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4303 Clemson Cir? BUILDING PERMIT To be used for ? Road, P.O. Box 21-194 PHON E: 454-8100 Est. Value $64+OU6 Site Address OF Lot Block Sec/Sub. r 5 ?. Parcel No. a Name ' I "u W 3 Address O f'if., -j u °C Name ?O ? ? Aadress -- - ? City Phone . ,-__..? . , Eagan, MN 55121 Receipt # nfl*e OFFICE USE ONLY On Site Sewage MWCC System _ Occupancy _ Zoning T_ On Site Well Type ofConst Ciry Water _ (Actuao ?t (Allowable) * of Stories Length Depth S.F. Totai Footprint S.F. APPROVALS FEES ? r Assessments Water/Sewer _ Permit _ Surcharge - ' ' Police _ Plan Review ` Fire _ SAC, City ?J Engr. _ SAC, MWCC 1. Planner Water Conn. Council Water Meter I hereby acknowledge that 1 have reed this application end state Bldg. Off. _ Road UNt J thattheinformationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl 0 State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTpL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordlnances Building Official Permit No. Psrmlt Holder Oate Tslophone it Plttmbing c' ? / H.v.n.c. Electric Softener Inapectlon Dste Insp. Commants Footings I 44) Footings II Foundation Framing A59 Roofing Rough Plbg. ,?':Y -,?- &?- Rough Htg. 6^- ?• Isul. Fireplace ,Q Final Htg. Final Plbg. Bldg. Final Cert.Occ. ? Temp. lP Deck Ftg. Deck Frmg. Well Pr. Disp. . .. .r•.4. "" .. .. .- :..: ..- - v..-. . .. ;.r -....r:e. .R. , .. . . . . ' . . ., .,. . m . . f " ' .. ' . PERMIT # • ' • PLUMBING PERMIT RECEIPT q CITY OF EAGAN 3830 PILQX KNOB ROAD, EAGAN, MN 55122 DATE: DNTRACT PRICE: PHONE: 454-8100 Site Address A i Lot Block Sec/Sub y Name ? AddresS c City Phone Name I ', r _ ?_. 3 Address p City Phone FEES COMM/IND FEE - 146 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIOENTIAL FEE - $12,00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Oth er RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO'. FIXTURES TOTAL Water Closet - $3.00 $ BAth Tubs - $3.00 Lavatory - $3.00 ? Shower - $3.00 ' Iti?.chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 - Floor Drains - $1.50 -- Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - S10.00 Private Disp. - 510.00 ?Rough Openings - $1.50 ? FEE: --? ? STATE S/C: CITY OF EAGAN GRAND TOTAL: ? ?M-5 CONTRACT PRICE: Site Address _??.. Lot __j24 _ ,JB ock _ m Name SEDCV ?u Address $91 ? c Ciry M Name ? ? Address p City TYPE OF WORK ,w;,* MECHANICAL PERMIT t'4 w. ... . CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN551 ? PHONE: 454-8100 BLDG. TYPE Sec/Sub Res ? - G. & AIR COND. 'CO Muft. NORTH AVE. S0. Comm. ?p?"I`:55420 Other . nnnn Phane :d Air _.f_Q M BTU r M BTU ieater M BTU and. ? M BTU CFM Oliping OuUets # FEE: S/C: ? TOTAL• RECEIPT # % Jv DATE: WORK DESCRIPTION ? New Add-on 1 Repair j FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PEH PERMIn - 1.50 EA. COMM/IND FEE - 19'o QF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONOOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (AdD $.50 S/C IF PERMIT PRICE GQES BEYOND $1,000) SIGNATURE OF PERMITTEE FOR; CITY OF EAGAN CITY OF EAGAN " 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 ? Site Address ' 30 '?5 f 14 OFFICE USE ONLY ' TRA S Lot Block v SeC/Sub. On Site Sewage ? Occupancy . . , . MWCC System _ Zoning ParCel No. On Site Well Type of Const Cit Water _ (ACtuaQ a Name y (Allowable) W Address # Of S?Of198 3 ? Length 0 CitY . . Phone - - , , Depth ? Total S F , p Name A' ? . . Footprint S.F. o u U Address APPROVALS FEES I- City Phone Assessments Permit ? 374.00 F? V Weter/Sewer _ SurCharge WW W Name PoliCe Plan Review 1? 7,' - k _ ? Address Fire _ SAC, City . u= `W City Phone Engc Planner _ SAC, MWCC _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit ?. ? that the information is correct and agree to comply with all applicable APC _ Treatment P1 State of Minnesota Siatutes and City of Eagan OrdinanCes. Variance _ Parks . SlgnBtUfe Of P@fmittee Copies TOTAL A Building Permit is issued to: on the express eondition that all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinancea Buildfng Official . Permit No. Permlt Nolder Date Telsphone ? Plumbing H.V.A.C. g'7Ca ? ?u• ? 9/? EleCtric Softener Inspection Date Insp. Comments Footingsl / '? Footings II Foundation Framing 407 Pf> Roofing Rough Pibg. Rough Htg. y?e i8ul. 7-r-f? Fireplace //"V/k Final Htg. Final Plbg. Bldg. Final cerc occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. , PLUM9ING PERMIT CITY aF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address m Name m Addre c Ciry ? PERMIT # RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTIBN SeciSub Res. New 1 Mult. Add-on Comm. Repair ' Other Phone _ Name ; AddreSS O City Phone - j - - ? ? FEES COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE S CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.U0 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES n RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 - Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 . Laundry Tray - $3.00 Floor Drains - $1.50 -?- Water Heater - $1.50 v Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMin Softener - $5.00 Well - $10.00 Private Disp. - $10.00 _;i2 Rough Openings - $1.50 FEE: FOR: CITY OF EAGAN . ,_r _.. STATE S/C: GRAND TOTAL: c ?'.- '; CONTRACT P Site Address _ Lot r' ? Name _ a Address c Ciry _ Name _ c Address a City - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. M BTU M BTU M BTU Ly. M BTU BLDG. TYPE WORK DESCRIPTION Res. ? New ? M ult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEFiMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - 50 Vent. CFM (ADD $50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other q FEE ? 5/C: • u SIGNATURE OF PERMITTEE Y? TOTAL• FOR: CITY OF EAGAN • '' • MECHANICAL PERMIT ? RECEIPT # 750 2 -7? CITY OF EAGAN ? v 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?17 PHONE: 454-8100 •? CITY OF EAGAN • - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 BU1L61NG PERMIT To be used for !'Nr Est. Value 1,500 Lot ' ' Block Parcel No. 1K 2 SeclSub. 7ItAL45 Qt i... rc Name ' W z Address ° Ciry Phone ' L•-v.y?t?.'`% , o Name • :7-l3'S1 ? ? Q Address ? City Phone City Phone I hereby acknowledge that I have read this application and state that the information is corcect and agree to comply with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: y? _? _? ? on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official _ 94*43? Receipt ? Date OFFICE USE ONLY On Site Sewage Occupancy MWCC Syatem Zoning On Site Well (Actual) Const City Water (Allowable) PRV Requfred # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVAL5 FEES Engr./Assess. Permit T' W Pianner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment Pt Parks ? - TOTAL . ' Psrmit No. Permit Halder Date Telephone * PWmbin9 . j H.v.ac. Electric 76 6 ?37/ Softener Inspsctlon Date Insp. Comments Footings I Footings II Foundation Framin 9 z3 . aJ Roofing Rough Plbg. ? ? . Rough Htg. Isul. Fireplace ?? ? Final Htg. Final Plbg. ? S Bldg. Final y1 S ? Gs y C? r??g?.. Cert. OCa Temp. LP Deck Ftg. Deck Final 1Nell Pr. Disp. PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 SiteAddress4Ug 0=?.. r"'?•fA Lot Block ? Sec m Name IOWA.? ? Address c City . Phone Name ' ' ? 3 Address 0 Ciry -r--6f4 ? (s, Phone COMM/IND FEE - 1°No 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) PERMIT # RECEIPT # DATE: _ BLDG. TYPE WDRK DESCRIPTION Res. New Mult. Add-on _fr_ Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ---Water Closet - $3 00 $ Bath Tubs - $3.00 i 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 PERMIT) Softener - $5.00 Well - $10.40 Private Disp. - $10.00 Rough Openings - $1.50 FEE - II STATE S/C: - FOR: CITY OF EAGAN GRAND TOTAL: "- W-CMATE FKR YIFE?Ua - REVDW 11/6ANTY OF EAGAN • ,. , I?? 47]-72 •• , ?$ 0 ilot Knob Road, P.O. Box 21-189, Eagan, MN 55121 PHONE• 9?577 . 454-8100 , - BUILDING PERMIT Receipt To be used for Est Value , t)4. 6- 0 Date 19 , Site Address ' Lot 81ock Sec/Sub. IRAI LS CF ?? . Parcel No. ae Name 3 Address p City Phone .O z? ?< a ? Name O FFICE USE ONLY On Site Sewage Occupancy MWCC System _ Zoning On Site Well (ilty H/etef Type of Const (ACtUBl) (Allowable) # of Stories Length th De p S.F. Total Footprint S.F. Address APPROVALS City Phone Assessments Name Water/Sewer Police Address Ftre City Phone Engr. Planner Council I hereby acknowledge that I have read this application and state Bldg. Off. that the information is correct and agree to comply with all applicable APC State of Minneaota Statutes and City of Eagan Ordinancea Variance Signature of Permittee - - FEES Plan Review SAC, C ity SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 TOTAL -7- t' 44 '---..T- ? ?i i.1 $2,30, ?- A Building Permit is issued to: ' on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Permit No. Pe?mit Holder Date Telaphone +M PIum4ing '??? . ;, • . . , , H.v.ac. 9 Electric Softener Inspection Date In` ' Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. -?r jy ? -? ?' • ' .? Rough Htg. , _8 Isul. '7-8--e7 e. /7. Fireplace ,,, 7 z-? Final Htg. Final Plbg. Bldg. Final 9/_g7 ? fJ, Cert. Occ. y/,Q C. A• Temp. LP Deck Ftg. Deck Frmg. weii Pr. Disp. COI Site Lot. a? ? ? c a? c 3 O . Ti?. . •. - . . .' , . , .-.?.;.. . a•rr..t.;-.:. --w,q.. $ ._:.,?,. /;''.?6?'1!f^?`''?y-. ;t. PERMIT # •???• ? PLUMBING PERMIT RECEIPT # ' • CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Name Addre; City ? Name Addre; Ciry ? - BLDG. TYPE WORK DESCRIPTION SeclSub Res. ' New ` Mult. Add-on ?Iibl Comm. Repair Phone Phone Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ' Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 ' ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 > ?- Water Heater - $1.50 Whirlpoal - $100 ' Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) So(tener - $5.00 well - $10.00 Private Disp. - $10.00 ? = Rough Openings - $1.50 - ? `-' FEE: ? I FEES COMM/IND FEE - 1% OF CONTRACT FEE II APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES ' MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMMlIND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 '(ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE FOR: CITY OF EAGAN STATE S/C: GRAND TOTAL: _?`•` , ? PERMIT # + ° • MECHANICAL PERMIT p + , ' , • ' . RECEIPT # CITY OF EACAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: 7-2 ? PHONE: 454-8100 Site Address c BLDG. TYPE WORK DESCRIPTION Lot?Z?. Block Sec/Sub Res. _ Llo? New ? ? Name SEDG WICK HTG. & IR CONQ. CG Mult Add-on N Address &,.Q 10 WFh1TIn/0ATl? AV T. SO. P' 55420 F' Comm, Repair Other c City ? ? 9 ? ? ? Name - FEES RES. HVAC 0-100 M BTU - $24.00 3 Address r ADDITIONAL 50 M BTU - 6.00 O City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MiNIMUM - 1 FER FERMiT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - CaMM. RATE APPLIES Boiler M BTU R TOWNHaUSE & CONDOS - RES. RATE APPLIES Unit Heater M BTU $ MINIMUM RESIDEN7IAL FEE - ALL ADD-ON & REMODELS - 12.00 Air Cond. _ q'J M BTU $ MINIMUM COMMERCIAL FEE - 20.00 vent STATE SURCHARGE PER PERMIT - .50 • G P $ CFM (ADD $.50 S/C IF PEAMlT PAlCE GOES as iping Outlets # BEYOND $1,000) Other ? FEE ;t ? . S/C: v SIGNATURE OF PERMITTEE ? TOTAL: FOR: CITY OF EAGAN INSPECTIQN RECORD?Control No. 0717 CITY OF EAGAN PERMIT TYPE: oulit' jmt' 3830 Pi1ot Knob Road Permit Number: 0009`"4 I Eagan, Minnesota 55123 Date Issued: 06/26/97 (fi 12) 681-4675 ( SITE ADDRESS: t. n t", ? 1 ftoc g? ;> APPLICANT: 4306 Cl.El9SOk4 CIR t: k4 H REMf.ldoFI:thiG ? TNE 'fiRAItS OF TMO#1AS LAKE (612) 649Y7166 PERMIT ?,y R'Tly PE: TYPE OF WORK: NEW INSPECTION I ,"l I ,;,:, .. . r ttA rt I Fr .. 1M'=,UI.A I 1t1N rINAi !ii #IAPKr.t f.l1VFRS]'qMl 4F pFl;K TU 3-NEASOM F'OF?C.H ? _. ? Permit Mo. Perroit Nolder Date Telephone # S/W PLUMBING NVAC ELECTRIC ELECTRIC Inepectlon Date Insp. Comments Footings I froundation Framing ?.''}h -e,4Ca , ?k G.? %?dM.v 2;e S Rooflng ? G? Z r? [ vi r+e Rough Plbg. Rough Htg. Isul. Flrepface Finel Htg. Orsat Test Final Plbg. Plbg. Irtspector - Notiiy Plumber Const. Meter EngrJPlan Btdg. Final Deck Ftg. Deck Fina{ Well Pr. Disp. INSPECTIDN RECORD? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ? ? i i???•.???1?3 , i t< ,,. .;? ,?:?, ? PERMIT SUBTYPE: TYPE OF WORK: 7 I ; rat iJ Permk No. Permit Halder Date Telephone 1F ELECTR?C PLUMBING HVAC Inapectlon Date Insp. Commertts FOOTING5 FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST 6LDG FINAL BSMT R.I. BSMT FINAL DECK FTG ? DECK FINAL ? FXS_nL't'. 11. BUILDING PERMIT 7o be used for i,'!? ?+ ; i.,:•.:. Est. Value $63,000 Site Address Lot 81ock Sec/Sub. i `'`4' ? ?' ' ? •_ L.. Parcel No. ;ROL`?IAS m Name z Address 3 ,J 0 City . Phone . " ,o Name 0 z 6 Address f- City Phone ?m yVj WW Name ?z. Address ? z W ` City Phone Receipt # /'-?; ?5 '1" 17 Date ;.. AY 7 - ? 19 On Site Sewage T Occupancy '?- MWCC System _ Zoning On Site Well _ Type of Const 4 Ciry Water _ (Actual) (Aliowable) V # of Stoties Length Depth S.F. Total Footprint S.F. APPROVALS FEES .;'..? . Assessments - Permit Water/Sewer _ Surcharge Police _ Plan Review ? Fire _ SAC, City r Engr. _ SAC, MWCC Planner _ Water Conn. ? Counc;l Water Meter I hereby acknowledge that I have read this appiication and state Bld9. Off. _ Road Unit that the information is correct and agree to comply with all applicable APC _ Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TO'rAL A Building Permit is issued to; on the express condiiion that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN . 13E78 3830 Pilot Knob Road, P.O. Box 21-199, EagBn, MN 55121 PH O N E: 454-8100 _ Permit No. Permft Holder Date TNephone # Pftimbing H.V.A.C. Electric f %5?;? Softener Inspectfon Date Insp. Commants Footings I Footings II Fou ndation Framing 714,47 P,Q Roofing Rough Plbg. .a Rough Htg. Isul. . Y,. ? 7 Fireptace 17/07 -O Final Htg. C , Final Plbg. Bldg, Final fy F7 L;7 Cert Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. PERMIT #. . ' ' PIUMBING PERMIT RECEIPT CITY aF EAGAN 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: - Block Sec/Sub ? Name m Address c Ciry . Phone ? Name _ 3 Address p Ciry Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN BLDG. TYRE WORK DESCRIPTION Res. New Mult. Add-on Comm. • Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3 00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Ki?chen Sink - $3.00 Urinal/Bidet - S3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - t PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 - FEE - / -- STATE S/C: GRAND TOTAL: --- Z 4c? .??syd ' CONTRACT Site Address Lot ,,-; ?7 ? Name _ m Address c City _ ? Name _ 3 Address o C'ty - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # t?U M BTU M BTU M BTU ?- M BTU CFM _L BLDG.TYPE Res. ?-' Mult Comm. Other WORK DESCRIPTION New ? Add-on Repair FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMM COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMOOELS MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) .? $24.00 ' 6.00 j 1.50 EA. ? ? ? - 12.00 - 20.00 - .50 ?FEE: S/C: ' S SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN I - -n 1 n * • • + MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PiLOT KNOB ROAD, EAGAN, MN 55122 DATE: _ PHONE: 454-8100 SEDGWICK H?EATINs,', a' GArR/&OND TIO4G --< r HOUSE HEATING TEST RECORD ADDRESS '?'i166 A ) CITY- - qQa;'Z= OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY Electrical Work By TYPE OF HEAT ? GAS DESIGN MAK E ' k Model ? t Q Z '' , Serial I N P UT n(3r CONTROLS - k)', THERMOSTAT?- Heat Plug Valve ??' Y 2C1 Limit _ . 2 s -?C iJ%c , Limit Setting - 2 S. ` ? Fan Setting -mP Pilot Type - Q C - Pilot 114ake Pilot Model Pilot Timing Z rU_S zcrn4 L.W. Cut Off Pressure ? tt C Percent COZ ? ? Input CFH ?? - Percent a U 2 Stack Temp. 2 G1'? `' F Percent CO 1",?;U KA MAKE OF BURNER CONVERSIOIV Model Max. BTU Rating MAKE OF FURNACE Model Vent Size KIND OF LINER SIZE NONE Draft Hood Regulator Filters Size Number ? Chimney Location Inside.X - Qutside Chimney Construction la " - i 3 Smoke Bomb Draft " Door Pressure ? Date Tested _- Wiring ? Test Tag ? Lighting Inst_ _ C)ljrl? Company Testing '' - 6 Name of Tester f1-I1tL' _ Form 235 SEDGWICK HEATING & AIR CON01 fIONINCO! -297V .? ? HOUSE HEATING TEST RECORD ? ADDRESS CITY OCCUPANT HEAT LOSS DATE HTG. INST. OWNER SOLD BY INSTALLED BY " Electrical Work By Gas Line By TYPE OF HEAT GA_ FA= HW_ STEAM SPACE HTR. UNIT HTR. OTH GAS DESIGN CONVEhS MAKE MAKE OF BURNER Model Model Serial Max. BTU Rating INPUT MAKE OF FURNACE CONTROLS THERMOSTAT Heat Plug ? Valve - ? ` ? - ` r - Limit m(,G Limit Setting 1 Filters Size _ Fan Setting 1 j Ghimney Location Pilot Type 1 ' r 4 `Chimney Construction Pilot Make T ?_?? r' Number Outside_ , - ?-- Pilot Model L 7 Smoke Bamb Wiring - Pilot Timing ??'C • u ?? T Draft ? Test Tag L.W. Cut Off Doar Pressure Lighting Inst _ Pressure - - Percent CO Date Tested . - >' - / -• Input CFH Percent O z J( '•' Company Testing '>?°? Stack Temp. Percent CD Z Name of Tester ` Model Vent Size ., f `l KIND OF LINER SIZE NONE Draft Hood ! ? ? Regulator , '? C `'Form 235 HOUSE HEATING TEST RECORD ? ADDRESS ? ?° ? CITY? OCCUPANT klQ r ? o A-) OWNER HEAT LOSS DATE HTG. INST. 50LD BY INSTALLED BY f Electrical Work By Gas Line By _ ?TYPE OF HEAT GA_ FA HW_ STEAM SPACE HTR. UNIT HTR ? GAS DESIGN MAKE MAKE OF BURNER ? Model Model L C_? CONVERSION Serial Max. BTU Rating INPUT MAKE OF FURNACE ? Model qONTROLS THERMOSTAT Heat Plug Vent Size Valve KIND OF LINER SIZE NONE Limit Sic rr7,- n Draft Hood /Ly vi4 Regulator Limit Setting Filters Size Number ? Fan Setting `P 1421 P Chimney Location Inside-?1- Outside Pilot Type << % C Chimney Construction _ 61 Pilot Make r . j r . , . r' . Pilot Model - Smoke Bomb Wiring - L•J?t Pilot Timing 3?A.? Draft - Test Tag L.W. Cut Off ' Door Pressure V " r ighting Inst ?T Pressure Percent CO L Date Tested ? Input CFH _ I?? Percent O2 z 7u u Company Testing Stack Temp. Percent CO /?'G ,?( C Name of Tester Form 235 HOUSE HEATING TEST RECORD ESS CITY )'ANT ? o .1 ? ? ? ?V OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical 1Nork Bv .U i Gas Line By TYPE OF HEAT GA_ FA T HW_ STEAM SPACE HTR. UNIT HTR. OTHER_ ? GAS DESIGN MAKE Model '7 ? Serial -:-Y 6? INPUT `S( ,, L )Q C) CONTROLS THERMOSTAT C' Heat Plug Valve 5 X ?l ? R_? ?i f Limit S ?C yvi Limit Setting Fan Setting Pilot Type Pilot Make Pilot Model CONVERSION MAKE OF BURNER _ Model Max. BTU Rating - MAKE OF FURNACE Model ?- Vent Size r ? _ KIND OF LINER - / SIZE NONE ? Draft Hood kJ u / o / Regulator, Filters Size Number ! Chimney Location Inside? Outside Chimney Construction Pilot Timing _ 1 rv S?a L.W. Cut Off ?`-? Pressure ? Percent C02 ? Input CFH v Percent O I U G z ? Stack Temp. Percent CO J? J?C Smoke Bomb Draft Wiring U ?`- Test Tag Door Pressure Lighting Inst.C-2?r Date Tested Company Testing ? f Name of Tester -?' A- Form 235 GTY OP rAGAN Permit No: "75 f> 5- 19 -B 7 3830 ?Ilp! ?(nob Road Meter No: -39 / 5?3 „5 g Date: ? ? Size: P.O. 3ox 21199 Reader No: Date: 7 g-17 Eagan, MN 55121 Ownec : _ ?'*.i Site Address: ° L18 B2 Trails of 2lzomas Ll Plumber 1a? • '?? 525.k;(`7d ?' Conn. Chg: ?? - ??1,1Ps P3 Acct DeP: 5 ' ??tlltt dig911116 Permit Fee: , e? Surcharge: • n' • o ?r?O compty with the City ot Eagan Tr. Plant ? Ordines. Meter. 67 _ f1Cln.i ?. ? Misc.: g WATER SERVICE PERMIT CITY OF r sAN Permit No: Date: - 3830 Pi:. Knob Road Meter No: 3 g 3 Size: ?/8'' oo?t P.O. 8ox 21199 Reader No: 4?f 9? 7-3 Date_ 9- /]- rz Eagan, MN 55121 Iu ner. ?I ew llorizon Homes e Address: 4305 Clemson Circ mbeTlom son Plum6lr nn. Chg: 52 $ dQFa .ct Dep: Q l Xkk rmit Fee: reharge: Tr. Plant. 180.0 j Meter. Misc.: WLWATER SERV . 2 Trails of Thomas Lk > T' "3 ?G• i timply wlth the City of Eagan -- CITY OF W? AN cmr oF ?aN SEWER SERVICE PERMIT 3asQ.Pqot Knob Road SEWER SERVICE PERMIT 3s3a Puat KnoS Road 9910 P.O.'_'.K 21199 PERMIT NO.: - ??$?Fk P.O. Box 21199 PERMIT NO.: ?^ _ Eagan, MN 55121 Ea an, MN 55121 DATE: ? DATE: 5-19-?7 ? I 9 R3 Zoning: No. of Unlts: ' Zoning: ? No. of Units: Owner. Horison 8as:ey ' . N era Horizon " omes 1 Owner. Address: Address:' " ??,A Z? ? i8 8 0 ?8 ? Site Address: ?aon rclz i, B Tra e o o?,ay Lk Site Address: 4305 ? Plumber. ?p8on Um g ! Plumber. ?Pson um ? - - -- - p . . ` pd ! 525.00pd I 89?" to comply with fhe ify g525.o d ! I agree to compFy with the Cky of Eagan Connection Charge: d C of Ea an Connection Charge: - ? i Account Deposit: Ordlnancea. Account Deposlt: 15. OO?d Ordlnances. 1. Q0p Permit Fee: 10. fldpd ? Permit Fee: .0pe - By Surcharge: Suroharge: Mlsc. Charges: Misc. Charges: ? ? , Date of Inap.: • ? Total: Date of Insp.: Total: •. • Date Paid: ? Inap.: Date Paid: I^sp. . This request void - / - 18 months from D , 15 0 4 2 Request Date f; ? ', yn? `?' `ti% Fire No. Rouph-in InSpeCtion ? Requi ed? [:]Ready Nyyrf?%ll Notify InsPec- ?J s ? No tor When Ready ?censed Electncal Coniractor ? Owner I here6y request ins0ection ot abova - eleCtriCal work inetwllaA af• Zicree qddress, Box or oute No ? ^ ?+ Q ,^ r ? City i ection t ., o. Township Name or N o. Ranee No. Courity Oc ,pprit (PRINT) VI Q I?YI t? Phone No. Powe• S lier .4ddress " al Contractor ICompany Na 1 ' . Co?a?r I No. Maiil ng ddress 1 ontract or w er aking I t ilat i? [ ?u• fK ? Authorized Sig t (Contr tor/ irow r aking Insta a[i Ph e Number 33' a-Sa/ °--_ """t euqrcp UF ELECTRICITY Gripga-Midwey Bldp. - Room N-191 7821 Universitv Ave.. St. Paul, MN 65104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STqTE BOARO UNLESS PROPER INSPECTION FEE IS ENCLOSED, -7 /REQUEST FOR ELECTRICAL INSPECTION gift Ea-00001 .os See iostrucLOns for complelinp Ihis lorm oo back of yel low copy. ServiceEnlranCeSize n Fee feederslSubleeders tt Circurts U to 200 Am s 0 to 30 Am s 0 to 30 Am S Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Am s Above 100_Amps Transformers Irrigation Booros Partial. Other Fee apectai inSpCCiion Remarks TOTAL F I, the Eleclrical Inspector, Aereby certlfy that the above ;nspection has been rAfs CITY OF EAQ,aN' Permit No: 8 7 54 3830 F"iot Knob Road Meter Na 59.7??3 P.O. Box 21199 Reader No: Eagan, MN 55121 Owner. °`:E•,a 1:ol'izoi1 ??on:es ? 3:)3I3 Site Addre3s- Conn. Chg: Acct Dep:_ Permit Fee: Surcharge: CA Date_ '- 19-57 Size: 3 ? ` oc Date: ?(n I agree to comply with the City of Eayan -W.Ur-. CITY OF E14GAN - ? SEWER SERVICE PERMIT 3830 PIIQi Knob Road 990r) P.O. Bok21199 PERMIT NO.: Eayapi, MN 55121 DATE: ZoPaing: F3 No. of Units: r. ?'• P^' 'Ior izon ''omes Owne ? Address: j° SiteAddress:V "' O3B Cle,^.!son Circle L19 B2 TXails of Thorsas,L Plumber: Tt1dmPaon Plunbin" I agres to comply with the Ciiy of Eagan Ordinances. i BY Date of Inap.: Insp.: Connection Charge: 525.002d. Account Deposit: 15 .!?4T)d_ Permit Fee: iC . t;0 PZ,_ Surcharge: - S0pa Misc. Cherges: Total: Dete Paid: CITY OF EAGAN Permit No: ? 6753 Date: S 19 - f? 7 3830 Pilot Kriob Road Meter No: 397JV3--f-1 Size: "Rac P.O. B)x 21199 Reader No: Q?? p? g? Date: -? ??? -gfz_ Eagan, MW 55121 / Owner. ew 'iori•?oa ,ic>*.-:es Site Address: 003 Cleriso;1 B? Trails of :homas Li; Conn. Chg: 525. I)0 d`' - 111 °' i -?S ?,iC• p,3 Acct Dep: 15. ??? of `r,tt wL 1 Permit Fee: ? Surcharge: I?gree to compty wRh the City of Eagan Tr. Plant 1?`} •'j Ordlnances. Meter. R7 1)146; Misc.: By WATER SERVICE PER ?T CITY OF EAGAN '+ --- SEWER SERVICE PERMIT 3830 Pilot Knob Road 9906 P.O. BoX fi PERMIT NO.: _ Eagap; MN 5 121 DATE: 1 Zoning: - R13 No. oi Unib: Owner. New tIorizon L'omes Address: Site Address: 3?oa Circle ? ra e o s Plumber. Mi-ompoon P u g , ; 1 agree to comply wllh the City oi Eaqan Connectlon Charge: ; Ordinances. Account Deposit: - ? Permit Fee: Surcharge: ? gy Misc. Charges: - ' Date of Insp : Total: CASH RECEIPT . - CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 , DATE 't 19 eec T:IX0 AMOUNT $ i ooLLwws , . .? ? ? Thank You ., sv , , • White-Payers Copy Yellow-Posting CopY Pink-File Copy BLDG. PERMIT N0. - ? - occ, ?,?„1 ?-r• ? f.. ::.?-? ,3 6 C?r i 01-3210 ' B`ldg. Permit`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 r77 -7 4' v v C.? ?S l' L) ji . r, J ? CASH Q CHEGK . ~ , . . ? ? .. r • ? ? L Ir FOR This vnquest void 18 months irom 1-1-6 / ::ensed Electncal Contractor Owner 1 hereby request inspection of above electrical work installed at: Will Nolify, Inspec- lor When Ready StrWtAddress. Box or o e No. C f ectron o. Township Name or No. ange No. Counry OccyRaril (PRINT) 1 ?? W ? VV '' ? ? - 4n fyu` V Phone No. Power Suppli 09 Address Electr Mactor (Company Name) Contracto 's Ucense N d? Mail' A dress ontrac r or r Making I ta lation , ? Authoraed S ur iContra q ner Making Installation) Pho e Number 1 J _ MINNESOTA STATE BOARD OF ELErMG16{"'Vf60 C-06IT..e THIS INSPECTION pEQUEST WILL NOT Grie9a-Midwav Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARO 1821 Universitv Ave.. S1. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-OSOO ENCLOSED. L ,?? ? REQUEST FOR ELECTRICAL INSPECTlON ? EB-00001-06 . ? , See instructions for completirq this lorm on back of vellow copy. D 1?n,?q "x" Below Work Covered by Ihis Request Now Add NeD• Type of Bullding Appliances Wired Equipmenl Wired Home Range Temporary Service Duplex Water Heater Lightln,y Fixtures Apt. Buf Iding Dryer Electric Heatin Commercial Bldg. umace Silo Unloader Industnal Bldg. Air Conditioner &ilk MiIk Tank Farm snr, aecov inar 1sno,:,fy1 t Pr Ucc.i(Y Ther Other c,ompute rnspection hee Kelow M Fee ServiceEMranceSiie f! Fae Feeders/Subleeders N Fee Circuits Uto200Am s 0 to30Am s Oto 30Am s Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_An,ps Above 100_Am s Transrormers Irrigation Booms Partial. Other Fee Signs Special inspection TOT -__? pemarks AL FEUE J ^G Rough-in Date I the Electritel ? 7A , Inspector, hereby Final Da certify thst ehe above i ? K nspection has been made. fAfa rsqueat void 18 months from r CITY pF EAGAN N 0- 14 4 3 7 - 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55127 BUILDING PERMIT PHONE:454-8100 Receipt # 19aaq To be used for BASEMENT Est. Value $1, 500 Date NOVEMBER 19 ? 9 87 Site Address 4305 CLEMSON CIR Lot 17 Block Z Sec/Sub. TRAILS OF Parcel No. THOMAS LAKE m Name 7tVONNE CECCHINI 3 Address SAME 0 City Phone 452-4386 (H) a0 Name SAME 687-1351 (W) ?a Address ¢ City Phone ¢ w Name_ = Address u w City _ I hereby aCknowledge that I have read this appliCation antl State Ihat the information is correct and agree to comply with all applicable Siate of MinnesOta StatUtes and City o?gan O V1'?-rdinancpe„s. ? Signature ofPermittee ? L'?(DGC i? A Building Permit is issued to: ?/YVONNE CECCHINI on the express condition that al I work shall be done in accordance with all applica6le State of Minnesota $atutes antl CityphEagan Ordinances. Building OHicial OFFICE USE ONLY OnSiteSewage _ Occupancy MWCC System _ Zoning On Site Well _ (Actual) Const Ciry Water - (Allowable) PRV Required _ # of Stories Booster Pump _ Length oePm S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit $ 29•00 Planner Surcharge 1.00 Council Plan Review Bldg. Off. SAC, Ciry Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment Pt Parks TOTAL $ 30.00 FoR snLE T.H. CITY OF EAGAN N? 13578 - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 p BUILDING PERMIT PNON E: 454-8100 Receipt # ?3y e/ To be used for 1 OF 4 PLEX Est. Value $63,000 Date MAY 7 ,19 87 SiteAddress 43055 CLEMSON CIR Lot 18 Block 2 Sec/Sub. TRAILS OF Parcel No. THOMAS LK a Name NEW HORIZON HOMES w z Address P.O. BOX 1367 9 Ciry MPLS Phone 420-3900 . ?o Name ? a Addre: ? City_ ¢ ww Name . z z. Addre: aw Clty_ OFFICE USE ONLY R3 OnSiteSewage Occupancy MWCC System ? Zoning PD On Site Well _ 7ype of Const v Ciry Water _ (ACtual) (Allowable) V 76 of Stories ? ? Length Depth 26 S.F. Total Footprint S.F. APPROVALS FEES 374.00 $ nssessments Permit Water/Sewer _ Surcharge Police _ Plan Review 1 R7.00 Fire _ SAGCiry 100.00 Engr. _ SAQMWCC 525.O0 Planner _ WaterConn. 595_!10 Council _ WaterMeter 67_00 1 hereby acknowledge thai I have read this epplication and state BldgAft _ Road Umt _305p0 thattheintormationiscorcectandagreetocomplywithallapplicable APC _ TreatmentPl 1An np State of Minnesota Statutes and Ci of Ea n Ordina e. Variance _ Parks Copies Signature of Permlttee ?-? TOTaL $2, 294. 50 A Building Permit is issued to: NEW HORIZON HOMES on the express condition that all work shall be done in accordance with all epplicable State oi Minnesota Statutes and City of Eagan Ordinancea Building Official 0 I= . . O. ` I Fox Sat,E uNITS CITY OF EAGAN ' N2 13577 TOWWliSFv 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# 7.3.C-) tq f Tobeusedfor 1 OF 4 PLEX Est.Value $64,000 pate MAY 7 ,7987 Site Address . 4305 CLEMSON CIR OFFICE USE ONLY 17 2 TRAILS OF Lot 81ock Sec/Sub On Site Sewage Occupancy R3 . H MWCC System X Zoning Pn Parcel No. On Site Well Type of Const Cit Water }L (ACtuaI) V rc Name NEW HORIZON HOMES INC y _ (Allowable) p W z Address P.O. BOX 1367 # Of SIOfICS Length 44 o MPLS 420-3 00 Ciry Pbone Depth 24 S F Total . . , p Name SAME Footprint S.F. ? Q Address APPROVALS FEES ? r Clty PhOnC qssessments Permit 377.50 ?_ c t Water/Sewer Surcharge O W NamB Police _ Plan Review 188.75 ? z x- Address Fire SAC, City - 7 Ofl _() Q a? Engc SAC, MWCC 199 _ fl(1 aW City Phone Planner _ WaterCOnn. 425_00 CounCil _ Weter Meter 6 7_ OQ I here6y acknowledge that I have read this application and state BIdg.Off. _ Road Unit 305.00 that the information is correct and agree to comply with all applicable APC - TreatmentPl 1R0.00 State of Minnesota Statutes and Ci f E an Ordina Variance _ Parks Sl t f P itt ? Gopies z L auu 4 5 gna ure o erm ee i 7p7pL p , . A Building Permit Is issued to: NEW HORIZON HOMES IN C on the express condition that all work shall be done in accordance with all applicab S ate of M in spg otaStatutes and City of Eagan Ordlnances Building Official ? ?'"?? FOR SALE 'r: x. CITY OF EAGAN N? 13582 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 f , PHONE:454•810o BUILDING PERMIT Receipt# To be used for 1 OF 4 PLEX Est. Value $63 , 000 Date MAY 7 ,19 $7 Site Address 4303B CLEMSON CIR OFFICE USE ONLY Lot 19 Bbck 2 Sec/Sub. TRAILS OF On Site Sewage Occupancy ?- R3 P MWCCSystem Zoning D PerCel No. On Site Well Type of Const V CityWater X (Actuap x Name NEW HORIZON HOMES INC (nllowaole) ?__ w z Address P.O. BOX 1367 u of Srories Length T+? o MPLS 420-3900 City Phone Depth 26 Total F S . . , p NamB SAME Footprint S.F. ?a Address pPPROVALS FEES m P City. PhOne Assessments _ Permlt $ 374.00 31 50 1- ? WateVSewer _ Surcharge . ? W Name Police _ Ptan Review ?rn0 i= Add?eS3 Fire _ SAC, City _.+ionP10 ua w City Phone Engc planner SAC,MWCC _ WaterConn. 525. ? Council WaterMeter 6?ti0 I hereby ecknowledge that I have read this application and state BIdg.Off. _ Roed Unit thattheinformationiscorrectandagreetocomplywithallapplicable ' APC - TreatmentPl _-rBUTOO State of Minnesota Statutes and C oan Ordi es. Signature of Permittee Varlance _ Parks Copies 707nL .$2 ,-2q.l.50 A Building Permit is issued to: NEW HORIZON H ES INC on the express condition that all work shall be done in accordance with all apprl'p,a ble State of M innesota Statutes and City of Eagan Ordinancea _ BuildingOfficial_ k __ ?l °°<J ? FOR SALE T.H. CITY OF EAGAN N? 13583 1 ' 3,830 Pilot Knob Road, P.O. Box 21-199 Eagan MN 55121 "` I PHONE:454-8700 ? BUILDINGPERMIT Receipt# :D5 F9 Tobeusedfor 1 OF 4 PLEX Est.Value $64,000 Date MAY 7 ,t9 $7 SiteAddress 4303 CLEMSON CIR Lot 20 Block z Sec/Sub. TRAILS OF Parcel No. : Name NEW HORIZON HOMES INC = Address P.O. BOX 1367 ° City 14PLS Phone 420-3900 .o Name SAME ?a Address : City Phone ¢ w z 0 z W Name_ Address City _ I hereby acknowledge that 1 have read this application and sta[e that the information is correct and agree to comply with all applicable State W Minnesota Statufes and CilAf Eagan prdinWge. Signature Of A Buiiding Permit is issued to: NEW Ltuxi all work shall be done in accordance with all Building Official INC State of OFFICE USE ONLY R3 OnSiteSewage Occupancy MWCC System ? Zoning PD On Site Well _ Type of Const V City Water X (ACtual) IV (Allowable) # of Storles _ 44 Length Dep[h 27 S.F. Total Footprint S.F. APPROVALS FEES $ 377 50 Assessments _ Permlt . water/Sewer _ Surcharge 37 _ (10 Police _ Ptan Review 1 RR _ 75 Fire _ SAGCIty 100 n?e0 Engr. _ SAC, MWCC t?ov n0 Planner _ WaterConn. st 00 Council _ WaterMeter 67 noO BldgAff. _ Road Unit 395. Q APC _ Treatment P1 ???on n0 Variance _ Parks ? Copies 70TAL $2,300 5 on the express condition that Statutes and Ciry of Eagan Ordinances. ?. QTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: PermitNumber: BUILDING 025651 Date Issued: 0 5/ 2 3/ 4 5 SITE ADDRESS: P.I.N.: 10-75865-170-02 PERMIT coh( 4305 CLEMSON CIR I.OT: 17 BLOCK: 2 THE TRAILS pF THOMAS LAKE DESCRIPTION: Building`Permit Type REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 DECK NEW 1 _, ? _...E,.. _. CONTRACTOR: - qpplicant - ST. I.IC. OWNER: HUGHES CONS7 14527295 0007242 WAILACE DAVE 2890 FAIRLAWN PL 4305 CIEMSON CIR EAGAN MN 55121 EAGAN MN 55122 (612) 452-7295 (612)452-1349 I here6y acknowledge that I have read this information is correct and agres to comply L Statutes and City af Eagan Ordinances. APPLICANTlPER d?EE51GN UR aPpltcationarnd state that the with_a1J app.licable State af Mrt. ISSUED SI TURE I __j INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS:P•I•N.: 1e-75865-17e-e2 APPLICANT: LO7: 17 BLOCKc 2 4305 CLEMSON CTR HUGHES CONST THE TRAILS OF THOMAS LAKE (612) 452-7295 PERMIT SUBTYPE: TYPE OF WORK: DECK ? L NEW BUILDSN6 925651 @5/23/95 ? I PERMIT CITY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT TYPE: Permit Number: Date Issued: 4305 CLEM30N CIR LOT: 17 BLOCK: 2 THE TRAILS OF THOMAS LAKE ,-9uildYng Permit Type Building?Work Type ' UBC Occupancy Building length 8uilding Width'_ SF PORCH NEW R-3 10 10 REMARKS: ?c( ,V 31 COVERSION OF DECK TO 3-SEASON PORCH FEE SUMMARY VALUAT20N ;4,000 BUILDING 090924 06/26/92 Base Fee $63.00 COPIE3 $1.00 Surcharge ;2.00 Total Fee $71.00 Lic. Search Fee E5.00 Subtotal ;70.08 CONTRACTOR: - APPlicant - Sr. L'cpWNER: C 8 H REPIODELIN6 16437165 0005777 CECCHINI YVONNE 15686 CICERONE PATH 4305 CLEMSON CIR ROSEMOUNT MN 55068 EAGAN MN (612) 643-7165 (612)452-4386 I hereby acknowledge that Y have read this application and sCate that the information ie correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ord3nances. L ? e?t1l?AQl ?, I rr MITEE SIGNATURE ?SUED B?SIGNA URE ? ? Control No. 0717 INSPECTION RECORD I Control No. 0717 CITY OF EAGAN PERMITTYPE: euiLorNG._.: 3830 Pilot Knob Road Permit Number: 000924 ' Eagan, Minnesota 55123 Date Issued: 0 b/ 2 6/ 9 2 (612) 681-4675 SITEADDRE55: Lor: 17 eLocK: 2 APPLICANT: 4305 CLEM30N CIR C B H REMODELING THE TRAIIS OF THOMAS LAKE (612) 643-7165 PERMIT SUBTYPE: SF PORCH TYPE OF WORK: NEW INSPECTION FOOTING .. . FRAMING __.., .A INSULATION FINAL REMARKS: COVERSION OF DECK TO 3-SEASON PORCH ? ^This eq ?uest vald -? 19 mpnlhs Irom 7fr 710 ? 1S041 Z' Re qvest Oate ?`? ? 0 Fiix No. Houqh ,in InsV?'ction , Nedu ed? ?Ready Nuw II Notify Inspec- 00 Yes ? No or When Re tly .U -eioeo cieccncai i,omractor I hereby repuest ins0aclion of above ? Owner eleehicat work inslalled at S11 1 Address, Box flo ie No. ' y n ecbon o. 7owns ip Nxme m No. Range No. County ? c nirm IPRINTI Phone No. i m Power S. lier Address Ele, I Contraemr (ComVany Name) Cmiir r.tnr's Licens O Mailinp Address ICo iractor or O n r MakinO In Aut orizetl ig ature (ConVa wner akine In.tal ati Pho umber n ? minrvrsUlA SMTE 86AflD (YF ELEVYPR:IYP'- I rIs IrvSPEGTION PEQUEST WILL NOT 136e9%-Mitlwey Bldy. - Noom N-191 gE ACCEPTED BY THE STATE epApD 1821 Univeraitv Ave.. St. Paul. MN 55104 UNLESS PflOPEfl INSPECTION FEE IS Phonal6'12J642-0800 ENCLOSED. ;EQUEST FOR ELECTRICAL INSPECTION See instructions br completing this torm on back ol vellow ooov. 0 EB-00001-06 757 / U '"X'Be/ow Work Covered by 7his Requesf i eao. Tvu» o+ sunan,e AOplianros wiraa eauiument wi.en Home Fange Temporary Service Duplex Wa[er Heater iqhtiny Fixtures Apt. Buflding Dryer Electric HeaLn Commercial Bldy, umace Silo Unloader Industrial Bldy. Air Condition r Bulk Milk Tank Farm OUe7, oec? V Oihcr ISn„,?ivl t Ter SV,`T i(y Other Otnur LO/IIOUIP IIISDfCIfO/1 hAP HPIOW p Fee ServiceEntrance5iza H Fea Fexders/5ublexders N F, Circuits U to 200 Amps 0 to 30 qm s 0 to 30 An+, s A6ove 200 qinps 31 to 700 qmps 31 to lOp A s Swinmiing Pool Above 100 -Amps Above 10Amps Transiormers Irrigation &oorr?s Partial,Other Fee Signs Speciai Inspection S TOTAL F E Hema.ks ? j E 11?- ? i RouBh-in O'?"' I tha EI vi C , Inspectoq hetaby cerlilv that the above Final A ?)'?e 'J 'nsoectimi has been made. Rtla reuuest voiC 18 montM trom ?/r ?/y??- ?oG so 7 J 578 99?,? Request Oale ?/'1 Fire No. Rough-in Inspection R iretl? Notify ctor ? ReatlY Now ? W?„ ? ' ?? ' 1?• . V¢s L NO en I$iiilicensed contrador ? owner hereby request inspection of above electrical work at: Jab Adtlrs s SVee6 Box ar Rome No.j ?? e C'ity - 430 e?o ??. . 6,, Secwn No. ? Township Name or No. Range No. C11 ? ! Occupent(PRINT) Phone No. PowerSu00lier Adtlress Elecvical CoMractor COmOany Name) Contmcror's License No- ??cr }h,ern Elec-h-rc' In (31231 Mailing Atltlress IGOmracior or Owaer Maki tS ? ` ilationl ? ?Q MfU SSI?I _ AutM1Ori na ur ?Iraclo / wner Making Installation? PM1One Number -3 MINNESOTA STATE BOAFD OF ELECTRICITI"I Griggs-Mitlway BIEg. - qppm 5-173 1821 University Ave., SL Paul. MN 55104 Phane(612) 612-0800 THIS INSPECTION REOUEST WILL NOT 6E ACCEPTEC BV THE STATE BOARD UNLESS PROPER MSPECTION FEE IS ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION Eg.oooo,-oa /O?i907 5 7? g?? See mslmclions lar completing ihis lorm on back ol yellow copy "X" Below Work Covered by This Request ew AOtl Rep. ' TyPeofBuiltling AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Hea[er Electric Heating Apt. Building Dryer Other(Specify) Comm./Indusirial Furnace Farm Air Conditioner Othel Isyeciy) Conhaclor's Remarks'. 23 tU Compute lnspection Fee Below: g - Other Fee # ServiceEnvanceSize Fee # CircuitslFeetlers Fee Swimming Pool 0 10 200 Amps 0 ro 700 Amps Transformers Above 200 _ P.mps Above 100 _ Amps SignS Inspectar's Use Only: 0`q9 TOTAL S0 3 3 a IrrigationBOOms Special Inspection Alarm/Communication THIS INSTALLATION MAV 8E ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspeclor, hereby Rau9h-in a r certify thffi the above inspection has F;,,ai oa?e ? ^ been made. - OFFICE USE ONLV ' ThISIBQIIB9t Wld 18 mOllth6 frO(11 This repuest void ir? c/A? 7 5a S.? ta noncns Gom Do 66134?/,? r?? •??-r:,-? ?h „r'ti, ?`-?i?`n' Re9??B5t t Ffre No. ROUFlhlh InSGBCtion ? ? ? + Reyuiiatl7 ?Reatly Now Q Will Notity Insoec- ? l1 ?yes ?Nn tur When Reatlv U Lic??nsed E ecVlcal ConVactor • I hereby requast inspection ol above xOwner V)nVi h O rA pr ?. je? j elecRical work installad ac Street Address, Box or Rome No. City le s ? t?2c , ecuon n Township Name or No. qanpe No. Coumy Day of-a, Oc uUant IPPINTI ' Phone Nn . ` - 3 8"b Power Supplier Adtlress ? Y Elecuki,cal Con[ractor (COmvany Name.l t Util n 2, r c...Vactor's License No. Mailinq Jress (Contractor or Ownzr Makinp Instailation) ee a. Authorize Signatwe IConvactodOwner MakinB InstallatioN . mber Dj' MINN?'SOTA STATE BOAflD OF ELECTPIGITY Grie??-Midwey Bldg. - floom N-191 1821 Universitv Ave.. St. Vaul, MN 55104 Phone (612) 642-0800 TMIS INSPECTION FE?UEST WILL NOT BE ACCEPTED BY TH SiATE BOAAD UNLESS PNOPEH INSVECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 \ 0 See insiructions tor completing [his iorm on bxck ol yellow copn , -;Z "X' ' Be/ow Work Covered by This Request DD 66134 Adtl R.I. Type of Builaing Aopliancea WireC Entjiymant Wired Home Range Teniporary Servlce Duplex N'ater Heeter Liyhtiny Fixtures Apt. BUilding Dryer Electnc Heatni Commercial 61dy. Furnace Silo UnlonAer Industrial Bldy. Air Conditioner Bulk Milk Tank Farm oin„? sp„c?rv nin,,, is'nec?rvl i? ? e? succ?lv other p _ __., _'_ ..._?__ ........... .....?.. N Fea Serv{ce Enlrence5ize b Fae Feeders?Subfeeders k Feo Cir ults U to 200 Amps 0 to 30 A us 0 t 30 q Ahove 200_qmps 31 to 100 Amns T?1 :31 to 700A, nnc $ oZ,JbLj TOTAL aouen-,n ,?..^ ome tha Elect 'ca nspactor, neroby Final ? certify ?hat the above / ?`??" 'nspeclion has been re?e...??.e??,...i..o........... ?..._ ? mede. 'This IdQUest vald 18 months 1rom ? 15040 %45 7/O - _a-D nre rvo. nouP?-?n insuecUOn Required? ?Heatly Nu ?II Nolity Inspec- ?? ?.y?h ?N?? tor When Ready ,4fTLicensed Electrical ConVactor I hereby request inspection ol above ? Owner elechicel wark installad et City e or No. = qange Nn. Coumy (PRINT) e5 Phone No. I vy' Power Supplier, 1 Address Elec onvactor ICompany Namel . Cont'r,mr's icu s n P c? ? Mail- g AdJress 1 un rac or or w fvll r MakinP??pyt Ilatioi P \??„ / f ; ? ?? V . Aut d SiBFalure_ ?C,p/?h c?wn r Ma - pi s Ilalio 1 Phon umher I fz - MINNE56TA STpTE BOARD'OF ELNC3*fCITY ? THIS INSPECTION XEQUEST WILL NOT Griggs•Midway Bldq. - Room N-191 BE qCCEPTED BY THE STATE BOAAD 1821 Univaraitv Ava.. SL Paul, MN 55104 UNLESS PHOPEH INSPECTION iEE IS Phone(612)642-OBOO ENCLOSED. REQUEST POR ELECTRICAL INSPECTION r- ee-00001-06 See instructions tor completing this lorm on Cack of vellow copv? ? 1 r , n n n "x eeloW Wak Covered by 7his Request pd,i „ . r.eo. ., Tvoe oi euiiaine Apo???nces w?ree Equipmem Wired Home Range Temporery Service Duplex Water Heater Li<?htiny Fixtureti Apt. Building Dryer Hec[ric Heatinq Commercial BIAy. Furnace Silo Unlonder Industrial 81Ay. Air Conditinner Bulk Milk Tonl< Fann tne, nec? v etne.r ISnor.fyl t e P?`?ifY Other Othi;r Fpil ServiceEnlraneeSize 4 Fee Fxeder5?5uhleaders 4 F.o 0 to 200 Am 5 0 to 30 qm s Above 200 Amps 31 to 100 Amps Swimming Pool Above 10U-L?mps t Transiormers Irngation eooros Signs SUeciallnspection TOTA FEE Pem?rks e /? -? ?I flouph-in I. Ihe lactrica ?._/??? Inspectu, e?eby ? cer?ilV that the above Final U'11e inspection hes been , •% 7-5 -AArundlii. Tnie reeuesl voiE 18 monthe irom ??nc/ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 IYaw conso-udm Rmuenm,ts 3 regBleed sk mweys shaxi?g sq. R of loC sq. ft of houK and d rooTed mm (2096 ma:mnum blcaVWd9e dOred) 1 Sals Repolt'rfpmposed 6uildmg a W be pWoed po disWrhed sn7 2 Wpies oFplmi shawing heam 8 wbbaws¢ex Pomed bund desgn, etc. 1 sel of Energy CakWglions 3oWies of Tree Preservation Poen'rf lot pletted efler 71193 Rim Jds! Deteil OptiM selecGm sheet (6uBerings wBh 3 u less units) N5megno mediarocal venNa6an tartn ? RemodeYReoart Reauinments OIRce Use O?dv 2mpiesdPlenehowingkoligs.bwns.jaisls CeRatSurveyRecd _Y _N 1set otEneW Cekuletims6rhealedadfflou _ SalsReput _Y _N istea+neY[oredd6ons8detlc5 TreeResPlen.Recd _Y _N. Add&a+-indcafeA"esepticsys(em TreePresRequtred _Y _N OrvSb SepticSystem _Y _N Plans are considered public intormation unless ou state the are trade secret and the reason. f Date ' j_ / b Sl 0-7 Construction Cost dq Q? O c7 tl Site Address 6 - o? Unit/Ste N iV?I e-? nesciriptiooorwa? i? oa j li `'t re-, lr i'1l06-r: U ? Molti-FamityBidg N Fireplace(s) _ 0 _ 1 _ 2 Pro PeH3'Owper 1 Tc..:?_f a ? 7 o n.c f LCTelephone#Q .J!) LSS - 7j dGl Contractor Y T/ ? f-I U r'7L?S /Ili ?. Address D. n CitY I(?L.Cfll('JL1!??e-- , State ? qj. Zip?'? Telephone#(?f? ?.35 ?? COMPLETE THIS AREA ONLY IF CONSTRUCTlNG A NEW BUILDING - MinnesoU Rules 7670 Cate? Minnesota Rules 7672 EnBfyy CodB Cet6gory . Residential Ventlla6on Cafegory 1 LVOrksheet • New Energy Cade Worksheet (J subrtdssfon lype) Submilted Submit0ed • Enefgy Envelope CaIcuWBons SuDmitted In the last 12 monfhs. has the Cify of Eagon issued a pertnit for a simlar plan based on a master plan? _ Y _ N If yes, date and address of master pian: Licensed Plumber Mechanical Contractor SewerlWater Contractor Telephone #( Telephone #( Telephone #( 1 hereby apply for a Residentiai Buiiding Permit and acknowledge that the information is complete and accurate; that the work will be itt conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. '00-0 , r? r-Ars /? C? P ApplicanPs Printed Name pplicanPs Signature 13!9 7987 BIIILDIHG PEAMIS 9PPLICATION - CITY OF SAG9N SINGLE FAMILY DWELLINGS IHCLDDE 2 SEfS OF PL9AS, 3 CERTIFICATSS OF S08VSY, 1 SST OF ENERGY CALCOLATIOHS HOTE: ADDRESSES FOH COR6EH LOiS - COA?R9CTOR/HOMfiOANEE F1QST DESIGHAY6 i1HICH ADDHESS IS DfiSIRED. NO CHANGSS GiLLL BB AL.LOWED ONCE BQILDING PERMIT IS ISSQSD. MOLTIPLS DWELL7NGS - RESIDSNTIAL RfiNTAL DAIYS FOR SALE DHITS ? INCLUDE 2 SETS OF PLANS, Cfi$ 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND' l o(=q- 2o Be Used For: b&q?y? OF SORVEY - CHECB TiITH BLDG. DEPT., & STRUCTURAL PLANS, SET OF Valuation: '*?g, C)()0.,61' Date: J?/ Q 1 U Site Address 4303 CLEMSOI.i CIPCLE Lot 20 Bloek 2 Parcel/Sub qtq,ta6 `?9mc?i4 d•avtx Owner q)Q,us ?46yv,y9k lvYrvz Gkc_ Address P. D. @p? 136? City/Zip Code 55-A A0 Phone 42D- 3cl oo Contraetor II&WIQ Address C1ty/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # On Site Sewage MWCC System ? On Site Well City Water ? APPROYALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Varianee Oceupancy K 3 Zoning FD Type of Const (Actual) ? (Allowable) ? # of Stories Length Depth ? S.F. Total Footprint S.F. FSES Permit 317. ? Sureharge 3Z. Plan Review SAC, City SACp MWCC SZS Water Conn 525- Water Meter co?. Road Unit -?O5 Treatment P1 ?S:0. Parks Copies TOT9L a ? C d • ,.? PP L! N 17- 9 6 ?- / ? 5 r(z 1987 BQII.DING PEAPIIR 9PPLICAYIOH - CITY OF EAG6N SINGLE FAMILY DWELLINGS INCL[tDE 2 SETS OF PLA9S, 3 CSRTIFICASSS OF SORVEY, 1 SST OF SNBRGY C9LCOLARIOHS HOTE: ADDRESSES FOE CORNSE LOYS - COHTRACTOR/HOMEOWNER MDST DESIGHAiS i1HICH ADDHESS IS DFSIRED. NO CHANGSS iiILL BE ALLOWSD ONCS BIIILDZNG PBRMIT IS ISSOSD. MULTIPLE D(dELLZNGS - RffiIDENT79L RENTAL DAITS FOR SALE OHISS ? INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUBVEY - CHBCK iiITH BLDG. DEPR., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 10 ff + To Be Used For: 44A"?-Q & STRUCTURAL PLANS, SET OF Valuation: ?(a3, OC'?C?.`?O Date: 5AI Fl Site Address 4SC3a CLEMSCI'J C12cL?: Lot ?q Block Parcel/Sub Owner jL5?.1,n? ?'?i nSo GawC Address P.C), (3?9x J3b7 On Site Sewage_ MWCC System ? On Site Well City Water ? City/Zip Code 7'rl?yQ,o., ?Y16. SSqbc) Phone A-ZO - 3900 Contraetor 'Z&rr'-?z Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone Il Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Occupaney ??-- 3 Zoning P 17 Type of Const ? (Actual) (Allowable) S? # of Stories Length ¢4 Depth _2b _ S.F. Total Footprint S.F. FSES Permit Sureharge 31 5D Plan Review ? SAC, City Ic?o• SAC, MWCC 5ZS• Water Conn 525. Water Meter fo1. Road Unit Treatment P1 (Q?O. Parks Copies TOTAL </ N 0 17- /572 , . 3 1987 BOILDING PEHIIIY APPLICAYI08 - CITY OF SAGAN SINGLE FANIILY DWELLINGS ZPCLDDE 2 SEfS OF PLAdS, 3 OF S06VEY, i SST OF ENERGY CALCAL9YI09S HOTS: ADDEESSES FOE COEHER LOYS - COHYRACTOR/HOMEOiiNER MIIST DESIGHAiE iiHICH ADDRESS IS DffiIRED. NO CHANGSS iTILL HB 9LLOiiED ONCB BDILDING PSRMIT IS ISSDED. HOLTIPLE DWELLINGS - R&SIDENTIAL RENT9I, OAITS FOR SALE UBIiS ? INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQBVSY - CHBCB WITB BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COPMBRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND (a(=4-- To Be Used For: RQpa,d.rrme3L Valuation: a(?q,?OO..°b Date: . Site Address q??E CLEMSON C1RCL?- Lot Block 2 Pareel/Sub '?4cGlA,LA (9? ???Bro,p? ?,442e Owner mDks -?k'I.UhPYn r Address Ctty/zip C«ie '1'Itpi6',',M,,, 5544D Phone 42 (D - 3q oD Contractor 'LamfL Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # On Site Sewage Oecupancy 91 3 MWCC System 7 Zoning p? On Site Well Type of Const City Water ? (Actual) ?. (Allowable) ? # o£ Stories Length ? Depth Z.77 S.F. Total Footprint S.F. aPeaovALs tes Assessments Permit 23 7 ? ISD Water/Sewer Sureharge 5 z, Police Plan Review ?1-t?a.'L Fire SAC, City f Oep . Engr SAC, MWCC ^ S2 S- Planner Water Conn 525 Council Water Meter t0-7. Hldg Off Road Unit 3c?5 APC Treatment P1 ? O. Variance Parks Copies TOTAL 1?7 _31i75 • D 1 *4 1987 BOILDING PERMIY APPLICATIOA - CITY OF E9GAN SINGLE FAMILY DWELLINGS INCLQDE 2 SEfS OF PLANS, 3 CfiATIFICATSS OF SQ1t4EY, 1 SST OF ENERGY C9LCOLATIONS HOTE: ADDRESSES FOB CORNER LOTS - CONTRACTOR/HOMEOfiNER IiQST DESIGBASE WHICH ADDRESS IS DESIRED. NO CHANGES HILL BS ALLOWSD ONCE BDILDIAG PERlSIT IS ISSD6D. MOLTIPLE DNELLINGS - RffiIDENTI9L RSNTAL IIAITS FOR S9LE QHISS INCLUDE 2 SETS OE PLANS, CERTIFICATB OF SOR9EY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONNR77ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND I o ?= 4- To Be Used For: ?\QL01MQ Valuation: Site Address Lot IS Block 2 On Site Sewage_ MWCC System ? Parcel/Sub A!lj, On Site Well Owner q\ywr City Water ? ? Address P. (`), a 0-k I City/Zip Code ?ULL., qnm, 5544b Phone 420- 3qob I APPROVALS Contractor ,/,ayq Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance nate: 5%41K7 Occupancy P 3 Zoning ? P Type of Const (Actual) ? (Allowable) ? # of Stories Length ? Depth S.F. Total Footprint S.F. FE&S Permit `? I 4 Sureharge 3 I , S` Plan Review t46"7. SACp City loo. SAC, MWCC S25. Water Conn SZ.S Water Meter (0'1. Road IInit 3d5 Treatment P1 --7?;C? Parks Copies TOTAL .`U' C? Phone 0 =1 ZoC?.? . , _ • ?30? (?????.? e'lG ,,. t?? Taw??1?tivsE . ? ???' ?1'?`? ??- 'HEATLOSSCALCULATIONS wEATIHlG&A,IR COIIIDtTlON1111G CO. ?-? 2G,754 MINNEAPOLIS, MINN. Weather5trips A.S.H.V,E. ConslruCtion No. Insulation Windows Doors Guide Refereme Out. Wall Int. Well Ceiling Roo1 Floor Kind How Applied Yes-No Yes-No 19__ _ FLL?Y\N{?. o R°°m lenglh Width' Z, Neight ? FI. mASTpp g`pRoan Length O -1111-mltM °(, Height Wi ndows a nd Doors- Cracka ge and Ar ea Windows a nd Qows- Cracka ge and Are a No. W,drh of ana Meiph? ol pene No, of li pty Lmeel h. ol crack Area sq. 16 N.' WiE?h ol ane HoipM of ane Nn. al li hIS Uneal h. of crack Area sG. h• 3)L y4_ 2 2 a 1 b 2 2-1 1 17 1 0 4 ?L C3 2 a ? ? io Coef Btu Coef Btu Infihm[ion Inliltration ? ? ? ? J O Glass 2q 50 Glass ExP. wall X, ? a Exp. wall k0 x, f • f7 Net exp. wal l 91 N0t exp. wal I o 9• p 25 O rML'WBfT- o0'r' 1 117 2? . Int. wall ceinne -X Zb ceinns ?n (n 2?S I Floor Floor 5a Total Btu. 7 5'? Total Btu. ? Required sq. Tt. E.D.R. or sq. ins, W.A. Leader area Required sq. ft. E.D.F. or sq. ins. W.A. leader area Room Length Width HeiBht FI, ?e "t°1+UtRc?an Length I s Wid[h I d Heiyht Wi ndows a nd Daors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea ND. WIOrh Of pne Heipht Of ana No. ol li h19 Lineal h. Of crack Area sa. It. No' W,?"h o/ enB Hxiqh1 nt ann No. ul b hts Uneal It. al Lrack Aree sq. f4 , ?O g Yir,U q 1 Coel 8tu Coef Btu Intiltration 22q() Infiltration 3Z ? 7aC) Glass ? SO Ao U U Glass I? i?l Exp. wall ?C `? C ab Exp. wall Nat exp. wel I ? Net exp. wall -7 f? 32 Int. wall Int. wall Ceilin9 v X-l 9 ? 'Z•s CeilinQ -15 Floor Floor ?-S C) Total Btu. S total Btu, 3:>9 Required 5q. Tt. E.D.H. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room Length %I Width Height ? FI. Ropn Length J Width ? HeiBht Windows and Doors-Crackage and Area W indows a nd Doors -Cracka ge and Ar ea Nn. Wiam af ane HeiqM ot nne No. ol 1i hte L?neal ??. ol ereck Area sp, fl. NO' Nimn al ane Me?a"'l ut ane No. ni h hts l.neal h. ol <raek Area •4• ??• Coe1 Bw Coef Btu IMiltration Infiltration Giass Glass Exp, wali Exp. wnll Net exp. wall Net exp. wall _ Int, wall Int. wnll Ceiling X, Ceiling Floor -- ?. Flo,r--_--_ 'rj:J ?yn total Btu. Total Btu. Required Sq. ft. E.D.R. or sq. ins. W.A. I.eadei area t Q RWUired sq. it. E.D.R. or sq. ins. W.A. Leeder area f'. r- ?HEAT IOSS CALCULqT10N5 . . . . C?a. ScdquAed HEATING&AIR CONDIT001111NG CO. MINNEAPOLIS,MINN. Weethersirips A.S.H.V.E. Construction No. Insule[ion Widows Doors Guide Referenc put. Wall Int. Wall Ceilinp Roof Floor Kind How Applied Yes-No Yes-No e 79_ ?FI. Q floam LenBth 1Q Wid[h HBight FI. Roan Length Width Height Yli ndows and Doors -Cracka ge and Ar ea Windows and Doors-Crackage and Area No WiAin of ene Heippt of oane No. oi li htg Lmeal 1(, ol crack Area sv t?, Na. yyiA?h ol ane Nmpht of ane Nn. o/ li hts lineal it af crack /rea sv It• ? 2 2 ao ??n Coe1 Btu Coef Btu infiie,ati«, 7(oQ inrinreeion Glass Glass Exp. well Exp. wall Net exp. well 230 Net exp. wall Int. wall Int. wall Ceilin8 Ceiling Floor Floor ,otel eiu. 3 -rocel Bw. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. tt. E.D.R. or sq. ins. W.A. Leader area ? FI. f\-r^, Ropn Lenpth )L- Width I? Heipht FI. Hoom Length Width Heiyht Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea Ne W?tl?? of ane NaiOht of ane No. ot fi hta Lmeal iL of crack 4rer No' yy'dip of ane Hx?qM nf rne No. ul b hta l?nealh. o/ crack Area ap. ft. Y 9 2 t f.° 1? "' 3?._ coei ecu - coer eto Intiltration I 11"7 2223 Inliltration Glass ? 06 ? Glass - Exp. wall Exp. wall Net exp. II 2g,Z q,? 1 Q Net exp• wall ?t-?+ f 2 20 22.10 inc. WAil cei rna ceiiinQ Floor LX I Q?- ? ? Floor Total Btu. To[al Btu. Required sq. It. E.D.P. or sq. ins. W.A. Leader area R9quired 6q. ft. E.D.R. or sq. ins. W.A. Leader area FI. ,t, .r % langth 13 Width Height FI. Roan Length Width Height Ydi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea Nn. yyidlM1 of dne Maiqht OI nne No. of li h1e Lmeal fp o1 [rack Aea Sp. II. NO' W.mb ul Ilna Hmphl ul Anx No. M ?? ?t9 Lineel 1?. Of creck 4?ea s• ?,. COC1 BN C08I BtU' Intiltretion Inliltration Glass Glass Exp. wal I Exp. wn11 Net exp, wall 7?15'b S60 41_1 2_A Net exp. wall Int, wall Int. wall Ceiling Ceiling FlOOr <J 1 7.1 ??[ ?- --'Flnor -'--' Total Btu. . Total Btu. Nequired sq. It. E.D.H. or sq. ins. W.A. Leader area Roquired sq. ft. E.D.R. or sq. ins. W.A. Leader area • ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 51 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered sRe surveys ? 2 eopies ot plan ? 2 copies of plana (indude 6eam 8 window saes; poured fid. deaign; etc.) ? 2 sRe surveys (euterior etldiliona 8 dedca) ? 1 anergy ealculations ? t energy celculaGons for heated atldkions ? 3 eopies of tree preservation plan 'rf IW platted after 7/1193 ? required: _ Yes _ No ' DATE: !?; - 2 ?) ^ 49' CONSTRUCTION COST: DESCRIPTION OF WORK: OI fk ?h W6 STREET ADDRESS: y 305- GI /"'? Se-A Cirelf LOT _L?_ BLOCK 1- SUBD./P.I.D. #:,..?CI e. JIt/1aL- tf4 „/JI?1?? ,??P, PROPERTY OWNER CONTRACTOR ARCHITECTI ENGINEER Name: ? J?.V t Wa ( I&C E Phone #: Wl i1R6T StreetAddress• H3 - 6j£k-llim Cw• City: & h State: wi vi Zip: Company: 02a4c3 `oHsk Phone#: Street Address: a8°ID F ft ???.n ?G _ License #: 7?LW2 City: ?feg r r. State: 01 Zip• -T?V/ •d I Company: Name: ' Phone #- , Registration #* Street Address- City: State: ' Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appliption and state that the inform ion is ?rrect and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: ? OFFICE USE ONLY Certifiqtes of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No ,,. Trails of Thomas I.ake Homeowners Assoceation Eagan, Minnesota May 18, 1995 W. Dave Wallace 4305 Clemson Circle Eagan, MN 55122 Dear Dave: The Board of Directors has reviewed your request for the construction of a three season porch addition to your residence. Approval has been granted for this construction, per the specifications of the blueprint you provided the Board. `Since , Christina S±ark President PER.MIT #,, REACTIVATE._ CITY OF EACAN 1992 BUILDING PERMIT 681-4675 APPLICATION C???4f J U N 2.4 RE66 SINGLE & MULTI-FAMILY 2 sets of pians, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty appties when typing of permit is requested, but not picked up by last working day of month in which re uest is made or tot chan e is re uested once oermit is issued. Date _46v_ Yaluation of work _;? '.? Site Address:GL O;X4 SGYV ei &G.Lev- STREET - SU1TE X Tenant Name: (commercial only) IAT BIACK ? SUBD. 11E, ?'f P.I.D. lf Descri tion of worKix^'Se0410at/ 41 The applicant is: ? Owner ? Contractor Mer (Describe) EY2 ?516?tiL? Name._"4MWtF- ? Phane ?s2?'F3?L Property L ASTeLm?cc H w; F1R5T yjVoNwJC Ow11@f " qddress 413tS C L LC:# VL saL? C.Le-c Gar STREET STE M City State 1? ?• Zip Company Phone 6? ?3• ??G S? COntraCtOf Address t.socge Cliea?rnvdr- y0" License #06?45?96+ °'ExP._ ? 3-4" City State Zip 06 CompanyT?0lrtA-5 6?O?N`? tT/.1 Phone 33?• 90?'O ArchitecU Engineer Name '76A^_ Cvr2CRegistration # wY?? iC?4s Address 'IL ?-s A'PAkelflar1` _57 ? City '0*1 ?Ls• State 2ip ssqep Sewer 8 xater licensed plumber . Processing time for sewer d water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the?information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 5ignature of Appl ican 'L Ar ?- BUILDING PERMIT TYPE ? 01 Foundation O 02 SF Dwg. ? 03 SF Addition * 04 SF Porch ? 05 SF Misc. OFFICE USE ONLY ? 06 Duplex 11 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 .?, . ..?;... .? 4 O 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi. Misc. O 17 Swim Pool O 13 Garage/Accessory O 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck O 20 Public facility O 21 Miscellaneous WORK TYPE ?31 New °?'? 33 A9terations O 35 Tenant FiMsh 'O 37 Demolish ? 32 AddF:;ion A? • O 34 Repair 4rp 36%Move, GENERAL INFORMATION tonst. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total , Booster,Pump f of Stories Footprint- $q'..ft?? F,ire 3prinkler Length ' ? " On-site well Census Code ?? Depth- ?, r.??"_'? t ; ,q ; On-site sewage SAC Code APPROVALS-?,,*.:5, ' ' 1;4_%`. *. Planning BuiT'Ai g? Ass`essments Engineering Yartance `",4 . j REQUIRED INSPECTIONS, ? jC?tDPIu EWT DEZ-r?'fa 13 Framing E nsulation . a?lboard• ' •' •- Final ' `?'° Ora'ntile ? fireplace ?'r,?. .. _ . ? •.• , . •.? Permi t <Fee ?e oo r Surcfiarge '• 2,od Plan Review License° MWCC 5AC'J ? ?1?? •?" Mater Meter Atct. Deposit S/MA Rermitr •I, S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: .OD Yatuetiane S 7 wv „? ;; y'? •> -? [a)c10=loQ ?f ?4S-S"? 6 a-LD "..'.a , c% . , ' , • l?, ' • ??' .?",?. SAC 9G , • SAC Units ' ? ? RECORD OF COMPLAINT ? DATE:Dec- la`1 cbt/ ? v COMPLAINT TAKEN BY: J v GC ft?o2 c-"Ale, NAME: 1N OS'fiI'N Ft IZN 7J ADDRESS: 4 303 eLEM5Vt3 Cs12G11C7 PAONE NO.: 146 - COMPLAINT:_ '?a. =135?4S.?aa`X-'LOL?1--UJ3-_?'_--1L??'?•A@.1? l..? ACTION TAKEN: w?N?? _?t?. c..I?t?.IL., !?f?/71F+ L(??.... ???'?'• _ _JA151 ? tah,???_Acd A- G.mIVb?'"Lti?/.--QL=-_CL COMMENTS: i 2-F, 2 M usT? i Ns?.q-u E'a PIR_M Fkis i MWr uc71a?5 A?-a-4NDI-T19N9 ?LI STING. _ ? WNy ??a TillS N4A? ^ 175 _ m?,u2 PDe??e.? -'tb 41209 PaPiC ?rvaue w..?tap? I°3.g. G uAsg"_. e til °C&v+P.'rtcaat?vnm e - _T?wN Horrs RNIC.T Ay AlWA1 +iWi Son1 HoMg LEGgI, DESCRIPTIONs ?--- --- - I _ • ? ?? ? `?tr-iP- P7 , 1987 BOILDING PERMIT APPLICATION - C OF EAG6N SINGLE FAMILY DWELLINGS INCLQDE 2 SETS OF PLANS, 3 OF SORVEY, 1 SET OF ENERGY CALCOLATI08S NOTE: 9DDRESS6S FOR CORNER LOTS - CONTRACTOR/HOMEOBNER MQST DESIGHATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PSRMIT IS ISSOED. MOLTIPLE DWELLINGS - RFSIDENTIAL RENTAL QP7ITS fl d FOR SALE QNI?S n/d INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SDRVEY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CO.MRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: RemAel JE)AgEMeLjT Valuation: Site Address 113DS OPM CnnC?vrIF, F- Lot 4- Block Parcel/Sub TYdi 11, 07 IhnmaS LA.k,e- Owner yVonng_ l .o.,-f.hin i Address _'j_365 0P.mSmn .iYY1 City/Zip Code E-A _qLn, mN ;T?'j 1')a, Phonet ° q 52 'l.f5R'(o 11 lt):(,S'7-1351 Contractor btj) h gr^ Address SnMQ? as Q,boVp? 1L N I City/Zip Code Phone Areh./Engr. OU;rer Address Snmo, Q c p 6n V P) City/Zip Code 1500 nate: j ili(, )g7 On Site Sewage Occupancy _ MWCC System Zoning On Site Well Type of Const _ City Water _ (Actual) (Allowable) 4f of Stories Length Depth S.F. Total Footprint S.F. arraovALs Fsss Assessments Permit Water/Sewer Sureharge Police Plan Review Fire SAC, City Engr SAC, MWCC Planner Water Conn Council Bldg Off 11 I'I Water Meter Road Unit APC Treatment P1 Variance Parks Copies ,,SO TOTAL Phone !1 CITY OF EAGAN ? APPIICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: LEGAL DESCRZPTION: NOT9: PA7MRTP' QF PFE AT 1?MEQF ??oN ? r?ar aoesri? APPROmr. CP pERMIT. nWFx.-riCN aF sE1Mt arn/tR Ma3t INsTAitATTOrs wIIa. riar BE scEMX)- tu[Wa. PERMIT tAs $EErt APPRUVED. _ wvLiniocx/suDalvision or Tax Parcel ID-JT- . IF E7QSTING STRC'C1Lw, DATE Cp ORIGINAL &)IIDING PIItNIIT ISS['ANCE: ' PRFSIIW ZONING/PROPOSID [!SE: 1 Nbn ear - Q caMWRcLUVRETAIr,/oFTzcE Q IND-'SrRM [] INSTITL*PIONAL/C,dVMRNMERr 2) NAME: FDDRESS: CIT7C. STATE. ZIP: 3) ? ?: ?• ? NAME: ??CJJi C+11/ J1t11G? C[=i ? . ? R-1 SINGLE FAMffI,Y ? a-2 aIPI,Ex c1t,o Onits> [D"R-3 ROWWOLISE (Three,+ Units) ( Units) R-4 APAR1NgNP/CODIDOMINIt.M ( Lfiits) 1'1fV71SRl yJyCE.S! Q , I 4) •• • Iq• .. . . . . T'AM: _ ADDRE$: ` CM, SMTEi ZIP: . PHOM: ClU1l1UCTl?S_ la1CP315ez ?'LLLve ? y ? ?? 1?1.IL recorded .7LS-iLi 1I11L.1d1 5? ?? M' • 01• ' ]? 7D . ? ' ?r?CONNECTIONTGCI?YSEMM [2/CONM=IoN TO aTY WATM d OnM_ 6) n • ? r Q PLEASE HOIa APPROVID PFPIIT FCIR PICK-[JP BY ONE OF J,BdVE --- -- - [v? PI.EASE MAIL APPROVID PIIiMIT 1?D 1, 2, ? 4, AHWE f-t? (Circle one) • ?' FOR :CITY USE ONLY PERMIT # TSSUED -f 7s 3 Pd w/Sldg. Permit s S s ?7•oD $ S $ $ $ S Z S s laZ S -a 0 $ $ $ $ S /jav • ?r? $ s ,. 73 5'o' 7 FEES: $ S SEWER PERMIT (INCLUDE SURCHARGE) I? ? WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OOTSZDE READER WATER TAP (INCLUDE CORPORATION STOP) S SEWER TAP ACCOUNT DEPOSIT - SEWER $ ACCOLNT DEPOSIT - WATER $ • WAC $ SAC , .::. .• , ' ' ? -.,:; `rRt?t?IE •WATER ASSESSN}ENT OUNK -S$1ejEK ;ASSES'SMENT $ " LATERAL_'P$1JE?`I+i'/!,??L'NK SEWER ' - S LATERAL BENEFIT/TRLNK WATER ek ' S + ,ATE$,TREATMENT.PL'ANT SURCHARGE 71 $ c?i..`-' -•?:y ' :OTHER.: ;.; . i . •. . - . ' •5? ..e?jl?? O ? TOTAL •i-?s?': ., r,,`'° 7 RECEIPT RE EZPT -- -. , .?al s• - DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR F10RK WITHZN PLBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: .r APPROVED BY: TZTI.E: •• r, . . ` .. ?e . ' ??• ?• ._ i: .y. :'; , ` , _ DATE: ?/1???? .• ' CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOP3: PAIQAFXP' QF FEB AT nPMcrTIal nos rDr oON5VITUTE aPPR17VAt CF PMraT. naRncriart oF sEWEt Arn/OR w,M Ij TdATTONS WII.L NX7P HE.' 9CBED" tum tMa PERruT HAs MM AexRovFa. P ease Print ,. "1) PROPERTY ADDRESS: LEGAL DESCRIPTION: If' EXISTING S11iCG'IL'RE. DATE OF ORIGINAL &7ILDING PERMiT ISSt`ANCE: . Nbn ear PRESENI' ZONING/P1tOPOSID OSE: Q ca44=IAw/RErAu./0FFIcE ? IPIDOSTRIAL INSTZZL*FIONAL/G0VII21?II?,RdP ? R-1 SINQ,E FANIII,Y : q R-2 DL'PLEX (1t,v Linits) R-3 10WNHOLISE (Three + Units) ( Units) R-4 APAR'ImENP/C0NIDO@ffNILfi1 ( Units) 2) N1ME: A L ADDRFSS: CITY. STATE. ZIP: PH0NE: 3) ' ':: + ' NAME: f For City Lse .. Plimbers License: A[?RESS: ? 19ctive CITP. STATE 2IP: 0 ??d , Dlot zecorded ?0 MAS1ER LIC'ENSE# (7? gt7aff Initial 4) •• • ia• NAME:_S.? ADDRESS Li[U • . . : CI11'. SRp1E, ZIP: PHONE: '5? " ' «' ' ?' • a• a? • ` ?eCCbJNBCTION TO Cr!Y S? ?ION TO CITY WATM o Omm 6) §E?? ? PLEASE HOID APPROVID PERMffT EClR PIQC-C?P BY ONE OF AHOVE [•? PIEASE MAQL APPROVID PEEtNIIT TO 1. 2. 3 4. ABCJVE ,! __ ?,f • _ (Circle one) if, . FOR -CtTY USE ONLY PERMIT # ISSUED ? 7- Pd w/Bldg. Permit S S S l7'oa $ $ $ $ $ ? ZS O'Z? s ?zC? a-0 $ $ $ $ $ ,?d0 • o-? $ S /3 5 7, U-0 __. 73 S-- FEES: $ s w ? SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLODE SURCHARGE) WATER METER/COPPERHORN/OOTSIDE READER $ WATER TAP (INCLC!DE CORPORATION STOP) $ SEWER TAP ACCOUNT DEPOSIT - SEWER $ ACCOONT DEPOSIT - WATER $ • WAC $ SAC , ,c , . .,. : • ' . f. $ - % ? :•. 7,`RI1QK -WATER ASSESSNENT - $ ?,•.'',,._, • . ,j .TjtUNK :SETojER ,-7?SSES'S.MENT $ ` LATERAL_$$NEfkI+P/.?LA1R SEWER $ . LATERAL BENEFIT/TRLNK WATER .? ? ..': i :i?.: •: ' ' ? ';, ,• t. :; ti ?:.!'. i i . tj.?'..: : S •. - _, ATEB,TREATMENT. PI;ANT SURCHARGE "..`?.-.a.y bTHER:'.? $ _ ' • _ .. ' ? . TOTAL ?"'?'• ? r~ RECEIPT R7e6PT 63- %( .. ?- ?• , s ...1:7 ?? _ . DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? O YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISS[?ED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: v APPROVED BY: TITI.E: DATE : ? 7 `;• ?/ i V . *-? : , - v CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: LEGAL DESCRIpTION: N(714's: ?PAwiI'' QP PF8 AT TIlYE (ip ??? ? ? ?? APPROVAL CP PER!M. naseecizorr oF sEWElt arn/CR MMM TrA`I`LT7ATTQ1$ yn1, NO'j` ?,^ SCHED- ta.m [x1ru, PERMrT mAs SM r,pPROM. vision or IF EXISTING STR[JG'iURE, DATE OF ORIGINAL BUIIDING PERMIT ISSCANC7:: ' Nbn ear FRFSIIJP ZONIIJG/PROPOSID LSE: ? /OFFICE p irroL'srxLw ? irrsl1TUT7oiuaa1./ccnmuuW 2) ? AC CITY. STATE rl R-1 SINGI,E FANIII,Y : q x-z DLTLEx (Two L??) [D/R-3 ZUiVNiO0SE (Three ;+ Units) ( Units) (] R-4 APARIMEW/CONIDOMIPIIC?NI ( Units) 3) ?: ?• NAME: ' For City Use Pltanbers License: AMRESS: ? Active ? CITY. STATE, ZIP: Expired Not z'ecorded PEIONE: MASigt LICEENLLSE$ 3t-a-ff -=nitial 4) ?a • ?NAME.? _ ADCRESS: • - CITY. STATE. ZIP: PfiONE: . aR • CMqMDMON ? ? ? ? ?ION TO CITY WAIM OTHER .. 6) ?? • •- Q PLFASE HOID APPR(7t/ID PERMIT FM PIQC-UP BY `OI1E OF RBM Q? PLEASE MAIL APPROVID PERMIT TO 1. 2.(D 3 4. ABf7VE (Circle one) SIGNAZORE•' t; . -FOR -CITY USE ONLY , ? - - PERMIT # ISSUED . v , Pd w/Bldg. Permit FEES: $ S /D 'S? SEWER PERMIT (INCLLDE SURCHARGE) $ S /,o'-O WATER PERMIT ( INCLC'DE SURCHARGE) $ WATER METER/COPPERHORN/ODTSIDE READER $ $ WATER TAP (INCLPDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ $ • WAC $ SAC $ ,.,_: . .. . . TRt114SC •NATER ASSES$NJENT • ',; • -'• ,__ :-`I . $ $ j,' K • . ? TpONK -$ETolER ;ASSES'SMENT • $ $ " LATERAL, -O 4NEkJP%?UA1K SEWER $ $ • LATERAL BENEFIT/TRL;NK WATER $ '_x $ .;(1T}1TE$ ,TRFATMENT, PL?ANT SURCHARGE $ $ S /j? 7,-a D e'-z? ToTAL ' ECEIPT RECEIPT ^ '-' •' ' '` ? ' , - DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR F)ORK WITHIN POBLIC Q ROADWAY" MLST BE ISSLED BY THE ENGZNEERING NO DIVZSION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: ? APPROVED BY: 1 TITLE: .., . , • _ '? , ?7 i..,'. DATE:`?• ' J` 2I 9 Z f / . ?- . ? . . .. -_? `- r . CITY OF EAGAN APPUCATION FOR PERMIT SEWER AND/OR WATER CONNECTION '1) PROPERTY ADDRESS: LEGAL DESCRIpTION: 4 04?- . %..uLia-Locjwsunaivision or Tax Parcel ID-#) IF E}QSTING STRL'CZL'RE. DATE OF CRIGINAL BI:IIDING PERMIT ISSpANCE: Mon ear PRFSEEBTTI' ZOriING/PROPOSID L'SE: ? CO?IAL/RE,TAIL/OFFIC? ? IIOI•'STRIAL ? INSTIIL*1ZONAL/GGVII2I?V'p 2) ? NAM ADDRESS CZTSC. $TpTE. ZIP . PFiONE 3) ' . ?• fIAME: PMRESS: CITY. STATE, ZIP: PAONE: 4) i?II1h]E: ADDRESS: QTY. STATE. ZIP: PHONE: rvm: 'pAWWoa FEE aT a? oF AreLscATIaN nM Wr aoNS-rr? p,PPFDvat. aF rEF441r. nspncxiaa oF smm Arn/tR mum nsrar1,ATIaNs wII.r, WT sE scHE1>- tA.ID tNra. PERMIT H4s sEEN APPFOW. Plia?ers License: Active ? F.xp'iz'ed 3 ? Not xecorded ?+- S?ff Initial ' Sl n - w•?• • a? as . i ' da*NMMON ??? ??ION 70 CITY IXTAM 6) ?? • r C3 pr.FneE HOID p,ppRUID pEF2NUT FM PICR-L?P BY L.a PLEASE MAII. APPHOVID PII0-1IT 40 1. 2. 3 49 (Circle one. rl R-1 SIIa;LE FANIILY ' M R-2 DL?PLEX (TSao C?nits) Ej/?R-3 MtaiOLW (ThreeUnits) ( Onits) ' [] R-4 APAR2MENT/COAIDGY+lIINlIIM ( [ksits ) ' CJLrI _ MASTER I.I(ENSE$ oOTHER? . OF ABm7E #&' 7) ?I ? .. . FOR -CITY USE ONLY PERMIT # TSSLED 97s ? . Pd w/Bldg. Permit FEES: $ $ 70 ' S? SEWER PERMIT (INCLLDE SORCHARGE) $ WATER PERMIT (INCLUDE SLRCHARGE) $ (a 7 $ WATER METER/COPPERHORN/OtiTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ $ a ? ACCO[!NT DEPOSIT - WATER $ ?;wS $ • WAC $ ? Z o? CJ?? S SAC , $ $ '.: \.'.: . . . • . r 1, . Rt i-?., ? •FIATER ASSESSI, • JENT T ' . S S -, , '. • • .. ? ILNK _§F?yER,-ASS.ES'SMENT ` : .._?s. y • ' i 4 : j+ r ; •, .' ?, ) • $ S LATERAL_ 1?FAIEF?Z?P/',tFIL'P1K SEWER ' - $ $ LATERAL BE NEFIT/TRL'NK WATER / $ I?6 '0-o ? ': ?.'``l:?s $ t p 'iJ` '? 1 l ?•...3. ?L:? { ?:J: f 1 TE$ ? + ,TREATMENT, PdfANT SURCHARGE . - ? ? r?_ } •?t $ 4THER.: y .?.. ? s ;>,a C9 ? ?T?, ??, - 60 ? ? ? . . ? REC IPT R C PT -. _.. .. . . ..?:t .: . DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? O YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MUST $E ISSUED BY THE E[dGINEERING DIVISION LIST AS A CO DI ION . . N T SUBJECT TO THE FOLLOWING CpNDITIONS: v APPROVED BY: TITLE; ` ' ' ' .d; .. DATE : ..' 197 '; , •- 'y ? i,; ... ' . • ?... , , ... . ' ;? 04ANES?. April 13, 2004 Evelvn Makela 4304-B Clemson Cir. Eaaan MN 55122 Depaztrnent of Administration RE: Chair Lift - Elevator ID# -10277PT04-28R Residence: Makela, Evelvn Residence, #2 4304-B Clemson Cir. Eaqan 55122 Dear Sir/Madam: Minnesota Statutes Chapter 168 provides that the Department of Administration, Building Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can 6e legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your residence and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, BUILDING CODES AND STANDARDS Jim Weaver State Elevator Inspector jqw/rkr (CE-2) c: Schoeppner, Dale R., BO, City of Eaqan Access Lifts, Inc. ElFOrmCE2R Building Codes and Standards Division, 408 Metro Squaze Building, 121 7th Place Fast, S[. Paul, MN 55101-2181 Voice: 651.296.4639, Fax: 651.297.1973; TTY: 1.800.6273529 and ask for 296.9929 04"96W Department of Administration April 13, 2004 Evelvn Makela 4304-B Clemson Cir. Eaaan MN 55122 RE: Chair Lift - Elevator ID# -10276PT04-28R Residence: Makela, Evelyn Residence, #1 4304-8 Clemson Cir. Eaqan 55122 Dear Sir/Madam: Minnesota Statutes Chapter 16B provides that the Department of Administration, Building Codes and 5tandards Division, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your residence and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, BUILDING CODES AND STANDARDS ??'4 '!??e I? Jim Weaver State Elevator Inspector jgw/rkr (CE-2) C: Schoeppner, Dale R., BO, City of Eaqan Access Lifts, Inc. ElFormCE2R Building Codes and Standards Division, 408 Metro Square Building, 121 7th Place East, St. Paul, MN 55101-2181 Voice: 651.296.4639, Fax: 651.297.1973; TTY: 1.800.627.3529 and ask for 296.9929 .4 r .? -Q -.? ? W 12 I? \ n n ? l0 N n Q ? ? . ? (?6 J 0 Dehotes Iron Monument p Denotes Wood Stake X000.0 Denotes Existing Elevation (000.0) Denotes Proposed Elevation a Denotes Direction of SurPace I Drainage Proposed Top of FoLmdation Elevation = Proposed Garage Floor Elevation = 431.0 Proposed Lowest Floor Elevation =q35.5. I hereby certify that this is a true and correct represenEation oP a survey oP the baxidarie* of: Lots 17, 189 19 and 20, Bloc4c 2i THE TRAILS OF TFiOMAS tAKE, Dakota County, Minnesota - And of the location of all buildings, if any, therean, and all visible encroachments, iP.any; tran or on said land. It also shows the location of the stakes as set for a praposed bui3ding. As surveyed by me or under my direct supervision this 29th day of April, 1987. 15'aul A. Juhnsm Land Surveyor, Mirn. Reg, No, 10938 PR6NTEC MAY Il 1987 gm"S - KkUTSOii ASS(!C„ Irt. OE31GNE0 CHECKEO I NE RE6V CEPiIGY THAT TMIS PL 11H WIS PPEVANED Bv ME OF UNOEPNYOINECTSUPfPVIHONANpTMI?TIM1wDULYpEGISTEN ' ' CERT SHEET SEV. EO IANO SURVEYORUNpEq ?NE UWS OF TME STATE Of IFICATE OF SURVEY OflAWN AMROVEO MINHESOTA. ' McCOMBS- KNUTSON ASSOCIATES, INC F l f?0r ? COMSYLLH4 [MGIMEFRS B 1IN0 SUIIY(YONS E Sllf 1lAFXFRS H0. OATE !Y NEMIINKS DATE fAMN, ? ?? ?.???,y????/ ?\ ? ?/?? ? N? OF PEVISIONS P D?TE EG. NO. oL?'MOUTH, MINNESOTR /??\ n? IR?/ rI? N??V? ? A? ? ? IV??? ?? _ 185.61 N87'?/"OB'W 123.00 -41- -? F? iB5. 6 / N B9' ?/'OB"?.? /.Z3. 00 I hereby certiPy that this is a true and correct representation oP a survey of the boindarie$ of: Lots 17, 18, 19 and 20, Block 2; THE 7RAILS CF TFIOMAS tAKE, Dakota County, Mirmesota • 'V ?s?• - J1/ l$ \ n ti n? TO y n o C" Z Ct'? 0 Oenotes Iron MonLrcnent 0 Denotes Wood Stake X000.0 Denotes Existing Elevation ? (000.0) Denotes Proposed Elevation f- Denotes Direction of Surface 1 Drainage Proposetl Top of Foundation Elevation = 0 Proposed Garage Floor Elevation = ?37 Proposed Lowest Floor Elevation =935.5 ? And of the locatim oP all buildings, if any, therean, and all visible encroachments, iP any, fran or on said land. It also shows the location oP the stakes as set Por a proposed building. As surveyed by me or under my direct supervision this 29th day oP Rpri1, 1957. n ?.? ?aul A. ;Jotmson ? Land Surveyor, Mim. Reg. No. 10938 Pg31 NTED h1nY 1 1y& 40N1As . YKIj ?? A:iJQI,.. 1 MEPflY CENlIFY TNAT TMIS IUM WAS PREPI.NEO By NE 011 UbOEP Mv D'MECT SUIE P V4ION AMD TH11T I AN P OULY PEGISTE PEO LAND SURVEYOR. unoen twe ?AM oc twE STATE OF "'""E'°'• "McCOMBS-KNUTSON ASSOCIATES. INC. ? CONSJiliN6 F40iFlfRS IS 1IX0 SUN1110N3 0 SIfF YUNNFPS ?._. 33 vLvmOVTM,WNNE50TN ICERTIFfCAFE OF SURVEY )O? f 01' ?93, N?W HOR¢ON f-IOMES lV? i Use BLUE or BLACK Ink r----------------- t~ I For Office Use ~.t,✓ j Permit ( t I City of Eano n I Permit Fee: $C d 0 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 I 1 Fax" (651) 675-5694 1 Staff: I I , - - - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date (10 L( > Site Address: ~tV 3 ' ?0313 'f ~O S ~f3C'Sf3 Ck gL"" f Unit ~ ' i Name: ~ O) O TI ~ a 1`11 AS L IL - Phone: ZoQj 2~/7 ZQZ f Resident/ -T Owner. Address / City / Zip: 0 ~ Q 0 C i - t Applicant is: Owner X Contractor i Description of work: ASIPh# It trD b' P~P J~ICC'~S I Type of Work -T h Construction Cost:... Company: TL8 Contact: i Address: City: Contractor V\ 76. State: V V\ Zip:- Phone" 7 (4 7- I t _ -L-i~„32-#_• ea e I Ica e If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans andsupporfing documents that yousubmit are considered to be public information. Portions of i 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,gooherstateonecall.org 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 Eagaih; 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 tale Buil ing Code must be completed within 180 days!o,f permit issuance x l~ YS x Applicant's Printed Name A s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA144340 Date Issued:07/21/2017 Permit Category:ePermit Site Address: 4303 Clemson Cir A Lot:20 Block: 02 Addition: The Trails Of Thomas Lake PID:10-75865-02-200 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michelle Teh 4303 Clemson Cir Unit A Eagan MN 55122--188 (612) 323-5693 Home Depot At Home Services 2455 Paces Ferry Rd Atlanta GA 30339 (952) 345-6057 Applicant/Permitee: Signature Issued By: Signature