1526 Clemson Dr
PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA079987
Eagan, MN 55122 . Date Issued: 09/25/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1526 Clemson Dr
Lot: 6 Block: 02 Addition: Thomas Lake Heights
PID 10-75950-060-02
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:
Mike Skaja
2090 County Road 42 W.
Burnsville, MN 55337
Fee Summary: PL - Permit Fee (WS &/or WH) $15.00 0801.4087
Surcharge-Fixed $0.50 9001.2195
Total: $15.50
Contractor: - Applicant - Owner:
Tony's Appliance Karen J Barber
2090 County Road 42 West 1526 Clemson Dr
Burnsville MN 55337 Eagan MN 55122
(952) 435-2442
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
CITY OF EAGAN
? ?' 3795 PiloR Knob Raod Eagen, MN 55122
PHONE: 454-8104
BUILDtNG PERMIT Receipt #
Te be und for Est. Value Dare 19
Slte Address - - - Erect ? Occupancy
Lot Block Sec/Sub. ' Alter ? Zoning
Porcel # Repoir ? Firc Zone
Enlarpe ? Type of Consf.
W Nome Move ? # Stories
Z Addren
? Demolish ? Length
r:.,. .' w.....e Grode ? Depth Sq. Ft.
a
Z?
a?
u
?
Name
Address
Nome _
Address
i hereby ocknowledge that I hnve read this application and srate that
the inlormotion is carrect und cgree to comply with oll applicoble
State of Minnesota Statutes and City of Eogon Ordinonces.
Sipnuture of Permittee
A Building Permir is issued to:
all work shall be done in accordonce with oll
Building Officiol
Assessment
Water 8 Sew.
Polita
Fire
Enp.
Plcnner
Councfl
Bldfl. Off.
APC
Permit
Surchorge
Plon check
SAC
Woter Conn.
Wuter Meter
Rood Unit
Total
on the express conditlon fhni
Stctutes ond City of Eo9an Ordinonces.
Permit No. Permit Holdar Misc. Permit No. Holder
Plumbing 31 ?3 ???v,(?,..+ 1`?' `?
H.V.A.C.
w.u
Water
Disp.
Sewer
eiectrie wos37(o(o
Inspection Date Insp. Othar
Footings
Foundetion
Framinp
Rouph Plbg. . - ? • -? - rJ ?
Rouph HVAC
f
Inaulation
Final Pibg. _q- ")y
Final HVAC
Final
Water D?scribe Location:
Vllell •
Sewer ?
Pr. Disp. -
Reoeipt.%` " - MECHANICAL PERMIT
CiTY OF EAGAN
Permit Nn.- ?
Fee "
?.
Fill in numbered spaces S/C
Type or Print legibly Tot , -
1. Date 2. Installation Cost - , r.r.. • _?
3. Job Address ` - Lot ? Bik-- Tract ?`< ?
4. Owner '
5. Contractor - - ' Phone
6. Address -
7. City State ? Zip
8. Building Type: Residential d Commercial ? tnstitutional ?
9. Work Description: New ? Add ? Alter O Repair ?
10. Describe
11,
Type
No. Equipment STU - M. Ea.
Forced Air ?- No. Equipment CFM
Ai
dli
H
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Ouilets
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 :
Rough
Inspeciions: Date Insp.
for
Final
Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT
CITY OF EAGAN
Permit No. .'
Fee "
•. Fill in numbered spaces S/C
Type or Print legib/y Tot. •
1. Date ? 2. Installation Cost
3. Job Address j -/ '21 Lot ? Blk. Tract 4. Owner 5. Contractor
l . Ua
Phone i -7 -7 -
6. Address -
7. City - - State ` ZipS. Building Type: Residential El
9. Work Description: New El
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Gloset No. Fixtures
Cesspool/Drainfield
? Bath tubs
Septic Tank
Lavatory $oftner
-? Shower Well
T Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numhered and approved.
Approved CITY OF EAGAN 454-8100
SUILDING PERMIT
3793
. cirr oF EAGAN
Pilot Knob Rwd Eogen,
PHONE: 454-8100
MN $5122
Reteipt #
Te w wed for Est. Volue Date -, 19
51te Addrcu Erect ? Occuponcy
Lot Block Sec/Sub. ?- Alter ? Zoninp
porcel # Repoir ? Firc Zone
Enlorpe Q Type of Const.
ac Nome
W
; Address
Z? - -
? $ Ncme _
?
u? Address
r r:..,
I hereby acknowledge that I have read this opplication and stote that
fhe information Is wrrect and agree to comply with all opplicable
Stote of Minnesoto Stotutes and City of Eogan-Ordinonces.
Move O # Stories
Demoiish p Length
6rode Q Depth Sq. Ft.
Apvrovals Ftes
Assessment _
Woter 8 Sew.
Polite
Firo
Eng•
Planner
Counci I
Bldy. Off. _
NPC
Permit
Pfan check
5AC
Woter Conn.
Water Meter
Rood Unif
Totol
Sipncturo of Permittee I
A Building Pertnit Is issued ta, on the express condition lhnt
all work shall be done in ocwrdarxe wlth all applicoble Stcte of Minnesota Stotutes ond Clty ot Eaflon Ordinances.
Buildinp Officiol
Permit No. Permit Holder Mitc. Permit No. Holder
Plumhing
(J...?
H.V.A.C. ?.b(.C"1?" 4 r?
w.n
Wster
Disp.
S?wer
Ekctric Wos3705 e'- EC.c 1-13 $
Inspection Date Insp. Other
Footings
Foundation
Framinq
Rouph Plbp.
Rough HVA y ?3 W ?
Inwlation -13f Q?.
Final Plbq.
Flnal HVAC y
Finsl ? I
I
Wour Dewi6a Location:
VYsll
Sevwr
Pr. Diw. ?
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Permit No.
Fee
' Fill in numbered spaces S/C '
TyQe or Print leglbly Tot. ?
1, Date f 2. Installation Cost
"
3. Job Addreu Lot_-7 Blk. ? Tract
4. Owner ?-
5. Contractor Phone
6. Address
7. City State Zip - -
8. Building Type: Residential •? Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
Type
No. E.puioment 8TU - M. Ea.
Forced Air - No. Equiament CFM
Air Handlin
:
Mfg. g
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.
Si gned
for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt
-1
PLUMBING PERMIT
CITY OF EAGAN
Permit No.
Fee
' Fi11 in numbered spaces S/C
Type or Print legib/y Tot
1. Date ?-? 2. Installation Cost 4 `
'
3. Job Address =2L-Lot J Blk. Z Tract
4. Owner ' • ? i ' -
5. Contractor f- Phone
6. Address
7. City State Zip -?=, r
8. Building Type: Residential El
9. Work Description: New',0
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter ? Repair O
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
' Lavatory Softner
T_
' Shower
We I 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 454-8100
' cIrY oF IEA?cAN '
3795 Pilet Keeb Rood Enqew, MN 55122
PHONEs I54-8100 -
BUILDING PERMIT
5ite Address
Lot Block
Parcel #
ac Nome
W
Z AddfESS
9 - -
°C Name
0
?? /lddress
? ri.., oG.,....
Name
/lddreu
1 hereby acknowledye that I hove ?eod this opplicotion ond state that
the information is correct cnd agree to wmply with all opplicable
State of Minnewto Statutes ond City of Eagon Ordinances.
Recelpt #
Erect. Q
Alter O
Repair ?
Enlaroe ?
Move Q
Demolish ?
Grode I-I
Asxssment _
Woter & Sew.
Pol Ice
Fin
Erp.
Plonner _
Council
BId9. Off. _
APC
Type of Const.
* Stories
Length
Depth Sa. Ft.
Permit
Surcharye
Plan check
SAC
Water Conn,
Woter Meter
Rood Unit
Totol
Sipnarture of Permittee I
/1 Bufiding Permit Is issued to: on the express conditlon tF+at
oll work sholl be done in occordante with nll opplicable State of Minneaofa Statutes ond Ciry of Eogan Ordinonces.
8ufldin9 Official
? 33co t ?f P ? b? . s_? S?-(Pl y rno ? t? f li??'?1
rmit No. Permit Holder Micc. Permit No. Holde?
? ?? ?$3
R
S37iD
o
InWection Date Insp. Uther
Faotingc
Foundation
Framinp ?,? ?' ?' .
Rouph PI6p. .. ? lC ' -S'2 C?
Rouyh HVA ?
Inwlation
Final Pibp. . .?
Final HVAC
Final
Waur Deauibe Location: '
YYell
Sewsr
Pr. Dbp.
Receipt MECHANICAL PERMIT Permit No.
. CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egib/y Tot.
'. .
1. Date e - Instailation Cost
/ ` - -?c. ' •_ . ?, .
. ,.
3. Job Address - Lot ? Blk. .Z Tract
4. Owner
J
5. Contractor l ?or : Phone
6. Address ?' - ti
>-
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New Of Add ? Alter O Repair ?
I 10. Describe 'Fuel Type
1 11.
No. Epuioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
:
Mfg. ng
r
an
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 : i, for
Rough F inal
Inspections: Date Insp. Date Insp.
I This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
!
ReoeiptPWMBING PERMIT Permit No. --
CITY OF EAGAN ?
Fee
? .._
FiII in numbered spaces S/C
Type w Print /egib/y Tot.
1. Date 72. Installation Cost
r_. , .
3. Job Address ? ?A . L:bt ?--' Blk. Z Tract -
4. Owner t;ag@ri u0I11E'S
5. Contractor 1JO_ff i liL'=Ib1''.?'. i•!C. Phone
6. Address V' 3.L3 9Rtl± _ lp-Ce .?0.
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional Cl
9. Work Description: New 0 Add O
10. Describe
11.
Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_ Bath tubs 5eptic Tank
Lavatory
Softner
Shower Well
! Kitchen Sink
Urinal/Bidet Other
Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed
Rough
for
Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8900
Receipt PLUMBING PERMIT Parmit No.
CITY OF EAGAN ., ?._ ?.•,
, Fee
Fill in numbered spaces S/C
Type or Prinr /egiWy
Tot ?
1. Date 2. Installation Cost ?cr%
3. 1ob Address Lot81k. ? Tract
4. Owner
?•
5. Contractor - ne
j B. Address
7. City ?t !f f?z-. ? -? tat
?
8. Building Type: Residential WC c
9. Work Description: New ? Add
10. Describe
I 11.
Zip %-- I
? Institutional O
Alter ? Repair ?
No.
.1 Fixtures
Water Closet o. Fixtures
Cess
ool/Drainfield
? Bath tubs C? p
Septic Tank
Lavatory G, Softner
?
?
Shower J
/
Kitchen Sink ? ?
?
Well ?
Urina1/8idet ?
Laundry Tray t er
•?
Floor Drain
Drinking F n. 4
Slop Si
Gas Pi ing [?utiets
12. I hereby ce ?tify that the above information is true and corre?t, and I agree to
comply wi$i all ordinance?and codes governing this tYpe of work.
Signed : ,` ,. "_ i for
Rough Fin81
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-$700
, 3795 Mlot Keo6 Rood Eoyon, MN aS122
. PHONE: 434-8100
BUILDING PERII+IIT ReceiPt #F
Te be uNd ior Est. Value Dote 19
,
Site Addrcu Erect ? Occuponcy .
Lot Block 5ec/Sub, Alter p Zonirg
Repair ? Fire Zone
parcel #
r
E
l
e T
f Const
a
fl
n p ype o
.
W Name Move p # Stories
; Addroas DemoUsh p , Length
b ,•:-, e,.?_ ,•__ Grode fl Depth Sa. Ft.
°C
0 Name r Appravall
=u
?
Nddress Assessment _
l
~ Cit Ph
e Water & 5ew.
on
Police
G? Na^'K Fi
? W ro
?? Address Enp.
i`Z" Ci Pho?e Planner
Countil
I hereby acknowledge that I hove reod this opplitation ond stote thct Bidg. Off. _
the intormotion is correct and ogree to comply with oll applicoble
Sfote of Minnewfa Statutes and City of Eagon Ordirwnces. APC
Permit
SurcFarqe
Plon check
5AC
Woter Conn.
Woter Meter
Road Unit
Totol
Sipnature of Pertniftee I
A Building Permit is issued M: on ths express condlTian eFx,l
oll work shall be done in accordance with oll applicoble State of Minnesote Statutes and City of Eoqan Ordinances.
Buildinp Officiol
.3 3 (o z OoFf-PI L. 5- 2? 3
Psrmit No. Permit Holder Misc. Permit No. Holder
Plumbing ^ y1 s??
S'Z-
H.v.ac. 33°L
wen
w?..
Disp.
Sewer
EleetNc OS 376 B? I? ?(?t t-t3 -,?3
Inspection Date Insp. Other
Footinys
Foundation
Fnminp - ? ?
Rouyh Plbp. Y-2,113 ? C2, ?
Fiouph HVAC
Inwlatfon
Finsl Pibg.
Finsl HVAC
Flnal :3• ?j GlI G
Water Deaxibs Location:
VWII ,
Srwer +
Pr. Dhp. .
Receipt l MECHANiCAL PERMIT Permit No.
CITY OF EAGAN
• ' Fee'`
Fill in numbered spaces S/C
Type or Print /egib/y . ,
Tot
1. Date -" 2. Installation Cost
3. Job Address - LotBlk. a'- Tract
4. Owner
7
5. Contractor Phone --
6. Address
7. City ' State Zip
8. Building Type: Residential E}] Commercial ? Institutional O
9. Work Description: New ? Add ? Alier ? Repair ?
10. Describe
11.
Type
No. Equioment 8TU • M. Ea.
Forced Air No. EquiPment CFM
Ai
H
dli
Mfg. an
r
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
Rough
for
Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
C ITY OF EAGAN
r_
V Fee
Fill in numbered spaces S/C •'' ?
Type or Prin[ legibty Tot.
j
1. Date 2. Installation Cost ?
c? ? ? ? %?
-
' --• , ,
z
'
'
3. I Blk.
Job Address
- ?ot Tract c --
`
4. Owner :S =`ac'n ;
5. Contractor ? O T f 1 Z ? iI,; ?-` 7 t- Phone n _ ? ? r) -7
6. Address
7. City State Zip ,
8. Building 7ype: Residential 0 Commercial O Institutional ?
9. Work Description: New ?l Add ? Alter ? Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs
Septic Tank
•- Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
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 :
Inspections: Date
Rough
_ Insp. Date
for
Final
Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8700
Reoeipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
t Fee -
• Fi!l in numbered spaces S/C
Type or Print legib/y Tot.
,.
1. Date 2. Installation Cost 3. Job Address I -? -- Lot Blk. ? Tract
4, Owner x ?
5. Contractor \Phone
6. Address '
7. City - State
8. Building Type: Residenti Ef Commercial
Zip -
Institutional F-I
9. Work Description: New b\ Add ? P(Iter ? Repair ?
10. Describe
11.
No,
f Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
" Lavatory ? Softner
Shower el l
? Kitchen Sink
Urinal/Bidet Ot
Laundry Tra
Floor Drai
Drinkin tn.
Slop S' k
Ga iping Outle ?
`
`
12. I hereby certify that the above information is tr e and correct, and I agree to
comply with all ordinances and codes governing is type of work.
Signed : f
Rough Inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
Addition Z?iOtltSS i.aikp He-2$jitS Ailditinn Lot 6 Blk 2 Parcel #10 75950 060 02
Owner !'i r1y1 Li f!ik' ILI( Street 1S26 Clemson Drive State Eagan, MV 55122
Improvement Date Amount Annual Years Payment Receipt Qate
STREETSURF. i 55.95 A0146 7 10-4-84
STREET RESTOR.
GRADING
SAN SEW TRUNK
R
* SEWERLATERAL 1981 314.O9 62.82 5 62.85 A014637 10-4-84
I
WATERMAIN
* WATER LATERAL 1981
WATER AREA g y
STORM SEW TRK 229.09 A014637 l.0-l+-g?F
* S70RM SEW L.,d,T Zggi
CUR6 & GUTTER '
SIDEIMALK
STREET LIGHT
24 2-2-$
WATER CdNN, 420.00
BUILDifVG PER.
SAC n o
PARK
CITY OF EAGAN
Remarks
Additio Lot 7 alk 2 Pareel #10 75950 070 02
ownar `' 5treet 1526 B Clemson Drive State Eagan, NIl3 55122
;
Improvement Date Amount Annual Years Paymeni Receipt Qate
STREET SURF. 0 111.8 A011993 -11-8 -
STREET RESTOR.
GRADI(VG
SAN SEW TRUNK /9 73
*SEWERLQTERAL 125.66 A011 -11-$
WATERfw1AIN
* WATER LATERAL
WATER AREA
STORM SEW TRK 198r 312.37 20.82 249•91 A011993 3-11-83
* STORM SEW LAT
CUR6 & GUTTER
SIDEWALK
STREET LIG1iT
240.00 14 12-2-82
WATER CONN. 420.00
BUILDING PER. 03
sae 525.00
PARK
CITY OF EAGAN Remarks
Addition 3 t A di 9. Lot 9 Rik Z Parcel #10 75950 094 02
Owner j? "• ' Street 1528 ClemsOn Drive State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ' -1 -S3
STREET RESTOR,
GRADING
SAN SEW TRUNK 7-4
SEWER LATERAL 1 33 6-10-83
WATERMAIN
* WATER LATERAL 1981
WATER AREA 11977
• n
STORM SEW TRK
249.91
A012335
6-10_83
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
R 240.00 33314 12-2-82
WATER CONN. 420.00
n
?t
BUILDING PER. 7O5 •
sac 525.00
PARK
CITY OF EAGAN
Addition Lot $ alk 2 Parcal #7 (] 7S95n OS(1 02
Owner E??L;!'_ ',`r ?: ;1??• screet 1528 B Clemson. Dr'ive State EaQan, MN 55122
' Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
_ _83
STREET RESTOR. -
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERAAAIN
* WATER LATERAL 1981
WATER AREA /
STORM SEW TRK 24
* STORM SEW LAT 1981
CURB & GUTTER
SIDEIMALK
STREET LIGHT
2 0.00 3331 12-2- 2
WATER COAfN. 20.00
BUILDING PER.
SAC 525.00
PARK
CITY OF IAGAii
3Y415 Pilot Knob Resd PERMIT NO.:
DATE:
Eagoe, MN 56122 -
Zoninp: No. of Units:
Owner.
Address: , .
Site Address:
1
'
Plumber: . •
Meter No.: Connection Charge:
osit:
t De
A
Sixe: p
ccoun
:
Reader No Pennit Fee:
. r
e:
h
5
1 agroe M ww+Vip wkb the Cih of Eopoe g
urc
a
?inanow. Misc. Charges:
l:
T
t
o
a
B Dote Paid:
Y
Qott of Insp.: I^sp•'
CITY OF EAQAN WATER SERVICE PERMIT
3795 pilbt Knob Road PERMIT NO.:
Eoga., MN 55142 DATE:
Zoning: No. of Units: ! t • ? : `' ' ,
Owner;
Address:
Site /lddress:
Plumber: r3.1 1
Meter No.: Connectlon Charge:
Size: Account Deposit;
Reoder No.: Permit Fee:
I agrae M comply wM6 tUo City of lagan Surcharge:
Ordlnanps. Mist. Chorges:
Totcl:
By Date Pa1d:
Dnte of Insp.: Insp.:
?
SEWER SERVICE PERMIT SEWER SERVICE PERMIT
CITY OF EAGAN - -
9795 rfW Knob Rend PERMIT NO.:
2 DATE:
2
lagen, MN 551
: . .
Zanln No. of Units:
p
O
wr?er:
Address: ,
Site Address: ?
Plumber:
. , ,
1 ayne M aomplr wilb Mhe Citr of Eagea Connectlon Charge:
.
Ordinanoa. AcoouM Deposit:
Permit Fee:
Surchnrge:
gY Misc. Chorges:
Date of IRSp
: Totol:
.
CITY OF EAGAN
3795 Wict Knob Read
PERMIT NO.:
[ognn., MN 55122 DATE:
Za+ir?9: No. of Units:
Owner:
/lddress:
.. Site Address:
Plumber: '
. ?
Iagm fo eempFy wilh Ha CMy oF Eagan Connection Charge:
'
Ordinanca. Acwunt Deposit:
Permtt Foe: '
Surcharpe:
Bv Misc. Charoes:
Dote of Insp.: Total:
,
.am
m EB-00001.04
REQUEST FOR ELECTRICAL INSPECTION
.
' See instructions 1or comDleting this fam on beck of Vellow coPV• g
.,rnnn.? ?; 3 5 (a ?
Electrical Contractor
or nouie ???•
? ? f-MS?r? 0(LVv
l C ompa ny
STATE BOA?om N 791 ?ICITY
av Bldg.
airv Ave.. St. Paul, MN 55104
I hereby request inspection of ebava
eleccrical work installed at:
THIS
BE A
UNL
ENC
-Z
J REQUEST WILL NOT
THE STATE 60ARD
INSPECTION FEE IS
,`C7n.o wta s ? aK ? ? 3 s to 0
g 2!
This reauest void ( L'zb L$? •
18 months trom
w 053766
h1i, InsPecuon ?Ready Nowowill Notify Inspe
F?re No. Re?ired? _ [or When Readv
WATER SERVICE PERMIT crrir oF E?a,?N WATER SERVICE PERMIT
CITVE CF EAGAN
3795 Pilot Knob Rood
PERMIT NO.:
3795 Pilef Knob Roed PERMIT NO.: Eagen, MN 55122 DATE:
EA.n, MN SS1??2
? D/1TE:
Zoning:
No. of Units: ,
ing:
Zon No. of Units:
DYVn
' OW?1lY: -
.
Address: /+ddfC55:
Site Address: , . . .- , ,
Site Address: `
be
Pl Plumber:
um
r: .
Meter No.:
Connection Chorye:
Meter No.: Connectfon Charge: S1Ze: Account Deposit:
Size: Nccount Deposit:
Reader No.:
Permit Fee:
Reader No.: Permit Fee:
,
ag? ? p?p? with Nw Citp of Eaqan
I
Surcharge:
I agree to wn?py w{ti? Hw Citr of Eeyan Surct?arge:
Ordinancea.
Mlsc. Cho?ges:
O?dinanaea. Misc. Ct+arfles: Total:
Totai:
BY
Date Paid:
Date Pald:
BY Date of Insp.: Insp.:
Dote of I nsp.: I^`'P•'
?
SEWER SERVICE PERMIT
SEINER SERVICE PERMIT
CITY OF LAGAN
c??? or EAGAN 3795 HNof Kneb Rood PERMIT NO.:
3795 P11ot Knob Read PERMIT NO.: Kogen, MN Sslu D^TE• .
?o MN 55122 D/1TE: Z 1,. - . No. of Units:
yen, _ or+
Zoniny• No. of Units: " Owner• ''nm. n
Owm: _ '?r ' II rt?'ti /lddress:
Address:
SiM Address: `
7.:
Site Address: Plumber: rsiZ- l st i E.r:ci ( Ah
. < (.'^t. , ...... • - l., f???' 3 1/,
Plumber. T)r
r , . . .
1 a9ree to oomPly wifh tbs Ciryr of Eoyan
Ordinsncss.
By
Dote of I nsp.:
Connsctton Charpe:
ACCOUM DepOSit: ,
Permk Fae:
Surcharpe:
Miac. Charyes:
Total:
Date Poid:
1gyrN to temVh wMh the City oF Eayoa
Ordi.1eneea.
By
pcte of Insp.:
e TItB
j''?
Connection Chorpe:
Account Deposit:
Permit Fee:
SurcFtarge:
Misc. CFarAes:
Totcl:
`(-koraaS La?E q-^}--%-c HOUSE HEATING TEST RECORD
? 41i4?
ADDRESS ? APT. ,_'fL00R _
OCCUPANT 01YNER'F' HEAT LOSS 46t; DATE HTG. INST. GAS CO. METER BADGE R
SOLD BY "`9 INSTALLED BYg?
Elechical W h 8, R? Gos Line By
TYPE OF HEAT GA -FA,'1?_HW-STEAM-SPACE HTR. -UNIT HTR. -OTMER
a p? GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Modsl R?'?' C' ^ 13?? 1, Abdol
s.r„i 4i? U/r7ys 17
4,CI a'cg dqCfo? Mex. BTU Reriny
INPUT MAKE OF FURNACE
CONTROLS
THERMOSTAT H ? Haor Ploy
Volve ?
Limit
Limit Satting
Fan Seftin9'
Pilot Type !
Pilof Maka _
0', . od?l -
M?
°D
f!O"'q
il
KIND OF LI'NE 4• 6X SI
Drah Hood jEd Rpulamr
FilNra Siu um6sr
Chfmney locatlon Inside?
Chimnsy Conslrudion
Oufside
NONE
Pilot Model Smoke Bom6 Wirinq -
Pilot Timing ? Droft 55A AH Tap_-
L.W. Cut Off Deor Prossun UqAfinp Inat. I?'2
Proasure-?--ParemiCOZ ? DeM Tettsd
Inpuf CFH g?[? O Percent OZ 7? Company T?stlnq
Smek Tamp. pxcenr CO ????+-? Nam? ef Tssbr
Form 235
$?Z, T?l6Nt9?.g Cam 44"s- ?
HOUSE HEATING TEST RECORD
ADDRESS A ' M4!_',t L.?i'/,:4.P4-^-f2 APT.._FLOOR CITYL?BURB
OCNPANT ' 01MNER ?si?f4?d-??
HEAT LOSS DATE HTG. INST. .
GAS CO. METER BADGE ?u
SOL.D BY INSTALLED BY
Elsehical Work By Got Lim 6y CPZ?
TYPE OF HEAT GA; fA _,k_HW _STEAM -SPACE HTR. -UNIT HTR. -OTHER
r
GAS DESIGN CONVERSION
64 MAKE 19 9 ?= ? MAKE OF BURNER
Modal 4 C+%'/% C: Abdel
Swial (?/V A /" ??7es'-'? • 3 ?/ Max. BTU Ro/lny
INPUT g42 0 E7f1 MAKE OF FURNACE
Mod•I
?CONTROLS
THERMOSTAT Hsat Pl '
V
f Si
?{
uy
Volva _14 ul on
:e .
"
KIND OP LINER A3 SIZE?x NOryE
?
Limit k1n• u1 Drah Hood RoOuluro?
Limf15ettin9 FiIMS Sia? umbsr ?
Fon Sattinp ?e- Chimmy LoeaHon Imide.--,? Oufsida
Pilot Type Ch{mney ConsiwcYien
Pilof Meka "
Pilot Modsl •I Smoke Bomb Wiring -
q
Pilet Timing Drnft 'D T?s1 Taq ?'?
L.W. Cut Off Door Prossun Llqhtinp Inst.??
Prossuro -6 PoresnrC0
? Daro T•s»d
2
Input CFH t?n m?"? Poc?nt OZ A Company TesHn
S1ock Temp• 6-AU2 Pacanf CO ' rZetXf- Nam ef Toster Y'uz ? F+zl
Form 235
CITY OF EA"N
7795 Ppaf KPHONL: ISI-8 00? MN SS171 N? 7702
BUiLDING PERMIT eece+ar # ?-?
Te 6s ard hr 1 of 4 PLEX Est. Volue $35,000 Dore December 2 , 1y32
yM Add,ess 1526 Clemson Drive E,ect XX p«„pa„cy R-3
Lot 6 Blak 2 $ec/Sub.jOmBS I,Ske He3ghte Alror ? Zonirq PD
paroot # 10 75950 060 02 Repoir ? Fire Zone MA
Enlarqe ? TvPe of Const. V
? NO111e Hans HaRen Aomes move ? # Srories
? Address 2353 No. Rice St. pen,outF ? Length 40
q St. Paul 55113 pFwne 483-OSOl Grode ? Depth-22-Sq. Ft.-
? Nome Owner ApOm'ab Fees
s ?roa Azsessment Permit '
? Water & Sew. Surcharpe 17.50
G ?M Palice Plon check107.75
W Nome
?+ Flm SAC 525.00
i
Addreu Erq. WaterConr{izo.oo
u tp
??u ci pFqM planner Water Metar 60.00
Countil Rood Unit 240.00 _
I hercby acknowledps that I hove read this application and stare that Bldg. Off.
ihe inlormofion is torrect and agree to comply with all applico6le A? Total '?SRS.75
Stote of Minnesofo Stotutes and Ciry of Eoqan Ordinonces.
$IpnMurc of Permittee -
A Bulldiny Permit Is issusd to; Hans Ha e Aomes o„ the Oxpm„ cond;tio„ th,,,
pll work sholl 6e dorro in accordance with all limb Sta 'nne?gta Smtutes ond Ciry of Ecpan Ordinonces.
? y.?r?w
8ulldinp Offidal
??
'Ib E3c L'sni
Site h]dress:
YY 900Y
.... ?. ..•... .;11.1 .1_:l- - :,1- :, V1 p1,37Li,
? 1 site plan w/elevations a
BU71D7',x, P17'At1T p,^PL7G1T1CXV ` 1 set of enexgy calcvlatior
S,'oots
?--_ vsluation oatc 16.J7,3;
?w.trnlp( , OFFICE USE CXdL,Y
Iot !'v _ Bloc3c a Scc./SuAa&nLO=
Parcel A: b '7 ??SO olpo 0Z
O.mer: /
Adc.ress:
City/Zip Cocle:
Fhorre k : -D d70 /
Contractnr: ?n...J 4? i(z?
Ac3dress: 4-A?
Ciby/Zip Code:
Phccne # :
Arch. /Erx; .
Address:
City/Zip Ca?e:
Phorz #:
?Ez'ect >`
Occ1?{kvx Y _ 13
Alter Zonin9 -'712-9
Rep3ir Fire Zone ?-
Enlarge 'IYpe of Oonst.
`
hYwe N Stories
Demolish Front O ft
Grade Depth a?.. f t
nPrrCvAis r-is
Assessnents Permit ?/
W3ter/Ses.er Surcharge / 7.4=
Polioe Plan C1KxJc
Fire SPG
Erg. Water Conn. yR 0
Plarner Water Meter &D e'-
Council Roacl Unit ;;z
Bldg. Off.11-4
AE'C
=AL -ft (5 8' J?-t 5
CITY OF EAGAN
, asss raO a.se Rme Ea'.e, MN S5122 _Na 7703
PHON[: I5I-8100 3/
BUILDING PERMIT aeceiur ? g
To 6e ew fer 1 of 4 PLE% Est. Vaioe $35,000 pcce De cember 2 ; 19_$2
Siro Addm„ 1526 B Clemson Drive E,ect ME occ„pa„cy R-3
Lot 7 Biack 2 $eC/SibThomaa Lake Heighta Aiter p za,irg PD
l 10 75950 070 02 Repoir ? Fire Zone NA
#
pama
E
l T
f C v
n
urye ? onst.
ype o
W Nome 1?na Haaen Homes M&M O # Stori«
? Addrow 2353 No. Rice St. pe,,,ou,p ? Lenych40
q t. Paul 55113 phon,,, 483-0801 Gmda p Depth22 Sq. Ft.-
Name pWper AvMwab Fees
g
si Addrex
rlw,
Nome _
Addreu
Assessment _
Worer & Sew.
Police -
ffre
Erp.
Planner -
Councfl _
1 hereby acknowledpe thot 1 Fwve read this applicotion and arote that BIdO. Off.
tha inlormation Is correcf ard agree to tomply wifh all npplicable APC _
Stata of MinnesoM Statutes ord Gfy of Eogan Ordirqnus.
Sipnmurc of Permittee
A Buiidirp Permit Is inued to: `HI116
all work shall be done in accordance wRh all
Permit
SurcFrorpe ?••'"'
Ptan check 107 • 7S
SqC 525.00
Water Conn420.00
Warer Meter 60.00
Rood Unit 240.00
Total $1585•9$
_ on fhe expmss carditlon thm
ond City of Eopon Ordinances.
Buildinp Officlol
DUIiDIW, FT?MtIT A,^PLIG+T1Qd
ar 3-5
'Ib nc usec: Fo valuation
Sitc Id3ress:
I,ot _7_ Dlodc A_
P,irc:el f : IO 7 S
Qw+ner:
Fddsess: 02 35-
, ?` 9o ar
1 sitc plan w/elevaticros 6
set of e:rsw caIcvlatirn
`Date
OFFIcE USE Q7[.Y
c./Sub?,?o-ku?r,?X??Erectx Occ1??y
S O 070 O Z Alter Zoning 75)
Repair Fire Zone AIg
?
?
l E.-daige _ 'iype of Oonst.
.
?eGV»u. hbve . A Stories
Dennlish Front f
Grade Depth ?.2 f
City/Zip Gode:
rhone o APPWJAIs FEES
Contzactnr: /V-? `J ? Assessments Pernut
s
T.3ciress : .?Lat.r•^?
Citf/Zip Code:
Pho^,e Y :
ia-ch./E7g ?((.?t.ntJ J??-??_-???f/?'u-?
t•d3ress:
Ci="1/Zip Ca:a:
Phcre # :
Wster/Scmer Su:charge 17-
Police Plan CturJc ?
Fire SAC 5 a.?
g?, Water Conn. lVvfj
Planner F:ater ^7eter
Council Rxid Unit ?
Bldg. Off. / -I.Z
APC _
RC71'aI. A'5 0 ?• 7?
cirr oF enc.nN
. 3795 Pllst Nnob Reod Eagan, MN 55131 N? 7704
. • ' PHONE: 451-8I00 ?
BUILDING PERMIT Receipf
Te be und for 1 of 4 PLER Est.Value $35, 000 pateDecember 2 1 q 82
Site Addreu 1528 C18IDBOII DZ1Ve Ered 7M Occuponcy R-3
Lot 9 BI«k 2 See/Sub.ThomHe LBke Heights Alter ? Zoning PD
Parcel # 70 75950 090 02
Nome rwk+a nagcu nvwca
Address 2353 NO. R3Ce St.
? Name ?1eY
?
?? Address
f fif. DM..
Nome _
Address
Repair ? Fire Zone
Enlorge ? Type o{ Consf. v
Move ? # Stories
Demoliah p Length 40
Grade ? Qepth ZZ Sq. Ft.-
Avvro+als Feas
Assessment _
Water & $ew.
Police -
Fire
Enp.
<"' I Clty Phone Plonner _
Gouncil _
I hereby acknowledge thot 1 have reod this applicotion ond state that Bldg. Off. _
fhe information is Wrrect ond ogree fo wmply with oll aODlicoble A?
State of Minnewta Statutes and City of Eagan Ordirwnces.
$ignuture of Permiftee
A Building Permit It issued to: nano
oll work shall be done in occordance with oll
of
Permit ciJ .jv
Surcharge 17.50
Plan check 107.75
SqC 525.00
Water Conn. 420.00
Woter Meter 60.00
Rood Unit 240.00
Torol $1585.75
_ on tha expresf cordiMOn ihni
City of Eoqon Ordinonces.
Buildinq Offlclol
.... ,. .. ..,
T G' q -Pl 6X, IIU7IDI?X: I'iTV`lIT F4^('LIGITT(kN
90 0, ,
?
? 1 site plan w/elevaticros 6
1 sct of e:-,errgy calculatirn
7b [3c uscr: For valuaaon 3SP??7.?r0 wtc fz!.5??9•?.?
Site Address: 16'.Z,Q o, OFl'ICF USE QdC.Y
r
Ivt ? Rloc3c ? Sc.?c./Suh.?owtas EtiCt? Omaparwy
1'
Paznel p: IC? 7??( ?? o4'a C`?2 Alter Zoning
Repair Fire Zonc
E.Jan7e !'Iype of COnst.
hbve A Stories
Address: Dennlish Front ?{O f
Cih'/".. Code: ce??, Gracie DePth
iP
pho;,e b :
Contractnr:
A3c:ress: ,QLi/rn.c_.
ciry/Zip code:
c'hme Y :
Arch.,E,g. .
Adaress: 4 -Y..,y-A?
-? -
G ='I/Zip Coda:
Phcra 4:
APPAnVAiS F=
Assessments
Wster/Sewer
Police _
Fire
D-$3 •
Plarner
Council
Bldg. Off.
P.PC
PermiC
Su:charge / 7?-
Plan CYu:rk /O 7 -2r-
SPG •???-
Water Conn.
hater "Setei /„p ?
F?xd Unit ?yp ?
'IUTAL
CITY OF EAGAN
., 1793 Pllee Knob Road Eagen, MN 55122
PHONE: 454-8100
BUILDING PERMIT
N9 7'lU5
Recelpf # 1 2-&Z -14
Te 6a wad fer 1 Of 4 PLER Est. Volue $ 35,000 Date 1)P remhei 2 , 19-f12
Site Address 1528 B Clemson Drive erect 7,?q OccuPancy R-3
Lot $ Bf xk 2 Sec/$ub.ThLCmag Lake Heighte qirer Q Zoning
parcel # 10 75950 080 02 Repair ? Fire Zone NA
E
l T
f C
t V
n
arpe Q ype o
ons
.
W Name HSns H88en Aomes Mpve ? # Stories
Z qddrcu 2353 No. Rice St. oemoush ? Length 40
? ci St. P8u1 55113pt,ono 483-0801 Gmde ? Depth ZZ Sq.Ft.-
& A.?er Aoororab Fees
o Name
?
u? Address
M fln. OL....?
Nome _
Address
I hereby ocknowledge that I have read this opvlication ond stote that
ehe inlormotion Is Correct and agree to comply with all opplicable
State of Minnewta Stacutes ond City of Eogon Ordirances.
Sipnature of PertniMee
A Bufiding Permit is issued to: Han
all work shall be done in accordonce wlth oll
Buildiny Officfol
Asseument _
Woter & Sew.
Police -
Fire
Eng.
Plonner ?
c.oundl _
Bldg. Off. _
APC
Pertnit ci? .?v
Surchorge 17.50
Plan check107.7$
snc 525.00
Water Conn420.00
Water Meter 60.00
Roaa unir 240.00
7otol $1585.75
_ on the exprea conditlon thm
and Ciry of Eagon Ordinances.
,_-?40 0 G
?.... v. ..••.ti. ?Ih.1JJ.1 ? blt:? Ul E.ld11i? `
1 site plan w/elevations a
nurrDr.x; rrZUr w^I'LTGlT10N ? i sec of err_rgy caiculatior
'Ib F3c L'src: For ? ` -
Valuation 00 Datc 'ArZ.V;S?i9P?!
sic? Akimss: i?a 8/3 O?iv OFFI(E USE OtILY
tAt p fllxk ,Z sec./sUNJ?#,db-N/ ?recc occVarr-y
Pazrel N: ?D ?Sq ?O a$O d2 Alter Zoning A!?
Owner: ?3 Fire Zone ?_-
Enlan4e Type of tbnst.
Address:
City/Zip Code:
Fhone 0: -szd' 3 -o PO/
Contractor:
Pddress:
City/Zip Code:
Pha-ie 4:
P.rrh. /Eng.
Address: ?,..?
Cit'1/Zip Ca'e:
Phore #:
Abve A Stories -
Dffmlish Front yd it
Grade Depth lp 157- ft
APPF'DVAIS F'E'fs
Assessments
Water/Sec.er
Police _
Fite
Eng •
Plarner
Cauicil
Bldg. Off. -/z - ?
APC
Permit ? jp-p
Surcharge _ / ? st3-''Plan Che? /0 7 ?
sAC A=L
Water Conn. y2? s:r-
Water Meter 4,c57 ?
Fdoad [hLlt ?5lpT-
40TAL 415757-IT5
This request void
18 mnnths fmm
mq n??7r,7
L4 i?owVAs La.l` E
? 1
'2 4 o2s
2
J7 0/ ec
Pcnrest Qat
• V
? Fire No. Rouuh-m InsVer.UOn
Per iretl? ? .........???[[[
Rt?atly Now?Will Noufy Inspec-
?'
hL ye5 []N. [oi Wh'en Readv
L?censed EIecVnoal Conlrector 1 hareby raquest ?nspecLOn ot above
Owner eleclncal work inStnlleE at'
Street Adp]ress. 8ox or Route No-
C1$A501i C'ty
fA 6RI'1
_ don u. Tawnship Name ur Na. Rqnye No. Cn?w ty S
1`I?' "'0,
Occuemt (PRINT) ?u
V?%M N?A, G\,_ ?1 v I Phone Nn.
Puwer Supplier Atldre?ss
11? ?'?F,l?'WV
Electncal ConVactor (COniyany Name.)
""
?
? Conf?raqctors License No.
??5 -L
1
j
i(V,?
LL ??.E; .e J
wner Making Installabonl
tn
r or O
AtlJress ICo
ntrac
Ma0inq
?
?
q
[
(
p
ll?? L' Wtlr ?fC4'
A?honzed Signa re onirac[or/Owner Makiny InsteilaLnnl
`
` Phune Nwnber
59D.5-05'
d?
MINNESOTA STATE BOANO OF ELECTFIGITV ' V ^ '
gE ACCEPTEDBYTHE STATEBOAAD
Griggs•Midwey BIdO. - Room N-191 UNLESS P0.0PEfl INSPECTION FEE I$
1821 Universrty Ave.. St. Paul, MN 55100 ENCLOSED.
Phonx 16121 297-2111
REQUEST FOR ELECTRICAL INSPECTION EB-OOOOL04
w:
' See instructions for complefir9 this form on bac k of Yellow copy.
h,. 7hic Ran,iac/ -3? l U?
A(1d ABO. TVPe 01 8uiltlin9 APPIiancHti Wited E9unpmpnl Wi!¢d
Home Fanye TService
Duplez ?Nater Heater #wes
Apt. BwlAmg Dryer abn
Comercial Bldy.
m Fumace er
ustiial BIAy.
Ind Air Condiboner ank
FRrm OiheF oecifv itvl
ther ?SUeufv. ther ...,,..?,..... ...,,r.,_........... __._..
N Fea
iza
ServiceEnvanceS
q
Fee
Ferders/5ubteeders
p
Fne
Cvcuits
U ro 200 Amps 0 to 30 Am)s 7ZLU ? tn 30 Am>
Above 200 Amps 31 to 100 Amps 31 to 100 A s
Swimmuig Pool Above 100-Amps .Above 100_Am s
Transformers Irrigation Booms u ParLal'Other Fee
Signs Speaal Inspection 5 ?
? OTAL F
Pemarks CJ1111"f?3 ? ?O.0L.
J
Rough-in ? ? D`11e I the Electncal
Pector, herpby
ceridy ?hat the above
Final mspec<ion has been
made
.
rms reaueat .ola 18
This repuest voia
IB nromhs Iwm
? 1. 3 4 5 3
Rqqie>: Uate' F re No. NouPh-i InsPer.twn
iie.qwretlV Z]Aeadv Now Q WiII Notiiy InsPec-
May 29? 1987 ??es ?NO ?or When Ready
?Lic,-nsed Elec[ncal Contractor I hereEy request insvactwn uf ebove
n Owner electrical werk mstalled ec
Streer Address, Box or Rou[e No. C'tY
1528 Clemson Dr. Eagan
ecuon o. Townshio Name or No. RenBe No. County
Dakota
Occuua,tIPRINTI Phone No.
Bobbi Elliot 890-3466
Power $upplier Adtlress
Electncat ConAracmr (COmOany Neme) Conrtar.mr's Lir.unse No.
Corrigan Electric Company 034549 8
Mailinp Atldress (COntractor or Owner Making Instailavon)
P.O. Box 475, Rosemount, MN 55068
A o ved SlgnatureV` ontrdOwner MakinA Installatmn)
4 Phone Numbrsr
423-1131
C(A^
MINNESOTq STATE BOAND OF ELECTRICIT`r\ v
Griggs-Midway Bltlg. - Noom N•191
1821 Universilv Ave.. Sc Peul, MN 55100 V
Phone 16121 642-0800
THIS INSPECTION REQUEST WILL NOT
9E ACCEPTEO BV THE STATE 80AHD
UNLESS PNOPEN INSPECTION FEE IS
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ryee-ooooi-os
,
See instructions for camDletin9 this lorm on Cack o/ vallow copy. 57j-
? 3 "X"\,Below Work Covered by Ihis Request
Antl Reo. Type ol euileing A.ooliancea Wiree Equiument wved
g Home Raiige Temporary Scrvice _
Duplex Water Heater Lightiny Fixtures
ApL Bwlding Dryer EleCtric He2lin
Commercial Bldy Fumace Silo Unloader
Industnal Blda. x Art Condrtioner Bulk Milk Tank
inn
# Fee ServweEnhence5ixe b Fee Fexdars/5ubieeders A Fee Cirm(ts
0 to 200 Amps 0 to 30 Am s 0 tn 30 Am s
Above 200 qmps 31 to 700 qmps 31 to 100 A s
Swimming Pool Above 100-Amps Above 100_Amps
Transiormers IrrigaUOn Boortis .50 ParuaWOther Fee
signs apeciai iiispecuon S
10. SO TOTAL F l0 "'G
Rertw.ks
flouBh-in D,rte I. tha EI tnc
Inspectoq ?aby
CBfUfV tbBt thB TEOVB
Final inspection has baen
mede.
mIa reQUes1 ro1C 18 manihe irom -' ' ' -?
REQUEST FOH ELECTRICAL INSPECTION ?y EB-00001-04
' See rnstruciuons 50y comDletine this form on back oi vellow copy.
L??
'XV BeQ?W73?R ?o?red by 7hrs Requesr .33
e HAd Fep TYOe of 8wldiny Aavlinnces Wved Equipme??? Wved
Horne ' Adnye Temporary Service
Duplex Wate? Heater Lightiny Fixtures
Apt. 8wldmg Dryer Etectne HeeUn
Commermal Bldc?. Fumaco S'lo Unloader
Industnal Bldg
Farm Air Condiiioner
Other Pacifv Bulk Milk Tank
Othcr ISUimci+v)
thrr (5ueuly Other 0 t ho,
Compute fnspecrron ree oerow
N Fee ServiceEntrenceS¢e p Fea feeders?5ubIeetlers p Fee Cvcwts
?Q U Pto 200 qm s D to 30 Amps 0 to 30 Ain s
Above Z?0 Am?s 31 ta 100 Amps 31 to 1D0 Am s
Swimmina Pool Above 100-Am s Above 10D_Amps
Sipns SUecial Inspection S?O Cs. ._, F?
?V 76 45a?
Remarks ?k A{N. 5 ^ I r Jro
?? - D" tr
flough-m I, the Electncal
H?- pector, hareby
r sY cerufy [hat the above
Final D'1ey /? specNpn has been
? j-r T ede.
This re0uas[ vola ,e momns i io...
?ng
This re4uest void ? -( a L? ! ?z L ?" ?1l? W`AS ?!? ? ? ?
18 months from ?
uonE? a7 r,?
uu - -
Fequest G. e c Fre No. RPoqB???d'lnspe?oon OReaAy Now vJill Nou'Y Insoec-
tue Wh
n R
tl
?
F Ves ?No e
ea
Y
Licensed hlectncal Convnctor 1 hgreby request mspaction o1 above
elecincal work installed at
Street Address eoz or Poute No.
O?Au'-
i (j G[v
EMA-I
(9
_ bon ft iownship Name or Nn. R.?ngu No. County
Q
OccuOant IP-ReINTI ?y{??,,,? y"??
"1V1 4`y`itJ" ? 5+??
Phone No.
Power Supolier
12A .4tltlress
'
Elect(n?r(al Con[ra(c?lor?I?Conip/?an?v Namel
SJ4?' 1?161-"C, s L?cense No.
Contr?ct[o'r
f?? 6JZ7 ?-
Mailtng Address IContmcmr or Owner Making Installaxionl
y k 1E . euff- N..
Author¢ed Siecatur Conh tor/Owner Makmg Installatinnl Phone Number
99d -5-05-
MINNESDTA STATE BOARD OF ELECTNICITY 8E ACCEPTED BY THE STATE BOAPD
Gng9s-Midwey 81dg. - Room N•191 UNLESS PNOPEF INSPECTION FEE IS
1821 Umversity Ava.. SL Paul, MN 55106 ENCLOSED.
Phone 16121 297-2111
This request void ?J?E 32?? ? Q b
18 manths from
053764 W„? No,,,???=oa?-
Fire No. RouPh-in InsOecbon qendy Now
Requ? t ate ? Re ired? ? r When Reatly
?N?
Z l ?z- Ye_
I LicenseA Electncal ConVnr.mr I heraby requast mspec4on oi above
elecvical work installed at'
Owncr C?tY
SVeet Atldresps, Box or ,ftLo?Aut,e `N?a.?
`` 7b ?1...c1``7WV l7f'4V \S?`?v N
`?'^ R N I U Y
t
irer
Su
pu
'ower
?
p
?
? Z• P1 I
EIBCV al Con[Y ec[oY_(co?^Pa?P)
??L, C?L
Mailing Addiess (Gonvactor or Owner Making Insta'?la[
j'?l i ?E CU h`' ?P
. . .. ?.___..,.e.irr,??raator Or+ner Mak p I i I
MINNESOTA STATE 80AHO OF ELECTRICITY
Grigps-Midway 91d9- - poam N-197
1821 Universqy Ave.. 5l. Peul. MN 55106
Pnone (612) 297-2111
Atltlress
Phoi+e No.
Liccnse No.
?-?
STATE BOAPD
ACCEPTED BY TN¢ T
I I
BE
UNLESS PF(1FER INSPECTION FEE IS
ENCLOSEO.
REQUEST FOR ELECTRiCAL INSPECTION
back oi -" Eg-OOUOtA9
Vellow coPV-
' See insvoctwns for com01eLn9 this farm on
t
?' ?
???
? og
'X"' 8elow k vere by This Heques Eq?,Paieiat wIFen
Fep. TvPe of BuJtl?ng ?1U0???^ces Wrted
?
7emporary Sflrvice
Fant?e
Horne
Lighnng Fixtures
Water Heater
Dup?ex Electric Heann
Apt. 8uildin?7 Dryer ?
Si?o Unloauer
- Cominercial Bldg. Furnaw eulk Milk Tank
Industnal Bldg. _ Air Condinoner p?he? ?sacrify?
Parm
cnrr .
rte lnspectior
Fee Service
0 io '
31 to
Fer,
on
Uat? ?- the Elecincal
Inspector, M1eroby
? c¢rldity that the above
maeccion has been
q '
i
t
§° .
;OF SURVEIf
For:
EiANS HAGEN HOMES, INC.
5
.92b ?
. LLJ ? I
' , I ?t'''+",c,:: ,? •r y '
.?, • .._.. ? ? _ ?a?.???,k.F
743
ry ??
v? I p0 -.?_
N
O N r
N pJ? o ?n
?ro
i: W I 43 xn? ; .. a
43
? S --r
?' 1
„
?
., r;a^.; s.%, ,__..• ;'.
';- LOtS G throuyh 9, 111cIt7S1VEi, i31oCk 2, '[`FIOh1AS LAKE HEIGFiTS,
Dakota County, Minnesota.
J
i`
Ceri.uae Ncure Y
?' SCALE?i Inch =? Feet o pe?tes Iron Beormgs stawn ore on an ossumed datum. Job No.-07 Book- Poge=
j we nereby eertity ther thn +e a uw and earnc+ raarasento+ion ot o surYey ot tee E. G. RUD & SONS, INC.
'boundaries ot 1M above dncrlbed land end of tAe locotioo 0/ oll Duildinps, if anY, LAND SURVEYORS
? fharoon, and o11 4isiDN oncroachments, it any, }rom or on soid lend. 9560 L@xingtOn AvenuC N.
E. G. RUD 8c SONS, INC.
Daisa th?s _aay et New Brighton (Lexington), Minnesota
yY 55112
;. Mina. Rap. No. Telephone 786 - 5556
I
, N0j 5 ?g82
? 4
ae,:,vyr.?`" N
E.Ewlibnr 9.tawn Aia i?oPirsd
O_4 A
ENLRGY REQ[7IREMENTS (2 H y` uNi' r
^ Thie form to be completed and submitted with building permit applicationa
EXTERIQR ENUELOPE AUERAGE "U" COMPUTATION
OWNER dAt?Z, /,)/7/ cj /V,.,? cc_
iITE ADDRESS
?
CONTRACTOR J??(A&r`_,? DATE PFIONE A;3 -cSol
Determine working square footage of each.
I 4,?3
1. Total exposed wall area ..... 12ft- sq. ft. x .N" = 23f?,2f.
2. Total roof/ceiling area ...... loll 'O4
sq. ft. x UEt = 2q,
Total exposed wall area above floor = f240
a. Total wall window area ............. ?
b. Total door area ... ............ ?
c. Total sliding glass door area ......... z D
d. Total fireplace wa15 area.... -??
e. Total wall framing area (average 10X).. ?? ? t6
f. Total net wall area above floor ....... ? ??? ??
. . . . . . . . . . -4'!It q i 2
g. Total rim joist area ............................ 7Z
Total exposed foundation area = 4-?,
h. Total foundation window area..................... 1. Taal net foundation area above grade ........... q.g
Determine "U" value of each wall segment.
a. -71i x
?
s
43,4-5
b. ? o X „?„ , t? = 3
C. 40 X `5 e,- ? ,L,L
d. I X ??U" ?? _ •7 5?
e. (ai X „u„ .?3 = ?7 .13
?
?. /?
-1 12.
A V
)1u11
6,3
9, --72, X liuli , OC• ?. d, 32
h, -- x Pu„
,
x
uu,.
??7
S ti
a Z Z.
3 .....................................Total a i7?7 t?2
If ltem A3 is the same as, or less than item fl, you fiave met the intent
of SSC 6006(c)2.
.r`,?? F' ???? 1-1 /• '
T,e,
r
;?, . ' . . ? . . ' . - ... .
i . '
Total exposed roof/ceiting area = (?II
3• Total sky)ight area...........
_ k. Total rcof/ceiling framing.area (average 10%)... ??
- 1. Total net insu --
lated roof/cei'.ing area....,,,,
. .
• Determine "U" value for each rocf/ceiling segment.
X flu,, _
X oluli
. D4 z -.--
z .--- ? _
• ? • S so x ltu', .0 ?a
4 ...............................
...Tota1
If total of 84 is the same as, or less than N2, you have met the intent of
56C 6006(c)1,
, Alternate Building Envelope U
io utilize the total envelope system method, the
sum of items #3 and #4 shall not be greater than
1. 23c,2Q, + 2. 24.44
3. /2q, ,SZ
+ 4. l.4.y4
esign ,
values established by the
the sum of items d!1 and U2
= 6 -72
° /'78.76
?
r
, . .. _
', r, , .. . .
? , . . . . . . . .
? ,. .
? ?.
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Site Address:
1526 Clemsan Dr
Lot: 06 Block: 2
Addition: TTIOMAS LAKE HEIGHTS
Description
Sub Type: 04-plex
Work Type: Reroof
Description:
Census Code: Addition/Bsmt fin/Decks/Porch
Permit Type: Building
Permit Number: EA034776
Date Issued: 03/23/1999
UBC Occupancy:
Conshuction Type:
Zonmg
Squpe
R67i1dYliS: Includes: Unit 1526II, 1528, and ! 528E.
Fee Summary:
Valuation: $12,000.00
State Surcharge
Base Fee
6.00
20925
$215.25
Contractor: - nppi;cant - Owner:
SELA ROOFING & REMODELING Sk Lic.: Thomas Lake Home Owners Association
? 4100 EXCELSIORBLUD 1535AClemson?r
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 infoanation is correct and agree to comply with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
ApplicanUPermitee: Signature
PERMIT
Issued By: Signature
1999 BUILDING PERMIT APPLICATION (RE3IDENTIAL)
crnr oF Enaax
asao pu,ar ianos xn - ssiaa
(651) 681-ae75 New Construdion Reauirements RemodeUReoair ReaWremente -D
j _')
• 3 registered sRe surveys
• 2 wpies of plans (InGude beam 8 window sizes; paured fid. deaign; etc.)
• 7 eneryy calwlations
? 3 wDies of tree preservation Dlan if lot platted alter 7/1193
requi ' Yes _ No
DATE: 3??i
DESCRIPTION OF WORK:
j?
Name: / r1 ?.mCcr ?? /(-
G (?O?"'? e
OW1/-?VS
Phone
I,sst First
- Ice c,sv
STREETADDRESS: IS? ?= IS2-'?S Clel+^SO?? ??? \
LOT: BLOCK:
SUBD./P.I.D. #:
PROPERTY
OWNER
Street
`
? 2 copies of plan
• 1 eHe eurveys (exterior additiona 8 dedcs)
? 1 energy celculaGons for heated additions
CONSTRUCTION COST:
av.r
Ciry State: e--1 `,"' Zip:
Company: FING 8c IiEMODEI.IIdG, INC• Phone #: Caja.3 '20A"` "
CONTRACTOR 4100 ER jiLVu.
Street Address: , I,pUI9 PARK, MN 56416 License #I!X:7) 0' 'TO Exp.
..
ID MWIUDV
City _
ARCHITECT/
ENGINEER Company:
Name:
Street Adc
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
Tree Preservation Plan Received _ Yes _ No
State:
Zip:
Phone #:
Registrarion #: _
State: Zip:
ition cortect,
?
- Not Required
(7hL? $G/¢elea,N ?VvSrv`
?S? - G 813- ?a V-J--
Penalry applies when address
to comply with aii applicable
;r
L '
SUBD.
BL
CITY USE ONLY
.?
RECEIPT#: / a 9,56 /
RECEIPTDATE: 5-9 'oo
PERMIT# 4 07 ,7 cI
2000 PLUMSING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOB RD
EAGAN, Ilbi 55122
651-681-4675
Please camplete for: ? single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES '
EACH fi
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
?
Bath tub $ 3.00 x $
Floor drain 3.00 x = $
Gas iping outlet ' minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbished • requires MPC lit. 75.00 X = $
Septic S stem abandonment 30.00 x = $
RPZ new installatioNrepaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Under round sprinkler Hdweiling is under construttion 3.00 x = $
Underground sprinkler ii existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x $
Water softener If tlwelling under construction 5.00 x = $
Water softener if existlng dwelling 30.00 x = $
Watertumaround 30.00 x - = $
State Surcharge .50 -> -> -> $ .50
TOt81 _> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----•----------------------------------------------------•---------------•----------•-----••------------------••-••-----•••---•-•-----
1 hereby acknowledge that I heve read this applicetion, state that the infortnstion is cortect, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYs responsi6ility ta notify the property owner that the City of Eagan assumes no Ilabiliry for any damages caused by the Clty during its
normal operetlonat and malntenance adivities to the facilitias consWC[ed under this pertnit within City property/right-of-way/easement.
SITE ADDRESS: /
Z-
OWNER NAME: :1ZVB£,C T? ?-i-? T TELEPHONE #:C ?p5 ?8/ - a373
(AREA CODE) '
INSTALLER NAME: /I GJ - TELEPHONE #: 5743- , J '
/?
STREETADDRESS: ?°/?? ('./??O6cr (AREA CODE)
CITY: IC5:GY??"7h4 STATE: 1/1? Z :
SIGNATk1RE OF PERMI EE
RECORD OF COMPLgINT
DATE: cS - /G ' s-/q
COMPLAINT TAKEN BY:
a I 2. ??h a P??I?i eG
0f"
NAME: Nu- c? /9ap?1 e?,
r
ADDRESS: /Jr' Z?S L3 C?e?, So? ?r„
PHONE NO.:
COMPLAINT: YeGk ' /
S g 2ff/ihy
ACTION TAKEN:
?-
?
?P ?-?J 2?, .Gg•,,'??? ?r?, .c? l?U_.,? ?•?y,? ,2?9?..-ch.??
d
COEAfENTS: ?" "q? ?
b?fi? ? ?.6!?? ?? 7?s• .,?
?TYPE BU LI DIN G:?/p
? ,? f?/%??CN??? ??°?'.?,? .?,?,.??
` ? ? 2 ?
O
d" Y?LO
LEG9L DESCRIPTION: ?& ?„Z ?(?o?as ?/? r{-'tS, •?
• SIGNED:
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
3o a . a-?
Foundation Onl New Construction Interior Im rovement
. Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Ciwl Plans (2) • Structural Plans (2) • Code Analysis (1) "
. Certficate of Survey (i) • Civil Plans (2) • Projed Specs (1)
. CodeAnalysis (1)" • landscapingPlans (2) • KeyPlan (1)
. Project5pecs (1) • CodeAnalysis (1) • MasterEbtPlan (1)
"
• Spec.lnsp & Testing Schedule " • CeRificateofSurvey (1) • EnergyCalculations (1)notalways
"
• Soils Report (1) • Spec Insp & Testing Schedule (1) " • Elec. Power & Lighhng Fortn (1) not always
. Meter size must be established • Meter size must be established • Meter size must 6e established -if applicable
• Project Specs (7)
y • EnergyCalculations (1) " y
y • Electric Power & Lighting Form (1)
y . Master E)dt Plan (1) y
y • Emergency Respanse Site Plan (1)'•' y
y • SoilsReport (1) y
• MCfES SAC determination letter • MC/ES SAC determination letter • MClES SAC determination fetter
call 657-602-1000 call 651-602-1000 call 651-602-1000
Food & beverage or iodging racnities - sunmrt pian co iwiv uepaRmern ui neaiiri ?au ou 1-
Contact Building Inspections for sample.
Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for reqwrements
DATE: WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST:
SITE ADDRESS: 647 / SZ 402 0
TENANT NAME: SUITE #:
FORMER TENANT NAME, IF APPLICABLE.
DESCRIPTION OF WORK TGL/`W? /.e,r -4e/-'
Name 7fJoyj4S zw-*G Phone#: ?(
PROPERTY Last First
OWNER
Street Address: 1z? 6 X Z/
City: ? AN State: Af /v Zip:
Company: Je% )Zo,T ' S Q°,-7. /d, Phone#: -Z.3 - 8G ? 6
CONTRACT'OR
Street Address: 6 6 6&_e ?si 2 6[j/ ?7 --
City: _?/??S state: M N Lip: Ss?/ d -
A RC H I TECT/
ENGINEER Company:
Name:
Street Address:
City:
Phone #: ( )
Registration #: ?c. I;-. ii --
? ? •? ? ?" -
., I
State: i 7.ip: `
Licensed plumber installing new sewerlwater service Phone#: (- --
I hereby acknowledge that I have read this application, state that the information is correct, and agree Pt comp?//'}}'' ithJ? 11 applicable State of
Minnesota Statutes and City of Eagan Ordinances.
SignatureofApplicant:
tnmled iiu2
75950 THOMAS LAKE HTS 2ND
1515 10 75950 030 03
1515B 10 75950 020 03
1517 10 75950 040 03
1517B 10 75950 050 03
1518 10 75950 020 02
1518B 10 75950 030 02
1520 10 75950 050 02
1520B 10 75950 040 02
1519 10 75950 070 03
1519B 10 75950 060 03
1521 10 75950 080 03
1521B 10 75950 090 03
1523 10 75950 110 03
1523B 10 75950 100 03
1525 10 75950 120 03
1525B 10 75950 130 03
1526 10 75950 060 02
1526B 10 75950 070 02
1528 10 75950 090 02
1528B 10 75950 080 02
1527 10 75950 150 03
1527B 10 75950 140 03
1529 10 75950 160 03
1529B 10 75950 170 03
1530 10 75950 100 02
1530B 10 75950 110 02
1532 ] 0 75950 130 02
1532B 10 75950 120 02
1531 10 75950 190 03
1531B 10 75950 180 03
1533 10 75950 200 03
1533B 10 75950 210 03
1534 10 75950 140 02
1534B 10 75950 150 02
1536 10 75950 170 02
1536B 10 75950 160 02
CLEMSON DRIVE
5
(PAGE 1 OF 5)
S? oA COMMERCIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
,4331.d.?
. Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
l
sis (1) "
C
A
d
. Crvd Plans (2) • Structural Plans (2) y
na
•
o
e
(1)
S
. Certificate of Survey (1) • Ciwl Plans (2) pecs
• Project
K
Pl
(1)
• CodeAnalysis (1) • Landscaping Plans (2)
(1) "
i
A
l an
ey
•
• Master Exit Plan (1)
. ProJectSpecs (1)
Insp. & Testing Schedule "
. Spec ys
s
• Code
na
• Certificate of Survey (1) • Energy Calculations (1) not always*`
"
.
. Sals Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not always
• Meter size must be established • Meter size must be established • Metar size must be established-if applirable
y . ProjectSpecs (1)
y • EnergyCalculations (1)'? L
j • ElecVic Power & Lighting Form (1) " L
y . Master Ezit Plan (1)
y . EmergencyResponseSitePlan (1)'"` y
y
• SAC determination - call 651-602-1000 • SoilsReport (1)
• SAC determination - call 851-602-1000
L
SAC detertnination - call 651-602-1000
Call MN Dept of Health at 65 L215-0700 £or details regazding food & beverage or lodging facilities.
** Contact Buildmg Inspections for sample and if required when it states "not always".
+'* Permit for new buildmg or addition will not be processed without Emergency Response 5ite Plan.
Date l I
,z--i I
o Construcfion Cost -Z 13- 7 ?
-
Site Address -
? S Z G- Z S' G/e S oN-d D/' - UnitlSte # 14f ?
Tenant Name o ri.??Sow ?? Former Tenant Name
Description of Work
Property Owner /? r G? SLar c c? ?o- w Telephone #( )
Contractor
Address
4iOr'r ?X? `S/o2
6l U C/ty
State IIA Zip SSW ? Telephone # ( dr-Q-) 8"7- 3- ?o'A ?
?vv / o,s a
Arch/Engr Registration #
Address City
State Zip Telephone #
Licensed plumber installing new sewer/water service: Phone #:
?_•-- . . . __.
I hereby apply for a Commercial Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ardinances 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 wluch requires a eview and
approval of plans.
Applicant's Printed Name Applicant's Sigriaty6
THOMAS LAKE I3EIGAT5 75950
PERMIT
DATE &
TYPE LOT BL ADDRESS
6181 SF 240 Ol 1499 CLEMSON CT
sisa SF 250 Ol 1503 CLEMSON CT
i iiso sF 260 01 1507 CLEMSON CT
3i84 sF 270 Ol 1511 CLEMSON CT
4/84 SF 280 Ol 1513 CLEMSON CT
a/so 4-PLEX 020 02 1518! CLEMSON DR
030 02 1518B/
040 02 1520B/
050 02 1520
12182 4-PLEX 060 02 1526/ CLEMSONDR
070 02 1526B/
080 02 1528B!
090 02 1528
3i83 4-PLEX 100 02 1530/ CLEMSON DR
110 02 1530B1
120 02 1532B/
130 02 1532
9i88 a-rLEx 140 02 1534/ CLEMSON DR
150 02 1534B/
160 02 1536B/
170 02 1536
2/82 4-PLEX 020 03 1515B/ CLEMSON DR
030 03 1515/
040 03 1517/
050 03 1517B
PAGE 2 OF 3
29
? oaa s?
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 : -. FAX 4 651-675-5694
s ?_1s
New ConsWc6on Reamrements Rem6deVRe6air Reauirements ? Office Use Onlv I
3 registered site suryeys showing sq:,ft. of Iqt, Sq. k. of house; and all roofed areas 2 copies of plan ' Cert of Survey Recd
(20°/6 mazimum lot coverage allowed) i set of Energy CalculaAons for heated additbns " Tree Pres Plan Recd
2 copies of plan showing beam & window sizes;:pou2d found design, etc Vsite survey for e'ddihons 8 decks Tree Pres Not Reqd
isetoFEnergyCalcula4ons Addifion-indicateilon-sdesepGcsystem _On-srteSepUcSystem
3 copie5 of Tree Preservallon Plan ii lot platted after 7!1193 " ' I I
Rim Joist Detail Op6ons selection sheet (hldgs wifh 3 orless uni5
Date
Site Address ?`? a?' •?f l?iwt S ? r
Construction Cost
v v,? Ddf: UniUSte #
Description of Work ? 4 0 ?-7 4' D(? r -Q e j
MuIG-Family Bldg _ Y)( N Fireplace(s) ?? _ 1 _ 2
Property Owner "_P"nmQ Lu k Q 14 tl?Y120WYI-efs SSOtIQlidY('elephoue q(I?pj I) Cp <R.3 -q ?u'
Contractor P-0 t xJ-P fS C0 NS, ' () YX CO -"j_- in C
?_ f t ?
Ci
Address
State M/tJ ._
.
- °- =-.:.. _
? City ?/IA???T??
V??
',Zip Telephone #(L'?? s q 3-, a? q
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residentlal Ventllafion Category 1 Worksheet
(J submission rype) Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Wqter Contractor
A NEW BUILDING
Minnesota Rules 7672 '
• New Energy Code Worksheet
Submitted
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.
i-r ? pc)„u--Q r S
App icanYs Printed Nam- e -?
Appiican s ignature
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
-• 3830 PilotKnob Road, Eagan MN 55122
Telephone # 651-675-5675 - ? FAX # 651-675-5694
? 113.?S
New ConsWcGOn ReauiremenGS RemotleVReoair Reauirements Office Use Oniv
3 registe24 site surveys showing sq.;ft;of tot, sq. ft. of house; and all roofed areas 2 copies oGplan ' . Ced oi Survey Recd
(20% maximum lot coverage allowed) 1 setof Energy Calculations for heated addiUons Tree Pres Plan Recd
2 copies of plan showing 6eam & windaw sizes,:poured found design; etc. " 1 site survey for additians 8 decks' Tree Pres Not Reqd
lsetofEnergyCalculations Addfi'on-irMicatei7orrsiteseptx system _On-siteSeptlcSystem
3 capies of Tree Preservation Pian if lot platted after 7/1193 ' - I
Rim Joist Defail Options safection sheet (bldgs wiUi 3 or less units
Date (?
Site Address Construction Cost
Unit/Ste #
Descriprion of WorkJ ' AC D W ?0
j
r-Q vvie
Multi-Family Bldg _ Y)? N Fireplace(s) 0_ 1 _ 2
Property Owner ? 01MQS L ukt kOlV 1FOW n?ef s &OC Ialk1 qelephone # (6?
Contractor "Pt-D l [9 v1 C ? f(jd '[ ) v" Cv'
Address
State ?p
;Zip r ?
City ?iodrrffT g?
• Telephone #CjlcdQ 5 q 3- r a? q
COMPLETE THIS AREA ONLY•IF
Energy Code Category - Minnesota Rules 7670 Categorv 1
(J submission rype) • Residentlal Venlilation Category 1 Waksheet
Submitted
• Energy Envelope Calculations Su6mitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672 '
• New Energy Code Worksheet
Submitted
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 5tate of MN
Statutes; I understand this is not a permit, but only an application far 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.
??$
App icant's Printed Name Applicant s 5ignahxre
? 513 ?-
2004 RESIDENTIAL BiTII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
??al,a5
New ConsVUCtion Reauiremenk RemodeVReoair Reauirements
3 registe2d site surveys showing sq. R of l04 sq. iL of house; and all roofed areas 2 copie,s of plan
(20% maximum lot coverage allowed) 1 set of Energy Calwlations for heated add'Nons
2 copies of plan showing 6eam & windaw sizes; poured found design, etc. 1 site survey for addiUons & decks
7setofEnergyCalculations AddlNon-indicateifon-sdesepLCSystem
3 copies otTree Preservation Plan i( lot platted afler 711193
Rim Joist Detail Options selection sheet (bldgs wifh 3 or isss uni4s
Date ? /g / LG C I ConstrucGon Cost C/C
Site Address l S?6 G e/t'1 S(_'i0_ G CUniUSte #
Description of R'ork
I'
Multi-Family Bldg ?-Y _ T
N Nireplace(s) Y? 0 _ 1 _ 2
Property Orvner
? ZGlcl Telephone #(o) qJ ?
Cootractor ?( . Ce
Address City /1& Wc/
State /V? 11A 50 Zip ?Lif7j.- Telephone :!
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- TvIinnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 su6mission type) Submitted Submitted
. Energy Envelope Calculations Submitled
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 #(
?
I hereby apply for a Residential Building Permit and acknowledge that the informatpp is complete and acqurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan f MN
Statutes; I understand this is not a permit, but only an application for a ermit, and work is not to start without a
permit; that the work will be in accordance with the approved plan iscase of work w' Y?c h requires a review and
approval of plans. ?
-Se
ApplicanYs rinted Name ?
N If so, 25% plan review
0 r3cz
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements RemodeVReoair Reauirements
3 registered si[e surveys showing sq. ft of lot, sq. R of house; and alf roofed areas 2 copies M plan
(200/a maimum lot coverage allowed) 1 set of Eneigy Calalations for hested additions
2 copies of plan showing beam 8 window s¢es; poured found desigq etc. 1 site survey for additions & decks
1 sef M Eneigy Calculatians Addttion - irMicate ifon-srfe septic system
3 copies of Tree P2servation Phn if lot platted after 711193
Rim Joist Detail Options selection sheet (61dgs with 3 or less unifs
Date b /
?L/ odq Constructlon Cost 4? ??CJ c C/CJ
-
Site Address 10.3 If-,lL'1,-jC)/
1 ?
CY\ UniUSte #
Descriptlon of Work ? ?? ?? G? ? ?
Multi-Family Bldg ? Y_ Fireplace(s) i 0 _ 1 _ 2
Property Owner L Lk r,(? ci t
--•,--?- (3_j r Telephone # (Z??) l L ?
Contractor
Address 5
State ?
Zip ti CitS
Telepho¢e
9"_ T _
7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Tvlinnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Resldential Ventilation Category 1 Worksheet • New Energy Cotle Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
N If so, 25% plan review
Telephone #(
Telephone #(
T
Sewer/Water Contractor Telephone #( ) i U4 p
i?
I hereby apply for a Residential Building Permit and acknowledge that the information is ,
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 pemut, but only an applicarion for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan ' case of work Z requires a review and
approval of pl ?
ApplicanYs Printed Name AppJ c " i ature
73 14
2006 RESIDENTIAL PLUMBING PeRnnrr aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
G?
Date /o?.1/ p,,
l
? Site Street Address Unit #
;I Property 0wner
? Telephone#
H.P. PIPEWORKS `-
Contractor 3670 DODD ROAD Telephone #( ) ?
Address EAGAN, MN 5512$ City
State I
Zip
7hl e APpiicant is: _ Owner XContractor _Other
Septic System _ New
Refurbished Submit 2 sets of plans and MPC license Includes County fee
_ $ 100.00
Per as-built $ 10.00
I Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. lf you are installing onlv a water soffener and/or wafer
; heater, do not complete this section; move to the next section and check the
appliance(s) you are installiny.
I
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5!8" meter is required)
Other
?
-
.
? Water Softener 1 Water Heater
$ 15.00
new y replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
I
State Surcharge
i
$ 50
I Total $ r ?' SO
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete ana accurate, tnat tne
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 r i d to be 4review and ap
I ? ApplicanYs Printed Name plicanYs ( 5- Sc,) H-D
?
?e zoos RESIDENTIAL PLUMBING PeRnniT aaPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675a675
Please complete for modifications to existing residential dweliings.
9 ?5. v?o
Date O52VJ 06 I WOJACK, MATTHEW
1528 B CLEMSON DRIVE
Site Street Address EAGAN, MN 55122 Ulllt #
• (651) 419-2456
Property Owner Telephone # ( )
Contractor Nor bt o-YYl PUu {'n bl n ? Telephone# ((niz) $?•'7-?1??,3
Address 2qD5 C-10,r-h eLd CityMDIS Stateffl il) Zipl?_Gqog I
The Applicant is: _ Owner V Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to ezisting dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing onlv a wafer soffener and/or water
heater, do not complete this section; move to the next section errd check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
/
Water Softener
Water Heater $ 15.00
! new ? replacement
Lawn Irrigation _RPZ _PVB ,new ^repair ,rebuild $ 30.00
State Surcharge $ 50
Total $
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 per work is njt to tart without a permit and work will be in
accordance with the approved plan in the event a plan is require?be rev? ed ?nd approved.
ApplicanYs PrinYe"d Name
r
For Office Use
1 I
Permit ~l
City of Ea
b I n, I
Permit Fee.
I
3830 Pilot Knob Road
• I I
Eagan MN 55122 I Date Received: v ,
Phone: 651 675-5675
Fax: (651) 675-5694 I Staff: ~2 I
I I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address.
Tenant: Suite 1
RESIDENT /OWNER Name: //lJ~a /yj,/~ ✓ /.<'~j Phone: LPG,
Address / City / Zip:
Applicant is: Owner Contractor
s
TYPE OF WORK Description of work:
Construction Cost: ~D Multi-Family Building: (Yes /No
CONTRACTOR Name: License
Address: ROOFING & REMODELING, INC.
4100 BLVD.
City: ►ff, I[ O UIS PARK, MN 55416 State: Zip:
Q5~_J/S_
Phone: ID OW1050
V Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting' documents that you submit are considered to be public information. Portions of..
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the -are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to rt without a permit; t t the work will be in
accordance with the appr ,,ran in the case of work which requires a review and approval of plans. /
x x
Applicant's Printed Name Applicant's ignature
Page 1 of 3
Oct. 19. 2009 8:53AM Sela Accounting No. $161 P. 2
f 1
'AMERICAN Y American Family Insurance Croup
.ru BWxrWDD1GfD8¢tiiNtlff'
THOMAS_LAKE_HOMEO WN2
Building
Exterior
l2ooflng
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 price Charge Taxes Cost Total Depreciation Value
This is a re t e building roof and no depreciation app
Fr -1 hit x 9.94sq x 1.0 = approx 10shingle repair
ght - 2 hits x 13.01sq x 1.0 - approx 26shingle repair
Left -1 hit x 9.94sq x 1.0 = approx 10sbingle repair
la - Remove 3-tab - 25 yr. - composition shingle rooting (per SH1NCLE)
46.00 EA $3.96 $75.91 $0. 0
lb - Replace 3-tab - 25 yr. - composition shingle roofing (per SHINGLE)
46.00 EA $9.52 5182.48 .09
2a - Remove Yumacc vent - rain cep 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 .20 $4.76
Totals $436.59 $9.85
Siding Formula Elevation 0" x x 0"
Subroom 1: Might area Formula Elevation 44' 6" x x 18'
Subroom 2: Right area Formula Elevation 10' x x 6'
861.00 SF Walls 861.00 SF Walls & Ceiling
54.50 LF Floor Perimeter
861.00 SF Long Wall 861.00 SF Short Wall 54.50 LF Ceil. Perimeter
Description Base Service Replacement Actual Cash
QtY Unit price Charge Taxes Cost Total Depreciation Value
This is a repair to the siding system and no depreciation applies
3a - Remove Siding - vinyl
861.00 SF $0.35 $0.00 $0. 5
3b - Replace Siding - vinyl
861.00S11 $2.83 $45.09 $84 9
4 - Replace );anfold foam insulation board -1/4"
861,00 SF $0.37 $5.89 $9 14
Totals $50.98 $9. 58
Fascia
Description Base Service Replacement Actual Cash
Qty Unit price Charge Taxes Cost Total Depreciation Value
THOMAS LADE 14OMP-OWNERS 00221149281 5121/2009 Page: 4
ASSOCIATION
Use BLUE or BLACK Ink
For Office Use
j Permit 1
City of Eap
Permit Fee: 3830 Pilot Knob Road
Eagan MN 55122 Date Received: 13 j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff. I
I I
W113 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:15a6 0Jefi-) scil b k- Unit M
Name: t~Y~aS Lu.t_& 1-6ryLe- 60-41"s Phone a"-70Y-7`y,
Resident! & /''1C)JV~t)~
( r
Owner Address /City /Zip: i QhaQ S~ C~ E.~
Applicant is: Owner 7- `Contractor
Type of Work Description of work: -ems-L~ ,t v"02 C C Si 4111 ii
Construction Cost: Multi-Family Building: (Yes No )
Company: ~~t Q P)OCC)►`-cl 0_,J Qe01a-1 trt4 tact: 1?r-L" ri 6,_
r
Contractor Address: ~f joD x) e_Ck:lov- p3tud city:, S4, L oLJ A 1C1'L
State: h Zip: Phone: , a off--
License ~CC> j U 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.-gooherstateonecall.ora
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.
Applicant's Printed Name Applicants Signature
Page 1 of 3
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 Vemolition 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
t52Ce 115-t~ C3, ~52~314, ~5 2g 8 CkQ'vNs'or1 b' T_
Use BLUE or BLACK Ink
I For Office Use 1
j Permit
City of Eakan I Permit Fee: C 7 1
3830 Pilot Knob Road I 5 S I
Eagan MN 55122 Date Received: 13
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 1 Staff: I
I I
- - - - - - - - - - - - - -
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: tr 1 I Site Address: 1 GZ `-P C6 elwv1 V NV t Unit
Name: 11~t11~ ~v4~ Phone:
Resident/ - ~o V) a - 1 ~
Owner Address / City / Zip:
f
Applicant is: Owner L Contractor
Type of Work Description of work: 2 u9 W R ~'~L OKI
Construction Cost: J ~200 - 0 ® Multi-Family Building: (Yes X / No
Company: ~c~ l a ~QQk-'I Qci an ,l K 21'1 VX L' I trt~ 14kontact: ' J , V 1
Contractor Address: city: _S4. LoLL C'ctr ~L
State: OA k , Z`ip: Phone: Q-- 1 ~/'S- -7,20
License n-,Loo 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 pen-nit 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.gooherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x V1 iAA d 5.~ x
Applicant's Printed Name App ' is ig ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160224
Date Issued:02/24/2020
Permit Category:ePermit
Site Address: 1526 Clemson Dr
Lot:6 Block: 02 Addition: Thomas Lake Heights
PID:10-75950-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ling Lau
1526 Clemson Dr
Eagan MN 55122
Hero Plumbing Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature