The URL can be used to link to this page

1527 Clemson DrC (s, 831 `rk ,t- K, 4A-s, HEAT LOSS ESTIMATE City or Villaye FORM t7-6900 ADDRESS 15-2,S1 Floor ? DatP ?Owner Phone NAME OContractor Heating 6ill to be paid Make of Plant _ GWA MWA GHW FHW S V UH SPACE Firepot ? 0 ? ? [' El ? ? Size Boiler No. Installed Radiation Type of Domestic Gas Equipment: Gas Ranges W. Htrs. (Input ) nry ers Hot Piates Remarks: ?r J' cet=? ? e..c..? o n Date Rec' Heat Loss Equipment to be Installed Checked By input gO C?5 Cert. No On Size Installed by • OK_ Sotd by ? ? , ? ServicP Renew NORTHERN STATES POWER CO. Wall CdNSTRUCTION Ceiling Floor • WEATHERSTRIPS INSULATION THICK_ TYPE ATTIC ? Windows Doors Wall Vented Yes-Na Yes-No Ceiling Yes-No FI. Room Length Width Height FI. Room Length Width Height FI. Room Length Width Height W INDOWS A ND DOOR S-CRACK AGE AND AREA No. W'dth of pane Height of pane No. of li hts Area sq. ft. inea t. of crack Coef. Btu Infiltration Door Infiltration Window Gross Wall Glass Net Ex . Wall Ceil. or floor Ceil. or floor Fireplace Total Btu Th , C.,e W-5 ; HEAT LOSS ESTIMATE City or Village ?.•?o FORM 17-6900 ADDRESS 1590 lal.,-0 0.or--•-?^-+*-I.,_ Floor -? Date J,-,e?-gj ?Owner Phone NAME LN-v?e OContractor ? Heating bill to be paid by FIRfT NwMfi INITIAL LAST NAM6 Make of GWA MWA GHW FHW S V UH SPACE Firepot Plant ? ($ ? ? ? ? ? ? Sixe Boiler No. Installed Radiation Type of Domestic Gas Equipment: Gas Ranges W. Htrs. (Input ) Dryers Hot Plates Remarks: __ 'lA_a_a_,r Date Checked Heat Loss Input ';Zr-I n!'Y"% Cert. No. Equipment to be Installed tn,aaz&h?'?-?.?a On Installed b Size Off y OK ?? !1 Sold by ServicP Renew NORTHERN STATES POWER CO. Wa!l CdNSTRUCTION Ceiling Floor • WEATHERSTRIPS INSULATION THICK- NESS TYPE ATTIC Windows Doors Wall Vented Yes-No Yes-No Ceiling Yes-No FI_ Room Length Width Height FI. Room Length Width Height FI. Room Length Widih Heiyht W INDOWS A ND DOOR S-CRACK AGE AND AREA No. Width of pane Height of pane No. of lights Area . ft. inea t* of crack I Coef. Biu Infiltration Door Infiltration Window Gross Wall Glass Net Ex . Wall Ceil, or floor Ceil. or floor Fireplace Total Btu L I& ? B. 3, Th, C.Kt'(?--? , HEAT LOSS ESTIMATE City or Viliage FORM 17-6900 ADDRESS 15?.4 ???y,pnrr? ? Floor / Date ?Owner Phone NAME (RContractor Heating bill to be paid by FIRST NAMH INITIAL LAST NAMH Make of GWA MWA GHW FHW 5 V UH SPACE Firepot Plant ? [m ? ? ? ? ? ? Size Boiler No. Installed Radiation Type of Domestic Gas Equipment: Gas Ranges W. Htrs. (Input ) ?ryers Hot Plates Remarks: 0 Date Rec'd Checked By Heat Loss Input ga G?C' Cert. No, Equipment to be Installed Installed by--,C ? Id y On `,M,?in Size "`i.' Off OK Service Renew NORTHERN STATES POWER CO. Wal! CONSTRUCTION Ceiling floor - WEATHERSTRIPS INSULATION THICK- NESS TYPE ATTIC Windows Doors Wall Vented 'i Yes-No Yes-No Ceiling Yes-No ' FI. Room Length Width Height FI. Room Length Width Height FI. Room Length Width Height W INDOWS A ND DOOR S-CRACK AGE AND AREA No. Width of pane Height of pane No. of li hts Area sq. ft. inea t. of crack i j I Ccef. Btu Infiltration Door Infiltration Window Gross Wall Glass Net Ex . Wall Ceil. or floor Ceil. or floor FireplaCe Total Btu 1_71 B Lin (+t- HEAT LOSS ESTIMATE City or Vitlage C?a m? FORM t7-6900 ADDRESS 1'?j Floor ? Date Ca-8 ^S f ?Owner Phone NAME ^^^ ^ ? i4Contractor Heating bill to be paid by FIRET NAME IMITIAL LAST NAhl6 Make of GWA MWA GHW FHW S V UH SPACE Firepot Plant ? F21 ? ? ? ? ? ? Size Boiler No. Installed Radiation Type of Domestic Gas Equipmeni: Gas Ranges W. Htrs. (Input ) nryers Hoi Ptates Remarks: `Y) a_A_ , v , Date Rec'i Heat Loss Equipment to be Installed Installed by_ 6A n Id by Checked By Input $.L?cNcgn? Cert. No On Main Size Off 1 Renew NORTHERN STATES POWER CO. Wall CUNSTRUCTION Ceiling Floor ' WEATHERSTRIPS INSULATION THICK- NESS TYPE ATTIC Windows Doors Wail Vented Yes-No Yes-No Ceiling Ves-No FI. Room Length Width Height FI. Room Length Width Height FI. Room Length Width Height W INDOWS AND DOOR S-CRACK AGE AND AREA Na Width of pane Height of pane No. of lights Area s. ft. inea t. of crack Coef. Btu Infiltration Door Infiltration Window Gross Wall Glass Net Ex . Wall Ceil. or floor ' ' Ceil. or floor Fireplace Total Btu (gtr#ifirtt#t uf (Orrupanry Ctp of (Eagan Eppwcbnpltx Df l1titbtltg jtiB}1Pt"tZDtt Tbi.s Certi ficate it.rremd parsaaat to tbe nqrurancnts of SrctioR 306 of rix Une fom Buildixg Ca* artifring tlnu at t!x tixu of iisxana'tbis .urwctrm wa.r in cmnpliancc with tix varioru ordixaxcu o f t6e City ngxlaiug bWding uoawrnctioa or xre. For t{x f ollowing: tho clandfico„ 1 of 4 PLEX Nkftrm N,, 6699 my: Heiqhta Dim.; ,Tine_ 4+ 1982 POfi IM 11 OOMYICVOYS !'LAC[ Oaua N1 F. i 4_ ' CITY OF EAGAN 3795 Pilot Knob Road Eagon, MN 55121 N2 6700 ? PHONE: 454-8100 BUILDING PERMIT Receipt To be osed ioe Est. Value Dcte , 19 5ite A ddress Erect [] Occupancy Lot Block Sec/Sub. "? • Alter ? Zoning Parcel # Repair ? Fire Zone Enlorge ? Type of Const. c a Name Move ? # Stories W Z qddres, Demof ish ? Front -- ff. 9 Ci ' Phone ? Grade p Depth ft. °C 0 Name V? ?fe? Assessment _ ? Ci ph Water & Sew. ? Police F? Na? - Fi F W re ? Address Eng. U <'Z" C Phone Planner Council I hereby acknowledge thot I have read this opplicution ond state that Bldg. Off. _ the informotion is wrrect and agree to comply with oll opplicoble State of Minnesota Statutes and City of Eogan Ordinances. ^? Fees Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total Signoture of Permittee - I A Building Permit is issued ta on the express condition that oll work sholl be done in nccordance with all opplicable State of Minnesota Stotutes and City of Eagan Ordinances. Building afficlol ? POea+k # oah Iwnd P?eslNw Plumbing Mechanical C ?JE'.c--kf"cr.. ., S Q (? l c INSPECTIOIVS DATE INSP. Rouph-In Finol Footings Data Date Iruc. Foundation Plumbing Frome/ins. i Mechanicol Final ' - ? ? r A5 RemaFksw. ?.? • \ ? ?..1 ? . ._ . _ _ .. _ _ ? CITY OF EAGAN , 3795 Pilot Knob Rood Eogan, MN 55122 '? • PHONE: 4548100 BIJILDING PERMIT Receipt # N° 6699 To be uted for 1 Est. Value Date 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repoir ? Fire Zone Enlorge ? Type of Const. W. Name E?' , Move ? # 5tories 3 Address 2345 'i. ?t. Demolish ? Front ff. b r,+.. •->>1 Fi511 ??..,..,. ,.. _;'''":1 Grade I-1 DePth ff. cc 0 Name •,'?: `'`1' r+pprvram U Assessment - ? Address . ~ Ci Phone Water & Sew. ? Name Police F F W ire Address Eng. iL Ci Phone Plonner Counci I I hereby acknowledge that I hove re¢d this application and state that gld9, O{{. _ the information is correct and agree to comply wlth all applicnble State of Minnesoto Stotutes and City of Eagan Ordinances. APC Permit Surcharge Plan check SAC Woter Conn. Water Meter Road Unit Total Signoture of Permittee I A Building Permit is issued to: on the express condition that all work shall be done in acwrdance with all appliwble State of Minnesota 5tatutes and City of Eagan Ordinances. 8uilding Official f Pannif # Dah Ipnad IwoiltM Plumbing ry - i 11@C.- Mechanicol ?- cca.1 INSPECTIONS DATE INSP. Rough-In Fi FoOtingS Dme Insp. Date l sp. Foundation Plumbing • . Frame/ins. 4 Mechanical Final 7 Remarks: Cs . • tiTY OF EAGAN 3795 Pilot Kno6 Rood Eagan, MN 55121 N2 6698 i ' PHONE: 454-8100 BUILDING PERMIT Receipt #k _- To be ond for Est. Volue Date 19 Stte Addreu Erect ';a Occupancy , Loc Block Sec/Sub. " Aiter ? Zoning Parcel # - . - -i ,, -. ", ? • Repoir ? Fire Zone Enlorge ? Type of Const. L? ? W Name ?ET"'• ?-??."'? Move ? # Stories Z Address Demolish ? Front ft. I ? r.... . P8iL1 `> 7? 'i eL..__ /.?-` 3- Grade fl Depth p Nome ..r?.... ... . ?.._ ? u? Address Assessment - - Permit Water & Sew. , Surchorge ~ Ci Phone Police Plan check _ ? pZ Name Ftre ?" ,•' SAC x? Address Eng. Woter Conn. aW G Phone Plnnner Water Meter Council Rood Unit ?'? 5•?'r? I hereby acknowledge that I hove reod this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Totol State of Minnesota Stotutes and City of Eogun Ordinonces. Siynoture of Permittee A Building Permit is issued to: on the express condition thct ofl work sholl be done in occordonce with all opplicoble State of Minnesoto Statutes ond City of Eagon ardinonces. Building Officiol Iermit # paM InM/ P?ewMlN Plumbing 2 ' I°,S-0 CU0., Mechunirnl :z _ti `7 - L` g` ?cl- l.Lf a N i? l ZIEc rIL'c,. l T4.2M 3 (o-r( - E( F!( ?c ( INSPEC'TIONS DATE INSP. Rouyh-In Finol Footi ngs Dote 1 - Dote 1 Foundation Plumbing ? Ogg? - ? Frame/ins. Mechonionl -- Finol (0 PE y- ?S P Remorks: 7 ? F" F/ f --?x w o-? ? -" • CITY OF EAGAN 3795 Pibf Knob Road Eogan, MN 55122 N? 6697 PHQN E: 454-8100 BUILDING PERMIT Receipt ,# ? ? To be und for Est. Value Date , 19 Site Address Erect ? Occupancy Lot ! Block Sec/Sub. Alter ? Zoning Parr-el # Repair ? Fire Zone Enlorge ? Type of Canst. aWe Name Move ? # Stories Z qddress . Demolish ? Front ft. g Cih, phone Grode p Depth ft. o Neme _ HF ?? Address !- r:... Name _ Address Fees I hereby acknowledge that I hove reod this application and stote thut the information is correct and agree to comply with oll opplicuble $tote of Minnesota Statutes ond City of Engon Ordinances. Water & 5ew. Palice Fi re Eng. Planner Council Bldg. Off. _ APC Permit Surchorge Plan check SAC Water Conn. Water Meter Road Unit Total ' Siynature of Permlttee I A Buiiding Permit is issued to: on the express condition that all work shall be done in nccordance with all appliwble Stute of Minnesoto Statutes and City of Eagan Ordinances. Building Official r .. • - ? P?nak # peN IM"d PawitlM Plumbing Mechaniwl MEc C iccL Y?s'S? Co-(( - F(c ? Lcc , INSPECTIONS DATE INSP. Rough-In Final Footings (p `.3-5? ? Dote I Insp. Dote a. Foundetion Plumbiny Frame/ins. /-V Mechanical Fincl - + - ? ?? ?? Dsp Remarks: 2, G_ ?/ 1 o crnr oF EaG?N 8795 Pilot Knob Road Eagan, MN 53122 N! 6700 ' i PHONB: 454.8100 BUILDING PERMIT APPLICATION Receipt # To be uted for 1 oP 4 PLEX Est. Value 36,QW Date J1me 3 , 19..$3_ 5(te Address 1529 B ClPma= va Erect [N Occupancy-$3 Lot 17 Block3_ SecfSub. Th(=8 Lk. At8• Alter 0 Zoning pp parcel # 10 75950 170 03 Repolr E] Fire Zone uk o,a,e Name Z3 Addre b e o 0, Nome ;,? /lddre r?... 1 hereby acknowledge that I hove read this application and state that the information is correct and cgree to comply with ull applicable State of Minnesota Statutes and City of Eagan Ordinonces. Enlarpe ? Type of Const. 0 Move p .# Stories Demolish ? Front 1,2 ft. Grode fl Depth 22 ff. Water & Sew Fire Eng. Plonner Councti Bldg. Off. APC Permit 1U70 7V 5urcharge lg•OO Plan check 52.75 sAC 525.04 Water Conn. 335,00 Water Meter 60•oo Rood Unit 185.00 Totol 1 ?1-25_ Sipnature ot Pertnfttce I A Building Permit is issued to: Raw HagEri HmeB on the express condition that all work shall be done in accordance with ull appliwble State gFjMinnesota Stntutes end City of Eogen Ordinances. Building Official CITY OF EAGAN . i 3795 PUot Knob Road Eogan, MN 55122 N! 6699 - lk? PHONE: 454-8100 BU(LDING PERMIT APPttCAT10N Receipt # o?"`sb°Z 7 ix Nome W Z g Addre slak 3 I hereby ackrawledge that I have read this application and stnte that the information is correct and agree to comply with all applicable State of Minnesoto Stntutes and City of Eagon Ordinances. Signoture of Permittee A Building PermiY is issued to: llam8 Wen Homes oll work sholl be done in acwrdance with all applicable St of Min Building Official Erect m pccupancy -R,_;? Alter ? Zoning PT} Repoir 0 Fire Zone N-A Enlarge ? 7ype of Const. 3r AAove ? # SYories Demolish p Front 42 tt. Grode ? Depth 22 ?'• Aooro vala Fees Water & Sew Police Fire Eng. Council Bldg. Off. APC Permit 1U7.7U Surcharge lg-M Plan check52.75 SAC 525.00 Water Conn. 335.00 WoterMeter 60.On Road Unit 185- ? -. Total 1281.25 and conditfon that Reaeipt MECHANICAL PERMIT Pennit No. r-- CITY OF EAGAN Fee , . - ? Fill in numbered spacars S/C -` Type w Prinr /egibly T aL 1. Date ' 2. Installation Cost 3. Job Addreas Lot Blk. Tract 4. Owner - ' 5. Contractor " Phone " 8. Address • ; ?- - 7. City f State .. _ Zip S. Building Type: Residential Q Commercial ? Institutional ? 9. Work Description: New ? Add 0 Alter ? Repair ? 10. Describe Fuel Type 11. No• EquiitmenL 8TU - M. Ea. Forced Air No. Eauiament CFM Mfg. Air Handling: Boi lers Mfg. Mech. Exhaust ' Unit Heater Mfg. : Oth Air Cond. er Mfy. . s,., Gas, Piping Outlets 12. I hereby oertify that tha above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rouyh Fln ? Inapections: Date Insp. DateJY?-lnsp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Rscsipt '? •? ? MECHANICAL PERMIT Permit 1110. CITY OF EAGAN Fee '? . 01 F/ll in numbsned spacets S/C .50 Type or Print legiblV , Tot 1. Date 2. Installation Cost N' 3. Job Address .5'9 S. C1 e?,'ISt?!LopT'. Blk. Tract Wo a. owner Dean Nelson -(o $ ?_ 335 5. conuaaor Wenzel Mechanica' Pho„e e. Addre:: 1600 KennAbx Drive 7. City Edgan State MN Zip ` 51 ;?t' 8. Building Type: Residsntial EK Commercial ? Inttitutional ? 9. Work Description: New V Add ? Alter ? Repair ? I 10. Desaibe 31 r:'old lt1 nner Fuel TYPB I 11. No• EquiniIlepL STU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handliny: Boi lers Mfg. Mech. Exhaust Unit Heater Mfg. : O h Air Cond. er t Mfg. Gas, Pipinp Outlets 12. I hereby certify that the above information is true and correct, and I agree to wmply with all ordinances and codes governing this tYpe af work. Signed : for Rouyh 1 Inspections: ' 1 Date Inap. Date s-O?Tnsp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No, CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egibly Tot. ; , 1. Date (' 2. Installation Cost 3. Job Address LoL Bik. Tract 4. Owner , 5. Contractor Phone 6. Address " ;7tr 7. City State Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New,4 Add 11 Alter ? Repair ? • ' J i ?i i 10. Describe v 1 11• No, - Fixtures Water Closet No. Fixtures Ce l/D fi i ld Bath tubs ra n sspoo e i S T k Lavatory ept c an Softner Shower W ll Kitchen Sink e Urinal/Bidet Oth ? Laundry Tray er ? 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 ordinancet and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. ?,This.is your permit when numbered and approved. ?4pproved CITY OF EAGAN 454-8100 . Raceipt 1. Date -1?- Permit No. Fee S/C T_ Tot 3. JobAddress c_'_cr'i5a^. Lot 1, '' Blk. Tract '. Llc. : 4. Owner r:n9 Har'ep HomeS 5. Contractor ;, ?. r' n ., • Phone '- 6. Address 7. City ' State Zip 8. Buiiding Type: Residential D Commercial ? Institutional O 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe t Fuel Type :"+. t . I 11. No. EquiQment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outleu I 12. t hereby certify tfiat the above information is true and correct, and I agree to I comply with all ordinances and codes governing this type of work. Signed : for Rough Flnal , Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Piint legib/y 2. Installation Cost Receipt PLUMBING PERMIT CITY OF EAGAN Fil1 in numbered spaces Type or Print /egibly 1. Date - ' 2. Installation Cost Permit No. Fee S/C Tot. tK1 3. Job Address , ??'°?1 Lot Bik. Tract • a i f 4. Owner ?i : . ' '? " ?%, . ? •_ ?- ;' r 5. Contractor Phone 6. Address `? v' ??_?.r ?:2 /....? - t < ?, -' -•? ? 7. CitY State Zip 8. Building Type: Residential 0- Commercial ? Institutional ? 9. Work Description: New ?l Add ? Alter ? Repair ? • ? / ; 10. Describe 1 11• No, " Fixtures Water Closet No. Fixtures fi C l/D i ld ' Bath tubs e esspoo ra n Se tic T k Lavatory p an ft S ? Shower ner o W l I Kitchen Sink e Urinal/Bidet Laundry Tray Other 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 compty with all ordjnances and codes governing this type of work. Signed : . for Rough Final Inspections: Date Insp. Date Insp. S This is your permit when numbered and approved. ? App ;oved CITY OF EAGAN 454-8100 Reoeipt 1. Date '-12-81 MECHANICAL PERMIT CITY OF EAGAN FiIJ in numbered spaces Type or Print legibly 2. Installation Cost 3. Job Address 15: Perrnit No. Fee S/C Tot. ° Lot Blk. % Tract ? 4. Owner •`iaT1s F-egen I'.omes 5. Contractor ttrban Htp. & A./O Phone 'j','7_I3%? 6. Address :? t2 7. CIty .ci28L@ ?" ' Zlp r,?j? 8. Building Type: Residential Q Commercial ? Institutional ? 9. Work Description: New GJ Add ? Alter 11 Repair ? 10. Describe Fuel Type - 1 11. No. Equinment BTU • M. Ea. Forced Air No. Equipment CFM Ai Handlin : Mfg. r 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. 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 /egibly , Tot. ? 1. date ; - 2. Installation Cost -` > 3. Job Address,/' Lot Blk. ? Tract 4. Owner r , } 5. Contractor Phone --7 6. Address ` ' - f ? ??'? ?, , .• ; 7. City State z i ;!Z Zip 8. Building Type: Residential M Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 1 11. No• ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank ' Lavatory Softner Shower Well Kiichen Sink T ' Urinal/Bidet Laundry Tray Other % 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 o?dinances and codes governing this type of work. Signed : - _ - ' r ~lfor Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Raceipt MECHANICAL PERMIT Parmit No. CITY OF EAGAN Fee Fill rn numbened;peces S/C Type or Print legib/y T t o . 1. Date 2. Installation Cost 3. Job Address 152713 Clemsot Lot 1/ Blk. - Tract `:. I 4. Owner 1.,3I15 t±8;'eri N01'ic ' 5. Contractor - I. /: Phone 6. Address 7. City State Zip 8. Building Type: Residential Q Commercial ? Institutional ? 9. Work Description: New Ll Add ? Alter O Repair O ! 10. Describe I 11. Fuel Type 'at. r1ao No. Equioment 8TU - M. Ea. Forced Air No. Eauipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mf9• 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 Receipt PLUMBING PERMIT Permit No, CITY OF EAGAN Fee Fill in numbered spaces S/C ?- Type or Print legibty L Tot. ? '- 1. Date 2. Instaliation Cost 3. Job Address kj.?'7 Lot Blk. , Tract ' 4. Owner r4, ? 5. Contractor _ , ?faf? •:L i??'-? Phon e 6. Address 7. City State Zip 8. Building Type: Residen tial EJ Commercial ? Institutional ? 9. Work Description: New Cn Add O Alter D Repair ? 10. Qescribe ?-' 1 11. No. - Fixtures Water Closet No. - Fixtures ? Cess ool/Drainfield Bath tubs p Se tic Ta k 1 Lavatory p n Saftner Shower Well Kitchen Sink Urinal/Bidet L.aundry Tray Other Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree tn 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 Receipt MECHANICAL PERMIT Psrmit No. CITY OF EAGAN Fee , fiU in numbered spaces S1C Type or Print /egibly Tot. • 1. Date - -' 2. Installation Cost 3. Jab Address Lot ? Blk. Tract 4. Owner ., T?A??r 5. Contractor ?tuhtl7rban Iit? . << Phone - - '' '- 6. Address i;ritP "e?3?' 7. City -?f State ? Zip - 8. Building Type: Residential C1 Commercial 0 Institutional ? 9. Work Descr iption: New Add ? Alter ? Repair ? 10. Describe Fuef Type 1 11. No, Equioment B TU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final , Inspections: Date Insp. Date Insp. . This is your permit when numbered and approved. 'Approved CITY OF EAGAN 464-8100 -? IN5PECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: G?'?!,;i { Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I ? ?t?i'I,i , i ?ot t dIF t ?zt) ( `; 1 •. ! .' ? ,i ?ie; :,t?KF? l PERMIT SUBTYPE: TYPE OF WORK: RFFInri1 ( "sri,rN ci/1r:imy ? J ? RtM4ANk'S? tNt:1t1f1P 8 16?7--8 (I01 14) tt-.?9 {l.nC 1i?) 152q-H 41.0T 771 i'fi-M???N f1Ft Pertnk No. Permit Holder Date Tetephone r ELECTRIC PLUMBING HVAC Inapoctlon Data Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PIUMBiNG PLBG AIR TEST ROUGH HEATING GAS SVC TEST iNSUL GYP BOARD FIREPLACE FIREPLACE A1R TEST FINAL PLBG F{NAL HTG ORSAT TES7 BLDG FINAL BSMff R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Addition Lot 1$ Blk -".?-Paroel 8]n 7racn 1 rn owne. scrwc 1527 Clemson Drive scate Eagan, MN 55122 " J . Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 223.77 A010585 9-18-81 STREET RESTOR. GRADING 5AN SEW TRUNK y ' *SEWERLATERAL 1981 314.09 251.28 A010585 9-18-81 WATERMAIN *WATER LATERAL 1981 WATER AREA 'f STORM SEW TRK 1981 291. SS A010585 9-1$-$1 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET UGHT Road Unit WATER CONN. HUIIDING PER. 6697 SAC PARK CITY OF EAGAN Remarks Addition 'l'hcrm?s i.akp H Pi ghs Aciriiti rm Lot 14 elk Parcel #10 759Sn 140 (703 Owner h1j (s'.", i1-t 4: f(1 6i `d.1 s:r,at 1527 B Clemson Drive State Eagan, MN 55122 Improvement Date ount Annual Years Peyment Receipt Date STREET SURF. ?. 223.7] A010643 10-8-81 STREET RESTOR. GRADING V SAN SEW TRUNK 973 ' *SEWER IATERAL 251.28' A010643 10-8-81 WATERMAIN *WATER LATERAL 1 81 WATER AREA ]") STORM SEW TRK 291.55 A410643 10-8-81 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGhfT Road Unit 185.00 25026 6-8-81 WATER CONN. 33$.00 25026 6-8-$1 ' BUILDING PER. 6699 SAC PAR K I CITY OF EAGAN Remarks Addition Thamas i.aka Pigbts Addi ien Lot 16 eik ? Parcel #10 75940 160 05 o,,,,,1ef street 1529 Clemson Drive staLe Eagan, I4W 55122 , Improvement Date Amount Annual Years Payment Recefpt Date STREETSURF. 97971 94 5 5 167.83 A011259 7-13-82 ? STREET RESTOR. - - - GRADING ' SAN SEW TRUNK / 97 9y ' c *SEWER LATERAL A 7-13-82 ' WATERMAIN *WATER LATERAL 1981 WATER AREA ?J 1 aZpKi STORM SEW TFiK 1991 112-17 20-87 270.73 A011259 7-13-82 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT R WATER CONN. SUILDING PER. 6699 SAC PARK CITY OF EAGAN Remarks Addition ThiifiAS i,akP HPighr.c A A'tinn Let 17 Blk ? Parcel #ID 7S950 170LQ? Owner-?? Jh straet 1529 B Clemsom DT3ve state Eajtan, M 55122 Improvement Date Amaunt Annual Years Payment Receipt Date STREETSURF. 1981 279.71 SS 167.83 AO 069$ 10-22- 1 I STREET RESTOR. GRADING SAN 3EW TRUNK /f 73 ?,?,?• *SEWEFLATERAL 1981 314.09 62.82 5 188.47 A010698 10-22-81 WATERMAIN *WATER LATERAL 19$1 WATER AREA y Qya(, I 5TORM SEW TRK 1981 312.37 20.82 15 270.73 A010698 10-22-81 *STORM SEW LAT 19$1 CURB & GUTTER SIDEWALK STREET IIGHT RoadU' -- WATER CONN, BUILDING PER. SAC PARK C fY OF EAGAN 3795 Pilot Knob.Rood Eogan, MN 55122 ? Address: ber. _ r No.. er No,: es to eomply with fhe Citr of Eagan ?GAN SEWER SERVIC E PERMIT Cll'Y OF EAGAN SEINER SERVICE PERMIT ? Knob Roed PERMIT NO : 3795 Pilof Knob Road PERMIT NO.: ?gon, MN $5122 . DATE; 122 MN DATE: zoning: 55 Eogon, _ - No. of Units: . of Units: No ` Owner: Zoning: . _ ??r? Address: ress: Add - - - Site Address: Site Address: _ r•1 : l ,' ,.. _ . . - Plumber. Pl b um er: . ?, , , ? - - • 1 a9raa fo eomply with Ha Gt oi Ea Y Ea gan O?dinanee Connedion Charge: 1 agne to eemph? wlth the CiFy of Eagan Connection Charge: s. Actount Deppsit: count Deposit: A ?i?n?, c Permit Fee: Permit Fee: Surcharge: Surchar e: BY g Misc. Charges: Chorges: Misc Date of Insp.; gy . Totol; Total: InSP" Dote of Insp.. Dnte Pold: WATER SERVICE PERMIT CITY OF EAGAN WATER SERVIC E PERMIT PERMIT NO : PERMIT NO.: 3795 Pilot Knob Road . DATE: Eagort, MN 55142 DATE: No. of Units: Yoning: No. of Units: - `-- Owner: --- -- e Add : - ? • ? 7 j" ?' r ss ,,, Site Address: • . 3 -. ? ? ' ?ig., .. tB • Pl umber. Connection Chorge: Meter No.: Connectlon Chorge: Account Deposit: S?ie: Account Deposit: Permft Fee: Reoder No.: Permit Fee: . Surcharge: 1 agree to eoe+PlY wifh the City of Eagan Surcharge: Misc. Chorges: Ordinaece?. Mist. Chorges: Total: Total: ' ? B Dute Paid: Dote Paid: Y s : f I D Insp.: Insp.: p. n ate o i CITY OF 3795 Ptl CITY OF EAGAN WATER SERVIC E PERMIT CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: 3795 Pilot Knob Road PERMIT NO.: Eas, n, MN 55122 DATE: Eogan, MN 55122 DATE: Zoning: _ No, of Units: Zoning: No. of Units: Owner; Owner: Address: _ Address: Site Address: c: 1" tot?, . ' Site Address: Plumber: Plumber: Meter No.: i C C _ onnect on harge: Meter No.: Connection Charge: Size: Accaunt Deposit: Size: Account Deposit: Reader No.: P i F erm t ee: Reader No.: Permit Fee: 1 ogroe w eomply with tha Ciry of Eagon Surcharge: 1 ogroe to eomply wlth the City of Eagan Surthorge: Ordinoncea. Misc. Charges: Ordinanees Misc Charges: T l . . oto : Total: BY Dote Poid: By Date Paid: Dote of Insp.: Dote of Insp.: Insp.: f,ITY OF EAGAN SEWER SERVICE PERMIT CITY 1JF EAGAN 3795 Pilot Knob Rood PERMIT NO.: 9795 Pilo! Knob Road Eagan, MN 55122 DATE: Ecgcn, MN 551Z2 Zoning: No, of Units: Zaning: Owner: Owner: Address: Address: -- Site Address: Site Address: PL -F.nr• Plumber: 1 ogree to eomply with the City of Eagan Ordinances. By Date of Insp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - TOtOI: Date Poid: ogroe to comply with the City of Eagan of Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Chorge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: T.,t.,l• ? Date Pald: Minnesota 5tate Board of Electricity Griggs Midway Bldg. - Room N781 7821 University Ave.. 5t. Paul, Minn. 55104 - Phone 297.2111 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS RE[IiIEST EB-00001-02 ?2 5-0 T 42554 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range ? Temporazy Wiring Duplex ? ? Water Heater ? ? Lighting Fixtures -t. $Idg. ? ? ? Dryer ? Electric Heating ? nmercial Bldg. ? ? ? Fumace ? Silo Unloader ? )ndustrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ? Farm ? ? ? Lisi List Other ? ? ? p Heiers? nehers? COMPUTE INSPECTION FEE BELOW Seivice Entrance Size: # Fee FeEdersBcSubfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres - 101 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres Abov 200 m T s m Above 100 Amps. Remote Control Circ. Above 100 Amps. Paztia] or other fee S Special Ins ection Minimum fee $ Rem s ? TOTALFE 3,i'j i, tne r-lectncal lnspector, hereby (Final) This request void 18 months from This req?esi void L17' B?' C.o`? (?S ? 18 months from hasbeen m e. Date / - Date a-31 SC> Date o this Request K1 ? 3`iq Fire No. T42854 I, a Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electni- cal iring installed at: F- Street-Address or Route No. :. _.on Township Range County W-m Which is occupied by 405 qk4tj qbK,S (Name of Occug Is a roughin inspection required on this job? No ? Yes DC Ready Now D Will Call 6? Power Supplier 1L* Address Electrical Contractor ? CLC- (TN'" Contractor's License No" 54- Mailing Address Authorized Phooe No. 890•?f STATE BOARD COpY This inspaetion request will not be accepted hy the Ststa Baard unless praper inspection fee is enclosed. a BUILDING PERMIT APPLICATION N? 6697 Receipt 4 •?`?°?? To be uaed far 1 Of 4 PI,EX Est. Value 36.000 Date Ttmr± 3 , I9m- Sife Address 1527 Clemson Drive Erect ? Oc[upancy R3 Lot _.11- Block 3_ Sec/Sub. T11n11111g ?•k_ HLS, Alter ? Zoning PD Parcel # 10 75950 150 03 Repalr ? Fire Zone P1A Enlorge ? Type of Const. V W Name H8T18 Aa?en Homea _ µo" C] # Stories -- Z Address 2345 N. Rice St. 55113 O Demolish ? Front 42 sr. & St. p8111 Phone 483-0801 Grade ? Depth 22 ft. ? Nome ()SmpP APProrals Feet 0 o? Address AssessmentA..??g. Permit • V Water & Sew. Surcharge ?'8•? ? Ci Phone Police Plan check 52.75 0W Name OwmT Fire 535.00 SAC Fw iz Address Eng. Water Conn. 335. 00 <w Ci Phone Planner WaterMeter 60•00 Council Road Unit 185.00 I hereby ocknowledge that I hava reod this application and state that gldg. Off. the informafion is correci and egree to comply with oll opplitable APC Total ?81.25 State of Minnesota Statutes and City of Eagan Ordinonces. Signoture of Pertnittee A Building Permit is issued to: HT18 Mmen ADID28 on the express wndition that mnewta Sto of Eagon Ordinonces. f ? 1 all work shall be done in acmrdante with all appliwble State o , ? J ? I Lz ? Buildin9 Offlcial r`y?'9 e e ? - _t CITY OF EAGAN 3795 Pilot Knob Racd Eagan, MN 55124 PHONE: 454•8100 F:i,ins, ` 1 site plan w/e]evations 6 IIUTIDI!,X; pERMTT pPPLIG%kTION 1 1 set of ernsgy calculatior 6? 'Ib f3c Lsec3 Foz (ykJ pp Valuationp,3te --S -ZS -S? ---- ? ite Address: /S2'7 CLE?Son/ DRI?C UJt lS B10dC ? SE'CC./Sub. i4tMRS LAKE E?E-?'t ? Neivrrs arre2 ii Alter : /?_ZS95C.7 15D /?3 Repair Owmer: 14a1.1S NAoen1 unnn? Enlazge - Mwe Address: 7-345 t.1, Rke-E Sr2t'L7- Dariolish City/ZiP Code: 57. PKv L rr.r1. ssfi3 Grade Dccupa Zoning Fire Zoric Type of,ODnSt. A Stories FYont ft Depth o2? ft Fhon2 k: 4 'b`3 -6 f3 O 4 APPPIJVAIS Contractoz: 4J<tA s !-lAG?E:K1 1?nn? Address: SAd?? City/Zip Code: Phone #: Arch•IEn4• = &nl s HAC>t?( ?{OM? Address: g p? ?E Ci=y/Zip Code: RssessTents aa _61-4,L- water/SeNer Polioe Fire En9 • Plaruier Council Bldg. Off. APC Perntit 10,5-AR Surcharge Plan Check S1aC Water Conn. ?- Water Meter o Road Unit OFFICE USE OPII.Y Phone #: 70TAL / ?- 8- 1 , Z j ? BUILDING PERMIT APPLICATION Site Address 17G / D lilP.z180I1 1!i'lY2 Lot 14 Block 3_ Sec/Sub. T1fOIDfi6 Lk- HtS, Parcel .# ],Q 75050 14f1 4 ? Name nunB nugen nomes Z Address 2345 N. RiCB St.. r,.,. St. Paul 55113?,...a p Nome _ 0 ciQ Address rc Name Owner Address I hereby acknowiedge that I have reod this opplication and state that the informotion is wrrect and agree to comply with all opplicable State of Minnesota $tatutes and City of Eagon Ordinonces. N? 6698 Receipt .fk o;?'SDa? Erect 3M ' Occupancy Alter ? Zoning PD Repair ? Fire Zone Ns Enlarge ? Type of Const. ? Move ? # Stories Demolish ? Front /y2 k. Grade ? Depth 22 fr. Approvals Feea Water & Sew. Police - Fire Eng. Planner - Council _ Bldg. Off. _ APC Permit 105.50 Surchorge 18•00 Plon check 52.75 SAC 525.00 Water Conn.395.00 Wnter Meter An"nn Road Unit 185-00 Total -7 9Rl _ 95 Signature of Permittee ? --- I A Building Permit is iuued to: HHEme BHgen AnmuB on the expreu condition thot ull work sholl be done in acwrdance with ull applicable Stare o innesotu Statut s and City of Eagan Ordirronces. Buiiding Offkiol ?p CITY OF EAGAN 3795 Pilot Kno6 Reod Eugan, MN $5122 PHONE: 454$100 5EL - - 1 sitc plan w/elevations 6 E3U7IDINC; Pt:F2MIT A+^f'LIGITTON set of enezgy calculatia 'Ib IIc L'scK: For &JAo valuation Datc F', -28-?d - Site Iddress: /527 B f_[.c-hnso^l DR(clc OFFI(E USE ONLY I.ot fllocx 3 sec./sub. T?( onnas c.AKE Emct _;< occupax.y 11'3 _ ,5?d Ot cxLTS Alter ?onin Paroel 95? / Repair Fire Zonc E ilarge 'lype of Const. 77l- Qaner: 4AS NAGcnf Kor?eS Pdr'_ress: 2-S4s fS, R(e-E City/Zip Code: sT, ?AUL n.?nl• SS/f3 Phorie # : 48s -O 8 6 f ContraCtOf: ttAIJS I(A6E,,1 HOMES Adcress: SP<N?1?- _ City/Zip Code: Pharie #: Arch./tr? Address: .I/Zip Cit: Phore #: Nbve - q Stnries ? Dvrnlish f'ront f Grade DePth f APPRL7VAI,S FEES Assessments ? Pexmit /O,"? wster/Sewer Surcharge J Fr? ? Polioe Plan Check 5 a ' ?- Fire SAC ? gng, Water Conn. 335? Planner Water Meter Catuicil RAaa vnit Bldg. Off. APC 'Il7tAL /?-? ->S- ? ?? ? ,57 'Ib I3C , J, (:lllu- - I 1 site plan w/elevations b 1vF `k p?eh IIUIIDINX: PI7*1TT APPI.7GTTTON \'+ 1 set of errsgy calculatia USC`(: FOf QC*D _ V11U3C1Of1 v/u ' ' S i te Ac3dms s: / 5z5 14L'-NAsa D/L/cC6- toc Idy_ Fllodc 3 sec./sub. Parcei a: a+ner: ?tiIS FIA _c?t/ 1(dnti? Pck:ress: y?¢K ?.I 2t STREFT City/Zip Coie: 5? PAU L AAn/, 5323 Phone ¢: 4t3 -0861 Contractor: Ua.I s AC,EI 1bnks-5 Fdcress: S&nn!?, Citf/Zip Code: Phone #: Arch. /k]i9. : 444 wf ez LI Lf_2E74 4AUFS Address: -:?5 Ci`y/ZiP Ca3e: Phorme #: Erect ? Alter Repair E.ilarqe _ hYrve Denolish Grade Qat.C i6--ZT3 'g1 OFFICE USE ONI.Y Y 3 ?? ? Fire Zone /IT Type of Oonst. # StAries Fivnt pepth f APPEU7VAIS FEES hl's Assessrents ? Pezmit Surchar e--??--= Water/Sewer Police 9 Plan Ov-r3c Fire SAC Eng , Water Conn- 3 3 s?- - planner o ? k'ater Meter (o Gouncil S Road Unit / 19 Bldg. Off. APC 'iC/P,aL /G ?'! I Z S- ? #?/5S ...: ?: ..• :?. .,,?.?.:? . :,?;? ?, p??. site plan w/elevations b ll6 , j SUIDI?C PETtIT APPLIG1T70N ? 1 set of energy calcvlatior 'Ib t3c Useci For QOA.D Valuation?? ?p,atc -S-?g-81 - - - Site Iddress: /S 2°? D2( oFFICE USB ONLY ' Lot Z Blodc zsec./Sub. -ghn,ca5 L Paroel f: jD ,Z??a 41i1 2? tlErGf4rs e Owner: /JW5 fl&l/ /,&M,5 Adciress: 2,34,5 &J, RI(tE 4TaE6+J City/Zip Code: 5-r.PA.ui- ntiF/, S:!;7-e(3 Fhone r: 483 -a$oi Contractor: ?iJ/1S A6EzZ ,?nnES Pddress: gL,y.,A;; City/Zip Code: Phcne #: Arch./Eng• : ?y nJS MAZI1 Erect Alter , Repair Enlazye _ Mve Danolish Grade Dcc1pa Zoninq Fire Zone lype of Oonst. fi Stories fYont ft Depth ft APPPL)VJaLS F'?5 Assessnents Permit water/Sewer Surcharge Poiiae Plan Cher?c Fire SAC ? ??- F7ng. Water Conn. 3 3S-? Planner Water Meter ? C?Allt1C11 RO? t7111t /?{S -? Bldq. Off. Address: p,pC Ci:l/Zip Code: Phore x: 7CrAL 1 z &l., ? s` 7?11Tf 0 0,C.? ? Request OaYe -? 01 - Fre N Rough-In Inspection Reqi /VOU musl call mspector, -w,han ?r atlyj l ecbon Olher Than Rou9hln atly Now ? Wtll Noltly Inspeclor -7 7 ? Yes LTVO Da[e Reatl I hcensed contracror powner hereby request mspection of above eiechical work at Job Atltlras (Slreet, 8ax or Route N) qty is < S T. nshry Name or No Range No Cowt Y i ORINT) ? Pho e N o / P rer Atltlress - Ele ctn I Conh tor(C pany Name? ? (?• ? U CoNractoPS Licenae N. Madmg Atltlresa [ oniractor or Owner M,M?Ayy Installa0on) L V ? Au[h tl SignaWre (Con or/Owner Me ng In s[allatmn) Phona u / i ?dINN?bTA STATE BOARO OF ELECTPICITY Gr?g Mitlway Bitlg. - Poom 5-128 1821 Onrversity Ave, SL Paul, MN 55104 PM1One (612) 642-0800 5 93 001?110 hHIS INSPECTION PEOUKST WILL NOT BE ACCEPTEO BY THE STATE BOAPO UNLESS PiiOPER INSPECTION FEE IS ENGLOSED REQUEST FOR ELECTRICAL INSPECTION es-oooai-os ? See msVUOlions for complaLng iM1is torm on beck of yellow copy `? a "X" Below Work Covered by This Request Ne Add Re ?Type of Building Applisnces Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt 8uilding fJryer Load Management Comm /Industrial Fu ace Other (Spealy) Farm ir Condrtioner oNer (speoily) Contrdctoi's Remarks Compute lnspection Fee Selow. # Other Fee f! Service Entrance Srze Fee # CvcuRS/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps SignS Inspemor's llse Only TOTA Irrigation Booms ? Special Inspection ? ` Alarm/Communicahon THIS INSTALLATION MAY 6E O EHEO DI NNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elechical Inspector, hereby certif that the abov in t h RO09n-10 :are y e spec ion as 6een made. F,nai oate / OFFICE USE ONLV This reques[voitl 18 months trom 00 LI4,iJ 2?, 5C?3 This request void 18 months from Date o this Request GI 3 151 Fire No. ? u 4 2 8 5 5 I, asLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cai N?Inhg installed at: crreet Address or Route No. ISZ1 C?N Cnity ?fh_ _...tion Township Range County 1Vhich is ocwpied by 1+Nv% r 1111"1 '-t1_ I Name of Occupanq Is a roughin inspection required on this job? No ? YeaK_ Ready Now ? Will Call6- P Rl?h dd ower Supplier A ress b_L, b'6 CT?-,C' I= L ' Electrical Contractor ? icense Contractor s 1 (COmI?p'an'y Name) MailingAddress l?'Yt ' `?Vff- PD. lec r cal Contractor or Owner Making This Installa[IOnJ p? 07O'5!? N ? Ph Authorized Signature one o. (Electr cal Contractor or Owner Mak5n9 This Installation) ??Q? ? ?OQG°3D Q o0 p? This inspection request will not be accepted by the State Board unless proper in5pection fee is enclosed. Minnesota State Board of Electrici[y Griggs Midway Bldg. - Room N191 E6-00001-02 iei21 University Ave., St. Paul, Minn. 55104 - Phone 297-2117 Zsp$ ? REQUEST FOR ELECTRICAL INSPECTION ' 7ELOW WORK COVEREB BY THIS REQUEST T 4 2 8 5 5 4f Building New Add. Rep. Check Appliances W'ved For Check Equipment Wued For lome ? ? Range ? Temposary Wiring ? iuptex ? ? H'ater Heater ? Ligh[ing Fix[uies ? ry? fpl oL Bldg. ?_ ? ? Dryex Electric Heating ?? immeicial Bldg. ? ? ? Fumace ? Silo Unloader ? ndustrial Bldg. ? ? ? Air Conditioner ? Bulk MIlk Tank ? a[m ? ? ? - List IS? Lis[ lsI ther _ ? _? 1 1 Hehe He[e F O COMPUTE INSPECTION FEE BELOW Service Entcartce Size: # Fee Feede[s&Su6feedecs: # uits: Fee # Fce 0 to 100 Am s. 0 to 30 Am eres Am res 101 to 200 Amps. 31 to 100 Amperes Am etes : A6ove 200 Amps. Above 100 Amps. D Amps. Above Transformexs RemoteControlCire. otherfee Si ns rIk Speciallnspectron fee $5 Remarks, TOTALFE J 3_. ? 3.?,? ?- I, the Elecatl5cal spector, hereby certify t t g ab =-ate 6een?ena ? (Rough-in)b? ?f"j (Gt? (Final) e ,, "r7 This request void 18 months from J .'>3. Sb -4?;7 'U "qus vo,d ? 4265? ] S months from ? ? Date o this Request ? 1`?l Fire No. I, as Licensed Electrical Contractor ? Ownec, do hereby request inspection of the above electri• cal w nng installed at: 13 G-E-"t'tiS?fJ uy?APf 57, ?treet Address or Route No. Range County -_„tion Township .? .? Which is occupied by ? Will Calro Is a roughin inspection required on this job? No ? 1'es f?k_ Ready Now Address ?, ? Power Supplier ?T52-s- R C, . ?+-.4(x'Aa.?- _ Contractor's License No. _ Electrical Cont[actor MailingAddress "• " •' ' Th s?ORO NO. (EI tnc ConVactoY o? O=111 ?%`? Authorized Signatuce ? (E?¢otrica ?omra?+^er Mak? 1 qon) inspection request will not be accepted 6y the AA This 27p?E o op?? o V State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity Griggs Midway Bldg. - Room N197 EB-00001-02 7821 University Ave.. St. Paul, Minn. 55104 - Phone 297Q111 2s?0 REQUEST FOR ELECTRICAL INSPECTION •?' 42853 CHECK BELOW WORK COVERED BY THIS REQUEST i' 7ype of Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired Foe Home ? ? Range ? Temporary Wiring ? Duplex ? ? WaterHeacer ? LightingFixtures ? iL Bldg. ? ? ? Dryei Electric Heating ? immexcial Bldg. ? ? ? Fumacc Silo Unloader ? Industrial Bldg. ? ? ? Ait Conditioner Bulk Milk Tank ? Fazm List )} qeh ts L oist rS? e Other ? ? ? e f H te COMPUTE WSPECTION FEE BELOW Sevice Entrance Size: # Fce 1 1 Feeders@Subfeeders: # Fee CucuiU: u Fce 0 to 100 Am s. , J 0 to 30 Am eres 0 to 30 Am eres ? 101 to 200 Amps. 31 [0 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers RemoteConirolCirc. PaitialoiothetCee Signs k' Special lns ec[ion Minimum fee $5 Remarks t??l, Ccf?,?'7 TOTAL F I, thellect&,? I?nsdector, herebth ' bdve in ection has been i e. • r/ (Boukgtt ?n) Date d Q (Final) Date-br This request void 18 months from This ieyuesi void L" I5, $ 3,"r't 18 months from D 2So$ar` Date J.his Request (o I ? ?-,-.I Fire No. A2852 1, as Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cai n g installed at: Fl?eet Address or Route No. '5 7-1 «MQ?'" Citny %,, vrv,_ „_..[ion Township Range County 1!?KdTk Which is occupied by T,w.r`l C70t-<s Is a rougltin inspection required on this job? No ? YesK Ready Now ? Will Call64 Power Supplier Rkk Address Ffawm,i b? Electrical Contractor PELL- C -TPt°' Contractor's License N?Fz-?r I _ (COmpany Name) Mailing Address 1'{6'1 1.1# {WnP (Ele ical ontra or or Owner Makin9 This I nstallatlon) Authorized Signature Phone Nu. DU ,56r (Electrical ontnctor or Owner Making This Installatlon) (-("? nD ?0?? This inspection request will not 6e accepted by the rJ IJ !n?? n1 p On L?]l1V State Board unless praper inspection fee is enclosad. Minnesota State Board of Electricity Griggs Midway Bldg. - Room N191 EB-00001-02 782' University Ave., St. Paul, Minn. 55104 -Phone 297-2111 aS?? REQUEST FOR ELECTRICAL INSPECTION CHECK BEL,OW WOAK COVERED BY THIS REQUEST T 4 2 8 5 2 Typ: oi Butlding Ne Add. Rep. Check Appliances Wired For Check Fquipment Wired FM Home ? ? Range ? 'Cempotary Wuing 4 Duplex ? ? Water Hea[ec ? Lighting Fixtuxes SI rt. Bldg. ? ? ? Drye? Electric Heating LJ .mmercial Bldg. ? ? ? Furnace ? Silo Unloader ? lndustriai Bldg. ? ? ? Av Condihonec Bulk Milk Tank ? List List ) O ? ? ? p ehelg? p } eher5 her _ _ H H l COMPUTE [NSPECTION FEE BELOW Service Enuance Size: # Fee 1 1 FcedersBSubfeeders: # Fce C¢cuita: # Fce 0 to 100 Am s. ? 0 l0 30 Am eres 0 to 30 Am efes 101 to 200 Amps. 31 [0 100 Amperes 31 [0 100 Am exes A6ove 200_Amps. -Y °"? Above ]00 Amps. Above 100 Amps. Txansformers ? - Remote Control Circ. Paxtial or other fee ?J Signs Special Ins ection Minimum f Remark-ct15? 7'07AL EE I,the (Finat) This request void 18 months from , hereby cert t the e ipspection has bee Date ?? ?.? ,4J)ate ?" '_ -CEltTIFKATE OF SURVEY For: HANS HAGEN HOMES, INC. 43 0. --. fS,bBJV? . ?,2?r • .1' / .? L? ? C ?Z a . P `-- - -------i? _-- 7_ -- - ? . O ? 4 4 ? p °?` Qi?vCnv ? -•-- a y ti R 0 w ? P92?7 .L?? ..0 O,3 ` I /lOQ? ?/..?' / ~I I h , ? i ? ; r0 5 i°i of 1 ? ?- Denafes P?o?oo?ed 5??1?o?e Oroinayt E/?rof.a+s 9/xawn .9?e °?q,o.reid i . V :. ? t78 / /?l `6 r d 43 l? o < ? G%:remr? -+- ? V Lots 14 through 17, Block 3, THOMAS LAKE HEIGIITS, Dakota County, Minnesota. s?ok,??:.?• N RECEIVED APR 8 1981 FlAmHAmwmINm We hereby certify that ihia is a true ond corrett ro0rasentation of a survey of ihe Coundariae of the above daacriCed land ond ot tAa focation of oll bwidinqs, if any, fhereon, and all visible encroachments, if any, from or on said land. , r,/ 1? E . G. RUD a 50NS, INC. omed rnis -der or py _ r- Rog. No. ? ? E. G. RUD & SONS, INC. LAND SURVEYORS 3647 155th Avenue N. E. Anoko, Minnesota 55303 Tel 434- 6505 9/16-59 ENERGY REQUIREMENTS 'ihie form to be comple[ed and aubmitted wiCh building permit applications EXTERIOR ENVELOPE AVERAGE "U" COMPUTATTON OWNER IIA?-e-nl SITE ADDRESS CONTRACTOR DATE PHONE Determine working square foota,ye of each. 1. Total exposed wall area ...... 15 E.?7- sq. ft. x .17 .04 2. Total roof/ceiling area ..... '720 sq. ft. x Total exposed wall area above floor = 1"47 a. Total wall window area ........................... 5 O b. Total door area ................................. Zo c. Total sliding giass door area ................... 40 d. Total fireplace wall area........................ ?(A e . Total wali framin9 area (avera9e 10%) ............ 13 & f. Total net wall area above f]oor ................. i Z 43 g. Total rim joist area ............................ q{y Total exposed foundation area = 35 h. Total foundation window area ..................... - i. Toal net foundation area above grade ............ 3 S Detei-nine "U" value of each wall segment. a. S? X IIUI. T7.? b. 2 C-5 X [full , ?5 c. 4 v x $,up, . SS = 3 d. x 11U41 .47 = 7.52 e. 130 X Bluff . 13 = 17.94 f. 1243 X "U" , 0-7 = 1?7101 9 d-L) l( liult 06 t z 4 h. A pUll ° X„u-, , 47 = i c?. 45?' 3 .....................................Tota1 = 18 3.?s2 If item @3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. LCF?r UA//T C,;uAD i ,r Total exposed roof/ceiling area = -?Zp j. Total skylight area..... _ k. 7otal rcof/ceiling framing area (average lp%)„ ----- 1. Total net insulated roof/cei'.ing area............ L'49- Determine "U" value for each rocf/ceiling segment, -` j,?-? X $lull _ k. 7Z x ?.Uti , 04 = ? .SS -------- 1. l?(Y> XIVP , 03 _ 1R, 44 4 ..................................7ota1 ° 22. Z If total of #4 is the same as, or less than #2, you have met the intent of 5t.;, 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and 9'4 shall not be greater than the sum of items qt and #2 1. 26``L'' . 94 + 2. 3. ti2ls , g'L + 4. ZZ.32 = 2q7.74 ZDL, .14 CITY USE ONLY L ? BL ? RECEIPT#: //3509-1 7 SUBD. DATE: ? ? 9 95 ?• ?f#?D // ?? ?Q 7/a5?951995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace Adr,i-on air conditinning Add-on airexchangar, i.e. Vanee system, etc. Date: ? Minimum Fee: Add-on/Remodel (existing residence only) ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge TOTAL SITE ADDRESS: C?A OWNER NAME: 1 J`.r v-? f brz.-? (NSTALLER NAME:_? preferred Mechanical Services, Inc. I 7643 Logan Avenue South STREET ADDRESS:J RichSeld, MN 55423 Bus:866-7611 Fax:866-0125 CITY: ?- -aT PHONE #: ( ) } ?. ZIP: FFFC $ 20.00 24.00 6.00 .50 PHONE #ffZ? ? 5? a / I ? ? rl '715_411 PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 687-4675 PERMITTYPE: PermitNumber: Buz?ozw? 030953 Date Issued: 0 3/ 11 / 9 8 SITE ADDRESS: 1527 CLEM30N pR LOT: 15 BLOCK: 3 THOMAS LAKE HETGHTS P.I.N.: 10-75956-150-03 DESGRIPTION: ` ?`-- (5IDINGJTRIM) Buildin§-,Permit Type SF (MISC.) 'Bui'idin'g Wo-?^k Type REPAIR ?•: CQnsus Eode 434 AL7. RESIDENTIAL A. 4 [{F z?€;1,.:en t e,..?q?` ?t'?., `-..€ REMARKS: INCLUDES 1527-8 (LOT 14) 1529 (l0T 16) 1529-B (LOT 17) CLEMSON OR FEE SUMMARY: VALUATION $11,000 a ! Base Fee $174.75 Surcharge $5.50 Total Fee $180.25 CONTRACTOR: _ Applicant - ST. LIC.OWNER: CHASKA SIDING S REMODELING 14486865 0008122 THOMAS LAKE 70WNHOUSE ASSN 1710 HIGHWOOD CLEMSON OR CHASKA MN 55318 EAGAN MN (612) 448-6865 ? S he°reby' acknowledge tFiet I- h°at)-e read' 'ik9isplicatioh and staYa thact'the 3nformatiora is, correct "arYd ?agr.e'e •ta° otSrrtpl'y witK ai2 +app9:3d'a0le 5t?tW o'fi Mn,_ ` Statutes,and-Ci.ty of=Eag,en Or-rJi,na;ncesu_:? ?•a*?. ? ..,,_ ° ? . - 44?? ? m? s_ _ ___ APPLICAN /PERMITEESI ISSUEDB :SI'NA E 97 BUILDING PERMITAPPLICATION (RESIDENTIAL) CITY OF EAGAN (L43 3830 PILOT KNOB RD - 66122 681-4675 New Construction Reauirements RemadeUReoeir Reauiroments ? 3 registered site surveys ? 2 oopiea M plan • 2 copies of plans (indutle beam & window alzes; poured fid. design; etc.) ? 2 ade aurveys (exterior additiona 8 deeks) • 1 energy calwlations ? 1 snergy cakulations for heated addkions ? 3 copies W tree preeervetion plan if lot platlM efter 711/93 required: _ Yes _ No DATE: J D `I 0 " l-7 CONSTRUCTION COST: DESCRIPTION OF WORK: ? ? ? YL- SibI ? ? ? ALL4N ( MU fj T91N1 STREETADDRESS: 1Sa7 ^46-29 --f?sf -4412?'s Cz-,EiI"?S'p/J L) IP, , , ? ?•1 LOT ? BLOCK ? SUBD.IP.I.D. #: PROPERTY OWNER CONTRACTOR Name-'?1`?? Phone#: ? Street Address: Ciry: State: Zip: Company: ?UAS94 S/O /^JG-' Phone #: q `/ 8 - (0 S(0 S Street Address: l7/0 #10,-4W0()0 License #: cq / ° a City: 0-PAQsKA ARCHITECT/ Company: ENGINEER Phone #: Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licer.cied plumber (new construction onty): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appliqtion and sfate that the information is correct an agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No State: /Lj A,1 Zip:,5?5,3 1g Tree Preservation Plan Received - Yes - No - Nat Required ? City of Eagan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 PERMIT Site Address: 1527 Clemson Dr Lot: 15 Block: 3 Addition: THOMAS LAKE HEIGHTS Description Sub Type: 04-plex Work Type: Reroof Description: Census Code: Addition/Bsmt fin/Decks/Porch Permit Type: Building Permit Number: EA034780 Date Issued: 03/23/1999 UBC Occupancy: ? Constraction Type: {?t` Zoning: ? Squqp Fee_S;!j?, „., qf* :0k Remarks: Includes: L'nit 1527B, 1529, ar.d ? 529a. Fee Summary: Valuation: $12,000.00 State Surcharge Base Fee 6.00 20925 $215.25 Contractor: - apPi;ca„t - Owner: SELA ROOFING & REMODELING St. Lic.: Thomas Lake Home Owners Association 4100 EXCEi.SIOR BLVD 1535 A Clemson Dr ST LOU[S PARK, MN 554160000 0128238046 Eagan, MN 55123 651-688-8245 [ hereby acknowledge that I have read this application and state that the information is conect and agee to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature 1999 BUILDING PERMIT APPLICATION (RE3IDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 88122 (661) 881-4675 New Conatruction Reauirementa RemodeVReoair Reauirements ?0 ? 3 registerod aite eurveya ? 2 copies of plans (indude beam & window aizea; paured fnd. dasign: etc.) ? 1 energy calculations • 3 wpiea ot tree preservation plan if lot platted aRer 7/1l83 requi - Yes No DATE: 37101? DESCRIPTION OF WORK: STREET ADDRESS: I S?1-7- I Sa - /CQ hsl? C /'e!v. e- LOT: BLOCK: SUBD.lP.I.D. #: ? 2 copies M plan ? 1 a8e surveys (exteAor additions 8 decks) ? 1 energy calcuWtions Por heated additions CONSTRUCTION COST: 6?.,, 7Zk^'N PROPERTY OWNER ? // SN? La+t Fitst (7l-G`t ? Name: /1'? O?t?c Lw ?-G 7/a%^'' 2 DW.f/-PvS , phone #: street naaress: CS 3 S H C/ -?50. , ?1--1. Ciry 4?ct 6/1 Srate: Zip: _ Company: FING@cREMODELING, INC. Phone#: ,0,Z 'S04 , . ' CONTRACTOR 4100EK CEWIU Street Addreu: gr. I,OUIB PARK. MN 56416 License t? 0-?T(D Exp. .. . ID #UUMDU City State: Zip: ARCHITECT/ phone #: ENGINEER Company: Name: Registration M: Street Address: City State: Zip: Sewer & water licensed plumber (new construcGon 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 ition ' correct, ? 91, - Not Required ??-- Penalty applies when address to comply with all applicable PERMIT #: E; U v (O ?;_ CITY USE ONLY RECEIPT DATE: _S7- 2002 RE.SIdDE1VT[AL MEGIIA1V1ICAL PER16TIIT APP[,ICATION crrY oF EAsAtv 3830 Paor xwo$ Rn EA6,4N MN $5122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: OWNERNAME: ?CSIe, ?Yl(xYf TELEPHONE#: (4j_-???$Ip INSTALLER NAME: yi? - ?y l TELEPHONE #: L0C7-)L STREET ADDRESS: I?I ??-- CITY: G-&r,1CL0T - STATE: VlJ N ZIP: 5Z(0? Place a check mark next to the permit work type X ' Add-o a n tu existin cJwelling unit $ 30.00 • fumace replacement iF an er • air conditioner • other Nature of work: D 2002 State Surchar e ?AY ? 8 $ .50 Total ey $? SIGNATURE O PERMI E tl02 PERMIT# RECEIPT DATE: 2008 RESIDENTIAL PLUMBINfi i'ERM1T APPLiCATIOR crrY og Eks" 3$38I f'II.OT HROB RD $A6141Y, d!ft 551 E8 651-8$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backFlow preventer for irrigation system SITE ADDRESS: j,)Z I / ) OWNERNAME:: ,:@KX&Q? f,? TELEPHONE#:(06.1 (AREA CODE) INSTALLER NAME: TELEPHONE #: (O?1 (423 " I A/ ) (AREA CODE) STREETADDRESS: ?/l?( CITY: Y(_.QSQ? STATE: Uu N ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 j includes $40.00 County fee , Note: Additional consuKant fees may apply I • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other. _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ watersoftener X waterheater $ 15.00 State Surcharge LS $ .50 MAY 0 8 $ ? Totai I hereby acknowledge that I have read this application, state that the information is corj? o comIl appl.cable Ciry of Eagan orUinances. It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liabilityfor any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this pertnit w' hi City o erty/righli f-way/e ement. d SIGNATUREOF PERMITT E 1/02 PERMIT # S ? () -7 5 RECEIPT DATE: 8008 RUIDENTL4LL PLUM$iNfi PEfiMiT APPLICATION crrY oF EAe,tN 9$30 f'ILOT KNOB RD i:AHAP, MA 551 YE 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: C I em son ? r. OWNER NAME: : ZF I n If-V TELEPHONE #: (o 51 "(? ? 3-1 1I? (AREA CODE) INSTAILER NAME: STREET ADDRESS: TELEPHONE #: q V)a "7(U (AREA CODE) CITY: L 1a I`-c V ) ? I e J STATE: I///V ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: ? water softener _ water heater - $ 15.00 I State Surcharge SU-) o ;i .50 6 Total $ l?,Sb I hereby acknowledge that I have read this application, state that the information is correct, and agree to comprywith all appli ble Cityof Eagan o/r inan . It is the applicanPS responsibihry to notify the property owner Ihat the Ciry of Eagan assumes no liability pr any damages ca ? the City du +n, il o al opera6onal and maintenance activities to the facilities constructed under this pertnit wi ' i p pe yl' ?-yi?y! as eo (/ SIGNATU E OF PERMITTEE 1 2 COMMERCIAL . ' 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN -? ? C? 651-681-4675 SUITE #: Foundation Onl New Construction interior Im rovement • SWdurel Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Shuctural Plans (2) • Code Malysis (1) • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • CodeAnalysis (1)" • LandscapingPlans (2) • KeyPlan (1) . ProjectSpecs (1) • CodeAnafysis (1) " • Master Exit Plan (1) " • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Caiwlations (1) not aiways " • Soils Report (1) • Spec. Insp. & Testlng Schedule (1) • Elec. Power & Lighting Form (1) not always • Meter size must be established • Meter size must be established • Meter size must be established - if applicable . ProjectSpecs (1) y • Energy CalculaGons (1) " l y . Electric Power & Lighting Fortn (1) " L ? . Master Ezit Plan (1) 1 y • Emergency Response Ske Plan (1) 1 . SoilsReport (1) . MGES SAC delermination letter • MGES SAC determination letter • MGES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 c nollll F... Av1.a{le Food 8 beverage or ioagmg taauaes - suomic pian co rvnv DGpaIuI Irl I LU? nca?.? i. ..a.... .. •.. .. •-- •-• ----- Contact Building Inspections for sample. Permitfor new huildings oradditions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. C? ,,1?4?0, ? DATE: ? v?? 2- WORKTYPE: _ NEW _ REMODEL CONSTRUCTIONCOST: Y SITEADDRESS: A /5Z7 ISZ?A ?1SZ`7 661'\ ? TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK Name : I ILkwab PROPERTY Last OWNER Street Address: City: Company: CONTRACTOR . ,.,, 57 Phone #: ?0( S( )b??lJ ??Z L? ? First Phone #: Zip: Street Address: U "1' "' I r! City: 11 ? J State: Zip: State: ARCHITECT! ENGINEER Company: Name: Street Address: City: Licensed plumber installing new sewer/water Phone #: ( ) - - Ragistrarion #: Phone #: Zip: I here6y acknowledge that I have read this application, state that the information is correct, aad agree d com q with all applicable State of Minnesot2 Statutes and City of Eagan Ordinances. Signature of Applicant: Updated 7102 State: ? 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 10 75950 130 02 1532B 10 75950 120 02 1531 10 75950 190 03 1531B 10 75950 180 03 1533 10 75950 200 03 1533B 10 75950 210 03 1534 10 75950 140 02 1534B 10 75950 150 02 1536 10 75950 170 02 1536B 10 75950 160 02 CLEMSON DRIVE 5 (PAGE 1 OF 5) RESIDENTIAL MECHAPTICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomes and Condos when permits are required for each unit 44 30-S--' Date(0 ? /LZ/ac.0a Si ddress .527 • Unit # s/ Property Owner cJ° S Telephone #(& JI )'] Jlp - O..J S O Contraetor Street Address (?C (p (p J / / ,,_,/- / - ? V?./ • City ? e te ( / ! V Zi St S ?D hone # ((QS? ) p? ? ??p ? 8 Tele / a p p Bond #: Expires: T6e Applicant is _ Owuer ? Confracror _ Other Add-on, modificatlon or alteration to eaisting dwelling unit $ 30.00 .? furnace replacement air exchanger ? air conditioner G?Ple?i.eplacement other 0 ? ? 1 1l State Surcharge SEp 2 g 2303 ' $ .50 Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; t6at the work will be in conformance with the ordinances and codes of the City of Eagan and V'- Mechanical Codes; that I understand this is not a pgruiit,but only an application for a permit, and work is not to start witout a mut; that the work will be in accordance with the approv d plan in the c of work which requires a review and approval of? / y £'?'I? l?ad?t U ApplicanYs Printed Name ApplicanYs Signature RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?I(2,75 New ConsWdion Reauiremenls RemodellReuair Reouirements O(fice Use Onlv 3 registered site surveys shming sq. ft. of lot, sq. fl oi house, and all mofed areas 2 mpies of plan Cert of Survey Recd (20%maximum lot coveraqe allowed) t setof Energy Calculations br heated additions Tree Pres Plan Recd 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addiGons 8 decks Tree Pres Not Reqd 1 set of Energy Calculafions Add'rtion - indiceteif on-sifesephcsysfem _On-siteSepticSystem 3 copies o( Tree Preservation Plan if lot plaBed after 711193 Rim Joist Detail Op4ons selection sheet (61dgs with 3 or less uni4 Date (?_ /? (,j /0 7? Site Address ( ? O- -evvi 5 vvx Construction Cost ? 3 O L?L?Ci v-P Unit/Ste # Description of Work ',n C O W ? f? r -p Q 1 Multi-Family Bldg _ Y? N Fireplace(s) ,ef?_O _ 1 _ 2 Property Owner OiMQS LUkt 14am QdwnRrs ASo6ul iaV['elephone#(G5j) Co<23- IGGA Contractor ??? ()J-e ?S CM N? tf u CC9 ? N C . Address S[ate M/U P,c Zip r+ City '04k"d ofomi Telephone #(?' ,cd? 5 9 3- i a? q COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv t Minnesota Rules 7672 ' Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Pernut and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name Appli Ys Signature && Hy q 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when pemvts are required for each unit -?o -S? eAI-Q--d. Date O / lL7 / ?vy Site Address-/) c2 7 _LJ/ • Unit # P t O X ) n Telephone # (( a9 (f ? l ')4019 wner roper y . Contractor lqq Ll? Street Address (:?7 Ip t os/ qSyl? ST w- Cit3' S ? 5S0428 Telephone # ( (Q?) ?3 C99-890? Zi tate ( ( J {v • p Bond #: Expires: The Applicant is _ Owner -k-Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional --?Replacement air exchanger airconditioner _New _Replacement other State Surcharge $ 50 $ Total I hereby apply for a Residenfial Mechanical Pernut and acknowledge that the be ' formance with the ordinances and codes of the City of Eagan and permit, t only an application for a pemut, and work is not to sta[t u app o d plan in the case o rk which re uires a review and appro al of pl; i is complete and accurate; that the work will ;hanical Codes; that I understand this is not a that the workikiJl be in accordancj; with,the Apphcant's rinted Name P ??1 41 L 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 9 9 ,-a? Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauirements RemadeVReoair Reauiremenls OlficeAnl 3 iegisteRd site surveys showing sq. ft of bt sq- ft of house; and all roofed ar?s 2 mpies of plan f?=M` -`?? Y'Y?t'1 5101 ?? '(20% maximum bt coverege allawed) 1 set of Energy Calcula6one fw heated additlons ?-ti..,.' "t? 2 copies of plan showing b?m & window sizes; poured fowM design, etc. 1 site survey tor addNons & decks ?. °?'" ' ?:r.??? ' a? lsetofEnergyCalwlations AddJtion•indreafeHon-sdesepficsysfem __?=..,?;:,,.;? . 3 mpica of Tree Praservatlon Plan if bt platted after 111193 Rim Jast Defail Options seletfiaai sheet (bldgs wM 3 or less unNs Date -/,_ 126-- Construction Cost Fi Pi . or) Site Address ( -e_-/ A, '(Gn p f - F.= (Fy'S-C ?1 Unit/Ste # Description of Work L ? en ? C? co? Multi-Family Bldg Y _ N Fyreplace(s) jA0 _ 1 _ 2 O P t rl( [/ l hone # (6 Tele ) O 1 ?O ? roper wner y p 1 Contractor (_--. G`I^ 4 r, v '1 4 Odl 5e-ru( L c- Address City 1 State c Zip Telephone #(? )-7? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Tvlinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residentlal Ventilatlon Category 1 Worksheet • New Energy Code Workshaet (J submission type) Submitted Su6miried • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( N If so, 25% plan review I hereby apply for a Residential 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 pernut, 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 W tj/e case of work wch requires a review and approval of plans. \ L ? C ? ApplicanYs Printed Nam ?Srq3 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 9 9 NewCoreWctionReauiremenis RemodalfReoalrReauirements 3 registe2d site surveys sharring sq. ft of lot sq. ft af house; aM all roofed areas 2 mpies of plan Su R? - ?'Y? ?? ,,.? 2z_ (20%ma)imum lot mverege allowed) 1 selof Energy Calculations for heated additions ,.c res;$h?. ?1?1 ?,?.1=;; ' 2 copies of plan showing beam & window sizes; poured found design, etc. 1 ske survey for addNons & dedks ?Siee`Pres fdeq , -?? ? 15etofEnergyCak,ulatione Additlon-ind'iceteilarsdesepficsystem 3 wpies of Tree Preservation Plan H IN plaQed aRer 711193 Rim Joist Dehad Options seied'mn sheet (bldgs wilh 3 or less un%s Date u /d/ ( Construction Cost I( J J Site Address ? Sa ? G e,M?Son (?? CE C`r? 1 Unit/Ste N Description of Work C3 ??? l?C ?/? G?` W ? (Lj5 1 ??'1 [ C) GG? Multi-Family Bldg vl?Y _ N Fireplace(s) ?< 0 _ 1 _ 2 Property Owner Kc?_r e?\ C 0 k%1 e_? Telephone # 4j'57 ? jp? Contractor C ? 1 ai'\ n Address oc5 W k (/ e_- City ? State /VV 1 /\ .f d Zip? Telephone # ( 7 2 f 2 4 P?7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Ivlinnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residentlal Ventilation Catagory 1 Worksheet • New Energy Code Worksheet (J submission type) Submined Submitted • Energy Envelope Calwlations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( N If so, 25% plan review 0 (? ? uu?? ?? i? JUN 2 9 2004 . 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 * case of workjwhich requires a review and approval of ?lans. "A/"? j'e ? LC?(.l. 1( k ApplicanYs Printed N App c Ys Signatur ? ? ? ? ?- zoos f78KRESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 A NEW BUILDING New Construction Reoui2meMS RemodeUReoair ReauiremenCS Office Use OnN 3 registered si[e surveys showing sq. k. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Reoi _Y _ N (20% manimum lot coverage allowed) 1 setof Eneyy Calculalions for heated additions Tree Pres Plan Reod Y N 2 mpies of plan showing beam & window sizac; poured found design, etc. i site survey for additbns & decks Tree Pres Required _ Y_ N isetofEnergyCalalations AtldNOn - indicate'rfon-sResepticsystem On-siteSepticSystem _Y _N 3 copies of Tree Preservation Plan if lot platted a8er 711/93 Rim Joist Delail OpGons selection sheet (bklgs wim 3 or less unfts / G Date ! ? ! ?? SiteAddress / ?(? Construction Cost zo?=U- CL ?Q U!C • UniUSte # Description of Work 645 Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 k1 _ 2 Property Owner Telep6one # (6' Contractor Address State 3655D /?? L-)- bL4 0 Zip City Telephone # ( '?'/fL) COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateaorv 1 . Residential Ventilation Category 1 Worksheet (J submission type) Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan8 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Coniractor Teiephone # ( Telephone # ( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the informati that the work will be in conformance with the ordinances and codes of the City of Statutes; I understand this is not a pernut, but only an application for a p permit that the work will be in accordance with the approved plan n the c approval ofplans. ? H j w u? ? Applicant s Printed Name ApplianYs Signa P-o. Fb Minnesota Rules 7672 • New Energy Code Worksheet Submitted and it, and work is not to start without a of work which requires a review and 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit ?D VpDate lO T a it# U SiteAddress p_rvl5@Y1 n 1 arf i C? O P t hone k( bs ?) ?/ dS' ??? Tele wner - roper y p Contractor STANDARD HEATING & AIR CANDITIONING Street Address 410 T LAKE STREET City MINNEAPOLI , State 612•824-2656 ZiP Telephone# ( ) Bond p: Expires: The Applicant is _ Owner 1Y\ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 P, furnace _Additional •?Replacement air exchanger airconditioner _New _Repiacement other StateSurcharge $ 50 l ' T t $ ?y o a I herehy apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with [he Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start w? rmit; that the yrc}4k? 6e in accordance with the appro}r?d plan in the case?'dqrk which requires a review and approv of pla ?f )? ?? -SUC? C Jrn6 Applicant's Print d Name 1 , For Office Use lt~''~ I City of Eaoll~ I Permit I j b I Permit Fee: 2-14 2, ~ 1 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: k/1 5/Z / Site Address: l / _ ( ~r r'= `f' 4~c 1, Tenant: IS I J~o~ f 9•~ Suite RESIDENT/OWNER Name: GJ7~,y S L,~/./ Phone: L°5~"- a SIS~ Address / City / Zip: A52 Sr3i~ 1J i' Applicant is: OwnerContractor TYPE OF WORK Description of we? Construction Cost: 060 Multi-Family Building: (Yes / No CONTRACTOR Name: License l~ Address: at~ S SSCU' City:Jt 1 Z~L`1 5 i~~/ r` )e State: JZip: Phone° Contact Person: P r~ 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 maybe 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 thi is not a permit, but only an application for a permit, and work is noto start withou permit; that the work will be in accordance with t prove plan in the case of work which requires a review and approval of plan ll .1 . X X Applicant's Print d Name Applicant's Signature Page 1 of 3 952 922 4498 Oct, 19. 2009 9:31AM Sela Accounting No-8162 P. 1 AMEltit N FAMILY American Family Insurance Group lDID1JDW /UJWCBSJJF.ui INlA THOMAS_LAKE-HOMEOWN6 Building Exterior Roofing 4577.40 Surface Area 45.77 Number of Squares 488.47 Total Perimeter Length 87.00 Total Ridge Length Description Base Service Replacement Actual Cash Qt Clnlt rice Char a Taxes Cost Total Depreciation Value The following line items account for the replacement of the roof on this structure. It appears that the roof is 7 years old, Il is in average condition, Based on a life expectancy of 25 years, @4% per, yr, final depreciation taken is 28%. 1 - Remove Tcar off, haul and dispose of camp. shingles - 20-25 year 45.77 SQ $48.76 $0.00 $0.00 $2,231.75 -$624.89 (280/6) $1,606,86 2 - Replace Rooting felt • 15 lb. 45.77 SQ $22.74 $20.64 $25.18 $1,086.63 -$298.48 (28%) $788.15 3a - Remove Additional charge for steep roof - 7/12 to 9/12 slope 20.79 SQ $11.67 $0.00 $0.00 $242.62 $67.93 (28%) 5174.69 3b - Replace Additional charge for steep roof- 7/12 to 9/12 slope 20.79 SQ $25.68 $10.59 $0.00 $544.48 -$149.49 (28%) $394.99 4 - Replace 3 tab - 25 yr. - comp. shingle roofing - w/out felt 50.67 SQ $153.85 $154.63 $293.45 $8,243.66 -$2,264.93 (28%) $5,978.73 5 - Replace fee & water shield 1,044.00 SF $1.41 $29.20 $41,58 $1,542.82 4423.81 (28%) $1,119.01 6 - Replace Midge cap - composition shingles 115,00 LF $3.70 $8.44 $8.85 $442,79 4121.62 (28%) $321,17 7 - Repinee Flashing - kick-out diverter 4.00 EA $30.50 $2.42 $3.23 $127.65 -$35.06 (28%) $92.59 8a - Remove Chimney flashing - average (32" x 36") 6.00 EA $15.66 $0.00 $0.00 $93.96 -$26.31 (28%) $67.65 8b - Replace Chimney flashing - average (32" x 36") 6.00 EA $223.35 $26.58 $17.92 $1,384,60 4380.25 (28%) $1,004.35 9 - Replace Valley "W" flashing for metal roofing 54.00 LF $5.50 . $5.89 $9.08 5311,97 -585.70 (28%) $226.27 I Os - Remove Skylight flashing kit - double dome 2.00 EA $5.18 $0.00 $0.00 $10.36 -$2,90 (28°10) $7.46 1 Ob - Replace Skylight flashing kit - double dome 2.00 EA $65.74 $127.40 $6.88 $265.76 -$38.74 (28%) $227.02 11 a - Remove Furnace vent - rain cap and storm collar, 5" 4.00 EA $8.88 $0.00 $0.00 $35.52 -$9.95 (28%) $25.57 1 lb - Replace Furnace vent - rain cap and stone collar, 5" 4.00 EA $35.67 $0.00 $4.76 $147.44 -$41.28,(280/6) $106.16 THOMAS LAKE HOMEO'W'NERS 00221149275 5/21/2009 ASSOCIATION Page: Oct. 19. 2009 9:31AM Sela Accounting No-8162 P. 2 AMERtcq~p F~ American Family Insurance Group T1,91 d61ff i4fuYY.9 flF+rtfl+FF' Description Base Service Replacement Actual Cash Qt Unit rice Charge Taxes Cost Total Depreciation '(slue Totals $385.79 $410.93 $16,712.01 -$4,571.34 $12,140.67 Siding Description Base Service Replacement Actual Cash Qt Unit rice Charge 'Gazes Cost Total Depreciation Value Gable vents are roof mounted at chimney areas. Actual approx dimension is 24" x 30". Data entry for similar unit 12a - Remove Attic vent - gable end - metal - 30" x 30" 4.00 EA $6.91 $0.00 50.00 $27.64 40.00 $27.64 12b - Replace Attic vent - gable end - metal - 30" x 30" 4.00 EA $91.70 $12.51 $13.50 $392.81 -$0.00 $392.81 Totals $12.51 $13.50 $420.45 -50.00 $420.45 Fascia Description Base Service Replacement Actual Cash Qt Uuit rice Char a Taxes Cost Total Depreciation Value Fascia metal for chimney areas and fascia between condo units= 218.51f Front fascia 8" = 2511 1Lght fascia 8" = 73,751f and patio door fascia metal Back fascia metals = 251f Left fascia and window fascia metal =141.251f 13a - Remove Fascia - metal, 6" 483.50 LF $0.28 50.00 $0.00 $135.38 40.00 $135.38 13b - Replace Fascia - metal, 6" 483.50 LF $3.33 $54.90 $40.80 $1,705.76 -SO-00 $1,705.76 14 - Replace Two ladders with jacks and plank (per day) 2.00 DA $100.83 $0.00 $0.00 $201.66 -$0.00 $201.66 15 - Single axle dump truck - per load - including dump fees 1.00 EA $247.12 $0.00 $0.00 $247.12 -$0.00 $247.12 Totals $54.90 $40.80 $2,289.92 -$0,00 $2,289.92 Guttering Description Base Service Replacement Actual Cash Q Unit rice Charge Taxes Cost Total Depreciation Value This is a repair to the gutter system and no depreciation applies Front gutter if - 42 Front downspout If-21 Back gutter- if - 42 Back downspout If- 26 16a - Remove Groner / downspout - aluminum - up to 5" 131.00 LF $0.41 $0.00 $0.00 $53.71 -$0.00 $53.71 16b - Replace Gutter / downspout - aluminum - up to 5" 131.00 LF $5.58 $24.93 $29.44 $785.35 -$0.00 $785.35 Totals $24.93 $29.44 $839.06 -$0.00 $839.06 THOMAS LAKE HOMEOWNERS 00221149275 5/21/2009 Page. 5 ASSOCIATION Oct, 19. 2009 9:31AM Sela Accounting No. $162 P. 3 AME_ aMJ61tcAlt FA rv American Family Insurance Group Aura, fLWdruaseuruear' Wraps Description 13ase Service Replacement Actual Cash Qt Unit rice Char a Taxes Cost Total Depreciation Value This is a repair to the window and garage door opening$ and no depreciation applies Front- 2 Back- 2 Front and back garage door wraps- 92 17a - Pemove'W'rap wood window frame & trim with aluminum sheet - Large 4.00 EA $34.84 $0.00 $0.00 $139.36 40.00 $139.36 17b - Replace Wrap wood window frame & trim with aluminum sheet - Large 4.00 EA $159.50 $21.76 $7.43 $667.19 -$0.00 $667.19 18a - Remove Wrap wood garage door frame & trim with aluminum (PER LF) 92.00 LF ' $1.74 $0.00 $0.00 $160.08 -$0.00 $160.08 18b - Replace Wrap wood garagc door frame & trim with aluminum (PER LF) 92.00 LF $7.39 $23.18 $8.88 $711.94 40.00 $711.94 Totals $44.94 $16.31 $1,678.57 40.00 $1,678.57 Base Service Replacoment Actual Cash Charge 't'axes Cost Total Depreciation Value Estimate Totals $523,07 $510.98 $21,940.01 -$4,571.34 $17,368.67 Y'a'~ ry Li,9, r r are-~"~,y ]h♦C l'rT4 `f} ~ ~ /ll Y~ y .%yV"^+4 ~J~^. N..~ L6 RYA L//.b i V~X F' '•5. / THOMAS LAKE HOMEOWNERS 00221149275 5/21/2009 page: 6 ASSOCIATION Use BLUE or BLACK Ink I F or O ffi ce U se - - - - - - - - - - - I I 1 Permit M I City of Eap I. Permit Fee: 3830 Pilot Knob Road I Date Received: I Eagan MN 55122 I I Phone: (651) 675-5675 1 staff: Fax: (651) 675-5694 1 -7BUILDING PERMIT APPLICATION 2011 RESIDENTIAL Date: Site Address: / Unit C. ~ra Name: Tkolya-S Ca IfA fiego s a4Uh4arS Phone:6%-70Y-7V31,, r~ RESIDENT/ OWNER Address / City / Zip: Contractor Applicant is: _Owner Description of work: "0' TYPE OF WORK Construction Cost: Multi-Family Building: (Yes ~74-1 No Company. Contact: G4. ~5 I,~i.1rKi0tta.4t ~ 'R`R1G. Address: 44t00 f,WAWy- W City: S~ • `ow3gp yw CONTRACTOR State: M14-~ Zip: 610514~ro Phone: License C ,,e 6 v Lead Certificate M WM- W0---AA"t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www aopherstateonecall.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. Applicant's Printed Name A41ric 's Sign ature Page 1 of 3 15a~ Ar.15a~ tayUse BLUE or BLACK Ink I For Office Use I I p I j Permit#: 1 City of Eakan I 5 . ~s Permit Fee: 1 3830 Pilot Knob Road p Eagan MN 55122 j Date Received: lot i ~5 I Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 1 Staff. I I I - - - - - - - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: C~ e f f f\ ~/Vy i f V Unit Name: -n' I tJI I l U ~ ~ it r Je , ~ J , l l~ Phone: , G':< S _ Resident/ ` V~ /Vu 3-4& Owner Address / City / Zip: 2 2 r Applicant is: Owner} Contractor A Type of Work Description of work: V V o (kwl vVtn G c t Construction Cost: V Multi-Family Building: (Yes / No ) Company: 0- Qit inel Ca qd QE?`'r1ed ItAi `tt o)htact: ' l'i-A124til 1 Contractor Address: Cf)(-) G >L~ols/O v- Q%jd City: _S4. Lo LL State:h 'Zip: Phone: ESQ License ~IC> ] CU 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.oor)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. 12 ~ 71A d T-h 1 10 S~ XP Applicant's Printed Name App ' is ig ature Page 1 of 3