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1565 Clemson DrCITY OF EAGAN Remarks Addition Thcm?aS i.ak _ Heigjt= ddi ; nn Lot 81k ?16 Parcei # Owner f st?eet 1565 Clemson Drive 5?te Eagan, I?II?1 55122 (mprovement Date Amount Annual Years Payment Receipt Daie STREET SURF. 1981 . , $ STREET RESTOR. GRADING SAN 5EW TRUNK 1 ' *SEWER LATERAL JI/;t. 1981 161 1 7 52 15.05 5-5-8,4 ; WATERMAIN * WATER LATERAL 1981 WATER AREA STORM SEW TFiK 249.91 O 5-1-83 * STORM SEW LAT isSl CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PARK CITY OF EAGAN l Remarks ' Aaa;t;on Thomas La ke Heig? Addition ?ot ? 34 Blk ; a-- Paroal #la Owner Street 1565 B C18mSOII DriVe State Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADiNG 5AN SEW TRUNK *SEWERLATERAL 37.61 7.52 WATERMAIN ,t WATER LATERAL WATER AREA _ STORM 5EW TRK 1981 2 249, 91 5-5-83 SEW LAT 1981 CURB & GUTTER 51DEWALK STAEET LIGHT WATER CONN. BUILDING PER. 5AC PARK CITY OF EAGAN Addition oma? Owner ddition Lot a--V Rlk OL a- Parcel #10 strftt 1569 Clemson I?rive StaLe Eagan, MIIV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. S 1u.8 AOZZl 2' -5-8 STREET RESTOR. GRADING SAN SEW TRUNK *SEWER LATERAL s2 7.52 1.0 A0121 2 - 8 WATER MA I N * WATER LATERAL WATEA AFiEA ? ?{.61 A4121 2 - 8 z STORM SEW TRK AQln 2 5- -$3 *STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, OUILDING PER. SAC PARK CITY OF EAGAN Remarks , , - - Addition'=' s0ma% 1,?k"Pi-ghtpdditicuz Loc i ? eik ; aParcel #10 Owner 7street 1569 B ClemsOn DTiYe state Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 1981 279 71 5594 5 111.89 STREET RESTOR. GRADING 5AN SEW 7RUNK f C77? *SEWER LATERAL 19 37, 61 . 7.52 0 A012112 - 8 WATERMAIN *WATER LATERAL 1981 WATER AREA &,9 54.61 AOM L --8 STORM SEW TRK 91 A0321 Z --$3 *Si'OFM SEW LAT 1981 ? CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK 07 SEDGWICK HEATING 8 AIR CONDITIONING CO. /??1?,? HOUSE HEATING TEST RECORD ?F? ADDRESS l `J (O ? CC.?I ?1 t-lS /C CITY t - ..?5m? OCCUPANT OWNER -- HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY__ Electrical Work By C'SL_ o Gas Line By _ ?:.? TYPE OF HEAT GAFA? HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSlON MAKE r MAKE QF BURNER ------- Model _ 3 9 ?C' Ac..1 rs Q- q o's a Model ? Serial 5'1Qi 5 A 75G -+ S Max. BTU Rating INPUT _ Sp, o d° MAKE OF FURNACE ------ CONTROLS THERMOSTAT83$?_ Heat Plug Valve 'S )< ' t-I 'S?J S b X-? Limit S t? rti? c'? Limit Setting - --2'?D° F Fan Setting ?dc? 0 1? Pilot Type ? L tE C-T aiJ ' C- Pilot Makt S?°?'? R'K I G,na I 7 ov'? Pilot Model H S C? Pilot Timing r4 ? L.W. Cut Off Vent Size L.-r, KIND OF LINER SIZE NONE Draft Hood !LJ nuGE:0 Regulator Filters Size Number I Chimney Location Inside x Outside Chimney Construction CLLF) S`s E-, Smoke Bomb Draft -------- u Door Pressure Pressure 2'?- Percent C02 ° Input CFH L? 7 Percent O Stack Temp. a / 2 ??C Percent CO oAJIE?' Z Wiring O-, Test Tag 7?t-S Lighting Irtst. a ?- Date Tested L/` a- a - Company Testing 5F- b, ? Name of Tester C-b t.-I Form 235 -7? SEDGWICK HEATING & AIR CONOITION HOUSE HEATINGTEST REGORD i J C°??,?2a-o??x ADDRESS 15629 CJ..EMSc/J CITY - ? OCCUPANT - OWNER t-J F tz?../ wrc S HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY ? ??-?cAicc_1C Electrical Work By Gas Line By - ?Iktlck- TYPE OF HEAT GA _ FA-' -/ HW._ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE ?n c?, \ I gr?lT Model ?: 94-? w«l n a +-fo?c Serial _ i 4A[? Ft --; kun d INPUT -&-n . .-? n z, ? ?????? ?CONTROLS THERMOSTATGe?t3? Heat Plug `- Valve- S),C 3L4 S r.1So}C- ?;i- Limit 'ST?E v%&C..c? Limit Setting Fan Setting loh° F-7 Pilot Type ???c T C-?d tr ? Pilot Make Pitot Model W? L 1 PilotTiming t?JSrw+nl-T L.W. Cut Off --' Pressure .? ? ?? ?• ? Percent C02 Input CFH 44-7 Percent 02 5 e Stack Temp. Percent CO e MAKE OF BURNER Max. BTU Rating -- MAKE OF FURNACE " Vent 3ixe KIND OF UNER SIZE NONE Draft Hood 141)uLr---? Regulator t?? 5 Filters Size Number Chimney Location lnside Dutside Chimney Construction C--C-+'.SS t? Smoke Bomb ` Draft - Door Pressure Wiring (25 K Test Tag 1 t---S Lighting Inst, n k-' Date Tested -- 14 -,20 - g 7 Company Testing ??D<-,[.JtG(C Name of Tester Form 235 GEO. SEDGWICK HTG. & AIR COND. CO.Jq-,?? S() 7 a ? HOUSE HEATIfVG TEST RECORD ?"???2??.%??? ??• `?? ADDRESS CITY OCCUPANT OWNER HEAT LQSS - ' SOLD BY ` `-- INSTALLED BY Electrical Work By li?&?•a ??? Gas Line By _ S?Dt?j c.t rC Fr_ TYPE OF HEAT GA,_ FA _?L HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE in%/`r Model c,J o a L-; c, Serial !-/Cc ?i INPUT CONTROLS THERMOSTATTb?L` Heat Plug '- - Valve 'S x 3 ?-/•? ?.15o u- ,? Limit S -?C_ «t ? o Limit Setting Fan Setting F Pilot Type ?-? c TCZ L Pilot Make Pilot Model ? S C ' Pilot Timing L.W. Cut Off - ` Pressure ?? s , ?? • ?- , Percent CO 2 Input CFH 4-; -7 Percent O 1??l p Stack Temp. ! & .5 T_-_ Percent COz DATE HTG. INST. MAKE OF BURNER Model Max. BTU Rating -- MAKE OF FURNACE Model Vent Size ? KIND OF LINER --- SIZE NONE Draft Hood Regulator s Filters Size Number ? Chimney Location Inside "<- Outside Chimney Construction f?L A^? ? It-, Smoke Bomb Wiring Draft Test Tag Door Pressure ---Lighting Inst Date Tested Company Testing 5 E? c? , 'i , cr- Name of Tester C C",! fGmo ? P.D-- QMLC,IN 893-6528 (W) --- -• --• -- CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MM 55121 • PHONE:454-8100 BUILDING PERMIT Receipt # Site AddY4 s - Lot Block a ? 0 City + Phone 470-3900 o Name 1 = ? Q Addres4 ~ City Phone uj W Name D. GR I SWOLD ? a Address <W Citv Phone 435-7524 I hereby acknowledgethatl have read this application and state thatthe information is correct and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Signature of A Building Permit is issued to: '•V. " all work shall be done in accordance with all Building Official 11783 Erect 0 Occupancy Remodel ? 2oning Repair ? Type of Const k Addition ? No. Stories Move ? Length Demolish ? Depth- Int. Impr. ? Sq. Ft Install ? & Permit 316.00 SAC 575_00 ier Water Meter 63 _ SO cil Road Unit ?QA _ np Off. 4111.186 Tr. PI. 156,00 Var. Date Copies TOtal , 0897-00 on the express condition that r PKmM No. ParmN Mald4H Dafa TNephont X Plu" bC? ..o-Yn ? N.V.A.C. ENcMc SoRerNr Inspecdon Date Insp. Commenb Foodnys I Footfnys II Foundetbn Framiny Rooflnp Rough Plby. Rouyh Hty. s 7 ? Insul. ? g Fireplace FMaI Hty. FInaI Plbp. Bidp. Final Co?t.Occ. Dock Fip. Dsck Frmy. WNI Pr. Dlap. ' PERMIT # , . . . ' PLUMBING PERMIT RECEIPT # ' CfTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address ? BLDG. TYPE WORK DESCRIPTION Lot Block - Sec/Sub y Res. New ' m Name Mult Add-on ? Address Comm. Repair c ? Ph Cit Other y one - TO A T L NO. FIXTURES Name Water Closet - $3 00 $ ? 3 Address . Bath Tubs - $3.00 Lavator - $3 00 p City Phone y . Shower - $3.00 I / Kitchen Sink - $3.00 FEES COMM/IND FEE - 1% OF CONTRACT FEE al/ idet - $3.00 Ur' i I„a ndryray -$3.00 MINIMi1M - RESIDENTIAL FEE -$10.00 T_Floo rai s-$1.50 MINIMUM - COMM/IND FEE - 20.00 i yya? f} ?r - a1.50 STATE SURCHARGE PER PERMIT - .? Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES / Gas Piping OuUets -$1.50 BEYOND a1,000.00) Softener - $5.00 Well - $10.00 SIGNATURE OF PERMITTEE rI FOR: CITY OF EAGAN - $10.00 ngs - $1.50 . . , -- , FEE STATE S/C: ' GRANO TOTAL: ? Pe*T # C) . , ' rMECHANICAL'PERMIT RECEIPT # ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 5ite Addr ss BLDG TYPE WORK DESCRIPTION ? . : Lot :` Block Sec/Su V" R ? N es. ew Name Mult Add-on ? Address i C R c City M pk-? Phone `' `- W r omm. epa Other Name FEES ? c Address AES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK ? GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1°rr4, OF CONTRACT FEE Bailer M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MfNfMUM - COMM/IMD FEE - 20.00 Air Cond 2,? M BTU $ STATE SURCHARGE PER PERMIT - .50 . (ADD $50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # ? ?• JU Other FEE: ? S/C• . SIGNATURE OF PERM EE TOTAL• ? FOR: CI7Y OF EAGAN ?; ., _ • CITY OF EAGAN 12 ??7??? -? , 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE: 454-8100 r BUILDING PERMIT Receipt # 4o(177 Z Site Address 1569 B a.M'l34N DR It,IE EreCt [Z Occupancy R -1 Lot3 5_ Block 2 secisub. THOMAS I.AKE Remodel ? Zoning p ?- HEIGHT Parcel No S 1 Repair ? Type of Const U . Addition ? No. Stories Move ? Length 44 W NRW AnR27.dr1 HAMF.S Name Demolish ? Depth 2 (j = o Address ?_13fi'? Int Impr. ? Sq. Ft City Phone ?4 76-i900 Install ? . x OV U` ¢ ? Name SAME & Sew. Permit 316.00 Surcharge 30 _ 50 Ptan Review158. 0Q SAC 575.Ot3 Water Conn. 500. 00 Water Meter 63 . SQ RoadUnit 290_4? Tr. PL 1- f,6 . 00 Phone F ¢ ? Name D. (YR I SWOLD ? ? <W Address Citv Phone 435-7524 I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ; Signature of Permittee ' A Building Permit is issued to: NEW HORI ZON HOMES all work shall be done in accordance with all applicable State of Minnesota Building Official Eng. Planner Var. Date I Copies Total 2, 089.00 on the express conditlon that City of Eagan Ordinances. • wrmn No. wrmic Haa« o.e. TN.Pnom * Plumbiny - H.I.A.C. - - ?. el.cc?ic ' S . -s -- 8011Mlf Inspaction Dab Insp. Commonb FooNnQs l FooNnys II Foundatbn Framiny F ?. RooNny Rou9h Plby. Rouyh Mty. 4/.4V/x Insul. V/ f Fireplace Final Hty. Final Plbg. ` n &dy. Finai Car1. Oec. Deck Fty. Daek Frmy. Well Pr. Dimp. . ? rtHnni i 9 „- . PLUMBING PERMIT CITY OF EAGAN RECEIPT #`? -? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?? CT PRICE PHONE: 454-8100 PSs 11 BLDG. TYPE WORK DESCRIPTION m Name .q Address c City - --- Res. ' New Mult Add-on Comm. Repair Phone Other ? Name c Address p City Phone FEES COMM/IND FEE - 196 OF CONTRACT FEE AMNIMJM - RESIDENTfAL FEE - $10.00 MINIMUM - COMM/IMD FEE -. 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN NO. FIXTURES TOTAL Water Closet - $3.00 t Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Well - $10.00 Z9_Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: ' t3RAND TOTAL: PERMfT # 7 I ? I 4"MECHANICAL PERMR RECEIPT # ?id CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE: 7S ? PHONE: 454-8100 Site Address BLpf,,, TypE WORK DESCRIPTION Lot ? Block Sec/Su ' - Res. ? New Name - ? Address . 1 C?L I XEJ? IA A VE S omm. R?aon c City Phone ° - Other a? c 3 O Name _ Address City _ TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM I FEE S/C: TOTAL• RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) i SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN . ` , BUILDING PERMIT Site Address -4bJ LotI I Block Parcel No. ? . :AR :..CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Est City J"?IJ14- Phone gLU-.3yUU _ ? Name a?ti?'1F S Q Address ~ City Phone GulswoLD E W Name _ ? Address i W Ciry Phone 435-7524 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. SignaWre of Permittee A euilding Permit is issued to: R7RW HOP.I ZOP1 H0MES) all work shall be done in accordance with all applicable State of Minnesc ? Building Official -- ?f ") 11782 Receipt # ?7 , i 19 Erect ? Occupancy R3 Remodel Zoning p(+? Repair ? Type of Const Addition ? No. Stories Move ? Length w A Demolish ? Depth .2.6_ Int. Impr. ? Sq. Ft Install ? Approvab Fees Assessment - rermit I 1 C_ 0 0 Water & Sew. Surcharge 30 _ SO Police Plan Review ISg - ?0 Fire SAC 575 _ DQ Eng. Water Conn. 500_ DO Planner Water Meter 61- S U Council Road Unit ? c)n- ?10 Bldg. Off.4/11/8 Tr. Pi. 7 tifi- n D APC Parks Var. Date Copie 2,089.00 on the ezpress condition that of Eagan Ordinances. PamH No. Pemqt MoIdM Dab TNephona M Plumbing' -a _ H.V.A.C. Electric Solhnw Inspscdon Date Insp. Commonts Faotlngs I .3 Foodngs 11 i Foundation Framlng ? Roollnq Rouyh Pibp. - ?? Rouyh Hty >j4, 41I ?. l"•°l. /l Firaplace Final Hty. Flnal Plby. - - Bidp. Final Cert. Occ. D*ck Ftq. Oock Frmg. Well Pr. Disp. PERMIT # PLUMBIHG PERMR RECEIPT # CITY OF EAGAN 3830 PIIOT KNOB ROAD, EAGAN, MN 55121 DATE _ DNTRACT PRICE PHONE 454-8100 Site AddreAs Lot - ? -? Block Sec/S ub-? L , ? m Name ? Address c City Phone Name (D - Address O City r Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20_00 STATE SURCHARGE PER PERMIT - .50 (ADD $•50 S/G IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE BLDG.TYPE Res. Mult Comm. Other NO. FIXTURES :' Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 r Floor Drains - $1.50 WORK DESCRIPTION FOR: CITY OF EAGAN New Add-on Repair $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• CON 7f , . TRACT PRICE: Site Address /,?4 Lot ' "'' Block m Nami[n $awl ? c Address Ci ry ____mwN L Name 1'ig(,6 c Address p Ciry TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outleb # Other PERMIT # ! MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: pNnNF• ase_ainn Sec/Sub Res. ? Mult Com m. Other WORK DESCRIPTION ?D M BTU M BTU M BTU M BTU CFM FEE S/C: TOTAL• New _ Add-on Repair. RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M 6TU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES ., OF PERMITTEE FOR CITY OF EAGAN ' CITY OF EAGAN *, t n r? 117 t: 5 3830 Ribt Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 '- . •' ? - PHONE: 454-8100 BUILDING PERMIT Receipt # To be used tor 7 nF d Pi.FX Est. Value n n n Date 19 Site Address 166.fi na ?+?E,SO.N.RRiVE Erect ? Occupancy *?A Lot?? Btock 2 Sec/Sub. 'r"???'; ?*?? Remodei Zonina PF) Parcel No. uFIGF?TS Z Repair ? Additi ? Type of Const N St i on o. or es Name N RW N CAT$013 NA??s Move ? Length a d - - W Demolish ? ? c Depth o Atldress ?? g???96'7 Int Impr. ? Sq. Ft City 421-?- Phone LZ6-39aa Install ? O N3me aAM E Approv als Fees Z ? Q Address Assessment Permit 'i t ti nn ~ City Phone Water & Sew. Surcharge ? ' Police Plan Review?p = Name D. (;R T SWnt.n wI Fire SAC 57 r+ -?? F: n Address Eng. Water Conn. 5 t)? - 0? i W Ciry Phone -4.,3.5-7.574 Planner Water Meter S Council Road Unit 790, n? I hereby acknowledge that I have read this application and statethatthe i f i i gldg. Off. d?7?'t Tr. PI. n ormat on s correct and agree to comply with all applicable State ol Minnesota Statutes and Ciry of Eagan Ordinances, APC Parks - ' ' Var Date Copies ? :.- ; Signature of Permittee ': . ' - - Total 7- l1RA _ [1[1 , A Building Permit is issued to: NLW AORI2()N HomI?s on the express condition that all work shall be done in accordance with all applicable State of Minnesot a Statutes and City of Eagan Ordinances. Building Official F Pwmk No. PermN Holdor DsW TsNphone M PlunNny H.V.A.C. ElecMc ? T .-1 ? ' ,.•LJ ? -l -GxL' ?_ C - SOttMN Inspectbn DaN Imp. Commsnb Foorinps l ..? Footlnyt 11 Foundatlon Framiny iloollny Rouph Plby. _ G Rouph Htp. } 7? Iraul. ? Fkeplaee Final Hty. Final Piby. -2 Bldy. Final CeA. Occ. Deck Fty. Dtck Frmp. Wo P?. Dbp. . ' PLUMBING PERMIT RECEIPT # ? . CITY OF EAGAN 3850 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Address Lot Block Sec Name ? ?o Addre, .r c City _ .BIDG. TYPE WORK DESCRIPTION - Res. New Mutt Add-on Comm. Repair Other ? Name c Address - p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMJM - RES?DENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND a1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN NO. FU(TURES TOTAL wacer ciosec - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Fioor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Pipine Outlets - $1.50 avIunusr - J?U.w Well - $10.00 I_Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• ?_ ? SU7? • _ ? PERMIT# MECHANICAL PERMIT RECEIPT # • 3830 CITY OF EAGAN MN 55121 DATE: AQS12%? L PILOT KNOB ROAD EAGAN CONTRACT PRICE S , , PHONE: 454-8100 Site Addr ss - - BLDG. TYPE WORK DESCRIPTION Lot ? Block 4,- Sec/S C uh . N R 1 7 ' J ew es. m Name I . ? 1 ` ? ` . y 1001 XENl? AVL. . Mult Add-on ? c Address . . , J ? City MINNEAPOLI; ,pj?Ab _ , Comm. Repair _ ?, , , 1 ; j Other ? Name ` ' FEES c Address RES. HVAC 0-100 M BTU - $24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 6.00 ADDITIONAL 6 M BTU TYPE OF WORK _ GAS OUTLETS 1.50 EA. Forced Air ?' M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. ?L- M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other FEE J SIGNATURE OF PERMITTEE S/C: ? TOTAL• FOR: CITY OF EAGAN OF EAGAN Pilcr'. Knob Road 3ox 21199 ??/ 0(? , MN 55'l?21 3c) 1ew Horizbn :Ion?es Address: Site Address; ' '65 Clemson ^r Plumber: _' 'rsnn FltlM p WATER SERVICE PERMI T PERMiT P10.: " DATE: " _ No, af Units: ? Sr , , 1r'1.?a e: rceaaer IVO.: L I j• iJ U TN3 ?some t0 -lllpilr M/kb ?EY 5??? . i(7?`•? Ori1M lNiac. CFwrgss: 7 :' Total: ?etP BY Dote Paid: Orote of ?ns"p.: 9- y- CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Road P. O, Box 21199 PERMIT NO.: Eagan, MN 551,21 OATE: Za+inO: No. of Units: Owner. - - /kJdress: Site Addf!'Si: ! . . r „ t - . . . .. . . . - ' . Plumber, Nleter No.: Connection Chorpe: Site: Acoount Deposlt: Reader No.: Permlt Fee: 1 yrN !o oomplp wNM !M City of Efflp¦ Surcharge: DeJinnam Misc. Chorpes: Totol: BY Dots PoM: Date of Insp.: Irqp.: ClTY OF EAGAN 3830 Pilot K.nob Rosd P. O. Box 21199 Eagan, MN 55127 Zonirq: . Owner: '•• ; +- Address: Site Aiddress: Plurr-ber: 3EWER SERVICE PERMR PERMIT NO.: DATE: No. of Unita: IoOne to eomply wkh IIw Cill ef !ys¦ Ordiwreas. 8y DoTe of Insp.: ? Connsct(on Qrorpe: ' AtwuM Deposit: Pormk Fae: , ., •.,. Surdwrps: Ahisc. Qhorqes: Tofnl: Dare Paid: i CiTY OF EAGAN .. WATU SMICE PERM ; 3W Fiiot Knob Road _ ?- 'r ' P. C1. Box 71198 2?? ?,Q? ,{? r ? w? v - PERMIT NO.: . Esgan, MN 55121 :? DATE: ?ing: - w-?? No. of Units: er -- "orizon _.oraes ? Owner: Mdreu: Slr. Address: 1_1 ,13 C; emson r ive. '. -- ' I nme a a .:7 . ? 'T . ???r omoson um nsT ' l1A?tar 3"7 0 1?,? l? fon C1w U r p " 170 cr( _ .? ? Sise: ? ? D' Reodar No , ,)O d P . Nrw te a?wply *N6 tJv i1.?V 1 Su . 5 0 c R?QUIRED . . 156.00pd ? Totol: f?3.50pd -r:etnr By Dot. Pbid: ; Dote of Insp.: ? ?? ? /(•-?i Irap.: 'OFEAGAN Pibt Knob Road Bo;? 21199 i, MN 55121 No.. te esmpb wMh fM Citi oi typw 1NATER SERVICE PERMIT ?FOUiT un . Connection Chorye: Nooount Deposit: _ Permit Fee: Surdwrpr. Misc. Chor+Dss: _ Total: Oate Paid: ITY OF EAGAN ?N SERV?E PERM 830 Pilot Knob Road .; S17 P. O. Bnx 21199 PERMIT NO.: Esgsn, MN 55121 pATE: - '- ?' +r+0? ` 1 No. of Units: r. ';Zi7 Ii011ZGI3 300i@8 ?rss: ite Addreia:iSbSB ClLmson Drive I.36 B` 2":otaas I.:ine ''G:- ;. ?r :?iorR?son ?? umb ing 4 --22-86 61777 1 ywe te 40owFp wib eV CRY of Mp¦ OrliN?a? By Date- of insp.: 10O.OOp.i ConnocNw, Chory.: w 7 5. 00 pd Aooaxrt DepoWt: 15.Ot}pc'_ PermM Fee: 3. r.00pd Surclarpe: ; n•,: ? Miac. Cltorpm Total: Dote Pbld: - CASH RECEIPT - CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? DATE AMOUNT I $ /? I60 at DOLLARS ?se ? CASH CHECK FO / 4Vhite-Payera CoPY Yellow-Postinp CoPY Pink-File Copy Thank You N_ 61868 BY CITY OF EAGAN ?U?4-7O V1IATER SERVICE PQWIIT 3830 Pitot Knob Rosd F, :?: 4ox 2'1199 PERMIT NO.: Eegsn, MN 55121 DATE: Zoninp: No. of Units: µ"?' e°; OWfNr: -k -'"li : n•- [OIIt2S AddIlfi. ... : i 1 '.' T?r l. V ? /bdIlti: ?. & 'i.? i?B ?i t S .. ) . . -'t:•(?. Plumber. - ` 0 MN N r?!1• Q OI"? Sr o.: Sj'e; 8., c/C' Of@ j M F rpe: 15.0[)t,' _5;4j9je??FAHONE - Rsoder No.: 0 Q t;Fee: ` 1' ? . o i' pci ft9-f? le?p ?E . ? ? ? .5 (?p? d KC M?? ?; f]?? 156. Total: 53.50Dd -,net?r B • Paid: Dote of Insp.: Insp.: y_ 3- CITY OF EAGAN 3830 Pilot K nob Road WpTM SERVICE PERMR P. O. $ox 2,199 PERMIT NO.: Eagan, M1V 55121 DATE: ZoninD: No. of Units: Owner: =''' i U?' j.?. ?, s; '. C' t' ', Addmm Sift /lddross: Plumler. - Mater No.: Connsction Charge: Slze: Acoount Deposit: Raodsr No.: Pennit fee: 1GNN le «Nh? wMh tV Cify oi bp¦ Surd?orye: OrliwORaL Misc. Chorpes: ToMI: BY Dote Paid: Dote of Insp.: Insp.: CITY OF EAGAN SEWER sERVICE PERMR 3830 Pilot Knob Road P. 0. 8ox 2 i 199 PERMIT NO.: Esgan, MN 55121 p^TE; Zoninp: No. of Unlts: - - ? O+rrwr. ' Add?ess: Site /Wdross: Plumbur. . ,., - - 1 Mrw te Nwphr wbh tin Cilp of 169ea Con?NtNon Choege: OrliMneM. /locam pepositr - ' W rmit FM: ? SurcFwrpe: g1' Misc. Uwrym Date of Insp.: Totaf: Insp.: Ooft Pold: c"TY nc EAGAN ' yyAj? SERVICE " x PERMIT .s? . .,ut Knob Road ..$ P. O. Bax 21199 0PERMIT NO.: Eagan, MN 55121 DATE: " - ' -° ° Zonirq: T'•3 No. of Untts: -p ex ayner. NPW Horizon Roines Addrosx Sfte Addrcss: 1569 Clemsan nrive :..Z • >2 T1ioTT,a8 Lake i:ts ? plumber. Titori}:sort Plu;r.biriv notor r,ecri«, a,a.ge: -?' •'` r-? $IZl: posJt: Reodsr No.!? ? (P S e I prM te ee l . .1 ,p,, 7 ? y .. D ' O I' J ,`'? • D • r ? p ^'n F 1 ?G " Totai: , r 1_ By Dote Poid: 4 . 'fI : I nW: D I 41 ? gc ? I ; CITY OF EAGAN 3830 Pilat Knob Road P. O. Box 21199 Eagsn, MN 55121 Zonirg: . aWrflr: AddTESS: Site Addrcss: ? 5?? G]_es!Ac?tc ? Plumber. ' on,p5ox3 "' c? . Mettr No.. Size: Reader No.: I 1 qrN /e eewply wiNi 1y Cily of Eopm C 0?+?1Mwa?. By Dete of Insp.: WATER SERVICE PERMIT PERMIT NO.: D11TE: - r P10. Of Un1YS: ' - _ ., • _ . 1Um.8 iatCE' F?;. Connettion C?+orye: 71 ? ctf Accounc Deposlr: . . ??' Permit Fee: Surchorge: Mtsc. Chorpas: TotoL• Date Poid: CITY OF EAGAN yEVM sERyKE PEtMIT 3830 Piiat Knob Road P. O. Box 21199 pER/y{IT Np.: Eagan, MN 55121 pATE. Zonirq: R3 No 4-p1a-; Ownsr. ?:ew Hortman ?omes . of Units: /lddress: - Stte Add.esss:; 569 Clemsan Drive 1.31; P? TY?oraas Uke i±s 1 Plumber. _ n=Curson F1umL it2g 4 1 y?w to eaeply wilM !ie Citir ef lagsn OIoMIION. By Date ot Inap.: 10O.0Opd Connection O+arpe: _ 4 7 5. Q0*d llctount Deposit: -- Z 5- ?Q,yid Pemdt Fee: - 1 0,LIL)P? Surchorya: Mlsc. CFwrpes; Totol: DaM Pold: _ This request void 18 rrnnths fnm VJ C 12154 Requesf t)ate Fre No. RouPh-in InsVecLOn qeq red? DReady NowW,ll Nnuty no"pe I I o- U Ys ?No «>r When Feady 1-1censed Electncal Convactur I hereby repuest ms0ection of above Owner elactrical work installad etSVeet Address, eoxpr Noute/No. /'? ?y.- C?tV _ __? J N, l/ V?- «T?? ecbon o. Township Name or No. Ranye No. County Occouan[IPRINTI /'16Z? RD*ZOAkS Phone No. Power Suoolier Address? Eleclrical Co actor I ompany amel -? /?p l.V• Cnntra,tor's Lio. MaiLng AdJress (CUnVactor ,??-or er Makine lnstallavon) Authonzed 5i9na[ure (COnhactor Owner MakinB InstallaLOnl _ n Phone,N w,? ?i MINNESOTA STqTE BOARD OF ELECT0.ICITY Gnggs-Midway Bldg. - Xoom N-181 7821 UmvarsitV A,e.. St Paul, MN 55104 Phone 1612) 297-2111 IMIS INSPE(.IIUN HEl1Ut51 WILL IVUI BE ACCEPTED 9Y THE STATE BDAflD UNLESS PflOPEF INSPECTION FEE I5 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-o00oi-oa 1 Sae inshuctrtans fof complevng this lorm on back of yellow coPV. f"(' 1/ 15 a, "X" Below Work Covered by Thrs Requesf FAd flep. T4pa ot Builtl,ng ApOha.cga WirOd EquoUman[ Wved Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt BwlAing Dryer Electnc Heatin Commeraal Bldy. Fumace S,lu l}??ioader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm O[ner oauty Diner ISUCC:ty1 ther Succify Other Othur c,ompure mspecrion ree veraw ' - p Fae ServiceEntrenceSize k Fee Fenders/Suhfeeders k Fee Cvcwts ? U to 200 qmps 0 to 30 qm s 0 tn 30 Am s Above 200 qinpy 31 to 700 qinps 31 to 100 qm Swimming Pool Above 700_Amps Above 100_Am?s Trans7ormer5 Irngation Booms Partial. Other Fee Signs SUecial Inspection S Sj? T ? emarks ? V ?TfYL E PauBh-in Date ? flh1 l i . e,E eci,+ce S Insoectaq hereby Uf th Fina4 ?? r A?? ? ? >U cer y at tha above inspectian has bean d ma e. Tlns repueai vold 18 manlhe Irom Thrs reqvest voiA 1-_ 18 nwnih's f^om ?F ? " G- Request Uate Fire No. Fouph-m InsGeqwn ?? '?+. .?r-+ Feqwretl? ?Featly NuwW?ll Nptify Insuec aNO lor When Reatly Licensed Electn?al Contractor Owner 1 hereby reqoest inspecbon of ebove ] Stre/et ?Atld/ress, Box or Fau te No. /y/? , V ? C SOn/ YIQIf/? Crty ection o. Townshi0 Name or No. Hange No. County Occouant IPRINTI /WW Phone No, Pow¢r Svppli¢? 2 atl Elec?[!n?calyC-yo/ntra?c./to?r/J IC(OIm?pay Namel Contractor's Lmense No. ? Maii ne P.ddress IConrractor or Owner Making InstailaboN Aut.onzetl S"namre ICOmraclodOwner Mak?ng InstallaboN MIL?Ei?e?r• Phone Number ?' CLLI.IRll:11 1 Grie9s-Midway 91dg. V - qaom N•191 1821 University Ave., St. Paul, MN 56104 Yhone (812) 297.2117 ims irvspECIION REQUEST WILL NOT 8E ACCEPTED BV THE STATE 90AFD UNLESS PqOVEN INSPECTION FEE IS ENCLOSED. REQUEST FOR ELE CTRICAL INSPECTlON ee-ooooi-na ? See ?nstructmns for comolehnq this lorm on 6ack o/ yellow copy. ?• f7 q r K' ' 8@lOW Wnrk (-nvorai/ hi, r?,... o,.,..,__. _ , - Add Nep TVna ot Bwltlin g Aoolmncea Wir tl Home e Range Equ,pment WireA Duplex Temporary Service A Bu pt ildmc? Water Heater O Lighdny F,xtures Commercial Bldy. ryer Fumace 1 Electric He2tui S l U Industnal Bldg. Au CondiLOner i o nlonder Farm ome, peci v Bulk Milk Tbnk 0!he, tsnc?,tv1 t ar Sucwfy ?hQ? Othi.r omput e Ins pection FPa RPlnu, M Fea ServiceEntrenceSize b fee Feeders/Suhfeeders d Fee c1fO°??? 0 to 200 qm s Above 200 0 to 30 qm S 0 m 30 Am 5 -AmPS 31 to 100 qipps 31 to 100 A Swimmmg Poo! Transrormer5 q bove 100_Amps 5 nnove 100_Amps Signs Irngation Boorc?s • 5 Partial "Other Fee Rema.ts SpeciallnsUect,on S 63- TOTA L j U ? _' flough-in ( D'Ite q I. the Elec I Final IrISpBClOf, h8r8ny ?I certdy that the above I^s0ec[wn hes been J /It? meAe. Thnsrequeslvoid 18 h f mm mont s C 12156 ReQUes? Date Fire No. R?ouphedn,InsVeclwn Oqeady Nuw 'II Noufy Insae?'- h ? ?es ?NO or W en Reatly ?ucensed Electncal ConVac[or 1 hereby raquest insoacban of eDOVe r'? nlwctneal wmk ins tallBd dt. Slreet Address, Boz or R?out?e ?No./?/ ' / /y/? /1//!' z N ?(/1 V? ?'tv?]7?'}} ,{/ L?16?1.IV ecuon o. Township Name or No. Hanye No. C?IM11- Occupan[ IPRINT) Phone No. Na41RJ91f,'?Z01VT SaP01ner AddrGSS?? Powner A j?{//¢ V ? V ? Electrical Co vactorpany Name) , Connar.tm's LiNO. Maihnq /Address ?L(C¢O..n?V?e?ctor or O,w•n/er MakinA Installauon) /T?G ?///V/? Authonzetl SiB^aturo (ContractorlOwhe, MakinB InstailaLOnl Phone Numb er : MINNESOTA STATE BOAXD OF ELECTRICITY Griggs-Midwey Bldg. - poom N-191 1821 UnivarsitY Ave.. St. Paul, MN 56106 Phane (812) 297.2117 BE ACGEPTED BV THE STATE BOAHD UNLESS PROPEN INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL WSPECTION ee-ouooi-m . / See insimchons tor completvg this torm on Deck of veilow coOR ' 1C, 6: "X" eelow Work Covered by 7his Request 71 Q jLa HAd y? Neo ? TVDe ot BwlEung APOlmncee Wired Eqmument Wired Home Flange Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Bmlding Dryer Electnu Heatin Commercial Bldy. Fumace Silo Unloader Industrial 81Ag. Air Condihoner 8idk Milk Tank Farm Othrv, Pec,TV nthfr ISpenfyl I P! SuccIIV O1M1of 00et Vp , Fee r5erviceEntrence$ize 11 Fee Fexders/Subleeders K Frte Cvcwts ? 0 to 200 Am s 0 to 30 Am 5 3NO O to 30 Am s Above 200 Amps 31 to 10U Amps 31 to 100 Am s Swimmin Pool Above 100-Am s Ahove 100_Amps TranStormers IrrigaUOn Booms Parbal'Other Fee Signs Special Inspection Jl $ TOTAi FEE flertwrks /-? / .J l Houqh-in + ?i1e I,th Flec`<ncal InsDector, trereby cerLty that the above 1 Fnal ? Date 7 - 3U Q'P {nspaetion has been med a. ? Tis repuesi voiE 16 monthe Iran This reqaest void 18 monlhs (rom G ? C 12155 ? re I 1_ C Y( I ^ey^'en' ?Ready Nuw Wili Nnuty Inspec-I L`V 'O ,D?CIr ?rv c wn Fav ?L censed EVlectncal(/Convactor ? Owner I haraby request mspection of above elneb-. ... S?reet AdAress Boz /or'pou?I?e N,o?.? ecUOn C ; : OccuUant IPNINT) P NNo . Power SuOPlier Atltlr ess r - Elecv cal ontracmr 1 ompany Name) O? ??{? ??? V ?' ? Convact or's License No. ?3 ?'l ' 'W ????+I/? ? ?V Manp AdJ ess (Con[rac[or ot wner Makinp InsiallaLOnl Authonzed Signatwe iCOnhacmr/OwncrMaking'Installation) . Phone Number ' ?3;?-2521 ,? ?'+nggs-MitlwaY eldg. - poom N-181 1821 Univergiry pve., SL Paul, MN 65104 Phona (612) 297-2111 -ma irvsvlL'TION HEQl1EST WILL NpT BE ACCEPTED BV THE STATE BOAftD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-0000I-04 11, See instruehons lor comDletug this fwm on Ce<k o1 Vellow copy, L "X" Below Work Covered bv Thrs Reouest Adn R.P. Tvue of 9wlamg qpolwncm Wvad Eqmoment Wired Home Runge ? Temporary Service Duplex Water Heater Liyhtiny Fiztures Apt. Bwldm? Dryer Electrvu HeaUn Commercial Bldy. Fumace . Silo Unluader Industnal Bldg. qir Condrtioner Bulk Milk Tank Parm omrr oe?? v oih?? Isoa??fvi ? cr SucmfY Othor Oihu? mm ?ut o 1.. - o...,..,, c,.., N F e ServweEntrenceSiie b Fea Feetlers/5ubteeders N Fea Cuco?ls Uto200qm s Above 200 qITII)y 0to30Am s 31 to 100 Ainps Om30Am s 31 to 100 Am s Swimming Pool Transrormers SignS Abave 100_Am)y Irngation Booms SUeciall nspecLOn Above 100_AmIn Partial-"Other Fee Re?rks \ TOTAi FE 1 / i,.. r ? v Rouqh.m ? Date oectoq Kereby Final pA1e certily that the above insoection hes been . 7,3?• ?ae. thia redueat vo[tl 18montlutrom '314q? cicy City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Conslruction Reauiremen5 3 regislered site surveys showiig sq. ft. of lot, sq. ft of house; and all roofed areas (20%maimum lot coverage albwed) 1 Soils Repodif proposed buldin9 is to 6e placed on distur6ed soil 2 wptes of plan showing beam 8 window sizes; poured found Aesign, etc. 1 sH of Energy Calcula6cns 3 copies of Tree PreservaUon Plan i( lot platted aRer 711193 Rim Joist Detail OpUons selectlon sheet (huildings wilh 3 ar less units) Minneqasco mechanial ventilation fam Plans /2 / 7 / 1007 Address / / Z State N Zip SsU 7S Telephone #(95Z) ? 3z '?8b8 x/o3 J3D, r?> Otfice Use OnN CeRofSumeY? . -Y'--N SoiSReport - _Y _N TreePresPlartRecd . _Y -N. TreePresRequlred, _V _N On-sileSep6cSysfem , '_Y _N f?-0 and the ree nece Site Address /?(o S 0 L e m Sa ? D? i ?/ G? UniUSte # g Efl6 A ? ?"'t SS! Z ?y ppoN Cr Descriptian of Work /?c DE?C/t EX / 5 TjilJ - Multi-Family Bldg X Y _ N FirePlace(s) - 0 2 Property Owner A?8?/F ? s/ v?EY SL/?U yL Telep6one Contractor 2007 ?S?ENTIAL BUILDING PERMIT APPLICATION CO RemodellReoair Reouiremenis 2 wpies of plan showing fooGngs, 6earns, jdsls 1 set of Enerqy CalalaUOns for hea[ed addiBons 1 si[e survey for additions & decks Addifion - mtlicste iFar-site sepfic sysfem Construction Costr ?i / / 7- . 0 0 /G?3 A14'919 n/)4V C E ---------------------- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Categorv 1 - , New Energy Code Worksheel Enefgy Code Category , ResidenGal VenGlation Calegory 1 Worksheet (J submission type) Su6mitted Submitted . Energy Envetope Calculations Submitted In ihe last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on o masTer plan2 y _ N If yes, date and address of masTer plan: Licensed Plumber Mechanical Contracior Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ??) / ? n Tm_T a T ? m Ta rl ?-??l y q R? Applicant's Printed Nam DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvpes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage 0 18 Deck ? 19 LowerLevel r ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screeNgazebo/pergola) ? 36 Multi Misc. ? 24 Stortn Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant D@SCfiqti011: WaterDamaga`Yes Valuation ?, LL?0, Co Occupancy Plan Review 100% or- 25% Census Code - ? Ef Zoning SAC Units Stories" # of Units Sq. Ft. # of Bldgs Length Type of Const Width Footings (new bidg) y? Footings (deck) _ Footings (addition) Founda[ion Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Approved By: G " MCES System City Water Booster Pump PRV Fire Sprinklered REQUIItED INSPECTIONS _ Sheetrock FinaUC.O. FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick W indows _ Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit 8 Surcharge f Treatment Plant ?Licerise Search i ; 'Copies r P -, - ; i .:. , . +?_.Other Total ?_... _. ? 07 O5-plex ? 08 O6-plex ? 09 07-plex ? 10 OS-plex ? 11 10-plex ? 12 12-plex ( 147 ! ee 3 , ? EAGAN REVIEWED BY: y1Zo lfl ? DATE: BUILDENG INSPECTQNS DIVI51CC934.5) b.) 7 / . ? 22: 3 (934.5J . '" .:a •`i'y ? o o ?. 2c ?rn !3V 29. 33. N 27 ? N ,- O ? ?•' ? (9ag.0) 7.o` 71 3 O •.. c., o ? ?ol? ? 22.33 22.33 / 31.00 sr.o0 ? S l7 °2529 ?E (934.5) TC x 93s./ -?•__'-.?_?_ BU/LOlN6 "03 ??Qy?cw 6-6s txrsr??v??r_ec ?dXie' UE11.7 ?4DD (T10 n??-tC ?O `JC/(7 ? (933 0) ? OI ? o ? frl ? o o? ^ oU) O ? V- ? (932.5 ( ? (93z.0) TC_ x 9 ar q CC EM,S'ON o T? x 93,. z . DR/ 1/? 93Z q ? O Denotes Iron Monument ° Derrotes Wood Stake X000.0 Denotes Existing Elevation Pvoposed Top oS Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Gara9e Floor Elevation= 935. 5 4- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 936.0 I hereby certify Mat this is a true and correct representation of a survey oi the boundaries of Lots 33, 34, 35 and 36, Rlock 2, THOMAS I.AKF. HFIC:HTS 2ND ADDITION, Dakota County, *+innesota And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this Znd day of Anril 119 86 , ?aul A. Johnson Land Surveyor, Minn. Reg. No. 109353 ?%`_ 40? CERTIFICATE OF SURVEY ..: 80OS /AGE fiO? - McCOMBS-KNUTSQN ASSOCIATES, INC. ??AI WIIfYIiItC FIIiIN[[RS 1 1i?0 SU?v[?0111 0 tRE 1liiMFl1$ p??E ry? ,? r r I"M?? i"?ES WMME?tI'OLIS yM MITCHIHTpM,MIHNELbTA 7L13O [ ,.. 4. [ 4 E' . T" f{ ? '- ' ' ? .. . _, . . . .. _. - .- ? aur[.n ?- irr oF eac : :.-:.:. ,: • - - ?,- . -?:;: 9 5 HU PEA1{Ii ATPLICATIQ9.. C Ait,..:s• :},? :?,?_ec<?::r_.?.;__, ? _+s - ''., ?-'? - : ?: ? - = ... -,. ?n..? . sr:o ,c.:?,??1.`s.j?••?? c?,...pi!?.i=:'Ji' ?,'s.SS'is'•???'„?,/;.;-- iE?.: `? F,. . -- l+ ?HOIE: ' ALL ?CON783C?ORS MUST. SE LICExSED-SiITH ? THTI'QF_'EAGA9? E=CI • . a . - . ' _?. . T Y ' ??`_„ _ e-..c_?'.'Y,r' y . " ' ?y_ ?...:w? .n?^s..??'.. &LtfDE' 2•_SETS'OF PLANS'. , ' p - - iJ•?rv. >YyT-.?Y.'R-_} S't:a:?ec: - ? 'i? ..A _ " ?••e? _ ?v'4. ? CEATIFICATES OF .SUSYEY ? .: ... ;' x.?ry,4$:?'= , . 7_ ENERGY CA4CULATIOMS '. ! To 3e L'sed For: - , 1'alueLion: s;ate:'-- LGC /??. iC1?? ; - l SiLe : j 1,456 rodress: : OFF ?USE'OHLY Lot:(?°??? Block :- ? S=ct/Su Erect` ? Occupancy.': ? `?' - ' • . - - ??? F.emodel _Zoning _ " . • ? Farcel_#- fiepair Tppe of Const ? !!d ' I En} arge . 0 of.Stories Owner Length..... ::. . L/ l.f Denolish ? Depth - ?-/ bddress Grade • J Sq Ft ?P CitylZip CAde M/) J.5?(t? ! --------------------------------- ' Fhone ^1??d -? ??(J APPP.OVAIS Cor,tractor tssess,ments ?ernit " erJSewer Surccarce ?Q 'r 4dcres§ police Plan P.eviex ? °" Fire ' SAC ?? ro _ City/Zip Code Engr. " - • h•ater Conn SnZ> •" Planr.er hzLer ueter Phor.e Council Rcad Unit- ?°D Sldg Off. .' Parks : brch./Engr. &'Z,(??(J?IA.? ApC_:_-= `T- TreatrentPl 9ariance.'- . ' ,_ . - ' Address ?OiAL .. . ?? CiLy/Zip Code:'- ' ' Phone TOWNHOUSE - FOR SALE UNITS' . -CITY OF EAGAN ` N p 11782 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 ReceiPt k ?/ ;7;7,Z Tobeusedtor 1 OF 4 PLEX EstValue $61.000 pateARgIT-}4 19 Sitenddress 1565 CLEMSON DRIVE g3 Erect OccupancY Lot3 3 Block 2 SeGSub Parcel No. W 1 Name-,._??_????eBl ??BA1£ p nddress p fl Rnx 14?i7 1City -MPIs-Phone 420-3900 a io oa UQ f G= W W f Z Ua ? W a Name SAME Address CitY Phone _ Name D. GRISWOLD Address - Ciri Phone 435-7524 I here6y acknowledge that I have reatl this application and state that the informahon is correct and agree m comply with all applicable State of Minnesota Statutes and Ciry ot Eagan Ordinanpes. Signature of Remodel Zomng pD Repair ? Type of Con st y Addition ? No. Stories Move ? Length Qd Demolish ? Depth _ 26 Int Impr. ? Sq. Ft ? Insiall ? Approvals Fees Assessment Yermrt 316.00 Water & Sew. Surcharge 30 . 50 Police Plan Review 158.00 Fire SAC 575.00 Eng. WaterConn.5, 0.00 Planner WaterMeter.-63.?0 Councd Road Unit 290 _ 00 Bldg. OH _d / _? 7 7 /R ?r Tr. PI. 1 56 _ 00 Var Parks Copies2,089.00 A euilding Permit is issued to: NEW HORI ZON HOMES on the express condition that all work shall be done in accordance with all applicab ta of Minnesota atu e a ' of Eagan Ordinances. Building ORicial _. _ . a. . (936.0) 1 (934. 5) TC x 93s./ 1 N /7 ZS 29••E 3100 3100 li? ? p ?--. ? `? \ ? `p `N ? \ Q 3 j c . 29.33., \ rv 24 33 N Z 3j . O ~3?71 o. P? 0 I 30° CI- i_. N r 0. C934. o) ? o ? d' 1 0 / 3i 00 3 O ? S l7 °25'29 'E (934.5) oW O d' ?m o? n 0 BU/LD/NG 't 23 (933. o) .? (933.5) C932.5) _ _/ P(n 1 ? (932.0) .TC. x 9ar.9 CL EMSON o T` x 93,. Z. 932. q ORI vE O Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation (000.0) Denotes Proposed Elevation 11- Denotes Direction of Surtace Drainage Proposed Top of Foundation Elevation= Proposed Garege Floor Elevation= 935. 5 Proposed Lowest Floor Elevation= 936.0 1 hereby certiy Mat this is a true and correct representation of a survey of Me boundaries ot Lots 33, 3L, 35 and 36, Block Z, THOMAS LAKF. HEIrHTS 2ND ADDITIOy, Dakota County, ?+innesota And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed huilding. As surveyed by me or under my direct supervision this 2nd day of ADril ,19 86 , ?/'7? LF ?i??r1ti Paul A. Johnson Land Survevor, Minn. Reg. No. 10938 ? -McCOMBS-KNUTSON ASSOCIATESINC. CONfYlillG [NilNl[Rt 0 4MO fYllYfTGllf 0 fRF fIA?Y[?S CERTIFICATE OF SURVEY fior ¦M HOFUV„ • IVWS . , . • - :,:r _ - -,// /- (y?? "`'. - r . - ,`,. _ ?..{. _ - - :_j._ : i,..` " . ' _ ' 'r C `" "} . ' '' = '`.'} ?. _ _ ?•'.? 4?•:. . • rv .. , `'t' _ " -'a^ - ,`'!; : '( ? '??/.: t,; ??.-?r. M' ? -'t?i r' - '.,n :. ' . .?•? y; . .. . . .- .. , . . _ " - ?s? .. ` -. ?,• ' :}? "i .'c ?? . . . . . ' , . ' , . ' • - r» 1985 BUILDIHG PERMI '? . .. : ; `?;.? T A?PLICATION CI7'Y OF EAGAH..r a°:• :e„C•_:%'? . "? ?? ?rv - ' n? ? ' ' ',t;'. ??.?'e ?:'_ °- :.s ?•- ?ti'i• _,--... V . - - " ' '_ ' . r.: -.' -,.s'_? "::%r-?' ?'t? .v. ?: _ .?. ?'-_'"• ' %=;_r _Y: ' _ " - ``i?_ • Ds. f::i ?. "s--?ea _15.>Y?`,:?._' ?".'r'+.?s '•{?' PF.-: _^. . ?'•-.??Sr: .? . ?'? _ sCY:•i? v.. i,'?:z? n.y ?"-r ... . ?. __ - ."B82E: " AL:. COl7T.itACTORS?MtS2" : BE- LICENSED SIITA THE: CITf={3F EACAL ? lT . _ - ? - '?_.?Y -• •...: -..=_Y"..•?'i, _ _' '._?a...'"_ ? s?'n > ? . . . ._ . ?.. ??'{? ;l,:r.?t--` _ t.,,::' =.:"?'?,' . ' :yn`c;` y.• -i?? _' INCLUDE?2.SETS OF_PLAHS' 3 CER7IFICATES OF.SUEYEY?' SE7 OF EP;ERGY CALCULATIONS To 3e Lsed For: qaluation: Date:. 4- / ' 96, ' Site rodress: OFFICE USE'ONLY . Loti? ?B1ocKSect/Su Erect ? 6ccuFancy_.-' ?f? o2-re7o3ei 2oning . ' - • • _ Farcel i Eepair TS•2e of Co.^.st , En arge . . D of SLories ? C-ner e . ? Length n Dznolish. - DepLh bddress P-L" Grade • Sq rt • ,CitylZip Cade ??(Jf+1-, ?/) `J.??(? 1 ---------------------------------- ' fhone iPPP.OYALS Contractor rssess-;ents Per.^..it • . ? Fater/S:uer S,jrchsrge ?.ddress Police Plan F.ev;_u . - ? - Fire ` SAC. -_ ,- Citq/Zip Code Engr Rater Conn Planner Water Y._>ter ' Phone Council Rcad Unit-' B1Ag Off?. Fzrks,: krch./Engr. ?. (,ij0__1d_,1ppC = == ?' - Treatrent?, Pl ,,. Yariance.- ' - . Address TOTAL City/Zip Code. ' Fhore 0 - - - - - ---, - CITY OF EAGAN N 0 11785 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt x // 7 7 _/ Tobeusedior 1 OF 4 PLEX Est.ValueS61,000 Date p,gRI;, 14 ,19.$-6 siteAddress 1565n (`r.RM$pu PRIVE Erect %7C occupancy R'l Lot'16-Block 9 Sec/Sub. THnMAS i.AKF. Remodal ? Zoning pD Parcel No. HEIGHTS 2 Repair ? 7ype ot Const. y Addition ? No. Stories a Name NF.W HORT7.ON HnMF.R Move ? Length 44 z Demolish ? Depth 96 o Address -P - n_ ROX 1367 Int Impc ? Sq. Ft. City MPLS. phone 420-3900 Install ? . o Name S?F APProvals Fees z? - $ ? Address t ri?, Assessment _ Water 8 Sew. Police - Fire ? Permit -416 . nn Surcharge 30 _ SO Plan Review 1 53 8 _ 0 ? SAC 575.00 Water Conn. 500 . 00 Water Meter 63 _ 50 Road Unit 290 _ 00 Tr.PI. itF; nn Parks- Copies Total 2,089_00 i the express condition that Ordinances. Phone ? W Name D GRISWOLD ? I ? Address aW Ciry Phone 435-7576 I hereby acknowledge that I have read this application and state ihat the in(ormation is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of E .aganprdmange,s. , Signature of A Building Permit is issued to: NF.W HORT 7.ON HOM all work shall be done in accordance with all applicable State o( Building Official c Planner Council BIdg.Off.4/11 /RF Var. Date ' .. ' ? . _ :.}• - ??/ ? " '.??a' ' - _ ' -__ _ :f? .i;,.;' ' ' l? r i ? '. - ? - - ' ? ?t. ( ,;` t ? • . . - • .? ??;` •? • V:i a 1985 BUILDiH, PEiU1iT A?PLICA7ION CI7Y OF EACAH.`;:;?`; =- - - HOIES •'A1J. COH7R?CTORS.- ? s= ?c?:.^?. r...: '- -z;, i. ''3• :-- _...?;,. ;c:'.ai?,`:?:? • ?NSI:BE-LICENSEDy.Y31IiA,iHE=CIR?OF - - V x,... :? ?`t't?.•:.z z?.4::_ ' ' " - ' : W.. ,ulv:-• . . "'s?':^:1's^."?..: :'i:=:.:>::r.`m.•X^t;' 7.,-,;_:':nS;.?.•s rt:;rM' :3 . . _ :.r "5....? _.;,J._:i-:::yk._.`-'?.'a' : -: 'a_ ' . ?f •??: ia? f_J .2' ' - - ,'"> - ' -:;;a:i.=::????':i ??:.;_?;:•?: ;, INCLUDE 2.SETS OF PLANS`•.',;;:s?., , - " - - ?= ° - - " '-:_>?:.-?_. '' •-r=:`-e 3 ?TIFIC6TES'OF.?SllEVEY; FN - OF ESERGY CALCULA7IDNS;'' ` To 3e Lsed For: paiuetion: -Date:- /• SiLe bd3ress: d/j OFFICE USE ONLY . ? ". - Lot: B1ocK=?=' Sect/Su ? Erect' Occupancy :- o2-Rernode3 _ _• Zoning _ . : r"ar.el -Repair Type of Co^st • _ " /?? ? ' ' ' ?/ Ea arge . ? 0 of Stories a?ner ?e . Length Demolish: Depth - bddress Gra3e • Sq Ft . City/Zip Code ---------------------------------- " _• ft,one . ry,?D '.? JOG APPP,OVALS Gor,tractor nt-t-I' Aszessments rerr..it Water/5°:;er SircY.arce 9ddress - Police Plzn f.evi=_x '- SAC ' • ' - . - . Fire ' .. City/Zip Code ` - - . _ Engr Water Conn Planner Kater Y.e:er Pnoae - Council Road Unit- y} Bldg Off? Parks . 6rch./Engr. 2reatmentPl *..:•-'. . _ ,. r - - •. Variance._ - Address . , _ . . - . TOTAL City/Zip Code `. Phone t 7c?a J . BUILDING PERMIT N° 11783 Receiptp - {L' / 77/ To6eusedfor 1 OF 4 PLEX Est.Value $61,000 Date A PRTT la 19_ Sitend?r?ss 1569 CLEMSON DRIVE Erect ?1 occupancy R3 Lot Block z Sec/Sub. THOMAS LAKE Remodel ? Zoning Parcel No. HEIGHTS 2 Repair ? Type of Const. V Addition ? Na. Stories w Name NEW HORIZON HOMES Move ? Length ¢Q 3 Address P. O. BOX 1367 Demolish ? Depth 2f; o InL Impr. ? Sq. Ft City Mn_^PhOne 420-1900 Ins[all ? o Name SAME ? a Address ` Ciry Phone ?W Name D. GRISWOLD Address z a w Ciry Council Iherebyacknowledgethatihavereadthisapplicationandstatethatthe gldg.Off.4/17/86 information is correct and agree to comply with all applicable State of Mmnesota Statutes and City of Fypgan qrdinanca,s. APC Si9nature oi A 8uilding Permit is issued to: NEW 1 all work shall be done in accordance with all Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Assessment Water 8 Sew. Police Fire Eng Phone 43 -75 4 . Planner Ver. Permit 316.00 Surcharge?? 0 Plan Review123?L0 SAC 575_00 Water Conn.500-40 Water Meter153- S 0 Road Unit gqn ?0 Tr. PI. l 56 np Copies I TOtal 2,089. OMES on the express condition that of Minn so , fatutes and Ciry of Eagan Ordinances. i.? .' ' ( - f, ?'': __ t, '- . . _ • ? . , . . _ - _ _ ; _' -:: ,? . ? - ?l' n ? ?'Yt? ?`• ?? •?Y. z -Y.'. . . ? - . - ? _=C ??s :?'-': ? 'a' : r: ?_' ?. ,;. , ?:. '•?. ?. _.,?: 't;';?; . . _ . ? ?c' - - • V • ' ?' ? ' - - , ' c.. ...?. ... , . . - ; . _ - ?l , 'i 7 . . - . `+_? `'' , _ ?3;2,'?? •Ltx ,?_+ . ' . . - ???,' . . ' :h , ?7 • .. _ '.. . ? 1985 BUILDIB? ?EftMIi A?PLICATIOM - CITY OF EACA9t;;'?+;.','; ? ?w' `g __. - .STi:Y.p `i.'Y' _ - . .:I.:T' _??'?.•--' - '%s' ;?? - --:'-??'c__t•? r _ : ?''2?:?•:?4???a - - ? _ - ?-r'ore: euco "r'iiA -??:;?> -?:<?....*r,:..?_--.??--?F->:??_x?:???>.,:.-<<:..z ?t`w=:•?: - x CrOR.S " "^ " K'.,dc'^s. r•}?.}.. ?:: - ; MISi: SE° LICDiSED NITA. IIIE>CIT'f=L1F_ EAGiH;,u ??1,w,i JiY?r RN ?F?';y.*.+Y`? 6.° 'ti`'b'• .J?..? .. ' ' - - sJ.j;,*?¢? J-? ^ef,.i:}y.4`?q.n. ? .LS£"4""' ;S..yvtL? -• ,?'s ? q:-.?•?• . ? _ • - ?.f- n'! `. ? - 1"i?i? ??? o- ? '(. ?'.??a??Q f Sr?.?.? l. -_ _?,}'?r•.?. '::i?.. ?.?i .."!' . ? ^,'31CLUDE12_SE2Si?DF PLANS°. - - .:,.'_;=; ::=,_ =:•- =`_,-?: ;,?. : 3 CEBTIFIC6TES OF ?SUBVEY; . . _ . _ - , y_y•.. ,,'.? , '•- . , , 7 SEI' OF EF:ERGY CALCULA730NS ??'? y 70 L'sed For: /QGLa7.LGa? ?? qaluetioe: Date: _ ?" • / ' pC? : ?; _ Site b;dress . OFFICE USE ONLY . / , Lot: ?? Slock o?-?.' Sect/Su??ye?? Erect: -_' Occupancy -. - ?sa«? ????'??? ?,SeTodel Zoning "arcel I '- . lfiepair Type of Cor.st -? \ ?/ Ea} arge . 0 of Stories . C•n er _??LL? 1tJ '-7?C/?'sS?e • Length - _ , Demol i sh - Depth . Address Grade Sq Ft ?/(,} - ? City/Zip Codet?y /'/ J.??(C? l---------------------------------- • Fhone APPROVALS : Cor.trector Assessments ?ermit F'ater/S°aer SurcharEe „ - 4ddress Po13ce Plan °ev:ew -_ - _ ? Fire. ` SAC.' City/Zip Code.? ?-. ? -- - Engr ' Water Cona ' ? - Plaar.er t+ater Y.eter ' Pnone = Council Road Unit= - , B3dg Of? Parks : frch./Engr. ApC?,:-- 2reatrent? f -.- Yariance. Address TOTAL ' ` . . City/Zip Code Fnone / °S4 ?Sc??'?f? . CITY OF EAGAN p ,. ' 3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121 N-/ _ 11784 /„ l 7 Z 7 BUILDING PERMIT PHONE:454-81D0 Receipt # `r ? 7obeuaedior 1 OF 4 PLEX Est.value g(1.000 Date APRIL 14 ?g 86 SiteAddress 1569 B CLEMSON DRIVE Erect 91 Occupancy R3 Lot'A.S..._ Block 9 Sec/Sub. TH(1MA$ T AKF Remodel 0 Zoning $D Parcel No. HEIGHTS 2 Repair ? Type ot Consc V Addition ? Na. Stories a Name NEW HORT7.ON HOMES Move ? Length 44 i Demolish ? Depth?( o Address P, Q, g(aX ?367 Int Impr. ? Sq. Ft. city phone 420-3900 Install ? a 0 ?a . Name SAME Address Phone Fw Name D. GRISWOLD I i a Address aW city phone 435-7524 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 Ea,gan OidinanceB.. Signature of A Building Permit is issued to: Lvnw t all work shall be done in accordance with all 8uilding OHiaal Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Oif. 4 /1 1 /RS APC Var. Date Total 2,0 R9_00 Permit 316 _ 00 Surcharge 30 _ 50 Plan Revieul5 S. 0 0 SAC 575_00 Water Conn500 _ 00 Water Meter6 "1 -.5_Q Road Unit 290 _ 00 Tr.PI. 156_00 Parks on the express condition that Ciry oi Eagan Ordinances. 4k., -,;T -- RESIDENTIAL BUII,DING ? -? Q 2S` ' ;.. ? Permit Application J City Of Eagan 6a&101 M119/?% 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New ConsWdion Reouirements Remodelrtteoair Reauirements Office Use Onlv 3 registered site surveys showirg sq, ft of lot, sq. k. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y N (20%maximum lotcoverage allowed) t setof Energy Calculations for heated addNOns Tree Pres Plan Recd Y_ N 2 copies of plan showiig 6eam & window sizes; poured found design, effi 1 site survey for additions & decks T2e Pres Reqd Y_ N 1 set of Energy Calculatbns Add'rtion - irMicate if onsde septic system On-site Seplic System _ Y_ N 3 copies of Tree Preservalion Plan if lot platted after 7M193 Rim Jorst Deisil Op4ons sele;,[ion sheet (bldgs wib 3 or less units Date fC> ? 7 SiteAddress / 2c,-3 ISC-tjC CL?h?G1U 00? Construction Cost ?JC0' °` Unit/Ste # Description of Work Nq App1T I2L) Qit-poa- io` (a Multi-Family Bldg X Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 7hN LT Qq?'J,G', ? Telephone #(-X3 ) 42ri- 46&C Contractor kk?'71 E F- )(76poi aaaress State N G W, GV'1 ) S 4. city M NIAfl*+.y Zip Telephoce#(Grl) '322-t449 EkI COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateizorv 1 Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Wwksheet • New Energy Code Worksheet (d submission lype) Submitted Su6mitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Piumber Mechanicai Contractor Sewer/Water Contractor Y_ N If so, 25% plan review Telephone #( Telephone # ?IdU? I hereby apply for a Residential Building Permit and acknowledge that t e inform?ta on is complete and accurate; that the work will be in conformance with the ardinances and codes of ,e_City o..?Eaganand=t7ie State of MN Statutes; I understand this is not a permit, hut 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. m?? q)V EL 2110-1 Applicant's Printed Name ??4 vv 004 ApplicanYs Signature OFFICE iTSE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 AccessoryBidg ? 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 6ct. Alt - SF 0 04 02-plex ? 10 OS-plex LX 18 Deck ? 23 Poroh (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_v 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 WindowslDoors x 34 Replacement •Demolition (Entire Bltlg) - Give PCA handout to applicant Valuation ? Occupancy /C -3 MC/ES System - Census Code 'k Zoning City Water - SAC Units `-- Stories -r Booster Pump - Nbr. of Units ` Sq. Ft. ?e9O PRV - Nbr. of Bldgs r Length /b Fire Sprinklered ? Type of Const ? Width /6 Footings (new bldg) ? Footings(deck) _ Footings(addirion) Foundation Drain Tile Roof Ice & Water Final _ Franung _ Fireplace _ R.I. _ Aic Test _ Final _ Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Final/C.O. ? FunallNo C.O. _ Pluxnbing HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By T' Building Inspector ( CITY OF EAGAN POLICY FOR ADDITIONS/DECKS IN EXISTING TOWNHOMES BACKGROUND AND PURP05E 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 property lines. BASIS FOR POLICY i Buildings over property lines would not canse additional safety concerns to ihe users. The danger level is the same for those buildings constructed over property lines as buildings constructed a certain distance from property lines. Implementation ofithis policywould allowthe 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 property 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 buitt into. 3. A letter of approval from the Homeowners Association for the proposed plans must be submitted with the buitding permit application. .•` .. . . .,. _ < , ,. . _, ?,?•.;...,:?:3?<;::??':?a ;3k Oct 16 03 10:58a 10/16/2BB3 89:25 Bob 6513227973 A534 FINL mGrfT ZNC 8eeims M& 80A Go Amadatlnr }7medd Mmegsmmt 7ov P O Hv:]8138 M1LOeipel14 lYQY5562Q-OISa 7613464T11 Voin msa 761413$445 4s ew7: +4reaammmLa„ bi tlee: Octobcr 16, 2003 g0 V/970[ri ?? ?ay PAGE 81 Please be ad.ri th'e BEi Exterior Mairrtensnoe (Davp $urriaj and Deck & Door Gompany I tBol? Heiderieh] ane urnder contracC with Fmfzon Hitls HOA ta perform ?replaoements at vaHous eddresses yvithin the Assaciation. The ' d of Qlrectors has approved this project per contracts. Shoul yo? need any additionzet infonnation, please oontad me via cet1672-7s9- 70? 1 wiN be at the qroperry betvveen 41-12:00 tosfay [October 1 8, 2QU st rcould this require an onsite vislt by the Ciiy. JaNeR M. Rogge, PACA Proqerty Manager for?Horizon H'Us HQA Assaciation Finan "af ?anagement Ine. ! i(I4 ? .__. ? p.2 10/16/03 09:33 TICJB7f N0.0081 P_601 ? T00IA H0IH3S%3 136 G9Z9 790 ZT8 YV3* 56:60910/9T/01 BU/LOING "G3 ? ? I ? Q?t Ebj'? ,.q S fiS Y1 "?3 r ?P^ •4?. p ?i. , . , ; p p . (.:?f.?'Y:.wS?L,';??.ent?: '.';".'«=x.i.?'=:i •.r: .1 ? k ,- r , _ ' ' . . ft.','._?'. ????a. i'+,? 7 1 '(934.5) 'A?? 7.0..a? n?30 w • 't p..??9330? - s? ? .. 29.33, 24.s3 ro . : iy)... ? vi ? N?. `y? ? 14 (932.5) O 0,` 3 (934.0) 7. o ? o' .', V' 1 i ?22.33 ? _ . ?'?ii?' ?. _ _..c?;'..' • - 3/.004,V , f ` -_ E' *1 ;;::•, .. - . ., . . , . .. ?: 034 29 1 . .x9?r.g..... - .Te CLEMSON?_:_ o:," VE - 932.9 ? . .. - .. O Denotes Iron Monument U Denotes Wood Stake X000.0 Denotes Existing Elevation - Proposed Top of Foundation Elevationa (000.0) Denotes Proposed Elevation Proposed Garage Fbor EledaYwn- 935. 5, .F-- Denotes Direction of Surface Drainage -? • Proposed Lowest Floor Elevationm 936.0 _ ,. ., . .. , ,... _...____...._.,....._,_,>...,.,-° -.. , . I hereby cerNy that this is a true and correct representation ot a survey of the boundsdes ot Lots 33, 34, 35•and;36; Block 2, THOMAS LAKE AEIG9T5 2ND ADDITION, Dakota County; Hinnesota ? '. ts6 U/-' ?Ii0 /? • `??+.:. ?;?9;?; `;ir'k??{`?`??`' a??„-.'' ;# . •-,x, ?'?r 2 .3 And of the location of all buildings, if any, thereon, and all visibie encroachments, if any, from or on said land. it aiso shows the loca/ion of the stakes as set for a proposed building. As surveyed - by me or under my direct supervision this 2nd day of Avril 19 86 Paul A.:Johnson Land Surveyor, Minn. Reg. No. 10939 ,. , U ^ A u ' ?. 40, , McCOMBS-KNUTSON ASSOCIATES; INC . ;- ?,?? - co?muu? [KaRuu g tuo SuArne1s N SItE rwNm rucwa . '? wwc,var,..i. wwccmw ? ;. :_,. 793 <3= 'J? .?e? r F x +v ?irart s kday ?isi? CERTIFICATE OF SURVEY ; foe .. ? J? HCMON HC*&S > ? . CITY OF EAGAiV APPLIGATION FOR PERMIT SEWER AND/OR WATER CONNECTlON ___ .__ NCYPF': PAYMhTTI' OF FEE AT TIIME QF APPLICATION DOES NOr CONSTITUTE APPROVAL OF PERI+RT. INsrncrIorr oF sEc+M nNo/CR MM INSTAII.ATIONS y,7IId, NC)T gg SCHED-- OLID UNM PERMLT AAS BFEN APPROVFD. ? :?r?ex?r?e:exxx?e x?wxxr?.xinnr.anrxaet?,nnr?rsx?nr , P ease Print ?? 1) PROPERTY ADDRESS: CI?1 ?-yI pVU ?P ._ LEGAL DESCRIPTION: ?-' •- IF E7QSTING STRCCTVRE, DATE OF QRIGINAL, BLIId]IW. PRESIIdr ZONING/PROPOSED OSE: Q COP?RCIAL/RETAIL/OFFICE. F7 IfIDC'STRIAL ? TNSTIIUTIONAL/GOVERMN'P 2) ? NAhE: ADDRESS: >- , ;-CITY, STATE, ZIP: - - ' PHONE: iC`ANCE: ". . - ' Mon YeaL' ?- ? R-1 SINGLE FAMILY ? R-2 DDPI,EX (Tt,v LTnits) ? R-3 'iOWP7H0USE (Three + Units) (_4- t?nits) ? R-4 APARMW/COAIDOMINIIIM ( Units) 74 3) ' c ?: ?• NAME: . For Ca.ty Use . Plumbers License: - aDDxFSS: Z ,/ acti"e , i - ?TR', srATE, zlr: ?'i.rea ? - J Not reCOrded • PHDNE:MASTER LICENSE# 17 St Ina.tlal Q,) NA"E' ?/.f'/7?/ nB ???i ?F / . - . . ADDRESS: CITY. STATE, 22P: - PHONE: 'S? ? M• 1 Y' • 9• : ? • D• " ?s [? OONN1iCPI0 [3 TO CITY SEWER CONNECtION RO CITY WATER Q OTHER . • 6) WiZlb) ..??. [3 PLEFISE HOLD APPR0VED PERMIT FY)R PICK-t BI' ODtE OF ABOVE --- ? PLEASE MAIL APPROVID PFTZMIT TO 1, 2, 3 4, AHC?7E .. •' (Circle one) 7) e+ r• u• - ? ,?j?/j ??nf ssccaw ?,?? , f ?? ,n?. ' . . . . 4' . ' . . , . . . - : FOR.CITY USE ONLY , PERMIT # ISSUED Pd w/Bldg. Permit FEES: f, .. '- $ $ `CJ• S C? SEWER PERMIT (INCLUDE 'SURCHARGE) . ..., - [aATER PERMIT (INCLIIDE SIIRCHARGE) $ WATER METER/COPPERHORN/OL'TSIDE READER ? S • $ WATER TAP (INCLLDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER . , ACCOUNT DEPOSIT - WATER ?- -- r $ <? ? G• ? i? S wAC $ `? / _S? I"lZ S SAC _ S $ TRONK WATER ASSESSMENT TRL'NK SEWER ASSESSMENP $ $ • LATERAL BENEFIT/TRLNK SEWER LATERAL BENEFIT/TRLNK WATER WATER TREATMENT PLANT,SIIRCHARGE , ? - - - . $ OTHER: • $ '?aZ9 ?"?SZ) $ S? TOTAL , ' . RECEIPT # , RECEIPT .- DOES UTILITYCONNECTION REQUIRE EXCAVA TION IN PUBLIC RIGHT DF WAY? E-1 YES IF YES, TAEN A"PERMIT FOR WORK WITHIN PLBLIC ,. RpADWAY" MUST BE I SSpED BY THE ENGINEERING Q NO DIVISION. LIST AS , A CONDITION. ; SUBJECT TO THE FOLLOWING CbNDIT20NS: APPROVED BY: ? • ? ? TITLE: ' DATE : 7/Z-S/? lc CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *X)T:': PAYMFTTf OF FFE AT TIME pF Arri.icATzorr noES ivom owizmrE APPRCJVAL OE' PERbffT. INsrFx.'rzoN oF SUmt r,rm/ox WATER jj15'LAT.T.ATTQN$ WII,T, r](Yp HE.' $(Z'ED- UI.ID UNfII, PERMIT HAS BEIN APPROVID. - xxx?:xxxxxxxx=xx,.xx,.xRWWxWxx,.WxxWWx P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF FXISTING SiRL'Ci[)RE, DATE OF ORIGINAL B[IILDIIVG PERN1iT ISSL'P.NCE: ' -' ? (Nbn Year PRFSED7P ZONING/PROPpSID L'SE: 0 COMMEfiCIAL/REtAIL/OFFZCE Q IPIDCSTRIAL (-I INSTI'IL'TIONAL/GOV? n R-1 SINGLE FAhIILY Q R-2 DL'PLEX (1kn IInits) b( R-3 10WNHOUSE (Three + Units) (_-4_ Linits) ?Y R-4 APARTMENT/CObIDOMINIUM ( Units) 2) =ADDRESS:l?.Jn?c+ ?? cixY, s:aTE, zIP: min YtB2?iS mbl PHONE: 4a)• ag?QQ • 3) • y ?: ?• ?ME. For City Use Plumbers License: ADDRFSS: Pctive ? CITY, STATE, 2IP E?cpired Not recorded PHONE: • Z?ZI MASTER LICa15E# ? St?itial 4) •• ? i?- NAME:_?? ? Z. ADDRESS: ' ? . CITY. STATE, 2IP: PHONE: • 5) ? r• - ? ? r• . ?. : ? o? - ?? I)CIJ CONIVECPION TO CITY SEHIER ?ONNFX,TION 10 CITY WATER Q OTf?R '. . tr ? 6) C] PLF.ASE HOLD APPRpVID PERMIT F'OR PICK-CTP BY ONE OF ABdVE '-- - ? PLEASE MAIL APPROVID PERMIT TO 1, 2, 3aABOVE _ (Circle one) » r ,. u. . 1 , .'-YA ,t6WA? ., ., e.OP?r„ FOR CITY USE ONLY PERMIT # ISSCED 6 6 t 26` ?? Pd w/Bldg. Permit FEES: $ $ &"- S o SEWER PERMIT (INCLDDE SDRCHARGE) $ $ l!1 , 5-0 WATER PERMZT (INCLUDE SL'RCHARGE) .. $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ $ WAC $_, `J 7Sl eg $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSN]ENT $ $ ` LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BEN°FIT/TRL'NK WATER $ /•Sz $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ /•? /? r? SZ? S .?? G' ? TOTAL l1/ 777 RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT EOR WORK WITHIN POBLIC Q ROADWAY" MLST BE ISSC?ED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING tONDITIONS: APPROVED BY: TITLE: DATE : CITYOF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION .*R7P':: PAYMF'W OF FM AT TIME pF APPI,ICA1'iON DOES NC7P C'ON15TIISTIE APPR0VAL OF PE[2MLT. . ? xxxr?exxxxxxrrxxxxxxtrx?tlefFaaFirf##ir*#k!* P ease Print 1) PROPERTY ADDRESS: IcJ(nQ r) LEGAL DESCRIPTION: _ Lot Block Subdivision or Tax Parcel ID ) , . IF E}'STING STR[.'C`I.[JRE, DATE OF ORIGINAL BL?ILDING PII2MIT ISSCANCE: • ' PRFSED7P ZONI[QG/PROP0.SID LTSE: (!•bn ear ? CAnvERCIAI./REPAIL/OFFICE ? R-1 SINGLE FAMILY ? INIDL'STRIAi, ? R-2 DDPLEX (ltap Ctnits) ? INSTITUTIONAL/GpVERNMENT g_3 TpyMpiSE (Three + Units) (_L?nits) R-4 APARTMENT/CODIDOMINlCNl Units ) 2) 1?? I ADDR CITY, STATE, PH? 3) ? i CIT7, STATE, MASTII2 LI(ENSE# .. '+/ 30 16.1\I01• NAME: ? e-- Active ? FScpired Not recorded Staff Initia7 _ ADDRESS: CITY. S"fATE, ZIP: PHONE: . < 5? '' ' r' ' ?' : ? • y? - ?? ?CON[?CTION 7l7 CITY SEWER CONNDCTION 'N CITY WATIIt ? OTHEE2 6) '? • •?` [l PLF.ASE HOLD APPROVFD PEE2MIT FOR PICK-DP BY ONE OF AHOVE ? PLEASE MAIL APPROVID PERMIT TO 1, ., y, ? (Circ-le o . e ne) 7) L'/in ? -,?_ ADDRFSS: irtspncriotv oF SE,M nrro/at Mxat iNSrALLATTONs waa. Nar sE sc?HEn- UIED UNTII, PEltMffT AAS BEEN APPROVID. FOR CITY USE ONLY PERMIT # ISSUED 73 6f Pd w/Bldg. Permit FEES: $ S ??'• S? SEWEH PERMIT (INCLUDE SIIRCHARGE) $ $ /0-50 WATER PERMIT (INCLDDE SLRCHARGE) $ $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ J< D'Z ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ $ WAC $ 57_S ? .rr ? $ sAc $ $ TRDNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ • LATERAL BENEFIT/TRCNK SEWER $ $ LATERAL SENEFIT/TRUNK WATER $ / S7 - L7 (7 $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ TOTAL RECEIPT RECEIPT DOES LTILITY CONNEC TION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL OWING CbNDITIONS: APPROVED BY; zal;-? TITL$: DATE : I ! Z S /?(v ? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ? R-1 SINGLE FAMILY Q R-2 DCPLEX (1DA Units) % R-3 ZOWNHOUSE (Three + Units) (_?Cfiits) rl R-4 APARTMENT/COAIDOMINILTI ( Units ) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: ?? Lot Block Subdivision or Tax Parcel ID ) IF EXISTING S'PAL'CiL'RE, DATE OF ORIGINAL BL'ILDING PERMiT ISSL'ANCE: ' ? PRFSENr ZONING/PROPOSID Nbn Year L?SE: [] C0MYMERCIAL/ftEPAIL/OFFIC6 Q IbIDL'STRIAL INSTIZS,'TIONAL/GOVII2NMENT 2] ?w- -- N71ME:? /-'l'1 aoDxESS:13805 F? . CIT^l, STATF.', ZIP: ? m-? 5??4D 3) • u i:?• ADDRESS: ? CITY. STATE. ZIP: PHONE: 4) •?« • • i?• Nt1hE: ADDRESS: CITY, $TATE, ZIP: PHONE: 5) u v ? r• •?• : a • o? • a? - ? coNNE-riorr z+o ciTr sEWM p wrrrEcrioN zu ciTr wrsEa p oTHEa 6) ' '' •?' C] PI,F.ASE HOLD APPROVID PERMIT FC1R PICK-DP BY ONE OF ABOVE '-' --- ? PLEASE MAIL APPROVID PERMIT TO 1. 2. 4. ABOVE . . a (Circ e one) MASTIIt LICETISE# ? *ATF: PA)MFTTr OF F.EE AT TIME pF APPLICATZON DOES NOT CDNTI1V1E APPROVAL OF PII2NRT. itasPnCizort oF sMM nrm/ox W,M ilSTALLaTrONS WIId. NOT BE SCEED-- OLID UNTII. PIItNIIT HAS BEQ9 APPROVID. Active Ebcpired Not recorded Sta?Initial 7) r. r• u• • F'OR CITY USE 4NLY PERMIT # ISSL'ED _/??C> 7 7 S Sn Pd w/Bldg. Permit $ $ $ $ $ $ $ SGL.?Z? $ .57 5 '?J-ZJ S $ $ $ $_ /,.57 • cs o $ $ y- RECEIPT FEES: $ /G' • 5-- U S /C • S?' s $ S $ 45'o L $ $ /- l-? s S SEWER PERMIT (INCLC'DE SL'RCHARGE) WATER PERMIT (INCLUDE S['RCHARGE) WATER METER/COPPERHORN/OCTSIDE READER WATER TAP (INCLC'DE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOL'NT DEPOSIT - WATER WAC SAC TRL'NK WATER ASSESSMENT S TRC'NK SEWER ASSESSMENT $ $ s $ s 5 /, c ? RECEIPT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRL'NK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? E-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLZC Q ROADWAY" MLST BE ISSCED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ???w ?,ztJ7?? TITLE: DATE : 1999 BUILDING PERMIT APPLICATION (RESIDEN7lAL) CITY OF EACAN ?. 3830 PILOT KNOB RD - 55122 l ? 9 651-681-4675 C New Construction Reavirements Remodel/ReoaU Reauirements ? 3 reglsYered sBe surveys showing sq. tt. ol lot, sq. ff. of house and,gll roofed areas (20%maximum lot coveraae allowed) : 2 copies of plans (thow beam 8 window sizes; poured ind. design; etc.) > 7 set M energy calcula}ions > 3 copies of tree preservaflon plan H lot plalfed aker 7/1/93 DATE: ?- ?? r DESCRIPTION OF 1 STREET ADDRESS: LOT: BLOCK: SUBD./P.I.D. #: 2 copies W plan 1 se1 of energy calculations fw heated addNions 1 stte survey for exterior addNions i decks /S CONSTRUCTION COST: ?-o/-'fD PROPERTY OWNER Name:???.?il tast ?? Fi Street Address: Phone #: City State: Zfp: Company: - 'l Phone #: Z/-z-- (area code) CONTRACTOR StreetAddress:?? C.! C? ??'M'/1 License# Exp. City A(,w 44/TState: ? ZiP: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street City Sewer 8 water Iicensed plumber (reauired for new construction onlv): State: PenalFy applfes when address change and lof chcnge Is requested once permit is Issued. I hereby acknowledge tha} I have read ihts applfcatfon, state that the Informatlon S?ate ot Minnesota Statutes and CNy ot Eagan Ordinances. i Signature of Applieant: Zlp: to comply with all applicable ?- --- , ii )) B ? OFFICE USE ONLY ? r--?- ?rI n Certificates of Survey Received _ Yes _ No Jy Tree Preservation Plan Received _ Yes _ No ? Not Required Registration #: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-p(ex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 0 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level [7 24 Storm Damage ? 05 3-plex ? 10. 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ,?Ef 31 New ? 35 Tenant Impr ? 39 Gas Line Onl y ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (lnterior) ? 42 Reroof GENERAL INFOR MATION C S- ^j ? onst. (Actual) Basement sq, ft. Census Code (Allowable) 5? Main level sq. ft. SAC Code of UBC Occupancy 2- 3 ' sq, ft. No. of Units ? Zoning (? • d? sq. ft. No. of Bldgs ? # of Stories - sq. ft. MC/ES System Length sq, ft. City Water Width ? Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Bu iiding Engineering Variance Permit Fee Valuation : $ Surcharge Pian Review License - -- MC/ES SAC City SAC Water Conn. Water Meter ? ? Acct. Deposit ? S/W Permit # ?- S/W 5urcharge ? ?- Treatment PL Park Ded. - Trails Ded ., .. . v ? ? L ?- . Other ,.; ` Copies #> _ _ Total: = SAC Units r # % SAC _- _ ? } z Y ? '? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? 3830 PILOT KNOB RD - 55922 651-681-4675 z? _ k, New Construction Reaulremenis Remodel/Reoair Reauirements ? 3 registered sRe surveys showing sq. tf. M lof, sq. ft. of house and all roofed areas (247. maxfmum lot coveraae allowed) : 2 coples of plans (show beam 8 wfndow sizes; poured fnd. design; etc.) : 1 set of energy calculations > 3 copies of tree preservation plan M IW plotted affer 7/1/93 DATE: 4- () e- - 9 ? ? DESCRIPTION OF WORK: STREET ADDRESS: COST: 3 0? , " o? LOT: 3 `l BLOCK: ? SUBD.JP.I.D. ;a AG Name: phone PROPERTY Last Firsi OWNER Street City State: ?// Ju Zip: I ?-? Company: Phone #: V11"- (area code) CONTRACTOR ? StreetAddress:???> k/lt License# bcp. City ?aYN hoel? S' State: ??11 Zip: 57yUO F, ARCHITECT/ ENGINEER Telephone #: area code ( ) 2 coples of plcn 1 set of energy calculatfons for heafed addNions 1 sBe survey }or exferior addflions a decks Name: Sheet Address: Registratfon #: City ,Sewer 8 water Ifcensed plumber (reaulred for new construcfion onlv): State: Penalfy applies when address change and lot change Is requested once permR Is issued. Zip: I hereby acknowledge ifiat 1 have read thls applicaflon, state Thaf the Informatlon Is c e rc n ree to comply with all applica6le State of Minnesota Statutes and GI}y of Eagan Ordinances. p Signature of Applican}: , OFFICE USE NLY - - Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes _ No - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 03 9 of _ plex ? OS 6-plex ? 13 16-plex ;2', 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 9 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) ?, rJ Basement sq. ft. Census Code (Allowable) ;?? Main level sq. ft. SAC Code UBC Occupancy YL-5 sq. ft. No. of Units f Zoning P• ? sq. ft. No. of Bldgs ? # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Faotprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS - Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies I ? ? - ?< c I -- Valuation } C7 21 L'i $ I Total: SAC Units % 5AC :? --: `- ? z z _ I ? - . I ? ' I -- _ ? _. •` ? 4 . c # -- ? ?- ? ?' - 4J: - - ` ? -c.- `. ?- - -. ?«= ? ? LL ? ? L ? _- ? # -- :? , ?. _ ? .1-,jec'1il 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmchon Reomremenis 3 registered sde surveys showing sq fl of lot, sq fl of house, and all wofed areas (20% maximum lot coverage allaxed) 2 copies of plan showing beam & window srzes, poured found devgq etc t set o( Energy Calculations 3 copies of Tree Preservation Plan if lot platled afler 7!1l93 Rim Joist Detail Op6ons selechon sheet (bmldings wdh 3 or less umis) Mmnegasco mechanical ventilation fotm RemodellRepair Reawremenis 2 copies of plan showmg (oo6ngs, beams, joisis 1 set of Energy Calcula6ons for heated addihons 1 stle survey for additions & decks Addrhon - mdicate t/ on-srte sephc system qb3?5 t7ffrce. Lke Lhtlv CartaFSwNeYRecd -Y _N Tree, P[asPlan Recd _Y _EV Tre2PreSR99UitEd _„Y ,,,,,hl Onsiie9eplicSysiem _Y _N Datc 3 / ell / ?} Constructian Cost ? QDo. e _ site Aeare9s 156? $? /54?9 & _94 lSLS,6 &"s.,A! Z)oiv&- Unit/Ste # Descriptian of Work lwlY $ tcJ / A/i 1 ?t/%?1 Multi-Family Bldg x Y _ N Fireplace(s) X 0 _ 1 _ 2 Property Owner ?JJUJoAji Telephone # ( ) Contractor ?J Address ?0 / A? [ Ow;cesd ?'?_ Cityso, S?• ?AU? State /y'1ill/ Zip 5M ?!E Telephone # (L,s, ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesola Rules 7670 Catcporv 1 Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Categoty 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Emelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit, that the work will be in accordance with the app ve p in the case of work which requires a review and approval of plans , ? ? ApplicanYs Printed Name icant's Sign ture DO NOT WRITE BELOW THIS LINE Sub Tvaes ? Ot 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- Muiti ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 SFOrm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ?0?Z5 ? Int Improvement ? 0 31 New M 38 Demolish Interior ? 44 S ding H " ' O 32 Addition Move Building ? Fife Repair - 45 0 42 Demolish Foundation ' • ? RR1-'O D?ib??;B6iftlfb? L owslDoors 1? ? `" ' ?'; ?',. }''' tL A8) ri9 ?"?. • . 43?? ?I?iof t?' t?+ ? 33 Alteretion ? 37 J ti , ? 34 R6p10CCment 'Demolition (Entire Bldg) - Give PCA handout to appiicant f ri, •. , ?° V.A r D05CriptiOn: WaterDamage_Yes ••- ' ., +. Valuation Occupancy M,CES System, Plan Review 100% or 25 - - % tl(v??-•,,?a'!: Census Code Zoning City Water SAC Units Stories Booster Pump ' # of Units r• •? Sq. Ft. pkv T ? # of Bldgs Length ? ? : Flf? S?JT?IT?1IR21'EV?' ' ' ? Type of Const Width REQUIRED INSPECTIONS Footings (new bidg) _ Sheetrock Footings (deck) FinallC.O. _ Footings (addition) _ Final/No C.O. Foundation _ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final Framing _ Siding _ Swcco Lath _ Stone Lath _Brick Fireplace R.I. AirTest Final Windows _ Insulation _ Rehining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector ` . .-. •.n: ;13C,15-q 2006 RESIDENTIAL BUILDING rExnuT arrLicaTTON City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstrucUon Reauiremenfs 3 registered site surveys showing sq fl of l04 sq• it of house; and all mofed areas (20°h maximum lot coverege allowed) 2 copies oi plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calcula6ons 3 copies of Tree Pmservation Plan if lot plalled afler 7A/93 Rim Joist Dehail Options selec6on sheet (bwldings with 3 or less units) Minnegasco mechanical ventilation fortn RemodeVReoair Reaui2menls 2 copies of plan showing footings, beams, joisfs i set W Energy Calculations for healed additions t site survey for additions & decks Add'diar - indicate i(onsde sep6'c system ccI lal '7'a, rfD (Ni Use Oniv CertofSurveyRecd _Y _N TreePresPknRecd , :.€,;,;!Y _N, Tr-De PresRequlred :. d?.=Y N Onrsite Septic System _Y _ N ? /,V l,'F, Date Site Address V So % 7s C L? h,? Construction Cost . G N py UniUSte # Descriptiou of Work ? p pLA X f S 1 I 9V& I GX rU DLl- r' fXi ST(n?DeCk wH5 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # ( ) • Contractor 7?P I)ZA 9" 4/cr Q CCIM {' Address )I??i? State ^/(PV NPcW P\4 L . City 1N??p 6?pav? tlt?i-n Zip 5?Cl-)7 Telephone#(9S2) 1(?2-2311 V?117 19 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8 _ Y _ N If yes, date and address of ?m?a/ r an: Licensed Plumber ? Telephone #( Mechanical Contractor APR 1 8 2006 Telephone #( Sewer/WaterContractor Telephone#( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pernvt, 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 of plans. IM I I;E r vol ApplicanYs Printed Name Applicant's ignature DO NOT WRITE BELOW THIS LINE Sub Tvaes ? Ot Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-piex Work Tvpes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 OS-plex ? 13 16-plex ? 20 Pool ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 10 08-plex $D 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex ? 25 Miscellaneous D@SCClption: Water Damage ? 30 Accessory Bidg ? 31 6ct. Alt - Multi ? 33 Ext. Alt - SF ? 36 MuIG Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors •Demalition (Entire Bldg) - Glve PCA handout to applicant Yes . Valuation -ao Plan Review 100% or 25% census code y3 SAC Units # of Units # of Bldgs Type of Const V -3 Occupancy R• 3 MCES System Zoning vo? ?? City Water Stories Booster Pump Sq. Ft. PRV Length / a ' Fire Sprinklered Width /a ' _ Foorings (new bldg) _ Footings (deck) _ Footings(addirion) J Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. ? FffiallNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tesu Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 1/?7" Fee BU/LOING 't 23 EAGA N pq p RE??ECY?ED y10 ?0 4:, ??YIE: BUILDiN3a 6NSPECT 3??WSQDD@f 0?0?6? (sa4.s) ? 6.0) - N /7 29 E 2 ? 3/. p 31.00 22,3 22.3 (934.5J -'`:.? •`ii? 0- O N 29\33 \\N 24 33 N ?? ? (? . M 2.,?3 J ` ?V a N • .. W ^_i\ M ti ?1 ? (934.0) ? a 7.o` 3 0.? o._ ? N ? N` ?? ? ?? pcn N 22-33 CF ? 3/ Op3 a S /7 °25'29 ?E (934, $) TC x 93s./ .TC, x 9ar, g CL E/VI SO)V m 932. 9 'A(, w;? ?933. o) .? ( q33 5) (932.5) 1 ? ? (93Z.0) TC , 9s/, Z DRi vE 0 Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Ffoor Elevation= 93S.5 1--- Denotes Direction of Surface Drainage Proposed Lowest Fioor Elevation= 936. D 1 hereby certiTy ihat this is a true and correct representation of a survey of the boundaries oE Lots 33, 34, 35 and 36, Rlock 2, THOMAS I.AKF HF..IG?1TS 2ND AnDITION, Dakota County, Ninnesota And of the location of ail buildings, if any, thereon, and ail 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 Znd day of Aoril 119 86 , Paul A. .Tohnson Land Survayor, Minn. Reg. No. 1043R """ CERTIFICATE OF SURVEY i??= 40 fior McCOMBS-KNUTSON ASSOCIATES, INC, s?A, ??? ?a/?v?ES ?? [OXSUli1MG [NGit[GS B 14MD SYIIY[TOlti E Slff tI.?RNCAS FuE MQ ??gG i? rMYI ?..?..' 1 WNM4N'DUS aM 1WTCNINSpN.WWCELOIa 7430 t • L_ y Use BLUE or BLACK Ink For Office Use j Permit #:1~~__ i tty of Eagan I Permit Fee: 1 3830 Pilot Knob Road i Eagan MN 55122 Date Received: t0 3 Phone: (651)675.5675 I I Fax: (651) 675-5694 I Staff: I 1 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # 8 tdq ~ Date: ( - 13 - Site Address. • $ ) I ~ .i$ a 01'r %!5M Unit` s#: Name: l ~ 4i n h orl Lrs_-- Phone: f-~• '7 _S S"(11Z :Resident! Owner" Address / City / Zip: Applicant is: Owner Contractor Type cif VV©rk Description of work: Aetbo~n ~ a - Construction Cost: 1 V 0 _ Multi-Family Building: (Yes VNo Company: L C - ` P) l~ UCH/CI~------ Contact: _&.'qen C,Ontractor Address: Q 1~ c~ lr City Minne_.aAa1ZS State: Zip: Phone: 6ZA2 - 22-1 - 5-506 License S l^ - 94 ©J 2-- Lead certificate Az4 2 419,V7 - 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: _Y Mechanical Contractor: -Phone: --Y-_--- Sewer & Water Contractor: Phone: NOTE: RlartS'and supporting documents that you submit are considered to be public Informat/on. Portions of the information may be classified as nor:-public if you pfpvide specific reasons that would permit the City to conclude that the aria trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) X454-0002 for protection against underground utility damage. Call 48 fps before you intend to dig to receive locates of underground utilifies. www.sronhomWteomecall.ora 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit. and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x ~fc2abeA 1-,nr n Applicant's Printed Name Applicanys Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use of E ~ ~ j Permit M. I Permit Fee: •'l 1 3830 Pilot Knob Road t I Eagan MN 55122 Date Received; 0011 13 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 •-----------------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # Date: ~6 -1 t - t 3_ Site Address: ~5~~~151 r ! ~,8 Ua,,,,5rjy~uR Resident Name: -Mr1~~__~ r,lin A come Phone: -2• 72 _r,2a_- - Owner Address / City / Zip: _ Applicant is: Owner Contractor Type of. 1i Description of work: e 'O F' * _ otk /h~ pa; a Construction Cos - ~ v Multi-Family Building: (Yes _ - / No Company: ~-c- I/G T/ c~✓- Contact: ~~2-~--- '3o M_ v7 /r COnir> Gt¢t Address: n ! Gt ----city: Minneia ' State: A A - Zip: 555~~ Phone: 506 License 14 - 1` Z. 0 6 2- Lead certificate (M 2 !Cf 7 - 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: Phone: - Sewer & Water Contractor: -------Phone: NOTE. Plansand supporting documents that you submit are considered to be public Information. Portions of fle information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 46 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.om 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 riot 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. i5n rCr~ x~ Applicant's Printed Name Applica s Signature 9 Page 1 of 3