1574 Clemson Dr
Site Addreas
Lot Block + Sec/Sub.
Parcel No.
W Name _
2 Address
6 City -
?o Name _
? Address
? Citv _
-
?++ Name
PW
I? Address
?W City Phone
8uildinp Official 'r314 140mb:; NC
1 hereby ocknowledge tFat I have reod this application ond stare that
fhe inlormotion is correct and ngree to tomply with oll opplicoble
Stote of Minnesota Stotutes ond City of Eagan Ordinances.
Sf9noture of Permiftee
A Building Permit Is issued to:
oll work sholl be done in ocmrdonce with all cpplicable 5tate of Minr
1367
?; l1 M F
Erect LJ, Occupency
Remodel ? Zoning
Repair ? Type of Const.
Addkion ? No. Stories
Move ? Length
Demolish ? Depth
Int Impr. ? Sq, Ft.
Instalt El
ApPrevsls ieq
Nssessment
Woter & Sew.
Police
Firs
E^9•
Planner
Council
81dg.Off. -
Permit _
Surcharge _
Plan Rw/few
SAC
Weter Conn
Weter Meter
Roed Unit _
f ?
, 5 0
. (1 0
.GO
.00
.00
.Q0
APC I Parks
Val. Oate Copies
T1QC
Total - ?
on the expreu condition that
and Ciy o+ Eoqon Ordinonces.
CITY OF EAGAN 10943
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
oU1LDING PERMIT Receipt #
Pwmit No. Pwmit HuWw DaU TeI*phono ?
Plumbi
ng '
_
H.VA.C. ? ? ?1 I ( V g
Elecwc
Sokener
Irnpeetion Date Insp. Other
Footings I ?
Footings II
Foundatlon Jkl
Frsming
Rooflng
Rouyh Ptbg. y OS ?. /0 7
Rouyh Htg. 14M- QEf/ ///G/f.S-cL..i Z/?*)
Inaul.
Firoplace
Flnal Hty. A
Final Plbg. -QZ
Finsl
CarVOCC. -/O- ?
W??r Deseribs Locstion:
Wsll b4L.. /
Sewsr ?
Pr. Disp. ?
??- ---
,. _ s-? .
Rsaipt
:CHANICAL PERMIT Permit No.
CITY OF EA(3AN •
FN - --
• f/li in numbeied spaca S/C
Type or Print lsyib/y Tat.
1. Datr 2. Installation Cost
3. Job Addrets Lot Blk. Tract
4. Owner ?. . ,. 5. Contractor Phone
8. Addrots .
7. City
State
2ip
8. Building Type: Residential CI Commercial ? Institutional O
9. Work Oescription: New O Add ? Alier ? Repair ?
10. Desp'ibe Fuel TYPe -
11.
No. E,quiglment 8TU - M. Ea.
Forced Air _ No. Equioment CFM
Air Handling:
Mfg. ? -
Boilers h
M
h
E
Mfg. ec
.
aust
x
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
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
i
A"tipt tLIJMBINQ PERMIT Pwmit Na ?
CITY Of EAOAN ?
Fee ?
? fill !n numbend wae.w
rype a Prinr ApJbly ?
T
,
? vt.
1. Date ? -?
- 2. Inspllation Cost j
3. JoD Addreu . ?
Lot Blk.
? Trsct Phone`
d. Addnss r t I I ? f i t: yU `
7. City
S. Buildiny 7ypa: Reaidentiat 't
9. Work Description: New'O
SUt*
Commercisl ? Institutionsl ?
Add D Albr ? Repair ?
10. Desaibs
11.
Ng
• Fixture
Wster Gaset No, Fixtum
Go
l/D
ti
ld
f
Bath tubs sppo
ra
n
e
$t
tic T
nk
l.ivatory p
a
f
S
"
Shower tMr
O
Well
Kitthen Sink
Urinal/Bidet Othe
'
laundry tray r
Floor Dnins
Orinkinp Ftn.
• Slop Sink
Gas Pipiny Outleb
12. I hereby ornity that the above inforrnation is true snd oorrect, snd IaWto to
comply with all ardinanps and codes poverniny this type of work.
SiynM : F ? for
Rouqh Final
Inspectiona: Oate Insp. Date In:p,
This is Your permit when numbsred snd approved,
Approved CITY OF EAGAN 46"100
Site Address _
Lot , f
Parcel No. _
W I Name
; Address
i> ..:...
,0 Name
?u
Address
? Citv Phone
?W Name
W
Itg Address
u
ct, W City Phone 1 ? y
( hereby ocknowledqe that I hove read this opplicution ond stote thot
the iniormotion is correct ond n9ree to comply wirh oll opplicable
Stcte of Minnesota Stotutes and City of Eagon Ordirkonces.
Sipnoturc of Pertnittee
K 9uilding Permlt is issued to:
all work sholl be dona in occordonce with 4
Repelr ? Type of Conat.
Addftfon ? No. Stories
Move ? Length
Demolish ? Oepth
Int. Impr. ? Sq. Ft.
Install ?
44
Asussment Permit ?_. (i
Water & Sew. Surcharye _ l?
Police Plan Review - - ?!
Firo SAC ?
Enp. Water Cann.
Plonner Water Meter ??- U Ci ?
Council Road Unft ' ?! - G l,,
Bldg. Off. Tr. PI.
APC Perks
Var. Date Copies
Totel .
on fhe •zprem conditian thoi
ewta Stotutes ond City of Eoqon Ordinonces.
. ' CITY OF EAGAN
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT tteceivt ?t
' Pwmk No. Pwmit Ho1dK Dsw Tolephons #
Plu ?W
mbi _;
7'?'J
3.3 x'SZ/
H:'VA.C. o[ 0c V.1 ?(.k Iv ?I
Electric
Safter,..
IraWdion Data Infp. Othsr
Footlnysl
Footings 11
Foundation
Framiny
RooHng
Rouph Plbfi
'
Rouph Htp.
Insul.
Flreplacs
Final Hty. ?
Final Plbp.
Final
Ce1t/Occ.
Water Wscribe location:
w.u
Swv?r
Pr. Dfsp.
MoMp! rLUMMNO PERMIT hnek Na "?-
cinr of E?c;rw
Fn
fin !n nu,ne«Md 4"M llic _T.
Tj? w MM Ap/bly TaR.
t. Dm ?. Insnllrtion Cost
J
b A
3
B r
.
ddron
o lot
lk. Tnet
4. OwrN?
& Contneta rhom
d. I1ddrNu
7. aty _ Sa.. ' zip _
! Build'ingTypo: Msidential D Cammeraal O Institutiornl O
!. Work Dftaiptbn: New 0 Add O ANer O R.prir O
10. Dac?ia
11.
No. Fix
W&W Clart f? Fixtum
Qp
ool/Dr
i
t'
ld
Both t'bs sp
a
n
a
tie T
nk
Se
LAWOVNY p
s
SOftMr
Slfowrf Wei l
KiteMn Sink
lhinal/sidet OtMr
tpundry Troy
Flow Dairs
Drinkino Ftn.
SbP Sink
Gat PiDinp Outlns
12. 1 Mnby artify thst 1M abow informstion is trw Nd oor?tct, and I prM to
oomplY with sll ordinanca snd codes gowmirp thi: type of work.
S¢od' for
11a? f fnM
lrup.ctiowi,: au lnsp. c.a lmp.
This is Your permit wMn numberel snd apprpwd.
Aaprowa cinr oF EAoAw 46a100
Roaipt MECHANICAL PERMIT Permit No.
?
CITY OF EAGAN
FN '
Pill in numberod tpam S/C
Typs w Prini /egiWy Tot
1. Oate -j 2. Installstion Cost
Job Address
3 Lot^. ?- Bik. Traet
.
4. Ownar
5. Contractor E ^
8. AddrC=t
7. City
Phone
J
State ZiP
8. Building Type: Residential C? Commercial O Institutional ?
9. Work Description: New C Add ? Alter ? Repair 0
? 10. Describe i7y .'?. Fuel Type
1 11.
No. Equinment BTU - M. Ea.
Forced Air No. Equioment CFM
Air Handling:
Mfg.
Boilers h
E
h
M
Mfg. ec
.
aust
x
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 : t -, -'' ?_ ' 1 • for
Rough ' ?' • =? ' f inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?_i1t-.ii'?fEQ.?. • CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagae, MN 55121
PHONE: 454-8100
BUILDING PERMIT R???ipt
Ts v rrA fer 1 C)F 4 i'LL?, Ed Vel.. 01., i^ n,.re t;F:pTI;'MBF:R Z 1 iaftc,
Site Address A `i i 4 $ C `:J; (% ? ? D ,-;- Erect ?. Occupancy
Lot Block ?/Sub. ?? -' - 1 LK ?„"? Remodef
?
? 2oning
Parcel No Repair ? Type of Const.
. Additlon ? No. Stories
.,? . ] ? ,.? ,,.»? •:
' Move ? Leng[h ?
? Name
;
. J Demolish ? Depth
Address
? , Int Impr. ? Sq, Ft.
City Phone Install ?
Approvals fees
?
i
?
A?
Assessment
Permit . ? ?
.,
? ?
City Phone Water b Sew. Surcharge C b.? U
0
50
?? ,:<
c:?
L Police Plen Review .
[
?uW .
...,.
,
Name
Fire
SAC 5?
00
? -' •
?? Address Enq. Water Conn.
?
00
? W ?
City Phone 435-7-? z4 Plonner Water Meter ?? 3• Q 0
Council Road Unit 2 E 0 . 0 G
I hereby ocknowledqe tlwt 1 hove read this opplicoLion and state thaf Bldg. Off. '? Tr. PL ?'?, i.:
the inlormotion is Correct and ogree to tomply with all opplitOble A?
P
k
State of Minnesofo Stotutes and City of Ea9an Ordinonces. er
s
Sipncfurc of Permittee Var. Date Copiea T _
_ , ?. ?: ' ' ? l ?i•,: , . , J?, Total
A Building Permif Is issued to: on the exprcss condition Ihoi
all work sholl be done in otcordante with oll oppliwble Sfate of Minnesota Statutes anE City o4 Eagan Ordinances.
Buildir+p OFficicl X
5 ? Name
Pwmit No. PKmk Holdw Dste Telaphone
Plumbirq G= C' ?a ; ? ( ?
H.VA.C. (.l
Eketric
Softemr
IrdWection Date Insp. Other
Footinga 1
Footlnys II
Foundation
Framinq
Roofing
Rouph Pibg.
?
?.
Rough Hty.
Insul. /
Firoplaca
Flnsl Hty.
Final Ptbg. 12 ?g__ U ?
Final N riy
Csrt/OCC.
Wat@r Osscribe Location:
Wsll
Sswer
Pr. Dlsp.
pepipt pAECHANICAL PERMIT Permit No.
CITY WEAGAN FM . , .. .
f!!l in numbrned spaces S/C '
?.' Typs or Prlnt legibly Tot. -
1. Date 2. Installation Cost ' -
3. Job Address Lot +Blk. Tract
4. Owner
5. Contractor Phone
8. Addross
7, City State ZiP
8. Building Type: Residential . ?
9. Work Description: New AC
Commercial ? Institutional O
Add ? Alter ? Repair ?
? 10. Dascribe ? • i`_ %?? Fuel Typa _
?.
11.
No.
? Epuipment 8TU - M. Ea.
Forced Air " ' ? • ` No. Equiqment CFM
Air Handling:
Mfg. ,
Boilers h
E
Mfg. .
xhaust
Mec
Unit Heater
Mfg. Other
Air Cond. • = ?
Mfg.
r 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: ? s` - - «for
Rough Finsl
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved ClTY OF EAGAN 454-8100
Roaipt PLIIMBING PERMIT Pennk No. '
( ?
CITY OF EAGAN
fill fn numberod Wacet
Type or Prini /syiWy
1. Date 1 2. Inspllition Cost
FM
S/C -
Tot
3. Job Address Lot ",4 Blk. i Tract a
4. OVIR18f
6. Conmctor Phone
- - ??
?
8. Addna
7. City Sute Zip
8. Building Type: Residential4 Commerci,l O Institutional ?
9. Work Description: New•Irl Add ? Alter ? Rspair ?
10. Descxibe
11.
JL
No. Fixture?
Water qoset No. Fix ures
o
Cm
1/Drsinfield
? Bath tubs p
p
5e
tic Tank
- Lavatory p
Softner
Shower Wel l
i Kitchen Sink
Urinal/Bidet Other
' Laundry Tray
Floor Drains
Drinking Ftn.
' Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the sbove information is true and correct, and I agreo to
comply with all ordinances and codss yoverning this type of work.
Signed : _ ' _ ` 1. '. .• for
fl0uph Firyt
Inapection:: Date Insp. Date Insp.
This is your permit when numhered and spproved.
Approwd CITY OF EAGAN 454-8100
TOw"oidS$
BUILDING ?ERMIT
Site Addre
Erect
Remodel
Repair
Additlon
Move
Demoliah
Int Impr.
Occupancy
Zoning
Type of Conat. ?
No. Stories
Length
4
Depth
Sq. Ft. ., b
Name AoProvob F..s
-
u Assessment Permlt • j?? • ?
? Address Woter 3 Sew. Surcharge ;?.?i t?
CitY Phone ? ? ? ? ?
Police Plan Review •
oc
WW T
Name
Firo ? r
6 0
SAC = ?..? . ?.
_? Addresa Erp. WaterConn.
? W City Phone Plonner Water Meter 3...Q 0'
Council Road Umt 21 0 • 0 0
I hereby acknowtedfle thaf I hovc reod this opplication and state that gldg. Off. Tr. PI. i? i• LL1
the informotion is conect ond ogree to comply with oll opplicable A? Pa?
Stote of Minnewto Stotutes ond City of Eogon Ordinances.
Var. Date Cppias
Sipnaturo of Permittae TMeI
h Buildinfl Pennit Is issued to: ? on the exprcss condifion thoi
oll work sholl be done in acoordonte with oll opplimble 5tate of Minnesoto Stotutes ond City of Eapon OrQinonces.
?
Buildinp Officfol
CITY OF EAGAN '?' 1094 0
3830 Pilot Knob Road, P.O. Box 21-199, Eayan, MN 55121
PHONE: 4548100
Receipt
i ,: . Ca .._1.._ '5o, u SEi?TP,P9Bk:li 1. 1s
Lot -
Parcel No. ?
W Name ? , , , _ ?_ .; ?
?
; Address 13 6 ? , - " ?
a 17. s?--- .1 7 ?, -- - '-'
Psrmit No. PKmit Holdsr Daft TeIephone ik
Plumbinq ?; % i? •,..-???r r? ? Z7-?? y.? ?-?1?.??
H.VA.C. ? a G( ! ? V/ S I l
Electric
soft«n.
Inspection Date Insp. Other
Footlngs I
Footings II
Foundation
Framing
Roofing
RauyhPlb9 /O 7 pS .K
Rouyh Htg. f -
Insul.
Fireplacs
Final Htp.
Flnal Plbg.
Fin.i ? y
c.wocc.
Water Dsscribe Location:
w•u
Sewer
Pr. DIsP.
Roaipt MECHANICAL,PERMIT Pvmit No.
CITY OF F?AGAN ? FN
' P FN in numbered speco S/C
, Typa or Prfnt/epibJy ?
. Tot J
.? -
1. Dete ' r: - ? s 2. Installstion Cost 1,
3. Job Address 1..ot •. - Blk. Tract
,4. Ovmer
_ ._.,...., ? ..-, .-...
?? __._._
5. Contractor C?? ? Phone
8. Addrsss 1 - -
7. City State ZiP
8. Building Type: Residential Q Commercial ? Institutional ?
9. Work Qescription: New £1 Add ? Alter ? Repair ?
10. Desaibe ni Fuel TyPe -% -
1 11.
No. Epuinment 8TU - M. Ea.
Forced Air No. EQUipment CFM
Air Handling:
Mfg. ..? '
Boilers M
E
h
Mfg. ech.
x
aust
Unit Heater
Mfg. Other
Air Cond.
Mfg. ? i
? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
pomply with all ordinances and codes governing this type of work.
Signed : for
Rougn " Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
1. Dat•
3. Job /1c
4. Ownm
5. Conua
d. /1ddr"
PLUM91NCi PERMIt
CITY Oi EAGAN
fill /n nun?bwnd #werr
7yw a Prin[ Idp/DJy
hnah Na `
fse ?
ToR
lrqanstion Coa
, Lot - Slk. Tnct - ??
! . 2
7. Gty a. Buildiny Typr Rftidkntial Q
9. Wwk Description: IWw E3
zip -
Commucial O Institutional O
Add 13 Aiior ? Repalr O
10. DKaibr I
11.
N
AL
Fix
wSW pomt
N2,
Fixttr"
ooi/DrsinfiNd
dN
Both tubs p
tie Tank
Se
Vwatm p
Softr»r
Showar Nhll
Kftehen S'ink
Urinal/Bidet otow
L.aundry Tny
Floo? Dnins
Orinking Ftn.
Slop &nk
cas Piang outl.n
12. I henby artify that the sbow infamstion is true and oornet, and 1 spra to
aomply with all ordinanoes and codn 9owrnirp this typo of work.
Sgrtod' f fa
Ibugh f inN
Irmpwtions: Date Insp. Date Intp.
This is your permit when numbend snd approwd.
Approwd CITY OF EAOAN 45"100
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 .
PH ON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value pate ,19
Site Address ?-r< OFFICE USE ONLY
Lot B?ock Sec/Sub. ` - On Site Sewage _
MWCC System _ Occupancy
Zoning
PBrCGI No. On Site Weil _ Type of Const
City Watas (Actuat)
¢ Neme _ (Allowable)
w
?
Address # of Stories
Length
° th
o
City Phone - , -. ep
S.F. Total
°C
0 Name Footprint S.F.
.
?a Address APPROVALS FEES
? City
PhOnB
Assessments _
Permit
h
yVj W
Name WateUSewer
Police _ Surc
arge
Plan Review
F W
?
Address
Fire =
SAC, Ciry
? Engc SAC, MWCC
cc W City Phone Planner _ Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Oft. _ Road Unit
that the information is correct and agree to complywith all applicable APC - Treatment P1
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copie8
Signature of Permittee TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinances
Building Official
Permit No. Permit Holder Date Telbphone ?
Plumbing
H.V.AC.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Ntg.
lsul.
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
Cert. Occ.
Temp. LP
Deck Ftg, % )
Deck Frmg. ~ r3
Well
Pr. Disp. l
L I
CITY OF EAGAN
3830 Rilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
e used for DEL, : Est. Value .1,000
Site Address
Lot Block i Sec/Sub. i{OrixL L,
Parcel Na
c Name
W
3
Address
° Ciry Phone f
,o Name
z
0
`
Address
P City Phone
OFFIC E USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (Actuaq
(AlJOwable)
# of Stories
L
th
eng
Depth
S.F. Total
Footprint S.F.
FEES
Assessments _ Permit
WatedSewer _ Surcharge
Police _ Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner _ WaterConn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment Pt
Variance _ Parks
Copies
TdTAL
I hereby acknowledge that I have read this appliCation and state
thet the information is correct and agree to comply with all applicable
State of Minnesota 5tatutes and City of Eagan Ordinances.
Signature of Permittee
A Building Pe
all work shall
Building Offic
Permit No. Permit Holder Date Talaphone ?
Plumbing
H.V.A.C.
E lectric
Softener
Inspection Date Insp. Commsnts
tings I
tings II
T
ndation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
l
4 ,
Frmg.
, CITY OF EAGAN NO 18425
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDrfVG PERMIT PHO N E: 454-8100 Receipt # aI
To be used lor FIREPLACE Est. Value $1, 000 Date OCT 3 , 1940_
Site Address 1576-B CLEMSON DR
Lot 35 Block 1 Sec/Sub. THOMAS LAKE HT5
Parcel No.
W Name J 1M I:UMMINS
; Address 1576-B CLEMSON
° EAGAN
City Phone
o Name HEAT-N-GLO
Address 3850 W HWY 13
? City BURNSVILLE Phone 890-0758
UW Name
W
H
?? Address
w City Phone
< W
I hereby acknowlege that 1 have read this application and state that the
iMormation is correct and agree to comply with all appiicable State of
Minnesota Statutes and C" q Eagan Ordinan
Signature of Permitee 4id'e
A Building Permit is issued to: __ HEAT-N-GLO
on the express Condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiai
OFFICE USE ONLY
Occupancy
Zoning
(Actual) Const
(Albwable)
# ot stories
Length
Depth
S.F. Total
S.F. Footprints
On Sde Sewage
on sice weu
MWCC 5ystem
clry water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Olf.
Vanance
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MCWCC
Water Cann
Water Meter
ACCt. Deposit
S1W Permit
SNV Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAI
FEES
7S Sn
f CITY OF EAGAN 18425
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDIOG PERMIT PHONE: 454-8100 Receipt #
To be used tor FIREYWE Est. vaiue $1. 0W natP WT 3 ja90
Site Address 1 STb-8 CLF.lySOW Dx
Lot 3 S Block i Sec/Sub. THOMAS LAM HTS
Parcel No.
W Name 3IA! eIJMASINS
? Address 1576-8 CLEaiS0N DR
0 CitY EAGAN Phone $91-1051
Name
Address
City Phone 890-07
L25Name
?W
; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all appiicable State of
Minnesota Statutes and City o( Eagan Ordinances.
Signature of Permitee ?
A Buiiding Permit is issued to: {??r-?? r
on Ihe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ol Eagan Ordinances.
Buildmg Official
OFFICE USE ONLY
Occupancy
Zoning
(ACtuai) Const
(Allowable)
+Y of Stories
Length
Oepth
S.F. Total
S.F. Foolprints
On Site Sewage
on site weu
MWCC System
city water
PRV Required
Booster Pump
APPHOVAIS
Planner
Council
Bldg. Off.
Variance
Bldg. Permit
Surcharge
Plan Review
SAC. City
SAC,MCWCC
Water Conn
Water Meter
Acct. Deposit
S!W Permit
S.NY Surcharge
Treatment PI
Road Unft
Park Ded.
Copies
TOTAL
FEFS
25.40
.50
?J .fa+
Permit No. Pertnit Hoider Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundatbn
Framing
Rootirg
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg. G? ??, •?
Final Plbg. Q
Const. Meter Pibg. Inspector - Notify Piumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Fnal
Well
Pr. Oisp.
PLUMBING PERMIT
CITY QF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site Address -
Lot _4-; _ Block
- Name
a? Address
c City`;' Phone -
? Name
c Address
p City '' " Phone-
BLDG.TYPE
PERMIT #
RECEIPT # DATE: /-'?/?? ??? 62'
WORK DESCRIPTION
Res. _
Mult _
' Comm.
Other
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
FOR CITY OF EAGAN
New -------
Add-on Repair
NO. FIXTURES TOTAL
Water Closet - $3.00 ?
Bath Tubs - $3.00
Lavatory - $3-00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping OuUets - $1.50
?
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL• ?'!
PERMIT #
S 7-73-5 I MECHANICAL PERMIT RECEIPT # 6n 25 S/
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGiAN, MN 55121 DATEO
T PRICE PHONE 454-8100
Site Address ? ? 11 u
Lot ? Block
TYPE
WORK DESCRIPTION
m Name _
Address
c City _
Name ' ` ° ' '... ' ""
c Ad?ress • • ? O X
^ r¢ i T G V 2
o C??,. ?e
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
UnR Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL•
Res, x
Mult
Comm.
Other
New x
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
ADDRESS ?-? r 254 CIPMSon CITY
OCCUPANT OWNER _
HEAT LOSS
SOLD BY
Electrical Work By
INST
` /) G .4uJ
3
INSTALLEDBY VC'o .LNd!?wIClr
Gas Line By
TYPE OF HEAT GA_ FA,?(_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER
75 GAS DESIGN CONVERSION
MAKE ? yAN T .DLIAICE OF BURNER
Model 39V(54woa?4 oso Model C d--(a-
Serial ZZ8s'01 ?s6'3g? Max. BTU Rating
INPUT .5 U DOd MAKE O?FFtfiNP.rF RE V I E
-'.•-
J CONTROLS
THERM05TAT 7-B? Heat Plug ?
Valve
Limit S?<?i'?'c c ?
Limit Setting °f
Fan Setting
Pilot Type / ?? -S ar k
Pilot Make SPc'< roL.
Pilot Model / 90 -/99-
Pilot Timing
L.W. Cut Off '
Pressure ??? ?• Percent C02 ?
tlnput CFH Percent 42 "
Stack Temp. a? ?`? Percent CO ????
GEO. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD
aY y?Gl?
Vent Size ?
KIND OF LINE NONE
Draft Hood egu ator
Filters Size Number
Chimney Location Inside X Outside
Chimney Consiruction P,
5moke Bomb '
Draft
Wiring
Test Tag
Daor Pressure Lighting InsL ?''&
Date Tested lpo ? ? ?Lq-? -
Company Testin9
Name of Tester ? ? < < ?
CiEO. SEUii'Jb'iGic FiIG. F;t AI„ CUeYG. (.).
HOUSE HEATING TEST RECORD
ADDRESS CITY
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY L?y Q\ INSTALLED BY
Electrical Work By Gas Line By _.
EAT GA FAY-' HW STEAM SPACE HTR. UNIT HTR. OTHER
TYPE OF H - -
. GAS DESIGN
RNER
E
MAKE _
-OF BU
MAK
Model Model -
Serial V/ Max. BTU Rating
INPUT MAKE OF FUft(VACE -
Valve
Limit
Limit Setting
Fan Setting _
Pilot Type -
Pilot A4ake _
Pilot Model _
Pilot Timing
L.W. Cut Off
CONTROLS
_ Heat Plug
s . ;)n
Pressure --?~ "'`-' ? Percent C02
I -?
Input CFH -> -2 ?- ` Percent O2
Stack Temp. 3 (? QPercent C0 o?•
Vent Size
KIND OF LINER NONE
Oraft Hood 'f` ' Regulator
Filters Size Number
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb Wiring
Draft Test Tag
Door Pressure Lighting Inst.
'
Date Tested
Company Testing ?'
Name af Tester !? 'f '
GEO. SEDGWICK HTG. & AIR COND.
HOUSE HEATING TEST RECORD
Co.
I-?/ ;? r-
ADDRESS 1-?//p C PMSor+ !.? C CITY
OCCUPANT
OWNER
HEAT LOSS DAT HTG. INST.
SOLD BY INSTALLED-BY
Electrical Work By Gas Line By
TYPE OF HEAT GA_ FA! HW_ STEAM SPACE HTR. UNIT HTR. 6THE
GAS DESIGN CONVERSI
MAKE ? X -vWZ •7 MAKEAF.BURNER
Model 39 ,l Model - --
Serial ??,qQ R Max. BTU Rating
INPUT G'Uo MAKE OF Fl1RNACE -?
THERMOSTAT -"
Valve
Limit '--?"?? ?-
Limit Setting
Fan Setting
Pilot Type
Pilot Make -
Pilot Model
Pilot Timing ,- - ? L.W. Cut Off " - -?
Pressure - - - Percent C02 I~ ` , !
Input CFH Percent 02
Stack Temp. ? - ? Percent CO
CONTROLS
Heat Plug
?' ' BY ? o ls
.: .,
Vent Size -
KIND OF LINER 'DPJS NONE
Draft Hood ? • ` ? , , I ) Regulator
Filters Size Number
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb Wiring
Draft Test Tag
Door Pressure Lighting Inst.
Date Tested
Company Testing ,
Name of Tester '
GEO. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD
ADDRESS CITY
OCCUPANT
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED
Electrical Work By Gas Line By _
TYPE OF HEAT GA_ FA ? HW_ STEAM SPACE HTR. UNIT
GAS DESIGN
MAKE MAKE OF BURNER
Model - / ?' . ? fr'•.: _ • 4 ? Model
Serial -'z? `-?-? ? - Max. BTU Rating
INPUT C. OF FURNACE
Model "
--- CONTROLS
THERMOSTAT / - ? " Heat Plug -
Valve
Limit - '< <--
Limit Setting ? t• `"?
Fan Setting • ? •'?
Pilot Type = ; . •: ,?' ?`
Pilot Make ?-
Pilot Model 5-
Pilot Timing S
L.W. Cut Off -"
. r, .
Pressure Percent COZ
Stack Temp. Percent CO , gY
Input CFH Percent 02
Draft Hood D "' 3S, ? E'C.
Vent Size
KIND OF LINER --o
CONVERSION
? NONE
Regulator
Filters Size Number
Chimney Location Inside y Outside
?
Chimney Construction
Smoke Bomb
Draft
Wiring _
Test Tag
t?;' ;
Doar Pressure ^ Lighting Inst.
Date Tested Company Testing
Name of Tester -
Form 235
CITY OF EAGAN
Owner
Ujt4AA Lot MR AL aik ? l Mral #7 (1 - - -
Street 1576 Clemsatl Dxive gt,t. Eagall, MN 55122
Improvement Date Amount Annual Years Payment Rece7pt Date
STFiEET SURF.
,gy .8 A0121 2 - -8
STREET RESTOR.
GRADING
SAN 5EW TRUNK /9 75 Paitk,
* SEWER LATERAL 1981 37.6I 7.52 5 15-05 /0121 2 --8
WATERMAIN
* WATER LATERAL 1981
WATER AREA ? 11.61 A012172 s-s-83
STORM SEW TRK 249.91 A0121Q --83
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 500.00
u
n
BUILOING PER. _ 9!}9
SAC 595-00
PARK
CITY OF EAGAN pj-? Remarks ?' W -?'?5-0 a/
Addition'MnIIl$ST-aki- HeightgJ.Ad,ditif)7'1 Lot ? y Bik Parcel #10
Owner / street 1576 B Clemson Drive scate Eagatt, MN 55122
Improvement Dace Amount Annual Years Payment fieceipt Date
STREET 5UR F. .r? u].. S 2 5-5-83
STREET RESTOR.
GRADING
SAN 5EW TRUNK .Q? ff
* SEWER LATEftAL :37, 61 'f , SZ 1 .0 A - -a
WATER MA I N
* WATER LATERAL lqRl
WAT£R AREA 1,777
STORM SEW TRK ^ lggl 249. 1 A012172 5-5-83
? STORM 5fW LAT
CUFB & GUTTER
SIQEWALK
STREET LIGHT
WATEf? GONIV. 500.00
BUILDIIVG PEfi. 10946-10949
SAC 5325 - 00
PARiC
CITY OF EAGAN Remerks .79 lu 'W a
AdditionlhrmAS Lake AeigRt_ dditien Lo: Bik ¦l Parcel #10
owner Street 1574 Clemson Drive state Eagan, MN 55222
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 5594 8 AO 1 - 8
STREET RESTOR.
GRADING
SAN SEW 7FiUNK 75
tr SEWER LATERAL 37.61 7.52 1.0 A01212 --8
WATERMAIN
* WATER LATERAL
WATER AREA ? 4.61 A01212 --H
STORM SEW TRK 3 249•91 A0221 2 -5-83
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, .500-00 n n
gUILOING PER.
SAC 525-00
PARK
OF EAGAN ? Remarks
CITY
on Lot Ik Parcel #ln
'Ty
Owner street 1574 B Clemson Drive Scate Esgail, MIlV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. rc 5-5-83
STREET RESTOR.
GRADING
SAN SEW TRUNK / 9 73
* SEWER LATERAL 1981 .O A12 P 5-5 3
WATERMAIN '
* WATER LATERAL 1981
WATER AREA /9 y 7
STORM SEW TRK ' 3 g 249.91 A0121 2 --H
* STORM SEW LAT , 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
2 85
WATER CONN, 500.00
BUILDING PER. 10946-10949
SAC 525
00
PARK .
CITY OF EAGAN
3830 9ilot K6;3b Road
P. O. t3ox 21199
Eagsn, MN 55121
Zanirg: _
Owrnr:
Aid1lSi:
?•??,
Silg Addflat: 1574
"?
Piumber. 11or1x,soll
AAator No.. D
' U
SIZl: Z Z12
WAnO PERMIT NO.:
DATE:
No. of Units:
Reodsr No •iQUN r Permit Fee: 10.00pd
1.om fe ae.qy wNb fM Cihr of [p.n Surchorpe: . 50pd
OerlMnoM. ? Mtic. CMrpes: - 132.00^d TP
<>?,?? eter
Totol: m
BY Daft Pai •
DoN of Insp.: ? Irup.:-
)F EAGAN WATM SERVICE PERMR
ilot Knob Road
ox 21199 PERMIT NO.:
MN 55121 pATE: -
. _. 3 No. of Units:
.swv_Heri?,,-:
Addross: 'i ;74 Clan Dr_ Ik I:t3
ber or,p9Cn '.'1 J,. S in._ -
r No.: Camectian Charye:
/hcoouM Depostt: c
er No.: Permit Fee:
M te empy r wilr tw Cihr of Eyp¦ SurcF?orge:
?woM. Mim Chorgas:
Tatol:
Dote Poid:
of Irnp.: Irnp.:
CITY OF EAGAN ? ?M PLVW
3830 Pilot Knob Rosd
P. O. Sox 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zani"i0: No. of Units:
Owrnr:
--
drrss:
Ad
.
S1te Address: '
Plumber:
1 MM to om* wUii tM Clhr of Eope Connwctian Owros:
Of+IMSLM. ACODUftt QOpofIt:
Pe?1}1K FM:
SYf'ChGfql:
BY Misc
Clarpes;
.
Date of I rap.: Tatol:
Irop.: DaM Vaid:
s? P
??IZ
-
CITY OF EAGAN
383t? Pilot knob Road
P. O. Bnx 211E'3
Esgan, MM 55121
Zanin%..,
Owne.: rl?:,r fioriz
? Address:
Site ISddrea: ; 574 Fi C1Z
. Plurnber. T'`Iu m s cH
r No.: 30613
hlg" R?
WATEIt SERVICE PEIRM??_ 3 ?
PERMIT NO.: ??
DNTE: "
. No. of Units: f'-''1e=
Read.r No.: nX sn 7f a ?t Per„ir Fa: -?-- .
1 pm eo ae.py wNh Hn Cihr of LN.. surcha?ge:
Oerlww 1NIsc. Chcrpes: 32 _
? Total: '
By ? Dat. Raid:
?
Dote of Irup.: -rz'+A:,., -Zr } Irnp.:
EAGAN
t Knob Road
`+evr tiorizon Fames
dross: ' 74- f'.1 n,n?rs*• Ttr
M ? ? ?? i .'c ?tt
blf:
r No.: Connection Qwrfla:
Nccount Lleposit:
sr No.: Parmit Fae: ?
.r
11
I
Mt'0 MW
1MMb IV Cky of I SYICF101'gQ:
y
*
mp
Misc. Cho?pes:
Total: ' - r
Doto Poid:
of Insp.: Irop.: ,
TY OF EAGAN SEWR SERVKM PBMR
30 Pilot Knob Road
0. Box 21199 PERMIT NO.:
gan, MN 55121 W1TE:
,
nlnp: No. of Units:
h0oeipy .?N1i Ib p!y d own
wATU sOvKN PLVW
PERMIT NO.:
DATE:
. No. of Unitr. `' H Y
?
ConrnCttan Chorpe: r
Aooount Deposit:
Permlt FM:
Surcharys:
ly1isc. CMrpes:
Total:
DaM Pald:
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINN%PTA 55121
19
Reeervio
AMOUNT
e ooLLwRs
oo
? CASH ? CNECK
•o ?M?t-c,?? (iG?' i
_ /S_74 %? , 7 ?,Q 79, )dTU?
FUMO ZODE AMOUNT
?v I 7U ?eJ
7? U G`t1
C?cJ
O
Thank You
YT
N_ 55914
YVhite-Payert CoPY
Yellow-Postiny Copy
Pink-File Copy
:CITY OF EAGAN YYATER 3ER
3830 Pilot Knob Road VICE P
P. O: Bvx 21199 PERMIT NO.:
Esyan, MN 55121 D^TE: j-?,, ? -?:
1np' '
r: tk,tts• -
AMfESi:
tl11'1bQr: J f'
?U ? ? 9 I?i ? ??, q , • ;7 r-
r No.: J? ;
A
i SiZQ: ???? /'10G?. ?
; •
AcCOUnt Deposil: ? ?ii
q
Reodsr No.: '0 -3 /v ?6 I Permit Fea:
? 1 NIN tC 00usply Nkb 60 Qy of EOM• $U1ChqfQd; .50Pf1
? 0 Misc. CF,oro.s; _ 1132. r `!':lfaa -
; Totol:
? By D
t
P
d
? o
e
ot
:
of Insp.: I
rqp.:
OF EAGAN
Pilot Knob Road
No..
fo ?Pip Wpb !IN CMp ef E6980
WATBt SERVICE PERMIT
PERMIT NO.: DATE:
No. of Units:
Connedfon Ch0?9e: `;'1il f',--)n t
AcoOUrn DepOSit: ' ,
Pertnit Fce:
Surchorys: '
Misc. Chorpn: Totol: T
Dota Poid:
Vh tA(iAN ?U SHIVICE pERMR
Pilot Khob Road
Box 21199 PERMIT NQ.:
v, MN 55121 DATE;
o? No. of Units:
r: ,
a eo Nw* wili tIM Ci1y oi i*"a Canrncttan Choe":
Boom Ato,xwrt pepotlt; .
Pertr+it Fes:
Suniwrpe:
AAiac. Ctwrgm
of Insp.: Totol:
Daft Pofd:
CASH RECEiPT
CITY OF EAGAN
P. O. BOX 21•199
EAGAN, NE TA 55121
,
oATE eTs
t9
nKcovs ?
rwaM 6?"n
AMOUNT $
/
? CASH
FUND [ODfi AtAOUNT
Q/
? . ?
Thank You
?? .
BY
N_ 55096
White-PaYers CoPY
Yellow-Postin9 Copy
Pink-File Copy
CITY OF EAGAN
3¢'sil Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoninp: _ r _5
Owner: N+E??' :
Addross:
Situ Addrcss: 1 L
Reader No.: _t OM 7 7 T ol `f
1 yne !o as?eplyr wkh !IM Ciep ef [aqaa
OrJi..nas. ------N
I nsp..
i
' CITY OF EAGAN
? 3830 Pilot Knob Road
? P. O. Box 21199
Eagan, MN 55121
Zonirq:
Dote Poid:
OwrNr: :..-w ?ioPt .m.: Hc'?ns
Addrcss: - -
3 ?
Site /lddress: 1 - -
Plumbeer: ''' ??„-.SQ?}?.?" - - ` ; •
. - ? f" =. , . . . . 1 .,. . _ , . I yfN ft COIwply Nkb the CRY OF 16400 COfIflKdiOrI C}I4/Q!:
OnuMACN. I+OCOU11t DQpO51f; ? _ -
PdRM1H' F!!: -
SUIChdfQe: ,
By Misc. Oorpes:
Dote of Inap.: Total:
Irup.: Doh Pold:
I nsp.: ( 3 r
OF EAGAN
Pilot Knob Road
Box Y7199
v, MN 55121
WATER SE
PERMIT Np.:
DATE:
t8. 11
-??nej5* dbAgW 500.
?unt Deposit: t:)
0
Permit Fee;
Surcharqe: '
tiusc. crorgeS: 132. ()?r? :
Total:
Dota Poid:
Insp..
WATEIt SERVICE PERMIT
PERMIT NO.:
D/1TE:
. No. of Untts:
, ea ++?? zou I:tx* ? ?
_
Addrcss: I5762 CI snn Lr.
iber. t..Dr:ty9axl 1 Iv&:? t^, ,
?r No.: Connection Charge:
Account Depoait:
br Na.: Permit Fee: N te eomPlg wNh 11r CiFy ef EMPn Sumharpe:
MaoM. Misc. Chorpes:
Total:
SEDGWICK HEATING & AIR CONDITIONING CO. HEArirvc JQBNO 4;f??!?
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS y'?7{ SQy_,[LY
OCCUPANT
SOLD BY' `lLi }'.4 4E
?
CITY ?9.N
OWNER
INSTALLEDBV 511?/rG
MAKE 4 f.04 ? >•
MODEL 6 Y o 0 A? ?- 2 D
SERIAL N0. 6?? ??? 4?9 INPUT
THERMOSTAT
VENT SIZE
VAIVE L.±41X TVPE Of LINER'l -?
LIMIT L? p ?94 p /
LIMIT SETTING
FAN SE7TING
PILOTTYPE NCS?'?L4 ?{c
i /
IGNITIONMODEL
PILOT TIMING
PRESSUFiE PERCENT COz ??-
INPUT CFH ?7 bG r l^( PERCENT Oz
STACKTEMP. ?60 PERCENTCO
FORM235(REV fii89)
LINER SIZE
FILTERS: SIZE-.a ? )S-f-?'51c I NUMBER
WIRING 4 'r _?
TEST TAG
LIGHTING INST.? 111-s
DATE TESTED
i
COMPANVTESTING S1 ?Q_? J
NAME OF TESTER
FOflMDISmIBI1TION: WHITECOPV - JOBFILE VELLOWCOPY - CITY
Thts repuest void ` ?- ? / G Q
7 mnnths trom 5? V(] ?c ]e b)
? 063973 ? 5? l 7w - 4?. v `? ?
( Peq?•est Date tFe Nn. ReQ9hed" nsperbon nqeatly NowAaWlll Nouty InsOec-
I 9-16-1985 $??, ? No cor wnen aeaav
flLicensed Electncal ConUactor I heraby requast ms0ection ot above
?.. elac[rical work inslalled et
SVee[ Atldress. Box or Route No. Grtv
1576 B Clemson Drive Eagan
ecUOn o. Township Name or No. RanAe. No. Coumy
Dakota
Occupam IPPINTI Phone No.
New Horizons
Power Supplier Address
Dakota Cty. Farmington
Electnczl ConVacfo, (ComDany Name.l Coniracmr?s License. No.
O.S. Thompson Electric Co. A40602
Mailing AtlJress (ConVactor or Owner Making InsiailaLOnl
12201 t4tlca-Blvd. , Mtka 55343
ll61ionl
Auihor¢ed SignatLrellConVactor/Ov?ner M.k+n,g Insta Phone NumUer
? y °2521
- i G"a .B
6
MINNESOTA STqTE BO.SND OF ELECTRICITY ? BE ACCEPTED 8Y THE STATE BOARO
Griggs-Midwey eldg. - Roam N-191 UNLE55 PROVEH INSPECTION FEE IS
1821 Universitv Ave., St. Peul, MN 55104 ENCLOSED.
Phone (612) 297-2111
REQUEST FOR ELECTRICAL INSPECTION EB-0000I-04
55? 6n ?f
' See mstruc nons tor complaling this form on beck of vellow covY. y
np'l] `] l "k" Below Work Covered by Thrs Request qb6
? HAd Rep. Type ol Bwldin9 AoPhances WiraE EquiVment Wiretl
Home Ranye Temporary Servwe
Duplex Water Heater Lightiny Fixtures
Apt Bwiding Dryer Electric He2tin '
Commercial Bldg. X Fumace 2,50 Silo Unloader
Industnal Bidy. Air CondiLOner Bulk MiIk Tank
Farm otna, _peufv Otner (SUnc?ty)
t er Suemty g Other Disp.Dish. 5.00 Oihor
1(
: nmmire insner.rinn rea uviow
# Fee ServiceEnfrenceSae 4 Fee FAeders/Subfeeders u Fee Grcuits
OU 10.00 0 to 200 qm s 0 to 30 Amps
Above 200 qmps 31 to 100 Ainps 1 5
Swimming Pool Above 100_Am s
Transiormers lrrig8tion Booms .5
0 Partial:Othar Fee
Signs Specialinspecvon
00
$43 ? --
TOTALFEE
eemarks Ho se .
Nough-in
I ?fiLR
?(
l?°•?OA ?
I, the Electr_ical/
Inspactoqhereby
rt?ty that the above
ce
Final
1
?
? Date
?
?? I,
ectton has been
m
ade.
This requeat vold 18 moniRa irom
This request voltl
1?B months from
Orlq 7 9 L /5'1 7L.,
Reques^Date Fve Na. Rauyh-m InsoecLOn
v
`9-16-1985
I I Reyuo retl? E]Ready Now;BW,ll NnritY InsDec-
Uyes ?NO tor When Ready
gjCLir,ensed Electncal Convactor I herahy requesf insOacM1On of above
? Owner electncal work installad et
Street AtlAress, Box or Route No. C'ry
1576 Clemson Drive Eagan
ecUOn o. Township Name or No. qange No. Coonty
Dakota
Occupant (PFINT) Phone No,
New Horizons
Power $uppher Atldress
H& Dakota Cty. Farmington
Elecincal ConVactor (COmpany Namel Cnnhactor's License No.
O.B. Thompson Electric Co. A40602
Matlmg Address (Conhacmr or Owner Makinp InstallauoN
12201 Mtka Bi?Vd. , Mtka 55343
Authnrrzed Signature:iContrac[or/Ownei Making"Insulla
bonl
.i Phone
N
um
ber
_
, [
?
!}
?j
MINNESOTA STATE BOARD OF ELECTRIGITV THIS INSPECTION NEQUEST WILL NOT
Grigys-MidwaV gltlg. - Hoom N•191 BE ACCEPTED 6Y THE STATE BOAHD
1821 UnivarsitY Ave., St. Paul, MN 55104 UNLESS PPOPEH INSPECTION FEE IS
Phona 1612) 297-2111 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPEC710N ee-ooooi-oa
% ', See insquctians lor complebng this fwm on back pf yellow copy. ?/
?? n,`, I q 79 '-X"" Below Work Covered bv This Requesl , kS
AAd Rep. Type of Bmlding ApOliances Wiretl Eqmoment Wired
X Home Range Temporary Service
Euplex Water Heater g Lighbng Fixtures
Apt. BuilAing Dryer Electnc Heatin
CommerCial6ldg. X Fumace 2,50 SiloUnloader
Industnal Bldg. Air Conditioner Bulk Miik Tanl<
Farm Otnar Soecifv .ihoe Ispoutvl
,..
..,....
.. ?..,. mP, suo?,ry
..__..__ ? . ,. , X a???pis .Dish.5.00 o,n-,
1
N Fee ServiceEntranceS¢e # Fae Feeders/Subteeders # Fae Crtcmts
• 0 To 200 Am s 0 to 30 Am s 0 25.00 1 0 to 30 Am s
Above 200 Amps 31 to 100 Ainps 1 31 to 100 Am s
Swimming Pool Above 100_Amps Above lOD_Amp?.
Transformers Irrigation eoon??s ,50 ParLaL'Other Fee
Signs SUeciallnspection _ ,
Rerrarks S 43.00 TOTAL FEE
rtouen-on
Da[e
(?
?
I, tha Electncal?
• ??
v Inspector, he?eby
Rnal pA "a dy Matthe above
nspection has been
This repuest void 5
? L A??/ I( ?
78 nwnths irom ?
R ?l r? Q71 ?? ?l ?V n,1 1-k- k.?3 v V3 ?
Fequest Date Fire No. flouph-m InsnecLOn
Reqmred,
fleatlY NowAaW,l1 NoUfy Inspec-
?
9-16-1985 Uves ?NO to? whe? Aeadv
kikcensed Ele,.tncal Contractot I hareby requast mspaction of xbove
n Owner electncal work mstalled at
Sveet AdAress, Box or Poute No. Cuv
1574 B Clemson Drive Eagan
ecuon o. Towns ip Namc or No. RanAe No. Cowny
Dakota
Occupnnt IPflINTI Phone No.
New Horizons
Fower Supoher Address
Dakota Cty. Electric Farmington
Electncal ConVacmr (Company Namel ConVactor?s License No. -
O.B. Thompson Electric Co. A40602
Mailing AAdress (ConVac[or or Owner Makinp Instailabon)
Ol M? A 1 _tk 5534 3 --n,
Author¢ed Signatwe,IConVaciodOwne• Making In s[allauonl Pho
n
e Number
`
l' ?
y
?
33-2vx2 1
.
MINNESOTA STATE 80AflU OF ELECTNICITY ' 1111o "`?rci,i Un ncuucal nuL rvvP
Gnggs-Mitlway Bldg. - Noom N497 BE ACCEPTED 8Y THE STATE BOAND
1821 University Ave., St Paul, MN 55104 UNLESS PNOPER INSPECTION FEE IS
Phone 1612) 29J-2'111 ENCLOSED.
5C? 7 6 U REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.os
, See mshuctions for complevng this torm on back oi yel low copy. ?p r r f
""X" Below Work Covered by This Request qt L? `g"
AAd Rap. Type oi Bmlding Appl?ances W.tl Equipment Wired
g Home Range Temporary Service
Dupiex Water Heater X Lightiny Rxtures
Apt Bwldmg Dryer Electric Heztm
Commercial 81dg. X Fumace 2.50 Silo Unloader
Industnai Bldy. Atr COndf[ioner Bulk Milk Tdnk
Farm tner Soem v other rSpenty;
t e. suecifv ott)?JSyv.D18h.5.00 (),he,
a.urnpuie -,peLl,un ree aeiow
k . Pee ServiceEntranceSize M1 Fee Fexders?5ubleaders N Fee Cncwts
luupi 0.00 0 to 200 Am 5 0 to 30 Am s 0$.00 0 to 30 Am?s
Above 200 qmps 31 to 100 qrnps 31 to 100 qm s
Swimming Pool Above 100_Amns Ahnve 100_ Amus
01911? ?PZClal iSj Ctlon ?,
, $ 43.00 TOTAL FEE
Pem?rks -
-.1 J )
Fough-in D'11e I,the EI cencal-?/
f7 Inspactor,herahy
Final
D^te cerpfV lhat the abova
Inspeetion has baen
S mada.
?
inisreQUes.omio??U-Han?TH V -
I
This request voi T 9_? ? l?S
months trom ??? a ?1
, D 0 6 a 9 7 0 L_. 3 3 Lh ? 7?.?-, LE ILIL 41 -?_ v , cc,
Fepa:._. Da[e Rre No. Rouph-in MsuecUOn ?
9-16-1986
quired?
Re
?Reatly Nov.7?Wiii Novly Insper-
?
Yes ?
No o
?or When ReaAy
.?m?censeu nec?ncei i.onvacior I hareb
y request inspection ol above
? Owner elactncal work installed at
SVeet Address, eoa or Route No. Ciiv
1574 Clemson Drive Ea an
oecLOn o. Township Name or No. Range No. Courity
Dakota
Occupant(PRINT) Phone No.
New Horizons
Power Supplier Address
Dakota Cty. Electricx Earmington
Electncal Con[rarto, (Company Namel Convar.mr's License No.
O.B. Thompson Electric Co., Inc. A40602
MailinB .4ddress (COntractor or Ownet Makine Instaila[ioN
12201 P1tka.-Blvd., Mtka 55343
Authpr¢etl Sipne[ure'ICon[racmr/Ownar MakrTg Instnllatirnd) Ph
o
n
e
Number
i' _-
'°$? i V (
?
g
r}
i
?^1k?E7-x1i.f? i
MINNESOTA STATE BOAFO OF ELECTRICRV TMIS INSPECTION PEQUEST WILL NOT
Grig9s-Mitlwey Bldg. - Room Nd91 BE ACCEPTED BY THE STqTE BOAHD
1921 University Ave., St. Pau1, MN 55104 UNLESS PROPER INSPECTIpN FEE IS
Phone 18121 297.2711 ENCLOSEO.
REQUEST POR ELECTRICAL INSPECTION ee-00001_04
?6e 4 nstruc[ions (or complecuig this torm on beck a} yellow copy. !j
Belaw Work Covered by Thls Request
TVpe of ewltlmg Appliances wiree Equiument Wtred
Home Range
Temporary Service
Duplex Water Heater
X Li htin, Fixtures
Apt Buiitling Dryer g y
Comineraal Bld Electric Heahn
9? x Fumace 2,50 ?,!o Unloader
Industnal Bidg. Air Conditioner Bulk Milk 7a„k
Fee ServmgEntrancaSae h Fee Feeders/Suhteeders p Fee Cuc,r[s
? to 200 qmps 0 to 30 qm s 0 25.00 0 tn 30
Above 200 qmps, 37 to 100 Ainps 31 to 100 ?
¢ Ar
4'......••,•ny,o•^ 1_ I IAhnvntQ(1 p,......1 I -1,.,_.
nem?.ks -- V"" St}3.00 TOTAL F,EE7 `--,
Dace
? ?
I
the EYec
tr
l?
Pinal (p?0?? ,
_
?-a
Instor,he,eby
Dale certify thaf the above
spection has been
3
: e
T?b repuest vaitl 18 months irom .
_
Thi,s est 18 mont?hs from d 5?WS lb ??-85
R. nFanng ,_-? ;:z A If 71„ _.? i1- Uqs L Jn.H)
Request Uz,:e
'
Fre No.
Rough-in Insoectmn
Pequired?
I
Heady Nuw? Will Notify InsOec-
?
10-3-1985 cTes ?NO to
When Ready
}{? Licensed Electncal Contractor I heraby requesf insoaclion of above
? Owner elecvical work installed at
SUeet AAdress, Box or Route No. cilv
1574 Clemson Drive Sagan
ecUOn o. Township Name or Na. Aange No. County
Dakota
OccuOant (PflINT? Phonc No.
New Horizons
Power SuDplier /address
Dakota Cty. Farmi.ngton
Elec[ncal ConVactor IGompany Name) Con!mctor's License No.
O.B. Thompson Electxic Co. A40602
Mailing Address (Contractor or Owner Makine lnscallation)
12201 Mtka_Blvd. Mtka 55343
Author¢ed Sie?ature (Cbnvactor/Owner Making.lnsiallaLnnl?
'
' `_ Phone Numbcr
• ,
,
,,
? 933-2521
.
,
MINNESOTA STATE HOAqD OF ELECTflICITY
Grigbs•Midwey Bldg. - Aoom N-191
1821 llnivarsitY Ave., SL Paul, MN 65104
Phone 1612) 297-2111
j IMIJINJ" 11VNA[LLVLJIWILLIVU.
8E ACCEPTED BY THE STATE 00APp
UNLESS PXOPEfl INSPECTION FEE IS
ENCLOSED.
?%3?0 REQUEST FOR ELECTRICAL INSPECTION ea-ooooi_cw
' Sae insVUCtions tor complebng this form on back ot yellow copy, U 1`q ?
""X"" Below Work Covered by This Request l??
? ???nna ,.
i.Atl R.P. Tyoe of Builtling Applmnces WneA EquIpment W,red
Home Range X Tempor2ry Service
Duplex Water Heater Lightiny Fixtures
C1pt. Bwlding ?ryer Electric Heatin
Commerual Bldg. Fumace Silo Unloader
Industriai Bidg. Air Conditioner Bulk Milk T&nk
Farm oc o, pe?7v ocne??soaciry1
ther Specify Other Othcr
Lomnure rnsoecuon ree xeinw
p F¢e ServiceEntrenceS¢e p Fee Feeders/5u1bfeeders N Fee C?rcu??s
U to 200 qmps 0 to 30 qm s ? to 30 Am s
Above 200 Ampsl 31 ta 100 Amps 31 to 100 Am s
Swimmin Pool Above 100-Amps Above 100_P.mps
Transiormers Irngation Booms
? Prrtial-'Other Fee
Signs SpeciallnspecLOn
$ -------
T
Rerryrks
Hrn i c a
10.$0 ?
OTAL,fEE
I .., .,?_;?i'
Rough-in - Date ?, ihe flectncaf-?
Inspecto`heroby
c
Lf
[h
h
b
iinal
Date er
y
xt t
e a
ova
ipspec4on has baen
? y made.
Thle requesl vola 18 monIDa trom
? cI??
?
38379
?
j d/ / ,
a?4c ? ? ?
e/?'
Fequest ?aie Fire No Rough-in Inspection
7-/? ' J Reqwretl'
? va: w ? Ready Now? Will Notity Inepector
wnen aeanY+
I p licensed contractor A owner hereby request inspection of above electrical work at:
.b Atltlress (SVeet x o Faute No )
- Ciry
sc? ?
o Towns?ip N ama p No Range No ounty
?PRINT)
? Phone No.
ru .
, e[i7k, .57?
PowAer 3uPP?rer
.U??GT - Mtlress
Elec i al ConVactor (COmpany Name) Comractork License No
on?own£,r
Mmling Atltlrgs,c (Confractor ar Owner Making InstallaM1On)
? ,46vffie
Authonz ignature (COnvac rlOwn¢r M g Instelletan) / Mona NumDer
WNNESOTA STRTE BOIIIII613 OF ElECT1i1CITY THIS INSPECTION REOUEST WIIL NOT
Grlggs-Mitlway Bltlg. - Foom S1]3 BE ACCEPTED BY THE STATE BOARD
1821 UnlveroHy Ave., SL Paul, MN 55100 UNLESS PFOPER INSPECTION FEE IS
PM^° (612) 602-08O0 ENGLOSEO
??p 6:? REQUEST FOR ELECTRICAL INSPECTION Ee.
r=?ooom-oe
?7 ? See insVUCtmns tor wmple?ng 1N5 torm on back ot yellow copy,
fL? 'Y? 13(
Ir?? 38379 - "Y." Below Work Covered bv This Reauest
ew Atl Re0 Typeof6uAdmg AppliancesWiretl EqwpmeniWued
Home Range 7emporary Sermce
Duplex water Heater Electnc Hea6ng
Apt Bwlding Dryer Other (Specify)
Comm/Industrial 'FUrnace
Farm Air Contlitioner
er (?eFiry) Contractor's Remarks
GCQ ?
Compute /nspectron Fee Below:
# Other Fee # SerwceEntrenceSize Fee # Cirwits/Feeders Fee
Swimming Pool 0}0 200 Amps 0 to 100 Amps
Transtormers Above 200 _ qmps A6ove 100 _ qmps
Signs Inspector§ Use Only TOTAL ?{J
Irci
atwn B Y?
g
ooms
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE OR DISC
N
Other Fee O
NECTED IF NOT
COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rou9h-in pare
certrfy that the above inspectwn has
been made. oa?
OFFICE USE ONLY
~
TNS request wq 1B manths trom
?~?
----,
I ---.- - 1----
i ??r `-° -?Use i
? Permit#: I
I /J / Cr ?
j Pertnit Fee: ?'( 5 J. 2?J I
I
? Date Received: ?
I
? I
i Staif: ?
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date• ?z -gl) -(1 O Site
Tenant Name:
i5'?y ..
(Tenant is: 157?'New / ? Existing) Suite #:
/5
PROPERTY OWNER Name: ? Phone:
6N D2
f 2m5 •
R-- 6
? r'(
"? 17
,
" „
?
Address / City / Zip:
Applicant is: _ Owner _xContractor
TYPE OF WORK Description of work: nl o) i 0. ?-
?j
Construction Cost: ?? : ??i
CONTRACTOR Name: V '? S License #: ?J7 7?
Address: ! 6 6 COC'O
City:5z, • S4 -& L/ i State: MA) Zip:
? ? )
Phone: i sl ?1 J`??zr1 Q6 ! Contaci Persor?? p,l i_?WtIKvAlL7??n-
ARCHITECT 1 Name: Registration
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber insialling new sewer/water service: Phone #:
NOTE:: Plans and supporting documents thatyou subrhit are considered?;o fie-pubNc inf6rmatiori.;',POdions`af .:;
r_
if you provlde specifrc reaso`ris that woutd permrt? he C?ty to {4
the rntormatwn`may?be c%assrfred as.non-pdbiic
.
. _.= „ ..?. wY. ;.r
?'uF L
° ? ° ?conclude that ihe are tra'de secreFS " ? °_= , -
I here6y acknowledge that ihis information is complete and accurate; ihat the work n confortnance with the ordinances and codes of the CiTy of
Eagan; that I understand this is not a permit, but only an application for a per it, and wo is not to start without a permd; ihat [he work will be in
accordance with the approved plan in the case of work which reqwres a review a d approval of ans.
i
x x
Applicant's Printed Name anPs S u
Page 1 of 3
RESHNNMpL C' CJ wtiv+n-e-r e.C a--Q
S" D BUILDfNG PERMIT APPUCATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 46122
651-6874675
Naw CoasWdlon Reauiremenp
. 3 registered sita surveys showing sq. R of lof, sq. ft. of Muse; anC au roofed areas
(2095 rtwximum lot coverage allowed)
. 2 cropies of pan showirg beam 8 windaw saea; poured IouM design, etc.)
. 1 set of Errergy Calculatiora
• 3 capies of Tree Preservation Plan il lol platled aRer 7/1193
. Rim Joist DataJ Opuais selection sheet (61dgs with 3 or lese un0s)
DATE /0
_ Water Softener
_ Water Heater
_ No. of Baths
SITE ADDRESS
TYPE OF
? L:T, y
APPLICANT
MULTI-FAMILY BLDG/k Y _ N
J PIREPLACE(S) _ 0_ 1_ 2
STREET ADDRESS y() \-A) bis l? CITY?STATE AZIP S SLI I eJ
TELEPHONE # G 17- -$bX - CELL PHONE # FAX #
4a4? a?15`K
PROPERTYOWNER 44ljS mD?S m(? S?4TEE HON #7&3
---------------------------------------------------=t:!L- ?*__...------------------
COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BbftDINGS ONLY
Energy Code Category _ MI`tNESOTA RULES 7670 CATEGORY 1 MINNFSOTA RULES 7672
(J submission type) • Residential Ventilahon Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: _
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Woter Conhactor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Fee: $90.00
? OcT o a 2ooZ
Phone #, _
-°------°----°-•-----••--°----•---------------•--------------------....----°------ -'L'''-. -° =°-°------'-- =•-----
I hereby acknowledge that I have read this application, state ihat the informotion is cortect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnafure of Applicant
OFFICE USE ONLY
VALUATION ?S 7
RemodeVRowir Rwutremame
• 2 capie9 of plen
. 1 set of Energy Cakulations fa Ireated additiom
• 1 sita survey for e%terbr add'rfiore & decks
. Iridicate d Mome served by uptlc system for additions
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updaled 4J02
? e
^ ? V
pQl
----w
ci.EMSON °
. Q So.?N
1•QO?
N 5 3
o
?31.oCh s c
z2?''? 4
?a.33 !O; N O.v1
N o 2 S=
ir?
9 ' ?a,? ?'• v ?f
s b
0?4 ?;?
7- ^ a"?+ 1 3 • .9?•°?`? ?t
31.00 .0
y' s e/O?N OLn
c? p 4? qtI.?' P/ .!r
20 %o-/p?
1
i
lq?yo?
?_. ?.
22. ? ?t? I. ? ?1p \
3Sy5?i4'Sn b ?
o ?q36,o7
Bcji/d"n 9 -""8
O penotes Iron Monument
° Denotes Wood Stake
X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation=
(ODD.O) Denotes Proposed Elevation Proposed Garage Floor Elevation= 937.o
-o-- Denotes Direction of Surface Drainage - Proposed Lowest Floor Elevation= 9 37. 5
1 hereby certity that this is a true and correct representation of a survey of the boundaries ot
Lots 33, 34, 35, and 36, Block 1, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota County,
Minnesota
And of the location of ali 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 27th day of Aueust 119 85 ,
Paul A. Johnso
Land Survevor. Minn. Rea. No. 10938
m CERTIFICATE OF SURVEY
? fior
McCOMBS-KNUTSON AS
SOCtATES, INC. '?A? ?? ?c
I???j?? - Elaucuc 0 wn:uerno.S ¦ un ru..ln 1\Glll \7
AL.=a : cuwneuotu w wrtcwiwoN.?xrwcoDrw
,
1985 auiLnrxr,
V
NOTE: ALL CONTRACTORS HUS2 BE GICENSED tifITH TRE CITY OF ElIGAM
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
; 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: Date; 8•30-85
Site Address: 15-1e4eminc5tt 1i1 OFFICE USE ONLY
Lot: 3--? Block Sect/Sub 77,o,,,,,,: L,abtErect _ Occupancy ?
?f)S*3 Remodel
Parcel 0 ? °- Repair
Enlarge
Owner Np._I 1/o,¢1=o,,,, ,t/ofips 7:, c- Move
Demolish
Address E.p, 8ex 13b7 Grade
?
City/Zip Code /np/s. A7,y.?. .YS.y6I0 ' -------
Contractor r,P,>,L
Address
City/Zip Code
Phone # v / 2 U -' --? 9 v U
Arch./Engr V. Git?se.JoLd
Address
Phone # 413.5-- 7S2 y/
APPROVALS
_ Zoning
_ Type of Const ?
_ 0 of Stories
_ Length
_ Depth
_ Sq Ft
Assessments Permit Q20-L
Water/Sewer Surcharge ?
Police Plan Revierr
Fire SAC S
Engr Water Conn ?
Planner Water Meter
Council?aad Unit 2 ?
Bldg_ Off 7Ce Parks
APC Treatment P1
Variance
?Orat. ?? s O
?? J / ?
TOWNHOU3E
BUILDING PERMIT
Te 6e wed /e. 1 OF 4 PLEX
N° 10946
Receipt # ?.') ?7?' ?
, $56,000 DO1e SEPTEMBER 119 85
SiteAddress 1574 CLEMSON DR
Lot 33 siock 1 s>clsun. THOM K H
Parcel No.
W Name NEW HORIZON HOAdES INC
; Address P.O. BOX 1367
b crtY MPLS phane 420-3900
g
oG
uS
F
Name SAME
Phone
GW Name D. GRISWOLD
?? Address
4 W City pnone 435-7524
1 hereby ocknowledge thot I hove read this apDlicotion ond state that
the inlormation is torrect and ogree fo wmply with all applice6le
Stata ot Minnewta Statute nd Cify of Eugo Ordinantes.
Slpnoture of Pertnittee
A euilding Permtt Is issued to: NEW HORIZON HOMES
oll work shall be done in accordance with ull appli le State of ?
8uildinp Officiol -A ?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100
Erect N Occupency R3
Remodel ? Zoning PD
Repalr ? Type of Const. {/
Additian ? No.Staries
Move ? Length 44
Demolish ? Oepth 26
Int Impc ? gq, pt,
Install ?
ADProvals Faes
Asussment Permit ± • 0
Water 8 Sew. Surcharge 28.00
Police Plan Review 150. 5 Q
Fire SnC 525.00
Enp. WaterConn. 500. 0
Plonner Water Meter 63.?0
Coun[il RoadUnit 280.00
BIdg,Off. 9 3$rj Tr.PL 132•00
APC Parks
Var. Date Copies
Total $1,979.50
INC on the express condition Ihot
ie'wlh; $tatutea ond Ciry of Eoqon Ordinoncea.
.
*7110gIK
1985 BUILDING PFRMTT !PM TCATT(1N _ CTTY (1Fv
NOTE: ALL CONTRACTORS HUST BE LICENSED 1iIiN TNE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For; g£s,ocvcr Valuation: ?MG Date: 8 .3o -?S
Site Address: 15-A R OO om,nrsxi OFFZCE USE ONLY
Lot: ? Block _L Sect/Sub 7-6,?, Occupancy
1
Neff4r3 ftemodel ?
Zoning
Parcel S -
d^'-0 Repair =
Type of Const
Enlarge 0 of Stories
Owner ?/p.? ,t,loieizo,? /1o,?ap s S?a. Move Length
Demolish ?
Depth
Address _Qp. Bo x 13L7 Grade _ Sq Ft
City/Zip Code
?r .i. ?
,TS ------ ----
-----------------------
Contractor APPROVALS
Address Assessments Permit
Water/Sewer Surcharge ?
?
City/Zip Code Police Plan Review
Fire SAC
Phone 0
Engr ?
Water Conn
Planner Water Meter
Arch./Engr V.
c R,S,?o cd
Council ?
Road Unit
Bldg Off 9Parks
Address APC Treatment P1 Y
Variance
Phone 0 y3S 7S2V 'fOTAL
.
TOWNHOIISE -
.. ? CITY OF EAGAN N°_ 10947
.
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 BUILDING PERMIT PHONE: 454-8700
rieceipt #
Te M mad hr 1 OF 4 PLEX Est Volue $56,000 pate SEPTEMBER 11,985
SiteAddreas 1574B CLEMSON DR
Lo< 34 si«k 1 Sedsub. THOM LK HTS 2
Percel No.
W Name NEW HORIZON HOMES INC
= Address P• O. BOX 13 67
? city MPLS pnone 420-3900
g Name SAMF
Z
Address
ul
? City Phone
D. GRISWOLD
GW Name
z Address
Q
?W ciey Phone 435-7524
I here6y acknowledge thot I have read ihis oODiicohon and slote that
the informofion is correcf and ogree to comply with oll opplicnble
Sfofe of Minnesoto Statu and City /ofE9y_on Ordirwnces.
$Ipnature of PermiMe?
A Building Permit Is issued to: NEW HORIZON HOMES
all work sFall be done in ocmrdance with cll aodimbla State oMi.
Erect Ek Occupency R3
Remodel ? Zoning pn
Repeir ? Type of Const. V
Addition ? No. Stories
Move ? Lengtn 44
Demolish ? Depth Z (
Int Impr. ? gq, Ft,
Install ?
ADOrorab Faes
Assessment Permi ? Q0 I
Water 8 Sew. Surcharge 28.00
'
Police PlanReview 150.54
Fi.e sac 525.00
Enp. WaterConn. 500.00
Planner Weter Meter 63 - 00
Council RoedUnit 280.00
BIdg.Off, 9I3/85 7r.Pl. 132.00
APC Parke I
Var. Date Copies
ratel S1.979.50
INC
on fha axpress CordiNon Ihat
syto $tatutes ond Cfty oF Eapan Ordironces.
Buildin0 Offlcfal
- i1985 BU LDING PERNIT vITY OF
HOTE: ALL CONTRACTORS HUS? 8E LICENSED HITH THE CIYY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
. t SET OF ENERGY CALCULATZONS
To Be Used For: RES.ocucL Valuation: 4= Date: 8-_;o_F3!5:
Site Address: 1r?-K.
Lot: ? Block
Parcel #
OFFICE USE OM.Y
Sect/Sub ?EtErect Occupancy -6.12
A'e'fsy-S Remodel Zoning
Repair ?
Enlarge
Owner No.) /,loRizv,? ,S4„9ses _7,0? Move
Demolish
Address PQ, $ox. 1367 Grade
?
City/Zip Code Lyf?/r. /!),,,,r. ,T,r,y(f0 ' -------
Contractor s,y,,,`
Address
City/2ip Code
Phone ll
Arch./Engr V. GRis,.aoLd
Address
Phone # y3.7'- 7S2 y
APPROVALS
_ Type of Const ?'-
U of Stories
_ Length ?
_ Depth ?
_ Sq Ft
Assessments Permit
Water/Sewer Surcharge ?
Police Plan Review ?
Fire SAC ,5 Z.S 'd
Engr Water Conn 5;D
Planner Water Meter ?
Council Road Unit ?
Bldg Off . Parks
APC Treatment P1 Li1
Variance
TOTAL
TOWNHOOSE
BUILDING PERMIT
Te M med 10. 1 OF 4 PLEX
SitaAddress 1576 CLEMSON DR
Lat 36 Blak 1 Sec/Sub. THOM LK HTS 2
Parcel No.
W IN,m. NEW HORIZON HOMES INC
? Add,mS P.O. BOX 1367
City MPLS Phone 429-3900
Name SAME
Addresa
City Phone
U'w Name D. GRISWOLD
Address
?W city vnone 435-7524
I hereby ocknowledge thet I hava read this ep0licution ond store that
fhe inlormation is corrett and ogree to wmply wifh all apDlicoble
State o{ Minnewto Statutes City of Eagon Ord nance:.
Sipnature of PermiMes C?-----
A Building Permit {s Issued ro: NEW HORI20N HOMES
all "rk sholl be done in xmrdonce with al applicable ?? Mir
Buildi ONicial ? U
CITY OF EAGAN (do
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
10949 ?
PHONE: 454-8100 ,<a?_2 I 7
Receipf # _ ?
$56,000 ,,,,,a SEPTEMBER 11 ._ 85
Erect 87 occupancy R3
Ramodel ? Zonin9 pD
Repair ? Type af Conrt. V
Addition ? No. Stories
Move ? Length 44
Demolish ? Depth 26
Int Impr. ? Sq, Ft.
Install ?
Avo.o.ols Faas
Assessment Permit $ 301_.00
Water S$ew. Surcher9e 28 _ 00
Police Plan Review 150. 5 0
Fire SAC 525.00
EnO. WaterConn. 50_Q'00
Planner WaterMeter 63.00 ?
Council RoadUnit 2$0_00 ?
Bldg. Off. 9/3/85 Tr pl 132.00 I
APC Parka
Var. Date Copies
INC rotei $1. 979 • 50 .
on ehs express condiNOn ihm i
ewfo Statutea ond Ciry af Eoyon Ordinnnces. ?
? / o 9 vcp
1985 BUILDING PERMI7 APPLICATION - CITY OF EAGAH
NOTE: ALL CONTRACTORS HUST BE LICENSED HIiH TAE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
. 1 SET OF ENERGY CALCULATIONS
To Be Used For; REsibfVCL Valuation: ?_ Date:
Site Address: IS7(D?R ?'Oo??? ?n> OFFICE USE ONLY
Lot: 5 Block I_ Sect/Sublpk?Erect _ Occupancy
A'c IfA*3 Remodel
Pareel R Repair
Enlarge
Owner /?/ ? ,t?oRizo,? //o ,?as. ,Ty?, Move
Demolish
Address _ Pp, Box 13b7 Grade
?
City/Zip Code TSyyD ' -------
Contractor s,A,r,4
Address
City/Zip Code
Phone 0
Arch./Engr 9. G Rr??ao L d
Address
Phone 0 13.r 752!(
APPROVALS
_ Zoning ,
_ Type of Const
$ of Stories
= Ler.gth ?
Depth
_ Sq Ft
Assessments Permit p? D /
?
Water/Sewer Surcharge -'
Police Plan Review ?
Fire SAC
Eagr Water Conn O D
Planner Water Meter ?
Council Road Unit
Bldg Off Parks
APC Treatment P1 zo-
Variance
iOiAL
TOWNHOUSE
CITY OF EAGAN N°_ 10948
' 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 geceipt # 5?r3'Z?
4 PLEX Est.Valut $56,000 Date
SireAddrecs 15765 CLEMSON DR
Lot 35 slack 1 Sec/sub. THOM LK HTS 2
Parcel No.
„aZ, I Name NEW HORIZON HOMES INC
Z Address P• O• BOX 1367
5 City MPLS phone 420-3900
o Name SAME
uu Address
• City Phone
?W I Name D. GRISWOLD
xtq Addresa
'
11 city Pnone 435-7524
I hereby atknowledge that 1 have tead this opDlication and stote that
the inlormation is correct ond ogree 1o wmply with oll opplicoble
Stote of Minnewte Statutes Ciry of Eogandirances.
. . ir
Sipnaturc of Permittee c -
A Buildinp Permif Is issued to: NEW
pll work sholl be done in accordonce with all
Bulldinp Officiol ?
EreCt E{ Occupancy R3
Remodel ? 2oning Pt1
Repair ? Type of Const. y ?
Addition ? No. Stories
tdove El Length 44
Demolish ? oepth 2 (
Int Impr. ? Sq, Ft.
Iastall ?
Apyrevolf Faat
Asussment Permit .
Woter 8 Sew. Surcharge 28.0
? I
Police PlanReview 150.50
Fira SAC 525.00
Enq, Water Conn. 500 . 00
Plonner waterMeter 63.00
Co,,,,cii RoadUnit 280.00
Bldg. Off. 9 3 5 Tr. PI. 132 . 00 ,
APC Parks
Var. Date Copies
rotal S1,-?17<1-SO
i INC on ths axprea? conditlon tho+ ,
xwta Statutes and Ciry of Eoqan Ordinonces
. . ?
?
7987 BQILDING PERNIIT 9PPLIC TIOA -
SINGLE FAMILY DWELLINGS
ITY OF EAGAN
IACLDDE 2 SETS OF PLANS, 3 CERTIFICAYSS OF SOR9SY, 1 SST OF F.NERGY C9LCOLATIONS
HOTE: ADD$ESSES FOH CORNEE LOTS - CONTRACTOR/HOMEOANER HIIST DESIGHATE WHICH ADDRESS
IS DFSIRSD. NO CHANG&S NILL SS ALLOWED ONCE BDILDIIQG PfiRMIT IS ISSIISD.
MOLTIPLE DTiELLINGS - RFSIDSNTIAL 9FNT9L OAiTS FOR SALE [19IYS
INCLUDE 2 SETS OF PLANS, CBRTIFICAYE OF SIIRPEY - CHECB iiITH BLDG. DEPT.,
1 SET OF ENEAGY CALCULATIONS -
COMAI6RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: loe-,cK Valuation: kpiy?P/oDO Date: `?aLS? Y7
Site Address 15-7-V
Lot :33? Bloek
Parcel/Sub di-ivz
OwnerC-6FO ? ?a//Uretrrr
Address ?57? ?lCi7L5'On? 0il?
CitylZip Code ?yj11)} g°'S / a, 2
Phone ^?Z4-6 S ?4 Ls-
Contractor J.?Sa wmeh=
Address g?? ??LAxA A-Y--_s.
City/Z3p Code
Phone
On Site Sewage Oceupancy
MWCC System
? Zoning
On Site Well Type of Const
City Water (Aetual)
_ (Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
9PPROVALS FSBS
Assessments Permit ?
Water/Sewer Surcharge s°
Police Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
Council Water Meter
Bldg Off Road Unit
APC Treatment P1
Variance Parks
Copies
TOTAL
Arch./Engr.
Address
City/Zip Code
Phone A
CITY OF EAGAN N° 13 5 2 9
' 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454•8100
Receipt # ??5 ? ?
7o6evaedfor DECK Est.Value $1,000 pate APRIL 30 19 a?
Site Address 1574 CLEMSON DR
Lot 33 Block 1 SeGSu6. THOMAS LK HTS 2N
Parcel No.
: Name CAROL KALLtiNKI
w
z
Address
SAMF
o City Phone 456-9275
A
a Name ROSERT PALMER
,
0a Address 8507 GIRARD AVE SD
: City BLMGTN Phone 881-7500
rc
w
2
u
z
w
Name _
Address
City _
OFFICE USE ONLY
OnSiteSewa9e _ Occupancy
MWCCSystem - Zomng
On Site Wel1 _ TyDe of Const
City Water _ (ACtual)
(Allowa6le)
# of Stories
Length
Dep[h
5 F. Total
Footprint S.F.
APPROVALS
As5e55ments
Water/Sewer
Police
Fire
Engr.
Planner
Council
I hereby acknowledge that I have read this applicatlon and state Bldg. Otf.
thattheinformationiscorrectandagreetocomplywithallepplicabfe I APC
State of Minnesota Statutes id City of Ea n O? i ances. variance
Signature of Permitte
A Building Permit is issued to: ROBE PALMER
alf work shall be done in accordance with all applicatrle?S?tatot Min
Building Dfficial
FEES
_ Permit
_ Surcharge
_ Plan Review
_ SAC, City
_ SAGMWCC
_ WaterConn.
_ Water Meter
_ Road Unit
_ Treatment Pt
_ Parks
Copies
TOTAL
$20.50
.50
on the express condition that
Statutes and Ciry of Eagan Ordinances
I
,
._? . 3S3
?
1987 BDILDIHIG PER[4CT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLDDB 2 SETS OF PLANS, 3 CERTIFICATSS OF SORVEY, 1 SST OF ENEEGY CALWLAYIOHS
HOTE: ADDRBSSES FOR C08HSR LOTS - C09TRACTOR/HOMEOWNER MIIST DESIGHAYB AHICH 9DDRESS
IS DfiSIRED. NO CHANGES WILL BS ALIAWSD ONCE BDILDING PERMIT IS ISSIISD.
MQLTIPLE DiiiELLIPGS _ pgSIDENYIAL RSNTAL i1NIT5 FOR SALE i11NIYS
INCLUDE 2 SETS OF PLANS, CERTIFICAYE OF SIIRVEY - CHECB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS -
t
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANASCAPE BOND
To Be Used For: ?,? ,•,? Valuation: 5qRgRW? Date:
Site Address
Lot Slock ?
Parcel/Sub
Owner 11(0?Q e r S'?, ? vyE/i/
Address IS 7ef e C'(ernc-?).t1 p('e-
City/Zip Code + 6l h7/J SS°/a a.
`?
Phone 3y-q-
Contractor ???? PALCA-
Address ) ?
City/Zip Code ?,.t ,eJ ? •
Phone ?1-75W S 5 y
OFFICE QSE ONLY
On Site Sewage Oceupancy
MWCC System Zoning
?
On Site Well Type of Const
City Water _ (Aetual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPEOYALS FEBS
Assessments Permit ZD. ?
Water/Sewer Surcharge , So
Police Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
Council Water Meter
Bldg Off Road Unit
APC Treatment P1
Variance Parks
Copies -
TOTAL
Arch./Engr.
Address
City/Zip Code
Phone #
• ;..
BUILDING PERMIT
To be used for DECK
Est. Value $1, 000
SiteAddress 1574B CLEMSON DR
Lot 34 Block 1 Sec/Sub. THOMAS LK HTS 2NL
Parcel No.
3lName HOLGER R HANSEN ?
? Address SAME
0 CityPhone 452-6384
Name ROBERT PALMER
0
? Q Address 8507 IRARD AVE $O
? IC!ty BLM(;TN Phone 881-7500
a
w Name_
z Address
a
w City_
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 City of Eagan Ord'nances.
Signature of Permittee
A Building Permit is issued to: ROBEiY ' PALMER
all work shall be done in accordance with all applicable Seai?bf_I
Building Official
on the express conditlon that
and City of Eagan Ordinance&
CITY OF EAGAN
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PH ON E: 454-8100
N_ 13530
Receipt# ?7' ?Gr
Date APRIL 30 J19 87
OFFICE USE ONLV
On Site Sewage _ Occuoancy
MWCCSystem Zoning
On Site Well _ Type of Const
Cdy Water _ (ACtual}
(Allowable)
a o( Stories
Langth
Depth
S.F. Total
Faotprint SF.
APPROVALS FEES
Assessments . Permit $20.50
Water/Sewer _ Surcharge _ Sn
Police Plan Review
Fire SAC,City
Engr SAC,MWCC
Planner _ WaterConn
Council _ Water Meter
Bldg. Off. _ Road lJnit
APC _ Treatment P1
Variance _ Parks
Copies
707AL 21.00
.
Cfeo.
HEAT LOSS CALCULATIONS HEATINGBAIR
Smryu""
CONDITIONING CO.
?MA4 v?a?t!4?
Na
MINNEAPOIIS. MINN.
Weathar5trip5 A.S.H.V.E. COn6tructipn NO. . Insulation
Windows
_ Doors ReterGuida
ance Out. Wall Int. Wall Ceilinp Fbof Floor Kirxl Now Applied
Yes-No Yes-No 19_
_rRown Langth 'j Wid[h H9ipht
71 Y,
l FI. Mqs? &_pROan Length 0 -W#dH+ 'it, Height
Yli ndows a nd Doors- Cracka ge and Are a Windows an d Doors- Cracka ge and Are a
No. 'n
o? ane He?aht
oana
a? No. ol
h hu l eal i[.
of
c
rack A?ea
sp. ft. ?`
NO' W?dh
of eine Naiphl
af ane No. of
h hte Uneel h.
ol oack .4rea
sa• ??.
f
1 ?
+
G n Z. t
1 =;- . R °? 1 S'?
?, L~ 4 V l I C1 R?
Coei Btu Coet Btu
Infiltretlon 1 'b Infiltretion 2 ? J •? ?.t ?5 _
Glass 2q Glaee
Exp. wal I .? ? '!t, . ExP. well IO Y,
Net exp. wall Net exp. wall $ ?• ? -??' !?
-ii1[-?A,}} ppr 1 l17 2],2 Int.wall
Ceiling 'd,_.'_-_X Ib Ce7ling
Floot Flaor
TotalBtu. TatalBtu.
Required sq. 1t. E.D.R, or sq. ins. W.A. Leader area Required sq. it. E.D.R. or sq. ins. W.A. Leader area
Fl, Roan LenBth ? Width Heipht FI. ? Z+411?,4? Length ( 5 WiMh tCx Haiyht
Ydindows and Doors-Crackage and Area + Wi ndows a nd Doors- Cracka ge and Ar ea
?
No. Widln
ol ane He?qh?
ol ann No. al
b hts l?neal N.
of cr c4 Anea
SU• fi• ??3 ?
NO' W?drh
af ane H??qht
M nnb Na. ui
h hte L??eal h.
o} crack Area
8q. }t•
2-
Coef 9tu Coaf 8tu _
In}iltr3uon 224() InfiltraLOn Z) iA _lj?l
..GId55
SO ?j
,(?jdC?
/C
G1886 c•
Exp. wal I 71 aL
N9t Bxp. wall
A ExD. wall
Net exp. we[I
Int. wall Int. wall
Ceilin9 p
Cei1?nQ c
TJ
Floor Flpor 6t?? j J?_)
Totel Btu. S Tolal Btu.?.r -?? 3_?l r
Required sq. ft. E.O.R. or sq. inS. W.A. Lead@r area Requved eq. ft. E.D.R. ar sq. ins. W.A. Leeder area
E FI. 4'zt ?? Room Length Width ? Height ? FI. Room length , Width i HeiBht ik
Windows and Doors-Crackage and Area W indows and Doors -Crack age and Ar ea
Na W?tltn
of ane Meiqht
oi oTne No, of
h hts L-neal fL
of crack A•ea
sq. N. ,
Na Wi?iN
ol ene Ib:?qlit
u? a?e Nn. M
li hts LmeBl 11.
al crack ?Are
lt.
Coef 8tu Caef Btu _
Inliltration InliltrAtion
Glass Glass _
Exp. wall Exp. wnll
Net exp. wall Net exp. wall
Int. wall Int. well
Cetbng i,`?-. Ceiling
floor ' -Floor ?e?f
Tptal 8tu. Total Btu. 'i
Aequired sq. ft. E.O.R. or sq. ins. W.A. Leeder area `0 AOpuired aq. ft. E.D.R. or 5q.,ins. W.A. Laeder area
HEAT LOSS CALCUTATIONS
H EATING 8 AIR
sf ""
CONDITIONING CO.
MINNEAPOLIS, MINN.
Weatherstrips A.S.H.V,E. Canstructlpn No. . Insulation
Windows Oows Guide
Reference Out. Wall Int. Well Cailing Roo( Floor How Applied
Yes-No Yes-No 19 _ 7
Room Length JQ Width Height FI. Room Width Heipht _
Length
Windows and Doors-Crackage and Area Windows a nd Doots- Cracka ge and Are a
Nu. N',hih
o? a?u Me?pht
ol pa?e No. ol
ii h?s L?neel it.
ol
c
rack Area
ea
.
??•
N?'
of ane Ne?Ohl
o1 ane Nn. ol
li hts l?neal It.
of crack Area
*o• ??•
r
? t
_
Coef Btu Coef Btu
Infiltrohon 7tyQ Infiltretion
Glass
cio
Glesa
Exp. wall 7?. Exp. wall
Net exp. wall 2 Q Net ezp. wall
Int. wall Int. well
Ceiling Cailinp
floor at) ?C (,Q1 Floor
Total Btu. Tolol 8tu.
Required sq. ft. E.D.H. or sq. ins. W.A. Leader area Required eq, ft. E.D.R. or aq. ins. W.A. Leader area
FI, Ropm Length -I-)- Width 1 ' Height FI. Ropn Length Width Height
Windows and Doors-Crackage and Area { Wi ndows a nd Doors- Cracka ge and Ar ea
No. W?drn
ol ane MaipM
al ane Na, ol
?i hia L,nenl li,
af crack Aren
ep. ft.
N?• Wi??h
ol on H???ahl
nl nnu No. ul
li hie l."eal /1.
ol creek Aree
4V? ??
r 9 .2
as ?Z
Coef Btu Coel Btu
Infiltrelion 1 (17 2223 Infiltrehon
Glass Q QQ? Glass _
Exp. wall Exp. wall
Net exp. wall X92 4.1 11 Net exp. wall
Int. Well
Ceiling Ceilinp
Floor 1 1-J; I} 42 ? ? Floor
Total Btu. Total Btu.
Reyuired sq. 1[. E.D.R. or sq. ins. W.A. Leader area Required 6V. ft. E.D.R. or sq. ins. W.A. Leade? area
.,FI.= •: !.r,,-. ?L'9A?+ Lenglh 1 Width Height FI. Room Length Width Height
Windows and Doors-Crackage and Area W indows a nd Doors -Crack age and Ar ea
N??. W,yn
i ane He.q??
of oane No. oi
h Ms ?ineul ft.
ol crack A•ea N,. W?Oib
uf ane Hr? iOht
ul nne Nn. n?
?? Ms Lneal N.
ot crack ?ea
s0• fi•
I
Coe! Btu Coef Btu
Infihrahon
Glass Gass _
Exp. wall Exp. wnll
Nat exp. wall 7?Ctj S? qJ 2? Net exp. wall .
Int. wall Int. well _
Ceil-ng Ceiling
Floor %-.?[ ? ( •S G
p? Floor
Total Btu. Total Btu.
Required sq. IL E.D.R. or sq. ins. W.A. leader area
cl 6V. ft. E.D.R. or sq. jns. W.A, leader area
Roquire
4425
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQIIESTED, SUT NOT PZCKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
POTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
??? ?r? q Z GeJ f 7kp
To Be Used For: Va luationALU V0 Da te: ( 7
Site Address OFFICE USE ONLY
Loc S5 alock
Parcel/Sub ?/?
Owne ?llYY1 l',?.1/V)l/Yyl,l M a
Address
City/Zip Code&c(?yU ??D Phone S ?
Contractor
Address Zkgp t{/ . f-{ (,[tlii ? 3
City/Zip Code
Phone ft +6 7S?
Arch./Engr.
Address
City/Zip Code
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFIGATIONS
1 SET OF ENERGY CALCS
FEES
Bldg. Permit
Surcharge
P1an Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit"
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
•s a
?
Planner
Council
Bldg. Off
Variance
Phone #
CITY OF EAGAN
3830 PIIAT 1CNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: 7 /D 9/
R£SSAZ?T?'IFX::: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
.:..., . .. . ...... .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ tJ? -, -?-` -----------------------------------
WORK DESCRIPTION 11 'r?J?T4v_ FEES
NEW CONST ?
ADD ON
REPAIR _
I
OWNER NAME: O-d I`0 f ?. IIll n k ?
SITE ADDRESS: /.s 71' L%/'??O// Jl /"•
LQT: 93 BIACK ? SUBD,
? . . .
INSTALLER:
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
TOTAL:
DWELLINGS &
$15.00
24.00
6.00
3.00
$z-
.50
S?
$?
ADDRESS
CITY
PHONE #: '?5? r ?6 6 / e
s?y?a 7
SIGNATURE DF PERMITTEE
p
?----
?040=Fl.L141'IDpSTRTA7:; PLEASE COMPLETE THIS PORTZON FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWhIER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SIJRCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
CITY OF EAGAN
41Cd 14 • ' , CITY-USE ONLY
I PERMIT #: [ D"' 6 D RECEIPT DATE:
2002 RESIDEPTIlkL MECHARIClkL PM1T FcPPLICATION
crrY og EAsa?x
3830 Pv.or xxoa gn
Ea?sMauu 58t fs
651-6$1-9675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 1- R -D 9--
SITE ADDRESS: I Cl ~I C! P mS!} /] Q l^
OWNER NAME: N L rn e 4Ct. "ber ? TELEPHONE #: ?_46k- 6717
INSTALLERNAME: HE>T1NG&AIRCONDITIONIVGCO.
8910 Wentworth Avenue South
STREETADDRESS: Mhe8poI8^MN 55420
ciTY:
TELEPHONE #:
STATE:
ZIP:
Place a check mark next to the permit work type
f Add-on, modification or alteration to existin dwelling unit $ 30.00
• furnace replacement ?
• air exchanger
• air conditioner 1/
. other ?? (07ooZ
Nature of work: ? D X `yD BO d ?
J o?
State Surchar e $ .50
$?Q
ToWI
SIGNATURE OF PERMITTEE V
1/02
? ? •
2/84
CITY Or EAGAN
i
APn
.LICATIQ.T FOR PERMIT
SELJER AND/OR WATER CONNECTI023
1)
PROPER'I"t ADDRESS: (PLEASL, PBINi)
r FraI. DEScRI.DTIGN: Z-77'w"'77
(Lot/Block/Su:,di.vision or Tati Parcei I.D. Ni..?oer
TC 'Wt1:??Aa SIMMTL.' ? DAM Oc OtZT.CiY1Ais LU?==Ci T$j?r,%=:
t • ??
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? R-2 Li7PLr.: ('i':O Ll=)
. M eT-3 TCxv1iIIMiSE ('!'= + L'J1Z:5) ( Wi 1"_'S) •
LT F.-4 Fa2' ez.tZ..M.T/CC"_'=C"w'iT7ZTti1 ( CPII -M)
p CQ%n1E.?CLAi./RE:.`-,IE?CFs'IC
p M17L'SIZIAL
0 ?'STI:LTIOJLAL/G+"«:`:TM'\T
Z) APPT.,SC.`v'T ? (PLEA5E PRtNi)
ADaREss • o /
c=z, sMzr, zIP: .
? PHONe• - aa- 3 -7 !t--o = -- . -
3) PL(,',•IBE3 N
FV?: ?P? ? r FOR CITY USE ONLT
? Pt!1!!8ER5 CENSE:
, AI]i]RE55: / 02 Aeti
CITY. SR^TE, ZIP: i E ired
??= ? r.
??3S? PtUHBEA LFLENSE M ? ??j?/?J Ot O QOCOPd
'
arr ntua
4) OCY.'C?F4?1T/CSv1`IER NAMr`.:
ADDRESS:
CZTY, SATE, ZI?:
PFONE:
(PIEASE PRINI)
5) IIVDIC:TE 'MICH PERhLIT IS BEII? RDQUESTL•D: '
? CC,4NEC.TION M CITY SE4iER
? CO:.^7ElGTIO:t M CITY S'iATE:t •
? (Mi MR (PL.['r'1SE DESCFLIEE) 6) INDICN::. C:s.: •
. ? P*.: ME F?OID APPPAVm Pg;,M.IT M}R PICN-L? BY C+IE OF A&CAlE
.[? PIE-,Sc" :SaIi, APPRWfD PEPS1IT T'J i. 210 4 AE(7V'E
_ (Ci-c2e one)
.
7) SICATL'Rc,:
i ?i7 •
DATE: ? ?? ?S? `
^?ifwdY:Ra?r??r?arsE??s?.ra?srrn.o?ra+r?sssar.a.:?,?.er.es.+?.nrss??.?re?.a?'^~??s+r r
F O R C I T Y U S E O N L Y Pc°MIT °- rSSUED
I
?
//?• L o nv a r,•-^+^ ? ?c-?
s?::s.. ?.w._?rm (i_rr_ ...... ?u?_..I..CL)
$ /(J- SJ WATEc2 PERPtI: (IPICL'uDc SliRC::AZG'c)
5 6-3 WATER METER/COPPERHORTI/OUTSIDE REi,DER
$ ' WATER TAP (INCLUDE CORPORAT20:1 STOP)
S S:.:vER TA?
$
$ ACCOUDIT DEPOSIT - L•JATE?2
$ WAC
S S.t f"i c, $AC '
S TRGNK «ATER ASSESS:TW +T -
S TRL;NK SSWER iSSESS:?E:iT
$ LATERAL BE:7EFIT/TP.U:IK Sr.:• .TE8
S 7.a;ERAL BENEFIT/TRUNK SJATEa
U' WATER TREATMENT PLANT SURCEiARG£
$ ? OTfIER:
$ TOTAL
5
• $
. ?/? AN'.OL'\T PAID/RECEI?T
7
-^--?
DOES UTILITY CON:IECTION REQUIP.E EXCAVATION IN PUSLZC RIGiIT OF WAY?
YES IF YES, THEN n"PERMIT FOR :JORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY TY.E
Q NO ENGINEERING DIVISZON. LIST AS A CONDI-
TION.
SUE.IECT TO THE FOLLOWID7G CONDITIONS:
APPROVED BY:
,
TI:LE: '
DATE:
G
24*?w ow" wMar
h
! ' .
1
1; I
`
2/84
CITY OF EAGAN
?
ll?lt APPLICATION FOR PE&MIT
SEL•IER AND/OR WATER CON[VECTION
(PLEASE PRINT)
1) PROPEf2TY ADDRE55= C-??VYrY)lrl 4.? ?
LMAr. DESCRII'TrCv:
(Loc/Block/Subctivisicn or Tax Parcel I.D. Numzer)
' 17 W:I?=:G S?'P.L'CTIME. DAT:; Oc Ot2T_Gl^.L?L 'r.iiIL7I::G :.-=%:I: ISSU'r%
Cr:
P°Es= ?^:TI::?:/???OPOS? LS: O R-1 Si:GL: :Rti1SLY
0 R-2 DUPL--{ (TN'0 U,IZTS)
0 i2-3 'IY'%,.,?YCiJSE (?T?D= + L"IITS) ( Wi I"_'°)
o r-a wz_sl
p ca- r=' cT-%L /?zL, / oF F zcz
? 11\McsTRL:?L
Q LNSTI:LTIONAL/GGVEF?:)M?'T
Z) ppar,i (PLEASc PRIYO
Nr'1i•IE: L) I I/ )V I zon -mmff-?'
ADDRESS: ' D
crrY, sraTE, zrP:
PHOM.:
3) pj,t,^,.mm
N11NLF: (PLEASE PRINT) FOR CITY USEA4LY
ADDRESS: LU!!BERS .85 :
Active
CITY, STATE. ZIP: 4 E' ed
1 - I?????
PHO?IE: '??j?j ZSZI PLUNBER LFCENSE N of R ord
a r n ra
?
qJ (X,C'L'pj.1N'j`/C1N1,*ER (YLtASt F'H1Ni)
t`771P'IE:
ADDF2FS5:
CITY, STATE, ZIP:
PFiO^IE:
5) INDIGTE SVfiICH PERbLLT IS BEZNG RfDOUESTID:
? COJINF.CTIOV 'In CITY SEVIER
? COiv'NEC.TIG:I 'Ib CZTY SVATL'ft
? CI'i'IUM (PLLIISE DFSCRZBE)
6) L`:DZG,.:; C.+E:
? PM-,SE f?OID APPROVID PER?LIT FOR PICF:-G'P BY ONE OF AS('VE
?°I.F1,Sc ti*P.IL APPRWID PEPMiT T`J 1, 2. 03 4 ABOVE
? (Circle one)
7) SIa'ATL'r'it^:
DazE: 9 2-€s
?
M4 RqiiW/YJO! i!!!l:Oif?! tllttai?? ? if ??i?i:?a? a!!!!l1?O?.? s f? l?iYFRigY ?
FOR C I T Y U 5 E ON;,Y
PE2.NIT " ISSUED
rc?5: $_
ia
$ Jo- So
$ (P??6JO
$
S
$
J??o
$
e o
$
ti u ?i. «?
$ 51? Uo
S
S
$
$
$ % ,i7 , oo
$
$
$ '?? SU
SP...'iL.°. PF.3t1T_"_' IINCT,,,.iL
waTER pE:zrt?m (zrrCiUDE suRcxaRcs)
WATER METER/COPPERHORN/OUTSID: R:i,DER
WATER TAP (INCLCDE CORPORATIOV S^_OP)
5°:vER TA?
_ _?c?::_ __:C•s?_ - .;_.._?
ACCOliNT DEPOSIT - S•]ATr3
wac
SAC
TRliVK WAT°R ASScSS:?E:;T
TRliN:C SEWER :.SSESS',?E^iT
Le=.;ER?L BEivEFIT/TRU:IK SE:dER
LATERr1L BEVEFIT/TRU:?K ?QATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
AM0L':IT PAIDjREC°7 ?T n ? 6-
DOES UTILZTY CONNEC:ION REQUIRE EXCaVATION IN PUBLZC RIGHT OF SVAY?
? YES IF YES, THE:I A"PERPIIT FOR 'AOR?C WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVZSIO[V. LIST AS A CONDI-
TION.
SiJEJECT TO TFiE FOLLOSqING CONDITIONS:
APPROVED BY:
TI:LE:
DAT° :
ffiftaa owl= Mma w?m Ncm ne
iA
? ?.. .
, ? .
2/aa
crrx or sacaN
APPLICATION FOR PEPMIT
IRn
SEWER AND/OR WATER CONNECTIOAT
(PLEASE PRINT)
1) PP.O?= ADDRE55: ?.S
LMiaL DESC_?Px=c:r:
(LOt/Bloclc/Suisicn or Tati ?arcei I.D. N%Zr,?er1
IE' rtZ`=i. STOd:LTURE, DAT' OF 0c2T_GMAi, w'Ti.lll.`:G
P?=SL:?' =mvr;/??DPOSM- L'S': 0 R-1 S'LNCZ : bA?*SLY _
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p ca?^?.cz3s,r:-??cTi?
? ?'??
p ?TT?LTIC:L?L/GvVE??TM'?T _--
2) A??T.,IG.`v'T (PLEASE PRINf)
NAh1E:
ADD.4ESS:
CTI"l, STaaTE, ZIP: .
PHME= _ _330 0 =
_
c -
3) piZ,,;MEP. (P?E N 1 fOR CITY ItSE ONLY
NFVME:
PDDRESS: PLII!!8EN5 ICEASE: ? `
Aeti
' CITY, STATE. ZIP: E ared
X?cr.
?? ?S oZ IIMBEP LFCENSE H ?
- : PL
?
t 0 RltOe'd
'
' arr mtia
4) OCC'(1?AmT/G?dP1ER (PLEASE PRINf)
ADDRE5.5:
CITY, STATE, ZIP•
Ph'MIE:
5) IIVDIQNTE :9HICH PERh1IT IS BEIhr, RDQIJESTL•U: '
?* ?Q,.'^..?IEGTION Zl7 CITY SEY]ER
U-d..'^?1E7CTIC:I TO CITY mTE.R
• ? (PiTMR (PLPASE DFSCftIBE)
'
6) =IC,:?. C::c.: '
. ? P*.EASE EAID e1PPPSNID PER+tIT FOR PZCK-IIP BY Q:IE OF r1SCS'£
•O-PLE-!?,Sc: '•= APPT.tOVID PM_•lIT M I.. 2. Q 4 AFA47E
?) (Cir-cle one)
SICwLCr?t: DATE•
? L41e,
I
..•
NR ia6MRawrr,is? wr q?.?:aaea. ar ? ?e o:sa ? r s ?ssaca.:s a..e rre?.r?..?y..? ?r r re ?a'??ec?r
F O R C I T Y U S E O N L Y •
PER.MIT °- ISSUED
I
FEES: $-
S . .
$
$ .S u c. . e.-?)
S S e2 ?. G L
$
$
S
$
S /3k, ° J .
$ ---
$
SEC•:E.°. P°R??T_T (I`TC_T_.::i : SU?.^_;inRGE)
WATER PET.2PtIT (ZPICL'uDE Sli?CFiA2Gc.)
WATER DIETER/COPPE3AORN/OUTSI'J: REi,DER
WATER TAP (INCLUDE CORPORATIOV STOP)
SE:SER TA?
ACCOUDIT DFPnSIT - WATER
wac
SAC
TRliNK WATER ASSBSS:±-^.+T
TRliJI:C SELdER ASS :SS:?E:iT
L`nTERAL SE:IEFIT/T.°.U:IK S£:• TEA
LA:ERez.L BENEFIT/TRUNK WATER
WATER TREATMEIQT PLANT SURCHARGE
OTHER:
TOTF,I.
AMOL'\T PAID/RECEI?T
DOES UTILITY C0N:1ECTION REQUZRE EXC?.VATION IN PUELIC RIGHT OF WAY?
?. YES IF YES, TIIEN n"PERMIT FOR *AORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
F__] NO ENGINEERIDIG DIV:SION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOWING CONDITIONS: •
..
..
APPROVED BY: •
TI:LE: °
DAT° :
w fs? ?.s w a i+ ?rr? rc ???+? w_a? w? w+?? wr? ?r.+ ?t+ w ?win ??s? ?+ rr ? s? ?ir w±? rrt? r? sw ? r.
y • .
CITY Ot EAGAI3 2/84
'lUu APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIOri
(PLEASE PHt )
1) PP.O°ERr!' ADDRESS:
r FraI. DES"C4I?TICJ1:
(Ipt/Hlock/Subcr.tv icn or Ta Parcel I.D. Numer ?-??-
IF ^:ii=.i, S2'O,L'CTJ:tE, I klTEE OF OcZTGiAL uiI'i.DL`:G
,
. --
P?m'L`:!' :f`h7rix:/PRpP0SJ L'S: O cZ-1 SiCGLr'. :;L+1I.Y .
Cl R-2 L'LTPL.?; (?:•D L^7I:S)
. );?'R-3 TCta'SE ('I':= + LTTI:S) f Wi I?'S1 -
p iZ-4 APAiF='c`:?'/C==C'i•+i^71Twi ( OVZ J)
Q ?§?fE.°.CL?I./RE??.:I?Cr? I?
O '?mL'Smm
Q =1:S,TI0.\AI./G'iGEr2-TM'`T
2) A??LIC=:7P LEASi PRINf j
1?•?:
ACDRESS:
CZ'1"=, SMTB, ZIP: • - 4)
f PHO??IE:
3) PUmEp. ?? (PLEASE PR1Ni)
C?J FON CITY USE OYLY
- G ,
PLqMBE
ADDRESS: ?
e,
CITY, ST11TE, ZIP: L
pH?: PLUneER LFCENSE N a
' 4) OCLI,"'PPiYf/C!9P..TF'2t NF1M$: (PLEASE PRtNi)
ADDREM:
CITY, STATE, ZLp:
PE?`IE:
5) IIVDIG',TE :IEiICH PERririLiT IS BEI[G RDQiJES'ISD:
Q-'C.'^VF_CfIO,N 'IC) CITY SESdER
Q-'CO\:VDGTIC:I 2t7 CITY wATE.T2
• ? 0+'.ER (PLGISE DESCftIBE)
6) riUZM.::. C::c: •
. ? PL-ZE F'AID APPFAVII? PER%IIT £OR PIC3:-LP BY O.?TE OF tIEM'E
[`IE=Sc :AiI. APPROVm PEF.•tIT TJ 1. 2S4 ABOVE
? (Circle one) f
7? st?a?.'?.: .. naz?:
E
,
•,D! R?I.iMl?ss!/ i s?e??ac/O a? I.tlleoirar r s si?aca?:?a at f?lt4}?rifsflr fr f? rt?ffi?`M1_F+?r
F O R C I T Y U S E O N L Y
PEPJtIT '= ISSUED
I
FEES : $ /U. J?
$ ?d ?U
$ . .
$
S
$
$
S
$
S
$ `ILI?
S^...:'iLD nori (I_`ICI.::a^.E SU?C: iRvc)
SJATEi2 PEWt2: (=plCiuDE SURC H'va2Gi.)
W?,TER MET£R/COPPERHORN/OUTSIDv- RE:,DER
WATER TAP (INCLUDE CORPORATIOV STOP)
S::vER TAP
ACCOU:ST DEPOSIT - S7ATER
wac
SaC
TRUVK WATER ASSESS:Ir iT
TRliN:C SES+IER ASSESS:IE:iT
L`nTEP,AL BE:iEFIT/TnU:1K SET.:TEFt
L1:E:tAL BENEFIT/.TRU::K jJAT°_R
WATER TREATMEAT PLAI3T SL'RCHARGE
OTHER: - ° TOT? L
A?OL'::T PAID/RECEIPT
DOES UTILITY CON:IECTION REQUIR£ EXCaVATION IN PUSLIC RIGHT OF WAY?
? YES IF YES, THEN n"PERMIT FOR *AORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
Q NO ENGINEERING OIV:SION. LIST AS A CONDI-
TION.
SliEJECT TO THE FOLLOSJIDJG CONDZTIONS: ••
APPROVED BY:
TI:LE: '
DATE:
- ?
w ??i+ ?.? w ?. i? .?? r.c? r?t ?.r ?c.? w ? rr +?-?rt w? ?t.? ut?s r? ?.? wf? nt.? nt ? sa ?.i? ?e+? ?? wa ?.r ? ..
n
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
---------------,
; ur off,? i
I Permd #: 7'I 7 ?
I
? Permit Fee: I
I ?
? Date Received: ?
I ?
? Staff:
-----------------?
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Hq-Q I Site
Tenani:
ITL
1,5Zb CLFAIfa,u U/ 2 F.96#0 M,u Md)-
Suite ti:
6
5-1-U' ` o-37
z
k
v'v \ QE
L3 C W
RESIDENT I OWNER -
Phone:
Name:
1 T
?A
=,, 4
Address / City ! Zip:
L
(W I CIO ' w
WFT
l
Ef
?
?
Nl
CONTRACTOR ,
I
l License #:
TUN
Name:c
•
.
,t
Address: KJ r aFdm f?" Ai(J /`"7yf?
City: W ES 5 1 ??(r State: /AZip: 5??Il6
Phone: ContactPerson: 16E L.IV1A160z'V11
TYPE OF WORK _ New ? Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tlon of work:
PERMIT TYPE RESIDENTIAL
_ Water Heater ? Water Softener
Lawn Irrigation Add Plumbing FiMures
(_ RPZ /_ PUB) (___ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as 6uilt) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowtedge that this information is complete and accurate; that the work will be in conformance wi[h the ordinances and codes of the City of
Eagan; that I understand this is not a permi[, but only an appliCation for a permit, and t to start ' hout a permit that the work will be in
accordance with the approved plan in the case of work which requires a review and appr al of plan .
X
x
AppllcanCs Printed Name A cant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Final
MEN
110 ■
r /0
f /
•
Apr 04 2013 11:43AM HP LASERJET FAXBAC CONST
4011111° Cal of
3830 Pilot Knob Road
Eagan MN Bain
norm Mei) 87e.5676
Fax: (651) 075-6654
6127223447
U.. BLU
page 5
or BLACK Ink
For Oflloe Use
Penult x: __
PermN Fat,:
Dale Received:
staff: -
2013 COMMERCIAL BUILDING PERMIT APPLICATION
r Otte Address: / S7.v - 15-'74 C I 'e Il'1 S O Ni___� I
Data: L � w
;etc .t1MkM�l (Torment h: -- New 1 X_ Existing) Suits*: -------
Tenant Nam,.
Name:
Former Tefunt:
Phone:
Address / City I Zip:
leant*:
Owner Contractor
1
'V yl /'..: 4h '� �Iair, III �� ..
', 11911 1,11, P 11 Ilrl^i�8�l811611I191�
Construction Coal:
i I IIIc V hl 1 it I I:�11
lr ir 11 . nd utility damage.
fdbct'aQa►inat.undaau tY
r r 1'1° r 111 0102'07 twelve Iocutes of underpaid Ud11tl1ee
I herebythat *Is :1f'tokrnadorr is complete and =watt,: Met the worts will be in conformance with the otdironcee end
codas' of thr ..I ; that: l und.mtsr%d'file Is' nota perrnit, but only an appliosllon for s permit end work 1a not to start without a
permit that the k WM be in accordance with the approved planIn the baso of work 411, requires a i.aiew and epprovaf of plans,
Prh tad Nam. Applicant's 13 tura
Appiicsnf$
Email:
r drr,,..J V..-. `t11 d 1vJrr fPngrl'"JA EImiN1 r tJ11Fw°•lb ii r.ruA'1 J4•'w" RIN.'4Ai�;.
I: e`r h i1Jgtr 'i I.I6I
Iu11 Rki
.
iq ,r•r
Page 1 of 3
Apr 04 2013 11:44AM HP LASERJET FAXBAC CONST 6127223447 page 6
DUB TYPE%
Foundation
Commercial / Industrial
Apartments
Miscellaneous,
WORK TYPI,
New
Addition
Alteration
Replica
Salon Owner Change
c-
-)c -
DO
-Icy
DO NOT WRITE BELOW THIS LINE y �L ( l l
_ Public Facility
_ Accessory Building
Greenhouse / Tont
Antennae
Interior IrnproVsment
Exterior Improvement
Repair
Water Damage
Extortor Alteration -Apartments
Exterior Alteration -Commercial
Exterior Alteration -Public Facility
_ Siding
Reroof
Windows
Fire Repair
RESORPTION
Valuation Occupancy
Pian Review Code edition
100%__) Zoning
Census Code Stories
S of Unita Square Feet
# of Buildings Length
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Dsok)
Footings (Addition)
Foundetion
Drain Tile
Roof: Decking __Insulation __Ice & Water .rFinal
Framing
Fireplace: _Rough In At Test __Final
Insulation
Meter Size:
_ Demolish Building"
Demolish lntoror
Demolish Foundation
Retaining WaII
*Demolition of entire building - give PCA handout to applicant
MOBS Byetem
SAC Unite
City Water
Booster Pump
PRV
Fire Sprinklers
Shaetrock
Final 1 C.O. Required
Final 1 No C.O. Required
Other:
Pool: ._Footings _Air/Gas Tests _Fine'
Siding: __Stucco Lath __Stone Lath _Brick
WlndoWS
Retaining Well
Erosion Control
Final CIO Inspection: Sc ,°dui . Fire Marshal to be present: ___Yea No
Reviewed By:
COMMERCIAL F'EES
Base Fee.
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Suroharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
BuIlding Inspector Reviewed By:
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
SeWer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other: _�_--------
TOTAL
Planning
Page 2 of 3
Apr 04 2013 11:42AM HP LASERJET FAXBAC CONST 6127223447
PSAL
CONSTRUCTION SERVICES
• Banner Roofing • Award EXtarlore • Champion Chimney •
3032 MInnOhaha Ave. S., Minneapolis, MN 56400
Phone 612-721-5500 t=ax 612-7a2-3447 Www.baGns.net
Y� fi--w
page 2
WWW �j��1I��III'���{�' f •""�t9pi1.�1 1 � 1�!
_.•V�.j I �. X 91 : i Y III row, III��N� 1 �fK'�i i n'Ntl' .;,;
Horizon Mills Tow ubotine Association
Various Addresses
Ea an, MN.
404
h:
CO: 'bailey Enterprises
1775 Selby Avenue
St, Paul, MN 55104
REMOVAL OF EXISTING ROOFING & REROOFING OF ENTIRE BUILDINGS * N 1D0044805
CLEMSON DRR,,
#261574.1576.CLEMSON DR, #321342 1544
material down to the roof deck, clean up alt debris, ondb1auawaye. When r from
the
obits.
1. Remove existing roofingand using plywood and tarps as much f the house.
g the
Protect the building and rlandscaping Aster will be put in close proximity
debris from the existing roof a dump
as needed to allow insulation contractors access to the ni . r Note- quare This of
2. Remove roof sheathing rice at a rat• o $ pe
work will be peerformed over end abDve the contract p
3. Install new pre -painted, gutter apron or drip edge on all lower edges.
4. Install GAF W
eatherwatch •` nderiayment 6' up root from all lower edges and 9' at upper Main buildings
only.
' wide strip of GWeatherwatch underiayment 8" up sldewalls and onto roof deck.
5. Install an 1 8' • F
atoh utideriayment 3' wide, up entire length of all valley areas and a 3'section at all
6. Install GAF Weatherw
vent penetrations.
7. Install and cover the remaining roof areas with GAF Shingle -Mate wrinkle resistant underlayment.
8. Install custom -fabricated, 24" wide, prepainted galvanized metal valley, W -sty
le.
-tarter course with self sealing strip at all eaves to ensure the seal of the first course of
9. Install a 7 self s
shingles.
10. Supply and install new GAF Tinmbertine iD Lifetime fiberglass shingles. Color
11, Install shingles with tour (4) galvanized roofing nails per shingle.
Install matching hip and ridge shingles using minimum of two (2) galvanized roofing nails.
12. In work.
13. Remove the existing siding at all sidewall location and reinstall upon completion of roofing side
a metal shingle tins course for course with shingles, at roof to wall transitions (i.e.
14. Install new 28 gau g � � � �
walls and chimneys).
Use BLUE or BLACK Ink
i
For Office l l,, q t~ o
City of Eqdll i Permit
Permit Fee: O ' oo I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 1
Phone: (651) 6754675 l i
Fax: (651) 675-M4 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION #
Date: 1 l - ! 3 Site Address:12q lI2- !3, )5-)6,1576 B C_ ;~)_t_ $ nItt`# :
Name: cam
Lr Phone: k4- '721. t d d
Resident/
Q)ffneF Address / City / Zip:
Applicant is: Owner - Contractor
Type of Work Description of work: of mQ
Construction Cost: _ -*211 d 0 Multi-Family Building: (Yes Z No }
Company: --rr)"7 T'~UG /OW Contact: 67 2__----
CdntittCtor Address: ?J _ City: minneapnltl
State: _J)2AL- Zip: Phone: 612- 72-1- wa -
License 0 b Z-- Lead Certificate
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: -_--____-_y
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions Qf
the information may be classified as non-public If you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.ooftroteonecali.org
I hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 160
days of permit issuance.
x11164 P t!51rnl x
Applicant's Printed Nam Applica e
s Signature
Page 1 of 3
APR-30-2014 13:42 FROM:UIKING EXTERIORS 651 256 1061 TO:6516755694 P.2/2
Use or BLACK Ink
r..
RECEIVED I Ferolllceuae
City of Ealan ; Permit
APR 3 0 ?R1&
1
1
3830 Pilot Knob Road 1 Permit Fee: Eagan UN 55122 I I
1
511,
Phone: (651) 675.5675 11 Date Received: I
Fax! (651) 8~5-6894
I StaIF. 1
1 I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Daft-. _ 1'S714 - 15 7 4 13
Ske Address:
Resident/ Nemo: Phone:
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work DOGMption of work: - Q`30/ g- AP-E.65
-IKE Gonsbudion Cost' Multi-Family Building: (Yo6 / No a) 'DIM
COmPany/~r tKIN IwN~uicn I t ~F,N a Contact; v G
Contractor Address- 901 V. ora✓ city: e4y. J/. /'.t c .
St3tc: N ZiP: f0 Phone /N/ Email:
~fyJM Coq ~T-O.ti/~ /~T
_ License # D 7 Lead Certificate L r S
If the project is exempt from lead certification, please explain why. (see Page 3 for additional information)
E
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUI DING
In the last 12 months, has tho City of Eagan I"ued a permit for a similar plan based on a mutter plan?
---.Yes _No If yes, date and address of master plan:
Licensed Plumber.
Phone:
Mechanical Contractor: Phone:
Sewer b Water Contraator.
NOTE. Plans and su g Phone:`
pport/n documents that you sub
the in mit are considered to be public infonnaftn. Portions of
for" "On may be Class~ as non-public ilyou provide SpecMc reasons Met would permit the City to
conclude Shat they are trade secrtats.
CALL BEF ORE YOU DIG. Ca" 1501011" you intend to d to G°pherstato One Call at (661) 44-002 for protedlon ayairat underground utility ddmna. Call 48 hmm"
b rotQive Iocwlw at undergrwnd uVides.
I hereby acknowleoge that dtis inlOrmatipn is complete and
Fagan; that I umdorytand this is not a accurm; that the work Will be in cmrontrance wim the ordmencet; and wd~ of the City ur
accordance with the permit, put only an application for a permit, and work Is not to start without a permit; that the work will be in
approved plan in the case of work which requires a review and approval or piam.
Ea1e1a'work aMorked by a building permit Issued in sccoMan
days of Permit issuance. w wMh the Mlwtesoto Soto 84Aldlnp Colo Hoot he completed within 160
tr
ADpfi 's ZPrin Nano X
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153174
Date Issued:11/28/2018
Permit Category:ePermit
Site Address: 1574 Clemson Dr
Lot:33 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10-75951-01-330
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mary T Pink
1574 Clemson Dr
St Paul MN 55122
(612) 968-9824
Mcquillan Brothers Plumbing & Heating Co
1711 East Highway 36
St. Paul MN 55109
(651) 292-0124
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160568
Date Issued:03/20/2020
Permit Category:ePermit
Site Address: 1574 Clemson Dr
Lot:33 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10-75951-01-330
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mary T Pink
1574 Clemson Dr
St Paul MN 55122
(651) 454-2457
Noah Acquisitions Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature
-
For Office Use
.TIT,--..-V,T-71.,,T) permit zr ./. 0971
_ .
APR 1 G 2020 : PerMtt Fee iq 7.6--E
, Date t'e'eort ,.,--c't
,. t • _.,,..3 "-,.:-.-71 Ft,-"..,`\N: ',IN, :"'S',it_-_-
• - ,, • , tit ,.,t7. 1 L-3-I--8535 ' Eit,X
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
iSi aTe itf/ _-‘2_, 4 _._, Site Address: 1377 C.i avy_507../ acr-ve Unit#:
,
//c1 /I/
i .
to-'' / v,,-,,, 44a:2 io
tn Phone
Resident! 2
Owner
..,... ,
.- ..„,„ i)e,‘,/z,
Type t.ir Ainrk
14-7ilt tg.^. I
Muiti-Fd-
rar!} Buticitrly
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Weyr (.0,i'vf. per,t‘T r‘,,n1 VD le ----0:44tEivona441(7 7R,Otity si „goy ir--
; Id r pss /5 7 i.4.... 6 0-10-_" __ hkee , City ,*,_1. e le_lidlet.e*Yr
Contractor
4
in t,-2y 'D,-,0-.; 437-s.)-Y1 467(21 Erna' 434‘;---Cij i'4)41- 97":1444445 ' 64'1'1'4'
,0 -7....1-:
License :,: .fR LI 4cii.1 z 2— Lead Certificate 4.
exectiot 'tort, lead certification ,..- ease Pxotan why.
hii:tatIti44"- 41 / 111-4141A41-V*04 Li - --
t-0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
'no.- -3,' ,,,.' months, has the City of Eagan issued a permit for a similar plan based on a master plan?
-;ne art aadress — 1.•-;',i.'•
LICE...11.Sev., P;iirtlbe, Phone:
—
me,r;h,orpL3 ... orivactor Phone:
-
Sovk,(• ,,; ;1\1;:.',-- ontractor Phone:
ire cii.in•c -sion Contrat;tui Phone:
___ _...,_.,m
NOTE Pigt,t.,..- arm supporting documents that you submit are considered to be public information. Portions of the information may be
ClaSSI,f4e1.1.19 riot-1-011131W if you provide specific reasons that would permit the City to conclude that theyare trade secrets.
ie...eive an electronic notification from the City of proposed ordinances by signing up for an email update on th,,C i,, -
Extei,c• wurk authorized by a budding permit issued in accordance with the Minnesota State Building Code must be completed within 1 iiei
eit issuance
ALL.SEf pRE1 ‘.-Oti LAG (.;Iopher State One Cali a i65-i 454-0002',...-uid,i-c,, ,.-ii3ainst undeicrcue-o utilitydamage Call
t.., :-.,,-. - t', • ., •-tt-tgrt.:lc 'I''t.,-
,.•'.. _ ,,'In -,.,Ele 2 -,-;,.%-r---., ----' ; ..•Aurk ,., .i In conformance with the cydt-ant_tes ti r.t •_tes
,,. , , .t.: _-_-;,- , -.,-, ._ t ) ._.e,-,--.111. t,,,,t, • ,. --' t:.r..dt,..t s- t t-e-. •• ^lrl %,--.).rk ,'- to start ,vitt out a permit !len, :hi,
/
14(14- _".
4 -tor s 7i-inted sine r
f, .•
,
x /.0iii. .... .
App cant's Signature
i
DO NOT WRITE BELOW THIS LINE ) h 7L C l C- s p dl bt,e_ , / e) 1 (/
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi X Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
XReplace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation S3,C>�c, Occupancy -riZC-I MCES System
Plan Review Code Edition ao i� SAC Units
(25%_100%_) Zoning City Water
Census Code 22/3(-1 Stories Booster Pump
#of Units ) Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction S'R Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) / Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool: Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: }./Y.6�So-, , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3