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1545 Clemson Dr? . SEDGWICK HEATING 8 AIR CONDITIONING CO. t??,L?? HOUSE HEATING TEST RECORD ADDRESS L•??'M _ _ SCNr? btR ? V E CITY ?-1-1 ??41?1 OCCUPANT - UWNER ? = Li HEAT LOSS -" DATE HTG. INST. - SOLD BY " INSTALLED BY Electrical Work By Gas Line By - -,-'I c4 Lj tc- K? TYPE OF HEAT GA_ FA-L HW _ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE LU ?2?1 W ti1T MAKE OF BURNER Model 39 14 CC A (.?l o 5-6 Model -- Serial L9 QP, 97 2? Max. BTU Rating INPUT ?oda MAKE OF FURNACE Model ` --???C?ONTROLS THERMOSTAT?`L Heat P1ug ""-- Valve S?f 3 y 5 N 5 oX --.1- Limit - 57-,IZ7oti C_o Limit Setting ;ZSc)° F Fan Setting 1 0 0° F Pilot Type E-L- L.EL 1'?,Zo h! l C Pilot Make Pilot Model Pilot Timing 1 r`1 5 i 14N T L.W. Cut Off Pressure 3- Percent CO Input CFH L4? Percent O2 Z ( 3/ Stack Temp. a3 a' iC Percent C0 ?PJ L Vent Size KIND OF LINER - Draft Hood /" t7 u c Filters Size Chimney Location Inside_ Chimney Construction C--? Smoke Bomb " Draft " Door Pressure Date Tested Lj - a- 3 Company Testing -?; gw-c> c Name of Tester C-C, " ; SIZE NONE . Regulator ? t- lz? _ Number ? ? Outside ? 55 g . Wiring _Test Tag _ Lighting Inst. -?? ; w ?L K_ R+q? Form 235 ? ` •r? ? SEDGWICK HEATING & AIR CONDITIONING CO. HOUSE HEATING TE5T REGORD ??? V11y_41___,nL I .. i? ? ADDRESS C?I...C..10 Sn1?1 CITY ?t? C.-11'tiI OCCUPANT OWNER-?/ r_ w 1-1-c?ti2?z?n1 1--Iowv!v--S HEA7 LOSS `- DATE HTG. INST. SOLD BY INSTALLED BY ,,I, c t< Electrical Work By Gas Line By _ 5 TYPE OF HEAT GA_ FA'/, HW_ STEAM SPACE HTR. UNIT HTR. OTHER . GAS DESIGN CONVERSION MAK E ?"S ?,Z ? j ? iv -r' M .----- --------? w Model rt c.-.I D Serial 2 A b 4 A ?AQt?? IAfPUT CONTROLS THERMOSTAT?_ Heat Plug ?-- Valve 5?( 3 t/ S ?? Sr? Y-- Limit ? k?n C o Limit Setting F _ Fan Setting - f nn° l? Pilot Type ?LCc' Ts' c kU ?,? Pilot ??lake SPA ' K??U i?"o+rZ Pifot Model - rl 5 L t Pilot Timing - 1'?l ST r4 n,?T L.W. Cui Off Pressure ? - S 0 C • _ Percent CO y `Y o Input CFH ? Percent Oz ? 5 Stack Temp. a as° F Percent CO !'Ja?? ? AKE OF BURNER Model Max. BTU Rating MAKE OF FURNACE Mode! - - „ Vent Size 6KIND OF LINER ""- S12E NONE Draft Hood Regulator ?l 4Z? S Filters Size- _ Number I Chimney Location Inside ? Cfiimney Construction C-t-18 SS C- Smoke Bomb ? lNiring a+<_ Draft Test Tag ?l F 5 Door Pressure ` Lighting Inst. C>K-L Date Tested -$ 7 Company Testing - ?? 1?'-? :"i < <--ItL Name of Tester AA L') Form 235 SEDGWICK HEATING 8 AIR CONDITIONING CO . HOUSE HEATING TEST RECORD ??/?y??? ;?'? ? G? j ? ADDRESS C-?M---nn J CITY • C-'s;?'i'j II OCCUPANT `- OWNER ??()Q knw.j?? ?nAAF= s j HEAT LOSS " "-' DATE HTG. INST. SOLD BY ' INSTALLED BY 'S?DU?t1t? i< Electrical Work By Gas Line By Ci ja- +•+ ? TYPE OF HEAT GA_ FA? HW _ STEAM SPACE HTR. UNIT HTR. OTHER ? GAS DE$IGN CONVERSIdN j MAKE - )? 5t'zV Wr'j T MAKE OF BURNER ------ J Model _ 3 44CaA-1 6 a-4 a 5o Modei Serial oZ q S (o A Co 8 Pa !0 5 Max. BTU Rating ?I 1NPlJT S D, oao MAKE OF FURNACE I CONTROLS THERMOSTATT?3?14 Heat Plug Valve - 5X 345 ?l Sd X-- Limit- 5`r?%),\ C-o Limit Setting C;1-Sp' ? Fan Setting 0 Pilot Type 43C L-?-= L'S"(?aNI C-- Pilot Make SPR Ytfc_ I c iV i TC) 1?-, Pilot Model Fl S L ' Model Vent Size (a KIND OF LINER SIZE NONE Draft Hood 1N 1?!l IA LE L7 Regulator JE-= S Filters Size Number ? Chimney Location Inside Outside Chimney Construction C-L-yASS L>' Smoke Bornb t---`"`+ Wiring d w- Test Tag v?S Lighting Inst, nk- Pilot Timing Draft L.W. Cut Off Door Pressu Pressure 3,'S??vJ<<- PercentCO a 1. Input CFH 4 6 Percent 02 2 1 L4 °1o Stack Temp. atO` F Percent C0 /J otl-J S Date Tested `-? - a-0 - L;1? f Company Testing S?-N< <-JI C?< Name of Tester C-?1'-j s?c1 Form 235 .,: ' -f SEDGWICK HEATING & AIR CONDITIONING CO. ? HOUSE HEATING TEST RECORD ????,?-?;??? ?. ? ? ADDRESS IS y? B CL-EMSoN L. R l\/E- CITY -- N OCCUPANT -- OWNER 1v1EN&1 !jb%91ZoN t-iovHES HEAT LOSS DATE HTG. INST. ? SOLD BY INSTALLED BY S9-Qs2ii «i (-A<? Electrical Work By ?L-?t C-K- Gas Line By ---X---s > C TYPE OF HEAT GA _ FA X HW_ STEAM 7 SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER --' Model 39 4 c 4 a.,a v 2, 14 o S? Model Serial -2Q-43( . l9 & 7q Max. BTU Rating -' INPUT ? L`0 MAKE OF FURNACE J_CONTROLS ? tt THERMOSTATT?3? Heat Plug Vent Size Valve_ S,?Z 31-4 S 1tiJ`_?oK- ?-- KIND OF LINER SIZE NONE Limit `?'rL7-- "1 c C? Draft Hood iN b ttC-4--Q Regulator !?4a- 5 Limit Setting a'SO ??F Filters Size Number ? Fan Setting 100?r Chimney Location Inside %'<' Outside Pilot Type Al-? L-c--=C_Tc?opj r<-- Chimney Construction Pilot Make Pilot Model _ Pilot Timing. L.W. Cut Off Pressu re Percent C0 2 ? a Input CFH ??P o Percent 02 15 `7o ? StackTemp. PercentCO ?o El- Smoke Bomb Draft Doo? Pressuri Date Tested _ Wiring zs +rl- Test Tag -?:j ?- ? Lighting Inst. C' ? - -"j -o -S7 Company Testing -5 C--- ?s <?i Lj ' t-K, NameofTester CO^i 'ZFN 1?? Form 235 w CITY OF EAGAN ° ? ? 0r) 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt # To be used tor R E PLA C 1' Est. Value Date SiteAddress Block - Sec/Sub. i' ?'Tti 2?it) On Site Sewage Lot 1' MWCC System Parcel No. On Site Well City Water °C Nan .o ? Q Add ? City Address City _ A Building Permit is issu all work shall be done in Building Official Phone "'Jv-"O'v P I..`.?'.P1,A4LS Phone I have read this APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Oft. APC Variance OFFICE USE ONLY _ Occupancy _ Zoning _ Type of Const _ (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES _ Permit _ Surcharge _ Plan Review _ SAC, City _ SAC, MWCC _ Water Conn. _ Water Meter _ Road Unit _ Treatment P1 _ Parks C l oP?es TOTAL on the express condition that Statutes and City of Eagan Ordinances. Permit No. Permit Hoider Date Telephone it Plumbing H.V.AC. Electric Softener inspectlon Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. il I , . BUILDING PERMIT P?' 113?? Aeceipt a (- 4 / -? ?-- To be usad tor 1 OF 4 PLEX Est Value $61,000 Date MAY 5 ,19 ?b Site Addr ?s 15478iLFL?'SSQN DZ Erect ?X Occupancy R3 YD t Z L l THOMA5 LAXF: / Femodel ? zoning o B ock Sec Sub . ? 1J Parcel No HZ'S Repair Type of Const. A . Addition ? No. Stories '? E?3 t10:2I ZON H(?ME$ Move ? Length 44 Name ' W 367 Demolish ? )7 Depth o Address P. U. BOX 1 Int Impr. ? Sq. Ft City ? _ j'S Phone Install ? Name SA14$ Approvi Q? Q Address Assessment _ ~ City Phone Water & Sew. Police ? W Name D. GR 1 SWOLD Fire x ? Address En ? W riw Phnnn 435-7524 g. 01 ,,.,.,,,, I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: NEw ri0i2IZUN i-i(.?r•lEf'.? all work shall be done in accordance with all applicable,State of Minnesot t SA.LL tStv I`i 5 CITY OF EAGAN 3830 PUot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Fees Permit ? 316.00 Surcharge 30.50 Plan Review 158.00 SqC 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Parks Copie TotaL $2,09. O l? on the express condition that and City ot Eagan Ordinances. Building . . NO wrmn Hoid.r o.a TNophone ?i Plumbfny I N ?+.vr?.c. ? EI*ctrlc , C, - Soflener Inspactlon DaN Insp. Commenb FooUnysl ? Footlnqs II Foundatbn Framiny RooNny Rough Vlby. 17-144 'J24 Rouph Hty. ? r1 ` ? insul. ? Fireplace Final Hty. - Flnal Plbq. ~ Bldq. Final ? Grt. Occ. Oeck Fty. Dack Frmy. Wall Pr. Dbp. J v PERMIT # , • ? . ? MECHANiCAL PERMIT RECEIPT # CITY OF EAGAN qSq.gA oAN, MN 55121 DATE: T PRICE ?1 Gi ?J S 3830 PILOT KNOB ?C _ , Site Block Cv _t? B?DG. TYPE WORK DESCRIPTION ? ??O ? ? ' '?Res. New Mult Add-on Comm. Repair Otfier ? m Name ? - --i' Address ? ? ?ity ?GfT Name c Address 0 Cilty TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outtets p Other M BTU M BTU M BTU M BTU CFM / FEE S/C: ` . TOTAL: ? ?- FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMMIIND FEE - 146 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - GOMM/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 . r . , PERMIT # 9 Q, , , . PLUMBING PERMIT RECEIPT # ?O a • CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address ?? I e --- ' BLDG. TYPE WORK DESCRIPTION Lot - ? Block Sec/Sub T' Res. New x m Name Mutt Add-on m Address Comm. Repair c City ? I J k?-t Phone? Other - NO. FlXTURES TOTAL Name Water Closet - $3 00 ? ° . . " c Addr ec Bath Tubs - $3.00 - ?-' 0 City ? / 2 Phon Lavatory - $3.00 w r - $3 ? Sh 00 o e . ? Kitchen Sink - $3.00 J' FEES COMM/IND FEE - 1% OF CONTRACT FEE UrinallBidet - $3.00 ?Laundry Tray -$3 00 MINIMUM - RESIDENTIAL FEE - $1Q-00 . j Floor Drains - $1.50, MINIMUM - COMMlIND FEE - 20•00 ? Water Heater -$1.50 STATE SURCHARGE PER PERMIT - •? Whiripool -$3,00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 ? . Private Disp. - $10.00 ?-Rough Openings - $1.50 ? SIGNATURE OF PERMITT?j FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: ???<-? ?INSPECTION REC------ ------- ---- 4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: '• "' 61 Eagan, Minnesota 55122-1897 Date Issued: ? 51 4 10,0 !'' (612) 681-4675 SITE ADDRESS: APPLICANT: ;{F TfMl :'Nlti Atd_t;F. F.A PERMIT SUBTYPE: TYPE OF WORK: i r'IRA1 0 F? UI ,r.r?l1 I L?Ih1 ?.Fi[-NI1??L?3) paor M; . I I I i i'MAI Permlt No. ParmR Holder Date Telephone i ELECTRIC PLUMBING HVAC ' Inspectlon DaU Inip. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAI BSMT R.I. BSMT FINAL DECK FTG DECK FINAL rarnvuOn - r'ux 5F?t,r: uiW 1TLiCITY OF EAGAN 1 .;_ '_ . 3830 Pilct Knob Road, P.O. Box 21-199, Eagan, MN 55121 rQ PHONE 454-8100 I?LDING PERMIT Receipt # be used Iw 1 OF 4 PLEX Est value $ 61 ,000 Date rAY J Site Address 154 7 CLEMSON DR Lot Z h Block 2 Sec/Sub. THOMAS LAKE; Parcel No. H i S Z[lD ? i 3 0 a 10 =U oi UQ r U? W W ?Z U ? ¢ W < i?8 lo" 3 19 $6 Erect E]X Occupancy R3 Remodel ? Zoning P» Repair ? Type of Const36EIt Addition ? No. Stories Move ? Length 44 Demolish ? Depth Int Impr. ? 5q. Ft. Install ? Address Assessment _ Ciiy Phone Water & Sew. Police D. vf;ISvJOLU Name Fire Phone I hereby acknowledgethat I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: yxVJ HO7I ZO??F HOt?lE all work shall be done in accordance with all applicable State.v( Minnesc Planner Council BIdg.Off. Jp Var. Permit Y J+V - vv Surcharge 30.50 158 00 Plan Review . SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 15 ti . U U Copies Total $2, 0s9.00 on the express condition that of Eagan Ordinances. -e ri _, I ftrmft No. I PermM Ho1dK I Dsb I TMspf?one # I Commenb Plby. Htg. Ht9. Plby. FinN Dhp. PERMIT # ? MECHANICACPERMIT RECEIPT # CITY OF EAGAN 3830 PILO T KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 ? 5ite Address ? -, , BLDG. TYPE WORK OESCRIPTION ' Lot •?=L..?=' Block Sec/Subj ' ti.'L, R ? N ? m Name (y es. ew M lt Add -on u ? Address i C R r epa omm. c City 1?? L S Phone - O ther Name FEES ? ? c Address RES. HVAC 0-100 M BTU -$24.00 p Ciry Phone ADDITIONAL 50 M BTU - 6.00 ? ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 ' TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air ` ? M BTU COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 t CFM (ADD $50 S/C IF PERMIT PRICE GOES Ven BEYOND $1 ,000.00) Gas Piping Oudets # if Other ' FEE ?' . f ?u'i?'l ??i? ,6t" ?? ? E'i_'ti?? ? • JG SIGNATURE OF PERMITTEE S/C: TOTAL• ? FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ? Sibe Address 1 1 " ! ( I , L- ` ' Lot Q (0_ BIoCk _c-__1 ; m Name - .Address - ' "-r c City Phi Name --?- ? 3 Address . . p City Phi FEES COMM/IND FEE - 1%OF CONTRACT FEE MINIMiJM - 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) FOR CITY OF EAGAN ,?• ? BLDG. TYPE WORK DESC Res. r New M ult Add-on Comm. Repair Other RIPTION NO. FIXTURES Water Closet - $3.00 S TOTAL Bath Tubs - $3.00 Lavatory - $3.00 _ 5hower - $3.00 Kitchen Sink - $3.00 .Urinal/Bidet - $3.00 ? ? Laundry Tray - $3.00 Floor Drains - $1.50 j Water Heater - $1.50 - " Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C v ? 150 GRAND TOTAL: ? Fo be used ior 1 OF 4 PLEK ? SiteAddress 15458 ?'EMS' L?t 28 Block 2 Sec/Sub._ Parcel No. W Name NEW HOR I ZUN ? ; Address P • O• ?X ?'3 o .,.?. .. . ., City " Phone Z o Name S?E ? ? Address ~ City Phone 0, F W Name D. GRI ? a Address a uZ, r.in, eti.,.,o I hereby acl information Signature of and City of Eagan ( A Building Permit is issued to: :vE?l all work shall be done in accordance with all , •? 3830 Pilot K ? BUILDING PERMIT cinr oF EAGaN 11894 ad, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # , s $61,000 Assessment Water 8 Sew. Police Fire Eng. ? Planner Council )n and state that the Bld Off_ applicable State of _ 9' HOMLS i Erect OX Occupancy .3 Remodel ? Zoning PD Repair ? Type of Const. Via, Addition ? No. Stories Move ? Length 44 Demolish ? Depth 1:7 Int. Impr. ? Sq. Fl Install ? Var. Permit S Surcharge Plan Review SAC 316.00 30.50 158.00 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Parks Copie ? Total . a0! on the express condition that City of Eagan Ordinances. ? PyrmM No. Parmll HoWw Dtle TNephone M PlumbNq mm??x. Eleckic -- Sottener InspsCtbn Dab Insp. Commonb Foodnysl ? ? ?? FooHnys II Foundstbn Framiny • d ` ? ? /"0 RooBny Rouyh Plbp. Rouyh Mtp. fd Ar g?? ' ' Imui. f - Fireplaee FMN Nty. Final PIUp. ?/ - Bidy. Finai Ceri. acc. ?.B Dock Fty. Dsek Frmy. Wslt Pr. DNp. < . . 067S Q- J -i ?.23 MECHANICAL PERMIT CITY OF EAGAN PILOT KNOB ROAD, EAGAN, MN 55121 PERMIT # RECEIPT # DATE _ BLDG. TYPE WORK DESCRIPTION , ?? i , iriT '1 ? N ? ? fiffoK l ? , u ,, . ew s. ` Name • . l M Add m - - , -on u t ?c Address ,. . _ ,, , - R i C . ' ` , omm. r epa c City PMQc?e , Ot her Name FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK 1 GAS OUTLETS - 1.50 EA. Forced Air ? v M BTU ?4-'0 COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU U 20.00 Air Cond. M BTU E URCHARGE PER PERMIT -.50 (aDD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping OuUets # Other FEE ?-' SIGNATURE OF PERMITTEE S/C: TOTAL• FOR: CITY OF EAGAN r PERMIT # . ' PLUMBIN[i PERMR RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE m Name ? Addr? c City`! ? Name 3 Addre: p Ciry _ FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMiJM - 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) FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. ? New ? Muft Add-on Comm. Repair Other NO. Flx'TURES TOTAL Water Closet - $3.00 S " " Bath Tubs - $3.00 Lavatory - $3.00 _ Shower - $3.00 " Kitchen Sink - $3.00 ? Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1,50 Whiripool - $3.00 Gas Piping Outlets - $7.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ' '0 FEE --v STATE S/C: '- ` GRAND TOTAL• - PLUMBING PERMIT CITY OF EA(iAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address Lot ?27.W m rvan ? Add c City Name ; Addre: O CitY __4 COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES PERMIT # RECEIPT # DATE: _ BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 SBath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Ki?chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: 00 STATE S/C: GRAND TOTAL: I FOR: CITY OF EAGAN , . _ . . . _ --------?.-t-)WNHOD6E - PU t:?,"1; CITY OF EAGAN -:, n '? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 118 ` . ' PHONE.454-8100 BUILDING PERMIT Receipt # ?A. To ne used iw 1 OF 4 IPL$tX Est Value $ 61, 0 0 0 Date MAY 5 , is 86 Site Address 1545 CLEM54N UR , Lot z 5 Block 5ec/Sub. THOi•, Parcel No. HTS ? Name NE3N HOR I ZON HOMES W 3 Address ?• d- BOX 1367 ° Ciry -NPI•3 Pnone 420-3900 o Name = oQ Address ~ City Phone W Name (''ftISWULD F _ - Address ? y <W Ciry Phone 435-7524 <nowledge that I have read this application and state that the is correct and agree to comply with all applicable 5tate o1 Statutes and City of Eagan Ordinances. 5ignature of A Building Permit is issued to: jJF.W tiC>RI Z01•: f:vi'E3:S all work shall be done in accordance with all applicable State of Minneso Building Ofticial Erect ? X Occupancy R3 Remodel ? Zoning pn Repair ? Type of Gonst .U*• Addition ? No. Stories Move ? Length 44 Demolish ? Depth 2'7 Int. Impr. ? 5q. Ft, Install ? A ---? •-- c??. Assessment Water & Sew. Police Fire Eng. Planner Council Var. Permit $ 316. 00 Surcharge 30.50 Plan Review 158. U U SAC 575.00 Water Conn. 500 . 00 Water Meter 63. 5U Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total ? 9 . UO on the express condition that and City of Eagan Ordinances. Pamil No. Plarmft MWdW Daie TNephom k Piumbiny ?. c._ H.V.A.C: Ekwfflc" ?.-- sonener Inspeetion De" Imp. Commenb Foodnysl s ? FootMgs II Foundatbn Fnminy Roofinp Rouyh Plby. - 3 Rouph Htg. Inaul. Fheplace Final Hty. Final Plbp. S' Bldg. Finel c«i. oa. Ooek Ftg. Dsck Frm9. Wo Pr. Disp. .MRR. PLUMBING PERMIT • • ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EACiAN, MN 55121 Site Address ' - ?' ' ? ! _k LotC2, '? BIoCk ca A? Name ?o Addre .. c City - ? Name c Addre O CitY - FEES COMM/IND FEE - 146 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 FOR CITY OF EAGAN PERMIT # RECEIPT # DATE • l ?,? ? I?I? l! BLDG. TYPE WORK DESCRIPTION Res. x New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 S Bath Tubs - $3.00 Lavatory - $3.00 ? Shower - $3.00 Kitcheri Sink - $3.00 Urinal/Bidet - $3.00 -?-Laundry Tray - $3.00 ? Floor Drains - $1.50 ? ? Water Heater - $1.50 Whirlpool - $3.00 ? i_Gas Piping Outlets - $1.50 Soitener - $5.00 Well - $10.00 Private Disp. - $10.00 y Rough Openings - $1.50 FEE STATE S/C: ' GRAND TOTAL: ? - . • • , . ? CONTRACT PRICE: ?Gi 7 S ? Site Address ? lot r--\'- Block r[n crn^?u??Y urA7tNC 4 m Name .S Address c City ? Name ? c Address p City P TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuUats # Other MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, v L' M BTU M BTU M BTU MBTU GFM ? FEE S/C: TOTAL• PERMIT # RECEIPT # MN 55121 DATE: BLDG.TYPE Res. tl? Mult Comm. Other WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND, 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% 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 ? ? •? INSPECTI4N 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 t M'-UN I41- N. {t f?f?. 1 ?1N !IF ltiFlT ;: lVtl 46:t^^7 3 92' PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . .• I ?.. Pertnlt No. Permit Holda Date Telaphone Y ELECTRIC PLUMBING HVAC laspectlon Date Inap. Commenta FOOTINGS FOUNO FRAMING ? ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PL86 FINAL HTG ORSAT TEST BLDQ FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ??, ?`. IN CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ; , ,„ .. '. . i' . PERMIT SUBTYPE: „ i I .1 1 iNpi ;1ti leLUt'!( a -.. ON RECORD PERMIT TYPE: {' 1 "6 Permit Number: Date Issued: ,a&I. c0Nr_i4f:1'f c? 1 r. t .' ! . 'st ri'?t TYPE OF WORK: A I it'kAF 1 1.1r+ iif-( R E ti". nN? Permk No. Parmit Holdar Date Telephone k EIECTRIC PLUMBING HVAC InspecUon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP80ARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FtNAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG io DECK FlNAL o ? CITY OF•EAGAN Remarks addition Thomas L ke EleiYht ?di ion Lot 10 -25 Blk ??- Parcel #10 '1`°"--61&." Owner street 1545 Clemson Drive state Eagan, FW 55122 Improvemeni Oate Amovnt Annual Years Payment Receipt Date STREETSURF, 55 94 5 uZ. 9 A012172 5-5- 3 STREET RESTOR. . GRAdING SAN SEW TRUNK 11771 rtSEWER LATERAL ?761 7, 2 ? WATERMAlN * WATER LATERAL 1981 P ' WATER AR EA / 4 7 STORM S EYV TRK 24c?, g?, A 1 2 --8 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATEfi CONtN, BUILDING PER, SAC PAR K CITY OF•EAGAN ^? Remarks l4ddition `?OID_a.c T.9.k_. HP.ig $:???d i ipn Lot 10 -113"' Blk f 2- Parcel ? owner Street 1545 B Clemsotl DriVe state Eagan, MII$ 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 8 STREET RESTOR. GRADING SAN SEW TRUNK 1973 * SEWEFi LATERAL 37.61 7-52- - S WATERMAIPI * WATER LATERAL IgRl WATER AREA S. 1 2 5-5-83 STORM SEW TRK 249.91 A0121 Q 5- -a3 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. I SAC PARK CITY OF EAGAN plia Remarks e'ZGO Addition Thomas Lake Height4dAddition Lot 0 A4, Rik 4a -" Parcel #10 4 Owner street 1547 C1eT4SOI1 D7CiYe stete Eagan, Md 55122 Impravement Date Amount Annual Years Payment Receipt Date STREETSURF. 1981 279.71 55.94 5 111.8 A0121 2 --8 STREET RES70R, GRADING SAN SEW TRUNK 17 *SEUVER LATERAL j'J, 61 7. SZ 1.0 A0121 Z WATERMAIN *WATER LATERAL WATER AREA /9? CS.i,pL? STORM SEW TRK 249. gl A0321 2 --83 *STORM SEW LAT CURB & GUTTER SfDEWALK STREET LIGHT WATER CONN, SUILDING PER. SAC PARK CITY OFi EAGAN Remarks 7.4mI /lddition Thomas Lake Hei-ht Addition Lot A1LA7 eik Bt 2-- Parcel #10 owne? 'Ir street 1547 B Clemson Drive state Eagan, MN 55122 Improvement Oate Amount Annual Years Payment Receipt DBte STREETSURF. 1981 279.71 55.94 S 1.$ STREET RESTOR. i GRaDNG , AN SEW TRUNK S ? ? i * SEWER LATERAL ,?.. 19$1 ? r61 , '?.?. S 1•0 0121 2 - 8 WATERMAIN * WATER LATERAL 19$1 WATER AREA 1981 136.51 27.30 5 5.61 21 2 5-5-83 STORM SEW TRK 3 1981 312. 37 . 20.82 15 2b9.91 A012172 5-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 5AC PARK CITY OF EAGAN WATER SERVICE PEiNMR 3830 Pilot lCnob Road P. O. Box 21199 PERMIT NO.: Eagen, MN 55121 DATE: Zonlnp: No. af Urats: ?pI4:•x pN,r,,,; A'ew Rori2or: FoiuLs /lddress: Site Address: _ _ =_`??r'3as Lk RLs ? Pluiriber: _ Mthr No.. Size: Reodx No.: 1 Nm b eowOll wNh !w Cihr of bwo OndMeWAaM. By _ Oote oF I nsp.. Connecffon Qhar": 7VU. U;: L Aooount Depoalt: Permit Fee: SurcFKWQq; Mite. Charyn: '' ?••' ? ? Total: Pta-ri Date Paid: ' Insp.: ._ . =- ° b_ . ... _... _.., - ?_ .. . ..a' CITY OF EAGAN WATER SERVICE PERMlT 3830 Pilot K nob Rasd P,,O. Box 21.199 3 o- /161 PERMIT NO.: Eagan, MN 55121 DATE: ? Zanirg: Na of Units: `} - T' ?x OwMr. :.ew Harizon F.omes /lddrcss: - Sih /Iddrcm Plumber: _ Meftr No.:,. te aenply wi1k tiw Ct?t?' u ? A ?? sc. rpn: Dote of % /3 -'P6 Total: 53. 5r1pd mete I Dat* Po1d: Insp.: TY OF EAGAN s?M SOVO PERM 30 Pilot Knob Road 0. Box 21199 PERMIT NO.: gan, MN 55121 DATE: rtin0: NO. of Units: '{ - :, ; ' ' Fnsr: --Addross: `/ _ mbar. - .? IrM h MIl/lb wllr /M C11T oi ypn GorxNCHon ChOqe: . logo"M• /,ooouM DspOSit: .' i1: ' ?? Pomdt F": Surthorpe: . Misc. Chorgs: of Irap.: Totol: Doh Pald: OF EAGAN Pilot Knob Rosd MN WATER SERVICE PERMIT PERMiT NO.: D/1TE: No. of Unkr. .jet I:nri7nn FTnssar, Address: No.. ittg 6 1.2$ 92 T Connsttion Charge: ' Accourrt Depooit: ,?. Permit Fee; Surrhorge: '0 P'-1 Misc. Chcroes: ? r ? , iir?D? 11' - - Totol: Dote Paid: Reoder No.: 1 pr« to oovaply wi16 llwi Clyr of bgm• Ordi11011cm By Oate of I nsp.: I ? CITY,OF EAGAN VIIATER SERVICE. PERMIT 3834?'Pilot K?nob Roed ? ; P. q: tlox 21199 PERMIT N[?.: EAgan, MN 55 1.T?1 ? DATE: Zoninq: ? ? . F,`:? Na. of Units: Ownsr: i'orizon Horn?s ?? Addrasx rc?; ?/? C emson Drive T?_ • R - omas =ts '. Plumber, Thompso:1 F u Meter No.• p, pal - I Slze: O.q11 r ., ? yPM t0 OOAI* M? ? Aw=,~ _? ? .... . ,,. ? REpU1RE'?"?? ? TotaL• __ b.s . SUpd meter B Dot* Poid: Dote of Insp. Intp.: CITY OF EAGAN 3$30 Pilot Knob Road SEWER SERVIC E PERMIT P. O. 8ax 21199 PERMIT NO.: Eagan, MN 55121 DyTE: Zontnp: 71 No. cf Units: Ownar: Ilddreu: ---- Sita Address: c-r Plumber. - ?"_n?. •.?? ?? ? I y1?N te 00111?? W?l?1 ?(? of lk w C ?0 . i?f',n? 7 S p onnection C7wrge: .(?i Ordlmmam 11COOUrM Deposih. rl;, • .- Permk Fea: Surdharpe: B Y Misc. Chorpea; Dote oF Insp.: Totol: Insp.: Dote PoM: OF EAGAN Pi1ot Kno6 Road wATEe sEmria Pow ? 3ox 21199 PERMIT NO.: ' , MN 55121 DATE: -F' - No. of Units: 4 •?ex - ???7ri??a ':a*les llddr+ess: AAeNr No.: i Slze: Ca+nection Charge; s. ? Reod?? No.: ??coount DePosif: ?- • , ' ' • , Permlt Fee: ? aenpb wm !w C1hr of bM¦ SurcFwrye: Orlhw°M' MIse. G,orges; 8Y Totci: DoM Paid: DaM of Irap.: Irop.: CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERIWT P. Q. Box 21199 ?,l l '7` ?.? PERMIT NO.: ? Eagsn, ivlN 5Rf21 J DATE: . , • ?+ eX ? Zonirg: Own.r: No. of Units: p ? `eW or ? an oroes Addross: sih ^dd?m Plurrber. Meftr No.: d ? Size: ? ?•' ??dut? Reoder No.:4s 371/, I NmN h 00wlphr wm as 1. • -'P Mlsc. fJho,- - • n CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 SEWE1t SERVICE pERMn PERMIT Np.: ? Ea9an, MN 55111 DATE: Zorving' Ownwr: No. of Units: Address: SiM Addrass: 7 r - Plumbsr. ? .? i - , . , - ? MM h e?wp1f wia !Iw Cily Of ""a OeNw??eM ConnWian ?O?' . /looow+t Depait: ^ 0 P*+mif Fee: c; By Surcfioe?pe: - . ..;, Dote of Irup.: Misc. Clqrpis; Insp.: Totol: DoFa Pold: O. Box 21199 PERMIT NO.: "O1 ?? 1 dg I DATE: L' - - No. of Units: Address: i }•;; .; I.:remson I'rive 117 No.: Cwmection ChorQe: !1- /lccourn Deposlt: -- S . ir No.: Permit Fee: - C. • h esiuply wm tie Qep of E"pn Surdwrge: Vnew Misc. Chorges: Total: - ?' Dots Poid: of Insp.: ; Ina p, CITY OF EAGAN 38"0 Pitot Knob Road' . WATER SERVICE PERMIT • • P. 6. Box 27199 t PERMiT NQ.: Eagan, MiV 55f21 ?,., D AT E: Zonirg: ? No.ofUnits: ex pemer; Addross: Si1! hdd?lSS: - ? r .7y CZESi1S0:": r.i:;^, :.ls J.d :?' PlI.NItber: ? Metar No.: 02 .S onnection Charpe: -, •. f}(lprj ? Size: " ? e ore 1 ?' Xec ??t: 5 , ill}p_' ? Reoder No. tLE . - NON• RM {?tEw: I0.00n6 I m te _ o p?i w8y ?? s: L_F;.i .pd 'rF? OrJt.?sa?.d?75 3 ro? 3 Total: 63 . 5t1;,1 i::eLer BY Dote Paid: Dnte of Irap. Irnp.: 0-- / 3- f6 GITY OF EAGAN SMR SOyICE PERMR 3830 Pilot Knab Road P. Q. l3ox 21199 PERMIT NO.: Eagan, MN 55121 DATE: IO^i^0: No. of Untts: Owner. *r.•.r.? Addrcss: Site Addross: Plumber. ?: ,. . . I yne to eemolp wMr fW CilY of iegan OrJlmamL By Dare of Insp.: iI connectra, aorge: Account Depos;t: Pen»It Fee: Surcharpe: Miac. Chorgss: Total: Date Pald: RESIDENTIAL ' BUILDING PERMIT APPLICATION ? CITY OF EAGAN yb 31 // 3830 PILOT KNOB RD - 55122 ? ? •O ? 851-881•4875 r New ConstrucUon Reauirementx . 3 registered site surveys showirg sq. R ot bt, sq. R of house; anchR mofed areas (20% maximum bt coverage albwed) . 2 mpies ot ptan showing beam & windax sizes; poured found design, etc.) . 7 set of Eneigy Cakulatlons . 3 coples M Tree Preservation Plan tt lol pWtted after 711193 . Rim Joist Detail Optlons selection sheet (bldgs wBh 3 or less unb) DATE JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? 41 PROPERTY C TYPE OF WC APPLICANT ADDRESS _ PAGER # CELL PHONE # vawaioN t I 7YID FIREPLACE(S) _ 0 _ 1 _ 2 _ PHONEgl/?2?3KZ-05.3? AIAIPCODE SSG 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 Coniractor. _ Mechanical System Includes: Sewer/Wcfer Confractor. _ Air Conditioning _ Heat Recovery System All above irrformation must be subm'itted prior to processing of application. Phone # FAX # Fee: Phone B 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. Signature of Applicanf?,nl.?? 7/ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1Nt _ Water Softener _ _ Water Heater _ _ No. of Baths RemodeUReoalrReaulremeMS . 2 copies of plan . 1setMEnergyCakuWtbnsfarheatedadd'Aions ' . 1 site survey for exterior addiGOns & dedks . Indkale R home aerved by septic system tor additions ? ? Phone #: Iawn Sprinkler Fee: $90.00 No. of R.I. Baths OFFICE USE ONLY r ? 01 FoundaUon ? 02 SF Dwelling ? 03 07 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? OB 06-plex ? 16 Fireplace ? 09 07-piex ? 17 Garage O 10 08-plex W18 Deck ? 11 70-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage 0 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Aft - Multi ? 33 Ext. Aft - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) O 44 Siding O 32 Addition 0 36 Move Bldg. O 42 Demolish (FOUndation) 0 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof 13 46 Windows/Doors ? 34 Replacement 'Demoiltion (Endre Bldg only) - Give PCA handout to applicant C?l ? Valuation c3fjrj D Occupancy Ile-3 MC/ES System Census Code ya y Zoning jA-,b Ciry Water SAC Units 0 ? Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const Width ? Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (newheplacement) Approved By Ila , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total REQUIRED INSPECTIONS Footings (new bldg) Footings(deck) FinaUNo C.O. Footings (addition) Plumbing Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ RI. _ Air Test _ Fiaal Insularion FinaUC.O. ? HVAC RESIDENTIAL ' BUILDING PERMIT APPLICATION ?? 6 313 GTY OF EAGAN 3830 PILOT KNOB RD - 55122 n 651•681-4675 7v SO NewConsWction Reauirement6 . 3 registeied sRe surveys showiig sq. ft M Iot, sq. fl M house; anill roofed areas (20% maximum bt coverage aibwed) • 2 capks o( pian showing 6eem & window sizes; poured fomM design, etc.) • 7 set ot Energy Calwlations . 3 capies ol Tree Preservation Plan if lot plaped after 711193 • Rim Joist Defail Optlons selec0on sheet (bklgs wiHi 3 w less unib) RemodelfReoairReoulrements ????ro? • 2 mpi? of pWn . 1 sef of Energy Calailatans for Aeated addAions • 7 site survey fa exterior additions & decks • Indicate H Iwme served by septic system for edtlNOns DATE 21,2`f /O / VALUAlION 'Y.31 70 - JOB SITE ADDRESS / S Y76 IF MULTI-FAMILY BUI ING, HOW MANY UNITS? PROPERTY OWNE R9t/lJ 7- T f,c.2wZ:? TYPE OF APPLICANT ADDRESS PAGER # CELL PHONE # FIREPLACE(S) _ 0 _ 1 _ 2 _ PHONE# (bla? 3PoZ° 3 5:5a RA-f ZIPCODE SSVrZ FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Conhactor. _ Plumbing System Includes: Mechanical Contrador. _ Mechanical System Includes: Sewer/Water Contracfor. _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 7 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: _ Waier Softener _ Iawn Sprinkler _ Water Heater _ No. of R.I. Baths No. of Baths _ Air Condiaoning _ Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of applicatian. I hereby acknowledge that I have read this application, state that the information is cqrrect, and agree tQ comply with all applicable State of Minnesota Statutes and City of Eagan1Ordinances. Sfgnaiure of ApplicariY?? ?J? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated tl01 OFFICE USE ONLY r ? 01 FoundaGon O 02 SF Dwelling ? 03 01 of _ plex O 04 02-plex O 05 03-plex ? 06 04-ptex ? 07 OS-plex ? 13 76-plex 0 08 06-plex ? 16 Fireplace ? 09 07-piex ? 17 Garage O 10 08-plex W18 Deck O 11 10-plex ? 19 LowerLevel ? 72 72-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) O 24 Storm Damage ? 25 Misc211aneous O 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext Ak - SF ? 36 Multi Pf 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addkion ? 36 Move Bldg. O 42 Demolish (Foundation) O 45 Fire Repair O 33 Alteration O 37 Demolish (Bldg)' O 43 Reroof O 46 Windows/Doors O 34 Repiacement •Demoiition (Entire Bldg only) - Give PCA handout to applicant V l ti A k `3 a ua on c QQo Occupancy MC/ES System CensusCode ?L3 Zoning P-h CityWater SAC Units 0/ Stwies Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs ? Length Fire Sprinklered Type of Const S^" Width ? Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Smcco Stone _ Windows (new/replacement) Approved By 646 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Pertnit & 5urcharge Treatment Plant Plumhing Permit Mechanical Permit License Search Copies Other Total REQUIRED IN5PECTIONS Footings (new bldg) Footings(deck) FinaUNo C.O. Footings (addiHon) Plumbing Fa?mdation Diain Tile Roof Ice & Water Final Framing F'ueplace _ R.I. _ Air Test _ Final Insulation FinaUC.O. ? HVAC This request void 18 months 5rom , -14 8 Request f]ate Fire No. FouPh-in InsGecUOn SR¢p treA, ?fleady Now?W?ll ' I InSPec- Yes ?NO [or When R¢?tlv ?Licensed Elec[ncal Conlraetor I hereby repuest mspection of abova ? o'^'^Pr electncal work mstalled ac SVe f Address"', Boz or Raute No. _ 41-- n( CItK ?/ y Y ecnon o. 7owns ip Name or No. Ranye No. Covnty oA OccupaAnt (PHINT) /YMV Phone Nc. Puwer SuOP?? r ?6?bt??A rrAA- ? Adtlress J Ele Contractar ny Name) I Convpr.tor's License No. = MaOwner Mabne Insta,lau n) ?.G Authonzed Signalure ICOntractor Own r aking InstallatmN Phone Number . .. .9? ? " , ? dl?.?2r?41 MINNESOTq STATE BOAPO Of ELECTNICITY • THIS INSPECTION REQVEST WILL NOT Gnggs-Midwey 9lde. - poom N491 BE ACCEPTED BV THE STqTE BOAPD 1821 University Ava., Sp Peul, MN 65104 UNLESS PNOPER INSPECTION FEE IS Phone 18121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPEC710N ee-ooooi-oa ? Sea instruct"ons for camoleling Ihis lorm on back of vellow copy. dpt "x' ee/ow Work Cnvn,ad hv Th.e aa,.,,e.., AAcI ReD. Tvoe of Bwld,n 9 - 4GVlmnce, Wvel ' - ?c? ) ent Wired Home ftanye lemporarye Service Duple x Water Heater ixtures .Qpt Bwlding Comme?cial Bid Dryer M eahn y. Fumace der Industrial 81dg. qir Condiboner 7ank Farm mNSp ?ryl »r uelv Oor Om DUt e Jns nvciinn Fo< Rai,.?., p pecial InspecLOn , ,-y TO7AL FEE?/ flough-sn ? Date ? .?y ?.?haElac,.'ca-l= S"' iosoa??o,: narany Final wrtdy that the above ?'?? _6? napection has bean n r JF' mede fliia reUUesl vold 18 mantM Irom - Fea ServicaENranceScza n Fee Fenders/Subieeders p Fee Circwis ? to 200 Am s 0 to 30 Am s 0 to 30 Am> Ahove 200 Amps? 31 to 100 Amps s 31 to 100 A Sw?mmin Pool g Above 100_Amps 5 Above 100 Am s iranstormers Siqns Irngation Booms c _ Partia6"Other Fee Thq, repuest void 18 nwmhs from C 12147 9equest Date Fr I e t_c_ nz 1 (o0131?Q, :uer.tion y/ 0Ready Now UCI Will Noufy Insoec- ?Np '?-??tor Wh¢n ReadY ALicensed Electncal Contractor I hereby request inspechon ol above ? Owpef elBCtfical work insUIIwA ai /? Street Address, 78?ox or Roure No. y/? ?/? / / (v-?-/ /?N f /?`/l? ? '?? '--? g?/?y T-/i ? V ecuon o. Township Name or No. panye No. County Occupant(PRINT) Phone No. l;W Powyer?Supplier .U? 6 Atl?dr?,yy?s?p,{? Electncal Conirac[or ompany ame) /e Contracrytor's License No. ?V ?O? MaJ?n Address (COnVactor or O w er Making iretaflavonl /' , ? e /..{?? ?. Auffionzed Sig^ature (ContractoJOwner Mak?ng InstallaLOn) ? Pfione_`u`mCei i/ MINNESOTA STqTE 80AHD OF ELECTNICITV Griggs-Midway Aldg, - poom N-191 1821 Umversity Ave., St Paul, MN 55104 Phone (612) 297.2111 THIS INSPECTION NEQUEST Wlll NOT BE ACCEPTED BY THE STATE BOARO UNLE55 PRpPER INSPECTION FEE IS ENCLOSEO, t -? _-?REQUEST FOR ELECTRICAL WSPEC710N ea-ooooi.oa 1 Sae inshucbpns for complaLng 'his form on back of yellow copy P ? 2147 'X'' Below Work Covered by 7his Request 10? ada neo. Tvoe ol emieine AODlmncea wiretl eq.ip„aenl wi.ea Range Temporaiy Service Water Heater Lightlny Fixtuies Dryei Elactnc Heatin 1dy & Furrtace Silo Unloader, g, qir Condrtioner Bulk Milk Tenk Farm ONer oe?.? v D her Isns tyl n. .,,,., ?. 1.... ..... ...__ r.. .. , Other Oihi:r - _ ? ?ceEnfrenceSae b Fee Feede rs/5ubieeders Cucufts 200 qm s 0 to 30 qm s o 30 Am s r tAb ove 200 qmps 37 to 1 DO Amps to 700 A mming Pool Above 100_Amps g 100 Am s Alb ove siormers Irrigation orr,s r _ tial- Other Fee 5 SVeCial InSpeCbon TAL'FEE \ Pough-in ?ate [r the Ele?tncqi Insoacloq hereby Final ? certity Hret the above inspec[ion hes baen ?J` ?aa. This reQUes1 va1018 monihs irom :h.s requast void ? 18 nwnths trom ? Raquest UT?? Fre No. qouPh-in InsVecUon •? * C_ ?` R?qyired? ?qeaAy NowXWill NotHY Inspec ? Yes C)N [o Wh p ? I Licensed ElecVwal Contractor I herab Owner V request inspecvon of above ? ai-r.i-i ......s .........?_ SVeet Atldress, 8ox or Hmte No, CGE?y.fd ?rP?l.? ???? ? ecuon o. I ownship Name or No. RanyF No. Cowily 4iin OccvUantIPRINTI Phon e No. yy4??? Power $uppl?er Add es ? Elec[ncal Con(ra tor iCompan Neme) Conhartor's Lmense No, MQ ? qd r? ? c OS?? ? q s onV tor or Ow?er Making lnst ?labonl AuMOr¢ed Signature IContractorl ner Makiny InstallaLOnl Phone Number -a ca??w biqIE eOARD OF ELECTFICITY Gne9s-Midway 9ldg. - qoom N491 1821 University Ave., SL Paul, MN 55104 Pho. (612) 297-2111 ini5 INSPECTION qEdUEST WILL NOT BE ACCEPTEO BV THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. S-(3-,x(F, REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa 1 Sae mstructio?s tor tomplBting 1hi5 brm on back ot yellow copy. ?' 4 6 'X" 8elow Wark Covered by This Request Ad?? PQ 4 Type ol Bun ltline App"ances Wvetl EqwVment Wvee 1 I I Duplax Water Heater --T? Liyhnny F xtures ? Apt. Building Dryei Electrvr Hnar... a ? i.ommercial Bldy. Fumace j O? I I Silu Unloade. ? InAustnal 81dg, Air Conditioner Bulk Milk Tank trenceS¢e k Fee f aetlers?S ubteetle?s tt Fee Circwts n qm s 00 qm??y, a Dro30Am 5 31 to 100 qmps Otn30Am s 31 to 100 qm s g Pool Abave 100_Amps Above 100_Am s mers c -_ Irrigatron &?orr?s PdrLal.?Other Fee Herrv3rks J~???1jly?c`?u?? 5 ?? TOTAL,FEE ? Haugh-m i . . i ? ace ? I I, the lectncal/ ? ??sua. t-na.abv Ftnal ? I Date cerUfy thaf tha xbove ? mspechon has been a m a. a This request voitl 1 18 nwnffis tmm Q 1_2145 Fe9uc? _ fC IVO. HOUgII-Ifl Aequired Now ? Will Nouty Insper.- lor When qeadv ,(Licensetl Elecincal Contrdctor I hereby reCUest inspacOOn ol ebovg ? OWnPr BIBCtliCal wnrle inn1a11uA et Str¢et Address, euz or Houte No. /J G So G ilr`' U[Y ? ? ecuon o. Towns?ip Name or No. qange No. County loq L Occupant PpINT? ???j???? Phone N?. Powe/r upplier S2.1!SE7 Addre.ss ?? 1 V EI¢ctncal ConVacmr ( ompany ame) Comrar,tor's License No. Z ? - E i,: - ? OZ MaJmq Address (ConV a c t r o or O ner M aking InstailatmN . -- ?. - ? ' ? ??.C.i rAuihorzed Sienature ICOnrracmr/Own Making Installatwnl Phone Number ? . • . r?_ ,?f'!;"? .?J•_ nrvcauIw SIATE BOARD OF ELECTRICITY FMiS IrvSPECTION qEQUEST WILL NOT Grigge-M1Eway Blde. - Aoom Nd91 BE ACCEPTED BY THE STA7E BOANU 1827 UniversrtV Ave., St. P.W. MN 55106 UNLESS PflOPEfl INSPECTION F(E IS Phone (612) 297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTlON 0-9% ee-oo0o1 _oa ? See mytrucpona lar comoleting thls form on back o1 yellow cooV. 1 4,j '-X- - Below Work Covered 6v 7n,i, rro,,.,o, i Hdtl Re P. itlin9 - Appliances W d ? ? rte EqulUmenl W??ed Range porary Service g Water Heater D tiny Fixtures n Bidy. ryer Fumace tnc HeaUn dg. q?r Conditioner Unlaader N ONer Milk Tank ISOOrriy? Other O nmput e lns pecbon Fee Reln w k Fea ServiceEntrenceS.ie tt Fee Feaders/Subteeders ccwi 00 qm 5 ? to Z Abo0 0 to 30 qm s s 0 tn 30 F?m s qmps 31 to 700 qmps 31 to 100 A t Swimmirtg Pool Transtormers Above 100_qmps ' Above 100_Am Signs Irngation Booms p artial- Other Fee Hertyrks Final (pis repueat riatl GC)\ i, rna Frentr,osi Inspector, hereby certity that the dbove inspect,on hgy bean COMMERCIAL ? 2002 BUILDING PERMIT APPLICATION _ CITY OF EAGAN 651-681-4675 D_S? Foundation Onl New Construction Interior Im rovement • Structu2l Plans (2) sets . ArchRectural Plans (2) sets • ArChitecW2l Plans (2) sets • Civil Plans (2) • Structurel Plans (2) • Code Malysis (t) " • CertifiCateof5urvey (1) . CivilPlans (2) • ProjectSpecs (1) • CodeAnalysis (t) • LandscapingPlans (2) • KeyPlan (1) • ProjectSpecs (1) • CodeAnalysis (7) + MasterExitPlan (7) • Spec. Insp. & Testing Schedule " • Certificate of Survey (t) • Energy Calculations (i) not always" • Soils Report (1) • Spec. Insp. & Testing Schetlule (1) " • Elec. Power & Lighting Form (1) notalways° • Meter size must be esta6lished . Meter size must be established • Meter size must be established - if applicable • PrqectSpecs (1) b • EnergyCalculations (1) 1 • Electric Power & Lighting Form (1) 1 . Master Exit Plan (1) y 1 • Emergency Response Site Plan (7) 1 . SoilsReport (1) 1 • MClES SAC determination le8er • MClES SAC determina6on letter • MC/ES SAC determination letter call 651-602-1000 call 651-602•1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Deparhnent of Health. Call 651-215-0700 for details. Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: WORK TYPE: NEW ? REMODEL CONSTRUCTION COST: ?5 pY I - ? SITEADDRESS: /Sy7 ? `op' Py- TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK Z_L Nazne: Ze'-? _ Phone #: (;V3) 6 PROPERTY Last First OWNER /? StreetAddress: ?'" ? U a City: State: Zip: Company: ?? Phone #: CONTRACTOR SneetAddress: 457- City: 5tate: zo n ZiP: ss y ?? ARCHITECTI ENGINEER Company: Phone#: T i o'lf ? v Name: Regisiiation #: -,? ---- -- _? Street Address: - - - - " City: State: Zip: Licensed plumber installing new sewerlwater service: Phone #: L I hereby acknowledge that I have read this applica6on, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: !y/ Updated 7l02 THOMAS LAKE HEIGHTS 2ND 75951 PERMIT DATE & 'I'YPE LOT BL ADDRESS APPROVED 3/85 PAGE 4 OF 5 12/83 4-PLEX 210 02 1542/ BAYLOR CT 220 02 1543/ CLEMSON DR 230 02 1543B 240 02 1546 - BAYI,OR CT 5/86 4-PLEX 250 02 1545/ CLEMSON DR ? 260 02 1547/ 1 270 02 1547B/ ? - - ----.--_- _-,280 02 1545B _ -- - " 4/86 4-PLEX 290 02 1555/ CLEMSON DR 300 02 1557/ 310 02 1557B/ 320 02 1555B 4/86 4-PLEX 330 02 1565/ CLEMSON DR 340 02 1569/ 350 02 1569B/ 360 02 1565B 4/86 4-PLEX 370 02 1571/ CLEMSON DR 380 02 1573/ 390 02 1575/ 400 02 1575B 5/86 4-PLEX 410 02 ] 577B/ CLEMSON DR 420 02 1577/ 430 02 1579/ 440 02 1579B 5/86 4-PLEX 450 02 1581B/ CLEMSON DA 460 02 1581/ 470 02 1583/ 480 02 1583B 34 $UILD/NG * 2/ ? (93u5) N I7°25'29"E ? 3I.D0 31.00 (9so.s? 0 0 3 ? r ? i . l7 c...? ? . tl? a i ??? IV v n (930.0) z o ? 1 ? ? J h p / N 29.aa Cv m _...?Q /W (v z.o 3 a° ?o '-c N a .33 ZZ? ? N 2.o I ?- 33 ? `5r17 p31 25%29HW (93o.s) O ? O I?? tl? W M O tf- N n o v? (9Z9.o ) 'o, i U) M ro 1? C9zas) ?? tl? I? I i X 928. 7 TC. r CC EMSON o X926.7 Te. OR/ YE ,.. ?-s R EVIE 3y --.-----" i3ATE _ O Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevatione (000.0) Denotes Proposed Elevation proposed Garage Floor Eievatione 93t. 5 -4- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 932.0 I hereby certify Mat this is a true and correct representation of a survey of the boundaries of. Lots 25, 26, 27 and 28, Block 2, THOPIAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota And of the location of all buildings, if any, thereon, and all 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 Znd day of Anril 19 86 F!W LCOMBS-KNUTSON ASSOCIATES, INC. GOIIWITIMClIIGII[(Ai 0 WO fURY1f011t f SIil tLLllllltf ??. i Y1NNE11IOLtf Y?/ NUTCMIMSpN. W IpECOT1? /1_ /y? ? ?CC? ?c -4-Z-1-CP'? paul A. Johnson Land Surveyor, Minn. Reg. No. 10938 9 ""` CERTfFICATE OF SURVEY /"= 40 ? ?wE fior fIIENR ?w . ?/1 {?y" , iV1.ES 7430 _eo i. i ? _ ?? ? „y x ?. . +?': S: • ?? ? C , .. ? •r{; 1985 BUILDIHG PEW1iT APP ' - F? i3CATIOH„_ dilY?? £6GAH :. HO'iE 9(d.,1'Ui1fK1CY'OES ; Ms s *iST BE Llt1S?Dy.3Ft77i WCM tfFz EAG?A r F e,? ?- ... ? '_. - ?''? ' ?'' ? 5• a 4 ?- ? s' ?'? ik'S` . anb ` `•' - „" ?,?'..,• ' iNCLi1DE 2.5£TS. UF,PLAN5-'? r 13 CER?IFIC6YES'OF-.SURVEY , ?; ',: ,.,-- ?2 ' ?'•'?_' ? =-?? ? ?ENERGY'?CALCU?aTi0N5`.' .. ? ? - .,, ",.iw'?? :.?'??'-?'. • :":' ,:,;::.,,, '??- xr: ?' ? 'i a.:???? /„?? - ,r '/ . ' ', ' . . To?9e Used.,P!or: yya3uati6n: `??!!4Date: ?- §E OHLY ` . ? . :? ? ..- ` • ` ? ? _ . : . . _ _ ?: . . . ._ .. . , , , _ - .. ?_, . •_ m??a..aJ _. ? .- - Lote.??'rBlbdlc_ Erect': : OccupancY Remodei . . 2oning . : . - Parcel ? , YPe _of Const .. O. . of En - Stories '. ' tr?rne"r Targe:, . ,. . Hove,, - Lengtti Demo3i5h= Depth Address ..?.GrcS9_ City%2ip Code ---------------------- - Phone AP?ROVALS , - ° . . ? Cootractor . .. Assessments ;_ .Permit ? .? '?-_Nater7Se»er- -:.Surcharge !' , • - Address police' `plan.Pev3ex "?/ ? .' . . _ " . ' . Fi're, ' - ? SAC? City/Zip ?,Code ' . Engr, ?Water Conn r • ?Q-Q ?sp ?qr .= Planner h'ater_ Neter Phone , C6uricii . . • = Road Unit = ? 00 i?t: Bld'g Of . Parks ? 9roh;fEngr. , `?(1? •1?G=? u?, ??(iL.. - , aPC% Treat.ment P2 . ....... .-2? ,.a. Variaqee. ,• ??? ? , + ,??".. • Aadress ? ° 'x ` ., .. ? • ~T(3?AL CityLZip Code . , - {.:' .. ' , e y. .. «?1• r ? ?,.y.rv?/ . .-, ' Phone'D` ? ?V _ . . ? ? a ? _l?,'. •, t.a y.?_. ,. ! " : ?°?-? ' " ? . .. . ., ?` ._ .t . ti' . ? _- ' =.1` . • •C?'Ff ?? . . ? . . ,'? . . ' • ? ?, rv . ' ? . ( . • ? . , . ? .. . ':..,f ' .. ' ' . . , .. _ ? . ' f. '? ' ? .. . . . ? . . . - . t• • . " ' i ` ? ? ? . . . . i,. . . ? • . ? • • ' S? ' , , TOWNIiOUSE - FOR SALE UBTITS CITy OF EAGAN .'. 1 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N-° 118 82 BUILDING PERMIT PHONE: 454-8100 3 Receipt p _ 70 6e usetl for , 1 OF 4 PLEX Est. Value $ 61 ,000 m1Y 5 D t 86 a e , 1g_ SiteAddress 1545 CLEMSON DR Erect ?X Occupancy R3 Lot 25 eiock 2 Sec/Sub. THOMAS LAKE Remodel ? Zaning PD Parcel No. HTS 2ND Aepair ? Type of Const Vn w Name Addition ? No. Stories NEW HORIZON HOMES Move ? Length 44 3 Address P.O. BOX 1367 Demolish ? Depth_4?? 0 citY M-P?Phone 420-3900 Int.lmpr ? Sq Ft. ? Insfall = o Name SA`7E Approvals Faes $? Address Assessment Permit $ 316.00 ? City Pnone Water&Sew. Surcharge 30.50 W W Name D. GRISWOLD Police Plan Review 158. 00 ?z Fire SAC 575.00 Q? a W Address Ciry Eng, 435-7524 Ph WaterConn. 500.00 one Planner Water Meter 63. 50 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe CounCil information is correct and agree to comply with all applicable State of Bldg. Off. DP Mmnesota Statutes and Ciry of Eagan Ordinances. APC Signature of Var. RoadUnit 290.00 rr. PI. 156 . 00 Copies T,,,, i 2, 0 9. 0 0 A Building Permrt is issued to: " NLW tlViil'GON HOMES on the express condition that all work shall be done in accordance with all a ' le ate of Min esota at es and Ciry of Eagan Ordinances. Building Official p ,` ,? f' . ?..rs11'y'' L p? "G? ! ? r o 1g85.t BUFi;DSHG ?ERMi2 A?PLICATZflN? C.I?Y t7F EA?,Ab? 74a' r-: "•?§??YeA?a:? ? G? a^a?`IC?UE? ?EAf6?13,e -, n .'fll 3'. " _ A - p• ,? ..- a ,?r , ?, + h? .4.,_." ..vxs' ?dzy"?'r??,?`x r2?S£T.S YTf' fLANSS. .` FC9TES OF.:S138VEY-,k ? ??? . . £t?ERGY.CALC1,iLA739tIS•: f To9e-UsedFor:' te.- : -' ' ?.?t-. , °? , ,:,?, • ? Site Address + _pFFICE .OS£'O . -? ? Lot e z?, °?"?Block3 ?? Sec"t7Su ` ? Erect ? Oeetiganeq ? ? . . ? . y : _ K+- .Eti - "C"..e,??`s'a' ti..`: :.. • F ? .'??E[OOfj?? rcr Z0[I):17g ' n.' .?. . _ . - N` ? . {?? P8{OEI u`-?+`????'-?±?'? R0j3aii= Ty CAYlSt..' ? . p8`OT` ? ?TI ?Bl"0-O?? ?O1'l'E$ ;rner -LeflgCh, .77 ? - ?' ?'??'.?r,>'.. :? -?';'?.;??v;'?,? :` `,'?p-?'zd??,?-?? • ?Deinolfsh- Deptb " - ' S4 F't' ? ' .; • .:;, ?*?£ tc d . :-? _ _, . : . ?:- ? _ `""?.`ri* `= -?` . ?, . . e , .,'> > s?.City/Code ?;??fi` x `-------°------------- =r----- ,. .. ? : 9PfB0V1iLS- ? " . - ry ' Y'•'.'?•_:. Ii - . ' ' /? - .e. -'. "?y u . m f . { ?r ' ' {' ' _ _ ' ?. •:? , ContracLor ? 'X??pjz;:.??`'? Assessments ? Permi.t ?a , - =WaterlSeifer , .'Sur,charge Address Po13ce `Y Plan. Pevieit . '. _ : , : ""? ? .. . f .,. ,? ; -.: << <_ • ' Fi re SAC . CitylZip .Code u?Erigr? t' _Waterr t;brin . . ^ anner.? _ ?tJaLerMeter - ?Phone °ry^>"p??nncii'Raad Unit: ' Arch Engr Tr.eatment, PP ? . , Address' ' ?TOSAL ' . . '",?• ? • ` •. 'Z ' ,.b.: ? ' ? . '^ .?1,:`y°i". . .. ' , , . ?..-z, ; City/Zip.Cod •-G , '. Ph0172 # xr "oS4'??'.. 7 ?!'J27". .. .. ?1 ??- ? ?.,` ^?' DZ' i ' ' i. , 'c+Jil•?v' ' . V,? ? 6 ? .4?' ' ??? ? •@` ' ' ' . ., . _ . ,4: `s.r.: .Ty', . .. .. . . . . , -• ` .. . ?... . .4 ?' , ' - . ? ' - . _ . ? • • ? • _ i . \. - j . . ' " _ _? ??? • ?' ••? ^-£?' ? S• . . . _. . ' .. ., 4. . . •'1 v ' V ... , . . . ? . , . . ? ? ^ ' . n ? . . .. 4 . . _ . .. . ? 1 ? ' . . . . ? ?it ` .. ' _ •.C.p,`^ .'4•' _fr° .p? BUILDING PERMI CITY OF EAGAN N ? 11884 3830 Pilot Kno6 Road, P.O. Box 21-799, Eagan, MN 55721 ' PHONE: 454-8100 " 1 T Receipt#?r„?l? 7 `l 7abeusedfor 1 OF 4 PLEX Est Value $61.000 Date MAY 5 19 86 Site Address 1545B CLEMSON DR Erect u' Occupancy R3 Lot 28 Block 2 Sec/Sub THOMAS LAKE Remodel ? Zoning PL Parcel No. HTS ZND Repair ? Type of Const. Un Addition ? No. Stories W Name NEW HORIZON HOLXES Move ? Length 44 z Address P.O. BOX 1367 Demolish ? Depth 9 o city NPLS phone 420-3900 Int, lmpr. I ll ? ? Sq Ft. nsta o SAME Approvals Fees Name a ? Address x ? Ciry Phone a D. GRISWOLD w W Name ? ?n Address i W City Phone 435-7524 I hereby acknowledge ihat I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of E gan Ordinance %^ Signature oF Permittee °" A Building Permit is issued to. ? EW HORI ON HOMES all work shall be done in accordance with all applicabrle Stat7f Minnesa Assessment _ Water & Sew. Police Fire Planner Council Bldg. Off. DP Var. Date Permit $ 316.00 Surcharge 30.50 Pian Review 158.00 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290. 00 Tr. PI. 156.00 I Copies---$ '?. 00 r_._. on the express condition that Gty of Eagan Ordinences. Building . r, f. Y `? ? ? ,'• ' ?, Y? y' '_ ? ' ? ?. . n a T t s? ? ? 3 ? q??? ? ? ?' r •• x?, r,ix?? ''?,h ,? $jpl ?+1'c, _ .. . ?,7:;a •?,'? . } ,? . „ e x a?, ? w =r ? ?.?'se.r.??; 'Sk ?'. •• ,. ? ??k -?. , r, r ?, ' t.?? i t-, 19$5 SUILDIAiG PESM,T1' APFLIC ATit3H..- r Y r a•k t? - ? , .y, ,_ 1?c'y3 14 +c : ? .. r ? t " ?'- ?o;€ ArL.,coItAc?oas-?????s? rF _ -e A`h "?riK xti 4 INCL1lDE. 2' SET*`OF CEATZFSCA3'£S t1F ?SQRV?" ?: fi'h. j'S&X ,QF ENEttGY CAi,CULA3`30t+f5S' . Yfl ;Be , Valuation ` ? IIate: ? ° OFFZCE USE ONLY ?i.ot, Biock ? >SecLlSub?Q?? Ereet :_ ".'' -0ecupancy Zon ing Type' ot"nst ? , ? Dwner-, Le?ngytih ,? ' . • _ City%Zi .f .... o cAdO? - / ?'G''i? ?i,l.''?'"'.?-'?-?• ,^t`Y'Ur?(R`^F_-?' _ ?? ?'___?____'.?_'_a '____?._____'___? - _. _ , Phone' '5'"".:? F :-:,,+APPROYAIS.;.:?: ' ? ? • _ ... ;;a;: ' e ??? a?` r.. e,?:. ?.. _ . _, - ? .-_ - ? - 'k . , _ :.,._"-.,:'.=: ? ? /f?? .;>u _, ':?,;'. .r,:`? ?;:.,°''r;:r`.'?::??'•.• ;'.... ': -., . . -`Pei;mit W ,aterY,Sewer°-? SiirchaFge ' . Address? Reviex " - - SAG ;?, =Engri=':°, ater'"Cdnis Water Meter. , Phone ?- _;k' :?: ,` '?•,;;; ;Couiici3?" _ - Road Unit . . ? ArcA ?lEngr ?Cif , ?2-GG?-? ? >"? "? SAPC'?-??;?, .&a < ""Treatmehti? Pi • c rEil'I`AIlCO ' . AdCjl'.ESS., r?"?, '?° ? ,?a,? `• pat .?r, TOTAL . . ? . , , 4iLSp Wlle. • ? - Y - •.' 7 " i ? ! t xi?,.., i ',: ? ?, " . . . _ . . .s ? . _ . . Phone # "4?'?" . , .,i, :,:.-5'?:,?•,`,3'?'`t"@? ? .e '?'?'? •+ ?^?`i '• ? ? _ ' f.? .a9?' . t"~ I ` zj "`,'. '.r ?? .?:i,?4 °"?S?a?•,?? .Y?y?? ?T ?•+??' . • rt ?b:.}' y . . _ , " . . " r . :P "'?.ui, ..? ?' ??D •?ti •? _ •Mw'r?r_ , ? . , . ? ?. . ?' . , -. .?; :. . ' . , ' . . ' . - _ . .. ' {" .t. . ' . . . ?. . % .'. _ . ^ . .. . . ' , , . ., lr ?. ' - . `h• - _ ? , . . . , ' ? ,' ? , , . . - , .. . .. , . , ; t . ? . . . . . , . ? : , ?. . . . , . . . ' . ' 6. ? ' . . . ' . Y.I........ .? ...r.??. ?. i _.d.... ..?..v'a.?...:??IN.Rr TOWNHOUSE - FOR SALE UNITS CITY OF EAGAN ° 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N-° 11883 BUILDING PERMIT PHONE: 454-8100 /? J 2? Receipt# 6 ? J 7obeusedtor 1 oF 4 PLEX Est.value S61,000 Date MAY 5 86 ?y SiteAddress 1547 CLEMSON DR Erect C? Occupancy R3 Lot 26 Block Z Sec/Sub THOMAS LAKE Remodel ? Zoning- PD Parcel No. HTS ?RD Repair ? Type of Const. V4} Addition ? Na.Stories W Name NEW HORIZON HQMES Move ? length 44 Address P• O• BOX 1367 Demolish ? Depth 2-; a Ciry MPI'S Phone 4 0-3 Int Impr. ? Sq. Ft Install ? = o Name SAME Approvals Fee$ u Q Address U Q W W ? xz UZ q W Phone 435-7524 Planner I hereby acknowledge that I have read this application antl state that the informahon is correct and agree to comply with all applicable State o( Minnesota Statutes and City of E gan Ortlinance . n Sgnature of Perminee ,4 A ewlding Permit is issued to: NEW H RI ZON HOMES all work shall be done in accordance with all aoolicahmi-SA9t t nn.?no-f. Building Phone Assessment Water & Sew. Police Fire D. GRISWOLD Council BIdg.Off. DP APC Var. Date Permit $ 316.00 Surcharge 30,50 Plan Review E56' 0 0 SaC 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Copies 7otal S2, 089.00 - on the express condihon that of Eagan Ordinances. . s ° ' L? ? ?a a P F $ ? b . ? 'sJ'P.`?`tA * I {af ? ? - ?.. S0 ?? ? ` .s ? • c - d r ??- /zi r '?. ,?y .S 4 'r??^4, e f?.? `' lm` $OrLDI?t`s?Q£FJC?' ? 't9s?v5±???G ????.r? _. y 74?py Y?" ia??.??y1" ?>+5°?h,.r 'Y y.T?'f+? ??y? a ? x ? v? W?M, R.?I'.vP??3.aLLlf?,ayI,t?? 4' Li?- ? uLVe+s e . ea a ., 1?" r ?e1 ? • k N .f^ ? i } : # t'! -•Y ? '?Y ? ' '•" - 4 « ? , t ? r ??`r ?-?f'n? '?l' : *? ,,ri y ' _ ? ,,?, x4`?, z. ?t=.?:??? •.??;u'=',.f?;?°?? ti" _?." ?„ •?FkLUD?'a^_SE?'&xUF??'CA?1S`:? CE3iTIF3GA ?• ` , *?` , ` "? ?` ?`? -? '~< ' ? '"1`',SET OF £NERGY" CALCi13.AY?DMS - -fi -w ?" -? 'z?? ?`"1' p - ? ?' ' - •? '??? j ? `' ?'£S'yf1lf. 3S!$V?]C ; ? To?'Be?(7seflr?or ?ValuaLion ,_. ?? ??ate: ?!?"'? ?? . ' - ? . 'Site Addres`s:. OFFICE USE OltI.Y? ? x?' ?" ,_ ..?::vN.? ? /Y?6?' .'?;''?.? ? .F Lot ?p^-£:Hlack, 5ec"t1Sv'b ; ,?.. £rect w` ;Z Oecuganeg • . oning . ? Far6 e3. 4Enlar,ge;.,?',-- ? 0-oY Stories' Jl.ength ' F .?. 'b2pth Address ? B?` (? ? - . n _ ?2.•,• -, s . ? . r T.? ^M.? _, .u. ,.. , .:.Citi ?,? ? _ Y/ZiP;.Code?.'??? ---=`=---------------------------- ? .?• /f Phone' _ ?`s`???7? - 6P?PROVALS. ?. , ?-Contrac,t'ur?' -`Assessments" _ ?Fermi k' t - - 'f . -_'=r•' ,??.' ;:?:;:,,:,,_ - ateil5e:aer? =5j?rcharge ? ?Add ress z? ??• r?' ??°=,?olice; Pian Rev3eu. .. '-{•`. °.e-> ,.r. ?.."r? ? , ? ? <'.r'Ci?y/.Z3.P' ' R'?r.'`'?cF-;'' '.';'? .;•? .`=?.i?.,., rk: r? _ . ?, ?• . - - - , , , ?de Engr ? . ? ?*ater- Cnnri Plannef iiater t5eter ' - ' . ;Phone }.i ?« ' ,;:"•???::.:. Council Ttoad Unit 4 91dg?`Df k Pars ? Engr. Arch,j @ACt- _'° + 7r„eatment Pl °' .' . < . • ,. _,,?, ,• ? -„--- . t °?-'-,"_:?_ "T?- , ? Address ?:?b?? ?city/aip coae Pharie_ ' ' aib , .. •; <.:q?.{ -. °.Y%?.::?°.+?,,`yi;???? ... eE- , . +?t' .. v' ?,4, -;'?"';1?'« ?" '?" '•br'y= u,: e . ?Le?. _ " ° .,V +' `?. ? + 'a6 '",e' a'; 4.?5? '?% = e' •At,•; ,g gi,?' . - ' ? , . .. ' !''? F:??'??.? t ? a ¢ ? s Yy • e y ? k,- ' _ . , ' , ? . . ?'??.. .?, . n Y' c? _?q1 a _4 . . . , . ' . • , . ? yJ . ' -• '. r ? ?. . . •• , " ' . . ' " ., . , ' . ? . . . . • ? ? , . .. . ? ._ . . .. t _ . , y . t "' ` .'S. .. .. . .- . ' ' . ? .j ?t . •?' . _. . r ' _ ? ' • ' ? ' r, _ .. _ . _ . .. . ... , ? . . . - • . > . • " . ?. . . . . _ . .. . ? h ? a . r . . . • r ? : ?' ? ; .r . , f. .-. . . . . ?. ? < 4 r. . ?, v ? n • ? . r .a 4 Y .. . ' . ? . ? TOWNHOUSE - FOR SALE DNITS CITy OF EAGAN N2 11885 . 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Bl10LDING PERMIT PHONE: 454-8100 Receipt# (c 7 To be used tor 1 OF 4 PLEX Est. value $ 61 ,400 Date MAY 5 19 86 Site Addrss 1547B CLEMSON DR Erect L7- ?( Occupancy R3 Lot 27 Block Sec/Sub. THO Femadel ? Zoninq 11 D ParcelNo. HTS 2 ND Repair ? TypeofConst Vn Addition ? No. Stories ? NEW HORIZON HOMES Name Move ? Length 44 z P O. BOX 136 Demolish ? Depth 97 o Address ? F MPLS ? Int Impr t. Sq Ciry phone Install ? i o Name 0 ¢ Address ? Ciry - Assessment water & Sew. Police Fire Eng. Planner Councd BIdg.Off. DP APC Var. Date Permit $ 316.00 Surcharge 30.50 Plan Review 158.00 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 7r. PI. 156.00 Phone Uw w I Name D. GRISWOLD ¢ z Address a W City phone 435-7524 I hereby acknowledge that I have read this application aod state that the intormation is correct and agree to comply with all appiicable State of Mmnesota Statutes and City of Ea an rdinanc s. Signature of PermitteeL A Bwldin9 Permit is issued to: NEW HORIZO OME$ all work shall be done in accordance with all ap lica6l tate of Min ,e`so Building Of(icial Copie 2.089.00 r,.... i on the express condrtion that anA Ciry of Eagan Ordinances. PERMIT C@TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612)681-4675 PERMIT TYPE: Permit Number: Date Issued BUILDING 029667 04j09/97 SITE ADDRESS: 1547 CLEMSON DR LOT: 26 BLOCK: 2 THOMAS LAKE HETGHTS 2N0 P.I.N.: 10-75951-260-02 DESCRIPTION: (REBUILD) Build.ing Permit Type Building Work Type Census Eo't#,e -? ? !' - - ? .'L r- ,_ ? DECK REPAIR 434 ALT. RE5IDENTTAL ? REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $5@.00 $.50 $50.50 CONTRACTOR: NELSON, KEITH ? 18511 86TH MAF'LE GROVE (612) 420-6550 - Applicant - 14206550 PL N MN 55311 I OWNER: ASHLAND 1547 EAGAN ELI2ABETH CLEMSDN DR MN 1 hereby anknowl,edgs tMist I:Houe re,,ada:th,is, aPp?icatSo.n and, stat;e that.the informationis corr2et and agree to comply witk alI applica6le State df Mr Statutes and City of Esgan Ordinances.' AP IC NT/PERMITEE SIGNATURE ISSUED B: SIGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?ffd•;1 O L ?? ? CITY OF EAGAN ? t 1 ? 3830 PILOT KNOB RD - 55122 1±-.Z 6614675 MGw Construetion Reauiraments RBfiodeUReoair ReouiremeMs ? 3 registered ske surveys ? 2 copies of plan ? 2 copies of pfans (indude beam 8 window slzes; poured fid. design; etc.) ? 2 ske surveys (exterior additlona & decks) • 1 energy calalaNons ? 1 energy calwlationa for heated addkfons ? 3 copiea of tree preservetfon plan'rf lot plettetl after 7H/93 required: _ Yes _ No ' DATE: 7 7 CONSTRUCTION COST: - Y. • DESCRIPTION OF WORK: -?e-A U 1 L'17 7X, l D ?t-c- IQ- STREET ADDRESS: LOT -JLL- BLOCK / LI-27 ? l ??/Sdr? 9 SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR Name: r-ll? ?la,nfL Phone #: Wi PX Street Address: City: State: Zip: Company: 15 e- I -rH /t12ZSa X/ Phone #: S12 0 L53Z) Street Address: ) /L License #: City: NAO/L- <fv4v;,?? StateZip: SS 311 ARCHITECT/ Company: ENGINEER Name: Phone #: _ Registration #: Street Address: City: Sewer & water licensed plumber (new construction oniy): and lot change are requested once permit is issued. Penalry applies when address change 1 here6y acknowledge that I have read this application and state that the information is rArreCt and agree to com ly with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: •?v - OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No MAR 26 1997 Tree Preservation Plan Received _ Yes _ No _ Not Required State: Zip: PERMIT ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 029319 (612) 681-4675 Date Issued: 12 J 3 0/ 9 6 SITE ADDRESS: 1545 CLEMSON DR LOT: 25 BLOGK: 2 THOMAS LAKE HEIGHT5 2ND P.I.N.: 10-75951-250-02 DESCRIPTION: @`uilding--Prermit Type DECK ldin`g. W6,,r,-kType NEW ?Census Code `"?. _. 434 AL7• RESIDENTIAL t. J ? , ? `'Z`..tssl?' ??EUi"h "v ? .-?['.z??' r § ; `r%!<r°' ? ., ??^•?c . .? , lbz . ;e , REMARECS: FEE SUMMARY: Base Fee Surcharge 5ubtotal $45.00 COPY $.50 $.50 Total Fee $46.00 $45.50 CONTRACTOR: S hereby acknowl,edge -1?hat 1;°heve E`ea,d t"h-ii informatio'n is correct and agree to comply ? SCaCutes and City of Eagan Ordinances.; ? ? APPLICANTlPE?MITEE SIGNATURE OWNER: - Applicant - BRUCKNER BRIAN 1545 CLEMSON DR EAGAN MN 55122 (612)452- 7392 ap.plica,'kion 07xd st,ate that the wi:th al], applicsble Stato of Mn. ?rVin l?.u,,r1 I Tttl? ?I ED Y:SI NATU ? CITY OF EAGAN 7 '[L U!1Q 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 blyy Censlruei{en Reaairemenis $ernpdpVReoair Reeuiremenh f / %i 3 reqiaterod site wrveys ? 2 wpfes of plan ? 2 eopka of plam (fnduda-bssm d window s@es; pourad W. dssipn; eteJ ? 2 aNe aurveya (axterior a00iHOna b tlecks) ? t anergy plculelions ? 1 eneryy nleulaGons ler herietl additiona ? 3 copies M tree pasarvsNOn plen H lot pqtled aNer 7I1/93 mqulred: _ Yas _ No DATE: ) Z- 3-9 (o CONSTRUCTION COST: DESCRIPTION OF WORK: " ??s >>'?? h V-),N o f 4?e6 k STREETADDRESS: - j S`/ S Clc?so?? LOT 1A BLOCK ISUBD./P.1.D. #: PROPERTY OWNER CONTRACTOR Name: 3(2 L-f.c%ii&vz &)?r) Phone #: `/S? -? 3 S 7 uiMi* Street Address•- i ? `?'•s «M?°'"? D? City: State: IV7ti Zip: Z?-- Company: <c /f ' Phone #: Street Address: License #• ? City: State: " Zip• ARCHITEC7! Company: Phone M ENGINEER Name: Registration #• Street Address* City: State: Zip• 5ewer & water licensed piumber: Penalty applies when address change and lot change aro roquested once permit fs issued. • i hereby aeknowiedge that I have read lhis eppiica6on anA state that the infortnetion is cortect and agree to compty vvith all applipble State of Minnesota Statutea and Ctty of Eagan Ordinances. 1 Signature of Applicant: ??? ?•? c OFFICE USE ONLY ?r,.? _.. Certificates oE Survey Received _ Yes _ No , DEC Tree Preservation Plan Received Yes _ No City of Eagan Eagan, Miimesota September, 1996 ?*wsrlomao" To Whom It May Concern The holder of this letter is hereby authorized to build a deck with a total area measuring 10x20 on the property owned by Horizon Hills Home Owners Association. The holder of this letter understands that because the deck is built on Association property, it becomes the property of the Association, with the unit associated with the deck continuing to exercise their private use exclusions. The Association will ensure the deck is constructed and the cement footing is poured to meet the City of Eagan building requirements and will order the final inspection of such when work is completed. Please feel free to contact me with any questions or concems. Sincerely, Horizon Hills Home Owners Association ???, K?',6 Barbara Koob, Property Supervisor Member-At-Large cc: File ?? . P.O. BOX 21423, EAGAN, MN 55121 (612) 688-0695 HORIZON HILLS HOME OWNERS ASSOCIATION H L9 1 ? COMMERCIAL BUILDIN(i PERMIT APPLICATION CITY OF EAGAN 651-681-4675 1t-A _ Foundation Onl New Construction Interior Im rovement • Slructural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . SUUCtural Plans (2) • Code Analysis (1) • CertificateofSurvey (i) . CiwlPlans (2) • Project5pecs (1) • CodeAnalysis (1)" • LandscapingPlans (2) • KeyPlan (1) . ProjedSpecs (7) • CodeAnalysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Ligh4rrg Form (i) not always" . Meter size must be established • Meter size must be esNablishad • Meter size must be esfablished - if applicable • ProjectSpecs (1) 1 • EnergyCalculatlons (1) " y 1 • Electric Power & Lighting Farm (1) " b 1 • Master Ezit Plan (1) 1 1 • Fire Protec[ion Plan (1)" 1 1 • Soils Report (1) 1 • MCIES SAC detertninahon letter . MClES SAC determinaUon letter • MGES SAC determination letter C211851-602-1000 ca11 6 51-602-7 000 call 651-602-7000 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be su6mitted to Minnesota Department of Health - call 651-215-0700 for details. DATE 7- 30 ' d/ WORK TYPE NEW X REMODEL CONSTRUCTION COST P 2 5, SITEADDRESS ISyS -? S yS/,? -fsY7 -/5 Y-7Q C( fa+5o., D2 • TENANTNAME HD / ;zo,n P, A rI- a•i4. SUITE# FORMER TENANT NAME DESCRIPTION OF WORK S/?Ih Name: 40- 14,nq°/n-hJ • Phone#: 7( a 3 ) 593 - 97 70 PROPERTY Last Fust OWNER Street Address IF$D `6P ?'?^ r?..P . N- S u ,?f l¢ CitY _ rge 1PrPh l/,[ Ay I State Zip SS' L/ z 7 Company ??? ?x{eriJr !"lu-i/Pyy?" Phone# z Y3 CONTRACTOR ?US I.? . Street Address: d l/ ? 5 f, City State lol"v zip SS` y/g ARCHITECT/ ENGINEER Company Phone # ( ) Name Street Address City Registration # _ State Zi Licensed plumber installina new sewer/water service: Phone #: Il? II Irl IC ? . ; , I Qv - -- I here6y acknowledge that I have read this application, state that the information is correct, agree t?with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?' ? OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous WORK TYPE ? 31 New ? ? 32 Addition ? ? 33 Aiterations ? ? 34 Replacement ? ? 26 Public Facility ? 30 Accessory Bldg. ? 27 Commercial/lndustrial ? 32 ExtAlt - Apts. ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors 36 Move Bldg ? 43 Reroof ? 47 Repair 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building ? Insulation sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered ? Plumbing Engineering ? 5tucco/5tone Variance Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water 5upply & Storage S/W Permit 5/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total 1-4 .? ?-)) .? 1-{ ) (-f .? VALUATION $ % SAC SAC Units Meter Size . , ? ? ? o c 1987 BOILDING PERMIT 9PPLICATIOH - CITY OF EAGAN SINGLE FAMILY DWELLINGS IDICLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SfiT OF ENERGY C9LCQLATIO&S NOTE: ADDRESSES FOE COENER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGNATB NHICH ADDRESS IS DESIRED. NO CHANGES NILL BE ALLOWED ONCfi BUILDING PERMIT IS ISSOED. MQLTIPLE DWELLINGS - RFSIDENTIAL RENTAL UPITS FDR SALE i1NITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECK TiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhIliERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND uo ? Iea faacy, To Be Used For: -rYs ? & STRUCTURAL PLANS, SET OF 13c? . Valuation??_ Date: Site Address P-j-9j (? ??rnSpr? IJf1dP OFFICE DSE ONLY a Lot Block On Site Sewage Oceupancy .1J d'V ? MWCC System Zoning --(? Pareel/Sub On Site Well Type of Const City Water ` (Actual) n Owner ?l?Q yf(?/ S)mme fi - ? (Allowable) ? 11 of Stories Address Length ???? City/Zip Code Depth S.F. Total Footprint S.F. Phone 9PPROVALS FEFS A)-r 0 P; ) s 6L Contractor j-l (eb ?l(K Assessments Permit 3 38?d U l Water/Sewer Sureharge Address , e?hu??v - Police Plan Review f Fire SAC, City City/Zip Code ,?rhS?j1T ?? Engr SAC, MWCC Planner Water Conn Phone Couneil Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment Pl Variance Parks Address , Copies ? TOT9L ? City/Zip Code Phone li CITY OF EAGAN PJ° 13 9 0 6 - 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt# ?? S? ? 7obeusedfor FIREPLACE Est.Value $1,300 Date JULY 14 19 87 Site Address 1547B CLEMSON DR OFFICE USE ONLY Lot 27 Block z Sec(Su6. THOMAS LK HTS 2ND ' on5itesewage _ Occupancy MWCC System Zoning I PaICeINo. OnSitewell = TypeofConst City Water _ (ACtual) ' rc Name NANCY SIMt4ET (Allowa6le) W z Address SAME # ot Stories Length ? Ciry Phone 456-5630 Deptn S.F. Total ,o Name HEAT 'N GLO FIREPLACES FootprintS.F ?? Address 3850 W HWY 13 ppPROVALS FEES ? City B'VILLE Phone 890-8367 60 25 $ Assessments . _ Permrt tw WatedSewer _ Suroharge 1.00 Fw Name Police _ PlanReview i? 0 Address Fire _ SaQCity ' u aW City Phone En r. SAC,MWCC Planner _ WaterConn. Council _ Weter Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ qoad Unit thattheinformationfscottectandagreetocomplywithallapplicable APC _ TreatmentPl State of Minnesota Statut9F and.City of g n Ordin nces. Variance _ parks I ? Signature of Permittee ?? /? Copies TOTAL ? A Building Permit is issued to: HEAT ' N (figg FIREPLACES on the express condition that all work shall be done in accordance with I licable State Mi ?n ota Statutes and City of Eagan Ordlnancea , Building Official i U' -- 1 - ?, 7,00 (iR4? !3 ? 53 j 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 ?) °? SZ Lv? cv? g, 1 Date: /"Tlrl (1L, 3,o? o o V Description of Work: ` Construct new fireplace Y Install Eas inserl onlv Other Job address: 15 [,5 Lot Block: Applicant (circle one only): _Gas _Masonry ^ Alterations to existing i Install pas line onfv -7 cy1 SJ 2- SubdivisionlP.I.D. #: Owner Contractor Permit Fee: $60.50 Name: A Cl'o- Phone #:/ ?_I7 al PROPERT'Y Last First OWNER StreetAddress: (5, l IpM.SCJ1/1 ?&1 Vt City ? (',? ri a Y\ State: 191fiz - Zip: 5_5r1= Company:?? 7ry5aZ- {?Sl? ?Phone #: (area code) FIREPLACE ?? INSTALLER Street Address: ?T ( Ciry /',( r ?121,I Qr GAS LINE INSTALLER Street z,p: Phone #: (area code) City State: Zip: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes d City of Ordinances. c ?O a P Signature 4--c,1- ?,-T Z -Io i'.i ? ... 1 ?`'??'%? lg?, ?`c? CITY USE ONLY L ll? BL ? RECEIPT #: gul.L SUBD, a Or , DATE:? 1995 MECHANICAL PERMIT (RE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace ? Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: ?-' 'v - ? FFFC ? Minimum Fee: Add-on/Remode! (existing residence only) 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL o?Dr !!O SITE ADDRESS: ???y, ???-?? AOl OWNER NAME PHONE #: INSTALLER NAME: STREET ADDRESS: CITY: 4?;Gs?iv STATE: 'Of/ ZIP: PHONE #: ( City of Eagan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Site Address: 1547 Clemson Dr Lot: 26 Block: 2 Addition: THOMAS LAKE HEIGHTS 2ND Description Sub Type: Fireplace Work Type: Alteration Description: Gas Insert Census Code: Addition/Bsmt Fm/Decks/Porch Permit Type: Building Permit Number: EA034787 Date Issued: 03/24/1999 UBC Occupancy: Construction Type Zoning: Squarg Feet:-N, . Chimney/flue must be inspectzd beforc wncealir.g. Fee Summary: State Surchazge - Fixed Permit Fee - Fixed 0.50 60.00 $60.50 Contractor: - Applicant - OWner: Condor Fireplace & S[ove St. Lic.: Bemadette Bowar E282 Arthur Street NE 1547 Clemson Dr Spring Lake Pazk, MN 55432 612-756-1341 ? Eagan, Mn 55123 651-688-7501 1 hereby aclrnowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ApplicandPermitee: Signature PERMIT I ied By: Signature t (.O.?-z? 1999 FIREPLACE PERMIT APPUCATION 3-`A CITY OF EAGAN 3830 P[LOT KNOB RD - 55122 (651) 681-4675 Date: z-1 `j -q 1 Description of Work: _ Construct new fireplace _ Alleratinres to existing ? Install gas insert onlv _ Install gas line oitlv Other Job address: L Lot: Block: ?- - -{? Subdivision/P.I.D. #:-t V,? 1ti'l_kr.2 Applicant (circle one only): Owne C ac Pern:itFee: $60.50 Name: _?? 7 L&_?An LUr) 1'" Phone #: r_,?(oQ?' -'r5? ? PROPERTY Last First ? 04Wi ER / Street Address: ? 64"1 !Pn( S nw 1?l V4 City ,a ';J & State: A Af Zip: _5 5 l3 2 Company:[ e'J f-' ' I n j?7D1LC' Phone #: ,bf FIREPLACE (? INSTALLER Street Address: AzOz N' City M rl r State: 10-6c_ Zip: S ? Company: Phone #: GAS LINE INSTALLER Sneet Address: Ciry State: Zip: [ hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. RECEIVED sisnamie MAR 2 2 1999 BY:-__-,-_-_ ?'?rr? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND COND05 WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION X ADD-ON A/C ADD-ON FURNACE FIREPL?.CE TuNSERT DATE _O'l -(Q C) -`1 4 FEES HVAC: 0-100 M BTU ADDTTIONAL 50 M BTU GAS OLTTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExISTIxG CoNSTRUCTioN) STATESURCHARGE TOTAL 3IT'E ADDRESS:_ 6I C,1 (f,'(1 OWNER NAME: IN3TALLER: a,DDxESS:1&AIN _Lc°,\C CTI`I': STA7 TELEPHONE #:? ? $ 24.00 6.00 $ 20.00 .50 .50 TELEPHONE #: `?1-cC aU - c Jt(Z? J -? U-?,r ( ° 0\\in f-\I, 4,' '--"f1 " ZIP CODE: L1???L-Lu 1994 MECHANICAL PERMIT (RESIDENI7AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PERliiIIT ClTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: B u I LDI N G Permit Number: 028957 10 / 0 2/ 9 6 Date Issued: SITE ADDRESS: 1545 CLEMSON DR LOT: 25 BLOCK: 2 THOMA5 LAKE HEIGHTS 2ND P.I.N.: 10-75951-250-02 DESCRIPTION: oecK FTGS ONLY ' ??kB?IdT? Permit Type MISGELLANEOUS ? ikd?ng"t#qrk Type ALTERA7ION ,c Qu?s.?'.pd',='%, 434 ALT. RESIDENTIAL s, . ? ?}- ?? P0° ?eiR, k+ ? ?y Se^?-? ??? 'i??? 4w°s? ?a.?" . ?? REMARKS: FEE SUMMARY: vALuaTZOrd Base Fee $21.00 Surcharge ? $.50 Total Fee $21.50 $200 CONTRACTOR: - Hppllcanz - 4ANER: J&C CONCRETE CO 18280877 ANN 8924 M7 CURVE RO 1545 CLEMSON pR BLOOMINGTpN MN 55438 EAGAN MN (612) 828-0877 aWl$?g$ tha'tilRl haus;r?acl.-?h.?s ?p`P1????=`zo?aatRd tat? ttrat.,th0 ' I hereby, aakti s? ' znforinat3nrl-,?.s ec?rt^e?;c't?n?E' agre?' tq,c°rs+p?',??'"+?`'tR? ??I` app1;?zable,BGav"R tif h1n '" Statutes' ervdsGit? #f Eeg?r? ?frci?iknanca? ^ , ` ` .: u .. -. _ _ . ......_... , e.. _ , _m „ . ? , APPLICANTlPERMITEE SIGNATURE ISSIJE Y: IGNATURE CITY OF EAGAN d?? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-d675 RemodeVReoair Reauirements i 3 registered site surveys ? 2 cropies ot plans (Include beam 8 window sizes; poured tnd design; etc.) 4 7 errergy calculations ? 3 copiea of tree preservaNOn plan 'rf lot platled after 711193 reqWred: _ Yes _ No ? 2 copies of plan ? 2 site surveys (ezlerior additions 8 decks) ? 1 energy wlculations for heated additions DATE: I -D e' I -r CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: J _ LOT 9 BLOCK ' SUBD./P.I.D. #: PROPER'T1r Name: 1,0. ann) Phone #: OWNER us+ nss* Street Address• City: State: Zip: CONTRACTOR Company: 1? e. ? ??"V e r?E?? O-C' Phone #: Street Address: ZM1 c'"aF 421?- License #: City: " /YI < `? State: 41 Zip: ARCHITECTI Company: Phone #: ENGINEER Name: Registration #- Street Address City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowiedge that I have read this application and state that the infarmation is corcect and gree to compiy with all applicable State of Minnesota Statutes and City af Eagan Ordinances. -44c Signature of Applicant: OFFICE USE ONLY e,. Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No CLA1M VOUCHER - REFUND REQUEST CITY OE EAGAN MAKE CHECK PAYABLE TO: e ; 4 N e Is v n ADDRESS: 19511 S(v '4" P lG CC. li Mup)e Orove M(U 55311 LOCATION: RECEIPT # / DATE REASON FOR REFUND /545 0.)e.Ynson f?? LaS, ??, /hJmas 1,.uJ<e Fle:al??s a` ?Ic?U/ CJ - W19 197 VALUATION s /d'4D TYPE OF REFiJND ELECTRICAL PERMIT 3211-9001 $ PLUMBING PERMIT 3212-9001 $ NECHa,NICaL PERMIT 3213-9001 $ BUILDING PERMIT FEE 3210-9001 $ PLAN REVIEW FEE 3422-9001 $ SAC (MC,n,vS) 2375-9220 $ SAC (CIn) 3866-9379 $ SACiADMIN 3446-9001 $ WATER CONNECTION 3865-9220 $ SEwER PERMIT 3743-9220 $ WATER PERMIT 3713-9220 $ ACCOUNT DEPOSIT 2252-9220 $ WATER METER 3716-9220 $ ROAD UMT 3860-9375 $ WATERTREATMENT 3868-9220 $ SURCHARGE 2155-9001 $ .60 UTILITY ACCT OVERPAYMENT 2250-9220 $ CURB BOX DEPOSIT REFUND 2253-9220 $ CONSTRUCTION METER DEP REFLJND 2254-9220 $ WATER USAGE CHARGE 3711-9220 $ TOTAL $ 0 50 ` I declaze under the penalties of law that this account, claim or demand is just and that no part of it has 6een paid. Signature Dat? cLniM.vou ., , . CITY OF EAGAN " . ; APPLICATION FOR PERMIT SEWER ANDlOR WATER COtVNECTION ^7DT?: PAYMRNT OF Fk'E AT TIlNE OF APPISCATION I%lES P1CfP CODS'1'L7iJ1E APPRUVAL OF PERMIT. INseDCriorr oF sEwM Arm/CR vuM3a : nOrAtZATIoNs w.¢z NOr sE scHEn-- ULEn orrra. PERMIT Ms aEEN 1PPxovFn. • ti4; 1) PROPERTY ADDRESS: ('', - .. • . LE6Ai. DESCRIPTION: Lot B ock Subdivision or Tax Parce ID ) . _ .,.:?e..,= ?i,q: N??p • q •"i ? . .? / +?4?F??.:?d ? ? `?'°"4..y • ?' _+?J111W ?4.V.?Vf?G? YA1G ?F VAIVllYf1LI A". MJLV.f O1.cY'u.1 ISSUL1LNr.Ei IM.. O . ... ..5?fz5?b ? ' _ , ..._. _".i,-v • 1 t°.. ??. : ,'. . S???-el". :. t {L'Ln 1ear . .. ZONAVG T /PROPOSED? LSE: . ..... ?i=?' v .;?:dF ;?._.'?Ctr4..-? `? ?•tYx 4r ,.•:.??., -.???i?`[???'? t"e.? ; ^. . .;..? `?•_, ? ?'.h? , ?,?,5 ? r? az x k!2?-i ?'? .?" ri /OFFICE R 1 SINGLE FAMILY . .cs? ? z ....? x . w'tlb: ?{?y 7?'?I}?TT* ? t R- 'P \ ',r. -x a d w 1 ?E . {1 p 2?}TM ImWV Tr `?`L?^/ ??T a MILWVJ1Ll?J?n ?.,? ?.,ya r? 4?a'!n....1;Q S YSVC? `1 f"aiY- ? 1?? ???{ /?/?????• ??t•?- ?Y! ^yy rt ?:??: . . . ?11OlYtfL1/VVVSdLLW'°'.^? -???`•s? ? 1 Yi R 3 20W[?i0L5E (Three + Units) (?[7lll.ts} ,Y ? R-4 ? ARTP'ENT/CAPIDOMZP1ILTi 4 - ? '? ,.° ?,? , -- ' ' . , • . 2) , Y. . . . ' ? . :•?. ' . . _ _ ,„.??, x,--._. ADDRFM' ? . , . " . ' cmr -S?? VTaIP: ? 55440 - -- _ = at."- PH?: • - -: - - ., :..3) ??: y • For C1ty Cse . - NAME: Plunbers Li.cense: 14DDRESS: ' a Acti.ve • - - - • I i bicpred ! :;_? - =---CIT7t?- STBTEF2IP: - ? - H Not- xeCOrded -- _ PHONE: MASTER I.ICENSE# St? tial ' ' ???4?-_ ??r • ia• . . -,,, ? .. -- -?- - ,.;:,, xn??y??+ `SS?R ?q.syz .. ..Wm? -smiG/ [µpi PHONEi . _ . . . . . ' ' ' _ " _ •5) ? :. v ? ? r ? ?- : ? • o. ?. • - ?? CONNECTION T0 CITSC SEWM ? CONNDC.'fION RO CITY WATFR O'1HER , .. 6) ?? ?• .??. Q PIEASE EiULD APPROVID PERMIT FOR PICK- BY ONE OF ABOVE -. --•- -- ? PI.EASE MAIL APPROVID PEEtMIT ZO 1r 2.? 4. AHOVE .. . : - i • (Circle one) 7} r. .- u• • ? V • 7' • 1' Y'I' M ? '• ? ? I" •? • ?• 0 1:1• •? P Y?7• '?1' • ']? ?' •?{ ?^ •? • 10. •?• 1 y f M:I•,(Y>? 1 1 1 ' pl` ?•• q' • 1 11 Y• : t?? ' . ... . . . _ - . , . . . r. .....wu? . wm• .??'`., t•"_ _ -- ' - . . .. . ? . ._ . ' . ,.. ? - ._. ._ ... _ - _ . .?FOR CITY USE ONLY ? ? ?• ? .M,:.?..' - . • . '.'-?s,i. . -PERMIT # ISSL'ED .._, ;?,.. ;4•.?%.;: . .. . "y;;?_i. - ?; ??`..? :'?,'€?.*+;r . . , ' Pd w/Bldg. Permit FEES: dk ' , 4 . : YPt'_ - $? 58WER PERlQIT •( INCLLDE ST-IRCHARGE j ...:. -R;F??_ $ f? -?LT WATER PERMIT ^( INCLUDE SURCHARGE ) , . . ?$ l?i? -??"??' •w'?$ " - WATER METER/COPPERHORN/OCTSIDE READER ? 77771 - »?„<$?-,'?:" .?" '°??_'.. ??. ???-?. _.. ; ?'??r?? ._??, .,,.._,.. ._•?.. _ ..._= . WATER TAP (INCLL'DE CORPORATION STOP) }V 0?e°??t$ t 5"' ???6?,:rzZ ?? ti! ? ? -. r,??` 7 SEWER TAP s.;s?f "? .w ?' ?Y'Y F""a.' .,'?„ , %y?L`v,, ? ' ?3"' .• .L fi? DEPOSIT SEWER ,? ?6 ACCOL?NT DEPOSIT WATER ????? s ti WAC? • r ?rn' T ' .nz? ?, , ra , t iray /y .F ? lal 1 ? Y ? V , .er$ .a . . ? ko .YSAC ' '?! ? _ ..Y i? ? . ?l?N' ??.N ?RY.??`?t•F d +t'?( iwY?'?w?.A3/'Y K +t -? ? ? p ? y CPE 5 $ . ae' ? -'_l?Y"^'x1t4a-i '$ ?T12LNK WATER'.ASSESSMENT T. ? . ? ITAL?NF(-`SEW?? A,,,S aEqSMENT .ki.f:f,i-. ?LATERAL, 7prNEF'fT/T120NK SEYJER ?. ,?.'-tirC,= -9: . ' - _ . _.. _"? 'i,.,.p ,?- ;.-..-'rn??. -.,? • "' >'.?'3?'? :??_ -?,_,RV.a? ?_r ?..,rYF z«. ATE E EFIT/:PRL a . : L _ RAL N ?NK WATER `? ? ?.+'" =: = - -. _ ;, ?;_ _ _ _ . _ . . • . - - - -- ' '? ?.;WATER.REAPMENT.rFLANT SURCHARGE >a.aE::. ,.r `,?.x ? x .. K.s , }..t' ..Ya : . ? t?- rr'Yi?,,. rl???.?.. . FOTHE&'e ^. . ir- ?t,' : p._• 4r>` ? ??`i'T ? ? TOTAL ?:i :.°?+>;';•`` ? ?? ". ';. + H aw ? .. ? ' RECEIPT ? ? ?r RECEIPT . ` j` ? ? (.".'?q.. .?,;• 3=:? a: ? =o: 4? ? k'?? ',_i ?- ... ,_ '.> . - .vf. - .. . ••-a..rJR.4i, . ?. G+: :.• ' ' ?• ._?'. .' . ? ? . "`.. . . ... . ". ,f:° . .4"? , ' - .i ltF?? .'i* ?:?;?P ? r. ? _ . +a? . x W I:L>:? 'r s-:,. -. . ???':'..h i `- ' . _ ._ __ . ,, , x ..- _ - .. . ?_DOES LTILITY,CO NNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? " a YES IF YES, THEN A"PERMIT FOR WORK WITAIN PLBLIC^ ROADWAY" MUST BE ISSUED BY THE ENGINEERING ? NO DIVISION. LIST AS A CONDITION. Y SCBJECT TO THE FOLLOWING CbNDZTIONS: APPROVED BY: TITT ?+E? ? -- .... . ,• . . 'D.4TE:. AYy•. _ y-'/I?l?'? .. ^. ..f->' _. . .._ ...,... i :.. . , . ? ? ^ 3?1i.. . ,,.. ? ,,. ..,? , 1 ' - - - , . ..- ??? : . ..'?•._..,,, . . _ ? ki.. ?_ . _ .. . .. _ .;.. . CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION PROPERTY,ADDRESS:, I?-5 •? ? LEGAI, DESCRIPTION: '2- :. .. Loi r.}*,. ;•?. ' =-g' E7I5"1"ING STRCCZL'RE.. DATE OF C , , ,-,?:.? •. . PRESE= ZONING/PROPOSID L'SE- s, pATWI: pAYMFJJr' OF FEE AT TIlM OF APPI.ICATION DOES IV(7! CONS1'I7tT1E APPROVPiL OF PII2NIIT. . nvsrnczzorr oF saWx Arro/ox `WAIEz 2tsSmar.r.amtONS WIId. NOT BE SCHED- t7iED UNPIL PERMIT AAS BFEN APPRCfVID. ,. : -- Blofck Sub ivision or Tax ParCe ID ? RIGINAL BL'ILDING PERMIT ISSL'ANCE: " - MOn YedL' 1 _ .vi?.,4.? . :..a._ ? ? .iix.?a .»PN'd'J°{?+?..: ?,: sS. :? . ':.,w?,•,a???,d-4 `" ' ?,?P r,S':y';i!3`•3t,?'t?t.'??4?"?'??; ; ? ? :: ?? A??,y??M1''.: M'"?., '.:n''` `a. OFFICE R=1 SINGLE FAMT.LY ? ' Q . ?' ' : ??' ! ` ? R L'PLEX (Two L?nits) ? ? „, .. , .,,. ._? .a.. <._ INSTI2L'TIONAL/GOVE RNMEDTP A_ 3` TOWNHOqSE (Three - + Units) Units) . ..,... , . .? ?AAY4'i . .,..? . " ''" .>.. . . "` ' ? u , :;?..:r.__:. • ? .. .. ..? ,. m _ .. ° .... v _,. _. ? - - 2 . .. , ?:--`. :';`" - ? ? . R-4:.APAR1P=/CObIDOMINI[.T1 ( . ihiits) ? ? .?..u...i ..? . . __ i?.... . . ? .4?f?n.s'-r :..:i.?ek_Vr' ,. .. i ?_..: M'. d.•.a ..Y. _? . ? . • . .. . . ?? .?"?4?y ?:4.<? .? ' . . x ' t .,...?'. . .. .. ?r...?f`s.?n?. .. ... ??.. ? •tc:=!;.?:?r:'; _" ' v , . ? I?ME?: ?DPMCJ: STATEi V 2IP: . _^' • _ PAONE: Zln I llim[_c-, . '•Y_ _.. / ' . _T/1 _ . ? . .. ?? + .. • ?. -.. .. V . • . 3) ? ? r ?• ' ? . _ .--_ For Ca.ty Ose .. - NAME: Pltmibers License: "ADDRFSS: Active ? • Expixed ? ?, ZIP: CITY/ ' ' - ' \`IIJL re.'Qrded , = - PHQNE: .?+a?'?..- . .? . . . ?. . . . . . ? . ' 'vYfJ= LiamEtf . . , . ..? . ? - ?7LdlTi J.Rl.T.131. 4) ... • , ,? eN ? : r? :AMPM5: ?. STATE, ZIP: - - - -- - - PHONE: . . . . •$) ? r• Y• i ? a: • ?• : ]I • a? - a? . . • ? CONNECTION R0 CITY SEWER ? CONNECrION M CITY WATII2 Q 0THM 6) '' r• ••?' [3 PLEASE EiOLD APPROVFD PERMIT FY)R PIQ{-[? BY ONE OF ABOVE , ? PLEASE MAIL APPROVID PERMIT 'PD 1, 2,??f 4r ABm7$ (Circle one) .. 7) r r• u• - ?a., - ?- . , . ... ..._a,. . . . F'OR CITY USE ONLY : • PERMIT # ISSCED ? _ . , . 75 ^7 .??le c, ?.'Pd w/Bldg. Permit ? FEES: ? .-.;n .. . _:, . , ,. _..: . ,?..?, . •,.:..; .::?._. .?..,..>. . ... ,... , ? $ - , jl?,= f•C'?.' SEWER PERMIt (INCLCDE SURCHARGE) ... . .... , $?-•- • - ^ ? -• • $ ?- ?G'?.J ? WATER PERMIT (INCLUDE SC?RCHARGE) . _;-S - • $ ' `WATER METER/COPPERHORN/OCTSIDE READER ? ?%:?'???:..?'`q'+. - . . _.,.f-- :y'?' <w . ?. `k?. -?it;r.; .9':.:?:°i " ,.?? .. 7. ,. . ^ a....,.-..-? .. x}5,.;?;.yl'..?qa'ii;? ",? -.'rS WATER".TAP (INCLC?DE CORPORATION STOP)' ?,{???•??M' ?_ ' - . .ry'y._ .y^e'? ': ?°F??+y Y^y'. s.? -.-vn ...? .?`krwtr•^'..?..L ?Y:..?f .°Y:A ."a.'??sz:%?T,1 µT+Y ..?- - ' --s.u..?$?i`.? ??»???n`'?..;??•,? ? :y. ;.s -?n+ex=,. SEWER TAP? - ??..?a:•.._ 'ACCOUNT DEPOSIT -...SEWER? ..J' t . • ? b . ,. ? '? ?..?.. .? 'e?. '.Y?.iI?'ri 4 a"4 . ?.atM??sr? Y ' ?.M1y. 'd1 • 1 . . 3 ..:Ra T? . ? ?::')i. .. ' ._ . ... _ .. ?4?r ??:. . _ '?f'?.n?:Y . .j,yv??. :.?e...'^r,y4•>v?C..,i.??:?,y^µ.'r.,°=;'.+,. .:J'. D "ACCO[!NT DEPOSIT WATER..• _ _ '"•c•• _ . . _. . r,'.rti ? A ' - . a.. ? ' • , . ' . . n't'. ?.: I : ?'vF:'. : ?;+??'.t.• `^:.°.`:11?:3. 1.l,:_ c;':i;:. ..:, WAC , ,??:? .,.•`. ?:P?,.r:.aa'...% _ xt?? ?ts }F?`t '"`+?? . • . : .. _ .... • .. ? L `.:w..vae3-..?3r?^?'Fbi.+ ; SpaC :f,?e»:a?_? - • - • :'? ? t .t?" ":l.a? Y.a•vrxnl':"'."r.; ..,.>; . . _. «? ,... ..... ?%? :.t?. :? .? . rT1tLNR WFLTER`.ASStSSMENT _..-:$ :.,-- c?TRCNI{-$EW?? `AS???9SMENT .. '=. t.. ? ? ? . .. i.;. . . , . ?, s:t•i .. . ... ? .. ._ri - # ?? ? - $ LATERAL 'S?NE£Ifi/TRLNK SEWER . ' -_ . ' . .. -----'. :.;: , r, •-,`. .. -.:": - '?° - -- : -f..,?: w . ?' - - - - L.r._.;:?«,..a-?'„P';,r. .:.;_iS. - . . . ... . .........-.. . _ `:`, ,?? ;;.. BENEFIT/TRLNK WATER? 77 - .,-,:.T..::, ??. ., ...: -. • . :, _ ."n; wA'?'•R. ?TREA'EMENT. FLANT SL?RCHARGE? yA'F?i?>z-:'_ 4,"° - ?.?+iF.,,?=:?_'_"=?i._?.•.?;_ .r_.'s:w-.?-?..?.'?,-?wk:?,.,;.??...:?:'?s,'l?..j--.tii>?±-•?`. ._? ?:o'i.'•''::` ???Sld ?'?f`???' ?:' ?..? '0?'HEHE':,,. _? •:..`.-,. '?„ .,- ?'`^';;i:"?4:=.., - ;:-;;*...,N- ?;C? ' ?- a'' '. :.;. . -- 1TOTA ?";.*. -'e .3 ? -x. ;,_: -'•??aar;s.»: ..._._ - r,'.i.;t;._..,•., ? ?? , .. - , L • • - `?, ` - ? .itl #?.wmx..? f.T??.-•-?'."?.?... ? ' ?4 Y..\.',-.w.,??b?G..?.+? .? . .. , -?"??_ ?.7.?" 'rn .. .. .? •..` . . h...a,?J?Yer-'x. sT"'?µ?p?+';r?.r.?..y 'w` '.? ' •' ' t, ?'FV : fi? 1 . . RECEI :. T l' :' 't'1?,: 3 , ? ; .. .a r ?+>...c:i. we: .'. i ? ;.;. ?.- , ., .... . ...,.. ?.?.._ . . . . •- ,.... P _.- - -y DOES L_T.TILITY CONNECTION REQLIRE EXCAVATION IN PCBLIC RIGHT OF WAY? ' . . . cR.:^:.-': .- Q YES 'IF YES, THEN A"PERMIT FOR WORK ?VITHIN PCBLIC ---?-- - ROADWAY" MUST BE ISSLED BY THE ENGINEERING ? NO DIVISION. LIST AS A CONDZTION. SUBJECT TO THE FOLLOWIN6 tbNDITIONS: "' •, ;1, : ?: -:,; APPROVED HY: ??•7 -X--l ? r TIT7?£r r. :?` .?,: L .y ,, y ?., -- ?-- - _ _'_' -• ?:5.. .. - " 'DAT$:. . ?. ?=r•, _, . . ? . .?. . ..... " i' __' •_-.:_..._ =? ? FOR CITY USE ONLY PERMIT # ISSL'ED Pd w/Bldg. Permit $ $ $ ? 3- 5-D $ $ $ $ s SG1,0-0 7.5--GG $ s .. $ S S $ / ,57? - (:` IJ $ s 147v--,5-o ` RECEIPT ? FEES: $ SEWER PERMIT (INCLODE SC'RCHARGE) -WATER PERMIT (INCLUDE S['RCHARGE ) s $ $ $ 15-1OZJ $ ?.J • (J ? s S $ $ WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLL'DE CORPORATION STOP) SEWER TAP ACCOLNT DEPOSIT - SEWER ACCOONT DEPOSIT - WATER WAC SAC TRL^'NK WATER .ASSES.SMENT ...v.'.;: . .? .. sTRUNI{ tSEW?},2 AS;3E3SMENT < <:i.t . {,_.•, . ?, LATERAL'S'90'EFIT/TRCNK SEWER $ LATERAL BEN°FIT/TRONK WATER $ - WATER TREATMENT.PLANT SURCHARGE _ . y... . . .? . n TOTAL, • - „ • • RECEIPT DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LZST AS A CONDITION. SUBJECT TO TAE FOLLOWING CZ7NDITIONS: APPROVED BY: TITLE: DP:TE : r'. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *tOTm: PAvIETTI' OF FEE AT TIME pF aPPLscATIoN noFS c= mxsriTUTE APPROVAL OF PEEiNIIT. naspnMox oF sLWM Arm/at vuMR INSZ'ATTATTQjQ$ WILL WP BE SCHED- vrM urna rERmIT H+s sEM APPROVID. 1) PROPERTY ADDRESS: 'Fj L}'J Gl?m? ?I?• '" LEGAL DESCRIPTION: y& 2 " _ Lot Block Subdivision or Tax Parcel ID ) I£ EXISTING S1RCCMME, DATE OF ORIGINAL BUILDING pERMIT ISSL'ANCE: ' PRFSENP ZONING/PROPOSED USE: (I•bn Year) Q CONIINERCIAL/RE,TAII,/OFFICE Q INIDLISTRIAL n INSTI'I[.'TIONAL/G(77ERbAg,'TpP ? R-1 SINGLE FAMILY Q R-2 DC'PLEX (Rto IInits) ? R-3 7UWNHOUSE (Three + Units) (_4 L?nits) ? R-4 APARTMENT/COrIDOMINICTM ( Units) 2) ••• v? AC CITY, STATE 3) • u c?• NAME• For City Use .. P1umUers License: ADDRFSS: ActiVe A CITX. STATE, ZZp: fScpired R Not recorded PHONE• MASTEEt LSCENSE# St?f Iz11t1a1 4) .. . NAME. ? (rN 0 ap ? 2 _ ADDRESS: • CITY, STATE, ZIP: PfiONE: . 5) ? vi a• •?• : o - a- , ? CONNEGTION TO CITY SEWER ? Cp[CTION M CITY WATER Q ORSER '. 6) 0 PLF.ASE HOLD APPROVFD PERMIT FOR PICK- BY ONE OF ABOVE ? PLEASE MAII, p,PPROVID PERMIT SD 1. 2,? 4, AHOVE ??? ???/? (Circle one) 7) r• u• • 1.t/J//? ? Y/I!/.lAd/" mrzv.,.--,. 1IIArn ? l21 .. ?? APPLICATION FOR PERMIT CITY OF EAGAN SEWER AND/OR WATER CONNECTION *IOT?': PAYMFNC OF tEE AT TIA1E pF APPLICA7ZON DOFS NOT OONSTI7VTE APPROVAL OF PERhIIT. INSPFXTION OF SEWFI2 ADID/0t 41ATgt INSTALLATIONS WIIS. NOT BE SCHED- ULED 0tUII, PII2MLT HAS BFaI APPROVID. x- P ease Pr1nt) F; F 1) PROPERTY ADDRESS: Irjq-7 Pj ?..? LEGAL DESCRIPTION: 2-7 Z. ••- _ %LC,Lialocx/,?unaivision or Tax Parcel ID #) IF EXISTIA7G STRCCii'RE, DATE OF ORIGINAL Bi,'ILDING PERMIT ISSL'ANCE: ' PRFSE[11' ZONING/PROPOSID C'SE: (1`bn Yearl q coHIMcIAu./xErAIL/oFFzcE [] IbIDC'STRIAL n INSTI2L'TIONAL/GpVERNNIE'N'r 2) ? ? R-1 SINGLE FAMILY ? R-2 DL'PLEX (7t.o Pnits) R-3 TUWNiOC?SE (Three + I]nits) ( Units) R-4 APARTmENT/CpNIDpININiLly ( Units ) NAME= New Horizon A[)DRESS: 13805 86tfi Ave: No. . CZTY, S"rATE, ZIP: Minneapolis MN 55440 PHONE: 420-3900 3) NAME: Thompson Plumbing For City Use . Plumbers License: ADDRESS: 12201 Minnetonka Blvd. ? p,ctive Ekpixed j CITY. STATEP ZIP: Minnetonka MN 55343 Npt iecox.ded PHONE: 933-2521 MASTER LICEr1SE# 1763M Steff Intial 4) - .•• • ? NAME; Same as #2 ADDRESS: CITY, STATE, ZIP: PHONE: •5) ? r• i r • ?• : a a? • ?? ? CONNF.CfION 1q CITY SEwIt c,6cpNmDurION TO CITY WATER Q pmm_. 6) '? •'??' ? PLEASE HOLD ApPRptJFD PEE2MIT FOR PICK-LTP BY ONE OF ABOVE ---- -- ? PI.FASE MAIL APPROVID PERMIT ZU 1, 2, p,gpVE . ? I? (Circle one) 7) r r u• a?,/n ? Jn_/n. . ?-?.-? C-- 1 6? F'OR CITY USE ONLY PERMIT # ISSCED 2V;1 S?/45? 6 Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SDRCHARGE) $ $ /G" S G WATER PERMIT (INCLUDE SL'RCHARGE) .. $ ? 3 S? $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOLNT DEPOSIT - SEWER $ $ ?,?j? (r7} ACCOUNT DEPOSIT - WATER $ ?? ? ' trZl $ WAC $ ?75o---b $ sAc $ $ TRLNK WATER ASSESSME[VT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BEN°FIT/TRC'NK WATER $ / ? (O• ??'i $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ?? ( Y• S-6 $ TOTAL 7-1 7,2-- RECEIPT RECEIPT DOES UTILITY COIVNEC TION REQLIRE EXCAVATION IN P[JBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITAIN POBLIC Q NO ROADWAY" MLST BE ISSOED BY THE ENGINEERING DIVISION LIST AS O D . A C N ITION. SUBJECT TO THE FOLL OWING LONDITIONS: APPROVED BY: /00-007-0 TITLE: DATE : lqv I. 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB 120AD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residentiai dwellings. ?10' ol C, w- v- Date? /?/ _ Site Street Address C'k'i'Yl Sof) Unit # 1"T PrapertyOwner a\ C?,SSer 5 YY'1 I Telephone# (6-5I') 33U-?O`LQ 651"365-1340 Contractor. Sf70 C1oddRd. *100 Telephone # ( ) Address Eagan, MN 55123-1339 _ Ctty State Zip The AppFicant is: _ Owner ?Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 16.00 Alteratians to existing dwelling $ 50.00 _ Add plumping flxtures. This fee inGudes ins[allation of a water softener and/or water heater at the same time. lf you are installing on a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are insta[ling. _Septic System Abandonment _Water Tumaround (add $130.00 if a 518" meter is required) , Other: ,//W t r Soft e a ener _ Water Heater $ 15.00 _ new ?replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the pfumbing codes; that I understand thiS is not a permit, but only an application for a permit, work is not to start without a permR and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. LobPa- ]AitD ApplicanYs Printed Name Signature ? p m 0 d I AUG U 3 '2007 • al B TanZ � 4 yb, Use BLUE or BLACK Ink For Office Use i I b°I33 ~q of Eapn I Permit 3830 Pilot Knob Road Permit Fee: A Eagan MN 55122 Date Received: Phone: (651) 675-5675 t I _ Fax: (651) 675-5694 1 staff. 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1.6-11-IS Site Addrsss:Zq 1.5~.S9 , isy"1. molo ~~~1^ gn~`~• Resident/ Name: L~n _ 1 t l ~4/n h r#m S Phone: (V-2- 721- 5* YD d - Owner Address / City l Zip: Applicant is: Owner Contractor Type of Work Description of work: ~,35°IS Construction Cost_ 1 Mufti-Family Building: (Yes ! No Company: S._ - ~T Contact: t 670eA Address: r7 Q 3Z- M ianeYle City: Min wZL'S Contractor State: lam! - ~ Zip: d Phone: S6i - L Z- 556c License 23e - 19 Z Q 2- Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of Me. ihformation may be classified as non-public if you provide spechic reasons that would perm/t the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.gg ftrstateonecall.om 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 wit, 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 whin 180 days of permit issuance. r X_ E/t'Za ieYA L- X Applicant's Printed Name Applica s Signature Page 1 of 3 RECEIVED riXr � JAN 2 0 2017 Gtlu "Simply the Best for Less" Window World Twin Cities 2211 11th Ave. E.#130 • North St. Paul, MN 55109 (651) 770-5570 • (651) 770-0495 Fax Dear city of Eagan, I am writing to you to let you know that we have tried to contact homeowner, Karen Waldron, at 1545B Clemson Drive , permit number EA136321 numerous times to get the required smoke and carbon monoxide detectors installed and schedule a final inspection with them. They havebeen unresponsive in getting this scheduled. We are now requesting your assistance in getting this permit closed out. If you have any further questions contact us at 651-770-5570. Thank you, The Window World Team City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use % % Permit #: j / / < 7 Permit Fee: Date Received: Staff: L 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit��rtwo (2) sets of plans with all commercial applications. Date: ?iJ—. , Site Address: f g L. 7f)/3446 Tenant: Suite #: Resident/Owner Contractor Type of Work Permit Type Name: �� Je /vie e Phone: 0-7s-6sc. Address / City / Zip: Name:/�a^ 6!r'K.P•�' e License #: Address: f �S 1 / -5 + •r Cit f /'' 1-44/ Cr�I7 " /j X - Y State: 04i- Zip: Sg077 Phone: 637- v1 a7- 3 9 s r I I // � Contact: c56 /411 (S 4� Email: h 6,T/ "6 117 0 Ma ell MCav'' New kiReplacementt Additional Alteration Demolition Description of work: //'Ce a` a /Wife- e NOTE: Roof mounted and groin d mounted mechanical equipment is required to be screened by City Code Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL )4urnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank Installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 $ Permit Fee = $ Surcharge _ $ TOTAL FEE 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 wilt be in accordance with the approved plan in the case of work which requires a review and approval of plans. P> L\ i 5 6Applicate), Printed Name x x_ Applicant's Signature FOIA OFFICE USE Required Inspections: Reviewed By: Date: Underground . . Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening Use BLUE or BLACK Ink For Office Use 441‘a City of Permit#: 'T�, /�JU� ! (� fir( RaQaflPermit Fee: "l [ ,��i C ,, 3830 Pilot Knob Road RECEIVED Eagan MN 55122 E `E Date Received: —7/ !/ j g - � 1/110 Phone:(651)675-5675 Fax:(651)675-5694 JUL 1 4 2017 Staff: ,� 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7//3/17 Site Address: IS 7, Unit#: �j Name: O N dT L- S /670,4vAnfrie Pho e: Resident/ Owner Address/City/Zip: Applicant is: Owner X Contractor Description of work:j&p i Type /Wr c Construction Cost: 6Cy Multi-Family Building:(Yes )C /No ) Company: Ayr ^ :rely 2pe- Contact: Pii`umr Address: /574)- 2 E. /4 - City: 190 Le ii9�t Caractor ;; State: iv/ Zip: 557J-if Phone: '7 WY6-Yfo/ Email:iftti-e9Afreo'friedtaY�'r'pstvs 1. License#: 6' 224f ZZ Lead Certificate#: ks-T F/1 If the project is exempt from lead certification, please explain why: Alakv-0 41444 7971. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:'Ala; the informer** irleoft .. ,! a gi,/. 9 ', ' _;rm,�r, ` .5 sr v � CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.oro 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 - e Building Code st be completed within 180 days of permit issuance. Ado x L iii.. fileyr x r Applicant's Printed Name Ap Ficant's Signature Page 1 of 3 1(54c aliAmcin DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building _ Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 3, 06:4E) . Occupancy -T 2C-3 MCES System Plan Review Code Edition 04/4 Z015' SAC Units (25%_ 100%? ) Zoning P,7> City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length v Fire Suppression Required r Type of Construction 13 Width Z REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) y Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 7—T ✓)1 in; tit , Building Inspector RESIDENTIAL FEES Base Fee / • D'D 59- /4fi Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA146555 Date Issued:10/31/2017 Permit Category:ePermit Site Address: 1545 Clemson Dr Lot:25 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-250 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David Moe 2843 Bridgeview Ter Eagan MN 55121 (612) 790-8658 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature