4315 Clemson CirPLUM8ING PERMIT
CITY OF EAGAN
3830 PILaT KNOB ROAD, EAGAN, MN 55122
a
' Site Address
Lot -7_
a?
?
?
c
? Name
3 Addre
0 City
-
FEES
COMM/IND FEE - 1°r6 OF CONTFiACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.b0
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
CITY OF EAGAN
PERMIT # / X
RECEIPT #
DATE: ?
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other .
FiES. 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 Neater - $1.50
Whirlpool - $3.00
Gas Piping Outiets - $1.50
(MINIMUM - 1 PER PERMI'n
? Soffener - $5.00 "? r ^
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: '-'
STATE S/C:
GRAND TOTAL: ?y ??
FQR- &AZ.F '' . ti . CITY OF EAGAN 13130
•?- ••; 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121N2
L 5- R'"?; ? PHONE: 454-8100
BUILDING PERMIT Receipt #
To be uaed tor 1 OF 4 PLEX Est value $63,000 Date JAfJ OARY 21 , 1g 67
Site Address 4317 CLF.MSON CIRCLE Erect CIC Occupancy R3
Lot-5 - Block 2 Secisub. TRAILS OF Remodel ? Zoning pf)
Parcel No. THOMA-S LAj(E Repair ? Type of Const y
Addition ? No. Stories
W Name t-FEW HORIZUN HOMES Move ? Length da
z Demolish ? Depth
o Address P_ O. BOX 1367 Int. Impr. ? Sq. Ft
City MpLS Phone 420-3900 Install ?
o Name SAMF Approvab Few
? Q Address Assessment Permit ?
~ City Phone Water & Sew. Surcharge _
? a
W Police Plan Review
W
? Z Name
Fire
SAC
??, Address Eng. Water Conn.
< W City Phone Planner Water Meter
Council Road Unit jUS. UV
I hereby acknowledge that I have read this application and state that the gldg. Off. Tr. PI. 180.00
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and C?ot?a ? rdinancesy? ` APC Perks
Var. Date Copies 0
Si9nature of Permittee-?? Total ,294.
A euilding Permit is issued to: NEW }iOR I ZON HOl41ES on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official
ParmN No. Parmlt Holder on. ra.phons a
Plumbiny
H.V.A.C. ` % ?IX7
EIocMc C-
8ollenar
Inspeellon Date Insp. Commwnb
Footinys 1
Footlrys 11
Foundatbn
Fnminy 3-3,JQ
P?
Noolfny
Rouyh Plbp.
RouyA Htp.
Imul. W142 p
Finplace
Final Htq.
Flnal Plbq. (D ?? '? I
Bldy. FInN T A .p7 L,
CM. Oec. 7.1$ L^C- ?' .
Dock Fty.
Dsck Frtnp.
Wdl
Pr. Dbp.
' ' • PERMIT lk
" PLUMBING PERMIT pECEIPT # -??-
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55122 QATE: FES 14A 1987
CONTRACT PRICE: PHONE: 454-8100
Site Address 4317 ON
Lot 81oek - „ SeclSuh,
? Name
?o Add?ess 12201 MTKA
c City MTKA Phone 933-252 1
? Name
c Address 1?n RnX 1167
o Ciry MRLS Phone 420-390G
FEES
COMM/IND FEE - t% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTtAL FEE - $12.00
MINIMUM - COMM/IMQ FEE - $20.a0
STATE SURCHARGE PER PEFiMIT - .50
(ADO $.50 S/C IF PERMIT PRICE GpES
BEYOND $1,000.00)
i •
i
SIGNATURE OF PERMIT
TEE
BLDG. TYPE WORK DE SCRIPTION
Res. ? New
Mult: Add-on
Comm. Repair
Other
RES. PIBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL 4
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 - $1.50 -
Whirlpool - S3.00
Gas Piping Outlet5 - $1.50
(MINIMUM - 1 PER PERMI'T)
Softener - $5.04
Well - $10.00
Private Disp. - $10.00
,. - Rough Openings - $1.50
FEE:
srATE s/c: .=?
FOR: CITY OF EAGAN GRAND TOTAL: - `
_ . . ._._..ir.i..,,_ .. . .. . . _ . . . . . . . .._ _ _.'"_.__ __...-
Site Address
? Name _
? Address
c C,Ity _
? Name _
3 Address
p C'tY -
rtHnni i? o a-
,?MECNANICAL PERMIT RECEIPT # ? 1'?
CITY OF EAGAN -? ?
3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: Iz, r?`'r?
tICE: PHONE:454-8100
-,
' BLDG. TYPE WORK DESCRIPTtON
Block
aI; , Sec/Sub RegNew ?
SEDGWICK HT Mult Add-on
8910 WENTWORTH Comm. Repair
MINNFGP(11.I4Z RANI ccAar Oth@r
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
FEES
I
RES
HVAC
M 8T
.
0-100
U -$24.00
ADDITIONAL 50 M BTU - 6.00
Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
G
S
A
OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
M BTU - t APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8? CONDOS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
M BTU REMODELS - 12.00
M BTU s MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM ? PERMIT PRICE GOES
D
/ BE
YOND $1,000)
FEE:
S/C: L SIGNATURE OF PERMI EE ' Z? J
TOTAL:
FOR: CITY OF EAGAN
T
H CITY OF EA
.
.
FOR SALE
?
? GAN ?
??
13131
• `
??:;?'? 3830 PilOt KnOb ROad, P.O. BOx 21-199, Eagan, M N 55121
-
L5-8, B 2 PHONE:454-8100 ?
BUILDING PERMIT Receipt# 7?r? j?
To be uasd tor 1 OF 4 PLEX Est Value $64,000 pete Jr1iVUARY 21 1987
SiteAddress 4317B CL LMSQ[J CIRCLE Erect lN Occupancy R3
Lot V Block 2 Se c/Sub. TRAILS OF Remodel ? Zoning RD
Parcel No. THOMAS LAKE Repair ? Type ot Const
Addition ? No. Stories
Move ? Length 44
¢ Name :1E6d )iOR I ZOYJ HOME;i .
= Oemolish ? 77
Depth
o Address P.O. BOX 1367 Int.lmpr. ? Sq.Ft.
City MPLS Phone 420-3900 Insrall ?
o Name SAME Approvals Fees
?
Address Assessment Permit $ 377.50
?
city Pnone water 8 Sew. Surcharge 32.00
t Police Plan Review 138.75
F W Name Fire SAC 625.00
= n Address
? Eng. Water Conn. 525 . 00
i W City Phone Planner Water Meter 67.00
Council Road Unit 305.00
I hereby acknowledge that I have read this applicatfon and state that the Bldg. Off. Tr. PI. 180.00
information is correct and agree t comply with all ap licable State of
Minnesota Statutes and Ciof E an Ordinanc . APC Parks
Signature of Perminee l / Var. Date Copies
Total $2.30U.25
A Building Permit is issued to: NEW HORI ZON HO.LlEru on the express condition thai
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
PwmH No. PermH Moldm DaU TNephone N
Plwrfiolno S3 / S.i
H.V.A.C.
Eleca+e
SOMMN
InipecNon Dste Inap. CommNfh
Footlnys 1
Footlnys 11
Foundation
Framinp
RooNnq
Rouyn wby. -/6- 7- 3 -111
Rouyh Htg.
Insul. Pf?
Pi?ePlaco r C-a tf S? t LT ?• c? .?:d /-P' 7?'• H.
Final Hty. T ?/!7 /io
Ffnd Plby.
Bldp. Fhd
Cari.Occ. /7 Look ;or C'a on
Dack Fty.
Deck Frmy.
WMI
Pr. Dkp.
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address
Lot
Block
y Name IhIj*WJU11 t'LUritl 1 OU
? Address 12241 MTKA BLVD
c City MTKA Phone
Name NhW tfUFtlLL1ry NUMtS
6
Address PQ RnX 1367
p City MNLS 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.U0
STATE SURCHAFiGE PER PERMIT - .50
;(ADD $.50 S/C IF PERMIT PRICE GOES
I SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT # ?/ )T -M-
RECEIPT # 70& (" _:1-
DATE: FEB 1(A 1987
BLDG. TYPE WORK DESCRIPTION
Res. ` New ?
Mult. Add-on
Comm. Repair
Other I
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: I
NO. FIXTURES ?
TOTAL I
Water Closet - $3.00 ?
' Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
inal/Bidet - $3
U
00 .;
?
r
.
Laundry Tray - $3
00 '
.
Floor Drains - $1.50
Water Heater - $1.50 '
Whirlpool - $3.00
' Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Soitener - $5.00
well - $10.00
Private Disp. - $10.00
- - Rough Openings - $1.50
FEE: _?---
STATE S/C: ?
GRAND TOTAL: - l
- ?9So
CONTRACT PRICE
Site Address ?/}.?
Lot 4 12 Block
D Name ?
? Address
c City
d
c
3
O
Name _
Address
City _
TYPE OF WORK
Forced Air
' Boiler
Unit Heater
Air Cond.
M BTU
M BTU
M BTU
i M BTU
CFM
Piping OuUets #
FEE
S/C:
TOTAL•
Res. New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.04
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 - 1ai6 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - FiES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-QN u
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
, .?
r
SIGNATURE OF PERMITT E ?.?
^ECHANICAL PERMIT RECEtPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
` PHONE: 454-8100
- BLDG. TYPE WORK DESCRIPTION
? Sec/Sub
FOR: CITY OF EAGAN
FOR SALF. T. H. CITY OF EAGAN '
L?_ g n 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 13132
PHONE: 454-8100
BUILDING PERMIT Receipt # '
To be used ior 1 QF 4 PLEX Est. value $63,000 Date JANUARY 21 19 $ 7
SiteAddress 4315?3 CI,Et"1SUiV DR Erect C? Oceupancy R3
Lot_7-Block 2 Sec/Sub. TRA?ILS OF Remodel ? Zoning pO
Parcel No. THOMAS T F Repair ? Type of Const V
Addition ? No. Stories
44
? ?
? Name NE?: ;iQRT, ?,OrJ f3(7[?ES +?,fove ? Length
= $l7X 1367 Demolish ? Depth 26
3 Address P.O. Int ImPr? S Ft
° Ciry M-"LS Phone 420-3900 Install ? Q
o Name S?E Approvals
=
? ¢ Address Assessment
~ City Phone Water & Sew.
?- ¢ Poiice
W W
? = Name
Fire
? = Address
Eng.
a W City Phone Planner
Permit $ 374.00
Surcharge 31.50
Plan Review 187 . 00 ?
SAC 625.00
Water Conn. 525. 00
Water Meter b?. 00
3os oa
I hereby acknowledge that I have read this application and state that the Council Road Unit
1$0
00
information is correct and agree to comply with all applicable State of B?dg. Off. .
Tr. PI.
Minnesota Statutes and City of E"an Ordinances. APC Parks
?
Signature of Permittee Var. Date Copies
Tota, $2,294.50
A Buildin Permit is issued to: NEW NORT ZON HOMES
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.
_ ParmN No. PamH Nolder Dafe Telsphone k
Plumbing e? g? ? r,?. •
H.V.A.C. 47
E?c ! 73.??'??? .?/? ,Y"
5offe,w
Inspection Dah Insp. Commenis
Footinga I ?
? -
?
Footing? II
Foundatian
Framinq -347 AW
RooOng
Rough Plbq.
Rouyh Htq.
Imul.
F4reatace
Final Hty.
Ffnal Pibg.
Bldg. Final ? ?9 C. ?•
Cert.Occ. ? j?? ? ?.oo? r'r?i ca on rl••G ?o? ?/?
Deck Pty.
Deck Frmq.
Well
Pr. Disp.
,
? . PLUMBING PERMIT
, CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address
Lot
a?
?v
c
?
d
c
3
O
Name
PERMIT #
RECEIPT # ?-
DATE: FEB IA 1957
BLDG. TYPE WORK DESCRIPTION
Block - Sec/Sub Res, New r
-' Mult. Add-on
HOMPShIN Comm. Repair
Address 11?? ? 1 M I KA N
ciry MTKA
Name NFW H(7RI70N Ht]MF'
Address PQ BQX 1167
City NOLS Phone
FEES
COMM/iND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12_00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADO $.50 S/C IF PERMIT PRICE GOES
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 I
Urinal/Bidet - $3.00
? Laundry Tray - $3.00 -
Floor Drains - $1.50 -
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
? Private Disp. - 510.00
?._Rough Openings - $1.50 SIGNAT , E OF P RMITTEE . FEE:
J STATE S/C: k-) 3
?-
FOR: CITY OF EAGAN GRAND TOTAL: 'r '
; .1 S ?? v rtnnm i ?r
• . ?NIECkIANICAL PEFIMIT
? ? CITY OF E?iGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE _
--
Lot ? Block Sec/Sub
-
? Name ? . et fklri ukjl,4LJ.
m
? ??
Address
c Ciry
1??ig
? Name
c Address
p City Phone
PE OF WORK
ced Air 41_ M BTU
ler M BTU
t Heater M BTU
Cond. "4_ M BTU
it CFM
s Piping Outlets #
FEE
S/C:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Muft 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 - 19'o 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
BEYOND $1,000)
; ?
SIGNATURE OF PERMITT E
FOR: CITY OF EAGAN
FUR ;ALf: T . H .
--:#v *2
BUILDING PER11
To be used for 1 Q
CITY OF EAGAN ?t 2
3830 Pilot Knob Roacf, P.O. Bcx 21-199, Eagan, MN 55121 tv
, PHONE: 454-8100
Receipt #
PLBX Est. Value $63,000
13133
41-}
87
Site Address 4315 CLSt9SON C IR Erect IN Occupenc y R3
Lot-8_ Block 2 Sec/Su6. TRAILS OF Remodel ? Zoning en
Parcel No. THOP9AS LAKE Repair ? Type of Const V
Addition ? No. Stories
W Name - NFW HnK I?.nN HQM .
z Move ?
Demolish ? Length
Depth 44
; Address p- n- BOX 1367
a
Int Impr, ?
Sq. Ft
City MP]'.S Phone 420-3900 Install ?
o Name '??1?'1t Approva ls Fees
=
?? Address Assessment Permit S 374.1
~ City Phone Water 8 Sew. Surcharge 31•
Police Plan Review 18? •'
W Name
=
Fire
SAC 625.
? Z Address , Eng. Water Conn. 525.1
< W City Phone Planner Water Meter 6 7 •'
I hereby acknowledge that I have read this application and state that the
Council
Road Unit 305 •'
180
?
information is correct and agree to comply with all applicable State of B?dg. Off. Tr. PI. .
Minnesota Statutes and Ci of E
rdinances- /? APC Parks
:7
? i Var. Date Copie
Signature of Permittee I
Total '
A Building Permit is issued to: NEW HOR I ZON FirJMES on the express condition that
all work shall be done in accordance with all applicable 5tate of Mlnnesota Statutes and City oI Eagan Ordinancea.
Building Oif'icial I ?
? PNmil No. PrrmH Mo1dK Dde Telephons M
PIum6lnp fOL-Iw
H.Y.A:E. Aee,
E??,?? jla?Y7
SORl11N
Inspection Date Insp. Commsnb
Foori?gtl
Foodnga 11
Foundadon
W
Framiny j
Rooflnq
Rouyh Plby. Z ? ?' - 7
Rouyh Mly.
Insul. v
Flreptaee
Final Hty r f C. A,
Finsl Plbq. . ? ?
&dy. FMaI ? A L?
cart. oea _
Daek Fty.
Dsck Fmp.
Wdl
Pr. Disp.
r
L ........... i ,
.' . ' PLUMBING PERMIT
. , CITY OF EAGAN
3830 PILOT KNQB ROAD, EAGAN, MN 55122
m Name 1H(]lMN50N PLUMBINC
? Address 12201 MTICA HLVD
c City MTKA Phone
? Name ntW I1UKI4UIV F1UMt5
c Address PO BOX 1367
p City MPLS Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.U0
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CITY OF
PERMIT # ? /.Rv
RECEIPT # 729 6161
DATE: F?? 14R 1987
BLDG. TYPE ° WORK DESCRIPTION
Res. ` New -T
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3A0 $
Bath Tubs - $3.00
% Lavatory - $3.00 '
Shower - $3.00
' Kitchen Sink - $3.00
"
Urinal/Bidet - $100
` 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 - $10.40
Private Disp. - $10.00
- Rough Openings - $1.50
FEE: ?
STATE S/C:
GRAND TOTAL:
? ?e V •vv . "....,, ..
. . , ? + f MECIIANICAL PEQNUT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB HOAD, EAGAN, MN 55122 DATE:
m rvame _
? Address
c City _
? Name _
c Address
03 Cih+ -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
? Gas Piping Outlets # ?
Other
fa M BTU
M BTU
M BTU
-? M BTU
CFM
FEE
SlC:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
Res. ? New ?L
Mult Add-on
Comm Re ir
. P
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 APPUES
TOWNHOUSE & CONDOS - RES. RATE APPL.IES
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 S1,000) a
SIGNATURE OF PERMITTEE ir
FOR: CITY OF EAGAN
/, G' 1 '-? °.. ) ,,/ c,u -?
SEDGWICK HEATING & AIR CONDITIONING
HOUSE HEATING TEST RECORD
y So
ADDRESS (-ar ? I S C??1MSOtJ ? CZ ?tI E CITY ?-!?+?? ...?'?? -
OCCUPANT ?- ---• OWfdER 6 6NGc ZZ
HEAT LOSS DATE HTG. INST. '-'- --?
SOLD BY INSTALLED BY
Electrical Work By T3 v, c? Gas Line By
TVPE OF HEAT GA_ FA ? HW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE R't ." r.l'-C MAKE OF BURNER -----
Model 9?-4 t_ p u10 3+-l n S o Model
Serial L&c? Max. BTU Rating
INPUT r) o a MAKE OF FURNACE
CONTROLS
THERMOSTATHeat Plug
Valve S? 3 4? N S o}C-
Limit-
Limit Setting d
Fan Setting _ t ? o°El
PilotType - ? r- 'rCre" cc
PilotMake St- ACtl" I ?N ?TnIF
Pilot Model HSC \
Model
Vent Size S ?
KIND OF LINER - SIZE NONE
Draft Hood ?? c? ? Regulator '? ? S
Filters Size Number !
Chimney Location Inside K Outside
Chimney Construction
Smoke Bomb
Wiring n*11
Test Tag _ ?jj ? S
Lighting InsK--
Pilot Timing I ?S1 ST rN„N T Draft
L.W. Cut Off Door
Pressure 3+ 15 ?' ??• c Percent CO 2 ? '17-0
Input CFH so Percent O 2 t C)O;?U
Stack Temp. a S?° F Percent C0 KJnw)E
Date Tested `7 - S /
Company Testing Gvu [ c.K-
Name of Tester A ??j
Form 235
7.7_ _-w9wq
fd!"'L?' _ .. • t.?.? ? - . _ } .. _
SEDGWICK HEATING &AIR CONDITIDNING CO. ?s g
/, HOUSE HEATING TEST RECORD
ADDRESS % ( If' 1'Yl St?,A.?( I .e CITY
OCCUPANT- 1 P(. Q e- c.A: OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By 4Gas Line By ? E'= t:it •'- ` 1? ?
TYPE OF HEAT GA_ FAA HW_ STEAM SPACE HTR. UNIT HTR. ` OTHER
[? I GAS DESIGN CONVERSION
MAKE !?, r ., 't
Model 3 9 y i ?,,+' -=u U ? L/0 '5"
Serial 1?6 i 1306 S y
INPUT ? CG , C?OG
CONTROLS
THERMOSTATZL Heat Plug
Valve ??iS I?'SG? • 7
Limit ? f C i'>7 ? U
Limit 5etting U
Fan Setting
Pilot Type
Pilot Make
Pilot Model
Pilat Timing -Z 'LS ati
L.W. Cut Off
Pressure ? . 2, Percent C02
Input CFH Percent QZ
Stack Temp. PercentCO N0 Aj e-
MAKE OF BURNER _
Model
Max. BTU Rating -
MAKE OF FURNACE
Model
Vent Size - (7 : JUC. ?
KIND OF LINER i SIZE NONE
Draft Hood r`?a' u?a ? Renulator ?
Filters Size Number '
Chimney Location Inside Outside
Chimney Construction r .,'a ?
Smoke Bomb -1 Wiring Q/?
Draft ? Test Tag 1?• f''
Door Pressure _ Lighting Inst.
Date Tested -Z0
Company Testing
Name of Tester " - ? _--- -. _- -..
Form 235
SEPGWICK HEATING & AIR CONOITIONI
- ' HdUSE HEATING TEST RECaRD
, - !
ADDFiESS I -) / I - ????i,il,.- t ! /CITY
OCCUPANT ' ??U Ai OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY , INSTALLED BY
Electrical Work By J Gas Cine By
TYPE OF HEAT GA_ FA `HW_ STEAM SPACE HTR. UNIT HTR. OTHER_
GAS DESIGN CONVERSION
MAK E -I
Model c V - U 1 f ? LLArl,
?.
Serial U0 6 c,
INPU7 - ? lC! L
Tfi E R MOST AT
Valve
Limit
Limit Setting
Fan Setting
Pilot Type
Pilot Riake
Piiot RM1odef
CONTRdLS
fI
Pilot Timing _L/V S?d -7
L.W. Cut Off
O
Pressure PercentCOZ ? t ?
Input CFH 0 < -0 Percent 02 °,
Stack Temp. ?-? Percent CO A10lt/e
MAKE OF BURNER _
Model
Max. BTU Rating -
MAKE OF FURNACE
Model
Vent Size r, i/??c fl
KIND OF LINER SIZE P0NE
Draft Hood 4 Regulator
Filters Size Number ?
Chimney Location Inside ?` Outside
Chimney Construction ?? ,''_'`,•
v Smoke Bamb ` Wiring
Draft ? Test Ta
Door Pressure Lighting Inst.
Date T5eted -`' - =2 1 '?
Company Testing '4` <<? : r_ ,; s
Name of Tester _ ?-t'•-> ,'%v?-c??'
q G0i?-
) ?J
Form 235
?
& AI
- HOUSE HEATING TE:
ADDRESS /OCCUPANT ?U f-u_? ,C,v OWl?
HEAT LOSS DATE HTG. INST.
/
CITY Q0 't' -
.„
SOLD BY INSTALLED BY ( 41
Electrical Work Bv - ) 71 Gas Line By _ ` • ?: ? =
TYPE OF HEAT GA _ FA -L HW_ STEAM SPACE HTR. UNIT HTR. ' OTHER_
GAS DESIGN CONVERSION
MAKE /u /46•j
Model 3? II G4u:Gi':1•iSC?
Serial yL RC 14 Gu 211
INPUT ?. Ci .CJUU
THERMOSTAT
Valve
Limit
Limit Setting _
Fan Seiting _
Pilot Type
Pilot Make -
Pilot Madel _
CONTROLS
` Heat Plug
Pilot Timing -- 1 yL?}c?i1.. r
L.W. Cut Off
G
Pressure ) ZC Percent CO L?? 5
Input CFH Percent 02 JUG U
Stack Temp. PercentCO C-
MAKE OF BURNER
Model ?
Max. BTU Rating `-
MAKE OF FURNACE
Model '
Vent Size v, i v c?i
KIND OF LINER SIZE
r _T. NONE
Draft Hood ko ' u t Regulator '?• ?
Filters Size 11Jumber ?
Chimney Location Inside QU?s ide
Chimney Constructi on
iJ
Smoke Bomb Wiring
Draft Test Tag
Door Pressure ? Lighting Inst_ L'
Date Tested - 3 ` >
?
`" G
Company Testing
,
i
C
-
?
Name of Tester -
_?L ef--u.
Form 235
CITY QF EAGAN PERMIT TYPE: 1; 1 1 10
3830 Pilot Knob Road Permit Number: 0.' 6.' "3 j
Eagan, Minnesota 55122-1897 Date Issued: 61 >+f 74 /+4t%
(612) 681-4675
SITE ADDRESS: i t, r
t, i 6: 1, i 't ,;114 t: [FL
I 1 Nt 1 f1H 1 I.'. Ill I IinMM', 1 A1kt
Irt I)l r APPLICANT:
f I Ff F`.l I 1 t f:11Rq
n:3.t 104
PERAAIT SUBTYPE: TYPE OF WORK:
! t r r; A i i ft ta
INSPECTION D• • D+
?s
? ?
PertnR No. Pertnft Holder Dste Tetaphone Y
ELECTRIC
PLUMBING
HVAC
Inapectlon Data Inap. Commanb
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FlNAL
DECfC FTG
DECK FlNAL
CITY nF EAGAN WATER SERVICE PERMIT
3830 PiF-)t Knob Road ,
I P.O. Box''`t1199 ` PERMIT NO.: 4 36
' Eagan, MN 55121 DATE: 2/ 13/ S 7
? Zoning: R3 No. of Units: lunlt 412 1 ex
? Owner. New Fiorizon
Address: -
Site Addess:
Plumber: _
, Meter No.:-?
I Sixe:
I ayroe to comply with th?vwLapa GctiS4F?{er?? - SO
Ordinancss. v,?4VMisc. Charges: 67 _ (1(1 mPtnr
Tota1: 18II., nn x„
BY " Date Paid:
Dete of Ins .. Insp.;
"" `"`'"" SEWER SERVICE PERMIT
i Pilot Knob 4oad ? 7
Box 21199 PERMIT NO.:
in, MN 55121 DATE: -1? 13/q7
ng: No. of Units: i'=, I ex
Address: -
Site Address:
cM oF "oAN WATER SERVICE PERMIT
3830 PIIe' ob Road? w ,??
P.O. Box. , 93
?? 1-??•,ERMIT NO.: 7
Ea9an, RSN'S5y21 ?XSJ I DATE:_ 2/1 3/°i
Zoning: R 3 No. of Units: 1 tm i t 4P 1 ex
i Owner. New }Ior i z on
Address:
' "ltios Lk SiteAddess:
? Plumber. _
1e: 5 25 - f1 0 Meter N-o-i.?:S?:'
1 5_ 0() I Size: .?l?_
Charge: 52 S . ,, ;
eaaer No.: ?/' T yb-AfF-n in. n()
aQres lo comply wifh the
Frdinanc 07_ nn mF+Ar
n t?-
-? Date Paid:
? Date of Insp.: Insp.:
?7
t-7 -.-?-
CITY ?--. _
OF EAGAN
3830 Pibt Knob Road
P.O. Box 2118a SEWER SERVICE
Eayan, MN 55121 PERMIT NO.: ?? ?
Zoning; DATE:_
Owner. _ u??.. t?.,?.r ___ No. of Units: ?iit 4
1/2F f 87 7 0:9; 200.00 -
]/?{,/; 7 io l i:;
I aqree to comply wkh the CNy of Eagan Connection Charge: 5,25 <In ? 89?ee to compiy with the Chy ot Eapan Connectlon Char e i?? ?•?r
Ordlnances. Account Deposit: 1S nn OMlnancea, g: ?
Permit Fee: 7 f1 !) n Account Deposit:
Surcharge: - ?Q Permit Fee:
BY Misc. Charges: By Surcharge: ?
Date ot Insp.: Total: Date of Insp.: Misc. Charges:
Insp.: Date Paid: Insp.: Total:
Date Paid;
CITX OF EAGAN ; CITY OF EAGAN
WATER SERVICE PERMIT
3830 r:!ot Knob Road 5330 WW Knob Road-2j , O?
?Q. Box 2S'199 ??PERMIT NO.: - P.O. k3ox 21189 ??? /
Eagan, MN 55121 DATE: Eagan. MN 5gi21
Zoning: No of Unita• 2oning: ?S
? Owner. _
Address: -
Site Addess:
Plumber: -
; Meter No.?3-
? Size: * '
KT@W 11^Y'1 ZOn
WATER SERVICE PERMIT
PERMIT NO.: 9'? ??`?
DATE 2? 1 No. of Units: 1 l m l t ?? ' I
n
Ener.
dress:
e addess: 4317 ('l emson Cr L5 R2 Tr of Thos T k
?°' . . .
15.
I agree to comp1y wlth the R 11). U U
Ordinancas. EQ?Ji REt
??? ? •
Total: 0 . e
BY Date Paid: ?0. OQ t,?
Date of Insp.. Insp.:
5
umber: -
eter No.: ==
Size:
? Read r No.:
I ayree to comply wRh
Charge: S 2 -'?. 0 "
6it: 15.00
dlnan . I tL-V " h? ?7 67.00 meter
,.- /_ , ?v 1'otal: 180 .00 tjL_
a? Date Paid:
te ot Insp.: k Insp.:
?. . . . . ' . ."
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pllot Knob Road
P.O. Box 21199 9?56
PERMIT NO.: '
Eagan, MN 55121
DATE:
`
Zoning: ?--? No. of Units: 1?it P eX
Owner. New aiori zon ?
Address:
Site Address: 4',17n r1 emson ir'r LF? RQ Tr o° Thos I.k
Plumber. _ ThornUSOII ?
1I26/87 70195 100.00 1
I aqree to comply with the City ol Eagan Connection Charge: _525 -00
O?dinances. Account Deposit: 15.00
Permit Fee: 10,00
ey
Date of Insp.:
Insp.:
Surcharge: .50
_ Misc. Cherges:
_ Total:
. Date Paid:
GTY OF fAGAN _
3830 Pilat Knab Road
P.O. Box 21199
Eagan, MN 55121
Zoning: p 3
Owner.
? V0010w,
SEWER SERVICE PERMIT
9`" ;?;
PERMIT NO.:
DATE: 2/1.7/r7
No. of Unlts: 1 unit 4Plex
Address:
SiteAddress: 4327 Clamson Cr LS R2 Tr of '?'bos Lk
Plumber. Thami>SOn
1/26/r;7 7?1.:15 itl(?.?0
1 agree to comply with fhe CNy of Esgan Connection Charge: 575 - 00
Ordinances. Account Deposit:
Permit Fee: j;l, nn
Surcharge: ,..Sn
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
BLDG. PERMIT IJO.
;7
?/ ? ? i > : ?? •`
01 3210 ? /Bldg.
01-3422 Plan Check
01-3445 Surch./Adm. ?
01-3446 SAC/Adm. ,
01-2155 Surcharge ?
17-3860 Road Unit
20-2275 SAC
_77
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.
11-3$55 Park Ded.
TOTAL t
CITY OF EAGAN
? 3830 PILOT KNOB ROAD
? i EAGAN, MINNESOTA 55122
L.;i
.7 cj
L2
?-CJ
?
U G
DATE ! 19
-?
REC6IVq?'? f '.
? .. I
A?IOUNT $
??-
. - . ;' . .
,
& DOLLARS
. ,oo
? CASH ? CHECK
FOR
Thank You -
BY
?
White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
This requesl void ?o1/6-7
78 nqnths from
( 73308a
Request Date Fire Ny.' ough-in InsDection
??? eq ed7 ?Ready No?ill Notify, Inspec-
es 01 o tor When Fieady
:25t:acensed Electrical Contractor ! hereby reQueat insAeciion ot above
? Owner electrical work installed at:
5
dress, 60 Raote No, C
??
c1cmcne
D
r-(?j&,_ ?
ection o. Tqwnship Name or o. RanOe o. Coumy
O p nt (PRI
1 )
i
nnp
y r ?
_171 Phone No.
Pow Suppli Address
Ele trical Contractor ICompany Na ) Cvn ctor's 'ce e o
' .
?
4
-vi
c,
D
M'lin ddres? ontr cto o wner a ' ns ai tion?
S5
_3q2
_
Aufho j zed ntr if, wn king In st a n Phon Number
W
MINNESOTA STATE BOARD OF ELECTRICITY
Ciriqps.Midway BIdQ. - Room N-181
1827 Univsraitv Ava.. St. Psul, MN 65104
Phone (612) 642-0800
iM15 INSPECTION REQUEST WILI NpT
BE ACCEPTED BV THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
1,al8-7 REQUEST FOR ELECTRICAL INSPECTION ee-00001-06
' See inslructians tor complelinp Ihis fprm on 4eck of yellow copy. 0 7//? v
r -7 0 7 fl O "X" Below Wnrk Covered bv This Reauest
?
AAd
ReD•
Type o1 Building
ADCliancsa Wirsd
Equipment Wired
Home ange Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Buiiding Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg, Air Conditioner Bulk Milk Tank
Farm tner peci v chPr (5per.ify)
t.r ueci y t er Och??
ompute Inspeciron Fee Below
A Fee ServiceEntranceSixe p fee FeederslSuhfeeders M Fee Circuits
U to 200 Am s 0 to 30 Am s 0 tn 30 Am
Above 2_Amps 31 to 100 Amps 31 to 100 A
Swimmin Pool Above 100_Am s Above 1Q0_Am -
Transiormers rri ation Booms Partial•"Other Fee
Signs Special Inspection ?- J TOTA
emsirks L FE???
h Y
Rouph-in ? Dte_ '7 ?, the Electrical
• l Inspector, hereby
; certify thet the abpve
Final inspection hea 6een
L, ede.
m
rAM request vold 18 montts from
FOR SALE T.H. CITY OF EAGAN
- 13131
• LU-?i, 'B 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121Np
PHONE:454-8100
BUILDING PERMIT Receipttr /-S
Tobeusedfor 1 OF 4 PLEX Est.Value $64,000 Date JANUARY 21 19 87
SiteAddress 4317B CLEMSON CIRCLE
Lot 6 Block 2 Sec/Sub. TRAILS OF
Parcel No. THOMAS LAKE
W Name NEW HORIZON HOMES
3 Address P-O. BOX 1367
° city MPLS Phone 420-3900
io Name_- $AME
0? Address
? City Phone
a
w w Name
Address
z
a W City Phone
I hereby acknowledge that I have read this application and state thatthe
iniormation is correct and agree t comply with all a licable State of
Minnesota Statutes and of an Ordinan
Signature of Permiriee . ??
Erect L?9 Occupancy R3
Remodel ? Zoning pI)
Repair ? Type of Const.V -
Addition ? No. Stories
Move ? Length 44
Demolish ? Depth-2T
Int Impr. ? Sq. Ft
Install ?
Assessment
Water 8 Sew.
Police
Fire
Planner
Council
Bldg. Off.
Var. Date
Permit $ 377.50
Surcharge 32.00
Plan Review 188.75
SAC 625.00
Water Con n. 525.00
Water Meter67..00
Road Unit 305.00
Tr. PI. 180.00
Total $2.300.25
A 8uilding Permit is issued to: NEW AORI ZOPI HOMES on the express condltion that
all work shall be done in accordance with all applicabl State of Minneso Statutes and Ciry of Eagan Ordinances.
Buildinq Officia?
104
FOR SALL T. H.
' CITY OF EAGAN p
13130
N
L?; tg ?
}; 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
-
BUILDING PERMIT PHONE: 454-8100
Receiptu
7o be used for 1 OF 4 PLEX Est. value $ 63 ,000 pate JANUARY 21 1987
SiteAddress 4317 CLEMSON CIRCLE Erect Ci( Occupency R3
Lot 5 Block Z Sec/Sub. TRAILS OF Remodel ? Zoning pn
Parcel No THOI+IAS LAKE Repair ? Type of Const. 1.7
. Addition ? No.Stories
a NEW
Name HORIZON HOMES nnove ? Len9th ad
i
o
Address P.O. Demolish ? Depth?2ti
BOX 1367
Ft
0 S
Int.Impr.
q.
Ciry MPLS p hone 420-3900 Install ?
i o Name _ SAME
? ? Address
" Ciry Phone
F W Name
-:
u a Address
< W City Phone
I hereby acknowledge that I have read this application and state thatthe
intormation is correct and agree to comply with all applicble State of
Minnesota Statutes and C?of Epgandina?esn
Signature of Permiflee Q'??C' A ?#•Yi
A Building Permit is issued to: NEW HORIZON HOMES
all work shall be done in accordance with all applicable&tate of MinnesoBuiltling Official- ??? ?
Assessment Permit 3/4.UU
Water 8 Sew. Surcharge 31.50
Police Plan Review 187. 00
Fire SAC 625.00
Eng. Water Conn. 525.00
Planner Water Meter 67 . 00
Council RoadUnit 305.00
BIdg.Off. Tr. PI. 180.00
APC Parks
Var. Date Copie
r„#.i 2,294.50
?
on the express conditlon that
and Ciry of Eagan Ortlinances.
FOz2 SALE T. H. CITY OF EAGAN A,
T.!`i-8,-y3 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 13132
PHONE: 454-6100
BUILDING PERMIT Receipt# J
To be used for 1 OF 4 PLEX Est Value $ 63 ,000 Date JANUARY 21 19 87
SiteAddress 4315B CLEMSON DR Erect C? Occupancy R3
Lot 7 Block z Sec/Sub. TRAILS OF Remodel ? Zoning PD
Parcel No. THONL LAK Repair ? Type ot Const. y
Addition ? No. Stories
c NEW HORIZON HOMES Move ? Length 44
i Name Demolish ? Depth 26
3 Atldress P• O. BOX 1367
Int. ImPr? S4Ft
° city MPLS phone 420-3900 Install ?
o Name SAME Approvals Fees
? ¢ Address
? Ciry Phone
F W Name
? n Address
a W Ciry Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and Cit of E an Ordinances.
Signature of Permitlee
A euilding Permit is issued to: NEW HORI20N HOMES
all work shall be done in accordance with all applicable State ofNlinneso
Building Oificial
Permit $ 374.00
Surcharge 31.50
Plan Review 187.00
sAC 625.00
Water Conn.52`,L- 00
Water Meter6L 00
RoadUnit 305.00
Tr. PI. 180 . 00
I Parks
Total 52.294.50
on the express condition that
and Ciry of Eagan Ordinances.
Assessment _
Water S Sew.
Police -
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Var. Date
FOR SAL$ T.H.
L5-!,3, 3 2
BUILDING PERMIT
Receipt #
N° 13133
7° ?'/5'
To be used for 1 OF 4 PLEX Est. Value $ 63 ,000 Date SANUARY 21 19 $ 7
SiteAddress 4315 CLEMSON CIR Erect IN Occupancy R3
8 Block 2 Sec/Sub. TRAILS
Lot OF Remotlel ? Zoning pn
THOMAS
Parcel No LAKE Repair ? Type of Const. V
. Addition ? No. Stories
? Name NEW HORIZON AOMES Move ? Length 44
3 Atldress P.O. BOX 1367 Demolish ?
I
t
I
? Depth-?
S
Ft
p n
.
mpr. q.
.
Ciry MPLS phone 420-3900 Install ?
o Name SAME s
PProva
i
$ a Address Assessment
?
?
ciry phone
Water & Sew.
Police
W Name Fi
F
-z re
x
r3 Address
E
. ng.
W
a Ciry Phone Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe
information is correcc antl agree to comply with all applicable State of B?dg. Off.
Minnesota Statutes and Cjp?of E an rdir?qct
? i? APC
??
? yJ ? ? ??
Var. Date
Si9natureoiPermittee 7/?- ? %{31'IPs l
A
Permit $ 374.00
Surcharge 31.50
Plan fieview 187.00
Sa,C 625.00
Water Conn. 5 2 5. 0 0
Water Meter 67.00
Road Unit 305.00
Tr. PI. 180.00
Copie
Total 2.294.50
A euilding Permit is issued to: NEW HORI ZON HOMES on the express condition that
all work shall be done in accordance with all applicable Sta ot Minneso Statutes and City of Eagan Ordinances.
Building Official ? ?-? ?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55721
PHONE: 454-8100
?
This rnpuast void
18 rnonths 1rom .-
Q?? 311 ?s//? o c:
RxQuest Daie Fira No. Rouph?in InsVection
Fequl?ad7 ?qeady Nuw _ ill Noti}y. Inspeo-
i? Yes ? No ?or When Ready
?L9cansed Elearical Convacmr 1 heraby reQUeet ins0ectlon o1 ebove
? Owner elactrieel work inelalled et:
Str9et Address, eo or Rao N.
i ? \
11?? L? ? c
Ivl?-??
ec[i n o. Township Name or o.
I
RanQe o.
County
Oc,AtupantlPPINTI .
e 7
- Phone No.
. ` '
`?v i C._l.i
nr
Pow3n up01i¢r Atltlress
§?e tucal Convactor ICompeny Ne 1 Cnntr cmr's Licens No.
? 1 ' ! 1 /
M iline A Jress (Contrector or Ownar Ma n
?. , -C
& Inste lationl ?
? ' OV (l? _?'
? r- 3V3
Aul 'z na
re(?o pto? Ow r MakinpIn II ionl
?o
Ph e Numbe?
MINNESOTp STATE 90ARD OF ELECTRICITY
Orippe-Midwey 810p. - Room N-191
7837 UnivsrsitV Ave.. St. Paul. MN 66104
Phone (672) 842-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTEO BY THE STATE BOAflD
uNLESS PqOPER INSPECTION FEE IS
ENCLOSED.
3%2/SS 7 REQUEST FOR ELECTRICAL INSPECTION ee-00001-0e
Ill See instruetiona far completinp thb torm on beek o1 vallow copy.
?C 7? 21 1 "X" Below Work Covered by 7his Request
AAtl .,
Peo•
TYpe of Buileine
AOOlieneee WirW
Equiumant Wirad
Home Range Temporary Service
Duplex Water Heater Lightiq Fixtures
Apt. BuilAinfl Dry¢r Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditio r Bulk Milk Tenk
Fef01 the.r oeci y ther ISner,ifyl
t nr Vcu y t ar Othur
i r Fea ?ServicsEntrenee5i:a M Fe• Faedera/Subleeders N iea Circuit•
? 0 to 200 Am s 0 to 30 qm s 0 tn 30 Am
Above 20 _qm?s 31 to 100 Amps 31 to 100 A s
Swinmin Pool Above 100-Am s Above 100_Am '
Transiormer5 rn ation Booms ?artiel.'Other Fee
Signs Special Inspection 5 TpT
`
errerks w ('}?? ?
7
fiouBh-in
tnepeelor, hereby
cerlily thet the ebove
Final inapeetion hes bean
/?•? ?"?oi? ?n meda.
(h1s reauest volE 18 monlhe Irom
0
yggi2 2
_
FeQues
?'`1 ? File No. R uqhln Insperprvion Fequiretl Inspec[ion Olher TM1an R In
(YOU musl call inspector whe e ) ? Reatly Now ill Notity Inspecbr
?y ? Ve5 o Date Read
I icensed contractor ?owner hereby request inspection of above electrical work at
Job AtlGre?ss /(S/hJeet, Bax or Raute No.) City
Section No. Township Name or No. flange No. Counly
Occupant(PRI T)
? Phone No, ?
Power Suppl r Atldress
L C?
Eleclricel Contrador (Company Neme) ConVacWr's License No.
HTGNLAND ELECTR7C CA00847
Malling Atloress (Conlrnctor or Owner Making Installation)
2030 ST CLA7R AVE, ST PAUL, MN 55105
Authoriiea Signa ( ntrzctor/Owner Making siallation? Phone Number
690-1551
MINNESOTA 5 E A U OF LEC I THIS INSPEGTION PEOUEST WILL NOT
Grigga-Mitlway Bltlg - Ro m 12B
II
I
I
I II
11
1111
1111
I I
1
111
1111 BE ACCEPTED BY THE STATE BOARD
11
1821 Oniversity Ave., ul, MN 55104 UNlESS PFIOPER INSPECTION PEE IS
Phone(6121692-0800 ENCLOSED.
P REQUEST FOR ELECTRICAL INSPECTION
, See instmctir,ns lor completing this lorm on back of yellav copy
?/(l
„X" Below Work Covered by This Request Nq'c' ilding Appliances Wired Equipment Wir ed
Range Temporary Service
Water Heater Eiectric Heating
Load Management
Furnace Other (Specify)
Air Conditioner
ConUaciars ft@mr k?
C ( /'
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 ro 200 Amps 0 to 100 Amps
Transformers Above 200-Amps Above 700-Amps
Signs insvAnors use ohiy TOTAL
Irrigation Booms n?{
Special Inspecfion ///7//1
AlarmlCommunication THIS INSTALLATION MAY ORDERE CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, here6y
Roughin .
Date
cehify that the above inspedion has
been made. ri„ai
OFFICE USE ONLV
This request voiA 1 8 manihs irom
3I,al87 REQUEST FOR ELECTRICAL INSPECTION ee-ooaoi-os &Vk ll? See insfructiorm for camDletin thie form on bnek o1 yellow copy.
filej
71!1 .,Y.. R.M. w.,,o- r,,,.e,aa A,, ih;.
1 _. . . . ..... .. ..y..a.r
AAd P. 7ype of 9uildine Aoolianees Wirad Equipmanl Wirad
Home Range Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. Buildfng Dryer Electric HeaUn
Commercial Bldg. Fumace Silo Unloeder
Industrial Bldg. Air Conditioner Butk Milk Tenk
Farm thnr 15necify, ther ISOUr.ityl
t er Ucc, V ther
Oth.r
o mpute lnspection fee Be/ow
N Foe ServieeEntrenee3ize p Fee Feetlers/SUOfeaders N Fea Cim.ite
i to 200 Am s 0 to 30 Am s 0 to 30 Am
Above 2 0 qmpa 31 to 100 Amps 31 to 100 A
Swimmin Pool Above 100_Am s Am s
Abov 100
Transiormers rn tion Booms _
Partial-'Other
Signs Special Inspection ?
ems.ks TOT FEE
_n, .
.L
? ur
flou0h-in i ? o: Oate
vC? I, the E I
?.apec<or, hsreby
Final p_ certify tMt the nbova
i ? ??? `s£ 2C inspection hen been
/`?E.L??' ? dLJ ? -? ?/"'O de.
Mb repupt volE 18 mantlm from
J/1fsS 7 REQUEST FOR ELEC7RICAL INSPECTION es-oaooi-os
If, See inatructlona br compietinq Ihig form on beck of yellow coov.
? n in(a "X" Be/ow Work Covered by Ih/s Request
??Ndd? Xao.I TvPe of Buildine I Aoeliancee Wired I Equlument Wired I
I I I ndustrial BIAg. j Air Conditioner ? ? Bulk Milk Tenk ?
Farm ?hr? oe?r ? n che, ISnec?fv)
p fe ServieeEntrancaSiza H Fee Fewders/SUbieetlers K Fee Circuits
, U to 200 qm s 0 to 30 Am s 0 tn 30 Am s
Above 200 qm ,s? 31 to 100 Amp 31 to 100 Amp,
$winunin Pool 4Ams
Above 100_ A6ove 100_Am 5
ormers Irri ation Purtial,'Other Fee
"`J'b fbUeaai inspecuon S TpT ERamerks ?
I, the Electrical
?nsoec?o., narre ay
??C? ? ? cerlily ffiat the bove
Finel ? (y ?"Tq?}e pection has been
,) lJ' " !I ma'na ee.
rnts reauesi ooid
18 rtpnths from
C 7 3 3 0 9 1-7
ReaeestDa"
A.
? ?? Fir¢ No. ugh-in Insuection
eq ?red?
OHeady Nuw ill Noiily Insoec-
?
Yes ?No or When RendY
?'(Licensetl Elecvical Contractor I hereby requesl insoection ol ebova
? Owner eleeiricel work instellad eY
5 r'et Atldress, Bo or ?
t! No. Cit
?
? ? /? 0 E ?
ection NU. Township Name or No. anBe No. County
O tupaM (PRIN Phone No.
Pawer Supplier
:K -fzti Adtlress
ic
al ConVactor ICompany mel ? Comra tor's Licens N
o.
(? m ?:P C?i c?
iline A.tldress (COntr?actor or Owner Makine I*?st tlatio 1// 61i ?. ? ?
Auth riz tl omr tor aking Ins aY nl Pho umber ?
?
MINNESOTA STqTE BOAflD OF ELECTflICITY TNIS INSPECTION REQUEST WILI NOT
Gripqa•Midwey BIdO• - poom N.181 BE ACCEPTED BV TME STAiE BOAPD
1827 Univeraitv Ave.. St. Paul. MN 66704 UNLESS PqOPEH INSPECTION FEE IS
Phona(612) 642-0800 ENCLOSED.
Thi5lbquBSl VOId -3?13(7
`8 rtqnths from
0 7 '111 n i ?; ; ? ?? :?? r; ,;, !??:, .? , ? ,? ?.?? ,-, ?;
Requis Date -?? Fire No. oupp-in InsOOection
qurtetl?
N
?iieatly Nuw rII Nolily. InsOec-
1or When fleedy
OS o
es
"Ej`&censed Electrical Contractor I hareDy requeat insoection ot ebove
elactricel work instelled et:
Jfl DwnPr
Str
L yet_Address, B '? te No.
CJ
eaion o. ownshlp Name or o. . County
Oc yp?t IPPINT) J?` E
L
*
Phone No.
Address
Powel.$uppl ier -/? 71 y?
l ConUactor ICompeny Na
Ele a
?l 6 m ?c?0 C?P(J7'?c?
Con actor's Lice o.
? ?..
II- B dress 1 ontr cm o Owner a in
? I Instai ation)
Lk,
/
v ,,
Authoraed Si alure IConve Owner akinB Ins lationl -
h P e Number
MINNESOTA SfATE 60aflD dF E&yryc{y"CW1/ Q ?ma uva-c?.--vrv ncuvw? v ?? -.-
Gr109e-Midwey BItlQ. - Room N-191 " ?-'V BE ACCEPTED BY THE STATE BDARD
1821 Uniwarsilv Ave.. St. Wul, MN 66106 ' UNLESS PNOPEN INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
I '
/ r I
(93?, ?
?
r_
co Ai -74.30 ? 0,
? ? ?/ /
N I ?
`l'Q 1 Q ? .00
? /l`4• ?3 (933.9?
9
8 v I N?4.30
? 00'W o
? f ?? a N ? 9(e ? 29.33 ??'? f Q
N I ° i°,° i PRO? FW?Oi 9E.. ?? ?s.o _za / Ul 3
199 %
a.ti? ? au??o
° J
?L
0?
in
I ? / S
? ? ? J N
m
O 00. 8
K/Oa ?935.5? c?
G
W /
_j
/ U
O 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= 9b-1.5
-4-- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 938.0
I hereby certify that this is a true and correct representation of a survey of Me boundaries oF
Lots 5, 6, 7, and 8, Bloclc 2, TE'.E TRAZLS OF TE;OMAS LAKE, Dakota County,
Minnesota.
And of the location of all buiidings, if any, thereon, and all visible encroachments, if any, from or
on said land. It also shows the location of the stakes as set for a proposed building. As surveyed
.
by me or under my direct supervision this 12th day ot January 1987
Paul A. Jo:inson
Land Surveyor, Minn. Reg. No. 10938
4d CERTIFICA ?E?rOF SURVEY
BOOK I?
CMC(OMBS-KNUTSON ASSOCIATES, INC.
>' - ooMSUtnwo uoie[[es N wo sunvtroet A sn[ rwR[es .J.Eho. _NEW _. HO[Z1ZOS?l....NOMES._ItJC.
wrmuroLuw wurcHiwoM.ww?uotA
T931
13
l
1986 HOILDING PERlffT ApPLICATION - CITY OF EAGAN
NOTE: ALL COATRACTOHS MQST BE LICENSBD iIITH THE CITY OF EAGAN
SINGLE F9MIILY DiiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLfi DWELLIAIGS - RFSIDENTI9L
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COMMRCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
I OF q-
To Be Used For:
EENT9L OeTlTS FOR SALE 08ITS J
OF SORVSY - CHE($ BITH BLDG. DEPT.,
& STRUCTURAL PLANS,
SET OF
Valuation: *63,0D0.00
nate: 1/30 /S7
Site Address 4 3IS M,,,a&„ Cy-Lcp OFFI IISE W1LY
Lot g Block Erect ? Oecupancy 19•3
Remodel Zoning PD
Parcel/Sub 'aiZtA t&hQ Repair _ Type of Const ?
Addition N of Stories
Owner 'npa,J "?91644ti °q6-,&M cD,\, Move _ Length 44
Demolish Depth ZCo
Address Q.0. (361C ?'3?-] Int.Impr. Sq Ft
_
Install
City/Zip Code 65d4D
Phone 42 0- 3qGb APPROVALS FEE3
Contractor a,p q,QrO44
9ddress Aasessments
Water/Sewer
Police Permit
Sureharge
Plan Review
31,so
IQ?I.
Fire SAC (oZS.
City/Zip Code Engr Water Conn 525,
Planner Water Meter fD'1.
Phone Council Road IInit ?05-
Bldg Off Treatment P1 I60,
Meh./Engr. APC Parks
Pariance Copies
Address TOTAL -Z 9r-lfi
City/2ip Code
Phone lf
NOTE: ADDHESSSS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MDST DESIGNAiE HHICH 9DDRESS
IS DESIEED. NO CHANGFS SiILL BS ALLOiIE!) OHCE BOILDIHG PERMIi IS ISSIIED.
1986 BIIILDING PEAKIT APPLIC9TIOH - CITY OF EAGAN
90YE: ALL COPTRACTOHS MOST BS LICENSSD iiITH 'PHE CITY OF EAGAN
SINGLE FAMIILY DiiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLfi DiIELLINGS - RESIDENTI9L
INCLUDE 2 SETS OF P[,ANS, CER
1 SET OF SNERGY CALCULATIONS
COMAIERCIAE
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
1 oF 4
To Be Used For: p?&njp
RENTAL DIJITS FOH SALE DNITS I/
OF SQS9fiY - CHECK fiITH HLDG. DSPT.,
& STRUCTURAL PLANS,
SET OF
Valuation:
Site Address Q3(5 g CQo,,,.,,? ()n,,,?
Lot Bloek 2
Parcel/Sub r;?" d- r?" "
Owner ?,pn `??m?, c?m.c
?
Address lp C) BIGY)e 136?
City/Zip Code rM"., /Tyn, S5440
Phone 420- 3q00
Contractor la.y,?a pp QQ„y„Q
9ddress
City/Zip Code
Phone
Mch./Engr. _
Address
City/Zip Code
Phone 4
0 Co3,000a00 Date: 1/zlB-7
Erect ? Oceupancy R 3
Remodel _ Zoning _'FP
Repair _ Type of Const SG
Addition # of Stories
_
Move Length
Demolish _ Depth z(o
Int.Impr. Sq Ft
Install
aerxovaLs FEES
Assessments Permit
Water/Sewer Surcharge 3 I.4
Police Plan Review I 87,
Fire SAC &ZS,
Engr Water Conn SZS.
Planner Water Meter (0"7,
Council Road Unit i051
Bldg Off Treatment P1 l80-
APC Parks
Variance Copies
TOTAL oZ ?
NOTE: ADDHESSES FOR CORNEN LOTS - CONTRACTOR/HOMEOflNEB MOST DESIGN9Tfi AHICH ADDRESS
IS DESIRSD. NO CHANGES iiILL BE ALLOiIED ONCE BOILDING PERMIT IS ISSOED.
1986 BQII.DING PEItlIIT APPLICATIOH - CITY OF EAGAN
90YE: ALL COATRACfOES MQST BE LICENSED iiITH THE CITY OF EAGAN
SINGLE F91+IILY DAELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
!lOLTIPLE DTiELLINGS - RESIDENTIAL RENTAL ANITS FOR SALB DNITS v
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOHVSY - CHECB iIITH BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OE SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
lor4
To Be Used For: ?
& STRUCTURAL PLANS,
SET OF
Valuation: g&??,a`)O. 00 Date: ilao /u
Site Address 43 17 0 6W,?&., ciA&
Lot 5 Hlock 2
Parcel/Sub ";" 0 qkent" Qp,6
Owner °npA,r 291,1!2L Ng,yga cQrA,C
Address p 0 *Q6'J[ 20
City/Zip Code 5544b
Phone 42 D ' 3qoD
Contractor a?w 04 &9vQ
Address
City/Zip Code
Phone
Areh./Engr.
Address
City/Zip Code
Phone #
vh - ?
OFFIC DSE ONLY
Erect ? Oecupancy ?•3
Remodel Zoning ? O
_
Repair _ Type of Const ?
Addition _ # of Stories
Move Length 4?
_
Demolish _ Depth 240
Int.Impr. _ Sq Ft
Install _
aPpaovALS Fses
Assessments Permit 3-74 .
Water/Sewer Surcharge 3?,$O
Police Plan Review 1 8 -1,
Fire SAC l02S •
Engr Water Conn 57-5•
Planner Water Meter (o-71
Council Road Unit ?S.
Bldg Off Treatment P1 ? 8O.
APC Parks
Variance Copies
lY)?AL ?
J
NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOHEOWNEB MQST DESIGNATE BHICH ADDRfiSS
IS DESIRED. 90 CHANGES TiILL HE ALLONED ONCE BOILDING PEBMIT IS ISSQED.
- -. ' /3/3/
1986 BOILDING PEAMIT APPLICATIOH - CITY OF BAG9H
90YS: ALL CONTRACRORS M[1ST HE LICENSSD iiITH THE CITY OF EAG9H
SIliGLE F9MIILY DiIELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiiEI,LINGS - RFSIDENTI6L REN'fAL IIBITS FOR SALS DNITS If
INCLUDE 2 SETS OF PLANS, CfiRTIFICATE OF SDRVEY - CHEC[ WITH HLDG. DEPT.9
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS, '
$2,000 LANDSCAPE BOND
I oF4
To Be Used For: (zpatlQ? Valuation: $6400D_' Date:
Site Address
Lot ? Slock 2
Pareel/Sub OTI" d qkeluctp Lk
Owner ?pN7 °I"Wn, 9?? eAr„e
Address (3fa-l
City/Zip Code ??,?Qp.? IY11m. S5q4b
phone 420- 3qLO D
Contractor „p.(/vr,¢ p,o a,g?
Address
City/Zip Code
Phone
Areh./Engr.
Address
City/Zip Code
Phone #
Gq - qlk,
CE
OFFI
OSE ONLY
Ereet ? Occupancy ?21
Remodel Zoning
_
Repair _ Type of Const ?
Addition # of Stories
_
Move Length 44
Demolish Depth 27
Int.Impr. _ Sq Ft
Install _
APPROVALS FSES
Assessments Permit 3-I-7
Water/Sewer Surcharge 3Z,
Police Plan Review 1 Z>B. T?
Fire SAC (025,
Engr Water Conn SZ ,
Planner Water Meter ?0"1.
Council Road Unit 305 •
Bldg Off Treatment Pl I So.
APC Parks
Variance Copies
TOTAL
.S-'
NOTE: ADDBESSSS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNEH MOST DESIGNAYE W$ICH ADDRESS
IS DESIRED. AO CHANGES WILL BE ALLOflED ONCE BIIILDING PERMIT IS ISSIIED.
.?- .r7 ? .. y .? , ?r?Lc.(',? G ? ?h/"71-??J ?`'` ?- =•??• ??1 zvt?l , _ _ -• _ ? " ? ? U ?"O(? ?
2L,-754
?HEATLOSSCALCULATIONS HEATI011GSAIR CONDITIOWING CO. MINNEAPOLIS,MINN.
Weatherstrips A.S.H.V.E. Con6truetion No. Insulation
Wndows Doors Guide Reference Out. Wall Int. Well Ceiling Roo1 Floor Kind How Applied
Yes-No Yes-No 19__ _
i,,,irIv(, o-RRO°"? Length Width Height
F?• ? FI. (`(1r»rtFQ B!qRoan Length 1Y O -N?idlk !i HeigM
YJi ndows a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Are a
No. W,d,h
ol ana HaiOh1
ol oane Na. ol
li ??s Lineal IL
pf crack Area
sa. It.
N?• Widih
of ane Hoipht
of ene Nn. of
li hw L?n eal fl.
of crack A?ea
eQ• it•
3z ti
41
a
1 ° g R 9 1
2 b 1 10
Coef Btu Coe1 Btu
Inliltretion
1?
Inliltration
2. ?
J tl
7 J O
Glass '' 2y -lo Gless
Exp. wall ;M, ^t ? Exp. wall lO
Net exp. wal I 311 Net exp. wall 9• 25 $
-tm'"W9tF omY' 1 117 2 2,2 . Int. wall
?2_ '2- X 12
Ceiling -
2btA
•
Ceiling .
7Q(q
1.5
(
Floor Floar 1 ?f\ (t
Taal Btu. 7 S, Total Btu. 3
Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Raqwred sq, ft E.O.F. or sq. ins. W.A. Leader area
FL 1 NIN( Roan Length Width Height
HBiyM
FI. ,6f)''2-t]t?qom Length J5 Width 10
Windows and Doors-Crackage and Area Ydi ndows a nd Doors- Cracka ge and Ar ea
No. Wid?h
OI enB HeiqM
ol ena No. of
11 hb Lineal le
o} crack 4rea
+C? f?? No WiAth
ol
ne
n Hxiq?t
nf ann No, ul
b
Ms L??aet le
of crack Area
sq. ft.
o ? N??D
r 7 y
c
2U r?
G 2 1
Coef Btu Coet Btu
Infiltration
_rQ
2,24?
Inliltration
.Z.1
3p Q
/JO
Glass Zj Glass st)
Exp. wall aC `a a(p Ezp. wall
Net exp. wal I 1 Net exp. wall _] J 'Z, 321
Int. wall Int. wnll
Ceilin9 91 z.S 2 CailinQ ts0 2.5
?
Floor Floor ( 4? Uj
Totel Bta S . Total Btu. 3-->4
Required Sq. ft. E.O.R. or sq, ins. W.A. Leader grea Required sq. ft. E.O.R. or sq. ins. W.A. Leader area
Roan Length Width ? Height 1 FI. floom Length I Width Height
Windows and Doors-Crackage and Area W indows a nd Doors -Crack age and Ar ea
N2 ??d,h
O d118 Hei9h1
of flOB No. of
lt 1119 lrneal ft.
of CfBCIt Aeea
aV• ti. No.
of 809 ah?
of flnM No. nl
?? ?IS l?neal fL
O? CfdCk Ared
BV• ??•
COQi BtU CO@( Btll'
Infiltration InfiltrPtion
?
Glass Glass
Exp. wall Exp. wxll
Net exp. wall Net exp, wal l
Int. wall Inc, wxll
Ceil+ng 12- -A, -1 Ceiling
Floar
Total Btu. Total 8tu.
Required sq. ft. E.O.R. or sq. ins. W.A. Leader area ? O Roquirect sq, ft. E.D.R. or sq. ins. W.A. Leadar area
fr•
?HEAT LOSS CALCULATION$
56. Sedgu4i1:16
HEATING&AIR CONDITIONING CO. MINNEAPOLIS,MINN.
Westherslrips A,S.H.V.E. Conshuction No. Insulatian
NTindows poors Guide
Refere n Ou[. Wall
IM. Wal1
Ceiling
Roof
Floor
Kirxl
HowApplied
Yes-No
Yes-No ce
1y__
;FI. yQ Roan Langth l4 Wid[h Height FI, Roan Length Width Neight
Ydi ndows a nd Doors -Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Ar ea
No. oly? a?ne 1 Heioht OB?e No.^o?l Lmeal H.
af crack Area
eq. li. µo WiA,h
of em Hoiph[
of ane No. nt
?i hts l?neal h.
af c?ack Area
sa. ft•
? 2- (D
Coet Btu Coef Btu
inrio-acion :LO D 76a inri inscion
Glass r 1&0 Glass
Exp. wall Exp. wall
Net exp. wall 2 Q Nat enp. wall
Int. wall Int. well
Ceiling Ceiling
Floor . 10 j6 („p-] Floor
Total Btu. .2:3(AQ Totel Btu.
Required 6q. ft. E.D.R. or Sq. ins. W.A. Leader aree Ryquired 6q. ft. E.D.R. or sq. in6. W.A. Leader area
FI. Room Length ? Width 11 Height FL Noam Length Width Heiyht
Wi ndows a nd Doors- Cracka ge and Ar ea YI i ndows a nd Doors- Cracka ge and Ar ea
Na. WiGrn
of ane Heipht
o1 ana No. of
Inchiy Uneal h.
o1 oack .4rea
G4• ft. No ?yi??ry
ol on0 Hp?qhI
al ann No. ul
li hts lmeal It.
o/ crgtk Aree
50. h.
Y 9 a
? ?,° ? ? q,
??.
Coei Btu CoaT Btu
Infiltration ? 1I-7 2 223 Infiltration
Glass U Qd 0 Giass
Exp, wall Exp. wall
Net exp. ?I 7.gZ q. ( ( l Net exp, wall
?F+ f 2 ?1U 2.2 int. wan
Ceiling Ceilinp
Floor LX I? Floor
Total Btu. 16A -i Total Biu.
Fiequired sq. (t. E.D.R. or sq. ins. W.A. Leader area Raquired sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI.?,? ,,. }?t?om Length l3 Width Height FI. Room Length Wid[h Height
Wi ndows a nd Doors -Crecka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea
NO' Wiath
ol ane Heiqnt
ol ane No. ul
li h's L?neal h.
of crack Area
s4 it •
NO'
WiTh
uf iane
7u???
??
uf Oaoe
No. nl
li nls
lineai h.
o( crack
AreT
a•fi.
Coe( Btu Coe1 Btu
Infiltration In/iltration
Glass Glass
Exp. wall Exp. w»II
Net exp. wall 77G'? Net exp. wall
lnt. wall Int. wall
Ceiling Ceiling
Floar t ...X y ?
V-LS?- flnor --'--_
Total Btu. Total Btu.
AequireJ sq. ft. E.D.R. or sq. ins. W.A. Leader area Ruquired sq. ft E.D.R. or sq. ins. W.A. Leader area
GITYOF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEBAL DESCRIPTION:
oc
NO'1E: PAYMPM' OF PE8 AT TIM OP
APPLIaPMON nOEs rOr aonsazTUTE
nePxova,L aF rERMIT.
nisencriaN oF sE,Et Aun/CR s,m,M
n T.ra'r30IZ5 WII.L NOT ffi 9(EED--
[A.m UNra, PERMuT HAs SM
ArrFJDM.
or
IF EXISTING S1RLC1LRtE, DA1£ OF OQ2IGINAL BUIIDING PFRMiT ISSCRNCE: . .
PRESENf ZOLVIING/PROPOSID L?SE: rbn ear
Q ca403cIaL/!RETAIL/0FFzcE
Q IHI)(JSIRIAL
? INSTITL*PIOFIAL/GpVIIwEMr
2) ?
DAU'E:
ADDRFSS:
CITY. S'fATE. ZIP:
3) ? i: a• NAME:_tm
ZA?RESS:
CITY. STATE? ZIP:
Pfi0NE: ?i •
? R-1 SINCT,E FAAIILY :
R-2 DLWE}C (1GO C?nits)
? R-3 2DPffiODSE (Three + Units) ( Units)
x-4 A2ARzrmvr/cotmuNILM ( [mits )
D4ASIE[2 I,ICETN,SE#
Q) •• •;? ?..n?NANE.?
. ADDRESS: •
CITY. STATE, ZIP: '
PfENE:
•5) " ' M' • ?• • a? ?? •
. eCOtaIDC.TION 1?D C.I'PY SEWII2 (;j" ODNPIIX.TION M CITY MATER
Pliabers License:
14ctive
E7cpized
D7ot z'ecorded
S? initial
Q OTHER ' .
6) ?? ?? ? PLEA.SE HOID APPROVID PII2MIT FCII2 PICK-C?P BY ONE OF RBOVE
L='I ?E ?L APPRWID PF1iMIT 7?D 1, 2, ? 4. AB(7VE
7) (Circle one)n
I 'y
FOR -CITY USE ONLY
., , . .?.
0. .
PERMIT # ISSUED -
??f
Pd w/Bldg. Permit
FEES:
$ S 16 5o SEWER PERMIT (INCLODE SORCHARGE)
$ $ ?? sO
WATER PERMIT (INCLLDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OC'TSZDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
??
$ $ IS ACCOLNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
S $
• WAC
$ (o 15? S ?v $ SAC , .
$
S - , % ? ?'•. , f
' TRtlTQK -FIATER ASSESSIIENT
•
S $ ' ? `
17?L'NK _$$T0.ER.,-F45SES$MENT
,
$ $ LATERAL'$$NEP•IT/',Cj{UNK SEWER
$ $ *
+ LATERAL BENEFIT/TRLNK WATER
>
S ??D ? r .,
S . •o : . ..-'• 4 ;
1
R
'
• . (qTATE
ANT SURCHARGE
JRFATMENT. PL
$
• OTHER': . _
$ ?:?g? 0LJ ?- ?
OD _ ? r'-,`-:'.
-$? TOTAL
--- 7D/95 - o ..
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A" PERMIT FOR FIORK WITHIN P08LIC
Q
NO ROADWAY" M[)ST BE
DIVISION
LIST ISSUED BY THE ENGINEERING
AS
CON
IO
. A
DIT
N.
SUBJECT TO THE FOLL OWING CpNDITIONS:
?
APPROVED BY: ?/?Ai,Qh,??(/?.? ?
TITLE: , •. .
DATE: ,-./ - L-7
CITY OF EAGAN
APPLICATION FOR PERMtT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS: c
LEGAL DESCRIPTION: -7 Z
NOTR: PA7MTP" OF PSB AT T!M[: ?
?CATION DOES NOT CMVTITE17E
r,PPRwnt. aF' rEE041r.
nSPECTIoN oF SEHM r,rn/UR M'tst
nWDULATTCNs wIM Nom BE SCHED-
tu,m [Nrn. rERrIT mAs $M
APPADM. .
.. .-/n?ucai ounaivision or Tax Parcel ID u
IF ElQSTING 51RC'CMRE, DATE OF ORIGINAL BLTIIDING PERNIIT ISSL'ANCE: . .
P12ESYN1' ZONIldC;/PROPOSID LSE: Mon ear
? COMMERCIAI./REl'AII./10FFICE
? INIDUSIRIAL
? INSTITL*PIONAL/GOVFItIZEBTr
z) ?
rmME:
AonREss:
ciTSr, sraxE, zIP:
3) NAME
AMRESS:?
CITY. S"PATE, ZIP: NY IViV
? R-1 SINQ.E FAAffLy ?J R-2 DC'PI.Ex (1uv Uni.ts) '
R-3 ROWDMOOSE (Three + Units) ( Units)
q a-a ?ARTmENr/cormorurrzt.u4 c v,uts )
MA5TER LICENSE#
k
4) ?• • • • i?-
NAME:?
_ ADD03SS: ,
aTY. STATE, ZIP:
PtIONE: .
Plim7b ers License:
Active
fSSpired
D7at recorded
tarf I r??it,ral
5} n ?.. , ?. : o • oi - ?? •
? ODNMX,'PION 1C} CITY SEZMIi ? CpPIINSLTION TO CITY WATER ? aPiM ' .
6) ?? • ? r E3 PLEASE fiOID APPRCNID PERMIT Pat PICK-UP BY ONE' OF ABOVE
? [vy PLEASE MAIL APPRWID PIItMIT 1+0 1, 2,3 4. ABOVE
` (Circle one)
7, ? l,l'il .LFO?y/-' .z.un,. /7 _2 .01-1
$?d
FOR -CITY USE ONLY
PERMIT # ISSUED
,R q 3 ? -?
Pd w/Bldg. Permit
S
s
$
42?
$
$
$
$
s ,5"a5 °-0
S (?,?5 00
$
S
S
$
$
$ ?197 !7?
RE EIPT
FEES:
S /(7 SO
50
s
5
: •
SEWER PERMIT (INCLODE SDRCHARGE)
WATER PERMIT (INCLUDE SLRCHARGE)
WATER METER/COPPERHORN/OLTSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
$ 5EWER TAP
$ IS ? D ACCOONT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ • WAC
$ SAC ,
' . , ? ?.: :. ,. ? • ° ., 3r_,?Jd
$ TR'C10IF -WATER ASSESSNJENT
OC'NK .S$WEgr,-ASSEStMENT
$ LATERAL- lkPTIEliI'I'?*L}'AIK SEWER
$ LATERAL BENEFIT/TF2I:NK WATER
q _., .? tY •
$ ? • _ . (!?ATER ,TREATMENT, P3tANT SURCHARGE
$ OTHER':
. ` , ? . D ." _ . •-,-', '
O '. TOTAL .'
_ 70 lo lo ?J .
RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK WITHZN PLSLIC
Q ROADWAY" M[)ST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
4
APPROVED BY:
TITLE; r • • ' : a '.
DATE: } ?-04'2
CrTY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
riar.: rAMrr aP M Ax anC aF
tPMcAnaa noES riom oaa-rnUJE *
p,rrxOVAr, a¢T rER41T. •
nuSPncrsoN OF sEWER Arn/bR WATM
Ira-rar.raTrms wa.L Nom ffi 9cHED-
Un.Fn vrrrB. PERMrT Hm.s EM
npPRDVED.
, P ease Print
"l) pROPERTY ADDRESS:
LEGAL DESCRIpTION: •-
IF E7QSTING S2RCC1LR2E, DATE OF ORIGINAL &UILDING PERMZT ISSL'ANCE: '
PRESIIJf ZONING/PROPOSID t?SE: Nbn ear ..
? corrERcuL/IRErau./OFFica
? II'IINISTStIAL
+] INSTIILTIONAL/GOVIIWETf
2) ?
AO
CITY. S"fATE
C] R-1 SINGLE FAMILY "
R-2 Di7PLEX (Ttho t?nits) .
? R-3 1OWNHOIISE (Three + Units) ( Lfiits)
R-4 APARTmENP/CONIDa7INIUNI Units)
3) ' ':S" NAN?: For City Use [Avyjoi Pltnrbess License:
AMRE55:
? Active
CITYr STATE, ZIP: ' -cPlred
Not recorded
PHONE: NASTQ2 I.ICENSE# 17423M '
$ta ial
4) •• • i?•
NAME:
. AUDRESS: .
CITY. STME, zip:
PHCNE: .
s> u - «• ?• . ?. - ?. d?.'PION 10 CITY SEMR Ga/ODNNIDLTION SO CITY FATIIi C( OTHM ' •
6) ?• r
[:3 PLEASE HOID APPRpVID pF.I2MT FUR PICK-C?P BY ONE OF AHWE
?
dE MAIL APPROVID PII2MIT TO 1, 2,? 4, ABOVE
?`_ ,. '(-x-? ' _ (Circle one)
.-FOR -CITY USE ONLY
PERMIT # ISSUED
1? 3
Pd w/Bldg. Permit
5
$
?07 ?sc?
$
$
$
$
S
?"?560
$
$ $ -- -
$
S
S
S 9
. ;70/ 9
FEES:
$ /D '` o
$
S
$
$
$
Y
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLODE SORCHARGE)
WATER METER/COPPERHORN/0[!TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ • WAC
$ SAC
$ - -% ? +-_ - • TRtl1QK •WATER ASSESSOENT --- ---
._;
,. .. .. I
$ . ' •_ • v Tg. UNK -$EiqER;ASSES'SMENT
S ' LATERAL.'$FNE?`PP/.T?L'NK SEWER
? _
$ • LATERAL BENEFIT/TRCNK WATER
$
Fj}S7'EF2 , TREATMENT. PUANT SURCHARGE
• ?
$
' ?•. `_ '? - y bTHER':
TOTAL
RECEIPT RECEZP - .
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR F10RK WITHIN PUBLIC
Q ROADWAY" MUST SE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
v
APPROVED BY:
I
TITLE:
DATE:\ ?? ?- • b Z
. 40ITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTy ADDRESS:
LEGAL DESCRIPTION:
Z
s
NOT3: PA7MW' QF PF8 AT T7t+EQF
?,?rscr?aa no? r?om oo?a-iz?
A2PRwat oP PEauT.
naSPFx.-riort aF sEMM Arn/OR MM
irsrArLATTOrs wUL Nox EE scHED--
OikD ONPII. PII2MffT AAS Hffi0
APPRWID.
IF EXISTING STRC'CILJRE. DATE OF ORIGINAL &LILDING PERMIT ISSUANCE: -
PRESENP ZONING/P1tOPO5ID OSE: : Mon ear
q 000MCIAL./WAsr.roFFIcE
1-7 INL'Sli2IAI+
? IN9=1T10urL/caAaru.Errr
2) ?
t?ME:
AMRFSS:
CITY, STATE, ZIP:
3) • i: ?•
NAME:-tau
ADDRESS:
CITY? STATE, ZIP:
PHONE: P;)Z'A
? R-1 SINGLE FAMILY '
R-2 DLVLEX (1Wp Cfiits)
? R-3 T0WMOLISE (Three + Units) ( Units)
[] R-9 AP.4RimENP/CODIDOMINI[fil ( Units)
I,ICFNSE#
4) • • • ??. ?y ??;, i ? ? ?
_ ADDRESS: ,
CI77C. STA7E, ZIP:
PHONE: -
P,ctive
E?cpired
Not recorded
Sta-ff tral
-5) n - ?. , ?. : a • a? ?? •
y eOOIaIDCTION 7t? CITY SSSdm ? COImX..TION 10 CITY HATER [3 O'iffiI2_.
6)
?? • ?? E3 PLEASE EiOID APPR(7VID PF1iMIT Mfft PIQC-QP BY ONE OF ABWE
[v.Y PI.EASE MASL APPROVID PERMIT ZO 1. 2.(P3 4. AHUVE
t?I . - (Circle one) .
41
94,
. fOR -CITY USE ONLY . - :
PERMIT $ ISSUED .
X lS
Pd w/Bldg. Permit FEES: ?
$ $ /e') Sv SEWER PERMIT (INCLODE SURCHARGE)
$ $ leSO WATER PERMIT (INCLODE SURCHARGE)
$ ?? B v $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ S ACCOUNT DEPOSIT - SEWER
$ $ /S B ? ACCOL'NT DEPOSIT - WATER
$__ $ • WAC
$??S $ SAC ,
$ • f.
$ - ? l:'•_ TR?C.?IQK -WATER ASSESSNjENT
' r
$ $ ?_•
?.,,_ • .
? ,T$ONK -SEWER
-ASSES'SMENT
?'
.. . . . i '.. ::
$ $ LATERAL1?
PyNE?IT/.??Ui?1K SEWER
,
, _
$ $ LATERAL BENEFZT/TRUNK WATER
. ?.'•l d.?.J,;:
$ /lSd $
• . WATERJRF,ATMENT. PBANT SURCHARGE .
\:'`?
$ $ ••,?? -.a . ? ' OTHEbt':
s ToTAL
766'?1,3 ,
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"P ERMIT FOR F10RK WITHIN PUBLIC
Q
NO ROADWAY" MLST BE
DIVISION
LZST A ISSUED BY THE ENGINEERING
S A CO
ION
D
. .
N
IT
SUBJECT TO THE FOLLOWING CpNDITIONS:
APPROVED HY:
TITI.E: - . • . -
,'r• t? „• `. •??.:; ? . . ,.
DATE:s '?_/J -0-7
• ?p B8Y IIYBSt eay ir?r.
five Emoire Drive
SL Paul, Minnesola
. 55103-1867
May 14, 1991
5i2?o?-c;_n `J..."'4 F"D
0
FFX 291-0099 .
?'OMWED
r?
irir,Y 1 J 19:1?
MPCA, HAZARDOUS
WASTE DlYISiON
Ms. Dorene Fier-Tucker
Minnesota Pollution Control Agency ?""'k, P?
Tanks and Spills Section
520 Lafayette Road ?
St. Paul, MN 55103
RE: Vapor Point Analysis - 4317 clemson Circle, Eagan, MN
(Work Order #147)
Dear porene:
Please find the enclosed results of a soil vapor survey
conducted on May 2, 1991 at the Ryan Residence at 4317 Clemson
Circle, Eagan, Minnesota. This work supplements the previous
work performed at the site (See our report dated April 1, 1991).
Eleven vapor points were taken at various locations near the
home's foundation in an effort to pinpoint a possible source for
solvent vapors which had been detected in the flome (see enclosed
map). The results do not indicate a source of contamination (see
attached survey form).
We are currently making arranqements with Mr. John Ryan to do an
additional round of air sampling inside his home. Results of
this testing will be forwarded to you as soon as they are
available.
If you would like us to perform any additional investigation at
this site, please call me at 291-0456.
Sincerely,
Mike Falk
Project Manager
,Environmental Compliance
enclosures
/? BAY WEST, INC.
K`D ENVIRONMENTAL SERVICES
5 EMPIRE DRIVE ST. PAUL, MN. 55103
PfOJ2Ct NdfnB: MPCA-JOHN RYAN VAPOR SURVEY
Project Number. 2080
T2ChniCl2ll: JIM HUBAELL
G8010giSt: RON BALLIET
VAPOR POINT ANALYSIS
Background Sample:
location, Depth 100' E and 39 N ot
test area, 5' bu., 1220 pm.
TLV HNU
Result (ppm): e_o 0.3
VAP'JR
POINT D4TE TIME J.7FPTH TLV
(ppm) HNU
(ppm) COMNIENTS
VP-1 5-2-91 11:10 5' 2.0 0
VP-'L 5-2-91 11:15 5' 4.0 0
VP-3 5-2-91 1120 5' 2.0 0.3 short peak on HNU
VP-4 5-2-91 1125 5' 1.0 0
VP-5 5-2-91 71:30 5' 0.5 0
VP-6 5-2-91 71:35 5' 2.5 1.5 material lod ed in HNU robe rod
VP-7 5-2-91 11:45 5' 4.0 0.5
VF'-8 5-2-91 71:55 5' 0.8
VP-9 5-2-91 12:00 5' 02
VP-10 5-2-91 12:05 5' 0.6
VP-11 5-2-91 12:10 5' 0.8
l
NOTES:
vp? W-3 VP-2
• W-1
DECK VF DECH
va-
vr- t
suup eENFi
,ni I
SIEPS
GapAGE E
ASPlVLT
DRNE
?ppp?E GARACE LEGEND:
0 VMOR PouR LACATION
OEpC DECN
1 V
a sa eo• s N
?
E
• fl4CKCR0UN0
VMOR PoIM
v.mt M.F. urr gpY IPSST Inc.
I
M
K.N. 5 B 91
yr?m anvs
+
/
/Y'v. 1r a.a¢.x
Am1ECf
IwiE JOXN i1YAN VPPOR SURVEY
CLFIASON CIRCtE
n? 51IE A41P
? f6 2a80-B1 ? 1--2a' FlGURE #
Q,& Bay West
April 2, 1991
Ms. Dorene Fier-Tucker
Minnesota Pollution Control Agency
Tanks and Spills
520 Lafayette Road
St. Paul, MN 55155
6aywestlnc. 612-29i-045o
Five Empire Drive Fax 291 -0099
SL Paul, Minnesola
55103-1867
RDIVEMED
APRU3 1991
MPCA, HAZARDOUS
WASTE DIVISION
RE: Remediation Activities for Eagan Site (WOrk Order #147)
Dear porene:
Based on our conversation of March 14, 1991, Bay West is pleased
to provide you with the following report and proposed remediation
activities at the residence located at 4317 Clemson Circle in
Eagan, Minnesota.
Backqround
On March 1, 1991, Bay West was contacted by Ms. Dorene
Fier-Tucker of the MPCA regarding a complaint of solvent vapors
in a residential property. The owners of one unit of a
quad-home located at 4317 Clemson Circle in Eagan, Minnesota had
reported solvent vapors present in the lower level of their home
Findings
Mr. Shawn Kruse, an Industrial Hygienist with Bay West,
responded to the complaint.
A Foxboro organic vapor analyzer equipped with a flame-ionization
detector (FID) was used to attempt to locate the source of vapors
in the lower level of the home. The greatest concentration of
vapors appeared to be coming from a drain tile sump located in a
closet on the lower level. Vapors also were detected along
tcracks and in an opening of the foundation wall inside the
closet.
3M Organic Vapor Monitors (OVMs) were placed in the sump and also
in the living area of the home to help identify the vapors and to
approximate the exposure levels. Results of the OVM in the sump
opening indicates the presence of xylene, toluene, and heptane,
all at concentrations of less than 1 ppm (telefaxed to Dorene
Fier-Tucker on March 11, 1991). Results of the two badges placed
in the basement and upstairs living areas indicate exposures less
than 0.5 ppm for toluene and xylene, and 5 mg/m3 total
hydrocarbons (see enclosed results).
? Bay West
Ms. Dorene Fier-Tucker
April 2, 1991
Page 2
Conclusion and Proposed Remediation Activities
The concentrations of vapors in the house are approximately 10 of
the OSHA permissible exposure limits which were established as
acceptable exposures for employees in the workplace during an
eight-hour workday (100 ppm for xylene and toluene).
The average concentrations of toluene and xylenes in the basement
are are 0.4 and 0.3 ppm or 1.5 and 1.3 mg/m , respectively. The
nonoccupational chronic toxicity reference doses (EPA-HEAST
Tables, Third Quarter 1990) for toluene and xylenes are 2 and 0.3
mg/m3. In the case of xylenes, the average concentration exceeds
the reference 3ose.
It is possible that there is a pocket of solvent contamination or
a leaking container of solvent material buried near the
foundation resultin9 in the infiltration of vapors into the house
through the drain tile collection field. It is also possible
that this problem is only showing up in the winter months because
the frozen ground has prevented the vapors from being released
through trie soil.
It would be worthwhile to conduct an historical review of the
site to see if there may have been any past activities which
resulted in solvent contamination of the property.
A temporary solution to the odor problem may be to seal off the
sump with plastic and caulk any cracks which may allow vapors
into the home. Another possibility would be'to install a small
fan outside the home near the foundation and drain tile
collection system which would draw air from the system to the
outside.
In an effort to resolve the contamination problem, Bay West '
proposes to first perform 'a soil gas surveX around the vicinity
of the home's foundation in an effort to pinpoint the source of
the solvent vapors. If this method is successful we could
proceed to excavate and remove the contaminated material. The
estimated costs for gerformir.g the soil gas survey work and
submitting a follow-up report would be $2,400.
If the soil gas survey does not yield conclusive information,
another alternative may be to perform a geophysical study to
tlocate any metal-bearing container which may have been buried.
If you have any questions on this information or would like us to
proceed with the proposed remedial activities, please call me at
291-0456.
Sincerely,
Michael S. Falk
Project Manager
Environmental Compliance
enclosure
? N C--o-T'? REPORT OF LABORATORY ANALYSIS
iHE RSSUPRNCE Of OUALIlY
REPORT ON PRO.7ECT NUMBER 52838IH
March 21, 1991
Cuatomer Project Code:
PACE Project No: D10315.503
To: Mr. Shawn Kruse
say West, inc.
5 Empire Drive
- St. Paul, MN 55103
Analyais: The following eamplee were eubmitted for analysis: .
Two 3M badqe samples for toluene, xylene and total other
hydzocarbone.
Method: oRGANIC VAPORS
Each sample was analyzed ae apecified above for toluene and uylene.
The organic vapors were desorbed from the media with a solvent and
the solvent analyzed uaing gas chromatography with flame ionization
detection. The chromatographic peak for each analyte was compared
to a calibration curve obtained from standard solutions. Milligram
values were corrected for deaorption efficiency.
TOTAL HYDROCARBONS
Each eample was extracted with carbon diaulfide and analyzed by gas
chromatography with flame fonization detection. The peak arese for
the total hydrocarbona were compared to a calibration curve obtained
fram standard toluene aolutions.
Results: The reaults are found on Table 1.
Discueeion: The OSHA permiasible expoeure limits (PELa) for the reported
subetance(s) are as follows:
SUBSTANCE(S) TWA STEL CSILING SRIN
toluene 100 150 - PPM -
375 560 - mg/M3
xylenea
(o-,m-,p- isomera) 100 150 - ppm -
435 655 - mg/M3
The eampling rates ueed were obtained from the 3M Compound Guide
R35AG(611)R May 1981. The reaults contained in this report are expreseed in terms of the
? concentration per sample volume and are computed based upon data
provided by the client. These values are not neceasarily comparable
to any epecific permissible expoeure li.mit (PEL). PELa for the
reported eubetancea are liated for your convenience.
PAC&, Inc. (formerly Hager Lahoratories, Inc.), hae been AIHA
accredited eince 1977.
5930 Mclnryre Sveet
GoWen. CO 80403
TEL: 303-278•3400
800-9783434
FAX: 303-278-2121
Otfrees Smrmg: Muimapu6s, Mmnemm
Tampa Florida
lowa Ciry, lowa
Sen Froxisa, CaGfomia
Kemas City, M'ssouri
Los Anqelea. Cal'rfomia
Chuktte, NoM CaroEns
Ashevib, NoM Caroline
New York, New Yark
Pittsbwqh, Pmnsylvania
Oamer, Cobrado
An Equal OOPOnuniry Empbya
? N C-- o- T-? REPORT OF LABORATORY ANALYSIS
iXE ASSOP9NCE Oi pUAIIiY
Page Two, SN52838IH
Hay Weet, inc.
March 21, 1991
Diecueeion: Labozatory data are filed and available upon requeet.
(cont.)
If you have any queetions, please contact our Client Servicee
Department, at (303)278-3400 or toll free at (800)878-3434.
Submitted by:
Scott A. Ste nez
Induatrial Hygiene Organice
Department supervisor
SAS:lh
5930 Mdntyre Street Offxn Servinp: Miimeapolis, Mmmaota Chebtta, North Grafine
Galden, CO 80403 Tampa Fkrida AsMrdle. Nanh Camima
TEL: 303-2703400 lowa Ciry, lowa New York, New Yark
900-8783434 San Franciaca, Calitomia Pi[ISbwph, Pamaylvania
FA%: 303-2782121 Kansas City, Musouri Oemrer, Cabrado
Los Angeles, Celifarnia
An Equal Oppm[unily Empbyer
' - . . Pitq;r?a
iNF RSSUflRXCE Of pppUiY
SN 52838Z8
March 21, 1991
REPORT OF LABORATORY ANALYSIS
TABLE 1
* Basement Living Area
Sample Number: BP0251
Compound
toluene
xylene
total other hydrocarbons
* Uostairs Living Area
Sample Number: BP0242
Compound
toluene
xylene
total other hydrocarbone
5930 Mdnryre Street
Golden, CO 80403
TEL: 303-2783400
800-8783434
FAX: 303-278-2121
Total
(mg)
0.07
0.05
0.2
Total
(m4)
0.06
0.04
0.2
Sample Time: 1480. minutes
Aiz Concentration
0.4 ppm
0.3 ppm
5. mg/cu.M.
Sample Time: 1460. minutes
Air Concentration
0.3 ppm
0.2 ppm
5. mg/cu.M.
Offxea Servinq: Mimrapo6s, Minneaota
Tenpe, Fbride
lawe Ciry, lowa
San Froixiaao, Califomia
Nansas Ciry, Musowi
Los Aigeks, Cafilomia
Charbtta, NmM CaraGna An Equal Opportunity Emptayer
Ashevale, North CaraGna
Naw York, Naw York
Pittshurgh, Pmroylvania
Demn, Calarada
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4317-8 CLEMS4N CIR
LOTc 6 BIOCK: 2
THE TRAIl.S OF TNOMAS LAKE
DESCRIPTION:
(INSERT)
6uilding'--Permit Type
Building W'b.rk Type
?
? ... ?!
..? __ T. 2t
'.. . , .. . ?
.. '.`?-
ty .
REMARKS:
FTREPLACE
ALTERATIQN
cRIfO9L
BUILDING
026237
08/14/95
1` E 1i.i ?f 1i3? g t qj3-i S[ IL
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: -
FIRESIDE CORNER INC
2700 N FAIRVIEW
ROSEVILLE MN
(612) 633-1042
Applicant - ST. LIC
16331042 0001068
AVE
55113
?
OWNER:
WACHTER ALLEN
4317-B CLEMSON CIR
EAGAN MN
(612)686-7969
I hereby acknnwledge that I have read this
information is co,rrect and agree to camply
3tatutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
application and state that the
with all applicable State af Mn.
a
ISSUED B'o SIG fURE
I
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
026237
08/14/95
SITE ADDRESS: Lo T: e B L 0 C K:
4317-8 CLEMSON CIR
THE TRAILS OF THOMAS LAKE
PERMIT SUBTYPE:
FIREPLACE
?
?
Z APPLICANT:
FIRESIDE CORNER INC
(612) 633-1042
TYPE OF WORK:
ALTERATION
DESCRIPTION (INSERT)
7
I I - I
I CITY OF EAGAN
3830 PILOT KNOB RD - 55122
? 1995 FIREPLACE PERMIT APPLICATION
681-4675
DATE: ? .40 IM DESCRIPTION OF RK: ?ALL NEW FIREPLACE:
4 z3.5o
_ WOOD BURNING _ GAS
INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
? OTHER: 'InAsn t
AREA TO BE INSTALLED IN:
STREET ADDRESS: "?? 1 `,r'1--> ? ? %? 6? ??r'??
LOT G BLOCK o2
APPLICANT: (circle one only)
SUBD./P.I.D. #:
OWNER
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with ali applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
owNeR
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Name:Phone
y51 FlRBi
Signature:
Street Address•
City:
Company:
Signature: ?
Street Address:
City:State: ? Zip•??
Company: _
Name:
Signature: -
Street Address:
City:
Phone #: 1?; 32 -=?
License #•I
Phone #-
5tate: Zip:
State:
Zip:
? COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Name:
Foundation Onl New Construction Interior Im rovement
• SWCtural Plans (2) sets • Architectural Plans (2) sets • Archltectu2l Plans (2) sets
• CivilPlans (2) • SWcturalPlans (2) • CodeAnalysis (1)
• CertificateofSurvey (1) • CivilPlans (2) • ProjectSpecs (1)
• CodeAnalysis (1)" . LandscapingPlans (2) • KeyPlan (1)
• Projed5pecs (1) . CodeAnalysis (1) • Master Exit Plan (1)
• Spec. Insp. & Testlng Schedule . Certiflcate of Survey (1) • Energy Calculallons (1) not always"
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always*'
• Meter size must be established • Meter size must be eshablished • Meter size must be established - if applicable
• ProjectSpecs (1)
1 • EnergyCalculatlons (1)
1 • Electric Power 8 Lighting Fortn (1)
1 • Master E)clt Plan (1) 1
! • Emergency Response Sita Plan (1)
i • Soils Report (7) i
• MClES SAC determinatlon letter . MGES SAC determination letter • MC/ES SAC determination lefler
call 651-602-7000 call 651-602-1000 call 651-602-1000
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for detalls.
" Contad Building Inspections for sample.
Permit for new 6uildings or addltions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
G /
DATE: ORKTYPE: NEW REMODEL CONSTRUCTION COST: ?A .
SITE ADDRESS: ??I -? ??? ?S eJ I??iWIS?M ?I r?i ?C
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK I-( a V'(
PROPERTY
OWNER
StreetAddress: 1- 4 Y( l? V-J I?
City: State:
SUITE #:
?•---I ':?'
\I?-
Phone #: (?", n g r ?'7 5g
3
Zip: ' 7 5-
Phone #: ( ? 2 .) L
CONTRAGTOR Company: 4
Sheet Address:
City: ?
ARCHIT'ECTY
ENGINEER Company:_
Name:
Sheet Address
City:
Licensed plumber Installing new sewerlwater service:
I hereby acknowledge that I have read this application, state that the
Minnesota Statutes and City of Eagan Ordinances.
Sbte: p 0 Zip:
Regrstradon #: ? -.
?J
state: zip':"
Phone #: (
iaUOn-is-correct, and nree Jejc4np
Phone #:
II ?
L' .
i
with aH applicable State of
'"/ y " - ?
Signature of ApplicanT.?
Updated
75865 THE TRAILS OF THOMAS LAKE
CLEMSON CIRCLE
4300/ 10 75865 240 02 (4-PLEX)
4300B/ 23002
4301/ 210 02
4301B 220 02
4302/ 10 75865 250 02 (4-PLEX?
4302B1 260 02
4304/ 280 02
4304B 270 02
4303/ 10 75865 20002 (4-PLEX)
4303B/ 190 02
4305/ 170 02
4305B 180 02
43061 10 75865 290 02 (4-PLEX)
4306B/ 300 02
4308/ 320 02
4308B 310 02
4307/ 10 75865 160 02 (4-PLEX)
4307B/ 150 02
4309/ 130 02
4309B 140 02
4310/ 10 75865 330 02 (4-PLEX)
4310B/ 340 02
4312/ 360 02
4312B 350 02
4311/ 10 75865 120 02 (4-PLE3)
43llB/ 11002
4313/ 090 02
4313B 100 02
4314/ 10 75865 370 02 (4-PLEX)
43148/ 380 02
4316/ 40002
4316B 390 02
- - ??
4415/ 10 75865 080 02 (4-PLEX) I
4315B/ 07Q?2-_ -- J
43171 05002
4317B 060 02
4318/ 10 75865 410 02 (1/2 OF 4-PLEX - OTHER 1/2 IS 1613/13B CLEMSON DR.)
4318B IO 75865 420 02
4319 10 75865 040 02 (1/2 OF 4-PLEX - OTHER 1/2 IS 1617/17B CLEMSON DR.)
3
Y>1?a?-
2007 RESIDENTIAL PLUMBING PeRnnir,aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please com lete for modifications to existin residential dwellin s.
??;5-z)
Date
Site Street Address -PmhDx.. l.t?ye-Unit#
Property Owner j)QAAf]S„Telephone # (r-j07 ) 14Zq - g ]tp't'
Contractor Y. l ! 7"'L • Telephone# (61 ?o) C.w?-IODq Z
Address - 60• City State )rL. Zip55423
The Applicant is: _ Owner 8 Occupant ? Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
installing on/v a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 15•60
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
a ordance with the approved plan in the event a plan is requiLMM'Lf e reviewed and approved.
a_?. am-a ? (-%)
Appli lnPs Printed Name Applica t s Signature
5C/%%;--
2007 RE.SEDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Teleptrone # 651-675-5675 FAX # 651-675-5694
New consauAOn RoQuaements .
3 registered sik mn'e9s dmki9 SQ. R of Id, s9. ft af house; arid d roofed meas
(20%marzimum fot mveage Maved)
7 Swfls RepWt ifqpppsed IwidaV is to be-piaced an disWuhed sal
2 mppes ntplan ahmxirg beem 8 waidnw 'smm paured kwaid design, etc.
f set d Energy Celalafians
3 copfes ofTrae Presarratlan Poa ff tot Plaued aRa 711193
Rim Jdst 0eW1 Optim sdecfiOn shcet (buAdngs yrifth 3 a less units)
ItinnegascomechaniplvenWationtam
RmmddlRenair Reguiremen1&
2 copies of Pbn showim ftft% beans.1oists
1 set of Enagy CalculnUan6 fa heeted adMor5
1 aleairveYforaddtions &decks
Addi6an-omkaleHm sdesepticsysfen
3W' gw-
ORm Use Onlv
CetofSurveyRecd - _Y _N
ShcsRepwt - _Y _N
TreePre5Plan.Recd Y _N
,
72ePres ReWied ?Y _N
Onsb SepticSlatem -_Y _N
Plans are considered public infarmatian unless vou state thev are trade secret and the reason.
?
Dste ! d S/ 0-7 - q
Constrnction Cast d Q,. 4 C9 tl
Site Address YU/' S` - 9,11 /3 ? Unit{SEe #
?
*
YJ / ) /
(:i ,
,
,
l,
Description of Work
?
? `
Mutti-Family Bldg ? Y_ lY Firepiace(s) p _ 12
Pro J?
Pe1'rY Owner / f' <- ojC
T a r.? c s L u<< Telephone #((e. j'1 ) L S S' 7cj OU
Coutractor L Y 41ti(. o
Address . ? - A CitY 8LtlAJSV '._Ile
State Mti, Telephone # (952)
COMPLETE THIS AREA OMLY IP CONSTRUCTING A NEYU BU9LDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Ene(py Cnd¢ CatBgory . Residemial Ventlla6on Cafegory 1 Waksheet • New Energy Code Warkshee[
(J submtssfon type) Submilled Submitted
• Erergy Envelope Calculafions SubmNted
in the last 12 months, has the Ciy of Eagan issued a pertnit for a similar plan based on a masfer plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechonical Contractor
Sewer/Wafer Confracfor
apply for a
Telephone #(
Telephone # (
Tetephone #(
Petmit and acknowiedQe that the information is complete and accurab
that the work will be in conformance with the ordinances and codes of the City of Eagan and fhe State of MN
Statutes; I understand this is not a permit, but only an application for a pennif, and work is not to start without a
permit; that the work will be in accordance with the approved ptan in the case of work which requires a review and
approval ofplans.
e-G1GP1cd-AtJ'J ?r?C?f ?w1t_
U Pw,jL [- L:J`C4? .J A- &65n-'`
Applicant's Printed Name G.`& 'W-3 a.;l y XPPlicant's Sigoature:
i Fo<<ot7s,u577
e g"3 05 b
? Pertnit#:
I Pertnit Fee: -C) o I
I n C I
? Date Rec 'ved:6i • U - QCJ
I I
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress: y3/'7 G-/e,.u>-, U'-
Tenant: J=-say. Suite#:
RESIDENT/OWNER Name: Jc.so? Evi4-so, Phone: bs1- 'fY? -U7S3
Address/City lZip: 'Y 3/-7 C..Ie.--Sa?. L,+,..
Applicant is: _ Owner X Contractor
T(PE OF WORK Description ofwork: crec,k-
Construction Cost: a?SZ? Multi-Famiiy Building: (Yes No, _(j
CONTRACTOR Name: [,L N License #: Z2c)3_6II ZQ
Address: 131-36 33 140 5,.?- S
City: .Q-F?_ i"i?? State: Zip: SSao (
Phone: 61 2-8r60-5-7 1q ContactPerson: 14.....e,
0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • 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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
N,OTE: Plans andsupporting dooumerits.that you submit are.considered to be public information;; Portions
of
n
' ttre information niay be classiiied as non-pubtic 1f you provide speciiic reasons thaf woufd permit the City to -
concludethat the are frade secrets :-
I hereby acknowledge that this information is wmplete 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 applica[ion for a permit, and work is not to start without a pertnit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
ApplicanYs Printed Name ? Appl' s Signat
Page,1 of 3
DO NOT WRITE BELOW THIS LINE
.
SUB TYPES
? Foundation
? Single Family
? 07 of _ Plex
? 02-Plex
? 03-Plex
? 04-Plex
WORK TYPES
? New
;<. Addition
? Alteretion
? Replacement
? OS-plex ? 16-plex ? Accessory Building ? Pool
? 06-plex ? Fireplace ? Porch (3-season) ? 6ct. Alt. - Multi
? 07-plex ? Garage ? Porch (4-season) ? Ettt. Alt -SF
? 08-plex ?5< Deck ? Porch (screeNgazebo/pergola) ? Multi Misc.
? 10-plex ? Lower Level ? Storm Damage
? 12-plex ? Miscellaneous
? Interior Improvement ? Siding ? Demolish Building'
? Move Building ? Reroof ? Demolish Interior
? Fire Repair ? Windows ? Demolish Foundation
? Egress Window ? Water Damage
- `Demolition (entire building) - give PCA handoutSO applicant
Valuation Occupancy
Plan Review Code Edition
(25%_ 100%X?- Zoning
Census Code Stories
# of Units Square Feet
# of Buildings Length
Type of Const. ? Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace:_R.I. _AirTest _Final
Insulation
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinkters
Sheetrock Mef.er Size:
Final/C.O.
? Final/No C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
? n
Reviewed By: 1 `_ , Building Inspector
P?? ae?T'
RESIDENTlAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
Copies
Total
kc ? QC.?70
Page 2 of 3
s .
Trails of Thomas Lake Homeowners Association
Professionally Managed by:
Paradise & Associates, LLC
2177 Youngman Avenue, Suite 170
St. Paul, MN 55116
(651)699-5300
Fax: (651) 699-7400
June 3, 2008
Jason Erickson
4317 Clemson Circle
Eagan, MN 55112
Dear Jason,
After reviewing your Exterior Improvement Request to add on to your current 10 x 10
deck with another 10 x 10 section, the Trails of Thomas Lake Board of Directors have
approved your request.
Please be aware that any costs that may occur to the deck addition or any other damages
the addition may cause are your responsibility. Also, spindles, deck boards, etc. must
match existing deck and the size of the addition must be comparable to the larger decks
in the association.
Furthermore, current and future maintenance, care and necessary repairs of this project
will be the responsibility of the owner and all future owners of the home. Likewise,
repair responsibilities must be disclosed in the sale documents of your home.
Please call Lisa St. George at Paradise & Associate, LLC at (651) 699-5300, if you have
any questions.
Sincerely,
Trails of Thomas Lake Board of Directors
.i
r_
O (93s.? ? V1/
=3 to I ` Ai 74•3p ? o ' ( I
O C93d9I
? N ?
?0 7•30',o \?` ?=a ? Vl
8
l? I p•1?1/ -•r? <? N// 33 I ?o
.1 y v '9lo 29.33
Q6 I ' P? Q y/
b ?
N ??oB ? `bSEa ? q?
• ,? ?j i % w/O
99 N -0
_ N
0
p -8(0-
G. ., .p
Y/ (i
s
o N n[
149. V
I N =" ? ? S
a ? J N
N ?
C)5? g O
O bV ?°,?O S9a? ? UJ
?F
o ?
Denotes Iron Monument (,o /
° Denotes Wood Stake
X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation-
(000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 9a-1.5
4- Denotes Direction of Surtace Drainage Proposed Lowest Floor Elevation= 9as.o
I hereby certify that this is a true and correct representffiion of a survey of the boundaries of;
Lots 5, 6, 7, and 8, Bloc:c 2, THE TRAILS OF THOMAS LAKE, Dakota 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 of the siakes as set for a proposed building. As surveyed
.
by me or under my direct supervision this 12th day of January 1987
Paul A. Jo:utson
land Surveyor, Minn. Reg. No. 10938
AI"-4d CERTIFICA771
COMBS-KNUTSON ASSOCIATES
, INC. CCMSYITINGF1161F(lI1i0 W103UI1Y[f011iB SR[RANM[IIO _NEW... HolZ.1WNNfAqW rtl MYICNINSON.MINMESOTA
Use BLUE or BLACK Ink
u
I-
(r~nF~ For Office Use- -
~ r ttxr I f
ILA C1 ~`i
r^ n n~'".-
f Permit
City
of Ea I Permit Fee: J 1 / U
3830 Pilot Knob Road 2
Eagan MN 55122 Date Received: 'I> I
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
LOK 'f 3N-6? [Y3/7 H3 173 LA_[CfA5&4 r ` Unit
Date: Site Address:
t Name:-, 1`*►t c CS I Y`O ~~~r (1,64 Phone: A ! 5~? 2S9-
Residentl Q
Owner Address / City / Zip:
t
Applicant is: Owner Contractor
i Description of work: 5
I Type ofWork
Construction Cost;_
V, ew,
TL8 kcs~acint t, s
Company: Contact:
: ti
Contractor Address: N City
1Q- 75
State Zip: Phone . 6?--7q7
:
j~GS¢ _Ll -LeaaCertl Ic"f' ate - r
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
!O 1 Itf ~ / ~
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 inforination. Portions of-
the 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.oooherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance,
x ~.k ~-.\p 5 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163439
Date Issued:09/01/2020
Permit Category:ePermit
Site Address: 4315 Clemson Cir A
Lot:8 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael P Blake Tste
4315 Clemson Cir
Eagan MN 55122
(612) 978-2544
Sandau Construction
9025 Hwy 101 W
Savage MN 55378
(952) 403-9100
Applicant/Permitee: Signature Issued By: Signature