4306 Clemson Cir.. ?,....._. _ . CITY OF EAGAN A?e
L-? g Y? 3' 3 1 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 53121 +? -- 13196
? PHONE: 454-8100 "
BUILDING PERMIT Receiptp
To be used for Est. value 4,OUQ Date FEBRUARY 9 19 87
SiteAddress 4346 ^.L??MSG:; CIR Erect C? Occupancy Z3
Lot 29 Block X. Sec/Sub. rZAIL; OF Remodel ? 2oning aU
Parcel No. `'HOi•1aS LAKF, Repair ? Type of Const ?
Addition ? No. Stories
? Nl,k-r tio2 z zOr? Ko?iES I riC Move ? Length 4 4
= Name ' Demolish ? Depth .21
a Address •?= • ?0.' 1367 Int Impr. ? Sq. Ft
City "T- ? Phone 420 3 y 0U Instal I ?
o Napie i A,"1F
o¢ Address
'' City Phone
Assessment Permit $ 377.50
Water & Sew. Surcharge 32.00
Police Plan Review 188.75
Fire SAC 625.00
Eng. Water Conn. 525 . 00
Planner WaterMeter 67.00
Council Road Unit 305.00
Bldg. Off. Tr. PI. 180.00
APC Parks 2 5
Var. Date Copies- .
?
Total
on the express condition that
Statutes and City of Eagan Ordinances.
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.
Signature of Permittee
A Building Permit is issued to: N??a HOR I ZON }IOf•1LS
all work shall be done in accordance with all applicable State of Minnesc
Building Official
` ParmN No. Pemift Holder Date TNephone N
Plumblpq ? ?? 'fj' •???? /.Z/?7
Electrk L ? ? ? %• -, r .? ?ij",7 '$'Y ?. < <~
HOMMN
Impectbn Daie Irup. Canmwnh
Foodngs I
Footings 11
Foundalbn
Framiny
Roofk?y
Houyh Plbp.
Rouqh Htq. 7 Ij,u/ 30 *
ln.ul. 3s? l?
Fkeptace
Flnd Niy.
Final Plby
Bldy. FMaI
Cert.Oce. ?
D4mck Fty.
Deck Frmy.
WON
Pr. Disp.
' c.
CONTRACT PRI(
Site Address _
Lot B
?
,
? Name ?
19 Address -
c City
Name
3 Addre
p Ciry _
?
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
Sec/Sub
Phone
Phone
? FEES
COMM/IND FEE - 1°r6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
? TOWNHOUSE & CONDO - RES. RATE APPLIES
I. MINIMUM - RESIDENTIAL FEE - $12.00
? MINIMUM - COMM/IND FEE - $20.00
' STATE SURCHARGE PER PEFiMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
? FOR: CITY OF EAGAN
PERMIT # 8l 9 &
RECEIPT #
DATE:
BLDG. TYPE WORK DESCHiPTION
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
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 PERMIT)
Softener - $5.00
well - 510.00
Private Disp. - $10.00
= Rough Openings - $1.50
FEE:
STATE S/C:
._?
GRAND TOTAL: - "?
G), V. y I .. . r?nvn ? n ,- ... . ?
.
• MECHANICAL PERMIT
'
711
??
'
?
CITY OF EAGAN RECEIPT #
d u 3830 PILOT KNOB RaAD, EAGAN, MN 55122 DATE:
i CONTRACT PRICE: PHONE: 454-8100 ?
Site Address
t Bl
l
k ?
=
/ ;
BLDG. TYPE WORK DESCRIPTION ?
o
oc ?
Sec
Sub
,-' ' Res. ? New ?
/
°
' Name ED H:
ICK •
80 Mult Add-on
- 8 910 • - Comm. Repair
? Address
c
City 11554 2 aher
?
. FEES
? Name RES. HVAC 0-100 M BTU -$24.00
3
p Address
City
Phone ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMI
1
50 EA
n -
.
(
-
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
' Forced Air _5 (L M BTU -1.L, APT. BLDGS. - COMM. RATE APPLIES
B
il TOWNHOUSE & CONOOS - RES. RATE APPUES
er
o M BTU MINIMUM RESIDENTIAL FEE - ALL AaD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. rl 4t M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM
GOES
PERMIT PRICE
?
Gas Piping Outlets # BEYOND $1,000)
Other FEE: 4( ? S
f S/C: SIGNATURE OF PERMITTtE /hZC.iE?
? TOTAL: J
FOR: CITY OF EAGAN
FOR SALE T. ft . CITY OF EAGAN
LB L 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?p i3197
z. ,
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for 1 OF 4 YLEX Est value $ V 4' 000 Date FEBRUARY 9 1 9 t3 7
Site Address 4306B CLEMSON DC'. Erect L:r Occupancy R3
Lot 30 Block 2 sec/Sub. TRAILS OF Remodel ? Zoning P1r)
Parcel No. TF30IKAS LAKE Repair ? Type of Const ir
Addition ? No. Stories
W Name NEW HORIZON HOMES INC Move ? Length 44
Z Demolish ? Depth ? 7
o Address P• O. B03{ 13 6 7 Int Impr. ? Sq. Ft
City 14t'LS pnone 420-3900 Install ?
= F Name S1?ME
? ¢ Address
1- City Phone
u¢
W W
r1°
v?
¢z
t W
Assessment Permit --?
Water 8 Sew. Surcharge
Police
Plan
ne Fire SAC
iress Eng. Water Conn.
Phone Planner Water Meter
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with ail applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature af Permittee
A Building Permit is issued to: 14EW HORIZON I3Ur'L5S
all work shall be done in accordance with atl applicable State of Minnesc
Building Official ' ' 1
Council I Road
Bidg. Off. Tr. PI. t o u.t
APC Parks
Var. Date 1 Copie
TOtal ' ' d 5
on the express condition that
of Eagan Ordinances.
I • I w.mit Na I P..mrt Haa.. I DN. I TN.pnon. K I
Final
Oce.
Fty.
Frmp.
Dlsp.
_ ' ,'. ..-. . _. _ ., ... .--h= . , t?r•:rR,.? r s- . .. _ ... .. . ., .. _ .. . . ?'?
, PERMIT q Yf 9 `7
? PLUMBING PERMIT RECEIPT # ? ?
• ' CITY OF EAGAN -7
? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -- ?? 4/
? Name
? Addre
?
c City
? Name
3 Addre
o Ciry
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPI.IES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
'j (ADD $.50 S/C IF PERMIT PRICE GOES
CITY OF EAGAN
BIDG. TYPE WORK DESCRIPTION
Res. •h New
Mult Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 5
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 - $i 50
Whirlpool - $3.00
' Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMII)
Softener - $5.00
Well - 310.00
Private Disp. - $10.00
• Rough Openings - $1.50
FEE:
STATE S/C: -U
GRAND TOTAL: -' t • --?-?
? b?' MELrHANICAI PERMIT RECEIPT # 7? C1y?
, CITY OF EAGAN
? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -.1ly-
CONTRACT PRICE: G PHONE: 454-8100
Site Address '
Lot -??- Bloc - ' -
k Sec/Sub gLpr,,, npE WORK DESCRIPTION
"
New v
V.
Res
. -
?
"
a?
Name SE
OGINICK HTG. & AIR C
ND. C0.
Mult
-
Add-on
? Address 8910 WENTWORTH AVE . S0. Comm. Repair
Oth
c City
MINNEAPO? N 5
er
FEES
? Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
O City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS O
M
UTLETS (
INIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
ForCed Air ?v M BTU t. APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TaWNHOUSE 8 CONDOS - RES. RATE APPLIES
Unit H
t MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
ea
er M BTU REMODELS - 12.00
Air Cond J
4 M BTU MINIMUM COMMERCIAL FEE - 20.00
.
Vent _
-
CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Qutlets # _L BEYOND $1,000)
Other
FEE
?
?
.. ..
S/C: SIGNATURE OF PERMITT E ?
TOTAL•
FOR: CITY OF EAGAN
FCR SA4L T. Fi. CITY OF EAGAN ? ?k? B z 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551211? ?°?- 13198
PHONE:454-8100 r ;
BUILDING PERMIT Receipt # ?
J
Te bn uswd fnr 1 O' 4`.?.LiX $64,000 FEBRU '"Y 87
Site Address '
Lot 31 Block
Parcel No.
W Name Nk%W HORIZ4N HOMES INC
3 Address P• U. BUX L367
° Ciry i•iP7,S pnone 420-3900
Phone
Erect It Occupancy R 3
Remodbl 1? Zoning 'Pt 1
Repair ? Type of Const. jj
Addition ? No. Stories
Move ? Length 44
Demolish ? Depth 27
Int Impr. ? Sq. Ft
Install ?
Anorov als Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg, Off.
Permit $ 377 .50
Surcharge 32.00
Plan Review 188.75
SAC 625. U4
Water Conn. 525.00
Water Meter 67. 0C
Road Unit 305 . 00
Tr. PI. 1: . J0
1 hereby acknowledge that I have read thisapplication and statethatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: NEW HOR I ZQ-L4 Fi0:,i1:5
all work shall be done in accordance with all aoulicable State nf MinnPCnta
Var.
Copies
Total "l, 300 .25
on the express conditfon that
City of Eagan Ordinances.
Building Official ? ` '
_ ParmN No. Pem1N Holdar Dete Telephone k
Plumbiny 157?1 1i
H.V.A.C. LL-
Electric -c ,,4., 46447
i:
Softener
Inspectfon Date Insp. Comm*nts
Footlnga l
FooHngsll
Foundatlon
Framing
Roolleg
Rouqh Plbg. 7
Rouqh Htq.
Insul.
Firoplscs X-- -2 R-? 7 ?/4?. a o? -?i e r d s?
Final Hty. ? 2`/ f C4 O•? J•& / ts.r
Final Plby.
Bldy. Flnal
Cert. Occ. ?
Deck Ftg.
Deck Frmy.
Wel1
Pr. Dbp.
..
, ? •?.
a
? CONTRACT PRICE:
Site Address ?
Lot Block ? Sec/Sub
m Name
m Address % ?
c City
Phone
,.
Name
; Address '' -
p City Phone ?-
FEES
COMM/IND FEE - 194 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.0a
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 PERMI EE
? FOR CITY OF EAGAN
PlUM81NG PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
PERMIT #
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTiON
Res. A New Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $300 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower = $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1 50
Whirlpool - $3.00
- Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - S10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: " t t
STATE S/C: `-'
GRAND TOTAL: ?
;..7 J, dY f ? ME06HANICAL PERMIT
CITY OF EAGAN RECEIPT #
yU 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
TRACT PRICE: ?G ap ? PHONE: 454-8100
? Name _
? Address
c City _
m
c
3
O
Name _
Address
City _
TYPE OF WORK
?I Forced Air
Boiler
? Unit Heater
I Vent
Gas Piping Outlets #
LLL M BTU
M BTU
M BTU
?r M BTU
CFM
?
FEE
S/C:
TOTAL:
BLDG.TYPE
Res. ?
Mult
Comm.
Other
WORK DESCRIPTION
New ?
Add-on
Repair
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 PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - 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 GOES
BEYOND $1,000)
SIGNATURE OF PERMf EE
FOR: CITY OF EAGAN
?PERMIT # MECtlANlGAL PEAMlT RECEIPT # 2?`?L' ? I
CITY OF EAGAN
3830 PILpT KNOB ROAD, EAGAN, MN 55121 DATE
aWnuF• nSe_alnn
? Name _
?c Address
c City -
Name
3 Addre
p CitY -
? TYpE OF WORK
~
? Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other . .. . ..? c
FEE:
S1C:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
Res. New
Mutt. Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 8TU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMIJM - RESIDENTIAL FEE
COMM/IND FEE
IMUM - 10.00
20
00
-
MIN
STATE SURCHARGE PER PERMIT -
.
- .50
(ADD $.50 S/C IF PERMIT PRICE GOES
?
--- - , ' -
_, .
SIrSNATURE OF PERMITTEE
2G . , 11
FOR: CITY OF EAGAN
n?? ???r ?-?? ??
t SALE T. N. CITY OF EAGAN A! Q
t9-3? 1- 11 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121'v
?li...?e..... r •. }
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used tor 1OF 4 PLEX Est value $63,000 Date ???tw17 i
Site Address 4soo cu
Lot ,2 Block = :
Parcel No.
= Name ? ?
3 Address POO• jx
0
Ciry Phone
= o Name SAM
? Q Address
~ City Phone
ra
? W Name
? ? Address
< W City Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and Ciry oi Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
13199f
87
Erect 'GJ Occupancy R3
Remodel ? Zoning pp
Repair ? Type of Const j/
Addition ? No. Stories
Move ? Length 44
Demolish ? Depth 26
Int. Impr. ? Sq. Ft
Install ?
Approvals Fees
Assessment Permit
Water & Sew. Surcharge _
Police Plan Review.
Fire SAC
Eng. Water Conn..
Planner Water Meter?oo
Council Road Unit
Bldg. Off. Tr. PI. le' 4
Var.
all work shall be done in accordance with all applicable State of Minnesota Statutes and
Building Official
Parks
Copie
Total M4194439
on the express condition that
at Eagan Ord+nances.
PermR No. PKmN H~ Ds" TdephorN M
Plumbinp
H.V.A.C.
eie?? (,7?.?r,?
Soflener
InspecUon Uats Insp. Commen4
Footl?? 1
Footlny? II
Foundadon
V
Fnminy ?/, • ? 7 ? . r
Roofiny
Rouyh Plbp.
Rouyh H1p.
Insul.
Finplace 10 ..? ? ? q p !^ o 0 o r
Flnd Htp. f 7 G. •?- S- .1 x6 - I7 ?•!? .
Flnal PI
bg'
BId9. Flnal
CerL Oce.
Deck Fip.
Deek Frmy.
We11
Pr. Disp.
„ PLUMBING PERMIT
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
NTRACT PRiCE: PHONE: 454-8100
Site Address
- Name
R Addre
c Ciry _
Name
3 Addre
p CitY =
Phone
FEES
? COMM/IND FEE - 1% OF C.ONTRACT 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
FOR: CITY OF EAGAN
PERMIT # ??/ Ci c1
RECEIPT k
DATE: -- ?C
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other ' F
RES. PLBG. ONLY - C0MPLETE 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
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMin
Softener - $5.00
Weil - $10.00
Private Disp. - $10.00
-Rough Openings - $1.50
FEE: --
STATE S/C:
GRAND TOTAL: - ? - L- ,
6/
'
"
M ANICAL PERMIT RECEIPT ..
" # -W
- CITY OF EAGAN
oD 3830 PILOT KNOB ROAD, EAGAN, MN 55122
DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address
?
1 "
BLDG. TYPE WORK DESCRIPTION
Lot
-- Bloc ?
k
Sec/S
ub
Res. ? New
. Name ED GWICK HTG. & AI . Mult Add-on
?
ddress
WENTWO
8910
'
' ?
Comm. Repair
c Ciry MINNEAP Othe?'
FEES
? Name RES
HVAC 0
100 M BTU
$24
00
c Address .
.
-
-
ADDfTIaNAL 50 M 8TU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS O
MINIMUM
PER PERMI
T
ETS
L
(
- 1
n - 1.50 EA.
U
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air .?u M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU
R TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M gTU $ REMODELS - 12.00
Air Cond. ? M 8TU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping DuUets # ? $__I, BEYOND $1,000)
Other $
?
FEE: .. ? E?i?
•
?
''?
9
s?i? ?
ry?_? ?
?
° S/C: '`Sv SIGNATURE OF PERMITTEE ? r?j?r'??
? TOTAL: s' U
FOR: CITY QF EAGAN
GrTY O0 EAGAN
' 8230 Rilot Knob Roa ??? `???
' P.O. Box?119g'
Eagan, MN 55121
' Zoning: R.,
? Owner. +J,ew--i.?8ri,o6fi.-
Address:
$ite AdC1833: e;n u Gi.__,.. e_ rr
I Plumber:
Meter No.:
WATER SERVICE PERMIT
PERMIT NO.: R 4 ;;,q
DATE Z J-la?.S 7 ?
No. of Units: I ;-jpit -1p1eY
Charge: _._: 2s , ()g
I agree to comply with the Ci*?MV4kd" Vurcf
Ordlna l' `RW,
?? TOtal:
BY ate
Date of Insp.: lnsp.:.
6, -Z9-r7
W9AW 6-' . ??m^
?fl??• ,
- J
CITY OF EAGAN SEWER SERVICE PERMIT
3830 PllOt KnOb Road 0 ?
P.O. Box 211P9 PERMIT NO.: ?:3
Eagan, MN 55121 DATE:
Zoning: No. of Unitsi -2nit 4?:lex
Owner: '??".•: !;orizon
Address:
SiteAddress: dCle^?son rr 1.7,2 BL 1'r of Thos Lk.
TjZf1''t) SOTI
Plun'IbeC
I agree io comply wfth the CRy ot Eayan
Ordinances.
By
Date of Insp.:
Connection Charge:
Account Deposit: IS - 0.1)
Permit Fee:
Surcharge:
Mlsc. Charges:
Total:
Insp.:
ITY OF t:IIGAN
30 Pllnt ?norh Road? ??
.O. Box 21199
agan, MN 55t21
? Zoning: g ?
Owner. \ew tfnri znn
Address:
Site Addess: ".,' 1• ?': r' 1 P'li s n n ('r
Plumber.
Meter No.- ? if?
Size:
Reader No.:2S '? a? I ?Se' `} r
I agree to compiy with the Cit?r "'?
Ordinances.
ByC?
Oate of Insp.:
?
CITY OF EAGAN
3830 PHot Knob Road
P.O. Box 21189
Eagan, MN 55121
Zoning;
WATER SERVICE PERMIT
PERMIT NO.: Y .1 "' ;
DATE: 2 / J 3/'-: i
No. of Units: 1 un it 4,)1 ex ;
F 7 tlll met nr
Tota I: 180 . rl4tp
Date Paid:
?
71P IW IPIWM
SEWER SERVICE PERMIT
PERMIT NO.: j5?)2
DATE: 2I13/87 I
No. ot Units: _I unit 01ex ?
Owner. '?'ew Worizon ?
Address:
SlteAddress: Clemson Rc L31 A2 Tr of T}ins ik
Plumber: T5 omvSon
I ayree to comply with the CKy ol Eayan
Ordinances.
ey
Date of Insp.:
Insp.:
100.00
Connectlon Charge: S25 _ f1?
Account Deposit:
Permit Fee: 1 f1 ??}
Surcharge:
Misc. Charges:
Total:
Date Paid: ?
SEDGWICK HEATING & AIR CONDITIONING CO. ?5 -7
HOUSE HEATING TEST RECbRD 1-'4'Q,
AODRESS O Co =?4t ?t` ?I L'?C2C? r- CITY-?_
ncciiaenIT ,
HEAT
TE HTG. INST.
SOLD BY
Electrical Work By i;;- f'., R INSTALLEQ BY EV!?41,,ic K
Gas Line By _ =b c?v ?tc K
TYPE OF HEAT GA_ FA >? HW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
MAKE r,-
+-?,j ; CONVERSION
? MAKE OF BURNER
Model - ?Q u? Model ?
Serial _ 0 ? 87 ? A 9?-{1f3 M
BT
-`-
ax.
U Rating
INPUT - '? o? r, MAKE
F
OF
URNACE -
NTROLS
THERMOSTATaa3ZHeat Plug
Valve ;;?-_
Limit ? l? ir n c o
Limit 5etting -
Fan Setting
Pilot Type rsLic
Pilot Make ?pig IR i.c I Nt -rnlt
Pilot Model
Pilot Timing - [ 1 S T H IN 7
L.W. Cut Off
Pressure C. Percent CO 2 6 fa.
Input CFH-'5a Percent O 61 °Jl
Stack Temp. -?-3G° 4=-- Percent COZ
Form 235
(Vent 5ize - ? ?
KIND OF LINER ------- SIZE NONE
Draft Hood Dr-- -, is;jZ gJ Regulator
Filters Size Number
Chimney Location Inside X Outside
Chimney Construction C! A c`
Smoke Bomb ?-"-Wiring _I'%,
Draft Test Tag _
Door Pressure Lighting Inst.
Date Tested - Li - 2, - 53 7
Company Testing ?f= Yi
Name of Tester__ C_r, ,-'?j %ZaD
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20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
11-3855
, .
-PERMIT N0.
?6gI.-, ; -?
dg• 'Permftl--?
Plan Check
Surch./Adm. _
SAC/Adm. _
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep. i
Water Permit
Sewer Permit _
Sewer Conn.
Park Ded. `
? . .. ,.} _'J.s ... .
CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE .19
wEciiveo
I FRCh(
AMOUNT
& ooLLnRs
,oo
p cnsH n cHEIK
v
rOR 4? / . .
FUND CODE
nnqouNI
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File CoPY
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN V 1/` • ?
3830 PILOT KNOB RD - 55122
651-681-4675 I1
NewConstruclion Reauirements RemodellReoalrReaulremenls V' •
• 3 2gistered site surveys shaving sq. ft of lot, sq, ft. of house; anc911 roofed areas • 2 apies af plan
(20%m3zimum lot coverage albwed) . 7 setof Energy Calculalions for heated additlons d(??
• 2 copies of plan showing 6eam 8 window sizes; poured found design, etc,) . 1 site survey for ezterior additions 8 dedcs
• lseto(EnergyCalculations . Indicate'rfhomeserved6ysepticsystemforaddNOns
• 3 coµes of Tree Preservation Plan if lol platted after 7/1M33 -
• Rim Joist Detail Options selection sheet (bldgs vrith 3 or less uniLs)
DATE /-2• 1/-0/ VALU/[ION ?3Z ? 4 Do
JOB SITE ADDRESS Ci WB
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
L; ruQa :Jo h
TYPEOFWORK PL.PFDIQt£rr-et.w? li1'c,.AOWS
APPLICANT ?u an, l' j 7j KVOWs +- S i GQG nG. . Snr
ADDRESS
PAGER #
CELL PHONE #
55f'03
FAX # 50 7- 3d 7- Z464,
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNESOTA RUI.ES 7670 CATEGORYj-
,,
(check one) - Residential Ventilation Category 1 Worksheet Submitt.etl '
- Energy Envelope Calculations Submitted ,II I'? ??C Xa001, ?
MINNESOTA RULES 7672 ?? - u
- New Energy Code Worksheet Submitted i U?-? ?,
? /--__-"-
Piumbing Contractor. Phone #:
Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor. _
Mechanical3ystem Includes:
Sewer/Water Contractor:
_ Air Condilioning
Heat Recovery System
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE# $D7? ZrF/-.6.36 3
Phone #
Fec:
$70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the informati n is correc?? gree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc ?
Slgnature ot Appllcant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
• Updated 1/01
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
851•681-4675
NewConstrudion Reauirements
• 3 regislered site surveys showing sq. ft ot lot, sq. tL of house; an?ll roofed areas
(20% mazimum bt ooverage albwed)
. 2 copies af plan showirig beam & window sizes; poured found deslgn, etc.)
• 1 selof Energy Calalations
• 3 copiaz of Tree Preservadon Plan'rf bl platted afier 7/1193
• Rim Joist Detail Options selection sheet (61dgs with 3 or less units)
DATE If - Ila -
JOB SITE ADDRESS 'I 30g
IF MULTI-FAMILY BUILDING,
PROPERTY OWNER 1 I--+ I?
TYPE OF WORK, R2
APPUCANT fvY \e 5
ADDRESS
PAGER #
CELL PHONE
FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
MANY UNITS?
?Jk') ?\oc-se-
e- ?x i 5 i i a?c. QA-Ti o blxY. FlREPlACE(S) _ 0_ 2
r ? PHONE# SD-7 - Z63 _ a `7
? ?° ?? FMJnJ v? FqLGS, /1?! !1• ZIP CODE ? S b° 9
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fce:
$70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state That the information is correct, an agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ces.
SlgnatureofApplicant
-
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Reiquired _ Updated 1/01
_ MINNESOTA RULES 7670 CATEGORY I
- Residential Ventllation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNES01'A RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener _ Lawn Spriukler
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
<!? ?3, 50
RemodellRecairRenuiremeMs :)-0
. 2 apies of plan
• 1 set of Energy Calculafions for heated additions
. 1 si[e survey forezterior additions & decks
• Indicate'rf home served by sepUc system for additions
VALUA[ION 'N' L US) o
v'c.I e- 1E frc?o, Y't
Fee: $90.00
e0
RESIDENTIAL
FAX #
? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New ConstruMion Reauiraments RemodellReoair Reouirements
• 3 registered site surveys shaving sq. fl. of lol sq. ft. of house; and all roofed areas • 2 copies of pWn
(20°6 maximum lot coverage allowed) • 7 set ot Energy Calculations for heated addi(ions
• 2 copies of plan showing beam & window sizes; poured found desgn, etc.) . 1 site survey for eatenor additions & decks
• t set of Energy Calculafions
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE ? ?! ?l . rk, VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS o. VYl Co m C", rY`.
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERiY OWN
TYPE OF WO
APPLICANT
ADDRESS _
PAGER #
CELL PHONE #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 n{4 ?
(check one) - Residential Ventilation Category 1 Worksheet Submitted !J ?
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
Plumbing Contractor:
Plumbina Systcm Includes: _
New Energy Code Worksheet Submitted
Phone #:
Water Sottener Lawn Sprinkler
Water Heater No. of R.I. Baths
No. oF 13aths
Mechanical CoMractor: _K 111 P,-, i/Y U. 0-0 f InE ^
N[echarical Svstcm Includes: Air Conditionin
_ Hcat Recovery Systcnt
Sewer/Water Contractor:
All above information must be submitted prior to processing of application.
? 0 --
?nr
zoo?
Pee: $90.00
Phone# %?Eg -Ee??,-d2?r9
Fee: $70.00
Phone #
i hereby acknowledge that I hove read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinance
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
tEPLACE(S) _0 "1 _2 _3
PHONE # 9??- ?J/I??S8
ZIPCODE ?533`7
?-
Updated 1/01
FOR SALB
L 29-33,
BUILDING PERMIT
Receip[N ?
To be ueed lor 1 OF 4 PLEX Est. value $ 64 , 000 oate FEBRUARY 9 1y 8 7
SiteAddress 4306 CLEMSON CIR Erect L? Occupancy R3
Lot 2 9 Block 2 Sec/Sub. TRAILS OF Remodel ? Zoning PD
THOMAS
Parcel No LAKE Repair ? Type of Const V
. Addition ? No. Stories
w Name NEW HORIZON HOMES INC Move ? length 44
z
o P.O. BOX 1367
Address Demolish
I
I ?
? Depth
F
S 97
City MPLS phone 420-3900 nt
mpr.
Install
? t.
q.
o E
Name -9
1
i
$ a Address
a
?
City Phone
rc
w W Name
?i
? a
Address
z
i W Aoorovalc Feea
A
M
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 StaNtes and City ol E gan Or inances.
a r)
Signature o( Perminee
A Building Permit is issued to: NE HORIZON HOIdES
all work shall be done in accordance with all
Building
T. H.
CITY OF EAGAN A1 [?
g 2 3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121' V2 1319 v
PHONE:454-8100 6 67
oi Minnesota
Assessment _
Water & Sew.
Police
Fire
Planner
Council
Bldg. Off.
Var. Date-
S?tatu?t?es a?nd C
'--?--? b+
Permit Y j i i •'`L
Surcharge 32.0(
PlanFeview 188. 7!
saC 625.0(
Water Conn. 525.0(
WaterMeter 67.0C
Road Unit 305.0(
Tr. PI. 180.0(
Parks
2`
iuu
r,...?.. .
r
Total
- on the express condition ihat
of Ea9an Ordinances.
FOB SnE T. H. CITY OF EAGAN
L' 29-3,A, B 2 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, nnN 55121N° 13198
PHONE: 454-8100 --)2
BUILDING PERMIT Receiptu ?lu
7o be used lor 1 OF 4 PLEX Est. value $ 64 ,000 Date FEBRUARY 9 19 87
SileAddress 4308B CLEMSON CIR Erect I] Occupancy R3
Lot 31 elock Z Sec/Sub. TRAILS OF Remodel ? Zoning R I
Parcel No. THOMAS LA.KE Repair ? 7ype of Const. V
Addition ? No. Stories
w Name NEW HORIZON HOMES INC Move ? Length 44
; Address P•O. BOX 1367 Demolish ? Depth--2?
o Int Impr. ? Sq. Ft
Ciry MPLS phone 420-3900 ?nstall ?
o Name RAhfF
i
? ¢ Address
? CiTy Phone
a
F W Neme
Address
a w City Phone
I hereby acknowledgethat I have read this application and statethatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan dinance v Signature of Permitlee ? cP
A euilding Permit is issued to: NEW HORIZON HOMES
all work shall be done in accordance with all
of Minnesota
Assessment
water & Sew.
Police
Fire _
Eng.
Planner
Council
Bidg. Off.
APC
Var. Date
Permit $ 377.51
Surcharge 32.01
Plan Review 188.7'
SAC 625 01
Water Conn.52`,Z- 01
Water Meter6Z. OI
Road Unit 305.01
Tr.PI. 180_01
Parks
Copies
Total $2.300.2:
on the express condition that
City of Eagan Ordinances.
Building OHicial
FoR SALE T. H. CITY OF EAGAN A,
L 29-33,? B 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121'y 2 13197
PHONE: 454-8100
-2
s
BUILDING PERMIT Receiptp a
Tobeusedtor 1 OF 4 PLEX Est.vaiue $64,000 Date FEBRUARY 9 1987
SiteAddress 4306B CLEMSON DR Erect C? Occupancy R3
Lot 30 Block Z Sec/Sub. TRAILS OF Remadel ? Zoning pn
Parcel No. THOMAS LAKE Repair ? Type oi Const. y
Addition ? No. Stories
w Name NEW HORIZON HOMES INC Move ? Length 44
3 Address P.O. BOX 1367 Demolish ?
?
I
tl Depth-?
S
Ft
, Cit MPLS 420-3900
y Phone mpr.
n
Install ? q.
.
o Name SAME
i ?-
0 Q Address
? City Phone
a
? W Name
x rZ5
Addiess
a 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 Siate of
Minnesota Slatutes and City of Eagan Ordinance
Signature of Permitlee ? - ??
A euilding Permit is issued to: NE HORIZON HONiES
all work shall be done in accordance with all applicable Stat"t Minnesota
Assessment Permit Y " ' • ?"
Water & Sew. Surcharge 32 • 00
Police PlanReview 185.75
Fire SAC 625.00
Eng. WaterConn. 525.00
Planner WaterMeter 67.00
Council Road Unit 305.00
BIdg.ON. Tr. PI. 180.00
APC Parks
Var. Date Copies
70tal $2, 300.25
and
- on the express condition that
of Eagan Ordinances.
Building
io2 9 SALE B. 2. CITY OF' EAGAN
? 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 13199
BUIIDING PERMIT PHONE: 454-8100
Receiptu ?
Tobeusedlor 1 OF 4 PLEX EstValue $63,000 Date FEBRUARY 9 ig $7
SiteAddress 4308 CLEMSON CIR Erect X7 Occupancy R3
Lol 32 elock Z Sec/Sub. TRAILS OF Remodel ? Zoning PD
Parcel No. - THOhIAS LAKE Repair ? Type of Const y
0
W Name AIEW HORIZON HOMES
3 address P• O. BOX 1367
° c; MPLS
ry Phone 420-3900
? o Name SAME
$ ¢ Atldress
? City Phone
a
F w Name
? ? Address
a z w City PhonB
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 Ea n Ordinances.
Signature of Permittee ?^
A Building Permit is issued to: NE'k HORI ZON HOM1E5
all work shall be done in accordance with all
of Minnesota Statu?qs and
Addition
Move ? No. Stories
Length 44
Demolish ? Depth? G
Int. Impr. ? Sq. Ft
Install ?
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Var. Date
Permit $ 374.00
Surcharge 31 _ 50
Plan Review187,90
SAC 625_00
Water Conn. 925 - ?0
Water Meter F, 7 _ (10
Road Unit 305.00
Tr. PI. 180.00
Parks
Copies
Total $2•294.50
- on the express condition that
of Eagan Ordinances.
Building
SEDGWICK HEATING & AIR CONDITIONING CO. HEaTiNG JOBNO. `3- -7O 9I
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 681-9000 TEST RECORD
ADDRESS -7?0? B GGBiLiSON C/Y`GLv CITy -4C^1 A N
OCCUPANT /WprY? t??•«?OWNER S?
SOLD BV . /y! ll?w/ orG?j INSTALLED av Z-
MAKE L tA)A) O'?-
SERIAL NO. .S51
MooeL G 6 o t,? NV - 36 rQ -0'7 0
? 600?
INPUT
THERMOSTAT-JLL C'o
VALVE ? v 11
LIMIT ?? k?' ?
LIMIT SETTING "
FAN SETTING
PILOTTVPE
IGNITION MODEL
PILOTTIMING
,
PRESSURE PERCENT COz D
INPUTCFH ? G PERCENTOz r- !AN 3
STACKTEMP. 3 -5? PERCENT CO
FOqM 235 (REV. 11/89)
VENT SIZE
TYPE OF LINER ' /
LINER SIZE
FILTERS: SIZE NUMeER
WIRING J u Y
TESTTAG
LIGHTING I T.
AVIF l -- ?- ° ?
906A(NYTESTING
NAME OF TESTER ?
FOFiMDISTRIBiJrION: WHITECOPY - JOBFIIE YELIOWCOPY - GRY
_????'7 REQUEST FOR ELECTRICAL INSPECTION .yEB-0?00y01-05
, See insVUCtions for completim, this form on baek of Yallow copy.
6 00 "X" Below Work Covered by This Request
HAtl Ipep. Type ol Building APPliancae WireA Equiument Wired
ice
T
S
Home Range erv
emporary
Duple,x Water Heater Lightiny Fixtures
Apt. Buildinq Dryer Electric Heaun
Commercial Bidg. Furnace Silo Unloader
ffndustriat Bldg. Air Conditioqer Bulk Milk Tank
Farm
Othtir Den y r
?hcr f5penify7
t er uecilV ther O?h?r
?
. .Oate
. ,
-
h-in t_i ..
flaue
I. the Elecvical
Inspectoq heraby
certity thaf the above
Final inapectlon has been
r? .. i mede.
ThPo reqmst vald iB montM imm
Tnis
18 m
uestvoid
I heraby request insDaction of ebove
elechical work installad et:
/ 17 7S•
THIS INSPECTION REQUEST WIIL NOT
MINNESOTA STATE BOAND OF ELECTRICITY BE ACCEPTED BV THE STATE BOARD
GriOBS•Midwey Bldg. - poom N•191 UNLESS PflOPEX INSPECTION FEE IS
7821 Unive,sitvAVw S+ ^«al MN 5510n ?Nr 1.?.-..
Phona !`n-.
q `
This request voiC 71775-
18 months from Q 7 3 3? x??
Request Dat fire No. Rotigh-in?insVer.tion ?ReaOy N
II Nntify
? Inspec-
?-"???'?? 9 Yes' No u tor When Readv
---Cj?fcensed EIeGVical Conttactor I hereby reVUast ins0ection of ebove
wlw?trical wark inslalled eY
? .....?o,
u or floute .
S,r e dEress. eo No
1
c
p
i?Y6
ection o. Township Name or No. R?nge o. Cornily
O udant(PRINT) -
eo r (76 ? m ? Phone No.
/ ?.ddress
Powet`5 Pplier ??
?
? ?
ElechicalLonvacmr (ComOany Name)
?????
-? nQLn .
Contr r,?o? s License Mo.
Mailinq AtlJrass ICOnV ctor or D r Makm In I tio?)
?ti???i'c i ?3
A hori ed ignature IConvacmr Owner Making Installationl Phon ?Number
? ceT wll I Nl1T
gE ACCEPTED BY THE STATE BOARD
MINNESOTq'ST(?TE B1GiD OFeLELTB1CY[?[.,p[.O fY ._C
GrigOS•Midway ?Idg. - poom 19f^C/ UNLESS PROPER INSPECTION FEE IS
1821 Univarsitv pve.. St Peul. MN 55104 ENCLOSED.
Phona 1612) 642-0800
REQUEST FOR ELECTRICAL INSPECTlON Ee-
11' See inatru?iiana f 00001-05
or compleiirq thig fam on peck of Yellow coOY. 717 7.5
'k'" Be/ow Wnrk Covered bY 7his Request
AAa Rea. ivoe f B'la'
9 Ap I ?'??---
j Y I 1 Olll R W d 1 E9 1 Wiretl
lO Ull
Jk Mi
Fea
EntrBnCa S iZa
to
1
to
SLJ.,?..Q?j TOTAL
nn.r.ou",
` ?y ? the Elactrical
?nsoectoq hereby
ce11i11ty thet the a6ove
y; f?7 ;tsaa«,a. ha= baan
.reae.
Thiz requesl voitl
18 rtwnths from ? .
0 17489 ;..??
6 - ai `U /
Licensed ElecVical Coinractor
Owner
i
Fire No. Fouph-in IngVer,tinn ??//
Fequ?retl? ? y?eady Nuw ? Will Notify InsDPc-
?1'es No T? lor When ReadV
I hereby request inspection ol above
elec4ical work ins<alled ac '
Sveet Atldress, Box or Rome No. C
ecuon o. 7owMshiD Name or No. Fange No. Couni ??
Ocwuent fPpIN?TI Phane No.
63/
Power Supplier Adtlress
ElOCirical Conhacmr ICompanY Namel . Cnnhar,tor'. License No.
HARRISON ELECTRIC Inc 421867
Maiiin AJrr.s Cuntraetor oe Own r Makine lnstallationl
6 0 M r, a aue o. Mpls., MN 55412
Aut riz Si ( o traclor w er Mnkiny Installatinnl
\ Phone Nmnbcr
i 521-0520
MINNEIOTA STATE BOAflD OF ELECTRICITY
Griggs-Midway BIAg. - Hoam N•191
1811 Universilv Ave.. Si. Paul. MN 55104
Phone (612) 642-0800
TMIS INSPECTION REQVEST WILL NOT
6E ACCEPTED BV THE STATE BOAHD
L1NLESS PHOPEfl INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-Gooooi-os
See insvuctions for completing this form on back of yellow copy.
? 1748 (? - X" Be/ow Work Covered by 7his Request
HAJ Hep. TyOe o1 Builtlin9 Appliancea Wbed Equipmem Wired
II -I Home Ranae Temporarv Servic.e
Duole.x ? ?'Nater Heater LiGhtiny Fixtures ?
? Cominercial 61dy. ? Fumace 1 1 Silo Unlo?ider ?
Inducrrial Rlrin I Air CanAitinnnr Bulk Milk Tank
H
p Fae ServiceEntrenea5iza H Fea Fexders/5u1bleeders b Fna Circuits
U lp 200 qm 5 0 to 30 qm 5 0 in 30 Am>s
Above 200 qmps 31 to 700 Amps 31 to 100 A s
Swimming Poal Above 100-Am s Above 100_Amps
Transiormers Irrigation Booms Partial-Other Fee
J?9f15 JpeCtai i?15pecuon
Rerriarks /, $ /Q 0 TOTAL E
? 7.?, IA /
RouBh-no Oate
I, tha ecfric
Inspecto , reby
certify that the abova
Final 1 inspeclion hes Eaen
mede.
Thlsrepueatvoi0lBmonibstmm v - -
d???"l
L? 4 9 3 4 ? ? 9
?
?'
;,
;? "Q? ?
1
?
Request Date ire No. Rough-in In ' ion
RequireG4 &
? Reatly Now ? WIII Notiy Inspector
Wh
R
d
?
? Yes ? N. en
ae
y
I ' sed contractor ? owner here6y request inspection of a6ove electrical work at:
Job d0_':EJSs (Slreel, Box o ovte No.)
O _L 1?.?'_//?
Sa ? ? Clty (?./?` ? I
-y? Y lJ ,/?, T I?/
Section No. Township Name or No. flange No. Cou
?y
Occupent (PHIIJT) Mne Na.
Power Supplier Adtlress
I Mract (COmOenY ame) r
a D i(r sov 7` Contrdcmr5 License No.
? o/
ailing Atltlress (COnVac[or or Owner Makirg I sfallatian)
hor¢etl " nature (CoMr er Ma ' g11. stallation) PMna Numbe
. r' 't J
?i .? ?
7'-c/
IAINNES?OTA STATE eOAN F ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Gtlgge-Mitlway BMQ. oom frll3 BE ACCEPTEO BV THE STATE BOAFD
1821 Univerely Ave., St. Peul, MN 551W UNLE$$ PFOPEH INSPECrION FEE IS
Glione (812) 64Y-0600 ENCLOSED.
I 1//jy1e y REQUEST FOR ELECTRICAL INSPECTION
P, See insVUCfions br,:^mplelicg this iwm On back of yellow copy. L f y- 7r{y
F.4 7 93 4 'X" Below Work Covered by This Request
e Add Rep. Typeof6uilding AppliancesWired EquipmeniWired
Home Range
Service
Temporary
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm.Anduslrial Furnace
Farm Air Conditioner
Diher (speciry) Contrac1or5 Remarks:
Compufe Inspection Fee Below:
N Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SIgfIS Inspector5 Uu Only: TOTA?
Irrigation 8ooms
Special Inspection
AIarMCommunication
O[her Fee
I, the Electrical Inspector, hereby f a+' !' i;,- -
Rou9h-in Oate q
certify that the above inspection has
been made. Final • ! oa?e
?
OFFICE USE ONLV ? C` ??,• ?
Th13 f2q0¢51 VOItl 18 RIOf11h5frOm
ihis request void
18 munffis fmm .
CC 73354
71 77S
Request 1]ate Fire No. R9uBh-in Inspection
Wetl?
?AeadV No 11 Notity Inspec-
?or When Re
d
I ?
/C7Yes N. a
y
_"R<ICensed Electrical Contractor
E
? Owner
I heraby request inspection oi above
electrical work inslalled et:
Street Ad ss, 8 or Ro te o.
?- C? Y ?sdn. ?iJ? C ity
?
ecuon o. Townshiv N.M. or No. RanBe No. County
Occupnnt(PFl?INT)
? -l-(J?/KJ /?
. ) ?n /?' 7 .C-p3 Phone No.
Power . / Address
?
M 71C'L-)
ElgyttOnVactor ICompany Name) ? Contract s License
Mai ?inB Address I tractor or O ner Making Ins,ta aiioN
All
Autho ized P8 ure (Co ract r(Qw r Mzking In II ion
4iK P Number^ C }
-
3?!/ J t? /
MINNESOTA STATE BOAHO OF ELECTRICITY
Gri99a•Midway Bldg. - Roam N•791
7827 Univeraitv Ave.. St. Peul, MN 55104
Phone (6121 642-0800
iH15 INSiECTION REQUEST WILI NOT
BE ACCEPTED BY TME STATE BOAND
UNLESS PROPER INSPECTION FEE IS
ENCLOSEO.
7 REQUEST FOR ELECTRICAL INSPECTION ee-oo?oJoi-osr
See instructions tor romplBting this Tarm on Eeck ot vellow copy. 71/??
r3a
?l ]'t A "X" Below Work Covered by This Request
Ad ,ReD. v Typa of Builtling APVliancea Wired Equipment Wiretl
Home Range Temporary Service
Duplex Water Neater Lightiny Fixtures
Apt. Building Dryer Electric Heaun
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditionjr Bulk Milk Tenk
Farm iner pan v -?nqr ISUecltvl
i r Suecify. Other Oiher
p Fee ServicaEnVenceSize k Fee Fee.ders/5ubteeders K Fee Circuits
U to 200 qm s 0 to 30 qm s 0 to 30 Am s
A6ove 200 qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Am s Above 100_Amps
Transrormers Irrigation Boorris Pertial.'Dther F e
Signs Special Inspection 5 -
/
TOTAL F !11
Pemnrks
? / ?J ?,e/?
L /
RouBh-in " ., . ?..., .. ._ . .?r_ o?1ehr.l 1. the ElecV¢al
Inspector. heraby
1
Final irispection hes Ueen
?l T me0e.
Thia reGUest vo1018 montba fmm
Thig redues[ void
18 months Irom
? 7'11 S e'') / / ?/l /7 h .'?/?., .: : ??. - ??/j /,',a,?.,. ? i,-?C ,-.
7/ `775
054' C: C.;
Reqnest tlaie " ?
?1__ ?/
/
lJ U Fire 1NO.??
n?lnspection
Fo flequgh ¢ =i etl
es ?NO
qeady NIII Notify Inspec-
?
lor When Peady
,IEJ-Lncensed Electrical ConVactor I hereby reQUeslins0ec<lon ol above
I-l n,....e, eleclrical work instelled aC
x or o
S r ei Address, B R
rY/? o
ec ion o. Township Name or No. Ranee o. Counry
Oc u ant IPflWTI- Phone No.
) ri jmz?
Po Sup0lier Address
ElecVical Comracmr (COmpany Name) Conhpctor's License o.
n m Y-) FJ(' ' C• C
I'ng Ad ress (CO vactor r D net MakinB ?nslal
M
)
`
Authorize Sipnature (COniractor/Ownar Making Installation Ph?me Number
CJ.
J ?
n .
• ?, ? `A n inia uvarca.n??. ?
MIN OT AT 80 RD F EICEG7 T BE ACCEVTED BY THE STATE BOARD
Grigpa- i w Noo N-5'J{? UNLESS PROPEP INSPECTION FEE IS
1811 Univeroitv Aae., St. Vaul. MN 55104 ENCLOSED.
Phone (612) 642-0800
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os
~" 7/77S
Ii, Sae instructions lor camplating lhis torm on Daek of Yellow coOY-
? .. ?.. ••v•. u,.i,..., w.,.Y !'nvnred bv 7his Request
?
FAtl ? •} ? --
Pep . TVOe of BuilOing
Home ----
ADClloncea Wired
Range Eauiument WireA
orary Service
Duplex Water Heater iting Fiztures
Building
Apt Dryer tric HeaLn
1
. Unloader
Commercial Bldg. Fumace
Industrial 81Ag. Air Conditioner Milk Tunk
Farm
O[ner Pea Y
r (Snecify)
t er Vecitv
ther 011hn,
D
flough-in a[e
3-,LS" n i I. the mal
Inspectoq hereby
certity that the ?bove
Final Dt?1.,fr ? lospeclien hes been
J . :?j (P ? mede.
ThN requeat voia 1e momus ??c-
CITY OF EAGAN
xprr.icATaN nM Nom COrsxIzcrTE
. . . ? arPuwni, oF ?uT. ?
APPUCATION FOR PERMIT ? "
.. . ,? IIZSPHCPION OE' SFHR AND/l7R FIIkm *
SEWER AND/pR WATER CONNEC710N +UI Umm PET HAS BmSCHED-
• '* H2PROVEb• * t,
. * a
° rt
_. . . +s?r,r,r+*tei#,r*+rit*?e,r*wt!*:e++#:3*s,?***
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
w-/niucx/auDaiviSlon or Td-SCiPaICe1 ID #) _.
IF MSPING Sl'RLC1tJRE, DATE OF ORIGINAL BLILDING PERMZT ISS['ANCE: '
PRFSBNP ZCNYNG/PROPOSID LSE: Mon ear
? COMMERCIAL/RETAIL/OFF ? R-1 SINGLE FAPffLY Q IND-'STRIAL Q R-2 DL'PLEX (1Wo Units)
? INSTI2L*PIONAL/GOVERAAENT F2f/R-3 1OWN[IaJSE (Three '+ Units) ( Lhuts)
. • [? R-4 APAR7NENP/CONDOMITNIL114 Units)
2) ?
NAME:
ADDRESS:
CITY, STATE. 2IP:
3) NAME: ? For City Use .
Plwnbers License:
ADDRESS:
eek, A Active
1A, m wine Vl'! 4,
CITY. S"fATE, ZIP: 1-i ???
Not recorded
PHONE: MASTER LIatVSE9 (7 ? }y ?tial
¢) ?a •a.? ?..iuNAM:?? ? ? ?. . ? . . '
.
_ ADDRESS: `
CITY. STATE, ZIP: '
PFiONE: .
5) '? "e ' ?' e a • a?
y Ef OO=C1'ION S0 CITY SEWM ? CObM?,ZION M CITY GA,TER OTfM '
6)
n • •? (? PLEASE FiOLD APPRiWID PERMT FM PIQC-L?P BY ONE OF ABOVE
Q? PI.EASE MAIL APPRWID PERMIT 7+0 1. 2. (P3 4.' AB(7M
(Circle one)
??.r. . . . . . . . . ..... . . .:.. . .? , . ... . . . ?. . . .N^...
. FOR -CITY USE 4NLY
PERMIT # TSSUED
Pd w/Sldg. Permit
S
$
$ l?7• D?.
s
$
S
$
s S?S • o?
$
$
$
$
$
$
s /L39 ?6o
7
FEES:
$ /D $ D
SEWER PERMIT (ZNCLLTDE SURCHARGE)
WATER PERMIT (INCLUDE SDRCHARGE)
$ WATER METER/COPPERHORN/0I,'TSIDE READER
$ WATER TAP (INCLL'DE CORPORATION STOP)
$ SEWER TAP
S / S.ef?lo. ACCOUNT DEPOSIT - SEWER
$ /J • O D ACCOUNT DEPOSIT - WATER
$ • WAC
$ SAC , .
• + ; ,,;,t
3'RLlIQi6 •WATER ASSESSI
? NT -
-
_,
SEWEg:NS?MENT
?
'
_ .. -
. .:: -
$ ` LATERAL?13$NE?I?!'?L'P1R SEWER
?
$ LATERAL BENEFIT/T12[!NK WATER
i:.:'. 1 :
S • - ., Y?P,TE? ,TR$ATMENT, f'I:ANT SORCHARGE
.DTHEW-
s'
.
TOTAL
a
. S
5 0? ?'D
RECEIPT RECEZPT# -? '`` `, '
.. . ? .Jw t +- ,
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT EOR N)ORK WITHIN PUBLIC
Q
ROADWAY" MUST BE ISSOED BY THE ENGINEERING
NO DIVISIOI3, LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
.1
APPROVED BX:
?
TITI.E: . • .? '
DATE:
. ClTY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
3mi `!t{131•1l.1; 4C lrN AT iJl'Yi VC
nprrscMoN noEs Wr oaN&rizcrTE *
ArrRMM aP PMOUT. :
INSP?CTION CF SFPM AW/M WATH2 *
2tb'TaTa64miayS WIIS, NOT EE 8QMM>- w
[]m ZINPII. PF.[2IUT MS mm s
APPIn7VFD. r
i
l) PROPERTY ADDRESS: ? ?pj
LEGAL DESCRIPTION:
04ocx/suaaivision or Taxi Parcel ID-AFj --
IF EXISTING S1RCC1[JRE, DATE OF CtIGINAL BLII,DIlVG•PII2MIT ISS[`ANCE: .
PRFSIINf ZON=/PROPOSID LSE: Man ear
.
? COMMERCIAL/RETAII./OFFICE ? R-1 SINQ,E FAPffLY -
? INDL'STRIAL ? R-2 DCMM (1tdn L?nits)
? II?TITL*1'IONAL/GOVII2NMESTp ?R-3 TDWNiOi!SE (Three'+ Units) ( Cfiitsl
. • [] R-4 APARTMENf/CObIDOMIN2CT1 ( Units)
2) ?
Nd1ME:
ADDRFSS:
CITY, Sl'P.TE, ZIP:
PFiCk1E:
3) ' m a•
AMRESS:
CITY, STATE, ZIP:
PH0NE:
4) •• ?
NAME:
. ADDREss:
crrx, sraTE, zrP:
MASTER LICENSE#
4 '01 ?
eliuooers lacense:
ACt).NE
EScPired
Not recorded
Staf f I=Fal
mi' ' :4'
? ?d????? ???m To ciTy
o OTHM ..
6) ?? •' ??- ? PLEASE FK3ID APPRWID PEE2NffT EM PICK-PP BY ONE OF AHOVE
? PLEASE MAIL APPROVID PERMIT 4+0 1, 2, 3 4,1 ABOVE
(Circle one)
.
,u.
FOR ?CITY USE ONLY
PERMIT # TSSDED
y o
Pd w/Sldq. Permit FEES:
$ $ /OSa
:
i
SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /U 5U WATER PERMIT (INCLUDE SLRCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWEIZ TAP
$ $ ? S ad ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ , 'S, `?1 '? . D ? $ • WAC
$ U $ SAC ,
$ $ -.3.? :. R'RrCI?If •WATER AS5£SSNJENT
$ $_ s.?• 4 ?-.? • V,•T$UNK -SE6tER ,-ASSFS5AI?NT
_.--?,?- "i ' i -" : _•' .f.' ,:
$ S ` LATERAL'$oEkT/`,CJlL'NK SEWER
$ $ LATERAL BENEFIT/TR[:NK WATER
S g . ` ?a ;:?'?:°i a.z.;'': ; ; ::,,.. :.?? i t?..s: ! ;
• ATEIA , Z'REA'i'MENT. PIfANT SLRCHARGE
?• .1. ..?r ?, :
$ $ 72
dTHER??
?t .. ?
$ IJp / 7.0-0 TOTAL .?-='`• - ?^'.
REC IPT REC IPT -
, -• . 1 ._?.c f °
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR F10RK WITHIN POBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
.
APPROVED BY:
,
TI TI.E : . ,
?}• ?.'??`0 7 i?...'•`..?s;:: ??'..
DATE: ' ,
CITY OF EAGAN
APPUCATION FOR PERMIT
SEWER AND/OR WATER CONNECTlON
'1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
0.. i?? ? M AT TIMEI OF
APPLICiTRU DOES NOr CMBMUM
APPFDVAL CP PENW.
nusencrIorr oF SEWER ANn/aR WATER
TRSTAT iJ1TTQj$ Wn.j. NO1' BE SCHED--
tIM vNrII. PERraT HAs sEEN
AePFDM.
ka+vL/niocx/auAalvlSlon OY' Tax'PdI'CEl ID #)
.
g' EXISTING STRL'C'"E, DATE OF ORIGINAL L'ILDING PERMIT ISSCANCE: .
-
PRESER' ZONING/PROPOSID LSE: Nbn ear
.
? CC14MEXIAL/'RE?/0FFICE [] R-1 SINGI.E FAMILY
1-7 I'STRIAL Q R-2 DI)PLEX (Zt+o C?nits)
? INS1z7i*PIONAi./GOVII2rIlMtT ? x-3 70Fftui0qsE tThree + r7nits? t unitsl
• p R-4 APARIMENP/COfIDC1NIINIUNI Units)
2) ?
AC
CITY. STATE
3) ' R o+• NAME. ' For City Use . .
Plwnbers License:
ADDRESS: ? Q Active
L ?
CITY. STATE. ZIP: EXpired
•? Q Not z'ecorded
PMNE: MFLSTER LIC?'.NSE$ (2(p.t?a Initial
4) ? • i?-
NAM.? 4 e?
ADDRESS: •
QTY, STP,TE, ZIP; '
PFi=: . ,
g •" a? •'I
? ?d?? ? ?? ? ? ??? ? ?? MTER o OrHm ? .
6) ?? • • [:3 pTFEGF M,p pppMID PFItNIIT FCH2 PICK-UP BYI ONE: OF ABOVE
PLEASE MAIL APPROVID PMIIT TD 1, 2. 3 4, ; APOVE
(Circle one)
ol
fOR :CITY USE ONLY
PERMIT i ISSLED
77y7 ?
Pd w/Bldg. Permit
$
S
$
$
$
$
? ?niX ? Q Cl
$
$
$
$
$ AM' 60
$
S 129 ? C) U
__ 7D58'?
RECEIPT
FEES:
.. ?
' 1 <
i
$ /IJS0 SEWER PERMIT (INCLUpE SURCHARGE)
S /D'?C) WATER PERMIT (INCLC'DE SURCHARGE)
$ WATER METER/COPPERHORN/OCiTSIDE READER
$ WATER TAP (INCLL'DE CORPORATION STOP)
$ SEWER TAP
S O D ACCOUNT DEPOSIT - SEWER
$ /,`?j-C>O ACCODNT DEPOSIT - WATER
$ • WAC
$ SAC , .
: v ' " " ' . i • . . ' ? ? f_`C f
$ T'RF?iQIb •WATER ASS£SS4ENT
.. ' •. .• •,? ..? _. (. . ?.tif
LNK SEblER,ASSFS41ENT
,.,.?..' _. _• , ? .. ..._ 1.' i?S i; 4:j
$ • LATERAL` 13?TIEFI?P/T?C?pIK SEWER
., _
$ LATERAL BENEFIT/TRL'NK WATER
?.r..., 6• .. .., ; .,'i Q.' !: : 'Y?. ,: -: } :.J?:i ? ?+11 1 i
$
?jTA;TER,TRFtATMENT. PItANT SDRCHARGE
$ bTHER: _ `?, s • ' ^ ?
'$' `?h:•.O ? . TOTAL ;•. .. ?'^?
_ v6 -S
RECEIPT - _ ,, _ '. ??'? `;• _"
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
?
APPROVED BY;
TITLE;
,, ?• ,, •.. t; •??: . ; ? ..
DATE:
CITY OF EAGAN
APPLICAT{ON FOR PERMiT
SEWER AND/OR WATER CONNECTION
1) FROFERTy ADDRESS:
LEGAL DESCRIPTION:
e
NdPa': "PASbou' dR' FEB AK''Ti!ffi' 1.1P'
APPLIcATZaaa DOEs rOr oasrTTttTE
APrtaovnt. OF rERMIT.
nNsrEMaN oF sEWER aru/tR sA0!R
TI14TAiSATTON$ WI,L NOj' ?,^ SCBED-
[n,Fn t7NrII. PERMIT FJAs EM
nprxoM.
or
IF E7QSTING STRL'CIURE. DATE OF ORIGZNAL &1II.DING PERMIT ISSL'AIdQE: -
(hbn ear
PRESIIdP ZONING/P120POSID LSE:
? COMOCIAL/RBTAII./O£FICE
0 IND-'STRM
0 INSTI2C*fIONAL/GC7VIIWEM
? R-1 SINGLE FANIII,Y .
? R-2 D]PLEX (1t+v Chnits)
Cg?-11-3 RL7idlO10[?SE (Three,+ Units) ( Dnits)
R-4 APAR7IENf/COPIDOHIINIUM Units)
2? ? NNAMEAW - -florj
ADDRESS: ]4
A?F
CITY. STAT'E, 2IP: ?
PHONE: A-?1') rrl
3) i: ?• -- - • For City [?se .
Plwgers License:
ADDRESS: A ActiVe
C7'TY, S"PATE, ZIP: 1-1 ?lred
I-1 Not recorded
PHONE= MAS1ER I.ICENSE@ Sta Irv.tial
4) •• • i?•
NAME:?
.
_ ADDRESS: .
CTTY. STATE, Zip:
PHONE: . ,
•5) i? - «. • ?• : ? • a. - a. , •,,
- 'dCONNECTiON Td aTY SEWER [2/CONNIDCTION 'iU CITY WA1R 0 024M .
' ? -- ? ? - (Circle one)
SIIHY[]ll'LiP -7
f
6I ?? • r ? PI.FASE HOLD APPROVID PEEiMIT FM PIQC-L?P BY ONE OF ABaVE --------
d PI.EASE MAIL APPROVID PFEtNIIT TO 1. 2. 3
4rl 11B(7VE
. F4R .CITY USE 4NLY
PERMIT # ISSUED
. //
7
Pd w/Bldg. Permit
$
$
av .
$
$
$
$
s 5?5. Dt?
s /,? So v
$
$
$
$
s /,59 7. o v
- 2a588
RECEIPT
< a ?,?. g
?: .
r
FEES:
S 16) 5?0 SEWER PERMIT (INCLUDE SIIRCHARGE)
S Ao 50 WATER PERMIT (INCLUDB SURCHARGE)
$ WATER METER/COPPERHORN/OOTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ /.S• tja . ACCOUNT DEPOSIT - SEWER
$ ?5O d ACCOONT DEPOSIT - WATER
$ • WAC
$ SAC
$
% i '•'. , .
f
.'? TRti4IF-•WATER ASSESS4ENT --
. .
T . . , .. .?,.--I
.
.
S _?
., _ • .
"
tP?tL?NK _S$f?IER';ASSES$MENT
f:
i
C
;?
'
?
t
E
.
?1.•-= u
S ` LATERAL'IkIjNEI?IT?L'AIR SEWER
•. _
S - . LATERAL BENEFIT/T12I:NK WATER
$ • , fdATER ;T
REATMENT, •PItANT SL?RCHARGE
?
$ bTHER':
- .?
/ .. .. . .
TOTAL i" -??*` - [;?.?•
_ lo(o?
RECEIPT - '- ' ? ' `
DOES UTILIT% CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q ROADWAY" MLST BE ISSLED BY THE ENGINEERING
NO DIVZSION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
v
APPROVED BY:
TITI.E; - ? . . ..
DATE:'..a
.
?, .
?J CITY USE ONLY
SUBD.
?/JC
1999 PLUM$Ixe PERMrr
crrY oF f-tenx
S$SO PILOT KNOB iiD
SA6AN, MN 55122
(651) 6$1,467$
fyy3g RECEIPT#: 10 J I
??
RECEIPT DATE: S -' t `f ?' ? ?
PERMIT# 3r?;
Please complete for: ? single family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FixruRes
EACH #
70TAL
? Bath tub $ ,z nn y = e
Floor drain 3.00 x = $
Gas i Ifl outlBt ' minimum - 1 3.00 x $
Hot tub/s a 3.00 x; _ $
Kitchen sink 3.00 x $
Laundr tra 3.00 x $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x' _ $
Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x'; _ $
RPZ new installation/re air 30.00 x! _ $
Rou h o enin 1.50 x = $
Shower 3.00 x ?. _ $
Under round s rinkler if dwellin is under construction 3.00 x', _ $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x I = $
ater heater 3.00 x
Water softener if dwelling under construction 5.00 x
I = $
Water softener if existin dwellin 30.00 x
? _ $
Water turnaround 30.00 x ` ---- _ $
State Surchar e 50 --> ----> ----> $ 50
Total --> --? ----> °--> $ 30• Sa
C
REmiP.dcT: vnli ii3i injpecLIOnS af a's.araflueis, i.a. hater.haaiars, water snrteners, BfC.
---------------------?--------------------- --- -- - --------------'--------------------- - ---
-
-
-
1 hereby acknowledge ihat I have read this ap-pliration, state that- the -information- is-
- p - - ble - Ciry - - of Eagan - ordinan - ce - - s -
-cortect, -and-agree-
- to comply - with - all appli -
.
It is the applicanPS responsibility to notiTy the property owner that the City of Eagan assumes no liability for any damages caused by'the City during its
normal opera6onal and maintenance activities to the facili6es cqnstructed under this permit within Ciry pmperty/right•of-way/easement.
SITE ADDRESS: ?D?ee ?LCM?'p?J c",
OWNER NAME: : C'A__1 TELEPHONE #: ` ???- 4?
(AREA CODE)
INSTALLERNAME: ?Yl? p6Tr`62 /?•.M.(3iNlr TELEPHONE#: G.rl
'(AREA CODE)
STREETADDRESS: #S?D
CITY: 7cpsr.accr,d STATE: ??•v ZIP:
?.
TURE GOF PERMITTEE
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVFteoair Reauiremen4s
3 registered site surveys shaxing sq. ft. of lot, sq, ft of house; and all roofad araas 2 wpies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan slwwing beam 8 window sizes; poured tound design, etc, 1 site survey for additions & decks
1 set of Energy Calcula6ons Add'dion - indkate riarsife sepfk sysfem
3 copies of Tree Preservation Plan if Im platted after 7/1193
Rim Joirt Detail Options selection sheet (bldgs with 3 or less uniGs
Oifice Use Onlv
Cert of 5urvey Recd
Tree Pres Plan Rea!
Trce Pres Not Reqd
_ On-site Septic System
Date 03 ?
Constructiou t 25?
Site Address 0k, /A L L&M}on1 C) 2C LC niUSte #
i
Description oF Work P FG K ?'` fl n i7'?pr?
MWti-Family Bldg. N Fir ace(s) _ 0 S ?2
PertY Owne M?>..C).? C t?f 4J?rv et cU
Pro
r Telephpne#(bS') ?z
Contractor ? b' t« 1/1 6 ? '1K vcf7- I ti-x/
Address t !`lq I City
State hN Zip t 46-/ U ? Telephone #( 2 f?
a.,9.g n,fr
s3e3
COMPLET)g THIS AREA ONLY IF
A NEW BUILDING
Energy Code Categ , Residential Ventilation Category 1 WorksheeEnergy Code Worksheet
- Minnesota Rules 7670 Catesorv I \Te?l,,ene ota Rules 7672
(Jsubmissionty Submitted itted
• Energy Envelope CalculaGOns Submitted
Licensed Plumber Mechanical Contractor Sewer/WaterContractor ii
I hereby apply for a Residential Building Permit and acknowledge that the infor tation is com?efe_anJccurate;
that the work will be in conformance with the ordinances and codes of the CityLuvYf=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 of plans.
Applicant's Printed Name
Applicant's Signature
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9 tA
pp• ?ci
kj op•\AJ
- w(o D?no?.es Walk-Out
O Denotes Iron Monument I
° Denotes Wood Stake
X000.0 Oenotes Existing Elevation Proposed Top of Foundation Elevation=
(000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 933.0
f- Denotes Direction of Suriace Orainage Proposed Lowest Fioor Elevation= g33.s
I hereby certify that Mis is a true and correct representation of a survey of the boundaries of:
:,ots 29, 30, 31, and 32, Bloek 2, THE TRAIIS OF THOMAS LAKE, Da'cota County,
Minn2scta.
And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or
on said land. It also shows the location of the stakes as set for a proposed building. As surveyed
by me or under my direct supervision this :?th day of Janua:v 11987,
Paul A. Joiuison
Land Surveyor, Minn. Reg. No. 10938
CERTIFICATE OF SURVEY
r• = aa
?K ?•?E
OMBS-KNUTSON ASSOCIATES, INC. for
. anI
Uliim6F4iiqFA3m lAM07YRYb01pa SifltUI1N[?S FILFMO. MEw µOR4ZOt?.I HOMES IQC•
Rc
wunuro?u.r MUTCNINfON.YIMN[iOTA '1931
2005 RESIDENTIAL 13UILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construclion Reauirements RemodellReuair ReauiremenGS Office Use OnN
3 regislered site surveys showing sq. R. of lol, sq. ft. of house; and all mofed areas 2 copies ot plan Certaf Survey Recd _ Y ._ N
(20°k maximum blcoverage allowed) 7 set of Energy Calculatlons forheated additbns T2e Pres Plan Recd Y N.
2 copies of plan showin9 6eam & window s¢as; poured fouiM desgn, etc. 1 site survey for additians 8 decks TreePres Required _ Y _ N
lsetofEnergyCalculations AddRion-indicateifon-sdesep6csystem On-site?SepflcSystem _Y _N
3 copies of Tree Preservation Plan i( lot platted after 711/93
Rim JoistUetsil Options selection sheet (buildings with 3 or less units)
Date . ? / 0? -3 ?Cl P Construction Cost (f)
;?
C
Site Address ,
/
Unit/Ste #
N
Description of Work 1? ?} l?ciLt
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner „( ee X Telephone
Contractor lble(.()
aaare55 ciry
Stete Zip Telephone # (!P 57)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 9672
EneFgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
- • Energy Envelope Calculations Submitted
Have ycu previously constiucted G buiidir,a in Eagan with a similar plan? _ Y __ N If se, 25% p!an revie:v
fee applie's: '' -
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewec/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of 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
approyal of plans. D ? ?EA A ? n Pn ?
4hayl /?J L!
l?r? 2005
Applicant's Printed Nam Applicant's Signature ?? _
? 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
?? City Of Eagan ' ?:D GJQ
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e [or. single family dwellings & townhomes/condos when permits are required for each unit
Datel'jo/0 -7
Site Address q30O-_- (Xna5ai CIX
Unit #
?
Property Owner Telephane # ( ;
)
Contractor /
Sheet Address City
State Zip ?6_r Telephone # 5?-,2
Bond #• Expires:
The Applicant is _ Owner ontractor _ Other
Add-on or alteration to existing dwe0ing unit $ 30.00
furnace _Additional _Replacemenf
' air exchanger ?
? airconditioner _New kReplacement
other
State Surcharge $ 50
Total $ ?zc)
I hereby apply for a Residential Mechanical Permit and acknowledge that ihe
be in conformance with the ordinances and codes of the City of Eagan and A
?, ut only an apptication for a permit, and work is not ro start wi[ho
aptrod plan in the case?fjork which)requi;es a review and approval olviz
on is complete and accurate; that the work will
t Codes; that I understand this is not a
Pechanicai
r, , that the' work will]be in 4ccordance with the
Applieant's Printed Name AiJ
? O7 33 2005 RESIDENTIAL BiTII.DING PIItMIT APPLICATION ?.+- , ZS
City Of Eagan
. 3830 Pilot Knob Road, Eagan MN 55122 ' Q 5-D
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremems
3 registered sile surveys shaxing sq. ft. of lot, sq. ft ot house; and all roofed areas
(20% maximum lotcoverage allowed)
2 copies of pian show(inq beam & windovr sizes; poured fownd design, etc.
5 sat oi Energy Caiculafbns
3 coples of Tree Preservation Plan if lot platled after 717193
Rim Joist DeUil Optbnsselec[ion sheet (buildiigs wBh 3 or less unils)
RemodeUReoair Reauirements Office Use OrgJ
2 copies of plan Cert of Suney Recd Y_ N
i se[ of Energy CakulaGons Wr heated additions Tree Pres Plan Recd Y_ N.
1 sile survey fir edd@ions & dedcs Tree Pres Required'''? `-_ Y. = N
Addkion - itMkate Hon,site septic system Onsile Septic 5ystem-_ Y_ N
l 'Il ? V o 0 q /Q.C-) _ITCS4?_
S a v s-
Date Constructioo Cost
Site Address 5?3 p?6' C lem son ? IrcUnidSte tl B
DescriptionoFWork SBt5,,a,n ?o r? 2 ?c1??c ?A 7pn 2-xi t?n dcGK r? ?,1°G
?' ?
Multi-Family Bldg ? Y _ N Fireplace(s) kl 0_ 2
Property Owner Mc, r Frc, ? r r
i Telephone #(G -`f
Contractor k/ r 2G, C- xf-Pri or r
Address SF SW? (?fc62kSti;ie 0.?-A City rnue,r (rrov? Hl-r
State )'l'J ? Zip SS0 ')6 Telephone #(G t 2, ) 6 Ss--aa o!
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissionrype) Submilted Submitted
• Energy Enaelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. ?
?
licensed Plumber
IUI'? ?
Nlechanical Contractor WG
Sewer/Water Contractor
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of 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 of plans.
_00N 6re2kOIV,1CApp1icanYs Printed Name
Applicant s Signature
OFFTCE USE ONLY
Sub Types .
? 01 Foundation ? 07 DSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? DS D&plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garege ?( 22 Porch/Addn. (4-sea.) O 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_v or_ M? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handaut to applicant
V
l
ti O ? MCES S
a
ua
on ccupancy ystem
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
? RooF _ Ice & Water _ Final
Framing
Fireplace R.I. Air Test Final
? Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: ( Z , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
l0 0 ?( rV '
5?aoc
f •p-
Peunit Number
RFScheck Compliance Certificate Checked By/Da[e
20001Vfinnesota Fnergy Code
REScheck SoSwaze Version 3.6 Release 2
Data filename: C:\Pmgram Files\Check\RESchecdc\4306 B- Clemson Curlexck
PROJECT TITLE: 4305 Clemson Circle
COUNTY: Dakota
STATE: Mimeso[a
ZONE: 2
CONSTRUCTION TYPE: Single Facnily
wnvnow i wnra, xnTio: o. 18
DATE: 09/12/05
DATE OF PLANS: 9/12/05
PRO)ECT DESCRIPTION:
10' x 10' 4- Season Porch
DES iGNER /C ONT R A CT OR :
Krech
COMPLIANCE: Passes
Macimum UA = 42
Your Home UA = 42
0.0°/a Better Than Code ([TA)
Gxoss Glating
Area ar Caviry Cont. or poor
Pedmet -r k& B-V Yfl U-FacL4I U$
Ceiling L Cathedral Ceiling (no attic) 110 38.0 1.0 3
Wall 1: Wood Frmne, 16" o.c. 325 19.0 1.0 16
Window 1: Above-C'?rade:Vinyl Frame:Double Pane with Low-E 41 0.330 14
Door 1: Glass 17 0.330 6
Floor 1: tlll-Wood Joist/1'cuss:Over Outside Air 100 30.0 2.0 3
Fumace t: Forced Hot Air, 78 AFUE
Ptnposed and Maximum U-Factor Averages
Proposed MaJCimum
Average U-Factor Allowed U-Factor
Abovo-Grnde Windows and Glass Doois 0.330 0.370
lncludes Foundation Windows > 5.6 112
? ..Fl-
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifica'taons, and other calculations submitted with the pexmit application. The proposed building has been designed to
meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.6 Release 2(fartnerly MECcheckj and to
comply wi[h the manda[oryAequiremos listed in the REScheck Inspection Checklist.
Builda/Designer ? ?? r?? Date / 'O-lts-
JOSEPH J. DUDLEY, JR.
DAVID W. LARSON'•
STEVEN C.OPHEIM•
KATHERINE A. BROWN HOLMEN
JEFFREY H.OLSON
PATRICK M. CONNOR
JOHN C. LILLIE III
ANDREW J. LAUFERS'
MARK K. THOMPSON
JUSTIN D. JOHNSON
•ALSOADMITTED IN WISCONSIN
••CERTIFIED REAL ESTATE SPECIALIST
DUDLEY nxn SMITIi
A PROFESSIONAL ASSOCIATION
ATTORNEYS AND COUNSELORS AT LAW
SUITE 2602
U.S. BANK CENTER
101 EAST FIFTH STREET
5T. PAUL, MINNESOTA 55101-1896
TELEPHONE 651-291-1717
FAX 651-223-5055
November 22, 2005
City of Eagan Inspections
3830 Pilot Knob Road
Eagan, MN 55122
Atm: Terry Z.
Re: 4306B Clemson Circle, Eagan
Dear Terry:
ADDITIONAL OFPICES LOCATED IN
APPLE VALLEY
LAKE ELMO
MAPLEWOOD
SHOREVIEW
WOODBURY
E-MAI L: If1fO@dUd IBydn[1SI71 iIh. COfI'1
wEe sirE: www.dudleyandsmfth.com
Enciosed please find an authorization from Bill Krech Exteriors regarding the porch
being constructed at the above address. As you recall, I represent the immediate
neighbor, Monem Meziou, and we request a copy of your file including all plans,
diagams and documents submitted. Please fax [(651) 223-50551 and mail the copies as
soon as possible. Let me know what the cost is and I promise prompt remittance.
Sincerely,
DUDLEY AND SMITH, P.A.
Patrick M. Connor
cc: Client
17/23/2005 14:15 FAX la 001/001
? NOY/22/2035/TUE 10; 2? P• 0 "1 2
To, czxY oF F-AGArr
kRON1: BILL KRL7CT3 BXTERIORS
SUS7ECT: PORCH AT 4306B CLEMSON CTRCLE, EAGAN, NIN
DAT'L: NOVEMBBR 22, 2065
I hereby authoitize the City o£Eagan tn release the specifications forthe above-mentioned
porch to Patrick Connor and Monem Meziou.
BILL KRBCH EXTERIORS
ze?-
By s)Iz, Kxr-cH
Its: President
'' 43). eD
?? 2005 RESIDENTIAL MECHANICALPERMIT APPLICATTON
^ ?O City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date % l %zg / D L^
Site Address 42d tO h ? VLG'Y' LeUnit #
P
t
O
? ?
&4J
z ZQ Tele
hone#((9s/ )[ "' lo? 71
woer
raper
y
? ??
4 ?
p
Contractor
8910 Wentworth Ave
Street Address .
Minne
ji c;ty
State upo
3,
(952) 881-9000 Zip
Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner V Contractor _ Other
Add-on or alteration to existing dwelling unit?
?OGzfft/ 70
?
?y ?l $ 30.00
t/ furnace ?
y
-
_Additional Replacement _ New
air exchanger
? '101
kz-24^
airconditioner
_ heat pump ? .
? other /
- ?
State Surcharge $ .50
T
c
i ' $ b • 05?0
o
a
I hereby apply for a Residential Mechanical 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 witli the Mechanical Codes; 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 wil? be in accordance with the
approved plan in the case of work which requires a review and approval of plans. ??
Applicant's Printed Naxne 9??9\Y& u Applicant's Signature
JAN 1 2 2006
le?l
??? ??4
2007 RESIDENTIAI. BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651fi75-5675 FAX # 651-675-5694
weir cor?shu?On Reame?nts 3 regis0eed siEe surveys show¢ip sq. R of lot sq. R d hase; and $ mofed a2es
Cmxmammm bt amage auowed)
1 Sohs RepM Hpaposed huildmp s to be-placed di GrsWrbed sad
2 capies otPlan dwn^V beam 8 wmdav soM Domed fauM design, eh.
7 saf of Enagy CeIcWeGans
3 oopies af Tree Preservatim Plan i(bt p6alted efter 71193
R'an Jdsl DetO Op6ons selafion sheet (6Ldi5igs wilh 3 w less wu7s)
Pilnnegasco mecheniml aanhlafian faim
Ranode4Reoa'v Reauit?nE
2 mpies ofPlen shvxM Tao6W. bemns. Jaiots
15et of Enegy Calcule6mb (Or Feeted addilime
1 sbeswvey 6or addmane 8 Oecks
Addtian - uOC2[e +YOn-sae septic syafem
Olfire Use OnMe
CertofSurveYRead _Y _li
SaTdRepat _Y _N
TreeResPlm ReW _Y _N_
TreePteSRequired _Y _N
On-siteSepUeSystem --Y -N
Pfans are considered public information unless vou state thev are trade secret and the reason.
Date ?/ (7 Sl 0 -7 CoostraMion Cost d (9- 6 d tl 1-
site Address V.j p?„ -</ 3 6( p 6 S /S UaiUSte #
G/
Description of Work /Q
Malti-Family Bldg ?Y _ N - I
15replace(s) _ 0_ 1 _ 2
Properly Owner ?
o r.. c.S 1i </L c Telephone #((e., j()?r t S' Z? O U
Contrsctor Y ?I ?40r-X7F=S
Address . ? • ??/ ? City ?LCI7llSU ° II Q
State Zip Tdep6ane #
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
Energy Cade Category - Minne.gota Rules 7670 C orv 1 _ Minnesota Rules 7672
(? submlSSion lype) • ResideMiai VeMNadon Category 1 Worksheet . New EnErgy Code Watksheet
Submittetl SubmNled
• Energy Enveiope Calcula0ona Submitted
in the last 12 monThs, has the Ciiy of Eagon issued a pertnit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Piumber
Mechanical Contractor
SewedWoter Contractor
Telephone #(
Telephone # (
Telephone #(
for a Residential Building Permit and acknowiedge that the information is complete and
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 permit, but only an appiication for a permit, and work is not to start without a
permit; that the work wiil be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ?/
?fJG I` !? a ?tr.r1 !7 r"k G.r
.. ? C/G!/x??
?L? (??Gc J
ApplicanYs Printed Name 4 ,-& ,d- 3 p-2( pplieant's Signature
/
/
?o
u,?o
O
a
X 000.0
(000.0)
4
W
J
4C
U
2
0
0
S7
?
J
U
0
9
°? 1
,0
ot I
5=N 74-3p00,?
N -7e -..s) -
4 ?. oo %0V
Deno-kes W0k-Out
Denotes Iron Monument
Denotes Wood Stake
Denotes Existing Elevation
Denotes Proposed Elevation
Denotes Direction of Surface Drainage
/
Proposed Top of Foundation Elevation=
Proposed Garage Floor Elevation= 933.0
Proposed Lowest Floor Elevation= . g33.5
I hereby certi(y that this is a true and correct representation ot a survey of the boundaries oF.
:,ots 29, 30, 31, and 32, Block 2, TIIE TRAILS OF THOMAS LAKE, Da?cota County,
Minnz:;cta.
And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or
on said land. It also shows the location of the stakes as set for a proposed building. As surveyed
by me or under my direct supervision this :2th day of .Tanuarv 119 $7 ,
Paul A. Jo son
Land Surveyor, Minn. Reg. No. 10938
?CERTIFICATE OF SURVEY
for
McCOMBS-KNUTSON ASSOCIATES, INC.
COMfUtiiMp [I161Nil111 .?e a LAMO MUrcSVIIwruY[Y0113 a Slf! flAMM[IIS ?Ew NOQ?ZON HoMES utC.
nu?Ewroauor.wrwewrA
-1987 BOILDING PSRMIT APPLICAYION - CITY OF BAGAN
SINGLE FAMILY DWELLINGS
IBCLDDS 2 SEfS OF PLARSO 3 CfiRTIFICATSS OF SQRVEYO 1 SST OF ENERGY CALCOI.SYIOHS
HOTE: ADDSESSES FOH COBNER LOTS - C09RRACTOR/HOMBOANER HQST DESIGHAYE iiHICH ADDRESS
IS DFSIRED. NO CH9NGfiS WILL BE ALLOWED ONCS BOILDIRG PERIiIT IS ZSSDSD.
MQLTIPLE DiiELLINGS - RESIDENTIAL RENTAI, OHITS FOR SALE OHIRS ?
INCLUDE 2 SETS OF PLANS, CERTIFIC9TB OF SDRVEY - CHECg WIYH BLDG. DfiPT.,
a 1 SET OF ENERGY CALCULATIONS
a
COMMERCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
IoF 4
To Be Used For: ?qm,csL Valuation: '9ro4,(D00?1)D Date: a??187
^ aq h.
Site Address ?{OG CLrcM50N C i reu OFF CE DSE ONLY I
Lot 29 Block 'Z On Site Sewage Occupancy Fl•3
_
MWCC System ? Zoning QD
Parcel/Sub ?? ? t
" ?{?,p,r.{i,? L?,p,?? On Site Well Type oF Const
City Water ? (Actual)
Owner f^w (Allowable) Q
# of Stories
Address P.? es&?Y- ?3fo1 Length
Depth Z?
City/Zip Code S.F. Total
Footprint S.F.
Phone q,2? ? 3qo? 9PPROYAI.S FSES
Contractor
Assessments
Permit So
?J1 7• -
Water/Sewer Sureharge 32,
Address. Police Plan Review 8
Fire SAC, City ?pp,
City/Zip Code Engr SAC, MWCC ^ 5 25
Planner Water Conn 52 S•
Phone Council Water Meter (07.
Bldg Off Road Unit "jUS,
Arch./Engr. APC Treatment P1 ?E?10,
Variance Parks
Address Copies
TOT9L ? a S
City/Zip Code
Phone #
` //3//
SINGLE FAMILY DWELLINGS
I9CLDDE 2 SETS OF PLANS, 3 CERTIFICATBS OF SOBVSY, 1 SBT OF ENERGY CALCQLATIOHS
NOTE: ADDRESSES FOR CORHEH LOTS - COHYR6CTOR/HOMfiOBNEE MIIST DESIGBA2E AHICH ADDRESS
IS DFSIRED. NO CHANGSS WILL HE ALLOWED ONCS BOILDING PERMIT IS ISSIIED.
MOLTIPLE DidEI.LINGS - RFSIDENTIAL RSNTAL OHITS FOR S9LB DHIYS LZ
ZNCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQEVSY - CHSCB iIITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATZONS AND 1 SET OF
ENERGY CALCULATZONS,
$2,000 LANDSCAPE BOND
lorg-
To Be Used For: gc?t?e Valuation: 4(nQ,UJ
Gq 'Ytar at
Site Address Q3?(o? C?Er.nsf?r?t DpzIUE OFF
Lot Block 2 On Site Sewage_
MWCC System ?
Parcel/Sub ?ti? ???yB-,r?pp 4akiQ On Site Well
??? a??? City Water V
Owner
Address P C) 13o-x 13?-7
City/Zip Code qapj?D_, /Mm.
Phone .420 - 3 cJ b 0 ApPR0V9LS
Contractor
9ddress
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone U
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off
APC
Varianee
nate : 2/4/2-7
Oceupancy }2 ? 3
Zoning PO
Type of Const
(Actual) ?.
(Allowable) 5C
# of Stories
Length 4-4_
Depth Z-7
S.F. Total
Footprint S.F.
FEES
Permit So
Surcharge 32
Plan Review 1 2? . ZS
SAC, City t00.
SAC, MWCC SZS•
Water Conn szs•
Water Meter (P-71
Road Unit 305,
Treatment P1 I801
Parks
Copies
TOTAi. _?-
S^
s ... . .
. ?
1987 BOILDING PERMIT 9PPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
INCLDDE 2 SETS OF PLANS, 3 CERTIFIC9SSS OF SORVEY, 1 SfiT OF ENERGY C9LCQLAYIONS
NOTE: 6DDRESSES FOR CORNEa LOTS - COHTR9CTOR/HOMEOiiNER HQST DESIGHATS WHICH ADDRESS
IS DFSIRED. NO CH9NGES WILL BE ALLOWED ONCE BOILDING PERIiIT IS ISSIIED.
MOLTIPLE DiJE[,LINGS - RSSIDENTIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COLVWRCIAL
RENTAL UAITS FOR SALE D9YIT$ V
OF SORVEY - CHECB GTITH BLDG. DEPT.,
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: Rzb;?cQ, Valuation:
Site Address
Lot 31 Block 2
Parcel/Sub qtio,i,6 pt
Owner ?AQJl IL(.?E? Ntrll? C'??
Address P.0, @&x
City/Zip Code 1111,PCo., 171ti,.1 5 Is 44b
Phone
42?- 3?10?
'Contractor .111vr,z
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
On Site Sewag
MWCC System
On Site Well
City Water
APPROVALS
Assessments
Water/Sewer
Police _
Fire
Engr
Planner
Council
Bldg Off
APC
Varianee
?? Date: 214(g?
_ Occupancy R3
? Zoning T
Type of Const
(Actual) $?
(Allowable) $L
# of Stories
Length ¢¢
Depth 2-7
S.F. Total
Footprint S.F.
FSES e
Permit 511 So
Surcharge 3Z,
Plan Review 0
_
SAC, City ipp.
SAC, MWCC 525.
Water Conn ?
? Water Meter
Road Unit 3D5,
_
Treatment P1 loo,
Parks
Copies
TOTAL :? .? 0 U • e':
_HEATLOSSCALCULATIONS HEATING&ABR
S%O"
COIUDITIONING
26,-754
CO. MINNEAPOLIS, MINN.
N'BeTharstrips A,S.H.V.E. Con6truction No. Insulation
ATindows Doors Guide
fleferenCe Out. Wall Int. Wall Ceiling . Hoof Floor Kind HowApplied
Yes-Na Yes-No
__
19
_
FI.L?YIN(,a -QRoom Length '2, 2_ Width' 2, HeiBht i FI. ('(\nS-Tr-R & pROOm Length "/,0 -i4+dFM Haight
YJindows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Are a
ryo W, tleh
of
ana HeipM
o
l
pana No. of
I. hts Lmael FI.
of
rack
c Area
s4. jt.
No' Wid'h
of ane Ha'phl
ane
of Nn. ol
J. Ms Lmeal h.
o( crack Area
SU.
??
•
?j
J? t
?
-l` 2- ?
w
L ^
f+
' ? /
V Z -
7
? A ? R` ?yy
( J q
rG
2 L 1 t CQ ?
Coef Btu oe1
C Btu
Infiltratipn Infiltration
2. ]
J
JQ
Gless Z9 Glass ???} 5
Exp, wal I k, 1'' "2 Exp. wel I iQ zf, 9i-9
Net axp. wall
?],
q, 1
91
Net exp. wall
?
`?• o
?5 p
?h1i"w8M- Qp?' 1 LI'? .22,2 71 . Int.wall
Ceiling Ceiling ?CI(Q Z?5 I
Floor Flaor y. !
Total Btu. 7 5^'' Tatal Btu. ??
Required sq, ft. E.D.R. or sq. ins. W.A. Leader area Reqoired sq. it. E.D.R. or sq. ins. W.A. Leader area
FI. ?N?N( Room lengih Width Height FI. .60 'L°".2.+t1eR,.qan Length I 5 Width 10 Height
Windows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea
Nu. Wldth
of ane Heiqht
of ane No. of
li hla Lmeal iL
of creck Aren
+4• ??•
No' WiNh
of ona Hn. phl
of ana No. o?
b Ms Lineal ft.
of ueck Are9
sq. IL
,
r
Coef 9tu Coef Btu
Infiltretion _rQ 2240 Infiltration .Z? V.
Glass Glass 1? jfl
Exp. wall :'<'K ??(p Exp. wall
fI r?
Net exp. wall , Net axp, wall -73 32
Int. wall Inl. wnll
Ceiling ?,S 7'?.?1
9 ?
2•rj
'Z
Ceiling -^?
Floor Floor
Total Btu. S Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader are2 Required sq, tt. E.D.R, or sq. ins. W.A. Leader area
F1. Room Length 1 2_ Width HeiBht ? FI, Room length ?("' Width ` Height -f)
Windows and Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea
NO' tl'h
of W? ana He,hj
Of pnne No. ul
li h1s lmeal It.
of c,ack Area
sq. 11.
No' winin
ul i.ne Hpbt
ul ane Na. ol
h his L neel 1t.
of crack Area
a9. ti.
Cce1 Btu Coet Btu-
Infiltration Inf iltration - ?_
Glass Glass
Ezp, wall Exp. wall
Net exp, wali Net exp. wall
Int, wall Int, wnll
Ceiling 1 a,x.-l Ceiling
Floor Plnor ...._
iocal BW. Total Btu.
Required sq. (t. E.D.R. or sy. ins. W.A. Leader area ?? Required sq. (t. E.D.B. or sq, ins. W.A. Leader area
r r ? ^ reas Sedgwcel
?HEAT LOSS CALCULATIONS HEATIWG&MIR C011lDITIONING CO.
MINNEAPOLIS, MINN.
Wauther5trip5 A.S.H.V.E. Construction No. Insulation
Niilndows Doors Guide Refere Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
-
Yes-No Yes-No nce
19__
iFL lf?g (Roan Length ?U Wid[h Height FI. Room Length Width Height
Vdi ndows a nd Doors -Cracka ge and Ar ea Windows and Doors-Crackage and Area
No. H4dth
of ane Heipht
of Dane No. of
liphls
Lmeel ry.
af .rack
Area
N?'
?yidth
af ane
ryaipht
of ane
No. of
li pts
l?neal h.
of crack
Area
9V. f?.
? ?. 2 2U IW
coef 9cu cuef 6tu
Inliltretian 76a Infiltration
Glass c Z<11 GIaSs
Exp. wall Exp, well
Nat exp, wail 230 Net exp. wall
Int. wall Int, wall
Ceilin8 Ceiling -
Floor 10 J(. (P-7 Floor
Total Btu. ? Total Btu.
Required sq. 1t. E.D.R. or sQ. ins. W.A. Leader area Required sq. tt. E.D.F. or sq. ins. W.A. Leader area
? FI. {,,Y.ry, Roan Length %? Width 11 Height FI, Room Length Width Height
NJi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea
Na. W?tlrn
of ane Heipht
o? ane No, of
li hIS Lmeal fL
of crack 4rea
?4. h. No
ol nne He?e?t
nl ann No. ui
h hts Lineal h.
of crack Area
sv ft.
r
4 Q+ia (ff ?" ?y ?-.
Coe( B tu Coe( B W
In/iltretion I 11-7 2$23 Infiltration
Glass O00 Glass -
Exp. wall F Exp. wall
Nei exp. II ;?2 q, ( 11 Net exp. wall
Int-?a+? f 2 ?70 22 Int. wnil
Cailin9 CeilinQ .
Ploor lX I 42 l t Fioor
Total Btu. Total Btu.
Required sq. ft. E.D.R. or Sq. ins. W.A. Leader area Reqwred sq. ft. E.D.R. or 5q. in5. W.A. leader area
Length 13 Width Height FI. Room l.ength Width Height
Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea
Na, Width
OI dnB Haiqht
of pnB No. of
11 ht9 Lmeal It.
OI CreCk Area
?0. h.
NO. WiN?i?
U? ?InB IU q?n
UT Ane Nn. ol
?? ht5 Lineal (t.
O? trdGk /rea
89. ?L.
Coef Btu Coef Btu
Inliltration Infiltration
Glass Gless
Exp. wall ExP. wall
Net exp. wall 7X'p S6 q,1 Net Axp. wall
Int. Well In(, WAII
Ceilmg Ceiling
Floor 7..'j <S4 'i.5 flDOr ------
Tutal Btu. iotal Btu.
Requirad sq. ft. E.D.R. or sq. ins. W.A. Leader aren Rvquirecl sq. tt. E.D.P., or sq. ins. W.A. Leader area
1987 BOILDING PERMIT 9PPLICATIODi - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IACLDDE 2 SETS OF PLANSP 3 CSRTIFICATES OF SORYEY, 1 S6T OF EN6RGY CALCULATIONS
NOTE: 9DDRESSES FOR COENER LOTS - CONTRACTOR/HOMEOWNBR MIIST DESIGAAYE WHICH ADDRESS
IS DFSIRED. NO CHANGfiS biILL BE ALLOWED ONCfi BDILDIHG PERMIT IS ISSOED.
MQLTIPLE DWELLINGS - RFSIDENTIAL RFNTAL ONITS FOR SALE QBiTiS ?
INCLODE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CfiECK iiITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONR7ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICAT IONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
? oF 4
To Be Used For: RQp?Irle_2 Valuation: Date: Q/4I81
9(? A,t ?Z
Site Address q??j ?.LEti1soN C\RC?t OF ICfi USE ONLY
Lot 32 Block 2 On Site Sewage Occupaney (<•3
MWCC System ? Zoning P'P
Parcel/Sub faj - UX-,,,63 'AJTQ On Site Well Type of Const
City Water -7r (Actual) ?
Owner °pQAy (Allowable) ?
# of Stories
Address ? 0 ??k ( 3(07 Length 44
Depth 2.(0
City/Zip Code S.F. Total
Footprint S.F.
Phone -420 - 3? D b dPPRODALS FECLS
Contractor _Iwrr,Q
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
Surcharge 31.?
Plan Review \E) 7,
SAC, City
SaC, MwCC S 25
Water Conn 525•
Water Meter lo'(' -
Road Unit -?OS •
Treatment P1 l?:0,
Parks
Copies
TOTAL ??
pIG'?:L Tea?,,? N?o,? C?. .?.?.??? N?f 2t,, 7 5?
'HEATLOSSCALCUlATI0N5 HEATINGFtAIR COWDITIONING CO. MINNEAPOUS,MINN.
Weether5trip5 A.S.H.V.E. Constructian No. Insuletion
Ylindow5 Dows Guide
Referenca Out. Wall Int. Well Cailing Roof Floor Kind HowApplied
Yes-No Yes-No 19__ ,
FLL_ x y1Nf?f o.-VRoom Length Width ? z Height ( FI. Mf,?,7p? 6,-0 Room Length 0 Height
YJindows and Doars-Crackage and Area Wi ndows a nd Doors- Cracka ge and Are a
No. WIArh
ai ane He?O?'
ol pane No. ol
II his Lneal h. -
of crack Area
sq. ft.
NO' Wid??
of ane Haipht
of ane Nn. of
li hts L?eal 1?.
o} crack Aea
sV. ft•
3l ri? 2 2 ?. I i, z 21 ?7
1 ° Ig .2
?„ 4 1 1 O
Coet Btu C
oef
Btu
Infil[ration 3{ r?3 Infiltratio? Z? 7
?] ^
C ?,7?
class -? 2q elass 1") 'i t S
Exp. wall '!l,- Exp. wall RQ Y.
Net exp. wall Net e.p. well ^ 9• ?? o
?M2"T+rEiti- odr 1 11'7 222 . Int. wall
Ceiling X,2. ?C 12L 2-10-1 Ceiling JOIp .2.5
t
I
Flpor Floor ISr' 'n 5 1
rot0i aw. 7 S-j -raei ew. 32
Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Required sQ. ft. E.D.R. or sq. ins. W.A. Leader area
FL jM,N(_ Room Length ? Width Height FI. .F 2,4om Length ? 5 Width I Q Heiyht
Windows and Doors-Creckage and Area YJi ndows a nd Doors- Cracka ge and Ar ea
No. y??d?h
ol ane Heipht
ol ana No. of
II
hts Uneal N.
of Crack 4rea
No' W?rh
01
ane HeiAh?
nl
ann No. u?
h h[s Lineal It.
of c,ack A?ee
sn. h•
.
T
?rV ?) <I q
zCi /
V 2 ? S
Coef Btu Coet Btu
Infiltration Infiltration
Glass Zj SQ AOO(a Glass ai
Exp, wall zti' EzP. wall
Net exp, wall ? Net exp. wall _7j 5, 1 321
Int, wall InL WPII
Ceilin9
Floa -. p
1 2 .rj ?3.
- Ceiling
Piow ?3Q
P-.(..', ?•`/
!7 ?S
? U
U
Total BtU. S Total Btu. t
Required sq. }t. E.D.R. or sq. ins. W.A. Leader are. Required sq. It. E.D,R. or sq. ins. W.A. Leader area
FI. Room Length t2_ Width Haight Room Length ?( Width ?7 Height'j)
Windows and Doors-Crackage and Area W indows a nd Doors -Crack age and Ar ea
Np• ol ,e?ne ofe xne No•h?s ot c elck sq.ell. No. uf nne uf Oenp Nliphis of c dck s9,
Coef Btu Coef 8tu
Infiltration Infiltrntion
Glass Glass
Exp. wall Exp. wnll
Net exp. wall 2 Net exp. wall
Int, wall Int, wnll
Ceiling IaLM.'? 2,?Q Ceiling
--'
Floor Floor -a•'? ?'°
Roo
1"otal Btu. Total Btu. ?„?
Required sq. (L E.D.R. or sq. ins. W.A. Leader area k? Required sq, ft. E.O.A. or sq. ins. W.A. Leader area
?HEAT LOSS CALCULATIpN$
060-
HEATINGB AIR
'q?
CONDIT901191NG CO.
MINNEAPOLIS, MINN.
Weatherstrips A.S.H.V.E. Construction No. Insula[ion
NJ'indows Doors Guide Out. Wall Int. Wall Ceiling Hoo( Floor Kind How Applied
Paference
Yes-No Yes-No t9
pF1• Roorn Length OQ Width HeiBht FI. Roan Length Width Height
VJ indows a nd Doors -Cracka ge and Ar ea Windows and Doors-Crackage and Area
No. Mnin
ol ane Heippt
ol pana No. ol lI neal 11.
af crack Area
5a. fl. ..n. Haipht
ot ane No. ol
li hts lineel Ip
of craCk Araa
sq. ft.
z 2 2 ao E
Coef Btu Coef Btu
Inliltrotion ?U
131
7[gQ
1
Infiltration
Glass zaj Glass
Exp. wall tAl ytll t
?
Exp. wali
Ne[ exp, wall 2 a Net exp. wall
Int. wall Int. wall
Ceiling Ceiling .
fioor 0(J ]C (jJ-7 Fioor
Total Btu. ?. Total Btu.
Requiretl 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. Room Lenpth ? WiMh Ri Haieht FI, Room Length Width Heiyht
Wi ndows a nd Doors- Cracka ge and Ar ea Windows and Ooors-Crackage and Area
No. WiEth
ol ane MeipO1
ol ena No, ol
II hb Lineal N.
of crack Area
+Q. tt. No Width
of nne Hi+,qM
af ann Na. ul
Ir his Lineal fL
of [reck Aree
sQ. f1.
r °1 ,2
Coel Btu Coe( Btu
I ntiItration ? 1E7 a2 23 Inf iltration
GIe55 (a QQ? ti Glass
Exp, wall Exp, wall
Net exp, II ?92 2, ( -1137 Net exp. wall
wl-woi.4 ( ?- ?JU 2.2 Int. wnll
Ceiling Ceilinp M
Floor Floor
Toiel Btw Total Btu.
Required sq, ft. E.O.R. or sq. ins. W.A. leader area Required sq. tt. E.D.R, or sq. ins. W.A.
,,,,
F?•??,?? Y. " Length ?"3 Width Height FI, Raom Length Width Height
Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea
No, ?itlih
o ane Haiqn(
of nne No, of
li hta Lineal fL
ol crack Aeu
sa. ry,
No.
?? »ne Htnqhl
ui nnx No. nl
b Ms lmeal h.
of crack Area
e. ip
Coe( Btu Coef Bw
Infilbatio? Infilhation ?
Glass .
_
Glass
Exp, wall Exp. wflll
Net exp, wall 7X"b Net exp. wall
Int. wall Int. wall
Ceil%rg Ceiling
Fioo, '3 1 7.5 nou, ------
TotalBtu. TotalBtu.
Required sq. fL E.D.R, or sq. ins. W.A. Leader area Roquired 6q. ft. E.D.A, or aq. ins. W.A. Leader area
Use BLUE or BLACK Ink
rr I -
For Office Use---___--
Permit City of Ea
aii c u~ '
Permit Fee:
3830 Pilot Knob Road
Eagan' MN 55122 Date Received: O j
Phone: (651) 675-5675 1 1
Pax: 651) 675-5694 1 Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
S(l~ 017 C7 4f ~t) If W 13 C (eAWN tf'l Unit
Name: Wt n1~ L(----- d- dA Phone:
i Resident/
Owner Address / City / Zip: Ql t~~ UL
i
Applicant is: Owner Contractor
Type of Work Description of work: ~J AS C t ep 7 C -IdIlke Construction Cost;__ __..._.__~___Multi_arra.ily_~uild#ng ('fes~f-No-
Com ari : 1 L8 Re, a4^ . h (#r
!E p y ` Contact:
I q3q). A/
K, t 1. + f `k City: I/Mni'"(Lo
Contractor Address:
(4 7 - 75
State: Zip: Phone: NA L-ieense-#~ Bgm_q - et as-Cert ic`f' aTe --77.21-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the, last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical' Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions 0-
I the information may be classified as non-public if you provide specific reasons that would permit the City to
1.~ ' _ 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.aopherstateonecall.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
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 St to Building Code must be completed within 180
days of permit issuance.
X_ x
Applicant's'Printed Name Appli s Signature
Page 1 of 3
r. -
Use BLUE or BLACK Ink
• For Office Use
CIty
of Eapil Permit#:
RECENT') 66
//��
Permit Fee: (Q6'0-b
3830 Pilot Knob Road JUN 2 U 2016
Eagan MN 55122 Date Received: to--20--/7
Phone: (651) 675-5675
Fax: (651 - 94 L Staff:
J
2017 SIDENTIAL PLUMBING PERMIT APPLICATION
Date:W AS f Site Address: 0P ,t5 t .c ydv v it , 51 c,
Tenant: A,,, ok ,i .R.1, ulte#:.
r tt ,1 v1,� r44,
4 iIII
`FT,.i�'e, .4 ,,,r 4 4 'y� /►�j {� /� Lam. �*'' .4.
-• f r r t pi' erne: ik.•l I._. �_ 4 .7 ""�+ & V I Phone:,�'f..J ( °1"1 5 t
,:r r,. t ,,,1 Address/City/Zip: 0 # t 1. u`!! /.AMP' V - V 5S'?2
t r } 47'4 t l
f��{ t tc
r a,,,,....}� r ',,,gah,;,, ,, Name: Y U I��IJY V� /�, Calif")License#: �/�/
. rife?r o trace o- Address: V l O 44\ r ��AS�l City:<-�\ l0r(�'Q
i { /u �i,t tt v State:10.___O____Zip: XJ�n Phone: 1` � r D.--- -14
�4 (-i i,£T,f }io :
•11.11y , r., tt � b tit ,t gt Contact: J�/\'(' hr\t•\�� —� Email: 1\ Jile�M 0.40-5. adL.V"ti
4ty/ ie4 W�i
N'�
- a ..tnti ti„.
1„' `ate t o • ��i _New _Replacement —Repair Rebuild _Modify Space _Work in R.O.W.
r'yt<. °s
, t r ; Description of work:
0,4141n;i fir { , , RESIDENTIAL
.440ir t� tiro �Yit"' Water Heater
•�ifilkift4e'tt cZp, �; Water Softener
t s sti r urcf'43 {� Lawn Irrigation(_RPZ/ PVB)
'Urah ; Add Plumbing Fixtures ( .Main/_Lower Level)
ti 3 ici,q,tr „t' p, —Septic System
,,-} },,£ ria New Water Turnaround
s4V g it-W&OA _Abandonment
,RESIDENTIAL FEES:
,$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
" $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
`Water Turnaround (add$280.00 if a 3/4”meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan In t case of work which requires a review and approval of plans
'��W\\\,( 111 �.k 1 / x I 1A077(.-
Applicant's Printed Name
R .-. .
: Applicant's Signature
IY,.V �El P ' eV'r‘; 4 ga{ nt4u-. rd '- tt r- 1' r "#11A4 4k
`N 4t`l+•my:._^ rt. ,gLit
t 6sti'. it
i,
i'l�§c i#
i
,FOS0 : ,1I . ; . ; ,gk ,k YIt•wedtii' x �3 ,f'.. , ', i'ri
i .Y-, ,^ 4,4114,4.;q.> sr }} r ;tt f' rtr. 1, r ::64 3,. ti � ` t � R °' ` ., r ; e t oig-t,v.r; ;; ,-ps f g 1,',,,,,,,,,,L.,,„,,
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