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1546 Clemson DrIN5PECTION RECORD ? CITY QF EAGAN PERMIT TYPE: 111) 1111 r M6 3830 Pilot Knob Road Permit Number: f14 4 Eagan, Minnesota 55122-1897 Date Issued: t' ?? ;•" '`' ' (612) 681-4675 ? ' SITE ADDRESS' • APPLICANT• i t ft i[f i} ? ' ! < <!it ? + I hr'.??rA Oi? 1:1 ! ?, f ! t t 1 I il I It??MAI?, k AF F: HI. 1 t,ll 1?MD ? i E, ?.` ? q,?4i ?,r,??+3 '•3' PERMIT SUBTYPE: ('00 1 1 Hti, TYPE OF WORK: rtNni P6rmR No. Pern?R Holder Date Talephone M ELECTRIC PLUMBING HVAC Inspretlon Dete Insp. Comments FOOTINGS FOUND FRAMING RQOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TE5T INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG AID IN710, DECK FINAL !I • ?G ' '?1? ? . Lot Psrcel No. Remodel D Repeir ? Type of Const. t? Enlerge ? No. Stories Move ? Length Demotlsh ? Depth 2 f Grade ? Sq. Ft. W Narr?e - - ----- .__ __ ,. ? . . = . (:,. _... 6 Address City Phone t) it 4 Name _ Address ?W Name 1.J • l]1L 1 ?: 5. \?.:,?aJ ?W i? Address ?W City Phone I hercby ocknowledpe thot I fiaw reod this applicction and sta tlr informotion is correct ond ogree to comply with oil apF 5tab of Minnesoto Stctuter ord Ciry qf Ecqcn. Ordicwnces. ` J Siqrwfuro of Permittes ?'` ?-= , ?."?`t?.'• /? Buildinq Permit Is Issued to: .4" _. . ' ? dl work sholl be done in accordonce wlth oll epplioobl• State BWldlnp Officiol Assessment Water a Scw. Poliu Fin Enp. P1anner Council Bldg. Off. •? ! ? ? .`t? ? APC Var. Date Permit - Surthorpe Plan Review SAC ' ` Wcter Gonn. Woter Meter Roud Unit . !? Total on tF+e express conditlon Ohat ato Statutes cnd Gty of Ecflon Ordinonces. CITY OF EAGAN ? 0 Q 11 3830 Pifot Knob Road, P.O. Box 21-199, Eagae, MN 55121 PHONE: 454-8100 eU1LDING PERMIT R??a # i Permit No. PNmh Holder Dste Telaphons it Piumbinp L1 H:?A.C. 3 S.c e.t S l 5?-, e'.ct'c c, 1 ? ?g5 1 L Soft?r Inspeetion Daft Insp. Other Footinqs Foundation Frsminy Rootinq / Rouph PIlq. Rouph HVA Inwl ion 7 ' Final Plbp. ? ,? •? - Final HVAC ' 13G ? Final Cort/Ooc. -Z ? Waar Dhc?ibe Loeation: VYatl Ssawr ? Pr. Oap. Reoeipt PLUMBING PERMIT CITY OF EAGAIN , ? Fill in numbered spaces Type ar Print legibly FM S/C Tot 1. Date 2. Inatallation Cost 7 3. Job Address -? L-ot " Blk. Tract?` ?- 4, Owner 6. Contractor THfIMPCr:N aLUMQING ..O ?....Phone - - 12201 MINNETONKA BLVD. , 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial O Institutfonal ? 9. Work Description: New Q Add ? Alter O Repair ? 10. Describe 11. . No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tuba Septic Tank l..avatory Softner Shower Well Kitchen Sink Urinal/Bidet Other ' Laundry Tray f Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to cnmply with all ordinances and codes governing this type of work. Signed: for Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 Permit No. Receipt MECHAIVTCACPERMIT Permit Na_, _ CI=Y OF ElkGAN Fee Fill in numbered spaces S/C Type or Print legibly T t o . 1. Date 2. Installation Cost 3. Job Address ' LotBlk. ? Tract l .? 4. Owner 5. Contractor -Phone , 6. Address 7. City Sfat6`' i? Zip 8. Building Type: Residential 0 Commercial ? Institutional 11 9. Work Description: New Q Add 0 Alter ? Repair ? 10. Describe Fuel Type r 11. No. Equioment BTU - M. Ea. Forced Air ' No. EquiPment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F lnal Inspections: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 1 h1'.ttCl 1?It i li<<i?'. 1 Ah i ?IF i 4) 11 f'.? : h}1I PERMIT SUBTYPE: :oI I it i INri:; ? ? CTION RECORD PERMIT TYPE: Permit Number: Date Issued: y? ? 1 "" °' APPUCANT: i?? let ar.K : ? f{ t?, i tl ,' i I J; f Ei 1:) 410. 6 f?h0 TYPE OF WORK: f TNAi .? RI i [ t I i r Nr 4!:'9RQh 04/;'1i/9; ? J ---------------- Permk No. Permk Holdar Dete 7elephone # ELECTRIC PLUMBING HVAC Inapection Dato Inap. 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 FlNAL BSMT R.I. BSMT FINAL DECK FfG , FOOTmfypi DOA?END / I OECK FINAL /?.?b • ? ?J GL[? 2) e1JiLDINa ?ERMIT Te w wsd hr i. i) Site Addrea •! 5 4 i;E r CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eaapn. MN 55121 PHONE: 454-8100 4 58 Parcel No. ? Name Addre City _ Name ? Address ? Citv Phone thot I hova read this oppiication ond stote rred ond oaree to comply with oIl opplk Sipnoture of Permiftee N Building Permit Is issued w: oll work sholl be done in acoondance with oll Buildinp Off{cial Rece+at * Erect 0 Occupancy ' Remodsl ? Zoning Repair ? Type of Con:t. ? Enlarge ? No. Stories Move ? Length Derr+oli:h ? Depth Grsde ? Sq. Ft. Assesament Woter b Sew. Polics Fin Ew• Plonnsr Council Bldg. Off. APC Var. Date Permit ' U Surcharye Plen Review ' L SAC " :i G Woter Conn. 06 Woter AAste? - - li 13 RooA Unit . ? 0 . U il Total , 7 C ? on the oxpesst candlNon tho+ euxsoto Srotutes nnd City of Eoqon O?diranus. Pwmk No. Pwmit Holdw Dab Tole hone # Plumbinp H.,,A.C. 5 E?^a G S AAr- 1 r Saft«»r IrapWion Dete Insp. Other Footinpt +?? Foundation Framinq ]/ Roofing Rouqh Plbp. /la ? Rouyh HVA ? ?. Inwlation 8 ? Final Plbp, ? Final HVAC Final C.rt/Ooc. (!J Cb -? Q -5 - ?S Water Dftcribs Locscion: Weil Sever Pr. Oap. Receipt - MECHANICAL PERMIT Permit No. i , Clvf OF EA'GAN • Fee ? Fil1 in numbered spaces S/C Type or Print legrbly ? Tot. ? 1. Date 2. Installation Cost t 3. Job Address LotBlk. ? Tract ` ?-? , -- 4. Owner 5. Contractor ? •_ ?. ;- _, ... _ . . _ . . . Phone 6. Address .. ? f 7. City State Zip 8. Building Type: Residential El Commercial El Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair O 10. Descri6e Fuel Type 11. No, Equipment BTU - M. Ea. Forced Air No. Equiament CFM Ai H dli Mfg. r ng: an Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. ' Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ' for Rough ' Final Inspections: Date Insp. Date Insp. This is your permit when numhered and approved. Approved CITY OF EAGAN 464-8100 ? PLUMBING PERMIT Permit No. ! CIT1f OF EACaAN v Fee '• fill in numbered s,peces S/C Type or Prini /egibly To? . ' ' " ; , - 1. Date ? '- 2. Installation Cost ; , 3. Job Address - '.Lot Blk. Tract 4. Owner 5. Contrector ", .2b.one 6. Address 12201 MINNETONKA BLVD. 7. City State Zip 8. Building Type: Residential ?l 9. Work Description: New E'3 Commercial ? Institutional O Add E3 Alter O Repair ? 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cess ool/Orainfield ,Bath tubs p Se tic Tank L.avatory p Softner Shower Well ? Kitchen Sink Urinal/Bidet Oth Laundry Tray er Floor Drains Drinking Ftn. / Slop Sink Gas Piping Outlets 12. 1 hereby ceRify that jhe above inforrt?ation is true and correct, and I agree to comply with all ordtriances end codes governing this type of work. S+gned : . - for ? Rauyh Final Inspectioni: Date Insp. , Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 -, ? Reaipt MECHANICAL PERMIT Permit No. ; CITY OF EAGAN Fn ? FIl1 in numbsred apecea S/C TYPe or Print feDlbly Tot b ? 1. Date 2. Installation Coat 3. Job Addreu Lot ? O Blk. f Tract 4. Ownar ; e 5. Contractor ' I n n e a a s c o phm1e 3 4 3- 7' 19 8. Addrosa f00 L i rtdcn Avt. ""• 7. City !. ? ` • Stets • r ` • Zip 8. Building Type: Residential El Commercial 13 Institutional ? 9. Work Description: New 0 Add ? Alter 13 Repair ? 10. Deacribe n ' ? * - y :: r , . . Fuel Type 11. No. Enu*nment BTU - M. Ea. Forced Air No. Eauiament CFM Ai H dli : Mfg. r an ng Boilers Mfg, Mech. Exhaust Unit Neater Mf9• Other Alr Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above informetion is true and correct, and I agree to comply witfi all ordinances and codes governing this type of work. Signed . for Rough Fiml Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 ` SITE ADDRESS: ` s t f M•,fllV [)it I'tttr', , 1 Ani Nf'tAN'fS 2MU PERMIT SUBTYPE: :j F111,17 i NIi';t CTION RECURD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: a (61Z) 4:' H t, 5'+ N TYPE OF WORiC: f I N A I. F?ll ! 1 It i Nt3 H a: 014l: H/97 I Pemk No. Pertnit Nolder Date Telephone M ELECTRiC PLUMBING HVAC Inapection Dats Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARO FIREPLACE FIREPLACE AIR 7EST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG AlQ Pm . /Wew, DECK FINAL J /• /G • lie INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-] 897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ;? . r' ! E M'.0N Ufr t I. i f?i .j ItiPiFi'. i n!. k HF I[iNT'si ?.N{1 ?, ??' ? 470--6660 PERMIT SUBTYPE: i TYPE OF WORK: i?F ";E;k iP"t I iIM lSaHR CI FMS0N DR llN PF hIAaKS: 1 Nr! liLIFS 1646, 1?+4Ct I 1 F' ! i 1 ? ,*a,. RFpA1R fri k+It11Mi; Permit No. Permk Holder Date Te{ophone M ELECTRIC PLUMBING HVAC Inspecdon Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TES7 BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL srafN' !?- rb •? Reoeipt PLUMBING PERMIT CITY OF EAGAN Fill in numberied s,pecea Type or Prini /egibly 1. Date 2. Installation Cost 3. Job Address 4. Owner 5. Contractor ? A - Permk No. Fsa S/C Tot ? Phone 6. Address THOMPSCN PLUMBING CO., [NC. 7. City MINNETONKA,S%WN, 55343 2ip S. Building Type: Residential 11 Commercial ? Institutional ? 9. Work Description: New tl Add ? Alter O Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Ces ol/Orainfi ld Bath tubs spo e Se ti T k Lavatory p c an S ft e Shower n r o Well ' Kitchen Sink Urinal/Bidet Oth ? Laundry Tray er Floor Drains Drinking Ftn. Slop Sink Gas Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with alhordinances and codes governing this type ot work. Signed : / / - ' ` for Rouph Final Inspectibns: Date lnsp. Date Insp. This is your permit when numbered and approvad. Approved CITY OF EAGAN 464-8100 :f.o'lroar lf fet_? QUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21•199, Espen, MN 55121 PHONE: 4548100 Reoeipt To w w"A fa ' Est. Volue `-{ ' Date _ Erect Site Address Remodel Lot Blxk - Sec/5ub. ? _ ? Repair ? Parcel No. Enleryp ? Move ? ro Nama Danolish ? ; Address Grode ? ? City Phone Install ? Name ? Addrea City Phone GW Name ?u,,, ?V Address .? . tc Z. City Phone " I he?eby ocknowledge thot I how read this opplication and state tho+ the inlormotion is correct and ogree to comply with oll applicoW Stote of Minnesotc Stututes ond City of Eagap Ordinonus. Sipnoture of Penniftaa A 6uildinp Pern+lt Is issued to: oil work sholl be dons in accordance with I ype vr wnsL. No. Staries Length Depth Sq. Ft. Assessrnent Woter & Sew. Pol ice Fin ErW Plonnsr Countil Bldg.Off. ? APC Var. Date I11TC Pem+it ? 0 Swchorpe ? I' Plan Review. ' 1) SAC l f Water Conn. { y 0 Wotar Meter J a Rood Unit U , Total pn f1w exprats corxlitian thol ond City of Eayan Ordinoncas. Wrmit No. Pnmit HoldK Daa Telephons # Plumbirq H.VA.C. ,? o? dC i I L -I? ? Electric -? ; ' r / l,, ? , •, ? i , i - / .? ?.? $OnlfNf InWaetion Data Insp. Other Footin9t Foundation Frsmina ? Ld Roofiny 4 Rouqh Plbp. •7? Rouph HVAC % Inw ation ?? ? Final Plbp. Finsl HVAC 3r Final riMWDOC. r C u 1 i l Water Dewibe Location: Yllell Sewer Pr. Dbp. Receipt MECHANIC/iL PERMIT Permit No. CITY OF EAGAN ^ Fee ' ? ??' ? ' ? •` fill in numbered spaces P l ibl T i S/C • _ eg ype or y r nt t T o . 1. Date • 2. Installation Cost - ? ' , .,. <_i? ? ' ? r 3. Job Address - Lot / Blk. Tract ? y 4, Owner , ?,?...,,...,..? ?._,-...., ? ...? ,.....,..--,? ,..,? -? c? . ,.?. 5. Contractor .L Phone 1f i 6. Address 11 _ . _ . , .... ? .... 7. City 8. Building Type: Residential Cl 9. Work Description: New El -7 State Zip Commercial ? institutional El Add ? Alter ? Repair ? 10. Describe Fuel Type -=?-; 11. No, Eauinment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Rspipt PLUMBIN(i PERMIT Permk No . l 'r ? CITY OF EAGAN F» . . . fill in numbered spaces S/C ? -- TyPe or Print legiblY Tot ,- ; -//- f J? D I 2 C ate 1. nstallation ost . q /" L k J A B 3 ? T ! ? ddress . ob . :ot l ract - 4 O . wner 5. Contractor ; i i Phone i ? 6. Address f 7. City State I Zip _ 8. Building Type: Residential Q Commercial ? i Institutional ? , 9. Work Description: New E:)-" Add O Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess infield o l/Dr ? Bath tubs p o a 5e tic T nk ? Lavatory p a ft r S i Shower ne o Well j Kitchen Sink Urinal/Bidet Ocne ? Laundry Tray r Floor Drains _ Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with a?I ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date "Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ' 0 ` l - 34 SV 2 PERMIT # ?s n v ? • MECHANICAL PERMIT 1 ' i . RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE J -7 CONTRACT PRICE: PHaNE: 454-8100 Site Address ? gLpG. TYPE WORK DESCRIPTION LotBlock ? SeqlSub Res. ? New Mult Add-on t-'*' Name Comm. Repair Address R910 W FNTWORTH V S0. Other F c City MINN EAPOWheMP; 55 420 881-9000 N -- - FEES ? ame + RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 O Ciry Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MIN M ( I UM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 19`o OF CONTRACT FEE Forced Air M BTU APT. BLOGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Unit Heater M MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 BTU REMODELS - 12.00 Air Cond ? M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent STATE SURCHARGE PER PERMIT - .50 CFM $ (ADD $.50 S!C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE ? S/C: ' U 51GN TOTAL: /a - 3 a M?' FOR: CITY OF EAGAN INSPE ON CITY OF EAGAN PERMIT TYPE: 1+It 11. rp , 3830 Pilot Knob Road Permit Number: ti+?'ORq 3 Eagan, Minnesota 55122-1897 Date Issued: ?' ? ? •' ? ? '' ?' (612) 681-4675 SITE ADDRESS: APPUCANT: , 1: ? 1 ; hl?.,!tJ f??r 0 ? I #;:a f t ; (FI I ,tt?hti, l Ar. I ilt 1141? tt?I..) 4.'w e'650 PERMIT SUBTYPE: I r t t1(31 I N fa !-'. TYPE OF WORK: F"tNAL N i {J ? . + ? PertnR No. Parmft Holder Date Telephpne 11 ELECTRIC PLUMBINQ HVAC Inspectlon Date Insp. Comments FOOTI NGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBO FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG A)p Aa. I^/C1'. DECK FINAL Receipt ?- n MECHAIQFCA'CP RMIT Permit No. _ . CITY OF EAGAN 't Fee .. Fill in num6ered spaces S/C ' Type or Print legibly T ? ot. 1. Date 2. Installation Cost 3. Job Address Lot?Blk. Tract ? 4. Owner 5. Contractor Phone 6. Address 7. CitY State Zip 8. Building Type: Residential n Commercial 0 Institutional ? 9. Work Description: New Add O Alter ? Repair ? 10. Describe Fuel Type -?-h 11. No, Equipment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H d i Mfg. , . _ r ng: an l Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mtg. ' Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : - fi for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 i .. J=r;.., .. ; .. . lUILDING PERMIT i CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-198, Eapn, MN 55121 PHONE: 454-8100 ReceiP? # Erect 0 Ocwpency SiteAddren Remodal ? Zoning Lot ' !-`?? Block ?- ?1Sub . Repeir ? Type of Const. Parcel No. Enlarqe ? No. Stories ? Narrve 4 ? iv.'? ?_' ?, ;. ??3•i l' ?. i? l' Move ? ? Length - ? h D ' . 'r:C?:i 1 3 Add Demolish ? ept ? res s i Grade Sq. Ft. 14 1-.n11 n u? E I,hercby ocknowtedpe that I Fwre read this .?F?". ` , ' Sipnoturo of PermiltN /? euiiainq Pem,ir Is issued ro: oll work sholl be done in occordance wlth all 8uildinq Offidal - - Assessment Permit Water 3 Sew. 5urt?w?" Poliu Plan Raview - L' Fin SAC ? Enp. Woter Conn. Plonnsr Woter lrkter Council Road Unit -- •.'s '?3/? `_' . ?i) ond stofe that Bldg. Off. • 1 - all oppliwblo APC Total .. , , ancas. Var. Dste M C`. Of1 t'M !Xpron COfldlflOfl fh01 Io Stote of Minnesota Statutes ond Gfy of Eopon Ordlnonus. Pwmit No. Psrmit Holder DaN Tel! hone ? Plwtthinp C C' 11--o S ?? s H.vr?.c. 5/1 y Elocidc /S 5?. -?`? ??a n? " 'Y " 'c• t; Softener Inapaction Dats Insp. Other Footinqt Foundation Fnminy ? Roofiny Rouyh Pibp. ? - Rouph HVAC , In ta ion Final Plbq. Final HVAC Final Cw't/Ooc. wmr Dacriba Locstioo: YWII ' Sewe? P?. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: t llTNli 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ' APPLICANT: , , i 1 hhl'?1?N Utc ? ,?t,? 1.? 11 ? U ?it'•1it . 4 ??? t fli IIiN I'i ..'lilL) ??, 1. . 'i:'B-•Af111 PERMIT SUBTYPE: TYPE OF WORK: ' r:i TFanl inN rlf:rh? t, rci*, ONi ? 11 1 1 Nro , Permk No. Parmit Holder Date Talephona N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FP,AMING ROOFING ROUGH PLUMBIN(3 PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG y DECK FINAL GEO. SEDGWICK HTG. & AIR COND: CO. - A? HOUSE HEATING TEST RECORD ADDRESS CITY f- ? OCCUPANT OWNER (-?, rfdi HEAT LOSS DATE HT% INST. I SOLD BY L I e? 1 1?FL ?? _ INSTALLED BY SQ ' 11'^j C, i 'Electrical Work By Gas Line By _ ?? ?" •- ? = c{r N . • ? ? ? TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER 1 GAS DESIGN N E???? ? MAKE nin C= a' MAKE OF BURNER ; ` Model ? - - - - -_ _ R E V I E ' Modei Serial S 4Y9 s G?? ?(w - Max. BTU Rating INPUT MAKE-OF-FURf1CACE , Model -- - ? CONTROLS "? ? ' 5 DATE THERPJIOSTA Heat Plug ! Vent Size Valve '?' `? h«w KIND OF LINER SIZE NONE Li i F7 nn S T FJ T" l D ft H d ''+ '"? ? %'- i•' ? R t m t egu ra oo • a or Limit Setting a C) O s 1- Filters Size fVumber Fan Setting /0 Chimney Location Inside- "Dutside Pilot Type ? Chimney Construction C Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing Draft " Test Tag 1 ? L.W. Cut Off Door Pressure ? Lighting Inst. Pressure Percent CO ? Date Tested Input CFH?? Percent 02 Company Testing ?=; ?'`' :?_ ?= ?' ?-? • ? ? Stack Temp. ` `•' ? ? Percent CO ' r ' - Name of Tester - ? -? 1 ? , -------_» _._. ? HTG. & A1 R COND. CO. .? d ., ' HOUSE HEATING TEST RECORD ADDRESS PMSs? ri 'D;- ,.' L- CITY Z:?? AN OCCUPANT HEAT LOSS DATE OWNER SOLD BY INSTALLED BY Electrical Wnrk 6v ,f 14 ? Gas Line By _ ??>'' • ? N r ; ? I.u ': ? TYPE UF HEAT GA _ FA1_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER GA5 DESIGN CONVERSION MAKE FN ;`-% ?,( MAKE OF BURNER Model C; 1 c?N a. ?L_ - cg o'Z Model Serial Max. E?TU R?rin; INPUT L4 0? C r? c? MAKE OF FURNAC? E' 7 Model - -r -LV 3 CONTROLS THERPJIQSTAT Heat Plug Vent Size Valve ?3o ?r?' c?-.a.,t. KINDOF LINER 1116 ' NONE Limit <a rv ^.s 7 0 T Draft Hood L)( egulator ?1 L N?- Limit Setting a o v°/-- Filters Size Numher Fan Setting Chimney Location Inside Outside Pilot Type Chimney Construction 1<?• =? ' Pilot A4ake IZ o loer--4 s j+a --I U? Pilot Model F-S 'S Smoke Bamb ? Wiring Pilot Timing i4 t..T Draft ' Test Tag S L.W. Cut Off -" Door Pressure Lighting Init. ? Pressure S??'''?• f Percent CO Date Tested " c:' S Input CFH 8a /'? Z a Percent 0 R f Company Testing '6 p? Stack Temp. 90 ?/? Percent C02 Q u? Name of Tester HOUSE HEATING TEST RECORD ADDRESS `J[ L, -',,. CITY ?11-1? ?? OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY G/I fj? INSTALLED BY? ? 'Electrical Work By Gas Line By TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION, MAKE .:? ..-- Model •? 1 'z Serial ' -- `? -' INPUT CONTROLS THERMOSTAT Heat Plug Valve Limit Limit Setting Fan Setting 4 Pilot Type Pilot 11Aake --? Pilot Model Pilot Timing L.W. Cut Off MAKE OF BURNER Max. BTU Rating - MAKE OF FURNACE Model Vent Size ' KIND OF LINER Draft Hood Filters Size _ Chimney Location Chimney Construction Smoke Bomb Draft Door NONE Number Inside Outside Wiring Test Tag ' Lighting Inst._ Pressure Percent C02 Date Tested Input CFH Percent OZ Company Testing Stack Temp. Percent CO Name of Tester GEO. SEDGWICK HTG. & AIR COND. CO. ' HOUSE HEATING TEST RECORD ADDRESS CITY ?-?- OCCUPANT OWNER HEAT LOSS DATE HTG INST. SOLD BY LIQ?QI 1ZN Z- _INSTALLED BY Gas Line B ? r Electrical Work By ri r ..? Y TYPE OF HEAT GA_ FA_Z_ HW_ STEAM SPACE HTR. UNIT HTR. O HER_ GAS DESIGN CONVERSION MAKE MRiW,.QF BURNER Model Model 5erial Max. BTU Rating INPUT ?a O? v MAKE F-FIHWACE r? CONTROLS THERMOSTAT ? -? '4 Fjeat Plug Valve 'r:-r ` ?«-"? Limit ? Yr' 1 l ? i Limit Setting ?- Fan Setting / ° r Pilot Type _ -S ~ Pilot R4ake Pilot Model FS - / Pilot Timing ::Z 11 S T14 fyT L.W. Cut Off 0 Pressure ? i' '?' • t • Percent C02 - Input CFH Percent 02---? g ? Stack Temp. Percent CO Vent Size ? KIND OF LINER S NE Draft Hood 'J P?4,`- `?` i???stiaEa r ?l.' 0 rU t Filters Size fdumber Chimney Location Inside Outside Chimney Construction c 0.S-> j? Smoke Bomb wirin9 C ? Draft "- Test Tag Door Pressure - Lighting tnst. U? Date Tested Company Testing ?.= F v S?•? /. ,: 1` Name of Tester ,¢G? A .u CITY OF EAGAN ? Remarks /AO Aql Addition _7hntrinC .akP H P4 ,gFi __ • cldi i0I1 Lot * A-Blk ? Z Parcel #t-'75gs?0 `260 02- owner l ?aJ street 1546 .('ilemsoll DT1Ve state Eagan, NIlV 55122 Improvement Qate Amount Annua) Years Payment Receipt Date STREET SURF, u 1.8 A0?.2Z 2 - -8 STREET RESTOR. ? GRADING SAN 5EW TRUNK ?JQ?? * SEWER LATERAL 3'] . 0 7 .. S Z 15• O5 A012172 5-5-83 WATERMAIN • WATER LATERAL WATER AR EA / fJ 7 STpRM SEW TRK 1981 7022 249.91 A012172 5-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WRTER CONN. 500.00 n n SUILDING PER. 0009-10012 SAC PARK CiTY OF EAGAN Remarks 2M-W a& QZ . Addition ?• Lot ??Blk L Z Parcel # 10 764600-940-09 Owner ???.?.?? j'?"-7i- str?c 1546 B Clemson Drive state Eagan, NIIV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1981 279.71 $5.94 5 ul.$ .A0121 2 --$ $TREET RESTOR. GRADING ' SAN SEW TRUNK • SEWER LATERAL , 5 2 1.0 A0121 2 --S . - I WATERMAIN • WATER LATERAL WATER AREA STORM SEW TRK 3 1981 312.37 20.82 15 29.91 A012I72 5-5-83 F STORM 5EW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGIiT WATER COMN, 500.00 n a 13UILDiNG PER. 10012 SAC 525.00 PARK CITY OF EAGAN ? Remarks TSm /10 . 101 Addition ? Addition Lot-TIZ BIk Parcel #10 Owne?? streec 1548 Clemsori DY'iVe state Eagan, MN 55122 Improvement Date Amount Annual Years Payrnent Receipt date STREET SURF, ? STREET RESTOR. GRADING SAN SEW TRUNK 191.5 * SEWER LATERAL 1981 .6 7. SZ .O A0121 2 --S n WATERMAIN * WATER LATERAL 1981 WATER AREA rJ 7 ? STORM SEW TRK 1981 312-37 20.82 15 249.91 A0321'r2 5-5••83 STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT 280. 0 50451 3 27 85 WATER CONN. 500.00 BUILOING PER, 09-1001-2 SAC 525-00 PAR K CITY OF EAGAN Remarks Rddition Tfionlac .ak . H.ight_ _ Addi ti cm Lot ? IZ) Rlk 3..,4 Parcel #IO Owner4 ?'i r?`-.T ?"_' : ?I, r.S? 1c str?t 1548 B Clemson Drive stete Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Receipt date STREET SURF. . S A012112 5-5-83 STREET RESTOR. GRAOING SAN SEW TRUNK 1973 0'L4Z*-j * SEWER LATERAL 61 2 1.0 A0121 Z --8 WATERMAIN * WATER LATERAL WATER AREA 7 STORM SEW TRK 249.92 A0121 Q -5-83 ,t STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. u n BUILDING PER. 10009-10012 SAC PARK ? Site ^ddrcss: ' ' Plumber: _ Meter No.: Cannection Chorpe: '? ? ,•,? Size: Acr ourrt De ostt: j ; . p . . ? Readar No.: Permit Fee: 1 prN to emPly wilh tiN Cier of Espm Sv?charoe: . Onineoom Misc. Chorfles: ?^ nn ,..v ...a* g Totcl: 132 Qn p a BY Dcte Paid: . Dote of Insp.: Insp,; ?. P. O. Box 211 °+g hiO : Esgan, MN 55121 . Zontnp: No. of Units: O1Yfllr: Address: A _. Site /4ldrcss: - •'? .. ? I F' C ' L, _ ?,' ' ' ? ' Pf umber. - ,- ?---? .,_ 6 Mater No.: 3 Connettion Chorpe: ? Size: /ltaount Deposit: Reoder No.: Oto m_?.?? Permit Fee: 1 qwe h am* with !M CMp of Eprn Surchorge: T??--c-- Ord1ngeoM. Mist. Charpes: nrriGti„- \ ' Totol: BY Dole Peid: Date of Irup.: (mp,; CITY OF EAGAIV 3830 Hot Knob Road ' 7229 P. O. Box 21799 PERMIT NO.: y Eagan, MN 55121 ,; pA?; '?y J un fi^._.!rv^ r-lt Zoninp: No. of Units: , c.1 •.'ri?on '?o:,es Owner: Add 1 a9rM to osmpir wieh ebe Gty ef Wger 425.f10 d Connectlon Charpe: Oediaenaas. AcoouM Depoait: 5' p Permit Fee: P' 5uid?arpe: • - n` gy Misc. Uwrqex Date of Inap.: Totol: Inse_- Dah Poid: CITY Of EAGAN 3830 Pilot Knob Road P. O. Box 211 Eagan, 91AN 5521 WATER SERVICF PERMIT PERMIT Np.: DATE: ' No. of Units: + -- •- - - ? llddress: No.. No.. to Gemaf' wia 110 C.ilp of yNn of Insp.: Cannection (harge; nc._ Acsount DePasit: Permit Fee; ' . Surchor9e: Mltc. Chorpes; _ j, 1 ?,7 ; rr er Totol: Qote Paid: ?-? Insp.: CITY OF EAGAN 3836 PElot Kawb Road P. O. Box 21199 Eagan, MN 55121 Plumber. WATER SERVICE PERMlT 303 ZcA Zoninp; Owner: Address; Slte AddrOn: uv"?{?V ?? b'? t1 R Con'ne/?ct`io`n Cholye: 500.'•1(1 Si ? LI-i ti-? LL YAcpol?ArY?Sepo, sit: 1 7 n Reoder No.: lZk_? 7D _a ?3_1_ Permit Fee: I yF" !o oomply wuh !At Gty of Esqp¦ Surchorye: - O?t.?eas. Mtac. Cho ?yes: nd mer c;: B TotoL• e Paid: Date of Insp.: Irtsp.: GI 1 Y UF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road - P. O. Box 21199 PERMIT NO.: Eagan, NFN 5512?, D/1TE: 4 Zoni ' ng: No. of Units: Owner el.'T ''o2'izon I(or.es Address: Site /lddress• 1 "4t o r?. ?T; c n;? ^T ""'?!?n ? g ??'.• ?, „ ? ?. Plumber. rri:.?% --? ? ??.?? j., ?..... I y!M t0 00111* wkb lho City of EI/O¦ of Insp.: ;? 7 r , lfl P?P COf1FlectiOf1 (}I0nl: . • Acwtw?t Deposit: ?• i? ? i: ? Pemilt fw: . , Surclwrpa: . 7 ' Misc. Charpes: Totol: r. PERMIT NQ.: _ 601? 1 DI1TE: No. ot Units: _ ? ?r .; ?_y • 6ITY OF EAGAN WATER SERVIC E PERMIT 3830 Pilot Knob Road 6042 P. 0. Bc+- 21199 PERMIT NO.: 55 9 121 M DATE: - 4- Esgan, N 55 ' 1imit tnhse i ?ing; R No. of Units: 3ZOn Nrnn n3" Na O c . vrMr: GT Add re5X $? ???; 154_n1 a++-?+n ilr T 11 $1 nmaa T.qlrp Aatc h ?-- ,; Thomnson P1bQ pl b - „ry, e 3 59 F 2 23 Connsctton Chorya: 500.00 ud . Metor No.: : - i 15.00 pd Stze; t: Acoount Depos d Reoder No.: 1261 !'Yf Y210 3-2 Psm+ir Fee: 12.00 p . 50 pd 1 Nm ft a- apls wili lM Cilp of !oww Surcharyo: - 00 pd met e 63 Mi? ??? . ; Toral: 132.00 pd slc ! g XjkZ Dot. Paid: -,54- /7 Date of I ' I^sD•: ; - Pilot Knob Road Bc:.'21199 i, MN 55121 to A?ER SM. M i'ERMiT PERMIT NO.: 6'}L, _ D/1TE: 4-9- No. of Units: 1 unit ttZt:se - 'JG'S ' , 4'7nn TInm R No.: te eon%* wok ew City oi 4qsw Connecflon Q?orys: Account Deposit: _ Pertnit Fee: Surtharye: Misc. Chorpes: - Totoi: Dots Paid: CITY OF EAGAN 3830 Pilot Knob Road P. O. Bo? 21199 P Eagin, MN 55121 ? Zoninp: •ew "urizon ?+omes Add?ess: Site Address: 154 R Cl e.ns on "r T Plumber l ompson . 15r ,- - SEWER SERVICE PERMIT ERMIT NO.: 7 DATE: -?-No. of Units: un sus 1 pr« to oaMoyr wiM Nha City oi Seges Connactton Chorge: Orllw?neM. /loaamt Deposit: _ i Pemnit Fae: ? Surchorpa: j By Misc. Chorpsx _ i Date of Insp.: Totnl: Dob Pafd: 425.00 Box 2119,9 i, AAN 55121 Owner: /lddross: PERMIT NO.: DATE: . No. of Untts: w Site Addras: 1'4F9 Glemson Pr L10 13 Thores a7,e .•i- 5 Pluenber. T*.'i ^so.^. Pl Meftr No.: Connection CFwrpe: •_ P 5iu: AcoourK Deposlt: 15.00 pd Reoder No.: Perrnit Fee: 1 n. 00 pd Isom !e eo=* wNw !Iw Clryr ef 16926 Surcha?ys: •];} pc? Ora"mmm Mtac. Chorpes: > -'• ?? P me er Totcl: 132.00 P s e P. o. 3ox 2. 3s Eagen, MN 55121 Zaninp: P.3 OWMf: - CW I???A?1?`?{r Add1lfs: .. t , , 5ft Addf!!i: ? ? ?• _ C?': F. 11 I: PlUfTIbfC .•..•. . ... . r 1 (i:r Mater No.: •3 q 8 7 3 3 Size: ?1f'r ?ai? Reader No.: !L, /, M e-1 7 / 1aOrN !o eova* wqh !M C1ey Of Epp¦ Dote of Insp.: PERMIT NO.: ''043 DATE: 5 No. of Units: :)':lA fi ivt-F. vk. Pc ConneCtbn CF+arys: AccoU?It D@pWt: 15. n( i ,. Permit Feo: ' SuRharya: Misc. Charoes: 17 p` r- `` -' Totol: 1'2.' 0 pd s, c Dote Pald: CITY OF EAGAN SEWER SER1fICF pERMIT .f 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: '-' -s Eagan, MN 55121,.. pATE: Zoninp; No, of Units: •-W .:or on .16mes Owner. /lddross: ! cr ?;on 'r Site Address: - --- ar?as a?e r_ s Plumber. I a/rN t0 OOIMply wfth HN cky OF t0W11 of Insp,; _ . ., z r.Of1ROCtiOfl Q?Q1p; •, ?t ACODNfM QlpOSIt: • ? n, Pefrdt FM2 . ' ?? T>Q SurchCrge: Misc. Chorpm Totol: SEDGWICK HEATING & AIR CONDITIONING CO. HEATiNG JOBNO .?1?2gC4 ? 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(672) 881-9000 TEST RECORD J ' ADDRE55 A-5?,?/S S"r-,U ? CITY lftac?..??_ OCCUPANTq OWNER / 6 ? µ SOLD BYlSIk.'-' N MSTALLED BY _ MAKE [, f 'LI sMODEL l7" 61?41 4 ' O'IO " O l SERIAL NO. ?/???7 l S?7 .3 INPUT ?AS3, /J!3 a THERMOSTAT =20 VENT 52E VALVE v. LIMIT ( / -. ,n n?L LIMIT SETTING FAN SETTING ':2!?/? - ^I / PILOT TYPE IGNITION MODEL t ?t•w,o_,}, TYPE OF LINER X`? ? q LINER SIZE ? FlLTERS. SIZE ?-?h?????-'Jt? NUMBER ? WIRING [rl. J TEST TAG LIGHTING INST i. < ?2 /ti 2 fl flll ? PILO7 TIMING /-2.,,_ DATE TESTED PRESSURE PERCENT CO, i> INPUT CFH l G C'F/? PERCENT Oz COMPANY STACK TEMP. ?F.O ?G PERCEN7 CO e`?'16i? NAME OF TESTEF FOHM 2J5 (fiEV 1 1r89) FORM DISTFIBUTION,iWHITEICOPV - JOB FILE YELLOW COPY - Cltt Tin= ell.,est W.d g (-, ,a ,? ,?'?b? 8 L o r ?.k ReQVest Date Fve No. Ro qh-in Insper.tion -./' /? S 11equ 1? ?PeadY N?wv ill Natify Inspec- ?`7 Y?s ? No tor When Iteady ucensed Elechical Camra??or 1 h¢rab y request insoecLOn ol above ? Owner eleetfieal work ins1n11M n, 5[ree.t AtlAress Bos or Noute No. ? 1-SL48 A Gti?emSon C\ Ciiy Ca un cuon o. Townsh?0 Name or No. q..ge 7\" ?( / Yr rf7? c pant IPRI T {? ,/ I '• 4? Pho No. y? ?? l?Q Po r Su POlier - Addr E ctr ? Comractor (COnpany m¢I ? Co?ntrnctor's Gcense No . ? ? I Mailin0 AdJr s tractor or Ow?r Makmg latfon) f ? ?n ss3 -7 A n?ed SiO?mre lCOntracmrZOwner Makiny Installationl Phone Numbe, MINRIESOTA STATE BOAflD OF ELECTf11C1TA5?- THIS INSPECTION pEQUEST NILL NOT Griggs-NidweY Bldp. - R. N-191 gE ACGEP'IEO BY THE STATE HOqqD 1821 Univwryity Ava.. St Peul, MN 55106 UNLESS PBOPEP INSPEGTION FEE IS Pho. 1612) 2972111 ENCLOSED. 5(EeIoaooi? () l? 236658 REQUEST FOR ELECTqICpL 111?pECT10N i.mo-acno.. ro. •Sxs fmm. - pack of vallow X" ge/ow Work Covered b This R _ Y equest Th s request void f(??? %InII15 OT ? 0_ 6 3 9 ` G/o Request Dat¢ Rre o. Rpu?,n Ins ? pection • U U 9-3-1985 Reu?ined? HCady NnwUWill Nobfv Inspec ?YCS }QNO tor When Ready ULicensed Electncal Conhractor ? Owner I hareAy request inspection of above aie . . .._... .._.., ....,. SVee[ Atldrxss, Boz or Hout¢ No. ....o., a.. City 1548 B. Clemson Drive Eagan ec?'On o. Township Ndme or No. Rnnpu No. COVnty Dakota Occupdnt (PRINT) Phone Nn. New Horizons Power Suo0lrei Adtlress Electnral Convacto1 IComuanv Namel ConVar,tor's Lmense Na , O.B. Thompson Electric Co., Inc. A40602 Mailinp AAJress (Cuntractor or Owner Makmg InstailaUOn) 12201 Mtka Blvd., Mtka 55343 Authonzed $iBnawre IConvactodOwner MnkinA InstallaLUnI Phone Numbw -, ? 933-2521 ----- u vr cLcciniciTr 1 nIs irv5pecilON REQUEST WILL NOT .11 Grie9s-Midwey Bltlg. - Room Nd91 ' eE ACCEPTED BV THE STqTE BOAND 7821 Uni Ave., St. Paul, MN 55104 UNLE55 PROPEfl INSPECTION FEE IS Phone (612) 297_2111 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ' See nstruebans Ior tomDlehng this lorm on beck oi Vellow copy, 7_-X" Below Work Covered 6y This Request ee-ooooi.oa qkffl? This repuest wiA G 18 m]onhs Trorm?y Ji ? ? o f o:7 P1 ?1.`l l L l i R I -h,, l 1,? !Iz` 2-- Feques[ pate // ? `Y 8 5 Fre No. Nough-in Insue:ruon ReQu?r ? Dfleady Now r?II Nnlfly InsOec- lor Wh n p d ex ?No r. ea y 69-Licensed Elec[ncal Contnctor 1 hereby request insOecfwn oi above ? Owner electrical work installed at Street Atldress ~? , Box or floute No. ' C c r, ?? ?rc1 ? Gity ECA c a n edion n. Townsmo Namc or No. IL nge No. Co tv O r aM IRiINT r, or? -e s Phone Ne. y b 3 D a Po SunVher r A s ' ?n - ? cv I Conuactor ICompc N mel ?? ?r Conlra mr's Licens e No G? Id ?-s? ?-s? Madinp Addre 5 IC tractor or Owrwr Maki Ins[ailatio c n 'gv 44 rI l"}'IIU SS3a ? A oriced SiB?[ure IConvactar ner ki? Insial tion) ?? Ph ne Numbe r "' ? 'q ? / ? / MINNESOTA STATE BOARD Of ELEC7RICITX?-? Griggs-lAitlwaY Bldg. - Rnom N-191 1821 Umvarsity Ave.. Sc Paul, YN 65104 Plqna (612) 2972111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED 8Y THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. ?? ?REQUEST FOR ELECTRICAL INSPECTION EB-ooIoo[i j ' See i?atrwtions fa completi? this fwm on hack of yellow copK ??? ?( l? 23(6657 ?U 'X" Be/ow Work Covereo by Thrs Request 0 Fee rS.,vic.EMr.n..So?i, Fee Feetlars/SUbfeetlacs Fee Grcwts Oto30qm Otn30Am s ® m? 37 to 100 qmps Above 100_Amps Abov1(10Am ' Irtigation Boorrs PartiavOther Fee Remarks ? TOTAL F / E?E71 ?j (?; - V/ ? 11 1, the Elecbrca"f j;- Ircpeetor, bere?y F.nal ..aetV/Y t?t the abova ^ . ?fte , ? spect{on has bcen This repues[ void 5517 ? ry /^ 18 nwnths/ Irom ) 1 D [J[]iQ ll f] Rpquest Da[e Fira No. HuuPh-'n InspecUOn 9-3-1985 I Renuired> OReatly Now ?f4Jill NnUfy InsUec- p?y?' ?ycs M. inr When fleatly .R..icensetl Eiectncal Contractor ? D.vner I hareby repuest inspachon of above Blectncal wnr4 inctallnd st Svee[ AdAress, Box or Route No. City 1548 Clemson Drive Eagan ecuon o. Township Name or No. Range Nn. County Dakota Occupant IPflINT) Phone No. New Horizons Power SupDher Addretis Eiecincal Contractor ICOmpany Namel Cnmractor's Lmense No. O.B. Thompson Electric Co., Inc. A40602 Mailmg Atldress ICOn[mctor or Owner Making Insmilauon) 12201 Mtka Blvd., Mtka 55343 Authorizea S?e?ature IConhanndOwner Making Installa[ion) Phono Numbcr , ?f??a•??a?1 MINNESOTA $TATE BOARD OFELECTflICITY GriBUS-MiEway Bldg. - Noom N•191 1827 Umversity Ave., SL Paui, MN 55104 Phone 16121 297-2111 THIS INSPECTION NEQUEST WILL NOT eE ACCEPTED BY THE STATE BOAND UNLESS PflOPEfl INSPECTION FEE IS ENCLOSED. 'd? REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 /J' See instructions tor completing this form on beck of yellow cooY. v7 (? q nR '"X'Below Work Covered by 7his Reqiresl u 1$7 HAd Fep. Type of 9mltlsng Ap0liancas WiteA EquiUment Wired Home Range Temporary Service Dupiex Water He?ter Liyhtiny Fixtures Apt. Bwlding Dryer Electric HeaUn Commeraal Bldy. Fumace Silo Unluader Indus[rial Bldg. qir Conditioner Bulk Milk Tank Farm Oiher „pemty .lher ISUCr,ityl ... ....... _ i_ ther uec?fy "_'..__ ? .. . Other Other N Fee ServicaEntrenceSae k Fee feeders/SUbfeetlers b Fee C?rcurts 0 to ZUO qm s 0 to 30 Am s 0 to 30 Am ps A6ove 200 qrnny 31 to 100 Ainps 31 to 100 Am s Swimming Pool Above 100 _qm s Above 100_.Qmps Transtormers Irtlgation Boorc?s ParLal-'Other Fee Signs Special Inspection g 10 RemTrks .50 TOTAL-FEE ? Final Inspectio //0 ,66 J Roueh-in e a I, th Elechic l insuector, hereby Final / p } e erldy thet the above inspection has been matle. s. .., Stree[ Address, Boz or Route No. V Crty 1546 B Clemson Drive Ea an erLOn o. Township Nime or No. qanqe No. Count V Dakota OccuOani IPflINT) Phune No, New Horizons Power Suppiier Adtlress Elecvical ConVactor ICOmuanv Namel Conlrncmr's Lncense No. O.B, Thompson Electric A40602 Ma?linp Address IContractor or Owner Makinp Insiailauonl 12201 Mtka Slvd., MEka 55343 Authonred Signa. ure (ConNacmr/Owner Making Installa[ion) Phone Number ? _ ? r) f 833-2521 -----^ +?v vr c1c1i11Gny lma irvsr[GIION qEQUEST WILL NOT Griggs-Midway Bltlg. - Roam N-191 BE ACCEPTED BV THE STqTE eOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121 2972117 ENCLOSEO. ? REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 See msquc[ions for complebng this farm on beck of yellow copV. 10 -"X" 8elow Work Coverti by This Request Tvpa of B??Itl?ng Appliancea Wiratl Home EquipmBnl WjreA Flange - Temporary Service Ouplex wn.e, u.,,...._ . Ef ir l,ontlitioner 0/AOUt@ Milk r ISUn M Fee ServoeEntrence5ize h Fee Fexders/SubineAers p Fee c?.?? r U to 200 qm ps Above 200 0 to 30 Am s ? s 0 to 30 Am>s qmp5 37 to 700 qmps 31 to 100 Am Swimminy Pool Transiormers Above 100_qmps 5 Above.100_Am>5 ? Irrigabon Boonis . 0 Partial.'Other F ee rcemarks r V I Final Inspectio S10.50 TOTAL FEE--' Foueh- in /, /V ,00 1. the Flecir,icel? thisrequest Inspector, heraby ?eertify thTt the Above inspechon has baen matle. giLfcensetl Elecarcat Convnctor Owner I , herab , y request ins0action of ebov. ? ___ requestvmd ??I_? Ims 1.. ?a 511) tt 5 `-(L a, " --- -- -??...?... V?..,•,,°•°? I hereby reqaesf inspecGOn of above ? C3wnei electncal wnrk -fa11M at SVrei Adtlress, Bux or Pou[e No. tsykPP> G)e on Grd ctroa o. 7ownshio Name or No. qange No. C??y a n County Occ,panl IPflIryT 1 1 %??b 3?0Z> Powpr Supplier Atl s cfcl EI ric 1 ConVactor (Comoany Namel c aer . -Enc, Convactor's License N ((? ? dres C nacmV ol wner Makine instailaLo r) L U k ?53? 7 ?dAu,,. Signature IonhactndOwner Maktng Installavon) nCZ Phone Number ( - qv MIPINESOTA STATE BOAPD OF ELECTRIC Griggs-Midway eidg. - 0.oom N-191 4921 University Ave., SA Paol, MN 55104 Phone (612) 297-2111 THIS INSPECTION REQUEST MILL NOT BE ACCEPTED BY THE 5TAlE 80AR0 UNLESS PROPEq INSPEGTION FEE IS ENCLOSEO. REQUEST FOR ELECTRICAL IMSPECTION Eg-00001 -o+ ? ' See Instrucyons for complet,ng this form on back oT Yellow cooV. ??? ft5 36656 "'X" Below Work Covered by This Request ? Adtl ReP. TVp¢ of BuilAing APnliances WireJ E9uipmqnt Wired Home Range Temporary Service Duplex Apt Bwlding Water Heater Dryer Lighfing Fixtures Elecuic Heatin Commercial Bldg. Fumace Si !o Unloader lndustrial BIAg. Air Conditioner Bu1k M0k Tank Farm other soec7y Otne, ISUecrtvl .,. .,.,... .. /..,. Iher $cufy .._.,.._._ r_ _ .. , OthCi Other # Fee ServiceEnirance5¢e k Fee Feeders/SUhfeeders # Fee Grcui?s -Oll 0 to 200 Am 5 0 to 30 Am s ? tn 30.^.m A?ve 200 Amps 31 to 100 qinps 31 to 100 Swinvnmg Pool Transiormers Si?s qbove 100_Amps IrrigaLOn Eiooms Special Inspection Abpye ](10_Amps Partial/Other Fee, ?i Rem3rks / . 11 Sy? ? 7'OTAL FEE ?1 (1 1.?. Aouah-in / Oate ?i • /1 r Y /? 1. th¢ Elece 'cal i ? tnspactur. he.eby i?nal Oate cerlih tlat ihe above - ? ?- • % ?c??-6? _d 3 ? ??t?? ?s 6een ?? . This request void -211197 18 nwnths trom @ 18627 ?Lir.ens?Elec?l Contranler ? Owner Street Address, Boz or Rauta N. OcCU4.nt er - on[ract0r iCOTpany P HARRISON ELECTRIC .IinoAdJ.n< n _ miNNESOTq STATE BOARD OF ELECTNICITY Griees-Midwey Bttlg. - qoom N•791 1821 Umversiry qvA.. SL Peul, MN 55104 Phone (612) 662-0800 -7 ?s uAh-in InsuecLnn auvetl? ead No ]Yes ?"No Y w Q Will NuutV Inspec- [or Wh q dv 1 hereby rep.ast inspecfion ol abova efeclncal work installedaL 9 a./z No. ?4 - jd0-:? 421867 No. Mpls., MN 55412 ikiny Instyll,a.t,, ,onl Phone Number -?.y 521-0520 THIS INSPECTION REQUEST WILL N07 BE ACCEPTED 8Y iHE STqTE BOARO UNLESS PROPEfl INSPECTION FEE IS ENCLOSED. 7 REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os / Sea instrucOans for comple11n9 Ihis form on bxck of yellow copy. n_I Q-97 ..,"- Rai.,. w,,,c ji,., rA.,, a- - - -, _ .. _.,.. .,. HAd Rep. Type ol Builaing Appliancan ri,red Equipmenl Wned Home Fange Temporary Service Duplex Water Heater Lighnny Fixtures .4pt. 8wldmg Oryer Electnc HEaLn Commeraal Bldy. Fumace S.lo Unloader Industrial Bldg. qir Conditioner Bulk Milk Tenk Farm omr. sPe,ry en,e, tsoo t er Sueci(y Other Oth?r 017 JflUf F IAR Oartrnn Fao R.,l.... _ M Fee Setvice EnVencaSize M Fee Fe d /S bi n ers u eeders ? to 200 Am s 0 to 30 Am s Above 200 qn???y, 31 to 700 Amps Swimming Pool Above 100_Amps Sig Irngation Booms s SVecial InsUection / 9 urts m us Am s 0_Amp her Fee 2TOTAL/F flouBh-in ? Date 1. the Elac al " trSpactor, hereby Final ertify that the above Insoechon nes eaen maAe. Thia reauest vala 1e monihn irom Th s request wid ? /b q wnths lrom (A °?063904 16. o v Auques[ pate Fve No. qnuyh-in InsVeclion 9-3-1985 pey? ed, E]Readv Now7QWfll NobfV InsPeo ?y•° 43N c Wh Ready ja?k.censed Electncal Contnc[or I herehy request inspection of above ? Owner e1e ... - Svee[ Address, Bou or fioute No. T City 1546 Clemson Court Eagan ettion o. Township Name or No. Range Na ??."ty Dakota OccuuantlPRINTI Phone No. New Horizons Power Suppher Atltlress Eiechncal Contractn? ICOmpany Namel Cnntrar.mr's Licensx No. O.B. Thompson Electric Co., Inc. A40602 Maihng AtlJiess (Contractor or Owner Making Instailanonl 12201 Mtka Blvd., Mtka 55343 Authm¢ed SiBna[ure (Coniractor Owner Mak?ny Installation) Phone Number ?. • ' :.-..? ° 933-2521 ^^•••?-n aiwtt nUAHU Ot ELEGTRICITY I nI5 INSVECTION REQUEST WILL NOT Grigas-Midway Bidg, - Roam N•197 BE ACCEPTEO 9Y THE STATE BOAPD 1821 Univari,ty Ave., St. Peul, MN 55104 UNLESS PROPEN INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. '3? REQUEST FOR ELECTRICAL INSPECTION EB-00007-04 ' See instructions for comOleting this form on baek of yellow copy. p '-X'" 8elow Work Covered by This Reqtrest ?({ ? Id Pep. Type of 8wldmg Apphences Wirod Equipment Wiretl 1 ? ..- __......,, tlectnc Heatu.? Comineraat Bldy Fumace S'lo U load ? intlustnal 81Ag. I I Air Cond?tioner B Ik M Ik Ta k ? I I I I Farm I Ome. _oeii v n111.., io.,......? N iee SarvmeEntranceSize p Fae Fxpders/SUhteeAers n Fee C?rcwts 11 to 200 qm s 0 to 30 qm 5 0 to 30 Am s Above 200 qm ?s 37 to 100 qmps 31 to 100 q s Swimming Pool qbove 100Amps Above 100_A mps Transiormers IrrigaUOn E3oonis Partial-'Other F c ee S Remarks Flndl Iri$p2CtlOri TOTAL F,EE- ? r n [he?Elecbic? ? InSDectOf-h6re?y P?nal ^ erhty that the nbpve ??13peCf?On hd5 bean ° made. i voi 5tl h,?5-,_ gfr-) rK Y-a. " I/ 1 (j S Reqwre >'-- - IQHeatlY Now Q'Syill NoL(V InsPeol K `! ?7 -(S ?YL? ?No 1ur Wh¢n qeatlv ETIU....ed Elechical Convactm 1 herebY requesi mspx[ion ot aEOVe ? 4'^'^e' elec[rical work installed at: SVeet Address, eo or Route No. City ' ? ? )i ecLOn o. Towrtship Name or No. an9e No. Counly r Vv O c punt (PNI TI' Phonc No. , ?me N ? 9 '00 Po wer SuOUlfa Ad s rmon n Electnca C wvacta ICw?aury mel ? 0 2 Con:racmr's I.icense N inp Atldress ( ractor . 1 F neI Makinp I ns ilationl Au rizeE Sig.1ure (COnvacirn/ ner Ma4ing Ins allaGon) p? utirp, LB , c _ y7 MINNFSOTp g7pTE BOARD OF ELFCIRICITY ? THiS INSPECTION REUUEST WLLL qOT Griqgs-Midwar Bldp- - ppan N-191 UNLESSEPNOPEN I SPECTAION FEERS 1827 Universiry Ave.. St Peul. MN 5570! phone I61212974711 ENCLOSED. 5f ?/- C REQUEST FOR ELECTRICAL JNSPECTION ee-ooooi-oa ? ?f/ J ' See ctims for rompletiM this /orm m beck ol Yellow copv. O O! ?3 6 6-5 C J Be/ow Wark Covered by This Request HAA NeD- TypaotBuiWi?p APnliarrcesMireJ EQ UipmgntWired F'?? Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Oryer Electric H n eaU Comnercial Bldg. Furnace Silo Unloader Ird?stnal BIAg. Air Conditioner Bulk Milk Tenk Farm om?.? soe.,? y mo. ?sue??tyi t r $pecdv Othcr Other ompute lnspeciron Fee Below M Fae U ScrviceEtM1'ameSize O b Fee Fneders/Subfeedars M fee Grcuits / ' to? 0 to30qms , Oto30Am Above 200 qmps 37 ta 100 qmps 31 to 100 q Swimmirg Ppol Above 100_Amps Ahove 100 Am??S Transformers Ivigation Boortc _ Partial'Other Fee Re S{?ecial inspec[ion marks S TOTAL FFE ?j\ /,, ?IJ71h+? flouph-in ?? ? Dwe f ? I, the Electr?ce? '01 9 IOFpeetor, ?e.eby Final ? teHi1V thet the abpve ?'3& ;.??„on w= ?? i ?vdo. llda re0uest vaiE 1B maMS ham COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 ? a Vyas Foundation Onl New Construction Interior Im rovement • SlrucWral Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Malysis (1) " . CertificateofSurvey (1) • CivilPlans (2) • ProjectSpecs (1) • CodeAnalysis (1)" . LandsrapingPlans (2) • KeyPlan (1) . Project Specs (7) . Code Malysis (1) " • Master Exit Plan (1) . Spec. Insp. & Testing Schedule " • Certifcate of Survey (1) • Energy Calculalions (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) •` • Elec. Power & Lighting Form (1) not always" • Meter size must be established . Meter size must be established • Meter size must be esl2blished - if applicable • PrajeclSpecs (t) 1 • EnergyCalculalions (1) 1 • Electric Power & Lighting Form (1) L . Master Exit Plan (7) 1 1 • Emergenry Responsa Site Plan (1) d • SoilsReport (1) 1 • MGES SAC determination letter • MGES SAC determination letter • MC/ES SAC determination letter rall 651-602-1000 rall 651b02-1000 call 651-602-1000 Food 8 beverage or lodging facilities - submit plan to MN Department 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: 1,3 WORKTYPE: _ NEW w REMODEL CONSTRUCTION COST: l? ge;7-9- SITEADDRESS: I S?? mol_"2 1'e"" S, PI- / TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK To Nazne: PROPERTY OWNER Phone #: ( ;K3 ) 7 z5 ' ?t7 3 C City: State: /a?11 Zip: S,?j y?`xf Company: ? i?-ez Phone #: ( 6/? ) ?? ?% ? y 3 CONTRACTOR ?Q S ?j Sheet Address: ? ?? 6 ? 7? 7- City: ?IWJ5 State: ARCHITECT/ ENGINEER Company: Name: SUITE #: Last Street Address: City: Phone #: ( Registration #: _ State: Zip: Licensed plumber installing new sewerlwater service: Phone #: 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 Cily of Eagan Ordinances. Signature of Applicant: Updated 7/02 THOMAS LAKE HEIGHT5 2ND 75951 PERMIT DATE & TYPE LOT BL ADDRESS 10i86 a-Ptrx 010 Ol 1538/ CLEMSON DR 020 01 1538B/ 030 01 1540B/ 040 01 1540 siss 4-13LF;X 050 01 1542/ CLEMSON DR 060 01 150.2B/ 070 01 1544B/ 080 Ol 1544 3i85 4-PLEX 090 01 1546B CLEM50N DR 100 01 1548B/ 110 01 1548/ 120 O1 1546 ? ? aiss a-Pt,ex 130 01 1552/ CLEMSON DR 140 01 1552B/ 150 01 1554B/ 160 01 1554 5l85 4-13trx 170 01 1556/ CLEMSON DR 180 01 1556B/ 190 01 1558B! 200 01 1558 siss a-rLex 210 01 15621 CLEMSON DR 220 01 1560/ 230 Ol 1560B/ 240 01 1562 ioiss a-Ptex 250 01 1566/ CLEMSON DR 260 01 1564/ 270 01 1564B/ 280 01 15G6B APPROVED 3/85 PAGE 1 OF 5 31 ? . ? • }9t?? .? ? op ? J 30 (935,5) 'h 0? ? op SS? ? ?OO 1 izo I j ?? , ho q?\0 X ? q 3 J , h b'' z0 p?k r b 3 ? O a~ ?933.5) o ??33 QQ' pb Ay,\ ?O°M1 9,ye / o ? ? ?V ?93?.s) d^?° ? I ? , o ? O. ()') oN O O Denotes Iron Monument D Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 936. 5 F- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 937.0 I hereby certify Mat this is a true and correct representation of a survey of the boundaries of. Lots 9, 10, 11, and 12, Block 1, THOMAS LAKE HEIGHTS 21v'D 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 13th day of March 1985 i Paul A. Johnso Land Surv eyor, Minn. Reg. No. 10938 ?%` 40' CERTIFICATE OF SURVEY OOOK IwGE ?Q? COMBS-KNUTSO N ASSOCIATES, INC. ?w ???? ?y?fY1G?7 fTry ?c CDNSUIIIYG (61M[Ellf N LUO iUAVRDR{ 0 SITf PIAXM[RS FIIE N0. r!\if11L wwNEUOtu w MRCII?NSON,wIWFtOTA FD:ir 7430 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NO'fE: ALL CONTRAC?ORS MUST BE LICENSED ilITH TEIE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFZCATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: REsi'DEiJCG Valuation:gp Date: 3-il8s Site Address: J,f-S/&8 CLENise,J ?,??? Lot: Block _L Parcel # OFFICE USE OHLY Sect/Sub o..,?.. L.o?cErect Akffsys Remodel Repair Enlar¢e Ouner A/p._I ?t,loRizc,? A/,"es_ 2.>? Move Demolish Address p0 $ox 13&7 Grade ? City/zip Coae ------- Contractor APPROVALS Address City/Zip Code Phone 0 Arch,/Engr 9. (?'{t?seJoLd Address Phone 0 y3s- 752i( _ Occupancy _ Zoning ? _ Type of Const _ p of Stories _ Length _ Depth _ Sq Ft Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Parks APC Treatment P1 Variance rornL (TOWNHOUSE) _ CITY OF EAGAN N° 10009 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 454-8100 / U , / i/ J Y BUILDING PERMIT Receipt # S I Te M vad hr 1 OF 4 PLEX Est. Volue $58,000 pote N1ARCH 28 I q85 ' 1546B CLEMSON DR erect KI ocwpency Rl SiteAddrees Lot 9 Bixk 1 SeclSub THOM LK HTS 2ND Remodel ? 2oning PI] . Repeir ? Type of Const. 11 Parcel No. Enlarge ? No. Stories ff Neme NEW HORIZON HOMES INC Move D li h ? ? Length th D 44 27 I i Z , ? Address P.Q. SQ){ 1367 emo a Grade ? ep Sq. Ft. City MPLS Phone 420-390 0 ??steu ? I 1 9 I Name _ ?? Addresa f r.irv SAME Assessment Warer 8 Sew. Police Fire Erp. Plonner Council BIdg.Off. 3 Z3 $5 APC var. Date Permit 307.00 Surchorpe 29 • 00 li Plan Review 153.50 ?I SAC 525 _ 00 Water Conn. 900 00 Woter Meter _63w 0 0 Rood Unit 7R(1 QQ T.P. 132_00 j Total $1 _989-S0 ?w Name D. GRISWOLD ?W itq Address ,W city Phone 435-7524 1 hereby acknowfedgs tMt I have read this aDVlicohon and stote thot fha {nlormofion is correcf and ogree fo comply with oll opplicable State of Minnesoto Statu nd City of Eaon Ordinances. 'i Sipnature of Pertnittee A Buudiny Pe.mir is lssued ro: NEW HORIZON S ? oll work zhalt 6e done in occordunce wilh oll oppti Stat Buildirp Officiol ? m fM axpreu caditlon Ihat Statutes ond City of Eopan Ordinances. >._ . r! F 1985 BUILDING PERlIIT APPLICATION - CITY OF EAGAN AOTE: ALL COlil'RACTORS MUST BE LICENSED ufITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS , 3 CERTIFICATES OF SURVEY t SET OF ENERGY CALCULATIONS To Be Used For: ?pF3.ot?cL Valuation: ,s7oyV,oo Date: g.jpg,s? Site Address: Jsy(o @/r.nseJ aA?ug- OFFICE USE ONLY Lot: / s- Block _L Sect/Sub o,.,.. L,okcErect _ Occupancy Parcel 0 A'e 11 s*-S Remodel Zoning - ' Repair _ Type of Const Enlarge 0 of Stories Oianer Ne.?) //oRizo.? {/o,?,rs Sva. Move _ Length Demolish Depth Address Pp. 8ox 131,7 Grade _ Sq Ft ? City/Zip Code Zne.1s --------------------------------- Contractor APPROVALS Address City/Zip Code Phone 0 Arch./Engr V. GrcrLWoLd Address Phone 0 y3s- 752y Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Parks APC Treatment P1 Var3ance TOrAL (TOWNHOUSE) . a CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 . 1 _? „ .. .t N! 10012 I . PHONE: 4548100 BUILDING PERMIT Recelot # Te be ""a fm 1 OF 4 PLEX Ert. Volue $58,000 pam MARCH 28 1985 siteaddrm 1546 CLEMSON DR Erect 50 Ocnipancy Rl Lot 12 elock 1 THOM LK HTS S,,/Sub 2NDAemodel ? Zonin9 vn . Rapair ? Type of Cons[. ? Percal No . Enlarge ? No. Stories r Name NEW HORIZON HOMES INC Move ? ? L.enqtn h 44 Demolish Dept 27 Z Address P.O. BOX 1367 Grade ? Sq. ft. ? Citv MPLS phone 420-3900 Instan ? SAMF. Approvab Faas p NamE 6? Addn City Phone ?rcl D. GRISWOLD Neme ?W x? Address ?W city Pnone 435-7524 I hereby acknowfedge tFwt 1 hove reod this applicotion and state thut tha intormation is torrect and ogrre to comply with all applicoble Sfote of Minrwmta Stofuteflqnd Ciry 9f?Eaga2 Ordinonces. Assessment Woter 8 Sew. Police Fire Enp. Plonner Cowxil Bld9. Off. 3/23/$ 5 APC var. oate Permit $ 307.00 5urchorge 29-00 Plan Review153.50 sAC 525.00 Woter Conn. 500.00 WoterMeter 63.00 Raad Unit -280 r 00 T.P. 132_00 Taai $1,989_50 Slpnoture of PermiMee ` I w 8uilding Permit is luued to: NEW HORIZON HOM INC on fhe axpress eonditbn Ihot all work sholl be done in occordonea wilh pplicoble St innewfa-StOtutes ond City of Euqan Ordiwncas. Bulldirq Offtcial 0 1985 HUILDIHG PERlIIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTR6CTORS l1USi BE LICENSID UITH TNE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used Por: RES.ec?c? Valuation: grgooo.O° Date: Site Address: ?yg C/e.nao.? Ipvt OFFICE USE ONLY Lot: -IL_ Block _L Sect/Sub 77A.., EcErect _ Occupancy ??)S*3 Remodel Zoning Parcel # Repair _ Type of Const Enlarge 9 of Stories Owner /?/p .? ?51o,¢?zo,? //o.o,rs 5,??. Move _ Length Demolish Depth Address _Pp, Box _1;31o7 Grade _ Sq Ft > City/Zip Code --------------------------------- Contractor s L. APPROVALS Address City/Zip Code Phone # Arch./Engr fl, Gftlte,JoLd Address Phone $ y3.7-- 752y, Assessments Permit Water/SeWer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Parks APC Treatment P1 Variance TOTAL (TOWNHOUSE) I . ? CITY OF EAGAN N! 10011 r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55727 PHONE: 454-8100 BUILDING PERMIT eeceiot # To M wed hr 1 OF 4 PLEX Est. Value $58.000 pme MARCH 28. 1 985 SiteAtldress 154$ CLEMSON DR Erect gl Occupency Rl Lot 11 Block 1 sedsub. THOM LK HTS 2ND Remodel ? 2oninq pp Parcel No. Repeir ? 7ype of Const. V Enlarge ? No, Storiec ? Name NEW HORIZON HOMES INC H1ove ? langth 44 I . O. X Demolish ? Depth 2 7 ? A?rmg ? ciey LS Pnooe Grada 420-3900 ? Sq. F[. Install , g Name S?E_ ApO?'ols Faes Z u?u f Phona D. Name D• GRISWOLD iy Addras ' 1 3 City Phone 435-7524 1 hereby ockrwwledge rhat I hove read this applicafion ond sfote ffwt tha inlormation is carrect and cgree fo comply with nll apPlica6le Stote of Minnesoto Stotuteaeaad Citv oLEaoon O.dioances. Assessment Water 8 Sew. Police Fire F?lonner Council Bldg. Off. -1 /2 3/19 S APC Var. Date vermir $ 3 00 Surchorqe 29.00 Plan Review 15 3_ 5 0 SAC 525.00 Wohr Conn, 500.00 Warer Meter 63?00 Rood Unir 290. 00 T.p 132.00 Total S1.989.SO Sipnofure of Pemittee ???!? 2?C1.? I A Building Permit Is iszued ro: NEW HORIZON 6? ES INC ? the a?? ????? ehat oll work sholi be done in ocwrdonce with all c?ppylibla Srote in soto Statutes and Ciry of EcOOn Ordirpncef. Buildirq Ofliclal •? ' ? ?? / ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CON?RACTORS NUST BE LICENSED ifITH YHE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For; g&SiDEwCG Valuation: S7 moo.mo Date: 3-l8-Pf Site Address: I,SyQ g C.le.nse„i lpQluL OFFICE USE ONLY Lot: /o Block Sect/Sub kt-Erect _ Occupancy 11 sr3 Remodel Zoning Parcel p Repair _ Type of Const Enlarge $ of Stories Owner Move _ Length Demolish Depth Address Box _/3L7 Grade _ Sq Ft ? City/Zip Code ??p?r. /l7..i.r. SSy(1f) ' ---------- --------------------- Contractor r?` APPROVALS Address Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Sldg Off Parks APC Treatment P1 Variance 20?AL City/Zip Code Phone 4 Arch./Engr p. G RisugoL d Address Phone 0 413S- 7r2y ( TOWNf30USE ) (V° 10 01 a CITY OF EAGAN 3830 Pilot Krrob Road, P.O. Box 21•198, Eagan, MN 55121 BUILDINd PERMIT PHONE: 454-8100 Recelpt # Te M wed fe, 1 OF 4 PLEX Est Value $58, 000 MARCH 28 1548B CLEMSON DR ?Ofe ?q 85 SiteAddreu Erect Ex opuLot 10 aancy Rl elock 1 Sec/Sub. THOM LK HTS 2NCflemodel ? Zoninq PD Parcel No. Repair ? Type of Const. V EnlarBe ? No. Stories W Neme NEW HORIZON HOMES INC Move ? Length 44 z .Add.ess P• O• BOX 13 6 7 oemolish ? oeptn 2 7 City MPLS phone 420-3900 Grade ? Sq, Ft. Install ? Faes ?t Nama SAME Approrob ? Addreas ? Citv Name D. GRISWOLD Address city Phone 435-7524 1 herebv ackrowledge tFat I have read this opplication ond state thot Hha inlormotion is correcf and ogree lo comply with all appliceble Srote of Minnesoto Sroruteenee rln. „r c..,..._ .,_.:___ Sipnofuro of Permittee A Building Cermir is iuued to: NEW HO IZON HOr all work shall be done in ocmrdonce with all applimbla State 8ufldirp pfficiol Assessment Woflr $ SeW. Police Fire Enp. Plonne. Councll Bldg. Off. 3/2$/85 APC Var. Date e Permit +:? -iU7• 00 Surchorpe 29.00 Plan Review 153.50 SAC 525.00 WorerConn, 500.00 i Woter Meter 63z0 0 Rood Unit 280-00 T.P. 132. 00 1 Total 51.989 50 o^ fha expreas condition Ihoi Statures ond Ciy of Eoyan Ordirancet. ?,N??a t??? zati ?.q ??? ?"?,?:b? /? 1 tGhL Ta r.? ' ' ''?' ????`?:, ' Hear Loss caLcuLanotus ' HEATINGB AIR CONDITIONING gtS 2c; , -? s CO. MINNEAPOUS. MINN. Weatherstrip6 A.S.H.V.E. CanaVUetionNO:'' ' Insulation ?--' Wndows Doors Guide Reference Out. Wall Int. Well ?ili^B -'f ? Floor pP ed Kird HowA li Yes-NO Yes-No Iy; .. , -- Fl.L_%Vju(, RRoom Length ZZ Width 12- HeigM ? FI. (AM-I ?Noom Length "Y0 -W+dN+ "'. Haiyht Q ? YJi ndows a nd Doors- Cracka ge and Ar ea Windaws a nd Ooors- Cracka ge and Are a Na WrA,h ol ana Neipht ol ane Na, ol li Ms Lineel h. of rac Aroa a. It. ' . NO• ?y?? o ?yf ane He.pM of ane Nn. of li hta L??eel 1i. ol creck Area s4? ft. 1 ?i 2 2 A ? l 2 21 1 ? l ? ? 1 R 9 ,t ?_ ! b 1 1 O Coef Btu Coef Bcu IntilUation ?3 Infiltretion 1'? 11 Giass 2q Gleae Exp. wall 3.1 X 0 Z Exp. wall lO x Net exp. wall 11 q, 1 31 Net exp, well ?? ? `?• _!__ -+nT""Watt O0ti"' 1 117 22,2 Int. well - - ceuine ;L2-A 12 2b ceuine Floor ' Floor taal etu. Total Btu. Required sq. ft. E.D.R. Or Sq. ins. W.A. Leeder aree ' p9quired eq. tt. E.D.R. Or 8q, in6. W.A. Leader area FI. , iN1? ? Haam Length ? Width Heipht Fl. `C 2+11!(jjQ,am Length I 5 Width t i; H Wi nciows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea No. V/?d?„ ol ne Ha?Oht af ane No. Of li ghla LinBal it. of cr c Area +G. fi. N?• WiMh o f en Hxiqhl of nntl No. ul l,ani8 LinBai IL rBCk o f c 4refl eq. il. O g Hr?p ? ] i. ^ p <O 2 l ? ' 4 1-1 coar stu coorj- otu Intiltration 2240 IntiltroLOn Glass S? Ob(? GI88fi Exp. wAll aG ? So ' ExP. wall r. ^Net exp. wall 1 N91 exP. Well Int. wall Int. wAll Ceiling f J?C? ? ( ..$ Ceilinp Floor Floor t ^ ? iotal stu. s iotal Btu. Requued sq. it. E.D.R. or sq. ins. W.A. Leader area R9qwred Sq. N. E.D.R. or sq. ins. W.A. Leader area Room length 1'2 Width HBight ? fl. Room Leng[h ?( Width ^i Heigtit YJindows and Doors-Crackage and Area W indows a nd Daors -Crack age,and Ar ea NO' WlmM1 ol ane Helpnt of nne No, uf li his LinBal le of rack 4•ea sa. IL Wm?n N_ ?plit uf pnu No. nl h h?s L.neaL 11. ol rack /.,ea 9. It• / i Coef Btu Coef l 8tu ' In4ltreuon Inlilbation ' . Glass Glass Exp. wall - Ezp. wnll ?-, -_- Net exP. wall Nat exp. wall ---- Int. wall Int. well _ ---- 1?3?, Ceiling ? Q Ceilin 9 ---- ' Floor Flcwr •j ' ? _ . ._,? Total BW. Totel Btu. Raquired sq. IL E.D.R. or sq. ins. W.A. Leader area ? O Requfrod 6q. It. E.D.R. or sQ• ins. W.A. Leader area , ' _;R•?r"`°??,.?t?7?+.f ? t':?,' ? . /Ii?.f,??/w?'?'? . ' . ., ?`ca ..cis+jw?w 'HCnr Loss cnLcuL,aTiorrs HEATINGB AIR CONDITIONIN(3 CO. MINNEAPOII :. A111dtJ, Weatherstnp3 A.S.H.V.E. Construction NO.'i ? " Insulatron Winduws poors Guide Peference Out. Wall IM. Well Ceillnp ° tbof Floor Kind Now Applied - ------ Yes-tdo Yes-No 19__ Room Length 1Q Width Heipht ° FL Noom Langth Width _Heighl ----- - Wi nduws a nd Doors- Cracka ge and Are a Wi ndows a nd Ooors- Cracka ge and Are a Nu. ritron o? ana Me,pht of ane No. ol b h?s Lfmeel kI6 o cra Area s4. ??• No' W?0?? ol en HoiyM o? pene Nn. of b hta L?nael O. ol crack Area sa. ??• a 2. 2 2o Ib _ ---- - Coef Btu Coet f)v, ?nliltretion ?Q ?(?Q Infiltretion _ _ Ci I ass G 1a56 F.ap. wall ? 'fxp. Well Net exp. wall 2 Nel exp. wsll Int, wall Int. Well Ceiling CBiling Floor 10 JC UT Floar Toiai eiu. raai eeu. Repuired 6q. ft. E.D.R. w sq. ins. W.A. Leeder aree Requirad aq. ft. E.D.H. or eq, ins. W.A. Leader area Roan lenqth 1 Width Height FI. Room Length Width Heiyht ^ Windows and Doors-Crackaqe and Area Wi ndows a nd Doors- Cracka ge and Ar ea No. W?tl?h of ane He?pht of ene No. o/ h hta Lineal It. of cr ck Aren cq. f1. No' WeAth al ene Nx.pht ol antl No. of li Me L??eal It. of <t Ck A?ea sQ. ??. r .2 Coef Btu Coef 6tu _. Inrlnati«, ? 11"7 2223 Infntrabw, -- Glass ' ' QO Glass ' --_---. Exp, wall EXp. well NBt exp. II X92 Net exp. wall ?u r z 170 22 lnt. Wall Ceiling ' Ceilinp _ Floor )..x 1 4Z j Floor . TotelBtu. `TotalBtu. Paquired sq, it. E.D.R. or sq. ins. W.A. Leader ereu ' psquired sa. It. E.D.R. or sq. ins. W.A. Leeder area F1.? .-,?. pf Leng[h l Wid[h Height ' FI. Room Lengtb Width Height _ Windows a nd Doas-Crackage and Area Windows a nd Doors -Cracka ge and Ar ea No. Wd?n ol ? ane Me?qbt of ane No. of li hu lmeal A. ol crec Area cq. N. .. . No. ul ene m?qbt ul ?nn No. nl I. hts L?neal h. af crack Area s4. ft• Coef l Btu Coet Btu Intiltrat?on Infiltratipn Glass Glase Exp. v.?all i Exp. well Net exp. wall 2. ? Net axp. well Int. wal! Int. well Ceil?ny Ceiling lotal Otu. ' Totel Btu. RpquiiecJ sq. ft. E.O.R. or sq. ins. W.A. Leader area ' Requir6d aq. It. E.D.R. or sq. ins. W.A. Leader area ._ , CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuILDzNG Permit Number: 0 2 9 8 4 3 Date Issued: 0 4/ 2 8/ 9 7 SITE ADDRESS: 1546 CLEM50N DR LOT: 12 BLOCK: 1 THOMflS LAKE HEIGHTS 2N[7 P.S.N.: 10-75951-120-01 DESCRIPTION: aYiildin#}, Permit Type DEGK ??Iu31ding bb?rk Type NEW Census G.ode " 434 ALT. RESIDENTIAL d. , - . .. . '?? i ? . , . . ? ?.. , , ?t / t ? 4 3 tf REMARKS: FEE SUMMARY: Base Fee $50.00 5urcharge $.50 Total Fee $50.50 CONTRACTOR: - applicant - OWNER: NELSON, KEITH 14206550 BIOMKER DENISE 18511 86TH PL N 1546 CLEMSON DR MdPLL= GROVE MN 55311 EAGAN MN 55122 ($12) 420--6550 L I h'srehy acknowl,edge th,at?I information is corre??t and StaCUCes and City bfEagaa''r'APPLICA /PERMITEE SIGNATUFE PERIi?IIT k?awe - reod °thzs',_;app.??.¢ati,an ansJ ?tate° that ayroe tQ cc?rnPYY w5.th, r?ll ,apgl icable State tlyd3nances. ' the 5 of Mq. ? ISSUED 8 EAIGNATUfi ?? ?1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) cin oF eacaN Sin.-s-0 3830 PILOT KNOB RD - 65122 681-4675 ? 3 registered site surveYa ? 2 eopies of plan ? 2 copies of plans (induda beam 8 window aaes; pourad fid. tlesign; eta) ? 2 stte surveys (exterior a00ftions 8 decks) ? 1 energy ralculations ? 1 energy caialetions for heeted addftlons ? 3 mpies of tree preservetion plan M lot platted aRer 711/93 requlred: _ Yes _ No ' DATE: "7 ` /S(-9 7 CONSTRUCTION COST: 07_' DESCRIPTION OF WORK: E QU lC- p ) v X!t) F,) STREETADDRESS: ? ? -? ? LOT I°Z BLOCK PROPERTY OWNER CONTRACTOR ARCHITECTI ENGINEER a c) Q IZ SUBD.lP.I.D. #: 04-4-? 4`k, vt?- Name: Phone #: u.. Street Address: City: State: Zip: s S/Z' Z Company: L--a A-1 Phone #: qZo (05?7> Street Address: License #: City: 19&/1- G/ccOVL State: ?N Zip Ss3 / I Company: Name: Phone #: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construcdon ony): . Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that 1 have read this application and sfate that the infortnation is co rect and agree to omply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY RECEIVED Ceriificates of Survey Received _ Yes _ No APR 1 1997 Tree Preservation Plan Received - Yes - No _ Not Required BY' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMI'T PERMITTYPE: BuzLozNG Permit Number: @ 2 6 9 5 6 10 / 0 2/ 9 6 Date Issued: 51TE ADDRESS: P.I.N.: 10-75951-120-01 1546 CLEM50N DR LOT: 12 BLOCK: 1 THOMAS LAKE HEIGHTS 2ND DESCRIPTION: DECK FTGS ONLY Bt-ildin'g,' Permit Type MISCELLANEOUS Building,?Wv,rk Type ALTERATION ?Ceneus Code434 ALT. RESIDENTIAL r , 7 / t `?' •y?f?4..:f?., ., p ??-..r f E - 7, r l•`,:?, ? '?_ ,..r? L -__ _ r -,'c, ?'»Sr ? . _ REMARKS: FEESUMMARY: vALuarioN $200 6ase Fee $21.00 Surcharge $.50 Total Fee $21.50 CONTRACTOR: - Applicant - ??J E J&C CONCRETE CO 18280877 9 Lb-?iKri DENISE 8904 MT CURVE RD 1546 CLEMSON OR BLOQMINGTON MN 55438 EAGAN MN (612) 828-0877 ? I hereby ackndw3edge thet'2?have'read tFiis applioation and sCate that the information is correot and ageee to comply wi,th'all appl3ceble StiaCe oP Mn. Statutes and City of Eagan Ordinances.- -• . ? APPLICANT/PERMITEE SIGNATURE ISSUE SIGNATURE ? , - CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RE5IDENTIAL) 681-4675 New Conatruction Reauiroments ? 3 regislered site surveye ? 2 copies ot plane (incJude beam 3 window sizes; poured ind. design; etc.) ? 1 energy calculations ? 3 copies of tree pmservation plan H lot platted afler 7/1193 requlred; _ Yes No Remode m oair R arir m nta ? 2 eopies o( plan ? 2 site surveys (exterior addRions 8 decks) ? 1 energy calculafions for heated additions DATE: I -D C' ( 4 CONSTRUCTION COST: DESCRIPTION OF WORK: a7 'S STREET ADDRESS: J ?•?? ??o ( CQ?'+'r/-?°- ?'v ?/ur.? LOT BLOCK SUBD./P.I.D. #: J 1i.C'l?&, jak A J' Lft PROPERTY Name: -M Plv j l-Plfli?i, Phone OWNER """ Z)- Street Address- City: State: Zip: CONTRACTOR Company: O/Y CJl?E r? (! C Phone #: Street Address: ZZ711 ?C?2-u.F ?Y r License #: *1"N? City: 1,9G`L'/Yl tB /? State: n 41 Zip: ARCHITECT! ENGiNEER Company: _ Name: Street Address: City: Sewer & water licensed plumber: change are requested once permit is issued. *P J ? _i Phone #: Registration #, State: Zip: Penaity applies when address change and Iot I hereby acknowledge that I have read this application and state that the infortnation is correct and ree to comply with all applicable State of Minnesota Statutes and Cfi/ of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY CeRificates of Survey Received _ Yes No Tree Preservation P1an Received _ Yes _ No PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: e u x Lo rn G Permit Number: 0 2 9 8 4 2 Date Issued: 0 4/ 2 8/ 9 7 SITE ADDRESS: 1546 CLEMSON DR UNIT B LOT: 9 BLOCK: 1 THOMAS LAKE HEiGhITS 2NCi P.I.N.: 10-75951-090-01 DESCRIPTION: ? P"uzkdin§_,Permit Type I.Building (43a_rk Type F? Censu s CQde J ?x ? .. . DECK NEW 434 ALT. RESSDENTIAL ? ?? ',_,rr??•?-'?t?,a'? r`?i._a`(-^ jf:;.._[ '_' ,-? _??.... °? ? REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge ?50 Total Fee $50.50 CONTRACTOR: - Applicant - OWNER: NELSON, KEI7H 14206550 EXLEY PATRICK 18511 86TH Pl N 1546 CLEMSON DR B hjAPLE GROVE MN 55311 EAGAN MN (612) 420-6550 X hereby aclcnowledqe that, I have rsad..this: a,pplioation aiTd state that the xab7e, $Cate •bfi Mn. infonmation 3s ear:nect aft , 6 agr-ee, to r'6rfiply'.49 th jiai•l aPp3.i $tatutes and City of Eagan Ordivtances. L ` APPLIC T/P MI E SIGNATURE ISSUED B IGNATURE? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN S OIS V 3830 PILOT KNOB RD - 55122 681.4675 New Construdion Reauirements BemodeURenafr ReauiremeMs ? 3 registered aRe surveys ? 2 eopies of plan • 2 copies of Dlans (InUude beam & window sizes; pnured fid. design; etc.) ? 2 site suneys (exterior edditions 8 decks) ? 1 energy calculations ? t energy qlwletions Por heated additlons ? 3 eoples of tree preservation plan tt lot platted eRer 717/93 . required: _ Yes _ No DATE: _- /t " GT -7 CONSTRUCTION COST: DESCRIPTION OF WORK Rt AU jc- D /aX 1 t, C),Lz /` STREETADDRESS: LOT ? BLOCK C J??mSd ? Z-7LA SUBD./P.I.D. #: ? ,,/?,? ? PROPERTY Name: _?_"r""? Phone #: owNeR -? u ma Street Address: City: State: Zip: CONTRACTOR Company: Ke 177-I /A?ZS0A-/ Phone #: 200 612-5 Street Address: Y67-r-r1' '- License #: City: Mf/?45- G/Zf-?E State:,127/?/ Zip: ARCHITECT/ Company: ENGINEER Phone #: Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address change and bt change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the iMortna6on is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: - '? OFFICE USE ONLY RECEIVED Certifiqtes of Survey Received _ Yes _ No APR 1 ffi W Tree Preservation Plan Received _ Yes _ No _ Not Required $ PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: B U I L D I N G Permit Number: 029841 Date Issued: 0 4/ 2 8/ 9 7 SITE ADDRESS: P.I.N.: 10-75951-090-01 1546 CLEMSON DR UNTT 6 LOT: 9 BLOCK: 1 THOMAS LAKE NEIGHTS 2NU DESCRIPTION: REMARKS: INCLUDES MULTI. (MISC.) REPAIR 434 AL7. RE5TOEN7TAL ^ f? _s \?\ S ? L MYf ..? 1 4 ,? ?li?.. ??? ?? ? 1? 1 ' ?'?i t e ^', j N ?a.:'7"T /?: i ./""rn {?? ',,:? r;,??? a?fb7S.?l?..?JS?! ?S ?... .. ,.n ..__ ,-. RE5IDING B-d"ifr`ih-§, Permiz Type ,6 uile3in- g rk Type r.'`Cerrsus `CQ r t s J ? i * \ .n al ? ' ?iusrx r - ' :-J 1546, 1548, 15488 CLEMSON DR L12 L11 L10 FEE SUMMARY: VALUA71'ON $15,080 Base Fee $224.75 Surcharge $7.50 Tote{1 Fee $232.25 CONTRACTOR: - Applicant - OWNER: NELSON, KEITH 14206550 OWNERS MULTIPLE 18511 86TN PL N 1546 CLEMSON OR B 144PLE GROVE MN 55311 EAGAN MN .(512) 420-6550 ' ? I hereby acknnwled{te CYrat S have read Chis ?application and sYAte that thff infinrmatian is cqrrset and, a_gree ta compl;y wiCh a].l ap.Rlicable StaCe oF h1n- _ Statutes ant! Ci„ty of Eagan flrdinancess ,. .^-- APPLICAN RMITEE SIGNATURE ISSUE BY: IGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)°??a ? a S p ? CITY OF EAGAN 3830 P I L O T K N O B R D - 55122 681-4675 New Construction ReouiremeMS RemodeVReneir Reauircmenfs f 3 regiatered site suneys ? 2 eopiea W plan ? 2 copfes of pWns (Indude baem 8 window saea; poutod fitl. design; etc.) ? 2 ake surveya (exterior adCitions 8 Eedcs) ? t energy celculations ? 1 energy calculations for heated eddkions ? 3 copies of Vee preaervetion plen H bt platted eRer 7J7/93 iaquired: _ Yes _ No DATE: c - Z l -q7 CONSTRUCTION COST. FESCRIPTION OF WORK iq e S I ar t? / V 6 V,1L ? Cr SU ? ? '- L,!'' t n is?8= L/o1Bi, STREETADDRESS: ? G" _ A J?_YI?I Sd'Aj JJ 6? 61 6= L e,4 , 2?vt.tQ LOT BLOCK SUBD.IP.I.D. #: PROPERTY OWNER CONTRACTOR Name: u., Phone #: Street Address: City: State: Zip: Company: f?e- 1t-1+ Phone#: Street Address: License #: City: ???? ??''LL State: Zip:S ARCHITECT/ Company: ENGINEER Phone #: Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowiedge that I have read this application and state that the information is cor?ct and agree to compl with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. / % ------ ? - Signature of Applicant: ?'-?-- ? OFFICE USE ONLY RECEIVED Cefificates of Survey Received _ Yes _ No ? Q7 Tree Preservation Plan Received _ Yes _ No _ Not Required B. PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.a 10-75951-180-01 PERMIT TYPE: Permit Number: ' Date Issued: 1548 CLEMSON DR UNT.T B LOT: 10 BLOCK: 1 THOMAS LAKE MEIGH7S 2ND JOHN CLEM50N DR MN DESCRIPTION: E{uildin2,,Permit Type ? r'Building `Wtt,rk l`ype CettSU5 'Co.ds , i ? ik DECK NEW 434 ALT. RESIDENTTAI Zi REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge .50 Total Fee $50.50 CONTRACTOR: NELSON, KEITH 18511 85TH PL N M'APLE GROVE MN (612) 420-6550 - Appiicant - 14206550 55311 OWNER: THOMPSON 1548 EAGAN ? I Mereby acknowledge that, I have read tihis informatinn is 'cori'ecC an? eqree"ta camply Statntes and°City of' agan O.rdf.nsn"ces.` • APP ANT/PERMITEE SIGNATURE BUILDING 029845 04/28/97 B applioatinn and state that the . iaith a'll appl3cable SCate aF Mn. ISSUED : IGNATURE . 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?? cirr oF E?cnN Cc? ???? 3830 PILOT KNOB RD - 65122 681-4675 New Construction ReauiremeMs ? 3 registered ske surveys ? 2 copies of plen ? 2 copies of pWna (Indutle beam 8 vWndow sizes; poured fid. design; etc.) ? 2 sKe surveys (exterior addRions 8 tledcs) ? 1 energy calwlations ? 1 snergy ealculations for heatetl atlddions ? 3 eopiea of tree preservatlon plan ff bt platted after 7N/93 iequired: _ Yss _ No ? DATE: 7 CONSTRUCTION COST: , DE$2RIPTION OF WORK: ??j?' 'S'TREETADDRESS: ?SYr4l a LOT )0 BLOCK ? SUBD./P.I.D. #: L PROPERTY Name: Phone #: OWNER ... .?.. Street Address: City: State: Zip: CONTRACTOR Company: ?L Phone #: `l zv b-Lfo Street Address: A,) License #: City: State: !Wlt/ Zip: 553 ARCHITECT! Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construction onty): . Penalty applies when address change and lot change are requested once permR is issued. 1 hereby acknowledge that I have read this application and state that the information is co ct and agree to c vply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No NPR 1997 Tree Preservation Plan Received - Yes _ No _ Not Required PERIVIIT ?CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: suzLrasNr Permit Number: 0 2 9 8 4 4 Date Issued: 0 4/2 8( 9 7 SITE ADDRESS: 1548 CIEMSON DR LOT: 11 BLOCK: 1 THOMAS LAKE HEIGHTS 2ND P.I.N.: 10-75951-110-01 DESCRIPTION: D?ta?ileli'n'g.,Pei'mit Type }Building,Work Type °'CensuS t bde ?z a` ? ° . ? DECK NEW 0.34 ALT, RESIDENTIAL 1 jF_.:1 REMARKS: FEE SUMMARY: 8ase Fee $50,00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - OWNER: NELSON, KEITH 14206550 EROMAN PETEft 18511 86TH PL N 1548 . CLEMSON DR ?IAPL[ GROVE MN 55311 EAGFIN MN ',(612) 420-6550 I hersby acknouledg-e tibaCrT have, read this app3.%rat3i',an.and. etpterthaZ Che infiormation is correct,and agree to comply w3th aI1 applicable BtaCi of Mn. Statutcs andi=CiCy df 54aga,o Ordin,ances. r L LICA 7P TE IGNATURE I U D ? BY: SSIGNATURE " . ? ? (?j , /; ?1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) j d y? CITY OF EAGAN ' f 8850 PILOT KNOB RD - 55122 681-4675 nstruetion Reouirements RemodeVReoair ? 3 rogistered afte surveys • 2 wpies of plan ? 2 eopies of plana (indude beem 8 window sizes; poured fid. deaign; ete.) ? 2 stte aurveys (extodor edd'uions 8 dedcs) ? t energy calculations ? 7 enargy ealalations for heated additions ? 3 copies of tree preservatlon plan B lot platted after 711/93 required: _ Yes No ' DATE: .,- ?? -,?, -/ CONSTRUCTION COST: DESCRIPTION OF WORK: ,YS Lg oG 1? ?G? X I v U STREET ADORESS: 1 1) / x cy ?e- /IFi LOT I I BLOCK ? SUBD./P.I.D. #: Name: -ZL Phone #: PROPERTY OWNER V CONTRACTOR w., Z A... Street Address: City: State: Zip: -SS l? 2' Company: /felt-1-4 A/7?1SbA-/ Phone#: y ZU "(D Street Address: 19S`?/ Ae7L /L ? License #: Ciry: State: /lOti Zip: SS3// ARCHITEC71 Company: ENGINEER Name: Phone #: Registration #: 5treet Address: City: State: Zip: Sewer 8 water licensed plumber (new construction ony): . Penalry applies when address change and lot change are requested once pertnit is issued. mply with all applicable I hereby acknowledge that I have read this application and sMate thet the iniortnation is co7ct and ag7-/ State of Minnesota Statutes and City of Eagan Ordinances. ??? Signa ture of Applicant: Z 2 OFFICE USE ONLY RME CEI?D Certificates of Survey Received _ Yes _ No AP 1997 Tree Preservation Plan Received Yes No Not Required - - - LBI ,_----- , ? 2/84 (( ? ??C? . , r CITY OF EAGAN APPLICATIOAI FOR PETZi'4IT SEWER AND/OR WATER CONNECTIOrT (PLEASE PfilNi) ' 1) PROPEY!^! ApDRESS: i ErAr. DESCRIPTTCv: (LO /B1 /Subdivisicn or Tax Parcel I.D. Ntur;7er) ? .]"r S_Ri:C.^ cE . Dr1T' O° CRIGI.Ai, ;UIL^I:`:G =:.= ISSUc?.NCE-: ea, PRESL^ ?.^.`7I:F;/?ROPOS7[) L'S: O r2-1 Sl^.:= cPmSLY . ? R-2 DLP?,::.: M%a GT'.ITS) -'3 'ICr.,lyuCricg (?'ITnW ?- L:IITS} [3 R 5) ? ? ,? ? IC-4 Ap: v T fF'.?/cm':Da,nN??l ? UilITj ) ? CCi%??SE.'2C?A:?/R..F'T'?;II,/OF'F'IC:: p ?'CL'ST2I.?S, ? L?'STI:LTIC\Ai../G."V??P.?ZE.\"T z) APpLIG±lr (PLEASE PRItii) LSAi-]E: .t? ? `-?tJ c-C-?1 aDOREss: aSC /3? crrY, sraTE, zrn; - 3) Pu.,sEpl (PLi.„SE PRINT) FOR CITY USE ONLY NA P?: PDDRESS: THON-PLUMB}MF s0„Ms. 12201 MINNETONI<A 6LVD. PIUNBERS IICEYSE: ` Active - CITY, STAT?1, ZIP: MINNETONKA, MINN. 55343 F ] Expired PHOVE; ? "?`° /763? 9 3 as,?? PLU,MBER LICE45E N 0 Not of Re ord atr nttia 4) CCC(J'PA:\J'I`/Cf'iT:Q2 IYLLq?L YHlill) ??.: ADDRESS: CITY, STi,'IE, ZIP: PEiO^7E: 5) INDZG,TE WElZCH PERIIlIT IS BEI\G RFF'OL7ESTGD; [2'CONNECPION 'IO CITY ?E*VIgt Ly' 6CNNmrION 'IO CITY WTATER ? CI"iEIER (PL,EASE DESCRIBE) oJ cz+c: 7) SICA'iL'RE: E3 PIyASE f?OID APPRC7VIID PER'VLIT FOR PICi:-U BY ONE OF 21B()VE ? PIEASE ?*AZL APPROVID P.?r:•LLT 'PJ 24 A£OVE /? :"„ (Circle one) DATE: T 0 -r - 'O --? MR o! nlalawfet?s! r a Er:aarl? at ?a wr?sa?s??a ar a rf ?ss:a:a a aa ???????.,? a? re ?s atssaa? r F 0 R PER'NSUE I T Y U S E O N L Y FrES: $ $ /D. -?? $ S $ SEi^iE.°. PER51rT (INC,L.:LL JTIP.C :aRCGJ WATEc2 PERP4IT (IIICL'JDE SliRCHARGn') WATER METER/COPPERHORN/OUTSIDv- READE2 WATER TAP (INCLUDE CORPORATION STOP) SE;vEQ TAP $- /.?" °?+' : C??'i::i'I' .,?:GSi: - .:_:. $ ACCOIINT DFPOSIT - FIATER $ WAC $ SP.C $ TRliNK SQATER ASSESSi?E.`dT $ TRli:1K SE[dER aSSE55DL.IT $ LATERAL BENEFIT/TRUNK SE?:ER $ LA'T'ERAL BENEFIT/TRUNK WATrR $ WATER TREATMENT PLARTT SURCHARGE $ OTHER: $ TOTAL $ 02° ??s ..:AMOL:QT PAID/gEC°IPT R -t%- ° 7 / -!t,- DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF S9AY? YES IF YES, THEN n"PERMIT FOR WORK WITHIAI PUBLIC ROADWAY" MUST BE ISSUED BY TY.E ?NO E[VGZNEERING DIV:SION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOL9ING CONDITIONS: APPROVED EY: TITLE: DATE: ?4?. ?i 2/84 CITY OF EAGAN (lltl APPLICFITION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE P NT . 1) PROPER'!'Y ApDRE55: & rFrar• DESCRIT''PICV: U ? (Lo /Block/Subdivision or Tax Parcel I.D. N?nber) I i E,.'`iIS:'=:G ST4L'CP^:2E . De\TE 0?' OR:G?,LAi, ci1ILD?:G ?.j:?s? ZSs";:-=: PDFCLT Z?.Jr;?P--npCSc'"rJ L'S: ? R-1 SD;GL: FPmSLY ? R-2 DUPL...?'Y ('IS:o T-TLN]ITS) Q R- :.-NHCL!SE ('I?LR-E- + L':]ITS) ( TTVITS) -a cr.;zTs) ? caMj=c,U/R=r,/oFFzCE ? IINDusTRL-T,r, ? INsrz=zc.Ar,/ccvEPa?M-r Z) FyppLIGyT: P EASE PRIVi) ? NPi•tE: ADD'RESS: CT_', ST::T°, ZZP: PxoiNE: ??- 3) P??mEll (PLE?SE PRINTJ FOR CITY USE 04LY NAi?: 7daMPRf?N PI ?rABIfl? ?? (Np ADDRESS: _ 12201 MINNETONI<A 6LVD. PLUJFBERS LICEYSE: ? ` L ? pctive CZTY, STATE, ZIP: ' ' 0 Expired PHOVE: 33- ?sai H??cn P Not of Record ? LUNBER IILEYSE q atr nttia 4) pCCr?PANT/CrvrlFt NkME IYLCAbG rHiritJ : ADDRESS: CITY, STAi'E, ZIP: :zfi?Q PIiONE: 5} INpIGtTE :VHIC'ri PERtiLiT IS SEING REQUESTL;D: n-'CONINECI'ION 'IO CITY Sa)ER n-?ONNEcfION 'IC) CITl' WATER ? OT[IER (PLI'115E DFSCRIBE) b) L':GiG;1: C.`r.: E] PL°.ASE F?OID APPRWEU PER.'NIT FOR PICi:-GP BY ONE OF AGCNE ? PLFASE ?%?SL APPROVm PE.°..?IIT TYJ 1, 2. 3. 4 A£OVE (Circ one) 7) SICZaTL'R: :??[stC-? DATE: ? MOR i! Ol:ili1l_?i!! !l.a?tl? f? t IY fii:a?# Y I?f s Y?'.saCi:a a!!!!1lyllES! ?!?! istY?a? r F O R C I T Y U S E O N L Y PE2*1IT °- ISSUED F°ES: $ $ $ S $ $ $ $ $ S $ $ $ S $ /???• o-? $ SEi^iEP. P°3?17T (I`.ICL::iZ SURC!i?RGE) WATE:2 PERP'lZT (IL,CL'JDE SliRCHARGc.) WATER METER/COPPERHORN/OUTSIDE REABER WATER TAP (INCLUDE CORPORATION STOP) SE;dER TAP ACCOUNT DEPOSIT - WAT°R WAC SPC TRCNK WATER ASSHS5M£:IT TRliLNK SESdER aSS:SSMENT LATERAL SE:IEFIT/TRUVK SE?• E4 LATERP,L BENEFIT/TRU:IK L9AT°R WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL AMOli:v'T PAID jREC°I?T 'n' G 7 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIG'riT OF WAY? ? YES ZF YES, THEN n"PER6IIT FOR '40RK WITHIN PUBLIC ROADWAY" MUST BE ISSiJ£D BY THE NO ENGINEERZNG DIVISION. LZST AS A CONDI- TION. SUEJECT TO THE FOLLOSJING CONDITIONS: APPROVED BY: C??J T I : LE : DAT°_: MR W•mEm w=sn mcw ocn st W*?mw ? -- ? Y` ? ? ° • ? CI Y EAG 2/84 T OF AN APPLICATZON FOR PE&'4IT SEWER AND/OR WATER CONNECTIODI (PLEASE PflINi) „ 1) PROPE7I^! ADDRFSS: r.FrAr Dr5C3I_=CV: (Lot ock/, ut,.clivision or Tax Parcel I. . N??r) I I'r' STRL'C.^.,^.'<E, DATE OF OiZTGi AL. EiiIIDL:G =.y,-il: ISSU?.NC:: PPESE.:: ::^:7Iir'/P?OPOS-? C'S'-': ? R-1 SINGL: FPYSLY ? R-2 DiJPi.?...°K (T.iO UNITS ) R-3 ZG[:?C{JSE (?7- = L'?IITS) ( W I"_'S) ? R-Y a??.?T+x-•;.r/cc:?.rrrtii ( u,;zTs) Q CCl11"EP'CI.AL,/RE.^.'AI:?OE'FI=- ? T?1'DL'ST:tIAL ? I:;STI?'C.TIO`lIAI./GM=.?,'T 2) APPLIG.?"P / lEasE PRlNi) tu?tE: ADD?2ESS: CTT'_', ST:,TE, ZIP: - PHO'L?E: ?Q - (PLEkSc PR1YT) 3) Fui1Er-R NAME FOR CITY USE ONLY - . PLII ERS LICE4SE: ADCRESS= 12201 MINNETONKA BLVD. Active CITY, STATE, ZIP: MINNETONKA, MINN. 55343 Q Expired a?ic PHOJ7E_ pLUMBEnR LICENSE N_ C] Not af Re ord ? drr nttid 4) Q"C[,PPSJT/CS•TIER ?YLLRJt rnini? N14ME: ADDRESS: CITY, STA'IE, ZIP: PFiONE : 5) INDIG,TE h'HZCH PENt4ZT BEI\G REK?UESTID: ?,t,? ?IO:7 TO CITY SEU7ER L7 CONNFCrIO:I I 'IO CZ71' SVATER ? dTIIER (PLPASE DFSCRIBE) 6) -UJDiG;.:: C::e.: • . ? PL?%SE f?OLD APPROVID pgi.v.IT FOR PIC?:-L'P BY O:JE OF AFOVE LI °LEASE "VUL APPROVID PMdST TJ 1, 2 3, 4 ASWE (Circl oney 7) SIC:A'iL'RE: DATE: ? MR "AaliR}?1r Ml=:gW;W! s'1t?.»Ri# ?If ? i ?is?:a i ?R f!!!?l1?l? ? ?! ?! ?CitYSaiY ? FOR C I T Y U S E ON;,Y PERMIT °- ISSUED co ....5: $ / C,?O SEi^iEP. PEBMrT (I`ICL[;DE SU°CS?RGE) ? e LO. -5; WATER PERb4IT (INCL'J?E SliRCHARGE) $ 1d.3• °-"? WATER METER/COPPERHORN/OUTSZDE READER S WATER TAP (INCLUDE CORPORATZON STOP) $ SE:dER TAP ACCOUNT D.F,POSIT - PIATER WAC $ SPC $ TRUNK WATER ASSESS.fE.?T $ TRli;IK SEWER ASSESSMENT $ Lr1TEP.AL BENEFIT/TRUNK SE:-:ER $ LATERt1L BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ S $ t OTHER: _ _ TOTAL APSOU::T PAID/RECEIPT DOES UTZLITY CONNECTZON REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY? YES ZF YES, THEN .y "PERMIT FOR WORK WITHIV ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGZNEERZNG DIVISIO[V. LIST AS A CONDZ- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BYi ? ?`J? TI . LE : DATE: ?-+?-- ? ? r =? . ? 2/84 CITY OF EAGAN ? APPLICATION FOR PE41?4IT I1111 SEWER AND/OR WATER CONNECTIODI 1) (PL SE PRIHT) PROPERTY ADDRESS: r.Frar• DESCRItiI'ICV: / Io /Bl Subdivisicn or Tax Parcel I.D. Nts;iSer) ? I" -XI57=:G S'?'4L'CP=,?E„ Dr1'Ia; 0F ORIGi L?1i, LiiII.DDNG P?:?ST ISS??\C.: FjpFSL+P --,,,•1I:;6=/pvOPOSr..'T? US: ? R-1 SZ;GL:. rPYSLY - ? R-2 DUPT?`..'`{ ('P,tio LTIITS) f E3!-3 iYxv?Ci?SE (Tf?: + L':1IT5) ?Pf? ' T 2'^S) W IZ-4 FiPcaZT _ ?`iT ?C i C S?CS'SS?IL?tI ? / U?lITJ) ? ? r ?? Q?QS'1n'.C;'?-1L/?1 cu++tal+-V?OFFI=- d - i(isTRI[-? ? M ? LNST=IO:IAL/GGVE.4:`2.IE;`'T Z) ApPLIC ?NI' (PLEASE PAINi) N?4?IE : ACD:2ESS: CITY, STAT:', ZIP: . PHOM: 3) pu,ffiER (PLEASE PRINI) NAME: TNOMPSCW ?LUflIBING CO., INC. FOR CITY USE ONLY ADDRESS: 12201 MINNETONI<A E3LVD. PLUyBERS LICEYSE: M4l{VNET9PFIN. MIAIN 55143 ? Active CITY, STATE, ZIP: 0 Expired Aaitr. PHONE: PLUMBER LICEYSE N Not of R cord ? ' aft nitta 4) OCC'[JPpNP/C!?i:Eit NPME: lrLcuae rntr11) ADDRESS: CITY, STATr-, ZIP: 5) IiVDIG'1TE :VHICH PE,RL _.h.,?iT IS BEINC REX?UESTID: ?, ,? /C1??'ECPION 'I17 CITY SE,Ti?7ER ? CONNf=IGN 'IO CZTY ATATII2 ? C!i'[Mft (PIFASE DPSCRIBE) 7) sicZazt,RE: ? PI.EASE E?OID APPP,WED PER',LIT FYJR PICI:- BY ONE OF 11BWE B r=+SE DT' .?ZL APP?2pVp PEP:IIT TJ 24 AFOVE (Circle one) nATE: ? ? ??_' MIR R A-w_iRJ6JO ? i F 0 R C I T Y U 5 E O N L Y PE?2-MIT °- ISSUED rr?S: $ 'S /A ?!P $ S S $ $ ? S S $ ' $ $ $ E'••n.. ;^o nr R--- ?4rT .C ._. L..,,°?_- or?• . (I_1 SU..?.q.r,RGE) WATER PERP1T_T (INCi,i;DE Si;RCHr12GE) WATER METER/COPPERHORN/OUTSIDv. READER WATER TAP (INCLUDE CORPORATION STOP) SE;dE4 T?P =CCGi;:??' ??GSI'= - ?c..=3 ACC.OliNT DEPOSIT - WATER wac SP.C TRliNK WATER ASSLSS.'1F:.'T TRliNK SEIvER ASS?SS??ENT LATEP.AL BE:IEFIT/TRU:IK SL:':.r.R LATERaL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOT?L- -• Ah10L':dT PAID/qECEIPT R ?S'a 7 /?- DOES UTILITY CONNECTION REQUIRE EXC.aV?.TION IN PUBLIC RIGiIT OF WAY? 7-7 YES IF YES, THEN n"PERMIT FOR :40RK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISIO[V. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TI':LE: DATE: msa? ? ? ? aoom"w ?c? w ?cw ?r+ w ? w +-? w? ?t+ wt? r?e ?? ?? ?ta rF ? sa ?? w? ?c? ? sr w ?. ?I ? SD za.,3 CITY USE O;VLY I t ' ' LOT I O BL 1 PERMIT#: y? g? t SUBD. i k0YVl0.p LG J. RECEIPT RECEIPT DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IINOB RD EAGAN MIIt 55122 651-681-4675 Date: Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or wndo under construction and not ownedoccupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BN 6.00 • Gas outlets (minimum of one required (a3 $3.00 ea) State Surcharge .50 Total $ Complete this section onlv if you are remodeline, addin¢ to, or reairin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repa'v. New Alteration _ ? Fumace'4._yvn? ,(l NbGL? ? f} -D'71J _ Air exchanger Reminder: Call for inspections SITE ADDRESS: O WNER NAME: INSTALLER-NAME: STREET ADDRESS: Repair _ Other _ Air conditioning Other gee $ 30.00 $iste SiitGa'7'nigc .SQ Total $ 30.50 ^_DaWK 4EkTlWJL coNamewNG PI-IONE #: (O? / - n ( CODE) Q?l?7?dd PHONE #: ?"sa - : CITY: _ STA1'E: _1 ZIPa(I' \ ir ' -rn.liiP ° ----Ildreitspos..?"-- 'A 1 : 4 Ar00,311110 .01■MPF A, I 1 41 - .... i lt- - 0 1,1 Alli.V, _ - " — -.4.06‘. , " .Al ' - -dah■low-_,,figHA 1 i / 6 , 1 \ ) II ( I ...„,F .. 1 7' 1 1 k 1 / • --, - --. 1 -4-_,--- t 4 3u■rb 4c3p ‹.- . G u 1 d,..afe2._ Use BLUE or BLACK Ink - For Office Uset j Permit # VJ a c6 7_~ 1 C14 of Eapo I Permit Fee: 11 0____ 1 3830 Pilot Knob Road 1 1, ; Eagan MN 55122 I Date Received: Phone: (651) 675-5675 1 i~ Fax: (651) 675-5694 I Staff. 1 2013 RESIDENTIAL BUILDING PERMIT A PPLICATION p~°q 17~ 1d Date: - 13 - Site Address: 15y b iV.63 CiO4~ -C ~ Unit`lf:•i kws Resideinf Name: __4t, r Zn_ r I(, _74 tin c*mAe_S___ Phone: 721- .,£'t'G d - Owner Address / City / Zip: Applicant is: Owner Contractor Description of work: Rfr o~--- _ Type of Work Construction Cost: l 51_ •-~D Muni-Family Building: (Yes. _ ! Na Company:g Contact: eA_-- Co[1#tdCtQt Address:Q !"I t/EYlA/'1~_- _ City: 1Y~/t°__QTP~71r•.3 State: ! )2AL_ Zip: 5-5-OYO (a Phone: (+Z ,2 2- 5,5d6 License#:St- 194062- Lead Certificate 2,F? -1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes _-No if yes, date and address of master plan: Licensed Plumber: - Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone. NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of, the'Itlformation may be classed as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali 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.,QwtgMtateonecail:ora 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. _ L r x_! t ZtP_ i4 r) cap Ch _ --u- x Applicant's Printed Name --ter- Applica s Signature Page 1 of 3 Use BLUE or BLACK Ink �-----------------, � For Office Use I �1� Qf�� �� f ��� s � � � Permit#: � � I I 3830 Pilot Knob Road � Permit Fee: � Eagan MN 55122 I � Phone:(651)675-5675 � Date Received: � Fax:(651)675-5694 � I � Staff: � ������_����������J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: /z"Z��Z01� SiteAddress: ��7v (,�-��'�`/S'dJ'' �r>vC �a�l�'/ �� J�.�/Z� Tenant: Suite#: �m,�,�, .,,m,y.�.. ..,��, €.�,�,,�,� � n �, - s Resident/Owner � Name: �1�71,� 1��,a�i�'��-.,�, ,__�h ,.,.,_� -_M��W�r �._� Pno►,e: �S/-226�-�`6'� � Address/City!Zip: /S7 � ��1�+ ��" ��Q�N �� ��� Z � �.,,�,� .,��.� k��..�.�. ���� ' A�, _ �.�,.....�_--.�._ , /e .� � Name: � i ��l /�� License#: ' Address: �� � r� �� City: ��G /<�'�t § Contractor ; p� � ; State: � Zi J IF1dr`/� Phone: sZ v l-�"` 2�-7G , � p� ' Contact J /� ��k'•��G Email:l-�-��,C�} ����C ryJ,���i'[�%o'" ,�.,,.,m ,�„���...., a.o _e,a,� .�,.,,.:r � �,..�.�,.,,,,,m�., <,,,.,�, �x,.� � �,,�»,��,,o��..�,,,��,� ,�.�....; � _New � Replacement _Additional Alteration Demolition Type of Work � Description of work: ��/�s�<G ��u � � �NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City � $ Code. Please contact the Mechanical inspector for information on permitted screemng methods. % � x.�.,� ��.��,�.�,. �,,,� � �:�, � ,��� � � .��,�,,,�,�_„�� � � � RES/DENTIAL ' � � COMMERC/AL � �Furnace = New Construction _Interior Improvement a P@1'1111t Typ@ � —Air Conditioner ` _Install Piping _Processed Air Exchanger F Gas Exterior HVAC Unit € — � _Heat Pump � Under/Above ground Tank �Install/_Remove) � � Other � — ,,�.�»_ v�, � ..�,.�,�.„. ,,,.,,,,,, .,,wW.,.�_,_...-..r�.�,�����„��,_„ ,�.,,u,>,,��.� _. ..::._ .,:w,,.�.,,,�w�,,,�.,,,.� ; RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge � 1 $100 00 Residential New, includes State Surcharge =$ TOTAL FEE � ��Kw�:.�, .,.M.n.�.,,� w.v..�,. �.�,,,..�„�,.,:,.�., � �.,��„��,, ,,,,�,�,� .��m��,�.k��,�,,�< �. >„�,.��,.�� ! COMMERCIAL FEES Contract Value$ x.01 � i' $60.00 Permit Fee Minimum ' $70.00 Underground tank installation/removat =$ Permit Fee _$ Surcharge � � Surcharge=Contract Value x$0.0005 i` If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE ,.,,,..,, ...�.,,�.�,,ra,,.�,.,��,..,�., .., ,,�.,., ,,�,,..,��,�,,, ,,,��� � I hereby acknowledge that this infortnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. �� � ____ x �f� ��', ApplicanYs Printe Name ApplicanYs Signature FOR 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 � . .t City of n S I Permit ���� Y (�f�� �ll Permit Fee: ` 4a?•6" 3830 Pilot Knob Road I r Eagan MN 55122 Date Received: 7-4,24.-/7 Phone: (651)675-5675 buildinginspections(a.citvofeagan.com Staff: I 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SiteAddress: tip' 'Jr Unit#: Name: 4',4,77fr/?' Phone:{ /'7 24)Z- 7/ Resident/ / owner Address/City/Zip: 8,% .lts✓azCd!/ 1e,..6 /'l �i���i✓ ✓✓ S�/Z� Applicant is: Owner Contractor '` I Type of Work Description of work: ' ..407. 0' /'f,%J64 �?"1/;;'l f Construction Cost' �G'�� • J Multi-Family Building:(Yes /No ) Company: /%'�®.® 4.r4t J «e. Contact:G .d'.4 /7 rf.✓d4?e-40 Contractor Address: /J, ' fc`ir/.e✓f7�A' -1,c AZ City: ,4e/lrc-"d'& Stater/7A/ Zip: 5—.S773 Phone: 6 2'7/Jf/.17Email: C/AOr,/67ele-le E ' License#: 7/7Z6)40 Lead Certificate#: If the project is exempt from lead certification, please explain why: emss', 17/4' iS4//e44'/ v.,." /5 Xi,/ tee,, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING „iri'th last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? o If yes,date and address of master plan: Licensed Plu er: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x e7,9494 S /�'G� 1Afed✓iC 7 Applicant's Printed Name Applicant's Signature Page 1 of 3 I54(e CleiMs D( DO NOT WRITE BELOW THIS LINE /7?On 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 x 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 ) ,, aluationOccupancyMCES System Plan Review Code Edition i 15/ SAC Units (25% 100%)c) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) X Final/No C.O. Required Foundation Foundation Before Backfill X HVAC Gas Service Test Gas Line Air Test Roof: Ice&Water Final Pool: _Footings _Air/Gas Tests _Final XFraming 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: 11/ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge 6 r 9'r 1.i;,-010 Plan Review MCES SAC Dir) City SAC 0 Utility Connection Charge ) a S&W Permit&Surcharge �,/ Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r For Office Use / Permit#: (4// j 7 * City of Eaall Permit Fee: l' 0 C 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 � 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:/c7//Z2//7 Site Address: /S'/, Tenant: Suite#: Resident/OWner Name: Phone: Address/City/Zip: Name: //// /" /e4 I' 1 / )1_3" License#: �GC�L�I� 7 Contractor Address:c2 //z /777 -/4/x'7 -7; City: ....f://.°17"7 6 �� State:.,./1/./1/.,./1/./1/ Zip: 5-S.-Z."5-S.-Z."7 9 Phone: ���-2 7S � -� Contact: 7--4e/Email: Email: //i,e//Gl //'! x 14-14( & r1e/%e6,/,•'I Type of Work —New —Replacement _Repair —Rebuild —Modify Space Work in R.O.W. Description of work: /'/. /r'c-/e/ 34E.,61---)--74 RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/—PVB) yPermit Type VAdd Plumbing Fixtures ( Main/ , � L�Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x /r'v Applicant's Printed Name Applicant's Si nature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-ln Air Test Gas Test ' Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160608 Date Issued:03/26/2020 Permit Category:ePermit Site Address: 1546 Clemson Dr Lot:12 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Andrew J Haugerud Bahl 1202 Overlook Ln Nw Preston MN 55965 (612) 236-8490 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature A For Office Use ,i. po,,,,,, .,.. # 7 'F'If;::.'-.L.,.-. ' .. . . , oycl 1 g 7512- e m ', • -, ,.);.. ':,_ ..):: , .,-. ,7:---2-3'.-- ---"- 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Datc,' 'Qiffii-44.4C Site Address: /6--lit Ct en! sou Die7ve . Unit#: .... _____.... / //•,(26-- /707,t.t50-71,44_ aeilft•-CiitAvit Phone Residepti Own .,r AcId:e,,-5 '-.‘A';, ' 71r - „... Type of Work ...,s. ,_„ c,r-: .,0,,. - 1E‘' 24:00 - Multi-Far-Ay Budding (Ye ( _ ' No _ , ._ ....... . - -- 1,0,-, Ayr (0,rene t,e c,r‹,rine VD_ /lame i rP,firitact /311,4 _j_idryr : . , //3-. 6-010: /9-Ye ' C•11%, /1-12,t e 1/.02-LeY Contractor r. in t.,r.:"-;- 470-V- --:- : G.57-:1V I. `416'; Emati [Oki.-te-)Altyr 4.114rieoeitost4,,,C..6 vs-A. License i.? 2-7‘i.'/ Z 1.-- Lead Certificate , ll,, , • - , nli.,i `,:-.-; lead certification. ,,0eS.-- 02)!3i' Why hir) ,Ade;t040! Alts41 117 ..t.hekri' _i - • COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEWBuILDING :„ the )...,y,i., ' months. has the City of Eagan issued a permit for a similar plan based on a master plan? rtti'.E; ard address c:'n'aste'pia Licenseo PhiniberPhone: -- — wirchop.;,,;,1: C ontractor: Phone: ivilt,,,, Contractoi- Phone: - — ._. .__ _ Fire 5uppre.i,s;01) Contractor _ _ Phone: . . . .. . . . . . NOTE:Plans and supporting documents that you submit are considered to be public information. PordOns of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade,awcT.g4..,. -•iics.iiho to t 0 e_eive all electronic notification from the City of proposed ordinances by signing up for an email update on thk, C.iv.f. .4:' ,- --.,L xtP,', ' YY._,',, ltithbfiZeb by a htidding permit issued tn accoraance ,...,tr,the Minnesota State Building Code must be completed WIthi'', 'BO ,.),,,, t.t, t1t -- It . 230,., it f....q.E., vULt Ulf, Y Gopher State One Ca,,t . 551,454-60u2 t ' ,,, <.•, t3t-Ist .;Itlerc.IrCh.1 :(i Jtt!tt\. damaue Can ',L,'',,t-- ' .. . ' . .. '-i.., '. ..7. :n .'f.. :. . : .• .:._. '-n. ' , n..... :...3 ..i COfop,.inne At',1-, he cr,ltntartt.es .0-t; ". ' -•:-' . ' - t , -er'''''-':. t,_," ' ' --' ,-!:‘1-''..,,-',- - ',-E--1' t',3rAi , -, ,..., .3tart volt uti' 0 T..err-IleL liol. the , AOC 14, r ___ . _ _ . / / , /iii it, / Ar4-1144.7. .it s Prnted N.4me Apolvcant's Signature f � 4a DO NOT WRITE BELOW THIS LINE /��� C�E/� n be /6c'7D 7 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi x 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 _ 7' Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation `A.07)000. (11:�;,,,,,,,.,) Occupancy 2-Rc- I MCES System Plan Review _ Code Edition Vo i c SAC Units (25%_100%_) Zoning P. City Water Census Code 1/M4/ Stories Booster Pump #of Units _ / Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction t--/3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) X Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood 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 ,, /l Other: Reviewed By: s• A%/So— , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3