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1542 Clemson DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824 -2656 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan Site Address: 1542 Clemson Dr Lot: 5 Block: 01 Addition: Thomas Lake Heights 2nd PID:10- 75951- 050 -01 Use: - Applicant - $50.50 Owner: Raymond A Brey 1542 Clemson Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA082687 04/22/2008 ePermit equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature ? . ? INSPECTIDN RECORD CITY OF EAGAN ' PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I k-I i4 ? 1 I' NIF1F1 ilk ?'?? i ?i!4 t i 1 I 11 1 11??1?i?•. t t;M? t N?' TAM T?i 1MD i?? I.' )•I?A.•fafiFiA PERMIT SUBTYPE: TYPE OF WORK: rrfu (FkiiKTNH (1NLY) Permk No. Permk Holdw Date Telephone # ELECTRIC PLUMBING HVAC InspeeHon Date Insp. Comments FOOTIN(3S FOUNO FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST RQUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG p, ? DECK FINAL qv . INSPECTION REC4RD CITI( OF EAGAN PERMIT TYPE: ' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPUCANT: I 1 11 Irr Dk , . ? , , . . I IIt?M?t'. L iih k lii. itili ('; :'N11 1?r l« i ?t.'tt ?itt; f ? e I PERMIT SUBTYPE: TYPE OF WORK: , !? efrr?3•!=?-?` r .. ;, I ! : i if: 1?„E:h ??f`sa"••^ r . Permit No. Permit Hoidu Data Telephor» i ELECTRIC PLUMBING HVAC Inspectlon DaW Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATiNG GAS 5VC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIDG FINAL BSMT R.I. BSMT FINAL DECK FTG Y DECK FlNAL 11 ' I ?p 'y HOUSE HEATING TEST RECORD ADDRESS CITY OCCUPANT OWNER /qL- HEAT LOSS DATE NTG I ST. SOLD BY LYINSTALLED E Electrical Work By `' Gas Line By,.i TYPE OF HEAT GA_ FA -= HW_ STEAM SPACE HTR. GAS DESIGN MAKE Model Serial ''-• f INPUT = - -?-• CONTROLS THERMOSTAT Heat Plug Valve Limit Limit Setting Fan Setting Pilot Type Pilot 11Aake Pilot Model - ? Pilot Timing L.W. Cut Off Pressure ` Percent C02 lnput CFH Percent Oz " Stack Temp. -" Percent CO n ?"t MAKE OF BURNER _ Model Max. BTU Rating - MAKE OF FURNACE Modei Vent Size - . PtTt-1 ' KIND OF LINER SIZE NONE Draft Hood Regutator Filters Size Number Chimney Locatian Inside-.,._.- Outside Chimney Construction ? Smoke Bomb Wiring Draft Test Tag - Door Pressure Lighting Inst. ?-- Date Tested Company Testing - Name of Tester Form 235 f?7-73-5 1 PERMIT# MECHANICAL PERMR RECEIPT # • CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Add f J 4A Lot ? Block - Name i`•A 1111'ck?4a aL.U =' n ¢n v¢ ? Addri!ss c City "'P S • ` Phone Name v?cw ? ?vr ? cui? ? wmes ? ? Addre?s ' • ' 0 C?? 1 s. 44 Phone ? TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU veM. cFnn Gas Piping Outlgts # Other ( I - A ngv FEE: S/C: TOTAL• TYPE WORK DESCRIPTION Res. x New x Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 AODITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CITY OF EAGAN ' 3830 Pilot Knob Rosd, P.O. Box 21•199, Eagsn, MN 55121 PHONE: 454-8100 dU1LDING rERMIT aeceia ?t T. L. n..A fr ?'- •.. ' Fef Vnliu. ?? ? Derw 19 SiteAddrm Erect PLot Blxk ?/Sub. , , Remodel ; . .; Repair . ] ; Parcel No Enlarge Move Name I 1-? F J Oemolish Address Grede City _ Phona 4 Install •U ? ? ? ? ? ? ? Occupancy 2oning Type of Const. No. Stories Length •1 •? Oepth .. Sq. Ft. Name ' Apiwo vab Feas ? Asseume nt Permit Addre?a ? City Phone Woter b Sew. P l Surchorfls _ Pl R i - W Neme ?' • ? ? ? o ice Firt an ev ew 5/1C ?Addresa Enp. Wnter Conn. ?W City Phone Plonnsr Woter Meter Countil Rood Unit I hercby ocknowtedye thot I how road this oppliwtion ond stete that Bidg. Off. tM lntormotion is correct and ogree to comply with oll opplicoble APC Total =.???•-? ?- Stcte of Minnesota Stotutes ond City of Ea}an Qrdinonus. Var. Date Sipnoturo of Pennittee A Buildirq Penmit is issusd to: on HN express aandition Ihas oll work sholl be Qons in ocaordance wirh all oppliooble Stote of Minnesota Statutes ond City of Eayon Ordinanus. Bufldinp Offidal Permit No. Pamit Holde? Date Tslophona # P???,? 5 y ? ?,-. 3l -a5a H.v.??.c. E?cm? t? rj L ? Soit?r , Itnpection Date Insp. Other Faotinys Foundetion F?amino r-lble 41 RooFlng Rough Plbp. ? Rouph HVA Inwlation ? Finai Mbg. ' .Z?,'? Finsl HYAC z ZS?G J Firnl CKt/OCC. -1/1 Wat?r D?scribr Loeation: , YYall ? s.w.. Pr. Oitp. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fae Fill rn numbered spaces S/C Type or Print legibly T I ot. L Date = S ? `, 2. Installation Cost 3. Job Address ? L L Lot i 81k. i Tract 4, Owner 5. Contractor Phone ' • ? ? 6. Address -Z2 t 7. City 8. Building Type: Residential'Ef 9. Work Description: New_.D' I 10. Describe 1 11. State Zip Commercial D Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank i Lavatory ? Softner Shower Well Kitchen Sink - Urinal/Bidet Other ? Laundry Tray -- -J' T ' Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets E 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinanCes_and codes governing this type of work. `. . Signed: - ' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? .; 3s s,L MECHANICAL PE'iMIT , CIT-Y OF EAGAN - i1 Permit No., Fee •_ ? Fill in numbered spaces S/C `j ? -, Type or Prrnt legibly -.. `? T t , . o 1. Date 2, Installation Cost ? '< 3. Job Address Lot BIkJ Trac ~ 4. Owner i c f?.L' ???-?,. v.r? Yt.?%???? 5. Contractor ??,?,. ?`. ?„ ,. ---•? ?•r Plione' , i 6. Address .? 7. City State Zip 8. Building Type: Residential fl Commercial ? Institutional O 9. Work Description: New ? Add O AI#er ? Repair ? 10. Describe ????' -?>";vr ._ I - • f ' Fuel Type . " 11. No. Equinment BTU - M. Ea. Forced Air No. Equipment CFM Ai H i Mfg. r andl ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg, Other ? Air Cond. Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ' • : ,. -for Rough Finat Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 ` CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagao, MN 55121 QUILDINO 'ERMIT Site Addrep _ Lot % 3150 1 PHONE: 454-8100 Receipt Z? Name ? ? N? [ u? Addreas 1- Citv _ Phone ?Z Name x? Address tW City Phone I hercby acknowledye rhat I have read this applicotion and stote that the inlormotion is corred ond ogree to tomply with oll opplicaWe Stote of Minnesoto Stotutes and Cify af , Eo9Rn Ordinonus. Sipnoture of Pem+ittee A Buliding Permit is issued to: oll work shall be done in acoordance wlti Buildinp Officiol Zoning . Type of Conat. No. Stories Lengih Dspth Sq, Ft. Auessment Woter 6 Sew. PoNce Fin ErW Plannsr Council aidg. off. ? . ? . APC Var. Date Pem?it > SurcFwrpo . Plan Review. 5/1C Woter Conn. Water AAeter Rood Unit 1= .? 06 Total (; ? - . 0 on ths expRS3 tordkfon that ond Ciry of Eopon Qrdinanus. Parcel No. Enlerge ? Move ? Name BC''< ., , 7 s Demolish D Address Grade ? City , j ? "c Phone ?? Instell ? Permk No. Pwmit Holda Dato Telephons # Plumbirp 0 H.VA:C. -d 5 I II Ebetric ? nh c ?n?-,- ?-g - ? -? ; SOfLlllw InWection Dats Insp. Othar Fooc+ny. 3-?'S-ey <9 f Foundation Framinq ,e(, Roofing Rouyh Pibp. Roug+ HVA Inwlation ? Final PIb4 4/-gs- Final l HVAC 1 i s- Final Ci?01iP. a??? Water Dosuibe Loeation: YII?11 Saw?r Pr. Dhp. Receipt ' MECHANICAL PERMIT Permit No. CITY OF EAGAN ` Fee ' Fill rn numbered spaces S/C - ? Type or Prini legibly - • Tot 1. Date -'5 3. Job Address ' y 'd 4. Owner 111Gf.J 2. Installation Cost ?' ?- - - ? , Lot l Blk. Tract ? ..?1 Pr?,.. . ,.-.- ? .......... ... _ 5, Contractor ? ? • ^ ?Phone ? 6. Address S' ? •' :i , . . ? i 7. City State Zip 8. Buiiding Type: Residential 0 Commercial ? institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe ° • - ? '-? L'° • ? - Fuel Type - • ? No. Equioment 8TU - M. Ea. Forced Air ? No. Equiament CFM Ai H dli Mfg. r an ng: Boilers Mfg, Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit Na. CITY OF EAGAN Fae J - fill in numbered spaces S/C Type or Print /egib/y Tot ' 1. D te f? i? 2. Insta?lation Cost y ? E. ? ' `..`.? 3, 06 Ad ress Lot L Blk' tract ' 4. Owner Lf 5. Contractor Phone 6. Address ?7. City State Zip 8. Building Type: Residential EQ= Commercial O Institutional O 9. Work Description: New`E'1-" Add ? Alter ? Repair ? 1 10. Describe No Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs - SepticTank ? Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet -? ? Other Laundry Tray . ` -----" Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this tYpe of work. Signed: - for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 sU1LDING PERMIT r. ?. ..." #a. ' CiTY OF EAGAN 3830 Pilot Krab Road, P.O. Box 21-199, Eagsm, MN 55121 PHONE: 454-8100 Receipf 4 P?,,4X Site Address i? fi:. Erect 0 OccupancY Remodel ? 2oning Lot Biock Repair ? Type of Const Parcel No. ' Enlarge ? No. Stories Move ? Lengih - Name Demolish ? Depth ? Addrei s ' Grade ? Sq. Ft. Clty Phone `? , • f ? ' ) ? ' Install O - -_--,- City Phone 1 hercby ocknowledfle thot I hove read this application and stote that the inlormotion is torrect and ogree to compiy with oll opplicabls Stata of Minnesoro Stotutes ond City oF Eagan Ordnonces. Assessrmnt Water a Sew. Police Fin Eng• Pionnet Council Bldg. Off.? APC Var. Date Sipnoturo of Pertniftae A Buildinp Pertnit Is isswd to: . oll work sholl be done in ctaordonte wifh all opplitabla State of Minne BWldinp Offtciol Permit Surchorpe Pian Review. SAC Woter Conn. - Water AAeter Rood Unit Tatel • - r a+ the expren condiffon Ihat Scotutes ond C{ty of EaQon ardinances. PKmk No. Pwmit Holde? Date Talephone it H.VA.C. EMwic y 3 1nC.. q 'i Softenw Intpection Date Intp. Othw Footings Foundation Fnminq ?.? Roofing Rough Pibp. Rough HVAC Inwlation ? Final Plbp. -'7 Final HVAC Final Cwt/Oee. ?1. Wahr Dsscribe Loeation: WWII ? S.w.. Pr. D'ap. Receipt ,_ . 1. Date _ MECHANICAL PERMIT CI;Y OF EAGAN Frl1 in numbered spaces Type or Print legibly 2. Installation Cost Permit No. il j Fee s/c -i? , Tot. )? . w/??4 1 , ,? ) L \ 3. Job Address Lot BIkJ Tract 4. Owner ' Z-uJ ?J? ? ? ? a? ;?v»-< < s 5. Contractor GE,^,. SEDG!':(CK 1'711I;!G a !.'^ -Ptione,"''", Cn ,.. . _ H 6. Address =,°ti 7 :j a?jjilra 545-'I u ] I 7. City State Zip 8. Building Type: Residential It Commercial O Institutional O 9. Work Description: New fn Add 0 Alter ? Repair ? _ .':?; , .?,, ," :-u • ;,,: Gn'. ? .l? 10. Describe ' Fuel Type ` ? rN,Y? L/. J_ y i)y ? n o 11, No. ? Equioment STU - M. Ea. , . Forced Air - No. - Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other ? Air Cond. Mfg. Gas, Piping Outlets 12_ I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : , . ? . for Rough Final Inspections: Date Insp. Dete Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt •?? PLUMBING PERMIT Permit No. CITY OF EAGAN Fee ? _ . Fill in numbered spaces S/C Type or Print /egib/y Tot. =-T- 1. Date 2. Installation Cost 3. Jo6 Address.:55i%r? ? Lot .? 81k. I Tract 4. Owner 5. Contractor "y?kJ Phone 6. Address 7. City State Zip ? 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New Ca Add O Alter ? Repair O 1 10. Describe 1 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ti Bath tubs Septic Tank I Lavatory Softner Shower Well Kitchen Sink ; Urinal/Bidet Other ? Laundry Tray , ! Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all prdinances and codes governing this type of work. Signed : • • for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 7- IN CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ? SITE ADDRESS: it; i i 1141Mn'. iAr t Iit 11,11 11. :,Hil PERMIT SUBTYPE: PI, flrt M iNi, aPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE 4F WORK: f I NAt 15111 1 i+ r iR.'IHN i 0 v /0.1 ? ? Permit No. Permlt Holder Date 7elephone It S/W PLUMBING Ff VAC ELECTRIC ELECTRIC Inspection Date insp. Comments Footings I Foundation Framing Roafing Rough Plbg. Rough Htg. 15UI. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Piumber Const. Meter Engr.IPlan Bldg. Final Deck Ftg. S3 dJ5 Deck Finai _ 3 ? Well Pr. Disp. I 0. SEDGWICK HTG. & AIR COND HOUSE HEATING TEST RECORD CITY OCCUPANT OWNER HEAT LOSS DATE H G. IN T. 50LD BY ? I INSTALLED BY Electrical Work By Gas Line By -- TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT NTR. OTHER GAS DESIGN CONVERSION MAKE Model Serial INPUT MAKE OF BURNER Max. BTU Rating - MAKE OF FURNACE CONTROLS THERMOSTAT-= ? L4 Heat Plug Valve - ' Limit Limit Setting ' -' Fan Setting ' Pilot Type Pilot Make - - ' - Pilot Model ' - Pi1ot Timing ? L.W. Cut Off Pressure " Percent CO Input CFH ' Z Percent 02 Stack Temp. Percent CO Vent Size 1 v KIND OF LINER SIZ NONE Draft Hood ? ator Filters Sixe Number Chimney Location Inside - Outside Chimney Construction Smoke Bomb Wiring Draft Test Tag - Door Pressure Lighting Inst. •- Date Tested Company Testing Name of Tester ? ., CITY OF EAGAN '- 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121 'PHONE: 454-8100 'F eUILDING PERMIT Rrceipt Lot Percel No. alt wark sholl 6e done in occordonce wirh all opplicabla Stat Buildinq Officiol Erect 0 Occupancy lt.l Remodel ? Zoning c C? Repeir ? Typeof Const. Enlarge ? No. Stories Move ? Length 4 4 Demolish ? Depth Grede ? Sq. Ft. Assessment Water a 5ew. Potice Enp. Plonner Cpwitii Bldg. Off. APC Var. Date Fees Permit Surcharye - Plan Review - SAC Water Conn. Woter Meter Rood Unit ? Total en ths express conditbn Ihal Statutes ond City of Eogon Ordinances. 1 hereby ocknowladga that I hove read this appliwtion and state that the inlormotion is correct ond ogree to comply with all npplicoble Stoh of Minnesota 5totutes and City of Eagon Ordinanus. Siqnoture of Permittea . r Permit No. Pwmit Holdar Date TeIsphona # P???ing H.VA.C. 5 35 ? d w;? Eketric m(- Sofesner Inspaction Date np. Other Faotinpt 45'?J Foundstion d Frsminy ' .,, , Roofl ng Rauyh PI6q. 'y Rouyh HVAC ? inwlation Final Plbp. { Z? ! ?/ Final HVAC ? /97 ? 44& Final CertlUec. Wster Deserihe oea ion: ? r? ? YYell ? ? o? UUy , s.w.. Pr. D'up. Receipt - MECHANICAL PERMIT Permit No. CI'GY OF EAGAN Fee - Fill in numbered spaces 5/C Type or Prini legibiy ' Tot. U? 1. Date 2. Installation Cost , , :•l 3. Jo6 Address LotBlk/ Tract ? . 4. Owner - - > ?v 5. Contractor_ 6. Address 11-i?i•?:tic 4 ,6 r md---6 7. City , ., _ _.. , a t) ',._!UT A State.j Zip 8. Building Type: Residential El Commercial ? Institutional ? 9. Work Description: New El Add ? Alter ? Fiepair 11 10. Describe Fuel Type 11. No. Eauinment 8TU - M. Ea. Forced Air No. E4uiament CFM Ai H i Mfg, r andl ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. - Mfg. ? Gas, Piping Dutlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : ,for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt ' PLUMBING PERMIT Permit No. '. ` CITY OF EAGAN Fee Fil1 in numbered spaces S/C Type or Prrnt /egibly 1 ? Tot. 1. Date 2. Installation Cost ? o dress ? `` Lot ? Blk. Tract 4. Owner "-J Phone _ 5. Contractor i ' 6. Address r 7. City State Zip 8. Building Type: Residential \tl, Commercial D Institutional O 9. Work Description: New`-O ? Add ? Alter O Repair ? 10. Describe 11. No, Fixtures Water Closet -, No. Fixtures Cess ool/Drainfield , Bath tubs p $e k ti T ? Lavatory p c an Softner 19- Shower W ll Kitchen Sink Urinal/Bidet e ? , -.. • `-'? Oth - ? ?-- Laundry Tray er ? - -_ Floor Drains Drinking Ftn. Slop 5ink Gas Piping Outlets 12. I hereby certify that Zhe above information is true and correct, and I agree to comply with all orc)inances and coes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-$100 CITY OF EAGAN ?Remarks I L Add;cioQkr`Thc?mas Lake Heig_t7s,.Addition Lot , S aik Parcel #10 Owner V/.:c A- street 1542 Clemson Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUFiF. ? .8 A0321 2 - -8 STREET RESTOR. GRADING SAN SEW TRUNK * SEWEFLATERAL icial 37=61 7.52 1.0 A0121 2 ?-5- 3 WATERMAIN ,t WATER LATERAL iggi WATER AREA 1977 STORM SEW TRK 81 . 312.37 20.82 15 249•91 A012172 5-5?-83 * STORM 5EW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 500.00 BUILDING PER. 9947-9950 5AC PARK CITY OF EAGAN '4Remarks ,?'r?s? ?'0 ?f , Addition ?1f111L 4S ., Lot ¦Ik Parcel #10 oWmr street 1542 B Clemson Drive stete Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Recaipt Date STREET SURF. _5-83 STREET RESTOR. GRADING SAN SEW TRUNK 1973 * SEWER LATERAL 1981 37. 61 7.52 • l, .0 A0121 2 --8 r WATERMAIN * WATER LATERAL 198 WATER AR EA / 9] 7 Q?J STORM SEW TRK 3 1981 312.37 20.82 1 249 • 91 A012172 5-Sia3 * STORM SEW LAT 1981 CURB & GU7TER SiDEWAL.K STREET LIGHT WATER CONN, v a BUILDING PER. _ -rj SAC 595 - 00 PARK CITY OF EAGAN Addition z Lot S p Rlk ? ? Paroel #10 Owner?? ..? ,11,': ?, street 1544 Clemson Drive _ stata Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, ju.8 AOl? P - -$3 STREET RESTOR. ' GRADING 5AN 5EW TRUNK 3 ? * SEWER LATERAL 3 7, 61 7.52 1.05 ?0121 2 -5- 3 _ WATERMAIN * WATER LATERAL iggi WATER AREA STOFiM 5EW TRK 3 2149.91 AQ],'2],'r2 5-5-$3 ?r STORM SEW LAT 1981 CURB & GUTTER SIDEWAl1C STREET LIGHT WATER CONN. 500.00 BUILOING PER. 947-9950 5AC PAR K CITY OF EAGAN ,?Remarks Addstion 9 Lot ' l Blk Parcel #1 0 Owner ??? ????`• ?'? screet 1544 B Clemson Drive scate Eagan, I4IN 55122 Improvement Date Amount ,4nnual Years Payment Receipt Oate STREET SURF, 279-71 55 - 94 uj,.S A0121 2 -8 - STREET RESTOR. GRADING SAN SEW TRUNK &64C * SEWER LATERAL iggi 37. 61 7.52 15.05 A0121 2 --83 WATERMAIN * WATER LATfRAL WATER AREA 1977 STORM SEW TRK 1981 312.37 2 29•91 A012172 5-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit WATER CONN. u u BUII,OING PER. 9 47-9950 5AC PARK . r ?±:.,..,.. GEO. SEDGWIC HOUSE HEA QDDRESS k? •__ J??. ?, .? .. ?? • ?'•' CITY r-A4--,An OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY L7 61 ft)I STALLED BY =? -= Electrical Work By Gas Line By TYPE OF HEAT GA_ FA= HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN z[]N1IftA('fl?I MAK E ' - 11,1 .; . Model Sa ' `, Serial S' ?` INPUT ? CONTROLS THE RMOSTAT T? '/ Heat Plug Valve `i1 - 1 Limit ?? ,•` . r.4 r Limit Setting Fan Setting Pilot Type '- w c- EK• ? Pilot R4ake `•?'?'? ?' y ` '=' Pilot Model ? - ' - Pilot Timing L.W. Cut Off -" Pressure Percent C02 -' ' Input CFH ' -'Percent OZ = Stack Temp. ? ? ? Percent CO -' ' ? • ? Form 235 MAKE OF BURNER Max. BTU Rating - MAKE OF FURNACE Vent Size ? KIND OF LINER SIZE NONE Draft Hood - Regulator Filters Size Number ; ? ? "i ,I Chimney Location Inside •? Outside Chimney Construction `"Z Smoke Bomb Draft Door Pressure Wiring f Test Tag = Lighting Inst. "- Date Tested ? • - Company Testing Name of Tester L ` • 1 ? w-? ?td.:ie....w. : ..:?+:fiiiYi.+w?.;r?-.. ?_-??„N.a?.,?lin.:w..+?+wiyi`; _. _ -:?v - HOUSE HEATING TEST RECORD ADDRESS CITY OCCUPANT OWNER /ft, HEAT LOSS DATE HTG. INST. SOLD BY l? ? 1 INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA_ FA-;?- HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSIdNX MAKE :lPi D ? Model ID Z ' - ?3-'- ? Serial ' "7- 4 Z INPUT CONTROLS THERMOSTAT r `cLLI Heat Plug Valve _ - , / - l Limit '7 - S T Limit Setting Fan Setting Pilot Type -? w < '?- Pilot Make . .. Pilot Model y ? + . . ? Pilot Timing L.W. Cut Off Pressure Percent C02 J Input CFH Percent 02 1 Stack Temp. Percent CO MAKE OF BURNER Max. BTU Rating - MAKE OF FURNACE / / Vent Size KIND OF LINER _ r.a'3!9f'L'E NONE Draft Hood • ^ •' -k '' , - Regulator Filters Size Number Chimney Location Inside Outside Chimney Construction ' ? -, 'S Smoke Bomb Draft Door Wiring Test Tag -? Lighting (nst. -- Date Tested Company Testing ' ` " !! C• ? ? ' Name of Tester ' I Form 235 '4etr Anr{ 7nn Flrnnas No.. to 00110vhr whh Nn Cihr of 111419801 Conrechan Charge: -)UU. V V Cl /kcount Depodt: -1_ 0 r . Pennit Fee: Surcharpe: Mlsc. Charges: 132, p4 Totol: - G 3. '": '.1 ? Date Poid: i0. •.- ckuhN rMlr.Al-FA SE1t1/It:C FtiW1ff 3830 Pilot Knob Road ' P. V °3x 21199 ?rf ?PERMIT Np.: Eagsn, MN 55721 DATE: ZOni^o' No. of Units: Address: ?f?kal.?son DriVr,•,7 BI Chomas La'.;e liets f••°•?? •".. - " Conr'Wactlon Chorfle: Z!: ? /?o e /t ° 11'r-, Ac00u"pOS1t: der No.: 9I-,7 43 Permit Fee: aYm- ft ee-py wbh !M CMp of byea SurcfiorQe: • 1.esoM. Misc. Choryes: - ? Totol: m. Data Paid: ? ?nsp..3?'--_ Insp.: ?- -- CITY OF -EAGAN SEWER SERVICE PERMR 3830 Pilot Knob Road .. P. O. Box 21199 PERMIT NO.: Esgan, MN 55121 DATE: Zoninp: ' No. of Units: 1 o f 4 p 1 e x Owner: 1eu l.;uri.xon Iio.7,?-s Address: Site Addross• .5•,4.emAOn L.ive 1.7 P1 Plumber. '%ar ac.;t Fiumbin;- i7o -/-. J . l I TY . 1ogns te eanpy wNh 1w phr ef EaNw Conrwction Chorpe: 425. 00 pd ??MIIOM. /,OOpyflt Dlp0ot: } r . 00 ml Penrdt Fee: ! $Ufth0fDA: T' r BY Miw. C+oroex Doce of Insp.: Total: I nsp.: DoM Pbid: NO.: Eagan, MN 55121 p^TE; 3/7Q J`5 Za+ino: - No. of Unlts: 1 of 4plex pwner. i e-?r !iorizon Homes /lddrass: Sib Addreas: 1544 Cle-aaon Driv ' B1 ThQaaa La'ke Hete 2 Plumber Tt:oamsor AAster No.: Connection Cherye; 500.00 od Stze: Accau,t peposit; Reodsr No.. PermiT Fee: 1som eo eo.rol? wNU 11N Ciep of hti.¦ Surchargs: Onil?eeo?a. Misc. q,orpes: 132.00 ad Total: 61_00 n+prer. BY Dote Paid: Dote of Insp.: Irup.: ? Li i YOf 'AN WATEit SERVICE pERMIT 3830 Pilc 3b Road P. O. Bo. i99 PERMIT NO.: Eagar., Mh r5121 ? J DATE: Zonirg Units: ? ,. Owner: ' ??ri ?(?ft? p, 7cig' F•, /lddress: Stte /lddreas: ? 5 44 7-?A ei*s c n pr',•', o-as " T ' aka N«ts Pli+mber. 'i'!-:o:r?>:c?:, , um'; •_ r- Metor No.: CohnecNon Chwrps: Dd Size: 11ccount Deposit: Reoder No.: 1DM ?U Z? 7 Panmit Fee: , ?som !e eeolr wNb 11N Cihr af gn"m Surrhorye: ' Ordimwas. \ ? Misc. Chorpes: Totol: I . DoM Poid: Date of I rup.: ? I nsp.: CITY OF EAGAN SEWER SERVIC E PERMR 3830 Pilot Knob Road . P. O. Box 21199 PERMIT NO.: , Eagan, MN 55121 p,,TE: Zonirg: No. of UNts: O1M11Ef: AddIESS: SFte Address: 1S- Cla.ns^ . lrive i_,J I?a T':??•;;?s ..?;.E f:?,; :, Plumber: 1 yew to eompy wNh fk Chp ef iooa¦ Connection Chorqe: OrdiMnod. /lcoount Depowh - Ptrmk FM: SurcFwrpa: : BY Mltc. Chorpes; Date of Inap.: Totol: I"sp" Doh Pbid . L.t I Y i,r t A .i„A 3830.Pilot Knob Road P. O. Box 21111?99 Eagan; NiN 55121 Zoniny: : 3 oNrfl-?; w ?nri 7M xt..... : Addross: TSite /lddrcsx 1542B Clemson D7 . flumber. , n MeMr No.. FSlze: Reader No.. ,;1 n!rm r, eo+„olf wiA tIN Cihr .i E.O.e MIlQM. Dote of I nsp.: CIT 5 lf,"- cA 'aHiv 3830 Pifot Knob Road P.O.Box?1:]99 3o3a`? Eagan,'MN 55121 Zontn£: Addreas: w?arElt ShAvIcE wr•rMr ? PERMIT NO.: DATE: _ No. of Units: 4P e?= t9 ; • y f - ?•' on CFarge: 5')0 . 00 1), I i i? :6r No r ? ? =Unk aepowr: Z5 .00 D?=3 Permifi Fee: 1(`. t)t7 rr' iw to aanPy wil6 Iw Ciyr af Eagsn Surcharge: 0 .5 nO°em ? Mtac. Chorfles: 132.00 p.-l Total: _ ', ? ?,'1 -? •" - @ i Qnta Paid: of Insp.: - - Insp.' CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Kno6 Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pATE: - , Zon';V; No. of Units: Owner. 7 or ':,,lz? ? niew l:orizon l;o;,^r s Address: I Site Address: I542f3 :,aemson Jt'iv e Lp BI. ?.?m.?e La}:e '? t 2 ? Plumber: °'r:o:-p3on P1LmbLiQ 3 ? - ? ->1.5 4 S?'? ? :'1 I eons h eempiy wm the Cilp oF iapw Ordinemea. By Dcte of Inap.: WAffiR UtNtCE PERiMiT PERMIT NO.: - D11TE: ?, ? ;, •-? ? < - No. of Units: 1 of 4p Connedion Chorge: AcoouM Deposit: _ Permit Fee: Surchorge: Mrsc. chorges: _ Tatol: Date Paid: ConnectTon Choem; 1.J' I? u /lccount Deposit: t ` Pemnit Fee: f ' - Surchorpe; 77 Misc. Chorges: Totcl; i:l'T"t' C?F L,a:.A'a'd 3830 Pilot Knob Road???? P. O. Box ?? 199 • Eagen, MN 05021 Zoniny; Owner: /lddress: .opfEk 5WiltCE PkMIT PERMiT NO.: dATE: No. of Units: Bl Thomas Plumber: I t 1, ?.cm;, i.n ? #Aeter No.: ?? = d Con?nection qhcrge: Size: r? ? :? ?: Ul ?:4"'uM Deposit; Reade? No.: Pertnit Fee: . I prM M oowiphr +vbb 11w phr of Ea9sn Surc.Aorge: . Oir?ir?n?w Misc. Choryes: ? 321 . U li p c± Totcl: Bv - Date Paid: i.-. U, =r• ???:• t4A i kR SEkVIC:E PERAAIT 3830 Pilot-Knob Road 5n a F P. O. bax 21199 .. PERMIT NO.: Eagan, Mti 55121 DATE: Zonlnp: ` ``' No. of Units: o 4p n x u-w ;.oriton Ho:nes Owner . Addross: Site Address: 1542 Clemson 7rive 1,5 L1 TlyomaslLake F'gts 1 Plumber. - ? AAeter No.: Connection Chorye: 50 1 0.01) -ici Size: Account Deposit: . , r Reader No.. Aertnit Fee: ., 1g,ns 1o eewvhi wh6 Nw Citp of Ee?sa Surcharfle: OrliMna?. Mtac. Chorpes: 13 2.:) G d Totoi: 63.00 pd :aeter gy Date Paid: fe of Ins : D insp : p. a . :ITy OF EAGAtu SEWER SERVICE PERMR 3830 Pilot Knob Road P. O. Rox 21199 PERMIT NO.: Eagan, MN 55121 DATE. toninp: ? No. of Units: ?_..?_. :ew iiortsoa }lO1L@e Add: 0 to oomfly wMb His Gh of Ra'on Connsction Charpe: 425.00 v" anas. Acoount Deposit: Permit Fea: Surcherpe: _ ? ?`' •- ? Misc. Charpes: of Insp.: Total: Duts Poid: Renewal By Andersen 350-73rd Ave. NE Fridley, MN 55432 763-502-4777 #MN20130983 (O . 2-'D-G 1 New Construction Reaulrements RemodeVRewir Reauirements • 3 registemd site suneys showirg sq. R of lot, sq. ft. of house; and all roo(ed areas • 2 copies of plan (20% maximum lot coverage allaxed) . i set of Energy Cakwlatlons fa heated additions • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . t site survey for exterior addiboons & decks • 7 set of Energy Calalatlws • 3 wpies of Tiee Preserva0on Plan if lot platted after 711/93 . Rim Joist Detail OpOons selectlon sheet (Gdgs with 3 ar less uni4s) DATE VALUATION (ExCIUDING IAND) JOB SITE ADDRESS ISy a C.,?•Q.Y'RSOTU ?<? Utl?'? ?. IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER?0.?tY'%f_:GC,. TYPE OF WORK RQ ?1[Lto ? ?.t?rv?ow?'? 1?.k41n.i.v? ..AJ?`S}1't? fIREPLACE(S) _0 1_2 _3 APPLICANT ltii uo,l' -tm? LCIA/Y?L,%O PHONE #2S@-3qS-&Oy4 ADDRESS PAGER # RESIDENTIAL ING PERMIT APPLICATION CITY OP EAGAN i830 PILOT KNOB RD • 55122 651-681-4675 CELL PHONE # FAX # CODE NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Conhactor: Air Conditioning Heal Recovery System Fee: $90.00 Phone # Fee: $70.00 Phone # All above information must be submitted prior to processing of applica5on. I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. v Signafure of Appl(cant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Requlretl _ ?'?"---__-- _ Water Sottener _ _ Water Heater _ No. of 13aths Phone #: Iawn Sprinkler No. of R.I. Baths Updated 1707 RE5IDENTIAL ' BUILDING PERMIT APPLICATION CITY OF EAGAN #?????Q 3830 PILOT KNOB RD - 55122 651-881-4875 NewConsWCfionRaoulromenls RemodeVReoairReavirements 7-2J-^OI • 3 2gistered si[s suneys shaxing sq. fl af bt, sq. R M house; anll roofed a2as • 2 copies of plan ? (2D°6 maximum bt coverage albwed) . 1 set ol Energy Calauletions tor heated additior6s • 2 copies of plan shaxing heam 8 windav sizes; poured found design, etc.) . t site survay Wr ezteriw additions & decks ? • 1 set of E?rgy Calalatio? . Indicete'rf hane servetl by septic system for additlons . 3 copies of Tree Presenation Plan i( bt pWtted aftr 7f1t93 . Rim Jast Detail Options seleGtion sAeaf (bldgs wph 3 M dess emi6s} DATE VALUAION LgYO? JOB SITE ADDRESS Isya ,?Da?r,WYi al If MULTI•FAMILY BUILDING, HOW MANY UNITS? PROPERTY ( TYPE OF W< APPLICANT ADDRESS _ PAGER # _ C FIREPLACE(S) _ 0 _ 1 _ 2 PHONE#(ZL-',- s?'a-3s3? 4,6- ZIPCODE 5_S681 NE1V RESIDENTIAL BUILDING ONLY- Flll OUT COMPLETELY Energy Code Categnry _ MINNESOTA RULES 7690 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculatians Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Confractor: Phone #: Plumbing System Includes: _ WaLer Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: _ Mechanical System Includes: Sewer/Water CoMractor. CELL PHONE # _ Air Conditioning _ Heat Recovery System All above information must be submitted prior to processing of application. Phone # FAX # Fee: $70.00 Phone # I hereby acknowledge that I have read this application, state that the information is cbgect_and-agrse-toeembly with all applicable State of Minnesota Statutes and Ci1y of Eagan Ordinances. Signafure of AppOcan* ? . ?il 1???? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/0t OFFICE USE ONLY . ? 01 Foundation ? 07 OSplex O 13 76-plex ? 20 Pool ? 02 SF Dwelling O 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 Ot of _ plex 0 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 04 02-plex , O 10 08-plex C?1 8 Deck ? 23 Porch (screened) O 05 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12.plex Plbg_Y or _ N ? 25 Miscellaneous 09 31 New ? ? 32 Additlon ? ? 33 Alteration ? ? 34 Replacement Valuation d000) ?- Census Code _Y2 4 SAC Units ? Nbr. of Units Nbr. of Bldgs ` Type of Const - ? W idth REQUIRED IMSPECTIONS Footings (new bldg) 42 Footings (deck) _ Footings (addition) - Foundation Drain Tile Roof _ Ice & Water ` Final _ pther - Fr?+nB _ Pool _ Ftgs _ Air/Gas Tesu _ _ Fireplace _ RI. _ Air Test _ Final Siding Stucco Stone _ Insulation _ yVindows {newheplacement) Approved By LbJ , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Pertnit & Surcharge Treatment Plant Plumbing Permit MechaniCal Permit License Search Copies Other Total ? 30 Accessory Bldg ? 31 Ext. AIt - Mul6 ? 33 Ext. Alt - SF ? 36 Multi 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 38 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair 37 Oematish (Bldg)' ? 43 Reroot Q 48 Windows/Doors "Demolltion (Entire Bidg only) • Give PCA handout to applicant Occupancy '3 MC/E5 System Zoning f ? City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered FinaUC.O. `l FinaUNo C.O. Plumbing HVAC ? RESIDENTIAL ' BUILDINC PERMIT APPLICATICN CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 ? 70,0.0 NewConsWcdonReaulremank RemodaVReoairReouirements ?-?1?•??0? . 3 registered site surveys showing sq R of bL sq. fl. of house; anll roofed amas • 2 copies M plan (20% manimum IM cove2ge alMved) • 7 set of Energy Calalations for heated eddNwis . 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • t site survey for exterior additions S decks . 1 set M Energy Calailetlons . Ind'kate ii home served by septic sYStem for edditions • 3 copies of 7ree Preservatbn Plan if bt platted alter 717193 . Pom Joist Detail Options selection sheet (bldjs wtlh 3 or less unita) DATE 2z?y/ / VALU/[ION ? I gS6 JOB SITE y16 IF Ml1LTi-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNE?ZZ TYPE OF WORK ? APPLICANT ADDRESS 3 V3ll PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Su6mitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Suhmitted Plumbing Conhactor: _ Plumbing System Includes: Meehanical CoMractor. _ Mechanical System Includes: Sewer/Water Conhactor. _ Water Softener _ _ Water Heater _ _ No, of Baths _ Air Conditioning _ Heat Recovery System Ail above infortnaGon must be submitted prior to processing of application. Phone # Fee: $70.00 Phone # _ U?Y____ . __ i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan r inances. Signoture of Applicanf ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1l01 FIREPLACE(S) _ 0 _ 1 _ 2 ? PHONH??v/a?.38'a-3S3.2, ZIP CODE ° ? Phone #: Iawn Sprinkler Fee: $90.00 No. of R.I. Baths OFFICE USE ONLY O 01 Foundation ? 07 05-plex ? 73 16-piex 13 20 Pool 0 02 SF pwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 70 08-plex r 18 Deck 13 23 Porch (screenetl) ? OS D&plex ? 17 10.plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 72 12-plex Pibg_Y or _ N ? 25 Miscellaneous ?O 31 New ? 32 Additlon ? 33 Alteration ? 34 Replacement ? 30 Accessory Bldg ? 31 EM. Alt- Multij ? 33 Ext. Alt - SF ? 36 Multi 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 36 Move Bldg. ? 42 Dertwlish (Foundation) ? 45 Fire Repair O 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors "Demolition (Entlre Bldg onl» - Give PCA handout to applicant Valuation 6200/l Census Code y3 C/ SAC Units ? Nbr. of Units Nbr. of Bidgs Type of Const 7-0 Other _ Poo] _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By -aJ , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Pertnit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Occupancy k -3 MC/ES System Zoning 1" - U Ciry Water Stories Boaster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Footings (new bldg) Footings(deck) FinaUNo C.O. Footings (addirion) Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ pir Test _ Final Insulation FinallC.O. Plumbing HVAC T /O^ ? r REQUEST FOR ELECTRICAL INSPECTION Ee-00001-04 {? ( ' Sae instructions tof comploting thos forr.. on back of ysllow cooV. ca 49390 "X" Below Work Covered by This Request Add Rap. Type ot 9uilding qp 1 anc a Wired Equipment Wired ex ?ommeroial Bldy Fumace -Silo Unloader --? Industnal 81dg. Air Conditioner Buik Milk T;,nk ? N Fee ireEntrencaSize h Fee Fxxders/SUbteeders N Fae Circw(s 2,100 200 qm s 0 to 30 qm s 0 to 30 Am s ;Above 200 qmps ,S' 00 37 to 100 qmps 31 to 700 qm y mminq Pool Above 100Ainps Above 100Amp stormers Irngation Boon?s Partial-'Other Remarks TOTAL PEE"------' / ; ZU Pough-m r -I I ? te D. .fj.\ I, the Elecir / /o? (?( Insoectm, heraby Final certify that the nbave pA? insoeccion has Ceen mede. n.i..e,..?se?.,..?n?n...,..,?ne?...... - (/t'" ""i ?r -" rn,s .ea.est voIa `It 18 rrpnths hom JV RAst Fire Ir.enseA Elechical ConVactor ] Owner MINNESOTq STqTE 90ApD OF ELECTRIqfS Griggs-Midway Bltlg. - qoom N-191 (/ 1821 Univergity qye„ SL Paul, MN 56104 Phone (612) 297-2111 Tvt,a-.-. L (C ?- qeuBh-i. Insnectron a E]Re:rAy Now ^a'?es ? No I herehy reauast insvection ot above electncal wmk instelled aL ?tSlt-5 ill Nnbfy Ins, mr Whun peady 'ia msrtc i ION REQUEST WILL NOT 9E qGCEPTED BY THE STpTE gOARD UNLE55 PqOPEN INSPECTION FEE IS ENCLOSED. This requesl void 56193 ?/}j ? 18 ?nths fwm 1 ? R,, (ir ii Gfl -R /a.ocJ Fequest Date 9-3-1985 I Fve No. RouOh-in InsUecbnn pequ?red? I ?nSPe ?Ready Now?Will NnutY. ??os ?NO tor When Ready EikLicensed Electrical ConVacior I hereby reqaast msOection of ebove ? Owner elactrical work installed at: Sveet Address, Boz or Roure No. Crty 1544 B. Clemson Drive Eagan ecUOn o. Township Name or No, Fange No. County Dakota OccuV.ont (PqINT) Phone No. New Aorizons Power Suppller Atldress Elec[ncal Convactor (COmpany Name) Contructor's License No. O.B. Thom son Electric Co. Inc. A40602 Minlin0 Address IConvactor or Owner Making Inslailationl 12201 Mtka Blvd., Mtka 55343 Auffioneed SiBna[ure IConVactndOwnenMnking-Installationl ? Phone Number 933-2521 MINNESOTA STATE BOARD OP ELECTHICITY GriBUS-MiEway Blag. - Poom N-191 1821 Univarsiiy Ave.. St Paul, MN 551 D6 Phona (612) 297-2171 THIS INSPECTION flEQUEST WILL NOT BE ACCEPTEO 9Y THE STATE BOAND UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-40001-04 Q9 . k saa insVUCt{ons for complatug this form on beck et yellow copy. ?/^/?? 6^'3903 ""k" Be/ow Wark Covered by 7his Request ? AAd Pep. Type oi 6mld?ng Applmncee Wved E?uipmenl Wired Home R?nge Temporary Service Duulex Wnter Heater LiqhTmu Fixtures Unluader I I I I intlustnal tllclg. I I Air Contlitioner I I Bulk Milk Tank I N Fee ServiceEntraneeSiza p Fee Feadars/SUbieednrs H Fee Grcwts 0 to 200 qmps 0 to 30 qm )s 0 to 30 Am s Above 200 Amps, 31 to 100 qmps 31 to lOD qm s Swimming Pool Above 700_Am s Above 700_Am s Transiormers Irrigation Buo`r?s Partial/Other Fee signs Sp2Cidi InSUectiOn 5 TOTq F? ? flerrv? rks Ei l i ]. 0 . r] O L % «J na Inspect on ? / (j ' '/ RouBh-in D.I. - I, the E?rya{? Inspectar, ?ereby Final 17 71. ? ?' ?-?` J ertdy that the above insPection hes been mede. Rus requast voltl 19 montM1S trom This repues[ wid ?/'/?? 78 rtttrn[hs Irom ?? MID) fl ?h'; 9 fl? n ? Request Date Fire No. Boueh-m InspecLOn RequvedI ?Ready Now:aWill NoUfY InsPac- 9-3-1985 ?ves 7?No tor when Reaay MCUcensed Elecincal Con[ractor I hereby reqoest inspection of abova ? Owner eleclncal wark installetl at Sveet Address, eox or Route No. Gry 1544 Clemson Drive Eagan ectmn o. Township Namc or No. Renge No. County Dakota Occupant IPFINTI Phone No. New Horizons Power SopDlier Address _ ElechiL-al Coniracfor (Company Nnmel Conhactor's License No. O.B. Thompson Electric Co., A40602 Mailin0 Address (ConVactor or Owner Makinu Instailanon) 12201 Mtk& slvd., Mtka 55343 l Authoneed Signature IConVactor/Owner Makiny InstallaLON Phone Number ,? ?, ?•.s.?. ? 933-252? _?_ ? MINNESOTA STATE 80AND OF ELECTqICITY Irv5vteiiurv neuut5i wiLL rvuE Griggs-Midwey BIC9. - Hoom N•191 gE ACCEPTED BY THE STATE BOAHD 1821 University Ave.. St Paul, MN 55104 UNLESS PflOPER INSPECTION FEE IS Phone 16121 2972111 ENCLOSED. ? REQUEST FOR ELECTRICAL INSPECTlON „ es-ooooi-on 666 ?? , See instructions tor completi? this form on back of yellow coOVR nc,,a Qrt7 "X'" Below Work Cuvered by 7hrs lfequest 0? Id e of 8wltling Aavlmncas Wrted E quipmeN WireA e Range ervice ex Water Heater FIXtUres xtures M Bwlding Apt. Dryer 2tin mercial Bldg. Fumace W ?r stnal 81dg. Air Conditioner ank Othpi ?tyl r Suec?ty t Offier .,.,...?...........r..__._....._ __._.. p Fee ae ServiceEntranceS k Fee Feadere?Suhle # F. Cvcwts - D to 200 Am s D io 30 Am s 0 to 30 Amis Ahove 200 Amps 31 to 100 Ainp 31 to 1 DO A EiLs Swinvnin Pool Above 100- P A6ove 100Aml? Transiormery Irrigatwn Boorr ParnalOther Fee Signs Special Inspec TOTA?,FEE I Remarks Final Tnana ?!/ / Raugh-in I, the Eleclrrtal Inspector, heroby erbfy fhat the above Final inspection hes baen made . .n.a--rvniniamoudhsirom `? REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa ? ' Sae instmctions lor compleling thd::,lorm oo back ai yellaw caOY. ? b 0 ? A Qq q "X" Below Work Covered by This Request New aaa Fep. Type ot eus imne APpliancns WireA en.ina,ant wiren Home Range Temporary Service Duplex Watar Heater Ligh[ing Fixtures Apt Bwlding Dryer Electric He2tin Commeraal Bidg. Fumace Silo Unloader Indusinai Bldg. Air Conditioner Bulk Mi Ik Tank Farm OtnPT oaeifv Otne,, (SOec,ryl _CT ther ISUecify Other Othei LOIDOUIE f/ISOPC[l0/I YPP tfPIOW # Fee ServiceEntrenceSize 4 Fee Fenders/SUbfeeders b Fee Grcwts ,QQ U to 200 qm s 0 to 30 Am>s !60 0 to 30 Amps Above z00 qmps 31 to 100 Amps 31 to 100 Am - Swimming Pool Above 100_Amps Above 100_Am s Transiormers IrngaLOn Booms O Partial. Other Fee Signs Special Inspectwn 5 TOTAL EE Remarks ? ? ? Rough-in ?'?e(G'<_S I• the Elaclnca? ?,/ a Inspectoq hereby Finai /?? ? Date inspectmn hes been T ' 14-J meda. Thlc reauest voiE 18 montis flom This renuest void ? ? 18 nths -•om rcro ? ? 49395 L g Lk 4--t3 Rpques[ Date .. _85 Fve No. . Rough-in Inspec von ? . ?? Peqw d? fieady Now ?'.. , ?No tor.. icensed Elec[ncal Convactor I hereby raquest insoection of above ? Owner electrical work installed at. Stre.et Atldress. 9ox or Route No. ? Citv ecLOn o. I Towaship Name or No. Range No. County Occu znt IPpINTI ? Phonc No. ? 39Oo ower Su plier Addr?,s?. _ v EI tncel nvactor (Comoa Nam Contrecmr's License No. 9 -5 Mading AAdress ractor or wner Ma ny Instaila ) 53? A nzed ignature (C ntractor/ ner akmg Installa?ion? Phone Number - 4474 408 MINNESOTA STATE BOARD OF ELECTqiC1T1f/? THIS INSPECTION PEQUEST WILL NOT Griggs-Mitlwey Bldg. - Hoom N-197 ? BE ACCEPTED 8V THE STATE BOARD 1821 Univarsitv Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE Phone 1612) 297-2111 ENClOSED. ;s'??°ns ?;am'" ?(>7 t r y($ A 493 9 L G(? ? TltiB,r. LIc I.-T7 ?' 11' ?.. . Request L1ate Firp No. Rouqh-i Insperuon ^? Re4u tl? ?Fleady Nnw ill NoutY lnsoec- 4.-<J'65 es ?Nn [or When Ready icunsed Elecvical ConVacmr I hereb y request mspacOOn ul above ? Owner eleclncal work installetl eL Street AdAress, eox or flou No. CrtY Y -SAtion o. TownsMp Name or Na. Fenpe No, uourity6ll Occupan[ IPRINTI , Phonr No. M 40?1J Pow ! $upp ier AdArey,,? ? Electncal C n[ractor (Company ame) nLar.tor's License No. 1 0419T Mailmg Address ( aclor or O ner aWnp Ins ilationl I 7 A o zed nature ( on[ractodOwner kine bistallatmn? Ph e Numbcr MINNESOTA STpTE BOAHD OF ELECTRICITY ? THIS INSPECTION REQUEST WILL NOT Grig9s-Mitlway 61dg. - Room N-181 BE ACCEPTE? BV THE STATE BOAAD MN 66104 UNLESS PNOPER INSPECTION FEE IS 1821 UniversilV p.e., 5t. Paul. ENCLOSED. Phone (672) 2972111 b^ ?' REQUEST FOR ELECTRICAL INSPECTION ?« 1 'ea-oaooi-oa 5 ? See in`spt?ru"ctions for completing this form on back oi Vellow copy. ({?? ?4R ? tkq?q d Below Work Covered-oy Tfus Request N. ReO. . Type ot Bwldnn9 v AOVhnncxs Wved Eqmome?? Wved Home Range Tertiporary Scrvre:e Duplex Water Heater Lighnny Fixture:; Api Bwldinq Dryer Electnc HeaLn Commercial Bldg. Fumace Silo Unloader Industiial Bldg Air CondfLOner Bulk Mflk Tank FBffll Other Deafy OIhCr ISPe,rty) ther Sueu y Other Oiber p Fea Serv¢eEnvaneaSute k Fee Fexders/5ubfeeJers b Fee Circurts 0 to 200 Am 5 0 to 30 Am ps O 0 to 30 Am s Above 200 qinps 31 to 100 qmps 31 to 100 Am s Swimming Pool Above 100__Amps Above 100-P?mPs Transiormers Irngation Boorcis Pnrtial.'Othei Fee Signs Sueciallnspecuon S TOTAL FEE Rem3rks pauBh-i^ ??j?e C` I, the Electrical? Inspector, heraby cxrtdy thet tha above Final ( ?l?i? inspeclion has been n ?, ? .f inetle. ? RnsreQuesivortll8momnstrom ?„ 7his request vouE ??/?? ? 1 (1/? 18?monMs from ? l0 A Q 0 -? Q r? L Renues[ Date - 3- g 5 Fre No. pouph-in InsperUOn R??u? ? ? - ... ?fleaAy Nuw OK'li Nolify InsOec- R 10r Wh es ?NO en eatly ?w urnnseo mectncai Contractor I hereby requast insoection of abova ? Owner elBCtrical work inxtwllwd ai- Sneet Address, Boa r fioute No. City ? ecuon o. Townsnip Name or No. R,mge No. Count Oc a ant IPRINT) Phane Na. 490 ! Power $upplier Adtlre Elec[rical Mrar.tm ICOmpany ma) i?ntrucmr's License No. 1 04497Z Maili B AdJress ? [rac[or or wne Making Ins? IaUOnI ?i ?e. Aut ed $ig mre (Cnnh todOwner bng Installat.on) Phone Number ? MINNESOTA STATE eOAND OF ELECTRICITV N Griggs-Midway Bldg. - Roam N-791 1821 University Ave.. St Paul, MN 55104 Phone (812) 297-2111 THIS INSPECTION REQUEST WILL NOT BE ACGEPTED BV TME STATE BOAPD UNLESS PflOPEH INSPECTION FEE IS ENCLOSED. 60rl if iEQUEST FOR ELECTRICAL INSPECTION Ee-oooot/-Og Sae instruetions for completing this form on back of ??/? ( O ??S Ysllow caav. `? ?o., 4?,?j q,? " 1( '" Be/ow Work Covered bv This Reouest Fdtl Nep. Typn ot BwlEing ApOliancee Wiretl EvuiVmenl Wirea Home Range Temperary Service 11-1 Duplex Water Heater Lightfny Fixtures Apt. Bwldmy ?ryer Etectnc Heatin Commercial Bldg. Fumace Silo Unluader Industrtal Bldy. Air Conditioner Bulk Milk Tank Farm omrr oec, v iner Isoe,Nl r..., ,,,,,. ., r.... ther Suem y .._,,...._.-_. .,.,_ other oinrr b ee Service EntranceSize p Fea Feeders/5ubtaetlers p F¢e Circuits ? 00 U to 20 0 qm s Above 200 qm )s 0 to 30 qm s 37 to 100 qmps ,D 0 to 30 Am s 31 to 100 Am Swimming Pool A6ove 100_Amps A6ove 100_Amps Transiormers Signs Irngation Booms Special Inspection Partial.'Other Fee Remarks - '110,50 TOTA',J?f nal in I, fhe Elactncal Inspactor. hereb' certiiV that the . bova ( ?`?? ?,dcJ msvectmn has baen .,. mada. vmC 18 SU(a 7_3 2007 RESIDENTIAL PLUMBING PeRnnir aPPUCATioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 <gb) Please complete for modifications to existing residential dwellings. Do not combine inside and outside Iumbin on the same a licatfon; se arate a Iications and ermits are re uired. ?r Date 10 ! _( ' ol Site Street Address `S-f ?-- UCiY r? O Vl ?? Unit #p Proper[y Owner Telephone #JoS I) Chempion Contractor 651'365"1340 Telephone# ( ) Address E__,,., uu 55123-1339 City State Zip The Applicant is: _ Owner & Occupant L"ILicensed Plumbing Contractor Septic System _ New Refurbished Submit 2 sets of plans and MPC license Inctudes County fee _ $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lum6in re airs are made to a buildin . Alteretions to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes ? installation of a water softener and/or water heater at the same time. If you are instal/ing on! a water so/tener andior water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) instalhng R7 ?5 lS _Septic System Abandonment 0CT D I 2 4 2007 _Water Turnaround (add $136 00 if a 5/8" meter is required) Other. _ _ Water Softener / Water Heater $ 15.00 _ new eplacement Lawn Irrigation _ RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total I hereby apply for a Residen6al Plumbing Permit and acknowledge that Ihe information is complete and accurete; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand ihis is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ???a?? ?h?OP.(V ?i?t)?(> ?V? Applicant's Printed Name Appli an s Signature ),`7aaB rm Qzq S \ n .9qy?o Cp\R .? R?. ? n ? , a. ? LO ? \ . p f Q N S n P It ? C! ' L` 0 ` \ O Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 928.0 -4--- Denotes Direction of Surtace Drainage Proposed Lowest Floor Elevation= 928.5 I hereby certify Mat Mis is a true and correct representation of a survey of the boundaries oF. Lot 5, 6, 7, & 8, Block 1, TIIOMAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and ail visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 18th day of Februarv 19 85 . ? I 2 Paul A. nson 2F_VisEO _2-27-as 1-709Ea sr. EZEVS PRT Land Surveyor, Minn. Reg. No. 10938 CERTIFICATE OF SURVEY for McCOMBS-KNUTSON ASSOCIATES, INC. ???t ?y.???y' Lyy?c [ONiUlTlti EIIi1MRllf 0 uuo suevcroes 0 srtt ruMUIs I?G?f rM11LV?? f-M1IIG?7 Li i, ` - _. PERMIT # " 1 I-Va-X RECEIPT DATE: AEAA-? - ( - ci -111.? 2002 fESIDE1VTiAL PLUM$INfi PERbIIT APPLIClkTION crrY oF EAs" 3630 PILOT KA08 RD rl ?fi?, ? 551E2 651-6$1-4675 ?? Please complete for: SITE ADDRESS OWNER NAME: : single family dwellings, townhomes and condos when permits are required for backflow preventer for irrigation system 11 ? .-? . -,. .f .._...-, ! INSTALLER NAME:, MCGIIIRE & SONS ^? y STREET ADDRESS: 4oplu(!S, MtM 55343 --:. . CITY: 50 )550 WEdT APR 2 9 2002 unit, TELEPHONE#:1.9J'-CnRl" 01 31 (pREA CODE) 7ELEPHONE #:"I' 5,9-931'96a2 (nRen cooe) STA7E: ZIP: SEP71C SYSTEM, new/refutbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and, water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 518" meter'rf needed -$118) Qther. _ RPZ: new installation/repaidrebuild $ 30.00 _ lawn irrigation system R?l dditional: _ water softener )<Water heater $ 15.00 State Surcharge $ .50 Totai " I hereby acknowledge [hat I have read this application, state that the information is wrrect, and agree to complywith all applicable Cityof Eagan ordinances. It is the appliwnYs responsibility to notify the property owner that [he City of Eagan assumes no liability r any damages caused by the City during its normal operational and maiolenance activities to the (acilities constructed under this pertnit within Cit rop /right-of-way/easement. SIGNA RE OF P MI EE 1702 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL COlPtRACTOHS ?NST BE LICENSED ifITH THE CITY OF EAGAN low ?Nous? INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS I c?r 4 PLEx o?. °° To Be Used For: ? Valuation: D - " ai ?-v?-=-- Date: Site Address: j,ry1, C/,em•p,) ,pe?ww_ Tha.niss Lot: _Ar- Block ?L Sect/Sub Lltks #m Z Parcel II Owner ?tle,j NorUse.) parn.?g x,,,a. Address P, O. $onc 43107 City/Zip Code "Yyo Contractor S,wm? Address City/Zip Code Phone It 4120- 390 0 Arch,/Engr 0, Cf_tzwo111 Address Phone !I ?/,?,r 752?1 OFFICE USE ONLY Erect X Occupancy ?-I Remodel _ Zaning pp fiepair _ Type of Const 5L ha Enlarge # of Stories Move _ Gength 44 Demolish _ Depth Z(p Grade ? Sq Ft APPROYALS Assessments Permit 301. Water/Sewer Surcharge m 'zo Police Plan Review 150• -° Fire SAC 525. °-° Engr Water Conn TE-0- Planner Water Meter 'S03. =° Council Road Unit 28p. g' Bldg Off Parks APC Treatment Pl t 32.°° Variance p I ? TOTAL l / ? /' . S Q ( saV,.xFousr, ) CITY OF EAGAN No 9947 3630 Pila Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHON E: 454-8100 >/? /? 7 v BUILDING PERMIT Racelpt # T. N uad M. 1 OF 4 PLEX Est. Value $56, 000 pme MAPCH 8 . 1 9_115 SiteAddresa 1542 CLEMSON DR Erect EM Occupancy Rl Lot 5 81 ock 1 cecJSub. TxONIA$ LK FlT4 ZRemadel ? 2oning pn Parcel No Repair ? TypeofConst. UN . Enlarge ? No. Stories W Name NE6V HORIZON I3QA4ES INC Move ? Length 44 P• O. BOX 1367 pemolish ? Depth 2( ? Address Grode ? Sq. Ft. Citv MPLS Phone 420-3900 Insull ? a SAMV Avovovab Faer Z P Name ?U Address City Phone a swoLn oW, Name F„ XV Address g City Phone 435-7524 I hereby acknowledge tFwt I have read this oDDlicotion ond stote thor fhe information is Correct and ngree fo comply with oll applicoble $fote of Minnesoto SfatutesfQnd Cify?qf Eagqn Or4MOnces. Assessment Wofer 8 Sew. Police Firo Enp. Planner Council 81dg. Off. 3/7/$ 5 APC Var. Date Permir___V_3_• 0 0 Surchnrge 2 $ • 00 Plan Review 1$ 0. 5 0 s,,c 525 00 Woter Conn. 500 . 00 Woter Meter 63.? 00 Rood Unit 2Rn 00 T.P. 132.00 rotal $l 379_50 Sipnafurc of PermiMee I A Bullding Permit Is issued ro: NEP7 f ORIZON ,S on tha exprcss condlflon thal all work sholl be done in nccardonce wfth pplimble St te o innesot- Ciry oi Eapon Ordinoncez. Buildinp Official • i' r e• 1985 BUILDING PERMIT APPLICATIOH - CITY OF EAGAN NO?E: AI,L CON7RACTORS HUST BE LICENSED ilITH THE CITY OF EAGAN 7owaNal:?E UNIT' `I9 INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET pF ENERGY CALCULATIONS To Be Used For; IOF 55,C00 ? Valuatian: ?-aa- Date: Site Address: lXgg C/a.asco,.+ ?aiot rho ?+rts Lot: Block _L Sect/SUb Parcel # owner Va6„) yoai :o.) .S4onm :r?u e. Address P O. $o? /3le7 OFFICE USE ONLY Erect X Occupancy z-( Remodel ? Zoning pp Repair _ Type of Const 'SLMI Enlarge # of Stories Move ^ Length 4?7 Demolish _ Depth 'Z Grade _ Sq Ft City/Zip Code yyj,a.inmoj,,ty ,S,ryyo Contractor APPROYALS Address City/Zip Code Phone # yso. 3f40 o Arch,/Engr Address Phone # yjtr- 7XZy Assessments Permit Water/Sewer Surcharge Police Plan Review 1 53,5= Fire SAC ?25,m Engr Water Conn 5rx7. Planner Water Meter Council' 9 Road Unit Bldg Off Parks APC Treatment Pl 1 3Z. °? Variance ?0? L ? ?? S A / U ,- ( TOWNf<0[]SE ) BUILDING PERMIT 1 OF 4 PLEX Est, vnlue $58, 000 AS F Address City - Phone Receipt * N_ 9948 SiteAddreu 15$2B CLEMSON DR Erect Ex Occupancy Rl Lot 6 Blotk 1 Sec/Sub. THOMAS LAKE HTS Remodel ? Zoning PD Pareel No ZND ADnIT70N Repair ? Type of Conrt. VN . Enlarge ? No.Stories Move ? Lengtn 44 Name NEW H ORIZON HOMES INC ? = Demolish Depth 27 Address P.O. BOX 1367 G d ? S Ft ? ' re e q. . City LS ?"1? phone 420-3900 Install ? SAME Approvals Fees o Name °C Name D. GRISWOLD i? Address ?W City Phone-4 -iS-7524 I hereby acknowledge thof I Fwve reod this opplicohon and stofe That the iniormofion iz corFecf and Cgree to comply with oll applicoble Smta of Minnewm Srotute,s_and Ciphof Eago,p Orduwnces. Signcture of Permittee L_ }-?L-M? A Building Permit Is issued to: NEW H all work shcll 6e done fn accordance wirh all CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55721 PHONE: 454-8100 Assessment Woter S Sew. Palite Fire Enp. Vlonnet Countil Bidg. Off. 3/7/$ 5 APC Var. Oete Permit 307.00 suicharpe 29.00 Plan Review 1 53 _ 50 SAC 595_00 Water Conn. 900 _ 00 WaterMeter 0; -4 00 Road Unit? UTR n 0 0 T.P. 132_00 Total Y,l,f qRR . SQ _ on tha express Gonditbn tMi ond C{ry of Eapan Ord7nonces. Buildinp pfficial 1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN NOSE: ALL CONiRACTORS HUST BE LICENSED ifITH THE CITY OF EAGAN Touia?ex?s? UN\r 99 INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 7 SET OF ENERGY CALCULATIONS To Be Osed Fot: IC'r,x Valuation: ??Date: 2-,tG d,f Site Address: wnrlt Lot: _L Block Sect/Sub Parcel 11 Owner We,? /./oArzo.? f/or»a.? Address P.O. IIox iYG?7 OFFICE USE ONLY Erect ? Occupancy ?-{ Remodel _ Zoning _FED Repair _ Type of Const SL N Enlarge li of Stories Move _ Length ? Demolish _ Depth ? Grade ? Sq Ft City/Zip Code /rJ,?ae?j TSyyo Contractor APPROVALS Address City/Zip Code Phone # Arch./Engt ,fl• Gp-jswe/r1 Address Phone p 4(3,T= 7f2 V Assessments Permit ao Water/Sewer Surcharge ? Police Pla? Review 153.5O Fire SAC 5251% Engr Water Conn 5pp.°° Planner Water Meter (D3. ? Council Road Unit °° Bldg Off!3 Parks APC Treatment Pl ( 32. ? Variance TO'IAI. ( ToWNY0usr, ) CITY OF EAGAN N a 9950 3830 Pflot Kno6 Road, F.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ' BUILDING PERMIT Receipt 7L Te 6e mW fer 1 OF A PLEX Ese. Volue $58,000 Dare MARCH 8 , 1985 SiteAddress 1544B CLEMSON DR Erect $1 OccuPency gl Lot _1- Block 1 Sec/Sub. THOMAS LAKE ATS Remodel ? Zonin5 PD ParcelNO 2ND ADDiTIOIV Repeir ? 7ypeafConst. VN . Enlarge ? No. Stories w Name NEW HORIZON HOMES INC Move ? ? Len9tn 44 ? Z P O B??' 13 67 Demolish Depth 2 ] ? Address . . Grade ? Sq. Ft. Citv MPLS vhone 435-7524 Inscen ? ? Aonrmob Fae? Fo Neme SAMF. U? Address OV I- City Phone Name D. GRISWOLD Address City Phone ASSESSm¢nt Woter & Sew. Palice Firc Eny. Glannef Countil I hereby ockrwwledge fhot I hove reod Ihis aDGlication ond state that Bldg. Otf. 3 7 8 S fhe inlormation is correct and ogree fo comply with oll opplicoble APC Stato of Mmnesoto Statu??and Cib1 /7 of,Ea9qn Ordinances. Var. Oate f Sipncturc of Permittee Permi307.00 Surcharpe 29.00 Plan Review 153.50 SpC 525 00 Worer Conn. 500.00 wate.Mete. 63. DO Rmd Unit 280.00 T.P. 132.00 rotal $1,989.50 A Building Permit is issued ro: on the express mndiHOn thot ij? all work shall be done in acwrdance with a ppliwb a ta of ' enota Statutes and City of Eagan Ordinonces. Buildinp Officfol ?? ;i .: ?F ?? ??-7 1985 BUZLDING PERNIT APPLICATION - CITY OF EAGAN NO?E: ALL CONTRACTORS HUST BE LICENSED iiITH THE CITY OF EAGAN O W I.I F-?1SE INCLUDE 2 SETS OF PLANS Uh1i T`?'?'1 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS i o? q- P,?x sa, ?._? To Be Used For: AbGEa2XWz-L Valuation: Date• Site Address: Z"y GLe,?,.o.J V?p,ol.. ?75omntt Lot: 8 Block _L Sect/Sub µ? t y Parcel # Ovner Nz,„) A/a2.=, om Address P D. 8ox City/Zip Code Contractor Address City/Zip Code Phone # Arch./Engr 1%_ jTQjswo /C/ Address P h o n e # _y,RT 7,0's y JoH? rdr?I,?O?-t 42-0 -37 oa OFFICE USE OHLY Erect X Occupancy ?-? Remodel _ Zoning ? Repair ^ Type of Const ?? Enlarge ll of Stories Move _ Length ? Demolish _ Depth 1-7_ Grade ? Sq Ft APPROVALS Assessments Permit >o Water/Sewer ? Surcharge °p Police Plan Review 1,5 3 50 Fire SAC 5Z5,`° Engr Water Conn Sc?O. w Planner Water Meter fo'3, ¢° Council fioad Unit =eo =° Bldg Offj&jf Parks APC Treatment Pl 137=' Variance T02AL ?rz,v W???n& Sup-(, (TowNhousF) CITY OF EAGAN N? 9949 3830 Pilot Kno6 Road, P.O. Box 21-789, Eagan, MN 55121 PHONE: 4548100 ? U BUILDING PERMIT Receipt # Te M wed fer 1 OF 4 PLEX Est.Velue $58,000 pOfe MARCH 8 Iq 85 SiteAddress 1544 CLEMSON DR Erect 7Q ocwpsncy Rl Lot8 Bbck 1 Sec/Suh. THOMAS LAKE HTS Remodal ? 2oning pll Repsir ? Type of Const. Vp] Parcel No. ?ND DTTTON Enlarge ? No. Stories ntooe ? Length 44 Name NEW HORIZON I30MES INC Demolish ? Depth 27 ? Address P• O. BOX 1367 Grede ? Sq. Ft. Crcy MPLS vhone 420-3900 msuu ? Name _ io ? Addresa 1- Citv __ Assessment Water 8 Sew. Police Fire Eny. Plonner Council Fae? Permir 3 7.00 Surchorfle 29-00 Plan Review 153.50 snC 525.00 Water Conn. _jQ_Q._O Q Woter Meter ____6_1..0 0 Road Unit 7Rn-00 Phone tw I Name D.n GRISWOLD Address u Z. City Pnone 435-7524 I hereby ackrwwledge thof I have reod this applicafion ond slote that gldg. Off. 3/ S 85 T. P. 132.00 the iniormation is [orrecf and agree t0 comply with oll apDlicoble Sfate of Minnesota $fafutes Gd G of E gon Ordmonces. A? Total si 989 _ 54 Var. Oate $ipnoture of Pertnittee I A Building Permit is issued to: on tha ezpress conditlon 1fwt GII work shall be done in accordance with/? I aDD?i?ble Sf(?-?,() Minnesota $tatufea ond City of Ecqan Ordlrwnces. Buildinq Officiol ? ' ' I L 16, Sedql4xGd HEAI LOSSCALCULATIONS HEATINGBAIR CONDITIOMING CO. MiNNEAPOus,Mirua. WenthersinFlS A.S.H.V.E. Cons[ructionNo. I?sulation Y7indows Doors Guide ReferenCe Out. Wall Int. Wall Ceiling Roof Floor Kind How Appiied Yes-No Yes-No 19 _ FL! ?Yte.'.??„y,pRoom Length 7 'Z, Width HeigM' ' FI. m(\SYfp F<nRoan Length -W+dth Height 'ia _ YJindows and Doors-Crackage and Area Win dows an d Doors- Cracka ge and Are a Nu. W?d?n 2? ,ne He?pht ol Dane No, ol I- hIS bneal IL ol pr ck Aiea sq. N. NO ' W.Ath a1 ane Moipht of ene Nn. ot h h14 lineai IL of eraek Area sQ. Ft• -:, I 2 2 t ? "7 -- .? Coef Btu Coe1 Btu InhltfeUOn IflHltrelldl ' j_-- Glass e 'K.) 2qc Glass Exp. wall Exp. wall Net eap. wall Net ex . a I +•°'? '? ? •-? _ . : ? ??' -} ,rI{-w-ary- , o'.) t' I 11'1 22,2 Int. wells"i Ceiling ?tvi 2's Ceiling lim Floor Floor Total Btu. 7 5'I Total Btu. Required sq. It. E.D.A. or sq. ins. W.A. Leader aiea Raquired 6q. ft. E.O.R. oi SQ. in5. W.A. leader area ? FL Room Length ? j Width ? Height FI. Ff `"?`.?+Ilt?qom length ? j Width Heiyht Windows and Doors-Crackage and Area Yii ndows a nd Doors- Cracka ge and Are a Na Widm ol ane Hwpht of ane No. of ii hta Oneal R ol crack A,er +9• ft • N?' WiArh l ane a Ne. qht ?I enn No. ul hta h Lineal It. 01 creck 4iea %a. ft. r'i 10 r ? '?'f ^ p /() ( r? L 7- i Coel Btu Coef Btu Infiltretion a.• 2._74() Infiltralion i _ Gless eA, %Q ?OU(.) Glass Exp.wall i -? -_ Net exp. wall Cyrp `iln ExD.wall Net e.p. wall , Int. wall Int. wnll Ceiling I'? 2,5 !L}, Ceilinp Floor flapr ` :7 '? •; _i lu[al BW. S Total Btu. Aequired sq. H. E.D.R. or sq. ins. W.A. Leader are. Reqwred sq. ft. E.D.R. or sq. ms. W.A. Leader area Y FI. %; r-.. Room length 12 Width ?r Height Room Lengtb Width '-? HeiBht J.l, NJindows and Doors-Crackage and Area W mdows a nd Doors -Crack age and Ar ea N??. wain l Ne? nt of ane No. uf h hts L?neul It. oi uack A•ea sq. 11 NO' q?. nni ul ane ?U p?4 ul ane Nn. ol li Ms lineal 1t. of crack 4rea• 50• It ane! o O . Coe f Btu ' - Coe1 Btu InfiltraliOn In(iIVaLOn Giass--- Glass " --- -'- - Eap. wall Exp. well Net exp. wall kat exp. well Ini. Wvll _ Inl. WAII Ceil"no E" , Ceilin9 -'. floor _--' - Floor ' - _ Tutal Utu. Total Btu. -?f-- 17eUi???ed sy. 1t E.D.R. ur sq. ins. W.A. Leader area t Q wred sq. fL E.D.R. o? sq. ins. W.A. Leader area Roq HEA7 LOSS CALCULATIONS foa• HEATING &AIR sm?u'`? CONDITIONING CO. MINNEAPOLIS. MINfJ. Weatherstnps A.S.H.V.E. Construction No. Insulatwn Windows Doors Guide Reterence Out. Wall Int. Wall Cailing Roof Floor KiM Mow Applied Yes-Na Yes-No 19__ -- ?FI. length Width Height _ FI. Room Length Width Haopht YJindows and Doors-Crackage and Area Windows an d Doors- Cracka ge and Are a N? W??fin ol an? Heiv?? ol aane No. ol h9hts Lmeal f?. ai crack Area cq . 11. No. W?A?h ol ene Moipht ol ene Nn. oi h hts Lmeal fr. ol c?ac4 Area s4• ??, I _ Coef Btu Coef Btu InfikrAUOn TT 7(PQ Infiltretion _ Glass Glass Exp. wall S4 °, • ? Exp. wall . Net exp. wal I ( 20 Net ezp, wall Int. wall Int. wall . Ceilinq Ceiling Floor . ?, k •t .? ?. (.D-] Floor Total Btu. Total Btu. Reyuired sq. f1. E.D.R. or Sq. ins. W.A. Leader area HSquired sq. 1t. E.D,R, or sq. ins. W.A. Leader area ? FL ,}•j Roan Length 9L-I_ Width 11 Height FI. poom Leng[h WiMh HeiyM VJindows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and a N ?' yl,,J,p of Me,qpt ol pane No. ol h htg Lineal fL f aack Area . No' W,d,h ol ane Houqhl af ann N. uf b hts L??eal j of va sQ_ iL Coef B h Coef B tu Infiltrztion ( IE-] 2223 Intiltrauon Glass ?? QQ? Glass _ Exp. wall ISI Exp. wall _ Net exp. wall L ?gz / ?-f. 1 Q Net exp. wall UILywaµ .i'. T, ?( 32 '7(J 2,2 Int. wall . Ceiling Ceilmp Floor lotal Btu. ???? To1al 8tu. __ Re4wred sc1. ft. E.D.R. or sq. ins. W.A. Leader area Reqwred 6q. ft. E.D.R, or sq. ins. W.A. Leader area ?. FI.S ? -;??;?'Room Length ?"3 Width -1 Height FI. Room Length Width Heipht YJindows and Doors-Crackage and Area W indows a nd Doors -Crack age and Ar ea N??. - Wi.IrM1 ?ol .ne Ilrql?l ol p?ne N?e. of li hty linOnl h. ol c(ack Aca sa. h. No. Wu1?l. u? nne H? ol'l ul 0?nt, No. ol b nts l?nnol ll. of c?ack s4!ell. Coet 8tu Coei Btu InliItraUOn Infi ItratrOn Glass Glass • ' ___ _ , Exp. wall Exp. wall Net exp wal I .'. D - 0 - Net exp. wall____ Int. wall'_---- Int. wall Ceil'ny Ce, lin9 _-??_ _- N • , uor t?l i•'Y Flnor Total Btu. Total Btu. F1eUwied sq. ft. E.D.R. or sy. ins. W.A. Leader area _ Roquired Sq. ft, E.D.E. ot sq. ins. W.A. Leader area - - , ... .i .,a? ae. av reso j oJ a 11 e408 1tL?1VC11AL riY 817LC1(`JL'14 re ° al IM.J'MERSW 7une 7, 2001 City of Eagan 3836 Pilat $nob Road Eagan, MN 55122 To Whom It May Concern: Elder Jones is anthorized to pull building permits for Renewal by Andersen_ Please allow Elder Jones to provide this service for us in Eagan. This authrnizaticm is valid for any date beyond 6/6/01; wntil a Wenewal by Andersen manager axpressly revokes it in writing to the City. I reqnESt this authorization be accegted expediriously, as to nat delay in the processing vf our building pcrmits any fu,rthcr. Plcasc cail mc if thcic arc any questious. I cazi Ue contacted at 763-502-4706_ Your immcdiate attention to this mattcr is apgreciated. Sincerely, Knd& o Renewal by A.ndersen Coiporatian C'c.: Kara-F.Trie.r .Tnnee .?..??4 ?•??..z ? G-T-?j 01 EG4AOA M. E! GpMpL Noto ry Puaic nespr? Ep'aeaJ?n.a7?Z00.s IEJ UUL/ UuL Received Time Jun. 1. 1:07PM ? Cltl( OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Datelssued: ?J\s BUILDING 021883 09J02/93 SITE ADDRESS: 1542 CLEM50N OR LQT: 5 BI.QCK: 1 THOMAS LAKE HEI6HTS 2ND P.I.N.: 10-75951-050-01 DESCRIPTION: Bu lh-nlg1„Permit Type pECK B{uildinq ~Wnrk Type ADDITION uilding Lengr? 10 //:1113uilding WidtYr --? 10 V PERMIT (Mu Q0 U(7dc??? REMARKS: FEE SUMMARY: Base Fee $25.00 COPY $.50 Surcharge $.50 Total Fee $26.00 Subtotal $25.50 CQ?TM91gRaUT - HPP1119535300 B?WNER: RAYMOND 18580 DOpD BLVD 1542 CLEM30N DR EAGAN MN 55044 EA6AN MN 55122 (612) 953-5300 (612)686-6771 I hereby acknowledge that I have read this application and state that the information is carrect and agree to aomply with a;ll applicable State of Mn. 5tatutes and City of Eagan Ordinances. ?- - - APPLICANT/PERMITEE SIGNATURE ISSUED B: SI NA U? REAC7lMf:tE.-- 4j71:11 CITY OF EAGAN PE?::'t f ' 1993 BUILDING PERMITAPPLICATION IzL-00 681-4675 IINGLE 5 MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. ; COMMERCIAL 2 sets of architectural 6 structural ptans, 1 set of specifications, l copy of energy calcs. Peoalty applies: 1) when permit is typed, but not picked up by last working day of month. r 3) lot change is requested once permit d h o ange in which request is made, 2} address is c is issued. Date T / a7 93_ Valuation of work 4-P8%O62 Site Address: /SHa .(E/Nsd,v llflWF LiREEi fUlTE 1 Tenant Name: (commercial onl;y) ypT BLOCK ' TBD.?? ?N X Y.I.D. N ZN D oo Descrl tion of work: i v The applicant is: ? Owner O'Contractor O Other co..«+ee> Phone 6b6 -(0'7'7/ Name wroperty UST FIRST Owner Address ?Xt?MSO 1714/UE' STREEi , iTE N City .,FpG''4 N State /Vliv Zip Company l11l /18 iern e-?u t` _ Phone -- /8580 nBdd A)?!1 License Wa ??XP? dd Contractor ress A Lity L q #Z 114'L r 9 State ,ZiP .5.5?fi51 Company Phone AfChltECt/ Registration M Engineer Name Address City State ZiP Sewer & water licensed plumber . Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is sota Statutes and City of " f Mi nne correct and agree to comply with all applicable State o Eagan Ordinances. 5ignature of Applicant: OFFICE USE ONLY ,. ' 4 • BUILDING PERMIT TYPE ' - ' O Ol Foundation ? 06 Duplex ? 11 . Apt./Lodging . . _ ? 16 .,. Basement-Finlsh O 02 SF Dwg. ? 07 4-Plex ? 12 Nulti. Misc. ? 17 Swim Pool O 03 SF Addition ? 08 S-Plex ? 13 Garage/Accessory O 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Coiem./Ind. Misc. O 05 SF Misc. ? 10 Mutti. Add'l. A 15 Deck ? 20 Public facility O 21 Miscellaneous WORK TYPE 0 31 New O 33 Alterations O 35 Tenant Finis h CI 37 Demolish K Addi ' ? 34 Repair O 36 Move GENERAL INFORMATION tonst. (Actual) Basement sq. ft. MWCL System (Allowable) ]st F1. sq. f t. City Mater UBC Uccupancy 2nd F1, sq. f t. PRV Required Zoning Sq. Ft. total Booster Pum p / of 5tories Footprint Sq. ft. Fire Sprink ler length ?r On-site well Census Code ? Depth ?p • On-site sewag e SAL Code APPROVALS f a Planning • Building Assessments Engineering Variance REQUIRED INSPECTIONS ' ? Site 'IA Footing ? Framing ? Insulation 0 Wallboard q Fi"nal ? Oraintile ? Fireplace Permit Fee 25 1 00 v.iuotid,: g Surcharge ? . Plan Review ' License MWCC SAC City SAC Water Conn. Mater Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAL Units %-'r , sof E r 1 - . ' . _ -?rs ?a C S ? . ? . f w ? !?s' ?-.- _'_ r , . s ;? s Jb j'15 ?: ;, » ; , ?',?--._ '? ?1 ? • .? ? • ? a,»? r \ ' ? .? ` +• ?? _,? ? 1?? ?I?-?,. ?? _ • ? Ck ytq ? . ; 1. ? 00 's?" - 14 _ ?. .. 4 ? . A ? w ? . .. q ? ?? ? • . , N -? ? ? .s v - ? • . ? .J ?k a.1? 4 ?1 1 v ti J? N . ?, ?• ? ? .I I. ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: BuzLorNG Permit Number: 029783 Date Issued: 0 5! 2 B J 9 7 SITE ADDRESS: P.I.N.< 10-75951--080-01 1544 CLEMSOP! OR LOT: 8 BLOCK: 1 THqMRS LAKE HEIGHTS 2iV0 DESCRIPTION: (FRAMING Ed?u'ildsn?:.Pe?-miC Type uiJ,d?ng Wc?.c,?< Type tensus Cadd _ . ,., .. , '.. .w €? L U. 4 . . .. Y.? u ?9 ! .? 7 .??.t'.yy ?? ? _, Base Fee $58.00 Surcharge $.50 Tota]. Fee $50.50 ? ? ' ? k iS REfNARKS: FEE SUMMARY: CONTRACTOR: - App7.icant - OWNER: NELSON, KEITH 14206550 MFYER GEftALD 13511 86TH f'L N 1544 CLEM.iON DR MAPLE GROVE MN 55311 ERGAN MN '(612) 420--6550 I ONLY} DF=C1< NEW 434 FlI.T. RESICIENTIAL S here6y acknsrw3,edFga that Z H,avv r-ead 0is" apPlIcatici,n 6nd stats that tire znforrriation !s carreot an.ci, agreA to Gomply wi:th a?j 4[PR???,Ole SCate of Mrt. Statutes and City f Eagan'Ordinances,ZBN\AT APP /PERMITE SIGNATURE 1 S URE - ' ° - 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?JQJO CITY OF EAGAN lqqfs, 8830 PILOT KNOB RD - 55122 681-4675 ?lew Construetlon ReoWrementa SemodeVRaoeir Reauiremenfs ? 3 registered aite survays ? 2 eopies W plan ? 2 copies of plans (indude beam & window aius; poured fid. deagn; etc.) ? 2 site aurveys (exterior edtlitions & tleeks) ? 1 energy celculations • 1 enerpy celculetions lor heated a0ditiona ? 8 eopies of tree preservation plen M bt platted efter 7/1/93 required: _Yes _ No DATE: y -7 CONSTRUCTION COST: llESCRIPTION OF WORK: 1!l ?U? ? 17 I?X STREET ADDRESS: LOT ? BLOCK 1fy-1 cwmsa? otL SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR State: Zip: Company: ?j ???f ??25 U vZ.J Phone #: Street Address: A License #: Ciry: 9/w/z- G State: N/f/ Zip: (S3 ARCHITECTI Company: ENGINEER Name: 0n air,l, Phone #: Street Address: City: Phone #: Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construction onty): . Penalty appiies when address change and lot change are requested once pertnR is issued. t hereby acknowledge that I have read this appiication and state that the iMortnation is cortect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates af Survey Received _ Yes _ No Tree Preservation Plan Received Yes No - Not Required APR 0 9 1997 BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 02 SF Dwelling o 07 4-plex 0 03 SF Addition o 08 8-plex n 04 SF Porch o 09 12-plex n 05 SF Misc. ? 10 _-plex WORK TYPE )z('31 New 0 32 Addition OFFICE USE ONLY ? 11 Apt./Lodging ? 0 12 Multi RepaidRem. o n 13 Garage/Accessory o ? 14 Fireplace n .0'?15 Deck .. t ? 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous ?7 -?+rw?s pa-? ?J ? l?,6a 0 33 Alterations a 36 Move 0 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq.ft. sq. ft. Footprint sq. ft. APPROVALS Pianning Building It43 MC/WS System 1-- City Water / Fire Sprinklered PRV Booster Pump Census Code. A4 3 q SAC Code 01 Census Bldg I Census Unit 0 Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permft S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ONLY MISCELLANEOUS ALTERATION 434 ALT. RESIDENTIAL SITE ADDRESS: p.I.N.: 10-75951-080-01 1544 CLEMSON OR LOT: 8 BLOCK: 1 THOMAS LAKE NEI6HTS 2ND DESCRIPTION: REMARKS: ;4 -•_?, ?; ??r? ?.. ?.$? ?? PERMIT DECK FTGS Bur3:ldfing?Permit 7ype B'uilding Wo,rk Type ,.Census Code`z=',\ ? rt f; : -? ? r d C ._? i , f ` .-.?'q?',s-. 4? yil?y^ FEE SUMMARY: Base Fee Surcharge Total Fee VALUA7ION guzLosNG PERMITTYPE: 028958 Permit Number: 10 / 0 2/ 9 6 Date Issued: h--J.k?"'Ii; ? 1 i_. 1`s 0 $200 $21.00 1,50 $21.50 CONTRACTOR: - HpPllcanti - 9M&R: J&C CONCRETE CO 18280877 GERALD 8924 M7 CURVE RD 1544 CLEM50N DR BLOOMING70N MN 55438 EAGAN MN (612) 828-0877 I hereby acknawledge thet I have, read tkis'appla.cation a,nd state that the information is correct and agree to comply with all applicable State of Mn. Statutes?'and =City o'F Eagan ?Or,dinan(ies°. 3 ° IL APPLICANT/PERMITEE SIGNATURE / cIi -?? ISSUED 7S NA7URE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 1 rcgislered ada suneye ? 2 copies ot plana (inGuda beam 8 window sizes; poured fnd. design; etc.) ? 1 energy caleulations ? 3 oopiea of tree preserveNOn plan ff lot piatled aRer 7/1/93 tequired: _ Yes _ No ? ? RemcdeUReoair Reauirements ? 2 eopies of pian ? 2 site surveys (exterior adddions 8 decks) ? 1 energy calculations (or heated additions DATE: I-7C I 4. CONSTRUCTION COST: DESCRIPTION OF WORF STREET ADDRESS: J LOT ? BLOCK I_ d o< -' SUBD./P.I.D. #: _.- Ll.. Zn?, W ,?. -MT znk PROPERTY Name: 4 ?r1.ah/ ?P,HA L-Q?A? Phone #: OwNER ' w* noer Street Address- City: State: Zip: CONTRACTOR Company: I a C C' oiv e??ef-? Phone Street Address: ?5l f?? % ?C?2c?f /C?L' • License #: City: l"/Yl !V^fB `? State: 41 Zip: ILEVL ARCHITECT! Company: ENGINEER Name: Phone #: Registration #: Street Address- Ciry: Sewer 8 water licensed plumber: change are requested once pertnit is issued. State: Zip: Penalty applies when address change and lot C• I hereby acknowledge that I have read this application and state that the infortnation is correct and gree to comply with all applicable State of Minnesota Statutes and Cily of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY I Certificates of Survey Received _ Yes No I Tree Preservation Plan Received _ Yes _ No COMMERCIAL BUILDING PERMIT APPLICATION' L4 CITY OF EAGAN 1 651-681-4675 ? y ??.o? -C)? Foundation Onl New Construction Interior Im rovement • SWCtural Plans (2) sets . Architedu2l Plans (2) sets • Architectural Plans (2) sets • CivilPlans (2) • SWCturalPlans (2) • CodeAnatysis (1)" • Certificateof5urvey (i) . CivilPlans (2) • ProjectSpecs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • " Master Exit Plan (1) • Spec. Insp. & Testing Schedule • Certifirate of Survey (1) • Energy Calcula6ons (1) not always" • Soils Report (1) • Spec. Insp. S Tesfing Schedule (1) "' • Elec. Power & Lighting Form (1) not always'" . Meter size must be established • Meter size must be established • Meter size must be established - if appiicable • ProjectSpecs (1) 1 . EnergyCalculatlons (1) d • Electric Power & Lighfing Fortn (1) "* ! 1 • Master Exit Plan (1) 1 d • Fire Protection Plan (1) ! • SoilsReport (1) 1 • MC/ES SAC determination letter . MGES SAC determination letter • MGES SAC detertnination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE 7'30- 01 WORKTYPE _ NEW )( REMODEL GONSTRUCTIONCOST eJ c) SITE ADDRESS 15 VZ ` 1 S y 2(j - 19-y4-[S Y Y(j C?y GdS,)-, b2 • TENANTNAME Horiz.o, 5 • f/ o. 4_ SUITE# FORMER TENANT NAME DESCRIPTION OF WORK SlcLi.7 Name: A C/ (°&Phone#: ?( 7 77D PROPERT'Y Last First OWNER T StreetAddress ?D 'S" W City ? d ldt? j?/l-1State OVX) Zip 5T 9 2. '] Company FXArier '"(AI?l??k?h?.C??? Phone# (?P /2 CON'I'RACTOR StreetAddress: L/o5 W /va-u 57. ciry M ARCHTTECT/ ENGINEER Company Name Street Address City State Licensed plumber installina new sewer/water service: Phone State /'-I ` Phone # &bt-62 zip ? yi 9 i I ( I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. I-V;f Signature of Applicant: ///'/?i?"? ?? 1 . ? , F z/g4 CITY Or EAGAN 111?I APPLICATION FOR PEP.MIT SE:4ER AND/OR WATER CONNECTIODT (PLEASE PRINT) 1) PROPFrr?^! rIDDRESS: , f'?-?s'? ?' .,7S?.?J • - LFL'y+L D£..?C-tYl'-?PICN: (I.c t/Block/Su:,divisicn or Tax Parcel I.D. Ntr.rzer) ' ? i?:I?:'=:G Dai : 0F CiZTGL?taL uiIiDL`:G = ?;:IT ISS??::?: PP--"SL'?' ?':`T;X;/n?OP05? L'S'r.': ? R-1 SL:GLE FPMTLy . II R-2 DUPS_^..{ ('?`':J L??ITS) ? c2-3 'IC:t:--ICrTCg (??= + L^iTS) ( U:II^) ? ic-4 rl"r?uc'I_*?'"PP/CC:?Ci•ff_`IIL?1 ( CtiITSi ? CCinE.°,CZ?Z/REPAjI,/Or c ICE Q ?.'CL'S2Rsi. ? P.1STI'TGTION AI,/GGV?'y?A?T 2) A.pPLSG ??:' (PLEASE PRttii) DIAhL?: Z12 d rn.acari !?2..:... ADoPZss: 1a;2,- :);)1 1oy?.e. crTr, sr??, zzP: PY.ONE: 3) pLU.Mm NAME: ? (PLE?SE PNfNTJ Mr l4C FaR CITY USE OHLY PDDRcSS: PLU!! S LIC.YSE: Active CZT7, ST:zTE, ZIP: ? Expired PHOJIE: 11A? Q Not of Hecord PLUMBEfl LICENSE N ? aF tntLid 4) OCC?J?ANT/C!+?, 7FR ?r?cnsc ?) NA[?: r/? a r? /fv?x S ADDRESS: CITY, STT,in, ZIP: PHO:IE: 5) INDZG".TE :9E{ICH PERi•LIT IS BEIr:C REQUES'I'ED: Q Ca i 20N TC) CITY SEIr1ER ? CQ:,-o=ICV 'R7 CITY wTATLTZ ? 071ER (PI.E'1SE DF.SCftZBE) 6) E:GICN:.. C:.:: ? PI.:_n,-'7E E?OLD APPP,WED PER.'?LLT £C)R PICi:-L'P SY ONE OF AWVE P=,ZE :•T',?IL APPROVED PFF:•lIT TJ 1.tG.{ 3, 4 AEL7VE f (Circle cne) D`nTE: 3 -a°1G--?'?'' MR R Ol+l?? 11o !? !l.gflf? i?l It4?Li? ?/ li 1?{ YGi?A :a a It ft i?Jf'1floyfl? fl i!? i6F?i?/ [ F 0 R C I T Y U S E O N:, Y 1t- PEP+tIT " ISSUED • F=S: $ io $ / Q . .vd $ $ $ $ ?`? . ...-? $ $ S $ $ $ SE}:La WAT°? PEP.I"(IT (Ii:CLliDE SIIRCHAi2Gc) WATER METEP./COPPERHORN/OUTSZDE READER WATE_°, TAP (ZNCLIIDE CORPORATION STOP) SEWER TAP AC^OUNT DRPOSIT - PIATrR WHC SP.C TRUVK WAT°R ASSESS:-IE::T TRu:1K SELdER ASSESS:L:iT Lr.;c?,AL BEiQEFIT/TRUNK SE:VER LAic?ZaL BEtiEFIT/TRU:IK SVAT°R OTHER - $ TOTAL $ d7 tP ?o AMOL':IT PAI'J; REC°I?T DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEPI A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSL'ED HY THE NO ENGINEERIP7G DIVISION. LIST AS A CONDI- TION. SliSJECT TO TEiE FOLLOSVING CONDITIOIv'S: APPROVED BY: o?c!? TI':LE: DAT°_ : d?- ;>1j •N s" R?• ••? ? s? ?+ nc? ra s? wr w? w aie w? R+ ?c? w?w? s? Ra w? ? sa ??+ w?? r?c ??a a? ?? ? , • ? 2/84 , . ? ,? t J ? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AN?/OR WATER CONNECTIODI (PLEASE PRIHi) 1) PPOPERTY ADDf2ESS_ r.FrAr• DE..?._."?2IP'?'ICV: (Int/Slock/S ul2divisicn or Tati Parcel I.D_ v=Der) S?:?i;CP.T'v., D?.TE I 0-- O.cIGi IAi, cCI;.DP:G =-'_•1T ISS??+J:C?: -- ::=: pprMm L`S`r.': O R-1 SL:GZ: FP_".?Sry ' ? R-2 CLTP= (?';'O L'NITS) R-3 'IC?•.'?'HC'USE ('?'f- + L^:ITS) ( U";i^cj R-4 [;2:="°^]T/C=Ci-ir7721 ( [J\ITSi Q CCi'-2%1E2CiU/RE:i.IL/0FF'IC?- Q S ? I% STI'.^TIC:VAL/GGVEy'u?AT Z) APpLI=;i jPLEASE PRI;ii) NA-IE' ACDRESS: / a n o ( /?'iT,(-? .?1 -)r+ CTTY, S:??Tb', zIP: Tif?iw M N PHO?: _ 9 9 ? ' '? .2? L 3) pj,u.T, L- IPLEAaE PRINi) FOR CI7Y USE ONLY N71NIE; _ ?e r cti c `?? PDD2ESS: PLJPBERS LIL;45E; ? ACtive CITY, STA^tE, ZIP: 0 Expired PHOLNE: ' Not of Record PLUMBER LICENSc H dtf lntCidl 4) O(_"L?j\LNfj'/(l'jl.ER y? kYICNJt YH1:II) NAf'IE: _l/?GJ ??/`7e 6s?dr3? f C ADDRESS: CTT'!, STATE, ZIP: PfiO:VE: 5} INpZG*,iE ;,iyICH PERtiSIT IS BEING REQUESTID: CL''N:IF.CPIO:V 'ID CITY SE7iIER ? Q7. N'=CJI 'IU CITY SV= ? 07`11E2 (PLL'ASE DESCftIBE) ED PLr15E f?OID APPnOVED PMMLLT FOR PZCi:-L"' BY QNE OF AfiGVE ? PLrASE ;•U?IL APPROVm PUMT 'IYJ 1,0 3, 4 AFAVE (Circle one) 7} DATE: ? ??! qalM}?.A i? i ti !lg9c?! i/+? A i?a?? i? i ???.?a a ?/[ 1!l1?:+liO?J? f! ! Yt t itmF?? ? R C I T Y U S E O N L Y . PE°ti!IT '- ISSUED l FCrs: SF',;L? (INCT...L= .SU?1?.C?:A'_'?...riL3 $ Jd va-Q WaTER PERP4IT (Ii.CiliD^c SliRCxiARGc.) $ WATER METEP./COPPERHORN/0[ITSZDE READER $ WATEP. TAP (INCLUDE CORPORATZON STOP) $ 5::'iER TyP $ /•?: o--? =C?Ci:::_ ::?G577 $ ACCOU:IT D-PnSIT - DIATER $ WAC $ P.C $ TRliNK SQAT°R ASSESS?4E2IT $ TRuN?C SEWER ASSESSbIENT $ LATL2T,L BENEFIT/TRUNK SES•:ER $ LATE?21L BENEFIT/TRUNK WATER $ OTHER ' $ TOTAL $ AN'.OQ.IT PAID;RECEIPT a'-W-/ D0E5 UTI:,ZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSL'ED SY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TIO[V. SliBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ? J T Z . LE : DAT_°: ? --- ? , . ? `F •?? I? 2/84 CZTY Or EAGAN APPLICATION FOR PERMIT SE:4ER AND/OR WATER CONNECTIOM (PLEASE PRINT) '•?R 1) PP.OP&2JT`_' ADDRESS: 7 F's=,L D?G2I?':IC:1-? ? z (Lot/Bl /Su:dlvisicn or Tax rarcel I.D. Niar5er) ST?.I;C^:v., DATE O_°(.cT.Gi'.<`u.. uiI::JT:`:G pRrcL-n ?...T:?:/pFOPGc? C*.S-r.-. ? R-1 Sz?GI.?, i??.tTLY ? R-2 GUP= ('?:i:7 L??I':'S) *?-3 TCr,,-,QJrvrcc M= ? LNITS) r,Nl"c) ? R-4 UNITSi ? CCin?CZ?Z/RE^_':,ST?,/Cr:I?? Q ? P,:STI'.rLTIC:l?I./GG?'?'??•*?T 2) A.T)PISG (PLEAaE PRitii) ACDRE55: ? CTT'_'. S;ATu', ZIP: A! ?.C"'4 PFeNE: 9 =? -2, -??- 3) pum.-Ep, (PLEdSE PH14i) fOR CITY USE OYLY NP ME: ADDi2c.55: PLUHQERS LICEVSE: Actiy e CZTY, STATE, ZIPt Q Expire d PH0Nc: nJiCr. PLU?MBER LICENSE N E= NO} qLLOecprd. U` e-If5ly ar; lnitta '? 1 l.A..l.:iPEU`!7'/ V.Vi•:t12 NAME' PSJDRESS: CI'I^l, STPCIE, ZZP: PFiO^IE: ?1 ' / ?rLCH?c rn1;11) //? c J l?Yr^J /'7 1 }?rf I-i, 6 S' ? 5} INplCATE ;.7yZCH PERi•lIT ZS BEINC REQUESTFD: 0 Q7t'IDIF_CPION TC) CITY SETrIER ? COCNECrICy 'IO CIT^l S•7A'tER ? MIER (PLLASE DESCItZIIE) ? PL--7%SE I?OID APPP,WID Pgt,+1IT :'OR PICi:-L'' BY ONE OF r1ECVE ? PLENSE :•^.AIL APPROVID PEF:•LLT TJ 1, 6 3, 4 ABOVE (Circle cne) 7) DATE: lROfilillP?.lsi?i?l?:afc?l?r?tlrasrall??{sis?a:?ail+FJE?y?f?!!l?ai, i F 0 R C I U 5 E ON;,Y PEpti?IT °- ISSUED •rr..s. $ $ $ $ $ $ /?- .a-or $ Sa??T.?-? $ S $ $ .. . E'? a "D TJr2t+'17^y` (INICI..:P.: SU?.?.C:: RGL3 S^1AT°I PERPIIT (INCiuDE .^-,u?C:?ARGc.) WATER METER/COPPEBHORN/pUTSZDE READER WATE.°. TAP (INCLUDE CORPORATION STOP) SEWEF TAP AC.^_OUNT DF,PnSIT - G;AT°_R WHC SAC TRli_QK WATFR ASScSS?SEYT TRu:7?{ SELdER ASSESS:L:iT L`n:?RAL BE:IEFIT/TRUNK SE?•:ER LA^:ERAL BENEFIT/TRUNK L+IAT°P, OTHER $ TOTAL $ A1,17U.IT PAI'J; RECEI2T DOES UTILSTY CONNECTION REQUIRE EXC.-IVATION IN PUSLIC RIGiiT OF WAY? L, YES IF YES, THEN A"PERMZT FOR 'dOR?C WITHZN ? PUBLIC ROADWAY" MUST BE ISSUEO BY THE NO ENGINEERING DIVISION. LIST AS A CO[VDI- TION. SliBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TI;Lc: DAT°: on f? ?s w? s? ??c? rt Er wr? ?e ? w ss? w? ?c+ ?t? rt ?i? sw w??? se f? R? ?c? w?.w w? 1 Fr ??? ? 2/84 [ J CITY OF EAGAN ? % Nltl APPLICATION FOR PERMIT SEWER AvD/OR WATER CONNECTION 6 (PLEASE PRIHi) - '145-2z4x 1) PP.OP&'4'P`_' ADDcZ°.SS: ' r.Fr-,L, Du..°C2S?TIC:7: (Lot /Blocx/S utdiviszcn or :ac rarcel I.D. Nw.,qer) DAT_- 0F O.cI=.T`r.'L. EiiILDLI'G TSSZ.?\G:: PPF'S=-:_^ _-^:7rZTVp??GF05=-l) L'SE: ? R-1 SziGLE cP_ILrLy ? R-2 C'JF? ^: ('?:i0 L'TIITS ) ?R-3 ZC:Q\L-urvicg + L^:ITS) I WI'"S) ? ?-4 t,c:c"_:TM'^,"I'/CC:ZCiirN'I[,21 ( UNITSi Q CCi•^-I?;:CLAi,/RE"•AiI?Or '= ? 7"MDliS77SxL ? I.`1ST? ?TIO:7AL/GGV??n?;T 2) pppLiG= (PLEASE ?RINIJ ?h?in?ca.7 ?u.m6.no ADo:tESS: Cm"_', S':'ATE, ZI?: PxoNT: 3) Pu:.'=" IPLEASE PR1Ni) FOR CITY USE a4LY ADCi2E5S: ' PLU?RS lIC`.NSE: Attive CZTY, STATE, ZIP: Q Expired PHO?IE: Q Not f Record PLU98EA LICENSE N ??? arr initia yl ?lU=.<?lYP/C,'.Vi•Itt'Z ?/ lrLcxac rrci;il) NAf'IE: !/FGJ ff?r?.v^?nn /?rtrn.f' r ADDRESS: G CI?"!. STA'Ir-, ZIP: PF"O:]E: 5} IIVDZG,i'E ;4HICH PERi-tIT IS BEINC; RFO)CJESTID: CO%NECI'ION 'IO CITY SE7WER [?f CO.1.Vf7CfIC;I 'IO CITY WATE2 ? di[IER (PTSr'15E DFSCRIBE) UJ 11VUl?t1L? L/?'[i: • ? PL`ASE f?OID rIPPP,WED PER.`9IT FOR PZCi:-L'? BY ONE OF ABC?i7E ? PI.EiSE :•l?kIL APPRpVED PFF,?lIT T'J 1,(2 ?) 3. 4 AFqVE (Ci:cle one) 7) SIG::;!,'IL:Z: DATE: ?. ` Mo M! qaliRw?.ia.?m?a E?:aau ?I :'w ssa-o?s ? s ? ss?:a :a a?e a? ?i?r?i? ? a? ? s?a a?sar F 0 R C I T Y •r U S E O N L Y , PE?_MIT °- ISSUED YS 5:.;Ea nrRAr?^ (T?_l?•C7..'n^ 7 or_'.?..•• 1 ....._ JUw..1...J6? +S ? A , ?.?.?'-d WATER PER11ZT (INCi,uDE -I .liRC:-?Ai2GE) $ ?P ?• rwl WATER METER/COPPERHORN/OUTSZDv- READER $ WATE.°. TAP (INCLUDE CORPORATiON STOP) $ S:''iLR TAP $ -C^Ci::?_^ ..?GSI`: - a_..?3 $ AC-OUNT DF,pnSIT - G?ATEP $ WAC $ SAC $ TRGVK SdATER ASSLSS:4E,IT $ TRu:7K SE[QER :%SS?".SJMENT $ Lr,TER=,L BEivEFIT/TRUNK SEI•:ER $ LATE?2rlL BENEFIT/TRUNK WAT°4 $ oTSER • $ TOTAL $ AhtrJU.:T PAI'J/R: C°I?T n LS??-5--/ D0E5 UTILITY CONNECTION REQUIRE EXCaVATION ZN PUBLIC RIGHT OF WAY? L YES ZF YES, THEN A"PEZMIT FOR 'r70R:C 47ITHIN PUBLIC ROADWAY" MUST BE ISSL'ED BY THE NO ENGINEERING DIVZSION. LZST AS A CONDI- TION. SliEJECT TO TFiE FOLLOL4ING CONDITIONS: ' APPROVED BY: T I': LE : DATE:-3??G- IN Ww+:ft wPN w.a WtM wRVWsiM w.a 0t =se MJMI R40 rtWMssM 90 M q aleuert Apr 04 2013 11:42AM HP LASERJET FAXBAC CONST 6127223447 page 3 cityofE 3830 Pilot Knob Road Eagan MN 68122 Phone: (881) 875.5878 Fax (881) 875.!804 APR 0 4 2013 Use BLUE er $LACK Ink Per Cale, UN ID -�J Permit *: Permit Fee: Date Received: Staff' 2013 COMMERCIAL. BUILDING PERMIT APPLICATION Date; 1 /ii . Bite Address: _ I 51..A,-- _�_!q G re MS O ) 1r i V`t Tenant Name: 71„rl '1 ..._ (Tenant Ia: New / Existing) Suite Former Tenant: Name: r.9 Address 1 City / Zip: Applicant Is: Phone: Owner _ .,_ Contractor Deacnptlon of work: Construction, Cost: tanc,,,at Caiatiai�:0 !(°f. P,l _-- Name: Address: State: Zip: r_ _ _____. __. Phone: COnterci Person: Ucsner d 4 -441,0 a 1. 'sliWart service: IG: $1 dint 0 Registration #:_ City: Email: ,— p Pbene ft: '' n 7 • rip. a,, a r*.: I n�,l i u 1 lu'Jf)IirQ 4i l of l iq qq4 Ic.m 1 M:, n-ia eJd � 7X'n:. rtai l cue • :'.F r I rf rr..W • 11 ' I U r y I:Ili,�/+SIIII �;1'1 Ntl P...F+G nY7tl IgN'I rill°��r i�y1 l(h8�iltlII146*tl��'"I r r:14' , IP'r•�81y�7 ;!iGlj. j Wl r, rG rl�r�r � rA!v.��tt l D AJ e I� {I F 'J `Jap I �I w r1tl "+1 II�1 1 R•�• �K':a`� i n4 '�I �.. I1 9� r f L+ t!NG11arik ,.I, ... ,_ CA 1, �l+ Q • " : MO. Call Op0plsr, Int Ont's. Call et (Oki 454 eC2 for protection Iagsinet underground utility damage, Call 48 note', yew Mertd 10 dlgto receive locates of underground utilities, www.acoherstateonacall.org I hereby n06044100. pa flet this Information Is complete and eoourete: that the work will be in conformance with the ordinances and codes of the City of Lstrani that F understand this la nota permit, but only en epplIc etlon for permit, and work to not to start without e permit; that the wont will be In accordance with the approved plan In the Dano of work w requires *review and approval of plane. Appllaartt's Printed Name Applicant's SI atom Page 1 of 3 Apr 04 2013 11:44AM HP LASERJET FAXBAC CONST 6127223447 page 6 /3---c/L/ DO NOT WRITE BELOW THIS LINE SUB TYPED Foundation _ Commorv1011Industrial _ Apartment. Miscellaneous WORK TYPES New Addition Alteretlon Replace Salon Owner Change 9ESCRIPTIOH Valuation Plan Review (25%__ 10046 ) Census Code E of Unita # of Buildings Type of Construction FIEQUIREP N$PECTIONS Footings (New Building) Footings (Dock) Footings (Addition) Foundation Drain Til. Roof: _Decking __Insulation ___Ice & Water .._Final T. Framing Fireplace: _Rough In _AIr Teat __Final insulation Meter Size: _— _ Public Facility _ Accessory Building Greenhouse / Tont .� Antennae Interior Improvement Exterior Improvement Repair Water Damage Occupancy Cods Edition Zoning Stories Square Feet Length Width Extortor Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility _ Siding_ Demolish Building* (� Reroof ,i Demolish Interior _ Windows _ Demolish Foundation Firs Repair _ Retaining Wail — *Demolition of entre building - give PCA handout to ippllcsnt MCES Byetem SAC Untie City Water Booster Pump PRV Fire Sprinklers Sheetrock Final 1 C.O. Required Final 1 No C.O. Required Other: Pool: _Footings _Alr/Oas Teets _Final Siding: __Stucco Lath __Stone Lath __Brick Windows Retaining Well Eroelon Control Final C(0 Inspection: Sc > = dul - Fire Marshal to be present: ___Yea No Reviewed By:. '7 Building Inspector Reviewed By: , Planning COMMERCIAL/EES Base Fee Surcharge Plan Review MCES SAC City SAC SSW Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL Page 2of3 Apr 04 2013 11:42AM SAL HP LASERJET FAXBAC CONST 6127223447 151-0 fcc,0),15 CONSdb.TRUCTION UCTION SERVICES LLC. . Banner RoofIng • Award 6xter10115 • Champion Chimney • 3032 Mlnnehaha Ave. B., Minneapolis, MN 5540 Phoneg12-?21-5er5_...00 - -•.,-F=ax 812-722-3447 ....,..M WWW Darns net .•m+-r..^""""r..�...�.�u..s•.-..� .,.._�..� �•��.,ei��vsai� c.. �..1 :�i. �f. I�...��_ �I':� �c tl�'� _��.� , .. �� I° 1'� !�11 Its!„� page 2 Sorizon Rills To irnhotne Association Various Addresses EaQ n rr. an,��•3.. 1_..Ne, REMOVAL OF EXISTINGROOFING & REROOFING OF ENTIRE !BUILDINGMSON DRS #1610O41606 CLEMSON DRR,,#261674.1576.CLEMSON DR, #321342-1542 CL site. material down to the roof deck, clean up all debris, and al away hen from re lob 1. Pemove existing roofing an In using plywood and tarps as much a possible. e Protect the building and landscaping will be put in close proximity of the house. debris from the existing roof a dumpster to allow insulation contractors access to th ttlor sq Q hlS Item of 2. Remove roof sheathing as needed at a rate of $2,0 pe work will be performed over and above the contract price 3. Install new pre -painted, gutter apron or drip edge on all lower edges. 4, Install GAF Weathaarw atch ` nderiayment 8' up roof from all lower edges and 9' at upper Main buildings only. wide stri .of QWeatherwatch underiayment 8” up sidewalls and onto roof deck. 5. Install an 18'' P • F derlayment 3' wide, up entire length of all valley areas and a 3 section at all 6. Install GAF Weatherwatoh ut vent penetrations. 7. Install and cover the remaining roof areas with GAF Shingle -Mate wrinkle resistant underlayment. 8. Install custom -fabricated, 24" wide, prepainted galvanized metal valley, W -style. 7" course with self sealing strip at all eaves to ensure the seal of the first course of 9. Install a self-starter shingles. 10. Supply I and install new GAF Tinmberline HD Lifetime fiberglass shingles. Color galvanized rooting nails per shingle. 11, install shingles with four (4) g alvasnized roofing naells. 12. Install matching hip and ridge shingles using minimum of two (2) 0 13. Remove the existing siding at all sidewali location and reinstall upon completion of roofing work. s i.e. side shingle tins course for course with shingles, at roof to wall trap 14, Install new 26 gau qe metal sh walls and chimneys). CO: Bailey Enterprises 1775 Selby Avenue St. Paul, MN 55150(4• )'11'1" 1 Use BLUE or BLACK Ink ~ - FortNflceUse--Q------ ~ j Permit 0 1~~ NY of Eapn 1 1 Permit Fee: yd Q~-__ i 3630 Pilot Knob Road Eagan MN 55122 Date Received: - 3 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: Y I 1 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:JSYz- IS f ~~PQ/ff1=4 ! Unit. Name: o J &JMeS _Phone: 6f-2- 'x7"21 Resident/ Owner Address / City ! Zip: Applicant is: - Owner - Contractor Type of Work Description of work:. Remo Frl~ _ _ Construction Cost: I Multi-Family Building: (Yes _v7/ No Company: ig Contact: CbntrSctor Address: C 7 O J l eG1 c it City: M n eQ s A, State: .MAI- Zip: _ 5 04-- Phone: License Se - 1. Q 6 2-- Lead Certificate A1.4 r" 2 419,9*7 - 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 pennit 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 tha are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454411002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.nopherstateonecall.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. xfr 20-46~rZen Applicant's Printed Name Applica s Signature Page 1 of 3