768 Cougar Dr.
I
(Itr#ifira#e uf (IDrrupanry
Citp of eagan
Ep?? ? ?? ?trtion
This CPrtifecate issued pursuant to tlte requirements of Section 306 of the Uniform Building
Code cernfying that at the time of rssuance this structure was in compliance widrthe various
ordinances of the City regulating building construction or use. For the following.•
Uee Classificatioo -1/2 DUP & C&?, Bldg. Flrmit Na 13 5 7
px?,.y TyPe R3 yoain6 tksuia V41 'IYpe Camt `:
owwroreuaaing 'EV@tSAL ffii-N?f: Add= 4731 WKLaN iJkiVE, E?LN,
-; A, B2, aA[OdXM H$IQfJ:: .4,"i)
ewWing a,aarm Yf' 111JGAR TIRIAT? LoWity
,
DatO:
Bwlding OlYiail
POST IN A CONSPICUOUS PLACE
?.,__... , . CITY 4F EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt ?
To be used for Est Value Date
Site Address
Lot Block Sec/Sub.
s Name "
3 Address
a City Phone '
Q Alemn
Phone
I hereby acknowledge thet I have read this application and state
that the information is correct and agree to comply with all appflcable
State of Minnesota Statutes and City of Eagan Ordinances.
A Building Permit is issued to:
all work shall be done in accordance with all applicable
Building Official
OFFICE USE ONL1f
On Site Sewage _ Occupancy
MWCC System _ Zoning
On 5ite Well _ Type of Const
Cfty Water _ (Actual)
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
18
APPROVALS FEES
Assessments _ Permit
Water/Sewer _ Surcharge
Police Plan Revfew
Fire _
_ SAC, Gity
Engr. _ SAC, MWCC
Planner _ Water Conn.
Council Water Meter
Bldg. Off. _
_ Road Unit
APC _ Treatment P1
Variance _ Parks
Copies
TOTAL
on the express condition that
nnesota Statutes and City of Eagan Ordinances.
Pe?mit No. Ps?mit Nolder Date Telephone ?
Plumb+ng ?7
H.VAC.
Electric 7
softener A-?
Inspsction DOb t?sp. Comments
Foot;ngs ? ? -i? ?S A.
Footings 11
Foundation -?- P ??.
Framing s
Roofing
Rough Plb? ??y J
Rough Htg.
l5uL
FireplBCe
Final Htg.
Final Plbg. -?
2111
S?'' G T? %?<.5v-r?
Blda Final 3p
Cert Occ.
TemR LP
Deck Ftg
Deck Frmg.
VYell
Pr- DiSP
. /
• • ' PERMIT # $ ? ??
. PLUMBING PERMIT RECEIPT ti 7/
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE: PHONE: 454-9100
Site
m Name
?o Address L/ ?? ' - ? > > x 7
c City Le-?'?Z-1 Phone U l•- ?i 3?
Name ' Y-j; •
? Address Z f / ,.: r
3 ,
p City Phone 4/
FEES
COMM/IND FEE - 195 OF CONTRACT FEE
MINIMi1M - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF PERMITTEE
- $10.00
- 20.00
- .50
FoR c Tv oF EaGaN
BLDG. TYPE WORK DESCRIPTION
Res. ? New ?
M ult Add-on
Comm. Repair
Other
NQ. FIXTURES TO?AL
Water Closet - $3.00
?Bath Tubs - $3.00 -
Lavatory - $3.00 ?
Shower - $3.00
?Kitchen Sink - $3.00 -'
Urinel/Bidet - $3.00
1 Laundry Tray - $3.00 ?
TFloor Drains - $1.50
? Water Heater - $1.50 Whirlpool - $3.00
-7-Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL: ? ' ? C:
Site
' MECHANICAL PERMIT RECEIPT # 71
CITY OF EAGAN ,
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PRICE PHONE: 454-8100
? Name _
? Address
c City t
? Name _
3 Address
O CitY -?
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
BLDG. TYPE WORK DESCRIPTION
Res. v New
Mult Add-on
Comm. Repair
Other
-, FEES
RES
H
C
'
.
VA
0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
i Phone (RES. HVAC INCLUDES A/C ON NEW
CQNSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMM - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
?LY?M BTU n',
Y M BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
M BTU REMODELS - 12.00
4-31A BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
R
FEE: i
S/C: SIGNA RE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN ?
•ik
fEtr#i#irate of (Orrupanry
Citp of (Eagan
loPpo'fUtPtl# of l1ta11tg ittH.pPtftDtt
This Certificate issued pursuant to rbe requiremenu of Secdon 306 oJthe Unijorm Building
Code certijying that at the ame of issuance this structure was in contpliance with the various
ordinances ojthe City regulating building rnnstruction or use. For the following.•
un ca6mdicaow TItR.Rx 6QR EaB. pennk ra. 13572
0-m-Y Ty? ? Zom" Dstw - Tnm Cow. V
OWOLlOf BwlciIOg 7N.':R':-PW• 91;Add,,y 1l31 T(t1L+1.EN alC7VLs l'J'n.YY{
Huilding Addrde I.oabry L4, B2, QAKWOCT) ffi- N)
cwic tA&RiA}iY 12, lUBQ
Bwlding Officia1
POST IN A CONSPICUOUS PLACE
?, . .. ,.
CITY OF EAGAN
?
3830 Pilot Kn ob Road, P.O. Box 21-i ti9, Eagen, MN 5 5121
PMON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est Value Date ,19
5ite Address OFFIC E USE ONLY
Lot Block Sec/5ub. On Site Sewage _ Occupancy
MWCC System _ Zoning
Parcel No. On Site well _ Type of Const
City Water (Actuaq
• _ (Allowable)
a Name
W
3
Address ' * of Stories
Length
?
City PhOne ' Depth
F
Total
S
.
.
, p Name Footprint S.F.
? ? Address APPROYALS FEES
P City Phone Assessments Permit
_
?. Q Water/Sewer _ Surcharge
0
W
W
Name
Police
_ Plan Review
_ z Address Fire
Engr _ SAC, Ciry
SAC
MWCC
W
i City PhOne .
Planner ,
_ Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bidg. Off. _ Road Unit
thattheinformationiscoRectandagreetocomplywithallapplicable APC _ TreatmentPl
State of Minnesota Statutes and City of Eagan Ordinances, Variance _ Parks
,
Signature ot Permittee Copies
TOTAL
A Building Permit is issued to: on the express condition that
all work shail be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances,
Building Official
Permit No. Pe?mit Holder Dats Telaphons
Plumbing '? ? ?? ? ? ,? ?
H.V.AC.
Electric
swwa"-
Inspection Dats Inap. Commants
Footings I _?. 7 t. 9•
Footings II
Foundation
Framing 1G - ?
Roofing
Rough Plbg. -
1
Rough Htg.
6/
¢
IsuL v'
Ifl
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ. ?
Temp. LP
Deck Ftg.
Deck Frmg.
Well ? l ^ _?-
Pr. Disp. ? ? n, -
CITY OF EAGAN Rem
Addition OAKWM MTS 20 AWN
a
10-53801-04e-02
Street 768-70 COUGAR WMDriv,e- State BA?'+AN1 Md 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
'RK 1984 395.40 39.54 10
STREET RESTOR.
GRADING 8 1981 49.62 3.30 15
SEWER LATERAL 577 1981 34.31 1
SANSEW TRUNK 5-5- 1981 213.13 10.6 20
SEWER LATERAL 6-2 24.45 1.22 O
WATERMAIN ?
WATERLATERAL 5 3 1981 45.43 2.27 ZO
WATER AREA
7T 1981 28.72 1.
STORM SEW TRK c 3
STORM SEW LAT
CURB & GUTTER
SIDEWALK
5TREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
. PERMIT # %'
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN -
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
Sec/Sub
m Name " ?Z ' ?I Z?z z" " 1? . , ,
?c Address
c Ciiy C:?- P h o n e /V
- Name ? ?• ? ??
(D
Address
p City ?. • /, • ? Phone ` -
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
CITY OF EAGAN
BLDG. TYPE WORK DES
?
Res. New
Mult Add-on
Comm. Repair
Other CRIPTION
?
N
q. FIXTURES TC??AL
_
?Water Closet - $3.00 $ '
Bath Tubs - $3.00
:Lavatory - $3.00 G
Shower - $3.00
-,LKitchen Sink - $3.00 -3
Urinal/Bidet - $3.00
?-Laundry Tray - $3.00 ?
/ Floor Drains - $1.50
L Water Heater - $1.50 ? • ? ?'
Whirlpool - $3.00
/ Gas Piping Outiets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
? /STATE S/C:
? i; j C
GRAND TOTAL
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
RECEIPT #
DATE: _
7
Site Address -' ??t ' BLDG. TYPE
ot !Block ,.? Sec/9
Res
- Name NAult
m _
? Address - omm.
c City ?-Phone Other
? Name ?-zi .11 : V_ -P r c a 1
3 Address
p City 4 ?? n Phone
TYPE OF WORK
Forced Air ? M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. . y U?T r 4? gTU
Vent CFM
Gas Piping Outlets #
FEE
S/C:
TOTAL:
WORK DESGRIPTION
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 PERMiTJ - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 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) _
SIGNATURE OF PERMITTEE
7y.27/
FOR: CITY OF EAGAN
CITY OF EAGAV Permit No: Date:
3830 Pilot Knob'rtoad Meter No; Size:
P.O. Boz 21199 Reader No: Date:
Eagan, MN 5512AI?wZ??
a?,KG't
Owner. ?
Site Address; 770 `cou8ar Drive L4 °2 i;akaood He
Conn. Chg: 51, 5. ?opd Zoning: F2
Acct. Dep: 15' 00pd No. of Units: ''?Ple`'
Permit Fee: 0' p
Surcharge: : 4 I agree to comply with the City of Eagan
Tr. Plant ` Ordinances.
Meter. 67 . l On?
: -
WATER SERVICE PERMIT
AM.?
Zoning:
Owner
ayree to comply with the Clty ol Esgan
BY
Date of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.: 9971
DATE: 6-1I--87 of UniLs: ?-`u;) lex
A B2 Qaicwood 'iei?-rts II
asoa Excavatins,
100. Oflpd
Connection Charge: 5 7S_(1(1l,'1
Account Deposit: - 7 5_ nn.,d
Permit Fee: 10 _ sln,,.i
Surcharge: 5 11 nd
Misc. Charges:
Total:
Date Paid:
CITY OF EAGAN Permit No: Mb Date: 6- 21-E 7
3830 Pilot Knob Road Meter Na Size:
P.O. Box 21199 Reader No: Date:
?---- ---• ----_ . • -.
Site
Conn. Chg: 525.00p3 Zoning: R2
Acct. Dep: d
15. r
No. of Units: L4upl?r
Permit Fee o
n?
Surcharge: . 511ipd 1 agree to comply with the Cfty oi Eaqan
Tr. Plant 180.00pd Ordlnancas.
Meter.
WATER SERVICE PERMIT
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pllot Knob Roed
P.O. Box 21189 PERMIT NO.: ?9 9 7 0
Eayan, MN-55121 DATE:
Zoning:' N o. oi Units: Duglex
Owner. ? v?'-Conat-.
'lumber ragan t'lttmbin&/Johnson i xcavatin,
5 -°-?7 73290 C!?pc:
agree to coqply wNnlhe CMy c} Eagan Connection Cherge: S 2 ti i1t}T d
Irdinances. Account Deposit: I 5 LLW
Permft Fee: 10 ndTd
Surcharge:
y Misc. Charges:
We of Insp.: Total:
ISP•: Date Paid:
CASH RECEIPT
-
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 ?
necewco
FROM
AMOUNT
?
? & DOLLARf
oo
E] CASH CHECK
l
" ? ,?l 'J: ? I? ? l.? ?- •, ,-. , •:?
? FOR
.. ???.
? , ' ;,? /? •,,
? i i? Lc?-r? ,- 7 '
I
I
White-Payers CoPY
Yellow-Posting CoPY
Pink-File CopV
PERMIT
01-3210 /Bldg. PermitG
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
U' cJ
' 2 ?
v <?
/
? a
V i. U i-Jf
cJ
G
Thank You
BY ? r i ? =
This reQ uest void
18 nwnths from
? 13466k
RequeF -
Juue 9, 1987
? Licensetl Elpetrical Contrac[or
] Owner
ra
< "
z .5
??oa
uAh.in InsPaction
i
reAl Readv Now
? 43K"I1 N
if
?
?e
s ?No ot
y Insuec-
???? Wh¢n keudy
? hareby request inspacfion of above
elacVical work installed et
MINNESOTq gTpTE BOAn'Dr 4"13-1131
Cli09s-Midway Blde. - Noom N- 81 Tp?CITY
182j V^'v>rsitv Ava
St
P THIS INSPECTION pEQUEST
W??? NOT
eE ACCEPTE? 9Y TH
.,
.
aul, MN 55104
Phone 1672J 642-0800 E T
UNLESS PpOPER INSPECT
F
I
ION
EE
S
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
0 See insnucfions lor completinp this form on bxck of YBIIOw CDPY EB-00001-06
.c^ .,• .
?? ?
6 Relow Work Covered by Ihis Request
V FdJ Ne p. Type
APPIippCea ?YirOtl
Home E9uil>m¢nt ?/yifeA
Dupl
g ??yp
Temporary Service
Apt
i Water Heaer
Dr ei
Y Lrchtiqy Fi,ctures
.?
Comm
FurnaCe Electri? Heatin
Indus
qir Conditioner ilu Unbnder
Fa.,„ -.. „_. Bulk Milk Tenk
Pee I Service
6
0
I InsPection
$ L-F?, ? TOTAL
r ne
Ihe Bac '
( IOSpBCtor, herBCy
cer?ify thet tM1e above
inspeclion hes been
maee.
CITY OF EAGAN
3830 Pllot Kpob Road
P.O. Sox 21199
Eagan, MN 55121
Site Address:
^
Permit No:
Meter No: -/Z/4 01/'0 Q c?
Reader No: ? ? ?JP 7
Conn. Chg: 5?S.?O?d ??? s-?sp;f ??$?'???9:
Acct. Dep: 1.5. 00 rN di'?ing r;1; ?OQabf1?1??5
Permit Fee; 10 • 1hW?punnir Q E^TR1C - GAS
Surcharge;
Tr. Plant_ 1:> [) . ?
Meter. ?
..:-- - --
CITY OF EqGAN
3830 Pilot Knob Road
P.O. Box 21198r
Eagan, LIN 55121
Site Addre;
Plumber._
Conn. Chg;
Acct Dep:_
Permit Fee:
Surcharge:
Tr, Plant_
Meter. _
7
Permit No: 8E17
Meter No: 1407 qo el 3
Reader Na
R
Date: 6--11-87
size: ' 8 o c
Date:
of Eagan
Date: ` - i l -" 7
Size: 9S 2oc/(
Date: ?-Z 6 - lf?
of
? f?/6?
1 CITY OF EAGAN N! 13 5 7 2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE• 454 8100
BUILDING PERMIT Receipt# 7Aa9 0
Tobeusedfor 1{2 DUPLEX & G&Value $$9,000 Date MAY 7 ,19 87
SiteAddress 768 COUGAR DR
Lot, 4 Block Z Sec/Sub. OAKWOOD HTS 2ND
a Name liNIVERSAL BLDRS
= Address 4731 WALDEN DR
o City EAGAN Phone 454-0982
o Name_
0a Address
? City_
Name_
Address
City _
OFFICE USE ONLY
R3
On Site Sewage Occupency
MWCCSystem ? Zoning Rl
On Site Well Type of Const
Cibwater ? (ACmeq v
(Allowable) V
# of Stories
-
Lengih ?$
Depth
S.F. Total
Foo[print S.F.
APPROVALS FEES
Assessments Permit $ 465.00
Water/Sewer _ Surcharge
Police _ Plan Review 732 - 50
Fire _ SAC, City 100.00
Engr. _ SAC,MWCC 575_nQ
Planner _ WaterCOnn. 59 S_ f1Q
CounCil _ Water Meter ---- 6.??? nO
I hereby ecknowledge that I have read this application end state Bldg. Off. _ Road Unit --305--00
thettheinformationiscorrectand eetocomplywithallapplicable APC _ TreatmentPl I ao qp
StaTe of Minnesota Statute City of Eagai rdina c Variance _ Parka
? Gopies
Signature of Permittee
? -' TOTAL $2,444.QO
A Building Permit is issued to: UNIVERSAL BL?RS on the express condltion that
all work shall be done in accordance with all applicabledState of Minnesofq Statutes and City of Eagan Ordinance&
Building Official ( ?,r iC2.c.
?
CITY OF EAGAN N0- 13 5 7 3
3830 Pflot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt# 93a90
To be used for 1/2 DUP & gar Est. Value $89,000 Date MAY 7 ,19 $7
SiteAddress 770 COUGAR DR
Lot 4 Block Z Sec/Sub. OAKWOOD HTS 2ND
Parc,el No.
a Name UNIVERSAL BLDRS
W
+= 4731
Address WALDEN DR
o cih, EAGAN phone 454-0982
o Name SAME
.
? Q Address
m
P
City
Phone
W w Name
W
=o
Address
aw City Phone
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System X Zoning
On Site Well _ Type of Const
City Wafer (ACtuan
(Allowable)
it of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
1 hereby acknowtedge that I have read this application and state BIOg Off.
thattheinformationiscorrectandppreetocomplywithallapplicablel A?
State of Minnesota Sfatutes?en?C ?ty of Eega Ordin//anc`e?s Variance
Signature of Permitte'?y??+2??+ a"r
A Building Permit is issued to: UNIVERSAL BLDRS
all work shall be done in accordance with all applicabl State of Minrn
Building Official
FEES
_ Permit
_ Surcharge
_ Plan Reviaw
_ snqciry
_ SAC,MWCC
_ WaterCOnn.
_ WaterMeter
_ Foad Unit
_ Treatment P/
_ Parks
Copies
R3
-Rl--
it
$ 465.00
SO
7-49-50
inn np
595_(lQ
595 np
?6,-..,' ^0
_....,nt no
i8o.?0
TOTAL 42,444-00
on the express condition that
Statutes and City of Eagan Ordinances
r 10
A
This redues[ void 7 18 nwnths (rom
D 13 4 67 41r Z.
Repuest Daie Fire No. Rouph-in Inspection
y_ 9_87 Required? ?Reatly Novu}? Will NntifY Inspec-
}?Yes ?No ?or When qeatly
fai
-I I
c_..__? .,ocu.cai Cumractor 1 hereby request inspection ot above
? OWner elBChical wnrk insiallnd a
Stree[ AtlAress, Box or Route No. Ciry
770 Cougar Drive Eagan
ection o. Townshi0 Name or No. Range No, County
Dakota
Occuuem ?PpINTI Phone No
IIniversal Builders .
454-0982
Power Sapplier Atltlress
DEA Farmington, MN
Elecincel ConTracmr (Comoeny NameJ
Corrigan Electric Com
an Conhacmr's Licanse No.
p
y 039549 8
Mailing qtldress IGonvactor or Owner Maklnp Ins[ailetlon,
P.O. Box 475, Rosemount, MN 55068
A t ri ed Siqnature ICoMracmr/Owner Making Installatiun) Phone Numher
423-1131
. ••• ?+?H s'ait uuaRO OF ELECTflICITY ( \
Griggs-Midwa'y Bldg. - qoom N•191 \1
1821 lJnivarsitv Ave.. SL Vxul. MN 55104 V
Phone (612) 642-0800
inIJ irvSPECTION HEQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARO
UNLESS PROPER lNSPECTION FEE IS
ENCLOSEO.
REQUEST POR ELECTRICAL INSPECTIDN ee-oooc?oi-os
' See instr?ctio?s tor completing this lorm on beck of
yellow caov.
"X" ee/ow Work Covered by Ihis Request
Hdd Rap. Type ol Buildinp qppliancen WiraE EquiVnient WireA
Home Range Temporary Service
?uplex Water Heater Lightiny Flxtures
Apt. Building Dryer Electrie Heabn
Commercial Bitlg Fumace Sllo Unloader
indusirial 81dg. Air Conditioner 8ulk Milk Tank
FdrRI Other peci y Oihfr ISnecifyl
1 9r Spcaify Other 10 1her
l.U/flptllC 1/ISOCGLfOfl hPF tfP/nW
# Fee ServiceEnhenceSize H Fee Feeders/SubieeAers u Fa¢ Circuits
J:)L,pD 0 to ZDO qmps 0 to 30 Am s % tDC C) m 30 Am s
Above 200`qmps, 31 to 100 qntps 31 to 700 A s
Swimming Pool Above 100_Amps Above 100_AmIr
Transformers Irrigation Boorc?s PartialOther Fee
Signs Speciallnspection
?
S
xemarks
_ L??:
- TOTAL
i17 ?
Rough-in ? D
n
te
'
7 I, the E
/
/
414 InsPec[oq Irereby
Final cerLilV that tpe above
A1e
' s0eclion has been
. ?`fip maee.
T nu repuest vola ltl monms rm.
This lequest voitl 9/?2/f /?
,_,ie mootns tran.
II 98034,/,/,l
?p/,-2/G
C-'J
rire rvo. f2Houqn-in InsurcLmo
ilQC?? ?RClil?y NUW VJIII NDI1{y II15pEG-
_? es ? Na tor When Readv
^uCicensed Hectrlcal Gonhactor I hrzreby request inspection of abave
? Owner electrical work Installed at
SVeee Address, 8on nr knute No.
ci
I Crry ?J
V C?
c7 f
ectinn o. TownsM1lp Namo or Na. Pange No. C ty /?
d J1'4d XI
9?enyant IPRINTI
?t
//
0 Phone No.
i
v
?z? rJ '
?rS
Lt'
1
P wer $f pplier /
? / e 4 Address
I ?
Electrlcal Contractor (COmpany Nnma) Co vacmr"s Licanse No.
C?
Mailing Address IContractor or Owner aking Ins?alla??onl
? ?
?C V
Aut oJ,,S,,ff
ntraic Ownoe aking nstallatiun) Phone Nu
mber
(
MINNESOTA STATE BDAND OFELECTFICITY
Griggs-Midway 61tlg. - Foom N491
1821 University Ave., St. Paul, MN 55104
Phona (612) 297-2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BV THE STqTE BOAHD
UNLESS PHOPEN INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION a.mw ?es-?ofo?om_r
See inshuctioris for c°mpleting this I on hack of yellow
J
Below Work Covered by This Rec7uest
pe of euiltling Appliancas Wired E
9???Pment WireA
e Range Temporary Service
% lez
Buliding Water Hearer
Dryer Gghtin Fixtures
Beciric Heatin
mercial Blclg. Runace Silo Unloader
sinal Bldg. Alr Conditioner Bulk Milk T2nk
Fa Other Specfyl Oth?.? SUecifyl
: (SU(:f.IfY
.,,,, .,,.. 1 ^ , UIIIOf O1M1(.[
# 4ee ServiceEntrence5ize a Fee Feeders/Subteetlers p Fee Circuits
0 to 100 Am is
101 to 200 Amps 0 to 30 Am ?s
31 to 100 qmps 0 to 30 Am Ts
31 to 100 qm s
Ahove 200 Arnps A6ove 100_Amps Above 100_Ainps
TranstormRrs
Signs Remoie Control Circ.
Special Inspection Partial%Other Fee
Re? ?iks 5 TOTAL E
9ouen-Iri
Ire
C . ine Hechical
InspecWq hereby
Flnal rflfy [hat the rvbove
? spectlon has been
vade.
This requost voitl
.. / .
? .
7987 BQILDING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
ffiCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIHVEY, t SET OF ENERGY CALCULATIOHS
NOTE: ADDRESSES FOR CORNER LOYS - CONTRACTOR/HOMEOiiNER MQST DESIGAATfi WHICH ADDRESS
IS DFSIRED. NO CHANGES i1ILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSQED.
M[1LTIPLE DWELLINGS - RESIDENTIAL RENTAL OPITS I / FOR SALE UBdIYS
INCLUDE 2 SETS OF PLANS, CERTIEICATB OF SDRVSY - CEiECB WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COLMMERCI9L
ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
Y}
To Be Used For: Valuation: QXJ
Site Address7b??L?vc, OFFI
Lot 4 Block Z On Site Sewage_
MWCC System ?
Pareel/Sub On Site Well
City Water ?
Owner ) 2, J/Iu'-eA-6 Address `7
City/Zip Code
Phone
Contractor
Address
City/Zip Code ? )¢ct JA ti fY/ AA?: /7
Phone
Arch./Engr.
Address
City/Zip Code
Phone ll
APPROVALS
Assessments
Water/Sewer
Police
Fire
Planner
Council
Bldg Off
APC
Varianee
Date: -?'j
Occupaney 2,3
Zoning K. ?
Type of Const
(Aetual)
(Allowable) ?
4i of Stories
Length 38
Depth 32
S.F. Total
Footprint S.F.
FEES
Permit GS.
Surcharge 4C? ?
Plan Review
SAC, City
SAC, MWCC
Water Conn -?Water Meter (071
Road Unit 305.
Treatment P1 ?
Parks
Copies
TOTAL ?
?
13573
1987 BIIILDING PERMIT APPLICATION - CITY OF EAGAPi
SINGLE FAMZLY DWELLINGS
IPCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIiRVEY, 1 SST OF ENERGY CALCQLATIONS
NUTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOME04INEH MDST DESIGHAYS AHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSQED.
MQLTIPLfi DiiELLZNGS - RFSIDENTIAL RENTAL OPITS I/ FOR SALE DNITS ?
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECB WITH BLDG. DEPT.,
1 SE2 OF ENERGY CALCULATIONS
C0M41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
f?
To Be Used For: - Valuation: 57,(DOO Date:
Site Address ?• vUc, b40 1Ne9_ OFFICE USE ONLY E
Lot -<? Block Z
Parcel/Sub ; -
Owner (???I?y?--/?j/.ZCp ?? ?i
Address )A rpL
City/Zip Code j ?1qG Mti wj?
On Site Sewage_
rn CC System ?
Site Well
City Water ?
Occupancy ?Z 3
Zoning (2 ?
Type of Const
?
(Actaal)
(Allowable)
# of Stories
Length 38
Depth 3 Z
Phone C( Z
Contractor ?oa2N-?i2p? !d
Address 4 72,P 3,q_U,, L rz.
City/Zip Code Phone
Arch./Engr.
Address
City/Zip Code
Phone #
APPROV9LS
Assessments
Water/Sewer
Police _
Fire
Planner
Council
Bldg Off
APC
Variance
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review 232 -49;
SAC, City ?QQ.
sac, riwcc SZS.
Water Conn SZ J
Water Meter (o7
Road Unit 3 OS?
tec
Treatment P1 .
Parks
Copies
TOTAL ,2(,???
?(/7-
?
a 3R70d, °
(? x ( 0 ' ( ? ? ? ? ? = 7c) cr0 2o x 2 ? -
??x34- -
Zx (S `
4- 2 o x (2 =?cD 4 o
f( SG n ¢d-
y ?a (LI 9-
Is(!? xB
- I 4a o
,?) b ( 4-ct
.?..
ROBE
ENGINE£R1NG
COMpflNY,
? 1000 EAS7 I46tR
Nhf&ox 76, PAbE 4-
Uniiv6p5Rt BUIL0E,251
CORSULTiH6 EH61HE(9S PRouECT A/o. 22?,0(
PtANNE95 ond LAHD kl1AVEYOQS
INC. 'I
S7RE:7, Bl1AN5VILlE, YINHESOTA 5!337 PH 1=2-3000
Ce7'ZZ?Z CCLze
?? c7 .De?cr?o?icrz•
,
?
od 3$ ?
L
,
?
?
6° GD
39 m7?.
> ?,s
?Ob
?
\ \
l *? ?
?
?
LOT 4, BLOCK 2, 04KW" 14El6147-S 21V,9 ADDIT/DN,
dAKOTq CIXJN7Y, M/NNESOTA
-30' FRoNT Bv/CpiN6
SE'TBACK L /NE
Lg°_o) DENOTES EXISTlNG
ELEVATION
(906.o) pENOTES PR0 P(35EI'
\
??.
?
E LE V,qTI oNl
--w` 1NDICATES DIRECTfDN
oG SuRFACc' DRAINAiGEE
?
?l \
\
\
546.33 = FlA//Sfr`ED 64RA6E
FLOOk ELE1/AT/ON
/b)
l
3? ,o?, 32 E o
6?
03'?
92
DkA1NA6E AND I?°- R,5'?R??
UTILI7Y EASEMENT
??
(qJy'?? VJ?L?"
I heriby caMity 2hat th?ia ia a l:ue and corract
land as §hovn'and described heraon.• AQ prspared
^A't , 1987.
SGqCF : /" = 30'
rapraaentition of a traei of
by me on thia day of
*?,f }ifnn.
les. No..L6ar
Z--
'? 12I(?
, .,. -
CITY OF EAGAN
E%TERIOR ENYELOPE AYERAGE 'Uv
OIdNER:
SIiE ADDRESS:
T z;p
CONTRACiOR: DATE: . ' ? e7 PHONE: ?-o98Z
Determine vorking square footage of each:
1. Total exposed wall area ,,. Z_gV
?? 5 l sq,
i ft. x .11 = Z'?i 3,l L
2. Total roof/ceiling area ... -2 qL9'F " sq. ft, x .026
Total ezposed wall area above floor = SI
Du.TC1+E2l DuPi-M 87?
a. Total wall window area ............................ k.O
b. Total door area ................................... .
c. Total sliding glass area .......................... I
d. Total fireplace wall area .........................
e. Total wall framing area (average 10%) ............. t<SS.I?
f. Total net wall area above floor ................... , 1a1
g. Total rim joist area .............................. I(Q,(,, 0 Z
iotal exposed foundation area = "?P"
h, Total foundation vindow area ....................... -$?
1. Total net foundation area above grade .............. ??-
Determine IU' value of eaeh wall segment:
a. Ibo x 'u'
b. x ' U'
c. I(.o g gu,
d. 32 X tUl
e. x IU'
f. x OU'
B• ?t, i.oZ x 'U'
h. .? z 'U'
i. ?- x OU'
, 58 = N Z, so
.4(fl
104.-
,Ol - 2,24
, I 5 = ??,? . 7 ?
04 - le .44
3 . ................................................... Total : ?9D,o7
If item 43 is the same as or less than item f1, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area = 21 8,& -
J. Total skyllght area ............................... -00?
.... 2iZ'-?
k. Total roof/ceiling framing area (average 10%) ......
1. Total net insulated roof/ceiling area .............. igy ci,7A
4P7 S
ADO/Ori0a
OYER
IaosE
ENGINEERtNG
COMPRNY, INC.
1000 EAST I461A S7REET,
CDMSULitNO IH6INEERS
PLRHNEAS nnd lAHO ?IIFlVEV0113
eURHSVILIE, YIHNE:OTa 55337
PH 4-2-3000
C4erL';f ti'i caze Sx?T'Ye y
?e4a1 cr?p2icst:
OR??E
? e
lo'? ? ?J 64 ti0? e.
,... \\ i° ! R*3?? \ A
I.'!;00,?
.•.i''
I
;;O?O
+f ' ,
S 1
?1 b.
/
7
(a
3
b.? ob'3 °'? oPo • x
? o
?\ g? '? 66•.
a
, \C9?°' ? lf°5 ?' ?
l 1 "v v?
?
s
U)
LOT 4, BLOCK 21 04KK4'49 NEI6NTS ZNO AGD/7/or•!
DAKOTA CGCW7Y, MINNF-SOTA
?
30' FRon/T BviLD?N6
?SETBACK L /NE
?
Lq_3'o) DEIJOTES EXIS-rIPJ'.=
EIEVATION
`s/\` ?- ?9ae.o) DENOTES PP_OF'05Fr,:
ELEVAIIo?J
k. ?'?°?5?3?7
° l9°b o r? INDICATE° D?RE^_Tfn/ ?
OF SURFACc OR«ln1,16-7?
°
rb? ? =
17\ 5bb.3: = FIAIISHED EAPA447
?
?
??.
\
`q?} •.
\ / 519Z D
DP,FlINAr-E ANp . ?°- R= 5 p
UT1L17Y EASEMENT -?414
•,E55 ?
tqn5q L` ?pJa
ds-
o D7
? ?OA
?
FLOCR ECE1/AT101'
5 CI(f : I" = 90'
I}?ereby enMify thaL tAia ie a t:ue and eorrect reprzsentation of a traet of
land a¦ tho++n'and deseribed hereon.• Ae prepared by me on this Sn? day of
A'4`r , 1907.
j Hinn. Ro6. No. ?
C1TY OF EAGAN
SUBJECT: WAIVER OF PLAT - DUPLEX LOT SPLIT
APPLiCANT: KEN WASON
LOCATION: LOT 4, BLOCK 2, OAKWOOD HEIGIITS 2NI)
EXISTING ZONING: PD R-2, PLANNED DEVELOPMENT DUPLEX
DATE OF PUBLIC HEARING: SEPTEMBER 4, 1990 '
DA7'E OF REPORT: AUGUST 23, 1990
COMPILEU BY: COAIMUNITY DEVELOPMENT DEPARTMENT
APPLICATION SUMMARY: An application has been submitted by Ken Wason
requesting a Waiver of Plat for L.ot 4, Block 2, Oakwood Heights 2nd Addition. The
purpose of the Waiver of Plat is to allow individual ownership of the duplex.
Eact half of the duplex has separate utilities and meets or exceeds all setback
requirements.
If approved, this Waiver of Plat shall be subject to all applicable code requirements.
StfNt Map Zonlnq Mep
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*RYi'': PAYMh:TTT OF F. EE AT TIME OF ,
*
APPLICUION mES NOr CONSTITUTE *
APPROVAL OF PERNIIT. ?
INSPFXTZON OF SEWEI2 At+ID/a2 YARF12 *
nNSrAr.ranONS VTQZ NOT BE SCHED- ?-
UIED U[PlIL PERMIT HAS BFEN *
APPROVID. 4
- p
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: .df_ 1/. d.rr.? ?. n•••-
_ Lot Block Subdivision or T x Parcel IDv ?
IE EXffSTII`7G SIRCCli'RE. DpTE OF ORIGINAL H[.'ILDING PERMiT ISSL'ANCE: - -
?
PRFSENl ZONING/pROPOSID USE: - (Pbn Year)
Q C0,tiP"lERC2AL/REPAII./OFFICE
Q IDIDC'S2RIAI,
[I INSTITC'TIONAL/GQVII2NMENT
Q R-1 SINGLE FAMILY '
Q R-2 DC!PLEX (Twv C?nits)
R-3 ZCJWNiOL?SE (Three + Units) ( Onits)
R-4 APAR24?]T/CODIDOMINIOM ( Units)
2)
NAME=_ Tn?inso.t ?-ecava?Ajs
ADDxESS: 17s ? D s? d( ^C-X L&//r
CITY. STATE, ZIP:_'?'
?
PHONE:_ --01"4 $4.9
3) u c ?•
NAM:
i
ADDRFSS:
CITY, STATE, ZIP:_ 9?y -1 9"
PxorE: . 41S-2,-, /P 7 :z- MAszm LxcENsE# 7 7? _?zl,/
4)
Ke .. • . i?•
f1ANlE:
ADDRESS:
CITY, STAT$, ZIP:-?
PHONE:t
/6-q , D 9?z
Active
FScpired
Not recorded
staff Ilutial
•5) ?:? v i w• •?• • o???-- ?, u• v?a.
-
T[-`CONNECPION TO CITSt SEWII2 C2J?CONNDCTION TO CITY WATER E( 0''!-lER .
6) ? r r • r ? PLEASE HOLD APPROVID PERMIT FOR PICK-C?P BY ONE OF AE(JVE -
? PLEASE MAIL APPROVID PETtMIT M 1, 2, 4, ABOVE
? / . (Circ e one)
7) r ? u• • ?--?n:t_ /? ?:4? /_ _ ?? _.??
FOR CITY USE ONLY
PERMIT # ISSCED
Pd w/Bldq. Permit FEES:
$ $ ?O • 5??
?D • S7?
$ $
.
$ la ??UZ? $
SEWER PERMIT (INCLLDE SL'RCHARGE)
WATER PERMIT (INCLL'DE SL'RCHARGE) ..
WATER METER/COPPERHOTtN/OC'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOL'NT DEPOSIT - WATER
$ ? Z s o-z7 $ wAc
$ Ip Z S? d CI $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BEN°FIT/TRUNK WATER
$ A? o ?O r) $ WATER TREATMENT PLANT SURCAARGE
$ $ ' OTHER:
S ? ? ! ? • ? ? $ TOTAL
_ 73 Z G? o ??f S? ??
RECEIPT RECEIPT
DOES OTILITY CONNEC TION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PDBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIST ISSL'ED BY THE ENGINEERING
AS
CO
DITION
. .
A
[V
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY: ??? ?'E'-c.C17?o
TITLE:
DATE : t? // / Z` 7
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
^UT?': PAYMR'Nr' OF FF1? AT TIME OF
APPf.TcpazoN noFS Nar ooNSTzTUM
APPROVAL OI'' PF.RNIIT.
ir?srncizoN oF sMM Arro/ox MzM
TNsrar.ramrpN,S W'IIS, Nl7f gE sCHED--
UIkD UNTIL PII2NIIT HAS BFM
APPROVID.
P ease Print
1) PROPERTY AflDRESS:
LEGAL DESCRIPTION:
IF E7QS"1.'ING SiRL'CiL?RE, DATE OF ORIGINAL BC'ILDING PERMIT ISSL'ANCE:
(Mon Year
PRESIINf ZONING/PROPOSID LSE:
? CONI?JERCIAL/REfAIL/OFF'ICE
r7 ZAIDCTSTRIIIL
n INSTI7i*r20NAL/GOVERIZE7r
2) ?
? R-1 SINGLE FAMILY "
;2?-&-2 DL?PLEX (T4,o Units)
? R-3 TUWNHOIISE (Three + Units) ( L?nits)
Q R-4 APARTMEN'i`/CObIDUMINIDM ( Units)
ADDRESS:
CITY. STATE. 2IP:
PHONE: ?S%-?951U
3) u c a•
NAME:
ADDRFSS: (TFe.ts',1"'a a aP ? .?
CITY, STATE. ZIP: _t a5 g„ iQ?rt S_S`~/e2..?
PHONE: [{,t.? -/ 9 72- MASTER LICINSE# 77_
4) •• • i?•
NArE:
ADDRESS:
CITY, STATE, 2IP:
PHONE:
P1Urt?bers License:
Active
Expired
Not recorded
St?a f-Inittal
.5) u v i a• •?• : o • o? • a?
E1,mNrEcrioN To czTr sMM ? wrmEcriotv rno cixY wP.Tm ? arrM ?. .
_
6) '? ' • r ? PLF.nSE HOLp APPROVID PERMIT FOR PICK-UP BY ONE OF AHOVE _.....
?M'PLEd1SE MAIL APPRMFD PII21,1IT TO 1. 2,04. ABOVE
(Circle one)
7) c ?• ?? ? G
TOR CITY USE ONLY '
PERMIT # ISSUED
99/
Pd w/Bldg. Permit FEES:
$ $ lC' ' S-D SEWER PERMIT (INCLLDE SURCHARGE)
$ $ ?? •S v WATER PERMIT (INCLUDE SORCHARGE)
$ G% ?•??? $ WATER METER/COPPERHORN/ODTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /S ?CT`L) ACCOUNT DEPOSIT - SEWER
$ $ / s , Cr Zi ACCOUNT DEPOSIT - WATER
S Jl Z S? ' O C? $ WAC
S O $ SAC
$ $ TRONK WATER ASSESSMENT
$ ' $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRDNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ 7, ? v $ °3 ? • Cr Z7 TOTAL
-?-; z c n 3?
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC
ROADWAY" MUST BE ISSOED BY TAE ENGINEERING
Q
NO
DIVISION. LIST
AS A CONDITION.
SUBJECT TO THE FOL LOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: LG,?? /f 7
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: ? -C?;2 i C)D
Description of Work: (/\ Construct new freplace )&as Masonry _
Install ¢as insert onlv
Other
Job address: - /
? -
Lot: L Block: Subdivision/P.I.D. #:
Applicant (circle one only): Owner ontractor
Alterations to existing
Install gas line onlv
tS 2kd
?
Permit Fee: $60.50
Name:J,M " i' l>? rYi, n P Phooe #: 6;? -7?6 5
PROPERTI' Last First
OWNER
Street Address: ?
Ciry T State?/l? p.
Company: s?'U V? ??.rp?p?c ? / ? J?P ??' Phone #: 7 S?
(area code)
FIREPLACE /?J /
INSTALLER Street Address: 12 ? d? 1/
City 4 ,i'i95'?.A_ State:/1?-.1`-' ZiP: S
#: /:;? , l3fe(l
(area code)
GAS LINE
INSTALLER StreetAddress:9SZJ
? ? .
Ciry y?-'?ie/s 'u?` State: ?1 ?•/ Zip:
I hereby acknowledge that I have read this application and state the information is correct and agree to
' comply with all applicable State of Minnesota Statutes and Ci gan ces.
Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsUuctlon Raouirements
. 3 registered sile surveys showing sq. k. of lot, sq. ft. of house; and all ruofed areas
(20°h maximum lot coverage allowed)
• 2 copies of plan shovring beam & window sizes; poured (ound design, etc.)
• 1 sel of Eneryy Calculations
. 3 copies of Tree Preservation Plan if lol platted after 711193
• Rim Joist Detail Options selectbn sheet (bldgs wilh 3 or less units)
DATE ?2 ` -->-- - C'1Z
SITE ADDRESS
TYPE OF
APPLICANT
?
._ )-(A 1
RemodeVReoairReouirementa
. 2 copies of plan
. 1 set of Energy Calculations tor healed addNons
. 1 site survey for ecterior additions 8 tlecks
• Indicate if home served by septic system for additions
VAWATION
"S fi
MULTI-FAMILY BLDG _Y _N
_ PIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS a- I tL CITY!_. Qa?c? TATEV? AIIP ? C 1( 7
TELEPHONE # (,,S / -y51L'931 ?'CELL HONE # :2 7 S _- 5a ( Z y FAX # "{!? -( ' CS--: ? ^
PROPERTYOWNER .(` Q (n.?,/ TELEPHONE#lCgr? ?
-------------------------------------- ----------- ----------- --------------------- ---------- ---
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSOTA Ri1LES 7670 CATCGORY I n
(J submission rype) • Residential Ventllalion Category 1 Worksheet Submitted •
• Energy Envelope CalculaGons Submitted
.IUI_ 0 2 2002
Plum6ing Contractor: ___
Plumbing system includes:
Mechonical Contractor:
Mechanical systcm includes:
Sewer/Water Conhaetor:
_ Air Conditioning
Heat Recovery System
Phone #
Phone #
Pee: $70.00
----°--------------°---------°--------------------------------------------------------°-----------°------------------
I hereby acknowledge that I have read ihis application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of EagT Ordin ces.
SignatureotApplicanY????' La.
---""------- __------------ --------- - -°
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Water Softcner
Water Heater
No. of Baths
_ Phone #
[awn Sprinkler
No. of R.I. Baths