1518 Clemson Dr
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA095962
Date Issued: 09/16/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 1518 Clemson Dr
Lot: 2 Block: 02 Addition: Thomas Lake Heiahts
PID:10-75950-020-02
Use:
Description:
Sub Type: e-Siding Construction Type:
Work Type: Sidin,
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: When installing ventilated soffit material. remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 13200.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Sela Roofing Remodeling Andrea L Fish
4100 Excelsior Blvd 118 Clemson Dr
St. Louis Park NIN 55416 Eagan NIN 55122--186
(612) 823-8046
I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
HEAT LOSS ESTIMATE City or Village nqm?^ -z?
FqRM 77-6A00
ADDRESS 1S19 ?'?'»-ah Fioor ? Date 7_$C
?Owner Phone
NAME ?ai' ?'/s'>2i, ? n, ?Contractor
Heating bill to be paid
Make of GWA MWA GHW FHVII S V UH SPACE Firepot
Plant ? IN ? ? ? ? ? ? Size
Boiler No. Installed Radiation
Type of Domestic Gas Equipment:
Gas Ranges W. Htrs. (Input ) nryers Hot Plates
Remarks: g?
?
v
Date
Checked
Heat Loss ? Input 'S?Q,CACL2 Cert. No.
Equipment to be
Installed ?'0 On
„
Installed Main Size Off
by ?? ? x-?'????? ?" . s??? nn?? •
OK
Sold by ServicP Renew
NORTHERN STATES POWER CO.
Wa/!
CONSTRUCTION Ceilrng
Floor
WEATHERSTRIPS INSULATION THICK-
IV ESS TYPE ATTIC
Windows Doors Wall Vented
Yes-No Yes-No Ceiling Yes-No
FI. Room Length Width Height
FI. Room Length Width Height
FI. Room Length Width Height
W INDOWS A ND DOOR S-CRACK AGE AND AREA
No. W'dth
of pane Height
of pane No. of
lights Area
. ft. inea t.
of craCk
Ccef. Bru
Infiltration Door
Infiltration Window
Gross Wa11
Glass
Net Ex . Wall
Ceil_ or floor
Ceil, or floor
Fireplace
Total Btu
HEAT LOSS ESTIMATE City or Village ?
FQRM 17-6400
ADDRESS Floor - L Date
OOwner Phone
NAME- ?,'i @Contrector
Heating bill to be paid by
rINST NAME INITIAI LAfT NAME
Make of
Plant _
GWA MWA GHW
? 0 ?
FHW S V UH SPACE Firepot
? ? ? ? ? Size
Boiler No.
Type of Oomestic Gas Equipment:
Gas Ranges W. Htrs. (
Remarks:
Installed Radiation
Hot Plates
Date Rec'd 41, Checked By
do
Heat Loss 1111104114P Input e)LK7 Cert. Mo.
Equipment to be
Installed ? niv-e_- Rll On
Main Size Off
Installed by??'?-?CL-': :-? YrNjt'n t,-Yl . OK
Sold by Service Renew
I NORTHERN STATES POWER CO.
N/all
I CONSTRUCTION Ceiling
Floor
WEATHERSTRIPS INSULATION THICK-
NESS TYPE ATTIC
Windows Doors Wali Vented
Yes-No Yes-No Ceiling Yes-No
FI.
I Room Length Width Height
FI. Room Length Width Height
FI.
. Room Length Width Height
W INDOWS A ND DOOR S-CRACK AGE AND AREA
No. Width
of pane Height
of pane No. of
li hts Area
sq. h. inea t.
of crack
I
Caef. Biu
Infiltration Door
Infiltration Window
Gross Wall
Glass
Net Ex . Wall
Ceil. or floor
Ceil. or floor
Fireplace
Total Btu
HEAT LOSS ESTIMATE City or Village
FORM 17-6900
ADORESS ' 22 ?i ota 1 n ir-?- i Floor ? Daie.6--7• 7'2/)
?Owner ?hone
NAME y?-d-r?-' ?'a?L; ?l ?' ' LZContractor
Heating bill to be paid by
•IRlT NAME INITIAL LAfT NJ1N[
Make of
Plant _
GWA MUVA GHW FHW S
? Z) ? ? O
Boiler No.
Type of Domestic Gas Equipment:
Gas Ranges W. Htrs. 1
Remarks:
Hot Plates
Date Rec'd Checked By
Heat Lou InputCert. No.
Equipment to be
Installed dn
C? I Main Sixe Off
Installed by ? L ?"?e! (1?.,.?? .51 Ln
?o-yO OK
r. .?
Sold 6y Service Renew
V UH SPACE Finpot
O ? O Siza
Installed Radiation
NORTHERN STATES POWER CO.
' Wal1
CONSTRUCTION Ceiling
Floor
WEATHERSTRIPS INSULATION THICK-
NESS TYPE ATTIC
Windows Doors Wall Vented
Yes-No Yes-No Ceiling Yes-No
FI. Room Length Width Height
FI. Room Length Width Height
FI. Room Length Width Height
W INDOWS ANO DOOR S-CRAC KAGE AND AREA
No. wp th
of ane HeP ht
of ane No. of
li hts Area
. k. inea t.
of crack
Ccef. Bru
Infiltration Door
Infiltration Window
Gross Wall
Glass
Net Ex . Wall
Ceil. ar floor
Ceil. or floor
Fireplace
Total Btu
HEAT LOSS ESTIMATE Gty or Village e-a ?
FOUIM 17;69D0
ADORESS 41 a•' Floor I Date
OOwner Phone
NAME '??-r->> 1-2 r j - (3Contractor
Heating bill to be paid by
PIRfT NAME INITIAL LA1T NAM¦
Make of GWA MWA GHW FHW S V UH SPACE Firspot
Plant ? El 1:1 ? 0 ? ? ? Size
Boiler No. Installed Radiation
Type of Domestic Gas Equipment:
Gas Ranges W. Htrs. (Input ) nryers Hot Plates
Remerks: 7'Zn_? , ? ?tr o-r.-z.Qr
Date Rec'd Checked By
tf•!?(?11 ,
Heat Loss ? Input?`30 dOC) Cert. Na.
Equipment to be ? On
Installed _ Q? n
Main Size Off
InstalledbyinU,Qi-tj.hkl rCLr,-,17?n_ el-, . OK
u ,.
Sold by Service Renew
' NORTHERN STATES POVYER CO.
r WgN
CONSTRUCTION Ceiling
• floor
'WEATHERSTRIPS INSULATION THICK-
NESS TYPE ATTIC
Windows Doors Wall Vented
Ves-No Yes-No Ceiling Yes-/yo
FI. Room L.ength Width Height
FI. Room Length Width Height
FI. Room Length Width Height
W INDOWS AND DOOR S-CRAC KAGE AND AREA
No. W'dth
of pane Height
of pane No. of
li hts Area
. ft. inea t.
of crack
Coef. Biu
Infiltration Door
Infiltration Window
Gross Wall
Glass
Net Ex . Wall
Ceil. or fioor
Ceil. or floor
Fireplace
Totel Btu
.
No.
cirr oF EAc,AN
3796 Pilof Knob Road
Eoyew, Minnosoto 55122
Phone: 454-8100
? PERMIT
INSPECTOR NOTIFICATION
REQUI RED BY LAW
FOR ALL INSPECTIONS
Date: Receipt No.:
Site Address
: Single
Residential I
Lot Block Sub/Sec. Tj Multi Res., Comm./Ind.
Nome New/Alter
/Repair
.
; Address Cost of Installation
O
City
Phone:
Permit Fee
Nome Surcharge
.
Address
?
City ` Phone:' Totol
This Permit is issued on the express condition that all work shall be done in accordonce witfi all applicable State of
Minnesoto 5totutes and City of Eogon Ordinonces.
Building Official
0 . CITY OF EAGAN
• 3795 Wlor Knob Road
Ee9an, Minnesora 55122 I NSPECTO R NOTI F ICATIQN
NO' Phona: 454-B100
REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Dote: I
5ite Address: 1?:? _; C Clemson
Lot Block Sub/Sec. "11OA1A.9 Le.k
Receipt No.:
Single
Residentiol ??•
Multi Res., Comm./Ind. I
3eri-C011 I:1C . '-' ?: '
Na?r+? New/Alter./Repoir
; Address ''r? I• ?.CP ?. Cost of Instollction
O
City Phone: ? Percnit Fee
Nome r"arb?r- t Surthorge
.
g Address ?r 50 7."n i .r '"F:vQ ??? ?
C
City ? Phone: Total
This Permit is issued on the express condition that oll work shall be done in accordance with oll applicable State of
Minnesota 5tatutes and City of Eogan Ordinonces.
Buitding Officiol
cirr oF EAG,?N ? - 8744
3795 PNof Keob Raod Eeyee, MN 65122 1` J
PHONE: 454-8100
BUILDING PERMIT
R?irpDi:L
To be uad Fer _ Est. Vol ue Receipt # ? `1'77"
$4 , r?)0. JA?'i?'ARY 4
Date ?3
? '.
, 19
1520B CLENiSO?f DR.
Site Addreu
Erect
0
Occupancy 3
.
Lot 4 Blxk 2 5ec/gub,THnM. Llt. HTS. A7D. Alter n Zoning -)3
Porcel # 10-75950-040-02 Repoir p Fire Zone
BRAD
TL?])Y rR
"
F'F' Enlaroe fl TYPB of Const.
-.
l
i
ac Name
W Move
O
# Stories
?R ?
? Address J Demolish p Length
,.:-_ EAGA:l 452-7451 Grode n Deoth Sa. Ft.
°C Nome t?'LLt1JLL' l.V1VJ1 . Ltl..
u? ??? 2134 LLf?IOV Li1.
?- r,*„ LAtCF: ELMO pk,,,' 770-3156_
edge thaf I hove reod this applicotion and stote that
is torrect ond ogree to comply with oll opplicable
)to Stotutes and City of Eo9an Ordinonces.
5ipnaturo of Pertnittee
/1 Building Pertnit is issued to:
oll work sF,oll be done in xcordepce with oll oppliwble State of Minnesoto
Bulldirq Official
Assessment _
Water 8 Sew.
Police
Flre
Enp.
Planner
Council
Bldg. Off. _
NPC
Foes
Permit '' Y
r
$urthorge '
Plan check
$AC
Water Conn.
Water Meter
Rood Unit
Totol ? 46.50
on the express cwdition Ihal
and City ot Eapen Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Sewer
Ekctrie O?2 «<? r1?- ??S'?
Inspection Date Insp. Other
Footinpt
foundation
Fnminp ?-
Rouqh Plbp.
Rouqh HVAC
Inwletion `
?
Final Plb¢ f/ -
.
Final HVAC •
Final ? •
W?r Dosc?ibe Location:
YYsll
S?wrr
Pr, Disp.
cITr oF EAcAra
•,----? "' 8795 Pilef Knob Reod Eogae, MN 55122 N? 5 8 6 7
PHONE: 454-8100
BUILDING PERINIT Receipt #
To be wW for Est. Volue Dote , 19
5ite Address Erect ? Occupancy
Lot Block 5ec/Sub. Alter ? Zoning
Parcel # Repoir Q Fire Zone
Enlnrge ? Type of Const.
W Name Move ? # Stories
; Address Demolish p Front - ft.
b
Ci Phone
'
Grude p
Deptl, ft.
? me
N Approvals Fee•
a
,o
u? Address
Assessment
Permit -
~ Water & 5ew. Surcharge
Ci Phone Police Plan check
?
FW Nome Fire SAC -
?? Addreu Eng. Water Conn.
?u?, Ci p?e Plonner Water Meter
Council _ Road Unit
I hereby ncknowledge thot I have read this application ond state that Bldg
Off
the information is correct and agree to comply with oli opplicoble .
.
5tate of Minnesota Statutes and City of Eagan Ordinances. APC Total
Sipnature of Pertnittee
A Building Permit is issued to: on t he express condition thot
oli work shall be done in accordance with all applicable State of Minnesota Stotutes and City of Eagan Ordinances
Building Officiol _
PermM # Ddft Iwed PWs11fN
Plumbing
Mechonical / 77
S 7v106 ? O /,??1? c?
INSPECTIONS DATE INSP. Rough-In Finol
Footing5 -jrU Date Insp. Dote Inap.
Foundotion • Plumbing
Frome/ins.
Mechonicol ?
Final
Remarks: 7 /2?
?
C]4Tp.?
/ ?
•.....?.._, cirY oF EaGAN
' 8795 Pilo! Knob Rood Eagen, MN 55122
PHONE: 454-8100
BUILDING PERMIT ReceiPt #
To be uwd for Est. Value Date , 19
Slte Address Erect ? Occuponcy
Lot 4'0'Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone
E
l T
f C
t
n
arge 0 ons
.
ype o
19 W N?e Move O # Stories
; Address Demolish
Grode ?
[-I Front ft.
Depth ft.
0? Name _
d Address
1- r;w,
Nome _
Address
I hereby ucknowledge thot I hove read this application ond state that
the informution is correct and ogree to comply with all applicable
5tate of Minnesota Statutes and City of Eagan Ordinances.
N2 5866
Woter & Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off.
APC
Permit
Surcha rge
Plan check
SAC
Water Conn.
Water Meter _
Rood Unit
Tota I
Signature of Permittee I
A Building Permit is issued to: on the express condition tfiat
oll work sholl be done in occordance with all applicoble Stote of Minnesota Stotutes and City of Eogon Ordinonces.
Building Official
?emk # psh lwed PeraMhe
Plumbing LA'
Mechonical :2
INSPECTIONS
Footings DATE
C, INSP. Rouyh-In
Da Insp. Final
Date Insp.
Foundation Plumbing
Frome/ins. - - ? ,s=$o Mechoniool
Final cv E :
9
-N- r
Remarks:
CITY OF EAGAN
9795 Pilof Knob Road
No. S°g'"• M'"?Q1Om° 55122 INSPECTOR NOTIFICATION
, Phone: 454-8100 REQUI RED BY LAW
?•??= ? ' PERMIT FOR ALL INSPECTIONS
Dote: Receipt No.:
33 Single I
Site Address: Residentiol
Lot Block Sub/Sec. Multi Res., Comm./Ind. I
Name
llddress
?
City Phone:
Name
.
Addrou - , ._
?
City - , - -
Phone:
This Permit is issued on the express condition that oll work sholl be
Minnesoto Stotutes ond City of Eogon drdinances.
New/Alter./Repoir
Cost of Instaliction
Permit Fee
Surchorge
I Tota I ?
done in occordance with all applicable Stote of
Buildin9 Offitlal
? • • CITY OF EAGAN
3745 Pilac Knob Reed
Eagan, Minnesota 55122
NO• Piwne: 454-8100
PERMIT
Dote: 7-1-=:_;,-)
Site Address:
Lot ? BI«k
' Sub/Set. i?101[la9
Nume ?^<11--CoA I; ": .
? Addre:s
?
City • ' f' . paul, ^. `?' • Phone:
Na? burban fitc?;. & Air. Ca.i,l.
? Address " -
City Phone: -
' ° .
This Permit is issued on the express condition that oll work shall be
Minnesato Statutes and Ciry of Eagnn Ordinances.
1518 B L'a.eIfl80I]
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residentiol
$
New/Alter./Repoir
Cost of Installotion
Permit Fee
Surcharge
Total
done in accordance with oll opplicable State of
Building Officiol
-`? CITY OF EAGAN
.? r 3795 Pllet Kno6 Reod Eogan, MN 55122 N2 5868
• PHCNE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date , 19
5ite Address Erect E] Occuponcy
Lot Block Sec/Sub Alter ? Zoning
.
Repair ? Fire Zone
Porcel #
Enlorge E] Type of Const.
W Name Move ? .#' Stories
Z Address Demolish 0 Front - _ ft.
9 Cit Phone Grode ? Depth ft.
? o N°^?e -
?? Address
? ri...
Name _
Address
I her2by aCknowledge thot I hove read this opplication and stnte thot
the information is correct and agree to compfy with all applicable
Stote of Minnesota Statutes ond City of Eagan Ordinontes.
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
,
Countil
Bldg. Off.
APC
Fees
Permit
Surcharge
Plan check
SAC
Water Conn. 1
"
Water Meter
Rood Unit Total
Sigrwture of Permittee I
A Building Pertnit is issued to: on the express condition that
oll work shall be done in accordance with all applicoble Stnte of Minnesota Statutes and City of Eogan Ordinances.
Building Otficial
. 4
Plumbing
Mechonicol P*nsk ? pote Issed
? ;7 PffmMtM
INSPECTIONS DATE INSP. I Rough-In Final
Footings - 6-$0 Dote Insp. Date Irop.
Foundation Plumbing
Frame/ins.
Mechanicol ?
Finnl (0 ? - ?Z PF r ??3 ?
Remarks: f4Eq co,?
-F 6
'V
f ? .
No.
cirr oF E?GwN
3745 Pllot Knob Road
Eeyen, Minnesoto 55122
Phow: 454-8100
PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Dcte: Receipt No.:
Slte Addreu: Single I
Residentiol
Lot ? -
Block Sub/Sec.
??'... ?
? I
Multi Res., Comm./Ind.
Name New /Alter
/ Repair
.
•
Address ^3?#5 '_v.Rtce Ut.
Cosi of Instcllation
?
City -
. . .,_ Phone:
Permit Fee .
Name ' var-i Plbr F , -' '
Surtharge
.
?
?
Address
C t-.7j.ite '3ear Ave.
a
o
?7 _ -.-
City Phone: ' Totol
This Permit is issued on the express condition that oll work sholl be done in occordarxe with al) opplicable Stote of
Minnesoto Statutes ond City of Eagan Ordinonces.
Building Offitiol \
No.
Dote:
>?c? Clemsc-
Site Address: ?
Lot Block ` Sub/Sec.
Name .--?on Inc.
? Address '
? .?
City ° ?.• Phone:
Nome ',1hL1I'USIl lit.
13ear AVe.
? Address
',''r,'r?_1_
City Phone:
This Permit is issued on the expreu condition thot oll work sholl be
Minnesoto Stotutes and City of Eagan Ordinances.
CITY OF EAGAN
3795 Pilof Knob Road
Eagan, Minnesota 55122
Phens: 454-8100
PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
$ingle
Residential "?
New / Alter. / Repoi r
Cost of Installotion
Permit Fee
Surcharge
Tota I
done in accordance with oll appllcoble State of
Building Official
No.
Date:
Site /Wdress:
L516 Clemaon
cIrr oF EAcaN
3795 Pilot Knob Road
Ea9an, Mineetoh 55122
P6one: 454-8100
PERMIT
Lot Block Sub/Sec.
Name
? Address
?
City Phor+e: -0801
Name
r
? Address "()'n tii11j.te Beer AvC.
e
? City - . ,, , t1_' . PFane:
This Permit is issued on the express condition that all work sholl be
Minnesoto Statutes ond City of Eagan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind. I
New /Alter./ Repair 4
Cost of Installotion
Permit Fee Surcharge I Tota I
done in occordar?ce with oll appliaoble Stote of
Building Official
roo.
Date: ,t'tF_
Site /lddreu:
cirr oF EAGAN
3795 Pilot Knob Roed
Eayan, Minnesota 55122
Phone: 454.81o0
PERMIT
INSPECTOR NOTIFICATION
REQIJIRED BY LAW
FOR ALL INSPECTIONS
No..
Lot Block Sub/Sec. 7hos. TiaCe Ht
Nome : 'an COri IriC .
.
I Address 74; RiC' ''* ,
?
City Phone:
Nome &
.
?
? Addreu
City t - Phone:
This Permit is issued on the express condition thot all work sholl be
Minnesoto Stotutes and City of Eagon Ordinances.
Multi
New/Alter./Repoir -
j Cost of Installation
Permit Fee -
I $urcharge ?
I
?
I' ToYa I
done in occordance with all opplicoble Stote of
Buildinq Officiol
cirr oF EACm+?N ..
3795 Pllot Knob Roed Eagan, MN 53124 Ng 5865
PHONE: 454-8100
? BUILDING PERMIT ReceiPt #
To be wed for Est. Va I ue Dote , 19
Site Address
Lot Block
Parcel #
ae Name
W
Z
3 Address
0 .... ..? •3-`^i:. '?
o Name _
?? Address
Sec/Sub. ^?'-?7'+&S '. • ?8
Ncme '
Address
I hereby acknowledge that I have reod this opplication and state thot
the informotion is correct and agree to comply with all applicable
State of Minnesota Stotutes and City of Ecgan Ordirwntes.
Erect ? Occupancy
Alter ? Zoning
Repoir ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ff.
Grade ? Depth ft.
Approrois Fees
Assessment
Woter & Sew.
Police
Ffre
Eng.
Planner
Counci I
Bldg. Off.
APC
Permit
$urchorge
Plan check
SAC
Woter Conn.
Woter Meter
Road Unit
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition tfiot
oll work shcll be done in actordante with all applitable $tcte of Minnesoto Stotutes ond City of Eogan Ordlnances.
Building Officiof
?.rmit # oar. i.w.a na.
Plumbing L (,?.?& C
Mechanical 1 - a
- 7 6'0
INSPECTIONS DATE INSF• Rough-In finol
Footings ??•$t7 Date Insp. Data Inap.
Foundation Plumbing '),.y r--
-
Frame/ins. Mechunicol 7 C,--
Final
??
•
? (
Remorks:
,i
Wb ?..?..?ao- , ?ry
? C?t e.c?' ?,p.,?,?, ?'" .,.? •`-? ?f•?'`- ?
?.
CiTY OF EAGAN
Addition Thcama4• Lake HPigbtS adflifiinA Lot 2 eik 7 Parcel #lt) 75950 02Q m
oWne. '? :i( r?- streat 1518 Clemson Drive state Eagan, Mn 55122
???l? ?'? L. r?'??1'•,
Improvement Date Amount Annual Years Payment Recsipt Date
STREET SURF.
STREET RESTOR. '
GRADING
SAN SEW TRUNK
SEWERLATERAL 251 ZH AOLQO84 -ZS-H1
WATERMAIN g
WATER LATERAL
AREA
WATER -
STORM SEW TRK
* STORM SEW LAT 1981
, CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
gUILDING PER,
sac 525.00 19237 0
PARK
CITY OF EAGAN Remarks
Addition?jh,om,as-Lftk.e_Eiei.g.ht.s_Ad.dition-Lot ? Blk 2 Parcel #10 75950 030 02
Ownerl , , , 4'- 1- Ed`=? stmt 1518 B Clemson Drive statg Eagan, A4V 55122 _
,f ri-. Improvement Date Amount Annual Years Payment, Receipt Oate
STREETSURF. 7 A010178 5-15-81
STREET RESTOR.
GRADING
5AN SEW TRUNK 7.g
* SEWERIATERAL 1981 314.09 62.82 5 A010178 5-15- 1
WATERMAIN
*WATER LATERAL 19$1
WAT-ER AREA 77
ff
STORM SEW TRK --';7
A010178
5-15-81
* STORM SEW LAT 1951
CURB & GUTTER
SIDEWAIK
STREET LiGHT
185.00 19236 6 0
WATER CONN. 305.00 616/90
BUILDING PER,
SAC 6
4 6/
PARK ' .
CITY OF EAGAN
Addition ThOIDaS -LAIC@ Heights Additi0n - Lot 5
Ownerhif{y(u; ?? Street 1520 Clemson Drive
. ,,
Ck?lfs?-
2 Parcei #10 75950 050 02 -
R I«ata Eagan, MN 55122
Improvement Date Amount Annuel Years Payment Receipt Uate
STREET SURF. 223.'T'( A010384 T-21 1
I STREET RESTOR.
GRADING
SAN SEW TRUNK
I * SEWER LATERAL Q 1.2 A0103 -+ZZ 1.
WATERMAIN
* WATER LATERAL
WATER AREA /J q a
STORM SEW TRK Zg],• 55 AOZO3S 7-+21.-81
* STORM SEW lAT 19$1
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. $$68
sac 525.00 19234 6 b/80
PARK
CITY OF EAGAN Remarks
Addition ThOiR" -L.ake Hnightc Additian Lot 4 elk 2 Percel #10 75950 040 02
O,nmer}:'r<?lj!- , V (jr(af;? street 1520 B Glemson I?rive gtate Eagan, MN 55122
Imprpvement Date Amount Annual Years Paymant Receipt Date
STREETSURF.
1981
27971
.
5594
.
167.83
A010717
11-3-81
STREET RESTOR.
GRADING
5AN SEW TRUNK ? 73 ?(1
*SEWERLATERAL 1981 314.09 2 2 18H.4? A010717
-
1-
381
WATERMAIN
* WATER LATERAL 1981
WATER AREA q7
STORM SEW TRK 1991 112-37 20-82 270.73 A010717 1-3- 1
* STOAM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 525.00 10235 6 680
PARlC
Rsceipt PLUMBING PERMIT
CITY OF EAGAN
?
s?. • .•
Frll in numbered spaces
Type or Print legibly
1. Date 2. Installation Cost
3. Job Address ? Lot: Bik. Tract
4. Owner
r
5. Contractor kt? Phone -f -
6. Address r t- ??-? ? ' - - -
7. City State ? Zip
8. Building Type: Residential 0
9. Work Description: New O
Commercial ? Institutional O
Add ? Alter ? Repair 0
10. Oescri be
11
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shovuer Wel I
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 f inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
Permit No.
Fee
S/C
Tot. ''' ?
Receipt PLUMBING PERMIT
CITY OF EAGAN
Permit No.
Fee
Fill in numbered spaces S/C Type or Prini leqib/y Tot.
1. Date ` 2, instaliatiori Cost
r r 3. Job Address 'Lot Blk. Tract
4. Owner
5. Contractor ' Phone 6. Address
7. City State Zip '
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New 13-
10. Describe
I 11.
Add ? Alter ? Repair O
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory $oftner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
E
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 464-8100
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
r ??i ,? r? ,?? ;.
t.f.'"S(D/! OR ?' . ,. , •,,, , ,:;.:
(11(114Ati 1 AM.f 1ff'YCtNYS
PERMIT SUBTYPE:
I I - , . , I trNti S
I t 1! I l ij I N(i
A3A4/:
07lx1 lnT
TYPE OF INORK:
!eu PAYit
i;f {'1 AC=EMFN'r
F?NA1
p
?
Permit No. Permit Holdsr Data Telephone *
ELECTRIC
PLUMBING
HVAC
Inspectlon Dah Insp. Commenfa
FOOTINGS
FOUND
FRAMING
ROOFINQ
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATIN(3
GAS SVC
TEST
INSUL
GYP BtiARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG '
ORSAT
TEST
BLDC3 FINAL
BSMT R.I.
BSMT FINAL
DECK FTG 7-. ?
DECK FINAL ?? ?`. g
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: ,', ,,, K . APPLICANT:
!?.. c, ? 1 F'Iq•.?)N UR .:, ? i? ,??t?M kMt?i 1
; ?????vr,?, a ??? i IEC:I.?Fti ? ? ?. E , ? >;,? ?..{,?. t? . :,
PERMIT SUBTYPE: TYPE OF WORK: ,,, Pn t a
!1C PI. Af t-Mf'NT
F iii) f 1 Nfi'. I I II 'NAI
Permit No. PermR Holdar DMe Talephone IF
ELECTRIC
PLUMBING
HVAC
Inspectfon Qsos Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIFEPIACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FiNAI
DECK FTG
DECK FlNAL
!
INSPECTION RECURD
! CITY OF EAGAN PERMIT TYPE: `""
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: :APPLICANT:
, i At itt tANTS t:?. + . .' s -•1121[i .
PERMIT SUBTYPE:
F M)FTNpS
TYPE OF WORK:
[,it ";[RtF''i tiiN
trNni
F
L
Rr: P A Y P
i<rri arrmr-Hr
?
Permft No. Permk Holder Date Tslaphone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Commenta
FOO7INGS
FOUND
FRAMING
ROOFIN(3
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATIN(3
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R.I.
BSMT FINAL
DECK FTG 7
urc?
DECK FlNAL /l ??,
? CITY OF EAGAN PERMIT TYPE: ' 1111 " r N6 1
3830 Pilot Knob Road Permit Number:
' Eagan, Minnesota 55122-1897 Date Issued:
? - (612) 681-4675 I
SITE ADDRESS: ,.; 1 ,,, , APPLICANT:
" scnH I's k
ttFIAHZS 1, :.. , ..' {.._gt:y8 ?
PERMIT SUBTYPE:
F?io i 1"M14
IF-
L?
TYPE OF WORK:
(tf".t" V l PT i UN
F INAf
P Pr A I a
Rl f"I.RCFiqfPl 1
?
Pertnit No. Partnk Holdu Dab TNephons a
ELECTRIC
PLUMBINCi
HVAC
InspscUon Date Insp. Commanta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBO
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG 7-;?3,.f7
DECK FlNAL
D
CITY OF EAQAN WATER SERVICE PERMIT
3745 Pilot Knob Rood PERMIT NO.:
Eogaa, MN 55122 DATE:
Zoning; No. of Units:
OWh@r:
Address:
Sitc Address: _
Plumber:
PERMIT NO.:
DATE:
No. of Units:
Site Address:
Plum6er:
Meter No.: Connection Charge:
5ize: Atcount Deposit: 1 egree to eomply with the City of Eagan
,
Reader No_: Permit Fee: _ Ordinances.
1 agree to tomply avith t6e City of Eagcn Surcharge:
Ordinances. Mfsc. Charges:
Total: BY
CITY OF EAGAN
3795 Pilot Knob Roed
Eagan., MN 55122
Zoning:
Owner.
Address:
SitE Address;
Plumber:
G17Y OF EAGAN WATER SERVICE PERMIT
3795 Pilot Keob Road PERMIT NO.:
- Eqgon, MN 55122 DATE:
- Zoning: No. of Units:
- Owner:
- qdclress:
- Site Addreas:
- Plumber:
- Meter No.:
I agroe !o wmply with !he City of Eagan Connection Charge: Size:
Ordinances. Account Deposit; Reader No.:
Permit Fee: ( dgree ta eomply with !he Cily of Epgan
Surchorge: Ordinances.
BY Misc. Chorges:
Dote of Insp.: Totol:
Insp.: Dote Paid:
CI fY OF EAGAN
3745 Pilot Knob Roed
Etigon, MN 55122
By
pate of Insp.:
Connection Charge:
Actount Deposit: ?
Permit Fee:
Surchorge:
Misc. Charges:
TvtaL•
Date Poid:
I nsp..
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Date Paid: Date of Insp-' Totpl:
Insp.: Insp.: _ Date Paid:
SEWER SERVICE PEEtMIT
PERMIT NO.:
QATE:
No. of Units:
WATER SERVICE PERMIT
CITY OF EAGAN
3795 Pilot Knob Rood PERMIT NO.:
DATE:
Eogon, MN 55122
Zoning: No. of Units:
u
Owner.
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with tha City of Eapon Surchorge:
Ordinances. Misc. Chorges:
Total:
B Dote Paid:
y
Date of Insp.: Insp.:
CITY OF EAGAN
3795 Pilot Knob Road
Eogan, MN 55122
Zonirtg:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan
Qrdinontes.
By
Date of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
D.4TE:
No. of Units:
Connection Charge:
Account Deposit: _
Permit Fee:
5urcharge:
Misc. Charges: -
Total:
Dote Paid:
CIT' _F EAGAN
3795 ';lot Knob Road
Eagan, MN 55122
Zoning:
Owner:
Address
Site Address:
Plumber.
Meter No.:
Size:
Reader No.:
1 agree to comply with tha City of Eagan
Ordinanees.
By
Date of Insp.:
WiCITY :!- EAGAN
3796 Piiot Knob Road
Fagon, MN 55142
Zoning:
Owner:
Address:
Site Address:
PI umber:
1 agree to comply with the City of Eogon
Ordinnnces.
By
Date of Insp.:
(nsp..
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
_ Connection Chorge:
. Account Deposit:
Permit Fee:
$urchorge:
Misc. Charges:
Total:
Dnte Paid:
I nsp.;
SEWER SERVICE PERMIT ?
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Account Deposit:
Permit Fee:
Surchorge:
Misc. Charges:
Total:
Dote Poid:
This request void `73
18 months irom T
W082606 ?. 8 Z, 1R-o Mov s I-K- H-rs. A 0.0 •$z* .Ot
Request Date Fire No. Hough-1n Inspection
Re4?,,??00Ready Now JaWill Notify. InsPec-
?' ? Yes ? No tor When qeady
? Licensed Electrical Contractor
I here6y request inspeetion of above
? Owner
--- --?.. ...o..
Street Address, Box ar Route No.
ct?on o. Townshi
N
N .. o.. o..
City
p
ame or
o. anpe o. Count
?
Occupant (PRINT)
Phone N o.
Power S PPlier
Addresg
Electrical Contractar ICompany Namel '
Contractor
s License No.
?e
Mail
Ad?ress IContractor or Ownar M k np Instailation)
Authorized ' nature fContractor Owner Maki Irrstallationl
u..... --
h e Number
l.? ??
-.. o-K-n ovAaau ur tLGGTRICITT I „IS INSPECTION REQUEST WILL NOT
Gripga-Midwey Bldy. - poom N.191 BE ACCEPTED 8Y THE STATE BOARD
1821 Univsrsity Ave., St. Paul, MN 66104 UNLESS PROPER INSPECTION fEE IS
Plwry (612) 287_2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001_04
' See instructiona for completinp this form on beck o1 Yallow copy.
p 8? 6 ?3
X'" Be w ar overed by This Request
Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin. Fixtures
Apt. Building Dryer Electric Heatm
Commercial Bldg. Furnace Silo Unloader
Indusirial Bldg. Air Conditioner Bulk Milk Tank
Farm ther Deci y ther (Suerify)
thP r Uoci Y t er Other
f~ ompute lnspection Fee Below •
tf Fee Service Entrance Size # Fee feeders/Subfeeders N Fee Circuita
0 to200Am s 0 to30Am s ,00 Oto 30Am
Above 200 Am ps 31 to 100 Arnps 31 to 100 Amps
Swinttnin Pool Above 100_Am s Above 100_Am s
Transformers Irrigation Booms „s Partial Other Fee
Signs Special Inspection
Remarks TOT FEE
_ /1.4/'
Rouph-in Date ?, t he rical
Inspettor, here6y
F
inal
?
e,,
` carti}y that the above
inspection has 6een
mede.
? ?III5IO4Y001YV1Y IOIIIVIIIIIOffWll
CITY OF EAGAN N? g744
3793 Pilof Knob Rood Eeyan, MN 55122
PNON Et 454-8100 :
44
?
BUILDING PERMIT Receipr #
Te be uied for REMODEL Est, yalue $4,000. Dote JANUARY 4 1 q 83
Slte Address 1520B CLEMSON DR. _ - __ _ __Erect p Occupancy R3
Lot 4 Block 2 Sec/Suti.THOM. LK. HTS. ADD. After 0 Zanin9 R3
10-75950-040-02 ?--? Repotr ? Fire Zone N/A
Parcel #
Enlarge p Type of Const. Vn
a Name BRAD - JUDY GRAFF Move ? # Stories
Z
? Addreu 1520B CLEMSON DR. Demolish ? Length-
Ci EAGAN phote 452-7451 6rade ? Depth Sq. Ft.-
a .
.
Nome
?? Address 2134 LEGION LN. Assessment_
Water 8 Sew.
Cit . K. ..Mn PFwne 770-47 SFi
Police _
1- Uw Nome Fire
?Z
?? Address Enp.
iW Ci Phone Plonner_.
Council _
1 hereby atknowled9e that I have read this opplicofion and stote thaf gld9, pff, _
the information is correct ond agree to wmply with oll opplicoble
Stofe of Minnewro Statutes ond Qty of Eogan Ordirances. Approvela Feas
RELIABLE CONST
INC
APC
Sipnoture of PermiMee
RELIABLE CONST.
A Building Permit is issued to:
oll work sholl be done in accordo e wifh? -all app?i?JOte-ef Mii
Building Offtcial !L`
/
Permit Y
Surcha rge -
Plon check _
SAG -
Water Conn.
Water Meter
Rood Unit _
Total $ 46. SO
_ on tha express condition thal
and City of Eogan Ordinantes.
g
_ LITy pg gp,GAN, Include 2 sets of plans,
' 8 7/y 1 site plan w/elevations &
. BUILDING PERMIT APPLICATION 1 set cf energy calculations.
To Be Used For ,?r?ta D t ? Valuation ?000 ?v Date / - <? / ' '- z
?
Site Pddress OFFICE USE ONLY
Ipt Block /S,674 i.6' kx l?L F}d"Erect OccuPancY ?r 3
Parcel #: / ? ? ' 7 J r 7 50 - 6`f 0- D Z A1ter zoning - 3
I?epair Fire Zone
Owner: ,2 '- cL )K ArJ= Enlarge _ Type of Const.
Nbve # Stories
Address: ?J'?o20 ft.
De?mlish Front
City/Zip Code: x?
Pnone #: _SL"J-??-
Contractor: ?,' / L
Address:??l/3?
city/zip Caie: Lw,?6 .F
Phone # : 7 26
Arch./II'ig.. A)_?T-
Addressc
City/Zip Cocle:
Phone #=
Grade Depth ft,
APPROVAIS FEES
?dater/Sewer
Police _
Fire
En9 •
Planner
Council
Bldg. Off.
APC
Surcharge b . ?U
Plan Checlc
SAC
Water Conn.
Water Meter
RDad Unit
TOTAL zi' 4i .?5 t)
CITY OF EAGAN
3795 Pilot Kaob Road Eagan, MN 55122 N2 5865
- PHONE: 454-8I00
BUILDING PERMIT APPLICATION
Site Addreu 1518 Clemson
t.or 2 Blxk 2 5ec/Sub. Thomas Lake Hgts
Porcel #
s Nome Ban-Con Inc
; Address 2345 N Rice Street
St Paul „1___ 483-0801
Receipt jk
Erett Occuponcy R3
Alter ? Zoning _Pr?
Repoir ? Fire Zone 3
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 42 ft.
Grode p Depth 22 ft.
Approvals Feea
p Nome _
?
Addreu
t- ru.,
Name _
Address
I hereby ackrwwledge that I have read this opplication ond state that
the informotion is correct and agree to compiy with all applicable
State of Minnesoto Statutes ond Ciry of Eagan Ordinonces.
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council 6/5/80
Bldg. Off.
APC
Permit .LVa.vU
Surcharge 18.50
Plon check 4.00
snc 525.00
Water Conn. 305.0?
Water Meter 60. 00
Road Unit 185.00
Total 1255 . 50
Signoture of PermiKee I
A Building Permit is issued t' -6__^ Jv? on the express condition thot
oll vrork sholl be done in acmrdance with all opvl+r4ble Stute of Minqeyota Statutes and City of Eagan Ordirwnces.
Building Official
?" A?7000
AAOOCr-
? Li'Sz' OF EACAN Include 2 sets of plans,
1 site plan w/elevations &
I?,L( , ._ i ?,,,(, BUILDING PERMIT APPLICATION 1 set of energy calculations.
/ r 3'' -
To Be Used For tAUqD Urf tT Valuation??,Date S 27 Leo
Site Address: OFFICE USE ONLY
Lot -9- Block Sec./Sub. ?
Parcel #:
o«mer: l3A1J -Cpn.1 wa.
Pddress : 23 4S f?l , tZ\?t ST'eE?7'
City/Zip Code: ST.'jAU L, Mnf _ ss 113
Phone #_ -4 y,3 - OS O I
Brect occuPancY R3
Alter Zonin4
Repair Fire Zone ?
Enlarge 7ype of Const. v
Nbve # Stories _
Tmrolish Front ft.
Grade Depth ft.
P,PPROVAIS f'EFS
Contractor: BAtS -CotA INC,
Pddress: S AM r .
City/Zip Code:
Phone #:
Arch./Eng-: gRt? - Coo.l intc.,
Ptidress: S AN&C .
City/Zip Code:
Assessments Pesmit
Water/Sewer Surcharge _
Police Plan Check
Fire SAC
Fnq. water Conn.
Planner Water Meter
Council Rnad Unit
Bldg. Off. S
P.PC
Phone #: TOTAL
CITY OF EAGAN
3795 Pilnt Knab Roed Eogan, MN 55722 N2 5$66
PHONE: 454-5700
BUILDING PERMIT APPLICATION
Ouad Uni
S'rfe Address 15] $ B (:12mson
Lor 3 eiock 2 sec/5,b. Thomas Lake Hgts
Parcel #
, Name Ban-Cori IriC.
Paul N Rice Street
o AddresSt 2345
4 3-OSOi
? Nome O°'i'c
0
Address
P- Cit Phone
Ww Name Sama
Fw
iz
r, Address
I hereby acknowledge thut I hove read this applicotion ond siote that
the information is correct and ogree to comply with oIl oDPlicable
State of Minnesota Statutes ond City ot Eagan Ordinances.
Receipt ? 11?d- ?2
Ered [N `Occuponcy R3
PD
Alter ? Zoning
Repoir ? Fire Zone 3
Enlurge ? Type of Consf. V
Move ? .$ Stories
Demolish ? Front 42 ft.
Grade ? Depth 22 ft.
4oe,evela Fces
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council 6/5/80
Bldg. Oft.
APC
Permit 1V6.VV
Surcharge 18.50
Plon check 54.00
5aC 525.00
Water Conn. 305. 0?
Woter Meter 60.00
Road Unit L$5. x)
Toral 1255. 5n
Signature of Permittee
A Building Permit is issued to: on the express condition that
oll work shall be done in acwrdance w' all?pplicable ote of Minnesota Stvtutes and City of Eagan Ordinances.
o ?
Building Official
??
Ad' `
v-?p
' QPSBto (c 'Fy')0j nnoot(-
CITY'OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERNIIT APPLICATION 1 set of energy, calculations.
'A ??F3' )"i? 0-,-D°n
To Be Used For [auAt, uy?r? Valuation P?--
Date !?A*
Site Address pFFICE USE ONLY
Lot 3 Eloc-ac sec-/Syp Erect X occupancy
Parcel #: A1ter 2oning ?
Rspair Fire Zone 3
Owner: BAN - CC?I lnf ?- Enlarge _'iype of Const. !/
Move # Stories
Address: RfNE <1-RE67- pEmlish Front 5L ft.
City/Zip Code: Sr. ?Au ? ssits Grade Depth ft.
Phone #: I 83 - ogo l
Contractor: gAN- em 14(4.
Address: 5
City/Zip Cocle:
Phorye # :
Arch./Enq.: 13An1-eot4 it4c.
Ptldress: ce.nkE
City/Zip Code:
APPROVAiS FE ES
Assessments Perntit )09
[aater/Sewer
Surcharge ?
I R
Police Plan Check Sy fa?
Fire SAC
Eng, Water Conn. 3 OS
Planner _ Water Meter /n
Council Road Unit
Bldg. Off. -S
AF-C
Phone #: TOTAL
CITY OF EAGAN
. 3795 Pilof Knob Rood Eagan, MN 55122
PHONE: 454.8700
BUILDING PERMIT APPLICATION Receipt #
io be used fer @uad Units Est. Volue 37s000 Date
Site Address "'-eM,uii
Lor 5 eiock 2 Sec/sub. Thomas Iake Hgts
Parcel #
m Nume Dd1i-i'utt lttc
o Address 2345 Street
,,.. .,, 4 3-0 01
a Name _
??rAddress
r:...
Name_
Address
1 hereby acknowledge that I have reod this applicotion and state that
the information is correct and agree to comply with all applicable
State of Minnesota Statutes ond City of Eagan Ordinonces.
N° 5868
Erect Occupancy R3
Alter ? Zoning PD
Repair ? Fire Zone 3
Enlarge ? Type of Const. V
Mrne ? # Stories
Demollsh ? Front GZ ft.
Grode ? Depth 22 ft.
Aeororals feeQ
Assessment
Water & Sew. --
Police
Fire
En9.
Planner
Council 6/5/80
Bldg. Off.
APC
Pertnit 1U25.UU
SurCharge 1$.50
Plon check 54.00
snc 525.00
Water Conn. 305. 0?
Water Meter 60.00
Road Unit 185.00
Torot 1255.50--
Signafure of Permittee I
A Building Permit is issued t• Ately on the express condition thot
oll work shall be done in acwrdance witb all applicobie Statepf Minnewta Statutes and City of Eagon Ordinances.
8uilding Officiol
. ` ' A 'E pTS WI003 NKG.7EL
. .?
Q
?Z CIT`! OF
EAGAN
Include 2 sets of plans,
1 site plan w/el evations &
BUILDING PERMIT APPLICATIO N 1 set of energy calculations.
'Ib Be Used For
Qo1.b uai Valuation
° /
Date S o
Site Address: ,y a( p u10*? OFFICE USE OMY
Lot ?- Block Sec./Sub. Erect ? Occupancy 3
?
Parcel #: Alter Zoning
Repair Fire Zone 3
Oaner: '?Ah( - r'n?j 1t.te Enlarge - TYLe of. Const. iL
Move # Stories
Address: Demolish Front y? ft.
City/Zip Code: 5, PA(Ji- SS?/3 Grade Depth a'l- ft.
Phone #: 4 f3-s -4?) 8o i ?5?4ree, ? APPROVAIS FEES
Contsactor: BAN - cpi.! liJe.
Address : s ?, rv.?
City/Zip Code:
Phone #:
Arch./Eh5• : gA.til - cor.t 1nte,
Pddress: sK ntl .=
City/Zip Code:
Phone #:
Assessments Pernti.t f08 =9
Water/Sewer Surcharge ) 8Wj*;-9'
Police Plan Check 6-y -m-
Fire SAC Sdu'
Eng. Water Conn. 3oj- ":?o
Planner Water Metex 60 A=2,
Council Road Unit / gS ep
Bldg. Off.
APC
'Ib'PAL
CITY OF EAGAN
3795 Pilof Knab Road Eagan, MN 55122 N! 5867
PHONE: 454-8100
BUILDING PERMIT APPLICATION
Sire Address 1520 B Clemson
Lor 4 ei«k 2 Sec/Sub. Thomas Lake Hgts
Porcel #
rc Name nzui-wii iiiU.
z Addre 2345 N Rice Street
3 -
o ? au
o Name _
F
?0 Addreu
r r...
Name _
Address
I hereby ocknowledge that I hove read this application ond state thot
the infnrmotion is correct ond agree to comply with all applicable
$tote of Minnewta Srotutes and City of Eagon Ordinances.
Receipt #
Ered [I Occuponcy- R3-
Alter ? Zoning PD
Repoir ? Fire Zone 3
Enlorge ? Type of Const. V
Move ? # $taries
Demolish ? Front 42 fY.
Grade ? Depth 22 ft.
ADVrorals Feea
Assessment
Water & Sew-
Police
Fire
Eng.
Planner
Counc(I h?K?RO
Bldg. Off.
APC
Permit 108.00
Surchorye 18.50
Plan check 54.00
SAC `L .25-n?
Woter Cann. 305 • 00
WaterMeter 60"00
Road Unit i85 . nn
Total l 255 _ 5(l
$ignoture of Pertnittee I
A Building Permit is issueA f on the express condition that
all work shall be done in occordonce with/qll appiiwble State ofi-?Ainnesota Statutes and City of Eagan Ordirwnces.
8uilding Officiol
I
oqo -U ?--
CITY OF EAC 1N
BUILDING PERMPf APPLICATION
lj,,e ,5-9-t- 7 "?ooz. &noaF,
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
To se vsea For &tft.,111 v,aation(dg??g$-?° Dat.e sZ7/&o
site raaress: /??.D ?`j / ?orFzcE usE oruJr
i.ot ? blocx ? sec./sub.`' ect ?JC ??
Alter 2oning
Parcel #:
Repair Fire Zone
Owner: gRirJ -CO4 Jue, Enlar3e _ 7.yPe of Const. '
Nbve # Stories
Addies5: Desrolish Front y? ft.
City/Zip Code: S-r-, pAL) L_ Ssn3 Grade Depth o2a_ ft.
Phone #: 4 83 - o gol APPROVALS FEES
Contractor: BAnI -Co1.1 INC.
Address: 5 P.nhE
City%Zip Code:
Phone #:
Arch./Eh9•= RAt4-C.bij WC
Pddress
City/Zip Code:
Phone #:
Assessments
Water/Sewer
Police
Fire
? Planner
Council
Sldg. Off.
APC
Pernti.t /p g' SL''
Surcharge / 8 ss?
Plan Check ? ?
sAC Sa,s _0`
Water Conn. ,po,s'
Water Meter ?
Road Unit / 8S
'I'OTAL
This request void ?? alce? V4-?L / / 75:5
18 months from S 72062
Date o this Request Pire No.
1, asV?Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at
Street Address or Route No.
C,t
.i.?'1SG? Cit ?
Y
:ion Township
Range (?
,????,.,,
County ?_
Which is occupied by Pn7? C+? ? ?11L`
Is a roughin inspection required on this job? No ? Ye&k?__ Ready Now ? Will Ca1fT\
Power Supplier 1`64k Address ?HN 04+*
Electrical Contractor f;ew ELFM?') c- Contractor's License No!'-'-iQ
JyII ?ic ?LyFF ?'
Mailing Address b'
(E ica ontractor or owner Making This Installatlon)
Authorized Signature • Phone No.
(EIBC Ical ontlactor ?a+r Ownel Maklnq Th15 Installatlon)
This inspection request will not 6e accepted by the
State Baard unless pmper inspection fee is endosed.
Minnesota State Board of Electricity ?/."}?? gg_o0001-02
Griggs Midway Bldg. - Room N791 '1 /
t821 :lniversity Ave.. St. Paul, Minn. 55104 - PFwne 297-2171 ^ ?? 0??
REQUEST FOR ELECTRICAL INSPECTION J
- ., ncr nnr urnnv pnvFAFn RY THIS REOUEST
?ir .,i. .......... ........ .... . _'
7ype oP Building New Add. Rep. __ _ _
Chuk Appliances Wired For
Check Fquipment Wi[ed For
Hume ? ? Rxnge ? Tempotazy Wiring ?
Duplex ? ? H'ater Heate? ? Ligh[ing Fixtures
dldg. ?
Apt ? ? Dcyer ? Electxic Heating
?
.
?mmercial Bldg. ? ? ? Fumace n? Silo Unloadet
?
..dustrial Bldg. ? ??
Air Condi ' M1cY
L?t
?
Bulk Milk Tank
List
Farm ? ? ? o ?
eieTS
s#
$ther
ere
?
Other
? []
H
COMPUTE INSPEC7 ION FEE B ELOW
Se[vice En[ru?ce Size:
# Fee
FeedecsBSubfeede=s:
# ?- 1 Circuits: # Fce
ff k
0 to 100 Am s.
1
0 to 30 Am eies •
0 to 30 Am etes
101 to 200 Amps. 31 to 100 Am eies 31 to 100 Am eres
Amps.
Above 200 Above 100 Amps. Above 100 Amps.
_
Transfoxmecs RemoleConltoiCirc. PartialorotherCee
Signs Special Ins ec[ion Minimum Cee $5.00
$
?
Remaiks .
TOTAL E?.J
Wv
?-
I, the Electrical Inspector, hereby certify lha abov is{ecfdon has been ri?
.?
(Rough-in)
(Final) t Date
This request void
18 months from
This request void 75-5 ?
18 mc>nths&om
Date of this Request 03 o{ v Fire No. S 7 2 0 6 1
I, a04'Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri•
cal wmng iastailed at:
Street Address or Route No
tion Township
Which is occupied by
11GIS.N City ihGhiJ
Range County DA1`orm
Is a roughin inspection required on this job? No ? YesC&, Ready Now ? Will Ca1CK
Power Supplier P14 Address
f?? 5
Electrical Contractor ?. 0? G??G Contractor's License Nd.??? Iq
oJ"pany Namej
Mailing Address ? . L( F
lett I al CMtar or Owner Making Thls Installatlon)
Authorized Signamre " Phone No.
(Electrlcal Contractor or wner Making ThIS Installatlon)
?; This inspaction request will nat be accepted hy the
State Board unless proper inspection fee is endosed.
minn.35104 - Phone 297-2717 EB"00001•02
-- rstQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST 72061
Type of Building New Add. Rep. Ch¢ck Applisncea Wired For Check Fquipment W'ved For
Hnme ? ? Range ? Temporary Winng ?
Duplex ? ? Wa[er Heater ? Lighting Fixtutes /v
-AFt. Bldg. ? ? ? Dryer Elec[ric Heating `'ti'
Commercial Bldg. ? ? ? Furnace 14 Silo Unloader ?
Industnai Bldg. ? ? ? A'u Condihoner Bulk MIlk Tank ?
Fazm ? ? ? List List
Other
?
?
? Others?
Heie ) Othexs?
re
COMPUTE INSPECTION FEE BELOW ? 6? I 1I ?I 1)
co
_?
Remarks ? Clb r 00' TOTAL FEE
I, the Electrical Inspector, hereby certify that th1-7 ins i 6een m;
(Rough-in)
(Final) Date
This request void
18 months from
VV
This request void ! 5 5
18 imrnth: from
7G?
Date of this Request?(Z J? t Q" Fire No. S 72063
I, s icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
c ng'nstalled at:
Street Address or Route No. rN s4A Ciry,?' -N^R?'
. on Township Range County n ll1U?7A
Which is uccupied by
l
Is a roughin inspection required on this job? No ?
Power Supplier
Electrical Contractor t?? c L
II ico?
b7ailing Address I?I I I ?' C
Authorized Signature
? ? ?V FE a (L% 2 0
L-E-G ,C
lame)
C n b
i
I f
YeVQ?- Ready Now ? Will CaIJ:K
ress fw,NGivl?
7/(J Contractor's License No??'??f ?
tractor r owner mtaking This Installatlan) 1 ?_
1 f.
n.ci Phone No.
Jwnarakin9 Th.?is Installation)
)PU This iMpection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity iG GH-Oppp1-02
Griggs Midway 61dg. - Room N191 , ??
`
1821 University Ave., St. Paul. Minn. 55104 - PFane 297-2111
REClUEST FOR ELECTRICAL INSPECTION S 72063
cCK BELOW WORK COVERED BY THIS REQUEST
:
'
.
e af Budding Ne v Add. Rep. Check Appliances W'ved Fof
T ?d For
Check Equipment W
n
yp
? ? Range ?
j
? Temporary Wiring ??
Home
o ? Water Heater ?
j
lex kf
D Lighung Fixtures {?-
up
? ? ? Dryer
A
Bld Electric Heating ?
nt.
g.
imeicial Bldg. ? ? ? Fumace
' Silo Unloader
Bulk Milk Tank
?
v Conditianer
.,.SUStnal Bidg. ?? ? A ?.yt
t
List )
I'arm Otheish OthersS
Othe[ ? ? ? Flere f ?^
1nr.nvi iTF INSPF.CTION FEE BELOW
[o
Remarks TOTAL FE JO (
I, the Electrical Inspector, hereby certify that 14 e i?s,?j???'?fl.,ia ? m . ?
J' 7?c0?5"
(Final)
This request void
18 months from
Ttus requect void >6--el.-7 -?
18-months from
Dat
f thi
R
72060
e o
s
equest Fire No. "
I, aLicensed Electrical Contracror ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
S' •et Address or Route No. I? ?? CL-??'15c?? City
Sc.cion Township Range County
Which is occupied by NlIIIi Ct).+, -Fm-
(Name af Occupani)
Is a roughin inspection required on this job? No ? YesO,_ Ready Now ? WID Call@f,
PowerSuppiier_ Y-CFS Address me hI ti 61(NN
Electrical Contractor F?ELL EL e-c lT- /G Contractor's License NA-_150
1 I (C rtipany Name)
Mailing Address L- ? ?F
(W rlc Contractor or Ownor Making Thlz Installatlan) ?n 55os'
Authorized Signature ' Phone No.
(? (Electrlcal Coneracfor or Owner Makinq 7his Installatlon)
?? ?? ?? ?; ?Q?D QOp? Thisinspectianrequeatwillnotheacceptedbyffie
State Boerd unless proper inspection fee is enclosed.
Minnesota SWte Board of Electricity .C Eg-00001-02
Griggs Midway 61dg. - Room N191 ?? 7?
J
. iersity Ave.. S[. Paul, Minn. 55704 - Phone 297-2171 ^
:QUEST FOR ELECTRICAL INSPECTION J 72060
BELOW WOAK COVERED BY THIS REQUEST
.,_.
Type of 9uilding New Add. Rep. Check Appliences FNired FoF Check Equipment Wired Fox
Home ? ? Range S Temporaxy Wumg
w
Fi ?
Duplex ? ? Water Heater res
x
Lighting
?
?. Bldg. ? ? ? Dryex ? Electric Heating ?
,mmereial Bidg. ? ? ? Fumace
O Silo Unloader
k T
k ?
Induatrial 81dg. ? ?? Au Conditione an
8ulk Mil
st
Farm Cl El 11 oList
rs? ers?
Other ? ? ? ?1eie y
I;UMYU t C llvJi
Service Entrance Size: I
# ?'+-+> +?+??••
Fee Feedees&Subteedees:
#
Fee Circuits: #
Fee
0 to 100 Am s.
T
T
$Q 0 to 30 Am res
0 to 30 Am etes
.00
101 to 200 Am s. - 31 to 100 Am eres 31 to 100 Am eies
Amps.
Above 200 Above 100 Amps. Above 100 Amps.
_
Transfocmers Remo[e Contxol Circ. Pxrtial or other fee
Si ns Special Ins ectlon Minimum fee $5.0
FE ,I
Remazks
irZR
G ?
^00
TOTAL
.,-e •-
I, the Electrical Inspector, herehy certify
(Final)
This request void
18 month"s from
ma eY.
-7_??-bO
This re,
,?lest void
18 months from
Date of this Request Fire No. s '72028
1, rc$?icensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal winng instailed at:
/
C1,614 Street Address or Route No. ? City--1
Section Township Range County { 1AW4
Wttich is occupied by
C04.
Is a roughin inspection required on this job? NcD&__ Yes ? Ready Now ? Will Calja
?
Power Supplier Address
Electrical Contractor ?C7 L? Contractor's License Noil-3
Com any Name)
MailingAddress 1`(11 ?. LrFF tt),
?._ -(ElettritAl Co-n-LEactor or Ownar Making This Installation)
Authorized Signature
No. $y'o -s5os
(EletUlcdl Cbntrottor of Ownar Making Thls InstallaHOn)
S??1,`?? d? ?On?7 Thisiirspectianrequestwillnotbeaccepted6ythe
SWte Board unless proper inspectian fee is endosed.
Minnesota State Board of Electricity g OOOOi?
Griggs Midway Bldg. - Room N791
7V7 Universiry Ave.. St. Paul, Minn. 55104 -Phone 297-2111 ^ ? ??-
REQUEST FOR ELECTRICAL INSPECTION !J 72028
(`HP.ru uFi nw wnuK cnVFRFD RY THIS ABOUEST
Type of BuAding New Add. Rep. Check Appliances Wired For Check Fquipment Wued For
Nome ? ? ? Range ? Tempoxazy Wtring is,
Duplex ? ? ? Wa[erHeater ? Ligh[ingF"uctures ?
Apt. Bldg. ? ? ? Dryex ? F,lect[ic Heating ?
Commeccial Bldg. ? ? ? Furnace ? SIlo CNoadet LI`
Industrial Bldg. ? ? ? Av ConditiopeL_ ? Bulk Milk Tank ?
? ? List List
Fazm p
,s?
IS? _
.
Other ? ? Hehe Hehe
f`(1MP1 fTF. iNCPFf Ti(1N FFF RF.1 nW v J,sU F?7 k.r??
Service Entrance Size: # Fec Feeders&Subf ers: e Cixcuits: # Fce
0 to 100 Am s. 0 to 30 Amperes 0[0 30 Am eres
101 to 200 Amps. U:0q 31 to 100 Ampe:es " 31 to 100 Am eres
Above 200 Amps. Abovc 100_Amps. Above 100 Amps.
Ttansfocmecs RemoteConttol Circ. partixl ox o[her fee
Signs 11 Speciallnspec[ion Minimusn
Rcmarks rMP-Z ? TOTAL E?O .O
??2l??? ?.? v?ic?
0,??
I, the Electrical Inspector, heieby certify that the above irispection has been m`aZT.-?
(Rough-in) Date
(Final) Date
-Tr,
This request void
18 months from
0m 1 3-656
?
? ?
0A.
Re[ues10 e Fire No RaLgh-In Inspechan RequFetl
(VOU must cell mspeoC hen read Inspectio Iher Than floughln
? Reatly Now Will otity Inspactor
? Yes No Date Read
I licensed contractor ? owner hereby request inspection of above electrical work at
Jab Address (Slreet Box er Rome Na ? Gity
,5?a
?
Seclwn No Township Name or No Range No County
occupant(PRINT)
p/Ql?, --? PhaneL?Na
JY/ -71?
PowerSUpplier Atltlress
Electnoal Comraaor (COmpany Name) Gontracror's Lioense No
ShE ?li?vb' ? CfIG/b ?,L.
Mailmg tldress IConiractor ar Owner MaMng Instalfallon)
Aulhor¢ SiBnaN on aclor/ wnar Meking Installa hon) Phone Number
MINN S A STATE BOAPO OF EIECTRICITY TM1I$ INSPECTION PEOt1EST WILI. NOT
BE ACGEPTED BV THE STATE BOARO
Grlgge.Mltlway Bldg. - Roam 5-128
1841 University Ave., St. Gaol, MN 55104 II I I I I I IIII III II II I I II II I II
UNLESS PROPEF INSPECTION FEE IS
oe.,..a 1e111 a¢v.nann ENCLOSED
t ee-oaooros
REOUEST FOR ELECTRICAL WSPECTION
3 ? Ir? ?G ? See msl:ua4ons br com0leUng ihis form on baak al yellow copy
t aNi.? °?
"X" Below Work Covered by 7his Request
Compute Inspechon Fee Below:
Booms
?Other Fee L_
I, ihe Electrical Inspedor, here6y
certify that the above mspectlon has
6een made
OFFICE USE ONLY
TMs reques[ void 18 months irom
specbr's Use Ony eZ7
THIS W T'H NriB MON HS" SCONNECTED IF NOT
COMPLETEO
pale
?
CITY OF EAGAN
EARLY UTILITY CONNECTION PERMIT
1520 152052 1518, 1518B Clemson LS L4 ' ' hts
Address Subdivisi'an/Parce
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I
understand that the City has not yet completed, inspected and/or accepted
the sewer and/or water lateral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand the require-
ment to cap the sewer service to prevent any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will he issued or water allowed
to be turned on until the City utility system has been declared operational
hy the City Engineer.
Signed by - Plumber:
Owner:
Developer:
Builder:
Dated: July 15, 1980
("kV I.-V 7
" ENERGY REQUIREMENTS
_._.-•-•
Thid`form to be completed and submitted with building permit applications
EX7ERIDR ENVELOPE AVERAGE "U" COMPUTATION
QWNER 3P4A COe.) j.L,Ae,
SITE ADDRESS
CONTMCTOR ???? iki c- DATE PHOP;E 483 '0801
Determinp working square footage of each.
1. Total exposed wall area .... Q?A C) sq. ft. x .17 = S 2 z.8
2. Total roof/ceilin9 area ...... 3(aF6 sq. ft. x .05 = i54.8
Total exposed wa1T area above floor =_4 802-
e. Total wall window area ........................... 33,y
b. -Total door area ................................. rsz
c. Total stiding giass door area ................... 4Sa
d. Total fireplace wa11 area........................ -
e. Total Nall framing area (aweragr. 10%)............ Ma
f. Total net wall area a6ove ftoor ................. y), 63
9. Total rim joist area ............................ z z t,
--1. ZbT?iL k2EA AAa'E Uo-2, u,<?6. cAMT, q zq
Total exposed foundation area = z??
h. Total foundation window area ..................... -
i. Toal net foundation area above grade ............ 319>
Determine "U" value of each wall segment.
a. 33q x liuli .ss = l?_?
b. I Sz X ltull z 3
C. 48o X ?iti,l 264
a. - x „u„
e. 318 X "U" ,/3 - 41
f. 2 blv3 X -U'- .07 a Z?
A HU11 .04
h. - X pU" - _
i. 30 X "u,. US = Z
424 = •v' o? _ _ 13
3 . ...................................7ota1 c 7 3 9
If itgn 03 is the same as, or less than item 01, you have met the intent
of SBC 6006(c)2.
?
?
. ?
Tota1 exposed roof/ceiling area = 36?4?
J. Total sky11ght area..
_ k. Total rcof/ceiling framing area (average 10°G)...
1. 7otat net insulated roof/cei'ing area............... _ Determirte "U" value for each roof/ceiling segment. `
j.X nuil ?
X
1. 33L?? x s.u„
9 ......... . ......................Tatal r i?s
If totat of 84 is the same as, or less than #2, you have met the intent of
S::C 6006(c)1.
Alternate Building Envelope Design
io utilize the tctal envelope system method, the values establlshed by the
sum of items A3 and §4 shall not be greater than the sum of items N1 and F2
t.- ?zZ . g + 2. bD7 . ?
3. 73e1 + 4._ I ? S 953. 78
?
,
Q? t y ?
s .,1 aGC/-`
t!
DeIvG So
SS/+.7/
?5',? -7 +1SJ
yy,f _ l,o„
CITY USE ONLY
L BL _? RECEIPT #: 7 5 5
SUBD, DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
3830' PI OT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: ? single family dwellings
?? ? townhomes and condos when permits are required for each unit
_ New construction ? Add-on furnace
_ Add-on air conditioning Fireplace conversion (to existing fireplace) -
Date: 4 '/?"/ °i S
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS: /S/B ?/?msm ?
OWNER NAME: ,C7/an e_ kf= 7 KI PHONE #: 1I?L- 7?5? ?I
INSTALLER NAME
H MATINO AND COt7LFNG
STREET ADDRESS: ?00 OI`VER BEr?-Ct- R'oAD
6 w ,22
CITY: 45"460%TATE: ZIP:
PHONE #:
51? .? ?
PERMIT
CIYY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-75950-030-02
DESCRIPTION:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
(" ?Census Code
1518 CLEMSON OR
LOT: 3 BLOCK: 2
THOMAS LAKE HEIGHTS
_ REPLACEMENT
@uilding..Permit Type
Auilding 4fqrk Type
_....";;...3;? <.. ,,. ,. : - ? ?•..i `"`...
yoy.?,.+-
'
REMARKS:
FEE SUMMARY:
CQNTRACTOR:
BOARD & ROOM RMDL
3836 HARRIET
MINNEAPOLIS
(612) 823-9128
- Applicant - ST. LIC OWNER:
18239128 0904976 TEMPLETON ANNE
S 1518 CLEM50N DR
MN 55409 EAGAN MN
I
PERMIT TYPE:
Permit Number:
Date Issued:
UNIT B
DECK
REPAIR
434 ALT. RESIDENTIAL
?lM e,
BUZLDING
030470
07/21/97
8
I hereby acknawledge_ that arhave,?read thi:s `4VPl-icati6h a:n'd wtate° that thO information is cor.rect 4.nd,ag,ree.,,tQ comply Stater of i5n? .
Statutes and City of Eaqan,prdinances. . .,_ -
PLIGANT/PERMITEE SIGNATURE ' ISSUED eV: NATURE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? SO st
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
? 3 registered site surveys
? 2 copies of plans (indude beam 8 window aizes; poured fnd. dasign; etc.)
? 1 energy CalCUlations
? S caplee of tree preeenetion plan B IM platled eRer 7f1/93
required: _ Yes _ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
/
LOT BLOCK
PROPERTY
OWNER
RemadeUReceir Reouiremenfs
? 2 copies of plan
? 2 site surveys (exterior addkbna 8 dedcs)
• 1 energy calaladons for heatetl add'Rlons
coNSrRUCnoN cosT:
???e (B
Z SUBDJP.I.D. #:
f
Name: Phone
u..
Street Address:
City: State: Zip:
coNrw?cTOR Company: ?4tiicJ4 Phone #:2??3
Street Address: License #:
Ciry: ?? ? r 5tate: Zip:
41
ARCHITECTI Company: Phone
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licer.sed plumber (new construction oniy):
and lot change arc ?equested once permit is issued.
Penalty applies when address change
I hereby acknowledge that I have read this appliption and state that the infortnation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. /
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
trE oF suRVEY
For:
BAN-CON, INC.
f.%ro,:o.m? Shv?rn Ar? ii?Posed ?"•m ? r' :
\ ? \ ? M
RECEIVED
Lots 22 thrnugh 25, inclusive, Block 3, TIICMAS LAKE HEIGHTS, SC"P 12 10$0
Daketa County, Minnesota.
BAR•CON, INC.
we nener eernfy tnet tMs It a true one eorne+ nDrmsentatlon of osurYey of tne E. G. RUD 9 SONS. INC..
ewneori•s of rni abae desorl?ed iana ena of rn• iooorion of all buildinqs, ir any, LAND SURVEYORS
Minn. RsO. No. ' :
fhwnon, and 011 vIaICN onCro00hm?nts, If eny, frOm or on fofd land.
E. G. RUD a SONS , INC. 3847 155fA Avsnw N. E.
"r
DotN tAls dar af Sz y IG.E Anoka , Minnasola 55303
bv Tel: 434-6505
?
Sca/e : /""? 30' N .
O DP/JO?CS ?l0/1 i
I
l
2ti1 ??
?
i/
/
?
THOMAS LAKE HOME OINNERS ASSOCIATION
1535A CLEMSON DRIVE
EAGAN, MN 55122
BUILDING INSPECTOR
CITY OF EAGAN
EAGAN, MN 55122
RE: REPLACEMENT OF DECKS ON TWO QUAD TOWNHOMES.
DEAR SIR: _
THE 80ARD OF DIRECTORS GIVE UNANIMOUS PERMISSION TO
ROOM AND BOARD CONSTRUCTION COMPANY THE RIGHT TO WORK ON THE DECKS
OF 1518/1520 AND 1535/1537 CLEMSON DRIVE AND RECEIVE THE PROPER BUILDING
PERMITS FOR WORK TO COMMENCE.
RICHARD H. SWEDEAN
PRESIDENT
PERMIT
?CITI( OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-75950-020-02
1518 CLEMSqN DR
LOT: 2 BLOCK: 2
THOMAS LAKE HEIGHTS
PERMITTYPE: auzLozNG
Permit Number: 0 3 0 4 6 9
Date Issued: 0 7/ 21 / 9 7
DESCRIPTION:
REPLACEMENT
b uildi,ng,Permit Type DECK
$uilding Wrk Type REPAIR
`Census Code °°,? 434 ALT. RESIDENTIAI.
4?
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t
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a
?an
b,?`t,? {: ?Y,•;
,+."7?.'7} c i
" "?' ? -}ei 7???`i
'
L E?
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
Total Fee
$50.00
$.5@
Fee $5.00
$55.50
CONTRACTOR: - Applicant - sT. Lxc pWNER:
BOARD & ROOM RMDL 18239128 0004978 EFTA DIANE
3836 HARRIET S 1518 CLEMSON DR
MINNEAPOLIS MN 55409 EA6AN MN
(,612) 823-9128
IL
Z hsr:e-by?, acknowledge tha'C ?Lthave-rvead° this a p p 13'c°at ion"ahd"staCe that'`Che _
in#ormation is' correcE anO aqree tci, camRy;aSi_a`R.pS.j,GabX$ _3tate.af ?in,
Statutss:and CiCy of Eagan,Or.d3nance.s.
APPLI ANT/PERMITEE SIGNATURE ISSUED 8. SIGNATURE
2
? ? Z '• tAwcf
pS p
30 ??
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
sa1-4s7s
New Construction Reauirements
RemodeVRaoair Reauirements
0 ss. Sd
? 3 registered aite survays ? 2 copies of plan
? 2 coDles of plans (indude beam 8 window saes; poured fid. design; etc.) ? 2 ske surveys (exterior ed0itions & tlodcs)
? t enargy calalatlons ? 1 eneigy ealculations for heatetl additians
? 3 copies of tree preservation plan 'rf lot platted aRer 7!7[93
requlred: _ Yea _ No '
-7 q- / 7
DATE: ( CONSTRUCTIONCOST:
DESCRIPTION OF WORK: "o &J T
STREET ADDRESS:
? ?
LOT ? BLOCK
SUBD./P.I.D. #:
PROPERTY Name: Z ?Phone #:
OWNER ... ...,
Street Address:
City: State: Zip:
CONTRACTOR Company: a AQq0 7?0"COe /? 641- ? GGo /( Ne /'z/(K*7/j-
Street Address: .K: 4?16 ffaQa?(e-? -57-
City: State:
ARCHITECT/ Company:
ENGINEER
Phone #:
License #:
9
c ?
Zip:
Phone #:
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licer.aed plumber (new construction only): . PenaHy appiies when address change
and lot change are, equested once permit is issued.
I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY RECEIVED
CsRificates of Survey Received _ Yes _ No
JUL 15 1997
Tree Preservation Plan Received _ Yes _ No _ Not Required
BY: A15
? /?" s6 ,-,I
For:
BAN-CON, INC.
I ?
oF suRVEv
O'ntfeo Fio?oae+? J'u-fzY Q?arn?r ,7.z .• ?.i• l? ?_
d
n_ \
T
(?l
RECEIVED
Lots 22 thrcugh 25, inclusive, Block 3, TH0*1AS LAKE HEICHTS, SEP 12 L0$0
Daketa County, Minnesota.
BAKI•CON, INC.
?.,
We hereCy Cerflfy Ihol thls 1s o true and cornet npnsentatfon of osurvey of fhg E. G. RUD a SONS. INCr.
eounaori•e or rne aeore dneilbod iona ena of rn• ioeauon or au buuamos, ir onr, LAND SURVEYORS
thaoon, and all rltleN oncfooeAm?nts, If any, from a on scld lone. $B47 155fA Avenu! N. E.
,? E. G. RUD & SONS, INC.
pated tebLear of S°1°? ti& Anoko, Minnesota 55303
by T*1:434-6505 '-
,
s?oie:i-.3D' N
O '0enolet /ion
2 5
1 /
I /
?
THOMAS LAKE HOME OWNERS ASSOCIATION
1535A CLEMSON DRIVE
EAGAN, MN 55122
BUILDING INSPECTOR
CITY OF EAGAN
EAGAN, MN 55122
RE: REPLACEMENT OF DECKS ON TWO QUAD TOWNHOMES.
DEAR SIR:
THE BOARD OF DIRECTORS GIVE UNANIMOUS PERMISSION TO
ROOM AND BOARD CONSTRUCTION COMPANY THE RIGHT TO WORK ON THE DECKS
OF 1518/1520 AND 1535/1537 CLEMSON DRtVE AND RECEIVE THE PROPER BUILDING
PERMITS FOR WORK TO COMMENCE.
RIGHARD H. SWEDEAN
PRESIDENT
• PERMIT
CItY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: aurLorNG
PermitNumber: 030472
Date Issued: 0 7/ 21 / 9 7
SITE ADDRESS:
P.I.N.: 10-75950-040-02
DESCRIPTION:
r
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
?
Ls ra ? ?
=s,4•, a {i?rs 'a;?fi? "? ?? ":??'•?t?t w? i
?y
REMARKS:
FEE SUMMARY:
CONTRACTOR:
BOAR? G ROOM RMOL
.3836 HARRIET
MINNEHPOLIS
(612) 823-9128
IL
1520 CLEMSON DR
LOT: 4 BLOCK: 2
7HOMA5 LAKE HEIGHTS
UNIT 8
REPLACEMENT
8i.iildii5t?, Permit Type DECK
??ui'ld'ing ?o_rk Type REPAIR
,;1C,en`sus ?Code434 pL7. RESIDENTIAL
- Applicant - ST. LIC OWNER:
18239128 0004978 LESCH
g 1520
MN 55409 EAGRN
WILI.IAM
GLEMSON DR B
MN
E heretSy aokttociledge tEia`t S Fiave !read th"ss" appk3ca*'ian"ahd state ClSai"the` .f
iniowmation is'cQrrecC ahd°?,ag'ree"tcs Comply "tid'i.tW' 6'11 opP1ielibYe'StaCe ofi' Mn:
Statutes;and City of Eagan-Ordi.naneeS.,_.-.?..';';
APP ANT/PERMITEE SIGNATUFE ISSUED Bt GNATURE
t. 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
47 Z- CITY OF EAGAN
8850 PILOT KNOB RD - $5122
681-4675
• 3 registered site surveys
? 2 copies of plans (indude beam 8 window ab.ea; poured fid. tlesipn; etc.)
? 1 energy celculations
• 3 copies of tree preservatfon plan i( bt pleRed eRer 7!1/93
required: _Yes _ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
?
lOT ? BLOCK
PROPERTY
OWNER
CONTRACTOR
2 copies of plan
2 sfte aurveys (exterior eddltions 8 decks)
1 eneigy celalatlons tor heated additions
_.5?e
CONSTRUCTION COST:
z
o/e
2' SUBD./P.I.D. #:
---? ef'
Name: 4,? w? Phone #:
u.,
Street Address:
City:
State: Zip-
Company: 1,-J „4 ?" Phone #:
Street Address: 3 c? ?- ??2 ? 1T?"? License #:
City: State:
Zip:
ARCHITECTI Company:
ENGINEER
Name:
Phone #:
Registration #:
Street Address:
City:
Sewer 8 water licer.sed plumber (new construction onty):
and lot change are tequested once permft is issued.
PenaRy applies when address change
I hereby acknowledge that I have read this application and sTate thffi the information is correct and agree to co ply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
CerYificates of Survey Received
Y
, Yes
_ No
State: Zip:
Tree Preservation Plan Received - Yes - No _ Not Required
OFFICE USE ONLY
.?
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
0 02 SF Dwelling a 07 4-plex
0 03 SF Addition ? 08 8-plex
0 04 5F Porch o 09 12-plex
0 05 SF Misc. 0 10 = plex
WORK TYPE
0 31 New
0 32 Addition t34 Rep- ai?r-7---,
uS r
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
0 11 Apt./Lodging o
? 12 Multi Repair/Rem. o
n 13 Garage/Accessory o
? 14 Fireplaoe n
,da?- 15 Deck
0 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Faciliry
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
MClWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. 5'3Y
SAC Code
Census Bldg _L
Census Unit
Engineering Variance
Valuation: $
% SAC
SAC UnRs
E 4F SURVEY
For:
BAN-CQN, INC.
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4&,q?
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s?oiP:,°.30• N
o ,9?ofes /ran
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zti
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/
F2ECEIVED
Lots 22 thrcugh 25, inclusive, Block 3, THCMAS LAKE HEIGHTS,SC"P 12114,80
Daketa County, Minnesota.
BAR-CON, INC.
.
We Mney oerflfy Inaf lnlt Is a trw and eornef nonnntotion of esurwy of tne E. G. RUD 8k SONS. INC..
pouneorln of fne abae dnorleed lona ena of tne ioeation of all buildinps, if any, LAND SURVEYORS
1hpeon, and ell rIt10N encroaohm?n1s, It enr, }rom or on sald land. 3847 155th AVlMi! N.E.
„r E. G. RUD 9 SONS, iNC.
De+ed tnis Leay otS620`0' w& Anoko, Minnesolo 55303
er Tel: 434-6505 - •
THOMAS LAKE HOME OIMVERS ASSOCIATION
1535A CLEMSON DRIVE
EAGAN, MN 55122
BUILDING INSPECTOR
CITY OF EAGAN
EAGAN, MN 55122
RE: REPLACEMENT OF DECKS ON 7W0 QUAD TOWNHOMES.
DEAR SIR:
THE BOARD OF DIRECTORS GIVE UNANIMOUS PERMISSION TO
ROOM AND BOARD CONSTRUCTION COMPANY THE RIGHT TO WORK ON THE DECKS
OF 151811520 AND 153511537 CLEMSON DRIVE AND RECEIVE THE PROPER BUILDING
PERMITS FOR WORK TO COMMENCE.
RIGHARD H. SWEDEAN
PRESIDENT
?, ..
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: euiLozNe
Permit Number: 030471
Date Issued: 0 7/ 21 / 9 7
SITE ADDRESS:
1520 CLEM5QN DR
LOT: 5 BLOCK: 2
THQMAS LAKE HEIGHTS
P.I.N.: 10-75950-050-02
DESCRIPTION:
i? 3? i+?ie 4 j-+? l??wsH
?
t
;i'i1
,,'i?.f
i
REPLACEMENT
13,10ildilig,.,Permit Type DECK
Building Wbrk 7ype REPAIR
rCen9 u8- C'arde"??N 434 kLT. RESIqENTIAL
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge ,$.50
Total Fee $50.50
CONTRACTOR:
BOARD & ROOM RMDL
38Y6 HARRIET
MINNEAPOLIS
(612) 823-9128
- Applicant - 57. LIC OWNER:
18239128 0004978 ABBA7IELL0 ANNEMARIE
S 1520 CLEMSON DR
MN 55409 EA6AN MN
?
I'herehy acknowledge tha`t I have' r4?ad`th1spp1icaf1tr6 and "stat'e `th&t'the "
informatkon i,s c4rreat and regre? to c•omp?:y.,',w-a?th s?;1.ik eppl?ca?s1?,; S.?at_s o,f t4n. ?
Statutes and Cit,y of Eagan OrGinanc,es.
AP ICANT/PE IYEE SI NATURE ISSUED BY: SI ATURE
" 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. 3,041/ CITY OF EAGAN
5830 PILOT KNOB RD - $5122
681 -4675
New Construction Reouirements RemodaVReoair Reavircments
? 3 registered alle auneys ? 2 eopies oT plan
? 2 eopies of plans (indude beam 8 window aizes; poured fnd. design; etc.) ? 2 site aurveys (exterior atlditions & tledcs)
? 1 energy calalations ? t enrorgy celculations for heated additions
? 3 copiea oi tree prexrvation plan if lot platted aRer 711/83
required: _ Yes _ No '
DATE: 7/20 - 9 7 CONSTRUCTION COST:
DESCRIPTION OF WORK: /w JiFl-Dl< ?
STREET ADDRESS: e6e"
L T ? BLOCK ? SUBD./P.I.D. #: )AV-
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Name: phone #:
?
nm
Street Address:
City:
State: Zip:
Company: A 1 it S`'Np- Phone #: el 93
StreetAddress: 3(?,3 (--/ ll/ 4,f el?-? License#:
Ciry: 4?i? 4 ? State:
Company:
Name:
Zip:
Bhone #:
Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licer.cted plumber (new consWction only): . Penalry applies when address change
and lot change arc iequested once permit is issued.
I hereby acknowledge that I have read this application and state that the iMormation is cortect and agree to comply with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
?
OFFICE USE ONLY
Certiflcates of Survey Received
_ Yes
_ No
Tree Preservation Plan Received - Yes - No - Not Required
oF suRVEY
For:
BAN-CON, INC.
t?„?an. ?,.? ,td .r - - :? `?
E,??ro,:aaaS?fvnn fP?c .°iu?+orro' "'•'a?
<p?
\
?.. \
F2ECEIVED
Lots 22 threugh 25, inclusive, Block 3, THOMAS LAKE HEIGHTS,SC"P 1 2i1,180
Daketa County, Minnesota.
aan-cort, iNC.
We hereCy artl}y fhut fAU U a fiw ond corncl repruentation of o wrrey of ihe E. G. RUD d SONS. INCi.
pouodorla ot tM olwe daorleod IaM end of tAe loeatlon ot all buildinps, If onY,
Minn. Rep. No. ' r
LAND SURVEYDRS
fMrwn, end ail v1slpN •nerooohnwts, It ony, from a on said lond.
E. G. RUD a SONS, INC. 3847 155th Avenue N. E.
patN tebLaay M Smy 19.E /0 Anoko, Minnssota 55303
br 6-•,? `?--U-"O• Tel: 434-6505 >. ? :..
`
s?ie:i°•3o' N
0,9&wale: kaI7
I
J?f
/
v
THOMAS LAKE HOME OWNERS ASSOCIATION
1535A CLEMSON DRIVE
EAGAN, MN 55122
BUILDING INSPECTOR
CITY OF EAGAN
EAGAN, MN 55122
RE: REPLACEMENT OF DECKS ON lW0 QUAD TOWNHOMES.
DEAR SIR:
THE BOARD OF DIRECTORS GIVE UNANIMOUS PERMISSION TO
ROOM AND BOARD CONSTRUCTION COMPANY THE RIGHT TO WORK ON THE DECKS
OF 1518/1520 AND 153511537 CLEMSON DRIVE AND RECEIVE THE PROPER BUILDING
PERMITS FOR WORK TO COMMENCE.
RIGHARD H. SWEDEAN
PRESIDENT
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Permit Type: Building
Permit Nuxnber: EA034777
Date Issued: 03/23/1999
Site Address:
1518 C(emson Dr
Lot: 02 Block: 2
Addition: THOMAS LAKE HEIGHTS
Description
Sub Type: 04-plex
Work Type: Reroof
Description:
Census Code: Addition/Bsmt fin/DeckslPorch
UBC Occupancy:
Construction Type:
Zoning:
SquaKe Feet:ia,,
.;..:?. ?. ...?"t..._r'
? -cad
W., "??`{37
Remarks: Iacludes: Unit 1518B, 1520, and ? 53ng.
Fee Summary:
Valua[ion: $12,000.00
State Surchazge
Base Fee
6.00
20925
$215.25
Contractor: - npPl,cant - Owner:
SELA ROOFING & REMODELING St. Lic.: Thomas Lake Home Owners Association
. 4100 EXCELSIOR BLVD 1535 A Clemson Dr
ST LOUIS PARK, MN 554160000
, 6128238046 Eagan, MN 55123 651-688-8245
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with alI
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
ApplicanUPermitee: Signature
PERMIT
Issued By: Signazure
3y --I -1-1
1999 BUILDING PERMIT APPLICATION (RE3IDENTIAL)
crrY oF ar?anx
aaao rnar xrtos xn • 55222
(651) 681-4676
New ConstruGian ReauiremenU
? 3 registared ske surveys
? 2 copies of plans (include heam 8 window sizes; poured fnd. design; etc.)
? t energy calculations
? 3 copiea af tree preservation plan if lot platted after 7H193
reQuir Yea _ NO
DATE: ? ??
DESCRIPTION OF WORK:
- /ce ('lfv
RemodeUReoair Reaulrementa
3 `J 7-, "( ?
? 2 wPias ot plan
? 1 ake surveya (exterior additions 8 dacks)
? 1 energy ealwiations Mr hsated additiona
CONSTRUCTION C05T:
? (/?j67d..??vT uL/i^/e?`S.
?1 p?'m 1 % ? y?fs?i! ?K6?
f ?
STREET ADDRESS:
LOT: BLOCK:
SUBD.lP.I.D. #:
PROPERTY
OWNER
S N -
DL ?
Name: 11'1 ?rntcc ?? `' s Phone
Last First
Street
lS
`? SLa2sl2a?/ ??os?v
s', - G 88- ?a ??--
City fF'1:-t6/l/0 State: e-9t'V' Zip:
Company: qM.A FINfi & RF,MODELING, INC. Phone #: O(Z
CONTRACTOR 4100 ELVELBIUR '
Street Address: IAUIS PARK. DdN 66416 License #Exp.
m .. .
City
State:
ARCHITECT/
ENGINEER Company: Phone #:
Street
City
Sewer & water licensed piumber (new construction oniy): _
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No
Registration #: _
State: Zip:
ition' correct,
- Not Required
_ Zip:
Penalty applies when address
to comalv with all applicable
' PERMIT # ?1 -1I ? -'} RECEIPT DATE: I U ` 3 I - v )
RSIDENTUL PLUM$1NH iEiiMTf APPLICATiON
crrY oF EAsM
S$SO PII.OT KAOB RD
EA6Afl,M1Y551E2
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: l l L'J li 11 'I/"' ' I'
OWNERNAME:: i? lLUIO? `?/1"fW _ TELEPHONE#:(AR(DIDE)
INSTALLER NAME: TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
CITY: ijg m1? STATE: ? ZIP:
YIaG6 8 Gf1eGK fTiGrR fICAI W luc c1-ua "v^ • Ltf
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
. abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
7Q Q
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
. requires MPC license
State Surcharge $ .50
.O •?
Totai $
_ ?_'...... .,?e en ffnnnr< a}r._
Reminder. Be sure to schedule fnspections or aiceracions, ix. wo«, ncaw.3r -- --—
I hereby acknowledge that I have read lhis applicalion. sta[e that Ihe informalion is corcect, and agree to comply with all applicable Ciry of Eagan ordinances. It
is the applicanPS responsibiliry to noGfy cha property owner that ihe City of Eagan assumes no liability for any damages caused 6y the Ciry dunng its normal
operetional and maintenance aclivitles to the facilihes consVUCted under this permit within City property/rig i t•of-wayleasement.
SIGNATURE OF PERMITTEE
Updaled 1/01
Date:11/01/2001
Installer ..: GORDON MEYER
Install Date: 10/22/2007.
Time ........ -
M
C].ient .....: SEARS
Order Number: 011322922617
Department..: 42
Customer.... : EFTH, DIANE
Address..... : 1518 CLEMSON DR
City........ : EAGAN, MN 55122-
Phor.e....... : (651)959-7964 6"_;rk =',-?onf= : ( ; -
Item:
WATER TREATMENT Standard Replacement - Sof.tener
WATER TREATMENT ?exmits
Snecial Instructions:
AT HOIISE
PERMIT REQCI3ED
Pick up at:
Amount Received .
Comments ........
NOTICE TO CUSTOMER:
Do not sign this statement until the installation is satis£actorily completed.
The installation of the above has been completed satisiactorily.
011322922517
SALES CftECK NUM6ER
ma%ci :tF -,i nd tno -xaI:'-iqo
_ hav?; ic.?re?e:l ms ar__1 ?=..r.d ... .sr_a.je.
CUSTOMER 5IGNATURE
INSTALLER NOTE: Return this form witn your invoice.
?z
fo,,n:l -a;cs.
Appliance Installers of MN
a-
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Family Dwellings
Townhomes and Condos when pemvts aze required for each unit
Date ?/ ? / O2
Site Address ? (? `1 (?? Unit #
Property Owner Telephone #( y?7 )/O?? ??? l
Contractor !L-e-
Street Address City
State a bc?" Zip Telephone #
The Applicant is _ Ownet ? Contractor _ Other
Add-on, madification or alteration to existing dwelling unit $ 30.00
z fumace repiacement
? air exchanger
air conditioner ; . _
J ?
other
-
State Surcharge $ 50
$ 3OS?
Total
I hereby apply for a Residential Mechanical Pemut and acknowledge that the information is complete and accwate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pemut, and work is not to s[art without a permit that the work will be in accordance with the
approved plan in the case qf work which requires a review and approval of plans. ?
. ` .
Applicant's Pnnted Name Appli t's Signat e
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
` CITY OF EAGAN
r---- ? ? ?? 651-681-4675
a-u L--P, '_4?
Foundation Oni New Construction Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
. Civil Plans (2) • Stmctural Plans (2) • Code Anatysis (1) "
• Certificate of Survey (1) • Civil Plans (2) • Project Specs (1)
. CodeAnalysis (1) • LandscapingPlans (2) • KeyPlan (1)
. Project Specs (1) • Code Analysis (1) • Master Ebt Plan (1)
^
. Spec Insp. & Testing Schedule " • Cedifcate of Survey (1) • Energy Calculations (1) not aiways
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Pov.er & Lighting Form (1) not always"
• Meter size must be established • Meter size must be established • Meter size must be established -if applicable
• ProjectSpecs (1)
y . EnergyCalculations (1)
y . Electric PoHer & Lighting Form (1) " L
y • Master Ept Plan (1) y
j . Emergency Response Site Plan (1)
y • Soils RepOrt (1) y
• MGES SAC determination letter • MGES SAC determination letter • MC1E5 SAC determination letter
call 651-602-7000 call 651-602-1000 call 651-602-1000
Food & beverage or lodging facilitles - submit plan to nnN uepartmen[ or neaicn. Cau oo i-c Lo-Vl UU IUI U.Lo?!..
" Contact Building Inspedions for sample.
*" Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requireinents
DATE: II' / S- o Z. WORK TYPE: NEW _ REMODEL CONSTRUCTION COST: I 3Z 3S
SITEADDRESS: (S/a /SZoa /tZ(>,/3 G?/Y1?Son/ 4/`
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE
SUITE #:
DESCRIPTION OF WORK Ttsv'" °/ RC - 2 au P Ij? CS(j Cn_? ?
/ w /
Name: L
? ??/E 7/7o/Yy[t. ? Phon#: d( S l 1 O/? t<r - Ez y s .
PROPERTY I.ast First
OWNER ?j ?/
Street Address: ZZ? 9 T -
City: /QyU State: /" N Zip: 5-,5l
Company: ?C/Gi F orlTi n.r? t 1Zomsc?? ??. Phone #: (??7 )eL 3- CO 9 6`?
CONTRAC'I'OR
Street Address: U O .C c'e 151v R Q,(? ? -
City: State: 174 iv Zip: --
?
AKCHITECT/
FNGINEER Company: Phone #: ( )
? i
r
Name: Registration
^1 ???'J 1 8 ?C?Z ?
Street Address:
V J
City: State: ? Zip ?
Licensed plumber installing new sewer/water service: Phone #:
I here6y acknowledge that I have read this application, state that the information is correct, and agree to comp1wit f7 pplicable State of
Minnesota Statutes and City of Eagan Ordinances. l? f
Signature of Applicant: )
Updated 7l02
, ?15950 THOMAS LAKE HTS 2ND
1515 10 75950 030 03
1515B 10 75950 020 03
1517 10 75950 040 03
1517B 10 75950 050 03
18 10 75950 020 02
1518B 10 75950 030 02
1520 10 75950 050 02
1520B 10 75950 040 02
1519
1519B
1521
1521B
1523
1523B
1525
1525B
10 75950 070 03
10 75950 060 03
10 75950 080 03
10 75950 090 03
10 75950 110 03
10 75950 100 03
10 75950 120 03
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 1075950 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
CLEMSON DRIVE
5
(PAGE 1 OF 5)
., I -
'YQ
? I INCN a
LEGAL DESCRIPTION
LOT 2, 3, 4 AND 5. HLOCK 2, THOMAS
7.AKR HEIGHTS, ACCORDING TO THE
RECORDED PLAT THEREOF, DAKOTA
COUNTY, MINNESOTA.
(924.o)
. 931.8
SURVEY FOR
BAN-CON, - INC.
(s24.o)
926.6
(924.0)
928.(e
2 HEREBY CERTIFY THAT THIS SURVEY,
pLAN OR REPORT WAS PREPARED BY ME OR
UNDER MY DIRECT SUPERVISION AND THAT I
NOTES AM A DULY REGISTERED LAND SURVEYOR
100.0 DENOTES EXISTING ELEVATION UNDER THE LAWS OF THE STATE OF
(100.0) DENOTES PROPOSED ELEVATION . MINNESOTA.
PROPOSED GARAGE FLOOR ELEVATION = 924.5 FEET DATED THIS 2 2"D DAY OF N?a,y ,1980.
PROPOSED IAWER FLOOR ELEVATION = 924.8 FEET
PROPOSED ENTRY ELEVATION = 929.2 FEET SIGNED: JAMES R. HILL INC.
PROPOSED FIRST FLOOR ELEVATION = 933.6 FEET
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA REGISTRATION NO. 12294
PROJECT NO.
80(18
FILE NO.
/ PAGE` AAMES R. HILL, INC.
Planners / Engineers /. Surveyors
8200 Humbolt Avenu• South
Bloomington, Mlnneaota 55431
?,o aa °1
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot-Knob Road, Eagan MN 55122
Telephone # 651-675-5675 . -: FAX # 651-675-5694
/
Ne, Cons4uction Reauirements RemodellReoair Reauirements " Ofice Use Onlv
3 registered gite surveys showing sq:.ft of bt sq. fl of house; and all roofed areas 2 copies of plan ." . Cert of Survey.Reai
(20% mazimum lot wverage allaxed) 1 set of Energy Cakulations for healed additlons Tree Pres Plan Recd
2 copes of plan showing beam & windax sizes; poured found'desgn,' etc. 1 sde survey for additions & decks Tree Pres Not Reqd
isetofEnargyCalculations . AddRion.indicateifonsdesepticsystem _On-site5epticSystem
3 copies of Tree P2servafion Plan if lot pWtted aker 711193 '
Rim Joist Detail Ophons selection sheet (bldgs wRh 3 or less unfls
Date (P_ / ? 6:2 / 0 -e,
Site Address S
OVn
a --s ?
Construction Cost
?? UniUSte #
Descrip[ion of Work '?lC O W n r-? e I
Multi-Family Bldg _ Y? N Fireplace(s) ! U _ 1 _ 2
PropertyOwner-T, pg/v?q,S ?U?Q 1tD ?'1'IFOwn?f? ?TfSoLi4?i?1lelephone#(651) Co??3- IGqa
Contractor ?? (A-Lt ? C ?[)N C? O
f U Cj ` NA CC) - ? N C
Address
State Al/U _
?p
" Zip ^_ City _10_14dtnf a_
' • Tetephone # S gs- I a, ? q
COMPLETE THIS AREA.ONLY'IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 '
Energy Code Ca[egory , Residential Ventllahon Category 1 Worksheet • New Energy Code Worksheet
(J submission rype) Suhmitted - - Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the informarion 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.
rAAc r ko'_t vw4 r S
pplicanYs Printed Maine Applica 's Signature
6 oaa S/
RESIDENTIAL BIIILDING
Permit Application
City Of Eagan
3830 Pilof Knob Road, Eagan MN 55122
Telephone # 651-675-5675 % c, FAX # 651-675-5694
New C6 , nstn?ction Reouiremen6 RemotleViteoair Reauirements -Office Use OnN
3 registered @ite surveys showing sq: R of bt, sq. ft of house; and all roofed areas 2 copies oLplan , Ced of Survey Rerd
(20% maximum lot coverage allowed) 7 sel o( Energy Calalations for heated additions Tree Pres Plan Recd
2 copies of plan showing 6eam & window sizes; poured found'd'esign, etc. t site'survey for a'ddifions & decks ' Tree Pres No(Reqd
lsetofEnergyCalcuWtions AddiL'on - indicate'rfoo-sifesepfksystem _OnsdeSepticSystem
3 mpies of Tree Preservatlon Plan if lol platted a@er 7H193 'Rim Joist Detail Options selection shcet (bldgs wiN 3 or less unAs
Date Constructian Cost ?1, I y r 3 O
Site Address I-S ? ?-??y?? ScYY? ? UniUSte #
Description of Work3 C (D (Ji -gr)o r-? ?e uia!ll
Multi-Family Bldg _ YK N Fireplace(s) 2
PropertyOwner -7nL?T (}qv?(+,?5 LU kQ I -LVYIPOWn-ef S ,?,_ XOCl41ii)qelephone#(65()
Contractor ?
C[9 V1
C? ?(
Il'u
)va Ct7 C. -
Address it-OT 1
11?a
City ? p odn frw
State
"Zip ' _
' "• r Telephone # ?' 'rv? 5 q 3 -12? ? °?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I Minnesota Rules 7672 ' 'Energy Code Category . Residential Ventilation Category 1 Worksheet ' • New Energy Code Worksheet
(4 submission rype) Submitted • Submitted
. Energy Envelope Calculahons Submitted
Licensed Plumber
Mechanical Contractor
Sewer/water Contractor
Telephone #( ),
Telephone # (
Telephone # (
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.
.
c ? a r'
Applic Ys Printed Name Applicant' Signature
COMMERCIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
?rs?.as
Foundation Onl New Buildin Interior Im rovement
• Structurai Plans (2) sets • Architeclural Plans (2) sets • Architedural Plans (2) seLs
• Civil Plans (2) • Strudural Plans (2) • Code Analysis (1) "
• Certificate of Survey ('I) • Civil Plans (2) • Project Specs (1)
• Code Analysis (1) • Landscaping Plans (2) • Key Plan (1)
• ProjedSpecs (1) • CodeAnalysis (t) • MaSterExitPlan (1)
'"
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always
"
• Soils Report (1) • Spec. Insp. & Testing Scheduie (1) " • Elec. Power 8 Lighting Form (1) not always
• Meter size must be established • Meter size must be established • Meter size must be established-if applicable
L • ProjectSpecs (1)
y • Enargy Calcula6ons (1)
1 • Electric Power & Lightlng Form (1)" L
y . Master Exit Pian (1) L
.l • Emergency Response Site Plan (1)
d • SoilsReport (1) 1
• SAC determinatlon - call 651-602-1000 • SAC detertninadon • call 651-602-1000 SAC determinatlon - call 651-602-1000
Call MN Dept of Health a[ 651-215-0700 for details regarding fooU & beverage or ioagmg racmues.
** Contact Building Inspections for sample and if required when it states "not always".
••' Permit for new building or addition will not be processed without Emergency Response Sice Plan.
Date I/ Construction Cost 4 2,2 -°?
Z9 / 0 3
Site Address !
-z C-) C/cA+s ow De . UniUSte # s?{`a
Tenant Name I Nv?/2 .5v? LA?'6 4S's Former Tenant Name
Description of Work .S i
51 45
c- Teiephone # ( (
Property Owner P
?m oW? bC ,
P° C3?x a?o?, ?
Se l
Contractor
ti
Address 4zd" D ,??t t< lsi o/2 1311 U? City r S
State /Vi ^i Zip SS 4/ 6/ Telephone # ( )
OOo/ dS O
Arch/Engr Registrarion #
Address Cit3
State Zip Telephone #
p [,,
Licensed plumber installing new sewerlwater service: Phone #: )
?
I hereby apply for a Commercial Building Permit and aclrnowledge that the informati eyis 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. ApplicanYs Printed Name ApplicanYs Si e
.
THOMAS LAKE HEIGHTS 75950
PERMIT
DATE &
TYPE LOT BL ADDRESS
6/81 SF 240 01
8/84 SF ZSO OI
1uso sF 260 01
3/84 SF 270 01
4/84 SF 280 01
6/80 4-PLEX 020 02
030 02
040 02
050 02
1499 CLEMSON CT
1503 CLEMSON CT
1507 CLEMSON CT
1511 CLEMSON CT
1513 CLEMSON CT
1518/ CLEMSON DR
i518B/
1520B/
1520
12/82 4-PLEX 060 02
070 02
080 02
090 02
3/83 4-PLEX 100 02
110 02
120 02
130 02
9/88 4-PLEX 140 02
150 02
460 02
170 02
2l82 4-PLEX 020 03
030 03
040 03
050 03
1526/ CLEMSON DR
1526B/
1528B/
1528
1530/ CLEMSON DR
1530B/
1532B/
1532
1534/ CLEMSON DR
1534B/
1536B/
1536
1515B/ CLEMSON DR
1515/
1517/
1517B
29
PAGE 2 OF 3
?332q $ 3o.s6
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit
,...
?
DateHc')L4
Site Address (4E?(^(l t O(1 C)Y"' Unit #
Property Owner Z'nI-ti prrl h Telephone # (t651 ) H O 'rJ - C7-7c7 $
Contractor ? Or?'?"F-p ? I F OI Ar'
Street Address I a Ip ?F YIZJ? fQ U E. City ?CjThS
State M!? Zip Telephane #((p5) ) y100' &p(Dc-:k3
Bond #: Expires:
The Applicant is _ Owner ZContractor _ Other
.00
$ 30
Add-on or alteration to existing dwelling uni t
/ ZC04
-
? furnace Additional Replacement
air exchanger
airconditioner _New _ Replacement
other
.50
$
State Surcharge
$ `?
'`5?
Total -
I hereby apply for a Residential Mechanical Permit and aclnowledge 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
permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work which requ'ues a review and approval oI
CI nd
?e Applicant's P' ted Name s ign re
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?
411 ?) sO
Date 3 I / 7
Site Street Address /s/n? ?-«7'7''?U/i/ f? Unit #
Property Owner Q/?N1?E ?1/? Telephone #((o?/ ) ,4f ,52?- 7*4,?
Contractor H• G?L?/J??ZL/ /?, //?G Telephone #((Q/? ) 7074/40
Address ?-?-'/? ?/??'.? ? ??, City mPL5 State ??? Zip.5-7
The Applicant is: _ Owner ),C Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
Water So]Lemen Q Water Heater
_ _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ •50
Tota I $ ?? • s?
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
0 Mqoe-1 L0uln?7? l//C?
Applicant's Printed Name ApplicanYs
? APR 0 12004 ?
G?11-1/
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephoue # 651-675-5675 FAX # 651-675-5694
9 9.-:;, Is-"
NewConsWCtion Reauirements RemodeURepalrReauiremenis
3 regislered site surreys shaving sq. fL of IoG sq. ft of house; and s0 roofed areas 2 copies of plan G'"
(20%mazimumlolcoveregeallowed) 7setofEnergyCalculatlonsforheatedaddifions T???d'
-
2 copies of pWn shanvmg beam & window sizes; pou2d found design, etc. 1 site survey for additions & dedcs T,o,Pf65",ft uVed N
1 set of Energy Calculetions Addfiion - indlcefe Non-site septic system
3 copies of Tree PreservaBon Plan if IM platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 6 / 2fo-/ ? f-l Construction Cost
Site Address 1 f ? C I -P /1/L SO(, p(- ,)?'? hUniUSte #
?
Description of Work ? L e/V\ 5 G) ad rj
Multi-Family Bldg yl-_y _ N Fireplace(s) 0_ 1 _ 2
Property Owner G Telephone #(??? ) 7 G? ??? ?
Contractor T S.I` J I q
Address
State 2, V?. City CM50 e-- UA221
Zip ??_ Telephone # (? ) 17 7?? ? ?f?
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Category 1 -
. Residentlal Ventilation Category 1 Wwksheet
(4 submission lype) Suhmitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
N If so, 25% plan review
U Lr
11111 JUN 2& 2004
I hereby apply for a Residential Building Pernut 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 no to start without a
pernut; that the work will be in accordance with the approved plan in the cas o work which r ues a review and
approval of plans. r
J
Applicant's Printed Name ApplicanYs Se
Minnesom Rules 7672
. New Energy Code W orksheet
Submitted
6SId v 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?7 6
New Construction Reouirements RamodeVReoair Renuirements
3 regislered si0e wrveys showing sq. tL of IoL sq. tt of house; and all raofed areas 2 copies of pWn Cof ., ""`??ertl"? °.
?rm k?
(20% maximum bt coverage allowed) 1 set of Energy CalalaGons for heated additlons ^?. ''?;i
2 copies of plan showing beam 8 window sizes; poured fouM design, e?. 1 sile survey for additions 8 dedcs
1 set of Energy Calculatbns Add'MOn • irrdicate ifonsite sepfic system C3,q?itewS?AS;.c,?"r{?-?;:?`• ?=,,,ht
3 copies of Trea Preservation Plan fl bt platted aRer 711193
Rim Jast Detail Options selectim sheet (bidgs with 3 or less uniLs
Date /^-? / ?
16Y G? /
Construction Cost ?
?
Site Address
??'??????'J ?K • UniUSte #
/,
Description of Work 1'v576115 ?rl?
Multi-Family Bldg N Fireplace(s) _ 0 _ 1 _ 2
Property Owner (7/lf??-' L`'l()LCNAnJ Telephone # ( (p? ) 4Y1 l B?6/
Contractor ?-
Address 3/?5D LJ Hi?`7 ,/ Cit3'
State A4.-J Zip 5W 2 Telephone #(cj?Z) 6'd
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Yvfinnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submittetl Submitted
. Energy Envelope Calwlations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge 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 tlus is not a pernvt, but only an application for a pemut, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the ?ase ofArk which requues a review and
approval of pl ?
ans.c?
ApplicanYs Printed Name 4AppcamnVs Signahue
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenfs RemodeVReoair Reauirements
3 registered site surveys shaxing sq. ft. o( lot, sq. R of house; and all roofed areas 2 copies of plan
(20% rreximum lot coverage allowed) 1 set of Enetgy Calculations for heated additions ???{
2 mpies of plan showing beam 8 window sizes; poured (ound design, etc. 1 srte survey for additions 8 decks
lsetofEnergyCalculatbns Addfion - irMfcafeifon-sitesePtlcsrstem
3 copies of Tree Preservation Plan if lot platted after 717193
Rim Jolst Detail Options selection sheet (bldgs with 3 or less unAs
/ ConstrucHon Cost J 19* 1?
Date ?/lw
Site Address ^ UniUSte #
DescriptionotWork ?? C?AJI`?S l?\?I t J?m?
C.J?? 1U?K•'$fiV
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner ll ?. Telephone#((OS?) 436
Contractor RENEWAL BYANDERSEN
Address 1920 COUNTYROAD "C" WEST CitY
State ROSEVILLE, MN55113 _ Telephone#W()
ao i 309 ?3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential VenUlation Category 1 Worksheet • New Energy Code Warksheet
(J submission type) Submitted Submitted
• Energy Envelope Calalafions Submiked
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber ' f?!
? ? :
Mechanical Contraci
Sewer/Water Contrac
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in confortnance 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 pemut, and work is not to start without a
permit; that the work will be in accordance with the approv plan in the case of work which requires a review and
ap r val of plans.
\ 1
ApplicanYs Printe Name ApplicanYs Signature
??.?,.s..•... auv i<.ov rm i0.t ail Q46L'?Iiltt, Bl°4LMUlSt47lSlM
re al
?? .
a?e ?, 200?
C* of Eam
3836 Piiot &wb goad
Eagan, IvIId 55422
To Whom It May Coitcern:
I
IIder Jones is auffiorig.ed to pWi BniIding pemits for Renawal by Andeasen. Ptease ailow
Eickr Iones to ptvvide this servicc for ns in $agan. 'Rda emdiotizatibn is vaiid for any
date bcyond 6/6101; until aOnyvva j by Andmm MMMM aVfwdy revoloas it in ariic4ng
to the Ciry_
I rcqnest th;s authozL?Agon be a ccepftdY' m pcoeessittg of
ovr baii' -°XP°??ously. av cp ?t deta rhe
?B POmita any Rtzthcr. Plcasc caII mc If tfictc ero nny queac[ona.. I can Ue
contaR.-ted at 763-502-4706. . , ,
Your immqdiatc attcatiott to Wis matter is
Sinociely,
ondR Rau
ostxlIation Manager
Renowat by A,ndaaen Cotpora{ivn
C'e.: TCnrn-F.Tder Snnec
?KJ?f?4 U ?w.a? a,Q
G - T-?cx?j
C#H 0o("?(3AMAL
;
w UU:
Received Time Juo. 7. 1-07PM
?10?41D10
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
`lo .?
New Constructlon Reouirements RertwdelAteoair Reauirements Office Use Oniv
3 regislered site surveys showing sq. ft. of lot, sq. ft. of house; and all roohd a2as 2 coDies of pWn CeR of Survey Recd _ Y _ N
(200k ma)cimum lot cove2ge allowed) 1 set of Energy Calculations for heated addHions Tree Pres Plan Recd _ Y _ N.
2 copies of plan showing beam & window sizes; poured fauM design, elc. 1 stte survey for addilbns & decks Tree Pres Required _ Y _ N
1 sat of Energy Calcula6ons Adddion • indicate !f on-site septic system On-stta 5eplic 5ystem _ Y _ N
3 apies of Tree Preservation Plan'rf lot platted after 7N193
Rim Joist Detail Options selection sheel (huld'mgs wAh 3 or less units)
Date R / 2 S/ ! 0 5-
Site Address ) 5-1 8 / Construction Cost GAO Gr? ° ?,()Cl
? CLt/NJaN ?k UniUSte #
Description of Work (`f? /C eP ??ce? x?-.t [4u.?daws'
Multi-Family Bldg _ Y1_/ N Fireplace(s) _ 3C??'?
0_ 1 _ 2
Praperty Owner Telephone # ( )
Contractor ,QL,('roG ? 511t_fCD Zs'?'4y C,c N Z021 -F( 3 /
Address S/Gb -?I/
State 11//iiv41 OGt'?
Zip S-?s'S°7.v City
Telephone #(?S'z) 8Plf' 1339
:) 91
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv ] _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submissian type) Submitted Submitted
• Energy Envelope Calculalions Submitted
In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a masfer plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
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 ofplans.
Applicant's Printed Name
Applicant's Signature
\
76 1,:5z)
zaos RESIDENTIAL PLUMB3NG PERMiT ApPLicarIoN
C9TY OF EAGAN
3830 PILOT Kf+dOB ROAD, EAGAf3 MN 55122
851-675-5675
;e complete for modifications io existing resadeniiai dweliings.
_A?_/ c
Street Address
Unit #
erty Owner ??h ? ?,?? ? _
Telephone#R?1',/'J' L WYI?
?
I
ractor _
?X ?? StaiemmZivp
ykm
ix- 2fi
r
m
%
-
City
-
r
'ess
i
Applicant is: _ Owner X Contracior _Other
2sets o# pians and MPC license
Refiurbished Subm
New {ncludes County fee
L
_
ic System _ $ 100.00
Per as-budt $ 10.00
$ 50.00
rations to existing dwelling ?
Add plumbing nxtures. 7his iee indudes installation oi a water sof*.ener andlor water
heater at the same time, ff you are insfalling on! a wafer sottener and/or water I
heater, do not complete this section, move to *he next section and check the
appli2nce(s) you are installina.
Septfc System Abandonment
Waier Tumaround (add $130.00 ir a 5l8" me[er is reqwred)
Oiher I
t
H $ 15.00
er
ea
Water Softener Water
_ new x replacemeni
Lawn Irrigafion _RPZ _PVB _neW lsePair _rebuiid $ 30.00
e Surcharge
D IE_ g 50
«
Nov 0 1 $??
nTV7!3 Residential Plumbing Perm!t and acknowledqe *nat the in is comalete and accurate; that the
formance with ihe erdinances and codes of the City n znd the plumbing codes, tha't I
ot a permii, but oNy an applicaiion for a permit, work is noiihout a permit and work will be m
ppro
approved in the event a plan is requ,red to b- iewd.
? ?
Name Applicant Signaiure
TeVepfiene#
V7
2007 RESIDENTIAL MECHANICAL rEUMiT arrLicaTiorr
„ City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Teleplione # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required (or cach unit
Datc
Si[eAddress ?JIL7 1.19fY1`J(l17 U nit#
O 'Celephone # ( (0/oi)
wner
Property
THE SN[i.LIN6 CGMPANY, INC.
Contractor 1404CO1'1CORDIA
ST. Altll. NfN 55108
Strcet Address 651-646-7331 Ci[y
State Zip Telephone # ( )
Bond #: LA-1 ?J Expires: F?bDg
Applicant is _ Owner ? Contractor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration lo existing dwelling unit $ 50.00
furnace _Additional _Replacement _ New
air exchanger
? air conditioner
heat pump
other
? ?G IS LI `?v% ? j??
G $ .50
State Surdtarge
I J
?
?- AUG 23 2007
$ ?
Total
I hereby apply for a Residentia! Mechanical Pernv[ and acknowledge that tlie informanon is complete and accurate; ihat tlie 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
permit, but only an application for a permit, and work is not to start without a iat the work will be in accordance with the
approved plan in the case of work wliich requires a rcview and approval of pla : a
Nh\??k \?' • ?'7 -
Applicant's Pnnted Name App cant's Sign ire
Clty 0? ?apI1
4?>
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL
Oate: Site Addre55:T?? ?
Tenant:
F -For ----'Us-e - - - - - - - - - - ?
? ?O}tice ?
j Permit N:
? Permit Fee:
I ?
? Date Received:
i n ? i
I Staff: L'
I
BUILDING PERMIT APPLICATION
e CI ern5on Urr V'e
Suite #:
P1 / S Phone: L??
RESIDENT 1 OWNER Name: l'
1518
Address 1 City / Zip:
Applicant is: _ Owner _ Contractor .
TYPE OF WORK Description of work: Li m o? ?v o
Construction Cost: l b? 3 MultrFamily Building: (Yes No ?
?
THD At-Home Services, Inc. d/b/a
License #:
CONTRACTOR _
Name:
The Home Depot At-Home Services
nddres:3200 Cobb Galleria- Ste. 200
Atlanta, GA 30339 _ State: Zip:
City:
_
Lic# 20268257 Ph. 763/ 542-8826 ? ??? ????,,r
Phone: ?.unidu reisun:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted
Category Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 72 months, has the City of Eagan issued a permit for a sfmilar 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 fhat you submit are considered to be pub'lic informafion. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City fo
conclude that the are trade secrets.
I hereby acknowledge thal this miormahon is complete and accurate; lhat the work will be in coniortnance with the ortlinance5 antl cooes a the Ciry oi
Eagan; that I understand this is not a permn, but only an applicalion tor a permrt, and work is not lo start withouf a permit; ihat the work will be in
accordance with the approved plan in the case of work which requires a rewew and approval oi plans.
X ?f? Sch?n fC ?_
Applicant's Printed Name ?plicanYs Signature
Page t of 3
1 ACj-
Use BLUE or BLACK Ink
For Office Use
Permit j
City of Ea a~ I r
I Permit Fee: ~4 s /
3830 Pilot Knob Road
Eagan MN 55122 i Date Received: Id j
Phone: (651) 675-5675 I ~C I
Fax: (651) 675-5694 I Staff: I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Ap Site Address: Y
Tenant: Z A~ w a ~ 6-90 0 Suite
RESIDENT / OWNER Name: :240 aS k P_ dQ21 f rlJy~ Phone: Inc
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: r0'04-*
Construction Cost: %1q4,`~CJ Multi-Family Building: (Yes / No
CONTRACTOR Name: ~s & JG~, 7 License
Address: ~ 2L ~oX I b S ~Qr B! 1)4
City: C-34. tz u `t z", `f'krK State: "KJ Zip: 6~~1
Phone: 96-9 ` 7 Contact Person:
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.4opherstateonecall.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 X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
0c t. 19. 2009 8:55AM Sela Accounting No. 8161 P. 8
aMr C i agmi Y American Family Insurance Group
~~XaM~+~39 NFAIJXlX! ~
THOMAS_LAK HOLY EOWN9
Building
Exterior
Roofing
4796.12 Surface Area 47.96 Number of Squares 279.00 Total Perimeter Length
35.50 Total Ridge Length 151.11 Total Hi Length
Description BisZSSee i ce Re ment Actual Cash
' - Taxes Cost To De reciation Value
This is a r it to the front slope only and no depreciation applies
Fr t slope 2 hits x 16.85sq x 1.0 o approx 34shingle repair
- Remove 3-tab - 25 yr. - composition shingle roofing (per SH NOLE)
34.00 EA $3.96 $74.07 $0.00
lb - Replace 3-tab - 25 yr. - composition shingle rooting (per SHINGLP-)
34.00 EA $9.52 $178.08 $3.76
2a - Remove Additional charge for high roof (2 stories or greater)
1.00 SQ $4.38 $0.00 $0.00
2b - Replace Additional charge for high roof (2 stories or greater)
1.00 SQ $11.35 $6.24 $0.00
3 a - Remove Furnace vent - rain cap and storm collar, 5" ii
4.00 BA $8.88 $0.00 $0.00 C I
3b - Replace Furnace vent - rain•cap and storm collar, 5" l I s
4,00 EA $35.67 $0.00 $4.76
otals $258.39 $8.52
Siding
Formula Elevation u-- a...
Subroom 1: Rey 1 Formula Elevation 8'4" x... x 614"
Subroom 2: Chime Formula Elevation 8' 4" x x 61411
105.56 SF Walls 105.56 SF Walls & Ceiling
16.67 LF Floor Perimeter
105.56 SF Long Wall 105.56 SF Short Wall 16.67 LF Ceil. Perimeter
Description
Base Service Replacement Actual Cash ~
Qf Unlt rice Char a Taxes Cost Total Depreciation Value
Cable vents are roof mounted at chimney areas. Actual approx dimension is 24" x 30". Data entry for similar unit
4a - Remove Attic vent - gable end - metal - 30" x 30"
4.00 EA $6.91 $0.00 $0.00
4b - Replace Attic vent - gable end - metal - 30" x 30"
4.00 EA $91.70 $8.15 $13.50
Totals $8.15 $13.50
Fascia
Description Base Service Replacement Actual Cash
Qt Unit rice Charge Taxes Cost Total Depreciation. Value
THOMAS LAKE HOMEOWNERS 00221149263 5/21/2009 Page: 4
ASSOCIATION
City of EaQafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
L
13
zz,v
7Z/z/1)
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:1 22= I 5 Site Address: 15 18A CiemSon pP
Name: 5Co1—T AI4OREA `t 1Sh Phone:
Address/City/Zip: 1518 Ctern6or) 06kEA6FIN> rnNi 551ZZ
Applicant is: Owner ✓ Contractor
Type of Work
Unit #: 14
Description of work: REIM04 E VE4-145A. 13 E O1(-}C.E.
C� Q o_v
Construction Cost: 18 Multi -Family Building: (Yes ✓ / No )
Company: I o•/ 5 D Cc -KS &Woo 0 fEnC.ES Contact Roy mnr o 1��1
Address: 12.800t f%1M+4NE.. A 10(c. City: 41f(e.. YAI Ly
State: m+.1 Zip: '5 5I2—L/ Phone: 651-2_10 — 1 3 87
License #:Bc 58 L O 59
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:
Phone:
Sewer & Water Contractor:
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. aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Rod D rircio) p
Applicant's Printed Name
DO NOT WRITE BELOW THIS LINE
1(z3co
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season) _
_ Porch (Screen/Gazebo/Pergola) _
Pool
WORK TYPES
New Interior Improvement
�_
_ Addition _ Move Building
_ Alteration_ Fire Repair
L
`Replace _ Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%4)
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
_ Miscellaneous
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Egress Window _ Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
_ Final / C.O. Required
N( Final / No C.O. Required
" HVAC _ Gas Service Test Gas Line Air Test
Other:
_ Pool: _Footings _Air/Gas Tests _
Siding: _Stucco Lath Stone Lath _
Windows
_ Retaining Wall: _ Footings _ Backfill
Radon Control
Erosion Control
Building Inspector ei
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Final
Brick
Final
Page 2 of 3
Pam Dudziak
From: Thomas Lake <thomaslakehoa@gmail.com>
Sent: Thursday, August 08, 2013 7:37 AM
To: Pam Dudziak
Subject: Thomas Lake HOA - Decks
Attachments: Thomas Lake HOA- June 2013 meeting.doc
Dear City of Eagan,
I1Z 3tpz,
The Thomas Lake Homeowners Association Board has approved and funded the replacements of decks for
units 1518 and 1520. The Board approved the option to allow homeowners to expand their decks from triangles
to rectangles based on the proposal received from Troy's Decks and Fences. The Board does realize that the
new expanded decks will extend off the units and into common areas and it was voted on and approved at our
June 2013 meeting.
Sincerely,
Thomas Lake HOA Board
5/ Cc fria) S
i) -1- frOS
�LG✓�1 SAN 10/1-
Thomas Lake HOA
June Board meeting - June 3, 2013
Board member present:
Dick S. — President
Melissa G. — Treasurer
Gerri P. — Secretary
Shirley K.
John Q.
Minutes approved as read.
Treasurer's report approved as read.
Discussion of removal of leaning tree at 1518A. Decision to remove. Melissa to
contact Miller Trees to set up removal.
Discussion of bids on deck project. Decision to hire Troy's Decks and Fences
based on plans. Allow homeowner's the option to expand decks from triangles to
rectangles at homeowner's expense. Melissa to contact Troy to begin project.
Discussion of National Night Out. Decision to participate. HOA will provide
hotdogs, buns, and plates. Will be held at 1515B. Gerri will register, pick up
supplies, and will put up signs about National Night Out. Will be canceled if rain.
Meeting adjourned
•
ATE OF SURVEY
For:
BAN -CON, INC.
•
.telt: f 9A' N
o% odes Irerl
1
4'4ar4, 131saaurn'
cr4'ha r .3$enta
.$ris- ,42111„
Ae .94oasta'
/4 /
Cb4c,i1NN
Lots 22 through 25, inclusive,
Dakota County, Minnesota.
Block
440,4
4tr�
v
C.�
RECEIVED
3, THOMAS LAKE HEIGHTS, SEP 1 21980
BAN -CON, INC.
We hereby certify ,hof this is a true ole correct representation of a survey of the
bovadarlas of the above daserlba4 lane and of The location of all buildings, if any,
thanes, and ail visible aacramehments, if any, from or on said land.
sr
E.G. RUD & SONS . INC.
Dated tbh dey of Saj° ..R. by
Q:..,
E. G. RUD 8t SONS, INC.
LAND SURVEYORS
3847 155th know N. E.
Anoka, Minansalc 55303
Tel: 434-6585 4 :.,
1520 Son ~
Use BLUE or BLACK Ink
For Office Use
t38t~t
City of Eap Permit#: • ^ S I
I 1 I
I Permit Fee: 1
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: M, Site Address: I i V i ( CJ Unit
Name: 1 1111 t~~4ret/\e,~l,,l Phone: G, 1'r'. 5w
Resident/ - 1 SO V) V
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: TP ck/wfL f ~ re 1 WT Vt (~l!(} (,'I /WA qu ma"?, a/yL - 1
Construction Cost: Multi-Family Building: (Yes X / No ) fair
Company: ~~l a tl~ )+Vf `&.,,J QeiTlJe_[tn4 `t ontact:
Address: City: _ -4. l.vl.k ~cLr Contractor
h Zip: -et/ J 61 Phone: aQL- l 20
License U_oo j U e ~ Lead Certificate V ' T
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 maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 permit issuance. 'gip
x ; [ TEL s. x
Applicant's Printed Name App ' is ig ature
Page 1 of 3