4318 Clemson Cir. ?;
? Name
m Addre:
c City _
L Name
3 Addre:
O Gjh` -
Phone
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
(ADD $.50 S/C IF PERMIT PRICE G(JES
CITY OF EAGAN
PERMIT # ?;2L' /
RECEIPT #
, MN 55122 DATE:
BLDGr. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comr. 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 - $3.00
Gas Piping Outlets - $1.50
(MIM1Ml1M - 4 PER PEAMIn
Softener - $5.00
Well - S10.00
Pnvate Disp. - $10.00
-Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAI:
- -
• ? ? , . ., .u-' '` PERMIT #
MECHANICAL PE MITr •
.r ? CITY OF EAGAA RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN $5122 DATE: _
- -- --•-- ? • - - ' -
Sec/Sub
I ? Name -
Address _
c City
? Name ?
c Address _
i O CitY
TYPE OF WORK
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
? M BTU
M BTU
M BTU
? M BTU
CFM
!
FEE:
S/C:
TOTAL•
BLDG.TYPE
Res. ?
Mult
Camm.
Other
WORK DESCRIPTION
New ?
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 146 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 j
STATE SURCHARGE PER PERMIT - .50 -?
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE 4?12?
FOR: CITY OF EAGAN
POR SAI,E T. H. CITY OF EAGAN
L42- 4 4 r F3 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 13175
PHONE: 454-8100 BUILDING PERMIT Receipt #
To be used tor 1 OF 4PLE7( Est. vaIue $64,00 a Date F1=BRi1At2Y S , 19 d7
SiteAddress 1613A CJ?MSO.? nA-? -M Erect EN Occupancy R3
Lot 43 Block 2 Sec/Sub. ISMIAs ()r Remodel ? Zoning ?-
Parcel No. THOW LMM Repair ? Type of Const.
Addition ? No. Stor'ses
Move ? length
¢ Name
Z ,3?? Oemolish ? Depth
o Address PoO, WX Int. Impr. ? Sq. Ft
Ciiy #9" Phone 420-3900 Install ?
o Name SAM Approvals Fees
i 1-
°, < Address Assessment Permit ? $?? ? ?
?
~ Ciry Phone Water & Sew. Surcharge 3A uv
? ¢ Police Plan Review188,75
F = Name Fire SAC
?as ??
Address E .
n
C
??
W
t
¢ Z ng. .
on
a
er
a W City Phone Planner Water Meter67 00
Council Road Unit 305•40
1 hereby acknowledge that I have read this application and state that the Bldg. Off Tr. PI. LSfl PQO
information is correct and agree to comply with all applicable State of .
Minnesota Statutes and City of Eagan Ordinances. APC PsrkS
Signature of Permittee Var. Date Copie
a?
. .
To?l
A Building Permit is issued to: =W SIMxSM OKOM on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Fluilriinn Affiniel . - i
I I Permit No. I wrmn Had.. I Dab I Tel.pnoo. w I
Ilnauaetion Date I Insp. II Comments 1
g. Finei
t. Occ.
;k Ftg.
;k Frmg.
II
Disp.
poR SALE T, f1. CITY OF EAGAN
L;41- 4?4 , B 2 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 ?-• 13176
- PHONE: 454-8100 - BUILDtNG PERMIT Receipt #
Tobeusedlor 1 OF 4 PLu}: Est.Value 563,040 Date FEBt3UARY S 19 87
Site Address 1613 CLEi3SUN JR Erect C? Occupancy R3 i
Lot 4 4 BloCk 2 Sec/Sub. `rRAILS UF Remodel ? Zoning PD
Parcel No. THOI SAS LAKY; Repair ? Type of Const V
Addition ? No. Stories 44
¢ Name NEW HORIZOiV FiOi•1E5 Move ? length Z P. O. B?)}? 13 6? Demolish ? Depth 2 6
o Address Int Impr. ? Sq. Ft.
Ciry MPLS Phone 420-3900 Install ?
o Name SPJ4E APPrOYi
$ i Address Assessment _
~ City Phone Water & Sew.
a
F W
Name
,x z Address
< W CiN Phone
Police
Fire
Eng.
Planner
Feea
Permit $ 374.00
Surcharge 31.50
Plan Review 187 . 00
SAC 625.00
Water Conn. 525.0
Water Meter?' o
Council RoadUnit sv;)•vv
I hereby acknowledge that I have read this application and state that the gldg. Off. Tr. PI. 180.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC PBrks
Signature of Permittee Var. Date Copies To?l
, ?$ ?
A Building Permit is issued to: NEW HOR I ZOI4 HOl`lES on the express condltion that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Ofiicial
, Permit No. PermH HoldW Dab TNephone N
PlumbMy 'U?'j(/
H.v.a:c.'
electrlc ih
SO}IMN
Inspectlon Dets Irap. Commenh
Footing? 1
FooBngs 11
Foundatbn
Framiny SZ Q
RooNny
RouQh Plbq. le .8 ? .. -
Rouqh Hty.
in.ul. ?s7?? ?? ?t - ??.z p? ? ?
Firtplaea
Final Htp. s?
Finsl Pibp.
&dq. Ffnal
Grt. Oee.
Doclc Fty.
Ooek Frmq.
Wsll
Pr. Dhp.
? PLUMBING PEIiMIT PERMIT # d ? C-1 -'
• , CITY OF EAGAN RECEIPT #
n
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?- -
CONTRACT PRICE: PHONE: 454-8100
Site Address
Lot Block SeciSub
%,.. -
? Name
? Address
c Ciry Phone
? Name
; Address -
p City J? 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
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
r
- 4 f( ? r
SIGNATURE OF PERMITTEE :
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Aepair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
' (MINIMUM - 1 PER PERMIT)
Softener - $5.00
Weil - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
?
STATE S/C:
1
FOR: CITY OF EAGAN GRAND TOTAL: ?° '
?` . • "• r ? Mt(:1'1ANIGAL PERMIT,w. ' RECEIPT #
• . ? ' CITY OF EAGAIS
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
Site
Lot.
m Name $210 WENTWQRTH ,
? Address AAINNFAPnI IS, MF
c Ciry 881-06&e
m
C
3
O
Name _
Address
City _
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Dutlets #
Other
Phone
?0 M BTU
M BTU
M BTU
M BTU
CFM
FEE
SlC:
TOTAL:
7
BLDG. TYPE WORK DESCRIPTION
Res. New ?
MuR Add-on ?
Comm. Repair 1
Other ' j
FEES
1
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS DUTIETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMMlIND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.Sa S/C IF PERMIT PRICE GOES
BEYOND $1,000) ?
SIGNATURE OF PERMITTE?
FOR: CITY OF EAGAN
CITY OF EAGAN
454-8100 DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at
I have this day inspected this structure and
these premises and have found the following
violafions of city codes governing same:
//t i S U z- 716 7
-r--
??
/G-
When corrections have been made, please
call 454-8100 for inspectivn.
Date
' Inspector City of Eagan
DO NOT REMOVE THIS TAG
CONTRACT PRICE:
Site Address
Lot 81ock
Name
D
?
Address
City ? f.. . Phone
L Name
3 Address ?
p Ciry Phone
?
FEES
COMM/IND FEE - 1g6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PEfiMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE i
CfTY OF EAGAN
.r ..
PERMIT #
PLUMBING PERMIT RECEIPT q
CITY OF E/IGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: ?- •
PHONE: 454-81 QO
? BLDG. TYPE WORK DESCRIPTION
SeciSub Res. New Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPIETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 ?
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
I Kitchen 5ink - $3.00 -
Urinal/Bidet - S3.00
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
wel! - $10.00
Ptivate Disp. - $10.00
- Rough Openings - $1.50
. FEE --
STATE S/C:
,
GRAND TOTAL.
..- r.?-•??? MECHANICAL
• ? r ' ? CITY OF EA
d,p 3830 PiLaT KNOB ROAD,
-- ? ^
I Site
? Name _
?o Address
c City -
? Name _
c Rddress
p City
-
Sec/Sub
Phone
4 RECEIPT #
MN 55122 QATE
BLDG. TYPE WORK DESCRIPTION
Res. v New L-X
Muit 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 PERMIn - 1.50 EA. i
COMM/IND FEE - 1% OF CONTRACT FEE ?
APT. BLDGS. - COMM. Rf4TE 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 $1,000) j
l Forced Air ? M BTU
? Boiler M BTU
i Unit Heater M BTU
Air Cond, sl ` M BTU
? Vent CFM
f Gas Piping Outlets # ?
i Other
FEE:
S/C: - L SIGNATURE OF PERMITTEE
TOTAL• ?
FOR: CITY OF EAGAN
CITY OF EAGAN 17217
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454- 8100
BUILDING PERMIT Receipt #
To be used for nR$.p1.ACE Est. Value $1 s0W Date ?m sa 19 .19
?
5ite Address 1613 CLE*ISOr; DP.
44 2 TFAI LS OF THQMAS
Lot T Block Sec/Sub. _ OFFICE US E ONLY
Parcel No. LAKE Occupancy - FEFS
W
Name TBRRY E ENGc Zornng _
(Actual) Consi
Bldg. Permit 2a??
; Address 1613 CLEPiSON DR -
(Allowable) - •?
0 City R?M Phone 6$$- 6270 # of Stories _ Surchar e
9
Plan Review
_
Length
Zp Name itlnn'I1i?! Depth - SAC, City
Q
( Address 38301M2 ?T?IY 1? S.F. Total -
J SAC, MCWCC
? City UMNSV11.ty Phone 00.[1M_ S.F. Footpnn[s -
Conn
Wat
On Site Sewage _ er
r
L) W Name on site wen
1
M
t
W
r w - er
er
a
e
?? Address MWCC System _
a W City PhOne City waler _ Accl. Deposil
PAV Required _ S1W Permit
I hereby acknowlege that I have read this application and state that the Booscer Pump - SrW Surcharge
inlormation is carrect and agres to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatmem PI
Signature of Permitee APPROVALS Road Unit
EIEAT-l1-(i1A 1?j$$P]?l1C$$
A Building Permit is issued to: Planner
-
Park Ded.
on the express condition that all work shall be done in accordance wilh all Council
applicable State of Hpqesota Statutes and City ol Eagan O
rdinances.
, gldg, pry. _ Copies
\
Building OffiCial
? - ? t \ Variance - TOTAL 26' 50
I
Permit No. Permit Holder Date Telephone #
O
E R
PLUM4ING
H.VA.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing U L.V
Rough Pibg. ? )I- L-) ? Q IVo
Rough Htg.
Isul.
Frceplace ?G > v'f 4 1741 ff, -'V I oR
Fnal Htg. d/ AqS A S
Fnai Pibg.
Const. Meter Plbg. Inspector - Notily Plumber
EngrJPlan
Btdg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
FOR 5ALE. T.'ri. CITY OF EAGAN ?Q i3174
L4?-?4 ?i-?` B 2 3830 POot Khob Road, P.O. Box 21-199, Eagan, MN 55121 -
z PHONE:454-8100 - ,
BUILDING PERMIT Receipt# To be used for 1 QF 4 PLEX Est Vafue $64, Oa0 pate gEBRVARY 5 , 19 !!7
Site Address 4318 B CLEMSa: ]('; i R Erect EIK Occupancy H3
Lot 42 Block x sec/sub. TRAILS OF Remodel ? Zoning
Parcel No. THOi?3A i'LA?CE Repair ? Type of Const--T
Addition ? No. Stories q 4
a Name NF?W ?iOFII Z(1N H4F?iES Move ? Length .
Demqlish ? Depth 2-7
z P.O. B(?iC 1367
a Adtlress Int Impr. ? Sq. Fr
Ciry ?pF+S Phone '? `0`3 9 0 U Insta?l 11
Name SVLE
i
a Address Assessment
~ City Phone Water & Sew.
x
Police
Name Fi
z e@
Z Address En
g,
W City Phone Planner
Council
I hereby acknowledge that I have read this application and state that the
i Bldg. Off.
nformation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC
Var. Dat@
Signature of Permittee
Surcharge 32.00
Plan Review 189.75
SAC 625.04
Water Conn-iZ5-P-44
water M?46r---6-2,,Va
Road Unit 305.O0
Tr. PI. 180.00
Parks
Copies
Total $2.3U0.25
A Building Permit is issued to: NE4i HaRI7,UN HbMES on the expre5s condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
1 I Parmit Na. I Parmlt Holder I oare I Telephone N I
Frmg.
Disp.
L 41- 4 4, B 2 CIT1f QF EAGAN Af- ?
?
3830 PBot Knob Road, P.O. Box 21-199, Eagan, MN 55121 !`? 13173
PHONE:454-8100
BUILDING PERMIT Receipt #
To be used for 1 OF' 4 PLE1C Est value $63,000 pate rEBRUAi2Y 5 ,19 ? 7
Site Address 4 318 CLk:.'`'7SON (;i F: Erect C? Occupancy R3
Lot4 1 Block 2 Sec/Sub. TRAILS OF Remodel ? Zoning ?U
THOMAS LAKE
Parcel No Repair ? Type of Const. ?T
. Addition ? No. Stories
?EW fIORIZON HOMES INC
Move
? 44
Length
W Name
BOX 1367
= P
O
Demolish
? 2?
Depth
.
.
o Address
City PIPLS Phone 420-3900 Int. Impr.
mstau ?
? Sq. Ft_
o Name SIV'1E Approvars rees ?
1
$ ? Address Assessment Permit y 374 . 00
? Ciry Phane Water & Sew. Surcharge 31. 50 j
?¢ Police P1anReview 187•00?
? W Name Fire SAC 625.00?
u= n Address Eng. Water Conn. ? t 5. u u
i W City Phone Planner Water Meter 67.001
Council Road Unit 305.00 I hereby acknowiedge that I have read this application and state that the Bldg. Off. Tr. P1. 180.00 information is correct and agree to comply with all applicabie
State ot '
Minnesota Statutes and Ciry oi Eagan Ordinances, APC Parks
Signature oi Permittee Var. Date Copies TQtal $2,294.50 A Building Permit is issued to: NEW FSOR I 7n:I J.NC on the express condition that
ail work shall be done in accordance with all applicable State of Minnesota Stalutes and City of Eagan Ordinances
PsrmN No. Pamdt Hddar Dats, TNephone N
PtumWn9
L
H.V.A.C.
Elechic ?
7 .
6622L2(- f--2
SOMMlf
InspecHon Dab Irnp. CommaM?
Foodn9al ?G ?7
Foonny. 11
Foundatbn
Friminq ?
RooNng S Q
RouQh Plbp. o ?
Rough Hty. 2 O ?
*Ael
Insul. f
Fkeplace
Final Mtg.
FMaI Plby.
BWy. Flnd
ce?e. occ. J?-
Deck Ftq.
Deck Frmg.
WNI
Pr. Disp.
PERMIT ti ?F '? (%_-) -
PWMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PIlOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address J
Lot Block SeclSub
? Name
? Address
c City Phone '
Name '
?
c Address k
p City Phone .
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/INQ FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
;
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New "
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAI
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 J
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $100
Gas Piping Outlets - $1.50
(MINIMUM - t PER PERMIT)
So(tener - $5.00
VKell - $10.00
Private Disp. - $10.00
R"ough Openings - $1.50
FEE: ? STATE S/C:
GRAND TOTAL: -t--??
•" • ,- '
• - '
? ? ? A1 - _: (' i/4f .7 rtrmni i ? " L.Pr A. e.?.
MECHANICAL PERM_ ? ?"??'7' C
?? RECEIPT #
. . • CITY OF EAGA?I
`O 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ?'7?`?"-'?"'r
? CONTRACT PRICE ? r -- PHONE: 454-8100 ,
' Site Address ' BLDG. TYPE WORK DESCRIPTION '
Lo2Bio9k Sec/Sub
Res..? New ?
? Name ? ' Mult Add-on
i
C
R
omm.
epa
r
Address ' , Other
c City phee?
gggQ
FEES
I ? Name RES. HVAC 0-100 M BTU -$24A0
'.i
? 3 Address ?f ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
? CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMIT
1
50 EA
(
-
) -
.
.
TYPE OF WORK
EE
COMM/IND
CONTRACT
FE
Forced Air
? M BTU ,
11{ COMM. RAE
AP
APLIES
T^ BLDGS
! Boiler
M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
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
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
'
r Other
? FEE
S/C: SIGNATURE OF PERMITTEE ?
TOTAL•
FOR: CITY OF EAGAN
. CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 BUILDING PEFi?V11T Receipt # _1111f
_?
Est. Value
Site Address 4315 G1ilaAM CIR
Lot 41 _ Block _2 Sec/Sub.
Parcei No. - - THOMAS LAU
W Name ' DAVID DOYU .
? Address 4318 CI.EMSON CIfi
0 City gAGAN Phone
?o Name ??ST FIRBPLACE CO
Address 5203 MtY 169 N
? City Yt.YlOl1T'H Phone 559-3
900
Name _
Address
Phone
Buitding Official OFFICE USE ONLY
I hereby acknowlege that 1 have read this appljCation and state that Ihe
information is correct and agre to comply with all applicable State of
Minnesota Stafutes and CityPt?agan Ordinances. !' ?
Signature of Permitee ?- -A
A euilding Permit is issued to: MiDWs? FYREp1.AiCE CO
on the express condition that all work shall be done in accordance with all
applicaWe State of Minnesota Statutes and City of Eagan Ordinances.
Occupancy _ FEES
Zoning _
(Actual) Const _ BIdg.Permit 2%-M
(Allowable) _
Surcharge - ?
# ot stones -
Length _ Plan Review
Depth - SAC, City
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System _
_
City Water
t. Deposit
Aec
PRV Required - SN4 Permit
Baoster Pump - 51W Surcharge
Treatment PI
APPROVAIS
Road Unit
Planner -
Council park Ded.
BIdg.OH. _ Copies
Variance - TOTAL 25.50
Parmit No. PermR Holder Date Teispfwne #
WATER
SEWER
PLUMBING ?
H.VAC.
ELECTRIC
irtspsct(on Qate Insp. Commants
Footings I
Foundatian
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notity Piumber
ConsL Meter
Engr./Plan
Bldg. Final
Dedc Ftg,
Deck Final
Well
?
Pr. Disp.
• n . • . , _ . .. . . ,? ., ,
SEDGWICIC HEATING & AIR CONDITIONING CO.
, HOUSE HEATING TEST RECORD
ADDRESS C -?-F w1'n, c?is i IQ„)f-? C I T Y A C, 0, b-1
OCCUPANT - OWNER ?J?-,-J 14a-k N z ont (4owica5
HEAT LOSS ?-- DATE HTG. INST,
SOLO BY INSTALLED BY S?aG L-i % c 4C_
Electrical Work By i Z_ r '? f I R Gas Line By - S136n uu,? ?
TYPE OF HEAT GA _ FAHW _ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DE51GN CONVERSION
MAKE T- MAKE OF BURNER
Model 3qe? G1A ?U 0]. ? F-o Sv Model
Serial _ 6,F36o A n n 7 0 1 Max. BTU Rating
INPUT __ 5??
onn MAKE OF FURNACE
, •A_
CONTROLS
THERMOSTAT-TS34- Heat Plug
-'
Valve S X 3 Sz S
Limit ?T17-_ W c n
Limit Setting _ ZSD ° F
Fan Setting i n r>° y:--
Pilot Type ?'- r?a ti t C .
Pilot A4ake - ? Pq a-,k i jc
v .i c rc (k
t
Pilot Model M SL I
Pilot Timing T/VS'riq C?4--
L.W. Cut Off -
Pressure -3s ? 5 " W - c - Percent C02
Input CFH So Percent O
z
Stack Temp. -Z,A-n °E_ Percent CO -7 r o
_?'
_ tJo n.i c-
Vent Size _1>
KIND OF LINER -- SIZE NONE
Draft Hood L? S),:? r-•? Regulator ? C S
Filters Size Number ?
Chimney Location Inside _K_ Dutside
Chimney Construction /' ? --A `? -, $
Smoke Bomb ----" "'- Wiring _i`? 1G
Draft -?- Test Tag ?,j r- C
Door Pressure Lighting Inst._ (74
Date Tested S? 7
Company Testing S ? w «K
Name of Tester Co F? a V\ D
Form 235
ON
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(6 1P 1 FiR1-4R7.r,
PERMIT TYPE:
Permit Number:
Date Issued:
iill I t tt 1 r!H
0; ?,•69
A6l?,d,p !v3
PERMIT SUBTYPE:
TYPE OF WORK:
IF- --1
? SITE ADDRESS: J. 44 Hi ,,, ? APPLICANT:
lI C+ . ; W, i l i?1( ,
r?.lk ii. I 1140Mn; ?nr.t - /,? ,.int?=3
, . .
? ??
Permit No. Pertnit Holdrr Date Telephone /
S/VII
PLUMBING
HVAC
ELECTRIC
EIECTRIC
Inspectlon Dats Insp. Comments
FooUngs I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Ftnal Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
Bldg. Final
??
- 0 4G S J GeMS
Deck Ftg. ? y42
Dedc Final
Well
Pr. Disp.
lva1 I
? CITY 4F EAGAN PERMIT TYPE: '" t4 "' 1 NO
? 3830 Pilot Knob Road Permit Number: "1 ''/H
Eagan, Minnesota 55123 Date Issued: ?'' •%•t/`' i
? (612) 681-4675
! SITE ADDRESS: 4 i ti 1 01. M
I 1 if? I{l(? 1 1'• (11 1 llt??q?s'. ( At E-
PERMIT SUBTYPE:
f I : -. i 'I Moi
I 1 1 :i,11t A r i F_rn!
! kF mFil• t
APPLICANT:
1 F, 1.' a r; f i tr .' ii i•''
TYPE OF WORK:
i i(aM s No,
1 i IdA!
i-ilNtiIl ft`. i UM t7F IIi 1 h 1 hJ I ti t'-:f #i',11N rultCll ?, ItI?1+1 1 1(tN i
N I 4,
1 N' w 1 N' 1I1 a F
-
?
Permlt No. PermR Holder Date Telephone N
SMI
PLUMBING
HVAC
ELECTRIC ivolu
ELECTRIC
Inspection Date Insp. Commenta
Footings I
FoundaGon
Framing 3 S
Rooflng
Rough Plbg.
Rough Htg.
i5ul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plurr"r
Const. Meter
Engr./Plan
Bldg. Final j ? /W ?
oeck Ftg. ??9??3 -?
Deck Final
Well
Pr. Disp.
- I
cmr OF EAGAN WATER SERViCE PERMIT
3830 P!!at Knob Road
P.O. Bo.' 21198 PERMIT NO.: 4 3 2 ,
Eagan, M : 5512a DATE ? / 13 / `3 7
Zonfng: P ? No. of Unita: 1 izflit zl;dex
Owner. ?'ew I;orizon - ?
Address:
Site Addess: 1.i1 o C: Ii ' nt-- 'Ilin-s Ilin-s Ll?
Plumber. Tho ' ? vU'C'80
Met?No.: ? haharge: ? 5 tl n
s?zeac.(Cnn Rea .:??? n??` r >?? ._['_P
I agree to comply with th ?ty?q?ED XOPP-1)
Ordlnancas. ?t???t Misc. Charges: Fi 7. r!) *^eter_ ?
TotaL iiA t;4 ,
gy Ae?- Date Pafd: ?
Date of I . Insp.: ?
5,7 - -A
?
CtTY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Ea9ar., MN 55121R ?
G 2oning:
SEWER SERVICE PERMIT
PERMIT NO.:
No. of Units:
Owner. NeEti Itori9or
Address:
Site
Plumber. `11i0Son
2 JF,/°7 711531
100.0f)
1 sgrse to comply wHh the City of Eagan Connection Charge: ?29 n^
Ordinances. Account Deposit: }-?T00
Permit Fes: I p -44
Surcharge: ? ?n
By Misc. Charges:
nr oFI?GaN WATER SERVICE PERMIT
O0 . Jlot !?!+6t? Road ? a ? ? ;
3
. Box 21196 PERMIT NO.:
g8n, MN 55121 DATE: ?/ 1?/c7
ning: No. of Units: ILitlrt 4plex
ner. New ilorizon
dress:
e Addess: Z 6138 Cl e?nson 82 Tr of Thos I k
mber: '('llomnson?
ll
Meter No.: ? lG?A{?eg?{I?barge: 525. QQ
s?Ze: ?/Re?(? Pfi .re di"??+?g "???IP??? IS.o;?
k? - - - r?
j I agree to comply with
r Misc. Charges: 67 _ 00 meter.?
Total: 1 p"q t`t; rl)
te of Insp.:
? - Z 9- S?7
-VDate Pald
_ Inap.:-
?
' oF eA"N SEWER SERVICE PERMIT ?
i pllOt Knob ROad
gpx 21199 PERMIT NO.: •
in, MN 55121 DATE: ?/
na: No. of Units: 1 ltn it 'Sr 1 Lx
Address:
'
SlteAddress: 1013L3 ('lemsnn [ir lios i.k
41 R2 Tr nF T
Plumber. 7111 omrSOr -
7 7 !" ii I
../,.;
1 a gree to compty wHh the City of Eagan Connection Charge: .? Ll?
Ordinancaa. Account Deposit: 1- 54?
Permit Fee: ?n Q "
Surcharge:
gy Misc. Charges:
Dete of Insp.: Total:
Ingp,; Date Paid:
`cyrY oF'LAGAN WATER SERVICE PERMIT
3830 Rllot Knob Aoad ????? b 4 31
P.O. Box Ri 199"' f PERMIT NO.: IU 2/13/197
Eagan, MN 55121 DATE:
I Zoning: R3 No. of Unlts: 1 unit 4p1 ex
Owner. New Elorizon
Address:
SiteAddess: 1613 Clemson Dr L44 R2 Tr of Thos I,k
Plumber Th omn Son . '
Meter No.: D ? on Charge: 525. 00
• 15 .100
Size: ?° ??/L ccount DQPqsit:
.e c a _ 7 Baf&P4licsoino r.?lLlfs???:?u$111t12S 1 0_(f0
? h r 67.QO rneter
E'QUIREo??` 190_00 rl,_
CITY OF EAGAN
3830 Pilot Kndb Road
I P.O. Box 21599
j.: Eagan, MN 55121
: Zoning:
Owner. - - - - -?
Address:
t i t ; f'l -
; Stte Address:
.?.,r
? Plumber.`IS7 77511
'. I agree to comply wNh the CNy oi Eagan
' Ordinances.
' BY
. Date of Insp.:
Insp.:
_ 11
I
SEWER SERViC.E PERMIT
PERMIT NO.:
pATE:
_ No. of Units: 1 F? -
f
2'?? • ??
Connection Charge:
Account Deposit: .
Permit Fee: •
Surcharge: •
_ Misc. Charges:
_ Total:
_ Date Paid:
V39 ITY OF EAGAN V1IATER SERVICE PERMIT
Pilot Knob Road
P.O.'L?x 21199 PERMIT NO.: 8433
Eagan, MN 55121 1 ? DATE: 2/ 13 / g 7
Zoning: R3 No. of Units: 1 unit 41!1ex
Owner: New ilorizon
? Address:
SiteAddess: 4318R Clemson Cr IriZ F2 Tr of Thos Lk
Plumber. 1;Iom'
Meter No.:
Size:
Reader No.:Q?L
I agree to comply with the
,?.Aar?s' ?• 67 ntl mPt Pr
18n OQ tp
`-' v Date Paid:
te of I p.: . Insp.:
'?1_T? P7
? CITY OF EAGAN SEWER SERVICE PERMIT -
3630 Pgot Knob Road
P.O. Box 21199 PERMIT NO.: 9 5:+A
Eagan, MN 55121 DATE: 2/I3/9'
2oning: p n+ Na. of Units:liilllt ACD1 ex
Owner: '?nw linri znn
Address:
SiteAddress: 4'i1RR ('lAmcnn f'r '[,,Q7 R) Tr nf TiaitiT"hna I6
Plumber. ''t'f+nmi) snn
k .7 /C,? 7,-1 sil 100.01
? 1 aqree to comply wkh the CNy of Eayan Connection Charge: r -7 < iin
Ordinances.
By
aate of irtsp.:
, Insp.:
l
Account Deposit: -
Permit Fee:
Surcharge:
Misc. cnarges: _
Totat:
Date Paid:
! I agree io comply with the1%WWijr6
Th-s reques[ void ?- /Q ^ 7? 9
18 months from ? C7 V?f
D 2 6 65 f .<z,-, ;s, ./_l;;-
Requast D
??
1¢?
G? ----
Fire No, ..
Ro gh-in Inspection
Required? ?.? ,v
?
Ready No?tN?ll Notify Inspec-
?N I
?? tos When Re
d
o a
y
-InT-Licensed Electrical Contractor I hereby request inspection of above
? Owner electricai work fnstalled at:
Stre
ddress,
x or Ro o. '
?
?
J
?
r a. a?
F
e ttati c. Townsriip Name or No, Range No. County
Occqipdn
T) Phone No
??
?" rr t?
e' .
Power Supplier Addsess
EI tr al Contractor (Company N ) Contra r's Licens No.
Mailing Address (Contractor r wner Maki n I stail ion)
/
f
l
_ 3?43
Aut ori ed t C ntra or/ r a ing Instal tio Phone Number
?V 7
mirvrvE50TA ST,4TE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey BId9• - Room N-791 BE ACCEPTED BY THE STATE BpARp
1821 Universitv Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRiCAL INSPECTION ? E13y-00001-06
See insiructians for comDlelio9 Ihis fuem on 6ack of vellow copy.
D 2 66 5 "X" Below Work Covered 6y This Request
Now Add Pn'i. 1 TYpe ot Build,ng Appliances YPired Equopment Wired
Home Range Teniporary Service
Duplex Water Heater iqhtiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Othai peci y Other (Sper.ify)
t Pr .Speci<Y dihCr Othe. r
Lompute lnsoeetlon tee Below
# Fee SBrviceEntranceSize iJ Fee Feeders/5ubteeders # fee Circufts
Cl to 200 qm s 0 to 30 Am s D to 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 A s
Swimming Poof Above 100_Amps Above 100_Amps
Transformers Irrigation Booms Partial Other Fee
Signs Specialinspection $ -
A
Rema rks i, TOT
L
-v
Rough-in ??iifij ? I tfie Elac 1
' ? nspector, he.ehy
certify thet the above
Final D?ejnspection has 6een
Thie reauesl void 18 manths Irom
CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAI)
EAGAN, MINNESOTA 55122
DATE 19
wccsiveo '
FROM
Y • '
AMOUNT Fs 7= I
,
DOLLARS
?oo
n cASH ? CHECFC
?
01-3210
01-3!+22
01-3445
01-3446
01-2155
17-3860
20-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
11-3855
,. ?. . •??r ..? s
it ? /
' J
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
i, .
Tl
f,.
? U. .
TOTAL
7)
Thank You ?
BY
? ?.? . 1,k,
Fequ Det ire No. ough•m n
RNo
? Ready Now?iS{ilhe ?Ready9?tor
I` licensed contractor Xowner hereby request inspection of above electricai work at:
JobAtlpress(Str e. BoxyRRqute No,)
??f 3 Uernso? ?
r City
SECtwn No. TownsNp Name or No Range No. County
z pamIPRINTI
a ?- , e- lo le- Phone No.
Power Supplier Atldress
Eiectnc i C tractor (Company Name)
o?F?wn? Contractor5 License No.
Maiiing Address iCcntrecior or Owner Makinq instauationi
bu
Authon eC S?gnalure IGornractorOwner MWa
c? Phone Number
- 9 D 3
MINNESOTA STATE BOARD OF ELECTRICITV a ? THIS INSPECTION REQUEST WiLL NOT
Grlyps-Midway Bldg. - Room S173 BE ACCEPTEO BY THE STATE BOARD
1821 Univarsity Ave., Sl. Psul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-0800 ENCLO5ED.
.(?/?? REOUEST FOR ELECTRICAL INSPECTION 1, ?N? ee-oooo,-oe
?`
? See instructions for campleting [hls lorm on back of yellaw cOpy, i ?
L.. 3_9 82 3 "X" Below Work Covered by This Request
e Add ReW TypeolBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.Jlndusirial Furnace
Farm Air Condiboner
Other (suecify) Conhactor's Remarks?
Compute Inspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
SignS Inspector§ Use Only.
? TOTA ?
Irrigation Booms ?
?
Special Inspection ?
AlarmlCommunication THIS INSTALLATION MAY ?E-0RD ?IS9ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Aough•in
Fnel r.? -• bace - ?
Date
-31
OFFICE USE ONLV
ThiS rEQue51 vOitl 18 mOnths irom
r
BUILDING PERMIT
To be used for FIREPLAC
Site Address 1 GLEp1$QN_. DR
L0t _??L BIOCk _2_ S2dSUb.TRA??-5 OF T??^? OFFICE USE ONLY
Parcel No. ?+? Occupancy - FEFS
Zoning _
w Name TERRY__E _ EN(`F (ACmap Const Permit 26.00
eldg
;
0 Addf055 1613 Ci.F.MSON DR (qliowahle) -
.
-
Surcharge .50
Cit EAGAN
y Phone 688-6270 #afStodes -
Plan Review
Length _
o Name_?AT ,?,? 6?.e F'f? Depth SAC
Ci[
i Pbt4E$5
Address 1850 [??Es??`?.??
S.F.Total -
y
,
-
?
City RIIDNC{?1TTTG Phone gap g73g
s.F.FOOiPdnts SAC,MCWCC
_
W
G
On Sile Sewage ater
onn
-
r
e=
Name
OnSiteWell
5?
AddfC55
MWCCSystem - WaterMeter
_
aw Clty PhonB City Water _ ?ct. DePOSit
PRV Required - SNY Permit
I hereby acknowlege that I have read Ihis application and state ihat the Booster Pump - SiW Surcharge
inlormation is correct and agree to comply with all applicable Stale ol
Minnesola Statutes and City of Eagan Ordinances. Trea[mem PI
SigndWfe of Pefmitee APPROYALS Road Unit
A Building Permi[ is issued to: HEAT-N-C F R A^FS Planner - park Ded.
on tha express condition lhal all work shall be done in accordance with all Council
applica6le State of esota Sk-stes and Ciry ol Eagan prdinances. Bldg. Off. - Copies
BuildingOfliCial L- ? ? Variance - TOTAL ?
CITY OF EAGAN N0 172 17
3630 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE:454-8100
Receipt #
E Est.Value $1,000 Date OCTOBER 19 1989
, CITY OF EAGAN N0 18991
? - t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONEc 454-8100 i
BUILDING PERMIT Receipt #
To be used for FIREPLACE Est. Value $1,000 Date MA1' Z 91
79-
Sile Address _ 4318 CLEMSON CIR
Lot 41 Block Z Sec/Sub. TH& TRAILS OF OFFICe USE oNLY
Percel.NO. THOMAS LAKE Oaupancy _ FEES
x
w DAVID DOYLE
Name zoning
(ACtuapConst _
_ BIdg.Permit 25-00
? AddfeSS 4318 CLEMSON CIR (Allowable) -
50
City EAGAN Phone x ol Stories Surcha
- ?e _
Pl
n R
i
Lenglh ev
ew
a
_
?F Name MIDWEST FIREPLACE CO oepm - snc,cay
gg Address 5205 HWY 169 N S.F. Total -
?
City PLYMOUTH phone 559-5900
S.F. Foolprinis SAC, MCWCC
-
? On Site Sewage _ Water Conn
W W
ti Name on sne wen
- Water Meter
m,? AddfBSS MWCCSystam _
`a W Ciry Phone ary water _ Aca. oeposic
PRV Required - SIW Permit
I hereby acknowleqe that I have read this app' tion and state that the Booster Pump S/yy Surcnarge
information is correct and ag to comply il all plicable State of
Minnesota Stacutes and Cib' a9an Ordi n s.
`?) Treatment PI
,
Siqnature of Permitee d? ?? _ APPHOVALS Roatl Unit
A Building Permit is issued to: MIDWEST FIREPLACE CO Planner - park Oed.
on tha ezpress condilion that all work shall Ce done in accortlance with all Council _
applicable State of Minnesota Statutes and Cil
y/ oi Eagan Ortlinances. gla9. 011. Copies
?
Building Otficial nt,n 4 o? A 1 111t7 Variance - TOTAL ,25.50
L 42-44 ,B. 2. 3830 Pilot Knob Ro di P.O. Box 2G-A1 9, Eagan, MN 55121N° 13175
JA PHONE: 454-8100
BUILDING PERMIT Receiptu
To be used lor 1 OF 4 PLEX Est. Value $ 64 ,000 Date FEBRUARY 5 1987
Sitenddress 1613B CLEMSON DRIVE
Lot 43 elock 2 SeclSub. TRAILS OF
Parcel No. THOMAS LAKE
w Name NEW HORIZON HOMES
3 Address P.O. BOX 1367
° piry MPLS phone 420-3900
o Name SAME
i
? ? Address
" City Phone
1- Q
F W
Name
? ? Address
:
i w City Phone
Erect 13 Occupancy R3
Remodel ? Zoning Pr)
Repair ? Type of Const y
Addition ? No. Stories
Move ? LengM 44
Demalish ? Depth2 7
Int. Impr. ? Sq. Ft
Install ?
Assessment _
water & Sew.
Police _
Fire
Planner
Permit $ 377.50
Surcharge 32 • 00
Plan Review 188.75
snC 625.00
Water Conn.-525.00
Water Meter 67 _ 00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Council Road Unit 305.00
B?dg.Off. Tr.PI. 180.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Ea n Or nances. APC Pafks
Var. Date Copies
SignatureotPermittee`? ? Total $2,300.25
A euilding Permit is issued to: NEVP HORI ZON HOMES on the express condition ihat
all work shall be done in accordance with all applrole State of Msqesota Statutes and Ciry of Eagan Ordinances.
Building Official
r'uR SALE T.H. CITY OF EAGAN ?
L`41--k 9., B 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551 z, N- 13176
" ` PHONE: 454-8100 -26P/
BUILDING PERMIT Receipt k
7obeusedior 1 OF 4 PLEX EstValue $63,000 Dd1e FEBRUARY 5 1987
SiteAddress 161 3 CLEMSON DR Erect L? Occupancy `23
Lot 44 elock 2 Sec/Sub. TRAILS OF Remodel ? Zoning PD
Parcel No. THOMAS LAKE Repair ? Type of Const. V
Atldition ? No. Srories
a
Name NEW
HORIZON HOMES
Move
? 44
Lengtn
i
Address P.O.
BOX 1367 Demolish
I
I ?
? Depth 26
F
S
o
City MPLS
phone 420-3900 nt.
mpr.
Instan
? q.
t
io Name-
0
u ¢ Address
? C'ty -
a
F w Name-
? Address
z
iW CiN-
Phone
Approvals Faea
Assessment Permit $ 374.0(
water & Sew. Surcharge 31.5(
Police PlanReview 187.0(
Fire SAC 625 0(
Eng. water Conn. 525 . 0(
Planner WaterMeter 67.0(
Council RoadUnit 305.0(
BIdg.Off. Tr. PI. 180.0(
APC Parks
Var. Date Copies
rotal $2 ,294.5(
on the express condition that
$tatutes and City of Eagan Ordinances.
Phone
I hereby acknowledge that I have read this application antl state ihat the
information is correct and agree co comply with all applicable State of
Minnesota StaWtes and City ot Efigan 9rdinances. //
Signature of
A Building Permit is issued to: IVr:W riUxlaULV riU.
all work shall be tlone in accordance with all applica State oi
Building O icial ?IT ?
FOR SALE T.H. CITY OF EAGAN
- 13174
L?1-44,. B 2 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, Mr, 551210
BUILDING PHONE: 454-8100 ?6s //
PERMIT Receiptp 1
7o be used for 1 OF 4 PLEX Est. Value $ 64 ,000 Date FEBRUARY 5 ?g 87
SiteAddress 4318B CLEMSON CIR Erect CY' Occupancy R3
Lot 42 elock Z sec/sub. TRAILS OF Remodel ? zoning Pn
Parcel No. THOMAS LAKE Repair ? Type of Conat ?
Addition ? No. Stories
? NEW HORIZON HOMES Move ? Length 44
i Name Demolish ? Depth 97
3 Address P• O. BOX 1367 Int ImPr O s Ft.
° city MPLS phone 420-3900 Inslall ? Q
oI Name SAME
U
? ? Address
? City Phone
F W Name
s ? Address
< W City 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 of E an Ordinances?./
Signature of Permittee "?"??'K-? ?rYt-?
A euilding Permit is issued to: NEW HORI ZON HOMES
all work shall be done in accordance with all applicable SSdte of Minnesc
Assessment
water 8 Sew.
Police
Fire
Planner
Council
Bldg. Off.
Var.
Permit 9 ?11• ? v
Surcharge 32.00
Plan Review 188. 75
SAC 625.00
Water Con n. 525.00
Water Meter 67.00
Road Unit 305. 00
Tr. PI. 180. 00
Parks
Copies
Total $2.300.25
on the express condition that
and Ciry of Eagan Ordinances.
Building Oflicial ?
r
T
1
L
!
G
n N2 13173
OR
SAL$
. H. 3830 Pilot Knob R d
P.O. Bo 2
-
i 9, Eagan, MN 55121
PHONE: 454-8100
?
BUILDING PERMIT Receiptp
To be used for 1 OF 4 PLEX Est. Value $ 63 ,000 oate FEBRUARY 5 , 1987
SiteAtldress 4318 CLEMSON CIR Erect IN Occupancy R3
Lot 41 Block 2 Sec/Sub. TRAILS OF Remodel ? Zoning PD
THOMAS LAKE
Parcel No Repair ? Type of ConsL V
. Addition ? No. Stories
Name NEW HORIZON HOMES INC Move ? Length 44
W 1367
P
BO$
O Demalish ? Depth 2F
.
.
o Address Int. Impr. ? Sq. Ft
ciry P'IPLS Phone 420-3900 ?nstall ?
a
o Name SAME Approvals Fees
?Q Address Assessment Permit $ 374.00
.
'- city Phone water & Sew. Surcharge 31.50
Police PlanReview 187.00
? W Name Fire SAC 625.00
? Address
Eng. 525.0C
Water Conn.
a W ciry Phone Planner water Meter 67.010
Council Road Unit 305.013
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Off
BIdg Tr.PI. 180.00
information is correct and agree to comply with all applica6l State of .
.
Minnesota Statutes and Ciry o( Ea n Ordi ances. APC Pefks
Var. Date Copies
11
Signature of Permittee 7otal $2.294.50
A Building Permit is issued to: NEW HORI ZON OMES INC on the express condition that
all work shall be done in accordance with all applicable S e of Minnesota Stat. and Q ity of Eagan Ordinances.
Building OHicial
'9
This request vaid?y??? /?y? ?19?/
18 months fmm ? . r-?
z,.,-_
0. 2666z
Ae?uest Date Fire No. ;FOUph-in InsVa<tlon .
'flequlred? 'Ready No II Noury, Ins-
C' es ?No mr When Peadv
t]-eicenseA Elec[riral Contrector I heraby request inspection ol above
n Own<. Plectrical work installeA at:
Stre.et dJress, eox or floiite No. Ciry
ecuon o. Township Name. or No. Range No. County
Oc ' n
t IPflINTI 1
/-/_ Phone No.
? ?
??I ?) ? (J ? ?
I
Power'S
plier Address
l?C"?0
?
oanY Namel
Etcrt I Cnnvacmr ICOm C on tractor'5 License No(
?
IY? ? CjJ n ???C
?? J ??
I T
Mailing.AdJress -on[ra.-tor pr Owner Maku? lns[ail ionl
?? ?
Auffiorize.d IConva or?0 (1?r king instal io Phune Number
<??3 ?2 U
MINNESOTq STATE BDAHD OF ELECTAICITV Irls Iry?r[c i iurv ntuu[si rviLL rvui
GriB9s•Midway 91da. - Poom N-191 BE ACCEPTE? BV THE STqTE BOARD
1821 Universitv Ave.. St Pwul, MN 55104 UNlESS PROPER INSPECTION FEE IS
Phonef6t21642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
II, See instructians tor completing this rorm on back of vellow copy. 10 ^y /J ?-J/
n rj cz c? r, "X" Below Wak Covered by lhrs Request
New
Add d v
fteR. v v
Typg ol Building
Appllancae WireE
Equipmem Wired
Home Range Temporary Service
Duplex Water Heater Liqhtiny Fixtures
Apt. 8uilding Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Farm -oint:? ?SOeu v nin, fsue??ryl
tiar Su???:?fy O?hee Othir
M Fee Service EnlrencaSize tr Pee Featlers/Subfeeders % Fee Circults
1 U to 200 Am s 0 to 30 Am s 0 tn 30 Am s
A6ove 200 Amps 31 to 100 qinps 31 to 100 Am
Swimming Pool Above 100_Amps Above 10D_AmPs
Transformers Irrigation Booms Pnrtial,Other Fee
Signs SpeCialln5pection ?
TOTAL F
y
Perryrks J? ,y
s
dou h-in Date
8 ? r the Elactn
' y' T) nsoecoo., neruby
certify thnt the abave
Final L?H('a Inspection has been
? ? . '6mede.
Thia requeet voltl 18 monlhs Irom
7/REQUEST FOH ELECTRICAL INSPECTION e?sr-opoooi-os
' I10 See instmctiens for compl¢tirg this form on beck of yellow copy.
? .2-AR7 "X" Below Work Covered by lhrs Request
Adtl Neo. rvoe ot au;laing qpo????cna wiree Equiyment wireA
Home Fange Temporary Service
Duplax Water Heater Liyhtiny Fiztures
Apt. Bullding Dryer Electric Heatin
Commercial 81dy. Fumace Silo Unlooder
Industrial Bldg. qir Condltioner Bulk Milk Tdnk
Farm ome, Scei:,rv
n(D oine? ?sa,?,tyi
77 ther Spocify Othgr pthe,
# Fee Service EntrenceSize tt Fee Feeders/5ubteeders U Fe' Circults
to Z00 qmps 0 to 30 qm s 0 m 30 Am s
F?bove 200 qmps?. 31 to 700 qmps 31 to 10D qm s
Swimming Pool A6ave 100_Amps Above 100_Amps
Transiormers Irrigation Booms Partia6Other F
Signs Speclallnspectlon ,/
S
Remarks 5[{??
?' TOTAL F L /?aU,
N
Ruugh-in
W'
? rhe Elech
? P' Inspector, hereby
Final certily that the ebove
? ??sOe<tlon hes been
mede.
rnis .«arand wim ix momrw f.om
Thls request ?old
18 rnpnths Irom •+????p ?
? 2 6 6 7
FequOSt Deje Flre No. flough;in Inspection
Fequt etl?
?ReaAy Nu?ill Notify InsPec-
h
(J es ?NO tor W
en PeadY
?icensed Electrical ConVactor I hereby request inspaction oi abova
? Owner elecVical work installed aY
Stregt Atldress. Bo or Hov{e,l?{?? ?
LJ 1 rJ
1 L /I ? City
v
ecuon o. iownshlp Name or No.
I
Ranye No.
County ?
Occupent (PRWTI .
IU V" ? t-) /'Jr°S Phone No.
`
Power S. lii6)
AAAress
Electrical CoCrnoany Name) a GonVa or's Li ens6'NO.
i
??
Maili d Adtlra,s IC vuc[or orOwner Makinq
Iws ? t?Ko?l mi/?
!// / / /?,
L 7 Y?! ?
A.uthorYeA Signa'ture (ConVa wner aking Instal i I Phone mber
u
? ;3
MINNEav?T?TE tlMtD OP ELEtiirllCliv ? THIS INSPECTION NEQUEST WILL NOT
GriB9s-Midwey Idg. - Noom N•191 gE ACCEPTED BY THE STATE 90A80
1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PPOPEN INSPECTION FEE IS
Phone (612) 642-0500 ENCLOSED.
ThiS request void
18 nwn[hs from ?
? 2 6 6 4
Reduest Date Fire No. Ro ph-in Insuection
Requiretl? ?ReadY Nl Nptiiy Inspec-
?O es ?NO VdhenReady
;2ITicensed Eler.vical Con[ractor I herebv request inspection oi above
? Owner eleclrical work insfelled at
ddress, Y ox r Route No.
e
P Ci?
??t
o. Township Name or No, qanyn No. Cnumy
Occuue c IPHI T?
.? v' -1 : {? / ' 1C Phone No,
Power ulier Address
I
El
ec c'?I Conva^ctoCr (?COmUanY Namc
1/ 1?? ?? VJIJ 1? / ??
ontrer,tor's Licr;nse No.
C
Mnilinq AtlJrexs ICOnVact r or Owner Makinp jnstnilatioN
Auffiorized Sign ure IConvac ner M king nstalla ion}?
? ? Phone Number
MINNESOTq STqFE BOHD OF ELEC_TAtGITY THIS INSPEGTION qEQUEST WILL NOT
Grie9s•Midway Bldg. - Faom N-191 BE ACCEPTED eY THE STATE 60Afl0
1821 University Ave., St. Pnul, MN 65104 UNLESS PROPER INSPECTION FEE iS
Phone(612?642-QBOO -ENCLOSED.
6_/_?? 7/Y7 REQUEST FOR ELECTRICAL INSPECTION ee-090001-06
/ See instractiens br comoletlne this form on back of vellow copv. ??y 7p_V
Do 2664 "X ee/oW Work Covered by 7his Request
und NeO. Type o+ euiiaine AOCIiances w+raa enuiumani w„ed ?
? UuplHx WatBr Hedter . L?gl?[iny Fixture5
Apt. Buildfnc? Dryer Electri? Heabno
rm
ial Bldo. I JI-Air
N Fea Service EnVanceSiie tr Fee Faeders?SaMeetlers a Fe Circults
to 200 qm p5 0 to 30 qm>y 0 tn 30 Am>s
A6ove 200 qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool A6ove 100_Amps Above 700_Amps
Transrormers Irrigation Boon-?s Partial,Other Fee
aiyns apeciai inspecuon S ?
Xemarks TaTAL
. F ti ?.osJ
Rough-In Dnne
? ??zo he Elect al
I
l
h
spec
oq
ereby
Final
bJ ertity thxt the above
inspection has been
J• • prode.
? me reaues vo?a io monms ?mm
.. -, --
?j?9?
02538
6-
.1
ReOUest Dete? ? 1111 No. AauBh'?? Inpsection Repu' 0
(Vou mus cell inspecior w an reaEy)
Ves ? N. InsOeclio? Ome? 1n?.n//paugn-In
? Reatly Now ?y WIII NOtM 109QN1o!
Oate Reaay ?
I [I licensed contrador ?nnwner hereby request inspection of above electrical work at:
Job Atltlress (SVeet eox o e No.)
/o'
/ `^-• Ciry
Seclion No. Town5hi0 Name or No . Range No? Counry
Oc?IPRINT? Phone No.
pwer Supplipr AtlOtE55
Elenncai C nV cto: , COnOany Name) ConVactor's License No.
Mauing AtlCre ss iCOnVactor or Owner Ma+inq Installahon,
Authorirea ature lCOmraclv-Owner
/,yt/?O,- Mak n Instaliat ? Pl:ona Numb ?`?? ?
MINNESOTA STATE 80 OF ELECTHICRY THI$ WSPECTION REOUEST WILL NOT
Griggs-MiCwey BIEg. oom S1]3 BE ACCEPTEO BY TME STATE 80AFD
UNLE55 PROPER INSPECTION FEE IS
1821 Universily Ave.. , Pa ul. MN 5510d
Ppone(6t2)66R-O800 ENCLOSEO.
7` 7T EB-00001-OB
?yk,
REQUEST FOR ELECTRICAL INSPECTION ? ?
? See Instmctlons for completing ihls form on back ot yellow copy. P?°
nq ng I R '.Y•? R<,?w wnrk Cnvered bV This RBquesi '''? ?
U'J „? ,,. ._ .. ?..._....____ .
AppliancesWired
EquipmentWired
ew Adtl Rep. TypeoiBUilding Temporary Service
Home Range Electric Heating
Duplex Water Heater Load MOnagement
Apt. Building Dryer Other (Specify)
CommJlndustrial Fumace
Farm Air Conditioner
ONer isuecily) Gontactor§ Remarks-
Compute Inspection Fee Below:
r
p; Other Fee # ServiceEnirance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transformers AhoVe200-AmpS A6ove100_Amps
TOTA
SIJnS O
Inspactor'sUSeOnly. J ?
v
ms
i
ti
B
I
qa
on
oo
rr
Special Inspection ?
OT
Alarm/Communication THIS INSTALLATION MAY BE ORD 6DISCONNECTED IF N
`
Other Fee
.-
COMPLETED WITH MO M8.
n+? I.i Y?
Rou
oa?-
6
I, the Electrical Inspectoc hereby q
? 11
"
'
rtify that the a6ove inspection has
ce F;nai
? Date /
?:/
?
been made.
OFFILE USE ONLV 0
This requast voitl 18 monihs Irom
,1
I ? 'o r? ` BIo.OO, N 74'g0, Op" %
0 ?T?u ? W
L) (A ?AS?M? T p v? ?? ` C4'?9.q? !
3 N I? ?.; N_ 10-7. Zq,
t -
? O I ?? io• J _? ?953.7
(12 ,D 'i
p?
W._ PIr' N/9?n l? ? ? ?js t1 5
N7a Y /i lo ?an / ?a. I .
? W (?f 4'o yr .PROP i/N ? iz.o ?20' i U I
U 0 Fti ? ? U1
8 ???
V, 143 uj
/9 ? G m. 4 ? l
I,J O-
9F jn °?:, aa N
/_ <i?F 3
'o O m n? o? 2p Q?rv .°:v? •`?
L ?wM o ?
?93 N ?? p N ? ? w?, I fA
v..y) ? ? •'^ y `, _ -f -
g ?u)
(R
N '74' 3? ? m
`?O'po.yv ?Ofn g3 ? ? ?
(9as.
?)
. wJo .._ ._ _.Denakes Watk-Oul. /
._._F1.1 . .p2h0L£g FuLL-l.lou WalYOUt
0 Denotes Iron Manument
° Denotes Wood Stake
X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation=
(000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 940.s
-*-- Denotes Direction of Surface Drainage Proposed Lowest Floor Eievation= 941.0
I hereby certiy Mat this is a true and correct representation of a survey of the boundaries ot
Lots 4:, 42, 43, 44, Bloc?. 2, i'IIE ;T2A=L5 OF THOMAS LAKE, Dakota County,
Min;,esota.
And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or
on said land. It also shows the location of the stakes as set for a proposed building. As surveyed
by me or under my direct supervision this 12th day ofJar.uary 11987,
Pau' o',-mSon
Land Surveyor, Minn. Reg. No. :0938
=`;a` 4o CERTIFICATE OF SURVEY
? for
CCOMBS-KNUTSON ASSOCIATES, INC.
F" COIISUltIM6 FN61MiF112 0 IAMp SUIIYET0113 s ilff ftAIINEIIS
F, F1EN0' NEYJ _F{ORIZOI.I .1i?MES 11JC.
IYNNEA/OlK 4q 1WTCMINION,WNMEOpTA "NI
CITY OF EAGAN
APPLICATION FOR PERMIT
$EWER AND/OR WATER CONNECTION
?1) PROPBRTY ADDRESS:
LEGAL DESCRIPTION:
v
N076s PAYMTP' OF P'FE AT TIME?
?r.ia?aN no¢?s r?ar oorsri?
APPaovnr, OF rERruT.
nNsencTTOrr OF sENM Ara/OR MM
aa-rUXAT*oNs wIM NoT BE scHED-
tu.? vNrit PERMIT HAs aM
aeP1R0vED. IF E7QSTING STRCCILRE, DA7E OF CRIGINFfL BUILDIIdG PIIiMIT ISSC'ANCE: .
Mori ear
PRESFNf ZONI[G/FROP0.SID CSE:
? O241ERCIAL/1RLTAiL/OFFIGE
0 IUID[TSTRIAL
[] IISST'IRLTPIONAL/GCJVFItbAE,tdp
? R-1 SI[dGI,E FAMIILY ;
Q R-2 INIPI.E}C (4t.v (lhi.ts)
•,. R-3 70SiWiOC?SE (Three + LVu.ts) ( Units)
R-4 APARTME[Jf/CMOMIIVILiM ( ilnits )
2)
NArE:
AMxEss:
CITY. SfATE, 2IP:
PHONE:
3) ' 'c a• N11ME:Z?
ADDRFSS:
11-201
CITY, STATE, ZIP:
Pfi0D7E; ? •
MA51'F32 I,ICE21SE#
3) •• ?
NAM:?, 2-
_ ADDRESS: . ?
clw. SM=. ZIP: .
PHOM: .
- e- • a• e wMWnaa Ta criy sDx ? corsux-riav To ciTsr wATm
Plwnbers License:
ActiVe
EkPired
Dbt recorded
Staff Initiel
C3 °nm?
6) ?? •' • (? PLEASE HOID APPROVID PIItNIIT FCIl2 PICK-LTP BY ONE 0£ ABOVE
Q??ASE MAII. APPROVID PIItMIT 7+0 1. 2r? 4• ABWE
I - (Gi_rcle one) ,
fOR -CITY USE ONLY
PERMIT # ISSUED
?
Pd w/Bldg. Permit
S
$
$ e6
0
$
S
$
$
$ ,5?5 B a
$
$
$
$
$
S /m o 0
S
s /397vG
- -70 5y(
RECEIPT
FEES:
$
$
S
S
S
r
SEWER YERMIT (INCLODE SURCHARGE)
WATER PERMIT (INCLUDE SIIRCHARGE)
WATER METER/COPPERHORN/OC'TSIDE READER
WATER TAP (ZNCLPDE CORPORATION STOP)
SEWER TAP
S /,j ? v ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
s . wAc
S SAC ,
{, , _ . . • ,, ?
? - ? ? i
$ • % 1 ?'•_ ? ''R?.?4K •WATER ASSESSIyENT
` •, . .'??•. ` _' -- ', • - ?7,-.i
$ *,?. ' .... • L'NK .SE1dER,'-.SFS$MENT
'!
$ LATERAI,'UAIEf'I-P/.`,COL?NK SEWER
' -
$ LATERAL BENEFIT/TRCNK WATER
} t.._ ,., ..., :
3 i :._).
$ • E?. ? :.?TE$;TRF.ATMENT, F71ANT SURCHARGE
bTHER':
'?,l oo. . ' TOTAL`
?s,. .-? ...
70 ? ? 3
RECEIPT
DOES UTILITY CONNECTION REQDIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR H10RK WITHIN PIIBLIC
Q ROADWAY" MUST BE ISSL'ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
J
APPROVED BY:
TITI.E; ; .
DATE:
?
. . . ._. r. . r?.. ?
- --
. , CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) pROPERTY ADDRESS:
LEGAL DESCRIPTION:
rtoTs: raYMW oF Fe xr TIMcF
?xca?«a noW Nom ??
aPFROVAr. oF PEErsr.
nasrncriaet aF sEWElt nND/CR MM
INSTAr.raSIONS ydII,L NOT BE 9C71ED-
ar.? orrrIL PERraT EAs EEEx
aPPRavrD.
_ %„ULia-LocxlSUDaivision or Tax Parcel ID #)
IF EXISTING STRL'C'ISII2E, DATE OF ORIGINAL BUII,DIING PERMIT ISS['AD1CE: .. PRFSENT ZONIING/PROPO6ID OSE: Fbn ear -
[:) C'OPYMERCIAL/RE'PHIL/OFFICE
C3 IAIIK''STRIAL
[1 I IdSTIRL*PI ONAL/GOVII2NAENP
C] R-1 SINGLE FAMILY '
Q R-2 Dt.?PLEX (1Wo Units)
f7j/R-3 1+OW[M??SE (Three + Units) ( Units)
R-4 APAM4m/CCoAIDCMNT[.fil ( [7nits)
2) ?
NAM:
ADDRESS:
CITY, S"I'ATEr 2IP:
PHONE:
3) • ?: ?• NAME:
AMRESS:
CSTY. STATE, 2IP:
PHONE:
LI(ENSE#
P,ctive
- ? FScpirecl
Not recorded
- St? Initial
4) •• ;? NAME.??
_ ADDRESS: CITY, SfATE, ZIP:
PHONE:
-5) ?? - r • ?• • a? ?? •
' ?? ? ?? ? CMNDLMON 70 CITY WATER
?OTHEI??
6) ?? • • ? piFnGg HpLD ApPRC1t/ID pMIIT FC)R PICK-UP BY ONE OF ABOVE
? PLEASE Nul'CI. APPROVID PERNIIT 1+p 1, 2. ? 4. ABUVE
? ,? _. t-11-_j • _ (Circle one)
FOR -CITY USE 4NLY
PERMIT # ISSOED
Y y3?- -f
Pd w/Bldg. Permit
s
S
$ $
$
$
$
$ 'S?S O Z?
$
S
$
$
$
S
$
s /,397 aU
FEES:
$ 1d 50
s ro 5 0
$
$
$
:. : .. . ?
,
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SLRCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
S ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
$ • WAC
$ SAC
$ ; 1 :.. . Y'R'GIQtIE •WATER ASSES$1IENT - - --- - -
, . . , , , •. ,,_; y
$ f ?,?- • +'. IT'tL?NK -SETojER ;ASSESSMENT
$ ` LATERAL- p$NEFI+I'%?LAiK SEWER
? _
$ LATERAL BENEFIT/TRL'.NK WATER
?_
.. ,.. ?.'i i:'`1.'i?•)' ' i:..i. ?ci?{"aJ'. i 7
$ :
{YJ}1TER,TRFATMEIdT. •PIIANT SLRCHARGE
7.T{.
$ OTHER': - - : - ' !
_.` •,' . ?:
. . . . . .. .
. ..s^,
TOTAL
RECEIPT RECEIPT - - ?? '• "
DOES UTILITY CONNECTION REQCIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
'J
APPROVED BY:
TITI.E; - • . _.?
DATE:\
I:
;
CITY OF EAGAIV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS: 4-?I?`f 6 ?
LEGAL DESCRIPTION: 42- Z
mA77Ss PAYN1MP' OF FFE AT TllZ`OE'
arF.icATIrr noEs NoT oorsri?
nPrRwat, oF raMux.
nispncrioN op SEHM r,rn/aR w,a'a3t
DsrUa.ATtors waL Nom BE scHEI>-
[u,ID vxru. PEP-MT BAs MM
APPRovFn.
IF EXISTING 57120C1L'RE. DA2E OF ORIGINAL BUIIa2NG. PIItMIT ISSOANCE: :
A7on oar
PRFSENP ?dRNING/PROPOSID LSE:
? ODMHE[2CIALVRE?F'ICE
Q IHIX'STRIAL
? INSTI7L1TI0NAI+/WVERI0yFSTP
r] R-1 SINGI,E FANIILY '
Q R-2 DLIPLEX (1t.n L?nits)
FD/R-3 TOiW1E0USE (Three + Units) ( Lfiits)
R-4 APARTmENTP/CODIDOMINICT7 ( Units)
2) ? NAME: ?.
ADDRPSS: ?.
CITY. STATE. ZIP: ? •
PHONE:
3) .?• NArME. ' For City Use ..
Plim?bers License:
14DDRESS: ? Active
EXpix?ed
CITSC. STATE, 2IP: Not 7[ecorded
PHON? M5"lE2 ISCENSE# fX9364
S-ff IniUal
4) •• • i?•
4 t2?
ADDRESS: . :
crrsr. sra,xE, zxP:
PHoNE:
'5? " ' ?' ' ?• - a. a. •
? ?dCONNECTION TO CI+Y sEMM COMECnON TO CITY WATER
aOTHER ' -
6) ?? • • [? PLFASE HOLD APPRC7VID PF.E2NIIT FYH2 PIQC-UP BY ONE OF ABCWE
PI.EASE MAIL APPROVID PEFti?¢T 10 1. 2. ? 4, ?7E
? .'- -- i-?- I - _ (Ciscle ane)
i
,
?
.fOR -CITY USE ONLY
PERMIT # ISSUED
y-5?
Pd w/Bldg. Permit
S
S
s (07 o a
$
$
$
$
$
$ b-o
$
$
S
FEES:
S /o s °
$ /d
?... ?
v ?
?
SEWER PERMIT (INCLODE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLC'DE CORPORATION STOP)
$ SEWER TAP
dv
S ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ • wAc
$ SAC
$ % ? • TR'OIQK •WAPER ASSESSN}ENT
. - .. ._. • ?yr--I
$
f.?•?! .'-T#UNK _SETojER,-ASSESSMENT
_,?a. _ •? : . ._ ?;?I i, ti!
$ ' .LATERAL'$F,NEPI+T/VONK SEWER
$ $ LATERAL BENEFIT/TE2LNK WATER
OC?
aD
s , ?.
`'•it:?i:?t:? ' , ' -?;?1?.J:! ?
$ •
R
R
'
4
. E
,T
FjATMENT. PIiANT SURCHARGE
AT
f
$ bTHER":
s 0-v
TOTAL
- 705// 7 a 3
RECEIPT RECEZPT
DOES DTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
O YES IF YES, THEN A" PERMIT FOR WORK WITHZN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
IS ISSLED BY THE ENGINEERING
. L
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
•
r
APPROVED BY: ?: `r,,,?1???1?/?'•,c J ..
TITL,E: •, . . ' . .?
• ,• ?.. i; ..' - -?•,::: . : _"
DATE: ?
? /
C1TY OF EAGAN
APPLICATION FOR PERMtT
SEWER AND/OR WATER CONNECTION
'l) PROPERTY ADDRESS:
LEGAL DESCRIpTION:
Nf11ai2 ' PA7Q?iP' OP FES AT 'PILS-': Or
ADPTS[`AuCN Dm wP OQ1S`rI1STJE
APPRUVAL OF PIIWT.
IrSPncxIort oF sMM arn/CR rmM
TTLSTATSATTQN$ yfj[Z NO'j' BE SCHED--
MM Uxrb PERhsr F?as BEEN
rPrRoM. IF EXISITNG SZRCCIL?RE, DATE OF ORIGINAL BLILDING PIIit•IIT ISSt!ANCE: " -
PRFSIINf 7ANIIVG/PROFOSID CSE: Modt ear
? COM40CIAT,/REIAIL/0FFIC:E
? II'IIX''SZRIAL
? INSTIISJPICTfFS,/GOVIItNMEM
2) ?
NAME
ADDRFSS
CITY. STATE, ZIP
- PFIOA7E
0 R-1 SINGLE FANIILY "
Q R-2 DIPLEX (1tao Units)
R-3 1DWffMISE (Three + Units) ( Onits)
[] R-4 APARTmEN'P/CONIDOMIIJILTf ( Dnits)
3) ' ?: ?• NAME. - • For City Use . .
Plianbers License:
19DDRESS: Active
fSspired
CITY, STATE? 2IP:
Not secorded
t 55r 0
PfiONE: NW,SPER I.ICIIYSE# gEaT =nitial
4)
•• • ? i?- ?F ?
NAME:
14DDRFSS: • .
CITY. StATE, ZIP: '
PHONE: .
: a • o• a I . •
- d??M CIIY SEMM CDmEMCN To CIW WOM 13 Onm .
fkx_? • - (Circle one)
6) ? • ? r Q PI,EASE HOID APPROVID PIItNIIT FCH2 PICIC-LTP BY ONE OF ABOVE ------ ----
v? PLEASE MAIL APPROVID PERMIT TD 1, 2,? 4• ABO?VE . .
FOR -CITY USE ONLY
..? ?
PERMIT # ISSIIED
1 /
Pd w/Bldg. Permit FEES:
$ S_ /Q SD SEWER PERMIT (INCLUDE SURCHARGE)
$ d
$ / D 5
WATER PERMIT (INCLUDE SLRCHARGE)
$ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /S D ? ACCOPNT DEPOSIT - SEWER
$ 00
S /S
ACCOONT DEPOSIT - WATER
$
wAC
$ lo?S ?O S SAC
-.c, .. • .._.: . ' . ' '. ' .:Jl!
I
E
TR
?IQIE -NATER ASS
SSIIENT
' ,i ' • '` .. . '. r '• 'i., "` ?
•
$ $ *'.
.i• •. `?
,T?ONK-$
EfojER;AiSSESSMENT
? ,
$ $ LATERALA $FNE?"I-P%''AiK SEWER
` -
$ $ LATERAL BENEFI
T/TRL'NK WATER
A
1.',.1:`i p
i4
T
Y . .
I+jF.TER , ?'REATMENT. •P?lANT SURCHARGE
?
$ $ •!_`?_.. ??.? !
OTHER: .. ._.;: •
•
00 '
??'. ?
i`?'
?
?
TOTAL
RECEIPT RECEIPT - ? `+? '
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSPED BY THE ENGINEERING
DIVISION
LIS
.
T AS A CONDZTION.
SUBJECT TO THE FOLLOWING CONDITIONS:
`
J
APYROVED BY:
?
TITLE;
DATE:
1989 BIIILDIHG PERMIT APPLICATION
CTTY OF E9GAN
1-)aI7
SINGLE F6FfILY DWELLINGS MULTIPLE DNELLINGS COMMEACIAL
2 SET3 OF PLANS 2 SETS OF PLANS 2 3STS OF 9RCHIiECTIIR9L
3 HEGISTERED STTE SIIAVEYS HEGISTERED 3ITE 3IIRVEYS - 6 STRUCTURAL PLANS
1 SET OF ENEAGY C,I.CS. (CHECB iIITH BLDG DIV.) 1 SET OF 5PECIFICATIONS
7 SET OF ENBRGY CALCS. 1 SET OF ENERGY CALCS.
IiULTIPLfi DWELLINGS RENT6L IINTTS FOR SALE IINTTS * OF QNITS
60TEs ADDRESSES FOH CORNER LOTS - CONTRACTOR/HOMEOIiNER MOST DFSIGNAiE iiHICH ADDRESS
IS DESIRED. NO CHANGES WII.L HE ALLOiIED ONCE BOILDING PERMIT I3 IS3IIED..
SEWER & iIATfiR PERMIT FEES AND ACCODNT DEPOSIT FEES WILL BE INCLDDED ftITH THE BOILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND W9TEA PERMIT3 IS TWO D9YS ONCE A PERMIT H9S
BEEN CONtPLETED INDICATING A LICEN3ED PLMffiER.
PENALTY APPLIFS WfEN: PERMIT IS NOT PAID FOR IN 3AME MONTH IT IS REQDESTED.
LOT CHANGE IS REQIIESTTD ONCE PEAMIT ZS ISSIIED.
To He Used For: ?I&VpalLuation:
Site Address /?z &?/X? R/J - r
Lot ?I- Block ?
Parcel/Sub
Owne ?
Address
City/2ip Code
v
Phone
Contraetor
Address 3? Gf/•
City/Zip Code J ?
Phone
9reh./Engr. _
Address
City/Zip Code
Phone #
Date: I/ L0/
Occupancy
Zoning
Aetual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System _
City water _
PRV required _
Booster Pump _
APPROVALS
Planner _
Couneil
Bldg. Off.
Variance
FEES
Bldg. Permit 9,L.Pi
Sureharge An
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acet. Deposit
S/W Permit
S/W Sureharge
Treatment P1.
Road Unit
Park Ded.
Copies
SIIBTOTAL
Penalty
TOTAL qr..!n
' . ? • / f ?
1987 BOILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLZNGS
I9CLUDE 2 SETS OF PLANS, 3
OF SORVEY, 1 SBT OF ENfiRGY CALCOLATIOHS
HOTE: ADDHESSES FOE COEHEE LOTS - COHYRACTOR/HOMSOflNER HOST DESIGHAiE WHICH ADDRESS
IS DFSIRED. NO CHANGES NILL BS ALLOWED ONCS BDILDING PERMIT IS ISSOED.
MUI,TIPLE DWELLIPGS - RffiIDENTIAL RENTAL OPITS FOR SALB IIHI4S ?
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECB WIRH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CAQ4MERCIAL
INCLUDE 2 SETS OF ARCHITECTQRAL & STRUCTURAL PLANSt
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
I oF4
To Be Used For: R'4?.aup Valuation:
'Site Address 431K Cl?prv?-sY? C'.; : oF
Lot 4( Block 2 On Site Sewage_
MWCC System ?
Parcel/Sub On Site Well
City Water ?
Owner
Address QC) QK 13(0'7
City/Zip Code ?1LpQo., ?r?. 554 4D
Phone 420 1900 APpROVALS
Contractor az q 6,.e
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone lk
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off
APC
Variance
nate: IlQ liB`7
occupancy 9.3
Zoning _ PD
Type of Const
(Actual) ?
(Alloxable) ]T
# of Stories
Length 4-9-
Depth Z1o
S.F. Total
Footprint S.F.
FSSS
Permit
Surcharge
Plan Review 1 8'1 ,
SAC, City 1D0.
SAC, MWCC S 25
Water Conn 52S .
Water Meter 0"I,
Road Unit 't?OS.
Treatment P1 I ??•
Parks
Copies
TOTAL
-?T
1987 BOILDING PSRMIY APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
INCLDDS 2 SEIS OF PLANS, 3 CERTIFICAiSS OF SQEVEYo 1 SST OF ENERGY CALCULAYIOHS
HOTE: ADDRESSES FOR CORNSH LOTS - COHYRACTOR/HOMSOi1NEE HQST DESIGHATB WHICH ADDSESS
IS DESIRED. NO CHANG&S HILL BE ALLOWED ONCS BOILDING PERHTT IS ISSIISD.
HOLTIPLE DWELLINGS - RFSIDENTIAL RENTAL QAITS FOR SALE UHITS \1/
INCLUDE 2 SETS OF PLANSt CERTIFICATE OF SQRVEY - CHSCH iTITH BLDG. DEPT.,
7 SET OF ENERGY CALCULATIONS
COPMERCTAi"
INCLUDE 2 SETS OF ARCHITECRURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
10[= 4
To Be Used For: kp?t&rnL Valuation:
Site Address
Lot 42 Block 2 On Site Sewage_
MWCC System ?
Parcel/Sub .bL?4 On Site Well
City Water ?
Owner 71?w `1drtyL?rn `1?6?? c.Prnc
Address P (; )9? 13C0
City/Zip Code nr,- SSA40
Phone 42D - 39 00 ? APPROVALS
Contractor '4ume ('W 16v-Q
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone Il
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Date: I )aA 7
Occupancy (Z•3
Zoning Pf?
Type of Const
(Actual) ?
(911owable) 7C
0 of Stories
Length ¢¢
Depth Z"1
S.F. Total
Footprint S.F.
FfiFS
Permit So
Surcharge 3 2,
Plan Review 15
SAC, City 100 .
SAC, MWCC S 25,
Water Conn 5 ZS.
Water Meter (9"1,
Road Unit 3p5,
Treatment P1 I O,
Parks
Copies ?
ToTAL
? 45
1987 BOILDING PERMIT APPLICATIOH - CITY OF SAGAN
SINGLE FAMILY DWELLINGS
IHCLIIDE 2 SEfS OF PLANS, 3 CSRTIFICASFS OF SORVSY, 1 S6T OF ENEEGY CAL?
HOTE: ADDRESSES FOE CORBEH LOYS - C08RRACTOR/HOMEOWNEH MOST DESIGHATE iiHICH ADD6ESS
IS DFSIRED. NO CH9NGfiS iiILL BE AI.LOWED ONCE BIIILDING PERlIIT IS ISSDfiD.
lfOLTIPLE DWELLINGS - RFSIDENTI9L RII7TAL UAITS FOR SALE OHITS (%
INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SDRVEY - CHECK iiITH HLDG. DEPT.v
1 SET OF ENERGY CALCULATIONS
COMlERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2v000 LANDSCAPE BOND
I oF4
To Be Used For: pz?a. Vn uation:
D-` 9b 11aw iit
Site Address ???3 CQpm,ev,? G?_ OF
Lot 44 Block 2 On Site Sewage_
MWCC System ?
Pareel/Sub ?fiorrvtn ?-a?r On Site Well
m City Water ?
Owner i tPkr *?. ?1`nh14 r_?r?.c
Address 6°fj (3ux ?36-7
City/Zip Code ??6 ., qTV),, Q[lD
Phone 42`u 3qnD 9PPEOVAIS
Contractor az Jrt;-ve
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone li
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off
APC
Variance
Date: 11D11&I
Oceupancy R•'3
Zoning pD
Type of Const
(Actual) ?
(Allowable)
# of Stories
Length
Depth 2(0
S.F. Total
Footprint S.F.
FEES
Permit 3?4,
Surcharge 3115°
Plan Review I P)'I ,
SAC, City 100. .
sac, Mwcc 5_z_S ,
Water Conn S ZS
Water Meter l0-1.
Road Unit 'SOS
Treatment Pl 18U.
Parks
Copies
TOTAL
---?"E- I dU
,.,.
1987 BQILDING PERMIY 9PPLICATION - CITY OF BAGAN
SINGLE FAMILY DWELLINGS
IPCLDDE 2 SETS OF PLANS, 3 CfiRTIFICAlBS OF SOROER, 1 SST OF ENERGY CALCQLARI09S
AUTE: ADDRESSBS FOR COHNB9 LOSS - C09TRACTOR/HOHEOWNER MQST DESIG9ATS iTHICH ADDRSSS
IS DESIRED. NO CHANGSS WILL HE ALLOWSD ONCE BDILDING PERMIT IS ISSDSD.
MOLTIPLE DfiE[,LIBGS - RBSIDENTIAL RENTAL OAIRS FOH S9LE DHISS ?
INCLUDE 2 SETS OF PLANS, CfiRTIFICATS OF SDRVEY - CEiECg iRTH BLDG. DfiPT.,
1 SET OF ENERGY CALCULATIONS
COPHERCI9L
INCLUDE 2 SETS OF ARCHZTECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
l oF4
To Be Used For: O,ptAwp Valuation: ? roQiC(9O, OO
kl?-? -
Site Address 1(OI3B ?Qyrme,-I -&ML-6. 0:
Lot Block 2 On Site Sewage_
? , `? MWCC System ?
Parcel/Sub ?'4??,? ??y,nuao ??J2Q On Site Well
City Water ?
Owner _ UJ kt?&1? '6-p^eD c&n,e
Address PD Scn? (3??
City/Zip Code YnuL. , q'y), 5544D
Phone 4;)f>- 330b I APPROVALS
Contractor Aa,,.e aA t??Fiv-e
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone lk
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Date: I /ati)g-7
Occupancy R. 3
Zoning PD
Type oF Const
(Aetual) V-
-
(Allowable) ?
0 of Stories
Length 4 4
Depth 2"1
S.F. Total
Footprint S.F.
FEES
Permit 377 50
Sureharge 32.
Plan Review 186.3
SAC, City oO.
SAC, MWCC SZ51
Water Conn --Tfs,
Water Meter (07,
Road Unit ?)('js ,
Treatment Pl J80.
Parks
Copies
TOT9L
j? ?,,? 1'??? ?o??l . 6 , G a
-754
'HEATLOSSCALCULATIONS HEATING&/!IR CONDITIONlNG CO. MINNEAPOLIS,MINN_
Weatherstrips A.S.H.V.E. ConStruGtion No. Insulation
IArindows Doors Guide
Reference Out. Wall Int. Wall Ceiling Root Floor Hind How Applied
Yes-No Yes-No 19_ .
FLL?y1N( o._QRoom Length 'Z,? Width 1 2 Height ? FI. (1'?{?S1CR g=!) ROan Length ???0 -M4dF1? Height
YJindows and Doors-Creckage and Area Windows a nd Doors- Cracka ge and Are a
NO' wimn
ol arie Heipht
ol oane No. oi
li hts Lmeal R.
ol crac4 Aeea
sq. tL
N?' W?d?p
ol ane Hwpht
ol ane Nn. of
11 h15 Lmeal le.
0I Wack Area
sq. il.
31 ?t?* 2 2 .a. l (, 2 21 1-7
1 ° t R I?J .2
.2 b i 1 O ?
Coef
Btu Coef
Btu
In/iltratipn
3
? 3'3
Infiltration Q
-7 J O
Glass 44 9 "' 2q Glass 11 50 5
Exp. wall v., ''t 2 Exp. wall RQ X,
Net exp. wall g{ Net axp. wall n 9• ZS2
rf11Ti OOr ( l17 2 u . Int. well
Ceiling X %2 21o Ceiling 7d(p 2.5 6
floar Floor ,p y(Y..
Total Btu. 7 iotal Btu. 3 1
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Nequired sq. ft. E.D.R. or sq. ins. W.A. Leader erea
'. FL Room Length Width Neight fl. F• -':?»Ilr??an Length I S Width I 0 Height
Windows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea
No. W?tl?h
of ane MeiqM
o7 ane Na. ol
h ht9 Lineel H.
0l crack A,ea
+4. f6
NO' W'dih
ol
ne
B Hx,gnt
of ann No. ui
lighIS L?neal N.
ol creck Aree
sG. fl.
.
?fu '
p
2.[J 2- -2- 1
Coef Btu Coef Btu
Infiltration ,224? intiltration
Glass Li SO ?UUU Glass
Exp. wall
Net exp. well S4
1
(jq Exp. wall
Net exp. well
79
4,
32
Int. wall Int. wAll
Ceiling ? 7k-^1
Floor ? ? ,'Z•S 2, Ceilinp
Floor i5Q ??•J ?S
Totel etu. S Total atu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leadei area Required 6q. tt. E.D.R, or sq. ins. W.A. Leader area
PI. ',Y Room Length Wid[h ? Height 6ocytiN Room Length ?Width ? HaiBbt
Windows and Doors-Crackage and Area YJ indows a nd Doors -Crack age and Ar ea
Nn. W' drn
of ane Heiphi
Of ane Ne. ul
li hta LinBal h.
ol crack 0.en
s0•
No' Nt7
ul nne M, qi,
Ut OAnY Nn, ol
Ii hls Lineal IL
al craCk 4ma
e06. fri•
Coet B W Coef Btu
Intiltration Inliltration - ?_
Glass Glass
Exp. wall Exp. wTll
Net exp. wal I Net exp. wall
Int. well Int. wxll
ceilins 14 x-I r? af 2i0 Ceiling
-
Floor '- Flnor k-
Tutal Btu. Total Btu.
Aequired sa. tt. E.D.R. or sq. in5. YJ.A. Leader area ? G Requirgd eq. R. E.D.E. or sq. in5. W.A. Leader area
.
?HEAT LO55 CALCULATIONS
06•
HEATi111G& AiR
sel4l"" -" -
CONDITIONING CO. MINNEAPOLIS, MINN.
Weatherstrips A,S.H.V.E. Construction No. Insulation
NTindowe Doors Guide
Referenc Out. Wall Int. Wall Cailing Rool Floor Kind How Applied
Yes-No
Yes-No e
19_
gFl. 'O Room Length 1Q Width Height FI. Noan LenBth Widch Height
Wi ndows a nd Doors -Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea
No. Wlylh
ol ana Meippl
ol ane Na. of
h
li
gty L?neel N.
oF crac4 Aiea
sc. fl.
NO• ?yIdi ?
o/ ane 1{o.qM
ol ane Nn. ot
li hts Lineal /l.
of ciack Aroa
sp• Il•
^
Coef Btu Coel Btu
Inliltretion ?Q 31 760 Inliltration
Glass ZQjJ Glass
Exp. wall Eap. well
NBt exp, wall 230 Net exp. well
- Int. wall . Int. well
Ceiling Cailing
Floor 10 2% Floor
Total Btu. Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Nequired sq. ft. E.D.R. or sq. ins. W.A. leader area
Ill FI. Roan Leeqth R Width 11 Height FI. Roan length WidCh Height
Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea
No. Widin
al ena Ha-qh1
ol ana Na. of
li hts Lineel ft
of creck Area
e, fi. No
o/ ane HeiqM
of nnn No. ul
bah1s Lineal ft,
o( crack Aree
s4• ft•
3?. -10
-
Coef Btu Coef Btu
Intiltration ' 11-7 2223 Intiltration
Glass V OQO Glass -
Exp. wall Exp. wa11
Net exp. 11 9g2 4.1 1 137 Net exp. wall
Int_weµ ( 2 '7U 22 Inc. wnn
Ceiling Ceilinp
Floor 41 . ? ? Floor
?otal Btu. Total Btu.
Required Sq. ft. E.D.R. or 6q. ins. W.A. Leader ere. Required sq. It. E.D.R, or 5q. in5. W.A. Leedar area
? r R Length 13 Width Height FI. Ropm Length Width Height
Windows a nd Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea
Nn. ?Itltn
o aere Heiqht
ol xne No. ul
li ??s Lineal h.
af creek Area
50. fL
NO'
uf xne
ul pnr Nn. nl
Ii Ms Lineai h.
ol eraek Area
aV• ft.
Coel B W Coef 8 W
Infiliration Infiltration
Glass Glass '
Ezp. wall Ezp. wnll
Net exp. well 7 X`tj Net axp. wall
Int. well Int. wqli
Ceiling --- Ceiling
Floor 7.'1 t'? 1 7•5 ? _'.Flnor
Tutal Btu. Total Btu.
Requirecf sq. ft. E.D.R. or 5q. ins. W.A. Leader erea puquired sq. ft. E.D.R. or sq. ins. W.A. Leader area
1991 BUZLDIIN?III!PLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 RE6ISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
lNLTIPLE DWELLINCS
COPRfERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
Cie w?,r"'rc
at
"? - F rize?o?qce Valuation: Date:
If
Lot _qL_ Block I_
C7lrn:Sow '?ri°-'>
Crr
Parcel/Sub
Owner JRV12) Jo
Address
City/Zip Code
Phone
Contractor Rr.pWe.si Er,< e4/nce. Co Address ?'a55 Nwy 16 -7 n/.
City/Zip Code 'r°Iy,-.zoaf>. ??.?. ?S?Y??i
Phone
Arch./Engr.
Address
City/Zip Code
OFFICE
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
FEES
Bldg. Permit ?•?
Surcharge ..?j?
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Planner
Council
Bldg. Off.
Variance
Phone #
41 ,% agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
,,
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 661-4675
PERMIT TYPE:
Permit Number:
Date Issued:
C?
j?
BUILDIN6 'J
021270
06/21/93
SITE ADDRESS:
4318 CIEMSON CIR
L07: 41 BIOCK: 2
THE TRAILS OF THOMAS LAKE
P.I.N.: 10-75865-410-02
DESCRIPTION:
BtiildingPermit Type
Buiiding Wprk Type
U9C Occupancy?\
Bui3ding Lengtti?
Building Width
i
_J
SF PORCH
NEW
R-3
10
10
15?j cc?= L?'
REMARKS:
CONVERSION OF DECK IN70 3-3EASON PORCH & ADDITION OF 10'x 10' DECK
FEE SUMMARY:
VALUATION $5,000
Base Fee $72.00 COPIES $1.50
Surcharge $2.50 Total Fee $76.00
Subtotal $74.50
CONTRACTOR: OWNER: - Applicant -
DOYLE DAVID
4318 CLEMSON CZR
EAGAN MN 55122
(612)865-2877
I hereby acknowledge that I have read this application and state that the
infarmation is correct and a, ree to comply with all applica-41e State of Mn.
Statutes and City at Eaqan 0 dinances.
L ?
? r
LICANT/PEPMITEE SIGN ISSUED B?': SIG RE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: ai BLOCK: 2 APPLICANT:
4318 CLEMSON CIR DOYLE DAVID
THE TRAILS OF THOMAS LAKE (612) 885-2877
PERMIT SUBTYPE:
SF PORCH
TYPE OF WORK:
NEW
BUIIDING
021270
06J21j93
INSPECTION
FOOTING D. .
FRAMING ..
INSULATION FINAL
REMARKS: CONVERSION OF OECK INTO 3-SEASON PORCH & AODITION OF 10'x 10' DECK
? . ?
? _ .. ?
REACTIVATE EC Epb
PERMIT #?' y 1993
---------
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION sq.oo
681-4675
r ,
?/j ?rOLIr , 1n -21
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specificatians, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluatlon of work
Site Address: eLS'n4_5c2A1
STREET SUITE /
Tenant Name: (commercial only)
IAT ?L BIACK susn "'fNETIQAII,S 'Oa' P.I.D. N
Descri tion of work:
The applicant is: Owner ? Contractor ? Other coe.«;be>
Name / i Phone
Property LAST FIRST ?,qy.e?e ;DoYLE_ woRi? 8?S-? g7
Owner pddress eLf.,r
STREET STE M
J
City ?AG'i9OJ State /vlnJ - Zip . "•`
Company N Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber . Protessing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable 5 te of Minnesota Statutes and City of
Eagan Ordinances.
?
Signature of Ap,plicant:
OFFICE U5E ONLY
B UILDING PERMIT TYPE °
7% v ''?j
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 1 Baseg?eAt,,?i,'sli 4
O
02
SF Dwg.
?
07
4-Plex
?
12
Multi. Misc.
? 1
1 S1vim Pool ?
? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
RL04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK Tl(PE
31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
?32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1, sq. ft. City Mater
UBC Occupancy ? 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code e,rE
Depth _A0i On-site sewage 5AC Code
APPROVALS 3, _ SE0%QN ?Ibaca pLtAvc 10, X/p, pEUk o
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
O Site C$kFooting jg Framing VInsulation
? Wailboard I;LFinal ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
2.0%2 v.tuaeton: g 5-C> bt? -
2. sc?
PoRC14 .
oXlo- /ab?'xlyc?-S?= ?/t50a
D???
?
/OOn
?
5000
Mw?w,
SAC %
SAC Units
y ti f ;? n a:
d1?1°A ? ?L .fA{
' . .,lz}.,_i
?.
I /
?
?p I
o . w
? ?4• 3p? ?
Q TIIITY C93
6 ? ?3EMEUT 9'4?
,?..'07.
O
? DFr-,+?_ 3?• b
0^ .Q
-• /
IQ n 1X/C? 1y? o c`^
/
.?- S+EA% o oJ
CpRI U@fSlai
y1. N?430ooW,;? ? PRbPp?O 99 Fui
O
ki / o_ ?°• ?? qe w?o?/y ? e???p? (??.
99 FN ? :
N 1 ?
?
} 4) 810. o..? ?
N 74^ 3p oo,?
(0o
w1o .. .. ..oenoles Walk• (Dul
_..FIJ . DefwEfcs FuL? -l.1c.iMJn,W"t
O Denotes Iron Monument
° Denotes Wood Stake
X000.0 Denotes Existing Eleyatlon
(000.0) Denotes Proposed Elevation
-E-- Denates Directlon of Surface Drelnage
N
y a?
?
lo?,, S
to) I "
_I
/
? l
?
u •
38 I Q
r
ot
9
?W
I
a 1 'u1
F.
7N ?
p. 'w?
J dj ?
?
i?
0 Z
N
.9
Proposed Top of Foundation Eleyation=
Proposed Garage Floor Elevation= 94o.s
Proposed Lowest Floor Elevation° 941,0
I hereby certily that this is a true and correct representation of a survey of the boundaries o(:
Lots 4:, 42, 43, 44. Bloc'2, THE TRAiLS OE THOM7+S LAKE, Dakota County,
Minr,esota.
And of the location of all buildings, if any, thereon, and all visible encroachments, it any, from or
on said land. It also shows the location of the stakes as set for a proposed buildipg. As surveyed
by me or under my direct supervision thisl2th day ohTa^!!?rv _ 1987
Paul__S?4df-Z?l?j'1J
Land Surveyor, Minn. Reg. No. 10938
1"= 40
;OMBS-KNUTSON ASSOCiATES, INC. ?
f011iVUllli 1I161111Ui A WIO fYIIY[10lt 0 4Tl IIA4[4} !1l NE? -.?Q?!?4? -?pM?.S INC.
wrmEUOtu w Muitxmwx.ww?uot?? lqj{
CITY-QF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687-4675
SITE ADDRESS:
P.I.N.: 10-75865-440-02
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1613 CLEMSON DR
LOT: 44 BLOCK: 2
THE TRAILS OF THOMAS I.AKE
7?
021269
06/22/93
DESCRIPTION:
Bnilding.`Permit Type
/Build3ng Work Type
UBC Occupancy.,
? Building Lengt#ac,
/ Building Width
? `l f
SF PORCH
NEW
R-3
10
10
? Li lvlp
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Subtotal
VALUATION
$72.00
$2.50
$74.50
;5,eee
COPIES $1.50
Total Fee $76.00
CONTRACTOR:
?
OWNER: - APPlYCan
EN6E TERRY
1613 CLEMSON DR
EAGAN MN
(612)282-8405
55122
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 Mn.
Statutes and City of Eayan Ordinances.
APPLICAN7/P RMIT TEE SIGNATUFE
UED B : SIGN
_j
IN5PECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: na BLOCK: 2 APPLICANT:
1613 CLEMSON pR ENGE TERRY
THE TRAILS OF THOMAS LAKE (612) 282-8405
PERMIT SUBTYPE:
SF PORCH
TYPE OF WORK:
NEW
BUZLDIMG
821269
06/22/93
INSPECTION
FOOTING .. .
FRAMING ..
INSULATZON FINAL
?
7
? ... ?
REACTIVATE _ (7CE ?
PERMI?Yx n
---------------
CITY OF E
AGAN
1993 BUILDING PERMIT APPLICATION $1(,,09
681-4675
At( b-zi
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structurat plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) tot thange is requested once permit
is issued.
Date 73 Yaluation of work
Site Address: CLEJjfSaN Q.+Gr/-?
STREET . SUITE M
Tenant Name: (commercial only)
IAT BIACK SOSD. _r15' P.I.D. N
? oftHay$4S
Descri tion of work: Q/0 7ffAQ;r SOAS°Al fD Cf/ L /01r/0' CCN
The appl i cant i s: E Owner ? Contractor 0 Other (Describe)
Name *J(S4 &1ri?L-&) TE-Q.QY ? P h o n e ??67 ?c
Property WS FIRST
Owner Address /?-13
STREET STE Y
??ltl State Zip
City
Company ?449' Phone
Contractor Address License # Exp.
City State Zip
'
Phone
Company
ArchitecU
Engineer Name /r Reaistration #
Address
City State ZiP
Sewer & water licensed plumber /f 1 . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
!
Signature of Applicant: ? ?
OFFICE U5E ONLY
BUILDING PERMIT TYPE
001 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basemeni Fin4,sh -
? 02 SF Dwg. ? 07 4-Plex 0 12 MuTti. Misc. 0 11 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Corten./Ind.
R 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
,
0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
0 21 Miscellaneous
WORK TYPE
8.31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Additian ? 34 Repair ? 36 Move
GENERAL INFORMATION Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
MT
4T
3 - Stas0N
Basement sq. ft.
lst Fl. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
MWCL System
City Mater
PRV Required
Booster Pump
Fire Sprinkler
Census Cade
„ SAC Code
WcN pLuS /o xlo, DE-Ck
Building
Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
Final
Assessments
I
?
0
R: Frami ng OInsul at i on
? Uraintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC .
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
r]Z .00
2.So
votuas;on: S .7000
1 b xia
? loD X(Y o- 5-) -1 96-00
/ d OZ?
SAC %
SAC Units
?
.2
O
N
z
?
U
N?4•3p oolV
3 - 5tA3aN
r?kcK
eaN u mR.sl
bp
wl0
F AI
0
0
X 000.0
(000.0)
-4-
N 74" 30 0 ?
Deno}es WalLc-Oul
D2noles F'u?? -l.lau Waix.OU'C.
Denotes Iron Monument
Denotes Wood Stake
Denotes Existing Elevation
Deno[es Proposed Elevation
Denotes Direction of SuAace Drainage
Proposed Top of Foundation Elevatlon=
Proposed Garage Floor Elevation= 940.6.
Proposed Lowest Floor Elevation= 941.0
1 hereby certify Mat this is a true and correct representation ot a survey af Me boundaries o1:
Lots 4:, 42, 43, 44, H1oc:. 2; 7'[,'T3 .nA:LS OF THOMAS LkKE, Dalcota County,
Minr,esota.
I.Ng
y W
?
.?,
?
And of the location of all buildings, if any. Thereon, and all visible encroachments, if any, (rom 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 11 2G:l day of.7ar.na:v .1987
CCOMBS-KNUTSON ASSOCIATES, INC.
aouumro t¦eINnAs 0 we JuRn.ou E s?n #w.eu
wrmc?Lp M MUTCMIMfON, WNM[tOiA
Paul A. Joluison
Land Surveyor, Minn. Reg. No. :0938
"""
1"= CERTIFICATE OF SURVEY
ao
i0°• "1 fOf
"`"" ' NEw NoRtizor.i NornES I?.?C.
l9jl
.? ?? ?
COMMERCIAL
J??U 2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
? ??(OLS
Foundation Onl New Construction Interior Im rovement
• Structu2l Plans (2) sets . ArchitecWral Plans (2) sets . Architectural Plans (2) sets
• Civil Plans (2) . Structurel Plans (2) • Code Malysis (1) '•
• Certificate of Survey (1) • Civil Plans (2) . Project Specs (i)
• Code Malysis (1) " . Landscaping Plans (2) . Key Plan (1)
• Project5pecs (7) • CodeAnalysis (1) . MasterEZitPlan (t)
• Spec. Insp. 8 Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always"
• 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 established - if applicable
• ProjectSpecs (1)
d • EnergyCalculations (1)
1 • Electric Power & Lighting Form (1) " d
1 • Master Exit Plan (1) 1
1 • Emargeney Response Site Plan (1)'*' L
L • Soils Report (1) d
• MC/ES SAC determination letter . MC/ES SAC determination letter • MC/ES SAC determination letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
rvuu a ucvciayc u[ iuuylny iacluiles - SUDRIIi p180 t0 MN UBp8rtfT12flt Ot HBBIth. G811 6b1-215-0700 TOr tl2t811S.
" Contact Building Inspections for sample.
Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: ? WORKTYPE: _ NEW _? EMODEL CONSTRUCTIONCOST: U?
SITEADDRESS: ? ty I 3? ? I. I.:? A GP,wt_Snvt PV. ? 42.19 I4-? 1 R (? r)o,vu?,, rsvl ?.vl.
TENANT NAME: " • " ' ? 9 I m ?}a13a
SUITE #: Tf?,Ttii._L, vL AqyyLG?
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK :RaV/
Name: Jv • r ?(? ' (/"v/iY?.t " Phone #:
PROPERTY Last "First
OWNER
S ?? n
?. , ?,_
? '?'
S
treet Address: 1 V
f,
u
City: State: Zip: 6G4 X
Company: Phone#: ( ((J?)
CONTRACTOR
StreetAddress:
CitY: s?- State: wo Zip: ? `?
ARCHITECT/
ENGINEER Company: Phone #:
SEP 1 9 2002
Name: Registrarion #:
J
u
Street Address:
CiTy: State: Zip:
Licensed plumber installing new sewerlwater service:_ Phone #
I hereby acknowledge that I have read this application, state that the information is corr ct, and agree to Zwith all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
Updated 7102
2006 RESIDENTIAL BUILDING PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Canstruction Reauiremenfs
3 registered site surveys shrnving sq. ft of lot, sq. N, of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Reporl d proposed building is to be placed on disWrbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 setof Energy Calculalions
3 copies of Tree Preservalion Plan'rf lot platled aher 711193
Rim Joist Detail Options selection sheel (buildings with 3 or less unils)
Minnegasco mechanicai ventilatlon form
RemodeVReoair Reouirements
2 wpies of plan showing footings, beams, joists
1 set ot Energy Calculalions forheated addi6ons
1 sde survey for additbns d decks
Addifion - indicate Non-sfte sepfic system
o??eu?oniv
Ce?fof?SuNYffj,ecd° ? Y?' t?
9dlls ? ' _?f''? ?1
Lee Pres Plan Rec4 ?-Y,? N.
Tr?ee 2rasE,t?Lire?l "" ?i?`;Y:?+ ,
On-s?te Sey6c';System?_E _;Y !==N
Date AU 4,l O 6 GJ
Construction Cost 17Gd
Site Address 4C /(.7 S p ^/ ?° / 2 ? ,G• UnitlSte #
?T ? ?I ?? /l?l J? S? /
. Sc?Pt,?rN ?NEC oS??J
Description of Work &X/ S T i;iVG J??? H 7p ? S f_ As a,? /?? /ZEN
Multi-Family Bldg x Y _ N Fireplace(s) _ 0 ? 1 _ 2
Property Owner dJQG( L-L• /? • 915 R C Telephone #
Contractor
Address City
State Telephone # ( )
?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheet - • New Energy Code Worksheet
(4 submissionrype) Submitted Submitted
• Energy Envelope Calculalions Submitted
In ihe last 12 months, hos the Cify of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
s
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE -
Sub Tvaes
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ;I! f- 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Wo rk Tvpes ^^^''' cj ?"f ?"I,f ?? J ? 42 ?V?'YV Pa Yt L(f` '?^'i? p7311-10i.
? 31 New ???
/ ? 35 Irit Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
?9- 33 Alteration l ? 37 Oemolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) • G ive PCA handout to appliwnt
DBSCfiptiOn: Water Damage _ Yes
Valuation O1.9L7
Plan Review 100% or 25%
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
x Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
FinaUNo C.O.
HVAC
Other
_ Pool Ftgs A'v/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?? 0 :? ? ?1 Ov
?Z*4
2007 RESIDENTIAI, BITILDING PERMiT APPLICATION
City Of Eagan
3830 Pilot Koob Road, Eagan MN 55122
Telephone # 651-675-5675 FA,X # 651-675-5694
NewcMsWtOan Rmi'vamnb 3 M*WW sb surveys sAumm9 s9. R of lof. sQ. R o( haus% and gdfmfed meas
(TU57h maomum IM owerage aleowed)
1 Sob Repat i(poposed hufldmg's to beptaoad an disWr6eC sod
2 oopies of Wan ahaxm9 bemn & wYidaiv skm poured kund dsigq etr.
1 set dEnergy Cdala5ons
3wpin o(Trea Preserva6m Plmn if bt PMed aRe 7M/93
Pom JOW DaW 0Ptiore selacbm geet (bMngs wb 3 a less units)
Mmnegesco mechemcal venft6m Tpm
RemddlRmair Remerearrants
2 mpies of Plan shm4n8 forraw4 bemns, prsts
7 selaf Emgy Cakuletims fur heaWd adEas
1 sife survey far eddlhns 8 dedh
AdOon • indcafe Uawlesepdc "m
31719a!5-
Olfice Usa Qdr
Cataf9uveyRecd _Y _N
$qlgRepttt _Y _N
TreeP{esNen.Recd _Y _N_
TrcePresRe@rired _Y _N
Onab Sep6cSys0em . -Y .-N
Plans are considered public information unless vou state thev are trade secret and the reason.
Date -! i / [J S/ 1) -7 Coostractian Cost d Q- O d U '^-
Site Address y 3 /c4 - S4 I / S / 3 (o 1.3 Q UnitlSte #
G/ ?.,.. .J '' Qi
Description ot Work R b o
- //l[ C? V
Malti-Family Bldg ? Y _ N `
F5replace(s) _ 0_ 1 _ 2
Property Owner l a
!`
o?c S L t R c Telephone #((? f1 ) L S S' OO
7?4
Contractor ? Y ?/ ? ?U S /?l,j ?I .
Address ?? ?, CitY ?LC./-iI.?SU •'_?l e--
State Zip Telephone # (q94 ? ,3 S "oD
COMPLETE THIS /1REA pNLY IF
Energy Code Catagory -' Minnesota Rules 7670 Cateeorv i
(J aubmisaion type) ?'de^dal Ve?la?°^ Category 7 Worksheet
Su6mftted
• Energy EmelOpe CalWietians SWUNtted
A NEW BUILDING
Minnesota Rules 7672
• New Enefgy Code Wmksheet
SuWnMted
In the last 12 months, has ihe City of Eagan issued a pertnit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanicai Conhactor
Sewer/Water Contractor
Telephone # (
Teiephone #t )
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wiil 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 wiil be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
a 4e-Uct (cd?fJf Nr/3?e?j ,T.f[?
tO ? v r e .? zda?
Applicant's Printed Name L,-? ?{ 3 0--2Y pplicanPs Signature
(p ?? 2006 RESIDENTIAL PLUMBING PeRnniTaPPUCarioN CITY OF EAGAN rJ
3830 PILOT KNOB ROAD, EAGAN MN 55122 J?O ? 7?-I
651-675-5675
Please complete for modifcations to existing residential dwellings.lD?
0 7 JAN 1 7 2007
Date
is
Site Street Address I (c ? 3 ?vl 5 ay! ??' Unit #
Property Owner 1t i G r q r? e L,-/C S C? ?• Telephone #(6 5 fki 7-? 5 G?
? Telephone#(9S,A)93
Contractor/1?r.6,i"c."d SanS
Address?20_? Df? 4ve. 5 City tLc'AS Statel"114/ ZipsS
_
The Applicant is: _ Owner ? Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-6uilt $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are inslaNing onlv a water softener and/or wafer
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_WaterTurnaround (add $130.00 if a 5/8" meter is required)
Other:
ff $ 15 00
Water Softener
Water Heater
_ new zK replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge
,
$ .50.
Total $
I hereby apply for a Residential Plumbing Perrnit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved. ,
O SA
Applicant's Printed Name IicanYs Signature
Use BLUE or BLACK Ink
AIIIIIIIIIIIIIII&
For Office Use
Permit
City of Evan
i Permit Fee:
3830 Pilot Knob Road p~
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
eJeM56V1 ~
Date: Site Address: ' Unit
Name: ( I,1 AMA Phone: A
Resiclerltl
Owner Address / City / Zip: a bo Ire
_ Applicant is: Owner Contractor
r Description of work: S s
-1 A 1'e Ac
ype, of Work; ~--r a 7 r
Construction
L8 ek e.,
,iRs Company: +1 Contact: S
Address: city: Contractor ~ State: Zip:- Phone:
3G.~i
- ea Cerli Ica e
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:~Plar s and sup"po hg docun'Bents ~that'you subni,t, con; Bred t6l&',public reformat, P xrti ns of'T^.
the information-may be classified as non-public'if you provide specific cyeasons that-would permlt~the Crfy to
_ C9,0qude_that.4he are:tr de secrefs:
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. MW,,gogherstQteonecall 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 to B ll must be completed within 180
days of permits Issuance,
Applicant's Printed Name App ant's Signature
Page 1 of 3