1531 Clemson DrL
HEATtOSASTIMATE City or Village
FORM 77-8900
ADORESS /s'3% Fioor / Date
?Owner Phone
NAME `?? &4-em) ?'rYZ.2Q? ?gContractor
Heating bilt to be paid by
F{R6T NAM! INITIAL LAlT NAM<
Make of
Plant _
GWA MWA GHW FHW S V UH SPACE Firepot
? 13 ? ? ? ? ? ? Size
Boiler No.
Type of Domestic Gas Equipment:
Gas Ranges W. Htrs. (l
Installed Radiation
Hot Plates
Remarks: Y ? ? .YLdm?1
Date
Checked By
Heat Loss Input RV,QeW Cert. No
Equipment to be /?
Installed ? an,) 716 ",96 On
Installed by A? 7f]v'd ti. ? , ?in Size Off
?, .. OK
Sold by Servica Renew
NORTHERN STATES POWER CO.
Wa!/
COn;STRUCTION Ceiling
, Floar
WlEATHERSTRIPS INSULATION THNIESSCK- TYPE ATTIC
Windows
'
-- Doors Wall Vented
r
Yes-No Yes-No Ceiling Yes-No
FI. Room Length Width Height
I FI. Room Length Width Hei9ht
FI. Room Length Width Height
W INDOWS AND 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
Ccef. BtL
Infiltration Door
Infiltration Window
Gross Wall
Gfass
Net Ex . Wall
Ceil. or floor
Ceil. or floor I
F i replaCe
Total Btu
HEAT L'OS.CESTIMATE City or Village Ea-121n.?
FO'RM 17-6900
ADDRESS ?53 I -? ?? ??-++^? > Floor ? natP ? --? -?1
-,?I_0Owner Phone
NAME?.d.a,Q?a`^?+??? ?IContractor
Heating bill to be paid by
FIR{T NAMt Iry1T1AL LABT NAME
Make of GWA MWA GHW FHW S V UH SPACE Firapot
Plant O 0 ? ? ? ? ? p Size
Boiler No. Installed Radiation
7ype of Domestic Gas Equipment:
Gas Ranges W. Htrs. (Input } nryers Hot Plates
Remarks:
Date
Checked
Heat Loss Input XV,000 Cert. No.
Equipment to b
Installed V ' On
Installed by Main Size Off
OK
Sold 6y Service Renew
NORTHERN S7ATES POWER CO.
'. Wa//
CONSTRUCTION Ceiling
Floor
WEATHERSTRIPS INSULATION THICK-
TYPE
ATTIC
Windows Doors Wall Vented
Yes-No Yes-No Ceiling Yes-No
FI. Room Length Width Height
FI. Room Length 1Nidth Height
FI. Room Length Width Height
W INDOWS AND DOOR S-CRAC KAGE AND AREA
No, Width
of pane Height
of pane No. of
lights Area
s. ft. jnea t.
of crack
Ccef. Bfu
Infiltration Door
Infiltration Window
Gross Wall
Glass
Net Ex . Wall
Ceil. or floor
Ceil. or floor
Fireplace
Total Btu
HEATLOSS ESTIMATE City or Village ?'?-?j?a.?+? --- -
FORM 17-6900
AODRESS Floor ? Date
,?? ?Owner Phone
NAME `?? F.?:-^-D-r?^ ) W?'n'zQ-A-, ;BContractor
Heating bill to be paid by
PIRHT MAMt INITIAL lABT NAM6
Make of
Plant _
GVIIA MWA GHW FHW S V UH SPACE Firapot
? In ? ? p O ? ? Size
Boiler No.
Type of Domestic Gas Equipment:
Installed Radiation
Gas Ranges W. Htrs. llnput ) ?ryers Hot Plates
Remarks: - -- Y?2x., ,r -401
Date
Checked
Heat Loss Input Lb:?_Qon Cert. No
Equipment to be
Installed - On
Main Size Off
Installed by
OK
Sold by Service Renew
NORTHERN STATES POWER CO.
Wel!
COItiSTRUCTION Ceiling
Flaor
WEATHERSTRIPS INSULATIQN TNES?S TYPE ATTIC
Windows Doors Wall Vented
Yes-No Yes-No Ceiling Yes-No
FI. Room Length Width Height
Ft. Room Length Width Height
FI. Room length Width Height
W WDOWS AND DOOR S-CRAC KAGE AND AREA
I No. Width
of pane Height
of pane No, of
lights Area
sq. ft. nea t
of crack
?
Coef. Btu
Infiltration Ooor
Infiltration Window
Gross Wall
Glass
Net Ex . Wall
Ceil, or floor
? Ceil. or floor
Fireplace
' Total Btu
HEAT tQSS ESYIMATE City or Village 'EaW..ek=t;:./
FORM 17-6900
ADORESS Ftoor ? Date dYL a8 81
?I_ ?pwner Phone
NAM F ?/?'? ? j h?.?? ) A??- ? Contractor
Heating bill to be paid
Make of
Plant _
Boiler No.
Type of Domestic Gas Equipment:
GWA MWA GHW FHW S
? [a a ? ?
V UH SPACE Firepot
p p ? Size
Installed Radiation
Gas Ranges W. Htrs. (Input )- nryers Not Plates
Remarks: V2o 1-v'-PL&h'1eL
Date
Checked
Heat Lou Input SCloon Cert. No
Equipment to be ? ?
Installed -1.A? MJ Z/Cr _&) Q/wj- Main 5ize Off
Instelled OK
V
Sold by ServicP Renew
NORTHERN STATES POWER CO.
,
wau
CONSTRUCTION Ceiling
, FJOOr
WEATHERSTRIPS INSULATION THICK-
NESS
TYPE
ATTIC
Windows Doars Wall Vented
Yes-No Yes-No Ceiling Yes-No
FI. Room Length Width Height
FI. Room Length Width Height
FI. Room Length Width Height
W INDOWS AND DOOR S-CRAC KAGE AND AREA
No. width
of pane Height
of pane No. of
lights Area
, ft. inea t.
of crack
Coef. Btu
Infiltration Ooor
Infiltration Window
Gross Wall
Glass
Net Ex . Wall
Ceil. or floor
Ceil. or floor
Fireplace
Total Btu
I? -
cirY oF EActi?N
•• .3795 Pilot Knob Road Eogon, MN 55122
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be uwd for Est. Volue Date
Site Ad?dress
Lot -!° L- Block Sec/Sub.
Parcel # .
s Name
W
; Address
b
? Name _
,o
Address
Nome _
Address
1 hereby acknowledye thot I have recd this opplication ond scate that
the information is torrect and agree to comply with all applicoble
State of Minnesota Statutes and City of Eagan Ordirances.
N° 6596
,o
Erect ? Occupancy
Alter ? Zoning
Repoir ? Fire Zone
Enlorge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
Approvols Fces
Woter & Sew.
Police
Fire
Eng.
Planner
Counci I
Bidg. Off.
APC
Pertnit
$urcharge
Plon check
SAC
Water Conn.
Water Meter
Road Unit
Totul
5ipnature of Permittee ?
A Building Permit is issued to: on the express condition that
oll work shall be done in occordarxe with oil applicoble 5tate of Minnesotc Stotutes and City of Eagon Ordinonces.
Building Offictcl
PeemM ?t Oafr hped hnelltM
Plumbing 391?.
Mechoniccl ,3
Fl w?k?ta 81 - Z?-s- lE F c,
INSPECTIONS DATE/ INSP. I
Footings
Founda
IQ,
' on,
Rough-In Finol
Oote Insp?t Date I
_
Piumbing 3 / $D
ef!Enk in _ Mechanical
inol r .. ?
Remarks:
/
rw . . . . . .. -- . ,. .{' . . '" . ` .., - . !. , ... :_-. ?r?
' PERMIT # ' -
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGiAN, MN 55121 DATE:
PRICE PHONE 454-8100
Site
Lot.
Block
BIDG. T1fPE WORK OESCRIPTION
? Name
? Address
c Ciiy
? Name
c Address _
O CitY
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Oudets #
Other
w
R
N
,-
e
es.
Add
-on
Mult
R
i
C
r
epa
omm.
'hone pther
FEES
RES. H1/AC 0-700 M BTU -$24.00
'hone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
M BTU COMM/IND FEE - 1% OF CONTRACT FEE
M BTU MINIMUM - RESIDENTIAL FEE - 10.00
M BTU MINIMUM - COMM/IND FEE - 20.00
M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
CFM BEYOND $1,000.00)
FEE
s/C. SIGNAT E OF PERMITTE 7
TOTAL•
ewa.
FOR CITY OF EAGAN
. ?r ,?,? - q? ?.v ?. i r-? - • c --r - ? - -
L ?
3830 PILI
CONTRACT PRICE: '"?",/ J - du
Site Adc)re,,,ss ? r?Z,/ v
m Name _
?o Address
c City.
_
RaAD, EAGAN, MN 55122 DATE: •?`-? ? ?
NE:454-8100 0
Res. -/L
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
Name FEES
RES
HVAC 0-100 M BTU
$24
00
/177 : .
-
c Address
3 T?,v t>e• ADOITIONAL 50 M BTU - 6.00
p Ciry ??- 3 Phone 'r2 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PEkMIn 1
50 EA
. (
- .
-
.
TYPE OF WORK C0107M/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
' Unit Heater M BTU REMODELS - 12.00
Air Cond
? M BTU MINIMUM COMMERCIAL FEE - 20.00
. STATE SURCHARGE PER PERMIT - .50
Vent. CFM
(ADD $.SO S/C IF.PERMITPRICE GOES.
Gas Piping Outlets # BEYOND $1,000)
Other
FEE
S/C: SIGN T RE E ITTEE
TOTAL:
FOR: CITY OF EAGAN
r ,.- '?...
BUILDING PERMIT
CITY OF EAGAN
3795 Pilot Knob Rood Euyan, MN 35122 NO
PHONE: 454-8100
Receipt #
36 , On:: Dote
6595
Site Address 33 Erecr a] Occuponcy
Lot9W- Block Sec/Sub. Alter ? Zoning
Parcel # Repair p Fire Zone
Enlarge Q Type of Const.
W Name Move ? # Stories
; Address Demolish ? Front ff.
b
City
Phone
Grade
p
Depth ft.
APPrmrols Fees
o Nome
ua Address Assessment Permit
?
Q Phone Water & Sew. Surchorge
Police Plon check
GW Na^'e Fire SAC
?? Address Eng. Woter Conn.
iW Ci Phone Planner WaterMeter
Council Road Unit
I hereby acknowledge that I have reod this application ond stote that Bidg. Off.
the inforrrwtion is correct and agree to rnmply with oll applicable
State of Minnesoto Stotutes and Ciry of Eagon Ordinonces. APC Total
5ignature of Permittea
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with cil opplicable State of Minnesota Statutes and City of Eagan Ordinnnces.
Building Officfol
?
v.rmir # Dor. is+M.a r.r.,m..
Plumbing -1 ? I,VQ
Mechonical
s-( Ss - Z - -Er c i
INSPECTIONS DATE INSP. Rough-In I Final
Footing5 Dote Insp. Date In
Foundotion
Plumbing ?
Frame/ins. - -?'/ Mechanical
Final $L ?(` 7js P
Remorks: + t _
??..?.....? ? ,
? .? ,?
CITY OF EAGAN
3795 Pilot Knob Rand Eagon, MN 55122
PHONE: 454-8100
BUILDING PERMIT
To be uwd for Est. Value
Site llddress ?
Lot ? Block Sec/Sub.
Porcel # W Name :?•:i? ;??,t?i t?cr:t?-;
Z Addres,s, c?_
9
Receipt #
N° 6593
Erect 0 Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlorge ? Type of Const.
Move 0 # Stories
Demolish ? Front ft.
Grade ? Depth k.
0: Nome ..rr.......
O
ssessment
?
u Addreu
F' ater & Sew.
Ci ph?
Police
F
?
W
Name
W G
1? Address d?
?{1ng.
G
0
a W Ci Planner
il
C
I hereby acknowledge that I have reod this a ounc
and stote thot Bldg. Off.
the information is correct and agree t ith oll opplitable
Stote of Minnesoto Statutes and City ? an Ordinonces. APC
Permit
Surcharge
Plan check
SAC
Wnter Conn. _
Water Meter Rood Unit
Total
Signature of Pertnittee I
A Building Permit is issued to: on the express condition that
all work shall be done in occordance with oll applicable Stote of Minnesota Stotutes and City of Eagcn Ordinonces.
Building Officiol
Parmk # DsM taued PeraiMN
Plumbing A3 $-C) - --$ OL ?
Mechanicol S,
e(6ft. r t`a?l "t' 3S'1 g3 5- z$'- BE'i £ C_,
INSPECTIONS DATE INSP, I
Rough-In
Firwl
Footings Dote I Insp. Date Inap.
Foundation _ Plumbing G !/ ? g I
Fram _B-?( MecFaniwl I
Final _`6 1
Remorks:
C%?D/e MECHANICAL PERMIT
? /vO77 / ` f'9 CITY OF EAGAN
4
3830 PILOT KNOB ROAD, EAGAN, MN 55122
C7 PRICE: - - PHONE: 454-8100
sLnc. nr?
Res.
Mult
Comm.
Other
? Name -c' ?" rr r e ,? ?c
? Address • ?- • ? F.' ?P/!? ..
: c City
L Name _
3 Address
` p City -
' TYPE OF WORK
? Forced Air
. Boiler
i Unit Heater
j Air Cond.
' Gas Piping Oudets #
Other
M BTU
M BTU
M BTU
? M BTU
CFM
FEE:
S/C:
TOTAL•
---.?
PERMIT #
RECEIPT #
DATE:
WORK DESCRIPTION
New
Add-on ?
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU -
?, -?!',? ?, ) (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERilAIT) -
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
I REMODELS -
$24.00
6.00
1.50 EA.
12.00
MINIMUM COMMERCIAL FEE - 20,00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C iF PERMIT PRICE GOES
BEYOND $1,000)
SI E E EE
FOR: CITY OF AGAN
(Itr#ifira#it uf (Orrupanrlj .
titp of (Cagan
llr#rttrtrnmi u# lui1bimg 3Weriim
Tbu Crrtificwc issaad purtnmt w the rcqture+nents of Sutioa 306 of tbe Ujrifom Bailding
Cada artifyisg tilat st t& tiw of it.wanu tbit structuse wa.r in corapliance witb the varioat
ordiAamres o f the City ngxlating btaldixg mattrwtroR or rut. For the f ollowiag:
un a,=mcad,,, 1 of 4 PLEX ".n,,,& N., 6594
oW,p,my Typ R3 Tyv.commm. V rq.za.. NA Zoniq DwAd PD
__ pArU RAann Nnmws _.. 2353 N. RiCe St.. St. PaLil
Oe"f .ei
Heights
Jurte 4, 1982
.e.. M . ?C%WQ%. .L.«
u.5.w.
I -.-?
CITY OF EAGAN
3795 Pilot Knob Raod Eagan, MN 59122
PHONE: 464-8700
BUILDING PERMIT
Te 6e umd ier Fd Vnlo
$ite Address (GLJJ I 1•3 a? '
Lot -..L_- Block Sec/Sub.
Parcel #
99 Name
W
3 Address
o
lz Ncme _
o
o? Address
Fees
Permit
uei ~ Warer & Sew. Surcharge
Cit Phone k
Police Plan chec
?W Na^'e F SAC
r ire
?? Address Eng. Water Cann.
?W Ci phane Plonner Water Meter
Council RoQd Unit
I hereby acknowledge that I have read this opplication, and state thot
' gldy, pff,
all applicable
the informotion is corcect and agree to comply with
Ordino
s
S
f Mi
t
d Cit
f E
S APC Total
.
nce
tnte o
nneso
tatutes on
y o
agan
a
Signa[ure of Permittee
A Building Permit is issued Yo: on the express condition that
Receipt #
N° 6594
io
Erect ? Occuponcy
Alter ? Zoning
Repoir p Fire Zone
Enlarge p Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
all work shall be done in acrnrdance with all applicoble State of Minnesoto Statutes and City of Eagan Ordinances
Building Official
PamlY # Dafe luwd Pennfftw
Plumbing ^-:23--7 z?_ $- 1 E- $" ; 0.l? ?
Mechonicol 7TT y .7- P/
El E6 f: cc- 1 T 381ZE' p- C?
INSPECTIONS DATE INSP.
Rough-I n
Final
Footin9s ; InsR Date I Insp.
Foundation
Frome/ins.
0
? -f
Plumbing
Mechanical ?P?
?•?-
=i- 's /s ; r _
_
Final 6 ?
i
Remorks:
-?.?.--
I
? Name
m Addre
c City
? Name
c Addre
o cib =
PERMIT #
f;5 fj ; MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
8g PHONE: 454-8160
BLDG. TYPE WORK DESCRIPTION
Sub
i Res. f New
.
,t? ??? i
Mult
Add-on
,p-a Comm. Repair
_ Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. Z 4y M BTU
Vent. . .. .;-CFM :
Gas Piping Outlets #
Other
FEE:
S/C:
TOTAI:
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
?6p'J (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS t?Z.pD'
T•u?? MINIMUM COMMERCIAL FEE - 20,00.,
STATE SURCHARGE PEA PERMIT -
(enrt & r,n c>r• ic OGaUrr pait-F rnGC ?-.,.- , .. .
FOR: CITY OF EAGAN
CITY OF EAGAN
• .` ` 3745 Pilo! Knob Road ga9e., MN 55122 N2 6593
??7 !
BUILDING PERMIT APPLICATION PHONE: 454-3100 Receipt #
Site Address/? 11 o-k=w t-J"115SKI Lr
Lot 13 Block 3 sec/sub. ThanaS Lake Hts
Porcel * 10 75950 150 03
kx Nome Hans Haqen Hcmes
3 Addre 2345 N. Rioe St
0
ci t a Phone 3-
? Nome ge-M
?
u? ??
? rir,, ai,.,.,e
Name _
Address
1 hereby ocknowledge thot I have read this application ond stote that
Yhe infortnotion is corred ond ogree to comply with all applicable
Stote of Minnesota Statutes and City of Eagan Ordinances.
Erect R7 Occupancy K3
Alter 0 Zoning PD
Repoir ? Fire Zone NA
Enlarge ? Type of Const. j1
Move ? #k Stories
Demolish 0 Front 42 ft.
Woter & Sew.
Polite
Eng.
Planner
Council
Bldg. Off.
APC
Permit
Plan check 52.75
sAC 525.00
Water Conn. 335.00
Water Meter 60 . 00
Rood Unit 185.00
Total 1,281.25
Sipnature of Pe?mittee I
A Building Permit is issued ro: Hans Hagen Hcmes on the express condition that
oll work shcll be done in nccordance w' oll opplioable 5tate of Minnesotn Statutes and City of Eagon Ordinances.
Buildir?g Offtcial
cirr oF E?GaN
. ' 3. 3795 Pilat Knob Rood Eagen, MN 55122 N2 6594
- PHONE: 4S4-B100
BUILDING PERMIT APPLICATION Receipt #
Site Address!
Lot ?L ill
Erect E Occupancy P3
Alter ? Zoninq PD
Repair p Fire Zone ?
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 42 ft.
Parcel # -.. ...-.. '`z.,
W Nome Fianq I??en Hcln?
z ,?re? 2345 N.Rice St
? Ci St. Paul 5511?8 483-0801
wNeme Smile
,o
?? Address
r;.., vh.w,o
Name
I hereby acknowledqe thct I have read this application and stote that
the information is corcect ond ogree to oomply with all opplicoble
State of Minnesota Statutes nnd Ciry of Eagan ardinances.
Woter & Sew.
Police
Flre
Eng.
Plonner
Councll
Bldg. Off.
APC
Permit 1U5.5U
Surcharge 18.00
Plan check 52.75
SAC 525.00
Woter Conn. 335.00
Water Meter 60,00
Road Unit 1-85. 00
Tatol ?? ?2c;
Sipnature of Permittee I
A Building Permit is issued to: HmiS HaQm Hcmes on the express condition thnt
oll work shall be done in accordagp with oll aqqica_ ?le State of Minnesote Stotutes and Cty of Eagon Ordinances.
Building Ofticlal
?. _
Receipt
MECHANICAL PERMIT
Permit No.
CITY OF EAGAN
? Fee
?I Fil1 rn numbered spaces S/C
Type or Print /egibly
Tot
.
! 1. Date ' 2. Installation Cost
3. Job Address Lot Blk. Tract -
4. Owner
5. Contractor •' Phone ' - ?
6. Address
7. City State Zip ?
8. Building Type: Residential El Commercial ? Instftutional ?
9, Work Descripti on: New ? Add ? Alter 0 Repair ?
10. Describe Fuel Type
I 11
No. EnuiQment STU - M. Ea.
Forced Air No. Equipment CFM
Air Handling:
Mfg.
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.
jhis is your permit when numbered and approved.
dpproved CITY OF EAGAN 464-8100
?.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fes
Fill in numbered spaces S/C •
Type or Print legibly Tot.
I 1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City • ? °'`?', State Zip
8. Building Type: Residential 13
9. Work Description: New n
I 10. Describe
1 11•
Commercial O Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
C
D
Bath tubs esspool/
rainfield
i
T
S
k
Lavatory ept
c
an
f
S
Shower tner
o
W
ll
Kitchen Sink e
Urinal/Bidet h
O
Laundry Tray er
t
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
•Irispections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
I
Receipt
PLUMBING PERMIT
CITY OF EAGAN
Permit No.
coe
Fill in numbered spaces S/C
Type or Print /egib/y .
Tot.
1. Date 2. Installation Cost
Job Address LotBlk
---??
3 Tract ' -
. .
4. Owner
.-
5. Contractor : Phone
6. Address ?
7. City State Zip ?
8. Building Type: Residential El Commercial ? Institutional 0
9. Work Description: New ? 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 carrect, 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
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print /egib/y
1. Oate 2. Installation Cost
3. Job Address Lot Blk. ' Tract
4. Owner -
5. Contractor Phone ?6. Address
7. City . i'?-l '• State
8. Building Type: Residential O
9. Work Description: New El
Zip
Commercial ? Institutional O
Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Eauinment 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 Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
• Approved CITY OF EAGAN 464-8100
Permit No.
Fee
S/C
Tot.
Reoeipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
'
Fee
Fill in numbered spaces S/C •
Type or Print /egib/y
Tot. "
1. Date ' 2. Installation Cost
1
3. Job Address Lot Blk.
Tract
4. Owner ' ' ' ? ?' :? •
5. Contractor :'1};F- - Phone r;rry_? '? ?
6. Address •, . , ; .,, ,?R? A.,.,.
.
7. City State Zip `
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Descripti on: New EJ Add ? Alter ? Repair ?
10. Describe
1 11
No. Fixtures
Water Closet No. Fixtures
l/D
i
f
C
Bath tubs esspoo
ra
n
ield
S
Lavatory eptic Tank
Sh0vmr Softner
W
Kitchen Sink ell
Urinal/Bidet O
Laundry Tray ther
Floor Drains
Drinking Ftn.
S
lop Sink
Gas Pipjng 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
'dnspections: Date Insp. Date Insp.
(l;his is your permit when numbered and approved.
.Approved CITY OF EAGAN 454-8100
;: r?.
f .
Receipt PLUMBING PERMI
T
CITY OF EAGAN
Fil! Jn numbered spaces
Type or Print legibly
1. Date 2, Installation Cost
Permit No.
Fee
S/C '
Tot.
3. Job Address 15 ;1D Cler.ts?. ? Lot Blk. Tract
4. Owner fitn Con, Inc.
5. Contractor?ivard PlbE:_ u• Ht7. Co. Phone 777-13F
6. Address 'Y'15!1
.
78ll1.
7. City • State Zip
8. Building Type: Residentiai Q
9. Work Description: New W
I 10. Describe
I 11•
Commercial ? Institutional ?
Add O Alter ? Repair O
No. Fixtures
Water Closet No. Fixtures
l/D
i
fi
C
Bath tubs esspoo
ra
n
eld
i
S
Lavatory ept
c Tank
f
S
Shower o
tner
W
l
Kitchen Sink e
l
Urinal/Bidet O
h
Laundry Tray er
t
Floor Drains
Drinking Ftn.
S
lop 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 :
. far
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
_ Approved CITY OF EAGAN 454-8100
Receipt
1. Date
Permit No.
Fee
S/C
Tot.
3. Job Address 1531!. c10-nr.-'1 Lot ' Blk. Tract' °i.ik.iitS
4. Owner ;:?ns
5. Contractor Uur"c"L'1 '?tinq Phone )"17-13C3
6. Address
MECHANICAL PERMIT
CITY OF EAGAN
fill in numbered spaces
Type or Prini /egib/y
2, Installation Cost
2050 TrJhi.te Dear Ave
7. Clty ?'t-. ;'•.'1.I?. StBte Zlp ?'rinn
8. Building Type: Residential U Commercial ? Institutional O
9. Work Description: New C3 Add O Alier ? Repair ?
I 10. Describe Fuel Type
I 11.
No. E.quioment BTU • M. Ea.
Forced Air No. Equipment CFM
Ai
Handli
:
Mfg, 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
oomply with all ordinances and codes governing this type of work.
Signed : for
, Rough Final
• Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
, Abproved CITY OF EAGAN 464-8100
Receipt
1, Date " 18
PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Prinf /egibly
2. Installation Cost
Permit No.
Fee
S/C •
Tot.
3. Job Address Lot Blk. Tract
4. Owner 7 Con, Iyir, ?
5. Contractor
Phone
?
6. Address
1 7. City _ '±
8. Building Type: Residential 0
9. Work Description: New Ll
I 10. Describe
I 11.
State Zip
Commercial O Institutional ?
Add 11 Alter 0 Repair ?
No. Fixtures
Water Closet No. Fixtures
l
C
Bath tubs esspoo
/Drainfield
S
Lavatory eptic Tank
f
S
Shower o
tner
W
l
Kitchen Sink e
l
Urinal/Bidet O
Laundry Tray ther
Floor Drains
Orinking Ftn.
Sl
Si
k
op
n
Gas Piping Outlets
12. I hereby certify that the above intormation 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 454-8900
?
Racaipt MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Prini legib/y
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractar Phone " ??-1363
6. Address
7. City
8. Building Type: Residential ?
9. Work Description: New Q
State
Zip
Commercial ? Institutional ?
Add D Alter O Repair ?
I 10. Describe Fuel Type
1 11•
No. Equigment BTU - M. Ea.
Forced Air No. EQUiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg, Other
Air Cond.
Mfg,
Gas, P'iping 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
A Rough F inal
• Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
Permit No.
Fea
S/C
Tot.
CITY OF EAGAN
Additfon,?T%emaS I.akP Heig}ltq Arlditinn -oc 19 81k ? Parcel #LO 7S9.,ri.Q 190 01
o+?+ner ?i UxL• street 1531 Clemson Drive stete Eagan, MV 55122
Improvement Date Amount Annual Years Poyment Receipt Date
STREET SURF. 167.83 A011174 6-15-82
STREE7 RES7QR.
GRADING
SAN SEW TRUNK ? a
*5EWERLATERAL ^ 188.47 A 11174 6-15-82
WATERMAIN
* WATER LATERAL 1981
WATER AREA / y •
STORM SEW TRK ?' .
-112-37 20 89 270.73 A011174 6-15-82
* STORM SEW LAT 19$1
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 24132 4-10-91
BUILDING PER. 6594
SAC
PARK
CITY OF EAGAN Remarka
Addition T}0?- I-ake Hgig]}tg Ad-dit-ip-}- Lot j$ Blk -.3 Parcel ' ?7 fl 75950 190 . '10,3
Owner Street 1531 S(:1 emSen nrive State EAQe.n ., MN 55122
;
Improvement Oate Amount . Annual Years Payment Receipt Date
STREET SURF. 223. AOZOlFZ S- 1
STREET RESTOR.
GRADING
SAN SEW TRUNK ?q y 3
*SEWER LATERAL 1981 314.09 2 251•2 A01019 3- 1
WATERMAIN
*WATER LATERAL 1981
WATER AREA /
STORM 5EW TRK 19$1 31 20.82 291•55 xola 19 8-3-81
*S70RM SEW LAT 1981
? CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 24131 -
WATER CONN. 335.00 24131 4-10-81
BUILDING PER.
sa,c -25.00 24131 -1 -81
PARK
..?.
CITY OF EAGAN Remarks ? Addition Thomas Lake Heights Addition Lt 20 eik 3, Parcel #10 75950 200 03
Owner Street 7533 C1emSOZ1 Drive gtate Eagan, MN 55122 _
f '_/f ?; ` ?(LrtP_ ?? t,tl,{dJ'
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. $223.71 A010511 8-2T-81
I STREET RESTOR.
GRADING
SAN SEW TRUNK
/9 3
Q.G
?
*SEWER LATERAL a 2 1.25 AOZO u 8-2 -SZ
WATERMAIN
*WATER LATERAL
WATER AREA / 9 7 -7
STORM SEW TRK ' ?Q9],•55 A010511 8-21-$1
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
R - -
WATER CONN.
9UILOING PER.
sAC 24133 4-10-81
PARK
?CITY OF EAGAN Remarks
Additlon Thomas L?.l?e Ne7,ght?Additinn Lot 21 sik-3 parcei#10 759,50 210 ;
o.ngr I ?,4 ? t` ? ?}r (0; Street 1533 B Clemson Drive s?te Ea.?an, NIN 55122
?vlfs,?`, A?Yli*u>> 7ta-
Improvement Date Amount Annuel Years Payment Receipt Dete
S?REETSURF. ' 223.77 A010545 9-8-81
STFEET RESTOR,
' GRAlaING
SAN SEW TRUNIG
*SEWERLATERAL 1981 314.09 62.82 5 251.28 A010545 9-8-81
WATERMAIN
*WATER LATERRL 1981
WATER AREA ,9 7 7 LY„tcC
STORM SEW TRK 291.55 A010545 9-8--81
*'STORM 5EW LAT 19$1
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road i 4-10-81
WATER CONN, 335.00 13 4-10_$1
lJIL01NG PER, 6596
SAC 25
00 24134 4-10-
PARK . -
7 CORRECTION NOTICE
DATE: V'- -A 7 V a
Site
Owner/Agent
Ordinance Nos. and Corrections -
For reinspection
Eagan Dept.oflnspection InspectOr:
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
454-8100 Dept.:._
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
? (651) 681-4675
SITE ADDRESS:
?
' PERMIT SUBTYPE:
APPLICANT:
i •? ,
TYPE OF WORK:
ilt 10rc11 11 r rON
ri • i A I
?
?
_---
-------------------------------
--- ?/
PsrFnk Holder Date Telephone N
SEWER/
WATER
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINCiS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
?f
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATlC
TEST
BSMT R.I.
BSMT FINAL
DECK FT(3
DECK FINAL
Bi1RNSviLLE
Heating & Air Conditioning, L.L.C.
11481 Rhode /sland Ave S, Savage, MN 55'378 • 952-894-0005
Orstat Test Report for Jobf :5? i//
?iiy ?rg Si¢ti
0
Dafie of Insfiall F-`21-02
Type of HT. F/A_2?_ HW Space HT Unit HT
OtlW
Malae L f4 /lvY
Model ? 5U QF- -%79 L ?7U
serial 3 /? 5902"16
Input 7C)-"O?--?kD
Pilot Type HOT SURFACE IGN/TOR
Pressure ? • V C02 T. 3
Input CFH 7°i" 02 72-
Stack Temp ?e/ 3 CO 3 /4
Date Tested -3
Company BUWV/LLE HEATlNG & A/R COND/TION/NG
Technician
CITY CF EAGAN WATER SERVICE PERMIT
37' ' Pilot Knob Rood PERMIT NO.:
Eagon, MN 55122 . DATE:
Zoning: No. of Units:
Owner. -
Address:
Site Address:
Plumber:
C" - ' OF EAGAN
ilot Knob Road
Eyy..., MN 55122
Zoning:
awner:
Address:
Site Address:
Plumber:
Meter No.: Connedion Charge: Meter No.: Connecrion Charge:
Size: AcwunY Deposit: Size: Account Deposit:
Reeder No.: Permit Fee: Reader No.: Permit Fee:
I egree to eompy with ti+e City of Eagan Surchar9e: i ogroe to wmplr whh fhe City of Eegan Surcharge:
?
dinanees. Misc. Chorges: Ordinanees. Misc. Clwrges:
.
Total:
Total:
ty Date Paid: By Date Pcid:
te of Insp.: Insp.: Date of Insp.: Insp.:
SEVUER SERVICE PERMIT ? CITY OF EAGAN SEWER SERVICE PERMIT #
?CIT1( fiF EAGAN 379 ? Piloc Knob Rood PERMIT NO.;
j? 5 Pilot Knob Road PERMIT NQ.: E2gan, MN 55122
DATE:
?Eagan, MN 55122 DATE; Zoning: No, of Units:
No. of Units: O
Zoning: wner:
;Owner: - Address:
Address: Site Address:
-
'Site Address: Plumber:
Plumber:
? a8? b eanplr wiN? H?e City of Eogon
.1 agree to aomplr with the Citp of Eagan Connection Charge: Ordinaneas.
Ordinonces. Account Deposit:
Permit Fee:
Surcharge: BY
(BY Mlsc. Charges: Dote of Ins
p.:
Dote of Insp-: Total: Insp.:
(nsp.: Date Poid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units:
Connection Chorge:
Account Deposit:
Permlt Fee:
Surcharge:
Misc. Chorges:
Total:
Dote Poid: -
CITY 4F EAQAN WATER SERVICE PERMIT + OF EAGAN WATER SERVICE PERMIT ?
3795 Pilot Knob Rocd PERMIT NO.: y193 Pilot Knob Rood PERMIT NO.:
Coyan, MN $5122 DATE: Eogan, MN 55122 DATE:
Zoning; 17i No, of Units: Zoning: No. of Units:
Owner. - "g ' Owner:
Address: Address:
Sire Address: Site Address: .
Plumber: Plumber:
Meter No.: Connection Chorge: i • Meter No.: Connection Charge:
S'ZQ' Account Deposit: Size: Account Deposit:
Reoder No.: Permit Fee: • Reader No.: , Permit Fee:
I agroe to comply with tha City of Eagan Surcharge: ? 1 agroe ta comply wiFh fhe Ciry of Eugon 5urcharge:
Ordinonees. Misc. Charges: Ordinaneas. Misc. Churges:
Total: _ Total:
BY - Dote Poid: BY Dnte Paid:
Date of Insp.: Insp.: Date of Insp.: _ Insp.:
i.
SEVHER SERVICE PERMIT ' OF EAGAN SEWER SERVICE PERMIT
CITIf GF EAGAN 9795 Pilot Knob Rood PERMIT NO.:
37^5 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE:
Eagon, MN 65122 DATE:
Zoning: No. of Units:
Zoning: No. of Units:
Owner:
%-,Vner: Address:
I
ess: . _ - , • Slte Address: . I
Address: Plumber: -
iber: . .
,ee to comply with fhe Cify of Eagan Connection Chorge:
naness. Account Deposit:
Permit Fee:
Surcharge: '
Misc. Chorges:
: of Insp.: - Total:
1 ayroa to comply with tha City of Eagon ,
O?ilnonees.
By
Date of Insp.:
I nsp.: _
Connection Charge:
?Account Deposit: .
Permit Fce:
Surchorge:
Misc. Charges: _
Totel:
Date Poid:
?
. ,?// ,. . _ ?. .• ... ? ,;x....,? ,? U ?. p,.uu.
1 site plan w/elevations
? IIUIIDIN?? FfT*II'r APPLIG1T70N 1 set of err-r? calculatioi
41157
'Ib IIc Lsec: Far Q1) Q Valu3tiOn ?Datc AmAilii
sitG Jaddress: is2? l? CLEhnSor.? ?R<<(c OfFICE t1SE ONLY
-rg' I,ot? Alotlc ? Sec./Sub. En'ct OcR'Y
Alter Zonin9
Pazcel tl: !? ???.S11 Z O n' Itepair Fire Zonj
E.ilarge , ZYpe of Const.
O.mez: `, 06 1VVZ`> hbve N Stories
Address: 2724,t;- ? RICE S7-Re2_=7F Denlish FYOnt 4/? f
? Grade ? Depth f
r; n ('n.7n• ST. 'nAUL/V,/1/
Pho:ie ¢?"s-'s-Oca! APPFX7VAI5 . F'£FS
contzactor: 1?An15 l*CC^i f0A43 Assessrents ??'D Pezmit
Pdcress: 2?4'? v?, AtdE 5T2E? Wa?r/Saaer Surcharge 19
! Poliae Plan QerJC S ?- ?
Citf/Zip Code: ?A0? AhN, ?``_>1SY? Fire SAC 7`0 ?5° ¢`
Phone 8 : - oee 1
Arch./Eng.: #AA15 f146?1/ ,jM?,
Adc.ress: -2"7,45 j/, R PGE SrTX&_,!F_T
Ci' ;r/2ip Codz: S-f'-. PAo L rna/- 5 S//.3
Phors OS?I --
gng, Watez Conn. 33s
PlanneY S9ater Meter
Council Road Unit 1 83 v"'
Bldg. Off.
APC
?`
TorAL l 2 9l, 1?
CITY OF EAGAN
• ' 3793 Pilof Knob Roud Eogan, MN $3I22 W 6595
? PHONE: 434•8100
BUILDING PERMIT APPIICATION Receipt #p
To be uaed for 1 of 4 plex Est. Value 36i000 Date 4-10 19.81_
Site Address 153 3I'Ain Clel17Sm DY' _ Erect $$ Occupancy R3__
Lot 2_0 Block 3 secisut. ThanaS Lake Hts Aiter ? Zoning PD
Porcel # 10 75950 160 03 Repair ? Fire Zone M-__
w
z
0
tEnlorge ? Type of Const. V-
z
0
ou
VSy
Name HaIIS HdQP11 HQ025 Move ? # Srories
Address 2345 N Rioe St Demolish ? Fronc 42 ft.
C+ty St Paul 5 3410M 83-080 Grcde ? Depth 22 fr.
Aonrovals Fees .
Name same
Addreu
Nome _
Address
I hereby ockrwwledge that I have read this opplicotion and state tFwt
the information is wrrect and agree to comply with all applicable
State of Minnesota Statutes and City of Eogon Ordinances.
Signature of Permittee -
A Buiidin9 Permit is issued ta:
all work shall be done in acw
Building Official
AK_ssrV8it 's- ?-u? Pennit ••.• yr?
Wafer & Sew. SarcFwrge 18•00
Police Plan check 52.75
Fire SAC 525.00
Eng. Water Conn. 335.00
Planner Water Meter 60•00
Council Road Unit 185.00
Bldg
Off
.
.
APC
Total 1,
281.25
HHIyS H3cJ2I1 HQl1ES on tha express condition that
applicable Stare of Minnesota Statutes and City of Eagan Ordinames.
'- 1 site plan w/elevatiorts 6
IIUIIDI',ic; PF:tziTT ArF'I.IGITTGN ? 1 set of e? calcvlatia,
-- 3 ?ao-ok? `'- ?l
'm t;c used For ((kUkib valuation ,. Datc
/ S 3j
Site 7ddmss: -T?5-zT- eLE?ASaw )RIV€
C -r7dpnnAS E
Lot i* Z AlocJc 3 Sec./sub. f/Eic,?lrs Enect 4
Pascel Y: ?ir
Qaner: dAN S dA&'E,4/ f/PIMf- E.-Llarqe -
?/ Mrve
Adcsess: 23?? N, ?le-°? STi2_F? Detolish
` SS//3 Grade
Cirv/ZiP Code: ST.? /?f(rJL.. 1'/ZA?,..?..,..
rhone tr: 493 -z9z5tnl APPU?- .
Contract4r: ?5 ?QGE? h/NtES Assessrents ?/
Adciress: 5?t-E7-- Water/Sewer
Police
Ciry/Zip Code: -rlJC Fire
Pha-ie #: "/zfO? D-19-
T'/-- Plaruier
Arch./Ens•: BlciOff.
Address: 2345 i? ??C? 5i??,- ppC
Cit?,/Zip Code: 5T PLlvL AnI. s5-713
OFFI(E USE OrII.Y
occtpancy !J ? ---
Zoning P?
Fire Zone Id
Zype of Oonst. V
# Sbories
Front f
Depth
I'elTrti t ? ? ' ' •,?- ??
SurchargeFs?-
rian checc-5?
SAC
Water Conn. 33S
water ^leter (U p
Road Urtit / fr,s
Phcne #: 4?3 -OSOI 'InTAT. / a P/. dX
CITY Of EAGAN
•, ? 3795 Pilot Knob Raad Eagan, MN 55123 N° b b y b
PHONE: 454-8100 •/
/-/
BUILDING PERMIT APPLICATION Receipt # _-;:7
ue
Site Addi
Loi --A
Parcei #
Block 3 Sec/Sub. Thands I,31C0 HtS
10 75950 170 03
w Name Han5 FIdgen Hcine3
3 Address 2345 N Rice St
o St Pan1 SFII'A dR4-ORn1
p Nome _
?
?? Address
Name _
Address
000
Erect {-]{ Occupancy
Alter ? Zaning PD
Repair ? Fire Zone Nk
Enlarge ? Type of Const. V_
Move ? # Stories
Demolish ? Front 42 ff.
Grade ? Depth 22 ft.
Anororala Feea
Water & Sew.
Police _
Fire
Eng.
Planner _
Council _
Bldg. Off. _
APC -
I hereby ackrrowledge thot I have read this application and state that
the information is correct ond agree to comply with all applicable
SMte ot Minnesota Statutes and City ot Eagan Ordinances.
Permit 1U7.7U
Surcharge 18.00
Plan check 52.75
SAC 525.00
Water Conn. 335.00
Woter Meter 60.00
Road Unit 185.00
Total 1,281.25
Signature of Pertnittee I
A Building Permtt is issued to: HdI15 I3aCJP11 HGmS on the express condition tFwt
oll work sholl be done in aamrdonce wi* oll applicable Stap of Minnesota Statutes and City of Ea9an Ordfrwnces.
Building Official
. v. :.•:t. a1k.aJJU ? Ji E:ldi1'i• -
• ; • ?? I '.. -- ? 1 site plan w/elevations &
BU7IDIPC,;pEid4TT ?PL7G1T70N 1 set of ey ?calculatior
fJ"0"U J?-
Tb IIc L'sed For ?1)kD Valaation ?°` Datc
Site Iaddmss: 6LcMS011 Z2lVE OFFICE USE at,II.Y
T9?oMh> LAKE
Inc/
I= 9109c 3 sec./sub. , ,4F-wATS Ernct Ocaiparx-Y /?'-?
Paznel ??/7? D? Alter Zoninq -l??-
/ ? Repair Fire Zone A/A
Ow»er: //,4N5 ?fj6E?c/ ?QM?S Enlarge _ 7YPe of Oonst.
Move # Swries
Adc.'ress: Z345- /?, R16E 5?-i2Ea:T pennlish £ront ? ft
tV/Zip Gode: _ST. O•9UL 24,Z s S-//3 Grade DePth ft
Fhone 0: 463 -D80/ , APr.7nmr S F-c, .-'r
Contractor: _ 11411s 1146eN /f/lmE.S Pssessments Pernut
3lddress: 23?15" /? QlCE ST.C'?r- water/Sewes Surcharge jZ-0
Poliee Plan Chec}cs-;*,' =-
CitY/Zip Code: !5;. P4rJL. A/tr?, 35??3 Fire SAC
EnPh? #: 4 • WdYRS CO7721. 3 3 6' °-''
Planner Water Meter
Azcn./Ens.: council PCOaa cmit , ssJ
Ad3ress: 23¢5- Al fE1G6- ,4T,Qdsffll- Bldg. Off.
APC
Citf/ZiP Cade: 47MUL AA//O ?S//3
Phore #: 4?g 3 ? O£?l TOTAL
7his repuest w,d ? /oO-p
18 rcanths from
E 3181oL;g/??'
? licensed Electncat Convactor
Owner
Stree[ Address, Box or Houte No.
1531BClemson Dr,
_ uruon o. TownshiD Name or
Occupant
X ??.
ire No. ?Pc?pbetl??nsVCr,uon ?fleady Now QH'?II NV Insoec-
[or When Ready
?Y ?]N
I hareby request insoactmn ot above
electncal work mstalled at
C??Y
No.
Pnwer Supplier Address
Dakota Farmin ton
Canvacmr's License No.
Eiecincal ConVactor (ComDany Ndmel
Hilite Electric Tnr?.
Maihn9 AAdress (COntracmr or Owner Mak??e ?ns?aflauon)
A_uyM'i'?zed Si9? u 1 nVacto Owirer Making In>tallation Phone Number
d/ " Tim Phillips 452-8886
THIS INSPECTION REQUEST WIIL NOT
MINNESOTA STATE BOARO OF ELEC ICtTV BE ACCEPTED BY 7HE STATE BOARO
G,iggs•M,dwey Bld9. - paom N-191 UNLESS PROPEN INSPECTION FEE IS
1821 Univarsi<v Ave.. St. Paul. MN 55104 ENCLOSEO.
Phone (612) 6420800
REQUEST FOR ELECTRICAL WSPECTION pes-o/o/ooi-os
, See insvucboas lor complxh?"q thas lorm on back of yellow coPn
r? ") 9 01 !l "v•' a?i.,.., Wn.k ('nvered bV 7his Request
S J 1 v 1 v -- - -
Applmncee Wiretl EquiPment WaeA
Add RBO TVPe Di 8ulldinA
Home Range Temporary Service
pijp)ex Water Heater Liyhting Fixmres
Apt Bwiding
Dryei
ectn? HeaU?',
El
Commercial Bldg.
Fumace
Silo UnloaAer
Industnal Bldg. X Air Condrtioner Bulk Mi Ik Tdnk
Othei SDeci V D'her ISpo.-ityl
Farm
h
O
1hPl SUC[IFy OthC! [;r
t
Compute lnspecuon ree oeivw
p Fee ServiceEnhenceSize tt Fea Faxders/5ubfeetlers N Fers Circuits
0 to 200 Am s 0 to 30 Am s 0 tn 30 l?m p
A6ove 200 Amps 31 [0 100 Ainps 31 to 100 A 5
Swimming Pool Above 100-Amps Above 100_Amps
Transtormers Irrigauon Booms PartialOther Fee
Signs Special InspecLOn c?o.50 TOT
R AL EDr
-erryrks lq4Fi9 ?
Dale ?
{pB EIBCInLAI
flough-in Ipac?oq hereby
ns
? cer?Jy that the above
Final ? ??spection has been
??3'
ade
m
.
This requesl vaio 10monnie ur??
This request void 8--sy", 18 mor,[hs from 2' ? "'?
Date o chis Request ?7 1 81 Fiee No. ? 38``O3 ?
I, aLicensed Electrical Contractor ? Owner, do hereby reques[ inspection of the above electri-
cal winng installed at:
Street Address or Route No. IJ 3/? cu-115?yj City akAl?
. .on Township Range County N!"aiw
Which is occupied by
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Calo
Power Supplier k* Address 1 Id"h o 6+"
Electrical Contractor_Ut'L-C-Lu?rNt"" Contractor's License NNN,!?
(COmOany Nam/?e?)
MailingAddress Iqi) ?. ? ??v.
(EI rical ntractor or Ownef Making This Installation)
Authorized Signature Phone No. lJ 'SS?S
(Electric Contractor or Owner Making This Installatlon)
S 7? /? ?2 0?/?[;,1?? fj'O??VJ This inspection request will not 6e accepted 6y the
?J (,?,? ?, ? L?, ? ?f State Baard unless praper inspection fee is enclased.
Minnesota Srate Board of Electricity --- -
Griggs Midway 81dg. - floom N791
21 University Ave., St. PaW, Minn. 55104 - phone 297-2111
REQ EB-00001-02
.:-ls_
?? ?
UEST FOR ELECTRICAL INSPECTION" `
? `?'
.iECK BELpW WOKK COVERED BY THIS REQUEST ? 3? 1? 3
Type ot BuAding New Add. Rep, p??k Appliances Wired Foi Check Fquipment Wired:For
Home ? ?
Duplex ? ? Range Temporary Wiling .' ., ?:
' ?t. Bldg ? ? ? Watei Heater
?
Lighting Fi.xmres ?
nmercial Bldg, ? ?
? Dryex ?
F'urnace ?y Electric Hea[ing
Sil
U ?
mdustrial Id ? ?
B
B- ?
Au Conditioner ? o
Noader
Bulk Milk Tank ?
?
Farm ? ? ? Lis[
h List )
Olher ? ? ? rsf
Re OthersY
e
COMPUTE INSPECTION FFF. nFr nw Here )
Service Entlance Size: a? Fee Feed¢rs&Subfeedeis: # Fee Citcuits; # F
0[o lOQ Am s.
101 to 200 Am s
P
0 to 30 Am eres
0 to 30 Am eres ee
?
.
A6ove 200 Amps 31 to 100 Amperes 31 to 100 Am eres -
.
Transfotmers Above 100 Amps. Above 100 Amps.
Signs
N RemoteContro]Circ. Par[ialototherfee
J
. Special Inspection
Minimum fe
Rematks A
I}hP. F.IPnJYIrnI --- ^S L=_t__
. _ _ i TOTAL F ay 2?,
.
_ u,.r"._.,..,..,,, .,.."a,y
(Final)
This request void
18 months from
cnon nas been made., ?
?i.Q?ate
I _ nate - -?
Yt.?l?
This request void L? Q l ?i 3? [, L-(4 t Zq g-S (P
18 mon[hs from Z7 570
Date of th4s £.equest__ 738178
I, as O Licensed Electncal Contractor U Owner, do hereby reques[ inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 631 ?L'Lh?t)?
City!Lp 3
.ion Township Ran
d Be CountyJb?
Which is occupied by_ ??C.j
Is a roughin inspection required on this job? No ? Ye"X?,'_?"•,
?j,?.„, Ready Now ? ?y? C?
Power Supplier_ 1"'C!d Address
Electrical Contractor? Ci (G..E- ?
(COmpany Name) Contractor's License JJ
Mailing Address Cuff- 1w
(E tric Co ctor or Ownet Making This Inttallatlon)
Authorized Signature ? Phone No.
(Electrl al ontracto? or Owner Making This Installatlon)
This inspection requen will not be accepted 6y the
StaYe Board unless proper inspection fee is enclased.
Minnesota S[ate Board of Electricity
Griggs Midway 61dg. - Room N191
1821 University Ave., St. Paul, Minn. 55104 - prqne 297_2711
EH-00001•02
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELqW WpRK COVERED BY THIS REQUEST
e
T
f R
il ;P ti 38178
o
YP
a
ding New Add. ReP• Check Appliances Wired Foi Check Equipment Wired F
. Home ? ? Range
Duplex ? ? Watei Heatet or
Temporary ?
Wiring
'?LBldg. ? ? o
Dryer ? LighUngFirztures
mmereial Bldg. ? ? ? Fumace F.lectric Heating ?
?
industrial Hld
g. 0 ?? Air Conditioner ?
Silo Unloader
'
Fatm ? ? D List
) Bulk Milk TaNc ?
Lis[ )
}
Other ? ? ? HereIS1 QlhersF
'OMPUTE INSPECTION FEE BELOW riexe l
to
31 to
Above
ttCOlalk3 - ••••••.,..?....cc ra:vv
Q L , TOTAL FE ,ey7? ?? ?p
I, the Ele 'cal pe , h re y certi t th e idspection has been a
(Rough-in) ?
Date
(Final)
This request void ? . . Date?
18 months from
Thus ie9uest
18 nnths (rom ?,? ?
? ? ?1 F F? R r x1? . $/C% ?
Request Date'' v
7 ire No. Rouuh-?n Inspecbon
fter?uved? ?
Ready Nuw Q WiII Notity InsPeo-
? A ? ?] , ? 1'es xo tor Wh¢n Reaay
PT-L icensed Eleclncal ConVactor I hereby request inspect,on of above
11 Owner elecviwl work inslalled a[
Street AAdress, Bon o, Raute No.
-e) C'tv
I? 3% c L Em jv n,? QK
,
ecuon o. Township Name or No. Ranye No. Counry
Occ ?anqt IPpINTI M )
??:-UJ ?? ? //i1? ?Y Phone No.
?•?? ? 011?1
Power Suuulier Atldress
Elecvical Conhac[or (COmoany Name) ContrArmr's Lmense No.
G:&rlx<. EL:«iei4i(,j l/VG, C) `(11-G:Ir'.
Maihn9 AdJress (COnVactor or O er Mabng IretailaLOnl
Authonzti Slp?i?ur?(C4ntr ?t ?1Owner Makmg InstallaLOnl
V V i /? ?1L'?'Z? Phone Nomber
y.? ?' `? 7?? I?
/
MINNESOTA STATE BOARD OF ELECTRICITV
Gnqgs-Midwny Blde. - Room N•195
1821 Um.ersitv Ava.. St. Paul. MN 55104
Phone (612) 642-0800
THIS INSPECTION HEQUEST WILL NOT
flE ACCEPTED BY THE STA7E BOAFD
UNLESS PflOPEF INSPECTION FEE IS
ENCLOSED
?? REQUEST fOR ELECTRICAL INSPECTION ea-ooooi-as
2 ? See insvucqons ior compleving ihis form on back of yellow copv.
?,e 2 Qg "X'' Be/ow Work Covered by 7hrs Requesl
Hdcl Fep. Type 01 Builtlmg ADplmncns Wired E
nwpment Wved
Home Ranqe Temporaiy Service
Duplex Water H¢ater LiqYibny Fixtwes
Apt Bwlding Dryei Electn? HeaLn
Connnercial Bldy. Fumace Silo UnlUader
Indire[nal 01dg. qir CondiUOner Bulk Mitk Tenk
Farm oinrr prliry thor Isoociiyl
1 7r 73 ueufv Other Otho?
Ravgh-in Date
?. t Elec - al
Inspector, hereby
Final cerhty that the above
nsVection has been
,? ?ee.
This reyuest void $ 3? y
18 months from ZZ , S?)
Date o this Reques' i '117 7 Fiee Vo. 738184
? -
I, aLicensed Electrical Contractor ?Owner, do herehy request inspection of the above electri-
cal i g installed at:
?',et Address or Route No. 1533B l,/-LI 1S 4v City-MC&?
Jection Township Range County- bkfr?a
Wluch is occupied by
Is a roughin inspection required on this job? No ? YesX, Ready Now ? Will Call(5<
PowerSupplier kIla Address w+% (01o/"
Electrical Contractor D?`'LL- t?-w
P-cc- Contractor's License N#J ?15
(GOmpany Name)
MailingAddress 1qn L„ cq.rr-- r-eaQ
Authorized Signature
or uwner Making This
Na.
$LI j?( nUE p O??D ?0?( ??/ This inspectian request will not 6e accepted by the
W State Board unless proper inspection he is enclosed.
Minnesota State Board of Electricity
Griggs Midway 81dg. - Hoom N191 EB-00oo1-02
1521 University Ave.. St. Paul, Minn. 55104 - PFwna 297-2111 2y??(J
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOF"" "nVERED BY THIS REQUEST T 38184
ng Ne?. n..v. Rep. Check Appliances Wued oi Check Equipment Wited Foi
? ? Range T emporary Wiring
? ? Wa[erHeate? LightiugFixtu[es
? ? ? Dryex ? Electtic Neating
dg. ? ? ?
= Fumace Silo Unioadei
. ? ? EI
? Au Conditione?
Air Bulk Milk Tank ?
? ? ? +
Lis[ List
}
15 Hehe13
? ? ? Here
7 l
!`nMPT1TF IUCPFf TI(lN GFF RFi (1W
Service Ent?ance Siae: ft Fee Feede?s&Subfeedeis: # Fee Ci[cuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes ;
31 to 100 Am eces -
Above 200_Amps.
Trans(ormexs
Signs Above 100 Amps.
Remote Control Circ.
Special Inspection A6ove 100 Amps.
Par[ial or othei fee
Minimum fee
Remazks TOTALFEE
r"'? c111.i1? ? i ? 5S,4
I,the
(Final)
This request void
18 months from
certify,-he a?q'V'? ?' y???specttoy as been a J
. ?v??te , ?G
?,,pate
This request void
18 months from
L Zo ? p? 3, ? -7.C,? I-E • 2?( $rS? ? `? _.
Date ot this itequest -4l 2*1 101 Fire No. ° 38185
I, ay4 Licensed Electrical Contractor 00wner, do hereby request inspection of ffie above electri-
cal WnrSg installed at:
c-_oet Address or Route No. I??; ?-?ehs Or' City ?(Ad
D,,UOn Township Range County DW-01.4
Which is occupied by
Is a roughin inspection required on this job? No ? Ye,%"Z'- Ready Now ? Will Call Cg?
Power Suppliet P-N Address I%1`Y"'??Grow
Electrical Contiactoc ?&Lt- C-4,u?"( L- Contiactor's License Ng.ss?
MailingAddress H 11 15 . nc-A-1 rf-
pti ncai ntractor or owner rviaKing i ms instauatwn)
Authorized Signature Phone No. d°o-45
(cl0ctriwr ConVactor or owner Making rnls Ins[alla[IOn)
((?'( n?? ?O n nD (?'? ? ?1??RIM 7his impection request will not be accepted by the
[?J ll Lz1 lnllJU 71 State Board unless proper inspectian fee is endosed.
Minnasota State Board of Electricity
Griggs Midway Bldg. - Room N191 EB-00001-`02
1821 University Ave., St. Paul, Minn. 55104 - Phane 297•2111 ?.1?
REQUESTFOR ELECTRICALINSPECTION
'HECSt_ BEL(1W WDRK COVERED BY THIS REQUEST T
38185
I Home
Duplex 1, ? U
r[]? ? ?
? Range Tempotazy Wiring ?
Water Hea[er Lighting Fixtures
t. Bldg. ? ? ? Dtyei Electtic Heating ?
_ ,mmercial Bldg. ? ? ? Fumace ? Silo UNoadef ?
Industrial Bldg. ?? ? qir Condihoner ? 8ulk Milk Tank ?
Farm ? ? ? List Lis[
Other 0 ? ? ?ihers?
ere ) Others?
Here
COMPUTE INSPECTION FEE BEIAW
Secvice Entcance Size: # Fee Feede:s$Subfeeders: # Fee Cixcuits: # Fce
0 to 100 Am
101 to 200 Amps.
Above 200 Amps.
9 0 to 30 Am eres
31 to lOD Amperes
A6ove 100 Amps. 0 to 30 Am eres
31 to 100 Am eies
Above 100 Amps. (p °
.J?
Transfor u
Signs j'r'N Remote Conttol Circ.
Spec?al lns ection Par[ia] or othei fee
Minimum tee $
Remarks
TOTAL FE --Ob
2-S
., Lne ciecmcaz mspector, nereby cerfify
(Final)
This request void
18 months from
been mac?, j
e ,)
e / I - /o^ki
Tnis requrst vold g/?,1,-/iFF
18 nnmhs fmm
N ) 1 Q n i.
Pe?ues? Date Fire No. R.oqP?????lnsUer.bon ltnqeady Now ? W?II NoLty InSPec-
SJ
?Z
No
Yes
El lor When Re?tly
?i Licensed Elecvical C?????ector I hereby repuest msPBCLOn of above
I'l ......._. electncal work installeA at:
Slreei Address, Boz or Route No. f.ory
5 "'
ectmn o. Township Name or Nn. Ranqe No. Countv
Daknt-a
Occupant(PRINT) Phone No.
Linda Hove
Power Supplier !+ddress
Dakota F
Etei'tnca) Contiactor ICompany Namel Cuntrer,tors Liconse No.
Hilite Elec i Tn _ 040445
Mailing Address IComrac[or or Owner Making Ins[ailavonl
1953 Shawriee Road Eagan
A or eq S19n-t re ( t?to Owner 41aWnB Installavonl Phone Number
Tim Phillips 452-8886
MINNESOTA ST0.TE BOAFO OF ELEGTN99ITY
Grie9s-Midwey elde. - Room N-191
1821 Univarssiv Ave_ SL PeW. MN 55704
Phone (612) 642-0800
BE ACCE"EO 9V THE STATE eOARD
UNLESS PROPER INSPECTION FEE IS
ENCIOSED
REQUEST fOR ELECTRICAL INSPECTION epay-?o?o/o/ai-os
. pry ? See mstrvc4oos 1or completing'h.s torm on back of yellow copv
? .11Oli - 5 "X'" Below Work Covered by This Request _
Fnd Neo? Tvae of ew?m?e
nooliancea w„ad
me,?•..?,r.?
Home Ranye Service
Fixtures
t
Duplez
Water Heater
Apt Bu?lAing OryeT ealin
r
d
W
? Commeraal Bldy. Fumace
e
a
dustnal 81dg
I X Air Condrtioner iank
.
n ?,N1
r
Farm
t er Su??cifV
om
[her he
rr
Compute lnspecuon ree neiow -
p F S E 5 Y F Faedees?5ubfeeders K Fee C?rcu?ts
?nn o 0[0 30 Amps 0? 30 F? us
. . "_,...". T -i o, ._ Inn n:....c I I I oi iu i0v i+mUC i
nspecLOn $ 10.501 TOTAL
17GJ1
Date I
Ma Ele
flaueh-i?? ,
Inspectoq hereby
certily thet tha above
te _ " s0ection has been
Final
.,?G G mede.
Thb raQueatvoitl lnmomns non.
CEIt'PIFICATE QF SURVEV
For;
HANS HAGEN HOMES, INC.
s?? rJ 30' N
?/JO/?S /lOn
? I
7'9 "? ?`?oFareo? ?2'pr0
------------------
.'
09 4 4 ?
\ n
? lk ry' J\\\\\\? ? \\?\\ \`\\ \wl ry , I
?', ? ^• ? L ?;?'i• •??? '?
?;
,
?-`_._ ?cS tiJ9N e9
- e \\•. cs
43 B!°
1 ? 44 f
.S
1 D
GE-,rs,rn].
q21,o ¢ +' / ?? ?
4 ? _\
? Lriw?es D.?er?.on o!' 9??foce O?o,naye ?v
E/??vf onr 3'6a.vn Ait P?a,oased /
/
Lots 18 through 21, inclusive, Block 3, T1iOMAS Lt1KE HEIGH'CS,
Dakota County, Minnesota.
We hereby cerfify that tAie ie a lrue and correct reDresentation of a survey of the E
G
RUD aS0NS
INIC
Doundaries of iha above deaCribed land ond oi
}he IOtafion of oll
buildinqa, if nny, .
. .
,
Ihereon, and ail visible encroochments, if ony,
from or on soid land. LAND SURVEYORS
E. G. RUD ? SOfVS, INC. 3847 155th Avenum N E.
?,aa thig aaY of -? ?-
- Anoka
, Minnosota 55303
. ? - .
«
bY ' .
.;F TaI . 434-6505
- -- Ninn. Rug. No. / 6,L'
f/SP?Sd
CFT-Y OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: g u z Lo z NG
Eagan; Minnesota 55122-1897 Permit Number: 0 3 3 9 8 9
(651) 681-4675 Date Issued: 11/10/9g
SITE ADDRESS:
1531 CLEMSON UR
LOT: 19 HLOCK: 3
THOMAS LAKE HEIGFITS
P.I,N,e .1.0-75950-190-03
DESCRIPTION:
. INSTAI.L GAS IN.SER'i
Building-Permir.. Type FIREPLACE
Building Work Type ALTERHTION
'Census Code q34 ALT. RESIDENTTAL
?-, - - - .
?
`•. , xi?. , . ? ??:'_. :
., ?.? .. . . . . _
REMARKS:
CHT.MNEY/FLUE MUST BE ]"NSPECTED BEF(]RF CONCEALING.
FEE SUMMARY:
Etase Fee $50.00
Surcharge rL?
Total Fee $50.5e
CONTRACTOR: - Applir.ant - sT. L]c, OWNER:
F:CP,ESIDE CORNER INC 16331842 20090911 HAUPT RICHARD
27,10 N 1=AIRVIEW AVE 1531 CLEMSON DR
ROSF..VILLE MN 55173 EAGAN MN 55122
(612) 633-1042 (651)452-8598
T hereby acknowledge thaC I have read this application arid state that the
information is corract and agree to comply with all applica6le State of Mn.
L 5tatutes and City ot Eagan Ordinanr.es. J
Qt??
APPLICANT/PERMITEESIGNATURE `TSJSUEOBYSIGNATU E-
r
1
DATE: "
DESCRIPTION OF WORK: Construct new fireplace
? Install Qas iusert onlv
Other
JOBADDRESS: l5-3I 0 ? ? Wl ,517YL a I
LOT: ? BIACK: SUBDMSIONlP.I.D.#: tV1UM(iS Lc-LL I+5t
APPLICANT (circle one only): OWNER
I hereby acknowledge that I have read this application and state that the information is correct
and agree to comply with a11 applicable State of Minnesota Statutes and City of Eagan
Ordinances.
Neme: fiau or RlLC kad Phoneq:
PROPERTY Last '
OWNER First
Signature:
Street Address: py1,
Ciry 1,10CIG' l62 State:?141V - Zip:
Company: , P 1k,0 1/1,f,0 r 11M' I'j P; e Phone #:
FIltEPLACE ;
INSTALLER Signature: ,
Street Address: License # Df /'0 9?
Ciry /,J(A V09U1'I IN, Sffite: /P)V. Zip: 1-7
1
GAS LINE
IIVSTALLER
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
2998 FIREPLACE PERMIT APPLICATION
681-4675
?l- Io -C) (?'
?5e.tso
PERMIT FEE: $50.50
_ Alterations to existing
_ Install Sas Iine onlv
Street
?•?
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Permit Type: Building
Permit Number: EA034779
Date Issued: 03/23/1999
Site Address:
1531 Clemson Dr
Lot: 19 Block: 3
Additian: THOMAS LAKE HEIGHTS
Description
Sub Type: 04-plex
Work Type: Reroof
Description:
Census Code: Addition/Bsmt fin/Decks/Porch
UBC Occupancy:
Construction Type:
Zoning:
SqLq?,a Feet.&,, `.
e g r:: 'd? F
Remarks: Includes: Unit 153113, 1533, and 1533B.
Fee Summary: StateSurcharge 6.00
Valuation: $12,000.00 BaseFee 209.25
$215.25
Contractor: - Applicant -
SELA ROOFING & REMODELING St. Lic.:
4100 EXCELSIORBLVD
ST LOUIS PARK, MN 554160000
6128238046
v
Owner:
Thomas Lake Home Owners Association
1535 A Clemson Dr
Eagan, MN 55123
651-688-8245
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
ApplicantlPermitee: Signature
PERMIT
issued By: Signature
• " ` 1999 BUILDING PERMIT APPLICATION (RE$IDENTIAL)
crrY os EnaAx
3830 PII.OT INOS RD - 86122
(661) 681-4678 ? ? -
1 ?- ??-
New Construction Reauirementa
• 3 registered aKe aurveys
? 2 copies ot plans (inGude beam 3 window aizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies af tree preservation plen it lat platted after 7H/93
requi : Yes No
DATE: cJ701?
DESCRIPTION OF WORK: L?a?n 176 - ?r- k's" Y-
STREET ADDRESS: I \ t `; -:?) :j GAe,",
LOT: ?_ BLOCK: SUBD./P.I.D. #:
RemodeUReoair Reaulrements
? 2 copies o/ plan `
? 1 aite surveya (exteriw additiona 8 dedcs)
? 1 errergy calculationa for heated adddions
CONSTRUCTION COST:
?Vm ?QArA ?
? o-,? t/Yic?2
PROPERTY
OWNER
'/{'1 0 L??-C /' s ?f6ti.ie QWA/e!/ ?'S P6one ? #:
Name: '
•-hu.?
Last F'ast
StreM Address: CS 3s 1-1 50,
City State:
State:
/Ii -r/
17PG?c SG/¢sG2a>d O?vsru
051
Company: FING Ac $E'9dODELING, INC. Phone #: d'?3 '20A(o _
CONTRACTOR EXCEMUR '
Street Address: ST. LOUIB PARR, MN 55416 Licrnse #6=1? 0-'70 Exp.
.. ,
ID #Wulutlu
City
ARCHITECT/
ENGINEER Company: Phone
Street
City
Sewer & water licensed plumber (new consWction only): _
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this applicaGon, state that the intormation ' corc
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
Zip:
Zip:
Registration A _
State: Zip:
Penalty appiies when address
to comply with all applicabie
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
. CITY OF EAGAN
651-681-4675
53
Foundation Onl New Construction Interior Im rovement
. Structural Plans (2) sets • Architectural Plans (2) sets • Architactural Plans (2) sets
• Civil Plans (2) • Stmctural Plans (2) • Code Malysis (1) "
• Certificale of Survey (1) • Civil Plans (2) • Project Specs (1)
. Code Analysis (1) " • Landsraping Plans (2) • Key Plan (1)
. ProjectSpecs (1) • CodeAnalysis (t) " • Master Exit Plan (1)
. Spec. Insp. 8 Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) notalways"
. Soils RepoR (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lightlng Form (1) notalways"
• Meter size must be established • Meter size must be established • Meter size musl be established - if applicable
. ProjectSpecs (1)
j • EnergyCalculations (1)
y • Electric Power 8 Lighting Form (1)
l • Master Exit Plan (1) L
j • Emergency Response Site Plan (7)
L • SoilsReport (1)
• MGES SAC determinatlon letter • MGES SAC determinatlon letter • MGES SAC determination letter
call 651-602-1000 call 651-602-1000 cali 651-602-1000
a...,.:i_
Food 8 beverage or ioagmg racuroes - suomii pian co mrv ueparuneniui ncaltil.
Contact Building Inspections for sample.
PermitfornewbuildingsoradditlonswillnotbeprocessedwithoutEmergencyResponseSitePlan. AskBuildinginspectionsforrequirements.
DATE: 1(-( v?C) L WORKTYPE: _ NEW _ REMODEL
SITEADDRESS:
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK_(e6(4
Namj?'?
PROPERTY Last
OWNER
Sheet Address:
City:
Company: ?L
CONTRACTOR
CONSTRUCTION COST: `i+'q/ 0-6
D-'?? O .7`?-
SUITE #:
#:c?51
First
Zip:
Phone#: (?`? Y?27 ud~ ?
Street Address: \v?4xrl City: State: [w 1 V Zip: s
State:
ARCHITECT/
ENGINEER Company:
Name:
Sneet Address:
City:
Licensed plumber installing new sewer/water
Phone #: ( )
Regishation
J
StaYe:
Phone #: (_)
I hereby acknowledge that I have read this application, state that the information is correct,4nd agree t comply ith all applicable State of
Minnesota Statutes and City of Eagan Ordinances. p? ? ? ?
Signature of Applicant:???( ?? updated 7/02
_I/V ..
75950 THOMAS LAKE HTS 2ND
1515
1515B
1517
1517B
1518
1518B
1520
1520B
10 75950 030 03
10 75950 020 03
10 75950 040 03
10 75950 050 03
10 75950 020 02
10 75950 030 02
10 75950 050 02
10 75950 040 02
1519 10 75950 070 03
1519B 10 75950 060 03
1521 10 75950 080 03
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 ] 0 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)
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
to
Please complete for: Single Family Dwellings
Townhomes and Condos when pertnits are required for each unit
? 36 .sc?
Date ??_ / 2. 0S
Site Address A c icm. ??tj Onl/lr Unit #
Property Owner kc,-r U n C.J ef-S cr-? Telephone #(?SI )'7 U5 ^ 6 ? OL.P C?
Contractor
e. So.
12481 Rhodelsland A
i
StreetAddress
???$g e;-Mrl r55378-?-122 City
-
State Zip Telephone #
The Applicant is _ Owner ? Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
? fumace replacement
_ air exchanger ?
_ air conditioner r
,i
other
- ??
6l'
State Surcharge $ .50
Total $ 3v , sc)
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordmances and codes of the Ciry of Eagan and with the Mechanical Codes; that I mmderstand this is not a
pemut, but only an application for a pemvt, and work is not to stazt witLout a pernrit; that the work will be in accordauce with the
approved plan in the case of work wluch requires a review and approval of p(?IZIIA Applicant's Printed Naxne Applicant's Signature
62 5/y7
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConstructlonReauiremenis RemodeVReoairReauirements Olfice.."'?se ?
3 registered site surveys showing sq. R W lot, sq. fL of house; and all roofed areas 2 copies of plan ?o??ve ?.?." w{""?N
2 ? 7setofEnergyCalculationsforheatedaddifions T`?eF ?'=
(20%mazimumbtcoverayeallowed)
(or addNOns & decks ? g`m
Pes of Plan showin9 beam 8 window sizes; Poured found desl9n, etc. 7 site surveY
lsetofEneigyCalalations Addifion-iMicateNon-sHesepticsystem 4WHte,_^a,B.g.U
3 copies of T2e Preservation Plan iF lot platted after 111193
Rim Joist Detail Options selection sheet (bldgs wilh 3 or less uniLs
Date ? / 2L / -1-0D Construction Cost ??Ag
Site Address
G--Lt G<-f/\ UniUSte #
??`,,
Descriptiono[Work ? ?-tjUC'-?K Pf?? w( W? ? ? ! O ?Qn?
Multi-Family Bidg Y_ N Fireplace(s) x 0 2
Property Owner ftf ts h f ? 1\'??I> ( e ? Telephone # 6ff
Contractor L c1/)A ? ? Y? t v( G e-
? v c
?
Address
State ,M, j G?
n ? eSG? ? ?-. (J City d1?1 Gl -?-y.?' -7
Zip ? Telephone # (? ) 7 /?J
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Ivlinnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enetgy Code Category . Residential Ventilatlon Category 1 Worksheet • New Energy Code 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
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Permit and aclrnowledge that the informat 8x ?? c"^1°+° °^dw',rate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a
permit; that the work will be in accordance with the approved plan in gie case of wc?k which requires a review and
?
approval of plans.
jL L.fa cn
ApplicanYs Printed e
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-r, Lf 3 . SZ7
New Construclion Reauiremenls RemodeVRenair ReQUirements D?lJse;?O?t
3 registe2d site surveys ehowing sq. R of b4 sq. ft of house; and atl ioofed amas 2 copies of plan ,„ ,??.
(20% maximum lot coverege allowed) 1 set of Energy Calculations for heated additlons = f??.?."?
P ?...G; ,?.,.,.
2 co?,s of Plan showin9 beam & window sizes; Wured found des'?An, eta 1 site surveY for addNOns & decks t¢2;I?tesuttedF
1 set of Eneigy Calwlations Addition - irrdkate HonsNe sepfic system Se?;Sj,??'.?;;,..?_?,s,:.,= N
3 copies otTree P2servation Plan if lol platted aRer 711/93
Rim Jdst Detail Options selection sheel (bldgs wilh 3 or less unils
Date & l )-8 / e4 Construcdon Cost 06'0. 00
Site Address 13- cl-emsonArI v-e- Untt/Ste #
E C?YL M-N
Description ot Work
P?S?IS f7i'1
Multt-Family Bldg x Y_ N Fire place(s) _ 0 X 1 _ 2
Property Owner Telephone #(i f) G"?????3
Contractor ?? ?Se l?Q-?"177-efS zi-,o .? Prr ma n? r,o-r?fu-? : ti2lke Slre?' ) N? ??? ?SOn
Address `tg5 PrZ?1e? ov4?h ciTy lv?tst.Pa.?.l
State "N Zip ?;r7llg Telephone #(60?l Dr
(&r2l) ?35-55q-5
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Iviinnesoh Rules 7670 Cate?ory 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissian type) Submilted Submitted
• Energy Envelope Calculations Su6milted
Hove you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone #(
Telephone # (
Telephone #(
m
I hereby apply for a Residential Building Permit and acknowledge that the information i complete MVaccurat
that the work will be in conformance with the ordinances and codes of the City of Ea
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.
Nrco1-e M. lvarscn, secor,.?tai?can?a.c?; ?cc??. hz?Jya?-L
Applicant's Printed Name !'l8?/l?ie a l"t7?-? Applicant's Signature
(?si?l8
2004 RESIDENTIr1L BUII,DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 qei,-vs-
Telephone # 651-675-5675 FAX # 651-675-5694
NewConstruGionReauiremenLS RemodellReoalrRequiremenLa ',
3 registered site aurveys showing sq. R of IoL sq. ft. of house; and I rooted areas 2 copies of plan Aff9tl`=`;:-^?rr??'?"`-'_""N.
(20%meximumbtcoverageallaxed) lsetofEnergyCalculationsfwhealedaddNOns
2 copies of plan showltg beam & window sizes; poured found de.agn, elc 7 site survey for addltions & dedks ?
1 sel of Energy Cakulations Addfiion - frrdicate if on-sife sepfic system Yu;N
3 wpies of Tree Pmservatlon Plan'rf bt platted after 711193
Rim Josl Detail Options seleclbn sheet (bldgs wiM 3 or less unfts
Date ? / 94jP ` Construction Cost vv
Site Address ( S 3? !?_ G' 4 UniUSte #
Description of Work nJ VC ?f kC e_AA-C/?? ??? (4/1 pcJ--l
Multi-Family Bldg ? Y _ N Fireplace(s) ? 0 _ 1 _ 2
t
O
e
P Telephone # o15? a5 o ?
CiAk *
roper
y
wn
r -
Contractor ?C? ? I l lJ C-
Address V '(? ? CitS' c( e--
State R Zip' ^ G Telephone #(?? ) 7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeoxv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted SubmiKed
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N if so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
II?T @ T 0 'J T
?,
R ri?, JUN 2 8 2004
I hereby apply for a Residenrial Building Permit and acknowledge that the informaffon 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 pemut, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in e ase of work w'ch requires a review and
approval of plans.
??? L.GI(.4 Gln (( ?l.
Applicant's Printed Name T- Appli? s' attue
r
For Office USE I
""77 i Cty of Ea O VD I Permit / cC y!1 z~~
I Permit Fee: i ` V J
3830 Pilot Knob Road J
Eagan MN 55122 Date Received: ! r~
Phone: (651) 675-5675 I CJ~ I
Fax: (651) 675-5694 I Staff: I
I I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /G4' Site Address: r
Tenant: )s331 16,32)2 Suite
RESIDENT / OWNER Name: 77;L;i 57,6 S f XICZ l rS Phone: S f'~ 11~ Address/ City/ Zip:
Applicant is: Owner -Z Contractor
TYPE OF WORK Description of work: dD w//" / V l
Construction Cost: Multi-Family Building: (Yes /No
CONTRACTOR Name: License
Address: SELA ROOFING & REMODELING, INC.
4100 Exurmsm VIM.
City: ST- LOUIS PARK, MN 55416 State: Zip:
001050
Phone:~. Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting` documents that you submit are considered to be public information. Portions of.
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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 t tart without a permit; that the work will be in
accordan:tth e a pproved plan in the case of work which requires a review and approval of plans. looo,~
X 04<
X c ~ X
Applicant's Printed Name Applicant' Signature
Page 1 of 3
` Oct. 19. 2009 8:55AM Sela Accounting No. 8161 P. 9
AMERICA LY American Family Insurance Group Ffn,ff,W urttsllAeubLrpe yam,,
THOMAS LAKE HOMEOWN7
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
Qty Vnit rice Char a Taxes Cost Total Depreciation Value
This is a repair to the dwelling roof and no depreciation applies
Repair to wind damage on back (west) slope
la - Remove 3-tab - 25 yr. - composition shingle roofing (per SHINGLE)
6.00 RA $3.96 $75.91 $0.00
1 b - Replace 3-tab - 25 yr. - composition shingle roofing (per SHINGLE)
6.00 EA $9.52 $182.48 $0.66
2a - Remove Furnace vent - rain cap and storm collar, 5"
4.00 EA $8.88 $0.00 $0.00
2b - Replace Furnace vent - rain cap and storm collar, 5"
4.00 EA $35.67 $178.20 $4.76
Totals $436.59 $5.42
Siding
Description Base Service Replacement Actual Cash
Qty _ Unit price Charge 'T'axes _ Cost Total Depreciation Value
Gable vents are roof mounted at chimney areas. Actual approx dimension is 24" x 30". Data entry for similar unit
3a - Remove Attic vent - gable end - metal - 30" x 30"
4.00 EA $6.91 $0.00 $0.00
3b - Replace Attic vent - gable end - metal - 30" x 30"
4.00 EA $91.70 $15.89 $13.50
Totals $15.89 $13.50
Fascia
Description Base Service Replacement Actual Cash
Qt' Unit price Charge Taxes Cost Total Depreciation Value
Fascia metal for chimney areas and fascia between condo units" 1891f
Front fascia 8"- 321f
Right fascia 6" -179.751f includes window fascia and patio door fascia metal
4a - Remove Fascia - metal, 6"
83.50 LF $0.28 $0.00 $0A0
4b - Replace Fascia - metal, 6"
83.50 LF $3.33 $12.05 $7.05
5a - Remove Fascia - metal, 8"
317.25 LF $0.28 $0.00 $0.00
5b - Replace Fascia - metal, 8"
317.25 LF $4.53 $62.25 $29.98
THOMAS LAKE HOMEOWNERS 00221149273
ASSOCIATION
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA098708
Date Issued: 04/22/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 1531 Clemson Dr
Lot: 19 Block: 03 Addition: Thomas Lake Heiahts
PID: 10-75950-03-190
Use:
Description:
Sub Type: e-Siding Construction Type:
Work Type: Sidin,
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: When installing ventilated soffit material. remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Sela Roofing Remodeling Penny L Fredrickson
4100 Excelsior Blvd 1531 Clemson Dr
St. Louis Park NIN 55416 Eagan NIN 55122
(612) 823-8046
I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
tV2 31 3 t fb 1 633 Pr i t 5 33 Conn Aso Y\. brr
Use BLUE or BLACK Ink
F-----------------
I For Office Use l
I Permit ~
1t3~at
City Eap
I Permit Fee: d i
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I ~1~ I
Fax: (661) 676-5694 1 Staff: 7C 17 I
I I
- - - - - - - - - - - - - - - - J
12013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: G~ I C~ (J
y 1! I~~ V t y i f v t Unit M
Name: 1 C i o m o ~c' 4 f Xi sa ui lmhone: , G,K W c'
Resident/ 1 ~o V ~ f r`l
Owner Address / City / Zip: yy) ~G
r
Applicant is: Owner Contractor
Type of Work Description of work: Q ~ G V16 VI VDr ~y
Construction Cost: 0 D Multi-Family Building: (Yes / 'No
Company: ~S~LA tlocc)~'L~t1c~ KEi71(x~L'~in4 o tact: ~`J e V 1
Contractor Address: gIC)G ~c~lslO~ ~JiUc~ City:, S4. Lock
State: PA 1A Z``ip: 5y ~O Phone: / o~
License a-(L o 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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days o
i2 f permit issuance. ~j1
x t~ 1-11 S x
Applicant's Printed Name App ' is ig ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA123183
Date Issued:05/30/2014
Permit Category:ePermit
Site Address: 1531 Clemson Dr
Lot:19 Block: 03 Addition: Thomas Lake Heights
PID:10-75950-03-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Scott Lofgren
5708 Upper 147th St W #102
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Penny L Fredrickson
1531 Clemson Dr
Eagan MN 55122
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176607
Date Issued:05/24/2022
Permit Category:ePermit
Site Address: 1531 Clemson Dr
Lot:19 Block: 03 Addition: Thomas Lake Heights
PID:10-75950-03-190
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Penny L Fredrickson
1531 Clemson Dr Unit A
Eagan MN 55122--289
One Hour Heating & Air
15191 Boulder Ct
Rosemount MN 55068
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature