1495 Clemson Ct• ? cirr oF EaGAN
. • -,
. 8795 Pibt Knob Rood Ecgan, MN 55122 N2 6278
PHONE: 454-8100
BUILDING PERMIT Receipt # -
Te be rsed fer Est. Volue Dcte , 19
Site Address Erect ? Occupancy
Lot Block Sec/Sub. •Alter ? Zoning
parcel # Repair p Fire Zone
E
l T
f C
t
crge
n ? ype o
ons
.
aWc Nome ? n• Move ? # Stories
a Address " Demolish ? Front ft.
? Mw, 1. M- ''535 Grade ? Depth ft.
? Name Appr°°p
o
?? Address Assessment _
? Ci Phone Water & Sew.
Police
Name
? W Firo
?? Address E?.
<W Ci phone Planner
Counci I
Fees
Permit
Surcharge
Plan check
SAC
Woter Conn.
Water Meter
Road Unit
I hereby acknowledge that I hove read this application and stnte tFat gldg. Off.
the information fs correct ond agree to comply with ail applicable ?PC Totol
State of Minnesato Statutes and City of Eagan Ordinonces.
Signoture of Permittee
A Building Permit is issued to: on the express condition thnt
all work shall be done in accordance with all applicable Stcte of Minnesoto Stotutes cnd City of Eogan Ordinonces.
Building Officiol
lu?it # pah Iwod F"Ifh"
Plumbing d
Mechanicel
cr ,!??, ;?'
Y // , i -la
? .i
INSPECTIONS OATE INSP. Rouph-In Final
FODtings a/ Insp. Dote Insp.
Foundation Plumbing
Frame/ins. Mechanical
Finol
•
? Remarks:
j?'?t &t ? ?
? ??? ? ??
(grrti#iratt af Mrrupttnrg
titp of (Eagan
jqF}iwftPltl Df I1L[jMno JriRpPtftDri
Tbir Certi f icate ujxad p?rtxaNt w the ?rqxircuicats o/ Sation 306 0/ the i.Ini forin Building
Codc cMi fYiag that at the tierc of 15.flkiflCO fE1fJ SIfNaillt f4MJ ttf Compliana witb the variaw
ordinamu of the CitY rtgrdating WGding amtt*r+ctiox or we. For tix f ollowing:
E.
2-17-81
?
/OfT 1M w ?cuom P.
sb?
No.
cinr oF EAcaN
3795 Pilot Knob Rood
Eagaw, Minnatota 55122
Phewe: 454-8100
PERMIT
Date: ?
Sife Address:
Lor - 3
1495 Clemaon Ct
Block 'Sub/Sec.
Thomas La.ke T_ts.
:`_Iunshine C,ons truc . (' o.
Name
? Address 157fi,h -t .
?
CitY .. . .Ti ? _P . . ?' . Phone:
Nome :e t=eatin;' C'c
.
? Address r' ?;.i- ?'nrl+?; E; :
? Ciry PhOr12:
This Permit is issued on the express condition that oll work sholl be
Minnesota Statutes and City ot Eogon Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New /Alter. / Repair
Cost of Instoflation
Permit Fee
Surchorge
TOfO i
done in accordance with all applicoble State of
Building Official
No. ,,105
cirY oF EaGAN
3795 Pilot Knob Rood
Eagan, Minnesota 55122
Pkewe: 434-E100
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
F1lU.".C { I? r', PERMIT
Dote:
ste IWdress: 1495 Clemsost St.
X
Lot Block ' Sub/Sec. OP.1S8 LA'.{E? 'It8. Multi Res., Comm./Ind. I
Ncme " -` ' r
i
N
/Alt
/R
.
e
epn
r
ew
Address 10- 7 E. ? 57th
tion
t
f I
t
ll
C
? os
o
ns
a
o
Gry - -'.?rnsville '
? >-t.5,
Phone:
r
P
it F
e
m
ee
Nome _'"11o Surchor
e
? g
? Address
e
0
V City
. .. _ _. ._ ' * . )i !. Phone: ?.f ] - - -
Tota I 1
This Permit is issued on the expreu condition that cll work shcll be
Minnesota Statutes and City of Eogon Ordinonces. done in accordance with all applicable State of
Receipt No.: 21;7{
Building Official
CITY OF EAGAN Remarks
Addicion '1'i,oma_,s .ake NPights Addition Loc 23 Blk 1 Paroel #10 75950 230 01 _
Ownar et._n, IA `. ?Jlr v Me<,' I} h I iL.. street 1495 Clemson Cour't gtate Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 707.39 C007149 7-10-$1
STREET RESTOR.
GRADING
r
SAN SEW TRUNK i 9 73 -?
* SEWERLATERAL 1981 962.91 . 92 -" 1
WATERMAIN
* WATER LATERAL 1981
WATER AREA i9 7 9
STORM SEW TRK ,3 1981 C 1 9 7-1-$1
*STORM SEW LAT 1981
CUR6 & GUTTER
SIDEWAIK
STREET LIGHT
WATER CONN.
BUILDING PER. 6278
sac 525.00 21282 10/8 80
PARK
7- 11 _ / '
L-- CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: H(43?
Eagan, Minnesota 55122-1897 Date Issued: 3
, (651) 681-4675
i SITE ADDRESS:
M',?1 N i i
?IlIMA'-i 1 A? F 1?1 1 iM1'r
f
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
; ', 1, 1 1 i . :;,
1 $4 '", i it . Jr s;t ttI)III Isiiii ., rkrli: fia14Aril ntii 141 ' 111i:M IInMnl,F
F
L
I I a kf rf(li?f
?
?
Pertnit Holder Data Telephone N
SEWER/
WATER
PLUMBING
HVAC
Inspectlon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPIACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3795 Pi',r Kno6 Road WATER SERVIC
PERMIT NO.: E PERMIT
Eagen, INN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Addresr.
Plumber:
Meter No.: Connection Charge:
Size: _ Account Deposit:
Reader No.: Permit Fee:
I eyree M tomplr whh the City of Eogan Surcharge:
Ordinonces. Misc. Charges:
Total:
By Dote Paid:
Dote of Insp.:
CITY OF EAGAN
3795 PiV.t Knob Rood
Eogr,i, MN 55122
Zoning:
pwner:
Address:
Site Address:
Plumber:
I ogne to eomply with the City of Eogon
Ordinanaee.
8y
Dote of Insp.:
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECl1 V [ /
IdJ ?J ?' IAMp?tf? I $
DOLLARi
7oo
F] CASH r-1 CHECK
?..
SEWER SERVICE PERMIT ?
PERMIT Np.:
DATE: -
No. of Units:
Connection Charge: Account Deposit: ?
Permit Fee: '
Surchurge:
Misc. Charges:
Total:
Date Pald:
?
.ok .13 / `r^ , LK t ,
Thank You
BY
White-Payers f?py
Yellow-Posting Copy
Pink-File Copy
Minnesota Stete Boerd of Electricity r}
Griggs Midway Bldg. - Room N781
1821 «niversity Ave., St. Paul, Minn. 55104 - Phone 297-2111
REQUEST FUR ELECTRICAL INSPECTION
rHF.rx RF.t.nw WnRK COVERED BY TH15 REQUEST
Eg-00001-02
96977
vType of Building New Add. Rep. Check Appliancea Wired For Check Equipment Wired F'or
Home
Duplex
Apt. Bldg.
Commercial Bldg.
Industrial Bldg. ? ?
??
??
D?
??
l ?
?
?
?
?
0 Range
Water Heater
Dryer
Furnace
Air Conditioner
List ?
?
?
?
? Temporary Wiring
Lighting Fix tures
Electric Heating
Silo Unloader
Bulk Milk Tank
List
?
?
?
?
F?
Other 0 C
? ? ? p
Heheis? $thers?
ere
COMPUTE INSPECTION FEE BF.LOW
Service Entrance Size: Fee Fceders&Subfcedera:
Circuita:
# Fee
0 to 100 Am s
101 to 200 Am s .
. 0 to 30 Am
31 to 100 Am 30 Am eres
to 100 Am res
Above 200_Am ps. Above 100 ps. Above 100 Amps.
Transformers
S' ns Remote Control uc.
Special lns ectio
1 Partial or other fee
1 Minimum fee $5.00
Remarks ? ?.e
??„?- ? i
TUTAL FEE
C.?
?
I, the Electri al Inspect , hereby cer y t at the above inspection has been made. '
(Rougt?-in) Date
(Final) ,!I)ate
This request void
18 months from
q
This request void
18 ma:iths from
, S 96977
U Fire No.
Date,of this Request 9
], as Lg'ficensed Electrical Contractor ? Owner, do hereby request inspection of tht above electri-
cal wiring installe ' "
Street Address oi
Section
Which is occupie
ls a roughin insaaz ? No ? Yes ? Ready Now ? Will Call U
Power Supplier Address
d RIC A33 ont?'a or ' L ce? I4o.?
Electrical Contractor
APPan,LEY
Mailing Address r Mak Is Installatlon)
i
Authorized Signature ' 36 Phone No.
lectrlc actor or Owner ak ng T Is 1 allatlon)
?j?T? ?? D CopY This insp?ction requestwiU not be accepted by the
$tate Boerd unless proper inspeetion fee is ertclosed.
CITY OF EAGAN
3795 Pilot Knob Road Eogan, MN 55723
PHONE: 454-8100 BUILDING PERMIT APPLICATION
ReceiPf ..#
N° 6278
To ba uaed for SF DWG/GAR Est. Value 98 ,000 Dore 10-$ , 19$Q_.._
Site Address14q 5 Cl Pmeon f't Erect E§ Occupancy R3
Lor 23 slock 1 Sec/Sub. Thomas Lake Hts. qlrer ? zoning Rl _
Parcel # 10 75 53n 01
? Name Sunshine Construction Co.
z 1017 E. 157th St.
; Address
0 r;ti,Burnsville, Mno,,,,,e 435-6535
p Nome _
??
u
Address
f r:...
Nome Phillips Plan Svc.
Address
Repoir ? Fire Zone ?
Enlarge ? Type of Const. V
Mwe ? # Stories
Demolish ? front 52 _ ff.
Grode ? Depth 44 _ fr.
Approvols Fees
AssessmQ .,
Water & $ew.
Police ?
Fire
Eng.
Plonner _
Council _
Pertnit 21? _ 50
Surcho rge --49- nn
Plan checl.] Oh _ 95
snc 525 nn
Water Conn.3.o.5_. nn
Woter Meter (?n nn_
Road Unit 185 nn
I hereby acknowledge thot i have reod this apDlication and state that gldg. Off, ?
the Information is carrect ond agree to mply with all applicable AP? Total 1.442.75
Smte of Minnesota Sta and , of agon Ordinances.
$ignoture of Pertnittee?
A Buflding Permit is issued ro: Snnehi nP ('nnet-rhin+i nn on the exprew condition tFwt
oll work shell be done in accordar);e with oll appliwble State of Minnesoto $tatutes and City of Eogan Ordirwnces.
Building Official
? rl
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDINC; PEEtMIT APPLICATION 1 set of energy calculations.
To Be Used For "h s,,,r Ca,?,.:J",. Valuation TrI
Date C) 5t 7 /?/' ?d
Site Acldress: </q OFFICE USE ODII,Y
Lot ) 3 Block ( Sec./Sub o?n Erect X, Occupancp
Parcel #: /yfS- C.Qe„,? Alter Zoning ?r'?----
? Repair Fire Zone ,g
Qwner: ?? Le-....?...?.:. Ca• ?,c. EnlarSe TYPe of Const.
A3aress: joly - Move # Stories
Demolish Front ft.
City/Zip Code: 9__J-3 37 Grade Depth yy ft.
Phone #: APpROVALS rims
Contractor• Assesssrmnts ?//,Yn pexmj.t
7.«
Address:
fi
City/Zip Cocle:
Phone #: ir
Arch./Ehg.: :^s
?-....?.?-?.
Address:
City/zip Cocle: Q? '11r
Phone #: e/ 3a- ? e yY
W3ter/Sewer Surcharge 50&L --v 9
Police Plan Check
Fire SAC
En9• Water Conn. Z p ?5-
P1anner Water Meter
Council Road Unit
Bldg. Off.
APC
?TAF, ,l h? ?d- 7 J?
Minnesota State Board of Electricity
N191
- fl ? Eg_00001-02
oom
Griggs Midway 81dg. I
1821 Universiry Ave., St. Paul. Minn. 55104 - PFwne 297-2111
RE(]lUEST FOR ELECTRICAL INSPECTION IT 2839
CHECK BELOW WOAK COVERED BY THIS REQUEST
Type of 6uilding New d. Rep. Check Appliances W'ved For Check Fquipment Wired For
Home ? ? Range ? Tempoxary Wiring uI?
Duplex ?? C) Water Heacer ? Lighting Fixtures LT
?
ppt, gldg. ? o o Dryex ?,-,/ Electric Neating 0
Com?nercial Bldg. ? ? ? Furnace L7 Silo UNoadei ?
tndustrial Bldg. D ? El Air Conditioner ? Bulk Milk Tank
??gt
Farm Lis[
? ? ? t
=S Others?
S
? ? ? Heie
Other °" Here
•''a1 7
I.UMrV1c11VJrcl,
ServiceEndanceSize: laan
# ,rciui
Fee .+-v.. 11 .1 v
Fceders&Sybfeedazs: ,
J 1 1
)Fe.e
Circuits:
#
Fce
0 ro 100 Am s. 0 to 30 Am ete"s' ;! ?- 0 to 30 Am eres
101 ta 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. A6ove 100 Am s.
Transfoimers RemoteControlCixc. Partialor otheifee
Signs Special lnspection Minimum fee $5.00
Remarks TOTAL FEE ?
1, the Electrical Inspector, hereby certiFy thaL[ e?above s tibn h?a;{ been made.
(Rough-in) 1 ? ?t/? ?
(Fina]) D?--/
This request void '
IS months from
si
'?7
This request void f6
r? 83n
18 months from ? Fire No. T l sl
16.?
Date of this Request? '
I, as Micensed Electncal Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at: ?
Street Address or Route No. City?
h
Secuon Townsliip
Which is occupied by
Is a roughin inspect?io
Power Supplier /!x-
Electrical Contractor
Mailing Address _
Range County
(Name o/ Occupany
No ? Yes Now ? Will Call [Y
or
required
.
l'? " ??tr?tor s ense No. _
yas..-
Author;zed Signature Phone No.
(Eiectrical Contractor or Owner Making This Installatlon)
????? ?? /? ?? (??n?1/j This impection request will not he accepted by the
(?;? ?y, ?f l? State Board unless proper inspeetion fee is enclosed.
Srf1R1rEY FOR
L DUNN & CURRY 1 ,, ----"" s
y?a ?0 i o
N
3
Tk•4reZ9???
? ? I N
I (D .:
? . i
? DRAIIyAGE 9163
? uTlL 1Ty a
EAS • ? ?•
EMEN TS ,s
% ,
I ,
o ` ? .
d, ' •
?
N g/4'z
-' i
9k'T` 0914 i
? ? ?i ?• , ?,?.
' j ?
yollS$"' r9/4.6
980 9jr4
89049??_-
?
? '--------_, is ; 920•8
0
L - 2?943,2p" v
? ? . cQC-MSON
?
COURT
9p? 3
LEGAL DESCRIPTION
LOT23, BLOCK I, THOMAS LAKE HEIGHTS,
ACCORDING TO THE RECORDED PLAT
THEREOF, DAKOTA COUNTY, MINNESOTA
I HEREBY CERTIFY THAT THIS SURVEY,
PLAN OR REPORT WAS PREPARED BY ME OR
UNDER MY DIRECT SUPERVISION AND THAT I
AM A DULY REGISTERED LAND SURVEYOR
UNDER THE LAWS OF THE STATE OF
MINNESDTA.
DATED THIS 6fh DAY OF OCT• 1980
SZGNED; JAMES R. HT INC.
?? . ? :3
HA OLD C. PETERSON, LAND SURVEYOR
MINNESOTA REGISTRATION NO. 12294
?
\\
1
?
I
i
APPROVED FOR DUNN & CURRY REAL
ESTATE MANAGEMENT, INC.
BY:
SCALE: 1 INCH = 40 FEET
NOTES
EXISTING CONTOURS ARE SHOWN
? 100.0 DENOTES EXISTING ELEVATION
*(100.0) DENOTES PROPOSED ELEVATION
* PROPOSED GARAGE ELEVATION = 922•8 FEET
* PROPOSED TOP OF FOUNDATION
ELEVATION 9z3.1 FEET
* PROPOSED LOWEST FLOOR ELEVATION=815,1 FEET
PROJECT NO. BOOK / PAGE
80207 JAMES R. HILL, INC.
e0208
6 / 26a27 planners / Engineers / Surveyors
FILE NO.
FOLDER 8200 Humbcldt Avenus South
Bbomington, Mn. 59431 612-884-3029
-/qo
I
?
t Y iei'.? ?" 'i:. W _-.Y.---? -? - ti ? _?.. . . ?.-_ _:? _.:'•' ----? Ir?..tirsti?n
! 4 icnws I f ru a iI RsfM?, n?;. ? UiY. ?,'v'?13 S??t.'?YaiB {_e?lin3 t?o?f ?: l, rr I ?.?r,:1 }-iow t
?y^ F?a?m/?? Len,th ? ; " 1JK?;?
Y3 1P.? Uf;(`?}_.`,?alf? II? AYIC! ?YP:A
!;vo. lill
[? o ) eiRM1t
?? u e N ;
I • 11 it
of cr 's _ A[-s
ch ^
I ? .
? ,.uct. $!n
? ?
-- -
u:xp. wa:?
i`!et rxp. wa!1
._.?
e
C::E. S .
._
To?al Btu.
[tzcuirrc! sq. f;. E.D.R. or sq. ins. W.A. Lcadzr arva
? I-l ?> ': a n I ( -•^•gth `i+i3t:_ / i Hzs3h: < ` .
Win !ow, ..nv mod
?IO. N Itl 1'. I t<
of C n cf pn n t? o[
11 ht 3 I ft
f<r k s
t Afea
a0 Y.
- ?
I!1°.tl:r I
atlGn
I
?n
C"
• . •1
.. G:ass_---??_?.___-_
t':.'j:. WLil i
C[p.?Yull
_
_'_?:'?
--•--?..
?fiat. cvaii
r,??? J / ? , ?? F•<; •?
CCII.
Totai Btu. ? ' / c
Rcr,:;ired aq. It.:_.i?.,R. or
_/ FLI I Rn)m jLe ngt? 4'Jid:h
14`indo•r? xnd Doors-Crackaga ynd Arca
aN=!:n r.e?sn•. r?o. cc?i ? ?:.i:c.'.. .'.???_.
?: 1-RI1U 11.^?i:t• 1 OP CfPr?( ( v.'$. it.
- L'sr_:. B:u
r
--- -
Gi.as3 ?
l.xn. waSi
t.-'-
.-
yPdet txn. uvaR
? 4]00.-_._ ' ?t? ? i
___.___....._. . _........_.V.
?.f:I. _
?-
Total B.u
i7e.,ui:e(I s;. F?. E.D.R. or sy_ ins. W-i. Lea'cr 111en ..
------ % !' : Y-- ?
-?.,, - - -
lY). 1 . I J'faA!.t1Y .lndAiC3
-- Wtu?
l.. C:pn H ?qt[
To . bo f:u.ol
!IRmi Lvult??
0[Cr?4k nrc?
^'f «
.
Crxf. Btu _
! L?uilvatiu.? %. / C. e ?T_d
^ Glass .. ? ? >
__
: ap wall ?
rf Aap. w&li
A S
Flo?
r
H
E
t' 'I ?
ictal S?u. ? ?? 7
Required sq_ft. : D.F, or sq. ins. W.A. L:.ader area _
1 F'.Il.lv ?? Y s t7?9 Widc?h?r, Hefsht•r'?
? ? n! IZx.:n ? Len th
?111 lk?r•.-Craclca2E and E1rea I .
1 V:Iath 11e:Rht }o oI
ot vs" il%]t. 2.LUAl fl.
ot cr>ck Are?
vp }t. '
-....i.? '-
I3w _
jn.t?[!ataon j' ?.?
C:Iass
Exn. wa!i
1':e[ ezg. :va11
.nt, wa!1 ??
Floor /
Cr?.
intal 8tu ? ^1 ?' !
i.Y,7=:r:;l ea fz c_l).R. or sq_ins W A. 11'adzr area -
Reum 1I.ength , 0 Width ` kiugh!
147:...1..T ..,i ilnn.?-.frw?kncr anr) Elrea
"'-
N. wTtn
o[pan? noiane
ct,ncna No. o(
ilghb L1ne.1 f[.
nC<reck Area
?¢.i0.
- -
--- - CAef. Iicu
Ir,itltrz[ion ?
Exp.:v::?;
u het exp_wall -
?-
Fr:t, wall
Cni. `
7otai $tu.
?R^q:,ir•d sq_ft. [.r).R..or sq. itts. WA. Lzadrr area
r. . ,
• W?nthc .??a ?_ i A S.F! v?.
G
\?:inc'uwa LPC;'C'rZce 1 Q7at.6Hail
Y--o 14_ ,-Koo`VIAC?OW3 unil`nnnr4.r?a?l.a..e
No. iYWU?
C• P1nn ? He:31i:
ot nwne i:u. o:
li.hta •,Linvl (4
u( c[ac4 ?,???
?.:t.
1 C1 n ? /_. ? /
t,?e r B+n
lnfiitraiion
Glasa "
E;p. wall
Nc[ exp. wall
?
?, _• I
?? ?
? ?
Iltt. W1t tl
kloar r
C[tl.
quircd sq. ft. c..D_R. or sy_ins_1F'_f1. L,eaue, a;ea
'30?m
V'Jindows and Duors-:,'rackage anr3 Are3 T--
T%o. Nftl:h
otR?nq }iel ;, i
o:1?=_ne •\'o. ot ).ln_nl [t. ?
Iiyn_r otc-ac.c A.var
m_« }
E'??
Infiltration !!.?-
?
-}
Ecp. tvn':;
Net ezp. wall
?
Pnt. v:all
Fioar
Gr.if. `-
1 otal kffa.
rteqnired sq. {t. ?.!l.R4 or sq, ins, W.A. .;?,<ier .;e¢
Z F1.I/ 1? i;-Roo,a I Length 15?dth %
y
Windows ancl Aoots -Crackafr;: Aec3 Arna
_
Fo. Wldlh
o( n4?e },.In'^f
?_>ne ?-
+ Ilght. Lfr.axl:t
q[ crnck
'l At?w
a.1. ft, {
/t^,
i
1
Tu o[nan-nr1l ^(;,n:n,,a IIZ1?ta ofcrnck ( oVf:.
\_ I I Coef. B u
InhRraEion <,i ! f Infiltzntion ;%._:.- ' ? ? o
Glaas i
? u ,
EY.p. wall
Net r.xp. wxD ilet ezp. wal! ? •?> et ',' I ??
lr.t. wall i Iat. wa;1
Flnor _-- T. Floor .
Ccll.
Total $:u. To;a1 Bt:i. '-%•:; •"r ?
Required s.;. k. E.D.€i. or sq. inn. W./t. jrac'xr :vmt
--
? ?I
-
-- - - -
I?cvire;l sq. fi. k..D.R..o; sq. ins. W.A. Ix ader are a
»?
-
Az
Car,atra,:?>>r? ?o. I Inan?n;ian. °.?
1,:t.?4:c?i Ceiliag }ioaf F!oor Ki:td F-Hplied y p?
? zl?:?rni "lii.l.?.r`
):: ±e W1L?j..C
1 ltgy (iGl$El f
.
ftt1d 1LIG'd 1
W1?t?
Ne. otpaoe } rt3?'
otpa%w ii.>. o[
?gbb Llaut 14
o[crrzck Area
ej.ft.
,,., ?-•' (r' ' ,l, ` 7.i '
-
- ? car, at,
-
- - ? ___ -
--
T.ah:.tauon
--
Tve2 csp. ^.vatl
dnf. ¢va1
y
Floor -
f;.Z-?
,.
No. Wln[? l[-1;;CS
paaa t pnne No. ot
IfahL Llnrel [[.
ot er.ek Are•
nry, ft.
-
?... r- - .
- Co_f. B.u
Ilil:;'?d170II
, -`:J `?'lL>/J
G'nf1. lY:lll
C1Ci f.S'p. WLIl
f ?'•:' f / r
! j 1. i?)
_?
Int, wall i
?
Fjnor
--
-- ?
Ce?. ---`-----' r' .'--i _ _;
Tota1 Etu. a .? 4/':-?
Rrr ?veti sq ,t E rJAR. UI :G. !'15. t'I.A. SyCddCZ 9C[d
2T? Roon I i.ength
? `Fli..dor+s a.id Doo:s-CraclaRe and Area
F<c„uired sq. ;t. fJ).R. cr sq. i.s. W.A. Leadzr area
-- li J Tl.? ?^" r. ;;.•= ?',? iZ<wm I Lcngth 1 :i ` \4'idth Hcight ;s' '
i1 Window> ar,d Donrr-C:rockaar and Arza
1ri;',,'
. ? ,..?,. . . ? "_ . .. p
4.J?' nrrs.r.ps ? A.y.?',? Gmlamc; p h`7_
?= ?iUSG?Y
owa Donrs Itcier,acr. ?{•?,.i?.Lla?1 :x?t.G?a;! ? 4.if+ici v x{nu: iianr ? 5???,??
-No
?
?
1_? ?{ ci ?. ' }2oom ? Lzng!Fi iT,>' ?:i: ^h !^ <,?.
Winc?owa ar.d ;:rz:l Area
Na ?Y,??:•
o: P+??? f?al 1
o( { ne ho. .' L1neallp
t',hta ? e[ erucz J,r>a
eq, [e.
Glas? _.?
N[t !J(j]. Waii ?.., ^.
Inc i:al! _ !
?'?_
?.?_L
-
Ceil. ? C:• ? . y ??
. ?
Total Btu.
Reryuired sq. tt. E.D.R. er sq. ios. W .:1. L.e,adcr nrea
r. __. . ?
------- -- - --- ---?- ---
)E{.? i=?t_J',: I?oom?l.enad`n :: '? Wiclth
Windowi a nd Doors--Lrocxm,
ye ancl ATen ?
l'v1Ath
T i
ie?ghi No. o? L1va>I i'. Area
.
Noq c: 0>nz f c[ pa
ne I'.
ehL nf crn?k
-'_
cn. [4
I
?
f
??_
Inblir?fion
- _---
?? ; ? ? -_ -
--
ExP, wall
Net ex wail ` -
Int. wall ? ? +.
?
flour ? ?. ?..._. _...
?.
?.
.
Ctil. `
,
' Total Stu.
Required sq. ft. F.D.R. or xq. ins. W.A.a:cu
FI.I Rwen (Lengtl, VYi:i:
CU??rl..we anA an,l Arna ?
Nt1lh
f_rIK??? !o, o[
11
rta:d t?
r
i
Artn
)l0. OI A.ne O: i.II110 II6i1<. O[ CfSCk MQ. (f.
?
? 1I . .?_? .
.wy
l
? Gx4. ? f3t??
In6:Yxatina ? ? j
Glas?
` r-
?-
£xp. wall
?
R'et eip. wail
----
Int. wall - E
.?.??,?.._?-?.__.
__ ....._??._.?. .??_ ??...a?...a......n..
_.._?.?.... .r_?
? t
Total $.u.
Required sn. ft. E.D.R. or sq. ir.s.'W.A. I.caucz awa (
IntdUJIIt1Ull
-T- Haw P,??eI;N?!
wiutn r
crl'?a,. ? c'? arllmv. a.^.d A7ea -?V?-
--
A. 0?7 > ,st
V?9!4Y
???]1LA
IC?CiB.C<
?l «'
_ A
N
------
----
?
? -
- Co.:f.
c.
.._ Btu
_
--
-
---------
'] 2ia.?icn
In ,
1
CrACS4 . :i
^ Pni. nail -- -
-- -
(•.a .
_..
`Totai Litu.
?ic:quired.sq. ft. C•.P.R. or sq_uls.VI.A. l.cader area
Room { lcnsth Widi;i Flcight
,.A. 51-..._..('r,rkaae and /iiea .
Nn.
? V1dtA }:¢I,ht
uf ysne ?[ Oa??a No.O:
111??ta J.Inexl
at ciaek Area
eq. ft.
_
?__
y11f.i[!
---i----
a4WYi .
C,aef. Btu
_
-_'_
F.%p=,.v:11
?._Int. sva,Ii
"+ ?
Fnor ? ?
, ,-o'al Btu. I
?%r ;lsirr-! sq. Gt. E.D.R. or sq. ir.s. VI.A. L.cader aren `---
?
? F1.1 Room I I,enIIta Width Height
Ntw ?liJC? lfel?nc
PGB ?.'.ti'?+a rvo. o?
IIShn nine>i ?o.
ofcrack w??.
e¢.ft. .
?
._._
? ( y
? Coof. Btu
InfilGaYion
Glas:
: zo. va':;
Nci c:tp'wail _
?.
_ .
Int. wall ?
Ccii.?
? Reyeirc:l sq. ;t. E.D.R.,or s4• ina. C'd.A. Leac?cr area
i -
?, _
Weathcrrtriq
Guide
Windows I Doon I Refercnce ? put. Wall
Y?e-No Yn-?o 19?
1rl•1Foye0.yuk?? Room Length 16
'0" Width
Wmdowe end Doors--Crac:cege and Area
I
y 4 9 .3,
Cooitrnetion No. jnmletion
lnt. WaR Ceiling Roof Floor ? Kind How Applied
Fkightg`p` II l Fl.I 0,...RoomlLenathl:k`f.." Width^a'n' HeieheP.'Ci`
&o
Inhltretion ya tAo ?
Calaes "ZO
Exp. wall
Net exp. wall ?S
Int. wall
F'°°' 0 3 $10
c`d. 0 4 0
Tocal Btu. 1 b
Required sq. ft. E.D.R. or sq. ine. W.A. Leader area
I f'1•I L(Z Room I Length 2Vo wiath 15A0 Ne+Bht CR0•
Wmdows and Doors--Gackao. n.,d e...
Ne. R'Iatn
o[yane Hel'nt
o(oa*e No. o[
IIlTts LIeaa1 et.
e[cnek wr..
q.fL
1 VOp
1 'O 10' O 1
Coef. B?u
In6ltratioo ? 1
Glass Zkoo
F.xp. wall
Net ezp. wall 22%
lnt. wall
Floor `S
Cea. 15 ?-1 b4
rocai n[u.
Required sq. ft. E.D.R. or aq. ina. WA. Leader aree
I FI•I tMM%LV Room lLength \G Ip'Width\3'
Wmdom and oore-Craekae. ...A e.., -T
No. WIJtA
ot Dano Heliht Yo, o[
o[ Vans Ilehb Llnul [t
ol craek A.
K. tt.
lOw
c«r. Bt„
In5ltration ? Lko IIkAl?jo
Glai3 y oQ
Eup. wall
IVet exp, waU 3
Int. wall
Fl°°' 2b'1
O
C"l' b`1 10 b
•.ial ntu. 1 M u .\ T? li? b - II
Required sq. ft. E.D.R. or sq. ina. W.A. I.pder uw
To-?AL H/L _ Wy,601 e-\ah
Windows and Dwrr-Crackage and Area
-
No. winie
ot oeaa HslgGa
ot No. ot
Ilgeu Loul tt.
ot creek wr<a
e4. ft.
l y'O \ y 1
1 4'O 1 1y 1
Coef. Btu
Infiluation "3 $ lkj 1
Glau 7Jo cl?i
?
Exp. wall 'Zp
Net e:p. wall ?l S
Int. wall
Floar 122
c.a. 122. '1
Tdnl Btu.
Requircd sq. h. ED.R. or eq. ine. W.A. Leader area
l Fl.I YiT Room I LenathllV' Width 11`L," HeiahtA`n"
Wi ndows an d Doors---Crackage and At ea
No. wmin
ot 9aOe Hal?tt
n( D?M Na of
11?0[? Llnul [t.
OS <t?ck Arc?
p. Il.
vv
Coef. Btu
Infileration b bl40
cjasa
Facp. wall
1'let ezp. wall
Int. wall
Floar t3S 3 ?oS
cea• ?35 4 540
Tota1 Btu.
Required sq. h. E.D.R. or aq. ina. W.A. Leader aree
r i
I Fl•1QR F tetQ\/ Room I L.ength Width to'
Windows and oorsl?raekao? and Ama I
. t
No WWth
o(pana HeIgEt
ef,p.n* No.o[
Ilf?b Une?IH.
eteracY Aro?
p.ft .
Coef. Btu
Infiltration ? 2c?
Glase 36 1 O
Exp. K•al: \
Net e:p. wall
Int. wall
Floor CA
Ceil: fo 2.S?c
IOfal CtU.
Reqvired sq. ft. E.D.R.,or p. int. V/A. Leader area I
Q
Weethrrrtripa A??•y?
CaUla!
V'i^dows I Doon ReEereuce Out.'
Yee- o Ycs-No 19_ -
Fl.? ? 41 N Room Length (?' (?' W
Nindowa and Door, C.,rIz.m. ..a e...
COOItNUUO NO.
WaN Ceiling ftoof Floor Kind
Height g'p" II ;A QQC. Room L
NO. wiaw
af Dano Hel[h[
of pana Np. p:
II!ht• vLlnql LL••
uf <flck ` AH?
p. !L
Coef. &o
Inhltratioa
Glaea
Fsp. wal(
Net exp. wall b
Int. wall
Flaor
cea. 3 y t
lotal tltu.
ReQUired sq. ft. E.D.R. or sq. inn. W.A. Leader ares
F1.1 p,N RoomlLengthlLl'le? Widthl2
Windowe and Doon-Ga?kao? „?d A...
Noa R'Iatn
o[Oane Heient
ofpan• Ne. o(
llfAb Llpa.l tt.
o(crack An.
q.H,
Coef. Btu
In6ltration ? 0 1Zq?
Glas+ 2 SO \ Q
Fsp. wall ?
Net exp. wall ? G
Int. wall
Floor
Ceil. p0
lotal tStu. 1-?
Required aq. ft. E.D.R. or sq. ins. W.A. Lesder arca
Ag I:,T es°?1iv.°.1a Room I LensttiZ4 (o?? Width 1Q'(1" I-k_a6t 4:
Wi ndowa a nd Doora -Cratka ge and Area
Ne. R'Wth
of pan. HeigTt
o! Dane :VO. o(
Il?ht? Llnaal It
of cr?ek Ale?
?p. tt.
??s• z?o? ?
M
CoJi. Btu
Infiltration I
Glase `1 S
Exp. wall 'AM
Net exp. wsp
Int. wall
Fl?. 1 IVO
Ceil.
lotal tl:u. . y
Required sq. ft. E.D.R. of eq. ina WA I.eader arca
?/DletIOA '
How Applied
' Width?5'(,," Height-??'?' ;
Windows and Dooo--Lrackage eod Area
No. wiuie
of o.os Hei,Et
of pua No. of
IIfEb LIOW t[.
ef <net nre.
Q. ft.
' 0' ' " ? 5
1 " U' o
C«f. Btu
Infiltration Cjri 0 2221p
Glau rjp
Exp. wall {a
Net exp, wall
tnt. Weu
Poo. b 1
Totel Btu. \ 00 N C 1 l
Required sq. h. ED.R. or eq, im. W.A. Leader area
?AS?e?et?73?y6A?mll.ength\I'O" WidthS`p'' Neight;3`p"
?---
w moows an a voors- -a.racw ge anq e+r ea
Ne. wmie
of D.e* Heiam
nf yaM No. o[
11(4l. Llnul (t.
of era<k Area
M. tl.
Coef. Btu
1n61Uatiuo
Glass
-
Exp. wall $
IVet e:p. wall 3
- Int. wal!
Flaor S
Ced.
Tota1 Btu.
Required sq. ft. E.D.R. or sq. irie. W.A. Leader area
P,pc&6tyT 4D RaomlLength\c6d'Widthll'
Windows and Doors--Cracka¢e and Area
N
p Wldth
of Dane HiI,Et
o[,D.n. Naat
11[hU Unealtt.
et era<k Arc.
aG. tt
'Zl vb., , „ ? ? ?
Coef. Btu
Infiltration yO
CJasa ? 1 SSa
Fsp. wal. l'L
Net exp. wall I f-I
\
Int. wall
Floor Z'Z
Cril. "
1 otal Stu.
O
Weathcrsttipa A
` Cuide
V.`indowi Doon I ReEermce ? Out. Wall [nt.
Yee-No Y?-No 19_
t+T `U CLO?Room Length '? 0` Width p
Windows and Qoors.-Crarl,.o. ...i e-
Constructioa No.
.N Ceiling Roof
Noa wmu,
of Dane xsient
of p.n. Nu, uf
li.lrt, VLmul It
uf crack
p. [l
Coef. &o
lnfiltr
ation
Glaae
Fsp. wall Op
Net exp. wall ? 4 Q
Int. wa11
eioo. ?1 1 (DZ
Ceil.
Jowi tstu.
Required sq. ft. E.D.R. or sq. ine. W.A. Leader area
oCF}J,!?Yr( ? QURoom i Length 10,` cl" Width12'
Windows and Doora-Crackaae :,nd A.,.
Ne. W IAth
orp.ne Helght
oto•. • No. ot
Iisnt. Llns. l tt.
o[cnek An.
q.n
Coef. Btu
In6ltration
CJsa
Eip. wall ?p
Net e:p. wall LA'R
Int. wall
Floor
Cld.
totat Ctu.
Required sq. ft. E.D.R. or sq. ine. WA. I.eader ares
F7.I Room I Lenqth Width
Windowe and Daots-Crockaire .od A,.. I
No, wi.itn
of p.n. Heiert
ot pane :vo, o[
IIlh4 un.a? eL
of crwk wre.
q, ft.
Coef. Btu
Infiltratioq
Gla.s
Fsp. wal!
Ne[ ezp. wall
Int. wall
Floor
Ceil.
total tl:u.
Required sq. ft. E.D.P. or sq. ins. W,A. [ejder aeea
floor
Fl.1 Room
Windows and Daort--t
insnlstion
How
Width
sod Area
No. w10lG
ot O.o. I{H{Et
of p?w f'!o. o!
IItOd Llou1 [L
ot e*aek wtt.
Q. ft.
C«f. Btu
InLltration
Glau
Exp. r+all
Net esp. waU
lnt. wall
Floor
f•4.
Totat Bm.
Requ'vcd sq. h. ED.R. or sq. im. W.A. I.eader area
FlQ Room I L.enqth Width Height
Windows and Doors-Craelca¢e and Area
NO? wmtn
o! Dsve Hei?E[
nf yaTM No. ot
11{Lb Llnsal ft.
Of Ce.ek wre?
p. fl.
Coef. Btu
Wiltratiun
Glaea
Exp. wall
N& ezP. Weu
Int. wall
Floor
Ceil.
Total Btu.
Required sq. h. E.D.R. or sq. ina. W.A. I.eader area
Fl.1 Room I Length Width
Windows and Daon-Craclcaae and Arca
Na wWtn
o[ D?ne Halgpt
o[,p?ns No.of
Ilfht• Ltnl[c.
ol vaelt Are.
sq. [t.
Coef. Btu
Infiltratioe
Glase
Fsp. wal;
Net ezp. wall
lnt. wall
Floor
C.dl.
Tota1 Btu.
Req:ired sq. ft. E.D.R..or p. ins. W.A. Leader area
?
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
P..f.IH.? 10-75950-230-0 1.
inQ s ct, FrisaN cr
I.OTz 23 ;'LOCK: 1
TIiL1MAS 1 AI;F Hti7GFiTS
PERMIT TYPE: ?? ?? ? ? 0 1 Ne,
Permit Number: Pr 3 q;, 3 3
Date Issued: Ch 3/ H 9/<d 9
DESCRIPTION:
7_0. & (?EROOf-
Bwz'ld?ni7 f'er'mit 1"vpn
8151.I.dinci 1,I6;-k f ype
934
.
iy
? -1
r ,
?
?
v-
•_
Sroam f7AMA6E
RFpAIR
ALT. RFuTOFN1"i11L
? i
REMARKS:
.U. r: REkOf,i NOJ3't' Flr?q GF1!?Fl[41 CtUE TO S?0;7M DAMAt;(--
FEE SUMMARY:
CONTRACTOR: - H°"li:=anL - OWNER:
ROOFI.M1lG & REMODELSPJC, 1.P. 23 80 46 O??D105G9 hiFfl< LA13RY
1 1-.0 0 F.XCEL510ft FLVO 7495 f.Lv 61SCiN Cl
ST LOUfS pF;Ri< MN 56?!16 EAGAPd tlhl 55122,
(672) $23-'8046 (6!51)?5:?_c5 3
9
J. er:bv c;c1:nowl.do, -.h,si . havs ch..^ uup:, c,j tion rnd sCai:r -- nat :n?'
Ln?urm, tinn ,.s corrwc1- cnd a4ree co cornp JV u)?.tli a ll <.pn11cahLe SL.At, ot ;tin.
.- .,,tu'.vl, ?ind i LV nl .-,iqin n r.ii.nEnc, ;.
?
APPLICANT/PERMITEE SIGNATURE
I
-?,I$SUED BV: SIGNAT E
BUILDING PERMIT APPLICATION (RESIDENTIAL)
?
? .a_..,..:c. CITY OF EAGAN
3830 PILOT KNOB RD - 55122 n
?- ? C1
?
`tld (651) 681-4675
J?
Piew Construdion Reauiremants RemodellRepair Requirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam & window sizes: poured fnd. design; etc.) ? 1 site surveys (exterior additions & decks)
? 7 ener9y calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1l93
required: _Yes _ No
oarE: CONSTRUCTION COST; 9'?
DESCRIPTION OF WORK: 171OUf? ?????e ??
STREET ADDRESS: GT
LOT: BLOCK:
Y.une:1A, (?/C r/ 'L Phonc#:
PROPERTY [:ut
l)\NVLR
?---------------------
p° ----------- ------ -
City _ --------- --------- State: ------- - ---- Li
SEU1 ROOFINC3 & REMODELING, INC. y????l?, ???? _(? O I b
Comp:mc: A
- - ------------------
? ---- 48B?EX6EES16R$Li/--------------
CUN'i'xACl'Olt ST. LOUIS PARK, MN 65416
Sa-eet Address: License 4i _?C1?_?.xp.
--+?#98848$?---------- y
City
State:
%ip:
ARCHITECT/
ENGINEER Comp;ury:______- __ Yhoue ti: ____
\:unc:----------------------------------- -- Registn[iou #: -------------- --
Slreet Address:---------------- ------ --------------------
CILV __------------- _-$LaIL•: - ----- __------ Zlp.
Sewer & water licensed plumber (new construction only): Penalty applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is correct, and agre o comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
?4??r
SignatureofApplicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
PERMIT# RECEIPT DATE:
SOOE RESIDENTIA1. PLUM$ING PEfiMTd' APPLiCATION
CITY OF EkfikN
3930 fILOT KPOB {tD
E46AA, MN 55122
651-8$1-4695
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit.
backflow preventer for irrigation system
SITE ADDRESS: I"1 qcD C I P YYl SO rl
OWNER NAME: : LQY?^ ? 1 He,A ? Q TELEPHONE #: Lg r5 I- i- 5 Z - E 6 3LI
. ?j' (AREA CODE)
INSTALLER NAME:
TELEPHONE#: "l?5 Z- Z4 (o C) -(a
(AREA CODE)
STREET ADDRESS: '/,"I 1LI "1
CITY: ?u _ STATE: M?Y? M v ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
iJote: Additional consuitant fees may apply I
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to bwer levels or room additions, excluding water softeners and water heaters. $ 50A0
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5!8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild ,.? $ 30.00
_ lawn irrigation system
?
ReplacemenUadditional: _ water softener ? water heater 15.00
9y
State Surcharge $ 50
rotal $ 15 , C?> p
I hereby acknowledge that I have read this application, sNate that the information is correct, and agree to comply with all applicable Ciryof Eagan ordinances. It
is the applicanPs responsibility to notify the property owner that Ne City of Eagan assumes no liability for any damages caused 6y the City during its normal
operaGonal and maintenancfl activities to fhe facilitles consW cted under this permit witfiin City proHertylri9ht-0f-wa ea ent. •? n
?nneD?nn?,? ? ? Aii
SIGNATURE OF PERMITT 62
CITY USE ONLY
PERM[T #: 1 M/ RECEIPT DATE: I v?«?
PXSIDENTIAj. MECiH"CiA. PERBU 1??PIICiATIOR
CI1'Y OP £t46AN
3830 Paor xxos sn
r.a?snx auv ssr ss
651-661-4675
Please complete for: ? single family dwellings
townhomes and condos when permiGs are required for each unit
Date:
SITE ADDRESS:
OWNER NAME: TL`?ct t-e-. TELEPHONE #:
INSTALLERNAME: 8u, ?h-15U ( { I'ei44-??i? TELEPHONE#:
STREET ADDRESS:
CITY: SI??I PC?-? STATE:
-?
Plate a check mark neut to th"e oermit wbrk tvue
65l - ?sa
(AREA CODE)
a-Bq,F-?
(AREA CODE)
ZIP:
New residential dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration to existina dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
V
?
? ?
i. ./ Tl
--
Natureof work:
l?-v
State Surchar e $ .50
Total $ S0- 50
Reminder: Call for inspections.
ki . Q-o?
SIGNATURE PERMITTEE
Updared I/01
? RESIDENTIAL a ?
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction Reauiremenis
• ; regiscereo ;de surveys showing sq. R. of bC sq. 3. of house; afM all roofed areas
(200o maximum lot coverage allowed)
• ?.;ocies of plan showing beam 3•xindow sizes; poured found desgn, etc.)
• 1 szt o( Energy Calalations
• 3 copies of i:ee Preservatian Plan if lot platled atler 711193
. Rim Jois[ Detatl Options selection sheet (bldgs with 3 or less units)
DATE V JLO I cv
RemodeUReoair Reauirements
• 2 copies of plan
. i set of Enerqy Calculations fcr heated adCitions
. 1 site survey for ztterior additions 3 Cecks
. indicate:f home served by seFtic system for atldrtlons
VAIUATION
SITEADDRESS ?4 U.?Sorj Lr • MULTI-PAMIIYBLDG _Y ?
X N
TYPE OF WORK
APPLICANT
NDP vj 4-S 1 I
FIREPLACE(5) _ 0 _ 1 _ 2
STREET ADDRESS _1'7'Io7? ()YL- CITY v 1f STATE t'AJ ZIP SS L
TELEPHONE # Ja'k ?l ".3'00 CELL PHONE # FAX # 9so?. -E"I /-yaST
PROPERTYOWNER Ii?YL??I ''"Jod)v YfEC?L? TELEPHONE# C?SI-?sa-SS3?
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ Mf\"\[:SOT.\ RIiLES 7670 C:1THCORY I MI\'\I:S<>"I':\ R['L1:5 7672
(d submission type) . Residential Ventilation Ca[egory t Worksheet Submitted • New EnergyCode Workshezt SucmitteG
• Energy Envelope Calculations Submitted
Plumbing Contraetor: Phone
Plumbing system includes: _ Water SoFtener Iawn SprinU D- n
?Vater Hcater No. oF R.I. B
_?io. of Baths -- ? AU? Q g 20pz
Mechanical Contractor:
Mkch;uticalscstcm includc,:
Sewer/Water Conhactor:
Phone #
----------------------------°------------------°-------------------°-....-°-°---------.....----...---°---------•----
I hereby acknowledge thai I have read this opplication, state fhat the information is correct, and agree ta comply
with all appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicant
OFF[CE USL ONLY
-- Air Conditioiting
Hcat Rccovcry Svstem
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
4111. City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
? 7/00
------------------
? ?Owice Use
e51SCU ?
j Permit #: ?
? Pertnit Fee:
? Dale Received: I
I I
I StaN: I
I ----------------?
2008 RESIDENTIAL BUILDtNG PERMIT APPLICATION
Date:
Tenant:
Site
"N S?/22.
Sulte #:
RESIDENT ! OWNER Name: a Phone: ??J I-j4/- /1/Y0
Address / City / Zip: 25- E
Applicant is: _ Owner Contractor
TYPE OF WORK Description of xrork:
Construc[ion Cost: Multi-Family Building: (Yes _/ No
CONTRACTOR Name•?,??? n/(?license8:
Address-42Q Od A??efow 111? tf? 15-/0
Cib: State: ?? Zip: S5 JU ?
Phone: <? ? ?4ntact Persorr. L'fu47lJ ?? ??/?9-g Q!7 I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 CaWyorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CetBQOry Submitted S
b
itt
d
u
m
e
(4 submis8ion lype) • Energy Errvebpe Calculatiwis Submitted
tn me iW 12 momns, has the City of Eagan Issued a pertnR for a simllar plan based on a master plan?
_Yes _No ff yes, date and address of master pian:
Licensed Plumber: Phone:
Mechanical Corrtractor. Phone:
Sewer & Water Contractor: Phone-
NOTE: Plans and supporiing documents that you submft are cottsidered to be publlc intormation. PorNons of
the iMonnaNon may be classified as non-publlc it you pmvfde speclfic re,asons thaf would pemiit tlie Clty ro
conclude that the are tredVe s+eciets.
1 hereby acknowledge ihat this iMormafion is complete arW aocura0e; ihat tlie yYOrk will be in wnformance with the ordinances and codas of the Ciry of
Eagan; that I understand this is rrot a pertnk, bu[ only an appliqtion for a pertnit, is not to start withou[ a permit; ihat the work wilt be in
accordance with the approved plan in the case W work which requires a review and roval of p ns.
X.? ( )assa?? ( )-??ope?
A x
^YPl? ?m@ ' Annlir9 Yc _ neh?
Pape t of 3
-
fi; Foi Office Use
Cif of EaliE n Permit
11 I Permit Fee: CILI~
O
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 64 Site Address: L ~I~G~15i~ Tenant: Suite
RESIDENT/OWNER Name: Phone: ` 2- 55
! `f ~~/~'rs C°{
Address/ City/Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: c%oi) r lac4 -
Construction Cost: c S Multi-Family Building: (Yes / No
CONTRACTOR Name: ` i-1 //cp S .:5- c License __zC `(G Z
Address:
City: ( Z State: Zip: C
401
Phone: 2'(Z -vi4 -Z'1O 5r Contact Person: ( =1'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wit i)rdinances 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 t9 st witho/it 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.
f
X_ X
Applicant's Printed Name Applicant's ig ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113937
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 1495 Clemson Ct
Lot:23 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-230
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Tammy Donner
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Larry Hegle
1495 Clemson Ct
Eagan MN 55122
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127871
Date Issued:10/17/2014
Permit Category:ePermit
Site Address: 1495 Clemson Ct
Lot:23 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-230
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Larry Hegle
1495 Clemson Ct
Eagan MN 55122
(651) 452-5534
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
M I-
For Office Use l
t,% t • •�, ::::eV
�.„ ,r, E AGA N
: c:20.' v
C
3830 PILOT KNOB ROAD I EAGAN, MN 55122 Cc'V E '' Date Received: ?-(
(651)675-5675 I TDD: (651)454-8535 I FAX: ( )60x694 3 Staff:
buildinginspectionsecitvofeagan.com 2019 J
2019 RESIDENTI9 = . ■ k PERMIT APPLICATION
Date: Site Address: /.-S-- Cie” Unit#:
Name: k e2 clyr /-/ -/(4— Phone:
Resident/
Owner Address/City/Zip: ""' S--- '''.--/ ix�,`, �14--
Applicant is: Owner ik-Contractor i? I Th Q in,g5 Lg jx_ '1 C ATS
.y
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes /No )
Company: , J ' 't r 01 �nja5 2/: Contact:
Address: 7 9 6 do.",.�.�/-'� City: /4 .�ll'� ��
Contractor"
d /
flg73
State:/VNip: -5��&7/Phone:6-5-,-Zi T- Email: _I��r�Y/;.7vr ho0,-
J �:t
License#: 71/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?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be,public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to,conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.gopherstateonecall.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.
x _ac'Y) , 'A 'i'! i i'1� x _
Applicant's Printed Name A., '''ant's Signet yallIPP.'
DO NOT WRITE BELOW THIS LINE / ` C 7 /27— C/7 01 - /- 1-7 7
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi '- Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex _ Lower Level Pool _ Accessory Building
WORK TYPES
y/ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
—
DESCRIPTION
Valuation 5'3 NI -
Occupancy .. --C-— l MCES System
Plan Review Code Edition VA N 24,6– SAC Units
(25%_ 100%A) Zoning Q–\ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction l t Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
cO Footings(Deck) Final/C.O. Required
Footings(Addition) ›D Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final _ Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: / T 'UIVt IV)h k l Yi , Building Inspector
RESIDENTIAL FEES 7t x)Z 3 3 59, /Art
Base Fee
Surcharge r n Y = z 5�° FT`
Plan Review
MCES SAC d' / • f•e--
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
iSURVEFORI I ' /6"// C/C/Z1 i 6-7z-. / - --
.8930
DUNN & CURRY - cr "
'5
2 8'00 --' 1 mN
N 74.x'2 3
• o,
I N
8e LA - -' i tD .:
/.2 , - 1 0
1` O"A/NAG �.. % r ': :/ �5 cn
, U7-/� / T E E '-�. ' . • 916.3
`1 EASEME /
N 7'% S ,'
/
/S
o; Teak ,'/ -
/
9/ V y-in ../9 ,'
N 4 . . /
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1 � _ h /
1 6-14:?..:t (9/. ilinffirdri. /
• , z% i / 1�
m (ya°-j sz. 'r91-- - a4 �
Q.0 .
9 o 92x7,,j-� S �' 9/T.4
20T �:� , (9225 id= /il .�
.1%41, O
%% ---e900(9p25 /6/ / ,�4
4 �?•9 0' .•C,
0) _9 �r
------- ,'S : 920.8
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921.6`� /6,ti0
// / L..52 943'20 N a
.Q• L2
/l CLEMso NW \\
N COURT \
92/.g \
1
I
LEGAL DESCRIPTION
LOT23, BLOCK I , THOMAS LAKE HEIGHTS , APPROVED FOR DUNN & CURRY REAL
ACCORDING TO THE RECORDED PLAT ESTATE MANAGEMENT, INC.
THEREOF, DAKOTA COUNTY, MINNESOTA
BY:
I HEREBY CERTIFY THAT THIS SURVEY,
PLAN OR REPORT WAS PREPARED BY ME OR
UNDER MY DIRECT SUPERVISION AND THAT I SCALE: 1 INCH = 40 FEET
AM A DULY REGISTERED LAND SURVEYOR
UNDER THE LAWS OF THE STATE OF
MINNESOTA.
DATED THIS 6th DAY OF OCT. 1980 NOTES
SIGNED• JAMES R. HILL INC. * EXISTING CONTOURS ARE SHOWN
* 100. 0 DENOTES EXISTING ELEVATION
* (100. 0) DENOTES PROPOSED ELEVATION
ri:)
,i,4�} * PROPOSED GARAGE ELEVATION = 922.8 FEET
�i'�� * PROPOSED TOP OF FOUNDATION
v ELEVATIONFEET
HA OLD C. PETERSON, LAND SURVEYOR 9 3.1
MINNESOTA REGISTRATION NO. 12294 * PROPOSED LOWEST FLOOR ELEVATION=91 I FEET
PROJECT NO. BOOK / PAGE JAMES R. HILL INC.
80207 3
80208
6 / 26827 Planners / Engineers / Surveyors
FILE NO.
FOLDER 8200 Humboldt Avenue South
Bloomington, Mn. 53431 612-884-3029
RECEIVT :'=rD
MAY 0 5 2020 j-For Office Use
t r I '1
iRi� a �R>r Permit#: f A
. .r ., E
Permit Fee: <e ✓
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-56751 TDD: (651)454-8535(FAX:(651)675-5694 Staff:
buildinainsoections(icitvofeaaan,com __ —_ J
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/5/20 Site Address: 1495 Clemson Ct. Unit#:
PP
„G�r 7„ �: Name: Judy Hegle Phone: (651) 341-7115
Res �e�
': Address/City/Zip: 1495 Clemson Ct
� r
Applicant is: Owner Contractor
bio W 7 r
sup Remodel (3) Bathrooms
PT'=. ti rod:r Description of work:
4
. Construction Cost $65,000 Multi-Family Building (Yes I No 1 )
Tilsenbilt Homes, LLC Geoff - 651-328-7839
1, a, Company Contact:
��, 'Tti; ' t,, address: 285 Westview Dc. city: West St, Paul
y , MN 55118 651-328-78V Geoff tilsenbilt.com
,,,„z-,,, „t l State. Zip. Phone: Email:
„:, „i' License#: BC384125 Lead Certificate#:
If the project is exempt from lead certification, please explain why: \
Home is built in 1981 �,
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:
Fire Suppression Contractor Phone:
,,,NO 0 7 . ;, _ hat ! 410,741 , ,,..„*„.;, .,•07-4:°!'
t —7b r . ,-pe,, p tzy. a .i iY :1:471
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at w+xar.citvofeaaan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4544002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aorpherstateonecall.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 pe it; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans. /
x Geoff Tilsen x �//ice
Applicant's Printed Name Apple n - Sit -:ture
L(� C t.2. - S '-\ ci I (o3 te
DO"NOT WRITE BELOW THIS LINE I
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
XSingle Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New Xi Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
—
DESCRIPTION
Valuationuation *3,OS 04' Occupancy 212 . 1 MCES System
Plan Review S Code Edition 2O2O04/VZ CSAC Units
(25%_ 100% V) Zoning k- i City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction VS Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) At Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final
X Framing 30 Minutes/ 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
/ Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
14
Shower PanOther:
����
Reviewed By: ��VVf , Building Inspector
RESIDENTIAL FEES ? +�
Base Fee 7 I�Q4('OO rt u 1's
Surcharge (D 1 i$2 S tsoF "6-61.-
Plan
O4cd►Plan Review
MCES SAC �7vs�Or)SAC �'t S x $Zoe OO
Utility Connection Charge
SSW Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161378
Date Issued:05/21/2020
Permit Category:ePermit
Site Address: 1495 Clemson Ct
Lot:23 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-230
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Larry Tstes R Hegle
1495 Clemson Ct
Eagan MN 55122
(651) 269-1246
Semlak Plumbing
1406 Sophia Ave
Maplewood MN 55109
(651) 770-4816
Applicant/Permitee: Signature Issued By: Signature