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1535 Clemson DrBUILDING PERMIT Tn be oed fer CITY OF EAGAN 3795 Pilot Keob Road Eogoe, MN 55122 N! 6259 PHCNE: 4548100 Receipt # _ -- v1eY Est. Value Tlir- Erect p Occupancy Alter ? Zoning Repnir ? Fire Zone , Enlorga ? Type of Const. Move 0 # Stories Demolish ? Front ft. Grade ? Depth ft. Aovrova Is Fees $ite Address Lot Block Sec/Sub. Parcel # cc Name uU -? -. ? r, • - ,- ? Address ? Name _ z? Address Nome _ Address I hereby acknowledge thut I Iwve read this application and state that the information is correct ond apree to comply w(th all applicable 5tote of Minnesota Statutes end City of Eagon Ordinonces. Sfgnature of Pertnittee A Building Permit is issued to: oil work shall be done in occordonce with Building Offlciol Water & Sew. Pol ice Fire Eng. Plnnner Counci I Bldg. Off. - APC Permit Surchorge Plon check SAC r Water Conn. ' Water MeTer " Road Unit TOtOl 1,2r 1-5 . r_ r?. ' on the express condition thnt ell oppliwble State of Minnesota Statutes ond Ciry of Eayan Ordinonces. Plumbing Mechanical -2C . CI INSPECTIONS DATE INSP• Rough-In Finol Footings Oate IMp. e Inap. Foundation Plumbing IKI Frome/ins. Mechonital Finnf Rema rks: ? . • CIT1f OF EAGAN 3795 Piloe Knob Reed NQ Eegen, Minnesota 55122 Ptiene: 454-8100 PERMIT Date: Site Address: 1537B Clemaoi Lot Block Sub/Sec. Thomas Lake Hts. ^n-Con Inc . Nome ? Address . . ? . ? City Phone: : ,ub:u'bar. ' ieatir ' . Nome ` . Address City PFqne: This Permit is iuued on the express condition that oli work shell be Minnesoro Statutes and City of Eogon Ordinonces. 12-1-8C INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: $ingle Residential Multi Res., Comm./Ind. I New /Alter./ Repair Cost of Instollotion 'Permit Fee ISurchorge Total done in occordonce with oll appliooble $tote of Buildirg Official CITY OF EAGAN 3795 Pifot itnob Road No. Eagan, Mlnne:ota 55142 Pbone: 454-6100 PERMIT Dote: Site Address: ZZ-2a.-80 1537B Clemson I}r. Lot Block Sub/Sec. Na?„e I.?c . °e Address ? Cit Phone: ' 23-tl:i?.' Y Name •'i'•'?rcl Fl'.?: ib1.r.?' . Address ? City . Phone: This Permit is issued on the express condition thot all work shcll be Minnesota Stotutes and City of Eagon Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAIN FOR ALL INSPECTIONS Receipt Na.: Single Residentiol Newf Alter.lRepn{r Cosf of Installotion 2203:L 1 of 4 plex Permit Fee Surcharge Tota I done in cccordonce with all appliwble State of Building pfficial 1 CASH RECElPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINN TA 55122 . DATE ? - 194?? w p AMOUNT Kzz?l ? CASFI FUND CODE AMOUHT i! 7 ? t/ r.J ? ? ? ?'!r s•'tic ?/?' ? .?' . oCJ ? 7yv. ?v Thank Yotl? N° 2118 5 Wh;te_PeYe.= CopV ve--- " ----'-- ---'- - N CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 j (612) 681-4675 SITE ADDRESS: ; t Ml>"N u k Iit I 4}1Vi PERMIT SUBTYPE: II , rI w?i s PERMIT TYPE: Permit Number: Date Issued: ?fnii?/.dq•qiti 2? t+t s?c: K? APPLICANT: (H1?'1 ?1-i•-`?i.'.ii ' . TYPE OF WORK: riN nI . < ? ?? - - - - - - - - - - - - - - - - - - - Parmft No. Permit Holder Date Telephone M EI.ECTRIC PLUMBING HVAC InspecNon Dete insp. Commants FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARO FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BIDG FINAI BSMT R.I. BSMT FINAL DECK FfG DECK FINAL 111/9/?7 CITY OF EAGAN '. y.• 3745 Pilot Knob Rood Ea9en, MN S5122 ' PHONE: 454-8100 BUILDING PERMIT ReceiPt # N2 6258 10 M O?la TOr tST. V OI U@ UQt E , I Y 5ite Address Erect ? Occuponcy Lot Block Sec/Sub. Alter p Zoning parcel # Repoir ? Fire Zone Enlcrge ? Type of Const. 19 W Nome Move ? # Stories ; Address - ' ' Demolish ? Front ft. b c+'? n -• n , ...? . T?-:,ll, .,.----- ?+•?-_ Grode n Denth ft. °0C Name _ ?U Address ?- r:?„ Name _ Address I hereby acknowledge that I have read this opplicotion and state that the information is corred and agree to oomply with all applicable Stote of Minnesoto Stotutes and City of Eogan Ordinances. Woter & Sew. Police Fire En9. Planner Council Bldg. Off. APC Permit ? Surcharge Plan check SAC - Water Conn. Water Mefer Road Unit Total Sipnoture of Permittee I A Building Permit is issued to: on the express condition that oll work shall be done in nccordance with oll opplicable State of Minnesota Stotutes and City of Eagan Ordinances. Building Official s PomM # Oe% IWwd l?naMl? Plumbing fQ Mechanical 07/ PD .2 - d .r,..? INSPECTIONS DATE INSP. Rouqh-In Final Footings -, - ? Date Insp. D goe Inap. Foundation Plumbing / Frnme/ins. Mechonicol ` Final .. ? Remarks: //. /?ja - 9-6 . ?vo. :'.180 cinr oF E?GAN 3795 Pilot Knob Roed Eogae, Mlnwesota 55122 Pbone: 454-8100 PERMIT Date: 12-1-80 Site /lddress: 1537 Clemeon Lot ` Blxk Sub/Sec. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL I NSPECTIONS .,.. _ Receipt No.: $ingle - .., ,. I Residential Multi Res., Comm./Ind. I :)an-Cor.. Lnc. Nome A? i N R ter./ ew/ epo r ? 3 J . . 1CL . ?. Address i C f I ll ost o nsta at on 4 _ - ?'? . . • ' City Phone: i P F erm t ee 'abilrbFai Iieatii?; . _... C. . Name S h ? urt arge . Address ? . . Ciry Phone: Total This Permit is issued on the express condition that oll work shull be done in acrnrdance with oll oppllcable State of Minnesofo Stofutes ond City of Eagon Ordinonces. Building Official . , cirr oF EA"N 3795 Pilot Kwob Rood Eo9an, Mienesota bslT,2 "°. - Phono: 454.8100 PERMIT Date: 11-21-80 Site Address: 1537 Clemson Drive Lot Block Sub/Sec. '-ti20T'1&8 T,8.1'r' "{,-.Z-Con Inc. Nome r ? Address ; i {! r f ".y ' `' ?? ' • i r,? . , , . City :.u1, 't Phone: . Nome ? Address City Phone: This Permit is issued on the express condition that oll work shall be Minnesoto Stotutes and City of Eaqon Ordinances. INSPECTOR NOTIFICATION REQUI RED BY LAW FOR ALL INSPECTIONS 2 Receipt No.: Single _ Residentiol - of r* ')lPx Multi Res., Comm.llnd. I New/Alter./Repoir Cost of Installotion ? Permit Fee Surcharge ? Tota I done in occordance with oll applicable State of Building Official , Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN f ee ? fiH rn numbered spaces S/C . Type or Prini legibly Tot. 1. Date 1?-: ?-w> 2. Instatlation Cost '`'` • r" 3. Job Address ' ?? 7 t"I c=?'' "' LlSt Bik. Tract 6 4. Owner 5. Contractor - ` ?1-- G Phone 32741c6 j . 6. Address A.t%3'7 ^vh].Capo .i-ve, z.:::?. 7. City fuls. j r4 ',;'? Zip 8. Building Type: Residential El Commercial ? Institutional ? 9. Work Description: New B Add Al Alter ? Repair O 10. Describe ?nstgll aix C4nditier_i?:;: FuelType '-`=c• air Cooll 11. No. Eslui ment 8TU - M. Ea. Forced Air No. Epuipment CFM Ai H dli Mfg. Boilers r an ng: Mfg. Mech. Exhaust Unit Heater ' Mfg. Air Cond. Other Mfg. . .. .. Gas, Piping Outlets 12. 1 hereby certifiy that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F ina Inspections: Date Insp. Date ?f?( Insp. 0?(L This is your permit when numbered and approved. ? Approved CITY OF EAGAN 454-8100 J State ?IN. I ? CASN RECEIPT CITY OF EAGAN ? 3795 PILOT KNOB ROAD EAGAN, MINN ?T;A5 DATE AMOUNT I $ ?J'?.rtc+?-I u? I LLARi ? `? ?o• _ J? A I ? CASH ? CHECK n ? _ ka"[- FUND COOk AMOUNY A ( ? ) , ? CS76 CJ i / R131 Thank Yov? 3 N O 2118 J White-payan CoPY cIrr oF EaGaN ' ? • 3795 PiloF Knob Rood Ecgon, MN 55122 Ni 6256 ' PHONE: 454-$100 BUILDING PERMIT ReceiPt # To be used for Est. Vulue Date , 19 Site Addreu Erect p Occupancy Lot 81ock Set/Sub. - • Alter ? Zoning Parcel # Repoir ? Fire Zone E l f C t T n arge ? ype o ons . W Name Move p # Stories Z 0 Address - Demolish Q Front ft. Ci phone Grade ? Depth ft. ? Ncme _ Zo 0' Address Assessment - Water & Sew. Police Fees ?W Name Fire ?? Address Eng. - <W Ci Phone Planner _ Council - I hereby ccknowledge that I hcve reod this opplication and state thct gldg. Off. the information is correct and agree to comply with ail applicable State of Minnesota Statutes and City of Eagen Ordinontes. APC - Permit Surcharge Plan check SAC Woter Conn. Water Meter Road Unit Total Slgnoture of Permlttee I A Building Permit is issued to: on the express condition thot oll work shall be done in accordonce with all applicable Stcte of Minnesoto Statutes and Ciry of Eagan Ordinonces. Building Official Pwmtf # Dah laoed PoemlttN Plumbing Mechanicol INSPECTIONS DATE INSP, Rough-In Finat Footing5 Date Insp. Date Insp. Foundation Plumbing Frome/ins. JS- j Mechanical Finai Remarks: No. I r CITY OF EAGAN 3795 Pilot Knob Read Eagaa, MlnwewM 55122 Phone: 454-e100 i ' '.1^'?h' ?"• `' PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Date: - 1 Receipt No.: 5ingle Site Address: ' Residenfial f L, Lot - Block Sub/Set. ? hol'7a? L'• . ? Multi Name 38I1-rOri IriC. New/Alter./Repoir . ; Address 2U5 '`i- ??ce Cost of Installotion O City + r£!U1 . Phone: Permit Fee . Nome ; ,•'? "? ?\ ? , - '-'' Surchorge ? ? Address CIty - f.. Ph0/iC: rrr..- - i? . / a..l ? TOfOl This Permit is issued on the express condition that oli work sholl be done in accordance with oll appliccble Stote of Minnesota Stotutes ond City af Eagcn Ordirwnces. Building Officiol ??. No. • c''i CITY OF EAGAN 3795 PilaR Knob Road Eagan, Minnesoto 55122 Ptiom: 454-8100 PERMIT Date: 1Q-21-8Q Site Addreu: ?5B ClemeoTl 1?Y`. Lot Block Sub/Sec. 'IZ'1mQ8 L7C. fit8 . Ban Nome --Con Inc. ; Address City .. . . Phone: Nome ?'1b1L"1, . ? Address ,@v* ."x-. City Phone: This Permit is issued on the express condition thot oll work shall be Minnesota Stotutes ond City of Eogan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol Multi Res., Comm./Ind. I New/Alter./Repoir Cost of Instaliction Permit Fee Surchorge Total done in accordonce with oll opplicoble State of Buildirg Official . . ? . . _ .- _._ .._. T _. - - INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: ?""' `'' j'l' 3830 Pilot K?hob Road `s ; g'? ? a Permit Number: Eagan, Minhesota 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS: ;„ , APPLICANT: i•? , r I EiM'.r1N Uk ? +s I:??.?,?i+ ? ?r???aM ??M!?I ,. I INnuAS LaKE RErOliYS t612f fj23-91:10 PERMIT SUBTYPE: TYPE OF WORK: E:{ f'A11t i•.?; i E?:,hl RPCtACF'MFN1 I I (M i 1 N13' I I II ' "Al P.rmn No. aermn t+old« Dau Telephono t ELECTAIC PLUMBING HVAC InapecUan Data Msp. Comments FOQTINGS FOUND FRAMING ROOFING ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG OHSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfC3 DECK FINAL ", ?G g cirir oF EAGAN • 3795 Pibt Knob Road Eagon, MN 55142 PHCNE; 454-8100 BUILDING PERMIT Receipt TO ? Ewa fof ECt_ VAIl1P O[fYP Site Address Lot -? Biock Sec/Sub. Parcal # oWc I Nome T. Z Addreu ? 0? Name 0 u ? Address F- Nome _ Address I hereby acknowledfle that I have read this opplication ond state that the information is corcect and agree to comply with all applicoble State ot Minnesotn Stotutes and Ciry of Eogan Ordinonces. N° 6257 Erect ? Occupancy Alter ? Zoning Repoir ? Fire Zone Enlarge ? Type of Const. Move ? #' Sto?ies Demolish ? Front ft. Grode ? Depth ft. Apwovals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan check SAC Water Conn. Wuter Meter Road Unit Tota I Signcture of Pertnittee I A Building Permit is issued to: on the express condition tfiat oll wark shall be done in occordance with oll applicable Stote of Minnesota Statutes ond City of Eagan Ordinances. Building Official .• va.uM # aar. i.w.4 ?m« Plumbing / - Q Mechanical A` /, INSPKTIONS DATE INSP. Rouph-In finol Footings Foundotion Plumbfng Date i// Insp. Dote r' o Inap. Frome/ins. Mechanical Finol Remnrks: ? r/s •r/ F?•wr,O No. Date: SitE Addre54: Lot Block Sub/Sec. " INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol • Mulfi Res., Comm./Ind, I Nome ':-)A Z::C . New/Alter./Repair. ? Address Cost of Installation City ,,"1 .•?• ? 71.1. Phone: Permit Fee Name ? Surcharge ? ^: r. . ? • ''? ? ? Address " City . . Phone: Total This Permit is issued on the express condition that oll work shall be done in accordance with oll cppliccble Stah of Minnesota Stotutes ond City of Eagon Ordinonces. cirir oF E?cAN 3795 Pilot Knob Read Eagon, Minnesota 55122 Phene: 454-8100 PERMIT Building Officiol No. cinr oF EAGAN 3795 Pilof Kwob Read 6a9ae, Minnesota 55122 Phoee: 454-8100 PERMIT Date: Site /Wdreu: lot 1535 Clemson Dr. 81«k Sub/Set. tTts INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential ? Multi Res., Comm.i'Ind. Nome xnc' New/Alter. / Repoir ; Address `ice ! Cost of Instollotion O City ' aa,, Phone: Permit Fee Nome ivard i .'?u7;1?,_r ,' Surcharge ,g Address e s ,. City Phone: Total This Permit is issued on the express condition thot oll work shall be done in accordonce with all applicable State of Minnesota Statutes and Ciry of Eogon O?dinonces. Officiol CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAO EAGAN, MINN TP 55122 ? DATE 19 ? ` AMOUNT $ ?--?? ? CA5H ? CHECK ? FuHa cooK AMOUNT , i C17b U i! ' 7 ? U ta J ? /?C•'li c•?',G •? lJ?c? T h a n k Yo? N? 2118 5 White-Poyen CoPY Receipt MECHANICAL PERM17 Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/G TyQe or Piint legibly , Tot. 1. Date 2. Installation Cost ' 3. Job Address Lot Blk. Tract 4. Owner z 5. Contracior - Phone 6. Address 7. City ' State ' Zip 8. Building Type: Residential 0 Commercial ? Institutional O 9. Work Description: New ? Add O Alter ? Repair ? 10. Describe - ` Fuel Type 11. No. Equioment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H i Mfg. r andl ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Qther _ 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 Fina Inspections: Date Insp. Date ? InsP. _l?,,? ? This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 ____ - - ---, - , --- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: '!'' +'' H"' ? 3830 Pilot Knob Road Permit Number: iO 4 7; Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: i ,; ; ? ',,, ; APPLICANT: , i EMSON Clf+ ?;?•.. ;,, ,. I ia???M?I;S tl4KE WEIGN7S (61'2) H7.3-91"tt PERMIT SUBTYPE: TYPE OF WORK: f r?nr?? . I t . , I ,I , . ?.. ,. , INSPECTION .. • .A , , , . , • , ? Rarmk No. Permk Holda Oate Telephone # ELECTRIC PLUMBING HVAC Inspecdon Date tnsµ Comments FOOTINGS FOUND FRAMING ROOFINO ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS 5VC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIH 7EST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 65MT R.I. BSMT FINAL DECK FfG i DECK FlNAL ??, ??. CITY QF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: . , ? f t'!',r?N UI•r f Nt'IOIiT i PERMIT SUBTYPE: I I I I I M6c. ? ? ON ;CORD PERMIT TYPE: Permit Number: Date Issued: ? ? pt• K . APPLICANT: tf;1, r r.r:1 J 9 t. t't TYPE OF WORK: Ifi. ''i. t'i F i ! 1!14 FTNAI "ri ? 1. 11 1 ??t? ?.til? Th AJ 1 "? t /?i7 r<f_P n.r R RFPt nr r ac 0 t ? , ror,+n No. Per,,,n Hader Dm TWephone A ELECTRIC PLUMBING HVAC InspacUon Deh Msp. Comments FOOTINGS FOUND FRAMIN(3 ROOFIN(3 ROUGH PLUMBING PLBCi AIR TEST ROUGH HEATINCi GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Add:tion 'i'hnmac .akP H' ghts Addi ti on Lot 23 Blk .3 Parcel # 10 75950 230 03 Owner ,? `street 1535 Clemson Drive State Eagan, NII+1 55122 k:; 6,1-1 :. 1 YY?n v?s iln Ni (-,W? ntij 4 Improvement Date Amount Annual Years Payment Receipt Data STREETSURF. 22 . AOZO Z2 8-2 -81 STREET RESTOR. GRADING SAN SEW TRUNK ? +tSEWER LATERAI 112 1981 62.82 1.28 A01012 8-2 -gl WATERMAIN *1NATER LATERAL 198 WATER AREA -197-1 Qi4{, STORM SEW TRK 9 • $291.55 A010512 8-2-81 *STORM SEW LAT 1981 CURB & GUTTER SfDEWALK STREET LIGHT Rd UN WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition Tho a c i.ak HPa gh s cldi ri on Lot 22 Rlk 3 Parcel #10 75950 220 R3 Owner .? 1? ?p ??? str.ec 1535 B Clemson Drive S?? Eagan, I?IIrT 55122 Improvement Date Amount Annual Years Payment Raceipt Date STREET SURF. STREET RESTOF. GRADING SAN SEW TRUNK 1177.5 *SEWER LATERAL WATERMAIN *1M1fATER LATERAL WATER AFEA 9) h STORM SEW TRK 19 291.55 A 1 1 7 5-15-81 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CBNN. BUILDING PER. 5AC 0 2 $0 PAR K CITY OF EAGAN Remarks - Addition Thomas Lake Heizhts Addition Lot 24 Qik 3 Parcel #IO 75950 240 03 ?....,e. ?UaR .„'.. 1.(?i: 111 h?trtt?._..?. 1537 Clemson Drive Eagan, MIN 55122 Rerr1 ei Improvement Date Amount Annual Years Payment Rtceipt Date STREET SURF. STREET RESTDR. GRADING SAN 5EW TRUNK 7 • ,tSEWEFi LATERAL ' a 251 28 A010176 -8 WATERMAIN tYYATER LATERAL WATER AREA / 9 ? ' STORM SEW TRK ' 291.55 A010176 5-15-81 *STORM SEW LAT CURB & GU7TER ? SIDEWALK ' STREET LIGHT I WATER CONN. BUILDING PER. SAC 500 91185 PARK CITY OF EAGAN Remarks Addition ?Memac T.AI[A ilPTghtc- Adriition Lot ?S Blk ? Paroel #1(1 7;,9Sf1 2SQ e3 owner 1111UrrIJ '7 . 11 j tr,,t 1537 B Clemson Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Oate STREETSURF. J? 1981 279.71 55.94 5 223.77 A010320 6-29-81 STREET RESTOR. GRADING SAN SEW TRUNK *SEWERLATERAL a 1981 314.09 62.82 251.28 A010320 6-29-81 WATERMAIN *WATERLATERAL 1981 WATER AREA / y STORMSEW TRK 1981 312.37 20.82 15 291.55 A010320 6-29-81 *STORM 5EW LAT 19$1 CURB & GUTTER SIDEWALK STREET LIGHT VYATER CONN. BUILDING PER. sAC 525.00 21185 10 2 8Q PARK HEAT_I.OSS F9TIMATE City or village i?a? MJ FOF +VL 17-6900 ADDRESS "'5 - ? ?-?"'» Ln /?-? ; ? ?r?%? • Floor ? Date ?Owner Phone NAME ElContractor Heating bill to be paid by !'IRST NAME INITIAL LABT NAMfi Make of Plant _ Boiler No. Type of Domestic Gas Equipment: GWA MWA GHW FHW S o ci ? ? a V UH SPACE Firepot a ? o SiZe Instalied Radiation Gas Ranges W. Htrs. (lnput ) nryers Hot Plates Remarks: r-E.[-r->>,, / Date Checked Heat Loss Li??? Input 66,-? Cert. No. Equipment to be Installed QAVQ1>_2 ? - ?7G On Main Size Off Installed by - „ OK Sold by ServicP Renew NORTHERN STATES POYVER CO. Wall CONS'i'FiUCTION Ceiling Flaor WEATHERSTRIPS INSULATION IK- TNE SS TYPE ATTIC Windows Doors Wall 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 No. Width of pane Height of pane No. of lights Area sq. ft. ineal t of crack Ccef. Btu Infiltration Door Infiltration Window Gross Wall Gtass Net Ex . Wall Ceil. or floor Ceil, or floor Fireplace Total Btu CITY OF EAGAN 3745 Pilot Knob Road Ecaan, MN 55122 -*xe?- WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Address: Site Address: P;umber: Meter No.: Reuder No.: I egroe to aomply with the City of Eagan Ordinanees. °- - _, Date of Insp.: Connection Chorge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: - Total: Dote Paid: I nsp.. OF EAGAN SEWER SERVICE PERMIT Pilot Knob Rood PERMIT NO.: , MN 55122 DATE: ,• No. of Units: Address: I limber: agree fo eomply with the Cify of Eogon Connection Charge: of insp.: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Dcte Paid: No.. to somply wilh !he Cify of Eogan COnnection Chprge: Account Deposit: _ Permit Fee: Surcharge: Misc. Chorges: - Totol: Date Paid: I nsp.. to TY4F EAGAN SEWER SERYICE PERMIT 9S PiIQt Knob Road PERMIT NO.: gon, fvlN 55122 DATE: ^i^9: No. of Units: ner; Address: Sffe Address: Plumber: 16'wte f°e +° ?P? M'? ?e Gfy of Ea9an Connection Charge: inanees. Account Deposit: Permit Fee: . Surchorge: Misc. Chorges: of Insp.; Total: Insp.: Dote Paid: IP WA R CITY oF EAGAN TE SERVIC E PERMIT 3745 Pilof Kno6 Road PERMIT NO.: :.agan, MN 55122 DATE: ZO"'^9' No. of Units: Owner: Address: Site Address: Plumber: Meter No.: ConnecYion Chorge: Size: Account Deposit: Reoder No.: Permit Fee: I agrea fo eompFY with the City of Eagan 5urchorge: Ordinanees. Misc. Charges: Total: BY Date Poid: Date of I nsp.: 1- • CITY CF EAGAN 3795 Pilot Knob Road Eugon, MN 55122 zoning: Owner: Address: Site Address: Plumber: _ SEWER SERVICE PERMIT ? ? PERMIT NO.: DATE: No. of Units: :. . • I °9fee tocomVy with the Cify of Eogan C.onnection Charge: Ordinancea. AccouM De posit: Permit Fee: Surcharge: By Misc. Chorges: Dote of Insp.: TotuL• -_ Insp CITY OF EAGAN WATER SERVICE PERMIT 379: Pilot Knob Road PERMIT •NO.: Eaqon, MN 55122 DATE: 'oning: No. of Units: ' Owner: Address: ' Site Address: ? Plumber: ' Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to wmply with fhe City of Eagan Surtharge: Ordinaeces. Misc. Charges: Total: Date Paid: te of Insp.:. • F Insp.: CITY OF EAGAN 3793 Pitot Knob Road Ea9on, MN 55122 2oning: Owner. /lddress: Site Address: Plumber: I agree fo oomply with fhe City of Eagan Ordinaneea. By Dote of Insp.: Connection Charge: i Account Deposit: ? Permit Fee: Surcharge: Misc. Charges: ? Total: Dote Paid: This request void ? ? 18 months from ?. '? Date o this Request?? I a? Fire No. S 9939 I, asLicensed Electrical Contractor D Owner, do hereby request inspection af the above electri- cal wiring installed at: Street Address or Route No. City C?[1? Section Township Range County. , Which is occupied by Rw ?--...? ... .,..?........, ls a roughin inspection required on this job? NM4- Yes ? Ready No Will Call 0 Power Supplier m Address mv MQ-dri Blectrical Contractor yZt'L' 64?0_Alc- Contractor's License N?95- / (Company Nama) Mailing Address E ACZlff IZP; glANSl/at-,`' Authorized Signature 'j" Phone No. X7tI" >S 0 (ElKtrica ntrxtor or Ow *r Making This Instsltatlon) STATE BOARD CQpY This inspection request wiN not 6e aecepted by ffie State Board unless proper inspxtion he is endosed. Minnesota State Board of Electricity Griggs Midway Btdg. - Room N191 q EB-00001-02 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 ^ REQIlr?T FpR ELECTRICAL INSPECTION g 9 3 9 7 CHECK BEL(1w WURK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Applisn ces Wired For Check Equipmen t Wiced For Home ? ? ? Range ? Tempotaty Wiring Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloader ? Indlstrial Bldg. ? ? ? A"v Conditioner ? Bulk Milk Tank ? Fazm ? ? List p ? List Othec ? ? Heiers p Heiers? icemarxs . -jE1PWAY SSRil1 % f I,the Electrical Inspector, hereby certify (Final) This request void ' 18 months from ?.. TOTAL FEE(, ,00 has been made-. ? Date ? Date ?--17--? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) crrsr oF Raanrr 3830 PII.OT KNOB RD - 56122 (661) 681-4676 D5 New Construdion Reauiromenb RemodeUReoair Reauiremanb 3?a3- iC) ? 3 registered sRe surveys ? 2 copiea of plans (indude beam 8 window aizes; poured Md. design; etc.) ? 1 anergy wlalations ? 3 copies of tree preaervation plan it bt platted after 7/1/93 requf • Yes _ Na DATE: I9 I`71FSCRIPTION OF WORK I-Qefn ?? "A?' y ? 2 caples oi plan ? 1 site surveys (exterior additions & decks) ? 1 energy caleulatlons tor heated addftions CONSTRUCTION COST: ?'? 6'7eD?v?v ?V m ?GLN+A ??y 1 % ' '7 1"7 STREETADDRESS: LOT: BLOCK: SUBD./P.I.D. #: PROPERTY OWNER Name: / /1 D?c? - f?01+tQ `, s S N' ? P6one Lazt First Street !S cicy .4 ? srate: 40'5?E SLu¢sCevN Pwnw Zip: Company: an.ARAOFINGBc$EMODELING.INC. Phone#: cq,?3? CONTRACTOR 4100 ESCC'I-81 ' Street Address: . LOIIIS PARX MN 55416 License #OM) 0?5'0 Exp. ID #WUIUOV - - City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street City Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes _ No State: irU'?on ' cart? d Zip: Penalty applies when address to compty with all applicable Tree Preservation Plan Received _ Yes - No - Not Required RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 s70" c?,W 12_1151d3 New Construction Reauiremen[s RemodellReoair Reauiremenis Office Use Onlv 3 regislered site surveys showing sq. ft. of lol, sq. k. of house; and all roofed areas 2 coples of plan Ceh of Survey Recd _ Y_ N (20 % maximum lot coverage allaxed) 1 set of Energy Calculatlons for heated additions Tree Pres Plan Recd _ Y_ N 2 copies of plan showing 6eam 8 window sizes; poured tound design, etc. 7 site survey for additions & decks Tree Pres Reqd _ Y_ N isetofEnergyCalculaGons Addifion - IiMicate'rfon-sifesepticsysfem OnsileSepticSystem _Y _N 3 copies of Tree Preservation Plan rf lot platled after 711193 Rim Joist Detail Options seledion sheet (bldgs wfth 3 or less un0s Date /Z' l It l05 Site Address 15 35 B. Gtffisonbrire Construction Cost $ZQ,?'l;O. A0 Uniuste # Description of Work r'1M0d4 Multi-Family Bldg x Y?iv Townhor?ic Fireplace(s) _ 0 X 1 _ 2 Property Owner PA.-» Sohrnrfiz Telephone #(4W Cm (I?'ltKtSrirKK,ptrsriitr,f) Contractor HaKU Aovtn*c , Address 4gS Pr?esatNC Path State MN ciTy N{st ch P*c++.l Zip 55/19 Telephone#i(?/?s/) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheel (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a fee applies. Licensed Plumber DEC b 1 Mechanical Contractor Sewer/Water Coniractor plan8 _ Y _ N If so, 25% plan review Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Niralti Al. wa,/,cer,, see?y A440lo11) . ko"1111111-- Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ?' 11 10-plex IK 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg-?(Yor_N ? 25 Miscellaneous Work Types nn '? , n ? 31 New 35" ;• r Int Improvement O 38 Demolish (Interior) ?1 ' 44 Siding ' • ? 32 Addition ? 36 Move Bldg. ? 42 DemolisR (F6undation), ?' 45. ?:fire.Repair ?d 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement "Demolition (Entire Bidg) - Give PCA handout to applicant .. :1?:. Valuation ?. o 0 o Occupancy R- 3 MC/ES System.. . ... ,., Census Code . . Zoning ?- D City Water SAC Units •: • . ? • , Stories Booster P.ump , • ?- . ••• , . . .., , .. , Nbr. of Units O Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered TypeofConst S N Width .. • ..;,? ;:. . .. ,'?; .?? .. ?i ', . .?. •• - • • " " ? • REQUIREDINSPECTIONS . • • _ Footings (new bldg) FinaUC.O. _ Footings (deck) ( FinaUNo C.O. _ Footings (addition) Plumbing _ Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final 9 Framing Siding Stucco Stone _ y Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) -x Insulation _ Retaining Wall Approved By SP 19' 15 d 3 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total •:-s°4:',:'24 2j :•.r'!r,;:.:A'.. '.'.%\ COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 State: if)?& _ Zip: SS `i I j?o Foundation Onl New Construction Interior Im rovement . Structural Plans (2) sets • ArohitecWral Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) . CertificateofSurvey (1) • CivilPlans (2) • ProjectSpacs (7) . CodeAnalysis (1)" • LandscapingPlans (2) • KeyPlan (1) . ProjedSpecs (1) • CodeMalysis (1) •` • Master Exit Plan (1) `" . Spec.lnsp.&TestingSchedule" • CertificateofSurvey (1) . EnergyCalculations (1)notalways • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not aiways"' . Meter size must 6e established Meter size must be established • Meter slze must be established - if applicable • Projec[ Specs (U ! • EnergyCalculations (1)" 1 .L . Electric Power & Lighting Farm (1) " 1 1 • Master Exit Plan (1) y S • Emergency Response Site Plan ('I) 1 • Soils Report (1) l . MGES SAC determination letter . MC/ES SAC determination letler • MGES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Footl 8 beverage or iodgmg tacnmes - suomi[ pian co mrv uepaRmern ur neMIL11. ?01.V., '-4 ?..-? lwi u?-.,- Contact Building Inspections for sample. *`• Permitior new buildings or additions will not be processed without Emergency Response Site Plan. Ask Suilding Inspections for requirements. r 7 0? DATE WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COSTa 1.0 SITE ADDRESS: / J,?'7 f't ,?5 J TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK --?? Namo: PROPERTY Last OWNER Sheet Address: City: CONTRACTOR ARCHITECT/ ENGINEER Zip: Company: S- lC-?" Phone#: (CO?Z StreetAddress: Ciry: -A-4 Company: _ Name: Street Address: City: Licensed plumber installing new sewer/water Phone #: Zip: I hereby acknowledge that I have read this application, state that the information is coRAect, and agree to omply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. In / ? Signature of Appficant: f1 Updated 7fo2 r? First State: Registration #: State: SUITE #: Phone #: 1f?( S( ) `z? c ( 5- -,- Phone 75950 THOMAS LAKE HTS 2ND 1535 10 75950 230 03 1535B 10 75950 220 03 1537 10 75950 240 03 1537B 10 75950 250 03 1538 10 75951 010 Ol 1538B 10 75951 020 01 1540 10 75951 040 Ol 1540B 10 75951 030 Ol 1542 10 75951 050 01 1542B 10 75951 060 01 1544 10 75951 080 01 1544B 10 75951070 Ol 1543 10 75951 220 02 1543B 10 75951 230 02 1545 10 75951 250 02 (LOT 70) 1545B 10 75951 280 02 (toT 70) 1547 10 75951 260 02 (LOr 70) 1547B 10 75951 27002 (coT 70) 1546 10 75951 12001 (LoT 66) 1546B 10 75951 09001 (LOr e6) 1548 10 75951 11001 (LOT e6) 1548B 1075951 100O1 (LOT66) 1552 10 75951 13001 ([.oT e6) 1552B 10 75951 14001 (LOT 66) 1554 10 75951 16001 (i or 66) 1554B 10 75951 15001 ([,or 66) 1555 10 75951 29002 (LoT 70) 1555B 10 75951 320 02 (LOT 70) 1557 10 75951 300 02 (Lor 70) 1557B 10 75951 310 02 (c.oT 70) 1556 lO 75951 170 Ol (LOT66) 15568 10 75951 180 Ol (LOT 66) 1558 10 75951 200 Ol (LO•r ee) 1558B 10 75951 190 Ol (r.o'r 66) CLEMSON DRIVE (LOT 66) (LOT 66) (LOT 66) (LOT 66) (LOT 66) (LOT 66) (LOT 66) (LOT 66) (PAGE 2 OF 5) (LOT 69) OTHER 1/2 = 1542 & 1546 BAYLOR CT (LOT 69) 6 CERTIFICATE 4F SURVEY For: BAN-CON, INC. G'nc!Cr fio/m.se? 9(r?a'Y ?-onv.x .. ?:?::,q>;;•,Yx?•`'? ?? y E/?,nr"u?,• r?o.?., A,? iio/+osed ''?!.0:'}i,y u ? \ - d!: ;' `';• `,';4'*' \ ?-•3?r?_, ..?;? B,9r4 '0 4t? ? Stw/e: /"? 3D' OQenoles /ron -, / RECElVED Lots 22 through 25, inclusive, Block 3, THOMt1S LAKE HEIGHTS, SC"P 12 1980 Daketa County, Minnesota. BAN•CON, INC. we n.r.ey oortlty fhal thls Is a 1rue ond coneal npnsentation of asurvyr ot th• E. G. RUD d SONS. INCi. souMarUs of tnt abow dewrleod Ione end of tne loeotlon of au buildinqt, It any, LAND SURVEYOR5 fAneon, and otl rislEh anorooohmontt, It any, from a on sald lond. rN E.G. RUD a$ONS, INC. 3847 155fh Avenue N. E. Doaa tMsLaay of S? O.E ?r Anoko, Minnesota 55303 - by ?°a'? Tsl: 434-6505 ',;; Mlnn. Rtp. No. " ' ?- ? N CITY OF EAGAN 8795 %lot Kno6 Rmd Eague, MN 5512I PHONE: 454-8100 BUILDING PERMIT APPLICATION To ba uaed fur K3C$$ 1 of Q plegby, Value 37 00 0 Date 10_2 ?qgp_ Site Address 1535 Clemson ?T' Erect [2 pccupanty R3 Lot-.23. Block3$ec/Sub. Thnma a Tk HatS. Alter ? Zoning PD Parcel # 10 75950 230 03 Repair ? Flre Zone 3 Enlarge ? Type of Const. V Nome an gen i Z ne Move ? # Stories ? Address _2345 N Ri re 4t Demolish ? Front 42 _{t, Ci _ St. Pau1.551W0ne 483-080I Grode ? Depth 22 ft. , p Nome ADVrovala Fees F z OU Address Nome _ Addreu I hereby ackrwwledge that I have read this application and stnte that the information is correct ond agree to wmply with all opplicoble State of Minnesota Statutes and City of Eagon Ordirwnces. Signature ofi Permittee _ A Building Permit is Issued to: all work sholl be done in ucm Building Official 7 ? Ban Con Inc. all N° 6257 Receipt # Permit 1Ut5.UU Surcharge 18.50 Plan check 54.00 SAC 525.00 Water Conn. 05.00 Water Meter 60.00 Rood Unit 185.00 Toral 1, .55. 50 on the express condition thot Stmutes and City of Eagan Ordirwnces. -S cf 14? ? ? _' i ?i1L?:,,?1 . ?i:.n U. F+l.L'G?'r ?... ? •.?. ? 1 sitc plan w/e]evauons 6 ? 1 lation IIUIII)TNC: FFR+tI't APPI,7G\TTQd ? 1 set of enelgy ca cu V l tion 934? ^ Ratc ? l -l?-25 O --- 'Ib f3c Usec: For ua a 40 ? Site Iddmss: 15.85 OFFI(E USE ONLY TN H ? Erect K K? QCcupan'Y 73 In, t ZHlodc 7 SCC./Sub. i-77 E b ' _ i ?tez ZOn r9 - 3 p?e? ? : Fepair Fire ? E.ilarge lype of Wnst. Cb+ner: $A'k Por] WC - Nt7ve A Stnries Denolish Fznnt ft Address : 23.45 n1. R?LE s-r. - a? f t Grade ?P? - city/Zip Code: '?A?? ?s r r3 s-v Phom =: 4$3 -0801 Contractor: r, AN -Lon1 1 4? Adciress: S k't`KE City/Zip Code: Phme #: Arch. /EYx3. : gk1,\ C c> n? ?? E• Address: S AawE - - Ci"1/Zip Ccd: Phors # : APPf37VAI5 ms Assessirents ermit w tEr/Sewer Surcharge Police Plan Chcr3c ??y? Fire SAC Eng. Water Conn. 305" Plaruier Water Meter J? ?._ C.ouncil Road Unit J ?s-?- Blc1g. Off. RPC 'IUR'AS, Assessjk&t 9Y1(,-Rl1 Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. APC CITY OF EAGAN 3795 Pibt Knob Road Eagon, MN 55142 PNONE; 454-6100 BUILDING PERMIT APPLICATION o? Address UQ AssessAght Q_'I h_Rfl ? C7 Phone Water & Sew. r? Police _ ww Name tZ Fire Saine ?o Address Eng <"' Ci Phone . Plonner Council I hereby ocknowledge thot I have reod this opplication and state thot gldg Off the informotion is correct and agree to comply with oll opplicoble . . Stote of Minnewto Statutes and City of Eogan Ordinances. APC Receipt # To be aaed for 1 Of /i. pl@X Esf. Value 3r/ 000 Dot 10-2 iqW Site Address 15 35B l m on D'r R _ Erect M Occupancy 3 Lor 22 aiock _3 Sec/s.b. Thomas Lk. Hgts. qirer ? Zoniny PD Partel {k 10 75950 220 03 Repair ? Fire Zone 3 Eniorge p Type of Const. U w Name Ban-Con IriC . Move ? # Stories - Z o Address 7 345 N Ri oa St Demolish ? Front _- 42-_ ft. C; St. Pau1, 483-0801 Gmde ? oeorh 22 fr. p Name APProvals Fees Signature of Permittee _ A Building Permit is issued to: all work sholl be done in ocm Building Otficiol ,aii-uvii liiu. on the express condifion thot with all-2Rplim_ble State of Minnesoto Statutes ond City of Eagan Ordinances. ? ?_ li ?... ". ._.._.. BUIIDI'dC; pEfMIT p,i-PLI01T70N 'Io I3c Usec3 For Valuati? Site Address: l5-35 8 GLEMSa,-/ 11),P {( Int Z,2 Paroel A: U4 piarLi, \ 1 site plan w/e]evations b 1 set of energy calculatiorL - Date OFFICE USE O6II.Y B1OC?C ?_ SC.+C. /Slb. THO H AS^ L_HGi oaner: P AN - cGnl I nl t. Jddress: 7-3?5 /J. 121CE 6-t2eF7- City/Zip Code: 5T ?Auj n ll3 41- Phone k: 483 •-QSoi Contractor: gp.a -?on? 1t?1? Ad4IeSS: G A nn c City/Zip Code: Phow # : Arch./tng. 9R-,-1- co IrIff, Nddress: 3 Arh 97 ?- ? Citl/Zip Cade: Phore #: N° 6256 Permit 1U25.UU Surcharge 18.50 Plan check 54. 00 SAC 5?p5?00 Water Conn.305 .00 Water Meter 60.00 Rood Unit 185.00 Total 1,255.50 Fxect ? ? NI ` ? ? ! 1CJ ?. 0! ll( /".& Repair Fire Zonc :3 Enlarge _ 7ype of Oonst. Nbve A Stories Uarnlish fYont ft, Grade Depth APPIdOVALS Frs,,,? As nts • , ?? Perntit Watr-Sewer Surcharge ,g0 Plan Chcr.ic ? Fi SAC .5 Water Conn. 3 P1 Water Meter -? cil .., _?. Roacl Unit / ?zi ?e?/ BUILDING PERMIT APpLICATION To be u,ee fo. 1 of Q plex est Voiue 37,00 Site Address 1537 Clemson Drive ? Lor24 eiock_3_ 5eC/5ib. Thomas Lake Htg. Porcel # 10 75950 240 03 w Nome E;G o dd?es Ri ce St ?? Pti„.e 483-0801 o Nome _ Z'- ?? Address ? ,_ Nume _ Address I hereby ocknowledge tMt I have read ihis aoPlication ond state that the informotion is correct and ogree to wmply with oll opplicable State of Minnesota Statutes and City of Eagun Ordinances. N° 6258 ...)1?S?- Erect 0 Occuponcy R3 Alter El Zoning PD Repa7r ? Fire Zone 3 Enlorge ? Type of Const. _ V Move ? .# Siories Demolish ? Front 42 ff. Grade El Depth 22 {t ApProvala Fees AssessmA} 9-16-8 D Water 8 Sew. Police Fire - Eng. Planner Council Bldg. Off. APC Permit 1OS DO Surcharge 19_ 50 Pbn check 54 _ 00 snc 525 no Water Conn.305. 00 Woter Meter 60. 00 Rood Unit 185 00 I Torol 1, 55 50 $ignature af Permittee A Building Permit is issued to: Ba n-COR IriC. all work shall be done in accordanc with oll applicable State of Minnesota Statutes and City of Eag a O dino nces.n thot Building Official _. .l O . ?. ?- / ?J`? ? 7#Gt/Sl l lir L_ v: ti i -- •: "•.•v• lkl]JU .. JCi? Vi fi11I1:UBUIIDI?d(; p 1 1 site plan w/e]evatiortis 6 \1 / ERMIT APPLIG'?TION "1 set of enexgy calNlations. 'Ib Be Usec: For ,?? Valvation ???•ooo'?- ??` ------ C? Site 1ldclzess: Date 1537 G[,Ei1/?to.? OFFICE USE 0lCY LOt 'A- BIOCk 7'HamAS LfFKe" 3 sec./Sub. kE??+rK Paroel avner= _ ??l 1 - C O? INC Adcsess: ?3?5 t? i2?LE 57'REEi - City/2ip Code: Fhone #: 4 oz Contractor: ? 1 - cc:)? Ar3dress: ;k&j\_ - City/Zip Code; Phone # Ax'ch./Ehg.: ?¢.til- C 6&\ tV?(C Address: ? &ev\ ? -ity/Zip Code: CITY OF EAGAN 3795 Pilot Knob Raad Eagan, MN $3122 PHONE: 4548100 Receipt # ? ? :?Y n9 ?. Repalr Fire Zone 3 Enlar9e _ 7ype of Oonst. 6- Mcyve $ Stories Damlish - Front y? ft. Grade pepth g -- ft. APPIb?c7AIS F.= Assessrents dPezmit % D ?S =SD- Water/Sewer gurcharge ? g ,?s- Police p? q?,k- - ?-? Fire g,qC ?4• water Conn. Plannes Water Meter ?---6 :0__- Cauncil Rnad Unit ? ??- Bldg. Off . APC ?hone #: TOrrL CITY OF EAGAN 9795 Pi1M Knob Rmd Eagan, MN 55722 PHON E: 454-8 f 00 BUILDING PERMIT APPLICATION To 6e uaed for 1 of 4 plex Est. Volue 371? Site Address 1537B Clemson Dr. ___ Lor 25 Brock 3 Sec/Sub. Thomas Lake Hgts Parcel # 10 75950 250 03 ? Name Ban-Con Ine 3 Address 2345 N. Rice Sf,. ? Citv St. P8u1' Mfl. phone 483-0801 p Name ?r u Address Ci Phone Ww Name tz _C, Address u a W Ciri Phone I hereby acknowledge thot I have reod this uppli<ation and state that the informotion is wrrect and agree to comply with all applicable State of Minnesota $totufes ond City ot Eagan Ordinances. N"_ 6259 Receipt # _?,4A ? Erect 12 Occupancy n3 Alter ? Zoning PD Repair ? Fire Zone Enlarge ? Type of Const. V Move ? # Stories Demolish ? Frant A2 ft. Gmde ? Depth 22 ft. Aoorovals Feea AssessmAQ _ Water & Sew Police - Fire Eng. Plonner - Council _ Bldg. Off. - APC - Permit 1Vb.UU surchorge l S. 50 Plon check 54.00 SAC 525.00 Woter Conn.305.00 Woter Meter hn . no Rood Unit 185. f]0 Total I -?) SS _ 5(l Signafure of Permittee I A Building Permit is issued to: B3n-Can InC. on the express condition that all work shall be done in accordonce with pll aoPlica61e Stote of Minnesota Statutes and City of Eagan Ordinances. 6uilding Official ?- _J(Eq/ sc 1 site plan w/elevations 6 ti BUIIDINC; PEFdk[IT Pu''PLIGlT1ON 1 set of energy calcvlatimts. To IIe Usec: For Valuatian Date Site Address: i 5 7 J? C4,5 iAso'l pte/?E- OFFI(E USE ONLY Iot 2?,5- Blodc Sec./Sub. ?.Nrs KE Erect _P( Occupan-'Y -- Pamel #: /D 769 5a ??o 8 aater 0 zoning T- - Repair Fire Zone 3 Owmer: ?31atA E:"daz4e _ 7Yfe of Const. Nbve A Stnries Address: 2'?45 n/. P, ect ST2eE?_ Darelish FYnnt yz ft. d i i Grade ' l Depth ft. ty/Z p Co e: ??, C P4UC iJf+A 7I3 l -.53 Phone *: 483 -Dgol Contractor: 1A,,( Address: 5 City/Zip Code: Phrne # : 11rch./E7xJ. : -R &?_1 -Ccn! lfle , Pddress: s AZ &k (E? Ci'y/Zip Ccde: Phcne # APPRL7VAIS FF?S Assessrents . ernut Water/Sewer Surchan3e ? '75, Police Plan Ctu-?ck .?`5' FiYe SAC s gng. Wdt2s Conn. ;3 G b? Plarnes Water Meter Gouncil Road Unit / Bldg. Off. P.PC J. k. 1. 9 ........... ....................... Tota1 St - is : IDD ---?_ If total of 14 is the same as, or less than #2, you have met the intent of S:.C 6006(c)1, Alternate Building Envelope Design To u*_ilize the tctal envelope system method, the values established by the sum of iiems x3 and 34 shall not be greater than the sum of items !I1 and #2 1. ?zZ.g +2. ?84,g 007, ? 3. 73cl Total exposed roof/ceiling area = 3&1(0 Total skylSght area........ Totat rcof/ceiling framing area?(average 10:G),,, Totai net insulated roof/cei'ing area....... ••••-33Z6 Determine "U" value for each rocf/ceiting segment. j. - X liuig k. 3 ?_ X ..Ul, .04 1..?3Lc?. X + a. 1 iS til?I.J J ENERGY REQUIREMENTS ? 1thid fozm to be completed and aubmitted wiCh building permit applications EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION QkNER ('_ p o 1 t? SITE ADDRESS CONTRACTOR -96,Q -CnW, (tc- DATE PHONE 4253 QSoI Determine working square footage of each. 1. Total exposed wall area .... 4540 sq. ft. x .17 = t?2 2.a 2. Total roof{ceiling area .... 3 6ti (- sq. ft. x .05 = iSA.B Total exposed Nall area abova floor = 4 So2 a. Total wali trindow area ........................... ?3h b. •Total door area ................................. . ?52 c. Total sliding glass door area ................... 480 d. Total fireplace walT area ........................ - e. Total wall framing area (average 10%) .,,;,.,..,., 3kp) f. Total net wall area a6ove ftoor ................. 2?s&3 g. Total rim foist area ....... .. ............... z z fl, J. TbTAL kQEA ABaJE va2. L1K12 uA17• 9Z4 Total exposed foundation area = 38 h. Total foundation window area..................... i. 7oa1 net foundation area above grade 3 8 ............ Determine "U" value of each wall segment. 3 .....................................Tota1 ` 7 3 a. 339 X "U" .SS r /°n7 b. f Sz X "U" ,?7 = z 3 c. 48o X "U" , ss = Z69 d. - x "U" ' - _ e. 318 X "U" .i3 = 41 f. Zf>?3 X "U" .47 a zm i 9• zz6 X lfU° v9 = 9 h. - X "U" X loUll OS ? Z ?. 42G x 0 1- .,? = 13 if ttem 93 is the same as, or less than ttem 01. you have met the intent of SBL 6006(c)2, ,• ?_._, . ?, Y?,-., ca I 1116• -LOss cucuuT10N5 DEPARTMBNT OF 6UILDM6S Cax?aqu *o,-?. PAUL, MINN. wwroan ?ri rnm pp t?tMucnoN ?- 2.7 -So inwunow dew Wl ?R Ado+" OaA Wd id. Wd trd pw 10e1 _ GilieQ ( W4m a fr No Ya Ne H- Cr?a? ? R • ' Roas I.onqfh Widfh WINDOWS aed RS-CRAG(A6E and AAEA NMpM R ?. 1Nqtb Widfh WINDOWS aad OOOIiS-CRACKA6@ and A0.EA ?, HdqM $ d an d ass II hk -f --d ArH s. N. Nw W ones N of wet w. M. Ne. a4s 1+ a i .S a . cA.r. ew. . wfi? ce.f. - eb. tasu..xo. ? ? Dom fig. w.n wa C ibc ? sun wd w.q w.u w. ? lagb nCej w? W.8 ioe. w.a ? b o (o R t or la.xi? 7 ur"Vem.a., X o b 4 a. (&xao Gm x e'LO Ap, Ld Mo. b?i?d q, q. E D. R a W. tm. W. A 4ed?r ?n? C I?.g16 9 ?dM JO ?9? $ I R ToHI BM. ?C U oind sq. H. E D. R. or W. W. A. Lsedn ana 1!o WidM ? 1 H•igM g d ppORS-CNACK pyys A6E aad AREA WINDoWS and DOORS-CMCK A6E aad A0.EA WPC en Hakb d Ne. a IiMs r 6 el v?ck Arr W. R. ' Ne, d pimme ot pose "ooF I laow ft. d oaeY An? W. N. ? d Me? or a ?a s• a?+.? ? pnen co.t. uo. IeBHr.xoe p„" ?. BIN6 w.o w.o x a, i ? ^-- a5 55 1 XZS i!. Mrl F! r 9xi0 owas... ..peer a N.? .w.o M.W?II :•qaer• ? 9 'S. ? .? i 6g I Tef? ? 55'1a, b?ind H. E 0. R a . ba. W. A. ?Mdw ?ne R L"9M WidM ? HdaM c Tefd Ha Reaut- aSq.. E C. R. or -. Ina. V!. A ieader r.ea ? H. ?^' u^a?' 16 W?d?h HelqM 8 d DOORS-CMCI (A6E aud AREA WIND OWS and DOGRS -CMCKA6E end AREA WNDOWS an i MNa S o. 1 hN nwt. d we1 Aru M. ? t 01 e? o 0400 11 6h aael t4? N. Ns d a? u o . ? (o r ce.t. ?n?. ; cA.f. ew. ?- ?m i r?..xo. W? I X, go dl lo x 61.. tY ftm Wdl Wd1 M40 c t375 a& wa F 12o r I D X 1?} 140 r frigor Sd Mn Twd Ma. H. 6Q Y. m scl, I4 W.A. lyda uw 4q?fNd f! ED. L m q. im. W.A. L"der ene - ?a+0 r. LCr_? c.'•' C c2) ,,ss c.ALcuunoNs cEPNCnMENr oF euaow6s ST. PAUL, MM df11?RIR A ?Yt 7Y1H Of CmI?TRUCTION INtULAl10N ,v?a.,,. ow. ? o.r, w.t na wd wor p... w+ c.m? ? wa a Ns Ta Ito 1?.. ?Tn3i. Cod'w.. ? R Raos ln*h nj OVIdM 7 MNqAf FL Roam, ueGM Wtdih Mdq6f WINDOWS 0?d DOOIL4-CRACKA6H aed ANFA WIND OWS aad DOORS -CRACK A6@ and ABFA Ne vtwm a1 . y r dir a tl hM .. f. d wck Ar.. . h. Na d nosh, . d a. I t M rncY M.. q. R. , Ced. Bhi. ' d . Ced. ila. Is811rd1e? InA1k?Hea ° O° Daan WaY X bp. WeR Gim ao c,rm N.? bip, w.a ? ?+.+ figp. w.n re. w.o im. w.n Ft o ' 6 Coilibeges,41loor r x l 9 4 c.ma o. aow Totd Ero. 3 rord Bhw 1 4prnd p. 6 D. R m N• iw. W. A. laado nna Wquind W. H. E D. R er sq. tes. W. A. Leadsr arw R Roos l?eq16 WidM H?IgM and pppps-Cp??? and Aµpj? FL ? Roem Lsoqf6 Widf6 WINDOWS aad DOORS-CRACK/16E and AREA HeigM IY doe? of 0I ? IO. I{ 5h W d a?e? AfY ?. N. No. ef • of Hain, ON d nad NN W. M. . ? CWf. Ha. Cwf. BhL ??? ?001? ICBNfaIl011 a ew, wAR Gq? wan no rmp? Wan tw Won ? _ _ . . ra. wa . , . i.t. w.n collilim or aow .. .or Flhor, . Toa1 M. rww ew. peiM p. E D. R w tm W./1. Lwdw sna R uir?d A E D. R w s. Im. W. A. L?ada ero? R Reoin L?nq1b WIdM Heiqhf R. Reem I+aqlh ?dfh HetgM NDOWS ?nd DOOIIS - CqACK W? A6@ aed ARFA WIND OWS aRd DOORS - CMCKA6@ end AREA f .IV ot u II M nr .. ef wct ?. M. Na, ef qen 01 ai e. I lih M. W wck Arw q. N. Ns, e Cwf. lla. Co.f. Nu. fiee Wind0ifil lf I f' -- 1?ation i w n Deors Wdl W'U ? Glu Gim !Y Wa0 ? !Mf ffigi, Wd! 1ML WJ ' ... . . • Ia1. Wan callim s FioW COMBO a Reer Tofd 6tw mis. ff. E0. 0. m sq, 6u. W.A. Irda aru lpind Rpoind s4 H. E0. i!. w im W.A. l."der ar" 3?:!e I I PERMIT CPTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-75950-230-03 DESCRIPTION: 1535 CLEMSON OR LO7: 23 BLOCK: 3 THOMAS LAKE MEIGHTS REPLACEMENT PERMITTYPE: BuzLorNG Permit Number: 0 3 0 4 7 3 Date Issued: 0 7/ 21 J 9 7 60"ilt31'6 gPermit 7ype DECK Building 4Fo,rk Type REPAI R r'Census Cotle? 434 ALT. RESICIENTIAL ` f n ? .f rap« FiL ii A '' iul7 :!3r { {,: ,' ? ??• '.. ?li .?.z _.. "?:? ^_ _ YI.Il L1k i-' , ? ... ?'J t_i ``--7_ : !_1 . .. ? m REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: 80ARD & ROOM RMDL 18239128 0004978 SWEDEAN RICHARD 38,36 HARRIET 5 1535 CLEMSON DR B MINNEAPOLIS MN 55409 EAGAN MN (612) 823-9128 I hereby acknowledge thaz I.have read tMis:applicazion arrd st&te that the infiormation is correet and agrea tp..comPly .,with a1l applicable State af Mn. 9tatuties endCity of Eagen'6rdinanoes.°. PLICANT/PERMITEE SIGNATURE ISSUE Y: SIGNATUfiE ! 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 0` ?-'7 3 CITY OF EAGAN 3630 PILOT KNOB RD - 55122 681-4675 ftemodeVRenair Reauirements S-D St) ? 8 registered site sunreys ? p copby of plan ? 2 copias of plans (indude beam & window aizes; poured fid. dasign; etc.) ? 2 site surveys (extedor etltlftions & dedcs) ? 1 energy calalations • 1 energy celculetlons Mr heated etlditions ? 9 copiea M tree preservetion plan H lot platted after 7l1/93 requiretl: _ Yes _ No ' DATE: CONSTRUCTION C05T: laz° DESCRIPTION OF WORK: STREET ADDRESS: ??`S? ??/k So J? oP, LOT °R3 BLOCK ?3 S BD./P.I.D. PROPERTY Name: PhOt1e #: OWNER ? ?,.. Street Address: City: State: CONTRACTOR Company: ?i AeO 0--- 's" a-- ? 7? jt ef•E ?6?Cif'6-:c/. Street Address: ciry: t44,4,S state: ARCHITECTI Company: ENGINEER Name: Zip: Phone#:C?03 j/19e License #: / e9 zr zip: 15-22 Y617- Phone #: Registration #: Street Address: City: Sewer 8 water licermed piumber (new construction ony): and Iot change arc, equested once permit is issued. Penally applies when address change I hereby acknowledge that I have read this application and shate that the infortnation is correct and agree to comply with all appticable State of Minnesota Statutes and City of Eagan Ordinances. u?L? Signature of Applicant: OFFICE USE ONLY State: Zip: Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required 931.0 FOR '924.0) O <"*'n'1*- SURVEY (924.01 BAN-CON,- INC. 931.8 p°d.a vj , LEGAL DESCRIPTION ? ti• 'a . r' ?, C9 21 yti ' C6 2°a 0 ?4C0 'ro. ?o.. ? SCALE: I INCH = 2-0 FEET ? ? LOT 2, 3, 4 AND 5. BLOCK 2, THOMAS 7.nxF HEIGHTS, ACCORDING TO THE PG's RECORDED PLAT THEREOF, DAKOTA Q, COUTFPY, MINNESOTA. c? ?O R '• ?. ? ?O ?o/\ ? ? oQ M1'? O (924.0) 928.8 NOTES 100.0 DENOTES EXISTING ELEVATION (100.0) DENOTES PROPOSED ELEVATION . PROPOSED GARAGE FLOOR ELEVATION = 924.5 FEET PROPOSED IAWER FLOOR ELEVATION = 924.8 FEET PROPOSED ENTRY ELEVATION = 929.2 FEET PROPOSED FIRST FLOOR ELEVATION = 933_6 FEET V tf,r (s2a.c) 928.(e I HEREBY CERTIFY THAT THZS SURVEY, PLAN OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. DATED THIS 22NDDAY OF Msy ,1980. SIGNED: JAMES R. HILL INC. HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA REGISTRATION NO. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 80(JB Pianners / Engineers /. Surveyors FILE NO. ' 8200 Humbolt Avonu• South . Bloomington. Minnesota 55431 o ?o\ ?Q? ? THOMqS LAKE HOME OWNERS ASSOCIATION 1535A CLEMSON DRIVE EAGAN, MFI 55122 BUILDING INSPECTOR CITY OF EAGAN EAGAN, MN 55722 RE: REPLACEMENT OF DECKS ON TWO QUAD TOWNHOMES. DEAR SIR: , THE BOARD OF DIRECTORS GIVE UNANIMOUS PERMISSION TO ROOM AND BOARD CONSTRUCTION COMPANY THE RIGHT TO WORK ON THE DECKS OF 1518/1520 AND 1535/1537 CLEMSON DRIVE AND RECEIVE THE PROPER BUILDING PERMITS FOR WORK TO COMMENCE. f{IGHARD H. SWEDEAN PRESIDENT _---I PERMIT City of Eagan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Site Address: 1535 Clemson Dr Lot 23 Block: 3 Addition: THOMAS LAKE HEIGHTS Description Sub Type: 04-plex Work Type: Reroof Description: Census Code: pdditionlBsmt fin/Decks/Porch Permit Type: Building Permit Number: EA034778 Date Issued: 03/23/1999 UBC Occupancy: Construction Type: Zoning: Squaze Feet?.4?- .- ??? .. J,_. .:.' . 2;. r r Remarks: lncludes: Unit 1535B, 1537, and 15378. Fee Summary: Valuation: $12,000.00 State Surcharge Base Fee Contractor: - Applicant - SELA ROOFING & REMODELING St. Lic.: 4100 EXCELSIOR BLVD ST LOUIS PARK, MN 554160000 r 6.00 20925 $215Z5 Owner: Thomas Lake Home Owners Association 1535 A Clemson Dr 6128238046 ? Eagan, MN 5)123 Wl-bbb-bL47 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. ApplicanUPermitee: Signature lssued By: Signazure PERMIT CIl'Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: Bu=Lp=NG PermitNumber. 030474 Date Issued: 0 7 J 21 / 9 7 SITE ADDRESS: P.I.N.: 10-75950-220-03 DESCRIPTION: REMARKS: I L ? . . r . ' -Sa.. v t? ( .. wrr- tit Ei 3€ ?:'v i?n ?x?iE r a ? ? •._ 1535 CLEMSON DR UNIT B LOT: 22 BLOCK: 3 THOMAS LAKE HEI6HTS REPLACEMENT Buiidiiig. Permit Type DECK 9ui].dihg PJ?rk Type REPATR ?"Census Cade-V 434 RLT. RESIDENTIAL FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: 80ARD & ROOM RMDL 18239128 0004978 SCHMITZ PAMELA 3836 HARRIET S 1535 CLEMSON OR B MINNEAPOLIS MN 55409 EAfiAN MN (612) 823-9128 ? 2 hereby acknowledge that I.heve read thisapplic,a`tian and 'stata that the? , infa,rma.tion is _correct, ar?d:.ag,r'ep,? t,o-,comp2y_wi,tta ol1 pppk.a;cable State qf Mn. ? ' Statu es and City oP Eagacr Ordinances. = ? _ ? /J , . . ,m.-_ _ ?. a:_.. ? _?_ ,? ?- ,•,a. _ LICANTlPERMITEE SIGNATURE ISSUED BY: SIGN RE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CIT1f OF EAGAN 3830 PILOT KNOB RD - 55122 687r1675 -V. 6-0 ? 3 registered site surveys ? 2 copias M Plan • 2 copies of DWns (Indude beam S window saes; poured fid. tleslgn; etc.) ? 2 site surveys (exterior adCitions 8 tlecks) • 1 energy calculations ? 1 erroigy Calculationa for heated a0dkions ? 3 oopies W tree proservation plan M bt platted after 7/1/93 requiretl: _Yea No ' DATE: -/ CONSTRUCTION COST: DESCRIPTION OF WORK: ???? 7e- /1045A#Z STREET ADDRESS: LOT a` °Z BLOCK ?3 SUBD./P.I.D. #: PROPERTY Name: Phone #: OWNER wr sw.* Street Address: City: State: Zip: CONTRACTOR ARCHRECT! ENGINEER Company: C Jt'N?!` ,?Ct'?i??a? Phone #: 6:;?> Street Address: 3??cl- 1,4'E'?z"? License Ciry: 4??Z4Sti State: Company: Name: Zip: Phone #: Registration #: Street Address: City: State: Zip: Sewer 8 water iicer•Sed plumber (new construction onty): . Penalry applies when address change and lot change are iequested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. / ? Signature of Applicant "??`"? ??/•?G`??=-? ? v OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation n 06 Duplex ? 02 SF Dwelling o 07 4-plex 0 03 SF Addition o 08 8-plex 0 04 SF Porch o 09 12-piex 0 05 SF Misc. 0 10 _-plex WORK TYPE 0 11 AptJLodging ? ? 12 Multi RepaidRem. ? n 13 Garage/Accessory o ? 14 Fireplace n ,,a' 15 Deck 0 31 New o 36 Move ? 32 Additio 34 Repair o 37 Demolition GENERAL INFORMATION . ? uf ` Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MC/WS System Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq• ft. Booster Pump sq. ft. Census Code. y?? Footprint sq. ft. SAC Code ai Census Bldg Census Unit 6 Building Engineering Variance -?: Permit Fee Surcharge Plan Review License MCNVS SAC CRy SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units i -. SURVEY FOR -240lo BAN-CON7 INC. ? t 9931.81 I?(r LEGAL DESCRIPTION 4??0 " . 1.ti ? 0??a •OO? LOT 2, 3, 4 AND 5. BLOCK 2, THOMAS ? / ya IV LAKE HEIGHTS, ACCORDING TO THE \ O i? 660 RECORDED PLAT THEREOF, DAKOTA ?Q. COUNTY, MINNESOTA. ti ° G-?y' 9q O• Y ' y • •. ? 924.0) 1 0 ? e' 0 4 931.0 ?`L' o ; b' ry/ r o 9.4 g .7. -/l?` ?O? n) ? 80' j/ 't•' ? ? ?a V A q, ? q p ?@ i N i• •o •DO Q R ? ryry' p ?n ?. v- a g• /O ,? ? ?2 (924.0) 928.fo T ? ? tJ ' ?C f o'9,Q ry'!`;7 2Ra ti o . Q? 3 i5ti ry?O? •/! t o A 't.'y ? O e?. .0 g0tiry SCALE: I INCH ? 20 FEET o ??o ? (s2a.o) 9 28. 6 NOTES 100.0 DENOTES EXISTING ELEVATION (100.0) DENOTES PROPOSED ELEVATION . PROPOSED GARAGE FLOOR ELEVATZON = 924.5 FEET PROPOSED LOWER FLOOR ELEVATION = 924.8 FEET PROPOSED ENTRY ELEVATION = 929.2 FEET PROPOSED FIRST FLOOR ELEVATION = 933.6 FEET PROJECT NO. 8D(!8 FILE NO. 8200 Humbolt Avenue South Bloomin9ton, Mlnnesota 55431 K / PAGE I HEREBY CERTIFY THAT THIS SDRVEY, PLAN OR REPORT WAS PREPARED BY ME OR UNDER MY DIREGT SUPERVISION AND THAT I AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA_ DATED THIS 22"°DAY OF Msy ,1980. SIGNED: JAMES R. HILL INC. 1047.!lTLeolz ` 7 HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA REGISTRATION NO. 12294 JAMES R. HILL, INC. Planners / Engineers /. Surveyors THOMAS LAKE HOME OWIVERS ASSOCIATION 1535A CLEMSON DRIVE EAGAN, MN 55122 BUILDING INSPECTOR CITY OF EAGAN EAGAN, MN 55122 RE: REPLACEMENT OF DECKS ON TWO QUAD TOWNHOMES. DEAR SIR: THE BOARD OF DIRECTORS GIVE UNANIMOUS PERMISSION TO ROOM AND BOARD CONSTRUCTION COMPANY THE RIGHT TO WORK ON THE DECKS OF 1518/1520 AND 1535/1537 CLEMSON DRIVE AND RECEIVE THE PROPER BUILDING PERMITS FOR WORK TO COMMENCE. - RICHARD H. SWEDEAN PRESIDENT ? CIfY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: aurLozNs Permit Number: 0 3 0 4 7 5 Date Issued: 0 7/ 21 / 9 7 SITE ADDRESS: 1537 CLEMSON DR LOT: 24 6LOCK: 3 THOMAS LAKE HEIGHTS P.I.N.: 10-75950-240-03 DESCRIPTION: {1.?! 4? ?? ?;:°m' ?IF ?.- a( 4i€?,? 3?4•.i? ais ??-^t„;, a i...Y..' ic ?°.``fi h'.p ?:"?a aiY !.: REMARKS: FEE SUMMARY: Base Fee $59.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. I.IC OWNER: BOARD & ROOM RMDL 18239128 0004978 CHAA60NtlN MUHUDDINE 36 HARRTET S 1537 CIEMSON DR NNEAPOLZS MN 55409 EA6AN MN (12) 823-9128 ? I heroby acknow2edge_ that L ha.v,e,read thi? appliea,tian a?`id state_zho?t the, . e Sat?' Mn ?`dakr1t i?fioi?na?ion is correet and ,z?gr,e?e to crimply' wi.tF? a'?,?1 asp? Statuties and City of Eagan SlrcEfnances._'; APPLICA T/PERMITEE SIGNATURE ISSUED BY: SIG RE `t ? ? . _.. ? ? r ./f _. .,,. A?t?i ?.:'k-•' REPLACEMENT &uildini§,-Permit Type oECK ,puilding Wt?rk Type REPAIR ,`Census Ctsde ' 434 RLT. RE5IDENTIAL % ' :f' 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? b?Y7 s? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 6814675 D? ? 3 registered sfte surveys ? 2 wpbs of plan ? 2 copfes of plans (indude beam 8 wOWOw sizes; poured fid. tlesign; etc.) ? 2 site aurveys (exterlor atldRtona & dedcs) ? 1 energy calalatians ? 1 anerpy ealculetions for heated additions • 3 copiea of tree preservffiion plen if IM platted after 717/93 requlred: _Yea _ No ' DATE: 9 7 CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: _ ? LOT a BLOCK `3 PROPERTY OWNER SUBD.lP.I.D. #: ? "P? V6 -y? 0 Name: l ' Phone #: ? mrt Street Address: City: State: CONTRACTOR Company: YN-e ? Street Address: City: State: ARCHITECTI Company: ENGINEER Name: Zip: Pnone License #:ef, -* so . S-0 Zip: Phone #: Registration #: Street Address: City: Sewer & water licer.sed plumber (new construction only): and lot change arc , equested once permit is issued. Penalty applies when address change I hereby acknowledge that I have read this applicadon and siate that the infortna6on is correet and agrce to comply with all applicable State of Minnesota Statutes and City af Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No State: Zip: Tree PreservaGon Plan Received - Yes - No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. o ? 03 SF Addition o 08 8-plex n 13 Garage/Accessory o 0 04 SF Porch o 09 12-plex n 14 Firepiace n ? 05 SF Misc. ? 10 _-plex -W 15 Deck WORK TYPE ? • t? 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous 0 31 New 0 36 Move ? 32 Addition 4 Re a 37 Demolition Gcs? GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq, ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance y?Y o/ ? Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Traifs Ded. Other Copies Total: Valuation: $ °k SAC SAC Units 1i , - - ? (924.0) 931.0 `o? - o ti' SURVEY FOR c924.0r BAN-CON, INC. , 931.8 "0 ?BO ?3 , LEGAL DESCRIPTION O IAT 2, 3, 4 AND 5. BLOCK 2, THOMAS 0?4 LAKE HEIGHTS, ACCORDING TO THE ti' aa 0 < O? i? Ve RECORDED PLAT THEREOF, DAKOTA ?i ?/" ?o 4%_• COUNTY, MINNESOTA. .0 .ti c9,? fp. . Y ? „!, a• o :5\ ..?y/?S~ WT QC ? ?o ? ry?`' 7T •?? `? i ??'• ? `5 a A ti o . ,O eo SCALE: I INcN = 2o FEET ?2 49x4 .0) 1 , p?,tF 928.$ NOTES V .N `->2 > (924.0) 928.(. 53? ? I HEREBY CERTIFY THAT THIS SURVEY, PLAN OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED LAND SURVESCOR UNDER THE LAWS OF THE STATE OF MINNESOTA. 100.0 DENOTES EXISTING ELEVATION (100.0) DENOTES PROPOSED ELEVATION , PROPOSED GARAGE FLOOR ELEVATION = 924.5 FEET PROPOSED IAWER FLOOR ELEVATION = 924.8 FEET PROPOSED ENTRY ELEVATION = 929.2 FEET PROPOSED FIRST FLOOR ELEVATION = 933.6 FEET PROJECT NO. 80(!8 FILE NO. OK / PAGE 8200 Humbolt Avenu• South Bioomington, Minneaota 55431 DATED THIS 22fDAY OF M4y , 1980. SI D: JAMES R. HILL INC. ? 1.., HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA REGISTRATION N0. 12294 JAMES R. HILL, INC. Planners / Engineers /. Surveyors THOMAS LAKE HOME OWNERS ASSOCIATION 1535A CLEMSON DRIVE EAGAN, MN 55122 BUILDING INSPECTOR GTY OF EAGAN EAGAN, MN 55122 RE: REPLACEMENT OF DECKS ON TWO QUAD TOWNHOMES. DEAR SIR: THE BOARD OF DIRECTORS GIVE UNANIMOUS PERMISSION TO ROOM AND BOARD CONSTRUCTION COMPANY THE RIGHT TO WORK ON THE DECKS OF 1518/1520 AND 153511537 CLEMSON DRIVE AND RECEIVE THE PROPER BUILDING PERMITS FOR WORK TO COMMENCE. RIGNARD H. SWEDEAN PRESIDENT PERMIT A CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 6814675" PERMITTYPE: BuiLozNG PermitNumber: 030616 Date Issued: 12 / 0 8 J 9 7 SITE ADDRESS: 1537 CLEMSON DR L07: 25 BLOCK: 3 THOMAS LAKE HEIGH7S P.I.N.: 10-75950-250-03 DE5CRIPTION: &uildAing? -Permit Type - tuilding Wo,,rk Type Gensu?s Ga+de ? ; y t f- . ti? UNIT B DECK REPAIR 434 A'LT. RESIOENTTAL % i+'=it?s,d '?- ??r????-*:?a.•-,,?(g^"'?,..il{§ t??n q?`DE " w's` REMARKS: FEE SUMMARY: Base Fee $50.00 COPIES (1) $•25 Surcharge $.50 Total Fee $50.75 Subtatal $50.50 ? t CONTRACTOR: - qpplicant - ST. I.IC OWNER: BOARD & ROOM RMDL 18239128 0004978 JUNG PAUL 3836 HARRIET 5 1537 CLEMSON DR B MINNEAPOLIS MN 55409 EA6AN MN (612) 823-9128 I I I hereby acknowlsdge that I?hpve,,;.rea-d"this=' a p?Pi11 a:atio0 and.,Btate t,hat tKe informetion is correct and sgre`e to c[?mply wi?fi e13 applicsble State of Mn. Statut.s and C3ty of Eagan drd,inances, .? v A ICANT/ RMITEE SIGNATURE ISSUED?JIGNAT4URE T?? 30 ?? 1 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?SC? - 7 S b CITY OF EAGAN 3830 PILOT KNOB RD - 35122 col,Q? 687-4675 /5 1 New Construction Reavirements •"'? `?"'? ??'f r ? ')? RemodeVReoair Reauirements ? 9 registered site surveys • 2 copiea of plan ? 2 copfes of ptans (indude beam S window sizea; poured fid. deaign; etcJ ? 2 ake surveys (exterior addlUons 8 dedcs) ? 1 energy calculations ? 1 eneigy celculatlons kr heetetl additiona ? 3 eopiea af tree prexrvatlon plan H lot plattetl after 711/93 requlred: _Yea No ' DATE: '?7? CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: Ll LOT ? BLOCK SUBD.IP.I.D. #: PROPERTY Nam ?? OWNER .,. Street Address:?42,? City: ,f /E c w) State: Zip: CONTRACTOR Company: &),*yi'j-e ,?a a"n) Phone #: Street Address: t? License City: ?'?`AG S State: Zip: ARCHRECTi Company: ENGINEER Name: Phone #: Registration #: Street Address: Ciry: State: Zip: Sewer 8 water licer.ned plumber (new constructlon onty): . Penally applies when address change and lot change are tequested once permit is issued. I hereby adcnowledge that 1 have read this appiication and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates af Survey Received _ Yes _ No AU G 0 7 1997 Tree Preservation Plan Received _ Yes _ No _ Not Required gy; N _ Phone #: ?.t' /T Q • ,50 .-, _,V PERMITp Nly? I RECEIPT OATE: MIDERTIlkL PLUbI$IRG PEMTP APPLIClETIOR crrY oF EAsm 3950 PII.OT I{A08 iiD FA8AA, MR 5518E 651-681-4675 Please complete for: SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: ? single family dwellings ? townhomes and condos when pertnits are required for each unit D backflow preventer for irtigation system SCHMITZ, PAMELA 1535B CLEMSON DRIVE EAGAN, MN 55122 (651) 683-9692 NORBLOM PLUIIABINO CO. TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) cIrv: MlNNEAPOUS. MN SSM STATE: OI.? n6nw4 rn?A4 nnvt }n 41,n nurmi4 wnYi[ 4VnG ZIP: New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existin dwelling unit, inGuding: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water tumaround Nature of work: o,p`a 1 l014*i/ Yl eaZ-? Septic System, new/refurhished - $ 225.00 e includes County & Cc+nsulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ 5D SO Reminder. Be sure to schedule inspections of alterations, I.e. water heaters, water softeners, etc. I here6y adcnowledge that I have read this appliption, state that the informatlon is cortect, and agree to complywith all appilcable Cily of Eagan ordinances. It Is Ihe applicanPs responsibility to nodfy Ihe property owner that the Ciryof Eagan assumes no liability for any damages caused by the City during its nortnal operatlonal and maintenance aUlvitles to Uie faGliBes constructed under this permit within City property/rightof-way/easement. SI NA RE OF PERMITTEE Updated 1101 L 0?,5 BL CITY USE ONLY C/ ? RECEIPT #: ?trio .17/ SUBD. ? 0 tf2- RECEIPTDATE: 7 ?/9 71 1998 PLUNBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT I4ROB RD EAGAN, hIN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES Shower Water Closet Bath Tuh Lavatory Kitchen Sink Laundry Tray Tub/Spa Water Hea er GeS Piping 0utlet ' minimum -1 Rough Openings Water Softener ' for dwellings under construction Water Softener ' for existing dwelling U.G. Sprinkler ' for dwalling under wnst. U.G. Spdnkler ' for existing dwelling Alterations ' to existing residence Water Turn Around Private Disposal System ' MPC iic. (new and refurbished systems) Private Disposal Systems' Abandonment EACH # TOTAL 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x 3.00 x = 3.00 x = 1.50 x = 5.00 x = 20.00 x = 3.00 = 20.00 = 20.00 = 20.00 = 75.00 = 20.00 = STATE SURCHARGE 50 ? S TOTAL ao ? - -----• -- --- - --------------------------•----------------- -- ---- -- I hereby adcnov+ledge that I have read this application, state thst the information is cortect, and agree lo comply wdh all appliwble City of Eagan ordinances. k is the applicanPs respunsibility to notiy the property owner that the City of Eagan assumes no liability for any damages caused by the City during ds nortnal operetional and maintenance adivities to the facil@ies constructed undar this permit within City propertylright-of•way/easement. SITEADDRESS: ?LEmJ'o.J O?/U£ OWNERNAME: ?i9LlL ?Gl.i1G INSTALLER NAME: /1a7h;P- TELEPHONE #: STREETADDRESS: cin: STATE: ZIP: JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTf. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE ? FIREPLACE INSERT DATE &_)-?-6- ?'7 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 ('rAS ()TT'f'T F'1'S \MTNTMiT7;T 1 @ f1M F;;ruN ADD-ON/REMODEL (Exls'I'IIJG CoNSTRUCi'ION) $ 20.00 STATE SURCHARGE .50 ? ?- TOTAL SITE ADDRESS: ( S 4 A 14-41-e OWNER WST. GLj/ / L ? _s" S TELEPHONE #: ? ??? ?- ZIP CODE: s?qykll? 2? i?_ ?'/. ????flL ?_ SIGNATURE OF PERMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DAT'E: CONTRACI' PRICE: $ ---- - NEW BUILDING .?_ INTERIOR IMPROVEMENT WORK DESCRIPTION: -e. l U-'-. O rvr5 l?%v?eG/l? FEES 1 M /? ?Y+ . .. vT` FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. ' .??.:..0.. ... TOTAL g SITE ADDRESS: ?(l 3 S owrrER N,vME: lJ r(?,c .5 u?e cf? u?, TELEPHONE #: 6w` ?fa-Qs- TENANT NAME: (rn?tpxovEtvErrrs orn,? A ADDRESS: CIT1': STATE: ZiP CODE: TELEPHONE #:__ ??- SIGN TURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RI3 EAGAN MN 35122 (612) 681-4675 L ?c BL ? CITY USE ONLY RECEIPT #://rUL _ SUBD. DATE: g? 9`5 1995 MECHANICAL PERMIT (RE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction X Add-on fumace ? Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: / -rr' C??5- FFRS ? Minimum Fee: Add-on/Remodel (existing residence oniy) $20.00 ? HVAC: 0-100 M BTU Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL °lo• t5O SITE ADDRESS:'e?3? ? CLC-MSb N OWNER NA INSTALLER STREET AC CITY: PHONE #: ( CEDAR VALLEY HEATING & AIR INVER GROVE HEI;NTS, MN 55077 PHONE #: a3_11d2-- STATE: ZIP: "gh 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION t'sz's! CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date0- // Il Site Street Address J?? ? ( ??M ?c7A? ? / / ?- Unit # PropertyOwner&4? Telephone# (vi) j ZiLfLu Contractor Address City Telephone # ( ) State Zip The Applicant is: Owner _ Contractor _Other Alterations to existing dwelling X Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5l8" meter is required) Other: C&W P2 L?v f? $ 50.00 _ Water Softener Water Heater _ replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total ?• S ? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work w in accordance with the approved plan in the event a plan is required to be reviewed and app7??Z_ p .?rn-e _ )C7 & " 7 Z Applicant's Printed Name pplicant's Signa e ?? ?7si 4y' 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagau - 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 qg a5? New ConsWdion Reauiremenis RemodeVReoair ReauiremeMs 3 registered site surveys showing sq. R W lot, sq. R of fwuse; and atl roofed areas 2 mpies of plan (20% maximum Wt coverage allowed) 1 set of Eneyy Calculations for heated addNOns 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNons & decks lsetofEnergyCalwlations AoHftlon-indicateNon•sitesepticsystem am 3 copies of Tree Preservaton Plan'rf lot plaked aRer 711/93 Rim Joisl Detail Options selection sheet (bldgs with 3 w less units Date Site Address Construction Cost G`e ?? UniUSte # Description of Work ( ??. I?C P? ?, ??l? '1t f W 1 V? ? S ? QQ S Multi-Family Bldg ? Y _ N Fireplace(s) A 0 _ 1 _ 2 Pruperty Owner {, ) I GK S Gi ? `E' C l V1 Telephone #(6J r)? Con[ractor Address State v G Zip?y? City U l/? ?? q Telephone #(6S)) 1 J^ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Tvfinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde CategOry , Residenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) SubmiHed Submitted . 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 #( I hereby apply for a Residential Building Permit and aclrnowledge that the inform? that the work will be in conformance with the ordinances and codes of the City Statutes; I understand this is not a pernut, but only an application for a pernut, and permit; that the work will be in accordance with the approved plaion/the case of woi approval of plans. ? 1 ?`?A.W Il1.1 i?l ApplicanYs Printed N e is comnlete and ` bf Ntr1 work is not to start without a ? which requires a review and b515d 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 9 9 Telephone # 651-675-5675 FAX # 651-675-5694 New CorvsWdion Reaui2mems RemodeVReoair Reauirements 3 registe2d site surveys showing sq. ft of lot, sq. R of house; and all raofed areas 2 copies of plan ? (20% maximum lof coverage allowed) 1 set of Energy Calculations for heated add0ions - 2 copies of plan showmg beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy CalculaCons Addfion - Nrdicate Hon-srte septic system 3 mpies of Tree Preservation Plan'rf bt plattad after 717193 Rim Joist Detail Options seleclion sheet (bldgs with 3 or less units Date 6? / SiteAddress f??J ? /? l.?I -e.M-Scy\- Construction Cost '? 1 ( J !J Unit/Ste # , Description of Work ?? `?lG e W (' fj 0j I clo Mulri-Family Bldg ? Y _ N Fireplace(s) )L 0 _ 1 _ 2 Property Owner Wl,M, ? (. ? ?? t Telephone #061 ) ?Y ?MU, Contractor Cm ? A+? J'e.c\/ t G-- Address 4.2,5- l State Pyt (^ (\ -e-)dk G (? v_ U?lf? OT-.13 City A/tCA 1-' ZEv Zip Sv Ie? Telephone #(?) 7? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Ivlinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet , • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Telephone # ( Sewer/Water Contractor Telephone #( ; II I? J N 04 !!;, ?'? I hereby apply for a Residential Building Permit and acknowledge that the informati ,,is comp eteand accii 'ate; that the work will be in conformance with the ordinances and codes of the City of ?gan and tY?e Stafe 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 pemut; that the work will be in accordance with the approved plan in thexase of work wluch requires a review and approval of plans. ?F Ck.? ApplicanYs Printed Natpj Appl' Signature This request void 18 months from Date f this Request P'ire No. t1 4052 I, aLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. I 7Y7 ? CGI +5c?lJ C(?ity C`1G1W _ Section Township Range County VIVF-W la Which is occupied by I-Wy (-OI'; GLN- (Name of Oc<upant) Is a roughin inspection required on this job? No ? Yl Ready Now ? Wil] Cat<_ Power Supplier AF Address 11Q1`1i??6?4?A Electrical Contractor ELL GT? Contcactoi s License Noh"!6w l ?^ (COmpany Name) Mailing Address l'1 C' G 1 FPO. (EIeC r c I o tractor or Ownet Making Thls Installatlon) iyo- 1?^ Authorized Signature ' Phone No. g75"5 (C?g (,? ?? ????? C?p?y(f This inspection request will not he accepted by the ??? ?J State 6oard unless proper inspection fee is enclased. Minnesota Sta[e Board of Electricity Griggs Midway Bldg. - Room N197 E6-00001-02 1821 Uttivarsity Ave., St. Paul, Minn. 55104 - phpne 297_2111 REQUEST FOR ELECTRICAL INSPECTION C::ECK ;sELOW WOAK COVERED BY THIS REQUEST T iQ 59 V' Type of B ng p?¢?k Applisnces Wired For Wued For Home Duplex angc atei Hea[er ? ? Temporary Wicing Li h i F ? g ng t ixtures Apt. Bldg Commerc = rye[ mace ? Electric Heating SIlo UNoader O Industrial 'Condi[ionet Bulk Milk Tank Farm Othex st thers? List Othefs# re f Here COMPUTE [NSPECTION FEE BELOW Service Enhance Size: u Fce Fceders&.Subfeeders: # Fee Ci?cuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres ]Ol to 200 Amps. - 31 to 100 Amperes 31 ta 100 Am eres Above 206 , Amp . bove 100 Amps. Above 1Q0 Amps. Transfot emoteControlCirc. Par[ialoro[hertee Signs ? Special lnspection Minimum fee $5 00 Remarks •? --D ? ? . 70TAL FE . .?_ ?,__.?__.. _ ?, J1D _ , .? ..,??.....a..u-ycciui, riereoy cernty that (Final) 1'his request void 18 months from has been ml IrRrsN I I 3 - 3e,- 5=( ??. .?-. ?- This request void ?i 63, ?2 ?,ZG 00 18 months from Date of his Request Fire No. ?? ? V I, Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 537 ael?oYJ City?kl%l Section Township Range County 1Vhich is occupied by L Is a roughin inspection required on this job? No ? YeC25Z- Ready Now ? Will CaM63' Power Supplier 9:% Address 1 ?WJA16Q" Electdcal Contractor W EaL o5_(_ C-G7-4-1 G Contractor's License Nd,'N r5e 5 l (COmpany Name) Mailing Address / r -E, Authorized Signature D or x? ? 9'V -550ir or uwner Making This This inspection request will not he eccepted by the State Baard unless proper inspection fee is enclosed. Minnesota State Board of Electricity , Griggs Midway Bldg. - poom N191 ?? EB-00001•02 ,. 1821 University Ave., St. Paul, Minn. 55704 - pFqne 297-2111 R?QUEST FOR ELECTRICAL INSPECTION ?„? 0 CH:;CK BELOW WOItK COVF,RF.n RY 7'uie uFntiGCT T A/1 CZ Ty?e of BuAding New? Add. Rep. Checr pPP?ce,y ?y? Foi Y V J J Check Fquipment W'ved For Home Duplex ? ? ? ? ? Range Water Heater ? ? Tempoiary Wiring ' [], A t Bid ? ? ? Lighting F ixtures L?] p . g. Commexaal Bldg. ? ? ? Dryer Furnnce ? Electric Heating Silo Unloadet ? ? Industrial Bldg. ? ? ? A'v Conditioner Bulk Mi1k Tank ? Farm O h ? ? ? ? List ? [hers ? List i Oth t er ? ? e re re ) ers Here 1 cuMrurr 1NSPtCTION FEE BELOW Service Entiance Size: x Fee FcedersR.Su6feeders: u Fee Cucuits: # Fce 0 to 100 Am s. . V 0 to 30 Am eres 0 to 30 Am eres IOI m 200 Amps. 31 to 100 Amperes 31 to lOD Am eres Above 200 Amps. Above IOU Amps. Above 100 Amps. Transformers Si te Cont:ol Cim. Partial or other fee L . s 5 eIns ction Minimum fee $5. Remarks / r .?_ a,--'---' -- - TOTAL FE ,fD ` , .??o .:mcuicai inspec[or, nereby (Final) This request void 18 months from dhe a?e nspfection has been r1ade_/ ate 4, /`C-,,90 ate 3 - 30 1 5-( P cvd This request void 7? ??a1 ] 8 months from, ? yp Da ke o this Request ? b9 O" 3984 I, ?syCJ Licensed c al h6i?ing installed Electnca at: i Contractor OOwner, do he eby request inspec2ion of the above electri- : Street Address or Route No. JoS?) p".1 Section City?? Township Ran6a County bk Which is occupied by0f.1 ? ?L? Is a roughin inspcction rcquired on this job? No ? Power Supplier. ? A Electrical Contractor ?-' (COmpany Name) MailingAddress /yll E. ? /rIFF f?.? }'eK...Ready Now ? Will CalCK ddress ConGactor's License No.?? .?l es j°"??^f{a? o? ?? Making This Installatlon) Authorized Signature ?Q JLg Phone No, o!? S?S (Ele t ical C Iatt 1?or Ownel Making Thls Inatallatlon) Sun This inspectian request will nat be accepted 6y the State Baard unless proper inspection fee is enclosed. Minnesota Srate Board of Electricity Griggs Midway Bld - p , 7827 Univer ` R?Q? g. ?m N791 sity Ave„ S[. Paul, Minn. 55104 - phpne 297-2111 EST FOR E C {.? EB-00001-02 CHECK BELOW LE TRICAL INSPECTION WOKK COVERED BY THIS REQUEST ;Z T Type of Building New pdd. Rep, Check Appliances W'ved Fo 3984 Hume r 0 El Range Check Fquipme nt Wued For Duplex ? ? Water Heater ?s remporary W'ving Apt. B1dg. C ??? Dryer 0 Lighting Fixmres ? ommercial Bldg. ? ? ? Furnace ? Elec[ric Hea[mg ? Industtial didg. ? ? ? Av Conditioner ? Silo UNoader ? Fazm 0List i Bulk Milk Tank ? TOTAL F I, the Electrical Inspector, hereby certify t?°• •he a?e?nsprection has been (Rou¢h-inl /I ? (Final) This request void i; Date S 18 months Irom A'v ?.z3 B? J?x? 7C.?.f/fi?, a 81 a,?7 od This request void ? 18 month f s r c om I)ate o this Request Fire No. a 4051 I, a`Licensed Electrical Contractor D Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. E?S 1.LCbsoiJ_ ity EAC-Atj Section Township_ Range County Ulofc-?__A Which is occupied by Is a roughin inspection required on this job? No ? Yes''? Ready Now ? Will CalCK Power Supplier. IEN Address MP41 UvG% D/j Electrical Contractor ?E&& ??GTie?G Contractor's License No.62- -5 . . 1, , _ (COmpanv Namel Mailing Address Authorized Signature ????? o(DARD ft -.d5nos [?????/ This inspection request will nat be eccepted hy the ?b }1 SWte Board unless praper inspection fee is eoclosed. Minnesota State Board of Electricity Griggs Midway Bldg. - Room N797 r? 1827 llniversity qve., St. Paul, Minn. 55104 - phone 297.2777 REQUEST FOR ELECTRICAL INSPECTION CK BELOW Wp[? COVERED BY THIS REQUEST ? T e nf Ruild:?.. n?e... .?. ? I, the Electrical Inspector, herebv rP,nr., .w.. (Final) This request void 18 months ftom EB-00001-02 4051? Home ? ? -----" ••rr--,a ..uea ror Check Equipment Wired Fui Duplex ? ? Ap?' Range ? Temporary Wiring ? 7E3E ? ? Water Heater ? Lighting Fix tures C?. ??dg' Dryer ? Commercial Bidg. ? ? Fumace Elecvic Heating ? Industrial Bldg. ? ? q'v Conditioner Silo UNoadei ? Bulk MIlk Tank ? Farm ?? List ? O[her ? ? ?phprs? Lis[ 1 Others? ? "lo4lo-I 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 's -7o °o 0 0._tj,A- 9 1o? C?__ New Construction Reauiremenls RemodeVReoair Reouiremenfs Olfice Use Onlv 3 regisle2d site surveys showing sq. R. of lot sq. R. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N, 2 copies of plan showirg beam 8 window s¢es; paured found design, etc. 1 site survey for add'dions & decks Tree Pres Required _Y _ N 7setofEnergyCalculations Add'rtion-indicateifon•sitesepNcsysfem On-siteSepticSystem _Y _N 3 copies of Tree Preservation Plan if lot plafled afler 711193 RimJoistDetailOptionsselectbnsheet (buildingswAh3orlessunils) Date e l Z Si Site Address / O S Construcfion Cost 1,)LAG` ?, ' a i C%co• / 5-37 ,yt eyLx",trc"i 'k UniUSte # Description of Work G?ot Pem e"-A tUwj"yJ' Multi-Family Bldg _ Y _ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # ( ) Contractor 4 G???G ? .,S'//+/C'v ISLd2. ??c_ZD2/F-/3/ Address t,/ oU LU S6 ? State i14 / 'vH/ CiTy ,B Gd?r? Zip 51s^(2c Telephone#(sTZ ?3 39 00 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit far a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( ? I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name Applicant's Signature J?`UA 2007 RESIDENTIAL PLUMBING PeRnniT aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN N[N 55122 651-675-5675 Please r.omolete for modifirations to existino residential dwellinas Date67 p Site Street Address r S3? ?T Qe-n$O V? p(, Unit # PropertyOwner C,? ai'?l ?We-d 4p_ c."Yi Telephone# (?o$??) (o????a? Contractor Y' i ?-- ? = Telephone # ( 6S1) 43 ' 76, 11 ?Address `?L City State/1.?? 2ip The Applicant is: _ Owner 8 Occupant ? Licensed Plumbing Contractor Septic System New Refurbished Submit 2 sets of plans and MPC license includes Counry fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, atc.) S 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwetling $ 50.00 _ Add plumb+ng fixtures to main 1eve1 Iower fevel. This fee includes installation of a water softener and/or water heater at the same time. tf you are instatting on(v a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are ? installing. , _Septic System Abandonment ? ? -Water Turnaround (add $136.00 if a 518" meter is required) ? Other: Water Softener ?. Water Heater $ 15.00 _ new ? replacemert Lawn Irrigation _RPZ _PVB _new _repair, _rebuild $ 30.00 State Surcharge $ .50 Totai $ I S. 5 C% I hereby apply for a Residential Piumbing Permit and acknowfedge ihat the inrormauon is compiece ano zwuraie, umi ulc work will be in confarmance with the ordinances ar+d codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application tor a permi[, work is not to start without a permit and work wi41 be in accordance with the approved plan in the event a pian is reqwred to be reviewed and approved. "-tA x"1G .....,:11,j ApplicanYs Printed Name ApplicanF's Signature r----------------- I For Office Use Permit City of Ea a~ I E I Permit Fee: b 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 1 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _ Site Address: ~ C> & Tenant: ~535~ a J53 7, 1.63 7\ Suite RESIDENT/ OWNER Name: one: U Address / City / Zip: %~•'7 L lt'i'~~~C%/".~ Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: '-7 0(y Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: 1NG $ REMODELING, INC. 41.00 EXCELSIOR BLVD. 6 State: • Zip: City: 01050 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 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 is is not a permit, but only an application for a permit, and work is to start without a permit; that the work will be in accordance with the appr ed plan in the case of work which requires a review and approval of pl x x ~.4 Applicant's Printed Name Applic nt's Signature Page 1 of 3 Oct. 19. 2009 8:54AM S e I a Accounting No. 8161 P. 4 AMEq_IC_AH pp, American Family Insurance Croup aura remrrivsmses xetrbttrr" THONMAS LAK1r HOMEOWNS Building Exterior Siding Formula Elevation 0" x x 0" Subroom 1: Chimney 1 formula Elevation 81411 x... x 6'4" Subroom 2: Chimney 2 J Formula Elevation 81411 x... x 6'4" 105.56 SF Walls 105.56 SF Walls & Ceiling 16.67 LF Floor perimeter 105.56 SF Long Wall 105.50 SF Short Wall 16.67 LF Ceil_ Perimeter Description Base Service Replacement Actual Cash Qty Unit price Charge Taxes Cost Total Depredation Value Gable vents are roof mounted at chimney areas. Actual approx dimension is 24" x 30". Data entry for similar unit 1 a - Remove Siding - vinyl 105.56 SF $0.35 $0.00 $0.00 lb - Replace Siding - vinyl 105.56 SF 52.83 $6.94 $10.33 2 - Replace House wrap (air/moisture barrier) 105.56 SF $0.27 S14832 $1.00 3a - Remove Attic vent - gable end - metal - 30" x 30" 4.00 P-A $6.91 $0.00 $0.00 3b - Replace Attic vent - gable end - metal - 30" x 30" 4.00 EA $91.70 $8.52 $13.50 Totals $163.78 $24.83 Fascia Description Base Service Replacement Actual Cash Qty Unit price Charge 't'axes Cost Total Depreciation Value Fascia metal on chimneys -1321f Fascia metal on chimneys 12" using 8" and 4"-1681f Fascia metal 10" using 6" and 4"- 801f Fascia metal 12" using 8" and 41'- 1641t Additional 4" fascia metal for various areas - 321f 121ght patio doors- 421f Privacy wall 10" using 6" and 4" - 371f Left privacy wall using 10" and 4" - 371f 4a - Remove Fascia - metal, 6" 328.00 LIP $0.28 $0.00 $0.00 4b - Replace Fascia - metal, 6" 328.00 LP $3.33 $25.37 $27.67 Sa - Remove Fascia - motel, 4" 518-00 LF $0.28 $0.00 $0.00 5b - Replace Fascia - metal, 4" 518.00 LIP $3.07 $36.93 $37.77 6a - Remove Fascia - metal, 8" 332.00 LF $0.28 $0.00 $0.00 6b - Replace Fascia - metal, 8" 332,00 LF S4.53 $34.93 $31.37 THOMAS LAKE HOMEOWNERS 002211 49267 5/21/2009 Page: 4 ASSOCIATION I For OfflceUse I I i Permit 4`'23 t.e -7 I ~1 City O~ iJ~ 3830 Pilot Knob Road Permit Fee: y I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I C I Fax: (651) 675-5694 Staff: j 2008 RESIDENTIAL PLUMBING PERMIT PPLICATION Date: Site Addr Tenant: Suite RESIDENT/OWNER Name: Phone: (.~?~~O Address / City / Zip: _/';u CONTRACTOR Name ULicense 10C' Address: - City: ( State: Zip: e7 l Phone: /_:5'__30'0G31 Contact Person: J 1 ~ - TYPE OF WORK _ New Replacement _ Repair _ Rebuild _ Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL. Water Neater Water Softener,. Lawn Irrigation Add Plumbing Fixtures RPZ / PVB) ( Main _ Lower Level)' Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) "Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.)-(includes $.50 State Surcharge) sV TOTAL FEES $ 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 apermit, 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 s. x i_ X Ap'Ofiedhils Printed N me Applic, ature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test Final Use BLUE or BLACK Ink I For Office Use 1 I Q '~f I Permit I City of EaV~ I Permit Fee: ~ 9i_ 00 I I 3830 Pilot Knob Road C I / 1-7 ~ Date Recei ed: Eagan MN 55122 , I Phone: (651) 675-5675 1 Staff: Fax: (651) 675-5694 I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 15 I Date: Site Address: Unit QG~ SU'tri z- Phone:~ Name: 1 ~'N~-~I.~- RESIDENT! ~~5~ OWNER Address/ City /Zip: Applicant is: _ O~w"ner Contractor / / ~j Description of work: IwA /e h ~ / i , 6t'h',Vi- ~ -,tr°e , TYPE OF WORK c-' Construction Cost: ~y Multi-Family Building: (Yes / No Company: ..5Q AQ (ctDF►Y'1. i<.~Oxya0~4 114 ContactA),ecL ry% Address: 44tW C.XCaAW_VW City: Jt • `t W39L)Lyw CONTRACTOR State: M_ Zip: 1co Phone: License tdep 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 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 gooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ~1f ,Aid 6 ~ 1~C1r x Applicants Printed Name Applicant's ignature Page 1 of 3 t Use BLUE or BLACK Ink F or O ffi ce Use--------- - I I I r•,," I t-Y Permit I 77 City of Eapfl I . ~ qkdqq3a ~ Permit Fee: I 3830 Pilot Knob Road l ~ Date Recei ed: I Eagan MN 55122 I I Phone: (651) 675-5675 1 Staff: Fax: (651) 675-5694 1 I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Phone: Name: aVY~~ 1,,a {L e 6c 22riW V RESIDENT / OWNER Address / City / Zip: --C Applicant is: Owner -v -contractor Descrip i o or =~24 A?e' TYPE OF WORK OF 1.64' CW r Construction Cost: o?DD Multi-Family Building: (Yes No Company:,5aAa t~ f amoc g Contact: V CQ.l1r1o Ce~Sy -%%A City: 'S' t Otfi►S~~ Address: 44WO -pr CONTRACTOR State:- Zip: Phone: License 10M 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 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.gooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x all '4 x d,41 Applicant's Printed Name Applicant's Signature Page 1 of 3 ~53~ 135 p,, I53-i IA, t53~ Clum son 'Dr. Use BLUE or BLACK Ink F----------------- I For Office Use I 3$a City Ol Eap Permit 3 Permi t Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I p-~ I Fax: (651) 675-5694 1 Staff: O I I I 2013 RESIDENTIAL BUILDING PERMIT AP{PLACATION Date: Site Address: V Y i f Y Unit Name: 11~ ll9 I 1~ ~ v 4 t!\ , I Phone: 70(e a - Resident/ - ~ ~ n on' 1 J~ _ Owner Address /City /Zip: a~ 2 s Applicant is: Owner Contractor i , Type of Work Description of work: 'EL4 0U/ V Y0 G' L l~l ou , SJi VL9 U r Construction Cost: ` ~JU 1 Multi-Family Building: (Yes X / No ) Company: ,sel a- ~it 1 C~a t c~ Q Ei PP In4 tact: - J Contractor Address: CLOD LX_Uk;/O~- 6(Ud City: =S-4• LoLL C'c4-1~ State: h Zip: Phone: ~cZ- ~J S-fi -720 License M ` ox) USA 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.aooherstateonecall.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. 11 ix X 12 2r Applicant's Printed Name App ' is ig ature Page 1 of 3 Use BLUE or BLACK Ink 1 For Office Use Permit / I!1 City of Eap Permit Fee: 3830 Pilot Knob Road RECE~~ED I . Eagan MN 55122 DaterReceived: ! oo Phone: 651 675-5675 ~j Fax: (6 1) 675-5694 APR 19 201b 1 Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION \ /.J 28' Date- 1-1 Site Address: 1535 CleIMS0r1 ~R Unit Name: 1D i LK S W C oA14 Phone: 6,51-68U 82t 5 r Resident! 1535A Clemson moie_ EA6A1~ Owner Address / City / Zip: mIJ 5S)212_ Applicant is: Owner Contractor A it tOl, AeR X/ T " !IG i Type of Work Description of work: _ 0 0. Construction Cos 7-12-5 - Multi-Family Building: (Yes / No Company: I fSo~ S DECKS $ ~~o®oent¢ S Contact: 1 oy Address: &rMflN&- AV C_~* (C5(- City: VA l le-y Contractor ~s 1 State: 1111 zip:,X5i2 Phone: 2-10-1387 Email: License MBC- 5,81051 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ES 4/1/'1- ynl 41/ 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: i N TE. Plans and supporting documents,that'ydu 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 of permit issuance. Rai x Applicants Printed Name Applicalls Signatur Page 1 of 3 1535 DO NOT WRITE BELOW THIS LINE AJL SUB TYPES - Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) - Multi 5V Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous - 01 of - Plex - Lower Level _ Pool _ Accessory Building WORK TYPES New - Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation y Replace _ Repair _ Egress Window Water Damage Retaining Wall 'Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation yc j` Occupapcy G-1 MCES System Plan Review Code Edition AaO SAC Units (25%_ 100%- ) Zoning P 1J City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction _ Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Drain Tile Fireplace: -Rough In -Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES l f: D~G/L g g'9G~ Base Fee 10.3 Surcharge 10A eA, ~G Plan Review MCES SAC :3 3 30 City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Q a j, TOTAL Page 2 of 3 of TRbYS DECKS & WOOD FENCES ' + D c (C ' - j c lC ~ 1,,, TROY PANDOLPH EY F' -7 AJ 153 A - f" -P "c N J 12800 germane ave # 106 UR Y [7 apple valley m n 55124 ' ety. fl r pV _ I r z v O ~4 LEGAL DESCRIPTION r f LOT 2, 3, 4 AND S. BLOCK 2, ~ THOMA5 LAKE HEIGHTS, ACCORDING TO THE aVi° RECORDED PLAT THEREOF, DAKOTA jQ 2Y f ' ~ % [°0 + COUNTY, MINNESOTA. ° Yj~ c9 p*o Ai! ©ccK5 ihAr AAa Lo w>A Lcye.L ~)b 37 o ARC 3- ccr c-rir ga 1.0 10 o A M 0 ?o ~ If. -Th e coFntr-g ~ °'ry' `a'ft./sY ~o K ~a.Mt' 0 4V 3 /W 09:u.o) CvRN Pi $~8.is b~ ~'h►MNE • o~'Q ~,y~ j ~'RC ~ Y 3 1 a Qct,.K. n,• • ~e, ~ o ~ uS~~EX~Sj"inb -~evt.lnE7S CAL 2-0 d=EdrT $a►'ry To clirry . dot H • ~ r , t; po ~ bi ~ L t<O6C )-CAD ti (924.0 `r r O fl Ertl yfG'I~ ff(_ / 'INN 928.8 ~cr DtAW tll~ Gn P, an ~'vtNt~ or CFrMn 3 -To oE~>L `y ~~rrr I HEREBY CERTIFY THAT THIS SURVEY, o~ PLAN OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I NOTES 3 Tej / AM A DULY REGISTERED LAM SURVEYOR 100.0 DENOTES EXISTING ELEVATION ~cc 4L UNDER THE LAWS OF THE STATE OF (100.0) DENOTES PROPOSED ELEVATION MINNESOTA. PROPOSED GARAGE FLOOR ELEVATION = 924.5 FEET PROPOSED LOWER FLOOR ELEVATION = 924.8 FEET DATED THIS 22" DAY OF MAY 1980. PROPOSED ENTRY ELEVATION = 929.2 FEET PROPOSED FIRST 'FLOOR ELEVATION = 933.6 FEET SI D: JAMES R. HILL INC. 47 j HAROLD C. PETERSON, LAND SURVEYOR EAGAN MINNESOTA REGISTRATION NO. 12294 REVI WED /2 4A,1 PRQJ g H®. BOO-K-/--P-P-,ffE JAMES R. HILL INC. m,cT O S DIVISION Planners f Engineers Surveyors FILE NO. 8200 Humbott v*nU* SOUth Bloomington,-. Minnesota _ 55431 . 4 Use BLUE or BLACK Ink �----------------- � For Office Use � • � " ', i Permit#: � ��`r' i � � G�t� of�a�aIl i ��_ �n.�� ; �q � 3830 PilotKnobRoad f.k , j =r ����, ; �,�F�. a ; Ea an MN 55122 � � Phone:(651)6T5-6675 I Date Received: ' Fax:(651�675-6694 1 Statf: � S '----------------��X� �` 20��RESIDENTIAL BUILDING P�RM�T aPP��caTioN � ,�,�'�'� � �a�• Site Address•15.� ���f►'1�GY'i �'�= Unit#• �-� Name: Krc.!-i.a�"� ��L� �ia.3�� Phone:�S 1-(�p�'c'��^�.c�t� ' �tesident/ '� awner, ; aaaress i c+tyy i z+�:.__�t��. I ; Appiicant is: Owner �Contractor TYPe Of 11flOr'IC. ,' DesCription of work: �J�+��( ���'�/'�-ovl����14��'�Q./'flt� d�'�O'r�C�+�P�'�'J i Construction Cost ��.��. Multi-Family Building:(Yes�1 No_� Company:L'ZY��t � �r�oc� �i�tritp Corrtact: 1"�6 I ! Corrtractor' �dress:L��o�[) /al*t�� c�ty: L�✓�4lIEy State: �NZip; �'5��4 Phone:� I'��EmaiL�C'L'�G)L���+'-C1�7� � Zice�se#: ��[��7 Lead Certiiica�e#: .�I�ET ��f�� � If the project is exempt from lead certification, piease expiain why: (see Page 3 for additionai iriformation) ,��i�r �� ri P A COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In tl�e tast 12 mo�hs,has tl�e City of Eagan iss�d a permit for a similar ptan based on a master plan� ,_Yes _No If yes,date and address of master plan: Licensed Plumber• Phone: Mec�nical Contractor. Phone• Sewer 8 Water Co�actor. Phone: i11d�'E:Plari;s a►nd s�ppor�ig+aloc�men�s 1'hat.you.sut�rr►if ar+e-corrsidered to 6+e pub/ic i�ornt�abo»: Porbor�s c�' ` ti�e infiotrnatian�nay be cfas.si�red as,r+�e pub/ic if you;provide sp�cfic�son�tl�af�wa�tW:�n»it the�r#o : ; ': conclude!�the' are irade�ec�ts.. : CALL BEFORE YOU DIG. Call Gopher 3tabe'One Call ffi(657)454�0002 for protec:tion against ur�erground utility damage. Ca�48 hours before you intend to dig to receive locates of underground utilibes. www.aooherstateonecali.ora 1 hereby acknowledge that th�in6ormation is canplete and a�rate;that the wak wi11 be�conformaru;e with fhe ordinances and codes of tt�e City of Eagan;tltat i understand this is n�a pertni� but oMy an applicati�for a permit,and waic is not to start without a pe�mit;U�at the work wili be in acx.ordanoe vvitl�the a�roved plam in U�e case aFworlc which requires a review and approval of plans. Exterior work author¢ed by a buildtng pertnit issued in accordance with the Ninnesota Staba BuiWing Code must be completed within 180 days of permit issuance. x��(�'��i� X a �� /�(1fl�1qRt'S�fflit�N8f11! C8i1rS$�t18t1JT+B P�e 1 of 3 , IS3� C�(�� 5��, �� DO NOT WRITE BELOW THIS LINE �����D. � SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) _ Single Family _ Garage _ Porch(4-Season) Exterior Alteration (Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous � 01 o�lex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building'` Addition Move Building Reroof Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair Egress Window Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation � Occupanc�r G�/ MCES System -- Plan Review Code Edition ca? SAC Units "' (25%_100%� Zoning f�p_ City Water -- Census Code !� 1f/ Stories ^ Booster Pump — #of Units � Square Feet ^ PRV -� #of Buildings 1 Length -- Fire Sprinklers .� Type of Construction _�I.�� Width ��. REQUIRED INSPECTIONS ��I Footings (New Building) Meter Size: '� Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_ Footings_ Backfill_Final Sheetrock Radon Control � Fire Walls Erosion Control Braced Walls .�:-----'���` Other: - Reviewed By: , Building Inspector RESIDENTIAL FEES IJ�A1LrV Da'$'y �3 � C—"'' �! !�Gd ✓ ase ee 1— 1,aw�tv► 4�4rN �l?� G� �� � C� !,�p r. Surcharge Plan Review t/� .,� �e� MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies �'� .'��" TOTAL ' Page 2 of 3 Use BLUE or BLACK Ink r————————————————i I For Office Use � I �/ Cltof �a a� j Permit#: � ���I �,=� I Y � � ��� e� � � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 � � Fax: (651) 675-5694 L Staff: ______________i 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: �"� ' �5�� Site Address: �S 3� � L�����C��l°''I ///) �c� r°�--, /�/f� Tenant: Suite#: �?�� . � � . ( i Dc i �~ c;�,�c ' c--(.�L'. �.".a,.r � ,,._ � � . � � . : � .. ,��' �� Name: � � Phone: �-��" �G�' ��� �� � ,�3 �.. , �_ , Address/City/Zip: � � � .�.-a �'j''�//�' � k �� � 3" Pv� �M r �� `., ��� � � ��'-� Name: I"t �J ��1.�n� ���r S , License#: ��G�-�� �'S' �.�- v , � � � 3. . ,: Address: /rG G� � /�'t`�/��e q .F ��-C City: /�d Sf'/�ic3 c�.� r' ���� � �9�'��g�`.§ f R ����C State: ���Zip: �7 �C) Phone: G�!/. ���/Z - /Z�/'S'� Contact: � or<.° Email: / /"�. /u�6 7 .�/i C:o , � , � �i '� New !%Replacement _Repair _Rebuild _Modify Space Work in R.O.W. � �� ��������� � — — �� Description of work: ,Z ctir�'" ��y/-.�'�-f����� ��z lf Gt�''�� 2�`��-R ,. � _.•. . � ___. �� . + ��� - �= RESIDENTIAL .�hG►t�e •� 1/�Iv�' �,�� jhtse,vt� �,r, ��; � ����:.�� ��� � �� •;�.; ; q8�� - � � v� � Water Heater ! Water Softener ,�ti , �� � �_� Lawn Irrigation�RPZ/_PVB) � Add Plumbing Fixtures�Main/_Lower Level) Septic System � IY � u : _ NeW Water Turnaround �s� �: — �� - _Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge) 'Water Turnaround (add$200.00 if a 5/8"meter is required) $115.00 SeptiC Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES$ 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.goqherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X �. � CQ''"� l��'t s-7`S:c:-"1 X c' Applican Printed Name Applicant' ig re � _ . _ _ . �� �_., M_ . _ , _ rt ��a k > �a , �- ,� � �� � � �� � ,. � . � z _ , � � @ Q�' e ai."�� ��� . ,�,. �-'��:. . 1 �a _ ` ,� _.,.�,�� - .���--Y-.=__ PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158712 Date Issued:10/28/2019 Permit Category:ePermit Site Address: 1535 Clemson Dr A Lot:23 Block: 03 Addition: Thomas Lake Heights PID:10-75950-03-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Richard H Swedean 1535 Clemson Dr Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature