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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 ? ? FooBnss 11 Foundatbn Framing Rooflny y ' Rouyh Pibq. ?- Rouyh Hty. Y ? d ? • ?c / ?/? ? 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. WO11 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