Zip Code Phone Areh./Engr. Address City/Zip Code Phone !I Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Occupancy ?• 3 Zoning P D Type of Const (Actual) ? - (Allowable) ? # of Stories Length q-q Depth 26_ S.F. Total Footprint S.F. FS65 Permit 3T+. Surcharge 2 . Plan Review ( 5"I. SAC, City 1C)p. SAC, MWCC 525- Water Conn 525 Water Meter (97. - Road Unit 3Cs-. Treatment Fl l Y?- Parks Copies ToTAL r?o? 1987 BQILDING PEH[?ffT APPLIC9TION - CI1R OF EAG9N SINGLE FAMILY DWELLINGS IRCLIIDE 2 SEfS OF PLANS, 3 CfiRTIFICATBS OF SORVEY, 7 S8T OF ENERGY CALCOLATIOBS HOTE: ADDRESSBS FOR COHNER LOrS - COHTRACTOR/HOMEOANEE MUST DESIGHA2S SiHICH ADDESSS 23 DFSIRfiD. NO CH9NGSS WILL BE ALIAWED ONCB BIIILDING PERMIT IS ISSD&D. MOLTIPLE DiIEI.LIHIGS - R&SIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COMMERCIAL RENTIL. DAITS FOR SALE UBITS ? OF SDR7EY - C9ECB BITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANS, 7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuat ion: 9(03,C0(7.00 Date: 5),4/ fl Site Address 3O\t3 (LLEMSC)U OFFICS OSS ONLY Lot 22 Block 2 On Site Sewage Occupancy ? 3 p ? MWCC System Zoning Parcel/Sub g?tiQ? ?, ` I p?ze On Site Well Type of Const City Water 7 (Actual) Owner 01K (Allowable) # of Stories Address F3erx ?3{0? Length -14-¢ Depth 26 City/Zip Code 5-S114U S.F. Total Footprint S.F. Phone 42c) -3q c) CD APPBOV9LS FSES Contractor ?g- u"nk Assessments Permit 3 ??- Water/Sewer Surcharge 31.$° Addresa Police Plan Review l8-7 Fire SAC, City lo O. City/Zip Code Engr SAC, MWCC 5 z5 Planner Water Conn 52s. Phone Council Water Meter l07. Bldg Off Road Unit 3D5. Arch./Engr. APC Treatment P1 1E?0- Varianee Parks Address Copies TOTAL City/Zip Code Phone # ? V?ov_% zvr.a ' ; , . ; '?Gt\?... Tcs?na+?1)a? fea. HEAT LOSS CALCULATIONS H EATI ING &A1R CONDOTIOMING CO. N A.7C 26, 7 54 MINNEAPOIIS, MINN. Wenthe retrips A.S.H.V.E. Construction No. Insulation NPi ndows I Doors Guide Refarence Q? yyall Inf. Wall Ceiling floof Floor Kind How Applied Yes-No Yes-No 19_ . FI.Liy1Ni,?Fo PRoan Leng[h `Z, I Width) 2- Height ? FI. (Y,f\'itF?, ?-4 Room Len9th "Y 0 -Iili Height YJi ndows e nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Are a No. wmn at ana Hai ani of oane No. ot li hts Lineal iL ol crack Area a9. ?L No' w,em ol ana No'am of ane Nn. ot ? nu ???aa? ??. ol crack nrea sa??. l 1 2 L 2 2 l ? 7 1 ° '? R 19 .,2 ? '`-? ts 1 1 f? Coei Btu oef C Btu IntiltratiOn ? 33 Infiltration 21 7 J -1 ..1 O Glass 2q Glass 1-1 90 S Exp. wall "1 02 Exp. wall tQ Net ezp. wall 9,' 91 Net exp. wall fn 9- ?as? -mr-wwh o6'r 1 {1't a Int. wall Ceiling t? Ceiling Floor Floa Totel etu. 715-171 -TOtel gtu. 3? Requir9d 5q. ft. E.D.R. or sq. in5. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader erea FI. lN/N? R;^ Lenpth 1?3 WiMh HeiBht FI. ?')'< ",.pefLjm length ? 5 WiMh I? Height ? Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Ooors- Cracka ge and Ar ea No. Witl?h ol ene Neiqbt of ana No. ol h ?ts Lineal ry, a1 crack Area s". fl. No' W,d,ry ol ane Hx.qht of ann No. ol b Ms Lmeal H. af crac4 Aree eG• 4• , U ? IPYI(] " ,. '] ?L ?1Q l O ^ .L ?l 4 1 Coef Btu Coet Btu Infiltration 22.4(3 Infiltration z ? R Glass Glass I? ?Il . Exp. wall Exp. wall Net exp. well ` Net exp. wall @ '?. 37 Int. Wall Int. wAll Ceiling ? 7.-j ? ? ,`?•S 2 CeilinQ ?vQ «?, j -?f { Floa Fioor E`C. n UJ Totel Btu. s Total Btu. 3-->4 Required sq, ft. E.D.R, or sq. ins. W.A. Leader area Required sq, ft. E.D.A. or sq. ins. W.A. Leader area FI. 'K',j-rX\r Room Length ?Z Width HeiBht ? PI. Roan Length ? Width NeigNt' Windows and Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea NO. Wid, h ol dnB MeiqM 01 PAna No. uf li hb Lineal t[, ol craCk Area g9. It. No. N•inro ol :ane H?;?qh? ut Pnx No. nf b hls Lmeal (L ol crack 4rea 80. 1t. COE} B[U COB( B?II' Infihration In}iltrati0n - ?_ Glass Glass Exp. wall Exp. wnll Net exp. wall Net exp. wall Int. wall int. wnll Ceiling 11-41-1 j Q Ceiling --_ -- Floor - - .'- f-loor ? jC7 (.p ajl} Total Btu. Total Btu. 1123 Required 5q. h. E.D.R, or sq, ins. W.A. Leader drea ??? Reluired 9q, ft, E.D.R. or sq, ins. W.A. leader area f, r ?HEAT LOSS CALCULATIONS Cem. $e? NEATIiNG& AIH COIIIDITIONING CO. MiNNEAPOLIS, MfNN. WeatheBtrips A.S.H.V.E. Construction No. Insulation Wndows Doors Guide Referen Ou[. Wall Int. Well Ceilinp Roo1 Floor Kind How Applied Yes-No Yas-No ce 19 g,F?• QRoan Length 1Q Width Height FI. Roan Length Width Neight Yd indnws and Dows -Crack age and Ar ea Windows and Doors-Crackage and Area No. WiNh ol ane He, ph1 o/ ane No. of Ir h?y L?neel h. of crack Area sa. It. Na. h Of eW?4??B HM OI o?q dn0 Nn. oi G h18 Lmeal !t. OI CrBCk Area 9U. it• 2U I?n Coef Btu Coef 8tu Infiltretipn ? Q 7l Infiltration Glass zk() Glass Ezp, wall Exp. well Net axp. wall 2 Q Net exp. wall Int. wall Int. well Ceiling Ceiling Floor Floor iotal Btu. 3 Total Btu. Rgquired sp, ft. E.O.R. or sq. ins, W.A. Leader Brea Required sq. ft. E.D.R. or sq. ins. W.A. Leader erea fl. j-\r.n,, Room Length -;L_ Width 11 Height FI, Room Length Wid[h Heiyht Wi ndows a nd Doors- Cracka ge and Ar ea Windows and Doors-Crackage and Area No. Witlth al ane Heiqht ot en0 No. al M1 hta L?neal h. of [rack Area s4. fl. No• o?? e?ne ???19nu No.hls o '( cr l eck BOr?ll. Y 9 a t V ° t? W' 3 ?.. Coe! B tu Coef 8 tu Inliltration ' 117 2223 Infiltration Glass ? OOO Glass Exp. wall Ekp. wall Net exp. II 292 -{, ( (, Net exp. wall lat-?+a11 f 2 U 22 lnt. wnll Ceilin8 Ceilinp Flpor ?X I I '4?. t { Ffoor Totel Btu. Total Btu, Required sq, tt. E.O.F. or sq. in5. W.A. Leader ere. Required 6q. It. E.D.R. or'sq. ins. W.A. Leader area FI- ,r fj" Length 13 Width Height FI, Room Length WidSh Height Wi ndows a nd Ooors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea Nq, itlth Or BM1@ Haiqh[ Of fl06 No, uf II 1118 0meal h. OI CIBCk Area tQ. fL No' ?y.h?i? OO AnB H' qbn Ut AnN No. nl b h19 Lineal fL 0l crack 4ren 8• It. Cae( B?u Coef Btu Infiltrdtion Infilttntion ' Glass Glass Exp. wall Exp, wa11 Nat exp. wall 7 xh _Net exp. wall Int. wall Int. wall Ceiling Ceilinq Floor R1 ? 1 ?• 5 1.1-6.a? -_'Floor iotal Btu. - Total Btu. Repuired sq. It. f.D.R, or sq. ins. W.A. Leader area Ropuired 5a. ft E.D.R. nr sq. ins. W.A. Leader erea COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 ? • ?? Foundation Onl New Construction Interior Im rovement • SWCturel Plans (2) sets . ArchitecWral Plans (2) sets • Architedural Plans (2) seGs • Civil Plans (2) . SWctural Plans (2) • Code Malysis (1) • Certificate of Survey (1) • Civll Plans (2) . Project Specs (1) • CodeMalysis (1) "• • landsppingPlans (2) • KeyPlan (1) • ProjectSpecs (1) . CodeAnalysis (1) •' . Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule " • Certificate of Survey (1) • Energy Caiculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & LighUng Form (t) not always" . Meter size must be esfablished . Meter size must be established • Meter size must be established - if applicable • ProjedSpecs (1) 1 . EnergyCalculations (1) " d 1 . Electric Power 8 Lighting Form (1) " 1 1 • Master Ezit Plan (1) 1 l • Emergency Responsa Site Plan (7)'"• y 1 • Soils Report (7) 1 • MClES SAC detertninalion letter . MGES SAC determination letter • MGES SAC determina6on letter call 651-602-1000 call 651-602-1000 call 651-602-1000 rooa & beverage or lodging facilities - su6mit 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 Pian. Ask Building Inspections for requirements. DATE: q O WORK TYPE: NEW REMODEL CONSTRUCTION COST: I SITE ADDRESS: TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLICABLE: Y ? DESCRIPTION OF WORK Name: Phone #: ? PROPERTY Last irst OWNER p CONTRACTOR City: State: Zip: Company: City: ARCHITECT'/ ENGINEER Company: Name: Street Address: Phone#: ((01?/ ) / /?Cl?`f??VV Phone #: Zip: bEm City: State: `Zip: - i Licensed plumber installing new sewer/water service: Phone #i-(--?-- -_ -? I hereby acknowledge that I have read this application, state that the information is correct, and agree to omply ' II applicabl?te of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: dated 7/02 State: 75865 THE TRAILS OF THOMAS LAKE CLEMSON CIRCLE 1 430 /0 1 0 75865 240 02 (4-PLEX) ? 430013/ 230 02 , 4301/ 210 02 4301B 220 02 4302/ 10 75865 250 02 (4-PLEX) 4302B/ 260 02 4304/ 280 02 4304B 270 02 4303/ 10 75865 200 02 (4-PLEX) 4303B/ 190 02 4305/ 170 02 4305B 180 02 4306/ 10 75865 290 02 (4-PLEX) 4306B/ 300 02 4308/ 320 02 4308B 310 02 4307/ 10 75865 160 02 (4-PLEX) 4307B/ 150 02 4309/ 130 02 4309B 140 02 4310/ 10 75865 330 02 (4-PLEX) 4310B/ 340 02 4312/ 360 02 4312B 350 02 4311/ 10 75865 120 02 (4-PLEX) 4311B/ 110 02 4313/ 090 02 4313B 100 02 4314/ 10 75865 370 02 (4-PLEX) 4314B/ 380 02 4316/ 40002 4316B 390 02 4415/ 10 75865 080 02 (4-PLEX) 4315B/ 070 02 4317/ 050 02 4317B 060 02 4318/ 10 75865 410 02 (1/2 OF 4-PLEX - OTHER 1/2 IS 1613/13B CLEMSON DR.) 4318B 10 75865 420 02 4319 10 75865 040 02 (1/2 OF 4-PLEX - OTHER 1/2 IS 1617/17B CLEMSON DR.) 3 , ., O ? X000.0 (000.0) -f- Q,OODd=2?L6pp., ? CUMSON ClRCLE Denotes Iron Monument Denotes Wood Stake Denotes Existing Elevation Denotes Proposed Elevation Denotes Direction of Surtace Drainage ? ` Proposed Top of Foundation Elevation= Proposed Garage Floor Elevation= 935.5 Proposed Lowest Floor Elevation= q36.0 I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lots 21, 22, 23 and 24, Block 2, THE TRAIIS OF THOMAS LAKE, 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 29th day of Aoril 119 87 , Paul A. Johnson Land Survevor. Minn. Rea. No. 10938 i%°w, CERTIFICATE OF SURVEY C OMBS-KNUTSON ASSOCIATES, INC. ?K aE for l ?M, ?? AC? . WIIiUli1NG d6111[lIIS M 1A110 SVIIY[IOPS 0 SITE P{AIINFRS qLE ryp IC WNNEIVOL4uqNUttHINSON,MINNE[OiA 7931 IYGrr Vlr MYIC /06, ob 1ve9• 5?/'08 "W 136- 90 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: NCYl4:: PAST4KNP OF FSB AT TIMEOF ?? ? ? ?? ? ? APPROVAL OF PE20SET. ; nNSPacizorr OF sENM AND/aR Kox ; TNL4Pni7ATfQj$ {+]jlL NOj' ?'. SCEE>- ?F . tu.m Urrrb rERrsr HAs BEEN • AePFDM . . * ? * . _ w-iD?vcxiauaaivision or Tax Parcel ID #T-- IF E7QS`1'ING SlRL'C1URE, DATE OF C2IGINAL BL?2I.DING PII2MIT ISS[:1+,NC'E: Mon ear PRFSIIJf ZONIIJG/PROPOSID LSE: ? cOMrERcrat./RErAIL/oFFIcE Q IMX'STRIAL [] INStT7L*PIONAL/GO?T7f 2) ? NAME: ADDRESS: CITY. STp,TE, 2IP: PHONE: 3) • ?: ?• iVAME: AMRESS: . CITY, STATE? 2IP: PHONE: 0 R-1 SINQ,E FANIILY Cl R-2 DL?PLEX (7WO C?nits) -R-3 4bWNiOC?SE (Three + Units ) ( Lnits ) R-4 APAmEw/COAIDOMIDTI[7M ( Units) LIC'ENSE# C1UlIWCLS L1C2I152: Act1ve Exp1YEd IBot rec:orded Staff Irutial 4) •• • ?NAME.? . ADDRESS: , . CITY, STATE, ZIP; PHONE: 5) '? "' ' ?' • o• a? • ' .r?ak"mczzoN m c:xzy sEwm ? onocrioN Tv cixy waxEt rl OTHM . . 6) ?? • r ? PLEASE HOID APPROVID PERMIT FC)R PICK-UP BY ONE OF ABUVE .-- ----- . [v PLFASE MAiL APPROVID PIIiMIT 7O 1, 2,0 4. ABOVE . ' (Ciscle one) » ?s? . ?, 'L• ?, •?7 ' n • :!iSi'iTiS? ?_r ?WA FOR -CITY USE ONLY PERMIT # ISSUED 97,5-- ? Pd w/Bldg. Permit $ $ $ 1,4 7??- $ $ $ $ s SzS'o? $ [cZ 5r00 $ $ $ $ $ $ s ?7'0-D --- 735'fC-f i FEES: $ /Q-S? SEWER PERMIT (INCLUDE SCTRCHARGE) WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OOTSIDE READER $ WATER TAP (ZNCLLDE CORPORATION STOP) $ SEWER TAP $ ACCOLNT DEPOSIT - SEWER $ ACCOONT DEPOSIT - WATER $ • WAC $ SAC , -:. , ' ?'•.,rl, $ TRrC1QIF •WATER ASSESSNJENT . • \-• • '? .. _ r • ' ? .-• 1 L?NK _$$TpjER.;ASSFSSMENT r..•??-„'' ., _• ."i. 1 :.:_ 1. i''1 L• ij $ LATERAL''f3UNEliI-P/.?DNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ ' • ., H]ATE$ ,TRFATMENT, PL'ANT SORCHARGE . i. . '? . .? . . . ? a :l ; '" i, , _ i . $ TOTAL •+?• ? ?1 ? GG3 REC IPT RE EIPT - _ .. j ??% DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMZT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: ? APPROVED BY: . TITLE; • • " =?, DATE: CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) pROPERTy ADDRESS: LEGAL DESCRIPTION: N(r!*:: PA7Q+1FNf' QF FFE AT TIlM 0P aPPr.icATxaa naES rar ooesrrTUM APPRoVAr. CP PERruT. irsPE.-rioN aF sE,ER Arn/UR kWMx aa-rALtrazors wIIa. rxrr ]BE scHE!>- 11 [nNtIL PERMET xAS EM ArrRavEn. . %-iD?ucaiauDaivision or Tax Parcel ID #) IF EXISTING STRL'CiLR2E. DA1£ OF ORIGINAL BL?IIDING PFRMIT ISS[)ANCE: " - PFMarr zorrzNc/PxoPOSm esE: Mon Par - ? cM4ERcIAr./RETAxr./oFFIcs Q INIDL?S"PRIAL ? INSTITL*PIONAL/GpVII2NMENp 2) ? AD CITY. STATE ? R-1 SIIgaE FANIILY R-2 DL'PI.EX (1t,v Cfiits) E R-3 7CXaM0L?5E (Three + Units) { Lfiits) Cj R-4 APARM21'P/COAIDOMINIUNI ( Units ) 3) • ?: ?• tVAME. I'M ? For City Use .. Plucnbers License: AMRESS: I A Active CI7'Y. STATE. ZIP: ' u E>cplred Not z'ecorded PHONE: MA.STEE2 LICFSVSE# _17C93M btatt IniEral 4) NAME:? _ ADDRES5: . . CITY. S`fATE. ZIP: PHONE: - 'S? " ' ?' ' ?' • a? ?? • ` e'12MON 70 ?? . CITY SEWM M/ ODW?7C.TION TO CITY WATER Q OTfM '- 6) ?? • •? ? PiEASE HoiD 1PPROVID PmNIIT FQR PZQC-uP BY ONE OF ABOVE Q? PLEASE MAIL 31PPROVID PmnT 7o 1, 2, 3 4. ABWE (Circle one) , is FOR -:CITY USE ONLY PERMIT # ISSUED ?7 7-S- z- Pd w/Sldg. Permit S s 7. U C> $ $ $ $ $ s ???•? $ $ $ $ $ ??d • U 0 $ $ s /39 RECEIPT FEES: 5a s /D- S-z> S $ ,. . ? ..? , SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLODE SLTRCHARGE) WATER METER/COPPERHORN/OCTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ (? ?U I) ACCOUNT DEPOSIT - WATER $ • WAC $ SAC , $ % ? : •'" . • , ` „/, TR114R •WATER ASSESSNaENT .. . y .. , • '?•"';1 . ? T$C?NK _$EIOjER;ASSESS,MENT .?-.?.. , i • ' $ LATERAL' 1?$NE?I+P/.'?L?NK SEWER ? . $ LATERAL BENEFIT/TS['.NK WATER , . [ .. ., ._ ..vi.'t:i' . ,e•' : . ..... . i?•.J ' ?..i.'.,?i'1{1.1i;! ? • , , NjP(TEEt ,TRF, ATMENT, PitANT SURCHARGE . E+ y .W i_ , '•. . , ? ?'?_'. . u ?: ^ i $ •!., r -.? y , dTHER': , , `.? G t? •, • ?? TOTAL :-^?'•-• . . RECEIPT # - ? ' i . ... .. _ , _ : s .. .. DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F__j YES IF YES, THEN A"PERMIT FOR FIORK WITHIN PUBLIC Q ROADWAY" ML?ST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY: ? TITLE; . . l1' i DATE: _? . - • ?/I ? ?? 7 . `` ? ? . : ? ?? ` .., . . ? . , .. . CITY OF EAGAN APPUCATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) pROPERTy ADDRESS: LEGAL DESCRIPTION: NO19:: PASQKVlP OF PM AT T'IM C1F APPLIcATzorr noFS NDr aorsTrnrTE mPPROVnr, oF PERM. nsPEcrzox oF sEaM aru/?at FmM nsrAra.P,Tioes wa.L NDr ]BE scHED- cu? UrrrII. reRMIT HAs BM APPROM. , %--,-.,caiauDa-ivision or Tax Parcel ID #) I£ EXISTING STRCCZURE, DATE OF ORIGINAL BOII,DING PERMIT ISSCAIVCE: . PRFSIIdt' ZONING/PROPOSID LSE: Nbn ear -- q caMMEzcIAL/RETAU./oFFxce 0 IrIDL'ST'RIAL [] INST'I1LfiI0Npi,/GdVIIiNMENr 2) ? NAME: ADDRFSS: CITY. STATE, ZIP: . PHONE: 3) • i: ?• N11ME: 19DDRFSS: CITY, STATE, ZIP:, PffiNE: C] R-1 SINGI,E FANIILY ? C] R-2 DC?PI.FJC (TWo Units) Cg"R-3 10WIMOUSE (Three + (ni.ts) { Dnits) Q R-4 APARTmTP/CONIDOMINICM Units) MASiEt I.ICENSE# 4) •' •. ? NAME:? _ ADDRF.SS: • ciTSC, sTr+TEr zIP: rhom: Active Hxpired Dlot recorded Staff U=tial •5) n - «: • ?• : a - o, • ?, • Er COPIINIIX.TION 10 CITY SE,WfR ? COPII9E)LTION 70 CITY WAM ? O141ER. 6) M?r [] PLEASE HOID APPROVID PEltPIIT E'OR PICK-C?P BY 0NE OF ABCNE ? PLFASE MAIL APPR(7VID PERMIT ZO 1, 2, 3 4. ABC7VE (Circle one) ' r FOR -CITY USE ONLY PERMIT # ISSUED 5 7 " Pd w/Bldg. Permit $ $ g ?7a?J S $ $ $ $ s $ $ $ $ $ $ S - 7ss"Ff FEES: • ? '? . $ ?D 'Sa SEWER PERMIT (INCLODE SURCHARGE) $ d WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OL'TSIDE READER $ WATER TAP (INCLL'DE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER S ACCOUNT DEPOSIT - WATER $ • WAC $ SAC , . $ • .:: . - " .• • ,?_r TR?LiQIE •NATER ASSESSNJENT - - - .? '' • $ . .. ? ;q ?tL?NK -$ETRER ;ASSESSMENT ` ,i 1 $ ' LATERAL' kF,NE?I+PI;CIlL?NK SEWER ? - $ • LATERAL BENEF IT/T8L'.NK WATER + '\Z: i Y?) \'?..\ ?S ? ` $ . . • ,TRF.ATMENT, PIPANT SURCHARGE Tl?F,TE$ . : 3 .. . 5 , ? ?•. : {i t. ?- 1 . . bTHER'': . .. - , -. ? , TOTAL ?-'??- ' . • ?a??3 RECEIPT RECEIPT#^- -- DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" Mt?ST BE ISSDED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: v APPROVED BY: I TITLE; -- ? . :1 • DATE:?-l• ? r7?y??? , . CITY OF EAGAIV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ?l) PROPERTy ADDRESS: LEGAL DESCRIPTION: NO'iB: PAYMFM!' OF FEB AT T!ME OP aPPLxcATIaH nors tar oorsizIUM APPRovAw CP PERruT. naReclzCN oF sEaM nrn/CR hmTER 7'NISTAT.fATTQm F]jjL NOP BE SCHED- tam urrrII. PERraT H+s smN AePRovm. IF E7QSTING SiRL'L't[JRE, DA1E OF CRIGINAL BLILDING PEEtMIT ISSL'ANCE: . PRESIIJf ZONING/PROPOSID LSE: t'bn ear [] CMERCIAL/RETAII./OFFICE Q I@ID(ISTRIAL [] IAISTITuTIONAL/CbVEw4ENT ? R-1 SINGLE FAMIII.Y : C] R-2 DUP= (TWo [lhits) [v?11--R-3 7S%WNHOUSE (Three + Units) ( Units) R-4 APARTf4NP/OODIDO4IDTIUNl ( Units ) 2) ? NAME: AAMRESS: CITY, STATE PHONE: 3) ' ':3' NAME: ? For City Use .. Plimd?ers License: ADDRESS: ? Active CITY. STATE, ZIP: ExpiTed Not recorded PHONE: MSTM l.TCENSE# ?al 4) ?• ?? NANE:? _ ADDRESS: • CITY. S'PATE, ZIP: PHONE: ' «' ' N ' • a• - Eo • ? e OOMM,TION TD CI19C SEWffI2 (;? ODAIIE.TION TO CITY WATgt d1Ult_ 6) ? ? PLEASE EiOLD APPRWID PUiiNIIT FYR PICK-PP BY ONE OF ABCRM [v? PLEASE MAIL APPRCJVID PEEiNIIT TO 1, 2, (9 4, ABOVE (Circle one) . , f OR -CITY USE ONLY ? PERMIT # ISSUED ' O7S c? ? Pd w/Bldg. Permit FEES: SEWER PERMIT (INCLUDE SURCHARGE) $ $_ WATER PERMIT (INCLODE SURCHARGE) $ (0 7'?? S WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ S SEWER TAP $ S /,S' Q-7} ACCOUNT DEPOSIT - SEWER $ $ ? ?I) ACCOUNT DEPOSIT - WATER $ $ • WAC $ ?pL s' 0`a $ SAC , , :_ . • . . ./ $ $ - ! % { '• . ' TR'tlIQIF •WATER ASBESSNENT -- `, $ $ ?Y ?.•• . ?•fPjtC'NIC _$B?dER;AS • SESSMENT a,'?. ,` S'i i: tij' $ $ ?. LATERAL'$PNEI?I?I'/.?ItUNK SEWER ' - $ $ LATERAL BENEFIT/TRL'NK WATER d `.'1 i*:??a:": •:.t.J4; i .:_?. ??i i r:l. ! ; $ $ • . WATE$ ,TRFjATMENT. PIIANT SURCHARGE 7. $ S '' ? `-> > .bTHER": ' - $ Z :3 9 7' CT-O TOTAL •-?? = ' ??^ - -) -:3 s'e S 706 63 _ RECEIPT # RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? F__j YES IF YES, THEN A"PERMZT FOR WORK WITHIN PLBLIC Q ROADWAY" ML?ST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SLBJECT TO THE FOLLOWING CpNDITIONS: l APPROVED BY: -- . ' ? TITLE: ?• . . _ ? ? . `t '. ,_ s• ? Yy . `. •?;:: : ? ?•. ? DATE: I-7 . . ' i . . ..'. .. W_ . a .s.? ay .`. .. 7 I _.. ? CiTX OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: Permit Number: Bur?o=N? 030431 Date Issued: 0 7/ 15 / 9 7 SITE ADDRESS: 4301 CLEMSON CIR UNIT B LtlT: 22 BLOCK: 2 THE TRAILS OF THOMNS LAKE P.I.N.: 10-75865-220-02 DESCRIPTION: 84"il'dinlj-.Permit Type Suilding Wo,rk Type '"Censae C?rde ? i ? BASEMENT FINISH ALTERATION 434 ALT. RESSDENTIAL i q ? r'1'l t Z? .LnT f Jf ?i E ? 7 i:d ..., C?+ REMARKS: SEPARATE PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CQNTRACTOR: OWNER: - Applicant - CHRISTENSEN TODD ? 4301 CLEMSON CIR B EAGAN MN (612)456-0054 I hereby aeknowledgE that?3 have read'-this agplication and state that the informatiort is oorrect and agr'Ee to campTy with m1]:;applicatale;StaCe a# Mn.;. Statutes and C3ty of Eagan Ordinances. ? .. m . ° .._.: ? - APPLICANT/PERMITEE ISSUEO BV' IGNATUR . 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55722 7/ / S 681-46T5 New Conatruetion Reauiremen!e RamodeVReoeir Reauirementa ? 3 rogistered sde surveys • 2 copias a Dlan • 2 coples of plans (include beam 8 window saes; poured fid. design; etc.) ? 2 aite aurveys (exterior atlditions 8 dedcs) • t energy calwlatlons ? 1 energy cekulations tor heated atlEkions • 3 eopies ot tree preservation plan if lot platted after 711/93 required: _Yes _ No - eo DATE: 7/I q a 1 CONSTRUCTION COST: ?? 11100 = DESCRIPTION OF WORK: STREET ADDRESS: ? LOT BLOCK PROPERTY Name: 24ri S4ra Sr?, -r. phone #: y sG' OOSy OWNER ? StreetAddress: ?301 Ctrc Ciry: C-aa a V. State: AA V_ Zip: 5Qe22 CONTRACTOR Company: st ?T Phone #: Street Address: License #: CitY: State: Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licer.5ed plumber (new construction ony): and lot change arc , equested once permft is issued. Penalty applies when address change I hereby acknowledge that I have read this applicatlon and state that the information is correct and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. , ????? -?//// Signature of Applicant: .?. OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No J U L 1 4 1997 Tree Preserva6on Plan Received _ Yes _ No _ Not Required B• ? SUBD./P.I.D. #: -,L TA4,1' ° f ""`n..`v AL. , PERMIT c017119 ; ?. `CITY OF EAGAN ?4z?IQJ? 3830 Pilot Knob Road PERMIT TYPE: B u L D I N G Eagan, MinneSOta 55122-1897 Permit Number: q 2 5 3 7 7 (612) 681-4675 Date Issued: 0 4/ 21 / 9 5 SITE ADDRESS: 4300-B CLEMSON CIR LOT: 23 BLOCK: 2 THE TRAILS OF 7HOMA5 LAKE DESCRIPTION: (3-SERSDN) B'uilding'P,ermit Type SF PORCH guilding Wo'rk 7ype NEW , . ? ,u? _l ;«; REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRZCAL WORK FEE SUMMARY: vaLuarzoN ease Fee Surcharge Lic. Search Total Fee $72.00 $2.50 Fee $5.00 $79.50 $5,000 CONTRACTOR: - p,pplicant - s7. Lrc. OWNER: CUSTQM HANDYMAN 15521599 0007765 HOFF RICHARD 139 S CONCORD EXCHANGE 4300-B CLEMSON CIR S ST PAUL MN 55075 EAGAN MN 55122 (612) 552-1599 (612)687-0563 ? I hereby acknowledge that I have read this information is correct and egre`e to comply L Statutes and ity of Eagan Ordinances. f , A P ICANT/P M I T J application and state that the wi:Ch a11 applicableState oF Mn,' , ISSUED B : SIGNAYgFE 93 CITY OF EAGAN 1141 1994 BUILDING PERMIT APPLI ^AA 681-4675 ? ?6??L?'DD (?.?t¢G??-Iz ,.., 06 tc;94 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si "'?r'd`.,?; ',-?? f energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date QP,2iL / O. //945 Valuation of work 6, ?•°-° Site Address: 43008 &Cn,f6.-_n/ 01/tCi,6 STREET SUITE # Tenant Name: (commercial only) LOT ? BIACK 9_ SUBD.Jj' ^ ?? P.I.D. # Descri tion of mork: 3 5e?q'JG1A/ The applicant is: ? Owner ? Contractor ? Other (Describe) Name V-kaFF RiU+'Nfzi1 Phone (od7- o54P3 Property LAST FIRST Owner pddress A-3006 LWgSnn[ Cr,ec[-5 STREET STE Il City EA64N State MN Zip 551Z2- Company Cu6rcM N94UDYA44nl4 lNG• Phone 552-1599 Contractor Address OM /39 varYNC."olU(?,6eD ElIC'. License #`TI/0S Exp.a19-T City ?b • ?q" P40 L. State /VIItI Z i p 550747 Company -rA51WI /IOR68 Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. i f gnature o S Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory 004 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE CO-31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) SAllowable) UBC ccupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS O .Site ? Wallboard Basement sq. ft. lst F7. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final ? Framing ? Draintile y3y o/ i O ? Insulation O Fireplace Permit fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vatuac;m: S ' Si omo /zx/v - iZOxyo= yooo ;-? ... . ...?•"?, ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Requ9red Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units For Office Use Permit `7Y 7 City of Eapn Permit Fee: <5Z) 3830 Pilot Knob Road Eagan MN 55122 Date Received: f Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 MECHANICAL PERMIT APPLICATION Date: Site Address: Tenant: G~741e L . Suite RESIDENT / OWNER Name: C2 Phone:6 7 ' OJ Address,,I City / Zip: i CONTRACTOR Name:_ License Address: 1~ t, 11 City: State: Zip: / 2-- - Phone:6S7 19Contact Person: f~ LIC TYPE OF WORK New Re lacement Additional Alteration Demolition Description of work: f r~~z NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement -,Furnace _ Air Conditioner Install Piping Processed _ Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) 1 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conf rm peit ha rk will be in accordance with the approved plan i th case of work which requires a review and approval of plans. --Kz Applicant's Printed Name ant's ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In Air Test Gas Service Test ___In-floor Heat --Final III Exterior HVAC Screening Inspection €ity of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use j Permit#: / CC)Q / �0 Permit Fee: 8 5- o c'v. Date Received: V11 4- 13 Staff: _\m 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / ^ / ) S Site Address: I -1;O , Unit #: Name: 7r)') ?J4 H e I r Phone: Address/City/Zip: LI C1F'►MSv?✓ (1. RC I('' Applicant is: Owner X Contractor c1 tiCSOcY5- Description of work: lC'M 0 vie Irse 1-; UC T 0i)c` aka / k-' i5P 61/ p taro) c9 ati s J r ,} t o C i s Construction Cost: 11/0r'� L �' Company: Multi -Family Building: (Yes / No Contact: J Oe--) 1 D(- V r l rs Address: CY L-)?.- /tff'Nl`.f:t5 City: in W 71, Lz'f State: /Ail) Zip: <. s ?G, Phone: 6 / 9 7'17 7 .5 ( License #: j?t L%z( 3 5-- ' Lead Certificate #: N74 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: re Si 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.gopherstateonecall.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 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 S (? ( I)f7 Ir /e Applicant's Printed Name Signature Page 1 of 3 v ) • 4300 C k/ vl--�Y\ C i r DO NOT WRITE BELOW THIS LINE I DS CTS SUB TYPES Foundation Fireplace Single Family _ Garage Multi _ Deck _ 01 of _ Plex _ Lower Level Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code #of Units # of Buildings Type of Construction Porch (3 -Season)_ Storm Damage Porch (4 -Season) _ Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) T Pool — Miscellaneous _ Interior Improvement _ Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Occupancy Code Edition Zoning Stories Square Feet Length Width Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Demolish Building* Demolish Interior Demolish Foundation Egress Window l Water Damage *Demolition of entire building – give PCA handout to applicant W, r1 7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: __Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL orivr"0., (1/ 43 ,aQ Page 2 of 3 Use BLUE or BLACK Ink ~r I For Office Use non Permit 12 ~5,()D t io EaV ~ Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 ; Date Received: Phone: (651) 675-5675 i i Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date; Site Address: 0 ) )-1301 X ~'_IC►wtSO L C ~ Unit Name: ~ (~1UAl Phone: bIR Z~Z7S`~ i Resident/ I Owner Address / City / Zip: tl t'e Applicant is. Owner Contractor Type of Work Description of work: &01tiCP iw It Irv J_a Construction Cost;.... F LQ._ tidtnT-(Yes tRb - - Company: TL8 Contact: Contractor Address: q3 , Ko ' C~ r te, N City: 4 ti(-(L0 111(1✓~ 3 (a0--7q7- 75 State: Zip:- Phone: f L;LZ,-, - ea e i ica e If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ` t 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 they are trade secrets - 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.gopherstateonecall.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 S to But i Code m st be completed within 180 days',,ofjpermit issuance. Applicant's Printed Name App i nt's Signature Page 1 of 3 } Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - I For Office Use Permit non City of EaKd I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 ; Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit { Name: d &4Z 4 &//n Phone: 'J c2 7 7 R 7-aa Resident! Owner Address/ City /Zip: d„ S'9 N Z Applicant is: Owner Contractor Type of Work Description ofwork: /j,~-_11 ~1 n 6 Dc /l~°c E Construction Cost: J rG D Multi-Family Building: (Yes No Company: h~ Contact: 11(' i Address: 23`2 City: (VA d ~ 4-l Contractor -~-_j State: _(1J Zip: ~5 Phone: (n ) 7 ~ 7 2 2 1 License Lead Certificate 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. w - - - - 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.oopherstateonecall.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 tate Building Code must be completed within 180 days of permit issuance. x ) 0C S x Applicant's Printed Name A li nt's Signatur Page 1 of 3