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4310 Clemson CirFOR SALIF, T.;;. CITY pF EAGAN 3830 Pilot Knob RoAd, P.O. Box 21-199, ' PHONE: 454-8100 8tl:LDING PERMIT Tn ha usod Mr I Ot'' 4 PLEX $63 , U U U Site Address 4310 CLEMSON C i R Lof BIOCk 2 SeC/Sub. r??'?YI'S UF Parcel No. T1-10MAS LAK. W ?vame ''^LGi 1=ORIZON HOMES IIJC ; Address P• V• BOX 1367 o _:1r 11 .?.. -innn ¢ Z o Name- 0 -K Address ~ CitY - 1.- F ? W Name- _z Address z c W CiN - I herebv ackn Signature of Permittee NE?i A Buifding Rermii is issued to: HOkI all work shall be done in accordance with all applical Building Official L ;agan, MN 55121 N2 13200 Receiat # 9 ... 87 Int. impr. ? Install ? Water & Sew. Police Fire Pianner Council Permit $ 374.00 5urcharge 31.50 Plan Review 187.00 SAC 625.00 Water Conn. 525.00 Water Meter 67.00 Road Unit 305. 00 Tr. PI. 180.00 statethatthe Bld Off. able State of g' APC Var. Date HOMES INC n and Copies Total 2, 9 4. 5 0; i the express condition that ? Qrdinartces. ? ? PermN No. Permit Hdder Data TMephone N Plumbiny H.V.A.C. ` Electric Sollener Inspection Date Insp. Commenb Footlnys 1 / ootings 11 Foundation Framing 3 ?q g C • ? Rooifng RouyhPlbq. z.j -? J/rl T./ - 1, 1 Rouyh Hty. f„ Insul. Fireplace Final Hty. 5,29 ??• Final Plbg. Bldg. Final Cert. Occ. ?S 71 ?. • ?' Deck Ftg. , Dock Frmg. Wsll Pr. Dlsp. PLUMBING PERMIT ' CITY OF EAGAN 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: Site Address i Lot 81oc .'Y Z,• t, m Name ? Address c City _-T m c 3 O Name City PERMIT # 8/ S1:7- RECEIPT # ( Q& G' -3- DATE: ? -- ' I I? BLDG. TYPE WORK [ _ SecJSub Res. New - Mult. Add-on Phone Phone Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 ?Shower - $3.00 Ki!chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - S1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn ' Saftener - $5.00 Well - $10.00 ? FEES I COMM/IND FEE - 146 OF CONTRACT FEE ' APT. BLDGS - COMM RATE APPUES I TOWNHOUSE 8 CONDO - RES. RATE APPUES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMMfIND FEE - $20.00 I STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Pnvate Disp. - $t0.00 -Rough Openings - $1.50 , f J TTEE ? FEE: STATE S/C: ?I FOR: CITY OF EAGAN GRAND TOTAL: ?: MECHANIC?„PERMIT RECEIPT # .+r CTf OF EAGAN ? ?630 ,,, ., PILOT KNOB ROAD, EAGAN, MM 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ? 4*24 BLDG. TYPE WORK DESCRIPTION Lot =.? Biock ? Sec/& ub ? ,f, Res ? New ? ?- m S'E Name OGWI'„K I-1Tf` t At? nn Mult Add-on Address 5910 wFNDnr ' Comm. Repair c City MINNEAPgp" . ' ?ef f ' FEES ? Name ' RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONA4 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS O UTLETS (MINIMUM - 1 PER PERMIT) - 1.30 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air .5? M gTU c APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU R MINIMUM COMMERCIAL FEE - 20.00 V STATE SURCHARGE PER PERMIT - .50 ent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # 1 /- • BEYOND $1,000) Other FEE: ? :Su ?rf S/C: SIGNATURE OF PERMITTEE TOTAL: ? ? • ? FOR: CITY OF EAGAN ?.? ' ?? FOA SALF T.; I. CITY OF EAGAN ? L,)3-cs 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 i3 2 01 ' BUILDING PERMIT PHONE: 454-8100 Receipt # ?U ?-J -7 To be wed tor 1 OF 4 PLEX Est Value $ 6 3,0 U U Date FLBRUARY 9 19 87 SiteAddress 4310B CLEMSUN CiR Erect Occupancy R 3 Lot 34 Block 2 Sec/Sub. RAILS UF Remodel ? Zoning pD Parcel No. THODIAS LtuCE Repair ? Type of Const y Addition ? No. Stories W Name NEW HORIZON HO[dL?S INC Move ? Length 44 Demolish ? Depth 26 = 1367 ; Address P.O. B03C ° AL.pLS 420-3900 lnt Impr. ? Sq. Ft City Phone Install ? o Name SAM Approvals Fsas = 0 i Address Assessment Permit $ 3 7 4. 0 0 ? ? ciry Pnone Water & Sew. ' Surcharge 31.50 Police Plan Review 187.00 ? W Name Fire SAC 625.00 _? C) Address Eng. Water Conn. 525.00 i W Ciry Phone Planner Water Meter 67.00 Council Road Unit 305.00 I hereby acknowledge that I have read this application and state that the gldg. Oft. i f i i Tr. PI. 180.00 ormat n on s correct and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. APC Perks Signature of Permittee _ Var. Date J Copie • O ' Totai . - N? HOI2I20N HOMES INC ? A Buildin Permit is issued to: 9 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building PermR No. Pwmdt Holda Date Tdephone M Plumbiny H.v.A.c. electric ?-3/9 7 ? nr san.o.. Inspactlon Dab Irup. Commonb FooBnys I ?? ?7 Footinys II Foundatlon Fnmin4 Rooflny Rough Plbp. 2 7? Rouph Hty. ss jl Insul. ? Fkeplace Finsl Hty. a/ Flnsl Plbp. &dy. Final ? CaA. Occ. Deck Fty. Dock Frmy. wNi Pr. O4p. ..? PLUMBING PERMIT ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: Site Address Lot Bloc J-- ? Name ?o Address • c Ciry Name 3 Address O Ciry Phone FEES COMM/INQ FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF PERMIT ii ?- RECEIPT # DATE: ? -- ' BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $100 Ki!chen Sink - $3.00 Urinal/ Bidet - $3.00 Laundry Tray - $3.00 Floor Drams - $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: ' II STATE S/C: -? ? FOR: CITY OF EAGAN GRAND TOTAL: '' `? i PERMIT # ???'rt I ? MECHANICWERMIT AECEIPT # 4 • . ', ?r CR'Y OF EAGAN , 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ------------ ?. . Site Address -_-4 Lot - Bloc ? Name m Address c City I L IVame _-4 ED Address ? p City TYPE OF WORK Forced Air Boiler Unit Heater Air Gond. Vent. Gas Piping Outlets # Other ?., -?? M BTU M BTU M BTU M BTU CFM f BLDG.TYPE Res. ? Mu{t Comm. Other WORK DESCRIPTION NeW F.• Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 AQD4TlQIVAL 50 M STU - 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 APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MiNIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYQND $1,000) FEE: ci S/C: • ? SIGNATURE OF PERMIfflEE TOTAL: ' U FOR: CITY OF EAGAN FOR S? L' LH: T.H. CITY OF ?AGAN ? t 1??Q3 3 3-;s o, s 2 3830 Pilot Kncb Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 S-? ? BUILDING PERMIT ReceiPt # 2?To be used for 1 OF 4 PLEX Est value $64,000 pate FF.BRUARY 9 1 Q8 7 4312 CLE.ySON CIR elock Z seciSub. TRA Name NEW I{OR I ZON HOMES I NC Address p ' O . AOX 1367 CiN MPLS Phone 420-3900 = o Name SAM 0 L) ? Address ~ City Phone F W Name- ? z Z5 Address z i W City - ? R 3 Erect C Occupancy Remodel ? Zaning PD Repair ? Type of Const V Addition ? No. Stories Move Demolish ? ? 44 Length Depth 27 Int. Impr. ? Sq. Ft Install ? Water & Sew. Police Fire Eng. _ Planner Council Permit 377.50 Surcharge 32.00 Plan Reviewo SAC ' Water Conn. 525.00 Water Meter00 Road Unit ' Tr. PI. 180.00 I hereby acknowledge that I have read this application and state that the Bldg. Off. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Var. Date Signature oi Permittee A Building Permit is issued to: NEW HQRIZON HDi4F.S INC all work shall be done in accordance with all applicable State of Minnesota S Copies Total ' ' ? on the express condition lhat and City of Eagan Ordinances. I I PermN No. I PormFl Maldsr I Dste I TNephone tl I Rouyh Plby. -7? 6/ ' O 'Z - Rouph HtQ. Hty. Plbp. Finsl Occ. Disp. ', CONTRACT PRICE: Site Address " - Lot T Block ? S m Name ?v Address c City , Phone L Name 3 Address p 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 BEYOND $1,000.00) SIGNATURE OF PERMITTEE PERMIT # ?z q? PLUMBING PERMIT R I T CITY OF EAGAN ECE P # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 % •- BLDG. TYPE WOFiK DESCRIPTION ec/Sub 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 LaunCry Tray - $3.60 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 i (MINIMUM - 1 PER PERMIT) ! Softener - $5.00 Well - $10.00 Private Disp. - S10.00 Rough Openings - $1.50 " FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: : ? MECF?4NICA?ERMIT RECEIPT # is. CITY OF EAGAN . .00 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: m7 ?li? ? 7 PHONE: 454-8100 , ? y Mame ? m Address c Ciiy ? Name ? c Address p City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other Phone •?U M BTU M BTU M BTU MBTU CFM BLDG. TYPE WORK DESCRIPTION Res. ? New ? Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1a/o OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000) FEE: S/C: SIGNATURE OF PERMITTEE TOTAL FOR: CITY OF EAGAN F'ox SALF T, x . L!33:-- 3V, B 2 3830 Pqot Knob I . ; BUILDING PERMIT To bs used for 1 nF 4 PLEX Est Site Address ~ Lot 3 5 Block Parcel No. lrl 17 Vt CAC7iAN t?1 3d, P.O. Box 21-199, Eagan, MN 55121N2 13202 PHONE: 454-8100 Receipt # lip $64, 000 nn}e FEBRUARY 9 a 87 W NEW HORIZON HOME3 Move ? Name = P. O, BOX 1367 Demolish ? 3 Address lnt pr. ° City NiPLS Phone 420-3900 install ? o Name SM-E oi Address ~ City Phone s W W Name = 2 ? 0 Address W City Phone I hereby acknowledge that 1 have read this application and statethatthe 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 ta: NEW all work shall be done in accordance with Building Official CLEM30N ..?n..l?•J State of Minnesota No. Stories Length 44 Depth 27 Sq. F± Assessment Permit $ 377.50 Water & Sew. Surcharge 32.00 Police Plan Review 188.75 Fire I SAC 625.00 Eng. Water Conn. 525 . 00 Planner Water Meter 67.00 Council Road Unit 305.00 Bldg. Off. Tr. PI. 180.00 APC Parks Var. Date Copie Total #4VV.2 -? on the express condition Mat City of Eagan Ordinances. I I w.mH No. I wrmlt HoW.r I Date I Telspnori. * I wby. Hty. Hty. Final Oec. Disp. PERMIT M "T / 9 _*5 PLUMBING PERMIT RECEIPT #i • CITY OF EACAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address Lot Block ?.- Sec/Sub ? Name ?o Address c Ciry Phone ? Name 3 Address p Ciry Phone FEES COMMIIND FEE - 196 OF CONTFiACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - fiESIDENTIAL FEE - $12.00 MINIMUM - COMMlIND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FpR: CITY OF EAGAN BLDG. TYPE WORK DESCFi1PTION 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 Orafns - $1.50 Water Heater - $1.50 Whirlpool - 53.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: CONTRACT PRI Site Address - Lot ?T E ? m Name _ m Address _ M c City ? Name - c Address _ O CitY TYPE OF WORK Forced Air ? Boiler Unit Heater ? Air Cond. ,,.,,.. MECVNICApaPERMIT RECEIPT # w. CITY OF EAGAN , 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? eunur. Au e4nn Phone SLL M BTU M BTU M BTU ? M BTU CFM ? Gas Piping Outlets # i Other FEE: SlC: TOTAL: BLDG. TYPE WORK DESCRIPTION Res. ? New P-1 ' Mult Add-on Comm. Repair Other ? 1 FEES ? RES. HVAC 0-100 M BTU -$24.00 ' ADDITIQNAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMM - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES j 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) ? a, SIGNATURE OF PERMITTEE c? f'y4E.? i FOR: CITY OF EAGAN CITY OFAAGAN 3830 PIlot Knob Road P.O. Spx 211 Sniv ?j/? ??? WATER SERVI PERMIT NO.: CE PERMIT Eayan, MN 55121 ?.J? DATE:- ?113R7 2oning: P'4 No. of Units: 1 rmit dT lex OWner. New Ffnri 7.nn Address: SiteAddess: 4119 ('lPmcnn ('r 14f, f'.7 Tx nf ' j'hpS f k _ - Plumber. Meter No.: 4j?ection Cherge: Size: ? ? `a?'c?c??ou osit: Reader o.: 7?f I?eff???tl?? I ayree to comply wMh O?n ?? ' ' - . ? ? 10. !}0 .? n rlli+ti ' Date of Insp.: Date 67.00 meter ? 180.00 tp . r. CITY OF EAGAN SEWER SERVICE PERMIT ? 3830 Pllot Knob Road P.O. Box 21199 ? PERMIT NO.: Esgan, MN 551:1 DATE:- Zoning: r= No. of Units: 1 urit?lpl ex ? Owner. 4o,g l•kir-i•z,s n Address: ? SiteAddress:43?7 G•l-g.,}.r a1-C? t?F? 22 -Tr- 9f- ThG•s-t lc ? Plumber nema•sop , . 2/10/87 705F7 1 sgr" to compty wifh the Ctty o} Eagan ? Ordinsnces. ? By ? Date of Insp.: Insp.: Connection Charge: Account Depos(t: - Permit Fee: Surcharge: Misc. Charges: - Total: Date Paid: 1oo.ao Eayan, MN 55%21 Zoning: Owner. Address: Site Addess: Plumber. Meter No.' ?? Size: ' ? d, I ayree to compiy wlth I Date oi 9- Y'] PERMIT NO.: 8,¢44 DATE: No. ot Units: ?a' . S. .. pi wnsc. vnaryn?. y , . , Total: ?.. n Date Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot i(nob Road P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 21 FV?` ' Zoning: "? - -- No. of Unfts: 1 unit 'Inlex NEU 'liori on Owner . Address: SiteAddress: 4312fs ('Ie^iscn (' 112 Tr o{' Thos 11 Plumber. Thon?nSQn 2/?n/;;7 7n5`77 1(10,00 I agree to comply wlth the Cfty of Eagan Connection Charge: g2C nn Ordinances. Account Deposit: ? n n Permit Fee: 111 Surcharge: gy Misc. Charges: Date of Insp.: TotaL• -? Insp.: Dete Paid: 7 REUUEST FOR ELECTRICAL INSPECTION EB-00407-05 See irtstructions for tomDlstinp this form on back ot yellow copy. 77 s` r 3 3 4 6 "X" Below Woik Covered by 7his Request t! Ad Rep. Type o1 Buildin8 _ Applionces wired Equipmenl Wired Li k k Fes ServiceEntranceSize p Fee Feeders/Subfeaders # Fee Circuits O to 200 Am s 0 to 30 Am s 0 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Am s Above 100_Am • Transformers Irrigation Booms Partial• Othe ee bp'? apeciai inspect?on ? emarks $ TOTAL FE i / , I, the Elactrical Inspector, heraby ? final certily thet ths above ? ? . ??e? ;nspsction ha• been meds. Thls nqueet This request void 16 months from ' [ 7 3 3 46 r; Z,^ Request Date ? ?j Fire No. ongh-. n Inspection equ ed7 ?Ready Nuvy?J Notify. ' ' eL T 2_ ? D es ? No o r Wh en qeady ? ?censed Electncal Contractor I hsreby request insDxtion of above ? Owner electrical work frkstelled at: St e t Address, Box or Rout ? ? City? ec ion o. Township Name or Mo. anpe N a. Counly Oc p nt IPHINT! f,cD r ? /7? ?S Phone No. Power Sup ier Address Ele Contractor ICompany Name) o m,?5(?r') Contra or'L n e ryO _ ZI ng A dress IC ntra tor or w er Makine I t lation A tho z Sip tuntra wner king Install i ? Ph?ne umber C MINNES07P['ST?E Bp!!RD OPELFWCI7? THIS INSPECTION REQUEST WILL NOT Gripps-MidwaY Idp. - Room N-191 8E ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION fEE IS 1821 Universitv Ave.. St. Paul, IVAN 65104 Phone (672) 642-0600 ENCLOSED. CITY OF EAGAN 30 7/ ?_??yATER SERVIC?,4P?RMIT 3830 Pikr' Knob Road " a? P.O. Box 21158 ',l? PERMIT NO.: Eagan, MN 55IP21 DATE: Zoning: No_ of Units: .•,ew ,,c;r3 z n Owner. Address: , Site Addess: ,__ No.: -, v- i v ra ?4 3p am -L:onnecY??l+TAu9e: , (Ifi er'N0. - , c.n , CeuAirree: ?e to comply wlth the Ci?bt-? an c??---b-T-??,fg?T ' iances. QU?R?c?harge- . ? 00 O Total: ' Date Pald: of Insp.: - 1 CR1f pF EAGAN SEWER SERVIC.E PERMIT 38s0 Pllot Knob Road S- i P.O. Box 21199 PERMIT NO.: 2/13/97 DATE: Eagan, MN 55121 1 imit 4T?lex No. of Unlts. ; ?ta? 1; "x P,1 Plumber. 100.()o 2/1()f'17 75;7 Connection Charge: 1 agree to comply with th* CnY M Eagan Ordlnencss. Account Deposit: - - Permit Fes: I Sn Surcharge: - Mfsa Charges: ey Total: Date of Inap.: Date Paid: Insp.: - ,-.--.? CITY OF EAGAN 3830 Pilot Ifnob Road?? P.O. Box 21199 hr? Esgan, MN 55121 Zoning: ,_ Owner. Address: Site Addess: Meter No.: ?r I Size: ? Reader o.4 e ? I ayree to comply wlth ihe j Ordl// na?s ? Date oi Insp.: WATER SERVICE PERMIT PERMIT NO: -F,^"? DATE: zf-T347 - No, ot Unib: ,REusocar9es: . . , Total: r ' Date Paid: . . ,ERMIT CITY OF EAGAN SEWER SERVICR,f 3830 Pilot Knob Road PERMIT NO.: P.O. Box 21199 b? Eayan, MN 55121 DATE: 1 t?nit 4plex Zoning: No. of Units: Owner. NeW }?oriZOn Address: 1310R ('lemson Cr 1134 B2 Tr oF 'lhos 11 . Site Address: nonFSAti Piumbec 100.00 I agree to comply wlth the Clly o1 Eagan Oniinances. BY Date of Insp.: Connection Charge: Account Deposit: S? - Permit Fee: 1r, 00 Surcharge: Misc. Charges: Total: n ? 4 ? ,J CASH RECEIPT ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 REG6IVED RROM AMOUNT $ I j & DOLLARS +oo [] CASH Q CHECK iOR r?_.r -? f?° BY ^n . White-Payers Copy Yellow-Posting Copy Pink-File Copy BLDG 01-3210 01-3422 01-3445 01-3446 01-2155 17-3860 20-2275 20-38b5 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 11-3855 ,. PERM:T NQ. Bldg. Permi Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit /.,. SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permi Sewer Permi Sewer Conn. Park Ded. TOTAL It Thank You ?. / r. . •... SEOGWfCK HE!+TING & Q.IR C??!UffIONINU GQ ?I ' •?S ?' ? : ? ? ?? .. ..F .. HOIJSEHEATINGRECORD /?? nooRess '7. l. ctrv ' i OCCUPANT OWNEft HEAT LOSS '?""• DATE HTG. INST. SOLD BY - Eluctrical Work By _-.- TYPE OF HEAT GA= FA_& IiW_ STEAM _SI? p GA DESIGN .., , . t •, M1, ? , ? Y MAKE ? • MAKt Model ; ?l 0_ 42 " M°ti4. Serial Qc/ L i?0 F3 =- INPUT -?? <). - MAKE . , .. . ",".a...?....... Model. CG'JThO' g INSTALLED BY_?Cc _ Gas Line By CE HTR._UNIT HTR OFBURNER TU Rating `OF FURNACE ? i ? '?07 7 - ?HFat PIu9 Vent Size THERMOSTqT?"'? - / /V -Z ' KINDOFLINER SIZE? NONE . Vaive_ . - .. `., Limit ? CY71f?? ' ? Draft Hood ? A!LS?= Reaulator_ ? . ? Filters ? Size Number.? Limlt Setting , ? y : + FanSetting_ ""'?.??t 'Chimneyloca?:jon . Inside?}--Out..-,`?------, Cl?imneyCmis[rtlFtion ???GSS? ?S ??j Pilot TYPe PilotMake ... .. ?.S 4 , . ,, . ,a.. ...? --.,:...:. Piiot Madel .. ... Smoke Bomb ? Wirin9 . ..`,. Pilat Timing ...Dratt TestTxg ? - - Li htin nst, L.W. Cut'dfR Door Press ' ure ? g I Pressure ' ? ?? Percent COZ Date Tesfed InputCFl _Percent 02' CompanYTesting Stack Temp. 2?v Percent CO Name of Tes . , , . . t ? ? •?:_ . ??..,,.-. . . . - ? . . . , ... . ,. ...! ...... ,.. . .. . . , . I? .,, ,. J. . ' Form 236 CONVERSION _---- _ ?-------- - ? :---- ---. :: .?..?- ? . . ' .?. - ? SEDGW .- ? , ....,._ . '. ? ADDRESS___?,. - OCCUPANT-=L?_Q?y^ `".HEAT LOSS • DATE 1-ITG. INST._ ? SOLD BY Elactrical WoAc Bv _ y' ? JSEIIEATINGTES7f7ECORD ?.. • ?? C `H: ' e!/: ,.. _... • ' ,?. ?AJ' CI7Y ?- OWNER , . = ONDITIONINGICO. INSTALLED BY_ Gas Line By _.; I TYPE OF HEAT GA ? Fq_ Hyy_ S7EAMS;4ACE 117ii._UNIT H7R. __,2OTHER. G SDESIGN..,, . ' .? CONVERSION MAKE :...MAI<I%l??}.OFBURNER ? Model =V al tV " `Moaal , Serial • MnK. E1TU Rnting ? INPUT MAI(E'PF FURNACE ' ? . ,. .... ?:'ri?..:....., MOdel1?-? _ _ CONTRO&F'',.. '•?? *.?.. . / . Valve ? Limit Setting _ ? Fan Setling _ ? Pilot Type -?_ '.:...? PilutMake .. Pllot Model_ .. Pilot 7iming ?Ea,S 14tV L.W. Cut OII • ?--?' Pressure ? NlL Percent COZ 1?._.?, r , Input CFII Q Percent O Stficl< Temy. Percenl CO ))}S,i C' IUND OF LINER -SIZE NONE DraftHoodi '6U- ura Ragtjlaror '?•??s '.'"-•',-' r Filters ? Size Nijf^ber ?? '--•'" ? Chimney LocaLion Inside _/ Outside- -- Chimney Constiit,r.tlon - C??ZS `> 1 ) '•^?" .., ....,......... 0 Smol<e Bomb . Wirin g _ Draft ` Test Tag Door Pressure Liphting Inst. I Z C Date Testcd I rY Q CompanyTes[in? ' ??BOIC 01 TCSiCf ? J !LC?_?_ ?? fl? t ?i9 - - - Vent Size % 77- FOR SALE T.H. CITY OF EAGAN L 3•3-36; B 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N-° 13202 PHONE•4 . 54-8100 BUILDING PERMIT Receipttt :??hff7 1 OF 4 PLEX $64,000 FEBRUARY 9 87 To be used tor Esl Value Date SiteAddress 4312B CLEMSON CIR Erect IN Occupancy R3 Lot 35 Block 2 Sec/Su6. TRAILS OF Remodel ? Zoning PD Parcel No. THOMAS LAKE Repair ? Type of Const 14 Addition ? No. Stories a Name NEW HORIZON HOMES Move ? Length 44 3 Address P• O. BOX 1367 Demolish ? I I ? Depth Z 7 S Ft ? nt. mpr. q. Ciry MPLS Phone 420-3900 Install ? i o Name SAME Approvals Feea oQ Address • City Phone a w W r Name ? Atldress u a w Ciry Phone I hereby acknowledge that I have read this application antl state that the information is correct antl agree to comply with all applica6le State of Minnesota Statutes and City of Eagen OrQinances.,9,/ Signafure of Assessment_ Water & Sew. POlice Fire Planner Council Bldg. Off. APC Var. Date Permit $ 377•513 Surcharge 32.010 Plan Review 188.75 SAC 625.00 Water Conn. 525.010 Water Meter67.00 Road Unit 305.00 Tr. PI. 180 . 04 Parks Copies 2-,3D7ff-. 25 --$- A Building Permit is issued to: NEWHORI ZOtd HOMES on the express condition that all work shall be done in accordance with all applica State of Minnesota tatutes an Ciry of Eagan Ordinances. Building Official- - „ _ FOR SALE T.H. ,L .33-3-?, B 2 BUILDING PERMIT Fieceipt iF ? Tobeusedlor 1 OF 4 PLEX Est.value $64,000 pa1e FEBRUARY 9 ?y87 SiteAddress 4312 CLEMSON CIR Erect C? Occupancy R3 Lot 36 Block Z Sec/Sub. TRAILS OF Remodel 0 Zonin9 PD Parcel No THOMAS LAKE AePair ? Type of Const. ? . Addition ? No. Stories a NEW Name HORIZON HOMES INC Move ? Length 44 i P O BOX 1367 Demolish ? Depth Z ? 3 . . Atldress I t I ? Ft S ? MPLS Cit 420-3900 p n . mpr. ? q. y hone Install Name SAME $ ¢ Adtlress ? Ciry Phone a F W Name _z Address i W City Phone I hereby acknowledge that I have read this application antl state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci of E n O? inances Signature of Permitteeo??' -T Assessment water & Sew. Police Fire _ Planner Council Bldg. Off. Var. Date ABuildingPermitisissuedto: NEW HORIZON'HOMES INC all work shall be done in accordance with all applicable State ot ylinnesota ; Building Oflicial /7CT1 a CITY OF EAGAN ?1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'v 2 13203 PHONE: 454-8100 ??j,s? Permit $ 377.50 Surcharge 32.00 Plan Review 188. 75 SAC 625.00 Water Conn. 5 2 5. 0 0 Water Meter 67 _ 00 RoadUnit 305.00 Tr. PI. 180.00 Copies 7otal 2. 3 0 0. 2 5 on the express conditlon thal and Ciry of Eagan Ordinances. FOR SALE T.H. CITY OF EAGAN ? L 33-36, B 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 13201 $LIl6fNG PERMIT PHONE: 454-8100 Receipt# 7obeusedtor 1 OF 4 PLEX Est.value $ 6 3 , 0 0 0 pate FEBRUARY 9 19 87 SiteAddress 4310B CLEMSON CIR Erect OccupancY R3 Lot 34 Biock 2 secisub. TRAILS OF Parcel No. THOMAS LAKE W Name NEW HORIZON HOMES INC 3 Address P.O. BOX 1367 ? Ciry MPLS Phone 420-3900 i o Name SAME ? a Address a ? Ciry Phone a w W Name ? ma Address sz W City Phone I hereby acknowledge that I have iead this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes antl Ci of Ea n Or inanco/ Signature of Permittee Remodel ? Zoning PD Repair ? Type of Const V Addition ? No. Stories Move ? Length 44 Demolish ? Depth 96 Int. Impr. ? Sq. Ft Insfall ? Approvals Fees Assessment _ Water & Sew. Police Fire Eng. Planner Council 61dg. Off. APC Var. A Building Permit is issued to: NEV1 HORIZON HOMES INC all work shall be done in accordance with all applicable te of Minnesota S BuildingOriicial Permit $ 374.00 Surcharge 31.50 Plan Review 187.00 So.C 625.00 Water Conn. 525.00 Water Meter 67. 0 0 Road Unit 305. 00 Tr. Pl. 180. 00 Parks e Copies Total $ 2 ,?0 on the express condition that and Ciry of Eagan Ordinances. .n 8 FOR SALE BUILDING PERMIT Fieceipt N N2 13200 74J0 Tobeusedfor . 1 OF 4 PLEX EsiValue $63,000 Date FEBRUARY 9 ?y 87 SiteAddress 4310 CLEP450N CIR Erect 4?7 Occupancy R3 33 Block 2 Sec/Sub. TRAILS OF Lot Remodel ? Zoning pn Parcel No THOMAS LAKE Repair ? _ Type ot Const. ? ? . Addition ? No. Stories Name NEW HORIZON HOMES INC Move ? Length 44 i Address P.O. BOX 1367 Demolish I t l ? ? Depth Ft S 26 o ciry MPLS phone 420-3900 n . mpr. Install ? . q. Z o Name SAME 0 u ¢ Address ? City Phone F W Name m j3 Atldress z i w City Phone I hereby acknowledge that I have read this application and state thatthe information is correct antl agree to comply with all applicable State of Minnesota Statutes and City oan Or inances. SignaWre of Permittee`L? L? /? ?' • ? • CITY OF EAGAN B Z 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Assessment Water & Sew. Police Fire _ Planner Council Bldg. Off. Var. Date Permit %, ?!Y *U V Surcharge 31.50 Plan Review 187. 00 S.4C 625.00 Water Conn. 5 2 5. 0 0 Water Meter 67. 00 Road Unit 305.00 Tr. PI. 180.00 Copies Totsl $2.294.50 A Buildin9 Permit is issued to: VEW HORIZOPd" HOMES INC on the express condition that all work shall be done in accordance with all appli ble State of Min ot=,St utes and Ciry of Eagan Ordinances. Building Official This repuest void 18 months from C 73343 I-o Inspectipp Repuired? I ?Heady N?ill Notily InsPeo- c?-??. ? L Yes ? No mr When Neady -I?e??eensetl Elecvical ConVactor I hereby request inspeciion ot abova ? Owner oio Sfr t Atldress, B. or Route No. e?on o? Townspip Name or No. p??ee No. ^ Counry Oq cupnn? (PRINi) +1 1 ` nlA3 ' P er Supplier k ? ' • Address Phon¢ No. EleIical Contrector (Company Name a` f Comra.,lor's License No. 1 b m?nv? ?c= G?-?-,r r M d??e AdJress ontrac(f?or 11C ne. Makin Instai ationl T?Q ?II? Authorize n re ICOnt Owner Making Instal tion) h A11NNCC?rn .. 17 I ? ? l Cj (? Pho um0er ?? ?? -- oauanu ur tLCG1m61ql I n15 IIVSPECTION NEOUEST WILL NOT Griggs.Midway BId9. - Room N-191 eE ACGEPTED BV THE STqTE 80AFD 1821 Universilv Are.. St. Paul, MN 55104 UNLE55 PXOPER INSPECTION FEE IS Phone (6127 642-01300 ENCLOSED. Below Work Covered by 7his Request EB-p0001-05 ??yJ REQUEST FOR ELECTRICAL INSPECTlON , See inseruetions fa' completing this torm on back oi yellow eopy, n i '7 `S A +1 ., This request void / ? 16 rtwnths trom ?/???%.'3 0 1348F i _.r-; 711115?-t-/ ?,, c-o Reques' Date ' Pire No. qough?in Insuecdon June ]_], 1987 Feau¢etl? ?Yes ? (J qeady Nuw ? Will Notify Inspec- tor Wh R d ?.- j en y '°' -?------ -.°°••.`°. `°••••°°•"' I herehY repuast i nsPection al above ? Owner electricel work inslalled at Street AtlAress, Box or floute No. City 4310 Clemson Circle Eagan ectron o. Township Name m No. Ran9e No. County Dakota OccuuAnt(PpINT) Phone Nn. Nancy NEss Power Suuplier AOdress ElecVical ConVactor ICompany Name) Cnnhactor?s License No, Corrigan Electric Company 039549 8 Mailing AdJress 1Con[ractor or Owner Making Instailationl P.0 Box 475, Rosemount, MN 55068 AOt$iBnature (COmracror! wner Making Installa[ion) Phone Numbe,r ? -A-k-AQ.? 423-1131 mirvrvtsoiA STATE BOANN6F ELECTPICITV ( \ Griges-Midway Bldg. - floam N491 \ 1 1821 Universilv Ave..SL Peul. MN 55704 \J Phone 16727 642-0800 THIS IfVSPECTION flEQUEST WIIL NOT 9E ACCEVTED BY THE STATE eOAPD UNLESS PFOPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os 4 ,/(^f y 1 See inshuctions for completin9 this form on back of yellow copy. ?-Y / TJ1? "X" 8elow Work Covered by 7his Request Adcf Pao- TyDe ot BuilCing q0,I.ances Wired EquiumeN Wired g Hame Range Ternparery Service Duplez Water Heater Lightiny Fixtures Apt. duilding Dryer Electric Heatin Commercial Bldy. Fumace Silu Unloader Industrial BIAy. X Air Conditioner Bulk Milk Tenk Farm oiner sov .inor Isoediyl t er suI? cI ty o+ner ntner l,Ompu[e /nSpCCtlonY@@ (feiOW M iea ServiceEntranceSize p Gee Faeders/5ubleeders p Fee Cir uits 0 to 200 Am 5 0 to 30 Am s 1 0 tn 30 Am s Above 200 qmpy 31 to 100 qmps 31 to 100 Am 5 Swimming Pool Above 100_Amps Ahove 100_P.mps TransPormer5 Irrigation Booms .501 Partia6'Other Pee Signs Special Inspection g T Aertwrks 10.5 OTAL E` , ? 6 Noogh-in Date ?,?he Ele al - Insoacbq hereby certify [het the above Final Date ' spection has been ? r .??-S made. Thia mVUesl voiC 10 months trom 7his requesl voitl " 18 ?nths /rom 73345 , :21 ,? . •oensetl Elechical Conjrqc[or Owner / Grigpa-MiOwey gla BOAWOF E!LECfp2l- 1837 UniveraitvAve .? s? RoomN.197 PAona (672) 642.pgpp ' P°°4• MN 5610a ?1 -7 -1-s--- No I hereby request inaoection of abova electrical work installed aC '85?? o0 r- l-••?11 No[if ?? Y InSP¢c- Whep Reaay No, -L /?JJ?? l THIS INSPECTIONqEQUEST BE qCCEPTED BY THE ST WILL N07 UNLESS PqppER INS ATE BOAqD ENCLpSED. ?CTION FEE IS REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 kift i See instructions for com0letinq Mis torm on neck m veuow coov. 71775 fl X" Below Work Cavered by 7his Request Ad¢ Rap., Type of 8uilding Applioncee WeeO EquiUmenl Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Elec[ric Heatrn Commercial Bldg. Pumace Silo Unloader Industrial Bldg. Air Conditio r Bulk Milk Tank Farm olner peG v Olner (5perifyl L P.( yEClfy LhC'f DtII(+I c,amuute rnsnection !-ee Helow N F e ServiceEntrBOCeSize tl Fee Feeders/SuCteedars N Fee Gircuits 0 to200qm s 0 ro30qm s Otn30Am s Above 200 qmpy 31 to 100 Amps 31 to 100 q y Swimmin Pool Above 100-Amps Above 100_Amps TransformerS Ir"gation 8ooms Partial-?Other Fee Signs Special Inspection S? ?- T R8 srks . OTAL6b) p(Houeh-in ,1-t ( Date ,(9? ? the Eiecvical f?? 7 tT( ?fISPBCfOl M1BIBby , w, . certify thst the above Final f C oate ? n sDection has bean a ,?de. fhbrsuuastvoiGiBmontMirom -3/-7 9A 7 REQUEST FOR ELECTRICAL INSPECTION ee-o?o]oo?-os , See inatructions for completirq this tmm on bnck n} yellow copY. ?//7S ? 7 "?'? aS "X" Be/ow Work Covered by lhis Request Ad RaD Type ol B.iltlinB ApOli.n.ea Witatl EquiVnient Wired , Home Range Temporary Service Duplex Water Heater Ligh[iny Fixtures Apt. Buildinfl Oryer Electric Heaun Commercial Bldg. umace Silo Unloader ?nAusvfal BIAg. Air Conditioner Bulk Milk Tank Farm >iz jnxr aeci y tner Isoecilyl 1 r pecify Other 01h.r l.0/llOf/!C //150PC1/0/1 haa Ne/nw p Fee Service Enlrence5ize q Fee Fexders/Subieeders N Fee Circu'its U to 200 qm s D to 30 qm s 01, 30 Am s Above 200 qm?s 31 [0 700 qmps 31 to 700 q 5 Swinvnin Pool qbove 100_Am s Above 100_Amps Transiormers Irngation Booms Partial.'Other Fee Signs Special nspection 5 ; Aemarks TOTAL F/En ? `u Naugh-in Date 6 ?, Ins0ecbq hemby co..i.v •,?a .??e.vove Finel ? C ineoection has been ??y?t? iP `yl maaa. TWs request voia 18 monthe (rom CITYOF EAGAN APPUCATION FOR PERMIT SEWER ANO/OR WATER CONNECTION 1) PROPERTY ADDRESS: LEGAL DESCRIpTION: N1714:: PAYNHM' OP Fft AT TII? 0F APPLICUICN noFS NOr oorSTITUIR aPPxavnr. oF PERMIT. nNSPnMCN oF sEWEt aru/CR kWx nsnuiAazoms wua. NOT BE scHED- tLEa vxra. rBiraT HAs sM APPFKAM. • • --- -- ---- - ----- -- Q . IF E7QSTING S7t20CTSJRE1 OATE OF OR2GINAL BIJIIDII9G PERWT IS50}1NCE: - .. PRFSENP ZONTIT/PROPpSID LSE: Nbn ear ? CObt4ERCIAL/REPP.IL/OFFICE r7 u'gK-'SmarnT• n I1V.STIZS7PIONAi+/GWERIZENT 2) ? NAME: ADDRFSS: CITY. STATE, 2IP: 3) NAME:tm ADDRESS: CITY? STATE. ZIP: PH=: W;ZA C] R-1 SINGLE FAPIILY ' ? R-2 ?.?PLFX (7ko L?nits) EZR-3 1+0W6IIi0IISE (Thiee + Units) ( Units) [] R-4 APARM1'P/CODIDOMINI(M ( Units) NFl.S"I'II2 LICIN.SE# 4) 0' g-- ? Nv1NE:? QS ?F v ADDRFSS: , CITY. STATE, ZIP: PHONE: -5) ?? r• • a• : a • a• - ?? • ? ?dCONNECTION 70 Cr?y sam ?ioN m aTy wAum Active PScPired Dlot recorded ka 3n t?al oOnEl? 6) ?? • ??• ? PLEASE HOID ApPRMID PERPffT FC2 PIQC-LTP BY ONE OF ABWE [vy PLFASE MAIL APPROVID PERMIT TO 1, 2, 3 4, p,BOJE (Circle one) . P. 'FOR -CITY USE ONLY PERMIT # TSSUED Pd w/Bldg. Permit FEES: $ $ /d.s O SEWER PERMIT (INCLUDE SURCHARGE) $ S Ad Sd WATER PERMIT (INCLUDE SURCHARGE) $ ? 7 0 Q $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ o ACCOUNT DEPOSIT - SEWER $ $ /S- ACCOUNT DEPOSIT - WATER $ ??S • o-o $ - WAC S Cpo?J ?7? $ SAC . $ $ ? TRbNK •FIATLR ASSESSIMENT _ ?.. . . y ._ ? • z: -- t 6 • ? .Tf ONK _,S?R •ASSES'S MENT y . , $ S " LATERAL'$F}2iEI?IT/'?ItC?ATK SEWER . _ $ $ • LATERAL BENEFIT/TRL?NK WATER $ . /p? , DU ? •.... ` .? .. q ..., 1. 0 . [+]ATER TRFATMENT, PItANT SURCHARGE 1 $ $ ,.•'..?? -.a 3 ' .OTHER'- $ 139 2. Q ? . TOTAL 7 &_5? -7 R ECEIPT RECEZPT - DOE S UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC?BLIC Q NO ROADWAY" MOST BE ISSOED BY THE ENGINEERING DIVISION LIS . T AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: ? APPROVED BY: ? .? TITI.E; ?_ . . r• ' : i; . DATE:\ ? CITYOF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: t4D7s:: PAWM' OF Pffi A'f TSL+ifOF * armcATiorr noEs Nom ooreri= p,rrxovp,t aF rERMsr. : INWncriaN oF SDM aND/o¢t taom ; . TTRnLTTA'ITQj$ {eJjjZ NOT HF. SaO)- * tu? UNra. pERMTx tAs BM : i.. APPRUM. ? ?. r w i ,. %..ULiaiocxiauoaivision or •rax Parcei io 9) IF E7QSTSNG STRCOCTLR2E, DATE OF ORIGINAL BL'ILDING PIIiMIT ISSC'ANCE: . - PRFSEN!' TONING/PROPOSID LSE: Mon edr ? CM1MEFCIAL/10TAZL/0FFICE [3 INSN?'STRIAL [] INSTIZUTIONAL/GMWR4STP ? R-1 SINQ.E FAhIII.Y ' ? R-2 DJPLEX (Ttao Cfiits) 'R-3 1nWNH0[]SE (Three + Units) ( t7nits) R-4 APARTMEdf/COPIDOHIINIUNI Units) 2) ? AC CITY. SfATE 3) NAME: f ADDRESS: • ciTSC, srATE. 2IP: I V1V1B 1v11/l4 , IU At r',S?,d? ? NS'iER ISC:ENSE# (7&;51 4) ?• • i?- NAME:? ADDRESS: L'M. STA7E. ZIP: PHONE: . s? ?? «• 0?M : ? • ?. i. ? ? ?dCONNSMON 70 CI?Y SEMM [2/ CMM=IoN 70 CITY WAM Pl?unbexs License: AC;tive FScpired Ubt recorded Staff Init-ral o Onm?- 6) ?? •' •?[3 PLEASE EfOID APPROVID PEtiNIIT EC1R PIQC-t?P BY ONE OF ABOVE ? pLEASE L?IL APPROVID PII2I?IIT TO 1, 2. ? 4. ABCNE i '?- -- fN--J - (Circle one) . 7) ? ; . .. i? . FOR -CITY USE ONLY PERMIT # ISSUED ? I ys , Pd w/Bldg. Permit FEES: $ $ 110,50 SEWER PERMIT (INCLUDE SURCHARGE ) $ $ /D. SD WATER PERMIT (INCLLDE SORCHARGE) $ 67 $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ ?S. 6O ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER ?S- O d $ J $ a WAC $ 60 $ SAC , . $ ,t: ,,, _? . . • ,,. /. $ ''R?(?Lwif •WATER ASSBSSN}ENT ' •. ?' 4 .-: • ` • ?t''?? • $ $ • ? ? ,- • irA?'NK _SEb[ER. -PkSSES'S,MENT ? .: y Z . ' • $ ` $ LATERAL?13$NE?IT/',C?L?ATK SEWER ' - $ $ LATERAL BENEFIT/TBLNK WATER s .:?.,. .:?i_ ??; i i•,::, i 1 $ R T h A E ,TRF,ATMENT,. gBANT SURCHARGE $ i`- ' $ ,bTHER : .. . . - .. , s { . ,..,-., ? a ? TOTAL RECEIPT RECEIPT -?. -• ,.?il . _ . DOES UTILZTY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PC'BLIC Q NO ROADWAY" MOST BE DIVISION LIS ISSUED BY THE ENGINEERING . T AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: • J APPROVED BY: ? TITLE: . • " .. ?? ' `1 • - v DATE: , ' : , ` . . ,. i.; . ?•- CITY OF EAGAIV APPUCATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PROPERTy ApDRESS: LEGAL DESCRIPTION: rNEs PASMr oF z?a ? xn? aP 0 arei.ic?zoN noFS r?ar ooN^TrTvie aePRovar. oF PER141T. INSPEMort aF sENM ArD/Ct FmM na-ruuTTors waa. NDr 13E sCHED- vE nrrrB. PERMIT HAs BM APPROVEn. .. . - ---- -- ---- ------ -- r. IF E7QS'I'ING STRCC?, DATE OF ORIGINAL &!IIDIIdG PFRMIIT ISSC'ANCE: - Mon ear -PRESIIJf 7ANB?G/PROPOSID CSE: _ ? COI`T"EiCIAL/REPAIL4FFICE 0 IAIDOSTRIAL ? nvsxIT.TIorM,/c,ov=u,garr 0 R-1 SINGI,E FANIILY ' Q R-2 DLTLEX (TWO C?nits) C3-//R-3 1nF7AIIiOLISE (14iree + Units) ( Units) R-4 APAR1mENP/CODIDCkMINICTi ( Units ) 2) ? NAME: ADDRFSS: ?. • CITY. SfATE. ZIP: ? PHfX?EeLL7n . /'v\ 3) ' m ?• NAME: ' City [Ise . For Pltinnbers License: ADDRFSS: ? Active CITY. STATE. 2IP: ? ExPlred Not recorcled PHCNE: Ng6STII2 LICELVSE# 12(i23M Staff tial 4) •' ? NAME:? _ 14DDRFSS: • . CITSC. STATE, ZIP: PfiOM: 'S? " ' ?' • a• : a • a• ?? • ? ?d?? ? ?? ? ?ION TO CITY WkTM omm? 6) ?? • ? ? PLEASE HOID APPROVID PEItMIIT EC&2 PICK-OP BY ONE OF ABOVE Q? PLFASE MAIL APPROVID PERN¢T TO 1, 2,? 4. ABC)HE I . - (Circle one) . ?? .'FOR -CITY USE ONLY PERMIT # ISSUED f b qq Pd w/Bldg. Permit $ $ S nn. $ $ S $ $ .S.?S•?D $ (n??i ?CJ ? $ $ $ $ S /,Pl? I?D $ s 7, P t) -- 7oS8? RECEIPT FEES: 1 $ /D• 50 SEWER PERMIT (INCLUDE SURCHARGE) $/C, S U WATER PERMIT (INCLUDE SURCHARGE) S $ $ s WATER METER/COPPERHORN/OOTSIDE READER S /S Oc) $ /5, n o WATER TAP (INCLL'DE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC $ SAC , ?c , : , • , ' 1 $ TR?t:?1?fK•WATER ASSES$[yENT <T;tL'NK .$E14ER,-ASSESSMENT $ LATERAL'$rF,NEgI+f%.`?C'A1K SEWER ? _ S LATERAL BENEFIT/TR(:NK WATER ,. $ ' . WATER,Z'FtFATMENT, PL'ANT SURCHARGE 7..i. . '... 1_ .?. . '. s; i:,'?i I - _-_ : . $ OTHER.: . _ `y;. , . . TOTAL •:_:a'•, „ r?'•. o7eo RECE I T?. `kr ' . -. -• _ _ .J:1 + • -- DOES UTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY? F__j YES IF YES, THEN A"PERMIT FOR F10RK WITHIN POBLIC Q ROADWAY" MOST BE ISS[lED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: •,, APPROVED BY: TITI,E; . r , .?. L - ?J Zl 7 ?; . DATE:? ? c?` . ?. . _.i CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) PROPERTY ADDRESS: LEGAL DESCRIpTION: ase rIM: PAV4ENr aF FEe xr TIM aP Arrr.xcUIaa uoEs rioT aoNsrrTUre ArPRovni. oP pEFraT. nwncizaa oF sEWER AND/CIR vAM nunu.laTTOrs wML rioT BE saHED- or.ID [NrII. pF.RruT ffias HEM r,pPRUM. vision or I£ FXISTIM S1RC'CiLM. DATE OF ORIGINAL H!IIaIIM; PERMIT ISSLANCE: . - A7on ear PRESFNf ZONINS/PROPQSID LSE: ? GamRCIAL?,`PAII./OFF'ICE 0 II•IIXISTRIAL [] INSTITLTfIONAL/GdVERNMEN'P ? R-1 SINGLE Ea,MIILY C] R-2 DLIPLEX (1WO Lfiits) Ej"'R-3 TOWMiO[JSE (Three + Units) ( Onits) [] R-4 APAR71-=/COAIDCxfINIC.?NI ( Units) 2) NAME: ADDRESS: CZTY. S"fATE, ZIP: PFiCNE: 3) NI1ME: ADDRESS: CITY. 5"PATE, ZIP: PfiONE: I.ICENSE# ActiVe - Expired tiot recorded E?In=tial 4) •omvlggffi• NAME.? ? 7F v ADDRESS: • CITY. STATE. ZIP: ' PHONE: 'S? '? ?' ' ?' : o • o? ?? • . . .dCONNIDCTION 70, CITY SEHM G;? com=10N 1o CITSf WATER Q OTHEE_. 6) n • • i- [] PLEASE HOLD ApPRpVf•D PEEMT FYIIt PICK-OP BY ONE OF ABOVE P?ASE MAIL APPROVID PEFtNIIT TO 1, 2, ? 4. ABOVE '? -- }-*-[ - (Circle one) ? ; . FOR -CITY USE ONLY • - PERMIT # ISSLED ' Pd w/Bldg. Permit FEES: ? $ SEWER PERMIT (INCLPDE SURCHARGE) $ $ ld-SL) WATER PERMIT (INCLUDE SLRCHARGE) $ $ WATER METER/COPPERHORN/OLTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ /S•D D ACCOUNT DEPOSIT - SEWER $ "-)C) ACCOONT DEPOSIT - WATER $ ?7o?J • oD $ • WAC $ sAc $ $ - -- - .% 1 :.. - - TRL@fiE -WAT$R ASS£SSI+JENT _ -- $ , . ': . y .__ _; r -. , •?a,.`; . $_ iTf UNK _$F,fojER:FtSS`ES'SMENT ?.. ? - -•-?_ . $ $ , LATERAL?'BT}NEFIT/'?L?AIK SEWER $ $ LATERAL BENEFIT/T,I2I.'NK WATER $ . • -. [?jATEB , e ?'Rk; .. ATMENT. PIfANT SLRCHARGE ,r , . :?'. . •. t, ?: ,' . $ $ OTHER. ---:`,: ? - • $ TOTAL •,"a`., -- ?"1,_. ?.D 5? ? ?? ? / .? : RECEIPT RECEIPT ?-i.? 'J, _" DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RZGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR F70RK WITHIN POBLIC Q ROADWAY" MCST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: v APPROVED BY: TITI.E: ??• i ? .. ._ a•.:.': . ` .. DATE; ! ? v .. ? 32w0 1987 BOILDING PERNIIT 9PPLICATION - CITY OF SAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SEPS OF PLANS, 3 OF SDEtVEY - CHECg iiITH BLDG. DEPT., NOTE: ADDRESSES FOR CORNER LOTS - CON2RACTOR/HOMEOBNEE MQST DESIGHAYE WHICH ADDRESS IS DFSIRED. NO CH9NGES WILL BB 9LLOWED ONCS BDILDING PfiRMIT IS ISSDfiD. ';1 MOLTIPLE DiiE[,LINGS - RFSIDEN?I9L RfiNTAL IINITS FOR SALE IIHITS v INCLUDE 2 SETS OF PLANS, CER' 7 SET OF ENERGY CALCULATIONS COP4IERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND I Or-' 4 To Be Used For: 6A111LL & STRUCTURAL PLANS, SET OF Valuation: 4(0- ?, CDDe00Date: 114 19- OF SQRVEY, 1 SET OF ENERGY C9LCOLATIOHS Site Address C?E-MSort., C)RCt E Lot 33 Block 2 On Site Sewage _ MWCC System ? Parcel/Sub `StAa.? r9F ?'l?tqm? ??,vzs On Site Well City ?later ? Owner 1'?6`sr?tA c.Q??n-c Address 6?t` 3k City/Zip Code LV04 . , %1-a. TSS4 q0 Phone 420- 33ab I 9PPROVALS Contraetor i? Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone 4l Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Variance Occupancy (21•3 Zoning Pf? Type of Const (Actual) $? (Allowable) 7- U of Stories Length _44- Depth _ Z6 S.F. Total Footprint S.F. FEFS Permit Surcharge '? I • 5= Plan Review I b-7. SAC, City (00, SAC, MWCC 525, Water Conn 5'Z5 Water Meter (o']. Road Unit 309• Treatment Pl 1 e)O. Parks Copies TOTAL _p2?? ?1 32 0 / 1987 BQILDING PERMIT APPLICATION - CITY OF SAGAN SINGLE FAMILY DWELLINGS ZNCLIIDE 2 SEPS OF PLANS9 3 OF SOHVEY, 1 SST OF ENERGY CALCOLATIONS NOTE: ADDRESSES FOR COHNER LOTS - CONTRACTOR/HOMEOSiNER MDST DESIGAAYS iiHICH ADDRESS IS DESIRED. NO CHANGfiS WILL BE ALLOWED ONCB BIIILDING PERMIT IS ISSIISD. MULTIPLE DiiELLINGS - R&SIDENTI9L RfiNTAL OAITS FOR SALE DN'iTS LI/ INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQR9SY - CHECK iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 1OF 4 To Be Used For: RQ-?L6neQ Site Address -A3 Lot ?A Block `Z & STRUCTURAL PLANS, SET OF Valuation: ffi63, OCn. 0o Parcel/Sub %t?-L -r"n t-?Azz Owner `nf,uJ P40? cjvhc Address Rn, r?38-1c 136?7 On Site Sewage_ MWCC System ? On Site Well City Liater Z7 City/Zip Code Phone APPROV9LS Contractor .bCVrnq Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone If Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance vate: Q/41t-7 Occupancy }2 • 3 Zoning PD Type of Const (Aetual) ? (Allowable) $? # of Stories Length 44 Depth ?al S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review 1 SAC, City \DO? SAC, MWCC 5L • Water Conn 525, Water Meter C0,71 Road Unit '3D5, Treatment Pl l l6L7. Parks Copies TOTAL a 2y 4. 1987 BOILDING PEAMIT APPLICATIOH - CITY OF EAGAN SINGLE FAMILY DWELLINGS IPCLDDE 2 SEPS OF PLANS, 3 CERTIFICATES OF SOBVEY, 1 SBT OF SNERGY CALCOLATIOHS NOTE: ADDRESSES F06 CORNBR LOTS - CONTRACTOR/HOMEOANER HIIST DESIGHAiE WHICH ADDRESS IS DFSIRED. NO CHANGES HILL BE ALLOWED ONCS SDILDING PERMIT IS ISSQED. MOLTIPLE DflELLINGS - RESIDENTIAL REdTAL 0$ITS FOR SALE i101ITS ? INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg iiITH BLDG. DEPT., 7 SET OF ENERGY CALCULATIONS COLVERCIAL INCLUDE 2 SETS OF ARC$ITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 1 oF 4 To Be Used For• ku?z?.cQ Valuation: e0 Date: Q/4k7 Site Address 43? L (' &y„44,, LA,tL, Lot -1(? Block - Parcel/Sub ??,& 9(L6 Owner ?LVUIJa>, !?072? c,Vnc On Site Sewage_ MWCC System ? On Site Well City i,later Occupancy ?'3 Zoning pp Type of Const (Actual) -Sr- (Allowable) '!a7_ # of Stories Length 44 Depth 2-1 Address N-0• Q? 1 -?Lj City/Zip Code %ii b,, qh-p, `JSQZAD Phone 42 0- --?AQ(J Contractor Atv? Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone 11 APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Varianee S.F. Total Footprint S.F. FEB.S Permit ?5-71,- Surcharge '32 • Plan Review SAC, City I o O. SAC, MWCC SZS• Water Conn SZ S. Water Meter lo'I, Road Unit 305, Treatment Pl I gD, Parks Copies TOT9L ' D D . / 3z 02?' 1987 BIIILDING PERMIT 9PPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLINGS INCLDDS 2 SETS OF PL9NS, 3 OF SORVEY, 1 SET OF ENERGY CALCULATIOHS HOTE: ADDRESSES FOB COHNER LOTS - CONTRACTOR/HOliEOWNEE MOST DESIGHAYS WHICH ADDRfiSS IS DFSIRfiD. NO CH9NGfiS WILL BE ALIAWED ONCE BOILDING PERMIT IS ISSOBD. MQLTIPLE DiiELLINCS - RFSIDENTIAL RENTAL OIiITS FOR SALE OHITS V INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIJRVEY - CHECK iIITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COLxMRCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULASIONS, $2,000 LANDSCAPE BOND I oF 4 To Be Used For: R?pA,&ut2 Valuation: Site Address 4372S CLLtv1SON Cij?tc?-? Lot 3!-S Block 2, Parcel/Sub qL&n.u ? ??? 4-o-6 Owner NUJ qLwWrvb'? ryi7'?Me C.Vn?c e Address Q6'X City/Zip Code Phone 420 - 39Do Contractor ?vr?2 Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone 0 q 00 On Site Sewage` MWCC System ? On Site Well City Water ? APPROVAiS Assessments Water/Sewer Police Fire Engr Planner Council Hldg Off APC Variance Date: 01419-7 Oecupancy R "3 Zoning P(J Type of Const (Actual) ? (Allowable) $r 1f of Stories Length 4-q- Depth Zl S.F. Total Footprint S.F. FEFS Permit '1'?7, So Surcharge '? L. Plan Review 165 SAC, City 100. SAC, MWCC 5251 Water Conn 5Z5, Water Meter ?ol, Road Unit 105. Treatment P1 1 Sp. Parks Copies TOT9L ,;:"T??iP?GY?? To?+??l?t?vSE V NAX 2(,,751 '!'?°• .S?e?t'qc?iu? HEAT LOSS CALCULATIONS HEATING& AIR C0111DITIONING CO. MINNEAPOLIS, MINN. Weatharstrip5 A.S,H.V.E. Conslruction No. InSUlaUOo IATi ndows Doors Guide Reference Out. Wall Int. Wall Ceiling Roof Floor Kird How Applied Yes-No Yes-No 19_ , PI.L?YIN(?? o=pRoom Length Width 1 2- Height ? FI. MASYFQ B`-OROan Length Q -W4dH' °'!. Height Wi ndows a nd Doors- Cracka ge and Are a Wi ndows an d Doors- Cracka ge and Are a No. N',d,h ol ana He, phl ol pane No. ol li his Lineal fp ol crack Area 6a. IL No' Hoiphe t f an E Nn. ot ?ihm L??eal fl. of crack Area s4• ??• ei ? 2. 2 ?- l ft ? A 2 21 1-7 1 ° a R 1 I? .2 2 b 1 10 ? Coef Btu Coe? Btu Inliltration 3 I -?t:f'3 Infiltration 2 ? ? ?? .?} O Glass Zq Glass Ezp. wall Ezp. wall 4O X. ?`'. str'?? Netexp.wall Netexp.wall f? 9• ??? -t rr.00'?' 1 Lt-7 222 Int. well ceiiin9 ?2- A 12 Z?,s ceiiing Ploor Floo. y ,otel etu. 5-1 -TOtel atu. 3 ? Required sq. ft E.O.R, or sq. ins. W.A. Leader area Required sq. !t. E.D.R, or sa. ins. W.A. Leader area . FI. IN?N( Room Length 1 3 Width Height FL 'Gv2+llq4m Length ? 5 Width 1Height Windows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea No. W?d?p oF ane Meiq?t ol Oane No. 01 I. hls Lineel ry. of C?BC k Aeea sV• f1• N?' W???p l ana o H?uq?l o1 ann No, of k hm l,oeal fL o/ crack AraO sa. f ?l ^ G Coel 8 tu Coei B tu Intiltr0tion 10 22qo Infiltration 3??? !?? Glass ? 50 A(3U O Glass ` Exp, wall ;rC Exp. wall I?. X,- Net exp. wall ` Net exp. wali -7) Int. wall ' Int. wnll Ceiling ? K? s Ceiling «Q ?f c Floor Floor Total Btu. rj Totai Bfu. 32-1 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 FI. Y Ropm Length ?? Width ? Height flpwn Length Widlh ? Height`"Xy Windows and Doors-Crackage and Area W indows a nd Doors -Crack age and Ar ea N.. ??tl,h o ane Hei ht Of pxne No. ul li h[e Lmeal fc. ol crack Aea SC. fL No' W,hip ol xne H' ahl ul OAna Na a1 b hIS Lineal ry. ai eraek Area 94• tim Coe( BW Coef Btu Infiltration Infiltration Glass Glass Exp. wall Exp. wnll Net exp. wall Net exp. wall Int, wall Int. wall Ceiling 112-k1-1 F loor 2iO _Ceiling f loor 7: ?.Z. Total Btu. Total B[u. Required sq. It. E.O.R. or sy. ins. W.A. Leader area E? RpquireJ sq. (6 E.D.R. or sq. ins. W.A. Leader area r ? ? Cjee. ? Sedgu? ?HEAT LOSS CALCULATIONS HEATING 8t AIR CONDITOONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insula[ion Nlindow5 Doors Guide Heterence Ouc. Wall Int. Wall Ceiling Rool Fioor Kirxl How Applied Yes-Na Yes-No 19__ iFl. rQ Room Length ?Q Width Height FI, Room Length Widlh Height Wi ndows a nd Doors -Cracka ge and Ar ea Windows and Doors-Crackage and Area No. WiAth of ana Heipl, of pene No. ol li hts Lineal Ic. ol crack Areu sa. h1, No yy{q?p ol ene Haipht ol ana Nn. ot 1i Ms Lmeal le. of vack Area sa. lt• z a. 2 a? ?? Coef B tu Coef 8 tu Iniiltration ?Q 760 Inliltration Glass g(-,o Glass Exp. well x T ExP. well Net ezp. wall 2 Q Net eKp. wall Int. well . Int. wall Ceilin0 Ceiling - Floor . 10 JC (,y-7 Floor raai em. 3 -,utai etu. Rgquired sq. (t. E.D.R. or sq, ins. W.A. Leader area Required sq. ft. E.D.R, or sq. ins. W.A. Leader area FL ? f\YVS,` Room Length jL, Width 11 HeiBht FI. Room Length Width Height Yii ndows a nd Doors- Cracka ge and Ar ea Windows and Doois-Crackage and Area No. w'd,h of enB Haioht 01 ane No. of li hte Lineal It, of cra[k 4rea +q. 11. No W???p of one Nx?qM nf ann No. ut h Ms l.neai 4. af crack Area aq. ft. Coel Btu Coef Btu Intiltretion 11? 2a23 In}iltretion Glass N DOQ Glass Exp. well Exp. wall Net exp. II 2 4.1 f 1 Net exp. wal I ?u f ?U '?2 Int. wnll Ceiling Ceilinp Floor ZX ?( 4"j ? ? Florn Totel Btu. Total Btu. Required sq. (t. E.D.R. or sq. ins. W.A. Leader are. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Length 13 Width Height FI. Room length Width Heieht Wi ndows a nd Ooors- Cracka ge and Ar ea Wi ndows a nd Doors -Cracka ge and Ar ea NO' Wltlth ol ane Ha.qbt ol p»ne No. o/ li ??s Lmeal t?. of crack Aea Sq. 11. NO' Win1? UI one IO;aM1t of anw Na ol b h}5 Linexl IL 0f craCk Area ep. N. Coef B m Coel B tu Inliltration InlilNPtion Glass Glass Exp. wall Ezp. wnll Net exp. wall 7xp S'y e4.f Net exp. wall Int. Wall Int. wnll Ceiling Ceiling Floor 7? 1 C3 1 WS -???- Floor ------ Total Btu. Total Btu. Required sq. It. E.D.H. or sq. ins. W.A, Leader area Roquired sq. It. E.D.R, or sq. ins. W.A. Leader erea CITY USE ONLY 430i5O LOT "),A) BL PERMI'I' #: scrBn. Ne, TrQi?s of AomuS Lqk RECEIPT #: i D-7 d RECEIPTDATE: q'--jC) 2000 MECHANICAL PERMIT (RESIDENTIAI,) Date: ` 19 -W Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not ownedoccuoied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BN • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Complete this section onlv if you aze remodelins. addin?to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New ? Alteration _ Furnace _ Air exchanger Reminder: Cal! for inspections Repair _ Other ? Air conditioning Other Fee $ 30.00 State Surcharge 0 Total $ 30.5 SITE ADDRESS: ?I :J I l? CJ l,l ems? n G r OWNER NAME: V I I? ?D I I Vr r Pxorre a: 110 51 - NL21- 87 9 `AII,??^^?j^?y (AREA CODE) I"?Uq?Y iNSTALLERNAME: VvI?rIIP,? ?CliU.lY1?.SICl1?'/ 1!? PHONEli: ?p?2 -H? STREET ADDRESS: C[TY: CITY OF &AGAN 3830 PIIAT IQ108 RD EAGAN TN 55122 651-681-4675 STATE: WIQ_ ZIP: c I Z COMMERCIAL ? 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 /a 'Y, o4-s Foundation Onl New Construction Interior Im rovement • Shuctural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • SVUCturel Plans (2) . Code Malysis (1) " • Certificate of Survey (1) • Civil Plans (2) . Project Specs (1) • CodeAnalysis (7) . LandscapingPlans (2) . KeyPlan (1) • ProjedSpecs (1) • CodeAnalysis (1) . Master Exit Plan (1) • Spec.insp.&TestingSChedule . CertifipteofSurvey (1) . EnergyCalculations (1)notalways"' • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lightinq Fortn (1) notalways" • Meter size must be established . Meter size must be established • Meter size must be eshablished - if applicable • PrqedSpecs (t) 1 • EnergyCalculations (7) •' y 1 • Electric Power & Lighting Form (t) y • Master Exit Plan (1) L 1 • Emergency Response Sita Plan (1) 1 . soilsReport (1) y • MGES SAC determinaGon letter . MClES SAC determination letter . MGES SAC determina6on letter call 651-602-1000 call 651-602-1000 call 651 -602•1 000 ruuu a ueveraye or iooging raaunes - suomrt pian to MN uepartment ot Health. Call 651-215-0700 for details. Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: D? WORK TYPE: _ NEW ? REMODEL CONSTRUCTION COST: ((?/ ?W? U V SITE ADDRESS: TENANT NAME: L 3 3 1 3'413 s, SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK I `raN ? PROPERTY OWNER Name: Phone #: (962 ? 15 a5g Sheet Address: (7k6 ? 0 N U M ) V OY - :Zi( .1 ?u "? 4 City: l? ? State: Q _J Zip: Company: !?/ ? Phone (?, CONTRACTOR Street Address: Ciry: Last ARCHITECT/ ENGINEER Company: Zip: Licensed plumber installing new sewer/watar - ?»,4 -?Wl State: " 0 Phone #: ? Registrarion #: State: Phone #: ( Zip: I hereby acknowledge that 1 have read this application, state that the information is correct, and agree o co? ply ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: (, Updated 7/02 Name: Street Address: City: vo / ? / O J U ?^o ? U 0 0 u 3? _a O N a a M Y/ N ? W/o. Oenotes Walk-OUT ?1174 3p,oo,? N o (9 74 30.00 ?v U Deno?_es t,lou - Wo.uccuT O Denotes Iran Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation (000.0) Denotes Proposed Elevation 4- Denotes Direction of Surface Drainage 'o N e417 Z ? O I ? r W o ? M ? v a: !n e ? Proposed Top of Foundation Elevation= Proposed Garage Floor Elevation= y39.s Proposed Lowest Floor Elevation= 940.0 I hereby certily that this is a true and correct representation of a survey of Me boundaries oF. Lots 33, 34, 35, and 36, Blcci; 2, 'PHE TRAIIS OF THOMAS LAKE, Dakota County, Mi nr.esota . 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 direet supervision this 12th day of Januarv , 1g87 , Paul A. Jchnson Land Survevor. Minn. Rea. No. 10938 ? CCOMBS-KNUTSON ASSOCIATES, INC. GOMSYli1Ni FN61NilA! 0 4Mp fUIlYET011i 0 Slff It1NMtlp WMNF1VOLp Yy NUTCMINSON,MINNE[OTA ;=' 46 1 CERTIFI for F SURVEY •1931 NEW "ORIZON NOMES IYJC. 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION 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 X 3 0. 5? Date v / J-?K Site Address ???a-? ?P.v?'1?PyY1 ?( (? Unit # Property Owner Telephone #(bs Contractor STANDARD NEATING 8 AIR CONDITIONING C0. Street Address 410 WE$T LAKE STREET City MINNEAPOLIS, MN 55408-2998 State 812•8242656 Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner ?? Contractor _ Other Add-on or alteratiou to existing dwelling unit $ 30.00 x furnace _Additional ? Replacement ` air exchanger airconditioner _New X-Replacement other State Surcharge $ .50 Total $ ?Q •?? 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 with the Mechanic odes; nderstand this is not a permit, but only an application for a permit, and work is not to start with a t; that e wor ill, e i accordance with the ap ved la in the c rTMQ4 which requires a review and approval plans. ?? - ?._ Applicant's Pr' ted Name ? Applicant's Si le E u4j ? JU! 0 1 7005 ? ? 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Roed, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Naw camwdim aequ:ements 3 rc9ift ak siweys shwnn8 4 1L MIW. W. R of house; mM g raofed areas (20%maxLnum lot owerage akxed) 7 Soas Repat ff pmposed dddmg is to be-qacad m QaWr6ed sod 2 00pies of plm slawmg bewm &wuidowsmes, poured fwiM design, etc. 1 set d Energy Celadetiais 3 apies of Tree PmservaGm pen ff 1ot platled ellr 7ry193 Rim Jdsl Detal Op6ons srJec6m sheet (hutldngs wilh 3 or less unit5) Mmnegasco mechenicel vafhla6an tam ReanodeVRensir Remuranaib ORioe Use OMv 2mpiesdplenslrowLg(odiigs,beams,joiss CertofSwveYRecd _Y _N iset ofEnegyCelwlatiamkrhee4edadditlons _ Sals Repat _Y _N 1sb aeveytore?'ih'ms&Uedm TreePresPFanRecd _Y _N, Add'hal-inrd'cahifm-s3eseW ayslem TreeWesReqidred _Y _N On#eSepticSysOam -Y -N Plans are considered pubiic information unless you state they are trade secret and the reason. Date r/ dc-/o-7 Conshvction Cost d (96 c7 d ?- SiteAddress ?Z 3 /O - Y 2 !O /R - !V, 3 /,) - 5( ? UniUSte # G/ c.n.. 41-6 .1 i rckwre? Descriptan of Work E5- 6 0-ri AL el, q 1, l r/?fa t !r F-, ? f Ma1H-Fsmily Bldg V Y _ N ISreplace(s) _ 0_ lr _ 2 Properly Owner a ? o n.. c S L<ICc Telephone #(( '-j 1) L 4 S' 7? ? O coRtractor L r --?-? ?40 S ,li C? . Addrevs . 0 • 5 tr'e City 8L(rlI.JSU • I tQ State rn(J . Zip Tdephone # (9$ 4 !/ 3C- 'e7;) / COMPLETE THIS AREA ONLY IF CONSTRUCTlNG A NEW BUILDINC, Enargy Code Category - Minnesota Rul? 7670 Cateeorv 1 _ Minnesota Rules 7672 (? SuC?Nsslon type) ' ResideMial VentHation Category 1 Waksheet • New Energy Code Worksheet SubrNtted Submftted • Enefgy Etrvelope CaICUWHam SWmitled In the last 12 months, has the Cify of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master pian: Licensed Plumber Telephone #( ) Mechanical Confractor Teiephone # ( ) Sewer/WaterConhactor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the informaYion is complete and accurate; that the work wi[l be in confotmance 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 applicarion for a permit, and work is not to start without a permit; that the work will be in acwrdance with the approved pian in the case of work which requires a review and approval of plans. ApplicanYs Printed Name L,-,6- ,cC 3 p-? Y APPlicanYs Signature i Use BLUE or BLACK Ink For Office Use--------- , ~~t j Permit 1 I j Icy of Eap I Permit Fee: c, 5- o~ 3830 Pilot Knob Road I I Eagan' MN 55122 I Date Received: Phone: (651) 675-5675 I I I Fax: (651) 675-5694 1 Staff: all `___-_____U______J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ((fit f ( ~f 3 0-13 lo~~Ytt SO,U 6~_Unit Name: !P-a[ of Ao!✓4 A S ~l,-/ 14,L /9 M /'1 Phone: Resident/ Owner Address (City /Zip: Applicant is: Owner Contractor I Type of Work Description of work: K~Qee pf ~t,0IwJ - Construction Cost;_ v _ r.____.~_l~Qulti l amity ~aitdrflg~ {~`es / No-~-- ` L8 h vL Company: Contact: I Address: Ci3 ,Gfaf.a'16 _4.r0f,, City: Mo L i Contractor ~ Ylr1~n ~ ~ra~- State. Zip: Phone:" NAT.- Lead I Liserfse#:- - - _ e i ica e . If the, project is exempt from lead certification, please explain why: (see Page 3 for additional information) D &1'v,,I~ - 5 f COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 l understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi Code must be completed within 180 days ofpermit~,issuance. x-1162~ V`t 1e x Applicant's Printed Name Ap 'cant's Signature Page 1 of 3 ii u PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174448 Date Issued:01/27/2022 Permit Category:ePermit Site Address: 4310 Clemson Cir Lot:33 Block: 02 Addition: The Trails Of Thomas Lake PID:10-75865-02-330 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nancy E Ness 4310 Clemson Dr Saint Paul MN 55122--481 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature