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1564 Clemson Dr Rowipt - MECHANICAL PERMIT Pertnit No. ' CITY OF EAGAN FN '` F!Jl in numbered spacsr S/C Type or Print /egiblY Tot . 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract .C'•" , 4. Owr?er b. Contnctor Phone 8. Addrou j , 7. City State 1 Zfp . 8. Building Type: Residential 13 Commercisl D Institutional 0 9. Work Description: New a Add ? Alter ? Repair ? 10. Describe Fuel TYPB 1 11• No• Epujpment 8TU - M. Es. Forced Air No. EQUipment CFM Air Handlin : Mf9• g BO1lers Mfg. Mech, Exhaust ? Unit Fieater Mfg, Other Air Cond. Mfg. v Gaa, Piping Outlets 12. I hereby certify that the above infarmation is true and correct, and 1 agree to comply witjlt:::??`? d c• s erning this type of work. Signed: for o?I9?EGASCO Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legibl y Tot. 1. Date 2. Installation Cost 3. Job Address 15 ?o /3Lot-1)9 Bik. L_ Tract 4. Owner 5. Contractor .'I , ." ; 1, Phone 6, Address 7. City Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New E7 Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. i Slop Sink Gas Piping Outlets 12. I hereby certity that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: I fo7` Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERRAIT Permit No. " CITY OF EAGAN Fee ? Fill in numbered spaces S/C ? . Type or Print legibly Ta. .q. Date 2. Installation Cost ? 3. Job Address ? Lot p(' /Blk. -1- Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip _ - , 8. Building Type: Residential P Commercial ? Institutional O 9. Work Description: New ?.] Add ? Alter O Repair O ? 10. Describe 11. No, Fixtures . . .. _ . ..?.-Yy:, tp.-« Water Closet No. ..> . Fixtures . t .'. ?>_. _ . Cesspool/Drainfield I Bath tubs Septic Tank Lavatory Softner Shower Welt Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : '- for Fiough F inal tnspections: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 • CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21-19 9, Eagan, MN 55121 ? PHONE: 454-8100 dU1LDING PERMIT Rece+a # T41 M wed hr • Est. Volue •: t?., t, ,' pate .ia Y 19 S Erect Q Occupsncy ? ite Address Lot 1 ° Block Sec/Sub. Remodel ? 2oning Repair ? Type of Const. Percel No. Addition ? No. Stories !.??RIGn?1 ?I(}3_?,`; Il`7C Move ? Lengtn ;.y ? N?e Address .•. •'3O}' 1367 Demolish ? Depth Int Impr. ? Sq. Ft. •, N?? c Phone ¢ 2 C-- ? y 0 Q City Install ? 7\ ^.tz; Neme Approvah FNs - Assesunent Permit Y ? A?? u ? Woter d. Sew. Surcharga City Phone Polfu Plan Review ?-. l• F? 4'` ?W Name ?F :°7l? L•') Fin 5,4C `_ 2 5. J0, _? Addreu Enp. Water Conn ??`.? o 0: W City Pfione y'•- Plannn Water Meter 0 lt Council Road Unit 1 ? 0 • o ? 1 F+ercby ocknowledpe thot I hew reod this application ond siote that Q? Bldg. Off. 5 6 l r? 5 Tr. Pi. L-0 the inlorp+ation is oonect ond ogree to comply with of{ appiicnble A? ?? SMte of Minnesoto Stututes ond City of Eo9an Ordinonus. I Ver. Date Copies `- Sipnoturs of Penewtter „ f,l J)J; i _'i,- • f : Total - .... A Buildiny Permit Is lssued W. on the express tondition tfwt all worlc sholl be done in occordor+te with oll appliaoble Stole of Minn esota Stotutes ond City of Ecqan Ordinonces. Buildinp Officiol Plum6inp H.VA.C. EMetric Sottemr I liapaetion Oate I Insp. I Other I Footinys I Framing Roofiny Final Hty. Final Plb9 Reaipt , . ?r k{ ? -4 ! b -? - PLUMBING PERMIT CITY OF EAGAN ffll in numbered apacer Type or Print leyiWy Permit No. ? Fm • S/C Tot 1. Date 2. Installation Coat - - , ,• 3. Job Address `-? Lot - Blk. Trect ? 4. Owner ? 5. Contractor , Pfione 6. Addross 7. City ' State Zip 8. Building Type: Residential O 9. Work Description: New O 10. Describe 11. Commercial O Institutional ? Add O Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Ces ool/Drainfield Bath tubs sp Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray • - Floor Drains Drinkiny 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. S+yned : I for Rouph . Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4544100 ( TnWId N OiIS 7) . eUILDING PERMIT To w wd fer Site Addrea Lot . BloCk Parcel No. 3830 Pila Knob Road, ? Name .. r:lti ; Address . C; . r'•' ,;? 1 b City Phone F EAGAN Box 21-'F98, Eagsn, MN 55121 ; 4548100 Recefpt ,O N8rt19 ?,•'?i•lW OU ? Addreet ? Citv Phane I heroby ackrawledye thot 1 haw mod this applicotion oi the informotion is correct ond ogree fo comply with o Stcb of Mirx,asoto Stotutes ond Ciry of Eaqon Ordino SipnOturo of PermittN A Buildinq Pertnit Is issued fo: ali work shall be dorK in actordonte with all oppliooble Buildinp Offkiol EreCt W Occupency yti 3 Remodel ? toning pri Repair ? Type of Const. 11 Addition ? No. Storiea Move ? Lsngth Demolish ? Depth l b Int Impr. ? Sq. Ft. 10311 Asseument Permlt $ --1'- 7. 00 Water a Sew. Surcharge Z{ • 00 Poliu Plan Review 150 3C Fira SAC C Erp. Water Conn. G? 0 ? Plonn.r water Meeer j -- - p Council 'i Road UnFt ?'- =% ' - 00 Bldg. Off. Tr_ PL 4o APC parfcs ? Var. Date C?ies - ' • 5 rotal on tM txpress tondition thot ,wta Statutes ond City of Ecqon Ordinonces. Permit No. Pormit Holdn Dm TNephone ? Plumbinp T1? fvl Src,-, Ot 7Lv - H.VA.C. 5cl 9 (3 1 R' EhwMc l Sufmw Irapection Date Insp. Other Footings I 7 Footlnys II Foundatlon ? Framiny Roofing Rough Plbg. Rough Hty. e? A/ 7- ? yy ds. ? Inwl. Firoplaee Final Htg. Flnal Plbp. D- Flnel cweiocc. %/Ys V-). -&. G ?> ?z /_ - ?' S- w.eor wwib. Locn+an: w.ll Sewer Pr. Dlsp. 02 Gjt) 1. Date 3. Job Address 4. Owner 5. Contractor PLUMBING PERMIT CITY OF EAGAN FiI/ in numbered spsces Type or Prini legibly 2. Installation Cost Permit No. Fes ? S/C r I Tat ? ? Tract ; i ? _ Phone ? i 6. Addresa 7. City ` State Zip ? 8. Building Type: Residential O 9. Work Description: New,,O 10. Describe 1 11. Commercial ? Institutional ? Add ? After 11 Repair ? No. Fixtures Water Closet No. Fixtures Ces i field l/D Bath tubs spoo ra n Se ti T k Lavatory p c an e S ft ?ower o n r W 11 Kitchen Sink e Urinal/Bidet Oth laundry Tray er -- Floor Orains Drinking Ftn. Slop Sink Gas Piping Outlets 12, I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing ihis 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 1 '] C '• r7-73-.J' t? Lot 6? ` Block Name I nn¢ a cc Address ? n, e n ! v e, City S' Phone ? Nama ? Ad*,ei O TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping OuUets # other Inst. Range FEE ? S/C: TOTAL: 4L PERMIT EAGAN ?D, EAGAN, MN 55121 154-8100 BLDG. TYPE Res. x M ult ._r, -? -L ? WORK DESCRIPTION New x Add-on _ Repair - FEES HVAC 0-100 M BTU - $24.00 ITIONAL 50 M BTU - 6.00 -ON A1R COND. 0-24 BTU - 12.00 ITIONAL 6 M BTU - 6.00 OUTLETS - 1.50 EA. IM11ND FEE - 1% OF CONTRACT FEE MUM - RESIDENTIAI FEE - 10.00 MUM - COMM/INO FEE - 20.00 rE SURCHARGE PER PERMIT - .50 ?$.50 S/C IF PERMIT PRICE GOES :)ND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # RECEIPT # DATE: - Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Permit No. , Fea S/C ' i Type or Print legib/y Tot. 1. •Date 2. Installation Cost : 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone f 6. Address 7. City 8. Building Type: Residential ? 9. Work Description: New ? 10. Describe 11. State Commercial O Institutional ? Add ? Alter O Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. 51op Sink Gas Piping Outlets 12. I hereby certify thai the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed for Rough Final InspeCtions: Date Insp. Date Insp. This is Your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Site Addrett y ` r ...11, LOt 2 j BIoCk c Parcel No. ? Narne :??• +i0! Address ? City Name uu Address City ?W Name ?? Addresa ? Z. City Phone I hereby ocknowltdfle that 1 how mod this applicotion ond state that tht in(ormotion is corred cnd ogree fo comply with all upplicablo StaN af Minnesota Stotute? ond City of Eagcn Ordinonces. Sipnotun of PernattM , ._. A Buiidinq Permit is istued to: dl work sholl be done in otcordance with oll applicoble Stote of Mir Bufldinp Official Remodel U Zoning Repair ? Type of Contt. ? Addition ? No. Storiea Move ? Length Demolish ? Depth 6 Int Impr. ? Sq, Ft. Install ? Assassment Permit 301.00 Woter a Sew. Surcharpe 28.00 Police Plan Review ?u 50 Fire SAC 70; Enp, Water Conn. r-rio , 00 Plonrwr weterMeter Countil Roed Unit ' `- - 00 Bldg. Off. ' Tr. PL U V. APC I Perks , Var. Date Copies T- 7ota1 5 0 On th- -xpflm C0/ldit{On tlwt sota Sfotutes ond City o? Eopon Ordirwnon. , CITY OF EAGAN A ': t ? ?? 3630 Pilot Knob Road, P.O. 8ox 21-199, Espn, MN 55121 ' PHONE: 454-8100 ? QUILDING PERMIT aeuipt Permit No. Pwmit Holder Dfh Telephons ? PIuA+birg q U H.VA.C. te0 3 5 t? E?a % 9 V ?12- ? ya Sott?ner Inopedion Date Insp• OMa Footings I 7 Footings 11 Foundatlon Framing Roofing Rough Plbp. : Rouqh Htg. yw, ? s1 rs- Insul. ?!1 ?5 N/ Finpleos ,? Final Htg. Finel Plbp. Finel Cert/occ. a ?? GU Water Wsc?i6e Loeatfon: Well Sewer Pr. Disp. ,!_ (rC' J J lr;, ? -: i_ pewipt MECHANICAJI.PERM`T Permit No. " CITY OF EAGAN FN -- ,, Fill fn numbered *acn S/C Type or Print /egiWY Tot. ? 1. Date J? 2. Installation Cost • J i?• a /.. , l •r' !' : .. GG C ._ : ?>=::?c?s?;? `.:.'? i 3. Job Addreaa Lot Blk. Tract - ,,;. ?? "?;' 4. Owner "i2,? 5. Conuactor Phone ? 6. Address . . . ._. .. .. ? . . . J ' 7. City State ' Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Desaiption: New L?7 Add ? Alter ? Repair ? 10. Destxibe ?,?•l f.f ., -/ ,?f,.. " 'Fuel,Type _-?•.? , 7 11. No, Fp?nrnent BTU - M. Ea. Forced Air No. Equiament CFM Air Handling: Mf9 i. Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other i Air Cond. ! • - .. - " f ` Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing thia type of work. Signed : ;<f.<J; C . ?. ? . --7..f ?dor Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 i /-, . 1,. ./ PLUMBING PERMIT CITY OF EAGAN ftrmit No. ? `.•' ? , ? , Fu I l FiII in numbered 4osces S/C ? Type ar Print legib/y TaL 1. Date 2. Installation Cost 3. Job Address 'ir i? + Lot Blk. Tract ' y„? -• 4. Owner 5. Contractor. , 6. Address - ? Phone -- 7. City State Zip - 8. Building Type: Residential ? 8. Work Description: New ? 10. Describe 11. Commercial ? Institutional 0 Add ? Alter O Repair ? No. Fixtures Water Closet No. Fixtures Ce l/O i ti ld Bath tubs ra n e ssppo $eptiC Tank Lavatory Softner Shower Well iCitchen Sink Urinal/Bidet Oth Laundry Tray er Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to Comply with all ordinances and codes governing this type of work. Signed : for Rouqh f inal Inspections: Oate Insp. Dete Insp. This is your permit when numberod and approved. Approved CITY OF EAGAN 464-8100 ; . ? BUILDING PERMIT m,MN55121 + 1 u 5I? Reuipt # Site Addreu ??. p ' `• .1N flR T V1Z Erect I.wd ? Occupancy ? seclSub. 'T''•?7?+! i.,: " lot Block . Remodel - Zoning . Repair ? Type of Cona. PercN No. Addition ? No. Stories Move ? Len9th - W Name ' Demolish ? Depth ? ? Addreia 36 i . Int Impr. ? Sq, Ft. Ciri Phone 4 Z G -3 `? ? 1-' Install ? Name Addrees Name ?- - eA.r.... I hereby ocknawledye thot 1 how road fhis application ond tM informotion is correct and oqree ro wmply with oll Stoto of Minnesoto Statutes_ and City of Eaqon Ordinonc Sipnotun of PemwttM A Buildiny Penm1t Is issuad to: -' ? all work shall be dons in otoordanct with cll CITY OF EAGAN 3830 PUot Knob Road, P.O. Box 21•199, PHONE: 454-8100 Assessment Permtt " 1 • 00 y Woter 3 Sew. Surcharge • U a Poliu Plan Review • 50 Fin SAC • 0 E„g. weter conn -' Plonner Water Meier . J Gounci{ Road Unit C, - 0 ? Bldg. Off. ?• r ?: i Tt PI ]-, 2_ Ol APC Pgrks Var. Data Copies Total Cn tF1e fxpreff COflditlOn IhO) soro Stotutes ond Gity of Eoqan O?dinonces. PW"Iit No. Po?mk HoMlw Osa Te1epAone ? Plumbfnw c? a ? ?,.vA.C. (o ? 3 c? _? °? I ? EbcMe o ? SoftwMr Intpsetfon Data Insp. OthN Footinga I -7 &) R Footings II Foundation Framinq S! RooHnq Rough Plbg. Rou9h Ht9. Insul. O? 0 Fireplaa FInalHtg. ?? Sa ds? ",wo Final Plbq. , Flnal c.,voCC. < < (? ? ?, ? Water Dfteribr Location: WNI Sewar Pr. pisp. Roafpt ? ` + . f !. ? PLUMBING PERMIT CITY OF EAGAN Permit No. FN ' fill in numbered a,pacas S/C Type ar Print lsyfbly Tot 1. Date 2. Inatallation Coat 3. Job Address`' Lot Blk. ? Traqt r-j 4. Owner r it i. .. it_, 5. Contractor . , ? 8. Address' j, t. 7. City State i Zip 8. Buildin9 Type: ResidentiaF 0 Commercial O Institutional ? 9. Work Description: New, O Add ? Alter O Repair ? 10. Oescribe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield ' Bath tubs p Se tic Tank Lavatory p Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinkiny Ftn. i Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agrea to comply with all ordinances and codes governing this type of work. Signed : -? ? f or Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? BUILDING PERMIT To be used for DECK Site Address 1564 CLEMSON DR Lot 26 Block 1 SeclSub. THOMAS LAKE HTS OFFiC E USE ONLY Pc1fC@I NO. Occupancy - FEES Zoning - W Name PHILLIP & NORMA THAYER (Actuaq Const _ Bldg. Permit 95_ nn AddreSS 1564 CLEMSON DR (Albwable) - 50 0 ??charge . City EAGAN Phone 452-2797 # orstories 10, Plan Feview Length o Name S? oePm ? snc cny t , ?Q Address S.F. Total - SAC, MCwCC ? City Phone S.F. Footprints - t r C nn W On Site Sewage _ a e o ? W Name On Site Weli - Wat M t er e er s ; Address MwCC System _ 00 <W City Ph0?1B Citywater _ acct. oeposit P PRV Required _ ermit S/W I hereby acknowlege that I have read this application and state that the Booster Pump - 5NV Surcharge information is correct and agree to comply with all applicable State o1 Minnesota Statutes and Ci Eag dia nces. Treatment PI Signature of Permitee APPROYALS Road Unit A Building Permit is issued to: HILLIP NORMA THAYER Planner - Park Ded. on the express Condition thal all work shall be done in aCCOrdance with ail li t Council -- 1 50 C i app cab e State of Minnesota Statutes and City of Eagan Ordinances. g? pN _ . oP es ?}, ,{ Building Official ri?! Variance ? TOTAL 27 nO N° -19425 Receipt # C lqqy- Date JUL 15 ,1g 91 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Est. Value ?- 9- , -• ? ' ' CITYs OF EA GAN • 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 I ? , •"• • ` PHONE:454-8100 BUILDING PERMIT Receipt # To be used for DBCK : Est. Value $1,000 - Date .71A- ?g_,QL Site Address 1564 CLE!" DR LOt 26 BIOCk 1 SeCISub. ? 1.AKE H?E OFFICE USE ONLY PBfCBI N0. Occupancy _ FEES Zoning - W Name PlttM.111P bNABMA tBwYap (ActuaqConst Bldg Permit 25_00 _ . Address _ 1S6b I-nRm DR (Albwable) - ? 0 City ?r Phone dS2-2'f97 * or siories Surchar e 9 - Q, Plan Review Length o Name $AM Depin 1Q? snc Cit = , y ?? Address S.F. Total - '- City Phone S.F. Footprints - SAC, MCWCC W ? On Site Sewage - ater Conn ? W w Name On Site Well W ~ - yVater Meter _ = 0 Address MWCC System 0 <W City PhOn@ City Water _ Acct. Deposit PRV Required _ S!W Permit I hereby acknowlege that 1 have read this application and state that fhe Booster Pump - SJW Surcharge iniormat,on is correct and agree to comply with all applicable State of Minnesota Statutes and Ci Eaga{? di/iances. ? ? Treatment Pi Signature of Permitee :? ? ? APPROVALS Road Unit A Building Permit is issued to: `"iL1'4 ?blofM TUnQ Planner - pyrk Ued. on the express condition that all work shall be done in accordance with all Council ? applicable State of Minnesota Statutes and City of Eagan Ordinances. gl?, pn, _ Copies 1•? 27?? Building Official Variance - TOTAL Permit No. Permit Holder Date Te{ephone N WATER . SEWER PLUMBING H.VAC. ELECTRIC Inspsction Date tnsp. Commsnts Footings I Foundation Framing Roofing Rough Plbg- Rough Htg. Isul. Fireplace Final Htg. Orstat Test Fnal Plbg. Plbg. InspeCtor - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Dedc Fnal gl? Well Pr. Disp. GEO. SEDGWICK HTG. & AIR COND HOUSE HEATING TEST RECORD ADDR9SS CITY OCCUPANT 01NM1lER HEAT LOSS DATE HTG. INST. SOLD BY 4,Q & 151 'n y Z INSTALLED BY_ Electrical Work By <: i(5 r Gas Line By !'j =5er' TYPE OF HEAT - GA_ FA? HW_ STEAM SPACE HTR. UNIT HTR. GAS DESIGN CON1 MAKE T IUlAKE OF BURNER F T " Model Model''-- --- Serial l 3 8?A B`?'/ `t'S Max. BTt I Rnting _~--INPUT J U v MAKF. O-E -FIiRIVACf-L--7? CONTROLS THERMOSTAT Heat Plug Valve A-5•5 e r Limit S Te.-n c c) Limit Setting a?SD ° f- Fan Setting 'r ni e c? Pilot Type Sr? Fi.'c i Pilot 1lnake c7 ? ?, L _ Pilot Model Pilot Timing ??"'•' y ? ?+n? L.W. Cut Off + f v?' Pressure 'l tPercent CO2 Input CFH SU Percent 0 ?T Stack Temp. percent C02 /( Vent Size KIND OF LINER SIZE_ Draft Hood (-'Q" L2`t Regulator _ Wiring Test Tact NONE Filters Size Number Chimney Location Inside X Outside Chimney Construction Smoke Bomb Draft Door Lighting Inst. N% Yp D A Date Tested ? ? - ??4 ' & S Company Testing S c- r , Name of Tester 1 4 4 , " ,'46 = ? , , HTG. & AI R ? HOUSE HEATING TEST RECORD ? 46 / i , ?. ADDRESS CITY OCCUPANT OWNER HEAT LOSS SOLD BV Electrical Work By lS %c? r Gas Line By _'- c 0 _? c':_i , TYPE OF HEAT GA_ FA '? HW_ STEAM SPACE HTR. UNIT HTR. GAS DESIGN CON\ MAKE : C/)/)0 x Model ? :? 3- s u Serial 588S l /v/ 44 INPUT S T v U o INSTALLED MAICE_OF BURNER Max. BTU Rating MAKE OF FURNACE-^: CONTROLS THERMOSTAT Heat Plu - Valve ??a1?ns?n g -o ? S Limit Limit Setting o?G' o °l Fan Setting Pilot Type Pilot Make Pilot Model 6 U' 4? Z- 1 Pilot Timing S i A N% L.W. Cut O* ?- Pressure '7 > -? 2• c • c Percent COZ Input CFH Percent O •? ? 2 Stack Temp. • ? °O ?x Percent C0 Vent Size KIND OF LINER S I Z E NONE Oraft Hood 1r.Regulator yP? Filters Size Number Chimney Location Inside Outside Chimney Construction s Z _- Smoke Bomb ? Wiring Draft ' Test Tag y?' S Door Pressure Lighting Inst. 6 K i ? Date Tested Company Testing G Sc?c( , K Name of Tester 6'6 'EO. SEDGWICK HTG. & AIR COND HOUSE HEATING TEST RECORD ADDRESS OCCUPANT ' HEAT LOSS DATE HTG. INST. ? ,/.J / I 46 - CITY t- fiC/? ? OWNER SOLD BY ?- tt G INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA_ FA_I" HW_ STEAM SPACE HTR. UIVIT HTR. GAS DESIGN CON\ MAKE 4?e )`, ' %' f' ' MAKE_OF BURNER Model S`f • -%?&v d ?l. (f ;:; ? G Model Serial 629s)13b?1/-Va Max. BTU Rating INPUT S C? c? o c MAKE OF"FURNACE CONTROLS T ?-' ` THERMOSTAT Heat Plug Valve L _SS ? k Llmlt LimitSetting Fan 5ettin9 cI Pilot Type rFJ = c <` 1- Pilot Make c? ' : ? Pilot Model ! #L' -/vS Pilot Timing --==-17 ?S Ti-)A.J'•' L.W. Cut Off `-" Pressure C. Percent COZ ?• =' Input CFH -TG c- F/? Percent O 2 Stack Temp. lO 0'4 Percent CO a p?<' Vent Size KIND OF LINE.9 D Draft Hood '! Regulator Filters Size Number _ Chimney Location InsideA? ( Chimney Construction c Smoke Bomb ? Wiring .. Draft - Test Tag ' Door Pressure ' Lighting Inst. uA Date Tested Company Testing ? P p Name of Tester /S a i, c? / _ NONE '. GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ADDRESS ./ j ? C? ( ? ? ? ?' (?'? ? ._ •. ?...?(" CITY ?- ?•??-'? j'r OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY L- ? ap j3! INSTALLED Electrical Work By Gas Line By. TYPE OF HEAT GA_ FA ?' IiW_ STEAM SPACE fiTR. U1H1T GAS DESIGN r?" + MAKE y MAKE OF BURNER Model Modei Serial Max. BTU Rating ? INPUT SO r? U U MAKE OF f CONTROLS THE RMOSTAT -7- L - S Heat Plug ? Valve ?JS Ex Limit ST? in c c, Limit Setting o? S U°/- Fan 5etting m t Pllot Type C r. L S -P - k Pilot Make -S ?e c - TrQ L Pilot h4odel ? g U- ic4,S' PilotTiming L.W. Cut Off r2 0/a Pressure Percent GOZ += h' Input CFH Percent Oa 1° G Stack Temp. Percent CO bly > Vent Size KIND OF LINER_ SIZE r NONE ?raft HoodU '; - ? ? •?? ?' i e' Regulator Filters Size Number Chimney Location lnside-T_ Autside Chimney Construction Smoke Bomb K Draft ? Test Teg L?' = Door Pressure -? Lighting Inst. Date Tested Company Testing G e o sr.•eEa,,( Name of Tester??iY ?r ?-? A 1•'-1 L,,, - ?) Remarks J? :246 d/ CITY OF EAGAN icwl7° Addition Thomas Lake H£' htc4Arldi _jOn Lot- ? -16 Blk Parcel #10 Owner Street 1564 Clemson Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 111.89 A0121 2 -5-83 STREET RESTOR. GRADING SAN SEW TRUNK 117,71 --? * SEWER LATERAL 198 37.61 7.52 1.0 AOM72 5-?-83 WATERMAIN * WATER LATERAL 1981 WATER AREA J 9,117 STORM SEW TRK 2 9•9], A012172 5-5- 3 * STORM SEW LAT I981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 500.00 n n BUILDING PER. 10 10-10313 SAC PARK rAddli?tionThomaq UF EAGAN ?d Remarks T.a7ce ?h?,Addition Lot I1 r Sireet 1564 S Clemson Drive ? Z Parcel #1o Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. • STREET RESTOR. GRADING SAN SEW 7RUNK ' l- • SEWER LATERAL 37.61 7.52 - -8 WATERMAIN • WATER LATERAL 1981 WATER AREA 77 - STORM SEW TRK ? 249.91 A0121 2 --? * STdRM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LlGHT WATER CONN. n u BUILDING PER. 10-10313 SAC 325-00 PARK CITY OF EAGAN A?, Remarks ?1 Addition Lot ?61k IL f Parcel #10 Owner street 1566 Clemson Drive stete Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. lu. S /0121 2 --8 STREET RESTOR. GRADING SAN SEW TRUNK ,t SEWER LATERAL 37.61 7 5Z . 1.0 A0121 2 --8 WATERMAIN * WATER LATERAL WATER AREA ? STORM SEW TRK 1981 312.37 20.82 15 249.91 A0121 P -5-83 * 5TORM SEW LAT 19 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, n n BUILOING PER. SAC PARK CITY OF EAGAN yRemarks Addition ''homas Lake Hei.ght4Addition Lot? Owner Street 4:9W C1emSfl71 /3?L'L R ?-Blk i ? Parcel #14Y---75Si56=45*- 02 Drive Staie Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STIEETSURf. 111.8 A0121 2 - -a STREfT RESTOR. ? GRADING SAN SEW TRUNK 1973 * SEWER LATERAL 37.61 ']. 5Z ], .0 A0121 2 --8 WATERMAIN WATEFi LATERAL WATER AREA f 7 STORM SEW TRK 249.91 AOZZZ 2 - 83 * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 500.00 If BUILDING PER. 10310-1031 SAC PARK G?Y'JF EA(3AN 3830 Pilot Knob Road WATBt SERVICE PERMIT ?? ?? , P. G. :,ux 21199 PERMIT NO.: ? Eagan, MM 55121 DATE: Zoniny: No. of Units: Ownwr: Addross: - WATER SERVI CE PERMIT PERMIT NO.: f' DATE: C' - /lddren: ; . . .. , ??.. .. :. .... .'r_.c^ ,. No.. te awq%r wuh Nn Cryr of s.pw CorxmcNon Chw?ye: Aooourn DepoaiY: _ Pertnit Fea: Surcho?ge: NUsc. Cho?pm - Total: DoM Paid: CITY QF EAGAN SWIM SERVICE 'ERMR 3830 Pilot Ynob Roed P. O. Box 21189 PERMIT NO.: Eegan, MN 55121 p,+TE: - Zoninp: No. of Units: Ownsr. ?'•'« .-?:7f?C,Y s?+' Addrcss: .. :.!G•t !??Jr, _ SiN Mdross: U .` _l Plumber. 1 prM to a.otp wIN 11w Ci1p oi io"¦ Connoction Chorpt• • 12 :? . i) owomemem ACW4I1t DQpOiit. Jv Pnmiit Fea: ? Surthcrpe: - 8Y Misc. Chorgst Date of Irop.: Tatol: Inap.: OaN Pald: CI7'Y OF EAGAN , 383d Pil K R 1MATER SEtVIC E PERMIT- ot nob oad P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ' ZoninO: No. of UMts: Ownwr: - b$]2'1ZOC'! Addross: L^: A tf /?1?flSf: ? ? '1 - Plur,ber. TsonVMIM AMter No.. 3 ( ,(iqnrMqf Chorge: ?^ Slu: Aoaow+t Pepoait: i, i, ? ' Reode? No •(Z1 r ? Poiiiiif F?: P ' u 1 yM ta eowpy? wift ? rn'LT1 ??ubk'7 r ' A ?/l0e.?... lwsc. Chorpes: ? 32. JO??: :i. = ? 4A : Totol u . ?. ?[le @r 8Y ;:? - Dote Poid: Date of Insp.: Iryp,; CITY OF EAGAN WATER SERVICE P ERMIT 3830 Pilot Knob Rosd , P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 D/1TE: ' Zonlnp: ' No. of Units: OW11lf: -'_?.l ?.?11 _ . ')r? '.ti •?"i-'. Addnm: ? - 5RO AddflSL: ? _ , •,.. PIU1tlblr: _'.t MQtlf NO.: COf1n0CYlOf1Q10fgQ: r? `J•c?v? Size: /ltoount Depos(t: I ' ' . t ? ?.: ?. Reade? No.. Permit Fee: 1`? ` `` 1 NrN 1o a?tl wiM liw Cky oi 4pm Surcharys: . SU pd Oeri.e.a.. Misc. Charoes: Totol: By DaN Pioid: Date of Insp.: Insp.: , CITY OF EAGAN SEyR sEMFIO PEMR '3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: ;Eagan, MN 55121 DATE: Zoninp: Na of Units: ' OWf1f1: 7 ].7 AddIlSS: Sit! Addrem: Plumber. ?"'N to empiy w11M !w Clep o{ Eo"n Connettlon Q??: ` . OrliweweM. 1looount Depmk; 1 ; Parmlt Fee: B Surchorpe; y Date of Insp.: Mlsc. Chorom nsp.: Total: I Doh Pbid: Ownsr: fIOC11ES /lddress: Stte /lddrs?: i.? ??t??? 7 - ? _:> Plumbsr. ' ?:>m s CITY OF EAGAN WpTER SERViCE PERMR 3830 Pilot Knob Road i ' P. O. B-` K 21109 PERMt7 NO.: Eagan4 MN ?121 oATE: Zoninp: No. of Units: 1 0_ '., : AAeter No.: ;±?"dion Chorqe: -' i $iZB/! AcoDunt DEp051t: 10.00 p(} Reod r No.. ? ?-,•?? :? ? Pemnit Fee: eo ?* r'_Sw?ll?oe. 'r? p d , ?: 13 ? . .:? ?x. S" Oal lNlsc. (?+o Total: 63. 0 ' mE? ier By Doh Paid: Dote of Irup.: Imp.: OF EAGAN wATM SEIMCE POM Pilot Knob Road BG"C 21199 PERMIT NO.: i, MN 55121 D/1TE: ' g: NO. of Unih: /lddress: Corr+ection CMrge: Acoount DepoWt: ?u Permit Fee: ? ?,? ?32. 0*x ' "' C 6 3 TotaL• . . Dote Roid: No.. No.. to sompfj wilU er. City ef lw.n of Insp.. CITY OF EAGAN SM 3830 Pilot Knob Rosd M SUIVX E PLVW P. O. E;,x 21189 PERMIT NO.: ? Eagan, MN 55121 p,,TE; Zonlrg: No. of Units: Owror: ? . Address: $ItQ /1?t?dfQSf: l. : l . a :'?-'LuS22 2L' Plumber. A 0mp8 n? - r • . . , I alm t0 NllA V*h 1M Cky OF y"ll COf1?NCHOn (hp/ge; . - OrdhMIION. ACf70Uf1f DEpOw, - Prrmk F+s: Surchwrpe: BY Misc. Chorpas; Date of Irsp.: Totoi: I nsp.: DoM Pdd: Pilot Krob Rosd Box 271'B9 tre OF EAGAN n, MN 55121 p: r: ss: /lddrsss: . _ . ' X l unber. I r No.: -3 te: 40 " aa..l.., Rat(1f2 Re"r No.: PX /Y! y/ ?jRj E P"o, U+r L=" pa w 10 .(l0 pd 1 .,?. ? ??,? ,.? ?. `??' . 50 ,? ora Mac. u,orges: 132.00s c Taol: 53.0 a3 „ ter B ? - Doft Poid: Date of" Irnp.: Irnp.: I! , 7? S WATER SERVICE PEItMtT' D?j.24 PERMIT NO.: DI1TE: - ? ' No. cf Units: ime-ci )F EAGAN WATER SERVICE PERMR ilot Knob Raad ox 21199 PERMIT NO.: MN 55121 D/1TE: J, No. of Unirs: 1 L)£ 4 .:sl ex ?kJ .;o^ Addren: Lc'kE..' HgtS. blf: - - ; ? ` '•' 1 ? S? ir No.: Connactian Chorye: 500. 70tDd /1ccar+t Deposit: 15. 00 Pi Ior No.: Permit Fee: 10,01) w tn aanPly wkb tw Gty of EMPO Surchorpe: -5') o? N"HISS. Mlu. Chorges: Totol: Dah Poid: TY OF EAGAN 30 Pilot Knob Road 0. Box 21199 gan, MN 55121 te ...yty rrhb eM City oi tp.. SEWBt SERVICE PERMIT Co?n?Nalon Chor+ye: /looount Deposit; _ Wrmit Fea: Surciwr": Miac. Chwrqm _ Tofol: DoM Poid: J 4 0 0 6 as41 Reqoest Dale Fre No Rough-in Inspettion Repmretl'+ Heatly Now p WAI Notity Inspector 7 Ves No When PeaEy9 ? I" licensed contractor ? owner hereby request inspection of above elecirical work at: ob Atlcre551SV ? Box or Roule No.I J? ?-' - B G Ve m-b p n ? r Ciry EAcj A.'\ Seclion No TownsNp Name or N. Range No County Occupam 1 IN ? a ? Pnone No Power Suppli¢r Atltlress Becincal COmranor (Gompany Namel „ 4 - L r ) cc:A r? u. .? r.c- CqnVaclor's License No G D' C)?l Maeing qtltlress iConvatlor or Owner Ma Installavon! c? 39??-?? A. 55 ? Autnorrzed S e 1COnb_ac?lon/Owner Mak /gJ/nslalla?lionl/? Phone Number /? /??"CS/ MINNESOTA STATE 80AR0 ??E¢TqICITY iHIS INSPEC ION REOUEST WILL NOT" Grigga-MiEway 614g - Noo?i S1]Y? BE ACCEPTED BV THE STATE 80AR0 1821 University /ve, SL Faul. MN 55100 UNLE55 PROPER INSPECTION FEE IS Phone (612) 662-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ea-0oootae J54006 ? See inslluctions lor completing Ihrs lorm on back of yellow copy ?-" "X" 8elow Work Covered by This Reauest ?'?.,:.' T Ad Budding AppliancesWiretl EqmpmeniWiretl Range Temporary Srvice Water Heater Electnc Heanng F W Dryer Other (Specity) stnal Fumace Air Contlitioner Conhador's Remerks Campute Inspechon Fee Belaw. # Other Fee # SerwCeEnhance 5ize eetlers Fee Swimming Pool 0[0 200 Amps Transfoimers Above 200 _ qmps _ Amps SigOS Inspecror's Use Only 7 T? Irrigation Booms ? ?p ecal Inspection / J Alarm/Communication TMI S INSTALLATION MAV ECT RED Other Fee ED IF NOT COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby cerLfy Ihat Ihe above inspection has been made. RO°9li oate Final e 1 ^ • OFFICE USE ONLY This request voitl 18 moMhs trom i J Th s repuest void55? ?? ? months from p 063934 La5 ,6 / ??-,LK?a?v Fequest Date 9-13-1985 Fire No. qough-in In.suecUOn Reqwred, C]fteadV Nowjj3{N0I NntiSY Inspec- Ekes ?NO tor When Ready ' Rp(Licensetl Elecvical Con[ractor 1 hereb V 1e1uest inspection of above ? Cwner electncal work mstalled at Street Address, Box or Route No. (,iiy 1566 Clemson Drive Eaqan ecuon o. Townsh?p Name or No. qanye No. Coun[y Dakota OccuOdnt (PFINT) Phone No. New Horizons Power $up0lier AdAress Dakota Cty. Farmington Electrical Con[racto, (ComoanY NTme) Convartor's Liwnse No. O.B. Thompson Electric Co., A40602 Mailme Ad?ress (Contractor oe Ownei Makmp Instailn??oN 12201 MtkaBlvd., Mtka 55343 Auffionzed Sipnaryre.IGOnrtactor/pwner Makina InstallaLionl Phone Num he r ?-?.s? :. _.,'. _.. ; , ? •_ '?•'.,??.•????L-.i s? ry .p ??ry id°G.5G l MINNESOTp STqTE BOARD OF ELEGTRIGITY Gripes•MiAway Bldg. - qoom N•191 1821 Univarsity Ave., SL Paul, MN 55106 Phone (812) 297-2111 THIS INSPECTION REQUEST Will NOT BE ACCEPTED BY THE STATE eOARO UNLESS PFOPEH INSPECTION FEE IS ENCLOSED REQUEST FOR ELECTRICAL INSPECTION es-ooooi.a See instructians for com letm this form on beck ot P 9 VellOw copy. o ? ""R"" Below Work Covered by This Request Atltl Rep. TYVa ol6uildin9 APPliancas Wired Equipment Wired X Home Range Temporary Service _ Duplez Water Heatei g Lightiny Fixtures Apt. BwlAmq Dryer Electnc Heatin Commeroial Bldy. Fumace 2,$0 Silo Unloader Indlistnel Bldg. Av Conditioner Bulk Milk Tank Fa[RI Other pec+fy Other?5pc?ify) therlSU,ufY Other n. Othur om nu? e Inc narf?nn Loo o,.i,,.., b 0 Fee 1 ServiceEntrnncaSize # Fee Feeders/Subieeders # Fne Cucu,ts G 0. 00 0 to 200 qm s 0 to 30 qm 5 0 5.00 0 to 30 Am s Above 2 0 Am??s, 33 ta 100 qmps 37 io 100 Am s Swimminq Pool q6ove 100_Amps Amps A6ove 100 Transiormers Si n lrng9tion Booms _ Partial.'Othc?r Fee g s Speaal inspection xouse $ 43.00 To FE RouBh-in r Det e 1, e Ele al Inspec or, hereby Final ?r 45 rtAy thal the abova inspection has been made. tmn.w--l- ihis reques[ void r,G? 1E nwnths from Request pate Fire No. Fovgh-,n InsuecUOn ? 9-13-I9$?j FequireA> Ready Now?Will No?ify Inspec- c? ?Yo nN f Wh A A t.?alicensed Electnwl Convactor 1 hereby request inspection oi above ? OWnef 21qeV?nwl wnr4 ? Sveet Atltlress, Bon or Route No. C?iy 1566 B. Clemson Drive Eagan ection o. Township Name or No. Ranqe; No. Counry Dakota OccupantlPRINTI Phone No NBW HOYIZOIIS . Power $upplier Address Dakota Cty. Farmington Electncal ConVactor (Company Namel Contractor's License No O.B. Thompson Electric . A4602 Mailmy AdJress (ConVar.tnr or Owner Mabny Inst ailauon) 12201 P1tka°Blvd. , Mtka 55343 y? Aurhonzetl SignamreIICOntractorIOwner MaFing Installatuynl Phnne Number 9 ? 933-2521 minrvtaUiA STATE BOARD OF ELECTHICITY Gnggs•MiAwny eJdg. - Hoom N-191 1821 llnivarsity qye., St Paul, MN 65104 Phone (612) 291-2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTEO BY THE STATE 60APD UNLESS PHOPEH INSPECTION FEE IS ENCLOSED. 5.' 6 1 REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.oa V ' Sae (msfructions toI comOleting this form on back al vellow copy, 0 "X" Be/ow Work Covered by This Request i AAd Rep. Type ol Building Hom pppliancee Wnatl EquiVmen[ Wired X e Range Temporary Service Duplex Water Heater Llyhtinq Fixtures Apt Bwldmg Dryer Electnc Meatm- Commercial Bldg. X Furnace 2,50 Silo Llnloader Industrial Bldg Air CondiLOner BWk MilkTenk Farm Otnei peci y O?hai IS f l ther SUEc'ify °th`Di9 .D13h.5. DO prri v o?ner Om DIIt B Ibs necrmn Fm Ral..,., ¢S?za s H Fae Fead¢rs/SUhteeders 0 t 30 # FP= CIICoItS -ADove o qm s 0 5.00 0 to 30 Am s M qi????y 31 ta 1U0 qmps 31 t lU0 ol Above iQ0 Am s q o _ frrigation Boorc?s Above700_Am s Partial-'Other ee Specialinspection Femarks HOUSO - 5 43. ?0 TOTAL-PEE Rough-in arecy Final 2 th¢ above z '? hBS Ceen thisreauesivoltl temonlRSimm This request vaid 18 nwnihs irom 0 ( O 9 3 2, L d ? L? ° Reque? Daie Fire No H h 9-13-1985 • o?? ?? ??soa?tioo ?reA? E]ReadY Now}{2Will Nobty Inspeo- Yes ?No [or When Ready ?Licensed Electrical C(ntractor ? Owner I hereby request inspectron of ebove Sveet Address, Boz or Raute No. .. _ ..__. ...,... ..?a .e?.e.. o. Qty 1564 Clemson Drive Eagan eaion o. 7ownship Name pr No. Ringe Nn. Count Y Dakota Occupanl?PRINT) New Horizons Pnol,e No. Power $upplier Atldress Dakota Ct . Eamimington Electrical Conhactor IComD???Y Name) Con[rar,tor 5 Lncanse No. O.B. Thompson Electric A40602 Mailrnq Address ICOnvactor or Owner Makine Instailation) 12201 Mtka Blvd. Mtka 55343 ? AuMonzed Signature'(Contracmr/Owner / .. ? Makmg Installetwed r Phone Number . 933-2521 Minin¢o?r. .. • -?^^? oia lrvartciiUN qEQUEST WILL NOT Gr?ggs•Midway B?d9. - Noom N-191 BE AGCEPTED eV THE STATE BOARO 1827 llniversicy Ave., St. Paul, MN 55104 I/NLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSEO. b?REQUESi FOR ELECTRICAL INSPECTION ee-ooooi.oa 55? ' Sae ins40cpons tor completing this form on beck af 1 ? r Yellow copy. "X'" 8e/ow Work Covered by 7his Request ap. Type ol9uiltling Applmnces Wrtetl - Home Range E4uipment Wired Duplex Te Ani mporary Service Water Heater Liqhtinu F Fumace z.50 Silo Unloader AirConditioner BWkMiIkT;.,,. 1 Service Entranca S¢e 0 to 30 Am)s 0 5.00 0 to 3( ?i to 100 Amps 31 to 1 Tbls request voitl House S 43 . 00 7o7qL ?,.b ? Oate ? ,?%.L? .theEl I u"? Aa ??spector, hereby ?, ?? p?Le fBU+fY tturt the Abave Z? ?? ?/y? T'C inspacpon has been ?f'?J made This re0uest void vv /, 18 nwnihs from 7 ( Ip( 7 LRO) 0 C1 *19 L LIc. ?? ?-- UJ G il Re.quest Datu Fre No. Rough-in Inspecbon 9-13-1985 Reqmred' ?Reatly Now ?B'?(?I NnLfy Inspec- Y'p'es ?NO ?ar When Reatly L-Lyl.roensed Electncal Con[rector I heraby request insoecbon oi ebove ? Owner alachical work mstallad a< S[reet Address, Box or Route No. Crty 1564 B. Clemson Drive Eagan ecvon o. Township Name or No. Renge No. County Dakota OccupantlPpINT1 Phnne No. New Horizons Power SuppLer Atltlress Dakota Cty. Faxxnington Electncal Con[rac[or (Gom any Namel O.B. Thompson E?lectric Co., Inc. Cuntractor's L?cPnse Nn. A4602 Mailing Address (COnVac[or or Owner Making InstailaLOnl 12201 Mtka,.Blvd., Mtka 55343 . ? 3 AuthonzeA SignaWra'(CnnVacmr/0ivner M;lung Inst211a1ron) PhooeFNumb ' er.r? 1 ?J G MINNESOTA STqTE BOARD OFELECTqICITV Grigys-MiAway Bldg. - flaom Nd91 1821 Universitv Ave., Sc Paul, MN 55104 Phone (612) 297.2117 THIS INSPECTION REQUEST WILL NOT eE AGCEPTED BY TNE STqTE BOAHD l1NLES5 PROPER INSPECTION FEE IS ENCLOSED. 64'70U REQUEST FOR ELECTRICAL INSPECTION Oft es-aooot.oa , See insLUCtiobs (or comping this torm on back oi yellow copy. 'f? n Pq ? I .,X'' BeloW Work Covered hv 7hi c Rao,.o<r ? 11419S/ tiEd Fep. Type of Bwltling Home Ap0linnces Wved Range ent Wired D?plex Apt Bwlding Commercial Bldg. Water Heater Dryer Furnace 2,50 Service xtures atin Jer * Industnal eldg. Farm Air Conditioner ome. pec? v anlc ?ivl Ofi UUI B lnS /.,.., ther Suec?ty neMinn Fca Ra 15 .?J.0 0 h,,, 1 M Fee ServiceEntranceSae 4 Fee Feetlers?Subfeed k ers 0 1 0 0 to 200 qm s 0 to 30 qm ?s Fue Circw[s 0 to 30 Am ?s Above 200 qmps 31 to 100 qmps 31 to 10G Am s Swimming Pool Above 100_Amps Above 100 .4?nps Transtormers Irngation Booms Signs .50 _ Partial.'pther Fee Speual Inspection Aemarks $43.00 TOT EE Hnn!< _ . .iq CAj Faugh-in Date nY the cal Inspector, M1eroby Final Date certdy thattM1e ahpve • ?/ msoecoon has been made. Tnis reouest voiA 18 momM1x fmm ; -. 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan r? 3830 Pilot Knob Road, Eagan MN 55122 69 9 Telephone # 651-675-5675 FAX # 651-675-5694 A -7 0 , a-? New Constmction Reamremenis RemodeVReAair Reomrements dffice kJSS.OnF1 3 registered site surveys showing sq fi. of lot, sq N of house, and all roofed areas 2 copies of plan CexGafiHrmieyRecd -Y _N (200% maximum lot coverage allowed) 1 sel of Energy Calcuiallons for heffied addtlions FC2B Pres PIan Recd - _ Y,_ N 2 copies of plan showing beam & window sizes, poured (ound design, etc 1 site survey for adrLiions & decks TEee Prg5 RecUired - ,,,, Y,,,,,N lselofEnergyCalculahone Addrtion - mdicafe'rfonsitesepticsystem (7n-sifeSeptia`aySiBtry - _Y _M 3 copies of Tree Preservalian Plan if lot platled aNer 711l93 Rim Joist Detail OpLons selechon sheet (bldgs wilh 3 or less units Date 'a / Site Address ? 5c / CO4 ia'g C uM-r-ii') Construction Cost $ 2i?n c-r- Unit/Ste # Description of Work &Arq- ??'? Multi-Family Bldg Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner ` TRN E? QS,'-r" t- Telephone #(]q)?{ Z?- ga??c Contractor gt I t xA-f IG12 M A 1 A1t W ft0 << Address State 1-465? w, a(?j N Sfi. M? City NiUcAPLIS Zip 5s4fai Telephone# (CeSi ) 322'N°169 CXT !GT COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Energy Code Category , Residentlal VenNlation Category 7 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope CalculaBons Su6mitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25176 plan review Telephone #( Telephone Telephone Ako) ?, g ? o T T I hereby apply for a Residential Building Permit and acknowledge that the infor ation i-cMiuplete and ccurate; that the work will be in conformance with the ordinances and codes of the Cit ed' y-nd- th?e-Elat of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. P,+?? JEW Applicant's Printed Name ,?? 15;0- ? Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 02 SF Dweiling ? OB 06-plex ? 03 01 of_plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Types ?, JO ?V ? 31 New ? 35 ? 32 Addition / ? 36 ? 33 Alteration ? 37 A 34 Replacemen valuation ? Census Code SAC Units # of Units # of Bldgs / Type of Const _ y A) ? 13 16-plex ? ? 16 Fireplace ? ? 17 Garage ? )K 18 Deck ? ? 19 Lower Level ? Plbg_Y or _ N ? l'62v rklk-" 20 Pool 21 Porch (3-sea.) 22 PorchlAddn. (4-sea.) 23 Porch (screen/gazebo) 24 Storm Damage 25 Miscellaneous ., ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Int Improvement ? 38 Demolish Interior ? 44 Siding Move Building ? 42 Demolish Foundation ? 45 Fire Repair Demolish Building" ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bidg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Footings (new bldg) _ Footings(deck) _ Footings(addidon) Foundadon Drnin Tile Roof Ice & Water Final _ Framing _ Fireplace _ RI. _ AirTest _ Final Insulation REQUIItED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tes[s Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retauung Wall Approved By: 12, , Building Inspectar Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Suroharge Treatment Plant License Search Copies Other Total --?- 01<ae- NV fCpP rOV-S ;4 pr? t 7(e) __17 / 30 l , G3z.z / ` 93Z ? Q ` 4 (93? 0) p 0 ;saa°3o?oo•E ?o 3l.00 31.00i^' / x93L.9 12.33 ? O \\ \\22.3JN O N \O 'a \ O ?9 \3 Z\ 3 r ? Q ? ??\P\ ?\Q?.\T , CJ a .; ?1Q 24.33\ m"14`?? ? !rl ? ? ?h `i:4 N) ? -t Z ° 43 " x 935! ? a 0 Denotes Iron Monument L 0 Denotes Wood Stake XOOO.D Denotes Existing Elevation (000.0) Denotes Proposed Elevation f- Denotes Direction of Suriace Drainage R: T.G. 932.3 ? i.oo ; °3 '0D'W ;N ? (9 QcPLACX 012-0 &q \UK1U pLCL Proposed Top of Foundation Elevation= Prcposed Garage Floor Elevation= 936.0 Proposed Lowest Floor Elevation= 93G.5 I hereby certify that this is a true and correct representation of a survey of tfie boundaries ot ? I.ots 25, 26, 27, and 28, Block 1, THO`i9S LA}:E HEIGHTS 2\'D ADDIIION, Dzkota County, *:innesota And of the location of all buildings, it any, Thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this ')S day of ADr11 19_$5, Paul A. .lohnson Land Surveyor, Minn. Reg. Mo. 10938 '? 40' CERTIFICATE OF S-`` McCOMBS-KNUTSON ASSOCIATES, INC. fior s ?I ? ?/'???'?j? C?A6 'y,?.y • „ • ?_? 7430 ? • ?. ?67a4q -3 (a0 -I?LS 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauirements RemodellReoair Reauirements Oifice Use Onlv 3 registered site surveys showing sq, ft. af lot, sq. fl. of house; and all roofed areas 2 apies of plan CeRaf Survey Recd _Y _N (20% mammum lot coverage allowed) 1 sel of Energy Calcufa6ons for heated addilions TreH Pr9s Plan Reai _ Y _H 2 copies of plan slawing 6eam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqaire0 _ ll . N lselofEnergyCalculations Add'rtion-indicateifon-sifeseptksystem On-sdeSepticSystem _Y _N 3 copies ot Tree Preservatlon Plan d lot plafled after 7l1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less unlls ? Date c ! 113 / d? Con?st"ruction Cost a- I650. SiteAddress /fdY /d}? 4566 A+8 Clpp9ro,? UniUSte # Description of Work lPr r o-A{ t 9? .?? ?cx Multi-Family Bidg X y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 6 Q S52n l:OYYI_pal) i P,S Telephone # (95,1) 'r'/aO - 557`rJ Contractor ?? 4C-A lP /"/esf;711 Address yd Ir ARk--?* 6?? ( C-Z' ff. State RN • Zip JTI/1 Q City Telephone # (61L COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventila6on Category 7 Worksheet • New Energy Code Worksheet (4 su6mission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an applicafion for a permit, and work is not to start without a permit that the wark will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. /,?.e v • el) J. ?.a l-14 Applicant's Printed Name ApplicanYs Si ature 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ?- 3830 Pilot Knob Road, Eagan MN 55122 ?'? ?•?? Telephone # 651-675-5675 FAX # 651-675-5694 New Constmdion Reauirements RemodeUReoair Reamrements Uffxe k)se1??' 6'1:N 3 registered site surveys showing sq fl. of lot, sq ft of house, and all mofed areas 2 copies af plan CerlotSrmteyReed _,,,Y ,,,,hl (20°/a maeimum lot coverage aliowed) i set of Energy Calculahons for heated addittons Tr9fl PY95FM ReCC " _ Y_N 2 copies of plan showing beam & window sizes, poured found design, etc i sAe survey tor additions & decks Tree PoesReqtlUEd - -Y -N lsetoFEnergyCalculations Addrhon - indicatei/on-sifesepticsysfem 6ir4leSeptieSyslem ,....Y,...,N 3 copies of Tree Presenration Plan if lot platled afler 7l1193 Rim Joist Detail Ophons selechon sheet (bldgs with 3 or less umis Date Construction Cost Site Address «Lt ('i CLLFISGNJ DR UniUSte # ?escription oF Work R6PLlIa 10x2U P" Multi-Family Bldg h Y_ N Fireplue(s) _ 0_ 1 _ 2 Pmperty Owner IAA1IT V06 E'rE Telepbone 4 (76? ) r-? 25- LIc3G Contractor 90 MRbp /V)q)N'IENEl lllrr( Address _ 4G r% W. aGfi" 'L? City ?l NNLA IbIr" State M ?) Zip ISTelephone # (L'Sl ) --?;22 - (4 4i1cr LxT rc' COMPLETE THIS AREA ONLY IF Energy Code Category - MinIiesota Rules 7670 Cateeorv 1 Residential Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted . Energy Envelope Calculations Submitted Have you previously constructed a buiiding in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Y_ N if so, 257o plan review Telephone #( Telephone #( Telephone #(F I hereby apply for a Residential Building Permit and acknowledge that the inform tion is?te and a urate; that the work will be in conformance with the ordinances and codes of the City of MN Statutes; I understand this is not a permit, but only an application for a pernut, 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. mr kc Quw '00 ?w i? Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ' 1 --, ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Ait - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt- SF ? 04 02-plex ? 10 OS-plex l? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 08 04-plex ? 12 12-plex Plbg_Y or_N ? 25 Miscellaneous WorkTypes A/0T ?0,C-/l-4i &JlrvU` r':z- ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire 81dg) - Give PCA handout to applicant Valuation lo Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const VAI Width REQUII2ED I NSPECTIONS _ Footings(new bldg) FinallC.O. _ Footings (deck) _?C Final/No C.O. _ Footings (addition) _ Plumbing _ Foundaflon HVAC _ Drain Tile pther Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Franting _ Siding _ Stucco _ Stone _ Bri ck _ Fireplace _ R.I. _ Air Test _ Final _ Wmdows _ Insulation _ Retauung Wa7 Approved By: ?2,?Building Inspector Base Fee Surcharge Plan Review MC/ES SAC ? City SAC ? ?- Utility Connection Charge 4y S&W Permit & Surcharge Treatment Plant License Searoh Copies Other Total • ? / 930.5 30 ? Q u 93/- / .9 / o\ h ? Vv / x 9.35.1 ? ? D 0 0 ? E1 Q ? ? 0 0 r o ?.. ? G32.Z TL 9323 T. L. i O 4 (93!,.O) Q o?5f?°30'00'E ?o N? 37.00 31.00 I~ 0 Denotes Iron Monument ° Denotes Wood Stake XOD0.0 Denotes Ezisting Elevation (000.0) Denotes Proposed Elevation -F- Denotes Direction ot Surface Drainage 1 l9 q v Proposed Top ot Foundation Elevation= Proposed Garage Floor Elevation= 936.0 Proposed Lowest Floor Elevation= 93G.5 1 hereby certify that this is a irue and correct representation o( a suney ot The boundaries ot ? Lots 25, 26, 27, and 28, Block 1, THO*L95 LA}:E HEIGHTS 2\-D ADDITION, Dakota County, ?:innesota _ And ot the location of all buildings, if any, thereon, and all visible encroachmenfs, it any, from or on said land. It also shows the location of ihe stakes as set for a proposed building. A5 surveyed by me or under my direct supervision This ?5 day of April 19 _R5 Paul A. Johnson _ Land Surveyor, Minn. Reg. No. 10938 ? i"- 4a' CERTIFICATE OF SURVEY ? I .? .^?E for McC[C?OM6S•KNUTSON ASSOCIATES, INC. ttt????))) . .A AAA . ,?1` tt( \ LLR1 SY"VRER$ ? fli! 14.11[lS i1lF AO, ?a' ??y p?S ?nFMQR rY MJTCMIHS.M.Wwli9T6 7430 r f-tV??V ,? G RESIDENTIAL BUILDING '- " • ?Y I 9,Z Z.? Permit Application - City Of Eaga¢ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 s-lloZs ele_-z? i °`/ 71d ? New CansUVCtion ReQUKem2rts RemodeVReoairReouiremenis Office Use OnN 3 registered site surveys showirg sq. R of lot, sq. R. of house, and all rooted areas 2 capies of plan Cert of Survey Recd _ Y_ N (20%mazimum lot cover?qe allowed) 1 sef of Eneyy Calculafions for heated addiGons Trce Pres Plan Reai _Y _ N 2 copies of plan shaxing 6eam 8 windowsizes; poured found design, etc. 1 site survey toradditions & decks Tree Pres Reqd _Y _ N 7 set of Energy Calculations AddiGon - indicate d on-srte septic system On-site Septic System _ Y_ N 3 copies of Tree PreservaGon Plan if bt platted after 717l93 Rim Joist Defail OpOons selection sheet (bldgs with 3 or less unib Date liib_ / -7 / 2oc 3 Constructian Cost 91 Li? 6(yo q- Si[eAddress 1 5r, y cLLPASevv blk • UniUSte # Description of Work q\`EpU lf? ?0? ZG Pt CT Multi-Family Bldg ? Y_ iV Fireplace(s) _ 0 _ 1 _ 2 Property Owner ?^ Q 'E't 206, G, F UROPE 0?IY pv11w p3,cx Telephone #( 1G3 )?I 2S- 4C Contractor KPt S1LE j5X'IbQIG12s Address L(os W. ?Gt~ ST City lIJAiETfGL1 State ?{Il? Zip 55*41c7 Telephone#('o5) )?22-49C9 EXl to COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code CategOry , Residential Ventiiation Category 1 Worksheet • New Energy Code W orksheet (J submission type) Submitted Submitted • Energy Envelope Calwla6ons Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information' i efnplete and accurate; that the work will be in conformance with the ordinances and codes of the C}ity_of Eagan and_the_State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Telephone # ( Telephone # ( M-ICl- FL PVO1-1 //?!? /?'??' Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex g 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 3? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation (9 Occupancy ?2 3 MC1ES 5ystem - Census Code y3? Zoning AD City Water SAC Units -' Stories ^ Booster Pump ? Nbr. of Units Sq. Ft. OO PRV - Nbr. of Bldgs ` Length /6 Fire Sprinklered ? Type of Const Width 44 REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ? Footings (deck) ? FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Air/Gas Tests Pool F[gs _ Final _ Framing _ _ _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector r- CITY OF EAGAN POLICY FOR ADDITIONS/DECKS IN EXISTING TOWNHOMES ?.. BACKGROUND AND PURPOSE Over the years numerous decks and additions have been constructed over property lines in the Thomas Lake Heights and Thomas Lake Heights 2nd Additions. The Uniform Building Code requires a one-hour wall on each side of a property line when the wall is within three feet of the property line for townhomes. This code requirement is in place to protect neighbors from sustaining damage due to a fire in an adjacent unit. These buildings were platted with property lines within two feet of the foundation of the main buildings. Our platting and subdivision requirements have changed to anticipate future additions while staying within the praperty iines. BASIS FOR POLICY Buildings over property lines would not cause additional safety concerns to the users. The danger level is the same for those buildings constructed over property lines as buildings constructed a certain distance from property lines. implementation of this policy would allow the required separation between adjoining units to remain in effect. It is a policy of the City of Eagan to allow additions and decks to townhouses existing as of November 21, 1995 to be built over the properly lines that are parallel to the individual units provided. 1. 10' is maintained to any separate building. 2. The occupant must be part owner in the common property to which the addition or deck is built into. 3. A letter of approval from the Homeowners Association for the proposed plans must be submitted with the building permft appl+cation. ` .,.: Oct 16 03 10:58a 4 , • • 1@/16/2883 89:25 60tobss 16, 2003 Bob 6513227973 FS9,F FYta PFGF4T ZNC jo wh0TT8 (Q may P16aS@ bC aq4aeis Door C'ompaaay FiOA tp periorny Associatjosa. Th CA(9YI'aCtS. S770t vi3 Cell 612-799 [Octatmr 16p 201 .98IVeR M. Rogga, Property Manage AssociaYion Rrrat HPlfs F#(3A nertQ Inc_ 10/16/03 08:33 PAQE @I TXJEX N0.0082 P_003 p.2 m Yo0 @1 90IHHM 139 L9Z9 199 Zi9 KN3 SV:80 C0191101 )56y ? Q x 932.9 / 0_ ?h v x935 ( ? ?-Z Z TL. 932.3 T. L. 93Z.I R:60 00'E ' 'o ?i.up 7/.00 '? 1YBS°30'00'W o (936.0) r? $ e 0 Y) \ 0 Denotes Iron Monument ° Denotes Wood Stake XOOQ.O Denotes Existing Elevation ProAosed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Eloor Elevation= 936.0 •E- Denotes Directiort of Surface Drainage Proposed Lowest Floor Elevation= 93G.5 1 hereby ceAity that this is a true and correct representation of a survey of the bounda.ies ot ? Lots 25, 26, 27, and 28, Block 1, THO!195 LAF:E AEIGHTS 2\D ADDITION, Dakota County, Minnesota I And of the location of all buildings, ii any, thereon, and all visible encroachmenis, it any, from or on said land. It also shows the location of the stakes as set fpr a proposed building. As surveyed by me or under my direct supervision this day of APril ,1985 . Paul A. Johnson Land Surveyor. Minn. Reg. No. 10938 743 •???• • !V? i?f?V.- \ fV???S 30 ? i.L: j4,1'' CERTIFICA7E OF SURVEY ? ?-?E for rmc?? Me S-KNUTSON ASSOCIA7ES, INC. nn?ut u?unu ? w>>vnncn . srrnuWu ru ???(/?,??I??/? ?? ?j/?????((??/,/?1y'?'????/?jj, ?{? ??, ?sMFM'?Yt(rIwl!lCMUtiON.WwIfOTA O ? 0 W e. 0 ?a o ' _; r a ?, . ?_- a S.S 7 9 „? RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConsWCtlon Reauiremanb • 3 registered site surveys stwwing sq. ft. of lot, sq. iL ol hase; and all roofed areas (2046 marirnum bl coverage allowed) • 2 copies of pian showing beam 8 vrindow s¢es; poured faund desgn, etc.) • t set of Eicergy CaICWaUons • 3 copies of Tree Preservation Plan If lot platted after 7M193 • Rim Joist Detail OpBore seleciion sheet (6Wgs wdh 3 or less unBS) a-?7`?•C?3- DATE `"1_- ??3 a ? RemodeUReoair ReauiremeMa . 2 copies of plan . 1 set of Energy Caleulatbns For heated additions . 1 site survey for extenor additias & decks • Indicate ii home served by septic system for additwns VALUATION I s, O Lf? i CjemS%a Wi 'Q)Y' SITE ADDRESS Li?, MULTI-FAMILY BLDG -1(4 _ N TYPE OF APPLICANT '?S E:Y? FIREPLACE(S) _ 0 _ 1 _ 2 STREEf ADDRESS y? ?W b 0A" TELEPHONE # G 17- CELL PHONE # ts a4? ?STATE ?V+?ZIP 5 S1419 FAX# I??a - 'D?- bab? PROPERTYOWNER 'V\°CV2-O:" y? Alli5 ?ciYneO?vlnertgTELEPHONE# 1(?b '4a`S°'Yn?? -------------------- --------------------------------- ------------------------------- -.......... COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY l MINNESOTA RULFS 7672 (4 submi6sion type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculatlons Submitted Plumbing Contractor: Plumbing system includes: Mechanlcal Conhactor: Mechanical system includes: Sewer/Water Conhactor. Phone # Phone # Fee: $90.00 Fee: $70.00 --------------------°-------------...---._._._......--°----°°------...---•-------------------------°--°-----•------- I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. - Signatureof Applicant OFFICE USE ONLY ? Water Softener _ Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. oF R.I. Baths _ Air Conditioning Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4I02 30 ? v? ? Q/ ? 932.9 ? o_ ?h Y Vv / T. L. 93Z.! Ri ` R (936.0) Q `\ 0;588°3o'oo`E , ?J N1 31.00 31.04D i? j / O O a? ?- O ?o ? 0 0 Lo W O 0 a Y) 0 ? ? 3400 31.00 ; 935/ / o ?936.0) ? 0 Denotes Iron Monument ° Denotes Wood Stake X000.0 Oenotes Existing Elevation Proposed Top of Foundation Elevation= (OD0.0) penotes Proposed Eievation Proposed Garage Floor Elevation= 93G.o E Denotes Direction of Surface Drainage Proposed Lowest Floor Eievation= 93G.5 I hereby certify tfiat this is a true and correct representation of a survey of the boundaries ot ? Lots 25, 26, 27, and 28, Block 1, T}10>L45 L'il:E HEIGHTS 2SD ADDITIO??, Dakota County, ":innesota And oi the location oi all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set tor a proposed building. As surveyed by me or under my duect supervision ihis -)5 day of ADril 19 PS_ Paul A. Johnson _ Land Surveyor, Minn. Reg. No. 10938 CERTIFICATE OF SURVEY fior NcCOMBS-KNUTSON ASSOCIATES, INC. ? (??'''?('? ? (/?? ? ????` f0?ll, ll?[[?•.0.K,W KRC?tLUTJN W wEIfOTA „Its i?l! M1 ? • • `/ • s_?? • ? V ? ? ? V 7430 ?' 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN MOTE: ALL CONTRAC?ORS HUST 8E LICENSED 5)ITH TBE CITY OF EAGAN Ib 6J til i--?vt! SE q? INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF Sl1RVEY 1 ,r 1 SET OF ENERGY CALCULATIONS b? 'T PLEJ'- ? S? c? w To Be Used For: _R[s,otivcL Valuation: ? Date: Site Address; 1564 Clemson Drive OFFICE USE OM,Y Lot; 26 Block tv.? Sect/Sub 77APmMr caXc-Erect X Dccupancy k`?N? Remodel _ Zoning P( Parcel # Repair _ Type of Cor.st $r Enlarge U of Stories Owner n/? ,tfn,??ZO,? ,&,,,w-x T..Vc- Move Ler.gth 44 _ Demolish Depth ZG Address _Q p, ?'ox /3Le 7 Grade _ Sq Ft City/Zip Code -------------- -------------- ----- Contractor sqrn JL- APPROVALS Address Assessments Permit ?0( °U ? Water/Sewer _ Surcharge 28.=' City/Zip Code Police Plan Review ISo, s° Fire SAC = °P Phone # Engr Water Conn Arch,/Engr p eKo ( C 1 Planr.er Water Meter (p3• °° , 0, ,0 , Council Road Unit Bldg Of Parks Address APC Treatment PI Variance Phone Q_ H3.s 7SZ y TpipI f? , t3 -3a .3g 30 (TOWNHOUSE) BUILDING PERMIT CITY OF EAGAN 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ie M uwd fer 1 OF 4 PLEX $56,000 N_ 10310 Receipf D,,., MAY 31 85 Sitenddress 1564 CLF.MSON DRIVE Erect C32 Occupancy R3 ? La26-elock- 1" Sec/Sub. THOM LK HTS 2ND Remodel ? Zoning pD Parcel No. Repair ? Type of Const. V Additlon ? No. Stories W Narrie NEW AORIZON HOMF.S INC MOVe 11 Len9th 44 Z Address P- O. $OX 1167 Demoliah ? Depth z( ? citv --M i.. Phone 420-3900 lnt ImPC ? sq. Ft. Install ? o Neme SAM$ _AVOrova6 hea ?pu Address ? CitV Phone uw Name n- GR7RWOTn ?W x? Address iW Citv Phone 435-7524 I hereby ackrwwledga thct 1 hove read this opplicatian ond stare thot the inlormntion is conetf ard agree 1o comply wifh oll opplicoble Stah of Minnesoea Stotutes ond City of /Eaga/n? Ordinonces. s+onorurc of PemvttsnN? w Buildlnq Permie is issued ro: NEW HORIZON HOMES oll work shall 6e dona in xcordunce with oll oppl t?b4e $?C f?y? 8uildinq O4ficiol _ /[_ll ? , Asussment Permit . 00 Water 8$ew. Surchar9e 28.00 P°licQ PlanReview 150.50 Fira g,e,c 525.00 En0• WaterGonn. 500.00 Plonner waterMeter _63.00 Council Road Unit 280 . 00 Bldg. Off. 5/8/8 5 Tc PI, 132_ 00 APC Parks Var. Date Copies 7otal $1,979.50 u+ fha express wnditlon thot ?Ya Stafutes ond City o'r Eoqon Ordinances, s NOTE: ALL COMiRpCTORS l10ST BE LICENSED 61ITH TEiE CITY OF EAG6N Towt-4rta-?5? INCLUDE 2 SETS OF PLANS uNkI GIC?i , 3 CERTIFICATES OF SURVEY 7 SET OF ENERGY CALCULATZONS •r .a ?,?•' To Be Used For: _RfslO[NCG Valuation: Date: Site Address: 1S64R ('?emson Drive OFf'ICE USE ONLY Lot; _2 7 Block Sect/SubTW-~s "k?Erect ? Occupancy 12-'3 ?NO'r Remodel _ Zoning Pp Parcel N Repair _ Type of Const SZ Enlarge 0 of Staries Owner A /p.J ,??izow) , [,lnmea xye- Move ? Length .6r Demalish Depth _ 26 Address _pD. ?ox /3l n 9 ' Grade Sq Ft City/Zip Code ?o/s.L/?i?.?. S.rf,y'a -------- Contractor sym t- APPROVALS Address CitylZip Code Assessments Permit 301 ? Water/Sewer Surcharge 28. Police Plan Review IS o.$O Fire SAC 525. ? Engr Water Conn 500 Planner Water Meter =°0 Council Road Unit 2gO.'° Bldg Offf Parks APC Treatment P1 13 Z Variance iornt. / 91 r-/• S 0 Phone # Arch.lEngr p ?,C?swaL? Address Phone # __ y3.s 7 rzg/ (TOwNxousE) - BUILDING PERMIT CITY OF EAGAN 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 1 OF 4 PLEX Est, volue $56, 000 SiteAddress 1564B CLEMSON DRIVE Lot 27 81ock 1 SecfSub. THOM i.K H 4 NT) Aercel Nn. W Nme NEW HORIZON HOMES INC € Address P.O. ROX 1367 b citv MPLS Pnorie 420-3900 O Name SAME ?? Address City Phone GW Name D. GRISWOLD 1,1 Address ? " <W ci<Y Phone 435-7524 I hereby acknowledga that I haw reod fhis epplicotion ond stote fhot Iha informofion is mrrect and ogree to comply wifh oll opplicoble Siate of Minnesota Statut?ea ]a?? City ? oi? Eagan ?Oyrdirancez Siprwturc of Permittea;2S Z--al A Bulidinfl Pn,nir Is iu„ed ro: NEW HORIZON HOMES oll work sholl be done in xmrdonce wrth ofl applicoble Stote o,f(/f%?fr Buildinp Officiol /?^ Receipt # N° 10311 Erect I]{7 Occupancy R3 Remodel ? 2oning pD Repair ? Type of Const. p Addition ? No. Stories Move ? Length 44 Demoliah ? Depth 26 Int Impr. ? Sq. Ft. Install ? Appmrab Feef Assessment Permit $ 301.00 Woter & Sew. Surcharge 28.00 Police Plen Review 150.00 Firo SAC 525.00 Eno. wace.con2 500.00 Planner WaterMetar _63s00 ' Council Roed Unit 280 _ 00 Bldg. Off . 5/8I85 Tr. Pl. 1 32 _ 00 APC parks Var. Dete Gopies 979 50 $1 , . rotal an the ezprem cordiNOn Ihat weg St utes . Qry of Eoqen Ordinances. ? ? NOTE: ALL COlRRACTORS HUST BE LICENSED ifITH THE CITY OF EAGAN TOWNI-AGIJSE INCLUDE 2 SETS OF PLANS (?INIT 3 CERTIFICATES OF SURVEY ? oF ? R?X 7 SET OF ENERGY CALCULATIONS To Be Used For: RlSiDEIICL Valuation: ?-??? Date• i 2 PjS Site Address: _1566 Clemson Drive Lot: 2 ., Block I_ Parcel # OFFICE USE OHLY Sect/Sub Z'ho„?,?„ ?AcErect AirfN4n3 Remodel ? - Repair Enlarge Owner A/or?ses -7;0c_. Move Demolish Address Q,ip, $ox 131r7 Grade City/Zip Code Lup/s, /!),yr. SSAlin Contractor _vr,"W, Address City/Zip Code Phone S Arch,/Engr p. GrtjsWoLd Address Phone S y3,T 7,SZy APPROVALS X Occupancy 2-3 , Zoning y? Pp _ Type of Const _ !I of Stories _ Length 4 Depth Z,c? _ Sq Ft Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off.f Parks APC Treatment P1 Variance rornr. bI,°`-' 1-8 °s I 50. 9' 25, ? S?o m co3 2.&o . ( ToWmxousE) BUILDING PERMIT CITY OF EAGAN 3830 Pi1ot Knob Road, P.O. 8ox 21-189, Eagan, MN 55121 PHONE: 4548100 4 PLEX Et.Value $56,000 ReceiDf jF rL._ MAY 31 85 SiteAddrese 1566 CLEMSON DRIVE erect Gd occuPancy R3 Lot_2.`LBlock 1 SeclSub. THOM LK HTS 2NDRemodel ? Zon,ng PD Pereel No. Repair ? Type of Const, V Addition ? No. Stories ? Name NEW AORIZON HOMES INC MOVe ? Length 44 ? Address $OX 1367 P.O Demolish ? Depth 26 . Int.Impr. ? Sq.Ft. City MPLS phone 420-3900 ? Inatall a Sp.?'?E Apyrovals Feet Z? - u ? Address ? City Phone p= Name H Address u 'u=i o Name City Phone I hercby ockrwwledge thot 1 haw reod this applicarion artd stote tMt the inlormahon is correct and ogree to comply with oll opplicobla Stata of Minnewlo Statutes ond City of Enqon /fOrdirwnces, Sipnature of Permittee G. ??I--?- n Bulidinq Permlr Is issued ro: NEW HORIZON HOMES oll work sholl be done in occordonce wrth ull applimbla of Mir Bulidirp Officiol Assessmenf Permit $ 301 . 00 WoferBSew. Surcharge 2$.00 Poliu Plan Review 150.50 Firo SAC 525.00 Enp. Water Gonn. 500 . 00 Plomxr Water Meter 63 - 00 Coun[H Road Unit 290 - 00 BIdg.Off. 5/8/85 TcPI. 132.00 APC Parks Var. Dete Copies INC rotal $1,979.50 on the axprea condifion thov K Statu s ond-City- 07 Eagan Ordironces. N_ 10312 , :. 1985 BUI[,DING PERMT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTpRS HUS2 BE LICENSED ifiTH TAE CITY OF F1lGAB TowNNcuSE INCLUDE 2 SETS OF PLANS U??? ??D , 3 CERTIFICATES OF SURVEY ; 1 SET OF ENERGY CALCULATIONS l oF 4 PL-Cg ? y _Isr?c?r?o. `g To Be Used For: Q[sjo[,vcf Valuation: ..? Date: 5-2 85 Site Address: _15666 Clemson Drive OFFICE USE ONLY Lot: _2R Block _Xj Sect/Sub72A-mos A-0k9?Erect City/Zip Code ---- ?'9?'r Remodel Parcel # Z ? Repair Enlarge Ouner x,.rc. Move Demolish Address PO. t4ox /3& 7 Grade Contractor s.47ma- APPROVALS Address City/Zip Code Phone 0 Arch./Engr r% Address Phone S 75-2 91, ? Occupancy k2-3 Zoning _ Type of Const _ 9 of Stories _ Ler.gth 44 _ Depth ? _ Sq Ft Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Uait Bldg Off.7,TZn Parks APG Treatment P1 Variance ?OTAL 3(), T Z8. I 50•? 525. °' r So (0 `w m l 3Z. °? ?.?2 91 li?o - - - - --... } ( ToWNxousE) CITY OF EAGAN rJ? 10 313 ? 3830 Pilot Kno6 Road, P.O. Box 21•199, Eagan, MN 55121 PHONE:4548700 BUILDING PERMIT rteceiot # Te M wrd fer 1 OF 4 PLEX Esr. Volue $56,000 Dore 14AY 31• , 1985 i 1 66 ON DRIVE e.ea 12 occupanav R3 R (' .F.MS 5 SittAddress T Block I SeclSu6 Lot98 HOT'1 I.K HT$ ZNDRemodel ? 2oning Pn . - Repair ? Type of Const. p Pereel No. Addition ? No. Stories Name NEW HORIZON HOMES INC Move ? W D li h ? Length De 2h 44 Z( ? Address P• O. BOX 1367 emo s Int Impi. ? p Sq. Ft. City MPLS pnone 420-3900 Insta11 ? ? Apprarsls Feas }O Name SAME Vi Address ? City Phone uw Name T1_ GRTSWOLD 9, S? Address ?,., city Pnone 435-7524 DO Assessment Permit . Woter 8$ew. Surcharge 28.00 Police PlanHeview 150.50 Fira sqc 525.00 Enp, waterCann. 500.00 planner WaterMeter 63.00 Council Road Unit 280 • 00 I here6y aCkrwwiedga tFat 1 hove read lhis opOlicotion ond sfafe fhat Bldg. Off. 5/8/85 Tr. PI. 132 . OO IM informafion is correcf and o9ree to wmply with oll opplicoble APC Parks State of Minnesoro Starures and City of Eogon Ordinonce:. Q Var. Dete GoOies 50 . - G SI nature of Permittee 1 NEW HORIZON HOM .S INC Total A Buildin9 Permil Is issued to: on tM ezpress cordiflon lha+ 011 work shall be dona in acwrdanea with all oQp?f cabls St? ?of?A/A??nnea-ota Statutes ond Ciry oF Eeqan Ordinances. 8uildirq Officiol .Q?/? ? x/-f'???,?'°? r-r i , ~• ? ? ??• i CITY Ot EAGAN 2/84 APPLICATION FOR PE4MIT SESdER AND/OR WATER CONNECTIODi (PLEASE PRIHi) 1) PP.OPETYI?' ADDRESS : , SI,Q4 r?VN 1!JU n =I. D: s(..'4SP'rlC:t: L 7-?P P? I t l/i Zsnn M((.LK-l- (Loc/Block/Su:w.visicn or TaY ar e I.D. Nt,:.?er) ? I'r' EXT:='=:v 5?'P.L'C^ME, DA'i:. Oc GcZT.GuAL uiILDL`:G I=.;..C:: lr:? .?a 'e?rt ppF LT ?r,.1IDF;/?ROPOSJ LS: ? R-1 SD,GL:. F??1ILY . ? R-2 DLTP= ('?'^U L^IZ'-S) [$ R-3 TC7.t-,?FreTSE + L?i:S) ( 4 LNZ?S) [3 R-4 r;.nA: =r/=.ZCi.tn;rm ? CPiITS) Q CGmnIE4CZ3I./REI:"-.IL/CMCE Q ?CSTRL3L Q L?STI:LTSCtiA;.,/Gv"VE'•zfF'?? 2) AP?LIG=:v"P (PLEASc PR1Nf) NAi-IE: ? ADDREss: r3p)n qb. cri^r, srazy, zIP: o . , PF:0N£: EASE R1,NT) 3) aumE?l FOA CITY USE OALY ??• PDDRESS: P JeBERS tICEYSE: ' - • „ ' CITY, STATE, ZIP: W44 Extpp* ed r ?TNJi PHO?7 PLUMBEN LFCENSE N ?i /IJI ; of RlCO d ' rr nicia Q) pC(--Tj'p??/Lyy?Tm DTA6'IE: (PLEASE PRINi) ADDRESS: CITY, STATG, ZIP: V PFiC}YE: 5) ID]DIGATE :dHICH PERhLIT IS BEI\G RFl[tiTESTID: ? CC:aIF.CTION TCJ CITY SES';ER ? CC:1:QMTT_O:1 M CITY FTA'i'ER ? OMER (PLE'r'15E D£SCRIBE) 6) r:DIG,:. C:E: • . ? Pl---?SE ISOID P,PPP.WEQ PERMST EY7R PICK-GP BY C:1E OF t1S0VE -? PL-r:%SE :•?IL APPRCJVED PFF.•LIT TO 1, 2.(?1 4 AfiOV'E (Cicle one) 7) SZG.AZ[.-RE: D.iTE: ((/'LC(j T ?f R QI:?I?!!A! ?r A l?Rg.fl? ! s? A?ia? N i i rFia?:? ?! Yt?4JFYi??J? f?l Y? Yt! i? ??y F O R C I T Y U S E O N L Y ? PcRMIT a ISSUED ? FEES: $ 5::•iEP, nERt1rT (I`_ICL;;,^.E SU?C?:::RGE) WATER PE*.2PtIT (IMCiuDE Sli?CHARGn) $ 4? c1T) WATER METER/COPPERHORN/OUTSZDF, REnD:cZ $ WATER TAP (INCLUDE CORPORATIO,1 STOP) $ S::GER TAP $ n.?..c4-._ $ f ?? AC.^.OUD1T DrPOSIT - P1AT£R i4AC $ gAC $ TRliVK SJATER ASSESS:IE:IT +S TRliJ1K Sr.:•7ER ySSESS:•IENT +S L`nTE?,.aL BENE$IT/TRUNK SF.:•:Ez $ La;ERAL BEVEFIT/TRU:IK WAT°_4 $ 4 E W TE NT ANT SURCH R A R TREATME PL A G $ - OTHER: - $ TOTAL S ? ?o-CG AMOL':.T PAIDjRECEZPT n DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PU6LIC RIGiiT OF WAY? YES IF YES, THEN n"PERMIT FQR SVOftK WITHIN UBLZC ROr1DWAY" MCIST BE ISSUED BY THE ? NO ENGINEERIDIG DIVISION. LIST AS A CONDI- TION_ SUBJECT TO THE FOLLOL4zNG CONDITI04S: • . . • APPROVED BY: 12 ,,,? _ TI:LE: ' DAT_° : ?_ oC L /?? ? fw w? w???i? nt ? re ats t? A? r?r ?it wl? rt.? ?t? if ?wi? sst ?t+ ?t ? sE ?i? r?+? ?rt? w ryr ? r ? ? y 2/84 CITY OF EAGAN AP?LICATION FOR PERi•lIT SEt4ER AND/OR WATER CONNECTIODi (PLEASE PRINT) 1) PP.OP._..°TYI^1 ACDRESS: (_,{O1 6JV 1 rFr:,i. DrsCRIPTICV: _ L 27 k31 'l'l) o ma ?, (ak l?ef? ?-- (Loc/Block/Su:,cuvisicn or Tav Parce I.D. Nurber) 3F E::IS==G S?'P.CC r':2E , DAi:. O_° Oi2TGi^.AL Z7uT_.DI.`.G :.r:11IT ZS=-?:C:.: 1 ::c:=« -.$ari PP=SL'= ?.^..`7P.x;/P?APOSM i S: ? R-1 S"yNGL: FPtiffI.Y ' ? R-Z GUPLZ? (?:'a L^'2':S) 0 R-3 2Cl.vliiF.rvTCg (m;._c- + LaRT"S) ( 4 LVITS) ? P.4 UiVITJJ Q CC1tinIPCL32./RE"".-jI?CF7IC:: ? MMli5'IZIAI, Q LVSTI=TIC?'AI./Gv"?'E?.)Z-=T 2) APPLIC= Ig1t•IE: (PLEASE PRI;IT) ADDRESS: f?pS cri^r, sraxE, ziP: ???5 • VVl N??1?! D - ? PHObfE: ? r? (? ?4#J ?VV _ - ' 3) Pu..oER (P 'S PRiNi FOR CITY USE OYLY ??. . ?n?ss: 12 PlU!! LICENSE: ' Active ' CITY, STATE, ZIP: re PxO?= LF CENSE ?t Record qi r n 4) OCCC,'?Pl,]T/C*.',iTE[2 NAME: IPLEASE PRiNiJ ` ADDRESS: CITY, STATE, ZIP: PFiQ:IE: 5) INDIG"riE :dfIICH PERMIT IS BEING RDQUESTL•:D: ? CC::•:UECTIO.I 10 CITY SEUIER ? C0.\',?'E7CPZCV 'IO CZTY tVATm ? d111ER (PLS•}'15E DF_SCftIBE) bl C.:c: 7) SIC.:,'ILm: ? P7.°_%SE F?OID APPP.WEU PERt^ST FOR PICi;^IIc BY G'VE OF AEC3VE ? PLF.? +1AIL APPRpVm PEF:•lIT TJ 1. 2. ? 4 A6pVE (..;..,.i,. _) Dr1Ty': JFL=22 .. rf wl OIal+NfeA:l? H? CI la?:af?Cl? f! ?!!1? o ?,a?# NY +? r s?as?:A a? se !lJ?F.+?l?-JlJ? f?1 ! Yt! is?gr F O R C I T Y U S E ON;,Y PER-`tIT '-` SSSUED I FEEs: $ 10-5o $ $ . S $ l 5 .U'(J S ??2 S_ w S $ $ $ $ $ a?? G61 SE.:L.D. nERt1T'j` (I`ICL..iZ JURCH:1RGGJ SJATER PERPlIT (IlICLUDL SL;RCfiA2Gn) WaTER METER/COPPE4HORN/OUTSIDE RE..B-ER WATER TAP (INCLUDEE CORPORATIO?1 STOP) S£:GcR T.N? : ...?.. Q 1... _ ...? .rJ.C. 1 _ ' J ?..: ? AC,^_OlitiT DEPOSIT - S•IATv-R WAC Sac TRGVK SJATER ASScSS:f:.::T TRliNK SES•iER :.SSZSS:j°NT Lr',TEp,7,L BENEFIT/TRU:IK SE::?Fc La;E:ZaL BE;VEFIT/TRU:IK S4AT°R WATER TREATMENT PLANT SURCIiARGE OTHFR: TOTP?L Al?10L":T PAID/RECEIPT DOES UTILITY CON:IECTION REQUIRE EXCAVATION IN PU&LIC RIGHT OF WAY? L YES IF 7CES, THEN n"PERMZT FOR 6dORK WITHIPI PUBLIC ROADWAY" MUST BE ISSUED BY THE ? ENGINEERING DIVISION. LIST AS A CONDI- ION. SUEJECT TO THE FOLLO[VZNG CONDITIONS: APPROVED SY: TI:Lc: DAT_° : w ??w Ei? r? ? ? .tw wc? ?e ?+? wt? w ? re si4 wl? ?rt•? ?t? w? ?i? w? ?t? r4 ? s! ?.in wa ?c? ? ?l? t? ?. 1 2/84 CITY 0F- EAGAN ? Wii APPLICATI^vN £OR PER??IIT SEWER AND/OR WATER CONNECTIOAt (PLEASE PRIHf) 1) PROPERT'! AI;DRESS: l p_( (n rttm'C()(n rEraL D°.;.CtIPTICV: LZ5' f?)l T aYY1d S?G4?t=?: EfzYIS ?i (LotBlock/SLr,cu.visicn or Tati Parc I.D. NL:mer) I'r' 5IML'C^*RE, DAT? OF Ci2T.GZAL `u,2TI^•I2:G :.'=';=5: T_SS,?`C.; ,:•.?---, ? :.--; }?zJL'? ?? C: -"711H•/.P'.VCVSJJ UJu: ? R-1 SLV= iY-%.ILY • D it-2 iUP= (T.•:D L'YZ^.'S) . 0 R-3 M'?CrTCg Crc?.c= + L':]I•:S ) W 2^_'S) Q r-4 1,2P.R'T??r•?•?•/Ci.:?Ci,irlr?,l ( U'aiI?S) (3 CC 1tinSE? I.? L/RE^,:?II?Cr 'I? C )T ?T T T O -l1\UVSl?L'SY ? INSiI:LTIC.'L./GG'VE?'JMTM'?T 2) APPI,IC=:7P (PLEA'E Fn1NI) LdAi•TE: ?Y, -l Ul {/`?J AGD.RESS: i1n RJJx. I;7Z ! CTTY, ST1TS', ZIP: , P?O?: _ ._- Nft 3) PLL:7EE.°. FOR CITY USF QNLY ? PDD_RESS: PL!1° LICEYSE: ' - Aetive CITY, STATE, 2IP; 5 ? Expi d PH?: N?itn PIUHBFR LFCE4SE # ) N of Neeard' • rr nicia ej) Oc[[ppr]T/Gt.;LmTER IPLEASE PRIYr) ?: n . M ADDRESS: CIR"l, STA'IE, 2IP; PHO:IE: 5} I1VpIGATE :9(-IZCH PERt•tIT IS HEZhG RFJQUESTID: ? GG:a^IF.CPIOi 'Io CITY Sai'ER ? co:weczzcy zn cm tqAzED. ? UiiIER (PLG'15E D£.,CRIBE) 6) L":DZCA:? C:.: : _ . ? Pl--1SE E?OID APPPSJVfD PEF}+ST FOR P=-??Li , ?. BY QiVE OF 11SGS'E -??PL£.? ".?'r1IL AFFT.?VF? .P?:•LLT T'J 1. 2.r 3) d A£OVE (CirCl?one) ' ? 7} SZCa?,'R?,: bATE: l 000 R 04.4WL4Wl? i a!?Jrsfla ? r? /s fca i:aa M is s rt?ta? ? s s i? rFJra?!}FS? sA sl s?s ec?g? y .. PE?LMIT " ISSUED F O R C I T Y U S E O N L Y FEESa $ 16).1?-U $ /U•SU $ , $ S s 3-1 . °(j S"tic,.°. PER)2rT (I`IC:.;:0: 5[3°CH.•.aCc.j ? $ S o S S $ $ WATER PERZtIT (IPICiuDE SliRCHAcZG'n) We1TER D]ETER/COPFE:tHORN/OUTSI'J : REi,D: R WAT°R TAP (INCLUDE CORPORATIOY STOP) S ::4ER TAP =?cci::._ :..?C•527 - a=..=-R AC.^.OliA'T D`:POSIT - P7AT°R {9nC SAC TRGNK SJATER ASSESS;!E2IT TRliJIK SEWER I.SSES$;•;ENT Li+aE°.nL BE:iEFIT/T:?U:IK SE::TF.'R L? : cRijL BEVEFIT/TRU:IK WATER WATER TREATMENT PLANT SURCHARGE $ ' OTHER: - - $ TOTAL $ ?d,b• C? A.OCNT Pr1ZDjR£CEIPT DOES UTILZTY CON:IECTION REQUIP,E EXCaVATION IN PUSLIC RIGHT OF WAY? ? YES IF YES, THE.*I A"PEBMIT FOR 'AORR WITHIN PUBLIC ROr1DWAY" MUST BE ISSUED SY THE ENGINEERIDIG OIVISION. LIST AS A CONDI- TZON. SUE7ECT TO THE FOLLOWING CONDITIO:QS: APPROVED BY; 40 TITLE: ' - DAT_: 62 1 2/84 ° CITY OF EAGAN ? ??=rL? I APPLICATION FOR PE?.:lIT SEW£R AND/OR WATER CONNECTIODI (PLEASE PRINT) 1) PP.OPERT^! ADDRESS : 15 LO(0.6r AA? f J( ?L'L\ l r FraI. DESG4IPTICV: L Z R ?( I Y? r? ivr d S ? CLI?=F ?TaN S7? (IO tBlock/Sti:.divisicn or Tac Parcei I.D. NL.^nzer) I"r S_'oCCTL';'cE. DelT:' O_° CcZT.Gi^.AL LuT..DUNG =.-=_•?.: IS::U;-.=: , ' ? •':_ _ c=1 FP=SL :' ::^:ITX:/P-l?3POS? L'S: Q R-1 SitiGL:'. FPtif2LY . ? R-2 CiJPL: (T.{0 L^:M) L9 Z-3 Ta:?3'SE (TMI= + II:7I:S) Wi I'!'S) ? P?4 AP.'?-1??W =r/CMl)Ci.1Tr'tit ? ULlITJ) p CGtnIE.°.CI.%I./REy`-.II?Cr'T'2Cz- ? INDCSI:-tI.z?2, p j.1'STI':LTICnU/GGL=.,=T 2) APP?.Ii:yJT (PLEASc P Iii(J . NA?•' 1E' f?Vj ADD.T2ESS: 97'TT)T CTTY, STATE, ZIP: ? . +- Ph'OVE: _.,. ._ - 3) pu;.BEF ??- PR N1 FOR CSTY US€ O4LY aDn?ss: PlJ!!8 ICE9SE: , , ' a? t; ?? CITY, STATE, ZIP: N Q Expi d PRINE= U PIUHBER LILENSE N o af Necord ' arr nisi3 4) OCC.'L?PS1T/C*.-;jN1Et2 NAME : (PLEASE PRIHI) ADDRESS- CTi"l, STA'Ir-, ZIP: - PHO^IE: 5) Ib]DICME :dEiICH PERh1IT ZS BEIP:{; REQIJEgTL•p: ' N CC::.VECf20N 'iO CITY SEWER ? CQ:.".QFL'PIG:1 TO CITY WATER ? 071Et (PL7'?1SE DESCTtIBE) 61 L":DiCA::. C..c: . ? P*.`%SE f?OID APPPOIID PER9+ST FO4 PICi:-LP BY C:VE OF PBCZ,'E ? PT?F..'?,SE :•lAIL pPPrOVID PfF:•LLT TO 1, 2. 3. 4ABOVE (Circl one) 7) srMaTL-PZ: DaxE: lD'ZD "?? ?e ?! ola?awls.?s ? rr er ?c?a?..ea ? ? nr r.a? a:?a w??s ?ssar.s:? a at ?..e ??rr?+s?? ?? s?ca ece?sx?., F O R C I T Y U S E O N L Y Pc.°_M.IT y ISSUED $ /().?fl Y / U - J V $ 63.? $ $ $ $ S G L? . u2-? S S ?? .a1 ) ? S $ $ $ $ ?3a GG • $ ? ? - S $ ? aG S :Wc.°. PE3MrT (I`_ICu`rLrr OUPrH.j FtlA) WaTER PEI2UtI: (irac;.UnE SliRCEARGE) WATER METER/COPFERHORN/OUTSIDE REr`+D: R WATER TAP (INCLUDE CORPORATIO:I STOP) S::vER TAP "CCi:::: ==GSI: - aa..=3 AC^OUNT D?PpSIT - L•TATER WAC SAC TRtiNK tvATER ASSESS:?=T TRliV:C SEWER ASSESJ.?FNT L`nTE,=-aL BENEFIT/TRU:IK SL:•:E& ia;ERAL BEVEFIT/TRU.IK WAT°R WATER TREATMENT PI.AA?T SURCFIARGE OTHER: TOTAL P.MAC2:T PAID/REC-vI?T : DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES ZF YES. THE:1 A"PERMIT FpR WORR WITHIN PUBLIC ROe>DWAY" MUST BE ISSUED BY T8E NO ENGZNEERING DIV:SION. LIST AS A CONDI- ? TION. SliBJECT TO THE FOLL4WING CONDITIONS: .• , APPROVED BY: TI:LE: ' DATE: 6, ?+ s? ws? .? ???so ?e ? w?,? w:? w? w+?? ws? Ra wt? r+ ?w ? ws? ?c+ ?r ? sa ?s? w? ?c? rt sr w r 1991 BUI LDINC-YM IT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIDNS MULTIPLE DWELLINGS C0241ERCIAL 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET DF 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 MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLAWED ONGE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HP,S BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: / cv ?- I Valuation: `-- -- " Date: Site Address Lot C?? Block ? Parcel/Sub A(IY? d-E'w` a- Owner t Address / 41P?j c?<, . •>.,-. r:+? d..K City/Zip Code ?r..,, . , v?_?? ;>,ZZ Phone Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # OFFICE USE ONLY FEES Occupancy Bldg. Permit L?S,c» Zoning Surcharge •,5'0 Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length [O ' 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 M41CC System _ Park Ded. City water Trail Ded. PRV _ Copies g d Booster Pump _ SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL ? , )O Bldg. Off. Variance agrees that all work shall be done in accordance with (Signature of Conefractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 30 ? °3z.z / ? Q x93Z.9 / o\ L41' V t1v ? 7G 931.3 T. C. 93L./ a ? . 4 \ 0;588°30'00• "' ", N31.00 0 O S O ? 0 ?o ? e 0 ??\\ \\? W a?tll \?\ N? O \\ 3 P\? ? z J7\ ? 3 ?J G ? O ? ? ? O X 935! ? 3400 3l.op ? n55°so'oo'w ;,Oj ? o (936.0) ? 0 Denotes Iron Monument 0 Denoles Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (0000) Denotes Proposed Elevation Proposed Garage Floor Elevation= 936,0 ?- Denotes Direction of Surface Drainage Propesed Lowest Floor Elevation= 93G.5 I hereby certify that this is a true and correct represeniation of a survey of the boundaries oF. ? Lots 25, 26, 27, and 28, Block 1, 7N05145 LAKE HEIGHTS 2\"D ADDI7I0N, Dakota Count}•, t:innesota And o( the location of all buildings, it any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of ihe stakes as set tor a proposed building. As surveyed by me or under my direct supervision this" 25 day of April 19 85 Paul A. .lohnson Land Surveyor. Minn. Reg Mo. 10938 ? i°` 40' CERTIFICATE QF SURVEY Z McCOMB ? •?°E fior l S-KNUTSON ASSOCIATES, INC. te.LL•Unc IRUrt?t 0 LLrp Sin?[?ety ? sri! ru.RU A {"'1 ? / ? ?K?/1_aN f..?? .,.? . .•r ^ rni.a • [ fT ly! ` il ?wF?+a?n ti wtt?ncpw.Ww??p7? ???D I?LYY ? fVl \ ?V11'c?V f HORI2ON HI'LLS HOME OWNERS ASSOCIATION ARCHITECTURAL CONTROL APPROVAL According to the at'tached co y f your Architectural Control Application dated : (D?2ll I for the addition/ alteration of 1 Dd 20--T?c'T . approval is granted pending the receipt of a City of Eagan Building Permit. - Once you have obtained a City of Each Building Permit, please mail a copy of it, along with any applicable drawings as required for the building permit, to: Horizon Hills Home Owners Association Attn: Architectural Control Committee Post Office Box 21423 Eagan, Minnesota 55121 As stated an 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 com letion date of this addition/alteration shall be rf-3/-/ 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 HHAOA completing the addition/alteration project and assessing the costs to you. Date: // Approved 4y• Azt ? ff24_ J'? , White Copy - Someowner/Canary Copy - Horizon Hills File ? CITY USE ONLY LcX0 eL RecEIaT #: /4a? la 5 SUBO zJtz ,a?' RECEIPTDATE: 1999 PLt1M$ENfi PERMIT (f{ESIDENTil4L) crrY oF EAenN S$SO PiLOT KNOS i{D £AfiR1V, MN 55122 (651)681-4678 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH Shower 3.00 Water Closet 3.00 Bath Tub 3.00 Lavatory 3.00 Kitchen Sink 3.00 Laundry Tray 3.00 Hot Tu6/S a 3.00 ater Heate 3.00 oor Drain 3.00 Gas Piping Outlet * minimum- t 3.00 Rough Openings 1.50 Water Softener ' tor dwenmgs under construction 5.00 Water Softener ' for exisling dwelling 30.00 U.G. Sprinkler ' for dwelling undar const. 3.00 U.G. Sprinkler ' for exis6ng dwelling 30.00 Alteretion5 " to existlng residence 30.00 Water Turn Around 30.00 Private Disposal System ' MPC iic. 75.00 (new and refurbished systems) Private Disposal Systems ` Abandonment 30.00 RPZ (new installation/repair) 30.00 eminder: Call 681-4675 for inspections of water heaters, # TOTAL x = x x = x = - ?o STATE SURCHARGE .50 water softeners, alterations, etc. /? TvTl1L D? --------------------------------------------------------------------------------------------------------------------------------------------- f hereby adcnowledge that I have read Ihis application, state fhat the information is mrtect, and agree lo wmply with all applipble City of Eagan ordinances. It is the applinnYS responsibility fo notity the praperry owner that the Ciry of Eagan assumes no liability fw any damages qused by the Ciry during its normal operetional and maintenance actrvi6es to the tacilities c Wcted under this pe thin City propertylrighPOf-way/easement. SITE ADDRESS: I!!?- (o r„ MO n--' OWNER NAME: INSTALLER NAME: STREET cirv: TELEPHONE #: STATE: -S"r ZIP: ,? SIGNATI}RE OF PERMITTEE CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1999 CITY USE ONLY PERMIT #: RECEIPT DATE: 91 -O ? R.SSIDENTlAL MECH"Clki. PEiMIT lEPPLICATIOR crrYoF Ensax 3530 Paar icivoe su EEkBRft M1Y S51 EE 651-681-4675 Please complete for. ? single family dwelifngs townhomes and condos when permits are required for each unit Date: 0(?s I 02_? 0 , SITE ADDRESS: OWNER NAME: INSTALLER NAME: TELEPHONE #: (o5 I 3ZZ Zio (AREA CODE) STREETADDRESS: ?}?p LpS I ?f-S? C CITY: STATE: .G- ziP: ?55U&pS-E$3'S Place a check mark next to the ermit work tviie New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existina dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e $ .50 Total $,5G -5? Reminder: Call for inspections. SIGN O PE EE ? • Updated I/Ol SSq CITY USE ONLY LOT BL ? RECEIPT S!: SUBD. 1' RECEIPT DATE: MECHANICAL PERMIT # 1999 MEcHArriCAL ?ERMrr (REstDUr1AL) CIT'Y OF ERfiAN 3$30 PILOT KNOB RD EAfiRN biN 55122 Date: _? (851) 6$1-4875 Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occunied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surcharge Total $ 30.00 6.00 $ .SO Complete this section onl if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration Repair _ Other Remrnder: Call 681-4675 for inspections. ? Fumace _ Air conditioning Air exchanger _ Other SITE ADDRESS: OWNER NAME: INSTALLER NAME: PHONE #: 6 Is 1- 6464- 4%L 7S (AREA CODE) PHONE #: 8810 Wentrvorth;??fr?,?u?3nu:?? _ .-- - cnaFnconE? STREET ADDRESS: ? -• U:??"CJ\FJ CITY: STATE: ZIP: $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 aL O, ? SIGNATURE OF PERMITTEE /jf? N? vA k'tcle..i z.vn1 ?f?????? Cjea- HEAT LOSS CALCUlAT10NS H EATING 8 AIR -%Wf Ot'd CONDITIONING I?lt7? 26,-15=1 CQ MINNEAPOLIS, MINN. Wealhers[rips A,S.H.V.E. CanstruCtion No. . Insulation ` VTindows Doors Guida Reference Qut. Wall Inl. Wall Caillop ROO( Floor Kind How Applied Yes-No Yes-No 19__ FI. ??rlNV.f? -? _pRoan Length widtn Hlight ? FI, mp?? &-T)flopn lBngth lyp .Widlh °i!i Height : _ YJindows and Doors-Crackage and Area Windows a nd Doors- Cracka ge and Are a ry? W?mn ol ane Ne?pht of pana Na. ol I. hta Lineel It. of crack A.ea eq, tt. L, No. Wid,h o/ ene Nmpnl oi ene No. of h hta Uneal 11. o/ c,ack a aC. ??. a z ? 1 ?? p ,?<'?1 ? ?? ! ! Q Coet 8 tu Coe( B tu Infil[ration Infiltration 21 7 .1 701 Glass Zq ?io Gless 1-1 !} t ? - s Exp. wal l 0 a Exp. wall 10 7( %0 Netexp.waH 1?, q.? 91 Netexp.wall ?• 25?a "T'FiSti- oia+r 1 117 222 Int.well Ceiling 12 1160 Celling 26 1.5 s I Floor floor 'n 7otal Btu. 7$1 iotal Btu. J ? Required sq. ft. E.D.R. ar sq. ins. W.A. Leader erea Requir9d cq. ft. E.D.R. or aq. ins. W.A. Leader area FI. Room LenBth Width Height FI. E 2.411Lgom Length ( 5 WiMh I (S Heiyht ij Windows and Doors-Crackage and Area ? Wi ndaws a nd Dows- Cracka ge and Ar ea No. W,tllh of ane He'pMa ol an No. ol h hts LmeaI Il. of cr ck Aren N?' Wi?rh al e1w Hx,qht nl nnn No. uf h hte LineHI IL of crack Area so, ft. , A:? AF,? 2 2g 2 2 , Coet Btu Coef Btu Inliltration 224() Infiltrauw z1 _;?• 1l Glass s? AObb Glass Ezp. wall :;0, Exp. wall 1 .+ _ Net exp. wail 1 f? Net exp. wel c 1 J '=f. ?2' Int. wall Int. wall Ceiling I !t, X-?? Ceilinp (? ?s<} 2 •`? 3-15 Flvor Floor 1 '? Totel 8[u. S Totel Btu. 3211 r Required sq. ft. E.D.R. or sq. ins. W.A. Leadar area Required Sq. ft. E.0.R or . ins. W.A. Leader area Room Length 1? Width '1 Height ? fl. %D oom Lengtb I Width Height'a Ydindows and Doors-Crackage and Area W indows a nd Doors -Crack age and Ar ea N. Wid?h of ane Heiphl ot pane Na. ul h Ms L-neal It. of uack A•ea s0, tl. No. W' ??n ut ane He:iO??? uf Oane Nn_ ol L hts L?neal h. af crac4 Aiea sp. N. f C001 8 tu ' Co01 B Tu Infiltratwn Infiltranon _ Glass Gless Exp. wall Exp. wnll Net exp, wall Nat e.v wall Int wall Int. well Ceiling 12- '+t.-1 21 =0 Ceilmg ???' Floor Fl" ??, ?•• "?,'?d Total BW. Total Btus Requued sq. f[. E.D.R. or 5q, ins. W.A. Leeder area 1 a RaquireJ . D.fl, o, sq. i eader arpa qft. HEAT LOSS CALCULATIONS 56• S6*94pc HEATING&AIR CONDITIONING CO. MINNEAPOLIS,MINN. Weatherstrips A.S.H.V.E. Conetructim No. . Insulation 4indows Ooors Referenca Guide Out. Well IM. Well Ceiling Roof Floor Kird How Applied Yes-No Ves-No 19_ fl, Rovm Length ?o Width Hlight FI. Poam lenAth Width Heiyht _ VJi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea N.. WrA,h ol ane He?pht of Dene No. of 0 M1ts Lineal it, of c ra ck Area sq. it. No• tdih o/Wane Haiphl Of ene Nn. al Ir Als Linae' h. ol creck Area aq. 11. ? • R,.. Z ? r ? v .?G. V V i(o Coef Btu Coef Btu Infil[rati on 311 760 Infiltretion Glass Glnsa P? Exp, wal I Li: Y., f? ! Exp. well Net exp, wa11 S(rf U 2 Q Net exp. wall Int. wall Int, wBll Ceiling Ceilin9 Floor floor 7otal 8tu. Tptal Btu. Reyuued sq. 1t. E.D.R. or sq, ins. W.A. Leader greE Required eq. 1L E.D.R. or sq. in6. W.A. Leader area FI. '?! , „` Ropn Length 1 Width 11 Heipht FI, Room Length Wid[h Height Wi ndows a nd Doors- Cracka ge and Ar ea ? Wi ndows a nd Doors- Cracka ge and Ar ea N°' yy,d1h of ane HeiqM ol ene No. al h hig Lmeal h. af crack 4rea aq. 1,. No' W?Mh 01 ene Mxiqht n} anu Na. uf h hte L.neal 1t. of u ck A?ea sa. h. b r q J ? .7 ?-. Coef Btu Coef Btu InfiltrsUOn ' 11-1 2223 Infiltratwn _ Glass Q (i Q Glass _ Exp, wall Exp. wall Net Bxp. W I I Zgly 4.1 1 1 Net 9xp. wall _ tutr? Ve} % f 2 ?U 22-JO inc. wan -- Ceiling Ceilinp Floar 4'1 ` t Floor Totel 8tu. ? 9i Total Btu. _ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq, it. E.D.R. or sq. ins. W.A. Leader area Fl.I m.!;?,-,r ?jtitQoom Length 1 Width Height FI. Rppm Length Width HeiBht _ Windows and Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Area N, W..1' n M ane He.qM of oane No. ul I- his L.neni h. ol nack Area g4. fl. No. Wimh UI ane H".pin ul pna No. ol b Ms Lmeal /L o/ crack 4ren sp• IL Coet Btu ' Coet Btu _ I nf i krah on Infi Itrat ian ? Glass Glass ? EHp. wall Exp, wnll Net exp. wall 7Xb 6 q.? 2 0 N81 exp. wall Int, wall Int. well Ceibng Celling -- Fioor riocer -- Tutal Btu. Total Btu. Required sy, iL E.D.R. or sq. ins. W.A. Leader area Required sq. (t. E.D.A. or sq. ins. W.A. Leader area --?? ?-Z`1gq 2006 RESIDENTIAL MECHANICAL PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings &[ownhomes/condos when permits are required for each wit 14 30.sa Da[e ? / / 4 / ,? 6 SiteAddress /dJ(pAlAA- Unit# Propeety Owoer Telephone tk )V.7 y'?7? Cootractor seocUrK HEATING 3 AIR 69NDITI9N IN6-k 8910 Wentworth Ave. ? StreetAddress ?? ? ?P Ctty ? s ?5?0 5tate (952)887-900ULip Telephone#( 1 PPR Bood#: ld4DOo( ?G/tp Expires: ? ° o 'd16 The Applicant is _ Owner Contractor _ Other Add-oo or alteration to existing dwelling mit $ 30.00 furnace _Additional e!'Replacement _ New air exchanger ? air conditioner IP)9 heat pump other S[ate Surcharge $ .50 , T ? .sd $ jz ota _ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permi[, but only an application for a permit, and work is not to start without a permiT, that the work will be ' accordance with the approved plan in the case of work which requires a review and approval of plans. , S€B6YMf:KHEATING 8 AIR CONDI'f iCj::.?u LLC y ApplicanYs P6gjVWYftorth Aae. Applicant's Signature Minneapelis, MN 55420 (952)881-9000 \ ,7 • i — _. - k c 0< I g A., f ' \\■ 1 / 1 i 1 yi ' -7- Use BLUE or BLACK ink 1 For Office Use 1 . t 1 Il ; Permit* 11 to q b of L(. to as Permit Fee: 1_ 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 1 Staff: t I ----------------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # Date: 16-11-IS Site Address: 15 15 81d C _1 _ _Unit Resident/ Name:-#Or/* _116./1'0 Phone: (1,14- 2 S',W d_- Owner Address / City / Zip: Applicant is: Owner - Contractor Description of work: R_ r.4 F i r1- - Type of Work Construction Cost: a S ~5 _ Multi-Family Building; (Yes No Company: Contact: !2 '3 o ea Ca trat for Address: _ 'ai'JIe1~a~ic+~, city: Minna. lZs State: 1)2& Zip: Phone: (DZc2 - 7 2-1 506 License Ar- - L U 0 4 2-- Lead Certificate -2 Y?97 f 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: -----------------Y~-___-_`------_--- 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. Cap Gopher State One Cali at (651) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 160 days of permit issuance. x_ 9fl'2 abeM ~i eri x Applicant's Printed Name j Applica s Signature - Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA130061 Date Issued:04/01/2015 Permit Category:ePermit Site Address: 1564 Clemson Dr Lot:26 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Holly Flood 1408 Northland Dr #310 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Faith M Johnston 1564 Clemson Dr Eagan MN 55122 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature SEDGWICK HEATING & AIR CONDITIONING CO. HEATING �aBN� `''�27) /�'� 1408 NORTHLAND DRIVE,SUITE 310 • MENDOTA HEIGHTS,MN 55120 • (952)881-9000 TEST RECORD ADDRESS �� /�/1�'`�-;/� � �.1� CITY �v'' ' ' OCCUPANT OWNER��✓ J— _ SOLD BY INSTALLED BY �x�a'�°�+`'"�T �v�S ��'�""'�'""'�- MAKE �/`� "�`�� MODEL 5�-�°��`�3��- SERIAL NO. S�' ��Sf INPUT �� L� P�.�c� ��" THERMOSTAT VENT SIZE VALVE ��`'� �`�� TYPE OF LINER�U� St� �P Lo � ` LIMIT LINER SIZE )$a�� d`�� , j LIMIT SETTWG FILTERS: SIZE �4 ��'��/ NUMBER ��rl-�""`�^ FANSETTING �� WIRING �,l�� .s---� PILOT TYPE TEST TAG IGNITION MODEL t� � LIGHTiNG INST. PIIOT TIMING �SL(.und`� DATE TESTED L �� ` � ,� C PRESSURE�'� ` � PERCENT CO2-�` � , 1 COMPANYTESTING �- �� INPUT CFH �� PERCENT 02 �- . � . .-- / . STACK TEMP.�.L�!_ PERCENT CO ` / NAME OF TESTER FORM 235(REV.10/10) FORM DISTRIBUTION: WH COPY-JOB FILE YELLOW COPY-CITY • For Office Use • •• i i f • Permit#: IN i:%.' .,..• E AG N •••• �•�� Permit Fee: -� Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EC "E 'oft: (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675- �,r l N I r/ r Staff: j buildinginspectionsCa�cityofeacian.com L 2019 RESIDENTIAL BI5 IT APPLICATION Date: L / 7/1 / Site Address: /�4,V (��lvid/17✓ i(.J/ Unit#: ! Name: Dili IT 4, /OVA/ adad'4+E Phone: Ctidlitr } Address/City/Zip: Applicant is: Owner X Contractor T Description of work: / /!i .Z4 /i ZI:e—�Z � 07%1 t- 1�� 2D QIP . Construction Cost: Multi-Family Building: (Yes /No ) • • ,frev Company://DK ettAK17 6 TTe7%I AW0 /ld l .Y��Contact: fl4iJ L jh ,�-a. C s Address: /4-11.,.1 6H2l7XZ# ,II/i - City: l� 6'LSE 11,427,- t .. state:81V_Zip: 443/.41-/ Phone:6s/ / rr40v rlete_ftX 7u'frAiceaLlyerae License#: 22.- 9f IL Lead Certificate#: If the project is exempt from lead certification, please explain why: L gr1041 ' 7i r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit fora 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 _ -theinformation maybe • - • "c Wy.�es� r. 9�a' `�'6T,'i. e. r 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.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.orq h work will be in conformance with the ordinances and codes of the City of I herebyacknowledge that this information is complete and accurate;that the o 9 work is not to start without a '; that the work will be in fora permit, and pe understand this is notapermit, but onlyan application Eagan; that I accordance with the approved plan in the case of work which requires a review and approval lans. Applicant's Printedet/r bApplicant's Signature DO NOT WRITE BELOW THIS LINE /s 6 y C I C m s o n bif2_ , / J 6.0 6,/z/ SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi C Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous IA"01 of k 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 20 Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation ji/ 3, Doe.— Occupancy MCESystem Plan Review Code Edition A 20 i C SAC [lnits (25%_100%10) Zoning P,7 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction '113 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) y Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof: _Ice &Water Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan IOther: Reviewed By: T' lin ` ,Id 4A- , Building Inspector RESIDENTIAL FEES ✓ Base Fee (' x; S %/ll, t)o f i 4 Surcharge , Plan Review /D ,k 2t . ' 2 00 3'S • "de MCES SAC ®, 5/ / D.2 fl , /4r City SAC `� Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3