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1555 Clemson Dr 90 Use BLUE or BLACK Ink I For Office Use j Permit City of Eap ~ Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 x j Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 13 a' 1 Site Address 1 G I e so r~ ~rt Unit RESIDENT Name: ~ l e y I 1 8y_\ Phone:0 ! J r 1 Address / City / Zip: 115,56 C(e mSO Yl b f--) OWNER Applicant is: Owner T~ Contractor W~ Description of work: IQC L © y'_0_ ~0-~1-w O r~©OV- \ y1 ~ZC1 5'7 712 TYPE OF WORK C7 / //O 1 n Construction Cost: / Multi-Family Building: (Yes / No _~J ~.J • Company: n&QAJ~l 0. j Contact: N a Y\ 0-M Q CONTRACTOR Address: *11 City: Q -11 State: _ Zip: Phone: G61 90V 0106 J" 651 a License Lead Certificate N " n 2 -6-71 T ftVL If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.oro 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. x Gl `'t t" G l~ la t° S 1wn x Applicant's Printdd Name Applicant's Sign Page 1 of 3 1~ f•K .4~1^. f.•Ri~..tiY~ , 5'}Rl~~:Mffi• - Sf~ LL,~ •.~"_R ..A~. Job Name f ;i4 j?,0 Job No. Date Job Location qty State Installer ity State Unit Model No - chnician Serial No. Heating Section Electrical Connections Ti hl? Supply Voltage _s t1 C blower Motor H.P: • ~ L447 4 Gas Piping 'Connections* Blower Motor Amps Tight & Leak-Tested? Fuel Type: Natural Gas? LP/Propane Gas? Furnace Btu Input Line Pressure Regulator Pressure w.c, - Nat.:'' w.c. - LP/Propane Fiue Connections Tight? Proper Draft? Condensate Connections Tight?, Combustion Gas Tested? C02 CO Fan Control Setting (45 Seconds Fixed On)~ - +an -Coniml•Off Setting Temperature Rise Filter Clean & Secure? -Vent Clean. Thermostat ~d Calibrated? Heat Anticipator Properly Set? El Level? Fad Page 66 E /Z # Ltib99ZtiL99; ZL055L9 sjs1jeioadS aid suoseaS anod;WdL5:90!LL-9L-50 6UILDING PERMIT Receipt # N, " 117C b ?a / 71s Tobeus8dlor I pP 4 PLF?X Est.Value SF,l _pbn Date 7LPRIL 14, 19$5 ,19 SiteAddress 155S CLF.MSOPl DRIVF. Erect a}{ Occupancy-R3 Lot 2 9 Block 2 Sec/Sub. TfiOMIA.; LAKE Remodel ? Zoning ? Parcel No. HIjIGfiTS Z Repair ? Type oi Const Addition ? No. Stories a Name REW HORIZON HOMES Move ? Length aa W 1?67 Demolish ? Depth '+6 ; Address P. C?. BOX Int Impr. ? Sq. Ft. I City MY31•17'• Phone 420-3900 Install ? = o Name SAM ? Q Address ~ City Phone ?s W W ~ 2 00 S= ` W Assessment Water & Sew. Police Name U- (1.R15W0L1) Fire Addt'eSS Fnn Phone Planner Permit 316-00 Surcharge 3n- SO Plan ReviewI 5$..D 0 SAC 575-? Water Conn.500s.DO Water Meter-63-00 Road Unit 290. Op Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. Tr.PI. 156_00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance;. APC Parks Si nature ot Permittee 1?' _-? Var. Date Copies 9 ?'•??.?. . Total ?, Q$ 9_ 0 0 A Building Permit is issued to: / NF.W "OR J 7.OPI IiOMES on the express condition that all work shall be done in accordance with all applicable State,o( Minnesota Statutes and City of Eagan Ordinances CITY OF EAGAN 3d, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Building - Pwmlt No. PermH FIo1dK Dab Telephone M Plxmbiny ) C -' -ti- ?' H.V.A.C.- - A Eleetric 49 Softener Inspsctlon Date Irap. Canm?nb FooHnps I At Footlnps II Foundatbn Framfng .Z?.. ImA, Rootinq Rouyh Plbp. N Rouyh Hty. " Imul. ? O • Y' ` ? 7 ' fi Flraplace ? r Flnal Hty. Flnal PIb9. Bldg. Fioal Cerl.Occ. a Deck Fty. Deck Frmy. w.u Pr. Dbp. p? PLUMBING PERMIT CITY OF EAGAN ' 3830 PILOT KNOB ROAD, EAGAN, MN 55121 Site A r Lot _i Block m Name _ ? Address c City _ L Name 3 Addre p CitY - 1 FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD 550 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) I SIGNATURE OF PERMITTEE - $1 U.00 - 20.00 - .50 FOR: CITY OF EAGAN PERMIT # _ RECEIPT # _ DATE: BLDG. TYPE WORK DESCRIPTION Res. ' New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 S Bath Tubs - $3.00 Lavatory - $3.00 ' Shower - $3.00 ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 ' Floor Drains - $1.50 ` Water Heater - $1.50 ? Whiripool - $3.00 ' Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ? Rough Openings - $1.50 ' FEE ? L) STATE S/C: ? ? ? GRAND TOTAL• 'o, 3Yv-/9 MECHANIFAL PERMIT CITY OF EAGAN _ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 5ite Address ? ?) ': Lot - _-?2 2 Block ? Name RM"ICK??? m Address c City IUUI A?ami MINIqLAI'ULIS, MN. 55410 ? Name ? CD Address p City Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuUets # Other FEE: S/C: TOTAL• C5J M BTU M BTU M BTU _y M BTU CFM ?- Aes. ? Mult Comm. Other WORK DESCRIPTION PERMIT # RECEIPT# DATE: New ? Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 8 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STA7E SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN ? m t: - (gtx#ifiratt nf Orrupanry Citp of (eagan Epvarbumf ? Indaing Jnowrtion Thrs Gertifcate issued pursuant to the requiremenu of Sectiorr 306 of the Urriform Burlding Code certifying that at the time of issuance this structwe wa.r in compliance with the various ondinances of the City regulating building construction or use. For the foUowing.• vse cwuirk.tion eae. eermn rro. O-wpncYTrx 7.omne Ddtriu Type raosc . Owoa of Building t . .. Bu7khng Abdrm I.ouGry ' ° • - i.1.FJ!'???F??i'i DiLle: euMM offia.i POST IN A CONSPICUOUS PIACE PERMIT # A-P? ? PLUMBING PEIiMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: j PHONE: 454-8100 ? Site Address I Lot , _-2ZC1 Block Name b;tE1 G..c. 16 ?A. ?o Address .. H c CIty Hnn4inc Name , - +?-.-, i ? Address 3 0 City ? FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES I FOR: CITY OF EAGAN BLDG. TYPE WORK D?E?SCRIPTION Res. F New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) ` Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: II STATE S/C: ? _A-) GRAND TOTAL: -?- ? INSF CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ' I -N ' ???i . ? k l Ni';' ilN Ui' tlA', t AF.I Idk [hil'f","; : NU ! PERMIT SUBTYPE: I Fciil f 1 MitS REMIAFtKS: HFfiUII[l 6 All1l 10 )?, 10 EXT! N'.tt?N F TNAi ON RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: •?? ???.?cr. ? r? t?? 1 4?^W -?.i',.?,4i TYPE OF WORK: kU I I Ij ! N1x H..'Hbhf1 0A/s9 /9 i Pertnlt No. Permit Holder Date Telephone li ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUNO FRAMING ROOFING ROUGH PLUMBIN(3 PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG ? F7* r DECK FtNAL ? ?f • ?(? • 9 (a dtl!?- CITY OF EAGAN PERMIT TYPE: If I FIs I NO 3830 Pilot KnOb Road Permit Number: 41 101 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ? . •t?ie#r?'. 1 t1i 1 }k! 1(?!1 i s:. 21?ift ? n 1.' 1 •6,?4? :, ?.?± PERMIT SUBTYPE: . .. , I ifiRK . c iNt- I irnr5 1555--8 (1 n'I F _ I TYPE OF WORK: kil <<n s F? (11 111 Rirlr'tn a tC:rt) rNi>> 1 bfi ) (?. tiT ItN ) 1&F77-6 f I tl l i! ) 4" 1 f 141"ittM f1f+ .fi - # .,{ .. . Permft No. Partnft Holder Date Telephone M ELECTRIC PLUMBING HVAC Inepection Date Insp. Commente FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FlREPLACE FIREPIACE AIR TEST FINAL PL8C3 FINAL HTG OHSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL . .-?? . . . . , . ? .- - .. . .. .. ._ ..• _ ... . .. ?. ,? ? . PERMIT # PWMBING PERMIT RECEIPT # ? CITY OF EAGAN . ? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CON TRACT PRICE: PHONE: 454-8100 ' Site Address '?'x, BIDG. TYPE ? WORK DESCRIPTION Lot - Block ?`- Ser.ISub ' Res. New ? Name Mult -on V Add m ]§ Address Comm. Repair c City Phone Other , NO. FIXTURES TOTAL _ Name 3 Address p City j ? Phone FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.Od MIN4MUM - COMM/1ND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Water Closet - $3.00 s Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 -Gas Piping Outlets - $1.50 k Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL. BUILDING PERMIT Site Address j Lot 2 Block - Parcel ?. m W Z 3 0 CITY OF EAGAN 3830 Pilot Krab Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 = o Name sim 0 0 Address ~ City Phone lz W W Name ? ? Address . 1 z i W Ciry Phone . ?. ¦?.,. 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. _;; , A Building Permit is issued to: all work shall be done in accc Building Official Receipt # '! o ? 117?3 Erect Qx Occupancy Remodel ?'? Zonin Repair ? Type of Const. Addition ? No. Stories Move ? Length • 4 Demolish ? Depth_ Int. Impr. ? Sq. Ft. Install ? Assessment Permit 17 6 ^0 Water & Sew. Surcharge 30.?0 Police Plan Review3%gT.gQ Fire SAC ??s - 00 Eng. Water Conn..5gg=? p Planner Water Meter63.00 Council Road Unit290.ap Bldg. Off. a f?g Tr. PI. ) 0 APC Parks Var. Date Copies Total ? 0Q a 0Q on the express condition that Statutes and City of Eagan ardinances. a I ' I Permft No. I P.m,n How.? I o.u I TNephone M I Plby. Htg. Plbq. FMsI Oca DlMp. PERMIT # 3830 RECEIPT # ?? ? ? 7-?, DATE: C, r, (c m Name m Addre « c Cityl'_ _ Name 3 AddSe O CiiY i= FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/INO FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. ? New ? Mult ? Add-on Comm. Repair Other NQ. FIXTURES TOTAL ? Water Closet - $3.00 ? =Bath Tubs - $3.00 ; - Lavatory - $3.00 ` - =hower - $3.00 / Kitchen 5ink - $3.00 ? -'Urinal/Bidet - $3.00 ' Laundry Tray - $3.00 ? Floor Drains - $1.50 ?Water Heater - $1.50 Whirlpool - $3.00 1 Gas Piping Outlets - $1.50 ? Soitener - $5.00 Wetl - $10.00 Private Disp. - $10.00 ? Rough Openings - $1.50 ` 7, FEE STATE S/C: GRAND TOTAL: ' -A-` PERMIT # ? ' J? 7y MECHANIiCAL PERMIT (? 3 CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: NTRACT PRICE: PHONE: 454-8700 Site A ress i ?? BLDG. TYPE WORK DESC RIPTION Lot Block Sec / Sub ; - ? ? ? [ S Name i I r UNG 9 11 Add on Mutt ? Address I r In.' •, nOl . Comm. Repair c City M I N NEAPC? i}phpng J• 1. _ 0ther Name ? FEES 3 Address RES. HVAC 0-100 M BTU - a24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 I TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 ? GAS OUTLETS - 1.50 EA. Forced Air I _ M BTU COMM/IND FEE - 146 OF CONTRACT FEE i Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 i Unit Heater M BTU MINIMUM - COMMIIND FEE - 20.00 I Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 ? (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM ? ? BEYOND $1,000.00) ? Gas Piping Outlets # ? Other FEE ? • S ; SiGNATURE OF PERM E „ S/C: . ? TOTAL• FOR: CITY OF EAGAN -- CITY OF EAGAN 11787 . ?, ? ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 •- PHONE: 454-8100 7 Gf BUILDING PERMIT Receipt # To be used tor 1 OF 9 PL Esc vaiL,e Date SiteAddress I Sr+7 CI•EM$DN DRIVE Erect 11 Occupaney .R,3- TROMAS Lot3 0 Block 2 Sec/Sub LARE Remodel ? Zoning ?g . HEIGHT ' Parcel No S 2 Repair ? Type oi Const ?• . Addition ? No. Stories Move ? length 44 W Name b3${r; HORIgON .n Demolish ? Depth 26 ill o Address p, A, $QX .],367 Int Impr. ? Sq. Ft o SAME N Approvais Feea ame 0 a Address Assessment Permit ? 1 fi _(] fl i- Ciry Phone Water & Sew. Surcharge 30_ Sn Police Plan Review 1?, _ 0 n ? W Name D-. GRZS67pL!] Fire SAC 57S_ t1A ? ? Address Eng. Water Conn.50_O. QO i W Ciry Phone 4-3 Fi - 7 vZ 4 Planner Water Meter 6 3 _[1 f1 Council Road Unit 99n- 0? I hereby acknowledge thal I have read this appl ication and state that the gldg. Off. Tr. PI. n n information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OrdinanCes. APC Parks Var. Date Copies Signature o( Permittee , - , Total 2,089.00 A Building Permit is issued to: '1iRW HnR T 7.[lid F1Q611?5; on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ' ' PNmH No. Pxmit Hold?r Dab TMepha?s N Wumbin9 l c ? C? 5 -/', - ,? N.V.A:C. ? ' o) Y? Ekwtric sona,« InspecGon Data Insp. Commenb footlnys l ? 4,711-4 Footinps il Foundatbn Framinp Roofing 14 lM,A- Rouyh Plbp. Rouyh Hty. Insul. - L' /'•, ' ?'?i'?-6V W7 Flreplece Final Hty. Flnal Plby. Bldy. Final Cert Oce. Deck Fly. Dsck Frmy. WeN Pr. Dbp. CONTRACT PRICE: Site Address ? Lot 3( Z. Block m Name ? Address ? c City - Name 3 Address ' O CitY PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: : ? d FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMMlIND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 BLDG. TYPE Res. ?- Muit Comm. WORK DESCRIPTION New ' Add-on Repair NO. FIXTURES Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 ' Floor Drains - $1.50 % Water Heater - $1.50 Whirl I - $300 TOTAL ? (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ' Gas Piping Outlets - $1.50 5oftener - $5.00 Well - $10.00 SIGNATURE OF PERMI EE FEE FOR: CIN OF EAGAN GRAND TOTAL: Private Disp. - $10.00 ? Rough Openings - $1.50 `- ' STATE S/C: , ? / '7 CONTRACT PRICE: I Site A ress ?: :i 7 Lot ? v Block _ Name ' W: `m ? Address i on ? ciH MIN? ? Name c Address O CitY TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other ?J M BTU M BTU M BTU M BTU / CFM FEE S/C: TOTAL• 1) MECHANICAL PERMIT CITY OF EAGAN _ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 BLDG.TYPE PERMIT # RECEIPT # DATE _ !d-,i(o WORK DESCRIPTION ? Res. Mult Comm. ot?,er New ? Add-on _ Repair _ FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1,50 EA. COMM/IND FEE - 1°i6 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMI EE rnuQi FOR: CITY OF EAGAN y :r,:k' . , MECHANICAL PERMIT RECEIPT # 7? y?F" CITY OF EAGAN 3830 PILOT KNOB HOAD, EAGAN, MN 55122 DATE: ' - ( Site Address - Name _ ? Address c City .? ? Name c 3 Address ., O CitY Phone 4.4 1 - ? <, ? TYPE OF WORK ' Forced Air M BTU ? Boiler M BTU ' Unit Heater M BTU ' Air Cond. 2 ?. Zp0 M BTU ' - Vent -CFM Gas Piping OuUets # ? Other BLDG. TYPE WORK DESCRIPTION Res. ?- New Mutt. Add-on _>< Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. ? COMM/IND FEE - 1°r6 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12_00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT ADD $ S/C F PER T C _50 ( .50 I PRI MI E GOES BEYOND $1,000) ? / ?.. - ? . -y.. .• . FEE ; /'r S/C: -- - SIGN P ' ? TOTAL• FOR: CITY OF EAGAN ?. , CITY OF EAGAN p;' !) 1?, 7? S 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?• " ? PHONE:454-8100 BUILDING PERMIT Receipt # t.? To be used ior 1 OF 4 PLEX Est Value S61. 000 Date ? j? R. Ti_ 14 , 19 '? Site Address 17.7T c e ?g nLEMSONO7?n rtE ? T Lota 1,_ Block 2-Sec/Sub. TR(04AS_? ? W Neme NEW H()RT nnN ni+uoS o Address ???_?+? 1367 o Name p?pprovals = 0 Assessment 0 Q ~ Address City Phone Water & Sew. ? Police D GR L ' W Name _ I SWQ f] Fire ? ? Address Eng. <W CiN Phone 435-7524 Plannar Erect ? occupancy Remodel 2oning Repair ? Type of Const. v Addition ? No. Stories Move ? Length 44 Demolish ? Depth 26 Int Impr. ? Sq. Ft Install ? I hereby acknowledge that I have read this application and state that the Bld . Off. 4 I 1 R' information is correct and egree to comply with all applicable State ot 9 ? ? Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee _ 7 .!? ?Var. Date - ?- Permit '11-6 - 00 Surcharge -1()-S0 Plan ReviewlrR-00 SAC J75.00 Water Conn.500,Q0 Water Meter63,40 Road Unit 290.00 Tr. PI. 156_00 Copies rotai 20 nR9_nQ A Building Permit is issued to: Nf W HORI'LON HQh1F.S on the express condilion that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official- ??,'` ?' - - . ?_ ? . PormM No. Wrmlt Mo1dN DMe Tilsphons N Plumbinq H.V.A.c. ENctrlc So1tMB? InapecUon DaN Insp. Commanb FooNngal FooNnys 11 Foundation Freminy RooNny Rouyh Plbp. W Rouqh Hty. ?e rs,r lnsul. ? -Z 3 ffnplace {,.s. r Final Hty. Flnsl Plby. Bldy. FMaI Cerl. Oec. Daek Fty. Dack Fmq. Well Pr. Dbp. ' . PIUMBING PERMIT • qTlf OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 Site Adyress Lot , `% I Block m Name ? Addre; c City _ ? Name ? Addre: p CitY - FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR CITY OF EAGAN , ? ? PERMIT # RECEIPT# DATE: • u', i i` I ?', BLDG. TYPE WORK DESCRIPTION Fies. New i` Mult Add-on Comm. Repair Other ? NO. FIXTURES TOTAL Water Closet - $3.00 i Bath Tubs - $3.00 _ Lavatory - $3.00 -? _ ' Shower - $3.00 ? Kitchen Sink - $3.00 ? Urinal/Bidet - $3.00 -TLaundry Tray - $3.00 ? Floor Drains - $1.50 ' Water Heater - $1.50 ` , Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE ? C STATE S/C: ;?' L) GRAND TOTAL• ? ? ?L) i S J.f,r. . .. . ?/ - . PERMIT # / / 1?3 . , MECHANICAL`'i AMR RECEIPT # - 3 (2) ? V ' CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN IYIN 55121 DATE: CONTRACT PRICE ?-sl4i js ? , , PHONE 4548100 Site Addres.g ?, d .5 7 Z:' z7z BLDG. TYPE WORK DESCRIPTION ' LotBlock Sec/Sub ~ ? N R Name ?I '° 1 es. ew M lt Add m ? - l OG l X r=P? ! r'?. -on u Address Repair Comm ? MINhEAP v1f . a ='-,• : . City t h th O b er Name FEES ? c Address RES. HVAC 0-100 M BTU - $24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE CfF WORK ADDITIONAL 6 M BTU - 6.00 60 SL d U GAS OUTLETS 1.50 EA. Forced Air M BTU - COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond M BTU STATE SURCHARGE PER PERMIT - .50 . (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other i FEE SIGNATURE OF PERMI EE S/ C' TOTAL: . L ', FOR: CITY OF EAGAN i• . . ? PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55122 PERMIT # RECEIPT # DATE: _ - ? Name ' m Addre: c Ciiy _ ? Name 3 Addre; p City - FEES COMM/IND FEE - 1°r6 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYONO $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION ; Res. New 1 Mult. Add-on Comm. Repair Other j RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ? NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Ki?chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 , Water Heater - $1.50 ' Whirlpool - $3.00 Gas Piping Outlets - $1.50 ' (MINIMUM - 1 PER PERMIn X Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: ??. S6) GRAND TOTAL: ? PERMIT # MECHANICAL PERMIT CITY QF EAGAN RECEIPT # 3830 PILOT KNOB RQAD, EAGAN, MN 55122 DATE: ? ? ? ?J • u? PHONE: 454-8100 m Name ? Addre c City _ ? Name c Addre p3 CitY - TYPE OF WORK Forced Air M BTU $_ Boiler M BTU $-_ Unit Heater M BTU ?4" $__ /7 i` Air Cond. M BTU - $ Vent CFM $_ Gas Piping Outlets # $`_ Other $,_ FEE: ? Sv S/C: TOTAL: BLDG.TYPF ReS. s/ Mutt Comm. .. Other WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M 8TU HVAC INCLUDES A/C ON NEW RES - 6.00 ( . CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEFiMIT) - 1.50 EA. COMM/IND FEE - 146 OF CQNTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS -'_12.00.., MINIMUM COMMERCIAL FEE - 20,00 . STATE SURCHARGE PER PERMIT - +50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) i? , ? •? T ? ?, ? ; ?. _ . .? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ii#• ?0 H i ? Nll PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: APPLICANT: , ? - ? - i , ? .. ? .• y ,?? +.! ! TYPE OF WQRK: ?:1l1{ W ! 1C)I INSPECTION .. . .A ? ? Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Camments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PL(iG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRfGAT10N METER FLUSH MAINS CONOUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL d ??? CITY OF EAGAN Remarks _ Addition - Themas T.akA HPi? ' ?.ot r ?9 plk Parcel #10 Owner s«Bet 1555 ClemSOn Drive state Eagan., MN 55122 ?mprovement Date Amount Annual Ysars Payment Receipt Date STREETSURF. R 1981 279.71 55.94 S 111.8 A0121 2 --8 STREET RESTOR, GRADING SAN SEW TRUNK 7 *SEWER LATERAL P .3-,6I 7.52 S. .O A0121 2 - 8 WATERMAIN * WATER LATERAL WATER AREA J9 7 STORM SEW TRK 1981 312. 3? 20.82 1$ `?YF??'r /?0?.2172 5-rj-83 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET UGHT , WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN „,? Remarks - Addition '?a1118S Lake Heig ht_ ,???cdd? t?on Lot ik ??Pa,cei_ #10 . Qwner Street ISSS B CIP111S071 Drive State Eagan, MN $5122 Improvement Oate Amount Annual Ysars Payment Receipt Date STpEET SURF, ul.S A0121 2 -83 STREET RESTOR. GRADING SAN SEW TRUNK ,SEWER LATERAL 2 37.61 7.52 1.0 A03212 --83 WATERMAIN * WATER LATERAL YVATER AREA 4.61 80121 2 5-5-83 STORM SEW TRK 1981 312.37 20-82 249.91 AM2172 5-5?3 *STORM SEW LAT CURB & GUTTER SIDEWAIK STREET LiGHT WATER CONN. 13UILDING PER. 5AC PARK CITY OF EAGAN Remarks ? '- - -- Addition " ThOIAlIS Lake Heigh ddition ?ot ?-9Leik Parcel #10 Dwner street 1557 Clemsan Dr1ve stetg Eagan, MN 55122 Improvement Date Amount Annuel Ysars Peyment Receipt Date STREET SURF, lu. 9 A0121'T2 - - STREET RESTOR. GRADING SAN SEW TRUNK -7 *SEWER LATERAL a 37. fjl_ 7, 52 15.05 Q 5-5-83 WATERMAIN * WATER LATERAL WATER AREA 7 STORM SEW TRK iggi 249.91 A012I72 S-S 3 *STORM SEW LAT 9gi CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition' '?lf]Tq,?,c t.ailce He.ight%1r.'11]ri ' Lot ? 3-81k = -11- Parcel #1o • - owner st,eet 1557 B Clemson Drive stete EaAan, MN 55122 Improvement Date Amount Annual Years Paymant Receipt Date STREET SURF. ul. S AO??. 2- 5-5-83 STREET RESTOR. i GRADING SAN SEW TRUNK ' *SEWER LATERAL , 1981 3?. 1`• SZ 15-05 841212 --8 _ WATERMAIN * WATER LATERAL 1981 WATER AREA 4.()1 &0121Z - --8 STORM SEW TRK 249. g], A012172 5-5-83 STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PAR K GEO. SEDGWICK HTG. & AIR COND. HOUSE HEATING TEST RECORD --i ? r ADDRESS -C k1Vl S'?N LIRL!F- CITY ? OCCUPANT HEAT LOSS -SOLD BY - OWNER INSTALLED BY ? Electrical Work By _ l; Eo,;= Gas Line By c, . -"<- TYPE OF HEAT GA_ FA 1--' HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE Model 4 ti] 4? (7 Serial INPUT CONTROLS THERMOSTAT-7'63_ Heat Plug Valve Limit- T c---?»Cc Limit Setting a?? Fan Setting ? n c) Pilot Type c iv ' Pilat Make l?ZA, !T ,- rZ Pil ot Model Pilot Timing ,.i ; L.W. Cut Off -- Pressure 3-`? ?? L4 Ff _, -' - Percent C0 Input CFH `-1 -7 2 Percent 02 ? `7c, Stack Temp. % n $ Percent CO t-1 o ti ?- DATE HTG. INST MAKE OF BURNER Max. BTU Rating - MAKE OF FURNACE Vent Size KIND OF LINER -- S12E NONE Draft Hood Regulator yC7 ' Filters Size _ Chimney Location Chimney Construction Number Inside ?x 5moke Bomb -' Wiring n? Draft -- - Test Tag ?! ?_ -'• Daor Pressure ? Lighting Inst. Date Tested y - I ', - Company Testing c-k= Name of Tester , GEO. SEDGWICK HTG. & AIR COND. CO. 79 HOUSE HEATING TEST RECORD ADDRESS l-?,i CITY. t_. ;=1<-.?^ OCCUPANT HEAT LOSS SOLD BY _ INSTALLED BY Electrical Work By '?]; E-??fz: Gas Line By_ =?) C _" - tc 6-_ TYPE OF HEAT GA_ FA x HW_ STEAM SPACE HTR. UNIT HTR. OTHER ? GAS DESIGN CONVERSION MAKE ` t--+ 7, MAKE OF BURNER - -- Model 39'y TAw Model Serial ?3 B l. R(, f3 `7 Max. BTU Rating INPUT oc" n MAKE OF FURNACE Model CONTROLS THERMOSTAT 5 L-- Heat Plug Valve 5 X 3 U13- tii S bV- ? Limit ST??v1C O Limit Setting a5b ° F Fan Setting < F Pilot Type i t?ZolJ tC PilotMake S???t{ ??NCT??L Pilot Model Pilot Timing L.W. Cut Off `- Pressure Percent C02 Input CFH -? Percent OZ Stack Temp. Percent CO DATE HTG. INST. OWNER /J E--J a-FoR ??..? ?c?wcS Vent Size r/ KIND OF LINER SIZE NONE Draft Hood Regulator Filters Size Number ? Chimney Location Inside '?i Outside Chimney Construction Smoke Bomb Draft Door Pressure Wiring _ C. 1` Test Tag 1,4 c- ? Lighting Inst. h lc. Date Tested ?-i - I L-+ - R -7 Company Testing `3i7-? ?? , ? N i Name of Tester ?- 0 ?LF?, f--\ GEO. SEDGWCK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ?2 9? ? ?2 ' ? ADDRESS CITY C,., OCCUPANT OWNER HEAT LOSS SOLD BY _ DATE HTG. INST INSTALLED BY Electrical Work By ffi L:- r? (-K Gas Line By `_1+- - ; ? 9? I. _, C- ?=_ TYPE OF HEAT GA_ FA -_` HW_ STEAM SPACE HTR. UNIT HTR. OTHER ? GAS OESIGN MAKE _ l?Jtiz-? ? c1?? 7 MAKE OF BURNER _ Model ??i 1-/ ?? ??1 cj n a_ -j' n 5 C? Model Serial Max. BTU Rating - INPUT MAKE OF FURNAGE CONTROLS THERMOSTAT ia JZ' Heat Plug -"---- ?-Vent Size .1 Valve '2 ? KIND OF LINER Limit = -% c-= ?,1 Limit Setting 'S D ° Fan Setting Draft Hood CON V E RSI ON ------? SIZE NONE Regulator Filters Size Number Chimney Location Inside ? Outside Pilot Type f`- L E= C T ir b r--c '! Chimney Construction Pilot 11lake `;,T2A rz (< f C? fJ !'F ; t? Pilot Model Pilat Timing L.W. Cut Off -- - ?- -- Pressure Percent CO 2 Input CFH ? Percent O ? 4-1,- Stack Temp. Percent C02 /S/2,1V E- Smoke Bomb ' Draft Door Pressure -- Date Tested Wiring Test Tag ?- ? t---S Lighting Inst. n - Campany Testing Si=?--C?:) C?S,),?,, Name of Tester cl? Z 4???. . . . . . . . .. -"?1'?' -ZV . GEO. SEDGWICK HTG. & AI R COND. CO. HOUSE HEATING TEST RECORD .?) ADDRESS c,` CITY '? lIp,? OCCUPANT OWNER -?'?? 926UZO? ? uM ?S HEAT LQSS `-' DATE HTG. INST SOLD BY INSTALLED BY ??.DG z.?! ? C K Electrical Work By Gas Line By TYPE OF HEAT GA_ FA HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CaNVERSION MAKE S Model 39 C'niA t-t/ 4??' Serial '22- 6(,eAb S`7&r? _ INPUT 4...50.., C oc' CONTROLS THERMOSTAT783" HeatPlug ?--?- Valve S k' ?44.S-4ic X-•?L. Limit 5 TE ,? C L'Imit Svtting p? -'Ti C) ° Fan Setting 1 G a°:F Pilot Type £- ?EC `; !'??-?•` ? C Pilot Make MAKE OF BURNER Model Max. BTU Rating - MAKE OF FURNACE Model Vent Size KIND OF LINER SIZE NONE Draft Hood 'k c- t-- ::> Regulator ?! C S Filters Size ? Number ' Chimney Location Inside Outside Chimney Construction c- L1,;,, Pilot Model 11 SC f Smoke Bomb `, - Wiring 0 1< Pilot Timing Draft Test Tag L.W. Cut Off Door Pressure ? J Lighting Inst. C)!t= Pressure " ' j ', ? - Percent C02 / Date Tested q ? - Input CFH JPercent OZ Company Testing Stack Temp. °+ Percent CO •ti??,??- Name of Tester -'c, aj fit-P,-L) Form 235 CITY OF EAGAN WATER SER VICE PERMR 3830 Pilot Knub Rosd P. O. Box 21199 PERMIT NO.: Eagaq, MN 55121 DATE: ' Zonlno: No. of Units: ' 4wMr: 1':ew iiar zzoii HO?eB Mdress: ?_??, .. .. SMQ AddTeSt: • Plurrber: - AAeftr No.. Siu: Rsada? No.: I Mm /o e?/1p wkb !Iw Gep of Ewo OrdiMoaes. BY - Dcte of Insp.: ComectFon Clwrpe: : V; ?. V i' nci Acoounf Deposit: l ? . 0`, ?0 Permit Fee: Surcharye: " - Mitt. Chorms: ' SF., 3 Upd Ti' TMoI: ?„eteT Date Poid: Insp.: CITY OF EAGAN WAjE SERVICE PERMIT 3830 Pifot Knub Road P. Q. Box 21199 ?/ l PERMIT NO.: Eiqin, MN 55121 ? ` D^?: ? y'°^i^o: No. of Untts: 'a -n ex ^ Owrnr: Nori.zon Iiomes Addmss: Sft Addrcss. 1555 Clemson Driv4 1.2 B2 Thon:as Lk I:ts _ Plumber: AAehr ki- 3 ;zt? ?? ?rgo: SI=Q: DlJf t: 1T W ' ? • l?C.??CI rteade. rvo.: N9s?y o" ? 1ti.oOpd l•gmtee..PIr wI&ej4FR"O#jE"ELECUaofiASFtC. • ???? OnoMmem /? ? ..l r. V ;aet er B ? y ' Dats PcFd: Date of I Insp.: ,. CITY OF EAGAN SRM MVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pATE: ,. .- Zoninp: No. oi Units: ' Owrnr: \ ?v ] 02 izOC HOID83 Addrrss: Sth Addrm: Plumber. _ I MM ta eey* wMi !v phr of I.W. OrJi""ew, ey Dote of Insp.: Insp.: T'htm 100.0o,- CorwNCtton Qhorpe; 4 7 ACtount Deposif: - 1 " Permit FN: 7.- ? . SurrJwrpe; • Misc. Chorpm Torol: Gato Pbid: - w i r vr cr1%iA1Y WATER SERVICE PERMR 3$30 Pilat Knob Road P. O. Bex 11199 PERMIT NO.: Eagan, MN 55121,, D^TE: ' ZortinQ Na o( Units: - Owner, CW !'oTi.10!i Address: Sibs /lddrcss: iS55B Plumber: `' lOIarBL-:. IYIeMr No.: Conneciian Q?nrps: Size: Aaourrt peposit: Read°r N0.: Permit Fae: , 1 NrN te essplp wilh Nw Ciyr of EpNw $urofiorne: 0rdhwmom M1sc. Chorpes: - • , 7otol: • By Qate Pald: Date of Insp.: Inm.: t JF EAGAN WATER SERVICE PHtMIT ' . mliGut Knob Road-301 J -?G.., P. O. Box 21199 wERMtT NO.: ` Eegan, MN 55121, D/1T£: ? Za+ing: No. of Unitr. " _?1ex ";?w Ilorizon I_omes Owner. Addresx Slh Addresa: L» B Clemson Drive L--'<`' 7T?,m3s !<?i Plumber. T ?omPson P um ing Mew wo.. 370 /g3 4 S WJ??c*?on Charpe: t'P I .s..e eo aowtoy? wtNh ti1c?tWl?¢ki•E+V11011rkNm: - Date Paid: Date of Insp.; Insp.: te= CITY OF EAGAN SEWR SERVICE PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: - Zaninp: Tt 3 No. of Units: 01vfleP /4ddross: ? . .. . - , . ` .. _+' _- 5i?C Addfl55: Plumbar: Ca+ntctton C7harpe: .! I._' • P?. /lcoovM Deposir. PermFt Fee: ' -- Surchorpr MEsc. Charpas: Total: Date Pbid: ,?ost a . -•. p t? 10.b0pd ? • , -? 1 pm te aowolp whr !Iw CIlp of Eyen OrdiN?. ? Reoder No.: I oOM to onoVh rrNh fw Citi of ""w QI'AMIIOY. ay Oote of Insp.: WATHt SERVICE PERMIT PERMIT NO.: DATE: No. of Unlts: e.x _ Cannsction Charoe: 00 . Acoount DepOSlt: 17 00 Permit Fee: ? ?:?F•, SurcFwrpe: ?' ;; • ' MiiC. GhG/gef: - T r{?, (?fl•,-.. ?.,.? 1 TOtOl: Dote Poid: j IrqP.: 1 ' CF EAGAN WATER SERVICE PERMIT ? ' --t K nbb Road Box 21199 r? ( PERMIT NO.: n, MN 55121 DATE: 5- 1"77 -> > No. of Units: ' n.te . a zon ?',-,- Sh! Addf!ffi: PIL`f Plumbar, ' -,-.n so n F M.ftr No.: 7 a / -S- Sixe: ? f Rsoder No.: 1 Nwe te ppir vril6 !iw phr Of,INOOiM. /0-17-Ale- I CITY OF EAGAN 3830 P; t Knob Road P. O. Box 21199 Eagan, MN 55121 Zonirg: Owrwr: Address' 1 Site Addrcu: Plumbar. _ _ "' 8+ m PERMIT NO.: ? Y o DATE: No. of Units: - L3i1 B2 3'h?a I MrM h ewh wMfi Iy d!p of io", OaiwgseN. By Date oF Insp.: CorxNCtlon Qtorye; /1i : . i?Gnd Ikoount Deposit: Par+nit FN: Su?ChorQe: - ?nrid AAim Chwrgm Totol: Date F'o1dK. _ ( OF EAGAN WqTER SERVICE PERMIT i Pilot Knob Road Box 21199 PERMIT NO.: n, MN 55121 D/1TE: g: - No. of Units: - r r, Ii2'Ca a4rj.ZOY3 IiOm@E Add?'lSS: Meter No.: yve- Conr+eciian Chorye: • ?r'_r. ?, * ? Actount Deppsit: ' -' • Pertnit Fee: Surcharge: Miac. Chor+pes: Totcl: 3 - • i Dete Paid: Insp.: Reoder No.: 1 pm te san* wuh elw City of Eegem OrdiMaaM. By _ Dote Total: 53 5??d ?eter DoM Potd: _ CITY OF EQGAN 38311 Pilot Knob Road SEWER SERVICE PERMIT P. Q. Box 21199 PERMIT NO.: ' Eagan, MN 551,21 p,,TE; • _ Zoning' No. of Units: 1 -' 01Ynlf. r- w '- 17.'an AddrE'SS: '-- SiM Address: 1557a r Plumber: T?'{Sn?a?n pZt2tt•e?4• ' . t I NM te eesplr wil6 !io Qkar of L ., o"¦ C.onnechon CFwene: _14 '• OfaIM11?M. ACCWJflL OOposit: - ; : Pennit Fea: ? • -?p? BY Surclwrge: Mise. CM.pes; Date of Insp.: Totoh Insp.: Qoh Pnid: TM1i$ IEqVP.51 vOid ? 18rtqnthsfmm 5 -) -.)- "?? ? 4 ').15 2 He4uest Date S Rre No. 'FOUgh-in Inspeciwn Reqwred? ? ?.( Reatly Now,Will Nnufy Insaec- ' V Yes ?NO \ ?or When ReadY Qofwensed Elec[ncal Contractor 1 hereby reqoest inspactwn of above wner eleclncal work ins<alled at Sveet Addre Bax o Route No. .I Cny ectmn o. 7ownship Name or No. Range No. Counry A Occupani(P 6 I 7 izonu` Phone No. Pow/e?r $upp?,er ?/f f• ?? ?'V/ ' Atldress ^' ?'"V/?? Electrical Conbacto, Company Namel Cnnhnr,mr's Lirense No, Matling AdJress (Contractor or Owner Making Instailauon) W I / gA zjo? ?Js3S45 ; Authonzed Signawre (ConNactor Owner MnkinB Installauonl ' Phone Number • ? . . i f q, ,?al r)i- Jvl' L ? MINNESOTA STATE BOARD OF ELECTNICITV Gn99s•Midwey 91dg. - Noom N491 1821 University Ave.. St. Paul, MN 55104 Phane (612) 297.2711 THIS INSPECTION NEnUEST WILL NOT BE ACCEPTED BY THE STATE BOAflD UNLFSS PROPEH INSPECTION FEE IS ENCLOSED. t5-?,? .??REQUEST FOR ELECTRICAL INSPECTION Ee-oonoi.oa T ? See inattuctions for camoletine this larm on back o/ yellow copv. . 1e,, 1 52 X'" Below Work Covered 6y 7his Request Adtl flep. TyOe ot BmlAing?- Apvliancea Wired EquiVment Wired i Home Ranqe Temoorerv Service Apt. Bwltling pryer EleCtnc Heatin Commercial Bldg. Fumace Silo Unloader n-? Indusirial Bldq. I Air CondiLOner ? Butk Milk Tank ? / p Fee ServmeEntrenceSize fi Fee FexdersISubleeders N Fee CucwLc 0 to 200 Am s 0 to 30 qmps 0 tn 30 F?m s Above 200 qmpsl 31 to 100 qmps 31 to 100 q y Swinuning Pool Above 100_Amps Above 100_Amjn Transiormers Irngation Booms PernaL"Other Fee SignS Jpeaal Inspection $ ?? xemarks ? TOTAVPEE =? he.ebv r ?? ? certdy thet the ebove I Final J ? D%?=e? pspecLOn has bae. ? ? L`? mede. This reduast voitl 18 nwnths trom c? 12151 I Hequest Date? ? r ? F,re No. Rouph-?n Insueciion A? d' e ?Neatly Now Wi11 Nob fY Inspec- v e s ?NO or When Ready Licensed ElecVical Contractor I hereby reqaest inspection of abova ? Own" electncal work mslallad a[ Street Address, Box or Poute No. Ci ry / 'y? ?y ecuon Nd. Townshio ame or No. RenBe No. Coonry OccuUant (PflINT) Phone No. G iZ.(1 Power Suoolier ?-?-' Atldress r ? D Elecnical o ra/cto?r (CO pAany Nam?e) ?yr?/V Conhacl0r's License No. Ma ilmg AAJ ess IC_on?Va,c or or n Ow e r xa king Instailationl / / ? ? / ` ?-e-? /^d-?//! Iii lr? ???N . ?W .^1 Authonzed Signature IContractodOwner Making Installation) Phone Number MINNESOTA STqTE BOAPD OF ELECTNICITY ' THIS INSPEC110N REUUEST WILL NOT GriB9s-Mitlwey Bidg. - Noom N-191 BE ACCEPTED BY THE STqTE BOAPD 1821 University Ave.. SL Paul, MN 55104 UNLESS PqOPEP INSPECTION FEE IS Phona 1612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPEC?ION EB-00001.04 _ ' See insVactions for romDletino this torm on back ol yellow copV. C 12151 ""J(" Below Work Covered by This Request AAd Rep 7ype of 8uilping ApDhoncea Wved Equipmen, WireA ?_ I I Home ?rRange Temnorary Service ? ?.ommercial tlldy. Fumace ?? Silo Unloade? Indust??al Bldg. Air CondiLOnEr Bulk Miik Tenk Othor /` p Fee ServmeEnvence5ue H Fea Fanders/Subfeeders k Fee Cncw?s ? to 200 Am s 0 to 30 qm s 0 tn 30 Am s ?lbove 200 Amps 31 to 100 qinps 31 to 100 Am s Swmvning Pool Above 100`Amps Above 100_AmP`. Transiormers Irrigation Booms i Parbal Other Fee fl apeciai inspection S? `? TOTAL FEE ertmrks qough-in D`'te 1 the ElecfTi? / /? ?-`( , Insoector, hereby Final ( f 1/ s._ iT! D.?e -_ ?! 7? certity that the abave inspaeoon hes beer •reda. ThiS re[?uesl void ?-• ? ?_ _??? o??? &-a. 18 monMs trom ? ?2150 ?-- Fqouest Uate F??e Np, qouph-m InsVe?LOn L/ p reA? ?Ready Now Will NoLfy InsOec- S S-?O Yes ?NO [or When Reatly Licensed Eleclnwl ConVactor 1 hareby repuest mspecLOn oi abova 1-10,Nmp' elechical work mstailed at Sheei A.ddress Box or oute No. ?SJrS~ , ? EMSDi1/ ,d.? City ?1 V ection o. Township Name or No. Range No. County . ? Occupant (PHI T) ?L YJ 7V Phone Nn. Pow¢i Supphe, Adtlre55 Ele?c!tn-I--C/?o}n?/tractor/?1 ?ompa y Nam_el ?? L-J+(?V //N // I QilIUV vi • L7 r•?.? ? ConVrr.t???ce se No. Owner Making Installatmn) r MaJinq Address ( onYractor o / ? A ?I CIVv Authonzed ig atur ,ICoMractor wner aking InstallaUOn) (.. I: • - , . Phone Number y6;j-2t)21 MINNESOTA STATE BOqRD OFELECTHICITV Gr199s•Midway Ridg. ^ Roam N-191 1821 UnivarstlY Ave.. Sc Peul, MN 55106 Phone 16121 297.2111 BE ACCEPTE? 8Y THE STATE•BOAAD UNLESS PFOPEF INSVECTION FEE IS ENCLOSED. REQUEST FOH ELECTRICAL INSPECTION EB-Q0W1-04 ? See nnalraclions lor tomplatvg tbis form on beck o1 vellaw copy. ? "X" Below Work Covered by 7hrs Request Adcf PeD. - Type of Bwiding Ap0lmncea WneO ? ?.- °--?- Equiument Wved Home , Tempprary Service Duplex Apt 8wldmg Liqhtiny Fixtures Electnc Heatin Commercial Bidy. me ader iutIAg Bulk Milk Tnk r lSOCCifyl mm oin a In? I ar fy ...,'.,.,., r__ o_i_... Oth?, / M Fee Sa H Fee Faeders/SUbieetlers M Fe¢ Cncw?s l r' s 0 to 30 qm?s 31 to 100 qmps A6ove 100?Amps Irngation &?nms Special Inspectmn Nemarks S ? TOTAL FEE --? flough-m Uete ! ! ? ,'?k(.Q I. ?he E}g??rical inspectoq hereby Final ` ce,hly that the above ? Ddte?y n?ypection has baen 7 O'/?•r made. Tlue reUUesl vaa 10 montln Irom ihis eQUest wid S- C U! IS-MOnths from J O ? 097908 H ? equest Uate Rre No. ?` R.oquphetl Inspec[ion ? 7 -f'\ ?Reatl N W II N(/ I ?L d EI t I C ? Wh R dY U ] Owner I hereby reqvest mspection of above itreet Atldress, Box or Route No. elecvical work ingtalled ai. C,rv ?ecvon o. Townsh?p Name or No, / o.,,,__ „_ ?Y IVJ"?/{/ OccuOant F MINNESOTA + '???? STATE BOAPD OF ELECTqICITV Griggs-Mitlway Bldg. - qoom N•791 THIS INSPECTION REQUEST WILL NOT 1921 University Ave., St. Paul, MN 55104 gE ACCEPTED 8Y TNE STATE BOAflD Phone ;@i21 291.2111 UryLESS PROPEfl INSPECTION FEE IS ENCLOSED REQUEST FOR ELECTRICAL INSPEC710N ? ' Sae instruchons tor rom EB-00001.04 uleting this form on beck oi yellow copy. add xeo. Be/ow Work Covered by This Request rvPe ot au,iama Home ^ooiiances W;,ea - Fdnge E9uiUment Wired DtiPlex Water Heater TP01POrary Service APt Buiiding pryef Lightiny Fz[ures Commeraal Bldg_ Furnace Hectnc Heatin Industnal Bldg Silo llnloader Farm Air Condrtioner Other Bulk MlIk Tank t.r Spoufv Oi er O[her f5???ntv) ompute lnspection Fee Below °111h°r p Fee ServiceEnhancaSize ft Fee ? t0 Z?0 ,qm S Feetlers/Subteaders p Fee c,?cu?es Above 200 Am ?s 0 to 30 qm y 0 ta 30 Am 5 Swimming Pool f 31 tO 100 Amp5 31 to 700 Am • Transiormers Above 100?qolpy Signs Irrig3LOn Booms Above 100_Amps Rema,ks Speciai InspecLOn Partial-'Other Fee S ? - TOTAL Rough-m • A' oate Final 1. the E ctri Inspector, ereby D.oe `a,I'hy Ihat the nbave oi^spechon has baen ihiareQuasivoi018monlhelrom r I_ OV ? ??i? maae. This rnpuest void 18 munth f s rom Q12149 -?"S/ - ,, Request Da'? ? Fir¢ No. R RouAh-i Inspecl?on q red? " 013eadY N. l Nntify Inspec- yes ?NO When FeadY l-icensed Eleclncal Contrac[or ] Own 1 herehy repuast inspechon ol abave er electncal work ingl alled et Stre@t (A?Gd`res\s+ -Bom or Foutej ?No. /Jn /}.. ? C'W/ /ti??Y ? L/V° City-^? ? 1?/V V ecLOn o. TownshIp Neme or No. Ranee No. County Occupanl (PflINT) .G4 Phone Na. Pawer SupOlier . Add.ess i EleCtncal Contractor ICompany Namel Cirar,tor's LNO, Mailing Address ICon[ractor or Owner Making InstailauoN Authonzed Signamre (COn[ractor?0avner MaFing Installa[ion) Phone Number E33-2521 n+InNESOTA STATE BOARD OF ELECTHICITY G,iB9s-Midwey Bldg. - Hoom N•191 1821 Univarsitv Ave., SI. Paul, MN 55104 Phon¢ (671) 297.2117 THIS INSPECTION NEpUEST WILL NOT BE ACCEPTED BV THE STATE BOqRO UNLESS PflOPER INSPECTION FEE IS ENCLOSED c?/n REQUEST FOk ELECTRICAL INSPECTION ee-ooooi-oa 1 Sae instructtons for complating this torm an back of yellow copy. lr 121 4 9 "x" eeloW Work Covered by 7hrs Request 06(?,)' AA<I Nav. Typa ot Bmltling Applmncea Wired Equipment Vtved Home Range Temporary Serviw Duplex Water Heater Lighting Fixtures Apt. Bwlding Dryer Electrie Ne2bn Commeraal 81dg. Fumace 51. 00 Silo Unlonde.r lndustnal BIAy. Av CondiLOner Bulk MiIk Tank Farm ONe.r oeu y Oiher ISOe?::iyl ? er Sueu y Other Oihcr Compu[e Inspection Fee Below M Fee ServiceEnvance5ize It Fee Fexders/5ubleatlers k, Fae Cnr wts 0 to 200 Amps 0 m 30 qm Ps ? 0 to 30 Am s Above 200 Amps 31 to 100 qmps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps v Transformers Irngation Booms / Parual- Other Fee Signs Special Inspection $ TOTA ? 6? LFEE / c r'-7 ,. 1 iough-m D:iie J ?.((J 1. the Electnwl/-. S , Inspe?c[or,?heieby cervly that the abpva inspaction hes been maca. fMnrequeatvoi0lBmontMfrom COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Q 23a? Foundation Onl New Construction Interior Im rovement • 5Wdurel Plans (2) sets • Architectural Plans (2) sels • Architectural Plans (2) sets • Civil Plans (2) . SWCtural Plans (2) • CodeAnalysis (1) • Certlfipte of Survey (1) . Clvil Plans (2) • Project Specs (1) • CodeAnalysis (1)" . WndscapingPlans (2) • KeyPlan (1) • ProjectSpecs (1) . CodeAnalysis (1) " • Master Exit Plan (1) • Spec. Insp. & TesEng Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) • Elec. Power & Lightlng Form (1) not always" • Meter size must be esTabllshed . Meter size must be established • Meter size must be established - if applicable . ProjectSpecs (1) 1 • EnergyCalculaUons (1) " d 1 • Electric Power & Lightlng Form (1) 1 • Master E)dt Plan (1) 1 ! • Emergeney Response 51ta Plan (1) b • SoilsReport (1) 1 . MGES SAC detertnination letter • MC/ES SAC detertnination letter • MC/ES SAC determinatlon letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food 8 beverage or lodging facilities - submit plan to MN DepaRment of Health. Call 651-215-0700 for details. Contact Building Inspections for sample. Permitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. ? DATE: WORK TYPE: _ NEW,,Y-' REMODEL CONSTRUCTION COST: /S. 7 1?2 ? SITEADDRESS: 1S55- 15?7 X-1'5 ??? -?Z'?1 ?? TENANT NAME: 0'?V? SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK % l?-- Name: l?p ? i Zrs? ?c? S Phone #: Q ?? ! ?J? ' y6 ? ? PROPERTY Las[ First OWNER Street Address: e4?? 2515 S'- City: State: y/// /7 Zip: ? i?---T- Company: Phone #: ,f?i / eK2? ? CON'CRACTOR Street Address: 7 S 7- City: State: ?J /l Zip: ARCHITECT/ ENGINEER Company: Nazne: Sheet Address: City: Licensed plumber instaliing new sewerlwater Phone #: ( Registration #: _ State: Zip: Phone #: ( I hereby acknowledge that I have read this application, state that the informa6on is corred, and agree to comply wiih aIl applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant:- Updated 7/02 THOMAS LAKE HEIGHTS 2ND 75951 PERMIT DATE & TYPE LOT BL ADDRESS 12/83 4-PLEX 210 02 220 02 230 02 240 02 5/86 4-PLEX 250 02 260 02 270 02 - 280 02 ? 4/86 4-PLEX 290 02 300 02 310 02 320 02 4/86 4-PLEX 330 02 340 02 350 02 360 02 4/86 4-PLEX 370 02 380 02 390 02 400 02 5/86 4-PLEX 410 02 420 02 430 02 440 02 5/86 4-PLEX 450 02 460 02 470 02 480 02 1542/ BAYLOR CT 1543/ CLEMSON DR 1543B 1546 BAYLOR CT 1545/ CLEMSON DR 1547/ 1547B/ 1545B 1555/ CLEMSON DR 1557/ ]557B! 1555B / 1565/ CLEMSON DR 1569/ 1569B/ 1565B 1571/ CLEMSON DR 1573/ 1575/ 1575B 1577B/ CLEMSON DR 1577/ 1579/ 1579B 1581B/ CLEMSONDR 1581/ 1583/ 1583B APPROVED 3/85 PAGE 4 OF 5 34 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatructlon ReauiremeMe • 3 regislered site surveys showirg sq. R of lot, sq. ft. of hause; and II mofed areas (20°h mazimum bl arverage albwed) • 2 copies of plan shovdrg beam & window saes; poured found design, etcJ • 1 set of Energy Cakulations • 3 copies of Tree Preservatbn Plan if lot platted aNer 7/1193 • Rim Joist DetaJ Optiwis selection sheel (61dgs with 3 or less units) RemodeVReoair Reauiremenb • 2 wpies of plan • 7 set of Energy Calculations for heated addNOns . i sila survey for exlerior additioas 8 decks • Indicate if home urved by seplic syslem tor additions 0 DATE 2 VALUATIOA3q?3 ? t SITE ADDRESS IS-S 7 1? ?te-bV1 SO A MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK v ?f-p4?e J;7i r\P nlQCe FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ?C`? 5 I K-L' STREET ADDRESS I?07 3 F, ? ILZ&rCITY L.kW Z,?k!LSSTATE 'ZIP TSD TELEPHONE # .g&-1-/D7-gSStELL PHONE # 6U- 7 FAX # /oSI Y67 qS7 S 4? S/ PROPERTYOWNER Y-.61CJ QQ`W #1C ?1 TELEPHONE#651' 4586 '0-CZg COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNE30T A"IfULES 7?67? ? I 1 (J submission type) • Subrtdq?? Residential VenUlation Category 1 Worksheet Submitted • New Enargy Code Worksheet • Energy Envelope Calculations Submitted S"` ?,D 2 0 202 U 0 I Plumbing Contractor: Phone # _ Plumbing system includes: _ Watcr Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor. Phone # Mcchanical system includes: _ Air Conditioning Fee: $70.00 ? Heat Recovery System Sewer/Water CoMractor: Phone # I hereby acknowledge that I have read ihis application, state that the information is correct, and gree to comply with all applicable State of Mi nnesota Statutes and City of Eagan Ordinances. Signafure of Applicanf ?Ur -- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Upda[ed 4102 lO ? BW LD I NG -422 N!7°25'29"E (933,0) 3 ? ' ? (936.5) d' M 3 • , i i. -r !7 M, P ?y a ' . ? . \? M M b\29.3; (932.5) q1 h ':i •\ v"N?'-'. h r zo 7 o 1 ? o: O N (932.0) 22 33 ' a ; ._i . _ . , z.i .? , NI J 31.0 0 - 3 _Oa_ S /7 °25 29"1.? ( 93z_o) X 9si.2 r.c, -? G'L EM54iV ., 7.?r? O Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation (000.0) Denotes Proposed Elevation 4-- Denotes Direction of Surface Drainage (93D.5) I O ?4j M ?f- `, m N ( q3a. o) ? Orf 1 x 948.7 7%. ORivE ?93L5) / Proposed Top of Foundation Elevation= Proposed Garage Floor Elevation= 933.5 Proposed Lowest Floor Elevation= 934.0 I hereby certiy thaf this is a true and correct representatbn of a survey of the boundaries ot Lots 24, 30, 31 and 32, Block 2, THOA:AS LAKE HEIGHTS 2ND ADDITION, Dakota Countp, _M.innesota And of the location of all buildings, if any, thereon, and all visible encroachments, iF any, from or on said iand. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 2na day ot Anril 19 96 Paul A. Sohnson 10938 Land Surveyor, Minn. Reg No. j%F,4p CERTIFICATE OF SURVEY '. BOOa PAGE {Or _ McCOMBS-KNUTSON ASSOCIATES, 1NC. ????/ (y????y?? (yy?C ceMminNG E.cwE[et 0 ium suevnoAi 2 srt[ runtu suE na IrC r? rR./rl{L,M Y f-MVIGS IL1....,. wwnc?u ... w,rcMnao«..nw?ew.. 7430 f . . ? ' f " . r':' ? s y ' _ t.y ° y? -xy{• -y -.? ? 1 ?,? ? Y' ?r,? ?? •»S, ? - ( ?1' ? ? -_ -- ? ? ,. . . ? . • v_, 'z'?"e ; ?._ . ? i ? . ? ': ' ;.'• : "._ _. ' ?- : " a ? .' ?.i{?t q'.'. ?' `- 1' ?> .f . 1985 BUILDZHG PER]{I7 A?Pi.ICA7I0DI =" CITY OF EAG98';*?$ i ?_ - - .r'F?" •'?a 'C4e'. Z_ '•?::: , _ ' tt.,,w:t`e ??,.: ?.._ _ ?? :,:p..;,,. i ?"??•?",;?,rl.`.,.,;?-i'a""'-n:.'-^?:t= j;k°...?'; `s" G' 7.?_?,,c? •: ?HOIE: A:? `: . CiORS. x, IS..CONTRA jitJg _ r; BE' LICEIISED ?fITA Tfl 'Ga E`:CITi;4F :..e'. _ ?s:?b.-_ ? ..._. _?'S£'L"i+!?_ ,.l..P'x;'T."`.?f...'e?.<•.? g.?",?? w. ._?.? i'1CLUDE° 2.SETS QF PLANS<? _ =• ?. ;:.r FBTIFICATES'OF..SUHVEY?? 7? SE? OF.,- Et:ERGY. CRLCULATIONS-. • ' "- , _ - '' ? ?a?: . .:'.::,. ... ..- ' ' ?.., .._ _?-- r •.._.- -_ _ To Se Used For: Caluetion: Dat . . e: : //' SiLe rddress: aFFIC£ USE.ONLY Lot: Block=o? ? Sect/Su Erect -` 'Occupanc: y.: t.`. = o2.Semodei ? -' Zoaiog: .' -_. ' . - . _ Fzrcel i • - ' - p R=pair T}pe of Const ' .: : ,?/ En} arge . ? C-ner ??f GL?? [ 7 7, ?' ? ` 6 of. Storfes r, / y l ti•e l G Length - Dzmolish - Address - Depth ' Grzde Sq F L .. • City/Zip Cade ------------- -------------- ------ ' Fhone _ 000 ?"?) 3?gAPPRDYALS - Gor,:,raetor Assess-.ents femit Y;ater/Sewer 5nrc'r.arEe ?p r?' Address - Police Plan f.ev;ex . ` - ' Fire ' SAC . City/Zip Code • Engr t:ater Conn Planr.er hater Y.eter Pnone _ Coanci3 ' Fcad {Init= 29/J ?• Bldg Off -, kreh./£ngr. -- Parks._ 2reaLrent PT - Yariance?= - :: -. •. Address - . . .. , . ,. ^ - - so TOrAL ` City/Zip Gode' Pt,one S . . . r . . . • - . TOWNHOUSP - FOR SALE UNITS CITY OF EAGAN N 0 11786 ?- 3830 Pilat Knob Road, P.O. Box 27-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # ?-/ / 7, fi? Tobeusedlor 1 OF 4 PLEX EstValue 561 ODO Date APRIi 14y 7996 ,19- SiteAddress 1 S C7 M ON DRIVF. Lot 29 Blocx 2 sec/sub. THOMAS LAKE Parcel No. HEIGHTS 2 Erect gk Occupancy R ; Remodel ? Zoning $-^s- Repair ? TypeofConst. V Addition ? No.Staries Move ? length 4 4 Demolish ? Depth-------- 6- Int. Impr. ? Sq. Ft Install ? Approvals Fees w I Name NEW HORIZON HOMES o Address P• O. BOX 1367 citv MPLS. phone 420-3900 o I Name SAME ?°, ¢ Address 1- Ciry Phone UQ W W ? UV Q W a Assessment Water 8 Sew. Police Name n CRTSWOT D Fire Address Ciry _ Eng.- Phone 415 -7 5 2 4 Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. 4/1l /86 information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Fy9an rdinan?s. '0'PC ? . / Var. Date Signature of Permittee """°" - - A Building Permit is issued to: N? HORI ZOAT HOMES all work shall be done in accordance wrth all applicable„Staty(of Mu Permit 31 F, nn Surcharge ?0 _ S? Plan Review 1 SA _ 00 SAC 575.00 Water Conn.S9-0-0-0 Water Meter63-Q? RoadUnit 290_()0 Tr.PI. 156-00 Copies Total 2, 0 R 9_ 0 0 on the ezpress condition that City of Eagan Ordinances. Building Official _ _?'r."; '-- : - .•' r.. _ '.r; •tv" .i:.s.t :4_:'.,.,;._ Y. . , v . : • , . .';e?. 1985? BUILDING ?ERISIT dPPLICdTSO9 = CITI. OF EAGAIi' ?.J_'z - •? :` R?'=?•'-iy`y- x .y? ?????^„6?x.?;? ? ttDI'E: ?'+AiS. ? COHTitACTQRB BE- LICEMSE _ '•'isc. -?'.-` _ - - 7 ;°3r??-;ti•`:%r:?: .. - ' . - ? " - - -- - -'= z• - To 3= L'sed For: palvation: A Site „odress; - ? /)O/!?z1-?'J : . INCLUDE: 2.-SE?SnQE•,PLAHS;•: '' 3 C_RTIFICATES-?OE.SUHVEI,-'::: ZSET OF E?FERGY CALCSILRTIONS-': bate:'- "Y- / y c)Ge OFFICE USE ONLY ? Hlock=?' Sect/Su ' Erect' OccuFancy. :..: - `/ o2-remode2 ? Zoning . . : . =. . _ Farcel # ` • - . F.epair Type of Cor.st /?? ? ` G:ner l/? £n arge . $ of.Stories - e Length f?ddress ?/ Denolish- ? 3r Depth , p J (;rade - Sq Ft - City/Zip tade • ?-------------- ------------ -------- - Pnone ` y?0 ',3 APPP,OYAlS Contractor _ ???ju.y _ ;ssess?ents rer:)it - kater/Se:;er ^ Surcharce 5ddress Police Plan °ev;=u - _ Fire ` SAC _'. Gity/Zip Code . , gngr Water Conn - Planaer hzter N.eLer Phone - - Council Rcad Unit . hrch./Engr. ? ._ Bldg Off. ? I,PC _ Parks ; Treatrent . Pl,,. Yariance:= - - ' ? Address TOI'AL '• City/Zip Lode Phone - -? . . - CITY OF EAGAN N0- 117 8 9 3830 Piloi Knob Road PO Box 21-799 Eagan, MN 55121 PFiONE: 454-8100 ? BUILDING PERMIT iieceipt#--E{L`- 7obeusedior 1 OF 4 PLEX Est.vaiue $61.000 oate APRIL 14 ,79 86 1555B CLEMSON DRIVE Site Address Erect $7C occupancy n3 pn Remodel ? Zoning Lot3..9_ Block 2 Sec/Sub. mranpqpsI?fE Repair ? Type oi ConsL ?j- - HEIGHTS 2 Parcel No. Addition ? No. Stories Move ? Length 44 w Mame jyEW nnu r 7nni unMF-q Demolish ? Depth ; Address p n nnY 3367 Int Impr. ? Sq. Ft. ° Ciry eav_.?r?.c phone 420'2anA Install ? Approvals Fees o Name SAME ? Assessment 31 6_ nn Permit °, a Address , Water R Sew. Surcharge ?? - 5 0 ? Ci[y Phone n Review 1 5R _ Oh Pl Police a UW Name? ('RTS?nTTI Fire SAC 575_0!1 ?? Address Ef1g Water Conn. SDO _ 00 QuZi Gry phone d '3 5 -75 24 Planner WaterMeter F? ?n Council Road Unit 2q0 nn Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe 4/ gld Off 111AFi Tr.PI. 15F (1f1 information is correct and agree to comply with all applicable Slate oi . g. parks Minnesota Statutes and Ci of an rdinan APC Signature of Permittez? ? Var. Date Copies Total---2. 1)29 U A 8uilding Permit is issued to. 1liLW t all work shall be done in accordance with on the express condition that and City of Eagan Ordinances. Building Offici - ' . .- .- N+;_ {?-).,r` - «.iJ._ " _ __'?? ?•? " . . , y '?: - ;x° •ti'`$:}.:.'. -?-? _ " c=.?•.^ _ _ '•y,t :?.._.,....y- - { . 'S .. ?1 JY? . !?V/ .. . •? - f : ' t g r . ' r _ atr• . ? •? . f . . ? . ? `- . ' ! ?. • .:. :'% 'e . ;' . " t' S :: _, , .'_ . `-- . ; _ .4 ,. • -4?4 Y? , ' 1995 B13ZLDING PERriII A?PLICATIDk ^"CI7'Y OF FAGAlI,,.?_?`"" 4? ' , . e? ?- r . :^7_ .a T': ? .._y : ,i r.. ? n... _Y ` -_ 5- - _"• _ =a?-=.; E . NDI'£: 'ALL CONTRACTORS?o- f .: °.7r`?r..r._ ;?.: e% ;.?:...<.-?'y.?_:y_,t ?`k?,?t-:s-t" E - - SY. SE? tICENSED llIiB T$E i CZTT;: .;? ? ? < :s- y»; •.'t3 OE.EAGA9? < IMCLUpE° 2:SE?S`OF` PLANS' - - 3 CERTIEIC67ES-OF .SU811EY? `•:?:-:, j ? ° - _ - - =" ]f SEl', aF £KERGY C6LGULA7IOHS? To Se IIsed'for: raZvation: v Y, r?Y Date. ' 3? ?;,?: , . Site nc3res5: i??- 424OFFIC£ DSE'ONLY • . Lots B1ock oZ` Sect/Sul??? ?rect '."Occupaneq, ?: - - - ...- - . --- - ° f-1`G?c'','.G.'J o-7-°e:*odei -- = Zoning' _ Fzrcel i R=pair T}•pe of Cor.st En} arge . : 0 of_Stor3es C ner -A.A? Length = Deraolish- Depth Sddress Q,?Q? Gra3e - Sq Ft - _City/Zip CoCe YrI? s?i?n 5:?3?9 -----=------------------=-------- - Fhone 'Y•7?D -3%66- ' dPPP,OYALS Cortractor tzsessYe nts ?ermit rater/5e::er Surcharce Addres5 - Folice Plan °evi=u . - - Fire- '- SAC City/Zip Code ' -- • Engr ` Water Conn Planner hater Y.eter Pho-ie ; -_ Council ficad Unit= Bldg Off?4. Parks. 6rch./Engr. APC .,-:.` . " - Tr,eatreat' Pl'; . . Yariance Address TOTAL,. " . CiLy/Zip Code - Fnone i • °yE g ' 7? ? CITY OF EAGAN N p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - 11787 BUILDING PERMIT PHONE: 454-6100 G Receipt# ?J / 7 7 / To ne used ror 1 OF 4 PLEX Esi. vaiue $61, 000 Date SiteAddress 1557 CLEMSON DRTVF Lot 30 Block 2 sec/Suh. THOMAS LAKE Parcel No HEIGHTS 2 W I Name o Address P_ n- Rnx 1 R('] City MPi.R Phone 490-3900 i o Name SAME 0p Adtlress ? Gity Phone ra _ F W Name n- f_RTSWOID ? ? Adtlress aw Ciry Phone 45za 1 hereby acknowledge that i have read this application and state that the informatwn is wrrect and agree to comply with all applicable State of Minnesota Statutes and City o%Eagan Ording"g. Signature of Permittee A Building Permit is issued lo. ._?F.W WQ?j T 7f1Ti Hnn? all work shall be done in accordance with all applicable S of Building Otticial Erect ? Occupancy Remodel ? Zoning- Repair ? Type af Const. u Addition ? No. Stones Move ? Length 44 Demolish ? Depth26 Int Impr ? Sq. Ft Install ? Assessment Water & Sew. Police Fire Planner Council Bldg. Off. 4J11/86 Var. Date Permit 3 7 F- fl fl Surcharge 10 { o Plan Reviewl 5R nn SAC S7S nn Water Conn500. 00 Water Meter 6 1 n n RoadUnit ?Qn nn Tr. PI. 156 ? nn Parks Copies Total 2•089.00 on the express condiNOn that City ot Eagan Ordinancas. y . ? _ . . AY= . 1' '• .? [ _ . . ` ? • - - -S? ? . ' _ . . . . 3 ' r.' 1985 $UFLDING PEKlSIY APPLICAT30N '- CIZI OF EAGAB;;=_,i'"':*z. _ y ? ..?-=' s'?--'i.-'-°?•yaS?^':3J-.?nf•?.. _ _;A01'E:-'ALS._COtiTRACiORS;24USZ.BE_'LIGEIQSED7rII7i?":YliEjCI3'T:OF_'EAGk9 ..: ?;-?+:;aq.?:?>': .a: .. '? - - - ' < ',•`- ; ?'?,..'r'%:i:S.:: ?;'^- " - , ?.. -..v1-?.-."....'?":.. YL`4-' ?' " 'rNcLuaE-2_sETs :oF 'CER FiCBT "SURYE . -_-- - __,'? -- 3 II ES'OF. . - ----- - =:- 7 SET OF EFERGY CALClfLATIOE . ]Q 1 ?.*,?'VC } ?0 3e Lsed For: /CL?7JL?paluetioa: Datec, Si« „e Ao3ress: OFFICE DSE OHLY Lot:?? ,Sect_/Su Erect` _ ?A? a2nemode3 Farcel t ' - - _ d -- Fepair Sddress C/ Grade 6ccupanep_ r',: En arge C:,-ner ` ??Cl:L?-/oZ'?zc ??v,p?_--l?L' ' ve ?f' .. Danolish Zoning . --Type of Co^st 0 of.Stories Length Depth Sq Ft - Citp/Zip Cade 1---=----------------------------- ' Fhone y77? dG "' , APPP.DYAL.S Gor,Lractor F.ssess menLS PErnit 1,'ater/S:»er Surenarce- 4ddress ?olice P2sn °ev:ex - Fire. SAC. ' City/2ip Code ' " • -_ Engr ldater Conn Phor.e kreh./Engr. Address Planr.er hzter Y.eter. - ' Couneil?.-QRcad Unit= • ?",?,? Sldg Ofi NU t . Parks : . u?0-?(CL,;, APC °:' =- = Treatrent = Variance:= - - - - , TOTAL City/Zip Code. Phone # - ? CITY OF EAGAN N_ 11788 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt p 62( ?71?7 To6eusedtor 1 OF 4 PLEX Est.Value $61,000 Date APRTT. 14 ,19-8-6i SiteAdtlress 1 5S71R ('T FMRf7N I)RTVE Erect ? Occupancy Lot3 LBlock 2 Sec/Sub.THf1MA$ j,aKR Remodel ? Zoning Parcel No. 77FTCHTS 9 Repair ? Type of Const. u- Addition ? No.Stories 44 NFW Hl1RT7.nN HlIM$$ Move ? Length a Name Oemolish ? Depth ' 6 w o Address p n T;OX I?6 7 Int.lmpi. ? Sq Ft. City MPT.S_ Phone 49f1-1900 Install ? o Name SAMF i 0 U < Addres5 ? CiTy Phone Fw Name ?, GRISWOLD ? ? Address aW Ciry Phone 435-7594 I hereby acknowledgethat I have read [his application and statethatthe information is correct and agree to comply with all applicable State oF Minnesota Statutes and City ot ga Ordin>an?ces Signature ot Permittee 4 A Building Permit is issued to: N ' all work shall be done in accordance with all applicabl?.$ of Miqnes9 Building Ottwial Assessment Permit 31 F n n Water & Sew. Surcharge 30 _ 50 Police Plan Review 158 _ 00 Fire SAC 575.00 Eng Water Conn. 500, o 0 Planner Water Meter 63.00 Council RoadUnit 290-00 BIdg.Off. 4/1 1 /86 Tr.PI. 156_00 APC Parks Var. Da[e Copies rotai Z,ns4_na on the express condrtion that Sta and City of Ea9an Ordinances. ? -CfTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 031101 11/10J97 SITE ADDRESS: 1555 CLEMSON DR LOT: 29 BLOCK: 2 THOMAS LAKE MEIGH7S 2ND P.I.N.: 10-75951-290-02 DESCRIPTION: (SIDING) BZi'ilding`-!?ermit Type Building Wo"rk Type f.Census C'ode , - ? i`':'??{T'? r MULTI. (MISC.) REPAIR 434 ALT. RE5IDENTIAL ;_. ?3 y?:E E'?.' i i,1 , j?':uLt.,? REMARKS: INCLUDES 1555-B (L07 32) 1557 (LOT 30) 1557-B (LOT 31) CLEMSON DR FEE SUMMARY: VALUR7ION 8ase Fee Surcharge Total Fee $249.75 $8.50 $258.25 $17,000 CONTRACTOR: - Applicant - OWNER: NEI.SON, KEITH 14206550 HORIZON HILLS TWNHSE ASSON 18511 86TH PL N CIEMSON OR MAPLE GROVE MN 55311 EAGAN MN (612) 420-6550 L l Iheretry acknbwle?dge that=I,•have`re'4ct t?fn'ls ??Ppls'csat3on 1?a`r?d[7-?e ta?e tbiat"°the"' inPoruiation is correct anil a`greeT to comply with°,all apglicable State ot Mn. 9tat4t?s and Gity- of ,Eaga•n- Ordir€anoe?e. APSIGNATURE Acua n R Q;?rA .I p?_ ISSUED B SI ATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) saJ ?.2z 0 CITY OF EAGAN 43-1-1 3830 PILOT KNOB RD - 55122 681-4675 New Construction Reauirements Remodel/Reoair Reauirements ? 3 registered site surveys ? 2 capies of plan ? 2 copies ot plans (inGutle beam 8 window s¢es; poured fid. desrgn; etc.) ? 2 SitE SUrvEyS (ExtEnof addition5 & dBCkS) • 1 energy wlwlations ? 1 energy calculations for heated atlditions ? 3 copies af tree preservatfon plan if lot platted after 7l1193 ?? required: _ Yes _ No DATE: I ??/T? ?9 7 CONSTRUCTION COST: yq- / 7 DESCRIPTION OF WORK: STFtEET ADDRESS: LOT Lq-.gz BIOCK PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: f6121 ZdYJ ff7 Ur Phone #: ? FlPSi Street Address: City: State: Zip: Company: G ZfPhone #: Street Address: / ff-// License #: ?- City: 2&Z? ??&VU: State: Zip: 5r?`l Company: Name: Phone #: Registration Street Address: City: State: Sewer & water licer.aed plumber (new construction only): and lot change are, equested once permit is issued. Zip: Penalty applies when address chano=- I hereby acknowledge that I have read this application and state that the informatipn is correct and agree to comply with all applicabie 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 - Not Required ? _ SUBO./P.I.D. #: ? Ing, PERMIT 'CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUTLDING 029668 04J09/47 SITE ADDRESS: 1555 CLEMSON DR LOT: 29 BLOCK: 2 THOMAS LAKE HEIGHTS 2ND P.I.N.: 10-75951-290-02 DESCRIPTION: `SGaYT44kng Perm3t Type ,Work T Y Pe G,4tde 10 DECK rvk k L( ;. ALTERATION 434 ALT. RESSQENTIAL 024 ??'?? ' ?,,„ ?. ? '' • a? ? ?? ?: ',? } ?a ?:? r ? i , .k, UR,. mU ?? . ?? ??:rc.YS- REMARKS: REBUIL[1 & AD] 10 x 10 EXTENSION FEE SUMMARY: Base Fee $50.00 Sur.charge $.50 Total Fee $50.50 CONTRACTOR: - qpplicant - OWNER: NEISON, KEITH 14206550 LINDGREN CHERYI. 18511 86TH PL N 1555 CLEM50N DR ? MAPLE GROVE MN 55311 EAGAN MN (612) 420-6550 ?..het?Qh?'rc??+!k??1??.?h??Sr ?v Pl,???t,?.?%?k ?ndzsta?s ?0-t the` , ,_ . info;rm?'Clvn. y pL?????F?* e of ;. Mr ? . $,t 04 Lv G..? ? PLICANT/PERMITEE SIGNATURE SSUED BY' IGNAT 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 19tte 5830 PILOT KNOB RD - 55122 6814675 BemotleUReoair Reauiremants $-60.Jro co.'Ua 4-1 ? 3 registered ske surveys ? 2 copias of plan ? 2 copies of plans (inGude beam & window saes; pouretl fid. tletign; ete.) ? 2 aite surveys (exterior eddkions 8 dedcs) - ? 1 energy calculations ? 1 energy calculations for heatetl additions ? 3 eopies of tree preaervatlon plan H lot platted eRer 7/1193 requiretl: _Yes _ No r ' DATE: 3- 2 v? l 7 CONSTRUCTION COST: DESCRIPTION OF WORK: -MoiVo 16X?o 1100 10 X IC) STREETADDRESS: ? ? ?S' C J e-?YS?N LOT V? BLOCK 9- SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR Name: t 1), Phone ? ?.s. .?.., Street Address: City: State: Company: ?!1 ??? /U?ZS6et/ Zip: Phone#: StreetAddress: ????? 9'(4 ??6 /--"' License#: City: mlwfr 612oVE- State: /?l v Zip: SS3/( ARCHITECT! Company: ENGINEER Name: Phone #: Registration #: Street Address: Ciry: State: Zip: Sewer & water licensed plumber (new construction onty): . Penally applies when address change and lot change are requested once pertnit is issued. 1 hereby acknowledge that I have read this appliqtion and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Ceriificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes _ No _ Not Required RECEIVED PlAR 2151997 BY: /,,,0 , PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: BUILnZNG 031129 @7J27J98 SITE ADDRESS: 1.557 C4EMSON DR UNIT B LOT: 31 BLOCK: 2 TNQMAS LAKE NEIGIiTS 2ND P.I.N.: 10-75951-319-02 DESCRIPTION: (REPLACEMENT) ?,-•w $P'iltY`i"n. Permit Type DECK -? ?? _ „9.us]ding°6dork Type NEW ,.??ens_u?aCo_d'?'=`?g,? 494 ALT. RESIDEN7IAL w ' d ? °?•'?!r`, -, - PoSa'-[s. REMARKS: a . Igrz; u P t ?V764 ff7:?ry?( ? m FEE SUMMARY: Base Fee $50.00 COPIES $1.25 Surcharge $.50 Total Fee $51.75 Subtotal $50.50 CONTRACTOR: - Applicent - OHWOPM:N HILLS TWNHSE ASSN NELSON, KEITH 14206550 18511 86TN PL N CI.EMSON DR MA$LE 6ROVE MN 55311 EAGAN MN 55122 (612) 420-6550 I' I h-ee'Ya,y acknowleci:ge :that 1?av? "re.,?d:thxs` appl.xGa^?xcin,and o-t'atio tMAt_-the I ini?Wrnlbitldxv,?ts:gcirrsct and ?igr.ee'A?v e?-o Rrply?p,wi??h?'oll ogr0 1?Icets'o'F pr3•a. % Ordir;ar??es_.,, : . . a ?. ?..._...??,<< ? ?? _ e..... .._ . s_ . ? APPLICANT/PE I E SIGNATUFiE ISSUED : SIGNATUFE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) Eiilq CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681 -4675 New Construchon Reauirements RemodeVReoan Reauirements ? 3 registered site surveys ? 2 eopies of plan ? 2 copies of plans (inctude beam 8 wmdow stzes; poured fnd. design; etc.) ? 2 sde surveys (exterior additions 8 decks) ? 1 energy wlculations ? 1 energy ptwla6ons for heated additions ? 3 wpies of tree preservation plan if lot platted after 711/93 required: _ Yes _ Na DATE: ) /A b/?f -7 CONSTRUCTION COST DESCRIPTION OF WORK: STREET ADDRESS: LOT ? BLOCK ? 11 ??SUI ?-G? l D x 1 C? L? Z=z?L _ 1 S S? ,l3 ? 1 DyrSa,?-? D R SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Company: Name: Street Add City: Sewer & water licer.p?ed plumber (new construction only): and lot change are ?equested once permit is issued. Registration #: Zip: Penaity applies when address chance I hereby acknowledge that I have read this application and state that the information is correct and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Pian Received ? Name: Phone #: mv Street Address: City: State: Zip: Company: _ 1? ? ? h_?_ Phone #: y Z ° Sfreet Address: License #: Ciry: 4141'?-JF State: Zip .:?,S1/ / Signature of Applicant: _ Yes _ No _ Yes _ No Phone State: BUfLDING'*ZZ ? [9sz.p N170 ?29 E 31. 00 22.33 22:3 ?933.0) ,.. ? ' (930.5) (e3ssJ / 3? czi M° oz o° 0 (932.5) MM V- a p? o.3, z.o N C9sc.o) 1 Zo ? ^N' ? ? °?` N O vrj f ? ?932.0) 22.33 22.33N ?. 1 / 31.pp 31.00 ? S l7 °25 Z9,W 1 ? C93t.o) X 93/.2 Tc. --?`-'?- CL EMSON-t6,rrm p% IiE 0 Denotes Iron Monument ° Denotes Wood Stake XD00.0 Denotes Existing Elevation Proposed Top oi Foundation Elevation- (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 933.5 4-- Denotes Oirection of Surface Drainage Proposed Lowest Floor Elevation= 934.a { hereby certify that Mis is a true and correct representation of a survey of the boundaries oE Lots 20, 30, 31 and 32, Block 2, THOP;AS LAK£ H°IC;HTS 2ND ADDITION, Dakota County, Minnesota And of the location of atl 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 Z"d day of Avril ,19 96 I.`?l?YKC,e'YPaul A. Johnson i Land Surveyor, Minn. Reg. No. 10939 CERTIFICATE OF SURVEY 40 .?. IAGE for • McCOMBS-KNUTSON ASSOCIATES, 7INC. , l/?/q?/?. ? ??\?? CDYfYlll1f fYplllFFllt 0 1?110 fU11YIf011f M SII[ ttAl1Y(RpILE Np ?/ $? M? t ?9 ?AES ¦M.? ? ?vl?? WMIEAMLIf W MUTCMiMSOM,YINMEWTA 7AJO T.) r= .. ?_. . . • CITY OF EAGAN . ,. .?? APPLICATION FaR PERMIT SEWER ANO/OR WATER COfVNECTiON *AT6: PAYMRnTP' OF FM AT 7.IM OF APPISCA7TON DOFS N0T OONSTI'1[T1E APPROVAL OE PFItNBT. . nusPncriort oF sENM AND/ott WAzEt rnmrar.ramrONS WIIS, NOrf BE SCHED-- UI,ID UNTII, PIItMIT AAS RMV APPROVID. r : ' • - . . ^. _ .? .. - r?ZiiVCiCC?uC CL111L/ - • . PROPERTY ADDRESS: LEGAI, DESCRIPTION: 2 Lot Block Sub ivision or Tax Parcel ID ) ? .?i „ - `-"??•? ' ? ?^I ??tiH. r }?' rs ?.t1.y.}• .t; _ r,i-..'y>'`:',: ?"_•' ?.;.t:-?.»?iyi.,_p}`i''=•'•?+`-=-? ,..: ?=:<yt?,.ti ' r.w=?i,?-F? ?..• . . ?.__ - _ C` IF',EXIS'1'ING S'PRCC2S.R2E, DATE O£ ORIGZHAL BUILDING PERMiT-ISSL'ANCE: '._• • " ?` -, . :_. .;...__..?.` ..:.`.'.. _..,.« Rm 2dt PRE=? q.WI?+IYJ/CLVVrV? ?.??. :q+. /"/'?-???-t}y,.?.UCJ.1 C'JG ?. ' ?p? W.?Iv Ls T ?rc.?.?#?'Y IIVOM ? R 1 SINGLE FAMILY R-2 DCPLEX (Rko Units) ? ?A???„ Sa?? s M?i?? •;-,..i, ? s+ ,:w' -n_ ? s_ _ S?` b'-?z+.?2r??Q ?.,<".",?bY?."f?'? ? . . ..i^?? ? ? ?`. ?Ti ?., R-3`.SOWMIODSE {Three + Uni.fs) Lfiits) 3.,v}auq..? :i:'..M,r••_?%'ir?ev?e i+:.%'. r'af.x,At$-' r?;?. ;h;. . - . . .. "" ? ??"?; R 4?APARThg1?TP/COI?IDOMSNI[JM :w, °,..y, S? . , ? .-' _ . .. . . . - _. . ? ., n?., . . .: x.. _. - - E ;-;Nr - __- "= _ '_?a?',: ? . • ? ???'. ?'£ ? _ . ' - -? - '? --'.ADDRESS: -lb, ' . . _ .>,. -= = CIY"Y.-+S"TAZ?.- ZIP:? 5?j/?D , -._ _ . _ _ _....:;-:. ?? .-. -:. :;- -- _ _ - ? -_-_4H=:?2p • dHDD ?4 .. -:?3) u cr * For City Cse . NA14E: Plumbers License: ?' _ -- - -- ' Active ???^-`?:-'-'-: :. _`";ADDRESS: . • EXpited CITY; STgTEms • ? Not reCOrded PFIOI?.: MASTER ISCE[VSE# :.. "`=?- - ._. .. . -?:..•. • S ttal •5) t:. r• ? a: • a?• :? - ai - a+ y EM ODNNECrION 1n CITY SEWF12 ? COPSIDCTION SO CITY WATER ?- OTFIER `.. 6) '? "• -•?• ? PI,F,ASE HOLD APPROVID PIItMiT FOR PICK- BY ONE OF P.BOVE -- -- •--' - ? PLEASE. MAIL APPROVID PEEtI?IIT TD 1. Z. ? 4. AB0vE .? ' ? • (Ci.rcle one) • . ' ? ' 7) r ?. ?.. "?' MYIUI ?' ?• '?: ? Y" Yll: MY ? ".? 1? ? 1' N • ?,' y I:+?• d F Y?1' • }'1 IY ? ' ?• • ' }• 1' • ? ? • r. •?' ?? ? 1 p'r M:I. •,hp? AbMINA! 1 DI" 4 l? Do' • 1 11 Y' • •? ' ? " . . . .• . . - . _ . . - ?'a,F? 4' °. ; .... - . -. , ' .r?. _ . ..., .C?-.? a.. .. ? ' ?? - m 4 S.. ' . - _ ' . ?h^?':' " ? ' ' .9•(:r ? . ., . ' , . . . .. .r .,_ . • ..... . . . _.. , . .... ? . .. , ? .?.? 1 • t . .. . - '? ` . . . . ? I_n:....: ...f . .?'?.,.-.:.' : . " _. . - . ? _ . . ? n . - _ ?, ? : FOR ? C1TY - .. USE 4NLY ? - • .. PERMIT # ISSCED ? .:? ' ? ^••••:'? :ar?? . • '.ky 1 ??c?yFi: . "'&; '"` ?'? +. i . y 1 3{ ' - ; Pd w/Bldg. Permit FEE5: . - . - .. i . aX - ` _ >.:.,.,.. . .. .?;,: ., .., ? • j- ,?.?,,,,:.-_. ..-. .? °• . ?._. x , e v :, , .i+_za ? - • - ' ? `'?' .:..;,? a. v:,. ,. .,-,._, .. . . -, ._ , -- $ .,._ .>_ . ?r? QY J KJ ' . .r .. -. , , c , 7 t S&W?? PERMIT' (INCLtDE SLRCHARGE) ? ..6:- ? y ? w. , ` $5?? PERMIT? (INCLL'DE 8C! WATER RCHARGE) .. .. . .T 1'4,. ..: _ . ....: ?. .?..,. ..» . .n ,_;t?i?tY?=,a ?p x. 'ti. ?.:I:?' . , . . _ ... ? 'iC't'C^'.. T- `, ? l?.?. ':?,.?.,'e?' . _ .-.. , . t. _? :?"..y?en. ...., ?..ea5.v..?'S?T?s.:?-.?'Y.?G?tM1?e?._?..: ?._a?:?.?v?.-w?.?'it:-'.':?.'. `WATER METER/COPPERHORN/OCTSIDE READER $,'4?,} ? ??M1,..Yr .. _ , ':.. .. . i?'.Yi:.K'C •j•?y?rfi•?f,e,_???,.t?P ~ WATER TAP `(INCLL?DE CORPORATION STOP) ,$,;;.;??„i.;.?.`,?:?????; ? "r`SEWER., TAP ,..i SEWER ? $ ? Y '? - OU DEPOSIT` $ ^?? '??? ? +. - a; , „?, , ACC - • r? ??•-, NT . '?, i- "?i,?.?ap - • ?.. ,tv?.., t _ ? ?, .? ?"'""'? 'a'; - twa ? : -'Y °`d ? ACCOL?NT DEPOSIT WATER WAC ? ? ? { ? 1 A ? ? ' )i! V-.'J: 7 . ITdtLNK WATER S?SSMENT $ ?`' ' ? S' _ _ • . ? . ., . . ? . ?:-tTREINI( ?SEWpB?A?SJ?SMENT $ ? ? ...n...l. _ ,.' : _. , i . 9 LATERAt NEFfT,/TRUNK SEWER .' _ ,. .: _ ? ? _, _; ,,: ?..-' -. .a,-t':'._° :' . ? •' - " ... .. . ? : .?.._f , n.. ,. ' ,.a...`.?d? ' " '" ' ' -?'r»'?„3??'?' .. .. ._. ?.::'. . .. _ . , . ,; . . . LATERAL BENEFIT'/.TRCNK WATER ? ? ???'-';' `?'-p $ ,. , f t . Y s ?? . : ? ? • ;. sF1ATEEt . TREATr [\Ll.J:a 1 oe: DOES LTTILITY _..., . 0 Q . . - . . . w.', .... . .. . ...u?, v?• i5.k:.?i _ . ' .. .F'-? . CONNECTION REQLIRE EXCAVATIOLV IN PUBLIC RIGHT OF WAY? YES . ,. . .,_ ... , . NO IE YES, THEN A"PERMIT FOR WORK SVITHIN PQBLIC ROADWAY" MC?ST BE ISSUED BY THE ENGINEERING D IVISION. LIST AS A CONDITIQN. SUB7ECT-TO THE FOLLOWING tbNDITIONS: y.- 4,,; 1 ? APPROVED BY: azc/>C7 T2T7??• ? • ? ?? .t -`, '. ? ? ' ' .=?` . ' ._ _ _ ':' . CD? ,. . • ..., . . ' _ ' ' .,_x-. ..x ?, 1 IE ???c? ' a "Inzi ? ..?..,a -.? . '7 . - Y:: ?• . . -? ?.: ^'. ^s . ?y . ' ?g rb:s. _Fg;.:?;. `:-3'.-,?j TOTAl-f ? _S._ ?-•`.. ,.?.._,.,..4.v . ^ k:-:al?`g::. ??^ • n? ? a f 4? l?(.v?rr.q(5y. J .1mN^ T't irv : .. . ? ' "? ?`/?'. " - ?' ?.'?',? ; ?? ? z " ? • ? '`? ?? i ? '?y??'-,? RECEIPT CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION PXYPF: PAYMBNS OF FEE AT TIME OF r,PPr.icATIoN DoFS Nom oCNMTM APPROVAL OF PEIOIIT. nNSPncriota oF sENmx Arm/Cx W,xM TT1CTaTiATTON$ wnL NOT Bl?.' $CHED-- [LEn LIrn.IL Pntrux HAs s? APPxovEO. P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRL'CiLME, DATE OF ORIGINAL BL?ILDING pII2MIT ISSC'ANCE: hbn Year} PRESENT ZONING/PROPOSID LTSE: (:) Ca44ERCIAL/REPAIi,/OFFICE r-I ItvfiC?STt2ITu, n INSTITUTIONAL/GOVERN[?,?Tr 0 R-1 SINGLE FAhffLY ? R-2 D?'PT.E}C (1wp Onits) R-3 'IOWNEiOfISE (Three + Units) ( Lnits) ? R-4 APARTMENP/CObIDOMINIC.T1 ( Units ) 2) ? T]AM; New Horizon Homes ADDRESS: 13805 86th Ave. No.-- CITY, STATE, ylp; M3nneapolis, MN 55440 PHENE: 420-3900 3) ' i:?• NAME; Thompson Plumbing ADDRFSS: CITY, STATE, ZIP: PHONE: 12201 M3nnetonka Btvd. *Sinnetonka MN 55343 933-2521 MASTER LICENSE# 1763M 4) •• ? NAME; Same as9f2 ADDRESS: ? - -._ °- - CITY, STATE, ZIP: PHONE; Active f3cpired Not recorded nitial 5) i? r• ot• : a • aOR - 55 ? CONNECPION 1CT CITY SEMR Ed CONNEX.TION 1U CITY WATER OTHER '- .. 6) '? • • r rl PLEASE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF ABOVE --- -- ? PIEASE MAII, ApPROVID PERI?ffT 10 1. 2, 3, 4, ABOVE (Circ one) f 7) r.st.,w 1141 AA/ -,7 fGi4/,. I F4R CITY USE ONLY PERMZT # ISSUED Pd w/Bldg. Permit FEES: $ $ 'D• 5 O SEWER PERMIT (INCLUDE SURCHARGE) $ $ m S? WATER PERMIT (INCLUDE SLRCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (ILVCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ ?7 D(.? • O c) $ WAC $ 57s ' O- v $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRDNK WATER $ G°--Ci $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ ?r? r7 y? C? $ S,Ic%rZJ TOTAL - G:l.i 3 3 62-17-z- RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVA TION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q NO ROADWAY" MLST BE I DIVISION LIST S SSUED BY THE ENGINEERING . A A CONDITION. SUBJECT TO THE FOLLOWIIVG CpNDITIONS: APPROVED BY: TITLE: DATE : kh, CITY OF EAGAiV . . 'e., APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *toTT: rA)Mrr oF M Ax 7IM oF APPrscATIoN DOEs Wr aorsriltrM APPxovai. oF PERrsr. . PEcriow oF sEWM Arm/OR MM : TTLSTATTATTQN$ HTjLL mJ,' $E,' $CHED- t7rEn [lerrir. PERMIT HAS sEEN APPPDvm. • . ?,.,?; - , _, :. .. , ', _ • . ? ' . - ?*lt4'i**1r##?F**R*4k****#3*?4ttt1!**1#;! Y P ease Print - . ,1) PROPERTY ADDRESS: (?? 1 "?O,?y??Tk.' ?I?• :'f '? :.?'? '' _ O ?•- LEGAL DESCRIPTION: 3 ` ?G::. '_' . .:.:. ,:i:..??,,,uy.'o_ Lot Bloc Su ivision or Tax Parce .?fi-!??,,... • ?w: '.E.,_.:-s?y.:." i ._.....Yx?.. : .y, F?s m •..,;?' IF' EXISTIl? STR(7C1[]RE, DATE OF ORIGINAL Bi.?ILDIIVv PERMIT ISSCAI?: 1 .^' ? ry';`? ?,y?.? q f?;: l'l.Ilt Y?? ? =?` PRFSETTr. ZONING/pROP0.+?ID L'SE:. } . ?- ` = " '?' -**, " t' ?.?: _,t+.,-,.ii ?. - . . "' ?• ?. .e. ? ..?: ., ? c3."? ' - ? .,,_ ? b P •: t': '"x:''?'' s`i.r.6sS,],? `: ??..,-. "S+e's. ww 4•..c. `",,, . ?, ?H y_ tv??' . ?.:. ? r,t:, . i '?: ?''.:... ? 61: _.. ..::.e•:;:w_FiuX^^ d'?:,?'?Nj?t:La';°,??' - . °,.c-: ,?"L. .'r;o i?? _?? `,i:? -', G?;s_?'?? OONS?RC?AI./BETAII./OY'P'ICE %iyjyl? R-1"SIlVQ.E FAMILY l.».- j", ¢`w?'4• ` Cn iits', Tao " : ? II?STITL'TIOBmL/GO?IERI?Tp - ?:''" : ? ? It 3?'y-p1?p?i0L,5E (Three + Un?.ts) (?,_ . , '[? R :4`?APARTMENT/COI?IDOM2IVILTI ,?. ?`r"__ - .y • ,., . .. ? ? ' _,. ? ? . ' ?'?:"S>' '." ,funi`s) ? rue??: .,se• Urutys) ? ..fie^?ni?.???.:.?? - • ?Z/.•??? ?.,..?t_ ' .. . ..1.: "t?...... ?'h 'A_-j?'-'.?.1-A?.L' ADDIiF'r$$: : : ? .. -- ?•CIT3C; STAT'E; ZIP: ? ? - • ? PHONE: . For City Use .. NAMR' Pltunbers License: , . . ADBRESS: . : ?y? ? ? ? EPired CITY. _STATE. ZIP: . ....- . . . _.. ? Not recorded MASTER LICIIVSE# =nitial 4) ?.• • ??• .?rK p ?rY9Y lAo ffuDRESS: .. .? ,... ... .. ... .. :A ,F?????ikJ?'?,'•+??1- ?.`;, CIT1'. STATE, ZIP: - - . PHONE: . _ . , , . _ . .. . . •5) . v i ? m• • r• : ?t • o. - ??. - - . UM CONIgS,TION SD' CITY SEWIIt ? COI7LTION M CITY WATII2 OTFIER ' .. 6) ? v -• r Q PIEIISE HOLD APPROVYD PERI•ffT FC)R PICIC? BY ONE OF ABpVE ? PLEASE MAIL APPROVID PERMIT RD 1. 214, ABOVE c ?/?/ ?\ (Circle one) 7) C/. ,4?M ?? ?? Y/IL/Y/ A A/ VrTf'Tm oII li? / Iz, rQQAw ,. . . - ._,.. _r ?_ . . . FOR CITY USE ONLY ? - . ? - . - :- - PERMIT # ISSOED ` _ - . 71T ry / / x?3 1d7,y,: 4 ... _.. . . . . . ? .I' .. ''Pd w/Bldg. Permit ? FEES: :.:;.:?.._ , .. ..•. s"=i:"..;?_ .. .. ._ _.....,..::.:.. _. , a . :;:ys,;.. . ..... . .,_, ?....,_.., .. -. Z,? . 1 : SEWER PERMIT' ( INCLLDE SURCHARGE ) " ,. ?'?>?.L..: .. <.c."..- . ? ' . . _. . . ::.u:;_ ? . .. _. ;fa•x; ;.. .,.• : J I? _ - ,:... _ .. -.. :a. : " . . ,. .: .. - . . ' "' " ??.. x - . . y?$_...._ . _ ,..:,__ .. ? , .._. .,._. $ WATER PERMIT ( INCLL?DEp SL'RCHARGE) _ _ . :". . .: a?. . . V.? Y?'?SFi'?? ?a'^fi?y:'?!{?i?/^faYW ??iV?40lW?.e..? ???li.y ??.n?4,?+t?r?µ?N?,'•rNVr.. ? ?... _ ':.'-yp.??.ru?rv:..`.f-.s..'r..n....?vVF?LLl?aYivw:.n??.'_. ?? ??s? .A:?:? .. .. + ' ? : ?ro' i?Yl?^-1.' i.. .. l?'?? • .:.,_.? $ ?'? ' ??? ? ?- • , .'$ •" • ' WATER METER/COPPERHORN/OtTTS IDE READER .,;; - •, ?; . 4,- . - . . -- . ? - - .,i'. .t; .;"-'F???-'•:?C,:;i+:?;%;?.''x$p"?'';.'?,: :.,,s_r.•_ - .; ..L,i"..;.'','?:'a?....._ - ??.? ._ c:;a?y.±.'?.. . „ ?- . - t '.?t WATER TAP (INCLLDE CORPORATION STOP) == _, •?._, -. .+..?. ? iT.?. - :-, . .Wi;.:, . ?'t""rr'Z:^.s.4;:;? •v +?irv:?f?SS?s„`?r?:,c , =sa1?v`iY?iFm.. .:x:.w::l.:?#??;:f?'. .?'t.." ?`? _y?, m}j ?c?i'? .+nW`P3e? ht"???'ri;:`i>'fR}:;:{?'??"^+,y ??' TAP _ fS. ? ?.? - 1.?.--?,?'iI•>'u? ?'%i:. .4.r ''(L? 'r?,.'?+?YSa.' ' Sr.L.?.1n10?c??4r.•z. '+a.,I.'?ii . 1 . ...._ a ? '" Y i Z iI ' ' ch'r. "&?8 ? i. Xf.a.:9: .'??hiri•,i+`;`s4 :nr"',•/?:'Sr !?'h..,?,.r: ? ?? ? +??••.Y+.?wi:?-:'itv.'>x _. c'rt« .• w; T4? ?'?T?t w? i trti?.::??y!?? • . , "?; , ? _ , v.. -... . ..E .:'.c?sc?:w."'<a s _ $ ACCOCNT DEPOSZT SEWER 'P'tt -' . ? ?t..? 1 A R4 9r?8" '??{ _ •; ? ?. . vizr.-_nsx.nd;r.`n:-:' ?'3-nrr".,, A% ,????Y{? 'Ls<?' ? ? 'da .,k','}??a• ,,*^ a SaP?n, ,D` - •y.,Sr?-"' t:, ? '`e. ??, $ ..r?.?r??'7,:?'??% ?' ACCODNT DEPOSIT?- WATER,;, `^<-..,..,,.... . ? ? . - ... *•5': G7iZ.`. y?;W . , . ? .?_.i ?.ti?a-v ".,;:?'A` :aI>,:?,_.? _ ..? -. , y . ' .,._„ ? e?_' _ rw•',.-.."s>i^ ',4. : x :• w.? pi? : 3' .. ?i? ? ? ? ?;'?' ?' <'i ." - - ' ' _ , _ " -.'?'iYr'S.? `x= ?= ' i.:ti[F?... ? 4??." ? ,5?; ?,'-,._.' 'L''-?'? ?i?- - ;..5? ?? `' • WAC ?. Y:i ,;...; . ft. •?..?.?? , -: `if,.?; ... 'F:'Y; s.•?:z*? :?•:?:: k . !.ka.t7Y$???++jv%•:- ' ' .: . ,{ .',?.?? .. .. - .... « - ? .. ???'???....F.. a..A.'. :.?2.a???.? - _ .. .. .. v... `J?.}.q3n?..Ffarf: ? ?A .. . .. ?"fif,H': Y...N??... v .:.?.. '?.+e...' A . ?$ i??f ? ITRLNK TdATER.`.ASStSSMENT . _ "`r:..'7`?r•,Y- - .???C'': :.:, t??l i_???•.; ? ., ... . ' . ? , .... $ z:_4TRENK-,,SEWT? ASy.F3SMENT r`?; F:f;f. $ LATERAt? o,?.NE£?T_/TRC'NK? SEWER '?? - ' : - - ,w;.$-• : ..wr`a?.«?;'. ? - . ?,. ',LATERAL BENEFIT/TRUNK WATER: ,...5':- .... , . ,... . ? ,. .1Yw? - __ _?, . . .?•„ ji l.i ? `•? lY. 4 ? ?? { ?, t{ "a', ? .. ?. ?.. •?Yti? -_. ?"`?\'??_ - :"k\eG 2llV??•'?: `?, -?? ? ? "'?' ? ti " ?R . aREATMENT. ,FLANT'' SUR.CHARGE ?y?.? .? __?X:-.---?;r„' _:.:.a.u, -__:),? ""'`????i?.l??M±b.?•4+.:Nra,??:_ Il ? __?:_ . , i • ?? "cS?5'M.;?;a..a.v' ?. ^-4?'IMS'( - - '?'}?' u l 1G: \. i ? .? h ? 1 ?. - "Y?Pi trq ?qg-.? v.. $ p:".ey ?:-,?,r+.-'7?.:1:.S,i.?E?O,?HE&:?.?:^??• 'g?"' !;?w.:,.. ?;.;? ?c .r'r?-:: o ?i -., ,ot"..:i.'?.?a. -"?f _' _4:? ,.i? ':;',?.".'._ .:.....? ?:k?.? i?a??'..F ?.r-r. ?1 c^` r?''y .1,?r..,ti-.n? ::sii3?,._ ?:?;?r •? -?J??Y?T? ?? ,?~?yr'r? e ??i ,^:;, ?„?..?.. ?...i?•A.yli.vLt-..Si.Y"'?'.?'..? ? Y,$1_ . •: n. < G .??? ?s r• ??L?',%?j "' TOTALi,:., ? n _ •., ..? - .. ?.?. ? .. ? ?.? _ ;, Ci ...LL'b:._.. ' .+.: ..--•--_^ . r...,:. ....?: ' ? - u , 5,???"" , PT RECEIPT 9:'? ; '?: , -=z?; ' ,' ,t ,;•:`?r».;-.t:::. ,? . . _.. ..-:: •...?'` ?v' - .. . ; ? ..., '' . . _. ' . _ . _ . _. . .i. ---. . ^ ' . : .. ...:. : ; . •- ?w. .__. _._., ... . ' .: ' ..__.,.-:.. .'-. +. . .:.:n ? _,a?:.. .., . DOES_E.TILITY,CONNECTION RE^ yUIRE EXCAVATION IN PUBLIC RIGFiT OF WAY? - ? _ _. ..., _.. . r.?, .. _. ... .. . ,..?.??,:? ...:. .,?,s;;?,•:,,:..,-.??,:;:.;-; YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ? ROADWAY" ML?ST BE ISSOED BY THE 9NGINEERING ? NO DIVISION... LIST.AS A CONDITION. ? . . . . >. . . . • .... ?...-?-'ti ~I6i i.? . . Y. .. r.. . • SLBJECT TO THE FOLLOWING L`bNDITIONS: ? ._ _._. .. ......d.- .. : ?... _ _ .._ .,. _ ?? - APPROVED BY: q ????•f? /?"?'?? . . _ ? , . TITLET '_ . _ _ = ; _ .1? ? '.i ?• -. ? , _ .. _ ' _ ,!' ._. .. ' ??', , ?. .:.`_.. . ... ,;"•.:...,?}' ''. - `: 'TE:. ;. . . .? /?Sf ?/" v ?-"'?.• •.t?.y .? r'?.ai.v.?.-=^>. D1i .. ,- t• _ , v ? . . :. _ ;_?,.", ?°.' _` . .= ? .:.._ .... ........ .. . , .. . _ -. .: ° .... ? - . ... .. . . . ' ' _ _ •.: ? ,.t c. c.;,r:::'. . .. - c•`r:: .. ? . . , . . _... . _;::e'?,'n.?R?v . ,c-.s .- ' _ CITY OF EAGAN .. , r APPLICATION FOR PERMIT SEWER AND/OR WATER CONIVECT(ON NCYPF': PAYMM7df' OF FEE AT TIIM pg APPI.ICAIZON DOFS P10T CCNS1Z2V1E APPROVAL OI'' PER!?=. nvsPncizoN oF sEWM Arm/ox HkMM nerar.ramrpNS WILL NOT BE SCSED- ULS•D UNTII. PIItMLT AAS BFW APPROVID. ' ----------------- --- . P ease Print ? PROPERTY ADDRESS: LEGAL DESCRIPTION: 3 Lot z ' Bloc Sub ivision or Tax Parce ID '. . Y . IF EXISTING STRL'Cit'RE, DATE OF ORIGINAL BLTILDING PIItMiT-ISSCAfXE: - ' . i ? • - ? , :.. . ?. .,, . . .. . . Mf7I1 2dr) '- PRESEE@llf ZONING/PROPOSID LSE: " .:' r: + +? J? ?'` ? ? + ?:?' ""?' . ? ;'? ?;.?.='•,,,;.. ;,;s?=_ , am .?,sai ?„ - '. ., ^:??«??:.-f1 c . '??. r •k p«wCi ??> ? °^ iYt ' K13 ei Kw? _ ? . . . .?:ti ? i: e. r . . ?!. ?sm Y ... ? ti , . , . . , „ . .... . ? ;._ , .. , ? . ?.:.;, s ,:' •i::t : 77 ?.'??:?i ? `? ? t .? . ,;? 77 R-1 SIIVGLE FAMILY F . ?;, ??-.,• :. . - , .. ,..:,s .,.._.,. `IlVD(TSTRIAL":.,:::???.T-,?,: , _ :,-y.._ R?2 ?` 'PLEX (T\«o Lnits) .,.?-1?_•F.Rar,"••- " ',"?,L'.s ?S?i4L'TIC2VAL/GCJVERIo[u'p R-3 TOAiNiOUSE (ThL'ee +Units) 4Units) R-4 : ,APARTmIVT/COAIDOMLNI[ fi! i s . . ( Un t ) s.2) • -- ??--__- -- ::r;-„- [?,ME: vioztjn . - - - --_- -_ - ? ;" - yADDRFSS: ?„ . . CITSCO STATB: yIP; cCJ?C?V ? - ---? : - _ - - -? - - - - ---? - - - ,' ? PHC?:?? • .. .. . _ _ ... _?. _ ;, - - ? 3) u ?: ?• N11ME: AMRESS: ? ? ">??r. ? ? , - Clq•y,_STETE. , ZIP: MASTER IS((E[VVSE# ?lumbers License: Active ncPired Alot recorded St?Init?.al . . . ,rr.:o . . •5) ?:? v ? i r: •?• : o a. - ?? ? CONNECTZON 117 CITY SEWM ? CONN[7CTION TO CITY WATEE2 C( OTFiM . ? PLEASE HOLD APPROVID PII26IIT EC1R PIQC- SY ONE OF ABOVE Pt•FncE MAIL APPR(7vID PEI2MIT 21? 1r 2.? 4. ABOVE __ f • fc;?ie .,.,vi ? ? :>• ;. ?__ ? ? ,... ?. ? 7a.Ll; ? ? _ . v? . i . . _ .. . ? . . , .?'?T.RYrn= • . ? .. ' - i . . . ... - ..`aU:d.:: . ... FOR CITY USE ONLY : T . ._ .. ,q.-. _ .1: ' . "" ?.A:yT' ^ _ :t?..•_. ': _ PERMIT # ISSL'ED '!t? ? ':3''?`„?:' y- 'z?',?•,';; : . . ? . .. .w . . . ..x....., ? ? : : Pd w/Bldg. Permit FEES: ? ? i= ? • ' < -^... , ., ???a .., t , , -j- = . • ` 'SEWER'•P ERMIT (INCLLDE SURCHARGE) ,. .:. h __ .. ..,._ _ .. e .._... ( .. . ,? .... ...,..a? .°"' , . . . .... _ , .. - WATER'` P ERMIT IINCLL?DE SLRCHARGE) ' ? , _ '" •-?,`,.• T ' ? ? ; . ,s?,_.'. . ? •Sv:?,?.'M.L3?,," R T : `WP.TER M ETER/COPPERHO N/OCTSIDE READER s <^?mz: ,? ? ,_.•. ,. ._.. .w.r T? - E O O - s?G?7h'? . . . . . . WATERT .. RP AP (INCLGD C RATION STOP)::? ?" t',,;.'. y;,;, ?;:c..;:.,,. ;t>, «::";' ?;?1:?e 'nt' ` y= ` ", .,- 'ii+ni.? ,.-:. , ,a c??k-°- . := f'?? , " ' .'S• ?•u? ? sf??-?' , ' _ . K ;.? • . . y,. ? ,.'.?. , r ::° .?w?.t_ ;. .?? z'* ACCOONT DEPC .-<_.._ i:tY?J r'e: 4'=,^',?_ ?n:,,•. yv .?y_" .. ?ny,? ? . '?; bf"'.?a°. ...y2:q?y`'?ii!±_i'.-';P{?, .`' o-y.. A ' ? DEPC CCOON2 ° 1 : ? } :r? sCl C ' . WA .? - -': ? ?` - ? ,? ,,.+.:..-?.?.:•... '-.i?7•. - . ; ?; - . r.'ti'a'P" - . .. .i ?. ?'rvy??..:? ..-. . 7;6? SAC r.,.., ' WATER " ' ? ? $ ? ?.?_ _ • $ SEW Ta .. jTRL'NI(= ? ' --- ., , r ? t LATERAL BENE SEWER : ..._..F ,.' _ ' 4z ? > ?.r;. ?i:w ?.. _ ? WATER 'f:?; •Y ':I?..MK'. ?..t-.. ..7.4:'?????l.M:..•_ .. DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OFWAY? • - ' ? .t.,.- YES IF YES, THEN A" PERMIT FOR WORK WITHIN PIIBLIC ROADWAY" MUST BE ISSL?ED BY THE ENGINEERING ? . NO DIVISION. LIST AS A CONDITION. .%oe:_, e:c„ .. ,•'..° •; SLBJECT TO TAE FOLLOWING &NDITIONS: :i APPROVED BY: a. _ TIT?,? ? -- ' -?'?1 . ' t ,',. ... ' .,r::,:f,?•,:; ? ; . ' E DbfT a ..:,?.:.- .. .._..._:-_ ,.,.,, . , ? - - • ` :` ? > . . . _ .. . , - . . . . _ .. . . - . . ? , i . • . . _ S:' " `?^?1?`.•i??•' • ''? . . . , ,. .. :1;i..6ci. •n" Iq gs I 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit 3,9. sz) Date 9 / 2 ? / 06 SiteAddress I ss6 I, L`.?e.MSor Qr Unit# ? A? J`?? 5S !22 Property Owner 2 i 2 a o? V1_ Telephone #( 65 1) -77 d S 986 Contractor H o44M o... Q "P. Street Address i City .? ?t l ? W o.-?<r S[ate (h 1J Zip SSO 92 Telephone #((aS 1 ) y -$'7 7 D Bond#: 6S 7- D.?yS3 Eapires: Y-Zg'O 7 The Applicant is _ Owner ? Contractor _ Other Add-on or alteraHon to eaisting dwelling unit $ 30.00 ? furnace _Additional L_Repiacement _ New air exchanger ? air conditioner heat pump other Sta[e Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand tlds is not a pemilt, but only an application for a pemut, and work is not to start without a pemrit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name ApplicanYs Signature ? 2006 RESIDENTIAL MECHANICAL rERMiT nrrLicATioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single famity dwellings & townhomes/condos when pertnits are required for each unit Date Site Address 156(o P.? Cl e m,S e-ti D(' I (J e- Unit # PropertyOwner i\ 1( Y1 G?f-d IL Ct?1? e. Telephone#(6sh 6SIo - 77(.,'r] Contractor Aoffm Q a Street Address S, O2(' e t° ? Q\/ sE, City State Zip 5?1 Q OOk Telephone #( 67 I)t+'?"I ' S770 Bond #: (d q ( 0,545 S Expires: *4_QJ_ The Applicant is _ Owner ),?Contractor Other Add-on or alteration to exisdng dwelling unit $ 30.00 furnace _Additional ? Replacement _ New air exchanger air conditioner heat pump other State Surcharge I I J) E??'r D Il L? L?? $ .50 Tatal $ O . S o I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will he in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a perm; U that the work wi in accordance with the approved plan in the case of work which requires a review and approval of plzns. ? ? Denn, 5 )Ooerc Applicant's Printed Name App icant's Signature ??J r 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City O?' F.agan 3830 Pilot Knob Road, Eagan MN 55122 Telephonc # 651-675-5675 Plcase canyil::c ::v: v:Iglc fumily dwelhngs & townhomes/condos wnen permi[s:ve required for each wi[ ? uaf,•-ID- - 1p ; 6q si«.add,e„ I? 55 rn501/7 D((Ue # ? - ------- I Uoit k -- - - - - PropcrNU,?;i?r ?1 ' I ???Illl I i ? Tl ?? I J? Tele ho e# ?J? -- - - p ( ) n - I r- ----- I ?c'oliir:ictor tton's Mechanical, Inc. _ StrcrcAddic>, _! 2010_01d Brick Yard Road ----- City Shakopee ? ? Sttte __!ZiN 55379 _ Telephene# ( 952) 445-8585 t3ondu:_ iZLl 561164 Exp,res: _ -- - --- 8-13-07 ? I 7 tle APP??cant i+ Owner /Contractor Other Firerepair (r,piace burned out appliances, ductwork, etc.) $ 90.00 ?his fee apphr-; when extensive mechanical repairs are made tu a building. .4dd-on ui aft-atiou [o existiug dwelling unit $ 50.00 I? fu<<'°c-- W Additional ? Replacement _ New air excnaii;er air condilioner ht'ut ;r.:rnp 0[h=f ___-__ ? , I Slace Surcnar;,i ----- $ .50 --- Tut::, 50 ? $ . I herebN uppiy fur u Iicsidcntial Mechnnica! Permit and aeknowledge Yhat the information is complete and accunte; that the work will be in conf6rui?p: x%Viih tlie ordinances and codes of the Ciry of Eagan and wi[h the Mechanical Codes; pcrmit, bm •onh ir. ;ipplicsuon for a permit, and work is not to stan without a pertnit, that the work w?j a ?d a,,provee pi;w h?, u,c aise oF wvrk which requires a review and npproval of olans. n I II I? ? ? I I --? l Y`&.,?_nCtYlcket" Applicant', !'rintai Name Applicant's 2 •2007 Use BLUE or BLACK Ink I 1 • 1 1 I I City of EaRo n I Permit Permit Fee: b~ I I 1 3830 Pilot Knob Road I RECEIVED I Date Received: Eagan MN 55122 Phone: (651) 675-5675 1 Fax: (651) 675-5694 MAY 7 31 staff-------------- J 2011 RESIDENTIAL PLUMBING PEER IT APPLICATION Date: Site Address: ! r Tenant: ll l Suite 157 RESIDENT/ OWNER Name: ~,N I LA VMU Phone: Address/ City / Zip: t " J "l CONTRACTOR Name: s Ins -License aY Address: City: 1 State: -r ,the -4 303 Contact: Email: TYPE OF WORK _ New Replacement _Repair -Rebuild _ Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ / PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $33.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval lans. x x Applicant's Printed Name Applic nt's Signature a FOROFFICE `USE Reviewed By:' Date: Required Inspections: Under Ground ' 13609 h -1 - ri " Airiest" Gas'Test Firial S ~ Use BLUE or BLACK Ink For Office Use My Permit Ot 3 ~ of Expo I I Permit Fee. I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 I -FT Fax: (651) 675-5694 1 staff; I ------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # Date: lb Site Address: =eL 7o 6g ~d -7 1 .~rri_r_------- Unit:. R Name: esiderlti f ?A/n___ r&_M1 A!! t Phone: ~f-~• ?2 J_ t e Owne Address / City / Zip: Applicant is: Owner Contractor Description of work: _4' fc~_F Type Qf Work _ - Construction Cost~_ aq t Multi-Family Building: (Yes _No Company: G~/Cull------ Contact: ~a en-_- Contractor Address: city: 1 Qrie~ r `s State: _MA/ - Zip: Phone: 2-1- 5565 License A13 - 1 9L 0 6 Z..- - Lead Certificate A14 I 2 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? -Yes _-No if yes, date and address of master plan: Licensed Plumber: _ Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: _ Phone: NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the. City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www owherstateonecail gro 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_ 91t 2_Aobo04-A _~~jef Applicant's Printed Name tl Appiica s Slgnature~~ Page 1 of 3 Use BLUE or BLACK Ink For Office Use 91 41,ki°1° City Permit: e: ofEaQa� Permit I•% 3830 Pilot Knob Road4/-17Eagan MN 55122 r r~ Date Received: 7 Phone:(651)675-5675 �`l � Fax:(651)675-5694 Staff: JUL 142017 2017 RESIDENTIAL BUILDING,r � PERMIT APPLICATION Date: 7//3//f Site Address: I 4 Ch1&' a4,i I2441Unit#: Name: Aiearr2eYN d/rLt S /d74-of AP-0W , Phone: Resin, Owiier Address/City/Zip: Applicant is: Owner Ar Contractor 6 . Description of work: 13/404-0.",t /— OGcw f O L �G� Construction Cost: 44/100 Multi-Family Building: (Yes ?C' /No ) H Company: I44yr 676-704e2P - Contact: , m. /Ayr Cont � Address: /57/x )(L City: / 1.e ti zz State:Mho Zip: %7 -V_ Phone:467444"VW/ Email:fittyt-?/411.O01elTh'' e License#: Ale 72-9f 2,t— Lead Certificate#: F/1?-0141—/ If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NO E"Plans� e * . b o#i t f x z a � Y ,, f x „r � � � 5- a,� sa 7I`3 � � a r the,ilnfo ration ily` cl x g iy , i z °�fo 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-eooherstateonecall-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. Exterior work authorized by a building permit issued in accordance with the Minnesota - e Building Code st be completed within 180 days of permit issuance. ghtc lei. r x - , mot.7 Applicant's Printed Name Ap Ficant's Signature Page 1 of 3 • 15'C, i / DO NOT WRITE BELOW THIS LINE 1 q ag) SUB TYPES Foundation Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement _ Siding Demolish Building* Addition Move Building _ Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation 4 Replace Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation if 3) .'' Occupancy _112C.—3 MCES System Plan Review Code Edition j n Zoic SAC Units (25%_ 100%?) ) Zoning PD City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length I Fire Suppression Required Type of Construction Vg. Width Z REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) ,tp Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan �r- Other: Reviewed By: / . )97 ill; 'cl'yf' , Building Inspector RESIDENTIAL FEES Base Fee ' 57 • Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147425 Date Issued:01/08/2018 Permit Category:ePermit Site Address: 1555 Clemson Dr Lot:29 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-290 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 - Nona E Lendacky 1555 Clemson Dr Unit A Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150615 Date Issued:07/17/2018 Permit Category:ePermit Site Address: 1555 Clemson Dr Lot:29 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-290 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nona E Lendacky 1555 Clemson Dr Unit A Eagan MN 55122 (651) 493-9330 Airic's Heating & Air Conditioning Inc 9124 Grand Ave Bloomington MN 55420 (952) 345-0032 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA157941 Date Issued:09/16/2019 Permit Category:ePermit Site Address: 1555 Clemson Dr Lot:29 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-290 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Danielle Lendacky 1555 Clemson Dr Eagan MN 55122 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160242 Date Issued:02/25/2020 Permit Category:ePermit Site Address: 1555 Clemson Dr A Lot:29 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-290 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Danielle Lendacky 1555 Clemson Dr Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176674 Date Issued:05/26/2022 Permit Category:ePermit Site Address: 1555 Clemson Dr A Lot:29 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-290 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Linda Miles 1555 Clemson Dr Unit A Eagan MN 55122 (360) 480-6326 Lofgren Heating & Air 5708 Upper 147th St W Suite 106 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature