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1552 Clemson DrPLuMBiNG CONTRACT PRICE ? ....,, ? Add c City ? Add ? cay Phone FEES COMM./IND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND.lFEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD,$.50 S/C PER EACH $1,000 OF PERMIT FEE) CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN For Office PERMIT # RECEIPT # ? DATE: ? Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FdLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 ' Shower - $3.00 Kitchen Sink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $3.00 ? Fioor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT) --ZSottener - $5.00 Well - $10.00 Private Disp. -$10.00 Rough Openings - $1.50 PERMIT FEE: ' I I STATES S/C: FOR: CITY QF EAGAN GRAND TOTAL: S. SU CITY OF EAGAN 38M Pilot Knob Road, P.O. Box 21-199, Ea9sn, MN 55121 100 712 PHONE: 4548100 7-7 -?p .3 BUILDING PERMIT To M wad h. ' . Lot Parcel No. ? Name Addms ' City Phone a? ? Nrns Addrmt Nam City I hereby xknowledge thot I how rood this oppi thw iniwmation is oorred and agrce to compl Stah of Mirxwsota Stotubs ond City, of Eoqa ^. 4 Sig/IOtNfi Of PffMIMN A Buildinq Oonnit is issud to: oll work sholl be dont in ocao?da+tt wlth oll oSuiidlnp Offlcial cnd stote that oll opplicoble Receipt ? Date 19 Erect ? Occupancy Remodel ? Zoning " Rspair ? Type of Const. , - Enlsrpe ? No. Storisa ? Move ? Lsngth t. y - Demolish ? Depth . - , Grede ? Sq. Ft. _ Install O Apmevak Fa? Assesunent Woter & Saw. Poliu Fin Er+0• PlonnK Council Bldg. Off. APC Var. Dats Permit " Surthotqe Plan Revisw S/1C " Water Conn. Wotsr Meter Rood Unit Total on fM expnns condifion fhW ond Gty of Foqon Ordinoncsa. ' Permit No• Pannk Holdw Dsb TeN hon* ? Plumbiny (J 31 H.VA.C. J Ebctric ? ? h 1 60 Sonw.. Inspsction Date Insp. Other Footings Foundstion Fnminp Rooflny Rouph PIbQ. Rouyh HVA Inwlation Final PIbQ. -1< Final HVAC ? Final 0 -rr r,?.t.. Dom;b. Lac.t;on: w.ll Sevwr Vr. Di?p. Reoeipt MECHANICAI PERMIT Permit No.,' CITY OF EAGAN Fee ° • ?;' Fill in numbered spaces S/C ' Type or Print legibty Tot. 1. Date 2. Installation Cost -?? 3. Job Address i k% Lot Blk. ` Tract t.14 -?T 4. Owner /::GGI! 5. Contractor 'f hone 6. Address 7. City State Zip 8. Building Type: Residential 0 Commercidl ? Institutional O 9. Work Description: New El Add O Alter O Repair ? 10. Describe Fuel Type '-%c 11. No. Equ' ment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. . ng: r 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 numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERRAIT Permit No. CITY OF EAGAN Fss Fi!l in numbered spaces S/C Type ar Prin[ legibly Tot. 1. Date 2. Installation Cost 3. Job Address ? y Lot ' Blk. Tract ?.4. Owner 5. Contractor ; i . Phone - 6. Address 7. City ' State Zip 8. Building Type: Residential El 9. Work Description: New O 10. Describe 11. Commercial ? Institutional ? Add 11 Alter ? Repair O No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Saftner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Orinking Ftn. Slop Sink - Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F inal 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 S5A 111014F1S I AKf PERMIT SUBTYPE: f,, 1 t' 0i? 1 i Nas UN RECURD PERMIT TYPE: Permit Number: Date Issued: tz1.iitnrmt 19.."1hHo NA /fi41 /41; P. i . n.: --lt.a--At i at ? tc, k?ncK: t; l i: MSUN UR ' ffEiUNt'; :'M[l ,.. . . ,;- , ,??? . xr r r?? 4 ZO...b1iG9 TYPE OF WORK: I I aAI i?Ui TV4 . . . .... . . ' . .. "" . . I - - - - - - - - ------- - - - - - - - - - - - - - - - - - - Permit No. Permit Fiolder Date Telephone N ELECTRIC PLUMBING HVAC Inepectlon Date Insp. Comments FOOTINGS FOUNO FRAMING ROOFING ROUGH PLUMBING 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 FTG NO p r4 lAtt,P, DECK FINAL r J- v ? ?j A R1a' 1006 - s9/0 Z? MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, m NafiW, ? Addre: c City _ ? Name ° c Address /' ' y p City Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cpnd. __- : v ,, .• M BTU Vent CFM Gas Piping Outlets # Other FEE S/C: TOTAL: PERMIT # RECEIPT # ?0 S 7 ? O MN 55121 DATE: ; aO?? ;BA.PG;TYPE a Res. y'` Mult Comm. Other WORK DESCRIPTION New Add-on x Repair " 1' FEES " RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLET5 - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE Sk1RCNARGE PER PERMIT r - .50 -- (ADD $.50 S/C IF PERMIT PRICE GOES' BEYOND $1,000.00) S"- II SIGNATURE OF PERMITTEE /z r" II FOR: CITY OF EAGAN ?• . r - CITY OF EAGAN 3830 Pilot Knob Rwd, P.O. Box 21-198, Eagan, MN 55121 , PHONE: 454-8100 -7 ? eU1LDING PER/vIIT ?_ ? ..._? 9- r _ . ' ?, ' i, i . 7; Sits Addrap - Lot E Pacel No. ._ ? Name _ Addreaa Cky _ Name _ ?? Addrea F Ciri _ Receipf # S58, 000 rk,., 1 i1". Erect ? ??:••,i , ? ? Remodaf ? Repair ? Enlsrye ? Move ? Osmolish ? . . , , ,. _. Grede ? Neme Addrsa CitV Phone 1 heroby xknowlsdpe that I haw reod this opplication ond stote that tht inlormotion is oorcect ond opree to comply with oll applicoble State of Minrnsoro Statutoi and Ciry of Eaqan O?dironces. Sipnoture of PermittN " /? Buildinq Penmit is issued fo: oll work sl+oll be dar in ocoordaxe with nll opplicable Stah of Mlt 9Wldkq Offteiol Ocapsncy ? Zoning Type of Const. No. Storia Length •; ? . Depth ] Sq. Ft. Assesament Water b Sew. Poliu Fiet Eng. P1onner Council Bldg. Off. + APC Vsr. Dste Permit Surchoro _ Plen Review_ SAC Wcter Conn. Water Mster Road Unit _ a . Totsl _ an fh? expeess conditlon Ihar Stotutes ond Gty of Eopon O?dinanus. 1 I I* ?,Off, Dm 1 insv 1 od• 1 ROWO Pft FMN MraiMr mll Reeeipt PLUMBING PERMIT a CITY OF EAGAN fill in numberod spaces Type or Prini legibly , 1. Date J?2. Installation Cost 3. Job Addr????MAIJC1X-Lot?4. Owner &?Iz ?Z' ? ? 5. Conuactor U Phone s. Address TNOMPSON PLUMSING C0. lNC. 7. City Tfale. :,.,.R..v 2ip - S. Building Type: Hesidential ? Commercial ? Institutional 13 ? 9. Wark Description: NewA Add ? Alter 0 Repair O I 10. Describe No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank / Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other ? Laundry Tray Floor Drains Drinking Fm. Slop Sink Gas Piping Outlets 12. I hereby ce ' that the above information is true and corratt, and I agree to comply wjth I o a d codes goveming this type of work. ?9n? : / for Rou Finsl Inspecti s: Date Insp. Date Insp. This is your permit when numberod and appraved. Approved CITY OF EAGAN 454-8100 Receipt ,? • -? ? (?30 MEEHANtCAL PERJIAIT CITY OP EAGAN 'r Permit No,) ? FiII in numbered spaces ?"? j? c J Type or Prini /egib/y 1. Date 2. Installation Cost 3. Job Address ? Lot /( /' B i k? 4. Owner State 5. Contractor u-? Phone 6. Address 7. City 8. Building Type: Residential .6 -1)1 e-),.'- k Tract? 1 Zip Commercial ? Institutional 1:1 9. Work Description: New ? Add ? Alter O Repair ? J 10. Describe •? ?;?_:Yp i. j':; f 1 r: <? ? Fuel Type 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. Othe Air Cond. r ?- Mfg. Gas, Piping Outlets 12. 1 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: Jo r p' Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8900 Fee - S/C - 7777- L Tot. (T OMN Fi (.) [1-? t: ; , CITY OF EAGAN _ ' . 3830 Pilot Knob Road, P.O. Box 21•199, Esgan, MN 55121 PHON E: 4548100 6UILDING 'ERMlT Re«+vt T• M w? iM 1?r Ii Est. Va1ue Dare -`?!''__ ?. 2 19 '2': ¦ -- - Site Addrea 1 5 5 2 ti C T., r-: M: Erect 11 Occupsmy s{ ? L rti `j;, Remodel ? Zoning Lot Block ?ISub. . Paresl No, Repair ? Type of Const. 11, Enlsrge ? No. Stories Move ? Lergth b 4 ? Name - , Dsmolish ? Depth ? :?? t: . Addrois Grade ? Sq. Ft. City Phone i) Install 0 Name Si•..uiF.. ? Addreu u CIri Phone Nwne Address ( hercby otknowletige thot I haw rcod this opplicction ond state that fhe Informotion is oorrect and ogrce to comply with all applicable Stah of Minnesoro Stotutes qnd City of Eayan Ordinoncss. Sipnohm of Permift" a \; . . . A Buildinp Pamif is inwd to: . .. ull vwrk sholl be dorw in acaordonce with all oppliaoble Stote Buildinp Officfol Assessment Woter a Sew. Police Fin En0• Plonner Councfl aidg. Off. 4/ 4,/ t; ti APC Var. Data Pem?it . Surcharge _ Plan Raview_ SAC Water Conn. 0 Woter Metar 6 Road Unit f . . ?.. Totel ' - ` on tM oxpmas condrtfon that Stotutes oM Ciry of Eoyon Ordinanus. Mrmit No. Pennit Holdw Doq Te1l hons # Piumbing H.VA.C. ?? ) 3 I J-C ebcc.ic V4 M. Y1.P-?r ? Softsmr Inapeetfon Date imsp. Othsr FootinR t(a Foundstion Framinq s? Rooting Rouqh Plby. Rouqh HVAC Inwlstion Final Plbp. Final HVAC / Final ? CMt/Ooe. water Deseribe Locstion: Well Saror Pr. Disp. Receipt ' PLUMBING PERMIT ' Permit No. CITY OF EAGAN , Fee ? ?.: Fill in numbered spaces S/C Type or Print legibly Tot. ' , L! 1. Date 2. Installation Cost --? ? ?ob A?fess ?ot I Blk. I I Tr3c?:l 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential Q-- Commercial ? Institutional ? 9. Work Description: New a' Add ? Alter 0 Repair ? I 10. Describe I 11. No. - Fixtures Water Closet No. - Fixtures Cess ol/Drainfield % Bath tubs po Se tic Ta k Lavatory p n Softner ? i Shower Well _L Kitchen Sink Urinal/Bidet Oth Laundry Tray er % Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: ., _ 'r ? Rough Final Inspections: Date Insp. 'Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Receipt MECHANtCAL PERBIIIT Permit No. - J J 1 CITY OP EAGAN . .{ Fee , Fill in numbered spaces S/C Type or Print legibly Tot. . U 44) 1. Date 2. Installation Cosj, 1 / % ? - ,L fC 3. Job Address Lot Bik. I Tract ? i 4. Owner 5. Contractor Phone 6. Address U 7. Clty State Zip 8. Building Type: Residential Fr' Commercial ? Institutional O 9. Work Description: New ? Add O Alier ? Repair ? 10. Describe'.:,:.ti. Fuel Type -:-?e 11. No. Eauj ment BTU - M. Ea. Forced Air ` No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Air Cond. Other 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 : i ' • % ?; for Rough " Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 PERMIT # v MECHANICAL PERMIT RECEIPT # CITY OF EACAN ??G :?--?` - , - DATE: 3830 PI LOT KN08 ROAD, EAGAN, MN 55122 COHTRACT PRICE ' i•,'.:; ? PHONE: 454-8100 For Office Use Only: _ Site Address ` BLDG. TYPE WORK DESCRIPTION Lot ?? i??? ub L ?fies. New - ? H " ' Mult Add-on f D Name A , S MN 55420 Comm. Repair ? ddress ?4Ld L91-900 pther ciH phone FEES ? Name •" %" ` -' RES. HVAC 0-100 M BTU -$24.00 ` c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 50 EA ' GAS OUTLETS (MIHIMUM - 1 PER PERMin - 1 TYPE OF WORK . . CQMM/IND FEE - 19b OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. FiATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PEFi PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMiT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other ?. FEE: S/C: R EE .. " `? TOTAL• F CITY OF EAGAN OR: ?/a9-? e?"l I?iAl V Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fae Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost ? 3. Job Address Lot . Blk. Tract ' ?T 3 4. Ownerr 5. Contractor Phone 6. Address 7. CitY State 2ip 8. Building Type: Residential O Commercial O Institutional O 9. Work Description: New ? Add ? Alter El Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures CesspOOl/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and 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 CtTY OF EAGAN 454$100 ? .?.,. ----f-?-- ? CITY OF EAGAN 1007 3830 Pilot Knob Road, P.O. Box 21•199, Eapn, MN 55121 PHONE: 454-8100 eU1LDINa PERMIT To M wmd fee ' Sib Address " Neme ? Address . ..:?. e?--- Receipt # $58,OG0 Erect LJ a . Remodel ? Repeir D Enlerge ? Move ? Demolish D Grade ? Name ?? Addreu u ? City Phone G°` W N.me ?? Addreq u <W City Phone I hereby ocknow lodyt that I haw reod this applicotion ond stats thot fht inlormotion is torrcct nnd o9ree ro tomply with oll opplicablo Smte of Minnss oto Stctutes and City of Ea9on Ordinonces. Slqnolun of P emwttM - - A Buildinq Penni f fs tssued to: all work sholl be dorw in acoordonce with aU appliooble State oi Mfi Buildinp Offidol Oceupeney Zoning 7'ypa of Congt No. Storiss l."ngth + .? Oepth Sq. Ft. Nssessment Water a Sew. Police Fin PEIa ner Councf I Bldg. Off. APC Var. Deta Pertnit Suichorye Plan Review. , s^c Wafer Cor?n. Woter Meter Rood Unit Total on the expnu conditlon tho+ utes ond City of Eoqan Ordinoncrs. Pwmit No. Pennit Holder Dia Tels hon? it Plumbirp r-.^ -H.VA.C. Ehm-bic 3 hI Y. T , :- iu Soften.. (rnpeetion Date Insp. Other Footinys f(? Foundatioh Framinq Rooflny y ? Rouqh Plbp. ? Rou HVAC ? 'r• l ? Inwlation ? Finsl Plbg. Final HVAC Final Cwt/Ox. Water O.teribs Loution: YYall Sewer Pr. Oisp. Receipt ? ? G??? MECHANICAL PEBMIT Permit No. >? yU ' CITY OF EAGAN Fee ? Frll in numbered spaces P ib T i l S/C ype or nr eg r ty ? T ot. 1. Date ?C .? S 2. Installation Cost ??•':.- ? / I? 3. Job Address • `? ?-?-?`??'??ot ? ? Blk. Tr*¢t 4. Owner --e- 5. Contractor Phone ; !?'i: i, .._. ,i U1.. - , ...?•? ...1't1 ?? 6. Address ? . ? •, ? ., , 7. City State 8. Building Type: Residential Efr Commercial ? Institutional ? 9. Work Description: New ? Add ? Alier O Repair ? 10. Describe i?'/??•?F?uel Type ? 11. No, Epuioment 8 TU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mf9. ':i 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: „lf,or Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT CITY OF EAGAN Fil1 in numbered spaces Type or Print legibly 1. Date 2. Installation Cost Permit No. Fee ? S/C Tot. 3 Job Address _ 7-•1 cLot Bik Tract 4. Owner 5. Contractor _ 6. Address 7. City : Phone t' State Zip 8. Building Type: Residential C? 9. Work Description: New Q I 10. Describe 1 11• Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/6idet Other % Laundry Tray / Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work, Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: I t? i , i i ?:• ,;iri j)?7 , ;ciiM/i', i Fct ! 1!t 1 lill l:'N1? ` PERMIT SUBTYPE: ? I I ; 1 ,) o?1'tlvW? ,?:? ? , .>.. - - a, ?,;fi N?.11t:,K s N RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: l V l, _' ? -? .' 4! ?, •. ? . ?1 TYPE OF WORK: F tIVAt p ,A,ff`?A- "'L(:'C?'?,????_ s.:lu ? _ Mv i4 .? ?? ai f3 .' Permk No. Permit Holder Dsb Telephone # ELECTRIC PLUMB{NG HVAC Inspectlon Date Insp. Commenta FOOTINGS 3 z° ?7 FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT F.I. BSMT FINAL DECK FTQ DECK FINAL ??. (L• y8 ?? , ? • INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: `" ""`"`' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ' 1 !f i e? .,.??, t 9 SITE ADDRESS: APPLICANT: i i;??i?l?i', I r?1,} Flf- I(3FI1S? lly?! 4 E!,' i k?r:ri?i4iF11? PERMfT SUBTYPE: ? ;.. TYPE OF WORK: D E: ^y C R i 1' i' 1()M At.Tt RATfQN tlc r:K flfi : r?Ni Y INSPECTION .. • .ATE INSPTR. 7 .?? . Permlt No. Permit Holder Dets Talephone # ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINC3S FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIF TEST - - ROUGH HEATING GAS SVC TEST INSUL GYP BOAFD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSWT FINAL DECK FTG DECK FlNAL l! , ?` ,?8 CITY OF EAGAN ? Remarks ,Z§,M 145 d Addition Lot ? {_Blk S Z Percel # 1(1 _ o„„na? ?' street 1552 Clemson Dr3ve State Eagan, MN 55122 Improvement Date Amount Annuai Years Aayment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN 5EW TRUNK ,t SEWER LATERAL lgRl 37.61 7. 52 15,05 A012112 5-5-83 WATERMAIN • WATER LATERAL iggi WATER AREA / 7 STORM SEW TRK y 249. 91 A0121 Q --83 * STORM SEW LAT 1981 CURB & GUTTER SIDEIMALK STREET LIGHT WATER CONN, 500.00 n n BUILDING PER, 10070-10073 SAC PARK CITY Of EAGAN Remarks '?"/ b O1 ?`???-'' Additio? Lot A L. pik ? ? Parcel #10 ? 6 Owner j,"K street 1552 B Clemson Drive State Eagan, M 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, lu. S A0121 2- --S STREET RES70R. GRADING SAN SEW TRUNK y • SEWER LATERAL l98 37.61 7.52 1.0 fl012l 2 --83 WATERMAIN * WATER LA7ERAL 1981 ' WATER AREA l9'I 7 STORM SEW TRK 249.91 A01472 -5-83 * 570RM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 500.00 n n BUILDING PER, 10070-10073 SAC - 525,00 PARK CITY OF EAGAN Addition _ Thomas Owner?._:.. idit3on Lot JIL /t, Bik pefcei #10 street 1554 Clemson Drive State Eagan, NIlV 55122 Improvement Dete Amaunt Annual Years Payment Receipt Date STREET SURF. 279.71 55-94 5 11],.8 A01212 --B STREET RESTOR. - GRADING SAN SEW TRUNK /97 3 I* SEWER IATERAL 37.61 7. 52 1.Q A0121 Q -8 WATERMAIN I * WATER LATERAL lgRl WATEfl AREA ? 77 STORM SEW TRK IYS " 1981 312.37. 20.82 15 249•91 A012172 5-5-83 * STORM SEW LAT ? ? CURB & GUTTER SIDEWALK STREET LIGHT WATER CQNN. 500-00 BUILDING PER. 10070-10073 SAC 525-00 PAR K CITY OF EAGAN Remarks ) AdditiDn?1 ' Lot = L?BIk ?, I ParCel #],Q '?6 owner ?1' street 1554 R C1 amSOn Dri ve State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, ? 55104 1],],, $ A01212 - 8 STREET RESTOR. • GRADING 5AN 5EW TRUNK ?J * SEWER LATERAL 19$1 37.61 7.52 5 1.0 A0121 2 5-5-83 WATERMAIN ' * WATERIATERAL 1981 - WATER AREA STORM SEW TRK 249.91 /,012172 5-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, n u BUILDING PEF. 0070-10']3 SAC 525-00 PARK GEO. SEDGWICK HTG. & AIR COND. CO. r? HOUSE HEATING TEST RECORD ADDRESS CITY --- OCCUPANT OWNER HEAT LOSS DATE.HTG. INST. 50LD BY Electrical Work By TYPE OF HEAT L?,? L f'I INSTALLED BY ? Gas Line By ?- GA_ FA_ HW____STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONV4"ON MAKE LE'/`"Y Model & i --- Serial INPUT ' CONTROLS THERMOSTAT Heat Plug ? Valve ,r, < L-? Limit <,=) m > I Limit Setting /90`/, Fan Setting Pilot Type ? , rA, Pilotll+lake r a?ar s?,drr Pilot Model Pilot Timing --Ln s 4?'r L.W. Cut Off Pressure %`'v ?Percent CO2 d 6 Input CFH Percent Oz ?G Stack Temp. .'• ? ?? Percent CO OYe OFBURNER Max. BTU MAKE OF Vent Size KIND OF LINER Draft Hood IZE NONE Regulator Filters Size Numkrer Chimney Location Inside Outside Chimney Construction C Q`: S Smoke Bomb ' Wiring Draft ` Test Tag Door Pressure - Lighting Inst. Date Tested Nov y / ?S Company Testing C Name of Tester 3 P c> > ? ?le ... ? c %C ? 1,-- r7 3368o & HOUSE HEATING TEST RECORD ADDR ESS _ OCCUPANT Max. BTU Rating - MAKE OF FURNACE Model HEAT LOSS DATE HTG. INST. SOLD BY 0 N INSTALLED BY Electrical Work By ??%'• Gas Line By TYPE OF HEAT GA_ FA=-''HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN C011?ES?fA N MAKE MAKE OF BURNER - - Model Model E D Serial '• ,? b' ?',`7 2 INPUT `t' c' c- U C.r-- ,_,CONTROLS THERMO$TAT Heat Plug Valve Limit Limit Setting Fan Setting Pilot Type Pilot Make Pilot Model Pilot Timing - < <? •t T L.W. Cut Off Stack Temp. ? Percent CO -?Vent Size Pressure ? - Percent COZ Input CFH Percent 02 - CITY OWNER A <-- t i KtND OF LINER SIZE NONE Draft Hood Regulator Filters 5ize Number Chimney Location Inside - Outside Chimney Construction 'e ? Smoke Bomb Draft Door Pressure W iring Test Tag _ Lighting Inst. Date Tested Company Testing < Name of Tester ~-?-t` ? •? ?Y`- r l •' . 0. SEDGWICK HT(3. &.AIR COND HOUSE HEATING TEST RECORD ADDRESS F"^S?,n ?J? CITY OCCUPANT OWNER - HEAT LOSS D ATE HTG. INST. SOLD BY L ?(,? a, Ti ? Z INSTALLED BY ? Electrical Work By •? 1 c' : Gas Line By TYPE OF HEAT GA_ FA>e--_ HW_ STEAM SPACE HTR. UNIT GAS DESIGN MAKE Fn?a x Ib4AKE OF BURNER Model G i o1, Z?dC__ - ?? -? Model -?'- ---- Serial Sa8S41 0 D os `I Max. BTU Rating ?-- INPUT &a U a v MA!?E40-fIjRNACE -a CONTROLS THERMOSTATT -193t. Heat Plug ! Valve ?6e,+s}`c, v Limit ?7.2 % Limit Setting °Z 00 Fan Setting Pilot Type C?ec ?cc $ i",<.c j< Pilot ftAake 1'?46 e?''E S?+N Yv Pilot Madel f S -T PilotTiming dNT L.W. Cut Off r Pressure y ? `'`?•?' Percent COZ Input CFH Percent Q 2 Stack Temp. Percent CO Vent Size KIND OF LINER SIZE NONE Draft Hood vr'- c?a1 bes..Ar? Regulator Filters Size Number Chimney Location Inside Outside Chimney Constructian c- a < < ' ` - Smoke Bomb Draft Wiring G ? Test Tag Door Pressure Lighting Inst Date Tested Company Testing ? Name of Tester a_ LL A h GEO. SEDGWICK HTG. & AIR COND ,. HOUSE HEATING TEST RECORD --? ? - ? ADDRESS CITY OCCUPANT HEAT LOSS SOLD BY Electrical Work By OWNER INSTALLED BY _ ?. Gas Line By ?J _?c?r?. ? ,.?. ? ?. TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR. GAS DESIGN CO MAKE MAKE OF BURNER Model =A s? x t Model Serial o 541 -? r? Max. BTU Rating ^ F:- INPUT r MAKE OF FURNACE Model -? I ,CONTROLS ' THERMOSTAT Heat Plug Valve i 7r:, C Limit ? 47- Limit Setting % y'- ' Fan Setting Pilot Type Pilot Make Pilot Model s i Pilot Timing 7 /7 ^f 7 L.W. Cut Off - n ? P C Pr.essure ercent OZ Input CFH Percent 02 Stack Temp. Percent CO DATE HTG. I Vent Size KIND OF LINER S12i Draft Hood ' ?' ??` • Regulator Filters Size Number _ Chimney Location Inside ' C Chimney Construction ? Smoke Bomb Wiring Draft Test Tag ` Door Pressure Lighting Inst. Date Tested NG ?f ? '? f!?"i Company Testing ' '' ? • 1' Name of Tester )rl- NONE I-vr " 1 o f 4 p 1 e?: ? ^g- s `? No. of Units: ar: ew tiorizon ElomeB Addmu; 1552 ^?emson -,)rive L13 B1 Tltmae Lake 't'rts 2 ir No.: Connection Char9e: 5)' a.?? Aocoimt Depostt: 15.00 D k? I br No.: Pertriit Fea: - 10. 00 Dd so h Ooph vilh Ilw GRr of foww $urchorge: .50 Dd S.?... Misc, charges; 132.00 pa Totai: _ r? t1!] 041 ,,,a•er Date Poid: LIl : UF e 3830 Pi' .toad P. O. Bu. 1199 Eagan, MN 55121 Zoniny; Owner: /lddross: 51h Addrois: -n s c,n Plumber. . h 1 waiER sEtiVieE pEWrr 3v3z47 PERMIT Np.. DATE: NO. Of URitS: 1 o r . ?N.h.r n,o.: ?_T_14 Connection a,a.Qe: 500 Size: °C 1?lccourK Deposlt: 15.00 ? Reoder o.: ? l /?"1 LI J 9 70 Permit Fes: 1 NrM h eomplp wili IIw (,r ef Eegew Surcficrye: 5? d R Oem?eaw, ? Mix. c.r,orges: - -- 132.00 na Total: k By DoM Pa(d: ffi Dote of Irtsp.: Irup.. CITY OF EAGAN 3830 Pilot Knob Road ??MCE PELW P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pATE. Zoninp: Owner; -c-w Hocizo.t I-ot,ies No. of Units: 1 ', Address: Slte Addi Plumber. I M" !e eM*4 vda !Y Ciy vi igoe¦ OedtMnpa, of 1 nsp.: Connsstlon Qame; p' Atoount peppsit: 5c2 Pffmtit Foe: . ' ` .. Surdwrpe: Mlnc. CFwrgm Totd; Doh Pbid: Dote of Insp.: cl1'YOF EAGAN 3830 Pilot Knob Road P. O. Box 21199 a. yy'A'1?k SERViCE PERMIT NO : PEkW `_.14 Esgan, MN 55721 . DATE: 4 -I 1-"5, ZO^i^fl: No. of Unffs: 1 o. 4 i) ex Owrer: •,?: _orizun '.:ct.^.es Address: Site Addross: 1-t')2I3 ClemBOn Dzive 11,14 B1 'ihoma:j I ake Fc*t.s 2 plumber. _ T (an2son P7 b8 MeHr No.: Connection Charpa: _ 510.00 t u' Size: Ac«D,nc De ostt 15.00 pc; p : Reodsr No.: Pertnit Fee: _ 1 0.(l ;) Ad I ofm to ?Ph? wob !M Cihr oi amp¦ Surdharye: . 50 p?_ Or&M Mlec. Choryes: 112.00 pd Total: - 63.(`.n n:i ru'reT BY Dote Paid: Dote of Irnp.: Insp,; v ` Of 3830 Pilot Knob Rosd P. O. Box 21199 s&A`1' Itk PERMIT NO.: POWT30 Z 5051; Eagan, MN` 55121 DATE: Zoninq: No. of Units: o Owrer. Addroac Ske Addross: I?=: ? _ } .-•,;c?n Dri ve LI4 B1 '£'-komas 1a1ce Plumbsr. i t ' i ?•? Meter No.: S - Conrredion Chorqe: ' 500. 00 pd Size: P Aooount Deposft: - ? - 15.00 Pd Reade No.: .6- 3/YI ?/D ? O Permit Fee: _ 10.00 pd I ePM te ea"py wilU 1164 Clti af iaYen 5urchorge: .50 ;2d OndtM Misc. Choryas: _ 1)0 pd ToccL• Dots Paid: Dote of Insp.: 1 Im : 7/7 77 75- p. ? CITY OF EAGAN 3830 Pilot Knob Rcrad P. O. Box 21199 Eagan, MN 55121 Zoninp: OWnlr. Addrcss: _ Site Address: Plumber: t i! SEVYER SERVICE PERMIT PERMIT NO.: . DATE: - _ ? No. of tlnits: c'n? r3zon Clemeon Drive L14 B1 T 1 qew to emplp wYi tM CRy ef laMs Oedinanees. 8y Dote of Insp.: eonnecri«, c?wros: _ 4 2 s. r: ,) aa ACCCUnt Dfp0wf: AJ. ViJ PQ PfRnlt FN: .• ? S11fChWfgl: Misc. Cho?psr. Totol: DoM Paid: _ CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilo# Knob Road 6055 P. O. Box'L7199 PERMIT NO.: Eagan, MN 55121 DATE: 4-11-85 Zonin9: Rl No. of Unirs: 1 of 4Alex pw1er; New Horizon Homes Address: 5ita Addma: 1554 Clemson Drive Llb B1 Thama: plumber T bmpson Plbg Meter No.: 30 6-3 3 Connedion Chorye: S1ze: " /keount Deposit: _ Rea r No.: .L(n rn4t LZ 04 a Permit Fee: 1asm te "Oolp wilfi eM City of Ee"¦ Surchorge: .50 pd O.dt7 Mux. G,oroes: 132.00 pd ,7 Totol: ?? OU :.P,4 TMpte] B a Paid: Date of 1 Insp.: II-Z.o X ?? WATER SERVICE PERMIT aoov ruvi 1%1wu nvau 6055 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 2oning: : s No. of Units: of?pl.es: QW?T!f' I AddfC35: .SitE AddfESS• ? r ?1G"i5C?T1 ?)r{?Ie Plllmbe[' . b,'1738011 t' 11: ?.' Meter No.: Connection Charge: OJ ` pd EI Size: Actount DepoSit: l?.OQ j+(l Reoder No.: Pernit Fee: 1?. 00 r:? 1agm to oamVlf? wie6 tAe Clhi *11 6egaw Surthorge: .?') n(.' o+di"enas. Mzsc. chorge5: 132,00 TOtOl: _b1 4) n .? "lar gy Dote Poid: Dote of Insp.: Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Owner: '`'`=w ?iarixon Addrcss: Site Address: mb Pl 1 i54 Cletdsot? D[1ve ! . rn*pson . a^ _ u er. 11 : ,.. :-, '?• • . ?' 1 `> L J•,: J?I !; IovfN XO wmp' Nkh tN co7 OE F.Oga11 COflrieCYiOf1 QIOmQ: _ . tl, OIuMSOM. ACCOlM1t DEpadft _ ' Permit Fee: . s_ SurcF?orpe: gy Miac. Charpes: Dote of Insp. : Totol: Insp.: DoM Pold: SEWER SERVICE PERMIT PERMIT NO.: DATE: - ? No. of Unlts: 1 af 4p].ti=Y CITY OF EAGAN 3830 Pilot Kn6b Rlad ,. ? P. O. Box 21199' Eagan, MN 55121 Zoniny: R3 Owner: ?+ew 1':orizon Por:;e.7 Address: , Site Address; 11554I3 G?emsog D? ? Plumber: Thompson Fliofy. Meter No.. Stze: Reader No.: 1csme to emply wilb !la Citp of Eegan Ordine?tw. By Dote of Insp.: PERMIT NO.: D11TE: . No. of Units: Connectiari Churge; Acwunt Deposit: _ Permit Fee: SurCharge: - - Mlsc. Chorges; _ Total: Dnta Paid: ' CITY OF EAGAN 3830 Pilot Knob Road _ WATER SERVICE P 3Zsd ERIVIIT P. O. Box 21199 PERMIT NO.: Esgan, MN 55121 ? pATE: ?-. i-S5 ? ?z?i? - No. of Units:? - f iOwner. ?Add ross: ?.. t! Addrl.'SS: ? ?1!SR amR^i' wnber: 1 ?f r t ? r No.: Connection Chorge: S tl,'? n r? ?-t ? de No.: L"? . 3 t-a? ?/ n 1 C A=Unt DepOSit: 13.0o nd 3 ?geew 1v ea.py wieh the Cirr of Ea e. Permit Fea: 10 00 pd s 0rdlsenqn, Surchor9e: - -, Misc. Chnroes: I'i? 00 nd Totnl: Date Poid: te of Insp.: S Insp.. CITY OF EAGAN 3830 Pilot Knob Road sENER SERVICE P ERMR , P. O. Box 21199 PERMIT NO.: . ? Eagan, MN 55121 DATE: ? -'- ` ` ZO/7IMg .._3 Owner: ?ew norzen Homies No. of Units: ? ?' e.• ? Address Site Address: :3D4Z CleMsoi: I3rive L?.S r$ E - . Plumber. ?BO?1 P1L?^ -''"1?^$J 5')777 . 1 a9ms to eanply wMh ths Cihr oF E69e0 0?dlnanees. By Dote of Insp.: Cw+nection Chc v 2 5.?I:) pd rge: Actount Depoaih ? . J ( D Parmit Fee: 10.57 ;; Surchorqe: . . . -- Misc. Chorgex - - Totol: Doft Poid: • r , ? . Z 84 CITY OF EAGAN APPLICATION FOR PER`9IT - SE:4cR AND/OR WATER CONNECTZ02T ' (PLEASE PR?HT 1) PF.OP= r1CD.RESS: LEG.=w DE..?TDT?C:1: 1-311 (Lot?3 ouc/ vision or Ta{ parcei I. Nu-;er) DA'Z=; G_° OR:Gi;:AL, `i.ili..^,l`:G Y:..-'!I':' ? FP,=S=- ..^NT:rVFRC?CS E) iSE: ? R-i S.ii:GL: rp},u,Ty ..._:-_-• -_- , ? t???GUP= {'IZSO [JiIITS) LTZ-3 TG%1iIIiC('SE M-R?.c + tiNITS) ? ?-4 APP.R'I.""-'`T/C=CiL.'rL:•I ( I]?TSi ? C;k-ZIEFCiAL/REI?ILOFFTC ? rML'S=AT, ? LNSTI:'uTIC_?L/G,4=-mE.17: 2) APDTT= (PL'cASE PRI?tii) NAI',8: ACD.wSS: CIT:, S'fX?'E, ZIP: - PHeZNE: 114L ?90-D 3) P?,:mcR kVIEASE Pfiltli) - FOR ClTY USE ONLY . ADD?WSS: 72 PLUPoERS UCEHSE: 201 MINNFTnniKe glSLll ? pctive CITY, STATE, ZIP: MINNETONKA, MINN. $5343 Q Expired PHO?IE: H?icK PLi!!18ER LICENSE ii Not or Pecord ??-/ arr q) OCCf,7'P3d'P/CS.i1? lrLca?t t'H1NTJ NFLti7E: s> , ADDRESS: CITY, STATE, 2IP: PfiO:`?: 5) INDIGy'PE :afiIC?i PEF.'•LI IS BETiPZ RDQUES'I".?: [?;ZIEG:'=0N 'IO CITY SE.?•IER ,..?/ L.1 CC:NECTZGiI TQ CIT'i S9ATER ? CfPr?c..'R (PI.MSE DESCF?IHE) o) L':Ull:?i2: C:Z: 7) SIa,ZL,zE: ? D:,TE: ??, ?P:,SE F:OLD r1PP:?VID PEF?•1IT FOR PIC:?-UP BY QNE OF s'1B()1,'E ?°i°?SE M?.IL APP??O{,r"D =lIT TO 1, 216? 4 r1BC71i (Circle one) l ! fD!'A:?.q?lA:? i?!!S-ilr ! 1t A???.`.? i i4{ i YFis:i:? ?! i?F./? r YFJ?i? ? YI ??S??L• e F O R C I T Y U S E O N L Y PERMIT - ISSUEO F°ES: $ _ id .Sa $ $ S $ $ $ $ $ sa?"?--s S $ $ $ S Sr:-i7? nrn%ir- ? WATER PERf4IT (IL:CLIIDE SURCI:ARGc.) WATv-R METER/COPPERHORV/OUTSID: RcauER We:TER T:-1? ( INCi:iDE CORPGRATIO:I STC2 ) SE:•IE.°. TAn ACCOUNT DEPOSIT - SE:•:ER ACCOUNT DEPOS7T - [aAi°_R wac sac TRUNI: WATE.°. ASSESSME.,T TRli:dS SE:dER ASSESSZ•SENT LATE°.t1L BE:IEF'IT/T.°.UNR SEi•:ER LATERAL BEDIEFIT/TRi7:]K WAT°R OTHER _. TOTAL AMOU:lT PAID/RECEIPT R? G3 9_S DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGZNEERIDIG DIVISZON. LIST AS A CONDI- TION. SUBJECT TO TFIE FOLiO:•IING CONDITIONS: FlPPROVED BY: TITLE: DAT° : roisou..+.i mwi.*.tso WINNe W" wt++4 m w sjio wr+ wa vcw wlwr s•on wa wt r fe s"+ pqa vcw r w rg am ? .I?i? ,?• ! 2/84 CITY OF EAGAN APPLICATION FOR PEfLMIT ? - SE:vER AND/OR WATLR CONNECTION (PLEaS PAIHi) Pr,,0p=- Aror-ss: . ? s.sa z # ? iFr:',L DE.scIP;Ic.r: I17Z / (In 3i k/Subclivision or Ta{ p cei I.D. ;itr5er) LM-;uc r W, caT oF c:ucr.<Ar. :.UIL.^= =--"im TsS,:_::c_.: ( FRE..?M.. ?-.?Il:}:/=."C=`sJ UJE: ?R-1$J.'NiLu f.Il.1= '. ? 1y ? ' DUPi {?ti:a L?JITS) .? / . , CJ :-J TaQW.CUCL (TFIR.-L -I- L.?iS) I L ?+?T__s) ? ?-? ?p?x??:r/cc?x?•Lr?:i l T - =si [J C"J1`^uTERC71w/rZE:r1II?OFFIC:: ? 1MliSi:RL?I, [] NSTI:UTIO.'L/GGv'?'?:NTMfEV': 2) ]1PPLT_= (PLE„SE PR14T) Nr y??': AGD.RESS: ? Q CIT:, ST:,'?'y. ZI?: . PHQV'E: 3) p??ffir? - - rr (VLcaSE PkINT) -- FOR CITY USE 09LY ?t?. T?IOMPSON PLUMBING Cn !NC p,DDREcs: ., 12201 MINNETONKA BLVD. aLqr.eERS LIC:4SE: MINNETONKA 7 E= Active CITY, STATE, ZIP: , MINN. Q Ezpired p? ? w ?K ? PHO?= / taZ1 PLUnBER LICENSE N /7?J Q No oiRec,ord arr iSE?nitlal' 4 ) OCCf?'PPi?'P/C!' i 1? MME: ADDRESS: CITY, STATE, ZIP: Pf?(MG: (YLtAJt YXINIJ 5) INDIC'-,'I'E ;9HICIi PEP.'-LLT IS BFING RDQUESTID; ,?CC2?lEC?_O:J 'IO CITY SE?•lER ? CC:^IDC:IC:I TO CITY IJr1TER ? OTE'?..St (PLFASE DESC2iEE) 6) C:Z: ? F:OID APP.?WID PgRAIT FOR PICN-UP SY ONE CF 1BOVE MaIL APPRJVM PEC•iIT TO 1, 2? 4 ABOS7E , ? (Circ?e one) 7) SIG:.a;[.T?E: `l-? D:,TE: ? ? J??? f O R C I T PERMIT °- ISSUED ? FEES: $ $ / D . SO $ $ $ $ /-57- ?a $ i 57 ?v S S S $ $ . S E O N L Y $°_i:E? nrot?7T (T_'_:CL:;?E ?G?CH?RG°_} WATER PERP1IT (INCLL'DE SURCF.ARGE) WATER METER/COPPERHORN/OUTSID; REAv-", WATER T.aP (ZNCLGDE CORPORAT:OV S:C?) r..E., ? T*n ?.i : ACCOUNT GEPOSIT - SEi•:ER ACCOUNT DE°OSIT - WAT°_R WAC sac TDu.rK ?9r1TER AssFss:aE:.T TRli:I:: SE:9ER ASSESS:•lENT LATE°.AL BE:1EE'IT/TRUVK SE:,:ER LATERr1L BENEFIT/TRU:IiC SdATER OTHER $ TOTAL $ Sya ? A:?IOU:IT PAID/RECEIPT R? d? q S DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi3T OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHItq ? PUBLZC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERZDIG DIVISZON. LIST AS A CONDI- TION. SUDJECT TO TFSE FOLLOWING CO:IDITZONS: APPROVED BY: T I': LE : s,/ ,- ! 1 DATE: oe f"wem mmi4 .tom ?t ?. ?a ??w wtwmww+tpa w.? wa uc? w ?.1? ?w r? ? wffla fr w-m Ry m lorew.. • C ?'.s' ? ' 2 / 8 4 ? CI:Y OF EAGAN - ?? N'= '? / ? APPLICATZON FOR PER?IIT 1 ?? ? - SES4ER AND/OR PIATLR CONNECTIO`cT 1) P°OP= ACDRr-SS: (PLEASE PR 4i rFryI. DESCI'<IP'PT_C:7: ? - { /3iock/SucdivisicZ or Tat Parcei D. L E;ii_ .G ST."-,LC: :",E , L'.? 7E G^ CR?Gi_:AL EUli,.^.L?.G _._-'!l'_" ISa?2,C?.: ? it-i S, :G'i°. Fpur,ry ' - -- -=- • ? p-? TCT? -: (?'r:0 Li1ITS) _ L9^.5-3 n'i.,7Nf?CL?SE (TI-*_REE + L?1ITS) ( r UNS_S) O ?-? AT'?RT^T:T/c^wN:Da'•L?rc-i (T GtiiiSi ? Ca-i?..T..yi..'RE:AIL?OFFIC:: ? -?[ y 1WUS1RL.M . ? NSTI'.^uTIC1AI,/C?G'ET;L,.?fEVV'P 2) (FLEdSE PRIVi ) ?t1E: ADDRE55: CI'PY. ST?'I'E, ZIP: . PF.OV'E: U 3} Pu,1B,.,.T'? (FL"cASE PPIhi) - FOR CITY t15E ONLY NA``!E: ?HOMPS?lIPLUMgINC ca_ tNC. ADDRESS: - 12201 MINNETONKA BLVD. - PLUHBERS LICEVSE: ? Active ? CITY. STATE, ZIP: MINN- ' . Expired PhONE= .A?,c? PLU!16ER LILENSE N 0 Not of ecard arr initial 4) OCCL1'PVT/G*.-TIr_R NF1ME: tNLcnht Nkinr) ADDRESS: • CZTY, STATE, ZZP: PHC}`+E: 5) INpIC?-TE 6$-IICI3 PEPWEz"NECTION '?lIT IS BE .?i'G RD?UESTr?: 4TW1iQ:V 1V Clll 5??? 1V llll I•A1L1\ ? dI'E".•13 (PI.:ASE DESC?SBE) ? 7) SImATL;,E: F:OID r1PP?.OVFTJ PER;•tIT f'OR PIC ',*AIL APP!?TED PEP-HIT 'IO 1, 2 ONE CF r1BOVE j/4 r1W1E OIIe ) _ DATE: ? OS V O V f • + ?l?lR:?Fe?sie:i?i?1?el?iraraar? ????sssr:s:as??.sreErrrrr?:'rra??t?s?as F O R C I T Y U S E O N L Y PERNIZT °- ISSUED FrES: $ $ S S $ $ $ ,.g- ?--e • ?---d $ S $ _. $ $ nrDttTi WATER PERPIIT (INCLUDE SURCHARGE) WT:TER METER/COPPERHORN/OUTSI.^.: RE;DER waTEs TaP ci.?•c:.Unv- coRPcRATIoN sTcP3 SE:'IER Tr.D ACCOUNT DEPOSIT - SEF:£R ACCOUVT DEPOSIT - WA:°_B WAC SHC TRU:IR NAT°.°. ASJFSSi•::NT TRliN:N' SE:•iER ASSESSi•IENT LATE°AL SE"7EL'IT/TDUNK SE:dER LATERr1L SE::EFIT/T?2U:li: WAT°R OTHER $ TOTAL $ AMOU:IT PAID/RECEIPT a Sd.3 f? DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY? r.? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" M[TST BE ISSUED BY THE NO ENGI[VEERIDIG DZVZSION. LIST AS A CONDI- TION. SUIIJECT TO TFIE FOLiOWIDIG CONDITIONS: APP20VED BY: oed_lJ DAT°: ae imws w=in .trw Wt W aa ww ot+ ww w s" w" ei.+wol+w wsw l" G&M mc.wwcw se wH+ wa ncm a% s w wm C ? 2/84 CITY OF EAGAN ll ?? \ APPLICATIODI FOR PER.MZT ? - SE:+1ER AND/OR WATLR CONNEC':ION (PL .iS£ PR T) ? 1) PT>!CP=! p,pDRSS: r Fr:,i, nE.scT-r>rTcv: - (Lo , /3i /Subdivis_ca or Ta{ rascei S.D. .'u-zber1 i= ?•:I?'=`:G 5_^: UC: ':: , L.' v° C.2:G":?.;. ?uII :L`:G :?':` ISS?: \C=: " (. PP,??? ? .^;?i:?:/F:tC?CS? i??. ? .?..-1 Si;G'i.'. iptt?,ry , ..?.-_-• -- • ?? R- DL'P7?i ('?Y•?O L??ITS) ?.°.-3 TGC%-NT:CU-SL (T.?R...F'; + II`7TT5) mmZ"'s) 0 ?_d APAFi*R-+7r/CC`.DCt•LtrL7?1 I [I:ri;Si ? C^i-ME.°.CT?=.i,l?r.":'r1iZ??OFFT_C' ? I'i4.C5 i?.LiL ? I:?15TI ??'ZC_'u;L/Gv'"?'?'?:??'^ Z) AFmIc-!?.'P IPLEASE FR ? ? a.D=?ss: ? o / W cM, sraTE, zra: - PYONE: 3) PizffiER ._, ---; (PLC,SE PRINT) - FOR CITY USE ONLY NN?E' BNFPSON p IN - ADD.?SS: --TII EHCA9 6 69 IN6 12201 MINNETONKA BLVD PLU?BERS LICE4SE: . Active CITY, STATE, ZIP: MINNETONKA, MINN. 55343 ? Expired PhO?lE= q2?j i,??cn / PLIIMBER LIGENSE if ? ?c?3? [? Nqt _of Record arr lni[ld 4) OCCLTAVT/C!-I'N-CR lrLcnat rxini) ACDR£SS: CITY, STATE, ZIP: PFHO:`IE: 6LO 5) IlVDIC>'I'L ;$-IICIi PEP.'•11T IS B£Ii`:G REQCJEST^J; ? yIEC':-OV 'It7 CI:"t SE.TQm CC::. i?]G?'i'ZGi7 TO CIT'i SdATER ? C7IT.ER (PLEASE D `' ?SHE) 6) ?,.,, ?PT=?SE I_OLD APc .%07ED PER.tiLIT Ft7R PICN-UP BY 0.1E OF IHOVE Y?SL APPRU"?^J P&P_•tIT M 1, 2 31 4 ABOVE (Circf? one) 7) SIG:,A"m-,E: DaTE: 1 ??! Ai+AAFA:i? il f! l?lt?s ! f? ?? ?t,sa?? r?i ef s r:sa:a:r a! a?lJ?1 r?F?FJ.? +? al !???atr c ?. •i . . F O R C I T Y U S E O N L Y P°R.'•lIT " ISSUED F7 FET'S = $ ? o. _t' o S ?e. So 5 _ ?.9? ro $ $ $ ?'--+? •?? .-e $ ?S'•?--.c ?-? S ?_zs 5"-.-s S S $ S $E.'.7=: ArZ kITi ?-??L:...?? WATER PERPIIT (Ii.CLtiDE SURCHARGE) WATER METER/COPPERHORN/OUTS2DE REaLER W?.TF,R TA? ( I.:CiUDE COR?ORAT:.O:I SiCP ) r-..J?o m*p ...... _ ACCOU.IT DEPOSIT - SE:•:ER ACCOUNT DE_°OSIT - WA:°R wac SAC T4UNR WATER ASSESSb?EtT TRli2dF SE*;7ER ASSESS:IEVT LA1^E°yL BE^IEFIT/TRUNi{ SE:•iER LATE?tt.L BENEFIT/TRU::iC WAT°R OTHER .-vo $ TOTAL -? ' S vr?? ? AP'IOU::T PAID/RECEI2T ;-? ,o? y J DOES UTSLITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RZGaT OF WAY? L, YES IF YES, THEN A"PERMIT FOR WORK SJITHIN ? PUBLIC ROFDWAY" MUST BE ISSUED BY THE NO ENGINEERIrIG DIVISZON. LIST AS A CONDI- TION. SUIIJECT TO TPIE FOLiO:'7IDIG CODIDITIONS: APPi;OVED BY: T I': LE : ?..y B e_ll? D.aTE: - ?-- - ? 04 ? V.? wMsW ..w Mt M ra i? ?e+ r? ? w ss? w!S Vea Wt+ w Iwr ?+M 6a4W wE Wro fr+ r"a 0t400t IN rm wm Thisreques[void ?? 18 months (rom ( j a??134 ? 'I 7TiA c.,,., Ur v . p a Requesi Jate Fre No. RouPh-inInspe.r.LOn Fequired+ EIReatly Nuw EE(.Nill Np?ity Inspec- 9-3-1985 X4C]ves ?nlo co, When Readv Ei¢.icensed Electrucal Contractor I hereby request inspectwn oi above ? Owner electncal work installed aY Stree[ Address. Box or Route No. City 1552 Clemson Drive Eagan ecLOn o. Township Name or No. fiange Nn. County Dakota Occupant(PFINT) , Phone Nn. New Horizons Power SuOpher Atldress Electncal Cnncractor (Company Name) ConVactor's License No. O.B. Thompson Electric Co., Inc. A40602 MaJing AAdress ICoMractor or Owner Making InstailavoN 12201 Mtka Blvd., Mtka 55343 Authonzed Signature (ConVactor/Owner Making Installabon) Phnn e N u mber . . .._, •? n ?- } ryq ? +??b2"e+`?61 MINNESOTA STATE 90AflD DF ELECTRICITY Gr,ggs-Midwey Bldg. - Noom N-197 1821 Univarsity Ave., St. Peul. MN 55104 Phone (612) 297-2111 THIS INSPECTION ftEQUEST WILL NOT BE ACCEPTEO BY THE STqTE BOAflD UNlESS PROPER INSPECTION FEE IS ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa. See instrucLOns lor completing this lorm on back ot yellow cnov?/??? / 3 / ? ? ?` "%" Below Work Covered 6y ThJS Request ? S Nm, v AAd flep. TVPe o7 Bmltlin9 APPliancee Wired' E9n,Ument Wired Home Range Teinporary Service Duplex Water Heater Lightiny Fixtures Apt. Bwlding Dryer Electnc He2tin Commercial Bldy. Fumace Silo Unloade,r Industrial Bldg. Air Condiuoner Bulk Milk Tenk F3fm Other Specify OtherlSUecrtyl t er Sueu(v D[her nthnr q Fee ServiceEntrancei d Fee Feeders/SUbieeders F Fee Crrcuits U to 200 Amps 0 to 30 Am s 0 to 30 An•, s Above 204 Ampsl 31 to 100 Amps 31 to 100 Am s Swimming Poal Above 100-Amps Above 100_Am s Transiormers Irngation Booms .50 PartiaL'Other Fee Signs SpeciallnspecLOn 50 $ I0 -- TOTAI FEE Remarks . ? ?....? .. ..r..,. __.,.. , , ., , Rou h-m Date ? 9 1, the Elaqtnqa! Inspector, hernby cervfy that the above Pmal ? e Fnspechon has been made. Te.c mnuan? onitl 1R mnnlh51f0111 Th.s request vaid 18 ? h5 1r 'a ? 1?? TI H.quesl Date 5/' /?? 7 Fre No. Roogh-in I?pectfon He?9u,?,?rp1? v ?dV Now ? Wi11 No?ifv Insaec- ?.es ?No 1or When fleady ?-cen5eu oecincai i,onttacmr 1 herebv reVtest iRSpec(4on ot above ? Owner elecerical wak imcmn.n ar Street AAdress, Box or Houte No. 5 Ciiy 15 a v) C!S'c. e. Lcx a n ecuon o. Townshi0 Name or No. Range No. C ounty / 1 ko1 cl- Ocr.opnnt (%tIN 1 Phone No_ ' ?'? a-D 39O Z? Power Supplier Atl ress Dak CL ? L ? I n EI¢¢tncal Conttactor (Company N mel Contrac1u1's Lirense No. C? r aeq -T),A I e? -J,? c, Q -? MaJmg Address 1 on ractor or Owrrer Making InstaJatfonl Au(upp izetl ienawre (ConhactoJOwner Making Installa[ionl Phone Number i'-?[.? ? MInn[SUTA STpTE BOARO OP ElECT1iIGTY THIS INSPECTION pEQUE$T WILL NOT Griyps-Yitlwgy Bidy. - Noom N-191 RE ACCEVTEO BY iHE STAIE 90AR0 1821 Universiry Ave., SL Pavl, NIV 55100 UNLESS PROPER INSPECTION FEE IS Plpnq (612) 297-2111 ENCLOSED_ REQUEST FOR ELECTRICAL INSPECTIDN EB-°°°°'-°" / l ? See inshuctions for completing [his fmm on Inek o/ yellow eop,. 236651 "x-- BeloW Work GoL<rred by Thls Reqaest AAtl Rep. Type ot 6ul lding Apoliamea 11ireJ Equfpment NlireA L-L I I Uuplex I I Water Heater I I Liqhtiny Fixtur¢s I Furnace I I I I Indusin2l 81dp. I I/air Conditfoner I I Hu;k Milk Tank I Iv) M Fee ServiceEntranceSize h Fae Faedars/Subfqaders il Pee Circutts '. U v 0 to 200 qm s 0 io 30 qm 9 ,?.D 0 to 30 Am Above 200 Am{s 31 to 100 Arcqs 31 to 100 ArmUS Swinmmg Pool A6ove 100_Amps Above 100_E1rtq?s Transformers Irngation Bmrrs Partial.`Other Fee ?Iyus 'peciai inspec±?on TOi ? 1 pemarks TA i . ( flaugh-in Ome I tl? ? i l p . g r ca inspector. herehy Final J D te certifr [hat the apove . mmciian hys bcen d , . e. nwuw-.- ? 44473 . / r/s/' aquest Date F re No? Rou h- g in Inspechon "l 1 Requiesred't \ ? V 0 licensed contracior ? owner hereby request inspection of above ib? de?et. ?or Route No.) I d? C.f.L-,rrsS ecnun No Township Name ur No o.,..__ ._ Supplier al Coniractor (Company Name) Harrison Electr Atltlress (COMprac,iw or pW?er Making Ina?alleipn) \ .3bKlI-L Mnrn.n r.... - ?S License MINNESOTq STA7E BOARD OF ELECTqICIry J4 I-iin ? Grjggs-MiAway Bltlg. - qoom 5473 THIS INSPECTION FEQUEST WILI NOT 1821 University Ave., St. Paul, MN %f04 BE ACCEPTED BV THE STATE 80ARD Phane (612) 692-0800 UNLESS PROPEft INSPECTIDN FEE IS _ ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION r ? I2 ? See insttuchons kr mmpleery ihis form on back of yeilax mpy CEe ??? ??t lf' y. A. ? 7 3 ` X° Below Work Covered by This Reques! ?..... - - ServiGe Compute lnspec[ion Fee Below: # Other Fee Booms I, the Electrical Inspector, hereby certify that the above inspection has been made. )FPICE USE ONLY 'his request voitl 18 monlhs irom CT7 1 Z14 C?9 ? ,,,iv,,ecmrance5rze Fee # Circutls/Feeders 0 to 200 Amps ' 0 to 700 Amps Above 200 _ AmPS A6ove 10p q p :WrS Use Only TOTAL *eaey Now ? WJI NoM1iy Inspector When Featly' AECat work at. I Fee I This repuesl vo,tl ? ( 18 ?V5 ? ??b?o ,5 2 L I y z Nequest Oate Fere No. ?inIlnspection ?? ?tly Now ? Wi11 Notily. InsPec- ?s ?NO Ioi Wlprt ReadY ? LicenseA Electneaf Contractor gb ? Owner Y reque5t inspcction of ahove CIBCLfIGI Wn14 i Street Address, Box or Houte No. eruon ? Townsh,p am¢ a Na fla Ne, C??y Coveiv OccupantlPRIN ) Phon¢ No. -) ? e.S Liao . 3900 Po er Suppher Add ess Elec[ncal Contrac[or ICortiparYy N 7 , r Z` Con:ractor's I icense No_ n Mailing AdJress Co racmr or Owner Making Instailationl ? o ' m 11,? a'7 Au orfzcH Signatuoe (COnhacrod ner Mak ing Installation) Phone Number -°-°-- • anuvrEMLIgICITY 1.1sIxSPECTIONREQUESTwILLNOT Grrggs-Midwey Bldg. - Room Nq91 BE ACCEPTEO BY TF1E STqTE BpppD l821 UnrvarsitY 4ve.. St. Paul, MN 55109 UNLESS PqOPEfl INSPECTON FEE IS Phona (6121 297.2111 ENCIOSED. 5+1G5 REQUEST FOR ELECTRICAL INSPECTION Eg-oomi-0+ ' See instruclions for completiwg tpis tam on bsek of Yellow copy. l (, B3 6 6 5 2 " X" BeloW Work Covered bY This Request ? f I1 I0? Hdtl ReD? TVDe af BurtE?ng qppliances Wired , Epufpmenl Wired Home Fiange Temporary Service Dupkez Water Heater Ligh[iny Fixtures Apt. Bwldrnq Dryer Electric HeaLn Commerciai Bldg. Fumar,e 5;!0 llnloader fndustnal Bldy. Air Con6ftfoner Bulk Milk Tank Farm ome, soeci?v e?ne, tsoeci+v! nm ..,?? 0 1.,? IMr SVecify ..,.....,.., c__ u_•__. Offier Other Y Fee SesviceEMranceSize # Fee F¢¢tlers/Sub/eetlers M Fee Circufts O G to 200 Rm s A6ove 200 qmos 0 to 3a Am s 31 to 100 q?nps O.DO ? ta 30 Am 31 ta lOQ Arnp, Swimming Pool A6ove 100_Amps A6ove 100_A? Transtormers Si ?s frn?tion Boom= Spec ia l I nspectfon Partial•`Other Fee Rema.ks Sy.? 561 TOT/:L pEE' :.? RouBh-in Date 1. the Elechicaf f? ? ?? Inspactar. hereby Final certOy [hat ihe alqva ..?.o....m. ?w..e ___.?...._ D. IP inspeclion has Deen 18 nwnt?hs trom ?d c 37613 ? j Jl?-Il,-, -- Aaquest Date Fue No. Rouph -in Inspeciwn r Req utretl? Ready Now QWill Novfy Inspec- ?' ) q1 6? ?Yes ?NO [or When Feady ? Licensed Elec[ncal ConVactor 1 hareby request insDecLOn of aGOVe ? Owner elechical work mstalled at Street AAdress, Box or floute No. City Sy ? ? a?. ?GA? ecuon o. Townshio Name or No. Ran9e No. Couniy D A KVi 12% OccuDant(PqlNT) Phone No. `"- 2- LD5?1 S2- 1) l0 6 S Power $upPlier Address Electncal Conhactor ICOmpany Namel Conhar.lor's License No. '?"o rn Yl"1 ertz ? le ?t. Z'nr ?-/ c- MaJine AAJress IContractor or Owner Making InstailaLOnl ?' r? 513 4144 1 Author¢ed SiBnature (ConVactor Owner Makiny Ins IIaLON Phone Number ?w ti`? . -1 GO?J MINNESOTA STATE BOARD OF ELECt{lfy/iA Gnggs-MiAway Bldg. - Noom N-191 iffii UniversilV Ave., SL Paul, MN 55104 Phone (612) 297-2111 TNIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE 80APD UNLESS PHOPEH INSPECTION FEE IS ENCLOSED. g/, )fC6 REQUEST FOH ELECTRICAL INSPECTION kiM EB-o°"°'.°^ 4 ? / See inshucbons br comolebn9 this lorm on beck ol yellow copy. \l. 3_761 3 X" Se/ow Work Covered by Thos Request Adcl Fen. Type of Builtling Appliancea Wired EquiGmenl Wire•f Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt Bwlding Dryer Elec[ne Heztin Commeraai 81dg. Furnace Silo Unloader Industnal Bldy. Air Condrtioner Bulk Milk Tank Farm ther oea y orh" (spocrty) t er Suecify Other Oth" CO/710UI8 I(1SDPCllOA FPP RP/nw p Fea ServiceEmuencaSiie k Fee Peeders/Subfeetlers N Fee Cucurts 0 to 200 qm s 0 to 30 Am s 0 tn 30 An? s Above 200 qm??y 31 to 100 qinps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_Amps Trensiormers rngation t3ooms Pdrtia6'Other Fee Signs Special Inspectwn S 5?? TO Herryrks 1 ? , 1 , TAL ///•A / K. ? l/ N.. r? l?'I /•1 / RouBh-inW Date ?, The Electncal ?? ? Inspector, ne?eoy Final , ?T`?`y/ Jips?pechon'hasbeene h / ?B TNa reaueat valG 18 montixi irom This request void Gr? ^ ? 18 rcwnths from :!°'J Y ??? /?aI ? 0 ? 06- Q9 L??? r 'z? Request Date Rre No. Fough in InsPect?on 9-3-1985 RequrteA? ?pp.dy Nu4aWill NoLfy Inspec- ??es [or When ReatlY }Q L,censed Eter.tncal ConVactor ? Owner ? hereby request inspection ot abave ....?m ..o.direu ar. Svee[ AtlAress, Box or Route No. 1554 Clemson Drive Qty ecuon o. Township Name or No, qange No Eagan . County Dakota Occupan[ IPflWTI New HOI'1ZORS - Phone No. Power Supplier Address Elecvical Convactor (COmpany Name) ' O.B. Thompson Electric Co., Ino, Cnnhacmr s License No. A40602 MailinA ?+ddress (COnVar,tor or Owner Making Instailavonl 12201 Mtka glvd., Mtka 55343 Au[horved Sianam,e (COnVactor?Owner Making Installavonl _ Phone Number 933-2521 MINNFFnrn e Grigas-Midway8ldg --RoomN-191 rny .. I"lb INNFt?'IIUNREQUESLWILLNOT 1827 UniversitV Ave„ St. Paul, MN 55109 UNL SSEPqOPERVINSPECTION FEEpS Phone (612) 29].2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Sae instructiens br tomoleting tF.I farm on back of ee-ooom. oa YBIIDW Copy "'X" . Be1ow Work Covered by This Request of Bviltling t Applmntes Witetl ment Wve?] x ange Service wldmg ater Heater r er Y ixtures erciai Bld 9? mace l eaLn i n nal BIAg. Afr Condrtroner dar i rm Mar peofv Tank ther emfy hor W; om pute lnspection Fee Below t Pee Selvice Entrance5ize k Fee Faeders/Subfeeders M FP ? t0 2?0 ({m 5 ?to30Am s Circurts " Abo e200 Amp? 31 to 700 An Ot 40q c?.,...,......_ n__' ps ?i to 100 A . mnc flemrks "?'0?101 '??spec?i?n 5 - nauen- ?? 10.50 Final Inspection TorA? FE?, Date / I. the?clr-?cal Final ?nspectoq he?e by D t e certity [hat the bova a ? ?pac[ion has baen W. request volU 18 months from ??' made. Thiv request voiA q/ZZ ?? 1 iR mun[hs from < < ? 17573 Co ?c? 4 V-S + ^"?, !D • oZ? Huest ? Date .f? ^ ; l ?P Fre No. Fou(?h-ii Inspection Re wred? ?ReadY Nuw Will woLifY InsPeo- tor Wh R , V i s No Nn eadv V7..kivensed Electncal ConVactor 1 hereby request inspection ot ebove ? Owncr electncal work mstalled ar SVeeC Adtlress, Box or Foute Na G[v 15-5q Ct-EMSoI'i DF-?4'-` EAcj?'N PcLOn o. Townsh?o Namc or No. P,inge No. Counnry Ocwpant (PFINT) ?P4o5 Phone No. Pawer SupPlier Atldre ss ? ? ? ^ • ?? PfVI' c?lyrV'V? Hect?nJc?al G?on[ re?cmr (?Company Name) Co(n?v'a?Ccm,r.'7s License No. MailinB A????ros s (GOntracmr or Owner Makmg Instailauonl Auffionzetl Sie natur ICo tractoJOwner Making In stallavon) Phone Number ?-s t o ' SS"7 MINNESOTq $4qTE BOAPD OF ELECTFICITV Griggs?Midway Bldg. - Room N-191 1821 University Ave., St Paul, MN 55109 Phone 16121 297-2111 THIS INSPECTION HEQUEST WILL NOT BE ACCEPTED BY THE STATE BOAftO UNLESS PROPEft INSPECTIpN FEE IS ENCLDSED. REQUEST FOR ELECTRICAL INSPECTION Eg-00001-03 M,? 75?31 ?. ? See inshuctmns for compie<in9 <his furrn on back ot yellow ca0v. Xork Covered by This Request 3 11 ai New Add' Rep. TYpe oi 8mlding Applinnces Wuetl Equinnient Wiretl Home ' Ranye Temporary Service Duplex Water Heater Lighnny Rxtures Apt Buildmy Dryer Electnc Heaun Commercial Bldg. Fumace Silo Unloader Industnal Bldg. Air Condinoner Bulk Mi Ik Tanlc Farm O[her SpecifY Other lS,,oaly) ther ?$uecity pther Other CORIOf/tP I/ISOPCI'lO/t FPP BPIOW G Fee ServiceEnbanceS¢e # Fee Feeders/Subteeders # Fea Circuns 0 to 100 qm s 0 to 30 AmJs 0 to 30 Amps 101 to 200 Amps 31 To 100 Ainps 31 to 100 Am s Above 200 Amps Above 100_Amps Above 100-Amps Transformers ReR?ote Control Circ. Parbal-'Other Fee Signs Special Inspection $ T Renarks ?6FEE Huugh-in Fna? ? cat, ??< mal Inspector, heraby cartity thet 1he ebove inspection has been ade. Ihis repuest voitl 18 months fwm rms ,eavesr R.?.a 5 ?,cn?? +rror l y e 5 Pi i'1 °1 ? L.1 2-, 5I11 l? 5 Reques[ Dale. ? ? Fre No. Fouph-?n Insvecuon Reyu ? ' ady Now Q Wf11 NoUtv Insl?ec- wr W?? n Il d J ! ?X es ? No e ea v ?['rcensed Elec[rical Convactor I hereby reques[ inspection of above ? Owner eleclrical work in¢wlled at Sveet Addtess, eoa or floute No. Cftv q? cUOn Township Namc or No. Range No. Cou?„y )?Qt J? a- Occ wnntIPRINT ??? ?s Phone Nc. +? D :3 bD V Atl ss on EI ontractor (Company Name) ir d J ? G CoMractor s Gcwse No_ AEailmg Address g ractor or Owner Making Instailapon) Z iv ? I rDc _ n -h a A wized S+grvmre (ConhactndOwner M ung InstallalioN Phnne Nuunber . -L)LI7 YpqNESOTA STpTE BOAPO OF ELECTI[ICITY e5;,L THIS INSPECTION REQUFST wILL NOT Grigps-Yidwav Bldg. - Room N•791 8E ACGEPTED BY THE STATE BOAflD 1ffil University Ave.. SL Paul, MN 55106 UNLE55 PROPER INSPECTION FEE IS Phalb (612) zy7-2111 ENCLQSEO. REQUEST FOR ELECTRICAI INSVECiION EB-00001-0+ , See instrucX'" tions lor completing this fwm on baek oi yellow, copy. 3 O :J ?? ? I I?? O ?+c v C 3 Below Work vnver? bv This Reouest o ftm Ada Aeo. Tvva af 8uiltlms Aaoliancea NireC Equiament pired Range Temporary Sernce Duplex Water Heater Lighting fixmras Apt. Buildmg Dryer Electric Heatin Commernal Bldy. Fumace Sdo llnloader lndustna) BlAg. Au Condrtioner Buik Miik iank Farm Othvr Speci y Othe. 15nu'r_sfy7 ... ....... .. l..., 1Mar SnecifY .._....,._ r_ _ .. , Oiher Ofher Y Fee ServiceEntranceSiza # Fee Feeders?Subfeeders # F¢e Circufts /, (J ? to 200 Amps Above 200 qmps 0 tp 30 Am s 31 Yo 700 qmps ?jQ, 0 tn 3Q A. 311 o 00 q mUS Swinunm Pool Abpve 700_Amps AMve 1O0_L?rry?s c:Transiormers Irrigation eooms Partfal-'Other Fee ?wc?ai ?nspec[ion - ?- T07AL FE -?? '!? a'UL % ibugffin . ? 1. .ha Elec ml Inegoce., hmb, F..al cen.ry tne< tna anove l ...- ? ?e e IR4PKItiM htl5 hBG. na.d..w._u.n?......we....... - -,d 5r-m ?m _ 51t-) i%5 2. qa. 0 ? 'I() pequir . atly Nuw ? Will No1i1V ins0ec- / ? ?`? (`.? es ?NO lof When Peady ffLicensed ElecVical Con[ractor 1 heFeb Y neVUest inspectian ot above ? Owne, electncal wnk in¢talled et Sveet Aress, ox or Houte No. CiIY I 'S 1 C ecLO o. Townsh. p Name or No. anpr. No. Cwnty ? O aM (%iIN ? PLOne Nu. ' Po r Supplier Atldr f EleclnUl Contraclor ICOm ny NameJ - ' onVacto,'s License No. c rn)pV ,1 G O y 1 - S Maflinp Atldress t h ctor or Owner aking Imtaila 'on g r5 I r S Au riced Si na ure ICOntraclorf wner Makine ?stallw?ion Pho Number MINNESOTq SiATE BOARO OP EIECTRIGITY v TMIS INSPECTION REQUESf WILL NOT Grigps-Midway Bldg. - Room N-191 BE ACCEPTEO BY THE STATE BOARD 7821 University Ave.. St Paul. NN SSIOC UNLFSS PXOPEN INSPECTION FEE IS Phone (6121 297-2711 ENCLOSED. ? REQUEST FOR ELECTRICAL INSPECTION EB'00001-04 r ? J ,e , See insMUCtions for compleHrg thic form nn back of yellow copY• c C I? ? 0 17 65°iP "%" Below Work Covered by This Request p Fae ServicaEntrance5ize tt fee Feetlers/SuGteaders b Fee Gircmts 0 to 200 qmps 0 to 30 qm ? 0 to 30 An? s Above 20Q qmps 31 [0 100 qrnps 31 to 100 ArnflS Swinming Pool Above 100_Amps Above 1f10_A?" Transtortners Irrigation eoorrs O Partial.'Olher Fee "gn5 aUeciai inspec:ion TOTAL FEE Remarks y UU p Rouph-in f Datc ? I. the Elecvi A c 3-4 Y? InsDacb.. he.eby CBrI ifv [Mt ihe above Final a}w? inapect4on has Eeen f amea. Thfrequestvoltlt8monllmfrom p CITY USE ONLY PERMIT #: ?jzg RECEIPT DATP: WKSIDEN17lEL MECHkNICAI. MO1T APPI1CATIOR crrYoFEAs,ax 3930 Pnor xtvoa Rn ElkHAA MA 551 YE 651-887-4676 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: dS U? SITE ADDRESS: OWNER NAME: TELEPHONE #: Vc 51 loipi 1- I brJ9 (AREA CODE) INSTALLER NAME: TELEPHONE #: C5 ( _q2, 92, L (AREA CODE) STREET ADDRESS: ? S?-• ? ? • ? ?_ P • G • T?)? q.? I `,?.?. CITY: ?SeIY?K?IJ? fN?- STATE: ?_ ZIP: ?-?]i?'fi3? Place a check mark next to the aermit work tvoe New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existina dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditione i/? . • other / Nature of work: State Surchar e $ 50 7otal G Reneinder: Calt for inspections. Zz:<" , SI TURE OF PERM EE Updated 1101 PERMIT CITY OF EAGAN 3830 Piiot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuzLozNc Permit Number: 0 2 8 8 8 2 Date Issued: 9 3/ 2 0/ 9 7 SITE ADDRESS: 1552 CLEMSON DR L'OT: 13 BLOCK: 1 THOMAS LAKE MESGHTS 2ND P.I.N.: 10-75951-130-01 DESCRIPTION: B,uilding%>p_ermit 7ype ?3uildi°ng WB.Y* \ Type Census Gode c? ='3,s ? rX ti r •It ? y,w,,F - ' , £ ;k? Y? i Base Fee $50.90 Surcharge $.50 Total Fee $50.50 A. L)?}" LS REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - OWNER: N6LSON, KEITH 14206559 HESTER KELLY 18511 86TH PL N 1552 CLEMSON DR MAPLE 6RpVE MN 55311 EAGAN MN 55122 (512) 420-6550 (612)681-1609 ? UECK flDDITION 434 ALT. RESIDENTIAL I hereby acknowledge Cha-tI,hzva read Chis infiormati.on`is-aorr'ect.and`?agree to cqmply Statutes and CiCy of Ecigan OrdxnanCes., PP ICANT/P Fy IITEE SIGNATUfiE application and state that the wgth atX applz-cable SCaCe of Mn. ? -L U ISS BV: SI ATUR CITY OF EAGAN ? SD • S? ltssot 3830 PILOT KNOB RD - 55122 $141-1 996 BUILDING PERMIT APPLICATION (RESIDENTIAL) r' 681-4675 New Constmclion Renuirements RemodellReoaii Reauirements A7 ? 3 registered sile aurveys ? 2 cropies ol plen ? ? 2 eoples ot plans (inGude beam 8 window sizea; poured frM. design; ele.) ? 2 site surveys (eMerior add'Rions & decks) ? 1 energy oalculalions ? t energy calculations tor healed additions ? 3 copies of lree preservatlon plan if lot pletted after 711183 requfred: _ Yes No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ?O ,I? / O? DL C? L;?' ?C-."?-? S?1 ?^> ST ET ADDRESS: 14§ Z ?l?C--"Y?fl''`J ?/L/ ?`c ? ?-?'?j liYl? `d ?l ZL LOT L2- BIOCK / SUBD./P.I.D. ry`? k-5 PROPERTY Name: / Phone #: OWNER uaT rwer ?LL- Street Address: CitY State: ??- Zip: c;l? CONTRACTOR Company: A1?Lt,5?*-/ Phone #: Street Address: License #: City: rn?LS State: rn-J Zip: ARCHITECT/ Company: Phone #- ENGINEER Name: Registration #' Street Address, City: State: Zip: Sewer & water licensed piumber: change are requested once permit is issued. Penalry applies when address change and lot I hereby acknowledge that I have read this application and state that the inform is cand agree to comply with all applicabte State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Yes No _ Yes _ No RECEOMLDD $E'fl { $ 5396 --------------- PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number Date Issued: BUILDTNG 029680 04/09J97 SITE ADDRESS: 1554 CLEMSON 11R LOT: 16 BLOCK: 1 THOMAS LAKE HEI6HTS 2ND P.I.N.> 10-75951-160-01 DESCRIPTION: Buil?€iing permit Type ' Buildi@aAg,Work Type ; Census Cod,e J t . _.... _ .,`' ? Fr ?.. . DECK NEW 434 ALT. RESIDENTSAL 4Y ,t1.1'? , - ?....5. ... .._,. REMARKS: FEE SUMMARY: Base Fee $50.00 5urcharge $.50 ToCal Fee $50.50 CONTRACTOR: - q p p 1 i c a n t- OWNER: NELSON, KEITH 14206550 LINDQUI5T ROBERT ' 18511 86TH PL N 1554 CLEMSON DR • MAPLE GROVE MN 55311 EAGAN MN 55122 a. (612) 420-6550 ? \- Z hereby asknawledge that Z have readthis-application and.state that the infiormation is correct attd agree tQ oamply with a11 applicable State ofi Mr StatuCes ao'City'oF E'lafgan Ordinahces.` C APPLI AN /PERMITEE SIGNATURE SUED BY' SIGNAT 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) Aduw CITY OF EAGAN pu? wP`??7 3830 PILOT KNOB RD - 65122 681-4675 New Construction ReauiremeMs RemodeVReoair Reauiiemenis ? 3 repistered ake aurveye ? 2 wpies W plan ? 2 copies of plans (inGude beem & window afzes; poured fid. dasign; eto.) ? 2 site aurveys (exterior adtlitions 8 detlcs) • 1 energy calalatbns ? t energy eelatletions kr heateE addlGOns ? 9 copiea of tree preservation plen B IM plattetl after 7/1193 required: _ Yes _ No " DATE: ( CONSTRUCTION COST: ?6:9 ? DESCRIPTION OF WORK: STREET ADDRESS: LOT -/&_ BLOCK '6x Ja -9LZi(- SUBD./P.I.D. #: ? PROPERTY Name: I7Ggj 2&X) ?{« S Phone#: OWNER ? ... Street Address: City: State: VA A1 Zip: s51Aa coNrwacTOR Company: l f 2 I-rl?- Phone #: ?? ??550 Street Address: License #: City: Im f}G'?? ?' !? State: Zip: ARCHITECTI Company: Phone #: ENGINEER Name: Registration #: Street Address: Ciry: State: Zip: Sewer & water licensed plumber (new construction only): . Penalty appiies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appliption and shate that the iMortnation is co ct and agree M comply with all applicable State of Minnesota Statutes and Cily of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Ceriificates of Survey Received Yes No Tree Preservation Plan Received - Yes _ No _ Not Required RECEIVED UTAR 31 1997 BY? o.so 1999 FIREPLACE PERMIT APPL1CA710N CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 . Date: ? - lp`1? - 11 (? Description of Work: ? Construct new fireplace Zc Gas _Masonry _ Alterations to existing _ Install gas tnsert onlv ? Install gas line only Other Job address: 1?YC4 C (e4ti So n L)r ? p a Lot: 1 Block: I_ Subdrvision/P.I.D. #-tL0 UV? 0? LCA n Applicant (circle one only): Owner Contractor Perntit Fee: $60.50 PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Namel--t \.,A ?bdL{ Phvne #: Last Firs[ ' Street Address: l5 5q Cl p-/v. ? ar? b," City Cg ? State: t"l sJ Zip: ? Z z- Company:r"Z c GGrc..?? Phone#: ?(Z- Z? (area code) i I b StreetAddress: q Z-tU GcJ?c.-ti,r? 4c?c 1j o City 17 ? no \L? ?„? ??o-V ft - State: Zip: S5^L-l`fS? Company: A bo o? Phvne #: (azea code) Stree[ Address: Ciry State: Zip: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature JUN 2 8 Igog . - = PERIVIIT CITY OF EAGAN 3830 Pilot Knob Road pERMITTYPE: auzLoztis Eagan, Minnesota 55122-1897 Permit Nu mber: 0 2 8 9 5 5 (612) 681-4675 Date lssued: 10 / 0 2/ 9 6 SITE ADDRESS: 1552 CLEM50N OR L07: 13 BLOCK: 1 THOMAS LAKE HEIGH7S 2ND P.I.N.: 10-75951-130-01 DESCRIPTION: ? .? DECK FT6S Bu?f`idinV,,Permit Type 5uilding-Wis,rk Type .°Census Code < y , ONLY MISCELLANEOUS ALTERATION 434 ALT. RESIDENTIAL r ?f ?"a.. aJ cd?;- t'1^ih1?n??`' V'•^y......, REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee VALUATION $21.00 $.50 $21.50 $200 CONTRACTOR: - Applicant - J&C CONCRETE CO 18280877 8924 MT CURVE RD BLOOMINGTON MN 55438 (612) 828-0877 IL OWNER: HESTER 1552 EAGAN I hereby acknowledge that Z have read Chis intormation is sorrecx and agr;ee to'complyStatutes and City ofi Eagdn Ordinances.r APPLICANT/PERMITEE SIGNATURE KELLY CLEMSON DR MN appli,caCion and state that the w2th a1?;l appl3cakle,State of Mm. ! ISSUED IGN TUAE . CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construdion Reauirements RemodeUReoair Reauirements ? 3 registered site Surveys ? 2 copies ot plan ? 2 rnpies of plans (indude beam 8 window sizes; pourcd fid. design; etc.) ? 2 site surveys (exterior add'Rions 8 decks) ? 1 energy ealculationa ? 1 energy caiculatione for heafed additions ? 3 copies of tree Dreaervation plan i! Io1 platled efter 711I93 ? requlred: _ Yea _ No ? ao DATE: c CONSTRUCTION COST: DESCRIPTION OF WORK: ? ?m a? STREET ADDRESS: 4 LOT IA BLOCK SUBD./P.I.D.#: PROPERTY Name: rPr??4PJv Il, Yd Phone #: OWNER ""`T Street Address: City: State: Zip: CONTRACTOR Company: J?C Phone #: -Y ,?/; ?-- ? c Street Address: ?G?LaF ?LY • License #: City: G`L`/YI ! rilt6 Al State: _ n41 Zip: ARCHITECTI Company: Phone ENGINEER Name: Registration #, Street Address- City: State: Zip: 'I Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is cortect and ree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of ApplicanY. OFFICE USE ONLY Certificates of 5urvey Received _ Yes _ No Tree Preservation Plan Received - Yes - No 7985 BUILDING PERlQT APPLICATION - CITY OF EAGAN NOTE; ALL CONTRAC?ORS MOST BE LICENSED i{ITH TAE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY ? oF ¢?x 1 SET OF ENERGY CALCULATIONS To Be Used For. 4 5g,?. = ? .RtSiDfIJCL Valuation: Date: Site Address; J""Z CLtMse.J vclt)2. Lot: 1j_ Block _L Parcel p OFFICE USE ONLY Sect/Sub /j0?i ?NEcErect A'0114y-5, Remodel Repair Enlarge Oxner /y° _1 AloRizo.? /4,.o,es Move Demolish Address QO Box 131,7 Grade CitylZip Code inp/s. Contractor s,¢,,,ff-- APPROVALS Address Gity/Zip Code 4ao - 3 ? o-tp Phone !k ionEmoVE: Arch./Engr _'p GRrsuioLd Address X Occupancy '2-3 _ 2oning PD , _ Type of Const SZ' _ !1 of Stories _ Ler.gth 44 _ Depth _ Sq Ft Assessments Permit ?j07, ? Water/Seaer Surcharge 2cl.pD Police Plan Reviex I 53, 5-° Fire SAC 525. °= Engr Water Conn SCO. Planner Water Meter `O Council Road Unit Sldg Of? S'Parks APC Treatment Pl 132 ? 0 Variance Phone d_ y3s- 7S2 ?f T07AL (TOWNHOUSE) CITY OF EAGAN N°_ 10070 . ' 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 BUILDING PERMIT PNONE: 4548100 Receipt # Te !, med ier 1 OF 4 PLEX Ee, Value $ 5 8, 000 pote APRIL 10 1 p 85 SiteAddrees 1552 CLEMSON DR Erect IN Oecupanay R3 ?t 13 B??k 1 ?„rc?y THOM LK HTS 2NDRemodel ? 2onln9 PD Pareal No. HeOair ? Type of Contt. V Enlarge ? No. Storiea NEW HORIZON HOMES INC M°ve ? Lenytn 44 Name Addm,s P• O• BOX 1367 c;ty MPLS Phone 420-3900 9 I Neme SAME ?u g aadre„ 1- Citv - Name ? • ••?••. •• Addrmt ci<v Phone 435-7524 Demolizh ? Depth 27 Grade ? Sq. Ft. Install ? ApprovoM Feea Assessment _ Woter 6 $ew. Polica _ Firs Eng• Plan?wr _ ?ro Council _ aen„lr :P 367.00 Surclnrga 29.00 Plan Review $3. 0 5AC 525.00 Water Corm. 500- 0 Water Meter 6-4- 0 Q Rxd Unit 2R4n0 1 hereby ackrowladge that I hove rcad thls apDlication and store thoe Bldg. Off. 4 4 8 5 I T. P. 132.00 tM inlormation iz corcect ond ogree to comvly with all oppliWble StoN of Minnworo Stotut ond G of Eoya Ord' ances. APC Total S1 ? 9RQ _ 50 Var. Date Sipnoturo of Pa+niMes A Buildinq Pamir Is fssued ro: NEW R 2 N ES INC m the e?? condi??? th., all work shcll be dona in occordonee with oll oppli Sfaro of Inne f utes ard Ciry of Eopon Ordironcss. Bufldirp Ofllcfol w 7#L 1985 BUILDIHG PERlQT APPLICATIOH - CIT7C OF EAGAN MO?E: ALL CONTRACTORS HUST HE LICENSED HITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS , 3 CERTIFICATES OF SURVEY 7 SET OF ENERGY CALCULATZONS I or 4 F.cx - 58?ccc? To Be Used For: R?a.ncricL Valuation: ,T; easet^" Date: 3-/d-8S Site Address: f_,r-_rZB Ge#nsoJ Ort,vs_ OFFICE USE OHLY Lat: IV_ Block _I SectlSub LoEtErect A'0114y3 Remodel Parcel !! 21?n Repair Enlarge Ouner A/p..I hfo,eizo.? .?Jo.?,PS Sve.. Move Demolish Address _ PO. I?ox 13 7 Grade ? Occupancy Z•3 _ Zoning Pp _ _ Type of Const _ # of Stories. _ Length ?4- _ Depth 27 _ Sq Ft City/Zip Code Contractor 9- Address City/Zip Code Phone ll Arch./Engr V. (;itjsu)oLd Address Phone # y3.r- 7S21( APPROVALS Assessments Permit , o0 Water/Sewer Surcharge Zq.=° Police Plan Review 153 '$O Fire SAC 525•" Engr Water Conn 5pp.°-° Planner Water Meter (fl3 '? Council Road Unit 250.m Bldg Off Parks APC Treatment Pl 132.°% Variance rorat. ( TOY7NFi0USR ) - - - --- - - . CITY OF EAGAN (v0- 10 0 71 ° 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PNONE: 4548700 BUILDING PERMIT RKelPt # •-?v Te M rwd fer 1 OF 4 PLEX Est Value $58, 000 Date APRIL 10 1985 1552B CLEMSON DRIVE Erea (Z Oecupancy R3 SitsAddren THOM LK HTS 2NDR°'"°dei ? Wt 14 si«k 1 Sec/sub Zoninq Pp . Repeir ? TYPe of Conrt. V Parcel NO. Enlarge ? No. Storiez NEW HORIZON HOMES INC M°ve ? Lenytn 44 Name P SOX 1367 P O Damolish ? Depth z'] ? . . A?ms Grade ? Sq. Ft. City MPLS phane 420-3900 Install ? SAME m ? N APVruwaIa Fwo e e o? Addreea Assessment Permit ? 7• ? 0 u Warer 3 Sew. Surchcrya 29 . 00 1- Citv Phone Police Plan Review 153.50 GW Name D. GRISWOLD Flro SAC 525=00 Addresa • Erp. Woror Conn. 5100- 0 iW City Phone 435-7524 plwmr WoterMeter ?0 Cowcil Road Unir 2Rn np I hercby oeknowledgs thot 1 have read this applicofion and state that gldg. Ofi. 4 4 85 T. P. 132 . 00 fho inlormofion ia correcf ond agree to comply with oll upplicabla APC Total 1? 989 . 50 SMfa of Minnesoro Stature nd Ciry f Eoyon rdin cos. Var. DMe I ? $ipnofuro of Pertni ttas A Buildinq Parmit Is Issued k+: NEW HO ZON HOM INC on ths axpreaf eonditlon lhal dl wo.k shall be dona in eccordonce with oll opplioa Stofe qrFM hq ewfo $tatutes und City ot Eopon Ordinoncea _ BWldinp Offkiol 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAH NOTE: ALL CONTR6CTORS F[UST BE LICENSED HITH TAE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY ? OF + FLEk ? 1 SET?OF ENERGY CALCULATIONS To Be Used For: ? ?ZES, DEtiCL Valuation: ??oo Date: Site Address: ?Sy CLe,.rsa..? ?yL OFFICE USE ONLY Lot: /,& Block _L Sect/Sub o?.?. L,aEtErect A'O f 1h*-S Remodel Parcel 1F 1111 Repair Enlarge Owner ?/ o _) ,[/o?e zo.? f/ c,nsss Sz,?-. Move Demolish Address _ PO, BoY 1307 Grade City/zip Code LyW /r, /l7 .",. ,TSybrO , ------- X Occupancy 2-3 _ Zoning PC) Type of Const _ 1f of Stories _ Leagth ? _ Depth 27 _ Sq Ft Contractor _ s,4,,,&L- APPROVALS Address Assessments Permit ?jp'] °-° Water/Sewer Surcharge Z9.S Police Plan Reviex 153 $O Fire SAC sZS °-° Engr Water Conn 50D.°' Planner , Water Meter f03 °-° Council Road Unit 7?•= Bldg Off Parks APC Treatment Pl -77---°' Variance TO2AL City/Zip Code Phone # Arch./Engr P. G2Psu.loLd Address Phone # y3,7-- 75-2 y ? ( TocaiaHousE) BUILDING PERMIT Te M wsd lar 1 OF CITY OF EAGAN N°_ 10073 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 ?? ^,? ? Receipf ?F / 4 PLEX Est. Value $58, 000 p,,p APRIL 10 .85 Sitenddren 1554 CLEMSON DR Lot 16 Block 1 cec/5ub. THOM LK HTS 2ND Parcel No. W Name NEWIDRIZON HOMES INC ? Address P.O. SOX 1367 Crcy MpLS Phone _ 420- 00 =g Name _ Erect ? ocwpancy R3 Remodel ? Zonin9 P!1 Revair ? 'fype of Const. V Enlarge ? No.Staries Move ? Length 44 Demolish ? Oepth 27 Grade ? Sq, Ft. Instell ? AoOremb hes s? Address Asussmenf Permit !? 307?_00 City Phone Water d Sew. $urcharge 29.00 ?+W W D. GRISWOLD Name Po11Ce Plan Re?ew 153.50 ?_Z Firo ' SAC 525.00 i? Address ?W 435-7524 City Eng' worerConn. 500 _ 00 plhona Plonner Wafer Meror 63-.Q 0 I hercby acknowladgs thuf 1 haw read lhis applicotion ond stofe fhet CounNl !1 Rood Unit 28f1 0 Na inlormotion Is Correct and agree fo comply with ull opplicabla Bldg.Off. -4,/4/195. T.P. 132.00 Stah of Minnesoro Statutes d Gry of Eagon Ordin ces, A ? Taal S1 _ 989 50 Siprwturo of Perminn Var. Oate i _ A Building Permif is issued ro: ? pi the ezpress cadiflon thoi all work sholl be dons in occordonee with all limbla o e innewro Statutea ord City of Eapon Ordlrwneec Buildirq Offteiol e Ds? _'_ J ';?i5 ,. , ?/? ) a---- 1985 BUILDING PERMIT APPLICATION - CZTY OF EAGAN NO?E: ALL CONiRACfpRS MUS1' BE LICENSED 1IITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS , 3 CERTIFZCATES OF SURVEY 4 oF 4- P?tX ? SET OF ENERGY CALCULATIONS To Be Osed For: ??' RE.SiDEvCL Valuation: Date: Site Address: /,?-syB ele,.,so., ID,91od. OFFICE USE ONLY Lot: lg? Block _L Sect/Sub 77,,.,, ?hr-Erect ??,041'3 Remodel Parcel 0 a ^rO Repair Enlarge Owner ?/p__J ?loRizo,? Move Demolish Address _ Q,O. gox 1367 Grade City/Zip Code ,TSy(,/? .` Contractor s,¢,,,jr__ APPROVALS Address X Occupancy ?-3 _ 2oning PD , _ Type of Const y _ # of Stories _ Length ? _ Depth 27 _ Sq Ft Assessments Permit -301 °, Water/Sewer Surcharge 29.00 Police Plan RevieW IS 3.SO Fire SAC 5Z5 °° Engr Water Conn C °° Planner Water Meter (03.0? Council Road Unit 2gp °-• Bldg Off Parks APC Treatment Pl 132.°? Variance TOiAL City/Zip Code Phone # Arch./Engr 9, GKPsc.JoLd Address Phone 0 y3.r 752y (TOLdNd30US^ ) Q - . BUILDING PERMIT T. M awd f. 1 OF 4 PLEX $58,000 N_ 10072 Receipt fk ?U/» siteqdOre 1? 1554B CLEMSON DRIVE Ereet 12 ocapency R3 La Bl oek 1 Sec/Sub. THOM LK HTS 2NDRemadei 0 2oninq nn Parcal No. Repair ? l`ype of Conrt. 17 Enlarge ? No. Stories W Name NEW HORIZON HOMES INC Move ? lsnqth _44 Addrae P . O. BOX 1367 Demoliah ? Oepth Z 7 ? City - MPLS vhone 420 3900 Grade Insta11 ? ? Sq. Ft. 619 ? Name _ Addrefa CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Phone ?Z Ne,na D • GRISWOLD x0 Atklreas <W ciri Pnone 435-7524 1 hercby oekrawledpe that I haw read this opDlicotion and srore thae tM inlormotion is Correct and ogree fo cnmply with all opplicabla StaM of Minnewto Smtute..nnd [iw .af Eeun.. n.e?on..... Sipnoturo of PenniMaa l A Buildinq Permit h isauee re: NEW H IZON oll work slwll be dona in accordance with oll a/mimble Buudinp Olfldol Assassment Woter 3 Sew. Poliw Firc Enp. Planner Counc7l Bldg. Off. 4 4$ rJ APC Var. Date Feas I perm7a o ?I SurcMrga 29.00 Plan Review 153.50 SqC 525_00 Water Conn. 500. 00 warer Merer 63,4 0 Road Unit 280 _ 00 T.P. 132_00 roeei $1.989.50 on fha expren conditian thol Statutes ond City of Eopon OrdironeaL ,- ?? ?.;j t-?r?? zot?1 !-! 3,. ???? 4k : ? U5r,_7 `i'GhL Taw ??1?b HEArLosscnLcuLAnoris ". HEATINGBAIR CONDITIONING o" `, IV,c7(" 2, CO. MINNEAPOLIS, MINN, Weatherstrips A,S.N.V.E. ConeUUCtion Nof``'° Insutation NTindows Doors Guide fleference Out. Well Int. Well Ceilinp Root Floor Kind Now Applied Ves-No Yas-No 19__ . -----'---- FI.?_?r1v(? Roan Length 'j-1 Width 12 Heipbt ? ? FI. QnAS1 &.* Room Length ???0 -W:AN+ YJi ndows a nd Doors- Cracka ge and Ar ea Windows and Doors-Crackage and Area Nu. w.A,n ?I an Ne,Oht ot ane No of ti.?ts ?ineal it. ol r 1 Area •. f6 No. s?h o?eip?A ro Nn.^os o1 oack z z 21 1 17 a ?. ? ? Coef Btu . Coof Inliltration InlHtretion 21 ± Glass 2y 56 Glass Exp. wal I 'y7 ? Z Exp. well 1O X Net exp, well. 91 Net exp. wall ?2. -hR. watt otfr 1 I17 222 Int. well Ceilmg '2.,-2- -C ?.Z 2b Cefling 2 0lq '? ` ... Floa Floor Iotal Btu. 7,5-117 'TMaIBtu. FleUuired sq. tt. E.D.R. or sq. ins. W.A. Leader ares ' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. [. [?vera[,., p;^+ Length ?Width Height FI. 13f 2+04NOm Length ?5 Width ' Neight.__ Wi ndows a nd Doors- Cracka ga and Ar ea Wi ndows a nd Doors- Crecka ge and Ar ea No.` Wrd, h ol gna Meiqht o1 ens No. of h hla Lmeel f6 of cr ck Area rs. Il, No • yyh ol 00! N?aA?? o/ ann No. u? li h[e L?neal N. of crack Area s• f6 u' g Nrio .Z . ?g 2 ? ? Coef Bcu ' Coel Btu Intiitretion 214? Intiltretion Glass S? 06b 'Glass ?-1 ..?,, '(•'`f ? Exp. well 0, $ Jd Exp. wall Net exp. wal l ? Net exp. wal I E) Int. wall Int. well ceuine 1 x'l 1 2.$ ceiiine F 100r . f IOOf ,.• r • . _ , Totel Btu. 5 Totel Btu. -t 3 Required sq. ft. E.D.R. or eq. ins. W.A. Leadar areo Required aq. ft. E.D.R. or sq. ins. W.A. Leader area FI. (ioam Length 12, Wid[h Heighl ? FI. Roan Length j Width `y Heidht Windows and Daas-Crackage and Area Wi ndows a nd Doors -Crack age and Ar ea No. W?E?h ol ane Ha?p?t ot qne Na. of li hta L?neal f[. ol rack 4rea s. fl. ' No' Wiml ul ane H Q1?1 ul nne No. oi h his Lineal It. ol crack Aiefl s0• fl• Coef Btu Coef Btu I0f1 ltrBIIOO IOfI ltlfltl0ll Glass Glass Ezp. wall Exp. wnll Net exp, wall Net ezp. wall Int, wall Int. weli Ceiling 12?C'I ?j. Zj0 ' Ceiling Flow ?rlax Total Btu. ' Totel Btu. Require:f sq. ft. E.D.R. or Sq. ins. W.A. Leadxr area ? Required 6p. ft. E.D.R. or 6q. ins. W.A. Leader area • • `-; 1?f?'M`y:;'i?'' •,F . ? .. . • , .. ? ?.?? "... HEaTLosscALcuLanorus = HEATINGSAIR CONDITIONING CO. MINNEAPOLIS,MINN. Weathersvips A.S.H.V.E. " CortstructionNo.!"?.'' Insulation Nlindows Daors Refere?e Guide Out. Wl Int. Well Cellinp; -Roo/ Floor Kird How Applied Yes-No Y85-No 19__ . _, jFl. ?Q Room Length IQ Width HeieAt 7; FI. ' Room length Width Height _ YJi ndows and Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Are a No. W of ena He'pNt of ane No. ot 1? hro l neal It. of cr ck Area ' N?' WiU?h 01 a Meioht of sne Nn. ol Iigh1s Lmeal h. ol crack Area ea. It. 1 2 ?.0 16 Coef Btu Coef 6tu A Intiltration ?Q 7G0 ' Intiltretion Gless Glaea Ezp. wall x Exp. wall Net ezp. wall a ' Net exp. wall Int. wall Int. wall ----- Ceiling Cellinp . Floor (,y"] Floor Total B[u. Tot91 Btu. ' Required eq. ft. E.D.R. or sQ. ins. W.A. Leader erea Required sq. ft. E.D.R. or ep. ins. W.A. Leader area Room Length }, Width Haight FI. Ropn lenBth Wid[h Height _ Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea No. ?''d?h ot en NeipM ot erro No. ol I? h1e Lmeel h. af c. ck Aren c. f.. N?• ol Bn Nx; pht n/ ann No. ul 1? hte Lineat It. of Creck 4rea sp. il. v 9 Z 4 la° (v 2 , Coel 8 tu Coaf B tu InfilCretion 18 117 2223 Infiltretion Gless QD ' Glass Enp. wall Exp. well Net exp. I I 29Z 4.1 1137 Net exp. wall Wt,_? ( ? V 2•Z Int. wall Ceiling ' Ceiling _ Floor 42 l ' Floor totel Btu. I 7 ? Total Btu. Requ?red sq. ft. E.D.R. or sq. ins. W.A. Leader area Required eq. ft. E.D.R. or sq. ins. W.A. Leader area ; fLf Length 1 Wid1h HeiBht FI. Room Length Width Windows and Doors-Crackage and Area W indows a nd Doors -Cracka ge and Ar ea Nn. ? ni dn He?9M Of An0 No. of li ht! Lineal IL OI , Ck Area sa• It. NO' WiNI. al BO8 IU??pbt YI P?e No. nl L ht5 L,neal ft. Of CrdC4 4?en SQ. «. COBf Btu Coef P. [u .... Iniih,atiw `Inliltration Glass Glaea Exp. wall Exp: w»II Net exo. wall 7X4> Net exp. well Int. wul( Int. well CBiImg Celling Fluor FIMN Tocat on,. raal em. - --_---- Requi,c-l sq. (t E.D.R. or sq. ms. W.A. Leader erea Raquirecl sq. ft. E.D.A. or sq. m5. W.A. Leader area __? / r ? t.?• 9i ? 931~ ?O ? J G?' Q? \ ,32., (935.0) -.? Zo d? , ., , , .? ,?. , r ? ?63°Ep b ?0 k D '? r-p3 ? q4 ? 'otP ? 3i° ?/ W o?o ?J ct / ! m ? ?l"54Y i 00 / L6L?1?Gi-/?? (yg5.5) (y36.o) O Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 937.0 4-- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= y 37.5 I hereby certify that Mis is a true and correct representation of a survey o( the boundaries ot Lots 13, 14, 15, and 16, Block 1, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visible encroachments, ii 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 1'irh day of March 19 SS . ? ? G?'2??-?r? Paul A. Johnson Land Survevor, Minn. Reg. No. 10938 """ 111.40 CERTIFICATE OF SURVEY BOOR ?l1GE fior LCICOMBS-KNUTSON ASSOCIATES, INC. '?)???? centuuiNc [ga+lut ? iue iuertro. i m sit[ rux.[?s ''c ]rq, ?W ?"? I"?S WIMEUOLK M MUTLMiWOM,YIMNEiOTA /43O 16:vmmZxL;inL 11??"10 2002 BUILDING PERMIT APPLICATION ? CITY OF EAGAN ? 651-681-4675 ?? 3, a 5 Foundation Onl New Construction Interior Im rovement . Structural Plans (2) sets • Architectural Plans (2) sets • Archdectural Plans (2) sets . Civil Pians (2) • Spvctural Plans (2) • Code Analysis (7) . Certificateof5urvey (7) • CivilPians (2) • ProjectSpecs (1) . CodeAnalysis (1)" • LandscapingPlans (2) • KeyPlan (1) . ProjectSpecs (1) • CodeAnalysis (1)" • Master Exit Plan (t) . Spec. insp. & Testlng Schedule ^ • Certfiqte of Survey (1) • Energy Calcula6ons (i) nOt always'* . Soils Report (t) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Fortn (1) not always"' . Meter size must be established • Meter size must be established • Meter size must be established - if applica6le • PmjedSpecs (1) ! • EnergyCalculations (1) L • Electnc Power & Lighting Form (1) 1 . Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1)'*" 1 1 • Soils Report (t) 1 . MC/ES SAC determination letter . MC/ES SAC determination letter • MClES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 Tnr details. Contad Building Inspections for sample. Permit for new 6uildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: /5 6 WORK TYPE: _ NEW -1- REMODEL CONSTRUCTION COST: / S.f9f14 SITEADDRESS: TENANT NAME t-v-?, SUITE#: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK /(J 4 ,C_- PROPERTY OWNER CONTRACTOR ARCHTTECT/ ENGINEER I3ame: ' Lu--'7 / ` j% ? Phone #: ( J/? ) ?'lis r ?.i? Last Fust 54eetAddress: ?? '6`? S c6 City: ???5 State: nr 1? Zip: 5,5 Company: )3 c7-- Phone #: C-/ Z 1 S6/' e5'0-el- 5 StreetAddress: ZC ?. Y-t- S 7- City: &1 /?j? State: dZ6l Zip: 15 S Yl ? Company: _ Name: Stceet Addiess: Ciry: Licensed plumber installing new sewer/water Phone #: I hereby acknowledge that I have read this application, state that the infortnation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PP licant: ? Si9nature of A ? ? f n r', Phone #•. (?lli ? ? ? iu Reei??tra !oa?:?l ( 1 2002 ?i - State: Updated 7102 THOMAS LAKE HEIGHTS 2ND 75951 APPROVED 3/85 PAGE 1 OF 5 PERMIT DATE & TYPE LOT BL ADDRESS 10/86 4-PLEX OIO 020 030 040 3/85 4-PLEX 0$0 060 070 080 3B5 4-PLBX 090 100 110 120 4/85 4-PLEX 130 140 150 160 5/85 4-PLEX 170 180 190 200 5/85 4-PLEX ZIO 220 230 240 10/85 4-pLEX 2$0 260 270 280 Ol 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 Ol 01 01 01 01 01 1538/ CLEMSON DR 1538B/ 1540B/ 1540 1542/ CLEMSON DR 1542B/ 1544B/ 1544 1546B CLEMSON DR 1548B/ 1548/ 1546 --------- 1552/ CLEMSON DR 1552B/ ? 1554B/ ?. 1554 f f. ----- ""? 1556/ CLEMSON DR 1556B/ 1558B/ 1558 1562/ CLEMSON DR 1560/ 1560B/ 1562 1566/ CLEMSON DR 1564/ 1564B/ 1566B 31 ?-??q 6 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date / ! v5? I CX Site Street Address ? ?.? ? [ X1? /?. ??ll?T ?/ ? Unit # PropertyOwner ?I(r?' ^?/fti'" ? Telephone#?'?.?}? Contractor- LZZa?,Y/?ZeA2 Telephone# Address ??5L ?? ?d C3a City y ???efU P State,k?w Zip ? The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. If you are only installing a water softener and/or water heater, the fee is $15.00 plus the state surcharge - see next section. _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: A Water Softener _ Water Heater $ 15 00 J?_ replacement _ additional Lawn IrrigaEion System _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. n I l 1 /I // /-? o Ili.,1 `s' ?C? ?'? ??' I _R App icant's Printed ame A ica 's Sign, ?I ?' ?JHI? 2-5 2005 ?„ ?-l?c?? 3?n 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Reamrements RemodelfReoair Reauitemenis OE(ne Lke Onld Cer1 of $urygy Recd . , Y_N 3 registered srfe surveys shaxmg sq- ft of lol, sq. fl ot house; and all wofed areas 2 copies of plan 1 set of Energy Calculations for heated addtions , ReePres:Plen RecU •;°.'. _ _`t --N (20% maximum lol coverage allowed) 2 copies of plan showing beam 8 wincbw sizes, poured found design, elc 1 site surveq For addtlions 6 decks t i ' TreePres Reqoired. ' Drrsi125eptiCSyslem:: Y;,;,N Y N isetofEnergyCalculaLons csys em rfon-sifesepf Addihon - mdicafe . _ .... 3 copies of Tree Preservahon Plan if lot plafled affer 711193 Rim Joisl Detail Options selechon sheel (buildings wiih 3 or less units) ? ` 7 Date Construction Cost ? ?? ??' UniUSte # Site Address Descriprion of Work yV ? QyV? Multi-Family Bldg _ P_ N Fireplace(s) _ 0 _ 1 _ 2 c /?? ? ?7D ?Y Tel?ephone #( ?/ Property Owner tor Lifetime Siding & Remodeling, InC. C t rac on Address . ? C'ty a State Zip Telephone # 1 /R u COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory t Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitled Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/W ater Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan i the case of work whic?h rr?e ?r? a?rnniew and approval of plans. 1 L? lUJ U LS D JG?.i'1el I- D? 1?`' i 5 I I S 2005 Applicant's Printed Name App 'cant's ignature ? ?-70 D q 2007RESIDENTIAL BLTILDING rERMtT arrLicnTiorr City Of Eagan 3830 Pilot ICnob Road, Eagan MN 55122 Tetephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion fte4uiremenis 3 regatered site surveys showing sq ft. of lol, sq. R. of house; and all roofed areas (20%mmimum lot coveraqe allowed) 1 Soils RepoArf proposed building is ro 6e placed on disturbed soil 2 copies of pian shovnng beam 8 window sizes, poured found design, W. 1 sel of Energy Calculations 3 wpies of Tree Preserva6on Plan if lot platted after 711193 Rim Joisl Detail Optlons selectlon sheet (6uildings Wth 3 or less unils) Minnegasco mechanical ven6laYOn form cILIg, 00 C6- RemodeVReoair ReauiremenLs Office Use Oniv 2 copies of plan showing footings, 6eams, joists Cert of Survey Recd _ Y_ N 1 selofEnergyCalcula6onsforhealedaddiGons SalsReport _Y _N 1 site survey for addNons & decks 7ree Pres Plan Recd _ Y_ N. Add'N'on - indreate i(on-srte septic sysfem Tree Pres Reqwred _ Y_ N On-si[e Septic Sysiem _ Y_ N Pians are considered ubiic information unless ou state the are trade secret and the reason. Date 9 / 0v0 ConstructionCost ?ro 404 b? Site Address ?SS'? (/AlY/ n) fi /'l??? UniUSte # 7?,v e SS " - /S y " " Description of Work J/lN/L 5 l'CIl/U6- 4 ?lull ?inJrJ/)'1 //'Im Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 2 Property Owner //'!l1JN 1 5 l112 O[?N¢!S O Telephone #( ) Contractor yG(I/IM- 16 X1 ?/?%d/S /,?? Addre s s /T/', ( ? I pn/ 6d g EL / City" a, . y y) , State ///1N1U2.Sd T/1 Zip Telephone # (GS/ ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minneso[a Rules 7670 Cateeorv 1 _ Minnesofa Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) Submitled Submilted . Energy Envelope Calculations Submitted In ihe last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a masTer plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/W ater Coniractor T herebv aonlv for a Residential Buildine Telephone #( Telephone #( Telephone #( that the information is complete and accurat that the work will be in conformance with the Statutes; I understand this is not a permit, but only an applic pennit; that the wark will be in accordance with the approved approval of plans. ApplicanYs Printed Name A e; codes of the City of Eagan and the State of MN kn for a permit, and work is not to start without a jn\?n the case of,work which requires a review and L -2.---1__________til7 n 1 1 ' 7 1 1 I 1 , 1 l g3 e9 Use BLUE or BLACK Ink I For Office Use1 Q I j Permit loci My of Eapn I • 1 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: 1,3 Phone: (651) 675-5675 I ~ I Fax: (651) 675-5694 1 Staff.. I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: L ISS S ~f 3Id Name: ~ 1! M ~l 1 r7 hC44-1A'SPhone: 72.1- SrQd_- Resident/ Owner Address / City / Zip: - Applicant is: Owner - Contractor Type o# rk Description of work: Rf re a F r+n - Wo Construction Cost* 12 Mufti Family Building: (Yes No Company: _ C T UG /dam Contact: CoInt!"dctor Address: _a0a City: m/l) e fi's State:- Zip: Phone: ~~,1Z a2__ License 22 1^ - 1 Z 0 2- - Lead Certificate -2419017 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; N9TE. Plans and supporting documents that you submit.are considered to be public information. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 tours before you intend to dig to naive locates of underground utilities. www.g-Wherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X 4 - zabeiA x Applicant's Printed Name Appilca s Signature Page 1 of 3