The URL can be used to link to this page

1523 Clemson DrCITY Of EAGAN r , 379S 'Jkt Kno6 Read Eoyan, MN 55122 . PNONL: 454-8100 BUILDING PERMIT R«;pt # Te M wnd fa • Est. Value Dcte i 9 Site Addreu Ercct p Occuporxy Lot Blotk Sec/Sub. ' - c= - '->Alter ? Zoning ' paru1 Repoir p Fire Zone Enlarqe p Type of Const. W Nome Move 0 # Stories ; Address DemoHsh ? Length b CiN Phe.,e Grade ? Depth Sq, Ft. oc t O u§ 1-- Nome - ',- ,---?- Address Cify - Nome _ Address 1 hereby ocknowledye thot I have reod this opplicotion ond state thot the inlormotion is correct and ogree to comply wlth oll opplicoble Stote of Minnesota Statutes ond Cify of Eogan Ordinonces. 5ipnature of Pertnittee A Building Pem+it is issued M: oll work sholl be done in accordonce with oli applioobls Buiidir?p Official ' Assessment I Permit Water & Sew. Surchorye Police Plon check ' . . . firo SAC En9. Water Conn. Plonner Wcter Meter Council Rocd Unit Bldg. Off, APC Total on the exprcu condition thnt Statutes and City of Eapon Ordinonces. Permit No. Permit Holdar Misc. Permit No. Holder Plumbing Zq ? j?l ?,_1Q$Z H.v.a.c. 5 3- w.n Water 9 Disp. Stwer Elsctrie TSfoq3E? ?E?1 ???.C• $'?3-?Z Inspection Dste Insp. Other Footinys Foundation Fnming Rouph Plbq. . 61* Rouph HVA ? Inwlation Final PIb9. Final HVAC F{nal ? Water Dosc?iM Loeation: VYall . Smwar - Pr. Diap. ' 1 BUILDING PERMIT Receipt # Te be wed fer -.-: Est. Volue Date 19 Site Address Erect Q Occuponcy Lot Block Set/Sub: - '., C l Alter ? Zoning Parcel Repoir ? Fire 2one Enlarye p 7ype of Const. ac W Name Move ? # Stories _ ? Address - ? ,' Stre t Demolish ? Length - - p Nnme ^vv•••?•• ? ~ ?? Address Assessment ~ Cit p Woter & Sew. _ hone t? W Nome Police F Fjm ,?- Address E,? ? u dk? <W Ci Phone , Plonnar Council I hereby acknowledge that 1 have reod this application and state thot Bldg. Off. the intormotion is correct ond ugree to comply with all opplicoble $tote of Minnesota $tatutes and City of Eogen Ordinonces. APC Sipnoture of Permittee /1 Building Permit is issued to: ' otl work shall be done in occordonce with oll upplicoble Stote of Minne sota Statutes on Buildinq Official CITY OF EAGAN 3795 Pilo1 Knob Rasd Eogon, MN 55112 PHONE: 464-8100 Fees Permit Surcharge Plun check SAC Water Conn. Water Meter Rood Unit Totol _ on the express condition that City of Eoflon Ordinnnces. Psrmit No. Permit Holder Misc. Permit No. Holder PZ '?-? $ qQ ? _3115Z uht` bGY\ 6'-2 3- W j Disp. Ssvuer electric 51093`d BEr( FCFc. ?--r3-fiZ Inapection Date Insp. Other Footings Foundation Framinq qough Plbp. Rauph HVAC Inwlation Final Plbp. ? Final HVAC Final a Water Deseri6e Location: Wsll Sewer Pr. Disp. , BUILDING PERMIT MN s5121 . 74 `) 4 Receipt # 3795 P,lot cirr oF EAW Knob Road Eeyan, PHONEs 454-8100 To br wW for Est. Value Date i 19 Site Addreu , Erect 'o Occupancy Lot Block Set/Sub. „'? ? ? =t'• ` ' , Alter [] Zonirq , parcel Repoir ? Fire Zone Enlorps ? Type of Const. oc Name '• s 1, 1Tor.ia-c: ; /,ddrE3t b 0: ZO OU V§ ? Move ? # Stories Demolish ? Length Grode Q Depth Sq. Ft. Approvals Fees Address Assessment _ Ciry Phone Water 8 Sew. Polita Address I hereby ocknowledge that I have read this opplication ond stote that fhe information is correct and agree to comply with oll opplicabls 5tote of Minnesoto Statutes ond City of Ecgon Ordinances. 5lpnoturc of Permittee Fire Eng. Plonner Council Bldp. Off. 11PC Permit $urctarge ' Plon check SAC Woter Conn. Woter Meter Road Unit Totol A Building Pennit is Issued to: on the expmss condition thal all work sholl be done in acwrdance wifh all npplicoble State of Mlnnesota Statutes ond Ciry of Ea9an Ordinances. Buildinq Officiol Permit No. Permit Holder Misc. Permit No. Holder Plumbing Zlt H.v.A.c. 3( 5 3 Su?ur?aVk- ?-z34 w.u Watsr pisp. Sewer Eleetric "-( Irupection Data Insp. Qther Footinqs Foundation Framinp Tj Rouph Plbp. . ? /L • Rouyh HVA Insulation ,. Final Plbp. ? Finsl HVAC Final Q Waur Describe Location: IMell , Sevwr ? Pr, Dbp. . -4 r?/a? ?p8, " MECHANICAL PERMIT /? CITY OF EAGAN 3830 PILOT KNOB ROAD, EA('aAN, MN 55122 PHONE: 454-8100 ? Name ? Address Ciry ? ? Name c Addre p Ciry _ TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM # FEE: S/C: TOTAL• BLDG.TYPE Res. _ Mult Comm, Other RECEIPT # DATE: ? WORK DESCRIPTION .: New Add-on ?- Repair FEES RES. HVAC 0-10a M 8TU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 E COMM/IND FEE - 1°rb OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20_00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) f F, , f SI EE ,- f FOR: ITY OF EAGAN . t BUILDING PERMIT CITY OF EAGAN 3795 Vilot Kwob Road Eayew, MN 55122 PHONEs 454-8100 19 ?425 Recefpt # }? Fst_ Velue ? • . Dn?n . ? • '''? - ` 1 p ? Site Address E t [] O _ rec ccupancy Lot Block ' Sec/Sub. ?`, '?: . ' ' i •`' " Alter ? Zoninp t • l # P Repair ? Fire Zone orce l F T En arpe p ype o Const. oe W Nome Move ? # Stories ; Addross t- Demolish p Length . b r.... . '<i•z?_ a.,.__ ^.t?3-?£ Grode fl Depth Sa. Ft. °C Nome 0 ?? Addrca 1-- rih, a..,... Name _ Address I hereby acknowledqe that I hove read this opplicotion and stote thet the intormotion is correct and ogree to comply with all opplicable Stnte of Minnesota Stotutes and City of Eogon Ordinonces. Sipnoture of Permittee A Buiiding Pertnit is issued to: oll work shall be done in accordance with oll /lssessment Water 3 5ew. Police Firo Enp. Plonner Council Bldp. Off. APC Fees Permit . . Surcharge Plon check - 5AC Woter Conn. Woter Meter Road Unit Totol on tfie expross Cor+ditlon that and City of Eapcn Ordinances. Buildinp Officiol Permit No. Permit Holder Misc. Permit No. Holder Plumbing Q , .?.??, S?•?rq.?? H.V.A.G 3??? SCa.?jtxt? ??\ S' Z3 " WeII Wstsr Disp. Sawer elect?ic Inapection Date Insp. Other Footinps Foundation • Framing • Rauph Plbp. ? ? Rouqh HVAC Inwletion Final Plby. . Final HVAC Final Watsr DKCribs Loeation: Well Sewar . Pr. Disp. . CITY UF EAGAN Remarks Additior: 'I'1'?omas Lake Heights Addition tot 11 aik -3 Parcel #10 75950 110 'W . Owner j?l-ti". Street 1523 Clemson DTive Stare Eagan, hIN 55122 ? Improvement Date Amount Annual Years Peyment Receipt Date STREETSURF. 1981 279.71 55.94 5 111.89 A011587 10-21-82 STREET RESTOR. GRADING SAN SEW TRUNK *SEWERLATERAL 1981 314.09 62.82 5 125.66 A011587 10-21-82 WATERMAIN * WATER LATERAL 19$1 WATER AREA ? STORMSEWTRK 1981 312.37 20.82 15 249.91 A011587 10-21-82 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT 4 -2-82 WATER CONN. 420.00 to BUILDIRIG PER. T423 SAC 525,00 PARK CITY OF EAGAN Remarks Additioa Lot ],O Blk Parcel #w 7F,95f1 10() 1M Owner &% , " Street 1523 B Clemson Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 1J$1 . 5.94 S 167.83 A0115 1 10-15-82 ? STREET RESTOR. GRADING SAN SEW TRUNK I9?3 ??L *SEWER LATERAL 1981 f 188.47 A011561 10-15=82 WATERMAIN *WATER LATERAL 1981 WATER AAEA 9 7 ? STORMSEWTRK lgg 270.73 A011561 10-15-82 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT ROAD I 240.00 31202 8-2-82 WATER CONN. 420.00 laUILDING PER. SAC 5515 00 n n PAR K CITY UF EAGAN AdditioR T1D111,S: Owna? jid _ 1 ,dditi.on Lot - 12 Blk ? Parcet #IO 75950 120 'M strset 1525'Clemson Drive stete_ Eagan, Mn 55122 Improvement Data Amount Annual Years Payment Receipt Date STREETSURF, u]..$ Ao11626 u- -82 STREET RESTOR. GRADING g SAN SEW TRUNK *SEWER ?ATERAL lld-ng 2 125.66 AOl1626 11- -82 WATERMAIN *WATER LATERAL 1981 WATER AREA /5 7 T Gk6 5TORM SEW TRK - 2089 249.91 AOI1626 u- --82 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT 240 00 202 8-2-82 WATER CONN. 420.00 6UILDING PER. SAC 525.00 n '* PARK CITY OF EAGAN Remarks Additio?j f Lot 11 Blk ? Parcel #1 p 75950 130 'Q-3 Ow„er tiG' ?.+i-l street 1525 B Clemsori DTive State Eaga71, M[1 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ' g STREET RESTOR. GRADING I SAN SEW TRUNK /?j7,} *SEWER LATERAL j 31409 125.66 AQ1163.2 8 WATERMAIN *WATER LATERAL lggl WATER AREA /9y 7 STORM SEW TRK 249.91 A0116 11-10-82 *STORM SEW LAT CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN, 420.00 ?t 13UILDING PER. 4 SAC 525.00 ?t n PARK Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C ' Type or Print legibly Tot. 1. Date 2. Installation Cost - . 3. Job Address Lot Bik. Tract 4. Owner ans Haqen Homes 5. Contractor Url;3n Heati: Phone 7' 7-1.', ? 6. Address 7. City • PI uI State Zip 8. Building Type: Residential b 8. Work Description: New '0 I 10. Describe 1 11• Commercial ? Institutional ? Add ? Alter ? Repair ? Fuel Type No. - Equ,ioment BTU - M. Ea. Forced Air ' No. EQUiament CFM Ai H i Mfg. r andl ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Qir Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply wlth dll ordinances and codes governing this type qf work. Signed : for Rough ' Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt ?' I l PLUMBING PERMIT CITY OF EAGAN Permit No. Fee S/C ' Tot FiII in numbered spaces Type or Print legiWy 1. Date 2. Installation Cost 3. Job Address " Lot / / Blk. 4. Owner 1 h u VA -JI ?k Q (4 is 3 Tract - I 5. Contractvr ;4 Phone 6. Address 7. City State Zip 8. Building Type: Residential 6 9. Work Description: New A 10. Describe 11. Commercial O Institutional ? Add ? Alter ? Repair ? No, Fixtures Water Closet No. Fixtures Cesspppl/Drainfield Bath tubs Septic Tank Lavatory ,-?-? Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 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. Si9^ed ' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 Reaeipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print /egi,bly Tot. ' 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract . 4. Owner Hans Hagen Hamtee 5. Contractor '?"•? '=i} an I?eatint' 6. Address 2050 lfhite Bear Ave. Phone 177-1363 7. CitY •`' ? • Paul 8. Building Type: Residential El 9. Work Description: New 0 State . ., Zip Commercial ? Institutional ? Add ? Alter O I 10. Describe Fuel TypP I 11. Repair ? ,. :Y . ".35 No. Epuioment 9TU - M. Ea. Forced Air No. Equipment CFM dli Ai H Mfg, r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 7 ` ' PLUMBING PERMIT Receipt - CITY OF EAGAN Permit No. ' ' Fee Fill in numbered spaces S/C " Type or Print legibly Tot. • ? 1. Date 2. Installation Cost 3. Job Address' Lot !i Blk. -? Tract '-' 4. Owner 5. Contractor ` Phone " -' 6. Address ? 7. City . State I Zip I 8. Building Type: Residential Ef Commercial ? Institutional O 9. Work Description: New 0 Add O Alter O Repair ? 10. Descrihe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Fm. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee ? Fill in numbered spaces S/C Type or Print legib/y Tot. _ 4. Daie 2. Installation Cost ° 3. Job Address Lot i Bik. Tract 4. Owner 5. Contractor ?- , ,/C" rcl , 6. Address 7. City 8. Building Type: Residential Ll 9. Work Description: New 11, 10. Describe 11. State Zip Commercial ? Institutional O Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs $e ti T k Lavatory { p c an Softner ShoWer Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Phone Receipt "- MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee - Frl1 in num6ered spaces S/C Type or Print legibty . Tot. 1. Date ? 2. Installation Cost ? _-n• _,_. 3. .Sob Address - ? ? • ? tot ' - Blk. ' Tract.-!J,e ::to. 4. Owner 5. Contractor '-1``urhan ifeatinc, 6. Address 15n white $ear Av Phone 77'1363 7. City ? ` • - State Zip 8. Building Type: Residential 0 Commercial O Institutional 0 9. Work Descriptian: New 0 Add ? Alter ? Repair O 10. Describe Fuel TYpe '- 1 11. No, Eguioment 9TU - M. Ea. Forced Air No. Enuiament CFM Ai H : dli Mfg. r an ng Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and l agree ta comp4y w'stfi a{1 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 QF EAGAN 454,8100 Recsipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legib/y Tot. 1. Date - 2. Installation Cost 3. Job Address Lot ;?. Bik. -? Tract 4. Owner i c1 ?-1 `--) H (A CA``t "'\ 5. Contractor ? ? CL i *;-4 p 1 b 6. Address _ _??J ? ?-% L•(? ?? ?. ` Phos?e '1<- ? . • ? 7. City State Zip - $. Building Type: Residential O Commercial El Institutional ? 9. Work Description: New n Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Se tic Tank Lavatory p Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Flaor 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 i nal Inspections: Date Insp. D2te Insp. This is your permit when numbered and approved. Approved CITY UF EAGAN 454-8100 Receipt MECHANICAL PERMIT Pertnit No. CITY OF EAGAN Fee FiII in numbered spaces S/C Type or Print /egib/y , Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract ` • 4, Owner 'ans Raqen F3omes 5. Contractor •' '1-} cin fieatin( Phone ??- "hitc Pear Ave. 6. Address 7. City o ' '". 8. Building Type: Residential 9. Work Description: New ? 10. Describe 11. State Zip Commercial ? Institutional ? Add ? Alier ? Repair ? TyPe No. Equipment BTU - M. Ea. Forced Air ` No. EQUiament CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 cY^ r cF E,?aAH 3795 Pilot Knob Road Eogon, MN 55122 7,,.,s.,,. Owner: RBge:l TiOmeB /lddress: Slte Address: 1 ?'? ? Eier?snii Piumber• ? ,-1?,_?,,<•,?„ T'1.?? - Meter No.: Size: Reader No.: 1 agroe to wmPy with Nhe City of Eagan OrdinonCea. By Dafe of Insp.: ' TY OF EAGAN 9795 Pilot Knob Reod Eo9on, MN 55122 Zoning: Owr+er: " Address: Site Address: Plumber: C15'f "' EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: 4 Eagan, MN 55122 DATE: Zoning: - No. of Units: - Owner; llddmss: Site Address: ' ?-'' _ ' `'.•, Plumber: Meter No.: Connection Chorge: Size: Account Deposit: Reader No.: Permit Fee: - ; 1 egree M eornply wiMh f1N City of Eagon Surcharge: Ordinoeces. Mist. Chorges: By Dote of I nsp.: r ? ? 1 eqm M wrnPlp wifh Hhe City of Ea9an Connection Charye: Ordinoneei. Account Qeposit: . Permit Fee: ? Surchorge: By Misc. Charpes: Date of Insp.: Tatol: Insp.: Date Pcid: ? WATER SERVICE PERMIT PERMIT NO.: DATE: . No, of Units: _ Connection Charge: _ Account Deposit: - Permit Fee: Surcharge: Misc. Chorges: Total: _ Date Paid: _ Insp.. SEVUER SERVICE PERMIT PERMIT NO.: DATE: - No. of Units: CiTIf OF EAGAN J795 Pilot Kneb Road Eagan, MN 35132 Zoninp: Owner: t' : `` - /lddress: Site Address: I ' 2S Plumber: 1egtee to eomply with tM City of Ea9aa Ordinoncet. ey Dute of Insp.: Total: Dote Paid: I nsp.. SEVUER SERVICE PERMIT PERMIT NO.: DATE: ' No. of Units: Connection Char'pe: Account Deposit: Permit Fee: SurchorAe: Misc. Chorgas: Totol: Dote Paid: CITY pF EAGAN WATER SERVICE PERMIT 3795 Pilot Kno6 Roed PERMIT NO.: Eugon, MN 55122 DATE: ? ZO^ing' No, of Units: Owner: 'ir8 l(8 @II llddress: Site Address: ? "3 Clepsc': Plumber: , 1?r?1n3E190R Meter No.: Size: Reader No.: 1 agree to eompir wifh fhe City of Eagan Ord7nqnas. Bv Dote of Insp.: e I1at Connection Charge: Actount Deposit: , Permit Fee: Surcharge: ' Mlsc. Chorges: Totul: Date Poid: , CITIf 01; EAG.,.. ?.? .? 3795 Pilot Knob Rood PERMIT NO.: -- . ., ; Eagan, MN SSIU DATE: Zonina: No. of Units: Owner, Address: Site Address: !'3 ?1 r•:n i i? r, ? t. Plumber: I agrn M comPlp wlth ehe CiFy oF Eagan Ordinanoes. By Dafe of Insp.: Connection Charoe: Account Deposit: _ Permlt Fee: $Urcharge: Misc. CFwrges: - Total: CITY aF EAGAN 3795 Pilot Knob Rood EoQan, MN 55122 Zoning: Qwner: " Address: Slte Address: Plumber: Meter No.: Size: Reader No.: Connection Charge: Account Deposit: Permit Fee: ? SEVHER SERVICE PERMIT CITY OF EAGAN 3795 Filot Knob Rood PERMIT NO.: Eogon, MN 55122 DATE: ' - Zoning: No. of Units: Ownar: /lddress: Site Address• 15 23; r1t_•.:i;i "F b - Plum er. 1 egros fa oompip wk6 tha Gh of Eagan Ordinanaa. By Dote of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: - _ No. of Units: Connedion Charpe: Account Deposit: _ Permit Fee: Surchorfle: Misc. Charges: - Totol: Ch This request void -,7 18 nwnths from E 4 3 8 0 6,? 1" „fKluest Date ? 7 _ ? ? ire No. Rough-in Insper.tion Required? ? ?Ready Nuw Q Will Notify Insaec- ?Yes ENo tor When qeadY Licensed Elec[rical Contractor 1 hereby repueat inspectioa of ebove Own , e electrical wwk insfelled at: Sireet Address, Boz or Route No. City 13- 2 '?- G/ e ,t S a."J '0' "Zd¢? ection o. Township Name or No. Range o. County o ??- Occupant IPAINTI Phone No. Power Supplier Address ?ontra or (Company Name) Contractor's License No. M aili g Address Contractor or wner Making Instailationl 127 J At ?r ? I-e- A d Signature IContracto Owner Making Installaliun) Phone Numb MINNESOT STATE BOARD OF ELECTRICITY Gripya-Midwey BId9. - Room N.191 1821 Univeraitv Ave.. St. Peul, MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BV THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. 7/,REQUEST FOR ELECTRICAL INSPECTION Es-ooooi -os ? See inatructions for complstinq this form on beck ot ysllow copy. ?C?6'C5? E 43806 "X" Below Work Covered by 7his Request Now L.Ad Rap, Type o) Buildin9 Appliances Ylired Equipmant Wired Home Range Temporary Service Duplex Water Heater Lighhn, Fixtures Apt. Building Dryer Electric Heann Corrwnercial Bldy. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther peci y ther ISuecify) l .r uecify ther Orhur Compute Inspection fee Below M Fee ServiceEntrenceSize h Fee Feeders/Subfeeders tf Fee C?rcu?ts U to 200 Am s 0 to 30 Am s 0 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 A s Swinmin Pool Above 100_Am s Above 1C10_AmpS Transtormers Irrigation Boorns ?f"rj Partial, Oth e Si gns Specia l Inspection Nerrnrks TOTAL (i ol Rough-in Final • Date ? ? ? 1, the Elec InspeCtor, hereby certify thet tlie above inspection has been made. Thb rsqueat rold 18 monihs 1rom Ux t? . HOUSE HEATING TEST RECORD ADDRESS ??f23 --M5?i? s APT.-FLOOR - CITT SUBURB - OCCUPAN7 4vt.S .cesa,P.u. B uwGC OWNER. /?Gr.?s lw 4m P?[9tu L HEAT LO55 DATE HTG. INST . GAS C0. METER BADGE SOLD BY INSTALLED BY S u r,tr cti v? N t?d Ict_ E Iechical Wor4 Hy /31 14 - Ges I.IM By SU 6 1 l A O.ti_ 1? E c. F Nc5 .- TYPE OF HEAT GA _ FA _HW _STEAM -SPACE NTR. _UNIT HTR. _OTMER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Ibda? WC0g9.. - Model s«ia i l),V 3 ?/O? ?3i ? 2?y2 -4 Mo.. eTU Ronoo INPUT 201,06W ? MAKE OF FURNACE _.- Medel ^'. , CONTROLS THERMOSTAT --?6? H.at Pl S V r 51 it . uq Valvs ? W " :• KIND OF LINER_ SIZE NON Limit NW Dnh Heod Rpulara LimitSeninq rz aS°f' Ffltws Sia? ? Iu1aMr ? Fan Seftin9 - Chfmner Locoflon Inslde 0utside Pilot Type '? s Chimnsy Construcfion ? Pilet Maks Pilat Modal - S Smoke Bomb ? Wirinp ?s Pilet Timiny Z?S Draff • D3 ? To?t Ta p L.W. Cut Off Dow Pressu.• 1A p' Liyht{np Inst. ?)L ? Presaure ParcentCO - ?y D - - TLL-[ Dafs Tesfod a- ? Input CFH $? Percenf O 7 Compony Testiny f 2 $rock Tamp.?Parcenf C0 m?'+?cNamos?Toslw Form 235 I? q q I0-3, r?, HOUSE HEATING TEST RECORD ADDRESS /SoZ3L7 CIeGLJSO . IDL APT._FLO R CITYZ.?SUBURB OCCUPAN7 owS OWNER "5Aagev, 1cG`44cS HEAT LO55 DATE H c. iNST. GAS C0. METER BADGE A • SOID BY Sbu 2 r& INSTALLED BY suburba,,,?, H1?G- Elechical Work By e? Gos Line gy ?uburba,.?. 1-4rc- TYPE OF HEAT GA _FA _MW -STEAM -SPACE HTR. -UNIT HTR. _OTHER GAS DESIGN CONYERSION ? . P.tw.`. MAKE MAKE OF BURNER IAod.l Abd,l s..;,i ?N3D/Oy P12 yZ 0707 M,.. aru aari?o INPUT ?Q /fJDa MAKE OF FURNACE Abdel ? 'CONTROLS THERMOSTAT ??,/ H*at Plup ' yS Vmf 51s* ValV• 44 t-J KIND OF IINER SIZE NONE x Limit 14 L'J DrahHeod F'C' ? R?pulomr k OH Limit $eniny ,as FflNrs Sia? NumnMr I Fan Setting S O , CAlmmor Lotaflon Indde x Oufside Pilet T FI YPe -? ? -ig 62uN? Chimmey Censiruetion ? Pilot Make Piloe Modsl Sffz Smob Bomb u d' Wirinp Pilot Timing ? Draft • Q? ?lLcG T??t Tep ? ?? ?S L.W. Cut Off A' Door Pressur. ?A' Lly6tinp In? V ?S Prossura L'-x' Percent C0 Daro TeaHd 'Z !52 Input CFFI 'U 2 Perc?nt O 2 Company Tse ? ? ? ? SMCk TemD• PK???t C0 K'b41"G'et- Nams of T?s! aw 1, ? Fmm 235 V ?q u? 6 6 /Z-3, 7, C, #4-g , ADDRE55 _411¢ OCCUPANT HEAT LOSS _ SOID BY EI•chical Work By TYPE OF MEAT HOUSE HEATING TEST RECORD GAS DESIGN CONVER{IOH MAKE ?-?t MAKE OF BURNER ,+od.l P_ ar,? eoge mo,el _ s.,;al LJN3 /D F/282 07? Ma? Y / x. eTU Roli? INPUT Q'DMAKE OF FURNACE Model I vT ??" CONTROLS THERMOSTAT ?' _ Hpt pluy Valva Limit CA.) Limit Softiny 15 ? Fan Setting ? l e0 Piloi Typs CC N/C Sljar? Pilot Alake W Pilot Model Pilot Timing s L.W. Cut Off Prosaura parcanf C0' Input CFH Perunt 02 Stack Tamp. ?'y?t?^? Pereenf CO Fmm 235 VM1 Sii• _STEAM _SPACE HTR. -UNIT HTR. _OTHER APT._PL R CITY SUBURB OIYNER vas ;AS C0. METER BADG INSTALLED BY " u Gas LIne By S4.6 un.bC3iLL 5 // KIND OF LINER SRE MONE ? DeahMeod Rpularor j4'D A4 Fw... sla. Chimney loeaHee Inside X Outdde 4himnoy Construellen - /?? Smek* BomL zvk Wiriny 0.afe _ r o T.U Taq Door Pnawa Llphtiny (nat. Ve'9 Dafa Toated ? -z5^ Comyany Tae??..? dM- LA.vQ? Ham of T*sN• - -- 47 y/. (3-? ( _( I ` HOUSE NEATING TEST RECORD ADDRE55 ???5 B C I QLv/SOt1-sO__?-APT._FLOOR CITT SUBURB t5' OCCUPANT ?'td5 bkLavw- Kow?es ONRlER ubuS??4tti- e+aw HEAT LOSS DATE HTG. INST. 9^ 30-` GAS C0. METER BADGE°'`?N SOID BY S4?'?NLps--?`?-?'?? INSTALLED BY S?kfba.? ?ITG- Elochicol Work By Ae lfGoa Llno Br S"b wnbar... TYPE OF MEAT GA _ FA V HW -STEAM _SPACE HTR. -UN1T MTR. _OTHER n GAS DESIGN CONVERSION MAKE MAKE OF BURNER Pve.i 02G?.r ?- b8E ?ba.? s«iai _11 3.010 S/ F/ag 4712 p{oz. BTU Rarino INPUT MAKE OF FURNACE Medd '?' CONTROLS T}1ERMOSTATu '?" _ Heat Plup ? ys Va lva , L ? Limif ? W Limit SeIiie Fon Satting Pilot Typa Piloe Make Pilot Modsl Pilof Timin L.W. Cut O Prossurc 3•5/,?? PercentCOZ V510'0 Inpuf CFH Pncont 0 2 Smck Tamp. 3?O?f parcrnt CO -x Form 235 WM 51:e -4// KIND OF LINER SIZE NONE Droh Neod ? G{'On Rpuloror H6 N`f, Filtws Sla? (-X uiaMr ? C1Jmney Loca}ion ImiM?Our¦ide Chimnsy Construcfien Smoke Bomb GA- Wirinq Draft • CD3 °`'? T?U Tap ? ??L' S De« Pnsswo it A, Uphtinq Inst. Data Tested Cemyeny Tost?ny S u bu r ba„^ {-1'1" Nams ef T??t?• •?? b ?D?°'? 9 yi,6 ?:l,uv. ? 1 it l l ? ? e p s an w/e evations a t o? ?{? ??X IIUIIDM PFiLktIT pPPLTOG\TION ? 1 set of eneTgy calculatior ?? -- 'Ih IIc l'src: For '- Q.U?? Valuation ?sij@;!t Datc ,UL?T2? - t482,. -- Sitc Tddmss: 1523 CLEM 5dn? 7.t2/?E OFF7CE USE QII,Y IAL l I Fj LOCJC $CC. /,Sllt7. 7/0M46 LAKE dgET'CCC OCCIIE]dTl(,y Parcel ?C' L(U ?? ? ? ir Zone F Owner- ?ANS FIAvEd }{6nnE5 Eraarge _ 'iype of Oonst. Pbve A Stories Address: Z; S3 '[Zie-E S 1TLEET Demlish Front TQ ft City/Z1P Code=5T -PAUL w 3 1 55 f Grade Depth 91;2- ft - 1 n . , Fhone t: ¢83-08)01 pppr-OVALS FrFs Contractor: ?{f?s 1?A(?Ed WOMES Assessrents Pernut ?/.S' Pddress: Z3 S3 N• RI?C 5%2E? W3ter/SE.i.er Surcharge Police Plan Ctiec3c ?? Gity/zip Code: aff ST. ;%U4 Mn/,X'S1l3 Fire SPL Phare -o956/ En9. Water Conn- Planner Water Meter /..n Arch./Eng.: }}A? S 1-?A(?? #OMlES Comcil Eaoad Unit ,?2-/p - Bldg. Off. 353 IV. Rtc e sT?EET Address : 2 ArC Citl/Zip Ca?e: 6r, ?AJG .ue/. SS113 Phor,e #: 483 -0061 'IOTAL ?sg'a7S ? CITY OF EAGAN _ 3795 Ptlee Kno6 Rmd Eogen, MN 55172 N? 7423 PHONE: 454-8100 ', - BUILDING PERMIT Receipt Te ba uaed Ior 1 of 4 PLEX Est. Value $35, 000 Dore August 2 1 q 82 Sife Address 1523 8 C12InSOII DYiV@ E t O R-3 rec 7[g ccupancy Lot 10 61«k 3 $ec/Sub.Thom88 Idke Heights Alter ? Zoning (PD) R-3 Porcel # 10 75950 100 03 Repoir ? Fire Zone NA E l V n orge ? Type of Cansr. w Name Han$ HdQ EII HoIDeB Move ? # Stories ; Addreas 2353 N. Rlce Street Demolish ? Lengih 40 U Ci St. Paul 55113 pho, 483-0801 Grode ? Depth ZZ Sq. Ft.- o Nom O„rnLa= Apprmals fees i? Addrea r ??... Name _ Address Assessment _ Water 8 Sew. Police - Fire Enq. Plonner - Council _ I hereby acknowledge thot I have read ihis opDlicotion ond state that Bldg. Off. _ the inlormotion is correct and ogree to comply with oll applicoble APC Stata of Minnewto $tatutes ond City of Eogon Ordirwncez. Sipnoture of Permittee Permit L1D .7v surcFwrge 17.50 Plun check 107.75 snc 525.00 Water Conn. 420.00 WoterMeter 60.00 Road Unir 240.00 Total $1585.75 A Building Pertnif is iuued fo: Hans H e!1 HOIOeB on fha express condition thnl all work sholl be done in ocwrdonce with oll a licobla Stafe in fe nd Ciry of Eagon Ordirwnces. Bulldirp Offlcial Lg+ -,/ «'I ~Y/ ° ?... .•. ..°.?. iik.?....U bv:.:? ?.it:1.llL'+r - - ?l(o? 1 Sitc Plan W/Clevations 6 )(flUTIDRX: F'i7ZMIT A,"PLIGITTON ' 1 set of esrrgy calculatioi I - T, Bc U,c-: For- Valuation gjgggR!? 3?s;oad na tc -?uL?!"23.MZ -- Sitc Address: 1523 `? CL-E.N',Soi.( )AZtVE OFFI(E USE Q7LY Lot 10 D10cSC 3 SCC./SUb.-rxbr.nn5 LPICE k5Erect _2,._ Occ'?"Y 3 Sq a0 oD G5 ? ?ter Zoning IV3 D Par?l M: ?D ? ? Rewir Firc Zonc E.ilarqe _ ZYpe of OorLSt. bwner: }?AnIS I?t\6?1 ?Onti? hbve A Stnries Fc3c:ress: 2353 ik. 'RNe-v-r hTR?"'i Deniolish Front f Grade DePth a ?- f City/Zip C.ode: 529 1 t3 Pho: ie a: 48 3- o<a o t APPFDVAIS FF-ES Contractor: iAaq,; aegerJ qoN\,ES fidciress: 2; 5'3 /J• 1Z ICE Citf/Zip Code: yf '?i}Vt- MN • 5507 S Phar Y: 493 -Oeo! nrch. /Ens • = flAnIS FfAb 6,4 Pd?ress: 2-3'53 1J, Kle-. Ci' .//Zip Coc'.t: 5 i ?AU t.. N.A .-S-S 113 Pssessents Pezmit v A?= Water/Sc.°wer Su:'chazye / > Polioe Plan CtkrJc o 7 Fire SAC Eng , Water Conn. _5/,20 ?' Plarvier 4dater *5eter 60 XV0 r Council Rxid Unit a </D z Bldg. Off. AF'C Phcre I': 4?,3-obo l CITY OF EA(iAN ' 3795 illa! Knob Road Eoysn, MN 55122 N? 7424 . PHON[: 451-8100 - BUILDING PERMIT Receipt # - Te M uad hr 1 of 4 PLEX Est. Voiue $35,000 pa1e August 2 1 q $2 Siee Address 1525 Cle son Drive Erecr X9 Occuponcy R-3 Lor 12 slock 3 Sec/Sub.Thomas Iake Heights qlrer ? Zoning (PD) R-3 parcel # 10 75950 120 03 Repair ? Fire Zone NA Eniaroe ? Type of Conat. V W Name - Hans HaCen Homes Move ? # Stories ? Addrett 2353 N. RiCe Street pemolish ? Length 40 C; St. Paul 55113 phone 483-0801 Grade ? Depth ZZ Sq. Ft.- Name _ ? ff.a.nr Apvrorab Paes h ?U Address f r:... Nome _ Address I hereby acknowledge tFwt 1 have read this applicorion and stote that the informotion is correct and agree to comply with oll opplicoble State of Minnesoto Statutes and Ciry of Eogon Ordinances. Asseument _ Water & Sew. Police - Fire Enp. Planner - Council _ Bldg. Off. _ APC Permit z17.DV Surcharge 17.50 Plan check107.75 SAC 525.00 Woter Conn4=? Water Meter fiO- OD _ Rood Unit 240-00 Tmol C1SRS_75 Signoturc of Pertnittea I A Building Vermit Is issued to: HaR9 H8 Efl HOIIl28 on tha expreu cordifion Ihm all work sholl be done in xcordonce wilh all app? blpe S?ta? inne a SPt 1 tes ond Ciry oF Eoqan Ordirances. Building Offtcial X??-? e5'i /1 1 site plan w/elevations 6 BUIIDIN(; PEFSSIT A,^PLIGlT70N 1 set of enelgy calculatim 'IU I3c vsa: Fbr ??---? valuation r?Zrouo Aate 1tr?? 2?j,1982_-- Site Iddress: /SQS D2IV"5 OFFICE USE aNL.Y Lot 1 Z 91orx 3 sec./sub. 7,yornks uaKE ?kt3Erect pC 0=4? P,3 Parcel b : jb ? s ?{ ?C7 1 ZG? G 3 Alter Zoning l? 3 _ Repair Fire Zone. ' ? 1-???[S l??i??.l 1?oMES E.?lazge ns? 'Iype of O0t• ?L Mbve A 5tnries Address: 23 S3 h1, `R.iCE SCQEE'r Denolish Front f1 i u d - ? K Gzade Depth fi ty/Zip C i nn Co e: 5Z . N . 5?113 Phone h: 46 3 -oSO / APPRDVAIS F'E5 Contractor: 4fk4 ci i?A&E?J ?tlM r=S Assessrnents Address: 23 53 l?(. RrCE ?2EEr Water/Scwer Police City/2ip Code: 6T? ?AQ L MK-5513 Fire Phone #: 4?5 3-O,SoI En3. Platvner Arch./Eng.: 4X1JS 1??C7Eh? 04n??S Cauicil Sldg. Off. Address: 2353 6,2eeT APC Ci`-y/Zip Code: 5'r , ?D,UL, 5Sl13 Phcrs ? : ?3 -t78 p I Peimit Q Surcharge Plan (Serk ),??A2W SAC Water Conn. Water Meter ?A"`-Ftoad Unit . 00 °U 'ICJI'AI. ?? S ??? -7 S- l.• \. ??`•?1? (1 ??/ IIUIIDP.JC; PERMIT F4''PLIGITION A? Tb Llc Useci For Qe?--df•?K? valuation ??Ot1d Site Fddress: 15- 75 8 C[.EMSOi? j?/f!E ivt /3 Blodc 3;_ Sec. /Sub. -q(tas [AU6 ±3, Erect Parcei a: Td 7S,?sz) 1so 0 ? ?ir owner: WA08 AAG--/ {/mA&i?s Enlarge _ Mbve Address: 2353 l4, RtC€ ST2E6"r Dennlish City/Zip Gode: ST, 40,0L- r,&d.55113 Grade ..x.i.:.;?. .. x:a u: f;i.uis, 1 site plan w/elevations ? 1 set of ermsgy caiculatiar Datc OFFICE [1SE QNII,Y ??TxY 1°_3 zoninq Fire 7.one 'Iype of Const. # Stories Fzont yp ft Depth 2 ft Fhor,e h: 4S 3- o S mi ArrROVArs FEEs Contractor: 9SIr15 ({i4f,€i? #oFn E75 Address: 2353 ^t• ?<<E ST2?7 city/zip coae: yr,?AdL, nnnf• 575-1/3 Phone d: 03 -080/ Arch./F]ig.: ItAWS fFA6Ed h(QMES Address: 2353 Al. 9cCe STRE? Assess,ents water/Sewer Police Fiie En4 • Planner Council Bldg. Off. APC Pernut Surcharge / ,, ,111,1 Plan Check ? sa,C water c.om. 41Aa -C water Meter /oa -gy- xoa3 vait ?yo -,= Ci:Y/ZiP Caie= 5T, ^'tAOL- nnn(. 5-6-ml3 Phore # : 4S3 -OS o/ ?pl, ?S?S -J S cirr oF EaGnN _ _ t 3795 Pllet Knob Rood Eagan, MN SS1t4 N? 7422 PHONE= 434-8700 ? BUILDING PERMIT 2eceipt ?? # Te M wad 4or 1 of 4 PLEX Est. Volue $35.000 Date ni.miat 9 19--82 Sire Addrcss 1523 Clemson Drive Erece [1) Occuponcy R'3 Lot 11 el«k 3 Sc/Suy. T1iomas I,ske HeiqhtaAlter ? Zoning (PD) R-3 parcel # 10 75950 110 03 Repair ? Fire Zone NA v Enlarga ? Type of Const. W Name H dll9 HdQ6i1 HOTqEB Move ? # Stories Z ? Addreu 2353 N. RiCH StrE@t Demolish ? Length 40 q St. Paul 55113 phom 483-0801 Grade ? Depth 22 Sq. Ft. - c (lcrnnr Avnrovala Fee+ p Name _ ?? Address r .-?... Nome_ Addrese I hereby acknowledqe that I have read this application ond stote that fhe intormafion is correct ond agree to Comply with all apPlicoble $fote of Minnesoto $tatutes and City of Eogan Ordinances. Siynoture of PertniMee A Building Permit is issued to: Han$ all work shall be done in occordunce with olle< Assessmenf - Water & $ew. Police - Fire Erp. Planner _ Council _ Bldg. Off. _ APC Permit L1J.7U Surcharge 17.50 Plon check 107-75 SAC 525-00 Water Conn. 420 _ (1(1 WaterMeter An_nn Road Unit 140_00 Total - S1585.75 _ on fha express corditlon thnr and City of Eogan Ordinonces. Bufldirp Officiol CITY OF EAGAN - 3795 Pilat Knob Raed Eegen, MN 53722 NO 742 CJ PHONF: 454•8100 - BUILDING PERMIT Receipt # Te 6s wad fo, 1 O£ 4 PLEX Est yalue $35.000 Date AUguBt 2 1 y 82 Site Address 1525 B C1em80n Drive E R-3 rect 7(g Occupancy Lot 13 Block 3 Sec/Sub.Thmma$ Lake Heights qlter ? Zoning (PD) R-3 Parcel # 10 75950 130 03 Repoir ? Fire Zone NA V Enlarge ? Type of Const. W Name_ Hens Hd4en $OIDes Move ? # Stories ; Address 2353 N. Rice Street Demoiish ? Length 40 ° St. C+ Paul 55113 483-0801 Phor,e Grade ? ZZ Depth Sq. Ft.- ? o Name -- -S?14IleL' ApDrorab Feea ?? Address ? f:... Name_ Address I hereby ockrwwledge thot I have reod this application ond stote thot ihe inlormotion is correct and ogree to comply with oll appliCOble $tofe of Minnewto Stotutes and City of Eogan Ordinonces. Signofure of Permittee A Building Permit ls issued to: I'IdnS H8 oli work shall be done in occordonce with cll Buitding Ofliciol Assessment _ Woter d Sew. Police - Firo Eng. Plonner - Council - Bidg. Off. _ APC Pertnit Ll?.DU $urchorge 17.50 Pion check 107.75 SAC 525.00 Water Conn. 420.00 Woter Meter 60.00 Rood Unit 240.00 Torat 51585.75 _ on the express condiHOn tlxn City of Eogon Ordinances. This requesi void p/r3 Ll3/ ? ?1 T16 31 13 2; 0 ?gn,5th6fga40 Fnq st O/?die Fiie No. q?uqh???InspecUOn ?qeatly No W?II Nuuty InsVeo' ??9? 3? p'?? Yrs ?NO [or Whe.n Rr;atlY :t:nscA Electncal Gontrectm I hereby requesi Inspecr,on ot ebove ,?,,e, electncal work inslalled at: y Boe or Poute Nn. Street AdAress, I525 g CLEMsol?k OP-ti& C'[v ?GF9? =,-unn o. ? TownshiP Nome or No. Ran9a No. f.uunty DA ?o?e Occu-{}paM IHRINTI ^ 1, ? \+? ?lv? ,•-r?' PM1One No. Power Sup0her Atldress F-C-A ? p..M irtb, olj ? Electncal CoMracmr ICompany Namel s LicenseNo. Co?rar.toi C-w I?Le P-?L? Makinq InstallauoN r n ICOMractor oe Owe s g AAdres MaJin ? ^ ? ! C ' Cf p I'?+t'o "i11 G' L.L Authonzod SignaIDr Co actor/Owner Making InstallaUOnl Phnne Number ? ? • ?G? . W111-IJl1T ? . _ In i ??NaFcCT v?? n?v..i... .. MINNESOTA STATE oOARO OF ELECTRICITY . ?',q6CEPTED 6V'THf SUTE BOAND Griyqs-Midway 61ds. - Moom N•191 UNLESS PROPER INSPECTION FEE IS 1021 Universify Ave[: $L Peul, MN 55104 ENCLOSED Phone (612) 297-2111 ? REQUEST POR ELECTRICAL INSPECTION ,?-,. EB-00001-03 See inshuccmns for comuleUnq this tonn on bnck of VeI1Jw copv ?' 5E940 ?" ")f" Ralnui blln. k !'miarad hv Thic Renue.Si 3Is" - N AAA Fep. Type ot Bwldmg . AUpliances WrtNtl Equiymen[ Wved Home Ra ge= , Temporary Scrnce Duplex Water Heater Lighnny Fixtures Apt. Bwldm? Dryer Electric HeaLn Commetcial Bldg Furnace Silo Unlnadei ` Industnal Bidy Air Condiuuner Bulk Milk Tanl< ' Faim Other necilv ??ht?r (Sner,ily) u _,e1 isP`olrv om„? Co Y. mpute Ins Fee pecuon ree trerow ServweEntrxnceSae q Fen F.rtders/SubfeeJen p fee Crzcuits Otol00Am s ?to30Am>s .01 0 to30Am s 101 to 200 qmps 31 to 100 Amps 31 to 100 Am s Above 200 Ainps Above 100-Amps ALove 100_Am>5 Transiormers Remote Control Circ. _540 Partial-'Other Fee Signs Speaal InspecLOn $ ?r1 JC(? ? TOTAf- EE f Hemorks r ?u l T ? d Nou9h-in I, the Electrical InsOector. hareby cerUty that the nbove Dnte ins0ection has been da. inis request wia 18 nion[hs finm Thiz ,equPS( ?oitl gf /3 18 m(mlhs from 7 56941 L I Z r 6 3" -Tf,-e smCes 313 S O La1?E 4-S ' 30 , o O Requese Date 1 31 Fve No, ftnuqh-in Im;Ver.von A q ecl? ?HUady Nuw?VJill N)1iiy Insncr.- ,? ?? Whon ReadY ice??setl hlectncal Cnntractor I hereb e uest i y r q nspectron of ahove ?LOwner elecvical work mstqlled et Svect Atldress, 6on or Roure No. 925 Ca.E.fi?S,-w? Dpaui Citv aGAN E)1.11o11 o. Tawn4hip NAmC of NO. RFlngE: No. (:aw? ' J OccuU•???? IPRINTI "%ob Phone No. Power SupPlier ? Address p ? 6' ?f"? ''•VVTVrJ EIe ?[uy cal Convactor ICOmUiiny NamN D?J"6-- 6{,.?, (?r'.t'.- Cnga?mr's?l.i•nse No. 3? 5?y Mailine AdJress IComractor or Owner Makmg Instailntmnl tat[r E. c."Rg pop Auffionzed 5i8? G re onvandOwner Making Installa[ionl ftone Number I afll '?SQS L7 ?.. c MINNESOTq STATE'60AFD OF ELECTRICITY THIS INSPECTION REQUEST WIIL NOT- Gnqgs-Midwav Bldg. - Noom Nd91 ' BE ACCEPTEO BY THE STq7E BOARD . 1821 UniversitV Ave., S1. PauL MN 55104 ,. UNLESS PqOPER INSPECTION FEE IS Phone-16121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION es-nuoui.o ?,a a 11 56941 ' Sa.e insvucfions 1ur comple[mq ihis tonn un back ol yellow cnpv. +Il ? "X'' Below Work Covered Gy TMs Request 3 I3$ w AAA Rap TYV¢ of Bm1Ain9 ApplmnCBS Wired Equipment WveA Home Range Temporary Serwce Duplex Water Heater Liyhtiny Fixtures Apt. Buildino Dryei Electnc Heahn Commercial Bldg. Fumar.e Silo Unloader Industnal Bldg Air Condmoner 6ulk Milk Tank F8101 Othar SPfir,ifY Olhei ISPrrilYl OthPr (SUecify Dthor Oihr' l'mmriitv /ncnarNnn I-m Hnlniu Fe.e ServiceEntranca5cze a fee Feeders/SubfePAers N Fee Crtcwts ? 0 to 100 Ain s 0 to 30 Am s 0 ro 30 Am 101 to 200 Amps 31 to 700 Amps 37 to 100 Am s Ahove 200 qmps Above 100-Amps Above 100_Amps Transinrmers Remote Control Circ. PartiTl,'Other Fee Siqns Special Inspectron ? ?y OTAL FE E ( Acniaiks ?y . ? Rough-in ? ate q-aC ?.? I^ ncal =P„??or. he.ebv certitv [bae the xbove final , L?• t°/ I-?? ? insuectiou hes been m.,d.. This request vaid 18 manNS irnni ,hns,ra.e.t v.ntlg/( 3 L /o,;B3, 7kor,a5 Lak IF- 31 3 8-0 ?1dr,?6939 so.,ao Fepies? Uute ? ? Fire No. Rough-in Inspt:rLOn Peq rrd? ?ReaJY Nol Noiify InsPec- o Wh R ?No r en eady ? Licensed Ele,lnwl Convat-tor I hurnby request ?nsunction of ahove ? Owner eler.trwal work mstalled at SUee[ AAdress, doz or Roate No. Ciry 2.3aCL.W50r-4 p(4iiie EAGArI IUOn o. TownshiP Name or No. Ranuc No. C) untY Ohl" 4-Q Occupam (PRINT) ?kcuiis "Vmfj? Phonc No. Power Sapplier REA Atldress M(?IA i0rJ Electncal ConVactor (COmo.ny Nnmel C n unctor's License No. ??SSzs z_ I Mailm?g}?AtlJres?s[ ?Contr?a+cmr or Owner?Making InsiailauoN p &A 1'f{ 1 G. ?'V i Authonzetl S?g?at r(C hactor/Owner Makine InsWHaLmI ? 7hone Number ' $qo :ss 0s THiC INSPECTION REQUEST.WIIL NOT ? MINNESOTA'STATE BOAND OF ELECTNICITY_ ` Gnqgs-Mpdwey Bldg. - Room N491 BE ACGEPTED BY?THE STATE lOAND 1821 Unrversrty Ave., St Peul, MN 55104 '- UNLESS PHOPEH INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Q ee-aoooi-oa ?.?3 9' Soe instructipns for complebng this lorm on back nf yellow copY? X" 8a/mv Wnrk Cuveied bv This Re4uest 3?? g tlin9 Anniiances Wved Equipment WireA Rai?ge Teinporziy Service Water Heater Lighting Fixture5 c? A13t. BUIldinIg Dryer Electric Heatin T N 81dg. Fumace Silo Unloader dG. Au Condrtioner Other Sneeifv? Bulk Niilk Tank othoi lSu eoifyl y Othei Other n V ??i..a? , ,..y .......... . .... ......... Fee ServweEntrence5ae Y Fee FeednrslSubfextlers ? Fee- - Circwts 10,01d 0 to 100 Am ps 0 to 30 Am is ? 0 to 30 Am s 101 to ZDO Amps 31 to 100 Amps 31 to 100 Am S Above 2D0 Amps Above 100_?mps Above 100_/amf)s Transtnrmers PemoteControl Grc. Portial%Other Fee Signs Special Inspection „('? v .r Q FE ? ? Re ?rks ?Y,1R Cyw , V V ?? yy ? (? Rouuh-in c?ncel 3'"I IN nsoector, hereby L cerhfy thet tne nbove- Fnal / / l ? ? ? I ?I i?l /:l Uate ?1-Y Z ? i'?spection has been .. mode. Thl6 leyUeSl VUTA v " 18 IllOfl[I15 fIOI1? ,h,.: o.q.e?? ,con g?? 3 L iI,/3 3, Tjwulas ln-?& 3( 3 ia mo„ms from T 56q38 30,00 Reques( DaW Fre No. Fouph-in Inspe?.uon l? ._ ?? FeO?i ??d> E)ROndv N-- ?'?II NmiN InsPec- .}?i??° O No ?r When Rcadv LicenSeA Etectncal Conirac.tor r I hereby request mspectron oi abuve Own¢r electncal work installed ac Street Atldress, Box or Ruure No. ! 5-23 CLEnsonJ DNt U<- n n. Tnwnship Namo nr No. Ranyc Na CoantY f ? . wc- OocINTI W" V?? ( "Om5 Phone Na. r Power SuPUlier ?A Atldrrss ?f?-h1? b?rr EI Ve,G wal Contra ty or ICOmpany Namel 17??1- IJ"GWr?{.?- Cohartor's) (License No. . ?7G5"l Mailing AtlJress IConvactor or Owner Making Installntionl Lq 1 ? ? C"'ff fq%v Authorved Siea rel ontrectodOwner Makiny Installotionl w+on ber ? • sSor ? MINfYESOTA STATE'90AND OF ELECTItICITY Griggs-Mitlway Bltlg. - Room N•191 1821-UmvarsitV Ave., St. Paul, MN _55104 Pnon« 18121 297-2111 TNIS INSVECTION NEQUEST WILL IYOT iE ACCEPTED BY THE STqTE 80ARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. d„w EB-00001-03 REQUEST FOR ELECTRICAL INSPECTION cT 51-?938 ? Seo instruclmns lor comVlelmg this fnrm on back ot vellow coaY. 3? 3$? "X" Below !Nark Cavered by Thrs Reyuest l APVI W d ? E9 W A Gdd R Type 1 B Id Q Water H Iding Dryer cial Bidg. Fwnar,c al BIAU. Air COr „nu Incnurfinit v4 r Fen Service Entre?ceSize B Fen FPY.(IBIS?SU?hBPA2I5 0 to 100 Am ?s 0 to 30 Am 1s 101 ro 200 Amps 31 tu 100 Amps A 6 6ove2 00_Ainps m s Above100.-. Remote Control Circ. Tran5lonners Special Inspect?on Signs Rnuqh-in . request va nionlh5 fion, iio umo ulk Milk n Fee c? ?Ze oto3o 31 to 1l 530.5%J I ToT ?. Ihe ElF«.flI ! :.'? cil=??,p?„? / _V?-j InsPector. I?nrebv cer[ify that the above , Uatr inspecvon hns been made. c CERTIFKATE OF SUR1/EY M1?or: liANS RAGEN HOMES, INC. f Oeno?s proPc?9w?OC? A 1 dro.irwye. 1 r E??tionr 9/?on» o.tfvop / w ? -••- W a-_.. ? ., ? . .' -P ? -?- \V \ D ? ? ? Lots 10 through 13, Block 3, THOMAS LAKE HEIGHTS, Aakota County, Minnesota. COII/OGY /C Q 'qIO= /?? p0 SCALE:i Inch = 0-Feet o Denotes iron 8eorinqs shorm me ,an an assumed datum. Job No. 9lrL-63 Book= Page= We hereby certl}y tAat tAis b a trw ond correel rspnseMaNon of a surrq of T6! E. G. RtlD a SONS. INC. oounaurtes o+ me abow dac.teed lend und ot rn• weation or on builainqs, If urn, LAND SURVEYORS theraon, and all risible anaroae6mMNt, it arry, irom or on eoid laqd. g?0 Lexinqton AVCnu6 N. rN E.G. RUO &$ONS. ?NC• ?w grighton(Lexington), Minnesota Datsd thls.? ? ?I t_doY of J?/? 1882• ,/.?? ?/ 55112 ?' Mlnn. ReQ. No. Telephone: 786 - 5556 ' ?------.. ENERGY REQUIREMENTS _ This form to be completed and aubmitted with building permit applicatione EXTERIOR ENYELOPE AVERAGE "U" COMPUTATION ' OWNER f1Ahl S ??6E/./ SITE ADDRESS CONTRACTOR *rI S #f}Gr`-tiI AME S DATE PHONE 4?03 -CSo/ i Determine working square footage of each. 1. Total exposed wall area ...... 12sq. ft. x ,04 2. Total roof/ceiling area .... .(ctl sq. ft. x .08 = 24. Totai exposed wa11 area above floor = 12 4o a. Total wall window area ........................... -7q b. Total door area ................................. z a c. Total sliding glass door area .................. 40- d. Total fireplace wall area ........... ........... Ib e. Total wall framing area (averagelOX)............. tpk f. Total net wall area above flaor ................. 4W 9lz g. 7ota1 rim foist area ........................:... . 92 Total exposed foundation area = A'-S h. Total foundation window area..................... i. Toal net foundation area above grade ............ +s Determine "U" value of each wall segment. a. -1?i X "U`t ,57 = 4345 b. zo x "u" .15 3 C. 40 A flU? ?155 a G L d. I (o X ltUll ,47 = 7,52 e. (01 X qlul$ .13 = / y.13 f. 61 (z x „u„ 161 04 g. -7Z- l( liutl , 061 c ¢, 32 . . h. _ X pUll _. , - ` i. ¢b x liu„ ,47 a 22 S& 3 .....................................Tota1 ' i7 g 2 If ftem #3 1s the same as, or tess than item #1, you have met ihe intent of SBC 6006(c)2. eAVQ1A6,,;F ?'. ?. ' -, . .. . : - Total exposed roof/ceiling area = (011 J. Total skylight area...... .. k. Total rcof/ceiling framingarea(averagelOX)... 1. Total net insulated roof/cei'ing area........... - ?Sb - • Determfine "U" value for each rocf/ceiling segment. f .---::Z? X fouti m X fluil : 04 _ z.-N_ 1• ? S=- X 11V /111 I O -Z -W 4 ..................................TOtdl Q / If total of #4 is the same as, or less than #2, you have met the intent of SEC 6006(c)). , Alternate Building Envelape Uesign , io utilize the total envelope system method, the values established by the sum of items 03 and d4 shail not be greater than the sum of items #1 and N2 1. 23g; ,?zQ' + 2. 24,44 262,72 3._ z + a. m.94 ? , . . .. ... . City of Eagan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Permit Type: Building Permit Number: EA034782 Date Issued: 03/23/1999 Site Address: 1523 Clemson Dr Lot: 11 Block: 3 Addition: THOMAS LAKE HEIGHTS Description Sub Type: 04-plex Work Type: Reroof Description: Census Code: pddition/Bsmt fin/Decks/Porch UBC Ocwpancy: Construction Type: Zoning: Squ-qFe FeeL.,i=„? ? Remarks: Includea: 15233, :525, and 1525H. Fee Summary: Valuation: $12,000.00 Stzte Surcharge Base Fee 6.00 209.25 $215.25 Contractor: SELA ROOFING & REMODELING , 4100 EXCELSIOR BLUD . ST LOUIS PARK, MN 554160000 6128238046 - Applicant - I Owner: St. Lic.: Thomas Lake Home Owners Association 1535 A Clemson Dr MN 55123 651-688-8245 I hereby acknowledge that t have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ApplicanUPermitee: Signature PERMIT Issued By: Signature 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EA6AN 3830 PII.OT KMOB RD - 55122 (661) 681•4675 New Construction Reauirements RemodeUReoeir Reauirementa -2 ?3 ? 3 registered sHe surveys • 2 copies of plans (inGude beam 6 window aizes; poured fid. design; etc.) • t energy calalations • 3 copiea of tree preservaGon plan H lot platted after 7/1193 requir : Yes Na DATE: 31oj? DESCRIPTION OF WORK: STREET ADDRESS LOT: PROPER'CY OWNER - /lQ hf? 1S?m 7DN-. BLOCK: 3 SUBD./P.I.D.#: ?IYl?YL1A0TA?I.I/A ?A1?I'? Name: Phone #•. Last Fint 5aeet I ? 2 copies of plan ? 1 sfte surveya (exterfor adtlRions S dedca) ? 1 energy celcNations fnr heated addftions CONSTRUCTION COST: °'Z.e/@dQaN OOVvsru - 6 88- Aa (<J- City State: e1:71 41-1 Zip: ? Company: gFI.A ROOFINQ 8c REMODEidNG, INC. Phone #: 'a' oZ ' W tG CONTRACTOR 4100PRCEL5 ' StreetAddress: ST. tAUIBPARK+MN 55418 License#?1C)50 Exp. ., ID ouuuiuou City State: Zip: ARCHI'IECT! ENGINEER Campany: Phone #: Name: Registration #: Street City Sewer 8 water licensed plumber (new construction only): _ 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 State: it? n ' w? d Zip: Penalty applies when address to comply with all appiicable Tree Preservation Plan Received _ Yes - No - Not Required COMMERCIAL 2002 BUILAING PERMIT APPLICATION CITY OF EAGAN ' T:T 651-681-4675 `3c:a-2-? Foundation Onl New Construction Interior Im rovement • Stmcturel Plans (2) sets • ArchitecWral Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • StrucWral Plans (2) • CodeAnalysis (1) • CerUfcate of Survey (1) • Civil Plans (2) • Project Specs (1) . CodeAnalysis (1) • LandscapingPlans (2) • KeyPlan (1) . ProjectSpecs (t) " • CodeAnalysis f S (1)" (7) • • MasterEcitPlan Energy Calculaflons (1) (1) noi always" . • Spec. insp. & Testing Schedule Soils Report (1) . • urvey CerliSicate o Spec. Insp. & Testinq SChedule (1) • Elec. Power & l-ighGng Form (1) not always" • Meter size must be esta6lished • Meter size must be esta6lished • Meter size must be established - if applicable . ProjectSpecs (1) y • EnergyCalculaGons (1) y L • Electric Power & Lighting Form (1) " y j • Master Exit Plan (1) y j • Emergency Response Site Plan (7) y • Soils RepoR (1) L • MGES SAC determmation letter • MClES SAC determination letter • MGES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 . ...._ . ...__.,_ n_u cc?o4 cmMf..rAnfoile Food & beverage onoagmg racinaes-suomn pian w rvit. WUNa????w"v1 I 1?a- I. ** Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. C? ?7 ?l-l? t7?,crU DATE: `? v? L WORK TYPE: NEW _ REMODEL CONSTRUCTION COST: SITEADDRESS: /5ZsA I5Z:s o-!? IS7-S)7, I SZS k-,S ?.Lc`S<5-'1 L-r TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK If Name; 1?L6ritGtS PROPERTY pWNER CONTRACTOR ARCHITECT/ ENGINEER c?? 41 Last ? First S4eet Address: City: Company: StreetAddress: ql cz> ???Q?SL0--C- City: CU ?? 5 Company: Name: Street Address: City d I ber installin new sewerlwater SUITE #: Zip: ? L D 2?.- Phone #: ? State: '?N - Zip: ? S 4( L Phone # 0 Regisuation #: ? State: ' - Zip? ?- Phone #: License p um g _ I hereby acknowledge that I have read this application, state that the information is correct, arul agree b comp+ with all applicable Siate of Minnesota Statutes and City of Eagan Ordinances. ? Signature of AppliC2nt: Updated 7f02 State: Phone #: 75950 THOMAS LAKE HTS 2ND 1515 1515B 1517 1517B 1518 1518B 1520 1520B 10 75950 030 03 10 75950 020 03 10 75950 040 03 10 75950 050 03 10 75950 020 02 10 75950 030 02 10 75950 050 02 10 75950 040 02 1519 10 75950 070 03 1519B 10 75950 060 03 1521 10 75950 080 03 152113 10 75950 090 03 1523 10 75950 110 03 1523B 10 75950 100 03 1525 10 75950 120 03 1525B 10 75950 130 03 1526 10 75950 060 02 1526B 10 75950 070 02 1528 10 75950 090 02 1528B 10 75956 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 75950130 02 1532B 10 75950 120 02 1531 10 75950 190 03 1531B 10 75950 180 03 1533 10 75950 200 03 1533B 10 75950 210 03 1534 10 75950 140 02 1534B 10 75950 150 02 1536 10 75950 170 02 1536B 10 75950 160 02 CLEMSON DRIVE (PAGE 1 OF 5) 5 COMMERCIAL BUILDIING -7s Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Foundation Onl New Buildin Interior Im rovement • SWCtural Plans (2) se5 • Architectural Plans (2) se5 • Architectural Plans i l A (2) sets (1) • Civil Plans (2) • Structu2l Plans (2) na ys s • Code tS (1) • CertifirateofSurvey (1) " • CIvilPlans i Pl (2) (2) pecs • Projec • KeyPlan (1) • CodeAnalysis s t S P (t) (1) ng ans • Landspp • Code Analysis (1) " • Master Exit Plan (1) " pec • rojec • Spec. Insp. & Testlng Schedule " • Certificate of Survey (1) • Energy Calculafions Power & Lighting Fortn • Elec (1) not aiways (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) . • Meter size must be establishe d-if applicable . Meter size must be established • Meter size must be established L . ProjectSpecs (1) " L y • EnergyCalculations (1) y • Electric Power & Lighting Form (1) y • Master Exit Plan (1) L 1 . Emergency Response Site Plan (1) 1 • SAC detertnination - call 651-602-1000 • SoilsReport (1) • SAC determination - call 651-602-1000 f SAC determination - call 651-602-1000 'I'ti Call MN Dept of Health at 657-215-0700 for details regardmg food & beverage or lodging ac? ? es. " Contact Building Inspecrions for sample and if required when it states "not always". Permit for new building or addition will not be processed without Emergency Response Site Plan. Date I / Z41 / U 3 Construction Cost _T1 g fl I S/ $ C?csn 5?. 1 ?^ S Z? y I UniUSte # I?' f Q ., Site Address ? / Tenant Name 1 ha .,ns ??? L.4 ??- Former Tenant Name n ot Work i ti D p o escr Property Owner p "< < /f t e "-''v Telephone # ( ) Contractor -?e ? 3 73 '%'ia 1 2 U/ U L1y1 City , Address State A4 e? Zip SS 4/ 6( Telephone # (jC/Z ) 112 2 U ? ? U Arch/Engr Registration Address aty J RN 3 Z? State p 1'e?ephone #( By Licensed plumber installing new sewer/water service: Phone #: ( _) I hereby apply for a Commercial Building Permit and aclmowledge 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. ? L Applicant's Printed Name Applicant's Signa e THOMAS LAKE HEIGHTS 75950 PERMIT DATE & TYPE aisz 8/82 6/81 4/81 LOT BL ADDRESS 4-PLEX 060 03 070 03 080 03 090 03 4-PLEX 100 03 110 03 120 03 130 03 4-PLEX 140 03 150 03 160 03 170 03 4-PLEX 180 03 190 03 200 03 210 03 10/80 4-PLEX 220 03 230 03 240 03 250 03 1519B/ CLEMSON DR 1519/ 1521/ 1521B 1523B/ CLEMSON DR 1523/ 1525/ 1525B 1527B/ CLEMSON DR 1527/ 1529/ 1529B 1531B/ CLEMSON DR 1531/ 1533/ 1533B 1535B/ CLEMSON DR 1535/ 1537/ 1537B 30 PAGE 3 OF 3 ?5i3P 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 Reauirements RemodeVReoair Reouiremenis 3 registered site surveys showing sq. iL of lot sq. ft of house; and all roofed areas 2 copies of plan (20% maximum lot coverage aliowed) 7 set of Eneigy CelculaUons for heated additions 2 copies of plan showing 6eam 6 window sims; poured found design, etc. 1 sRe survey for additrons & decks im 7 set of Energy Calculatlons Addition - ind'?cate lfon-ske sep6c system 3 copies of Tree Preservatlon Plan if lotpletted a%er 717193 Rim Joisl Dehail Options selectlon sheet (61dgs with 3 or less unifs Aate Construction Cost f U ? iCz Site Address ItJ yl SGv, (' UniUSte # Descripdon of Work -e L . , e(/? dt O ? Mulri-FamilyBldg N Fireplace(s) ?0 _ 1_ 2 Property Owner ?lv\ 0 e 11 5u ) eilJon Telephone#(,d/fl ) -730? 166 ` coneraccor C? a ? I (G. t d ?? f v C? e ` Address ' ? 5 vJ V 'r- -At- 1,36 Cit3' State ? ('/ ?7^' Zip Tetephone # ..2 7J 1 COMPLETE THIS AREA ONLY fF Energy Code Category M'?esota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (dsubmissiontype) Su6miued • Energy Envelope Catculations Submitted A NEW BUILDING Minnesota Rules 7672 • New Enargy Code Worksheet 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 # ( and acc , T hereby apply for a Residential Building Permit and aclrnowledge that the informati is complete rate; that the work will be in conformance with the ordinances and codes of the City of at?"StaY?t?f"MN Statutes; I understand this is not a permit, but only an application for a p it, and wor is not to start without a permit; that the work will be in accordance with the approved plan in t??fie of work wch requires a review and approval of plans. Applicant's Printed N e N If so, 25% plan review I JUN 2 8 2004 I 65i.3 & 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 c( 9•?? New ConsWction Reauiremenb RemodeVReuair Reaulrements 3 registered sde surveys showing sq. R of l01 sq. ft of house; and all rooted areas 2 copies of plan (20% maximum lot coverage allowed) t set af Energy Calculetions for heated addNons 2 copies of pfan showing beam & window sizes; pnured found design, etc 1 site survey for additions & dedcs 1 sel of Eneigy Calculations AddiUon - indbate if onaite sepUc system 3 Wpies of Tree P2servation Plan if IM platted after 711193 Rim Joist Detail Options selecdon shcet (bldgs with 3 or less uni5 Date 4_ / q 0- / nt9o y( Site Address J5?5- Construction Cost "S ? [ 0V UniUSte # Description of Work ° G.G e 4k E/\_ i f ?}??-'?,?,r Multi-Family Bldg YY _ N Fireplace(s) ? 0 _ 1 _ 2 Property Owner OqA 4_ a_(} e`.50G-?, Telephone # (b?? ) 61? ( Q ?j ? Contractor C ?'-t? F_- Address 2 ? ?? ? ? i?c'? State l1l A /A(l C- Zi ? City ' -?7 Telephone # ( ?? / 'T COMpLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Tviinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J suhmisslon type) Submltted SubmiUad . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Telephone #( Telephone # ( ?9 T IJ L'J ? Sewer/Water Contractor Telephone #( JI III JUN 2 8 2004 I hereby apply for a Residen6al Building Pernut and acknowledge that the information is complete an 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 pernut, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordance with the approved plan in thease of work wkrici requires a review and approval of plans. , ?a ApplicanYs Printed Naink-i r For Office We Permit City of EI Permit Fee: - 3830 Pilot Knob Road j Eagan MN 55122 Date Received: 19 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 'tenant: /1` u 3 /5-20 )5,-L_Tj J,612~Kb Suite RESIDENT / OWNER Name:`ZAL'/r~ ~2!hone: Address / City / Zip: z ,,3 6 /,:5~'l~'7 ~r Applicant is: Owner contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: X" x_: A 'ROOFING & REMODELING, INC. 4100 City: PAR& MN 55416 State: Zip: ~I}001050 - p-/- Phone: Contact Person: \ T / ' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting' documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved p n in the case of work which requires a review and approval of pl s. X t X Applicant's Printed Name Applican s Signature Page 1 of 3 Oct.19. 2009 8:54AM Sela Accounting No.8161 P. 6 A141ERICAt, A ► r: American Family Insurance Group " It 4 I al Ordi Fi THOMAS LAKE ROMEowN3 two> Main Level Roofing 4339.38 Surface Area 43.39 Number of Squares 472.62 Total Perimeter Length 150.54 Total Ridge Length 73.25 Total Hip Length Description Base Service Replacement Actual Cash Qty Unit prico Charge Taxes Cost Total Depreciation Value This is a repair to the bulldln no epreclatlon applies Front slope x 994sq x 1.0 = approx 50shingle repair Right e Z hits x 13.01sq x L0 A approx 26slungle repair slope 1 hit x 9.94sq x 1.0 = approx 10shingle repair tY slope 1 hit x 13.01sq x 1A =approx 13shingle repair 1 a - Remove 3-tab - 25 yr. - composition shingle roofing (per SHINGLE) 99.00 EA $3.96 $75.91 $0.00 lb - Replace 3-tab - 25 yr. - composition shingle roofing (per SHINGLE) 99.00 EA $9.52 $182.48 $10.96 2a - Remove Furnace vent - rain cap and storm collar, 5" 4.00 EA $8.88 $0.00 $0.00 2b - Replace )Furnace vent - rain cap and storm collar, 5" 4.00 EA $35.67 $0.00 $4.76 Tota $258.39 $I5. S1,786.83 -50.00 $1,786.83 Fascia Description Base Service Replacement Actual Cash Qty Unit price Charge Taxes Cost Total Depreciation Value Fascia metal on chimneys and front fascia and fascia metal on window areas = 2241f Right fascia metal at roof line, window fascia metal and 1 patio door fascia metal= 11911 Back fascia metal at roof line, and ►vndow fascia metal =1441f 3a - Remove Fascia - metal, 6" 487.00 LF $0.28 $0.00 $0.00 3b - Replace Fascia - metal, 6" 487.00 LF $3.33 $53.53 $41.09 4 - Replace 'hvo ladders with jacks and plank (per day) 4.00 DA $100.83 $0.00 $0.00 5 - Single axle dump truck - per load - including dump fees 1.00 EA $247.12 $0.00 $0.00 Totals $53.53 $41.09 Guttering Description Base Service Replacement Actual Cash Qty Unit rice Charge Taxes Cost Total Depreciation Value THOMAS LAKE HOMEOWNERS 00221149279 5/21/2009 Page: 4 ASSOCIATION PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA075653 Eagan, MN 55122 . Date Issued: 10/25/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1523 Clemson Dr Lot: 11 Block: 3 Addition: Thomas Lake Heights PID 10-75950-110-03 Use Description: Sub Type: e - Water Heater Work Type: Replacement Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Tiffany Avery 99 5th Ave. NW, Ste. 200 New Brighton, MN 55112 651-638-999 0 Tiffany.Avery@rrso.com Fee Summary: Surcharge-Fixed $0.50 9001.2195 PL - Permit Fee (WS &/or WH) $15.00 0801.4087 Total: $15.50 Contractor: -Applicant - Owner: Roto Rooter John J Quick 99 Fifth Ave NW, Suite 200 1523 Clemson Dr New Brighton MN 55112 Eagan MN 55122 (651) 638-9995 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA101923 Date Issued: 11/02/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1523 Clemson Dr Lot: 11 Block: 03 Addition: Thomas Lake Heiahts PID: 10-75950-03-110 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Pella Windows & Doors Turnkey Sales Jolm J Quick 1300 25th Ave N =100 123 Clemson Dr Plymouth MN 55447 Eagan MN 55122 (763) 74-1400 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 PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA101923 Date Issued: 11/02/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1523 Clemson Dr Lot: 11 Block: 03 Addition: Thomas Lake Heiahts PID: 10-75950-03-110 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Pella Windows & Doors Turnkey Sales Jolm J Quick 1300 25th Ave N =100 123 Clemson Dr Plymouth MN 55447 Eagan MN 55122 (763) 74-1400 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA107754 Date Issued:10/25/2012 Permit Category:ePermit Site Address: 1523 Clemson Dr B Lot:10 Block: 03 Addition: Thomas Lake Heights PID:10-75950-03-100 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ferade J Ferasol 1523 Clemson Dr Unit B Eagan MN 55122--289 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) - Storm Damage Single Family _ Garage _ Porch (4-Season) - Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%___) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 15 23 11~ 2~ I 15 as P I OZ_ '8 C w wt son W Use BLUE or BLACK Ink F----------------- For Office Use I I I j Permit 113Q 8 11 j City of tap Permit Fee: 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 /~PE~}RI/ Date: Site M~ IT A~P` lPL~ jIC V t ATION ~e~} f!\~ El y J y iI Unit#• "je Y I o Address: S'A~dd t j~ ~ j ~ ,fit wj~ t~ ~ 4 a ` . i a i l V Phone: 19' s M G C Name: 1 Resident! - ~ - ` , ' 2 Owner Address / City / Zip: JC i Applicant is: Owner Contractor Type of Work Description of work: ~ 11 W4 CAffAA Limului CAI - 91& m Nf Construction Cost: V Multi-Family Building: (Yes X / No ) Company: LL f1occ IY)0) a-A't Q2"_d(d rnJ `Eontact: ~&Uwt yr `V 1 Address: CI )()G f ,~C11~SIC~v- 6%Jd City: _S4 LC3u- Contractor State: MV Zip: S~y Phone: License 0-1Q_0D LU Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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.cioi)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. X [/l 4 Po'A.Miv-,'~ Applicant's Printed Name App ' 1Vs ig ature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144596 Date Issued:08/01/2017 Permit Category:ePermit Site Address: 1523 Clemson Dr A Lot:11 Block: 03 Addition: Thomas Lake Heights PID:10-75950-03-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John J Quick 1523 Clemson Dr Eagan MN 55122 (612) 212-1418 Hoffman Refrigeration & Heating 5660 Memorial Ave. N Stillwater MN 55082 (651) 439-5770 Applicant/Permitee: Signature Issued By: Signature