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1556 Clemson Dr APR 2 3 2018 For Office Use � ++i i ; Permit#: /Itgi1//0, E AG N t••• r•wt I / ' �-7� Permit Fee: / .^e Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinainspectionst'1citvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1/13// Site Address: / 7e' 012714 ) ' ? Unit#: Name: 4,tr it/ 6t444- CcWv.6 /4-34-1: ,742,1ione: Resident/ Ower Address/City/Zip: Applicant is: Owner L,Contractor Description of work: hteezcz iL > G c /d1�Type-ofWork Construction Cost: �,/Ctl Multi-Family Building:(Yes /No ) Company: !kW- dr7V570-4te77Cr7✓ e- Contact: PALi- /1.1. A7- Contractor 5 Address: /5-/a 1-' )%% City: Jr �( G"etc:- State:MOVZip: �y /?II Phone:6S7';WWW Email:M?7401 s7J 4. I e.jii ,��r License#: t-229 ' 2_- Lead Certificate#: J If the project is exempt from lead certification, please explain why: /Ve 77/ /97( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are vonSidered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would;permit the City to conclude that they are trade secrets; You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacian.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 wor is not to start without a permit; that the work will be in accordance with the approve plan in the case of work which requires a review and approv. o plans. x Ptitar 7- x Applicant's Printed a Applicant's Signature DO NOT WRITE BELOW THIS LINE /554 0 I.Q vo SoYj b r- i`e SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi 10 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 P Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation it 3,leo•�= Occupancy iR C. 3 MCES System Plan Review Code Edition QY)I'1 Zd 15.- SAC Units (25%_ 100% ) Zoning FP City Water Census Code Stories Booster Pump #of Units Square Feet Zflv PRV #of Buildings Length 2 a ' Fire Suppression Required Type of Construction 0 5 Width i'' s REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) )0 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 m L Other: Reviewed By: '7 0” ,"•1`"1yir , Building Inspector RESIDENTIAL FEESv $ �� , , ,Zx•:Sr i /h, i' mei 5 Base Fee Surcharge * /5.40 57- f74-, Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Vao GL.VG VI UL/106lr% 1111541 ~'~»h'~ For Office Use I City of Eap Al1 j Permit 612 LS A I LI G O I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 'P `t " C~ Site Address: /Js to k-wA~oc_el & Tenant: Suite M RESIDENT I OWNER Name: V" P* ~nrlk~ Phone: (esq ~!2,& " 7?6j Address / City / Zip: / ~ Applicant is: Owner Y Contractor TYPE OF WORK Description of work: ' _~-upl C(,w7m Pz6b dcpj x Construction Cost: 4 AU)O ,(3D Multi-Family Building: (Yes / No CONTRACTOR Name: e--, License ! 7 V,;) Address: 7 ~l City: /v_, 4242/ State: Zip: Phone: '12~ 6 V6 Contact: Lt(~ V LTy) Email: 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.gopherstateoner-all.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. / x I'i S C~/m/ x G Applicant's Printed Name App icant's Signature Page 1 of 2- . .,. . .. .- . . 'd??i-S'ia??? . ? - •? '. ...- . -9"' ar??s'? ? . ,_. . ,.+,...r r 3 .'s:;,:?:. .. ,. . . ..w ._ . ; • - ?? ? CITY OF EAGAN i` T 13683 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . PHONE: 454-8100 ?C f +? 15 .3 f BUILDING PERMIT Receipt # Tn ha iised fnr BASElfEt1'!' FI11I88 Fst Val„P ;i ,s00 ?ate nS i . 19 -91 Site Aiiess '"-' - -'-'--" -- Lot Block Sec/Sub. Parcel No. ¢ Name - ------ - ------_-- W I Address City EACAN Phone Name -""- Address City Phone Name _ Address ' , Phone I hereby acknowlege that 1 hav re this application and state that the intormation is correct and a re comply with all applicable State of Minnesota Statutes and Ci f an rdina?ces. Signature of Permitee ? ?-?t??"'"'`' - ? A Building Permit is issued to: VIltG2L D LEItiUN on the express condiiion that all work shall be done in accordance with all applicable State of Mihnesota Statutes and City of Eagan Ordinances. i . OFFICE U5E ONLY Occupancy FEFS Zoning - 33.00 (Actual) Consl (Allowable) - Bldg. Peltftit i ?? - Surcharge ? 01 stories - Length Pian Review Dep1h - SAC, City S.F. Total - SAC, MCWCC S.F. Foolprirrts - ' On Site Sewage _ Water Conn On Site Well - Waler Meter MWCC System - Ciry Water Acct. Deposit _ PRV Required _ S!W Permit Booster Pump - S/W Surcharge Treatment PI APPFlOVALS Road Unit Planner Cauncil - Park Ded. -- ? Olf. _ Copies 36.60- Variance - TOTAL Permk Ho. Permft Holder Date TeNphone # WATER SEWER PIUMBING H.VA.C. „? ?? ?C) , Inspecdon Date Insp. Comments Footings I Foundation ' Framing Roofing Ra+9h Plbg. fiou9h Ht9• . fsul. Freplace Final Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notily Plumber Engr./Plan Bldg. Final peck Ftg. Oeck Final weli Pr. oisp. Ll'i . , BUILOING PERMIT To be used for Ff 41 CITY OF EAGAN ,?c??? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt Site Address.?5 CI-EUM QQ mw-u -- - Lot _3 8_ Block .._.I_ Sec/Sub.'1HnMAS j,AIM HTL OFFICE USE ONLY Parcel No. 2ND Occupancy - FEES Zoning - W Name VIxGIL CQIMUlI (Aciuai) Const Permit 75_00 Bldg _ . ? AddreSS 1 S%.b C1s?t180li nli (Allowable) - Surcharge . Sn City EA(',AN Phone 687-0377 * of Stories - plan Review Length - ? o Name pRAT_ta?'tn Depth SAC Cit Z - , y 'Jt U¢ Address 1A? 1J ttic.?LtwY 1 s.F.rowi SAC, MCWCC CIty IMIRMSv1L1 X Phone g9(1-071%g S.F. Footprints _ C W On Site Sewage ater onn uW W Name on site weli M W - WBtef etBf ?? Address Mwcc system _ Accc oe osii <W City Phone cirywarer . p _ PRV Required _ S/W Pe/mit I hereby acknowlege that I have read this application and state that the Booster Pump - S/yy Surcharge inlormation is correct and agree to canply with all applicable State ol Minnesota Statutes and City of Eagan Ordinances. Treatmenl PI Signalure of Permitee , APPROVALS Road Unit A Building Permit is issued to: HEAT..N3-GLO Pla""Br - Park Ded. on Ihe express condition that all work shall be done in accordance with all Council -- applicable State of Minnesota Statutes and City of Eagan Ordinances. gldj. pf}, _ coPies Building Officisl Variance - TOTAL 2 s. ? ? Permit No. Permk Molder Date Tekphone # WATER SEMfER PLUMBING. H.VA.C. ELECTRIC k?spsction Date Inap. Comments Footings I Foundation • Framing RoDfi^9 Rough Pibg. Rough Htg A F /e?'- z? . Orstat Test Finai Plbg. Plbg. InspeCtar - Nolify Plumber Const. Meter EngrJPlan Bldg. Final Dedc Ftg. Dedc Final Well Pr. Disp. ••' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•198, Eagan, MN 55121 PHONE: 4548100 BUILDING rERMIT Receivt # i '-, " 4 )'LFY $ ?c ,'!30 Lot Pxcel No. W Name p_ci.. ? Addross _1-irt ..:... Name Addrott ? Ciri Phone Nsme City I hercby ocknowlodye thot I hovr rood. this opplicotion and stare thot the info?motion fs conect m+d aqgee to comply with oll oppifcoble Stah of Mirwwwro Stotutes ond,Citao of Eagan Ordinances. 85 Erect L? Occupency Remodel ? Zoning Repeir ? Type of Const. V Enlarge ? No. Storiea Move ? Length Dsmoli:h ? Depth ? b Grade ? Sq, Ft. /lssessrrent Woter 3 $ew. Poliu Fin Eng. Pla+rnr Council . Bldg. Off. APC Vsr. Dsta Siprwrun of Pennitteo . A Buildinq Psnnif Is issutd to: • . ? , . . ? . . ali work sholl be dorr in xoordonce with oll appliooble Stota of Minr?esoto Buildinp Offkiol Pertnit .0c Surcharge , 5c Plan Review ? C . ac Water Conn. .0( Woter AAetor 5 .0( Rood Upit Parks ' Total on tM exproas ca+difion Ihm tatutss ond Gly of Eoqon OrdfnoncIs. ?y??. Permit No. Pwnk Holder Date Tsl hone it Plu'tnbinp H.v.,e.c. * / EMcerio • ?(o ?7 /h ? /'Z,c ? '??-clZ ? -; . Soitemr InWsction Date Insp. O ther Footinp Foundation Fnmina J.. Roofinq Rouph Ptbp. ¢ Rou9h HVAC Inwlation Final Plbq. ? Final HVAC Final ? lf CwUOoc. ? k ( U ? 1 ? Watar Dftaibe location: YWp Sewer Pr. Disp. A Rewipt „MECHANICAL PERMIT ? Permit No. ' CITY OF EACaAN I i FM - ? ? Fil! In numbered ?paacer S/C Typo or Prini leg/b1Y Tot. 1. Date Z, Instsllation Cost % - • ? • ` ? 3. Jnb Address Lot Blk. ' Tract . 4. Ownor 5. Coouactor L Phone 8. Addrsss . 7. City State 2ip 8. Building Type: Residential ?CJ Commercial ? institutional ? 9. Work Description: New $ Add O Atter 0 Repair O 10. Describe != Fusl Type , ?-• 11. No• Equinment BTU - M. Ea. Forced Air - ' No• Eouioment CFM Ai H dli Mfg. r an ny: Boilen Mfg. Mech. Exhaust Unit Heater Mf9• Other Air Cond. Mfy. ' Gas, Piping Outiets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rouyh Final Inspectiona: Date Insp. Date Insp, This is your parmit when numbered and approved. Approved CITY OF EAGAN 464$100 Recei Pt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spacea Type or Prini legibly 1. Date 2. Installation Cost 3. Job Address Lot ? Blk. 4. Owner Permit No. Fes S/C ToL 5. Contractor Phone • ' ?--? ?' ? 6. Address 12201 MINNETONKA BLVD. MINNETONKA, MINN. 55343 7. City State Zip 8. Building Type: Residential O 9. Work Description: New '0 10. Describe 11. Commercial O Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures i fi Ce l/D ld Bath tubs sspoo ra n e $ T k ti T- Lavatory ep c an ft 5 - Shower ner o W ll Kitchen Sink e Urinal/Bidet O h ? Laundry Tray er t 1 Floor Drains Drinking Ftn. ? Slop Sink Gas Piping Outlets 12. 1 hereby oqrtify that the above information is true and correct, and I agree to comply wih/all ordiqances and codes governing this type of work. Signed : = for Rougn Final Inspect'rons: Date V Insp. Date Insp. This is your permit when numbered and approved. Approvad CITY OF EAGAN 454-8100 , CiTY OF EAGAN ' 3830 PUot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 4548100 sUILDING 'ERMIT aece+a # T? M ww f« Esf. Vol ue date _ Sits Addrea ` Erect ? Lot Block SwlSub. Remodsl ? Repair ? Pwesi No. Entsrqe ? Move ? ? Nsme oemolish D Addras Grade ? r, Oceupsncy I Zoning ' Typs af Canst. J No. Stories ? L.ength Depth ? Sq. ft. ^rr----•. ?G Name Acidroa /1saossment ? CitY Phone Water 3 5ew. ? Poliu Name Fi?t x(5 Addrass Enp. u Z. City Phone Plonrrr Council 1 heneby acknowled9s that 1 how read this opplicotion ond stata thot Bldq. Otf. ? tM inlqrmotion is correct and ogree to comply with oll oppliCOble A? Stoh of MirxwsoW Statutts and City of Eaqon OrdinanGes. Vsr. Date Siqnotun af ParmittN Pertnit I 5urthorpo Plan Review. SAC Woter Conn. Water Metor I Road Unit ? Psrka Total N Bulldlnq Ptnnit Is Issusd to: _ an tM expron condition thot oll work shall 6e dorn in ocoordonu with all oppliaoble Sto» of Mie+rnsoto Stmuhs ond Cify of Eaqan Ordirwr+ces. Buildlnp OfflCiol Permk No. Pwnnh Hokler Dsu Tsl? hons s Plumbinp ? (411 H.VA.C. eha?ic / ?l? Ll) ?( M c?'?, ?/? • ?1 c ? r Softenwr a D , s :? JO? U U Irnpection Date Insp. Othw Footinp? 6..Cf,?? Foundatio? ? Fqminq Roofing ? Hovyh Vlbo. Rou? HVA ?? 8S Inwlation P Final Plbp. , Finsl HVAC Final .1Z Grt/Ooc. , Wanr Dhc?ibo Location: rwu 7i ? C, s.w.r Pr, Oqp. V Roaipt ,,MECHANICAL PERMIT Parmit No. - CITY OP EAGAN Fee , FiII in num6ered spam S/C Type or Prinr leglb/y ? . Tot 1. Date 2. Installation Cost ? i ?: i' • .. . 1, J' 3. Job Addrese ;' J J ?. ?- ? ` ,-, , , • Lot ? U Bik. ' Tract -r- 4. Owner (`?? r?....,.... . r•--, . ,-, .-, .. .......... _.? 5. Conuactor Phone 6. Addreu ; i 7. City State Zip 8. Building Type: Residential ID Commercial ? Institutional O 9. Work Description: New 11 Add ? Alter ? Repair ? 10. DeSCrihe r., j`l ,l s??s/?? Fuel Type ?.. No. Enuipment B7lf - M. Ea. Forced Air Plo. Enuiament CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg, Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to camply with all ordinances and codes governing this tyQe af work. Signed : .3-Z for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numhered and approved. Approveti CITY OF EAGAN 454-8100 Reaipt PLUMBING PEiiMIT CITY OF EAGAN I fill in numbered spaces Type or Print /egibly Permk No. Fw S/C ' Tot 1. Date 2. Installation Cost " 3. Job Address ' Lot Blk. % Tract 4. Owner ,. _ b. Contractor Phone THOMPSCN PLUMBING CO., lNC. s. Address 12201 MINNFTCINKA RLVD. MINNETONKA, MINN. 55343 7. City _ State Zip 8. Building Type: Residential ? 9. Wark Description: New 0 10. Describe 11. Commercial ? Institutional O Add ? Alter O Repair O No. Fixtures Water Closet No. Fixtures Cess ool/Dr infield Bath tubs p a 5e tic T k - Lavatory p an er S ft Shower o n Well Kitchen Sink Urinal/Bidet Other ? Laundry Tray f Floor Drains Drinking Ftn. ? Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : - for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 I _.I.: , .f?tV : R Erect ? Occupsncy SiteAddrep ? Ramodel c ic ? Zoning .., ,.b, Lot Block Repeir ? 1`ype of Const. ?; PsrcN No. Enlarge O No. Staies Move ? Lsngth W NaTe fi ? th D , Damolis ap ? t; ? Add?ass , Grade ? Sq. Ft. 1 9 ; .._.., e?...,.. 1-,.11 n I CITY OF EAGAN * n. ?_ "7 ^ 3830 PHot Knob Road, P.O. Box 21-199, Esy?n, MN 55121 ? ' PNONE:454-8100 a gUILDING PERMIT Receiat # To M wd ier Est. Volw • ' •:; , .; ) . pote [ :.i 1_ s ? _ ' 1 q . . 5 Nama ? Addrass Ciri Phone Mame Addres 2 Citv Phone 1 how rtad this opplitction ond ond ogree to C;omply with oll Stpnoture of Pem+ittM A Buildinq Permif Is istued to: dl work sholl bs dorn in ocwrdonu with oll 8ui1din0 Official Aaprovah ENs Assessment Woter a Saw. Permit . . ? 5urchorqe PoNu Plan Review_T_. Fire SAC Enp. Alonner Water Conn. Water Meter Cowxil Road Unit Bldy. Off . Parks APC Total Var. Date i i. on tM lxplsis COrditlan thot +nesota Statutes and City of Eapan Ordlnonaa. Pwmit No. Pwmk MoWa pa" Tsl? hone Plumbf? ? r- - ,- . H.VA.C. .J C• `I l S? ??,?f? ? Electric n: softene. Inspsction OaM Insp. Otha Footinys ,67,?r Foundation f Firominq Roofing / Nouyl+ Plbq. - 9 Rough HVAC sr?S s ?* Inwlation y !/ Final Plbp. Finsl HVAC ' Final ? Cwt/Occ. Wster D"cribe Location: YYell Sewar Pr. Difp. Receipt •MECHANICAL PERM17 ? Penitiit No. ' CITY OF EAGAN - FM Fill in numbrod wsces S/C Type or Print kplbly Tot. 1. Date `2. Installation Cost 3. Job Address '? - Lot? Blk. ? Tract i. 4. Owner 5. Contrac 6. Address ? 7. City State Zip B. Building Type: Residential EY Commercial O Institutional O 9. Work Description: New E3 Add O Alter ? Repair ? I 10. Describe < ?, :? _ . ?• Fuel Type ,1-.- 1 11. No; i Eqiti,pmeIIt 8TU - M. Ea. Forced Air -- No. Equipment CFM Ai Handlin : Mfg. r y Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets F- 12. I hereby certify that the above information is true and correct, and I agree io comply with all ordinances and codes governing this type of work. Signed: for Raugh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reaipt ? PLUMBING PERMIT 1 Permk No. CITY OF EAGAN FN ? fiJl in numbered Aucss S/C TYPe or hint legibly 1. Date 2. Inatallation Cost ToL j 3. Job Address ?t Lot %Blk. ? Tract . , 4. Owner . n 1 , . r 5. Contractor on e iROMrSCN ., . B. Address 12201 MINN[TONI<A BLVD. MINNETONKA, MINN. 55343 7. City State Zip 8. Building Type: Residential, Cl- - Commercial ? Institutional ? 9. Work Description: New 0-- Add O Alter ? Repair O 10. Descrihe 11. No. Fixtures -YVater Closet No. Fixtures ?I Cesspool/Drainfield ? Bath tubs Septic Tank Lavatory Sohner _ Shower WeII Kitchen Sink ` Urinal/Bidet Other T ? Laundry Tray ? Floor Drains Drinking Ftn. ? Slop Sink Ges Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordlnances arxd codes governing this type of work. Signed : l ? yr for Rouyh final Inspections: Date Insp. ?_• Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 ? . Site Addra - - ., ... .. . - .. ,.. Q.o..% Lot e- ' 8lock , Soc/Sub. s.;. . r: ,r3 Remod PareM No. Rspair Enlargs . ? . S4 ^ addren ? Nam ` _.. .._ - .-: City Phone Name ? Addroa ?- City Phone p,W Name I haw nod this Sipnafun of Permittse ' N Buildinq Penmit is isswd to: *''•."? oll work sholl be daw in atcadonct with 9uildieq Official O No. Stories ? Length `' ` ? Depth 27 ? Sq. Ft. ? 1 Assassment Permit, ' _ , . . •. 3 S W S h eter tw. urc arge Poliu Plen Review FieM 5/?C ' Enp. Woter Conn. ,? Ptonrwr Water Meter Coundl Rood lJnit ? ? ? • 0 ? ond stoce thof Bidg. Off.?? Parks ° i.; ?. 0 U oll applicable APC Total wna:. Var. Dota • `, on the exprsas condition Iho+ oro Stmutes and City of Eoqon Ordirwnps. ? CITY OF EAGAN ? ' • 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE:454-81Q0 eUILDING rERMIT Recelpt ? •- .- --A .-- t J` • ?. C, .,_-_ ".. ., , U .:?, ..--- "1AY A: 3 ,,, t, . P01m11 No- Pwmk HoldW Daft Talle hons ? Plumb:rp a--? IV-y H.VA.C. eI Elrct?ic f J Inei»etion Dste Insp. OthK Footinpt Foundation - Framfnp Roollny Rough Plbg. Rough HVA Inwlation i Finai PIb4 fin.i ?rvac _ 9-?G W • ?B. Final Cwt/Ooc. Water Describo laeation: VWII Sower ? Pr, Disp. ( Raaipt .MECHANlCAL PERMIT Parmit No. ` CITY OP EAGAN . ; Fa < Fill in numbered spacaa S/C Type or Ptinr legiWY Tft .. , 1. Date f 2. Inataliation Cost f•:f j?.i 3. Job Address r' .? ji ?Lot ? BIk. Tract 4. Uwnar 5. Contractor PFtione 6. Address f, :i. , V ?ed 4 7. City $teie Zip $. Building Type: Residential C Commercial ? Institutional O 9. Work Description: New 0 Add 0 Alter ? Repair ? ? 10. Describe ..r? Fuel TYPe No. / EqujpIIlCnt BTU - M. Ea, Forced Air ? ? ? ? • No. Equiament CFM Ai H dli Mfg. an r ng: , Boi lers Mfg. Mech. Exhaerst ? Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above intormation is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed . for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Rsceipt PLUMBINGPERMIT PermitNo.'1 CITY OF EAGAN FN i { .i Lf ? fill in numbered spaces S/C ? Type or Print legibly Tat f 1. Date 2. Installation Cost ' 3. Job Addreaa Lot Blk. Tract ,4? J 17- 7 7 4. Owner 5. Contractor Phone THOMPSCN PLUMBING CO., lMC. ? B. Address 12201 MtruNi=TQ,p?A ?. MINNETONKA,S MINN. 55343 Z?p 7. City 8. Building Type: Residential 9, Work Description: Nevy)o Commercial ? Institutional ? Add D Alter El Repair ? 10. Describe 11. No. T ' Fixtures Water Closet No. - Fixtures Cesspool/Drainfield , Bath tubs $e tic Tank Lavatory p Softner Shower Welt ' Kitchen Sink ? Urinal/Bidet Laundry Tray Other / Floor Drains Drinking Ftn. 1 Slop Sink Gas Piping Outlets 1 12. 1 hereby certif? that the above information is true and correct, and 1 agree to oomply with aII prdinances ?nd codes governing this type of work. Signed : ?-7 for Rouyh ! Final Inspectioha: Date Insp;T_ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4544100 57-73-51 MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 Res. x Mult Comm. Other WORK DESCRIPTION m Name ? ' ' I n n e a 5 C o ? Address 10 L 1 n c' ¢ n ,a V¢, c Ciry Phone ? Name _ c Address O CitY - TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other In s t. F a nq¢ FEE S/C: TOTAL• PERMIT # - % RECEIPT # DATE: ?- tA-' P 6 New X Add-on Repair FEES RES. HVAC 0-1 DO 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 - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) 0 SO I SIGNATURE OF PERMITTEE FOR: GITY OF EAGAN Site AddIr? ? ? Lot ?111? Biock . Name _ m Address c City _ _ Name _ c Address O Cib - ? ;TYPE OF WORK I Forced Air , Boiler Unit Heater Air Cond. Vent , Gas Piping Outlets # Other PERMIT # "c7x MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILO T KNOB ROAD, EAGAN, MN 55121 DATE: / j 35 PHONE: 454-8100 BL WORK DESCRIPTION G TYP i D . E Sec/Sub - t' r' r ? R N , ' ` ' es. ew Mult Add-on 01 XFNIA C R fVEAPOLI" 55?+to ?hk?f?• omm. epair 5'45-1611 Other FEES r RES. HVAC 0-100 M BTU -$24.00 Phone 141'10 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. M BTU COMM/IND FEE - 146 OF CONTRACT FEE M BTU MINIMUM - RESIDENTIAL FEE - 10.00 M BTU MINIMUM - COMM/IND FEE - 20.00 M BTU 0,26 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES CFM BEYOND $1,000.00) FEE SIGNATURE OF PERMITTEE S/C: TOTAL• r ? J FOR: CITY OF EAGAN PERMIT # CITY OF EAGAN MECHANICAL PERMIT RECEIPT 454-8100 ?pL MINIMUM RESIDENTIAL FEE - $10.00 + $.50 DATE ? G v MINIMUM COMMERCIAL FEE - $20.00 + $•50 1. Bldg. Type: Res ? Comm ? Inst 2. New )< Add - 3. Total Bid,P?rice / vTV . O-tJ q, 6. Contractor ?" • /?/'?Q • (Name) 7. Contractor Phone # FEE S/C TOTAL ?--? • ? ? Alter RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or traction -$6.00 RESIDENTIAL COOLING - 61-24,000 BTU's -$12.00. Each additional 6,000 BTU's or traction -$6.00 MODI F I CATIONS/ ALTERATIONS -$10.00 minimum fee HEATING VENTILATING HOT WATER STEAM ? AIR COND. AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES, GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM:IIND. RA?f - 196 Of TOTAL BID PRICE PLOS`5.50 STATE,$URCHARG ? OR EACH $1,000 OF FEE. , a v I Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. R"ipt MECHANICAL PERM17 Pennit No. •• - , CITY OF EAGAN FM ' fill i» numberod speces S/C Typs ar Prinr legibly T _ ot 1. Date 1"14-16 2. Instaltation Cost ....,_ _+ .- .> >., r. ? 3. Job Addreu Lot 91k. Tract 4. Owner "? P z•. ? n o r^ e s ?.?? 5. Contractor ' i n e r- 3 s c o - Phone 6. Addross 7. CitY 700 l i ndw.; Av¢. v ".'n1 s. 8. Building Type: Residential 0 9. Work Descxiption: New ? State Zip Commercial ? Institutional ? Add ? Alter O Repair ? ? 1 10. Dascriba i n ` } , Fuel Type ? t '3 S 1 11• No• Eauinment BTU - M. Ea. Forced Air No. Eauiament CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfy. Other Air Cond. Mfg. Ges, P'iping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rouph Finsl Inspectiona: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4544100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LpTt1e APPLICANT: 1666--8 CIkM$pM OR REIMUM THONAS t,AfCf: NFT8Ht8 2,M0 (612) 887•-2336 PER?JT.PBTYPE: TYPE OF WORK: F1.1'fITTN4i FIliAl. Control No. 0516 SUIt C?iNli ????4 tt 06l27/92 VIR8It. Kgu ? J Pernnlt No. Permtt Holda Oate Talephone # $!VV PLUMBING HVAC ELECTRIC ELECTRIC Inspedtlon Date Insp. Cpmmantc Footings I Fourrdation I Framing I Rooring I Aough Plbg. Rough Fftg_ Isul. Freplace Finetl Htg. Orsat Test Final Plbg. Pibg. Inspector- Nollfy Plumber Coreat. Meter EngrJPlan Bldg. Final Dedc Ftg. 6 IK??-,L Deck Flnal l? / 1 ? .J weu Pr. Disp. CITY OF EAGAN Remarks ?L AJ/ 17V 0 L Addition Loc iM 11 aik Ik ? aarcei # 10 Owner?-T40?•? ?!?Street 1556 C1emSOI1 DY'iYe State Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SA1d SEW TRUNK ? 3 * SEWER LATERAL 1981 3.6 7.5 $ 1. /? 5-5-83 WATERMAIN * WATER LATERAL 1981 WATER AREA / y7 a,t,p?,J STORM SEW TRK 249.91 AM21 Q --8 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK ' STREET LIGHT WATER CONN, n n BUILOING PER. -10272 SAC PARK I CITY OF EAGAN y?iemarks Addition 'Thomas La1ce HeightS??Addition Lat eik ?/ Perce, #10 Owner Street-1666 $ 6leaSo;} adlrp State_ E1jZSri, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1981 . 55.94 5 3.11. 8 STREET RESTdA. GRADING SAN SEW TRUNK IV 73 i • SEWERLATERAL 198 37,61 7.52 1.0 A0121 2 - 8 WATERMAIN * WATER LATERAL, 1981 WATER AREA 7 ] STpRM SE1N TRK 1.981 312. 37 - 20.82 15 249.91 A0121 2 --8 i * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET L)GHT ? Poad nit 280.00 51993 5/22/85 WATER CONN. 500.00 11 BUILDING PER. 10 69-10272 SA C 5-9 5 PARK CITY OF EAGAN Remarks y,f??l ?QD O/ Addition Thomas Lake He3Qht .Addition Loc At ??eik ?/ Parcel #10 ?95?8-?82 o„?ner str?c 1558 B Clemson Drive scate Eagan, MJ 55122 Impravement Date Amount Annual Years Payment Receipt aate STREET SURF. ? 94 SE 5 111.89 A0121 2 -4 STREET RESTOR. ). GRADING SAN SEW TRUNK ? qi3 * SEWER LATERAL 1951 37,61 7. SZ 1.O AO?l Z --8 WATEAMAIN * WATER LATERAL 1981 WATER AREA 1-977 ?d J STORM SEW TRK 249.91 A012172 5-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT VYATEFi CONN. BUIIDING PER. ' SAC PARK CITY OF EAGAN Remarks 101 Addition AdditiO Lot WE1 220 Blk Parcel #10 Owner street 1558 Clemson Drive 5tate Eagan, NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ? j??. $ /?Q 1 2 - -8 STFEET RESTOR. GRADING h SAN SEW TRUNK /473 ,t SEWERLATERAL . 52 1.0 AOZZZ Z --83 WATERMAIN * WATER LATERAL WATER AREA / 7 STORM SEW TRK ?I lqpl 249•91 A412172 5-5-83 * S70RM SEW LAT 1981 CURB a GUTTER SIDEWALK STREET LIGHT - 51993 5 22/85 WATER CONN. rj00. 00 n n 9UILOING PEA. _ 72 SAC PARK „ GEO. SEDGWICK HTG. & AIR COND. CO. ~ HOUSE HEATING TEST RECORD =??f=-?rV c.; ? l.?C CITY ADDRESS I?-? I r S OCCUPANT HEATLOSS DATE OWNER SOLD BY 717 rsr `TL'i L INSTALLED BY Flactrical Work By Gas Line By TYPE OF HEAT GA_ FA k_ HW_ STEAM SPACE HTR. UNlT HTR. OTHER_ GAS DESIGN CONVERSION MA K E ? P r1 /? O.il MAXf-t)f-$t:?N E R „Model /6 Model Serial 9 819 S Max. BTU Rating 1F= W E D- INPUT ? U v(i C) _ MATfE OF FURNACE Valve Limit Limit Setting Fan Setting _ Pilot Type _ Pilot Nlake - Pilot Model _ CONTROLS Pilot Timing ??STANT _ L.W. Cut Off ` Pressure ??J ?'U• ? PercentCO Input CFH St F!4 Percent O Z 2 D Stack Temp. Percent CO Vent Size KIND OF LINER _ Draft Hood Filters Size Chimney Location Chimney Construction Regulator A.) o Number Inside ? Outside , . <. ? _. Smoke Bomb - Wiring ?•'? Draft ? Test Tag " Door Pressure ` Lighting Inst. Date Tested Company Testing Name of Tester & AIR COND. CO. HOUSE HEATING TEST RECORD ADDRESS OCCUPANT - CITY OWNER- HEAT LOSS DATE HTG. INST. SOLD BY I I ? 9t INSTALLED BY k _ Electrical Work By Gas Line By ? ?`- "^ f-•? ?- ' ? "! TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR . OTHE GAS DESIGN CAI?F?1?11 MAK E ' .._) .r c. . Model 6 /L r r. -S ' 2 U ' / Serial F INPUT - ? - ' MAKE OF BURNER Max. BTU Rating - MAKE OF FURNACE Model /- - - CONTROLS THERMOSTAT -Lu-i Heat Plug Valve " .? . ?uMN s ?ti Limit Limit Setting Fan Setting Pilot Type ?y ?c Pilot 11Aake .. Pilot Model ? G?• ?%` 1-4 u --1 Pilot Timing ?^ L.W. Cut Off - Pressure Percent C02 Input CFH_ Percent OZ Stack Temp. Percent CO Vent Size ' KIND OF LINER SIZE NONE Draft Hood y1- ',<. Lvc -• -,,E Regulator Filters Size Number Chimney Location Inside Chimney Construction Smoke Bomb Wiring Draft Test Tag - Door Pressure Lighting Inst. Date Tested Company Testing =_? '? ? `>'r i? ? +-^• ?c '? - Name of Tester GEO. BEDGWICK HTG. & AIR COND. CO. ;;L Q HOUSE HEATING TEST RECORD ADDRESS CITY OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOID BY / 'g00 1 T Electrical Work By `- ick, Gas Line By - `J C',, 5C'z"% \ , ?? , 1? A TYPE OF HEAT GA_ FA_x HW_ STEAM SPACE HTR. UNIT HTR. OTHER_ PAS DESIGN CONVERSION ALLED MAKE k ? i AAj 7 MAKE OF BURNfR ----- Madel 3??Q'^? O S'1 v 5 U Model ??•- Serial S (5 ?S Max. BTU Rating - - INPUT S? V 0 O MAKE OF FURNACE Model E_ ? .r??v _ '- CONTROLS ? THERMOSTAT / '' ' Heat Plug - Vent Size KIND OF LINER Draft Hood ? Filters Size y\ Valve :? s -? (''.V Limit 3 7 C'/>+C. U Limit Setting ?QSU Fan Setting T)M F Pilot Type E/Q c c, PilotMake Pilot Model Pilat Timing _-:Z 7 S 74AJ 1 L.W. Cut Off Pressure 7 U • C • Percent CO z Input CFH -?J?- 't/- 1 Percent 02 Stack Temp..: a?,? Percent CO 6"4 - ?t d 'J ?- Chimney Location Chimney Canstructian Smoke Bomb Draft Wiring _ Test Tag D? Door Pressure -- Lighting Inst. U,< Date Tested Company Testin ° Name of Tester ? G'Y AIF EAGAN WATER 1/ '"ZO Pil K SER ICE PEitMIT of nob Road ... Bar,c 21199 PERMIT NO.: '- Eagan. MN 55121 D^?: o- i-8 5 ,?; 1_?3 No. of Units: 1 of 4 plex r; +iew Horizan iiomes ?s: ? , :-r 1?ddrem .: - . •?i?9r?I7 ;1 '"'.::).-_- ?sr?Mr. No.: '14 ? d ^l' I, Cainedian Cho?: ' iil nci_ ze: 4? /'?CCOUnf DepO?t: 1?, t'1 ? nrl ?tacdsr No.: Q_? Partnit Fee• - 10.00 gd MM?w fw? Y ? of I r?sp.: ? Sua?Ad1{jr: ? - ? ? Misc. Chorpss: i 3??. QJpd S C Totoh 63.Ot?c?t wetr.2 Date Poid: WATEt SERVICE FEFWIIT NO.: 62 7 1 ??ATE: `; '* No. af Units: ` ` • F'?' ?dew I.cr3.ron tios.i,?s ass. AA?K? (i "?"8r7i1. >i. . Iblf. - ir No.: ler No.. rM b?pt?r wMU !1 V Ci1y of bpm Mwwm By Date of Insp.: TY OF EAGAN 30 Pilot Knob Road 0. Box ?.1199 gan, MN 55121 /lddress: to sonpy woi tr. Cky ei iNan Of Insp,: .? L ? i .i!?':_L+ c COfYIlCr10fl CF1QfQe: ?:?1• (%:.?tl;? Account Deposit: l?. JG p:;' P.n„k Fee: 1 c, . r,G nrl Surchorps: :z.-i Miu. Uwrym 132_.!?!?[xi S C Total: 53. 07-pu ze[a Date Poid: SEWER SEi PERMIT NO.: DATE: Na. of Units: 1.00. Ui3 f>c Ca+nsctian CloMqr. G? S _ fMnd I,COOIIft DQpoWt7 i i n n T)? C PfIT11it FN7 SUfChafg0: ImfC. CFIOYQEi: Totol: Date Pbid: CITY OF EAGAN WATER SERVICE PBtMIT 3830 Pilot Knob Road P. O. Box 27199 PERMIT NO.: Esgsn, MN 55121 DATE: ' Zoninp: No. of Units: 1 a f 4p,le-- pwner. ew t{flrizori Homea Addrass: Sfh /lddnss: .•- Pfunber. a? r No.='- _ Connection Charoe: 500. UoPu ze: 5•',` lolfj._ Acoourt Deposit: 15.'JO p? d./(?- ?R?,ir F?: 10.00 i)(:: :: yn* loICFY??? Surchorgo: . AAisc. G?orpss: 1 i 2. C t g? C Total: h 3. 0: : T, . -. e L?_ Doh Pafd: of Insp.: )-3- 06 Intp.: -,- ? CITY OF EAGAN wATM SEWvla pEtM 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagaei, MN 55121 D/ITE: Zonirg: No. of Units: OwrNr. /1ddless: Sitf Addrysi7 1r5 G l'1c:w=oI1 7" ' i ; ? h . r+.'? ? ?- L• i : k _ ? Plunber. ?,•,• ??l.y^?s?'=j2:' _ Meftr No.: Comacfion Chorps: S00. 002d Size: Account Deposit: r ,? Reoder No.: Pertnit Fee: y I Mm te amplp wMb 1w Cihr oi Eppo Surcha?pr .fl`) L` JI AiMwar. Misc. Chorges: Total: By Dat. Paid: Dote of Insp.: Imp.: CiTY OF EAGAN NwER SOVKE PERM 3830 Pilot Knob Rosd P. O. Box 23199 PERMIT NO.: Eagan, MN 55121 p^TE: Zaiinp: No. of UMts: c'. ::? ex Owrwr: .::,, i • ?'?.. Addross: Stte Addren: 155"u vievtuo:: r] j71<y:;:, j:;:? r= .- Plumlxr. R'?:ii-?oBe7i1 I'?.i-• I M?N to eea* wili !iN CJyr *f allies, Ordinanoea. ey Qote of Insp.: 1 ?_. . CorrNCtion Charpe; 4. ' d Acoovrt Deposit: - ` `; Pemd! FN: Surchorpr Misc. Chorpas; Total: ? Dab Pbid: PCITYOFEAGAN WATO URVICE PERMfT3032c5 3830 Pilot Knob Rosd P. O. Bqx 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zonirg: K 3 No. of Units: 1 n17 ?^• 1 ex pwrwr. :rew Horizon iio^,-, Mdross: ; $It? AddreSt: 1 C.i ^,...i Om35 I,H.k C ii t 9 . . Plumbsr: M?tsr No. ??' a. ?:, r?,C`u?iielrleiri'[?..?n.• 500•00p s? N1w M flO?ipM 11?l11 !hN ? ?w[.? •RL Uyp????'? IV . ) J pU .I u NuSc. a,o.?: 112. on;,d C? Totol: ;'rl r c' ,r?p Qot? Potd: ? Ir,sp.: ? p 1 D $ S CITY OF EAGAN WATER SERVICE P ERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, iVfN 55121 DA7E: Zonlrq: No. of Unita: 01MRlr: /1WfCii: $ih /lddfest: Rumber: Metsr No.: Conrnction Chorge: Slxe: /lccourn Oeposit: Reader No.: Pertnit Fee: I Mrw to wwylr wilb !Iw Cihr of Epro SuRha?ye: . OrJhwmer. Mhc. Chorpss: Tatol: By DoN Poid: Dote of Irap.: Irop.; CITY OF EAGAN ?N SRVKX PERM 3830 Pilot Kno6 Rwd P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pqTE; ZO^i"o- No. of Units: Owrnr: Address: SJte Addmss: ? v??.' '? . 1.2 :.' .Si 'i°t2omas Lake A 5? ts Plumber: ?? ' . . I cNw M?ewf!! wi1b !ly City of 6ws OrdiNeaL ey Date of Irap.: i Con?NCNon Cho?Qe; AcoouM Oeposit: ? i Pormit Foa: Surcho?ps: Misc. Chorgm Toto1: Diob Poid: CITY OF EAGAN 0 P 3 WATM SRyKN pMMR f`? ilat Knob Road P. O 'r'Y 21199 PERMIT NO.: , - Eagan, MN 55121 DATE: -- - - ? Zoninp: No. of Units: o f 4p 1 ?: :; pw,fw; IJew Eiorizon Homes Addr+ess: Sft /ddnsc Dr. L? 3 Bl ':'.iomas Lake hets. Plumber. Meter No.. Before Connection Chorye: ?00. 00,nci Stze• a lfmilff? Qwr .. ;.0r?, ufjlif'? peposit: i S.OQ p(' rL Rea r No.• LU i h?? -2;JI4itimit Fee: 10. 00pd 1 "m to ow" ry[ roe; ?i ? L . 5?? ,:,. A or?M..o... fi's an r3 a,?.,k. ???a? ns/ C otal: meCer ' By QtMati Paid: Dote of Insp.: lrvp.: M7/ * - = Pilot Kn b Road 0. Box 21199 ioan, MN 55121 WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 2" f? ivo.. bMotgr wiM Nw C•ify oi EWO Connecfion Qw?go: Aooount Deposit: _ Pe?mit Fee: 5urstwryt: Mlsc. Chorpss: - Tatal: Date Paid: TY OF EAGAN SF**ER SERVICE PERMR 330 Pilot Knob Road 0. Box 21199 PERMIT NO.: igan, MN 55121 DATE: ? minQ: Na of Units: ii !: 21t1 vMr. ?4i,?-'ai;,,•i_ -.??; 1-iOmc:s r: te e1P11 wMN flr CilT ei Eo*r¦ f.onnecifon Cho?qe: Aooount Depait: Prmnit Fn: . Su?elwrpe: Misc. Chorpm Total: Dotr Poid: . ReneTal By Mdersen 350-73rd Ave. NE 31 p Fridley, MN 55432 ? 763-502-4777 "?o13c?483 RESIDENTIAL ;DING PERMIT APPLICATION CITY DF EAGAN, 3830 PILOT KNOB RD - 55122 651-681-4675 ' NewConstruction Reouirements • 3 registered site surveys showing sq. R of lot sq. ft. of hause; and an roofed areas (20% mazimum lot coverege albwed) • 2 copies of plan showing beam & window sizss; poured found design, etc.) • 1 set of Energy Cakula6ons . 3 copies of Tree Preservafion Plan Nkt plalted after 711193 • Rim Jast Detail Options sde„tian sheet (Mdgs wiN 3 a less unils) DATE ? • ?l 1A9 .61 JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWI TYPE Of WORK APPLICANT _ ADDRESS PAGER # CELL PHONE # FIREPLACE(S) _0 _7 _2 _3 _PHONE# ?15? •3?/.S'•?o??(?' ZIP CODE FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7692 - New Energy Code Worksheet Submftted Plumbing Conhactor; Plumbing System Includes: Mechanical Contractor: Mechanical System Tncludes: Sewer/Water Contractor: _ Water Softener _ _ Water Hea[er _ No. of Saths Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. Phone #: Lawn Sprinkler No. of R.I. Baths Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is corre t, and agree to comply ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. p\ Signafure of Applicant Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ RemodellRenah RequfremeMs . 2 copies of Pian • 1 set of Energy Calalations far hea0ed addilbre • 1 site survey fa ezteiw adtlifions & decks a VALUATION (EXCLUDING LAND) J s10 ?G T _. . „ Updated 1101 CITY OF EAGAN NO 18683 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt # C 165-3 iobeusedtor BASEMENT FINISH Est.value $1,500 Date FER 1 , 7921 _ Site Address 1556-B CLEMSON DR Lot 18 Block Parcel No. 1 Sec/SubTHOMAS LAKE HTS ND W Name VIRGIL D LEINUM ? Address 1556-B CLEMSON DR City EAGAN Phone 687-0377 ,o Name SAME ?a Address ? City Phone Name _ Address City _ Phone I hereby acknowlege that I have read this application and state that the information is correct and agi comDly with all applicabla State of Minnasota StaNtes and C f Ordina s. Signature of Permitee A Building Permit is issued to: VIRGIL D LEINUM on the evpress condi6on that all work shall be done in accordance with all appliwWa SWte of Minnesota Statutes and City of Eagan Ortlinances. BuAtling Otficial Occupancy Zoning (AcNal) Const (Allowable) X of5lories Length oepm S.F. Total S.F. Footprinls On Sile Sewage on sne wen MWCC Sysrem Ciry water PRV Required Boosler Pump APPHOVALS Planner Council &dg.Ofl. variance OFFICE USE ONLY Bldg Permil Surcharge Plan Review SAC, Ciry SAC.MCWCC Water Conn Wafer Meler Acct. Deposil SMl Permit SNJ Surcharge Trealment PI Road Unit Park Ded. Copies TOTAL fEES 36.00 This reauest void / - I ..g5 18 months Pom 551 R? a 0 6 3 913 ?s. ?1- Z- ?1100 Feqcest Date Rre No. Requ? red?InsVecuon ?Ready Now.?pW?ll Nnufy InsPeo Wr When Feady ' 9-3-1985 Ek{icensed Electncal Conlractor 1 hereby request inspectron oi above at_ U vwner ???? eox or Poute No. Suaet AAAress, 1558 B. Clemson Drive Eagan ecLOn o. Township Name or No. Range No. Cnunty Dakota Occu0an11PRINTI Phone Nn New Hrizons Pawar Suppher Address Electncal Con vzctor ICompany Namel Comracmr's License No. O.B. Thompson Electric Co., Inc. A40602 Mailinp Atldress ICOnVacmr or Owner Makong InstallatmN 12201 Mtka B lvd., Mtka 55343 Auffior¢ed Signatwe IComractor/Owner Making Instzllauonl Phone Number ? [t'T?l1N NFfl11F8T WILL NOT MINNESOTp STATE BOAPO OF ELECTRIGITY BE ACCEPTEO BY TME STATE eOAHD Griggs-Midway BId9. - R.om N•791 UNLESS PROPER INSPECTION FEE IS 1021 Unrversay Ava.: St. Peul, MN 55104 ENCLOSED. Phone (612) 297.2111 fqry ?, REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-n< o ^• ? ' See insVUClians For complabn9 this fprm on beck ot yellow copy. R nc,?ni Q •lx" BeloW Wak Covered by Thrs Request LJ qAtl R.P. e Type ot Bmltling AOOliancea WireE Equipment Wired Home Range Temporary Service Water Heater Liyhtiny Fixtures Dryer Electric Heavn Fumace S??lo Unloader = Av Condrtioner Bulk Milk Tenk Farin otner Spen v .tnerl5ucciNl Other n1h?*r Vp r Fea ?ServweEntrenceS¢e M1 Fe ers?SU?t eeders l 8 N C 0 to 200 qmp t o c 30 A tn 30 Am s Above 200 qmps 100 AmpS 31 to 100 Am s Swimmmg Pool A6ove 100-Amps Above 100_Ainps ' Transiormers Irrigat?on Booms L • Prrtial- Other Fee Signs Special Inspectwn 50 10 TOTAL FEE 9ertx3rks . ; / /A ry 11f1cLl 1513 Ccblwa flo eh tn Datc ?. 1he?lectncal InspectOr?he?eby above Fnal /n // A ?inspecdon has been //eC A, mada. This feouest voiE 10 months fram This repuesf vord /?f/??? 18 rMhs from ? T ( [ C o° t1.riRf177 LI ? gr Fequest Uaie Fve No. ftouuh-in Inspecuon Feq`'red? ?,/ ?ReadY Now ?VJwlll Nouty InsPec- ' U? ?es ?No tor When Heady 91-icensed Elec[ncal CoMractor I hereby raquest inspaciion ot above ? Owner Alectrroal work installed at. Street AdAress, Box or Route No. ecuon o. Township N2me or No. Range No. CoTunt?y ? L ?lKCa+T Occ'upRa'nt(PF_INT') I _ Phone No. AZD- ZqG7 CD P er Su00?ier - 9 1 " AdOress C-PQrn??-c?rJ ffc ,t.?: c:V- 1...>Av-c, ,c P Elev ical ConTractor ICompany Namel 1U?C- NEe? --:: Na. CnnVactor's License No. Mailmg AAJress (COn[racmr or Owner Mak ng Instail Lonl ! L ;?-?? ,a,? raed Si nare C ract rI0 ner Makin9 Installavoa Pho?ne pNumb^er /y q.!-?C7'- '1 ???'T MINNESOTA STATE BOAHD OF ELECTHICITY / THIS INSPECTION HEQUEST WILL NOT Gri9gs-Midway Blde. - Foom N-191 aE ACCEPTED BY THE STATE BOAflD 1821 Univarsrty Ave., St Paul, MN 55104 UNLESS PHOPEH INSPECTION FEE IS PAOne (612) 297-2111 ENCLOSED. REQUEST FDR ELECTRICAL INSPECTION ee-ooooi.oa O?? ' See instrucpons for campleLne ihis form on back of Vellow copy. S ? ?? w`77 "X" Be/ow Work Covered by This Request Add Rep. Type oi Bwleine Applmnces Wirad EvuipmeN Wved Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Bwlding Dryer Electnc Heatin Commeraai Bidg Fumace Silo Unloader Industnal 81dg. Air CondiLOner eulk Milk Tank Farm omr, sorv oFne, S4,,,"tvl t er SpauFy Oihe? OthFr ?uinuuir '13uecuun ree vernw M Fee ServiceEnNenceSae k Fea Fenders/Sabfeeders N Fea Crtcwts ?. 0 to 200 Am s 0 to 30 Am s ? ?? 0 to 30 Am s Above 200 qmpsi 31 to 100 Ainps 31 to 100 A s Swimming Pool Above 100_Amps Above 100-Am s Transtormers Irn,ation Bonms Partial'Other Pee Signs Special Inspection $ ?p Rema.ks ?? TOTAL; E? -oc) Q 1. tha ElecdiCel'? I ? ? 9 "d - Insaecbr. herebY Dnte ceriJy that the above F?nal ( v ins ecAOn has been 1.?7-?? made. rnis rauuest This repuesj aoid ?jmonths (ram c ) n hR n 7 F I_z i u-,i, qequest D'ate ? Fre No. Roughin Inspecunn Repuuetl> FeadV Now ?II NotifY InsPec- ? 7 ! ????f - ?j? [Y]Ves 0N0 tor When Ready F-L-censetl Elecvical Convacmr I heraby requast mspection of ahove ? Owner electncal work inslallad at Sveet AdCress, eox or Rou[e No. CnY .? EcLOn o. Township Name o? No. Range No. County 1?4 koTA Occupant(PqlNT) NG,?JJ l?o??zo? ?lc?,v?? Phone Nc. qzc?- 3qo 0 POwer Supulier ` C Atldr¢55 ? ' 1?1 c> C P CC?i P? c. A M? tJ?i ?t? I cvical ConVactor ?Company Name) I t?p, C Vactor's License No. oak 8I t- s MadmB.4dJress Comractor or OwnecMaking lnstzil bonl t ?? ?? 5s327 5+2t Roe? r? -A? ??+J A nzed Si na[ure IContrector r Makiny Installavonl ' Phone Number ? Z8- A?-74 MINNESOTA STATE BOAqO Of ELECTRICITV I THIS INSPECTION REQUEST WILL NOT Griggs-Midwey Bldq. - Noom N-191 eE ACCEPTEI) BV THE STATE e0AA0 1621 University Ave., St Peul, MN 55106 UNLESS PflOPEN INSPECTION fEE IS Phone 16121 297_2111 , ENCLOSED. ?/- REQUEST FOR ELECTRICAL INSPECTION ea-ooooi.oa T It Sae inslruchans ior complehng Ihis form on Eeck oi yel low copY. ? Q S p nw?9 "X" Below Work Covered by Thls Request AAd Nep. Type ot Bwldrn9 Applibntes Wirad Equipment Wved Home Ranye Temporary Scrvice Duplex Water Heater Lightiny Rxtures V .Qpt Building Dryer Elec[ric HeaLn Commercial eldg Furnace Silo UnloaAer Industnal BIAg. Air CondiLOner Bulk Milk Tdnk fattll Other .peci y Other l5pcr.,fy1 t er Speufy Other 01hrr 6UIliL(l(@ IPSOCCIlOR hPA XPIOW p Fee ServiceEntrence5ize k Fee feeders/5ubfaedxrs N Fee Cucwts U to 200 qm s 0 to 30 Am 5 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 qm s SSwimming Pool Above 100_Amps Above 100-Am s Transiormers Irrigation BoorcS LD Partial-'Other Fee Signs Speciaiinspection SQ $ _ E?- Herrgrks 2,? TOTqL FE ? 2 iJ f ? ( , ? Rough-In - ^ ^ ,? ?1kii - 1I / T?V Date " +1.? r i?? , tha Elec?ncal Inspector, he?eby Final i D Le ertdy that tha above ? ? '? , ins0ectmn has heen Q? made inis requesr voio 15 momns Trom This reQUest vold ?? {y -f 18 monffisfmm ? 0 R n c0o 1? ]:J ,, /a , n/,,.. ,_ Lk rll-, --;lLn est Date Rre No. Rough-in Inspecuon Requrtetl? ?Ready Now9CNill Notify Inspec- 9-3-1985 ?y?y ?. mr Wnen Readv Dog-icensed Electncal ConVactor I h¢rehy requesi insoecnon of above r1 n......., electncal work unstallad at Sveet Address, eou or floule No. Crtv 1558 Clemson Drive agan ecLOn o. Township Name or No. Range No. Coun1Y d]SOtd Or,cupant(PRINT) Phone No. New Aorizons Power $uppM1er Address Elec[ncal ConVacm, IComOany Name1 Contrarmr's License No. O.B. Thom son Electric Co. Inc. A40602 Mading AdJress (Contractor o, Owner MakmB InstailaLON 12201 Mtka Blvd. Mtka 55343 °-" Authonzed Si9?ature (CnnvactorfOwner Makinp InStalidtyon) Ph"n?yNurMgr y ??7iF-?'J' ?G 1 I . " . ' ' . _ MINNESOTA STATE BOAHO OF ELECTNICITY Gngys-M,dwey sldg. - fioom N491 } 821 UmvarsitV Aoe., St Paul, MN 55104 Phone 16121 297-2111 6E AGCEPTED BY THE STATE BOAAD VNLESS PflOPEH INSPECTION FEE IS ENCLOSEO. REQUEST FOR ELECTRICAI. INSPECTION ? - ee-ooooi.oa ' -( See mstructions tor completinathis fn.m nn hactr ..t ..vu,..., .. / O D "X"" Below WoTk Covered by This Request -% 4J FAd Rep. Type of Bwldmg Appliances Wimd EquiVment Wired Home Range Temporary Service Duplax Water Heater Lighting Fixtures Apt. Buildinq Dryer Bectric Heatm Commercial Bidg. Fumace Silo UnloaJer Indusirial Bldy. Air CondiLOner BWk Milk Tdni< Farm other Spenrv Oiner Isuec:fvl ther Suec?fy Other Othir p Fee SarviceEntranceSize H Fee Feeders/Subieeders N Fee Crtcwts 0 to 200 qm 5 0 to 30 Am s 0 to 30 Am s Above 200 qmps 31 to 100 qmps 31 to 100 Am s Swimmin Pool _ Above 100_Am s Above 100_Amps Transformers Irngation eoorc?s Partial-"Other Fee Signs Special Inspection $ ?,- Remn.ks Flridl IIISpBCtiOn 10.50 TQTAI FEE Rou9n-in o,te I,?he ElacViwi? Inspati8"q M1ereby Final y t?e/ f ertrty chet ihe above ?nspec6on has been mede. This reques[ void 18 months from 9- a,5? ' K Dateofthis Requ6est 1-'? a ft GO7Lo i, as ? I.icensed Electrical Contractor ? Owner, do hereby tequest inspection of the above electri- cal wiring mstalled at: Street Address or Route No. Section Township Range Coonty Nhich is occupied by (Name of Oc<uDant) Is a rougltin inspection required on this job? No ? Yes ? Ready Now ? Will Call ? Power Supplier Address Electrical Contractor ''f'?/l]Y,t+7.-rc?. ??r.-.?" Contractor's Licen ?No?"y'{l (COmpany Nama) ??J,y, Mailing Address ?',? .? (1?.v226?g.fi ??a_ d?.Y??°.,?,? (?\ c ncaJ? ntra?c] or r Owner?9 Tbis Installatlon) Authorized Signature?z???}dLb".,x Phone No. (Elactrical Contractor or Owner Making This Installa[lon) This inspectian request will not 6e accepted by the State Board unless proper inspectian fee is enclased. Minnesota State Board of Electricity v//?? ? d? l'?, '. ??_iversity Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICF.L INuPECTION 20728 CHECK BELOW WOKK COVCRED BY THIS REQUEST T-pe of Building New Add. Rep. Check Appliances N'ired Foi Check Equipment W'ved Foc Home ? ? ? Range ? Temporaty Winng ? ?uplex ? ? El Water Heatec ? Lighting Fixtuxes ? APt- BldB• El ? ? Dryet ? F,lectric Heating ? Commetcial Bldg. El ? ? Futnace ? Silo Unloader ? Industrial Bldg. ? ? ? pu Conditionex ? Bulk Milk Tank ? Fatm ? ? ? Lis[ ) List ) O[her 0 E3 0 Otheis} O[hers} Hexe ) Aere ) COMPUTE INSPECTION FEE SELOW Service Entiance Size: it Fee Feeders&Subfeedets: # Fee i[a: # Fee U to m a. 0 to 30 Am res m eres to30 101 t 200 Am Above 20 Amps. J 31 to 100 Amperen Above ]00 W m eres Ampa RemoteControlCitc. her£ee Special Inspection ee $5.00 Remaxks TOTAL FEE i, the ttectncal lnspector, hereby certify that the above inspection has been made/%?; •GL? (Rough-in) Date 1 i- (Final) r Date_ Q ?lrF 41 This request void 18 months from , This reQUes1 witl Amon?t+hs? +frro?mq ? J ? i'S il i-d25 L r? r? l ?tio? ? k wS ? -) .) y.F s qc) b () NeQUest Date Fire No. BouPh-in Insuect?an Nequte?? Qfleady Nuw bYI41 PSOIHY InSD¢c- 7^??_ ? CJ?es No [or When ReadY ?[,j Licensed Elecinr.al Contractor 1 hqrebY ?epuest mspectiam oS a6nve ? Owner eiectncal work fnsUfEed at Sveet Atldress, Box or Route No. 155? C?ennsot-D ` Ciev ^?^? ? ?+ ?-- ecuon o. I f Name or No. Hange No. County A D : - r C> A k O`cc?upnm JPRINT) NFJJ--> ? Phoere M1Fe. L?"` 1-?JG CX?D Power SuOplier ?AK?A ELC.C:?TZ?c_ Atltlress C?A?'M??T?1J ElecVical Contrar,tm ?Comuany Namel ?j F -? ?. ?. Coabactae's License No. ?? 2:771 - -IS Mailmp Address IConvacmr or Owner M mg Instailabon) \ Aut ze0 Si nature 1 onttactor/Own r Making Installalionl Phore Numper zg- q4-74 MINNESOTq STATE 80AFD OF ELECTRIQTY ? FFk15 kp15PECTION REQUEST WIIL NOT Gnggs-Mudway Bldg. - Noom N•191 ? ACCEPTE6 BI THE STATE-BOARD 1821 UniversrtV Ave., St Paul, MN 55104 UNLE&S PRdPEP INSPECTION FEE IS Phone 1612) 297-2111 EMCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-ooaoi_o< ' See instruc[rpns for Completior' 4is farm on baek oi Yailow copy. ? 3 j p 7'4 ""1f'" Be1ow Work Covered by Thrs Request ?AAA R.P. Typa oi 8wldung AovlfanceaMtrad Equiomem WirvM Home Range Temporary Service Duplex Water Heater LigBnnp Foxtures Apt. Buflding Dryer Electnc. HeaLn Commerciai Bldg. Furnace Siro Ffnioadee Industrial 81dg. AIr Conditioner eulCc (Nifk Tenk Fyrm Other neo v Other (Sper.rfyl tix:r SuccifY Other 57t h11 n 1.:0/710f/(@ InSA@CIIOn hQC HC/OW p Fee ServiceEnhance5me p Fee Feeders/5uhieeders k Fee Circwls 0 to 200 qm s 0 to 30 q s /Z BQ ? o tn 36 Rm 5 Above 200 qm??y 37 to lOQ Amps 31 to 100 Amps Swinuniny Poai Above 1Q0-Amµ? A6ove SOb_Amps Transformers Irtigation Boort.s ? Partial/Other Fee Signs Specfal inspection Sn TOTAL EE Rgmarks ?? F /Af) .PG ?1 Bou9h-m e \ f Z 4 t tAnt Yix above Final t.. ?s been & - thbreQueslroial8monmstrom - This repuest void mhs from ° 06?910 10 LI? Aequest Date F7e I 9-3-1985 /--t ?QReedy Nuw{(}+,vVill NoutY InsPec UNu Io, When ReatlY -'[]'Licensetl Electncal Contractor I hereby reqaest insoection of uhove ? Owner eleclncal work installed at' Street Address, 6on or Rov[e No. ?oy 1556 Clemson Drive Eagan ecbon o. Township Name or No. Range No. County Dakota OccupantlPRINT7 Phone No. New Hmrizons Power $uppber AAAress Elec[ncal Convac[o? (COmpany Name) Contractor's License No. O.B. Thomnson Electric Co A40602 Mailine p.ddress (ConVactor or Owner Makinp InstailaboN Authonzed Signature '(COnVactor/Owner Makine Installavon) Phone Number ????a•.?.?.,.., 933-2521 +6r aiwrz nuqxp VF ELECTflIUTY ? iH15 INSPECTION qEQUEST WILL NOT Griggs-Mudway Bldg - Room N-091 6E ACCEPTED BY THE STATE 80AHD 7827 University Ava., SL Paul, MN 56104 UNLESS PFlOPEN INSPECTION FEE IS Phone 1612) 297-2111 ENCLOSED. ;EQUEST FOR ELECTRICAL INSPECTION EB-00001-04 6619) See instructions for comple?iuw this form on beck oi yellow copy. n '"X"" Below Wa,k Covered bv 7his Rea,jest 1o) 6661 ° ot Bwld?ng APOlmnce6 Wved Equipment Wved Home Range Temporary Sernce x Water Heater Lightiny Fixtures wldin g Dryer Bectric He:?tinq W rcial Bldy. Fumace Silu Unloader rial Bidy. Air Con?iitioner Bulk Milk Tank Other _pamfy O[hrr ?Sn?ufv) SpOIIfY lM1C? O?f1L'f ., e__ e_i_._. M Fee SarviceEntrance5?ze # Fee Feaders/SubteeAers Cucm?s U to 200 Am s Above 200 qm??y, 0 to 30 Am s 31 to 700 Ainps t r? 0 to 30 Am s 31 to 100 qm s Swimming Pool Transtormery Signs Above 100_Amps frngation eooms SpeciallnspecLOn .50 Above 100_Am s Paitial.'Other Fee nemarks $ 10.50 TOTAL?FEE y*? D,ite I, the EtectUCal_? r inspannr, hereby Fnal certtty that the above C),t e Inspectmn has been ? p made. This reQUes? vo'018 montletrom This re9uest void 3Q LJ? 18 mon[hs fmm ?( ? 1770 . Reques[ Oate G Fire No. peqAhetlolnsVecLOn ?ReaAy Now DWill Notrty Inspeo ? Z-?O` o? ?Ves No to? When Feady MLicensed ElecMCal ConVactor I hereby request inspecLOn of above ? Owner electncal work installed at. S[reet Address, Box or floute No. City ecuon o. Township Name or No. Range No. County ? Or,cupant(PRINT) Phone No. Cs2e??.+?•w. 4 S? - `ZS'Io Power Supplier Adtlress Electncal Contracmr (Company Name) Convactor's Ucense No. MaJmg AdJress IConVactor or Owner Making InstailatioN Author ed ?B? re (Co or ner MaWng Instaliation) Phone Number Is Sa\- o:5 MINNESQTA STATE BOARD OF ELECTHICITY Gnggs-Midway Bldg. - Aoom N•191 1821 Unrversitv Ava., SL Paul, MN 65104 Phone 1612) 297-2111 REQUEST fOR ELECTRICAL INSPECTION EB-OOW1-04 ??? , See InetmcLens for compleryng [his lorm on beck ot ? yellow copy. ? j 9 ? L? ? 1770 X" Below Work Covered by This Request TVpe ot BuilAing ex 0 r (SporifV) p Fee ServtceEntrenceSize p Fee ieeders/5ubfeeders # Fee C, rcu?ts U to 200 qm 5 0 to 30 Am s 0 tn 30 Am s Above 200 qmpb 31 ta 100 Ainps 31 to 100 A s Swimmfng Pool Above 100_Amps Above 100_Amps Transiormer5 Irrigation eooms Partia6"Other Fee THIS INSPECTION NEOUEST WIIL NOT eE ACGEPTED 9V THE STATE BOAAD UNLESS PROPEN INSPECTION FEE IS ENCLOSEO. Jpecial InspecLOn 5 \ Aemarks T07AL F ?? .? In Final ( I,the Elacttrivef-I Inspeclaq heraby Cirbly thet tha above spectaon has been ( Thia roquesl valE 19us re9i at voitl rtwnth rom ?' (J 5 o 9 6? aS Ae.n7uest oate ?jr? - ?7- ca? • Fre No. '^ -'? 'r r Rough-in Insucc[ion PeQU ed? ? c> ? - ?R¢adY Nuw Q WA1 NoUiv Insaec- s nN ?o, wn? ? n m? ? heraby r¢pues[ inspection ot above ? Owner e.i-nl-4 ......4 :-c- Street Address, Boz or flou[e No. C.1y is5?3 cL_G,vAsoK.3 c?.r-D 7ownship Name or No. qange No. Caunty = 1?4kk Cc?cupa'nt`(PH1IN'T_)^ Phone No. 4`ZO - 3GZ DC] Power Sunoher bAycF A Aadress C" V A Ele tncal Contracmr ICompany Numel ? Contractur's License No. P c- IJG e04p cD41 ?-s Mading Address (ConVactor or Owner mg Instailation) t512 ?Jt2cx 5 E VJ 1 l /- ? G?IV "' ,- (z?J 7 ?s32 .4 nzed 5. na[ure (ConVactodOwner Makmg Installatinn) Phone Number ?2 8 - Q474 ^.wuii+ siwit UUARD OF ELECTRICITY IhI5 INSPECTION flEQVEST WRL NOT Grigqs-Midwey Bldg. - Noom Nd91 BE ACCEPiED BY THE STqiE BDARO 1821 University Ave., St. Peul, MN 55101 UNLESS PROPER INSPECTION FEE M Phone 16121 297-2171 ENCLOSEO. REQUEST POR ELECTRICAL INSPECTION ork ee-oowi?a y Ci -' S 236675 0 See instrucLnns tor completing th's iprm an baek of Vellow copY. ?XBelow Work C.ovefed bv Thic RariuPSt Atld Fe0. TVPe of Builtlln9 AOCliances Wiietl E 9uipmepl Wb<rl Home Range Temporary Sen+ice Duplex Water Heater Ltghtiny Fixtures Apt Bwiding Dryer Elecinc Heatin Commercial Bldg Fumace S;!e Unloader Industrial Bldy. Air Conditfoner eulk MJk Tank Farm otner 5pecify (?tner i5necilv7 t ¢r (SUCnty Other O?her 0/l lOUt e ln.r aectrnn Fnn aol..?.. C I Fee 12 60 nc. tr Fee Pne.ders?5ubfeeders p Fee Cvc rt us . 0 to 30 qm l2 0 tn 30 Ane s PAtbjVe2U0 E 37 to 100 qmps 00 A1141 A6ove 1 WAmp?s Above 1(IQ Am S Irrigation Boorrs 7U _ PartiaL"Other Fee Suecfal Insrwr+f..?, xemarks T07AL FEE? Rouph-in Date ? (? I. Ihe Elecpical a QI Inspector. 1i¢reby Final r cenifv that Hre ahoya ;-Pri-.:a, has b.. ? ?de. This reqaest void ?51,3 18 mon[hs from o /c>, n v Feque,t Doie Fire No. Req9vetlvlnspectmn nReady No? Will Nobfv InsOec- 9-3-1985 ?YCti' ?No tor When Aeadv Licensed EIecGical ConVactor I hereby request mspecfion oi above fl n......,, elactrical work instelled ab Street Address, eax or Route No. City 1556 B. Clemson Drive Eagan ecuon o. Township Name or No. Range No. Coun[y Dakota OccupantlPRINTI Phone No. N ew HoYizons Powvr Supplier AAdress Electncal Contractor (Company Nz?ne) Connactor s L?cense No. O.B. Thompson Electric a40602 Mailing Address (Gonvactor or Owner Making Insiailauon) 12201 Mtka Blvd., Mtka 55343 Author¢ed Signature (Con[rector/Owner Making InstallaLOn) Phon?e] Number e?q 4"'J MINNESOTA STATE BOAHO OF ELECTRICITY Griggs•Mitlwey 91dg. - Room N•197 1821 UnivarsrlV Ave.. 5t. Paul. MN 55104 Phone (612) 297?111 p inia uaarc, i i-i. ... ...a, .n- ... BE ACCEPTED 6V TME STATE BOAAD UNLESS PflOPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Eg-°°°oi.°^ w ? ' See instruchons lor completing thig form on back of yellow copy. p ng'' q?? ??k" Selow Wark Covered by 7his Request ? n Nev, HAd Rep. Tvpe of Bmlaing Apphuncee WveC Equipment Wv¢d Home Range Ternporary Service Duplax - Water Heater LighLny Rxtures Apt Bwldmg Dryer Electnc HeeLn Commeraal Bltly. Pumace Silo Unloader InduStnal Bldg. Av CondiLOner 8ulk Milk Tdnk farm omar oec, fy 01ner l5prntyl Ner ISpeufy Offior Othor l.U/llOll(r I//SUECIlO/]YFP tIPIOW # fee SarviceEMrenca5iza q fee Fextlers/Suhfeeders k Fne Cl?wits 0 m 200 qm s 0 to 30 Am s 0 to 30 Am Above 200 Arnps 31 to 100 qmps 31 to 100 A s Swimming Poal Above 100_Am s A6ove 100-Am?s TransPormers ?rrigation 8oorc?s Partial'Othei Fee Signs Speaal InspecLOn $ flemarks 10.50 TOTAL FEE r r ?- ftooBh-in Date ? I, che EI`ctrical/ Inspector-heraby F?nal ? itdy that the above AS r y` inspection has been ' Y q d ?ea. IDis reaueet voitl 18 monMS fmm 12i/?/ C?//933 ? 38426 I Pequest Oate -- Flle Mo RougMn 1 peclion Re9uiratl? No s ? ? Reatly NowrIliN1W^an RaaOY^?w I O licensed contractor wner hereby request inspection of above electrical work at: JnQ AdWess (Street. Box w Rofine Ob??' (/'? ?f ' Ld ,/nXf ?//C+y ?/ Gfy Jy /J Sectron No TownsNp Name or No Ranga No. Couny Occupa/p?y(JPRINn /G?/ ? I1 /V ? /? ?? Phona N. 1 _ aowe. suvvliw naaress EIecVKai Controctor (Compaly Name) Conlractor§ L¢ense No. Madmg Atltlress (ConVactor ot Owner Makmg Installatwn) 15-6-4 .•.a o .e Authorrz tl ig tur CooVactor( r Myking Ingtapa0on) Phone Number X ? x MINNESOTA 3TATE 60AHD OF ELECTBICITV THIS WSPEGTION REQUEST WILL NOT GA994Mitlway BIOg. - Noom S173 BE ACCEPTED BY THE STATE BQ4RD 1621 tlnivenlly Ave., SL Vaul, MN 5510C UNLESS PFOPER INSPECTlON FEE IS Phone(61T)69T-0800 ENCLOSED 7 f jp? REQUEST FOR ELECTRICAL MSPECTION °,7??„'?4., E&00001-OB ? See insVUdions for mmpahng this lorm on Dack af yellow copy IfTI "X" 8elow Work Covered by This Request 38426 ew Adtl Rep eofBmldmg - AppliancesWiretl EqwpmeniWired H Range Temporary Service j D Water Heater Eleciric HeaLng g A ld in Dryer Olher (Specify) In u striaI C d ' Furnace Farm qv Condi4oner 01her(specily) ContracmrY 2Remarks Compute Inspeciion Fee Belowv??? ?n? # Other Fee SerwceEn Fee Swimming Pool Transtormers Signs to 200 Am bove 200 iptc, r9 use omy OTAL Irrigation 8ooms Speaal InspeCtion Alarm/Communication THIS MSTALLATION MAY BE ORDERED DISCONNECTED IF NOT 6ther Fee COMPLETED WITHIN 18 MO HS. I, the Elecirical Inspector, hereby certify that the a6ove inspection has b emade. Rough-in f Final / oale '21 oe? r ICE USE ONLY request witl 18 monlhs Irom J S ? 1\ * ?1 N oc? ? ? y ? G p ?? 932, (9 35.5) 0. Zo ¢600 (936.0) (936.0) 0 0+,? _ ^ z2 ? S7? S 'h e?? ?o n 99? ' •> ? ? g6pp 0E ?I ?o M % g ?s<`D _? ?' •c' - 96 ?? 2 g6 ? ? ? ? (935.5) i- / N ti.;9 p o1 33 1=/°'?/ ti o° w ? Zz? r936. o? ? 46a? 2p ? ?'- (936.0 ? 0 Denotes Iron Monument ° Denotes Wood Stake X000.0 Denofes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 9370 f- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 937.6 i ; .? I hereby certiy that this is a true and correct representation ot a survey of the boundaries ot Lots 17, 18, 19, and 20, Block 1, THOM.AS LAKE Y.EIGHTS 2ND ADDITION, Dakota County, Minnesota. And of the location oi all buildings, if any, lhereon, and a!I visible encroachmenfs, if any, lrom or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this. 1'irh day of *tarch 1985_. Paul A. Johnson Rev'sed 4•2G85 Gl,an ed Lets 18j[9 to 9r. W/o. Land Surveyor. Minn. Reg. No. 10938 w"` /"= CERTIFICATE OF SURVEY 40? -GOMBS•KNUTSON ASSOCIATES, INC. fOf j•»???? oeuuui?euai.?ees?wosuerE.o?s?:irFru.?us r??c ??r1A? ? t?1ry?/?,?f ?y?C r.o. IIL bMnF?MLIS ?ny MUTCwilaSpN.NM4EtOTA T A?Q ??ccrr ???R.f??,?L?j?r (j1.?{YiC\7 7 J PERMIT # " l 'i Y RECEIPT DATE: 2002 RE.51D;N'fIAL PL.UMBIAIfi PER4II'? APPUCA'PIOIU crrY oF KAeAv 3$30 PILOT KNOB itD £i4fiAN, AtN 55122 6516$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: 1568 Q ClF--msoN D? OWNERNAME:: aLSA*1 DaLHED TELEPHONE#: 1051 454--2555 (AREA CODE) INSTALLER NAME: Sp?-LF TELEPHONE #: (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: _ SEPTIC SYSTEM, new/refurbi5hed (reqwres two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Addkional consultant fees may apply . MODIFICATIONlALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installationlrepair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: ` water softener ?' Water heater $ 15.00 IS rIS I' 1 !1 , ,? State 5urcharge JUN 0 7 ?'UUL 50 Total BY_'? ? - ; -j . _ . ? - I hereby ecknowledge that I have read this application, state that the inforcnation is correct, and agree to complywith all applin6le City of Eagan ordinances. It is tha applicanPs responsibiiiryto notify the property owner that the City of Eagan assumes no liabildyfor any damages caused by the City during its normal operational and maintenance activities to the §cilities constructed under this permit vi[hin Cily property/right-of-wayleasement. SIGNATURE OF PERMITTEE 1102 / . I P'EkMIT #: 3$30 i'ILOT KNOB tiD EA6kN MN 55182 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits arP required fer each unit Date: SI7E ADDRESS: I?? n l6S l:!?-00 ??--. OWNERNAME: ?SCI(1 li"1h h-G'1- TELEPHONE#: INSTALLERNAME: \ 6a '??(W{,`??C_, L.7E zVVIC-- .TELEPHONE#:.(;?1-/046_776?6( STREET ADDRESS: L-t'SC\aew? CITY: STATE:21P: Place a check mark next to the permk work type A unit? T ? U l5 Add-on, modification or alteration to existina dwellin ? $ 30.00 • furnace replacement 2 3 2002 h i rexc • a anger j • air conditioner • other ? Nature of work: d'1" ?A State Surchar e $ •50 . Total $?? A ' ? SIGNATU OF PERMIT EE s d? a I CITY USE ONLY RECEIPT DATE: saV/t? 2002 iiESIDEPTIihL MECfANICAL PEftMTl' APPL1CAT10N CITY OF EAfiRN I /02 :0-/oa 0 1985 BUILDING PERMIi APPLICATION - CITY OF EAGAH NaTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN TOWNHOU t)L UN IT qq INCLUDE 2 SETS OF PLANS , 3 CERTIFICATES OF SURVEY ; 1 SET OF ENERGY CALCULATIONS To Be Used For: sroEVGG XE ?'0?' Valuation: ??_ ?r-•- ?? Date: \ Site Address: Z X_o-(s C<a,,,a so,i 'DQ, ,e OFFICE USE ONLY Lot: 17 Block _L Sect/Sub 7]j0.l IotcErect X Occupancy ?-3 Remodel '- Zoniag Parcel p Repair _ Type of Const Enlarge U of Stories Ouner ?1I0??J ?o.eizo.? Llo.? es 5,.?? Move Length _ Demolish Depth Z'7 Address Pip $a x 13 7 Grade Sq Ft _ City/Zip Code ? ' -------- -- ---------- ---------- - Contractor s,Q „WL APPROVALS Add ?? 0 ' 3 ?j D't1 ress Assessments Permit Water/Sewer Surcharge City/Zip Code police Plan Reviea T S 3 s° Fire SAC 5Z5,L° Phone 0 Engr Water Conn Sco.°= Planner Water Meter (03l oa Arch./Engr P. RisWoLd Council Road Unit 280.°= Bldg Off arks Address APC Treatment Pl 132.°= Phone 0 T2?/ ?13s- 7 Variance c Qj Q, s.O io=AL / , ) 11- S . ,-. _ ?v? ( TOUJNFiOUSE ) • - CITY OF EAGAN N? 10 2 6 9 - ` 3830 P'ilot Knob Road, P.O. Box 21-799. Eagan, MN 55121 rHONe: 454-8100 S/c? 93 BUILDING PERINIT eeceivc # T. Mto.d h. 1 OF 4 PLEX -Et ym1e $58, 000 p,rs MAY 23 lq 85 g;dpddresa 1556 CLEMSON DR Erect Ek ocwvenev R3 Lot 17 g?k 1 ?,.HI„y THOM LK HTS 2ND Remodal O Zoning PIl Pswl No. Repair ? Type of Cant V ENarge ? No. Stvia W N? NEW HORIZON HOMES INC p?o?uh ? ph 44 ? P.O. OX -27 Addresa Grade ? S4. Ft. Cky MPLS P? 0- i?? ? Z? Neme SAME Avwaah Fam g? nddres. cxw ---- vt? Nwne D. GRISWOLD Addrw c;h, Phom 435-7524 1 hercby oekrowtedpe ehot I hova rcad rhls eppliwtion and store Mwt Mr inlwmoNOn IS tonect ard agree M canplY with II oppiicobb Stc4 of Minnsaoto Stan?of ? Q Ord Siy?otws of Permiftes - _ w 8uildinp Vermit b isprd M: NEW HORIZON HOME dl work shdl be dom in aooprdmr,e with all uppife3bla Buildln0 OFfidal ?? ASSeiSirleM water 3 Sev. volka Fim ? Ranner Council Bldg. Off. 5 14 $ $ APC Ver. Date v.,,,,,- 00 5u,d,,,y, 29.00 q,,, Fieview 153.50 5AC 525.00 Woter Conn, 500.00 Wotar Mater _63.00 Raod Unit?8()-00 x*ayT. P. 13 2. 0 0' rota 1r 9 . OI 41, on fhs e»roa corditlon tIw Statuta ond Ciry ot Eapan Ordbanoea. . ., . 1985 BUILDING PERMIT APP[.ICATION - CIZY OF EAGAN NOTE: ALL CONTRACTORS HUSi BE LICENSED ifITH T9E CIiY OF EAGAN TowNi-lousc uN I.` cj (b INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY . t SET OF ENERGY CALCULATIONS To Be Used For. ? REaiuft?CL Valuation: ?aa Date: 3-/8-PS Site Address: /SSloB Cje.nsoJ U2ivt Lot: If_ Block Parcel # . > City/Zip Code OFFICE USE ONLY Sect/Sub ?t?Erect N01f4r-S Remodel Repair Enlarge Owner /ti/e? ?[foRizc,? ,t/o,?,es Sy? Move Demolish Address _Pp. Box, 1367 Grade Contractor s411,,9- APPROYALS Address City/Zip Code Phone 0 Arch./Engr _ p. Gttis,)ola( Address Phone # y3,7-_ 75r21I X Occupancy R-3 _ Zoning pp , _ Type of Const ? _ 6 of Stories _ Length ? _ Depth _ Sq Ft Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Of Parks APC Treatment P1 Variance ?oiAL 3o I `? I o so 525."-' Soo .'? Z£?A• °-" / ?7%.5 b (mOWNAOUSE) CITY OF EAGAN I '• ' 3830 Pilot Kno6 Road, P.O. Box 27-199, Eagan, MN 55121 N! 1 Q 2 70 i BUILDING+ PERMIT PHONE: 4548100 rteceipt ? y(.?.11 # ? 1 OF 4 PLEX $56,000 ? ( Te M iwd fe. Est. va?ue oare MAY 23 . 19 85 i 1556B CLEMSON DR Ereet C3: Occupencv R3 sitepddress 1 18 THOM LK HTS ? 2NEfemodel ? Zoning PD el La xk GSub. Repair ? T'ype of Const. v Percel No. Enlerge ? No. Stories Nme NEW HORSZON HOMES INC Move ? ? Length 44 W Demolish Depth Z( ? qddras P.O. BOX 1367 Grade ? sq.Ft. City MPLS Phone 420-3900 Install ? $? AyyreraM i"s G Name E ?` Addreaa ? ccev Pnone Name D. GRISWOLD Citv Pnone 435-7524 Assessment Water d Sew. Polite Firo En0• Planner CAUncil Pertnit $ 301.0 Surchorga 28.0 Plan Review 1SO. S SAC 525.0 Woter Conn. _500• Q Woter Meter 63- 0 Rood Unit 280.0 I hereby ockrowledqe that I have mad this op0licotion und state fhat Bldg• Off• 5 14 $ NKK-XTO? 132.0 the {nlormetion Is correct a ogree to cith all apDlicabla APC Tael $1, 7 i 7• 5 State of Minnawro Stotut s on of Var. Date Sipnoturo of PermiMee w Buneiny vem,ie is +u„ed ro: NEW HORI ZON HOMES INC on tha exproa condiflon 1ho+ dl work sholl W done in accordance with oll appli a Stofe of ? Statutn ond City of Eopan Ordlrances. Buildirq Official , s• . 1985 BUILDING PERlQT APPLICATION - CITY OF EAGAN NOTE: ALL CONiRACfORS NUS? BE LICENSED ffITH TfIE CITY OF EAG9N TOW NNDUale INCLUDE 2 SETS OF PLANS Ui.f I T ?? . 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIDNS ? S&a?. To Be Used For; RE3DE?1CG Valuation: vEZMar 2tt Date: 3-i8-p.r? Site Address: jo,r-wT C/emsoJ 1?jzlrt, OFFICE USE ONLY Lot: gp Block _L Sect/Sub Tj,o,,,,.j ta?cErect ? Remodel Parcel # Repair _ Enlarge Owner 11/e?J /,lo,¢?zo.? /?or„es -7;0, Move Demolish Address Box 1367 Grade ? - City/Zip Code ' ------------• Occupancy IZ-3 Zoning PD _ Type of Const 'ST 0 of Stories Length c 4 Depth 2'1 Sq Ft Contractor s,P,>,e- pPPROVALS Address City/Zip Code Phone A Arch./Engr V. GRis?..?oLd Address Phone 0 13.7-- 752?/ Assessments Permit 30?."-' Water/Sewer Surcharge 29. °° Police Plan Review 15 3 5-" Fire SAC 525. °' Engr Water Conn Scn. `e Planner Water Meter (03. °° Council oad Unit 28c> °° Bldg Of Parks APC Treatment P1 132 ? Variance ioru ? y 9. 5 a . ( TOW2dH0USE) . CITY OF EAGAN ?Ja 10271 ? 3830 Pilot Koob Roal, P.O. Box 21-199, Eagan, MN 55121 PHONE: 0548100 BUILDING PERMIT Receipt # ,3 Ts b, wd 1m 1 OF 4 PLEX Est Value $58,000 Dafe MAY 23 ?q 85 SitaAddren 1558 CLEMSON DR Eract Ck O«upancy R3 Lot 20 elack 1 Sec/Sub. THOM LK HTS 2ND Remodel ? Zoning PD P??? N?? Repeir ? Type of Const. V Enlerge ? No. Stories Nam e NEW HORIZON AOMES INC Move ? Lenqth 44 W Z P• O• BOX 1367 Oemoliah ? Depth 27 ? address Grede ? sq. Ft. City MPLS phone 420-3900 Install ? ? _4AMF. APPrsrals ieas Zu V? • Name _ Address City _ Phone Name D. GRISWOLD ?w Z? Address ?b city vnona 435-7524 I hercby ockmwladpe thct 1 haw read this applicotion ond stofe iFwt iM inlormotion is corred and ogree lo co ly with oll oppliceble Storo of Minnesoto Stotu?t nld fy of E g n Ordinow ea $ipnature of Permittaa A Building Vermif It iuued to: NF.W HhRT .pN HOM . dl work aholl be dona in ocmrdonCe with 01Fapplimble $YO"fe pf Mir, Auessment Water 8 $ew. Poliu Fira EIa Prwr Councll BIdg.Off. S/ 14 / $! APC Ver. Data Permit ioi. 0 li $urcMrge 29 • Sg ? Plan Reviaw 153.60 5AC 525.00 Woter Conn. 500 . 00 Woter AAeter __L3 . 0 0 Road Unit 980-00 aX1F8xTP 132.00 Tmai $1.989.50 on ths axpreaf conditlon thot Statutes and City of Eopan Ordinancea Buildinp Offitial - ?,.P.i 1985 BUILDING PER!!IT APPLICATION - CITY OF EAGAN NOTE: ALL CONSRACTORS NUST BE LICENSED iIITH THE CITY OF EAGAN ??W N I-?OU S (;i UNI'r 96 INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY , 1 SET OF ENERGY CALCULATIONS ? 56,om. To Be ?sed Fort ?PESioEt?CL Valuation: j*,r0&6,Loa, Date: Site Address: I?,?B CLe+"ssJ 1:3gyyo Lot: 19 Block _L Parcel # OFFICE USE ONLY Sect/Sub 7ho,,,,,? epcErect ??fs*3 Remodel Repair Enlarge Owner jVe,,,) /,loKiao,? //o,?PS 5??. Move Demolish Address Qip b? ox f3b7 Grade . ? City/Zip Code ------- Contractor s,A,,,x- APPROVALS Address City/Zip Code Phone A Arch,/Engr P. GRrsc.)oLd' Address Phone 0 y3s- 70-2 V X Occupancy _ Zoning _ Type of Const _ 0 of Stories _ Length _ Depth _ Sq Ft Assessments Permit Water/SeWer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off?%/?yJ Parks APC Treatment P1 Variance iOSAL K-3 PD , ? 4-4-_ 26 30 l ?50 28. `° I 50. `'D 515 , o0 SOO, pO 2$0.? , 32 . eo ,S t5 ( TOFINHOUSF, ) ? • CITY OF EAGAN No- 1 0 2 7 2 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55127 BUII.DING PERMIT PHONE: 4548100 Receipt # 57?U Te M and lar 1 OF 4 PLEX Ese_ Vahiw $56.000 n,.t. MAY 23 i0 85 SiteAddren 1558B CLEMSON DR Erect M OxuPency R3 lot 19 1 THOM LK HTS Bixk Sec/Su6 2ND Remadel ? 2oning PII Parcal No . Repeir ? Type of Conrt. xz . Enler9e ? No. Storiee NEW HORIZON HOMES INC Move ? Lenqtn 44 W Name ? Z P. O BOX 1367 Damolish Depxh ?6 ? pddmy - Grede ? Sq. Ft. Citv MPLS pnone 420-3900 install 0 Neme SAME Approrals Fees r Phone ?w Name D. GRISWOLD W _? Addresa ?W City Pnone 435-7924 I hercby oekmwladpe that 1 havs read fhiz applicotion ond state thof the inlormotion it torrecf and agre to ply wrth all oppliwble Sroro of Mio„ewm Sron,rp" ry ofgae O.dinaneer.? Sipnoeuro of Permittee a 1 ? A Bulldin0 Vermle It issued fo: NEW HORIZON HOMES oll work ahall 6e dwb in occordance with all icabla Stat olr 8uild{np Oflkiol Assessment _ Water 8 Sew. Pollce - Firo Enq. Plannar _ Council _ BId9. Off. 5, APC Var. Oate _ Permit 307- OO Surchorpe 28 • 00 Plan Review 150.50 SAC 525.00 WOterConn. 500•00 WaterMeter 63.00 Rood Unit 280-00 *"TP 132.00 rotel 51.979.50 on tha axpmss condltlon Ihot Statutes and City of Eoqan Ordironcas. 1 , 2/84 ?•? ? I CITY OF EAGAN ? ? APPLICATION FOR PERMIT 11?11 SEWER AND/OR WATER CONNECTION (PLEASE PRINi) 1) PROP&?11'?' ADDRESS: ?S? ? C?C? f7CSO?cJ /?? rFrAr D`',SG2IPTIC:Q: (Lo /Bl '/Su'rdivision or Taac Parcel I.D. Ntmtitier) I" M'SS':'=:G 5'?'4CCZ'UaE, DATE D° OR:GuAL ci.;II.DP:G :•S?._ -, _ , P.TZF== ::.^,`]I?rVP?x7POSr.? R-1 SZ;= FP^9ILY . ? R-Z ^vUPT_,...t'Y (7':0 LI1I`I'S) 0 -3 'IC"LVICtJSE (Tf-P.I:2. + L:1ZTS) J -4 aPazT! =/ca'Ma!iriIIN ( y wzTs) p CCC%?',1E.T?CI2AL/RE?'AIL,/OrFICE p i1\7DL'STRZAL Q LNSTI;LTIONAL/C',G=NT-%M-f 2) pppj,IG -?qr ? (PLEASE PR1Nil I?1hIE: ADDRESS: /--F/ ;7e C_TT^l, STA?'E, ZIP: PHOLNE: VZ d 3) pu;= PIEASE PRIN,I)" NnME: _ FOR CITY USE ONLY ., INC. ?.J??SS: ?9 PLUMBER LICVE: ` OM A.1100T-AAJ KA B 6V8. , Ac t i v CIT'Y, STATE, 2IP': MINNETONKA, MINN. 55343 E pi ed UV?/ 31LY. eG.'?// PHONEc PLUMBER LICENSE i/ / 0 t?Re ' ?d a Oitia v! cx.L7 TPP1 NT/C7.•a'CIII2 tr?tnyt YH1NiJ T7AME : ADDRESS- • CTT7, S=, ZIP: PHONE: 5) INDICFs'I'E ;d[IICH PERMIT IS BEING RfQUESTED: ?[y/'COD1NECTION TO CITY, SaIER fJ Ct7Nh7BCI'IO,N To CITY GVATER ? CI71ER (PLFIISE DF_SCRIBE) ol u:ult<??:: Uz?t:; ? PI.EASE F?OID APPR(TIE.D PER^LIT FOR PZCi:-UP BY ONE OF AECTJE ' [j''PI.Er15E hTAIL APPROVID PERMffT 'PJ 1, 2a-4 AgpVE -'_ " =(Circle one) 7) SIc!.;,'ILM: DATE: ?` J JS - .. ?! ?! OliRii}tJO ? i s? !l:aaa'J?! f[ ?a ti a:i? ? i i iia'.9?.a? s 1R f? ill4.llia?l? a l? fis dmi?'-0wsgs e • ' F 0 R C 2 T Y U S E ON;,Y PER-MIT = ISSUED ? F°ES: $ $ =^+F..°. PER??IT (I,!CT..ULL SU°C5?RGc} WATER PERMIT (INCL'JDE SliRCHARGE) S $ $ $ $ S $ S $ s (?3.ov $ $ u0 S,UU S'O U. UJ S-v0 Wr1TER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) S::JER TAP =C?C'i;:;_ ACCOliNT D`:PnSIT - P7AT°_R WAC SAC TRliNK SVAT°R ASSESS:?E;1T TRliVK SEWER aSSESSliENT LATERAL BE:IEFIT/TRUNK SE:dER LATERAL BENEFIT/TRllNR T4AT°R WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ ?SY Ah10UtiT PASD/,qECEIPT $ S 7J . . 7 ... , DOES UTSLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR W0RK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGZNEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLL0WING CONDITIONS: ' APPROVED BY: TI:LE: ' DATE: 9 OR W? ? ? W,W E"s C I 2/84 ? CITY OF EAGAN APPLICATION FOR PE'ZMIT SET4ER AND/OR WATER CONNECTIOAT (PIEAS EPRINT) 1) 7 PROPEk7I1' ADDRESS: rFraI. DESGRIPTICV; ?O / (Lo /Block/ " visicn or Tax Parce I.D. D1=ber) ' I'r' ST4L'CI?,?'?E, DAT' OF OR?Gl^.IAL cilZiDL:G ?E7,1IT ISs::?NC.: P°-'S= Z.^,`II2rVP'?0POS::D US: ? R-1 SLtiGZ : FPMSLY . ? R-2 DUPZ,...z'`{ (T?'0 L'iIITS) ? 3 'I01.v"T,1HCY!cE ('??:°. W + =TS) ( T,,TiI2^S) -4 tl?A2T! TM]'P/CC:IJG,TAITi,n1 ( ONITS) ? CC1m1ME.4CZAL/REI'AII1/OFFIC ? ML'STRIAL Q l:VSTI:'C,'TIO:LAL/GGV?.?nM7 2) ADpLL[?..y? ?i (PLE SE PRIi?i) ? NA[r1Et / AnnREss: CTTY, STAT:7, ZIP; ? PHOLNE: / '17;?5%/CJ 3) pL?;,.,g?- NPME: (PLEASE PRiNi) FOR CITY USE 04LY ADO^nESS: 12201 MINNETONKA Bi VQ • PLl1HBEPS CE. E: 1= ctiv ? CITY, STATE, ZIP; MINNETONKA, MINN. 55343 E i ed ? I aitn PHO?IE: _ L UHBER LICENSE q Re rd ? ?- ? ' - ' ar 47 07?JTPR'VT/GSvT?EE2 NAME: ALIDRESS: CI'I"L, STA'IE, ZZP: PHONE: (YLtASt YN117f) 5) INpIGITE T+lffICH PERh1IT IS BEING RFX?)UESTID: COATNECrION TO CITY SEN^IER EjfCONNECPION 20 CITY 64ATEf2 ? diHEft (PLrASE DESCRSBE) bJ lirUiLitii::: U.:t;; » s?c:?%T.: ? PLEaSE f?OID APPRWID PERMIT FOR PZCF:-LP BY ONE OF ABCVE LVPLEsiSE :'AIL APPROVID PER.?IIT T'J 1, 2,6374_AFUVE J (Circle one) DATE ?9 ??-- ??1?lil.illfek.v?r?eeErg?aaR?ar+ssas?aMSS??s.a:aa?re?t.l.a?+fi?aaalls .• •, - FOR C I T Y U SE ON;,Y PE2MIT " ISSUED L $ /U• P $ 63 0 U S $ $ ??dU $ $ $ Sa-S.?U $ $ S $ S $ $ $ SEi^iER TJDB]1rT (I`ICZ??Z S==?RGE) WATER PEIU1IT (INCL'uDE SliRCHARGc) WATER METER/COPPEBHORN/OUTSIDE REACER WATER TAP (INCLUDE CORPORATION STCP) SE;vER TAP ACCOUNT D.F,PpSIT - WATER waC SP_C TRUNK WATER ASSES524ENT TRli?IK SEWER ASSESSi1ENT LATE°.AL BE:IEFIT/TRUNK SETNER LATE:tAL BENEFIT/TRUDIK NATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL P.IyIOU:VT PAIDjREC°I2T ? S 07? DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLZC RIGHT Q£ WAY? ? YES IF YES, THEN ."v "PERMIT FOR 'r70RK WITHIN PUBLIC ROADWAY" MUST SE ISSUEO BY THE ENGINEERING DIVZSION. LIST AS A CONDI- TION. SIIBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TI:LE: ?- DAT=' : .a s?s? .? ? ? wkm MMOa MILM wm w ? w s?r ws? R+ et? w ?? ? Ra ? ? ia ?? ?a rt? ?a ss+ ? ? C ; i, Z/84 ?Y '? I ? ? CITY OF EAGAN ?, ? "??? APPLICATI^vN FOR PERPflIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRIHi) 1) PROPER'I1' ADDF2ESS: ` LECu'1L DESGrLTDTZCN: (In 1 /Su.,ciivision or Tax - arcel I.D. Ntun7er) ' IF E.`iIS:'_:G S'?'P,L'CZ' tE , Dr1T' 0F OiZTGuLAL r?;IL7L"G ISSUr.?G.: P.n..F.SLT L'S'r.': ? R-1 SIN=- FIMSZ.Y . ? R-2 DUPi._..`?{ (?',a IINITS) 3 2Y7,7TlZFSCL'SE + L?7ITS} { UiQI'I'S) c2-4 AP?s??:=:T/CCn)Ci-?IP7IL?f ( UtiZTS) ? CLlvlIERCT_AI,/RE;AIL,/OFFIC:: ? I?i.'DL'STRIiiL ? L?ISTSTCJTIO`]AL/GGVERpME.''?1T 2) APPLIGivT I'VLEASE PRIIii) NAftE: ?/, //? ? ADnREss: CT-'I"l, STATE, ZIP: ? PHO'L?E: i 3) PI.L?ffiF?t ? (PLEASE PRiNT) FOR CZT' I15E 04LY P.ODRESS: T118MPS6?1 P68?d@IM6 GB-lNG 12201 MiNNETON{CA CLVD. PLUHBER ICE SE: CITY, STATE, ZIP: MINNETONKA, MINN. 55343 - Acti e 'red PHOiVE: pLI1MBER LICENSE # ?e rd " ? nitta `fJ CX..'C.UYAML'/CIY'[I?2 // tYLLH3L rninil ? NACRE: ADDRESS: CI'I'Y, STA'PE, ZIP: PHONE: 5} nNpi?ATE IqHICH PERh1IT IS BEING REQUESTID; ,??,?CVDINF_CL'ION 'I1? CITY SEYIER ?(` CONNFCPIO:1 'R7 CITY 1%'AT"T2 ? difiFR (PLG15E DESCRIBE) 6) PLEaSE E?OID APPRWED PER,'?LiT FCJ4 PICi:-UP BY ONE OF P,HGVE b*'.rliL APPFDVEDPF?2.`lIT 'P'J 1. . 3 4 AF(JS7E fi (Cisne) ?) sicaTt-pE: MTe: ? ?aa:a?iwfe?.e:? ? a t.ag?.s ?e ?nsnca • ' ` '' • sr.p? a? s s?s?a:a a a.c ?a?ra:+es?i s? ???s ssc?raa r F 0 R C I T Y U S E O N L Y PERMIT °- ISSUED ? FEES : $_ La s-U $ / o, SrU ? $ G3.? S $ $ $ $ $ sas-ou S $ S $ $ . $ SS:".'LB P°BMrT (I`ICL:;D: SU°C?i?RGc) WATE2 PER11TT (Zt*CL`JDE SiiRCHARGE) WATER METER/COPPE°HORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SiTvER TAP ACC:OliNT DEPOSIT - D7ATER WAC SAC TRLri7K WAT°R ASSESSilE:7T TRliN?C SEWER ySSE55MEDIT LATERAL BENEFIT/TRUNK SE:dER LATERi1L BENEFIT/TRUNK L`IAT°R WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL Ar10U:QT PAID; RECrI2T DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLZC RIGHT OF WAY? ? YES FYES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST SE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TZTLE: ' DAT_°: .a ."u ? 2/84 CITY Ot EAGAN APPLICATZON FOR PE:tLMIT SEWER AND/OR WATER CONNECTION (PLEASE PpINi) 1) PROPEk7PY ADDRESS: r Fr?,I. OES=PTICN: ( /Bl, /Succiivision or Tax arcel I.D_ NimL7er) ? I'r' ST:?L'CP? ?E. DATE 0F 0RIGuIAL riiI?.DI:`:G ISSU?NC.: a..r; P`?FSL`T+ ?.:7PF:/P--nPOSr"J US: ? R-1 SI.tiGL: FA^nSLY . ? R-2 CUPL..T'Y M'0 LTIITS) ? R-3 ZC?v?i'??CtTGE ('?'f-- '- LNITS) ! Wi I'?'S) [3-3=4 AF==IT/CC_MCiiii`]it,til ( UQITS) ? CCl`a?SE.;CLAL/RE.':ATI,/OFFIC:: ? L1.'DL'ST.ZZAL ? L?ISTI:T,'TIO:VAL/GOV&?:?7,\IE,*r ZI APPI.IC=V"P (PLEASc/? RIHTJ ADDRESS: CTTY, STaT_2, ZIP: PHONE: 3) pj,Z,°.t$F„v nkME: PLEASE PRINi) FOR CITY'USE ONLY ADDRESS • INOMPSHPLUMMO "' . 19 Ol MIN Mr P! l1MBER LIC£ SE: , r .TONi<A B V? Activ CITY, STATE, ZIP.•-?- MINNETONKA, MINN. 55343 --- E,p' ed PxONE ? -- ?/????? NJICn ? ? PLUMBER LICENSE N 1746.?/?? - -__ N card a r ntti? 4) U[.'L'[JypY?I/Cr,y'T?^Ljj IYLtAJt PH1Yi) NAME: ADDRESS: CiT^r, sTATE, zzP: Pt-;o*rE: 5) INDIG"iTE ;Z3ZCH PERMIT ZS SEINC; RFQ[TESTL:D: b) P,DIG,TZ [TCY7N" ION TU CITY SUIER ? CONNECPZO:V 'IU CITY 6ZATLTt (PL.I'11SE DESCFtIBE) El PI,E?SE F?OID APPP.OVID PER"IT FOR PICI:-UP BY ONE OF ABpVE \?--- PI.Ee1SE^br^III, APPRC3VF,D PER.%LIT-T'J 1;-2j? 4 AFOVE ? -y ?- - _ _ (Circ1Y one) 7) SICZATLI?Z:/ DATE: ?" ??? ? , itRallikM}oA?iafalra '• . • 'R FO R C I T Y U 5 E ON;,Y PE?MIT '-` ISSUED ?--? cc?S; $ L/.s-v SE:•iE.°, °E4MrT (I`ICL:;D: SURCtiARCE) 'S ?ld? SG WATER PEIUIIT (INCi,uDE Sli?CHArZGE) $ WATER METER/COPPERHORN/OUTSZDE READER $ WATLR TAP (INCLUDE CORPORATION STOP) $ SE:JER TAP $ $ _ /?•?U ACCOUNT DEPOSIT - WATER $ wAc $ Sa-S ?u SPC $ TRU.IK SVATER ASSESS??E.`dT $ TRliNK SEWER aSSESSb1ENT +S LATERAL BE:VEFIT/TRUNK SE;•.TER $ LATERrIL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ cCi . . APIOtJ:QT PAID/REC°ZPT n 5? DOcS UTILITY CONNECTION REQUIP.E EXCAVATION IN PUBLZC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR 'RORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED SY THE NO -- ENGINEERING DIVZSZON. LIST AS A CONDI- TION. SI.'BJECT TO THE FOLLOL4ING CONDITIONS: APPROVED BY: TI:LE: DATE: ?l fJ? R? ! ? i? !i? !! ! ?y? ?!# ?! ? /! f?4 ?4f? R? ?t? )! ?i? ?Ff7 ?t? ?F ? f! ?i?1 R+r R? ?1k iJ? !n ? Uo/UriZuUi Lnu iz:au rn.i rae ori 4400 KLIVERAL nreuvunxanrv re- al BYANDBASfiN' 7une 7, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 To Whom It May Concern: Eldet Jones is authorized to pull building permits for Renewal by Andezsen_ Please allow Elder Jones to provide this service for us in Eagan. This authori2atian is valid for any date beyond 616101; until a Renewal by Andersen manager expressly revolces it in writing to the City_ I requESt this anthorization be accepted expeditiously, as to not delay in the processing of our building pctmits any furthcr. Plcasc call mc if U-icaro arc any questiuns. I can Ue contacted at 763-502-4706. Your immcdiate attention to this mattcr is appreciated. Sincerely, ymond R. Rau nstallation Manager Renewai by Andersen Corporation C'r.: Kara-F.lrier.Tnne.c GHADA M. ?' qqMAL ? NaWry Fu01ic Minncyp?g ?Y ?OIIIId561M EkiMhy.U?.3}. 20M Ip3UUZ/VUZ Received Time Jun. 1. 1:01PM Elder-Jones 8uilding Permit Service, Inc. 1120 East 80th Street Bloomington, MN 55420 Phone: (952) 345-6047 Fax: (952) 854-4909 To whom it may concern: We at Elder-Jones Building Pernut Service, Inc. aze acting as an agent for Renewal By Anderson. If there are any questions, or if the permit has to be picked up in person, please give us a call at the number above. If the permit can be mailed back to us, we have enclosed a self-addressed envelope for your convenience. Thank you, Kara Benson ext. 147 Elder-Jones Building Permit Service, Inc. 1120 East SOth Street ' Bloomington, Minnesota 55420-1498 952-854-2854 ° FAX:952-854-4909 ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT ' PERMIT TYPE: Permit Number: Datelssued: BUILDING 060648 05/27/92 SITE ADDRESS: 1556-8 CLEMSON DR ' LOT: 18 BLOCK: 1 THOMAS LAKE HEI6HTS 2MD:... .. DESCRIPTION: --Building Permit Type DECK ; Suilding`Work Type NEW . USC Occupancy R-3 Building tength 10 ? Building.WidCh?_-, .,. 10 ; _:= -,•,;:? ?,-..?[ r ?j \ II ,U//r . ? ? l:l 1J( ?.' REMARKS: # C C)IG 0,43 FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee =25.58 CONTRACTOR: OWNER: - APPlicant - LEINUM VIROIL 1556-8 CLEMSON DR EAGAN MN 55122 (612)887-2335 I hereby aaknowledge that I have read this application and state that the informetion ic correct and agree to comply with all applicable State of Mn. Stat es and City of Eagan Ordinances. ew? A? ICANT/PERMITEE SIG? ?,UE1D 13Y'ISIGNATOR ?{-- Control No. 0516 PERMIT f ? ? CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 YAY14IkM SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural.& structural plans, 1 set af specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest 7s made or lot chan e is re uested once ermit is issued. d6 Date MA1677, Valuation of work ?O - Site Address: /3°s? Q C??lM3d.? '0gId*_ STREET $TE L Tenant Name: (commercial only) L0T J& BLOCK ? SUBD.???Afv r KI; l P.I.D. / p' Descri tion of work: DR?K The appl i cant i s: ff Owner ? Contractor ? Other (Deseribe) Name 451AJ14WL 6/,'24 ?L f? Phone re$7-10377 Property LAST rtRST ?.von h. 237 - xs3S Owner Address /SS? ? AA/9A.t.ianl STREET sre r City 4f.4GIlJ State h911) ZiP J`?r/ZZr Company Phone Contractor Address L4cQnse #_ Exp. City State Zip Company Phone Archltect/ Engineer Name Registration d Address City State Tip Sewer 8 water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with al applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: OFFlCE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 05 Apt. Bldg ? 09 Basement finish ? 02 SF Dwg. ? 06 6arage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 Fireplace ? 11 Res. Add. ? 04 Multi-fam. T.H. JZ 08 Oeck ? 12 Res. Porch WORK TYPE ? 31 New ? 33 Alterations 0 35 Move ? 32 Addition ? 34 Tenant Finish ? 36 Demolish GENERAL INFORMATION Const. Actual) (Al?owable) UBC Occupancy ? 2oning # of Stories Length ? Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. tatal Footprint Sq. ft. On-site well On-site sewage Building Yariance ?( Footing IR Final ?... d, ? 13 imr}?Ind?N,ew ? 14 omm/Ind Add ? 15 Comn/Ind Rem ? 16 Public Fac. ? 17 Agricultural MWCC System City Water PRV Required Booster Pump ' Fire Sprinkler Census Code ? SAC Code ? Framing O Draintile ? Insulation ? Fireplace Permit Fee 80 Surcharge 0 Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit 5/W 5urcharge Treatment P1. Road llnit Park Ded. Trails Ded. Copies Other Tatal: , 0 Yalvtim: S Assessments SAC % SAC Units , HORIZON HILLS HOME OWNERS ASSOCIATION ARCHITECTURAL CONTROL APPROVAL According to e€ your Architectural Control Application ?:ated for the addition/ alteration ct c eX S o71 /d'X a,d' , ? approval is granted pending the receipt of a City of Eaqan Building Permit. -? Once you have obtained a City of Each Building Permit, please mail a copy of it, a- F.. t0: Horizon Hills Home Owners Association Attn: Architectural Control Committee Post Office Sox 21423 Eagan, Minnesota 55121 As stated on your original Application, no work may begin until the Architectural Control Committee has been supplied a copy of your City of Eagan Building Permit. The approved completion date of this addition/alteration shall be (10 -a B-9 a If your project is not completed by this date, please contact the Architectural Committee for an extension request. Failure to obtain an extension by the approved completion date could result in AHHOA completing the addition/alteration project and assessing the costs to you. -ft) /D ' X /0 ? tMarn,c oate: 5/aCo/92. ? .t_.a ? • ?^ '??? v Approved by c & k 411-44 White Copy - Homeowner/Canary Copy - Horizon Hills File y - . S^,1\ Y j ?(93?0) 3=3 S) o 0 o M? _ ? z:.3 'h r< 2p 93zi o`zp m N2? ?/o`'- N?a? 46 ?T3 l' eVi? 3 12 ? ???/ ti o° w O^1 V (9355 C936.0? ? Q6po zOro ) \ ?'- 1936.0) 0 Denotes Iron Monument ° Denotes Wood Stake XOpD.O Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 937.0 4- Denotes Direction oi Surface Drainage Proposed Lowest Floor Elevation= 937.5 I hereby certify that this is a true and correct representatan of a survey ot the boundaries of. Lots 17, 18, 19, and 20, Block 1, ThO`LAS LAKE HEIGHTS 2ND ADDITIO\, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visible encroachments, if any, trom or on said land. it also shows the iocation of the stakes as set for a proposed building. As surveyed by me or under my direct supervision thig. 13th day of "'irch 119$5, Paul A. .Iohnson Revlsed 4•2b 95 Gl.anyed zets 18in +o e6 W/o. Land Surveyor, Minn. Reg. No. 10938 ? A43 CERTIFICATE OF SURVEY McOMBS-KNUTSON ASSOCIATES, INC. ?Of C?SUthIilNGqlGj2 WDfYl1vlYORf. iltl?4??[?5 a?AI ?? ?S W"E?ro?1t W MUiCMIHpM.Y?YNECpTA I?Gir 1991 BUI ?lPITo7[PFLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MIILTIPLE DWELLINGS CO1RdERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEYT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL SE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Zo? Valuation: Date: Site Address ? OFFICE USE ONLY Lot _LL Block I_ Parcel/Sub 2A Owner Address City/Zip Code ? Phone 7 ? Contractor N,/ Address -5 S (/-). L ? City/Zip Code n' h?337 Phone _SDy/2 JSY Arch./Engr. Address City/Zip Code Phone # Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. Variance FEES _ Bldg. Permit M•00 _ Surcharge Tn 0 Plan Review _ SAC, City _ SAC, MWCC _ Water Conn. _ Water Meter _ Acct. Deposit _ S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SIIBTOTAL Penalty Lot Change TOTAL ???? agrees that all work shall be done in accordance with (Signature of C tractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN NO . 19705 3830 Pilot K-nob Road, P.O. Box 21-199, Eagan, MN 55727 BUILDING PERMIT PHONE: 454-8100 Receipt # c I?? r1 , 1g91- To be used for FIREPLACE Est. Value Date SFP 19 Site Address 7 SSh_p CLEMSON DR OFFICE USE ONLY Lot 1$- Block 1 Sec/Sub. THOMAS LAKE HTS Parcel No. ZND Ocapancy - FEES zoning - w Name VIRGIL CEIMUM (AC1uaqConst - Bldg Permn 95_fl(1 ; Address 1 556-B .EMCON DR (Albwa0le) - Surcharge .SO ° City EAGAN Phone 687-0377 # olSmnes - Plan Review Lenglh _ , g Name HEAT-N-GLO oepm - snc, ary o" Address 3850 W HIGHWAY 13 S.F Total - SAC, MCWCC ? City BURNSVILLE Phone 890-0758 SF.Faotprints _ On Site Sewage - Water Conn W W Name On Sile Well - Waler Melar ? MWCC S slem ?z Address Y - nccc. oePOSn aW City Phone cirywater - PRV Raqwred - S/W Permil I hereby acknowlege that I have read this application and state that the Booster Pump - giW Surcharge mtormation is correct and agree to comply with all apphcable State ol i Minnesota Statutes and C/J'??/f?t,?aga Qrdinane TreatmeM PI Si9nalure ol Permilee `?^- °"`?L ? APPROVALS Road Unit A Building Permit is issued to: HE -N-GLO Plannar - park Ded. ' on the express condition tha[ all work shall be done in accordance with all Council applicable State ot Minnesota Stalutes ayndC?ny of Eagan Ortlmances. gla9, pll _ Copies Butlding Olticial ? 1fl_„ RO? ?? ? ? IL? Vanance - TOTAL 2- 0 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMZLY DWELLINGS MULTIPLE DWELLINGS COMII4ERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER M[IST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. /?'?nln? To Be Used For:l?,eWK& i(41/p, L Valuation: Date: Z? 1^ I\ Site Address 155?'d Lot -4-3 Block J_ • Parcel/Sub InnL .ufRe.'HAU dJ1j, Owner 1yi1 D A e ! oLt /-4-- Address /A UMlIKSOA) O/z City/Zip Code r-,aGAnl /4 !M2Z Phone 4-12 • 1e87 ^ 0,3 7 7 Contractor Sry,l/C Address City/Zip Code Phone Arch./Engr. _ Address City/2ip Code Phone # OFFICE USE ONLY FEES Occupancy Bldg. Permit 35, 0,'? Zoning Surcharge ? Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length Water Conn. Depth Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage_ Treatment P1. On site well Road Unit MWCC System _ Park Ded. City water _ Trail Ded. PRV _ Copies Booster Pump _ SIISTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL 3 •oa Bldg. Off. Variance agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. RESIDENTIAL BUILDING PERMIT APPLICATION ? ? CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered site surveys showing sq ft. of lot, sq. R. ol house, and all roofed areas (20% maximum lol cove2ge allowed) • 2 wpies of plan showing beam & window sizes; poure0 found design, etc ? • 1 set of Energy Calcula[ions • 3 cropres of Tree Preservation Plan if lot platted afler 711193 • Rim Joist Detail Op6ons selec[ion sheet (bldgs with 3 or less units) DATE I!"0C3- I \-?' .--I s- RemodellReoair Reouirements . 2 cropies of plan • 1 set of Eneryy Calculations for heated adddions • 7sitesurveyforexlenoradditians8decks • Indwate dhome served by sepGc system for addihons VALUATION ?7. ?OQr" SITE ADDRESS ?SS$ CI-e.MSa't?3'1)( ?A_jL MULTI-FAMILY BLDG _ Ye-=)N TYPE OF WORK?a?g oZ PA,nO -opp(S t 1.n4-1/? FIREPLACE(S) _ 0_ 1_ 2 ??s'1tv?j cP''Q? APPLICANT m,SmSL ?? `Arc?t.CSst_?? STREET ADDRESS i TELEPHONE #((5I•ao4•4'+7'5L CELL PHONE # ?4°?[n IE-2. STATEW ZIP,5S83 FAX # PROPERTYOWNER_C"(* MP10,77' TELEPHONE#bJI' O$S"?a/O ----------------------------------------------------------- -................................... COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSO'I'A RULPS 7670 CATEG012Y l M1\ VESOTA RtiLES 7672 (q su6mission type) . Residential Venlilalion Calegory 1 Worksheet Su6mitted • New Energy Code Worksheet SubmRted • Energy Envelope Calcula[ions Su6mitted Plumbing Contractor: Phonc # Plumbing systcrii includcs: Watcr Soltcncr _ I.awii Sprinkler Fcc: $90.00 Wa[cr Hcalcr _ No. of R.I. Baths NO. UI B81175 Mechanical Contractor: Ylcchuiico-d systcm includcs Sewer/Water Contractor: Air Conditioning Hcat Rccovcry Systcm ------ °----------------- ° °----------------°-- ° --------------° • ------- I hereby acknowledge that I have read ihis application, state that the with all applicable State of Minnesota Statutes and City of Eagan Og Signature of OFFICE USE ONLY Phone # Phone # Il JUl 1 5 2002 is comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Uptlated 4102 `?vi o?. Lvvy lilV 1G.0V re ai .?. a?mo 7, 200? rXIA 104 o,l asoo xrrrurtw nre:untcatuv City of Eagan 3836 Pilat Bnob Road Ea$an, MN 55122 'fo Whom Ic May Concern: Elder Jones ia authorized to pull building pesmits for Renawal by Andnxsan Please allow Elder )oncs to pi,ovide this scr"vicc for us in Ea,san, I1t;R eudipiyyatir,n js vaiid for any date beyond 616I01; wntiI akenewal by Andersen manam expradY revokes it in writing to the City. I rcquest Uus authorization be acceptad expeditiously, as to not deley in rhe processing of ovr building pctmita amy furthcr. Plcasc caIl mc if t6cic arc aay qncationa. I can be wntacbed at 763-502-4706. Your immqdiatc aftntion to this m:iucr is apprec}ated, Sinceiely, ymond R. Rau astallation Manager Ranowal by Andasen Coiporation ('.c: Ks?rn-Fitie;r Tanm ?i ? T?ZC7oj Gk DA ?GAMAL . NcAary MI oh' Gmroesi°n fok"In. af . Zo0.s lmuuz/uu ReceiveJ Time Juo. 7. 1 107pM PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA102818 Date Issued: 01/24/2012 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1556 Clemson Dr Lot: 17 Block: 01 Addition: Thomas Lake Heiahts 2nd PID: 10-75951-01-170 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S4K $103.25 0801.4085 Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Home Depot At Home Services Janice L Sargent 656 Nlendelssolm Ave. N 1556 Clemson Dr Golden Valley NIN 55427 Eagan MN 55122 (763) 42-8826 I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature 1(J r P Use BLUE or BLACK ink ~ - ForOfflceUse j Permit I City of Eajan I Permit Fee: . sa 1 3830 Pilot Knob Road I 10114 - I Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 I Fax: (651) 675-5694 I Staff: C? _ I i - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 5611 l5S' S$~~ yyY 81 ~ ~ Unit Resid Name: ~ 1~ sl Phone: - - 7?11S~.ti2R- ~ntf Owner' ' Address / City / Zip: Applicant is: Owner - Contractor Type of Woi`it Description of work: Remo F-Aa_ Construction Cost:__4-, s S Multi-Family Building: (Yes No _4) Company: _ C T UG 1 GW _ Contact: COtI tractor Address: -~J Q3 .2, M i►~~~YJC "t - City: Min nr eal7lf' State: n2AJ Zip: 55-VO (o Phone: 612- W-1-51506 License ~ 0 6 Z- Lead certificate A1AJ- _ 2 41?7 ::J 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 permi( the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540082 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinance 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 E' r Z &beyA 4~5Yn_ CI'~ x~ Applicant's Printed Name ns ~ - Appli ca Signature Page 1 of 3 Use BLUE or BLACK Ink r-------------------� I For Office Use � C' � Permit#: �" �� j ��J O� �� I Permit Fee: o�� 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 1 I Fax: (651)675-5694 � Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: L�.��''O�., a- ��'C 0�1�� Name: "e�-e v, "� }° � �^ �hbne: �o��—�l�G�- � /� Residentf , f (�yyn�� Address/City/Zip: ��j �/�a�...S'�"� �0� "' Applicant is: Owner �ntractor � ' Description of work: ��C ^e �-•.Q-�c.� �i�/�ti`��Z�✓� Ty`pe 4f WOrk : Construction Cost: �L �i'� r � � Multi-Family Building: (Yes /No� Company: �/�Z°f'o�L� � +— --� Contact: �,21-� �1,�,/ C��i'kC�C�QC , Address:��G G✓ l��7�� J city: l�vr�-,S v �� G� 'e ! State:�Zip:�� Phone:��"�� 3�maiL• � ' License#: �C � 3 �� 5--� Lead Certificate#: li 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: N��TE:Plans-and sup�arting do��e»ts t�a#yow submft are C��t�i�lere�l tc��ie pu�li�in#'�rma��n, Parf+ans z�f : the informativn;m�Y.be:�lassifie,�as n�n,=pt�b%i�;i�`you�rc�uide speci�c reasii�s#ha#�rctultl permit�fae City ita : cc��c��rde that th� :are trade se�rets. 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.qopherstateonecall.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 autho ' 'Iding permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of p rmit' ua X x �!nn- '+�.5' �'�-'�.. Applic 's Printed Name Applicant's Signature Page 1 of 3