4307 Clemson Cir•;.._.?;?, ,, CITY OF EACAN - ' " 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 ?
PHON E: 454-8100
BUILDING PERMIT Receipt? ' To be used for - - - Est. Value ? • ? •' Date ,19 '
Site Address OFFICE USE ONLY : .3
LOt BIoCk Sec/Sub. UF On Site Sewage Occupancy '7
T MWCC System Zoning
Percel No. ?? On Site Well Type of Const '
Ciry Water (Actual)
a
Name '`L•.;. k
(Allowable)
3 Address Stories
? CitY Phone 4• J-3`1•.,0 Length
DePth
S
F
Total
°C
o Name .
.
Footprint S.F.
0 z ` Address APPROVALS FEES
? City Phone Assessments S ! ?> . ?..
_ Permit
? Q Water/Sewer _ Surcharge
? W Name Police _ Plan Review
=
_-
Address Fire SAC, City ?
-
u=
Cit
Ph Engr. SAC, MWCC
? W y
one Planner 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 Statutes and City of Eagan Ordinances. Variance _ Parks
51gn8tufe Of PBrmlttB@ Copies
TOTAL
A Building Permit is issued to: on the express condltion that
all work shall be done in accordance wfth all applicable State of M innesota Statutes and City of Eagan Ordinances.
Building Official
- Permit No. Permit Flolder Date Telsphone ?
Plumbing
H.V.AC.
Electric
Softener
Inspectlon Dmte Insp. Comments
Footings i &/?
Footings II
Foundation
Framing
[M/Li ? ?L• ?
Roofing 04
Rough Plbg. _
Rough Htg. _
Isul.
Firepiace
Final Htg.
Final Plbg. a_//_F)
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
30
PERMIT #
PLUMBING PERMIT RECEIPT 4i
CITY OF EAGAN
i 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE:
, CONTFiACT PAICE: PHONE: 454-8100
SitB Address
Lot Slock Sec/Sub
? Name
A?
? ?
Address
?
c
City :'? • ;? - Phone
Name
; Address
O City Phone `_`Ls ;
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 $],000.00)
51GNATURE OF PERMITTEE,,' ?
'J
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
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00 Floor Drains - $1.50
Water Heater - $1 50
Whiripool - $3.00
Gas Piping Outlets - $1.50 `? --'
(MINIMUM - 1 PER PERMIn
Softener - $5.00
well - $10.00
Private Disp. - $10.00
% Rough Openings - $1.50 ?
FEE:
STATE S/C:
GRAND TOTAL:
q •MECH/Wf CAL' ARMIT
?ECEIPT #
' CiT1f OF EAGAN '
3830 PILOT KNOB R OAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: ? PHONE: 454-8100 1
Site Address ¢ BLDG. TYPE WORK DESCRIPTION ?
Lot Block S c./Sub l
Res. ?
New
Name IR C M0. C Mutt. Add-on ?
m
Address
8? ?0 WENTWQRTH AWE. S0. Comm. Repair
?
c
- City Mli?iiV4B?1?IS. MP! 55420 Other
881-900Q
- 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
S
MINIMUM
PER PERM
T
(
- 1
U
LET
IT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ?? 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 8TU $ REMODELS - 12.00 I
Air Cond. ? M BTU $ MINIMUM COMMERCIAL FEE - 20.00 ?
Vent.
CFM $ STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # f BEYOND $1,000)
Other $
FEE: J
ff ilfYil?a A!?7 k"1?1t.tJ,Gt?.
S/C: SIGNATURE OF PERMITTEE
j' TOTAL:
FOR: CITY OF EAGAN
?r..
, --. ?-?• . . CITY OF EAGAN ? 3 ? ? ?
' • 3830 Pilot Knob Road, P.O. Box 21-199, Ei..- rIIN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt 4k ` '
To be used for Est 1(alue " ' • '"? Date "? u ,19 '
SiteAddress
Lqt ' Block ? Sec/Sub. i'i;A1 LS Df'
HAS
Parcel No. ? ?
?
a Neme ''' HORIZON !{dR1ES 1N4
z Address rl""X 1367
° City .... Phone ".2o- "4U0
" Name _
,o
? ` Address
? City_
ti °C
w W W
Name
XMz-y Address
u
56
CitY Phone
I hereby acknowledge that I have read this application and state
that the I nformatian ia correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagen Ordinances.
Signature of Permittee
A Building Permit is issued to: -
all work shall be done in accordance with all applicable State of Mii
Building Official
OFFICE USE ONLY
..a
On 5ite Sewage ?._ Occupancy
MWCC System _ Zoning
On Site Well Type of COnst
City Water _ (Actuaq
(Allowable)
# O. iJnVo
Length
D
ih
ep
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
Water/Sewer Surcharge • ` r
Police _ Plan Review
Fire SAC, City • ??1
Engr. _ 5AC, MWCC • ?"?
Planner _ Water Conn.
Council _ Water Meter ?
Bldg. Off. _ Road Unit
APC _ Treatment P1 '
Variance _ Parks
Copies ?
TOTAL
on the express condition that
I City of Eagan Ordinances.
, Permit No. Permit Holder Dete Telephone, ?k
Plumbin9
H.V.A.C. ?
? ["?
Electric )
Softener
Inspectlon Date Insp. Commsnts
Footings I
Footings II
Foundation
Framing ,k47 ir_X.
Roofing
Rough Plbg. 2 _
Rough Htg. ?17
F(replace P ??t/ T? ?? ?C?,w
Final Htg. s
Final Plbg.
Bidg. Final
Cert Oca
Temp. LP
Deck Ftg.
Ueck Frmg.
Well
Pr. Disp.
r O
,. . * ,
' • PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB FiOAD, EAGAN, MN 55122
Site Address
y Name
y Addre;
c City .?
Name
3 Addre
0 Ciry -
PERMIT # S&
RECEIPT #
DATE:
r nv??. ?.?'v w
BLDG: TYPE WORK DESCRIPTION
Sec/Sub Res. . New r
Mult. Add-on
JJ. Comm: Repair
Phone
Phone
FEES
COMM/IND FEE - 19b OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
?
CITY OF
Other
RES. PLBG. ONLY - COMPLETE THE FOILOWING
NO. FIXTURES TOTAL
Water Closet - $3.00 S
Bath Tubs - $3.00
Lavatory - $3.00 ?
Shower - $3.00
Kirchen 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
So(tener - $5.00
Well - 510.00
Private Disp. - $10.00
Rough Openings - $1.50 ?-
FEE: - -'" ?
STATE S/C: ? - ?
GRAND TOTAL: - "
MECHpNICAI PERMIT . _....... ..
CITY OF EAGAN RECEIPT #
? 3830 PILOT KNOB RBAD, EAGAN, MN 55122 DATE: _
tACT PRICE: iz??, ? PHQNE: 454-8100
Site Address 4J14-
Lot 5 Block
, i
? Name SEDGW
? Address fi??0
c City Mli
- Name
3
p Address
City
, TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
S.? M BTU
M BTU
M BTU
lY l M BTU
CFM
Piping Outlets # _L
FEE:
S/C:
TOTAL•
BLDG.TYPE
Res. ?
Mult
Comm.
Other
WORK DESCRIPTION
New ?
Add-on
Repair
,-1
i
r_
FEES
RES. HVAC 0-100 M BTU -$24.00
ADOITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GQES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CITY OF EAGAN _ •, 78'
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt # •
To be used for Est. Value Date 1.,19 Site Address Lot Block Sec/Sub.
Parcel No.
s Name :;ON ?{(1:,_ S ) i+C
W
= Address ; p
City Phone
¢oName .
0
` Address
? City Phone
Address
City
that I have read this
State ot Minnesota Statutes
Signature of Permittee _
and state
OFFICE USE ONLY
On Site Sewage _ Occupancy " j
MWCC System _ Zoning 1 ?
On Site Well _ Type of Const ?
City Water _ (Actuan
-
(Allowabie) ?
# o( Stories T_
Length 4
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
. ?7?•,
Assessments Permit
WateNSewer Surcharge ' ' •
Police Plan Feview ?
Fire _ SAC, City
Engc _ SAC, MWCC
Planner _ WaterConn. '
Council _ Water Meter
Bldg. Off. _ Road Unit •
APC _ Treatment P1
Va?iance _ Parks
Copies
TOTAL '
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 end City of Eagan Ordinancea
Building Official
Permit No. Prrmit Holder Date Telsphons it
Plumbing =J/,=? '2
H.V.A.C.
Electric %? -
Softener
Inspsction Date Insp. Comments
Footings I
Footings II
Foundation
Framing aG17 C. j5P- corrr?t.;- .-Iv• C
Roofing
Rough Pibg. ? _
Rough Htg.
lsul. su t??1•
Fireplace
Final Htg. r•A•.? ?.
Final Plbg. ?
Bldg. Final ?-
Cert Oca ?Y ? -Jf•
Temp. LP
Deck Ftg.
Deck Frmg
Well
Pr. Disp.
- S `
:_? ? . ...-r._ . .r,-_.-?.?,.?„--?;s•.-;.., Q. . ,
??^c ^- . . . ...?..,,.,, ;ev:_ -•-;? .ti .. , ..:.-... ... .
. . PERMIT
?. . ; ' PLUM8ING PERMIT RECEIPT q ?r 61 3!"
CITY OF EAGAN ?
3830 PILOT KNOB ROAD, EAGAN, MN $5122 DATE:
? Site Address
BIDG. TYPE WORK DESCRIPTION
Res. ? New
Mult. Add-on
- Name
m
c? Address
c Giry Phone
? Name
? Address ' - x
O City ?•? Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20,OU
STATE SURCHARGE PER PERMIT - .50
(AOD $.50 S/C IF PERMIT PRICE GOES
n
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTUAES TOTAL
Water Closet - $3.00 S
Bath Tubs - $3.00 -
? lavatory - $3.00
Shower - $3.00
Kirchen Sink - $3.00 "
UrinaliBidet - $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 - $t0.00
Private Disp. - $10.00
, Rough Openings - $1.50
" FEE - ?
STATE S/C:
CITY OF EAGAN
GRAND TOTAL:
p Q ' Y
? ' MECH/WICAL P?ERMIT
RECEIPT
?
?
: , • ?,? #
CITY
•0
! 3830 PILOT KNOB OAD, EAGAN, MN 55122 DATE:
' CONTRACT PRICE: PHONE: 454-8100 '
Site Address
4'::4 4
BLDG. TYPE WORK DESCRIPTION j
' Lot ? Block ? Sec/Su Res. New ? ?
Name StE DGWICK HT p .Cp Mult Add-on ?
?
Address ,
89 10 ?ti ENTWORTH AVE. S0. Comm. Repair
'
c
- City MlNNEAWb? r? N 55420 Other ?
881-9000 ?
FEE5 '
L Name RES
HVAC 0-100 M BTU $24
00
. -
.
c Address ADDITIONAL 50 M BTU - 6.00
3
0 City Phone (RES. HVAC INCLUDES A/C ON NEW
! CONSTRUCTtON)
GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA. ,
TYPE OF WORK ' CdMM/IND FEE - 1% OF CONTRACT FEE
; Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M TOWNHOUSE & CONDOS - RES. RATE APPLIES
BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU ? REMODELS - 12.00
Air Cond, ! M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PEF PERMIT - .50
Vent CFM $ PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1 ppp) ?
Other
FEE '? S' c•
?
..
S/C: [lnz?.??_
SIGNATUFE OF PERMITTEE
I TOTAL• Z
FOR: CITY OF EAGAN {
? CITY OF EAGAN
Y 14 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, 11AN 55121
A PHON E : 454-8100
BUILDING PERMIT -
\
To 6e used for IPIxEPLACE Est. Value :1
Site Address 4309 CI.SMSOIC CIR
Lot 13 B1ock 2 Sec/Sub.THE TRAiLS OP
Parcel No.
W Name ?? PBTERS
? Address 4309 CLENSOl1 CIR
0
City EACAN Phone 456-5470
, o Name '?N CITY FIREPI.ACL
?a Address 1525 W RIYER RD
? City t"PLS Phone 588--0791
WW Name
0 ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
intortnation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: TW lf CITY FIREPI.ACE
on the express condition that all work shall be done in accordance with all
applicable State of Mmnesota Statutes and City of Eagan Ordinances.
Building QHicial
......r.?.?...?
4 'd 17548
Receipt # f
OFFICE USE ONLY
Qccupancy - FEFS
Zoning -
(:,ctual) Const - Bldg. Permit 25.
(Allowable) - Surcharge • 5c
# 01 Stories -
Length _ Plan Review
Depth - SAC. Ciry
S.F. Totai - SAC, MCWCC
S.F. Footpnnts -
On Site Sewage _ Water Conn
On Site Well - yyater Meter
MWCC System _
Gty Waler Aec
_ t• Oeposii
PRV Required - SMI Permit
Booster Pump - $M/ Surcharge
Trealment PI
APPROVALS Road Unit
Planner - park Ded.
Councd
BIdg.Off. _ Copies
Variance - TOTAL 25 • 50
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
.
H.V.A.C.
ELECTRIC
Inspection Date Insp. Commenis
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. C'?I(,fJ
isui. (yI G G•a c,,. :
Firepiace ?'.2;'yl'J pa) ? -
Final H1g. ?
Finai Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
EngrJPlan
Bldg. Final
Deck Flg.
Deck Final
Well
Pr. Disp.
FOk SAi.r. "i ..
CITy OF EAGAN
:•+-
?..."` 13782
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
B
UILDING PERMIT Receipt
To be used for Est. Value •'`'1+, l.;t:it- Date
Site Address "j«-'b CLEliSON CI F. OFFICE USE ONLY
't'hAlLS i!F
Lot 7BloCk 2 Sec/Sub
On SRe Sewags
_ Occupancy 5
.
,, ,, LAFF- MWCC System " Zoning
Parcel No. On Site well ? Type of Const
City Water 7_ (ActuaQ
c Name ZZntj ?:`-?? i:i tcac (Allowable)
W Address # of Stories
°
f; _ 90r;
u Length
_
City Phone Depth t ?
Total
S
F
, p NBme .
.
Footprint SF.
? < Address APPROVALS FEES
? City Phone Assessments Permit ??? ?
F a Water/Sewer _ Surcharge
? W Name Police _ Plan Review
z
Add Fire SAC, City
-
_-
u Z
w ress
Ciry Ph Engr. _ SAC, MWCC
W one Planner _ Water Conn. -
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
that the information is coRect and agree to comply with all applicable
State of Minnesota Statutes and City of Ea
an Ordinances APC
Variance _ Treatment P1
Parks
B
. _
Copies
'
Signature of Permittee 707aL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinances.
8uilding Official
Permit No. Permit Holdsr Date TeIephone s
Plumbing
H.V.A.C.
Electric
Softener
Inspectfon Dste Inap. Commenb
Footings I 4-1?
Footings II
Foundation
Framing
vrt?
L?•A. ?
c..ra? ..•a
Roofing
Rough Plbg. ?
Rough Htg. ?.
Isu1. f.s(-n Lr_ A.
Fireplace
Fina! Htg. s
Final Plbg.
Bldg. Finel
Cert Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
D S/
d
?
c
m
c
3
O
-• PERMIT # /2 SL ' °-` /
PLUMBI14G PERMIT RECEIPT # ?rl?tc ?i' ?-
' CITY OF EAGAN
3630 PILOT KNOB HOAD, EAGAN, MN 55122 DATE: - oZ
MTRACT PFi1CE: PHONE: 454-8100
Address BIDG. TYPE WORK DESCRIPTION
Block Sec/Sub Res. New
? Mult. Add-on
Name ? Comm. Repair
Address
Ciry - Phone
Name
City
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
FOR: CITY OF EAGAN
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
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.40
Well - $10.00
Private Disp. - $10.00
.Rough Openings - $1.50
`
FEE: -- ?
5TATE S/C: -'
`
GRAND TOTAL: "
. • •?
?
CONTRACT P
Site Address _
Lot 14 .
m Name _
?o Address
c City _
? Name _
c Address
p City -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
:Yij
M BTU
M BTU
M BTU
12Y M BTU
CFM
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 PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE:
S/C: SIGNATURE OF PERMITTEE
TOTAL:
" a CITY OF EAGAN RECEIPT #
?? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
PHONE: 454-8100
FOR: CITY OF EAGAN
,-/U,
SEDGWICK HEATING 8 AI CONDITId I'`VG CO. ?
HO'USF HEATING TEST R5GQAC1 ;
ADDRESS 11307 CITY
OCCUPANT
HEAT LOSS
DATE HTG. INST
OWNER l?w ?brl-mh
SOLD BY INSTALLED BY 04ed "w+Ck
Electrical Work Bv - 60,41- f- Gas Line By -_ S-A c w +CIr
TYPE OF HEAT GA_ FA ?' HW_ STEAM SPACE HTR. UNIT HTR. OTHER
pAS DESIGN CONVERSION
MAKE -& 09+7 MAKE OF BURNER
Model - ?39 Y C?A LJ o LO'50 Model
Serial - ya $6A0 y/0T' Max. BTU Rating
INPUT - tLo
MAKE OF FURNACE
CONTROLS
THERMOSTAT r$ Heat Plug
Valve _ S!( 34-_rn50X - Z _
Limit
Limit Setti
Fan Setting
Pilot Type
Pilot Make
Pilot Mode
Pilot Timin
L.W. Cut Gff
Pressure 3• 5'14J 5-'• Percent C02
Input CFH Percent 02
Stack Temp. Z3('6F Percent CO nnne
Model
)i
Vent Size ?3
KIND OF LINER S12E NONE
Draft Hood OF5+60CTA Regulator ? c5
Filters Size Number ?
Chimney Location Inside Outside
Chimney Construction l")
Smoke Bomb Wiring ?K
Draft Test Tag y?5
Daor Pressure Lighting Inst. ??-
Date Tested -- ?? • 1 f' S 7
Company Testing ? w C
Name of Tester ,4
Form 235
SEDGWICK HEATING &
OCCUPANT '-'-^-
HEAT LOSS DATE HTG. INST.
SOLD BY ?--
RECdRD
6-. CI TY ?'-°-? P'thl
OWNER •'% M.tt S- 11A RC., AS
INSTALLED BY
Electrical Work By $U\LnC---F? Gas Line By _ e= uyoV.
TYPE OF HEAT GA_ FA-,NL HW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE ??tx,?n..!'t- MAKE OF BURNER _ ---
Model j9 4,G 4u.l o a4o s o Model - ----`--- '-
Serial !J9 8?A 6_4/4 8::L Max. BTU Rating
INPUT Sd; b n? MAKE OF FURNACE
---------------
CONTROLS
THERMOSTATy135_3_?( Heat Plug '?-"--" Vent Size
Valve S`,& 5 4s n1Sc? x _-X_ _ KINDOF LINER SIZE NONE
Limit _ ?g r" c o Draft Hood 1) -- i Regulator
Limit Setting - c3 Se% 04F:: Filters Size Number
Fan Setting ! o b°-F- Chimney Location Inside X Outside
Pilot Type _ IP7- t Ec -rVa 0 1y 1 C Chimney Construction CLJA SG ?
Pilot Make S`Pf1iZk I_?,?.1 ??wz
Pilot Model _ N SC_ 1 Smoke Bomb --------- Wiring GZ?'
Pilat Timing i t..IST AN T Draft Test Tag -NJ r--S
L.W. Cut Off ^- Door Pressure -?"?-- Lighting Ins
Pressure --?? • S N WC - Percent CO ?
' Date Tested
2
Input CFH 50 Percent 0 2 tQ d,o Company Testing
Stack Temp. 15 y°-? Percent CO tN ( a Nlc- Name of Tester Ln?
Form 235
HOUSE HEATING TEST RECORD
ADDEiESS L1 3D a /!7?6 L C J CITY
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY ' "' ` `-X ` 41
Electrical Work Bv - L ,- . ?? Gas Line By _ '-i' C+ ? A:
TYPE OF HEAT GA_ FA? HW_ STEAM SPACE HTR. UNIT HTR. ? OTHER
? .? GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model Model --
Serial ? rq Yb 0? O 2c3 Max. BTU Rating -
INPUT lon MAKE OF FURNACE ?
Model
THERMOSTAT
Valve
Limit
Limit Setting _
Fan Setting _
Pilot Type
Pilot Make -
Pilot 0.'lodel _
CONTROLS r ,
Heat Plug Vent Size C? i/?- f fl
KIND OF LINER ? SIZE NONE
Draft Hood A-0 ?u til Regulator
S-6 o - Filters Size Number
-? (nP ; Chimney Location Inside ? "side
Chimney Construction
Pilot Timing
L.W. Cut Off
Pressure Percent C0 L-
2
Input CFH .2 percent 02 04"
Stack Temp. Z??? Percent CO t'?? ?O /i4
Smoke Bomb '
Draft ?
Door Pressure
Wiring
Test Tag
Lighting Inst.
Name of Tester &4Q A"
Date Tested
Company Testing 5r`" u- • •
Form 235
? CITY OF EAGAN
? 3830 Pilot Knob Road
' P.O. &x'21199
? Xagan, MN 55121
Site Address:
Conn. Chg; 525.0
Acct Dep: 15.0
Permit Fee: ilk)• 0
Surcharge: • 5
Tr.Plant ?Ij 0 . `•-'
Meter. 67 _ O
Permit No: IS3 j Date: ?- -" ?
Meter No: .377I44 f -*5- 3 Size: 5" pc
Reader No: Q!IP?g! ?O (O Date:
orizon i;ot: cs
nson Circl.e L16 ;
WATER SERVICE
wlth the City of Eagan
CITY OF EAGAN Permit No: 8833
3830 PIIQt Knobfioad Meier No:
P.O. Box 21 199 Reader No:
Eagan, MN 55121
Owner. -?ew <iorizoa Eau^es
SiteAddress: *3?7 Clemon Circl.e 1,1-' 7)2
Conn. Chg: 525.00pd
Acct Dep: 5. Ow
Permit Fee: 10. oOpd
Surcharge: • SaFL'
Tr. Plant 1
Meter. 67, OOnc?
.
Date: f?-22-37
Size:
Date:
of Thamas Lk
Zoning:
No. of Units: ?-
I agree to comply wHh the City of Eagan
Ordinances.
By
WATER SERVICE PERMIT
ciTY oF e,e?Ge?N SEWER SERVICE
-?.
8830 Pppt Krtob'Aoad
P.O. Box 21199 . PERMIT NO.:
Eagan, MN"55121 DATE:
Zoning: - No. of Units: L
Owner:
Address:
Plumber.
OOpd
I ayrea to comply with the City of Eagan Connection Charge: '1' - )(-,'*?
Ordinancea. Account Deposit: 15 -(If1pa_
Permit Fee: ? ? - ? %?p•?
? B
i y
? Date of Insp.:
Insp.:
Surcharge: -
Misc. Charges:
Total:
Date Paid:-
. -
BLDG. -.---.r -_,,,?....-----r , • _
{ :??7JI
PERMTfT? NO.
-
7fl
-Ji
01-3210 Bldg. Permit v c--
01-3422 Plan Check s- ?
01-3? Surch. /Adm.
01-344 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Wster 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
_ ! ?
CASH RECEIPT
CITY QF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MIN ESOTA 55122
DATE ? ` 19
?s'r.? _. . . D.... !
AMOUNT I $c ?? 0
& QL.LARS
?oe
E] GASH E C K
CITY OF EAGAN Permit No: 8834
3830 Pilot KnowAoad Meter No: .3 7l V?a
P.O. sA211gg Reader Na 6 S? ? aC g9
Eagan, MN 55121
Owner. :?Iew ?Torizon IIomes -.?>U
Site Address: 4307B C emson Circl,?. L15 132
Date: 6---22--37
.
Size: I O
Date: Y -1o - ?7
Lk
Conn. Chg: 525
Acct Dep: 1.5
Permit Fee: Iti
Surcharge:
Tr. Plant 1'? 0
No: oftJnits: _
`jl
R3
Metec
A A:.... e
with the City of Eagan
WATER SERVICE PER
CITY OF EAGAN
3830 PilotKnob Rbad
P.O. Boz 21199
Eagan, MN 55121
' e•.,; '
Owner.
Site Address: "'
3834
HolII"
Conn. Chg: 525. Ot?pd
Acct Dep: 15. pd
Permit Fee: 10' mr',,
'
Surcharge: • 0P?
Tr. Plant ' i' . Xp"
Meter. 67. 0Ottsi
Zoning: _
No. of Units:
Date:
Size:
Date:
6 -22--87
R.3
1 agree to comply with the City of Eagan
Ordinances.
By
Permit No:_
Meter No: _
Reader No:
WATER SERVICE PERMIT
CITY OF EAGJkN SEWER SERVICE PERMIT
3830 Pilo4 Knab 11o6d
P.O. Bog 21199 PERMIT NO.:
Eagan, MN 55121 DATE: ~
2oning: r? No. of Units:
Owner. t'w ?Orizo-i F?otics
Address:
Slte Addr
Plumber.
t ayree to comply wkh the City of Eagan
Ordinances.
BY
Date of Insp.:
Insp.:
Connection Charge: 525.00pd
Account Deposit: 15.001?d
Permit Fee: ? u.OC?
Surcharge: -
Misc. Charges
Total:
Date
CITY OF EAGAN Permit No: Date: -=? 2?=' '
'? o?
3830 P.i,i?>?"4ncb Road Mefer No: 3g7 5? ?? Size,
P.O. Bdx 21199 Reader No: B.SP ? a?,?? Da e:
Eagan, MN 55121
_ _?w .iorizon ?iomes
Site Address: `` jUJ Cletson Circle L13 B21 Trails of Thorias Lk
??5.t)Opd '?I r1??"-;:,?:?1+ .
Conn.Chg: ua.•.??`y?'' in : i.J
Acct DeP: i5.00?id
Permit Fee: 1- n • ` " ? _ ?$ EtC.
Surcharge: mply wlth the City of Eagan
Tr. Plant 1 `, ? • di1MfIC?
Meter. 7 '
Misc.:
WATER SERVICE
CITY OF FAGAN
3830 Pil i :nob Road
P.O. Bd cS"Z119p
Esgan, MN 55121
?7-22-
Permit No: ? ' r ?' Date:
Meter No: Size:
Reader No:
Date:
Owner. -w Horizon ::omea
43A Cleikson Circ:
Site Address:
Conn. Chg: 525.00pd
Acct Dep: 15. pd
Permit Fee: 10• aopd
Surcharge: ' 0T)c
Tr. Plant I : ` 2. 00P`'
Meter. 67• G'JFtl
Zoning: R3
No. of Units: 1
I agree to comply with ihe City of Eagan
Ordinances.
WATER SERVICE PERMIT
CITY OF "GAN SEWER SERVICE PERMIT
3$30 PiIL Khob Road ' o? y g
p,p, ?211?g PERMIT NO.: "
Eagan, AAN 5?121 DATE: L
Zoning: ri
No. of Units: Z
Owner. cjrizort liome9
Addi
Site
Plun
1 ayree to compy wfth the Gty of Eagan Connection Charge: 52 S. OOnd
OMinancea. Account Deposit: 15. 00gd_
Permit Fee: 10-0QPd
Surcharge: -
gy Misc. Charges:
Date oi Insp.: Total:
Insp.: Date Paid:-
b-2 L'-"7
ITY ?F EAGAN • Peunit No: Date:
30 Piloi Knob Road Meter No: 3;? 71?? ? Size: W'f ??.
Box 21499 Reader No: 4? 6?? Date: -/o -f5^ ;L
Esg€m, MN 55121 ? ?( /? V
"e:?? ;'.orizon :!or.ies CJ 1G10
Owner.
Site Address: 4-' 13 C emson rc e ++ .._. : ra s o. riamas
Plumber.
Conn. Chg: 525.
Acct Dep: 15.
Permit Fee: Z ?? •
Surcharge:
Tr. Plant
R3
wtth tfie City oi Eagan
Meter. 57 _ clilpd
Misc.: By
WATER SERVICE
' CITY OF EAGAIN ? Permit Na K36 Date: 6-22 -:: ?
' 3830 Ptfot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
? Eagan, MN 55121
New Horizoa tiomaa
Site
Conn. Chg: 525.00pd
Acct Dep: 15.04pd
Permit Fee: 10.0Upd
Surcharge: . SOpd
Tr. Plant 1 i: 0. J'Jpd
Meter. 57 -0Zad
Zoning: -
No. of Units:
I agree to compiy with the Clty of Eagan
Ordinances.
By
R3
WATER SERVICE PERMIT
I' c" OIP EJ??N . ,? SEWER SERVICE PERMIT
43830 Pflot Knob Road 914?;?
P.O. Box 21199 PERMIT NO.:
Ea9an, MN 55121 DATE: 7
1
No. of Units:
Zoning: ,ew ?iorfzan Tio?;es
Owner.
Address: ?SitaAddrwss. 4JU?lb enson Circle 1.14 B2 Trails of Thamas I.k
Plumber.
I agree to compiy wRh the City of Eagan Connection Charge: 525 . OOpd
Ordinances. Account Deposit: 15 . 0t3pc?
Permit Fee: 10• ?OPC'
Surcharge: -
gy Misa Charges:
Date of Insp.: Total:
Insp.: Date Paid:-
1
?
?
3? s
? ?-
c???
?-?
i?-7?PCr-
?
?? -
?
sYC7???,? ?
:? J V V
?
?
i?oy
>?o y
.? .?
C??-12, I/k-
??y ????
Fott sALE T.H.
CITYOFEAGAN
- •• No _ 13782
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PNONE: 454-8100 Aeceipt # - I 4'?S39
To 6e used for 1 OF 4 PLEX Est. Value $64, 000 Date JUNE 16 19$7
SiteAddress 4309B CLEMSON CIR
Lot 14 Block 2 Sec/Sub. TRAILS OF
Parcal Na rxoru?s Lr?
__ _
a Name NEW HORIZON HOMES INC
z Address P.O. BOX 1367
o City MPLS phone 420-3900
j Name S'9ME
Address
? City Phone
w W Name
zg Address
aw CitY Phone
I hereby acknowledge that I have read this application and state
thattheiMormatlonisCOrtectantlagre comylywithal?l Py licable
State of Minnesota Statutes.andL' of Eaa6aOrdino?
Signature of Permittee
A Building Permit is issued t: N HORIZON all work shall be done in accordance with all applicable
Building Official i
OFFICE USE ONLY
R3
OnSiteSewage Occupancy
MWCC System X Zoning PD
OnSiteWell _ Typeof COnst .?
City Water ? (ACtuao
-
-
(Allowable) P
* of Stories
length 44
Depth 27
S.F. Totai
Footprint S.F.
APPROVALS FEE$
Assessments _ Permit $ 377.50
Water/Sewer _ Surcnerge 32.00
Police _ Plan Review 189- 75
fire _ SAC,City lon.oo
Engc _ SAC,MWCC 525.00
Planner _ WeterConn. 595_f]0
Council _ WaterMeter 67.00
BIAg. Off. _ Road Unit 30$=?10
APC _ Treatment P1 1 RO _ 00
Variance _ Parks
? Copies
TOTAL 5
INC
of Minnesota
_ on the axpress condition that
es and City ot Eagan Ordinancea
FOR SALE• T.H. CITY OF EAGAN ?o
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' ' PHONE:454-8100
BUILDING PERMIT Receipt# ?? S?;59
7o be used for 1 OF 4 PLEX Est Value $ 63 , 000 Date JUNE 16
SiteAddress 4309 CLEMSON CIR
Lot 13 Block 2 Sec/Sub. TRAILS OF
Paroel No. THOMAS LAKF
a Name NEW HORIZON HOMES INC
= Address P.O. BOX 1367
o City MPLS phone 420-3900
,o Name SAME
z?
19 87
OFFICE USE ONLY
OnSiteSewage _ Occupancy R3
MWCCSystem 7{ Zoning P,D
On Site Well Type of Cons[ IV_
City Water X (Actuap
, (Allowable) V
# of Stories
Length 44
Depih 26
S.F. Total
FootOrint S.F.
?Q Address APPROVALS FEES
P City PhOne qssessments Permit ? 374.00
fm Water/Sewer _ Surcherge
W w Neme Police _ Plan Review 7 R 7. n0
ti
- Address
Fire
SAC,City
-
tnn_no
_
coZ Engr. _ SAC,MWCC O
aW City Phone Planner _ weterConn. 5 00
council _ water Mete. 67, 00
I hereby acknowledge that I have reatl this application and stete Bltlg, ON. _ Road Unit 305.00
thattheintormationiscorcectandagree? Qcomplywithallepplicable APC - TreatmentPl 7Rn_(10
51ate of Minneaota Statutes and Ci of E Ordi , Variance _ Parks
Signa[Uf@ Of PBfmittBO ? Copi¢s
TOTAL
2 294 50
A Building Permit is issued t. NES HORIZON HO S on the express condition that
all work shall be done in accordance with all applicabje`State of Mignesota Statutes and City of Eagan Ordinance&
13781
Building Officlal
0
r . CITY OF EAGAN N2 17548
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
? PHONE: 454-8100
BUILDING PERR C &
07
(IIT Receipt # `
To be used for r'IREPLACE Est. Value $1, 000 Date FEB 23 , 1990
Site Address 4309 CLEMSON CIR
Lot 13 Block 2 SeclSub.THE TRAILS OF OFFICE USE ONLY
Parcel No. occuPancy , Fees
Zoning _
W Name BRUCE PETERS fACtua1iConst 81dg
Permil 25.00
; Address 4309 CLEMSON CIR jquowabie) _
.
-
SO
° Surcharge .
City EAGAN Phone 456-5470 x of stories _
Plan Review
Length _
o Name TWIN CITY FIREPLACE DeOth SAQCit
o'?'
Addres5 1525 W RIVER RD
S.F.Total -
y
'
uw City MPLS Phone 588-0791 S.F. Faotprints _ snc, reCwCC
C
W
On Si[e Sewage ater
onn
-
?
?w
N8m8
OnSiteWell
tw
AddfBSS
MWCCSystem - Water Meter
_
a W Clly Ph0110 Cily Water _ AaL Deposil
PRV Required _ SNJ Permit
I hereby acknowlege that I have read ihis application and state that the Boosier Pump SiW Surcharge
inbrmation is correct and agree to comply wilh all appiicable State of
Minnesota Statmas and City of Eag.aln Ordinan
ces. 7reatment PI
/
SignaWre of Permitee
? ? APPROVALS Road Unit
?
A Building Permit is is ed to:?TY FIREP CE Planner - park Ded.
on Ihe express condition that all work shall be done in accocdance with all Council
applicable S1ate of Minnesota StaWtes and
C
iryof Eagan Ordinances. Bmg. Oft _ Copies
.,
?
Building ONicial ?_?.01?' I 1411 Variance - TOTAL 25.5
0
FoR snj.s T.H. CITY OF EAGAN N! 13783
? 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
UiLDING PERMIT PH ONE: 454-8100
Receipt # -,4 $ 3q
B ?
To be used for 1 OF 4 PLEX Est Value $64,000 Date JUNE 16 ,Ig 87
SiteAddress 4307B CLEMSON CIR
Lot 15 Block Z Sec/5ub. TRAILS OF
Parcel No. THOMAS LAKE
m Name NEW HORIZON HOMES INC
= Address P.O. BOX 1367
° City MPLS phone 420-390A 0 _
Name ZIPIM
Address APPROVALS
,
P
City Phone
Aasesaments
t Q Water/Sawer
F W Name Poiice
Address Fire
aw CityPhone E
ngr.
Planner
Council
I hereby acknowled9e that I have reed this application and stete Bidg. Off.
lhattheintormationiscorrectandagree complywithall p ficeble APC
State of Minneaota Statutes and Ci f Ea An Ordin Variance
Signature of Permlttee ?
A Building Permit is issued to: NE ORIZON N S INC
all work shall be done in accordance with all applicable State innesota Sta
S
,y
Building Oflicial !
l
OFFICE USE ONLY
On Sile Sewage Otcupanty
?
MWCC Systam Zoning
On Site Well Type of Const
Ciry Water X (qctuan
(Allowahle)
# of Stories
Length
Depth
S.F. Totel
Footprint S.F.
R3
v-
V
FEES
50
$ 377
_ Permit .
_ Surcharge 32.00
_ PlanHeview 188.75
_ SaC, Ciry i nn _ np
_ SAC,MWCC 59 -00
_ WaterConn. 595_00
_ WeterMeter 67.00
Road Unit JO-'). 00
_ Treatment P1 180.00
_ Parks
Copies
70TAL Z 0 . S
_ on the express condition that
and Ciry of Eagan Ordinances.
...
FOR SALE T.H. CITYOFEAGAN
? J 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PH ONE: 454-8100
Recei t # -14
To be used for 1 OF 4 PLEX Est. Value $63,000
SiteAddress 4307 CLEMSON CIR
Lot ib Block Z Sec/Sub. TRAILS OF
Parcel No.-- THOMAS LAKE
: Name NEW HORIZON HOMES INC
= address P.O. BOX 1367
° City MPLS Phone 420-3900
¢ Name S?
0
?Q Address
,
City Phone
ww Name
FW
x ? Addre
<W CitY-
I hereby acknowledge that I have read this
thattheinformationisconectandagre ocor
State of Minnesota Statutes ntl C' of E
Signature of Permittee
A Building Permit is issued to: NEW RI
all work shall be done in accordance with all
Building Official
and state
oVicable
, INC
State of I
N_ 13784
P ?7?-;1
Date JGNE 16 ,1987
OFFICE USE ONLY R3
On Site Sewage Occupency ??
MWCCSy&tem X Zoning
On Sita Well Type W Const V
City Water __](_ (Actual) ?
(Allowflble)
# of Stories
Length 44
Depth 26
S.F. Total
FootDrint S.F.
APPROVALS FEES Assessments _ Permit $ 374.00
WateqSewer _ Sutcherge 31 _ 50
Police Plan Review 187 np
Fire SAC, City 10Pn n0
Engr. _ SAC,MWCC S95_!10
Planner _ WaterConn. 529-D0
Council _ WaterMeter 67_(10
8ldg.Off. _ RoatlUnit 305_n0
APC _ Treatmant P7 1190- 00
Variance _ Parks
? Copies
TOTAL ?SO
on the express condition that
nnesot Statutes and City of Eagan Ordinancea
/ - 'Y .
,
:._ . _. ! __.. . ._..?
- -.---
_
?SEDGWICKHE4T?NG&AIfj,CONDITIONINGCO. •?/ Q?C?
? . . . . ` d !S.
HOUSEFIEATING TEST RECORD
I. . ....._ 30 ? CITY
? ADDRESS
OCCUPANT ^J` •Nea?f nilT ?-OWNER
"-HEAT LOSS • DATE HTG. INST.
? SOLD BV ' ` .-INSTALLEO BY
Electrical Work By `I Gas Line By L / .. ? .
TVPE OF HEAT GA- FA
HW_ STEAM_,
?p AS DESIGN...,,.
MAKE []??? • '"
Model
serial 6a OSb q
INPUT
.. -,-,rL......,
CONTROLS?/,•i...
..?
THERMOSTAT?"?? Heat Plu
, Valve? t? ??GX
? . . .. c` - --- , :. . .
Limit Setting PanSatting(k• el-i
-?--
Pilot Type . . .IGt= / np C
?. Pilut Ma1<e , /L /'
. . Pilo[ Model -
'Pilot Timiog
L.W. Cut O(f
' Pre ssure ,Im3.S t, Percent COZ =
, Input CFH ??.CPercent O2. O
Stack Temp. 7n?? °? Percen[ CO
HTR._UNIT H7
MqKI?OF BURNER
r
`Motlwl •
MAI(E`pP PURNACE CONVERSION
.Max. OTU Rating
Medcl ?- , .. .
Vent Size,?-..7 ? X./? ' 'I(IND OF LINER ? -SIZENONE
Dreft Flood ? . (LQ uLc-t lator ' GS
Filters -+ Size Number ? -
Chimney Laca?ion Inside Outeide '
Chimney Constrllction , _
? `.? , •
Smolce Bom6 ? --------- Wiring
- Test Ta----?
Draft,? -" ?? 9 1
Door Pnessure Lighting Inst
Date 7ested _
Company Testiny
Name of 7ester-
F...n. 935
This repuest void ?i?
IB nwnths fr/o?m
? 1 '?lllr; A
v ?YV.va.•.Ci/ .
Fequest Uate ? ir?.?
Fre No. .-i.?..?........
Rough-ln Insueclinn
Requ red? . . _
E]AeatlV Nu1Si9Ji I NotitV InsPec-
Wh
R
7C /
V ONo tor
en
eady
?censed Electrical Convaclor I hereby request insOection of abova
n Owrv-r elactrical work inslalled aL
SVe t- 0 ress, Box or oute No C'tv
- ??2? ?
ectwn o. ownship Name or No. RAnge No. County
O u nm IPflINTI Phone No.
? ?'i ?rn.e
Power S??er Address
Elechical C nHactrn lCOmpany Ndmel CnnUacto's License N.
O
Mail-nq AJress (COntra tor onr D n MakinP Ins??'a1)on)
!
o ! ' v V .
?
Aut nrized Si a re (COnt tor Owne MakinB Insta lati N Phone ber
"
h ?
]
/\
:
?
MINNESOTA AATE BOAflO OF EL?TqICNY "ou..cal ni?L "U
GriB9s•Midwey Bltle. - floom N-191 BE ACCEPTED BV THE STATE BOARD
1821 Universitv Ava.. St. Peul. MN 55104 UNLESS PHOPEH INSPECTION FEE IS
Phone(672) 642-0800 ENCLOSED.
7/?v/s7 REQUEST FOR ELECTRICAL INSPECTION 0 ee-ooaoi-os
' See instroclipns tor completinq [his lorm on back el yBllow Copy. 7?5WD
0 1 CJ 0 C ?A X" 8elow Wak Covered by Thrs Request
Le? Hdd neo. J vpa o1 BuilEing Apnla.tes Wiretl Equiunien?t WireA
L>Q7 I Home *1?Rance Temoorarv Service I
Water Heater
I 1 ?I I Commercial Bidy. ?Fumar.e I I biio unioader I
I I I I viner tapecirvr 1 I umer ? 1 IUnnur 1
Fee ServiceEntrenca5iza b Fae Fexders/5ubleeders N F a Gircuits
U to 200 Am ms 0 to 30 Am s 0 to 30 Am s
Above 200 q??ipy 31 to 100 qmps A T n 3lto 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation 8oortis Pdrtial.'Other Fee
aigns aVeciaiinspecvon
5 TOTAL
Pemarks D .G
Noueh-in ? Daie ?
'
r , the Elec
al
7 a 0 d Inspac,ar, he?eby
certif
lhat the ob
Final y
ova
inspaction hes been
V? meea.
Thb repuest voiE 18 montlis fmm
This reqaest void
te nwncns from 7??C%/S'•?
0 15 0 5 3
7J`'7? 0
- --
RPn -
'Fire No.
qou{?h'ii7InsVectinn
Requir tl
I ?,
_
C] Reetly Nill Nntily Inspec-
/ 1o'Wh R dv
Tven8etl Electrical Cnntracjoi
? Owner I hereby repuest inspaction of above
electrical work installetl at
52 t Addre . Bo r Houre No. 7??
eMron o. Townshio Name or No. RnnBe No. County
Occ 0-nt (PqINT) Phone No.
6 UYl rn'tf?
Power $D,p, Adtlress
Elec(ric mractor ICOmVany Namel ' Conhe, or's Lic nse
?
M iling tldress lCoN r r er ' -ne1tailaC n)
? ????
Auth g re ( nh ner Making s la onl Phnne ber
3 S?
MINNE50TA STpTE BOAPD OF ELECT0.ICITY
Griggs-Midwav Bitlg. - paom,N-191
7621 llniversitv Ava.. St. Paul, MN 55104
Phone (612) 642-0800
TMIS INSPECTION REQUESi WILL NOT
BE ACCEPTED BV THE STATE 60AND
UNLESS VNOPEfl INSPECTION FEE IS
ENCLOSED.
??REQUEST FOR ELECTRICAL INSPECTlON es-ooaoi-os
, Sea instructions for comoleting this form on Eeck ol yellow co0,
D i, "X'" Be/ow Work Covered by 7his Request
N-T A paV. Troe of Bullaing AOpliances Wired-_- Eampment Wired
Home Range Temporary Service
Dupir.x Water Heater Liyhtiny Fixtures
Apt. 8uiidino Ory¢r Heciric Heabn
Commercial Bldy. umace Silo Unlonder
InAustrial Bldg. Air Conditioner Bulk Milk Tank
Farm me? Soeci v Odnor IsneufN
t rr Su?mfy Oiher ptnir
l,0inpute InSpeCfion hee HeJaw
p Fe Servica EntranceSize n Fae Fae.tlers?Sub(eeders N Frte Circuits
U to 200 qmps 0 to 30 Am s 0 tn 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swinming Pool Above lOD_Amps qhove 100_Flmps
Tran5lormerS Irriqation &ooms Pdrtiel-"Other Fee
Signs Special Inspection 5 \
Pe ?rks 49,50 TOTAL E
flough-In D:ite
) I, the E ectrical
In
I
h
SDec
.
e y
{
f
Final
,
?ty / CBISI
y L
IPl ifiB TbOVB
inspection has been
` ,,
7 ? made.
m?a repues? roie ia memeo imm
This reqvesI void /.?
18 mpnths from
9 15052-
Owner
Eleclrical Conlra0or
MINNESOTq STqTE BOARp OFIELE40CZ
Gr'99s-Midway Bldg. - qoom N491
7621 Universitv pve.. St. Pxul. MN 55104
Phone (612) 692-0800
7/a-D??37
re
?z,zo??e ?'a5-,S(oo
suer.(ion
?ReadY Nn?•???,^,p? II Notitv InsPer
C-1 NO When Peatly
I hereby req?es? inapaction of ebova
electrical work installetlet:
REQUEST FOR ELECTRICAL INSPECTION
? See instrucllons lor compiafiog ?his form on bnck of yellow copy.
?X" Below Work Covered by lhis Reques7
0 EB-00001-06
0 7--57,ld
• ??L gE ACCEPTED-BY-THUUEST WILL NOT
n
UNlESS PROPER INSPECTIpN FEE RS
ENCLOSED.
?This ?yQuest void
I8 rtqnths trom 7
D15051&gi
Lneques ? t?UdIe ? i?? Fire No. H6uph-i InsVection
1 Requir A?
?
E]qeatly N?ill Nntily Inspec-
[
]N t Whole R d
- rsed Electrical Comra"or
Owne? 1 hareb e uest "
V ? 9 ?nePeclion of ebove
elactrical work installed at
9e( q dres Box ute No.
SvI C
n `• ( ?
ecbon a. Township Name or No, qange No. Counny
Oc un[ (PRINT) Phone Nn.
Power $upplier D Atltlle s
Electric Contrac[or (Company Name) ?
^ Conv.,?pr' Lic nse
Maili p Adress (Con raytpI r w ner Mak'
??? nstai
tion)
U
Auffiorized Si pephact ner ,
- g Insta
Phon umber
?
110 3
miNNE50Tp STpTE BOAHD OF ELECTRICITY
Griggs-Mitlwey Bldg. - poom N•191
1821 Universitv Ave.. St Peul. MN 55106
Phone (672) 692-0800
THIS INSPECTION NEQU[ST WILL NOT
BE ACCEPTED BY THE STATE 90AflD
UNLE55 PPOPER INSPECTION FEE IS
ENCLOSED.
; SQUEST POR E LECT R?ICAL? INSPECT ^ONck oe ve'IOW coPV ee-ooooi-os
~ 715,7/O
?i s (i r)- 1 "X" Below Work Covered by Thrs Request
G
AtlJ flep. TvOe of Builtlin9 Aaoliancea WireO Enuiumem Wired
Home Fan9e Temporary Scrvice
Duplex Water Heater ightiny Ffxhues
Apt. Building Dryer Electrie HeaLn
Commercial elAy, umace Silo Unluader
InduStfial Bldg. qir ConAitio er Bulk Milk Tank
Farm ?nrr spcurv omo, Isnedfvl
t rr Suou(y Othei
M Fee ServiceEnbencaSiie n Fee Feednrs/5ubleeders F F Circwts
to 200 Am s 0 to 30 Am ps 0 to 30 An+ )s
Above 200 q?????y. 31 to 100 Amps 31 to 100 qm s
Swimminy Pool Above 100_Amps Above 100_?1mps
Transrormers Irrigation eoorc?s Partia6'Other Fee
Signs Suecial Inspection
Rerryrks
? TOTA FEE
i/? .OG
-?,
Rough-in ??O/1Q I, the Electricx
Insoec eby
certily tpat the above
Final D'?Io,/ p ' spection has been
C? l(J • K J meEe.
Tnis reoue5l voia 18 moniha Irom
???b
2007 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
wew consmuebon aemhments
J regsteredsihe wrveys shmxm854 R otId. scl. R othauss; mM aA mokd mm
t Sos Repad flpa huildo?g?dW?6e qaced on dishrtbed soa
2 ooPies of plen slbwing 6mm 8 wuido& smas; poured famd detign. e?.
1 set M Energy Celadetiare
3 ooPms ofTree PYeserva6m Plen dlol ple?d efla 7M193
R(m Jdst DaWl Options sdection sheet (puildimgs with 3 w less unils)
ASnnegasoo meMamml vwiuatim fam
RmnodelfRmeir Reaui?b
2 caqes dPIm showiig footings, bemns, jasts
i set of Eneagy Calwlefima for heaEed additions
1 alewrvey far eddiUons & dedm
Adt66m - indpfe d onsde septic sys(em
Olfice Use OnN
CerfafSwwyRecd _Y _N
Sa7sRepal _Y _N
TreePresPlan.Recd _Y _N,
iReP25ReMured _Y _N
OnsleSepticSyslem _Y _N
Plans are considered public information unless vou statE thev are trade secret and the reason
t
Dste _?
Constraction Cost dq Q,, O d u ?-
Site Address - v _ 11 p Uuit/Ste #
Descriptioo of Work i? b o ,
/
Multi-FamiFy Bldg le'Y_ N Fireplace(s) _ 0_ 1 _ 2
Properly Owner /` t
a
o n., c f Telephone #((,J,) L 4 S' ?? ? U
ContraMor d! tiL L&rl_ S /1u IF .
Address
.?• ???? ?7
Cilv LS LCJ"7l.fSU • II e
State Zip iCGTelephone # (?f $7? ?3 S '? / S? ?
COMPLETE THIS AREA ONLY IF CONSTRUCTlNG A NEW BUILDING
- Minnesota Rules 7670 Cazeeorv I Miwesota Rules 7672
Enefgy COde C2tegOry , ResidBMial VeMilation Ca o 1 WoiYSheet . New Erte Code WWksheet
(J submission type) SuhmiUed ? ry ?y
Suhmitted
• Energy Envelope Calculatlons Submifled
In the last 12 months, has ihe City of Eagan issued a pertnit for a similar plan based on o master plan$
_ Y _ N 8 yes, date and address of masfer plan:
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
apply for a Residential Building Permit and
Teiephone # (
Telephone # (
Telephone # (
that the information is comp(ete and accuraG
tnat the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
StaLutes; I understand this is not a permit, but only an application for a permit, snd work is not to start without a
permit; that the work wi11 be in accordance with the approved plan in the case of work which requires a review and
appmval ofplans.
E"UCr Ns?e.J
ApplicanPs Printed Name ?,-? -{ 3 0.2 Y kpp?ieWs Sigriature
112sV
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
I 651-675-5675
Please complete for modifications to existing residential dwellings.
/S-,s-v
Date _ ?Y_/'L9
Site Street Address ?.? /9?
?( _? f' S'0/i? ????'_ Unit #
,
Property Owner Telephone #
Contractor Telephone #
Address .E?1A4x0Ye 14/,j City StateCJ Zip,_r?
The Applicant is: _ Owner X"Contractor _Other
Alterations to existing dwelling
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
Other: $ 50.00
? Water Softener _ Water Heater
_ new ? replacement $ 15.00
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $_L61
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the evg-Qt a plan is req?ired to be reviewed and approved. p 1--) ,
ApplicanYs Prinfed IVame ' ApplicanYs Si ure
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
, CITY OF EAGAN
t:T?651-681-4675
??7
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • Architeclural Plans (2) sets • Architecluial Plans (2) sats
• Civil Plans (2) • SWCtural Plans (2) • CodeMalysis (1) "
• Cerfificateof5urvey (1) • CivilPlans (2) • ProjectSpecs (1)
• CodeAnalysis (1) "• . LandscapingPlans (2) • KeyPlan , (1)
• ProjectSpecs (1) . CodeAnalysis (1) •' • Master Exit Plan (t)
• Spec. Insp. & Testing Schedule "' • Certificate of Survey (1) • Energy Calculations (1) not aiways"'
• Soils Report (1) • Spec. Insp. & Testing Schedule (7) " • Elec. Power & Lighting Form (1) not always"
• Meter size must be established • Meter size must be established • Meter size must be esfablished - if applicable
• ProjedSpecs (1)
1 • EnergyCalculations (1)
1 • ElecGic Power & Lighting Form (1)
1 • Master Exit Plan (1)
1 • Emergency Response Site Plan (i)
1 • SoilsReport (1) 1
• MGES SAC detertnination letter • MGES SAC determination lelter • MGES SAC determination letter
call 651-602-1000 call 651£02-1000 call 651$02-1000
rootl 8 beverage or lotlging Tacllltles - submit plan to MN Department of Health. Call 657-215-07VU tor detaus.
Contact Building Inspections for Sample. 'Permitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: WORKTYPE: NEW REMODEL CONSTRUCTIONCOST:
n -,_ __. / . '_ „ n n / ? ._ /' I I .
SITE ADDRESS:
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK
PROPERTY
OWNER
Company:
CONTRACTOR
Street Adc
City: _
ARCHITECT/
ENGINEER
Company:
Name:
Sireet Address:
City:
Phone ft: ( ((JJ 1 ) -)? L 7 4V-n
State: Zip: q?26 /
Phone #: (_
Regis4ation
State:
Licensed plumber installing new sewerlwater service: Phone ti:
P 0 9 200Z ?
Zip:
L_-
I here6y acknowledge that I have read this application, state that the information is wrrect, and agree t com Nit all applicable §tate of
Minnesota StaWtes and City of Eagan Ordinances.
Signature of Applicant:
. . pAated 7l02
J
75865 THE TRAILS OF THOMAS LAKE
CLEMSON CIRCLE
4300/ 10 75865 240 02 (4-PLEX)
4300B/ 230 02
4301/ 210 02
4301B 220 02
4302/ 10 75865 250 02 (4-PLEX)
4302B/ 260 02
4304/ 280 02
4304B 270 02
4303/ 10 75865 200 02 (4-PLEX)
4303B/ 190 02
4305/ 170 02
4305B 180 02
4306/ 10 75865 290 02 (4-PLEX?
4306B/ 300 02
4308/ 320 02
4308B 310 02
?307/
t 10 75865 160 02 (4-PLEX)
4?07R/ 15002
4309/ 130 02
4309B 140 02
4310/ 10 75865 330 02 (4-PLEX)
4310B/ 340 02
4312/ 360 02
4312B 350 02
4311/ 10 75865 120 02 (4-PLEX)
4311B/ 110 02
4313/ 090 02
4313B 100 02
4314/ 10 75865 370 02 (4-PLEX)
4314B/ 380 02
4316/ 400 02
4316B 390 02
4415/ 10 75865 680 02 (4-PLEX)
4315B/ 070 02
4317/ 05002
4317B 060 02
4318/ 10 75865 410 02 (1/2 OF 4-PLEX - OTHER 1/2 IS 16 ] 3/13B CLEMSON DR.)
4318B 10 75865 420 02
4319 10 75865 040 02 (1/2 OF 4-PLEX - OTHER 1/2 IS 1617/17B CLEMSON DR.)
3
COMMERCIAL
_ 2002 BUILDING PERMIT APPLICATION
° CITY OF EAGAN
651-681-4675
Foundation Onl New Construction Interior Im rovament
• Strudural Plaos (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) . Structural Plans (2) • Code Analysis (i) "
• CertificateofSurvey (1) . CivilPlans (2) • Project5pecs (1)
• CodeMalysis (1) . landscapingPlans (2) • KeyPlan (1)
• ProjectSpecs (1) . CodeMarysis (1)" • Master Exit Plan (1)
• Spec. Insp. & Tesling Schedule . Certiflcate of Survey (1) • Energy Calculadons (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & LigMing Form (1) not always"
• Meter size must be established • Meter size must be esfablished • Meter size must be established - if applicable
• ProjectSpecs (7)
1 • EnergyCalculations (1)
1 • Electric Power & Lighting Form (1)
1 • Master Extit Plan (1) 1
1 • Emergeney Response Site Plan
'""
(1)
d • SoilsReport (1) 1
• MGES SAC determination letter . MC1ES SAC determination letter • MClES SAC determination letter
call 651-602-1000 call 651-602-1000 ca11 6 51-6 02-1 0 00
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
Contact 8uilding Inspections for sample.
Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
7?\ d?
DATE: ' V WORKTYPE: NEW REMODEL CONSTRUCSIONCOST: .V
SITE ADDRESS:
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
, DESCRIPTIONOFWORK
PROPERTY
OWNER
Name:
Phone #: "( ig W ` 1S 66-61-1
S-
City: Ri Anyv, l?? State: Zip: , i'9
Company:
CONTRACTOR
Street Add
City: ,
ARCHITECT/
ENGINEER
Company: _
Name:
Street Address:
City:
State:
Licensed plumber Installing new sewer/water service: Phone #:
SEP 0 9 2002
Zip:
I hereby acknowledge that I have read this application, state that the information is correct, and agree com i II applicab e State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
dated 7/02
411
Phone#:
Zip: ?oj) /
Phone #: ('i I I I?[ I I`) ? IJ "?
-- 75865 THE TRAILS OF THOMAS LAKE
CLEMSON CIRCLE
4300/ 10 75865 240 02 (4-PLEX)
4300B/ 230 02
4301/ 210 02
4301B 220 02
4302/ 10 75865 250 02 (4-PLEX)
43D2B/ 260 02
4304/ 280 02
4304B 270 02
4303/ 10 75865 200 02 (4-PLEX)
4303B/ 190 02
4305/ 170 02
4305B 180 02
4306/ 10 75865 290 02 (4-PLEX)
4306B/ 300 02
4308/ 320 02
4308B 310 02
4307/ 10 75865 160 02 (4-PLEX)
4307B/ 150 02
4309B 140 02 ?
i
4310/ 10 75865 330 02 (4-PLEX)
4310B/ 340 02
4312/ 360 02
4312B 350 02
4311/ 10 75865 120 02
4311B/ 110 02
4313/ 090 02
4313B 100 02
4314/ 10 75865 370 02
4314B/ 380 02
4316/ 400 02
4316B 390 02
4415/ 10 75865 080 02
4315B/ 070 02
4317/ 050 02
4317B 060 02
4318/ 10 75865 410 02
4318B 10 75865 420 02
4319 10 75865 040 02
(4-PLEX)
(4-PLEX)
(4-PLEX)
(1/2 OF 4-PLEX - OTHER 1/2 IS 1613/13B CLEMSON DR.)
(1/2 OF 4-PLEX - OTHER 1/2 IS 1617/17B CLEMSON DR.)
3
Y' y p ?j
?
1987 BQILDING PEAMIT APPLICAYIOH - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
IRCGQDE 2 SST3 OF PLANS, 3 CSRTIFICAYSS OF SQIiVEY, 1 SST OF ENERGY C9LCOLATIOHS
HOTE: ADDEESSES FOE CORNES LOTS - COBTRACTOR/HOMEOfiNER HQST DESIGHA4E HHICH ADDRESS
IS DE4IRED. NO CHANGSS WILL BE 9LLOiiED ONCS BDILDING PfiRHIT IS ISSQED.
MOLTIPLE DWELLINGS - RSSIDENTIAL
INCLUDE 2 SETS OF PLANS, CEB
1 SET OF ENERGY CALCULATIOHS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANASCAPE BOND
? ? p 4--
To Be Used For: RLA?.P/NCQ
RENT6L DPITS FOR SALE DHIYS ?
OF SOBVBY - CHECg iIIYH BLDG. DEPT.,
& STRUCTURAL PLANS,
SET OF
valuation: 6?,3tDCO•°D Date: & 015-?
Site Address A307 CLti"SON CIPCL?'c
Lot AL, Bloek 2
Pareel/Sub Evtq,,Gd (g,?`??vn,?,? ?C,CI?ZR
Owner 'ft.P/us 1"Yxg,,
Address 'f'. 0, js p?C 13fo-7
City/Zip Code
Phone 4 2C7 39 D b
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone lf
On Site Sewage_
MWCC System ?
On Site Well
City Water ?
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off
APC
Variance
Oecupancy
Zoning ? D
Type of Const
(Actual) ?
(Allowable) a?
# of Stories
Length 44-
Depth Zca
S.F. Total
Footprint S.F.
FSES
Permit
Sureharge 31. so
Plan Review i ?5-7.
SAC, City joo.
SAC, MWCC SZS.
Water Conn S 2 S
Water Meter Co'1 .
Road IInit `305
Treatment P1 I go.
Parks
Copies
TOTAI. 1;9 a9-1- Sd
1987 BQILDING PERMIT APPLICATION - CITY OF SAG6N
u?4 r, ?9
SINGLE FAMILY DWELLINGS
IHCLDDE 2 SEIS OF PLANSI 3 GERTIFICATSS OF SDRVEY, 1 SST OF SNERGY CALCQLARIOHS
HOTE: 9DDRESSES FOR CORNEH LaTS - CONTflACTOft/HOMEOSiNEH MUST DESIGAAYB AHICH ADDESSS
IS DESIRED. NO CBANGES WILL BE AL.LOWSD ONCE BIIILDING PSRMIT IS ISSDSD.
MOLTIPLE DiiELLINGS - RESID@iTIAL REliT6L UAITS FOR SALE QAITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECB IIITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COPM6RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BONfl
( d(-- 4
To Be Used For: o???1 omr Valuation: 6?4r0C%0.0`' Date:
Site Address
Lot 15 Block 2 1 On Site Sewage
p MWCC System ?
Pareel/Sub qWJ--.5 On Site Well
City Water ?
Owner C?r?c
Address ?.?Q&X
City/Zip Code ??O.,?t?, 551aQb
Phone 42D 3Gj0? APPEOYALS
Contraetor ?a,rnQ
Address
City/Zip Code
Phone
Mch./Engr.
Address
City/Zip Code
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Occupancy R 3
Zoning P I?
Type of Const
?
(Actual)
(Allowable) :K?7-
ll of Stories
Length 44-
Depth Z"7
S.F. Total
Footprint S.F.
FSES
Permit So
'??]7. -
Surcharge 3 L.
Plan Review (8a. ?S
SAC, City Ipo.
SAC, MWCC S 2S
Water Conn S Z-S.
Water Meter !07
Road Unit 30e-_
Treatment Pl 1 So.
Parks
Copies
TOTAL ??,300, as
Phone #
1987 BQILDING PERMIi APPLICAITOA - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
ZPCLDDE 2 SETS OF PLANS, 3
OF SOHVEY, 1 SBT OF ENERGY CALCULATIOHS
3s
HOTE: ADDBESSES FOE COENER LO2S - COFYRACTOR/HOMEOIINEE HQST DESIGHAYE WHICH ADDRBSS
IS DFSIR6D. NO CHANGES HILL BS ALLOHED ONCE BQILDING PERMIT IS ISSII6D.
MOLTZPLE DWELLINGS - RESIDBNTI6L RFTIT9L DPISS FOR SALE OHIYS l/
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQROEY - CHECB flITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIHERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATZONS,
$2,000 LANDSCAPE BOND
l o F 4-
To Be Used For:
& STRUCTURAL PLANS,
SET OF
Valuation: nate:
Site Address q?Oq CtZ?v15Dti CIRCLc
Lot 13 Block _2
Pareel/Sub ?? C9? T61-O,o
Owner ---y ?P?..? ' NfrUnY/hti ??1`hr?ao c.Qn,c
Address P,O. 130-5c 13c;l
City/Zip Code 'Yi"., %,n- 5?44t?
Phone 4 2D - 3qM
Contractor A(,Vmq
Address
City/Zip Code
Phone.
Mch./Engr.
Address
City/Zip Code
Phone If
On Site Sewage
MWCC System ?
On Site Well
City Water ?
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Varianee
Occupaney
Zoning
Type of Const
(Aetual)
(Allowable)
8 of Stories
Length
Depth
S.F. Total
Footprint S.F.
FSES
K 3
PE?_
?
?
?
Zro
Permit '314•
Surcharge -'3
Plan Review I g7,
SAC, City
SAC, MWCC SZS
Water Conn SZS.
Water Meter (o-7.
Road Unit 30S.
Treatment P1 If?o
Parks
Copies
TOTAL a?S . 50
?--
?
1987 BDILDING PEAMIY APPLICATION - CITY OF SAGAN
C1 O(7- 77
SINGLE FAMILY DWELLINGS
IHCLfJDE 2 SETS OF PLANS, 3 CSRTIFICAiES OF S(JRVSY, 1 SET OF EAERGY C9LCQLAYI0N5
HOTE: ADDRESSES FOH COHNEH LOTS - COPTRACTOR/HOMSOANEH MQST DESIGAAYE AHICH ADDEESS
IS DFSIRED. NO CH6NGES WILL BS ALL65iED ONCS BQILDZNG PBRMIT IS ISSDSD.
M[R.TIPLS DWELLIHGS - RFSIDENTIAL RSNTAL DAITS FOR SALS OHITS LX
INCLUDE 2 SETS OF PLANS, CE$
1 SET OF ENERGY CALCULATIOHS
COPBlERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS, ,
$2,000 LANDSCAPE SOND
? of= ?j
To Be Used For: kani 'am-ra
OF SQRVEY - CHECg WITH BLDG. DSPT.,
& STRUCTURAL PLANS,
SET QF
Valuation: fo4(000.00 Date:
Site Address 43(?? CLEMsm CI?,-CIf
Lot 14 Block 2
ParcellSub 0--"fg; guvi,wid "
Owner "R? "hoy'Co cJ}vt,c
Address P.0. (??Yx /3CQ7
City/Zip Code 5S44a
-?
Phone 420 - -2,qo0
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
On Site Sewage_ Oecupancy
MWCC System ? Zoning (? D
On Site Well Type of Const
City Water ? (Actual) .TZ
(Allowable) ?
# of Stories
Length
Depth Z'7
S.F. Total
Foatprint S.F.
AeraovALs FEES
Assessments Permit 3-n ro
-
Water/Sewer Sureharge 37-
Police Plan Review IS 8.'Ls
Fire SAC, City too.
Engr SAC t MWCC 52.5.
Planner Water Conn S Z S
Council Water Meter
Bldg Off Road Unit ?S
APC Treatment P1 1 601
Variance Parks
Copies
TOTAL A300.?75
? V?-`.4?.? _?`?i?i? t ??C?.1 ? ,+ ,?J •,_•??.h.....r C.>
26
HEAT LOSS CALCUTATIONS HEATING 8t AIR CONDITBOFVIING CO. MINNEAPOLIS, MINN.
WeathersUips A.S.H.V.E. . Construction No. Insulation
VJindows Doors Guide
Reference Out. Wall Int. Wall Ceiline Roof Ploor Kind HowApplied
Yes--No Yes-No 19_ "
FI.L?Y1N(,?YO,_V'ROOm Length Z,2„ Width' 2- Height ? FI. MM'tE? ?.pRoan Length ??/r0 -H4AFM ?!L Height ?
YJi ndnws a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Ar ea
No. W,y,M1
al ane Nn?phl
ol pana No. Of
li htg L?neal h.
of clack Area
sa. 11.
NO' W"Ie?
af ane HotpM1t
ol ane Nn. of
li hts Linefll 11.
ol crack Area
sq. 11.
19 1-7
",
=?? i?"t i?? 1 ?0 5
Coel Btu Coef Btu
Infiltration
?? .
?-:S3
Infiltretipn
21
? p
-K)p
Glass ? 2q Glass 6 5
Exp, wall
?..? 1.
Exp. wall lQ
Net exp. wall ?.?. 9•' 91 Net exp, wall (n 1• 2 75 IR.__..
'-t*i o0'r' 1? 11? .2 2,2 Int. wall
Ceiling
Floor Floor
Total 8[u. Total Btu.
Raquired sq. tt. E.D.R, or sq. ins. W.A. Leader area Reqwred sq. it. E.D.R, or sq. ins. W.A. Leader area
( FI. Room length y? Width Height FI. r.1]tj?,c?om Length ( 5 Wid[h IHeiyht .
Windows and Doors-Creckage and Area Wi ndows a nd Doors- Cracka ge and Ar ea
Nu. Widtn
ot ane Heiqh[
of ane No. of
b 4ig Lmeal f1 .
o( crack Area
sV, fl.
No' W?A?M1
ol a
ne H?uqM
nf ann No. o?
h
M5 Lineal 4.
af crack 4rea
sq, fl.
y ^ '-
Coel Btu Coef Btu
Intiltration 1- ,224Q InfiltroLOn
Glass Glass
Exp.wall ExP.wall }2??,y(1
?Net exp. wall ? Net exp. wall 37`i
Int. wali Int. wAll
Cailing Ceilin4 t$o 2. j -13
Floor Flnor F•M1% J7 ;j()(I
iotel Btu.
S
7otal Btu. -
3?9 r
Required sq, ft E.0.H. or sq. ins. W.A. Leader area Required sq. (t. E.D.R. or sq. ins. W.A. Leader area
FI. 'sT y. ,E Room Length ,?. Wldth Height p FI. Raom lengtb J(Width Heigh[
Windows and Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea
Nn. W,:Lh
o? ane Nelpnt
al pnne No. ul
li hts Lineal It.
ol crack 4.ea
?a. ??. o ;nii?
:m¢ H1 y1n
uf pank
h h?s
of crack Area
Bp. R.
ff
Coef 9tu Coe( Bw
Inliltration InfiltrAtion
Glass Glass
Exp. wall Exp. wall
Net exp, wall Nel Pxp. well
Int. wall Int. w»II
Ceiling 14 A. E Ya.`? ?. 2 j Q Ceilin9
Floor _
_ -' FlOOr
Tutal Btu. Tocal Btu. ? 2 IS
Required sy. It. E.D.R. or sy. ins. W.A. Leader area `O Rpquirecl sy, fL E.D.R. or sy. ins. W.A. Leader area
,?. ? ? ' Cea, .$edgaRick
?HEAT LOSS CALCULATIONS HEATING & AIR C0111DlTIONINC CO.
MINNEAPOLIS, MINN.
Weatherslrips A.S.H.V.E. Construction No. Insu{a[ion
YTindows Doors Guide Referen Out. Wall Int. Wall Ceiling Roof Floor Nind How Applied
Yes--NO Yes-No ce
19_ ,
Raom Length JQ Width Height Ft. Roam Length Width Height
YJi ndows a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Ar ea
po W.tl1h
ol ana Hmph,
0( oan e No, ol
?i pts Linnpl q,
01 c?ack AreO
aQ. 11.
NO' Wiy?h
ol ena Hmpb?
a? ane Nn, of
b Ms Lmeal h.
ol crack Ama
ea. ?1.
Coef BW Coei 6tu... ?
Inliltration 7[p0 Iniiltration
Glass t e Z413 Glass
i
Exp. wall
ExP, wall
Net exp. wall 2 q Net exp. wal I
Int. wall Int. well
Ceiling - Ceiling . .
Floor Ploor
Total Btu. Total 8tu.
Raquired 5a• ft• E.D.R. or Sq. ins. W.A. Leader erea Required sq. ft E.D.H. or sq. ins. W.A. leader area
FI. Rown Langth '?, Width 11 Height FI. Hoom Length Width Heiyht
Ndindows and Ooors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea
No. W,tlrn
ot ane He?pht
of a?e Nv. of
li
htq lineal fl.
of crack Area
n
0- fi.
N?' Wirlth
of ane Hx;qM
nf ann No. uf
0 hts L?neal h.
ot crack Aree
54. ft.
I (
?
9J r ? ^
d
! Ea" ?c a "
Coef etu Coef Btu
Infiltr2tion I 10-7 .2223 Inliltra[ion
Glass ML 0Q(3 Glass
Exp. wall ASI - Exp. wall
Net exp. w II L
2.?Z -
??'i.) I ti Net axp. wall
IpIrwall ., ( Z -70 2...2 Int. wall
Ceiling CeilinQ
Floor 4-1 1 ? Floor
Total Bm. ? 6
ni Tatal Bw.
Required sq. ft. E.O.R, or sq. ins. W.A. leader area - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
iFl.[.a,,T' .r wjR Length l. Width HBight FI. Foom Leng[h Width HeiBht
Windows and Ooors-Crackage and Area YJi ndows a nd Doors -Cracka ge and Ar ea
N?'
n
Wid,
al aoe
Hniant
of pqne
No. of
li hts
tineal h.
oi nack
Area
>V. +t.
NQ'
Wihip
0 ane
Nr pr??
UI pTne
Nn. oi
li h(s
Linea] fL
of crack
4rea
80II.
Coef B W CoBT 8 tu'
Inlil?rat?on Infil[ration
Giass Glass.
Exp. wall Exp. wall
Ne[ exp. wall 7X'b
Int. wall S11 111.} Nei exp. wall
Int. wnll
Ceiling Ceili^9
------
Floor --Ranr
Total Btu. Total 8[u.
fteyiiired sV. iL E.O.R. or sy. ins. W.A. LeadOr area Roquired sy. iL E.D,A, or sq. ins. W,A, Leader area
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FDR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT fi[IST SHOW A LICENSED PLUMBER.
VwsS eS rk ?f9L N Sr
To Be Used For:?`?T'???P!„t,???,.? Valuation: C?6=1111 Date:
Site Address 1.3m GcXv,,?Soj C?,L`ce_ I OFFICE USE ONLY
Lot J-? Block 9
Parcel/Sub _'t, ARfi: h, 101vtd- Lkp,
Owner (?>(jqCC'F YQ,i2/'S
Address 1.GCe'tq$.'j C,'n.L.C?
City/Zip Code ) YvJ S'
phone ?SL ` 5G 70
I ?
Contractor { I.Jii?it9?
Address
City/Zip Code yHipL} Wj
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site mell
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Phone Planner
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
WateY Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
2h.?iD
Phone #
CITY OF EAGAN
APPLtCAT10N FOR PERMIT
SEWER AND/OR WATER CONNECTION
'1) pROPERTY ADDRESS:
LEGAL DESCRIPTION:
NORr3: PASMTf' OP PE6 AT TIIe OP
AMICUIoN DOES NOT CONSTTTEYM
p,prxovar. oF PEaCr.
n,srncizav oF sEWEt r,rn/oR vmM
IN''TALATTOISS WIIL NCYP EE 9C8E+D-
11 .m tNrB, rERMuT HAs sM
APrROVEv.
w-ia?ucx/SUDaivision oi TaX Parcel ID p)
I£ EXISTING SPRCCILR2E, DATE OF ORIGINAL BC'II.DING P=.1IT ISSC'ANCE: .
PRFSEDTP ZONING/PROPOSID OSE: Mon ear
? OFF'ICE
? IPID[JSTRIAL
n INSTITL*PTONAL/(;UVIItIOENp
? R-1 SINGL,E FANIILY
Q R-2 DPPLEX (71no Uni.ts)
? R-3 7C)4,NH0IISE (Three + Units) ( Lhiits)
[] R-4 APARMTf/COPIDOMINIC24 ( Units)
2) ?
NAME:
P,DDRFSS:
CITY. S"fATE, ZIP:
PHONE:
3) • m ?• NAME:
AMFtESS:
CITYP STATE, ZZP:
PHONE:
4) ••
NAME:
MASTIIt LICIIISE@
Active
ExPired
Not recorded
Staff Uut3al
ADDRFSS:
CITY. STATE. ZIP:
PHOIIE: •
'S) '? ' ?' ' ?' • a• - as ?
? ?dcomaycmm ??? ??ION TO CITY MM o Orm
6) 51??
PLEIISE FbDID AppRps)ID pgZMIT EM PIQC-C?P BY ONE OF ABOVE
.d PT.EASE !?IL APPRWID PERMIT 7?D 1. 2, ? 4. AH(7VE
.'_ ,. fs'-? ' _ (Circle osie)
FOR -CITY USE ONLY
PERMIT # TSSUED
d3z
Pd w/81dg. Permit
$
$
$
$
$
$
$ `J Z S'C`-d
S C> Z S? ?'Z
S
$
$
$
$
S
_ ?7 c?? ,3 I
RECEIPT
.... ' ..rir.i.fv4w14?..,.+s'.... . .?
FEES:
S /G SEWER YERMIT (INCLUDE SURCHARGE)
$ ?D S Z' WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSZDE READER
$ WATER TAP (INCLLDE CORPORATION STOP)
$ SEWER TAP
ACCOUNT DEPOSIT - SEWER
S ?S?rZ? ACCOUNT DEPOSIT - WATER
$ • WAC
$ SAC ,
TRIINK •WATER AS§ES$NJENT
. '?
;~ -' "'• ?N?1
•
$ .
_ :t y `
.T?LNK_49$TpjER;ASSESSMENT
_,... .. . . • ?t: -:' .i.r :`i i: tiil
•
$ ` LATERAL-13$r1EikIT/-*C'NK SEWER
$ • LATERAL BENEFIT/TR4NK WATER
•4
$ . NjATE12JRFyATMENT. PIfANT SURCHARGE
. i. v ; •
.. {. `• -r . . . . Li ?. t + - ' -
t
•
? ,
bTHER...,`.. ._.
TOTAL
76 G. ? .? , .
RECEIPT
- - .. , ...r. k
DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MLST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
' - y
/l1
APPROVED BY:
TITI,E. . ' : ', .
??• ' .?.?r'.: . ti ?
, .
?, 7
DATE: _ ?./L Z_ / '
? ' --
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIpTION:
L1oRg: P)X?' Or FPE A'P T71yE
OF'
_
APPLICATXoN DOES NOT CONS7TTujE ;
APPFDVAL oF PERMrr. ?
uEencrioN oF 5MM p,rD/CR WMM ;
Ij TTA7'iow wuL NDr EE s,'ma>- •
III Mrrir. rMUT xAS mm
.
'
APPRURIFn .
. *
*
s
: **+t,r**,?*r,r?ew,r*t**,r?rrrs:??:::#?r,?
. - -• --------• -- ..... .,...? .... g,
.
IF MSTING STRC'CiTJRE, DATE OF ORIGINAL B[JZLDIW-
PERMIT ISS[.'ANCE: .
PRE ^aEE[?fl' ZO?IING/PROP0.SFD LSE: •' F? ear
? CU44ffCIAL/RE1h3I,/0FFICE ? R-1 SINGLE FAPIILY
n IM''?M R-2 DUPLEX (Rtao Lfiits)'I
? INSTI1L.rPIONAL/G?V? ? R-3 7n*IIiOuSE (Three +; Units) f Onits)
. [? R-4 APARTSg'NP/CObIDUMIIVI[IM ( units )
2)
NAME
ADDRFSS
CZTY. STATE, ZIP
PfiONE
3) ' c ?'• NAME:
AMRESS:
CITYr STATE, ZIP:
PHONE:
a) .. . i?-
NAME:
_ AMxFSS:
ciTSr, sram, zIP:
PxorE:
'-- Active
1 - •
VAJ
Expired
Llt 1 L& _QN Not secox'ded
2?klf24 MSM LICENSE# ?f iniUal
i .
-5) ?? • r • ?• . o. - ?s • '?
? CONDIDCfION M CITY SEWE2 Ga" COASIF7CPION M CITY WATER ? OR'HER '.
6) 111?? r ? PLEASE HOLD APPROVID PII2MIT FU2 PICK-UP BY ONE OF ABMTE
v? FLEME MAIL APPROVID PII2IYIIT TO 1, 2, (P3 4. AHCIVE
r r?• ,,/? t f'?rl '^ (Circle one)
7) .
? i?l L7/1 .? 1? r.s.c-.aw /7 .9, .D,-7
.-FOR CITY USE ONLY --' ??
PERMIT # ISSUED
:
i
Pd w/Bldg. Permit
S
S
$
$
$
S
$ .?Z S-,
$ 62.S •tti
$
$
$
$
$ /?? ?/ Cl
$
U-z)
-- 7c{6 3 j
FEES:
$_ /L?•?? SEWER PERMIT (INCLLDE SLRCHARGE)
WATER PERMIT ( INCLLDE SURCHARGE )
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
S SEWER TAP
ACCOLNT DEPOSIT - SEWER
U U ACCOUNT DEPOSIT - WATER
S WAC
$ SAC ? .
, • ::. - • • ,t _,?f
$ ` t • TRtlIQK •iVATER ASSESSIIENT
$_ f. ' ?-, - • ?.`•IT.?U?NK _SEtdER.`;ASSES'SMENT
......_',
$ . LATERAL?$TNEIP?L?NK SEWER
. _
S ? LATERAL BENEF . IT/T8L'NR WATER
ATER .TitFATMENT. PItANT SURCHARGE
« i._ , '?. . S'. . '. i; ii ?'" t i .. -_ : . S ' ? = ? ? - ? .dTHEF4"• . . _. ? ? ?
?. . ... .. . , _ :f .
ToTAL
_ 7..b3 ,
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POSLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR F70RK WITHIN P[JBLIC
Q
ROADWAY" MLST BE ISSDED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
f
APPROVED BY:
°/?zrJ ,C-4
.
TITLE; . . . . _ . :',
DATE : ` }• ?P /Z ??? ? t : . . . . ? ? ?.:: .
? _
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTlON
1) pROPERTy ADDRESS:
LEGAL DESCRIpTION:
S10'14is PAMTf' dF 'FEB AT TIME aF
armcaTiorr nm wr oorsrrisrm •
AprPDvar.„ oP ,
nasrEcrIoN aP sENM Arn/CR %AM .
;
aSTAiJATICNS WIIS, NOif HE SCHED- *
tA.Fn oerrII. PMIIT HAs BEEN
AePPDVED ??
l ?
.
. ia.v?/13toCK/JUDQ1V1S10R or Tax Parcel ID #-j-
IF E;XISTING S1RL'CIL?RE. DATE OF ORIGINAL &)IMnG PESiMIT ISS[)ANCE= .
..
rxFSExr wr4uac/PxoPOSm ess: „ mon th/year)
q corrEacu,L/REras.roFFxcE
[7 IAID[?STRIAL
rl IA751Z7L*PIONAL/C,oVIIWM=
2)
N1vMME:
ADDRESS:
CITY. S'PpTE, 2IP:
3)
a`!'Y, ti'PATE, ZIP:
[] R-1 SINGLE FAMILY
CJ R-2 D.'PLEX (ltau Units)
??( R-3 ZOWMOIISE (Three + Units) ! Units)
[] R-4 APARRMEIVT/CObIDOMINIt]M ( Units)
LICFNSE#
P1Lambets License:
HCtlde
EVllEd
Not IecOrded
t f 'f 7nitial
-- ?
4) s• ? i?•
NArE:
_ aDDxESS: .
crrY, smxE, zIP:
PHONE: .
-5) '? ' «• • a• :o • o• ?. •
dcoNNEmoN To cr?y SEmm CONNECTION To cTTY WAIER o CYTHER .
6) u • • i- Q PLF.ASE IiOID APPROVFD PEPMT FM PIQC-DP BY IpNE OF ABOVE ---
? PLF'ASE MAIL APPROVID PERNIIT 1?0 1, 2, ? 4, ?ABCNE .
(Circle
7) ? f.?/? ??
/f 2 i? y
.
. FOR -CITY USE ONLY - -
;.
PERMIT # ISSUED
?9? F 3s-
Pd w/Bldg. Permit FEES:
$ $ /Q •5-0 SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ?p S? WATER PERMIT (TNCLODE SURCHARGE)
$ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLPDE CORPORATION STOP)
$
$
$
$
`J 7 S ' !r 7
S ?Z S^•?v
$
$
$
$
8
$
$ ?
- 7-W 3 ?
RECEIPT
$ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ 16, ACCOLNT DEPOSIT - WATER
$ • WAC
$ SAC ,
e
,:c .- , ;•. - ,?,_.,
$ q'Rt!IQK •WATER ASSES$MENT
- ?: ..,....? . . • . r-"= i
TfiC?NK -S$TdER. -ASSES'SMENT
$ •' LATERAL,'13NfiI?I+P/',CVUNK SEWER
$ LATERAL BENEFIT/TRLNK WATER
(j7ATE$,TRF,ATMENT..Pi(ANT SLRCHARGE
?:.
$ bTHER;si
. . .
TOTAL
7D C: C> _?3
RECEIPT
'?. <. , ? •?l+:i ? • -
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR FIORK WITHIN P[?BLIC
Q
ROADWAY" MPST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
V
APPROVED BY:
TITL,E?
.
. i,'t' . i: . .. •?F..._i , .?
? ,
DATE: ..t ? ?-12- Z/! f
CITYOF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTy ADDRESS;
LEGAL DESCRIpTION:
NU1+3s PASCME!TP' QP FEE !1T TIIy6 ?'
n?.Iraa noa?s rnrr ao??
aePRovAL oF rERrsr.
nNSPE1cTION aF SEWER Arn/tat tAM
nanUaaTTOrs wML NoT Ee saED-
ta.? vNra. PERMIT HAs EM
nrPCawm.
%-i-vcic/auDa1v1s10A OI Tdx PdTC01 ID #) .
IF FJQSTINC, STRCC.'tM, DATE OF ORIGINAL BLILDANG PERMIT ISSCANCE: " -
PRFSENP 7ANIN3/PROPOSFn C!SE: Mon ear
? /??? ? R-1 S7NGI,E FAMffLY
Q I?STRLAL ? R-2 DOPLEX (Rwo Dnits),
? ItaS'1Z'iVi'IO?IAI.JGC?7ERi?bTp R-3 MFIIUiIXJSE (Three + Units) ( [fiits?
• [? R-4 APAtt7MEKP/CODIDOMINI[7M ( Units )
2)
? NAME:
ADDRFSS:
CITY. SPATE, ZIP:
3) • i: ?• NAME
ADDRFSS:
Z
r S"7 'ATE, 2IP:
??
PH=: XA •
rA.srF.R iscENss#
4) •?? • • ia• ,
NAME;:
_ ADDRESS:
CZ'PYr SfATE. ZIP:
i
PfiCNE:
Plwnbers License:
1lcti.ve
u FScpired
Ll Not xecorded
sr.a 7iutial
•5) 11 - r • ?• • aD- aD • '
dCMWWMON 70 CI'TY S? ? OCTZ=TION ? CITY WPiTER o OrHER -
6) in ' • r ? PLFME HOLD APPROVID PERMIT FnR PIQC-OP BY ONE OF ABDVE `---
(.. PLEASE Ml?2I. APPRWID PERNIIT 70 1, 2, ? 4. ABO{7E .
/ (Circle one) ' • .
7) 1?171 /,1.A d-% - !f 2
it,
r
. . ?
.-FOR -CITY USE ONLY ? PERMIT # IS5DED
Pd w/Bldg. Permit
s
$
$ ;7' ?J'
$
$
$
$
$ ,?7~z ? (J-?'
s ?z_ s •??
$
$
$
$
S ?.? D u a
$
5 , ?CJ Z)
7 f -3 9
FEES:
$ /0'S-76
$ SZ)
$
S
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SORCHARGE)
WATER METER/COPPERHORN/OLTSIDE READER
WATER TAP (INCLLDE CORPORATION STOP)
$ SEWER TAP
U L' ACCOLNT DEPOSIT - SEWER
$ 45``U ? ACCOL'NT DEPOSIT - WATER
$ • WAC
$ SAC
f • ?K ? ' •" I -„??;
$ ?' t ?'•- y 4'R?'1f•WATER ASS£S$FJENT
$ !• '.!•.• y'eTTUNK -$t' ETOjEP..-AS5ES'SMENT
$ LATERAL'$TNE?I?PI?j{U?1K SEWER
$ LATERAL BENEF.IT/TRLNK WATER
14.,_.•
? ..'. i.°?i:?i •S.?`.1 • '
S _ N]ATER TREATMENT. PBANT SLRCHARGE
.t.. . ?:vi .?;..-. •`:. ?i i?r°? ..- : .
ATHER.b
? _, .. , . . ...,? .
TOTAL
7G??`3
RECEI T RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
F'_j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
ROADWAY" MUST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
J
APPROVED BY:
.
` .. ?
TITLE; . . . .;
DATE•:??7iL/?! ? . ..
2007 RESII3ENTIAL PLUMBING PeRMiT aPPLIcarIoN
CITY OF EAGAN
3830 PiLOT KNOB ROAD, EAGAN MN 55122
851-675-5575
Please compiete for modifications to existina residential dwellinas.
C?
, Date--q- lk (? t ?7
Site Street Address Unit#
Prnperty Owner !,. A JfJ h h? c?C ?e.r Yetephone #(6si)
[F `
Contractor Telephorte # ( 0 [ )
' 76?' 11
Address 6 u,?To Ci3y l`?, C? z??T-` "! State fvt'fJ Zip 5$ r3:}, :
The Appiicant is: _ Owner & Occupant ? Licensed Plumbing Contractor
M
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
, $ 100.00
Peras-buiit s 10.00
Flre Repair (replace burned out fixtures, etc.) i $ 90.00
This fee a lies when extensive lumbin re airs are made to a bulldin . `
I
?
Alterations to existing dwelling
$ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the sasne time. If yau are
ins€alfing onlv a water sottener and/or wafer heater, do not wmplete this section; ?
move to the next section and place a checkmark naxt to the appliance(s) you are i
instafling.
?
-SePtic SYstem Abandonment
_ Waier Turnaround (add $136.00 if a 5!$" mefer is required)
Other: ?
- ?
s
?
Waier Softener 1?1 Water Heater ?
$ 15.00
i
_ new ? replaeemertt ?
L
I
i
ti b?
$
t
? _
awn
rr
ga
on _RP2 _PVB _new _repair _rebuild 30.00
4
State Surcharge j
$ 50
Total e
? s I J .. 5-E,?
I hereby appiy for a Residential Plumbing Permit and acknowledge that fhe information is complate and accurate; that the
work will be in' conformance with the ordinances and codes of the City ot Eagan and the plumbing codes; that I
understand this is not a permit, but only an appiica#ion for a permit, work is not to start without a permit and 4vork wifi be in
accordance with the approved plan in the event a pfan is required to be reviewed and approved.
ApplicanYs Printed Name AppiicanYs Signature
??C? ?J-
1 t?` ?2007 RESIDENTTAL MECHANiCAL pERmrr arrr.,rcATrorr ,60.50
City Of Eagan /7 ??
3830 Pilat ICnob Road, Eagan MN 55122 l?
Telaphone # 651-675-5675
f'ICasC eqmplete for: single family dwelling5 & roxmhorneslcondos when pefttlits are reyuired for each unit
1.r2: .. .':. »..
Aaie ? ! ? a i ??
SPleAddress T1n flan. ,Vl ALLL Unifq
Property Own¢r /i?t.l%I t ?d6I I l TeEephone tl ( ??J ) `1 3,?Q-65PP)
Contraetor T0e"M
?`
StreetAddress City ,?- YLtGLi
5[ate ?rI'I V , Zip Telephone # bq"1
Bond #: ED??j`-I ? Expiees:
The Appiicartt is ? Ow¢er Coutraotor ? pther
7--
?
Fire repejSr (replace bnrned out appliances, duchrork, etc,) $ 90.00
This fee applies when extensive mechanical repairs are made to a bullding.
Add-on ur alteratien Ip exisiing dwelling unit ? 50.00
? furnace _Additionai X Repiaaement ? New
air exchanger
71( airconditianer
heat pump
other
Stata Surcharge $ 50
? Tot$t AIJG 15 2007
T here6y apply for a Residential Mecllanical Parmit nnd acknnwledge that the infoi2nation is comple2e 2nd accurate; that the arork wilt
be in confonra nea with the ordinaitces aod codes oE tlie City of Eegan and wi[h ehe Meehanicul Codes; tUat T undersnnd tl,is is na[ s
perrnit, but only an applicatipn for a permi[, 2nd work is not to start without a permit; that the wock will be in accnrdanee witlt the
apprrned plan in the case otwork wl»ch xeguIIes a review and approval ofplaus.
Applicrxnt's Ptinted Nazue Applicant's Signatil
0 Denotes Iron Monument
Denotes Wood Stake
70J0.0 Denotes Ex'_sting Elevation
(009.0) Deno*es Propnsed Elevat.i.on
----- Denotes Cirection of Surface Drainage
P;opnsed Top of Foundat!an Elevat;on =
Proposed Garage Floor E].uvation = 93& o
Fcoposed Lowest Floor Elevation = .93/c.5
we herehy r2rtify that this is a true and correcr representation of a survey of
Cne h,!underir5 of:
Lcts 13, 14, 15 and 16, Block 2, THE-7RAILS OF 'tHOMpS LAKE, Dakota County,
'Ainnr sota
??,' c` ;,ii• l3catiors of ai1 buildinqs, theZ'P.pfl, and ali visjhle encroachments,
.ly dfl`/? (C]!Pi JL utl said land. !+s SUTVPyBd by me, Oi U?ld?i' mv direct
s?p?r.visi)n, this 9th aay of June, 1967.
DATE I ev
REMARKS
?
N
W
3
v-
.O
M
O
?
?
P
?
A/ 7i!°
N
i McCOMBS-KNUTSON ASSOI'IATES, INC.
/
Paul A. Johnson
Land Surveyor, inn. Re_r,. PJO. 10538
Z = 6?. g3
d;(?0.
R= 66 00
N ?
m
? n
?
.
?
' 30
?
!
?
/
i
V r
V I
2 I
O
?
V I
3? I
.a14n[V t4.ntu 1 nAn[97 Vkx111V IXAT TNIS ILAM W/3 ?IIE?AflEO BV ME DN
UNDE P MV DIRECTSUPE Pv1510N AXO iHAT I AM ? OULY PEGISiE M?
FD LANO $UCYEyOQ UNU5P TNE IAWb Oi THE ST?TE OF
9AWN AMROVEO MINNESOTq.
7K
McCOMBS•KNUTSON ASSOCIATES, INC.
`
) l
)1
CONSYUtNG [MGIMFFR$ 0 lENO SURVFYORS
SIIf I
AMNfR
\TE OMM.
C
?
+[?
1.
S
8
t
6-9-87 o.re REG.NO. PLVMDUTH,MINNESOT4
PRINTED
JUfd 12 1997
"BS - KNUTSOf' AS?;:;.. INu.
•LE -
/"_ 1/0' PREPARED FOR
LENO I
7430 • ?EW HmvVN HowS
;I
I ,
Use BLUE or BLACK Ink
For Office Use-__------
' I ~1~44 I
Permit
City o aI 00
Permit Fee: i
3830 Pilot Knob Road 11( I
Eagan MN 55122 I Date Received: t I
Phone: (651) 675-5675 I 2 I
Fax:,(651) 675-5694 1 Staff:
I I
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
13U 1 367/ 4 30q L 3018 e /l
Date: 0 Site Address: ~ /
(c/~,dN (e rUnit
FName: ~ ~ 7 e) nnlts Phone: ?lF 7 7S12/
Resident/
Owner Address/ City / Zip: be !/y
Applicant is: Owner Contractor
t---.__ X
n
Type of Work ! Description of work: h. !t` e I S /
_Construction_Cost: soa-- __------Mu+ti=Famifprrtlifiimg: (Ye/fro )
Company: 1 8 ~ 4r k .k#✓ h Joe fet
I Contact:
Contractor Address: City:
State: V-V\V\ Zip:' Phone: : ~'f-7
I
-Lfeenr : ead Certificate
-i
I
f the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
FCOMPLETE 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 documentsthat you submit are considered to be public information. Portions ofv
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.Qopherstateonecall.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 fate Building Code must be completed within 180
days; of permit issuance.
-S x
Applicant's Printed Name A I' ant's Signature
Page 1 of 3
!"
#$%&'()' *+*,
-./$%'"&0-123$45$,+
-./$%'63/7-.1 89::N:Q
=*%-'!>>3-519?@AN@A?9;
-./$%'#*%-+(.&1- -./$%
B$%-'855.->>1''C:?O''#4-/>(,'#$.''
"9#$ %& ''!;())* * + ''>N-'>1C*$.'KP'>N LC.' C&-
456 "!7Z:89:7!;7"9!'
<.-
=->F.$0%$(,1
=0/'>2?- ,*+) @.A6 1.E +. 10% * +'>2?-
, 1&'>2?- B-?$C%-
6-.%1*? * + K+-',*+) @A6 1
E-+.0.'E )- F3F'7'K%%0?C+%2
G +*+H
=I0C1-'J-- !
5L?1 M-L-+ .' ' N-'N L-'1-I0*1-'.L &-')- -% 1.'*+'C$$'/-)1 L.O'5P'C$ -1*+H'@*+) @' ?-+*+H.' 1'*+. C$$*+H'#C2' 1'# @'
#(//-,%>1
@*+) @.Q'%C$$'P 1'P1CL*+H'*+.?-% * +O'EC$$'P 1'P*+C$'*+.?-% * +'CP -1'*+. C$$C * +O
EC1/ +'L + R*)-')- -% 1.'C1-'1-I0*1-)'@* N*+'"!'P-- ' P'C$$'.$--?*+H'1 L' ?-+*+H.'*+'1-.*)-+ *C$'N L-.'SD*++-. C'= C -'
# '7'#C.-'J--'U:!!UF!O!!'!8!"OF!8:
G--'B3//*.&1
=01%NC1H-'7'#C.-)' +'TC$0C * +'U:!!U!O:!'W!!"O;"W:
TC$0C * + '':!!O!!
"(%*41HC?I;?'
#(,%.*F%(.1JK,-.1
7''(??$*%C+ ''7
\] L-'6-? '( '\] L-'=-1M*%-.a N+'V0. -1
9;;F' C&-$C+)'(M-+0-'YQ'`"!;F3!Z'E$-L. +'E*1
# &$2+'4C1&'DY''::F;8XCHC+'DY''::";;
SZ93\[':F;788;9S9";\['ZZ!739:"
5'N-1-/2'C%&+ @$-)H-' NC '5'NCM-'1-C)' N*.'C??$*%C * +'C+)'. C -' NC ' N-'*+P 1LC * +'*.'% 11-% 'C+)'CH1--' '% L?$2'@* N'C$$'C??$*%C/$-'= C -'
P'D*++-. C'= C 0 -.'C+)'E* 2' P'XCHC+'K1)*+C+%-.O
(??$*%C+ A4-1L* -- '=*H+C 01-5..0-)'#2 '=*H+C 01-