1636 Donald Ct?-y.r?t•tio-a•,.. ?se?,(T. ?]A_? GEO. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD
ADDRESS l"? yl?Q? CITY
?
OCCUPANT
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEAT
DATE HTG. INST.
GAS DESIGN
MAKE ?3d?da,najG
Model
Serial
INPUT CONTROLS
THERMOST AT Heat Plug
Valve Jll
Limit
Limit Setting
Fan Setting
Pilat Type
Pilot Make
Pilot Model - /
Piloi Timing
L.W. Cut Off
Stack Temp. Percent CO h&ln OWNER B A W
Pressure ? ?ck Percent COZ ?
Input CFH Percent OZ
MAKEOFBURNER
Model
CONVERSION
Max. BTU Rating -
MAKE OF FURNACE
Model
/ ! f
VentSize ???
KINDOF LINER SIZE NONE
Draft Hood RPgulator.
Filters Size Numbe?
Chimney Location Inside0utside
Chimney Construction ? ? -+ a a
Smoke Bom6 Wiring C"tt
Draft - Test Tag
Door Pressure Lighting lnst-ef,
Date Tested
Company Testing ?
Name of Tes* g
Form 235
c°-p,J-? GEO. SEDGWICK HTG. & AIR COND. CO.Q?
' HOUSE HEATING TEST RECORD ?}' ' a?1l ?L
AODRESS LlD-?S'( k Az? CITV-m A?. -^- «
OCCl1PANT
HEAT LOSS DATE HTG. INST.
MAKE OF BURNER _
Model
Max. BTU Rating -
MAKE OF FURNACE
SOLD BY INSTALLED BV?
Electrical Work By ? Gas Line By 9CL
TYPE OF HEAT GA_aFA? HW_STEAM_SPACE HTR._UNIT HTR._OTHER_
G S DESIGN CONVERSION
MAKE _
Model - F -
Serial ?
INPUT 510,i6i00 CONTROLS
THERMOSTAT 7 Heat Plug
Valve
Limit arnp=?1/tJ1
Limit Setting _
Fan Setting -
Pilot Type _
Pilot Make _
Pilot Model -
Pilot Tlming _
L.W. Cut Off _
Pressure Percent COZ ?
Input CFH Percent OZ
Stack Temp. Percenx CO t,a+?
Model
OWNER
Vent Size C> -
KIND OF LINER SIZE NONE
Draft Hood Rnaulator
Filters Size eChimney Location Insid Outside
Chimney Construction a'?1- -'
SmokeBomb Wiring TV','
Draft Test 7ag 52X
Door Pressure lighting Inst. C(?JC
Date Tested
Company Testing
-
Name of Test ti euv" C
7
I
Form 235
• ? CtTY OF EAGAN
9795 Pilot Knob Roud Eagan, MN 55122 N2 5447
PHONEi 454-6100
A
? ?
BUILDING PERMIT APPLICATION
$38
000 Receipt # °
?
-
.
, -
To ba used fo. DuPlex Est. Volue p0fe Oct. 5 79 79
Site Address 1636 Donald Ct. Erecr ?x R3
Occupancy
Lot 12 Block 1 Sec/Sub. Cemeton Ct. Alter ? .
Zoning ?Z
Pamal # LO 16300 120 OL Repalr ? Fire Zone 3
E
l T
f C
t
V
n
arge ? ype o
ons
.
rc Name Cameron Dev. /„b„e p # SroNes
; Addres: 715 Raymond Ave. Demolisb ? Front 24 fr.
o C. St. Paul Phone 646-8643 Grode ? pepth 40 R.
? Nome AVOrurclt _Fees
0
?? Addreu
Name _
Address
I hereby ackrwwledge thot I have read this applicetion ond state that
the informotion is correct and o9ree to comply with oll applicable
$tata of Minnesoto Statutes and City of Eagan Ordinances.
Assessment -
Water & Sew.
Palice _
Fire
Eng.
Planner _
Council -
Bidg. Off. _
APC
Permit iiv.av
Surthar9J9. 00
Plan check 55.25
SAC 525.00
Water Conn. 270.00
Woter Meter 60.00
Rd Unit 75.00
rorul 1114.75
Signoture of Permittee I
A Buildin Permit is issued to: C@meTOn e. on the e
9 xpress condition that
all xrork shell be done in acmrda e/-? ith oll` icq e State-s inne o Stotutes and City of Eagan Ordirronces.
Buildieg Offitial +?f-(:?-'?2 "'
cirr oF Ee,c,AN
` 3793 Piloe Knob Read Eagoe, MN 55122 N2 5448
PHON[: 454-8100
3
000
BUILDING P 8.
ERMIT APPLICATION $ Recefpt #
To be umd for Duplex Est. Value pme OCt. 5 19 79
Stte Address 1638 Donald G*- E??t [I x ?upancY R3
Lot 11 glak 1 Sec/Sub. Cameron Ct. Aiter ? Zoning RZ
Porcel # 10 16300 110 01 Repair ? Fire Zorre 3
T
f C
V
Enlarge Q ype o
onst.
c Name Cameron Dev. Move ? # Stories
z I
Address 715 Raymond Ave, pen,ol;sl, p Fmnt 24 fr.
St. Paul
646-8643 Grode ? pepryh fr.
Ci Phone
? ti?Te ApProvals Feea_
?
O
V?
Address
Name
I hereby acknowledge that I have read this opplication and stote that
the information is correct and agree to comply with aIl applicable
State of MinnewM Statutes end City of Eagan Ordirwnces.
Assessment
Water 8 Sew. ,
Police
Fire
Fn9.
Planner
Council
Bidg. Off.
APC
Permit ++v. iv
Surcharge 19.00
Plan check 55.25
sAC 525.00
Wcter Conn. 270,00
WaterMeter 60,00
Rd Unit 75.00
Totol 1114.75
Signature of Permittee I
A Buildin Permit is issued ro• Cet¢eTOn Dev. on the e
g xpress mndition that
all work shall be done in cccord with oll appli_.,b?le ?State of Minnesoln Statutes and City of Eagon Ordirwnces.
Buildirg Official '% ? "? C?i-?%Gi??
,.
.?
CITY OF EAC'?FvN
BUILDING PERNIIT A
Zb Be Used For IJe s Valuation
Site Pddress: &J6,21ri.ol? W?
Lot / 2- Block ? Sec./Sub.?
Parcel #: JD /G_-?DO /An n /
QWI]PS:
Pddress:
City/Zip Code:
Phone #:
Contractor•
Address:
City/Zip Code-
P1wne # : G y?- 610 ?l3
Arch-/En9.:
Address:
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
=' C Date
OFFICE USE ODII.Y
Erect -7c_ Occupanc,y
Alter Zoning ?
Repair Fire Zorbe 3
EILldreJ2 _ 7.'Yj72 OP COIISt.
Nbve # Stories
Deimlish Front ? y ft.
Grade Depth y? ft.
APPROVAIS FEES
Assessments Perntit
Water/Sewer Surcharge =
Police Plan Check
Fire SAC
Enq, Water Conn. o( 70
planner Water Meter loo ?O
Council Rnad Unit
Bldg. Off. ?-
AFC
City/Zip Code:
Phone #: TWAL
CITY OF EAGAN ?? Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
4b Be Used For 4 Valuation ?-? &0 0 0 ? Date
Site Pddress /4?3 Q z2enoev- dpo?
Iot _,&L Block Sec./Sub.6LWatr-?
Parcei # :
Address:
City/Zip Code:
Phone #:
Contractor-
Address:
City/Zip Code:
Phone # : S/6 - ?'6 Y3
Arch. /EYtg. .
Address:
City/Zip Code:
Phone #:
OFFICE USE ONLY
Erect X' Occupancy 41,4
Alter Zonirig /(J 2
Repair Fire Zone
Fnlarge Type of Const.
Move # Stories
Danolish Front ft.
Grade Depth ft.
APPROVALS F'EES
AssessRnents , as Perntit
Water/Sewer /Surcharge
Police Plan Check SS ?
Fire SPG SaS ?
Eng. Water Conn. a ?
Planner Water Meter
Council Road Unit ?zv-
Bldg. Off.
APC . TCl'PAL
INSYECTIUN RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: P' I' N' Lo r 0
1636 DONALD CT
CAMERON CT
PERMIT SUBTYPE:
tlECK
BUILDING
026078
07/24/95
300-120-01 APPLICANT:
12 BLOCK: 1
ADELMANN-KROTTER KATHLEEN
(612) 454-3913
TYPE OF WORK:
NEW
F
This request void 18 months from 17-::
TG q
#- ,
Da4e of this Request Ja n. 2, 1980 s 23017
I, as ? Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri•
cal wiring installed at:
•?/? ,?' .q? vl..?a
Street Address or Route No. 1636 & 1638 Dona i d fourt City[Eagan
Section Township Range County Dakota
Which is occupied by Cameron Develoament
(Name oi Occupant)
Is a roughin inspection required on this job? No ? Yes Ready Now ? Will Call C?
3000 Maxwell Rd.
PowerSupplier idSP/ P.ed Rock Address Newport P4n. SSOSS
Electrical Contractor , Contractor's License No.p?.?Q49
( ompanY Name)
MailingAddress 2050 ldhite Bear Ave. St. Paul, P4n. 55109
Authorized Signature
ectrical Contractor or own
CJ LJ M L/DW111iD COPY
Phone No. 777_8136
This inspection request will not be accepted by the
State Baard unless proper inspection fee is endosad.
-,, Minnesota State Board of Electricity
I.. 195f,Univeroity Ave., St. Paul, Minn. 55104-Phone 645-7703
- REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
/ 734R
S ?w7
Type of Building New Add. Rep. Check Appliances Wired Fm Check Fquipmrnt Wired Fo:
Home ? ? ? Range ICI Temporary Wiring ?
Dupiex El ? ? Watex Heatec ? Lighting Fixwres Q
Apt. Bldg. ? ? ? Dryec 91 Elec[ric Hea[ing ?
Commercial Bldg. ? ? ? Fumace Q Silo Unloader ?
lndustrial Btdg. ? 0 ? Au Conditioner ? Bulk Milk Tank ?
List List
O her ? ? ? Rereers? Hehers?
COMPUTE INSPECTION FEE BELOW -
Senice 6ntiance Size: x Fee 1 1 Feeders&Subieeders: a Fee Circuits: it Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 1 131 to 100 Amperes 31 [0 100 Am eres
Above 200 Amps. Above 100 Ampa
1 Above 100 Amps.
Transformers 1 RemoceControlCirc
. H
Pactialorothufee
Signs 1 1 Special lnspection Minimum fee $5
Remarks unfinished basement r e
allF
TOTA
LF : O
I, the Electrical Inspectoi, hereby certify
(Final)
This request void
eeenm? -
e
16/023/50
•? C'9?iy
9 32279
ReQUest Date
?'- ? 6
- Fire No, ough-in Inspec[ian
1equiretl? .
Reaay Now ? Will Notify Inspecbr
Wh
F
tl
?
? ? Yes o Bn
ea
y
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Atltlress (SVeet. Box or Rome NoJ
? 3E3 Q?-,? f Clry
Saction No. Township Name or No. Range No. County
C:???/V
Occnpant(PRINT) Ppone No.
Power SuOPlier ? AtlOress
Electncal Contractor ICOmpany N e) ConVactor5 License No.
Mailing Aatlress (COnhactor or Owoar Mekln Instellation)
ZV as t!-:
AN?orizeG 5 ature Vacton r Ma -n sial tion) PM1One Numper
MINNESOTA STATE BOAPO OF fCECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bldg. - Poom $1l3 BE FCGEPTED 6V THE STATE BOARO
1811 Unlversity Ave.. St. Paul, MN 55106 UNLESS PPOPER INSPECTION FEE IS
Ptwne (812) 643-0800 ENCLOSEO.
's`/?3/sv
8 32279
REQUEST FOR ELF,? TRICAL INSPECTION
? See'msimctions faeompleting this lortn on Dack ot yellow copy,
"X" Below Work Covere?l*y This Request
Ea-00001-07
(2s?l"I
e Add Rep. Type of Building AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Builtling Dryer Other (Speciry)
Comm.llndushiai Furnace
? Farm Air Conditioner
.LONer (specily) ConUaclor's FemaBS' r?S /s. ?-E e?'? ? Q y 6pek-
p"o "tn'4'/'-
Corqpute Inspectian Fee Below:
# Other Fee p ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
hansformers Above 200 _ Amps Abov Amps
Sig05 Inspecbr's Use Only:
V
Irrigation Booms / J
Special Inspection
niarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Othar Fee COMPLETED WITHIN 18 MONTHS.
I, Ihe Elecirical Inspector, hereby Rough-in oa?e
certify that the above inspection has
been made. F,oai oa?
OFFICE USE ONLY
This reQUesl voitl 18 manths Irom
M
CITY OF EAGAN Remarks
Addition C.AMERON CG1LiRT Lot 12 eik 3. Parcel 10.0 1630.0 ?1 - 20 01
Owner ' Street 1636 D nald Court State Eagan - MN. 55121
'' •.•) `lrrY???,: rtlrr? ?l^ 1,1i-, ? ?
.?
Improvement
Date
Amount
Annual
Years
Payment
Receipt
Date
STREET SUR F.
STR E ET R ESTO R. ., 26.57 A009015 4/16/80
GRADING
ST
SAN SEW TRUNK 1974 26.92 1.12 24 15.35 A009415 4 1 80
* SEWERLATERAL ? 1974 142-49 11-99 12 SS SJ A009015 4/16/80
** S ra /e2 9 1974 -3-58 - 09 18,84 19 119.39 A009015 4 1 8
** wATERgpMIN Lat /I 1974 12
* WA7ER LATERAL ? 1974 19
WATER AREA
** Storm Lat .2 1974 19
* STORM SEW TRK 1,fy 1974 IZ
?roRnn sEw*#,f Trk J-VJ 1974 2.51 14
URB & G TER .
SIDEWALK
STREET LIGHT
R
WATER CONN.
BUILDING PER,
sac 525,00 7 1075/79
PARK
CITY OF EAGAN Remarks
Addition C-qMERf1N COl1RT Lot I I eik 1- Parcel 9336300 110 01
owner streec 1638 Donal d('ourt state Eagan, NIN_ 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR..g.. : 26.57 A009014 5/16/80
GRADING
0;
5AN SEW TRUNK • 15.35 A009014 5/16/80
SEWERLATERAL 8$.$3 A009014 5/16/80
q 119.39 A009014 5/16/80
** WATER d
* WATER LATERAL 1,2 9
WATER AREA
* * .2 . 1974
* STORM SEW TRK y
TORM SEW#.#f
SO c
CIJRB & GU ER
' SIDEWALK
STREET LIGHT
WATER CONN. 270-00
BUILOING PER.
SAC ?t
PARK
. ,?
? CASH RECEIPT -
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNE50TA 55122
DATE 19
l
R6CEIVEO FROM
AMpUNT $ ? \--
?
?_ :
& DOLLAR$
too
? CASH ? CHECK
PORJ
? 1 \•? \ -'-'l X.
FUND --T -
CODE ?AMOUNT
/ ? ! I L
--- - ---
? ?
Thank You
?
/ ' ?•
r f? ? . v
-- _% -7?
BY _
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
000-1 CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 '
QATE 19
RECtIV6D
FROM
AMOUNT ? ? -
$ DOLLARS
t00
? GASH ? CHECK
FOR
r ???i+c?;. . `-E'="1yL??
Y'
FUND CODfi f AMOUNT
__."
•-'-"-- _
r
--?-- '- -
?
--
-
r.
Thank You ?,-?-
aY
1Nhite-Payers Copy
Yellow-Posting CopY
Pink-File Copy
? CITY OF EAGAN
• • y ?.. ?
3795 Pilot Knob Rood Eagoe, MN 55122 N2 5448
? PHONE: 454-8100
BUILDING PERMIT Recetpt #
To be uted for Est. Value Date , 19
Site Address Erect ? dccupancy
Lot Block Sec/Sub. Alter ? Zoning
parcel # Repair ? Fire Zone
oe Name
W
Z+y Address ?
o
? Nome _
,o
?? Address
F' C'ih.
Name
Enlurge Q Type of Const.
Move ? # Stories
demolish ? Front ft.
Grade ? Depth ft.
Approve Is Fees
Assessment
Water & Sew.
Police -
Fire
Eng. _
<r" ? City Phone Planner _
Council _
I hereby ccknowledge that I hove read this application ond state that Bldg. Off.
the information is correct and agree to comply with all applicable ApC -
Stote of Minnesota Statutes and City of Eagan Ordinances.
Permit _
Surcharge
Plan check
SAC
Water Conn.
Woter Meter
Totcl
Signoture of Permittee I
A Building Permit is issued to: on the express condition thot
all work shall be done in ocrnrdance wifh all opplicable State of Minnesota Statutes and City of Eagun Ordincnces.
Building Official
Pwmit # Oah Iswad PwmINN
Plumbing
Mechanical
T
INSPECTIONS DATE INSP.
Rouqh-In
Finai
Footings Date Irsp. Date Insp.
Foundation Plumbing -3-vU
Frome/ins. Mechonicol
Finai
Remarks:
.? -?Q ?
CITY OF EAGAN
3795 Ppat Knob Road Eagaw, MN 55122
? PHONE: 45"100
BUILDING PERMIT Receipt #
Te ba und for Est. Value Date , 19
Site Address ErecT 0 Octuponcy,
Lot Block Sec/Sub. `Alter ? Zoning
Porcel # . Repoir ? Fire Zone
Enlarge ? Type of C.onst.
19 W Name
Z Address • Ave.
o - 46-8643
o Nome
Addre
r:..,
Name _
Address
/(,
N2 5447
Move ? # Stories
Demolish p Front ft.
Grode p Depth ft.
Aparovals Fees
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner
Council
I hereby ocknowledge thot I have reod this application and state thct gldg. Off.
the information is correct and agree to camply with all opplicoble ApC -
Stote of Minnesota Statutes und City of Eagun Ordinonces.
Permit
Surcharge
Plan cfieck
SAC
Water Conn.
Woter Meter
Tota? '
Signoture of Permittee I
A Building Permit is issued to: on the express condition that
oll work shall be done in accordnnce with all applicable State of Minnesoto Stotutes ond Ciry of Eagan Ordinances.
? Building Officiol
POwk # DaM haed PWMtltN
Plumbing
Mechonical j /PG, ?? l ? O ' ? ?? /' ? ?
-????_, ? / ,`?,'
, ?
,
INSPECTIONS DATE INSP.
Rauplrln
Fincl
Footings Date Insp, Date I?ap.
Foundation Plumbing
Frome/ins. Mechanical
Final
i
!
Remorks: "" "" "Zs
ir- _
W? 1'`
`??
,?_1-f -?U
?
?
,,... •
??:.. . _ J:i
? • ' t. +?
. .
?R REQuIT?.z
PERMIT
Date:
Site Address:
Lot
1638 Dcnald et.
Block Sub/5ec.
Ceieeron Ct.
No 1f??5
.
, .?,22?,
?r
Receipt No.:
Single ?
Residential
Multi Res., Comm./Ind. I
::8m@2'am Da7.
Name olr New
New/Alter
/Re
.
p
- 'i 1fi Ravmond Ave.
3 Address Cost of Instollotion
?
t.nRii' , V.N
City Phone: Permif Fee ` n• ?U
"@dgwiGY] H'tE & ,AC
Name Surchurge
Q.
g Address
,
e
City Phone: Total
This Permit is issued on the express condition that oll work sholl be done in occordance with all applicable State of
Minnesota Stotutes ond City of Eagan Ordinances.
CITY OF EAGAN
3795 Pilot Knob Read
Eogan, Minnesota 55122
Phone: 454-8100
Building pfficial
• ' ' ' . ,
..
'' 'T AT
Date: 12/20/7-?
1636 Doaala conrt
Site /lddress:
1
Lot Block Sub/Sec.
Cameron Ct,
1:i;.Ti1P_2'Grl DeD'.
Name
.
; Address
? -t, . ?'aulk 3
City Phone:
t:@O. Seclprr3.C.h '7tg & AC
Name
r
? Address
Ciry Phone:
This Permit is issued on the express condition that all work shall be
Minnesoto $tatutes ond City of Eagan Ordinonces.
cinr oF E?GAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
P6one: 434.8100
PERMIT
No. 1664
".
Receipt No.: ^2
-- `?
Single ?
Residential
Multi Res., Comm./Ind. I
New /Alter./ Repoir Cost of Instollation
Permit Fee `
Currknma ' 5cl
Totol ,
done in accordonce with oll applicable State of
Building Officipl
' - cirY oF EAGAN
3795 Pilot Knob Rood
• Eogan, Minmsoto 55122
Plwna: 454-8100
PLL)'.f iNt";
_ PERMIT
No.
- - r-,4
Dote: Receipt No.:
Single I „
Site Address: l ; , i %0n`:1!?
Residential
Lot ? 81ock , Sub/Sec. Multi Res., Comm./Ind. I
Neme
oir
N
/Alter
/Re
.
p
ew
.
'?? Raymond !',v`_
? Address .
Cost of Installation
_
S ±
- ^,-, ' ^
City ,
Phone: Permit Fee
.
. n.IlOffl118I1 p?
?I?' r. ?
Name .
' Surchorge
`
? Addreu '4 Sextri-'1+
? -
.
, „ - . ,
-•
Cit ?
?
. ,,
-, P
y hone: Total
This Permit
Mfnnesota St is issued on the express condition that nll work shall be
atutes and City of Eagan Ordinonces. done in accordance with oll applicuble Stute of
1577
Building Official
, , : • cirY oF EAcaN
' 3795 Pilot Knob Rood
' Eagan, Minnnota 55122
Phone: 454-8100
_ PERhAIT
Date: 1-2/14/"`
Site Address: t
Lot Block ? Sub/Sec. _ ? '-•"`?-''?'?
NGme CamP_ TOri DE' V .
? Address
City Paul, Phone:
.
Name P.C. ? Address 804 W. SGxtB-nt
c
tg
City Phone:
This Permit is issued on the express condition thot all work sholl be
Minnesota Statutes and City of Eagan Ordinances.
No
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
NewlAlter./Repair. Cost of Installotion
Pertnit Fee
Surchorge
Tota I
done in accordante with all opplicable Stote of
Building Official
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: 101
i . ;?? ?ilarol !? ; I
I PERMIT SUBTYPE:
?, t . .
INSPECTION RECURD
PERAAIT TYPE:
Permit Number:
Date Issued:
Al APPLICANT:
TYPE OF V110RK:
l+! 71i: ft I I' i 11:+N
f,„I i I;?n???
H:'414!
0 9 /lc) 19 4
??
1. , t ?{ I tf ? ?
f Iit (.i i
INSPECTION ., • .A
Permit No. Permit Hotder Date Telephone #
S/W
PLUMBING
4iVAC
ELECTRIC
ELECTRIC
Inapectlon Date Inap. Commerrta
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Flreplace
Finai Htg.
Orsat Test
Final Pibg. Plhg. Inspector- Notify Plum6er
Const. Meter
Engr./Plan
Bldg. Final
!N
? Deckof
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
I SITE ADDRESS:
.. llrF11i.s1i i? r 1
I r?htl r??1't I itllf: I
APPLICANT:
l.'! 1 ,?iH - 2 /b"1. ?
i PERMIT SUBTYPE: TYPE OF WORK:
1 r!i i.i
INSPECTION .• . .A
?
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
kiilli lt Ihlli
«.y -16 i ;
1 0 /Nr;ls+q
_J
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Dste Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Ul
L -
.,"`
Deck Final 7 ? /
Weil
Pr. Disp.
INSPECTION RECnRD
CITY OF EAGAN PERMIT TYPE: A" +??? 3830 Pilot Knob Road Permit Number: +' .'+? H%H
Eagan, Minnesota 55122-1897 Date Issued: ?? ?!•' 4! 96
I (612) 681-4675 J
SITE ADDRESS: APPLICANT:
I A wit a( 0 N 1 i iZ ) 4 ?.) n c-a i c
PERMIT SUBTYPE: TYPE OF WORK:
NA 4
Permit No. Permit Holdar Data Telephone t
ELECTRIC
PLUMBING
HVAC
Inspection Dab insp. Comments
FOOTIN(3S
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL ?
Eagen, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
5ite Address: `r.•: -,?.,,,?
Plumber: -
Meter No.: - Connection Charge:
Size: Account Deposit:
Reoder No.: Permit Fee:
I ogree to eomplp with the Citr of Eagan Surcharge:
Ordinonees. Misc. Charges:
Totol:
By Date Paid:
.... Y o,;EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
3795 Pilot Knob Rond PERMIT NO.: '` r'
Eegan, MN 55122 RATE: r?
Zorting: No. of Units:
Owner:
Address:
Site Address: Plumber. -
1 agree ro eomply wirh fhe Ci4y of Eagan
Ordinances.
By
Date of Insp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surchnrge:
Misc. Charges:
Totaf :
cirr oF EAcAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagaa, MN 55122 DATE:
Zoning: - No. of Units:
Owner:
Address:
Site Address:. _ - ?; •
Plumber.
Meter No.: Connection Charge:
Size: Account Deposit:
Reoder No.: Permit Fee:
1 agree to comply wifh Fhe City of Eogan Surcharge:
Qrdinanees. Misc. Chorges:
Total:
BY Dote Paid:
Date of I nsp.: _ InSp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMiT NO.:
Eogan, MN 55122 DATE:
Zoning: No. of Units: '
Owner: . . .
Address:
Site Address •'=? ? d Gn?iTt ` _'. ' - .- =' ?.
Piumber: -
I agree to aomply wkl+ Fhe City of Eogon Connection Charge: `-' •?
Ordinaneea. Account Deposit: -
Permit Fee:
Surcharge:
By Misc. CFwrges:
Dote of Insp
: Totai:
.
I nsp
: Dote Pald:
.
EXTEF;IOR EIiVELG?E AVERAGE U, COM?UTFtTiQ;i .
. ?. • " •
??,•
O;f.i=R
. SITE ADDRESS . New orleans '--- -_- _ _ _
CO+zTR.1C70R _ UATc
. p2tersiine %•;orking square foo4age o` each.
1. 7ota1 exposed wall area ._.. . 2684 sq. 'Ft. x:17_ 4_567V
2. 7ota1 roofJceiling,area ...... 1960 ' S4- ft. x•b? _98.
• . . • ' . ?.
• ' : i'atal 1952
exposed wall area above floor = • •
- •
• - a. Total i-tal'I window i area....... _.... .....' ... 110.8 • . _ .
•
.---?-?---
b, To?zT door area -••- -•---I ......................
c. 7oto7 sliding glass dcor area ...................
. d. Total firep;zce wall ar2a................. -..... e •
' e. Tota7 viail Traning area (average 10?) ...::...:.__'
195. ••,
.
' f. Total net wall area above `]oor .....__......__: i7 7.
. r`.
'
. g, Total rinjoist area ...:........................ _ • _
. . . .
. •''jotal-ezposed foundation a;ea = 488 , .
'
h.7ota1 faundation rrindow area.......... .:... 60:4
5., Toa7 ne-L foundation area a6cv2 grade ......'.:::_: M.
'. • '
' • ?: Framed Insulated WaR • 283.6` .
. ; Aeteni ne "U" val ue cf eath trall seg.,ert. ' •' . .. •
?t ; . • a. 110.8 X "i!° .55 ? 60.94
,
:; . b76. X "Ul, .13 9.88
.
• C. M. .55 46.20 '
..
..
•
' ;
.. . . . '.
ITtI , e ? _ e
'.
d. . B . x T?'
' .
• E, - 195. x nUn • ,096 . C 18.72 ' , .
. • f. 1757. x nLi;, .058 F .ioa.91 .„
g. 244. XpUn .05 = 12.20
.-?
.
h. 60.4 X hU« ,55 ? 33.22
'i. 11t1a. X °U'; ' ,19 = 27.36 - '
• """"_'- '_"t_
283.6 .058 - ,16.45 _ s .
. : .
.w..............a.... 1oLal 326.130 . .
„ .
.If . . .. . .
ite-i €3 is tne sam= es, or less tnan itz-m €i, you have rat the i
intent
o+ SSC 6005(c)2. . ? . • •
„
', . A .Jew Orleans Cont.
?. . .
ti
Total exposed roof/ceiling area = 1960
j. Total skylight area....................... e
k. Total roo£/ceiling framing z.rea (average 10050)... 196
1. Total net insulated roof/ceiling areu.......... 1764.
Determine "U" value for each roof/ceiling segment#
8 X ujJle
i •
k, 196. X "U"
1. 1764 xilUn
? = A
.163 = 3t.9q
.03 = 52.92
4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tota.1 = 1 84.7------?
Tf Total of ;74 is the seme as, or less than #g, you have net the
intent of 5BC 5006(c)l.
Alternwte Building Envelope Design
To utilize the totay envelope system r?et.hod, tne values es-
tablished by the sum of itens ,',`3 and #4 shall not be greater than
the sum of itEms -#I and -hr2.
1. + 2. _
3. + 4.
-35? CITY OF EAGAN
3810 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-16300-120-01
DESCRIPTION:
PERMIT
1636 DQNALD CT
LOT: 12 BLOCK: 1
CAMERON CT
8 trilding'.F,ermit Type
6rrlldi?ngW2`s'?rk Type
_ ,.
i
\
`
.,C.,%'....., _.Y ..
PERMIT TYPE:
Permit Number:
Date Issued:
DECK
NEW
mol 14
BUILDING
026078
07/24/95
V
°
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
7ota1 Fee $30.50
CONTRACTOR: OWNER: - n p p 1 i c a n t-
ADELMANN-KROTTER KATHLEEN
1636 DONALD C7
EAGAN MPJ
(612)454-3913
I .. . .. .. .. . . . .. . ,... _. . . _ .. .. , .. .... . .
I hereby acknowled'ge that T have read this applzcatSon and state thaC the
informatiian is correct and agree to comply WiCh a12 appliceble State of Mn.
Statutes and Gity of Eagan Ordinances.
? APPLIC TIPER ITEE SIGNA? (-fSSIY BY:Ir PTURE ?I k-
J
CITY OF EAGAN
? b 0?? 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodeVRenair Reauiremenfs
? 3 registeied site wrvaY$ ? 2 copies ot plan
? 2 copiea of plans (indutle beam 8 wfndow saes; poured fid, design; etcJ ? 4 site surveys (exterfor additions & dedcs)
? 1 energY celc+l"ong ? 7 energy alwlalions for healed additions
? 3 wpias ot free Pbsa+vefion plen if bi pletted after 711193
required: _ Yes _ No
onTE: `/- 19 -95 CONSTRUCTION COST? 10dv. Uo
DESCRIPTION OF WORK: &O-c.l -R X f Aa-2r, wuo ct ,,., V-,,6,j s,z- ,
o rw?d C_.?
STIjEET ADDRESS: 0
` T ? BLOCK SUBD./P.I.D. C?T
PROPERTY Name:_Y 1rkx-\.,,?,.,, -t?-bV\Je.- VV:4W`-'e„ Phone#: y"-39L3
OYYNER ?* M•*
Street Address- (4 r,??d ?--"r
City: State: hQ Zip: 5S l? ?
CONTRACTOR / Company: Phone #:
Street Address: License #:
ARCHITECT!
ENGINEER
State:
State:
Street Address•
City:
Sewer & water licensed plumber.
change are requested once pemrit is issued.
Zip.
Phone #•
Registration #,
Zip:
Penalty applies when address change and lot
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 Appliqnt:
OFPICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
City:
Company:
? Name:
_ Yes _ No
_ Yes _ No
m1995
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling a 07 4plex o 12 Multi RepaidRem. ? 17 Swim Pool
o 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Pubtic Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex )( 15 Deck
WORk TYPE
0 31 New o 33 Afterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft,
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Buiiding
Engineering
MCiWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
Pertnit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Treils Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
i-c
?O
N?
0I - -
^. _
? hl
r d3?.lY da'9
wb-''d,
?7 p SSd? ??y?1-? IvOISS
ol??
r3?$ sdN
o ?-
is
..,r 13 3y-dcrlS ? /
C13 Si
J:'b1,&l1L
0"vn.o0 9o,
?1 auoa? Obey?,?
,
;
e'
i '
i
,
- - - - - - - --'
?
L33?<S
CAIVIERON COIJRI'-SPRIRiG WALK 'I'HRiJ
1631/1633 Needs a new roof.
1639 Repair Garage door trim and remove cable from roof and
side.
1643 Deck railing missing. llown spout smashed.
1645 Dog defecation.
1649 Oil on Driveway.
1651 Oil on Driveway.
1661 Dog defecation - grass needs to be replaced.
1656 Oil on Driveway. Rocks on garage roof.
1654 Garage door panel needs to be replaced. Paint trim on new
doors and replace dead tree.
1650 Dog defecation - grass needs to replaced. Hole dug by dog
needs to be filled. Window screen missing. Door entry light
broken.
1644 Rotten siding.
? I"
1640 Rotten siding and entry door side window.
1636 Rotten deck and siding under declc. ?
1632 Open light sockets on back of house. Repair grass.
1634 Open Light sockets on back of house. Paint trim.
UNAPPROVED CAMF.RON COURT ftOA BOARD MINUTES MAY 6, 1995
MEMBERS PRESENI': JI^1 BENSON, ALPCE BENSON, STUART
FARr'SWORTH, AND GORDY FIF.NI)REN.
MEMBER ABSENT: DOROTHY IDSO.
OTHERS PRESENT: CONNIr HOCASFRUNG.
CALL TO ORDTiR: 9:00 AM BY PRESIDT'NT, JIM IILtiSQN.
DIRECTOR REPLACEML'NT: FiOTION (ALYCE, SHCONDED GORDY)
TO APPOINT DORO'CHY IDSO TO FILL DWAYNF'S TI:RM. APPROV£D
AGENDA: MOTION (GORDT, SiiCONDED STU) TO APPROVE
AGENDA AS SUBMSTTED. APPROVED
MZNU'I'ES: MOTiON (S'1'U, SECJNDED uORDe), TO APPROVE THr. APRIL
8, 1995 BOARD MINUTES dS PRINTED. APPI20VED
rINANCLAI.: MOTION (AL.YCE, SECONDED STLJ), TO APPROVE THE
APRIL FINANCIAL AND RECONCILF.D BANIL STATEMENTS AVD RETLJRNED
CHrCKS. APPROVED CiiANGti MARQUETTE TO FIRST T3ANK PAGE 5& 7.
DELINQUENCIES:
1660 THIRY, $555 DOUG PROCLEDING.
MOTION (GORDY, ALYCE SECOVDED) TO TURN 9LT. ACCGUNTS OVER TO
LEGAL JU\iE 1, 1995 TRAT ARE 60 ll9YS DCLINQUrNT t_ND NOT IN
MONITOR. APPROVFI)
BILLS TO PAY: P1ONTHLP
A. QtJALITI' WAS'TE 221.52 MOiVTHLY
A. CONNIE S. FIOCf15FRUNG/CGT 1.TD 704 MONTHLT
C. TODD HOCHSPRUNG, S'I'REET SWEEPING, 125
MOTION (ALYCE, SECONDED STU) TO PAY ABOVE BII.LS 3ND CO-SIGN
CHECKS. APPROVED
ARCHITECTORAL CONTROL: 1636 REMOVE ROTTED DECK..
BUSTNESS FROM THE FLOOR: NONE
OTHER BUSINESS: PET I20PES/LEASHBS DISCUSSEll.
CORRESPONDENCE: NONE
ANN[JAL METTING: TENTATIVF D3TE SATURDAY, JUNE 177'Ff. Ok 24T11.
YENDING AVAILn13IL.I'I'Y UF LIliRAiY. CONNIE CALL L.IBFiARI' l:i'I'}I.
WALK TIIRU: 7.631-33 NEEDS NEW ROOF, 1634/36 TRIM NETllS PAINT,
1650 DOUG FINE $25 I..ETTER TO FILL f10LE DOG DUG AND REPLACE
SOD DOG RUINF.D, RG:PL,ICE MISSING SCRi:EN ANTD DOQk F.N`CRY L.I['rA'l'
BROKE AND HAS I3IRD NES'f IN IT REPAIR. 1661 $25 DOG FINti,
RESOD AREA DEAll FROM DOG, 1645 $25 DQG PINE CLT:AN UP DOG
DEFECATION, 1632 LF.TTEI2 TO REPLACE GRASS Ti1LLED BY KIDS BhI.L
PLAYING, AND OIJNER IJILL BE CHARGED 47ITIi DAMAGH Cr1USED BY RIDS
CLIMB7NG ON FF..NCE. YOLIGE TO FE NOTIFTED.
NEXT MEETING DATE: SA'fURDAY, JUIVE 3, 1995, 9AM :1T CON,IIE'S.
ALL PiCMBEHS WELCOMTD, CALL CONNIE FOR DIR.EC`fIONS.
ADJOURNMENT: MF.FTIh'G 4D,70URNED A7' 9:37 AM, STiI/GORDY.
RESPECTFULLY SUBMITTED,
ALYCE BENSON, ST'CRE'TARY
REMINDF._R_ NO TETIIERTNG OF PETS TO GROtiNDS OR 13UII_UINGS.
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Bu x Lo z N G
Eagan, Minnesota 55123 Permit Number: 0 2 4 5 4 7
(612) 681-4675 Date Issued: 0 9/ 16 / 9 4
SITE ADDRESS:
1638 DONALD CT
L07: 11 BLOCK: 1
CAMERON COURT
P.I.N.: 10-16300-110-01
DESCRIPTION:
? (DECK)
131jilding-Permit Type SF (MISC.)
Building War_k Type REPAIR
/ -
?
? ,`-
r
,?t 7
1^?1 /'? )))///
`. Lf Ll?
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$15.00
$.50
$15.50
$500
GONTRACTOR:
?
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and Cit of Eagan Ordinances.
?
APPLICAN /PERMITEE SI E
OWNER: -
ANDERStlN
1638 DQ
EAGAN
(612)688-2752
Applicant -
ERIC
NALD C7
MN 55121
applzcation and state that the
with all applicable State of Mn.
?
_:8lk.iA'&vA I Yh?
SSUED BY: GNATI1 1RE -I
-
104, CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural 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) lot change is requested once permit
is issued.
Date 0 2 / /-3 / ?q4? Valuation of work ? 30 O
Site Address: /K3Q' ,C)o„a /a) 1??
STREET SUITE #
Tenant Name: (commerc9al only)
LOT SLOCK / SUBD.
C P.I.D. #
_ QM
Descri tion of work:/yl,' G, a
The applicant is: MOwner ? Contractor ? Other (Oescribe)
Name iu d4rson ?Phone
Property LaST FIRST
Owner Address
STREET STE il
City EG2 ar\ state Z i p
2/
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber 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 appli bl State of Minnesota Statutes and City of
Eagan Ordinances. ?
Signature of Appl icant: ? -?---?-.r-
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Ftreplace
P 15 Deck
WORKTYPE (
(
? 31 New 0 33 A7terations
? 32 Addition ?T 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
11 .Site
? Wallboard
? 35 Tenant Finish
? 36 Move
Basement sq. ft.
lst fl. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? footing
? Final
? Framing
? Draintile
Y3?
o/
/
? Insulation
? 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
Dther
Total:
valuat;m: S?-, S oc`'
L 'F. •
?
,,
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
S
? O
\?
?
? -?z
Q
?
?
?
-?
s
L
?1
I . PERMIT
?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
CR.-5 113L
PERMITTYPE: BuILoING
Perrnit Number: 0 2 4 6 3 7
Date Issued: 10 / 0 6/ 9 4
SITE ADDRESS:
1638 DONALD CT
LOT: 11 BLOCK: 1
CAMERON COURT
P.I.N.: 10-16300-110-01
DESCRIPTION:
B,uilding?-,Permit 7ype DECK
Building Wo•rk Type NEW
\
?
? t
`\ '`,
k
i ?? , ? ?-- -
? ?
i?
;
c E??? ,1Ls
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
7ota1 Fee $30.58
CONTRACTOR:
OWNER: -
ANDERSON
1638 DO
EAGAN
(612)688-2752
Applicant -
ERIC
NALD CT
MN 55121
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 Eagan Ordinanoss.
R?
APPLICANT/PEFMITEE SIGNATURE ISS E?NK
D BY: I?A URE
I
14L5
CITY OF EAGAN
994 BUILDING PERMIT APPLICATION
681-4675
?Y,'W a-;l!
d rz D. ?-'o
c i
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, copy ofrenergy
calcs.
COMMERCIAL 2 sets of architectural & structural 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) lot change is requested once permit
is issued.
Date ? /;2 JValuation of work
Site Address: /?,?? dona lc? (??. •
STREET SUITE #
Tenant Name: (commercial anly)
LOT I? BLOCK SUBD.
/ P.I.D. #
? ?
mer 'E
Descri tion of work: /12 c. ?., ,.2 -f l p,
The applicant is: Owner ? Contractor O Other (Describe)
Name AAvaans011\i L4_s2ie-, Phone
Property LAST FIRST
Owner '
pddress _a
? aniq?? Zi.
STREET STE #
City ?9147,16/ State /Qk Zip
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address "
City State Zip
Sewer & water licensed plumber 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 USE ONLY ?
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
0 05 SF Misc. 0 10 Multi. Add11. 91 15 Deck
WORK TYPE
Of 31 New od 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROUALS
Planning
Engineering
REQUIRED INSPECTIONS
? .Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint 5q. ft.
On-site well
On-site sewage
Building
Variance
'K Footing
IK Final
? Framing
? Draintile
?
?
?
? Insulation
? 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:
vatuatim: $
c
b W
X
, _... ?
?
? ? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
I?klL ,9No-,=Wso)\/ ,
16 er
,. .,?.
to - PO34 locp.tian
/
1
?
C??????
?C??? ? ?
? ? ????
???1 eA?.? ? ?.???., $?T
Use BLUE or BLACK Ink
r —
' ''' For Office Use 7 -1Permit#: /YJ i f/ r7
City of Eapn
Permit Fe4:66______17;*!! ') -
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT
APPLICATION
Date: Site Address: \ (O2tc, 1 � `' 1eCUni
Unit#:/
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Applicant is: Owner Contractor 1
Descri tion of
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Type of Work p work: -e_ 00
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State: Zip: \\7 _ Phone: k'\2 7\rP%6(S mail: � 4P-,\d'Wle_�e:'v\C-42.5 '
License#: C_2 Z 5.-- 4'i d Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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?
i I
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
I
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
6
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
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„.bicayilding permit is in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuapde.
x____,4 •-.7, _:_______-'
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Applicant's Printed N Applicants Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155897
Date Issued:06/06/2019
Permit Category:ePermit
Site Address: 1636 Donald Ct
Lot:12 Block: 01 Addition: Cameron Court
PID:10-16300-01-120
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John Koniges
1636 Donald Ct
Eagan MN 55121
(952) 374-8112
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159170
Date Issued:11/26/2019
Permit Category:ePermit
Site Address: 1636 Donald Ct
Lot:12 Block: 01 Addition: Cameron Court
PID:10-16300-01-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John Koniges
1636 Donald Ct
Eagan MN 55121
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA160065
Date Issued:02/11/2020
Permit Category:ePermit
Site Address: 1636 Donald Ct
Lot:12 Block: 01 Addition: Cameron Court
PID:10-16300-01-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John Koniges
1636 Donald Ct
Eagan MN 55121
(952) 374-8112
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160344
Date Issued:03/04/2020
Permit Category:ePermit
Site Address: 1636 Donald Ct
Lot:12 Block: 01 Addition: Cameron Court
PID:10-16300-01-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John Koniges
1636 Donald Ct
Eagan MN 55121
(952) 374-8112
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature