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1570 Clemson DrCITY OF EAGAN Remarks Aev Agg 0v Addition '['(ZQBk3s T.ake Hc+ightg,d dition Lot 45 & Blk jl L Parcel # Z z 1570 Clemson Urive agan Owner Street State ° Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 8 ill. STREE7 RES70R. GRADING SAN 5EW TRUNK ? ? ?..5 *SEWERLATERAL 1981 37 .51 7.52 15.05 121 2 - -8 WATERMAIN * WATER I.ATERAL 19$1 WATER AREA 197 STORM SEW TRK 249.91 A0121 2 --S * STORMSEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT 260.00 #45187 8-3-84 WATER CONN. 470.00 BUILDING PER. #9364 5AC 25.QQ PARK CITY OF EAGAN ? Remarks Aw -Am d/ AdditionThpm aS LfLk?F HP38Fltz,4Additinn Lot -?d Blk Parcel #lO ? owner Street 1570 B Clemson Drive state Eaga.n, Mt1 55122 ' Improvement Date Amount Annual Years Payment Receipt Oete STREET SURF. 9. 7j $5 . Q 5 111.8 A0221 2 5-5-83 5TREET RESTOR. GRADING 5AN 5EW TRUNK ? 3 * SEWER LATERAL 37.6I 7,52 1.0 AO?l 2 -- 3 WATERMAIN * WATER LATERAL lgg WATER AREA / 7 .7 ??,t sTORnn sEw rRK 249.91 A012172 5-5- 3 * STORM SEW LAT 1951 CURB & GUTTER SIDEWALK STREET LIGHT 0 WATER CONN. 470.00 11 i? BUILDING PER. n n SAC PARK CITY OF EAGAN Remarks 250 z -?? ?? • Addition Thnm1s T,ake HPighw r?djtioil Lot ?--? Blk Parcal #10 Owner Street 1572 Clemsan Drive State Edgari, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, m .8 A0121 2 -5-8 STfiEET RESTOR. GRADING SAN SEW TRUNK ? c?7 qf * SEWER LATERAL a 1981 '37.61 7.52 15.05 Q ?-8 WATERMAIN * WATERLATERAL 1981 WATER AREA /?97 STORM SEW TRK 1981 .112 37 20-82 1 24 . 1 A0121 2 5-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 4YATER CONN. 470.00 9UILDING PER. n tr SAC t? t+ PARK CITY OF EAGAN d Remarks ,1.?3, w A/o z::,? 02- AdditionlhQ?1AC T.ak _ HP-i ghtq,'dfJ-i ri o Loc 42 27 sik AParcal #10 480' Owner Street 1572 B Clemson Drive Stace Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipi Date STREETSURF, ? 1981 279.71 55.94 5 111.8 A0121 2 --8 STREET RESTOR. GRADIWG SAN SEW TRUNK 9 7? *SEWER LATERAL ? 1981 37,61 7.$2 ]. .0S A1011212 -5-$3 WATERMAIN * WATER LATERAL 1981 WATER AREA /fj y7 STOFiM 5EW TRK 1981 312.37 20.82 15 249.91 A012172 5-5-83 * STORM SEW LAT 1981 GURB & GUTTER SIDEWALK ? STREET LIGHT Road Unit 260.04 4 18 WATER CONN. 470.00 11 " BUILDING PER. 119372 rr ri SAC 525.00 TT ?i PAR K . CITY OF EAGAN 9??f'j4 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 - BUILDiN G PERMIT Reuipr # To M umd fm1 OI' 4 PLEX Est Value $55,000 Date r1UGUST 3 , 1 y 84 5k Add 1570 CLFIi•1SON DR Er t IN R1 Oc u a e cess ec ncy p c Lot 2 g Block 1 Sec/Sub, H M LK fiTS Rdmodel ? Zoning Parcel No. 2ND Repeir ? Type of Const. V Enlarge ? No. Storiea N?e OLLEFSON BLDRS INC Move ? Length 44 Ada? 11 DR Demoiisn ? ?,?h 26 - Grade ? ± ? Sq. Ft. citv e e oe SA'':E o Neme ?u Address 1-- City Phone oc W W Name 1lsseument Woter a Sew. Police Council I hereby ackr?owledge thof 1 hove read this opplicorion and stute thot gldg. Off. the information is torrect ond ogree to tomply with oll opplicoble APC State of Minnesoto Statutes and City of Ea9on O?dinances. ..- Nar. Date Sipnoturo of Permiftee n t-? ?+ r Permit 296.00 Surchorfls 27.50 Plon a,Kk 149.00 ?C 525.00 Wcter Conn. 470.00 ! Woter Meter 63.00 Rood Unit 2 6 0 t 0 0, Parks ' Total r 79 . O A Building Permit is issued to: TOLL,?,.• sora BL'?.,., 7."i4C on the express conditlon fhat all work sholl bs done in acoordarxe with pll applicoble State of Mlnnesota Statutes ond City of Eoqan Ordinoncas. Buildir?p Official ? ` ' ' _ Permit No. Pwmk Hoidw Dan Plumbinp ") H.VA.C. 1 Pd Vc?- S6 r "? a. i I 1$ 7 Elec.ic 5oftener Iropaction Date Insp. Other Footingt Foundstion Fnmin9 ? S++F (?v?-?.'r2?-?it ,?,,-? • - ? ? , ? Rouph Plbs. gig Rouph HVAC yl!?AfA -(4.0? in.uinion p Final Plbg 119.?- Final HVAC ? B Final c.rt/ooe. y??e Wm? Desc?ibt Location: Y11s11 Sevrer Pr. Disp. • P i N erm Receipt PLUMBING PERMIT CITY OF EAGAN '?, ` t o. . ? 3 I F ? i ee -?- ' FiU in numbered spaces S/C ! 0 1 ?•' Type or Print legib/y Tot. 11l 1. Date 11 2. Installation Cost 't- ? .. s Lot `f - Blk?? J b Add 3 Tract res . o 4. Owner 5. Contractor e' ? .et Phone 6. Address /?( % .: , -- ?- 7. City e - • / l State f l ,t/ 2ip :5ce ' 8. Building Type: Residential a. Commercial ? Institutional O I 9. Work Description: New ff` Add O 1 10. Describe 1 11• Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank _ Lavatory Softner Shower Wel I i Kitchen Sink L_ Urinal/Bidet Leun'dryT'fiy Other ? Floor Drains Drinking Ftn. l Slbp 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_ ?0` i??.? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt 7 J G MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered speces S/C Typa or Print legibly Tot. 1. Date '11,ig, 7!1 pj,4Atl 2. Installation Cost " 3. Job Addr s 15743 CMMon Drlot CN"Zlk. f? Tract j? 4. Owner Ta 5. Contractor FPunRTr'uGnta frrc; Phone 452-2775 6. Address 4030 Beau D' Rue Dr. 7. CILy P.aqan StBte Mn ZiP rA- 1?,.?7_ 8. Building Type: Residential SX Commercial O Instltutional O 9. Work Description: New 7V Add D Alter O Repair ? 10. Descrihe I,EIZriOX Fuel Type I7at1. Gas 11. No. Eguioment BTU - M. Ea. Forced Air 82,000 No. EquiPment CFM Air Handling: Mfg. Boilers E M Mfg. ech. xhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets F- - L 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: i. << ? for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 , CITY OF EAGAN 931,1() 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 QUILDING PERMIT Rece+ar # -r_ ._ .-_.& dt__ , 1 O'r' 4 PL;?X ?.. .._.._ $55. 000 .._._ AUCyE1ST 3 , e 84 SiteAd AN 1570B CLEM$O[a DR Erect Ox Occupancy xI I,.ot slock ec/sub. HOlI1AS LK H TS Remodel ? zonlny Parcel Repafr ? Type of Const. V Enlarge ? No. Stories `' OLLEFSON BLDRS INC W Neme Move 0 Length 4 z NORWOOD DR Demoliah ? aepth ?? A??s EAGKN 54-6 3 Grade ? Sq, Ft. Phone City A Name 8u Address ? Citv Phone I hereby ackrawied9e that I have read this oppiicotion and stote thot the inlormoti is oorrect orxl ogree to comply with oll opplicobla 5tote of Minr,soto Stctutes and City of Ecgan Ordinonus. Sipnoture of Permiftao TOLLEFSON RLDRS IN /lssessment Woter & Sew. Potita Firo Enp. Plonner Bldg. Off, APC Var. Date Eoes Permit a Surchorps 27.50 Plan check 149.00 5AC 525.00 Woter Conn. 470.00 Woter Meter 63. 0 0 Rood Unit 260.00 Parks Total r • • -? A Buildinq Permit is iuued to: on the txprcss conditbn that oll work shall be done in accardarxe with all applicable State of Minnesom Statutes and City of Eaqon Ordinonces. Buildinp Offlcicl Parmit Ho. Ptrmk Holdsr Da" Plumbinp C? ?t (;- k2 g y H.VA.C. ?1 c fyt V?) I I i ? eNce.ic h? ?1 a l ( t ?°15l8 q Softanwr (ropeceion Daee Insp. Othe. Footingg Foundation Fnming . ? Rouqh PI6y. Rouqh HVA Inwlation % Final Plbq. Final HVAC Final ? CAW,OCC. water Oasaiba Location: NNII , Sewer Pr. DifP. • Receipt PLUMBING PERRAIT Permit No. CITY OF EAGAN ,,, . • - ''' •' " Fee ': `, .`•. _ - ??- Fill in numbered spaces S/C -Type oi Print legib/y Tot. - - U 1. Date 2. Installation Cost 1-- -? / ?.. _?l 0 3. Job Addr s Lot ?-' _Bik. ? Tract ? . 4. Owner 7C- 1(?'7? =J( ') 5. Contractor?,r?r ?T!!?*Phone zx7 3 ? 6. Address l )YS ar) i?S /iC',?3• ? . 7. City State /??/i1 ZiP 8. Building Type: Residential g.- Commercial ? Institutional ? 9. Work Description: New ZI---Add ? Alter O Repa4 ? 10. Describe 11. No. --, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well ? Kitchen Sink Urinal/Bidet Other 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 tyDe of work. Signed :, for / - Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt l) ? ? ? << <! MECHANICAL PERMIT CITY OF EAGAN Fill !n numbered spaces Type or Print legibly Permit No. Fee S/C Tos. -?-) U J U ---T- 1. Date Auy ua Os? 9342. Installation Cost 3. Job Address 1570B Clemson Lot Blk. _z?2- Tract 4. Owner r.ra=FS02i SUILDEI2S 5. Contractor FREDRIC2'.S0I4 IiTG & A.C. Phone 452-2775 6. Address 4030 Beau D' Rue 7. City L'agan State Mn Zip 55122 8. Building Type: Residential E Commercial ? Institutional O 9. Work Description: New f] Add O Alter ? Repair ? 10. Describe T.i:17id(]X Fuei Type Natl. gas 11. No. 1 Equinment STU - M. Ea. Forced Air 82,000 No. EQUipment CFM qir Handling: Mfg, Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: i for . Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # r_ v...r 1.,. -?- ??' ?•' ?, u i,! ,. . r.. v.,i..? $55,000 AUGUST 3 , .84 Slte Addrejp ` .• • - •_.,?, ,: ..?va. Lot 3 2 Block 1 Sec/Sub. Parcel No. ? Name TOLLEFSON ? Address 1655 rJORG7? i City ? Ph, Erect ? Oocupancy R1 Remodel ? Zoning p Repair ? Type af Const. V Enlarge ? No. Storie Move ? ? Length O Mame J%VVrv?aw u? Addrese llssessrnent F City Phone Water & Sew. G Pol ice ? Neme Ffn 9W ?? Address Erp, IZW City Phone Plonnsr Council 1 hereby acknowledfle thot I have reod this opplicotion ond state that gld9, pff, tM inlormotion fs torrect and agree to comply with oll applicobls Srote of Minnesotc Stotutes ond City of Eogan Ordinonces. APC' Var. pate Siqnoture of Pennittee TOLLFFSnN BLnRS TNC Fees Permit 41 • 0 Surcharye 27.50 Plan check 149• U 0 ?C 525.00 Woter Conn. 470.00 Woter Meter 63.00 Rocd Unit 260.00 Parks Total $1,792.50 A Buildiny Permit Is issued to: ? on tM exprcm conditbn thal oll work sholl be done in ocwrdonce with o11 opplicoble Stote of Minnesoto Statutes ond Gry of Eopon Ordinonas. Bufldinp Officlol ' Pwmit No. Permit Holder Date Plum6in0 y 10 '? ?p U e,?2 ? 'C', H.v.A,.c. y'1 10 Jc s c J... '0a (1 t`( Elsetric y?l (? ? ,tr ?o?5?gcf Soitenor Iropection Datt Insp. Othe? Footinys Foundatan Framin0 R Rouqh Plbp. Rou9h HVAC y ? Insufation y f? Final Plbp. ? ,? Finsl HVAC Final Grt/Ooe. Wow Doscribe Location: MINII Sewar Pr. Disp. Receipt MECHANICAL PERMIT Permit Na I /`/ l CITY OF EAGAN ? ./ Fee? - Fill in numbered spaces S/C Type or Print legihly Tot. 1. pate 8-20-84 2. Installation Cost T ; . , ,. •. 3. Job Address ??72 CleTis:nn Lot Blk. - ? Tract 4. Owner 5. Contractor Fi2L•"DRICl{S0I1 HTG & A.C. Phone 1-PZ 6. Address 4030 Beau D'Rue Dr. 7. City 1:aq n State Mn ?Zip 55122 8. 8ui4ding Type: Residential q Commercia{ ? Institntionai D 9. Work Description: New CN Add ? Alier ? Repair ? 10. Describe LL•"NidOX Fuel Type natl gas 11. No, Equioment 8TU - M. Ea. Forced Air 32 000 No. Equipment CFM Air Handling: , Mfg. Boilers Mfg. Mech. Exhaust Unit Heater t-? Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final lnspections: Oate lnsp. Date Insp. This is your permit when numbered and approved. Approved C17Y OF EAGAN 454-6100 Reoeipt PLUMBING PERMIT Psrmit No. CITY OF EAGAN • - ? Fee FiII in numbered spaces S/C Type or Prin[ legib/y To /- j`: 1. Data ! ' ? Y 2. Installation Ct ="? [ -_I? ? ' ?' -= '. ? ?•7_:;r, n- ?'j ? 1 ?'? '. 3. Job Address Lot `r \ Blk. ? Tract ' ' •` ?? ?2. 4. Owner -/f_- - Id' . ? Phone 5. Contractor i -,C? , 6. 7. City State ?j /: U ZiP.? ~ 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New411-- lAdd D Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank Lavatory Softner Shower Well _L Kitchen Sink Urinal/Bidet Other ? ? -LaundrY TraY Floor Drains Drinking Ftn. Slop Sink ? ? Gas Piping Outlets ' 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is Your permit when numbered and approved. Approved CITY OF EAGAN 454-6700 1 • CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eapn, MN 55121 PHON E: 454-8100 ? QUILDINB PERMIT Te 6a wmd iM -t OF 4 PLF Receipt # $55,000 Date AUGUST 3 1964 SiteAddresa 1572B CLEMSON DR Erect L Occupency R1 l.ot _ 31 Block_SeclSub. THOMAS LK HTS Remodel ? 2oning Percel No. ZND Repair ? Typeof Conat. V Enlarge ? No. Storiea TQLLEFSON BLDRS INC Move O Lengtn 4 e; Name 1655 NORWOOD DR oemalish ? Depth -?? ? Address ERGAN 4 5 4- 6 7 3 Grade ? Sq. Ft. r;*., ph,,,,0 SAME Aoprovab fees , Name ? o u Address Assessment Permit • 27 50 ? City Phone Woter b Sew. - Surcharqe Police Plan theck 149.00 525 00 PW Name FIn . ?C _? Addresa Enp. Woter Corri. 47Q.00 ?W City Phone Plonner WoterMeter 63.00 counctl Road Unit 260.00 1 hereby acknowtedps tFat 1 hove reod this applicotion ond stete thot gldg, pff. Perks fhe informet:on is torrect ond oqree to tomply with oll applicoble APC Total $1,792.50 Stote of Minnesoto Statutes and City of Eagon Ordinances. Var. Date Sipnoturo of Permift" To;_,LrFSOra HLDRS 1111C A Building Pertnit Is Issued M: an the expons conditlon that oll work sholl be done in ecoordance with all appllcable State of Minnesota Statufes or+d Gty of Eapon Ordinances. Buildinp Officiol Pamit No. PKmk HoldK Datt PlumbinY H.VA.C. ?Y t G? v? c.k S'.- i) ) I S EMctric Quz Sofbrwr Inspeetion Dste Insp. Othar Footinyt y?- Foundation Framinq Rouph Plbp. Rough HVAC Inwlation Final Plbq Final HVAC Final ? n Deuxibe Location: E . Msp. , ' ?_ ? 1 • ?, ) Receipt ? PLUMBING PERhA1T Permit No. 1 . ? , CITY OF EAGAN R - . Fee ?- - . a ' Frl1 in numbered spaces S/C _ Type or Prini legibly Tot. ? f/. _, t; t. Date `?' 2. Installation Cost ?? , :.. : '?_ < _ t __ ? 3. Job Address 1? ?? ?• ? r;, Lot?Blk. ,Z/ Tract %! < rct j/7 _ ----• 4. Owner ?.i r:- L- ICJ0-1S , b. Contractor Phone 6. Address ?L)FI?sln','l ,? ? 7. cit ,n L Y ?c. c,, s/ A i -ttate l l. Zip 8. Building Type: Residential 43 Commercial ? Institutional 0 9. Work Description: New 6-" Add O Alter Q Repau' ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures ool/Drainfield Cess / Bath tubs p Septic Tank ' Lavatory Softner Shower Well 1 Kitchen Sink Urinal/Bidet Other Floor Drains Drinking Ftn. J Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correci, and 1 agree to comply with all ordinances and codes governing this type of work. ? Signed : for . Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT ?_'. Permit No. CITY OF EAGAN Fee . Fil1 in numbered spaces S/C Type or Print legib/y , \ Tot . , 1. Date pu(J_ )n,, 1 984 2. Installation Cost 3. JobAddress Clet:i:;oii Lot All Tract 4. Owner 'tY3L.Tac:FSON BUII,DERS 5. Contractor FREDRr '- OrI ITG_ & A_C_ Phone 452- ,775 6. AddressAn'tn Rpm„ noRtin rir 7. CitY Lagan 8. Building Type: Residentf" c? 9. Work Description: New i$- State Mn Zip 55122 Commercial ? Institutional O Add O Alter O Re air ? 10. Describe .raa2anX Fuel Type l,ta 1_ Qar_ 11. No, 1 Eauioment BTU - M. Ea. Forced Air 82,000 No. Equiament CFM Air Handlin : Mfg. g Boilers Mfg. '?- Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for . Rough • Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 PLUMBING PERMIT CITY OF EAGAM 3830 PILOT KNOB ROAD, EAGAN, MM 55121 Site m ? Add c City ? Name : ; Address O CitY - FEES COMM/IMD FEE - 1% OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN PERMIT # /00 (z? RECEIPT # &C?aG DATE BLDG. TYPE WORK DESCRIPTION Res. x New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Ctoset - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinallBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 = Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL: CITY OF EAGAN 3830 Pilo* Kno6 Road P. 3. 8ox 21199 Eagan; MN 55121 Zoning: R4 Plvnber. _ i ' ' 44 - rc3? an? , - ' WATER SERYICE PERMIT PERMIT NO.: a^rE: No. of Units: _ ts Meter No. Connection Charge: ' 70 00 p.l p?. Sixe: ?S?`:?: unt De?t: 15.00 Reader No.: 0.?/J,(.. c ao ?it Fee: 10•00 n. iogne fe omPy wi1h tlw Cier of bos• Surcharoe: .50 pG 0 rahm Misc. Chorpes: Totcl: BY Date Poid: Date of Insp.: ?t I?.: CITY OF EAGAN 3830 Pilot Knob Road WqM SERVICE P ER1NlT P. O. Box 21199 PERMIT NO.: ' Eagan, MN 55121 DATE: zcntnp: ;`; Tol e son B rs NO• °f Unirs: o r ex Owner, Address: Site ,?resc C emson Dr ive L A auias La e gtigi Plumber. ?'nz yan Meter No.: Connection Chorge: 4 70.0 P Siu: A c t D • P c oum eposit: Reoder No.: Permit Fee: • P I pme to compilf W" ow City ef Ee"n Surchorfle: • p Ordieenw. Mlsc. ChorQes: ' 37D IDetar Total: BY Date Poid: Date of Insp.: lns„ . CITY OF EAGAN SEINER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pATE: . Zoning ?No. af Units: Owner. Sire Address: Plumber. _ 1 pree to eomplp wNi Hw C&y of Eotioo Ordinaneaa. By Date of irisp,: v@ L46 BZ Th0mAf j,Bke Hit8 ca,rorla, aorge: •. 2s. oo pa Account Deposit: _ 1 % . OQ pd Permif Fee: _ ~.00 Pd Surchorpe: 50 nd Misc. Charges: Tota1: DoM Pold: CITY OF EAGAN WATER SERVlCE PERMIT 3830 Pilox Knob Road P. O. Bo;. 21199 PERMIT NO.: Eagan, MN 55121 DATE: " Zoning: No. of Units: 1 o i 4n- ?: pwner; ?Tollef con Bldr-? Address- Site Address: \Meter No.: . 2 ' uttil Ledhnection Chorge: ' • " • ,• ? ;,•• Size: ??unt Deposit: 15.00 ?d Reader No.• mit Fee: er 10.00 P a 1 agroe to comph wllb ehe City of Eagaa Surcharye: . 50pr1 Ordinancas. Mi . Chorpes: 63.00 pd otal: By Date Paid: Date of Insp,: J Insp : D/ . CITY OF EAGAN 3830 Pilot Knob Qoad WATER SERVICE PERMIT ;r - P. O. Box 11199 PERMIT NO.: Eagan, MN 55121 DATE: ?? Zoning: : "µ No. of Units: y pw,ner. Tollefeon F3 x's Address: 30 5tte Address: 1570B Clemaon :i ? ue , on?as LaRe Plumber: Genz RySn Meter No.: Connection Charge: • 00 ? ,_ Sixe: . ?? Acoount De osit p : Reader No.: Permit Fee: 1 eyree to amplr whh the C1ty of Eogan Surchorge: • Ordinaaas. er Misc. Chorges: 61.00 Total: BY Dcte Paid: - - OF EAGAN gEWER SRVICE PERMIT Pilot Knob Road Box 21199 PERMIT NO.: i, M1N 5512V, 4 DATE: . o p.?: g: No. of Units: __ Tolle son Bldrs re eenwy wieA e6 cihr ef Easee co?,naaion aa?ge: -??..,.. ,.,. Aaount Deposi:: 15.00 pci Permit Fes: 11.0t) n<i Surcharpe: .50 pc; NAisc. Charqes: Total: Dote Pc1d: CITY OF EAGAN 3830 Pilot Knob Road P. 0. B.. c; 21199 Eag, 1, MN 55121 7....1.,... _ ;i?.? ;; 1egrse M aomPly wifh !iw City of Eegen Ordimnaw q WATER SERVICE PERMIT PERMIT NO.: DATE: . No. of Units: ?' Deposit: ? ••,•, 1...• ermit` Fee: 10. 0 p Surcharge: .50 p Mlac. Chorges: 63.00 pd meta_,- !CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: ESgan, MN . 55121 DATE: Zoning: KI R4 No. of Unirs: I o f 4 p 1 e Y Owner. Tollef eon Eldra Address: LleT.23GI1 Dri.vr: INn LAn1o:!ic1s 1572 SitQ ^?fc?' Lilr:e Pl m6er. er ?fo.: Connedion Chorge: 470.00 pd : AccouM Deposit: . p. der Na.: Permit Fee: ` f•`. 4j pd rae M compl?r wiN? !IN City sf Eogan Surchorge: •{ pc, inaso.s. I Misc. CharQes : ??3.00 t?d nieter Total: Date Pnid: e e of Irisp.: Dat Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road ' P. A. Box 21199 PERMIT NO.: Eagan, MN 55127 DA7E: Zoninp: =i4 No. of Units: 0wner, To3lefson Bldrs Address: Site Address• 1572 Clemsou Drive L44 B2 11.=aa Lake li ats Plumber: 1ar?z ????*t ;t; 451 ;7 425 . 00 Pd 1 epm to eowpy wNh tbe Gty of Eaga¦ Connection Cherge: oedinoeoe.. Account Depoait: 15.00 ip c Rermif Fee: 10.00 n J Surcharpe: .50 pd By Misc. Gwrges; Dote of Insp.: Total: CITY OF EAGAN WATER SERVI CE PERMR 3830 Filot Knob Rosd P. O. 8ox 21199 PERMIT NO.: , 121 DATE: lEagar,MN 55 1 ot ?;T?lt.x k''a of Units: No Zoninp: . Tollefs-.ti Bldrfi Own?. ress: ? ?72 ' ive I.? j' T'nc:nas La?:c ;1; t?:• _. te Mdrcss: ? ?f?, i?!C2di lOCal 'Plumber. ?sI'EltieC 00 pci 47(? eter No.: Z?lq / . Cck#.edton Chorqe: ). 00 pc! - ?t: , , e • >+ ? '? z F ? ? ? eoder No. it ee: t , na 1cyrN to aomoh? whb !he Citp of Hqee Surct?arge: Fk, 0 0 p d r.te t e: orami Miac. CMrges: Totul: B Dote Paid: y aate of Insp.: r e ? 64 Insp.: CITY OF EAGAN WATER SERVICE PERNIIT 3830 Pilot Knoa Roed P. O. Box 21199 PERMIT NO.: 55121 DATE: Eagan, MN p e:{ o Y 4 Zoning: R No. of Units: Owner: To e 901f1 B T8 ! ; Address: 5 213 Clemson D rive B.. omas . a?:e ?:gte (Site ??? C@ri2 'ZvHn Plumber. ? p Mster No.: Connection Charye: 5. v Size: Acoount Depostt: ? Reader No.: Pertnit Fee: ? ' 1slm to ampip wK tw Ckq of Ee9es Su?charge: 63.UU p ntet@I :Or?IMnea. Mfac. Charoes: Total: ,B Date Poid: Y Date of Irup.: insp.: CITY OF EAGAnL SEWER SERVICE PERMR 3830 Pilot Knob Road P. O,. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ' Zoninp: R4 No. of Units: Z of ?plex Owner. Tollef9on Iildre Address: Slte Add Plumber: 1GynO to aonqlp wNh KW phr oi Ease¦ OrJlwenas. By DoM of Insp.: Conr»ctton Chwrqe: 425.00 pd Accourit Deposit: p Permit Fee: 10, P SuncFwrpe: -' pd Misc. Chorges: Totol: DoN Pold: This request void ?? g y-? ? a ? , IO 7 J? ? 18 rtpmhs (rom 1? 2" ? 3 Request Date J)) ` ?o y / Fire No. Fouph-in Insuer,uon RequtreA? ? v ?W ili Noufy InsDec- OReady Nuw1? ? ?.? '?T ?N ? 1 W? F DY ?censed Elec[ncal ConVactor I hereby request mspacM1On of ebove O wner electncal work inslalled 9t. Sheet AAdress, Boz or Route No. Cay 1J'`? 7 ection o. Townsh?p ame or No. Range No. Coun[ OccuP t IP INT I Phone No . / ? ? . Power Suppli J - Q ?6 c Llecf"rrC Address ?Qr?h/r? 7"+?zbl Elec[nc Contractor (COmpany Namel Contractor's License No. '' ? e ri D /?1J 7?b '3 Mailmg Address (Conirecmr r Owne, Makmg InstailaUOn) Authon d S?gnatu e IConh?tor?Owner Makine InstallaLOni Phone Number `i' - 3SSY, mirvrvtSOTA STATE"eOARD OF ELEGTNICITY Gnggs-Midway Bldg. - qoom N-191 1841 Unrvarerty Ava., St Paul, MN 66704 Phone (612) 291-2111 THIS INSPECTION REQUEST WILL NOT. BE ACCEPTED BV THE STq'fE BOAND UNLESS PqOPEfl INSPECTION FEE IS ENClOSEO. REQUEST FOR ELEC3RICAL,INSPECTION es•oooai-oa &Ift ,p ( ' Sea inatructions tor comoletlng lhis form an beck o/ Vellow capy. E?U ""X" Be/ow Work Covered b Thls Re uest 0921 V'V Y q AAd Rep Type of Builtling AppLances WireA Equipmen[ Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Bwlding Dryer Electnc Heahn Commercial Bldg. Fumace Silo Unloader industrial 81dg. Air Conditioner Buik Milk Tank Parm ONe.r peci v ther ISUer,ityl ? f Othor Other M Fee Service Ent?ancaSize q Fee Fextlars/SUhfaeders # Fne Circwta G L to 200 qm s 0 to 30 qm s ? 0 to 30 Am Above 200 qm s 31 to 100 qmps 31 to 100 Amp, Swimming Pool Abave 100_Am s Above 100_Am - Transiormers Irrigation Booms p ti Paral-'Other F e 5?9?5 SpeciailnspecLOn i Hemarks ? 5 TOT.FE ? t?-JD Hou9h-in ?ite , j?.?.F l Insoacbr, heraby Pfnal cerL}y thet the above ?'??e epection hes been ihiefeQueslvOidlBmonthsfram ? 7- 7 -565 l'A ;ll Fequ [ Da[e Fre No Ro/ h-In Ins ec?ion Re ? ? O P qwretl , Inspection Other Than Fough-In 6_ 2$_ 9 5 (Vou must call inspeclor when ready) ? Ready Now E] Will Nohfy Inspeclor ? Yes IZI No Date Reatly INJ licensed contractor ? owner hereby request inspection of above l t i l Job Atltlress (Slrea[, 6ox or qouta NoJA e ec r ca work at: C t 1572 Cle on Dr i y . Secllon No Township Name or No Range N. Eagan counry occupant (pRINT) Da k o t a Gary Larson PnoneNp 4 5 2- 3 5 5 2 Pawer Supp?ier Atltlress Dakota Electric Farmington Electncal Conlractor (Company Name) Roehning Electric Conlracmr'sLicenseNo CAO 1557 Meilmg Atldress (Conlraetoror Ownar Making IrislallahonJ 14811 Endicott Way Apple Valley, Mn. 55124 Aulhonzetl Signature (COnlracto?/Owner aking Inst ation) Phone Number , ? G 423-4328 MINNESOTA STATE BOARO OF ELECTHICITV f J I I I Griggs-Midway Bidg. - qoom 5428 iHIS WSPECTION REQUESi WILL NOT I 1821 UnlvenHy pve., St Paul, MN 55109 III ??III?III II II ?IIIIIIIII I I I? 8E ACCEP?ED BY iHE SThTE 80ARD '+hone ?612) 692-0800 I I UNLESS PROPEF INSPECiION FEE IS ENCLOSEp 0 .. 173,e)/ C? REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os ?v See insimctons lor comple0ng ihis form on back oi yellow copy "X° Befow Work Covered bv Thi.c ftPri Ne Add Rep. Type of Building Appiiances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Eleotric Heating Apt. Bwlding Dryer Load Management Comm /Industrial Furnace Other (Speafy) Farm Air Conditioner 01Yier (specity) onvecmr's Femarks ComputelnspechonFeeBelow: Wlre AlY Conditioner # Other Fee # Service Entrance Size Fee # Cvcuits/Feeders Fee Swimming Pool 0 to 200 Amps 1 0 to 100 Amps 20 0( Transformers Above 200_Amps Above 100 _Amps . Slgns Inspeaor's Use only TOTAL Irrigation Booms ? ? Special Inspection ?? ZO y . Alarm/Communication THIS INSTALLqTION MAY B DISCONNECTED IF NOT Othe? Fee COMPLETED WITHIN 78 MONTHS. I, the Electncal Inspector, hereby Rou9n-m Dale certity that the above inspection has been made. F'"al oaie-7_ J' l OFFICE USE ONLY - rhis request voitl 18 months hom This re9uest vo!G ? t ?T /? 16 months trom Y?? A 0 9 2161 ? ?? 6 A Tv-t „? Lrc. Requesl Daty Fire No. Rouph Re -in,InsuecUOn ? `qusreA ?Ready Nuw. /Q /? ??jL/ ?yVili Nuufy Insoec- ?y?•es ? No ?? ?ur When Reatly icereeA Electncal ConVactor I hereby reques[ ins0ecbon ot above ?wner atactncal work installed at. Street Atldress, Bax or Noute No. C ity ?57o.B ecbon o. Township Name or u. ange No. County I t9a A I AQ Occupanl (HiINT / Phone No. a t Z 5zl -6Y 73 Power Suppli / ? / ? C Atldre/?Y / G r Elec ro I Cantraetor ICOmpany Name) Convncmr's License No, a Mai inp Atldress lCmnactor or Owner MakinB Instailation) n AuMor' ed SiO? ure ICOn cror Owner Mak?ng I tal?abon) Pho e ber MINNESOTA gTpY[ BOAPU OF ELECTAICITY Grigps-Midwav Blda. - Room N-191 1821 UniveraitY Ave., St. Peul, MN 56104 Phone (672) 2972111 THIS INSPECTION PEQUEST WILL NOT BE ACCEPTEO 8Y THE STq7E BOAflD UNLESS PNOPEN INSPECTION FEE IS ENCLOSED, REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi_oa ?S instractmns tor completug this tpm on back of yellow copy. A - 09121 hT "X" Below Work Covered by 7his Request 64Addl RBp. TYPe oi Burlding Applmnces weeee EquIUmBn[ Wired Lightinc Electnc Silo lJnl Air q Fee ServiceEertmnceSae p F?. Fe.d.,s/S,bims1.,. % Fae Circwts 0 to Z00 Am s o 30 Am ps 0 tn 30 An! s Ab200 qm s a to 100 qmps D 31 to IOOAMPS Swimnmg Pool ove 100-Am s Above 100_Amps 7ransformers gation 8ooms S Partial/ e signs apeaai inspecuon g -? TO Al F E ) Re?rks ?? ? nouen-m ?/- I I^the ncal U T I spectoq heraby -°l+iV that tha abova F?nal ? te ? /? ? ? r ?? _ ??.F. pection has been //e? . msde. Thy rpueat vald 18 This repuest void 18 rtpnths from ? A9 6 Q L.`? ?? AA? Tltia rn ?.o- Llc I-! TZ Li?- fleque fsi*Da:e Fire No. Rough-in Insper.[ion A e u?re d> ? Reatly Nuw?Will Noutv InsPec - )? ? ? ? s / A ?9es ? No tor When Heatly Licensed Electncol Contractor I hateby request mspecnon ol abova Owner alectr?cal work inatalled et: Sbeet Adtlr doz or floute No. ?J ?? C/ em Crty GC SDn Uriv? c Cit2. ecbo? o. Township Name nr Nn. Range No. County / L DQ Occup t(P9 INT) ?? ? Phone No. /e Sa.v Power $upplier L a lC ' E Adtlress ? -E w 7?i 2?. ?rG v Elec cal ConV c[or IComoany Namel ? ? ? l ? ? Contrector's Lwense No. 6 1 us s vi e . , yo ?4 8- 3 Mailin9 AdJress (Contracmr or Owner Mekmp Installauon) `7 ea o S 5- n.v er,rl Authoraed 4gnawre ( nVactor Owner aking Ins[ailanon) Phone Number -3555 MINNESOTA STqTE BOAD OF ELECTHICITV Griggs-Midway Bldg. - floom N-191 1827 University Ave., St. Paul, MN 55106 Phona (612) 297.2111 THIS INSPECTION XEQUEST WILI NOT eE ACCEPTED BY THE STATE 90ARD UNLESS PflOPEP INSPECiION FEE IS ENCLOSED., REQUEST FOR ELECTRICAL INSPECTION ' Ee-00001-04 '^I????'??ee instrucpons far campleLng thrs torm oq back ot yellow copV, lOl G?(/ ?[ AU Selow Work Covered bv This RPrr,ASr ding AOpIiavices Wired Equipment Wjred Ranye Temporary Service Water Heater Ligh[iny Fixtures i ? 1i Dryer ElectncHeatin idy. Fumace Silo Unloader g. Air Conditioner Bulk Milk Tank Othel eci v Other (Spamfy) Other 01her mm nrn a M- --- s,,.., r__ n_j__. iF Fee ServiceEnttancaSiza # Fea Fewders/Subfaeders p Fee Gvcmts D 0 to 200 Amps Above 200 qmps 0 to 30 Am s 37 to 100 qmps Z2 p 0 tn 30 Am s 31 to 100 q Swimming Pool A6ove 100- Am s Above 100_Am - Transiormers Slgns Irrigation Booms Spectdl InspectiOn ga Partia6'Offier Fee Nem3rks S TOTAi' Rough-,n '" '- , ? Date / ?` ? 1. the EI Inapectm, hereby F?nal ? ? certilv Ihet 1M above inspection hgs been maa. This reQuest v0itl 18 manthe from m.s .ea,rest w1a 18 mo?tns trw.. A 092162? z+3, g ,? ?,,...?, Li? " ?? Requr.s[ Date F"re No. ib h-in 1?5 pec[ion ! A I1ReaAY Now) r bI5/g ? ua A;7) I Notify 12cl Mlhen ReaJy 1 IyrobY reyuest iuspectim ot abore Owner elecdical wark in¢blled at: Street AOdress, Baa or Rou[e No. Cin, -.5 --2 '6 ? ?PiYI s6v, bri u-/ ? G}n, cLOn o_ Townshf0 Nmme- ar No. Ran,e o. Gquntv Oa /< Occupa ( ) ?? Phone, No. 5? 73 Pow¢r Suppli AddF-- Elec i 1 Con[ra (ConWmr Namel . Cm/h5xtor s Lnicencc ?NJo. V 0 / ?f? ---3 Mailieq ?s IC/O'?n[ractar v O?wner Yaki Iilation) 15 ? / Dd ?! Sq/lIK AuthorizeA 5 g'reture (ContraGaI0.roer Maki? InsWllation) Phone NuMgr ? F90 NINNESOTA $TpTE gp qp pF EIEC7RICfT' TM65 INSPECTION 6[QUEbT NILI NOT Griggs-YidveY Bldg- - R. N-191 8E ACCEP7ED BY THE SrA7E BOAIiD 1ffi1 Universip Rve., St Paul, NN 5106 , UNlESS PMOPE9 INSPECTON FEE IS Plronre 161212974111 ENClOSEO_ U? U l 7 REQUEST FOR ELECTRICAL INSPECTIOPI EB-00001-04 , See instrueFians for conrolexi.v tw:a f...... I_/ 96 - _ _.." '.__. _....o?..... .o...? .a.vr. "W I bl 5tb T X" Below Wnrk Covered by This Request Add P. Typa oF 9ui Wi?g Appliam. *irqd E VufP?.+?[ Nired Ho,? ?.ge Tenporary Service Ouplex Water Heater Lighti Fixtures Apt Building Dryer Electric Heatin Cormkxcial Bldg. Furnaoe Silo Unloader Inchustriai Bldg. Air Conditioner Bulk Miik Tank Farm me. ce?? eme.lsnecFq.l Other O?her Compute lnspectlon Fee Below M F. ServicaEntranee3@s W Fee Fooders/Suflaede. 9 Fe Circuies U D to 200 D m 30 Amps '7? ? 0 to 30 Above 200 Am 31 to 100 Amps 31 to lOQ A Swimming Pool Ahove 100_ AAove Amqos Tran,tanners Ir ig r ation Booms ? Partial' Sigm C ,? . . "YR?dI InSPCGtIOn / flerRtrks $ ? TO AL FFE? ? flouph-in y Date / 1 tl?e Electi raM F.nal C°Aip tMt tM above " Date . iMp&Ctim Ias Uee. • i a . - ?.?. RESIDENTIAL ?t4 y, ?s' BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatruedon Reauiremeah RamodelRtenalr Reaulremanb • 3 registere0 sile surveys sMwing sq. R. of IW, sq. ft. of Muse; and au roafed areas • 2 oopies of plan (20% maz'vnum lot coverage allawed) • 1 sH of Erreyy Calculations for heated add'diore • 2 copies o( plan shaxing beam & window saes; poured found desgn, etc.) • 1 site survey for ezleriar addNbns 8 decks • 1 set ot Energy CalcWations • IiMicate if home served by septic system toredditiore • 3 copies o(Tree Presenallon Plan if bt platted after711193 • Rim Joist Defaa Opdons seleCion shaet (bldgs with 3 or less unils) DATE VALUATION ? 0 SITE ADDRESS -7 'D?? ? S ?d ? I I 57a W? ?572 1? lem M TI-FAMILY BLDG _Y _ N TYPE Of WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT `-' E? STREET ADDRESS y? ) \-`3 b OA" TELEPHONE # G IZ -`Qb' - CELI PHONE # 6ayj PROPERTY OWNER - F? %_L41?kyk C? TELEPHONE #-l° 3- 'Va' 2 `Ilo3 (10 ------------------------------------ -.......................................................... COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • Residentlal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculadons Submitted Plumbing Conhactor: _ Plumhing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Coniractor: Air Conditioning _ Heat Recovery System ?STATE ?nZIP ? Sy ? ?l FAX# (oli,),- Phone # Phone # Fee: $90.00 Fee: $70.00 .. °--------------------------° -° °--------°---°-----------°-----------° °------------- °-------°----°------------ I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SlgnatureofApplicant ??? ?? . OFFICE USE ONLY _ Water Softener _ _ Water Heater _ No. of Baths _ Phone # Iawn Sprinkler No. of R.I. Baths Certificates af Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 Tollefeon Buildere Inc. Scela: 1"-20' • Denotes Iron ----?. =Drainage 00 0.0 - Existing \Elev. ? ? N I s Q ? ` 0 V Or.115fr1 , 188-9 JACKSON - SURVEYORS R[61ST[R[O UNDLR LAWS OF ST/1TE OF MINN[EOTA 3618 EAST 55th STREET, MINNEAPOLIS, MN 65477 7273464 SbuCbtpoC'8 CCtTt(titAh ??. Proposed Carege Floor Ele . 937.0 ?.. `, pyi v e vV ?\ /? 3f "/S'o o ••%y ? - r N N ? UN ,( Q 1 ? Y° r-- - _ I, lo \_? O?rve ? W?y ? I H[N[YY C[RTIPY THAT TM[ ABOY< If A TRY[ ANO CORNKCT PLAT OF A BURV[Y OF Lots 46,47,48 and 49,81ock 2.Thomee Laka Heights, Dakota County,liionesota. Af 6URV[YED sv M[ TNI!-LZt h?-oAr or 1VtY A.D. I B.M. Top H.H.B 13 934.6 ?f 3 ' -h3 Invert 917.1 A \i ?3 ? 0 0 N ? ? ? ? b q3G ai .? CITYOFEAGAN N? 9369 3830 Pilot Knob Road, P.O. 8ox 21•199, Eagan, MN 55121 PHONE: 4548100 ?? 7 BUILDIN6 PERMI? ReceiPt # ? Te M wed io, 1 OF 4 PLEX Est. Value $55,000 pme AUGUST 3 , I q 84 LEMSON DR 'SiteAddress 1570C Erect IN Occupancy Rl / Lot ?^ ?ock? LSedSub. THOM LK HTS ,;P? Remodel ? Zoning PD Percel No. Repair ? Type of Const, V Enlarge ? No. Stori es ? Name '1'OLLEFSON BLDRS INC Move ? Len9th 44 Z 1655 NORWOOD DR Address oemolish ? oeptn 26 Grede ? Sq. Ft. ? City EAGAN vhone 454-6873 Aporovals Faes SA?"tE o Name ?' Assessment Permit Z 9 8• 00 E u Address ? ?Nofer 8 Sew. Surchorge 27.50 Phune City Police Plan check 149.00 Gw Nsme ?w Fira SAC 525.00 .I? Address Eng. Water Conn. 470.00 'W City Phone Planner WaterMeter.63.00 I Council Road Unit Z 6 n- 00 I hereby acknowled9e thot I haveread this npplicotion and stofe ihat Bldg. Off. Parks Ihe informotion is torrect and agree to comply with a ll opplicoble AP? Total? •?0 Stote of Minnetoto 5latutes ond Ciry af Eagon Ordirwnces. , .. , _ . Var. Date Sipnmure of PemmHea A Building Permit Is issued to: TQLLEFSON BLDRS INC on the express condition thot cll work sholl be done in accordunce ith applicable Sta of in ewta Statutes ond Ciry of Eaqen Ordinances. l ildi fH i B a np O c u ? • • ? ALL CONTRACTORS MUST BE LICENSED WITH THE CIT Y QF EAGACV INCLUDE Q SETS OF PLANS, CERTIFICATES OF SURVEY Q SET OF ENERGY CALCULATIONS To Be Used For: Valuation: i5,000 .?n Date: C Site Address: f578, !$7??, 157oZg C?lemS? C?T • ? ? Erect- Sect/&ub:'r, LotzSlock; Z Occupancy: - _ _ ??( ?rx ?' /, ' Remodel: ? Zoning: P1? i Parcel # jA Repair_ _ Type Of Const: S7__ Enlarge: # Stories: Owner: ? _ Move: Length: ? Address: Demolish: Depth: 2C? Grade: Sq. Ft.: City/Zip Code: Phone #: Contractor:? Address: Jy6?5 Assessments: Permit: j? /Zi C d F( i Water/Sewer: Surcharge: p o e:- ? C ty Police: Plan Rev.: 14c.°= Phone Fire: SAC: 5Z5 _ Engr.: Water Conn: Arch./Eng: Planner: Water Meter (03 oO Council: Road Unit: 2?0 Address: Bldg. Off.: ry //yy- Parks: City/Zip Code: APC: ? ? Jr 7 Z Variance: ? ?, - " Phone#: lfIn'I?IUK "U" VALUE AND F-FACTOR AT P.OOF. iJALL, RIC[ A[MD CONCRETE ELOCK' \. ' . • ?1M ? . - . . - (?) va EL 111rer-ioR wc? ??U1 ? .:?f @ 5 t??" tN50LAjlota 10 2 Fl[z R11`1 &1sf 15 7_5/51z gtN"-iT5. . a c u' riFisorIITE. s 101t% ? ? .?xT?Rt?R At? f lGM ?: OO EXjERP? FlR F?LM -. f? 7o7a,L (R)- ?? - WALL Alre- fILM .?4 Q 1I2' G`(P.? 8D. ? ?? IP?SULAT1oI?+ 5?z)< <q 9Q ZS?3z? gol?,-P'JT? • ?. G ;? ?NI?=DCalj?. StD?r[x 4 ?1 ?X! ?; j0,"- F+m FlLr'! . ? ? . X-13? ToTAL CR) _ ? . ? kooF' C?IL?N? 0 1t1-[E"*tor' Rt(L FILM .68 ? 5/9' 6YP ED, • ,?? O thsu«???? qS•. . _ . ? . .fo;I?DATIOt?? ? . • Q IN JEVAZ A1iL Fll!'l ? . ?. ' ' CD, (tt) vFlL .. . •'6 =i ?-,?' cerac.. ??K, • . ?. EXjE-f-loR AlR F1CM ? ?. af 5 s 1-7 ;o, Floozs over unheated spaces must have minimum R-fne[or of R-20 (tuck-under garages). Floors over outdoor air (ovcrhangs) ewst liave a ninimum P,-fector of R-38. , • - I 1.?:•? I?It S' l':l'+? '?? i? t. F[FAT LOSS CALCUI?ITIONS ?'c We3?-tb?flfPips 'i t!' 11 A. . r? ,'i?,l;}r?? `4`??}^t?t Gwde ' Windows!? 0-.>Doon'?' ReFerente OutiWall Inl. Yes- -o IYes- C / Fl.I /.1 urit;t;'r. Roam Ltneih",7 >'• Width,-.t/2d P n. P 1 ,?? at ? skke ? v' ? ? ' . ? e ????pOU iS • N MM ,;u:,.;id..?i, Vyr??a?;.-, . . I?I?uu I uc?i on Ceiling'< ' Roof ; Floor '' I I `' Kind How Applied . ? ?"f3i'}a? II ?%}? :; ftoom I Lenath ?'.;:?. Width '.;''-?, Heioht ;• ,4?';+; E. '?•J? I ?? s r ? ' ? - "in:!' I ? 4 ` ?{a??o-° ? I?• •>?e? '?A?F. 84 i?? - - ? ? ? • , . a;, , ., ? , 'i:'s,??` Coef. a'irr:, Btd ? ? ?.. N•a?? . , . , ? t ,:. r , . t(j , .). .e..n",j;?.;??v ;)?, Alet e:p, wdl • 'a' 0 :.fl Int.wall 1 ,axa•}.?,: .r?.?,t?r?. r,v,?.., =` Cnling , . c. , ,. : Fdcec«_ _ .l. :.,)?v. ? •. ; ?, ? .,R U't ?'bY? ?.3'' ?{ +f?; '"?; 7otelOw. .? , 3?; t.tr??,?'v.i?:i?'P'??`?iak4'??+'?tlvh?;,'r,:;?• ?? .?4?;?; Required sq.'ft. E.D.R( oi i4. inu W.A. Lesde} itea Vs :P',%'???;. hoom l.??et6 °??'•'j^:s.Wid?Hdshl+"?f%'X':k^ . No. wleln. of HN,n1?. of p.n. NO.et IIIhU Inull6- ef v?c4" ,wr.a,. ?ev. IL" ?•?F :N?•7,•1?:' ?,Ty''?;,?,•" iV l. ; ??d• 6 , ? ', ? , , •. -,v. :r: , •2 ff r, ` ?' ; ? , f. „?.,r?• . ? :,? R.; ,?n { '?:? ?' ? w:u"?'?,'.7 , .f• , ,?y: :?.,, i,i'? :'ci,'- .,;1?i' ???r.x,5'Cn:v Coef. ..•,.Btu InRltralion GluS ' ???;. ,? . i:i;,h? q? '?1 •.e,h? .? - ,rt? ??i' ?{, Eap. wall Net eap. wall, •:i '1r . ? ? ?,1,,?,i ? t.c ?'?1..i??•; Inl.wall `,;??;?ito?r?• „•6.;?.. ??r t; ..?=,;??`??l`YSi. Caling ',?i.?i5 -7c-g?'??,,:;5 .:i?':r.,, `i?,:j• a,,tr ' ??OOf ",7:f IIPf?,Fi't?i?`.li'fNY?3'?f,?.?I°.'?•l'i`?'?• Ifr„ii?f5' 'iJm?+Y' i^'??lltrXl'?h:? TofalOtW L',Q"0 ' i . Required iq: !L E.D.R. ?. / FI.I ' 13 E t{'-:°Ro Windows'and Uoon ini: W,A. Leader eies ¦nd Area -- Ne ' - wldtn of D??? 41-ifnli ef p?M' No.af ' Iifht• In??lfl. ef eneM Are• s4 11.' '?;`•' ?r'fi'}'"??"?f??} rl , y.fMy t ? p? u1 x ? ?(1 ?•y '' ?. • rf ? ,i S . li ?_ ' , r ? ,,, ? ,,,•?,,&?. ?; 7 . .'t, ul ? ! .., ? t;,l'70?. .I' . ,'•h+? ?p n ly'd•:'•?'y_Tf7,`,q? -. ,? ,: ? a •??; ;r ?;n , ;ra ? CoeE. <;ao 8tuwh;t 1n61tnlion';1,.4y?si•.,,??;r;•:;1'; -e?e.(, , r',+1! ?:+ r??'???`` "??., .,,' e vt•t?::,.?i:r,•?;'1?1i{F?S.r?.u Exp. w&ll P c i" ' ?'?? • ? r .{? , : ??+?; ?U'"$..:9 : NeteaP.wall' 1=b' ?-+5 ? :16"'fl? , I0141 Blu. ,:& -e5+, 'k,yi?fY;r1 r;. w'.Nr,yit:;'?','I•,:?. .-? 1,-'?.? R uired so._ It._E.D.R:, of ?q. ini: W:A: IA,d« are. ;'t•r ?? t i.;,^.i?ti?+vi,;t 4,Mindows and Doon-Cneksge and Area':`• Wpan?ltlth .; N?If?I Il??ts Ne. e( L?n?d tL at 'ef p?n? of erae4 a. ia' ' ? ..• ?.? I . .,.3M131? 5.. =.11:' ,; , , „e • 1 : ,. ,;.r t 1 - ^.;r?,1 . ' «,av;+1:'?'r r Coet. " Btu ' i?::EuP. wall . , .. .. .. Nei exp. w,ll ': ,. ? c.•? ?, .: f ,Z lnl:,wall: ?a il? ??l'l °/ ?P?OOP???.?"+'7t?.i,?•.uti; ':yni ?i a',?M+x•':'`a?/ . ;. .' „`'AhTolslBw.??.ri?ts? :l;n , +-,r;„rt•??K:'- :,.'t,"r?i< •.t?.?i: U Required iq. ftl E.D.R. of tq. ini. WA. Leeder atea koomll.enaih WidthHeiaht ?`;yK;kWindowi snd Door?-Cncka¢e ?nd Area '• .'t;;';"' fwiatn `ee o..& H.4nt ef o.n. Nou ni. . ot Llnnl f0. et cr•ek *s ??? ? . i lnfilfrikion-?, y.• • y P ?f'? , ?' n ,y ?Cth li?au• ;' , ;,i q_:. - . . . , . :'4'6P:wall._'-5:i: . ._ ...rS •t?. . .. kil)LNek exp. wall F lhz lnl: wsll ' ?. , . . , .. nn ots tu.3rik'?h?," ,,?.r?,.?,...?_. ..t??r;• .?,...?.z.? :1 ? v?:?, Required ta: ft.' E.D.R. or sq. inl. WA. Lesder Yru'+Y ?4r t? FI. Roomll.ength'^ a: WidtN .'T, Heieht 1-41tMindows snd Doon--Cncka`e and Aru rp?f?v;y?i r',•• No, d Wldt? ot pan• „Hdtht 'af Dan• No.of Ilfhl• Llntalft. of eraeN Aru #a. fl. v??'?'.' ,? r• y? :,o a.,: ,. qm.:? CoeF. '. ' Bid 'i,a' (nfiltntion ?'%,r vt - ? , , •, ti. t? . k'^Gl?i?,; t":?, .. . , • .,?. '- 'i`i LiD• wall . . ..? ; . ?. , , .,.?„ n Net ezF. w,ll '<a? • , ?:,;,.. . , ;,, y:? Ffour?rr,` i::::-?-, . ? r., , ., • . Blu. , . . " - ied iq. fl: E.D.R. ot iq. inl. W.A. Leader arca'+., ?. t 4t ?}it c.y?.? .;?.,. ,:l?' :•t?'-• ., a; ° •?- :?? - .?? ` _ALCULA710NS Z"Y yr , _ , . A.S. , , , 2 r +I •)'ii'!::^?, f"rt1 Fa Guidd C0111EtYClIOtl ?Doors II 12eference I Oul, WsllInt, WaII' Ceilind ? ? ye=Na i9:rx, ,,w,-?r,:- _•I/??-t) ii?Room Lenq?h //:. Width',*,?- HeiOht A... ? t.,.s„+?;:-rc^ Na. ?,,:,rs••, ?, . r 5. i? +•'? Y,?? --- - -- - _- _ - - - , .,:; CoeL' Btd ;,:1'a':'.. Infillratiou"i"r"-'- Gleu a2/'d"6 E,p. a?all ? ? . . .? , . .?•. vi': t:?' Nd exp. wall -. ., ? J. 7 lnl. wall L;.F111'r, tef ?'r3 G?????:PFl. ? :!;i?7;,- .., i+.-..,,a?,•r?:ha?? ToWl9tu. ,t.. j.k,? ,k 't ( i ??„7?:,+ Requi.ed 94. tc. E.D.R, bt iq, ihi: W.A. Leeder erei'' '^ .i..•??.;'?Nt7a05i; :toom 1.EngiN"., --?WidthY' Windawi and Dbor?=Cfacks¢e Ind AreY HeiehF ?f Nni?f'r;kfru'c?'` Ne. min ef pan• . ki.ian? el pav? e. o ' Ilfhl? . Ine tt. . of ene4 . An". A. ft.' ??! ??n?„?''?? S :;,f ?' ' it :?•. '; „ a V' , y ?'? 6 - ? ? ? ?.. ._ 7J "r 7" u. ? . ?4?? i {f ffE . [ COlF. 't i-' 8!ti m4o1 Infillration;;4 ?t.,n:,•,.?,,a;?s?i?"?` :t ?;. =f!•,?? i .? ;r:..,,.;.-;?;r ? CilVII , . darCVi:e(tlr;!}?d;(,'?,?r?+??:?tws?; ..? r r.r _v...:.•Sti: Exp.Will'?,??.?'?i',-?'"tlt°'iBP•i,p?t.',4;t;.,._ Nei tip. In6wall '`?.'?gt?;?•,,n2:?_,,,a,.y?ii?j!d,?F;t :? ?p:i4? i!tot ?:troP';"f?,E?"s,?* C?ilihe w?A''?.''" ?'y* ?"?,?„' r;., .'w '?, c+ wi . 1 a?>? ?4 • : r>?;3r•? • !'a4:? ??i4 Floai '? j Total ...._?.. ?'•,..+ Reyuired Id. Iti E.O.R, of iQ? inii W.A: Llsder, i 'neiFl.1 ;:rr. 4W,? ({nom L'ena165*/h; Width ?Mindowl 1 hd Door4=Cricksg!'and'AieV? Na.??? • ? AI? bf0and : ?.r, ?i,: , M.Igplv efCt?? +•?»?*,x:n.x e.e! Ilffhb .u.`?'Q'•;'i , Inea 1. oleraeM '?.?',5hi;r?? i?•? Areau bC fl:r ?1",t,'"k? i ! 6 7 yµ?,: r? 'f? w f ; ,v,4 ? N: w• ? ?: ? f ? ? , ;: !' ' ',?i e, - ??r?•.?•^?; jv?,??r .a? Coef. ?nRluation""•;¢2?*?s.:r.,R,??,?s;r??rsy+? °,Ytit c ??:,r?,c?. It% zrt'p , G?i?? ? ,,?i,Y,ni?j„? -;,•:1t3,??,;5;,4?.E:i',r , . :.?„!d! ;10,?N ""?t+::';b'??.)'?1:,b,?A Fxp. wall'._ 'Netexp.will:,t.! , ..+=???;?,•"••it,4:r, a.rr. rr 0'af, 8' ?!?'> ?'? ??•"-:?;. 77;4 ?t5t? i ?.?5'.•, r• 81J. ?. ? =11h'dr .. ,, F, t.r4 ued iq.46 E.D.R,'of ,:.?i.. :`Fi'i??i,? •r?`,N^,?Yl,; 'yi MINNFAPOLIS. M1NN. „???? • Floor Kind How Applied 1 ^'s < '?:r Room I LsnQih Width Heighl • 'indowi and Doon-Cracka4e and Arct ' yry ..,,n? ib. i .Wldl? ef Can1 Nd?b/ of p?n? e. ol Il?hl? LlpILl ft. ef CeleY Ar., N. (l. ??r, f? J# ???'?:?'? 'l+?:T•p "?,^. .?, ,., . '•ypi,tlrw ' i'4•_' • Coef q. Btu ---- ? -?? ?UI +'; ' • n,. . . ? , ? ?s Fxp. wall Nek exp, wall :.,?? . .. . , . . ? 4i. .4 Flooi f" .VToiel Bw. -00, . .. .. , . . . . ? . , ?:'?i Requiied tq. (t E.D.R. or sq. ins. W.A. Leadcr areis Y:n; W*• Room I l.enoth : ;• Width Heighl ' dowi and DoorF -Cntk d A ?•? !_• m ? ge an rn .- ? , p q "'?Nd.'? '? , wldth efpan• •Isnl OfPane s. e! Ilihl, Inr&l fl. eftratM' An? sQ.ft. • f:,'_, ; ??? At'?? ? ' • : .' ? ? ?q??? ,$'?:V1;!(y? ?.^.i f:'4,P' ?.'l'?! k ?J.. .:Iq. . y .???? 'rl j._ t.?.v._•?.: ,? ?wvi;??I. y, :;. i C . ki ',"i,lnfilkteiion Tw:GlLirr<'r i,• ; ?, . ??.. , , .?,t , , . , Ne1 esp, w.ll Wall FIooP."t4?'; : r fi (y?. f, rot.i sti.:,?, at Iteqdired ia: fl: Ne.?' wldth et oane Hdsnl ? et o•ne No. e Llnul t6 Ofack Am SC. 11. ,???? ?.?.,,;; r.,,?" , ? ? • : ? •.; 1 ??m??(tVpi" '?i???.Y?• ..??V: .?. '.,j. ,t_ ?•q?i... . ? ;r,? ?'??? .w. ? ?:d : •.? ?, ? ? , . ? Cocl. ? Btu :1n611N?ion v „-,s.._ ? ..? ?O, Wa'I. ?.lf.f ? . ' i • ? ' ' ? ;f Nek kap, Will ?:..1. , ? . , . . . • :?rC2fling,i,,.?a. •?,??:. ..?? , t..n .. . 1'°b}'•'?+;?*y'+l?:',r? ,:t'? f1'?d?x; S,?y{To1??BfW'h.r;,t4;.r Leader ilei', ?a+` s! RiqUired iq. fl: E,O.R. or Iq. im. WA. Lelder lrea •:? ?;; ?il?4' S?+?'F`' `i' f? ?,!)+rrp1 ? f y?i .d4 ? ii. `f!i?1 ? ? is .r:? ;k r ?Jr i{ ,4j,t??,•jr.d? ,1 ? . s1?„ . , T1'p. 1 frS,.O;' - ' - ,';,' ,??+;x;. •' 't •,17•: _;.? :?:d•F?., ! '' ,. .?':•,: r' . +J s - - --- r ?. iG , .. -c. r/ . . -i". • • ot sq. iri1. W.A. Lesdet ?ht th Width d ll Hei ht .en4 ?m ` e and Aru ?ruka Q ?i? ?_+^W'; •' ? ' ' ' Ilfhl? Of , "" _ ' . ?. ? . -{: ? , CITY OF EAGAN N? 9371 ' 3830 Pilot Knab Road, P.O. Box 21-799, Eagan, MN 55121 PHONE:454-8100 _ ? BUILDING PERMIT Receipt # Ts ba wed fer 1 OF 4 PLEX Est,yolue $55,000 Dote AUGUST 3 lq $4 Sitenddress 1572 CLEMSON DR erect IN Occu Rl ?-? pancy 'Lot-?,?tockec/Suh. THOMAS LK HTS?Remodel ? Zoning PD Parcel No5 ? Repair ? Type of Const. V Enlarge ? No. Stories ? nlame TOLLEFSON BLDRS INC Move ? Length 44- ,z Address 1655 NORWOOD DR oemalish ? oepth 26 pity EAGAN phone 454-6873 Grede ? Sq. pt. o Name _ SAME Apprornla Fees z ?? Address r cirv Name _ Address CitY _ Phone I hereby acknowiedge tlwt I hove reod this opplication ond state thot Ihe informotion is correct and agree to comply with oll opplicoble SMfa of Minnesoto Stotutes and City of Eugnn Ordirwnces. ,Sipnoture of Permittee _ A Bufiding Fermit Is issued to: oll work sholl be done in occo Buiidinq, Offlciol ' nll SON Assessmenf _ Wafer & $ew. Police _ Fire Enp. Plonner ? CounNf ` Bldg. Off. , APC Var. Date Pemtil '7 470. V V $urcMrge 27 • 50 Plan check 149.00 5AC 525.00 Water Conn. 470. Q O Water Meter 63. 00 Rood Unir 260.00 Parks rotal $1, 792.50 INC on fha axpress wndiHon iha+ Minnewto Statufes ond City of Eoyon Ordinances. ? • o ? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE Q SETS OF PLANS, U ?`-•? 10 CERTIFICATES OF SURVEY To Be Used For: 4--Tjev? Valuatione G Sit ?l?Address: 1578, /S?jpl? ? 57a, is7ag Clle,-r,s6» Lot?Q?i?(B1ock:?5ect/SUb:'? Erect: Parcel ?# : Lq' . }{? ?y- Remodel : Repairc Owner:.Enlarge: Move: Address: _ Demolish: City/2ip Code: Grade: Phone #: Contractor: Addre s s: j ?(IywG-rd,,]??i City/Zip Code: / J ? Phone # : :??j =? -7? Arch./Eng: Address: City/Zip Code: Phone#: Phane Q SET OF ENERGY CALCULATIONS ;),C r_'>0.? Date: CM Qr. ? • ` Occupancy: Zoning: pp Type Of Const: # Stories: Length: Depth: Sq. Ft.: APPROVALS Assessments: Water/Sewer: Police: Fire: Engr.: Planner: Council: ? Bldg. Off,: APC: Variance: Permit: Zqg.? Surcharge: 7-I So Plan ReV.: (<tri r SAG ?Zc Water Conn: 4-7 Water Meter t?,a,r Road Unit: 12 n.`- Parks: TOTAL: // ? 9 a so CITY OF EAGAN N9 9370 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? ` BUILDfNCa PERMIT Receiot # Te M wad Ior 1 CF 4 PI,EX Esr. Value $55,000 pate AUGUST 3_ 1 q 84 SiteAddress 1Sy7,Q?B CLEMSON DR Erect ?X Occupancy Rl Lot ock_.L-SeclSuh. THOMAS LK HTS ?model ? Zoning PD ParcelNO. Repair ? TypeofConst. V Enlarge ? No.Stories ? Name TOLLEFSON BLDRS INC Move ? Length 4?- Z Address 1655 NORWOOD DR Demolish ? Depth 26 ? City EAGAN Phone 454-6873 Grade ? sy.pt. ? Name AVPv"ab Faes zu Assessmenl Pertnit 298.00 o Address u? City Phone Water &$ew. Surcharge 27.50 Police Plan check 149.00 'F?" Name Fire SAC 525.?0 ?? Address Enp. WarerConn. 470.00 'W City Phane plnnner WoterMeter 63.00 Coundl Rood Unil 260.00 1 hereby acknowledge thaf I hove reod this opplicotion nnd stote that Bldg. Off. Parks fhe informolion iz correcf and agree fo comply with all upplicable APC Total $1.792. rJ? Stote of Minnewta $tatutes and City of Eogon Ordirwnces. - - - , Var. Date Sipnoture ot Permittea A Building Permil is issued ro: TOLLEFSON BLDRS IN(.' on tha express condition thoi all work shall be done in accordance t oll o plicuble a of Minnewta Sfotutes ond City of Eogon Ordinancez. 8uildinq Offlcial ? - o • • ? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OE EAGAN ?f INCLUDE Q SETS OF PLANS, U ? CERTIFICATES OF SURVEY ? SET OF ENERGY CALCULATIONS n To Be Used For: Valuatiod: C?-5 GCO. ,, - Date: SitqBl0Ck:>_19L ess: 1570, 10616, 7a, lS7ag C'lems6» UT. 0 • Lot Sect/Sub:"r, Erect: YLOccupancy: Parcel #? Lare-{?? -2Remodel: Zoning_ pp Repair: Type Of Const: -:K7-- Owner: Enlarge: # Stories: Move: Length: ? Address: Demolish: Depth: 2b City/Zip Code: Grade: Sq. Ft.: Phone #: Contractor: n?F'?',??? Address: It1\ IN4'LiGnLL41lZ Assessments: Permit: Zqgc City/Zip Code: 2 Water/Sewer: Surcharge: Z'?.so _Lj Police: Plan Rev.: Phone Fire: SAC: SZr" ' Engr.: Water Conn: 0 ? Arch./Eng: Planner: Water Meter Lv92` Address: Council: Road Unit: 12(a0.° Bldg. Off.: ? Parks: City/zip Code: APC: Phone#: Variance: ? ?.79a-sO CITY OF EAGAN N9 9372 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? ' PHONE:454-8100 BUILDING PERMIT Receipt # To 6a wed fer It OF 4 PLEX Est.Value $55,000 pOfe AUGUST 3 1984 :SitaAddress 1572B CLEMSON DR erect ?J Occupancy Rl Lot 4-8-Block=R:::/Sec/Sub. THOMAS LK HTS ?Remodel ? Zoning PD `Parcel No" Repair ? Type of Const. V Enlarge ? No. Stories ? Name TOLLEFSON BLDRS INC Move ? Lenyth 44^ Z 1655 NORWOOD DR Demolish ? Depth 26 ? Address Grade ? Sq. Ft. City EAGAN phone 454-6873 ? SAME Aporovols Fee. O Name u Address ? - I- City Phone U w Name I,Z-? Address ,W Phone Cit < y Assessment _ Water & Sew. Police _ Fire Eng. Plonner _ Countil Pemit Y c?u.vv 5urchorge 27 • 50 Plon check 149.00 SAC 525.00 Water Conn. 470.00 Woter Meter 63.-00 Rood Unif 260-n0 1 hereby atknowledge thot I have read this applimhon and store that Bldg. Off. Parks the inlormotion is correct ond ogree to wmply with all applico6le APC Total $1. 792. 5? Stote of Minnewto $tatules and City of Eogan Ordirances. , ... • , Vac Dete SipnMure ofi Pertniftee A Buliding Germit is issued to: TOLLEFSON BLDRS INC on the expren condition thal oll work sFolt be done in occordance h all apphcob ate of?Minnesota Stetutes and City of Eagan Ordinances. Building Official ? • • ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN , 7 INCLUDE 19 SETS OF PLANS, CERTIFICATES OF SURVEY ? SET O F ENERGY CALCULATIONS To Be Used For: _ Valuationc i'r7000 c' Date: C Site Address: /576, / S 0,6, / S7af lS7,28 L'lems6» ol• ? ?• , ? Block:gK Sect/Sub:'r, Lot• Erect: Y__ Occupancy: ?- 7 Parcel #: , oije HC1 _ 11 Remodel- 2oning: PY7 _ Repair: _ Type Of Const: _7S7_ Enlarge- # Stories: Owner: Move: Length: ? Address: Demolish: Depth: Zb City/Zip Code: Grade: Sq. Ft.: Phone #= Contractor: Address:lt Assessments: Permit: 29PJ? City/Zip Code:? , r ??? ? Water/Sewer: Surcharge: 7:1 ? Police: Plan Rev.: 14?i." Phone #: ?Zil Fire: SAC: 57_c" ' Engr.: Water Conn: C) Arch./Eng: Planner: Water Meter (o72' / . Road Unit: 2?0 ' Council: Address: Bldg. Off.: ? Parks: City/Zip Code: APC: 0?a S 0 Variance: ? Phone#: i - . ? E ?? 2/84 EML CITY OF EAGAN y, APPLICATION FOR PERMIT ? SEWER AND/OR WATER CONNECTIOPd (PLEASE P4INT) 1) PROP= ADDRESS: /.S 7O t_FrAL nESCRznricN: 40r 4?'6, ??oc.?C a r}fo?sJ?FS ? A KE= ?DOiria.? , (Lot/31ock/Subdivision or Tax Parcel I.D. NtuTber) i: 7-XIS"=_:G S:'RL'CTr'RE, DaT' G_' CRIG^:AL :AiILP,IC;G P:i%?I' ISS??.NC°.: ? P?2=; y-'-;.^?lZ:r;/FRC°CS:? 0 R-1 SINGL:, FPYSLY ---- --_- , ? R-2 GLTP?,..,z (M0 iTiN7IT5) g R-3 TGvNHCi.'SE (THRE" + T.T,yI TS) (41 Wi ITS) ? R-d ApP.R'?P^x'`1T/CCNpC1?.PiII[J,?S ( UiTITSi ? COP4l4..'RCZAL/REPAIZ,/OFFICE ? I?i.'DL'STRLZ?L, ? P.QSTITUTIO:VAL/GGVE.4NTMIENT 2) ppPLI= (PLEASE PRINi) iT?ME_ TOLLEFSON BUILDERS, INC. anDRESS: 1655 Norwood Drive CITY , STATE, ZIP: Eaqan, MN 55122 • PHOiNE: (612) 454 - 6873 3) p=mBER PLEASE PRIHTJ FOR CITY USE aNLY NAL'`E= _ GENZ-RYAN PLUMBING AND HEATING , P L ?RS LI ADDRESS: 14745 South Robert Trail ? CENSE: Active CZiY, STATE, 2iP: Rosemount MN 55068 0 Expired MASI t" PHONE: (612) 423-1144 PLUMBEF LICENSE t/ 1849M 0 Ndt,?cf ec d c,i arr tnitia 4) OCCUPANT/Gr4NER lrLtast Nrcixr) NAME: CAMF ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDZGA`I'E WHICH PEPMIT IS BEING RDQUESTID: [l CO:vTIFCPION TO CITY SEWER El CONDIECrICN TO CITY 69ATER ? 0'I'IM (PLLASE DESCFtIIIE) b) L^:DIG,::: O?Z: ? PLF.;SE EiOID APPf20VEp pERAIT FOR PICi<-UP BY ONE OF ABGti?.' ?°LE.aSE ?'AIL APPRMIED PER%LIT 'IO 1, 2, (D 4ABOVE (Circle one) 7) si?T%TLRE: _ ?74?,D R0A /srJ oATe: ?AAAfi . . F 0 R C I T Y U S E O N L Y . PERMIT - ISSUED F°ES: $ S^;^iEo nEp?trm ( I `;C.T.:;D, r?liRCH??G?) $ WATER PERP4IT (INCLL'DE SURCHARGE) $ cl;-'..-9 ?"--d WATER METER/COPPERHORN/OUTSID° REACER $ WATER TAP (I,ICiUDL CCRPGRATICN S:OP) $ SE:dE4 T.*_.o $ ACCOUNT DEPOSIT - SE7 .17ER $ 1.?-1 ACCOUNT DEPOSIT - WATER $ wac $ ShC $ TRUNK WAT°R ASSESSME:VT $ TRliNK SEWER ASSESSb1ENT $ LATE:2AL BENEFIT/TRUNK SEZJER S LATERAL BE:VEFIT/TRUNK WAT°R $ ' OTHER $ TOTAL $ AM0UNT PAID/RECEIPT DOES UTILITY CONNECTION REQUZRE EXCAVATION IN PUBLZC RIGriT OF WAY? ? YES ZF YES, THEN A"PERMIT FOR WORK WITHIN PUBLZC ROr1DWAY" MIIST BE ISSUED BY THE ? NO ENGINEERZNG DIVISION. LIST AS A CONDI- TION. SUIIJECT TO THE FOLL0:4ING CONDITIONS: APPROVED SY: TITLE: DAT°: y - ---z> - ff'y • • a 2/84 ? CITY OF EAGAN L? ~ APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PizopgzrY ADnREss: _ 1.57013 C[e-I.VsoA.. ,D.Pias rFrar• nESCuPrzoN: C o r S'7 1qzo Ci? ? -77fo?n.4s ?,,4?Kv. 14e7,o?r?o? ion or (Lot/Block Subdivis Tax Parcel I.D. Ntmber) j iF F:;I;=7 STRL'CI"=' DAi.. GF ORIGINIAT rI7I:.DL?G Fu:S'_" 25SUAi?=: , `,'n^ _":; "i'_an ? PRESL'T _.`.:I2?T?/Px?OFOSc.J US_: O R-1 S=,:GL;? Fp?,ff;,v t7 R-2 DUP= ('P.iO Li:ITS; CULR-3 'ICxniNF30IJSE (THRE;E + UN-ITS) ( y UNITS) ? R-4 APAR'IMENT/CONDCMINIUD4 ( UNITS) ? COMMQtCIAL/REPAIZ/OFFICE ? INDUSTRIAL ? INSTITUTIONAL/GOVERNMEDTP z) pppLICANr (PLEASE PRINT) NAME: Te1-4Eys0w 901,4doves ADDREss: ZG 5s ,v04k,ao a 24 i&'C crrY, sTaTE, zrP: A-??wa H'ln. -Q- PHaiNE: ysy- ? a? 3 3) P?MER PLEASE PRINT) FOfl CITY USE ONLY NP?• y?w s H PIUMBERS LICENSE: A[?DREss: ?y7yS SOUT?'/ /?i ot36-XT 7'Ri4??- [?? Active CITY, STATE, ZIP: ??<jEI?lO ?/?fiT 'yJh/ 53z(pg C] Ezpired -'T?iSST'?li- Q Not f Record PHO?: PLUMBfR LICENSE (/ a 4) OCC[7PANT/C7va[VEF2 N71ME: (NLtpSE PRINT) ADDRESS: CITY, STATE, ZIP; PHONE: S) INDZCIITE WHICH PERMIT IS BEING RFXUESTEp: igr CONNECI'ION TO CITY SEV1ER XCONNFx.TION TO CITY WATER E] rJPHIIt (PLEASE DESCRIBE) bl 1NDICATE ONE: E] PLFASE fiOID AI'PROVED PERMIT FOR PICK-UP BY ONE OF 71BOVE 14 PLF,ASE MAIL APPROVEp PERNLLT TO 1,(A 3, 4 71BOVE (Circle one) 7) szGNATURE: DATE : F C I T Y U S E O N L Y PERMIT ° ZSSUED FEES: $ .-?? . S ° SETAE.°, nEqMrT (I.7CLii?E SUP.C??ARGc) $ WATEP, PERD4IT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAr $ ACCOUNT DEPOSIT - SET+7ER $ ACCOUNT DEPDSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWES ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ AMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE ? NO BNGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: C> TITLE: DATE: •i s? ? wt?s? ?r ?c? ?e ?w w? ?e? ?a ?t ws? w? w? ? ?-do! gums w.a wEr ?a a? ?a+ Prt? 2/84 l CITY OF EAGAN / APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRINT) i? PxopERrY AnDREss: 15 7a c? Grhso? T_FTAT• DESCRIPTION: 407' OCK R ]?fp/rJh?-S (I,ot/Block/SUbdivision or Tax Parcel I.D. Niunber) ? I:' STRCCP'RE , Dtli" OF ORIGiL BIiII..^•L`:G P=AI'_' ISSZ:?N.G: ` (?:OCL^?Y?i 1 ! PRESLi _.••IZ?C;/??OPOSr.? C?S:: ? R-1 S='CZ: i'?•tTLv 0 R-3 DiTPLEx ('IS':0 L'NITS; ,M<R-3 TGt^NHOUSE (THREE + UNITS) UNITS) O R-4 APAR'L^M]T/COND(e?1INILM ( UNITS) ? CONAIERCIAL/RETAII,/OFFICE ? I1i'DL'STRIAL ? INSTITUTIONAL/C',dVERRDIIMENT 2) APPzsCAM (PLEASE PRINT) NA"E= ?OLGG'F!56,k/ 2614,0cFip.S aDDREss: 16,625 10D1U.JOd,0 crTY, STATE, zIP: `h.o .515- / aa. rxoiNE: 6o 873 3) PLLTNMER rLVAE: PLEASE PRINT) G?y z - 'lAN FOR CIiY USE ONLY PLUM RS LICENSE: ADDRESS: B47ys S00770f Q06k7e7- /C}/L Active CITY, STATE, ZIP: /??0S-5-J,-7DU/?/T l?yj?+J t73'?O' ? C] Expired PHONE: ya3 PLUM9ER LICENSE N Notof ecord ? a n a 4) OCCtJpANT/91NER NA1,E: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PIKXYE: 5) 6) INDIGITL' ONE: E] PLEASE HOID APPFZWID PERNIIT FOR PICK-UP BY ONE OF ABOVE Dr PT EASE MAIL APPROVID PERNLiT 'Iq 1, 4 ABWE (Ci le one) 7) SI&NA'IV'RE: DATE: 8149// f/ INDICATE WHICH PERMIT IS BEING REQUESTID: ? CONNECtION TO CITY SESr7II2 ? CONNDCTION 1Y) CITY WATER ? (7I'[-IEE2 (PLEASE DESCRIBE) ...... . ..... aM id ?4s....;..aca*i,i i.it ui.r.sa?. ara ".e.u?"..Aai. AIN a. Yrk ec0Wsr..mML. w ? ,i. .. F 0 R C I T Y U S E O N L Y PERMIT ."-. ISSUED F°ES: $ zd SEWEP, T_?L.'BiIT_T (IVCLiiDE SUP CHARGE) . $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (ZNCLUDE CORPORATION STOP) $ S°i1ER TAP $ ? •? ° --? ACCOUNT DEPOSI'=' - SE;qER $ ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERA L BENEFIT/TRUNK WATER $ OTHER • $ TOTAL , $ AMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? L] YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: m%w?8"M ORMsrM?wimmmancww:????i:ww? T4+ ??ww?we??es?Ra?c??as?w? - , I ? 2/84 ? f CITY OF EAGAN i APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIOD7 (PLEASE PNINT) 1) PROPERTY ADDRESS: ,9 /3 L. --??r'Q/Ci ?,`-? LECvAL DESCRSPTZON: 107- 419, 65.40c'lc ?2 Tif6s?.¢s ?it c ADOi-TorJ (Lot/Block/Subclivlsion or Tax Parcel I.D. Ninnber) ir STRC;C7jRE, DaI`E 0° ORIGitiAL nC;I=.G PEP:-'im ISSZ::YC=: ? _ ? ??_or.r=_/ i 2ar I PREsE?71 -?Ir.(-'/PpopesED t,sE: o R-i s,= rA,,Tr.. ? R-? DUP={ ('IZiO L.iZTSj IK R-3 TC7niNHO[JSE (THRE:E + tJNITS) UNITS) ? R-4 APAR'II??.'NT/CONDa=IU:%I ( UNITS) ? CQMMERCIAL/REt'AI7,/OFFICE o LMusTRIAL ? INSTITOTIONAL/GOVERNMQNI' Z) APp?C.2%,NT (PLEASE PRINT) NAME= TO L. Z-EF.so.? v/topc-&s ADDRESS: I65S IUOIP Id00lJ J.?iP/UE' CITY, STATE, ZIP: PxoiNE: a 3) P?MER PLEASE PRINT) FOR CITY USE ONIY NAME: GE.vz - 4e YAt) PLUMBERS LICENSE: ADDRESS: ?yJy$ .SOd7J! ROh,3t,e_T 7R/414- ? Active CITY, STATE, 2IP; OS?%hDU/?lT; yJ?6? S??g 0 Expired p rd C] h??3- I/5iy PI.UMBER LICENSE {/ PHONE: 81/9r? C?J ?-Q a nitia 4) CY,'C[JPF1NT/OVINEEt NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEIDIG REQUESTID: C? CON[VFCPION Tb CITY SaIER ? CONNECPION TO CITY WATER ? dPEiEFZ (PIT?'?15E DESCRSBE) 6) IIVDIGA'lE ONE: E] PL,FASE HOID APPRWID PEftMIT FOR PICK-UP BY ONE OF ABOVE PLEFISE MAIL APPRC1VEp PERMIT 'Ib 1, d? 3 4 ABOVE (Circle one) 7) SZCIA'IU12E: DATE: ea //ffe PM fo lonjWk?fl! 1?R A[?+:?...?? i#?1{ I?FM?;??!?:lMal l? II?Ik?Y4J?1?JRll? #? Li ??It+?W9"°?•?-- p . ' ' .i . . . . . . , F 0 R C I T Y PERMIT '` ISSUED I FEES: $ $ $ y; ?s / 6 S- o U S E O N L Y SE;dE.°, PEBAIIT (I:dCLli?E SUP,CHARG^c) WATER PERA4IT (I?QCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATZON STOP) $ S°;PER TAF $ ACCOUNT DEPOSIT - S-_L9ER $ ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSIv1ENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER 0 $ TOTAL AMOUNT PAID/RECEIPT # ? c:l \?? DOES UTILITY CONNECTZOIV REQUZRE EXCAVATION IN PUBLIC RIG'riT OF WAY? YES IF YES; THEN A"PERMIT FOR WORK WZTHIN ? PUBLIC ROADWAY" MUST BE ISSi7ED BY THE NO ENGINEFRING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CO[VDITIONS: APPROVED BY; C-? e_Gi TTTLE: -Gl/ DATE: _ ? -_ -?' -3 _ ' .-f ?e s? wr? ra? s? a? rt? se ?w w?a w? ra ?-.ia ws? ? ir?c? st ?i?! w? w.? wt? sa f.r? wa r?c? wt s? w? 3,???U3 Re uir 1999 EUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN 651 681-4675 ?s-- (P- Foundation Onl New Construction Interior Im rovement • Structural Plans (2 sels) • Archi[ectu2l Plans (2 sefs) • Architecturel Plans (2 sefs) . Civil Plans (2 sets) . SWClural Plans (2 sets) • Code Malysis (1) •. . Cotle Malysis (1) " . Civil Plans (2 sets) • Prqed Specs (t seq . Project Specs (1) • Landscaping Plans (2 sets) •KeY Plan Spec. Insp. & Testing Schedule " • Cade Analysis (1) " • Masler Exit PWn . SAC determinafian letter from MCIES - • SAC determination letter from MC/ES - call • SAC determinatlon letter from MC7ES - pll ca11657-602-7000 657•602-1000 651-602•1000 . Spec. Insp. & Testing Schedule (1) " • EnergY Calculatlons (1) not always ° " . Projed Specs (1) • Elec. Power & Lighting Fortn (7) not aNrays . Energy Calwlatlans (1) • Electric Power 8 Lighting Form (1) " • Master Exit Plan . Soils Re ort 1 " Contact Building Inspectfons for sample Food 8 beveraga or lodging facilities: Plan must be submitted to Minnesota Depar[ment of Health. Call 651-215-0700 for details. DATE: 6 ` u"qq WORK TYPE: _ NEW ?REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: 330" 000, 00 TENANT NAME: HM4.2 " SITE ADDRESS: S ITE #: Vb? ?'' LOT 3 0 BLOCK ? SUBD. .I. .4 33? Name: Phone #: PROPERTY Last First OWNER Street Address: Ciry State: Zip: Company: A Ln a/ CA.Nq CtG&tA 2 s Phone #: rCl .? 3-2 CONTRACTOR ? ???? ?? ? ? o ,y Street Address: City QAc}-c' State: 11'1 lV Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration #: ' Street Address: Ciry State: Zip: r Sewer 8 water licensed plumher (onlv if installina sewer 8 water): I hereby acknowledge that I have read this application, state that the informaUon is correct, and agree to corrp?,wrth-aN-epp?'w Ie-State,. of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? AIQ^- JUN .? 71999 ' 75950 THOMAS LAKE HTS 75951 CLEMSON DRIVE 1529 10 75950 160 03 1529B 10 75950 170 03 1530 10 75950100 02 1530B 10 75950 110 02 1531 10 75950 190 03 1531B 10 75950 180 03 1532 10 75950 130 02 1532B 10 75950 120 02 1533 10 75950 200 03 1533B 10 75950 210 03 1534 10 75950 140 02 1534B 10 75950 150 02 1535 10 75950 230 03 1535B 10 75950 220 03 1536 10 75950 170 02 1536B 10 75950 160 02 1537 10 75950 240 03 1537B 10 75950 250 03 1538 10 75951010 01 (LOT 66) 1538B 10 7$9$1 020 01 (LOT66) 1540 10 75951 040 Ol (zoT 66) 1540B 10 75951 030 01 (LOT 66) 1542 10 75951050 Ol (LOT 66) 1542B 10 75951 06001 (i.oT 66) 1543 10 75951 220 02 (LoT 69) 1543B 10 75951 230 02 (LOT 69) 1544 10 75951 08001 (LOT 66) 1544B 10 75951070 Ol (r.or 66) THOMAS LAKE HTS 2ND (PAGE 2 OF 7) 7 75950 THOMAS LAKE HTS 75951 THOMAS LAKE HTS 2ND CLEMSON DRIVE (PAGE 3 OF 7) 1545 10 75951250 02 (LOT 7o) 1545B 10 75951 280 02 (LOT 70) 1546 10 75951120 01 (LOT66) 1546B 10 75951 090 Ol (LOT 66) 1547 10 75951 260 02 (LOT 70) 1547B 10 75951 270 02 (LOT 70) 1548 10 75951 11001 (LOT 66) 1548B 1 O 75951 lOO Ol (LOT 66) 1552 I07595I I3001 (LOT66) 1552E 10 75951 140 01 (LOT 66) 1554 I075951 IGOOI (LOT66) 1554B 10 75951 150 Ol (LOT 66) 1555 10 75951 290 02 (LOT 70) 1555B 10 75451 320 02 (LOT 70) 1556 1075951 17001 (LOT 66) 1556B 10 75951 180 Ol (LOT 66) 1557 10 75951 300 02 (LOT 70) 1557B 10 75951 310 02 (LOT 70) 1558 10 759$1 200 01 (LOT 66) 1558B 10 75951 190 Ol (LOT 66) 1560 10 75951 220 Ol (LoT 66) 8 75950 THOMAS LAKE HTS 75951 CLEMSON DRIVE 1560B 10 75951230 Ol (LOT 66) 1562 10 75951 210 01 (LOT 66) 1562B 10 75951240 Ol (LOT 66) 1564 10 75951 260 Ol (iar 66) 1564B 1075951 270 Ol (LOT 66) 1565 10 75951 330 02 (LoT 70) 1565B 10 75951 360 02 (LOT 70) 1566 10 75951 25001 (LOT 66) 1566B 10 75951280 OI (LOT 66) 1569 10 75951 340 02 (LOT 70) 1569B 10 75951 350 02 (LoT 70) 1570 10 75951 290 01 (LOT 65) 1570B 10 75951 300 01 (LOT e5) 1571 10 75951 370 02 (LOT 70) 1572 10 75951 320 Ol (LOT 65) 1572B 10 75951 310 01 (LOT 65) 1573 10 75951380 02 (LOT 70) 1574 10 75951330 Ol (LOT 65) 1574B 10 75951 340 Ol (LOT 65) 1575 10 75951 390 02 (LOT 70) 1575B 10 75951 400 02 (LOT 70) THOMAS LAKE HTS 2ND (PAGE 4 OF 7) 9 75950 THOMAS LAKE HTS 75951 CLEMSON DRIVE 1576 10 75951 360 01 (LOT 65) 1576B 10 75951 350 Ol (LOT e5) 1577 10 75951 420 02 (LOT 70) 1577B 10 75951 410 02 (LOT 70) 1578 10 75951 370 01 (LOT 65) 1578B 10 75951 380 Ol (LOT 65) 1579 10 75951 430 02 (LOT 70) 1579B 10 75951440 02 (LOT 70) 1580 IO 75951400 01 (LOT 65) 1580B 10 75951390 Ol (LOT 65) 1581 10 75951 460 02 (LOT 70) 1581B 10 75951 450 02 (LOT70) 1582 10 75951410 01 (LOT 65) 1582B 10 75951420 Ol (LOT 65) 1583 10 75951 470 02 (LOT 70) 1583B 10 75951 480 02 (LOT 70) 1584 10 7595 1440 O 1( LOT 65) 1584B 10 75951 430 Ol (LOT 65) 1585 10 75951 50002 (LOT71) 1585B 10 75951 490 02 ([.or 71) 1587 10 75951 510 02 (zar 71) 1587B 10 75951 520 02 (LOT 71) 1588 10 75951450 Ol (LOT 65) 1588B 10 75951 460 Ol (LOT 65) 1589 10 75951 540 02 (LOT 71) 1589B 10 75951 530 00 (LOT 71) 1590 10 75951 480 Ol (LOT 65) 1590B 10 75951 470 Ol (LOT 65) TAOMAS LAKE HTS 2ND (PAGE 5 OF 7) 10 " 75950 THOMAS LAKE HTS 75951 THOMAS LAKE HTS 2ND CLEMSON DRIVE (PAGE 6 OF 7) 1591 10 75951 550 02 (LOT 71) 1592 10 75951 490 01 (LOT 55) 1592B 10 75951 50001 (LOT 65) 1593 10 75951 560 02 (LOT 71) 1594 10 75951 520 Ol (LOT 65) 1594B 10 75951 51001 (LOT 65) 1596 10 75951 53001 (LOT e5) 1596B 10 75951 540 01 (LOT 65) ] 597 10 75951 580 02 (LOT 71) 1597B 10 75951 570 02 (,or 71) 1598 10 75951 560 01 (LOT 65) 1598B 10 75951 550 01 (LOT 65) 1599 10 75951 59002 (LOT 71) 1599B 10 75951 600 02 (LOT 71) 1600 I0 75951$70 01 (LOT65) 1600B 10 75951 580 01 (LOT 65) 1601 10 75951 620 02 (LOT 71) 1601 B 10 75951 610 02 (LOT 71) 1602 10 75951 60001 (LOT 65) 1602B 10 75951 590 01 (LOT 65) 1603 10 75951 630 02 (LOT 71) 11 ? ?' irk rr "Km'( ?" v ' ???E Y t Ao, ? v S ?? ar dkY !Y (' 4 L RECEIPT #/•? '?, ,i ??19'Yl?i+???l`?"_"'? ??? ?'?"? `??? ? ?Y"'??'? ? ' DATE: SUBD.)? M?CHA,NI,?A??P?RMIT?(F?ESIDENTIAL) ? ? f f? 5 p G N N, ? ?! a t? a ? ' -t 'tss?,???'?f?r?" A S }.- i ? . , . 383?,'?PII.QTr,?4??B , k?yVpl???OS ?,`'r? i<,y , _ ?, ? . • . . Please complete for. ? si. ,? i!i ? tow,nhomes ?!?d co?i? Mvhe(j permi,ts are required for each unit ? New constructon conditiornn?k ?4?'?"? d on airexchanger, f e Vanee system, etc. Add-on au 9 d2t8: Minimum Fae ?.Add onlRemodel (ex?stin9 residence oniy)? $,20.00 A 1 HVAC: 0 100 M BTU ? 24.00 ? ? Additionai 6.00 ? 1.,,_, , ;; t: 4 < ' ?,. 3 QO ie ?; . Gas Outlets (minimum Qf u?r $ ?c Y ykrmy„F ?' ?r Ihl ?- 1 ktFlir1` - t 64 ?t P? 19 ? ? ' •50 ? 1 ?? t; • State Surcharge y e x +. YA? .. ?•' ? S.l?}t? p}.N?3?. ?.?F ryly?fiRafi? _ '. ? ? ? T01'AL , SITE ADDRESS ; _ `? ° ?,?,•?c?' ?????''' ?vj`""? ? ='CS?c? , . , A OWNER NAME PHONE #: r INS?ALLER hFAME' ? F " , , , ? i ' •,?' y ? , o- r 1 PiP,?. y„ g S? ,' ;: i ? t y? STREET ACIDRESS ?/ ? " /'?? ZIP Ii 1/jl YP? PHONE #: ((old St '?J Jj p y?, h k.? . ?:; 1994 MECHAHICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NEW CONSTRUCI'ION =ernn_ON AJC ADD-ON FURNACE FIREPLACE INSERT DATE lp- ZI-'?? FEES HVAC: 0.100 M BTU $ 24.00 ADDTTIONAL 50 M BT'U 6.00 GAS OLTTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExISTuvG CoNSTxucr[oN) $ 20.00 STATE SURCI-IARGE .50 ToTEu. C?D -S d srrE OWNER CTTY: TELEPHONE #: STA ZIP CODE: L 1?1( c 200 RESIDENTIAL MECHANICAL rE xMiT ArPLicATioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Teleplione # 651-675-5675 Plcasc complctc for. singtc family dwcllings & lownhomcs/condos whcn pcrmils are requircd (or cach unn Datc?i _1_?9 _ / 2L Add ? i ?? ??m ?vTn Uu it # ress / j te F S ! Propcrty Owncr ??Ld ?co 'felcplionc t7 (?Q ) ?2 I ."- L'. ) I 1 Contractor ? Y\-P ?()IP (?D IA27-1 C Street Address ? 4 ? ?C7 City r ? ? 5??10 ?•clepliaiie z? ( ,(?Ub--73 9 s??« Y? , Bond Expires: , 'fhe Applicant is _ Owner ? Contractor _ Odier Pirc rcpair (rcplacc burncd out applianccs, duchvork, ctc.) S 90.00 This fee applies when exlensive mechanical repairs are made to a building. Add-on or alteration ro csisting dwclling unit $ 50.00 Y fumace _Additional /A/\ Replacement _ New air exchanger air conditioner heat pump other $ 50 Statc Surchargc LC U JUL 0 5 2007 Total ,' I hereby apply far a Residential Mechauical Pernut and acknowledge tltat tlie information is complete and accurate; that tlie work will ,be in conforniance with the ordinances and codes of thc Ciry of Eagan and with Hie Mechanical Codcs; that 1 understand diis is not a pemut, but aily an applicatioti for a permit, and work is not to start withaut a?.' tat the work will be iu accordauce with tlie approved plan in the case of work wliich requires a review and approval of pla ? r \Jh?„1? h1D,nV??? /J •'f`J - Appli tsnac Pnnted Name AppYcant's Sign Vjre }--F, NS £ S t z. L. k 'N W' ) 5 . 1 a 16 r — • O e k? -glib ).5 1 I4''➢td ,1 r 1 .J\9 1 F. ..„. I 0' PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA106786 Date Issued:09/11/2012 Permit Category:ePermit Site Address: 1570 Clemson Dr Lot:29 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-290 Use: Description: Sub Type:e - Water Softener Work Type:New Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Josh McGuire 1424 3rd St N Minneapolis, MN 55411 612-604-4285 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Numa W Schultz 1570 Clemson Dr Eagan MN 55122 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I For Office Use j Permit* I I (oq co My of Eapn I Permit Fee: _ 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 t 1 Fax: (651) 675-5694 I sue` I L----_-.,---------.-J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 4 Date: 16 - ) 3 Site Address:) ~ Unit Name: ri 6.//7 i?f/IS'I Phone: ?21.- f Dd--- R.BSide1'1 Owner Address / City / Zip: Applicant is: Owner _ Contractor Type of Work Description of work: Re roo F r10~ Construction Cost: 4- j OU Multi-Family Building: (Yes No Company: _~S 6CIn$T (/C- /dAlN-A Contact: Ln l " 1 i ~/~CYI 1 _ City: a t iDC 1°~L~PLPLIIL Cpl tr~CtCtGi` Address: s7 O -2 State: Zip:Sy04 Phone: 6Zc~ - 7 2-1 - 5,506 1 License - 1 10 b Z-- Lead Certificate - 2 !!e? Y? If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY If CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be, public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 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 authorised by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. r x rel/t Z t beiA G nq efi x gw.r4d..._ Applicant's Printed Name Applicanys Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA130130 Date Issued:04/07/2015 Permit Category:ePermit Site Address: 1570 Clemson Dr Lot:29 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-290 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Numa W Schultz 1570 Clemson Dr Eagan MN 55122 (651) 216-6373 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140075 Date Issued:11/22/2016 Permit Category:ePermit Site Address: 1570 Clemson Dr Lot:29 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-290 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Numa W Schultz 1570 Clemson Dr Eagan MN 55122 (651) 216-6373 Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature