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4314 Clemson CirDATE: 4/27/91 RECEIPT: 100945 43 16 CLEMSON CIRCLE Unit # Permit # 12963 L 40 B 2 Sect./Sub. THF. TRA7L.S OF THOMAS L.AKE L 3 7-4 0, B 2 CITY OF 'EAGAN Nd FUR SALP T.'-i. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 M80 PHONE: 454-8100 BUILDING PERMIT Receipt # ?To be used ior 1 OF 4 PLEX Est Value $64,000 Date FEBRUARY 5 19 87 Site Address 4316 Ci.EMSQN CIR Lot ¢0 Block 2 sec/sub. TRAI Parcel No. THOM . M„„e NEfn7 HORIZON I'_ORiES Z o Name SP1tE 0 ? Address ~ City Phone Phpne I hereby acknowledge that I have read this application and state thatthe information is correet and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 5ignatUre o1 Permittee A Building Permit is issued to: NEW HORIZON HOMES all work shall be done in accordance with all applicable State of Minneso ( R3 Erect 5 Occupancy Remodel ? Zoning Repair ? Type of Const. V Addition ? No. Stories Move ? Length 44 Demolish ? Depth ?? Int. Impr. ? Sq. Ft Install ? Assessment _ Water & Sew. Police Fire Planner Council Bldg. Off. APC Var. Qate Permit '' ? • • • -"' Surcharge 32.00 Plan Review-l??s SAC 625.00 Water Conn. 525.00 Water Meter 67-.00 Road Unit 305.00 Tr. PI. 180.00 Parks Copies r .25 Tota! , on the express condition that City of Eagan Ordinances. - - - - - ? V - -- -? ? - - __? I I WrmN No. I Permit Nolder I Date I Telephone M I ? 'RoughHtg. II31Z?/?F7 I e%. ?1 (I G., s .c.at n,r ;?t s'"- //6 "-- G-'. le. I 9_ Finsl Occ. Dfep. PLUMBING PERMIT ? ". CITY OF EAGAN 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 Block Sec/Sub m Name ? Address c City Phone ? Name 3 Address O City Phone i 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 - $20.00 STATE SURCHARGE PER PERMIT - .50 j(ADD $.50 S/C IF PERMIT PRICE GOES PERMIT t1 ?? 5?0 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 - $3.00 Kitchen Sink - $3.00 V Urinal/Bidet - S3.00 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. - S10.00 Rough Openings - $1.50 FOR CITY OF EAGAN ` FEE --` ? ? STATE S/C: -? GRAND TOTAL• - ? t J MECHANICAL PERMIT . ' CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ TRACTPRICE: PHONE:454-8100 - Name _ m Address c City - a? c 3 O Name _ Address City _ TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuUets # Other J2 M BTU M BTU M BTU M BTU CFM ? BLDG. TYPE WORK DESCRIPTI Res. ? New lk? Mult Add-on Comm. Repair Other ON ? 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 TaWNHOUSE & 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) FEE: ?i S G r' S/C: SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN L 37--40, e BUILDING PERMIT Receipt # To be wed tor 1 OF 4 PLEX Est value $64,000 Date FEBRUARX 5 ,1987 Site Address 43 14B CL}?'?,MSUN t; I A Erect ? Occupancy tj 3 Lot 38 Block 2 Sec/Sub. TRAILS OF Remodel ? Zoning Pa Parcei No. TfIOMAS LAKE Repair 0 Type of Const V Addition ? No. Stories F Move ? Length 94 a Name NE W HORIZUN HONi S = Demolish ? Depth 77 ; Address P. O. HOX 1367 ? o _ ..... .. . -, ., -.., ., ., Int.Impr. - Sq.Ft o Name SAil-IF Approvi -c Address Assessment _ City Phone Water 8 Sew. ? a Police ? W Name Fire Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry o( Eagan Ordinances. Signature of CITY OF EAGAN t? 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 131?f r 8 PHONE: 454-8100 r' Eng. Planner Council Bldg. Off.- Var. Permit ? 377.50 Surcharge 32.00 Plan Review 188.75 sAC 625.00 Water Conn.525• 00 Water Meter 67.00 Road Unit 305.00 Tr. PI. 1$0. 00 CopieS rotal . , . • 2 5 A Building Permit is issued to: N =+w nvtc 1 1jviv nvi^r.a on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ' I . w.mn No. Pemdt How.r wt• re1.p1?oe.1i Plumblop J ,•-.vt , ;J, / ? H.v.A.G ElseMc ? ^.( ! ' ? ' Y ? ?• , ? ^y/£? S7 8oMMer InspoeUon Date Imp. C ommants Foodnys I Footlnys II Foundetbn Fnminp RooHny Rouyh Plby. Rouyh Nty. Iraul. / FMoplaco I' Flnal Hty. Find Plby. - ? Bldq. Final Cert. Occ. ,L e o k f'o ? ?; a o n -f %??- l4 c cr ?"/ u Dock Ftp. Dock Frmy. WNI Pr. Disp. . .. "? .. . " , . , ... . . .. _ _ . . . ?,. . ? PLUMBING PERMIT ` CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 :T PRICE: PHONE: 454-8100 Sec/Sub ? rvan ? Add c City Name ' . LZ ,' 4 - 1.,. 3 Address A ? 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.d0 MINIMUM - COMM/INQ FEE - $20.a0 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF FOR: CITY OF EAGAN PERMIT 1t _ S/ g 9 RECEIPT # ZG'CO 62, ? DATE: -A ? FEE L STATE S/C: GRAND TOTAL: ' BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FiXTURES TOTAL Water Closet - $3.00 S Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 ' Kitchen Sink - $3.40 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 PERMIT) Softener - $5.00 Well - $10.00 Private Qisp. - $10.00 _ Rough Openings - $1.50 MteHANICAL PERMIT , ?,•,• R - ? RECEIPT # ?X? ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PNONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION ? Lot? Block ? Sec/S b Res. ./ New -? I ? Name 4D GWICK HTG. & AIR COND. 'V Mult Add-on ? ? Addr 8910 WENTWORTH AVE. SO . Comm. Repair i S ? ess Cit MINNEA?% N1?' Other ? ? y 881-9400 FEES ? Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) 50 EA ; GAS QUTLETS (MINIMUM 1 PER PERMIn - 1 . . ; TYPE OF WORK COMM/IND FEE - 1a/o OF CONTRACT FEE Forced Air ?s? M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. ? M BTU MINIMUM COMMERCIAL FEE - 20.00 ? STATE SURCHARGE PER PERMIT - .50 I Vent CFM q (ADD $.50 S/C IF PERMIT PRICE GOES ! Gas Piping Outlets # _L $ /• sU BEYOND $1,000) - Other ? FEE: u . S/C: • G SIGNATURE OF PERMITTEE ? /1't?(,?? ? TOTAL . _? FOR: CITY OF EAGAN 37-40? B z CITY OF EAGAN 3930 pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 iy 2 13177 PHONE: 454-8100 BUILDING PERMIT 1 flF 4PL,Ex Receipt # 7o be uaad ior Est. value $64, 000 nAt„ FEBRUARY 5 ya 87 . SiteAddress 4J14 CLGNSUN CIR Erect lj? Occupancy rC3 Lot 3 7 Block 2 secisub. T-RAILS OF Remodel ? Zoning • ? ? Parcel No. THOMAS LAKE Repair ? Type oi Const ? Addition ? No. Stories a Name ?y??1 HORZZON Fi0'.•iL?S Move ? 44 ?ength i P.O. BO`'C 1367 Demotish ? Depth 27 3 Address :;PLS 420-3900 ° Ci Int. Impr. ? Sq. Ff ty phone Install 0 o Name 5WE Approvala ? ¢ Address Assessment ~ City Phone Water & Sew. m F W Name- ? a Address x i W City - I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and Ciry ot Eagan Ordinances. Police Fire _ Eng. Planner Council Bldg. Off. APC . 5 Permit :' 377 Surcharge 32.0 Plan Review 188.7 SAC 625.0 Water Conn. 52 5. 0 Water Meter 67. O G Road Unit 305. U Tr. PI. 1$0 . J Parks ie Signature oi Permittee Var. Date CopTotal , 30Ur. 2 A Buildin Permit is issued to: ?'?? ?nR I ZUN HOMES 9 on the express condition that all work shall be done in accordance with all applicable State qf Minnesota Statutes and City of Eagan Ordinances. Building Official -- ? ? ? Prrmk No. WrmR Moldw Dab TNsphone N Plumbinp H.V.A.C. C ? ei.ctric X'?bc c san«». Inspectlon Dsb Insp. Commenh Footinga I Footinys 11 Foundatbn Fnminy Rooflnq RouphPlby. Rouph Htp. L%. A. Inwl. ? J B FIrePlace 4re a?Gc'f'rvct-e.. S'.zJ-F? ? . Flnal Htq• A 1 L fJ - FMsI Plbq. .?' ? • Bldq. Final •i-?? .87 t? b- '?? ? ? GA. Oca ?_ iz y"7 G: , ?* • Lo. ?k vr a n ?. ? r. 4q? G rr .A tr Dock Fta. Dack Frmp. w.n Pr. Dbp. ' CONTRACT Site Address Lot ? Name - ? Address _ c City Name c Addre 0 Ciry - Phone Phone FEES COMMIIND FEE - 196 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 .1r ? FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN ? 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: - '? PHON E: 454-8100 ? BLDG. TYPE WORK DESCRIPTION SeciSub Res. New ' ' ?-- Mult. Add-on . ? • Comm. Fiepair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING NO. FIXTURES TOTAL Water Closet - $3.00 5 Bath Tubs - $3.00 " - Lavatory - $3.00 + 5hower - $3.00 Ki?chen Sink - $3.00 -- UrinallBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PEH PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 _ Rough Openings - $1.50 FEE: - ? ? STATE S/C: GRAND TOTAL: CONTRACT PRICE Site Address ' ' Lot 7 r. Block l ?- ' ° Name SEF3( - Address gc c City Name c Address I O CitY TYPE OF WORK Forced Air Boiler Unit Heater , Air Cond. Vent Gas Piping Outlets # Other ' ' RECEIPT # s CITY OF EAGAN . 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ PMANF• A5A.NYfIfl Phone ?U MBTU M BTU M BTU MBTU -T CFM FEE S/C: TOTAL• BLOG. TYPE WORK DESCRIPTION ? Res. ? New ? Mult Add-on I ? Comm. Repair j Other ? FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M 8TU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 7.50 EA. COMM/IND FEE - 1ai6 OF CONTRACT FEE APT. BLDGS. - CdMM. RATE APPLIES 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) r`y ? 07Y i C?s .?? [l1?Gc =l?_ SIGNATURE OF PERMITTEE--? a FOR: CITY OF EAGAN Fox SALE T. A. CITY OF EAGAN N. I;, 7 - 4 0,? t { 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `r -- 13179 PHONE: 454-8100 BUILDING PERMIT Receiqt # To be used for 1 ON 4 aLI::X Est value $64,000 Date r'EBRUAf2Y 5 19 87 SiteAddress 4316B CLEMSON CIR Erect ? Occupancy R3 Lot 3 y Block 2 Sec/Sub. TRAILS OF Remodel ? toning pD Parcel No. THOMA?S LAKE Repair ? Type of Const. ? AddiGon ? No. Stories m NEi? HORIZON HOt?i?•S Move ? Length 44 = Name T Demolish ? Depth 27 o Address ?' •O. BOX L367 Int Impr. ? sq. Ft. ciry r'ir'LS Phone 420-3900 Instau O o Name SAME Approvals = 0 ¢ Address Assessment '' Ciry Phone Water 8 Sew. ? ¢ Name Police ? = Fire u Address Eng. = ? W City Phone Planner Permit -e -:!' ' • -"' Surcharge 32.00 Plan Review 188 . 75 ; SAC 625.0t1 Water Conn. 525.00 Water Meter 67.00 Council Road Unit 305.00 I hereby acknowledge that I have read this applfcation and state that the gldg. Off. Tr. PI. 180.00 information is correct and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature ot Permittee Var. Date Copie Total ' ' 2 5 A Buildin Permit is issued to: NEW }iO?t I ZON HOIf1FS 9 on the express condition that all work shall be done in accordance with all applicable St4te of Minnesota Statutes and Cily of Eagan Ordinances. PermN No. PMmit Holda Dats Telephone N Plumbin? H.V.A.C. electrk 7 soltsnK InspeeUon Date Insp. Comments Footinys I FooHnqsll Foundafion Framiny ? N. 7 ? 9• Roofiny Rouyh Plbq• Rouyh Hip. .jl L' A A i Gc 7` 0 6.1 i ti?r- L? .? InwL 9 Z_'2 Fireplsee / Final Hty. -/3• g ? ?', Fxnal Pbg. -yi ? , Bldy. Final J?- /y''? L. Cert. Oca Doclc Ftp. Daclc Fmq. WNI Pr. Dimp. PERMIT # ?? 7 1 • ? ? : PLUMBING PERMIT CtTY OF EAGAN RECEIPT # ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site Address Lot Block ? Name 19 Address ' c City ? Name ; Address I O City Phone FEES COMM/IND F?E - 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 BIDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. • Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ 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 - $300 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 , Rough Openings - $1.50 I SIGNATURE OF PERMITTEE^ FEE: ' STATE S/C: II FOR: CITY OF EAGAN GRAND TOTAL: -` ' ` - - - --- -- _ - - - - - - PERMIT # : +?" MECHANI"4AL PERMIT '-?/ ? • ' ' ? RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address `" b", 4i BLDG. TYPE WORK DESCRIPTION Lot Block ,?-- 1 ? Sec/S J`" ? ub Res. ? New " _ a .• Mult Add-on ? Name eE) • Comm. Repair ? Address R9 1(] wFAITWnor u Al °"' ^ /C ? ?° . h O c City MINNFaPnif98Q?. er t g1glAnnn ,• FEES L Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 39 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT 1 EA ( - ) - .50 . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU " APT. BLDGS. - COMM. RATE APPLIES B il It TOWNHOUSE 8? CONDOS - RES. RATE APPLIES er o M 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 PER PERMIT - .50 Vent CFM PERMIT PRICE GOES Gas Piping Outlets # ? / BEYOND $1 ppp) Other $ FEE , S/C: • ?? SIGNATURE OF PERMITTEE !r ?'?7'zLiC.i TOTAL• FOR: CITY OF EAGAN ! SEDGWICK HEATING AIR 169DI?IONING O HOUSE HEATING TEST RECORD ADDRESS ?1r17.`?J CITY ?? CF si -?- OCCUPANT_ °`' 0 WNER ' HEAT LOSS DATE HTG. INST. + SOLD BY INSTALLED BY? C% Electrical Work By ' Gas Line By _ ?• °C"z' yo TYPE OF HEAT GA_ FA ' H1N_ STEAM SPACE HTR. UNIT HTR`. OTHER G,AS DESIGN CONVERSION MAKE MAKE OF BURNER -?- Model Model Serial Max. BTU Rating ` INPUT n[') U MAKE OF FURNACE ? W Model Valve Limit Limit Setting Fan Setting Pilat Type -?-/?! , ? c ? Pilot Make ti Pilot Model S Pilot Timing - -zf s a 'k L.W. Cut Off <Pressure Percent COZ Input CFH Percent OZ .2 c'/-o_ Stack Temp. Percent CO fi-`n n-'C CONTROLS THERMOSTAT / Heat Plug ??. . Vent Size KIND OF LINER ? SIZE NONE Draft Hoad ?Regulatar Filters Size Number Chimney Location Inside ? Outside Chimney Construction f =' Smoke Bomb ? Wiring Draft ? TestTag Door Pressure ? Lighting Inst. I(74 , ?. Date Tested Company Testing ?? Name of Tester ,??-= -• ?' Form 235 SEDGWICK HEATI?- ? ,?? ?? NG 8 IR C?O ITIO?IIN HOUSE HEATING TEST RECORD ?, ?/i ? ADDRESS 14 Sc} CITY Cr-i N OCCUPANT /bP ? OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY ?r ? t S Electrical Work Bv _ fJ Pi, r Gas Line By TYPE OF HEAT GA_ FQZ_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER > GAS DESIGM MAKE 'Model Serial Z& 2 INPUT C?UU CONTROLS THERMOSTAT 3V Heat Plug Valve '< L Limit - - < 1< II ?l ( , Limit Setting Fan Setting Pilot Type o - ? a Pilot 114ake Pilot Model 1 ?f r , Pilot Timing _ yLS ?rl, L.W. Cut Off Pressure , C4-, Percent C02 Input CFH ?ercent OZ Stack Temp. 2 SU ? Percent CO ?o X,< MAKE OF BURNER _ CONVERSION r-- Max. BTU Rating - MAKE OF FURNACE Model Vent Size KiND OF LINER SIZE NONE Draft Hood Regulator vl' 1' Filters Size jyumber ' Chimney Location Inside ?t O ide Chimney Construction ? ? " V, Smoke Bomb Wiring _ Draft - ? Test Tag Door Pressure Lighting Inst. _ ; Date Tested Company Testing Name of Tester Form 235 HOUSE HEATING TEST REC ? ADDRESS -? ? CITY OCCUPANT OWNER- HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY " Electrical Work Bv _ fV r Gas Line By _ ! C / S TYPE OF HEAT GA_ FA_X_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGIV CONVERSION MAKE 1 MAKE OF BURNER Model ? 2 t' ,4 L V(i < 0 Model Seriai ? IM9 Max. BTU Rating INPUT - s vCV0 MAKE OF FURNACE y? ?- Model (-???CONTROLS THERMOSTAT'°'? Heat Plug Vent Size Valve KIND OF LINER v SIZE NONE Limit Draft Hood kU Reoulator Limit Setting ? U? Filters Size Number ? Fan Setting Chimney Location Inside Ouoide Pilot Type Chimney Construction Pilot Make i ?? ? Pilot Model Smoke Bomb ? - / Wiring Pilot Timing Draft -? Test Tag L.W. Cut Off Door Pressure ? Lighting Inst. 4/ v ' \\ J Pressure L Percent CO , ) Date Tested Input CFH Z Uc { l-l Percent 0 1U°L_ Company Testing Stack Temp. 2 L ?U` ?" Percent CO -A-JU 4/51 Name of Tester ? F-ce q/q ti Form 235 CiTY QF EAGAN WATER SERVICE PERMIT 3830 Pllot Knob Road P.O. Box 21199 ?ERMIT NO: 41d7 W .?7E: "' f 1?1 R 7 Eagsn, MN ?11i ?O ? Zoning: No. of Units: 1 =it.11.n1ex Ownec Add ress: 4314B Clemson Cr L,38 82 Tr o os L SiteAddess: Plumber. Thom son m ? &" ' (?C? 525. Meter No.: ? ?o?inep ti ? - rge: ? l 15.00 R Size: ec,` s? '? s?1.I?wTP nt.C- c,a. . 10.00 T-?? fCl1 E8'l?t. " i?' . `JU I agree to comply with the?t ? n Sur g•?` Ordinances. r n ?7.?? meter 1on otat: harges: 180.00 t?? - gy T Date Paid: Date of Insp.: Insp.: ` ? -/- ? ? _ . -? -- - --- - - -- - - -- _ cinr oF EaGAN WATER SERVICE PERMIT 3830 Pilqt Knob Road PERMIT NO: P.O. Box 21199 Eagen, MN 55121 DATE: Zoning: No. of Units: , Owner. , Address: Site Addess: 43H , , , , „ . , T ijus . Plumber. Meter No • AT, ctian Charge: -OLB 5 _ 5. Q!] Size: 41 °G A}cc?0g9sit: 19.00 Reader No. •?' ?11 P??r1r?d , 10.00 I agree to comply wlth th ar[.Iarge: n Ordinances. ..., 1- e1 Mob/C 67.0D meter By Wl=? Date Paid_ CITY OF EAGAN SEWER SERVICE PERMIT ? 3830 Pilot Knob Road ? c q s P.O. Boz 21199 PERMIT NO.: ? Eagan, MN 55121 DATE: 2/13/c 7 Zoning: P'r, No. of Unitj unit 4T?lex Owner x?tw fiorizon Address: SiteAddress: 4314B Clemsan Cr 1,1 F B2 Tr of Thos I,k Plumber: 1 }1ompsOn 2/6/97 70SIO 1 egree to comply wBh the City of Eagan Ordinances. QY Insp.: 100.00 Gonnection Charge: ';2r r? E? Account Deposit: -I S ?'n Permit Fee: Surcharge: . ? ? Misc. Gharges: Total: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Kao? Road ?S{'ry P.O. &Dx 21199 PERMIT NO.: Eagan, MN 55121 DATE: 2! 1 ti/ 87 Zoning: R 5 No. of Units: 1 itriit 4pl ex Owner, New Floxazon - Address: Site Address: a ',14 Cl erison Cr L37 B2 Tr of Thos l,k Plumber. Thot!-Son ?'r 7 3 ;10 : I ayree to comply wNh the Clty of Eagan Ordinances. By ?- Date of Insp.: t? Insp.: lnn, 90 Connection Charge: Accounr Deposir: Permit Fee: SurCharge: - ? r Misc. Charges: Total: Date Paid: CITY 0Ft j"^•AN WATER SERVIC 3834 PIlof t_,iy„?i?pad?? ?,,?? 4 RMIT P.D.-7ox 27199 ? PERMIT NO.: EagBn, MN 55121 DATE: 2113/c j Zoning: F.3 No.ofUnits: 1 iznit 4r1eY Owner New Horizon Address: SiteAddess: 4316B Clemson Cr L3? B2 Tr of Thos Lk Plumber. T11om son Meter No.: O ft'6un Size: acl erge: ReNu.: h ? ?0 ??:,? I agree to comply wRh the Clty of?ioi`????????? ' •- Ordinances. ' ? ?effl?' ?? mer BY Date Paid; Dete of Ins .: Insp.: ' CITY OF EAGAN 3830 Pllot Knob Road P.O. Bax 21199 ` Eagan, MN 55121 Zoning: --P% pwner. N . Address: Site Address: .1 ? l Plumber. Til? I agree to comply Ordfnances. By Date ot Insp.: ? SEWER SERVICE PERMIT PERM4T 4V0.: No. of Units: 5'°t 7fl?,i , _ . the City oi Eagan 100.00 Connection Charge: ' . Accaunt Deposit: I-S 0. - Permit Fee: Surcharge: Misc. Charges: Totel: CITY OF EAGAN yVATER SERVICE PERMIT 3830 Pllot Knob Road ' I ",l <? ?) P.O. Box 21199' ?j( ??? y' F'?RMIT NO.: Esgan, MN 5512 ?`? i 1,?,. DATE: , Zoning: } No. of Unit§: `? P eX ?tie???? orizon nuui oao. 4-ilt) : cmson r, i 132 r o as ?on Charge: 1 agree to compty ?IPIE of Insp.: 64' g7 Date 80.00 -A 3830 PNo1 Knob Road SEWER SERVICE PERMIT P.O. Bor 21199 PERMIT NO.: Eagan, MN 55121 DATE: ?/ Zoning: 3IR7 1 No. of Unlts: ? tmi t 4-?] eY .? Owner: i'? ty i'.? • ,? --?-? Address: , '- Plumber_ Tho?p?on 2/6/87 795ln 1 agrae to comply wMh the Ctty of Eagan ' Ordtnances. 100.()0 Connection Charge: Account Deposit: . ? Permit Fee: Surcharge: ? Misc. Charges: Total: Date Paid: 3 0 3 2 9 2 IT OFFICE IISE ONLY This requesF void 1 B monlhe irom validation dale printed in Mis box. ? PLEASE PRINT OR TYPE Request Ckate Rough-in inspedion required2 0 Yes ?a spedion Other Than Rough-Ire Q Reody Now ill Coll ^?1 (You musl coll Ihe inspector when ready) Date Ready: I, Wricensed coniractor ? owner hereby request inspecFion of the above electrical work at: Job Address (Street, Box or Route No.) y 1 yb-e? r? . o,fl\ Zip Code $ection No. Township Name or No. Range No. Fire No. Counly Oowpanf Phone No. PowerSupplier Address y.3o ?p • ?(-, % m? E rical Conhncror (Company N me) Co octor License No. roster Lic. No. [WaM Elect. Only) ? Mailing Address (Conlrvdar or C3w er PerForming Insiallantion) $ignaNre (Conhn r e r Ppr{o ing Ins Ila'on) Phone No. _ \ ? 7a?-??o? EB-00001 A-10 6/9 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPV Home Duplex Apt. Bldg. Commercial Indushiol Farm Remod Re ait Air Cond. Htg. Equip. Woter Htr. Load Mgmt. Other: D er Ran e Elec. Heat Tem . Service "X" vbove the work covered by this requesf. Enter remarks in fhis space and on fhe back of the whife copy only. ?? ? •?? c?r r?.r oP ?'.?-?-msc)n flr. ??c,hnny ?ke y? Clalculate nspection F?is fnspec c; n tion Requesf will not be accepted without the correct fee: J ` KC? OHier Fee # Service Enirance Size Fee # Circuils/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps $Meef Lig./Tra{#ic Sig. Above 200 Amps 100 Amps Tr4nsformer/GenerOtor IHSPECTOR'S USE ONLY TOT $ign/Outline Ltg. xfmr. - Alorm/Remote Control , Swimming Pool ? I here fhat I ins describad herein on 1ha dates stdted Irrigation Boom rto?,yh-i i l I S • on nsped pecia Fi Dot Investigative Fee n ? ? THIS INSTALLATION MAY BE ORDERED DISCON D IF NOT COMPLETED WITHIN 18 MONTHS. I i ! REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity q 1821 University Ave., Rm. S-128 St. Paul, MN 55104 Phane (612) 642-0800 Other: New Addn ? :; ?--..?a•r-- ? CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DAT)E 19 R<CEIYED ! ,? . A $ ?Jc / _.., g DOl_LARS I oo o CASH o CHECK Thank You BY r- .0 White-Payers CoPY Yellow-Posting Copy Pink-File Copy , BLDG. PERMIT NO.=%' ?7? G ?; ' . ?- Zrae', i -C`"°"?`?•'.? ? •J.Y_ f , . 01-3210 Bld'g. Perrhit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge - 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. , 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL .y • ,? Thfs request void 18 months from C 7 3 3 4 7??7 req t Da?e Fire No. ouph-in Inspeclion ??// qu red7 0 Ready Nuw l Nntity I nspec- ? ? es ?No tor When Ready + ensed Electrical Contractor I heraby request inspaction of ebove ? Owner electrical work installed at: S r t Addr s, B x r Route No. i briue, r-LAQO_,._? ction o. e ownship ame or No. ange o. Coutity O c pant (PRIN 1 t4 Phone Na. Pow upplier Address Ele t' I Contractor ICompany Namei c ? ? C-1- Con actor's Licen e No. ? Mailinp AdJress IC tractor r wner Maki ng In tailaY nl ? Authorized re? (Co a r Ma W king I t t 1 Phon Number 3 MINNESOTp TATE BOARD OF EIECTRICITY Griqps-Midway Bldq. - poom N-791 1821 Univsraitv Avs.. St. Paul. MN 65104 Phonef6721642-OB00 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PNOPER INSPECTION FEE IS ENCLOSED. q/,,? ?3 /9 7 REQUEST FOR ELECTRICAt INSPECTION ? Ee-00001-05 , Sss instructiona for completirg lAis tp. pn paek of yellow copy. 7 -?7S C 7711 d 7 "X" Below Work Covered by This Requesr EYwwfAdd[ Nso•1 Type ol BueIdinO J Aoelionces Wired I Equipmeot Wired I Fes ServiceEntrenceSize p Fee feedera/Subfeedera # fee Circuita U to 200 Am s 0 to 30 Am s 0 to 30 AmL)s Above 2_Am )s 31 to 100 Amps 31 to 100 Amos Swinxnin Pool Above 100_Am s Above 100_Am • Transformers Irrigation Booms Partial Other ee L_ L I aigns ?special lnspection 1 emerks , TOTAL L 37-40, B 2 FOR SAIrr T.H. BUILDING PERMIT OF 4 PLEX fieceipt N ' 7obsusedlor EatValue $64,000 Date FEBRUARY 5 1B 8.7 SlteAtldreas 4314 CLEMSON CIR Erect [9 Occupency R3 Lot 37 Block 2 Sec/Sub. TRAILS OF Remodel 13 ZoMng Pn Percel No THOMAS LAKE Repelr ? TypeW Const.--V . Addltion ? No.9torlea Neme NEW HORIZON HO'KES Move ? 44 Lengm ? Addre P. O. BOX 1367 Demolleh I l ? ? , 7 Depth 3 Ft o ?PLS 420-3900 Gry Phone nt. mpr. Inatell ? q. Neme -- SAME ApProvi Addreea Aaseaement_ Clty Phona Water & Sew. Neme a Addresa a Ciry Phone I hereby ecknowledge thet I heve read thia appllcatlon and atete that the information ia correct end egree to comply wlth ell appllcable Stete of Mlnneaota Stetutes end Ciry of E an O dinancea. Slgnature o1 Permittee??t A Building Permit la IsauBd to: NEW HORI ZO HOPdES ell work ehell be dona in eccortlance with all appllcabla-6t6tgrCf Mlnneac Bullding Officlal 3630 Plbt Knob Ro d! P.O. Box 2G-A1 9, Eagan, MN 55121 N2 13177 PNONE: 454-8700 -7Os/v Police Fire Eng. Planner Council Bldg. Off. APC Var. Permit $ 377.51 Surcharge 32.01 Plen Revlew 188 • 7'. SAC 625.01 Water Conn. 525 . 01 WaterMeter 67.01 RoadUnit 305.01 7r. PI. 180.01 Parka Copie$ " Tnlnl Q y'? (? ?"(?"' • ZI I'- on the expresa conditlon Uat and 611y of Eagan Ordinancee. i5=) 7his raquest void -3147 18 months from (C 73350 r, 7/77S -- ss' slS: o 0 ction 1 Nntify InsPec- ?Fequest DatB ?J Pire No. ough'in Inspe ? I es p No fleadY Now ? . F] lor When ReaGy C7venseA Electrical Contrector 1 heroby request Inspection ot ebove wmk inatalied eY ?.,-e1 Str t Atldress? Boz,rn Hauteryo. ( /L ( I o cCitw C?.?-G? l t ecLOn o. Township Name or No. a^ee o. County O an[ IPflINTI Phone No. PowmSvODl.er Address - Electncal onbacmr (Company Name) n ? ?? CoM clors Lice?s N o C- ' ?llYI . ? Mailin Add ess IContr ctor or Owne Makine ??stailatio?) Authorizetl ntr tod •.pegr akine Instal ti P u Rcnll[cT wll l NOT MINNESOTA STATE BOARD OF ELECTNICITY Grig9s•MiCwaY eltlg. - Room N•791 1821 Vnivetsitv Ave.. St. Peul, MN 55704 Phona(612) 642-0800 eE ACCEPTEO 9Y THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. 87 REQUESTFOR ELECTRICAL INSPECTION ee-ooooi-os ? Sea inatructions tor camoleting this lorm on beck of vellow copy. r; n "X" Below Wwk Covered 6y 7his Requesl ana e.o. Tvva o1 euiieine noolioocss wtred Equiument Wired Home Range Temporary $ervice Duplex Water Heater 'Lightiny Fixtures Apt. Building Dryer Electric HeaUn Commercial Bldg. Fumace Silo Unloader Industrial BIAg. Air CorMitionQr Bulk Milk Tank F2rm Other Pem y IhP.rl$Vecityl I.! SNCGI Y if1Cf OIM11±! [.'-omoute lnsoection Fr.e Below A iee ServiceEntreneeSixe p Fee Faxders/5uhfeedere # Fee Circults 200 qm s 0 to 30 Am s 0 tn 30 Am e 200 qm)s 31 [0 100 Ainps 31 to 100 ArnM j mming Pool Above 100-Am s Above 100_Am ' sformers Irri gation Boom Pdrtial.'O s Special Inspection $ TOTA FE Pemarks ?,? ? ? ? i -V flough-in " ? ) , the EI / ' Inaoec?aq hawaby ?'l /i +? .,..:.i... . _ . ., .. `_. _ „'j? ,? inspaction hes been? Final `?i? I ? -%--• meAe. Thla requeet vold 18 monlhe Irom y F? 9 a- ?os s? 9 2 3 7 9? aa (3? Request Oaie Fire Ne , - ' Rough-in InspMion Requiretl? CIaOy Now ? Wdl Notify Inspattor ? Q G Yes o NcI When Reatly? Ilicensed coniractor ? owner hereby request ins ection of above electrical work at : Job A t Bwor Route No.) Ciry C4 ` f ?& i4t - ? V. 669 Sec,ion No. Townshi0 Nama w No. qange No. County a Occup? Phone No. PowerSupplier qddeu 'n J Eieclrical ConVaclor (COmpa ny Name) ('qnVanorS Gcens9 No. ? ? Ma ing tlress (COnlydctor of Own2r Meking InSWllation) Autnonzed Signalure 1 acloupwner Maxing Installation) Ppon NumOer y MINNESOTA STATE BOARD Of ELECTRICITY TMIS INSPEGTION REWEST WILL NOT GriggrMidway Bldg. - Room 5-173 6E HGCEPTED BY THE STATE BOAPD 1821 Univerelty Ave.. SL Paul. MN 55106 C 11NLESS PFOPER INSPECTION FEE IS PMne (611) 603-011100 ENCLOSED. ?REQUEST FOR ELECTRICAL INSPECTION EB-0oooi-0e ? See msVUClions tor comDletmg ihis lorzn on back ol yellow copy. }T ?4??! /O,JC ,g?W_. 53I?]9 "X" Be/ow Work Covered bV This Request 4? ew 0.Etl ep. - Typeof8uilding ' qppliancesWiretl EquipmeMWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Fwnace Farm Air Conditioner Other ?specity? Cqnvactar5 Remarksr Compute Inspection Fee Be/ow: ther ? Pool Fee ServiceEntrenceSize 0to 200 Amps Fee # Cireuits/Feetlers 0 to 100 Amps Pee ers Above 200 _ Amps gynvB 100 _ Amps tors Use Only MTAL -Z ooms W s ecti p on munication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certity that the above inspection has been made. Rough-in Final oa?e 7 OFfICE USE ON?Y This reQuest voia 18 monlhs irom --I f ` ' I ' Z ? !!1 J U ?O yO / W -j c9a5 0 ? 0 N 74°30. r - °0,,W ci u? 1O-7•02• o zv kl) P m ?9p N Li.ai 4 ? i 11 ,S? /1 ? 9 N? I il? 99 Pk1 p N I ? u? _" ",?? W q_?o,s o? 99 W 1p ? ? euj1.?I? N 7.fg? ?o !Il ? .5 uT ? '''' 3m'a.; ?sb 3006tiVl N ig ?UT/ € ?? ? `? p3 ? m, • (43V ?SeEM&;__Aj-raNAqE m 2 8? ?I ... y ' N 74 3p3o0"vv (07. 29 N .? z wto nervxtoIm weJx.-ouT / .FW Dw?zEa Fut-t- tJ?-Wtuxou'r 0 Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= _940.5 16--- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 941. O 1 hereby certify that this is a true and correct representation of a survey of the boundaries oF. L;it.a 37, 38, 39, and 40, B1cCk 2, `it,'E TP,AILS OF :HOMAS LAKE, Dalcota County, Minnesota. 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 ot the stakes as set for a proposed building. As surveyed _, by me or under my direct supervision this I 2th day Of ,Tarnuar?4 11987 Paul A. Sohnson Land Surveyor, Minn. Reg. No. 10938 CERTIFICATE OF SURVEY McCOMBS-KNUTSON ASSOCIATES, INC. fior t` CONSYIiItG ENBIN[l115 s W10 SUIIY[YORS a SIfE IUIIMLIIf FIlENO. ` MMNF/?Olif uq IWTCNIWON,AMMNEfOiA ?931 K1EL?1._140R1ZON...._NOMES..l1.1C. This reQues[ void - 7/7 ''?? 18 rcpn[hs 1wm Q 73349 Request Date Fire No. i ouph-in InSVer.lion /- ' e etl? DReaAy Now ill Notify InsPec- ?y 'Yes ?NO or Whe? Heady .? ??censed Electrical Contractor I haroby request insvection of ebove ? Owner elachical work instellad wt St eet Address, Boz or Aoute No. v Clt ? ecUOn o. Towns?ip Name or No. qang¢ No. Coumy O? cu1pnnt (PRINT) , Phone Nn. Iv??C? 1???-C'' ) r?Ylt°. Pdvaer SoD0lier. Atldress Elect cal Convactor ICOmvany Nartrel , CoMr :mr' cense N, a ? ` r_ t Mailinp AdJrass IC nire or r r Makin 1??0 (?'l In tailalio I S53 AutAOrized Si9?amre ICOnhac wner Makine Installatio Phone Number MINNESOTA STqTE BWD OAELEKiId}FF-P&'v L-F--YL.Yj THIS INSPECTIDN REQUEST WILL NOT Gri90s-Yidwey BItl9. - Room N-191 BE ACCEPTED BY THE STqTE BOARD 1821 Univaraity Ave.. St. Feul. MN 56104 UNLESS PqOPER INSPECTION FEE IS Phone(612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os , Sea instructions tor completing this torm on beck oi yellow copy. 71775 ? '7"33 4 9 "X' ' 6elow Wak Covered by 7his Request , 04.4&ddl Xeo. Tvoe ol BuilCine Appliancee WireA EquiVmenl Wired _ DuOlex F-water H¢ater M Lightfn,y Fixtures ? ? ? I I APt. BuilAing - Dryer Electric Heabn n Commercial Bldg. Furnace Silo Unloader rm ir Fee ServiceEniraveBSixe R Fae Feaders/SuEieeders N Fee Circuits U to 200 qm s 0 to 30 Am s 0 tn 30 An, Above 200 qmps? 31 to 100 Amps 31 to 100 A s Swimmin Pool Above 100-Am s Above 700_Am 5 Transiormers Irrigation Booms Partial.`Other aigns apeciai ?nspecuw?$ L (?/ TOTAL F a / flemarks ? ? -?_ i^ I, the Electricel ?-?p ?nspector, hereby certify Ihat the above tJ. "}q nspeetion hes Daen 7his reauest void 13 months trom 1? -7n Q r?4'1g: cC, ? ? V V Z V?l'?7 ?:??.'X ?"/.:i//?4_l/ '! //JH.'///, i..i i i ..? ? Req ...'- Fire No. -Re prtetlj ns0ection hhh...??? ?qead4 Nuwp?yYill NotifV Inspec- / ?-? T Y s ?No / lor When Feadv 'T'?'censed Eleclrical Conlractor 1 hereby request inspection of above wlwefrical work installed eL U G 5(r ...-1 et Atl.dr ss. Boa or ecUOn o. Townshi0 Name or No. Ran9e o. County Oc upnntlPRINT) _ Phone No. Pow Suo?ll r AAdress 1 c ?b . Fl cL?c ? Contrector (Companv Namel , s Licens No Con/?acmr ? Z? F"(? r1 Ma'line Add es5 IC ntrector or O ner Ma kinB I siailati 1 Authorized 5' u ConVa or r akIn0 nst II i Phone Number T?lV.I 111llI1f5T WI11 NOT MINNESOTA STA?TE BOARD OF ELECTqICITY Gripps-Yidway Bldg• - Noom N•191 1827 Univeraitv Ave.. St. Peul, MN 551UA Phone (612) 842-0800 BE ACCEPTED BY THE STATE BOARO UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee.ooa?o/'i-os ? See instrue\l?^s for completi?q this iorm on back ot yellow copy. ?/7/ S 7`7 A O "X" Below Work Covered by 7his Request Rep.l 7YOe ot BuilGing wi.ea Dupiv Wate Heater ri Lightiny Fixtures I .__ .,...?..__ n...,.. Elec[nc Heatina ? Buik [,o p mpure ?ns iee pecuw? ree oeiow Service EnVenceSize n Fee Faxtlers/Subfeeders k Fne Circalts tp 200 Am s 0[0 30 qm s 0 to 30 Ampr, Above 200 qmps?. 37 to 100 Amps 31 to 100 Am s Swimming Paol Above 700_Am s Above 100_Amps ? 77a ?7siormer5 Irrigation Booms Pdrtial. Other Fee aigns - - 5 TOTAL FE??1 emarks ?/ / Nough-in ? DO1e the Elechical Inspector, hereby certify thet the above Final 1e ? ?spectio? hes been /) ' 7?/ traea. /. ? Thb reGUest rma ln momm no... FoR sALE T.H. i CITY OF EAGAN N2 A? 13179 L 3 7-4 ? , A, 2 3830 Pllot Knob Rosd, P.O. Box 21-798, Eagan, MN 55121 PHONE: 454•8100 - 2 90 BUILDING PERM IT Recelpt k 6 7obeuaedror 1 OF 4 PLEX Eacvalue $64,000 Dase FEBRUARY 5 19 87 SlteAddreae 4316B CLEMSON CIR Erect 17- Occupency R3 Lot 39 Block 2 SecBub. TRAILS OF Remodel ? 2oning PD Percel No. THOMAS LAKE Repalr ? Type oi Conat V Addltion ? No. Storlea Neme NEW HORIZON AOMES Move ? Lenpth ? P.O. Addresa i BOX L367 Demollah I I ? ? Depth F S 2? ° city I"u'LS nt mpr. Phone 420-3900 Inateu ? q. t _ ? Name SP'ME $ ? Addreas _ Clty Phone w ? Neme Addreas g a ari_ anane I hereby ecknowledge that I have read this epplicetlon and state thatthe Information is correct and egree to comply with all appliceble tate ol Mlnnesota Statutea and City of Eaga Ordi nces. Signeture of Permlttee ? A Building Permit is iasued to: NEW HORIZON HO ES all work shell be done in aceordance with all applicable,Stefe of Minneanta Assessment Water & Sew. Polfce Fire Planner Council Bldg. Off. Var. Date Faas Permit +' " I .?V Surcharge 32.00 Plan Review 188. 75 5AC 625.00 Water Conn. 525e00 WaterMeter 67.00 Road Unit 305. 00 Tr.PI. 180_00 Perks Copies 25 Total $ 2 ,300. on the expresa condition that and City ot Eagan Ordinances. 8ullding Officiel rC-z-c- ? L 3.7-40 r SALE B 2 CITY OF EAGAN T H N2 13180 FOR . . 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE: 454•8100 -7 BUILDING PERMIT Rece iptp To be used lor 1 OF 4 PLEX Eat. Value $ 64 , 000 Date FEBRUARY 5 19 87 SlteAddresa 4316 CLEMSON CIR Erect Occupency R3 c TRAILS Lot 40 Block 2 ec/Sub . OF Remodel ? Zoning PD THOMAS Percel No LAKE Repelr ? Type of Const. V . Additlon CJ No. Stories Name NEW HORIZON HOMES Move ? Length 44 1 3 Address P• O. BOX 1367 Demolish ? ? Oepth? ? S F ° MPLS 420-3900 City Phone lnt Impr. Instell ? q. t g Neme SAME Approv+ Atldrese Assesament _ " City Phona Water 8 Sew. ?i E ?u Name z Addreas a Ciry Phone I hereby acknowledge that I have read this application end state thet the intormetion is correct and agree to comply with all applicebl Stete of Minnesote Statutes and City ot Eag Ordi r}ces. Slgneture of Permitt A Bullding Permit is issued to: NEW HORIZON H MES all work shall be done in accordance with all applicable State o1 Minnesol Poiice - Fire Eng. Planner Council Bldg. Ott. APC Var. Date Permit $ 377.50 Surcharge 32.00 Plan Review 188. 75 SAC 625.00 Water Conn. 525.00 Water Meter 67 . 00 Road Unit 305.00 Tr. PI. 180.00 Parks Copie Total 2,3 0. 2 5 on the exprese contlitlon thet Statutes?d Ciry of Eagen Ordinences. N r Builtling . Yu, 3 2 FOx2 SEI;E T.H. 6iADING PERMIT N° 13178 Receipt p Tobeusetlror 1 OF 4 PLEX EatVelue $64,000 pete FEBRUARY 5 1987 StteAddreas 4314B CLEMSON CIR Erect C?} Occupency R3 Lot 38 Block 2 Sec/Sub. TRAILS OF Remodel ? Zoning PD Parcel No. THOMAS LAKE Repeir ? Type of Const V AddHlon ? No. Storiea Neme NEW HORIZON HOMES Mova ? Lenpth 44 ? Addresa P• O. BOX 1367 Demolieh l l ? ? DepM 97 ° Clry MPLS phone 420-3900 nt mpr. I ll ? Sq.Ft nste Name SAME APProvab Addreas A8889Sment CIry Phone Weter & Sew. Police Name Flre ? Addrese Eng. g Clty Phone P18nn9f Council Permit $ 377.5( Surcharge 32.0( Plan Review 188 • 7`- SAC 625.0( Wetef Conn. 525- 0( Water Meter6Z, 0( RoadUnit 305_0( Iherebyecknowledgethatlhaveraedthisepplicatlonendatatethatthe B?dg.Off. Tr.PI. 180.0( Informetlon ia correct and agree to comply wNh all applicable State ot Minnesota Stetutea and Clry on Or nance's/? APC Parks 4 d' Var. Date Copie Signature ol Permittee- - ?? I a ??f y L, 3 U U- 2_ TOtal? A Bultdinp Permit is isaued to: NEW HORIZON HOMES on the exprese condlNon thet all work shall be done in accordance with all applicable,Btate of Minnesota,5tatutes entl Ciry o1 Eagan Ordinences. CITY OF EAGAN 9830 Pllot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 Bullding OMlciel & -z- _ f`Jenny S-?,4-T373 1987 BOILDING PERMiT 6PPLICATION - CITY OF EAGAN ? SINGLE FAMILY DWELLINGS I9CLIIDE 2 SEfS OF PLANS, 3 CSRTIFICATBS OF SQBYEY, 1 S8T OF ENEHGY CALCOLAYIOHS HOTE: ADDEESSES FOH CORNEH LOTS - CONTRACTOR/HOMfi01iiNER lIQST DESIGNASE WHICH ADDRESS IS DFSIRED. NO CHANGfiS WILL BB 9LLOWSD ONCS BQILDIDIG PERHIT IS ISSD&D. HULTIPLE DWE[.LINGS - AFSIDENTIAL RENTAL DHI2S FOR SALE OBIiS _y/ INCLIIDE 2 SETS OF PLANS, CERTIFICASB OF SDRVEY - CHECg iiIfH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CAMMERCTIL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 L9NDSCAPE BOND I OF q- To Be Used For: Ru&lmc,9- Valuation: $66,DCn,C)") Site Address 43I4 CQpnma? CVAc Lot 37 Block 2 On Site Sewage _ MWCC System ? Parcel/Sub II A On Site Well Owner City Water Address ?• ?. ?p k ?3??] City/Zip Code Phone 4 20 3qW ArraovALs Contractor /1&mrc u.n 0.,U-w-r Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Variance Date: I/a1) ?n Oecupancy 123 Zoning p D Type of Const (Actual) (Allowable) ? # of Stories Length 44 Depth 2"7 S.F. Total Footprint S.F. FBES Permit Surcharge 3Z. Plan Review I 8 S SAC, City _ I oo . SAC, MWCC 525 Wat er Conn S ZS , Water Meter (o-7• - Road Unit '2505. Treatment Pl l 5O. Parks Copies TOT9L -J3 60, S? 1'?? 13 /--? ? 1987 BUILDING PERMIT APPLICATION - CZTY OF SAGgN SINGLE FAMILY DWELLINGS ffiCLiTDE 2 SETS OF PLAN3, 3 CERTIFICATSS OF SQR9SY, 1 SET OF ENERGY CALCOLATIOHS NOTE: ADDEESSES FOB COBNEE LOTS - CONTR6CTOR/HOMEOANEH MUST DESIGHAiS WHICH ADDRESS IS DFSIRSD. NO CH9NGES i1ILL BE ALLOWED ONCE BITILDING PBRHTT IS ISSIIED. MOLTIPLS DWELLINGS - RffiIDENTIAL RBNTA[, IIpITS FOR SALE 08ITS V INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SDRVBY - CHfiCg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS cnMxnzucrat. INCLUDE 2 SETS OF ARCHITECTURAL & STR[ICTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND iof= 4 To He Used For: ko?ttg-L,-r, Valuation: Iate: IJ?l??7 .Qe Site Address 43IV, B C?r¢' lWer Ce?c?k OFF CE DSfi ONLY Lot -? g Bloek 2- On Site Sewage Occupaney (Z•3 _ MWCC System ? Zoning pD Pareel/Sub ?p.p ' j•?t? ?Q On Site Well Type of Const City Water V, (Actual) Owner '3A;s (Allowable) 7Z ' # of Stories Address P. ??, '??x 1 3(o-j Length y44_ Depth Z"7 City/Zip Code ryY?., "-n 55AAO S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor tu, [l.imv2 Assessments Permit ? Water/Sewer Surcharge ?52., Address Police Plan Review ISa.i-S Fire SAC, City IOU. City/Zip Code Engr SAC, MWCC S Z$. Planner Water Conn 525. Phone Council Water Meter b"j, Bldg Off Road Unit '?p5. Arch./Engr. APC Treatment P1 t SO, Variance Parks Address Copies ToxAL 3 0-0. S? City/Zip Code Phone fl / 1987 BQILDING PBRMIT APPLICAYIOH - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLi1DE 2 SETS OF PLANS, 3 OF SQ@VEY, t SST OF SNERGY CALCULATIOHS HOZE: ADDRESSES FOE COEAER LOTS - C06T@ACTOR/HOMEOWNER MUST DESIGNAYE WHICH ADDRESS IS DESIRfiD. Di0 CHANC,fiS NiLL BE ALLOWSD ONCB BIIILDING PERMIT IS ISSUED. MOI,TIPLE DiIEI,LINGS - RffiIDENI7AL RSNTAL DPITS FOR SALE OAIYS ? INCLUDE 2 SETS OF PLANS, CERTIFICA4B OF SDRVEY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONMRCIAL INCLIIDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, Y $2,000 LANDSCAPE BOND I D i= 4 To Be Used For: Rp,? ijQ?w-p- Valuation: 11(04, 0oo= 00 Date: l?a t 18'7 Site Address 431u ua'? Lot 40 Block 2 On Site Sewage_ Occupancy ?_ MWCC System ? Zoning PQ On Site Well Type of Const City Water ? (Actual) ?. (Allowable) # of Stories Length Depth Z7 S.F. Total Foatprint S.F. Arraovgt.s ?es ? `- 3??7 Assessments Permit • Water/Sewer Surcharge Police Plan Review 1t&-5 Fire SAC, City I vp , Engr SAC, MWCC 525 , Planner Water Conn S1-9, Council Water Meter Cv7. Bldg Off Road Unit 3DS. APC Treatment Pl Varianee Parks Copies TOTAI. Parcel/Sub °?Lzub , q-Lmq,p Owner ?9w 1"&n Address P G R19x 1'Mo'7 City/Zip Code Phone 4 2D -3P0D Contractor A&aL Gt.6 uknS-tre A.ddress City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone H SJ ;i .. - 1987 BDILDING PBAMIT APPLICA?ION - CITY OF BAGAA SINGLE FAMILY DWELLINGS IACLDDE 2 SEiS OF PLANS, 3 CSIt'fIFIC9iES OF SO@VEY, 1 SST OF EAIERGY CAL(.'QLATIOHS HOYE: ADDRESSES FOR COHNEH LOYS - COBTEACTOR/HO!lEOWNER MIIST DESIGHAiS AHICH ADDBESS IS DFSIRED. NO CH9NG&S WILL HE ALLOiiSD ONCS BOILDING PSRMIT IS ISSDSD. MOLTIPLS DWELLINGS - RBNTAL DPITS FOR SALE OBTi4S ? INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SQHVER - CHECg WTfH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COPIlMERCI9I. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND IoF4 To Be Used For: Valuation: 11(04, Doooco Site Address q3?(,B CQ0101aP„ Udo OFF: Lot 3q Block ?_ On Site Sewage_ MWCC System ? Parcel/Sub Tt11 ,n o-q 'Jqi?,r,v?s On Site Well City Water ? Owner lP ur ?aE'1un+?*+? '?u*?tso c.?n;t --? Address P. v. (3ei-x 131?`7 City/Zip Code Phone Q 2 0 - -S13 r, () -1 6PPROVAIS Contractor a-o aErt-ve Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Variance Date : 1)Q1 l S7 Occupancy R.3 Zoning ED Type of Const (Actual) ? (Allowa6le) 4 # of Stories Length 44 Depth Z7 S.F. Total Footprint S.F. Ffi?S Permit ? Sureharge 3 Z. Plan Review I2>8. L5 SAC, City I DO. SAC, MWCC S z5. Water Conn 525 Water Meter e-i, Road Unit 305. Treatment Pl I?D• Parks Copies TOTAL `ot ? UD • ? $ HEAT LOSS CALCULATIONS H EATING &AIR ,C _S 7 6' sedfoalli CONDITIONING CO. d 41 ' I'Saci (a t, N-c7f 26; -754 MINNEAPOIIS, MINN. Weutherstrips A.S.H.V.E. Construction No. Insula[ion MTindows Doors Guide Referenca Out. Wall Int. Well Ceiling Roo1 Floor Kind How Applied Yes-No Yes-NO 19_ , FLLIv IN(I??oRRoom Length 'Z, 1 Wid[h) ? Height ? FI. ?`/?f\S'TF{? g`-QRO°1^ Length ??O .W?AN? °'Ci Height Windows and Doors-Crackage and Area Windaws an d Doors- Cracka ge and Are a No. WrA?h ol ana He?ph? of oane No. ol li hty ?meal h. of crack Area sa. fl. No. WiEih ol ane HoipAt oi ane Nn. of li hls Lineal It. of crack /+?ea s4• ??• 31 ?? 2. z. a. 1 L 2 z, ? 7 R I`? .2 2 `?1 6 l 1 Q j Coe1 Btu Coei Bw Infiltratim ? 133 Infiltration p 1:? 0 Glass - 29 Glass Exp. wall vz Exp. wall 1n Net exp. wal I ?. ?. ?j 9. ? 9( Net exp. wal I ?^ q• a? ? +tTT?. w tf o4'r' 1 tlT 22,2 Int. wall ceirna 1..2- 'c ".51 cening 3.ofo 1?S i5 Floa Fioor ,n yCY ? iotal Btu. 7'S^? Total Btu. ? J 2 Required Sq. ft. E.O.R. or sq. ins. W.A. Leader area Required sq. tt. E.D.R. or sq. ins. W.A. Leader area FI. Rooin Length Width Height FI. J'11tf?iom Length ?S Width IQ Heiyht YJindows and Doors-Crackage and Area YJi ndows a nd Doors- Cracka ge and Ar ea . Na W,tlih ol ane Heip?l o} ena Np. of ?i htg LineBl fL ol crack ?+,ea na. ft• NO' W?At? ol ane Hwqh( ?f ann No. u1 b his Lineal 11, o/ adck Aeea su. ft. o Y, iir.V r 7 t ?.? r? G -2 4 Coef Btu Coef Btu Infiltretion 2Z4? Intiltration .?? ?? 7J 13 Glass SO AOU(? Glass ExP. wal I N9t Bxp, wBll 1 Exp. wa11 1-2- x,'t Net e.a. Wen 9 •`': 32 Int. wall Int. wall Ceiling ` 7C? Floor 2•5 Ceilinp Floor (SQ ?1?? ?.`) O ?C,?? ??)J 7otal Blu. Total Btu. 3-0 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 1: 1. Room Length I? Width ? j Height -` .. R Length ?Width '.1 Height oom YJindows and Doors-Crackage and Area Yd indows a nd Doors -Crack age and Ar ea Nu. Widtn Ot dn Hei hI Of nne No. ul li his Lineal h. of c?ack Area 40fl N?' WiNl, uf nne 1U 91'1 ul panr. Na al h hls Llneel IL ol erack Area SO• ft. e . Coef Btu Coet Btu Inlil[raTion Inliltration Glass Gless Exp. wall Exp, wall Net exp. wall Net exp. well Int. Wall Int, wall Ceilin9 1 2.x.-1 Floor Ceiling ?10113t A Tutal 8tu. Total B[u. ? Required sq. it. E.O.R. or sq. ins. W.A. Leader area t?'? Required 5q. ft. E.D.R. or s4• ins. W.A. Leadef area 06. .se4XP6r4 HEAT LOSS CALCULATIONS HEATING &AOR COPIDITIONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation NTindows Dows Guide Reference Qut yyall Int.Well Ceiling Roof Floor Kind HowApplied Yes-No Yes-No 19__ gFl. '? Room leng[h ?Q Width Height FI. Roan Length Width Height Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea No. WiAth oi ane Heipht of oane No. of li hts lmeel h. of crack Area sa. h. NO, yy?a?h ol ane Haiqht of ane Nn. oi I i hts Lmeal It. of crack Area sa. ??? ? n G Zd i(D Coel Btu Coef Btu Infiltretion WA 7(PQ Iniiltration Glass cp? Z(f) Glass ' Exp. wall Exp. wall Net exp, wall 230 Net exp. wall Int. wall Int. Wall Ceiling Ceiling Floor 10 JK (y-7 Floor Total B[u. 7:3(PQ Totel Btu. Required sq. It. E.D.R. or sq, ins. W.A. Leader area Required sq. ft. E.D.R. or sQ. ins. W.A. Leader area FI. 9{-\r•rNi Room Length 1 Width HeiBht PL Hoan Length Width Heiyht YJi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Ooors- Cracka ge and Ar ea No. Widin ol ane He-phl of dne No. of 11 h(e Lineel ry. of crack Area nV• 11. NO' W?tlih o/ ane Hi+,qh1 of ana No. ul 1. hls lineal h. of ueck 4rea sG. fI. r 9 .2 Coe! Btu Coe! Btu mtiltration ? 11 ] 2223 lntikration Glegg ro o00 G la55 Exp. wall Exp. wall Net exp. II 252 q, 1 1 1137 Net exp. wall IatJ?all ( 2 ?lU .2..2 Int. wnll Ceiling Ceilinp Floor J-X ( 4]. 'S ? I Floor 7ote1 Btu. . I 6A-1 Total 61u. Required sq, ft. E.D.A. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area m Length ?3 Width Height FI. Room Length Width HeiOht Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors -Cracka ge and Ar ea N.' Witltn Of 8OB Heiqht of fli10 No. ul b ht! lineol 4. of creck 4rea fi0. 11. Nit' N'imb UO 11q8 Mi p??t UI POY. Nn. ol h h?9 L.nenl IL O? [?dCk 4rer BQ, ft. coer ecu coef etu Inlil[ration Infiltrntion Glass Glass Exp. wall Exp. wall _ Net exp, wall 7 X`b Srp ?.0 Net exp. wall Int. Wall Int. wAll Ceiling Ceiling Floor 1-3 l 7•S ? lS'a.a. '_.Floor 7ota1 8tu. Total Btu. RequireJ sq, tt. E.D.R, or sq. ins. W.A. Leader aren Raquired 6q. fL E.D.R. or sq, ins. W.A. Leader aref? CITY OF EAGAN 3830 PZLOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # ia 9 ? ?- RECEIPT # O S DATE: PLEASE COMPLETE IIPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS & M .. A.. > .. ... ... . ... :.. :.. .. ... <. ? . -' TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT. ------------------- WORK.DESCRIPTION NEW CONST ' ' ADD ON IX_ REPAIR _ OWNER NAME: ?Y^i/J`J SITE ADDRESS:_y,3?G IAT: HO BIACK o2. SUBD. ? /J" INSTALLER: LG?`J?P?S `Y?Glf?S/? /Y?'lL?i??• ADDRESS:GC????Gi??` GUCITY:zzzz ZIP: '?"i"?/1? PHONE #: FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: $15.00 24.00 6.00 3.00 $?_'5-- .50 TOTAL : $ ?- _Iz,?1???? - SIGNATURE OF PERMITTEE PLEASE COMPLETE TNIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: s'LT: aD;,Rr,as: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PNONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR ZACH $1,000 OF ii.FitiIi rEn. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: $ (SIGNATURE) CITY OF EAGAN -6 CITYOF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION l) PROPERTY ADDRESS: LEGAL DESCRIpTION: s NOR*3: PA]MENf' OP PEE AT TiNS OP *!? AmicaTioer noEs Norr oorsnwm ; aPPRovP,L oF rsuYuT. • naeflc,TIoN oF sE+M arn/at WMEFt INSTATTATICNs waa. Nom EE scEED- ZA? UNCII. PIItMLT HAS FiM APAtaVID. IF E7QSTING STRt'G'I[JRE, DATE OF ORIGZNAL &LILDING PIItMIT ISS[.'ANCE: . Nbn ear PRFSFNr 7ANING/PROPOSID OSE: ? CU44ERCIALv1ETAIL/0FF'ICE Q IHINJSRRIAi+ ? INSTIZ[lPIONAi,/GGVIIMENp 2) AD CITY. S'fATE ? R-1 SINGLE FANIILY : R-2 DL'PT.EX (1Wo L?nits) 6-"R-3 10WMMISE (Three + Units) ( Units) [] R-4 APARTMENT/CmqDDNIINILTi ( Units) 3) • ?: ?• NAME: For City Use Plimbers License: ADDRESS ? Active CITY, STATE? ZIP:: Exp1red I1ot x'ecorded PHONE: NPMER LIa27SE@ EtaTEal 4) •• ' • • i?• NAME:?, ADDRESS: . . aTY. STAM, zip: PH=: . d??? ? ?I?y S? ? ?MECTION 70 CITY WATER Q OTHER . . . 6) n • • Q PLEASE HOLD APPROVID PIIiI•IIT ECffi PIQC-UP BY ONE OF AB0VE [v? PLEASE MA2L APPROVID PEEtNIIT T?D 1, 2, ? 4, AHOVE (Circle one) I . fOR -CITY USE ONLY ..:_ . ..?; . . ? A PERMIT # ISSUED . Pd w/Bldg. Permit FEES: $ S /O•Sd SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ l0 71 OO $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLtlDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSZT - SEWER $ $ ? S. d U ACCOLNT DEPOSIT - WATER $ 5?5 av $ - wAc $ r ?s. nv $ SAC , . $ S - % , • . TR?C?1pIE • WATER ASSESSNJENT ~ $ - $ - ?i' -, - • ` ' "I T?L'NK -S$?dER •I?SS . _. , ESSMENT ? ....?.. • $ S ` LATERAL'p$NE?I'P/?j{UNK SEWER , _ $ $ • LATERAL BENEFIT/TRLNK WATER $ 1 .; I ° ..' . '•1 F. . _ ? .. . i'i :s.;:: ,.._,:.?.;? ??;.i?. ; ? T . , -. I+]A, ER,?RFATMENT, PIfANT SURCHARGE ` bTHER": .. . . -? $ . oa TOTAL 7 06 &3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR F70RK WITHIN PIIBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: 'Y APPROVED BY: TITI.E: -. • • " ,i ???• • y; ',. •?:.I . ? , DATE: ? -/,? ? ? • ? ; - CITY OF EAGAIV 7rrl APPLICATION FOR PERMIT ° SEWER AND/OR WATER CONNECTION 1) PROPERTY ApDRESS: LEGAL DESCRIPTION: MlR: PAW49TP' OF FFE AT TiM "aF AerLxcATIorr noEs Nar aoNsxTacTe r,PPrtovar. oP PERM(rT. nNseecizCv oF SENM Arn/aIt MM Tt1STAi7ATTQNS F]IjL NO'j` EE ?,'HEI>- tII.FD UNPII. PERNRT HAS HEN APPROM. ' I£ E7QSTING SPRCCIVRE, DATE OF O2IGINAL BUILDING PIItMIT ISSI'ANCE: . - PRFSFIJf ZOIQIta;/PROP06ID OSE: Mon ear ? COMMERCIAL/ItETAIL/OFF'ICE r7 INII)[-'STRIAI+ M INSTIIL*I'IONAL/GOVFRPINENT 0 R-1 S=LE FAMILY ' ? R-2 ?.?PLEX (ZWo Lnits) I R-3 TU&MMISE (Three + Units) ( [ihits) [] R-4 APARTMESTf/CONDOMINIM ( Units ) 2) ? PAME: ADDRESS: ?.f. CITY. STATE. ZIP: yMelandfa PHONE: 3) • i:?• NAME: ambi ' Fbr City Lse .. Plimbers License: A?RFSS: 19ctive EScpired CITY. STATE? 22P: Not reCOrded PHONE= mmm LICENSE: n?M ?Initial 4) .. ? NAME:?, ADDRESS: . CETY. STATE. ZIP: PHONE: . 'S? '? ?' ' ?' • a• ?? - ? ?daMeMCN 70 CI?Y S? ??ION TO aTY WhTER OnIEI ? 6) ?? • • r ? PLEASE HOID APPROVID PgtNIIT FC1F2 PICK-C?P BY ONE OF ABOVE PIEASE MAIL APPRWID PERPqT TO 1. 2. (D 4. AB(7VE ? '`- -- ?? ? - (Ciscle ane) ?m -FOR -CITY USE ONLY ' '(?yi]r? , . PERMIT # TSSUED 7 Pd w/Bldg. Permit FEES: $ $ /10 ..rj0 SEWER PERMIT (INCLUDE SURCHARGE) $ /iJ• SD WATER PERMIT (INCLUDE SORCHARGE) $ ? 7• ? Q $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ S ACCOUNT DEPOSIT - WATER S SoZ S- ?? $ • WAC S ?o ? S. c9 c? S sac , . .._ _. ,. ? $ $ TRI(?I?IC •WAT. ER ASSESS-N}ENT .'? __ • !1 V. $ $ .•.T?LNK:$$bjER;ASSES'SMENT $ $ LATERAL'pFlNEP-I+f/t?C'NK SEWER I _ $ $ • LATERAL BENEFIT/TRC'.NK WATER $ .0 v $ . . -• . RATER,q'REATMENT. PUANT SLRCAARGE $ OTHE$': i $ A3 / !. DD TOTALv `-'>'• ' ?y'?'' RECEIPT RECEIPT • - '?? ' - _.. ?. , . ? ..J.l c . DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLZC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISZON. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: Y APPROVED BY: TITLE; . . . ' •. ?a , DATE: a .-?3 ? CITY OF EAGAfV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1) pROPERTy ADDRESS: LEGAL DESCRIPTION: NOR6: PANlh7bTr OP '13+E AT TTYE OP ArrLxcrTxaN nOEs Nar oocaTITrTE aerRavnt. cF rERMrT. nMcrioc,t oF sEWEt arn/ax s,VMM nNSTar.raTrONS Wad, NXr ffi 9CRED- [u.Fn tu1rB. PERMIT HAs MM AertaaM. or IF EXISTING STRCY'tLM, DA2E OF C2IGINAL &JII.DING PFRb1IT ISSC'ANCE: . Mon ear PRESENf ZC)NING/PROP06ID L'SE: ? C=4ERCIAL/RE.TAIL/0FFTCE 1:3 IND-'SMUAL +] INSTITL*fIONAL/GOVIItN'9Nt' 2) ? 14C CITY. SfATE 3) • ?: ?• Nd1ME: ADDRESS: QTY. STATE, ZIP: PFiONE: 4) e• • • ? tuArE: . noDxESS: cM'sr, s=, zxP: PxorE: 0 R-1 SINQ.E FAMIILY : R-2 DOPLEX (7WO Linits) [2"'R-3 10WNi00SE (Three + Units) ( Units) R-4 APARZmENP/COAIDOMINIUM ( Units) MASTER ISCEN.SE# A ACtiVe Exp1S'E'd . r ? Nbt recorded Staff-7nitlal 5) n M. . ?• • o? - ?, • CmaClZON 70 CITY SEVdIt ? CpAoIDCTION TU CITY FAmIt 0 OT`01?- 6) ?? • • ? PLEASE HOID APPROVID PERMIT FOR PICK-UP $Y ONE OF AB0VE Q? PLEASE MAIL APPROVID PERNUT 70 l. 2. ? 4. hBC1S7E 1 ' `_ -- 1**,l . - (Circle one) FOR -CITY USE ONLY PERMIT # ISSLED Pd w/Bldg. Permit $ S $ ?7. 66 $ $ $ $ $ S?S, ?v S 1622 5=? $ S $ $ $ ?ls?UU $ s /39 ?. o U RECEIPT FEES: • .? _ ? I': S / O, 5 U SEWER PERMIT (INCLLDE SURCHARGE) $ /C7 S L? WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/0[,'TSIDE READER $ WATER TAP (INCLC'DE CORPORATION STOP) S SEWER TAP $ IJ,OU ACCOUNT DEPOSIT - SEWER $/.-5" Dv ACCOUNT DEPOSIT - WATER s WAC S SAC -•< . .,: ; ? , ?. ? ? , . ' ...,i: `PR??IQIE •WATER ASSESSNjENT CNK,$$fejER,-ASSEB'SMENT _?_ . .,?.? r •.'? .. !? - f.? A~I I; t:j $ " LATERAL,'?FNEI?IT/?j?C'A1K SEWER $ LATERAL BENEFIT/TRL'NK WATER ? ' ,.. t . . , A ? , . ..., WATE$,TRFATMENT. PI;ANT SURCHARGE cy .. OTHER': .,: ,. . ••.. (1?? . -$'•' ?/`.: C?f? TOTAL +"'?`• ? . . RECEIPT ^ Y '+r''? - DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RZGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR FIORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: .. APPROVED BY: TITLE; . ;.. DATE:`?. + -3 ? CITY OF EAGAN APPLICATION FOR PERMIT t .. SEWER AND/OR WATER CONNECTION 1? PROPERTY ADDRESS: LEGAL DESCRIPTION: ision N0T6: PA7QdP7dP' OF PSB AT TII?? ? APPLIOMaN noEs Nor oorsrric? APPFJoM aF PEEOM. xNsP1criav oF sENM nrD/tR aPMM jl TIATfais{'IM NOP 13E SCHED-- tu.ID [NrB. rERruT HAs BEEN APPRovm. IF E7QSPING SfRC'CI[JRE, DATE OF ORIGINAL &)IIDING PIIiMIT ISSL'ANCE: . . Nbn ear PRFa^FNf ZONID7G/PROPOSID LSE: ? CCMT'ERCIAL/RETAII,/OFFICE r7 INDL'STRIAL ? INSPIZLTPIONAI./GOVERNMEdf 2) ? NAME: ADDRESS: CITY. STATE, 2IP: PHONE: R-1 SING[,E FAMILY ' R-2 DL'PLEX (1Swo Lfiits) ED'R-3 70WMISE (Three + Units) ( Units) R-4 APARRMED7f/COPIDONIINI[7M ( Units ) 3) ' i: ?• NAb'E. ' AMRFSS: ? CITY. STATE, ZIP: PHONE= MASTII2 LZCEN.SE# 4) •• ? . NAME: f2,- AEDRESS: . ?. STATE. ZIP: PHONE: . Active E7vired NDt recorded $taf£-Initial 5? ?? ?• • ?• ? ?. ?, ? dccNNECTION??? ???IONTOCITYMTER On!E? . 6) ?? •' •• ? PLEASE FR7ID APPROVID PIIiNIIT FM PICK-LP BY ONE OF ABdVE Q? PLEASE MAIL APPRdVID PIIiMIT 70 1. 2. 3 4. ABOVE I •`_ -- }?? ' - (Circle one) . FOR -CITY USE ONLY PERMIT # ISSUED --l Pd w/Bldg. Permit s s $ $ S s s $ s1??S Od $ $ $ $ s A'O o v $ ! S 1192 Da FEES: s_ /o . 50 S /4-SD S $ $ $ /,S, 6a s /S.D-0 S -? - ? r SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLODE SLRCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATZON STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC $ SAC , . , •r . .` . 1 ' • '' 1-I:'. $ % 1 +•. 4'R??1Q,Yc •WAT$R AS8ES91JENT y _ _ , ?',,-• I ,?•IT?tOb1K -SE?ER.,ASSES'SMENT $ LATERAL, J3P}NE?IT/.*U+IK SEWER , _ $ LATERAL BENEF:I• T/TBUNK WATER $ f(?ATER ,TRF,ATMENT. PLANT SURCHARGE . ..'?_ . ?_. L? . .Si''"I , `_ '-• . ?' •!.`r- '.? y OTHER'.. TOTAL •i^-y'•• » r?^~ 7a?G 3 . RECEIPT RECEIPT - ' `?r . " " . ?• ' ,_,,./Jt ?. _ . DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMZT FOR WORK WZTHIN PLBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: J APPROVED SY: TITI,E; " DATS: -(1-7 ` ?• ? • o? -? ? a - . , s. .; COMMERCIAI. 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 g y. -7 s Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets . Architectural Plans (2) sets • Arehitectural Plans (2) sets • Civil Plans (2) . Structural Plans (2) . Code Analysis " (1) • CertiFicate of Survey (1) . Civil Plans (2) . Project Specs (1) • CodeMalysis (1)" . LandscapingPlans (2) • KeyPlan (1) • ProjectSpecs (1) • CodeAnalysis (1) " • Master Exit Plan (t) • Spec.lnsp.&TestingSchedule . CeNfcateofSurvey (1) • EnergyCalculations . (t)notalways" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not always" • Meter size must be established • Meter size must be established • Meter size must be esfablished - if applirable • ProjeCtSpecs (1) 1 • EnergyCalcula6ons (1) •' y 1 . Electric Power & Lighting Form (1) " y 1 • Master Ewt Plan (1) 1 d . Emergency Response Site Plan (1) 1 • SoilsReport (1) 1 • MC/ES SAC determination letter • MGES SAC determination letter . MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 rooa s beverage or iotlging Tacilities - submit plan to MN Department of Health. Call 651-215-0700 for details. ** 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: 2liqla WORKTYPE SITE ADDRESS: TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: NEW XREMODEL CONSTRUCTION COST: 3, 1) 0 o. D,D DESCRIPTION OF WORK -feQ?'O? dwl ?l?41,Q$ Name: Phone #: ( PROPERTY Last ? First OWNER StreetAddress: City: e??'yl I fi/? State: PN Zip: ST- Company: Phone #: ( l(J Sf )?? U/ - TT V l J CONTRACTOR ? Street Address: y? City: vl . PaA&4 State: -PA1 Zip: ARCHITECT/ ENGINEER Company: Phone #: Inn ' ;'l I ?-? 11 '•' t Name: Registrarion #: F Sheet Address: Ciry: State: Zi By Licensed plumber installing new sewer/water service: Phone #: () I hereby acknowledge that I have read this application, state that the information is corre agree to co 4,all applicble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Updated 7/02 2006 RESIDENTIAL PLUNIBING PERMIT APPLtCATION CITY OF EAGAN 3830 PILOT KIVO8 ROAD, EAGAN MN 55122 651-675-5675 :ase complete for modifications to existing residential dwellings. ?IS-S° :te (?9 / :e Street Address ??5 f ?? ( Unit#0 oper!y Owner Telephone vV Telephone# R?? , 1 or >ntract ? Zipp 1Xm ? State]M 99M idress e _ - City ?' ie Applicant is: _ Owner X Contrador _Other Refurbished Submii 2 sets of plans and MPC license New stem tic S fee Include$ ? _ _ y :p 00. O Per as-buiit $ 10.00 $ 50.00 ' Iterations to existing dweiling Add plumbing fixtures. This fee includes installation oi a water softener and/or water heater at the same time. !f you are installing onl a water sottener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. Septic System Abandonment _ _Water Tumaround (add $130.00 if a 5!8" meter is required) u?+ OCT 2 3'LUUb v' Other: X Water Softener _ Water Heater $ 15.00 `C _ new replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuitd $ 30.00 50 g ;tate Surcharge ? ? C<• 'otal hereby apply for a Residential Plumbing Permit and acknewledge that the information is complete and accurate; that the Jork will be in conformance with ihe ordinances and codes of the City of Eagan and the plumbing codes; that I inderstand this is not a permit, but only an application for a permit, work is not to s?art without a permit and work will be in ?ccordance with the approved lan in the event a plan is required to bE r viewed and approv d. 1 D , ; app ica Ys Printed ame Appli ant' Signature 00 2006 RESIDENTIAL BUILDING PERMIT APPLICATION? City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauiremenis RemodeUReoair Reouirements 3 registered site surveys showing sq. ft. of lot, sq. 8. of house; and all roofed arees 2 wpies of plan shovnnq foofings, beams, jdsts (20 b maximum lot coverage allowed) 1 set of Energy Calcula6ons for heated additions 2 copies of plan showing beam 8 window sizes; pared found design, efc. 1 site survey for atlditions & decks 1 set af Energy Calculafions AddiAon - indicate 8 on-sde sep6c system 3 copies of Tree Preservation Plan if lot pla8ed after 711193 Rim Joist Deftil Options selectivn sheel (bul0ings with 3 or less units) Minnegasco mechanical ventilation fortn Office Use OnN CedoiSurieyRecd YN TreePresPlanRecd_Y_N. TreePresRequired -_Y _N On-siteSepticSystem. .-_Y _N Date ?_ /? / ? ? Construction Cost ' q ? ? / SiteAddress ,l , `731`? / / l8M Sa•J Ll ? f lP? UniUSte # Descrip[ion of Work PGJ?l P DDo 2s Multi-Family Bldg _ Y? N Fireplace(s) _ 0 2 A h T l # b r 1 Q Property Owner e ep one ( ) N pi (/ Contractor / ?I I rt'L)3? ,JJ ??th ?n ?`F.Si1 V?'' Address S) 0 ? /n G1 k ?p q Cih' M State NA ;J Zip SS?Q_ Telephone # ( ) s"g- a - COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residentia] Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and -----' -° '- Applicant's Signature i 2007 RESIDENTIAL BUILDING rERMrT arrLtcaTioN • City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New CAnsWdion Reouirements 3 registered site surveys showing sq. fl. of IoC sq. M. of house; and all roofed areas (20% maximum lol coverege allowed) 1 Soiis Report if proposed building is to be placed on dislur6ed soil 2 wpies of plan showing beam 8 window sizes; poured found design, etc. i sel of Energy Calculations 3 copies of Tree Preservation Plan if bt platted afler 71i193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechaniwl veniilalion fortn RemodellReoair Reouiremenis 2 wpies of plan showing footings, 6eams, joi5ls 1 setof Energy Catculations for heated addifions i site survey (or addilions & decks Addition - indicate il on-si(e septic system 4 9o-- U6 - O(fice Use Onlv CetlofSurveyRecd _Y _N Soiis Repod _ Y _ N Tree Pres Plan Recd _ Y _ N. Tree Pres Required _Y _N On-site Septic Syslem _ Y _ N Date ?J / 3 O / O1 Construction Cost a?? JZ - ° O Site Address y 3 1LA C I t 4Y-)S o n l. /? . l rC 1-e, UniUSte # Description of Work ` Mnlti-Family Bldg • - _ Y N Fireplace(s) _ 0 _ 1 _ 2 Property Owncr ?? Gulle O&Trn Telephonc #(bj;L)_7L'I 1 -S Ip 10 Contractor Lo-m pEV'(" L!?(-?VI??-S I Address i?sc State n N ? T-erra ce D?l VL Zip 5113 /? City Llov,Ul l(?e Telephone #((p$I) (OGS 7 3Co COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catceorv l _ Minnesuta Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmis5ionlype) Submitted Submitted • Energy Envelope Caiculalions Submitted In the lasi 12 monihs, has the City of Eagan issued a permif for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( z?a Mechanical Contractor ?- V[E ?°/ ?n ` Telephone #( Sewer/Water Coniractor 11 I 0 1??7 _ Telephone #( I hereby apply for a Residential Building Pcrmit and acknowledge that the information is complete and accurate; that the work will be in conformance with lhe ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pennit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. _8 aYUlP.t.e Uccn LU aq?r bI'a h i P! i e U.r h 1Naq?-? ApplicanPs Printed Name Applicant's Signature ? ?6? ? 3 411 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830.Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New cactrufiai Rew'vahanls 3 re9slmed sb mveys sluwBiB 4 R of Id, s9. ll of hause; and a8 roofed areas (20%mendmum blcmwdge elbwed) 7 Sals Repal Hpraposed hddmg is l0 6eplaosd an GsMhed saa Z oopies of Plan sirowi^9 bmn 8 windax smes; Pnured tound desgn, etc. t sM d Enagy Celade6m a ooPim orrm aeservauo, wan if wt OaW after 711rsa Pom Jaut OetO Op6ons selec6an sheat (FxdMigs wiM 3 w Icss unds) M15nnegesoo mediamal vatldetion (arm Renodelliflapec Reoimanesds Z mPies of P? sh(nft koft& beems. OsIs i sddEneigyCelaAatiarcfor heakdadMoire I 51M SWVBY fOf Bfffff15 Pa fIBCkB Adfton - indxale Nan .ffie m* system Olfwe Use Oidv Cnto(SurveyRecd _Y _N SdsReput - _Y _N TreeReaPlenRed _Y _N TreeRasRelisined _Y _tV Oo-ale5ep6oSyrslem - _Y _N. Plans are considered public information unless vou state thev are trade secret and the reason. Date Construction Cost d Q,. d d d ?-- SiteAddress ?/+j UniHSte # Gl?.?.. `rc Description of Work ktF Multi-Family Bldg ? Y _ N FSreplace(s) _ 0_ 1 _ 2 Properiy Owner n ? 7'4o ?c t LCdf<< Telephone #((e-j j) L 4 S' '23 a U ContraMor L Y o hll cp . Address {? (Sty 1[? LCJ-fl,(SCJ •? I e State ?n Il1 . Zip ?3 :7 Telephone # (9S-Z) L/ 3 COMPLETE TH{S AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeorv t _ Minnesoh Rules 7672 (J sub?ssion type) • Residendal veMilation Category 1 Worksheei . New Energy Code Warksheet SUbmltletl Submitted • Energy EnvNope Calculaltaw Submittetl In the last 12 months, has the City of Eogan issued a permit fw a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Piumber Telephone #( ) Mechanical Contractor Telephone # ( J SewedWater Conhactor Telephone #( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved pian in the case of work which requites a review and approvai of plans. //•? E"tlcr C- +'?r.rf Nr?tJ' J.JC l Y? f C C L' L2Y &- Applicant's Printed Name ,d- 3 a,g y z'L !da? XpplicanPs Signature Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - For Office Use . 7irr Permit r City o aPermit Fee: 3830 Pilot Knob Road I i3 I Eagan' MN 55122 I Date Received: I Phone;: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (J`E~ Site Address: 1~r? Iu c3 4 ~60V L f~ Unit F !Name: CJ 1 S ~ P ! V\8 /lt!#~ lr&L f f e 7 Phone:6~l ~ 7T L Z~~ i Resident/ rrOwner Address/ City/ Zip: ntf~ Applicant is: Owner Contractor 24 Type of Work Description of work: - Construction Cost: d- >.G 0 -J---- )V el S Company: ~rL8 Res .r4 tw_L ~h 4- • Contact: cue.. ~ V L A' ~i;34= kaa. nq -Ct:r c N City: L Contractor Address: _~~-7 j State: ~✓1 zip.. C:)Phone:' 62 -7- X If the project'is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that 'you submit are considered to be public information. Portions 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.gooherstateonecall.orrc I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. ' x(yQ1~D x Ap'plicant's' Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178184 Date Issued:08/03/2022 Permit Category:ePermit Site Address: 4314 Clemson Cir Lot:37 Block: 02 Addition: The Trails Of Thomas Lake PID:10-75865-02-370 Use: Description: Sub Type:Water Softener Work Type:New Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - John & Lynnae Weiand 16433 Duluth Trl Lakeville MN 55044 (651) 270-3067 Commers Conditioned Water Company 9150 W 35W Service Dr NE Blaine MN 55449 (763) 252-7701 Applicant/Permitee: Signature Issued By: Signature