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1515 Clemson Dr? . , ,, , . . . ,.. ,. • GITY OF EA6AN . ' 3795 Nlet Knob Road Ea9on, MN 55122 • ' PHONEs 454-8100 BUILDING PERMIT Receipt # Te 6e wud fer Est. Vclue Dote _, 19 Slte /Wdrcu Erect [3' Occupancy Lot Block Sec/Sub. ? Alter ? Zoning parcel # Repair 0 Flre Zone Enlorps ? Type of Const. W Noma Move ? # Stories Z ^ddmss Demolish Q Length t r:... ? f? "'--(1 6rode fl Death Sa. Ft. °C Narne _ ,o 0' /lddress h- r?... 1 hereby aanowledge that I hove reod this applicofion and state that the informotion is correct ond ogree fo comply with oll applicable Stote of Minnesoto $totutes ond City of Eagon Ordinonus. Assessment Woter & Sew. PoliCQ Fire Enp. Plonner Council Bldg. aff. APC Permit Surcha rga Plon check._ SAC Water Conn, Water Meter Rood Unit Totol Sipnoture of Pem+ittee I A Building Pertmit Is Issued to: on the express oondition tlxar oll work sholl be done in occordonce with all oppliooble Staro of Mlnnesoto Statutes ond Cfty of Eogan Ordinances. Buildinp Officiol Permit No. Pormit Holder Misc. Permit No. Holder t 1fC.L Z -zkp p q 33 l 1 T REA -i - Irppeetion Date Insp. Other Footinys Foundation Framinp . Rouph Plbq. e_..i uvwn Final WWII so"r Receipt .?• PLUMBING PERMIT Permit Na. . CITY OF EAGAN - Fee " Fill in numbered spaces S/C Type or Prin[ legibly Tot. 1. Date 2. Installation Cost 3. Job Address ?? • Lot Blk. - Tract 4. Dwner 5. Contractor f ?'•[1C ,r-'".LG?? Phone 6. Address ? 7. City State Zip 8. Building Type: Residential 0 Commercial ? Institutional ? i 9. Work Description: NeHr G]'' Add ? Alter O Repair ? 1 10. Describe I 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner % Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains _. ? i •', ?' J• Drinking Ftn. ' Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. , Signed : for Rough • final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. ApProved CITY OF EAGAN 454-8100 Fteceipt ' MECHANICAL PERMIT Permit No. CITY OF EAGAN • ' Fee Fill in numbered spaces S/C Type or Prini /egib/y Tot 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor ,,<. Phone i 7 l i_ 3 4o -3 € B. Address f I 7. City State ?'`(-+- Zip I j S. Building Type: Residential Commerciai O Institutional ? 9. Work Description: New 9`- Add 11 Alter ? Repair ? 10. Describe Fuel Type / ' - ' 11 No. ! Eyuipment 8TU - M. Ea. Forced Air No. EQUiament CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mtg. Other Air Cond. Mfg, Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved .i : CITY OF EAGAN 464-8100 HEAT LOSS ESTIMATE City or Village FORM f7-6900 ADDRESS %S/S /s/SB /s/7_g /S/ 7 Mn,so.v D?"• Floor ? ? Own er NAME Dco'ntractor Heating bill to be paid -Date Phone ' Make of G1NA MWA GHW FHW S V UH SPACE Firepot Plant ? 9" o o ? ? ? ? Sixs Boiler No. Type of Domestic Gas Equipment: Installed Gas Ran?es W. Htrs. (lnput ^ ) nryers Not Plates ,/ ., i Remarks: Date Checked Heat Loss Input r-6, 67T) Cert. No. Equipment to be On Installed Q Main Size Off Installed by OK ,°,old by Service Renew NORTHERN STATES POWER CO. Wa/l CONSTRUCTION Ceiling floor WEATHERSTRIPS INSULATION TNESS CK- TYPE ATTIC Windows Doors Wall Vented Yes-No Ves-No Ceiling Ves-No FI. Room Length Width Height FI. Raom Length Width Height FI. Room Length Width Height W INDOWS AND DDOR S-CRAC KAGE AND AREA Na Width of pane Height of pane No. of lights Area s. ft. inea of creck Ccef. Bfu Infiltration Door Infiltration Window Gross Wall Glass Net Ex . Wall I Ceil. or floor Ceil. or floor Fireplace Total Btu CITY OF EAGAN Ta '???;5 3795 Plief Kno? RoeA Eopan, AAN 55122 ' PHONE: 454-8100 BUILDING PERMIT R?ipt # To b wed for Est. Volue Date 19 Site Addreu Emct ? pccuponcy Lat Block Set/Sub. - '?Alter ? Zoninp Parccl # . Repair ? Firc Zone Enlarps p Type of Canst. _ 99 W Nor'1e Move ? # Stories ; Addross Demolish p Length b Ci phoM 6rode ? Depth Sq. Ft. ? Nome Approvols Fees u Addresa Assessment Permit ? I.- M? Water & Sew. Surcharqe Polite _ Firo _ Enp. _ Plonner 1 Fxreby ocknowledge that I have reod this opplication and state that the information is correct ond ogree to comply with oll applicable State of Minnesota Stotutes ond City of Eogon Ordinonces. Slgnature of Permittee Cauncil Bldp. Off. APC Plon check ' SAC Water Conn. Water Meter Road Unit Totol , i /1 Building Permjt Is fssued to: - on the express conditlon thai oll work sholl be done in accordonce with oll eppliaobls State of Minnesota Statutes end City ot Eopan Ordinances. Buildiny Officiol Permit No. Permit Holdsr Misc. Permit No. Holder Plumbin9 Z 7q ? l?I?Q r' Z-2? H.v.n.c. ?S? Ssburb?.? 2-Z? sz w.u Wster Disp. Sawer Ekctrie -T q 3 Irupectfon Daa Insp. Other Footinyt ,r?•? Foundstfon Fnmin9 : Rouyh P16o. ? Rouyh HVA Inwtation ? Final PI6p. Finsl HVAC Final Waftr Dacribe Location: ' MWII Sewar Pr. Dbp. Receipt . PLUMBING PERMIT Permit No.- CITY OF EAGAN • Fee FiII in numbered spaces S/C Type or Prin[ legib/y Tot. 1. Date, 2. Installation Cost ' r .? . 3. Job Address Lot Blk. Tract 4. Owner • . ??? ,,??C.4_. _ ?, . ,;'. 411 5. Contractor Phone ' 2 ] " 136- 3 6. Address Jl?3 ?b L<.,?k-? /??LY+ ??UI/• 7. CitY 2.e-c.+ State Zip 8. Building Type: Residential El`? Commercial ? Institutional ? 9. Work Description: New a- Add ? Alter ? Repair 13 10. Describe 11. No. ` Fixtures Water Closet No. Fixtures Cesspoal/Drainfield Bath tubs Septic Tank Lavatory Softner / Shower Well Kitchen Sink Urinal/Bidet Other •'-' ? Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for ' +Rough' Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 fteceipt ' • MECHANICAL PERMIT Permit No. • CITY OF EAGAN - ? Fee Fill in numbered spaces S/C Type or Prin[ legib/y ? Tot. 1, Date - f^-? G- 2. Installation Cost 3. Job Address Lot ? Bik. - Tract 4. Owner i ? 5. Contractor Phone 6. Address 7. City State Zip ? ? 8. Building Type: Residential CY- Commercial ? Institutional ? 9. Work Description: New O Add O 10. Describe 11. Alter ? Repair ? _Fuel Type i ? • - No. i Eauioment BTU - M. Ea. Forced Air No. Eauipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets - F- I 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed: • ' ' far Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 ,_,-? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ti Eagan, Minnesota 55122-1897 Date Issued: `' ` ? ? `? % ?' `? (612) 681-4675 SITE ADDRESS: 1 , „, . ; t, t w , t APPLICANT: i • ? ? ' ?1 ,?P? I)? ? ?;?;? ? : ? ,?,:,1 ??i ', 1 i.jd I II;ih1(1'• i!N•.I {fl ! t?H I:.? ( i• 1.' 1 1{,t ?.?s_i'-1 ? PERMIT SUBTYPE: TYPE OF WORK: ?? ?,• i i? ???; , . INSPECTION D• . D• F L ? --------------------------------------------------- Permit Holder Date Telephone N PLUMBING HVAC Inapection Date Insp. Comments FOOTINGS FQUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FiNAL PLBG FINAL HTG ORSAT TEST BLOG FINAL DOMESTIC METER • IRRIGATIQN METER FLUSH MAINS CONOUCTIVITY TEST HYOROSTATIC TEST BSMT R.I. BSMT FlNAL DECK FTG DECK FINAL CITY OF EAGAN ,• • 3795 rilet Knob Road Eeyen, MN 55122 PHONEs 4544100 BUILDING PERMIT Q"0 7 Receipt # n Site Address Er t ec Q Lot Block ' S?c/$ub. Alter ? Parcel # Repofr ? Enlarpe ? W Name - , - Move ? _ ? Address - Demolish ? Grode fl °C Name _ ? ?? /lddress 1-- ('i?.. I hereby ocknowladge thot I have read this applicotion ond stofe thot the informotion is torrett ond ogree to comply with oll npplicoble Stote of Minrxsota Stotutes and City of Eogon Ordinonces. llssetsment _ Woter b Sew. Police Firo Er?G• Planner Counci 1 Bldy. Off, _ APC Occuponcy Zoning Fire Zone Type of Const. # SfOf1@S Len gth Depth Sq. Ft. Fees Permit $urcha rfle Plan check SAC Water Conn. Water Meter Rood Unit Total Siynofure of Permittee ? A Buildir?g Permit Is issued to: on ths express condition that oll work sholl be done in accardance with oll applicoble Stote of Minnesota Statutes and City ot Eapon Ordinances. Buildinp OFfidol ' - -- -• Permit No. Permit Holdsr Misc. Parmit No, Holder Plumbiny `?(.?'a eL1/?cl Y' Z-L(O - H.V.A.C. .r7 w.u wn.? Disp. S?wsr Elsctrie -t4 331? Sr1( j - j`l Irapsctlon Date Insp• Other Footinpt Foundation Framinp f ? Rouqh Pibp. - 7• ifl !N Rouqh HVA Inwiation Final Plbq. 2 .9( Final HVAC ? Final r Dhcribe Locstion: E . Dip. • Receipt _ PLUMBING PERMIT Permit No. - CITY OF EAGAN . Fee . L '- Fill rn numbered spaces S/C Type or Print /egibty Tot. 1. Date 2. Installation Cost ? 3. Job Address Lot ! Blk. Tract i 4. Owner 5. Contractor 6. Address , - -' ?;- `? (?(?('i-lil/• ?7 ) - / ?? ? 7. City t J,! c •Lo?- k State 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New C7 Add ? Alter ? Repair ? 10. Describe 11. -5 / O No, Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Septic Tank -? Lavatory Softner ? Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray . ? ,, . Floor Drains t ?a v?•? . Drinking Ftn. Slop Sink Gas Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. • %? Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 . ? keceipt ~ MECHANICAL PERMIT Permit No. ' CITY OF EAGAN „ Fee Fill in numbered spaces S/C Type or Print /egib/y Tot. - 1. Date 2, Installation Cost 3. Job Address --%. Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address ? C ?,j 7. City - State j Zip f :5 / ''1 9. Work Description: New C3?' Add O Alter O Repair O 10. Describe ? 11. Type No. ? Equipment STU - M. Ea. Forced Air No. Equiament CFM Air H dli Mfg. an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F Inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 --?r PERMIT # ? Site Address ? Name m Addre c City _ MECHAHICAL PERMIT CITY OF EAGAN ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 oun?Jr. wcw_n4nn BLDG. TYPE Res. Mult ? Comm. Other RECEIPT # DATE: _ WORK DESCRIPTION New ----? Add-on _?. Repair Name TYPE OF WORK Forced Air Boiler COMM/IND FEE - 1% M BTU APT. BLDGS. - COMh TOWNHOUSE & COMI M BTU $ MINIMUM RESIDENTIo FEES 'U r' - $24.00 - 6.00 'ON NEW -1 PER PERMIT) - 1.50 EA. ; RES. RATE APPLIES - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cand. 8TU MINIMuM COMMEfiC1Al FEE - 20.00 I Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES ' Gas Piping Outlets # $ BEYOND $1,000) Other ? FEE • ; ? - ? ?r??- ? J f,' ,. S/C: SIGNATAJ5 F TOTAL: ? ` FOR: CITY OF EAGAN CITY OF EAaAN • 3795 PWf Ksob Roed Eaoee, MN 55122 PHONE: 4544100 BUILDING PERMIT RecejPt aqt Te be wwd for Esf. Volue Oote , 19 Site Addreu '- " E?e t p O u r c cc +cY Pa Lot Block Sec/Sub.- -, - T +- Alter ? Zoninq parcel # Repafr ? Firc Zone E l n arys p Type of Const. W Nome Mova ? # Stories ? AMfQ5S . „ • ? , - ' ¢ r?4.. .?, -, .. . . . o Name F ?? Address ? r+.., nL_-- ? 8 Sew. <W ? Cify Phone Plonner _ Council _ I hereby acknowladga thot I hove reod this application ond stote that eldp. Off. the informotion is correct nnd ogree to tomply with oll opplieabla APC _ Stote of Minnesoto Statutes and City of Eo9on Ordinonces. Sipnature of Permittee Ft. Permit Surchor9e Plan cfieck ' SAC Woter Conn. Water Meter Rood Unit Totol /1 Butlding Permif Is issued to: 'Llr= - on the express condition tFxat oll work sholl be done in acco?donce with oll applicabk Stote of Minnesota Stotutes ond City of Enyon Ordinances. Buildinp Offitiol " Mrmit No. Permit Holder Mise. Permit No. Holder Piumbinp ?nq3 ?l?^Ct.1f`oL Z-2.?P ? H.V.A.C. CC l&r WeII Water Disp. S?vwr EWmic 773?zo 3111 InWeetion Dste Insp. Other Footinps 2_ «j Foundation Framinp Rouph Plbq. ? Rouph HVA Insulation •j ? Finsl Piba Finsl HVAC Final Water Dyaibe Loqtion: VYull Sawer . Pr. DisP. / 1 Receipt , PLUMBING PERMIT Psrmit No. CITY OF EAGAN ' Fee Pill in numbered speces S/C Type or Print /egib/y Tot. -- '?? • ' 1. Date ? ,)-- 2. Installation Cost - ? 3. Job Address r?^ 6.Lot -- Blk. - Tract f" 4. Owner 5. Contractor Phone . ... - , 6. Address . 7. City State Zip f 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New l3'' Add ? Alter O Repair O 1 11• No. ? - Fixtures Water Closet No. Fixtures Cesspool/Drainfield i Bath tubs Septic Tank Lavatary Softner ? Shower Well / Kitchen Sink Urinal/Bidet Other ? l.aundry Tray / Floor Drains 4 Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with ail ordinances and codes governing this type of work. Signed : for Rough ? Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? hecaipt ?. MECHANICAL PERMIT Permit No. ? CITY OF EAGAN Fee fill rn numbered spaces S/C Type or Print legib/y Tot . 1. Date 2. Installation Cost 3. JobAddress /:%','.•; .?G'i• Lot Bik. - Tract 4. Owner Ak- • - 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential a~ f Commercial ? Institutianal ? 9. Work Description: New fa? ? Add 0 Alter O Rep2iir ? I 10. Describe 1 11• Type No. ? Eauioment 8TU - M. Ea. Forced Air No. Equipment CFM Air Handling: Mfg. Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets i 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Flnel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN Remarks Addition1 Lot 3 Owne? o1;'.c? •- street 1515 Clemso7l Rlk 3 Parcel #10 75950 Old 03 Drive State Eagan, Mn 55122 Improvement Date Amount Annual Years Payment Receipt Oate STREETSIlRF. 55.95 A013565 2-21-84 STREET RESTOR. GRADING SAN SEW TRUNK *SEWERLATERAL ' ()2.$5 A013565 2-21-84 WATERMAIN *WATER LATERAL 1981 WATER AREA ?T•_ STORM SEW TRK U 229.09 A013565 2-21-84 *STORM 5EW LAT 981 CURB & GUTTER ' SIDEWALK i STREET LIGHT , ' WATER CONN, 33500 of n ? BUILOING PER. 7085 SAC ? PARK CITY OF EAGAN Remarks Adaition Thomas La.ke Hei hts Addition Lat 2 R,k ? Parcel #10 75950 620 01 Owner street 1515 B Clemson Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Oate STREETSURF. 167.83 A011191 6-22-82 ? STREET RESTOR. GRADING SAN SEW TRUNK *SEWEfl LATERAL 62 92 1$$.47 A011191 6-22-82 . WATERMAIN *WATER LATERAL WATER AREA STORMSEW TRK " 270.73 AO ils 6-22-82 ,rSTORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 85.00 # WATER CONN. 335.00 BUILOING PER. 7086 5AC 525-00 PARK CITY QF EAGAN Remarks Additio? thomas a ights Lot 4 - RIk '1 Varcel #10 75350 040 'n owner ?" `'?' street 1517 ClemsOn DY'ive state Eagan, MN 55122 Improvement pate Amount Annual Years Payment Recaipt Date ? STREETSURF. 16 .a A01110 -28-82 STREET RESTOR. GRADIIVG SAN SEW TRUNK P9? ? ASEWERLATERAL 1981 314.09 62.82 5 188.4 A01110 -28-82 WATERMAIN *1M1IATEFI LATEftAI 1951 WATER RREA J-1 'J STORM SEW TRK 1981 112-37 20-82 270.73 A011109 5-28-52 ISTORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET I.IGHT oa nit 185.00 #28825 2-10-82 WATER CONN. 335.00 6UILDING PER, 7087 SAC PARK CITY OF EAGAN Remarks Addition Lot 5 Blk ? Parcel #10 75950 OSO 03 Owner ' f% •? screat ??B Clemson Drive 5?te Eagan, Mn 55122 ?rJ ? $ Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 1,6']. $3 A011428. 9-13-$2 STREET RESTOR. GRADING SAN SEW TRUNK 1979 *SEWER LATERAL / 188.47 A011428 9-13-$2 WATERMAIN *VYATER LATERAL 198 WATER AREA - 7 - STORMSEWTRK 270.73 A01142$ 9-13-$2 *STORM SEW LAT 981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 #$ 5 2-10-82 CONN. 335.00 11 BUILDING PER. 7085 SAC 525.00 " " PARK S Pilot Knob Road .ayon, MN 55122 'Zoning: T ' Owner, tl'.'e1 I!^?f Address: Site Address: Plumber: WATER SERVICE PERMIT PERMIT NO.: DATE: ? , . . No. of Units: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to tompig with !h* City of Eagan Surchorge: O?dlnanas. Misc. Chorges: , Totul: 8y Date Pnid: Date of Insp : Insp : . . CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilo! Knob Road PERMIT NO.: Eogan, MN 55122 D/1TE: Zoning: No. of Units: ' Ownar: Address: Site Address: Plumber. ` " .. ?.. .. I sgree to eomplp wifh Nhe Ciry of Eagon Connectfon Charne: ' 12 :' .'! Ordinanas. Account Deposit: Permit Fee: Surcharpe: BY Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: ? WATER SERVICE PERMIT CITY OF EAGAN 3795 Pilot iCnob Road PERMIT Np.: Eoqon, MN 55122 QATE: Zoning: No. of Units: 1 ur. i t C??' . ` Owner, .?s N2?,e„ • ,,; Address: Site Address: fr' CI T'r i",,,' L2 B3 ThOmA 9 LBke Reif',ht3? Plumber: ._ . ? . _ . .. % , .. " r Meter No.: - Connection Chorge: ' Size: Account Deposit: ? Reader No.: Permit Fee: 1 eAres to eomply whh the Ciryr of Eogan Surcharge: Ordinaneq. Mlsc. Charges: .'r Totol: 9y Date Paid: Date of Insp.: Insp.: CITY aF EAGAIi 8795 Wlof Knob Rood [agan, MN 55122 Zoni np: O1M11Er: /lddress: Site Address: - . . i Plumber: 1 e9roe to eomPly wtth t6e CitY of Ea9an Cedinances. By Date of Insp.: S PERMIT NO.: , DATE: No. of Units: 100.00 pd Connectfon Chcrge: ' ' . Account Deposit: PeRnit Fee: Surchorge: Misc. CFarges: Totol: aTir oF EaaaN WATER SERVICE PERMIT 3795 Pifot Knob Road PERMIT NO.: Eagop, MN 55122 DATE: Zoning: ' No. of Units: Qwner: Address: Site Address: ] , - - . L - - 7'hinnn s f.aI,,? PPt;;i,t_.; o Plumber: Meter No.: Connection Charge: Size: Account Deposit: ? Reader No.: Permit Fee: 1 agrea to eomply with f6a City oF Eaqan Surcharge: Oedinanep. Misc. Ctarqes: • ' L ?'r Total: By Date Paid: Date of Insp.: Insp.: , ? CITY OF EAGAN SEWER SERVICE PERMIT ? 37go Pilot Knob Road PERMIT NO.: ` oa Eaqi n, MN 55I22 DATE: Zoniny: 7T No. of Units: ,I Owner: .t s ? r ?•: t _ ? Address: ? Site Address: 1517 C1^r ? Plumber: i - . 1 ag?ee to wmpy wkh the Citr of Eagon Ordiaanas. By Date of I nsp.: Connedion Cherge: Account Deposit: Pertnit Fee: Surtharge: Misc. Charfles: Total: CITY OF EAGAN WATER SERVICE P ERMIT 3795 ^Pilot Knob Rood Eagnn. MPI 55122 PERMIT NO.: DATE: , Znhing: No. of Units: _ I ur. l t ° r- Owner, 1S13 i'3; . n i;o: e-? Address: Site Address: 1 5 7. 7' r' 3 r,.,? pzt r -? •• r I, ?, B1 _ ? i; r ? Plumber. . r Meter No.: , Connection qhnr9e: Size: Account De Posit: Reoder No,: Permit Fee: ?°9'a b eomvly wFh the City oF F.aqsn Surcharge: -- Ordinontat. --------- Mlsc. Chorpe s: ----- B y Total: Date Pcid: Date of CITY OF EAGAN ?GIF* ER a&R ?l%.G rc?un? ? 379: Pllot Knob Road PERMIT NQ.: !o{,on, MN 55122 DATE: Zonir?g: ' of Units: 1 ; iY t! 11 No . Owner: Address: Site Address: _ - . , ,,ir;• :,-• ' r . Pl umber: , . ? . 1 a9rae to oomplr wih Nhe Cifr of Eagae Connection Chorne: -- '; ? Ordinanees. Account Deposit: Permit Fee: Surcharge: BY Mix. Charges: . Date of I nsp.: Total: Insp.: Date Paid: BIALDING PERMIT N° 7087 Recelpf # .? `?' -" S Site Addreu 1517 CZeiRSOR Dr1V2 Erect $J{ Occu onc R-3 p y Lot ' 4 Block 3 $ec/Sub.ThMa5 IdkO Ib1CJ1'1t5 Alter ? Zoning PD 10 759 50 040 03 Repoir p Fire Zone NA Parcel # E l of Const T V n nrge ? . vVe W Name HdI15 Hdtm HomS Move ? # Stories 1 Addren 2353 N. RlCO S'trECt, Demolish ? Length 40 o-i aai i 21___ nuz_nstm Grode fl Depth 22 Sp. Ft.- O Neme ?71n71'1Pr ^rr""" ? ~ ?u Addren Assessment _ Wofer 8 Sew. Cit Phone Police _ ? F W Name fire Addreu Eng. <W Ci phone Plonner - Council _ 1 hereby ackrwwledge thot 1 hove read this uODlicotion ond stote thaf gldg. Off. - fhe inlormation is carrect ond ogree to tomply with all opDlicabb $fate of Minnesota Statutes and Ciry of Eogon Ordinonces. AP? Sipnature of Permittee A Building Pertnit iz iuued to: Flan-q all work sholl be done in accordance with oll Permit LU6.DU Surchorge 16.$0 Plan check 103.25 SAC 525.00 WaterConn. 315 _00 WoterMeter 60.171n n Road Unit 11850 Torol $1431.25 CITY OF EAGAN 3795 Pilet Kno6 Rmd Eogon, MN 55122 PHONEs 454-8100 on tha exprexs condition thnt of , n9p oro Srotutes ond City of Eagan Ordinonces. Bullding Officlol *?9/7/ - r r .._. ?-. ....:?. 1 site plan w/elevations 6 u , E3UIIDIN(; PFFaKIT APPLIGlT7dN 1 set of enclgy Calculatioi ?- ,aoa 'Ib Dc Usec: For Qt?I?D C?t?l!`?S Valuation 33 _ Datc sitc Iddress: /67/7 j?°LE/A541? L`72/?E Int -4 13loc3c ? _ Sec./Sub. 77/0^/t/k5 4f96 Parcel A: IC 7?`i `.3-0 (>to C?71 ? awner: {?i?1?5 NAG-E?n/ #OrVEs Address: 23?3 /l, 57-4i?57 City/Zip Crx3e: -,-"T, QAvL otnnI 5-5-0$ Phone s: w83 -6fW Contractoz: 1*dS Adciress: Ciry/zip Code: Alter Repair E.tilazge ? hbve Dmnlish Grade OFF'I(E USE CNI.Y 3 ? Fire Zone N? Rype of Const. A Stnries Front -1/0 f Depth a ?2f APPRO'v?LS FEES Assessnents Water/Sewer Polioe Fire Phane i: f?. -- Plamer Arch. /E7x1 •0(1EN S Council Bldg. Off. Adc.ress: City/Zip Code: Phcne #: APC Pennit _? Surcharge /dE I.ER Plan Chcrk in3 ztz SPL SVs-,Vq Water Conn. 33 s°09 Water Metex Roa3 Untt ) J-6` 'IT7I'AL I ? ?, , 25 BUILDING PERMIT N° 7088 Reteipt # Te 6e wad /or 1 of 4 YI,EX Est. Volue $33, 000 Dote F ahnurv 1 n , 19_82_ Site Address 1_517 B C1P.ttISOR Dt7.VE ' Erect g}( Occuponcy R 3 Lot 5 Block 3 Sec/Sub.ThonaS Idke Iie7.CPubS Alter ? Zoning PD Varcel # 10 75950 050 03 Repalr ? Fire Zone m E l T f C V n crpe ? ype o onsr. a ? Name ?a? ?mS Move ? * Stories ; Addreu 235 3 N_ Ricr± Gtr'e,-tF Demolish ? Length 40 b Ci G. Pa>> 11phom 483-0801 Grode ? Depth ZZ Sq, Ft.- A Name own EL' ADVrovals Faes f i? Addrou ? r... Nume _ Address I hereby ocknowledge thot I have read this appiicotion ard state thot fhe information is corred and ogree fo wmply wifh all opDlicoble State of Minnewto Statutes and Ciry of Eagan Ordinoncez. $ipnature of Permittee A Building Permif is issued to: maT? oli work shall be done in accordonce with oll Bullding Officlal arr oF E?aaN 3795 illof Kaob Rmd Eegee, MN 5514f PHONE: 434-8I00 Assessment _ Woter 8 $ew. Police _ firc Enp. Plonner _ Council _ Bldg. Off. _ APC - Permir 4VO.7V SurChurge 16.50 Plun check 103•25 snc 525.00 Woter Conn 335. QO Water Meter 60.00 Rood Unit 185.00 Torol $1431. 25 on the express corditlon Ihnt of ota Statutes und City of Eagan Ordinonces. 1 site plan w/elevations 6 IIUIIDI?,K; PEFAtTT 14^I'L7GITION 1 set of enezgy cajNlation 33,oa 8 'Ib nc Used eor QVAt? uJ?tTS valuarion Datc Site lddrrss: /5/7 S ? OfFI(El1SEQd,Y Int ,r" 9locic 3 sec./sub. Erect ? ?- ? Parcel IL Z?,qSc? eS c? o Alter Q,mr: AAtA t?f?f?EN /iOMES Address: 2.`353 ? RICC S7-4E.E-r? City/zip Code: PAv4 Mi?..5r0'tg"r Repair Fire Zone Enlarge _ 4ype of--Oonst. Nbve # Stories Dernlish Frront ft Grade Depth .?z ft Fhone #: 40° 3- O°r O/ pppppVAL,S F= Contractnr: 114A /t40E/? 464ivtC5 Pddress: City/Zip Code: Phcm #: r?./?. : ffl?i?S 1???E?/ ?i+??s Ac3dress: Citl/2ip Code: Phore #: Assessmnts Water/Sewer Police Fire En3 • Plarner Caincil Bldg. Off. APC Perntit sD Surcharge 1?32 Plan C1xaclc SAC ?- ??_ a?..-' a6-.¢?- Water Conn. 3 3 Q-d water ^4etez /?o ` Roea vnit , ?5-? =aa., dr BUILDING PERMIT N? 7086 Receipt # ' Te M uud for 1 of 4 PLE?C Est. Value $33,000 Dote F?hnianz I0 , 1932- Siro Address 1515 C1P.R ISOn DL].Ve Erect XX Occupancy ?3 Lot 3 Bloek 3 $et/$ub.`??S Ir'1?{0 HElCJ11t5 Alter 0 Zoninp Porcel # 10 75950 030 03 Repoir ? Fire Zone NA E l T 4 C V n orge ? ype o ons1. rc Name Aai1S Eia$P-I l HOICC?3 Move ? # Srories ? Address 2353 N. Rice Stseet, Demoush ? Length 40 Ci St . Paul. 55113ph,,,e 483-0801 Grode ? Depth 22 Sq. Ft._ p Name rt?r ADVrmab ieas =u °u?S i- Name _ Address I hereby acknowled9e that I have read this appiication ord stare that fM inlormofian is correct and ogree to comply with oll opplitable Stote of Minnesoto Stututes and Ciry of Eogan Ordinonces. $Ipnuture o4 Permittee A Building Permit is issued to: HaTic- oll work sholl be done in accordance wifh cll cirr oF E?GAN 3795 Pilof Knob Nmd Eagan, MN 55712 PMONEs 451-8100 Assessment _ Wofer E Sew. Poliu Fire Enp. Plonner _ Council _ Bldg. Off. _ APC Permit ttjo.DV Surchorge 16.50 Plon check 103.25 snc 525.00 Water Conn. 11;..Il0. Water Meter 60_nn Road Unit i AS _ nn raai 1431.25 'S on tha expreu condifion thnt of Minnesgla atutes ond City af Eugon Ordinoncea. Bulldinp Officiol ??' r, V ?..: .. :_...v. ?;?.:lu„l' ? 5l'i.? u: ?:171u. W cf- ? -- ? 1 site plan w/elevations b BUIIDI!x; PEfAtIT APPLIGITION set of eresgy cajctilatior ??- 'Ib Bc Usecl For fyV U i- ITS valuation // /' W Datc le?82 --= Site ]lddress: i???; GL?.? d"7RI VE Lot 3 Blodc ik.?_ Sec./Sub.7h'ainAS G,4,? ?s Psrcel f: I C '? S`Z ?U' -7S o.+ner: ?qn/S 11466d On!?5 aadress: 2_3<3 /,/. Rrc.c= City/Zip Coc'.e: ST t'39u? ? nn y. sSi6 OfFI(E lJSE QMY tzect -? Alter - 7.onin9 QD Repair Fire Zone 11.4 Enlazge _ 'Iype of ODnst. -2? hbve # Stnries Detnlish Front Q ft Grade Depth o22- ft Fhone # : -4?B3 -T.?%a1 APPPDVAIS F'F'.ES Contractor: AAd5 f{A60-,V 4M-E5 Address: City/Zip Code: Phcne fl : ascn./tng.: i4N!s 11,46tk/ ArnEs 1lddress: Gi=y/Zip Caie: Phore #: Assessnents ? Permit c?d(o Wster/Sewer _ Surcharge Police Plan Check ?L3 a-,T Fire SAC csas --Y F7x3. Water Conn. 3 3s` - Planner Water Meter ? Council Itoad Unit / SS °Q Bldg. Off. APC ZS 4l7'PAL , I q,3 I I ?'?` ??v +/ S , ?.?,. v. ..• .?_ ilk.'?1JC . bV:? V. F:1.11ur 1 site plan w/elevations 6 . ?`. IIUiIDIN(; PI:i ' 1u^PI.IGITIGN ? 1 set of energy calcvlatia 'Ib 13c Usec: For (2UAt? uN kTS Valuation igmEgEt `Datc ?-- Site Addrrss: 15175 & CLEr?/?2o?.? 'D74N6 OFFI(E USE ONLY Ipc 2 slock 3 sec./sub. nb,wAs LEFX.E Emct X_ occupancy /(3 rs- Parcel A: Alter Zonin9 PQ C'?5`? S O r.} Zv c> ; gepair Fire Zone Av ,4 Owner: ?Al?lS MbeJ lt+?M?ES E.ilarge _'IYPe of Oonst. ? ?e q Stories f Fddress: 2353 ?$,? «'G ST/LEE % Darolish _Fmnt y? f PAJ4- nn4, S 5 03 Grade DePth ?.2 City/Zip C,ode: ),,. Phone ?: 4o` ?- O?id 1 APPI?l?vAls F? f? Permit MES Contractor: yArls 1146al Assessents Surchazge >/ Adaress: City/Zip Code: Phonve i: Arcn./Ehs.: /?$?/S f?At??? OAn-C5 Address: Cit-f/2ip Ca3z: P:icre #: Water/Sewer Polioe Plan Chcclc l03 Fire SAC ?S?=p water Coa?n. .3 3S? ? Water Meter ( COUnCil RDad UnLt JSSOp Bldg. Off. APC ?ror?. 1 3 , ?-s 1-3 531 '(6 wi- LaIcE O SE 1 H HEA TING TEST RECORD ADDRE t ? ?i ( :L-E?Ly?I 7Dv\ t G t . APT.-FLOOR CdTY :_SUBURB - OCCUPANT e-E OWNER ? CeAlf?es HEAT LO55 DATE TG. INST. GAS C0. METER BADGE SOLD BY 5%d? >u+'"L fti ?t.A- lLf[t INSTALLED BY SC.?]vttre .i v.o Electrical Werk By 8 c2i i Gos Line By ?? JLJZ(?Obn L_ _ TYPE OP HEAT GA - FA. X HW _STEAM _ SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN CONVERSION MAKE Riee??^ MAKEOFBURNER Modal Model Smial p ? ?. Max. BTU Rating INPUT f?? l'?i? MAKE OF FURNACE Modal THERMOS?T)A? Valve rilir. Limit is Limif SeMing Fon Setting ! Pllof Type - Pilot Maks _ Pilm Model"_ Pilot Timing L.W. Cut Off Hect Plug Vent Size L KIND OF LINER_ Drah Heod F4? Filfars Size Prossure :g+5PsrcentC02--e?-FC.i-- InputCFH%L9 Percent 0, ??????? $tack Temp. ? Psrtent CO p,0q'4j Chimney Loeation Chimney Construetion Reyulaior Outside Smoke Bomb _ N1 M?iring ?? 'P C'° Draft ods ?- Test Taq ?r ? Door Pmssuro yJ4' Lightinq Insr. Dote Tssted 9 _), -- Company Tes"_-y ?? Name of Tese p y? ? ? y` Fwm 235 C,Zk g3( 9VO65E HfATING TEST RECORD ADDRE55 APT._FLOOR CITYSUBURB 0CCUPAN7&iAS ?419 '\. Plr?u??ESS OWHER ?- HEAT LOSS DAiE HT,?j. INST. GAS C0. METER BAD SOLD BY ry?Cp-- INSTALLED BY u ?r Eleefrlcal Work By. AP.[j Gas Lim By TYPE OF HEAT GA ., FA K_HW -STEAAi?)SPACE HTR. _UNIT HTR. -OTHER giES11GII CONVERSION MAKE IAAKE OF BURNER BTU RotinqINPUT MAKE OP PURNeCE Mod•I CON OLS THERMOST T A' ar Plup Vent Si:• ? - - - Vaive KIND OF LIN SIZE NONE x Limit 14 014 'e- /,LJ PDrah Hoad L' + Rpularor Limit Sett{ng Q4D/ Filtws 51:l yx S wuaiMr r Fan Seftin9 ? 4Vl Chimmey LowMen Inslde?0ulsido Pilot Type C ?- Chimney Consfrucfio? /? Pilot Maks Pilof Model a' Smoke 6omb-?-? Wiring P ? Pibt Timiny puft p . N i IW ? .T?a1 7ay L.W. Cut Off Oow Prosaw? ?.c?' liphtiny Imf. Pron:ura Peremt CO2 N% Daro T•.eed ' t Inpur CFN PKC•m p2 Cempany Staok Tamp.?Psrant CO ???Q_%Z2- Name ef Tssror ??1, '?? J y. Ferm 235 . , ? • " ? (4 'fhow`LKHOUSE ?HEATING TEST RECORD ADDRESS L& i'a c '' I -APT. _FLOOR - CI? C• l'- SUBURB OCCUPAN7 j`I('.t,jj?; Li('iP.? o/tf` S OWNER - ?a HEAT LOSS DATE H G. INST.? ?!% ?7/,Oq GAS C0. METER BADGE SOLD BY Nip INSTALLED BY xjklt? e Elechieal Werk Ry / t%1 '(AS LiM gy ' S'fa fAI' 16 [Sl \? _ TYPE OF HEAT GA _ FA k HW -STEAM -SPACE HTR. -UNIT HTR. _OTHER GAS DESIGN CONVERSION MAKE IAA MAKE OF BURNER Model Medel - Sxial Mux. BTU Rarins ..INPUT 6 MAKE OP FURHACE Mbdel rIRVLJ THERMOST T 6 H ?z/s Pl ;, V S ' ' aat uy Valva P bNti"..( /`C? 1 - ant fza - `?' KIND OF LINER SIZE NONE - OL( e-- C, . e t Limit H .-2 u Drah Hood E'?e'Inrk, Rpolamr La Limft Ssttin9 p y Filfera iiso ? y ?? Nu'nb?r Fan Sstting c?J- ' Chimney Locotion Inside?OuNide e . Pilof Type Q?imnsy ConstruNion Pilof Maks (_If? I'( 'eV 1 I , Piloe Abdel 4$? 14 i/ Smoke 8omb . Li U Wiri?g ?` ? S Pilot Timing Draft - d? ,L_p G Tuf Tap -•/ C'S L.W. Cut Off K??_ Dow Prossws uA'' Liphtinp Imt. Prosaura 3 5' 1.% C pereent CO2 -?- Dcro Testsd Irput CFH ';Tfv Pwcam 0' t) jPZ!- l Company Taating 0/0 smck r.mp. Pxant C0 Noms oi Tsst.. Form 235 • LVLO?"a-S (-O'K"?4?_B,HOUSE HEATING TEST RECORD ADDRESS - OCNPANT HEAT LOSS SOLD BY__? Elschieal Work By TYPE OF HEAT 73 12- levZso? Dk- APT._FLOOReC--CITY SUBURB br?c HDtQep,,- ttDwP a ONNER Lla 7Qa4Y DA E HTGr INST. V? GAS C0. METER BADGE 4 L4-ri-i ? INSTALLED BY `Q Gua lina By EhQ'l? GA _ FA X- HW _STEAM _SPACE HTR. -UNIT HTR. _OTNER GAS DESIGN CONYERSION MAKE P_eLePU? MAKE OF BURHER Modal ' ' - Modal s..;ai ?r io R Mo,. Bru R.i _ INPUT Wd, 0 ' ?INA- MAKE nF FuQUSrF ' Model ?"lD P?.tXJ IKVLJ THERMO AT ? %r V Jj eot Plup snt Si:e Volre KIND OF LINER SIZE NONE Limit Drah Hood ' 4tr-tCREV Rpulemr i 9'e f Limit SsMing Filtns Sl:s ? y um6sr Fan Setfing teA 64 ' ?25 Chimnay Leeotlen Inside ? OuHide PilotTyps ar C]himneyConstrucfion ? Pilot Moke ' p Pilot Mbdei S Smoke Bomb uG Wiring Pilot Timing Draft ???i ???? T?at Tap ?C L.W. Cuf Off Doa Prosaure Liqhliny In•t ? ? P P ? a 7 ? DZ rossure ereenT COZ Data Tsstsd ?l! --- gO Inpuf CFH-? - - Pwcsnf 0 ?Il Cempany Tas}inq ? 2 2 ??' N , ,,, Stock Temp. _??Perant C02 bDd ?/'? Nams of Teafx ?•; ?i! Ferm 235 ' .A BUILDING PERMIT N? 7085 - - Receipf * .W,O Value 1 of 4 PLY?C Est d f T 6 $33,000 Date E gbrit'tY'V lU , 19 b-/ . er a s we Site Address 1515 S C1wLSC)T1 DL'].Ve Erect ? Occupancy R-3 2 dkO ThOMs I 3 HfightSAlter ? Zoning PD Lot . Blxk Sec/Sub. air Re ? Fl.e Zone NA Porcel .{p 10 75950 020 03 p _ . Enlarqa ? TYPe of Const. V s Name uan,g j-]awn FinmaS Move ? # Staries ; Address 2353 N. Rice Stx'e2t Demolish p Length 40 b ci St . Paul 55113 ph„e 483-0801 Grade ? Depth ZZ Sq. Ft.- ow,er ApDrorala Faes p Neme ? ?? Mdress Name _ Address 1 hereby ackrwwledge that I have read this application and state that fhe inlormolion is correct and ogree to comply with all opplicable Stote of Minnewta Statutes and Ciry of Eogan Ordinances. Siqnoture of Permittee A Building Permil is issued to: --? all work sholl be done in accordance with Buildinp Offlcfol - CIYY OF EAGAN 3793 PiW Kno6 Rrod Ee9an, MN 5512= PHONEs 454-8100 Assessment Warer & Sew. Police Permir 206.5l) Surchorge 16.50 Plon check 103.2$ Firo SAC 525.00 E'q, Plonrrer Woter Conn335.00 Water Meter 60.00 Councfl Rood Unit 185 _(1(1_ Bid Off . g. qpC Totol 51431 _ 25 G . on tM express condition fhat of Minnewta Statutes ond Ciry of Eogan Ordinonces. Tn,s ,e4,?e,L ?oId .?1 LI L? 1 1?3 ?, Lk ? FI-Vs , .?R ,?? J i,.,,,?h< <,or, ? y U?q1 R 4 .oo Becuest pete Fre No. Roup R ,lnspocbon ?qe:idy Naw Will Nmrty Inepec- ?! ????G? Ves ?No toi WhPn Readv l n%Licensed Eleatrmal ConVactor I hereby raquest mspecfion oi above r'1 n....._. electncal work installed ac- S-et Address, Boa or Route No. 5?5g oaA,??- Crv ecLOn No. iownship Nnme ur No. Fonge No. Com"ty Or,cupanilNFINTI Phone No. Power Supplier Adtlress Electrical CoMracmr (Company Namel Gontro?ctco,r's License No. iY wner Makmq Ins(ailavoN to r or D tr ac AdJress (COn Mailin q ? ` ? / ? ? , ? ? ( ` `"ltt ?..' `.'-1C1 Au[honzed Signa re ( Mractor/Owner Making Installeuon) Phone Number c MINNESOTA STATE BOAPD OF ELECTNICITY Griggs-Midway 61Ag. - Noom N-191 1827 UnivarsitYAve..St PauI.MN 55104 Phone 1612) 297-2111 6E ACCEPTED BV THE STqTE BOAFD UNLESS PHOPER INSPECTION iEE IS ENCLOSED. EB-00001-03 r.': ,,, I1.REQUEST FOR ELECTRICAL WSPECTION k of llow copv 'll ?` 3 1x. See insiructions tor cu?npleLng Lhis form on bac ye. ???,1 ? u ?? •'x" gelaw Work Covered 6y This ftequest Enu,ume,,, wl.ea W??ed New Add Rep TYpe of 8uildin9 ppiances TBmp012Cy $QYViCE Home Range Water Hezter Lightuiy Fixtures piiplex Electric Heabn Apt euilding Dtyer Silo Unloader Gommercial BId4 Fumacc Indusinal Bldg. Air Condit SeN?ceEntranceS¢¢ ? Fae Fned Fee , 0 t0 l 0U Ant ]5 ? tO : tpi to 200 Ainps 31 to 11 F Bulk Milk Tanl< Otllar (SOerifv) Other Fee Cuc?uts 0 to 30 Ain s 31 Yo 100 Am s Above 100_Amps Part?al?Oth Cysv TOTAL F E i « I, the Electncal e he?eby certify thal the above t? ? ?Sp¢?t?on has been This raquesi vc 18 oionms 6om rn,z .eauest ?o,d Fa- /19 ?18 nwV iV f 3n1 1 1-3 1, ;?> 31 ?O:OC> APqUBSI Da C ? Flm NO. ROUgh-?Il 11ISp0f_[IOfI Re rPd> Reatly No?Will Nuutv Insuer,- L] L?? y? ?NO «?r When ReatlY $'Lmansetl Elec(ncal Convacmr I herebv request mspeclion oi abova ? Owner electncal work mstalled at 511•,e[ Addre.as, IInx or Route No. Crty l? C,LEP15OIJ DMut ecLOn No. TownehiU Namn or No. RTnGe No. Co` $? ty 1 { \ p V1V• C, A Orcupdnt (PRIN1) ? ?% PhonN No. ? I,.? 5 N?- Power Sier AdAress I Elect :al Contmrtor IComuany Namel Comr ctoi's Licanse No. ??j5y5 -z- Mailing AdJress (Contractor or O w ne r Making Insmilabon) p l ? Author¢ed Stgn ¢ure I on[ractor/Owner Making Installationl Phone Number MINNESOTA STATE 80APO OF ELECTRICITV Grlggs.Midway Bldg. - Room N-191 1821 llniversrtY Ava., SL Paul, MN 55104 Phone 16121 297d111 TMIS INSPECTION FEQUEST WILL NDT BE ACCEPTEO 6Y THE STqTE BOAND UNLESS PFOPEfl INSPECTION FEE IS ENCLOSED. REQI,_ „AL INSPECTION Es- oooui -oa g Q ?III, Seo inst" ?- plevng this fonn on back of yellow copy y. ""X_ L '?elaw Woik Covered by Th ; xequest New qdd Fen Type u1 BmlJing o Applianws WueA Epuipment WvEtl Home ? Range Tempoiary Servicy Cluplez Water Heater NA , Liyhtiny F-ixtures Apt. Bwlding Dryer Bectnc HeaYinc Commercial Bldg. Jurnace Silo Unloadci Industrial Bldg Air Conditioner Bulk Mi Ik Tank Farm Othor SpeaW Other lSUe( ify) Oihnr (SUecify Othm Other (.OpIpUtP lASDBCtlOR l'HB HEIOW n Fee ServicaEnhance5¢e # Fee feeders/Subfeeders # Fea Grcuits ?Q - 0 to l OD Ain s 0 to 30 Am s 'Zi: '- m s 101 to 200 Amps 31 to 10 Amps Am s tj Above 20 0 qmps Ab100-Amps _ Transtonneis Remnte Control Grc. ' 'v her Feg I I Signs Remarks Houen -,r Final SpeciallnspecLOn v?6 TOTAL F 'I . $1 Eltuc,,,Col ?????' nspector, hereby cerbfy that the nbove 'D11e1 isuection has bean _ /-dr m,?e This request vaitl 18 niunths tmm Th., ?un_t void 18 mon` s from ? l T 93319 , Aeqoesi ote Z? ab kg-Li„ensetl Electrical Contractor ? Owner Ofirr uri Nuoress, ao or nore No. u City 1?1?.u..? MS:*J DfAvy EpoAN ecuon No. Township Name or Nu. qange No. Goumy OrcuGant IPflINTI ? itR t` vvms Phune No. ? PowornSuArpplier Address ' " Ele Lncal Cnn[,actor (Co?npany Neme) Co Vaotor?s Lmi ''? ' Mailinp AdJress (Contracmr or Owner Mabng Instailauorq I'l l ' l E. . cL tff ?D Authmoetl Sd9n91ure (Con[ra?Q /Ownor Makiny InatalleLON Phonce,?NumbeLr` .?} IC -.7J? MINNESOTq STATE BOAFO OF ELECTNICITV THIS INSPECTION FE MINNESOTq STATE BOARD OF ELECTRIGTV THIS INSPECTION HEpUEST WILL NOT Griggs-MiAway Bldg - Room N-191 BE ACCEPTEO BY THI Grig9s•MiAwey 91de. - Noom N-191 BE ACCEPTED BV THE STATE 80AAD 1821 Universiry Ave., SL Paul, MN 55104 UNLESS PNOPER INSF St Pxul, MN 55104 1921 Universiiy Ave. UNLESS PPOPEP INSPECTION fEE IS Phone 16121 297.2111 ENCLOSED. , Phane (812) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION q ' . rv ry REQUEST FOR ELECTRICAL INSPECTION h ee-ooooi-oa Yt w r ' See insvuctions lor completuig this torm on back of yellow cnpy. ? j ?J .L y.,} ' See inshuctions tur comple[ing this form on ba ck o( ll v~ E.;Icw Work Covered try 7hfs Request ? "Xl" Be/ow Wofk Covered by 7his Request ye ow o ^ t_(/ c Pv ??X? U N Add Pep. Tvpe of BuilAinq Apoliances Wved Eqmp Home Range rempurary Duplex Water Heater Lighting f Apt Bwlding Dryer Electnc F ' Commercial Blcly Fumace Silo Unla ? Industrial Bldg. Air Condiuoner Bulk Milk I.._.._ omoi soecitv Othei Isue ORYPF /SPIOW Remnrks This requast void 7 e montns f,om ? 93320 I IC41 fi1B ? FIf2 NO. ROUqh-II II15{]CCtIOn A imA> ?? ?Re.?dY Now ill Notify InspeG- [w Wh F , YCti ?NO en eatly r Lioensed rlec[nwl Coninetor ? hereby request msoecnon ol above Owner electrical work installed at. 5'-=et Address, 6ox or Route No. Citv 1517b cuctt>'or? NJbWN ection o Townshio Nama or No. Panga No. Gowrry OccupnM (PqINT) ?? qw- Phune No. Power SunPlier Address ?2?,/? ?? .-?r(?PJ " - ? t NI ! 0' Yilc.J Elactr? al Comracmr (COmpany Neme) Conv :mr's Lmense No. ?Ea-+- EL.Ec?Rd? ? i 15z.S-L- Mailing AtlJress (COnVactor or Owner Making Instailaimnl ?'l i l E. ?_t-t ff- F-Soyo Auffionzed Siem turP Contractor/Owner Making Installetionl Phone Numbcr c9o .SS?t Ne Atl? Rep Tyoe ul8uiltlmg Horne Auoliances Wiretl ?i mnnt Wired Fange Sorvice Duplex Water Heater ixtures n Apt Bwldmg Comrnercial Bldg Drye r urnac OU eabnc e der Industnal 81dg Air Conditmner TaMc FB?m Other5peci(Y? ifyi thwr ISVOafY Other CO/Pn(/(@ IRS JJECIlOR FP,B RP.Mw . p Fee Service EntranceSize u Fee etlers b Fee D to 100 Am s A.- 101 to 200 Anips Above 200 qmps s Amps =AbovelOO-Amps Transiorm?rs l Circ. Signs cLOn 5L) CIL> L4, 8 -31, Tti, LI,- tl-?-a . 7F?rc No. Pnuqh-in Inspr[[bn u ired> ?qet+tlv Novq{ ?os ?No I hereby raquest mspecnon of a6ove elnctncal wnrk installad at _ B Nql iceEntrence5ize N Fee Fee, o 7 UO Am s 0 to to 200 qrnps 31 to ove ZDO_qinuy q6ov f Transionners Remo Signs SpeCi RE RauBh-in ?. ? •,??ip!?f n? ut?} ? n Final r (. '.. :.. Dnte p .. . G_ Gf % TM1is ruque5t voitl 18 months from I Circ.plij . IOfI $30 C o 30 to 7 TOTAL Ruuen-in ?./ Dote - fnas..re...tot,. the Elec[ncal hereby etdy hat the bveDatc On has been ad. Th?s request voitl This iequest void -2 18 months fmm In 7 770 flequest D2te Fre No. Roqph-vi,lnsper.LOn Pe wreA ReaAV Nuw ?Will NoLfy Inspec- ? _& fr7 ?Ves (4 N. torWhenFeatlV [XLicensed Eler,vical Contractur I hereby request mspecOOn of abova ?.. ol-t--i wn.Y installed at SVeei Address, Box or Raute No. CitY 1517 A CYenvsan Duve Eagan eruon o. Townshi0 Name or No. flange No. Cowny Occupant (PAWT) Phone No, suzaw wha,eey Power Supulier Address Electrical Conttactor (ComDany Namei Cnntrar.tor's License N?. Le,t.n HeaZinq & Ekectir,i.c Inc. MaiM1n9 Address ICoMracmr or Owner Maktng InstailaUOnl 6525 E. 170th Sxicee.t Pn-t.an Lahe MN 55372 {honzed S nature IContrp?mr/Ow Making Install.tion) Phone Numbrr 447-249Q MINNESOTp STATE BOAflD OF ELECTRICITY Griggs-Midwey Bldg. - Room N•781 1821 Universilv Ava.. St. Peul. MN 55104 Phane (612) 642-0800 BE ACCEPTEO BY THE STATE 80ARD UNLESS PHOPEF INSPECTION FEE IS ENCLOSED. s?, 7 REQUEST FOR ELECTHICAL INSPECTION ee-oooot-os / ? ? , Sae msvuctwns lor complebng Ihis rorm on back of yellow copy. 7V? 7 fl''? '_7 /'J 12 "X'" Below Wark Covered by 7his Request ? Adtl I F ftep. -L_ .. Type ol Builtling - Applmncaa Wved - Equipmenl Wved Home Range ervice Duplex ?Nater Heater tures Apt Bwlding Dryei nn Commercial Bldg. Furnace er gm InAustnal Bldy. Air Conditioner ank Farm oter oeu v1 tvl other tt Fee ServicaEntranceSae tt Fee fexders/Subfeeders K Fee Cvcwts U to z00 Am 5 0 to 30 Am s 0 tn 30 ?m s Above 200 qmps 31 to 100 Amps 31 to 100 Am - Swimming Pool A6ave 100-P.mps Above 100-AmpS m siormeB Irrigatwn Boonis PerLal, Other Fee Signs Special Inspection S1Q 5 Q TOTAL F ? P¢m3rks , Rough-in , ? ?11e I, the Elec rical Inspector, heraby certdy that Ahe above Final j inapechon has been made. Thie request voitl 18 montm fmm C?R4M ATE F URVEY t • For : \\ ?eO HANS HAGEN HOMES, INC. \\ '?_ (? E.?rafi?ns S?fo?rn A?e Po?o' V ? ? j t ? / ? / / FOR BUI PERM1T Lots 2 through 5, B1ock 3, THOMAS LAKE HEIGHTS, Dakota County, MinnesoCa. SCALE•i Inch = 3D FeeT o DenoTes Iron Bearings sham are on an assumed i Wo haroby cartify thot thio is a truo and correcf roprea¢nlafion of a survey of fha boundarius o} the abovo describod land ond o} the location of all buildings, ii any, }horuon, and all visiblo oncTOachmenie, if any, trom or on said land. ? y.H E.G. RUD E4 SONS,?IRfC. i Datod thie dap o4 Aoaf 19+? elp ,C.^zr,G?i'"i :1 .?-"t'?? py. Mina Rag. Ho. ? 0 / A 5 ? ? e ? -- . ? / ?.l Job Nb. r?se-v I 80ok- Puge=' ., E. G. RUD 81 SONS, INC. LANO SURVEYORS 9560 Lexington Avenue N. New BrighTOn (Lexington), 0.9inncsota 55112 Te Iephone: 786 - 5556 _ x , ..,: :'..' ... :.., . ENERGY REQUIREMENTS s. Y., e,;, :; :• , Thts form to be completed and aubmitted with building permit applications ? y . • ? EXTERIOR ENVELOPE AYERAGE "U" COMPUTATION ' OWNER yiAds /?f?65iiI I6nn S SITE ADDRESS i CONTRACTOR #Ar15 /{OMeS DATE PHONE 4P3 -OSal Determine working square footage of each. • ' 1. Total exposed wa11 area ...... 12 Sv sq. ft. x 'N = 23 ,2 2. Total roof/celling area ...... (ctl sq. ft. x .0G?9 =? Total exposed wall area above floor = I2 40 a. Total wall windaw area ........................... 7q b. Total door area ................................. a c c. Total sliding glass door area ................... . ?7- d. Total fireplace wall area ........................ ty e. Total wall framing area (average lOX)...:........ ip% f. Total net wall area above floor ................. .eW qI2 , g. Total rim joist area .............. ........... 72 . Total exposed foundation area = q-S h. Total foundation window area ..................... - i. Toal net foundation area above grade ............ A-S Determine "U" value of each walt segment. a. -761 x liull s5 = 43,415- b. -2o x "u" . ?,5 = 3 C. 40 X "U" 55 s 2t d. I !o X "U" ,47 = 7,52 e. t b 1 x NUU .13 a J3 113 -- f. Li t 2 X liuil , vl g. -12- J! °U° , Dt? = 4,32 . . h. ._ X .u„ X itVa .?C/ a L21'J 7 3 ................:....................Tota1 a i7 2 If Stem #3 is the same as. or less than item #19 you have met the intent of SBC 6006(c)2. ?A?R?Ar? N??s? SC ??2 Util1?? - - e . a ? y . . . _ .-. . .._ . ?.,. w,?' . , " .. .. . , . , .(..d . ? •.. . ?t` ' . _ .,, ' . . ?.p?+':' 1 • .. . . '? h??'.f ? • .i ??f ?''?y`?' ???' ?t?': . . ?,?...3,3 .. , j. X uuu x „u„ : 04 _._ x „us, 0??3 . Totat exposed roof/ceiting area = (oll Tota1 skytight area............. . Total rcof/ceiling framing area (averagel0%)... Total net insuTated roof/cei'ing area.,,,,,,, ?O- .. . Determine "U" value for each rocf/ceiling segment. 4 ..................................Totat a = I(o.? , . , ? If total of #4 is the same as, or less than #2, SEC 6006(c)1, you have met the intent of . Alternate Building Envelope Design To utilize the total envelope system methad, the values estabTished by the sum of items #3 and #4 shail not be greater than the sum of items #1 and #2 1. 238,28 + 2. 2-f.4¢ a 2 72 3. + 4. 9? _ 76 ? .. . .:' . --i .. . ' (?G??Xk'-?'??? ?I?liO???l"?70"?Z? _ I?"??,?t??_ r ?.??_?. ?vlD?'?L??'??-?.?C? ir's:.. ?? ? ?..????.?-+i:-s?iti ?r. .?, . ._.-J? ?cP e<?1 . . , ?? i..[- •, _ .._? ? _ ? ,. PAV6 il.:ltl! . : ?°,-. :a.s°:?t; s `I? a ? ;; ??. '! ;??: ? c;- ,:.,^? ?s: . ??-??;•? ;? ?'. ::= . ?_?,?._.._ -- -' -- li_----- ? fi?'?-.s: c. I ?•... ,,, , , ? ,r. . ? t•:.?'...: . 7aos ?? - ?. +. ?.,.ali_?_.n.?_ _,-? ?_.n,_!_i,ao_I ''':?- '_ ?.laJ I tx,UL:.-3N __ I _ ';la- LJFQ ioCiu i ?F `` ? I _ '?iCiJ _-_ ic. - Lonn}'f i ._ ? ? ?.. _ _ ? t:: "Oiid , ? ,i;:i4 ? v: _ r- • , v;,?.c;,,-,.,? C.ftaad - - r., ? `- _ __- ? .. .. ?_.? __ _,:; ecc?s?;.?i T nsa: ? r. tifpLr` s?•. •.i? it f.i. ? VJ?? ?;T F;aT, ??• ? Mo. <P n: R ? MJ. t C.^<aa ? lisai[i Aran 1y.ti. I I Cavi. B+n, Coof. Btu. - iiA;{:?iion ?_?_ sn§?!{r.:?icr da;a•,?3 -? _ ?s,?. V?fl3l (°! a :• ,9, ; ? _ :' ?. ? ?_?I f:-p. Vloi3 ' ' ? - ? _ j 1 ? i :ol: I Kia:_ ? f??a :sF• Wa11 ^(? ??.!,.', t'.,+ Ejp. Woll ? ! aG ? b Rt? _ :tt. :'dtil a,?- ? n= .r ?i_?? ?•/__ !e`. °irr.ll ? i.:i?J?9 Coili:, 3 ot-'!oe; G? i- • ? T9?,!?.'?'_'_'__?.._.. .:?4?irvd ;Q. f°. 5. D..°.. er s::. E?c, W.A. Le?.lo• e.ra= _?__?? .'vred sq, f!. E.7. R. or aq, ins. W.A. Leadar era _ ` C.. .. $ccm Lang!h /Z' ' Lngih F(u Widfn I i Heish` ;'11:?10?•.Ns" aad C,)o°w-C3^.CY?+Se ar.?i A"?a --_ --? 4'.'iNG?)`v:?o and C:?•?i:5-C'!ZACK,dGE and AREA ' Yl ? H?:y:.t I Nc. of ' Lir.az: i!. Araa cf pane I af par,u . liqhis of cr?cY f!q. ff. ? I v:ael ff. Arae lt? h :loiqi:i Mo. of L s?_o.? ?f Fnna o? parvs iir?Ms _ o? ert<k tQ. !f. f ? '?Ll L i • " 'Y . ? ? i ? n• CiG(T. .REm. PvOGS. Bt4. :a•>';.? ? - Lr."dvrniion Doom I ., _ _ E,? iYel' ?---- - aiass _ , _v?? BI., ?Q. w??i.-?.?--? a41 ? ? ? . ?:, -- - I :s. ±7e11 - ? ? i ? int. 'Wsii -? rl. ?,r ' ,?' : ??,'?, 9p ? t. -?• ??? ?.15?????"??l. ?A E5' G4It;,a Raq-irnd tq. if. F. D. R. ar sq. ins. W. A. lendsr aree Widr k Re-yuiond rq. P. '.-. 3. R- ar sq. ir,.. W. A. Landor araa . ? t . Rear + L?n7:a y , : i -- =?. WIyDOWS and DUOiiS - CRAGkA.GS and A.'2Er1 I __ N?'EtvD6W'S end OC;`5R5-?-CRACitAGc and AREA -?Y;C1h Haiyht No. ot 6inee! #t. Ama ho, oi Panu a' P"na ? i:yhis I o1 ersc> fG. ?t. ? ? VJ:CSIe I Hei9F.i. Ne. af Linssal tt. A:w Na. o} P+m. I af parrz 1!gtts af crnck i sq H . . ? ? ?? ?"?'a?' d`i)•`I' .?' ?i ------'-"r? Ccc?. Bt•,. af. Blu. ? C ? Windrac I _J - In.?'ir:?fion ?_ _ ? 3uiiBre?ion ''?Irdars ? 1 4 L`'.( isp. W"a!1 ?iJr `" --- L?°_?• V'Ic'1 ? l4 x°c+?? F'' ' . 6;:... ?c7'c•, WcI1 J ii %N ! YJcil _ c r^. Ca.iiin9 -ca-Ff?•. (?„- e 1 `_ ? ) r??.) "1Z`.? ) ? ' ? ?' ? 1 6 - c. ?•. I Yctsi .m.lu. i _ ta. _ 7ohe fcaAu:,md sq. :. ar ^s. in . W. A. E+?is??r aree H. '= ?.. . R. I I Raquirod R. cr sq. im. W. A. Laedar arnn i 1- --- - _ - L-b5 10m . c'? s 5VjN3 YOTAL - ? .?.Fa:?_,?t??.?:?.? C.i. PAUb, ib:.N,\. ' G. .-.. " ,„: I P e u.H.:. -- -?,:3 O.• Q0.`.;°'. ;G'JC.----- I' INSU'v.-10.`: 1 -'- Do?n I f.?'r:_c" ?>.F:il j I C''"..' X?ad ? Giiir.q _ Vlc:: (Ya?--Rlo { ''- ? L-r,_-;.: ?iJiJ'?• ' ___? - ? ' - _' Yx?d'h Ii3;o' UR?/i cr.o Y' ^CiC :i-C^AC:' :°_? a n J A:FA `A'IiN)01 V5 o.ci 000:5 -CRACIC AGE an d AfiSA I . ; ? ? I O} N 0 c! pt_o i 11^` I !:r_:1 ;t. oY or_:S I !•• W. P. o. 14ic'a o} p?,?: .I:iq.4 ti 0-ao Mo. 01 I {I9?.'? Llnnal Y. o( [rack Ar.. tQ. (7. p .. , 0. coo=. ctu. --y ceos. ew. ?'/l dG*A c N I {I. I t _ infii` ?4ioa iccw 5r;:: I ?' 2.0 1 n.^ - i IC;r, O Yld 1011 7406 ? Exp. l•'Vni! 61u-s pt-t '?xP. F/oil NoF &p. Wal! ut.'-/ail • _ In+. Cc;ii?. ± x-11oEr I? Ca;li,:g or Hcor , 44 Tata) 8iu. •d i9. i6. b D. R. or sq. ins. W.A. Leedor arcc ioac' F L Rcom I Lcng'h v"i?'h Nofqhi ? Rnquirud sy. $. c.D. R ot :q. irs. W.A. Lcader arca R. i Room ? Rongfh - 4Yidth Height _ ?:r)(J'PJS and DbORS-CkACK W- A6E ond F.RE.A WINDOVtlS ea-i DOORS -GF'v1C(: A6E ond AREA i YliGih ? HniQnt NT o. ai aea oT X. Ii9Ms l?ne? 19. !•rea of crnc4 ? eq. fr. 1 1Y1dth No. ' at peea Hai4y> M pann No. af IiqEts Lineal ft. of creck Aroa sq. H. p__ p ? Conf. GW. Coof. Btu. Windam , WI(IfiJ`/{ n filh li l o n o Goon "!all Ex . 14c!1 ar_ ; _ Ef_u ^I?t cg \'lall I ? NoP !xp. `rYa!i ^ Hoc ? I i C?iling ar flaor, I 7oi.-1 Btu. R:r-,-'rcd sq. f'. E. D. R. er iq. in;. W. A. Laauor aro e i Roam I Longih ?Nid+n Hoight Raquiraa a4. fi. E. D. t1 ar sq, ins. W. A. Leader erea I ?oom I Laagih . Width Hoigh} \ri'`J^vOWS and DOORS-CRACKAGE and AREls W!NO OWi end DOORS -CRACXAGE dnd AREA - ? Witlth } I Hei3hf i ano Ne. el lig h h Linaat?k ? Arm fit- of c:ack i Q No. nidih of Gano Hcig!d. oi par.o No. 01 Iiqht. Lineal ft. of cm<k Arca ft. pa, , o pjne o r _ ( ? -- wimaoe, Infi??ekon O?n - Coof. 8tu. vn,to,., Infil+miio? o?ars Coof. 81u. _ E-_ Wa31 & . Wall gi_y 61av W<6 Iq;r. Wall NeF 6p. Wnii In}. Woli G itig or Raer TC_31 S+4. Coiliog or Floor TOfOi Rfil. Lzcdor nroa A EC R cr s inn W & i d 'i RaQuir:d s4 N. ED. R. or sQ' ins. W.A. Leedmr erea - - . . . . q. . :.qu r :q. t . • D-55 i):S 'k 1 -7- '- l• , - - • -i , FERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: euiL°ING Permit Number: 032568 Date Issued: 07/ 16 / 9 8 SITE ADDRESS: P.I.N.: 10-75950-030-03 1515 CLEMSON DR LOT: 3 BLOCK: 3 7HOMAS LAKE NEI6HT5 DESCRIPTION: REROOF ? ^, @?#Y?df? P e r m i t T y p e ?:iia2,din.g'°4vlprk Type ensus "M • ?.i >- ??_- 1 5; ,?.a'b ' - '?' emi' ,,,?iE• a n ? ??C?`?m5_" "•,,a.?«?' v STORM DflMAGE REPAIR 434 ALT. RESIDENTIAL e« grv? ?i ?`r,` ?t'?r%t E Mwmmu? At; ph `s?s. REMARKS: FEE SUMMARY: CONTRACTOR: CONCEPTUAL DESIGN 1066 7IFFANY APPLE VALLEY (612) 431-3393 - Rpplicant - ST. LZC pWNER: 14313393 2007058 SWADEEN PL 1515 MN 55124 EAGAN ( T„ ho.rOr6y; acknawl'e,d-ge t#sa`C T hauer. r€?a d inFonmation ?s'?e??rect an.d ag'ce? ?a:c+ ' r5?,dtu,?e?•-?nsi??i'?y°cqf.X°oga.n S?i=dinaes: ? . . u a?....., ?_? nscK CIEMSON DR MN RIY,:.w,??h //.? . / {. . el APPLICANTiPEflMITEE SIGNATURE -I,"? ISSLIEO B* A U ?"8 BUILDING PERMIT APPLICATION (RESIDENTIAL) J CITY OF EAGAIQ asao ru,ar xiNos Ra - ssiza 681-4675 New ConatruQion ReGUirements ? 3 registered site surveys ? 2 copies of plans (inUude beam 8 window saes; poured fid. design, etc.) ? 1 energy wleulations • 3 copies ot tree prescrvation plan 'rf lat plattad after 7/1/93 required: _ Yes _ No DATE: 2/A4 4z 54 DESCRIPTION OF WORK: &Za1 o?, 76 STREETADDRESS: /!?-/S /S/7 0,1P.yvlS0j LOT: ? BLOCK: SUBD./P.I.D. #: PROPERTY OWNER RemodeUReoair Requiremants ? 2 copies Of plan ? 2 site surveys (eMerior adddions 8 deeks) ? 1 energy calwWons for heated additione ;S CONSTRUCTIO,M COST; ?76 IJ Name: fGrl97J22 ,r h4h )!) C/- Phone Lazt First StreetAddresr. lS-/I-?l-?/7 e/ess?jrh 1.?- City C/-}'} 47"-, State: Zip: Company: QV'/C•2/f}? A?Sfqt-. Phone /-,33'?3 CONTRACTOR ?fd? StreetAddress: dr 5--SI)r' 6'p-s 1 License M 207V/ ? City State: Zip: 5r/Z y ARCHITECT/ ENGINEER Company: Street City Sewer & water licensed plumber (new cortstruction onty): and lot change is requested once permit is issued. Penafty applies when address chang I hereby acknowledge that I have read this appliption and state that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant L.L OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received , Yes RECEIVED No _ No _ Not Req :?_ Phone #: Registration k: _ State: Zip: 3 CITY USE QNLY /I L BL . RECEIPT#: 6? QG SU60. ? 6 4.N? l RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAI,) CITY OF EAC,AN 3830 PILOT KNOB RD , EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH Shower 3.00 Water Closet 3.00 Bath Tub 3.00 Lavatory 3.00 Kitchen Sink 3.00 Laundry Tray 3.00 Hot Tub/Spa 3.00 Water Heater 3.00 Floor Drain 3.00 GasPipingOutlet 'minimum-1 3.00 Rough Openings 1.50 Water Softener " for dwellings under construction 5.00 Water Softener ` for existing dwelling 20.00 U.G. Sprinkler * for dwelling under const. 3.00 1 U.G. Sprinkler "forexistingdwelling ' 20.00 ' AltelatiOnS ' to existing residence WJF?k?(/}) 20.00 Water Turn Around ?a 20.00 Private Disposal System ' MPC iic. 75.00 (new and refurbished systems) Private Disposaf Systems * ,4bandonment 20.00 RPZ (new installation only) 20.00 7p-,a U .50 ? ??•?d ? ------- --------- ----------tha-t --I have ------------------------tate ----that ----the iMortnation -•-------------is -correct-- , -to----comply-----with----all--------applicable- , -City ----of--Eagan----- ---ordinances- I hereby adcnowledge read this application, s and agree It is the applicanYs responsibility to no6fy the property owner that the City of Eagan assumes no liability for any damages eaused by the City during its normal operetional and maintenance activities to the facil@ies wnstructed under this permi wrthin City property/right-of-wayleasement. _ C I e IM So'Y1 • - SITE ADDRESS: /,-I7 - 1'e OWNER NAME: ?? Gli?OY\ 0 O I O!.l(, (-? INSTALLER NAME: /- l C(?r,e I( e- 'h°t J?Y) ?J STREET AD RESS: I J * CIIY: B JQ K ; /7 'J # TOTAL x = x = x = x = x = x = x = x = x = x = x = x = x = STATE SURCHARGE TOTAL TELEPHONE #: / ? I - U7b ZIP: ?31GNATURE CDlPERMIT FORMSlRPLBG PERMIT (RES) - 1998 COMMERCIAL ' ' - 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 ?? (0 71 t?? Foundation Onl New Construction Interior Im rovement . Structural Plans (2) sets • Architectural Plans (2) sets • Architecturel Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • CertificateofSurvey (1) • CivilPlans (2) • Projec[Specs (1) • CodeAnalysis (i)" . LandscapingPlans (2) • KeyPlan (1) • ProjectSpecs (1) • CodeAnalysis (1)" • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certiflcate of Survey (1) • Energy Calculations (1) not always" • Soils Report (t) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) notalways" . Meter size must be established • Meter size must be established • Meter size must be established - if applicable • ProjectSpecs (1) d • EnergyCalculations (1) b • Electric Power & Lighting Form (1) d • MasterEzitPlan (1) 1 1 . Emergency Response Site Plan (1) 1 ? • SoilsReport (1) y • MGES SAC detertninaUon letter • MCIES SAC determination letter • MGES SAC determination letter ca11 65 7-602-1000 ca11651-602-1000 ca11651-602-1000 rooa a oeverage or ioagmg racmnes - suomiz pian w rvuM uepmwiesni vi n?aw.. " Contact 8uilding Inspections for sample. Permitfor new buiidings oradditions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: II I?r L? WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST: ?/ ? A SITE ADDRESS: TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK PROPERTY OWNER Name:ZGYVICC 5 1-R ra5t Street Address: City: State: Zip: Phone #: ?(?.k L CONTRACTOR u City: OAA?(S State: a], \! _ ZiP: S?U 7?- ARCHITECT/ ENGINEER Company: Name: Sh eet Address: City: State: Phone #: (I )_ Registradlon #: ,t Licensed plumber installing new sewer/water service: Phone #: Zip ' I hereby acknowledge that I have read this application, state that the information is correct, and agree b comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Updated 7l02 Fust SUITE #: a: 125 GRq - $ Z!4 5 . ?_ 75950 THOMAS LAKE HTS 2ND CLEMSON DRIVE (PAGE 1 OF 5) ? 1515 10 75950 030 03 1515B 10 75950 020 03 1517 10 75950 040 03 1517B 10 75950 050 03 1518 10 75950 020 02 1518B 10 75950 030 02 1520 10 75950 050 02 1520B 10 75950 040 02 1519 10 75950 070 03 1519B 10 75950 060 03 1521 10 75950 080 03 1521B 10 75950 090 03 1523 10 75950 110 03 1523B 10 75950 100 03 1525 10 75950 120 03 1525B 10 75950 130 03 1526 10 75950 060 02 1526B 10 75950 070 02 1528 10 75950 090 02 1528B 10 75950 080 02 1527 10 75950 150 03 1527B 10 75950 140 03 1529 10 75950 160 03 1529B 10 75950 170 03 1530 10 75950 100 02 1530B 10 75950 110 02 1532 10 75950 130 02 1532B 10 75950 120 02 1531 10 75950 190 03 1531B 10 75950 180 03 1533 10 75950 200 03 1533B 10 75950 210 03 1534 10 75950 140 02 1534B 10 75950 150 02 1536 10 75950 170 02 1536B 10 75950 160 02 5 ?D?a3 RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knoh Road, Eagan MN 55122 Telephone # 651-675-5675 .. -1 FAX # 651-675-5694 (6l 13 .7S New Constructlon Reouirements RemodeUReoair Reauirements Office Use Onlv 3 registered site suryeys showing sq;fE of lot sq. ft. W house, and all mofed areas 2 copies of plan .? , Ced of Survey Recd (20% maximum lot coverage ailowed) ' 1 set of Energy Calculations for heated additions 7ree Pres Plan Recd 2 copies of plan showmg 6eam 8 window sizes;, poured found desgn, etc. 1'site survey for additions & decks Tree Pres Not Reqd isetofEnergyCalalations , , Add'Rion - indkaterfon-srtesepticsystem _ On-sdeSepdcSystem 3 copies of Tree P2servation Plan d lot platled'atter 711193 •' - Rim Joist Detail Options selection sheet (bidgs with 3 or less unRs Date /?r /.C) Construction Cost 1 3 a Site Address UniUSte if Description of Work ? 'A C olJJ bp f'-Q ( i Multi-FamilyBldg ? Y?N Fireplace(s) !/ 0 _ 1 _ 2 Property Owner _TDA01MQ.5 LU ? P loWY 120tunets,ASOC1ji41qelephone # (rp5 1) (o Contractar peo i xJ4 V, C? CC? v1 s ?f u C4 :[) NA CC7 •.?.? N C % Address p City ? podpfa State ??f ? ,.ip ?Telephone#(??_?q COMPLETE THIS AREA ONLY,IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residen6al VenGlafion Category 1 Worksheet (4 su6missian iype) Submitted • • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor IG A NEW BUILDING „- Minnesota Rules 7672 ' • New Energy Code Worksheet Submitted Telephone #( Teiephone #( ) Telephone #( I hereby apply for a Residential Buildmg Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pernut, 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. AL` ?? pavjz?? Appli anYs Printed Name ApplicanYs ignature MECHANICAL (RESIDENTIAL) Permit Application ?? b? ?e City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please comple[e for. Single Family Dwellmgs ` Townhomes and Condos when pemvts are required for each unit Date?/'-? / /03_ Site Address ??65 R Cih rj VY-_ Unit # ? 1 Property Owner ?? (??( V1 'rP Telephone #((f$-( ) (p?S(n"?I z 7 - Contractor . ?- St t Add Cit I V?' ?Yt 1J , e ree ress y . - State Zip Telephone# (W5-1 The Applicant is _ Owner ? Contractor _ Other ? Add-on, modification or alteration to eaisNng dwelling unit ? $ 30.00 1_I?furnace replacement ir exchanger , V air conditioner other State Surcharge $ '50 t l T $ ?e5n a o I hereby apply For a Residenhal Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemtit, but only an applicarion for a pernut, and work is not to start without a pernvt; that the work wil] be in accordance with the ap roved plan in th/e ?case of work wluch requires a review and approval of ]ans. ??i G e n ?Y r--? ApplicanYs Printed Name AppliEanYs Signature Z05 rqz 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? Nevr Conshucdon ReauiremeM.s RemodeVReoair Reouirements mo 3 registe2d site surveys showing sq. tt o( IW, sq. ft of house; and all roofed areas 2 copies of plan (20% maximum lot cove?age allowec) 1 set of Energy Calatatlons for heated addiUOns 2 copies of plan showmg b?m 6 window siaes; poured found desgn, etc. 1 sife survey for additlons & decks 1 se[af EneigyCaiculations Addition -iitdicaPe Nai-srte septic system 3 copies of Tree Preservatlon Plan'rf lot pWtted after 711/93 Rim Joist Dehil Opibns selection sheet (bidgs wBh 3 or less unfts Date ? / ? 9 / Construction Cost Site Address Z "lf-0j±Ci(/? ? Cl 6 UniUSte # Description of Work ? R-eAf 41G e?- o(AL-LIS Yatf'o oO Multi-Family Bldg Y Y _ N Fireplace(s) ? 0_ 1 _ 2 Property Owner Telephone tk -7 Contractor C Address Ece"c J City`2 State c SG Zip 0 Telephone #(M I? ?T a 71 `1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Ivlinnesob Rules 7670 Catecorv 1 _ Minnesota Rules 7672 Energy CAde Category . Residential VenGlation Category t Worksheet • New Energy Code Worksheet (dsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? - Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Telephone # ( ' = lf Sewer/WaterContractor Telephone"94 I hereby apply for a Residential Building Permit and aclrnowledge that the informati u? te; that the work will he in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an application for a pernvt, and work is not to start without a permit; that the work will be in accordance with the approved plan 7/ ase of wor hich requires a review and approval ofplans. Appllcant's Printed Name?J . 1 ApA??'s`5igna I? I (., 3qy 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 T? -7C) .00 New Consfruction Reauiremenls RemodeVReoair Reauirements Otfice Use Onlv 3 registered site surveys showing sq. fL o( lot sq. H. of house; and all roofed a2as 2 copies of plan CeR of Survey Recd _ Y _ N (20°k maximum lot coverege allmved) 1 set of Errergy Calculations for heated addBions Tree Pres Plan Recd _ Y _ N, 2 copies of plan showing beam & window s¢es; pou2d found design, etc. 1 sile survey for addRions & decks Tree Pres Required _ Y _ N lsetofEnergyCalculations Addiflon - irMkafei/on-sttesepGcsystem On-stteSepfkSystem _Y _N 3 copies of Tree P2ser2tion Plan if lot platted afler711/93 ? Rim Jaist Detail Optbns selecfion sheet (hulldings with 3 or less unAs) Date P) / z v / O s- Construction Cost I?lfl4 •o-6 - a.(-) Site Address 1 S 7 5' 14 Ot{=M SdN ()2 UniUSte # DescriptionoTWork ?'rJ? ?Qp? ?Ce.vre....+? ww?-?ewr c? C?UO'rS Multi-Family Bldg _ Y_l N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # ( ) Contractor A/C 0 t&nlZ.t & c ? Z0 z"/ ,P / 3 / Address '4,;o3w-i-O ,J?S? ?q72jY_d C1 V ' City /R?,•_•,- ?ch 1?i innS?? State ?AWN Zip •5530 3 Telephone #(glrL ) d'?R- / 3 3 9 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (4 submissianlype) Submitted . Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and pddress of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( ) CNO I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's S ? e / 7:? N-_? 18 soob RESIDENTIAL MECHANIC,AL PERMrT nrPLICaTION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Pleasc compiem for: singie famity dwetlings & mwnhomes/condos whrn permits are reqvlrcd fnr each unit $ 30.So Date I Site Addreas jfj / r. Unlt # , Ch P t uj Telaphone ti (09 ) 1/y ?1[ 53? ' roper vuer y , Contractar ' ? Street Address City State T Zip c..Y?/ Telephone #(? q3036? C B d # gNQ-4' ; on : x piees: The Applicant is _ Owner ntractor _ Other Add-on or alteratfon to esisting dwelling unit $ 30.00 _ furnace _Additiona! ?eplacement L= air exchanger ? airconditioner 4 200b I ??' ? heat pump other Y State Surcherge $ ,50 Total ? $ ? I hereby apply for a Residentiai Machanical Permat and acknow}edge that the information is comploU: and accurate; tFiai fhe work will be in conformaixa with the ordinances and codes of the Ciry of Eagan wid with the Mechanical Codes; thet I undersiend this is not a permit, 6ut only an application for a permit, and work is iiot to start without rmit that e work will be in acenrdance widi the approved piL caya uf H,ork which requires a review and approval of pla s wo Applicant's Printed Nazne Ap licamt's Sigxzature ? 01i23i2007 09:55 ERGRN ENG+COM DEU 4 97635360226 1,10.763 901 2007 RIESTDENTIAL MECHANICAL rEizlvtiT arrLxcarIoN City Of Eagan 3830 Pilot TG,ob Raad, Eagan M1V 55122 Telephune # 651-675-5675 , ? ? ?,1 4 2?07 Pleasecampieietor, sbiglefamilydwcllings&Wwnhomeslcondoswhmpemri?s nrerequire rea??unit2 (Z -(o 9-7r nate I / 23 / 07 Sire Addrese 151s QPM$Ov iDR, Uni.t f/ E}+d"K' E? R P J ok?j S c ti eppetir ione #( fo ! L) 37 9' Tele 7$`?o i Property Owner • • p Concractor /1?Aft5y /fG,gTiWG D A-rR ??,?? ?'J+av ? ??rc Slreet Address 6ly8 LA14CAiY0 /g+C n?b Cily , AlUoz?,? AV4-- State Zip SS `?LY? Telephoae# (7(3 ) sjb- v b(27 RLz55-37c) dfl g L7/v E i es Bon : xp r ; The Applicwnt is _ Owner X Contractor ? Other Fire repair (repluee burnea out applinnces, ductwork, ota) $ 90.00 This fee appEies when extonsive mechanical repairs are made ta a huilding. Add-an or nltm•ution to cxisGng dwelUng unit $ 50.00 X fumaoo -Additivnal -XReplacement _ New ? air exchanger ? air condrtianer heat pump othar State Sutcharge 5 50 Tnlal g SO ,5 ? i hereby apply fur a Residennal Mechanical Permit and acknowledge that rhe infocmnfian ia complete ancl accurnte; tBat the wo:l• will be in confontwnce with the ordinsmces and codes ott4o City of Eagaix pnd with the Mech¢nical Codes; that C understand this is not a pernut, Uut o»ly an application for a pemv; and work is no[ to stArt withou[ a penrvc; tvat tha wock wil] be in accordance wiIl1 ihe appraved plan in tkie case of work which requ'ues a review and upproval of plans. l? l4 ApplicanYs Printed Ntune ApplicanYs Si acure Mar•12. 2008 11:09AM No•8115 P. 2 HEATING TEST RECORD (ORSAT) /`?; r' # 7c,?oG ADDRESS: j7C pPT: FLQOR: CITY: DATEA !2+rl V7 OCCUPANT: OWNER: HEAT LOSS: WW?vt HEATING IPISTALl.EO BY: wtm ELECTRiCqL WORK 8Y: 5?ckfK GAS LINE BY: TYPE OF HEA7: GA_ FA ROOFTOP SPACE HTR „_ UNI7 HTR_ OTHER GAS DESIGN MANIIFACTllRER: Lmwx MODEI: & qd i7'F - 31,op` 0'iD ' ls SERIAL: S1d-I14 66oqZ INPUT: -710 doo CONTROLS THERMOSTAT: spoo VENTSIZE: Y VALVE: ?.Q KIND OF LlNER: 4iY.A41 C-?3IZE ? NONE LIMI7: f. G DRAFT HOOD: REGULATOR: IIMIT SETTING: FIL7ERS - SIZE: 7p ( Nl1MBER: FANSETTING: `H»'1ed- 'i,5- CI-IIMNEY- INSIDE_X` OUTSIDE PILOT TYPE: 403- CHIMNEY CONSTRUCTION: S? G 3 PILOT MAi(E: PILOT MODEL: SMOKE BOMB: WIRING: ??,+fIL. PILOT TIMING: }- DRAFT: TEST TAG: p•wv 3 rt L.W. CUT OFF: DOOR PRESSURE: LIGH7ING (NS7: PRESSURE: ?•?S.? : ?. °k CO, 71 ? y DATE TESTED: Z ?"^U / ? INPU7 CFH: °a O2 GOMPANY TESTING: STACK TEM P: ?'] ? y %CO j NAME OF TESTER: r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ I For Office Use Permit City of EaRan I I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: It -alb ~ Phone: (651) 675-5675 I ? I Fax: (651) 675-5694 I Staff: I I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 64,~J_®~ Site Address: ! C,~/o~~J~.~✓7 Tenant: Suite RESIDENT / OWNER Name: Phone: I -(9~'~ , 7 S Address / City / Zip: Applicant is: Owner X "Contractor TYPE OF WORK Description of work: Construction Cost: (90D Multi-Family Building: (Yes / No CONTRACTOR Name: License SELA ROOFING & REMODELING, INC, Address: 4t66 EXCE SWR RLVD City: ST. LOUIS PARK, MN 55416 Cit State: Zip: Phone: Contact Person: 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 the are trade secrets. 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 n to start without it; that the work will be in accordance with t approved plan in the case of work which requires a review and approval of pla x .-e V--,_ x Applicant's Printed Name Applicant's ignature Page 1 of 3 Oct. 19. 2009 8:54AM Sela Accounting No. 8161 P. 7 AMEft~.p~N~[i~( American Family Insurance Group (fir 3 ~v~exa~rrrs THOMAS LATE ROMEOWN5 Building OEM- Roofing Exterior 4339.38 Surface Area 43.39 Number of Squares 472.62 Total Perimeter Length 150.54 Total Ridge Length 73.25 Total Hip Length Description Base Service Replaeemen Actual Cash Qt Unit rice Char le Takes Cost Total be reeiation Value This is a repair to the roo em and no depreciation applies Front slope- 2 x 9.94sq x 1.0 = approx 20 shingle repair Right slop hits Back s e- 0 hits Left ope- 2 hits x 9.94sq x 1.0 approc 20 shingle repair 1 - Remove 3-tab - 25 yr. -composition shingle roofing (per SHINGLE") 40.00 EA $3.96 $41.32 50.00 1 b - Replace 3-tab - 25 yr. - composition shingle roofing (per SHINGLE) 40.00 EA. $9.52 $99.32 $4.43 28 - Remove Roof vent - turtle type - Metal 12.00 EA $7.44 $0.00 50.00 2b - Replace Roof vent - turtle type - Metal 12.00 EA $37.62 $117.75 $10.66 - Remove Furnace vent- rain cap and storm collar, 5" 4.00 EA $8.88 $0.00 $0.00 3b - A ace Furnace vent -rain cap and storm collar, 5" 4.00 EA $35.67 $0.00 $4.76 Totals $258.39 $19.85 6.36 -50.00 $1,536.36 Fascia Description Replacement Actual Cash Qty Unit price Charge TakesCost Total Depreciation VaIuo This Is a repair to the fascia system on the chimney's, fascia metal on the fascia and fascia metal on the windows. Front fascia, window fascia metal and chimneys = 240.75If Front upright at overhead door area front-17.51f 8" Facia between condo units- 83If 6" Might fascia, patio door fascia metal and window fascia metal- 1541f Fascia metal on privacy wall -1911' 8 " Back fascia metal, window fascia metal - 230.5 Left fascia, patio door fascia metal and windows fascia metal = 205.51f Fascia metal on privacy wall -12'911' 8 " 4a - Remove Fascia metal, 6" 913.75 LF $0.28 $0.00 $0.00 4b - Replace Fascia - metal, 6" 913.75 LF $3.33 $80.79 $77.10 THOMAS LAKE 14OMP-OWNFERS 00221149276 5/21/2009 Page: 4 ASSOCIATION Use BLUE or BLACK Ink rorOffice Use C I Eapn Permit City U1 Permit Fee: -9 85 LS 3830 Pilot Knob Road i ~ Date Received: I Eagan MN 55122 I I Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 i 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 7 S Oh ✓ ` Unit M Q S a fiO/h s rd e- Name: Name: 6 o k-7`{3/p RESIDENT I OWNER Address / City / Zip: /Jf lJr~Is~ I C r~Q/7~SOY~ it Leh J `5~~ T Applicant is: _ Owner. Contractor TYPE OF WORK Description of work: _V_ Jzd~ po Construction Cost: m~ Multi-Family Building: (Yes _X1 / No ) 6 " Contact:-0 CW 1A0- Company: Address: 44t00 ~yCo~~iL`d" City: !SNAP L0,N9L3L*- CONTRACTOR State: Zip: Phone: CV5 X-D-10 License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: 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 the 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.goi)herstateonecall.org i hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Applicant's Printed Name Applic nt's Signature Page 1 of 3 15 5 , 15t5 16, 15 Ll A it Use BLUE or BLACK Ink I For Office Use 1 I 11 I City of Eap j Permit 1 Permit Fee: E _7 I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 1 Staff: I I I i7 J-T~------- 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address Val V) My t Unit 19 Name: I f' I l 1 t tl 1x1 1~y~~ tlPhone: l lC S W~ a Resident/ f ~ r~ Owner Address / City / Zip: J 0 3 0 Applicant is: Owner Contractor Type of Work Description of work: arv0f W~Cl( Construction Cost: ~ Multi-Family Building: (Yes' X / No ) Company: ael0- T1laC~ IyV1 aujc e✓!'IIjEf lrt4'tact: t/A'1?~1M Contractor Address:__ C/)oD ~>LObs/~r- city: ~S~• Lvt~iS State: (YI ~k ~ Zip: S~U / (d Phone: -Sod 9/5 79V20 License _oo j U ~6 Lead Certificate / A -r- SG' 3 4 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. 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 the 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.gooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of per issuance. _h 1P x 0.12 , Id T I 1k ~ ~ x Applicant's Printed Name App ' is ig atud Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129472 Date Issued:02/13/2015 Permit Category:ePermit Site Address: 1515 Clemson Dr Lot:3 Block: 03 Addition: Thomas Lake Heights PID:10-75950-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Applicant: Tim Mohr 3410 Kilmer Lane N Plymouth, MN 55441 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Robert A Mcdonald 1515 Clemson Dr Eagan MN 55122 Weld & Sons Plumbing 3410 Kilmer Lane North Plymouth MN 55441 (763) 475-0296 Applicant/Permitee: Signature Issued By: Signature