4302 Clemson Cir• FOR -SALE T. H. CITY OF'EAGAN ?t 2 L'25_2?.', g Z 3830 Phot Knob Road, P.O. 3ox 21-199, Eagan, MN 55121 [? 13213
. _ ., P
HONE. 454-8100
BUILDING PERMIT Receipt #
Tebeusedfnr 1 Or 4 PLEX $64,000 FEBRUARY 11 87
W Name ?7EW HORIZON HOMFS INC
3 Address P- O. BOX 1367
° city PtPLS ph9ne 420-3900
= o Name SAME
0 ¢ Address
~ City Phone
U¢
F W Name
? ? Address
Z Z
W City Phone
Repair ? Type of Const v
Addition ? No. Stories
Move ? Length 44
Demolish ? Depth 27
Int. Impr. ? Sq. Ft
Install ?
Assessment Permit S 377.50
Water & Sew.
I
Surcharge 32.00
Police Plan Review 1$8•
Fire SAC 625.00
Eng. Water Conn. 515 . 00
Planner Water Meter 67.00
Council Road Unit 305.00
I hereby acknowledge that I have read this application and state that the Bldg. Off. Tr. PI. 180.00
information is correct and agree to comply with all applicabie State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Var. Date Copie
Signature of Permittee
A Building Permit is issued to: NEW HOKI a0N HOA;ES INC
all work shall be done in accordance with all applicable State of Minnesota Sta
Building Official
Totai • ivu . 2 5
on the express condi6on that
of Eagan Ordinances.
PemiN No. PermN Mddw DaN Talephooe M
Plumbiny'
H.V.A.C. ?
El«tric ?V-3 ?, L'L! X 10 c c
goft.n..
Inspsctfon Deb Imp. Commenb
Footfnq? I ? ?
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Framing
Rooflny y '
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IMUI. N?GG S OC/L?N?i
Finplac• s' ?7 G. /f• u s5 p E
FMaI Niq.
Final Plby. S, ?
Bldy. Final
CNt. OcC.
4- -1-f s,7
Deek Ft9.
Deck Frmp.
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Pr. Dlsp.
?' . . . y .
CONTRACT PRICE
. . ? . .. . ' i ,.'._ . . .r. - . . _ ? .- '. ,. ._r .s . ? . . .
PERMIT # ?
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE:454-8100
Site Address " -
Lot Block ' Sec/Sub
y Name
?o Address - , r L-
c City Phone - -
? Name - `
3 Address
p City ; Phone - -? ` ?-%
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/1ND FEE - $20.00
STATE SURCHARGE PER PERMIT - _50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
-
SIGNATUR F PERMITTEE,
BLDG. TYPE WORK DE SCRIPTION
Res. New "
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 ?
Bath Tubs - $3.00
Lavatory - $3.00 V
Shower - $3.00
i Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00 ?
Floor Drains - $1.50
Water Heater - S1.50 ?
Whirlpool - $3.00
Gas Piping Outlets - $1.50
?
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
f
FEE: -j -
?
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
_.., •
_,. _ _---°--_-.`---?- -?--.• ,.?? ...__.,.-..;._.d.?....?:,??:.?--._:?.??,_..,..__ Y._ __..v_? -- - . _.
?M6CNANICAL PEHMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
'RACT PRICE: PHONE: 454-8100
RECEIPT #
DATE:
m Name _
? Address
c City _
L Name _
c Address
p CitY -
? TYPE OF WORK
! Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
Phone
? M BTU
M BTU
M BTU
? M BTU
CFM
FEE:
S/C:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIQNAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT} - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 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: CITY OF EAGAN
L ?.s-.28, s a
T. H .
CITY OF EAGAN ? 132??
3630 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121N
PHONE:454-8100 ) ', :
Site Address 43 U2II CLEMSON
Lot 26 Block 2 Sec/Sub. T
W Name ivLn nv,
; Address p • O . B'
0 City Mpj' ' Phone
= o Name yAMi'
$ ¢ Address
~ City Phone
a
I W Name
u n Address
z
i W City Phone
Receipt t1
$64 000 Date FEBR[DARY 11 1y87
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State o}
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee ? _ -
A Buifding Permit is issued to: NEW HOR I ZON HOMES
Erect 6
Remodel ? Occupancy R3
Zonino Pp
Repair ? Type of Const v
Addition ? No. Stories
Move ? Length 44
Demolish ? Depth ?
Int Impr. ? Sq. Ft
Install ?
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
Permit ? I I •
Surcharge 32 •
Plan Review 1i" •
Bldg. Off. Tr. PI. 10 U. u u
Var.
all work shall be done in accordance with all applicable 5tate of Minnesota Statutes
Building OHicial
Parks
Copies_42,300.25
_Total
on the express condition thal
oi Eagan Ordinances.
W-
BUILDING PERMIT
To be used for 1OF Q PLEX
PwmN No. PermR Holde r Dde Tibphorn 8
PluRan
9
:??r% •? ?
%?% •' +i C" '
? !:-'
tJ?
H.KA.C. .?71S7
Elecfric
?
Softsnar
Inapection Date, In ap. C ommants
Footlnys I 11 ?
FooNnpsll
Foundatbn
Fnminy
Roofiny ? 04
Rouyh Plby.
Rouyh Ht4. y 1 f? ?
Inoul. /?GGV / ?/S '? !?+'? S d?
FI?eplacs -Ao 4 AF- . .
Flnai Hty.
Finai Plby.
Bldp. Final
CMt.OCC. ?-i7 . 9• / r ;• ?4 ?G? C4 a%?A'/'7
Dock Fty.
Deek Frmp.
WNI
Pr. Dhp.
A,
, PLUMBINC PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 454-8100
Site Address ,
Lot B oc.k SeciSub
,?,? ,
? Name
?o Address
c City Phone
? Name
c Address
p City Phone _
FEES ? i
COMM/IND FEE - 1% OF CONTRACT FEE ii
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL 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
PERMIT tF
RECEIPT # -4'
DATE: ?
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 S?
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki!chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1 50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
weu - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 FEE: -=- ?
STATE S/C: = ?-J
GRAND TOTAL: ? ? ?
' u-" ? S? y? • IIk'CHANICAL PERMIT p
? CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
:ONTRACT PRICE: " PHONE: 454-8100 4szo ?ite Address ?? - BLDG. TYPE WORK DESCRIPTION
ot? Blpck ? Sec/Sub . Res jl- NeW '"-
?
Name Mult Add-on
m REAGWICK • Comm. Repair
Address _8 '
Other
c Cily MINNFeo??? ' • 11
FEES
Name RES
HVAC 0-100 M BTU - $24
00
? . .
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMIT
1
50 EA
(
-
) -
.
. ,
TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE
Forced Air .?LLL M BTU ?.? APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. 01.4 M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
; Vent CFM ? , PERMIT PRICE G?ES
p
s
? Ga3 Piping OUtlets # f p)
BEYOND $1 p ?
r
FQR §ALF T.H.,
L'???:? , 13 2
BUILDING PERMIT
To be uaed for I ul
Site Address '
Lot 2 n Block
W I Name hiEW
3 Address P.0
o
$AM
CITY OF EAGAN
3830 P(bt Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2
PHONE: 454-8100
4 PLEX Est va(ue $ 64 j,000
EMSON CIR
_sec/sub. TxAIz.s oF
THOMAS LAKE
RIZON IiOMES
Phone
?¢
? W Name
_Z
_ Z5 Address
0
i W_
City Phone
t hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: NF,W iiOP.I ZON HOF!ES
all work shall be done in accordance with all applicable State of Minneso
Building Official
and
Parks
- Copie
Total a ` , o • 2 5
- on the express condition that
Eagan Ordinances.
13214
Receipi #
_ . FEB:tUAF.Y 11 87
Erect I!i
?3
Occupancy
'o
Remodel ? Zoning r
Repair ? Type ot Const V
Additian ? No. Stories
Move ? Lengm 44
Demolish ? Depth 2 ?
Int. Impr. ? Sq. Ft
Install ?
Approwts Fees
Assessment Permit ? 377.50
Water & Sew. Surcharge 32.00
Police Plan Review 188. 75
Fire SAC 625.00
Eng. Water Conn. 525 . 00
Planner Water Meter 67 . 00
Council Road Unit 305.00
Bldg. Off. Tr. PI. 130.00
Var.
I I wrmN Na I Permh Haea I O.te i T.lephon. r I
cc
Hty.
4;7.
Final
Occ.
Dbp.
CONTRACT PRICE:
Site Address • ? ? l '
Lot Block ?
? . ; .,
? Name
? Address
c Ciry Phone
L Name
c Address
3
p
City - ? - - ? Phone
FEES
COMM/IND FEE - 19b OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL 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) F
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT # !7
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN - -
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
BIDG. TYPE WORK DESCRIPTION
Sec/Sub Res. New
M ult. Add-on ?
Comm. Repai r
Other
RES. PIBG. ONLY - COMPLETE THE FOLLOWING:
NO. FiXTURES TOTAL
Water Closet - $3.00 S -
Bath Tubs - $100 a
Lavatory - $3.00
Shower - $3.00
KitChen Sink - $3.00 ?
Urinai/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50 r --?-'
Whirlpool - $3.00
Gas Piping Outlets - $1.50 ?
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
well - $10.00 ?
Private Disp. - $10.00
' Rough Openings - $1.50
'
FEE:
STATE S/C:
GRAND TOTAL•
.
f ' +? MLGHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
f ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: J7'
' CONTRACT PRICE L PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTIOPF
Lot_,; ? Block Sec/Sub
.
?
Res. ? New ?
? N "
' Mult ' Add-on
! m Name
G. & Comm. Repair
Address _8
? c
Ciry
EM°N Other
-
`
FEES
? L Name RES. HVAC 0-100 M BTU -$24.00
? c Address ADDITIONAL 50 M BTU - 6.00
? p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
PER PERMI
50 EA
`
(
n - 1,
- 1
.
TYPE OF WORK COMM/IND FEE - 19'o OF CONTRACT FEE
; Forced Air (Z M BTU APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLJES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
' Unlt Heater M BTU REMODELS - 12.00
Air Cond. ' t M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHAFiGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
^
Gas Piping Outlets # _L I,SZ, BEYOND $1,000)
FEE ?
S/ C: ?sG SIGNATURE OF PERMITTEE
TOTAL-
FOR: CITY OF EAGAN
J LS--2$,
•-• -???
.....??.
e2
T.H.
BUILDING PERMIT
To be used for 1 OP 4 PLBX
$64,000
13211
Receipt #
M,,,_ FEBitUARY 11 0
Site Address 4302 l.'LEf 1SON C I R Erect Occupancy
Lot 25 Block 2 Sec/Sub. TRAILS 4C Remodel Zoning PD
?
Parcel No. THdMAS LAKF_. Repair ? Type of Const V
Addition ? No. Stories 44
¢ Name IJEW F-3Qi:I ZOC? Ii?MES Move O Length
i Demolish ? Depth 27
3 Address P• o. Box 1367 Int. lmpr. ? Sq. Ft
0 City ',5P?'G Phone 420-3900 Install ?
= o Name S ?"?
? ¢ Address
~ City Phone
I.-
F WQ Name
? a Address
z
i W Ciry Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and City of Eagan Ordinances.
5ignature of Permittee ~
V?W HURIZU" tiC)1L?:?
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Var. Date
Surcharge
Plan Revie
Water Conn. 3ZD• vu '
Water M eter 6 7-.-0 0 ?
Road Unit 305.00 ;
Tr. PI. 180.0 0
Parks
Copies . 25
TOtal ?
? . +v
A Building Permit is issued to: on the express condition that ?
all work shall be done in accordance with all applicable Stete of Minnesota Statutes and Ciry o( Eagen Ordinances.
Building Official
CITY OF EAGAN
3830 Pibi Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
MrmR No. Psrmit Holder Dgo TNspha» x
PlU1116111fr C? ..? (1, . ? ??%?7Ci•' - ! :rL- - .?- ?"`?t . ? ,
M.V.A.C.
=/ ".2 ?
El.Mc
$ofte?e.
Inspoction Dah Insp. C ommenb
FooNnps I
FooUnya II
Foundation
Framiny ?
RooHny
Rouyh Plby. '.
Rouyh Hty.
lewl. N ?? ?/S rJ ° I = -
Flreplace .?•it/? t.sl• s'TU o
FInN Hty G ?' D / i? ? " G ' y
Flnal Plbq.
eldy. Final ?/ •? ? l` e:t , t? . ?ics l Cc? ?
Ced. Occ.
11,24,10
J'
<o 01? rro ? '
?• ??
.?? c??
3/ti c?
Deck Fty.
Oock Frrtp.
Well
V?. Dbp.
. + PERMIT # ??Z2 1/n •__'? -
, ' • ° PLUMBING PERMIT RECEIPT #
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 OATE:
CONTFiACT PRICE: PHONE: 454-8100
Site Address - : 1
Lot Block ? SeciSub
y ,
Name ? ! ? •?_
?,
c City Phone
? Name 1
c Rddress
p
,
Ciry ? Phone -fz?-; - ; .
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.OQ
MINIMUM - COMMlIND 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
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
UrinallBidet - $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 PERMIT)
Softener - $5.00
Weil - $10.00
Private Disp. - $10.00
.?Rough Openings - $1.50
?
FEE:
STATE S/C: -1-J
?
GRAND TOTAL:
y, _ ?,- v . ... ? w_ • -- °---- ..
• ?,. A HANICAL PERMIT
• . CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE ?(, 7 S r PHONE: 454-8100
Site Address ? gLpG,, npE WORK DESCRIPTION
Lot r Block ? Sec/S b Res ? New ?
Name SEDGWICK HTG. & Alfi . Mult Add-on
m 8910 WENTWORTH . . Comm. Repair
y Address Other
c Ciry ?ne
? Name 1ZZd41
?-
c Address
O CitY
i TYPE OF WORK
? Forced Air
' Boiler
Unit Heater
' Air Cond.
' Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
j `i M BTU
CFM
l
FEES ?
RES. HVAC 0-100 M BTU -$24.00 i
ADDITIONAL 50 M BTU - 6.00 ?
(RES. HVAC INCLUDES A/C ON NEW I
CONSTRUCTION) j
GAS OUTLETS (MINtMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE ?
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
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)
FEE
SlC: It- 51GNATUREOFPERMITTEE
TOTAL:
?
FOR: CITY OF EAGAN ?
.
. . ' " . . . - ' .... , ' ?' q7T-T L4 (0 .'
S
SEDGWICK HEATING 8 AIR CONDITIONING CO. ,,..?
. ? HOUSf HEATING TEST REGORD
ADDRESS LI-E 4^f1 'S O (A C-k tRL C D
CITY nL?
OCCUPAMT --- OWNER JSjr-_\,kl
HEAT LOSS ` DATE HTG. INST. `- ?
SOLD BY INSTALLED BV
Electrical Work By zi- w v2 Gas Line By
TYPE OF HEAT GA_ FA __?_L HW_ STEAM SPACE HTR. UNIT HTR. OTHER ?
GAS DESIGN CONVERSION ;
MAKE
Model 39 46_ A Wo 'a 140So
Serial_ 0 1 07A 6 9413a
INPUT c- ep a oe,? p
MAKE OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACE - -
Model -- -
CONTROLS
THERMOSTAT Heat Plug -'---
Valve_ SX3 4 !?, NS" x -
Limit C T i -L wt
Limit Setting _ -.1 S o `, i::-
Fan Setting I o n° F"
Pilot Type G..L 9: c-ss2n r.i rc--
"
Pilot RAake -
SP p? R,K f C lv %TO2
Pilot Model _ N sC 1
Pilot Timing _ ? IJ ?Yiq r?1T
L.W. Cut Off -
Pressure _3 • S???• ?- • Percent CO q?a
2
Input CFH SO Percent O
Stack Temp.-??3
Percent CO f-4 ot*J?
Z
Vent Size ?
KIND OF LINER "----- S12E NONE
Draft Hood _ D(-- s? ct n, Regulator
Filters Size Number _ ?
Chimney Location Inside lxc Outside
Chimney Construction C-i-r:vSS L
Smoke Bomb Wiring
Draft Test Tag
Door Pressure ` Lighting Inst.
Date Tested g- a'- - 8-7
Company Testing ?ES2 T Lu i c lt
Name of Tester CQ r`? +Z-+`l C)
Forrn 235
'i
ADDRESS ` tI t '?
OCCUPANT
SEDGWICK HEATING &AIR CONDITIONING CO. - `j;?
HOUSE HEATING TEST REC ?Dglr
?-3
? CITY
OWNER
HEAT LOSS DATE HTG. INST
SOLD BY
Electrical Work By
TYPE OF HEAT
INSTALLED BY `•
Gas Line By • `
GA_ FA_?,:_ HW_STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE - ?- ??-
Model
Serial ? ' - INPUT r ' - - j
MAKE OF BURNER
Model
Max. BTU Rating r----
MAKE OF FURNACE -? "
Model
CONTROLS
THERMOSTAT Heat Plug Vent Size _
Valve KIND OF LINER SIZE NONE
1?..,?t f H od R I
Limit Setting
Fan Setting
Pilot Type
£ r c
Pilot Make r
Pilot Model
Pilot Timing 1 ^ ` r` „
L.W. Cut Off
Pressure ? Percent COZ -
Input CFH Percent 02
Stack Temp. Percent CO - <
ra t o egu ator
Filters Size Number
Chimney Location Inside Outside Chimney Construction ?
Smoke Bomb
Draft
Door Pressure
Wiring
Test Tag
Lighting Inst.
Date Tested
Company Testing
Name of Tester
Form 235
INSPECTION RE
CITY OF EAGAN PERMIT TYPE: ?
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: ' ? ' ? H - % x,Hr.Kw ;?t.A ? ?r ??
lUi r :CK 1al.Ur'K t
; •,, , I t I1l4 t:JR
i1it trtalf.'; M- riluMafi t r.nF
PERMIT SUBTYPE:
APPLICANT:
ta?11 f Fft ( C)N 1 PA?' i 1 N?
? . I • ? :t. I ;-0 ? .
TYPE OF WORK:
pl 'T I'kil l 7 4N
Or-;(-RlPYtON RA`-. YN-?r irr
?- - ?
Permit Hotder Date Telephons N
SEWER/
WATER
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUQH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
K
N
FINAL PLBG
FINAL HTO
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDR08TATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FiG
DECK FINAL
INSPECTIQN RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 47 •' ?"??
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
, i k <<r l , ; . ,? i ?,
? lil 1 I?rt 1 1?. 111 I IIiIM11' , I A1' ! ;iN t : NI 4 ?
PERMIT SUBTYPE:
TYPE OF WORK: .. - ?
' ?? • ' + r?? fFftAlal'i!'!
1tIi4 aS t N':F'kl f ?
I I! i, I F`I ACF
j
I f, In/1kK `? : ( nh; I?l !'.•.ill 1'f 1?M 1 1 1?) 1{Nt I+ t N'1 !? ? nN l f{At If I Ir F'f"Ii ii?)U?, ltil il 1
Permtt No. Permft Holder Date Telephone #
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. CommeMs
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Htg-
Orset Tesl
Final Pibg. Plbg. Inspector - Notily Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Rnal
Well
Pr. Disp.
? ' ??g3 llJ? s ?
cinr dF EAGAH WATER SERVICE PERMIT
3830 Rildt Ynab Road 8460
P.O: Baz 2119? 1?-((?(?
Eagan, MN 55121 ? ?W`" PERMIT NO.: DATE:
Zoning: t3 No. of Unib: 4-plex
Owner. New Horizon iioiaes
Address:
SiteAddess: 4342B Clemson Cr. ULJ"Arails f h k
Plumber. Thom son Pl
MeterNo.: 39!7 /-VS/Q ? ?g?p??IbdWf?e: 5
s?ze. S1$•, Ro e- it Before ? ? g Mp???tC. 15. f10nd
Reader No.?sP ??+Z?EI ?P?O ?it Fe : -
I agroe to oomply with the Cq? pl__?pap R?i cF?re:
Date of Insp.:
? - R 9-$7
CIrTY BF*Ei4GAN WATER SERVICE PERMIT
3830 Ptlot Knob Road
P.O. Box 2119t PERMIT NO.: s' 459
Eagan, MN 55121 ??' DATE: 2--1$-87
Zoning: 12? No. of Units: 4 piem
Owner. T,?'Pw 'inrivars_Fiomes
Address:
Site Addess: 141n 9 Cl-mso- r? r-ci oY-2 5 g? ?r-e #as er'£ltexrss-ak--
Plumber:
Meter No.: tion Charqe:
' Reader No.:
; I aqroe to complr wR ihe
MISC. ChBfg@S: 18(? _ Of?nd TP
Total: 67.00pd mete
Date Paid:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pllot Knob Road
P.O. Box 21199 PERMIT NO : 9 611
Eagan, MN 55121 DATE: ?•-1R- ^7
Zoning: Tew :1O1ix07° CIOC!@8 No. ot Units:
Owner:
Addresa•
Slte
Plun
I agree to comply wRh the Cfty o1 Eaysn
Ordinances.
BY
Date of Insp.:
Connection Charge: 515 - Qn}d-
Account Deposit: -15 iLTd
Permit Fee: 10 - tl0ii'l
Surcharge: 5.0?,*•"
Misc. Charges:
Total:
Date of
?
Total:
Date
CITY OF EAGAN SEWER SERVICE PERMIT ?
3630 Pllct Knob Road ,- ;
P.O. Bos? 21199 PERMIT NO.: ; `;?? Q?.
Eagan, MN 55121 DATE: ? Zoning: n Z
No. of Unib: S-plE=°
Owner. ek ijorizon ;;oi'..eg
Address:
SiteAddress: e1":`_ rclp 'i Trail: ol- T'inr•asc TI,
"'on
Ptumber. - r
:7 '7 i0?1?
I ayree to comply wRh tha City ot Eayan
Ordinances.
BY
Date of Insp.:
Insp.:
lOJ.00pd
Connection Charge: ..a?.3 ,Qopd_- '
AccountDeposit: 15,oo-
Permit Fee: 1-0.??; ;
Surcharge: ?
Misa Charges:
ToffiI:
Date Paid: .
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pll(` f:nob Road •
P.Q. Box 21199 ?}(n?PERMiT NO.:
???? D ATE: 2- 1• F`7
Eagan, MN 55121 -
Zoning: p 4 - No. of Units: 4-137 px
Owner. ;:a?-
Address:
Site Addess: 6?04T11 ?Cle,,.-aBA-Ur-Cls fr27 Rl Trili1 c of T11l1T11A C 1.
Plumber.
Meter No.: on ; t a e• S? S nn.,.i
Size: .? A?pvs LS (]Clr?r]
ReaderNo.:n _t??t?'s? ??.. ?-111 OOTA
1 aqroa to comply with the CW
Ordin
? ?
Date of Insp.:
F7
CITY OF EAGAM
3830 PHoi Knob Road
P.O. Box 21199
Eagan, MN 55121
Zoning: "Z
_ Date Paid:
SEWER SERVICE PERMIT
PERMIT NO.: r) 6 13
DATE: ? -- 1,0 -- £3 7
- No. of Units: Plf-^
Owner tiew Horizop Tlomes
Address:
i Site Address: ?on rc c ., ra s o =_omas ??c
Thb
i Plumber omFson ura ?
1 ayree to comply with the Clty of Eagan
Ordinances.
Connection Charge: 52 5. OOpcl
Account Deposit: 15.00pc!
Permit Fee: 10. 00pd
Surcharge: . 50DC'
Misc. Charges:
Total:
BY
Date of Insp.:
Insp.:
ciTV oF eaGna WATER SERVICE PERMIT
3830 Pflot KrQb Road
P.O. 8ox 27199 7(? ??.F,?MIT NO.:
_ - -I-- -
Eagan, MN 55121 oaTE: 4-nlex _
Zoning: ??-3 No. 01 Units: _
Owner. New Horizon Aomes
I Address: 30 Clemson Circle L-?,S Bl Trails of
? Site Addess:
f
n P1
'h
'
Plumber.
' ortnso
I 52
I
Meter No.: - • -
o d .
nec,Up arge:
__tl ?nr?? 11[?1?_.._.,:.. --
1
10.
I ( sgres io comply wlth
Total
I BY, 7"> date Pafd:
I ?
? Date of Insp.: ? ?nsp"
(o - ?
CITY OF EAGAN
3830 Pilaf Knob Road
P.O. Box 21199
Eayan, MN 55121
Zoning: T13
Owner ilQw r°I
Address:
Site Addre?
Plumber. ??
?
SEWER SERVICE PERMIT ?
PERMIT NO.: °- 517
DATE: -'
No. of Units: 4'p1eK
I agroe to comply wlth the City o} Eagan
Ordinancea.
BY
Date of Insp.:
Insp.:
Connection Charge: -525 _ OOnd
Account Deposit: - 15 _ fl(l4X4
Permit Fee: t
Surcharge:
Misa Charges:
Total:
Date
3/3//S 7 REOUEST FOR ELECTRICAL INSPECTlON es-00001-0e
?. 0 See instructiona for completirq this tam on baek o1 yellow coDV• ?7'?C? C-?
? 71--?7 n "X" Below Work Covered by Ihfs Request
jNswIAAdI Fiep.1 Type o1 9uildinp I Applianees Wirsd I Equipment Wired I
N Fee SsrviceEntronceSizs b Fea feedera/Subteeders N Fea Circuita
to 200 Am s 0 to 30 Am s ? to 30 Am
Above 20 _Am,s 31 to 100 Amps 31 to 100 AnVs
Swinttnin Pool Above 100_Am s Above 100_Am '
Transformers irrigation Booms Partial Other Fee
5'gns Special lnspection U r
emnrks ? OTAL F J??
??s?? o?"n:°ebY
carti}y that the above
Final insvectioo hsa been
mede.
Thfs roqueet void
Tm,
18 month9 lrom r4 - ?? n
?' 7 Z Z 7/? JlL' ._.,
0
??goo
`
R est Dal ire No. Rouph-in Inspection
quired?
ORBady Nuw Otily. InSPeC-
?
s ? No tor When Ready
-y4ZZ.-1'c? ensed Electrical Contractor I hereby request inspection of sbovs
?1"1 ?,........ slectrical wwk instnllsd et:
1 .......
Stree Addre , Box
o1.,Route
C i
` ? ?
ection o. Towns hip Name or No. Ranpe o. County
Occ?oa IPHINT! _ Phone No.
Power upplier
a Address
Electncal C ntractor lCompany Namel Contracto?sense Nq.
?
/
Mailing IC / nir cto( r O n MakinO Ins il tionl ? f_A-III
Authorized 5n fiE?j?trac
?,
r 'ng Instal ti
?
Phone Number
V
)
` J?
lz
THIS INSPECT
MINNESOTA STATE BOARD OF ELECTRICITY ION REaUEST Wlll N07
Gripps-MidweV Bld9. - Room N-781 BE ACCEPTEO BY THE STATE BOARD
UNLESS PROPER INSPECTION fEE IS
1621 Universitv Ave.. St. Psul, MN 66104 ENCLOSED.
Phone (612) 642•OB00
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
_ DATE
AMOUNT
L
? .
19 '
?
_--- ?
& DOLLARS
oo
t
C]CASH ? CHECK
-0
Thank You
BY
White-Payers Copy
Yellow-Posting CopY
Pink-File Copy
BLDG. PERMIT NO.
:7 Y
L
3
?
' -,?-?'?-
g:?
1
i
-
I O1
21
0 B
d
Per
t
v
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC •
20-3865 Water Conn.
20-3868 Water Trmt. -'
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL .s-t I
This reQuest void
18 rrqnths irom
C 73371 `12-mensed
? OWner
%.onvacior
I hereby request inspection ol above
electrical work installed at:
S r t Address, B Route No. City
7 1-e ri ? f
ection o. Township Name or No. anee o. Couniy
Occ nt IPRINTI Phone No.
t_.tA? ? ?'C J
Power lier
??` ?+0,_' Address
Elec al Contractor (Company Namel Contra or's License o.
0 n2OSn ?-? _-I P 4?-i ?- d
Mailinp Address ( ontractor o ner Makin
? O syg? tio
? ?
?
Authorized Sign trac Oyn? i s Phone Number
Minrywulq S7A7E BOARD OF ELECTAICITY
Gripps-INidway Bldp. - poom N.181
1621 Universitv Avs.. St. Psul, hIN 56104
Phone (612) 642-0800
inl5 lrvsNEG710N REQUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
UNLESS PROPEN INSPECTION FEE IS
ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION ? EB-00001-06
. , Sae instructions for completinp this form on bsek o1 yellow coDV•
? 771 "X'" Below Work Covered by Thrs Request
AAd • ReD. Type o1 Building ApDliances Wired Equipment Wire4
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electnc Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm tner veci v inerlsuecitvl
t.r ycci y ther Other
LOIT!!)IITB MSDP.f.llOn fP_B HBlnW
M Fee ServiceEMranceSize # Fae feeders/Subfeeders 7t Fee Cireuit•
0 to200Am s 0 to30Am s 0 to Ann)s
Above 200 31 to 100 Amps 31 to 100 Amps
Swinmin Pool Above 100-Am s Above 100_Am -
Transformers Irn tion Booms Partial-"Other Fee
Signs Special Inspect?on ? ?
0 TOTAL E
?'
emarks / ?(
j
?Ul i
Request Date Fire No. &ogh-il? Inspection re ?Ready Nu
ll Nou}y, Inspec-
es ? No r
[o When Ready
Rouph-in ,_.? r ate 1, the Elec rical
? -±? InsDector, hereby
certity that the above
Final Dpe Jinapsction has been
msde.
rhla ropuest void 18 montM from
SEDGWICK HEATING & AIR CONDITIONING CO. r+eariNG JQBNO '? `?
8970 WENTWORTH AVENUE SOUTH • M NEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS ?? ? -?o pj C4 Ir
OCCUPANT r,5 u ?
SOLDBY ` 4 vq?
MAKE
SERIAL NO.
rro o?
THERMOSTAT
j'
r D? Z??-?
VALVE
A
? ? ? ?
LIMIT e
140
LIMIT SETTING
? (041 Y ?
FAN SETTING
Etr C ?
PILOT7VPE
ciTV "-
OWNER
INSTALLED BV ?
° LE-?I ?
MODEL G6 /r
INPUT ? (y v O O
yl?
VENT SIZE
n
7y ?'? &kf
NPE OF LINER ?
LINEFi SIZE
FILTERS: SIZE 1 4 )' ? T NUMBER
, f u S u r t;.9 ?
WIRING
TEST TAG
IGNITION MODEL rf LIGH7ING INST.
PILOTTIMING `H ? j.4 4 +
^( DATETESTED
PRESSURE /PERCENTCOz ?2 GI
INPUTCFH ? V PERCENTOZ ? COMPANVTESTING-?
STACK TEMP. - 3 :7 e PERCENT CO v NAME OF TESTER
FORM235(REV.H/B9) FOfiMOISTRIBUTION: WHITECOPY-J09FILE YELLOWCAPY-CRY
FOR SALE T.A.
L '25-2&, B 2
HCJILDING PERMIT
N° 13213
Receipt #
Tobeusedfor 1 OF 4 PLEX Est.Value $64,000 pate FEBRUARY 11 1y87
SiteAtldress 4304B CLEMSON CIR Erect CN Occupancy R3
Lot 27 Block 2 Sec/SUb. TRAILS OF Fiemodel ? Zoning Rl
THOMAS
Parcel No LAKE Repair ? Type of Const. V
. Addition ? No. Stories
W Name NE4i HORIZON HOMES INC Move ? Length 44
3 Address P• O. BOX 1367 Demolish ?
? Depth
F
S 97
° Ciry MPLS phone 420-3900 mstampr. O i
q.
o I Name SAME
? a Address
h
City Phone
F w Name
Address
z
a W City Phone
Approvala Fee6
Assessment Permit $ 377.5(
Water 8 Sew. Surcharge 32.0(
Police Plan Review 188 • 7`-
Fire SAC 625_0(
Eng. Water Conn.-525.0(
Planner WaterMeter6.7,0(
Council Road Unit 305.0(
Iherebyacknowletlgethatihavereadthisapplicationandstatethatthe Bldg.Off. Tr.PI. 180_0(
intormation is correct and agree to comply with all applicable Slate of
Minnesota Statutes and City of Ea n Or inances. APC Parks
Signature of Permittee Var. Date TopIB 2• 3 0 . 2!
CITY OF EAGAN
3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
A Building Permit is issued to: NEW HOR N I30ME5 IN on the express condition that
all work shall be done in accordance with all a pt?l , n?ta tes an ity ot Eagan Ordinances.
8uilding OHicial ,
FOR SALE T.H. CITY OF EAGAN A' p
I; 2 5= 28, B 2 3830 Piloi Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' V- j?-
PH ONE: 454-8100
BUILDI14GPERMIT rteceipt#
To be used for 1 OF 4 PLEX Est. Value $ 64 ,000 Date FEBRUARY 11 8
SiteAddress 4304 CLEMSON CIR Erect L? Occupancy R3
Lot 28 elock 2 Sec/Sub. TRAILS OF Remodel ? Zonin9 PD
THOMAS
Parcel No LAKE Repair ? Type of Consc V
. Addition ? No. Stories
NEW HORIZON HOMES Move ? Length 44
W Name
BOX 1367
P
O
3 Demolish ? DepM?-
r
27
.
.
Address
° MPLS 420-3900
Ci Int.lmpr. ? Sq.Ft.
?
ry Phone Install
a
o
Name SjME
Approvals
Fees
0 Q Address ASSBS5m2nt Permit $ 377.5?
'- ciry phone WaterBSew. Surcharge 32.0(
E
? Q Police Plan fleview 188 . 7
FW Name Fire SAC 625 .OC
,a Address Eng Water Conn 525 . 0(
Q W
a
Phone
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 ot Eagan Orjinances. ? /
Signature of
Planner
Council
Bldg. Off.
APC
Var. Date
waterMeter 67.0(
Road Unit 305.0(
Tr. PI. 180.0(
Copies
Total $2.300.2`
A Building Permit is issued to NEW HOR I ZON HOMES on the express condition that
all work shall be done io accordance wiih all applicab ate of Minnesota = of Eagan Ordinances.
Building Otticial -
L 25-28, ;? 2
T
I CITY OF EAGAN
N2
13212
FOR S
LE
.H. 3830 Pilot Knob Road, P.O. Box 21-199, Eaga n, M N 55121
PHONE: 454-8100 ?
/
BUILDING PERMIT
Receipt p
?
2?
?
Tobeusedtor 1 OF 4 PLEX Est.value $64,000 Date FEBRUARY 11 ?y87
SiteAddress 4302B CLEMSON CIR Erect 19 Occupancy R3
Lot 26 elock 2 Sec/Sub. TRAILS OF Remodel ? Zoning pn
Parcel No. THOMAS LAKE Repair ? Type of Const. J?
Addition ? No. Stories
a
NEW
Name
HORIZON HOMES Move
?
Length
44
s
o P.O.
Address B?X 1367 Demolish
I
t
l ?
? Depth?
F
S
n
.
mpr.
ciry MPLS phone 420-3900 Install
? t.
q.
a
o
Name
SAME
i
$ 04 Address
? City Phone
?W
F W
Name
_z
s
a
Address
U
a W City Phone
I hereby ack nowledge that I have read this application and state that the
information is correct and agree to comply with all ap licable State of
Minnesota Statutes and City of E gan Ordinances.
Signature of Permittee
A Building Permit is issued to: NEW HORI ZON HOMES
all work shall be done in accordance with all applicable StB(e of Minnesota
Assessment
Water 8 Sew.
Police
Fire
Planner
Council
Bidg. Off.
Var. Date
Permit +' a I I . iv
Surcharge 32.00
Plan Review 188. 75
SAC 525.00
Water Conn. 525. 00
Water Meter 67.00
Road Unit 305.00
Tr.PI. 180_00
Copies
Total $2.300.25
on the express condition that
andCiJy of Eagan Ordinances.
Building Official
L 25-28, B 2 CITY OF EAGAN
FOR SAI?F T. H. 3830 Pilot Knob Road, P.O. Boz 21-799, Eagan, MN 55121N°- 13211
PHONE: 454-8100
BUILDING PERMIT
Receipt# ? ??-
-??
7o be ueed ror 1 OF 4 PLEX Est. Value $ 64 , 000 Date FEBRUARY 11 19 87
SiteAddress 4302 CLEMSON CIR Erect -17 Occupancy R3
Lot 25 Block Z Sec/Sub. TRAILS OF Remodel ? Zoning PD
Parcel No. THOMAS LAKE Aepair ? Type of Const 11
Addition ? No. Stories
W Name NEW HORZZON HOMES Move ? Length 44
3 Address D.O. BOX 1367 Demolish ?
1
t
l
? Depth ??
Ft
S
° city MPLS phvne 420-3900 n
.
mpr.
Install ? q.
o Name GAA1F.
=
$? Address
" City Phone
F w Name
-z
Address
a W City Phone
Assessment _
Water 8 Sew.
Police
Fire
Eng.
Planner-
Council _
Bldg. Off._
APC
Var. Date-
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 Ciry of gan Ordinance
Signature of Permittee
A euilding Permit is issued t: NEW HORI ZON HO?IES
all work shall be done in accordance with all applicable Slat"f,anneso
Statutes andTiry of
Permit $ 377.50
Surcharge 32.00
Plan Review188.?s
SAC 625.00
WaterConn. 525, 90
waterMeter 67.00
Road Unit 305.00
rr.Pi. 180.00
_ Copies?25
Total
on the express condition that
0n OrdinenCes.
Building
ThiS request void
78 mon[hs from ?
(C 7 3 3 7 3
Nequest Daic ?) '
?
3 Fire No. Nouph=in InsDection
equi?ed?
?Ready Now ill Noti}y, Insoec-
? When qeady
?) ?
es No
-?1£rcensed Electrical Convaaor 1 hereby raquest inspaction of ebove
/? Owner alecbical work inetalletl et:
Stra t Address Bor or Noute No.
y.eft?, o n City
_E
e ion o.
Townshiv Name or No.
RanBe No. y
Count
OccuGM?/IP?71 ?
v ( (%LJ Phone No.
Power Su -er Address
ElecviqzLc(q?? V/actor (?COmpany Name) /p Convarwr"s Lice/ns?e No./,'
V
Mailinp AdJress (COntcyt?/?q?p nneMaki {)niJlionl ??
// ??E%J / I?LCF
Author¢ed Signature ICO c ? r Making In ionl Phone Number
MINrvh3VrA 6TATEVOARO/OF ELEGTRICITY
GriBBa-Mitlwey Bldg. - Room N•781
1827 Univerailv Ave.. 9t. Peul, MN 65104
Phone (612) 642-0800
TNIS INSPECTION flEQUEST WILL NOT
BE ACCEPTED BY TNE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
AM? - /? EB-00001-05
qEQUEST FOR ELECTflICAL INSPECTION
II, Sea insVueliona br complBli,q lhis lorm on back o1 vellow eopy.
"v- n,.i,..., w.,.n r'n.nred bv Ihis Request ,
A4
Reo.
Tvoe oi euildine APOlia..aa Wired
Hame Range em Wired
$ervice
Duplex Water Heater ixtures
Apt. BuilAinc?
Dryer i
abn
in
Commercial Bldy. Furnace der
Industrial Bldg. Air Condition Tdnk
F Othr.r oeu v ,ifyl
[ er ucc? y Other
ree
S?ze
to
gns
t
TOTAL Ft?e ? ?
???1Date 1, the Elecvical
Rough-in Inapector, hereby
certi/V thet the above
;
al
c Dd11/i
( insDection hes baen
mede
? .
-
ThlsreQUntrotaiemommnu...
nst void
...iths Irom
? 73372
Rx4? st Date 'Fire No. Hough-in Inspertion ?
!?X Nedu etl? OReadY Nuw II Notify. Inspec-
1 I ?Jl Y.es oNo \ mr When ReadY
I
-:I?censed Electrical Contrnctor
? Owner
I hereby requast insoection oi abova
electrical work installed et:
Sh et Addre s, Bom or ovte N City
ection o. Township Name or No. Range No . County
"Oc,cu/pa,pntlPplNTI Phone No.
Pnwer Dlier Atldress
Elechic Contractor (Compeny Namel
? Conv mr'S Lens No.
S U X I CJ
Maili e A.ddress (COn?or Ofvner Ma
G} k?p I
n ?lati 1
1
1//? ?? ?
11"
/ /- ti
Authorized Sie?a on act Ow a ing Installa nl Pho Num r
???
MINNESOTA STATE!BOAPD OF ELECTRICITY
Oripps-Midway BIdY. - Room N•181
1827 Universitv Ava.. 5t Vaul. MN 66104
Phona(612)642-0800
THIS INSPECTION HEQUEST WILI NOT
BE ACCEPTED 8V THE STATE BOAPD
UNLESS PNOPEP INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION AM- ee-ooooi-oe
Ii, Sae instructions far comDlatinq this form on back oi Yellow cooY.
? -. ••r" R.M. wo,k Covered bv This Request
%
Ad lJ
R.P. J1
TyDe oi BuilAine
APV???picea Wired -
EquiumeM wi.eA
Home Range Temporary Service
Duplax Water Heater l.ightiny Fixtures
Apt. Building Dryer ElectNc Heatin
Commercial Bldg. -Pumace Silo Unlonder
Industrial Bldg. Air Conditione Bulk Milk Tnnk
omrr oeci v .me? tsn?cirrl
Farm Othur
t,r SVeo y Olher
Com
N pute Ins
Fee peccion ree aetaw
Service @ntreneeSize
H
Fee
Fenders?Subleeders
?
Fea
Circuits
) U to 200 Am s 0 to 30 Am s D to 30 Am
31 to 100 A s
Above 200 Amps 37 to 100 Amps
Swimming Pool AbOVe W-111111 s Above 100-Am h
?
1
Transtormer5
Irn tion Booms
?..
Other Fee
Partial-
%
a.gos ° V `? IOIAI Fhg???
ertwrks ?n ? ? ( ?J ?
flouph-i? Ome I. the Ebc«ical
InsDecmr, he?eby
certity that <he xbove
F;nel .1e inspection has been
mda.
fhle requeat voie ltl momro rm..
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) pROPERTy ADDRESS:
LEGAL DESCRIPTION:
iaoI,s: rffia4fflr oF FM 2rr xnM or
r,erLscMIaa nOEs Nvr aoNsrrnI * APPROn+i. aF rE10sr. ?
INsencriox OF sENM Arn/UR M??tt
TI1STAi?ATTQjQ$ wUL NOT ?,` SCHED-
Ua.En tnlrn. PERMIT HAs MM
arPaovEn.
_%-iD?ucxiauDaivision or Tax Parcel ID q)
I£ E7QSTING S1R[.'C1LRtE. DATE OF ORIGINAL BUII,DING PERMIT ISSCANCE: .
PRESFNf ZONING/PROPOSID LSE: Mon ear
? FFICE
r-7 IfIDL'STRIAL
rl INSTITUTIONAL/GdVII2IZEM
2) ?
NFiME:
ADDRFSS:
CITY. SPATE, ZIP:
3) NAME:1bu
19DDRESS:
CITY. b"PATE, ZIP: MI I VlV
4) •• • • • i?•
N+,N1E:
0 R-1 SINQ,E FAMILY
Q R-2 DL.?PLEX (1wo Cfiits)
M' R-3 70W[MISE (Three + Units) ( Lfiits)
R-4 APAR'IIMENP/COAIDOMIIVIUM ( Units )
LICENSE# 17(gaM '
ADDRESS: CTPY. STATE, ZIP:
PiiONE:
'g? " ?• ' ?' • ?? ?? •
? dC01%ECTICN 70 CI'TY Sam CM00CTIoN 70 CITY WATER
6) ?r
Active
FScpix'ed
Dbt recorded
Staff riait-J.'al
oOTHE?
PLEASE IiOID APPROVID PIItMIT FC&2 PIQC-UP BY ONE OF ABWE
? PLBASE MAIL ApPROVID PIItMIT TO 1. 2,0
4. AHUVE
r; ,. f-t-? ' _ (Circle one)
FOR CITY USE ONLY
PERMIT $ ISSUED
ty77/
Pd w/Bldg. Permit
5
S
S lo? ov
$
$'
S
S
0 O
$
$
$
$
$ /,06
$
-- 717/ %
RECEIPT
FEES:
$/ D -'`o
$ /D 54)
$
$
$
S /S o-U
$ •
$
SEWER PERMZT (INCLLDE SURCHARGE)
....J«
I
WATER PERMIT (INCLUDE SORCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLLDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSZT - SEWER
ACCOLNT DEPOSIT - WATER
WAC
SAC ,
?c ,_:. ;• ,
TRY?IQK -WAT$R ASSESSNJENT
- • ,` ' ; '•`
ONK-S,$IojEK,2S?SF.55MENT
.?..??..'_.
$ ' LATERAL'$$NE?I-P/.',CI.KC'NK SEWER
, _
$ LATERAL BENEFIT/TF2LNK WATER
?._
?.'; i:`?i:?i 'i•?i. ` i :,1. ?.'; 11'..li : t
$ L+]ATER ,TRF.A1'MENT, PI;ANT SORCHARGE.
?.11i`°1
$ bTHEI#':
TOTALv i-'>?•-.• ?'•,
RECEIPT
---.• 'r . ,-. ?:i .: - .
DOES UTILITY CONNECTZON REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHZN PUBLIC
Q
ROADWAY" M[JST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
J
APPROVED BY:
_.. . ' .
TI TI.E ; . .. ?,
DATEe~ /7
a
, ._
: CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
NM: PASQMJf' QE' PEB AT TIIe Cr
AMJCMaH DOES wr aorsinum
ArPFavar. CP PERrsr. *
nNSPecrlON OF sEKIM nNn/cR taum *
jp TTA'fTpNy' WaL IdOr BE S(HED-
tnZD [NrIL PERruT FIAs sMat
?
r,nPRoM. » !',
iLVLi1310cxibuaaivision or Tax Parcel ID #)
If' E?{ISTING STRLY.'lLME, DATE OF OQ2IGINAL &TIIDIIVG Pf122MIT ISSCANC:E: .
PRESEDTP ZMITNG/mPOSID t?SE: Abn ear
? COMMERCLU'/It?`F'ICE r] R-1 SINQ.E FAMILY ?
QIND-'STRIAL p R-2 DL*PLEX (Ttso Cini.tS)
El Ir1SPi7L*l40NAL/GOHf12NMENp 0-413 7+OWNiOLISE (Three + Units) ( Lfiitsl
. • [? R-4 APAR7.4'IIW/C0NIDOMIlVI[7M ( Units )
2) ?
AD
CITY, STATE
3) NAME:
AMRESS :
CITY. S'P}1TE, ZIP:
PHONE:
4) •• ?
NAME:
_ AUDRESS:
cny, smm, ZIP:
PHONE:
' L?'7LI mS'!'ER LICIIVSE# _r2k3M
nv QS ? 2-
rlwcmers tscense:
Active
ESVired
[dot recorded
SEUE iniEl'al
'S? '? ' ?' ' a' : a • a• a?s •
` d????? ??ION 70 CIW WATER o OTHE_.
5) ? • ' • r E] PIEASE HOLD APPROVID PEMT FCH2 PIQC-LiP BY ONE OF AHDVE . . -- • - - -
[[.? PLEASE MAIL APPROVID PERMIT 'DO 1, 2, 3 4. AB(n1E .
(Circle one) .
. . . . . . . . .. . . . ? .. ... . . . .. "%'?nWK •
.-FOR ,CITY USE ONLY
PERMIT # ISSIIED
Pd w/Bldg. Permit
S
$
$ ?7o?J
$
S
s
$
$ O C)
$
$
FEES:
$ $ ?d 5 U
$
$
$
$ is
OD
$ l 5
$ •
-_ ?
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/ODTSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSZT - WATER
WAC
$ SAC
?c; . . ?.: ?. ?. . . • , . • ' `.._.1` f:
$ ? .? ?'•_ ` - TAIIQIF •WAT$R ASSESSqENT
$ - ??Y-,? • .. •,TRCTNK -S.ETdERf •ASSF?'?MENT
._••? --" , . i .... _ .xi }'4
$ LATERAL_'T?£yT1EF-IfP/.x?bA1K SEWER
$ $ LATERAL BENEFIT/TEtL'NK WATER
4 {l } (
v?:. . `.?1
V S • - . ?]1{TE$ :T.RF
ATMENT. PUANT SLRCHARGE
,
?
$ $ •' ? r.> -`? t
OTHER-: . .
$ L? , , -•?D.
y ? _. . . .. • _ + ,^'.
To
?:=:. • ? ?
Trs. ,
.
_ 707 /9 7a4 ?
,.
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQDIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN POSLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
1
APPROVED BY:
tJ7Z-.?
s
TFTLE; ,• •' ? • ?
DATE: ` s? _ ?- . ?`/?3 ?, ? ti; ..' . .?r;,:; •t ?
/
CITY OF EAGAN
APPLlCAT10N FOR PERMIT
SEWER AND%OR WATER CONfYECT10fV
?1) PROpERTY ADDRESS:
LEGAL DESCRIPTION:
N(YPRs PA7I-MTT' CkP Ph"IS AT TIM0[r
A'PPf.T?? n?s No?r oo?a?
APPROVAL CP PFPMM'P.
nEPBMox aF sMM nrn/aR MM
nNS'InLLATTaes wUL NoT BE scHED-
Ul.ID UNPIL PFRAffT AAS EM
APPftC3VID. '
_ %-iaiucF/ouDaivision or rax Parcel ID $)
IF E7QSTING SfRCC7i7RE. DATE OF ORIGINAL BLIIDII9G PERMIT ISS[.'ANCE: -
PRESfNr ZONM/PROPOSID CSE: Nbn ear
? COAMCIAL/RET?FICE
1`7 IND-'STRIAL
+] INSTII[.TMl'IONAI,/GWERAAENp
? R-1 SINGLE FANIILY :
Q R-2 DfJPLEX (7t,o CRnits)
Cg/ R-3 70W[u3OuSE (Three + Units) ( Units)
• p R-4 APARTN=/C0NIDCkk'IINILH ( unytq)
2) •?
UAME:
PMRFSS:
CITY. STATE, ZIP:
• PHCNEc
?-},,,,,
3) • ?: ?• NAME; -1f !U!
79DDRESS:
CITY. STATE, ZIP:
PfiOM: ? •
bPSM LICENSE#
4) •a ? ??-
NAME: 2-
ADDRESS:
ciTSr, s'rm, zip: .
PFLM: -
Active
Expired
Not recorded
t.a n tial
"S)
ecoNNII7CPION 2CJ CITy SE,y-M .? ppLaIDGTION Tt7 CITY WATER C( dPFER ' .
6)
n • •?• Q PI,EASE HOLD APPROVID PEE2MffT PY)R PICK-C?P BY ONE OF ABOVE
GI"'PLEASE MAIL APPROVID PERNIIT TO 1. 2. (P3 4, ABWE
I .'_ .. N.-? ' _ (Circle one)
.-FOR CITY USE ONLY
PERMIT # ISSLED
Pd w/Sldg. Permit
$
$
$ 4/n?, 7oo
$
$
s
S
S
$ r? s d t?
$
$
$
$
$ S
$ /,39?7 ao
--- 7a 7i
RECEIPT
FEES:
$ /0 5 0
$ /p SO
S
$
$
oD
$
$ /S o- e)
S
. -?
SEWER PERMZT (INCLLDE SURCHARGE)
WATER PERMIT (INCLLDE SIIRCHARGE),
WATER METER/COPPERHORN/0[!TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOLNT DEPOSIT - WATER
wAc
$ SAC ,, .
+cr. ..--.:. a .- - . • . • , zt_ ??,
TRY?Y4IF•WATBR ASSEBSN}ENT
.• ???
P. $ ".T?tUNK-SETOj?:ASSFSSMENT
$ • LATERAL,'J3FNEIaI-1'%?jlL'i+1K SEWER
I _
$ LATERAL BENEFIT/TRZ!NK WATER
,r- .. a-•+?.`v ,:.''
$ ? . , yTA1'EI2,TR$ATMEIdT. PI;ANT SORCHARGE
$ v.y? r? •:x ; , bTHER:.
TOTAL..• •[-^?;.`? a , ?•-•1
EIPT
?. . , ??. c ..
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL?BLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING.CpNDITIONS:
J
APPROVED BY:
.
.
TITIE: . ,. . . • . ': {
DATE: ? s? ? ?- • 02- ?rY d 7 ? s . ?` . ?• ` . ..
CITY OF EAGAN
APPUCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
L40'laS: PAYKRTl'' OF F8B AT TIM OF
aPPLicAnoN noEs riom oorsriTvre
APrRavaa. OF PERaT.
naeBcriaa aF snRM arD/OR wnM
TISQTATSA'ITQI$ WILL NOj' BE $('jED-
ta.ID vrrrII, PERr¢T HAs BEEN
r,ppPcaovm.
or
IF E7QSTING S1R2L'CTLR2E. DATE OF ORIGINAL B)IIDIIdG PERMIT ISSCAtJCE: .
Mon ear
PRESENP 7ANIIW./PROPOSID LSE:
? CMMCIAI./REPAIL/OFFICE
0 INDt''S1'ftIAL
oID15TI'IL.*fIONAL,/GOVIItNMEN'p
2) ?
NAME:
ADDRESS:
CI771. STATE, ZIP:
PFif)NE:
3) • ?: ?• t411ME:
r,MREss:
cixst, sraxE, zIP:
PHONE:
? R-1 SINGi,E FANIILY '
R-2 DtJPLEX (1Wo Chuts)
[;? R-3 7C)WAIIiODSE (Three + Units) ( Onits)
R-4 APARTMENT/CONIDUMINICT7 Units)
IV1Y1P?V1{u. ?tH-. Ictive
r ?raea
4LICENSE# _nL13M
4) •• ? ' '
:?
NAME
ADDRESS:
CrTy, snm, zip:
phmm: .
5) ?? ' r • ?• • aa as '
. y d ODP=TION 70 CITY SESdM ? ODNNECTION TD CITY WATEt
? 074E:2
6) ?? • • i [3 PI.EASE HOID APPROVID PIItPffT FOR PIQC-[7P BY ONE OF ABOVE
l.? PMaSE MAIL APPROVID PERMIT 1+0 1, 2,3 4. ABOVE
(Circle one) '
i
;.
FOR -CITY USE ONLY
PERMIT # ISSUED
? -
Pd w/Bldq. Permit FEES:
$ $ /O sp SEWER PERMIT (INCLODE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/ODTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ 08
$ AS
ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ S?S 6 ? $ WAC
$ $ SAC
$ -.? , . .,::
$ % ? :. • . . • . ? /?
TR?IQK •WATER ASSBS$IIENT - - -
•
S S * -. ' !,• • ' "
.T?L?NK -SE6jER ;PLSSES$MENT
$ S ? ' LATERAL'$0EFIT/*UA1K SEWER
$ S - LATERAL BENEFIT/TRL'NK WATER
?1 c.r-ZI ?
'S i:'??
`i ;, 1.?4 il;:l : I
,?
?
?:
$ ?D ? .
:
?
_ , ,
$ • .
.
,
NjATE$ ,TRFyAT
MENT. PIIANT SLRCHARGE
y
_
? 1 +
`=•)a 1
\ ?j, ? • } ?.. ' .
.. ' ?1?:)
$ 'l, y ' ' . OTHER': , " • --:v?;" ' r
'
r-•?;
;-?]'? - ?
TOTA
L
7aGe 3 . ,
RECEIPT RECEIPT , ..
DOES UTILZTY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PE RMZT FOR WORK WITHIN PIIBLZC
Q
NO ROADWAY" MUST BE I
DIVZSION
LIST A SSLED BY THE ENGINEERING
O
.
S A C
NDITION.
SCBJECT TO THE FOLLOWING CONDITIONS:
?
? .
APPROVED BY:
TZTI.E; . . • ' • r? t
? `
\?• " •
? i' - •-?F_..: .. v..
DATE : ? ?//J /
,
. . - /3.?
/
1987 BOILDING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
IRCLIIDE 2 SEfS OF PL9PSo 3
OF SORVEY, 1 SST OE ENERGY C9LCOLATIOHS
NOTE: ADDRESSES FOE CORNER LOTS - CONTRACTOR/HOMfiONNER MQST DESIGBATE WHICH 9DDRESS
IS DFSIRED. NO CHANGfiS 1iILL BB ALLOWSD ONCE BDILDING PBRMIT IS ISSQED.
MOLTIPLE DTdELLINGS - RBSIDENTI9L RENT9L OHITS FOR SALE OBI2S v
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQR9EY - CHECK iTiTH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COP4ffiRCIAL
INCLUDE 2 SETS OF ARCAITECTURAI
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
10r4
To Be Used For: 1? ?S1 DE NC?
& STRUCTURAL PLANS,
SET OF
Valuation: v GAPM,6O
Site Address 4-Z2 C-LE?.1SON C?aCLE
Lot 25 Block 2
Pareel/Sub ?j,,?c?l `?? llp??
Owner _11)-UU °}??Pn c?nvc
Address P. C?. E36?c 13E>-1
City/Z3p Code ?Y?fo., ?1Y1,s., ?544D
On Site Sewag
MWCC System
On Site Well
City Water
Date:
e Occupancy K-3 ,
? 2oning PD
Type of Const
? (Actual) ?
(Allowable) ?
# of Stories
Length 4 4
Depth 27
S.F. Total
Footprint S.F.
FEES
Phone 1420- 3qCG f APPROVALS
Contractor -1dm.e
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off
APC
Variance
Permit 77 3)
?
Surcharge 32.
Plan Review I 56.
SAC, City loc> ,
SAC, MWCC S?-
Water Conn 525 •
Water Meter (07,
Road Unit ?AS.
Treatment P1 Ip)O•
Parks
Copies
TOT9L A:F'
? 4' '• " ? ? / ?
7987 BOILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PLANS, 3 CERTIFZCATBS OF SIISVEY, 1 SST OF ENERGY CALCQLATIOBS
NOTE: 9DDRESSES FOE CORNEE LOTS - COPTRACTOR/HOMEOWNEH IiOST DESIGHASE fiHICH ADDHESS
IS DFSIRSD. NO CHANG&S WILL BE ALLOiiED ONCS BOILDING PERMTT IS ISSQED.
MOLTIPLE DWELLINGS - RFSIDEti'fIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COPMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATZONS,
$2,000 LANDSCAPE BOND
IoF4
To Be Used For: Rkn.?in,cSi
RENTAL UNITS FOR S9LE IIflYITS ?
OF SOBVEY - CHECg WITH BLDG. DEPT.,
& STRUCTURAL PLANS,
SET OF
Valuation:
Site Address 4-1029 C?EMSO?; CtR.cL'z?
Lot 2(o Block 2
Pareel/Sub CTiaA5 C?{&? u2e
Owner '}I? c
Address P• o. k? I 3(a?
City/Zip Code ?1`l&., r1"Tln\, 55440
On Site Sewag
MWCC System
On Site Well
City Water
00 Dyte:
iitu.e's
OFFICE USS ONLY
e Oceupancy
Zoning PD
Type oF Const
?/ (Actual) ?
(Allowable) ?r
0 of Stories
Length 44
Depth Z7
S.F. Total
Footprint S.F.
FEFS
Phone 420 - 3q0D I APPROY9LS
Contraetor ?m2
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Permit -517-2?
Surcharge 32.
Plan Review 18E5•?S
SAC, City 100.
SAC, MWCC 525.
Water Conn 525,
Water Meter (0'7.
Road Unit
'freatment Pl 186,
Parks
Copies
TOTII, ?-? a ?
Y y? r
. " 3
?
7987 BDILDING PERMIY APPLICATIOH - CITY OF BAGAN
SINGLE FAMILY DWELLINGS
IRCLIIDE 2 SSTS OF PLANS, 3 CBRTIFICAT65 OF SORYSY, 1 SET OF ENERGY C9LCQLATIONS
HOTE: ADDEESSES FOH CO&NfiE LOYS - CONTRACTO&lHOMEOWNER MQST DE3IGHAYE WHICH ADDRESS
IS DSSIRED. NO CHANGES WILL BE ALLOWED ONCS BOILDIAG PERMIT IS ISSOSD.
MOI,TIPLE DWELLINGS - RESIDENTIAL RfiNTAL OPITS FOR SALE iTWIYS ?
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF S[1RYEY - CHECK 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,
$2,000 LANDSCAPE BOND
I oF 4
To Be Used For: R"^f•tc Valuation: 14Co4,OWe0n
Site Address Q-?4 C?-E1?15a? C.iF:CL?
Lot 28 Block 2
Parcel/Sub ytiq?L (qj
Owner ?IW Ltivr>?%?? c.?e
Address P,0. PS9x )3(0-7
City/Zip Code 5SA40
Phone
420 - 3qOn
Contraetor , Arli,,.e
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/2ip Code
Phone S
On Site Sewage_
MWCC System ?
On Site Well
City Water ?
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Varianee
Date:
Occupancy ?•°J
Zoning
Type of Const
(Aetual) Z
(Allowable) ?
# of Stories
Length 44
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Sureharge T
Plan Review 180Za
SAC, City IoO,
SAC, MWCC 5 Z5•
Water Conn 52$
Water Meter l07.
Road IInit D5-
Treatment Pl 180-
Parks
Copies
TOTAL ?
130?
1987 BQILDING PERM1.T APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IBCLODE 2 SETS OF PLANS, 3 CERTIFICATFS OF SORVEY, 1 SST OF ENERGY CALCOLA2IOHS
HOTE: ADD$ESSES FOH COHNER LOTS - COBiRACTOR/HOMEOANER MQST DESIGHAYS WHICH 9DDRBSS
IS DTiSIRED. NO CHANGSS NZLL BS ALLAWED OHC6 BQILDING PSRlfIT IS ISSQSD.
HOLTIPLE Di1E[.LINGS - RffiIDENYI9L RIIiTAL UAITS FOR SALfi IIHISS \/
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRYEY - CHECB WITH BGDG. DEPT.,
7 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
1Of= 4
& STRUCTURAL PLANS,
SET OF
To Be Used For: hndm Valuation:
Site Address 4W48 C.tEn,tsoti Crizcte
(00 Date:
Lot. 2-1 Block 2 On Site Sewage_
MWCC System ?
Parcel/Sub ?L 21 7TI&,,.a., 9,6-?tz On Site Well
City Water V7,
OWner
Address 'F3c;y 13&;`l
City/Zip Code
Phone q 20 - 3C40 0 I APPROVAIS
Contraetor -)At,n?
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone ll
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off
APC
Variance
Occupancy
Zoning P D
Type of Const
(Aetual) ?
-
(Allowable) ?
0 of Stories
Length ?
Depth
S.F. Total
Footprint S.F.
FEES
Permit 0
377 -
Surcharge 3Z,
Plan Review 12)8. LS
SAC, City 1001
SAC, MWCC SZS.
Water Conn 5Z5
Water Meter (Pi,
Road Unit '605.
Treatment Pl (8
O,
Parks
Copies
TOTAL L73
L
?
. •
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
Ylr?L I N 0
021631
07J30/93
SITE ADDRESS:
4304-B CLEMSON CIR
LOT: 27 BLOCK: 2
? THE TRAILS OF THOMAS LAKE
DESCRIPTION:
,-r (6AS INSERT)
BuildirigPermit Type FIREPLACE
9 ,
uilding tJqrk Type ALTERATION
f. ?
?
-\
?
{,
??
REMARKS:
(OK TO ISSUE PERMIT TO UNLICENSED CON7RACTOR PER DOUG REID)
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
7ota1 Fee $25.50
CONTRACTOR: - Applicant - OWNER:
BEL-AIR HTG 18812073 STONE ALBERT
850 W 1067H ST 22 4304-B CIEMSON CIR
BLOOMINGTON MN 55420 EAGAN MN
(612) 881-2073 (612)452-7232
I hereby acknowled'ge thaC I heve read this application and stete that the
infiormation is correcC and agree to comply with all applica6le State of Mn.
Statutes and City of Eagan Ordinances.
- C?
APPLICANT/ ERMITEE SIGNATURE
PERMIT `
D'Vle ??e?? l?,t(
ISSUED B: SI NATU EIk
-
J
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lpr: 27 BLOCK: 2 APPUCANT:
' 4304-B CLEMSON CIR BEL-AIR HT6
THE 7RAILS OF 7HOMAS LAKE (612) $81-2073
PERMIT SUBTYPE:
FIREPLACE
TYPE OF WORK:
DESCRIPTIDN
BUILDING
021631
07/30/93
ALTERATION
(GAS INSERT)
FIREPLACE
REMARK3: (OK TD ISSUE PERMIT 70 UMLICENSEp GONTRACTOR PER DOUG REID)
,
? . . . . .. 1... .. . ..
?? . _' . .. . . . . ?. _:? _ . ? _ ? ... _._ ? . ? . _ ..?. . . . . ?
REACTI4ATE _
PERMIT'#
1CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION W-5•50
681-4675
SINGLE & kULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy af 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 7 Yaluation of work ?
Site Address: " -c
STREET SUITE N
Tenant Name: (commercial only)
IAT ? BIACK ? SDBD._jkt JXC,,j? P.I.D. N
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Deacrfbe)
Name rdlel-d rl? Phone Y-5- Z ' 7Z3Z
Property LAST FIRST
Owner
qddress
STREET STE M
City State ZiP
Company ? a; Phone
Contractor Address liq,??;'54 5?/? z Z License # Exp.
City 96??t? State Z i p
Company Phone
ArchitecU
Engtneer Name Registration N
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 Lity of
Eagan Qrdinances.
Signature of Applicant:
A CITY OF EAGAN
3830 Pilot Knob Road
? Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Num6er: B U I l CJ I N G
034002
Date Issued: 11112198
4302 CLEMSqN CIR
L.IJI`. 75 BLOCK: 2
THE TF;A:CLS OF ?HOMAS L.AKE
P.I.N,e 1.0-75865-260-02
DESCRIPTION:
GAS LNSERTIGAS L:[NE
B,fii lding'-P_ermiY.. 1'ypp PTREPLACE
Building Wi3,.rk Type ALTERRI'TON
?Census Gcrde434 Ftl7e RESSDENT.IAL
i
t.
%
REMARKS:
GHIMpIEY/FWt MUST PE TNSFECTED 13EFURE CONCEALING.
FEE SUMMARY:
Base Fee $50,00
Suraharge
Total Fee $50,50
CONTRACTOR: _ Appl; Ca„t _ OWNER:
WAL7EFt CONTRACTING 18618013 E3RUNSEN DELOHES
7420 COL.UmBUS AVE S 4302 CLEhiSON DR
RIGHFZF.LD iqN 55423 EAGAN MN 55122
41 12? 881-8013 (657.)631-1573
I
Z here6y acknowlPdge thet T Yiaue read this appla.caCion and staCe that the
'snfiormatian is carrect anii sgree ta eamply with all applicable State of Mn.
5tatutes and City at Eagan CYrdznancas.
APPLICANT/PERMITEE SIGNATUFE
I SUED BY: SIGNA UR
I
3y-UUa
CTfY OF EAGAN
3830 PILOT KNOB RD - 55122
1998 FIItEPLACE PERMIT APPLICATION
681-4675
DATE:
DESCRIPTTON OF WORK:
JOB ADDRESS:
_ Construct oew fireplace
? Install pas insert onlv
Other
LOT: -?) S BLOCK: ?L-
APPLICANT (circle one only): OWNER
?cj
SUBDMSION/P.I.D. #:
CONTRACTOR
vi? - tck,
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. (?,???-??
Name: -&Ux)Up?-A 7:7A Phone#:
PROPERTY Last First
OWNER
Sffeet
City
State:
Zip:
Phone #: ?,? 1
FIREPLACE
INSTALLER
v
Street Address: ,
? y" 11/ License #
City .tQ State: ? Zip: L?3L-) 3
Company:- ? 45 AL? Phone #:
GAS LINE
INSTALLER Simature:
Street Address:
NOV 12 1998
??- t:;o
ic-la-9g'
PERMIT FEE: $50.50
_ Alterations to existing
? Install e,as line onlv
PERMIT # L, E; 391 RECEIPT DATE: S ;) ( _U'
Please complete for:
U.SID£NTIAI. PLUM$1R6 PMMIT APPLICATION
crrYoF F-ts"
ssso Pao r xxo$ ELn
EAfiAN, bllY 551 EE
651-6$1-4675
? single family dwellings
? townhomes and condos when permits are required for each unit
9 backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
HIGGINS, MARILEE
4304 CLEMSON CIRCLE #B
EAGAN, MN 55122
(651) 452-5347
MB!NG CO.
=-E IF:u7AL'.'"73
-:u6s
AilE. SOt°T:I
Place a check mark next to the aermit work tvue
(AREA CODE)
TELEPHONE #:
(AREA CODE)
STATE:
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
?
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ ? ??
• lawn irrigation system n ?'
• waterturnaround
AY 1 8 20? ,
NaWre of work: %lL/ vva% L/i he(,t.4 ? ;??? ?
?Bv
Septic System, new/refurbished - 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $?"jo??
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge thal I have read this application, slale thatthe information is correct, and agree to complywith all applica6fe Cityof Eagan ordinances. It
is the applicanPs reSDonsi6ility lo nolify the property owaer that the City of Eagan assumesno liability for any damages caused by the City dunng its normal
operatlonal and maintenance adivilies to the facilities constructed under Ihis permit wilhin City propeAylright-of-way/easement.
SIG A RE OF PERMITTEE
TELEPHONE #:
Updated 7101
f? /
PERMIT # 1 ? ? b
?
RECEIPT DATE:
8008 MIDg1VTilkL PLUMBIR& PEEiMIT APPL1CATION
crrY og EAs,ax
S$SO PILOT KROB iiD
SABAR, MR 551EE
651-6$7-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS:
Ct Y-akk
OW NER NAME: : l/TELEPHONE #: ?? J I q"I `[ -?3-1 Z
(AREA CODE)
INSTALLERNAME: ?1CJYdm
STREET ADDRESS: Ii
CITY: ??av??u_
TELEPHONE#: q"7O?\ - `51_? D
(AREA CODE)
STATE: nU ZIP: 690
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100
00
includes $40.00 County fee .
Note: Additional consult2nt fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 518" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: x water softener _ water heater $ 15.00
State Surcharge l!o I C Q?? $ .50
Q?Z
rotal
I herebyacknowledge that I have read this application, sNate thatthe information is cortect, and a e to
is the applipnPs responsibilityto notiry the property owner that the City of Eagan assumes rya'li ili
operational and maintenance activiGes to the hacilities constructed under this permil withir pen
It
caused by the City du ng its rmal
n/1) _? 0?3??a
?.UO
SIGNATURE OF
UQ??(
COMMERCIAL BUII.DING
Permit Application
,V - • City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Foundation Onl New Buildin Interior Im rovement
• Structu2l Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) . SVUCtural Plans (2) • Code Analysis (t) "
• CertificateofSurvey (1) . CivilPlans (2) • ProjectSpecs (t)
• Cotle Analysis (1) " • I.andscaping Plans (2) • Key Plan (1)
• Project Specs (1) . Code Analysis (1) '• . Master Exit Plan (1)
• Spec. Insp. & Testing Schedule • CertiBCate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not always"
• Meter size must be established . Meter size must be esfablished • Meter size must be esta6lished-if applicable
1 • PrqectSpecs (1)
1 • Energy Calculations (1) " d
l • Elec}ric Power & Lighting Fortn (1)
d • Master Exit Plan (1) 1
1 • Emergency Response Site Plan (1) "* 1
1 • SoilsReport (1) y
• SAC determination - qll 651-602-1000 . SAC determination - call 651-602-1000 SAC detertnination - call 651-602-1000
cau mrv uept or tteatth at 6? 1-215-0700 tor details regarding food & beverage or lodging facilifies.
Contact Building Inspections for sample and if required when it states "not always". Jf..
'*• Permit for new building or addition will not be processed without Emergency Response Site Plan. T ?-
4 v
D
ate Construction Cost
Site Address ? amsc, orr.ijJ UniUSte #
?
Tenant Name c- (, ?lA-So?',
Former Tenant Name
Description of Work ?????-?-? ? ?l/ l1 ???_Q_,
Property Owner ? I ? (L Telephone # ((Ci?l ) lli ? I '"? ?3 Q
? K
Contractor 6
Address ? Yl City
State
. Zip ?T7 Telephone # (?j)
`
Arch/Engr ? Registration #
Address City
State
? Zip Telephone it ( )
f
Licensed plumber installing new sewer/water service: Phone #:
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pemut, 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 appi-oved plan in the case of wark which requires a review and
approval ofplans.
?
Applicant' i nted Name Applicant' 'gnature
75865 THE TRAILS OF THOMAS LAKE
... CLEMSON CIRCLE
4300/ 10 75865 240 02 (4-PLEX)
4300B/ 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/ 19002
4305/ 170 02
4305B 180 02
4306/ 10 75865 290 02 (4-PLEX)
4306B/ 300 02
4308/ ' 320 02
4308B 310 02
4307/ 10 75855 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/ ] 0 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/ 400 02
4316B 390 02
4415/ 10 75865 080 02 (4-PLEX)
4315B/ 070 02
4317/ 05002
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.)
4319B 10 75865 030 02
3
2004 RESIDENTIAL MECHAPiICAL PERMIT APPLICATION
City Of Eagan
(o ^1 13 ? 3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings &. townhomes/condos when pertnits are required for each unit
Date /0 / V Y
Site Address l 0?60y
CI P.rn S o,o C
'(zCle 6Unit #
Property Owner Telephone # ( ?Sl ) ! / ! ' 7/5/
Contractor l> ! / a
Street Address ?(o ?5 l ys ? -7 ?- W • City ,S Yt?
State Zip J S 06 ? Telephone # ((99 ) ?oZ ' D Lrn(o
Bond #• Ezpires:
The Applicant is _ Owner ?ntractor _ Othec
Add-on or al[eration to existing dwelling unit $ 30.00
`%--furnace _Additional eplacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge
lll? I1-? ?f? I lil iL i?l?
I $ .50
7'otal I
II?I NOV I S 2004 I j
?IJ U
I $3o5)
I hereby apply for a Residenfial Mechanical Permit and acknowledge that th fo ion is complete and accurate; that the work will
be orrnance with the ordinances and codes of the City of Eagan and with the echanical Codes; that I understand this is not a
pemrit, b only an application for a pemut, and work is not to start with a 't; that the work 'll be in We
appTov plan in the case ?v rk iytu'ch re,quire??review and approval plans
ApplicanYs Printed Name Applicant's Signature
So??z%
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Ntw Caistructim Reou'vemenls 3 registered site surveys sharing sq. fl. of Id, sq. R o( hwse; and aN roofed areas
(ZO%meximum lot coveage alioived)
1 Soils RepaR if praposed 6uildmg a to bepdaced on disWrbed sod
2 aopies of pan showirg beam 8 wiMow s¢es; pared faund design, etc.
7 set of Energy Calculations
3 cqpes MTree Preservation Plan "rf bt plefted after 711193
Ren Jast Deltil DpUons selectian shcet (MukGngs wiN 3 a less unils)
Minnegascomechanicalven0lationtdm
qyg ?2_-z
ReanodeUReoair Reauiremenis O(fice Use Onlv
2 copies MPlan shaxiig (aotiigs. beams, jaisLs Cert o( SurveY Recd _ Y_ N
1 sel W Enagy Celaletians tor heated additions . Shcs Repal _ Y_ N
1stesuneyiwaAditioRSBtledcs TreePresPlanReW _Y _N_
Addtiort-'mdcatei(on-snesepticsyslem TtaePreSRequiretl _Y _N
OitsiteSeP6eSystmn -Y -N
Plans are considered public information unless You state they are trade secret and the reason.
r
Date _/ / b S/ 0 -7
Construcfion Cost dq QK 6 c9 U ?-
Site Address _ 3 el ,..;) - S/-3 0 .9 A YJ O y - Y 30 -/ ? Unit/Ste #F
G / e r?. ..1 ( W
n
Description of Work K? ?6 0-f /
/ 'l( r?
1l Lf ((IL! L (- (4
!
Multi-Family Bldg = Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner % r c.," a? 7 14o m c, i L</< < Telephone #((e f1 ) L t S' '2j Q U
Contrector L /- /,4-?d/'Ato
Address . b. City ?GC1'A.(SL1 • «e
State 1n/i. Zip 3:1 Telephone ii (q94
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NE11Y BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
(d Submission type) • ResidenOal Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Enveiope Calwlations Submitted
In fhe last 12 monihs, has }he City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Conhactor
Telephone # (
Telephone # (
Telephone # (
for a Residential Buildiniz Permit and acknowledge that the information is complete and accurat
that the work will be in conforrnance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a perrnit, 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 of plans. '/
?Urr /-J?tJf [7
c, & ? x c l= L?o e .a /,.CQ ?
ApplicanYs Printed Name L, -,s- 111- 3 p.2 y pplicanYs Signature
NO.
0
a
?
Z
BY
( ` gs E
/ ?%'//;a ' •'-_.
? op?
36Z3?2J ? tu I SJ ? ,
q,
I o ? ?
U?did9e f C97o.o)
?'y9so) OC p?ais ?erl \ M?n
I ? \ ¢` l
4. 3a .r71 .\ ? ,: ? I_ C926.g)
, ? ? ? ' ' 21?',, ? ?' , ? ? 5g 50
•?i ? '?L S o??\,u\ o?
c\? N'h
.39
6? ? • ?l) ??? • ? q"? K `:?N
. ? ? _0f
\ ' iq34 v
? ?- A s _- \ t,
63
? \ \ (.93?' 4?i,Ol C9)\
`9?ti hyq Lp:?}I°06v A 1,6
D? \
o CL EMSON
`a 43Lb)
I? G/RG?LE
.
\
0 Denotes Iron Monument
° Denotes Wood Stake
x000.0 Oenotes Existing Flevation
(C00.0) Denotes Proposed Elevation
------ Denotes Direction of Surface
Drainage
Proposed Top oF Foundation Elevation =
Proposed Garage Floor Elevation = 934.5
Proposed Lowest Floor Elevation = 935.0
I hereby certi.fy that this is a true
and correct representation of a survey
of the boundaries of:
Lots 25, 26, 27 and 28, Block 2,
THE TRAILS OF THOMAS LA.KE, Uakota
County, Minnesota
And of the location o` 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. qs surveyed by me or under
my direct supervision this 4rh day of
February, 1987.
Paul A. Johnson
Land Surveyor, Minn. Reg. No. 10938
UNOE R MY OIflECT SUFF P V ISION FNO TXAT I AM A OULV REGISTE P
EO PNOFESSION4L ENGIHEER UNDEfl THE l6W$ Oi !HE STATE OG
DP/?NN ,?VPPOVED MINNE50Ta
TAM ` McCOMBS-KNUTSON ASSOCIATES, INC.
REMANrtS O/?TE fqMM, ?J?,?? CaN50111M6 [MGIM([PS 9 lANOIYflVbOqS 0 SIIF PIANN[fl5
?/
REVISIDNS 2/(/8/J OAiE REG.NO. YLYNOOTq,MINN(SOTP
- 4d1 f'REPAREO FOR:
? /VE W HOR/ZON HOMES
E NO
Use BLUE or BLACK Ink
; . I For Office Use
Permit I
City 0f Ea ~Il I Qa
Permit Fee:
3830 Pilot Knob Road j j
Eagan MN 55122 I Date Received:
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: 1
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9/,';Q2/2 Site Address: 1 N Unit
Name: 1 F~8 b r-1'r no, 20~415 ~-g J ~ Phone:. 7~(.7. 7S ~
' Resident/
i Owner Address / City / Zip: t? ~s P
Applicant is: Owner Contractor a D ~J t <v
Type of Work Description of work: h fi ` ~ ~C el~j O f7t~
- Construction Cost,r~ Sd c~ n„Iti_1 arxtiLyitieg: ( TPtj -
` ` Utz _ ~'rr, ~ S
Company: ~rL8 Contact:
q, - 63 ._4►i. f `t
Address: City: VMn '<,e (Lo
Contractor s
I State: Zip: Phone" Lee6nse ~
ea e i e
If the project is exempt from led certification, please explain why: (see Page 3 for additional information)
r
t { A
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
L 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.aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the 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, f permit issuance.
X. e
x
Applicant's Printed Name Applic na re
Page 1 of 3