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1577 Clemson Dr1` OR SAsE TQryl.::.1}- CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BuILDING PERMIT Receipt # ? To be used for 1 OF 4 ?LEX Est Value $? Date MAY 8 , 19 `' 6 SiteAddress 1577 CLEt+ISON i)it Erect L? Occupancy A3 Lot4 ? elock 2 Sec/Sub. '1'HOMAS Lr'1.KE Remodel ? Zoning PL) Parcel No. - 1iH: iGHZ' S ?!Np Repair ? Type of Const. 1IA Addition ? No. Stories d i0I2ILU 'v HOP-1ES IE' nnove ? Length 44 a? t i , T ame Z N ? Q ?? 1? 67 Demolish ? Depth ?Z ; ° ? ? Address 420-3900 l:NLu Int. Impr. ? Sq. Ft City Phone Install ? ¢o Name APProvais rees 0 ? Address Assessment Permit ? 316.00 ~ City Phone Water & Sew. Surcharge 30•50 ?cc Police Plan Review , 158.00 F W Name C RIS.WC)LD Fire SAC 575. UO _? Address c, Eng. Wa1er Gonn. 5 ? 0.? 0 <W City Phone 435•-7524 planner WaterMeter 63.50 Gouncil Road Unit 290.00 IhesebyacknowledgethatI havereadthisapplicationandstatethatthe BIdg.Off. 5/8/86 Tr. PI. 156.001 information is correct and agree to comply with all applicable Stete of Minnesota Statutes and City of Eagan prdinances. APC Parks Signature of Permittee - - Var. Date Copies $•>? Total , 089 . OQ A Building Permit is issued to: iJEW flO3 Z ZUt3 EIOAiLS on the express condition that all work shall be done in accordance with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. 6uilding Otticial ' ? . , I I . PermR No. Permlt Hoider Dab Telsphone # Plumbfny IHM.A.C.. IfEloctric Softeeer Inspectlon Date Insp. Commenh Footings I Footlngsll FoundaUon Fnming -7-6 y[y4• I RooHey Rou9h Piby. V Rouyh Hty ? A - ? f insui. Fireplaca Finsl Hty. u. Ffnal Plbp. „ 81dy. Final Csrt.Occ. ?.? GL1 Dock Ftg. Deck Frmy. ' Well Pr. Dlsp. . - • ? ,U - ? S/U ? PERMIT # ? MECHANICAL PERMIT RECEIPT # CITY OF EAGAN J? nC' 3830 PILOT KNOB ROAD, EAGAN, MN 55121 `DATE: BLDG. TYPE WORK DESCRIPTION .r ? RB3. ? NBW ' ? Name inoi YFNIA ?,"F ` Mult Add-on - M Address Comm. Repair _ c City 545pk?644 pther ? Name _ c Address O CitY - TYPE OF WORK Forced Air Boiler Unft Heater Air Cond. Vent Gas Piping Oudets # Other ? M BTU M BTU M BTU M BTU CFM / FEE: S/C: TOTAL• 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 PERMIT # CITY OF EAt3AN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site A s Lot Block ? Name ? Addre c Ciry _ ? Name 3 Addre p City _ FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMJM - FiESIDENTIAL 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) 11 BLOG. TYPE WORK DESCRIPTION Res. > New ? Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Weter Closet - $3 00 4 . Bath Tubs - $3.00 - Lavatory - $3.00 Shower - $3.00 - Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 ? - Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 ) Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 enin s - $1 ?Rou h O 50 ' ' g . g p FEE V STATE S/C: ? J GRAND TOTAL• FOR: CITY OF EAGAN - CITY OF EAGAN . 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 :. PHONE:454-8100 BUILDING PERMIT Receipt # To be used 1or 1 UF 4 PLEX Est. Value $51 ? ?00 Date K,%y 8 19 86 Site Address 1 S% 7B CLF.MSOi1 DR Erect 0( Occupancy R3 Lot4 1 81ock 2 Sec/Sub. TH014AS LAItE Remodel ? Zoning ipn Parcel No. HEIGHTS 2ND Repair ? Typeof Const.y„ Addition ? No. Stories Name ?EW HURIZON HOMES ? Move ? Length 44 = ?QX 1367 Demolish ? Depth Z..?- o Address P.O. Int Impr. ? Sq. Ft City MPLS Phone 920-3900 Install ? o Name Approvals Fees Oi Address Assessment Permit $ 316.00 ? City Phone Water & Sew. Surcharge 30.50 Police Plan Review 15$.00 ? W N8me D. GRISWOLD FiPa SAC 575.00 = n Address Eng. Water Conn. 500• 00 <W city Pnone 435-7524 Planner WaterMeter 63.50 Council Road Unit 290.00 I hereby acknowledge that I have read this application and state thatthe gld . Off. 5 f 8/$ 6 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of 9 Minnesota Statutes and City of Eagan prdinances. APC ParkS ? - Var_ Date Copie Signature of Permittee , -'' --? ,-;- 2,09.QO Total A Building Permit is issued to: NEW fiORI9iON HOAiES 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 Official , ` -- PermN No. PernM! NoWkr Wte TM"phaw N Plumbiny 0 !J7 _ -- ? InspecUon DaM Insp. Comments Foonny. l FooBnys II Foundation Framinq Rooflny Rouyh Plbp• -?4f4 Rough Htq. c-r Inoul. flrepisee ? M Flnsl Mtp. Ffnsl Plby. v774/ Bldg. Fin.l CMt. OCC. Dock Fty. Daek Frmq. WNI Pr. Olsp. , PERMIT # PLUMBING PERMIT RECEIPT 9 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ? Site A dress ' Lot Block m Name ? Addre. c City Name -L ; I 3 Address % p City % 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 S1,000.00) BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other NO. FlXTURES TOTAL Water Closet - $3.00 S 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 ? Soitener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: -'V GRAND TOTAL• FOR: CITY OF EAGAN PERMIT # • MECHANICAL PERMR RECEIPT # (0-? L ' i 3830 PILOT K OB OAD, EAG/?N, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8700 Site A d ess ? ?' BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub ? ' New " zr) Name Mult Add-on ? Address Comm. Repair c City ?4 5 F71gOD Other Name FEES ? c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK 2 GAS OUTLETS - 1.50 EA. Forced Air U M BTU ,122 COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Ai C d M BTU STATE SURCHARGE PER PERMIT - .50 r on . (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYDN D $1,000.00) Gas Piping Outlets # ? Other FEE: • SG ?GNATURE OF PERMITTEE S/C• TOTAL• ? v FOR: CITY OF EAGAN 1.4 1 T V r GAUAIV - j 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 119?9 .` PHONE: 454-8100 BUILDING PERMIT Receipt# -? To be used for 1 UF 4PLEX Est. value $61. V09 Date ''L' ?L.' ,19 b6 Site Address 1579 CL,°..I+1SOId a7R LOt-? BIOCk 2 SBC/Sub. rrHOMAs I-AXF Parcel No. KEIGtiT5 2ND W Name NEW HORIZON HOI!?ES 3 Address p• 0. BOX 1367 ° City :,Pi,5 Phone 420-3900 Z o Name SAI`'iF o? Address 1- V y? W W ~ Z V? ¢z aW Erect ?? ?3 Occupancy Remodel ? Zoning ?j) Repair ? Type of ConstV,, Addition ? No. Stories Move ? Length dd Demolish ? Depth Int. Impr. ? Sq. Ft Install ? A pprov als Fees Assessment City Phone Water & Sew. Police Name ?- GRISWOLD Fire Address Phone I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes anq City of Eagan Ordinances. ? ? Signature of Permittee_ - ' ? ? - A Building Permit is issued to: jJEW HURI2C7+J HOF1?,'S all work shall be done in accordance with all applicable State of Minneso Planner Council Bldg. Of Permit ? 316.00 Surcharge 30.50 Plan Review 158.00 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr.PL 1:?6.00 I Var. Date I Copies ?2 , 089 . 0 0 Total on the express condition that Statutes and City of Eagan Ordinances. Building Official Pwmit No. Parml1 Holder Dab TNphons M Plumbiny D ? ?`-? f5-6- . 1 H.V.A.C. Electric b. IS, Softener Inspection Dats Insp. Commenh Footlngal ?71, B FooHnys 11 Foundatlon Framing r? ^4 RooBng 1 1 RIR*ugh Plbq. 1 7-AlW1 ,6 .A? I R04yh Hty. I ' Insul. Firsplace 41 Flnal Hty. Final Plbp. Bldg. Final Iced. Oea Dock Fty. Deck Frmy. Well Pr. Dbp. . . ' • ' ? - 09 ? /U ? PERMIT # ? ' M ECFIANICAL PERAAIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAH, MN 53121 DATE CONTRACT PRICE C.' PHONE 454•8100 Site Address BLDG TYPE WORK DESCRIPTION Lot? Blxk ? Sec/S . Res. ? New ? m Name Mult Add-on B Address XEN14 Comm. Repair c Cily M INNlFnani Wft O ther ? Name FEES 3 Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air Q LL M BTU COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - GOMM/IND FEE - 20.00 Air Cond. -'!j M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Oudets # Other FEE: - JL SIGNATURE 4F PERMITTEIE S/C: TOTAL• FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Addreis ; Lot L J Block ? Name ? Addre c Ciry _ Name ? 3 Address o City FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE - $10.Od MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) BIDG. TYPE WORK DESCRIPTION Res. ? New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 t . Bath Tubs - $3.00 ? Lavatory - $3.00 -Shower - $3.00 Kitchen Sink - $3.00 - Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 _LFloor Drains - $1.50 _?_Water Heater - $1.50 > > Whirlpool - $3.00 I Gas Piping OuUets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE SlC: ?- ? GRAND TOTAL: FOR: CITY OF EAGAN FUR 5AL]; TOt;u ?- CITY OF EAOAN . ?381ot Knob Road, P.O. Bdx 21-199, Eagan, MN 55121 : _i 9 "O PHONE: 454-81 DO BUtLD1NG PERMIT aeceiPta To be used lor 1 OF 4 PT.EX Est Value $61,000 Date i lAY 8 J ?g ?{ Site Address - Lot 44giock Parcel No. W Name NEW flQRIZON HOMB$ 3 Address P .O. FJOx 1367 ° Ciry P1'I-S Phone 420--3900 Erect OX I Occupancy R3 Remodel ? Zoning pn ? Repair ? Type of Const Va Addition ? Na. Stories Move ? Length 44 Demolish ? Depth 2:7 Int. Impr. ? Sq. Ft Install ? o Name - -qAMF= 0i Address gc ?:.., ?..--- ? W Name - 1). GxtISWOLD ? ? Address <W Ciry Phone 435-7524 _ I hereby acknowledge that i have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. . ? ,. Signature of Permittee A B'Id' Pe ' 'w HORIZON HOhLES Water & Sew. Pol ice Fire Eng. Planner Council BIdg.Off. 5$/?86 APC Var. Date Permit S 316.OU Surcharge 30.50 Plan Review?-00 SAC 575. UO Water Conn. "(8) - U 0 Water Meter b3 _ 50 Road Unit "l90 _ 00 Tr.PI. 156900 Parks Copies Total `?2,0t3g•40 ui ing rmit is issued to. on the express cond'ttlon that all work shall be done in accordance with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Building Official Pormlt No. PormR Holder Date Telephone M PlumbMp -70 H.V.A.C. ' r' •?. - ? Ekcfiic S . ISCHoner Inspectlon Date Inap. com Foodnys I Footlnysll 1 1 Founddbn 1 1 Framinq ?,? • Roollnp IRough Plbg. Rouph Hty. Insul. IFIr*plac* ,/ f.P Fioal FNp. Flnal Plby. Bldy. FMaI - ?i c • ,(/ Iced. Occ. -(J Doek Fty. Deck Frmp. Wsll Pr. Dbp. , - MECHANICAL PERMIT , • CITY OF EAGAN • ?,_?, 3830 PILOT KNOB ROAD, EAGAN, MN 55121 PERMIT # RECEIPT# DATE: Block BLDG.TYPE WORK DESCRIPTION ? Name ?o Addre; c City - ? Name c Address p City Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # ' Other ? M BTU M BTU M BTU M BTU CFM / FEE S/C: TOTAL: Mult Comm. Other New ? Add-on Repair FEES RES, HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR CONQ. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1Q/o 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) -! + 6% SIGNATURE OF PERMITTEE-----L/ "yi_.t?,l_j FQR: CITY OF EAGAN PERMIT # PLUM8ING PERMIT RECEI GTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Adr s Lot ? Block m Name ? Addre c City _ ? Name c Addre ? City ? FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/4ND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) BLDG. TYPE VHORK DESCRIPTION Res. ? Mew X, Mult Add-on Comm. Repair NO. FIXTURES TOTAL Water Closet - $3.00 - $ Bath Tubs - $3.00 Lavatory - $3.40 _ Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 ~ Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 ' SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.54 FEE - ? -- ?f STATE S/C: GRAND TOTAL• FOR: CITY OF EAGAN CITY OF EAGAN - ?^ - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt? To be used for 11,10 '. Est Value i'lvo Date ,19 Site Address ? =• : ' ? xs : L. Lot • Block ` Sec/Sub. "S . . .??i, Parcel Na s I Name ' l.i. Cl)FFEY W ?. 'l I: 2 Aa.?.ne ° 1 City Phone o Name I ?: Ii}' :" It2EPLAC;: Address ou U? City Phone r,,, t Ciry Phone I hereby ecknowledge that I have read this application and state thet the information is coRect and agree to comply wlth all appllcable 5tate of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Permlttee A Building Permit is issued to: all work shall be done in accordance with all aDnlicable State of I OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning on s+te wen _ Type of consc City Water _ {Actuaq (Allowable) * of Stories n th L g e Depth S.F. Total Footprint S.F. APPROYALS FEES Assessments _ Permit Water/Sewer _ Surcharge Police _ Plan Revlew Fire _ SAC, City Engr. _ SAC, MWCC Planner _ Water Conn. Council _ Water Meter Bldg. Off. _ Road Unit APC _ TreafineM P1 Variance _ Parks Copies TOTAL _ on the express condition that and City of Eagan Qrdinancea Building Official Permit No. Permit Holder Date Telaphone it Plumbing H.VAC. Electric Softener Inspsction Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. tsul. Fireplace y Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. CITY OF EAGAN Addition Thomas Owner screet 1577 Clemson Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, j? 111.8 A0121 2 5-5-$3 STREET RESTOR. GRADING SAN SEY+/ TRUfVK *SEWER LATERAL 1981 37.61 7.52 15•05 A012172 ^ 5- WATERMAIN *WATER LATERAL 1981 WATEfi AFiEA 54.61 A012172 5-5-83 STORM SEW TRK Ili 3 1981 312.37 20.82 S 24 . 91 A032272 5-5-83 *STORM 5EW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK _ CITY OF EAGAN Remarks Addition ThQmas Lalre Hwight dditian Lot ??? eik Parcel #i o??4??, Owner Street 1.577 r1 emsnn tlrivP grate Eagan, M? 55122 18 Improvement Date Amount Annual Years Payment Receipi Date STREET SURF. j.l 772-71 55 - 94 111,8 A012172 5-5-83 STREET RESTOFi. GRADING SAN SEW TRUNK ? ER LATERAL *SEW 37. I 7 2 15.05 A0121'r2 5-5-F3 r WATERMAIN * WATER LATERAL igRi WATER AREA 54.61 A0121't2 5-5- 3 STORM SEW TRK 1981 312.37 20-82 249.91 A012172 5-5 3 i * STORM SEW LAT 1991 CURB & GUi'TER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks ' Addition Thoma.s Lake Heisht . ddition Lot 0 4'J4 eik ? ?- Parcel #10 o,,,,,,er st,eet 1579 Clemsan Drive stete Eagan, I4IN 55122 Improvement Date Amount Annual Years Payment Receipt Qate STREET SURF. 1981 279.71 55.94 5 .8 A012172 --8 STREET RESTOR. GRADING SAN SEW TRUNK *SEWERLATERAL 37.61 7.52 15.05 '? 5-5-83 WATERMAIN *WATER LATERAL j9S1 WATER AREA 19$1 136 51 27.30 5 4.61 2 8 STORM SEW TRK .? 1JS1 312. 3T 20.82 iS 249• 91 A0121 2 5-5-83 *STORM SEW LAT ?981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, SAC PARK I CITY OF EAGAN Madd Remarks Additlon Lot ?Ik 0 2- ParMl # 10 ---- Owner Strcet 1979 R('.1 PmGnn Il-rivP S?iB Eagan, I?1 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 55 94 5 1u.8 A012172 $ STREET RESTOR. GRADING 5AN SEW TRUNK i 7 *SEWERLATERAL zJ7,bl 7.52 1.0 A0121 2 - S WATERMAIN *WATERLATERAL WATER AREA 136-51 77 30 5 4.61 A0121 2 - S --- STORM SEW TRK AQMT2 5-5-$3 ,rSTORM SEW LAT lgRl CURB & GUTTER SIDEWALK STREET LIGHT WATER GONN, BUILDING PER. 5AC PARK , GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ?/?? ,?? ? ?? ?'• ?/-? ? v '- ADDRESS?S -7 -7 CITY C-- OCCUPANT ----- OWNER k?:- w Z, sv 1-??rnrcS HEAT LOSS - DATE HTG. INST. -- SOLD BY ??"-- INSTALLED BY C? w ? Cl? Electrical Work By P1 R. Gas Line By L c TYPE OF HEAT GA_ FA `-) HW_ STEAM SPACE HTR. UNIT HTR. OTHER _} GAS DESIGN CONVERSION MAKE *-e-?4AO MAKE OF BURNER -- Model -:395? 1l• W L)S C-? Model Serial ?a A Cc N?? 83g Max. BTU Rating INPUT `.>C. oCN o MAKE OF FURNACE - Model '^r CONTRO LS THERMOSTAT 1 4- 34- Heat Plug Vent Size ? V al ve 3 yS /,+ `?ic ?! - -? K I N D O F L I N E R --------" S I Z E NON E Limit v- , X C o Draft Hood Regulator Limit Setting ?F Filters Size Number ? FanSetting i- Chimney Location Inside - - Outside PilotType G`?LT?c,ytiC Pilot Make k lsTC-A I Pilot Model _ 1-L S C t Pilot Timing _- r,-v??T L.W. Cut Off `--- Pressu re =j • c - Percent COz -3 A--1b ? Input CFH ?--4 ~ Percent 02 1 --5??-" Stack Temp. Percent CO il-j o?? Y Chimney Construction f1 ra SS Smoke Bomb Wiring _ Draft - Test Tag Door Pressure ' Lighting Date Tested L4 - f " L-,7 Company Testing ??"C-F+ L+ Name of Tester C G??1 R ?I ,J GEO. SEDGWICK HTG. & AIR COND. CO. ??' HOUSE HEATING TEST RECORD ?l?f/ e ,q 1)u? ADDRESS ( _7 -7 T3 ? L?.l?'? ???•1 1.?,?. , vE CITY C7- E\ c? P, I ?:,1 OCCUPANT "- 01NNER t-J IL-V;,i u?'????? HEAT LOSS -? DATE HTG. INST. SOLD BY -"- INSTALLED BY_ ??m, " + c K Electrical Work By Gas Line By - ? - ? 'C1 - -1 < < ? TYPE OF HEAT GA _ FA_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE \, k- MAKE OF BURNER Model -_3 v?? Model - Serial ?? C_ ??1 1r ?`' ? Max. BTU Rating INPUT MAKE OF FURNACE - - Model CONTROLS THERMOSTA T? 4?4 Heat Plug - Valve 3 tl S Limit --?'? c' km c c'" LimitSetting ? S(? ? ? V Fan Setting ? O C-) 0, ;Q7- Pilot Type _ C_ t F c-1 Cl?7 o r.l i C Pilot Make 5??t1 lt,- I Gr`a I z'e- Pilot Model 1 ? ? C ' Pilot Timing IN -,,, -N J ? L.W. Cut Off ?~- Pressure `= -S ? J • ? Percent C0 Input CFH 2 4- Percent O ? ?. )' l Stack Temp. 2 I'Plnc 'r Percent CO '\1 -. u? Vent 5ize KIND OF LINER SIZE NONE Draft Hood >>? J LRegulator E'"} Filters Size Number Chimney Location Inside - Outside Chimney Construction Smoke Bomb - Wiring <_ Draft ` Test Tag !ff- ? Door Pressure -' Lighting Inst. Date Tested 1-' - 1 - - ' Company Testing t- Cz,?.a , r it NameofTester C--a?J?z ev _? --7 INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: `' •'? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 E ADDRESS• . F - , :. ,,, L .. 4 ..-.., ' f.OT: 4::' Nlfll",k -, . ? 1 F M'•??H E1R 1 fluMA'. l Ab: f 1{E TGii 1 S 2ND I PERMIT SUBTYPE: APPLICANT: ( 6 1 :' ) ?IJ'H-?f?tifye TYPE OF WORK: 01 '''.i+l1 I It1t•d NF4i ( Fl+AM [HG UN! Y ) ? ? Permk No. Pem?k Hoider Date Telephone # ELECTRIC PLUMSING HVAC Inspeetlon Date inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL I' GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG 4 P7?iG , f/uSf DECK FINAL ( (. [ (? Cf,?i ? 4N REC4RD ' CITY OF EAGAN PERMIT TYPE: ?C.0 1146 3830 Pilot Knob Road Permit Number: :" .' `? r??? ' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 I SITE ADDRESS: APPLICANT: ? i ?1 ? 4c1 n? t 1', ?{ 1 M ??P? ?>?? I!: I.s:{? t i I III ? PERMIT SUBTYPE: TYPE OF WORK: ; rxF C ? hl f W hESCRiFTiUN (FItAlMINt; UNLY) v 1NA1 -------------------------- Permft No. Permit Hoider Deta Telephone # ELECTRIC PLUMBING HVAC InspecUon Date Inep. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HT(3 ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECKFfG DECK FINAL ?? , `? . y 1b8 SEDGWICK HEATING & AIR CONDITIONING CO. HOUSE HEATING TEST RECORD ???'?7??1?? ADDRESS 7C1 CITY OCCUPANT ? - OWNER ^J I a??) 2-or?1 1A QIM G? HEAT LOSS - DATE HTG. INST. SOLD BY INSTALLED BY SC;=-LCmpJrC l< Electrical Work By Gas Line By ?&-- r.c-, t k I tcX- TYPE OF HEAT GA_ FA--`--?-' HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CUNVERSION MAKE B- tij ' Ly -7- MAKE OF BURNER Model 3R ,4S+?a,,j o;? y b S Model "?- Serial ?.?. a Co lc? 6 8 9-I Max. BTU Rating ?- INPUT oDc> MAKE OF FURNACE ?- Model CONTROLS THERMOSTATLSI-?- Heat Plug Vent Size Valve S f!34'Sn/ So - _ KIND OF LINER SIZE NONE Limit S`?E rti1 C_ o Draft Hood fNoUCi--L,? Regulator ?1r S o ? T Limit Setting Filters Size Number Fan Setting _ I d o° ? Chimney Location Inside ? Outside Pilot Type -?-c [ rC?-, n ^i / c_ Chimney Construction Pilot Make S t?Fl?e 1? Ir'? ?.J i To ? Pilot Model Smoke Bomb Pilot Timing twS'T Flr1T Oraft L.W. Cut Off - Door Pressure 3-'57 Percent C02 ? InputCFH y? Percent OZ Stack Temp. 2 C) 5° F Percent CO -f-JofQ ? Date Tested Wiring nK Test Tag v %;-:,- ?, Lighting Inst. C> ??- Company Testing ":? tF- C) r,I (L-C- - Name of Tester C_o,-%-1 wL5 Form 235 P. O. B??c-.21199 PERMIT NO.: '?+50 Eegen, MN 55121 ?`? DwTE: 5- ??:-8 L ZonlnD: r? No. of Units: ;-pley. Owner. ?C:J I1nT' 2r):1 ? .; Addro!1: . Sift Addrow; 1 "7 Clemson llrive '.42 82 "'h??mas i?ic :;ts ^ plumber 'i'::o-r, son Plu }- AMter No.: .37(v 53 Charge; Siza: C&4"W dj?w Reoder No. ?74 6 Fge -1 x -L 'L E E-?? FAvILC ??„ 2' !. C' Op c'. , ? ft «.vir ? +h. ?UIRE?u SG d l? : ? 5 h . nr ?,; ?>, Totol: 53,,50pd u,et, r B Doh Pbld: of Insp.: Irop,: r-z0 -?? ¦¦.. CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot,Knob Road P. O. Bax 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zonirq: Na. of Units: Owrnr: e,.k! vfnrizon r ,.. Addross: Sih Addrcs: 1577 f') _ ;%: '- -- - - Plumber. ThoIDnso^ Maftr No.: Cormeciion Charye: '200 . r?t?nd S1Zl: /,OCON11t Dlposit: i -, • 00-je Reoder No.: Permlt Fee: 10 .0f?;x1 Iesm ft aewsply wkh fw GRY of Lqpm Surzharpe: _ 5012ai Orineaam Misc. Choryes: 5i.90=4i ,i Total: ?;" ' _ Y L?•? ? Bv Dote Paid: 'CITY OF EAGAN SEyy -3830 Pilot Knob Road U SERVICE PENAIT ? p. O. Box 21199 PERMIT NO.: Esgan, MN 55121 pATE: Zaninp: . No. of UnNs: ,-" p,nwr: ?ur i,zon Tio,nes Address: ? ? SItQ AddflSS: 5 r7/ Pluriber. I spM h eewphr wNb !w G!p Of iwn ConrNC,Non Chorqo. e Ordinesas. Aooount Depont: Pom* Fes: Surcharpe: BY AAi CF sc. wrpsx DoM of Insp.: Totol: Insp.: D t P ld a s o : CITY OF tAGAN 3830 o:iot K nob Road P. 0. soX 21199 3U Eagao, MN 55121 Zonirq: R3 Owner. New IIori Addross: Si? ??m 15 B Cl T T isO Plunber Meter N.: Size: t? odC WATER SERVICE PERMIT ? PERMIT NO.: DATE: , No. of Units: -`? -:? i F:•_ ZOI1 ;iomes emsozi Drive i.,. B1 ' iuT:3:; T..!c Hts Reodsf No.: oLv`•"•••_-°" rfmRw. Go }K. Lv.VVi)O I .am ee.eee/Iy wii K. clfy J sumfia.?s• . SoFd o?...a... REQUIftc) ?a 156. rpd ?r Tatol: h?. 5i1?;1 :,:4-*r• BY Doft Raid: Date of 1 Irisv CITY OF.EAGAN WATER SERVICE PERMR 3830 Pilot Knob Road Box 21199 P 0 PERMIT NO.: . • Eagen, MN 55121 DNTE: Zanlny: No. of Units: Owrnr: ??ori::ot? -_-' - /1ddr?ss: Sih /lddrcss: Plunber. Msw No.: Connecfion (]+woe: Size: Aocount Deposit: Rendsr No.: Permlt Fee: I Mm N ae?ylr wft tw CMy of EMPw Surdwrgs: Owiwemow. Misc. G+or+pu: TotaL• - By Date Pnid: Oaft of Inup.: Irnp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eegan, MN 55121 DATE: Zanirp: ` No. of Units: Owrwr: '"'?• _r,';z:..;, e: Addneu: StM Address: PltmAer: , 1opm N aol?r wN6 do dey d iow¦ ComecNon Chaepe: 47 5. CQg, Cai?wew. AooourM Oapoait: 15.0" Q'a Pem?it Fse: ' n . Surdwrpe: By Misc. Chorgac Doro of Insp.: Totoi: Irop,: Coft Pdd. ? CITY OF EAGAN 3830 Pilot Knob Road i P. 0: Box 21199 Eagan, MN 550121 2enino • WATER SERVICE PERMIT ?? I., I PERMIT IVO.: D/?TE: No, of Units: 4-plex pw,f1er. New i?oriaon ?-Iome Address: $ite /hddrlSt: gUE'.G180i1 D Plumber son P1u Mster No.: _ 3 7d /S/ 7?r_ - ?--• size: ??" ?2e c Reader' No.: °s /v'7, 1 prM to aowplr wbh O?JiNnam / HtS gij,?Chow: I . o . OOpd Total: ?,3.50T,d i;.E:tcr 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Esgan, MN 55121 DATE: Zoninp: No. of Units: Owner: :.?riz.,r. p-• - llddmsa: Site /lddrcs: Plumber: :,°-nLR?n AAeter No.: Connection Charge: - ?. , • Size: Aceount Deposit: p: ° Reader No.: Permit Fee: 1 Nm to amPip wil6 tiw City of Espa Surcharqe: OrdiMnow. Misc. Chorges: Total: By Date Poid: Dote of Insp.: Irmp.: . i f CITY UF EAGAN SEWE'R SERVICE PERMR 3830 Pilot Knob Read ? P. O. Box 21199 PERMIT NO.: , ? Eagan, MN 55121 , DATE: Zoning: No, of Units: ? Ownsr. ( Address: - ? SItQ AddflS4: r, Clti_ .'2,- v ' ' - Plumber. ...? • y•. • t{i7371 1 ?t ? t, 6 m ??V?f? wllh !w CIlp d ygew 1 M Connwction Chcrge: - 4 7 5 .!?C';:r: ? / Mm AW VUrK KpOsiY: 15,00L)4 Permit Fee: Surcfwrpe: BY Miac. Chorpas: Daro of Insp.: Totai: I?+sP-: DaM Paid: CITY OF EAGAN WATER SERVICE PERMIT 3b. 0 Pil:kt Knob Rosd " P..a.). Box 21199 ?( ?PERMIT NO.: ? Eagan, MN 55121 ?" DATE: Zonrnp: -1 No. of Unlrs: - 4- r lOwner, 'vet. `orizon Mdiass: Slte Addresa: , ? 7r?'' ?le;aso ?' T?:arLa:- .i: 'Its Plumber. L?•??ayun ?I •- AAotor No.: • AIDU ?,8 50 .OGpd ? SIze: 00p,4 Rsoder No.: L l0.09110 ? M? ? ao?/Ir vrilt ft&#&U . Si1pc1 OrAweeo.r. Misc. Chorpes; 156.00pd Ti Totol; 63.50oi meter BY . Date Poid: Dote of Insp.: lrwip: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21188 PERMIT NO.: Esgan, MN 55121 p^TE; Zoninp: No. of Units: Owr'Nr: . ? Addross: - I Site /Wdnss: _ .. , . Plun+ber. , MMftr No.. (,onrnctian QwrQe; Siu: Aaoount Deposlt: _ Reader No.: Permit Fee: 1 yvw ts aowpllr wMb N» Cihr of Eoyew Surchorge: Cemweeaa. Mim Gwrpes: A S F? • QO?=' '"'.' By Date of Imp.: Totol: Dote Poid: CITY OF EAGAN SIM Sa 3830 Pilot Knob Rosd VicE PuMIT P. O. Box 21199 PERMIT hlp.: Eagan,,dN 55121 p^TE: Zon,"g' No, of Un1ts: - OWller: -?'W ;n ;.?,-•a Add?'C'SS: Sice Addrosa: ? ; i 9B C-I Plumber. I Mm te oviagly wiK 1iM Cby of E?a Connection Charge; ' OrliMnar. Auount Depo:it: . PermM Fee: Surdw?: B y AAlac. Chorom Dote of Irup.: Totol: Insp.: Doh Paid: This reques[ voitl ,a mo 0 ths f ,om 7 C 12332 Rea t Date ??C ?.{t/ U?•? Frte No. RouPh=in InsVer;tion Re retl? ? ?Ready Now Lpvv?ll Notrty Insper I es [:) N. .r When Ready _.??..v?? "?"„`?? `°?•°°`1O1 1 hareby reqoest inspecdon ot ebove ? OWOpf electncal work installed at Sveel Atl d re ss, 9ox or ute No, c? ? `- ? ect?on o. ipwns?ip Name or No. ?R.mpe No. Coundy ? OccuOant (PPINT) Phone Nu. Pawer $upplier ?(.?.j??•[.?. Adldress Electncal Contr a c tor iCompany Namel o nir C nr,m r's L icense No. 7 - ? i-.?I/? ? Q / ' ? r Ma?M1ng dJress (Contracmr or'Ow er Makinp InstallatroN ' Aut i ed Sie?ature tContrec[od ne• Makine Installatron Phone Number r ? i m-NntsVIq STATE BOARD OF ELECTflICITV Griggs•Midwey 91de. - Poom N-191 7821 University Ave., $t. Paul, MN 55104 Phone (812) 2972111 TMIS INSPECTION FEQUEST WILL NOT BE ACCEPTED BY THE STq7E BpqRD UNLESS PROPEN INSPECTION FEE IS ENCLOSEO. ?(4?) ; QUESTuFORsEL?EC?TR?ICAL? Ithis NSPEC1TIONck of veno.. ?oov, / Ee-ooiwt-na ??X?? Be/Ow Work Cnvered h?? Th,? `0 Ll (?> 3 J AAd ftep. Type ?, BuJtling ApObancee riired EqoiVment Wired t;ome Fanye Tem porary Sernce Duplex Water Heater Liyhtiny Fi.tures Apt Bwldin? pryei Electnc Heabn Comineraal Bidy. Fumace Silo Unloader Industnal Bidg, ir Conditioner Bulk Milk Tank Farm Otner pou v Oih- ISpcr.ifyl t er Succify Oih -. 5 Othcr OI. OpU( Q IAS OBCI/On Faa Re/n?.? M Fea Service Entrenca5iza q Fae Feadars/SUbleaders N Fee Circuits 0 to 200 qm s 0 to 30 Am s 0 to 30 Am Above 200 Amps? 37 to 100 Amps s 31 to 100 A Swimming Pool Above 100_Amps S Abave 100 Amps Transtormers SIg?S Irrigation Booms _ Partial-"Other Fee SVeCial IrtspeGtiOrl Aemarks ? Z? TOTA FEE Rough-in D,roe ? I. Ihe ? (' Inspec?or, hereby Final cert f th J r ? p i y et the above "' ins ection has bean maae Thia reauestvol e 18 f. momnAom . This repuest vwd /? ? ? 10 vpnths Irom C 12333 L72)? Rqquesi Pate Fire No. Fouph-in InsV??.??on ? '}? ? Req ired? ? ?Reatly Now?.Will NoUty InsPec- Q es 0 No ?or When Readv ucensed lectncal Contractor ? Owner 1 hareby reqvest msDectwn of above alectncal wnrk inztallwd at Svee[ Adere ss, Box or Route No. Cit ecbon o. Townshnp Name or No. Ranye No. County ? Ocwpant (PRiNT) Phone No. ower SupOher Atld?ess `/ /? . Elec[ncal Contract lCOmuany Namel Cnnhacmr's Lewnse No. Mailmg Address IConiractor or Own r Makinq Inst211abonl / et- :::? Au on etl SiBnawre ICont,{actor ner Making Ins[allatiunl Phone Nvmber MINNESOTA STqTE BOAflD OF ELECTNICITY Gnggs-Midwey 91dg. - qoom N-191 1821 Unrversitv Ave., St. Paul, MN 55104 Phone (612) 297.2111 TNIS INSPECTION NEQUEST WILL NOi BE ACCEPTEO BY THE STqiE BOARD UNLESS PqOPEH INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTflICAL INSPECTION En-ooooi-oa See instrucLOns for comoletina this form on b»ck oi ? val low CoaV. (?,?FG 33 12333 'X- Below Work Covered by This Request I Ad weD. Type ol Bmltlmg AOU??ericea Wired EqmumenI Wved T. Home _ Range Temporary Service Duplex ' Water Heater Liahhnn F, xn.rac s+pi. owiaing Ury¢i EleCtne He2tin Commercial Bldy. Fumace Silo Unioader Industnal Bidg. Air Conditioner Bulk MiIk Tenk fYl M Fee Service EnvanCeSita p Fae Fexders?5u01eeders N Fe¢ C?rcurts O-Cl- 0 to 200 qm s 0 to 30 qm s D tn 30 Am s A6ove 200 qmpy 31 to 100 qrnps 31 to lU0 qm Swimming Pool Above 100_Amps Above 100_Am s Transiormer5 Irnyation Booms Partial. Other Fee ?'a"? apecial inspection Nemarks S?j OTA F? Inspectoq hereby Fnal p cartJy that iha above mspacNOn has bean made. TMB requesl vottl This reduesl void 18 months from ?G C? 12 3 31 Fepuest Date Fire No, qouAh-m Insper.LOn Ne iretl7 ?Ready Now?Vill Notrty Inspec- ? ? ?Ves ?NO tor When Peady FfLicensed Eactncal Contractor I hereby requast inspectron ot above ? Owner elec[ncal work ins<alled at Sveet Address, Bon or Route No. Cit ectmn o. Townshi0 Name or No. Ranye No. ou nly C ? f 'c.? PINT) OccuOant (P Phone Nn. J 717 Power Supplier Address /J l ontractor (COmu anv Name) Eiectnca C Comractor's License No. ? ? ^ ? ??./LlTY) lY!• Mailing AAdress ?COntrac[or or Owdar Maklne Instailauonl Auth ¢ SiBnawre (COntractor O king InstallaLOnl Phone Number ` G- b11NNE50TA STATE 00AN0 OF ELECTRICITY Griggs-M,dwey Aldg. - Room N-191 1821 UniversitV Ave., St. Paul, MN 55104 Phone 16121 297.2111 THIS INSPECTION NEQllEST WILL NOT BE ACCEPTED BY THE STATE BOAND UNLESS VFOPEF INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION es-ooooi.oa See insGUCtions tor complebng this lorm on beck ol vel low copy, y ? J/? ?? ?' 12 3 31. "ll"" Be/ow Work Covered by 7his Request ? Add Rap. TYPe ol Bwleing AppLancea WneC EqmVmenl Wvg.f Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Elactnc Heatin Commercial 81dy Fumace Silo Unloader Industnal Bldg. Av Conditioner Bulk Milk Tenk Parm ocne. soe" v oine, isnoriiv) t .r SpecifY t?er??+ Oth?r # Fea Service EntrenceSixe H Fee Feeders/SUAteetlers M Fne Circwts 0 to 200 qm s 0 to 30 Am s 0 m 30 qm ,s Above 200 qmps 31 to 100 qmps 31 to 100 A s Swimming Pool Above 100_Am 5 Above 100_Amps Transiormers Irrigation Boorc?s Partial. Other Fee Signs Speciai Inspectmn S ^ Aemarks Tr ? TOTAL FFE ? 1 RouBh-in r Date v• I, [Ae Elec A Jnspecbq herehy Final carpfy i"t the abova ? • i n s 0 e c t i o n h a s b e e n ? 1?? meEe. This request void /l-) 78 mon.hs from tF ? r ? ? 12330 He uest Date Fre No. Roueh-in InsUECLOn ?? Pepwred? ?Ready Now?;Will Not,fy InsOec- ?'Yes ?No Ior When fleady Licensed lectncal Convactor I hereby request inspecbon ol ebova ? Own¢r eiectncal work inslallad ab Sheet AdAress, Boa or Route No. Ci rs77 .? ecuon o. Township Name or No. qange o. Counlv ? Occu ant IPpINT) Phune No. Power $upph¢r Atldress Eleccn al C o n c b acmr ICOmpanv Namel C>n[ractor's License No. ? J - 7 , - ? O/?l 9 ??? C?J o _-2 MailinB Address IContractoro Owner MabnB Instailation) TL ` r-?) Auth i'ed S?gnature (COntr a?c[or/ r Making nstallation) Phone Nvmber / ? V ! MINNESOTp STATE BOAPD OF ELECTRIGITi? Gr,ggs-M,tlway Ridg. - Haom N•191 1821 University Ave., Sc. Peul, MN 55100 Phone (812) 297.2111 THIS INSPECTION pEQUEST WILL NOT BE ACCEPTED BV THE STATE 90ARD l1NLE55 PflOPEN INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-ooooi.oa Sae inatractio.s lor comDleting this torm on back of ? vellow caPY. ? 6 ?`? ??(? '"X'" Below Work Covered by 7his Reauest ? AAd flep. Typa af Bwldong Ap0linnce3 WneJ EquoUman[ WireA Home Range Temporary Servroe Duplez Apt. Bwlding Water Heater Dryei LighLny FiKtures Electnc Heatin Commercial Bldy. Fumace Silo Unloader Industnal 81hg Air Condiboner Bulk Milk Tank farm otnrvr oN<:i y otnfr (5pocifyl .... ?.,,, o 1..- ? ?? uoufy ....,...,.., r__ o_'_ Othor ?. OthLr p Fee ServiceEntrence5tze tt Fea Fepders/5u1ifeedere # Fee Cvcwts U to 200 qm s Above 200 qm py, 0 to 30 Am s 31 to 100 qinps 0 tn 30 Am s 31 to 100 qm s Swimming Pool Above 700_Amps Am)s Above 100 Translormer5 51?5 IrngaLOn Booms SPecial InspectiOn _ Pdrtial.'Other Fee Nemarks • 5 OTAL F C'I,AO Poueh-in r v l nte the Ele Inspecloq he?eby Final cerbfy thet the above msOechon has been r ? matle. Thla reaueat valE 1B monthn fro. c,4._t- ek I o 0 8? 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN q Q 3 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 16 / P? / ? A Site Street Address Unit # PropertyOwner "-FO Telephone# V11N22-??_?j Contractor 41 t-19 (f'??.C ?tL J ds-E,,??qLJ Telephone # Address *_-?la 76 fks?L L7C?• City .Q StateC/12rJ, Zip_--f /J3 The Applicant is: _ Owner ?Contractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other. $ 50.00 Water Softener V Water Heater ' ? replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 1S,-10 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name Applicanfs ,-e /5.5D L? COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 D-,3a5 Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets • ArchitecWral Plans (2) sets • Architectural Plans (2) uts • Civil Plans (2) . Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) . Civil Plans (2) • Project Specs (1) • CodeAnalysis (1)" • LandscapingPlans (2) • KeyPlan (1) . ProJect Specs (1) • Code Analysis (1) • Master Exit Plan (t) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (t) not always'" . SoilsReport (1) . Spec.lnsp.&TestingSchedule (1)" • EIec.Power&LightingFOrm (1)notalways" • Mater size must be established • Meter size must be established • Meter size must be established - if applipble • ProjectSpecs (7) 1 • EnergyCalculations (1) 1 • Electric Power 8 Lighting Form " (1) 1 1 • Master Exit Plan (1) 1 1 • Emargency Response Site Plan *"` (1) 1 1 • SoilsReport (1) d • MGES SAC detertnination Ietter • MGES SAC determination letter • MGES SAC detertninatlon letter call 851-602-1000 call 657-602-1000 rall 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. Contact Building Inspedions for sample. Permitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: F-WORK TYPE: _ NEW )C REMODEL CONSTRUCTION COST: SITE ADDRESS: /s 7'7 - 152d/ 9B'Ai /-Z) I-, TENANT NAME: k4te-z Z-U-A-7 &l,'j . SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK ?O I-? Name: C(ByI ?-.^? ?'l! ?( ,5 Phone #: (?,f 3 PROPERTY Last First OWNER Street Address: ? !J O" v2 ?T / j ?5 City: State: Zip: ? Z Company: y Phone#: (? l? ) ? CONTRACTOR StreetAddress: L(/ ?D ? `77- City: 1 State: Zip: 's ?/? ARCHITECT/ ENGINEER Company: Name: Sueet Address: CiTy: Licensed plumber installing new sewer/water Phone,#:-? ?U Phone #: I hereby acknowledge that I have read this application, state that the informatlon is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: .?7 in' ? /. Updated 7/02 / State: 4 TAOMAS LAKE HEIGHTS 2ND 75951 PERMIT DATE & TYPE LOT BL ADDRESS 12/83 4-PLEX 210 02 220 02 230 02 240 02 1542/ BAYLOR CT 1543/ CLEMSON DR 1543B 1546 BAYLOR CT 5/86 4-PLEX 250 02 260 02 270 02 280 02 4/86 4-PLEX 290 02 300 02 310 02 320 02 4/86 4-PLEX 330 02 340 02 350 02 360 02 15451 CLEMSON DR 1547/ 1547Bi 1545B 1555/ CLEMSON DR ] 557/ 1557B/ 1555B 1565/ CLEMSON DR 1569/ 1569B/ 1565B 4/86 4-PLEX 370 02 1571/ CLEMSON DR 380 02 1573/ 390 02 1575/ r``- - ---400_ _02 1575B 5/86 4-PLEX 410 02 157713/ CLEMSON DR ? 420 430 02 02 1577/ 1579/ 440 02 ! 157913 5/86 4-PLEX 450 02 460 02 470 02 480 02 1581B/ GLEMSON DR 1581/ 1583/ 1583B APPROVED 3185 PAGE 4 OF 5 34 PERMIT # V -.1- RECEIPT DATE: 8008 Rn1DENTIlkL PLUM$INH PEiM1T APPLICATIOR crrY og KAsAv 3630 PILOT KROB !iD RkfilkA, MP 551 EE 651-681-9675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventerfor irrigation system SITEADDRESS: /j?7f [i/-PoS°'^J Dc 9!;? OWNER NAME: : rL 1 G (f,4'/!? TELEPHONE #: loS1- (AREA CODE) INSTALLER NAME: rg"A- S TELEPHONE #: r ? (AREA CODE) STREET ADDRESS: CITY: C? STA ZIP4-,f 7G3 _ SEPTIC SYSTEM, new/refurbished (requires lwo sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 5/8" meter'rf needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigalion system ReplacemenUadditional: _ water sokener water heater $ 15.00 State Surcharge $ .50 13 Total $ Iherebyacknowledgethallhavereadthisapplication,statethattheinformatloniscorcect, ajld reetocomplywithallapplicableCity of Eagan ordinances. it is the applicanPS responsibility W notiTy the property owner that the Cily of Eagan assume iability for any da ages caused by the City during its normal operational and maintenance activities to the facilities consWcted under this permit wi n Cityp*perty/?y?Y/e?ment. SIG (95lp 5' ? ? 1 ? `T6,9• ? 1 ? ra p L- ? zz ?so3i ? O N 2?? ? O 11Vj I • 9? ^• ^ b• ° o p a,3h o ? R ry\?q ?QOy?i\ \O,.\?ro? ^Nl y,? l? a2 r QQ?? ?qq ?'a? `-p? hy 0 r itii 3 ? ?O? OO.rBJ 3,?.. a1D vl ??/36.5? L X9 '7 ??d?Y i,?C c EAM4so?i (93b0) ?o> Poiiy7- xsss.3 rc, O Denotes Iron Monument 0 Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation=j ? (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation=!93E.'O -F- Denotes Direction of Surtace Drainage Proposed Lowest Floor Elevation='938.5 ? I hereby certiry that this is a true and correct representation of a survey af the boundaries oF. Lots 41, 42, 43 and 44, Block 2,. THOMAS T:AKE HETGHTS 2ND ADDITION, Dakota County, Minnesota And of the location of all huildings, 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 lst day of May ,19 86 , Daui A. Johnso Land Surveyor, Minn. Reg. No. 10938 El CERTIFICATE OF SURVEY for COMBS-KNUTSON ASSOCIATES, INC. W I„??nVwI V 1 '„I?ES ? MtNNENOLY MIITCMINfON,MINNEiOTw ? r a1? ''? : CS2^? AI?. COHSSACIOB$ ?A g-.?:?.•?,_r.?; , __, „_ ., ..?..- ?.?.'??'?? w . - _`? ?? F ??CI,pDE.2 SET3 OF ?LANS,.s?'T?CA?S OF SOBYSi CIES Y13$ BLDG:_D?i s, ?? t7 SfiT OF ?i,ERGYyCAL.CULATI0N5,; .-?, L_•'?Sn -'_i,e`e?'?±Y•?2.cY'L?_?"i??:?:?.t??,.?'.??:}-.p?f?s?ti_?L;f!??=•Y-, __i,?j.?•SN:??y' .?.w!?e - w2q: 'y??.'?T?i';?-tya.?J 4 L ? - INCLUDE .2 SETS?OF k9CHiTECTifR&L &" STEDCTDRAL PLAPS,>kg`+?'??? ? l SE2'0F SP£CIFZCATIONS 9ND 3 3fiT ? , . ENERGY'CALCULATIONSs ? ? " ' m "s'1 ,R - :?:i ? ..A ?F S''?1• ` "?? ' ? ?' _ 1 '., -.' $2 00o-L???p/??tLAl?tll?lSCO }?yp/??}/?3 YV1?Y?,f?." - *?y?? 4 y ? ? _ . , . ? ? • t ~2 ? . .? "4f ' ?+ D ? ? ` . } `? S• P?'^ w y? 5 i ?•4 .a . t ? H y ?i ? '1 .?V :???b'?: i y ) • _ '?e?l ?.. tT ' - ._ e ?,1 ?? k. ?" ; ? ' ' 72ESiDENGE?- -- Yo _Be IIsed For.=- Valuationi " ? a. ..3g,?,??'?• Date:` f.' -. L ~ .?v ? e ?!. ? . _ $.? __ _ _ _ . - . ? . . •? Site Address ^' •: ?,. : ' : " ' ' `. t: y' ;? ;-'' ?r _' ^. "?; ' . .= : --? Parcel/Sub "TH"S LAICE HEIGHTS 4 ? . bcmer NEW?- HORIZOAI' HOMES : ? INC : - ' - `s == ?_ "`£v a Y-•{,4' - - - :4, 'b ? BO% City/Zip Phone s. : P _- & 4? . ! #. ??_.. ..t . vr a ?r.? ?Cantractor ?-SA'ME: .,Aaare9s'?= -_.:'=- _ =:?,: -?y??: ._•?,?°? f`r: K, _ City/Zip Code =? `" i. :; ;'•'_ . •'.? ??; t.a ; "'. ':• , =P6one' 6 -! Arch./Eng r.`` D.'- GItISSJ(1LD Aaaress ." . -.s ' City/Zip Code • -=: OFFICB DSS OHIZ . ?;; . . Ereet . : Occupancy .? , ?Eemodel Zoning Repair. ._ Add3tion of St.ories': . - Hove;z - Length Demolishs V i DePth"'' `? mpi': - I n t.I c q,Ft' S T - _ - ' 1[1$`Wi? ? i ? A l^?-.a?Wi` 2` t ? . .?.?q._',-?`•d -„?.T ?,""4':,w? ,.s ` APPSOYALS ?. _ L ?n Assesmentis'- s ?: ?,.'. Per?iit L K - ? 6later%Sever ?_ K r' ?. •?: ° ;, ?.7 . Stiurcharge Police " , - Elan Reviev ? ; ? ?:• "- F? ? .. • SAC- Engr " . . _ S?aLer Conn , Planner . Heter *? fiater Coimeil < _ - : Boad IInit'+ e?0 - ° ? H1dg OPP ; : fr=w = Sreatment gpC ,. . . E: Parks - Variance Copies , . _ mrAL r ? ?? X1; .1 Phone # 435-7524 " - -. - - , d1 HQ'IE: ADDBESSES FOB COBBEB LOTS - COATHAC20H/HOBEUWHEH lSIISS DESIGSASS YHICH ADDHES IS DESIEED. 80 CHAHGFS iiII.I. BE dL.LOHED OHCS BUII.DIPG PEBKIZ IS ISSDED. _; _ _ CITY OF EAGAN '`?2 11930 FOR SALE TOWNHOUSE Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 A1 ' PHONE• 454-8100 tk cei R - ;z z BUILDING PERMIT p e 1 OF Ta be used for ' 4 PLEX EstValue $61,000 Date MAY 8 •19 86 1579B CLEMSON DR Erect L? Occupancy R3 Site Address Z 44 THOMAS LAKE /Sub S Remodel ? Zoning PD E Block tot ec . HEIGHTS ND Fepav ? Typeof Const N D i No P ? Stories N arce . Addition o. 44 NEW AORIZON HOMES Move ? Length W Name Demolish ? Depth o Adtlress P•p- BOX 1367 Int.Impr. ? Sq.Ft. Ciry MPLS phone 420-3900 Install ? e......,, ..ia Fees i o J Name SAME ? a Address a ? Citv Phone UI W W ? U? Q= aW Water 8 Sew. Police - Name D. GRISWOLD Fire Address ciry Pnone 435-7524 I hereby acknowledge that I have read this application and state that the mformation is correct and agree to? omply with all applicable State of Minnesota Statutes and City of 6ga rdina es SgnaWre of Permittee u P W HOR ZON HOMES A Building Permif is issued to: all work shall 6e done in accordance with all apph S of Minnesc Building Official Planner Council Bldg. Off. 5/ 8/ 8 6 $ 316.00 Permit 30.50 Surcharge 158.00 Plan Review 575.40 SAC 500. 00 Water Conn. Water Meter 63.50 RoadUnit 290-00 Tr. PI. 156 . 00 Var. Date I Copies--,- -00 on the ezpress condition that Ciry of Eagan Ordinances. - ,.`-a:? ??...?t? ? r?.2.,'•.J.i.3'R`?#a4.L?-=. 3yIACi. .QflF. 2 $i ? ._1 SEY OF EA; C044mC7JIC`.E -Y `+ ? INCLIIDE'`;2?, p ` ? ' ?F, ?G!*CAI.GU1.11I( d. DlQZ3 ?FOR SAIB ?ITS `??.-,?Ca;?,=x::s?,r.•,'s?.+?c"itE--?'?'?•t? . .SQBM ? .{EEM °_, e`;?7;"r.'."'i:?y- ::. rauciaaai' Pi:Axs,_zF' "` _? - ? ?:??- ?'?`" -- ,' . r ?. ? . xf!? ? ?? ? ? 4 tioaz . Date: . ' . ' . - . _ . ; .. ::. ._ ._ ._j . . OFFICE DSB OHLZ . _ ; _ , -_ __ _ ± Erect Y Hemodel - ?Zoning . . :.:" Repair ., 2ype of Const -, y 9ddition of Stories" . Length ,Demolish " ?Depth _ ? ; ? Int.?mpr.<= S4 Ft; 4 Install t + 9PPBOYAL4 _ FEES ?. • 'Y '. ?,.?? ?>, :X ' " ; - Assessmeats. • Permit i.;;,; ?Nater/Sever Surcharge;'`r ?sxt?? Police y Rlan Reviev Fire ' SAC --Engr - . Aater Conn', ' ' Planner - - ? Aater Metw > ,, . ?. c ». ?x,!; : a u ?ci - a? ? co i ,? • ? 1 /y ? ? Bl? VLl. , 11-f.aYlllp.??.?' Iha'YO'v,e ; `:?`: sAPC Parks.?? ` - :. 9ariaace - Copies ? TOZAL ?7SSY'OF?SPECIFICATIONS iND 3 S£T , $2?D00 LANDSCAPE BOND,-"-`?-`? - ' To Be Dsed For: - ? RS536bTCe- = - ? Valua Site Address ~- - . -. s? •. , . ? , ZAL • =? ? ? BIOCSC ". ?, Parcel/Sub `THOMAS ZAPEv'HEIGHTS?.? Owner. NEplHORIZON $OMES: s ? `. .?, c' ._ • - ? . •: :. ? 9ddress-"?;"?. B07[ ?1367 City/Zip Code MPLS > Ph0II@ 11?c-59007 ..i ., .s ? x. ,q.`,c?'?.-?+Y ,:. . v _•.+._:?a? S ; .- Bddress City/Zip `Code? 'v. •; ' ' .:'.? ' ? ?? ?_y _ ? . pilOIIe - 'k - _ - "{t=`E s?- =9rch./Engr. ` D:- CRISWOLD ''::`." Address •". City/21p Code ... Phone # 435-7524 - 3' .. . _. . = . "??p.r?.?.: ???- _'-?.??t??-?c=?-• - . _. , ?_ ; _ - ::'_ _ .` ; ` HOTEz, ADDEESSES FOH COHHEH LOTS - COH?HACiOH/HOKEOYBEB !lQSS DESIGHAiB iT$ICH ADDEES: IS DESIBED. HO CHAHGES WIIL BE ALLOWED OBCE BDII.DIHG PEBlII= IS ISSIIED. -- - : . - : . - . . . . .. , - . . . - . - - . `a- ' CITY OF EAGAN _ 11929 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 Np PHONE: 454-8100 6,13 71 BUILDING PERMIT Receiptp 6 value $ 61. 0 0 0 1 OF 4 PLEX Est oate ?Y $ 19 . 7o be used tor R3 1579 CLEMSON DR Erect C? Occupancy PD Site Address THOMAS LAKE 2 43 fiemodel ? Zaning elock Lot Sec/Sub. HEIGHTS 2ND Repair ? TypeofGonst Vn Parcel No. Addihon ? No. Stories ? Lenqth 44 a Name NEW HORIZON HOMES Move Demolish ? Depth 2-7 o Address P• O. BO}{ 1367 Int. Impr. ? Sq. Ft. qty M?'LS Phone 420-3900 ?nstan ? Fees o Name SAME ------- ° Assessment _ c Address Water & Sew. Phone ary Police - 15 w I - Name D. GRISWOLD Fire _ W 2, 30 Address Eng._. aw Ciry Pnone 435-7524 Planner , I hereby acknowledge that I have read this applica[ion and s[ate that the information is correct and agree to comply with all applicable State oi Minnesota Statutes and City of E?an O dinanc ? Signature of Permittee v A Buildin9 Permit is issued to. Ng HORI ZO HOMES al6work shall 6e done in accortlance wilh all appJ?C@ble ete of Minnes? Buitding Official v ` Council BIdg.Off. 5 $/86 var. Permit " -30.50 Surcharge 158.00 Plan Review 575.00 SAC 500. 00 Water Conn. Water Meter 63. 50 Road Unit 290.00 Tc. PI. 156.00 Copies-7,-27, r8--0 Q .. . , on the express condition that City of Eagan Ordinances. ?? 29CLDDE'2 ?EfS?4F ?LaFS?C6HTIFICA2E OF SQHPEI (? YISS HLDG. DEPi ???? f?' ;?"''???4 ?? i SEY OF EHERGY CALCQLATIO&S , n. a Y r 3R.;;.?g??'+,??Ta"?`u" ?>?, ?..6- '? ?? .????r• 3i%?tY?? i?.Te'?_ ? j .r .:.,.r?? '?i'i ?ta„d,?.u,d.? "?qSi'?'^'a^5;??^'• ? «F???x?,??'? `t':; ' ?:?°s;- d7 <c. -'?-`".w> , ai:..c ?.T -•-_i,?.+4'.:,:3, _l;rn4_ ",?s-?-w".YE:, Y3? f?.{?:5•-??•w. n? 4". *..tt;e? s ?T.-=?'?,Y ` ?'?'_ ?.'a?`ty'?'i''F?-•'+' .¢.,'t„ ;_ '._.`s>-3 ..',."`i:'i,?,.'.•`.,:?._ .='.':,?;?`:°?,d.z?a?. . ,?_?'.- ."?,... IHCLODE.'.2 SETS OF AACHITECTU1tAL°= lc ST80CTURAL PLANS??k -r's ? ? J9 3H2 'OF SPECIFICATIONS AND ] ? ; SBT OF x t _ ENERGY 'CALCOLAYIONS, Ll1Z?1NVDIG ? ???p/??p}} 1TI1{Yp/??}? 'P- S *Z?VVU A-j??x ?r ?' ? '?.`_ ????:??y-?_ ? ' 1,,•`':*n?i ?- _ 'S?q+.?jr'k_ ? 1 _ _?3,a. »?- - -'-' . - To Je Used Forz?•iE = -- -Yaluatione Dratei.?` ? 'Site Addr'essv _ = Lot ?. -t ? -? Block , --y' =t - Parcel/Sub THOMAS`I.AICE HEIGHTS .L1v' 0wner_ NEWT-AORIZON ftOMES: INC: '- . ys-- -- ?Y-?• Address BO%" 1367 ? ? `? City/Zip Code'"MPT-c -'tuixet - S?dzzt .3 ; _ P11OD@ _ a 'a i x r ' _'- . - ,-: < _te ,r i ?. ? • se y Address ? Citq/Zip YCode ' ? ??' -'- _ :?_'• ?s?.x.r:,' = Phone' :- - Arch./Engr. ? D.-`G72ISWOLD ? Address OFFICS IISS OHLI Erect Oecupaney ? Eemodel - - Zoning , : w:=R-'? ? gepair.._??- ..` Type of. Const ?/ , ?Addition ? . # of Stories::_ - Hove = I,ength ? '' • `? ?• Gi' •` Demolis2i;; DePth 7 Int.Impr. L'` 3q ., Ft`- I6SYa73 - . . fi 't;'c;'?•f?`?-??-' ?`? • 7..ya„ • 1PPSOVALS FE?S ; S_ ? 3 I ?S. Assessments. - ?'? '-Permit ??, Aater/Sever. ,.. Surcharge za,?/F ;"cJ n g. , ? Police • - Rlan Aeviex li? - ' gire SAC $pg!`'=.' ' - WdtP.I` C.OSlL"? , . y Planner - , ' Water Meter s65-';' c `.9.Councii - ° - - Boad Onit'_P,3t 7c'? 7 - Bldg.OPf. - = s,:? 2ceatment Pl? ,?<'? APC: • `:t'" Packs .1 _ 9arianee ° Copies lOiA6 . ?: . p s ' City/Zip Code °. . .. . ` _- -+ _,- _ .. . . " Phoae # '- 435-7524 ' •, _ - ' •.. - -_-_ . -: ::_ '= ? ' ` _ . . , ' r /^ ID?? BO?Es ADDHESS&S FOH C08HEB LO2S - COSTTEACiOE/HOISEUHSEE BOSi DESIGHAiB YHICH 9DDBE5: ? IS _DESIEED. HO CH9AGES iiILL BE ALi.OAFD ONCE BQII.?IHG PERlSIi I3 ISSIIED. - . • ' ; _ . , _ . . .. _._ .? ._. : _ CITY OF EAGAN 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 11931 " PHONE: 454-8100 BUILDING PERMIT Receiptx 1 OF 4 PLEX $61,000 ?Y $ 86 To 6e used for Est Value Date , 19 - SiteAddress 1577B CLEMSON DR Erect ff Occupancy R3 Lot 41 Block 2 Sec/Sub. THOMAS LAKE Remodel ? Zoning PD HEIGHTS 2ND Repair ? Type of Const --V*+ Parcel No. Addition ? No.Stories NEW HORIZON HOMES ? Move ? Length 44 W Name BOX 1367 P O Demolish ? Depth 97 . . o Address 420-3900 MPLS Int. Impr. ? Sq. Ft. ? Ciry phone Install ¢ SAME o Name Approvals Feea p Address Assessment Permit -_?50 ? Gity Phone Water 8 Sew. Surcharge 0 ?a Police PlanReview_5-,, - , p D. GRISWOLD w w Name Fire . SAC Address Eng. WaterConn. 500.00 a W ciry Phone 435-7524 planner Water Meter 63.50 Council Road Unit 294 • 00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off 5/8/86 Tr.PI. 156.00 , information is correct and agree to compty with all applicable State of Minnesota Statutes and City of ga rdina c s. APC Parks Var. Date COpieS?? Q Signature oil Permitlee Total A euilding Permit is issued to. 4EW HORIZON HOMES on the express condition that all work shall be done in accordance with all applica S ol Minnes St nd Ciy of Ea9an Ordinances. BuildingOfficial 9 ? ? d ?,?-L.•? .;'":9?'' 3^`?'.?;"'i?.s"f 5? a:: -Yi !k? -ty'? .? ? m.?,y. - _., ???;: 7 ti ia ??p??p??}???-?'./? FFp'YpP7??('.??? y'Tsa/???/? y?/???/??p???/y?"??? ,z77VV YV1•.••1aV LL1LL1Li 6CC._.ViGll{m 4L?-L1 {R 8Yli6P R ?? %?1 ?:; • - p? ?,r•:' ?. n,- a. ?.ne?,e.w' f? ?<pp i?rtYE ??: b???: prT,knea??•.???/??#,?,ro A ' v:i.qf.n_ YN14f Yly M/OlAaYlYlYi aaWi?.c+wacW 1?11?'tIIp6 vlli VL BPls9?-Y-.e. a sq } * f?4.e -+4?8 FAl?LT DROLLIM I IBCIADfi ? ?CCERTTIFIC ' F' -SSl,?F- OgS a ? ??,?pyg rnter r_n?r_¢ _ ggsrnr?rrat_ - BEBiAi. DUITS? '.., FOrE SAIS OOPIi3; ? Q?°9?:?i`-iM1r?? ? ?INCLBDE 2 S£TS;OF, PLAN?So, CEHYIFICAS6 OF SOSYEi LERGg WITS BLD(LDEPI.? e 7 SEY OF ENEBGY CALCOL9TIONS ;?;; ?- ?? ? ?Ty.,.? '1'`+ ' ? 4' i ? _ -x' _ ?,;-•?" , ? ? , f `3 '" a Y,? •tie.2 ..??LrrY ??5.??.?.?...'S FR '? '+' t q. y? `y.. ry ? ?p??p p?.F . ?? <?s?tI??•'e'? `?•,: ?y .{-?` .y#'{ 4Kl'1GLGS84 4>?'+???? 3 'ds,.sr.. '-C x•^"`3fi -_, _..? - E r ?y.3?.ti S ?'? . ?ar aF. 3? > _ ,? ? .. . .. .?+ ., ? f >? _ _ . .'-''?..k' .r?..:.' SS '?... ?' '. 9.i `' T 3 `` a-'? ' r•-- ??`s'':.?i > e.. : ? s,a"S.a :t.'€r`4.a -• «„ s-'x =?-,x-. x . y r, ... - ?' , t: > ? , ?,s "` ?"-° r.'vi.'.?,..,?„ '`'r r.a' _ s ? 'INCLODE??2 _ SEYS OF AECHiTBCTDRAL 1' STHIICTURAL PLAN3? ?4ji SSi_O;SPECIFICATIOHS . ABD_ ) SET ENEHGY CAL.CULATION3 '-?y $f? ????Q/??}?}]?/???}?_¢ +1 s r^ Y y. ?" ?` ut 1 't'f TRE. G "11Va?L ? e,??Q? LMLI1IVHlSCB i.-? ? v:-'3?•, A ??,.°? "' S X s y _ d n g ?Y .? s,?„'?;? ?? sq,,c ?r ? 3 ~ ?"?.,?+'e-?3:?"z, a G} .} T t! « ?? 3 < - 'x ?T.?,s.y?*,Y?k , ^ ?? , s + .? ?+h+ --r'ix.•v."'?-ti'?'° ? Z s'? -.- - Y• -i -- a -./ "& °°? - ` To Be Dsed Far-'- -?ESIDENCE = ? .. ' 4aluation: ., . Site Address ?u2?'?? OFFICE IIS6 OSLT - Bloek Erect , ? °-.L OccuP??Y , tA_ Eemodel , ZoninB Parcel/Sub 1'HpMASLAKL I?IGHTS Re pair: Type of Const - : - - ;? ' - ' - - Addition = # of Stories - ' % x Os-mer, NEW'*HDRIZON' HOMES INC . z " • Move:: Length, r Demolish ? Depth `. f F >,77 = 9ddress ? BOL'1?67' - •' ._?. ? - 'Int.Impr., , Sq Ft' s.: 7.. ., . . -?-- =? InStali - ; ?': ; _ s.??.?_ `??'`€:`:'• ,3: ; . LYt %ZiCpdea ,, 4 ? 9 P MPI:S:''t4INN` ? 354?+Tf ? ? -='-R .- ' - - - ' . _ , _- ?_ •;,?3. P6one " k?0=490D? ?' '- APPHOVAIS FE?ES ., e - ' . ? ;, ? .a;`r-,? :' ?'-?; ?=":. 1 «_:' ° ""`t` :.i,' ; - ?' , -.. ,; , , , - , ?• ?r` ;:` ? ' ? s?' ?- a ?' ? ;;? ??'?::s,- - Coatraetor- SA??"? Assessmenta. ? Permit ? '({ _':, Water/Sexer ; r_ Sureharge ;, _ f ?? , , ..? 9ddress _? ?` a'? 4 Police Elan Reviev,% -_ "`",; - :; i =: v?-,,,_.,` • _:, -ti :M1 ,_ .•: gire SAC, City/Zip ?Code `,?s ? ?.: • . - a = s- ? ? -=??. . ? gngi• Bater Conn Planner ' Rater Heter ?.?;'"'? •; ej ?, - +Phone' R', '- ` Council - 8oad IIni • _ _ . - r_ t.i:1- Zfo, ;= Bldg OPf . ' ? • 4eatment Pl 4 9rch./Engr. D:-"GRISWOLD gpC .' ? _ .. _ . Parks .-'•,?i;;'? -, e-. . ? ; 93I'iaDCe - y - COFIiE3 Address TcrrjkL ; y - ..- - - ? --i -. • - " '. . - ' , - , - : . f ..< - '. City/Zip Code '- • , - ;? . , - _ ;-, •: ` Phone # 435-7524 q' ? _ . ''1 NOiE:_ ADDHESS63 FOH COENEH L02S - CD9TEACSOE/HOKEOAHEH Ii0S2 DESIGHAYS YffiCH ADDEES: ? IS _DFSIHID. HO CH9HGES YILL HE ALLONED OHCE BIIII.DIPG PEIDMIIi I 4 ISSIIED. -' . - . . , - . . , , . . > -._ . . . .. . . - . . . - .. .L r_;?? ,c FOR SALE TOWNAOUSE CITY OF EAGAN ?1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 11928 ? BUILDING PERMIT PHONE: 454-8100 Receipt 7 ? # :7obeusedtar 1 OF 4 PLEX Est.value $61.000 Date MP.Y 8 ?g86 SiteAddress 1577 CLEMSON DR Erect M Occupancy R3 Lot4Z Block 2 Sec/SUb. THOMA$ LAKE Remodel ? Zoninq D Parcel No. HEIGHTS 2ND Repair ? Type of Const. Vn Addition ? No. Stories 44 W Name NEW HORIZON HOMES Move ? Length P.O. BOX 1367 oemolisn ? oepth 97 o Address Int. Impr ? Sq. Ft. Giry ?LS Phone 420- Install ? ' ¢ $AMF Aoorovals FeeB i F Name 0 a Address : - Giry Phone U Q W W F ?Q ? W a Assessment Water & Sew. PolicP Name-- D. GRISWOLD Fire Address Phone 435-7524 'Planner I hereby acknowledge that I have reatl this appl ication and state that the information is conect and agree to comply with all applicable State of ' Minnesota Statutes and Ciry of ga rdina e. Signature o( Permittee A euilding Permit is issued to: 1 EW HORI ON HOMES all work shall be done in accordance with all ap lica State of Mii nq? 8wlding Official ,/A -Zf Council Bldg. Oft. 5/8/86 var. $ 316.00 Permit Surcharge 30.50 Plan Review 158.00 SAC 575.00 Water Conn. 5 0 0. 0 0 Water Meter 63.50 RoadUnit 290.00 rr. PI. 156.00 Copies Total $2.089.00 on the express condition that and City ot Eagan Ordinances. , L ya oCe Q ..?T? t'.ti C;teL (v tX 261-75i HEA7LOSSCALCULATIONS HEATING&AIR CONDITIONING CO. MINNEAPOLIS,MINN. Weather5trips A.S.H.V.E. Construction No. Insulation Windows Doors Guide Reference Out. Wall Int. Wall Ceiling Hoof Floor Kind How Applied Yes-No Yes-No ig _ FI.??YIN(? p_ Room length '2'Z, Width 12- Height I FI. MAS'TER V=OROOm Length "/,O -N4dM "'(i Haight YJindows and Doors-Crackage and Area Windows an d Doors- Cracka ge and Are a No. - ot ? a?nn ole10na No.„ I ?s Lmeal IL af cre k Area e. Ip NO' W?Nn ol eno Mmpht ol ene Nn, n1 li hte l?nesl It. ol creck Area sa• ??• z ti z 2 a ? & 1 ° $ R Ig .2 2 b 1 IQ Coef B W Coet B w Infiltl8tion 3 Infiltretion 2. ? '401 7 J O ciass 419 5 2-q-50 Giess ?-1 3 S Ezp. wall ? 0 ? Exp. wall 1O X ??r? Net exp. wall 1-1 q. 1 91 Nel exp. wall 9 q 25 p -frTWBtf oOr 1 l1T 2 2.2 Int.well Ceiling ?2- -A ?Z 2fp ,5 Ceiling . 7Q(p 1?5 I Floor Floor 'r) CXS iotal Btu. 7 5 Total Btu. Required Sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. It. E.D.H. or sp. ins. W.A. Leader area FI. 1 NjN(, Room Length Width Height a length I S wian 10 Height FI. t4 +Nt?,c?om Windows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea No. W, duh ot anP MeipM Of ene No. ol L h?e lmeal it. of crack Aler +0. «. No' WiNh ol am Heiqhl nl ann No. uf b h19 IL Ufnealneck o A?ee ea. ?L _ u g n I?u ? 3 2Fi 2 Z ? Coef Btu Coel Btu innicrecia, 2240 infilt,ecion ?t 3Y L '7a Gless ?Od(] Glass I? ?/) ?/ ? W Exp. wall 772dl Net exp. wall ?rp 1 Exp. wall I2. X? Net exp. wall C-t Ic 32 Int. a.311 Int. WAII c Ceiling ? X-? 31 2,5 QJA Ceilinp ?SO r ?• j ?1 [ IJ FlOOr Floor UU Totel Btu. S Total Btu. 3:) ' ^t Required sq. (t. E.D.R. or sq, ins. W.A. Leadar area' Aequired sq. It. E.D.R. ai sq. ins. W.A. Leader area FI. Room Lengih '12 Witlth Height ? FI. Room LenBth I Width Height' Windows and Doors-Crackage and Area W indows a nd Doors -Crack age and Ar ea No. wiaih ol Meiqn? ol pane No. ul hts 1- L,neal h. of crack A.ea `0. iL No. pt ? e?ne ut?vene hn.s ?1hi.- ol c ack a,el?. ana g ? R Coel Btu Coef Btu Infiltrahon Inliltrauon Glass Glass Exp. wall Exp. wall Net exp. wall Net exp. well Int. wall Int. w»II Ceil-ng IZ-A,? Ya F a? 2710 Ceilmg ' ?` d•i a1 .? ? Floor '- ___ -'Floor !? , Total Btu. Total BW. _ Requrred sq. It. E.D.R. or Sy. ins. W.A. Leader area ' Q Roquired 6p. it. E.D.R. or 5V. ins. W.A. Leader area ,.: - . HEAT LOSS CALCULATION$ 5"• H EATING 8 AIR Sed9u`cc4 CONDITIONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Con&truction No. InSUlation MJindows Dows Guide Raferance Out. Wall Int. Wall Ceiling Roof Floor Kmd How Applied Yes-No Yes-No 19- ' gFl, Q Room Leng[h 1Q Width Height fl. Roan Length Wid[h Height YJi ndows a nd Doors- Cracka ge and Are a Windows a nd Doors- Cracka qe and Are a No. Wimh nl ana He- ahi of ana No. ol b Mts Lmeal N. af crack Arep eq. 1, . NO• Wie?n of ene Mo,pnl of ann Nn, of h hm l.neal It. of crack /+rea s. fl. 2 2 2o e?n Coef Btu Coef Btu Intileration 1 31 760 Infiltrotion Cileb6 gy(o GIa3s Exp, wall 7?,` Exp. wall Nat exp. wall 230 Net eKp. wall Int. wall Int. well Ceiling Ceiling Flow 10 JW_ (,Q? Floor Total Btu. ? Tolal Btu. Required sq. ft. E.0,11. or Sq. ins. W.A. Leader erea Raquired sq, ft. E.O.R. or Sq. in6. W.A. Leader area FI. Roonn LenOth ? WiMh 1 1 HeiBht FI, Roan Length Width Height Windows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea No. W?tl?n Of en¢ HeiqM ol a..e No. al h h\5 Lmeel It. Of creck Area +0. fl. N?, WN ot pne HxiqM1t 0 ann No. of Ir MS l?neal h. of creck Aree 54. fl. r 9 ? 40 Coef Btu Coaf Btu InfiltrBtion 1 11-7 2223 InliltraLOn Glass ? QQO Glass Exp, wall Exp. wall Net exp. II 952 . ? 1 `1 Net exp. wall wL-wit+a . r z o 22 ln,. wal I : Ceiling Ceilinp Floor 2-n I 42 1 ? Floor Total Btu. Total Btu. Reqwred sq. tt. E.D.R. or sq. ins. W.A. L,eader aren Required 6q. ft. E.D.R. or Sq. ins. W.A. Leader area fl. .,r y?T Length' 1-3 Width Height FI. Room LB?gth Wid[h Height Windows and Doors-Crackage and Area W indows a nd Doors -Crack age and Ar ea NO' Width of ana Hei9ht of oane No. of h hts Lineal fl. of Crack A•¢a Sp. fL NO' W.mh of ane Iloq41 uf xne No, ol b ?ts lineal 11. of crack AreA sf,• ? rc Coef Btu C08f Btu In(iltrahon Infiltrntion Glass Glass ? Exp. wall Exp. wnll Netexp,wall ?X"b ??p q.? ?.?? Netexp.wall Int. wall Int, w»II Ceiling Ceiling Floor Floor Total Btu. Total Btu. Requued 5q. ft. E.D.R. or 5q. ins. W.A. Leadar area Rpq uired sa• ft. E.D.R. or sq. ins. W.A. Lesder area ?.. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number. Date Issued: 6UIL[17N6 029754 06j05/97 SITE ADDRESS: P.i.N.: 10-75951-120-02 DESCRIPTION: 1577 cLErisoN or LOT: 42 E3t.OCK: : THOMA^a LAI:E IIEZGHTS 2Ntl , (FRf+hIING 6,GS7.ding=,f?ei-miti Type guilaiing _kJ?rk Type a'; Genstts Code r ? .. . ONLV) I]ECh NEW 434 ALl'. RESIDENTIAL ?? i `i'; ?t '_,? .-;°? r?._ .,f? -.._°?,,... ,`-i:?• i?., ?q.?? 1?',,l:.? ? REMARKS: FEE SUMMARY: Base Fee $50.00 SurchargE $.50 7otal Fee $50.50 CONTRACTOR: - App1 i can t-- OWNER: NELSON, KF_ITH 14206550 WENZEL ELINOR 118511 86TH PL N 1577 CI.EMSON UR h1APLE GROVE MN 55311 E'AGAN MN (612) 420-6550 Z here6y ack€aowlecfga that I haue 'rsad this "aPpiidatian aYid state thaC tNe informataon Ys corract end agYee'ta comp2lijt UaCkr a11 aPp2icable 5tate oF Pfa. Statutes arrd Caty mf Eagan Ordlnaria".` APPLICA /P MITEE IGNATURE ?ruan mJ?- ISSUED BV SIG TU -j 18 BUILDING PERMIT APPLICATION (RESIDENTIAL) lqq CITY OF EAGAN ? 3830 PILOT KNOB RD - 65722 881-4675 New Construction Reaufremenfs RemodeVReoafr ReauiremeMs J-? C.10 fbAci =?v ? 3 reglatered site surveys ? 2 copies of plsn ? 2 copies of plana (indude beam & windaw aaes; poured fid. tlesign; etc.) ? 2 ske surveys (exterior addRbns 8 dedca) ? 1 energy calalations ? 1 energy calaletions for heated addkions ? 3 copies of tree preservation plan if lot platted after 7/1/93 requfred: _Yes _ No ' DATE: ?I -OI - y-7 CONSTRUCTION COST: 00 DESCRIPTION OF WORK: 1_l E &)J(' f9 )D?S 2-0 DEzjL STREETADDRESS: /?-- 77 (f / ZSWSd N---f ?) C LOT ? BLOCK .?. SUBD./P.I.D. PROPERTY OWNER CONTRACTOR Name: _?pP, t???nm ) Phone #: mn Street Address: City: State: Zip: Company: ?1 1%JTH ?2Sd }+-/ Phone #: q zU (o S S-o Street Address: ZqS// Stf' License #: City: 49/?le- b/ivL, State: /W 46/ Zip: ARCHITECT/ Company: ENGINEER Phone #: Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed piumber (new construction only): . Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this applicaGon and state that fhe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: -- OFFICE USE ONLY I I APl? 0 9 1997 CeRficates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Not > ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: suzLoznie Permit Number: 0 2 9 7; 5 Date Issued: 0 6/ 0 5 J 9 7 SITE ADDRESS: 1579 CLEMSON DR L07: 43 ELGCK: 2 THOMAS LAKE HEIGH7S 2110 P.7.N.: 10-75951-430-02 DESCRIPTION: (PRAMING ilr#iri'gt Permitt I'ype $tiilding 44;rk Type ('Census Coda, i ? : .. ?_`...?. . ?J:.` 111./I- _..? ./• . ?s REMARKS: FEE SUMMARY: ^oase Fee Surcharge 7ota1 Fee ONLY) DECi< niEw 434 G1LT. ftF5T0EPll'TAL ra/, ? a y?..w E{?-.?.my`r?+3? .i??..,?e;{ryj? e:•-••'."""": ?'.yli,•N•-•.3e?`LL?'t L} 45a_em $50.5@ CONTRACTOR: - Appiicant - OWNER: IV[LSOW, KES7hl 14206550 E3lOGK FlNDREW 18511 86TH PL V 1579 CL[MSQN DR MAi'LE OROVE hIN 55311 EAGAN MN (612) 420-6550 I hereby actenc?wlectge that x i'iave read this aPPli.estSan and state that the informataon 3s correct ailzi agrg'e ta a'omp'iy' °`*?iC3?,al- I ?ppltsabSe State of f4ri.. , Statutes artd City ot Eagan Qrdinancf:s, ? L IL, AAPPf ANJ( PERMITLL E SIGNATURE ISSUED B : SI ATUR J 97 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 681-4675 New Construdion Reauirements RemodeVReoair ReouiremeMs ? 8 registered site Burveys ? 2 copies M plan ? 2 coples of plans (inGude beam & wirMOw siza; poured fid. design; etc.) ? 2 aita surveys (extariar add'Rions 8 dedcs) ? 1 energy ealalatlons ? 1 errergy calaletions for heated additions • 3 oopies of tree preservatlon plan H lot platted efter 711/93 requlred: _Yes _ No ' DATE: tI-2-77 CONSTRUCTIONCOST: ?-t vv DESCRIPTION OF WORK: j` ?-6LjL'W /a X7-0 IJ tzk- STREET ADDRESS: 1?79 C?? m Soy" 0 2 LOT .fo BLOCK ? SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR Name:// anA ood Phone#: u., ..?.. Street Address: City: State: Zip: Company: lS ELH NL-1 50 1''' Phone#: `"YZO Street Address: License City: ?h4w/e- State: A'ly Zip: sf3 // ARCHITECTI Company: ENGINEER Name: Phone #: Registration #: Street Address: City: State: Zip: Sewer 8 water licensed plumber (new conshuction onty): . Penalty applies when address change and bt change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the iMormaGon is correct and agree to oomply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 5ignature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree PreservaHon Plan Received - Yes - No - Not Required RECEIVED APR 0 3 1997 B? cirr use oNLr ? ?33 L ? BL ? RECEIPT #: SUBD. RECEIPT DATE: ?9 a? f 1998 PLLJMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT HI30a RD EAGAN, bA7 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? badcflow preventer for underground sprinkler system FIXTlIRES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet " minimum - 1 Rough Openings Water Softener " for dwellings under construction Water Softener ' for existing dwelling U.G. Sprinkler * for dwelling under const U.G. Sprinkler 'forexistingdwelling Alteration5 " to existing residence Water Turn Around Private Disposaf System ` MPC iic. (new and refurbished systems) Private Disposal Systems' ntandonmene RPZ (new installation only) EACH ' # TOTAL 3.00 , x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x 3.00 , x = 3.00 x = 1.50 x - 5.00 x = 20.00 x = 3.00 = 20.00 = 20.00 = 20.00 = 75.00 = 20.00 = 20.00 = STATE SURCHARGE .SO o S TOTAL C> -------------------------------------- ---------•------------------------------ --------- -------•------------ ---------------_ I hereby acknowledge that I have read this application, state that the inkrma[ion is cortecR and agree ta comply with all applicable City oi Eagan ordinances. It is the applicanPS responsibiliry to notify the property owner thet the City of Eagan assumes no liabiliry for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit wdhin City propertylrighFOf-way/easement. SITE ADDRESS: ?? 9 G°LcrnJD?/ OWNER NAME: ?ftNOw?el+J Idi a INSTALLER NAME: `AX /fOdTr'/1 p1amG'i,?/!r TELEPHONE STREET ADDRESS: ??IA?r 14-?2d'u.r w- CITY: ?Lii/ncoTd STATE: ?P: CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 , r . . ? /34 9o 1987 BDZLDING PERMIT APPLICATION - CITY OF fiAG9N SINGLE FAMILY DWELLINGS INCLWE 2 SETS OF PLANS, 3 OF SQIiVEY, 1 SST OF ENERGY CALCOLATIONS NOTE: ADDRESSES FOR CORNEE LOTS - CONTRACTOR/HOMEOliiNES MQST DESIGAATfi WHICH ADDRESS IS DESZRED. NO CHANGES WILL HB ALLOWED ONCE BQILDING PERMIT IS ISSDED. MQLTIPLE DWELLINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COi"MERCIAL RENTAL IIAITS FOR SALE ONISS OF SQR9EY - CHECK BITH BLDG. DEPT., INCLUDE 2 SETS OF AftCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 26zb c.??cis- e-?Pcwa-,/ S? yl To Be Used For: 'r-IP-67 Qc-Ac.g- Valuation: /2 61> Date: Site Address ?°,[,&rW D?• OFF Lot " Block C", On Site Sewage` u ?_ f n MWCC System _ Parcel/Sub -`'at (db On Site Well Owner--A City Water Address City/Zip Code L,etnA'V Phone 6Sq-63 3 3 B/-63?17 ApPROVALS Contractor /[?D/)4 ssessmeni Address ?6-? 5;' &c). ????• City/Zip Code /-C Phone Arch./Engr. Address City/Zip Code Phone 11 Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Variance 5 z8 ? Occupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. F& ES Permit Sureharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment Pl Parks Copies TOTAL D Z3.- ?• ,.-. , _- CITY OF EAGAN N2 13 6 9 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE:454-8100 ?JG BUILDING PERMIT Receipt n ? ? 4 J To be used for FIREPLACE Est. Value $1 , 200 Date MAY 29 ,19 $7 Site Address 1579B CLEMSON DR OFFICE USE ONLY Lot 44 Block 2 Sec/Sub. THOMAS LAKE HTS On Site Sewage _ Occupancy ND ADD MWCCSystem _ Zoning PafCel N0. On Site Well _ Type W Const Cily Water (ACtual) m Name 1ILL COFFEY _ (AUowanie) W = Address SAME # Of StOfIES Length ° City Phone 681-0397 Depth S.F. Total o Name TWIN CITY FIREPLACE Footprints.F. , 04 Address 1525 W RIVER RD ppppOYALS FEES ° ? MPLS 588-0791 Ciry Phone Assessments $23.90 _ Permit 1 (1(1 Water/Sewer . Surcharge W W Name Police _ Plan Revlew t z Address Fire - SAG Grty ?= Engc _ SAC, MWCC aw City Phone Plenner _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this epplication and state BIdg.Off. _ Road Unit thattheinformationiscovectendegreetocomplywdhallepplicable APC _ TreatmantPl State of Minnesota Sta es n i y of gan Ordinancea. Variance _ Parks w Copies Ts L Signature of Permittee TOTAL ? A Building Permit is issued t. TWIN CITY FIREPLACE on the express condition that all work shall be done in ac ordance with all applica I State of M inne?s St?tuntes and City of Eagan Ordinences Building Official ID z .., CITY OF EAGAi? .... ? . .;;.. APPLICATION FOR PERMIT SEWER AND/OR WATER CONNEGT(ON D10T13: PA)U*=' OF O.E AT TIME pF APFTXcATION DOES Wr CMigrr= APPROVAL OF PFRLYIIT. . INSR=olv oF sEWM Arro/M waM INMArTamIONS waa, Mr EE sclHED- ULII] t]NPII: PERMIT AAS BEM APPROVID. -..{Pease Print ? l) PROPERTY ADDRESS: !5n?,?Q?'J?((? ? •- ..„ LEGAL DESCRIPTION: ?ru::<• .... Lot Bloc Subdivision or Tax Parcel ID? ;... . . - . s , -t;M?...,,.. . ,,...... :?,?-'s IF EXI57?NG SZRC'CLi'RE, DATE 0£ ORIGINAL BLIMINs PERMT ISSf.'ANCE: rw,,,;-, . ; ? . . Mon Year1 ? ,. .,,.., .. ;,? PRESENf 7ANINIG/PROPOSID LSE: ,;,- • . ., ? ?, ,- ?. ...w' SG:.y*..'.?x. =....tt.9,•?a:nx. ' .xdivi: •"J. '_?[ o4F... _ ..y??+M 4.a. ?4 ...4Yp? °s wtr-: ".],+F .. ?• ? 4 ',iNv ' _ _'i?' a'??}'?:.,.y t$ nwT. .._ . .. _ :,?,?-ri;,a.r34;"-^..? ... ::.` ,.,,,. ?rt'.r, ;, s"?-} ,`?.. ?.??•'?°??? ,ei .C?RC7AT+/a??.11SLL/OF'E'ICE R ? i -]. SINGLE FAMiLY Q INIDC'SIRIAL R-2 6L'PLE}C (Two Units) .3-._w?'-•?,. . . _ . .,. .. , .. T . , .' ' `.S?ri'v?= , _'- "a . . : . 1 ? ? ;?-'? ? ?. '''rh , ?INSTITL'TIONAL/GOVII2I097T R-3 ?'TUWNHOUSE (Three + L1ni.ts ) Units ) ' . ,. ? . ? ?. . COI?IDQMINI4ei ?x_ : - ::. ::..... :. . - , . R_4 ;„APARTP < p =?Tr/ l'L , .-_ _,_ • _ .. ... _, , ._ r', . ,.,- _ . . . : . . :$.r .... . e ' ? _. . . . . . . . ?? . . . _ .. `;":Y?'_ 2I ? NAME: . - . ?.. . . -=rl:'=_ . --'-'- -=%ADDRESS: . - ?== -.-'?C2T'Y: S'TATE. ZIP: - . PAONE: -- , . :.? 3) u m?• - NAME : ' For City Use . llwlnlAA Pltsnbers License: • . = -- -_ _ ADDRESS: . Active - - -- ° ! • A FScpi.red °CITY. STATE, ZIP: . Q Not s'ecorded MASTER, LICE2ISE# ta 7nitia1 •5) ? a• ? r• ?• : o a? a? . ? CONNECrION M CITY SEWEE2 ? CONNf]CfION ZU CITY WATER ? OTflER '. .• 6) ? •-??- ? PLEASE HOLD APPROVID PII2MIT FY)R PICK- T? SY ONE OF ABOVE ---•- -: ? PLEASE MAIL APPROVID PERN1iT 7D l?! 4. AB0VE . ' (Circle one) » r ,. u.. lA?A,? N-177nmf IM??11?. rA??., ' . - ' _ . ?,,::?:??, ..? . . , . .. ...:&?. ' . • .?{.,?,d?'-' . , ._ ? - .. -^ . ..- . - _ _ ..?, - ' - . . .. . _ . - . . . . . - ' ? ' . .. ?:.' ? - - TO?R CITY USE ONLY PERMIT # ISSL'ED 41 ' • ? i -YAl?..?' ... . ? ,,;?r?.i'. . . .... . ... _ ?:xc. ;, ?.,.. . Pd w/Bldg. Permit ? FEES: " _.: .. . . . ? . . , _ - . ? - • : -. - .. . ,_...t ..?.._. ?. .. _.?..' ,. _._..,,:. . : . ' •^..2f5'H.? SEWER ?PERMIT]( INCLLDE SURCHARGE ) '`,ibdvti.?.-? ' :`?y ..t . ' ?a,F;.t4? ?? . ???:.i?..Y.`......-...«n ?/'>2:fi?-••?5X"'` .. .. ?,.:..Y .. . WATER PERMIT (INCLUDE SURCHARGE)?. ? „ . . . . ?c.::?-...s. ? . .. ,. -..sr.??:.y . . , . ,.. . ? - . - ' . .,....... - - - . - , ,,;::??'?`-'?` 4*%.?<?"-? •-,-..,_ , .,-?',?:, _ ATE ? ._ . . . _ .. ._ , - - ??$ °"W _ R METER/COPPERHORN/OCTSIDE READER4 V - .,?¢c?_.1: ;??=?$• `°'?'-`?". ? °- ? S'? -?f-?: , . •°?-?'??.:WATER TAP (INCLCDE CORPOFtATION STOP) , `'. yti `?• .??_'a„` ?i, :::L;. ak,•v;.'.•,, F„?`}, - `c. .y"`';s°?: } •??I:.d?.?tiY'' _ '__'?..1p'•;?: .,?.: ?N•,c y ?Y: V'3???JY`+ R. .?T¢„? yY? 'G Z RY ?' T?rMt '?Y??l.???i. ??. YY'. 4 D' a? H+? 'T'?S M1(+ P'a. tER, TAP a? ?; ??f ' , .u,v.* y? Ma+F?•?ra? ?? t+ ?w? ACCOC?NT DEPOSIT SEW,ER t?,? T?rv, ? I 4 } ? p µ? !•• ?? ?"a'2F r ? ny ..r. ?n.f'?A ? ? \ rq?P???? ry? w5ai<€.i*>.: c , .. `?., ..w,?'? 7?3R? V *` ?. .•s.,n- a, '?``ACCOCiNT DEPOSIT. WATER ? WAC ?g,?4,y?x,•r, iv,a??-y C -?h??°' y , e fcy?y.?A C?*4 ''J?' ',TUP%?'?t`• ? Y-.•??"? C? -(?.] F ?L?.?"'.? ? ?' s i C' ; ' ' ??#'"`N1'z ". CJAC ,? ?.'_ ?;': i , , - xr . lv- ^t y ac? IT1tL''AIR`WATER'.A?SS?SSMENT???.?.,.-- ? ' --?:7?';:? ' - __. ' '=?s' ?.iy.e `?i: ?w,:, 3 •a "j7 ? i t__ - ? '??YC?' .? ,.{..? ???'? , .. , . ?<,"t??'.w.y :.{i?;r??::. _Mpl?'+ , i!?i? ? ? ? S ?? • l ? ?' ??r r.?TRUNI(, `$SEJ$? A§.qS,F3SMENT $ - - S - ? LATERAC,igNEF!Nf/TRCNK SEWER •Y'? ??]'}F , - •• _....,;;`v? .:.,?',?.;...' •s`".:??- - . _ - - <.?;.. - c, ? . . . . , , .. _._ .,.7?-«?;?,:.,.?;,,i?:?>-, LATERAL BENEFIT/TRQNK WATER - _' V?,f, ;?, :.•,:t. .--. . :t..,r,_ ??. Y? •' , - . r y? >:7;;?. . .M1; 'i_;•. --M^S>? i,?R.TREATMENT.PLANT?SURCHARGE .? ?+ i1r r ??v -. ?T-" .l..yv.e ?'.t ru3a?z"????!dMz, .41N3. _F ?fi- .=..r`.. ?:'$' , ?^?. ,?".7.:':1:."??? .V?H?: ?? ' ?T?' q,'??{•S:M1??'?,"?'?'9?.c??' S ,.rm? ^?T,iS"ri .,``.r.°r . t;.`.w.nJ,'-f:._` - - - ..A_.Y _<,• _ .. xa~. ., : « , d?.';- ! _ f^`_ . ^. _ r '1,'' •'T.-,$.r. .ih.M.,;'.a -,a45?.?M?? ??-??,?? ? -T Y l ?i?°????T??"Y?y , }^?.LiU?•;• _. .M ? ?t..dw? ?.?5.`yty?^ ? .? ?? ? ?; DOES.ETILZTYtCONNECTION REQL?IRE EXCAVATION IN POBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC?BLIC ?\ • ?. ? ? ROADWAY" MOST BE ISSLED BY THE ENGINEERING NO " DIVISION. LIST AS A CONDITION. .,r_«.. ?.,., . -..._.... - ? ' - -•,.?;: _y?' " , _. '.?.,``?.'??,?=?_?,'::.=_.:,?a;`+fi?-k?.-,; .: SUBJECT TO THE FOLLOWING tbNDITIONS: , .,. , . . . _ , . _ ;'. _.. : . . .,. ; ;.:. APPROVED BY: r.. ? ? TIT?X- T ? ~ ? ` .}..yDAT$ y" - _ ?/G `? ..,`. ' ._ ..r;>? ,• '._?.; . ? ?_=i: r-?:, , .?. 1.7 :. ...., , /, ?' _ ? ? ? ? ? . . . __...._ ? . - ?Y(,_ a.:1.? `,.._ . .,?s...s. ?3'^:-..., . ' .--.• ?' . "`l. _ CITY OF.AEAGAN .. , ? APPLICATiON FOR PERMIT SEWER AND/OR WATER CONNECTION NOr': PAYT1h?TP OF FEE AT T.RM OF APPI,ICATICN DOFS IVOT CO[YS'PIZSTTE APPRC)VAL OF PFIt[+IIT. INSPE=oN oF sEWR r.rm/? WAM rOrar.rUrpNS WII,L NOT BE SaM- ULID UNTIL PERMLT AAu BF7?Si APPROVID. . lease Print) `? ^":l ) PROPERTY ADDRESS : I ?,`1?_ J JY. -• ?., °" LEGAL DESCRIPTION: -- '??„?;,e: Lot Hlock Sub ivision or Tax Parcel _ID ?:: -- IF IIQSTING STRCtZL'RE, DATE OF ORIGINAL BUILDING PERMIT'ISSCANCE: i -r?Y;:;u?; . -.- :_: ;.: ?.*-x^,e,. _ ; . .. >????':?.- eW?.• n ° - Mon Year} PRESSIIdP ZONIING/PROPOSID L'SE ? "`;?` ? , ?.??g•:. ?'? F ? ?`-?a45- -4, ,?y4R F ? R SINGLE FAMILY R Z DC'PLEX (7tao Lni.ts) _:.. ,... .. - .. :-- - , ? INSTITL'TIONAL/G?7r R-3 TOW[?iOC?SE (Three + Units) ? Units) R-41GqfYtLLtll•YiLYl/?.VLVWLLLLYIL? ... ?.. V1LLW) . f? .. <2, . . . . . . - ? 4 ,?-?'? I?+Ai'!E: . ?}'y??p..?+ p.:? I'll/lJL?L] 7: ? l ? _..._ ... _.... .. -. . • f ? ?r?. I1? ? ?..L?f -V1L1LG/ LCi ? ? _ - _ _? CL1lAYG? • _.... __ ' . . - . . - . u ?• a• - 3? ? For G.ty C?se - ' Pliunbers License: - - ? ' Active D ? • ? i-,?---? _ -aT = ? ? Not recorded -??;?:+- ;:e`^.=` -- PFiONE: „ -c _ ._ ?>..,.??_ •=- ° ° -- - .d • ASTER LICENSE# , _ _ - _:..: _:.- ...W..: _.. .. Staff RTtial _ . ..:_ qI . .:r, ?•• •? ? . .. . ? . .:.A . ? . _ . - - - I?Ar? UO .42 . -` - -:. >;?r `ADE1I2E5$7 . , :. .. .. - - , CfTY• S"TATE, ZIP: ? . PHONE: . , .... ? ? •5) ? ?+• ' ? ? r: • ?• : a ?? ' . ? CONN1ILTION 'PO CITY SEWM MI CONNEX,TION TO CITY WATER ?( OTEIER ' . 6) '? r• -•?- [= PLEASE FiOLD APPROVID PERMIT E'OR PICFC- BY ONE OF ABOVE ? PLEASE MAIL P.PPROVID PERMIT TO 18 2.? 4. ABOVE ' ? _? ,e ? (Circle one) 7) , ,.? . . . ... , .. .. , , . , s . _ ?.?. . .. ? '. ..,y?•.:'. . ' : „ .. `. o-, i',':. . . ?. . ., ..R': ?.. t, .,' ?- .x•a? . _.°....?'. ;.' " ''.;T";'.'°,'?'+.??;"'??:. TO¦ ¦ .•CI¦ ¦ SE U ONLY ' . ? ..K,., `?? : i ?? = PERMIT # ISSL'ED - `?'??? ?? ??'?"? ? ??? • ? p>/ l 77/v f& °.:.?".`?s?; • _: . _ ?, --„?a, ? ? ' r Pd w/Bldg. Permit FEES: °?0";;? ? SEWER' P ERMIT, (INCLLDE SLRCHARGE) ` , ::z€Y.G ..-ss- . . . .. _ . ... . . ?? ? --.• . . .:. . :3;?;?; . ? ,.::';??'r.:e-:',,s:r??,a.._.- ?-_.1c?:E;r:=>,?`vka:'?.;._.;. • :: . . , _ " . . .. y : ? , _.,, ..? c.tc,.:. s ? . ? ?WATER P ..? .... _ _. ,. .-?, : ,.- .. ... ERMIT' (INC LUDE.'SURCHARGE) : .. . WATER M ETER/COPPERHORN/Ot'TSIDE READER , ^,,. .J.?S . ?• : WATER 'T AP (INCLUDE CORPORATION STOP ) '-- , br.Nil.t'. 'Z- SEWER. TAP - =. ?.::ACCOUNT DEPOSIT'_= +5?y, :?-,::t?Y..?'."•«•,-i'^.. ...°.? .?.,?':`J:'i•'yvm?'."` `ACCOL?NT DEPOSIT - ; y,.. . - _'- •. xY' . .. .. "_ y :'. m-iL°: 'n? ' p•?`tir - °:?c'tr.. . ; a$ e $ ' ? .a'`'vv`'j`'su , i 3n . a.i''' "'7' ' WAC ? ??..?... Jl•?,.'?:?%+k;G?' 1?. . .. _.. ?` . . _ ?° ? ?..:~ S'A`. .$ r ?I'TTtLNK?WATER??.AS5?S5MENT?? ? . ?.? ;'?-3'--•??1,1j ?, cT12C'NI( .SEW7_ Ati;6E3SMENT ? . . . ,.._. ?,??,?N ? LATERA?=?ySEFI'1l/TRL'NR SEWER , - .. -. - .„ ? ,..._?..... ..,... . .__,.., .._ .., - _,_. . , . :.? RECEIPT RECEIP ??* • r? - .,.,,.w.a:. :°. T . ? _ DOES U OADWAY MCST BE ISSUED BY THE zNGINEERING NO Q . SUBJECT TO THE DIVISION. LIST AS OLLOWING CbNDITIONS: _ ? A .: CONDITION. ' •:; _?x`? ' `? , -,- . _ . "-°?- _.._,.:;::t:?`i°??: :z;: <; ' . . .. .? . _ _. .,,.?.... , .. ,. . APPROVED BY: TIT7 E ? 4 f? ? - ? F . _ . _, ? . ., ? ? ,? . . ? ?•- - , .. Y ".. ? - ^ ? . - i •"' " ? •_ ?' 1 •, t> . ? - ?Y?.J`.?- r - ' ' ? . //?. ?j / e • . . ? ? ' ? . , ... •. . . . . -? : Y...: y?.'?,?_ _ ' ' ' ? - - ? _ ` ?3,t ? ? 3i` - J?'? ? ? .. i:?'N'.aJ.. :L:Ii? . e . ______TILITY CONNECTION REQUIRE_EXCAVATION IN PUBLIC RIGHT OF WAY? - '. O YES IF YE5, THEN A"PERMIT^FOR WORK WITHIN POBLICT R ? CITY OF. EAGAN . .. a. APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION . ,. .x jr7?j.,,4?P ease Pr1nt ;:.,.;:.- ? ''C?,?-ED/I')'lS?fJ?? ?!?• 1)' PROPERTY ADDRESS:F ? ••- '?f LEGAL DESCRIpTION: Lot B yock Subdivision or Tax Parcel ID .:?rj????:'r. . J.?,'tYiii...l'. . ;Ye}..'f':?'q}Y.uAn.: . .,'.?:.?I}.4;rF?{.?'d. .y...?y?es?d.•..,...?,.. - . V.'.?.•? , i.`?i??'.p?. . -? ?a.3F' '?.?fQ•"w- • '?`i.?.p4 g' E7Q5`TING SIRCCZL]RE, _DATE OF ORIGINAL BI:ILDII9G PII2MiT ISSC'ANCE: ..,,, Mon earT ... L ? PREsErrr zorrINC/PxoPOsm rss zt, i?? '•? Fi.?-?"??:Lf' . ::'.^Y'?'k? ' a, ' '";??f,"??'a9he ; . .`?".a.q`,1?•;k9r5^`n+, 4. ??9 ?3_'*''ttr`????-?2?s*,?F ? . r CE ?.?R 1 SINGLE F.?IILY ;??".? -?..... ? 2bIDfJSTRIAL R-2`LR.?PI?EX (1WO t?nits) ?•;;?; ?:?_:,.:,? .. . COVE?II?TPr .. :.,:. ...??. INSTITLTIONAL/ R-3-.TOWI?30LSE (Three +Units)ts) R-4?? xAPARTTgS1T/CANIDOMINILTI . ,.K . ?2) - ? . ?;;? :. >>;,-•,':;• . NADE: ;r ADD$ESS: D3„ -- Airt • ZIP: ? 55440 A -- - PHOl?:?f'-Zo ' NbD _ _...:. .... . ' . • 3? • u ?: ?• - _ NAME: * For City Use . . Plunbers License: • _ Y=- -- ADDRESS: . ?? • ONot ?bcpised .CZTy, S'PATE, ZIP: recorded MASTER ISCENSE# 3taTE itial 4) ?•r • ia• ? _- - ' ADDRESS: CITY. STATE. ZIP: ' - • " PFiONE: •5) ? ? ?• •? r• ?• : a a? - ?? CONNELTION TO' CITY SEWFR Me CODSIDC.TION 1U CITY WATER OTUR '. .• 6) -v v .• r ? PLEASE HOLD APPROVID PERMIT FC)R PICK- SY ONE OF AHDVE '---•- ? PLEASE INAII. APPROVID PEI?MiT TO 1, 2.? 4• A80VE .. - i • (Circle one) 7) r r. u• - ?? i1?.4_'.' !Y'1 • • 7: • ?• ?. c w ? ••,• u ? r •? • ?,- a ?a• o n ??• • a•i ?u ? • ?• • • o• r • ? ? • . •? • ?>. ? e : ? «:r• • ,e+>? ? ? ? -a- • •• s• ? u ? ?• : •?. . ° . . . . _'' *iarol: PAYMENT'OF FEE AT TlML pg APPLICATSON DOES D7DT CONSPZNiE APPROVAI. OF PERMIT. . nuseDCriort oF sF,wM Arro/Ct MM na-rAraAzzors wa,t rAm BE sCHED- UI.ID L7NPJI. PERPIIT AAS BEM APPROVID. ' _ . . ? . . . . ?< : . ..-. ? ? . ?' ... : . . - .FOR CITY USE ONLY , .? . . ..., _ _ PERMIT # ISSCED . . ? . , . •, 2- - -,'Pd w/Bldg. Permit : FEES: - ? - ?.... ? ? ? - ...:? .'?i.. . . . _ . ?? ,.'i$ '? ? ? '$. ??`'• Sa , SEWER PERMIT (INCLCDE SURCHARGE) - .?r.h.:. .:. ro.. ?', ; ' - : - ?' . ?. :'<.:. . . . ?: • , . ....._.._ . . . WATER PERMIT (INCLUDE SURCHARGE) ' .. ..'I?."'Y'l,??T?"•".i+.:,rti,`?=T?::_.. METER/COPPERHORN/OCTSIDE READER . ? w.?. .t ?+a?_ a.,:?a,' _. .• 7 . ?> :.; ?' :._w:s. _ ? J. .: ? ,..:: ?, . . :?:s:?'r.?;?»-:...-_ -- .. , -• .? - ? . `?WATSR TAP ( INCLC?DE CORPORATION' STOP ) '. ' ., ? ?:; ^4'F i' '?4. oi,?ky,•;{,1..x ',ar:.s'F; 'a ?.?;>:, n,4? ? ? ' .: ?-??,.,. ., 4 ?rt.ya5 ?y ?n?•?rc " '?`.,. i 5!y ?lYiJ? :' zst',>? 1 '?'~-.E+. R4S??H,, z5 P ?T.ir ? Y,: aJ k"? X '`: ''?:SEWER TAP? ,;,.?:°?• ? '?-° ???„;?+... j y,. _ ?`!^.?'p?L'?: . -?`(r;tl. _ lp:?}? y.oi^i;:j?•• '?.¢ t' „?'L?n'+??J;a^ ?'_.): 'cF,Tt? ..<,:-ih ",??}',a.,?i., r?`..A ?LU ''w?`,?w?a3.':.'' . . .Y.,.:::'..:...e.dS??•P,c+??' ;????.y?,r;?; WaYF,•:,':"i' ,.. .`?.`'ACCOONT DEPOSIT - SEWER ? • .: ., - . n...^.: },?4 « ?`^ %'?t:J' Ct••? n.a ? i..?,,t?y?:,,.,?. ?. $ ACCOC?NT DE POSIT WATER s-s.- ? ? }. ??? y ['.a ? ' ??"b? ?"?: , ? "i . ' . ' - '..{+?i:i .d?. _`$. •??. Y _.._.."y -'WAC' :'t%;i.;tt:: ?s;'d? -=":,=i'.;""'.,_ ;'re{ "?{dg?- , xe".crrr?. ' - ' ?.',.';;,y????' :'?,?.>.!li?a?,°2eir.•E:A.k.?t:;?=t.C". /? "SA f1l. ,.'?'r.fV-•:' -?c`J`=='!-?::f•.?L!:?'.'1•.?(p.f '"$'?.. .:dAd?.:??rti..;:v%.= ??._ . ,. . "?'...Y' kfi rt _ . ;e?.ar. ..-e.:i}sq?Z.: •,R„`'::`: ?y'. ? } v? J ' i'-?.• : . ' ?_ ? .? ' •? .? ._-?._:,y,_::-, . _,$ ?? - - - ? S , ?"? .; ( ?1`•• ? i` . STRLNK W1?TER'.ASS'ESSMENT - ri r.. --- , ...{J ;?: ". ',"_ . _ v,. , ',..g•;,_ r- -'d,:?:,? _ cjTRONI(-SEW ASPE3SMENT . -- _ ' ..._ . , • `,,,,_ -' ' - , ? ? ? .s .'. '?'? ' T : i • E . . ,.. ? . .. -r: <. ., ?.? . •.la - `wi.? . - _ ? -.. t; ? . . , f. . .. . .... . .. . . - --- $ LATERA? ?„?NEFIT/TRLNK SEWER LATERAL BEN°FIT'/.TRLNK WATER4 ,.. - ? ? .-.:...,..-<....?-.. " ? F tt: .?... .. . . . ti - ?;,? ;:,<<rr:,.--• - :; ljt?.h;#.• ,,t. $ .? . ;r.' ;?. , ri.t e.A?R.TREATMENT.:PLANT . SORCHARGE ` .ti•?-:L?.;d?;,. _ "_ ?.? _ xk?'_. ' ' r-.i. . ...?..,,.F 'd'eG?>'Y';.:ti ??4? ,. . At.1?l5F:E ."'.... .. . .:r,n „;Y . .._: s .?w-`?',..?? :_= .? :.-:?.x.?.` 2.t_ `.:-_°,'-.,•? :i?t ?'?..?. «.-.-..i.l: i J. ; ? ! . _ j ;\•' i ?. '„ ..: " t ? . . ';t? .., e.?1' .c?`i+'?'3{f'F" ¢ ..? . ;?i. FJ:?,?.:"' ' ' '_'_ ?.?.,.m"?•: :?-- - .??+r,Ly. roc '1 e+r'?? }. .?.'?5.., - :,i'?".:, v.' ^t.... - _ 'C'i '+'?i`:?'?'?.. _.r,-?{':.'?e.Y.: ?1e.*L- Jµ.?'?:l'.•?:.Zr+..Q' ?' }?f i'.??`?l+".2r?'y.?^ r??, ?_',r'A??°,3,'..?n '..'. ?, ? ?8 ?,?`?? .?W? tw+?i l Y 1 ? VJ ?/Y. ?V t5??? TOTALi- = S :N r.''• ` ?, _ . ' ?. RECEIPT- RECEIPT ?..:Y'....?'I_C.?. :',DOES F7TILITY.-CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? , . . ? + --•d:=_?: a=- -.°:-::_.,. ` YES IF YES, , Q THEN A"PERMIT FOR WORK WITHIN PUBLIC - ? ROADWAY",MUST BE ISSIIED BY THE tNGINEERING , NO DIVISION. LZST AS A CONDITION. SLBJECT TO THE FOLLOWING LbNDITIONS: . -.... : `' ,. . . . „ APPROVED BY: ?f Er-,,{?J`. ??'?? ? -• ,,.? - - TITI?Ef ?•d? .i: . .r. . ^,? ... _, ..:.-}.•.V .,'.,r??..y;-:- ? . ?•DXTE: .. ....r . _ _ ;;- ?: •;,::?::::. *ATF: PAYMFTTC' OF FEE AT TIMIl; OF APPI,ICATSON DOFS 1V3T OONSSI1S71E APPROVAL OF PIIiNIIT. INSPDCriorr oF sEVM r,rID/oR MTEEt rntsrAr.raTrpNS WUy NpT BE SCHED- UIED LitTm PII2NIIT HAS BFEt+i APPRWID. ' _.... - 14w,%riease rrinL) ? e?.. . .m .?.. ? ? . , ?. 1) PROPERTY ADDRESS:???? .- ' ?_. • -:- LEGAL DESCRIPTION: ,, ?- = a, Lot Slock Subdivision or Tax Parce ID . ..,.:.. "g?r' . . ,.. ? ,r . , , : , _,? ... .?, a. .. . . . . . ,..?,c;?. . - . . . . . . .. ..... . . . .. . . . -.?, -?::. '??? . ,;:s _. . -::a?. t:' . . .?;? IF E7QSTING 5Z12L'CISIRE. DATE OF ORIGINAL BP.II.DANG FERMIT ISSCANCE: -- i ? •q'-?`- ?R Q.?1 °T ys ? ? ?I?i/ rRws1.y.J?J.., 7?'' 7 i . ? ;r I E ?4 :e . . ,. : °?° q, iA',rnA T `L ,a CE ? R -1 SINGLE FAMII.Y y'??i..i'?w`.?r.y: _ :?'?a? ...r , .. ' . . ? . ..°.':?;i3...k:. ^i??T.Y!?A1`n'?' .. .' . , . .' , i?;yYf'?=M???.`^wH•-. ? ?-'?LAL . R-2 :Dt.,F1c (Tsxo Lr,its) ? m ` t ".?',.` ?• ? V . r, z-::, r r - . -; ? IN6TI7L'TIONAL/G0VII2iZ= ? R 3 TDWl1iOC'SE (Three + Ututs) ( 4 -- -- ?:. ,p _ _- - ,??` " ' Q R-4? T1??NT/CODIDOMINI[JM ( Units) . . .fi: ' a - '• . . . . . °YY- ?. ? Z? ?. . . • ...n`k . . ... . ' ..:x„ • V tQME- _ .?'Y • . . . - ?i -lb • ???f??? ? ?''-.. /- . x=f-?,13[S1L+ / - L1S i ? ' _ • ` - ? ? :'t11\J\v-?? ?. _ .. .. e? _..,? ?-.. ?' y:9r ? . 3) • ? i: ?• ' t= c:ity ose . .. - NAME: - ? Plumbers License: ? Abl . Active ? • v ? S''F1TEr-7.IP2 "Q'1'Yr • NOt I2COSdEC1 _. -'- _.._....- - --- -- - . ?, t ::-'-' ' •:.-?° - =' - - - _ ' • .. CE[15E# MASTER - ` _. - , .. . _ . =nitial . . . . . . ,?. . . . , . , _ ?4) _ t?• • • • I?• ? •? ' " _ .. - _ - - .?y ? A . t . 4.. .j-, . } .. . , ? , .? . .., a , n • ? . . . . . _-- "-- ? ?P16/?L4' ]J: T . . ? - . . : ...' • ' .- ,?-... . ., . . : :. ^- w .' : --. _.i.?"; r,... - '..Reiel.'' •_-? .a + .. . ? -4i1y/_J1Lf1lI 41Ci . "PHONE: •S/ 1 ? Y• ' i t M: • BI• : D ' Di ' p? ". ?i CONNECfION S0 CITY SETWEE2 ? COAIISff7CTI0N 1U CITY WATER L( OTfm 61 ?? r• ??• ? PLFASE FIOLD APPROS7ID PERNIIT FOR PICX- BY 0NE OF ABOVE ? PLEASE MAIL APPROVID PERMiT TO 1. 4. AB0vE .. c • (Circle one) -. ., 7) • 7= ? Y' Y'I: M ? ••.? U ? 1" •? • •' ? 17' ? F Y31' • 71'I IY ^ ' ?I• • ' D• • ? ? • I. ??' !}. ? 1 ::r ?I:1. •,?1?? 1 1 1 71' ? i• :?I' • ? 1l ?' . ' •?. . -, - '! " ' __ - v . . .F»: -_. , C1TY OF EAGAN .. . ? _ . . s: APPLICATION FOR PERMIT ?- ' ' SEWER AND/OR WATER CONIVEC710N . ,' . .. . .r..?.. , . " ' . „'..,. ..AR..:!...W'-? . Jt'.. . .? ? _ .. r... ... ... i -..-. . . . .:.. - 43.y.`. . . _. c?{ai " . . , . ..,,... . . ,? .?., i•? .t ?E. : . FOR CITY USE 4NLY PERMIT ? ISSL'ED ;5?.,, N ,,._;,,'.f;•,.?_?: ..?,?:,;;? . :3 ' '?"?'??' . 4,_ 6:z):?="}';?`-??Al'•;r' :"•_ :- ? Pd w/Bldg. Permit ? FEES: S.`_ I1 ' _ _:.?r.._..-?,e. :'.?..sar?.v..?..,.':....., :, ... .. _ .., ve.. • ..rt:'.'. :? _ . EWER.PERMIT.(INCLUDE SLRCHARGE) ,;. , ? . , ,:,,:. ,.;. ,._,.•,?." ° .,?. ° $ : ". °?" ; ": _ ., - ? s . • %,-" ?j ? WATER PERMIT .( INCLDDE StRCHARGE) ` ? .. ..k.>.:mr..?re?•:,.? _? „? ??.,?.,',?:',,,.•'x $ ' ???`?` • $ ' WATER METER/COPPERHORN/OCTSIDE?READER n?.:•?.a - ? ,.,.?<.. : ' '.w?. -i ?s t: ?±:?,.,.. ,s-=?.?.?.4+:-..'v,-«=%J? i.+"?ri. l 6 '`??* ']''. ^,j'?, ,.. - ?. - . _.. 2 ' S? $ r ; ;??'?""„°? •"'`„?`° - ' $ _ ';:?? • WP;TER ?TAP ( INCLL?DE ?CORPORATION STOP ) . ? ? s , $?. -n"?,`?Y ? wY:,.?i??:?;` •$,.?;`;.?aY?7 •?" 3?.?? CCOUNT DEP?O?S?IT???SEWER ? av. ?`?k"?? t `?'?='d?x?w ? `h?#?' *u't`fC ''?'x,y?? rx'sp 'r' ' ?.'„l' " ' 'zF?'? ? ??`?' ??' ,j•?, -,tiN'.?.i?z't,', ' .: S? Ts n r ?k,? ?y`."`??+9?".k4'+,..+'-i?? Ai ?`??' `'. $ •t YJ??`'? G"C? $ ??'? rWAC ?,a?, +i?tr f- ?^u `??g"?r' ???.a.?pr-x;x.,?f. $ ° { ? j • ?$ ?:?C:??1 "',?i fi ? FT1tLI3K ttdP.TER?.P, S??SSMENT?,+F?'""' c ..-? _ -- : 1:.?'?, ,?.. _ r • E t1 i ._?a:^?ty,?,'?? ` ;'?'1?y`y'\: :'; ?s.'?^? (?•..` -? :'.., ,??? " . ?' ,+? .? ? .~`_„ j? • wzTAUNI?-ftW A,k?,£35MENT ??. R, .:.'?..: ...: ?= . . .?.. ??\?? . . $ LATERA? ?S?.NE£IT%TRL'NK SEWER LATERAL BEN°FIT'?.TRLNK WATER t•'...,,,°.,1, q.q ? i!- ?{' ? 7?'• _ ". ' j,. -.r<<?„? .. '*?;8rf•r'`>?. 1<`li.°. '?_S;T's??;???v`??`ri'd- ..._?:,.$ =``?,`.:_i. ?"^?.a-? ?--':?.?;'?.,i'utTi.?...:_ ,, _..,;r .t?:t?'?;.a•i°°?:?'.': 12.,'d'REATMENT )?LANT SURCHARGE ' ? ...».r• c i;`,? i. cw_ .,.. . ?_.?. . $3 ' y^' ?ry? / • , ??'? ?. ?a•. TOTALr:. _a y a?m?"n.4?rsa-.:f?.. d«?y?•?^?k ?' Por? k^?, ?? t?i??{ ?>s°'vyt ???+ -?.rb r:? ? ??/ • '? ?fT .? " '? ?? RECEIPT RECEIPT N / 4?? ` `?"'p`'?? ' _ DOES-OTILITY CONNECTION REQUIRE_EXCAVATION IN PLTSLIC.RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK LVITHIN PUBLIC~Y ? ROADWAY".MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. 1i,,'.,t?=%??,<._'.,;<<?.,,':,.g-?,'s'.?C; ? . . SLBJECT TO THE FOLLOWING tbNDITIONS: APPROVED BY: _ ?--?-,?'ci ' %'Zti'Yb - , .,•• .µR ': . ??. ' TIT] ?Ei J; _ . .. . „ .. 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 CiJ Telephone # 651-675-5675 FAX # 651-675-5694 NewConsW-t '-auiremen RemodellReoairReauiremenfs ?`ff ?se0ol 3 registe2d s iveys showing sq. ft of lot, sq. N. of house; and all roofed areas 2 copies of plan _ 15-1Fof' ? (20%ma?cii 2 mpies of p: coverage allowed) :+in3 beam & window sizes; poured found deelgn elc 1 set of Enert?y Calculations for heated additions 1 site survey for additions 8 decks !Fi S l 1 set of Ener , . ,'auons Add'Rian-irMicffieifon-sHesepficsystem u ' ystem:'k==:??Y:.:?4,=N 3copiesofTr . ;ervahonPlaniflotplaHedafter7/1/93 Rim JoislDe:_ ?r`ons selection sheet (bklgs wAh 3 or less uni4s Date 3 Site Addi Descripti Multi-Fa i Property 0,, Contracto. aadi Stah LAI Canstruction Cost ?A2C? ?%? '? 5L/J ln UniUSte # 0 N'ork //?15/I'? O4J /kbL,? Illdg _ Y_ N Fireplace(s) _ 02 n?•r ,??`?.kj L' ?.?,?? ?5 ? Telephone # ( (?J7 ) 1I? 2 ?JbYy FL 13 city !?^^? Zip ,;W7 Telephone # ( 7a) b`dJ')79 J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy _ le Category , Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsss,ontype) Submitted Submitted • Energy Envelope Calculations Submitted Have yc ^viously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee app: . Licensec ' , •?ber Telephone #? ) l Mechar Contractor ,: I ;ni.l . Telephone#( ) u lJ', ? , Sewer/` Contractor Telephone #( ,;_ -- , -- I hereb% ....;. ly for a Residential Building Permit and acknowledge that the information is complete and accurate; that the o i ic will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes. ' uiiderstand this is not a permit, but only an application for a permi d work is not to start without a pernut; i,. , t,ie work will be in accordance with the approved pla 'n the case f ork which requires a review and approval nl2n C ~ Applic. . Pri d ame Appli anYs Signature ems"" • N Use BLUE or BLACK Ink For Officets~ --------.I i ^ of Eagn 1 Permit ~q I Permit Fee: - C.7 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651)675.5675 1 I Fax: (651) 675-5694 1 Staff: I 2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 8 jd Date: 16-11- 13 Site Address:) ~6 B aY ,6- -A J Name: 111r i -7"a4rnhelm Phone: -1' 2 21-_.f Z L__ Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor P oI V1ICkliIC ' Description of work: emo r- * Construction Cost: Multi-Family Building: (Yes / No Company: ~ s_. UC d!✓------ Contact: ~ Contractor Address: ;3o3 i eh"CL -----City: Lj) rl fr.~3 State:.1t.A- Zip: _ 5 Phone: J61.2__ r Z~= License 2 C 19 4-04 to 2- Lead Certificate -,dzAl- - 2 J~?#f'7 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes No if yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: _ - Sewer & water Contractor: _ Phone: .NOTE. Plans and supporting documents that you submit are considered to be public Information. Portions of . the,lnformatlon may be classified as non-publlc If you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 45440002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aonherstateonecall.om I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan: that I understand this is not a permit, but only an application for a permit. and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of worts which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x_ Elf 2 able-:m ~ x____ r _ Applicant's Printed Name Applica s Signature 61 Page 1 of 3 APR-30-2014 13:42 FROM:VIKING EXTERIORS 651 256 1061 TO:6516755694 P.1/2 Use 3? ~c or BLACK Ink I tt For OM= the 1 6 of Eaan ECEIVED P l t1 APR 3 0 ~n 1 Permit F»: 3830 Pgot Knob Road 1 Sici I Eagan UN 55122 Phone: (651) 67$4%75 We Received: 1 Fax: (651) 675 894 I j S'hdfP. 1 1 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: LI VS 77 15-7'7 $ ske Addrrass: I S 9 1 q C l ernso n 1~ R unit Resident/ Name: phone: Owner Address / City i rp: Applicant is= -.-Owner Contractor Type of Work Description of work: C - t D~ - CatSlnrak>tt Cost`- 2 o o 0 • _ Multi-Family Building: (Yes / No Company 1~ w , n t a;,~ ~o~t Contact tl G _ r - Contractor Address: 90/ N. ~n~o~a✓ Cihr ..So. Sr~yL State; /"L'V Zip; E Phone" ~-/~6~ t_rrtail' Vafi.rM~yerC~y -W.ST~Y License Lead CoWdleato >R: S'7f 0 If the project is exempt from lead cerCifirWon, please eXpl why. (see Page 3 for additional Irtfortnatan) _ COMPLETE THIS AREA ONLY IF CONSTRUCTING A N~IV BUILDING In "M last 12 months, has the CRY of Eagan Issued a pwmit for a similar plan based on a maatter plats? Yes -140 If Yes. Cate and address of master plan: Licahtted Pluenberc Phone: Mechanical Conbactor. Phone: Sewer a Water conbsctor. NOTE: P/ . " - _ _ Phone: the ens iMiornrration and roilsupp documents thatyrou submit are considered to be pubfk inrarfnadOn. Poiftifans or may be c rasslAed as ^On-Pubfk WYOu provide specMC reasons Mat tvouid plrmft fife C/ty to Car c/uda_tbat they are trade secraf$, L FORE YOU _ _ . • Cal G"*- $taaa one l:all at (161) 6S44M for potaelIon against underground utility dtnWe. Call 48 hours Delats YOU intend to dig to receive locales or underground wtiOMea. - 1 ag u; adwedgo drat tIM9 information W t:amplete and accur'asr: that the work will be in M tomWvco with d" ero ngnces am Md. d the City of acowtlanme I ur w feria is ^a a Pa" k tut or$Y an application for a psrmit, and v"k is not to start wBltout a permit; That d" work will be in plan in the COM Of Work which rragr kw a rovlew area a~prpval of plans. Exre work ar suaroc d by a ilgirl0 permit issued in aucprdareQ rsMA of mit of p" Is9+tathcta, the MlmmGm State Building Coda must be oomplated woven 180 x s Prifew N x Appticanes aiignatlrre Page 1 ar 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA138006 Date Issued:08/03/2016 Permit Category:ePermit Site Address: 1577 Clemson Dr Lot:42 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-420 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jose Mari Bustos 1577 Clemson Dr A Eagan MN 55122 (651) 353-9772 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature For Office Use E /S APR 16 2020 rnttFe 2020 RESIDENTIAL BUILDING PERMIT APPLICATION r_tatp ! 'z Site Address: `.3:72__. 61einAcpide. Unit#: ------- _____ // //� 4 /10)1.0._,c-ti,-"4, L t hone Resident' Owner , ,idrr n Type of Work s� ;nc 3�w Mluiti Farnlly Building 'Yes X— N", Aor . v L� -,- A N„e- ...- O > Ayr 6iws x T.4 .-in.,-T. - jCa 1/4-Ale ..� " ''. act .L._ __/Yf_ {�/.'r�,p'yp jy..y /a yam. �:�:,1. /.01)-- 6f i X;h.- '.__. ,�,'. II-fitL e I�'Yl t,e"� - - COtitiac%or _ Al1 -7 , .. License -, (.76: 2.7`(j Z L- Lead Certificate iced certification. :, :,,s- , ,< ,',-,,- r #014:411.4*11 .✓rkE to /0."' -- : — COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the :'ast 12 months. has the City of Eagan issued a permit for a similar plan based on a master plan? „c and a r s rigs r, pi?-- t, Phone: _-_, lNec r ! , vu;aa Contractor: _-- Phone — _ -_. Phone: Etuvt3: & ".�.dr.._` ;cyq%traG`st�r. ..._...----.._..__.- _.._.—_._._.._«.._—.—�_. Fire ui.-Jr ti soil 4;0 tractorPhone: _____ .. — NOTE. Plans artd supporting documents that you submit are considered to be public information. Portions of the information may be ciassifreu a..r;ur,=public if you provide specific reasons that would permit the City to conclude that the-yare ttacie sper?tL. t ;;;r-,,-,,he re i e:eve an electronic notification from the Cdv of proposed ordinances by signing up for an email update no th, _,h; ,atrr,. ,.i„r,a.,th.rrri_e n_v a aiding permit r.s.ice ,n a,„,:o ciar ".r1 the Minnesota State Building Code must be completed with+ `3t' tsy 'i2 i .:ASL - - " ';8!n'`unuerui.:tr o Alin,. iun^_a_1e Ca.- n ,, il.: :.. _« -�'_ 4�? Olt; � Gopher State Ove i.aa � '6.5-'i r 4;,w r.Lu .- . r t-�hi-ii c WC- '.re ,1 .."•�i l ,�.,,. i.,%e; ... _. _ , .,-F. 'c. r2 Gtan 0.'i. )Ut ;i per,iiiii, t.h i. Yep ., -- --- ------------- AO:, +-.-+st s Printed Na,to / ApP,ieant's ignature q/5SUDO NOT WRITE BELOW THIS LINE / S 7 7 C )6--- 1171-(-°1/1 )D62 - /6 0C1/5- SUB B 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 Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation *$3,acc. Occupancy -Tile -I MCES System Plan Review Code Edition 9r,iZ SAC Units (25%_100% ) Zoning City Water Census Code 2/3<( Stories Booster Pump #of Units ) Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ezi-ra, Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) x 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: . /so-- , Building Inspector RESIDENTIAL FEES I 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